TABLE 1.
Sample Characteristics of Adolescents Aged 13 to 17 Years in the United States, by Demographic and Access-to-Care Variables, NIS-Teen, 2015 to 2020
| Survey Year | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | |||||||
| Subgroup and Age Group, y | Sample | Weighted % | Sample | Weighted % | Sample | Weighted % | Sample | Weighted % | Sample | Weighted % | Sample | Weighted % |
|
| ||||||||||||
| Total | 21 875 | 100 | 20 475 | 100 | 20 949 | 100 | 18 700 | 100 | 18 788 | 100 | 17 970 | 100 |
| Parental report of provider recommendation for HPV vaccine | ||||||||||||
| Yes | 13 964 | 68.4 (67.1–69.6) | 13 733 | 71.4 (70.2–72.7) | 14906 | 75.3 (74.1–76.5) | 13 559 | 77.5 (76.4–78.7) | 14054 | 79.6 (78.2–80.9) | 13 786 | 81.5 (80.4–82.7) |
| No | 5935 | 31.6 (30.4–32.9) | 4908 | 28.6 (27.3–29.8) | 4294 | 24.7 (23.5–25.9) | 3693 | 22.5 (21.3–23.6) | 3280 | 20.4 (19.1–21.8) | 2747 | 18.5 (17.3–19.6) |
| Age, y | ||||||||||||
| 13–15 | 13 488 | 60.7 (59.4–61.9) | 12 578 | 60.5 (59.2–61.7) | 12 924 | 60.7 (59.5–62.0) | 11 468 | 60.5 (59.2–61.8) | 11 687 | 61.2 (59.6–62.6) | 11 071 | 60.6 (59.2–61.9) |
| 16–17 | 8387 | 39.3 (38.1–40.6) | 7897 | 39.5 (38.3–40.8) | 8025 | 39.3 (38.0–40.5) | 7232 | 39.5 (38.2–40.8) | 7101 | 38.8 (37.4–40.4) | 6899 | 39.4 (38.1–40.8) |
| Sex | ||||||||||||
| Male | 11 367 | 51.1 (49.8–52.4) | 10814 | 51.1 (49.8–52.3) | 11 104 | 51.0 (49.7–52.3) | 9772 | 51.0 (49.7–52.4) | 9872 | 51.0 (49.5–52.6) | 9445 | 51.5 (50.1–52.9) |
| Female | 10 508 | 48.9 (47.6–50.2) | 9661 | 48.9 (47.7–50.2) | 9845 | 49.0 (47.7–50.3) | 8928 | 49.0 (47.6–50.3) | 8916 | 49.0 (47.4–50.5) | 8525 | 48.5 (47.1–49.9) |
| Race or ethnicity | ||||||||||||
| Non-Hispanic White | 12 835 | 53.5 (52.3–54.8) | 12 883 | 52.7 (51.5–54.0) | 13010 | 52.3 (51.1–53.6) | 11 128 | 51.9 (50.6–53.2) | 11 883 | 52.0 (50.5–53.5) | 11 348 | 50.7 (49.4–52.0) |
| Non-Hispanic Black | 2228 | 14.0 (13.2–14.9) | 1990 | 13.7 (12.9–14.6) | 1743 | 13.8 (12.9–14.8) | 1488 | 13.7 (12.7–14.7) | 1367 | 13.7 (12.6–14.8) | 1614 | 14.2 (13.2–15.2) |
| Hispanic | 4610 | 22.8 (21.6–24.0) | 3223 | 23.2 (22.0–24.5) | 3882 | 23.7 (22.4–24.9) | 4021 | 24.2 (23.0–25.4) | 3466 | 24.7 (23.2–26.3) | 3007 | 23.6 (22.3–25.0) |
| American Indian or Alaskan Native | 290 | 0.8 (0.7–1.0) | 300 | 1.0 (0.8–1.2) | 257 | 0.8 (0.6–1.1) | 247 | 0.7 (0.6–0.9) | 237 | 0.8 (0.6–1.0) | 195 | 0.7 (0.6–1.0) |
| Asian | 751 | 4.0 (3.5–4.6) | 862 | 4.2 (37–4.8) | 818 | 4.4 (3.8–5.0) | 601 | 4.0 (3.4–47) | 607 | 3.6 (3.1–4.2) | 689 | 4.8 (41–5.5) |
| Other | 1161 | 4.8 (4.3–5.3) | 1217 | 5.1 (4.6–57) | 1239 | 5.0 (4.6–5.5) | 1215 | 5.5 (5.0–6.2) | 1228 | 5.3 (47–5.9) | 1117 | 6.0 (5.4–6.7) |
| Mother’s educational level | ||||||||||||
| <High school | 2955 | 13.5 (12.5–14.5) | 2205 | 13.4 (12.4–14.4) | 2565 | 13.2 (12.3–14.1) | 2368 | 12.3 (11.4–13.1) | 1780 | 11.5 (10.6–12.5) | 1516 | 12.3 (11.2–13.5) |
| High school | 3626 | 22.9 (21.7–24.1) | 3253 | 22.4 (21.3–23.6) | 3141 | 22.1 (21.0–23.3) | 2929 | 21.9 (20.7–23.2) | 2679 | 21.8 (20.4–23.3) | 2700 | 20.9 (19.8–22.1) |
| Some college or college graduate | 5776 | 25.8 (24.7–26.9) | 5369 | 25.0 (23.9–26.1) | 5166 | 23.8 (22.7–24.9) | 4721 | 24.2 (23.1–25.3) | 4918 | 23.6 (22.3–24.9) | 4570 | 24.3 (23.1–25.5) |
| >College graduate | 9518 | 37.9 (36.7–39.1) | 9648 | 39.2 (38.0–40.4) | 10 077 | 40.9 (39.7–42.1) | 8682 | 41.7 (40.4–43.0) | 9411 | 43.1 (41.6–44.6) | 9184 | 42.5 (41.2–43.8) |
| Mother’s married status | ||||||||||||
| Married or living with partner | 16 403 | 69.3 (68.1–70.5) | 15 544 | 69.3 (68.1–70.5) | 16 000 | 70.4 (69.2–71.7) | 14095 | 70.0 (68.7–71.2) | 14 327 | 70.2 (68.6–71.7) | 13 528 | 70.3 (69.0–71.5) |
| Widowed, divorced, or separated | 3778 | 22.4 (21.3–23.5) | 3448 | 22.0 (20.9–23.1) | 3503 | 21.2 (20.1–22.3) | 3257 | 21.1 (20.1–22.3) | 3155 | 20.9 (19.6–22.4) | 3058 | 20.6 (19.5–21.7) |
| Never married | 1475 | 8.3 (7.7–9.0) | 1301 | 8.7 (8.0–9.5) | 1240 | 8.4 (77–9.2) | 1182 | 8.9 (8.1–9.8) | 1139 | 8.9 (8.0–9.9) | 1233 | 9.2 (8.4–10.0) |
| Mother’s age, y | ||||||||||||
| ≤34 | 1866 | 9.0 (8.3–9.8) | 1686 | 8.9 (8.2–97) | 1599 | 8.4 (77–9.2) | 1407 | 7.9 (7.2–87) | 1286 | 7.7 (6.9–8 6) | 1187 | 7.3 (6.6–8.1) |
| 35–44 | 9241 | 44.2 (42.9–45.5) | 8310 | 44.1 (42.8–45.4) | 8447 | 42.8 (41.5–44.1) | 7955 | 43.4 (42.1–44.7) | 8097 | 44.7 (43.2–46.2) | 7623 | 43.6 (42.2–44.9) |
| ≥45 | 10 768 | 46.8 (45.5–48.0) | 10 479 | 47.0 (45.7–48.3) | 10 903 | 48.8 (47.6–50.1) | 9338 | 48.7 (47.3–50.0) | 9405 | 47.6 (46.1–49.1) | 9160 | 49.2 (47.8–50.5) |
| Place of birth | ||||||||||||
| Born in United States | 20 825 | 95.1 (94.5–95.6) | 19 403 | 93.9 (93.2–94.6) | 19 723 | 93.1 (92.3–93.9) | 17 605 | 93.8 (93.1–94.5) | 17 932 | 95.0 (94.3–95.7) | 17111 | 94.9 (94.1–95.6) |
| Born outside United States | 891 | 4.9 (4.4–5.5) | 948 | 6.1 (5.4–68) | 1097 | 6.9 (6.1–77) | 975 | 6.2 (5.5–6.9) | 740 | 5.0 (4.3–57) | 732 | 5.1 (44–5.9) |
| Income to poverty ratio | ||||||||||||
| <133% | 6307 | 33.1 (31.8–34.4) | 5103 | 31.7 (30.5–33.0) | 5277 | 31.3 (30.1–32.5) | 4860 | 29.1 (27.9–30.4) | 4073 | 27.3 (25.9–28.8) | 3741 | 27.2 (25.9–28.5) |
| 133% to <322% | 5987 | 28.3 (27.2–29.5) | 5787 | 28.8 (27.6–30.0) | 5469 | 27.1 (25.9–28.2) | 4976 | 27.2 (26.0–28.5) | 5100 | 28.1 (26.7–29.6) | 4846 | 28.9 (27.6–30.2) |
| 322% to <503% | 4851 | 19.7 (18.8–20.7) | 4121 | 17.6 (16.8–18.6) | 4160 | 17.2 (16.3–18.1) | 3614 | 18.3 (17.4–19.3) | 3899 | 17.4 (16.4–18.4) | 3836 | 18.4 (17.4–19.3) |
| ≥503% | 4730 | 18.9 (18.0–19.8) | 5464 | 21.8 (20.8–22.8) | 6043 | 24.4 (23.4–25.5) | 5250 | 25.3 (24.2–26.5) | 5716 | 27.2 (25.9–28.5) | 5547 | 25.6 (24.5–26.7) |
| Medical insurancea | ||||||||||||
| Private only | 12157 | 51.4 (50.1–52.7) | 11 889 | 51.2 (49.9–52.5) | 11 919 | 50.5 (49.2–51.8) | 10315 | 52.1 (50.8–53.5) | 11 183 | 54.3 (52.8–55.9) | 10 764 | 53.5 (52.1–54.9) |
| Any Medicaid | 7010 | 36.5 (35.2–37.8) | 6203 | 37.2 (35.9–38.5) | 6504 | 37.5 (36.3–38.8) | 5999 | 35.8 (34.5–37.2) | 5366 | 34.5 (33.0–36.0) | 5259 | 35.4 (34.0–36.8) |
| Otherb | 1800 | 7.7 (7.0–8.4) | 1679 | 7.6 (7.0–8.2) | 1708 | 7.6 (7.0–8.2) | 1605 | 7.5 (6.9–8.1) | 1545 | 7.1 16.4–7.8) | 1343 | 6.8 16.2–7.5) |
| Uninsured | 908 | 4.4 (3.9–5.0) | 702 | 4.1 13.5–4.7) | 818 | 4.4 13.9–4.9) | 781 | 4.5 (4.0–5.1) | 694 | 4.1 13.6–4.7) | 604 | 4.3 (3.7–5.0) |
| Provider contacts within past year | ||||||||||||
| None | 2932 | 14.9 (14.0–15.9) | 2608 | 14.9 (13.9–16.0) | 2816 | 15.8 (14.8–16.8) | 2402 | 14.6 (13.6–15.6) | 2252 | 14.1 (13.0–15.3) | 2433 | 16.7 (15.6–17.8) |
| 1 | 6119 | 30.0 (28.8–31.3) | 5884 | 30.4 (29.2–31.6) | 5798 | 29.7 (28.5–30.9) | 5303 | 29.8 (28.5–31.1) | 5281 | 29.9 (28.6–31.4) | 5499 | 32.4 (31.1–33.7) |
| 2–3 | 7929 | 35.2 (34.0–36.4) | 7385 | 35.3 (34.1–36.5) | 7600 | 35.1 (33.9–36.3) | 6724 | 35.8 (34.5–37.1) | 6978 | 36.3 (34.9–37.8) | 6443 | 34.1 (32.8–35.3) |
| ≥4 | 4681 | 19.9 (18.9–20.9) | 4392 | 19.4 (18.5–20.4) | 4524 | 19.5 (18.5–20.4) | 4085 | 19.9 (18.9–20.9) | 4123 | 19.6 (18.5–20.8) | 3447 | 16.9 (15.9–17.9) |
| Well child visit at age 11–12 yc | ||||||||||||
| Yes | 10 472 | 47.1 (45.8–48.4) | 9898 | 46.3 (45.1–47.6) | 10 325 | 47.6 (46.3–48.9) | 9260 | 48.5 (47.2–49.9) | 9948 | 50.4 (48.9–51.9) | 9016 | 49.9 (48.5–51.3) |
| No | 5341 | 22.8 (21.8–23.8) | 4785 | 22.7 (21.7–23.8) | 4733 | 21.6 (20.6–22.7) | 4139 | 20.5 (19.5–21.6) | 4053 | 21.1 (19.9–22.4) | 3171 | 17.6 (16.6–18.7) |
| Don’t know | 6062 | 30.2 (29.0–31.4) | 5792 | 30.9 (29.7–32.2) | 5891 | 30.8 (29.6–32.0) | 5301 | 30.9 (29.7–32.3) | 4787 | 28.5 (27.0–29.9) | 5783 | 32.5 (31.2–33.8) |
| Number of providers | ||||||||||||
| 1 | 12138 | 58.2 (56.9–59.5) | 11 760 | 59.2 (57.9–60.5) | 12216 | 60.5 (59.2–61.7) | 10 721 | 60.5 (59.2–61.8) | 10 497 | 58.7 (57.2–60.2) | 10 867 | 62.1 (60.7–63.4) |
| 2 | 6150 | 26.3 (25.2–27.5) | 5578 | 26.2 (25.1–27.3) | 5617 | 26.6 (25.4–27.8) | 5098 | 26.4 (25.3–27.5) | 5147 | 26.9 (25.5–28.3) | 4777 | 26.0 (24.8–27.2) |
| ≥3 | 3539 | 15.5 (14.6–16.4) | 3061 | 14.6 (13.7–15.6) | 3050 | 12.9 (12.1–13.8) | 2817 | 13.1 (12.3–14.0) | 3078 | 14.4 (13.5–15.4) | 2277 | 12.0 (11.1–12.9) |
| MSA | ||||||||||||
| MSA principal city | 9105 | 39.8 (38.6–41.0) | 7979 | 40.1 (38.9–41.4) | 8544 | 41.2 (40.0–42.5) | 7564 | 42.4 (41.1–43.7) | 7354 | 40.0 (38.5–41.5) | 6927 | 40.6 (39.2–41.9) |
| MSA non-principal city | 8459 | 47.4 (46.1–48.6) | 8248 | 46.9 (45.6–48.1) | 8282 | 46.9 (45.7–48.2) | 7543 | 46.9 (45.6–48.2) | 7745 | 49.3 (47.8–50.8) | 7720 | 48.7 (47.4–50.1) |
| Non-MSA | 4311 | 12.8 (12.2–13.5) | 4248 | 13.0 (12.4–13.6) | 4123 | 11.8 (11.2–12.4) | 3593 | 10.7 (10.2–11.3) | 3689 | 10.7 (10.0–11.3) | 3323 | 10.7 (10.1–11.3) |
| Region | ||||||||||||
| Northeast | 4049 | 16.6 (16.2–17.1) | 4049 | 16.5 (16.0–16.9) | 3975 | 16.4 (15.9–16.8) | 3437 | 16.2 (15.6–16.8) | 3597 | 16.0 (15.4–16.6) | 4020 | 17.5 (17.0–18.1) |
| Midwest | 4666 | 21.6 (21.0–22.1) | 4313 | 21.4 (20.9–22.0) | 4485 | 21.3 (20.9–21.8) | 4094 | 21.2 (20.7–21.8) | 3985 | 21.2 (20.5–21.8) | 4508 | 23.4 (22.8–24.1) |
| South | 8355 | 38.0 (37.3–38.8) | 7620 | 38.3 (37.5–39.0) | 8032 | 38.4 (37.6–39.2) | 7184 | 38.6 (37.8–39.4) | 7057 | 38.8 (37.8–39.8) | 7189 | 43.2 (42.3–44.2) |
| West | 4805 | 23.8 (22.9–24.7) | 4493 | 23.8 (23.0–24.7) | 4457 | 23.9 (23.0–24.8) | 3985 | 24.0 (23.0–25.0) | 4149 | 24.1 (22.8–25.4) | 2253 | 15.8 (14.9–16.8) |
| Facility type | ||||||||||||
| All private facilities | 10 891 | 54.7 (53.5–56.0) | 10146 | 53.0 (51.7–54.3) | 10 337 | 52.5 (51.3–53.8) | 9038 | 52.8 (51.5–54.2) | 9257 | 53.4 (51.8–54.9) | 8840 | 54.3 (53.0–55.7) |
| All public facilities | 3157 | 13.6 (12.8–14.5) | 2925 | 14.5 (13.6–15.5) | 3123 | 16.3 (15.3–17.3) | 2724 | 15.2 (14.1–16.2) | 2616 | 15.2 (14.0–16.5) | 2392 | 13.7 (12.7–14.7) |
| All hospital facilities | 2311 | 9.1 18.5–9.8) | 2426 | 10.1 (9.4–10.9) | 2485 | 9.9 (9.2–10.6) | 2267 | 10.2 (9.5–10.9) | 2469 | 10.9 (10.0–11.8) | 2742 | 12.4 (11.6–13.2) |
| All sexually transmitted diseases, school, and teen clinics or other facilities | 331 | 1.6 (1.3–2.0) | 328 | 2.0 (1.6–2.5) | 377 | 2.3 (1.8–2.8) | 302 | 1.8 (1.5–2.2) | 278 | 1.8 (1.3–2.4) | 260 | 1.5 (1.2–1.9) |
| Mixedd | 4753 | 19.7 (18.7–20.7) | 4209 | 19.0 (18.1–20.0) | 4173 | 17.8 (16.9–18.8) | 3974 | 18.8 (17.8–19.8) | 3762 | 17.6 (16.5–18.8) | 3410 | 17.1 (16.1–18.1) |
| Othere | 301 | 1.2 (1.0–1.5) | 289 | 1.3 (1.1–1.6) | 310 | 1.2 (1.0–1.4) | 262 | 1.2 (1.0–1.5) | 274 | 1.1 (0.9–1.4) | 213 | 1.0 (0.8–1.3) |
a
Insurance categories are mutually exclusive.
b
Indian Health Service, Children’s Health Insurance Program, military, and some private.
c
Status of health-care visit at age 11 to 12 y based on provider reported data.
d
Mixed indicates that the facility is identified to be in more than 1 of the facility categories such as private, public, hospital, sexually transmitted diseases, school, or teen clinics.
e
Includes military, WIC clinics, and pharmacies.