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Maternal marital status as a risk factor for infant mortality
T Bennett1, P Braveman, S Egerter
1Department of Maternal and Child Health, School of Public Health, University of North Carolina at Chapel Hill.
Summary
Single motherhood does not always increase infant mortality risk. For white mothers, risks are concentrated among younger, lower-risk groups, with no increased risk for college-educated women.
Area of Science:
- Sociology
- Public Health
- Demography
Background:
- Previous research suggests a link between single motherhood and increased infant mortality.
- The consistency and specific demographic factors influencing this risk require further investigation.
Purpose of the Study:
- To examine the relationship between maternal marital status and infant mortality across different social and demographic subgroups.
- To identify specific subgroups where the risk associated with single motherhood is more pronounced or mitigated.
Main Methods:
- Analysis of national linked birth and infant death files from 1983-1985.
- Statistical examination of interactions between maternal marital status and variables such as age, education, and prenatal care receipt.
Main Results:
- The association between single motherhood and infant mortality is not uniform across all subgroups.
- Among Black mothers, the risk increases with maternal age.
- Among White mothers, increased risks are observed in younger age groups (25-29 years) and those receiving prenatal care, but not among college-educated women.
Conclusions:
- The impact of single motherhood on infant mortality varies significantly by race, age, education, and prenatal care.
- Interventions and support should be tailored to specific subgroups, particularly considering age and educational attainment.
- The risk is not inevitable and can be influenced by socioeconomic and demographic factors.
Keywords:
Age FactorsAmericasBiologyBlacks--womenCorrelation StudiesCultural BackgroundDemographic FactorsDeveloped CountriesEconomic FactorsEthnic GroupsInfant Mortality--determinantsLogistic ModelMarital StatusMathematical ModelModels, TheoreticalMortalityNorth AmericaNorthern AmericaNuptialityPopulationPopulation CharacteristicsPopulation DynamicsRisk FactorsSocioeconomic FactorsStatistical StudiesStudiesUnited StatesWhites--women