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State-Level Progress in Reducing the Black-White Infant Mortality Gap, United States, 1999-2013.

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Title: State-Level Progress in Reducing the Black-White Infant Mortality Gap, United States, 1999-2013.
Authors: Speights, Joedrecka S. Brown, Goldfarb, Samantha Sittig, Wells, Brittny A., Beitsch, Leslie, Levine, Robert S., Rust, George
Source: American Journal of Public Health. 2017, Vol. 107 Issue 5, p775-782. 8p.
Subjects: Infant mortality, Black children, White children, Health equity, Progress, Death rate, U.S. states, Health & social status, Health, Prevention, Medical quality control, Quality assurance, Race
Geographic Terms: United States
Abstract: Objectives. To assess state-level progress on eliminating racial disparities in infant mortality. Methods. Using linked infant birth-death files from 1999 to 2013, we calculated state-level 3-year rolling average infant mortality rates (IMRs) and Black-White IMR ratios. We also calculated percentage improvement and a projected year for achieving equality if current trend lines are sustained. Results. We found substantial state-level variation in Black IMRs (range = 6.6-13.8) and Black-White rate ratios (1.5-2.7), and also in percentage relative improvement in IMR (range = 2.7% to 36.5% improvement) and in Black-White rate ratios (from 11.7% relative worsening to 24.0% improvement). Thirteen states achieved statistically significant reductions in Black-White IMR disparities. Eliminating the Black-White IMR gap would have saved 64 876 babies during these 15 years. Eighteen states would achieve IMR racial equality by the year 2050 if current trends are sustained. Conclusions. States are achieving varying levels of progress in reducing Black infant mortality and Black-White IMR disparities. Public Health Implications. Racial equality in infant survival is achievable, but will require shifting our focus to determinants of progress and strategies for success. [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: State-Level Progress in Reducing the Black-White Infant Mortality Gap, United States, 1999-2013.
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  Data: <searchLink fieldCode="DE" term="%22Infant+mortality%22">Infant mortality</searchLink><br /><searchLink fieldCode="DE" term="%22Black+children%22">Black children</searchLink><br /><searchLink fieldCode="DE" term="%22White+children%22">White children</searchLink><br /><searchLink fieldCode="DE" term="%22Health+equity%22">Health equity</searchLink><br /><searchLink fieldCode="DE" term="%22Progress%22">Progress</searchLink><br /><searchLink fieldCode="DE" term="%22Death+rate%22">Death rate</searchLink><br /><searchLink fieldCode="DE" term="%22U%2ES%2E+states%22">U.S. states</searchLink><br /><searchLink fieldCode="DE" term="%22Health+%26+social+status%22">Health & social status</searchLink><br /><searchLink fieldCode="DE" term="%22Health%22">Health</searchLink><br /><searchLink fieldCode="DE" term="%22Prevention%22">Prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+quality+control%22">Medical quality control</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+assurance%22">Quality assurance</searchLink><br /><searchLink fieldCode="DE" term="%22Race%22">Race</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Objectives. To assess state-level progress on eliminating racial disparities in infant mortality. Methods. Using linked infant birth-death files from 1999 to 2013, we calculated state-level 3-year rolling average infant mortality rates (IMRs) and Black-White IMR ratios. We also calculated percentage improvement and a projected year for achieving equality if current trend lines are sustained. Results. We found substantial state-level variation in Black IMRs (range = 6.6-13.8) and Black-White rate ratios (1.5-2.7), and also in percentage relative improvement in IMR (range = 2.7% to 36.5% improvement) and in Black-White rate ratios (from 11.7% relative worsening to 24.0% improvement). Thirteen states achieved statistically significant reductions in Black-White IMR disparities. Eliminating the Black-White IMR gap would have saved 64 876 babies during these 15 years. Eighteen states would achieve IMR racial equality by the year 2050 if current trends are sustained. Conclusions. States are achieving varying levels of progress in reducing Black infant mortality and Black-White IMR disparities. Public Health Implications. Racial equality in infant survival is achievable, but will require shifting our focus to determinants of progress and strategies for success. [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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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.2105/AJPH.2017.303689
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 8
        StartPage: 775
    Subjects:
      – SubjectFull: Infant mortality
        Type: general
      – SubjectFull: Black children
        Type: general
      – SubjectFull: White children
        Type: general
      – SubjectFull: Health equity
        Type: general
      – SubjectFull: Progress
        Type: general
      – SubjectFull: Death rate
        Type: general
      – SubjectFull: U.S. states
        Type: general
      – SubjectFull: Health & social status
        Type: general
      – SubjectFull: Health
        Type: general
      – SubjectFull: Prevention
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      – SubjectFull: Medical quality control
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      – SubjectFull: Quality assurance
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      – SubjectFull: Race
        Type: general
      – SubjectFull: United States
        Type: general
    Titles:
      – TitleFull: State-Level Progress in Reducing the Black-White Infant Mortality Gap, United States, 1999-2013.
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              M: 05
              Text: 2017
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