INFANT MORTALITY ALABAMA 2017alabamapublichealth.gov/healthstats/assets/IM_17.pdfLEADING CAUSESOF...
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INFANT MORTALITY ALABAMA 2017 ALABAMA DEPARTMENT OF PUBLIC HEALTH CENTER FOR HEALTH STATISTICS
Transcript of INFANT MORTALITY ALABAMA 2017alabamapublichealth.gov/healthstats/assets/IM_17.pdfLEADING CAUSESOF...
INFANT MORTALITY
ALABAMA 2017
ALABAMA DEPARTMENT OF PUBLIC HEALTH
CENTER FOR HEALTH STATISTICS
INFANT MORTALITY RATES
ALABAMA, 2008-2017
9.5
8.2
8.7
8.1
8.98.6 8.7
8.3
9.1
7.4
6.0
7.0
8.0
9.0
10.0
Ra
te (
Pe
r 1
,00
0 L
ive
Bir
ths)
2ADPH|CHS
0.0
1.0
2.0
3.0
4.0
5.0
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Ra
te (
Pe
r 1
,00
0 L
ive
Bir
ths)
NUMBER OF INFANT DEATHS
ALABAMA, 2008-2017
612
513 522
481
519500
517494
537
435
324
400
500
600
700
Nu
mb
er
of
Infa
nt
De
ath
s
Total White Black Other
3ADPH|CHS
324
254 265242
253
266
238206
255
213279251 249
234
261
227
267 280 273
207
9 8 8 5 5 7 12 8 9 15
0
100
200
300
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Nu
mb
er
of
Infa
nt
De
ath
s
NUMBER OF BIRTHS
ALABAMA, 2008-2017
64,345
59,979 59,322 58,381 58,162 59,532 59,090
62,47659,651 58,936
19,79118,884
18,218 17,96918,083 17,954
18,327 18,330 18,061 18,419
1,6571,629
1,568 1,5831,661 1,604
1,717 1,689 1,788 1,789
40,000
50,000
60,000
70,000
Nu
mb
er
of
Liv
e B
irth
s
4ADPH|CHS
42,897 41,963 40,193 39,770 38,637 38,604 39,488 39,632 39,241 38,728
0
10,000
20,000
30,000
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Nu
mb
er
of
Liv
e B
irth
s
Other Black White
INFANT MORTALITY BY COUNTY OF RESIDENCE
ALABAMA, 2017Rate (Per 1,000 Live Births)Number
ADPH|CHS 5
INFANT MORTALITY RATES
ALABAMA, 2008-2017
14.113.3
13.713.0
14.4
12.6
14.615.3 15.1
11.2
9.5
12.0
14.0
16.0
18.0
Ra
te(P
er
1,0
00
Liv
e B
irth
s)
Black Total White Other
6ADPH|CHS
9.5
8.28.7
8.18.9 8.6 8.7
8.39.1
7.4
7.6
6.16.6
6.16.5
6.9
6.0
5.2
6.5
5.55.44.9 5.1
3.2 3.0
4.4
7.0
4.7 5.0
8.4
0.0
2.0
4.0
6.0
8.0
10.0
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Ra
te (
Pe
r 1
,00
0 L
ive
Bir
ths)
THREE-YEAR INFANT MORTALITY RATES
ALABAMA, 1995-1997 to 2015-2017
9.9 10.19.8 9.8
9.5 9.3 9.1 8.9 8.9 9.09.5 9.5
9.28.8
8.38.6 8.5 8.7 8.5 8.7
8.3
8.0
10.0
12.0
Ra
te(P
er
1,0
00
Liv
e B
irth
s)
ADPH|CHS 7
0.0
2.0
4.0
6.0
95
-97
96
-98
97
-99
98
-00
99
-01
00
-02
01
-03
02
-04
03
-05
04
-06
05
-07
06
-08
07
-09
08
-10
09
-11
10
-12
11
-13
12
-14
13
-15
14
-16
15
-17
Ra
te (
Pe
r 1
,00
0 L
ive
Bir
ths)
INFANT MORTALITY RATESALABAMA AND UNITED STATES1 1970 2017
30.0
ALABAMA AND UNITED STATES1, 1970‐2017
20.0
25.0
ive Births)
ALABAMA
10 0
15.0
Per 1
,000
Li ALABAMA
7.4
5.95.0
10.0
Rate (P
UNITED STATES
0.01970 1975 1980 1985 1990 1995 2000 2005 2010 2017
1
8
1 Most current national data is for year 2016.
ADPH|CHS
NUMBER OF BIRTHS TO TEENAGERS (AGES 10-19)
ALABAMA, 2008-2017
8,5678,365
7,446
6,697
6,236
5,4205,084
4,7904,526
4,285
4,742 4,769
4,1965,000
6,000
7,000
8,000
9,000
Nu
mb
er
of
Tee
n B
irth
s
Total White Black Other
9ADPH|CHS
4,5264,2854,196
3,7993,546
3,194 3,0752,876
2,642 2,5693,684
3,4713,139
2,8122,609
2,1451,944 1,842 1,789 1,640
141 125 111 86 81 81 65 72 95 76
0
1,000
2,000
3,000
4,000
5,000
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Nu
mb
er
of
Tee
nB
irth
s
PERCENT OF BIRTHS TO TEENAGERS (AGES 10-19)
ALABAMA, 2008-2017
13.3 13.4
12.4
11.310.7
9.38.5
8.07.7
10.0
12.0
14.0
16.0
Liv
e B
irth
s
10ADPH|CHS
8.07.7
7.3
0.0
2.0
4.0
6.0
8.0
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Pe
rce
nt
of
Liv
e B
irth
s
PERCENT OF BIRTHS TO TEENAGERS BY RACE (AGES 10-19)
ALABAMA, 2016 vs. 2017
6.7
9.9
7.7
6.6
8.9
7.3
6.0
8.0
10.0
12.0
Pe
rce
nt
of
Liv
e B
irth
s
2016 2017
11ADPH|CHS
5.3
4.2
0.0
2.0
4.0
6.0
White Black Other Total
Pe
rce
nt
of
Liv
e B
irth
s
PERCENT OF BIRTHS LESS THAN 37 WEEKS GESTATION
ALABAMA, 2008-2017
12.912.5 12.5
11.9 11.9 11.8 11.7 11.712.0 12.0
8.0
10.0
12.0
14.0
Liv
e B
irth
s
12ADPH|CHS
0.0
2.0
4.0
6.0
8.0
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Pe
rce
nt
of
Liv
e B
irth
s
PERCENT OF BIRTHS AT 37- 40 WEEKS GESTATION
ALABAMA, 2011-2017
38.640.7
42.743.7 43.6 42.9 42.6
30.0
35.0
40.0
45.0
50.0
Pe
rce
nt
of
All
Liv
e B
irth
s
37 weeks 38 weeks 39 weeks 40 weeks
13ADPH|CHS
9.4 9.5 9.2 9.4 9.6 10.4 10.6
19.918.5
16.415.6 15.8
16.2 16.4
16.8 16.1
16.6 16.0 15.9
15.2 15.1
0.0
5.0
10.0
15.0
20.0
25.0
30.0
2011 2012 2013 2014 2015 2016 2017
Pe
rce
nt
of
All
Liv
e B
irth
s
PERCENT OF LOW WEIGHT BIRTHS
ALABAMA, 2008-2017
10.6 10.4 10.310.0 10.1 10.0 10.1
10.4 10.3 10.3
6.0
8.0
10.0
12.0
Liv
e B
irth
s
14ADPH|CHS
0.0
2.0
4.0
6.0
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Pe
rce
nt
of
Liv
e B
irth
s
NUMBER OF PRETERM BIRTHS BY BIRTH WEIGHT
ALABAMA, 2016 vs. 2017
2,026
1,075
2,046
1,500
2,000
2,500
Nu
mb
er
of
Liv
e B
irth
s
2016 2017
15ADPH|CHS
Birth Weight (grams)
162
481 517
1,073
123
426561
1,075
0
500
1,000
<500 500-999 1,000-1,499 1,500-1,999 2,000-2,499
Nu
mb
er
of
Liv
e B
irth
s
NUMBER OF INFANT DEATHS
WITH PRETERM BIRTHS BY BIRTH WEIGHT
ALABAMA, 2016 vs. 2017
128
113
102
6980
100
120
140
Nu
mb
er
of
Infa
nt
De
ath
s
2016 2017
16ADPH|CHS
Birth Weight (grams)
2532
22
69
2519
26
0
20
40
60
80
<500 500-999 1,000-1,499 1,500-1,999 2,000-2,499
Nu
mb
er
of
Infa
nt
De
ath
s
PERCENT OF BIRTHS WITH A BIRTH INTERVAL
LESS THAN 2 YEARS, ALABAMA, 2008-2017
26.325.2
24.123.0
22.3 22.5 23.023.9
24.8 24.9
20.0
25.0
30.0
Liv
e B
irth
s
17ADPH|CHS
0.0
5.0
10.0
15.0
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Pe
rce
nt
of
Liv
e
PERCENT OF BIRTHS WITH ADEQUATE PRENATAL CARE1
ALABAMA, 2008-2017
74.2 72.8 73.0 71.674.1
76.2 75.0 75.3 74.5 74.3
50.0
60.0
70.0
80.0
90.0
Pe
rce
nt
of
Liv
e B
irth
s
18
1 Adequacy of care included both adequate plus and adequate as measured by the Kotelchuck index.
Percentage calculation excludes unknown status.
ADPH|CHS
0.0
10.0
20.0
30.0
40.0
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Pe
rce
nt
of
Liv
e B
irth
s
PERCENT OF BIRTHS WITH NO PRENATAL CARE
ALABAMA, 2008-2017
2.2
2.0 1.91.8
1.61.5
1.81.9
2.1
2.2
1.5
2.0
2.5
Pe
rce
nt
of
Liv
e B
irth
s
19ADPH|CHS
0.0
0.5
1.0
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Pe
rce
nt
of
Liv
e B
irth
s
PERCENT OF BIRTHS WITH MATERNAL SMOKING
ALABAMA, 2008-2017
12.0
11.1 11.210.6 10.7 10.8 10.7 10.4 10.1
9.6
8.0
10.0
12.0
14.0
Liv
e B
irth
s
20ADPH|CHS
* Smoking question changed from “yes” or “no” during pregnancy to an indication for each trimester in 2014. For comparison,
smoking in any trimester equaled smoking during pregnancy.
0.0
2.0
4.0
6.0
8.0
2008 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017*
Pe
rce
nt
of
Liv
e
9.7
8.0
10.0
12.0
14.0
Liv
e B
irth
s
PERCENT OF BIRTHS WITH MATERNAL SMOKING
BY AGE OF MOTHER
ALABAMA, 2008-2017
TEENS (AGES 10-19)
ADULTS (AGES 20+)
8.2
0.0
2.0
4.0
6.0
2008 2009 2010 2011 2012 2013 2014* 2015* 2016* 2017*
Pe
rce
nt
of
Liv
e
21
* Smoking question changed from “yes” or “no” during pregnancy to an indication for each trimester in 2014. For comparison,
smoking in any trimester equaled smoking during pregnancy.
ADPH|CHS
LEADING CAUSES OF INFANT DEATHS
ALABAMA, 2017
� Top three leading causes of infant deaths
• Congenital malformations, deformations and chromosomal
abnormalities (Q00-Q99)
• Disorders related to short gestation and low birth weight, not
elsewhere classified (P07)
22
• Sudden infant death syndrome (R95)
� Three leading causes accounted for 43.4% of
infant deaths.
� Top three leading causes of infant deaths were
same for US in 2016 and accounted for 44.2% of
infant deaths.
ADPH|CHS
LEADING CAUSES OF INFANT DEATHS
ALABAMA, 2015-2017
2015 White Black Other Total 2016 White Black Other Total 2017 White Black Other Total
Q00-Q99 43 42 1 86 Q00-Q99 55 35 2 92 Q00-Q99 53 33 5 91
P07 27 42 0 69 P07 28 60 1 89 P07 19 39 1 59
23ADPH|CHS
R95 20 41 0 61 R95 27 22 2 51 R95 23 16 0 39
Subtotal 90 125 1 216 Subtotal 110 117 5 232 Subtotal 95 88 6 189
Total
Deaths206 280 8 494
Total
Deaths250 275 12 537
Total
Deaths213 207 15 435
Top 3 43.7% Top 3 47.0% Top 3 43.4%
