Validity of the Spanish surname infant mortality rate as a health status indicator for the Mexican American population

M. L. Selby, Eun Lee, D. M. Tuttle, H. D. Loe

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

This study assessed the validity of the Spanish surname infant mortality rate as an index of urban Mexican American health status. Neonatal, postneonatal, and risk-factor-specific mortality rates were computed from linked birth and infant death records of the 1974-75 Harris County, Texas, cohort of 68,584 for Spanish surname White, non-Spanish surname White, and Black single live births. Infants of Mexican-born immigrants were distinguished from those of other Spanish surname parents by parental nativity information on birth records. Infants of Mexican immigrants had paradoxically low mortality rates for high birth order, high maternal age, and delayed or absent prenatal care; only infants weighing <1500 gm showed expected high rates. Findings suggested loss of infant death data compatible with migration and underregistration of deaths. The Spanish surname infant mortality rate may be spuriously low and does not appear to be a valid indicator of Mexican American health status even in an urban, non-border area considered to have excellent birth and death registration.

Original languageEnglish (US)
Pages (from-to)998-1002
Number of pages5
JournalAmerican Journal of Public Health
Volume74
Issue number9
StatePublished - 1984
Externally publishedYes

Fingerprint

Health Status Indicators
Infant Mortality
Mortality
Population
Health Status
Parturition
Birth Certificates
Birth Order
Death Certificates
Prenatal Care
Maternal Age
Live Birth
Parents
Infant Death

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Validity of the Spanish surname infant mortality rate as a health status indicator for the Mexican American population. / Selby, M. L.; Lee, Eun; Tuttle, D. M.; Loe, H. D.

In: American Journal of Public Health, Vol. 74, No. 9, 1984, p. 998-1002.

Research output: Contribution to journalArticle

@article{185589f5a0c54931b3efa1329aa0c3c7,
title = "Validity of the Spanish surname infant mortality rate as a health status indicator for the Mexican American population",
abstract = "This study assessed the validity of the Spanish surname infant mortality rate as an index of urban Mexican American health status. Neonatal, postneonatal, and risk-factor-specific mortality rates were computed from linked birth and infant death records of the 1974-75 Harris County, Texas, cohort of 68,584 for Spanish surname White, non-Spanish surname White, and Black single live births. Infants of Mexican-born immigrants were distinguished from those of other Spanish surname parents by parental nativity information on birth records. Infants of Mexican immigrants had paradoxically low mortality rates for high birth order, high maternal age, and delayed or absent prenatal care; only infants weighing <1500 gm showed expected high rates. Findings suggested loss of infant death data compatible with migration and underregistration of deaths. The Spanish surname infant mortality rate may be spuriously low and does not appear to be a valid indicator of Mexican American health status even in an urban, non-border area considered to have excellent birth and death registration.",
author = "Selby, {M. L.} and Eun Lee and Tuttle, {D. M.} and Loe, {H. D.}",
year = "1984",
language = "English (US)",
volume = "74",
pages = "998--1002",
journal = "American Journal of Public Health",
issn = "0090-0036",
publisher = "American Public Health Association Inc.",
number = "9",

}

TY - JOUR

T1 - Validity of the Spanish surname infant mortality rate as a health status indicator for the Mexican American population

AU - Selby, M. L.

AU - Lee, Eun

AU - Tuttle, D. M.

AU - Loe, H. D.

PY - 1984

Y1 - 1984

N2 - This study assessed the validity of the Spanish surname infant mortality rate as an index of urban Mexican American health status. Neonatal, postneonatal, and risk-factor-specific mortality rates were computed from linked birth and infant death records of the 1974-75 Harris County, Texas, cohort of 68,584 for Spanish surname White, non-Spanish surname White, and Black single live births. Infants of Mexican-born immigrants were distinguished from those of other Spanish surname parents by parental nativity information on birth records. Infants of Mexican immigrants had paradoxically low mortality rates for high birth order, high maternal age, and delayed or absent prenatal care; only infants weighing <1500 gm showed expected high rates. Findings suggested loss of infant death data compatible with migration and underregistration of deaths. The Spanish surname infant mortality rate may be spuriously low and does not appear to be a valid indicator of Mexican American health status even in an urban, non-border area considered to have excellent birth and death registration.

AB - This study assessed the validity of the Spanish surname infant mortality rate as an index of urban Mexican American health status. Neonatal, postneonatal, and risk-factor-specific mortality rates were computed from linked birth and infant death records of the 1974-75 Harris County, Texas, cohort of 68,584 for Spanish surname White, non-Spanish surname White, and Black single live births. Infants of Mexican-born immigrants were distinguished from those of other Spanish surname parents by parental nativity information on birth records. Infants of Mexican immigrants had paradoxically low mortality rates for high birth order, high maternal age, and delayed or absent prenatal care; only infants weighing <1500 gm showed expected high rates. Findings suggested loss of infant death data compatible with migration and underregistration of deaths. The Spanish surname infant mortality rate may be spuriously low and does not appear to be a valid indicator of Mexican American health status even in an urban, non-border area considered to have excellent birth and death registration.

UR - http://www.scopus.com/inward/record.url?scp=0021152094&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0021152094&partnerID=8YFLogxK

M3 - Article

VL - 74

SP - 998

EP - 1002

JO - American Journal of Public Health

JF - American Journal of Public Health

SN - 0090-0036

IS - 9

ER -