volume 146, issue 5, Pe20200464 2020
DOI: 10.1542/peds.2020-0464
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Deborah B. Ehrenthal, Hsiang-Hui Daphne Kuo, Russell S. Kirby

Abstract: BACKGROUND AND OBJECTIVES: Rural counties have the highest infant mortality rates across the United States when compared with rates in more urban counties. We use a social-ecological framework to explain infant mortality disparities across the rural-urban continuum. METHODS:We created a cohort of all births in the United States linked to infant death records for 2014 to 2016. Records were linked to county-level data from the Area Health Resources File and the American Community Survey and classified using the …

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