The Behavioral Risk Factor Surveillance System (BRFSS) 2017, Texas

Full Report
Source: CDC BRFSS Report

About the BRFSS Summary

The Behavioral Risk Factor Surveillance System (BRFSS) is a national survey conducted annually by the CDC to assess behavioral risk factors, including immunizations levels, for non-institutionalized U.S. adults. This study collects data by interviewing households in all 50 states, the District of Columbia, and selected areas for oversampling. The interviews are conducted by telephone, with households selected at random. Self-reported information about immunizations is collected by the BRFSS survey.
The BRFSS was established to provide an on-going, consistent data set for analyzing risk factors including immunization coverage levels in the United States and to disseminate this information to interested public health partners. The BRFSS provides national, state, and regional estimates of vaccination coverage, including new vaccines as they are licensed and recommended for use. It also helps track progress towards the Healthy People 2020 goals.

The BRFSS includes questions from the CDC that are asked in all 50 states and questions that are state-generated and asked only in specific states. For several years, Texas has chosen to ask additional vaccination coverage questions that are not asked nationally.

Vaccines Included

The following vaccine doses were measured in the National 2017 BRFSS:

  • ≥1 dose of any Pneumococcal (“Pneumonia”) vaccine
  • ≥1 dose of Shingles vaccine
  • Annual flu vaccinationa

In 2017, Texas also added the following measurements to the state’s version of the BRFSS survey:

  • ≥1 dose of any Tetanus containing vaccine since 2005
  • ≥1 dose of HPV vaccine
  • HPV vaccine (UTD) among those who reported receiving ≥1 dose
  • ≥1 dose of Hepatitis B vaccine
  • Hepatitis B Up-to-Date (UTD) among those who reported receiving ≥1 dose
  •  ≥1 dose of any Meningococcal vaccine
  • Type of vaccine provider where flu shot was receiveda

a NIS-Flu uses BRFSS survey results to calculate adult influenza vaccine coverage rates for adults. Additional details for adult influenza coverage in Texas can be found on the Texas NIS-Flu webpage.

2016 & 2017 Texas BRFSS Coverage Estimates

Table 1

(‘--': State optional modules, no national estimates
b Percentage of ‘All HPV’ is the percentage of adults 18-49 who completed the series among those who ever started the HPV series.
c Percentage of ‘All HepB’ is the percentage of adults 18+ who completed the series among those who ever started the HepB series.)

BRFSS Vaccination Coverage Levels d


(d Tetanus, HPV and HepB are state optional modules for 2017, hence no national estimates)

Adult Immunization Coverage Estimates for Pneumococcal in Texas and United States among Seniors by Race/Ethnicity, 2017.

Graph 2

Adults aged 50+ Immunization Coverage Estimates for Shingles in Texas and United States by Race/Ethnicity, 2017.
Graph 3 BFRSS

HP2020 goals among adults and Texas vaccine coverage rates in 2017

Table 2

Meningococcal vaccination coverage estimates for adults between ages 18 and 24 years of age by Race/ Ethnicity, 2017. e

Graph 5 BFSS

e Estimate are not available for black/non-Hispanic and other racial groups due to low sample size.