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Infant Mortality and Socioeconomic Status: New Bottle, Same Old Wine

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Abstract

This paper presents the results of an ecological analysis of the relationship between infant mortality and economic status in metropolitan Ohio for the period 1960–2000. The data examined are centered on the five censuses undertaken during this 40-year period. The basic unit of analysis is the census tract of mother’s usual residence, with economic status being determined by the percentage of low income families living in each tract. For each of the five periods covered, census tracts were aggregated into broad income areas and three-year average infant mortality rates were computed for each area, by age, sex, race and exogenous-endogenous causes of death. The most important conclusion to be drawn from the data is that in spite of some very remarkable declines in infant mortality at all class levels since 1960, there continues to be a very clear and pronounced inverse association between income status and infant mortality. Indeed, the evidence indicates that the relationship has become stronger over the years. These observations are applicable for both sexes, for whites and nonwhites, for neonatal and postneonatal deaths, and for both major cause of death groups. It is concluded that while public health programs are important, any progress in narrowing this long-standing differential is unlikely unless ways can be found to enhance the economic well-being of the lower socioeconomic groups.

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References

  • A. Antonovsky J. Bernstein (1977) ArticleTitleSocial class and infant mortality Social Science and Medicine 11 453–470 Occurrence Handle10.1016/0037-7856(77)90022-1

    Article  Google Scholar 

  • J. Bennett (1999) ArticleTitleCorrelates of child mortality in Pakistan: A hazards model analysis Pakistan Development Review 38 85–118 Occurrence Handle12349718

    PubMed  Google Scholar 

  • C.H. Brooks (1975) ArticleTitleThe changing relationship between socioeconomic status and infant mortality: An analysis of state characteristics Journal of Health and Social Behavior 16 291–203 Occurrence Handle1194657

    PubMed  Google Scholar 

  • Brownell, M., Martens, P., Kozyrskyj, A., Fergusson, P., Lerfald, J., Mayer, T., Derksen, S. & Friesen, D. (2001), Assessing the health of children in Manitoba: A population-based study. Manitoba Centre for Health Policy and Evaluation, Winnipeg, Manitoba

  • A.M. Guest G. Almgren J.M. Hussey (1998) ArticleTitleThe ecology of race and socioeconomic distress: Infant and working-age mortality in Chicago Demography 35 23–34 Occurrence Handle9512907

    PubMed  Google Scholar 

  • R.A. Hummer (1993) ArticleTitleRacial differentials in infant mortality in the U.S.: An examination of social and health determinants Social Forces 72 529–554

    Google Scholar 

  • R.S. Kirby (1993) ArticleTitleNeonatal and postneonatal mortality: Useful constructs or outdated concepts? Journal of Perinatology 13 433–441 Occurrence Handle8308585

    PubMed  Google Scholar 

  • E.M. Kitagawa P.M. Hauser (1973) Differential mortality in the United States: A study in socioeconomic epidemiology Harvard University Press Cambridge

    Google Scholar 

  • Kleinman, J. (1985), Perinatal and infant mortality: Recent trends in the United States, Proceedings of the International Collaborative Effort on Perinatal and Infant Mortality, I (NCHS): 1137–1155.

  • J.W. Lynch G.A. Kaplan R.D. Cohen J. Kauhanen T.W. Wilson N.L. Smith J.T. Salonen (1994) ArticleTitleChildhood and adult socioeconomic status as predictors of mortality in Finland The Lancet 343 524–527 Occurrence Handle10.1016/S0140-6736(94)91468-0

    Article  Google Scholar 

  • J.W. Lynch G.D. Smith S. Harper N.R. Hillemeier G.A. Kaplan M. Wolfson (2004) ArticleTitleIs income inequality a determinant of population health? Part 1. A systematic review The Milbank Quarterly 82 5–99 Occurrence Handle10.1111/j.0887-378X.2004.00302.x Occurrence Handle15016244

    Article  PubMed  Google Scholar 

  • C.J. Mansfield J.L. Wilson E.J. Kobrinski J. Mitchell (1999) ArticleTitlePremature mortality in the United States: The roles of geographic area, socioeconomic status, household type, and availability of medical care American Journal of Public Health 89 893–898 Occurrence Handle10358681

    PubMed  Google Scholar 

  • K.S. Markides D. Barnes (1977) ArticleTitleA methodological note on the relationship between infant mortality and socioeconomic status with evidence from San Antonio Social Biology 24 38–44 Occurrence Handle327560

    PubMed  Google Scholar 

  • J. Mellor J. Milyo (2002) ArticleTitleIncome inequality and health status in the United States: Evidence from the current population survey Journal of Human Resources 37 510–539

    Google Scholar 

  • A.M. Minino E. Arias K.D. Kochanek S.L. Murphy B.L. Smith (2002) Deaths: Final data for 2000, National Vital Statistics Reports 50: 15 National Center for Health Statistics Maryland

    Google Scholar 

  • G. Pappas S. Queen W. Hadden G. Fisher (1993) ArticleTitleThe increasing disparity in mortality between socioeconomic groups in the United States, 1960 and 1986, New England Journal of Medicine 329 103–109

    Google Scholar 

  • D.L. Poston R.G. Rogers (1985) ArticleTitleToward a reformulation of the neonatal mortality rate Social Biology 32 1–12 Occurrence Handle3878595

    PubMed  Google Scholar 

  • M.P. Quine S. Quine (1993) ArticleTitleEstimated infant mortality rates characterized by social class for an Australian population Applied Statistics 42 333–338 Occurrence Handle12344662

    PubMed  Google Scholar 

  • N. Sastry (2004) ArticleTitleTrends in socioeconomic inequalities in mortality in developing countries: The case of child survival in Sao Paulo, Brazil Demography 41 443–464 Occurrence Handle10.1353/dem.2004.0027 Occurrence Handle15461009

    Article  PubMed  Google Scholar 

  • K.C. Schoendorf C.J. Hogue J.C. Klienman D. Rowley (1992) ArticleTitleMortality among infants of black as compared with white college-educated parents New England Journal of Medicine 326 1522–1526 Occurrence Handle1579135

    PubMed  Google Scholar 

  • N.L. Sohler P.S. Arno C.J. Chang J. Fang C. Schechter (2003) ArticleTitleIncome inequality and infant mortality in New York City Journal of Urban Health 80 650–657 Occurrence Handle14709712

    PubMed  Google Scholar 

  • D. Stainstreet A. Scot-Samuel M.A. Bellis (1999) ArticleTitleIncome inequality and mortality in England Journal of Public Health Medicine 21 205–207 Occurrence Handle10.1093/pubmed/21.2.205 Occurrence Handle10432251

    Article  PubMed  Google Scholar 

  • Statistics Canada (2002), Trends in mortality by neighborhood income in urban Canada from 1971–1996, Health Reports 13. Statistics Canada. Health Statistics Division, Ottawa

  • Stockwell E.G. & Wicks J.W. (1981), Socioeconomic differences in infant mortality. Final report for the Maternal and Child Health and Crippled Children’s Services. Bureau of Community Health Services. Grant No. MC-R-309452–01-0

  • Stockwell E.G. & Goza F.W. (1994), Infant mortality and socioeconomic status. Final Report for the Maternal and Child Health and Crippled Children’s Services. Health Resources and Service Administration. Grant No. MCJ-390629

  • E.G. Stockwell F.W. Goza (1996) ArticleTitleRacial differences in the relationship between infant mortality and socioeconomic status Journal of Biosocial Science 28 73–84 Occurrence Handle8690744

    PubMed  Google Scholar 

  • Stockwell E.G., Swanson D.A. and Wicks J.W. (1986), Socioeconomic correlates of infant mortality: Ohio, 1980. Final report for the Maternal and Child Health and Crippled Children’s Services, Bureau of Community Health Services. Grant No. MCJ-390520–01

  • E.G. Stockwell D.A. Swanson J.W. Wicks (1987) ArticleTitleThe age-cause proxy relationship in infant mortality Social Biology 34 249–253 Occurrence Handle3451368

    PubMed  Google Scholar 

  • E.G. Stockwell D.A. Swanson J.W. Wicks (1988) ArticleTitleTemporal variations in the relationship between infant mortality and economic status Social Indicators Research 20 217–227 Occurrence Handle10.1007/BF00302464

    Article  Google Scholar 

  • E.G. Stockwell F.W. Goza Y. Jiang V.O. Luse (1994) ArticleTitleTrends in the relationship between socioeconomic status and infant mortality in metropolitan Ohio, 1960–1990 Population Research and Policy Review 13 399–410 Occurrence Handle10.1007/BF01084116

    Article  Google Scholar 

  • C.L. Szwarcwald C.L. Tavares Andrade Particlede F.I. Bastos (2002) ArticleTitleIncome inequality, residential poverty clustering and infant mortality: A study in Rio de Janeiro Brazil. Social Science and Medicine 55 2083–2092 Occurrence Handle10.1016/S0277-9536(01)00353-7

    Article  Google Scholar 

  • U.S. Bureau of the Census (1975), Historical statistics of the United States: Colonial times to 1970, Part I. Washington DC: U.S. Bureau of the Census

  • V. Villanueva A.M. Garcia (2000) ArticleTitleMortality and socioeconomic indicators in Spain, 1962–1991 The European Journal of Public Health 10 268–273 Occurrence Handle10.1093/eurpub/10.4.268

    Article  Google Scholar 

  • M. Whitehead F. Drever (1999) ArticleTitleNarrowing inequalities in health? Trends in mortality among the babies of lone mothers The British Medical Journal 318 908–912

    Google Scholar 

Download references

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Correspondence to Edward G. Stockwell.

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Stockwell, E.G., Goza, F.W. & Balistreri, K.S. Infant Mortality and Socioeconomic Status: New Bottle, Same Old Wine. Popul Res Policy Rev 24, 387–399 (2005). https://doi.org/10.1007/s11113-005-0088-2

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