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. 1987 Mar-Apr;102(2):126–138.

Overview of the National Infant Mortality Surveillance (NIMS) project--design, methods, results.

C J Hogue, J W Buehler, L T Strauss, J C Smith
PMCID: PMC1477827  PMID: 3104969

Abstract

The recent slowdown in the decline of infant mortality in the United States and the continued high risk of death among black infants (twice that of white infants) prompted a consortium of Public Health Service agencies to collaborate with all States in the development of a national data base from linked birth and infant death certificates. This National Infant Mortality Surveillance (NIMS) project for the 1980 U.S. birth cohort provides neonatal, postneonatal, and infant mortality risks for blacks, whites, and all races in 12 categories of birth weights. (Note: Neonatal mortality risk = number of deaths to infants less than 28 days of life per 1,000 live births; postneonatal mortality risk = number of deaths to infants 28 days to less than 1 year of life per 1,000 neonatal survivors; and infant mortality risk = number of deaths to infants less than 1 year of life per 1,000 live births.) Separate tabulations were requested for infants born in single and multiple deliveries. For single-delivery births, tabulations included birth weight, age at death, race of infant, and each of these characteristics: infant's live-birth order, sex, gestation, type of delivery, and cause of death; and mother's age, education, prenatal care history, and number of prior fetal losses at 20 weeks' or more gestation. An estimated 95 percent of eligible deaths were included in the NIMS tabulations. The analyses focus on three components of infant mortality: birth weight distribution of live births, neonatal mortality, and postneonatal mortality. The most important predictor for infant survival was birth weight, with an exponential improvement in survival by increasing birth weight to its optimum level. The nearly twofold higher risk of infant mortality among blacks was related to a higher prevalence of low birth weights and to higher mortality risks in the neonatal period for infants weighing 3,000 grams or more, and in the postneonatal period for all infants, regardless of birth weight. Regardless of other infant or maternal risk factors, the black-white gap persisted for infants weighing 2,500 grams or more.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alexander G. R., Tompkins M. E., Altekruse J. M., Hornung C. A. Racial differences in the relation of birth weight and gestational age to neonatal mortality. Public Health Rep. 1985 Sep-Oct;100(5):539–547. [PMC free article] [PubMed] [Google Scholar]
  2. Allen D. M., Buehler J. W., Hogue C. J., Strauss L. T., Smith J. C. Regional differences in birth weight-specific infant mortality, United States, 1980. Public Health Rep. 1987 Mar-Apr;102(2):138–145. [PMC free article] [PubMed] [Google Scholar]
  3. Berry R. J., Buehler J. W., Strauss L. T., Hogue C. J., Smith J. C. Birth weight-specific infant mortality due to congenital anomalies, 1960 and 1980. Public Health Rep. 1987 Mar-Apr;102(2):171–181. [PMC free article] [PubMed] [Google Scholar]
  4. Binkin N. J., Williams R. L., Hogue C. J., Chen P. M. Reducing black neonatal mortality. Will improvement in birth weight be enough? JAMA. 1985 Jan 18;253(3):372–375. doi: 10.1001/jama.253.3.372. [DOI] [PubMed] [Google Scholar]
  5. Buehler J. W., Kleinman J. C., Hogue C. J., Strauss L. T., Smith J. C. Birth weight-specific infant mortality, United States, 1960 and 1980. Public Health Rep. 1987 Mar-Apr;102(2):151–161. [PMC free article] [PubMed] [Google Scholar]
  6. Buehler J. W., Strauss L. T., Hogue C. J., Smith J. C. Birth weight-specific causes of infant mortality, United States, 1980. Public Health Rep. 1987 Mar-Apr;102(2):162–171. [PMC free article] [PubMed] [Google Scholar]
  7. David R. J., Siegel E. Decline in neonatal mortality, 1968 to 1977: better babies or better care? Pediatrics. 1983 Apr;71(4):531–540. [PubMed] [Google Scholar]
  8. Erickson J. D., Bjerkedal T. Fetal and infant mortality in Norway and the United States. JAMA. 1982 Feb 19;247(7):987–991. [PubMed] [Google Scholar]
  9. Friede A., Baldwin W., Rhodes P. H., Buehler J. W., Strauss L. T., Smith J. C., Hogue C. J. Young maternal age and infant mortality: the role of low birth weight. Public Health Rep. 1987 Mar-Apr;102(2):192–199. [PMC free article] [PubMed] [Google Scholar]
  10. Frost F., Shy K. K. Racial differences between linked birth and infant death records in Washington State. Am J Public Health. 1980 Sep;70(9):974–976. doi: 10.2105/ajph.70.9.974. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Gee S. C., Lee E. S., Forthofer R. N. Ethnic differentials in neonatal and postneonatal mortality: a birth cohort analysis by a binary variable multiple regression method. Soc Biol. 1976 Winter;23(4):317–325. doi: 10.1080/19485565.1976.9988246. [DOI] [PubMed] [Google Scholar]
  12. Giachello A. L., Bell R., Aday L. A., Andersen R. M. Uses of the 1980 census for Hispanic health services research. Am J Public Health. 1983 Mar;73(3):266–274. doi: 10.2105/ajph.73.3.266. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Guyer B., Wallach L. A., Rosen S. L. Birth-weight-standardized neonatal mortality rates and the prevention of low birth weight: how does Massachusetts compare with Sweden? N Engl J Med. 1982 May 20;306(20):1230–1233. doi: 10.1056/NEJM198205203062011. [DOI] [PubMed] [Google Scholar]
  14. Hayes-Bautista D. E. On comparing studies of different Raza populations. Am J Public Health. 1983 Mar;73(3):274–276. doi: 10.2105/ajph.73.3.274. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Kleinman J. C., Kovar M. G., Feldman J. J., Young C. A. A comparison of 1960 and 1973--1974 early neonatal mortality in selected states. Am J Epidemiol. 1978 Dec;108(6):454–469. doi: 10.1093/oxfordjournals.aje.a112644. [DOI] [PubMed] [Google Scholar]
  16. Lambert D. A., Strauss L. T. Analysis of unlinked infant death certificates from the NIMS project. Public Health Rep. 1987 Mar-Apr;102(2):200–204. [PMC free article] [PubMed] [Google Scholar]
  17. Lee K. S., Paneth N., Gartner L. M., Pearlman M. A., Gruss L. Neonatal mortality: an analysis of the recent improvement in the United States. Am J Public Health. 1980 Jan;70(1):15–21. doi: 10.2105/ajph.70.1.15. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Lee K. S., Paneth N., Gartner L. M., Pearlman M. The very low-birth-weight rate: Principal predictor of neonatal mortality in industrialized populations. J Pediatr. 1980 Nov;97(5):759–764. doi: 10.1016/s0022-3476(80)80259-9. [DOI] [PubMed] [Google Scholar]
  19. Marks J. S., Buehler J. W., Strauss L. T., Hogue C. J., Smith J. C. Variation in state-specific infant mortality risks. Public Health Rep. 1987 Mar-Apr;102(2):146–151. [PMC free article] [PubMed] [Google Scholar]
  20. Prager K., Flinchum G. A., Johnson D. P. The NCHS pilot project to link birth and infant death records: stage 1. Public Health Rep. 1987 Mar-Apr;102(2):216–223. [PMC free article] [PubMed] [Google Scholar]
  21. Sappenfield W. M., Buehler J. W., Binkin N. J., Hogue C. J., Strauss L. T., Smith J. C. Differences in neonatal and postneonatal mortality by race, birth weight, and gestational age. Public Health Rep. 1987 Mar-Apr;102(2):182–192. [PMC free article] [PubMed] [Google Scholar]
  22. Strauss L. T., Freedman M. A., Gunter N., Powell-Griner E., Smith J. C. Experiences with linked birth and infant death certificates from the NIMS project. Public Health Rep. 1987 Mar-Apr;102(2):204–210. [PMC free article] [PubMed] [Google Scholar]
  23. Williams R. L., Binkin N. J., Clingman E. J. Pregnancy outcomes among Spanish-surname women in California. Am J Public Health. 1986 Apr;76(4):387–391. doi: 10.2105/ajph.76.4.387. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Williams R. L., Chen P. M. Identifying the sources of the recent decline in perinatal mortality rates in California. N Engl J Med. 1982 Jan 28;306(4):207–214. doi: 10.1056/NEJM198201283060404. [DOI] [PubMed] [Google Scholar]
  25. Wilson A. L., Fenton L. J., Munson D. P. State reporting of live births of newborns weighing less than 500 grams: impact on neonatal mortality rates. Pediatrics. 1986 Nov;78(5):850–854. [PubMed] [Google Scholar]
  26. Zahniser C., Halpin G., Hollinshead W., Kessel S., Koontz A. Using linked birth and infant death files for program planning and evaluation: NIMS workshop lessons. Public Health Rep. 1987 Mar-Apr;102(2):211–216. [PMC free article] [PubMed] [Google Scholar]
  27. Zdeb M. S. Differences in trends of postneonatal mortality by birthweight in upstate New York, 1968-1979. Am J Public Health. 1982 Jul;72(7):734–736. doi: 10.2105/ajph.72.7.734. [DOI] [PMC free article] [PubMed] [Google Scholar]

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