Racial disparity in infant mortality

Matoba, Nana; Collins, James W.

doi:10.1053/j.semperi.2017.07.003

Cited by 87 publications

(61 citation statements)

References 59 publications

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“…Even more concerning than the overall IMR is that non-Hispanic black infants had 2.4 times the rate of infant mortality compared to non-Hispanic white infants [2]. The IMR provides a valuable summary for both maternal and child adverse birth outcomes (ABO) and is often used to evaluate both national health care systems and racial health disparities [3,4]. In the United States, infant mortality is commonly grouped into three common causes: birth defects, preterm birth and maternal pregnancy complications.…”

Section: Introductionmentioning

confidence: 99%

Estimating racial health disparities among adverse birth outcomes as deviations from the population rates

Thompson

Suter

2020

BMC Pregnancy Childbirth

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Background: Despite significant research, the reasons for racial health disparities among adverse birth outcomes (ABO) remain largely unknown. The bulk of research into racial health disparities among ABO in the United States has concentrated on the risk of race and ethnic groups relative to the specific sub-population of non-Hispanic white women and their children. The objective of this study was to estimate the racial and ethnic risks among a set of neonatal and maternal health disparities while minimizing bias attributable to how the baseline risk was established. Methods: All birth records were obtained from the United States Natality database for the years 2014 to 2017. A Bayesian modeling approach was used to estimate the risk disparity for disorders by race. The estimation of the racespecific risks used a sum-to-zero constraint for the race regression coefficients. Results: Estimating racial health disparities relative to the overall population rate yielded novel results and identified perinatal health disparities for all the race groups studied. Conclusions: Unbiased risk estimates for racial disparities among ABO are now available for stimulating and initiating more complex causal modeling that can lead to understanding how racial health disparities for ABO are mediated and how they can be prevented.

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Section: Introductionmentioning

confidence: 99%

Estimating racial health disparities among adverse birth outcomes as deviations from the population rates

Thompson

Suter

2020

BMC Pregnancy Childbirth

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“…Maged and Rizzolo () stated that the strongest predictors for mothers following the recommendations were older maternal age, college education, and race or ethnicity. Matoba and Collins (), in their paper on racial disparity in infant mortality, stated that decades or centuries of discrimination and chronic exposure to stress accumulates over time and leads to an inflammatory response, which compromises fetal development and causes adverse pregnancy and neonatal outcomes. In a qualitative study by Roman et al (), African–American women spoke of having to cope with the confusion, lack of knowledge about their health, and having difficulty communicating with their providers.…”

Section: Discussionmentioning

confidence: 99%

Considerations in Safe to Sleep® messaging: Learning from African–American mothers

Stiffler

Matemachani

Crane

2019

Specialist Pediatric Nursing

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Purpose: The purpose of this study was to identify why African-American mothers do not tend to follow the Safe to Sleep ® recommendations and to begin to identify a way to frame the Safe to Sleep ® message so that African-American mothers might be more likely to follow these recommendations.Design: We recruited African-American mothers with infants over the age of 6 months to participate in two focus groups facilitated by a community engagement manager experienced in focus group facilitation. We used ethnography to find shared patterns of behavior and beliefs in African-American women related to safe sleep. Results:We identified 14 concepts and formulated them into three categories: it's just easier; can't fight culture and grandma; and Effectively teaching mother. From these we were able to identify the shared value of multifaceted learning.

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“…There is data that strongly suggests that the Centering model reduces preterm deliveries and low birth weight babies while increasing breastfeeding rates at discharge from the hospital [2,3]. These outcomes seem to be even better with Black or African American mothers who participate in Centering.…”

Section: Centering Pregnancymentioning

confidence: 99%

The Power of Connection, Trust, and Voice

Murphy

2020

North Carolina Medical Journal

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Racial disparity in infant mortality

Cited by 87 publications

References 59 publications

Estimating racial health disparities among adverse birth outcomes as deviations from the population rates

Estimating racial health disparities among adverse birth outcomes as deviations from the population rates

Considerations in Safe to Sleep® messaging: Learning from African–American mothers

The Power of Connection, Trust, and Voice

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