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Infant mortality in American Indians and Alaska Natives 1995-1999 and 2000-2004

TitleInfant mortality in American Indians and Alaska Natives 1995-1999 and 2000-2004
Publication TypeJournal Article
Year of Publication2013
AuthorsJohansson, P, Williams, W, El-Mohandes, A
JournalJ Health Care Poor UnderservedJ Health Care Poor Underserved
Date PublishedAug
ISBN Number1548-6869 (Electronic)<br/>1049-2089 (Linking)
Accession Number23974398
KeywordsAlaska/ethnology, Health Status Disparities, Humans, Indians, North American, Infant, Infant Mortality/ethnology/ trends, Medically Underserved Area, United States/epidemiology
AbstractOBJECTIVES: (1) To determine the infant mortality rate (IMR) in American Indians/Alaska Natives (AI/AN) and whites between 1995-1999 and 2000-2004. (2) To compare the leading causes of infant mortality in AI/AN and whites. (3) To examine differences in neonatal vs. postneonatal causes of death in whites and AI/AN. METHODS: Using the 1995-99 and 2000-04 Centers for Disease Control and Prevention's National Center for Health Statistics national linked birth/infant death data, we examined neonatal and post-neonatal IMR among AI/AN and whites. RESULTS: AI/AN experienced significantly greater overall IMR in 1995-1999 and 2000-2004 than whites. While the reduction in the IMR between these time periods was statistically significant for whites, the reduction among AI/AN was not. We found that AI/AN had an IMR 1.5 times as high as that of whites. CONCLUSIONS: While the overall IMR has decreased in AI/AN, disparities in postneonatal IMR persist between AI/AN and Whites.
Ethno Med: