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Source: CDC NIS-Teen Report
About the National Immunization Survey-Teen (NIS-Teen)
The NIS-Teen is a national survey conducted every year by the CDC to assess vaccination coverage levels, or the percentage of people vaccinated, among adolescents 13-17 years of age. This study collects data by interviewing households in all 50 states, the District of Columbia, and smaller selected areas. The interviews are conducted by telephone, with households selected at random. To ensure the accuracy of the vaccination coverage estimates, the interview is followed by collection of vaccination records from healthcare providers by mail. The parents and guardians of eligible teens are asked during the telephone interview for consent to contact the adolescents’ vaccination providers to verify their records.
The NIS-Teen was established to provide an on-going, consistent data set for analyzing vaccination coverage levels among adolescents in the United States and to share this information with interested public health partners. The NIS-Teen provides national and statewide 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.
Stay-at-home orders due to COVID-19 in March 2020 may have had a minor effect on the processing of some provider-reported data from late in the survey year, but this did not significantly affect the demographics of children or vaccination coverage estimates.
Survey Sample
The survey assessed the vaccination histories of approximately 20,000 adolescents aged 13-17 years in the U.S. These adolescents were born between January 2001 and February 2007. In addition to Texas overall, rates are also available for four local areas – City of Houston, El Paso County, Dallas County, and Bexar County.
Vaccines Included
The following vaccine doses routinely recommended starting at 11-12 years of age were measured in the 2019 NIS-Teen:
• ≥1 Tetanus-diphtheria-pertussis (Tdap) vaccine
• ≥1 dose of Quadrivalent Meningococcal Conjugate (MenACWY) 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, 2018-2019 |
| Vaccine | U.S. National Average 2019 | Texas 2018 | Texas 2019 | 2018 to 2019 Texas Percentage Point Change (+/-) |
| HPV vaccine, ≥1 dose | 71.5% | 59.9% | 65.1% | +5.2% |
| HPV vaccine, Up-To-Date | 54.2% | 43.5% | 48.4% | +4.9% |
| MenACWY, ≥1 dose | 88.9% | 86.7% | 85.9% | -0.8% |
| Tdap, ≥1 dose | 90.2% | 83.4% | 84.8% | +1.4% |
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See accessible data table of chart below:
| NIS-Teen Immunization Coverage Estimates for Tdap and MenACWY by Jurisdiction, 2019 |
| Vaccine | US | Texas | City of Houston | Dallas County | El Paso County | Bexar County |
| ≥1 Tdap | 90.2% | 84.8% | 91.8% | 84.6% | 89.1% | 83.3% |
| ≥1 MenACWY | 88.9% | 85.9% | 92.0% | 86.6% | 93.5% | 87.4% |
See accessible data table of chart below:
| NIS-Teen Immunization Coverage Estimates for HPV by Gender and Jurisdiction, 2019 |
| Vaccine | US | Texas | City of Houston | Dallas County | El Paso County | Bexar County |
| ≥1 HPV, females | 73.2% | 64.2% | 84.2% | 68.5% | 85.4% | 65.7% |
| HPV UTD, females | 56.8% | 50.6% | 61.6% | 52.7% | 71.4% | 47.7% |
| ≥1 HPV, males | 69.8% | 65.9% | 75.8% | 67.6% | 82.3% | 68.8% |
| HPV UTD, males | 51.8% | 46.3% | 54.2% | 48.3% | 56.3% | 47.3% |
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, 2010-2019a |
| | 2010 | 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 |
| United States, Female | 48.7% | 53.0% | 53.8% | 56.7% | 60.0% | 62.8% | 65.1% | 68.6% | 69.9% | 73.2% |
| Texas, Female | 47.5% | 48.8% | 51.2% | 55.5% | 50.7% | 60.1% | 54.5% | 60.4% | 64.6% | 64.2% |
| United States, Male | n/a | 8.3% | 20.8% | 33.6% | 41.7% | 49.8% | 56.0% | 62.6% | 66.3% | 69.8% |
| Texas, Male | n/a | 10.4% | 24.0% | 33.7% | 36.6% | 41.4% | 44.3% | 55.2% | 55.5% | 65.9% |
a The same methodology was not used for all years.
View survey results from prior years:
2018 National Immunization Survey Results
2017 National Immunization Survey Results
2016 National Immunization Survey Results
2015 National Immunization Survey Results
2014 National Immunization Survey Results
2013 National Immunization Survey Results
2010 National Immunization Survey Results
2009 National Immunization Survey Results
2008 National Immunization Survey Results
2007 National Immunization Survey Results
2006 National Immunization Survey Results
2005 National Immunization Survey Results
2004 National Immunization Survey Results
2003 National Immunization Survey Results
2002 National Immunization Survey Results
2001 National Immunization Survey Results
2000 National Immunization Survey Results