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. 2013 Dec;103(12):2234–2244. doi: 10.2105/AJPH.2013.301350

TABLE 1—

US Black and White Infant Death Rates and Jim Crow Cohort Effects, by Jim Crow Polity: 1960–2006

Jim Crow Polity
Non–Jim Crow Polity
Cohort-Specific Jim Crow Effect
Type of Effect Deaths Person-Years Rate per 1000 (95% CI) Deaths Person-Years Rate per 1000 (95% CI) No State or County Effects, IRR (95% CI) Random State Intercepts, IRR (95% CI) Random State Intercepts + Random State by Cohort Interactions, IRR (95% CI) Random State Intercepts and Random State by Cohort Interactions + County Random Effects, IRR (95% CI) Random State Intercepts and Random State by Cohort Interactions + County Random Effects + County Income, IRR (95% CI)
Black
Cohort effects
 1960–1964 86 234 1 757 858 49.1 (48.7, 49.4) 49 436 1 196 569 41.3 (41.0, 41.7) 1.19 (1.18, 1.20) 1.21 (1.08, 1.36) 1.11 (0.98, 1.26) 1.13 (1.00, 1.27) 1.08 (0.97, 1.22)
 1965–1969 63 464 1 509 532 42.0 (41.7, 42.4) 45 567 1 154 192 39.5 (39.1, 39.8) 1.07 (1.05, 1.08) 1.09 (0.97, 1.22) 0.90 (0.80, 1.03) 0.92 (0.82, 1.04) 0.89 (0.79, 1.00)
 1970–1974 44 501 1 353 443 32.9 (32.6, 33.2) 35 050 1 078 782 32.5 (32.2, 32.8) 1.01 (1.00, 1.03) 1.03 (0.92, 1.16) 1.09 (0.96, 1.25) 1.09 (0.96, 1.23) 1.05 (0.93, 1.19)
 1975–1979 36 463 1 319 503 27.6 (27.4, 27.9) 28 284 1 028 877 27.5 (27.2, 27.8) 1.01 (0.99, 1.02) 1.03 (0.91, 1.16) 1.13 (0.99, 1.30) 1.13 (0.99, 1.27) 1.09 (0.97, 1.23)
 1980–1984 32 107 1 456 421 22.0 (21.8, 22.3) 26 018 1 115 331 23.3 (23.0, 23.6) 0.95 (0.93, 0.96) 0.97 (0.86, 1.08) 1.02 (0.89, 1.17) 1.02 (0.90, 1.15) 0.99 (0.88, 1.12)
 1985–1989 30 752 1 526 045 20.2 (19.9, 20.4) 27 343 1 212 897 22.5 (22.3, 22.8) 0.89 (0.88, 0.91) 0.91 (0.81, 1.02) 1.04 (0.91, 1.19) 1.03 (0.91, 1.16) 1.00 (0.89, 1.13)
 1990–1994 29 592 1 717 586 17.2 (17.0, 17.4) 26 998 1 443 682 18.7 (18.5, 18.9) 0.92 (0.91, 0.94) 0.94 (0.83, 1.05) 1.04 (0.91, 1.18) 1.01 (0.89, 1.15) 0.99 (0.87, 1.12)
 1995–1999 24 388 1 640 890 14.9 (14.7, 15.0) 19 504 1 303 910 15.0 (14.7, 15.2) 0.99 (0.98, 1.01) 1.01 (0.90, 1.14) 1.13 (0.99, 1.29) 1.10 (0.97, 1.25) 1.08 (0.95, 1.22)
 2000–2004 24 996 1 830 446 13.7 (13.5, 13.8) 17 693 1 420 818 12.5 (12.3, 12.6) 1.10 (1.08, 1.12) 1.11 (0.99, 1.25) 1.27 (1.11, 1.45) 1.23 (1.09, 1.39) 1.21 (1.07, 1.36)
 2005–2006 10 482 802 087 13.1 (12.8, 13.3) 7 071 584 501 12.1 (11.8, 12.4) 1.08 (1.05, 1.11) 1.10 (0.97, 1.23) 1.26 (1.09, 1.45) 1.23 (1.08, 1.40) 1.21 (1.06, 1.37)
P for Jim Crow by cohort effect < .001 < .001 .003 .003 .001
State-level random effect 0.0426 (0.0097) 0.0103 (0.0037) 0.0083 (0.0038) 0.0075 (0.0035)
State by cohort interaction random effect 0.0379 (0.0034) 0.0290 (0.0027) 0.0287 (0.0027)
County random effect 0.0663 (0.0033) 0.0645 (0.0033)
County income quintile fixed effect
 Q1 (lowest) 1.13 (1.11, 1.16)
 Q2 1.15 (1.13, 1.18)
 Q3 1.10 (1.08, 1.12)
 Q4 1.07 (1.06, 1.09)
 Q5 (highest; Ref) 1.00
White
Cohort effects
 1960–1964 137 655 5 549 933 24.8 (24.7, 24.9) 247 872 11 397 912 21.7 (21.7, 21.8) 1.14 (1.13, 1.15) 1.18 (1.09, 1.29) 1.15 (1.07, 1.24) 1.13 (1.07, 1.21) 1.15 (1.08, 1.22)
 1965–1969 103 755 5 050 307 20.5 (20.4, 20.7) 193 735 10 466 009 18.5 (18.4, 18.6) 1.11 (1.10, 1.12) 1.16 (1.06, 1.26) 1.15 (1.07, 1.25) 1.14 (1.08, 1.22) 1.16 (1.09, 1.23)
 1970–1974 85 102 4 890 928 17.4 (17.3, 17.5) 141 564 9 330 582 15.2 (15.1, 15.3) 1.15 (1.14, 1.16) 1.20 (1.10, 1.30) 1.13 (1.05, 1.23) 1.13 (1.06, 1.20) 1.14 (1.07, 1.21)
 1975–1979 63 672 4 764 425 13.4 (13.3, 13.5) 104 154 8 318 181 12.5 (12.4, 12.6) 1.07 (1.06, 1.08) 1.11 (1.02, 1.21) 1.10 (1.02, 1.19) 1.09 (1.03, 1.16) 1.11 (1.04, 1.18)
 1980–1984 56 974 5 219 053 10.9 (10.8, 11.0) 90 952 8 775 090 10.4 (10.3, 10.4) 1.05 (1.04, 1.06) 1.10 (1.01, 1.20) 1.08 (1.00, 1.17) 1.08 (1.01, 1.15) 1.09 (1.02, 1.16)
 1985–1989 50 667 5 523 983 9.2 (9.1, 9.3) 81 290 9 090 874 8.9 (8.9, 9.0) 1.03 (1.01, 1.04) 1.07 (0.98, 1.17) 1.10 (1.02, 1.19) 1.10 (1.03, 1.17) 1.11 (1.04, 1.18)
 1990–1994 43 175 5 809 313 7.4 (7.4, 7.5) 69 530 9 718 433 7.2 (7.1, 7.2) 1.04 (1.03, 1.05) 1.09 (0.99, 1.18) 1.11 (1.03, 1.20) 1.11 (1.04, 1.18) 1.12 (1.05, 1.19)
 1995–1999 38 304 5 866 374 6.5 (6.5, 6.6) 55 114 9 019 432 6.1 (6.1, 6.2) 1.07 (1.05, 1.08) 1.12 (1.02, 1.22) 1.13 (1.04, 1.22) 1.13 (1.06, 1.20) 1.14 (1.07, 1.21)
 2000–2004 39 635 6 371 746 6.2 (6.2, 6.3) 51 504 9 169 004 5.6 (5.6, 5.7) 1.11 (1.09, 1.12) 1.16 (1.06, 1.26) 1.17 (1.08, 1.27) 1.17 (1.10, 1.25) 1.19 (1.11, 1.27)
 2005–2006 16 716 2 683 092 6.2 (6.1, 6.3) 20 201 3 697 683 5.5 (5.4, 5.5) 1.14 (1.12, 1.16) 1.19 (1.09, 1.30) 1.21 (1.11, 1.31) 1.21 (1.13, 1.29) 1.22 (1.14, 1.31)
P for Jim Crow by cohort effect < .001 < .001 .143 .114 .111
State-level random effect 0.0244 (0.0050) 0.0114 (0.0026) 0.0028 (0.0011) 0.0028 (0.0011)
State by cohort interaction random effect 0.0078 (0.0006) 0.0079 (0.0006) 0.0080 (0.0007)
County random effect 0.0368 (0.0012) 0.0370 (0.0012)
County income quintile fixed effect
 Q1 (lowest) 0.98 (0.97, 0.99)
 Q2 1.02 (1.01, 1.03)
 Q3 0.99 (0.98, 1.00)
 Q4 1.02 (1.02, 1.03)
 Q5 (highest; Ref) 1.00

Note. CI = confidence interval; IRR = incidence rate ratio.