Embed Size (px)
Citation preview
Infant MortalityAlabama 2009
Infant MortalityAlabama 2009
Alabama Department of Public HealthCenter for Health Statistics
Alabama Department of Public HealthCenter for Health Statistics
T
OT
AL
RE
SID
EN
T IN
FA
NT
DE
AT
HS
AN
D I
NF
AN
T M
OR
TA
LIT
Y R
AT
ES
* B
Y C
OU
NT
Y
AL
AB
AM
A,
20
07
, 20
08
, 20
09 a
nd
20
07
-20
09
CO
MB
INE
D
CO
UN
TY
2007
2008
2009
CO
UN
TY
2007-2
00
9
NU
MB
ER
R
AT
E
NU
MB
ER
R
AT
E
NU
MB
ER
R
AT
E
NU
MB
ER
R
AT
E
TO
TA
L
641
10.0
612
9.5
513
8.2
T
OT
AL
1766
9.2
AU
TA
UG
A
6
8.3
9
11.7
2
2.9
A
UT
AU
GA
17
7.8
BA
LD
WIN
11
4.8
16
7.0
19
8.9
B
AL
DW
IN
46
6.9
BA
RB
OU
R
6
14.9
6
17.0
6
18.1
B
AR
BO
UR
18
16.6
BIB
B
3
10.8
2
7.4
3
13.0
B
IBB
8
10.2
BL
OU
NT
7
9.7
4
5.7
3
4.2
B
LO
UN
T
14
6.6
BU
LL
OC
K
2
10.5
0
0.0
0
0.0
B
UL
LO
CK
2
3.7
BU
TL
ER
4
13.7
4
13.5
1
4.0
B
UT
LE
R
9
10.7
CA
LH
OU
N
11
7.0
13
8.5
17
11.1
C
AL
HO
UN
41
8.9
CH
AM
BE
RS
5
12.1
3
7.2
3
7.5
C
HA
MB
ER
S
11
8.9
CH
ER
OK
EE
3
12.9
4
17.2
0
0.0
C
HE
RO
KE
E
7
10.0
CH
ILT
ON
5
8.2
8
13.1
8
13.5
C
HIL
TO
N
21
11.6
CH
OC
TA
W
0
0.0
0
0.0
0
0.0
C
HO
CT
AW
0
0.0
CL
AR
KE
3
9.6
2
6.3
1
3.3
C
LA
RK
E
6
6.5
CL
AY
2
13.5
2
12.2
0
0.0
C
LA
Y
4
8.7
CL
EB
UR
NE
0
0.0
1
5.1
5
27.5
C
LE
BU
RN
E
6
10.8
CO
FF
EE
9
12.9
6
8.7
7
9.5
C
OF
FE
E
22
10.4
CO
LB
ER
T
8
12.2
4
6.2
7
11.1
C
OL
BE
RT
19
9.8
CO
NE
CU
H
0
0.0
3
20.7
2
14.4
C
ON
EC
UH
5
10.9
CO
OS
A
1
9.7
1
8.7
0
0.0
C
OO
SA
2
6.5
CO
VIN
GT
ON
7
16.1
5
11.3
2
4.0
C
OV
ING
TO
N
14
10.2
CR
EN
SH
AW
3
17.4
0
0.0
1
5.8
C
RE
NS
HA
W
4
7.8
CU
LL
MA
N
11
9.8
11
10.8
1
1.0
C
UL
LM
AN
23
7.4
DA
LE
7
8.9
3
3.9
10
12.6
D
AL
E
20
8.5
DA
LL
AS
3
4.1
10
13.5
5
7.1
D
AL
LA
S
18
8.3
DE
KA
LB
6
5.7
4
3.9
7
7.5
D
EK
AL
B
17
5.6
EL
MO
RE
9
8.5
6
5.8
6
5.6
E
LM
OR
E
21
6.6
ES
CA
MB
IA
5
10.8
4
7.1
4
8.3
E
SC
AM
BIA
13
8.6
ET
OW
AH
13
10.4
19
15.0
10
7.8
E
TO
WA
H
42
11.1
FA
YE
TT
E
3
16.0
2
10.5
2
10.6
F
AY
ET
TE
7
12.3
FR
AN
KL
IN
4
8.6
4
8.3
5
10.8
F
RA
NK
LIN
13
9.2
GE
NE
VA
6
17.9
2
6.0
2
7.4
G
EN
EV
A
10
10.6
GR
EE
NE
0
0.0
0
0.0
0
0.0
G
RE
EN
E
0
0.0
HA
LE
1
4.4
3
13.9
0
0.0
H
AL
E
4
6.2
HE
NR
Y
0
0.0
2
11.0
0
0.0
H
EN
RY
2
3.4
HO
US
TO
N
13
9.6
11
7.9
14
9.8
H
OU
ST
ON
38
9.1
JA
CK
SO
N
2
3.4
8
12.8
3
4.9
J
AC
KS
ON
13
7.1
JE
FF
ER
SO
N
121
12.5
126
13.2
81
8.7
JE
FF
ER
SO
N
328
11.5
LA
MA
R
1
5.7
2
11.3
1
6.9
L
AM
AR
4
8.1
LA
UD
ER
DA
LE
9
9.0
8
7.8
3
3.1
L
AU
DE
RD
AL
E
20
6.7
LA
WR
EN
CE
1
2.5
4
9.4
3
7.3
L
AW
RE
NC
E
8
6.4
LE
E
13
8.4
10
6.7
10
5.9
L
EE
33
7.0
LIM
ES
TO
NE
10
10.2
7
6.6
7
6.8
L
IME
ST
ON
E
24
7.8
LO
WN
DE
S
0
0.0
1
5.6
2
11.4
L
OW
ND
ES
3
5.7
MA
CO
N
6
23.2
3
12.1
3
12.7
M
AC
ON
12
16.2
MA
DIS
ON
28
6.6
47
11.1
37
8.7
M
AD
ISO
N
112
8.8
MA
RE
NG
O
2
6.9
1
3.4
2
7.8
M
AR
EN
GO
5
6.0
MA
RIO
N
6
15.7
2
6.1
3
9.7
M
AR
ION
11
10.8
MA
RS
HA
LL
14
9.4
8
5.3
11
7.3
M
AR
SH
AL
L
33
7.4
MO
BIL
E
65
10.4
43
6.9
44
7.3
M
OB
ILE
152
8.2
MO
NR
OE
0
0.0
2
6.9
1
3.7
M
ON
RO
E
3
3.4
MO
NT
GO
ME
RY
45
13.1
35
9.8
30
8.9
M
ON
TG
OM
ER
Y
110
10.6
MO
RG
AN
17
10.4
14
8.6
12
8.0
M
OR
GA
N
43
9.0
PE
RR
Y
2
12.0
3
19.1
1
6.4
P
ER
RY
6
12.5
PIC
KE
NS
3
13.3
5
19.2
4
14.8
P
ICK
EN
S
12
15.9
PIK
E
2
4.6
5
12.7
3
7.0
P
IKE
10
8.0
RA
ND
OL
PH
2
7.7
2
7.9
2
7.9
R
AN
DO
LP
H
6
7.8
RU
SS
EL
L
6
13.3
9
10.7
9
11.7
R
US
SE
LL
24
11.7
ST
CL
AIR
12
10.8
6
5.3
13
11.7
S
T C
LA
IR
31
9.2
SH
EL
BY
17
6.3
11
4.2
11
4.4
S
HE
LB
Y
39
5.0
SU
MT
ER
0
0.0
3
17.1
2
12.2
S
UM
TE
R
5
9.9
TA
LL
AD
EG
A
21
19.2
15
14.4
11
11.2
T
AL
LA
DE
GA
47
15.0
TA
LL
AP
OO
SA
4
7.4
7
13.0
11
22.3
T
AL
LA
PO
OS
A
22
14.0
TU
SC
AL
OO
SA
41
16.2
32
12.3
28
11.3
T
US
CA
LO
OS
A
101
13.3
WA
LK
ER
8
9.3
13
15.1
7
8.5
W
AL
KE
R
28
11.0
WA
SH
ING
TO
N
1
5.1
2
10.9
1
5.9
W
AS
HIN
GT
ON
4
7.3
WIL
CO
X
1
5.9
0
0.0
3
19.6
W
ILC
OX
4
8.3
WIN
ST
ON
4
14.1
4
14.1
1
4.6
W
INS
TO
N
9
11.5
*Rate
is p
er
1,0
00 liv
e b
irth
s.
Infant Mortality RatesAlabama, 2000-2009
Infant Mortality RatesAlabama, 2000-2009
Rat
e pe
r 1,0
00 L
ive
Birt
hsR
ate
per 1
,000
Liv
e B
irths
Number of Infant DeathsAlabama, 2000-2009
Number of Infant DeathsAlabama, 2000-2009
Infant Mortality RatesAlabama and United States1
1965-2009
Infant Mortality RatesAlabama and United States1
1965-2009
8.2
6.5
1 2007 US rate is provisional
Alabama
United States
Rat
e pe
r 1,0
00 L
ive
Birt
hsR
ate
per 1
,000
Liv
e B
irths
Infant Mortality Rates, byRace Alabama, 2000-2009Infant Mortality Rates, byRace Alabama, 2000-2009
Rat
e pe
r 1,0
00 L
ive
Birt
hsR
ate
per 1
,000
Liv
e B
irths
YeaYearr
Number of Teen BirthsAlabama, 2000-2009
Number of Teen BirthsAlabama, 2000-2009
Num
ber o
f Liv
e B
irths
Num
ber o
f Liv
e B
irths
Percent of Births toTeenagers Alabama,
2000-2009
Percent of Births toTeenagers Alabama,
2000-2009
Perc
ent o
f All
Liv
e B
irths
Perc
ent o
f All
Liv
e B
irths
Infant Mortality RatesTeenagers vs Adults
Alabama, 2009
Infant Mortality RatesTeenagers vs Adults
Alabama, 2009
TeenagersTeenagers AdultsAdults
Percent of Low WeightBirths Alabama, 2000-2009
Percent of Low WeightBirths Alabama, 2000-2009
Perc
ent o
f All
Liv
e B
irths
Perc
ent o
f All
Liv
e B
irths
Infant Mortality RatesLow vs. Normal Weight
Births Alabama, 2000-2009
Infant Mortality RatesLow vs. Normal Weight
Births Alabama, 2000-2009Low Weight
Normal Weight
55.2
2.7
YeaYearr
Percent of Births withAdequate Prenatal Care1
Alabama, 2000-2009
Percent of Births withAdequate Prenatal Care1
Alabama, 2000-2009
1 Adequacy of care measured using the Kotelchuck index
Perc
ent o
f All
Liv
e B
irths
Perc
ent o
f All
Liv
e B
irths
Infant Mortality Rates byAdequacy of Prenatal Care1
Alabama, 2009
Infant Mortality Rates byAdequacy of Prenatal Care1
Alabama, 2009
1 Adequacy of care measured using the Kotelchuck index
AdequateAdequate Less Than AdequateLess Than Adequate
Infant Mortality Rate byMethod of Payment,
2008 and 2009
Infant Mortality Rate byMethod of Payment,
2008 and 2009
Rat
e pe
r 1,0
00 L
ive
Birt
hsR
ate
per 1
,000
Liv
e B
irths
MedicaidMedicaid Private InsurancePrivate Insurance Self PaySelf Pay
Percent of Births withMaternal Smoking
Alabama, 2000-2009
Percent of Births withMaternal Smoking
Alabama, 2000-2009
Perc
ent o
f All
Live
Birt
hs
Maternal Smoking by Age ofMother Alabama, 2000-2009Maternal Smoking by Age ofMother Alabama, 2000-2009
12.0Teens
Adults12.0
15.1
Perc
ent o
f All
Live
Birt
hs
10.9
Infant Mortality Rates bySmoking StatusAlabama, 2009
Infant Mortality Rates bySmoking StatusAlabama, 2009
SmokedSmoked Did Not SmokeDid Not Smoke
SummarySummary• Lowest infant mortality rate in
Alabama history
• Persistent racial disparity
• Decline in teen births
• Decline in adequate prenatal care
• Change in method of payment
• Decline in smoking
• Lowest infant mortality rate inAlabama history
• Persistent racial disparity
• Decline in teen births
• Decline in adequate prenatal care
• Change in method of payment
• Decline in smoking
Economic HypothesisEconomic Hypothesis
Births by Method of PaymentBirths by Method of Payment
2008 2009 Change PercentChange (%)
Total births 64345 62476 -1869 -2.9Medicaid 31106 30980 -126 -0.4PrivateInsurance 28718 27181 -1537 -5.4
Self pay 2634 2294 -340 -12.9Other andUnknown 1887 2021 134 7.1
Births with No Prenatal CareAlabama 2000-2009
Births with No Prenatal CareAlabama 2000-2009
