Trends in the Relationship between Infant Mortality and Socioeconomic Status

Abstract

Abstract This paper reports some of the results of an ecological analysis of the relationship between infant mortality and economic status in metropolitan Ohio at three points in time (1959–1961, 1969–1971 and 1979–1981). The data presented clearly reveal the adverse mortality consequences of alow economic status. In spite of some remarkable declines in the infant death rate since 1960, most notably in neonatal mortality, the inverse socioeconomic differential in 1980 is as wide as it ever was, and it characterizes both whites and nonwhites and both the neonatal and postneonatal components of infant mortality. Moreover, in sharp contrast to the situation a generation ago, the neonatal death rate has emerged as a major contributor to the overall relationship between socioeconomic status and infant mortality. It is suggested that this situation reflects the failure of recent advances in maternal and infant care programs to reach those lower status members of the society that are most in need of them.