Infant Mortality in American Indians and Alaska Natives 1995-1999 and 2000-2004

被引:1
|
作者
Johansson, Patrik [1 ]
Williams, Weston [2 ]
El-Mohandes, Ayman [3 ]
机构
[1] Univ Nebraska Med Ctr, Coll Publ Hlth, Dept Hlth Promot, Omaha, NE 68198 USA
[2] George Washington Univ, Sch Publ Hlth & Hlth Serv, Dept Biostat & Epidemiol, Washington, DC 20052 USA
[3] Univ Nebraska Med Ctr, Coll Publ Hlth, Omaha, NE 68198 USA
关键词
Health disparities; infant mortality; American Indian; Alaska Native; DISPARITIES; TRENDS;
D O I
10.1353/hpu.2013.0133
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objectives. (1) To determine the infant mortality rate (IMR) in American Indians/Alaska Natives (AI/AN) and Whites between 1995-1999 and 2000-2004. (2) To compare the leading causes of infant mortality in AI/AN and Whites. (3) To examine differences in neonatal vs. postneonatal causes of death in Whites and AI/AN. Methods. Using the 1995-99 and 2000-04 Centers for Disease Control and Prevention's National Center for Health Statistics national linked birth/infant death data, we examined neonatal and postneonatal IMR among AI/AN and Whites. Results. AI/AN experienced significantly greater overall IMR in 1995-1999 and 2000-2004 than Whites. While the reduction in the IMR between these time periods was statistically significant for Whites, the reduction among AI/AN was not. We found that AI/AN had an IMR 1.5 times as high as that of Whites. Conclusions. While the overall IMR has decreased in AI/AN, disparities in postneonatal IMR persist between AI/AN and Whites.
引用
收藏
页码:1276 / 1287
页数:12
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