INCONSISTENCIES IN CODING OF RACE AND ETHNICITY BETWEEN BIRTH AND DEATH IN UNITED-STATES INFANTS - A NEW LOOK AT INFANT-MORTALITY, 1983 THROUGH 1985
INCONSISTENCIES IN CODING OF RACE AND ETHNICITY BETWEEN BIRTH AND DEATH IN UNITED-STATES INFANTS - A NEW LOOK AT INFANT-MORTALITY, 1983 THROUGH 1985
复制标题
DOI：
10.1001/jama.267.2.259
复制
发表时间：
1992-01-08
影响因子：
120.7
通讯作者：
TEUTSCH, SM
中科院分区：
文献类型：
--
作者：
HAHN, RA;MULINARE, J;TEUTSCH, SM
目标。-确定美国婴儿在出生和死亡之间的种族和民族分类的一致性及其对婴儿死亡率的影响。-所有1983年至1985年间出生并在一年内死亡的美国婴儿。-我们使用了国家出生/婴儿死亡相关计算机磁带，其中增加了婴儿死亡时的种族和族裔信息，以比较出生和死亡时的种族和西班牙裔族裔编码。我们还根据(1)标准算法和(2)自1989年公布的表格开始，新生儿按其母亲的种族分配的规则，按种族和民族划分婴儿死亡率。最后，我们根据出生和死亡时种族和民族的一致编码来估计婴儿死亡率。-种族编码的不一致性在白人中较低（1.2%），在黑人中较高（4.3%），在白人或黑人以外的种族中最高（43.2%）。大多数在死亡时被重新分类的婴儿（87.3%）在死亡时被分类为白色。非西班牙裔白人（3.5%）和非西班牙裔黑人（3.3%）的编码不一致性低于西班牙裔人口（30.3%）。与计算婴儿死亡率的标准算法相比，一致的出生和死亡定义使白人的死亡率降低2.1%，而所有其他群体的死亡率都更高——黑人3.2%，美洲印第安人46.9%，华人33.3%，日本人48.8%，菲律宾人78.7%，西班牙人8.9%。-婴儿出生和死亡时的种族和族裔编码极不一致，对婴儿死亡率的估计产生了重大影响。有必要重新考虑公共卫生中种族和族裔的性质和定义。
Objective. - To ascertain the consistency of the racial and ethnic classification of US infants between birth and death and its impact on infant mortality rates.Subjects. - All US infants born from 1983 through 1985 who died within a year.Design. - We used the national linked birth/infant-death computer tape, augmented with information on infants' race and ethnicity at death, to compare the coding of race and Hispanic ethnicity at birth and at death. We also assessed infant mortality rates by race and ethnicity as defined (1) by the standard algorithm and (2) by the rule that, beginning in published tabulations for 1989, assigns newborns the race of their mothers. Finally, we estimated infant mortality rates based on consistent coding of race and ethnicity at birth and death.Results. - Inconsistency in the coding of race is low for whites (1.2%), greater for blacks (4.3%), and greatest for races other than white or black (43.2%). Most infants reclassified at death (87.3%) are classified as white at death. Inconsistency in coding is lower for non-Hispanic whites (3.5%) and non-Hispanic blacks (3.3%) than for Hispanic populations (30.3%). Compared with the standard algorithm for calculation of infant mortality, consistent definition at birth and death produces rates 2.1 % lower for whites, and higher for all other groups-3.2% for blacks, 46.9% for American Indians, 33.3% for Chinese, 48.8% for Japanese, 78.7% for Filipinos, and 8.9% for Hispanics.Conclusions. - The coding of race and ethnicity of infants at birth and death is remarkably inconsistent, with substantial impact on the estimation of infant mortality rates. A need exists to reconsider the nature and definition of race and ethnicity in public health.