Joinpoint Trend Analysis of Infant Mortality Disparities in Wisconsin, 1999–2016.

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  • Additional Information
    • Affiliation:
      The authors are with University of Wisconsin Population Health Institute, Madison.
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Objectives. To address shortcomings of previous research exploring trends in racial, educational, and race by educational disparities in infant mortality rates (IMRs) by using nonlinear methods to compare improvement within and between disparity domains. Methods. We used joinpoint regression modeling to perform a cross-sectional analysis of IMR trends from linked birth and death certificates in Wisconsin between 1999 and 2016. Results. In the race and education domains, IMR decreased by 1.9% per year for infants of White mothers and 1.1% per year for infants of less-educated mothers. Further analysis showed these IMR reductions to be among infants of White mothers with more education (–0.6%/year) and Black mothers with less education (–2.0%/year). Conclusions. As previously reported, gaps in IMR by race and education in Wisconsin appear to be closing; however, only the change by education is statistically significant. Evidence suggests the racial divide in IMR might soon widen after years of progress in reducing IMR among infants of Black mothers. Public Health Implications. Those advancing strategies to address IMR disparities should pursue data and methods that provide the most accurate and refined information about the challenges that persist and progress that has been realized.
    • Journal Subset:
      Biomedical; Core Nursing; Double Blind Peer Reviewed; Nursing; Peer Reviewed; Public Health; USA
    • ISSN:
      0090-0036
    • MEDLINE Info:
      NLM UID: 1254074
    • Publication Date:
      20190415
    • Publication Date:
      20190417
    • Accession Number:
      http://dx.doi.org/10.2105/AJPH.2018.304945
    • Accession Number:
      135849097
  • Citations
    • ABNT:
      GENNUSO, K. P.; KINDIG, D. A.; GIVENS, M. L. Joinpoint Trend Analysis of Infant Mortality Disparities in Wisconsin, 1999–2016. American Journal of Public Health, [s. l.], v. 109, n. 5, p. 714–718, 2019. Disponível em: . Acesso em: 21 nov. 2019.
    • AMA:
      Gennuso KP, Kindig DA, Givens ML. Joinpoint Trend Analysis of Infant Mortality Disparities in Wisconsin, 1999–2016. American Journal of Public Health. 2019;109(5):714-718. doi:10.2105/AJPH.2018.304945.
    • APA:
      Gennuso, K. P., Kindig, D. A., & Givens, M. L. (2019). Joinpoint Trend Analysis of Infant Mortality Disparities in Wisconsin, 1999–2016. American Journal of Public Health, 109(5), 714–718. https://doi.org/10.2105/AJPH.2018.304945
    • Chicago/Turabian: Author-Date:
      Gennuso, Keith P., David A. Kindig, and Marjory L. Givens. 2019. “Joinpoint Trend Analysis of Infant Mortality Disparities in Wisconsin, 1999–2016.” American Journal of Public Health 109 (5): 714–18. doi:10.2105/AJPH.2018.304945.
    • Harvard:
      Gennuso, K. P., Kindig, D. A. and Givens, M. L. (2019) ‘Joinpoint Trend Analysis of Infant Mortality Disparities in Wisconsin, 1999–2016’, American Journal of Public Health, 109(5), pp. 714–718. doi: 10.2105/AJPH.2018.304945.
    • Harvard: Australian:
      Gennuso, KP, Kindig, DA & Givens, ML 2019, ‘Joinpoint Trend Analysis of Infant Mortality Disparities in Wisconsin, 1999–2016’, American Journal of Public Health, vol. 109, no. 5, pp. 714–718, viewed 21 November 2019, .
    • MLA:
      Gennuso, Keith P., et al. “Joinpoint Trend Analysis of Infant Mortality Disparities in Wisconsin, 1999–2016.” American Journal of Public Health, vol. 109, no. 5, May 2019, pp. 714–718. EBSCOhost, doi:10.2105/AJPH.2018.304945.
    • Chicago/Turabian: Humanities:
      Gennuso, Keith P., David A. Kindig, and Marjory L. Givens. “Joinpoint Trend Analysis of Infant Mortality Disparities in Wisconsin, 1999–2016.” American Journal of Public Health 109, no. 5 (May 2019): 714–18. doi:10.2105/AJPH.2018.304945.
    • Vancouver/ICMJE:
      Gennuso KP, Kindig DA, Givens ML. Joinpoint Trend Analysis of Infant Mortality Disparities in Wisconsin, 1999–2016. American Journal of Public Health [Internet]. 2019 May [cited 2019 Nov 21];109(5):714–8. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=135849097&custid=s6224580