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Neonatal mortality: an analysis of the recent improvement in the United States.
Abstract
To test the hypothesis that the recent substantial decline in the United States neonatal mortality rate (20.0/1000 in 1950 to 11.6/1000 in 1975) is associated with improvements in perinatal medical care, we examined this change in relation to the two primary components which determine neonatal mortality: birthweight distribution and birthweight-specific mortality. No improvement in the weight distribution of U.S. live births has occurred during this 25-year period, indicating that the change in neonatal mortality is attributable to improved survival for one or more birthweight groups. Decline in the mortality rate in the first 15 years was slow; three-fourths of the decline in the entire 25-year period occurred since 1965. With the exception of perinatal medical care, factors known to affect survival at a given birthweight have not changed in prevalence in the 25-year period. It is a plausible hypothesis that improved perinatal medical care is a major factor in declining neonatal mortality in the U.S.
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Citations
Cited by
The contribution of low birth weight to infant mortality and childhood morbidity
McCormick, M. C. (1985) · New England Journal of Medicine · doi:10.1056/nejm198501103120204 · Cited by 2,119
Proximal, Distal, and the Politics of Causation: What’s Level Got to Do With It?
Krieger, N. (2008) · American Journal of Public Health · doi:10.2105/ajph.2007.111278 · Cited by 535
A multicenter study of preterm birth weight and gestational age—specific neonatal mortality
Copper, R. L., Goldenberg, R. L., Creasy, R. K., DuBard, M. B., Davis, R. O., Entman, S. S., Iams, J. D., & Cliver, S. P. (1993) · American Journal of Obstetrics and Gynecology · doi:10.1016/s0002-9378(12)90889-3 · Cited by 295
Public Insurance and Mortality: Evidence from Medicaid Implementation
Goodman-Bacon, A. (2018) · Journal of Political Economy · doi:10.1086/695528 · Cited by 270
Bailey, M. J., & Goodman-Bacon, A. (2015) · American Economic Review · doi:10.1257/aer.20120070 · Cited by 227
Metadata
- Authors
- Lee, K. S., Paneth, N., Gartner, L. M., Pearlman, M. A., & Gruss, L.
- Venue
- American Journal of Public Health
- Publisher
- American Public Health Association
- Published
- 1980-01
- Volume
- 70
- Issue
- 1
- Pages
- 15-21
- ISSN
- 0090-0036 (ISSN-L)
- 1541-0048
- OpenAlex
- W2055474447
- Cited by
- 209
- References
- 0
- FWCI
- 59.56
- Type
- journal article
- Language
- en
- Open access
- closed
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- Lee, K. S., Paneth, N., Gartner, L. M., Pearlman, M. A., & Gruss, L. (1980). Neonatal mortality: an analysis of the recent improvement in the United States. American Journal of Public Health. https://doi.org/10.2105/ajph.70.1.15
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