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Widening Socioeconomic Disparities in US Childhood Mortality, 1969–2000

Datos Bibliográficos

ID11037413
AutoresGopal K Singh (0000-0002-7820-0323, Gopal K. Singh and Michael D. Kogan are with the Maternal and Child Health Bureau, Health Resources and Services Administration, Rockville, Md.), Michael D Kogan (0000-0002-2068-1347, Gopal K. Singh and Michael D. Kogan are with the Maternal and Child Health Bureau, Health Resources and Services Administration, Rockville, Md.)
Año2007
Volumen97
Número9
Páginas1658-1665
Fecha de publicación2007-09-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaAmerican Journal of Public Health (JOURNAL)
Identificadores de la revistaISSN: 0090-0036 • E-ISSN: 1541-0048
EditorialAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2006.087320
PMID17666705
PMCIDPMC1963300
OpenAlexW1979135676
IdiomaEN
Citas recibidas23
Referencias citadas12

Objectives. We examined the extent to which area socioeconomic inequalities in overall and cause-specific mortality among US children aged 1–14 years changed between 1969 and 2000. Methods. We linked a census-based deprivation index to US county mortality data from 1969 to 2000. We used Poisson and log-linear regression and inequality indices to analyze temporal disparities. Results. Despite marked declines in child mortality, socioeconomic gradients (relative mortality risks) in overall child mortality increased substantially during the study period. During 1969–1971, children in the most deprived socioeconomic quintile had 52%, 13%, 69%, and 76% higher risks of all-cause, birth defect, unintentional injury, and homicide mortality, respectively, than did children in the least deprived socioeconomic quintile. The corresponding relative risks increased to 86%, 44%, 177%, 159%, respectively from 1998–2000. Conclusions. Dramatic reductions in mortality among children in all socioeconomic quintiles represent a major public health success. However, children in higher socioeconomic quintiles experienced much larger declines in overall, injury, and natural-cause mortality than did those in more deprived socioeconomic quintiles, which contributed to the widening socioeconomic gap in mortality. Widening disparities in child mortality may reflect increasing polarization among deprivation quintiles in material and social conditions

Environmental health · Population · Socioeconomic status · Sociology · Demography · Food Security and Health in Diverse Populations · Health disparities and outcomes · Injury Epidemiology and Prevention · Medicine

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Obras citantes distintas23
Citas por año1,35
Intervalo de citas2009 - 2021 (13)
Velocidad de citaciónhistorical
Altamente citadoNo
Tipos de citaNeutras: 22
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