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INFANT MORTALITY ALABAMA 2007

INFANT MORTALITY ALABAMA 2007. ALABAMA DEPARTMENT OF PUBLIC HEALTH CENTER FOR HEALTH STATISTICS. INFANT MORTALITY RATES ALABAMA, 1997-2007. INFANT MORTALITY RATES ALABAMA AND UNITED STATES 1 1965-2007. ALABAMA. 10.0. UNITED STATES. 6.6. 1 2004 US rate is provisional.

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INFANT MORTALITY ALABAMA 2007

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  1. INFANT MORTALITYALABAMA 2007 ALABAMA DEPARTMENT OF PUBLIC HEALTH CENTER FOR HEALTH STATISTICS

  2. INFANT MORTALITY RATESALABAMA, 1997-2007

  3. INFANT MORTALITY RATESALABAMA AND UNITED STATES1 1965-2007 ALABAMA 10.0 UNITED STATES 6.6 1 2004 US rate is provisional.

  4. INFANT MORTALITY RATES, WHITE INFANTSALABAMA, 1997-2007

  5. INFANT MORTALITY RATES, BLACK INFANTSALABAMA, 1997-2007

  6. Multivariate Analysis of Linked Birth/Infant Death File from 1991-2005 Analysis was conducted controlling for the following factors: ● Low birth weight ● Multiple births ● Teen age mother ● Adequate weight gain ● Birth order ● Maternal smoking ● Educational attainment of mother ● Race ● Method of payment for delivery ● Marital status ● Adequacy of prenatal care

  7. Multivariate AnalysisODDS OF INFANT DEATH BLACK MOTHERS VERSUS OTHER RACES Multivariate result is statistically significant

  8. INFANT MORTALITY RATESALABAMA AND UNITED STATES1 BY RACE, 1997-2007 AL-BLACK 14.6 13.7 US-BLACK 8.0 AL-WHITE US-WHITE 5.7 1 2004 US rate is provisional 2005 US rate is not available.

  9. INFANT MORTALITY RATES HISPANIC INFANTS, ALABAMA, 1997-2007

  10. PERCENT OF BIRTHS TO TEENAGERSALABAMA, 1997-2007 Percent of All Live Births

  11. INFANT MORTALITY RATESTEENAGERS vs. ADULTS ALABAMA, 2007

  12. Multivariate AnalysisODDS OF INFANT DEATH TEEN MOTHER VERSUS ADULT MOTHER Multivariate result is statistically significant

  13. PERCENT OF LOW WEIGHT BIRTHS BY RACE ALABAMA, 1960-2007

  14. INFANT MORTALITY RATESLOW vs. NORMAL WEIGHT BIRTHSALABAMA, 1997-2007 63.5 LOW WEIGHT 3.2 NORMAL WEIGHT

  15. Multivariate AnalysisODDS OF INFANT DEATH LOW BIRTH WEIGHT VERSUS NORMAL BIRTH WEIGHT Multivariate result is statistically significant

  16. NUMBER OF BIRTHS WEIGHING LESS THAN 500 GRAMS, ALABAMA, 1997-2007

  17. MULTIPLE BIRTHS AS A PERCENT OF TOTAL BIRTHSALABAMA, 1997-2007

  18. INFANT MORTALITY RATESSINGLETON AND MULTIPLE BIRTHSALABAMA, 1997-2007 53.7 MULTIPLE SINGLETON 8.5

  19. Multivariate AnalysisODDS OF INFANT DEATH MULTIPLE BIRTH VERSUS SINGLETON BIRTH Multivariate result is statistically significant

  20. PERCENT OF BIRTHS WITH ADEQUATE PRENATAL CARE1ALABAMA, 1997-2007 1 Adequacy of care measured using the Kessner index.

  21. INFANT MORTALITY RATES BY ADEQUACY OF PRENATAL CARE1ALABAMA, 2007 1 Adequacy of care measured using the Kessner index.

  22. Multivariate AnalysisODDS OF INFANT DEATH LESS THAN ADEQUATE PRENATAL CARE VERSUS ADEQUATE Multivariate result is not statistically significant

  23. BIRTHS WITH NO PRENATAL CAREALABAMA 1997-2007

  24. INFANT MORTALITY RATE BY METHOD OF PAYMENT, ALABAMA, 2007

  25. Multivariate AnalysisODDS OF INFANT DEATH MEDICAID VERSUS NONMEDICAID Multivariate result is not statistically significant

  26. INFANT MORTALITY RATES BY EDUCATIONAL STATUS, ALABAMA, 2007

  27. Multivariate AnalysisODDS OF INFANT DEATH LESS THAN HIGH SCHOOL GRADUATE VERSUS HIGH SCHOOL GRADUATE OR HIGHER Multivariate result is statistically significant

  28. MATERNAL SMOKING BY AGE OF MOTHERALABAMA, 2000-2007 15.1 TEENS 12.7 12.0 ADULTS 11.9

  29. INFANT MORTALITY RATES BY SMOKINGSTATUS, ALABAMA, 2007

  30. Multivariate AnalysisODDS OF INFANT DEATH SMOKER VERSUS NON-SMOKER Multivariate result is statistically significant

  31. Factors for Additional Investigation • Twins • Prior Infant Death • Short Birth Interval • Maternal Weight Gain

  32. Multivariate AnalysisODDS OF INFANT DEATH WITH LOW MATERNAL WEIGHT GAIN VERSUS NORMAL WEIGHT GAIN Multivariate result is statistically significant

  33. Summary • Very low weight births are up • Prenatal care is down • Smoking by mother increases risk of infant death • Women who had prior infant death at risk • Low maternal weight gain during pregnancy appears to be a factor • Deaths for multiple births are up

  34. Interventions • Fetal-Infant Mortality Review • Prenatal care for women receiving inadequate or no prenatal care • Family planning • Interpregnancy care for targeted group • Smoking cessation/prevention and second hand smoke

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