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Office of Disease Prevention and Health Promotion

IID-12.12 Data Details

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IID-12.12 Increase the percentage of noninstitutionalized adults aged 18 and older who are vaccinated annually against seasonal influenza

About the Data

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

Data Source:

National Health Interview Survey

Changed Since the Healthy People 2020 Launch:

Yes

Measure:

percent

Baseline (Year):

38.1 (2010–11)

Target:

70.0

Target-Setting Method:

Maintain consistency with national programs, regulations, policies, and laws.

Target-Setting Method Justification:

This proposed change to the influenza vaccination coverage measures better reflects the universal vaccination recommendation as well as NCIRD’s work to meet our national targets and goals. We are proposing targets for the general population groups that are still ambitious (given current coverage) but are still achievable, given the time-limited influenza vaccination season, as well as the combined age categories and varying access to the specific populations rolled up into these new, more general, age categories.

Numerator:

Number of persons aged 18 years and over reported to be vaccinated with influenza vaccine within the past influenza season

Denominator:

Number of persons aged 18 years and over at the time of the household interview

Comparable Healthy People 2010 Objective:

Adapted from HP2010 objective

Questions Used to Obtain the National Baseline Data:

From the 2010 National Health Interview Survey:

[NUMERATOR:]

DURING THE PAST 12 MONTHS, have you had a flu shot? A flu shot is usually given in the fall and protects against influenza for the flu season.

During what month and year did you receive your most recent flu shot?

January
February
March
April
May
June
July
August
September
October
November
December

Enter year of most recent flu vaccine.

DURING THE PAST 12 MONTHS, have you had a flu vaccine sprayed in your nose by a doctor or other health professional? A health professional may have let you spray it. This vaccine is usually given in the fall and protects against influenza for the flu season.

During what month and year did you receive your most recent flu nasal spray?

January
February
March
April
May
June
July
August
September
October
November
December

Enter year of most recent flu nasal spray.

Data Collection Frequency:

Annual

Methodology Notes:

In the 2010-11 season, the Advisory Committee for Immunization Practices (ACIP) recommended that all persons aged 6 months and over receive the influenza vaccine. To better assess influenza vaccination coverage for each season, we reported coverage restricted to individuals interviewed during September through June, and vaccinated during August through May, using the Kaplan-Meier survival analysis procedure. Vaccination month was imputed when the adult was reported to have been vaccinated but was missing the month and/or year of vaccination.

Changes Between HP2010 and HP2020:

This objective differs from Healthy People 2010 objectives 14-29a, 14-29c, and 14-29e, which tracked influenza vaccination coverage in noninstitutionalized persons aged 65 and over (14-29a), high risk noninstitutionalized persons aged 18 to 64 years (14-29c) and institutionalized persons (14-29e). These Healthy People 2010 objectives were revised to include Healthy People 2020 objectives which tracked influenza vaccination coverage among noninstitutionalized persons aged 18 to 64 years (IID-12.5), noninstitutionalized high-risk persons aged 18 to 64 years (IID-12.6), noninstitutionalized persons aged 65 years and over (IID-12.7).

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 2013, objectives IID-12.5 through 12.8, assessing seasonal influenza vaccination coverage among adults were consolidated into objective IID-12.12. The age and risk groups of the individual objectives were combined to cover all persons aged 18 years and over. The annual time period was revised from calendar year to influenza season. In 2015, objective IID-12.12 began reporting influenza vaccine coverage estimates for adults in long-term or nursing homes for the 2013 data year. These estimates are from the Minimum Data Set (MDS), CMS. Data for all other population lines are from the National Health Interview Survey (NHIS), CDC/NCHS. In 2017, objective IID-12.12 was no longer tracking the influenza vaccination of institutionalized adults. Estimates from the Minimum Data Set (MDS), CMS were no longer used for this objective. Data for all population lines are from the National Health Interview Survey (NHIS), CDC/NCHS. The influenza vaccination of institutionalized adults is now tracked in IID-12.8.

References

Additional resources about the objective

CDC. Flu Vaccination Coverage, United States, 2012-13 Influenza Season. 2013 Sept [cited 2013 Dec 20].
https://www.cdc.gov/flu/fluvaxview/coverage-1213estimates.htm
CDC. Prevention and Control of Seasonal Influenza with Vaccines Recommendations of the Advisory Committee on Immunization Practices — United States, 2013–2014. MMWR 2013;62(No. RR-7):1-43.
CDC. Surveillance of influenza vaccination coverage – United States, 2007-08 through 2011-12 influenza seasons. MMWR Surveillance Summaries 2013;62(4):1-28. [cited 2013 Dec 20].
https://www.cdc.gov/mmwr/preview/mmwrhtml/ss6204a1.htm?s_cid=ss6204a1_...

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