Infant Mortality In The United States

Infant mortality rate constitutes the death of a baby before their first birthday. Mortality rates around the world differ tremendously with America leading the first world countries at an alarming rate of 6.1 deaths per 1,000 births. Conversely, Finland and Japan secure the last, most desirable position, with deaths totaling 2.3 per 1,000 births, as of 2010. (Ovaska-Few, 2015) In 2014, over 23,000 babies died in the United States. (CDC, 2016) Exploring the mortality rates in America brings light to a dire need for additional interventions and research as to why this developing nation has the highest rate of infant deaths before the age of 1 year old. African Americans face the worst outcomes of infant death compared to whites, Latino, and their Native American peers in North Carolina. (Ovaska-Few, 2015) This paper will explore why African American are the leading race for infant mortality and the steps that health communities need to take to address this devastating occurrence.

“Compared with European Americans, African American infants experience disproportionately high rates of low birth weight (LBW) and preterm delivery and are more than twice as likely to die during their 1st year of life”(Giscombé, C. L., & Lobel, M., 2005). The infant mortality rate for African Americans is 13.7 deaths per 1000 live births, more than twice the rate (5.7) for White Americans in the U.S. (Kung, Hoyert, Xu, & Murphy, 2008). A lot of the racial disparity in infant mortality can be explained by low birthweight and preterm delivery, which are also disproportionately and often experienced by African Americans (Martin et al., 2007).

The cause of bad health for millions of underprivileged population is poverty, thus poverty and poor health worldwide are inextricably interconnected. The causes of poor health are rooted in political, social and economic injustices. Poverty is both a cause and a result of poor health therefore it increases the chances of poor health. Communities are enslaved in poverty hence poor health is the end results of poor nutrition because the community can’t afford a balanced diet. Infectious and neglected tropical diseases kill and weaken millions of the poorest and most vulnerable people each year, for example, in Zambia children die from a preventable disease called malaria due to poverty.

Infant deaths in the neonatal period are caused by complications arising from preterm births, birth defects, maternal health conditions, complications of labor and delivery, and lack of access to appropriate care at the time of delivery. Infant deaths in the post-neonatal period are driven by sudden unexpected infant death (SUID) (including sudden infant death syndrome [SIDS]), injury, and infection (MMRW, 2013). An increasing proportion of post-neonatal infant deaths occur among infants who were born preterm but survived the neonatal period (Callaghan, 2006). On the other hand there is lesser knowledge of the incidence and etilogy of fetal mortality which according to MacDorman et al, makes fetal mortality an overlooked public health issue. Lee et al, echoed the same idea when they said infant mortality has been the main focus of public health programming while fetal deaths have gone untargeted. However, with the decrease in infant mortality rates there have been recent approaches such as perinatal period of risk analysis framework (PPOR) that highlight the need to include fetal

Maternal mortality represents more than the loss of lives for individual women, as it also reflects the larger value and prioritization of women 's health and threatens the health and survival of families, young children, and even the communities in which they live (Royston and Armstrong, 1989). Maternal mortality is unacceptably high (WHO, 2015b). Globally, approximately 830 women die every day from pregnancy- or childbirth-related complications (ibid.). The causes of maternal mortality are predominately preventable and can be classified into three fundamental causes: (1) medical - consisting of direct medical problems and pre-existent/coexistent medical problems that are aggravated by pregnancy, (2) underlying - social and legal conditions, and (3) health systems laws and policies that address availability, accessibility, and quality of reproductive health services (PHP et al, 2011).

The U.S. infant mortality rate is 5.7 per 1000 births and 1.5 in Canada although has declined over the past several decades (O'Neill & O'Neill, 2007). Low-birth weight babies have a better chance at survival in the U.S. than in Canada due to advances in medical technology and expenditures on intensive care units (O'Neill & O'Neill, 2007). The reason there are more infant mortality rates in the U.S. is because there are more infants born weighing very little than compared to Canada.

Health and social justice have continued to be a major problem that affects the way people live and chance of illness, and consequent risk of premature death. The recent report from the World Health Organization shows that health disparities have continued to persist within and among countries and different regions of the world. For example, infectious diseases and undernutrition are common in poor and developing countries (WHO, 2018). The gap is even much worse between the rural and urban dwellers because of the economic differences and availability of healthcare services. Although some of the developed nations have attempted

Poverty and poor health worldwide are inseparably related. Poor health is a direct effect of growing up in poverty; as children living in low economic families may not have access to adequate medical health coverage. Which means the child will not have proper immunization and checkup that they need to ensure good health. Studies show when a child grows up in poverty the child can be underweight (Boyden). Poor under lined illness may also lead to issues throughout a lifespan. Poverty increases neglect of health issues. That causes more health problems which ends in death. Statistics also show that living in poor rule areas, with low quality schools. Even if the parents are highly educated and employed, the employment

Economic growth has much improved the infant mortality rate though better healthcare facilities and living conditions. Japan has fallen to one of the world’s lowest infant mortality levels at 3.6 per 1,000 live births in 2006 (Saigusa, 2006). Infant mortality is largely affected by the health of the mother, which makes pre-natal health imperative in keeping infant mortality rates low. Since Japan offers health care to all, access to prenatal care is easier to get therefore making mothers healthier and help in finding complications earlier in the pregnancy.

Studies show that people living in poverty face adverse living conditions which are associated with various ranges of health problems (Raphael, 2007). This means that people who live in poverty are more likely to suffer from chronic illness such as: coronary heart disease, type 2 diabetes, and various form of cancers. As a result of poverty, individuals are more likely to have a lower life expectancy and higher mortality rate because of those facing numerous chronic illnesses. People living in poverty or in a low income bracket are more likely to be less healthy and have more medical conditions compared to their counterparts. As a result, they are more likely to be in the hospital more frequently with more complicated healthcare needs (Williamson, Stewart, Hayward, Letourneau, Makwarimba, Masuda, Rainee & Reutter, and Rootman & Wilson, 2006).

Infant mortality rates for African American women are two times higher than any other race in the United States. It is thought that socioeconomic status and low education among the African American population is the main factor in this issue, but it is not. Studies show that as an African American woman in the U.S., childbearing health is affected due to the unequal treatment in American society.

In the United States, the Department of Health and Human Services works tirelessly in order to improve the conditions for newborn infants. Their goal is to provide essential human services, as well as protect the health for all Americans. Specifically, the area of infant health focuses on the period of rapid development from birth to one year age. The factors that contribute to infant health is not only attributed to the child, but also extends to the health of the mother and their family support system as well. This area of healthcare is extremely important because it ensures the future health of the next generation. Infant health has many external factors, such as social, economic, and biological, that influence the well-being of the

The journal written by Christopher and Simpson (2014) addresses the outcomes birth disparities between African American and White population. Although infant mortality rates declined 12 percent in the US from 2005 to 2011, which represents 6.05 infant deaths per 1000 live births, African American still have the highest rate on infant mortality in the nation. The infant mortality rate for this population in this period of time was 12.4 infant deaths per 1000 live births. According to the article, African American babies die before the first birthday twice the rate comparing to White babies.

Present data trends in infant mortality for the U.S. from the first and last available year.

In his article, "Why are so many U.S. women dying during childbirth?", Munz (2012) pointed out that U.S. is experiencing a rise in maternal mortality. It has doubled for the last 25 years and the experts are uncertain about the increase. Experts are not entirely clear for the rise in the maternal deaths in the U.S., but there are some aspects that may be link to this.