| Titre : | Stillbirths in the United States, 1981-2000 : An age, period, and cohort analysis. (2005) |
| Auteurs : | Cande-V ANANTH ; Wendy-L KINZLER ; Michael-S KRAMER ; . SHILIANG LIU |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 95, n° 12, 2005) |
| Pagination : | 2213-2217 |
| Langues: | Anglais |
| Mots-clés : | Mort né ; Etats Unis ; Amérique ; Ethnie ; Epidémiologie ; Race ; Age ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS NyR0xJqd. Diffusion soumise à autorisation]. Objectives. We examined age, period, and cohort (APC) effects on temporal trends in stillbirths among Black and White women in the United States. Methods. We conducted a cohort study of Black and White women who delivered a singleton live-born or stillborn infant during 1981 through 2000. We analyzed stillbirth rates at 20 or more weeks of gestation within 7 age groups, 4 periods, and 10 "central" birth cohorts after adjusting for confounders. Results. In both racial groups, women younger than 20 years or 35 years or older were at increased risk of stillbirth ; risks decreased over successive periods in all age groups. Birth cohort had no impact on stillbirth trends among Blacks and only a small, non significant effect among Whites. Analyses of various APC combinations showed that Blacks were at a 1.2-to 2.9-fold increased risk for stillbirth relative to Whites. Attributable fractions for stillbirth because of age, period, and cohort effects were 16.5%, 24.9%, and 0.1%, respectively, among Black women and 14.5%, 36.2%, and 2.1%, respectively, among White women. Conclusions. Strong effects of age and period were observed in stillbirth trends, but these factors do not explain the persistent stillbirth disparity between Black and White women. |
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