Excess Infant Mortality Among Native Hawaiians: Identifying Determinants for Preventive Action.

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  • Source:
    American Journal of Public Health. Nov2013, Vol. 103 Issue 11, pe88-e95. 8p. 4 Charts.
  • Document Type:
    Article
  • Additional Information
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Objectives. We identified potential determinants and cause-specific sources of excess infant mortality among Native Hawaiians. Methods. We compared infant mortality rates among Native Hawaiians and Whites by using data from the 2002 to 2009 Hawaii State Linked Birth/Infant Death Cohort File. We evaluated the components of excess infant mortality by age and underlying cause of death as well as maternal sociodemographic, behavioral, and chronic condition disparities. Results. The Native Hawaiian infant mortality rate was more than twice that for Whites (7.9 vs 3.5/1000 live births). Excess Native Hawaiian infant mortality was equally apportioned to neonatal and postneonatal deaths. Preterm-related causes of death accounted for 43.9% of the infant mortality disparity, followed by sudden unexpected infant death (21.6%) and injury (5.6%). In multivariable models, maternal educational inequality accounted for the largest portion of the neonatal mortality disparity (20.9%); younger maternal age (12.2%) and smoking (9.5%) were the only significant contributors to the postneonatal mortality disparity. Conclusions. Addressing educational inequalities, promoting safe sleep practices, and reducing smoking among Native Hawaiian mothers would help to eliminate excess infant mortality. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
    • ISSN:
      0090-0036
    • Accession Number:
      10.2105/AJPH.2013.301294
    • Accession Number:
      90627274
  • Citations
    • ABNT:
      Excess Infant Mortality Among Native Hawaiians: Identifying Determinants for Preventive Action. American Journal of Public Health, [s. l.], v. 103, n. 11, p. e88–e95, 2013. DOI 10.2105/AJPH.2013.301294. Disponível em: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=heh&AN=90627274&authtype=sso&custid=s5834912. Acesso em: 9 ago. 2020.
    • AMA:
      Excess Infant Mortality Among Native Hawaiians: Identifying Determinants for Preventive Action. American Journal of Public Health. 2013;103(11):e88-e95. doi:10.2105/AJPH.2013.301294
    • APA:
      Excess Infant Mortality Among Native Hawaiians: Identifying Determinants for Preventive Action. (2013). American Journal of Public Health, 103(11), e88–e95. https://doi.org/10.2105/AJPH.2013.301294
    • Chicago/Turabian: Author-Date:
      “Excess Infant Mortality Among Native Hawaiians: Identifying Determinants for Preventive Action.” 2013. American Journal of Public Health 103 (11): e88–95. doi:10.2105/AJPH.2013.301294.
    • Harvard:
      ‘Excess Infant Mortality Among Native Hawaiians: Identifying Determinants for Preventive Action’ (2013) American Journal of Public Health, 103(11), pp. e88–e95. doi: 10.2105/AJPH.2013.301294.
    • Harvard: Australian:
      ‘Excess Infant Mortality Among Native Hawaiians: Identifying Determinants for Preventive Action’ 2013, American Journal of Public Health, vol. 103, no. 11, pp. e88–e95, viewed 9 August 2020, .
    • MLA:
      “Excess Infant Mortality Among Native Hawaiians: Identifying Determinants for Preventive Action.” American Journal of Public Health, vol. 103, no. 11, Nov. 2013, pp. e88–e95. EBSCOhost, doi:10.2105/AJPH.2013.301294.
    • Chicago/Turabian: Humanities:
      “Excess Infant Mortality Among Native Hawaiians: Identifying Determinants for Preventive Action.” American Journal of Public Health 103, no. 11 (November 2013): e88–95. doi:10.2105/AJPH.2013.301294.
    • Vancouver/ICMJE:
      Excess Infant Mortality Among Native Hawaiians: Identifying Determinants for Preventive Action. American Journal of Public Health [Internet]. 2013 Nov [cited 2020 Aug 9];103(11):e88–95. Available from: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=heh&AN=90627274&authtype=sso&custid=s5834912