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Infant mortality among ethnic immigrant groups.

J R Weeks1, R G Rumbaut

  • 1International Population Center, San Diego State University, CA 92182-0383.

Social Science & Medicine (1982)
|January 1, 1991
PubMed
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Infant mortality rates (IMRs) among Indochinese refugees in San Diego were surprisingly lower than for non-Hispanic Whites and Blacks. Targeted outreach could further reduce IMRs, particularly for Laotian refugee groups.

Area of Science:

  • Public Health
  • Demography
  • Epidemiology

Background:

  • The Indochinese refugee population is large, growing, and understudied regarding infant health.
  • This demographic exhibits high fertility, late prenatal care initiation, and low socioeconomic status, indicating a high-risk profile for infant mortality.
  • Existing research on infant health within this population is limited.

Purpose of the Study:

  • To calculate and compare infant mortality rates (IMRs) for Indochinese refugee groups (Vietnam, Laos, Cambodia) against other ethnic groups.
  • To identify specific refugee subgroups with distinct infant mortality patterns.
  • To suggest areas for intervention to further reduce infant mortality.

Main Methods:

  • Utilized linked birth and infant death records from the San Diego metropolitan area (1978-1985).

Related Experiment Videos

  • Calculated infant mortality rates (IMRs) for Indochinese refugees and compared them with non-Hispanic Whites, Blacks, and other Asian groups.
  • Controlled for key variables including birth weight and onset of prenatal care.
  • Main Results:

    • Indochinese refugees as a group demonstrated an IMR lower than non-Hispanic Whites and substantially lower than Blacks.
    • IMRs for Indochinese refugees were generally comparable to those of other Asian ethnic groups.
    • These findings remained consistent even after adjusting for birth weight and prenatal care timing.
    • Laotian refugee groups (Hmong and Lao) displayed a unique pattern of higher post-early neonatal mortality compared to early neonatal mortality.

    Conclusions:

    • The study surprisingly found lower infant mortality rates among Indochinese refugees than expected, challenging initial high-risk assumptions.
    • Findings suggest that socioeconomic factors and healthcare access may not be the sole determinants of infant mortality in this population.
    • Further community outreach programs, particularly targeting Laotian refugees and addressing post-early neonatal mortality, could lead to further reductions in infant mortality.