Infant mortality rates and Sudden Infant
Death (SIDS) rates for all racial/ethnic groups in Washington have
decreased considerably since 1988. Although the mortality rates for
African American infants and American Indian infants remain higher than
the mortality rate for white infants, the disparity between the groups
has been reduced. After controlling for poverty, the disparity in SIDS
rates has been eliminated for African American infants and reduced for
American Indian infants.
Key factors which made these improvements possible include:
A very strong statewide program (First Steps, Medicaid’s maternity
care program) with the express purpose to ensure healthy birth outcomes
for low-income families, together with an excellent medical system for perinatal care;
Overall improvements in measures of birth outcomes over time along
with regular monitoring of outcomes for high-risk groups;
Risk factor data that suggested targeted interventions for high-risk
groups, and implementation of these interventions in 2002.
While these factors favored reduction, and elimination in some cases, of
disparities, these changes occurred over a fifteen-year time period, and
only with adequate monitoring of outcomes and risk factors for high-risk
groups were targeted interventions successful. The differences between
African Americans and American Indians demonstrate this.
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the
report: "First Steps Database: Infant Mortality and SIDS"
Publication Date: 4/2006. Report Number: 9.81, (48 KB)
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Copyright 2004 Washington State Department of Social and Health Services.