Document Detail


Mortality among very low-birthweight infants in hospitals serving minority populations.
MedLine Citation:
PMID:  16304133     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We investigated whether the proportion of Black very low-birth-weight (VLBW) infants treated by hospitals is associated with neonatal mortality for Black and White VLBW infants.
METHODS: We analyzed medical records linked to secondary data sources for 74050 Black and White VLBW infants (501 g to 1500 g) treated by 332 hospitals participating in the Vermont Oxford Network from 1995 to 2000. Hospitals where more than 35% of VLBW infants treated were Black were defined as "minority-serving."
RESULTS: Compared with hospitals where less than 15% of the VLBW infants were Black, minority-serving hospitals had significantly higher risk-adjusted neonatal mortality rates (White infants: odds ratio [OR]=1.30, 95% confidence interval [CI] = 1.09, 1.56; Black infants: OR = 1.29, 95% CI = 1.01, 1.64; Pooled: OR = 1.28, 95% CI=1.10, 1.50). Higher neonatal mortality in minority-serving hospitals was not explained by either hospital or treatment variables.
CONCLUSIONS: Minority-serving hospitals may provide lower quality of care to VLBW infants compared with other hospitals. Because VLBW Black infants are disproportionately treated by minority-serving hospitals, higher neonatal mortality rates at these hospitals may contribute to racial disparities in infant mortality in the United States.
Authors:
Leo S Morales; Douglas Staiger; Jeffrey D Horbar; Joseph Carpenter; Michael Kenny; Jeffrey Geppert; Jeannette Rogowski
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of public health     Volume:  95     ISSN:  0090-0036     ISO Abbreviation:  Am J Public Health     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-11-23     Completed Date:  2006-02-14     Revised Date:  2013-01-21    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2206-12     Citation Subset:  AIM; IM    
Affiliation:
University of California Los Angeles, USA. morales@rand.org
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MeSH Terms
Descriptor/Qualifier:
African Americans
Databases as Topic
European Continental Ancestry Group
Female
Humans
Infant Mortality / trends*
Infant, Low Birth Weight*
Infant, Newborn
Male
Minority Groups*
Multi-Institutional Systems*
Regression Analysis
United States / epidemiology
Grant Support
ID/Acronym/Agency:
AG-02-004/AG/NIA NIH HHS; P01-HS10858/HS/AHRQ HHS; P20 MD000148/MD/NIMHD NIH HHS; P20-MD00148-01/MD/NIMHD NIH HHS; P30 AG021684/AG/NIA NIH HHS; R01-HS132801/HS/AHRQ HHS
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