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Massachusetts Births 2010

Massachusetts Births 2010. Massachusetts Department of Public Health. Bureau of Health Information, Statistics, Research, and Evaluation Division of Research and Epidemiology Registry of Vital Records & Statistics Bureau of Family Health and Nutrition March 2013. Topics.

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Massachusetts Births 2010

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  1. Massachusetts Births 2010 Massachusetts Department of Public Health Bureau of Health Information, Statistics, Research, and Evaluation Division of Research and Epidemiology Registry of Vital Records & Statistics Bureau of Family Health and Nutrition March 2013

  2. Topics • Overview and trends • Changing demographics • Diversity and disparities • Selected Topics • Preterm and Low Birthweight • Smoking during pregnancy • Gestational Diabetes • Cesarean Deliveries • Adequacy of Prenatal Care • Summary

  3. Massachusetts Birth Indicators Since 2000 2000 and 2010 * Statistically Significant(p≤.05)

  4. Massachusetts Birth Indicators – One Year 2009 and 2010 * Statistically Significant(p≤.05)

  5. 2 A Comparison of 2010 Massachusetts Birth Indicatorswith US1 Data 1. Births: Final Data for 2010, National Vital Statistics Reports, Volume 61, Number 1, August 2012. 2. Provisional estimates for 2010 US, National Vital Statistics Reports- Volume 60, Number 4, January, 2012. *Statistically Significant difference with US (p ≤ .05)

  6. Changing Demographics

  7. -2.2%* APC -0.8%* APC -2.4% APC Trend in the Number of Births Massachusetts: 1990-2010 92,461 * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  8. -2.2%* APC -1.9%* APC 2007 +0.3%* APC 1995 Fertility Birth Rate(per 1,000 females ages 15-44 years)Massachusetts: 1990-2010 * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  9. MassachusettsBirths by Race and Hispanic Ethnicity: 2000 Other Groups 26% White, Black, Asian, and Other are Non-Hispanic Massachusetts 200081,582 Births

  10. MassachusettsBirths by Race and Hispanic Ethnicity: 2010 Other Groups 33% White, Black, Asian, and Other are Non-Hispanic Massachusetts 201072,835 Births

  11. 0.6% APC 5.5%* APC 1.1% APC Percent Foreign Born Mothers Massachusetts: 1990-2010 * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  12. +1.9%* APC -2.0%* APC Number of Births by Mother’s Age Massachusetts: 1990-2010 -5.4%* APC -1.8%* APC -3.1%* APC * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  13. -0.9% APC 5.4%* APC Percent Multiple Births Massachusetts: 1990-2010 2002 *Statistically Significant(p ≤.05) APC = Annual Percentage Change

  14. Diversity and Disparities

  15. Teen Birth Rates Massachusetts and US : 1990-2010

  16. Teen Birth Rates by Race1 and Ethnicity Massachusetts: 1990-2010 1 non-Hispanic

  17. Teen Birth Rates Ranked by Teen Rate(Among Communities with Highest # of Teen Births in 2010) ** Statistically lower (p ≤.05)

  18. -5.3%* APC -0.6% APC Infant Mortality Rate (IMR)Massachusetts: 1990-2010 1996 * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  19. IMR by Race1 & Hispanic Ethnicity Massachusetts: 1990-2010 1 non-Hispanic

  20. IMR by Race1 & Hispanic Ethnicity Massachusetts: 1990-2010 -2.1%* APC -2.2%* APC 1 non-Hispanic * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  21. - 7.8%* APC 1996 Hispanic IMR Massachusetts: 1990-2010 1.0% APC * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  22. Highest Infant Mortality Rates Among the 30 Largest Communities in Massachusetts: 2010 Rate = infant deaths per 1,000 live births * Statistically Significantlyhigher than state rate (p ≤.05)

  23. Highest Infant Mortality Rates Among the 30 Largest Communities in Massachusetts: 2008-2010 Rate = infant deaths per 1,000 live births * Statistically Significantlyhigher than the state rate (p ≤.05)

  24. Birth Characteristics by Maternal Education Massachusetts: 2010 **All indicators are significantly different for the two groups.

  25. Selected Topics

  26. - 9.6%*APC Smoking During Pregnancy Massachusetts: 1990-2010 - 6.2%*APC - 2.4%*APC * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  27. -0.9% APC +3.4%* APC +3.8%* APC -0.4% APC +2.1%* APC Low Birthweight and Preterm Massachusetts: 1990-2010 Low birthweight: less than 2,500 grams or 5.5 pounds. Preterm: < 37 weeks gestation. * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  28. Adequate Prenatal Care1 Massachusetts: 1990-2010 +0.2%*APC 1 Based on Adequacy of Prenatal Care Utilization (APNCU) Index. * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  29. Gestational Diabetes Mellitus (GDM) Massachusetts: 2000-2010 +5.1%*APC * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  30. Cesarean DeliveriesMassachusetts and the US: 1990-2010 * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  31. 4.5%*APC -0.1%APC - 2.1%*APC 7.0%*APC Cesarean DeliveriesMassachusetts: 1990-2010 * Statistically Significant(p ≤.05) APC = Annual Percentage Change

  32. Summary

  33. Summary • Most Massachusetts perinatal health indicators are better than those of the US • The teen birth rate is at an all time low • Smoking during pregnancy is at an all time low • Breastfeeding and Adequate Prenatal care reached record highs • One-third of all births are to non-white mothers • Cesarean delivery rate remains stable: one-third of all births are delivered by Cesarean section

  34. Disparities Persist by Race, Ethnicity Geography, and SES • The infant mortality rate (IMR) for Blacks is more than twice as high as the IMR for Whites • The Hispanic teen birth rate is almost 5 times that of Whites • Less educated mothers have poorer birth indicators than more educated mothers • Mothers with their prenatal care paid through Medicaid/MassHealth were almost 6 times more likely to report smoking during pregnancy than those with their prenatal care paid by private sources

  35. Infant Mortality Rate Massachusetts: 1842-2010

  36. How to Access the BirthsReport and Data • To access hard copies of the 2010 Report, call • Voice: (617) 740-2670 • TDD/TTY: (617) 624-6001 • DPH Website: • http://www.mass.gov/eohhs/docs/dph/research-epi/birth-report-2010.pdf • To access Birth data via MassCHIP (DPH’s Internet- based public health information service) • Website: http://masschip.state.ma.us • Telephone: 1-888-MASCHIP (Mass only) • (617) 624-5629 • New blog called Commonwealth Conversations: Public Health at http://publichealth.blog.state.ma.us

  37. Thank You

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