Details:

Personal Author:
Driscoll, Anne K. ; Ely, Danielle M.
Driscoll, Anne K. ; Ely, Danielle M. Less -
Corporate Authors:
National Center for Health Statistics (U.S.). Division of Vital Statistics.
Description:
Objective—This report compares trends in infant mortality rates in Appalachia and the Delta with the rest of the United States and assesses the role of maternal demographic changes in these rates between 1995–1996 and 2017–2018.

Methods—The analyses used 1995–2018 linked birth/infant death data from the National Vital Statistics System. Infant mortality rates in Appalachia and the Delta from 1995–1996 through 2017–2018 were compared with the rest of the United States, as were age and race and Hispanic origin distributions of women giving birth in 1995–1996 and 2017–2018. Decomposition analysis was used to estimate the proportion of the change in overall infant mortality rates due to changes in each region in maternal age and race and Hispanic origin distributions and in age- and race-specific mortality rates.

Results—From 1995–1996 through 2017–2018, Appalachia and the Delta consistently had higher infant mortality rates than the rest of the United States. Rates declined 20% in Appalachia and 23% in both the Delta and the rest of the United States from 1995–1996 through 2017–2018. Changes in maternal age distributions accounted for about one-fifth of the decline in infant mortality rates in all three regions; changes in maternal age-specific infant mortality rates accounted for the balance of the decline. Changes in the race and Hispanic origin distributions alone did not account for any of the decline in infant mortality rates in Appalachia or the rest of the United States but accounted for 8.6% of the decline in the Delta; changes in race-specific mortality rates accounted for all of the balance of the declines in infant mortality rates in each region.

Conclusion—Infant survival improved in Appalachia, the Delta, and the rest of the United States from 1995–1996 through 2017–2018. Nevertheless, infant mortality rates in both regions remain higher than in the rest of the United States.

CS323804

Suggested citation: Driscoll AK, Ely DM. Declines in infant mortality in Appalachia and the Delta, 1995–1996 through 2017–2018. National Vital Statistics Reports; vol 70 no 6. Hyattsville, MD: National Center for Health Statistics. 2021. DOI: https://doi.org/10.15620/cdc:104994.

nvsr70-06-508.pdf


Subjects:
[+]
Infant Mortality
Series:
National vital statistics reports ; v. 70, no. 6
Document Type:
Journal Issue
Name as Subject:
National Vital Statistics System (U.S.) ; National Vital Statistics System (U.S.)
National Vital Statistics System (U.S.) ; National Vital Statistics System (U.S.) Less -
Genre:
Statistics
Place as Subject:
Appalachian Region ; Mississippi
Appalachian Region ; Mississippi Less -
Collection(s):
Stephen B. Thacker CDC Library collection
Main Document Checksum:
[+]
urn:sha256:f489a94ad0f79bce607c87cbe0fa439e0147e6e0cb96bdb0da36cf6e04c2c679
Download URL:
https://stacks.cdc.gov/view/cdc/104994/cdc_104994_DS1.pdf
File Type:

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