title: The impact of changing medicaid enrollments on New Mexico's Immunization Program.
abstract: BACKGROUND
  Immunizations are an important component to pediatric primary care. New Mexico is a relatively poor and rural state which has sometimes struggled to achieve and maintain its childhood immunization rates. We evaluated New Mexico's immunization rates between 1996 and 2006. Specifically, we examined the increase in immunization rates between 2002 and 2004, and how this increase may have been associated with Medicaid enrollment levels, as opposed to changes in government policies concerning immunization practices.
  
  
  RESULTS
  This study examines trends in childhood immunization coverage rates relative to Medicaid enrollment among those receiving Temporary Assistance for Needy Families (TANF) in New Mexico. Information on health policy changes and immunization coverage was obtained from state governmental sources and the National Immunization Survey. We found statistically significant correlations varying from 0.86 to 0.93 between immunization rates and Medicaid enrollment.
  
  
  CONCLUSIONS
  New Mexico's improvement and subsequent deterioration in immunization rates corresponded with changing Medicaid coverage, rather than the state's efforts to change immunization practices. Maintaining high Medicaid enrollment levels may be important for achieving high childhood immunization levels.
authors.affiliation: Department of Social Sciences, University of Toronto Scarborough, Toronto, Ontario, Canada. schillaci@utsc.utoronto.ca
authors.forename: Michael A
authors.initials: MA
authors.lastname: Schillaci
authors.forename: Howard
authors.initials: H
authors.lastname: Waitzkin
authors.forename: Tom
authors.initials: T
authors.lastname: Sharmen
authors.forename: Sandra J
authors.initials: SJ
authors.lastname: Romain
mesh_terms: D002662:Child Health Services / Q000331:legislation & jurisprudence / Q000458:organization & administration; D002675:Child, Preschool; D017598:Efficiency, Organizational; D006078:Government Programs / Q000331:legislation & jurisprudence / Q000458:organization & administration; D018166:Health Care Reform / Q000331:legislation & jurisprudence / Q000458:organization & administration; D006297:Health Services Accessibility / Q000458:organization & administration / Q000706:statistics & numerical data; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006801:Humans; D017589:Immunization Programs / Q000331:legislation & jurisprudence / Q000458:organization & administration*; D007223:Infant; D008484:Medicaid / Q000331:legislation & jurisprudence* / Q000458:organization & administration; D009516:New Mexico; D014481:United States