Document Detail


Early mortality among triplets in the United States: black-white disparity.
MedLine Citation:
PMID:  14981393     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Hamisu M Salihu; Aisha T Williams; TaTisha N McCainey; Russell S Kirby; Greg R Alexander
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  190     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-02-24     Completed Date:  2004-03-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  477-84     Citation Subset:  AIM; IM    
Affiliation:
Department of Maternal and Child Health, University of Alabama at Birmingham School of Public Health, Birmingham, AL 35294, USA. hsalihu@uab.edu
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MeSH Terms
Descriptor/Qualifier:
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

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


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