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Mortality among very low-birthweight infants in hospitals serving minority populations.

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Title: Mortality among very low-birthweight infants in hospitals serving minority populations.
Authors: Morales LS (AUTHOR), Staiger D (AUTHOR), Horbar JD (AUTHOR), Carpenter J (AUTHOR), Kenny M (AUTHOR), Geppert J (AUTHOR), Rogowski J (AUTHOR)
Source: American Journal of Public Health. Dec2005, Vol. 95 Issue 12, p2206-2212. 7p.
Subjects: Low birth weight, Black people, Neonatal mortality, Hospitals, Racial differences
Geographic Terms: United States
Abstract: OBJECTIVE: We investigated whether the proportion of Black very low-birth-weight (VLBW) infants treated by hospitals is associated with neonatal mortality for Black and White VLBW infants. METHODS: We analyzed medical records linked to secondary data sources for 74050 Black and White VLBW infants (501 g to 1500 g) treated by 332 hospitals participating in the Vermont Oxford Network from 1995 to 2000. Hospitals where more than 35% of VLBW infants treated were Black were defined as 'minority-serving.' RESULTS: Compared with hospitals where less than 15% of the VLBW infants were Black, minority-serving hospitals had significantly higher risk-adjusted neonatal mortality rates (White infants: odds ratio [OR]=1.30, 95% confidence interval [CI] = 1.09, 1.56; Black infants: OR = 1.29, 95% CI = 1.01, 1.64; Pooled: OR = 1.28, 95% CI=1.10, 1.50). Higher neonatal mortality in minority-serving hospitals was not explained by either hospital or treatment variables. CONCLUSIONS: Minority-serving hospitals may provide lower quality of care to VLBW infants compared with other hospitals. Because VLBW Black infants are disproportionately treated by minority-serving hospitals, higher neonatal mortality rates at these hospitals may contribute to racial disparities in infant mortality in the United States. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Mortality among very low-birthweight infants in hospitals serving minority populations.
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  Data: <searchLink fieldCode="AR" term="%22Morales+LS%22">Morales LS</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Staiger+D%22">Staiger D</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Horbar+JD%22">Horbar JD</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Carpenter+J%22">Carpenter J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kenny+M%22">Kenny M</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Geppert+J%22">Geppert J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rogowski+J%22">Rogowski J</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Dec2005, Vol. 95 Issue 12, p2206-2212. 7p.
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  Data: <searchLink fieldCode="DE" term="%22Low+birth+weight%22">Low birth weight</searchLink><br /><searchLink fieldCode="DE" term="%22Black+people%22">Black people</searchLink><br /><searchLink fieldCode="DE" term="%22Neonatal+mortality%22">Neonatal mortality</searchLink><br /><searchLink fieldCode="DE" term="%22Hospitals%22">Hospitals</searchLink><br /><searchLink fieldCode="DE" term="%22Racial+differences%22">Racial differences</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
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  Label: Abstract
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  Data: OBJECTIVE: We investigated whether the proportion of Black very low-birth-weight (VLBW) infants treated by hospitals is associated with neonatal mortality for Black and White VLBW infants. METHODS: We analyzed medical records linked to secondary data sources for 74050 Black and White VLBW infants (501 g to 1500 g) treated by 332 hospitals participating in the Vermont Oxford Network from 1995 to 2000. Hospitals where more than 35% of VLBW infants treated were Black were defined as 'minority-serving.' RESULTS: Compared with hospitals where less than 15% of the VLBW infants were Black, minority-serving hospitals had significantly higher risk-adjusted neonatal mortality rates (White infants: odds ratio [OR]=1.30, 95% confidence interval [CI] = 1.09, 1.56; Black infants: OR = 1.29, 95% CI = 1.01, 1.64; Pooled: OR = 1.28, 95% CI=1.10, 1.50). Higher neonatal mortality in minority-serving hospitals was not explained by either hospital or treatment variables. CONCLUSIONS: Minority-serving hospitals may provide lower quality of care to VLBW infants compared with other hospitals. Because VLBW Black infants are disproportionately treated by minority-serving hospitals, higher neonatal mortality rates at these hospitals may contribute to racial disparities in infant mortality in the United States. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.2105/AJPH.2004.046730
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        Text: English
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      – SubjectFull: Low birth weight
        Type: general
      – SubjectFull: Black people
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      – SubjectFull: Neonatal mortality
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      – SubjectFull: Hospitals
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      – SubjectFull: Racial differences
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      – SubjectFull: United States
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              Text: Dec2005
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              Y: 2005
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