INFANT MORTALITY ALABAMA 2009 ALABAMA DEPARTMENT OF PUBLIC HEALTH CENTER FOR HEALTH STATISTICS INFANT MORTALITY RATES ALABAMA, 2000-2009 Rate per 1,000 Live Births 10 9.4 9.4 9.1 8.7 8.7 9.3 10.0 9.0 9.5 8.2 622000 2001 2002 2003
Download ReportTranscript INFANT MORTALITY ALABAMA 2009 ALABAMA DEPARTMENT OF PUBLIC HEALTH CENTER FOR HEALTH STATISTICS INFANT MORTALITY RATES ALABAMA, 2000-2009 Rate per 1,000 Live Births 10 9.4 9.4 9.1 8.7 8.7 9.3 10.0 9.0 9.5 8.2 622000 2001 2002 2003
Slide 1
INFANT MORTALITY
ALABAMA 2009
ALABAMA DEPARTMENT OF PUBLIC HEALTH
CENTER FOR HEALTH STATISTICS
Slide 2
INFANT MORTALITY RATES
ALABAMA, 2000-2009
Rate per 1,000 Live Births
12
10
9.4
9.4
9.1
8.7
8.7
9.3
10.0
9.0
9.5
8.2
8
6
4
2
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
2
Slide 3
NUMBER OF INFANT DEATHS
ALABAMA, 2000-2009
Number of Infant Deaths
700
600
594
641
567
538
519
516
561
569
612
513
500
400
300
200
100
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
3
Slide 4
8.2
20
09
20
05
20
00
19
95
19
90
19
85
6.5
19
80
19
75
19
70
35
ALABAMA
30
25
20
15
10 UNITED STATES
5
0
19
65
Rate per 1,000 Live Births
INFANT MORTALITY RATES
ALABAMA AND UNITED STATES1 1965-2009
Year
1
2007 US rate is provisional.
4
Slide 5
Rate per 1,000 Live Births
INFANT MORTALITY RATES, BY RACE
ALABAMA, 2000-2009
18
16
14
12
10
8
6
4
2
0
15.2
15.4
6.5
14.0
6.8
14.4
14.1
7.0
13.3
6.5
6.7
14.6
14.3
7.2
14.1
8.0
6.7
13.3
7.6
6.2
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Black
White
5
Slide 6
Number of Live Births
10000
9,916
NUMBER OF TEEN BIRTHS
ALABAMA, 2000-2009
8,993
8,589
8,248
8,259
8000
8,670
7,903
8,776
8,567
8,365
6000
4000
2000
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
6
Slide 7
PERCENT OF BIRTHS TO TEENAGERS
ALABAMA, 2000-2009
18
16
14
15.7
14.9
14.6
13.9
14.0
13.1
13.8
13.7
13.5
13.4
12
10
8
6
4
2
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
7
Slide 8
INFANT MORTALITY RATES
TEENAGERS vs. ADULTS ALABAMA, 2009
Rate per 1,000 Live Births
14
12.6
12
10
7.5
8
6
4
2
0
Teenagers
Adults
8
Slide 9
PERCENT OF LOW WEIGHT BIRTHS
ALABAMA, 2000-2009
Percent of All Live Births
12
10
9.7
9.6
9.9
2000
2001
2002
10.0
2003
10.5
10.7
10.5
10.4
10.6
10.4
2004
2005
2006
2007
2008
2009
8
6
4
2
0
Year
9
Slide 10
INFANT MORTALITY RATES
LOW vs. NORMAL WEIGHT BIRTHS
ALABAMA, 2000-2009
Rate per 1,000 Live Births
80
LOW WEIGHT
70
55.2
60
50
40
30
20
0
2000
2.7
NORMAL WEIGHT
10
2001
2002
2003
2004
2005
2006
2007
2008
2009
Year
10
Slide 11
Percent of All Live Births
PERCENT OF BIRTHS WITH ADEQUATE
PRENATAL CARE1
ALABAMA, 2000-2009
80
79
78
77
76
75
74
73
72
71
70
69
78.9
77.7
78.0
78.1
78.1
76.9
76.7
74.6
74.2
72.8
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
1 Adequacy
of care measured using the Kotelchuck index.
11
Slide 12
Rate per 1,000 Live Births
INFANT MORTALITY RATES BY
ADEQUACY OF PRENATAL CARE1
ALABAMA, 2009
10
9
8
7
6
5
4
3
2
1
0
9.2
7.7
Adequate
Less than Adequate
Adequacy of Prenatal Care
1 Adequacy
of care measured using the Kotelchuck index.
12
Slide 13
Rate per 1,000 Live Births
INFANT MORTALITY RATE BY METHOD OF
PAYMENT, ALABAMA, 2008 and 2009
25.3
25
20.1
20
15
10
10.8
9.7
6.9
5
5
0
Medicaid
Private Insurance
Method of Payment
2008
2009
Self Pay
13
Slide 14
PERCENT OF BIRTHS WITH
MATERNAL SMOKING
ALABAMA, 2000-2009
Percent of All Live Births
16
14
12
12.5
12.4
11.8
10.8
11.2
11.6
11.8
12.0
12.0
11.1
10
8
6
4
2
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
14
Slide 15
MATERNAL SMOKING BY AGE OF MOTHER
ALABAMA, 2000-2009
Percent of All Live Births
16
15.1
TEENS
15
14
12.0
13
12.0
ADULTS
12
11
10
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
Year
15
Slide 16
INFANT MORTALITY RATES BY SMOKING
STATUS, ALABAMA, 2009
Rate per 1,000 Live Births
14
12
11.0
10
7.8
8
6
4
2
0
Smoked
Did Not Smoke
Smoking Status
16
Slide 17
SUMMARY
•
•
•
•
•
•
Lowest infant mortality rate in Alabama history
Persistent racial disparity
Decline in teen births
Decline in adequate prenatal care
Change in method of payment
Decline in smoking
17
Slide 18
ECONOMIC HYPOTHESIS
18
Slide 19
Births by method of payment
2008
2009
Change
Percent
change
Total births
64345
62476
-1869
-2.9
Medicaid
31106
30980
-126
-0.4
Private
Insurance
28718
27181
-1537
-5.4
Self pay
2634
2294
-340
-12.9
Other and
Unknown
1887
2021
134
7.1
19
Slide 20
Number of births
BIRTHS WITH NO PRENATAL CARE
ALABAMA 2000-2009
1600
1400
1200
1000
800
600
400
200
0
1496
1390
1246
1242
987
702
2000
672
675
2001
2002
727
2003
791
2004
2005
2006
2007
2008
2009
Year
20
INFANT MORTALITY
ALABAMA 2009
ALABAMA DEPARTMENT OF PUBLIC HEALTH
CENTER FOR HEALTH STATISTICS
Slide 2
INFANT MORTALITY RATES
ALABAMA, 2000-2009
Rate per 1,000 Live Births
12
10
9.4
9.4
9.1
8.7
8.7
9.3
10.0
9.0
9.5
8.2
8
6
4
2
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
2
Slide 3
NUMBER OF INFANT DEATHS
ALABAMA, 2000-2009
Number of Infant Deaths
700
600
594
641
567
538
519
516
561
569
612
513
500
400
300
200
100
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
3
Slide 4
8.2
20
09
20
05
20
00
19
95
19
90
19
85
6.5
19
80
19
75
19
70
35
ALABAMA
30
25
20
15
10 UNITED STATES
5
0
19
65
Rate per 1,000 Live Births
INFANT MORTALITY RATES
ALABAMA AND UNITED STATES1 1965-2009
Year
1
2007 US rate is provisional.
4
Slide 5
Rate per 1,000 Live Births
INFANT MORTALITY RATES, BY RACE
ALABAMA, 2000-2009
18
16
14
12
10
8
6
4
2
0
15.2
15.4
6.5
14.0
6.8
14.4
14.1
7.0
13.3
6.5
6.7
14.6
14.3
7.2
14.1
8.0
6.7
13.3
7.6
6.2
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Black
White
5
Slide 6
Number of Live Births
10000
9,916
NUMBER OF TEEN BIRTHS
ALABAMA, 2000-2009
8,993
8,589
8,248
8,259
8000
8,670
7,903
8,776
8,567
8,365
6000
4000
2000
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
6
Slide 7
PERCENT OF BIRTHS TO TEENAGERS
ALABAMA, 2000-2009
18
16
14
15.7
14.9
14.6
13.9
14.0
13.1
13.8
13.7
13.5
13.4
12
10
8
6
4
2
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
7
Slide 8
INFANT MORTALITY RATES
TEENAGERS vs. ADULTS ALABAMA, 2009
Rate per 1,000 Live Births
14
12.6
12
10
7.5
8
6
4
2
0
Teenagers
Adults
8
Slide 9
PERCENT OF LOW WEIGHT BIRTHS
ALABAMA, 2000-2009
Percent of All Live Births
12
10
9.7
9.6
9.9
2000
2001
2002
10.0
2003
10.5
10.7
10.5
10.4
10.6
10.4
2004
2005
2006
2007
2008
2009
8
6
4
2
0
Year
9
Slide 10
INFANT MORTALITY RATES
LOW vs. NORMAL WEIGHT BIRTHS
ALABAMA, 2000-2009
Rate per 1,000 Live Births
80
LOW WEIGHT
70
55.2
60
50
40
30
20
0
2000
2.7
NORMAL WEIGHT
10
2001
2002
2003
2004
2005
2006
2007
2008
2009
Year
10
Slide 11
Percent of All Live Births
PERCENT OF BIRTHS WITH ADEQUATE
PRENATAL CARE1
ALABAMA, 2000-2009
80
79
78
77
76
75
74
73
72
71
70
69
78.9
77.7
78.0
78.1
78.1
76.9
76.7
74.6
74.2
72.8
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
1 Adequacy
of care measured using the Kotelchuck index.
11
Slide 12
Rate per 1,000 Live Births
INFANT MORTALITY RATES BY
ADEQUACY OF PRENATAL CARE1
ALABAMA, 2009
10
9
8
7
6
5
4
3
2
1
0
9.2
7.7
Adequate
Less than Adequate
Adequacy of Prenatal Care
1 Adequacy
of care measured using the Kotelchuck index.
12
Slide 13
Rate per 1,000 Live Births
INFANT MORTALITY RATE BY METHOD OF
PAYMENT, ALABAMA, 2008 and 2009
25.3
25
20.1
20
15
10
10.8
9.7
6.9
5
5
0
Medicaid
Private Insurance
Method of Payment
2008
2009
Self Pay
13
Slide 14
PERCENT OF BIRTHS WITH
MATERNAL SMOKING
ALABAMA, 2000-2009
Percent of All Live Births
16
14
12
12.5
12.4
11.8
10.8
11.2
11.6
11.8
12.0
12.0
11.1
10
8
6
4
2
0
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009
Year
14
Slide 15
MATERNAL SMOKING BY AGE OF MOTHER
ALABAMA, 2000-2009
Percent of All Live Births
16
15.1
TEENS
15
14
12.0
13
12.0
ADULTS
12
11
10
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
Year
15
Slide 16
INFANT MORTALITY RATES BY SMOKING
STATUS, ALABAMA, 2009
Rate per 1,000 Live Births
14
12
11.0
10
7.8
8
6
4
2
0
Smoked
Did Not Smoke
Smoking Status
16
Slide 17
SUMMARY
•
•
•
•
•
•
Lowest infant mortality rate in Alabama history
Persistent racial disparity
Decline in teen births
Decline in adequate prenatal care
Change in method of payment
Decline in smoking
17
Slide 18
ECONOMIC HYPOTHESIS
18
Slide 19
Births by method of payment
2008
2009
Change
Percent
change
Total births
64345
62476
-1869
-2.9
Medicaid
31106
30980
-126
-0.4
Private
Insurance
28718
27181
-1537
-5.4
Self pay
2634
2294
-340
-12.9
Other and
Unknown
1887
2021
134
7.1
19
Slide 20
Number of births
BIRTHS WITH NO PRENATAL CARE
ALABAMA 2000-2009
1600
1400
1200
1000
800
600
400
200
0
1496
1390
1246
1242
987
702
2000
672
675
2001
2002
727
2003
791
2004
2005
2006
2007
2008
2009
Year
20