Document Detail


Racial differences in the relation of birth weight and gestational age to neonatal mortality.
MedLine Citation:
PMID:  3931169     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Utilizing South Carolina live birth-infant death cohort files for the period 1975-80, this study examines the bivariate distribution of birth weight-gestational age (BW-GA), intrauterine growth curves, and BW-GA specific neonatal mortality rates (NMRs) by race. Comparison of BW-GA distributions revealed an appreciable shift between racial subgroups. Nonwhites, on the average, were born 1 week earlier and 270 grams lighter in weight than whites. In addition to racial differences in rates of intrauterine growth, nonwhites experienced lower BW-GA NMRs than whites in BW-GA categories less than 3,000 grams and less than 38 weeks. However, the improved mortality experience of nonwhites at more immature BW-GA categories was not consistently present when different cause-specific NMRs were considered. These persistent racial variations highlight continuing issues regarding both the use of a single norm for defining low birth weight or prematurity and the role of nonsocioeconomic factors related to racial BW-GA distribution and mortality disparities. As birth weight and gestational age represent empirical indicators of the maturity and survivability of an infant at birth, these data and previous supporting research raise further concerns regarding the ability of these indicators to accurately reflect equivalent fetal development and subsequent risk of mortality among racial groups.
Authors:
G R Alexander; M E Tompkins; J M Altekruse; C A Hornung
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Public health reports (Washington, D.C. : 1974)     Volume:  100     ISSN:  0033-3549     ISO Abbreviation:  Public Health Rep     Publication Date:    1985 Sep-Oct
Date Detail:
Created Date:  1985-11-05     Completed Date:  1985-11-05     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9716844     Medline TA:  Public Health Rep     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  539-47     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
African Continental Ancestry Group
Birth Weight*
European Continental Ancestry Group
Female
Gestational Age*
Humans
Infant Mortality*
Infant, Newborn
Pregnancy
Prenatal Care
Risk
South Carolina
Comments/Corrections

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