National, Regional, State, and Selected Local Area Vaccination Coverage Among Adolescents Aged 13–17 Years — United States, 2018

Tanja Y. Walker, MPH; Laurie D. Elam-Evans, PhD; David Yankey, PhD; Lauri E. Markowitz, MD; Charnetta L. Williams, MD; Benjamin Fredua, MS; James A. Singleton, PhD; Shannon Stokley, DrPH


Morbidity and Mortality Weekly Report. 2019;68(33):718-723. 

In This Article

Vaccination Coverage by Selected Characteristics

Coverage for all measures of HPV and MenACWY vaccination and ≥2 varicella vaccine doses among adolescents without a history of varicella disease were lower among adolescents living in non-MSA areas than in those living in MSA principal cities (Table 2). The largest differences were in HPV up-to-date status (15.4 percentage point difference) and ≥2-dose MenACWY coverage (19.7 percentage point difference). Coverage differences between adolescents living in MSA nonprincipal cities and MSA principal cities were observed for HPV vaccination measures (5.3 and 7.0 percentage point differences for receipt of ≥1 dose and being up-to-date, respectively) and ≥3 hepatitis B doses (1.7 percentage points). Compared with adolescents with private health insurance, those with Medicaid had higher HPV vaccination coverage (8.8 and 5.5 percentage points higher for receipt of ≥1 dose and being up-to-date, respectively) (Table 2). Uninsured adolescents had lower vaccination coverage, with differences ranging from 4.4 percentage points (≥1 varicella vaccine dose) to 18.7 percentage points (≥2 MenACWY doses) lower than did adolescents with private insurance. Vaccination coverage estimates also differed by race/ethnicity (Supplementary Table 1,; poverty level (Supplementary Table 2,; and jurisdiction (Supplementary Table 3, During 2014–2018, ≥1dose-HPV vaccination coverage increased an average of 4.4 percentage points per year nationally. (Supplementary Table 4,