| Racial and ethnic differences in perinatal mortality: the role of fetal death. | |
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MedLine Citation:
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PMID: 15993623 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Martha Slay Wingate; Greg R Alexander |
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Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. Date: 2005-07-01 |
Journal Detail:
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Title: Annals of epidemiology Volume: 16 ISSN: 1047-2797 ISO Abbreviation: Ann Epidemiol Publication Date: 2006 Jun |
Date Detail:
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Created Date: 2006-05-23 Completed Date: 2006-12-05 Revised Date: 2008-06-23 |
Medline Journal Info:
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Nlm Unique ID: 9100013 Medline TA: Ann Epidemiol Country: United States |
Other Details:
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Languages: eng Pagination: 485-91 Citation Subset: IM |
Affiliation:
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Department of Maternal and Child Health, School of Public Health, University of Alabama at Birmingham, USA. mslay@uab.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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5T76MC00008//PHS HHS; 5T78MC00004//PHS HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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