Noninfluenza vaccination coverage among adults - United States, 2012

MMWR Morb Mortal Wkly Rep. 2014 Feb 7;63(5):95-102.


Vaccinations are recommended throughout life to prevent vaccine-preventable diseases and their sequelae. Adult vaccination coverage, however, remains low for most routinely recommended vaccines and well below Healthy People 2020 targets. In October 2013, the Advisory Committee on Immunization Practices (ACIP) approved the adult immunization schedule for 2014. With the exception of influenza vaccination, which is recommended for all adults each year, vaccinations recommended for adults target different populations based on age, health conditions, behavioral risk factors (e.g., injection drug use), occupation, travel, and other indications. To assess vaccination coverage among adults aged ≥19 years for selected vaccines, CDC analyzed data from the 2012 National Health Interview Survey (NHIS). This report summarizes the results of that analysis for pneumococcal, tetanus toxoid-containing (tetanus and diphtheria vaccine [Td] or tetanus and diphtheria with acellular pertussis vaccine [Tdap]), hepatitis A, hepatitis B, herpes zoster (shingles), and human papillomavirus (HPV) vaccines by selected characteristics (age, race/ethnicity, and vaccination target criteria). Influenza vaccination coverage estimates for the 2012-13 influenza season have been published separately. Compared with 2011, only modest increases occurred in Tdap vaccination among adults aged 19-64 years, herpes zoster vaccination among adults aged ≥60 years, and HPV vaccination among women aged 19-26 years; coverage among adults in the United States for the other vaccines did not improve. Racial/ethnic gaps in coverage persisted for all six vaccines and widened for Tdap, herpes zoster, and HPV vaccination. Increases in vaccination coverage are needed to reduce the occurrence of vaccine-preventable diseases among adults. The Community Preventive Services Task Force and other authorities have recommended that health-care providers incorporate vaccination needs assessment, recommendation, and offer of vaccination into routine clinical practice for adult patients.

MeSH terms

  • Adult
  • Aged
  • Diphtheria-Tetanus-acellular Pertussis Vaccines / administration & dosage*
  • Female
  • Hepatitis A / prevention & control
  • Hepatitis B / prevention & control
  • Herpes Zoster / prevention & control
  • Herpes Zoster Vaccine / administration & dosage*
  • Humans
  • Male
  • Middle Aged
  • Papilloma / prevention & control
  • Papillomavirus Vaccines / administration & dosage*
  • Tetanus / prevention & control
  • United States
  • Vaccination / statistics & numerical data*
  • Viral Hepatitis Vaccines / administration & dosage*
  • Young Adult


  • Diphtheria-Tetanus-acellular Pertussis Vaccines
  • Herpes Zoster Vaccine
  • Papillomavirus Vaccines
  • Viral Hepatitis Vaccines