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Home » 2020 Topics & Objectives » Immunization and Infectious Diseases » IID-7.9 Data Details

IID-7.9 Data Details

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IID-7.9 Achieve and maintain an effective coverage level of a birth dose of hepatitis B vaccine (0 to 3 days between birth date and date of vaccination, reported by annual birth cohort)

About the Data: National

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Data Source: 
National Immunization Survey (NIS); Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases and National Center for Health Statistics (CDC/NCIRD and CDC/NCHS)
Changed Since the Healthy People 2020 Launch: 
Yes
Measure: 
percent
Baseline (Year): 
70.6 (2010–12)
Target: 
85.0
Target-Setting Method: 
Maintain consistency with national programs, regulations, policies, and laws.
Target-Setting Method Justification: 
High hepatitis B vaccine birth dose coverage protects infants whose mothers were not identified to be chronically infected at the time of delivery. Modeling of National Immunization Survey data from 2003–08 shows an average increase of 2.46-percentage points per year, making 85 percent coverage an achievable target.
Numerator: 

Number of children who received the first dose of hepatitis B vaccine within three days of birth

Denominator: 

Number of children in the birth cohort

Comparable Healthy People 2010 Objective: 
Not applicable
Questions Used to Obtain the National Baseline Data: 

    From the 2013 National Immunization Survey Provider-Immunization History Questionnaire:

    [NUMERATOR:]

    Specify month, day, and year that each vaccine was given, either by the office or another provider, and type of vaccine, as documented in the records.

Data Collection Frequency: 
Annual
Methodology Notes: 

    The National Immunization Survey (NIS) uses a quarterly, random-digit-dialed sample of telephone numbers to reach households with children aged 19–35 months in the 50 states and selected local areas and territories, followed by a mail survey sent to the children's vaccination providers to collect vaccination information. Data are weighted to represent the population of children aged 19–35 months, with adjustments for households with multiple telephone lines and mixed telephone use (landline and cellular), household nonresponse, and exclusion of households without telephone service. Beginning in 2011, surveys include landline and cellular telephone households.

    This measure tracks the proportion of children aged 0 to 3 days receiving at least a single birth dose of hepatitis B vaccine (calculated as the date of vaccination minus the child's birth date). Data for children in a given birth cohort are obtained from data collected during the ensuing 3 year period. For example, data for children born in 2005 were gathered in the 2006-2008 NIS surveys.

About the Data: State

Description of the data source, numerator, denominator, survey questions, and other relevant details about the state-level data.

Data Source: 
National Immunization Survey (NIS); Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases and National Center for Health Statistics (CDC/NCIRD and CDC/NCHS)
Measure: 
percent
Numerator: 

Number of children who received the first dose of hepatitis B vaccine within three days of birth

Denominator: 

Number of children in the birth cohort

Questions Used to Obtain the State Data: 

      From the 2013 National Immunization Survey Provider-Immunization History Questionnaire:

      [NUMERATOR:]

      Specify month, day, and year that each vaccine was given, either by the office or another provider, and type of vaccine, as documented in the records.

Data Collection Frequency: 
Annual
Methodology Notes: 

      The National Immunization Survey (NIS) uses a quarterly, random-digit-dialed sample of telephone numbers to reach households with children aged 19–35 months in the 50 states and selected local areas and territories, followed by a mail survey sent to the children's vaccination providers to collect vaccination information. Data are weighted to represent the population of children aged 19–35 months, with adjustments for households with multiple telephone lines and mixed telephone use (landline and cellular), household nonresponse, and exclusion of households without telephone service. Beginning in 2011, surveys include landline and cellular telephone households.

      This measure tracks the proportion of children aged 0 to 3 days receiving at least a single birth dose of hepatitis B vaccine (calculated as the date of vaccination minus the child's birth date). Data for children in a given birth cohort are obtained from data collected during the ensuing 3 year period. For example, data for children born in 2005 were gathered in the 2006-2008 NIS surveys.

Revision History

Any change to the objective text, baseline, target, target-setting method or data source since the Healthy People 2020 launch.

Description of Changes Since the Healthy People 2020 Launch: 
In 2014, 2006-08 through 2009-11 data were revised to correct errors in programming, in particular the estimates by sex and country of birth. The baseline estimate for the total population and target remained the same. In 2015, the baseline year was revised from 2006-2008 to 2010-2012 due to expanding the sampling frame from landline phones only to a dual frame sample including landline and cell phones. The baseline statement was changed from "50.9 percent of the 2005 birth cohort received the first dose of hepatitis B vaccine within 3 days of birth based on National Immunization Survey data from 2006–08" to "70.6 percent of the 2005 birth cohort received the first dose of hepatitis B vaccine within 3 days of birth based on National Immunization Survey data from 2010–12." The target remains unchanged.

References

Additional resources about the objective

  1. CDC. National and State Vaccination Coverage Among Children Aged 19--35 Months --- United States, 2010. MMWR 2011:60(34):1157-1163.
    https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6034a2.htm
  2. CDC. National, State, and Local Area Vaccination Coverage Among Children Aged 19--35 Months --- United States, 2008. MMWR 2009: 58(33);921-926.
    https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5833a3.htm
  3. CDC. National, State, and Local Area Vaccination Coverage Among Children Aged 19--35 Months --- United States, 2009. MMWR 2010;59(36):1171-1177.
    https://www.cdc.gov/mmwr/preview/mmwrhtml/mm5936a2.htm
  4. CDC. National, State, and Local Area Vaccination Coverage Among Children Aged 19–35 Months — United States, 2011. MMWR 2012;61(35):689-696.
    https://www.cdc.gov/mmwr/preview/mmwrhtml/mm6135a1.htm
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