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Jaime C. Slaughter, MPH Marianne E. Zotti, DrPH, RN

Infant mortality, Perinatal Periods of Risk, and racial disparities in the Jackson Metropolitan Area. Jaime C. Slaughter, MPH Marianne E. Zotti, DrPH, RN. Infant Mortality Rate 1997-1999. Perinatal Periods of Risk (PPOR) 5 Major Steps:.

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Jaime C. Slaughter, MPH Marianne E. Zotti, DrPH, RN

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  1. Infant mortality, Perinatal Periods of Risk, and racial disparities in the Jackson Metropolitan Area Jaime C. Slaughter, MPH Marianne E. Zotti, DrPH, RN

  2. Infant Mortality Rate 1997-1999

  3. Perinatal Periods of Risk (PPOR)5 Major Steps: • Engage community partners early to gain consensus and support. • Map feto-infant mortality by birthweight & age at death. • Focus on reducing the overall feto-infant mortality rate. • Examine potential opportunity gaps b/w population groups. • Target further investigations and prevention efforts on the gaps.

  4. Community Partners • Involves the collaboration of many parts: • Mississippi State Health Department • March of Dimes (Jackson Chapter) • HMHB-JMA Coalition • MCH organizations at the community level.

  5. 2. Map Feto-Infant Mortality Age at Death Birthweight 500-1499 g 1500+ g

  6. Map Labels to Actions

  7. Reference Group • Fetal deaths w/ gestational age > 24 wks • Birthweight > 500 g • Age @ death known • White non-Hispanic • Mothers > 13 yrs of education • Mothers > 20 yrs old • Mississippi Singletons Statewide

  8. Reference Group Age @ Death Birthweight

  9. JMA Population • Residents of Hinds, Madison, and Rankin Counties. • Fetal Deaths w/ Gestational Age ≥ 24 weeks. • Birth weight ≥ 500 grams. • Age @ Death known. • Singletons

  10. JMA Group Age @ Death Birthweight

  11. JMA Excess JMA All Races Reference - Excess = =

  12. JMA White Group Age @ Death Birthweight

  13. JMA White Excess JMA Whites Reference - Excess = =

  14. JMA Blacks Group Age @ Death Birthweight

  15. JMA Blacks Excess JMA Blacks & Others Reference - Excess = =

  16. JMA Opportunity Gaps Large excess of death for blacks in: • Maternal Health/Prematurity • Maternal Care • Infant Health

  17. JMA Higher Educated Blacks (HEB) • Black Singletons • Mothers >13 yrs of education • Hinds, Madison, Rankin • Fetal Death w/ Gestational Age ≥ 24 weeks. • Birth weight ≥ 500 grams. • Age @ Death known

  18. JMA Less Educated Blacks (LEB) • Black Singletons • Mothers <13 yrs of education • Hinds, Madison, Rankin • Fetal Death w/ Gestational Age ≥ 24 weeks. • Birth weight ≥ 500 grams. • Age @ Death known

  19. JMA Higher Educated Blacks (HEB) Age @ Death Birthweight

  20. HEB vs. White Reference HEB White Reference - Excess = =

  21. JMA Less Educated Blacks (LEB) Age @ Death Birthweight

  22. LEB vs. White Reference LEB White Reference - Excess = =

  23. LEB vs. HEB LEB HEB - Excess = =

  24. Opportunity Gaps Opportunity gaps exist in: • Maternal Health/Prematurity and Maternal Care for all Blacks. • Infant Health for Less Educated Blacks.

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