St. Bird, SEPARATE BLACK-AND-WHITE INFANT-MORTALITY MODELS - DIFFERENCES IN THEIMPORTANCE OF STRUCTURAL VARIABLES, Social science & medicine, 41(11), 1995, pp. 1507-1512
Citations number
37
Categorie Soggetti
Social Sciences, Biomedical","Public, Environmental & Occupation Heath
In the United States, the disparity in black and white infant mortalit
y persists despite reductions in overall infant mortality. In 1988, 23
of the 50 states had a black infant mortality rate that was more than
twice as large as its white infant mortality rate. This study assesse
s whether state-level structural variables relate differentially to st
ates' black and white infant mortality rates. With the state as the un
it of analysis, separate black (N = 34) and white (N = 50) multivariat
e models of infant mortality were produced and compared. The structura
l variables accounted for 57.7% of the variance in states' black infan
t mortality rates and 35.2% of the variance in states' white infant mo
rtality rates. Proportion black, percent with bachelor's degree or hig
her, percent below poverty, and the index of dissimilarity each made a
unique contribution to the black infant mortality model. Percent with
bachelor's degree or higher was the only measure that made a signific
ant unique contribution to the white infant mortality model. Thus, alt
hough both black and white infant mortality rates were higher in state
s with smaller percentages of the population having a bachelor's degre
e or higher, black infant mortality rates were also higher in states w
here proportionately more black persons lived, where there were higher
levels of residential segregation in the urban areas, and, contrary t
o what was expected, where smaller percentages of the population lived
below the poverty level. This study supports the need for race-specif
ic models of infant mortality.