Jooma N, Borstell J, Yu S, Taher A, Vu H V
Tulane University School of Medicine, New Orleans, Louisiana, USA.
J La State Med Soc. 2001 Feb;153(2):85-91.
The state of Louisiana consistently has one of the five highest infant mortality rates in the nation and the racial disparity within the state is glaring. The purpose of this paper is to analyze the state's linked birth and death infant data set for the birth cohort of 1990-1998, and to identify the "at risk" population. We have analyzed data from the 1990 to 1998 birth and infant death cohort in Louisiana to determine mothers' characteristics that are associated with infant death. These include extremely young and old ages, unmarried marital status, lower levels of education, and prenatal care. A mother's race is also associated with higher future mortality for her infant, with black mothers and their infants being at greater risk than white ones. Because the infant mortality rate is higher for black infants than for white ones, Louisiana's higher infant mortality rate can be seen as a result of the higher proportion of black births. Main concerns in reducing infant mortality rates include reducing incidence of low birth weights specifically among black births primarily by providing adequate prenatal care.
路易斯安那州一直是全美婴儿死亡率最高的五个州之一，该州的种族差异非常明显。本文旨在分析该州1990 - 1998年出生队列的出生与死亡婴儿数据集，并确定“高危”人群。我们分析了路易斯安那州1990年至1998年出生及婴儿死亡队列的数据，以确定与婴儿死亡相关的母亲特征。这些特征包括年龄极小和极大、未婚婚姻状况、教育水平较低以及产前护理情况。母亲的种族也与婴儿未来较高的死亡率相关，黑人母亲及其婴儿比白人母亲及其婴儿面临更大风险。由于黑人婴儿的死亡率高于白人婴儿，路易斯安那州较高的婴儿死亡率可被视为黑人出生比例较高的结果。降低婴儿死亡率的主要关注点包括，特别是通过提供充分的产前护理来降低黑人出生婴儿中的低体重发生率。
