title: DTP immunization status and tetanus antitoxin titers of Mexican American children ages six months through eleven years.
abstract: Data from the Mexican American portion of the Hispanic Health and Nutrition Examination Survey (HHANES), conducted in 1982-83, were analyzed for the number of diphtheria, tetanus, and pertussis (DTP) immunizations reported for Mexican American children 6 months-11 years of age and for levels of tetanus antitoxin titers in Mexican American children 4-11 years of age. In Mexican American children 6 months-11 years, 98.2 per cent had one or more DTP immunizations reported (95 per cent CI: 97.5, 98.9%); 85.1 per cent had three or more DTP immunizations reported (95 per cent CI: 83.2, 87.0%). The reported immunization coverage in Mexican American children was corroborated by the tetanus antitoxin titers which were above the minimum protective level (greater than or equal to 0.01 IU/ml) in 99.6 per cent of the 4-11 year olds. Using the American Academy of Pediatrics' (AAP) recommendations for the number of DTP immunizations, 61.1 per cent of the children 6 months-11 years of age had the age-appropriate number of immunizations (95 per cent CI: 58.5, 63.7%). AAP immunization completion rates were higher for children who: had a source of care reported (62.1 vs 44.3%; 95% CI of the difference: 7.1, 28.5); had insurance coverage (63.5 vs 56.1%; 95% CI of the difference: 2, 12.8); lived in a standard metropolitan statistical area (SMSA)-not central city as compared to SMSA-central city or not SMSA (66.6 vs 57.1%; 95% CI of the difference: 4.3, 14.7); and had 12 or more completed years of education for the head of the household (65.4 vs 58.3%; 95% CI of the difference: 1.8, 12.4).(ABSTRACT TRUNCATED AT 250 WORDS)
authors.affiliation: Division of Health Examination Statistics, National Center for Health Statistics, Hyattsville, MD 20782.
authors.forename: P J
authors.initials: PJ
authors.lastname: Gergen
authors.forename: T
authors.initials: T
authors.lastname: Ezzati
authors.forename: H
authors.initials: H
authors.lastname: Russell
mesh_terms: D002648:Child; D002675:Child, Preschool; D004168:Diphtheria Toxoid; D015721:Diphtheria-Tetanus-Pertussis Vaccine; D004338:Drug Combinations; D006306:Health Surveys; D006630:Hispanic or Latino; D006801:Humans; D007114:Immunization; D007223:Infant; D008800:Mexico / Q000208:ethnology; D010567:Pertussis Vaccine; D013743:Tetanus Antitoxin / Q000097:blood*; D013745:Tetanus Toxoid; D014481:United States
chemical_list: D004168:Diphtheria Toxoid; D015721:Diphtheria-Tetanus-Pertussis Vaccine; D004338:Drug Combinations; D010567:Pertussis Vaccine; D013743:Tetanus Antitoxin; D013745:Tetanus Toxoid