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. 1997 Feb;87(2):192–198. doi: 10.2105/ajph.87.2.192

Infectious disease mortality among infants in the United States, 1983 through 1987.

J S Read 1, J F Troendle 1, M A Klebanoff 1
PMCID: PMC1380793  PMID: 9103096

Abstract

OBJECTIVE: The purpose of this study was to determine the relative importance of infectious disease as a cause of infant mortality in the United States and to identify characteristics at birth associated with subsequent infectious disease mortality. METHODS: Birth and infant death certificate data from the National Center for Health Statistics (NCHS) 1983 through 1987 Linked Birth/ Infant Death Data Sets were analyzed. RESULTS: Infection was the underlying cause of death for over 16000 infants, representing the fourth leading cause of mortality in this cohort. Almost 90% of infectious disease deaths during infancy were due to noncongenital infections, and the majority of these deaths occurred during the postneonatal period. Low birthweight, preterm birth, and male gender were independently associated with postneonatal mortality due to noncongenital infection. CONCLUSIONS: NCHS should revise its classification system for causes of infant mortality to incorporate an "Infectious Diseases" category. Future research should be directed toward clarifying the low birthweight-infectious disease mortality relationship and determining the degree to which infection-related infant deaths might be prevented by existing vaccines or improved access to health care.

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Selected References

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  1. Adams M. M., Rhodes P. H., McCarthy B. J. Postneonatal deaths from infections and injuries: race, maternal risk, and age at death. Am J Prev Med. 1991 May-Jun;7(3):166–171. [PubMed] [Google Scholar]
  2. Barros F. C., Victora C. G., Vaughan J. P., Teixeira A. M., Ashworth A. Infant mortality in southern Brazil: a population based study of causes of death. Arch Dis Child. 1987 May;62(5):487–490. doi: 10.1136/adc.62.5.487. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Druschel C. M., Hale C. B. Postneonatal mortality among normal birth weight infants in Alabama, 1980 to 1983. Pediatrics. 1987 Dec;80(6):869–872. [PubMed] [Google Scholar]
  4. Garber R. M., Carroll-Pankhurst C., Woods-Erwin K., Mortimer E. A., Jr The university/public health link in reducing infant mortality in a high-risk population. Am J Prev Med. 1995 May-Jun;11(3 Suppl):34–38. [PubMed] [Google Scholar]
  5. Gibson J. J., Alexander G. R. Correlates of infant death from infectious diarrhea in the southeastern United States. South Med J. 1985 Jan;78(1):26–30. doi: 10.1097/00007611-198501000-00007. [DOI] [PubMed] [Google Scholar]
  6. Gittelsohn A., Senning J. Studies on the reliability of vital and health records: I. Comparison of cause of death and hospital record diagnoses. Am J Public Health. 1979 Jul;69(7):680–689. doi: 10.2105/ajph.69.7.680. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Gordon R. R., Sunderland R. Maternal age, illegitimacy, and postneonatal mortality. BMJ. 1988 Sep 24;297(6651):774–774. doi: 10.1136/bmj.297.6651.774. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Gortmaker S. L. Poverty and infant mortality in the United States. Am Sociol Rev. 1979 Apr;44(2):280–297. [PubMed] [Google Scholar]
  9. Ho M. S., Glass R. I., Pinsky P. F., Young-Okoh N. C., Sappenfield W. M., Buehler J. W., Gunter N., Anderson L. J. Diarrheal deaths in American children. Are they preventable? JAMA. 1988 Dec 9;260(22):3281–3285. [PubMed] [Google Scholar]
  10. Morris N. M., Udry J. R., Chase C. L. Shifting age-parity distribution of births and the decrease in infant mortality. Am J Public Health. 1975 Apr;65(4):359–362. doi: 10.2105/ajph.65.4.359. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Myerberg D. Z., Carpenter R. G., Myerberg C. F., Britton C. M., Bailey C. W., Fink B. E. Reducing postneonatal mortality in West Virginia: a statewide intervention program targeting risk identified at and after birth. Am J Public Health. 1995 May;85(5):631–637. doi: 10.2105/ajph.85.5.631. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Read J. S., Clemens J. D., Klebanoff M. A. Moderate low birth weight and infectious disease mortality during infancy and childhood. Am J Epidemiol. 1994 Oct 15;140(8):721–733. doi: 10.1093/oxfordjournals.aje.a117320. [DOI] [PubMed] [Google Scholar]
  13. Schoendorf K. C., Adams W. G., Kiely J. L., Wenger J. D. National trends in Haemophilus influenzae meningitis mortality and hospitalization among children, 1980 through 1991. Pediatrics. 1994 Apr;93(4):663–668. [PubMed] [Google Scholar]
  14. Shapiro S., McCormick M. C., Starfield B. H., Krischer J. P., Bross D. Relevance of correlates of infant deaths for significant morbidity at 1 year of age. Am J Obstet Gynecol. 1980 Feb 1;136(3):363–373. doi: 10.1016/0002-9378(80)90863-7. [DOI] [PubMed] [Google Scholar]
  15. Singh G. K., Yu S. M. Infant mortality in the United States: trends, differentials, and projections, 1950 through 2010. Am J Public Health. 1995 Jul;85(7):957–964. doi: 10.2105/ajph.85.7.957. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Victora C. G., Smith P. G., Barros F. C., Vaughan J. P., Fuchs S. C. Risk factors for deaths due to respiratory infections among Brazilian infants. Int J Epidemiol. 1989 Dec;18(4):918–925. doi: 10.1093/ije/18.4.918. [DOI] [PubMed] [Google Scholar]
  17. Victora C. G., Smith P. G., Vaughan J. P., Nobre L. C., Lombardi C., Teixeira A. M., Fuchs S. M., Moreira L. B., Gigante L. P., Barros F. C. Influence of birth weight on mortality from infectious diseases: a case-control study. Pediatrics. 1988 Jun;81(6):807–811. [PubMed] [Google Scholar]

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