In comparison to the 2013 NHIS, there was an increase in Tdap vaccine coverage in adults aged ≥19 years (2.9% point increase to 20.1%) and herpes zoster vaccine in adults aged ≥60 years (3.6% point increase to 27.9%). Overall, vaccination coverage among adults in 2014 remained similar to 2013 estimates. 

Specifically, influenza vaccination coverage among adults was 43.2%; pneumococcal vaccination was 20.3% in high-risk persons (aged 19–64 years) and 61.3% in adults aged ≥65 years; Td vaccination was 62.2%; hepatitis A vaccination was 9.0%; hepatitis B vaccination was 24.5%; and HPV vaccination 40.2% for females and 8.2% for males. Study authors added that for all 7 vaccines studied, a generally higher coverage was seen in whites compared with most other groups. 

The findings highlight the need for more adult vaccination coverage. Some increases were seen in Tdap vaccination and herpes zoster vaccinations but coverage in other vaccines and risk groups did not increase. Moreover, racial and ethnic disparities continued to persist for routine adult vaccines. 

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The following efforts to improve vaccination coverage should be continued:

  • Assessment of patients’ vaccination indications by clinicians and routine recommendation and offer of needed vaccines to adults
  • Implementation of reminder-recall systems, use of standing-order programs for vaccination
  • Assessment of practice-level vaccination rates with feedback to staff members

The full adult immunization schedule can be viewed here.

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