American Journal of Epidemiology Vol. 149, No. 12: 1119-1127
Copyright © 1999 by The Johns Hopkins University School of Hygiene and Public Health
other |
Neural Tube Defects along the Texas-Mexico Border, 1993–1995
1Division of Infectious Disease Epidemiology and Surveillance, Texas Department of Health Austin, TX
2Bureau of Clinical and Nutrition Services, Texas Department of Health Austin, TX
In response to a 1991 anencephaly cluster in Cameron County, Texas, a surveillance and neural tube defect (NTD) recurrence prevention project for NTDs was implemented in the 14 Texas-Mexico border counties. For 1993–1995, NTD-affected pregnancies were identified at all gestational ages through active surveillance of multiple case-ascertainment sources. There were 87 cases of anencephaly, 96 cases of spina bifida, and 14 cases of encephalocele for respective rates of 6.4, 7.1, and 1.1 per 10, 000 live births. Of the 197 NTD case-women, 93% were Hispanic. The overall, Hispanic, and Anglo NTD rates were, respectively, 14.6, 14.9, and 10.6 per 10, 000 live births. The NTD rate for El Paso County (9.8 per 10, 000), the most northwestern Texas county, was significantly lower (p = 0.001) than the aggregate rate for the rest of the Texas border (17.1 per 10, 000). The overall Texas border rate was significantly higher (p < 0.001) than a recently estimated rate of 9.3 for California and minimally higher than a recently adjusted rate of 11.3 for the Metropolitan Atlanta Congenital Defects Program counties (p = 0.052), both of which now reflect all gestational ages. Of the 197 Texas border cases, 85% (168 cases) reached a gestational age of 
20 weeks. Excluding cases of <20 weeks‘ gestation in the rate had a more marked effect on reducing the anencephaly rate (4.9 per 10, 000) than the spina bifida rate (6.7 per 10, 000). A country of birth was known for 153 (83%) of the 184 Hispanic case-women: 63% were born in Mexico; 24%, in Texas; and 11%, elsewhere in the United States. Rates for Mexico-born Hispanic women (15.1 per 10, 000) were significantly higher than rates for United States-born Hispanic women (9.5 per 10, 000) (p = 0.006). Am J Epidemiol 1999; 149: 1119—27.
anencephaly; Mexican Americans; neural tube defects; spina bifida cystica
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  S. Kannan, E. Menotti, H. K. Scherer, J. Dickinson, and K. Larson Folic Acid and the Prevention of Neural Tube Defects: A Survey of Awareness Among Latina Women of Childbearing Age Residing in Southeast Michigan Health Promot Pract, January 1, 2007; 8(1): 60 - 68. [Abstract] [PDF]
|
|
|
|
 |
|
 L. J. Williams, S. A. Rasmussen, A. Flores, R. S. Kirby, and L. D. Edmonds Decline in the Prevalence of Spina Bifida and Anencephaly by Race/Ethnicity: 1995-2002 Pediatrics, September 1, 2005; 116(3): 580 - 586. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 Y. Lin, S. R Dueker, J. R Follett, J. G Fadel, A. Arjomand, P. D Schneider, J. W Miller, R. Green, B. A Buchholz, J. S Vogel, et al. Quantitation of in vivo human folate metabolism Am. J. Clinical Nutrition, September 1, 2004; 80(3): 680 - 691. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. W. Bennett and M. Klich Mycotoxins Clin. Microbiol. Rev., July 1, 2003; 16(3): 497 - 516. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Gucciardi, M.-A. Pietrusiak, D. L. Reynolds, and J. Rouleau Incidence of neural tube defects in Ontario, 1986-1999 Can. Med. Assoc. J., August 1, 2002; 167(3): 237 - 240. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. A. Etzel Mycotoxins JAMA, January 23, 2002; 287(4): 425 - 427. [Full Text] [PDF]
|
|
|
|
 |
|
 D. Koo, P. O'Carroll, and M. LaVenture Public Health 101 for Informaticians J. Am. Med. Inform. Assoc., November 1, 2001; 8(6): 585 - 597. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 L. Suarez, K. A. Hendricks, S. P. Cooper, A. M. Sweeney, R. J. Hardy, and R. D. Larsen Neural Tube Defects among Mexican Americans Living on the US-Mexico Border: Effects of Folic Acid and Dietary Folate Am. J. Epidemiol., December 1, 2000; 152(11): 1017 - 1023. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Neural Tube Defect Surveillance and Folic Acid Intervention--Texas-Mexico Border, 1993-1998 JAMA, June 14, 2000; 283(22): 2928 - 2930. [Full Text] [PDF]
|
|