Indicators of Differences in Immunization Rates of Mexican American and White Non‐Hispanic Infants in a Medicaid Managed Care System
作者:
Patricia Moore,
Nancy Fenlon,
Joseph T. Hepworth,
期刊:
Public Health Nursing
(WILEY Available online 1996)
卷期:
Volume 13,
issue 1
页码: 21-30
ISSN:0737-1209
年代: 1996
DOI:10.1111/j.1525-1446.1996.tb00214.x
出版商: Blackwell Publishing Ltd
数据来源: WILEY
摘要:
AbstractImmunization 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 H
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