Document Detail


Apparent disappearance of the black-white infant mortality gap - Dane County, Wisconsin, 1990-2007.
MedLine Citation:
PMID:  19478725     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Despite substantial reductions in U.S. infant mortality during the past several decades, black-white disparities in infant mortality persist. Among 40 states with sufficient numbers of black infant deaths to generate reliable rates for the years 2002-2004, Wisconsin had the highest black infant mortality rate (IMR) at 17.6 deaths per 1,000 live births, approximately three times the state rate for whites. However, in contrast to trends in Wisconsin and the other 39 states, the black IMR in Dane County, Wisconsin, has declined substantially, achieving parity with whites and meeting Healthy People 2010 objective 16-1 for reducing fetal and infant deaths. The county rate declined 67%, from 19.4 per 1,000 live births for the period 1990-2001 to 6.4 for the period 2002-2007. To gain understanding of this development, Public Health Madison Dane County (PHMDC) analyzed approximately 100,000 birth and death records from 1990 through 2007 for birthweight, gestational age, prenatal care, and other infant mortality risk factors. The main contributors to the decrease in black infant mortality were a large decrease in the extremely premature (<or=28 weeks gestation) birth rate and a decrease in the mortality rate for newborns weighing <1,500 g. Because the observed trend in black infant mortality is based on small reductions in the absolute number of deaths (approximately three infants per year), conclusions based on these results should be considered preliminary, and additional studies are needed to confirm the reduction in rates over time. PHMDC is planning continued surveillance and other studies to determine whether the reduction in mortality is stable.
Authors:
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  MMWR. Morbidity and mortality weekly report     Volume:  58     ISSN:  1545-861X     ISO Abbreviation:  MMWR Morb. Mortal. Wkly. Rep.     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-29     Completed Date:  2009-06-02     Revised Date:  2009-07-27    
Medline Journal Info:
Nlm Unique ID:  7802429     Medline TA:  MMWR Morb Mortal Wkly Rep     Country:  United States    
Other Details:
Languages:  eng     Pagination:  561-5     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
African Continental Ancestry Group*
Birth Weight
European Continental Ancestry Group*
Health Status Disparities
Humans
Infant Mortality / ethnology*,  trends*
Infant, Newborn
Infant, Premature
Retrospective Studies
Risk Factors
Wisconsin / epidemiology
Comments/Corrections
Erratum In:
MMWR Morb Mortal Wkly Rep. 2009 Jul 24;58(28):781

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


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