Evidence map›Paper›PMID 24028241›Full record

ArticleAmerican journal of public health2013

Excess infant mortality among Native Hawaiians: identifying determinants for preventive action.

Ashley H Hirai, Donald K Hayes, Maile M Taualii, Gopal K Singh, Loretta J Fuddy

Abstract readComparative Study
In one paragraph

Article in American journal of public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Socioeconomic Risk Factors for Extreme Preterm Birth in Hawai'i.Hawai'i journal of health & social welfare · 2025
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  11. Review
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  15. Early Childhood Vision Screening in Hawai'i Utilizing a Hand-Held Screener.Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2015
    Article
  16. Article
  17. A new and innovative public health specialization founded on traditional knowledge and social justice: Native Hawaiian and Indigenous Health.Hawai'i journal of medicine & public health : a journal of Asia Pacific Medicine & Public Health · 2013
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ashley H HiraiAshley H. Hirai and Gopal K. Singh are with the Maternal and Child Health Bureau, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, MD. Donald K. Hayes and Loretta J. Fuddy are with the Hawai'i Department of Health, Honolulu. Maile M. Taualii is with the Office of Public Health Studies, Native Hawaiian and Indigenous Health, University of Hawai'i and Papa Ola Lokahi, Honolulu.
Donald K Hayes
Maile M Taualii
Gopal K Singh
Loretta J Fuddy

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe identified potential determinants and cause-specific sources of excess infant mortality among Native Hawaiians.

methodsWe compared infant mortality rates among Native Hawaiians and Whites by using data from the 2002 to 2009 Hawai'i State Linked Birth/Infant Death Cohort File. We evaluated the components of excess infant mortality by age and underlying cause of death as well as maternal sociodemographic, behavioral, and chronic condition disparities.

resultsThe Native Hawaiian infant mortality rate was more than twice that for Whites (7.9 vs 3.5/1000 live births). Excess Native Hawaiian infant mortality was equally apportioned to neonatal and postneonatal deaths. Preterm-related causes of death accounted for 43.9% of the infant mortality disparity, followed by sudden unexpected infant death (21.6%) and injury (5.6%). In multivariable models, maternal educational inequality accounted for the largest portion of the neonatal mortality disparity (20.9%); younger maternal age (12.2%) and smoking (9.5%) were the only significant contributors to the postneonatal mortality disparity.

conclusionsAddressing educational inequalities, promoting safe sleep practices, and reducing smoking among Native Hawaiian mothers would help to eliminate excess infant mortality.

Indexed as

Cause of DeathBirth CertificatesCohort StudiesEducational StatusHawaiiHealth Status DisparitiesHumansInfantInfant, Low Birth WeightInfant MortalityInfant, NewbornNative Hawaiian or Pacific IslanderPremature BirthRisk FactorsSocioeconomic FactorsWhite People

Identifiers

PMID24028241
PMCPMC3828695

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.