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Trends in racial and ethnic disparities in infant mortality rates in the united states, 1989-2006

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  • Rossen, L.M.
  • Schoendorf, K.C.

Abstract

Objectives. We sought to measure overall disparities in pregnancy outcome, incorporating data from the many race and ethnic groups that compose the US population, to improve understanding of how disparities may have changed over time. Methods. We used Birth Cohort Linked Birth-Infant Death Data Files from US Vital Statistics from 1989-1990 and 2005-2006 to examine multigroup indices of racial and ethnic disparities in the overall infant mortality rate (IMR), preterm birth rate, and gestational age-specific IMRs. We calculated selected absolute and relative multigroup disparity metrics weighting subgroups equally and by population size. Results. Overall IMR decreased on the absolute scale, but increased on the population-weighted relative scale. Disparities in the preterm birth rate decreased on both the absolute and relative scales, and across equally weighted and population-weighted indices. Disparities in preterm IMR increased on both the absolute and relative scales. Conclusions. Infant mortality is a common bellwether of general and maternal and child health. Despite significant decreases in disparities in the preterm birth rate, relative disparities in overall and preterm IMRs increased significantly over the past 20 years.

Suggested Citation

  • Rossen, L.M. & Schoendorf, K.C., 2014. "Trends in racial and ethnic disparities in infant mortality rates in the united states, 1989-2006," American Journal of Public Health, American Public Health Association, vol. 104(8), pages 1549-1556.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301272_2
    DOI: 10.2105/AJPH.2013.301272
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    Cited by:

    1. Fasil Tekola-Ayele & Cuilin Zhang & Jing Wu & Katherine L Grantz & Mohammad L Rahman & Deepika Shrestha & Marion Ouidir & Tsegaselassie Workalemahu & Michael Y Tsai, 2020. "Trans-ethnic meta-analysis of genome-wide association studies identifies maternal ITPR1 as a novel locus influencing fetal growth during sensitive periods in pregnancy," PLOS Genetics, Public Library of Science, vol. 16(5), pages 1-20, May.
    2. Helen Lee & Sarah Shea Crowne & Melanie Estarziau & Keith Kranker & Charles Michalopoulos & Anne Warren & Tod Mijanovich & Jill H. Filene & Anne Duggan & Virginia Knox, "undated". "The Effects of Home Visiting on Prenatal Health, Birth Outcomes, and Health Care Use in the First Year of Life: Final Implementation and Impact Findings from the Mother and Infant Home Visiting Progra," Mathematica Policy Research Reports a9626a8d90bf4f01811d0c9d7, Mathematica Policy Research.
    3. Namrata Bhatia & Shin Margaret Chao & Chandra Higgins & Suvas Patel & Catherine M. Crespi, 2015. "Association of Mothers’ Perception of Neighborhood Quality and Maternal Resilience with Risk of Preterm Birth," IJERPH, MDPI, vol. 12(8), pages 1-17, August.

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