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A comparative analysis of infant mortality in major Ohio cities: significance of socio-biological factors
Authors:Singh G K  Kposowa A J
Institution:1. Department of Animal Science, Faculty of Agriculture, Ege University, Izmir 35040, Turkey;2. West Africa Livestock Innovation Centre, PMB 14, Banjul, Gambia;1. Health Research Residency, Gobierno de la Ciudad de Buenos Aires, Nueva York 3952, C1419HDN Ciudad de Buenos Aires, Argentina;2. Assistance and Research Center in Cognitive Neuroscience and Memory Disorders, Hospital Dr. A. Zubizarreta, Nueva York 3952, C1419HDN Ciudad de Buenos Aires, Argentina;3. Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, Argentina;4. Clinical Laboratory, Hospital Dr. A. Zubizarreta, Nueva York 3952, C1419HDN Ciudad de Buenos Aires, Argentina;5. Medicine Department, Hospital Dr. A. Zubizarreta, Nueva York 3952, C1419HDN, Ciudad de Buenos Aires, Argentina;1. Women’s Health Research Centre, Department of Primary Care, University of Otago, Wellington, New Zealand;2. Department of Obstetrics and Gynecology, University of Illinois, Chicago, IL, USA;3. Dean’s Department, University of Otago, Wellington, New Zealand;1. Betty Irene Moore School of Nursing, UC Davis, 4610 X Street, Sacramento, CA 95817, USA;2. Ohio State University, College of Social Work, 1947 College Road, Columbus, OH 43210, USA;3. Department of Pediatrics, UC Davis Medical Center, 2516 Stockton Blvd, Sacramento, CA 95817, USA;4. Department of Internal Medicine, UC Davis Medical Center, 4150 V Street, Sacramento, CA 95817, USA;5. Penn State College of Nursing, 201 Nursing Sciences Building, University Park, PA 16802, USA
Abstract:"Using linked birth and infant death records for Ohio for the 1984-87 birth cohorts, this paper examines differentials in neonatal, postneonatal, and infant mortality rates in four major Ohio cities....It was found that, compared to Toledo, Cleveland had 51% higher risk of infant death, Cincinnati had 45% higher risk, and] Columbus had 13% higher risk of infant death. Although in each of these cities, black infants had significantly higher risk of death than white infants, controlling for race alone reduced but did not eliminate the infant mortality differentials among the cities. The results of the hazards analyses reveal that maternal education, marital status, maternal age, birth order, prenatal care, gestational age, and birth weight had a profound net impact on the risk of infant death and that, even after controlling for these and other maternal and infant characteristics, significant city differentials persisted in infant mortality."
Keywords:
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