Document Detail

Race-specific trends in infant mortality: contributions of birth-weight distribution and birth-weight-specific mortality, Louisiana 1991-2002.
MedLine Citation:
PMID:  19785310     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To assess the race-specific trends in infant mortality rate (IMR) in Louisiana and identify changes in the birth weight distribution (BWD) and birth weight specific mortality (BWSM) and their effect on the overall infant mortality rate. METHODS: We used the state of Louisiana's period-linked birth/infant death file, 1991-2002. The difference in race-specific mortality between our study population and the reference population was partitioned into two components, BWD and BWSM, using the method developed by Kitagawa. RESULTS: The IMR among black infants was at least twice as high as that of white infants for every year except 1991. The difference in BWD is responsible for much of the differences between the IMR among blacks and whites. On average, 80% of the excess deaths among black infants were attributed to BWD; the great majority of the infants who died weighed less than 2500 grams. CONCLUSIONS: There was a significant decline in excess mortality attributable to BWSM among both blacks and whites. But despite this decline, the overall IMR for Louisiana remained high because of the higher proportion of low birth weight infants among blacks.
Genet Burka; Frances J Mather; Juan M Acuña; Tri Tran
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society     Volume:  161     ISSN:  0024-6921     ISO Abbreviation:  J La State Med Soc     Publication Date:    2009 Jul-Aug
Date Detail:
Created Date:  2009-09-29     Completed Date:  2009-10-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7505618     Medline TA:  J La State Med Soc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  199-205     Citation Subset:  IM    
Centers for Disease Control and Prevention, District of Columbia Department of Health, USA.
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MeSH Terms
African Americans / statistics & numerical data*
Birth Weight*
European Continental Ancestry Group / statistics & numerical data*
Health Status Disparities
Infant Mortality / ethnology*,  trends*
Infant, Low Birth Weight
Infant, Newborn
Louisiana / epidemiology

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