Maternal factors, birthweight, and racial differences in infant mortality: a Georgia population-based study.
Maternal factors, birthweight, and racial differences in infant mortality: a Georgia population-based study.
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母亲因素、出生体重和婴儿死亡率的种族差异：一项基于乔治亚州人口的研究。
DOI：
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发表时间：
1994
影响因子：
3.3
通讯作者：
T. Wade
中科院分区：
文献类型：
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作者：
J. Sung;B. Taylor;D. Blumenthal;K. Sikes;V. Davis;G. McGrady;T. Lofton;T. Wade
在格鲁吉亚和全国范围内，黑人婴儿死亡率大约是白人的两倍。这项研究评估了母亲因素，特别是婚姻状况，影响婴儿死亡率的种族差异。对1980年至1985年格鲁吉亚565,730例活产和7269例婴儿死亡的人口数据进行了研究。计算未婚母亲与已婚母亲相比的IMR比率，并根据母亲的教育程度、年龄和种族以及婴儿出生体重进行单独调整。此外，IMR的种族差异估计使用分层分析的基础上的四个因素：婴儿出生体重，母亲的年龄，婚姻状况和教育。当只考虑正常出生体重的婴儿时，根据母亲的教育水平进行调整后，未婚黑人青少年所生婴儿的IMR最高（9.5/1000活产），其次是已婚黑人青少年所生婴儿的比例（9.1）、未婚黑人成年人（7.5）、已婚黑人成年人（4.8）、已婚白色青少年（4.4）、已婚白色成年人（3.4）、未婚白色成年人（2.4）和未婚白色青少年（1.3）。当只考虑低出生体重婴儿时，每1000名婴儿中IMR最高的是已婚黑人成年人（119名），其次是未婚黑人成年人（103名），已婚黑人青少年（103名），（99.9），未婚黑人青少年（92.5）、已婚白色成年人（92.1）、已婚白色青少年（79.0）、未婚白色成年人（38.0）和未婚白色青少年（26.3）。这些差异导致黑人与白色人的IMR风险比从未婚青少年或成年母亲所生低出生体重儿的1.3到未婚青少年母亲所生正常出生体重儿的3.7。（250字处删节）
Black infant mortality rates (IMRs) are approximately twice those of whites in Georgia and nationwide. This study evaluates maternal factors, particularly marital status, that influence racial differences in infant mortality. Population-based data on 565,730 live births and 7269 infant deaths in Georgia from 1980 to 1985 were examined. The IMR ratio for unmarried compared to married mothers was calculated and adjusted singly for maternal education, age and race, and infant birthweight. In addition, racial differences in IMR were estimated using stratified analysis on the basis of four factors: infant birthweight, maternal age, marital status, and education. When only normal birthweight infants were considered, the IMR, adjusted for maternal education level, was highest for infants born to unmarried black teens (9.5/1000 live births), followed by that for infants born to married black teens (9.1), unmarried black adults (7.5), married black adults (4.8), married white teens (4.4), married white adults (3.4), unmarried white adults (2.4), and unmarried white teens (1.3). When only low birthweight infants were considered, the highest IMR per 1000 was found in infants born to married black adults (119), followed by unmarried black adults (103), married black teens (99.9), unmarried black teens (92.5), married white adults (92.1), married white teens (79.0), unmarried white adults (38.0), and unmarried white teens (26.3). These differences led to a black-to-white IMR risk ratio from 1.3 for low birthweight infants born to unmarried teen or adult mothers to 3.7 for normal birthweight infants born to unmarried teen mothers.(ABSTRACT TRUNCATED AT 250 WORDS)