Figure 1.
State-specific trends in the prevalence of influenza vaccination among US adults with cardiovascular disease, Behavioral Risk Factor Surveillance System, 2011–2020. Linear and quadratic trends were calculated by using adjusted regression models with survey years modeled as orthogonal polynomials. Abbreviation: NA, not available.
| State by region | Prevalence |
P for linear trend | P for quadratic trend | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2011 | 2012 | 2013 | 2014 | 2015 | 2016 | 2017 | 2018 | 2019 | 2020 | |||
| New England | ||||||||||||
| Connecticut | 39.8 | 33.1 | 40.4 | 53.6 | 49.4 | 52.3 | 47.7 | 29.6 | 54.0 | 50.5 | .002 | .13 |
| Maine | 42.7 | 46.9 | 44.1 | 37.1 | 47.6 | 47.8 | 37.3 | 28.6 | 34.4 | 47.5 | .25 | .01 |
| Massachusetts | 45.1 | 46.0 | 45.5 | 41.1 | 40.0 | 34.6 | 42.3 | 29.6 | 43.2 | 53.7 | .47 | <.001 |
| New Hampshire | 41.1 | 44.1 | 32.6 | 39.7 | 47.2 | 54.5 | 51.6 | 25.6 | 46.9 | 36.1 | .84 | .37 |
| Rhode Island | 37.9 | 46.7 | 42.6 | 48.0 | 36.6 | 41.8 | 47.3 | 30.9 | 38.1 | 60.0 | .09 | .30 |
| Vermont | 47.0 | 33.9 | 42.4 | 54.5 | 38.3 | 31.8 | 32.4 | 35.7 | 45.6 | 48.3 | .001 | .08 |
| Middle Atlantic | ||||||||||||
| New Jersey | 36.4 | 36.4 | 27.3 | 34.9 | 42.1 | 47.2 | 51.4 | 32.4 | NA | 48.3 | .04 | .88 |
| New York | 36.3 | 51.5 | 35.1 | 39.5 | 42.0 | 45.2 | 35.6 | 29.3 | 39.7 | 41.1 | .22 | .38 |
| Pennsylvania | 48.6 | 45.4 | 38.2 | 36.7 | 38.0 | 38.5 | 56.3 | 39.3 | 51.8 | 60.8 | .01 | .02 |
| East North Central | ||||||||||||
| Illinois | 36.0 | 30.5 | 47.0 | 42.6 | 39.3 | 43.3 | 30.4 | 31.7 | 51.5 | 33.3 | .91 | .04 |
| Indiana | 39.8 | 41.5 | 40.7 | 30.0 | 39.3 | 31.7 | 33.7 | 22.0 | 40.0 | 43.9 | .09 | <.001 |
| Michigan | 47.7 | 37.8 | 34.6 | 37.7 | 39.9 | 38.6 | 33.6 | 27.9 | 32.4 | 44.0 | .56 | .02 |
| Ohio | 46.3 | 34.8 | 37.5 | 30.9 | 35.6 | 39.1 | 42.6 | 33.5 | 38.5 | 47.3 | .26 | .001 |
| Wisconsin | 53.2 | 36.2 | 36.0 | 32.8 | 29.9 | 34.0 | 51.0 | 37.9 | 34.3 | 48.3 | .95 | <.001 |
| West North Central | ||||||||||||
| Iowa | 41.4 | 56.1 | 40.2 | 48.2 | 40.6 | 55.6 | 43.3 | 36.2 | 49.1 | 44.5 | <.001 | .97 |
| Kansas | 42.2 | 42.9 | 43.7 | 41.4 | 41.6 | 37.2 | 35.0 | 34.0 | 46.5 | 47.3 | .05 | <.001 |
| Minnesota | 43.9 | 54.0 | 45.0 | 42.3 | 41.3 | 46.9 | 47.6 | 34.4 | 44.4 | 51.1 | .29 | .003 |
| Missouri | 37.7 | 35.7 | 46.4 | 37.6 | 59.3 | 48.7 | 35.1 | 33.7 | 43.2 | 42.8 | .28 | .23 |
| Nebraska | 41.5 | 42.5 | 43.1 | 44.6 | 49.7 | 52.3 | 50.2 | 38.1 | 53.0 | 59.4 | .02 | .08 |
| North Dakota | 62.1 | 41.0 | 53.4 | 35.5 | 50.6 | 39.8 | 53.8 | 37.5 | 41.6 | 33.2 | .55 | .56 |
| South Dakota | 57.2 | 51.2 | 52.5 | 48.6 | 56.8 | 51.4 | 51.3 | 25.7 | 51.6 | 64.0 | .001 | .19 |
| South Atlantic | ||||||||||||
| Delaware | 43.2 | 38.1 | 54.7 | 42.1 | 58.6 | 41.7 | 41.5 | 33.1 | 51.9 | 52.3 | .72 | .14 |
| District of Columbia | 39.8 | 37.8 | 38.1 | 24.5 | 27.7 | 43.8 | 33.9 | 53.1 | 44.7 | 56.2 | .10 | <.001 |
| Florida | 32.7 | 34.7 | 29.6 | 28.6 | 27.6 | 36.4 | 34.4 | 28.0 | 33.2 | 49.6 | .44 | .04 |
| Georgia | 29.3 | 34.6 | 37.8 | 38.2 | 32.5 | 36.0 | 41.7 | 26.5 | 35.7 | 40.6 | .61 | .81 |
| Maryland | 41.2 | 36.6 | 42.8 | 48.8 | 38.2 | 42.2 | 50.5 | 39.3 | 45.5 | 46.7 | .27 | .009 |
| North Carolina | 42.8 | 42.6 | 48.6 | 39.9 | 37.2 | 40.3 | 42.8 | 44.0 | 47.7 | 40.5 | .24 | .049 |
| South Carolina | 41.8 | 40.0 | 47.7 | 33.7 | 40.0 | 34.2 | 37.7 | 33.7 | 42.3 | 34.7 | .003 | .27 |
| Virginia | 41.1 | 30.9 | 40.5 | 37.7 | 51.9 | 37.1 | 38.1 | 32.1 | 46.8 | 51.8 | .64 | .02 |
| West Virginia | 50.1 | 42.1 | 45.1 | 50.8 | 42.9 | 44.3 | 49.2 | 40.1 | 38.0 | 45.9 | <.001 | .38 |
| East South Central | ||||||||||||
| Alabama | 44.7 | 40.1 | 45.0 | 37.3 | 41.0 | 34.8 | 42.1 | 41.4 | 39.6 | 36.1 | .84 | .03 |
| Kentucky | 36.7 | 36.8 | 42.4 | 45.6 | 41.7 | 31.3 | 36.2 | 38.5 | 36.8 | 50.3 | .80 | .10 |
| Mississippi | 43.8 | 38.4 | 38.5 | 36.0 | 41.9 | 36.1 | 36.2 | 33.9 | 43.9 | 45.7 | .46 | .02 |
| Tennessee | 37.6 | 46.8 | 50.9 | 40.9 | 40.2 | 36.7 | 26.5 | 25.0 | 32.7 | 34.2 | .10 | .02 |
| West South Central | ||||||||||||
| Arkansas | 34.9 | 35.3 | 31.1 | 34.5 | 37.5 | 48.2 | 32.7 | 24.4 | 32.0 | 52.5 | .86 | .06 |
| Louisiana | 44.6 | 45.0 | 38.0 | 45.6 | 45.6 | 39.0 | 31.8 | 31.2 | 36.3 | 39.3 | <.001 | .20 |
| Oklahoma | 43.1 | 40.3 | 43.7 | 53.2 | 41.3 | 38.6 | 46.0 | 34.4 | 40.1 | 52.9 | .85 | .72 |
| Texas | 33.4 | 33.5 | 36.6 | 39.6 | 46.3 | 31.9 | 27.4 | 25.6 | 34.1 | 42.4 | .48 | .02 |
| Mountain | ||||||||||||
| Arizona | 36.5 | 38.2 | 41.2 | 36.8 | 31.6 | 35.7 | 40.5 | 24.7 | 38.4 | 39.5 | .92 | .06 |
| Colorado | 44.7 | 39.4 | 44.9 | 53.0 | 47.5 | 44.9 | 51.0 | 39.7 | 49.1 | 52.8 | .95 | .23 |
| Idaho | 33.9 | 37.1 | 34.9 | 36.0 | 36.3 | 39.9 | 27.9 | 27.1 | 34.5 | 46.7 | .16 | .15 |
| Montana | 32.1 | 34.4 | 41.5 | 34.4 | 29.8 | 39.5 | 30.7 | 28.9 | 35.0 | 42.9 | .71 | .55 |
| Nevada | 29.2 | 27.6 | 31.7 | 29.3 | 42.7 | 41.9 | 29.9 | 43.4 | 34.6 | 35.5 | .04 | .51 |
| New Mexico | 44.9 | 42.5 | 45.0 | 34.7 | 41.0 | 41.9 | 39.0 | 36.9 | 32.0 | 44.4 | .49 | .03 |
| Utah | 45.5 | 39.8 | 41.2 | 37.5 | 44.6 | 39.6 | 37.0 | 33.0 | 44.1 | 54.6 | .10 | <.001 |
| Wyoming | 38.7 | 31.2 | 31.6 | 30.8 | 48.8 | 38.4 | 40.5 | 24.3 | 48.5 | 33.6 | .76 | .098 |
| Pacific | ||||||||||||
| Alaska | 35.6 | 38.7 | 51.8 | 55.3 | 43.6 | 26.1 | 30.8 | 27.8 | 36.5 | 26.6 | .97 | .61 |
| California | 35.8 | 39.9 | 35.3 | 40.9 | 32.1 | 35.5 | 49.2 | 34.9 | 51.3 | 41.3 | .197 | .01 |
| Hawaii | 45.4 | 49.1 | 46.0 | 49.9 | 35.2 | 34.5 | 42.0 | 31.0 | 43.2 | 50.0 | .10 | <.001 |
| Oregon | 32.6 | 33.3 | 40.8 | 43.9 | 31.7 | 30.8 | 38.2 | 30.1 | 41.0 | 40.5 | .51 | .048 |
| Washington | 41.8 | 40.4 | 41.3 | 43.0 | 42.4 | 49.5 | 45.4 | 41.5 | 41.0 | 44.5 | .007 | .27 |
| US Islands | ||||||||||||
| Guam | 25.5 | 21.5 | 26.2 | 31.4 | 24.5 | 29.9 | 27.1 | 26.2 | 30.1 | 26.1 | .52 | .63 |
| Puerto Rico | 16.4 | 14.4 | 19.4 | 22.7 | 26.2 | 19.3 | 23.4 | 20.9 | 17.6 | 22.6 | .005 | .05 |
| Virgin Islands | NA | NA | NA | NA | NA | 18.9 | NA | NA | NA | NA | NA | NA |
