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Race and Pregnancy Outcomes in the Twentieth Century: A Long-Term Comparison

Published online by Cambridge University Press:  31 January 2005

DORA L. COSTA
DORA L. COSTA
Affiliation:
Professor, Department of Economics, Massachusetts Institute of Technology, 50 Memorial Drive, Cambridge, MA 02142, and Research Associate, NBER. E-mail: [email protected].
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Abstract

Untreated syphilis explained one-third of the higher prematurity rates of black relative to white babies born at Johns Hopkins in the early twentieth century. Differences in prematurity rates explained 41 percent of the black-white stillbirth gap and one-quarter of the black-white birth weight gap. Black babies had lower mortality and higher weight gain than white babies during the first ten days of life spent in the hospital because of higher black breast-feeding rates. Historically low birth weights may have a long reach: in 1988 maternal birth weight accounted for 5–8 percent of the gap in black-white birth weights.

Type
ARTICLES
Information
The Journal of Economic History , Volume 64 , Issue 4 , December 2004 , pp. 1056 - 1086
Copyright
© 2004 The Economic History Association

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References

Apple Rima D. 1987. Mothers and Medicine: A Social History of Infant Feeding, 1890–1950. Madison, WI: University of Wisconsin Press,
Barker D. J. P., Ed. 1994. Mothers, Babies, and Disease in Later Life. London: British Medical Journal,
Beardsley Edward H. 1987. A History of Neglect: Health Care for Blacks and Mill Workers in the Twentieth Century South. Knoxville, TN: University of Tennessee Press,
Brandt Allan M. 1987. No Magic Bullet, A Social History of Venereal Disease in the United States Since 1880. New York-Oxford: Oxford University Press,
Collins William J. and Melissa A. Thomasson. 2004: “The Declining Contribution of Socioeconomic Disparities to the Racial Gap.” Southern Economic Journal 70, no. 4 746–76.Google Scholar
Copper Rachel L., Robert L. GoldenbergRobert K. CreasyMary B. DuBard, Richard O. Davis, Stephen S. Entman, Jay D. Iams, and Suzanne P. Cliver. 1993 “A Multicenter Study of Preterm Birth Weight and Gestational Age-Specific Neonatal Mortality.” American Journal of Obstetrics and Gynecology 168, no. 1 78–84Google Scholar
Copper R. L., R. L. Goldenberg, M. B. Dubard, and R. O. Davis. 1994 “Risk Factors for Fetal Death in White, Black, and Hispanic Women: Collaborative Group on Preterm Birth Prevention.” Obstetrics and Gynecology 84, no. 4 490–95Google Scholar
Costa Dora L. 1998: “Unequal at Birth: A Long-Term Comparison of Income and Birth Weight.” This Journal 58, no. 4 987–1009.Google Scholar
Dart Helen M. 1921. “Maternity and Child Care in Selected Rural Areas of Mississippi.” U.S. Department of Labor. Children's Bureau. Rural Child Welfare Series No. 5. Bureau Publication No. 88. Washington, DC: GPO,
Doblhammer Gabriele, and James W. Vaupel. 2001 “Lifespan Depends on Month of Birth.” Proceedings of the National Academy of Sciences 98, no. 5 2934–39Google Scholar
Emanuel Irvin, Haroulla Filakti, Eva Alberman, and Stephen J. W. Evans. 2001 “Intergenerational Studies of Human Birth Weight from the 1958 Birth Cohort. 1. Evidence for a Multigenerational Effect.” British Journal of Obstetrics and Gynaecology 99, no. 10 67–74Google Scholar
Emanuel Irvin, Wendy Leisenring, Michelle A. Williams, Christy Kimpo, Sharon Estee, William O'Brien, and Christiane B. Hale. 1999 “The Washington State Inter-generational Study of Birth Outcomes: Methodology and Some Comparisons of Maternal birthweight and Infant Birthweight and Gestation in Four Ethnic Groups.” Paediatric and Perinatal Epidemiology 13, no. 3 352–71Google Scholar
Goldenberg Robert L., Suzanne P. Cliver, Francis Mulvihill, Carol A. Hickey, Howard J. Hoffman, Lorraine V. Klerman, and Marilyn J. Johnson. 1996 “Medical, Psychosocial, and Behavioral Risk Factors Do Not Explain the Increased Risk of Low Birth Weight Among Black Women.” American Journal of Obstetrics and Gynecology 175, no. 11 1317–24Google Scholar
Goldin Claudia, and Robert A. Margo. 1989 “The Poor at Birth: Birth Weights and Infant Mortality at Philadelphia's Almshouse Hospital, 1848–1873.” Explorations in Economic History 26, no. 3 360–79Google Scholar
Louden Irvine. 1992. Death in Childbirth: An International Study of Maternal Care and Mortality, 1800–1950. Oxford: Clarendon Press,
Manton Kenneth G., and Eric Stallard. 1997. “Health and Disability Differences Among Racial and Ethnic Groups.” In Racial and Ethnic Differences in the Health of Older Americans edited by Linda G. Martin and Beth J. Soldo, 43–104. Washington DC: National Academy Press,
Morton Newton E. 1955: “The Inheritance of Human Birth Weight.” Annals of Human Genetics 20 125–34.Google Scholar
Neggers Y. H., R. L. Goldenberg, S. P. Cliver, and R. L. Copper. 1998: “Determinants of Zinc Intake in Low-Income Black and White Pregnant Women.” Biological Trace Element Research 64, no. 1–3 221–28.Google Scholar
Parran Thomas. 1937. Shadow on the Land, Syphilis. New York: The American Social Hygiene Association and Reynal and Hitchcock, Inc.,
Petersson Karin, Katarina Bremme, Roger Bottinga, Alexandra Hofsjö, Ingela Hulthén-Varli, Marius Kublickas, Margareta Norman, Nikos Papadogiannakis, Kjell Wanggren, and Kerstin Wolff. 2002 “Diagnostic Evaluation of Intrauterine Fetal Deaths in Stockholm 1998–99.” Acta obstetricia et gynecologica Scandinavica 81, no. 4 284–92Google Scholar
Preston Samuel H., and Michael Haines. 1991. The Fatal Years: Child Mortality in Late Nineteenth-Century America. Princeton, NJ: Princeton University Press,
Preston Samuel H., Mark E. Hill, and Greg L. Drevenstedt. 1998 “Childhood Conditions That Predict Survival to Advanced Ages Among African-Americans.” Social Science and Medicine 47, no. 9 231–46Google Scholar
Rochester Anna. 1923. Infant Mortality: Results of a Field Study in Baltimore, MD. Based on Births in One Year. U.S. Department of Labor. Children's Bureau. Bureau Publication No. 119. Washington, DC: GPO,
Ruggles Steven. 1994 “The Origins of African-American Family Structure.” American Sociological Review 59, no. 1 136–51Google Scholar
Sanderson Maureen, Irvin Emanuel, and Victoria L. Holt. 1995 “The Intergenerational Relationship Between Mother's Birthweight, Infant's Birthweight, and Infant Mortality in Black and White Mothers.” Paediatric and Perinatal Epidemiology 9, no. 4 391–405Google Scholar
Smith James P., and Raynard S. Kingston. 1997. “Race, Socioeconomic Status, and Health in Later Life.” In Racial and Ethnic Differences in the Health of Older Americans, edited by Linda G. Martin and Beth J. Soldo, 105–62. Washington, DC: National Academy Press
Speert Harold. 1980. Obstetrics and Gynecology in America, A History. Baltimore: Waverly Press,
Steckel Richard H. 1986 “Birth Weights and Infant Mortality among American Slaves.” Explorations in Economic History 23, no. 2 173–98Google Scholar
Troesken Werner. 2004. Race, Water, and Disease. Cambridge, MA: MIT Press,
United States Bureau of the Census. Historical Statistics of the United States, Colonial Times to 1970. Washington, DC: GPO,
Vital Statistics of the United States. Various issues.
Ward W Peter. Birth Weight and Economic Growth: Women's Living Standards in the Industrializing West. Chicago: University of Chicago Press, 1993.
Woodbury Robert Morse. “Causal Factors in Infant Mortality: A Statistical Study Based on Investigations in Eight Cities.” U.S. Department of Labor. Children's Bureau. Bureau Publication No. 142. Washington, DC: GPO, 1925.