The Aberdeen Indian Health Service Infant Mortality Study: Design, Methodology, and Implementation

Autor/inn/en	Randall, Leslie L.; Krogh, Christopher; Welty, Thomas K.; Willinger, Marian; Iyasu, Solomon
Titel	The Aberdeen Indian Health Service Infant Mortality Study: Design, Methodology, and Implementation
Quelle	In: American Indian and Alaska Native Mental Health Research: The Journal of the National Center, 10 (2001) 1, S.1-20 (20 Seiten) PDF als Volltext kostenfreie Datei Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1533-7731
Schlagwörter	American Indians; Prevention; Mortality Rate; Child Health; Infant Mortality; Infants; Tribes; Etiology; Public Health; Longitudinal Studies; Socioeconomic Influences; Access to Health Care; Environmental Influences; Death; Demography; Child Rearing; Reservation American Indians + Suchen Sie Ihr Suchwort? American Indian; Indianer; Prävention; Vorbeugung; Mortalitätsrate; Kindersterblichkeit; Infant; Toddler; Toddlers; Kleinkind; Tribal society; Stammesgesellschaft; Ätiologie; Gesundheitswesen; Longitudinal study; Longitudinal method; Longitudinal methods; Längsschnittuntersuchung; Sozioökonomischer Faktor; Environmental influence; Umwelteinfluss; Sterbefall; Tod; Todesfall; Demografie; Kindererziehung
Abstract	Of all Indian Health Service areas, the Aberdeen Area has consistently had the highest infant mortality rate. Among some tribes in this area the rate has exceeded 30/1000 live birth and half the infant deaths have been attributed to Sudden Infant Death Syndrome, a rate four to five times higher than the national average. The Indian Health Service, Centers for Disease Control and Prevention, National Institute of Child Health and Human Development, and the Aberdeen Area Tribal Chairmen's Health Board collaborated to investigate these high rates with the goals of refining the ascertainment of the causes of death, improving cause-specific infant mortality rates and identifying factors contributing to the high rates. Ten of the 19 tribes or tribal communities, representing 66% of the area population, participated in a 4-year prospective case-control study of infants who died after discharge from the hospital. Infant care practices and socio-demographic, economic, medical, health care, and environmental factors were examined. The study included parental interviews, death scene investigations, autopsies, neuropathology studies, medical chart abstractions, blood cotinine assays, and a surveillance system for infant deaths. Controls were the previous and subsequent infants born on the case mother's reservation. From December 1, 1992 until November 30, 1996, 72 infant deaths were investigated. This report describes the study methods and the model employed for involving the community and multiple agencies to study the problem of infant mortality among Northern Plains Indians. Data gathered during the investigations are being analyzed and will be published at a later date. The following is appended: (1) Reduction of Infant Mortality Recommendations for Parents. [This study is also supported by the Centers of Disease Prevention and Control (CDC) and the Tribal Chairmen's Health Board (AATCHB).] (Contains 2 tables.) (Author).
Anmerkungen	American Indian and Alaska Native Programs. University of Colorado Health Services Center, P.O. Box 6508, Mail Stop F800, Aurora, CO 80045-0508. Tel: 303-724-1414; Fax: 303-724-1474; Web site: http://www2.uchsc.edu/ai/ncaianmhr/journal_home.asp
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10