| Early mortality among triplets in the United States: black-white disparity. | |
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MedLine Citation:
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PMID: 14981393 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: In this study, we sought to estimate the black-white gap in early mortality among triplets. STUDY DESIGN: This was a retrospective cohort study on triplets delivered in the United States from 1995 to 1997. We computed relative risks for early mortality among triplets born to black mothers using the generalized estimating equation framework. RESULTS: There were 1317 black and 14,364 white triplets analyzed. Black triplets were twice as likely to have neonatal and infant mortality compared with whites (Odds ratio [OR], 2.00, 95% CI, 1.38-2.77; and OR, 2.20, 95% CI, 1.59-3.00, respectively). The widest disparity was observed postneonatally, with black triplets sustaining a level of risk almost 4-fold that of whites (OR, 3.60, 95% CI, 2.10-6.10). Stillbirth and perinatal mortality were comparable for both races. CONCLUSION: Black-white disparity for early mortality among triplets was widest postneonatally. This finding bears important clinical and public health implications. |
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Authors:
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Hamisu M Salihu; Aisha T Williams; TaTisha N McCainey; Russell S Kirby; Greg R Alexander |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 190 ISSN: 0002-9378 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2004 Feb |
Date Detail:
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Created Date: 2004-02-24 Completed Date: 2004-03-30 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 477-84 Citation Subset: AIM; IM |
Affiliation:
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Department of Maternal and Child Health, University of Alabama at Birmingham School of Public Health, Birmingham, AL 35294, USA. hsalihu@uab.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult African Continental Ancestry Group / statistics & numerical data* Delivery, Obstetric / statistics & numerical data European Continental Ancestry Group / statistics & numerical data* Female Humans Infant Mortality* Infant, Newborn Male Pregnancy Pregnancy Complications / epidemiology Retrospective Studies Triplets / statistics & numerical data* United States / epidemiology |
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