The Epidemiology of Infant Mortality in the Greater Newark, New Jersey Area: A New Look at an Old Problem

Natalie E Roche1, Fatimah Abdul-Hakeem2, Amy L Davidow3

  • 1Department of Obstetrics, Gynecology and Women's Health, Rutgers New Jersey Medical School.

Insights

Infant mortality rates (IMR) vary significantly by zip code in Newark, New Jersey. Factors like race, poverty, and lack of prenatal care are linked to higher IMRs, highlighting disparities.

Area of Science:

  • Public Health
  • Epidemiology
  • Health Disparities

Background:

  • Infant mortality rate (IMR) is a critical indicator of national health.
  • In 2006, New Jersey's IMR was 5.5 deaths per 1,000 births, with significant racial disparities (4.4 for Caucasians vs. 11.5 for African Americans).
  • The 2020 U.S. Healthy People target for IMR is 6.0 deaths per 1,000 births.

Purpose of the Study:

  • To determine if infant mortality rates (IMRs) differ by zip code in the greater Newark region.
  • To identify maternal and infant characteristics associated with elevated IMRs.

Main Methods:

  • A descriptive study utilizing New Jersey Department of Health birth certificate data and U.S. Census data.
  • Analysis of IMRs by zip code and by maternal/infant characteristics within the greater Newark area.

Main Results:

  • Infant mortality rates varied significantly by zip code of residence in Newark.
  • Zip codes 07102 and 07105 exhibited the highest and lowest IMRs, respectively.
  • Maternal factors linked to high IMR included lack of prenatal care, single marital status, and non-Hispanic Black race. Low income and high poverty levels were also associated with increased IMRs.

Conclusions:

  • Race/ethnicity, marital status, and zip code significantly impact infant mortality.
  • Poverty and race/ethnicity are strongly associated with increased IMRs and correlate with specific zip codes.
Abstract

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