Abstract

Maternal-age-specific neonatal mortality risk differs by race, with the mid-20s risk low for whites but not blacks. This may be partially due to worsening health for black relative to white women. We analyzed deaths to young women in the aggregate and classified by causes that are also pregnancy risk factors. Over the predominant childbearing ages, mortality increases for blacks exceeded those for whites, usually by at least 25%. These indicators that black/white health differences widen as women progress through young adulthood suggest that such discrepancies may play a role in the black/white infant mortality differential, which merits further research.

The text of this article is only available as a PDF.

References

Amatruda, J. M. (
1987
).
The Treatment of Noninsulin-Dependent Diabetes Mellitus: A Pathophysiological Approach
. In Bergman, M. (Ed.),
In Principles of Diabetic Management
(pp.
144
144
).
New York
:
Medical Examination Publishing Company
Braveman, P., Oliva, G., Miller, M. G., Schaaf, V. M., & Reiter, R. (
1988
).
Women Without Health Insurance—Links Between Access, Poverty, Ethnicity, and Health
.
Western Journal of Medicine: Women and Medicine
,
149
,
708
711
Burrow, G. N., & Ferris, T. F. (
1988
).
Medical Complications During Pregnancy
.
Philadelphia
:
Saunders
Dallman, P. R., Yip, R., & Johnson, C. (
1984
).
Prevalence and Causes of Anemia in the United States, 1976 to 1980
.
American Journal of Clinical Nutrition
,
39
,
437
445
. 10.1093/ajcn/39.3.437
Evans, M. D. R. (
1986
).
American Fertility Patterns: A Comparison of White and Nonwhite Cohorts Bom 1903–56
.
Population and Development Review
,
12
(
2
),
267
293
. 10.2307/1973111
Evans, R., Mullally, D. I., Wilson, R. W., Gergen, P. J., Rosenberg, H. M., Grauman, J. S., Chevarley, F. M., & Feinleib, M. (
1987
).
National Trends in Morbidity and Mortality of Asthma Over Two Decades: 1965–1984
.
Chest
,
91
(
6
),
65s
74s
. 10.1378/chest.91.6_Supplement.65S
Federation of American Societies for Experimental Biology, Expert Scientific Working Group
(
1985
).
Summary of a Report on Assessment of the Iron Nutritional Status of the United States Population
.
American Journal of Clinical Nutrition
,
42
,
1318
1330
. 10.1093/ajcn/42.6.1318
Ferris, T. F. (
1988
).
Toxemia and Hypertension
. In Burrow, G. N., & Ferris, T. F. (Eds.),
Medical Complications During Pregnancy
(pp.
24
26
).
Philadelphia
:
Saunders
Gam, S. M., Ridella, S. A., Petzold, A. S., & Falkner, F. (
1981
).
Maternal Hematologic Levels and Pregnancy Outcomes
.
Seminars in Perinatology
,
5
(
2
),
155
162
Geronimus, A. T. (
1986
).
The Effects of Race, Residence, and Prenatal Care on the Relationship of Maternal Age to Neonatal Mortality
.
American Journal of Public Health
,
76
,
1416
1421
. 10.2105/AJPH.76.12.1416
Geronimus, A. T. (
1987
).
On Teenage Childbearing and Neonatal Mortality in the United States
.
Population and Development Review
,
13
(
2
),
245
279
. 10.2307/1973193
Geronimus, A. T, Andersen, H. F., & Bound, J. (1989). “Differences in Hypertension Prevalence Among U.S. Black and White Women of Childbearing Age.” Paper presented at the Annual Meeting of the American Public Health Association, Chicago.
Higgins, M. W., Keller, J. B., & Metzner, H. L. (
1977
).
Smoking, Socioeconomic Status, and Chronic Respiratory Disease
.
American Review of Respiratory Disease
,
116
,
403
410
. 10.1164/arrd.1977.116.3.403
Hogue, C. J. R. (
1989
).
Preterm Delivery: Can We Lower the Black Infant’s First Hurdle
.
Journal of the American Medical Association
,
262
,
548
550
. 10.1001/jama.1989.03430040120039
James, S. A., Strogatz, D. S., Wing, S. B., & Ramsey, D. L. (
1987
).
Socioeconomic Status, John Henryism, and Hypertension in Blacks and Whites
.
American Journal of Epidemiology
,
126
,
664
673
. 10.1093/oxfordjournals.aje.a114706
Klebanoff, M. A., Shiono, P. H., Berendes, H. W., & Rhoads, G. G. (
1989
).
Facts and Artifacts About Anemia and Preterm Delivery
.
Journal of the American Medical Association
,
262
,
511
515
. 10.1001/jama.1989.03430040083030
Kleinman, J. C., & Kessel, S. S. (
1987
).
Racial Differences in Low Birth Weight: Trends and Risk Factors
.
New England Journal of Medicine
,
317
,
749
753
. 10.1056/NEJM198709173171207
La Porte, R. E., & Cruickshanks, K. J. (
1985
).
Incidence and Risk Factors for Insulin-Dependent Diabetes
. In Harris, M. I., & Hamman, R. F. (Eds.),
Diabetes in America
.
Washington, DC
:
U.S. Dept. of Health and Human Services, Chap. 3
Lin, C. C., Lindheimer, M. D., River, P., & Moawad, A. H. (
1982
).
Fetal Outcome in Hypertensive Disorders of Pregnancy
.
American Journal of Obstetrics and Gynecology
,
142
(
3
),
255
260
. 10.1016/0002-9378(82)90727-X
McWhorter, W. P., Polis, M. A., & Kaslow, R. A. (
1989
).
Occurrence, Predictors, and Consequences of Adult Asthma in NHANES I and Follow-up Survey
.
American Review of Respiratory Disease
,
139
,
721
724
. 10.1164/ajrccm/139.3.721
Mosely, W. H., & Chen, L. C. (
1984
).
An Analytical Framework for the Study of Child Survival in Developing Countries
.
Child Survival: Strategies for Research, Supplement to Population and Development Review
,
10
,
25
45
Murphy, J. F., O’Riordan, J., Newcombe, R. G., Coles, E. C., & Pearson, J. F. (
1986
).
Relation of Haemoglobin Levels in First and Second Trimesters to Outcome of Pregnancy
.
Lancet
,
i
,
992
995
. 10.1016/S0140-6736(86)91269-9
Vital Statistics of the United States, 1980–1985 (Vol. 2): Mortality, Part B
. (
1985
).
Washington, DC
:
U.S. Dept. of Health and Human Services
Vital Statistics of the United States, 1985 (Vol. 1): Natality
. (
1988
).
Washington, DC
:
U.S. Dept. of Health and Human Services
National Heart, Lung, & Institute, Blood (
1984
).
The 1984 Report of the Joint National Committee’on Detection, Evaluation, and Treatment of High Blood Pressure
.
Archives of Internal Medicine
,
144
,
1045
1057
. 10.1001/archinte.1984.00350170211032
Norrman, D. (
1974
).
Parental Age as a Factor in Pregnancy Outcome and Child Development
.
New York
:
Population Council
Rosenberg, H. M., & Curtin, L. R. (1986). “Quality of Cause-of-Death Information as It Relates to Studies of Socioeconomic Differences in Mortality. ” Paper presented at the International Seminar on Socio-economic Aspects of Differential Mortality, Zamardi, Hungary.
Shiono, P. H., Klebanoff, M. A., Graubard, B. I., & Rhoads, G. G. (
1986
).
Birthweight Among Different Ethnic Groups
.
Journal of the American Medical Association
,
255
,
48
52
. 10.1001/jama.1986.03370010054024
Sibai, B. M., & Anderson, G. D. (
1986
).
Pregnancy Outcome of Intensive Therapy in Severe Hypertension in First Trimester
.
Obstetrics and Gynecology
,
67
,
517
522
Estimates of the Population of the United States, by Age, Sex, and Race: 1980 to 1986
. (
1987
).
Washington, DC
:
U.S. Bureau of the Census
Report of the Secretary’s Task Force on Black and Minority Health: Executive Summary
. (
1985
).
Washington, DC
:
U.S. Government Printing Office
The International Classification of Diseases (9th rev.), Clinical Modification
. (
1989
). 3rd ed.
Washington, DC
:
U.S. Government Printing Office
Wagenkneci, L. E., Roseman, J. M., & Alexander, W. J. (
1989
).
Epidemiology of IDDM in Black and White Children in Jefferson County, Alabama, 1979–1985
.
Diabetes
,
38
,
629
633
. 10.2337/diab.38.5.629
Welch, M. H. (
1982
).
Obstructive Diseases
. In Guenter, C. A., & Welch, M. H. (Eds.),
Pulmonary Medicine
(pp.
664
793
).
Philadelphia
:
Lippincott