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1
Lower Hudson Valley Community Health Dashboard: Maternal and Infant Health in Westchester, Rockland, and Orange counties Last Updated: 3/20/2019
2
Overview
Planning for Pregnancy • Inter-pregnancy interval • Unintended pregnancy • Teen birth rate Prenatal Health • Diabetes during pregnancy • Hypertension during pregnancy • Tobacco use during pregnancy • Prenatal care Postpartum Health • Pre-term delivery • Low birth weight • Exclusive breastfeeding in the hospital • Newborn drug-related diagnosis rate • Infant mortality
3
Planning for Pregnancy
4
Intra-pregnancy interval Having a live birth within 24 months of a previous pregnancy increases risk of adverse maternal and infant health outcomes.
5
The percent of live births within 24 months of a previous pregnancy declined in Westchester, but increased in Rockland and Orange counties
29.3
23.4
35.0
38.2
32.4
37.6
33.5 32.6
0
10
20
30
40
2008 2009 2010 2011 2012 2013 2014 2015
Perc
ent o
f liv
e bi
rths
that
occ
ur w
ithin
24
mon
ths
of
a pr
evio
us p
regn
ancy
Westchester Rockland Orange New York State
Data sources: CDC WONDER Birth Data, 2008-2015; New York State Prevention Agenda, 2008-2015. Note: The denominator is all live births, excluding first births, as first births could not have a previous pregnancy to term.
6
Unintended pregnancy Unintended pregnancy refers to current pregnancy indicated as ‘Wanted Later’ or ‘Wanted Never’. In this report, unintended pregnancy is only measured among live births, which excludes pregnancies that ended in miscarriages and induced abortions.
7
23.7
21.2 22.1
16.7
28.8
22.6
28.4
23.7
0
5
10
15
20
25
30
2008 2009 2010 2011 2012 2013 2014 2015
Perc
ent o
f uni
nten
ded
preg
nanc
y am
ong
live
birt
hs
Westchester Rockland Orange New York State
The percent of unintended pregnancy among live births has declined throughout the region since 2008
Data source: New York State Prevention Agenda, 2008-2015.
8
21.1
14.6
49.8
43.0
38.0 36.8
0
20
40
60
2008 2009 2010 2011 2012 2013 2014 2015
Perc
enta
ge o
f uni
nten
ded
preg
nanc
y am
ong
live
birt
hs, O
rang
e C
ount
y Non-Hispanic White Non-Hispanic Black Hispanic
The percent of unintended pregnancy continues to be higher for Hispanic and non-Hispanic black women in Orange County
Data source: New York State Prevention Agenda, 2008-2015.
9
11.2
6.2
43.6
41.0
35.0
28.1
0
20
40
60
2008 2009 2010 2011 2012 2013 2014 2015
Perc
enta
ge o
f uni
nten
ded
preg
nanc
y am
ong
live
birt
hs, R
ockl
and
Cou
nty
Non-Hispanic White Non-Hispanic Black Hispanic
Data source: New York State Prevention Agenda, 2008-2015.
Non-Hispanic black and Hispanic women experienced a smaller decline in unintended pregnancy than non-Hispanic white women in Rockland County
10
10.2 9.6
44.8
36.5
31.9
27.9
0
10
20
30
40
50
2008 2009 2010 2011 2012 2013 2014 2015
Perc
enta
ge o
f uni
nten
ded
preg
nanc
y am
ong
live
birt
hs, W
estc
hest
er C
ount
y
Non-Hispanic White Non-Hispanic Black Hispanic
The percent of unintended pregnancy continues to be lower for non-Hispanic white women in Westchester County
Data source: New York State Prevention Agenda, 2008-2015.
11
38.6
32.5
25.8
17.7
38.4
27.3
36.4
30.5
0
10
20
30
40
50
2008 2009 2010 2011 2012 2013 2014 2015
Perc
ent o
f uni
nten
ded
preg
nanc
y am
ong
Med
icai
d liv
e bi
rths
Westchester Rockland Orange New York State
Unintended pregnancy among Medicaid births is highest in Westchester and Orange counties, but has declined in each county
Data source: New York State Prevention Agenda, 2008-2015.
12
Teen (age 15-19y) birth rates
13 Data source: CDC WONDER Births Data and Bridged-Race Population Estimates, 2003-2017.
18.7
7.1
16.5 13.5
25.4
14.9
23.2
12.4
41.1
18.8
0
5
10
15
20
25
30
35
40
45
2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Teen
birt
h ra
te p
er 1
,000
Westchester Rockland Orange Rest of NYS excluding NYC United States
Teen birth rates have declined in Westchester, Rockland, and Orange counties since 2003; and remain highest in Orange County
14
Prenatal Health
15
Timely initiation of prenatal care Defined as starting prenatal care in the first 3 months of pregnancy
16 Data source: CDC WONDER Births Data, 2008-2017.
72.2
84.9
78.4
65.6
80.4
74.9
82.7
66.4
77.3
50
60
70
80
90
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Perc
ent s
tart
ing
pren
atal
car
e in
the
first
trim
este
r
Westchester Rockland Orange Rest of NYS excluding NYC United States
The proportion of women starting prenatal care in the first trimester has increased throughout the region
17
The percent of women who start prenatal care late is lower in the Lower Hudson Valley and the rest of NYS excluding NYC than in the U.S. overall
0.4%
82.1%
14.3%
3.1%
No prenatal care 1st trimester 2nd trimester 3rd trimester
0.7%
82.7%
13.5%
3.2% Rest of NYS excluding NYC Lower Hudson
Valley
1.8%
77.3%
16.5%
4.5%
United States
Data source: CDC WONDER Births Data, 2017. Lower Hudson Valley is comprised of Westchester, Rockland, and Orange counties.
18
Teen women, non-Hispanic black women, and those with less education are least likely to start prenatal care in the first trimester
62.3
75.7 79.8 82.3 85.7 85.7
70.9 79.3 74.8 78.8
89.0
0
30
60
90
<20 20-24 25-29 30-34 35+ Non-Hispanic
White
Non-Hispanic
Black
Hispanic <HS HS/SomeCollege
≥College
Perc
ent s
tart
ing
pren
atal
ca
re in
the
first
trim
este
r
Data source: CDC WONDER Births Data, 2017. Lower Hudson Valley is comprised of Westchester, Rockland, and Orange counties.
61.2 70.5
77.8 82.1 81.0 82.4
66.6 72.3
60.3
75.4 87.5
0
30
60
90
<20 20-24 25-29 30-34 35+ Non-Hispanic
White
Non-Hispanic
Black
Hispanic <HS HS/SomeCollege
≥College Perc
ent s
tart
ing
pren
atal
ca
re in
the
first
trim
este
r
United States
Lower Hudson Valley
19
In the Lower Hudson Valley, disparities in the early initiation of prenatal care by race/ethnicity remain
77.8
85.7
56.8
71.3
62.3
79.3
0
20
40
60
80
100
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Perc
ent s
tart
ing
pren
atal
car
e in
the
first
trim
este
r
Non-Hispanic White Non-Hispanic Black Hispanic
Data source: CDC WONDER Births Data, 2008-2017. Lower Hudson Valley is comprised of Westchester, Rockland, and Orange counties.
20
The percent of teen mothers starting prenatal care in the first trimester has increased
38.8
58.9
39.3
57.7
44.5
60.2
55.0
68.3
50.5
0
10
20
30
40
50
60
70
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Perc
ent s
tart
ing
pren
atal
car
e in
the
first
trim
este
r
Westchester Rockland Orange Rest of NYS excluding NYC United States
Data source: CDC WONDER Births Data, 2008-2017.
21
Hypertension during pregnancy
22
0.9
1.5
0.9
1.2 1.1 1.2 1.3
2.0
0.0
0.5
1.0
1.5
2.0
2.5
2008-2009 2010-2011 2012-2013 2014-2015 2016-2017
Chr
onic
Hyp
erte
nsio
n du
ring
preg
nanc
y, %
Westchester Rockland Orange NYS Excluding NYC
Chronic hypertension during pregnancy is lower in the region than in New York State
Data source: CDC WONDER Births Data, 2007-2017.
23
1.7
4.3
2.1
3.0
3.7
3.3
6.1
0
2
4
6
8
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Preg
nanc
y-as
soci
ated
hyp
erte
nsio
n, %
Westchester Rockland Orange NYS Excluding NYC
Pregnancy-associated hypertension is lower in the region than in New York State
Data source: CDC WONDER Births Data, 2007-2017.
24
Pregnancy-associated hypertension is most common among older moms, non-Hispanic black moms and those with more education
Data source: CDC WONDER Births Data, 2015-2017. Data for those <20 years suppressed due to small sample size. Lower Hudson Valley Region is comprised of Westchester, Rockland, and Orange counties.
3.5 3.1
3.4 3.9
4.9
3.4
6.8
3.8
3.0
3.8
4.6
0
2
4
6
8
10Pe
rcen
t with
pre
gnan
cy-a
ssoc
iate
d hy
pert
ensi
on (%
)
25
Diabetes during pregnancy
26
4.3
7.1
5.7 5.6
7.4
5.2
8.0
0
2
4
6
8
10
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Dia
bete
s du
ring
preg
nanc
y, %
Westchester Rockland Orange NYS Excluding NYC
Diabetes during pregnancy has increased in Westchester and Orange counties
Data source: CDC WONDER Births Data, 2007-2017.
Defined as gestational diabetes + established diabetes
27
Diabetes during pregnancy is most common among older moms, Hispanic and non-Hispanic black moms and those with less education
Data source: CDC WONDER Births Data, 2015-2017. Lower Hudson Valley Region is comprised of Westchester, Rockland, and Orange counties.
Defined as gestational diabetes + established diabetes
2.0 2.5
4.5
6.7
9.9
4.7
7.5 7.6 7.6
6.1 6.2
0
2
4
6
8
10
12
14Pe
rcen
t with
dia
bete
s (%
)
28
Tobacco use during pregnancy
29
1.7 1.1
1.8
0.6
5.0
2.7
12.2
8.2
0
2
4
6
8
10
12
14
2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Toba
cco
smok
ing
durin
g pr
egna
ncy
(%)
Westchester Rockland Orange NYS Excluding NYC
Although much lower than in NYS, tobacco smoking during pregnancy is higher in Orange than Westchester and Rockland counties
Data source: CDC WONDER Births Data, 2008-2017.
30
Tobacco smoking during pregnancy is more common among younger moms, non-Hispanic black moms and those with less education
Data source: CDC WONDER Births Data, 2015-2017. Lower Hudson Valley is comprised of Westchester, Rockland, and Orange counties.
1.8
2.3 2.1
1.2 1.1
1.6
3.7
1.0
2.6
2.3
0.3
0
1
2
3
4
15-19 20-24 25-29 30-34 35+ NHW NHB Hispanic <HS HS/SomeCollege
≥College
Toba
cco
smok
ing
durin
g pr
egna
ncy,
(%)
31
Cesarean Section
32
37.8
41.2
22.6
28.3 27.6
33.2 34.4
35.7
0
10
20
30
40
50
20172016201520142013201220112010200920082007
Ces
area
n de
liver
ies
per 1
,000
birt
hs
Westchester County Rockland County Orange County NYS Excluding NYC
A larger percentage of women give birth through cesarean section in Westchester County than in the rest of the region and NY State
Data source: CDC WONDER Births data, 2007-2017 Data includes both single and multiple births. Lower Hudson Valley Region is comprised of Westchester, Rockland, and Orange counties.
33
Cesarean sections are more common among older moms, non-Hispanic black moms and those with more education
Data source: CDC WONDER Births Data, 2017. Data includes single and multiple births. Lower Hudson Valley is comprised of Westchester, Rockland, and Orange counties.
18.6 19.0
27.1
32.8
40.8
25.7
43.8
36.0
13.8
19.3
34.2
0
10
20
30
40
50
15-19 20-24 25-29 30-34 35+ NHW NHB Hispanic <HS HS/SomeCollege
≥College
Ces
area
n de
liver
ies
per 1
,000
birt
hs
34
Preterm delivery Defined as giving birth <37 weeks based on obstetrician/clinical estimate of gestational age, which has been shown to be a more reliable measurement than estimates by last menstrual period
Data are limited to single births because there is evidence that multiple pregnancies greatly increase the risk for preterm delivery. Sources: Dietz, Bombard, & Hutchings, 2014.
35
The percent of preterm births has modestly decreased in the region and remains lower than in the rest of NYS and the United States
7.9
6.9
6.1 5.6
7.0 6.3
7.6 7.2
8.5
8.1
0
1
2
3
4
5
6
7
8
9
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Perc
ent o
f tot
al b
irths
del
iver
ed p
rete
rm
Westchester Rockland Orange Rest of NYS excluding NYC United States
Preterm defined as giving birth <37 weeks based on obstetrician/clinical estimate of gestational age
Data source: CDC WONDER Births Data, 2007-2017. Data limited to single births.
1.0%
5.4%
93.6%
<32 weeks
32-36 weeks
≥37 weeks
Gestational age distribution in the Lower Hudson Valley, 2017
36
4.8
9.3
8.1
0
2
4
6
8
10
Non-Hispanic White Non-Hispanic Black Hispanic
Perc
ent o
f tot
al b
irths
del
iver
ed p
rete
rm
2017
In the Lower Hudson Valley, non-Hispanic black vs. non-Hispanic white disparities in the percent of preterm births have narrowed
Data source: CDC WONDER Births Data, 2007-2017. Data limited to single births. Lower Hudson Valley is comprised of Westchester, Rockland, and Orange counties.
Preterm defined as giving birth <37 weeks based on obstetrician/clinical estimate of gestational age
5.9
4.8
12.4
9.3
7.5 8.1
0
2
4
6
8
10
12
14
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Non-Hispanic White Non-Hispanic Black Hispanic
37
In the Lower Hudson Valley, teens (and older women), as well as those with less education, tend to have higher preterm birth rates
8.1
5.3 5.5 5.9
7.5
6.8 6.5
5.7
0
2
4
6
8
10
<20 20-24 25-29 30-34 35+ <HS HS/Some Sollege ≥College
Perc
ent o
f tot
al b
irths
del
iver
ed p
rete
rm
Data sources: CDC WONDER Births Data, 2017. Data limited to single births. Lower Hudson Valley is comprised of Westchester, Rockland, and Orange counties.
Preterm defined as giving birth <37 weeks based on obstetrician/clinical estimate of gestational age
38
14.3
10.9
8.2
6.3
10.1
8.4
12.5 11.1
0
5
10
15
20
2008-10* 2009-11* 2010-12* 2011-13* 2012-14* 2013-15
Perc
ent o
f pre
term
birt
hs a
mon
g M
edic
aid
birt
hs
Westchester County Rockland County Orange County New York State
The percent of preterm births among Medicaid births has declined across all three counties since 2008
Data source: New York State Prevention Agenda, 2008-2015. Data includes both single and multiple births. Lower Hudson Valley is comprised of Westchester, Rockland, and Orange counties. *Data points for New York State are three-year averages.
39
Low birth weight Defined as <2,500 grams
Data are limited to single births because there is evidence that multiple births are more likely to result in low birth weight. Source: Ventura et al., 1996.
40
The percent of total births with low birth weight has remained relatively stable in Westchester, Rockland, and Orange counties
6.1 5.9
4.5
4.7 5.3
4.5
5.6 5.9
6.5 6.6
0
1
2
3
4
5
6
7
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Perc
ent o
f birt
hs th
at a
re lo
w b
irth
wei
ght
Westchester Rockland Orange Rest of NYS excluding NYC United States
Data source: CDC WONDER Births Data, 2007-2017. Data limited to single births.
0.8% 4.5%
86.3%
8.4%
Very low birth weight (<1500g)
Low birth weight (1500-2499)
Normal birth weight (2500-3999)
Macrosomic (≥4000)
Birth weight distribution in the Lower Hudson Valley, 2016
41
In the Lower Hudson Valley, the non-Hispanic black population has the highest burden of low birth weight
3.8
6.0
9.9
0
2
4
6
8
10
Non-Hispanic White Hispanic Non-Hispanic Black
Perc
ent o
f birt
hs th
at a
re lo
w b
irth
wei
ght
Data source: CDC WONDER Births Data, 2007-2016. Data limited to single births. Lower Hudson Valley is comprised of Westchester, Rockland, and Orange counties.
4.3 3.8
11.4
9.9
5.4 6.0
0
2
4
6
8
10
12
2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017
Non-Hispanic White Non-Hispanic Black Hispanic2017
42
In the Lower Hudson Valley, infants born to teen mothers are more likely to be low birth weight
6.1
5.3
4.6 4.6
5.6 5.3
5.8
4.6
0
1
2
3
4
5
6
7
<20 20-24 25-29 30-34 35+ <HS HS/Somecollege
College+
Perc
ent o
f birt
hs th
at a
re lo
w b
irth
wei
ght
Data source: CDC WONDER Births Data, 2017. Data limited to single births. Lower Hudson Valley is comprised of Westchester, Rockland, and Orange counties.
43
Exclusive breastfeeding in the hospital Exclusive breastfeeding in the hospital is a good predictor of meeting breastfeeding recommendations after hospital discharge. The goal is exclusive breastfeeding for the first 6 months.
44
50.0
42.6
32.4
47.9
42.6
48.1
41.6
44.3
0
10
20
30
40
50
60
2008 2009 2010 2011 2012 2013 2014 2015
Perc
ent o
f inf
ants
exc
lusi
vely
bre
astfe
d in
the
hosp
ital
Westchester Rockland Orange New York State
The percent of infants exclusively breastfed in the hospital has declined in Westchester county, but increased in Rockland and Orange counties
Data source: New York State Birth Records, New York State Prevention Agenda, 2008-2015.
45
47.5
56.3
30.5 33.1
41.5 39.1
0
20
40
60
2008-10 2009-11 2010-12 2011-13 2012-14 2013-15
Perc
ent o
f inf
ants
exc
lusi
vely
bre
astfe
d in
the
hosp
ital
by ra
ce/e
thni
city
, Ora
nge
Cou
nty
Non-Hispanic White Non-Hispanic Black Hispanic
Across racial/ethnic groups, a greater percentage of infants are exclusively breastfed in Orange county than in NY state, although disparities persist
Data source: New York State Prevention Agenda, 2008-2015.
46
49.1
57.8
15
25.8
15.6
22.1
0
20
40
60
2008-10 2009-11 2010-12 2011-13 2012-14 2013-15
Perc
ent o
f inf
ants
exc
lusi
vely
bre
astfe
d in
the
hosp
ital
by ra
ce/e
thni
city
, Roc
klan
d C
ount
y
Non-Hispanic White Non-Hispanic Black Hispanic
The racial/ethnic disparities in the percent of infants exclusively breastfed are larger in Rockland county than in New York State
Data source: New York State Prevention Agenda, 2008-2015.
47
52.8
59.5
32.5
36.4
49.7
43.9
0
20
40
60
2008-10 2009-11 2010-12 2011-13 2012-14 2013-15
Perc
ent o
f inf
ants
exc
lusi
vely
bre
astfe
d in
the
hosp
ital
by ra
ce/e
thni
city
, Wes
tche
ster
Cou
nty
Non-Hispanic White Non-Hispanic Black Hispanic
Data source: New York State Prevention Agenda, 2008-2015.
Across racial/ethnic groups, a greater percentage of infants are exclusively breastfed in Westchester county than in NY state, although disparities persist
48
45.2
42.2
37.3
47.9
39.9 41.8
30.2 31.3
0
10
20
30
40
50
2008-10* 2009-11* 2010-12* 2011-13* 2012-14* 2013-15
Perc
ent o
f inf
ants
exc
lusi
vely
bre
astfe
d in
the
hosp
ital a
mon
g M
edic
aid
birt
hs
Westchester Rockland Orange New York State
Among Medicaid births, the percent of infants exclusively breastfed remained higher in the region than New York State
Data source: New York State Prevention Agenda, 2008-2015. *Data points for New York State are three-year averages.
49
Newborn drug-related diagnosis rate Defined as the number of newborns with a drug-related ICD-9 code per 10,000 newborn discharges
50
40.7
87.0
27.4
56.0
24.6
139.3
72.0
156.4
0
20
40
60
80
100
120
140
160
2008 2009 2010 2011 2012 2013 2014
New
born
dru
g-re
late
d di
agno
sis
rate
per
10,
000
new
born
dis
char
ges
Westchester Rockland Orange New York State (excluding NYC)
In each county, the newborn drug-related diagnosis rate has at least doubled since 2008, increasing over fivefold in Orange county
Data source: New York State Department of Health, Statewide Planning and Research Cooperative System (SPARCS), 2008-2014.
51
Infant mortality Defined as the death of an infant before his or her first birthday
52
In the Lower Hudson Valley, the infant mortality rate is highest in Orange County, but lower than in the rest of New York State and the U.S.
3.4 3.7
4.8 5.2
5.9
0
1
2
3
4
5
6
7
Westchester Rockland Orange Rest of NYSexcluding
NYC
UnitedStates
Infa
nt m
orta
lity
rate
per
1,0
00 li
ve b
irths
2016
26.8%
24.7%
6.6%
6.4%
6.3%
4.7%
3.3%
3.1%
3.0%
15.2%
Congenital problems
Disorders related topreterm/LBW
Respiratory distress
Sudden infant deathsyndrome
Bacterial sepsis
Maternal complications ofpregnancy
Diseases of the circulatorysystem
Necrotizing enterocolitis
Diarrhea andgasteroenteritis
Other
2007-2016
Percentages of deaths of children < 1 year old due to each cause are shown for the Lower Hudson Valley
Data source: CDC WONDER Linked Birth/Infant Death Records, 2016. Lower Hudson Valley is comprised of Westchester, Rockland, and Orange counties.
53
4.8
3.6
5.4
3.7
6.5
4.9
6.4
5.2
7.2
5.9
0
1
2
3
4
5
6
7
8
9
1996-1998 1999-2001 2002-2004 2005-2007 2008-2010 2011-2013 2014-2016
Infa
nt m
orta
lity
rate
per
1,0
00 li
ve b
irths
Westchester Rockland Orange Rest of NYS excluding NYC United States
Since 1995, infant mortality rates have declined throughout the region, but remain highest in Orange county
Data source: CDC WONDER Linked Birth/Infant Death Records, 1995-2016. Lower Hudson Valley is comprised of Westchester, Rockland, and Orange counties.
54
Maternal age, race/ethnicity and education are strongly related to infant mortality rates
Data source: CDC WONDER Linked Birth/Infant Death Records, 2012-2016. Figure based on maternal race/ethnicity. Lower Hudson Valley is comprised of Westchester, Rockland, and Orange counties.
Lower Hudson Valley
7.1
5.0 4.1 3.9 3.5
4.7
9.2
2.7
5.9 4.7
2.2
0
2
4
6
8
10
12
<20 20-24 25-29 30-34 35+ Hispanic Non-Hispanic
Black
Non-Hispanic
White
<HS HS/Somecollege
College+
Infa
nt m
orta
lity
rate
pe
r 1,0
00 li
ve b
irths
8.6 7.0
5.5 4.9
5.8 5.1
11.2
5.0
7.7 6.4
3.5
0
2
4
6
8
10
12
<20 20-24 25-29 30-34 35+ Hispanic Non-Hispanic
Black
Non-Hispanic
White
<HS HS/Somecollege
College+
Infa
nt m
orta
lity
rate
pe
r 1,0
00 li
ve b
irths
United States
55
In the Lower Hudson Valley, the infant mortality rate has declined by 12 percent, although racial/ethnic disparities persist
Data source: CDC WONDER Linked Birth/Infant Death Records, 1995-2016. Lower Hudson Valley is comprised of Westchester, Rockland, and Orange counties.
5.0
4.3
11.5
9.6
4.0
2.6
0
5
10
15
1996-1998 1999-2001 2002-2004 2005-2007 2008-2010 2011-2013 2014-2016
Infa
nt m
orta
lity
rate
per
1,0
00 li
ve b
irths
Hispanic Non-Hispanic Black Non-Hispanic White
7.5 7
56
Among teen mothers, Orange county has a higher infant mortality rate than Westchester and Rockland counties
7.0 7.6*
10.7
9.2 8.9
0
2
4
6
8
10
12
Westchester Rockland Orange Rest of NYS excludingNYC
United States
Infa
nt m
orta
lity
rate
per
1,0
00 te
en b
irths
Data source: CDC WONDER Linked Birth/Infant Death Records, 2007-2016. *Interpret with caution due to small numbers.
57
About the Lower Hudson Valley Community Health Dashboard Project
The goal of the project is to provide Lower Hudson Valley-specific data on risk factors and health outcomes with an emphasis on presenting data on trends, socio-demographic differences (e.g., by age, sex, race/ethnicity, etc.) and sub-county/neighborhood level data
Data will be periodically updated as new data becomes available.
Produced by Montefiore’s Office of Community & Population Health using publicly-available data sources
For more information please contact us at [email protected]
58
Sources Links to Data Sources:
CDC WONDER Births Data and Bridged-Race Population Estimates: https://WONDER.cdc.gov/natality.html CDC WONDER Linked Birth/Infant Death Records: https://WONDER.cdc.gov/lbd.html New York State Prevention Agenda:
https://webbi1.health.ny.gov/SASStoredProcess/guest?_program=/EBI/PHIG/apps/dashboard/pa_dashboard&p=ch New York State Dept of Health, Statewide Planning and Research Cooperative System (SPARCS),
https://www.health.ny.gov/statistics/chac/indicators/sub.htm
Literature
Dietz PM, Bombard JM, Hutchings YL. Validation of obstetric estimate of gestational age on US birth certificates. Am J Obstet Gynecol 2014;210:335.e1-335.e5.
Ventura SJ, Martin JA, Curtin SC, Mathews TJ. Report of final natality statistics, 1996. Hyattsville, Maryland: US Department for Health and Human Services, CDC, National Center for Health Statistics. Monthly vital statistics reports (vol 46, no. 11).