Document Detail


Racial and ethnic differences in perinatal mortality: the role of fetal death.
MedLine Citation:
PMID:  15993623     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: We investigate whether variations in infant mortality rates among racial/ethnic groups could be explained by variations in fetal mortality rates where relatively higher infant mortality rates may correspond to lower fetal mortality rates due to possible systematic differences in reporting of fetal death compared to live births. METHODS: Using US perinatal data from 1995 to 1999, we calculated crude mortality rates, birth weight-specific fetal and hebdomadal mortality rates, risks of perinatal death, and the risk of being classified as a fetal death versus other period death among infants born to Non-Hispanic White, Non-Hispanic Black, and Hispanic mothers. RESULTS: Two-fold disparities between Whites and Blacks persist for all mortality categories. Black low birth-weight deliveries, compared to Whites, have perinatal advantages in both fetal and hebdomadal periods. Hispanics were less likely than Whites to be reported as a fetal versus a hebdomadal death. CONCLUSIONS: While these data suggest some underreporting of Black fetal deaths, they provide little evidence that Black-White disparities in infant mortality are a function of variations in classifying a death occurring at delivery as either a fetal death or as a live birth-infant death. These data suggest that the lack of a White-Hispanic disparity in fetal mortality rates may be influenced by underreporting.
Authors:
Martha Slay Wingate; Greg R Alexander
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.     Date:  2005-07-01
Journal Detail:
Title:  Annals of epidemiology     Volume:  16     ISSN:  1047-2797     ISO Abbreviation:  Ann Epidemiol     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-05-23     Completed Date:  2006-12-05     Revised Date:  2008-06-23    
Medline Journal Info:
Nlm Unique ID:  9100013     Medline TA:  Ann Epidemiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  485-91     Citation Subset:  IM    
Affiliation:
Department of Maternal and Child Health, School of Public Health, University of Alabama at Birmingham, USA. mslay@uab.edu
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MeSH Terms
Descriptor/Qualifier:
African Continental Ancestry Group
Ethnic Groups*
European Continental Ancestry Group
Female
Fetal Death / epidemiology*,  ethnology*
Hispanic Americans
Humans
Infant Mortality*
Infant, Newborn
Pregnancy
United States / epidemiology
Grant Support
ID/Acronym/Agency:
5T76MC00008//PHS HHS; 5T78MC00004//PHS HHS

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


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