Document Detail


State-level infant, neonatal, and postneonatal mortality: the contribution of selected structural socioeconomic variables.
MedLine Citation:
PMID:  9493751     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Reducing infant mortality in the United States is a national priority. States' infant mortality rates vary substantially. Public health researchers, practitioners, and leaders have long argued that social and other structural factors must be addressed if health outcomes are to be improved. A knowledge of which structural variables are most strongly related to state-level infant mortality is needed to guide the development of policies and programs to reduce this mortality. The authors examine the importance of several structural (social, economic, and political) variables for state-level infant, neonatal, and postneonatal mortality. With the state as the unit of analysis, data for all 50 states were analyzed using multiple regression. Together, the structural variables accounted for two-thirds of the variance in infant and neonatal mortality rates and over half of the variance in postneonatal mortality rates. States with proportionately larger black populations had higher infant, neonatal, and postneonatal mortality rates. States with greater percentages of high school graduates had lower neonatal mortality rates but higher postneonatal mortality rates. The findings suggest that a better understanding of the relationship between states' social structure and infant health outcomes is needed if state-level infant mortality is to be reduced.
Authors:
S T Bird; K E Bauman
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  International journal of health services : planning, administration, evaluation     Volume:  28     ISSN:  0020-7314     ISO Abbreviation:  Int J Health Serv     Publication Date:  1998  
Date Detail:
Created Date:  1998-04-10     Completed Date:  1998-04-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1305035     Medline TA:  Int J Health Serv     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  13-27     Citation Subset:  IM; J    
Affiliation:
Center for the Study of Women in Society, University of Oregon, Eugene 97403-1201, USA.
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MeSH Terms
Descriptor/Qualifier:
Analysis of Variance
Continental Population Groups
Female
Health Policy
Humans
Infant Mortality*
Infant, Newborn
Male
Politics
Population Surveillance
Poverty
Regression Analysis
Residence Characteristics
Socioeconomic Factors*
United States / epidemiology

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


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