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Infant mortality differences between whites and African Americans: The effect of maternal education

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  • Din-Dzietham, R.
  • Hertz-Picciotto, I.

Abstract

Objectives. Despite decreasing infant mortality in North Carolina, the gap between African Americans and Whites persists. This study examined how racial differences in infant mortality vary by maternal education. Methods. Data came from Linked Birth and Infant Death files for 1988 through 1993. Multiple logistic regression models adjusted for confounders. Results. Infant mortality risk ratios comparing African Americans and Whites increased with higher levels of maternal education. Education beyond high school reduced risk of infant mortality by 20% among Whites but had little effect among African Americans. Conclusions. Higher education magnifies racial differences in infant mortality on a multiplicative scale. Possible reasons include greater stress, fewer economic resources, and poorer quality of prenatal care among African Americans.

Suggested Citation

  • Din-Dzietham, R. & Hertz-Picciotto, I., 1998. "Infant mortality differences between whites and African Americans: The effect of maternal education," American Journal of Public Health, American Public Health Association, vol. 88(4), pages 651-656.
    • Handle: RePEc:aph:ajpbhl:1998:88:4:651-656_8
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    Cited by:

    1. Lewis, Tené T. & Parker, Rachel & Erving, Christy L. & Udaipuria, Shivika & Murden, Raphiel J. & Fields, Nicole D. & Booker, Bianca & Moore, Reneé H. & Vaccarino, Viola, 2024. "Financial responsibility, financial context, and ambulatory blood pressure in early middle-aged African-American women," Social Science & Medicine, Elsevier, vol. 345(C).
    2. Tiffany Green & Tod Hamilton, 2019. "Maternal educational attainment and infant mortality in the United States: Does the gradient vary by race/ethnicity and nativity?," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 41(25), pages 713-752.
    3. Rosenthal, Lisa & Lobel, Marci, 2011. "Explaining racial disparities in adverse birth outcomes: Unique sources of stress for Black American women," Social Science & Medicine, Elsevier, vol. 72(6), pages 977-983, March.
    4. Timothy Gage & Fu Fang & Erin O’Neill & Greg DiRienzo, 2013. "Maternal Education, Birth Weight, and Infant Mortality in the United States," Demography, Springer;Population Association of America (PAA), vol. 50(2), pages 615-635, April.

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