, Volume 33, Issue 4, pp 469–481 | Cite as

Compromised birth outcomes and infant mortality among racial and ethnic groups

  • W. Parker FrisbieEmail author
  • Douglas Forbes
  • Starling G. Pullum
Outcomes for Children


Research based on hospital records demonstrates that many births classified as normal according to conventional demographic measurement are intrauterine growth-retarded (IUGR) when evaluated clinically; also, in addition to birth weight and gestational age, it is necessary to focus on a third dimension, maturity, in analyses of birth outcomes. Although clinical studies allow more precise classification, the small number of cases tends to result in unreliable estimates of rates and in loss of genera lizability. The fetal growth ratio, a measure recently shown to be a valid proxy for maturity, is used here to develop a classification system based on combinations of weight, gestational age, and maturity, which we apply in a comparative analysis of a large data set. The results show large differences in the distribution of compromised births across racial and ethnic groups, as well as significant race/ethnic differentials in the risk of infant mortality associated with adverse outcomes.


Birth Weight Infant Mortality Birth Outcome Early Neonatal Mortality Black Infant 
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Copyright information

© Population Association of America 1996

Authors and Affiliations

  • W. Parker Frisbie
    • 1
    Email author
  • Douglas Forbes
    • 2
  • Starling G. Pullum
    • 3
  1. 1.Population Research CenterThe University of Texas at AustinAustin
  2. 2.Douglas ForbesSouthwest Texas State University and Starling G. PullumUSA
  3. 3.The University of Texas at AustinUSA

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