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Disparities in Infant Mortality by Race Among Hispanic and Non-Hispanic Infants.

Title: Disparities in Infant Mortality by Race Among Hispanic and Non-Hispanic Infants.
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Name(s): Rice, Whitney S, author
Goldfarb, Samantha S, author
Brisendine, Anne E, author
Burrows, Stevie, author
Wingate, Martha S, author
Type of Resource: text
Genre: Journal Article
Text
Date Issued: 2017-07-01
Physical Form: computer
online resource
Extent: 1 online resource
Language(s): English
Abstract/Description: U.S.-born Hispanic infants have a well-documented health advantage relative to other minority groups. However, little published research has examined racial heterogeneity within the Hispanic population, in relation to health outcomes. The current study aims to explore possible implications of racial identification for the health of U.S. born Hispanic compared to non-Hispanic infants. Methods Data were drawn from 2007 to 2008 NCHS Cohort Linked Live Birth-Infant Death Files, restricted to deliveries of Hispanic black, Hispanic white, non-Hispanic black (NHB) and non-Hispanic white mothers (NHW) (n = 7,901,858). Adjusted odds ratios for first week mortality, neonatal, postneonatal, and overall infant mortality were calculated for each group, using NHW as the reference group. A distinct health gradient was observed in which NHB infants (n = 1,250,222) had the highest risk of first week (aOR 2.29, CI 2.21-2.37), neonatal (aOR 2.23, CI 2.17-2.30), postneonatal (aOR 1.74, CI 1.68-1.81), and infant mortality (aOR 2.05, CI 2.00-2.10) compared to NHW infants (n = 4,578,150). Hispanic black infants (n = 84,377) also experienced higher risk of first-week (aOR 1.28 (1.12-1.47), neonatal (aOR .27, CI 1.13-1.44), postneonatal (aOR 1.34, CI 1.15-1.56), and infant mortality (aOR 1.30, CI 1.18-1.43) compared to both NHW and Hispanic white infants (n = 1,989,109). Conclusions for Practice: Risk of infant mortality varies among Hispanic infants by race, with poorer outcomes experienced by Hispanic black infants. Compared to non-Hispanic infants of the same race, Hispanic black infants experience a smaller health disadvantage and Hispanic white infants have better or similar infant health outcomes. Our findings suggest implications of racial heterogeneity on infant health outcomes, and provide insight into the role of race as a social construct.
Identifier: FSU_pmch_28197819 (IID), 10.1007/s10995-017-2290-3 (DOI), PMC5498242 (PMCID), 28197819 (RID), 28197819 (EID), 10.1007/s10995-017-2290-3 (PII)
Keywords: African-American health, Ethnic and racial disparities, Fetal, Latino health, Perinatal and infant mortality, Vital statistics
Grant Number: T32 HS013852
Publication Note: This NIH-funded author manuscript originally appeared in PubMed Central at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5498242.
Subject(s): African Americans/statistics & numerical data
Ethnic Groups
European Continental Ancestry Group/statistics & numerical data
Female
Health Status Disparities
Hispanic Americans/statistics & numerical data
Humans
Infant
Infant Mortality/ethnology
Infant, Newborn
Male
Pregnancy
Pregnancy Outcome/epidemiology
Pregnancy Outcome/ethnology
Socioeconomic Factors
United States/epidemiology
Persistent Link to This Record: http://purl.flvc.org/fsu/fd/FSU_pmch_28197819
Owner Institution: FSU
Is Part Of: Maternal and child health journal.
1573-6628
Issue: iss. 7, vol. 21

Choose the citation style.
Rice, W. S., Goldfarb, S. S., Brisendine, A. E., Burrows, S., & Wingate, M. S. (2017). Disparities in Infant Mortality by Race Among Hispanic and Non-Hispanic Infants. Maternal And Child Health Journal. Retrieved from http://purl.flvc.org/fsu/fd/FSU_pmch_28197819