Breaking News
May 27, 2018 - Study reveals striking disparities in health care access and quality across most nations
May 27, 2018 - The Yogi masters were right—meditation and breathing exercises can sharpen your mind
May 27, 2018 - SLU researcher aims to find solutions for diabetes patients at risk of hypoglycemia
May 27, 2018 - Scientists uncover the cause of insulin resistance in obesity
May 27, 2018 - $2.3 million NIH grant to support new project on oxytocin neurons and social behavior
May 27, 2018 - Less Driving Tied to Lower Cardiovascular Disease Risk
May 27, 2018 - Genetics Home Reference: LMNA-related congenital muscular dystrophy
May 27, 2018 - Long-term psychological study confirms time is the best medicine against homesickness
May 27, 2018 - Study explores if CPAP treatment can improve sexual QOL for sleep apnea patients
May 27, 2018 - Study investigates role played by brain in prosocial behavior
May 27, 2018 - New Guidelines Mean 1 in 3 Adults May Need Blood Pressure Meds
May 27, 2018 - Cerebrospinal Fluid (CSF) Analysis: MedlinePlus Lab Test Information
May 27, 2018 - Kids in tough neighborhoods head to ER more often
May 27, 2018 - Exercise alters brain’s dopamine system to help treat addiction, study finds
May 27, 2018 - Sepsis patients treated and released from ED for outpatient follow-up experience good outcomes
May 27, 2018 - Initiative cuts overuse of tests, treatments for bronchiolitis
May 27, 2018 - Study links ‘sleep spindles’ to memory reactivation
May 27, 2018 - Scientists develop new method to speed up genome evolution of baker’s yeast
May 27, 2018 - Sunscreen pills are fake says FDA
May 27, 2018 - Study finds increasing wealth gap between households of seniors and families with children
May 27, 2018 - Link between tuberculosis and Parkinson’s disease discovered
May 27, 2018 - Doctors call on health authorities for permission to provide stroke patients with life-saving treatment
May 26, 2018 - Couples who eat seafood-rich diet tend to get pregnant faster
May 26, 2018 - NIH summit presents recommendations to accelerate treatment development for Alzheimer’s disease
May 26, 2018 - Medication-related harm found to be common among older adults, but preventable
May 26, 2018 - Lunaphore and Vitro announce partnership to develop ISH protocols for RNA, DNA targets
May 26, 2018 - Cryoablation Efficacious for Cancer Pain, Review Finds
May 26, 2018 - Link between IBD and Parkinson’s might allow doctors to slow down condition
May 26, 2018 - Study finds fewer than 5% of low-income, urban mothers use prenatal vitamins before pregnancy
May 26, 2018 - California hospitals urge moms to favor breast milk over formula
May 26, 2018 - Most concussion patients do not receive follow-up care after hospital discharge, says study
May 26, 2018 - Lifetime risks of developing Alzheimer’s dementia vary by age, gender
May 26, 2018 - Researchers find novel ways to improve participation in clinical research
May 26, 2018 - Researchers develop methods for measuring free-base nicotine levels in e-cigarettes
May 26, 2018 - AHA: Preterm Birth Could Warn of Mom’s Future Heart Risks
May 26, 2018 - Some calories more harmful than others
May 26, 2018 - Study links cell size with commitment to division
May 26, 2018 - Researchers develop new, rapid blood test to detect liver damage
May 26, 2018 - Researchers discover cascade of immune processes linked to poor outcomes in aggressive breast cancer
May 26, 2018 - New research will use mathematics to solve mysteries in cell biology
May 26, 2018 - Proposed National Resilience Strategy to reverse catastrophic increases in ‘deaths of despair’
May 26, 2018 - Mice remain slim on burger diet
May 26, 2018 - BMC receives $13.5 million award to test methods for delivering childhood anxiety treatment
May 26, 2018 - ‘Right to Try Act’ will not benefit terminally-ill patients
May 26, 2018 - Study reveals novel statistical algorithm to identify potential disease genes
May 26, 2018 - Two genes play vital roles in malignant brain cancer
May 26, 2018 - Study explores link between groundwater lithium and diagnoses of bipolar disorder, dementia
May 26, 2018 - Researchers reveal stimulatory effects of myelin on young neural cells
May 26, 2018 - Small part of cellular protein that helps form long-term memories also drives neurodegeneration
May 26, 2018 - Four-legged friends can have heart issues, too
May 26, 2018 - Scientists create small, self-contained spaces inside mammalian cells
May 26, 2018 - Better Social Support Network Protects Black Men Against HIV
May 26, 2018 - National Heart, Lung, and Blood Institute (NHLBI)
May 26, 2018 - Burnout, depression can affect ophthalmology residents, study finds
May 26, 2018 - Latinos and African Americans more likely to experience serious depression than Whites
May 26, 2018 - Data from past epidemic could help improve response to future Ebola outbreaks
May 26, 2018 - Researchers provide insight into how the memory molecule limits brain plasticity
May 26, 2018 - OSU biologist describes ‘restoration ecology’ approach toward patient health
May 26, 2018 - New approach to study brown fat could aid in finding treatments for obesity
May 26, 2018 - UCI Center on Stress & Health receives NIH funding to develop digital health interventions
May 26, 2018 - Could More Fish in the Diet Boost Sex Lives and Fertility?
May 26, 2018 - NTU Singapore and SERI invent new scope to diagnose glaucoma
May 26, 2018 - Cancer cells co-opt pain-sensing ‘neural channel’ to increase tolerance against oxidative stress
May 26, 2018 - Study uncovers why pesticide exposure increases Parkinson’s disease risk in some people
May 26, 2018 - Study finds link between lead exposure and fertility rates
May 26, 2018 - Causes and treatment of acute heart failure vary by region, registry shows
May 26, 2018 - Delivery of standardized diabetes care could help achieve equitable health outcomes for all patients
May 26, 2018 - FDA authorizes marketing of OsteoDetect software for detecting wrist fractures
May 26, 2018 - HSE experts suggest new way of looking at infantilism
May 26, 2018 - Children and adolescents growing up in extreme societal conditions more likely to resort to violence
May 26, 2018 - New study puts forth most comprehensive tree of life for malaria parasites
May 26, 2018 - UVA researchers establish new guidelines for explorers of the submicroscopic world inside us
May 26, 2018 - Princeton Instruments and C-SOPS announce collaboration on innovative pharmaceutical technology
May 26, 2018 - New research shows why babies need to move in the womb
May 26, 2018 - UK steps forward to tackle global antimicrobial resistance
May 26, 2018 - CRISPR-Cas9-based strategy allows researchers to precisely alter hundreds of different genes
May 26, 2018 - Novoheart announces next generation of ‘Human heart-in-a-jar’ technology for advanced drug discovery
May 26, 2018 - UT Southwestern-led researchers find new way to determine prognosis of invasive kidney cancer
May 26, 2018 - Researchers develop film to prevent bacteria from growing on dental retainers and aligners
May 26, 2018 - Mobile health intervention for people with serious mental illness as effective as clinic-based treatment
US childhood mortality rates have lagged behind other wealthy nations for the past 50 years

US childhood mortality rates have lagged behind other wealthy nations for the past 50 years

image_pdfDownload PDFimage_print
A new study reveals childhood mortality trends from 1961 to 2010 in the United States and 19 economically similar countries. Credit: Johns Hopkins Medicine

In a new study of childhood mortality rates between 1961 and 2010 in the United States and 19 economically similar countries, researchers report that while there’s been overall improvement among all the countries, the U.S. has been slowest to improve.

Researchers found that childhood mortality in the U.S. has been higher than all other peer nations since the 1980s; over the 50-year study period, the U.S.’s “lagging improvement” has amounted to more than 600,000 excess deaths.

A report of the findings, published Jan. 8 in Health Affairs, highlights when and why the U.S.’s performance started falling behind peer countries, and calls for continued funding of federal, state and local programs that have proven to save children’s lives.

Among the leading causes of death for the most recent decade, the researchers say, were premature births and Sudden Infant Death Syndrome (SIDS). Children in the U.S. were three times more likely to die from prematurity at birth and more than twice as likely to die from SIDS.

The two leading causes of death for those 15 to 19 years old in the U.S. during the same time period were motor vehicle accidents and assaults by firearm. Teenagers were twice as likely to die from motor vehicle accidents and 82 times more likely to die from gun homicide in the U.S. than in other wealthy nations.

“Overall child mortality in wealthy countries, including the U.S., is improving, but the progress our country has made is considerably slower than progress elsewhere,” says Ashish Thakrar, M.D., an internal medicine resident at The Johns Hopkins Hospital and a lead author of the study. He adds: “Now is not the time to defund the programs that support our children’s health.”

Thakrar notes that while the U.S. spends more per capita on health care for children than other wealthy nations, it has poorer outcomes than many. In 2013, the United Nations Children’s Fund ranked the U.S. 25th in a list of 29 developed countries for overall child health and safety.

To better understand when and why the U.S. performance in improving child death rates began faltering compared to peer nations, Thakrar and colleagues tracked child mortality rates for the U.S. and 19 nations that are members of the Organization for Economic Cooperation and Development. The members include Canada, Australia, Switzerland, Italy and Germany, among others, which have similar levels of economic development.

While previous studies have also tracked U.S. mortality over time, they’ve only done so for children in specific age groups, Thakrar says, and to his knowledge, the new study is the first to describe the full burden of excess mortality in the U.S. for children and adolescents of all ages.

The researchers analyzed mortality and population data from the Human Mortality Database and mortality and cause of death data from the World Health Organization for all children 0 to 19 years old from 1961 to 2010.

Some 90 percent of these deaths, the researchers say, occurred among infants and adolescents 15 to 19 years old. In the most recent decade studied (2001-2010), infants in the U.S. were 76 percent more likely to die and children 1 to 19 years old were 57 percent more likely to die than their counterparts in peer nations.

“The findings show that in terms of protecting child health, we’re very far behind where we could be,” says Christopher Forrest, M.D., Ph.D., the study’s senior author and a pediatrician at Children’s Hospital of Philadelphia. “We hope that policymakers can use these finding to make strategic public health decisions for all U.S. children to ensure that we don’t fall further behind peer nations.”

The research team called on officials to fully fund the Children’s Health Insurance Program, which provides health insurance to millions of disadvantaged children, and the Supplemental Nutrition Assistance Program (food stamps). Applying public health research and solutions to gun violence and car crashes can also help level the playing field for U.S. children, adds Forrest.


Explore further:
15,000 under fives die from preventable illnesses each day: UN

More information:
Health Affairs (2018). www.healthaffairs.org/doi/abs/ … 77/hlthaff.2017.0767

Journal reference:
Health Affairs

Provided by:
Johns Hopkins University School of Medicine

Tagged with:

About author

Related Articles