Abstract
The Advisory Committee on Immunization Practices (ACIP) recommends that adolescents aged 11-12 years routinely receive vaccines to prevent diseases, including human papillomavirus (HPV)-associated cancers, pertussis, and meningococcal disease (1). To assess vaccination coverage among adolescents in the United States, CDC analyzed data collected regarding 21,875 adolescents through the 2015 National Immunization Survey-Teen (NIS-Teen).* During 2014-2015, coverage among adolescents aged 13-17 years increased for each HPV vaccine dose among males, including ≥1 HPV vaccine dose (from 41.7% to 49.8%), and increased modestly for ≥1 HPV vaccine dose among females (from 60.0% to 62.8%) and ≥1 quadrivalent meningococcal conjugate vaccine (MenACWY) dose (from 79.3% to 81.3%). Coverage with ≥1 HPV vaccine dose was higher among adolescents living in households below the poverty level, compared with adolescents in households at or above the poverty level.(†) HPV vaccination coverage (≥1, ≥2, or ≥3 doses) increased in 28 states/local areas among males and in seven states among females. Despite limited progress, HPV vaccination coverage remained lower than MenACWY and tetanus, diphtheria, and acellular pertussis vaccine (Tdap) coverage, indicating continued missed opportunities for HPV-associated cancer prevention.
Highlights
Adolescents living outside a metropolitan statistical area (MSA)¶ had lower coverage with ≥1 MenACWY and ≥1 human papillomavirus (HPV) dose, and a lower proportion being HPV UTD than adolescents in MSA principal
Among adolescents living in non-MSA areas, vaccination coverage was lower compared with those living in MSA principal cities with ≥1 dose MenACWY (85.7% versus 90.2% [−4.5 percentage points]), ≥1 dose HPV (68.0% versus 77.8% [−9.8 percentage points]), and ≥2 doses hepatitis A (HepA) (76.2% versus 83.6% [−7.4 percentage points])], and being HPV UTD (49.2% versus 60.4% [−11.2 percentage points]) (Table 2)
*** HPV UTD includes those with ≥3 doses, and those with 2 doses when the first HPV vaccine dose was initiated before age 15 years and there was at least 5 months minus 4 days between the first and second dose
Summary
MD, MPH, Director Debra Houry, MD, MPH, Acting Principal Deputy Director Daniel B. MD, MPH, Deputy Director for Public Health Science and Surveillance. Rebecca Bunnell, PhD, MEd, Director, Office of Science Jennifer Layden, MD, PhD, Deputy Director, Office of Science Michael F. MD, MPH, Director, Center for Surveillance, Epidemiology, and Laboratory Services. PhD, MPH, Guest Science Editor Paul Z. MD, MPH, Associate Editor Mary Dott, MD, MPH, Online Editor Terisa F. MS, Lead Technical Writer-Editor Leigh Berdon, Glenn Damon, Soumya Dunworth, PhD, Srila Sen, MA, Stacy Simon, MA, Jeffrey D.
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