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Massachusetts Births 2005

Massachusetts Department of Public Health. Massachusetts Births 2005. Center for Health Information, Statistics, Research, and Evaluation Division of Research and Epidemiology Registry of Vital Records & Statistics MassCHIP Center for Community Health. Outline.

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Massachusetts Births 2005

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  1. Massachusetts Department of Public Health Massachusetts Births 2005 Center for Health Information, Statistics, Research, and Evaluation Division of Research and Epidemiology Registry of Vital Records & Statistics MassCHIP Center for Community Health

  2. Outline • Overview of 2005 Births and Comparison with U.S. indicators • Birth Trends • Selected Maternal Characteristics • Infant & Fetal Mortality • Cesarean Section (C-Section) Deliveries • Teen Births • Selected Communities • Summary

  3. Overview of 2005 Births and Comparison with U.S. Births

  4. 2005 Massachusetts Birth Characteristics 68 Cesarean sections 210 births 19 Preterm 17 Low birthweight On an average day 16 Inadequate prenatal care 10 Multiples 1 Infant death 12 Teen births

  5. A Comparison of 2005 Birth Indicators Massachusetts v. U.S.1 MAU.S. Fertility Rate (births /1000 ages 15-44)55.6* 66.7 Teen Birth Rate (births/1000 ages 15-19)21.7* 40.4 % Low Birthweight (< 5.5 lbs) 7.9 8.2 Infant Mortality Rate (IMR) 5.1* 6.82 (deaths per 1,000 live births) % Smoking during pregnancy7.2* 10.22,3 % Prenatal Care1st trimester83.2* 83.92,3 % C-Section32.3* 30.2 1. National Vital Statistics Report, Preliminary Births for 2005. Released on November 22, 2006. 2. Preliminary 2004 data. National Vital Statistics Reports, Vol. 54, No. 19, June 28, 2006. Data for the U.S. for 2005 have not yet been released. 3. Based on a 40- or 41-state reporting area. *Statistically Significant (p ≤ .05)

  6. Birth Trends in Massachusetts

  7. Massachusetts Births1995 & 2005 % change 20051995 and 2005 Number of Births 76,824 -6%* Teen Birth Rate (births/1000 ages 15-19) 21.7 -28%* % Smoking during pregnancy 7.2 -47%* Infant Mortality Rate 5.1 - - (deaths per 1,000 live births) - White non-Hispanic IMR 4.3 -2% - Black non-Hispanic IMR 9.4 -15% - Hispanic IMR 7.8 +8% % Low Birthweight 7.9 +23%* % C-Section 32.3 +57%* % Multiple Births 4.6 +44%* * Statistically Significant(p≤.05)

  8. Joinpoint Analysis (JPA) • A trend analysis tool developed by the National Cancer Institute • Creates a “model” (graph) that best describes the trend in events • Points where the trend turns around are called “joinpoints” • Shows the Annual Percentage Change (APC) for each line segment in the model

  9. 92,460 0.2% APC -2.0%* APC 76,824 1996 2002 Trend in the Number of Births Massachusetts: 1990-2005 -1.9%* APC * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  10. Number of Births by Mother’s Age (< 30 and 30+) Massachusetts: 1980-2005 Ages < 30 Ages > 30

  11. Age-specific Birth Rates Massachusetts vs. U.S.: 2005 US MA US Source: Births: Preliminary Data for 2005, NCHS. November 21, 2006

  12. Percent of Births by Race and Hispanic Ethnicity Massachusetts: 1990-2005 Hispanic Black non-Hispanic Asian non-Hispanic

  13. 1995 % Non-U.S. Born Mothers Massachusetts: 1990-2005 +5.4%* APC +1.3% APC * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  14. Births by Selected Mothers’ Ethnicities Ethnicity20002005 % Change Brazilian 1,033 2,058 +99%* African 689 1,197 +74%* Ghanaian 112 188 Moroccan 64 149 Kenyan 47 110 Salvadoran 736 1,046 +42%* Haitian 1,026 1,136 +11% Cape Verdean 773 872 +13% * Statistically Significant(p ≤.05)

  15. 1998 2002 1995 Number of Multiple Births Massachusetts: 1990-2005 -2.0% APC +3.8%* APC +8.0%* APC +2.0% APC * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  16. Low Birthweight (<2500g or 5.5lbs)Massachusetts: 1990-2005 +2.2%* APC * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  17. Low Birthweight Adjusted by Plurality1Massachusetts: 1990-2005 1 Plurality-adjusted LBW rate using 1990 plurality distribution as standard

  18. Selected Maternal Characteristics

  19. Births by Race and Hispanic Ethnicity Massachusetts: 2005 BIRTHS (n=76,824)

  20. Less than high school (age 20+) College graduate or higher Birth Characteristics by Maternal Education Massachusetts: 2005 * * * * * * * Statistically Significant(p ≤.05)

  21. Privately funded Medicaid Birth Characteristics by Funding Source of Prenatal Care, Massachusetts: 2005 * * * * * * * Statistically Significant(p ≤.05)

  22. Infant & Fetal Mortality

  23. 1996 Infant Mortality RateMassachusetts: 1990-2005 -5.3%* APC -0.6% APC * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  24. IMR by Race & Hispanic Ethnicity Massachusetts: 1990-2005 Black non-Hispanic Hispanic White non-Hispanic

  25. 1992 1995 2003 Black Non-Hispanic IMR Massachusetts: 1990-2005 +7.1% APC +1.7% APC -11.3% APC -12.6% APC * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  26. Black Non-Hispanic IMR with Linear Trend Massachusetts: 1990-2005 -1.8%* APC * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  27. 1999 Hispanic IMR Massachusetts: 1990-2005 +5.4% per year -5.7%* APC * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  28. 46% Infant Mortality Rate Effect of Excluding <500g (1.1lb) Infants1 Massachusetts: 1997-2005 IMR all weights IMR w/o < 500g 1 Calculated using birth-infant death linked files.

  29. N=848 N=841 N=810 N=791 N=741 N=830 N=780 N=798 Infant & Fetal Mortality RateMassachusetts: 1998-2005 Infant & Fetal Mortality Fetal Mortality Infant Mortality1 1 Infant Mortality = # of infant deaths/(fetal deaths + live births)

  30. Deliveries by Cesarean Section

  31. Infants Delivered by C-Section Massachusetts and the U.S. : 1990-2005 Massachusetts US

  32. 1997 Infants Delivered by C-SectionMassachusetts: 1990-2005 +6.7%* APC -2.0%* APC * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  33. Teen Births

  34. Births to Teens (15-19 years) Massachusetts and U.S. :2005 MassachusettsUnited States1 Teen Births 4,539 414,406 Teen Birth Rates 21.7* 40.4 (births per 1,000 females ages 15-19) White non-Hispanic 12.9* 26.0 Black non-Hispanic 36.4* 60.9 Asian2 15.3 16.9 Hispanic 73.2 81.5 1 National Vital Statistics Report, Preliminary Births for 2005. Released November 22, 2006 2 For U.S. data, Asian category includes persons of Hispanic and non-Hispanic origins *Statistically Significant (p ≤.05)

  35. Teen Birth Rates Massachusetts and U.S. :1985-2005 United States Massachusetts

  36. 1990 Teen Birth Rates Massachusetts :1985-2005 +5.6%* APC -3.5%* APC * Statistically Significant(p ≤.05)

  37. Highest Teen Birth Rates (Among Communities with at Least 75 Teen Births)Massachusetts: 2005 1 Ranking by highest teen birth rates among communities with at least 75 teen births 2 Births to females 15-19 per 1,000 females ages 15-19 * Statistically Significant (p ≤.05)

  38. Teen Birth Rates by MDPH Regions Massachusetts: 2005 MA Rate: 21.7

  39. Birth Outcomes for Selected Communities

  40. Highest Infant Mortality Rates Among the 30 Largest Communities1 Massachusetts: 2005 1Selected among the 30 Massachusetts communities with the largest populations. IMR = infant deaths per 1,000 live births. 2A Confidence Interval for a population parameter is a range in which you are 95% certain that the true population estimate is within. It is a function of variability and the number of events. * Statistically Significant (p ≤.05)

  41. Infant Mortality RatesSpringfield: 1990-2005

  42. Infant Mortality RatesWorcester: 1990-2005

  43. Percent of Mothers Receiving Adequate Prenatal Care for 30 Largest Communities1 Massachusetts: 2005 • Massachusetts 84.0% • Best • Brookline 94.7%* • Cambridge 89.5%* • Fall River 85.7% • Boston 84.1% • Worst • Pittsfield 61.0%* • Lowell 68.2%* 1Selected among the 30 Massachusetts communities with the largest populations. *Statistically Significant (p ≤.05) Based on the Adequacy of Prenatal Care Utilization (APNCU) Index

  44. Percent Low Birthweight for 30 Largest Communities1Massachusetts: 2005 • Massachusetts 7.9% • Best • Leominster5.5%* • Barnstable 4.0% • Worst • Brockton 11.5%* • Revere 10.9%* • New Bedford 10.6%* • Springfield 9.8%* • Lowell9.2% 1Selected among the 30 Massachusetts communities with the largest populations. *Statistically Significant (p ≤.05)

  45. Summary – Successes • Many Massachusetts perinatal health indicators are better than those of the U.S. • Continued decline in teen birth rates • Fewer women are smoking during pregnancy • 4 out of 5 women receive adequate prenatal care

  46. Summary–Challenges • Trends that must be closely monitored: • Low birthweight & preterm births • Multiple births • C-Section deliveries • Decline in overall number of births • Slight up-tick in IMR from 2004 and increase in selected communities

  47. Disparities Persist by Race, Geography, and SES • Black non-Hispanic IMR is twice as high as the white non-Hispanic IMR • Hispanic teen birth rate is almost 6 times that for white non-Hispanics • Cambodian, Central American, and African mothers are less likely to receive prenatal care in their first trimester • Low birthweight rates in Brockton, Revere, and New Bedford are at least 2 times the statewide rate • Less educated mothers have worse birth outcomes than more educated mothers

  48. Infant Mortality Rate Massachusetts: 1842-2005 2005

  49. How Can You Access the Massachusetts Births 2005 Report? • Hard Copies: (617) 740-2670 • TDD/TTY: (617) 624-6001 • DPH Website: • mass.gov/dph/bhsre/resep/resep.htm#birth

  50. Accessing Massachusetts Births 2005 Data on MassCHIP • MassCHIP (DPH’s Internet-based public health information service) • Website: http://masschip.state.ma.us • Telephone: 1-888-MASCHIP (Mass only) (617) 624-5629 • New Release (Version 3.0 r 316) • - Massachusetts Births 2005 • - Updated Data Sets

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