Spreadsheet: 29a55330-4a65-47c1-ae51-d271f470e349
Sheet: tab06

 | Difference in Estimated Vaccination Coverage*,† with Selected Vaccines Among Adolescents Aged 13-17  Years§  by State and Selected Area , (Living At or Above the Poverty Level - Living Below Poverty Level)¶  -- National Immunization Survey-Teen, United States, 2013
 |  |  |  |  |  |  |  |  | FEMALE |  |  |  |  | MALE
 | ≥2 MMR** | [NAME] 3 [NAME] | [NAME] 1 Var§§ | [NAME] 2 Var¶¶ | [NAME] 1 Td or Tdap*** | [NAME] 1 Tdap††† | [NAME] 1 MenACWY§§§ |  | [NAME] 1 HPV¶¶¶ | [NAME] 2 HPV**** | [NAME] 3 HPV†††† | HPV 3 dose series completion§§§§ |  | [NAME] 1 HPV¶¶¶ | [NAME] 2 HPV**** | [NAME] 3 HPV†††† | HPV 3 dose series completion§§§§
 | % (95% CI) | % (95% CI) | % (95% CI) | % (95% CI) | % (95% CI) | % (95% CI) | % (95% CI) |  | % (95% CI) | % (95% CI) | % (95% CI) | % (95% CI) |  | % (95% CI) | % (95% CI) | % (95% CI) | % (95% CI)
US National | 0.1(±1.9) | -0.1(±1.8) | 0.5(±2.1) | 1.7(±3.4) | 0.7(±2.4) | 1.2(±2.5) | -0.8(±2.9) |  | -12.2(±4.8) | -9.9(±5.1) | -5.2(±5.1) | 5.7(±6.3) |  | -15.9(±4.9) | -6.7(±4.4) | -3.8(±3.4) | 6.1(±8.7)
Alabama | -6.0(±4.8) | -5.6(±4.4) | -4.3(±4.9) | -10.4(±12.8) | -7.1(±7.2) | -6.7(±8.7) | -0.5(±14.6) |  | NA | NA | NA | NA |  | -23.7(±18.7) | NA | NA | NA
Alaska | -1.3(±13.2) | -5.2(±6.8) | NA | NA | -0.8(±19.0) | -4.9(±19.2) | -7.5(±21.3) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Arizona | -0.3(±10.5) | 1.6(±11.3) | 2.9(±12.2) | 3.7(±17.3) | -5.6(±8.9) | -4.0(±10.5) | -1.5(±10.0) |  | -0.6(±19.6) | -3.5(±21.0) | -1.2(±20.4) | NA |  | -35.7(±19.1) | -27.8(±20.7) | -14.8(±19.0) | NA
Arkansas | -2.2(±8.1) | 2.3(±8.9) | 2.5(±7.8) | -18.6(±15.7) | 5.1(±12.4) | 4.4(±12.5) | -0.5(±14.3) |  | -23.9(±20.1) | -14.9(±20.5) | -2.2(±18.4) | NA |  | NA | NA | NA | NA
California | -5.1(±8.3) | -3.5(±8.1) | -0.9(±10.8) | 2.6(±16.3) | 4.0(±11.2) | 5.1(±11.3) | 4.9(±13.6) |  | NA | NA | NA | NA |  | -8.9(±22.2) | NA | NA | NA
Colorado | 2.2(±9.1) | -3.7(±6.9) | -0.5(±7.9) | -6.3(±13.9) | 0.7(±10.9) | -0.9(±11.6) | -5.3(±14.6) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Connecticut | NA | NA | NA | NA | NA | NA | NA |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Delaware | 2.1(±7.6) | 10.5(±11.4) | 4.2(±7.6) | 4.4(±16.3) | 3.5(±12.3) | -0.9(±12.5) | -0.3(±13.2) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Dist. of Columbia | 16.3(±20.4) | 15.1(±19.9) | 8.6(±19.9) | 11.9(±24.4) | 2.5(±15.8) | -2.0(±16.8) | 9.5(±16.8) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Florida | 1.7(±8.8) | 1.6(±8.1) | -1.4(±8.9) | -3.7(±15.7) | 3.5(±12.5) | 3.7(±13.2) | 2.0(±15.1) |  | -10.0(±24.3) | 5.7(±23.0) | NA | NA |  | -7.2(±21.5) | NA | NA | NA
Georgia | -5.3(±4.5) | -0.6(±5.9) | -2.4(±4.7) | -0.3(±11.6) | -14.4(±11.6) | -8.9(±14.2) | -12.4(±14.5) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Hawaii | 0.4(±13.4) | -0.2(±13.5) | NA | NA | -13.3(±10.0) | -14.2(±10.2) | -13.4(±13.8) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Idaho | -1.1(±12.9) | -4.8(±7.4) | NA | NA | -15.4(±10.2) | -14.5(±13.4) | -15.9(±15.1) |  | NA | NA | NA | NA |  | -41.9(±22.0) | -35.6(±22.5) | NA | NA
Illinois | 3.9(±6.7) | 4.3(±6.1) | -2.2(±4.4) | 1.6(±13.9) | 7.1(±10.2) | 14.7(±11.9) | 1.4(±11.7) |  | -15.9(±18.9) | -6.7(±19.5) | -11.3(±19.1) | -1.9(±24.8) |  | -19.0(±18.9) | -7.3(±16.6) | NA | -1.9(±30.3)
IL-City of Chicago | 3.2(±9.9) | 0.8(±7.6) | 2.1(±10.2) | -0.8(±16.6) | 5.1(±11.5) | 4.8(±11.8) | -2.8(±13.6) |  | -32.9(±22.9) | -31.2(±24.5) | -24.9(±23.7) | NA |  | -7.4(±23.8) | -2.2(±21.4) | NA | NA
IL-Rest of State | 3.5(±8.5) | 5.2(±8.1) | -5.0(±3.5) | 3.0(±19.4) | 8.2(±13.3) | 19.0(±15.7) | 3.6(±15.3) |  | NA | NA | NA | NA |  | -20.8(±23.0) | NA | NA | NA
Indiana | 4.1(±8.8) | 1.1(±5.5) | 4.8(±6.5) | -2.3(±8.5) | -5.0(±4.9) | -6.1(±5.8) | -3.6(±5.2) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Iowa | -2.6(±9.9) | 2.6(±9.7) | -5.0(±6.8) | 1.3(±20.1) | 8.5(±14.8) | 8.3(±14.8) | 10.5(±16.4) |  | -12.3(±20.7) | -2.7(±22.6) | 2.4(±22.8) | NA |  | NA | NA | NA | NA
Kansas | -8.5(±9.3) | -9.5(±7.0) | -1.9(±6.1) | -9.9(±12.1) | 1.3(±12.6) | 2.7(±13.4) | -19.0(±16.2) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Kentucky | -6.8(±5.8) | 0.3(±6.8) | -2.6(±4.2) | 6.3(±18.5) | -2.9(±10.1) | -3.3(±11.7) | -8.2(±13.4) |  | -4.7(±22.5) | -16.6(±22.1) | -19.7(±20.7) | NA |  | NA | NA | NA | NA
Louisiana | 0.8(±6.8) | 0.5(±2.9) | 4.3(±7.6) | 3.7(±11.3) | 2.6(±11.3) | 2.9(±11.3) | -0.6(±10.6) |  | -9.1(±20.8) | -2.4(±22.3) | -15.3(±22.5) | NA |  | -19.1(±20.8) | -24.7(±20.3) | NA | NA
Maine | 5.6(±14.7) | -2.8(±12.2) | NA | NA | 2.2(±14.3) | -1.1(±14.4) | -0.5(±16.5) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Maryland | NA | NA | NA | NA | NA | NA | NA |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Massachusetts | 3.6(±8.6) | -1.8(±4.6) | NA | NA | 3.2(±8.2) | 5.1(±9.9) | 12.4(±13.5) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Michigan | -1.3(±6.9) | -0.5(±6.6) | 5.7(±7.3) | 10.4(±11.4) | 9.4(±11.7) | 2.3(±12.7) | 6.8(±10.2) |  | NA | NA | NA | NA |  | -23.3(±20.0) | NA | NA | NA
Minnesota | 5.3(±14.0) | 2.5(±12.1) | NA | NA | -4.8(±5.9) | -7.2(±6.1) | -20.6(±17.5) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Mississippi | -3.1(±7.6) | 3.7(±5.6) | 2.0(±10.0) | -4.4(±17.4) | -2.8(±14.1) | [NAME]) | 2.9(±14.8) |  | -13.5(±19.3) | -19.2(±19.5) | -18.3(±18.5) | NA |  | NA | NA | NA | NA
Missouri | 8.4(±16.0) | 17.0(±17.5) | 8.5(±15.9) | 20.6(±21.4) | 15.3(±16.4) | 13.7(±16.5) | 9.6(±19.1) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Montana | 1.8(±14.2) | -0.9(±10.3) | NA | NA | -5.7(±12.5) | -6.6(±13.1) | -6.8(±20.9) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Nebraska | 4.7(±11.1) | 9.8(±12.1) | NA | NA | 4.9(±15.0) | 3.3(±15.3) | 6.9(±17.6) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Nevada | -2.2(±8.9) | -2.4(±7.4) | -3.4(±2.4) | -12.5(±14.8) | -7.4(±7.3) | -2.0(±10.3) | -17.2(±14.0) |  | NA | NA | NA | NA |  | -27.0(±20.0) | -8.3(±16.8) | NA | NA
New Hampshire | 4.3(±12.2) | 5.8(±13.2) | NA | NA | -2.8(±2.0) | 1.1(±12.4) | 9.3(±18.6) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
New Jersey | 0.5(±8.4) | -0.2(±4.5) | NA | NA | 10.5(±17.2) | 12.6(±19.4) | 0.2(±11.2) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
New Mexico | -4.4(±5.7) | -3.5(±5.8) | -0.7(±4.6) | -8.1(±13.6) | 4.3(±10.0) | 4.9(±10.9) | -5.6(±12.1) |  | 14.1(±20.2) | 11.3(±20.6) | 6.4(±20.6) | NA |  | -14.9(±17.7) | -10.1(±16.9) | -7.8(±15.4) | NA
New York | 5.8(±6.9) | 5.6(±6.9) | -1.1(±3.5) | 0.2(±11.1) | 6.3(±6.5) | 5.0(±7.6) | 4.2(±8.8) |  | -17.0(±14.9) | -20.8(±15.5) | -19.6(±17.0) | -8.2(±17.1) |  | -13.9(±15.9) | -6.9(±15.1) | -0.5(±12.5) | NA
NY-City of New York | 10.8(±10.6) | 10.7(±10.4) | 0.7(±4.4) | 0.2(±14.2) | 7.2(±8.9) | 7.6(±10.4) | 9.8(±12.1) |  | -13.7(±19.2) | -18.8(±20.3) | -25.9(±21.2) | NA |  | -9.5(±20.6) | -4.5(±20.1) | 0.9(±19.3) | NA
NY-Rest of State | -2.2(±4.8) | -1.4(±5.1) | -2.3(±4.5) | 0.8(±18.6) | 4.7(±10.0) | 2.1(±10.9) | -2.7(±12.6) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
North Carolina | -1.6(±11.7) | -1.1(±7.8) | -5.7(±7.1) | 8.1(±16.1) | -5.1(±6.2) | -2.5(±7.8) | 1.8(±14.3) |  | NA | NA | NA | NA |  | -1.3(±22.0) | NA | NA | NA
North Dakota | NA | NA | NA | NA | NA | NA | NA |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Ohio | -6.5(±5.5) | -5.2(±5.3) | -9.7(±5.4) | -7.6(±19.1) | -3.1(±10.8) | -3.4(±11.7) | -9.9(±14.8) |  | NA | NA | NA | NA |  | -28.8(±21.8) | -13.4(±19.1) | NA | NA
Oklahoma | -3.3(±7.4) | -5.0(±5.9) | 0.3(±6.4) | -3.9(±14.6) | -12.7(±8.9) | -15.4(±9.2) | -13.6(±11.5) |  | -9.9(±20.6) | -11.5(±20.8) | -1.4(±20.0) | NA |  | -31.6(±16.2) | -34.0(±16.7) | -11.2(±14.3) | 3.3(±25.0)
Oregon | -4.7(±6.3) | -7.9(±6.1) | -0.8(±6.5) | -8.2(±11.6) | -0.4(±10.5) | 0.2(±11.2) | 7.4(±17.0) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Pennsylvania | -0.2(±7.5) | -6.1(±4.7) | -2.5(±3.7) | -6.0(±4.9) | -1.6(±7.5) | -0.8(±10.0) | -1.6(±9.1) |  | -25.8(±18.4) | -22.1(±20.7) | -16.0(±22.1) | 6.2(±23.7) |  | -33.3(±18.7) | -19.6(±19.7) | NA | NA
PA-Philadelphia | -2.3(±9.5) | -3.0(±8.3) | 3.1(±6.1) | 3.5(±10.2) | -5.3(±7.4) | -6.7(±8.1) | 0.3(±8.4) |  | -21.1(±13.6) | -20.9(±15.5) | -27.6(±17.2) | -20.7(±17.4) |  | -11.1(±20.5) | -13.7(±19.6) | -9.6(±14.0) | NA
PA-Rest of State | -0.4(±9.2) | -7.2(±4.9) | -3.6(±3.8) | -8.3(±5.0) | -1.4(±9.2) | 0.3(±12.4) | -1.8(±11.1) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Rhode Island | 0.6(±7.7) | -2.2(±5.2) | 5.9(±8.4) | 6.5(±12.5) | 7.0(±11.0) | 6.5(±11.0) | 3.6(±11.8) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
South Carolina | -0.4(±9.0) | 1.9(±8.2) | 1.8(±6.9) | 2.4(±19.6) | -7.4(±13.8) | -8.5(±14.2) | -9.7(±14.2) |  | NA | NA | NA | NA |  | -35.9(±21.3) | NA | NA | NA
South Dakota | -4.6(±5.7) | -5.2(±3.4) | NA | NA | -4.0(±17.3) | -4.8(±17.6) | -28.2(±17.6) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Tennessee | -11.1(±6.4) | -7.3(±4.3) | -4.1(±8.1) | -9.1(±13.4) | -8.5(±8.8) | -11.8(±9.9) | -0.9(±15.9) |  | -15.5(±22.2) | -28.6(±21.9) | -32.2(±21.6) | NA |  | NA | NA | NA | NA
Texas | 2.6(±8.4) | 2.2(±7.6) | 7.1(±9.6) | 2.9(±11.1) | -2.3(±6.3) | -1.8(±7.1) | -5.1(±6.9) |  | -2.8(±15.8) | -0.5(±16.1) | -1.5(±16.0) | -4.9(±14.1) |  | -13.2(±14.7) | -7.5(±13.2) | -7.9(±11.3) | -6.8(±23.5)
TX-Bexar County | -0.6(±10.3) | 1.1(±10.5) | 0.2(±6.6) | 12.7(±14.7) | 1.8(±8.7) | 3.9(±10.6) | 4.3(±9.9) |  | 13.3(±19.4) | 12.3(±19.3) | 10.9(±18.2) | NA |  | -4.9(±20.0) | NA | NA | NA
TX-City of Houston | -1.5(±11.4) | 1.9(±11.8) | -0.8(±4.9) | -3.1(±15.4) | 2.9(±10.7) | 0.7(±11.7) | -0.5(±9.9) |  | -23.7(±21.4) | -18.4(±23.3) | -5.6(±22.9) | NA |  | -15.0(±21.0) | -4.6(±18.7) | NA | NA
TX-Rest of State | 3.2(±10.0) | 2.1(±9.1) | 8.9(±11.7) | 2.7(±13.3) | -3.1(±7.4) | -2.7(±8.3) | -6.3(±8.1) |  | -2.0(±19.0) | 0.4(±19.3) | -3.1(±19.3) | -12.8(±14.5) |  | -13.4(±17.2) | -8.2(±15.4) | -9.7(±13.2) | -9.0(±26.5)
Utah | 2.9(±13.0) | -7.2(±9.3) | NA | NA | 2.1(±12.4) | 7.9(±15.0) | 2.8(±20.2) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Vermont | NA | NA | NA | NA | NA | NA | NA |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Virginia | NA | NA | NA | NA | NA | NA | NA |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Washington | 15.0(±20.1) | 8.3(±19.9) | NA | NA | -8.3(±5.4) | -4.5(±15.6) | -5.8(±16.5) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
West Virginia | 11.6(±12.3) | 8.5(±11.3) | -4.3(±9.2) | 1.9(±18.8) | -8.2(±11.6) | -9.0(±12.2) | -4.2(±12.6) |  | -14.1(±21.9) | -8.6(±21.8) | -10.7(±21.6) | NA |  | -8.5(±20.3) | NA | NA | NA
Wisconsin | 1.0(±7.1) | 0.9(±8.5) | NA | NA | 5.1(±9.3) | -0.6(±10.8) | 0.3(±13.8) |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Wyoming | NA | NA | NA | NA | NA | NA | NA |  | NA | NA | NA | NA |  | NA | NA | NA | NA
Guam¶¶¶¶ | 3.4(±9.3) | 2.1(±9.6) | 21.1(±17.1) | 26.1(±16.8) | 13.1(±10.5) | 4.5(±11.7) | 11.8(±12.3) |  | 0.4(±18.1) | 24.0(±17.5) | NA | NA |  | 2.7(±14.4) | NA | NA | NA
U.S. Virgin Islands***** | -4.0(±6.7) | -0.2(±7.0) | 1.6(±6.1) | -2.8(±12.3) | -3.7(±10.4) | -0.6(±12.0) | -9.0(±13.6) |  | -7.7(±20.4) | NA | NA | NA |  | NA | NA | NA | NA
 | * Difference estimate presented as point estimate (%) ± 95% confidence interval (CI). Estimate=NA (Not Available) if vaccination estimate for living at or above the poverty level, or living below the poverty level, had an unweighted sample size <30 for the denominator, or (CI half width)/Estimate > 0.588.
 | † Estimates with confidence intervals >20 may not be reliable.
 | § Adolescents in the 2013 NIS-Teen were born January 1995 through February 2001. Vaccination coverage estimates include only adolescents who had adequately complete provider-reported immunization records.
 | ¶ Poverty status was based on 2012 U.S. Census poverty thresholds (available at http://www.census.gov/hhes/www/poverty/data/threshld/index.html).
 | ** [NAME] 2 doses of measles-mumps-rubella (MMR) vaccine
 | †† ≥3 doses of hepatitis B (Hep B) vaccine.
 | §§  [NAME] 1 dose of varicella (Var) vaccine among adolescents without a history of varicella disease.
 | ¶¶  [NAME] 2 doses of varicella (Var) vaccine among adolescents without a history of varicella disease.
 | *** [NAME] 1 dose of tetanus toxoid-diphtheria vaccine (Td) or tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since age 10 years.
 | †††  ≥1 dose of tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) since age 10 years.
 | §§§  ≥1 dose of meningococcal conjugate vaccine or meningococcal -unknown type (MenACWY) vaccine.
 | ¶¶¶ ≥1 dose human papillomavirus (HPV) vaccine, either quadrivalent or bivalent. Percentages reported among females  only (N=8,710) and among males only (N=9,554)
 | **** ≥2 doses of human papillomavirus (HPV) vaccine, either quadrivalent or bivalent.
 | ††††≥3 doses of human papillomavirus (HPV) vaccine, either quadrivalent or bivalent. Some adolescents may have received more than the three recommended HPV doses.
 | §§§§ Percent of females or males who received three doses among those who had at least one human papillomavirus (HPV) vaccine dose with at least 24 weeks between the first dose and the interview date.
 | ¶¶¶¶ Includes [NAME], Agat, Asan, Barrigada, [NAME], Dededo, Hagatna/Agana, Inarajan, [NAME], Maite, Mangilao, Merizo, Mongmong, Ordot, Piti, Santa Rita, Sinajana, Talofofo, [NAME], Tot, [NAME], Yigo, and Yonago (n=363). Not included in the United States estimates.
 | ***** Includes St. Croix, St. Thomas, St. John, and Water Island (n=332). Not included in the United States estimates.