Indicators of differences in immunization rates of Mexican American and white non-Hispanic infants in a Medicaid managed care system
Indicators of differences in immunization rates of Mexican American and white non-Hispanic infants in a Medicaid managed care system
复制标题
DOI：
10.1111/j.1525-1446.1996.tb00214.x
复制
发表时间：
1996-02-01
影响因子：
2.1
通讯作者：
Hepworth, JT
中科院分区：
文献类型：
--
作者：
Moore, P;Fenlon, N;Hepworth, JT
比较了参加亚利桑那州医疗补助管理医疗示范项目的墨西哥裔美国人和非西班牙裔白人婴儿的免疫水平，并评估了社会人口统计学特征、文化适应水平、母亲的健康信念和婴儿健康状况对免疫水平的影响。该研究使用了从办公室记录、出生证明和家庭访谈中收集的数据。随机样本包括292名非西班牙裔白人和274名墨西哥裔美国婴儿。到1岁时，非西班牙裔白人婴儿比墨西哥裔美国婴儿接受了更多的免疫接种。然而，在多元回归分析中控制了全套解释变量后，种族不再是免疫水平的重要预测因子。免疫接种数量较高的重要预测因素包括兄弟姐妹较少、母亲年龄较大和母亲受教育程度较高。健康保险和管理护理计划的登记不足以确保这些医疗补助登记的婴儿获得充分的免疫接种。根据以前的研究和医学研究所关于公共卫生未来的报告中概述的公共卫生的基本功能，讨论了结果。
Immunization levels of Mexican American and white non-Hispanic infants enrolled in Arizona's Medicaid managed care demonstration project, a prototype of the model proposed for a reformed health care system, were compared and the influence of sociodemographic characteristics, acculturation levels, health beliefs of the mothers, and infant health status on immunization levels were assessed. The study used data collected from office records, birth certificates, and household interviews. The random sample included 292 white non-Hispanic and 274 Mexican American infants. White non-Hispanic infants received more immunizations by age 1 than the Mexican American infants. However, after controlling for a full set of explanatory variables in a multiple regression analysis, ethnicity was no longer a significant predictor of immunization levels. Significant predictors of a higher number of immunizations included fewer siblings, older maternal age, and higher maternal education. Health insurance and enrollment in a managed care plan were not sufficient to ensure adequate immunization of these Medicaid enrolled infants. Results are discussed in terms of previous research and the essential functions of public health as outlined in the Institute of Medicine's Report on the Future of Public Health.