TY - JOUR PY - 1998// TI - Decrease in infant mortality in New York City after 1989 JO - American journal of public health A1 - Kalter, H. D. A1 - Na, Y. A1 - O'Campo, P. SP - 816 EP - 820 VL - 88 IS - 5 N2 - OBJECTIVES: This study identified factors contributing to the rapid decline in infant mortality in New York City from 1989 to 1992. METHODS: Changes in birthweight distributions and in birthweight/age-, cause-, and birthweight/age/cause-specific mortality rates from 1988/89 (before the mortality reduction) to 1990/91 were identified from New York City vital statistics data. RESULTS: Infant, neonatal, and postneonatal mortality of very-low-birthweight (< 1500 g) and normal-birthweight infants decreased significantly. The declines were almost entirely due to decreases in birthweight-specific mortality rates, rather than increased birthweights. All races experienced most of these reductions. Mortality decreased significantly for 6 causes of death. These decreases were consistent with the birthweight/age groups experiencing mortality declines. CONCLUSIONS: Widespread, multiple perinatal and postnatal factors contributed to the decline in infant mortality.

Language: en

LA - en SN - 0090-0036 UR - http://dx.doi.org/ ID - ref1 ER -