Strategies to reduce US infant mortality rates often focus on the black-white disparity in rates.
Linked Infant Birth and Death Files for Davidson County, Tennessee, from 1990 through 1994 were used to determine infant outcomes for infants born to college-educated white and black women.
Risks for adverse outcomes were identified by comparing infant deaths to live births using logistic regression analyses.
The following variables entered the logistic model process :
maternal and paternal age ;
race and education ;
nativity status ;
maternal risk factors ;
interpregnancy interval ;
infant gender ;
tobacco or alcohol use ;
number of prenatal visits ;
trimester in which prenatal care began ;
marital status ;
gestational age ;
After adjustment for the effects of the other variables, a gestational age<28 completed weeks of gestation was the most significant independent predictor of infant death.
Black race was not identified as a significant predictor of infant mortality.
Regardless of race, a decrease in infant mortality rates among college-educated women in this country depends on the prevention of preterm births.
Strategies to diagnose early preterm labor must proceed from a comprehensive maternal care program for all women.
Open channels of communication between patient and provider will form the cornerstone for preterm prevention-intervention programs. (...)
Mots-clés Pascal : Enfant, Homme, Mortalité, Facteur prédictif, Femelle, Négroïde, Caucasoïde, Etats Unis, Amérique du Nord, Amérique, Facteur sociodémographique
Mots-clés Pascal anglais : Child, Human, Mortality, Predictive factor, Female, Negroid, Caucasoid, United States, North America, America, Sociodemographic factor
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0406099
Code Inist : 002B30A03B. Création : 25/01/1999.