Post on 01-Apr-2015
GLENDA R. MILLER, MPH, BSN, BC CHNCSDIRECTOR, DIVISION OF COMMUNITY AND PUBLIC HEALTH
MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICESGLENDA.MILLER@DHSS.MO.GOV
Selected Maternal and Child Health Indicators, St. Louis City, St. Louis County, and Missouri
Statewide1
Live Births, by Race
Source: Missouri MICA (Missouri Information for Community Assessment) - Births
1,841 (35%)
66,103 (81%) 7,583 (62%)
3,265 (62%)
12,665 (16%)
3,999 (32%)
202 (4%) 3,115 (4%) 752 (6%)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
St. Louis City St. Louis County Missouri
Distribution of live births by race, St. Louis City, St. Louis County, and Missouri, 2007
Other races
African-American
White
2
Infant Mortality Rate
Source: DHSS. MICA-Deaths
13.812.9
13.6
10.8
8.5
7.3
7.98.5
9.1
7.7
7.7 7.5
0
2
4
6
8
10
12
14
16
1990-1993 1994-1998 1999-2002 2003-2007
IMR
(per
1,0
00 li
ve b
irths
)
Infant mortality rate (IMR), St. Louis City, St. Louis Coutny, and Missouri, 1990-2007
St. Louis City St. Louis County Missouri
3
Infant Mortality Rate, by Race
Source: DHSS. MICA-Deaths
10.8
5.3
14.2
8.5
5.2
16.5
7.56.2
15.2
0.02.04.06.08.0
10.012.014.016.018.0
All races White African-American
IMR
(per
1,0
00 li
ve b
irth
s)
Infant mortality rate (IMR), by race, St. Louis City, St. Louis County, and MO, 2003-2007 average
St. Louis City
St. Louis CountyMissouri
4
Teen Birth Rate
Source: DHSS. MICA-Births; MICA-Population
115.4111.7 110.9
106.7
96.4
75.6 72.468.1 65.4
54.2 56.548.2 46.0 46.7 45.0
36.140.8 37.3
24.3 22.5 25.1 21.6 23.319.4 18.5 16.8 16.5 17.1 15.9 15.2 13.4 12.9 14.1 12.8 14.0 14.9
39.2 38.8 38.2 36.4 35.2 32.3 30.8 29.4 28.7 26.9 26.7 23.3 21.9 21.3 21.7 20.8 22.6 21.4
0.0
20.0
40.0
60.0
80.0
100.0
120.0
140.0
Bir
th r
ate
(p
er
1,0
00
)
Birth rate among girls 15-17 years of age, St. Louis City, St. Louis County and Missouri, 1990-2007
St. Louis City St. Louis County MO
5
Teen Birth Rate, by Race
Source: DHSS. MICA-Births; MICA-Population
38.1
13.3
50.2
13.9
5.8
34.4
21.617.7
41.5
0.0
10.0
20.0
30.0
40.0
50.0
60.0
All races White African-American
Bir
th ra
te (p
er 1
,000
)
Birth rate among girls 15-17 years of age, by race, St. Louis City, St. Louis County, and MO, 2005-2007
average
St. Louis City St. Louis County Missouri
6
Early Prenatal Care
Source: DHSS. MICA-Births
63.2
82.379.1
86.9
90.988.6
77.6
86.0
84.1
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
%
Percent of live births to women who began prenatal care in the first trimester of pregnancy, St. Louis City, St. Louis County,
and Missouri, 1990-2007
St. Louis City St. Louis County MO
7
Early Prenatal Care, by Race
Source: DHSS. MICA-Births
79.189.5
72.9
88.6 93.4
78.784.1 86.473.6
0.010.020.030.040.050.060.070.080.090.0
100.0
All races White African-American
%
Percent of live births to women who began prenatal care in the first trimester of pregnancy, by race, St. Louis City, St. Louis
County, and MO, 2007
St. Louis City
St. Louis County
Missouri
8
Maternal Smoking During Pregnancy
Source: DHSS. MICA-Births
26.8
14.6
18.2
8.9
24.717.7
0.0
5.0
10.0
15.0
20.0
25.0
30.0
%
Percent of live births to women who smoked during pregnancy, St. Louis City, St. Louis County, and Missouri,
1990-2007
St. Louis City St. Louis County MO
9
Maternal Smoking During Pregnancy, by Race
Source: DHSS. MICA-Births
14.6 14.3 15.4
8.9 9.4 9.1
17.719.2
12.9
0.0
5.0
10.0
15.0
20.0
25.0
All races White African-American
%
Percent of live births to women who smoked during pregnancy, by race, St. Louis City, St. Louis County, and
MO, 2007
St. Louis City St. Louis County Missouri
10
Prepregnancy Overweight
Source: DHSS. MICA-Births
24.8
37.2
17.8
35.6
21.1
36.9
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0
45.0
%
Percent of live births to women with prepregnancy overweight, St. Louis City, St. Louis County, and Missouri, 1990-2007
St. Louis City St. Louis County MO
11
Prepregnancy Overweight, by Race
Source: DHSS. MICA-Births
37.2
29.3
43.0
35.631.0
47.1
36.9 36.1
44.2
0.05.0
10.015.020.025.030.035.040.045.050.0
All races White African-American
%
Percent of live births to women with prepregnancy overweight, by race, St. Louis City, St. Louis County
and MO, 2007
St. Louis City
St. Louis CountyMissouri
12
Motor Vehicle Traffic Injuries in Children
Source: DHSS. MICA-Injury
9591062 1082
1194
921
1055964
1044
896 877763 738
499
464 447 460 472 456 473 491 471 483542
431 465404
619 615 657 626 597 607 608 571 570 550 512 507443
0
200
400
600
800
1000
1200
1400
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Ra
te (p
er
10
0,0
00
)
Rate of ER visits and hospitalizations due to motor vehicle traffic related injuries among children under 15,
St. Louis City, St. Louis County, and Missouri, 1994-2006
St. Louis City St. Louis County Missouri
13
Motor Vehicle Traffic Injuries in Children, by Race
Source: DHSS. MICA-Injury
667
251
871
433.5
243.3
849.5
487415
774
0100200300400500600700800900
1000
All Races White African-American
Ra
te (p
er
10
0,0
00
)
Rate of ER visits and hospitalizations due to motor vehicle traffic related injuries among children under
15, by race, St. Louis City, St. Louis County, and Missouri, 2004-2006 average
St. Louis City St. Louis County Missouri
14
Motor Vehicle Traffic Injuries in Youths
Source: DHSS. MICA-Injury
3,010
2,141
3,282
2,112
3,242
2,495
0
500
1,000
1,500
2,000
2,500
3,000
3,500
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Ra
te (p
er
10
0,0
00
)
Rate of ER visits and hospitalizations due to motor vehicle traffic related injuries among children ages 15-24, St. Louis City, St. Louis County and Missouri, 1994-2006
St. Louis City St. Louis County Missouri
15
Motor Vehicle Traffic Injuries in Youths, by Race
Source: DHSS. MICA-Injury
2,406
1,623
2,853
2,362
1,845
3,600
2,6502,506
3,150
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
All Races White African-American
Ra
te (p
er
10
0,0
00
)
Rate of ER visits and hospitalizations due to motor vehicle traffic related injuries among youths ages15-
24, by race, St. Louis City, St. Louis County, and Missouri, 2004-2006 average
St. Louis City St. Louis County Missouri
16
Dental Disorders in Children
Source: DHSS. MICA-Injury
2.62.8
22.2
1.8
2.8
3.2
3.8
3.2 3.23.4
3.1
3.5
0.9 0.9 0.8 0.7 0.70.9
1.11.4 1.5 1.4 1.5 1.6 1.7
1.4 1.4 1.3 1.3 1.31.6
1.82.1 2.1 2.1
2.32.1
2
0
0.5
1
1.5
2
2.5
3
3.5
4
1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006
Ra
te (p
er
1,0
00
)
Rate of ER visits for disorders of teeth and jaw among children under 15, St. Louis City, St. Louis County and
Missouri, 1994-2006
St. Louis City St. Louis County Missouri
17
Dental Disorder in Children, by Race
Source: DHSS. MICA-Injury
3.3
1.5
4
1.5
0.6
3.5
2.11.8
3.2
0
0.5
1
1.5
2
2.5
3
3.5
4
4.5
All Races White African-American
Ra
te (p
er
1,0
00
)
Rate of ER visits for disorders of teeth and jaw among children under 15, by race, St. Louis City, St. Louis
County, and Missouri, 2002-2006 average
St. Louis City St. Louis County Missouri
18
Chlamydia, by Age and Sex, St. Louis City
Source: City of St. Louis Department of Health. Sexually Transmitted Diseases In the City of St. Louis, MO - Five Year Summary 2003 to 2007.
Reported Chlamydia rate by age and sex, St. Louis City, 2003-2007 five-year average
19
Chlamydia, by Age and Sex, St. Louis County
0-9 10-14 15-19 20-24 25-34 35-44 45-54 55+
Female 4.9 205.6 3724.3 3548.3 934.2 100.1 17.1 2.2
Male 2.9 19.7 869.0 1418.0 557.1 106.9 22.5 4.1
All 3.9 111.0 2258.4 2490.3 751.2 103.3 19.7 3.0
0.0
500.0
1000.0
1500.0
2000.0
2500.0
3000.0
3500.0
4000.0
Ra
te p
er
10
0,0
00
Reported Chlamydia rate by age and gender, St. Louis County, 2003-2007
five-year average
Source: DHSS. Bureau of HIV, STD, and Hepatitis
20
Chlamydia in Teen Girls
Source: DHSS. Bureau of HIV, STD, and Hepatitis
114.0 115.7 111.9 102.7 99.8
35.3 38.1 41.6 42.3 43.3
34.2 34.4 34.4 34.8 37.40.0
20.040.060.080.0
100.0120.0140.0
2004 2005 2006 2007 2008
Rat
e p
er 1
,000
Rate of reported cases of Chlamydia among women ages 15-19, St. Louis City, St. Louis County,
and Missouri, 2004-2008
St. Louis City St. Louis County Missouri
21
Chlamydia in Teen Girls, by Race
Source: DHSS. Bureau of HIV, STD, and Hepatitis
108.7
9.9
111.3
40.1
4.5
74.3
35.0
13.1
92.9
0.0
20.0
40.0
60.0
80.0
100.0
120.0
All races White African-American
Rate
per
1,0
00
Rate of reported cases of Chlamydia among women ages 15-19, by race, St. Louis City, St. Louis County, and
Missouri, 2004-2008 five-year average
St. Louis City St. Louis County Missouri
22
Chlamydia in Women 20-44
Source: DHSS. Bureau of HIV, STD, and Hepatitis
24.926.6 26.1 26.0 25.7
9.8 10.7 11.9 12.0 12.7
9.0 9.3 9.6 9.7 10.2
0.0
5.0
10.0
15.0
20.0
25.0
30.0
2004 2005 2006 2007 2008
Rat
e p
er 1
,000
Rate of reported cases of Chlamydia among women ages 20-44, St. Louis City, St. Louis County, and Missouri,
2004-2008
St. Louis City St. Louis County Missouri
23
Chlamydia in Women 20-44, by Race
Source: DHSS. Bureau of HIV, STD, and Hepatitis
25.8
3.2
36.4
11.4
1.8
21.6
9.63.8
29.0
0.05.0
10.015.020.025.030.035.040.0
All races White African-American
Rat
e p
er 1
,000
Rate of reported cases of Chlamydia among women ages 20-44, by race, St. Louis City , St. Louis County, and
Missouri, 2004-2008 five-year average
St. Louis City St. Louis County Missouri
24
Gonorrhea, by Age and Sex, St. Louis City
Source: City of St. Louis Department of Health. Sexually Transmitted Diseases In the City of St. Louis, MO - Five Year Summary 2003 to 2007.
Reported gonorrhea rate by age and gender, St. Louis City, 2003-2007 five-year average
25
Gonorrhea, by Age and Sex, St. Louis County
0-9 10-14 15-19 20-24 25-34 35-44 45-54 55+
Female 1.6 84.1 1249.7 1170.9 363.6 70.8 15.4 1.9
Male 1.6 15.4 533.9 963.5 480.4 145.5 55.3 9.0
All 1.6 49.1 882.2 1067.9 420.3 106.1 34.4 5.0
0.0
200.0
400.0
600.0
800.0
1000.0
1200.0
1400.0
Ra
te p
er
10
0,0
00
Reported gonorrhea rate by age and gender, St. Louis County, 2003-2007
five-year average
Source: DHSS. Bureau of HIV, STD, and Hepatitis
26
Gonorrhea in Teen Girls
Source: DHSS. Bureau of HIV, STD, and Hepatitis
40.2 43.4
52.0
39.833.1
10.813.7 13.7 14.8
9.4
9.2 9.9 10.6 9.98.1
0.0
10.0
20.0
30.0
40.0
50.0
60.0
2004 2005 2006 2007 2008
Rate
per
1,0
00
Rate of reported cases of gonorrhea among women ages 15-19, St. Louis City, St. Louis County, and Missouri, 2004-2008
St. Louis City St. Louis County Missouri
27
Gonorrhea in Teen Girls, by Race
Source: DHSS. Bureau of HIV, STD, and Hepatitis
41.7
2.6
46.3
12.5
1.0
27.6
9.52.1
36.0
0.0
10.0
20.0
30.0
40.0
50.0
All races White African-American
Rate
per
1,0
00
Rate of reported cases of gonorrhea among women ages 15-19, by race, St. Louis City, St. Louis County, and
Missouri, 2004-2008 five-year average
St. Louis City St. Louis County Missouri
28
Gonorrhea in Women 20-44
Source: DHSS. Bureau of HIV, STD, and Hepatitis
11.6 12.1 12.7 12.3
9.3
3.53.9 4.2 4.5
3.4
3.13.2 3.4 3.3 2.80.0
2.04.06.08.0
10.012.014.0
2004 2005 2006 2007 2008
Rat
e p
er 1
,000
Rate of reported cases of gonorrhea among women ages 20-44, St. Louis City, St. Louis County, and Missouri,
2004-2008
St. Louis City St. Louis County Missouri
29
Gonorrhea in Women 20-44, by Race
Source: DHSS. Bureau of HIV, STD, and Hepatitis
11.6
1.4
17.6
3.9
0.4
9.2
3.20.9
13.7
0.0
5.0
10.0
15.0
20.0
All races White African-American
Rate
per
1,00
0
Rate of reported cases of gonorrhea among women ages 20-44, by race, St. Louis City, St. Louis County, and Missouri,
2004-2008 five-year average
St. Louis City St. Louis County Missouri
30
Acknowledgements
Section of Epidemiology for Public Health PracticesMCH Epidemiology Team
- Venkata Garikapaty – MCH Epidemiologist - Mei Lin – CDC MCH Epidemiology Assignee
- Supriya Nelluri – Research Analyst - Mary Jo Mosley – Research Analyst
Section of Healthy Families & Youth
Melinda Sanders – Administrator
31