Table of Contents
National Immunization Survey-Teen (NIS-Teen) 2018, Texas
Immunization Coverage among
Texas Teens 13-17 Years Old
(Full Report)
Source:
CDC
NIS-Teen Report
About
the National Immunization Survey-Teen (NIS-Teen)
The NIS-Teen is a national survey
conducted annually by the CDC to assess immunization levels for adolescents
13-17 years of age. 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. To
ensure the accuracy and precision of the vaccination coverage estimates,
immunization data for surveyed adolescents are also collected through a mail
survey of their pediatricians, family physicians, and other health care
providers. The parents and guardians of eligible adolescents are asked during
the telephone interview for consent to contact the adolescents’ vaccination
providers. Types of immunizations, dates of administration, and additional data
about facility characteristics are requested from immunization providers that
are identified during the telephone survey of households. The NIS-Teen’s
estimates of adolescent vaccination coverage reflect a comparison of
information provided by both surveyed households and immunization
providers.
The NIS-Teen was established to provide
an on-going, consistent data set for analyzing vaccination levels among
adolescents in the United States and to disseminate this information to
interested public health partners. The NIS-Teen provides national and state
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.
Survey
Sample
The survey assessed the immunization
histories of approximately 20,000 adolescents aged 13-17 years in the US. These
adolescents were born between January 2000 and February 2006. In Texas, approximately
2000 adolescents were surveyed for the 2018 NIS-Teen. In addition to Texas
immunization rates, rates are also available for four local areas – City of
Houston and Hidalgo, Tarrant, and Bexar counties.
Vaccines Included
The
following vaccine doses routinely recommended for adolescents were measured in
the 2018 NIS-Teen:
- ≥1
Tetanus-diphtheria-pertussis (Tdap) vaccine.
- ≥1 dose of MenACWY or
meningococcal-unknown type vaccine.
- ≥1 dose of human
papillomavirus (HPV) vaccine.
- HPV vaccine Up-to-Date,
either two or three doses dependent on age of initiation.
Vaccination Coverage
Levels
NIS-Teen
Immunization Coverage Estimates in the U.S and Texas, 2017-2018
Vaccine
|
U.S. National Average 2018
|
Texas 2017
|
Texas 2018
|
2017-18 Texas Percentage Point Change (+/-)
|
HPV vaccine, ≥1 dose
|
68.1%
|
57.8%
|
59.9%
|
2.1%
|
HPV vaccine, Up-To-Date
|
51.1%
|
39.7%
|
43.5%
|
3.8%
|
MenACWY, ≥1 dose
|
86.6%
|
85.1%
|
86.7%
|
1.6%
|
Tdap, ≥1 dose
|
88.9%
|
83.2%
|
83.4%
|
0.2%
|

See accessible data table of chart below:
NIS-Teen Immunization Coverage Estimates
for Tdap and MenACWY by Jurisdiction, 2018
Vaccine
|
US
|
Texas
|
City of Houston
|
Hidalgo County
|
Tarrant County
|
Bexar County
|
≥1 Tdap
|
88.9%
|
83.4%
|
82.8%
|
83.8%
|
84.7%
|
86.2%
|
≥1 MenACWY
|
86.6%
|
86.7%
|
86.7%
|
88.2%
|
87.6%
|
89.1%
|
See accessible data table of chart
below:
NIS-Teen Immunization Coverage
Estimates for HPV by Gender and Jurisdiction, 2018
Vaccine
|
US
|
Texas
|
City of Houston
|
Hidalgo County
|
Tarrant County
|
Bexar County
|
≥1 HPV, females
|
69.9%
|
64.6%
|
77.1%
|
69.4%
|
63.8%
|
71.1%
|
HPV UTD, females
|
53.7%
|
47.8%
|
54.2%
|
49.7%
|
45.5%
|
52.5%
|
≥1 HPV, males
|
66.3%
|
55.5%
|
63.6%
|
63.5%
|
61.7%
|
59.7%
|
HPV UTD, males
|
48.7%
|
39.4%
|
47.8%
|
49.2%
|
46.4%
|
43.6%
|
a The same methodology
was not used for all years.

See accessible data table of chart below:
|
NIS-Teen One-Dose
HPV Immunization Coverage Estimates by Gender, U.S. and Texas, 2008-2018a
|
|
2008
|
2009
|
2010
|
2011
|
2012
|
2013
|
2014
|
2015
|
2016
|
2017
|
2018
|
United States,
Female
|
37.2%
|
44.3%
|
48.7%
|
53.0%
|
53.8%
|
56.7%
|
60.0%
|
62.8%
|
65.1%
|
68.6%
|
69.9%
|
Texas,
Female
|
31.6%
|
37.6%
|
47.5%
|
48.8%
|
51.2%
|
55.5%
|
50.7%
|
60.1%
|
54.5%
|
60.4%
|
64.6%
|
United States,
Male
|
n/a
|
n/a
|
n/a
|
8.3%
|
20.8%
|
33.6%
|
41.7%
|
49.8%
|
56.0%
|
62.6%
|
66.3%
|
Texas, Male
|
n/a
|
n/a
|
n/a
|
10.4%
|
24.0%
|
33.7%
|
36.6%
|
41.4%
|
44.3%
|
55.2%
|
55.5%
|
a The same methodology was not used for all years.
View survey results from prior years: