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Racial and socioeconomic differentia...
~
Hillemeier, Marianne Messersmith.
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Racial and socioeconomic differentials in childhood mortality in the United States, 1980--1990.
紀錄類型:
書目-電子資源 : Monograph/item
正題名/作者:
Racial and socioeconomic differentials in childhood mortality in the United States, 1980--1990./
作者:
Hillemeier, Marianne Messersmith.
面頁冊數:
250 p.
附註:
Source: Dissertation Abstracts International, Volume: 59-02, Section: A, page: 0627.
Contained By:
Dissertation Abstracts International59-02A.
標題:
Sociology, Ethnic and Racial Studies. -
電子資源:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9825248
ISBN:
0591771217
Racial and socioeconomic differentials in childhood mortality in the United States, 1980--1990.
Hillemeier, Marianne Messersmith.
Racial and socioeconomic differentials in childhood mortality in the United States, 1980--1990.
- 250 p.
Source: Dissertation Abstracts International, Volume: 59-02, Section: A, page: 0627.
Thesis (Ph.D.)--University of Michigan, 1998.
Black/white mortality disparities increased among children of all ages over the 1980s, with the most dramatic changes occurring among older teenagers. By 1990, nearly half of black childhood deaths were excessive relative to expected deaths based on white rates. Black childhood mortality disadvantage existed in every region of the country, however the largest disparities were seen in the Northeast and Midwest.
ISBN: 0591771217Subjects--Topical Terms:
1017474
Sociology, Ethnic and Racial Studies.
Racial and socioeconomic differentials in childhood mortality in the United States, 1980--1990.
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Source: Dissertation Abstracts International, Volume: 59-02, Section: A, page: 0627.
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Co-Chairs: Arline T. Geronimus; Barbara Anderson.
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Black/white mortality disparities increased among children of all ages over the 1980s, with the most dramatic changes occurring among older teenagers. By 1990, nearly half of black childhood deaths were excessive relative to expected deaths based on white rates. Black childhood mortality disadvantage existed in every region of the country, however the largest disparities were seen in the Northeast and Midwest.
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In three urban study areas, black children's ranking on economic characteristics corresponded directly to their mortality rates: Chicago black children were the most impoverished and had the highest mortality rates; those in New York City were relatively well-off both financially and in terms of mortality risk; and Detroit area children were intermediate in economic status and in mortality experience. Logistic regression analyses showed that income of the residential neighborhood was inversely related to childhood mortality in each area. Once income was taken into account, the race differential was consistently reduced and often became insignificant, suggesting that much of the elevated mortality risk suffered by black children was explained by socioeconomic disadvantage. Positive race and income interactions were found, indicating that black children living in more income-rich areas did not enjoy the same favorable reduction in mortality risk that was seen among white children living in similar areas.
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Cause-of-death analyses revealed that homicide was a chief contributor to increasing mortality gaps at most childhood ages over the 1980s, however other disease-related and external causes also differentially claimed the lives of black children.
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Analyses of hospital discharge data indicated that black children were at increased risk of experiencing preventable hospitalizations, suggesting they had differentially reduced access to appropriate ambulatory care. Differentially lower income contributed to black children's access disadvantage, however black race remained a significant predictor of preventable hospitalization even after income had been taken into account.
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Synthesizing literature on racial and socioeconomic health differentials and the determinants of childhood well-being, a conceptual framework through which to understand mortality differentials and trends among U.S. black and white children is developed.
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http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9825248
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