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Right Start in Michigan 2009
Michigan League for Human Services1115 South Pennsylvania Avenue, Suite 202, Lansing, MI 48912-1658 (517) 487-5436
Fax: (517) 371-4546 Web site: http://www.MiLHS.org
A United Way Agency
An Overview by Jane Zehnder-Merrell
Sr. Research Associate, Michigan League for Human Services
Maternal and Infant Health
• Maternal risk characteristics–Age – teen/repeat teen–Marital status–Education –Prenatal care–Smoking during pregnancy
• Birth outcomes/infants–Low-birthweight–Preterm
Michigan Overview
Births to teens
Repeat births to teens
Births to unmarried women
Less than 12 years education
Late or no prenatal care
Smoked during pregnancy
Low-birthweight babies
Preterm births
Percent Change in Rate WORSE BETTER
20 10 0 10 20 30 40
County Group Analysis: Geography by Population Density
• Urban – 28 (over 65,000)
• Mid-sized – 36 (20,000-65,000)
• Rural – 19 (under 20,000)
Michigan County Groups*
Right Start 2009
*Based on populationSource: Population Reference Bureau
Demographics in the County Groups
Source: Michigan Department of Community Health, Vital Records and Health Data Development
Michigan county groups reflected similar levels of risk by maternal age and
education.
Source: Michigan Department of Community Health, Vital Records and Health Data Development
Urban counties had the highest rates of low-birthweight babies and preterm births.
Source: Michigan Department of Community Health, Vital Records and Health Data Development
Unlike non-marital birth rates, maternal smoking during pregnancy varied
dramatically among county groups.
Source: Michigan Department of Community Health, Vital Records and Health Data Development
In 2007 the largest numbers of Michigan's non-marital births occurred
to women in their 20s.
Source: Michigan Department of Community Health, Vital Records and Health Data Development
The percent of births to single women escalated in all Michigan county groups.
Source: Michigan Department of Community Health, Vital Records andHealth Data Development
Percent of total live births
The percentage of low-birthweight babies worsened in all county groups.
Source: Michigan Department of Community Health, Vital Records andHealth Data Development
The percentage of mothers with less than 12 years education declined the most in
rural counties.
Source: Michigan Department of Community Health, Vital Records andHealth Data Development
Maternal smoking during pregnancy declined sharply in urban counties.
Source: Michigan Department of Community Health, Vital Records andHealth Data Development
Policy Implications
• Early childhood – begin at the beginning
• Targeting scarce resources at high risk demographic and geographic groups – executive order cuts
• Medicaid matters – provider rates
• Women’s health