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Perinatal Periods of Risk Results 2003-2005 Jacksonville, FL

Perinatal Periods of Risk Results 2003-2005 Jacksonville, FL. Thomas Bryant III Administrator/Senior Researcher Institute for Health, Policy and Evaluation Research Duval County Health Department. Duval County Overview. Duval County Overview. Higher rate than Florida & U.S.

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Perinatal Periods of Risk Results 2003-2005 Jacksonville, FL

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  1. Perinatal Periods of Risk Results 2003-2005Jacksonville, FL Thomas Bryant III Administrator/Senior Researcher Institute for Health, Policy and Evaluation Research Duval County Health Department

  2. Duval County Overview

  3. Duval County Overview • Higher rate than Florida & U.S. • All infant deaths, neonatal deaths, postneonatal deaths, and SIDS deaths • LBW & VLBW • Lower rate than Florida & U.S. • Getting prenatal care 1st trimester • Early & adequate prenatal care

  4. Duval County Overview

  5. Duval County Overview • Higher rate than Florida & U.S. • Births to adolescent females 15-17 per 1000 females • Repeat births to females 15-19 per 1000 previous teen birth (compared to FL only) • Percent of live births born pre-term

  6. PPOR Results 03-05All Races Fetal (24+ Wks Gestation) Neonatal Postneonatal Maternal Health/Prematurity N=150 Rate= 3.84 500- 1499g 1500+g Maternal Care N=95 Rate=2.43 Newborn Care N=46 Rate=1.18 Infant Care N=107 Rate=2.74 Total Feto-Infant Death Rate = 10.55 Rate = #Deaths/(Live Births + Fetal Deaths) * 1000 Total Live Births + Fetal Deaths = 39,047 Total Infants Deaths = 412

  7. PPOR Results 03-05by Race Fetal (24+ Wks Gestation) Neonatal Postneonatal Maternal Health/Prematurity Black N=81, Rate = 6.00 White N=64, Rate = 2.77 RR=2.18 95% CI (1.57, 3.02) 500- 1499g 1500+g Maternal Care Black N=49, Rate=3.63 White N=44, Rate=1.90 RR=1.91 95% CI (1.27, 2.88) Newborn Care Black N=19, Rate=1.41 White N=23, Rate=1.00 RR=1.42 95% CI (0.77, 2.61) Infant Care Black N=40, Rate=2.96 White N=61, Rate=2.64 RR=1.13 95% CI (0.76, 1.68) Total Feto-Infant Death Rate = 13.99 (Black) 8.31 (White) Rate = #Deaths/(Live Births + Fetal Deaths) * 1000 Denominators: 13,507 (Black) 23,111 (White)

  8. Internal Reference Group • 20 years of age or older • Non-Hispanic white women • 13 or more years of education • Used as the standard because they have the best outcomes

  9. Excess Death Rates as Determined by Using Internal Reference Group Fetal (24+ Wks Gestation) Postneonatal Neonatal Maternal Health/Prematurity All Races: 3.84-2.64=1.20 Black: 6.00-2.64=3.36 White: 2.77-2.64=0.13 500- 1499g 1500+g Maternal Care All Races: 2.43-1.57=0.87 Black: 3.63-1.57=2.06 White: 1.90-1.57=0.34 Newborn Care All Races: 1.18-0.82=0.35 Black: 1.41-0.82=0.58 White: 1.00-0.82=0.17 Infant Care All Races: 2.74-1.32=1.42 Black: 2.96-1.32=1.64 White: 2.64-1.32=1.32 Total Difference between Ref Group & All Races: 3.84 Total Difference between Ref Group &Blacks: 7.64 Total Difference between Ref Group &Whites: 1.96

  10. Contribution to Mortality Difference Internal Reference Group Black Women

  11. Contribution to Mortality Difference (continued)

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