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Postneonatal Mortality Rate
Postneonatal mortality, like neonatal mortality, is a subset of infant
mortality. Postneonatal mortality is defined as those infant deaths in
which the infant is more than 27 days and less than one year of age.
Of the 315 infant deaths occurring in Arkansas in 2001, 136 (44
percent) were postneonatal deaths.
While neonatal deaths frequently arise out of conditions originating in
the prenatal period, postneonatal deaths are more likely to reflect the
socio-economic conditions of the home (e.g. quality of care and
nutrition), as well as infectious diseases and other causes.
The Postneonatal Mortality Rate is conceptually very similar to the
Infant and Neonatal Mortality Rates. Consequently, the calculations
are quite comparable. The Postneonatal Mortality Rate = (136 / 36,982)
X 1,000 = 3.7 postneonatal deaths per 1,000 live births. The U.S. rate
in 1999, 2000 and 2001 was 2.3 postneonatal deaths per 1,000 live
births.
The map indicates that the counties with high postneonatal mortality
rates are relatively scattered. It should be noted that there are
several counties with high postneonatal rates and low neonatal rates or
vice versa. Such situations may warrant further investigation.
Montgomery County had the highest postneonatal mortality rates, with
10.5 postneonatal deaths per 1,000 live births. The counties (except
one) with the lowest rate (0.0) each had two or fewer postneonatal
deaths in the entire five-year period. This may be as much a
reflection of the relatively small populations as a commentary on the
health conditions of those counties.
For the time period 1997-2001, the Southeast region had the highest
average postneonatal mortality rate at 4.1, while the Northwest region
had the lowest average rate at 2.6.
As with the infant and neonatal mortality rates, postneonatal mortality
rates differ significantly by race. The average postneonatal mortality
rate for Whites was 3.0. For Blacks, the rate was 5.5.
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