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Decrease in infant mortality in New York City after 1989.

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Titre :	Decrease in infant mortality in New York City after 1989. (1998)
Auteurs :	H.D. KALTER ; P. O'CAMPO ; YINGJIAN NA . (.) ; Bureau of Maternity Services and Family Planning. New York City Department of Health. NY. USA
Type de document :	Article
Dans :	American journal of public health (vol. 88, n° 5, 1998)
Pagination :	816-820
Langues:	Anglais
Mots-clés :	Létalité ; Nourrisson ; Homme ; Epidémiologie ; Facteur risque ; Tendance séculaire ; Etats Unis ; Amérique du Nord ; Amérique ; Race ; Poids naissance ; Facteur
Résumé :	[BDSP. Notice produite par INIST JN0JkR0x. Diffusion soumise à autorisation]. Objectives. This study identified factors contributing to the rapid decline in infant mortality in New York City from 1989 to 1992. Methods. Changes in birthweight distributions and in birthweight/age-cause-and birthweight/age/cause-specific mortality rates from 1988/89 (before the mortality reduction) to 1990/91 were identified from New York City vital statistics data. Results. Infant, neonatal, and postneonatal mortality of very-low-birthweight (<1500 g) and normal-birthweight infants decreased significantly. The declines were almost entirely due to decreases in birthweight-specific mortality rates, rather than increased birthweights. All races experienced most of these reductions. Mortality decreased significantly for 6 causes of death. These decreases were consistent with the birthweight/age groups experiencing mortality declines. Conclusions. Widespread, multiple perinatal and postnatal factors contributed to the decline in infant mortality.