Document Detail

Age effects on infant mortality controlling for race: a meta-analytical study.
MedLine Citation:
PMID:  9119788     Owner:  NLM     Status:  MEDLINE    
The relationship between teenage fertility and infant mortality has been a controversial issue for some time. From a policy point of view, it is crucial to understand the nature of this relationship given that pregnancy among teenagers is on the rise globally. This study conducted a meta-analysis of the relationship between maternal age and infant mortality. Two important determinants, race and age, were considered; no evidence of a systematic relationship between age and infant mortality rates was found. The policy implications of this finding are considered.
A meta-analysis of the association between maternal age and infant mortality failed to substantiate any systematic relationship. A search of the published literature revealed 13 US studies that provided data on maternal age, maternal race, and the infant, neonatal, and perinatal mortality rates. The covariation between maternal age and mortality rates varied considerably, partly because of sampling variability. Moderated regression analyses indicated that, although age was not a significant determinant of mortality, race exerted a significant influence. Among teenagers, infant mortality rates were significantly higher among African-Americans and Hispanics than Whites, perinatal mortality was significantly lower for Hispanics than Whites, and neonatal mortality was significantly lower among African-Americans than Whites. Inability to control for socioeconomic status may have been a factor in these findings, however. These results suggest that programs for reducing infant mortality that target teenagers on the basis of age alone may risk overlooking the impact of race and other social factors. A broad-based socioeconomic approach, targeting lower-income pregnant women regardless of age and race, is recommended.
V K Pillai; S Bandyopadhyay
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Health care for women international     Volume:  18     ISSN:  0739-9332     ISO Abbreviation:  Health Care Women Int     Publication Date:    1997 Mar-Apr
Date Detail:
Created Date:  1997-04-24     Completed Date:  1997-04-24     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8411543     Medline TA:  Health Care Women Int     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  115-26     Citation Subset:  J; N    
Department of Sociology and Social Work, University of North Texas, Denton 76203, USA.
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MeSH Terms
Continental Population Groups
Infant Mortality*
Infant, Newborn
Maternal Age*
Pregnancy in Adolescence
Regression Analysis
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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