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  1. Predictors of infant mortality among college-educated black and white women, Davidson County, Tennessee, 1990-1994.

    Article - En anglais

    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 ;

    • parity ;

    • infant gender ;

    • tobacco or alcohol use ;

    • number of prenatal visits ;

    • trimester in which prenatal care began ;

    • marital status ;

    • gestational age ;

    • and birth-weight.

    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

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0406099

    Code Inist : 002B30A03B. Création : 25/01/1999.