Cargando…

Disparities in Neonatal Mortalities in the United States

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. Design/Method: We utilized the National Inpatient Sample (NIS) dataset over seven y...

Descripción completa

Detalles Bibliográficos
Autores principales: Qattea, Ibrahim, Burdjalov, Maria, Quatei, Amani, Agha, Khalil Tamr, Kteish, Rayan, Aly, Hany
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10453382/
https://www.ncbi.nlm.nih.gov/pubmed/37628385
http://dx.doi.org/10.3390/children10081386
_version_ 1785095923615924224
author Qattea, Ibrahim
Burdjalov, Maria
Quatei, Amani
Agha, Khalil Tamr
Kteish, Rayan
Aly, Hany
author_facet Qattea, Ibrahim
Burdjalov, Maria
Quatei, Amani
Agha, Khalil Tamr
Kteish, Rayan
Aly, Hany
author_sort Qattea, Ibrahim
collection PubMed
description 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. 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 nine U.S. Census Division regions. Results: Neonatal mortality continues to be higher in Black populations: 21,975 (0.63%) than in White populations: 35,495 (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, type of insurance, household income, and type of hospital, the mortality was consistently higher in Black groups throughout the study years. Conclusions: Disparities in neonatal mortality continue to be higher in Black populations; 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.
format Online
Article
Text
id pubmed-10453382
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-104533822023-08-26 Disparities in Neonatal Mortalities in the United States Qattea, Ibrahim Burdjalov, Maria Quatei, Amani Agha, Khalil Tamr Kteish, Rayan Aly, Hany Children (Basel) Article 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. 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 nine U.S. Census Division regions. Results: Neonatal mortality continues to be higher in Black populations: 21,975 (0.63%) than in White populations: 35,495 (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, type of insurance, household income, and type of hospital, the mortality was consistently higher in Black groups throughout the study years. Conclusions: Disparities in neonatal mortality continue to be higher in Black populations; 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. MDPI 2023-08-15 /pmc/articles/PMC10453382/ /pubmed/37628385 http://dx.doi.org/10.3390/children10081386 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Qattea, Ibrahim
Burdjalov, Maria
Quatei, Amani
Agha, Khalil Tamr
Kteish, Rayan
Aly, Hany
Disparities in Neonatal Mortalities in the United States
title Disparities in Neonatal Mortalities in the United States
title_full Disparities in Neonatal Mortalities in the United States
title_fullStr Disparities in Neonatal Mortalities in the United States
title_full_unstemmed Disparities in Neonatal Mortalities in the United States
title_short Disparities in Neonatal Mortalities in the United States
title_sort disparities in neonatal mortalities in the united states
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10453382/
https://www.ncbi.nlm.nih.gov/pubmed/37628385
http://dx.doi.org/10.3390/children10081386
work_keys_str_mv AT qatteaibrahim disparitiesinneonatalmortalitiesintheunitedstates
AT burdjalovmaria disparitiesinneonatalmortalitiesintheunitedstates
AT quateiamani disparitiesinneonatalmortalitiesintheunitedstates
AT aghakhaliltamr disparitiesinneonatalmortalitiesintheunitedstates
AT kteishrayan disparitiesinneonatalmortalitiesintheunitedstates
AT alyhany disparitiesinneonatalmortalitiesintheunitedstates