R Din-Dzietham1, I Hertz-Picciotto. 1. Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, USA.
Abstract
OBJECTIVES: Despite decreasing infant mortality in North Carolina, the gap between African Americans and Whites persists. This study examined how racial differences in infant mortality vary by maternal education. METHODS: Data came from Linked Birth and Infant Death files for 1988 through 1993. Multiple logistic regression models adjusted for confounders. RESULTS: Infant mortality risk ratios comparing African Americans and Whites increased with higher levels of maternal education. Education beyond high school reduced risk of infant mortality by 20% among Whites but had little effect among African Americans. CONCLUSIONS: Higher education magnifies racial differences in infant mortality on a multiplicative scale. Possible reasons include greater stress, fewer economic resources, and poorer quality of prenatal care among African Americans.
OBJECTIVES: Despite decreasing infant mortality in North Carolina, the gap between African Americans and Whites persists. This study examined how racial differences in infant mortality vary by maternal education. METHODS: Data came from Linked Birth and Infant Death files for 1988 through 1993. Multiple logistic regression models adjusted for confounders. RESULTS:Infant mortality risk ratios comparing African Americans and Whites increased with higher levels of maternal education. Education beyond high school reduced risk of infant mortality by 20% among Whites but had little effect among African Americans. CONCLUSIONS: Higher education magnifies racial differences in infant mortality on a multiplicative scale. Possible reasons include greater stress, fewer economic resources, and poorer quality of prenatal care among African Americans.
Entities:
Keywords:
Americas; Blacks; Comparative Studies; Cultural Background; Demographic Factors; Developed Countries; Differential Mortality; Economic Factors; Educational Status; Ethnic Groups; Infant Mortality; Mortality; North America; North Carolina; Northern America; Population; Population Characteristics; Population Dynamics; Research Methodology; Socioeconomic Factors; Socioeconomic Status; Studies; United States; Whites
Authors: Telisa Spikes; Raphiel Murden; Izraelle I McKinnon; Samantha Bromfield; Miriam E Van Dyke; Renee H Moore; Frederic F Rahbari-Oskoui; Arshed Quyummi; Viola Vaccarino; Tené T Lewis Journal: JAMA Netw Open Date: 2022-02-01
Authors: Fleda Mask Jackson; Kweli Rashied-Henry; Paula Braveman; Tyan Parker Dominguez; Diana Ramos; Noble Maseru; William Darity; Lisa Waddell; Donald Warne; Gina Legaz; Rahul Gupta; Arthur James Journal: Matern Child Health J Date: 2020-10