Birth Weight and Infant Mortality in the Mexican Origin and Anglo Populations
In: Social science quarterly, Band 75, Heft 4, S. 881-895
ISSN: 0038-4941
Mexican- & Anglo-American infant mortality rates are nearing parity, despite the fact that the former population is characterized by higher fertility, younger age at first childbearing, less adequate prenatal care, & lower socioeconomic status. To determine whether this epidemiologic paradox can be accounted for in terms of birth weight distribution, standard decomposition techniques are applied to data from the San Antonio (TX) Metropolitan Health District over a 30-year period. The findings indicate that 20%-25% of the decline in infant mortality rates among Anglos are explained by improvements in birth weight composition, while none of the decline among Mexican Americans can be explained in this manner. When comparing the specific weights at which most births actually occur, however, it becomes clear that the enormous Mexican-American disadvantage so evident in 1953 had been dramatically reduced by 1983. Thus, while ethnic differentials in birth weight distribution fail to explain why infant mortality rates have now converged, changes in weight-specific risks do explain this convergence. 5 Tables, 31 References. Adapted from the source document.