| Relationship of education to the racial gap in neonatal and postneonatal mortality. | |
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MedLine Citation:
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PMID: 9265879 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To examine the impact of education on race differences in neonatal and postneonatal mortality. METHODS: Data were from North Carolina's Linked Birth and Infant Death File for 1988 through 1993. The study population included 169,601 African American births and 400,359 European American births, with 2606 and 3060 deaths, respectively. Multiple logistic regression was used to assess the effects of race and education on neonatal and postneonatal mortality, adjusting for sociodemographic, lifestyle, and medical risk factors. RESULTS: Risks of death were higher for African Americans than for European Americans, more so in the neonatal than in the postneonatal period. Odds ratios (with 95% confidence intervals in parentheses) comparing African Americans to European Americans were as follows: neonatal deaths, 2.2 (1.9-2.5), 2.3 (2.1-2.6), and 2.8 (2.5-3.2) for less than 12, 12, and more than 12 years of education; and postneonatal deaths, 1.3 (1.1-1.6), 1.5 (1.3-1.7), and 2.1 (1.7-2.6), respectively. The biggest gap was for deaths in the first day of life, with odds ratios ranging from 2.8 to 3.6. Education had no impact on neonatal mortality in either race. Medical factors were more influential in the neonatal than in the postneonatal period, whereas environmental and social factors appeared to play a greater role in the postneonatal period. CONCLUSIONS: Racial differences in neonatal death are increasing and may be related to inequities in the provision of health care. The racial gap in the postneonatal period, although declining, has not disappeared and may be more related to environmental, social, and economic factors. |
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Authors:
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R Din-Dzietham; I Hertz-Picciotto |
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Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
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Title: Archives of pediatrics & adolescent medicine Volume: 151 ISSN: 1072-4710 ISO Abbreviation: Arch Pediatr Adolesc Med Publication Date: 1997 Aug |
Date Detail:
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Created Date: 1997-09-15 Completed Date: 1997-09-15 Revised Date: 2007-11-14 |
Medline Journal Info:
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Nlm Unique ID: 9422751 Medline TA: Arch Pediatr Adolesc Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 787-92 Citation Subset: AIM; IM |
Affiliation:
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Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult African Americans* Birth Certificates Death Certificates Educational Status European Continental Ancestry Group* Humans Infant Infant Mortality / trends* Infant, Newborn Life Style Logistic Models Mothers / education* North Carolina / epidemiology Odds Ratio Risk Factors Socioeconomic Factors |
| Grant Support | |
ID/Acronym/Agency:
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5-P42-ES05948/ES/NIEHS NIH HHS |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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