Hepatitis B Vaccination Coverage among U.S. Adolescents, National Immunization Survey–Teen, 2006

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Journal of Adolescent Health

Volume 44, Issue 6, June 2009, Pages 561-567

Original article

Hepatitis B Vaccination Coverage among U.S. Adolescents, National Immunization

Survey–Teen, 2006

Nidhi Jain M.D., M.P.H.a, a, and Hennessey Ph.D., M.S.P.H.a

aCenters for Disease Control and Prevention, Atlanta, Gegoria

Received 16 July 2008; accepted 27 October 2008. Available online 23 December

2008.

Abstract

Purpose

To determine national estimates of hepatitis B vaccination among adolescents in

the United States and factors associated with vaccination using

provider-reported immunization histories.

Methods

Data were analyzed from the 2006 National Immunization Survey–Teen, a

random-digit-dialed telephone survey sampling households with adolescents aged

13–17 years. Provider-reported immunization histories were obtained to determine

hepatitis B vaccination coverage.

Results

The household response rate was 56.2% (n = 5468); provider data was obtained

from 52.7% (n = 2882). Overall up-to-date hepatitis B vaccination coverage was

81.3%; older adolescents aged 15–17 years old had lower coverage than younger

adolescents aged 13–14 years old, (77.6% vs. 87.1%, p < .05). More than half of

the 13–14-year-olds had received vaccination before age 3 years, while

15–17-year-olds received vaccination throughout childhood. Factors associated

with vaccination coverage among adolescents 13–14 years old included private

health insurance coverage and having a parent-reported health care visit at age

of 11–12 years. Factors associated with vaccination coverage among adolescents

15–17 years old included living in the Northeast, having a mother who was

married, and having a parent-reported health care visit at 11–12 years.

Conclusions

In 2006, adolescents 15–17 years old had lower hepatitis B vaccination coverage

compared to those 13–14 years old. Younger adolescents likely benefited from

universal recommendations in 1991 and received hepatitis B vaccination during

early childhood. A healthcare visit at age 11–12 years has been recommended by

professional organizations and was associated with hepatitis B vaccination in

our survey. Parents and providers should routinely review adolescent

immunizations.