American Indian/Alaska Native Health

Immunizations and American Indians/Alaska Natives

  • American Indian/Alaska Native adults were 30% less likely to have received the influenza (flu) shot during the 2023–2024 flu season than non-Hispanic white adults.1
  • American Indian/Alaska Native children born in 2020 were 20% less likely to be fully immunized by age 24 months than non-Hispanic white children.2

Adults

Hepatitis B (HepB)

Adults ages 19–49 who received at least one dose ever of the HepB vaccine, percentage, 2021
American Indian/Alaska NativeNon-Hispanic WhiteAmerican Indian/Alaska Native /
Non-Hispanic White Ratio
--48.4--
Source: Centers for Disease Control and Prevention (CDC), 2024. Vaccination Coverage among Adults in the United States, National Health Interview Survey, 2021. Table 4. Estimated proportion of adults aged ≥19 years who received hepatitis B vaccination, by age group, increased-risk status, and race and ethnicity.

Influenza (Flu)

Adults age 65 and older who received the flu vaccine, age-adjusted percentage, 2023–2024 season
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
52.170.90.7
Source: CDC, 2024. Flu Vaccination Coverage, United States, 2023–2024 Influenza Season. Flu Vaccination Coverage by Race/Ethnicity and Age Group, Adults, United States, 2023–24 Season.
Adults age 18 and over who received the flu vaccine, age-adjusted percentage, 2023–2024 season
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
34.749.10.7
Source: CDC, 2024. Flu Vaccination Coverage, United States, 2023–2024 Influenza Season. Flu Vaccination Coverage by Race/Ethnicity and Age Group, Adults, United States, 2023–24 Season.

Pneumococcal (Pneumonia)

Adults age 18 and over who ever received the pneumonia vaccine, percentage, 2023
American Indian/Alaska NativeNon-Hispanic WhiteAmerican Indian/Alaska Native /
Non-Hispanic White Ratio
20.428.80.7
Source: CDC. National Center for Health Statistics. Interactive Summary Health Statistics for Adults. Percentage of ever receiving a pneumonia (pneumococcal) vaccine for adults aged 18 and over, United States, 2023.
Adults age 65 and older who ever received the pneumonia vaccine, age-adjusted percentage, 2022
American Indian/Alaska NativeNon-Hispanic WhiteAmerican Indian/Alaska Native /
Non-Hispanic White Ratio
--69.1--
Source: CDC, 2024. Vaccination Coverage among Adults in the United States, National Health Interview Survey, 2022. Table 1. Estimated proportion of adults aged ≥19 years who ever received pneumococcal vaccination by age, increased-risk status and race and ethnicity.
Adults ages 19–64 at increased risk who received the pneumonia vaccine, age-adjusted percentage, 2022
American Indian/Alaska NativeNon-Hispanic WhiteAmerican Indian/Alaska Native /
Non-Hispanic White Ratio
--24.0--
Source: CDC, 2024. Vaccination Coverage among Adults in the United States, National Health Interview Survey, 2022. Table 1. Estimated proportion of adults aged ≥19 years who ever received pneumococcal vaccination by age, increased-risk status and race and ethnicity.

Human Papillomavirus (HPV)

Females ages 19–26 who ever received at least one dose of the HPV vaccine, percentage, 2022
American Indian/Alaska NativeNon-Hispanic WhiteAmerican Indian/Alaska Native /
Non-Hispanic White Ratio
--60.5--
Source: CDC, 2024. Vaccination Coverage among Adults in the United States, National Health Interview Survey, 2022. Table 5. Estimated proportion of adults aged 19-26 years who received at least one dose of human papillomavirus (HPV vaccination, by age group, sex, and race and ethnicity.

Adolescents

Hepatitis B (HepB)

Adolescents ages 13–17 who received at least three doses of the HepB vaccine, percentage, 2023
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
77.792.50.8
Source: CDC. TeenVaxView Interactive.

Measles, Mumps, and Rubella (MMR)

Adolescents ages 13–17 who received at least two doses of the MMR vaccine, percentage, 2023
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
79.392.80.9
Source: CDC. TeenVaxView Interactive.

Tetanus-Diphtheria (Tdap)

Adolescents ages 13–17 who received at least one dose of the Tdap booster H, percentage, 2023
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
88.688.91.0
Source: CDC. TeenVaxView Interactive.

Human Papillomavirus (HPV)

Adolescents ages 13–17 who received at least one dose of the HPV vaccine, percentage, 2023
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
Male74.872.11.0
Female79.676.11.0
Both Sexes77.174.01.0
Source: CDC. TeenVaxView Interactive.

Children

Diphtheria-Tetanus (DTaP)

Children born in 2020 who received at least 4 doses of the DTaP vaccine by age 24 months, percentage
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
73.283.40.9
Source: CDC, 2023. Vaccination Coverage by Age 24 Months Among Children Born in 2019 and 2020—National Immunization Survey-Child, United States, 2020–2022. Supplementary Table 1.

Haemophilus Influenza Type B (Hib)

Children born in 2020 who received the full series (at least 3 doses of the primary and at least 4 doses of the booster dose) of the Hib vaccine by age 24 months, percentage
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
67.579.60.8
Source: CDC, 2023. Vaccination Coverage by Age 24 Months Among Children Born in 2019 and 2020—National Immunization Survey-Child, United States, 2020–2022. Supplementary Table 1.

Hepatitis B (HepB)

Children born in 2020 who received at least 3 doses of the Hep B vaccine by age 24 months, percentage
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
92.692.41.0
Source: CDC, 2023. Vaccination Coverage by Age 24 Months Among Children Born in 2019 and 2020—National Immunization Survey-Child, United States, 2020–2022. Supplementary Table 1.

Measles, Mumps, and Rubella (MMR)

Children born in 2020 who received at least 1 dose of the MMR vaccine by age 24 months, percentage
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
89.192.21.0
Source: CDC, 2023. Vaccination Coverage by Age 24 Months Among Children Born in 2019 and 2020—National Immunization Survey-Child, United States, 2020–2022. Supplementary Table 1.

Polio

Children born in 2020 who received at least 3 doses of the polio vaccine by age 24 months, percentage
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
89.993.71.0
Source: CDC, 2023. Vaccination Coverage by Age 24 Months Among Children Born in 2019 and 2020—National Immunization Survey-Child, United States, 2020–2022. Supplementary Table 1.

Varicella (Chicken Pox)

Children born in 2020 who received at least 1 dose of the chicken pox vaccine by age 24 months, percentage
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
84.391.70.9
Source: CDC, 2023. Vaccination Coverage by Age 24 Months Among Children Born in 2019 and 2020—National Immunization Survey-Child, United States, 2020–2022. Supplementary Table 1.

Fully Immunized

Children born in 2020 who were fully immunized (combined 7-vaccine series) by age 24 months, percentage
Non-Hispanic American Indian/Alaska NativeNon-Hispanic WhiteNon-Hispanic American Indian/Alaska Native /
Non-Hispanic White Ratio
56.770.90.8
Source: CDC, 2023. Vaccination Coverage by Age 24 Months Among Children Born in 2019 and 2020—National Immunization Survey-Child, United States, 2020–2022. Supplementary Table 1.

1 CDC, 2024. Flu Vaccination Coverage, United States, 2023–2024 Influenza Season. Flu Vaccination Coverage by Race/Ethnicity and Age Group, Adults, United States, 2023–24 Season. (Back to top)

2 CDC, 2023. Vaccination Coverage by Age 24 Months Among Children Born in 2019 and 2020—National Immunization Survey-Child, United States, 2020–2022. Supplementary Table 1. (Back to top)