infant mort 15 slides scph - alabamapublichealth.gov · infant mortality – causes of death...
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INFANT MORTALITYALABAMA 2015ALABAMA 2015
ALABAMA DEPARTMENT OF PUBLIC HEALTHCENTER FOR HEALTH STATISTICS
ADPH|CHS
INFANT MORTALITY RATES
12.0
ALABAMA, 2006‐2015
9.0
10.09.5
8.28.7
8.18.9 8.6 8.7
8.38 0
10.0
6.0
8.0
4.0
0 0
2.0
0.02006 2007 2008 2009 2010 2011 2012 2013 2014 2015
2ADPH|CHS
NUMBER OF INFANT DEATHS ALABAMA 2006‐2015
642612
700
ALABAMA, 2006‐2015
569
513 522481
519 500 517494
500
600
345 324
265 266285259 266 279 288
300
400
284254
265 242
253
266
238206
297 288259
257 239
266
234200
300
0
100
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
White Black/Others Total
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
3ADPH|CHS
NUMBER OF BIRTHS ALABAMA, 2006‐2015
70,000
ALABAMA, 2006 2015
64,180 64,34559,979 59,322 58,381 58 162 59,532
62,915 62,47659,651
20,546 21,194 21,448 20,51319,786 19,552 19,744 19,558 20,044 20,01950,000
60,00059,322 58,381 58,162 59,532
30,000
40,000
42,369 42,986 42,897 41,963 40,193 39,770 38,637 38,604 39,488 39,63220,000
,
0
10,000
2006 2007 2008 2009 2010 2011 2012 2013 2014 20152006 2007 2008 2009 2010 2011 2012 2013 2014 2015Black/Others White
4ADPH|CHS
INFANT MORTALITY RATES
30.0
ALABAMA AND UNITED STATES1, 1970‐2015
20.0
25.0
ALABAMA
8 3
15.0
20.0 ALABAMA
8.3
5.85.0
10.0UNITED STATES
0.01970 1975 1980 1985 1990 1995 2000 2005 2010 2015
AL US
5
1 2015 US rate is not available. ADPH|CHS
INFANT MORTALITY RATES, BLACK INFANTSALABAMA, 2006‐2015
16 0
18.0
14.3 14.614.1
13.3 13.713.0
14.4
12.6
14.615.3
12 0
14.0
16.0
8.0
10.0
12.0
4.0
6.0
8.0
0.0
2.0
6ADPH|CHS
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
INFANT MORTALITY RATES, WHITE INFANTSINFANT MORTALITY RATES, WHITE INFANTSALABAMA, 2006‐2015
8 09.0
6.7
8.07.6
6.16.6
6.16.5
6.9
6.07.0
8.0
5.2
4 0
5.0
6.0
2.0
3.0
4.0
0.0
1.0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
7ADPH|CHS
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
INFANT MORTALITY RATESALABAMA AND UNITED STATES1 BY RACE 2006 2015ALABAMA AND UNITED STATES1 BY RACE, 2006‐2015
18.0
15.3
12 0
14.0
16.0AL-BLACK
11.1
8.0
10.0
12.0 US-BLACK
AL WHITE5.2
4.94.0
6.0AL-WHITE
US-WHITE
0.0
2.0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
8ADPH|CHS
1 2015 US rate is not available.
NUMBER OF TEEN BIRTHS (AGE 10‐19) ALABAMA 2006 2015
9 000
10,000
ALABAMA, 2006‐2015
8,3658,670 8,776 8,567
3,845 3,877 3,825 3 5967,000
8,000
9,000
7,4466,697
6,236
8,3658,567
, 3,825 3,596
3,2502,898
2,6902,226 2 0094 000
5,000
6,0004,790
5,4205,084
4,825 4,899 4,742 4,7694,196 3,799 3,546 3 194 3 075
, 2,009 1,914
2,000
3,000
4,000
3,546 3,194 3,075 2,876
0
1,000
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015Black/Other White
9ADPH|CHS
PERCENT OF BIRTHS TO TEENAGERS (AGE 10‐19)ALABAMA 2006 2015
13.8 13.7 13 3 13 414.0
16.0
ALABAMA, 2006‐2015
13.3 13.412.4
11.310.7
12.0
14.0
9.38.5 8.0
8.0
10.0
4.0
6.0
0.0
2.0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
10ADPH|CHS
PERCENT OF BIRTHS LESS THAN 37 WEEKS GESTATION,
13 1 13 1
13.5
ALABAMA, 2006‐2015
13.1 13.112.9
12.5 12.5
13.0
12.5 12.5
11.9 11.912.0
12.5
11.811.7 11.7
11.5
11.02006 2007 2008 2009 2010 2011 2012 2013 2014 2015
11ADPH|CHS
PERCENT OF BIRTHS AT 37‐ 40 WEEKS GESTATION, ALABAMA, 2011‐2015
38 640.7
42.7 43.7 43.645.0
50.0
ALABAMA, 2011 2015
38.6
30.0
35.0
40.0
19.9 18.516.6 16.0 15.9
15 0
20.0
25.0
9.4 9.5 9.2 9.4 9.6
16.4 15.6 15.816.8 16.1
5.0
10.0
15.0
0.02011 2012 2013 2014 2015
37 weeks 38 weeks 39 weeks 40 weeks
12ADPH|CHS
PERCENT OF LOW WEIGHT BIRTHS (< 2,500 G)
10.610 6
10.7
ALABAMA, 2006‐2015
10.5
10.4 10.4
10 3
10.410.4
10.5
10.6
ive
Bir
ths
10.3
10.1 10.110 1
10.2
10.3
t of A
ll L
i
10.0 10.0
9.9
10.0
10.1
Perc
ent
9.7
9.8
2006 2007 2008 2009 2010 2011 2012 2013 2014 20152006 2007 2008 2009 2010 2011 2012 2013 2014 2015
13ADPH|CHS
PERCENT OF BIRTHS WITH A BIRTH INTERVAL LESS THAN 2 YEARS, ALABAMA 2006 2015
26.327.0
ALABAMA, 2006‐2015
24.7
25.525.2
25.0
26.0
Bir
ths
24.1
23.0 23.0
23.924.0
All
Liv
e B
23.0
22.3 22.523.0
22.0
23.0
erce
nt o
f A
20.0
21.0
Pe
20.02006 2007 2008 2009 2010 2011 2012 2013 2014 2015
14ADPH|CHS
PERCENT OF BIRTHS WITH ADEQUATE PRENATAL CARE1ALABAMA, 2006‐2015
76.977 0
78.0
74.674 2 74 1
76.2
75.075.3
75.0
76.0
77.0
74.2
72.8 73.0
71 6
74.1
72 0
73.0
74.0
71.6
70.0
71.0
72.0
68.0
69.0
2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
15
1 Adequacy of care measured using the Kotelchuck index. Percentage calculation excludes unknown status.
ADPH|CHS
PERCENT OF BIRTHS WITH MATERNAL SMOKING
11 8 12 0 12 014.0
ALABAMA, 2006‐2015
11.8 12.0 12.011.1 11.2
10.6 10.7 10.8 10.7 10.410.0
12.0
Bir
ths * *
6.0
8.0
All
Liv
e B
2.0
4.0
rcen
t of A
0.02006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Pe
16
*Smoking question changed from “yes” or “no” during pregnancy to an indication for each trimester. For comparison, smoking in any trimester equaled smoking during pregnancy
ADPH|CHS
MATERNAL SMOKING BY AGE OF MOTHERALABAMA 2006‐2015
14
ALABAMA, 2006‐2015
12
13
Teens (Age 10-19)
10.511
Adults (Age 20 +)
9 29
10 Adults (Age 20 +)
9.2
82006 2007 2008 2009 2010 2011 2012 2013 2014 2015
17
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
INFANT MORTALITY – CAUSES OF DEATHALABAMA, 2006‐2015
Top 3 Causes of infant deaths• Congenital malformations, deformations and chromosomal
abnormalities (Q00‐Q99)abnormalities (Q00 Q99)• Disorders related to short gestation and low birth weight, not
elsewhere classified (P07)• Sudden Infant Death Syndrome (R95)• Sudden Infant Death Syndrome (R95)
Top 3 causes account for 40% to 45% of infant deaths each year in last decadedeaths each year in last decade
18ADPH|CHS
STRATEGIES TO IMPROVE BIRTH OUTCOMESSTRATEGIES TO IMPROVE BIRTH OUTCOMES
Expand fetal and infant mortality review activities at Expand fetal and infant mortality review activities at the local level
Improve education about infants’ safe sleeping habits p p g Emphasize the need for appropriate spacing between
pregnancies to at least an 18‐month interval between pregnancies
Improve access to appropriate health care, including long acting reversible contraceptives and medicationslong‐acting reversible contraceptives and medications to prevent premature birth
ADPH|CHS 19