Document Detail


The increasing racial disparity in infant mortality: respiratory distress syndrome and other causes.
MedLine Citation:
PMID:  15622954     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although substantial declines in infant mortality rates have occurred across racial/ethnic groups, there has been a marked increase in relative black-white disparity in the risk of infant death over the past two decades. The objective of our analysis was to gain insight into the reasons for this growing inequality on the basis of data from linked cohort files for 1989-1990 and 1995-1998. We found a nationwide reversal from a survival advantage to a survival disadvantage for blacks with respect to respiratory distress syndrome over this period. The results are consistent with the view that the potential for a widening of the relative racial gap in infant mortality is high when innovations in health care occur in a continuing context of social inequality. As expected, the results for other causes of infant mortality, although similar, are less striking. Models of absolute change demonstrate that among low-weight births, absolute declines in mortality were greater for white infants than for black infants.
Authors:
W Parker Frisbie; Seung-Eun Song; Daniel A Powers; Julie A Street
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Demography     Volume:  41     ISSN:  0070-3370     ISO Abbreviation:  Demography     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-12-29     Completed Date:  2005-03-14     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0226703     Medline TA:  Demography     Country:  United States    
Other Details:
Languages:  eng     Pagination:  773-800     Citation Subset:  IM    
Affiliation:
Population Research Center, 1 University Station, G1800, University of Texas at Austin, Austin, TX 78712, USA. frisbie@prc.utexas.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Americans / statistics & numerical data*
Cohort Studies
European Continental Ancestry Group / statistics & numerical data*
Female
Humans
Infant Mortality / trends*
Infant, Low Birth Weight
Infant, Newborn
Logistic Models
Male
Maternal Age
National Center for Health Statistics (U.S.)
Pulmonary Surfactants / therapeutic use
Respiratory Distress Syndrome, Newborn / drug therapy,  ethnology*,  mortality*
Risk Factors
Smoking / ethnology
Socioeconomic Factors
Survival Rate
United States / epidemiology
Grant Support
ID/Acronym/Agency:
R01 HD41147/HD/NICHD NIH HHS
Chemical
Reg. No./Substance:
0/Pulmonary Surfactants

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


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