Racial and Ethnic Disparities in Infant Mortality

Hauck, Fern R.; Tanabe, Kawai O.; Moon, Rachel Y.

doi:10.1053/j.semperi.2011.02.018

Cited by 92 publications

(85 citation statements)

References 86 publications

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“…A similar disparity is seen in the rate of postneonatal mortality (64). Although health behaviors, such as smoking, substance abuse, and receipt of prenatal care play a role in explaining these disparities, measures of individual sociodemographic status, including income, education and participation in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), explain a larger portion of the disparities in mortality (65).…”

Section: Neonatal Mortalitymentioning

confidence: 81%

The role of social determinants in explaining racial/ethnic disparities in perinatal outcomes

2015

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Section: Neonatal Mortalitymentioning

confidence: 81%

The role of social determinants in explaining racial/ethnic disparities in perinatal outcomes

2015

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“…A determinação da mortalidade infantil pela raça/cor, enquanto variável relacionada às condições socioeconômicas, encontrada no presente estudo corrobora os achados da literatura que apontam as diferenças étnicas entre brancos e negros como preditoras de risco, caracterizando uma condição iníqua de saúde e demonstrando a necessidade da adoção de políticas públicas de inclusão e equidade que busquem estreitar o fosso racial 15,16,17 .…”

Section: Discussionunclassified

Diferenciais nos fatores de risco para a mortalidade infantil em cinco cidades brasileiras: um estudo de caso-controle com base no SIM e no SINASC

Maia¹,

Souza²,

Mendes³

2012

Cad. Saúde Pública

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O estudo buscou identificar diferenciais entre os fatores de risco para mortalidade infantil em cinco cidades, sendo uma de cada macrorregião brasileira. Realizou-se um estudo caso-controle, considerando casos os óbitos de menores de um ano registrados no Sistema de Informações sobre Mortalidade (SIM) e no Sistema de Informações sobre Nascidos Vivos (SINASC) e controles os nascidos vivos que não foram a óbito, registrados no SINASC. Os fatores de risco foram estimados por meio de análises univariadas e multivariadas, adotando-se os modelos logísticos hierarquizados. Os principais determinantes da mortalidade infantil foram os fatores biológicos (Apgar, baixo peso ao nascer, prematuridade e presença de malformação congênita) mediados pelos fatores socioeconômicos (escolaridade, estado civil e raça/cor) e as condições da assistência (consultas de pré-natal). Embora se verifique concordância em parte dos determinantes da mortalidade infantil entre as cidades analisadas, alguns diferenciais regionais puderam ser observados expressando a condição iníqua da mortalidade infantil associada às desigualdades nas condições socioeconômicas e de acesso aos serviços de saúde.

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“…Therefore, the excess could be partly attributed to the 2-fold higher rate of preterm delivery and greater incidence of VLBW infants in African American women. 11 The proportion of births < 28 weeks in one study was 0.35% and 1.39% for white and African American infants, respectively. 1 To test the hypothesis further, we would require the number of premature and/or LBW deliveries annually for both whites and African Americans in the US to calculate incidences.…”

Section: Discussionmentioning

confidence: 99%

A 2-fold higher rate of intraventricular hemorrhage–related mortality in African American neonates and infants

Qureshi

Adil

Shafizadeh

et al. 2013

PED

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Object Despite the recognition of racial or ethnic differences in preterm gestation, such differences in the rate of intraventricular hemorrhage (IVH), frequently associated with preterm gestation, are not well studied. The authors performed the current study to identify racial or ethnic differences in the incidence of IVH-related mortality within the national population of the US. Methods Using the ICD-10 codes P52.0, P52.1, P52.2, P52.3, and P10.2 and the Multiple Cause of Death data from 2000 to 2009, the authors identified all IVH-related mortalities that occurred in neonates and infants aged less than 1 year. The live births for whites and African Americans from the census for 2000–2009 were used to derive the incidence of IVH-related mortality for whites and African Americans per 100,000 live births. The IVH rate ratio (RR, 95% confidence interval [CI]) and annual percent change (APC) in the incidence rates from 2000 to 2009 were also calculated. Results A total of 3249 IVH-related mortality cases were reported from 2000 to 2009. The incidence rates of IVH were higher among African American infants (16 per 100,000 live births) than among whites (7.8 per 100,000 live births). African American infants had a 2-fold higher risk of IVH-related mortality compared with whites (RR 2.0, 95% CI 1.2–3.2). The rate of increase over the last 10 years was less in African American infants (APC 1.6%) than in white infants (APC 4.3%). Conclusions The rate of IVH-related mortality is 2-fold higher among African American than white neonates and infants. Further studies are required to understand the underlying reasons for this prominent disparity in one of the most significant causes of infant mortality.

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Racial and Ethnic Disparities in Infant Mortality

Cited by 92 publications

References 86 publications

The role of social determinants in explaining racial/ethnic disparities in perinatal outcomes

The role of social determinants in explaining racial/ethnic disparities in perinatal outcomes

Diferenciais nos fatores de risco para a mortalidade infantil em cinco cidades brasileiras: um estudo de caso-controle com base no SIM e no SINASC

A 2-fold higher rate of intraventricular hemorrhage–related mortality in African American neonates and infants

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