AI Article Synopsis

  • Pediatric mortality rates in the US have decreased since 1999, but non-Hispanic black and American Indian/Alaska Native children still face higher rates than non-Hispanic white children.
  • Despite a national decline, rural children consistently have higher mortality rates than urban children across various age groups.
  • To address the elevated risks, especially among non-Hispanic black infants and American Indian/Alaska Native children, the study suggests enhanced health monitoring and targeted policies for preventing unintentional injuries and suicides.

Article Abstract

Pediatric mortality rates in the US have declined since 1999, although rates among non-Hispanic black and American Indian/Alaska Native children remain higher than those among non-Hispanic white children. We used mortality data from the Centers for Disease Control and Prevention to ascertain whether children living in rural areas experienced declines in mortality over the period 1999-2017 that paralleled those for the nation as a whole. Throughout the study period and across all age groups, rural children experienced higher mortality rates than their urban peers. Among rural children, non-Hispanic black infants and American Indian/Alaska Native children were particularly at risk. To reduce unnecessary rural pediatric and adolescent deaths, we recommend ongoing surveillance of rural children's health accompanied by policies targeting the leading causes of death in this population: unintentional injury and suicide.

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http://dx.doi.org/10.1377/hlthaff.2019.00892DOI Listing

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