Document Detail

Racial differences in neonatal mortality. What causes of death explain the gap?
MedLine Citation:
PMID:  3348187     Owner:  NLM     Status:  MEDLINE    
To examine further the differences in birth-weight-specific neonatal mortality rates between ethnic groups, we studied causes of death for infants of white, black, United States-born Hispanic, and Mexican-born Hispanic women using linked California birth-death records from 1981 to 1983. Black infants of low birth weight had considerably lower neonatal mortality rates from respiratory distress syndrome and congenital abnormalities. In the normal birth-weight category, however, black neonatal mortality rates for most conditions were higher than those for whites. The greatest differences between Mexican-born Hispanic and white neonatal mortality rates were seen for other respiratory conditions and trauma/hypoxia/asphyxia. These differences were most marked in the 1500- to 2499-g and greater than or equal to 2500-g birth-weight categories. Attempts to lower the neonatal mortality rate for black infants of normal birth weight may require providers to focus on both broad preventive measures and improved perinatal management. In contrast, improvements in perinatal management among Mexican-born Hispanics may produce improvement in the neonatal mortality rate for this group.
N J Binkin; K R Rust; R L Williams
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of diseases of children (1960)     Volume:  142     ISSN:  0002-922X     ISO Abbreviation:  Am. J. Dis. Child.     Publication Date:  1988 Apr 
Date Detail:
Created Date:  1988-04-19     Completed Date:  1988-04-19     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0370471     Medline TA:  Am J Dis Child     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  434-40     Citation Subset:  AIM; IM    
Division of Nutrition, Centers for Disease Control, Atlanta.
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MeSH Terms
African Americans
Birth Weight
Ethnic Groups*
European Continental Ancestry Group
Hispanic Americans
Infant Mortality*
Infant, Low Birth Weight
Infant, Newborn
Mexico / ethnology
United States
Grant Support
86-89089//PHS HHS

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

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