| The effect of racial residential segregation on black infant mortality. | |
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MedLine Citation:
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PMID: 18974059 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Economic differences and proximal risk factors do not fully explain the persistent high infant mortality rates of African Americans (blacks). The authors hypothesized that racial residential segregation plays an independent role in high black infant mortality rates. Segregation restricts social and economic advantage and imposes negative environmental exposures that black women and infants experience. The study sample was obtained from the 2000-2002 US Linked Birth/Infant Death records and included 677,777 black infants residing in 64 cities with 250,000 or more residents. Outcomes were rates of all-cause infant mortality, postneonatal mortality, and external causes of death. Segregation was measured by using the isolation index (dichotomized at 0.60) from the 2000 US Census Housing Patterns. Propensity score matching methods were used. After matching on propensity scores, no independent effect of segregation on black infant mortality rates was found. Results show little statistical evidence that segregation plays an independent role in black infant mortality. However, a key finding is that it is difficult to disentangle contextual effects from the characteristics of individuals. |
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Authors:
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Mary O Hearst; J Michael Oakes; Pamela Jo Johnson |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2008-10-28 |
Journal Detail:
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Title: American journal of epidemiology Volume: 168 ISSN: 1476-6256 ISO Abbreviation: Am. J. Epidemiol. Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-11-25 Completed Date: 2008-12-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7910653 Medline TA: Am J Epidemiol Country: United States |
Other Details:
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Languages: eng Pagination: 1247-54 Citation Subset: IM |
Affiliation:
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Division of Epidemiology and Community Health, School of Public Health, University of Minnesota, 1300 South Second Street, Suite 300, Minneapolis, MN 55454, USA. hearst@umn.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult African Americans / statistics & numerical data* Birth Certificates Cause of Death Death Certificates Female Humans Infant Infant Mortality / ethnology* Infant, Newborn Male Medical Records / statistics & numerical data* Middle Aged Poverty* Prejudice* Residence Characteristics / statistics & numerical data* Risk Factors Sample Size Social Class Social Isolation Socioeconomic Factors United States / ethnology Young Adult |
| Comments/Corrections | |
Comment In:
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Am J Epidemiol. 2008 Dec 1;168(11):1255-8
[PMID:
18974060
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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