Variations in Infant Mortality Rates Among Counties of the United States

Variations in Infant Mortality Rates Among Counties of the United States
Author: Michael Grossman
Publisher:
Total Pages: 56
Release: 1981
Genre: Infants
ISBN:

The purpose of this paper is to shed light on the causes of the rapid decline in the infant mortality rate in the United States in the period after 1963. The roles of four public policies are considered: Medicaid, subsidized family planning services for low-income women, maternal and infant care projects, and the legalization of abortion. The most striking finding is that the increase in the legal abortion rate is the single most important factor in reductions in both white and nonwhite neonatal mortality rates. Not only does the growth in abortion dominate the other public policies, but it also dominates schooling and poverty.

Racial Differences in the Social Determinants of Infant Mortality: A County-Level Analysis

Racial Differences in the Social Determinants of Infant Mortality: A County-Level Analysis
Author: Anna Claire Church
Publisher:
Total Pages:
Release: 2019
Genre:
ISBN:

Infant mortality rates (IMRs) are considered to be one of the most important indicators of a healthy society and a key marker of maternal and child health. In the United States, progress has been made in reducing the overall infant mortality rate, but this reduced aggregated rate masks significant racial disparities. The objective of this study is to systematically examine racial differences in a number of social determinants of infant mortality at the county-level, specifically differences between non-Hispanic Black and non-Hispanic White populations. Multivariate OLS regression modeling is used to analyze the association between the demographic, economic, and health predictor variables and IMRs. The results show that while there are marked differences in the predictors of Black and white IMRs, there are also remarkable similarities. Median household incomes and numbers of practicing midwives are found to be two of the significant factors in reducing infant mortality rates for both groups. .

Evidence-Based Policymaking

Evidence-Based Policymaking
Author: Karen Bogenschneider
Publisher: Routledge
Total Pages: 364
Release: 2011-01-11
Genre: Family & Relationships
ISBN: 1135149798

This book examines ways to enhance evidence-based policymaking, striking a balance between theory and practice. The attention to theory builds a greater understanding of why miscommunication and mistrust occur. Until we better appreciate the forces that divide researchers and policymakers, we cannot effectively construct strategies for bringing them together.

Communities in Action

Communities in Action
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 583
Release: 2017-04-27
Genre: Medical
ISBN: 0309452961

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

An Ecological Analysis of Social and Economic Influences on Black and White Infant Mortality Risk in Orange County, FL

An Ecological Analysis of Social and Economic Influences on Black and White Infant Mortality Risk in Orange County, FL
Author: Vanessa A. Lopez-Littleton
Publisher:
Total Pages: 190
Release: 2011
Genre: African American infants
ISBN:

Black health disparities are a salient public health issue with blacks in every socioeconomic level at a greater health disadvantage than their white counterparts. In particular, disparity in infant mortality rates between blacks and whites have widened in recent decades to differentials never before experienced in the United States. Social ecologists investigating the myriad of individual and environmental risk factors have failed to fully account for the persistent differential. This study examines the relationships between individual and environmental influences on the health risk experienced by blacks, whites, as well as the differential between the two populations. This multi-level analysis was conducted using five-year aggregate data centering on the 2000 decennial census (1998 - 2002) as the most recent census data available. During the study period, the 193 census tracts in Orange County, Florida, experienced 504 infant deaths which included 242 black and 241 white infant deaths. Using the infant mortality target rate developed for Healthy People 2000 as the "normal" infant mortality rate, risk was calculated as the percentage of deviation from the (")normal("). A rate was also calculated to demonstrate the difference between black and white percent deviations from the "normal". Structural equation modeling was used to examine the relationship between socioeconomic influences (Socioeconomic Disadvantage), social risk factors (Social Disorganization), and behavioral risk factors (Poor Behavioral Choices) using a latent variable approach based on a conceptual model which integrated the social determinants of health framework and conflict theory. In this study, an inverse association was found between socioeconomic disadvantage and infant mortality risk for black infants. This finding is contradictory to the expected finding and may have been due to multicollinearity or the operationalization of the endogenous study variable for black infant mortality risk. Thus, this study highlights the complexity of unraveling the interrelationship between social and economic risk factors. The results of this study demonstrate the importance of the latent variable approach in public health research as well as the need to broaden the approach to selecting indicators. This study concludes with specific policy recommendations aimed at improving the health outcomes of vulnerable populations using the social determinants of health framework.

From Death to Birth

From Death to Birth
Author: National Research Council
Publisher: National Academies Press
Total Pages: 438
Release: 1998-01-12
Genre: Social Science
ISBN: 0309058961

The last 35 years or so have witnessed a dramatic shift in the demography of many developing countries. Before 1960, there were substantial improvements in life expectancy, but fertility declines were very rare. Few people used modern contraceptives, and couples had large families. Since 1960, however, fertility rates have fallen in virtually every major geographic region of the world, for almost all political, social, and economic groups. What factors are responsible for the sharp decline in fertility? What role do child survival programs or family programs play in fertility declines? Casual observation suggests that a decline in infant and child mortality is the most important cause, but there is surprisingly little hard evidence for this conclusion. The papers in this volume explore the theoretical, methodological, and empirical dimensions of the fertility-mortality relationship. It includes several detailed case studies based on contemporary data from developing countries and on historical data from Europe and the United States.