Document Detail

Native American postneonatal mortality.
MedLine Citation:
PMID:  3658577     Owner:  NLM     Status:  MEDLINE    
Although dramatic gains have been realized in lowering the incidence of neonatal deaths among native American infants to a level lower than the white race, postneonatal death rates for this population remain twice as high as in the white race. The limited data available reveal that excessive postneonatal deaths among native American infants largely result from preventable accidents and treatable acute medical conditions, such as pneumonia and gastroenteritis. This suggests that native American infants leave the hospital healthy but go to unsafe environments, which decrease their chances of survival past 1 year. In particular, the poorer socioeconomic conditions that native American families experience and the related problems of alcoholism, unemployment, and family disorganization contribute to the high rate of postneonatal mortality. Intervention programs to lower native American postneonatal mortality should focus on promoting prompt recognition of and health seeking for treatable medical conditions and prevention of accidents and other postneonatal health problems. The roots of the problem of native American postneonatal mortality lie in the socioeconomic conditions of many Indian communities and cannot be addressed without recognition of how these factors combine with the health care delivery system to diminish life expectancy for native American infants.
L S Honigfeld; D W Kaplan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  80     ISSN:  0031-4005     ISO Abbreviation:  Pediatrics     Publication Date:  1987 Oct 
Date Detail:
Created Date:  1987-11-02     Completed Date:  1987-11-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  575-8     Citation Subset:  AIM; IM    
Division of Pediatric Practice, American Academy of Pediatrics, Elk Grove Village, IL 60009-0927.
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MeSH Terms
Child Abuse
Gastroenteritis / mortality
Indians, North American*
Infant Mortality*
Pneumonia / mortality
Socioeconomic Factors
Sudden Infant Death / ethnology
United States
Wounds and Injuries / mortality

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