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Corpus Christi, TX, United States

Herrera D.G.,Centers for Disease Control and Prevention | Schiefelbein E.L.,Applied Epidemiology Fellowship Program | Schiefelbein E.L.,Star Analytics | Smith R.,Centers for Disease Control and Prevention | And 3 more authors.
Maternal and Child Health Journal | Year: 2012

Cervical cancer mortality is high along the US-Mexico border. We describe the prevalence of a recent Papanicolaou screening test (Pap) among US and Mexican border women. We analyzed 2006 cross-sectional data from Mexico's National Survey of Health and Nutrition and the US Behavioral Risk Factor Surveillance System. Women aged 20-77 years in 44 US border counties (n = 1,724) and 80 Mexican border municipios (n = 1,454) were studied. We computed weighted proportions for a Pap within the past year by age, education, employment, marital status, health insurance, health status, risk behaviors, and ethnicity and adjusted prevalence ratios (APR) for the US, Mexico, and the region overall. Sixty-five percent (95 %CI 60.3-68.6) of US women and 32 % (95 %CI 28.7-35.2) of Mexican women had a recent Pap. US residence (APR = 2.01, 95 %CI 1.74-2.33), marriage (APR = 1.31, 95 %CI 1.17-1.47) and insurance (APR = 1.38, 95 %CI 1.22-1.56) were positively associated with a Pap test. Among US women, insurance and marriage were associated (APR = 1.21, 95 %CI 1.05-1.38 and 1.33, 95 %CI 1.10-1.61, respectively), and women aged 20-34 years were about 25 % more likely to have received a test than older women. Insurance and marriage were also positively associated with Pap testing among Mexican women (APR = 1.39, 95 %CI 1.17-1.64 and 1.50; 95 %CI 1.23-1.82, respectively), as were lower levels of education (≤8th grade or 9th-12th grade versus some college) (APR = 1.74; 95 %CI 1.21-2.52 and 1.60; 95 %CI 1.03-2.49, respectively). Marriage and insurance were associated with a recent Pap test on both sides of the border. Binational insurance coverage increases and/or cost reductions might bolster testing among unmarried and uninsured women, leading to earlier cervical cancer diagnosis and potentially lower mortality. © 2012 Springer Science+Business Media, LLC. Source


Springer A.E.,University of Texas at Austin | Lewis K.,Office of Program Decision Support | Kelder S.H.,University of Texas at Austin | Fernandez M.E.,University of Houston | And 2 more authors.
Journal of Immigrant and Minority Health | Year: 2010

Research on physical activity (PA) by level of acculturation in Hispanic children is limited and findings have been mixed. We examined PA participation by primary language used with parents in a representative sample of 4th, 8th, and 11th grade Texas public school students. Mixed-effects regression models were conducted using cross-sectional data from the 2004-2005 School Physical Activity and Nutrition Study (n = 22,049). Self-reported PA was compared among three language-ethnic groups: Spanish-Hispanic (SH) (referent); English-Hispanic (EH); and English-Other (EO). EH and/or EO girls were generally between 1.25 and 2.58 [OR] times more likely to participate in PA across grade levels, with the largest differences found for school sports in 8th grade girls. EH and EO 8th grade boys were 1.71 (CI: 1.40, 2.10) and 2.06 (CI: 1.68, 2.51) times, respectively, more likely to participate in school sports. Findings indicate important disparities in Spanishspeaking Hispanic children's PA participation. © Springer Science+Business Media, LLC 2009. Source


Archer N.P.,Office of Program Decision Support | Napier T.S.,Environmental Epidemiology and Disease Registries Section | Villanacci J.F.,Environmental Epidemiology and Disease Registries Section
Cancer Causes and Control | Year: 2016

Purpose: The purpose of this study was to examine the association between fluoride levels in public drinking water and childhood and adolescent osteosarcoma in Texas; to date, studies examining this relationship have been equivocal. Using areas with high and low naturally occurring fluoride, as well as areas with optimal fluoridation, we examined a wide range of fluoride levels in public drinking water. Methods: This was a population-based case–control study, with both cases and controls obtained from the Texas Cancer Registry. Eligible cases were Texas children and adolescents <20 years old diagnosed with osteosarcoma between 1996 and 2006. Controls were sampled from children and adolescents diagnosed with either central nervous system (CNS) tumors or leukemia during the same time frame. Using geocoded patient addresses at the time of diagnosis, we estimated patients’ drinking water fluoride exposure levels based on the fluoride levels of their residence’s public water system (PWS). Unconditional logistic regression models were used to assess the association between osteosarcoma and public drinking water fluoride level, adjusting for several demographic risk factors. Results: Three hundred and eight osteosarcoma cases, 598 leukemia controls, and 604 CNS tumor controls met selection criteria and were assigned a corresponding PWS fluoride level. PWS fluoride level was not associated with osteosarcoma, either in a univariable analysis or after adjusting for age, sex, race, and poverty index. Stratified analyses by sex were conducted; no association between PWS fluoride level and osteosarcoma was observed among either males or females. Conclusions: No relationship was found between fluoride levels in public drinking water and childhood/adolescent osteosarcoma in Texas. © 2016 Springer International Publishing Switzerland Source


Lewis K.L.,Office of Program Decision Support | Gossman G.,Office of Program Decision Support | Mirchandani G.,Office of Program Decision Support | Sayegh M.A.,Human Services | And 3 more authors.
Journal of Nutrition Education and Behavior | Year: 2010

Objective: Determine child/maternal factors associated with overweight among 2- to 4-year-olds enrolled in the Texas Special Supplemental Nutrition Program for Women, Infants, and Children (WIC). Design: Matched child and maternal data collected by self-report of the mother during WIC certification. These data were extracted from existing statewide WIC databases and merged. Setting: Texas WIC children aged 2 to 4 years in April 2006. Participants: Final sample was 22,837 mother-child dyads. Main Outcome Measure: Dependent variable-child overweight; independent variables: Child-related-gender, age, race/ethnicity, Medicaid status, living area, and dental problems; Maternal-related-certification status, age, times certified, overweight, high maternal weight gain, and gestational diabetes. Analysis: Bivariate relationships at P < .05 were included in the logistic regression. Results: Living in a nonborder urban area associated with greater odds of overweight compared to living in a border area. Mother's overweight, high gestational weight gain, and gestational diabetes associated with greater odds of child overweight. Conclusions and Implications: Several child- and maternal-related factors were found to be associated with overweight in Texas WIC preschoolers. Health interventions should target 4-year-old Hispanic children living in nonborder urban areas and mothers who are overweight, have high gestational weight gain, or have gestational diabetes. Source


Vaaler M.L.,Office of Program Decision Support | Stagg J.,Office of Program Decision Support | Parks S.E.,Office of Program Decision Support | Erickson T.,Women | Castrucci B.C.,Office of Program Decision Support
Journal of Nutrition Education and Behavior | Year: 2010

Objective: This study explored the influence of demographic characteristics on attitudes toward the benefits of breast-feeding, approval of public breast-feeding, and the use of infant formula. Additionally, the study examined whether attitudes were related to infant feeding practices among mothers enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Texas. Design: This study used a cross-sectional design. Setting: Participants completed questionnaires at WIC clinic sites across Texas. Participants: Mothers of young children who were receiving WIC benefits. Main Outcome Measure(s): Attitudes toward the benefits of breast-feeding, attitudes toward public breast-feeding, attitudes toward infant formula, and the choice of infant feeding practice. Analysis: Descriptive statistics, multivariate ordinary least squares regression, and multinomial logistic regression. Results: A key finding was that many Hispanic mothers held favorable attitudes toward both breast milk and infant formula. Younger and less educated mothers were least likely to agree with the benefits of breast-feeding. Mothers with positive attitudes toward the benefits of breast-feeding were likely to exclusively breastfeed and use both formula and breast milk. Conclusions and Implications: Attitudes toward breast-feeding, public breast-feeding, and infant formula and their influence on breast-feeding behavior should inform the curriculum of breast-feeding promotion programs. Source

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