Inflated Denominators, Selection In Utero, and the Black Male Neonatal Death Paradox

Stillbirth affects the composition of birth cohorts by selecting against less fit males in conception cohorts. Although clinical manifestations of this bias remain largely unexplored, they likely include the Black male neonatal death paradox.

Authors

Brenda Bustos
Dana Sarnak (ORCID: https://orcid.org/0000-0003-3976-4860)
Emtiaz Hossain Hritan (ORCID: https://orcid.org/0000-0001-5590-8161)
Dohoon Lee (ORCID: https://orcid.org/0000-0002-5278-3428)
Tim A. Bruckner
Joan A. Casey
Ralph Catalano

Institutions

Johns Hopkins University (US)
University of California, Los Angeles (US)
Duke University (US)
University of Washington (US)
University of California, Irvine (US)
Society for Public Health Education (US)
University of California, Berkeley (US)

Publication Details

Journal: Paediatric and Perinatal Epidemiology
Published: 2026-03-08
DOI: https://doi.org/10.1111/ppe.70127
Primary Topic: Demographic Trends and Gender Preferences
Type: article
Field-Weighted Citation Impact: 0.00

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article

Inflated Denominators, Selection In Utero, and the Black Male Neonatal Death Paradox

Brenda Bustos, Dana Sarnak, Emtiaz Hossain Hritan, Dohoon Lee et al.

Mar 8, 2026

Paediatric and Perinatal Epidemiology

Demographic Trends and Gender Preferences

article

Inflated Denominators, Selection In Utero, and the Black Male Neonatal Death Paradox

Brenda Bustos, Dana Sarnak, Emtiaz Hossain Hritan, Dohoon Lee, Tim A. Bruckner, Joan A. Casey, Ralph Catalano

March 8, 2026article en

Abstract

Stillbirth affects the composition of birth cohorts by selecting against less fit males in conception cohorts. Although clinical manifestations of this bias remain largely unexplored, they likely include the Black male neonatal death paradox.

Paediatric and Perinatal Epidemiology

Johns Hopkins University (US), University of California, Los Angeles (US), Duke University (US), University of Washington (US), University of California, Irvine (US), Society for Public Health Education (US), University of California, Berkeley (US)

Good health and well-being

Openalex Percentile: Top 37%

Demographic Trends and Gender Preferences

DOI Source OpenAlex

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