Infant mortality by cause: A comparison of underlying and multiple cause designations

Through the use of unique data for the 1980–1982 birth cohorts in the State of Florida, USA, the present analysis examines the extent of variability in the social, economic, and demographic characteristics of decedents when grouped by detailed cause of infant death, across four models for identifying cause of death. The analysis first compares cause-of-death-specific infant, neonatal, and postneonatal mortality between each of the four cause-of-death models. Next, interest shifts to an examination of the variability among decedents, specific to cause of death, in a range of background, proximate, and immediate determinants of infant health and survival. Variability is evident in cause-specific mortality rates as well as in decedent characteristics across the cause-of-death models. These findings suggest that more attention be given to the mode of identifying cause of death in studies of infant mortality.