Am J Prev Med

Background For adults, the Advisory Committee on Immunization Practices (ACIP) recommends a single dose of tetanus, diphtheria and acellular pertussis vaccine (Tdap) followed by tetanus and diphtheria toxoids (Td) booster doses every 10 years thereafter. Purpose To assess recent Td and Tdap vaccination among adult populations. Methods The 2013 BRFSS data were analyzed in 2015 to assess Td and Tdap vaccination coverage among adults at national and state levels. Multivariable logistic regression and predictive marginal models were performed to identify factors independently associated with vaccination. Results Overall, national vaccination coverage among adults ≥18 years for Td was 57.5% and for Tdap was 28.9%. Among states, Td vaccination coverage ranged from 47.8% in Nevada to 73.1% in Minnesota, and Tdap coverage ranged from 17.7% in Mississippi to 47.6% in Minnesota. Characteristics independently associated with an increased likelihood of Tdap vaccination among adults ≥18 years were: younger age; being female; American Indian/Alaska Native (AIAN) race; being never married; higher education; not being in the workforce, reporting a household income ≥$75,000; living in the West or Midwest of the United States; reporting excellent, very good, good, or fair health; having health insurance; having a healthcare provider; having a routine checkup in the previous year; receipt of influenza vaccination in the previous year; and having ever received pneumococcal vaccination. Conclusions By 2013, Td and Tdap vaccination coverage were 57.5% and 28.9%, respectively. Coverage varied by state. Implementation of evidence-based programs are needed to improve Td and Tdap vaccination levels among adult populations.

26614276

PMC5819000

Journal Article

CC999999/Intramural CDC HHS/United States

United States

CDC Public Access