EXPLAINING THE BLACK-WHITE INFANT MORTALITY GAP IN THE UNITED STATES
BLACK INFANTS IN THE UNITED STATES ARE MORE THAN TWICE AS LIKELY TO DIE WITHIN THE FIRST YEAR OF LIFE THAN THEIR WHITE COUNTERPARTS (ARON 2013). THE BLACK-WHITE INFANT MORTALITY GAP HAS EXISTED SINCE AT LEAST THE TURN OF THE 20TH...
BLACK INFANTS IN THE UNITED STATES ARE MORE THAN TWICE AS LIKELY TO DIE WITHIN THE FIRST YEAR OF LIFE THAN THEIR WHITE COUNTERPARTS (ARON 2013). THE BLACK-WHITE INFANT MORTALITY GAP HAS EXISTED SINCE AT LEAST THE TURN OF THE 20TH CENTURY, WHEN RELIABLE MORTALITY DATA BY RACE FIRST BECAME AVAILABLE (EWBANK 1987). ITS CAUSES ARE STILL BEING RESEARCHED AND DEBATED TODAY (TROESKEN 2004; ALMOND ET AL. 2006; HARPER 2007; ELDER ET AL. 2014, 2016; SPEIGHTS ET AL. 2017; WALLACE ET AL. 2017; SMITH ET AL. 2018; TAYLOR ET AL. 2019). RELATIVELY CRUDE MEASURES OF SOCIOECONOMIC STATUS (E.G., MOTHERS AGE, EDUCATION, AND MARITAL STATUS) CAN EXPLAIN APPROXIMATELY ONE-THIRD OF THE BLACK-WHITE INFANT MORTALITY GAP (ELDER ET AL. 2104, 2016). THE OTHER TWO-THIRDS OF THE GAP ARE ATTRIBUTABLE TO MYRIAD FACTORS, INCLUDING, BUT NOT LIMITED TO, LOCAL GEOGRAPHY, HOSPITAL QUALITY, PHYSICIAN BEHAVIOR AND CHARACTERISTICS, AND GOVERNMENT POLICIES. DISTINGUISHING THE EFFECTS OF RACIAL DISCRIMINATION FROM STRUCTURAL FACTORS HAS PROVEN TO BE ESPECIALLY CHALLENGING (WALLACE ET AL. 2017). THE GOAL OF THIS PROJECT IS TO ANSWER TWO QUESTIONS RELATED TO THE BLACK-WHITE INFANT GAP IN THE UNITED STATES: DID THE CONSTRUCTION OF NEONATAL INTENSIVE CARE UNITS DURING THE PERIOD 1970-1990 CONTRIBUTE TO THE WIDENING OF THE BLACK-WHITE INFANT MORTALITY GAP? DID THE VOTING RIGHTS ACT OF 1965, THROUGH ITS EFFECT ON HEALTHCARE SPENDING, REDUCE THE BLACK-WHITE INFANT MORTALITY GAP? THESE QUESTIONS--AND THEIR POLICY IMPLICATIONS--ARE DISCUSSED BELOW. IT SHOULD BE NOTED AT THE OUTSET THAT ANSWERING THESE QUESTIONS IS PART OF AN ONGOING COLLABORATIVE RESEARCH EFFORT WITH DRS. D. MARK ANDERSON (MONTANA STATE UNIVERSITY), AND KERWIN KOFI CHARLES (YALE UNIVERSITY). THIS COLLABORATIVE RESEARCH EFFORT HAS, TO DATE, PRODUCED THREE PUBLICATIONS IN HIGH QUALITY ACADEMIC JOURNALS (ANDERSON ET AL. 2020A; 2021; FORTHCOMING) AND A WORKING PAPER (ANDERSON ET AL. 2020B). ORTALIDAD INFANTIL\GASTO EN SALUD\HOSPITALES\RAZAver más
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