Although infant mortality rates have declined gradually in New York City for many years, the rate of that decline began to accelerate dramatically at the end of the 1980s.
To analyze the recent accelerated decline in infant mortality for three race/ethnicity designations in New York City and to investigate whether shifts in birth weight distribution or changes in birth weight-specific death rates were more important in determining these declines between 1988 to 1989 and 1992 to 1993.
Two complete cohorts of linked birth-death certificate files consisting of all live births in New York City in 1988 to 1989 and 1992 to 1993 were examined.
For each cohort, separate multinomial logistic regressions were estimated by race/ethnicity to analyze the probability of a neonatal or postneonatal death relative to survival as a function of a spectrum of covariates.
The coefficients from these regressions were used to construct direct and indirect standardization exercises to predict changes in infant mortality holding characteristics of the cohort, including birth weight distribution, constant over time, or holding the influence of determinants, including birth weight-specific death rates, constant over time.
For whites, Hispanics, and blacks, infant mortality rates declined by 27.4%, 24.8%, and 22.7%, respectively, between 1988 to 1989 and 1992 to 1993. (...)
Mots-clés Pascal : Mortalité, Nourrisson, Homme, Dépistage, Poids naissance faible, Facteur risque, Etude cohorte, Evaluation, New York, Etats Unis, Amérique du Nord, Amérique, Prévention, Organisation santé, Pédiatrie
Mots-clés Pascal anglais : Mortality, Infant, Human, Medical screening, Low birth weight, Risk factor, Cohort study, Evaluation, New York, United States, North America, America, Prevention, Public health organization, Pediatrics
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0261329
Code Inist : 002B30A03B. Création : 11/09/1998.