. Author manuscript; available in PMC: 2018 Sep 1.

Published in final edited form as: Am J Prev Med. 2017 May 8;53(3):373–384. doi: 10.1016/j.amepre.2017.03.022

Table 2.

Tdap Vaccination Coverage (≥1 Dose) Among Adolescents Aged 13–17 Years—NIS-Teen 2013

	Tdap vaccination coverage
		Parental report of provider recommendation for vaccine
Characteristic	Overall, % (95% CI)	Yes, % (95% CI)	No, % (95% CI)
Total	84.7 (83.7, 85.7)	88.6 (87.5, 89.7)	80.5 (78.6, 82.3)^a

Age (years)

13–15^b	86.3 (85.1, 87.4)	89.8 (88.3, 91.0)	82.2 (80.0, 84.2)^a

16–17	82.3 (80.5, 84.0)^c	86.9 (85.0, 88.7)^c	77.8 (74.3, 81.0)^a,^c

Gender

Male^b	84.4 (83.0, 85.8)	88.4 (86.7, 89.8)	80.1 (77.3, 82.7)^a

Female	85.0 (83.6, 86.3)	88.9 (87.3, 90.4)	80.9 (78.2, 83.3)^a

Race/ethnicity

Non-Hispanic white^b	84.8 (83.6, 85.9)	88.3 (86.9, 89.6)	79.4 (77.0, 81.6)^a

Non-Hispanic black	82.7 (79.4, 85.5)	86.0 (81.5, 89.6)	80.6 (75.1, 85.1)

Hispanic	84.9 (82.2, 87.3)	89.8 (86.6, 92.3)	81.7 (77.2, 85.4)^a

American Indian/Alaskan Native	84.8 (76.2, 90.7)	89.5 (79.0, 95.0)	84.5 (74.6, 91.0)

Asian	88.8 (84.7, 91.9)	93.2 (88.2, 96.1)	84.6 (75.1, 90.9)

Other	86.1 (81.9, 89.4)	91.1 (86.4, 94.3)	80.0 (71.2, 86.7)^a

Mother’s educational level

<High school^b	83.6 (80.5, 86.4)	87.2 (82.8, 90.6)	82.8 (78.1, 86.6)

High school	81.8 (79.2, 84.1)	87.4 (84.1, 90.2)	76.8 (72.4, 80.8)^a

Some college or college graduate	83.9 (82.1, 85.6)	87.1 (84.7, 89.2)	80.9 (77.7, 83.7)^a

>College graduate	87.7 (86.4, 88.9)^c	90.3 (88.8, 91.6)	82.2 (78.9, 85.1)^a

Mother’s married status

Married^b	85.7 (84.5, 86.8)	89.5 (88.2, 90.6)	80.8 (78.4, 83.1)^a

Widowed/divorced/separated	83.9 (81.8, 85.8)	86.7 (83.7, 89.2)	82.9 (79.6, 85.8)

Never married	81.9 (78.0, 85.3)^c	87.3 (82.3, 91.1)	77.2 (70.8, 82.6)^a

Mother’s age (years)

≤34^b	81.9 (78.5, 84.9)	83.3 (77.6, 87.7)	80.7 (75.9, 84.7)

35–44	83.7 (82.0, 85.2)	88.4 (86.7, 89.9)^c	79.3 (76.0, 82.2)^a

≥45	86.4 (85.1, 87.6)^c	89.8 (88.1, 91.2)^c	81.9 (79.3, 84.2)^a

Adolescent’s birth country

Born in U.S.^b	84.9 (83.9, 85.9)	88.7 (87.5, 89.7)	80.7 (78.7, 82.4)^a

Born outside U.S.	80.4 (73.0, 86.1)	87.8 (80.5, 92.6)	78.2 (66.6, 86.7)

Income to poverty ratio

<133%^b	83.2 (81.1, 85.1)	87.4 (84.7, 89.7)	80.7 (77.3, 83.6)^a

133%–<322%	82.6 (80.8, 84.3)	86.6 (84.3, 88.6)	78.6 (75.4, 81.5)^a

322%–<503%	87.1 (85.0, 88.8)^c	90.5 (88.3, 92.3)	82.1 (77.4, 86.0)^a

≥503%	88.5 (86.6, 90.1)^c	90.7 (88.6, 92.6)^c	82.4 (77.7, 86.3)^a

Medical insurance and vaccine finance^d

Private only^b	88.2 (87.0, 89.3)	91.4 (90.0, 92.6)	83.1 (80.2, 85.6)^a

VFC eligible–Medicaid/IHS/AIAN (All)	85.4 (83.8, 86.8)^c	88.0 (86.0, 89.8)^c	82.8 (80.1, 85.2)^a

VFC eligible–uninsured	76.8 (71.6, 81.4)^c	82.7 (72.6, 89.6)^c	77.0 (70.0, 82.7)

CHIP (public)	84.3 (78.7, 88.7)	88.2 (79.0, 93.7)	81.4 (73.0, 87.6)

Military	86.2 (79.3, 91.1)	90.5 (80.4, 95.7)	80.2 (67.8, 88.7)

Other	74.5 (49.7, 89.6)	89.8 (79.0, 95.3)	68.4 (30.6, 91.4)

Physician contacts within past year

None^b	79.1 (75.8, 82.1)	86.0 (82.4, 89.1)	75.0 (69.2, 80.1)^a

1	84.0 (82.1, 85.8)^c	88.4 (86.0, 90.4)	79.5 (75.8, 82.7)^a

2–3	86.9 (85.4, 88.2)^c	89.9 (88.0, 91.5)^c	83.4 (80.8, 85.7)^a,^c

≥4	86.3 (84.2, 88.1)^c	88.4 (86.0, 90.5)	82.3 (78.0, 85.9)^a,^c

Well-child visit at age 11–12 years^e

Yes^b	93.0 (91.8, 94.0)	93.2 (91.5, 94.5)	92.0 (89.6, 93.9)

No	77.4 (75.2, 79.4)^c	83.4 (80.6, 85.9)^c	73.8 (70.2, 77.1)^a,^c

Don’t know	80.5 (78.5, 82.2)^c	85.8 (83.7, 87.8)^c	75.2 (71.5, 78.6)^a,^c

Number of providers

1	86.0 (84.7, 87.3)^c	89.5 (87.9, 90.9)^c	82.1 (79.4, 84.5)^a,^c

2	85.4 (83.6, 86.9)^c	89.1 (86.9, 90.9)^c	81.2 (78.0, 84.0)^a,^c

≥3^b	80.9 (78.2, 83.3)	85.8 (82.9, 88.3)	75.6 (70.5, 80.1)^a

Metropolitan statistical area (MSA)

Urban area	84.8 (83.1, 86.3)^c	87.6 (85.6, 89.4)	81.6 (78.6, 84.3)^a,^c

Suburban area	85.8 (84.3, 87.2)^c	89.8 (88.2, 91.3)^c	81.2 (77.9, 84.0)^a,^c

Rural area^b	80.6 (78.3, 82.7)	86.6 (83.7, 89.1)	75.3 (71.7, 78.7)^a

Region

Northeast	89.3 (87.6, 90.8)^c	92.3 (90.3, 93.9)	84.5 (80.7, 87.7)^a

Midwest	84.1 (82.3, 85.6)	87.8 (85.7, 89.7)	80.2 (77.1, 83.1)^a

South	82.2 (80.5, 83.7)^c	85.8 (83.5, 87.8)^c	79.0 (76.4, 81.5)^a

West^b	86.1 (83.3, 88.4)	90.7 (88.0, 92.8)	80.8 (74.9, 85.6)^a

Facility type

All private facilities^b	86.7 (85.4, 87.9)	89.6 (88.0, 90.9)	82.5 (79.8, 85.0)^a

All public facilities	78.5 (75.2, 81.4)^c	81.7 (77.1, 85.6)^c	76.3 (71.4, 80.6)^c

All hospital facilities	79.2 (75.0, 82.9)^c	84.6 (80.1, 88.2)^c	68.1 (59.2, 75.8)^a,^c

All STD/school/teen clinics or other facilities	78.6 (70.2, 85.2)^c	78.2 (61.0, 89.2)^c	78.7 (67.5, 86.7)

Mixed^f	88.9 (87.3, 90.3)^c	91.9 (89.8, 93.7)	86.0 (83.3, 88.4)^a

Other^g	80.0 (68.0, 88.3)	87.5 (77.1, 93.6)	71.7 (48.0, 87.4)

Parental report of provider recommendation for vaccine

Yes^b	88.6 (87.5, 89.7)

No	80.5 (78.6, 82.3)^c

Note: Boldface indicates statistical significance (p < 0.05).

p <0.05 by t-test comparing provider recommendation versus no provider recommendation.

Reference level.

p <0.05 by t-test comparing against reference level.

Insurance categories are mutually exclusive.

Status of healthcare visit at age 11–12 years based on provider-reported data.

Mixed indicates that the facility is identified to be in more than one of the facility categories such as private, public, hospital, STD/school/teen clinics.

Includes military, WIC clinics, and pharmacies.

AIAN, American Indian/Alaska Native; CHIP, Children’s Health Insurance Program; IHS, Indian Health Service; NIS, National Immunization Survey; STD, sexually transmitted diseases; Tdap, tetanus, diphtheria, and acellular pertussis; VFC, Vaccines for Children Program.