You are not currently logged in.
Access JSTOR through your library or other institution:
If You Use a Screen ReaderThis content is available through Read Online (Free) program, which relies on page scans. Since scans are not currently available to screen readers, please contact JSTOR User Support for access. We'll provide a PDF copy for your screen reader.
Pediatric Paradox: Heterogeneity in the Birth Cohort
TIMOTHY B. GAGE, MICHAEL J. BAUER, NATHAN HEFFNER and HOWARD STRATTON
Vol. 76, No. 3 (June 2004), pp. 327-342
Published by: Wayne State University Press
Stable URL: http://www.jstor.org/stable/41466876
Page Count: 16
You can always find the topics here!Topics: Mortality, Infant mortality, African Americans, Birth weight, Paradoxes, Pediatrics, Infants, Low birth weight, Reproduction, Confidence interval
Were these topics helpful?See something inaccurate? Let us know!
Select the topics that are inaccurate.
Since scans are not currently available to screen readers, please contact JSTOR User Support for access. We'll provide a PDF copy for your screen reader.
Preview not available
Comparisons of birth-weight-specific infant mortality indicate that low-birth-weight African American infants have lower mortality than low-birth-weight European American infants despite higher infant mortality overall—the "pediatrie paradox." One explanation is heterogeneity in birth weight. Analyses of African American and European American births suggest that birth cohorts consist of two heterogeneous subpopulations. One appears to account for normal births, whereas the other may consist of compromised births. Estimates of infant mortality indicate that the compromised subpopulation has higher overall mortality but lower birth-weight-specific mortality. We attribute lower birth-weight-specific infant mortality in the compromised subpopulation to higher rates of fetal loss. Compared to European American birth cohorts, African American birth cohorts have (1) higher birth-weight-specific mortality in the normal subpopulation, (2) larger compromised subpopulations, and (3) lower birth-weight-specific mortality in the compromised subpopulation. Consequently, the pédiatrie paradox is attributable to greater rates of compromised pregnancies and higher fetal losses among African Americans.
Human Biology © 2004 Wayne State University Press