Black-white Differences in Infant Mortality in 38 Standard Metropolitan Statistical Areas

Am J Public Health. 1991 Nov;81(11):1480-2. doi: 10.2105/ajph.81.11.1480.


The Black-White difference in infant mortality rates for 1982 through 1986 in 38 large US standard metropolitan statistical areas (SMSAs) varied by a factor of almost seven. In multiple regression analyses the most important predictor of the Black-White difference in the 38 SMSAs was an index of Black-White residential dissimilarity (or "segregation index"), independent of Black-White differences in median family income and poverty prevalence. Certain SMSAs in California had relatively low segregation indexes and small Black-White differences in infant mortality, despite considerable Black-White differences in poverty prevalence. The explanations for the apparent effect of residential segregation should be explored.

Publication types

  • Comparative Study

MeSH terms

  • African Americans / statistics & numerical data*
  • Catchment Area, Health
  • European Continental Ancestry Group / statistics & numerical data*
  • Humans
  • Infant
  • Infant Mortality*
  • Infant, Newborn
  • Poverty Areas
  • Regression Analysis
  • Socioeconomic Factors
  • United States / epidemiology
  • Urban Health / statistics & numerical data*