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The contribution of preterm birth to the black-white infant mortality gap, 1990 and 2000

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  • Schempf, A.H.
  • Branum, A.M.
  • Lukacs, S.L.
  • Schoendorf, K.C.

Abstract

Objectives. We evaluated whether the decline of the racial disparity in preterm birth during the last decade was commensurate with a decline in the contribution of preterm birth to the infant mortality gap. Methods. We used linked files of 1990 and 2000 data on US infant births and deaths to partition the gap between Black and White infant mortality rates into differences in the (1) distribution of gestational age and (2) gestational age-specific mortality rates. Results. Between 1990 and 2000, the Black-White infant mortality rate ratio did not change significantly (2.3 vs 2.4). Excess deaths among preterm Black infants accounted for nearly 80% of the Black-White infant mortality gap in both 1990 and 2000. The narrowing racial disparity in the preterm birth rate was counterbalanced by greater mortality reductions in White than in Black preterm infants. Extremely preterm birth (

Suggested Citation

  • Schempf, A.H. & Branum, A.M. & Lukacs, S.L. & Schoendorf, K.C., 2007. "The contribution of preterm birth to the black-white infant mortality gap, 1990 and 2000," American Journal of Public Health, American Public Health Association, vol. 97(7), pages 1255-1260.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2006.093708_6
    DOI: 10.2105/AJPH.2006.093708
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    Cited by:

    1. Elder Todd E & Goddeeris John H & Haider Steven J, 2011. "A Deadly Disparity: A Unified Assessment of the Black-White Infant Mortality Gap," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 11(1), pages 1-44, June.
    2. Elder, Todd E. & Goddeeris, John H. & Haider, Steven J., 2016. "Racial and ethnic infant mortality gaps and the role of socio-economic status," Labour Economics, Elsevier, vol. 43(C), pages 42-54.
    3. Wen Fan & Liying Luo, 2020. "Understanding Trends in the Concentration of Infant Mortality Among Disadvantaged White and Black Mothers in the United States, 1983–2013: A Decomposition Analysis," Demography, Springer;Population Association of America (PAA), vol. 57(3), pages 979-1005, June.

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