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Infant mortality: A multi-level analysis of individual and community risk factors

Author

Listed:
  • Matteson, Donald W.
  • Burr, Jeffrey A.
  • Marshall, James R.

Abstract

This paper reports the results of an analysis of infant mortality based on a conceptual model that combines micro-level and macro-level variables taken from demographic, sociological and epidemiological research traditions. Using generalized hierarchical linear modeling techniques, we analyze 1988 and 1989 linked birth and death records for Upstate New York matched with county-level data from government and private sources. Net of health and sociodemographic risk factors, our results show that the number of per capita primary care physicians and local government expenditures on health care services and hospitals are positively linked to an increase in the probability of infant death and that our indicator of hospital facilities is negatively related to risk of death. We also find that some negative health behaviors and health resources of mothers are mediated by the local health care environment. Our results demonstrate the utility of combining perspectives from several disciplines when evaluating infant death, especially the impact of policy-related issues concerning health care service infrastructure.

Suggested Citation

  • Matteson, Donald W. & Burr, Jeffrey A. & Marshall, James R., 1998. "Infant mortality: A multi-level analysis of individual and community risk factors," Social Science & Medicine, Elsevier, vol. 47(11), pages 1841-1854, December.
    • Handle: RePEc:eee:socmed:v:47:y:1998:i:11:p:1841-1854
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    Citations

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    Cited by:

    1. Mark E. Votruba & Jeffrey R. Kling, 2005. "Effects of Neighborhood Characteristics on the Mortality of Black Male Youth: Evidence From Gautreaux," Working Papers 95, Princeton University, Department of Economics, Center for Economic Policy Studies..
    2. Masood Gheasi & Noriko Ishikawa & Karima Kourtit & Peter Nijkamp, 2019. "A meta-analysis of human health differences in urban and rural environments," Letters in Spatial and Resource Sciences, Springer, vol. 12(3), pages 167-186, December.
    3. Mark E. Votruba & Jeffrey R. Kling, 2004. "Effects of Neighborhood Characteristics on the Mortality of Black Male Youth: Evidence From Gautreaux," Working Papers 870, Princeton University, Department of Economics, Industrial Relations Section..
    4. Jeffrey R. Kling & Mark E. Votruba, 2004. "Effects of Neighborhood Characteristics on the Mortality of Black Male Youth: Evidence From Gautreaux," Working Papers 870, Princeton University, Department of Economics, Industrial Relations Section..
    5. repec:pri:cepsud:107kling is not listed on IDEAS
    6. Denis Gerstorf & Nilam Ram & Jan Goebel & Jürgen Schupp & Ulman Lindenberger & Gert G. Wagner, 2010. "Where People Live and Die Makes a Difference: Individual and Geographic Disparities in Well-Being Progression at the End of Life," SOEPpapers on Multidisciplinary Panel Data Research 287, DIW Berlin, The German Socio-Economic Panel (SOEP).
    7. Foggin, Peter M. & Torrance, Marion E. & Dorje, Drashi & Xuri, Wenzha & Marc Foggin, J. & Torrance, Jane, 2006. "Assessment of the health status and risk factors of Kham Tibetan pastoralists in the alpine grasslands of the Tibetan plateau," Social Science & Medicine, Elsevier, vol. 63(9), pages 2512-2532, November.
    8. Judith Wright & Nazeem Muhajarine, 2008. "Respiratory illness in Saskatoon infants: The impact of housing and neighbourhood characteristics," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 85(1), pages 81-95, January.
    9. Votruba, Mark Edward & Kling, Jeffrey R., 2009. "Effects of neighborhood characteristics on the mortality of black male youth: Evidence from Gautreaux, Chicago," Social Science & Medicine, Elsevier, vol. 68(5), pages 814-823, March.
    10. Mark E. Votruba & Jeffrey R. Kling, 2004. "Effects of Neighborhood Characteristics on the Mortality of Black Male Youth: Evidence From Gautreaux," Working Papers 870, Princeton University, Department of Economics, Industrial Relations Section..
    11. Cardon, Melissa S. & Zietsma, Charlene & Saparito, Patrick & Matherne, Brett P. & Davis, Carolyn, 2005. "A tale of passion: New insights into entrepreneurship from a parenthood metaphor," Journal of Business Venturing, Elsevier, vol. 20(1), pages 23-45, January.

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