Qattea, I.; Burdjalov, M.; Quatei, A.; Agha, K.T.; Kteish, R.; Aly, H. Disparities in Neonatal Mortalities in the United States. Children2023, 10, 1386.
Qattea, I.; Burdjalov, M.; Quatei, A.; Agha, K.T.; Kteish, R.; Aly, H. Disparities in Neonatal Mortalities in the United States. Children 2023, 10, 1386.
Qattea, I.; Burdjalov, M.; Quatei, A.; Agha, K.T.; Kteish, R.; Aly, H. Disparities in Neonatal Mortalities in the United States. Children2023, 10, 1386.
Qattea, I.; Burdjalov, M.; Quatei, A.; Agha, K.T.; Kteish, R.; Aly, H. Disparities in Neonatal Mortalities in the United States. Children 2023, 10, 1386.
Abstract
Abstract:
Objective: We aimed to look for the mortality of Black and White Neonates and compare the Black and White neonates' mortalities after stratifying the population by many significant epidemiologic and hospital factors. We utilized the National Inpatient Sample (NIS) dataset over seven years from 2012 through 2018 for all neonates ≤ 28 days of age in all hospitals in the USA.
Design/Method: We utilized the National Inpatient Sample (NIS) dataset over seven years from 2012 through 2018 for all neonates ≤ 28 days of age in all hospitals in the USA. Neonatal characteristics used in the analysis included ethnicity, sex, household income, and type of healthcare insurance. Hospital characteristics were urban teaching, urban non-teaching, and rural. Hospital location was classified according to the 9 U.S. Census Division regions.
Results: Neonatal mortality continues to be higher in Black: 21,975 (0.63%) and in White was: 35495 (0.28%), Government-supported health insurance was significantly more among Black populations when compared to White (68.8% vs. 35.3% p<0.001). Household income differed significantly; almost half (49.8%) of the Black population has income ≤ 25th percentile vs. 22.1% in White. There was a significant variation in mortality in different U.S. locations. In the Black population, the highest mortality was in the West North Central division (0.72%), and the lower mortality was in the New England division (0.51%), whereas in the White population, the highest mortality was in the East South-Central division (0.36%), and the lowest mortality was in the New England division (0.21%).
Trend analysis showed a significant decrease in mortality in Black and White populations over the years, but when stratifying the population by sex, types of insurance, the household income, the type of hospitals, the mortality was consistently higher in Black groups throughout the study years,
Conclusions: Disparities in neonatal mortality continue to be higher in Black; There was a significant variation in mortality in different U.S. locations. In the Black population, the highest mortality was in the West North Central division, and the lower mortality was in the New England division, whereas in the White population, the highest mortality was in the East South-Central division, and the lowest mortality was in the New England division.
There has been a significant decrease in mortality in Black and White populations over the years, but when stratifying the population by many significant epidemiologic and hospital factors, the mortality was consistently higher in Black groups throughout the study years.
Public Health and Healthcare, Public Health and Health Services
Copyright:
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