1995 - 1999年及2000 - 2004年美国印第安人和阿拉斯加原住民的婴儿死亡率
Infant mortality in American Indians and Alaska Natives 1995-1999 and 2000-2004.
作者信息
Johansson Patrik, Williams Weston, El-Mohandes Ayman
出版信息
J Health Care Poor Underserved. 2013 Aug;24(3):1276-87. doi: 10.1353/hpu.2013.0133.
OBJECTIVES
(1) To determine the infant mortality rate (IMR) in American Indians/Alaska Natives (AI/AN) and whites between 1995-1999 and 2000-2004. (2) To compare the leading causes of infant mortality in AI/AN and whites. (3) To examine differences in neonatal vs. postneonatal causes of death in whites and AI/AN.
METHODS
Using the 1995-99 and 2000-04 Centers for Disease Control and Prevention's National Center for Health Statistics national linked birth/infant death data, we examined neonatal and post-neonatal IMR among AI/AN and whites.
RESULTS
AI/AN experienced significantly greater overall IMR in 1995-1999 and 2000-2004 than whites. While the reduction in the IMR between these time periods was statistically significant for whites, the reduction among AI/AN was not. We found that AI/AN had an IMR 1.5 times as high as that of whites.
CONCLUSIONS
While the overall IMR has decreased in AI/AN, disparities in postneonatal IMR persist between AI/AN and Whites.
目标
（1）确定1995 - 1999年以及2000 - 2004年美国印第安人/阿拉斯加原住民（AI/AN）和白人的婴儿死亡率（IMR）。（2）比较AI/AN和白人婴儿死亡的主要原因。（3）研究白人和AI/AN新生儿与新生儿后期死亡原因的差异。
方法
利用1995 - 1999年以及2000 - 2004年疾病控制与预防中心国家卫生统计中心的全国出生/婴儿死亡关联数据，我们研究了AI/AN和白人的新生儿及新生儿后期IMR。
结果
1995 - 1999年以及2000 - 2004年，AI/AN的总体IMR显著高于白人。虽然这两个时间段白人的IMR下降在统计学上具有显著性，但AI/AN的下降不具有显著性。我们发现AI/AN的IMR是白人的1.5倍。
结论
虽然AI/AN的总体IMR有所下降，但AI/AN和白人在新生儿后期IMR方面的差距仍然存在。
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