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- Title
The Differential Effect of Traditional Risk Factors on Infant Birthweight among Blacks and Whites in Chicago.
- Authors
Collins Jr., James W.; David, Richard J.
- Abstract
Abstract: We analyzed 103,072 White and Black births in Chicago from the 1982 and 1983 Illinois vital records, using 1980 median family income of mother's census tract as an ecologic variable. Thirty-one percent of Blacks and 4 percent of Whites resided in census tracts with median family incomes < or equal to $10,000/year. Only 2 percent of Black mothers, compared to 16 percent of White mothers, lived in areas where the median family income was > $25,000/year. Among Blacks with incomes < or equal to $10,000/year, maternal age, education, and marital status had minimal predictive power on the incidence of low birthweight (LBW) infants. Among high-risk mothers in the poorest areas the proportion of LBW infants in Blacks and Whites was less divergent than in higher income areas. Independent of residential area, low-risk Whites had half the occurrence of LBW infants as Blacks. We conclude that the extremes of residential environments show dramatic racial disparity in prevalence, yet the few low-risk Blacks still do less well than low-risk Whites. Traditional risk factors do not completely explain racial differences in neonatal outcome. (Am J Public Health 1990; 80:679-681.)
- Subjects
ILLINOIS; BIRTH weight; NEWBORN infants; BLACK people; WHITE people; INCOME; MATERNAL age; MARITAL status; PUBLIC health
- Publication
American Journal of Public Health, 1990, Vol 80, Issue 6, p679
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.80.6.679