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Paradox Revisited: A Further Investigation of Racial/Ethnic Differences in Infant Mortality by Maternal Age

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  • Daniel Powers
Abstract
I reexamine the epidemiological paradox of lower overall infant mortality rates in the Mexican-origin population relative to U.S.-born non-Hispanic whites using the 1995–2002 U.S. NCHS linked cohort birth-infant death files. A comparison of infant mortality rates among U.S.-born non-Hispanic white and Mexican-origin mothers by maternal age reveals an infant survival advantage at younger maternal ages when compared with non-Hispanic whites, which is consistent with the Hispanic infant mortality paradox. However, this is accompanied by higher infant mortality at older ages for Mexican-origin women, which is consistent with the weathering framework. These patterns vary by nativity of the mother and do not change when rates are adjusted for risk factors. The relative infant survival disadvantage among Mexican-origin infants born to older mothers may be attributed to differences in the socioeconomic attributes of U.S.-born non-Hispanic white and Mexican-origin women. Copyright Population Association of America 2013

Suggested Citation

  • Daniel Powers, 2013. "Paradox Revisited: A Further Investigation of Racial/Ethnic Differences in Infant Mortality by Maternal Age," Demography, Springer;Population Association of America (PAA), vol. 50(2), pages 495-520, April.
    • Handle: RePEc:spr:demogr:v:50:y:2013:i:2:p:495-520
    DOI: 10.1007/s13524-012-0152-6
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    5. Christina J. Diaz & Stephanie M. Koning & Ana P. Martinez-Donate, 2016. "Moving Beyond Salmon Bias: Mexican Return Migration and Health Selection," Demography, Springer;Population Association of America (PAA), vol. 53(6), pages 2005-2030, December.
    6. Øystein Kravdal, 2019. "Taking birth year into account when analysing effects of maternal age on child health and other outcomes: The value of a multilevel-multiprocess model compared to a sibling model," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 40(43), pages 1249-1290.
    7. Conway, Karen Smith & Trudeau, Jennifer, 2019. "Sunshine, fertility and racial disparities," Economics & Human Biology, Elsevier, vol. 32(C), pages 18-39.
    8. Giuntella, Osea, 2017. "Why does the health of Mexican immigrants deteriorate? New evidence from linked birth records," Journal of Health Economics, Elsevier, vol. 54(C), pages 1-16.
    9. Reynolds, Megan M. & Chernenko, Alla & Read, Jen'nan Ghazal, 2016. "Region of origin diversity in immigrant health: Moving beyond the Mexican case," Social Science & Medicine, Elsevier, vol. 166(C), pages 102-109.

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