Minority Health and Health Equity Archive

Permanent URI for this collectionhttp://hdl.handle.net/1903/21769

Welcome to the Minority Health and Health Equity Archive (MHHEA), an electronic archive for digital resource materials in the fields of minority health and health disparities research and policy. It is offered as a no-charge resource to the public, academic scholars and health science researchers interested in the elimination of racial and ethnic health disparities.

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Now showing 1 - 10 of 26
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    Disparities in Infant Health Among American Indians and Alaska Natives in US Metropolitan Areas
    (2002) Grossman, D. C.; Baldwin, L.-M.; Casey, S.; Nixon, B.; Hollow, W.; Hart, L. G.
    Abstract available at publisher's website.
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    Infant Mortality Trends and Differences Between American Indian/Alaska Native Infants and White Infants in the United States, 1989–1991 and 1998–2000
    (2006) Tomashek, Kay M.; Qin, Cheng; Hsia, Jason; Iyasu, Solomon; Barfield, Wanda D.; Flowers, Lisa M.
    Abstract available at publisher's website.
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    Primary care, infant mortality, and low birth weight in the states of the USA
    (2004) Shi, L
    Abstract available at publisher's website.
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    Are local health department expenditures related to racial disparities in mortality?
    (2010) Grembowski, David; Bekemeier, Betty; Conrad, Douglas; Kreuter, William
    Abstract available at publisher's website.
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    United States black:white infant mortality disparities are not inevitable: identification of community resilience independent of socioeconomic status.
    (2010) Fry-Johnson, Yvonne W; Levine, Robert; Rowley, Diane; Agboto, Vincent; Rust, George
    Models for reduction/elimination of racial disparities in US infant mortality, independent from county-level contextual measures of socioeconomic status, may already exist.
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    Racial and socioeconomic disparities in childhood mortality in Boston.
    (1985) Wise, P H; Kotelchuck, M; Wilson, M L; Mills, M
    We examined racial and income-related patterns of mortality from birth through adolescence in Boston, where residents have high access to tertiary medical care. Childhood mortality was significantly higher among black children (odds ratio, 1.24; P less than 0.05) and low-income children (odds ratio, 1.47; P less than 0.001). Socioeconomic effects varied for different age groups and causes of death. The largest relative disparity occurred in the neonatal and postneonatal periods, and the smallest in adolescence. Of the total racial differential in neonatal mortality (6.88 deaths per 1000 live births), 51.2 per cent occurred in premature infants, 13.4 per cent in term infants who were small for their gestational age, and 25.9 per cent in neonates who were both premature and small for their age. Black neonatal mortality was elevated at all income levels. Beyond the neonatal period, mortality from respiratory disease, fire, and homicide had strong inverse relationships with income, and mortality from injuries to the occupants of motor vehicles was directly related to income. These data suggest that despite access to tertiary medical services, substantial social differentiation in mortality may exist throughout childhood. Equity in childhood survival will probably require policies that emphasize preventive goals.
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    Infant mortality statistics from the 2004 period linked birth/infant death data set.
    (2007) Mathews, T J; MacDorman, Marian F
    The U.S. infant mortality rate was 6.78 infant deaths per 1000 live births in 2004 compared with 6.84 in 2003. Infant mortality rates ranged from 4.67 per 1,000 live births for Asian and Pacific Islander mothers to 13.60 for non-Hispanic black mothers. Among Hispanics, rates ranged from 4.55 for Cuban mothers to 7.82 for Puerto Rican mothers. Infant mortality rates were higher for those infants whose mothers were born in the 50 states and the District of Columbia, were unmarried, or were born in multiple births. Infant mortality was also higher for male infants and infants born preterm or at low birthweight. The neonatal mortality rate declined from 4.63 in 2003 to 4.52 in 2004 while the postneonatal mortality rate was essentially unchanged. Infants born at the lowest gestational ages and birthweights have a large impact on overall U.S. infant mortality. More than one-half (55 percent) of all infant deaths in the United States in 2004 occurred to the 2 percent of infants born at less than 32 weeks of gestation. Still, infant mortality rates for late preterm (34-36 weeks of gestation) infants were three times those for term (37-41 week) infants. The three leading causes of infant death-Congenital malformations, low birthweight, and SIDS-taken together accounted for 45 percent all infant deaths. Results from a new analysis of preterm-related causes of death show that 36.5 percent of infant deaths in 2004 were due to preterm-related causes. The preterm-related infant mortality rate for non-Hispanic black mothers was 3.5 times higher, and the rate for Puerto Rican mothers was 75 percent higher than for non-Hispanic white mothers.
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    Infant mortality statistics from the 2006 period linked birth/infant death data set.
    (2010) Mathews, T J; MacDorman, Marian F
    The U.S. infant mortality rate was 6.68 infant deaths per 1,000 live births in 2006, a 3 percent decline from 6.86 in 2005. Infant mortality rates ranged from 4.52 per 1,000 live births for Central and South American mothers to 13.35 for non-Hispanic black mothers. Infant mortality rates were higher for those infants whose mothers were born in the 50 states or the District of Columbia, were unmarried, or were born in multiple deliveries. Infant mortality was also higher for male infants and infants born preterm or at low birthweight. The neonatal mortality rate was essentially unchanged in 2006 (4.46) from 2005 (4.54). The postneonatal mortality rate decreased 4 percent, from 2.32 in 2005 to 2.22 in 2006. Infants born at the lowest gestational ages and birthweights have a large impact on overall U.S. infant mortality. For example, more than half of all infant deaths in the United States in 2006 (54 percent) occurred to the 2 percent of infants born very preterm (less than 32 weeks of gestation). Still, infant mortality rates for late preterm infants (34-36 weeks of gestation) were three times those for term infants (37-41 weeks). The three leading causes of infant death--congenital malformations, low birthweight, and sudden infant death syndrome--taken together accounted for 46 percent of all infant deaths. The percentage of infant deaths that were "preterm-related" was 36.1 percent in 2006. The preterm-related infant mortality rate for non-Hispanic black mothers was 3.4 times higher and the rate for Puerto Rican mothers was 84 percent higher than for non-Hispanic white mothers.
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    Impact of Race and Ethnicity on the Outcome of Preterm Infants Below 32 Weeks Gestation
    (2003) Petrova, Anna; Mehta, Rajeev; Anwar, Mujahid; Hiatt, Mark; Hegyi, Thomas
    Abstract available at publisher's website.
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    The Contribution of Preterm Birth to the Black–White Infant Mortality Gap, 1990 and 2000
    (2007) Schempf, Ashley H.; Branum, Amy M.; Lukacs, Susan L.; Schoendorf, Kenneth C.
    Abstract available at publisher's website.