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

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.