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April 2003, Vol 93, No. 4 | American Journal of Public Health 652-657
© 2003 American Public Health Association

RESEARCH AND PRACTICE

Relative or Absolute Standards for Child Poverty: A State-Level Analysis of Infant and Child Mortality

Marianne M. Hillemeier, PhD, John Lynch, PhD, Sam Harper, MS, Trivellore Raghunathan, PhD and George A. Kaplan, PhD

At the time this study was conducted, Marianne M. Hillemeier was with the Department of Epidemiology, University of Michigan, Ann Arbor. John Lynch, Sam Harper, Trivellore Raghunathan, and George A. Kaplan are with the Department of Epidemiology, University of Michigan.

Correspondence: Requests for reprints should be sent to Marianne M. Hillemeier, PhD, Department of Health Policy and Administration, Pennsylvania State University, 116 Henderson Bldg, University Park, PA 16802 (e-mail: mmh18{at}psu.edu).

Objectives. The purpose of the present study was to compare the associations of state-referenced and federal poverty measures with states’ infant and child mortality rates.

Methods. Compressed mortality and Current Population Survey data were used to examine relationships between mortality and (1) state-referenced poverty (percentage of children below half the state median income) and (2) percentage of children below the federal poverty line.

Results. State-referenced poverty was not associated with mortality among infants or children, whereas poverty as defined by national standards was strongly related to mortality.

Conclusions. Infant and child mortality is more closely tied to families’ capacity for meeting basic needs than to relative position within a state’s economic hierarchy.




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