Scientific Data Documentation
Linked Birth/Infant Death File, 1983-1984
Data Set Names (DSNs) for Linked Natality 83-84 files:
CC36.NATAL83.LINK
CC36.NATAL83.DENOM
CC36.NATAL84.LINK
CC36.NATAL84.DENOM
ABSTRACT
LINKED BIRTH/INFANT DEATH DATA SET: 1983,1984 BIRTH COHORTS
Linked Birth/Infant Death (Numerator) File and
Birth (Denominator) File
Table of Contents
1. Introduction, Methodology, and Classification of Data.
2. Machine used, file and data characteristics.
3. List of data elements and locations.
4. Record layout and definition of items and codes.
5. County geographic codes available on the public-use file.
6. City geographic codes available on the public-use file.
7. Titles and codes for the 61 cause-of-death list.
8. Documentation tables 1-5.
9. Technical Appendix for the Natality file.
10. Technical Appendix for the 1983 Mortality file.
11. Technical Appendix for the 1984 Mortality file.
2Symbols Used in Tables
SYMBOLS USED IN TABLES
Symbol Explanation
--- Data not available
... Category not applicable
- Quantity zero
0.0 Quantity more than 0 but less than 0.05
* Figure does not meet standards of reliability or precision
1INTRODUCTION - DESCRIPTION OF DATA
21983 Birth Cohort
The Linked birth/Infant Death Data Set consists of two separate data files.
The first file includes linked records of live births and infant deaths for
the 1983 birth cohort -- also referred to as the numerator file. The second
file is the live birth file for 1983 -- referred to as the denominator
file. The files are offered as a numerator/denominator data set to give
users the means to compute infant mortality rates.
The 1983 linked file is comprised of deaths to infants born in 1983 who died
in 1983 or 1984 before their first birthday. Infant death records were
extracted from the 1983 and 1984 National Center for Health Statistics
(NCHS) mortality statistical files. Linked birth records were extracted
from a denominator file that contained the 1983 NCHS natality statistical
file, a small number of late-filed birth certificates, and certificates from
selected States that were needed to match to an infant death record. Refer
to the Methodology section for a more detailed explanation of records added
to the statistical file. The denominator file is not identical with the
NCHS natality statistical file.
21984 Birth Cohort
The Linked birth/Infant Death Data Set consists of two separate data files.
The first file includes linked records of live births and infant deaths for
the 1984 birth cohort -- also referred to as the numerator file. The second
file is the live birth file for 1984 -- referred to as the denominator
file. The files are offered as a numerator/denominator data set to give
users the means to compute infant mortality rates.
The 1984 linked file is comprised of deaths to infants born in 1984 who died
in 1984 or 1985 before their first birthday. Infant death records were
extracted from the 1984 and 1985 National Center for Health Statistics
(NCHS) mortality statistical files. Linked birth records were extracted
from a denominator file that contained the 1984 NCHS natality statistical
file, a small number of late-filed birth certificates, and certificates from
selected States that were needed to match to an infant death record. Refer
to the Methodology section for a more detailed explanation of records added
to the statistical file. The denominator file is not identical with the
NCHS natality statistical file.
The linked file of live births and infant births includes linked records for
births and deaths that occurred in the United States to U.S. residents and
to U.S. nonresidents. Excluded are deaths that occurred outside the United
States to infants born in the U.S.; deaths that occurred in the United
States to foreign-born infants; and births and deaths that occurred outside
the United States to U.S. residents.
Sources for denominator data and for birth records included in the numerator
file are described in detail in the 83/84 Technical Appendix from the
Natality Annual Volume; sources for death records included in the numerator
file are described in detail in the 1983/84/85 Technical Appendices, from
the Mortality Annual Volumes. Copies of these Technical Appendices are
included in this tape documentation.
Because of confidentiality concerns, only those counties of 250,000 or more
population and only those cities of 250,000 or more population are
identified in this data set. The population counts are based on the results
of the 1980 census. Users should refer to the geographic code outline in
this document for the list of available areas and codes.
In tabulations of linked data and denominator data, events occurring in the
United States to U.S. nonresidents are included in tabulations that are by
place of occurrence, and excluded from tabulations by place of residence.
For linked data, these exclusions are based on the usual place of residence
item of the Mother. This item is contained in both the denominator file and
the birth section of the numerator (linked) file. U.S. nonresidents are
identified by a code 4 in location 11 of these files.
1METHODOLOGY
The methodology used to create the national file of linked birth and infant
death records takes advantage of two existing data sources:
1. State linked files for the identification of linked birth and infant
death certificates; and
2. NCHS natality and mortality computerized statistical files, the
source of computer records for the two linked certificates.
Virtually all States routinely link infant death certificates to their
corresponding birth certificates for legal and statistical purposes. When
the birth and death of an infant occur in different States, linking the two
records that are filed in different jurisdictions requires State cooperation
for the exchange of records. In accordance with the terms of the
"Association for Vital Records Exchange System," copies of the records are
exchanged by the State of death and State of birth in order to effect a
link. In addition, if a third State is identified as the State of residence
at the time of birth of death, that State is also sent a copy of the
appropriate certificate by the State where the birth or death occurred.
The NCHS natality and mortality files, produced annually, include
statistical data from birth and death certificates that are provided to NCHS
by States under the Vital Statistics Cooperative Program (VSCP). The data
have been coded according to uniform coding specifications, have passed
rigid quality control standards, have been edited and reviewed, and are the
basis for official U.S. birth and death statistics.
To initiate processing, NCHS obtained computerized linked files from States
that had them and extracted only the birth and death certificate numbers for
linked records and State and year of occurrence. The States of Alaska,
Arizona, Delaware, Indiana, and Nevada provided linkage information by
posting birth certificate numbers on a computer-generated list of infant
death certificate numbers that was provided by NCHS. A file that contained
only State-provided identifiers for linked certificates was then matched to
the NCHS mortality and natality statistical files. Individual birth and
death records were selected from their respective files and linked into a
single statistical record, thereby establishing a national linked record
file.
After the initial linkage, NCHS returned to the States of death copies or
computer lists of unlinked infant death certificates for follow-up linking.
If the birth occurred in a State different from the State of death, the
State of birth identified on the death certificate was contacted to obtain
the linking birth certificate. If the linking birth certificate from
another State had been renumbered, the State of death requested the original
certificate number from the State of birth. If the linked birth certificate
had been filed after NCHS closed its statistical files, States provided NCHS
a copy of the late-filed birth certificate. These certificates were coded,
keyed, processed, added to the denominator file and then linked to the
infant death record. Approximately 100 late-filed records were added to the
denominator.
In addition to late-filed birth records, approximately 3,000 birth records
were also added to the denominator file for the five registration areas that
did not participate in the VSCP. These birth records were required for
matching to death records, but their addition to the denominator file did
not change the total occurrence count.
In 1983, the District of Columbia and the four States of Arizona,
California, Delaware, and Georgia did not participate in the VSCP. For
these five areas, only 50 percent of the birth certificates (the
even-numbered birth certificates) were coded for the natality file. Records
for odd-numbered birth certificates that were linked to infant death
certificates were added to the denominator file.
For the five non-VSCP areas, the addition of odd-numbered birth records to
the 50-percent sample of births in the denominator had implications for
record weights and sample bias. Routinely, for non-VSCP States
even-numbered birth records in the sample are assigned a record weight of 2
to represent two births. For the linked file project, odd-numbered birth
records were assigned a record weight of 1, and added to the denominator
file. To maintain the correct total occurrence count, record weights were
adjusted from 2 to 1 fr the same number of even-numbered birth records.
The odd-numbered birth records that were added to the denominator were not a
random sample of birth records but rather a select sample of records for
infants that died. To minimize the introduction of bias to the denominator,
the record weight was adjusted on even-numbered records with a similar birth
weight value. Birth weight was the criterion for selecting records for
adjustment, because it is strongly correlated with infant death.
Record-weight adjustment was implemented by ordering the denominator file by
State of occurrence, birth weight, and record number. The record weight was
then changed from a "2" to a "1" fo the first even-numbered birth record
following an odd-numbered birth record in the birth weight sequence.
The birth record in the denominator file includes an item in tape location 1
that identifies whether or not the record is linked to an infant death.
This item is included in the denominator record for users who would want to
identify individual records for which the infant died in the first year of
life, or survived.
1DEMOGRAPHIC AND MEDICAL CLASSIFICATION
The documents listed below describe in detail the procedures employed for
demographic classification on both the birth and death records and medical
classification on death records. While not absolutely essential to the
proper interpretation of the data for a number of general applications,
these documents should nevertheless be studied carefully prior to any
detailed analysis of demographic or medical (especially multiple cause) data
variables. In particular, there are a number of exceptions to the ICD rules
in multiple cause-of-death coding which, if not treated properly, may result
in faulty analysis of the data.
A. Manual of the International Statistical Classification of Diseases,
Injuries, and the Cause-of-Death, Ninth Revision, (ICD-9) Volumes 1 and
2.
B. NCHS Instruction Manual Data Preparation Part 2a, Vital Statistics
Instructions for Classifying the Underlying Cause-of-Death, 1983.
C. NCHS Instruction Manual Data Preparation, Part 2b, Vital Statistics
Instructions for Classifying Multiple Cause-of-Death, 1983.
D. NCHS Instruction Manual Data Preparation, Part 2c, Vital Statistics
ICD-9 ACME Decision Tables for Classifying Underlying Causes-of-Death,
1983.
E. NCHS Instruction Manual Data Preparation, Part 2d, Vital Statistics NCHS
Procedures for Mortality Medical Data System File Preparation and
Maintenance, Effective 1979.
F. NCHS Instruction Manual Data Tabulation, Part 2f, Vital Statistics ICD-9
TRANSAX Disease Reference Tables for Classifying Multiple
Causes-of-Death, 1982-86.
G. NCHS Instruction Manual Data Preparation, Part 3a, Vital Statistics
Classification and Coding Instructions for Live Birth Records, 1983.
H. NCHS Instruction Manual Data Preparation, Part 4, Vital Statistics
Demographic Classification and Coding Instructions for Death Records,
1983.
I. NCHS Instruction Manual Tabulation, Part 11, Vital Statistics Computer
Edits for Mortality Data, Effective 1979.
Volumes 1 and 2 of the ICD-9 may be purchased from WHO Publication Center
USA, 49 Sheridan Avenue, Albany, New York, 12210. The remaining documents
may be requested from the Chief, Data Preparation Branch, Division of Data
Processing, National Center for Health Statistics, P. O. Box 12214, Research
Triangle Park, North Carolina 27709.
In addition, the user should refer to the Technical Appendices of the Vital
Statistics of the United States for information on the source of data,
coding procedures, quality of the data, etc. The Technical Appendices for
natality and mortality are part of this documentation package.
1CAUSE-OF-DEATH DATA
Mortality data are traditionally analyzed and published in terms of
underlying cause-of-death. The underlying cause-of-death data are coded and
classified as described in the 1983/84/85 Mortality Technical
Appendices. NCHS has augmented underlying cause-of-death data with data on
multiple causes reported on the death certificate. The linked file includes
both underlying and multiple causes-of-death data.
The multiple cause of death codes were developed with two objectives in
mind. First, to facilitate etiological studies of the relationships among
conditions, it was necessary to reflect accurately in coded form each
condition and its location on the certification in the exact manner given by
the certifier. Secondly, coding needed to be carried out in a manner by
which the underlying cause-of-death could be assigned through computer
applications. The approach was to suspend the linkage provisions of the ICD
for the purpose of condition coding and code each entity with minimum regard
to other conditions present on the certification. This general approach is
hereafter called entity coding.
Unfortunately, the set of multiple cause codes produced by entity coding is
not conducive to a third objective -- the generation of person based
multiple cause statistics. Person based analysis requires that each
condition be coded within the context of every other condition on the same
certificate and modified or linked to such conditions as provided by ICD-9.
By definition, the entity data cannot meet this requirement since the
linkage provisions distort the character and placement of the information
originally recorded by the certifying physician.
Since the two objectives are incompatible, NCHS has chosen to create from
the original set of entity codes a new code set called record axis multiple
cause data. Essentially, the axis of classification has been converted from
an entity basis to a record (or person) basis. The record axis codes are
assigned in terms of the set of codes that best describe the overall medical
certification portion of the death certificate.
This translation is accomplished by a computer system called TRANSAX
(TRANSLATION OF AXIS) through selective use of traditional linkage and
modification rules for mortality coding. Underlying cause linkages which
simply prefer one code over another for purposes of underlying cause
selection are not included. Each entity code on the record is examined and
modified or deleted as necessary to create a set of codes which are free of
contradictions and are the most precise within the constraints of ICD-9 and
medical information on the record. Repetitive codes are deleted. The
process may (1) combine two entity axis categories together to a new
category thereby eliminating a contradiction or standardizing the data; or
(2) eliminate one category in favor of another to promote specificity of the
data or resolve contradictions. The following examples from ICD-9
illustrate the effect of this translation:
Case 1: When reported on the same record as separate entities, cirrhosis of
liver and alcoholism are coded to 5715 (cirrhosis of liver without
mention of alcohol) and 303 (alcohol dependence syndrome).
Tabulation of records with 5715 would on the surface falsely imply
that such records had no mention of alcohol. A preferable
codification would be 5712 (alcoholic cirrhosis of liver) in lieu
of both 5715 and 303.
Case 2: If "gastric ulcer" and "bleeding gastric ulcer" are reported on a
record they are coded to 5319 (gastric ulcer, unspecified as acute
or chronic, without mention of hemorrhage or perforation) and 5314
(gastric ulcer, chronic or unspecified, with hemorrhage). A more
concise codification would be to code 5314 only since the 5314
shows both the gastric ulcer and the bleeding.
A. Entity Axis Codes
The original conditions coded for selection of the underlying
cause-of-death are reformatted and edited prior to creating the
public-use tape. The following paragraphs describe the format and
application of entity axis data.
FORMAT: Each entity-axis code is displayed as an overall seven byte
code with subcomponents as follows:
1. Line indicator: The first byte represents the line of the
certificate on which the code appears.
Six lines (1-6) are allowable with the
fourth and fifth denoting one or two
written in "due to"s beyond the three
lines provided in Part I of the U.S.
standard death certificate. Line "6"
represents Part II of the certificate.
2. Position indicator: The next byte indicates the position of
the code on the line, i.e., it is the
first (1), second (2), third (3),...
eighth (8) code on the line.
3. Cause category: The next four bytes represent the ICD-9
cause code.
4. Nature of injury flag: ICD-9 uses the same series of numbers
(800-999) to indicate nature of injury (N
codes) and external cause codes (E
codes). This flag distinguishes between
the two with a one (1) representing nature
of injury codes and a zero (0)
representing all other cause codes.
A maximum of 20 of these seven byte codes are captured on a record for
multiple cause purposes. This may consist of a maximum of 8 codes on
any given line with up to 20 codes distributed across three or more
lines depending on where the subject conditions are located on the
certificate. Codes may be omitted from one or more lines, e.g., line 1
with one or more codes, line 2 with no codes, line 3 with one or more
codes.
In writing out these codes, they are ordered as follows: line 1 first
code, line 1 second code, etc. ----- line 2 first code, line 2 second
code, etc. ----- line 3 ----- line 4 ----- line 5 ----- line 6. Any
space remaining in the field is left blank. The specifics of locations
are contained in the record layout given later in this document.
EDIT: The original conditions are edited to remove invalid codes,
reverify the coding of certain rare causes of death, and assure
age/cause and sex/cause compatibility. Detailed information relating to
the edit criteria and the sets of cause codes which are valid to
underlying cause coding and multiple cause coding are provided in Part
11 of the NCHS Vital Statistics Instruction Manual Series.
ENTITY AXIS APPLICATIONS: The entity axis multiple cause data is
appropriate to analyses which require that each condition be coded as a
stand alone entity without linkage to other conditions and/or require
information on the placement of such conditions in the certificate.
Within this framework, the entity data are appropriate to the
examination of etiological relationships among conditions, accuracy of
certification reporting, and the validity of traditional assumptions in
underlying cause selection. Additionally, the entity data provide in
certain categories a more detailed code assignment which is linked out
in the creation of record axis data. Where such detail is needed for a
study, the user should selectively employ entity data. Finally, the
researcher may not wish to be bound by the assumptions used in the axis
translation process preferring rather to investigate hypotheses of his
own predilection.
By definition, the main limitation of entity axis data is that an entity
code does not necessarily reflect the best code for a condition when
considered within the context of the medical certification as a whole.
As a result certain entity codes can be misleading or even contradict
other codes in the record. For example, category 5750 is titled "Acute
cholecystitis without mention of calculus". Within the framework of
entity codes this is interpreted to mean that the codable entity itself
contained no mention of calculus rather than that calculus was not
mentioned anywhere on the record. Tabulation of records with a "5750"
as a count of persons having acute cholecystitis without mention of
calculus would therefore be erroneous. This illustrates the fact that
under entity coding the ICD-9 titles cannot be taken literally. The
user must study the rules for entity coding as they relate to his/her
research prior to utilization of entity data. The user is further
cautioned that the inclusion notes in ICD-9 which relate to modifying
and combining categories are seldom applicable to entity coding (except
where provided in Part 2b of the Vital Statistics Instruction Manual
Series).
In tabulating the entity axis data, one may count codes with the
resultant tabulation of an individual code representing the number of
times the disease(s) represented by the code appears in the file. In
this kind of tabulation of morbid condition prevalence, the counts among
categories may be added together to produce counts for groups of codes.
Alternatively, subject to the limitations given above, one may count
persons having mention of the disease represented by a code or codes.
In this instance it is not correct to add counts for individual codes to
create person counts for groups of codes. Since more than one code in
the researcher's interest may appear together on the certificate,
totaling must account for higher order interactions among codes. Up to
20 codes may be assigned on a record; therefore, a 20-way interaction is
theoretically possible. All totaling must be based on mention of one or
more of the categories under investigation.
B. Record Axis Codes
The following paragraphs describe the format and application of
record-axis data. Part 2f of the vital Statistics Instruction Manual
Series describes the TRANSAX process for creating recode axis data from
entity axis data. FORMAT: Each record (or person) axis code is
displayed in five bytes. Location information is not relevant. The
Code consists of the following components:
1. Cause category: The first four bytes represent the ICD-9
cause code.
2. Nature of injury flag: The last byte contains a 0 or 1 with the 1
indicating that the cause is a nature or
injury category.
Again, a maximum of 20 codes are captured on a record for multiple cause
purposes. The codes are written in a 100-byte field in ascending code
number (5 bytes) order with any unused bytes left blank.
EDIT: The record axis codes are edited for rare causes and age/cause
and sex/cause compatibility. Likewise, individual code validity is
checked. The valid code set for record axis coding is the same
as that for entity coding.
RECORD AXIS APPLICATIONS: The record axis multiple cause data set is
the basis for NCHS core multiple cause tabulations. Locations of codes
is not relevant to this data set and conditions have been linked into
the most meaningful categories for the certification. The most
immediate consequence for the user is that the codes on the record
already represent mention of a disease assignable to that particular
ICD-9 category. This is in contrast to the entity code which is
assigned each time such a disease is reported on two different lines of
the certification. Secondly, the linkage implies that within the
constraints of ICD-9 the most meaningful code has been assigned. The
translation process creates for the user a data set which is edited for
contradictions, duplicate codes, and imprecisions. In contrast to
entity axis data, record axis data are classified in a manner comparable
to underlying cause of death classification thereby facilitating joint
analysis of these variables. Likewise, they are comparable to general
morbidity coding where the linkage provisions of ICD-9 are usually
utilized. A potential disadvantage of record axis data is that some
detail is sacrificed in a number of the linkages.
The user can take the record axis codes as literally representing the
information conveyed in ICD-9 category titles. While knowledge of the
rules for combining and linking and coding conditions is useful, it is
not a prerequisite to meaningful analysis of the data as long as one is
willing to accept the assumptions of the axis translation process. The
user is cautioned, however, that due t special rules in mortality
coding, not all linkage notes in ICD-9 are utilized. (See Part 2f of
the Vital Statistics Instruction Manual Series.)
The user should proceed with caution in using record axis data to count
conditions as opposed to people with conditions since linkages have been
invoked and duplicate codes have been eliminated. As with entity data,
person based tabulations which combine individual cause categories must
take into account the possible interaction of up to 20 codes on a single
certificate.
In using the NCHS multiple cause data, the user is urged to review the
information in this document and its references. The instructional material
does change from year to year and revision to revision. The user is
cautioned that coding of specific ICD-9 categories should be checked in the
appropriate instruction manual. What may appear on the surface to be the
correct code by ICD-9 may in fact not be correct as given in the instruction
manuals.
If on the surface it is not obvious whether entity axis or record axis data
should be employed in a given application, detailed examination of Part 2f
of the Vital Statistics Instruction Manual Series and its attachments will
probably provide the necessary information to make a decision. It allows
the user to determine the extent of the trade-offs between the two sets of
data in terms of specific categories and the assumptions of axis
translation. In certain situations, a combination of entity and record axis
data may be the more appropriate alternative.
1MACHINE/FILE/DATA CHARACTERISTICS
I. 1983 Denominator File: DSN=CC36.NATAL83.DENOM
Record count: 3,341,274
Data counts: a. By occurrence: 3,643,001
b. By residence: 3,639,113
c. To foreign residents: 3,888
II. 1983 Numerator File: DSN=CC36.NATAL83.LINK
Record count: 39,704
Data counts: a. By occurrence: 39,704
b. By residence: 39,683
c. To foreign residents: 21
III. 1984 Denominator File: DSN=CC36.NATAL84.DENOM
Record count: 3,364,090
Data counts: a. By occurrence: 3,673,693
b. By residence: 3,669,268
c. To foreign residents: 4,426
IV. 1984 Numerator File: DSN=CC36.NATAL84.LINK
Record count: 38,314
Data counts: a. By occurrence: 38,314
b. By residence: 38,294
c. To foreign residents: 20
1LIST OF DATA ELEMENTS AND LOCATIONS
Denominator Numerator File
Data Items File Birth Death
1. General
a. Match status 1 1 -
b. Year of birth 2-5 2-5 -
c. Year of death - - 194-197
d. Record type 0 10 198
e. Resident status 11 11 199
f. Record weight 91 91 -
2. Occurrence
a. Region 12 12 200
b. Division 13 13 201
c. Expanded State 15-16 15-16 203-204
d. State 17-18 17-18 205-206
e. County 19-21 19-21 207-209
3. Residence
a. Region 22 22 210
b. Division 23 23 211
c. Expanded State 25-26 25-26 213-214
d. State 27-28 27-28 215-216
e. County 29-31 29-31 217-219
f. City 32-34 32-34 220-222
4. Infant
a. Race 36-37 36-37 -
b. Sex 38 38 -
c. Age - - 223-227
d. Gestation 39-42 39-42 -
e. Birth weight 43-49 43-49 -
f. Plurality 50 50 -
g. Apgar score 51-54 51-54 -
5. Mother
a. Origin or descent 55-56 55-56 -
b. Race 57 57 -
c. Age 58-61 58-61 -
d. Education 62-64 62-64 -
e. Marital Status 65 65 -
f. State of birth 66-67 66-67 -
6. Father
a. Origin or descent 68-69 68-69 -
b. Race 70 70 -
c. Age 71-72 71-72 -
d. Education 73-74 73-74 -
7. Pregnancy items
a. Interval since last live birth 75 75 -
b. Outcome of last pregnancy 76 76 -
c. Interval since last pregnancy 77 77 -
d. Month prenatal care began 78-80 78-80 -
e. Number of prenatal visits 81-82 81-82 -
f. Total birth order 83-85 83-85 -
g. Live birth order 86-88 86-88 -
8. Medical data
a. Underlying cause - - 231-237
b. Multiple conditions - - 238-481
9. Other items
a. Place of delivery 89 89 -
b. Attendant at birth 90 90 -
c. Hospital and patient status - - 228
d. Autopsy performed - - 229
e. Place of accident - - 230
1RECORD LAYOUT, DENOM RECORD & NATALITY SECTION OF LINKED RECORD
21. Match Status
Tape Field
Location Size Item and Code Outline
1 1 Match Status
1 ... Matched Birth/Infant Death Record
2 ... Late Filed Matched Birth/Infant
Death Record
3 ... Surviving infant record
22-91. Birth Certificate Data
3General Information
Locations 2-91 of the linked file contain data from the Birth Certificate.
Residence items in the Denominator Record and in the natality section
of the Numerator (Linked) Record refer to the usual place of residence of
the Mother; whereas in the mortality section of the Numerator (Linked)
Record, these items refer to the residence of the Decedent.
32-5. Year of Birth
Tape Field
Location Size Item and Code Outline
2-5 4 Year of Birth
1983 ... Born in 1983
1984 ... Born in 1984
36-9. Reserved Positions
Tape Field
Location Size Item and Code Outline
6-9 4 Reserved positions
310. Record Type
Tape Field
Location Size Item and Code Outline
10 1 Record Type
1 ... RESIDENTS
State and County of Occurrence
and Residence are the same.
2 ... NONRESIDENTS
State and/or County of
Occurrence and Residence are
different.
311. Resident Status
Tape Field
Location Size Item and Code Outline
11 1 Resident Status
1 ...RESIDENTS
State and County of Occurrence
and Residence are the same.
2 ... INTRASTATE NONRESIDENTS
State of Occurrence and
Residence are the same, but
County is different.
3 ... INTERSTATE NONRESIDENTS
State of Occurrence and
Residence are different, but
both are in the U.S.
4 ... FOREIGN RESIDENTS
State of Occurrence is one of
the 50 States or the District
of Columbia, but Place of
Residence is outside of the U.S.
312-21. Place of Occurrence
Tape Field
Location Size Item and Code Outline
12-21 10 PLACE OF OCCURRENCE
Refer to the Geographic Code Outline in this
document for a list of areas and codes available on
the public-use file.
Tape Field
Location Size Item and Code Outline
12 1 Region of Occurrence
Tape Field
Location Size Item and Code Outline
13-14 2 Division and State Subcode of Occurrence
Location 12 is Region. Location 13 is Division and
Location 14 identifies States within that Division.
1 ... NORTHEAST
1 ... New England
1 ... Maine
2 ... New Hampshire
3 ... Vermont
4 ... Massachusetts
5 ... Rhode Island
6 ... Connecticut
2 ... Middle Atlantic
1 ... New York
2 ... New Jersey
3 ... Pennsylvania
2 ... MIDWEST
3 ... East North Central
1 ... Ohio
2 ... Indiana
3 ... Illinois
4 ... Michigan
5 ... Wisconsin
4 ... West North Central
1 ... Minnesota
2 ... Iowa
3 ... Missouri
4 ... North Dakota
5 ... South Dakota
6 ... Nebraska
7 ... Kansas
3 ... SOUTH
5 ... South Atlantic
1 ... Delaware
2 ... Maryland
3 ... District of Columbia
4 ... Virginia
5 ... West Virginia
6 ... North Carolina
7 ... South Carolina
8 ... Georgia
9 ... Florida
6 ... East South Central
1 ... Kentucky
2 ... Tennessee
3 ... Alabama
4 ... Mississippi
7 ... West South Central
1 ... Arkansas
2 ... Louisiana
3 ... Oklahoma
4 ... Texas
4 ... WEST
8 ... Mountain
1 ... Montana
2 ... Idaho
3 ... Wyoming
4 ... Colorado
5 ... New Mexico
6 ... Arizona
7 ... Utah
8 ... Nevada
9 ... Pacific
1 ... Washington
2 ... Oregon
3 ... California
4 ... Alaska
5 ... Hawaii
Tape Field
Location Size Item and Code Outline
15-16 2 Expanded State of Occurrence
This item is designed to separately identify New
York city records from upstate New York records.
01 ... Alabama
02 ... Alaska
03 ... Arizona
04 ... Arkansas
05 ... California
06 ... Colorado
07 ... Connecticut
08 ... Delaware
09 ... District of Columbia
10 ... Florida
11 ... Georgia
12 ... Hawaii
13 ... Idaho
14 ... Illinois
15 ... Indiana
16 ... Iowa
17 ... Kansas
18 ... Kentucky
19 ... Louisiana
20 ... Maine
21 ... Maryland
22 ... Massachusetts
23 ... Michigan
24 ... Minnesota
25 ... Mississippi
26 ... Missouri
27 ... Montana
28 ... Nebraska
29 ... Nevada
30 ... New Hampshire
31 ... New Jersey
32 ... New Mexico
33 ... New York
34 ... New York City
35 ... North Carolina
36 ... North Dakota
37 ... Ohio
38 ... Oklahoma
39 ... Oregon
40 ... Pennsylvania
41 ... Rhode Island
42 ... South Carolina
43 ... South Dakota
44 ... Tennessee
45 ... Texas
46 ... Utah
47 ... Vermont
48 ... Virginia
49 ... Washington
50 ... West Virginia
51 ... Wisconsin
52 ... Wyoming
Tape Field
Location Size Item and Code Outline
17-18 2 State of Occurrence
Asterisk indicates data based on a 50% sample.
Late filed birth certificates and certificates from
50-percent States that were needed to match to an
infant death record, have been included in this
data set.
01 ... Alabama
02 ... Alaska
03 ... Arizona
04 ... Arkansas
05 ... California
06 ... Colorado
07 ... Connecticut
08 ... Delaware
09 ... District of Columbia
10 ... Florida
11 ... Georgia
12 ... Hawaii
13 ... Idaho
14 ... Illinois
15 ... Indiana
16 ... Iowa
17 ... Kansas
18 ... Kentucky
19 ... Louisiana
20 ... Maine
21 ... Maryland
22 ... Massachusetts
23 ... Michigan
24 ... Minnesota
25 ... Mississippi
26 ... Missouri
27 ... Montana
28 ... Nebraska
29 ... Nevada
30 ... New Hampshire
31 ... New Jersey
32 ... New Mexico
33 ... New York
34 ... North Carolina
35 ... North Dakota
36 ... Ohio
37 ... Oklahoma
38 ... Oregon
39 ... Pennsylvania
40 ... Rhode Island
41 ... South Carolina
42 ... South Dakota
43 ... Tennessee
44 ... Texas
45 ... Utah
46 ... Vermont
47 ... Virginia
48 ... Washington
49 ... West Virginia
50 ... Wisconsin
51 ... Wyoming
Tape Field
Location Size Item and Code Outline
19-21 3 County of Occurrence
Because of confidentiality concerns, counties with
a population less than 250,000 cannot be identified
on the public-use file.
001-nnn ... Counties and county equivalents
(independent and coextensive
cities) are numbered
alphabetically within each State.
(Note: To uniquely identify a
county, both the State and county
codes must be used.)
999 ... County with less than 250,000
population
322-35. Place of Residence
Tape Field
Location Size Item and Code Outline
22-35 14 PLACE OF RESIDENCE
Refer to the Geographic Code Outline in this
document for a list of areas and codes available on
the public-use file.
22 1 Region of Residence
23-24 2 Division and State Subcode of Residence
Location 22 is Region. Location 23 is Division and
Location 24 identifies States within that Division.
000 Foreign Resident
1 ... NORTHEAST
1 ... New England
1 ... Maine
2 ... New Hampshire
3 ... Vermont
4 ... Massachusetts
5 ... Rhode Island
6 ... Connecticut
2 ... Middle Atlantic
1 ... New York
2 ... New Jersey
3 ... Pennsylvania
2 ... MIDWEST
3 ... East North Central
1 ... Ohio
2 ... Indiana
3 ... Illinois
4 ... Michigan
5 ... Wisconsin
4 ... West North Central
1 ... Minnesota
2 ... Iowa
3 ... Missouri
4 ... North Dakota
5 ... South Dakota
6 ... Nebraska
7 ... Kansas
3 ... SOUTH
5 ... South Atlantic
1 ... Delaware
2 ... Maryland
3 ... District of Columbia
4 ... Virginia
5 ... West Virginia
6 ... North Carolina
7 ... South Carolina
8 ... Georgia
9 ... Florida
6 ... East South Central
1 ... Kentucky
2 ... Tennessee
3 ... Alabama
4 ... Mississippi
7 ... West South Central
1 ... Arkansas
2 ... Louisiana
3 ... Oklahoma
4 ... Texas
4 ... WEST
8 ... Mountain
1 ... Montana
2 ... Idaho
3 ... Wyoming
4 ... Colorado
5 ... New Mexico
6 ... Arizona
7 ... Utah
8 ... Nevada
9 ... Pacific
1 ... Washington
2 ... Oregon
3 ... California
4 ... Alaska
5 ... Hawaii
25-26 2 Expanded State of Residence
This item is designed to separately identify New
York City records from upstate New York records.
01 ... Alabama
02 ... Alaska
03 ... Arizona
04 ... Arkansas
05 ... California
06 ... Colorado
07 ... Connecticut
08 ... Delaware
09 ... District of Columbia
10 ... Florida
11 ... Georgia
12 ... Hawaii
13 ... Idaho
14 ... Illinois
15 ... Indiana
16 ... Iowa
17 ... Kansas
18 ... Kentucky
19 ... Louisiana
20 ... Maine
21 ... Maryland
22 ... Massachusetts
23 ... Michigan
24 ... Minnesota
25 ... Mississippi
26 ... Missouri
27 ... Montana
28 ... Nebraska
29 ... Nevada
30 ... New Hampshire
31 ... New Jersey
32 ... New Mexico
33 ... New York
34 ... New York City
35 ... North Carolina
36 ... North Dakota
37 ... Ohio
38 ... Oklahoma
39 ... Oregon
40 ... Pennsylvania
41 ... Rhode Island
42 ... South Carolina
43 ... South Dakota
44 ... Tennessee
45 ... Texas
46 ... Utah
47 ... Vermont
48 ... Virginia
49 ... Washington
50 ... West Virginia
51 ... Wisconsin
52 ... Wyoming
53-58,60 ... Foreign Residents
53 ... Puerto Rico
54 ... Virgin Island
55 ... Guam
56 ... Canada
57 ... Cuba
58 ... Mexico
60 ... Remainder of the world
Tape Field
Location Size Item and Code Outline
27-28 2 State of Residence
01 ... Alabama
02 ... Alaska
03 ... Arizona
04 ... Arkansas
05 ... California
06 ... Colorado
07 ... Connecticut
08 ... Delaware
09 ... District of Columbia
10 ... Florida
11 ... Georgia
12 ... Hawaii
13 ... Idaho
14 ... Illinois
15 ... Indiana
16 ... Iowa
17 ... Kansas
18 ... Kentucky
19 ... Louisiana
20 ... Maine
21 ... Maryland
22 ... Massachusetts
23 ... Michigan
24 ... Minnesota
25 ... Mississippi
26 ... Missouri
27 ... Montana
28 ... Nebraska
29 ... Nevada
30 ... New Hampshire
31 ... New Jersey
32 ... New Mexico
33 ... New York
34 ... North Carolina
35 ... North Dakota
36 ... Ohio
37 ... Oklahoma
38 ... Oregon
39 ... Pennsylvania
40 ... Rhode Island
41 ... South Carolina
42 ... South Dakota
43 ... Tennessee
44 ... Texas
45 ... Utah
46 ... Vermont
47 ... Virginia
48 ... Washington
49 ... West Virginia
50 ... Wisconsin
51 ... Wyoming
52-57,59 ... Foreign Residents
52 ... Puerto Rico
53 ... Virgin Island
54 ... Guam
55 ... Canada
56 ... Cuba
57 ... Mexico
59 ... Remainder of the world
29-31 3 County of Residence
Because of confidentiality concerns, counties with
a population less than 250,000 cannot be identified
on the public-use file.
001-nnn ... Counties and county equivalents
(independent and coextensive
cities) are numbered
alphabetically within each State.
(Note: To uniquely identify a
county, both the State and county
codes must be used.)
999 ... County with less than 250,000
population
ZZZ ... Foreign residents
Tape Field
Location Size Item and Code Outline
32-34 3 City of Residence
Because of confidentiality concerns, cities with a
population less than 250,000 cannot be identified
on the public-use file.
001-nnn ... Cities are numbered alphabetically
within each State. (Note: To
uniquely identify a city, both the
State and city codes must be used.)
999 ... Entire county, Balance of County,
or city less than 250,000
population
ZZZ ... Foreign residents
35 1 Reserved position
336. Detail Race of Child
Tape Field
Location Size Item and Code Outline
36 1 Detail Race of Child
1 ... White
2 ... Black
3 ... American Indian (includes Aleuts
and Eskimos)
4 ... Chinese
5 ... Japanese
6 ... Hawaiian (includes Part-Hawaiian)
7 ... Filipino
8 ... Other Asian or Pacific Islander
0 ... Other races
337. Race of Child Recode 3
Tape Field
Location Size Item and Code Outline
37 1 Race of Child Recode 3
1 ... White
2 ... Races other than White or Black
3 ... Black
338. Sex of Child
Tape Field
Location Size Item and Code Outline
38 1 Sex of Child
1 ... Male
2 ... Female
339-40. Detail Gestation in Weeks
Tape Field
Location Size Item and Code Outline
39-40 2 Detail Gestation in Weeks
17-52 ... 17th through 52nd week of gestation
99 ... Gestation not stated
341-42. Gestation Recode 10
Tape Field
Location Size Item and Code Outline
41-42 2 Gestation Recode 10
01 ... Under 20 weeks
02 ... 20 - 27 weeks
03 ... 28 - 31 weeks
04 ... 32-35 weeks
05 ... 36 weeks
06 ... 37 - 39 weeks
07 ... 40 weeks
08 ... 41 weeks
09 ... 42 weeks and over
10 ... Gestation not stated
343-48. Birth Weight - Detail in Grams
Tape Field
Location Size Item and Code Outline
43-46 4 Birth weight - Detail in Grams
0227-8165 ... Number of grams
9999 ... Birth weight not stated
47-48 2 01 ... 499 grams or less
02 ... 500 - 749 grams
03 ... 750 - 999 grams
04 ... 1000 - 1249 grams
05 ... 1250 - 1499 grams
06 ... 1500 - 1999 grams
07 ... 2000 - 2499 grams
08 ... 2500 - 2999 grams
09 ... 3000 - 3499 grams
10 ... 3500 - 3999 grams
11 ... 4000 - 4499 grams
12 ... 4500 - 4999 grams
13 ... 5000 - 8165 grams
14 ... Birth weight not stated
349. Birth Weight Recode 3
Tape Field
Location Size Item and Code Outline
49 1 Birth weight Recode 3
1 ... 2499 grams or less
2 ... 2500 grams or more
3 ... Birth weight not stated
350. Plurality - Detail
Tape Field
Location Size Item and Code Outline
50 1 Plurality - Detail
1 ... Single Birth
2 ... Twin
3 ... Other Multiple Births
351-52. One Minute Apgar Score
Tape Field
Location Size Item and Code Outline
51-52 2 One Minute Apgar Score
00-10 ... A score of 0-10
99 ... One minute Apgar score unknown or
not stated
353-54. Five Minute Apgar Score
Tape Field
Location Size Item and Code Outline
53-54 2 Five Minute Apgar Score
00-10 ... A score of 0-10
99 ... Five minute Apgar score unknown or
not stated
355-56. Origin or Descent of Mother
Tape Field
Location Size Item and Code Outline
55-56 2 Origin or Descent of Mother
The Technical Appendix contains a table that shows
which States report Detail Ethnicity (codes 01-24,
99), which States report Hispanic Origin or Descent
(codes 00-05, 99), and which States do not report
either item (code 88).
00 ... Non - Spanish
01 ... Mexican
02 ... Puerto Rican
03 ... Cuban
04 ... Central or South American
05 ... Other and Unknown Spanish
06 ... American
07 ... American Indian
08 ... British, Scottish, Welsh,
Scotch-Irish
09 ... Irish
10 ... German
11 ... French
12 ... Norwegian, Swedish, Danish
13 ... Polish
14 ... Italian
15 ... Other North, Central and South
American
16 ... Other Western European
17 ... Other Northern European
18 ... Other Eastern European
19 ... Other Southern European (excluding
Spain)
20 ... Southeast Asian and Pacific
Islander
21 ... South Central Asian
22 ... Other Asian
23 ... North African
24 ... Other African
88 ... Origin or descent of Mother not
reported
99 ... Origin or descent of Mother not
classifiable
357. Detail Race of Mother
Tape Field
Location Size Item and Code Outline
57 1 Detail Race of Mother
1 ... White
2 ... Black
3 ... American Indian (includes Aleuts
and Eskimos)
4 ... Chinese
5 ... Japanese
6 ... Hawaiian (includes Part-Hawaiian)
7 ... Filipino
8 ... Other Asian or Pacific Islander
0 ... Other races
9 ... Race of Mother not stated
358-59. Detail Age of Mother
Tape Field
Location Size Item and Code Outline
58-59 2 Detail Age of Mother
10-49 ... Age in single years
360-61. Age of Mother Recode 12
Tape Field
Location Size Item and Code Outline
60-61 2 Age of Mother Recode 12
01 ... Under 15 years
03 ... 15 years
04 ... 16 years
05 ... 17 years
06 ... 18 years
07 ... 19 years
08 ... 20 - 24 years
09 ... 25 - 29 years
10 ... 30 - 34 years
11 ... 35 - 39 years
12 ... 40 - 44 years
13 ... 45 - 49 years
362-63. Mother's Education - Detail
Tape Field
Location Size Item and Code Outline
62-63 2 Mother's Education - Detail
00 ... No formal education
01-08 ... Years of elementary school
09 ... 1 year of high school
10 ... 2 years of high school
11 ... 3 years of high school
12 ... 4 years of high school
13 ... 1 year of college
14 ... 2 years of college
15 ... 3 years of college
16 ... 4 years of college
17 ... 5 or more years of college
99 ... Mother's education not stated
364. Mother's Education Recode 6
Tape Field
Location Size Item and Code Outline
64 1 Mother's Education Recode 6
1 ... 0 - 8 years
2 ... 9 - 11 years
3 ... 12 years
4 ... 13 - 15 years
5 ... 16 years and over
6 ... Mother's education not stated
365. Marital Status
Tape Field
Location Size Item and Code Outline
65 1 Marital Status
1 ... Married
2 ... Unmarried
366-67. Mother's Place of Birth
Tape Field
Location Size Item and Code Outline
66-67 2 Mother's Place of Birth
01 ... Alabama
02 ... Alaska
03 ... Arizona
04 ... Arkansas
05 ... California
06 ... Colorado
07 ... Connecticut
08 ... Delaware
09 ... District of Columbia
10 ... Florida
11 ... Georgia
12 ... Hawaii
13 ... Idaho
14 ... Illinois
15 ... Indiana
16 ... Iowa
17 ... Kansas
18 ... Kentucky
19 ... Louisiana
20 ... Maine
21 ... Maryland
22 ... Massachusetts
23 ... Michigan
24 ... Minnesota
25 ... Mississippi
26 ... Missouri
27 ... Montana
28 ... Nebraska
29 ... Nevada
30 ... New Hampshire
31 ... New Jersey
32 ... New Mexico
33 ... New York
34 ... North Carolina
35 ... North Dakota
36 ... Ohio
37 ... Oklahoma
38 ... Oregon
39 ... Pennsylvania
40 ... Rhode Island
41 ... South Carolina
42 ... South Dakota
43 ... Tennessee
44 ... Texas
45 ... Utah
46 ... Vermont
47 ... Virginia
48 ... Washington
49 ... West Virginia
50 ... Wisconsin
51 ... Wyoming
52 ... Puerto Rico
53 ... Virgin Island
54 ... Guam
55 ... Canada
56 ... Cuba
57 ... Mexico
59 ... Remainder of the world
99 ... Mother's place of birth not
classifiable
368-69. Origin or Descent of Father
Tape Field
Location Size Item and Code Outline
68-69 2 Origin or Descent of Father
The Technical Appendix contains a table that shows
which States report Detail Ethnicity (codes 01-24,
99), which States report Hispanic Origin or Descent
(codes 00-05, 99), and which States do not report
either item (code 88).
00 ... Non - Spanish
01 ... Mexican
02 ... Puerto Rican
03 ... Cuban
04 ... Central or South American
05 ... Other and Unknown Spanish
06 ... American
07 ... American Indian
08 ... British, Scottish, Welsh,
Scotch-Irish
09 ... Irish
10 ... German
11 ... French
12 ... Norwegian, Swedish, Danish
13 ... Polish
14 ... Italian
15 ... Other North, Central and South
American
16 ... Other Western European
17 ... Other Northern European
18 ... Other Eastern European
19 ... Other Southern European (excluding
Spain)
20 ... Southeast Asian and Pacific
Islander
21 ... South Central Asian
22 ... Other Asian
23 ... North African
24 ... Other African
88 ... Origin or descent of Father not
reported
99 ... Origin or descent of Father not
classifiable
370. Detail Race of Father
Tape Field
Location Size Item and Code Outline
70 1 Detail Race of Father
1 ... White
2 ... Black
3 ... American Indian (includes Aleuts
and Eskimos)
4 ... Chinese
5 ... Japanese
6 ... Hawaiian (includes Part-Hawaiian)
7 ... Filipino
8 ... Other Asian or Pacific Islander
0 ... Other races
9 ... Race of Father not stated
371-72. Detail Age of Father
Tape Field
Location Size Item and Code Outline
71-72 2 Detail Age of Father
10-98 ... Age in single years
99 ... Age of Father not stated
373-74. Father's Education - Detail
Tape Field
Location Size Item and Code Outline
73-74 2 Father's Education - Detail
00 ... No formal education
01-08 ... Years of elementary school
09 ... 1 year of high school
10 ... 2 years of high school
11 ... 3 years of high school
12 ... 4 years of high school
13 ... 1 year of college
14 ... 2 years of college
15 ... 3 years of college
16 ... 4 years of college
17 ... 5 or more years of college
99 ... Father's education not stated
375. Interval Since Last Live Birth
Tape Field
Location Size Item and Code Outline
75 1 Interval Since Last Live Birth
0 ... Not applicable (no previous live
birth)
1 ... Zero months (plural birth)
2 ... 1 - 11 months
3 ... 12 - 23 months
4 ... 24 - 35 months
5 ... 36 - 47 months
6 ... 48 - 71 months
7 ... 72 months and over
9 ... Interval since last live birth not
stated
376. Outcome of Last Pregnancy
Tape Field
Location Size Item and Code Outline
76 1 Outcome of Last Pregnancy
0 ... Not applicable (no previous
pregnancy)
1 ... Last pregnancy was a live birth
2 ... Last pregnancy was some other
termination
9 ... Last pregnancy's outcome is unknown
377. Interval Since Termination of Last Pregnancy
Tape Field
Location Size Item and Code Outline
77 1 Interval Since Termination of Last Pregnancy
0 ... Not applicable (no previous
pregnancy)
1 ... Zero months (plural delivery)
2 ... 1 - 11 months
3 ... 12 - 17 months
4 ... 18 - 23 months
5 ... 24 - 35 months
6 ... 36 - 47 months
7 ... 48 - 59 months
8 ... 60 months and over
9 ... Interval since termination of last
pregnancy not stated
378-79. Detail Month of Pregnancy Prenatal Care Began
Tape Field
Location Size Item and Code Outline
78-79 2 Detail Month of Pregnancy Prenatal Care Began
01 ... 1st month
02 ... 2nd month
03 ... 3rd month
04 ... 4th month
05 ... 5th month
06 ... 6th month
07 ... 7th month
08 ... 8th month
09 ... 9th month
00 ... No prenatal care
99 ... Month of pregnancy prenantal care
began not stated
380. Month of Pregnancy Prenatal Care Began Recode 6
Tape Field
Location Size Item and Code Outline
80 1 Month of Pregnancy Prenatal Care Began Recode 6
1 ... 1st - 2nd month
2 ... 3rd month
3 ... 4th - 6th month
4 ... 7th - 9th month
5 ... No prenatal care
6 ... Month of pregnancy prenantal care
began not stated
381-82. Total Number of Prenatal Visits
Tape Field
Location Size Item and Code Outline
81-82 2 Total Number of Prenatal Visits
00 ... No prenatal visits
01-49 ... Stated number of visits
99 ... Number of prenatal visits not
stated
383-84. Detail Total Birth Order
Tape Field
Location Size Item and Code Outline
83-84 2 Detail Total Birth Order
01-50 ... Total number of live births and
other terminations
99 ... Total birth order unknown or not
stated
385. Total Birth Order Recode 9
Tape Field
Location Size Item and Code Outline
85 1 Total Birth Order Recode 9
1 ... First Child
2 ... Second Child
3 ... Third Child
4 ... Fourth Child
5 ... Fifth Child
6 ... Sixth Child
7 ... Seventh Child
8 ... Eighth Child and over
9 ... Total birth order not stated
386-87. Detail Live Birth Order
Tape Field
Location Size Item and Code Outline
86-87 2 Detail Live Birth Order
01-50 ... Number of children ever born alive
to mother
99 ... Live birth order unknown or not
stated
388. Live Birth Order Recode 9
Tape Field
Location Size Item and Code Outline
88 1 Live Birth Order Recode 9
1 ... First Child
2 ... Second Child
3 ... Third Child
4 ... Fourth Child
5 ... Fifth Child
6 ... Sixth Child
7 ... Seventh Child
8 ... Eighth Child and over
9 ... Live birth order not stated
389. Place of Delivery
Tape Field
Location Size Item and Code Outline
89 1 Place of Delivery
1 ... Hospital Births
2 ... Nonhospital Births
3 ... En route or born on arrival (BOA)
9 ... Place of delivery not classifiable
390. Attendant at Birth
Tape Field
Location Size Item and Code Outline
90 1 Attendant at Birth
1 ... Physician
2 ... Midwife
3 ... Attendant specified other than
physician or midwife
9 ... Attendant at birth unknown
391. Record Weight
Tape Field
Location Size Item and Code Outline
91 1 Record Weight
Numerator (Linked) record
1 ... All records contain a 1
Denominator record
Each record contains a record weight that is used
to inflate totals to national birth figures.
1-2 ... Code range
The denominator record ends in location 91.
292-193. Reserved for Additional Data (Numerator (Linked) Record)
Tape Field
Location Size Item and Code Outline
92-193 102 These positions are contained in the Numerator
(Linked) Record only and are reserved for possible
additional data.
If data are added in the future, they will be
included in both files. The record length of the
Denominator file would expand, but it is expected
that the Numerator record would remain constant.
1RECORD LAYOUT, MORTALITY PART OF LINKED RECORD
2194-500. Death Certificate Data
3General Information
Locations 194-500 contain data from the Death Certificate.
Residence items in the Denominator Record and in the natality section
of the Numerator (Linked) Record refer to the usual place of residence of
the Mother; whereas in the mortality section of the Numerator (Linked)
Record, these items refer to the residence of the Decedent.
3194-197. Year of Death
Tape Field
Location Size Item and Code Outline
194-197 4 Year of Death
1983 ... Death occurred in 1983
1984 ... Death occurred in 1984
1985 ... Death occurred in 1985
3198. Record Type
Tape Field
Location Size Item and Code Outline
198 1 Record Type
1 ... RESIDENTS
State and County of Occurrence
and Residence are the same.
2 ... NONRESIDENTS
State and/or County of
Occurrence and Residence are
different.
3199. Resident Status
Tape Field
Location Size Item and Code Outline
199 1 Resident Status
1 ... RESIDENTS
State and County of Occurrence
and Residence are the same.
2 ... INTRASTATE NONRESIDENTS
State of Occurrence and
Residence are the same, but
County is different.
3 ... INTERSTATE NONRESIDENTS
State of Occurrence and
Residence are different, but
both are in the U.S.
4 ... FOREIGN RESIDENTS
State of Occurrence is one of
the 50 States or the District
of Columbia, but Place of
Residence is outside of the U.S.
3200-209. Place of Occurrence
Tape Field
Location Size Item and Code Outline
200-209 10 PLACE OF OCCURRENCE
Refer to the Geographic Code Outline in this
document for a list of areas and codes available on
the public-use file.
200 1 Region of Occurrence
201-202 2 Division and State Subcode of Occurrence
Location 200 is Region. Location 201 is Division
and Location 202 identifies States within that
Division.
1 ... NORTHEAST
1 ... New England
1 ... Maine
2 ... New Hampshire
3 ... Vermont
4 ... Massachusetts
5 ... Rhode Island
6 ... Connecticut
2 ... Middle Atlantic
1 ... New York
2 ... New Jersey
3 ... Pennsylvania
2 ... MIDWEST
3 ... East North Central
1 ... Ohio
2 ... Indiana
3 ... Illinois
4 ... Michigan
5 ... Wisconsin
4 ... West North Central
1 ... Minnesota
2 ... Iowa
3 ... Missouri
4 ... North Dakota
5 ... South Dakota
6 ... Nebraska
7 ... Kansas
3 ... SOUTH
5 ... South Atlantic
1 ... Delaware
2 ... Maryland
3 ... District of Columbia
4 ... Virginia
5 ... West Virginia
6 ... North Carolina
7 ... South Carolina
8 ... Georgia
9 ... Florida
6 ... East South Central
1 ... Kentucky
2 ... Tennessee
3 ... Alabama
4 ... Mississippi
7 ... West South Central
1 ... Arkansas
2 ... Louisiana
3 ... Oklahoma
4 ... Texas
4 ... WEST
8 ... Mountain
1 ... Montana
2 ... Idaho
3 ... Wyoming
4 ... Colorado
5 ... New Mexico
6 ... Arizona
7 ... Utah
8 ... Nevada
9 ... Pacific
1 ... Washington
2 ... Oregon
3 ... California
4 ... Alaska
5 ... Hawaii
Tape Field
Location Size Item and Code Outline
203-204 2 Expanded State of Occurrence
This item is designed to separately identify New
York city records from upstate New York records.
01 ... Alabama
02 ... Alaska
03 ... Arizona
04 ... Arkansas
05 ... California
06 ... Colorado
07 ... Connecticut
08 ... Delaware
09 ... District of Columbia
10 ... Florida
11 ... Georgia
12 ... Hawaii
13 ... Idaho
14 ... Illinois
15 ... Indiana
16 ... Iowa
17 ... Kansas
18 ... Kentucky
19 ... Louisiana
20 ... Maine
21 ... Maryland
22 ... Massachusetts
23 ... Michigan
24 ... Minnesota
25 ... Mississippi
26 ... Missouri
27 ... Montana
28 ... Nebraska
29 ... Nevada
30 ... New Hampshire
31 ... New Jersey
32 ... New Mexico
33 ... New York
34 ... New York City
35 ... North Carolina
36 ... North Dakota
37 ... Ohio
38 ... Oklahoma
39 ... Oregon
40 ... Pennsylvania
41 ... Rhode Island
42 ... South Carolina
43 ... South Dakota
44 ... Tennessee
45 ... Texas
46 ... Utah
47 ... Vermont
48 ... Virginia
49 ... Washington
50 ... West Virginia
51 ... Wisconsin
52 ... Wyoming
205-206 2 State of Occurrence
01 ... Alabama
02 ... Alaska
03 ... Arizona
04 ... Arkansas
05 ... California
06 ... Colorado
07 ... Connecticut
08 ... Delaware
09 ... District of Columbia
10 ... Florida
11 ... Georgia
12 ... Hawaii
13 ... Idaho
14 ... Illinois
15 ... Indiana
16 ... Iowa
17 ... Kansas
18 ... Kentucky
19 ... Louisiana
20 ... Maine
21 ... Maryland
22 ... Massachusetts
23 ... Michigan
24 ... Minnesota
25 ... Mississippi
26 ... Missouri
27 ... Montana
28 ... Nebraska
29 ... Nevada
30 ... New Hampshire
31 ... New Jersey
32 ... New Mexico
33 ... New York
34 ... North Carolina
35 ... North Dakota
36 ... Ohio
37 ... Oklahoma
38 ... Oregon
39 ... Pennsylvania
40 ... Rhode Island
41 ... South Carolina
42 ... South Dakota
43 ... Tennessee
44 ... Texas
45 ... Utah
46 ... Vermont
47 ... Virginia
48 ... Washington
49 ... West Virginia
50 ... Wisconsin
51 ... Wyoming
207-209 3 County of Occurrence
Due to confidentiality requirements, counties with
a population less than 250,000 cannot be identified
on the public-use file.
001-nnn ... Counties and county equivalents
(independent and coextensive
cities) are numbered
alphabetically within each State.
(Note: To uniquely identify a
county, both the State and county
codes must be used.)
999 ... County with less than 250,000
population
3210-223. Place of Residence
Tape Field
Location Size Item and Code Outline
210-223 14 PLACE OF RESIDENCE
Refer to the Geographic Code Outline in this
document for a list of areas and codes available on
the public-use file.
210 1 Region of Residence
211-212 2 Division and State Subcode of Residence
Location 210 is Region. Location 211 is Division
and Location 212 identifies States within that
Division.
000 Foreign Resident
1 ... NORTHEAST
1 ... New England
1 ... Maine
2 ... New Hampshire
3 ... Vermont
4 ... Massachusetts
5 ... Rhode Island
6 ... Connecticut
2 ... Middle Atlantic
1 ... New York
2 ... New Jersey
3 ... Pennsylvania
2 ... MIDWEST
3 ... East North Central
1 ... Ohio
2 ... Indiana
3 ... Illinois
4 ... Michigan
5 ... Wisconsin
4 ... West North Central
1 ... Minnesota
2 ... Iowa
3 ... Missouri
4 ... North Dakota
5 ... South Dakota
6 ... Nebraska
7 ... Kansas
3 ... SOUTH
5 ... South Atlantic
1 ... Delaware
2 ... Maryland
3 ... District of Columbia
4 ... Virginia
5 ... West Virginia
6 ... North Carolina
7 ... South Carolina
8 ... Georgia
9 ... Florida
6 ... East South Central
1 ... Kentucky
2 ... Tennessee
3 ... Alabama
4 ... Mississippi
7 ... West South Central
1 ... Arkansas
2 ... Louisiana
3 ... Oklahoma
4 ... Texas
4 ... WEST
8 ... Mountain
1 ... Montana
2 ... Idaho
3 ... Wyoming
4 ... Colorado
5 ... New Mexico
6 ... Arizona
7 ... Utah
8 ... Nevada
9 ... Pacific
1 ... Washington
2 ... Oregon
3 ... California
4 ... Alaska
5 ... Hawaii
213-214 2 Expanded State of Residence
This item is designed to separately identify New
York City records from upstate New York records.
01 ... Alabama
02 ... Alaska
03 ... Arizona
04 ... Arkansas
05 ... California
06 ... Colorado
07 ... Connecticut
08 ... Delaware
09 ... District of Columbia
10 ... Florida
11 ... Georgia
12 ... Hawaii
13 ... Idaho
14 ... Illinois
15 ... Indiana
16 ... Iowa
17 ... Kansas
18 ... Kentucky
19 ... Louisiana
20 ... Maine
21 ... Maryland
22 ... Massachusetts
23 ... Michigan
24 ... Minnesota
25 ... Mississippi
26 ... Missouri
27 ... Montana
28 ... Nebraska
29 ... Nevada
30 ... New Hampshire
31 ... New Jersey
32 ... New Mexico
33 ... New York
34 ... New York City
35 ... North Carolina
36 ... North Dakota
37 ... Ohio
38 ... Oklahoma
39 ... Oregon
40 ... Pennsylvania
41 ... Rhode Island
42 ... South Carolina
43 ... South Dakota
44 ... Tennessee
45 ... Texas
46 ... Utah
47 ... Vermont
48 ... Virginia
49 ... Washington
50 ... West Virginia
51 ... Wisconsin
52 ... Wyoming
53-58,60 ... Foreign Residents
53 ... Puerto Rico
54 ... Virgin Island
55 ... Guam
56 ... Canada
57 ... Cuba
58 ... Mexico
60 ... Remainder of the world
Tape Field
Location Size Item and Code Outline
215-216 2 State of Residence
01 ... Alabama
02 ... Alaska
03 ... Arizona
04 ... Arkansas
05 ... California
06 ... Colorado
07 ... Connecticut
08 ... Delaware
09 ... District of Columbia
10 ... Florida
11 ... Georgia
12 ... Hawaii
13 ... Idaho
14 ... Illinois
15 ... Indiana
16 ... Iowa
17 ... Kansas
18 ... Kentucky
19 ... Louisiana
20 ... Maine
21 ... Maryland
22 ... Massachusetts
23 ... Michigan
24 ... Minnesota
25 ... Mississippi
26 ... Missouri
27 ... Montana
28 ... Nebraska
29 ... Nevada
30 ... New Hampshire
31 ... New Jersey
32 ... New Mexico
33 ... New York
34 ... North Carolina
35 ... North Dakota
36 ... Ohio
37 ... Oklahoma
38 ... Oregon
39 ... Pennsylvania
40 ... Rhode Island
41 ... South Carolina
42 ... South Dakota
43 ... Tennessee
44 ... Texas
45 ... Utah
46 ... Vermont
47 ... Virginia
48 ... Washington
49 ... West Virginia
50 ... Wisconsin
51 ... Wyoming
52-57,59 ... Foreign Residents
52 ... Puerto Rico
53 ... Virgin Island
54 ... Guam
55 ... Canada
56 ... Cuba
57 ... Mexico
59 ... Remainder of the world
217-219 3 County of Residence
Due to confidentiality requirements, counties with
a population less than 250,000 cannot be identified
on the public-use file.
001-nnn ... Counties and county equivalents
(independent and coextensive
cities) are numbered
alphabetically within each State.
(Note: To uniquely identify a
county, both the State and county
codes must be used.)
999 ... County with less than 250,000
population
ZZZ ... Foreign residents
Tape Field
Location Size Item and Code Outline
220-222 3 City of Residence
Due to confidentiality requirements, cities with a
population less than 250,000 cannot be identified
on the public-use file.
001-nnn ... Cities are numbered alphabetically
within each State. (Note: To
uniquely identify a city, both the
State and city codes must be used.)
999 ... Entire county, Balance of County,
or city less than 250,000
population
ZZZ ... Foreign residents
223-227. Age
Tape Field
Location Size Item and Code Outline
223-227 5 AGE
Age is as computed using the dates of birth and
death. For ages less than 2 days and when age
could not be computed, the reported age from the
death certificate was used.
223 1 Infant Age Recode 5
1 ... Under 1 hour
2 ... 1 - 23 hours
3 ... 1 - 6 days
4 ... 7 - 27 days (late neonatal)
5 ... 28 days and over (postneonatal)
224-225 2 Infant Age Recode 76
00 ... Less than 1 day
01-27 ... 1 - 27 days
28 ... 4th week
29 ... 5th week
30 ... 6th week
31-76 ... 7th - 52nd weeks
Tape Field
Location Size Item and Code Outline
226-227 2 Infant Age Recode 38
00 ... Less than 1 day
01-27 ... 1 - 27 days
28 ... 1 month
29 ... 2 months
30 ... 3 months
31 ... 4 months
32 ... 5 months
33 ... 6 months
34 ... 7 months
35 ... 8 months
36 ... 9 months
37 ... 10 months
38 ... 11 months
228. Hospital and Patient Status
Tape Field
Location Size Item and Code Outline
228 1 Hospital and Patient Status
1 ... Hospital, Clinic or Medical Center
- Inpatient
2 ... Hospital, Clinic or Medical Center
- Outpatient or admitted to
Emergency Room
3 ... Hospital, Clinic or Medical Center
- Dead on Arrival
4 ... Hospital, Clinic or Medical Center
- Patient status unknown
5 ... Hospital, Clinic or Medical Center
- Patient status not on certificate
6 ... Other Institution providing
patient care
7 ... All other reported entries
8 ... Dead on Arrival
- Hospital, Clinic or Medical
Center name not given
9 ... Hospital and patient status not
stated
229. Autopsy Performed
Tape Field
Location Size Item and Code Outline
229 1 Autopsy Performed
1 ... Yes
2 ... No
8 ... Autopsy performed not on
certificate
9 ... Autopsy performed not stated
230. Place of Accident for Causes E850-E929
Tape Field
Location Size Item and Code Outline
230 1 Place of Accident for Causes E850-E929
Blank ... Causes other than E850-E929
0 ... Home
1 ... Farm
2 ... Mine and Quarry
3 ... Industrial Place and Premises
4 ... Place for Recreation and Sport
5 ... Street and Highway
6 ... Public Building
7 ... Resident Institution
8 ... Other Specified Places
9 ... Place of accident not specified
231-237. Underlying Cause of Death
Tape Field
Location Size Item and Code Outline
231-237 7 UNDERLYING CAUSE OF DEATH
231-234 4 ICD Code (9th Revision)
See the "International Classification of Diseases",
1975 Revision, Volume 1. For injuries and
poisoning, the external cause is coded (E800-E999)
rather than the Nature of Injury (800-999). These
provisions do not include the Letter E for the
external cause of injury. For those causes that do
not have a 4th digit, Location 234 is blank.
235-237 3 61 Infant Cause Recode
A recode of the ICD cause code into 61 groups for
NCHS publications. Further back in this document
is a complete list of recodes and the causes
included.
010-680 ... Code range (not inclusive)
238-481. Multiple Conditions
Tape Field
Location Size Item and Code Outline
238-481 244 MULTIPLE CONDITIONS
See the "International Classification of Diseases",
1975 Revision, Volume 1. Both the entity-axis and
record-axis conditions are coded according to this
revision (9th).
238-239 2 Number of Entity-Axis Conditions
00-20 ... Code range
Tape Field
Location Size Item and Code Outline
240-379 140 ENTITY - AXIS CONDITIONS
Space has been provided for a maximum of 20
conditions. Each condition takes 7 positions in
the record. Records that do not have 20 conditions
are blank in the unused area.
Position 1: Part/Line number on certificate
1 ... Part I, Line 1 (a)
2 ... Part I, Line 2 (b)
3 ... Part I, Line 3 (c)
4 ... Part I, Line 4 (d)
5 ... Part I, Line 5 (e)
6 ... Part II
Position 2: Sequence of condition within part/line
1-7 ... Code range
Position 3 - 6: Condition code (ICD 9th Revision)
Position 7: Nature of Injury Flag
1 ... Indicates that the code in
positions 3-6 is a Nature of
Injury code
0 ... All other codes
240-246 7 1st Condition
247-253 7 2nd Condition
254-260 7 3rd Condition
261-267 7 4th Condition
268-274 7 5th Condition
275-281 7 6th Condition
282-288 7 7th Condition
289-295 7 8th Condition
296-302 7 9th Condition
303-309 7 10th Condition
310-316 7 11th Condition
317-323 7 12th Condition
324-330 7 13th Condition
331-337 7 14th Condition
338-344 7 15th Condition
345-351 7 16th Condition
352-358 7 17th Condition
359-365 7 18th Condition
366-372 7 19th Condition
373-379 7 20th Condition
380-381 2 Number of Record-Axis Conditions
00-20 ... Code range
382-481 100 RECORD - AXIS CONDITIONS
Space has been provided for a maximum of 20
conditions. Each condition takes 5 positions in
the record. Records that do not have 20 conditions
are blank in the unused area.
Position 1-4: Condition Code (ICD 9th Revision)
Position 5: Nature of Injury Flag
1 ... Indicates that the code in
positions 1-4 is a Nature of
Injury code
0 ... All other codes
382-386 5 1st Condition
387-391 5 2nd Condition
392-396 5 3rd Condition
397-401 5 4th Condition
402-406 5 5th Condition
407-411 5 6th Condition
412-416 5 7th Condition
417-421 5 8th Condition
422-426 5 9th Condition
427-431 5 10th Condition
432-436 5 11th Condition
437-441 5 12th Condition
442-446 5 13th Condition
447-451 5 14th Condition
452-456 5 15th Condition
457-461 5 16th Condition
462-466 5 17th Condition
467-471 5 18th Condition
472-476 5 19th Condition
477-481 5 20th Condition
482-500. Reserved Positions
Tape Field
Location Size Item and Code Outline
482-500 19 Reserved positions
GEOGRAPHIC CODE OUTLINE
General Information
The following pages show in detail the geographic codes used by the Division
of Vital Statistics in the processing of vital event data occurring in the
United States. For the linked data set, counties and cities with a
population of 250,000 or more are identified. When an event occurs to a
nonresident of the United States, residence data are coded only to the
"State" level; several western hemisphere countries or the remainder of the
world are uniquely identified. The vital statistics codes are effective
with the 1982 data year and are based on results of the 1980 Census.
To aid the user in interpreting the geographic codes, a brief explanation of
the codes and of the column headings/abbreviations shown on the following
pages are:
State: Each State and the District of Columbia are numbered
alphabetically. In addition, several unique codes are used to identify
nonresidents of the U.S.
County: Counties and county equivalents (independent and coextensive
cities) are numbered alphabetically within each State.
City: Cities are numbered alphabetically within each State.
Name: Each State, county and city name is listed along with its
respective code. In addition, places used to identify nonresidents of
the U.S. are also listed along with their codes.
Listing of Counties Identified in the Linked Data Set
Listing of Counties Identified in the Linked Data Set
Vital Statistics Geographic Code Outline Effective With 1982 Data
State County State and County Name
01 Alabama
037 Jefferson
049 Mobile
02 Alaska
03 Arizona
007 Maricopa
010 Pima
04 Arkansas
060 Pulaski
05 California
001 Alameda
007 Contra Costa
010 Fresno
015 Kern
019 Los Angeles
027 Monterey
030 Orange
033 Riverside
034 Sacramento
036 San Bernardino
037 San Diego
038 San Francisco, coext. with San Francisco city
039 San Joaquin
041 San Mateo
042 Santa Barbara
043 Santa Clara
049 Sonoma
050 Stanislaus
056 Ventura
06 Colorado
003 Arapahoe
016 Denver, coext. with Denver city
021 El Paso
030 Jefferson
State County State and County Name
07 Connecticut
001 Fairfield
002 Hartford
005 New Haven
08 Delaware
002 New Castle
09 District of Columbia
001 District of Columbia
10 Florida
005 Brevard
006 Broward
013 Dade
016 Duval
029 Hillsborough
048 Orange
050 Palm Beach
052 Pinellas
053 Polk
064 Volusia
11 Georgia
033 Cobb
044 DeKalb
060 Fulton
12 Hawaii
002 Honolulu
13 Idaho
14 Illinois
016 Cook
022 Du Page
045 Kane
049 Lake
082 St. Clair
099 Will
101 Winnebago
State County State and County Name
15 Indiana
002 Allen
045 Lake
049 Marion
16 Iowa
077 Polk
17 Kansas
046 Johnson
087 Sedgwick
18 Kentucky
056 Jefferson
19 Louisiana
009 Caddo
017 East Baton Rouge
026 Jefferson
036 Orleans, coext. with New Orleans city
20 Maine
21 Maryland
002 Anne Arundel
003 Baltimore
004 Baltimore city
016 Montgomery
017 Prince George's
22 Massachusetts
003 Bristol
005 Essex
007 Hampden
009 Middlesex
011 Norfolk
012 Plymouth
013 Suffolk
014 Worcester
State County State and County Name
23 Michigan
025 Genesee
033 Ingham
041 Kent
050 Macomb
063 Oakland
081 Washtenaw
082 Wayne
24 Minnesota
027 Hennepin
062 Ramsey
25 Mississippi
025 Hinds
26 Missouri
048 Jackson
096 St. Louis
097 St. Louis city
27 Montana
28 Nebraska
028 Douglas
29 Nevada
003 Clark
30 New Hampshire
006 Hillsborough
31 New Jersey
002 Bergen
003 Burlington
004 Camden
007 Essex
009 Hudson
011 Mercer
012 Middlesex
013 Monmouth
014 Morris
015 Ocean
016 Passaic
020 Union
State County State and County Name
32 New Mexico
001 Bernalillo
33 New York
014 Erie
026 Monroe
028 Nassau
029 New York City
031 Oneida
032 Onondaga
034 Orange
040 Rockland
048 Suffolk
056 Westchester
34 North Carolina
041 Guilford
060 Mecklenburg
092 Wake
35 North Dakota
36 Ohio
009 Butler
018 Cuyahoga
025 Franklin
031 Hamilton
047 Lorain
048 Lucas
050 Mahoning
057 Montgomery
076 Stark
077 Summit
37 Oklahoma
055 Oklahoma
072 Tulsa
38 Oregon
020 Lane
026 Multnomah
State County State and County Name
39 Pennsylvania
002 Allegheny
006 Berks
009 Bucks
015 Chester
023 Delaware
025 Erie
036 Lancaster
039 Lehigh
040 Luzerne
046 Montgomery
051 Philadelphia, coext. with Philadelphia city
065 Westmoreland
067 York
40 Rhode Island
004 Providence
41 South Carolina
010 Charleston
023 Greenville
040 Richland
42 South Dakota
43 Tennessee
019 Davidson
033 Hamilton
047 Knox
079 Shelby
44 Texas
015 Bexar
057 Dallas
071 El Paso
101 Harris
108 Hidalgo
123 Jefferson
178 Nueces
220 Tarrant
227 Travis
45 Utah
018 Salt Lake
State County State and County Name
46 Vermont
47 Virginia
040 Fairfax
088 Norfolk city
127 Virginia Beach city
48 Washington
017 King
027 Pierce
031 Snohomish
032 Spokane
49 West Virginia
50 Wisconsin
013 Dane
041 Milwaukee
068 Waukesna
51 Wyoming
State County State and County Name
52 ZZZ Puerto Rico
53 ZZZ Virgin Islands
54 ZZZ Guam
55 ZZZ Canada
56 ZZZ Cuba
57 ZZZ Mexico
59 ZZZ Remainder of world
Listing of Cities Identified in the Linked Data Set
Listing of Cities Identified in the Linked Data Set
Vital Statistics Geographic Code Outline Effective With 1982 Data
State City State and City Name
01 Alabama
008 Birmingham
02 Alaska
03 Arizona
011 Phoenix
016 Tucson
04 Arkansas
05 California
112 Long Beach
115 Los Angeles
146 Oakland
186 Sacramento
194 San Diego
197 San Francisco
200 San Jose
06 009 Colorado
Denver
07 Connecticut
08 Delaware
09 District of Columbia
001 Washington
10 Florida
033 Jacksonville
047 Miami
086 Tampa
11 Georgia
004 Atlanta
12 Hawaii
004 Honolulu
13 Idaho
14 Illinois
032 Chicago
State City State and City Name
15 Indiana
027 Indianapolis
16 Iowa
17 Kansas
033 Wichita
18 Kentucky
016 Louisville
19 Louisiana
024 New Orleans
20 Maine
21 Maryland
003 Baltimore
22 Massachusetts
012 Boston
23 Michigan
023 Detroit
24 Minnesota
035 Minneapolis
055 St. Paul
25 Mississippi
26 Missouri
026 Kansas City
044 St. Louis
27 Montana
28 Nebraska
011 Omaha
29 Nevada
30 New Hampshire
State City State and City Name
31 New Jersey
094 Newark
32 New Mexico
002 Albuquerque
33 New York
009 Bronx borough, Bronx county
010 Buffalo
043 Brooklyn borough, King county
060 Manhattan borough, New York county
077 Queens borough, Queens county
078 Staten Island borough, Richmond county
34 North Carolina
008 Charlotte
35 North Dakota
36 Ohio
028 Cincinnati
030 Cleveland
032 Columbia
126 Toledo
37 Oklahoma
023 Oklahoma City
031 Tulsa
38 Oregon
023 Portland
39 Pennsylvania
096 Philadelphia
098 Pittsburgh
40 Rhode Island
41 South Carolina
42 South Dakota
State City State and City Name
43 Tennessee
026 Memphis
030 Nashville-Davidson
44 Texas
009 Austin
036 Dallas
047 El Paso
052 Fort Worth
066 Houston
121 San Antonio
45 Utah
46 Vermont
47 Virginia
021 Norfolk
032 Virginia Beach
48 Washington
030 Seattle
49 West Virginia
50 Wisconsin
032 Milwaukee
51 Wyoming
State City State and City Name
52 ZZZ Puerto Rico
53 ZZZ Virgin Islands
54 ZZZ Guam
55 ZZZ Canada
56 ZZZ Cuba
57 ZZZ Mexico
59 ZZZ Remainder of world
NINTH REVISION - 61 CAUSES OF DEATH ADAPTED FOR USE BY DVS
Ninth Revision - 61 Causes of Death Adapted for Use by DVS
ST: 1 = Subtotal Limited: Sex: 1 = Males; 2 = Females
Length = Of Cause Title Age: 1 = 5 & Over; 2 = 10-54; 3 = 28 Days & Over
***** Cause Subtotals are not Identified in this File *****
61 Limited
Recode ST Sex Age Length Cause Title and ICD-9 Codes Included
010 039 Certain intestinal infections (008-009)
020 020 Whopping cough (033)
030 029 Meningococcal infection (036)
040 3 016 Septicemia (038)
050 024 Viral diseases (045-079)
060 025 Conenital syphilis (090)
070 100 Remainder of infectious and parasitic
diseases (001-007, 010-032, 034-035, 037,
039-041, 080-088, 091-139)
080 089 Malignant neoplasms, including neoplasms of
lymphatic and hematopoietic tissues
(140-208)
090 108 Benign neoplasms, carcinoma in situ, and
neoplasms of uncertain behavior and of
unspecified nature (210-239)
100 030 Diseases of thymus gland (254)
110 023 Cystic fibrosis (277.0)
120 052 Diseases of blood and blood-forming organs
(280-289)
130 020 Meningitis (320-322)
140 059 Other diseases of nervous system and sense
organs (323--389)
150 044 Acute upper respiratory infections (460-465)
160 042 Bronchitis and bronchiolitis (466, 490-491)
170 1 033 Pneumonia and influenza (480-487)
180 021 Pneumonia (480-486)
190 017 Influenza (487)
200 061 Remainder of diseases of respiratory system
(470-478, 492-519)
210 093 Hernia of abdominal cavity and intestinal
obstruction without mention of hernia
(550-553, 560)
220 075 Gastritis, duodenitis, and noninfective
enteritis and colitis (535, 555-558)
230 067 Remainder of diseases of digestive system
(520-534, 536-543, 562-579)
240 1 030 Congenital anomalies of (740-759)
250 042 Anencephalus and similar anomalies (740)
260 020 Spina bifida (741)
270 034 Congenital; hydrocephalus (742.3)
280 092 Other congenital anomalies of central nervous
system and eye (742.0-742.2, 742.4-742.9,
743)
290 041 Congenital anomalies of heart (745-746)
300 056 Other congenital anomalies of circulatory
system (747)
310 050 Congenital anomalies of respiratory system
(748)
320 052 Congenital anomalies of digestive system
(749-751)
330 056 Congenital anomalies of genitourinary system
(752-753)
340 058 Congenital anomalies of musculoskeletal
system (754-756)
350 025 Down's syndrome (758.0)
360 043 Other chromosomal anomalies (758.1-758.9)
370 062 All other and unspecified congenital
anomalies (744, 757, 759)
380 1 064 Certain conditions originating in the perinatal
period (760-779)
390 091 Newborn affected by maternal conditions which
may be unrelated to present pregnancy
(760)
400 063 Newborn affected by maternal complications
of pregnancy (761)
410 074 Newborn affected by complications of
placenta, cord, and membranes (762)
420 069 Newborn affected by other complications of
labor and delivery (763)
430 048 Slow fetal growth and fetal malnutrition (764)
440 077 Disorders relating to short gestation and
unspecified low birthweight (765)
450 065 Disorders relating to long gestation and
unspecified high birthweight (766)
460 020 Birth trauma (767)
470 047 Intrauterine hypoxia and birth asphyxia (768)
480 051 Fetal distress in liveborn infant
(768.2-768.4)
490 032 Birth asphyxia (768.5-768.9)
500 037 Respiratory distress syndrome (769)
510 047 Other respiratory conditions of newborn (770)
520 051 Infections specific to the perinatal period
(771)
530 027 Neonatal hemorrhage (772)
540 094 Hemolytic disease of newborn, due to
isoimmunization, and other perinatal
jaundice (773-774)
550 088 Syndrome of "infant of a diabetic mother" and
neonatal diabetes mellitus (775.0-775.1)
560 040 Hemorrhagic disease of newborn (776.0)
570 098 All other and ill-defined conditions originating
in the perinatal period (775.2-775.9,
776.1-779)
580 1 053 Symptoms, signs, and ill-defined conditions
(780-799)
590 038 Sudden infant death syndrome (798.0)
600 075 Symptoms, signs, and all other ill-defined
conditions (780-797, 798.1-799)
610 1 041 Accidents and adverse effects (E800-E949)
620 118 Inhalation and ingestion of food or other
object causing obstruction of respiratory
tract or suffocation (E911-E912)
630 042 Accidental mechanical suffocation (E913)
640 067 Other accidental causes and adverse effects
(E800-E910, E914-E949)
650 1 020 Homicide (E960-E969)
660 047 Child battering and other maltreatment (E967)
670 038 Other homicide (E960-E966, E968-E969)
680 027 All other causes (Residual)
CONTROL (DOCUMENTATION) TABLES
1983 Documentation Tables
1. Live Births/Infant Deaths by State of Occurrence/Residence
1983 DOCUMENTATION TABLE 1
LIVE BIRTHS BY STATE OF OCCURRENCE AND BY STATE OF RESIDENCE
AND
INFANT DEATHS BY STATE OF OCCURRENCE AND BY STATE OF RESIDENCE
(RESIDENCE AT BIRTH IS OF THE MOTHER; RESIDENCE AT DEATH IS OF THE DECEDENT)
LIVE BIRTHS
AREA OCCURRENCE RESIDENCE
UNITED STATES ......................... 3,643,001 3,639,113
ALABAMA .................................. 58,106 59,064
ALASKA ................................... 11,868 11,998
ARIZONA .................................. 53,426 53,745
ARKANSAS ................................. 34,265 34,999
CALIFORNIA ............................... 436,096 436,144
COLORADO ................................. 55,015 54,662
CONNECTICUT .............................. 40,954 41,097
DELAWARE ................................. 9,546 9,232
DISTRICT OF COLUMBIA ..................... 19,078 9,332
FLORIDA .................................. 148,677 149,083
GEORGIA .................................. 91,712 90,031
HAWAII ................................... 19,164 19,122
IDAHO .................................... 18,481 18,749
ILLINOIS ................................. 175,648 178,886
INDIANA .................................. 80,815 80,816
IOWA ..................................... 43,840 43,262
KANSAS ................................... 39,409 40,400
KENTUCKY ................................. 53,855 54,702
LOUISIANA ................................ 82,455 82,515
MAINE .................................... 16,048 16,667
MARYLAND ................................. 57,936 63,956
MASSACHUSETTS ............................ 77,834 76,161
MICHIGAN ................................. 131,879 133,160
MINNESOTA ................................ 65,976 65,564
MISSISSIPPI .............................. 43,689 44,000
MISSOURI ................................. 77,065 75,602
MONTANA .................................. 13,739 14,063
NEBRASKA ................................. 26,599 26,232
NEVADA ................................... 14,166 14,312
NEW HAMPSHIRE ............................ 13,680 13,801
NEW JERSEY ............................... 96,152 99,218
NEW MEXICO ............................... 27,122 27,618
NEW YORK ................................. 249,382 248,617
UPSTATE ................................ 137,136 140,011
CITY ................................... 112,246 108,606
NORTH CAROLINA ........................... 84,577 83,894
NORTH DAKOTA ............................. 13,197 12,380
OHIO ..................................... 159,299 158,770
OKLAHOMA ................................. 55,427 56,903
OREGON ................................... 41,047 39,978
PENNSYLVANIA ............................. 159,423 158,206
RHODE ISLAND ............................. 13,092 12,595
SOUTH CAROLINA ........................... 48,484 50,759
SOUTH DAKOTA ............................. 12,517 12,528
TENNESSEE ................................ 70,159 65,480
TEXAS .................................... 299,658 295,527
UTAH ..................................... 40,613 39,474
VERMONT .................................. 7,741 7,954
VIRGINIA ................................. 77,512 80,737
WASHINGTON ............................... 68,703 68,680
WEST VIRGINIA ............................ 26,872 25,882
WISCONSIN ................................ 72,132 72,558
WYOMING .................................. 9,501 10,268
FOREIGN RESIDENTS ........................ ... 3,888
INFANT DEATHS
AT BIRTH AT DEATH
AREA OCCURRENCE RESIDENCE OCCURRENCE RESIDENCE
UNITED STATES ............ 39,704 39,683 39,704 39,684
ALABAMA ..................... 748 767 777 770
ALASKA ...................... 139 143 125 140
ARIZONA ..................... 503 503 503 504
ARKANSAS .................... 325 360 332 364
CALIFORNIA .................. 4,142 4,149 4,157 4,150
COLORADO .................... 546 544 575 546
CONNECTICUT ................. 423 410 421 417
DELAWARE .................... 99 98 101 98
DISTRICT OF COLUMBIA ........ 298 159 332 157
FLORIDA ..................... 1,756 1,769 1,764 1,766
GEORGIA ..................... 1,203 1,172 1,189 1,174
HAWAII ...................... 180 179 178 176
IDAHO ....................... 194 195 166 198
ILLINOIS .................... 2,148 2,212 2,098 2,201
INDIANA ..................... 925 911 904 915
IOWA ........................ 379 382 360 379
KANSAS ...................... 399 404 360 408
KENTUCKY .................... 607 639 588 642
LOUISIANA ................... 1,047 1,038 1,031 1,030
MAINE ....................... 142 148 139 149
MARYLAND .................... 632 726 602 724
MASSACHUSETTS ............... 688 671 724 672
MICHIGAN .................... 1,516 1,540 1,516 1,540
MINNESOTA ................... 634 633 668 633
MISSISSIPPI ................. 627 639 604 641
MISSOURI .................... 841 803 929 799
MONTANA ..................... 118 127 99 123
NEBRASKA .................... 272 264 269 261
NEVADA ...................... 158 153 155 155
NEW HAMPSHIRE ............... 101 120 85 120
NEW JERSEY .................. 1,044 1,096 967 1,085
NEW MEXICO .................. 261 271 251 269
NEW YORK ..................... 2,720 2,695 2,760 2,701
UPSTATE .................... 1,327 1,346 1,302 1,355
CITY ....................... 1,393 1,349 1,458 1,346
NORTH CAROLINA ............... 1,101 1,090 1,108 1,095
NORTH DAKOTA ................. 129 119 127 116
OHIO ......................... 1,782 1,768 1,784 1,765
OKLAHOMA ..................... 593 597 581 588
OREGON ....................... 410 395 414 394
PENNSYLVANIA ................. 1,689 1,663 1,715 1,673
RHODE ISLAND ................. 169 155 162 154
SOUTH CAROLINA ............... 723 749 722 752
SOUTH DAKOTA ................. 143 141 139 142
TENNESSEE .................... 913 828 940 823
TEXAS ........................ 3,149 3,127 3,148 3,123
UTAH ......................... 366 346 403 350
VERMONT ...................... 67 67 63 69
VIRGINIA ..................... 923 968 909 972
WASHINGTON ................... 675 681 707 695
WEST VIRGINIA ................ 280 273 300 272
WISCONSIN .................... 705 708 699 707
WYOMING ...................... 72 88 54 87
FOREIGN RESIDENTS ............ ... 21 ... 20
2. Live Births/Infant Deaths/Mort. Rates by Race,Sex,Birth Wt.
1983 DOCUMENTATION TABLE 2
LIVE BIRTHS, INFANT DEATHS, AND INFANT MORTALITY RATES
BY RACE OF CHILD, SEX, AND BIRTH WEIGHT: UNITED STATES
1983 BIRTH COHORT
(RATES ARE PER 1000 LIVE BIRTHS)
500 500-749 750-999 1000-1249
RACE OF CHILD AND SEX TOTAL GRAMS GRAMS GRAMS GRAMS
ALL RACES1
BOTH SEXES
LIVE BIRTHS 3,639,113 4,444 7,594 9,004 10,193
INFANT DEATHS 39,683 3,937 5,815 3,762 2,145
INF. MORT. RATE 10.9 885.9 765.7 417.8 210.4
MALE
LIVE BIRTHS 1,865,887 2,243 3,911 4,706 5,292
INFANT DEATHS 22,480 1,972 3,153 2,245 1,375
INF. MORT. RATE 12.0 879.2 806.2 477.1 259.8
FEMALE
LIVE BIRTHS 1,773,226 2,201 3,683 4,298 4,901
INFANT DEATHS 17,203 1,965 2,662 1,517 770
INF. MORT. RATE 9.7 892.8 722.8 353.0 157.1
WHITE
BOTH SEXES
LIVE BIRTHS 2,904,381 2,577 4,492 5,593 6,456
INFANT DEATHS 27,094 2,295 3,549 2,476 1,545
INF. MORT. RATE 9.3 890.6 790.1 442.7 239.3
MALE
LIVE BIRTHS 1,492,585 1,273 2,344 2,957 3,373
INFANT DEATHS 15,454 1,115 1,934 1,493 985
INF. MORT. RATE 10.4 875.9 825.1 504.9 292.0
FEMALE
LIVE BIRTHS 1,411,796 1,304 2,148 2,636 3,083
INFANT DEATHS 11,640 1,180 1,615 983 560
INF. MORT. RATE 8.2 904.9 751.9 372.9 181.6
BLACK
BOTH SEXES
LIVE BIRTHS 586,085 1,749 2,874 3,146 3,393
INFANT DEATHS 11,087 1,534 2,114 1,167 526
INF. MORT. RATE 18.9 877.1 735.6 370.9 155.0
MALE
LIVE BIRTHS 297,130 911 1,438 1,615 1,741
INFANT DEATHS 6,205 802 1,133 680 341
INF. MORT. RATE 20.9 880.4 787.9 421.1 195.9
FEMALE
LIVE BIRTHS 288,955 838 1,436 1,531 1,652
INFANT DEATHS 4,882 732 981 487 185
INF. MORT. RATE 16.9 873.5 683.1 318.1 112.0
1 INCLUDES RACES OTHER THAN WHITE AND BLACK.
1250-1499 1500-1999 2000-2499 2500 GRAMS NOT
RACE OF CHILD AND SEX GRAMS GRAMS GRAMS OR MORE STATED
ALL RACES1
BOTH SEXES
LIVE BIRTHS 12,049 47,325 157,209 3,385,912 5,383
INFANT DEATHS 1,378 2,688 3,438 15,357 1,163
INF. MORT. RATE 114.4 56.8 21.9 4.5 216.1
MALE
LIVE BIRTHS 6,198 23,296 71,075 1,746,353 2,814
INFANT DEATHS 839 1,490 1,816 8,925 665
INF. MORT. RATE 135.4 64.0 25.6 5.1 235.4
FEMALE
LIVE BIRTHS 5,851 24,029 86,134 1,639,559 2,570
INFANT DEATHS 539 1,198 1,622 6,432 498
INF. MORT. RATE 92.1 49.9 18.8 3.9 193.8
WHITE
BOTH SEXES
LIVE BIRTHS 7,877 31,313 106,212 2,735,714 4,147
INFANT DEATHS 1,026 1,910 2,406 11,155 732
INF. MORT. RATE 130.3 61.0 22.7 4.1 176.5
MALE
LIVE BIRTHS 4,132 15,695 48,381 1,412,266 2,164
INFANT DEATHS 635 1,087 1,267 6,499 439
INF. MORT. RATE 153.7 69.3 26.2 4.6 202.9
FEMALE
LIVE BIRTHS 3,745 15,618 57,831 1,323,448 1,983
INFANT DEATHS 391 823 1,139 4,656 293
INF. MORT. RATE 104.4 52.7 19.7 3.5 147.8
BLACK
BOTH SEXES
LIVE BIRTHS 3,750 14,362 44,379 511,416 1,016
INFANT DEATHS 308 673 892 3,485 388
INF. MORT. RATE 82.1 46.9 20.1 6.8 381.9
MALE
LIVE BIRTHS 1,836 6,757 19,601 262,687 544
INFANT DEATHS 177 352 472 2,041 207
INF. MORT. RATE 96.4 52.1 24.1 7.8 380.5
FEMALE
LIVE BIRTHS 1,914 7,605 24,778 248,729 472
INFANT DEATHS 131 321 420 1,444 181
INF. MORT. RATE 68.4 42.2 17.0 5.8 383.5
1 INCLUDES RACES OTHER THAN WHITE AND BLACK.
33. Live Birth/Infant Death/Mort Rate by Birth Wt.,Race,Gest. Age
1983 DOCUMENTATION TABLE 3
LIVE BIRTHS, INFANT DEATHS, AND INFANT MORTALITY RATES
BY BIRTH WEIGHT, RACE OF CHILD, AND GESTATIONAL AGE: UNITED STATES
1983 BIRTH COHORT
(RATES ARE PER 1000 LIVE BIRTHS)
GESTATION
BIRTH WEIGHT AND RACE 28 28-31 32-35 36
OF CHILD TOTAL WEEKS WEEKS WEEKS WEEKS
ALL RACES1
TOTAL
LIVE BIRTHS 3,639,113 26,237 38,608 160,353 109,661
INFANT DEATHS 39,683 11,329 3,692 3,833 1,309
INF. MORT. RATE 10.9 431.8 95.6 23.9 11.9
LESS THAN 2,500 GRAMS
LIVE BIRTHS 247,818 19,656 25,823 66,053 22,161
INFANT DEATHS 23,163 10,663 3,451 2,821 620
INF. MORT. RATE 93.5 542.5 133.6 42.7 28.0
LESS THAN 500 GRAMS
LIVE BIRTHS 4,444 3,392 153 60 12
INFANT DEATHS 3,397 3,096 130 46 6
INF. MORT. RATE 885.9 912.7 849.7 766.7 500.0
500-749 GRAMS
LIVE BIRTHS 7,594 5,346 710 224 40
INFANT DEATHS 5,815 4,313 486 141 28
INF. MORT. RATE 765.7 806.8 684.5 629.5 700.0
750-999 GRAMS
LIVE BIRTHS 9,004 4,889 2,083 556 59
INFANT DEATHS 3,762 2,285 711 199 22
INF. MORT. RATE 417.8 467.4 341.3 357.9 372.9
1,000-1,249 GRAMS
LIVE BIRTHS 10,193 2,375 4,532 1,482 168
INFANT DEATHS 2,145 630 842 278 32
INF. MORT. RATE 210.4 265.3 185.8 187.6 190.5
1,250-1,499 GRAMS
LIVE BIRTHS 12,049 984 5,476 2,945 388
INFANT DEATHS 1,378 164 597 296 38
INF. MORT. RATE 114.4 166.7 109.0 100.5 97.9
1,500-1,999 GRAMS
LIVE BIRTHS 47,325 1,363 8,738 19,730 3,406
INFANT DEATHS 2,688 123 543 896 187
INF. MORT. RATE 56.8 90.2 62.1 45.4 54.9
GESTATION
BIRTH WEIGHT AND RACE 28 28-31 32-35 36
OF CHILD TOTAL WEEKS WEEKS WEEKS WEEKS
ALL RACES1 CONTINUED
2,000-2,499 GRAMS
LIVE BIRTHS 157,209 1,307 4,131 41,056 18,088
INFANT DEATHS 3,438 52 142 965 307
INF. MORT. RATE 21.9 39.8 34.4 23.5 17.0
2,500-2,999 GRAMS
LIVE BIRTHS 586,810 1,880 4,616 40,832 38,084
INFANT DEATHS 4,997 48 88 555 356
INF. MORT. RATE 8.5 25.5 19.1 13.6 9.3
3,000-3,499 GRAMS
LIVE BIRTHS 1,341,151 2,398 4,812 33,583 32,708
INFANT DEATHS 5,797 40 51 236 214
INF. MORT. RATE 4.3 16.7 10.6 7.0 6.5
3,500-3,999 GRAMS
LIVE BIRTHS 1,062,897 1,270 2,465 15,651 13,028
INFANT DEATHS 3,290 29 15 106 72
INF. MORT. RATE 3.1 22.8 6.1 6.8 5.5
4,000-4,499 GRAMS
LIVE BIRTHS 326,599 322 599 3,312 3,027
INFANT DEATHS 930 16 4 23 23
INF. MORT. RATE 2.8 49.7 6.7 6.9 7.6
4,500-4,999 GRAMS
LIVE BIRTHS 60,324 45 93 540 465
INFANT DEATHS 229 12 3 9 3
INF. MORT. RATE 3.8 266.7 32.3 16.7 6.5
5,000 GRAMS OR MORE
LIVE BIRTHS 8,131 63 27 104 82
INFANT DEATHS 114 40 6 6 1
INF. MORT. RATE 14.0 634.9 222.2 57.7 12.2
NOT STATED
LIVE BIRTHS 5,383 603 173 278 106
INFANT DEATHS 1,163 481 74 77 20
INF. MORT. RATE 216.2 797.7 427.7 277.0 188.7
GESTATION
BIRTH WEIGHT AND RACE 37-39 40 41 42 WEEKS NOT
OF CHILD WEEKS WEEKS WEEKS OR MORE STATED
ALL RACES1 CONTINUED
TOTAL
LIVE BIRTHS 1,318,549 770,410 538,104 520,746 156,445
INFANT DEATHS 7,314 3,072 2,432 3,012 3,690
INF. MORT. RATE 5.9 4.0 4.5 5.8 23.6
LESS THAN 2,500 GRAMS
LIVE BIRTHS 63,367 14,288 8,497 11,195 16,778
INFANT DEATHS 1,760 433 363 498 2,554
INF. MORT. RATE 27.8 30.3 42.7 44.5 152.2
LESS THAN 500 GRAMS
LIVE BIRTHS 67 25 53 40 642
INFANT DEATHS 33 7 32 20 567
INF. MORT. RATE 492.5 280.0 603.8 500.0 883.2
500-749 GRAMS
LIVE BIRTHS 163 71 68 97 875
INFANT DEATHS 55 19 29 50 694
INF. MORT. RATE 337.4 267.6 426.5 515.5 793.1
750-999 GRAMS
LIVE BIRTHS 207 99 91 103 917
INFANT DEATHS 69 24 24 30 398
INF. MORT. RATE 333.3 242.4 263.7 291.3 434.0
1,000-1,249 GRAMS
LIVE BIRTHS 339 121 77 144 955
INFANT DEATHS 76 20 16 30 221
INF. MORT. RATE 224.2 165.3 207.8 208.3 231.4
1,250-1,499 GRAMS
LIVE BIRTHS 747 142 137 237 993
INFANT DEATHS 83 16 19 18 147
INF. MORT. RATE 111.1 112.7 138.7 75.9 148.0
1,500-1,999 GRAMS
LIVE BIRTHS 7,283 1,243 853 1,268 3,441
INFANT DEATHS 453 79 61 96 250
INF. MORT. RATE 62.2 63.6 71.5 75.7 72.7
GESTATION
BIRTH WEIGHT AND RACE 37-39 40 41 42 WEEKS NOT
OF CHILD WEEKS WEEKS WEEKS OR MORE STATED
ALL RACES1 CONTINUED
2,000-2,499 GRAMS
LIVE BIRTHS 54,561 12,587 7,218 9,306 8,955
INFANT DEATHS 991 268 182 254 277
INF. MORT. RATE 18.2 21.3 25.2 27.3 30.9
2,500-2,999 GRAMS
LIVE BIRTHS 272,819 90,523 51,117 58,301 28,638
INFANT DEATHS 1,963 609 419 625 334
INF. MORT. RATE 7.2 6.7 8.2 10.7 11.7
3,000-3,499 GRAMS
LIVE BIRTHS 555,551 295,423 183,541 177,815 55,320
INFANT DEATHS 2,200 1,058 765 921 312
INF. MORT. RATE 4.0 3.6 4.2 5.2 5.6
3,500-3,999 GRAMS
LIVE BIRTHS 336,108 271,346 201,206 182,142 39,681
INFANT DEATHS 979 684 601 642 162
INF. MORT. RATE 2.9 2.5 3.0 3.5 4.1
4,000-4,499 GRAMS
LIVE BIRTHS 76,961 82,965 75,984 72,073 11,356
INFANT DEATHS 246 182 193 205 38
INF. MORT. RATE 3.2 2.2 2.5 2.8 3.3
4,500-4,999 GRAMS
LIVE BIRTHS 11,328 13,794 15,516 16,390 2,153
INFANT DEATHS 44 52 39 54 13
INF. MORT. RATE 3.9 3.8 2.5 3.3 6.0
5,000 GRAMS OR MORE
LIVE BIRTHS 1,531 1,598 1,905 2,462 359
INFANT DEATHS 15 8 7 14 17
INF. MORT. RATE 9.8 5.0 3.7 5.7 47.4
NOT STATED
LIVE BIRTHS 884 473 338 368 2,160
INFANT DEATHS 107 46 45 53 260
INF. MORT. RATE 121.0 97.3 133.1 144.0 120.4
GESTATION
BIRTH WEIGHT AND RACE 28 28-31 32-35 36
OF CHILD TOTAL WEEKS WEEKS WEEKS WEEKS
WHITE
TOTAL
LIVE BIRTHS 2,904,381 15,095 23,781 106,514 78,221
INFANT DEATHS 27,094 6,987 2,552 2,675 899
INF. MORT. RATE 9.3 462.9 107.3 25.1 11.5
LESS THAN 2,500 GRAMS
LIVE BIRTHS 164,520 11,460 16,507 44,955 15,069
INFANT DEATHS 15,207 6,622 2,403 2,001 416
INF. MORT. RATE 92.4 577.8 145.6 44.5 27.6
LESS THAN 500 GRAMS
LIVE BIRTHS 2,577 1,978 91 27 7
INFANT DEATHS 2,295 1,825 79 22 3
INF. MORT. RATE 890.6 922.6 868.1 814.8 428.6
500-749 GRAMS
LIVE BIRTHS 4,492 3,209 401 127 20
INFANT DEATHS 3,549 2,663 283 86 14
INF. MORT. RATE 790.1 829.9 705.7 677.2 700.0
750-999 GRAMS
LIVE BIRTHS 5,593 3,017 1,339 349 36
INFANT DEATHS 2,476 1,489 488 136 10
INF. MORT. RATE 442.7 493.5 364.5 389.7 277.8
1,000-1,249 GRAMS
LIVE BIRTHS 6,456 1,448 2,943 950 103
INFANT DEATHS 1,545 449 604 201 26
INF. MORT. RATE 239.3 310.1 205.2 211.6 252.4
1,250-1,499 GRAMS
LIVE BIRTHS 7,877 515 3,658 1,947 271
INFANT DEATHS 1,026 112 457 229 28
INF. MORT. RATE 130.3 217.5 124.9 117.6 103.3
1,500-1,999 GRAMS
LIVE BIRTHS 31,313 674 5,821 13,256 2,259
INFANT DEATHS 1,910 58 401 656 123
INF. MORT. RATE 61.0 86.1 68.9 49.5 54.4
GESTATION
BIRTH WEIGHT AND RACE 28 28-31 32-35 36
OF CHILD TOTAL WEEKS WEEKS WEEKS WEEKS
WHITE CONTINUED
2,000-2,499 GRAMS
LIVE BIRTHS 106,212 619 2,254 28,339 12,373
INFANT DEATHS 2,406 26 91 671 212
INF. MORT. RATE 22.7 42.0 40.4 23.7 17.1
2,500-2,999 GRAMS
LIVE BIRTHS 416,741 919 2,346 26,569 27,119
INFANT DEATHS 3,423 20 55 376 250
INF. MORT. RATE 8.2 21.8 23.4 14.2 9.2
3,000-3,499 GRAMS
LIVE BIRTHS 1,055,839 1,259 2,648 21,082 23,284
INFANT DEATHS 4,154 22 23 145 143
INF. MORT. RATE 3.9 17.5 8.7 6.9 6.1
3,500-3,999 GRAMS
LIVE BIRTHS 909,563 840 1,633 10,695 9,802
INFANT DEATHS 2,567 18 11 74 52
INF. MORT. RATE 2.8 21.4 6.7 6.9 5.3
4,000-4,499 GRAMS
LIVE BIRTHS 291,730 223 456 2,480 2,428
INFANT DEATHS 751 9 3 17 15
INF. MORT. RATE 2.6 40.4 6.6 6.9 6.2
4,500-4,999 GRAMS
LIVE BIRTHS 54,700 34 72 450 378
INFANT DEATHS 184 7 2 6 3
INF. MORT. RATE 3.4 205.9 27.8 13.3 7.9
5,000 GRAMS OR MORE
LIVE BIRTHS 7,141 39 17 69 63
INFANT DEATHS 76 23 4 5 1
INF. MORT. RATE 10.6 589.7 235.3 72.5 15.9
NOT STATED
LIVE BIRTHS 4,147 321 102 194 78
INFANT DEATHS 732 266 51 51 19
INF. MORT. RATE 176.5 828.7 500.0 262.9 243.6
GESTATION
BIRTH WEIGHT AND RACE 37-39 40 41 42 WEEKS NOT
OF CHILD WEEKS WEEKS WEEKS OR MORE STATED
WHITE CONTINUED
TOTAL
LIVE BIRTHS 1,029,527 641,091 458,235 431,721 120,156
INFANT DEATHS 5,152 2,307 1,880 2,251 2,391
INF. MORT. RATE 5.0 3.6 4.1 5.2 19.9
LESS THAN 2,500 GRAMS
LIVE BIRTHS 42,411 9,846 5,858 7,352 11,022
INFANT DEATHS 1,203 319 254 352 1,637
INF. MORT. RATE 28.4 32.4 43.4 47.9 148.5
LESS THAN 500 GRAMS
LIVE BIRTHS 36 22 28 32 356
INFANT DEATHS 17 6 17 13 313
INF. MORT. RATE 472.2 272.7 607.1 406.3 879.2
500-749 GRAMS
LIVE BIRTHS 81 35 38 56 525
INFANT DEATHS 20 10 13 37 423
INF. MORT. RATE 246.9 285.7 342.1 660.7 805.7
750-999 GRAMS
LIVE BIRTHS 112 50 58 61 571
INFANT DEATHS 38 13 17 23 262
INF. MORT. RATE 339.3 260.0 293.1 377.0 458.8
1,000-1,249 GRAMS
LIVE BIRTHS 198 60 57 90 607
INFANT DEATHS 55 12 12 18 168
INF. MORT. RATE 277.8 200.0 210.5 200.0 276.8
1,250-1,499 GRAMS
LIVE BIRTHS 498 88 101 145 654
INFANT DEATHS 62 13 15 7 103
INF. MORT. RATE 124.5 147.7 148.5 48.3 157.5
1,500-1,999 GRAMS
LIVE BIRTHS 4,830 854 567 797 2,255
INFANT DEATHS 325 60 49 74 164
INF. MORT. RATE 67.3 70.3 86.4 92.8 72.7
GESTATION
BIRTH WEIGHT AND RACE 37-39 40 41 42 WEEKS NOT
OF CHILD WEEKS WEEKS WEEKS OR MORE STATED
WHITE CONTINUED
2,000-2,499 GRAMS
LIVE BIRTHS 36,656 8,737 5,009 6,171 6,054
INFANT DEATHS 686 205 131 180 204
INF. MORT. RATE 18.7 23.5 26.2 29.2 33.7
2,500-2,999 GRAMS
LIVE BIRTHS 193,144 66,662 37,998 41,910 20,074
INFANT DEATHS 1,321 418 315 445 223
INF. MORT. RATE 6.8 6.3 8.3 10.6 11.1
3,000-3,499 GRAMS
LIVE BIRTHS 433,208 239,223 151,139 141,823 42,173
INFANT DEATHS 1,573 779 590 669 210
INF. MORT. RATE 3.6 3.3 3.9 4.7 5.0
3,500-3,999 GRAMS
LIVE BIRTHS 281,886 236,360 177,628 157,786 32,933
INFANT DEATHS 733 554 487 523 115
INF. MORT. RATE 2.6 2.3 2.7 3.3 3.5
4,000-4,499 GRAMS
LIVE BIRTHS 67,062 74,721 69,237 65,224 9,909
INFANT DEATHS 194 150 167 169 27
INF. MORT. RATE 2.9 2.0 2.4 2.6 2.7
4,500-4,999 GRAMS
LIVE BIRTHS 9,889 12,503 14,348 15,111 1,915
INFANT DEATHS 33 46 32 44 11
INF. MORT. RATE 3.3 3.7 2.2 2.9 5.7
5,000 GRAMS OR MORE
LIVE BIRTHS 1,285 1,385 1,742 2,243 298
INFANT DEATHS 12 5 6 10 10
INF. MORT. RATE 9.3 3.6 3.4 4.5 33.6
NOT STATED
LIVE BIRTHS 672 391 285 272 1,832
INFANT DEATHS 83 36 29 39 158
INF. MORT. RATE 123.5 92.1 101.8 143.4 86.2
GESTATION
BIRTH WEIGHT AND RACE 28 28-31 32-35 36
OF CHILD TOTAL WEEKS WEEKS WEEKS WEEKS
BLACK
TOTAL
LIVE BIRTHS 586,085 10,382 13,487 46,988 26,628
INFANT DEATHS 11,087 4,032 1,023 1,020 352
INF. MORT. RATE 18.9 388.4 75.9 21.7 13.2
LESS THAN 2,500 GRAMS
LIVE BIRTHS 73,653 7,653 8,479 18,745 6,136
INFANT DEATHS 7,214 3,748 941 717 175
INF. MORT. RATE 97.9 489.7 111.0 38.3 28.5
LESS THAN 500 GRAMS
LIVE BIRTHS 1,749 1,324 62 30 4
INFANT DEATHS 1,534 1,189 51 21 3
INF. MORT. RATE 877.1 898.0 822.6 700.0 750.0
500-749 GRAMS
LIVE BIRTHS 2,874 1,998 284 193 16
INFANT DEATHS 2,114 2,543 186 53 11
INF. MORT. RATE 735.6 772.3 654.9 569.9 687.5
750-999 GRAMS
LIVE BIRTHS 3,146 1,725 692 192 19
INFANT DEATHS 1,167 725 200 59 10
INF. MORT. RATE 370.9 420.3 289.0 307.3 526.3
1,000-1,249 GRAMS
LIVE BIRTHS 3,393 857 1,443 476 56
INFANT DEATHS 526 161 214 63 6
INF. MORT. RATE 155.0 187.9 148.3 132.4 107.1
1,250-1,499 GRAMS
LIVE BIRTHS 3,750 442 1,639 902 97
INFANT DEATHS 308 47 123 59 7
INF. MORT. RATE 82.1 106.3 75.0 65.4 72.2
1,500-1,999 GRAMS
LIVE BIRTHS 14,362 651 2,629 5,845 1,003
INFANT DEATHS 673 60 121 208 52
INF. MORT. RATE 46.9 92.2 46.0 35.6 51.8
GESTATION
BIRTH WEIGHT AND RACE 28 28-31 32-35 36
OF CHILD TOTAL WEEKS WEEKS WEEKS WEEKS
BLACK CONTINUED
2,000-2,499 GRAMS
LIVE BIRTHS 44,379 656 1,730 11,207 4,941
INFANT DEATHS 892 23 46 254 86
INF. MORT. RATE 20.1 35.1 26.6 22.7 17.4
2,500-2,999 GRAMS
LIVE BIRTHS 140,894 909 2,077 12,450 9,320
INFANT DEATHS 1,352 28 30 165 90
INF. MORT. RATE 9.6 30.8 14.4 13.3 9.7
3,000-3,499 GRAMS
LIVE BIRTHS 224,341 1,066 1,966 10,797 7,929
INFANT DEATHS 1,350 17 26 80 61
INF. MORT. RATE 6.0 15.9 13.2 7.4 7.7
3,500-3,999 GRAMS
LIVE BIRTHS 116,112 379 754 4,137 2,664
INFANT DEATHS 564 10 4 26 17
INF. MORT. RATE 4.9 26.4 5.3 6.3 6.4
4,000-4,499 GRAMS
LIVE BIRTHS 25,355 81 123 688 469
INFANT DEATHS 143 7 1 5 8
INF. MORT. RATE 5.6 86.4 8.1 7.3 17.1
4,500-4,999 GRAMS
LIVE BIRTHS 3,987 9 18 72 73
INFANT DEATHS 39 3 1 3 -
INF. MORT. RATE 9.8 333.3 55.6 41.7 -
5,000 GRAMS OR MORE
LIVE BIRTHS 727 22 9 25 16
INFANT DEATHS 37 16 2 1 -
INF. MORT. RATE 50.9 727.3 222.2 40.0 -
NOT STATED
LIVE BIRTHS 1,016 263 61 74 21
INFANT DEATHS 388 203 18 23 1
INF. MORT. RATE 381.9 771.9 295.1 310.8 47.6
GESTATION
BIRTH WEIGHT AND RACE 37-39 40 41 42 WEEKS NOT
OF CHILD WEEKS WEEKS WEEKS OR MORE STATED
BLACK CONTINUED
TOTAL
LIVE BIRTHS 230,072 100,630 62,130 71,222 21,546
INFANT DEATHS 1,814 640 457 652 1,097
INF. MORT. RATE 7.9 6.4 7.4 9.2 44.7
LESS THAN 2,500 GRAMS
LIVE BIRTHS 18,214 3,895 2,327 3,399 4,805
INFANT DEATHS 501 102 95 129 806
INF. MORT. RATE 27.5 26.2 40.8 38.0 167.7
LESS THAN 500 GRAMS
LIVE BIRTHS 29 3 25 7 265
INFANT DEATHS 14 1 15 7 233
INF. MORT. RATE 482.8 333.3 600.0 1000.0 879.2
500-749 GRAMS
LIVE BIRTHS 77 27 29 35 315
INFANT DEATHS 35 8 16 13 249
INF. MORT. RATE 454.9 296.3 551.7 371.4 790.5
750-999 GRAMS
LIVE BIRTHS 91 45 33 36 313
INFANT DEATHS 31 9 7 6 120
INF. MORT. RATE 340.7 200.0 212.1 166.7 383.4
1,000-1,249 GRAMS
LIVE BIRTHS 125 58 19 48 311
INFANT DEATHS 18 7 4 10 43
INF. MORT. RATE 144.0 120.7 210.5 208.3 138.3
1,250-1,499 GRAMS
LIVE BIRTHS 216 51 35 77 291
INFANT DEATHS 20 3 3 10 36
INF. MORT. RATE 92.6 58.8 85.7 129.9 123.7
1,500-1,999 GRAMS
LIVE BIRTHS 2,181 357 257 423 1,016
INFANT DEATHS 118 17 9 20 68
INF. MORT. RATE 54.1 47.6 35.0 47.3 66.9
GESTATION
BIRTH WEIGHT AND RACE 37-39 40 41 42 WEEKS NOT
OF CHILD WEEKS WEEKS WEEKS OR MORE STATED
BLACK CONTINUED
2,000-2,499 GRAMS
LIVE BIRTHS 15,495 3,354 1,929 2,773 2,294
INFANT DEATHS 265 57 41 63 57
INF. MORT. RATE 17.1 17.0 21.3 22.7 24.8
2,500-2,999 GRAMS
LIVE BIRTHS 65,548 19,699 10,797 14,002 6,092
INFANT DEATHS 550 165 86 160 78
INF. MORT. RATE 8.4 8.4 8.0 11.4 12.8
3,000-3,499 GRAMS
LIVE BIRTHS 96,126 43,637 25,328 29,115 8,377
INFANT DEATHS 500 226 146 218 76
INF. MORT. RATE 5.2 5.2 5.8 7.5 9.1
3,500-3,999 GRAMS
LIVE BIRTHS 41,367 26,258 17,813 18,714 4,026
INFANT DEATHS 190 103 91 92 31
INF. MORT. RATE 4.6 3.9 5.1 4.9 7.7
4,000-4,499 GRAMS
LIVE BIRTHS 7,434 5,964 4,872 4,896 828
INFANT DEATHS 45 26 19 28 4
INF. MORT. RATE 6.1 4.4 3.9 5.7 4.8
4,500-4,999 GRAMS
LIVE BIRTHS 1,021 966 827 874 127
INFANT DEATHS 9 6 7 8 2
INF. MORT. RATE 8.8 6.2 8.5 9.2 15.7
5,000 GRAMS OR MORE
LIVE BIRTHS 189 143 129 147 47
INFANT DEATHS 3 3 1 4 7
INF. MORT. RATE 15.9 21.0 7.8 27.2 148.9
NOT STATED
LIVE BIRTHS 173 68 37 75 244
INFANT DEATHS 16 9 12 13 93
INF. MORT. RATE 92.5 132.4 324.3 173.3 381.1
1 INCLUDES RACES OTHER THAN WHITE AND BLACK.
4. Live Birth/Infant Death/Mort. Rate by Wt., Race, Age at Death
1983 DOCUMENTATION TABLE 4
LIVE BIRTHS, INFANT DEATHS, AND INFANT MORTALITY RATES
BY BIRTH WEIGHT, RACE OF CHILD, AND AGE AT DEATH: UNITED STATES
1983 BIRTH COHORT
(INFANT DEATHS ARE UNDER 1 YEAR. NEONATAL DEATHS ARE UNDER 28 DAYS;
EARLY NEONATAL, 0-6 DAYS; LATE NEONATAL, 7-27 DAYS;
AND POSTNEONATAL, 28 DAYS THROUGH 11 MONTHS)
(RATES ARE PER 1000 LIVE BIRTHS)
BIRTH WEIGHT AND RACE LIVE INFANT TOTAL
OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1
TOTAL (ALL BIRTH WEIGHTS)...NUMBER.. 3,639,113 39,683 25,830
RATE.. 10.9 7.1
LESS THAN 2,500 GRAMS.......NUMBER.. 247,818 23,163 18,726
RATE.. 93.5 75.6
LESS THAN 500 GRAMS.......NUMBER.. 4,444 3,937 3,916
RATE.. 885.9 881.2
500-749 GRAMS.............NUMBER.. 7,594 5,815 5,411
RATE.. 765.7 712.5
750-999 GRAMS.............NUMBER.. 9,004 3,762 3,070
RATE.. 417.8 341.0
1,000-1,249 GRAMS.........NUMBER.. 10,193 2,145 1,669
RATE.. 210.4 163.7
1,250-1,499 GRAMS.........NUMBER.. 12,049 1,378 987
RATE.. 114.4 81.9
1,500-1,999 GRAMS.........NUMBER.. 47,325 2,688 1,791
RATE.. 56.8 37.8
2,000-2,499 GRAMS.........NUMBER.. 157,209 3,438 1,882
RATE.. 21.9 12.0
2,500-2,999 GRAMS...........NUMBER.. 586,810 4,997 2,068
RATE.. 8.5 3.5
3,000-3,499 GRAMS...........NUMBER.. 1,341,151 5,797 2,086
RATE.. 4.3 1.6
BIRTH WEIGHT AND RACE LIVE INFANT TOTAL
OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1 CONTINUED
3,500-3,999 GRAMS...........NUMBER.. 1,062,897 3,290 1,235
RATE.. 3.1 1.2
4,000-4,499 GRAMS...........NUMBER.. 326,599 930 390
RATE.. 2.8 1.2
4,500-4,999 GRAMS...........NUMBER.. 60,324 229 130
RATE.. 3.8 2.2
5,000 GRAMS OR MORE.........NUMBER.. 8,131 114 99
RATE.. 14.0 12.2
NOT STATED..................NUMBER.. 5,383 1,163 1,096
RATE.. 216.1 203.6
BIRTH WEIGHT AND RACE EARLY LATE POST
OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1 CONTINUED
TOTAL (ALL BIRTH WEIGHTS)...NUMBER.. 21,689 4,141 13,853
RATE.. 6.0 1.1 3.8
LESS THAN 2,500 GRAMS.......NUMBER.. 16,479 2,247 4,437
RATE.. 66.5 9.1 17.9
LESS THAN 500 GRAMS.......NUMBER.. 3,889 27 21
RATE.. 875.1 6.1 4.7
500-749 GRAMS.............NUMBER.. 5,012 399 404
RATE.. 660.0 52.5 53.2
750-999 GRAMS.............NUMBER.. 2,585 485 692
RATE.. 287.1 53.9 76.9
1,000-1,249 GRAMS.........NUMBER.. 1,326 343 476
RATE.. 130.1 33.7 46.7
1,250-1,499 GRAMS.........NUMBER.. 797 190 391
RATE.. 66.1 15.8 32.5
1,500-1,999 GRAMS.........NUMBER.. 1,468 323 897
RATE.. 31.0 6.8 19.0
2,000-2,499 GRAMS.........NUMBER.. 1,402 480 1,556
RATE.. 8.9 3.1 9.9
2,500-2,999 GRAMS...........NUMBER.. 1,471 597 2,929
RATE.. 2.5 1.0 5.0
3,000-3,499 GRAMS...........NUMBER.. 1,421 665 3,711
RATE.. 1.1 .5 2.8
3,500-3,999 GRAMS...........NUMBER.. 818 417 2,055
RATE.. .8 .4 1.9
BIRTH WEIGHT AND RACE EARLY LATE POST
OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1 CONTINUED
4,000-4,499 GRAMS...........NUMBER.. 263 127 540
RATE.. .8 .4 1.7
4,500-4,999 GRAMS...........NUMBER.. 108 22 99
RATE.. 1.8 .4 1.6
5,000 GRAMS OR MORE.........NUMBER.. 90 9 15
RATE.. 11.1 1.1 1.8
NOT STATED..................NUMBER.. 1,039 57 67
RATE.. 193.0 10.6 12.4
BIRTH WEIGHT AND RACE LIVE INFANT TOTAL
OF CHILD BIRTHS DEATHS NEONATAL
WHITE
TOTAL (ALL BIRTH WEIGHTS)...NUMBER.. 2,904,381 27,094 17,786
RATE.. 9.3 6.1
LESS THAN 2,500 GRAMS.......NUMBER.. 164,520 15,207 12,535
RATE.. 92.4 76.2
LESS THAN 500 GRAMS.......NUMBER.. 2,577 2,295 2,284
RATE.. 890.6 886.3
500-749 GRAMS.............NUMBER.. 4,492 3,549 3,353
RATE.. 790.1 746.4
750-999 GRAMS.............NUMBER.. 5,593 2,476 2,111
RATE.. 442.7 377.4
1,000-1,249 GRAMS.........NUMBER.. 6,456 1,545 1,261
RATE.. 239.3 195.3
1,250-1,499 GRAMS.........NUMBER.. 7,877 1,026 763
RATE.. 130.3 96.9
1,500-1,999 GRAMS.........NUMBER.. 31,313 1,910 1,336
RATE.. 61.0 42.7
2,000-2,499 GRAMS.........NUMBER.. 106,212 2,406 1,427
RATE.. 22.7 13.4
2,500-2,999 GRAMS...........NUMBER.. 416,741 3,423 1,551
RATE.. 8.2 3.7
3,000-3,499 GRAMS...........NUMBER.. 1,055,839 4,154 1,560
RATE.. 3.9 1.5
3,500-3,999 GRAMS...........NUMBER.. 906,563 2,567 985
RATE.. 2.8 1.1
BIRTH WEIGHT AND RACE LIVE INFANT TOTAL
OF CHILD BIRTHS DEATHS NEONATAL
WHITE CONTINUED
4,000-4,499 GRAMS...........NUMBER.. 291,730 751 308
RATE.. 2.6 1.1
4,500-4,999 GRAMS...........NUMBER.. 54,700 184 98
RATE.. 3.4 1.8
5,000 GRAMS OR MORE.........NUMBER.. 7,141 76 65
RATE.. 10.6 9.1
NOT STATED..................NUMBER.. 4,147 732 684
RATE.. 176.5 164.9
BIRTH WEIGHT AND RACE EARLY LATE POST
OF CHILD NEONATAL NEONATAL NEONATAL
WHITE CONTINUED
TOTAL (ALL BIRTH WEIGHTS)...NUMBER.. 14,858 2,928 9,308
RATE.. 5.1 1.0 3.2
LESS THAN 2,500 GRAMS.......NUMBER.. 11,009 1,526 2,672
RATE.. 66.9 9.3 16.2
LESS THAN 500 GRAMS.......NUMBER.. 2,262 22 11
RATE.. 877.8 8.5 4.3
500-749 GRAMS.............NUMBER.. 3,139 214 196
RATE.. 698.8 47.6 43.6
750-999 GRAMS.............NUMBER.. 1,794 317 365
RATE.. 320.8 56.7 65.3
1,000-1,249 GRAMS.........NUMBER.. 995 266 284
RATE.. 154.1 41.2 44.0
1,250-1,499 GRAMS.........NUMBER.. 624 139 263
RATE.. 79.2 17.6 33.4
1,500-1,999 GRAMS.........NUMBER.. 1,101 235 574
RATE.. 35.2 7.5 18.3
2,000-2,499 GRAMS.........NUMBER.. 1,094 333 979
RATE.. 10.3 3.1 9.2
2,500-2,999 GRAMS...........NUMBER.. 1,129 422 1,872
RATE.. 2.7 1.0 4.5
3,000-3,499 GRAMS...........NUMBER.. 1,073 487 2,594
RATE.. 1.0 .5 2.5
3,500-3,999 GRAMS...........NUMBER.. 659 326 1,582
RATE.. .7 .4 1.7
BIRTH WEIGHT AND RACE EARLY LATE POST
OF CHILD NEONATAL NEONATAL NEONATAL
WHITE CONTINUED
4,000-4,499 GRAMS...........NUMBER.. 208 100 443
RATE.. .7 .3 1.5
4,500-4,999 GRAMS...........NUMBER.. 81 17 86
RATE.. 1.5 .3 1.6
5,000 GRAMS OR MORE.........NUMBER.. 57 8 11
RATE.. 8.0 1.1 1.5
NOT STATED..................NUMBER.. 642 42 48
RATE.. 154.8 10.1 11.6
BIRTH WEIGHT AND RACE LIVE INFANT TOTAL
OF CHILD BIRTHS DEATHS NEONATAL
BLACK
TOTAL (ALL BIRTH WEIGHTS)...NUMBER.. 586,085 11,087 7,202
RATE.. 18.9 12.3
LESS THAN 2,500 GRAMS.......NUMBER.. 73,653 7,214 5,620
RATE.. 97.9 76.3
LESS THAN 500 GRAMS.......NUMBER.. 1,749 1,534 1,524
RATE.. 877.1 871.4
500-749 GRAMS.............NUMBER.. 2,874 2,114 1,926
RATE.. 735.6 670.1
750-999 GRAMS.............NUMBER.. 3,146 1,167 867
RATE.. 442.7 275.6
1,000-1,249 GRAMS.........NUMBER.. 3,393 526 353
RATE.. 155.0 104.0
1,250-1,499 GRAMS.........NUMBER.. 3,750 308 188
RATE.. 82.1 50.1
1,500-1,999 GRAMS.........NUMBER.. 14,362 673 384
RATE.. 46.9 26.7
2,000-2,499 GRAMS.........NUMBER.. 44,379 892 378
RATE.. 20.1 8.5
2,500-2,999 GRAMS...........NUMBER.. 140,894 1,352 429
RATE.. 9.6 3.0
3,000-3,499 GRAMS...........NUMBER.. 224,341 1,350 440
RATE.. 6.0 2.0
3,500-3,999 GRAMS...........NUMBER.. 116,112 564 209
RATE.. 4.9 1.8
BIRTH WEIGHT AND RACE LIVE INFANT TOTAL
OF CHILD BIRTHS DEATHS NEONATAL
BLACK CONTINUED
4,000-4,499 GRAMS...........NUMBER.. 25,355 143 70
RATE.. 5.6 2.8
4,500-4,999 GRAMS...........NUMBER.. 3,987 39 29
RATE.. 9.8 7.3
5,000 GRAMS OR MORE.........NUMBER.. 727 37 33
RATE.. 50.9 45.4
NOT STATED..................NUMBER.. 1,016 388 372
RATE.. 381.9 366.1
BIRTH WEIGHT AND RACE EARLY LATE POST
OF CHILD NEONATAL NEONATAL NEONATAL
BLACK CONTINUED
TOTAL (ALL BIRTH WEIGHTS)...NUMBER.. 6,151 1,051 3,885
RATE.. 10.5 1.8 6.6
LESS THAN 2,500 GRAMS.......NUMBER.. 4,976 644 1,594
RATE.. 67.6 8.7 21.6
LESS THAN 500 GRAMS.......NUMBER.. 1,520 4 10
RATE.. 869.1 2.3 5.7
500-749 GRAMS.............NUMBER.. 1,752 174 188
RATE.. 609.6 60.5 65.4
750-999 GRAMS.............NUMBER.. 713 154 300
RATE.. 226.6 49.0 95.4
1,000-1,249 GRAMS.........NUMBER.. 285 68 173
RATE.. 84.0 20.0 51.0
1,250-1,499 GRAMS.........NUMBER.. 146 42 120
RATE.. 38.9 11.2 32.0
1,500-1,999 GRAMS.........NUMBER.. 304 80 289
RATE.. 21.2 5.6 20.1
2,000-2,499 GRAMS.........NUMBER.. 256 122 514
RATE.. 5.8 2.7 11.6
2,500-2,999 GRAMS...........NUMBER.. 277 152 923
RATE.. 2.0 1.1 6.6
3,000-3,499 GRAMS...........NUMBER.. 294 146 910
RATE.. 1.3 .7 4.1
3,500-3,999 GRAMS...........NUMBER.. 139 70 355
RATE.. 1.2 .6 3.1
BIRTH WEIGHT AND RACE EARLY LATE POST
OF CHILD NEONATAL NEONATAL NEONATAL
BLACK CONTINUED
4,000-4,499 GRAMS...........NUMBER.. 50 20 73
RATE.. 2.0 .8 2.9
4,500-4,999 GRAMS...........NUMBER.. 24 5 10
RATE.. 6.0 1.3 2.5
5,000 GRAMS OR MORE.........NUMBER.. 32 1 4
RATE.. 44.0 1.4 5.5
NOT STATED..................NUMBER.. 359 13 16
RATE.. 353.3 12.8 15.7
1 INCLUDES RACES OTHER THAN WHITE AND BLACK.
5. Live Births/Infant Deaths for 10 Leading Causes Infant Death
1983 DOCUMENTATION TABLE 5
LIVE BIRTHS BY BIRTH WEIGHT AND RACE OF CHILD AND INFANT DEATHS AND
INFANT MORTALITY RATES BY AGE AT DEATH, BIRTH WEIGHT, AND RACE OF CHILD
FOR 10 LEADING CAUSES OF INFANT DEATH: UNITED STATES, 1983 BIRTH COHORT
(INFANT DEATHS ARE UNDER 1 YEAR. NEONATAL DEATHS ARE UNDER 28 DAYS;
EARLY NEONATAL, 0-6 DAYS; LATE NEONATAL, 7-27 DAYS;
AND POSTNEONATAL, 28 DAYS THROUGH 11 MONTHS)
(RATES ARE PER 100,000 LIVE BIRTHS)
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1
ALL BIRTH WEIGHTS
... ALL CAUSES...................NUMBER.. 3,639,113 39,683 25,830
RATE.. 1,090.5 709.8
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 8,568 6,326
RATE.. 235.4 173.8
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 5,271 389
RATE.. 144.8 10.7
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 3,596 3,362
RATE.. 98.8 92.4
4 PREMATURITY (765)............NUMBER.. 3,235 3,201
RATE.. 88.9 88.0
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 1,433 1,424
RATE.. 39.4 39.1
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 1,180 1,108
RATE.. 32.4 30.4
7 ACCIDENTS (E800-E949)........NUMBER.. 870 69
RATE.. 23.9 1.9
8 INFECTIONS (771).............NUMBER.. 845 808
RATE.. 23.2 22.2
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 842 838
RATE.. 23.1 23.0
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1
ALL BIRTH WEIGHTS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 732 158
RATE.. 20.1 4.3
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 1,840 599
RATE.. 50.6 16.5
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1
ALL BIRTH WEIGHTS
(CONTINUED)
... ALL CAUSES...................NUMBER.. 21,689 4,141 13,853
RATE.. 596.0 113.8 380.7
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 5,143 1,183 2,242
RATE.. 141.3 32.5 61.6
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 38 351 4,882
RATE.. 1.0 9.6 134.2
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 2,852 510 234
RATE.. 78.4 14.0 6.4
4 PREMATURITY (765)............NUMBER.. 3,169 32 34
RATE.. 87.1 .9 .9
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 1,415 9 9
RATE.. 38.9 .2 .2
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 957 151 72
RATE.. 26.3 4.1 2.0
7 ACCIDENTS (E800-E949)........NUMBER.. 22 47 801
RATE.. .6 1.3 22.0
8 INFECTIONS (771).............NUMBER.. 557 251 37
RATE.. 15.3 6.9 1.0
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 818 20 4
RATE.. 22.5 .5 .1
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1
ALL BIRTH WEIGHTS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 83 75 574
RATE.. 2.3 2.1 15.8
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 381 218 1,241
RATE.. 10.5 6.0 34.1
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1
LESS THAN 2,500 GRAMS
... ALL CAUSES...................NUMBER.. 247,818 23,163 18,726
RATE.. 9,346.8 7,556.4
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 3,801 3,048
RATE.. 1,533.8 1,229.9
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 1,076 60
RATE.. 434.2 24.2
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 3,379 3,158
RATE.. 1,363.5 1,274.3
4 PREMATURITY (765)............NUMBER.. 2,912 2,880
RATE.. 1,175.1 1,162.1
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 1,286 1,279
RATE.. 518.9 516.1
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 673 648
RATE.. 271.6 261.5
7 ACCIDENTS (E800-E949)........NUMBER.. 138 23
RATE.. 55.7 9.3
8 INFECTIONS (771).............NUMBER.. 598 569
RATE.. 241.3 229.6
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 665 664
RATE.. 268.3 267.9
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1
LESS THAN 2,500 GRAMS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 228 66
RATE.. 92.0 26.6
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 815 322
RATE.. 328.9 129.9
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1
LESS THAN 2,500 GRAMS
(CONTINUED)
... ALL CAUSES...................NUMBER.. 16,479 2,247 4,437
RATE.. 6,649.6 906.7 1,790.4
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 2,647 401 753
RATE.. 1,068.1 161.8 303.9
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 3 57 1,016
RATE.. 1.2 23.0 410.0
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 2,683 475 221
RATE.. 1,082.6 191.7 89.2
4 PREMATURITY (765)............NUMBER.. 2,853 27 32
RATE.. 1,151.2 10.9 12.9
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 1,270 9 7
RATE.. 512.5 3.6 2.8
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 590 58 25
RATE.. 238.1 23.4 10.1
7 ACCIDENTS (E800-E949)........NUMBER.. 9 14 115
RATE.. 3.6 5.6 46.4
8 INFECTIONS (771).............NUMBER.. 391 178 29
RATE.. 157.8 71.8 11.7
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 656 8 1
RATE.. 264.7 3.2 .4
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1
LESS THAN 2,500 GRAMS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 37 29 162
RATE.. 14.9 11.7 65.4
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 212 110 493
RATE.. 85.5 44.4 198.9
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1
2,500 GRAMS OR MORE
... ALL CAUSES...................NUMBER.. 3,385,912 15,357 6,008
RATE.. 453.6 177.4
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 4,538 3,069
RATE.. 134.0 90.6
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 4,189 329
RATE.. 123.7 9.7
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 141 129
RATE.. 4.2 3.8
4 PREMATURITY (765)............NUMBER.. 81 79
RATE.. 2.4 2.3
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 30 28
RATE.. .9 .8
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 452 407
RATE.. 13.3 12.0
7 ACCIDENTS (E800-E949)........NUMBER.. 729 43
RATE.. 21.5 1.3
8 INFECTIONS (771).............NUMBER.. 236 228
RATE.. 7.0 6.7
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 124 121
RATE.. 3.7 3.6
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1
2,500 GRAMS OR MORE
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 499 90
RATE.. 14.7 2.7
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 1,005 264
RATE.. 29.7 7.8
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1
2,500 GRAMS OR MORE
(CONTINUED)
... ALL CAUSES...................NUMBER.. 4,171 1,837 9,349
RATE.. 123.2 54.3 276.1
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 2,300 769 1,469
RATE.. 67.9 22.7 43.4
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 35 294 3,860
RATE.. 1.0 8.7 114.0
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 102 27 12
RATE.. 3.0 .8 .4
4 PREMATURITY (765)............NUMBER.. 75 4 2
RATE.. 2.2 .1 .1
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 28 - 2
RATE.. .8 - .1
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 320 87 45
RATE.. 9.5 2.6 1.3
7 ACCIDENTS (E800-E949)........NUMBER.. 10 33 686
RATE.. .3 1.0 20.3
8 INFECTIONS (771).............NUMBER.. 156 72 8
RATE.. 4.6 2.1 .2
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 110 11 3
RATE.. 3.2 .3 .1
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1
2,500 GRAMS OR MORE
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 44 46 409
RATE.. 1.3 1.4 12.1
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 159 105 741
RATE.. 4.7 3.1 21.9
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1
NOT STATED BIRTH WEIGHT
... ALL CAUSES...................NUMBER.. 5,383 1,163 1,096
RATE.. 21,605.1 20,360.4
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 229 209
RATE.. 4,254.1 3,882.6
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 6 -
RATE.. 111.5 -
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 76 75
RATE.. 1,411.9 1,393.3
4 PREMATURITY (765)............NUMBER.. 242 242
RATE.. 4,495.6 4,495.6
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 117 117
RATE.. 2,173.5 2,173.5
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 55 53
RATE.. 1,021.7 984.6
7 ACCIDENTS (E800-E949)........NUMBER.. 3 3
RATE.. 55.7 55.7
8 INFECTIONS (771).............NUMBER.. 11 11
RATE.. 204.3 204.3
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 53 53
RATE.. 984.6 984.6
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1
NOT STATED BIRTH WEIGHT
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 5 2
RATE.. 92.9 37.2
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 20 13
RATE.. 371.5 241.5
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1
NOT STATED BIRTH WEIGHT
(CONTINUED)
... ALL CAUSES...................NUMBER.. 1,039 57 67
RATE.. 19,301.5 1,058.9 1,244.7
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 196 13 20
RATE.. 3,641.1 241.5 371.5
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. - - 6
RATE.. - - 111.5
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 67 8 1
RATE.. 1,244.7 148.6 18.6
4 PREMATURITY (765)............NUMBER.. 241 1 -
RATE.. 4,477.1 18.6 -
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 117 - -
RATE.. 2,173.5 - -
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 47 6 2
RATE.. 873.1 111.5 37.2
7 ACCIDENTS (E800-E949)........NUMBER.. 3 - -
RATE.. 55.7 - -
8 INFECTIONS (771).............NUMBER.. 10 1 -
RATE.. 185.8 18.6 -
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 52 1 -
RATE.. 966.0 18.6 -
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1
NOT STATED BIRTH WEIGHT
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 2 - 3
RATE.. 37.2 - 55.7
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 10 3 7
RATE.. 185.7 55.7 130.0
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
WHITE
ALL BIRTH WEIGHTS
... ALL CAUSES...................NUMBER.. 2,904,381 27,094 17,786
RATE.. 932.9 612.4
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 6,751 5,043
RATE.. 232.4 173.6
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 3,533 247
RATE.. 121.6 8.5
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 2,561 2,414
RATE.. 88.2 83.1
4 PREMATURITY (765)............NUMBER.. 1,833 1,815
RATE.. 63.1 62.5
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 975 969
RATE.. 33.6 33.4
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 804 756
RATE.. 27.7 26.0
7 ACCIDENTS (E800-E949)........NUMBER.. 573 42
RATE.. 19.7 1.4
8 INFECTIONS (771).............NUMBER.. 589 563
RATE.. 20.3 19.4
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 599 595
RATE.. 20.6 20.5
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
WHITE
ALL BIRTH WEIGHTS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 438 102
RATE.. 15.1 3.5
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 1,214 428
RATE.. 41.8 14.7
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
WHITE
ALL BIRTH WEIGHTS
(CONTINUED)
... ALL CAUSES...................NUMBER.. 14,858 2,928 9,308
RATE.. 511.6 100.8 320.5
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 4,118 925 1,708
RATE.. 141.8 31.8 58.8
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 24 223 3,286
RATE.. .8 7.7 113.1
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 2,034 380 147
RATE.. 70.0 13.1 5.1
4 PREMATURITY (765)............NUMBER.. 1,794 21 18
RATE.. 61.8 .7 .6
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 962 7 6
RATE.. 33.1 .2 .2
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 654 102 48
RATE.. 22.5 3.5 1.7
7 ACCIDENTS (E800-E949)........NUMBER.. 14 28 531
RATE.. .5 1.0 18.3
8 INFECTIONS (771).............NUMBER.. 386 177 26
RATE.. 13.3 6.1 .9
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 583 12 4
RATE.. 20.1 .4 .1
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
WHITE
ALL BIRTH WEIGHTS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 55 47 336
RATE.. 1.9 1.6 11.6
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 276 152 786
RATE.. 9.5 5.2 27.1
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
WHITE
LESS THAN 2,500 GRAMS
... ALL CAUSES...................NUMBER.. 164,520 15,207 12,535
RATE.. 9,243.3 7,691.1
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 2,936 2,401
RATE.. 1,784.6 1,459.4
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 607 31
RATE.. 369.0 18.8
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 2,415 2,276
RATE.. 1,467.9 1,383.4
4 PREMATURITY (765)............NUMBER.. 1,669 1,652
RATE.. 1,014.5 1,004.1
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 880 875
RATE.. 534.9 531.9
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 425 412
RATE.. 258.3 250.4
7 ACCIDENTS (E800-E949)........NUMBER.. 75 13
RATE.. 45.6 7.9
8 INFECTIONS (771).............NUMBER.. 395 376
RATE.. 240.1 228.5
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 479 478
RATE.. 291.2 290.5
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
WHITE
LESS THAN 2,500 GRAMS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 111 33
RATE.. 67.5 20.1
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 517 224
RATE.. 314.2 136.2
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
WHITE
LESS THAN 2,500 GRAMS
(CONTINUED)
... ALL CAUSES...................NUMBER.. 11,009 1,526 2,672
RATE.. 6,691.6 927.5 1,624.1
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 2,104 297 535
RATE.. 1,278.9 180.5 325.2
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 1 30 576
RATE.. .6 18.2 350.1
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 1,920 356 139
RATE.. 1,167.0 216.4 84.5
4 PREMATURITY (765)............NUMBER.. 1,634 18 17
RATE.. 993.2 10.9 10.3
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 868 7 5
RATE.. 527.6 4.3 3.0
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 376 36 13
RATE.. 228.5 21.9 7.9
7 ACCIDENTS (E800-E949)........NUMBER.. 6 7 62
RATE.. 3.6 4.3 37.7
8 INFECTIONS (771).............NUMBER.. 258 118 19
RATE.. 156.8 71.7 11.5
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 472 6 1
RATE.. 286.9 3.6 .6
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
WHITE
LESS THAN 2,500 GRAMS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 19 14 78
RATE.. 11.5 8.5 47.4
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 150 74 293
RATE.. 91.2 45.0 178.1
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
WHITE
2,500 GRAMS OR MORE
... ALL CAUSES...................NUMBER.. 2,735,714 11,155 4,567
RATE.. 407.8 166.9
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 3,361 2,475
RATE.. 132.7 90.5
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 2,923 216
RATE.. 106.8 7.9
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 94 87
RATE.. 3.4 3.2
4 PREMATURITY (765)............NUMBER.. 47 46
RATE.. 1.7 1.7
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 18 17
RATE.. .7 .6
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 339 306
RATE.. 12.4 11.2
7 ACCIDENTS (E800-E949)........NUMBER.. 495 26
RATE.. 18.1 1.0
8 INFECTIONS (771).............NUMBER.. 186 179
RATE.. 6.8 6.5
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 85 82
RATE.. 3.1 3.0
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
WHITE
2,500 GRAMS OR MORE
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 324 68
RATE.. 11.8 2.5
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 685 197
RATE.. 25.0 7.2
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
WHITE
2,500 GRAMS OR MORE
(CONTINUED)
... ALL CAUSES...................NUMBER.. 3,207 1,360 6,588
RATE.. 117.2 49.7 240.8
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 1,858 617 1,156
RATE.. 67.9 22.6 42.3
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 23 193 2,707
RATE.. .8 7.1 99.0
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 68 19 7
RATE.. 2.5 .7 .3
4 PREMATURITY (765)............NUMBER.. 44 2 1
RATE.. 1.6 .1 .0
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 17 - 1
RATE.. .6 - .0
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 244 62 33
RATE.. 8.9 2.3 1.2
7 ACCIDENTS (E800-E949)........NUMBER.. 5 21 469
RATE.. .2 .8 17.1
8 INFECTIONS (771).............NUMBER.. 121 58 7
RATE.. 4.4 2.1 .3
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 77 5 3
RATE.. 2.8 .2 .1
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
WHITE
2,500 GRAMS OR MORE
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 35 33 256
RATE.. 1.3 1.2 9.4
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 120 77 488
RATE.. 4.4 2.8 17.8
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
WHITE
NOT STATED BIRTH WEIGHT
... ALL CAUSES...................NUMBER.. 4,147 732 684
RATE.. 17,651.3 16,493.9
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 184 167
RATE.. 4,436.9 4,027.0
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 3 -
RATE.. 72.3 -
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 52 51
RATE.. 1,253.9 1,229.8
4 PREMATURITY (765)............NUMBER.. 117 117
RATE.. 2,821.3 2,821.3
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 77 77
RATE.. 1,856.8 1,856.8
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 40 38
RATE.. 964.6 916.3
7 ACCIDENTS (E800-E949)........NUMBER.. 3 3
RATE.. 72.3 72.3
8 INFECTIONS (771).............NUMBER.. 8 8
RATE.. 192.9 192.9
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 35 35
RATE.. 844.0 844.0
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
WHITE
NOT STATED BIRTH WEIGHT
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 3 1
RATE.. 72.3 24.1
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 12 7
RATE.. 289.4 168.8
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
WHITE
NOT STATED BIRTH WEIGHT
(CONTINUED)
... ALL CAUSES...................NUMBER.. 642 42 48
RATE.. 15,481.1 1,012.8 1,157.5
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 156 11 17
RATE.. 3,761.8 265.3 409.9
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. - - 3
RATE.. - - 72.3
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 46 5 1
RATE.. 1,109.2 120.6 24.1
4 PREMATURITY (765)............NUMBER.. 116 1 -
RATE.. 2,797.2 24.1 -
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 77 - -
RATE.. 1,856.8 - -
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 34 4 2
RATE.. 819.9 96.5 48.2
7 ACCIDENTS (E800-E949)........NUMBER.. 3 - -
RATE.. 72.3 - -
8 INFECTIONS (771).............NUMBER.. 7 1 -
RATE.. 168.8 24.1 -
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 34 1 -
RATE.. 819.9 24.1 -
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
WHITE
NOT STATED BIRTH WEIGHT
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 1 - 2
RATE.. 24.1 - 48.2
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 6 1 5
RATE.. 144.7 24.1 120.6
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
BLACK
ALL BIRTH WEIGHTS
... ALL CAUSES...................NUMBER.. 586,085 11,087 7,202
RATE.. 1,891.7 1,228.8
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 1,455 1,030
RATE.. 248.3 175.7
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 1,480 122
RATE.. 252.5 20.8
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 928 853
RATE.. 158.3 145.5
4 PREMATURITY (765)............NUMBER.. 1,328 1,312
RATE.. 226.6 223.9
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 425 422
RATE.. 72.5 72.0
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 332 314
RATE.. 56.6 53.6
7 ACCIDENTS (E800-E949)........NUMBER.. 263 24
RATE.. 44.9 4.1
8 INFECTIONS (771).............NUMBER.. 218 208
RATE.. 37.2 35.5
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 212 212
RATE.. 36.2 36.2
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
BLACK
ALL BIRTH WEIGHTS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 252 52
RATE.. 43.0 8.9
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 539 144
RATE.. 92.0 24.6
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
BLACK
ALL BIRTH WEIGHTS
(CONTINUED)
... ALL CAUSES...................NUMBER.. 6,151 1,051 3,885
RATE.. 1,049.5 179.3 662.9
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 827 203 425
RATE.. 141.1 34.6 72.5
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 12 110 1,358
RATE.. 2.0 18.8 231.7
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 739 114 75
RATE.. 126.1 19.5 12.8
4 PREMATURITY (765)............NUMBER.. 1,301 11 16
RATE.. 222.0 1.9 2.7
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 420 2 3
RATE.. 71.7 .3 .5
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 272 42 18
RATE.. 46.4 7.2 3.1
7 ACCIDENTS (E800-E949)........NUMBER.. 8 16 239
RATE.. 1.4 2.7 40.8
8 INFECTIONS (771).............NUMBER.. 141 67 10
RATE.. 24.1 11.4 1.7
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 206 6 -
RATE.. 35.1 1.0 -
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
BLACK
ALL BIRTH WEIGHTS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 27 25 200
RATE.. 4.6 4.3 34.1
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 88 56 395
RATE.. 15.0 9.6 67.4
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
BLACK
LESS THAN 2,500 GRAMS
... ALL CAUSES...................NUMBER.. 73,653 7,214 5,620
RATE.. 9,794.6 7,630.4
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 700 517
RATE.. 950.4 701.9
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 425 26
RATE.. 577.0 35.3
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 868 798
RATE.. 1,178.5 1,083.5
4 PREMATURITY (765)............NUMBER.. 1,175 1,160
RATE.. 1,595.3 1,575.0
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 377 375
RATE.. 511.9 509.1
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 220 210
RATE.. 298.7 285.1
7 ACCIDENTS (E800-E949)........NUMBER.. 58 8
RATE.. 78.7 10.9
8 INFECTIONS (771).............NUMBER.. 171 162
RATE.. 232.2 220.0
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 166 166
RATE.. 225.4 225.4
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
BLACK
LESS THAN 2,500 GRAMS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 108 32
RATE.. 146.6 43.4
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 274 89
RATE.. 372.0 120.8
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
BLACK
LESS THAN 2,500 GRAMS
(CONTINUED)
... ALL CAUSES...................NUMBER.. 4,976 644 1,594
RATE.. 6,756.0 874.4 2,164.2
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 432 85 183
RATE.. 586.5 115.4 248.5
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 2 24 399
RATE.. 2.7 32.6 541.7
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 694 104 70
RATE.. 942.3 141.2 95.0
4 PREMATURITY (765)............NUMBER.. 1,151 9 15
RATE.. 1,562.7 12.2 20.4
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 373 2 2
RATE.. 506.4 2.7 2.7
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 192 18 10
RATE.. 260.7 24.4 13.6
7 ACCIDENTS (E800-E949)........NUMBER.. 3 5 50
RATE.. 4.1 6.8 67.9
8 INFECTIONS (771).............NUMBER.. 108 54 9
RATE.. 146.6 73.3 12.2
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 165 1 -
RATE.. 224.0 1.4 -
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
BLACK
LESS THAN 2,500 GRAMS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 18 14 76
RATE.. 24.4 19.0 103.2
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 54 35 185
RATE.. 73.3 47.5 251.2
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
BLACK
2,500 GRAMS OR MORE
... ALL CAUSES...................NUMBER.. 511,416 3,485 1,210
RATE.. 681.4 236.6
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 721 481
RATE.. 141.0 94.1
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 1,053 96
RATE.. 205.9 18.8
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 42 37
RATE.. 8.2 7.2
4 PREMATURITY (765)............NUMBER.. 31 30
RATE.. 6.1 5.9
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 11 10
RATE.. 2.2 2.0
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 97 89
RATE.. 19.0 17.4
7 ACCIDENTS (E800-E949)........NUMBER.. 205 16
RATE.. 40.1 3.1
8 INFECTIONS (771).............NUMBER.. 44 43
RATE.. 8.6 8.4
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 31 31
RATE.. 6.1 6.1
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
BLACK
2,500 GRAMS OR MORE
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 142 19
RATE.. 27.8 3.7
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 260 52
RATE.. 50.8 10.2
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
BLACK
2,500 GRAMS OR MORE
(CONTINUED)
... ALL CAUSES...................NUMBER.. 816 394 2,275
RATE.. 159.6 77.0 444.8
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 364 117 240
RATE.. 71.2 22.9 46.9
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 10 86 957
RATE.. 2.0 16.8 187.1
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 30 7 5
RATE.. 5.9 1.4 1.0
4 PREMATURITY (765)............NUMBER.. 28 2 1
RATE.. 5.5 .4 .2
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 10 - 1
RATE.. 2.0 - .2
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 67 22 8
RATE.. 13.1 4.3 1.6
7 ACCIDENTS (E800-E949)........NUMBER.. 5 11 189
RATE.. 1.0 2.2 37.0
8 INFECTIONS (771).............NUMBER.. 30 13 1
RATE.. 5.9 2.5 .2
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 26 5 -
RATE.. 5.1 1.0 -
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
BLACK
2,500 GRAMS OR MORE
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 8 11 123
RATE.. 1.6 2.2 24.1
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 32 20 208
RATE.. 6.3 3.9 40.7
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
BLACK
NOT STATED BIRTH WEIGHT
... ALL CAUSES...................NUMBER.. 1,016 388 372
RATE.. 38,189.0 36,614.2
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 34 32
RATE.. 3,346.5 3,149.6
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 2 -
RATE.. 196.9 -
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 18 18
RATE.. 1,771.7 1,771.7
4 PREMATURITY (765)............NUMBER.. 122 122
RATE.. 12,007.9 12,007.9
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 37 37
RATE.. 3,641.7 3,641.7
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 15 15
RATE.. 1,476.4 1,476.4
7 ACCIDENTS (E800-E949)........NUMBER.. - -
RATE.. - -
8 INFECTIONS (771).............NUMBER.. 3 3
RATE.. 295.3 295.3
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 15 15
RATE.. 1,476.4 1,476.4
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
BLACK
NOT STATED BIRTH WEIGHT
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 2 1
RATE.. 196.9 98.4
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 5 3
RATE.. 492.1 295.3
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
BLACK
NOT STATED BIRTH WEIGHT
(CONTINUED)
... ALL CAUSES...................NUMBER.. 359 13 16
RATE.. 35,334.6 1,279.5 1,574.8
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 31 1 2
RATE.. 3,051.2 98.4 196.9
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. - - 2
RATE.. - - 196.9
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 15 3 -
RATE.. 1,476.4 295.3 -
4 PREMATURITY (765)............NUMBER.. 122 - -
RATE.. 12,007.9 - -
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 37 - -
RATE.. 3,641.7 - -
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 13 2 -
RATE.. 1.279.5 196.9 -
7 ACCIDENTS (E800-E949)........NUMBER.. - - -
RATE.. - - -
8 INFECTIONS (771).............NUMBER.. 3 - -
RATE.. 295.3 - -
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 15 - -
RATE.. 1,476.4 - -
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
BLACK
NOT STATED BIRTH WEIGHT
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 1 - 1
RATE.. 98.4 - 98.4
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 2 1 2
RATE.. 196.9 98.4 196.9
1 INCLUDES RACES OTHER THAN WHITE AND BLACK.
1984 Documentation Tables
1. Live Births/Infant Deaths by State of Occurrence/Residence
1984 DOCUMENTATION TABLE 1
LIVE BIRTHS BY STATE OF OCCURRENCE AND BY STATE OF RESIDENCE
AND
INFANT DEATHS BY STATE OF OCCURRENCE AND BY STATE OF RESIDENCE
1984 BIRTH COHORT
(RESIDENCE AT BIRTH IS OF THE MOTHER; RESIDENCE AT DEATH IS OF THE DECEDENT)
LIVE BIRTHS
AREA OCCURRENCE RESIDENCE
UNITED STATES ......................... 3,673,694 3,669,268
ALABAMA .................................. 58,170 59,216
ALASKA ................................... 12,324 12,455
ARIZONA .................................. 54,862 54,999
ARKANSAS ................................. 34,335 34,844
CALIFORNIA ............................... 447,609 447,754
COLORADO ................................. 54,569 54,364
CONNECTICUT .............................. 42,078 42,232
DELAWARE ................................. 9,550 9,268
DISTRICT OF COLUMBIA ..................... 19,628 9,687
FLORIDA .................................. 155,199 155,399
GEORGIA .................................. 93,774 92,023
HAWAII ................................... 18,756 18,707
IDAHO .................................... 17,805 18,030
ILLINOIS ................................. 176,088 179,275
INDIANA .................................. 80,099 80,088
IOWA ..................................... 42,921 42,367
KANSAS ................................... 38,935 40,012
KENTUCKY ................................. 52,121 53,289
LOUISIANA ................................ 81,496 81,471
MAINE .................................... 16,136 16,772
MARYLAND ................................. 59,304 65,406
MASSACHUSETTS ............................ 79,755 78,281
MICHIGAN ................................. 134,885 136,089
MINNESOTA ................................ 67,040 66,718
MISSISSIPPI .............................. 43,358 43,841
MISSOURI ................................. 76,305 74,745
MONTANA .................................. 13,866 14,141
NEBRASKA ................................. 26,449 26,127
NEVADA ................................... 14,769 14,804
NEW HAMPSHIRE ............................ 14,075 14,250
NEW JERSEY ............................... 98,214 101,333
NEW MEXICO ............................... 27,088 27,378
NEW YORK ................................. 251,863 251,054
UPSTATE ................................ 138,670 141,446
CITY ................................... 113,193 109,608
NORTH CAROLINA ........................... 86,627 86,041
NORTH DAKOTA ............................. 12,729 11,824
OHIO ..................................... 159,222 158,534
OKLAHOMA ................................. 53,081 54,477
OREGON ................................... 40,842 39,563
PENNSYLVANIA ............................. 158,559 157,117
RHODE ISLAND ............................. 13,290 12,659
SOUTH CAROLINA ........................... 48,296 50,663
SOUTH DAKOTA ............................. 12,328 12,445
TENNESSEE ................................ 69,713 65,006
TEXAS .................................... 303,579 299,036
UTAH ..................................... 39,390 38,300
VERMONT .................................. 7,805 8,020
VIRGINIA ................................. 79,365 82,712
WASHINGTON ............................... 68,081 68,926
WEST VIRGINIA ............................ 25,504 24,585
WISCONSIN ................................ 72,763 73,187
WYOMING .................................. 9,094 9,754
FOREIGN RESIDENTS ........................ ... 4,426
INFANT DEATHS
AT BIRTH AT DEATH
AREA OCCURRENCE RESIDENCE OCCURRENCE RESIDENCE
UNITED STATES ............ 38,314 38,292 38,314 38,294
ALABAMA ..................... 735 740 753 744
ALASKA ...................... 134 137 126 136
ARIZONA ..................... 511 515 505 512
ARKANSAS .................... 365 397 358 397
CALIFORNIA .................. 4,037 4,044 4,042 4,039
COLORADO .................... 540 524 564 522
CONNECTICUT ................. 411 411 410 411
DELAWARE .................... 97 95 90 93
DISTRICT OF COLUMBIA ........ 310 200 380 197
FLORIDA ..................... 1,701 1,698 1,702 1,697
GEORGIA ..................... 1,149 1,144 1,152 1,154
HAWAII ...................... 189 186 187 183
IDAHO ....................... 162 180 137 177
ILLINOIS .................... 2,088 2,129 2,046 2,123
INDIANA ..................... 853 843 840 851
IOWA ........................ 354 365 331 367
KANSAS ...................... 370 390 337 390
KENTUCKY .................... 562 603 544 604
LOUISIANA ................... 914 913 919 913
MAINE ....................... 124 136 125 135
MARYLAND .................... 650 724 606 729
MASSACHUSETTS ............... 665 661 676 660
MICHIGAN .................... 1,562 1,572 1,553 1,569
MINNESOTA ................... 615 599 642 603
MISSISSIPPI ................. 600 617 581 619
MISSOURI .................... 817 774 882 765
MONTANA ..................... 121 123 99 122
NEBRASKA .................... 257 249 269 249
NEVADA ...................... 152 148 154 149
NEW HAMPSHIRE ............... 113 121 115 125
NEW JERSEY .................. 1,008 1,061 955 1,050
NEW MEXICO .................. 234 247 232 249
NEW YORK ..................... 2,681 2,683 2,685 2,684
UPSTATE .................... 1,267 1,322 1,240 1,307
CITY ....................... 1,414 1,361 1,445 1,377
NORTH CAROLINA ............... 1,080 1,063 1,093 1,060
NORTH DAKOTA ................. 107 90 114 92
OHIO ......................... 1,560 1,552 1,576 1,549
OKLAHOMA ..................... 568 581 557 575
OREGON ....................... 396 373 405 372
PENNSYLVANIA ................. 1,646 1,599 1,695 1,602
RHODE ISLAND ................. 142 113 147 117
SOUTH CAROLINA ............... 701 735 692 735
SOUTH DAKOTA ................. 120 115 108 116
TENNESSEE .................... 856 763 882 756
TEXAS ........................ 2,994 2,962 3,009 2,969
UTAH ......................... 355 340 396 346
VERMONT ...................... 66 66 59 65
VIRGINIA ..................... 932 976 909 981
WASHINGTON ................... 643 651 648 652
WEST VIRGINIA ................ 280 263 274 266
WISCONSIN .................... 689 712 677 709
WYOMING ...................... 98 109 76 114
FOREIGN RESIDENTS ............ ... 22 ... 20
2. Live Births/Infant Deaths/Mort. Rates by Race, Sex, Birth Wt.
1984 DOCUMENTATION TABLE 2
LIVE BIRTHS, INFANT DEATHS, AND INFANT MORTALITY RATES
BY RACE OF CHILD, SEX, AND BIRTH WEIGHT: UNITED STATES
1984 BIRTH COHORT
(RATES ARE PER 1000 LIVE BIRTHS)
500 500-749 750-999 1000-1249
RACE OF CHILD AND SEX TOTAL GRAMS GRAMS GRAMS GRAMS
ALL RACES1
BOTH SEXES
LIVE BIRTHS 3,669,268 4,471 7,888 8,927 10,307
INFANT DEATHS 38,292 3,936 5,899 3,578 1,987
INF. MORT. RATE 10.4 880.3 747.8 400.8 192.8
MALE
LIVE BIRTHS 1,879,750 2,223 4,009 4,662 5,264
INFANT DEATHS 21,604 1,958 3,195 2,163 1,214
INF. MORT. RATE 11.5 880.8 797.0 464.0 230.6
FEMALE
LIVE BIRTHS 1,789,518 2,248 3,879 4,265 5,043
INFANT DEATHS 16,688 1,978 2,704 1,415 773
INF. MORT. RATE 9.3 879.9 697.1 331.8 153.3
WHITE
BOTH SEXES
LIVE BIRTHS 2,923,627 2,559 4,663 5,469 6,632
INFANT DEATHS 26,158 2,252 3,595 2,373 1,413
INF. MORT. RATE 8.9 880.0 771.0 433.9 213.1
MALE
LIVE BIRTHS 1,500,551 1,258 2,420 2,878 3,411
INFANT DEATHS 14,978 1,111 1,980 1,433 877
INF. MORT. RATE 10.0 883.1 818.2 497.9 257.1
FEMALE
LIVE BIRTHS 1,423,076 1,301 2,243 2,591 3,221
INFANT DEATHS 11,180 1,141 1,615 940 536
INF. MORT. RATE 7.9 877.0 720.0 362.8 166.4
BLACK
BOTH SEXES
LIVE BIRTHS 592,760 1,786 2,949 3,198 3,339
INFANT DEATHS 10,630 1,573 2,110 1,105 509
INF. MORT. RATE 17.9 880.7 715.5 345.5 152.4
MALE
LIVE BIRTHS 300,979 898 1,451 1,639 1,675
INFANT DEATHS 5,804 791 1,118 666 301
INF. MORT. RATE 19.3 880.8 770.5 406.3 179.7
FEMALE
LIVE BIRTHS 291,781 888 1,498 1,559 1,664
INFANT DEATHS 4,826 782 992 439 208
INF. MORT. RATE 16.5 880.6 662.2 281.6 125.0
1 INCLUDES RACES OTHER THAN WHITE AND BLACK.
1250-1499 1500-1999 2000-2499 2500 GRAMS NOT
RACE OF CHILD AND SEX GRAMS GRAMS GRAMS OR MORE STATED
ALL RACES1
BOTH SEXES
LIVE BIRTHS 11,961 47,064 155,552 3,418,022 5,076
INFANT DEATHS 1,301 2,627 3,228 14,577 1,159
INF. MORT. RATE 108.8 55.8 20.8 4.3 228.3
MALE
LIVE BIRTHS 6,115 23,186 70,924 1,760,765 2,602
INFANT DEATHS 795 1,487 1,751 8,428 613
INF. MORT. RATE 130.0 64.1 24.7 4.8 235.6
FEMALE
LIVE BIRTHS 5,846 23,878 84,628 1,657,257 2,474
INFANT DEATHS 506 1,140 1,477 6,149 546
INF. MORT. RATE 86.6 47.7 17.5 3.7 220.7
WHITE
BOTH SEXES
LIVE BIRTHS 7,674 31,192 105,028 2,756,485 3,925
INFANT DEATHS 930 1,908 2,288 10,671 728
INF. MORT. RATE 121.2 61.2 21.8 3.9 185.5
MALE
LIVE BIRTHS 3,979 15,538 48,382 1,420,688 1,997
INFANT DEATHS 574 1,112 1,284 6,222 385
INF. MORT. RATE 144.3 71.6 26.5 4.4 192.8
FEMALE
LIVE BIRTHS 3,695 15,654 56,646 1,335,797 1,928
INFANT DEATHS 356 796 1,004 4,449 343
INF. MORT. RATE 96.3 50.8 17.7 3.3 177.9
BLACK
BOTH SEXES
LIVE BIRTHS 3,843 14,163 43,878 518,692 912
INFANT DEATHS 322 631 790 3,212 378
INF. MORT. RATE 83.8 44.6 18.0 6.2 414.5
MALE
LIVE BIRTHS 1,912 6,785 19,441 266,713 465
INFANT DEATHS 193 333 401 1,807 194
INF. MORT. RATE 100.9 49.1 20.6 6.8 417.2
FEMALE
LIVE BIRTHS 1,931 7,378 24,437 251,979 447
INFANT DEATHS 129 298 389 1,405 184
INF. MORT. RATE 66.8 40.4 15.9 5.6 411.6
1 INCLUDES RACES OTHER THAN WHITE AND BLACK.
3. Live Birth/Infant Death/Mort Rate by Birth Wt.,Race,Gest. Age
1984 DOCUMENTATION TABLE 3
LIVE BIRTHS, INFANT DEATHS, AND INFANT MORTALITY RATES
BY BIRTH WEIGHT, RACE OF CHILD, AND GESTATIONAL AGE: UNITED STATES
1984 BIRTH COHORT
(RATES ARE PER 1000 LIVE BIRTHS)
GESTATION
BIRTH WEIGHT AND RACE <28 28-31 32-35 36
OF CHILD TOTAL WEEKS WEEKS WEEKS WEEKS
ALL RACES1
TOTAL
LIVE BIRTHS 3,669,268 25,972 38,354 157,768 108,341
INFANT DEATHS 38,292 11,256 3,509 3,653 1,204
INF. MORT. RATE 10.4 433.4 91.5 23.2 11.1
LESS THAN 2,500 GRAMS
LIVE BIRTHS 246,170 19,532 25,505 65,817 21,788
INFANT DEATHS 22,556 10,545 3,238 2,677 592
INF. MORT. RATE 91.6 539.9 127.0 40.7 27.2
LESS THAN 500 GRAMS
LIVE BIRTHS 4,471 3,340 153 68 15
INFANT DEATHS 3,936 3,066 123 41 7
INF. MORT. RATE 880.3 918.0 803.9 602.9 466.7
500-749 GRAMS
LIVE BIRTHS 7,888 5,475 786 208 40
INFANT DEATHS 5,899 4,337 501 138 18
INF. MORT. RATE 747.8 792.1 637.4 663.5 450.0
750-999 GRAMS
LIVE BIRTHS 8,927 4,853 2,062 559 59
INFANT DEATHS 3,578 2,182 646 164 23
INF. MORT. RATE 400.8 449.6 313.3 293.4 389.8
1,000-1,249 GRAMS
LIVE BIRTHS 10,307 2,361 4,636 1,569 162
INFANT DEATHS 1,987 636 755 267 30
INF. MORT. RATE 192.8 269.4 162.9 170.2 185.2
1,250-1,499 GRAMS
LIVE BIRTHS 11,961 958 5,315 3,176 319
INFANT DEATHS 1,301 163 535 303 37
INF. MORT. RATE 108.8 170.1 100.7 95.4 116.0
1,500-1,999 GRAMS
LIVE BIRTHS 47,064 1,327 8,502 19,603 3,524
INFANT DEATHS 2,627 103 514 913 169
INF. MORT. RATE 55.8 77.6 60.5 46.6 48.0
GESTATION
BIRTH WEIGHT AND RACE <28 28-31 32-35 36
OF CHILD TOTAL WEEKS WEEKS WEEKS WEEKS
ALL RACES1 CONTINUED
2,000-2,499 GRAMS
LIVE BIRTHS 155,552 1,218 4,051 40,634 17,669
INFANT DEATHS 3,228 58 164 851 308
INF. MORT. RATE 20.8 47.6 40.5 20.9 17.4
2,500-2,999 GRAMS
LIVE BIRTHS 583,512 1,837 4,454 40,183 37,590
INFANT DEATHS 4,547 44 89 477 322
INF. MORT. RATE 7.8 24.0 20.0 11.9 8.6
3,000-3,499 GRAMS
LIVE BIRTHS 1,345,139 2,294 5,058 32,635 32,190
INFANT DEATHS 5,548 49 44 281 182
INF. MORT. RATE 4.1 21.4 8.7 8.6 5.7
3,500-3,999 GRAMS
LIVE BIRTHS 1,083,116 1,229 2,505 14,966 13,028
INFANT DEATHS 3,150 28 28 104 65
INF. MORT. RATE 2.9 22.8 11.2 6.9 5.0
4,000-4,499 GRAMS
LIVE BIRTHS 335,176 299 523 3,287 3,027
INFANT DEATHS 961 18 7 22 17
INF. MORT. RATE 2.9 60.2 13.7 6.7 5.6
4,500-4,999 GRAMS
LIVE BIRTHS 62,629 78 109 521 544
INFANT DEATHS 215 22 4 3 2
INF. MORT. RATE 3.4 282.1 36.7 5.8 3.7
5,000 GRAMS OR MORE
LIVE BIRTHS 8,450 96 20 94 77
INFANT DEATHS 156 63 4 7 2
INF. MORT. RATE 18.5 656.3 200.0 74.5 26.0
NOT STATED
LIVE BIRTHS 5,076 607 180 265 97
INFANT DEATHS 1,159 487 95 82 22
INF. MORT. RATE 228.3 802.3 527.8 309.4 226.8
GESTATION
BIRTH WEIGHT AND RACE 37-39 40 41 42 WEEKS NOT
OF CHILD WEEKS WEEKS WEEKS OR MORE STATED
ALL RACES1 CONTINUED
TOTAL
LIVE BIRTHS 1,319,030 785,108 546,353 530,692 157,650
INFANT DEATHS 6,856 3,004 2,296 2,917 3,597
INF. MORT. RATE 5.2 3.8 4.2 5.5 22.8
LESS THAN 2,500 GRAMS
LIVE BIRTHS 62,626 14,328 8,302 11,471 16,801
INFANT DEATHS 1,638 457 367 528 2,514
INF. MORT. RATE 26.2 31.9 44.2 46.0 149.6
LESS THAN 500 GRAMS
LIVE BIRTHS 72 38 58 42 685
INFANT DEATHS 27 11 37 19 605
INF. MORT. RATE 375.0 289.5 637.9 452.4 883.2
500-749 GRAMS
LIVE BIRTHS 166 93 65 117 938
INFANT DEATHS 55 36 29 56 729
INF. MORT. RATE 331.3 387.1 446.2 478.6 777.2
750-999 GRAMS
LIVE BIRTHS 189 107 74 104 920
INFANT DEATHS 72 25 24 34 408
INF. MORT. RATE 381.0 233.6 324.3 326.9 443.5
1,000-1,249 GRAMS
LIVE BIRTHS 331 112 90 148 898
INFANT DEATHS 44 20 17 22 196
INF. MORT. RATE 132.9 178.6 188.9 148.6 218.3
1,250-1,499 GRAMS
LIVE BIRTHS 738 148 110 201 996
INFANT DEATHS 91 14 20 23 115
INF. MORT. RATE 123.3 94.6 181.8 114.4 115.5
1,500-1,999 GRAMS
LIVE BIRTHS 7,100 1,286 890 1,416 3,416
INFANT DEATHS 405 91 71 121 240
INF. MORT. RATE 57.0 70.8 79.8 85.5 70.3
GESTATION
BIRTH WEIGHT AND RACE 37-39 40 41 42 WEEKS NOT
OF CHILD WEEKS WEEKS WEEKS OR MORE STATED
ALL RACES1 CONTINUED
2,000-2,499 GRAMS
LIVE BIRTHS 54,030 12,544 7,015 9,443 8,948
INFANT DEATHS 944 260 169 253 221
INF. MORT. RATE 17.5 20.7 24.1 26.8 24.7
2,500-2,999 GRAMS
LIVE BIRTHS 269,815 90,783 51,111 59,297 28,442
INFANT DEATHS 1,780 596 406 556 277
INF. MORT. RATE 6.6 6.6 7.9 9.4 9.7
3,000-3,499 GRAMS
LIVE BIRTHS 553,510 298,417 185,254 179,884 55,897
INFANT DEATHS 2,102 993 714 877 306
INF. MORT. RATE 3.8 3.3 3.9 4.9 5.5
3,500-3,999 GRAMS
LIVE BIRTHS 341,018 278,523 205,060 186,649 40,138
INFANT DEATHS 948 666 537 615 159
INF. MORT. RATE 2.8 2.4 2.6 3.3 4.0
4,000-4,499 GRAMS
LIVE BIRTHS 77,962 86,363 78,077 74,003 11,635
INFANT DEATHS 228 206 189 228 46
INF. MORT. RATE 2.9 2.4 2.4 3.1 4.0
4,500-4,999 GRAMS
LIVE BIRTHS 11,703 14,607 16,197 16,658 2,212
INFANT DEATHS 46 40 35 45 18
INF. MORT. RATE 3.9 2.7 2.2 2.7 8.1
5,000 GRAMS OR MORE
LIVE BIRTHS 1,597 1,697 2,067 2,440 362
INFANT DEATHS 11 10 18 22 19
INF. MORT. RATE 6.9 5.9 8.7 9.0 52.5
NOT STATED
LIVE BIRTHS 799 390 285 290 2,163
INFANT DEATHS 103 36 30 46 258
INF. MORT. RATE 128.9 92.3 105.3 158.6 119.3
GESTATION
BIRTH WEIGHT AND RACE < 28 28-31 32-35 36
OF CHILD TOTAL WEEKS WEEKS WEEKS WEEKS
WHITE
TOTAL
LIVE BIRTHS 2,923,627 15,066 23,545 104,986 77,487
INFANT DEATHS 26,158 6,933 2,392 2,519 869
INF. MORT. RATE 8.9 460.2 101.6 24.0 11.2
LESS THAN 2,500 GRAMS
LIVE BIRTHS 163,217 11,393 16,161 44,965 14,844
INFANT DEATHS 14,759 6,540 2,235 1,886 424
INF. MORT. RATE 90.4 574.0 138.3 41.9 28.6
LESS THAN 500 GRAMS
LIVE BIRTHS 2,559 1,923 79 40 9
INFANT DEATHS 2,252 1,779 66 24 4
INF. MORT. RATE 880.0 925.1 835.4 600.0 444.4
500-749 GRAMS
LIVE BIRTHS 4,663 3,263 460 111 20
INFANT DEATHS 3,595 2,658 317 77 9
INF. MORT. RATE 771.0 814.6 689.1 693.7 450.0
750-999 GRAMS
LIVE BIRTHS 5,469 2,994 1,238 365 25
INFANT DEATHS 2,373 1,463 422 114 15
INF. MORT. RATE 433.9 488.6 340.9 312.3 600.0
1,000-1,249 GRAMS
LIVE BIRTHS 6,632 1,484 2,998 1,039 119
INFANT DEATHS 1,413 438 545 195 21
INF. MORT. RATE 213.1 295.1 181.8 187.7 176.5
1,250-1,499 GRAMS
LIVE BIRTHS 7,674 507 3,511 2,065 212
INFANT DEATHS 930 114 395 214 30
INF. MORT. RATE 121.2 224.9 112.5 103.6 141.5
1,500-1,999 GRAMS
LIVE BIRTHS 31,192 627 5,676 13,132 2,347
INFANT DEATHS 1,908 57 380 650 131
INF. MORT. RATE 61.2 90.9 66.9 49.5 55.8
GESTATION
BIRTH WEIGHT AND RACE < 28 28-31 32-35 36
OF CHILD TOTAL WEEKS WEEKS WEEKS WEEKS
WHITE CONTINUED
2,000-2,499 GRAMS
LIVE BIRTHS 105,028 595 2,199 28,213 12,112
INFANT DEATHS 2,288 31 110 612 214
INF. MORT. RATE 21.8 52.1 50.0 21.7 17.7
2,500-2,999 GRAMS
LIVE BIRTHS 413,512 925 2,232 26,161 26,850
INFANT DEATHS 3,120 19 44 305 219
INF. MORT. RATE 7.5 20.5 19.7 11.7 8.2
3,000-3,499 GRAMS
LIVE BIRTHS 1,055,523 1,271 2,895 20,352 23,106
INFANT DEATHS 3,993 23 28 166 142
INF. MORT. RATE 3.8 18.1 9.7 8.2 6.1
3,500-3,999 GRAMS
LIVE BIRTHS 1,083,116 1,229 2,505 14,966 13,028
INFANT DEATHS 3,150 28 28 104 65
INF. MORT. RATE 2.9 22.8 11.2 6.9 5.0
4,000-4,499 GRAMS
LIVE BIRTHS 335,176 299 523 3,287 3,027
INFANT DEATHS 961 18 7 22 17
INF. MORT. RATE 2.9 60.2 13.4 6.7 5.6
4,500-4,999 GRAMS
LIVE BIRTHS 62,629 78 109 521 544
INFANT DEATHS 215 22 4 3 2
INF. MORT. RATE 3.4 282.1 36.7 5.8 3.7
5,000 GRAMS OR MORE
LIVE BIRTHS 8,450 96 20 94 77
INFANT DEATHS 156 63 4 7 2
INF. MORT. RATE 18.5 656.3 200.0 74.5 26.0
NOT STATED
LIVE BIRTHS 5,076 607 180 265 97
INFANT DEATHS 1,159 487 95 82 22
INF. MORT. RATE 228.3 802.3 527.8 309.4 226.8
GESTATION
BIRTH WEIGHT AND RACE 37-39 40 41 42 WEEKS NOT
OF CHILD WEEKS WEEKS WEEKS OR MORE STATED
WHITE CONTINUED
TOTAL
LIVE BIRTHS 1,028,531 651,003 463,577 438,702 120,730
INFANT DEATHS 4,922 2,220 1,772 2,203 2,328
INF. MORT. RATE 4.8 3.4 3.8 5.0 19.3
LESS THAN 2,500 GRAMS
LIVE BIRTHS 41,846 9,735 5,710 7,565 10,998
INFANT DEATHS 1,144 328 260 365 1,577
INF. MORT. RATE 27.3 33.7 45.5 48.2 143.4
LESS THAN 500 GRAMS
LIVE BIRTHS 43 25 32 26 382
INFANT DEATHS 15 4 17 11 332
INF. MORT. RATE 348.8 160.0 531.3 423.1 869.1
500-749 GRAMS
LIVE BIRTHS 101 49 39 75 545
INFANT DEATHS 29 20 14 30 441
INF. MORT. RATE 287.1 408.2 359.0 400.0 809.2
750-999 GRAMS
LIVE BIRTHS 115 59 40 63 570
INFANT DEATHS 47 15 13 22 262
INF. MORT. RATE 408.7 254.2 325.0 349.2 459.6
1,000-1,249 GRAMS
LIVE BIRTHS 210 66 64 84 568
INFANT DEATHS 33 11 15 15 140
INF. MORT. RATE 157.1 166.7 234.4 178.6 246.5
1,250-1,499 GRAMS
LIVE BIRTHS 440 104 80 125 630
INFANT DEATHS 57 11 19 17 73
INF. MORT. RATE 129.5 105.8 237.5 136.0 115.9
1,500-1,999 GRAMS
LIVE BIRTHS 4,713 854 580 966 2,297
INFANT DEATHS 297 67 57 88 181
INF. MORT. RATE 63.0 78.5 98.3 91.1 78.8
GESTATION
BIRTH WEIGHT AND RACE 37-39 40 41 42 WEEKS NOT
OF CHILD WEEKS WEEKS WEEKS OR MORE STATED
WHITE CONTINUED
2,000-2,499 GRAMS
LIVE BIRTHS 36,224 8,578 4,875 6,226 6,006
INFANT DEATHS 666 200 125 182 148
INF. MORT. RATE 18.4 23.3 25.6 29.2 24.6
2,500-2,999 GRAMS
LIVE BIRTHS 190,864 66,427 37,630 42,534 19,889
INFANT DEATHS 1,205 418 302 409 199
INF. MORT. RATE 6.3 6.3 8.0 9.6 10.0
3,000-3,499 GRAMS
LIVE BIRTHS 430,016 240,569 152,048 142,769 42,497
INFANT DEATHS 1,518 714 536 660 206
INF. MORT. RATE 3.5 3.0 3.5 4.6 4.8
3,500-3,999 GRAMS
LIVE BIRTHS 285,630 241,616 180,074 161,370 33,135
INFANT DEATHS 744 519 448 494 117
INF. MORT. RATE 2.6 2.1 2.5 3.1 3.5
4,000-4,499 GRAMS
LIVE BIRTHS 68,028 77,715 71,094 66,694 10,088
INFANT DEATHS 184 175 161 194 41
INF. MORT. RATE 2.7 2.3 2.3 2.9 4.1
4,500-4,999 GRAMS
LIVE BIRTHS 10,236 13,158 14,901 15,321 1,975
INFANT DEATHS 37 34 28 36 12
INF. MORT. RATE 3.6 2.6 1.9 2.3 6.1
5,000 GRAMS OR MORE
LIVE BIRTHS 1,306 1,479 1,890 2,216 307
INFANT DEATHS 10 8 16 16 11
INF. MORT. RATE 7.7 5.4 8.5 7.2 35.8
NOT STATED
LIVE BIRTHS 605 304 230 233 1,841
INFANT DEATHS 80 24 21 29 165
INF. MORT. RATE 132.2 78.9 91.3 124.5 89.6
GESTATION
BIRTH WEIGHT AND RACE < 28 28-31 32-35 36
OF CHILD TOTAL WEEKS WEEKS WEEKS WEEKS
BLACK
TOTAL
LIVE BIRTHS 592,760 10,117 13,354 45,905 26,251
INFANT DEATHS 10,630 3,990 998 986 279
INF. MORT. RATE 17.9 394.4 74.7 21.5 10.6
LESS THAN 2,500 GRAMS
LIVE BIRTHS 73,156 7,574 8,472 18,458 6,054
INFANT DEATHS 7,040 3,697 895 700 139
INF. MORT. RATE 96.2 488.1 105.6 37.9 23.0
LESS THAN 500 GRAMS
LIVE BIRTHS 1,786 1,330 70 25 6
INFANT DEATHS 1,573 1,203 54 14 3
INF. MORT. RATE 880.7 904.5 771.4 560.4 500.0
500-749 GRAMS
LIVE BIRTHS 2,949 2,051 298 83 20
INFANT DEATHS 2,110 1,547 167 54 9
INF. MORT. RATE 715.5 754.3 560.4 650.6 450.0
750-999 GRAMS
LIVE BIRTHS 3,198 1,725 762 185 33
INFANT DEATHS 1,105 661 202 49 8
INF. MORT. RATE 345.5 383.2 265.1 264.9 242.4
1,000-1,249 GRAMS
LIVE BIRTHS 3,339 799 1,499 484 35
INFANT DEATHS 509 176 186 64 8
INF. MORT. RATE 152.4 220.3 124.1 132.2 228.6
1,250-1,499 GRAMS
LIVE BIRTHS 3,843 422 1,625 1,007 95
INFANT DEATHS 322 45 118 81 6
INF. MORT. RATE 83.8 106.6 72.6 80.4 63.2
1,500-1,999 GRAMS
LIVE BIRTHS 14,163 653 2,540 5,772 1,040
INFANT DEATHS 631 41 124 233 31
INF. MORT. RATE 44.6 62.8 48.8 40.4 29.8
GESTATION
BIRTH WEIGHT AND RACE < 28 28-31 32-35 36
OF CHILD TOTAL WEEKS WEEKS WEEKS WEEKS
BLACK CONTINUED
2,000-2,499 GRAMS
LIVE BIRTHS 43,878 594 1,678 10,902 4,825
INFANT DEATHS 790 24 44 205 74
INF. MORT. RATE 18.0 40.4 26.2 18.8 15.3
2,500-2,999 GRAMS
LIVE BIRTHS 140,269 859 2,016 12,270 9,079
INFANT DEATHS 1,203 23 40 150 84
INF. MORT. RATE 8.6 26.8 19.8 12.2 9.3
3,000-3,499 GRAMS
LIVE BIRTHS 227,559 944 1,934 10,511 7,753
INFANT DEATHS 1,277 26 15 94 36
INF. MORT. RATE 5.6 27.5 7.8 8.9 4.6
3,500-3,999 GRAMS
LIVE BIRTHS 119,608 364 724 3,856 2,708
INFANT DEATHS 538 18 13 22 11
INF. MORT. RATE 4.5 49.5 18.0 5.7 4.1
4,000-4,499 GRAMS
LIVE BIRTHS 26,274 82 112 624 551
INFANT DEATHS 115 4 2 2 2
INF. MORT. RATE 4.4 48.8 17.9 3.2 3.6
4,500-4,999 GRAMS
LIVE BIRTHS 4,229 21 19 97 88
INFANT DEATHS 38 10 1 1 -
INF. MORT. RATE 9.0 476.2 52.6 10.3 -
5,000 GRAMS OR MORE
LIVE BIRTHS 753 27 11 25 6
INFANT DEATHS 41 19 3 2 -
INF. MORT. RATE 54.4 703.7 272.7 80.0 -
NOT STATED
LIVE BIRTHS 912 246 66 64 12
INFANT DEATHS 378 193 29 15 7
INF. MORT. RATE 414.5 784.6 439.4 234.4 583.3
GESTATION
BIRTH WEIGHT AND RACE 37-39 40 41 42 WEEKS NOT
OF CHILD WEEKS WEEKS WEEKS OR MORE STATED
BLACK CONTINUED
TOTAL
LIVE BIRTHS 230,912 103,751 64,059 73,656 24,755
INFANT DEATHS 1,607 662 436 582 1,090
INF. MORT. RATE 7.0 6.4 6.8 7.9 44.0
LESS THAN 2,500 GRAMS
LIVE BIRTHS 18,072 3,995 2,244 3,481 4,806
INFANT DEATHS 426 120 98 145 820
INF. MORT. RATE 23.6 30.0 43.7 41.7 170.6
LESS THAN 500 GRAMS
LIVE BIRTHS 24 12 23 14 282
INFANT DEATHS 11 6 20 7 255
INF. MORT. RATE 458.3 500.0 869.6 500.0 904.3
500-749 GRAMS
LIVE BIRTHS 52 35 22 35 353
INFANT DEATHS 23 16 15 23 256
INF. MORT. RATE 442.3 457.1 681.8 657.1 725.2
750-999 GRAMS
LIVE BIRTHS 67 40 31 39 316
INFANT DEATHS 24 9 11 12 129
INF. MORT. RATE 358.2 225.0 354.8 307.7 408.2
1,000-1,249 GRAMS
LIVE BIRTHS 111 43 24 57 287
INFANT DEATHS 10 8 2 7 48
INF. MORT. RATE 90.1 186.0 83.3 122.8 167.2
1,250-1,499 GRAMS
LIVE BIRTHS 265 43 23 66 297
INFANT DEATHS 30 3 1 5 33
INF. MORT. RATE 113.2 69.8 43.5 75.8 111.1
1,500-1,999 GRAMS
LIVE BIRTHS 2,151 391 272 406 938
INFANT DEATHS 92 23 10 28 49
INF. MORT. RATE 42.8 58.8 36.8 69.0 52.2
GESTATION
BIRTH WEIGHT AND RACE 37-39 40 41 42 WEEKS NOT
OF CHILD WEEKS WEEKS WEEKS OR MORE STATED
BLACK CONTINUED
2,000-2,499 GRAMS
LIVE BIRTHS 15,402 3,431 1,849 2,864 2,333
INFANT DEATHS 236 55 39 63 50
INF. MORT. RATE 15.3 16.0 21.1 22.0 21.4
2,500-2,999 GRAMS
LIVE BIRTHS 64,690 19,908 11,146 14,270 6,031
INFANT DEATHS 485 148 82 126 65
INF. MORT. RATE 7.5 7.4 7.4 8.8 10.8
3,000-3,499 GRAMS
LIVE BIRTHS 96,968 44,805 26,004 30,091 8,549
INFANT DEATHS 476 235 148 174 73
INF. MORT. RATE 4.9 5.2 5.7 5.8 8.5
3,500-3,999 GRAMS
LIVE BIRTHS 42,456 27,479 18,551 19,363 4,107
INFANT DEATHS 165 118 70 91 30
INF. MORT. RATE 3.9 4.3 3.8 4.7 7.3
4,000-4,499 GRAMS
LIVE BIRTHS 7,341 6,300 5,027 5,373 864
INFANT DEATHS 31 24 22 25 3
INF. MORT. RATE 4.2 3.8 4.4 4.7 3.5
4,500-4,999 GRAMS
LIVE BIRTHS 1,039 1,018 925 883 139
INFANT DEATHS 5 4 7 5 5
INF. MORT. RATE 4.8 3.9 7.6 5.7 36.0
5,000 GRAMS OR MORE
LIVE BIRTHS 198 178 129 151 28
INFANT DEATHS 1 2 2 4 8
INF. MORT. RATE 5.1 11.2 15.5 26.5 285.7
NOT STATED
LIVE BIRTHS 148 68 33 44 231
INFANT DEATHS 18 11 7 12 86
INF. MORT. RATE 121.6 161.8 212.1 272.7 372.3
1 INCLUDES RACES OTHER THAN WHITE AND BLACK.
4. Live Birth/Infant Death/Mort Rate by Birth Wt,Race,Age at Dea
1984 DOCUMENTATION TABLE 4
LIVE BIRTHS, INFANT DEATHS, AND INFANT MORTALITY RATES
BY BIRTH WEIGHT, RACE OF CHILD, AND AGE AT DEATH: UNITED STATES
1984 BIRTH COHORT
(INFANT DEATHS ARE UNDER 1 YEAR. NEONATAL DEATHS ARE UNDER 28 DAYS;
EARLY NEONATAL, 0-6 DAYS; LATE NEONATAL, 7-27 DAYS;
AND POSTNEONATAL, 28 DAYS THROUGH 11 MONTHS)
(RATES ARE PER 1000 LIVE BIRTHS)
BIRTH WEIGHT AND RACE LIVE INFANT TOTAL
OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1
TOTAL (ALL BIRTH WEIGHTS)...NUMBER.. 3,669,268 38,292 24,995
RATE.. 10.4 6.8
LESS THAN 2,500 GRAMS.......NUMBER.. 246,170 22,556 18,327
RATE.. 91.6 74.4
LESS THAN 500 GRAMS.......NUMBER.. 4,471 3,936 3,902
RATE.. 880.3 872.7
500-749 GRAMS.............NUMBER.. 7,888 5,899 5,472
RATE.. 747.8 693.7
750-999 GRAMS.............NUMBER.. 8,927 3,578 2,925
RATE.. 400.8 327.7
1,000-1,249 GRAMS.........NUMBER.. 10,307 1,987 1,497
RATE.. 192.8 145.2
1,250-1,499 GRAMS.........NUMBER.. 11,961 1,301 956
RATE.. 108.8 79.9
1,500-1,999 GRAMS.........NUMBER.. 47,064 2,627 1,769
RATE.. 55.8 37.6
2,000-2,499 GRAMS.........NUMBER.. 155,552 3,228 1,806
RATE.. 20.8 11.6
2,500-2,999 GRAMS...........NUMBER.. 583,512 4,547 1,837
RATE.. 7.8 3.1
3,000-3,499 GRAMS...........NUMBER.. 1,345,139 5,548 1,963
RATE.. 4.1 1.5
BIRTH WEIGHT AND RACE LIVE INFANT TOTAL
OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1 CONTINUED
3,500-3,999 GRAMS...........NUMBER.. 1,083,116 3,150 1,152
RATE.. 2.9 1.1
4,000-4,499 GRAMS...........NUMBER.. 335,176 961 400
RATE.. 2.9 1.2
4,500-4,999 GRAMS...........NUMBER.. 62,629 215 113
RATE.. 3.4 1.8
5,000 GRAMS OR MORE.........NUMBER.. 8,450 156 120
RATE.. 18.5 14.2
NOT STATED..................NUMBER.. 5,076 1,159 1,083
RATE.. 228.3 213.4
BIRTH WEIGHT AND RACE EARLY LATE POST
OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1 CONTINUED
TOTAL (ALL BIRTH WEIGHTS)...NUMBER.. 20,977 4,018 13,297
RATE.. 5.7 1.1 3.6
LESS THAN 2,500 GRAMS.......NUMBER.. 16,035 2,292 4,229
RATE.. 65.1 9.3 17.2
LESS THAN 500 GRAMS.......NUMBER.. 3,876 26 34
RATE.. 866.9 5.8 7.6
500-749 GRAMS.............NUMBER.. 5,055 417 427
RATE.. 640.8 52.9 54.1
750-999 GRAMS.............NUMBER.. 2,387 538 653
RATE.. 267.4 60.3 73.1
1,000-1,249 GRAMS.........NUMBER.. 1,144 353 490
RATE.. 111.0 34.2 47.5
1,250-1,499 GRAMS.........NUMBER.. 742 214 345
RATE.. 62.0 17.9 28.8
1,500-1,999 GRAMS.........NUMBER.. 1,443 326 858
RATE.. 30.7 6.9 18.2
2,000-2,499 GRAMS.........NUMBER.. 1,388 418 1,422
RATE.. 8.9 2.7 9.1
2,500-2,999 GRAMS...........NUMBER.. 1,283 554 2,710
RATE.. 2.2 .9 4.6
3,000-3,499 GRAMS...........NUMBER.. 1,346 617 3,585
RATE.. 1.0 .5 2.7
3,500-3,999 GRAMS...........NUMBER.. 794 358 1,998
RATE.. .7 .3 1.8
BIRTH WEIGHT AND RACE EARLY LATE POST
OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1 CONTINUED
4,000-4,499 GRAMS...........NUMBER.. 299 101 561
RATE.. .9 .3 1.7
4,500-4,999 GRAMS...........NUMBER.. 90 23 102
RATE.. 1.4 .4 1.6
5,000 GRAMS OR MORE.........NUMBER.. 103 17 36
RATE.. 12.2 2.0 4.3
NOT STATED..................NUMBER.. 1,027 56 76
RATE.. 202.3 11.0 15.0
BIRTH WEIGHT AND RACE LIVE INFANT TOTAL
OF CHILD BIRTHS DEATHS NEONATAL
WHITE
TOTAL (ALL BIRTH WEIGHTS)...NUMBER.. 2,923,627 26,158 17,178
RATE.. 8.9 5.9
LESS THAN 2,500 GRAMS.......NUMBER.. 163,217 14,759 12,233
RATE.. 90.4 74.9
LESS THAN 500 GRAMS.......NUMBER.. 2,559 2,252 2,235
RATE.. 880.0 873.4
500-749 GRAMS.............NUMBER.. 4,663 3,595 3,371
RATE.. 771.0 722.9
750-999 GRAMS.............NUMBER.. 5,469 2,373 2,035
RATE.. 433.9 372.1
1,000-1,249 GRAMS.........NUMBER.. 6,632 1,413 1,118
RATE.. 213.1 168.6
1,250-1,499 GRAMS.........NUMBER.. 7,674 930 711
RATE.. 121.2 92.7
1,500-1,999 GRAMS.........NUMBER.. 31,192 1,908 1,371
RATE.. 61.2 44.0
2,000-2,499 GRAMS.........NUMBER.. 105,028 2,288 1,392
RATE.. 21.8 13.3
2,500-2,999 GRAMS...........NUMBER.. 413,512 3,120 1,350
RATE.. 7.5 3.3
3,000-3,499 GRAMS...........NUMBER.. 1,055,523 3,993 1,505
RATE.. 3.8 1.4
3,500-3,999 GRAMS...........NUMBER.. 924,435 2,474 908
RATE.. 2.7 1.0
BIRTH WEIGHT AND RACE LIVE INFANT TOTAL
OF CHILD BIRTHS DEATHS NEONATAL
WHITE CONTINUED
4,000-4,499 GRAMS...........NUMBER.. 299,072 806 336
RATE.. 2.7 1.1
4,500-4,999 GRAMS...........NUMBER.. 56,538 165 81
RATE.. 2.9 1.4
5,000 GRAMS OR MORE.........NUMBER.. 7,405 113 86
RATE.. 15.3 11.6
NOT STATED..................NUMBER.. 3,925 728 679
RATE.. 185.5 173.0
BIRTH WEIGHT AND RACE EARLY LATE POST
OF CHILD NEONATAL NEONATAL NEONATAL
WHITE CONTINUED
TOTAL (ALL BIRTH WEIGHTS)...NUMBER.. 14,304 2,874 8,980
RATE.. 4.9 1.0 3.1
LESS THAN 2,500 GRAMS.......NUMBER.. 10,681 1,552 2,526
RATE.. 65.4 9.5 15.5
LESS THAN 500 GRAMS.......NUMBER.. 2,217 18 17
RATE.. 866.4 7.0 6.6
500-749 GRAMS.............NUMBER.. 3,130 241 224
RATE.. 671.2 51.7 48.0
750-999 GRAMS.............NUMBER.. 1,667 368 338
RATE.. 304.8 67.3 61.8
1,000-1,249 GRAMS.........NUMBER.. 876 242 295
RATE.. 132.1 36.5 44.5
1,250-1,499 GRAMS.........NUMBER.. 563 148 219
RATE.. 73.4 19.3 28.5
1,500-1,999 GRAMS.........NUMBER.. 1,138 233 537
RATE.. 36.5 7.5 17.2
2,000-2,499 GRAMS.........NUMBER.. 1,090 302 896
RATE.. 10.4 2.9 8.5
2,500-2,999 GRAMS...........NUMBER.. 953 397 1,770
RATE.. 2.3 1.0 4.3
3,000-3,499 GRAMS...........NUMBER.. 1,032 473 2,488
RATE.. 1.0 .4 2.4
3,500-3,999 GRAMS...........NUMBER.. 622 286 1,566
RATE.. .7 .3 1.7
BIRTH WEIGHT AND RACE EARLY LATE POST
OF CHILD NEONATAL NEONATAL NEONATAL
WHITE CONTINUED
4,000-4,499 GRAMS...........NUMBER.. 248 88 470
RATE.. .8 .3 1.6
4,500-4,999 GRAMS...........NUMBER.. 62 19 84
RATE.. 1.1 .3 1.5
5,000 GRAMS OR MORE.........NUMBER.. 71 15 27
RATE.. 9.6 2.0 3.6
NOT STATED..................NUMBER.. 635 44 49
RATE.. 161.8 11.2 12.5
BIRTH WEIGHT AND RACE LIVE INFANT TOTAL
OF CHILD BIRTHS DEATHS NEONATAL
BLACK
TOTAL (ALL BIRTH WEIGHTS)...NUMBER.. 592,760 10,630 6,927
RATE.. 17.9 11.7
LESS THAN 2,500 GRAMS.......NUMBER.. 73,156 7,040 5,490
RATE.. 96.2 75.0
LESS THAN 500 GRAMS.......NUMBER.. 1,786 1,573 1,557
RATE.. 880.7 871.8
500-749 GRAMS.............NUMBER.. 2,949 2,110 1,922
RATE.. 715.5 651.7
750-999 GRAMS.............NUMBER.. 3,198 1,105 809
RATE.. 345.5 253.0
1,000-1,249 GRAMS.........NUMBER.. 3,339 509 328
RATE.. 152.4 98.2
1,250-1,499 GRAMS.........NUMBER.. 3,843 322 207
RATE.. 83.8 53.9
1,500-1,999 GRAMS.........NUMBER.. 14,163 631 339
RATE.. 44.6 23.9
2,000-2,499 GRAMS.........NUMBER.. 43,878 790 328
RATE.. 18.0 7.5
2,500-2,999 GRAMS...........NUMBER.. 140,269 1,203 400
RATE.. 8.6 2.9
3,000-3,499 GRAMS...........NUMBER.. 227,559 1,277 371
RATE.. 5.6 1.6
3,500-3,999 GRAMS...........NUMBER.. 119,608 538 203
RATE.. 4.5 1.7
BIRTH WEIGHT AND RACE LIVE INFANT TOTAL
OF CHILD BIRTHS DEATHS NEONATAL
BLACK CONTINUED
4,000-4,499 GRAMS...........NUMBER.. 26,274 115 49
RATE.. 4.4 1.9
4,500-4,999 GRAMS...........NUMBER.. 4,229 38 26
RATE.. 9.0 6.1
5,000 GRAMS OR MORE.........NUMBER.. 753 41 34
RATE.. 54.4 45.2
NOT STATED..................NUMBER.. 912 378 354
RATE.. 414.5 388.2
BIRTH WEIGHT AND RACE EARLY LATE POST
OF CHILD NEONATAL NEONATAL NEONATAL
BLACK CONTINUED
TOTAL (ALL BIRTH WEIGHTS)...NUMBER.. 5,946 981 3,703
RATE.. 10.0 1.7 6.2
LESS THAN 2,500 GRAMS.......NUMBER.. 4,840 650 1,550
RATE.. 66.2 8.9 21.2
LESS THAN 500 GRAMS.......NUMBER.. 1,551 6 16
RATE.. 868.4 3.4 9.0
500-749 GRAMS.............NUMBER.. 1,759 163 188
RATE.. 596.5 55.3 63.8
750-999 GRAMS.............NUMBER.. 658 151 296
RATE.. 205.8 47.2 92.6
1,000-1,249 GRAMS.........NUMBER.. 230 98 181
RATE.. 68.9 29.4 54.2
1,250-1,499 GRAMS.........NUMBER.. 150 57 115
RATE.. 39.0 14.8 29.9
1,500-1,999 GRAMS.........NUMBER.. 259 80 292
RATE.. 18.3 5.6 20.6
2,000-2,499 GRAMS.........NUMBER.. 233 95 462
RATE.. 5.3 2.2 10.5
2,500-2,999 GRAMS...........NUMBER.. 272 128 803
RATE.. 1.9 .9 5.7
3,000-3,499 GRAMS...........NUMBER.. 251 120 906
RATE.. 1.1 .5 4.0
3,500-3,999 GRAMS...........NUMBER.. 144 59 335
RATE.. 1.2 .5 2.8
BIRTH WEIGHT AND RACE EARLY LATE POST
OF CHILD NEONATAL NEONATAL NEONATAL
BLACK CONTINUED
4,000-4,499 GRAMS...........NUMBER.. 39 10 66
RATE.. 1.5 .4 2.5
4,500-4,999 GRAMS...........NUMBER.. 23 3 12
RATE.. 5.4 .7 2.8
5,000 GRAMS OR MORE.........NUMBER.. 32 2 7
RATE.. 42.5 2.7 9.3
NOT STATED..................NUMBER.. 345 9 24
RATE.. 378.3 9.9 26.3
1 INCLUDES RACES OTHER THAN WHITE AND BLACK.
5. Live Birth/Infant Mort Rate for 10 Leading Causes Infant Deat
1984 DOCUMENTATION TABLE 5
LIVE BIRTHS BY BIRTH WEIGHT AND RACE OF CHILD AND INFANT DEATHS AND
INFANT MORTALITY RATES BY AGE AT DEATH, BIRTH WEIGHT, AND RACE OF CHILD
FOR 10 LEADING CAUSES OF INFANT DEATH: UNITED STATES, 1984 BIRTH COHORT
(INFANT DEATHS ARE UNDER 1 YEAR. NEONATAL DEATHS ARE UNDER 28 DAYS;
EARLY NEONATAL, 0-6 DAYS; LATE NEONATAL, 7-27 DAYS;
AND POSTNEONATAL, 28 DAYS THROUGH 11 MONTHS)
(RATES ARE PER 100,000 LIVE BIRTHS)
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1
ALL BIRTH WEIGHTS
... ALL CAUSES...................NUMBER.. 3,669,268 38,292 24,995
RATE.. 1,043.6 681.2
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 8,267 6,134
RATE.. 225.3 167.2
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 5,007 331
RATE.. 136.5 9.0
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 3,519 3,252
RATE.. 95.9 88.6
4 PREMATURITY (765)............NUMBER.. 3,174 3,142
RATE.. 86.5 85.6
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 1,373 1,354
RATE.. 37.4 36.9
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 1,144 1,073
RATE.. 31.2 29.2
7 ACCIDENTS (E800-E949)........NUMBER.. 806 63
RATE.. 22.0 1.7
8 INFECTIONS (771).............NUMBER.. 892 852
RATE.. 24.3 23.2
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 857 847
RATE.. 23.4 23.1
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1
ALL BIRTH WEIGHTS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 640 141
RATE.. 17.4 3.8
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 1,832 614
RATE.. 49.9 16.7
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1
ALL BIRTH WEIGHTS
(CONTINUED)
... ALL CAUSES...................NUMBER.. 20,977 4,018 13,297
RATE.. 571.7 109.5 362.4
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 4,994 1,140 2,133
RATE.. 136.1 31.1 58.1
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 37 294 4,676
RATE.. 1.0 8.0 127.4
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 2,735 517 267
RATE.. 74.5 14.1 7.3
4 PREMATURITY (765)............NUMBER.. 3,116 26 32
RATE.. 84.9 .7 .9
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 1,342 12 19
RATE.. 36.6 .3 .5
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 937 136 71
RATE.. 25.5 3.7 1.9
7 ACCIDENTS (E800-E949)........NUMBER.. 20 43 743
RATE.. .5 1.2 20.2
8 INFECTIONS (771).............NUMBER.. 562 290 40
RATE.. 15.3 7.9 1.1
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 825 22 10
RATE.. 22.5 .6 .3
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1
ALL BIRTH WEIGHTS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 72 69 499
RATE.. 2.0 1.9 13.6
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 378 236 1,218
RATE.. 10.3 6.4 33.2
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1
LESS THAN 2,500 GRAMS
... ALL CAUSES...................NUMBER.. 246,170 22,556 18,327
RATE.. 9,162.8 7,444.9
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 3,738 3,042
RATE.. 1,518.5 1,235.7
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 941 46
RATE.. 382.3 18.7
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 3,319 3,077
RATE.. 1,348.3 1,249.9
4 PREMATURITY (765)............NUMBER.. 2,865 2,839
RATE.. 1,163.8 1,153.3
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 1,221 1,208
RATE.. 496.0 490.7
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 633 608
RATE.. 257.1 247.0
7 ACCIDENTS (E800-E949)........NUMBER.. 133 17
RATE.. 54.0 6.9
8 INFECTIONS (771).............NUMBER.. 642 611
RATE.. 260.8 248.2
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 681 680
RATE.. 276.6 276.2
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1
LESS THAN 2,500 GRAMS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 242 63
RATE.. 98.3 25.6
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 821 361
RATE.. 333.5 146.6
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1
LESS THAN 2,500 GRAMS
(CONTINUED)
... ALL CAUSES...................NUMBER.. 16,035 2,292 4,229
RATE.. 6,513.8 931.1 1,717.9
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 2,643 399 696
RATE.. 1,073.6 162.1 282.7
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 5 41 895
RATE.. 2.0 16.7 363.6
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 2,584 493 242
RATE.. 1,049.7 200.3 98.3
4 PREMATURITY (765)............NUMBER.. 2,816 23 26
RATE.. 1,143.9 9.3 10.6
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 1,198 10 13
RATE.. 486.7 4.1 5.3
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 551 57 25
RATE.. 223.8 23.2 10.2
7 ACCIDENTS (E800-E949)........NUMBER.. 10 7 116
RATE.. 4.1 2.8 47.1
8 INFECTIONS (771).............NUMBER.. 405 206 31
RATE.. 164.5 83.7 12.6
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 668 12 1
RATE.. 271.4 4.9 .4
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1
LESS THAN 2,500 GRAMS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 38 25 179
RATE.. 15.4 10.2 72.7
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 226 135 460
RATE.. 91.8 54.8 186.9
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1 2,500 GRAMS OR MORE
... ALL CAUSES...................NUMBER.. 3,418,022 14,577 5,585
RATE.. 426.5 163.4
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 4,318 2,896
RATE.. 126.3 84.7
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 4,056 285
RATE.. 118.7 8.3
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 117 96
RATE.. 3.4 2.8
4 PREMATURITY (765)............NUMBER.. 79 73
RATE.. 2.3 2.1
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 40 34
RATE.. 1.2 1.0
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 442 400
RATE.. 12.9 11.7
7 ACCIDENTS (E800-E949)........NUMBER.. 668 44
RATE.. 19.5 1.3
8 INFECTIONS (771).............NUMBER.. 241 232
RATE.. 7.1 6.8
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 129 121
RATE.. 3.8 3.5
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1
2,500 GRAMS OR MORE
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 389 76
RATE.. 11.4 2.2
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 985 240
RATE.. 28.8 7.0
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1
2,500 GRAMS OR MORE
(CONTINUED)
... ALL CAUSES...................NUMBER.. 3,915 1,670 8,992
RATE.. 114.5 48.9 263.1
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 2,171 725 1,422
RATE.. 63.5 21.2 41.6
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 32 253 3,771
RATE.. .9 7.4 110.3
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 83 13 21
RATE.. 2.4 .4 .6
4 PREMATURITY (765)............NUMBER.. 70 3 6
RATE.. 2.0 .1 .2
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 32 2 6
RATE.. .9 .1 .2
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 326 74 42
RATE.. 9.5 2.2 1.2
7 ACCIDENTS (E800-E949)........NUMBER.. 8 36 624
RATE.. .2 1.1 18.3
8 INFECTIONS (771).............NUMBER.. 149 83 9
RATE.. 4.4 2.4 .3
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 112 9 8
RATE.. 3.3 .3 .2
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1
2,500 GRAMS OR MORE
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 33 43 313
RATE.. 1.0 1.3 9.2
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 143 097 745
RATE.. 4.2 2.8 21.8
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1
NOT STATED BIRTH WEIGHT
... ALL CAUSES...................NUMBER.. 5,076 1,159 1,083
RATE.. 22,832.9 21,335.7
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 211 196
RATE.. 4,156.8 3,861.3
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 10 -
RATE.. 197.0 -
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 83 79
RATE.. 1,635.1 1,556.3
4 PREMATURITY (765)............NUMBER.. 230 230
RATE.. 4,531.1 4,531.1
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 112 112
RATE.. 2,206.5 2,206.5
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 69 65
RATE.. 1,359.3 1,280.5
7 ACCIDENTS (E800-E949)........NUMBER.. 5 2
RATE.. 98.5 39.4
8 INFECTIONS (771).............NUMBER.. 9 9
RATE.. 177.3 177.3
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 47 46
RATE.. 925.9 906.2
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
ALL RACES1
NOT STATED BIRTH WEIGHT
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 9 2
RATE.. 177.3 39.4
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 26 13
RATE.. 512.2 256.1
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1
NOT STATED BIRTH WEIGHT
(CONTINUED)
... ALL CAUSES...................NUMBER.. 1,027 56 76
RATE.. 20,232.5 1,103.2 1,497.2
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 180 16 15
RATE.. 3,546.1 315.2 295.5
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. - - 10
RATE.. - - 197.0
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 68 11 4
RATE.. 1,339.6 216.7 78.8
4 PREMATURITY (765)............NUMBER.. 230 - -
RATE.. 4,531.1 - -
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 112 - -
RATE.. 2,206.5 - -
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 60 5 4
RATE.. 1,182.0 98.5 78.8
7 ACCIDENTS (E800-E949)........NUMBER.. 2 - 3
RATE.. 39.4 - 59.1
8 INFECTIONS (771).............NUMBER.. 8 1 -
RATE.. 157.6 19.7 -
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 45 1 1
RATE.. 886.5 19.7 19.7
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
ALL RACES1
NOT STATED BIRTH WEIGHT
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 1 1 7
RATE.. 19.7 19.7 137.9
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 9 4 13
RATE.. 177.3 78.8 256.1
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
WHITE
ALL BIRTH WEIGHTS
... ALL CAUSES...................NUMBER.. 2,923,627 26,158 17,178
RATE.. 894.7 587.6
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 6,546 4,910
RATE.. 223.9 167.9
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 3,420 215
RATE.. 117.0 7.4
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 2,508 2,338
RATE.. 85.8 80.0
4 PREMATURITY (765)............NUMBER.. 1,815 1,797
RATE.. 62.1 61.5
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 941 932
RATE.. 32.2 31.9
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 744 697
RATE.. 25.4 23.8
7 ACCIDENTS (E800-E949)........NUMBER.. 560 48
RATE.. 19.2 1.6
8 INFECTIONS (771).............NUMBER.. 625 601
RATE.. 21.4 20.6
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 616 610
RATE.. 21.1 20.9
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
WHITE
ALL BIRTH WEIGHTS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 394 91
RATE.. 13.5 3.1
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 1,201 427
RATE.. 41.1 14.6
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
WHITE
ALL BIRTH WEIGHTS
(CONTINUED)
... ALL CAUSES...................NUMBER.. 14,304 2,874 8,980
RATE.. 489.3 98.3 307.2
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 4,020 890 1,636
RATE.. 137.5 30.4 56.0
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 25 190 3,205
RATE.. .9 6.5 109.6
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 1,944 394 170
RATE.. 66.5 13.5 5.8
4 PREMATURITY (765)............NUMBER.. 1,782 15 18
RATE.. 61.0 .5 .6
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 924 8 9
RATE.. 31.6 .3 .3
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 605 92 47
RATE.. 20.7 3.1 1.6
7 ACCIDENTS (E800-E949)........NUMBER.. 13 35 512
RATE.. .4 1.2 17.5
8 INFECTIONS (771).............NUMBER.. 405 196 24
RATE.. 13.9 6.7 .8
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 595 15 6
RATE.. 20.4 .5 .2
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
WHITE
ALL BIRTH WEIGHTS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 51 40 303
RATE.. 1.7 1.4 10.4
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 255 172 774
RATE.. 8.7 5.9 26.5
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
WHITE
LESS THAN 2,500 GRAMS
... ALL CAUSES...................NUMBER.. 163,217 14,759 12,233
RATE.. 9,042.6 7,494.9
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 2,916 2,415
RATE.. 1,786.6 1,479.6
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 545 28
RATE.. 333.9 17.2
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 2,359 2,207
RATE.. 1,445.3 1,352.2
4 PREMATURITY (765)............NUMBER.. 1,654 1,638
RATE.. 1,013.4 1,003.6
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 845 839
RATE.. 517.7 514.0
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 381 363
RATE.. 233.4 222.4
7 ACCIDENTS (E800-E949)........NUMBER.. 78 10
RATE.. 47.8 6.1
8 INFECTIONS (771).............NUMBER.. 436 418
RATE.. 267.1 256.1
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 486 486
RATE.. 297.8 297.8
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
WHITE
LESS THAN 2,500 GRAMS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 132 37
RATE.. 80.9 22.7
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 496 247
RATE.. 303.9 151.3
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
WHITE
LESS THAN 2,500 GRAMS
(CONTINUED)
... ALL CAUSES...................NUMBER.. 10,681 1,552 2,526
RATE.. 6,544.0 950.9 1,547.6
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 2,125 290 501
RATE.. 1,301.9 177.7 307.0
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 4 24 517
RATE.. 2.5 14.7 316.8
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 1,832 375 152
RATE.. 1,122.4 229.8 93.1
4 PREMATURITY (765)............NUMBER.. 1,625 13 16
RATE.. 995.6 8.0 9.8
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 833 6 6
RATE.. 510.4 3.7 3.7
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 330 33 18
RATE.. 202.2 20.2 11.0
7 ACCIDENTS (E800-E949)........NUMBER.. 5 5 68
RATE.. 3.1 3.1 41.7
8 INFECTIONS (771).............NUMBER.. 290 128 18
RATE.. 177.7 78.4 11.0
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 478 8 -
RATE.. 292.9 4.9 -
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
WHITE
LESS THAN 2,500 GRAMS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 26 11 95
RATE.. 15.9 6.7 58.2
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 148 99 249
RATE.. 90.7 60.7 152.6
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
WHITE
2,500 GRAMS OR MORE
... ALL CAUSES...................NUMBER.. 2,756,485 10,671 4,266
RATE.. 387.1 154.8
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 3,459 2,335
RATE.. 125.5 84.7
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 2,867 187
RATE.. 104.0 6.8
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 92 77
RATE.. 3.3 2.8
4 PREMATURITY (765)............NUMBER.. 45 43
RATE.. 1.6 1.6
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 29 26
RATE.. 1.1 .9
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 326 299
RATE.. 11.8 10.8
7 ACCIDENTS (E800-E949)........NUMBER.. 479 36
RATE.. 17.4 1.3
8 INFECTIONS (771).............NUMBER.. 182 176
RATE.. 6.6 6.4
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 94 88
RATE.. 3.4 3.2
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
WHITE
2,500 GRAMS OR MORE
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 258 53
RATE.. 9.4 1.9
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 689 173
RATE.. 25.0 6.3
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
WHITE
2,500 GRAMS OR MORE
(CONTINUED)
... ALL CAUSES...................NUMBER.. 2,988 1,278 6,405
RATE.. 108.4 46.4 232.4
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 1,750 585 1,124
RATE.. 63.5 21.2 40.8
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 21 166 2,680
RATE.. .8 6.0 97.2
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 66 11 15
RATE.. 2.4 .4 .5
4 PREMATURITY (765)............NUMBER.. 41 2 2
RATE.. 1.5 .1 .1
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 24 2 3
RATE.. .9 .1 .1
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 243 56 27
RATE.. 8.8 2.0 1.0
7 ACCIDENTS (E800-E949)........NUMBER.. 6 30 443
RATE.. .2 1.1 16.1
8 INFECTIONS (771).............NUMBER.. 109 67 6
RATE.. 4.0 2.4 .2
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 82 6 6
RATE.. 3.0 .2 .2
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
WHITE
2,500 GRAMS OR MORE
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 25 28 205
RATE.. .9 1.0 7.4
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 102 71 516
RATE.. 3.7 2.6 18.7
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
WHITE
NOT STATED BIRTH WEIGHT
... ALL CAUSES...................NUMBER.. 3,925 728 679
RATE.. 18,547.8 17,299.4
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 171 160
RATE.. 4,356.7 4,076.4
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 8 -
RATE.. 203.8 -
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 57 54
RATE.. 1,452.2 1,375.8
4 PREMATURITY (765)............NUMBER.. 116 116
RATE.. 2,955.4 2,955.4
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 67 67
RATE.. 1,707.0 1,707.0
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 37 35
RATE.. 942.7 891.7
7 ACCIDENTS (E800-E949)........NUMBER.. 3 2
RATE.. 76.4 51.0
8 INFECTIONS (771).............NUMBER.. 7 7
RATE.. 178.3 178.3
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 36 36
RATE.. 917.2 917.2
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
WHITE
NOT STATED BIRTH WEIGHT
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 4 1
RATE.. 101.9 25.5
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 16 7
RATE.. 407.6 178.3
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
WHITE
NOT STATED BIRTH WEIGHT
(CONTINUED)
... ALL CAUSES...................NUMBER.. 635 44 49
RATE.. 16,178.3 1,121.0 1,248.4
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 145 15 11
RATE.. 3,694.3 382.2 280.3
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. - - 8
RATE.. - - 203.8
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 46 8 3
RATE.. 1,172.0 203.8 76.4
4 PREMATURITY (765)............NUMBER.. 116 - -
RATE.. 2,955.4 - -
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 67 - -
RATE.. 1,707.0 - -
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 32 3 2
RATE.. 815.3 76.4 51.0
7 ACCIDENTS (E800-E949)........NUMBER.. 2 - 1
RATE.. 51.0 - 25.5
8 INFECTIONS (771).............NUMBER.. 6 1 -
RATE.. 152.9 25.5 -
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 35 1 -
RATE.. 891.7 25.5 -
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
WHITE
NOT STATED BIRTH WEIGHT
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. - 1 3
RATE.. - 25.5 76.4
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 5 2 9
RATE.. 127.4 51.0 229.3
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
BLACK
ALL BIRTH WEIGHTS
... ALL CAUSES...................NUMBER.. 592,760 10,630 6,927
RATE.. 1,793.3 1,168.6
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 1,354 964
RATE.. 228.4 162.6
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 1,349 101
RATE.. 227.6 17.0
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 892 805
RATE.. 150.5 135.8
4 PREMATURITY (765)............NUMBER.. 1,264 1,253
RATE.. 213.2 211.4
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 388 381
RATE.. 65.5 64.3
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 349 328
RATE.. 58.9 55.3
7 ACCIDENTS (E800-E949)........NUMBER.. 200 14
RATE.. 33.7 2.4
8 INFECTIONS (771).............NUMBER.. 232 216
RATE.. 39.1 36.4
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 208 204
RATE.. 35.1 34.4
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
BLACK
ALL BIRTH WEIGHTS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 218 42
RATE.. 36.8 7.1
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 560 163
RATE.. 94.5 27.5
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
BLACK
ALL BIRTH WEIGHTS
(CONTINUED)
... ALL CAUSES...................NUMBER.. 5,946 981 3,703
RATE.. 1,003.1 165.5 624.7
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 761 203 390
RATE.. 128.4 34.2 65.8
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 9 92 1,248
RATE.. 1.5 15.5 210.5
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 704 101 87
RATE.. 118.8 17.0 14.7
4 PREMATURITY (765)............NUMBER.. 1,243 10 11
RATE.. 209.7 1.7 1.9
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 377 4 7
RATE.. 63.6 .7 1.2
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 292 36 21
RATE.. 49.3 6.1 3.5
7 ACCIDENTS (E800-E949)........NUMBER.. 7 7 186
RATE.. 1.2 1.2 31.4
8 INFECTIONS (771).............NUMBER.. 133 83 16
RATE.. 22.4 14.0 2.7
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 198 6 4
RATE.. 33.4 1.0 .7
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
BLACK
ALL BIRTH WEIGHTS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 19 23 176
RATE.. 3.2 3.9 29.7
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 113 50 397
RATE.. 19.1 8.4 67.0
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
BLACK
LESS THAN 2,500 GRAMS
... ALL CAUSES...................NUMBER.. 73,156 7,040 5,490
RATE.. 9,623.3 7,504.5
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 655 493
RATE.. 895.3 673.9
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 364 16
RATE.. 497.6 21.9
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 850 768
RATE.. 1,161.9 1,049.8
4 PREMATURITY (765)............NUMBER.. 1,126 1,117
RATE.. 1,539.2 1,526.9
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 340 335
RATE.. 464.8 457.9
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 234 227
RATE.. 319.9 310.3
7 ACCIDENTS (E800-E949)........NUMBER.. 48 6
RATE.. 65.6 8.2
8 INFECTIONS (771).............NUMBER.. 185 172
RATE.. 252.9 235.1
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 171 170
RATE.. 233.7 232.4
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
BLACK
LESS THAN 2,500 GRAMS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 103 24
RATE.. 140.8 32.8
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 295 100
RATE.. 403.2 136.7
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
BLACK
LESS THAN 2,500 GRAMS
(CONTINUED)
... ALL CAUSES...................NUMBER.. 4,840 650 1,550
RATE.. 6,616.0 888.5 2,118.8
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 400 93 162
RATE.. 546.8 127.1 221.4
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 1 15 348
RATE.. 1.4 20.5 475.7
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 670 98 82
RATE.. 915.9 134.0 112.1
4 PREMATURITY (765)............NUMBER.. 1,108 9 9
RATE.. 1,514.6 12.3 12.3
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 331 4 5
RATE.. 452.5 5.5 6.8
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 206 21 7
RATE.. 281.6 28.7 9.6
7 ACCIDENTS (E800-E949)........NUMBER.. 5 1 42
RATE.. 6.8 1.4 57.4
8 INFECTIONS (771).............NUMBER.. 101 71 13
RATE.. 138.1 97.1 17.8
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 166 4 1
RATE.. 226.9 5.5 1.4
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
BLACK
LESS THAN 2,500 GRAMS
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 12 12 79
RATE.. 16.4 16.4 108.0
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 72 28 195
RATE.. 98.4 38.3 266.6
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
BLACK
2,500 GRAMS OR MORE
... ALL CAUSES...................NUMBER.. 518,692 3,212 1,083
RATE.. 619.2 208.8
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 671 445
RATE.. 129.4 85.8
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 983 85
RATE.. 189.5 16.4
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 18 14
RATE.. 3.5 2.7
4 PREMATURITY (765)............NUMBER.. 31 29
RATE.. 6.0 5.6
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 10 8
RATE.. 1.9 1.5
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 92 80
RATE.. 17.7 15.4
7 ACCIDENTS (E800-E949)........NUMBER.. 150 8
RATE.. 28.9 1.5
8 INFECTIONS (771).............NUMBER.. 45 42
RATE.. 8.7 8.1
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 27 25
RATE.. 5.2 4.8
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
BLACK
2,500 GRAMS OR MORE
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 110 17
RATE.. 21.2 3.3
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 256 57
RATE.. 49.4 11.0
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
BLACK
2,500 GRAMS OR MORE
(CONTINUED)
... ALL CAUSES...................NUMBER.. 761 322 2,129
RATE.. 146.7 62.1 410.5
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 336 109 226
RATE.. 64.8 21.0 43.6
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 8 77 898
RATE.. 1.5 14.8 173.1
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 13 1 4
RATE.. 2.5 .2 .8
4 PREMATURITY (765)............NUMBER.. 28 1 2
RATE.. 5.4 .2 .4
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 8 - 2
RATE.. 1.5 - .4
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 66 14 12
RATE.. 12.7 2.7 2.3
7 ACCIDENTS (E800-E949)........NUMBER.. 2 6 142
RATE.. .4 1.2 27.4
8 INFECTIONS (771).............NUMBER.. 30 12 3
RATE.. 5.8 2.3 .6
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 23 2 2
RATE.. 4.4 .4 .4
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
BLACK
2,500 GRAMS OR MORE
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 6 11 93
RATE.. 1.2 2.1 17.9
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 37 20 199
RATE.. 7.1 3.9 38.4
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
BLACK
NOT STATED BIRTH WEIGHT
... ALL CAUSES...................NUMBER.. 912 378 354
RATE.. 41,447.4 38,815.8
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 28 26
RATE.. 3,070.2 2,850.9
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. 2 -
RATE.. 219.3 -
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 24 23
RATE.. 2,631.6 2,521.9
4 PREMATURITY (765)............NUMBER.. 107 107
RATE.. 11,732.5 11,732.5
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 38 38
RATE.. 4,166.7 4,166.7
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 23 21
RATE.. 2,521.9 2,302.6
7 ACCIDENTS (E800-E949)........NUMBER.. 2 -
RATE.. 219.3 -
8 INFECTIONS (771).............NUMBER.. 2 2
RATE.. 219.3 219.3
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 10 9
RATE.. 1,096.5 986.8
CAUSE OF DEATH, BIRTH WEIGHT, LIVE INFANT TOTAL
AND RACE OF CHILD BIRTHS DEATHS NEONATAL
BLACK
NOT STATED BIRTH WEIGHT
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 5 1
RATE.. 548.2 109.6
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 9 6
RATE.. 986.8 657.9
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
BLACK
NOT STATED BIRTH WEIGHT
(CONTINUED)
... ALL CAUSES...................NUMBER.. 345 9 24
RATE.. 37,828.9 986.8 2,631.6
1 CONGENITAL ANOMALIES
(740-759)....................NUMBER.. 25 1 2
RATE.. 2,741.2 109.6 219.3
2 SUDDEN INFANT DEATH
SYNDROME (798.0).............NUMBER.. - - 2
RATE.. - - 219.3
3 RESPIRATORY DISTRESS
SYNDROME (769)...............NUMBER.. 21 2 1
RATE.. 2,302.6 219.3 109.6
4 PREMATURITY (765)............NUMBER.. 107 - -
RATE.. 11,732.5 - -
5 MATERNAL COMPLICATIONS
(761)........................NUMBER.. 38 - -
RATE.. 4,166.7 - -
6 HYPOXIA AND ASPHYXIA (768)...NUMBER.. 20 1 2
RATE.. 2,193.0 109.6 219.3
7 ACCIDENTS (E800-E949)........NUMBER.. - - 2
RATE.. - - 219.3
8 INFECTIONS (771).............NUMBER.. 2 - -
RATE.. 219.3 - -
9 COMPLICATIONS OF
PLACENTA, ETC. (762).........NUMBER.. 9 - 1
RATE.. 986.8 - 109.6
CAUSE OF DEATH, BIRTH WEIGHT, EARLY LATE POST-
AND RACE OF CHILD NEONATAL NEONATAL NEONATAL
BLACK
NOT STATED BIRTH WEIGHT
(CONTINUED)
10 PNEUMONIA AND INFLUENZA
(480-487)....................NUMBER.. 1 - 4
RATE.. 109.6 - 438.6
... ALL OTHER CAUSES (RESIDUAL)..NUMBER.. 4 2 3
RATE.. 438.6 219.3 328.9
1 INCLUDES RACES OTHER THAN WHITE AND BLACK.
TECHNICAL APPENDIX, 1983-84 NATALITY FILES
Definition of Live Birth
Every product of conception that gives a sign of life after birth,
regardless of the length of the pregnancy, is considered a live birth. This
concept is included in the definition set forth by the World Health
Organization1 as follows:
Live birth is the complete expulsion of extraction from its mother
of a product of conception, irrespective of the duration of
pregnancy, which, after such separation, breathes or shows any
other evidence of life, such as beating of the heart, pulsation of
the umbilical cord, or definite movement of voluntary muscles,
whether or not the umbilical cord has been cut or the placenta is
attached; each product of such a birth is considered liveborn.
This definition distinguishes in precise terms a live birth from a fetal
death (see section on fetal deaths in the Technical Appendix of volume II of
this report). In the interest of comparable natality statistics, both the
Statistical Commission of the United Nations and the National Center for
Health Statistics have adopted this definition.2,3
History of Birth-Registration Area
The national birth-registration area was proposed in 1850 and
established in 1915. By 1933 all 48 States and the District of Columbia
were participating in the registration system. The organized territories of
Hawaii and Alaska were admitted in 1929 and 1950, respectively; data from
these areas were prepared separately until they became States--Alaska in
1959 and Hawaii in 1960. At present the birth-registration system of the
United States covers the 50 States, the District of Columbia, the
independent registration area of New York City, Puerto Rico, the U.S. Virgin
Islands, Guam, American Samoa, and the Trust Territory of the Pacific
Islands. However, in the statistical tabulations, "United States" refers
only to the aggregate of the 50 States (including New York City) and the
District of Columbia. Tabulations for Puerto Rico, the Virgin Islands, and
Guam are shown separately in section 3 of this volume.
The original birth-registration area of 1915 consisted of 10 States and
the District of Columbia. The growth of this area is indicated in table
4-1. This table also presents for each year through 1932 the estimated
midyear population of the United States and of those States included in the
registration system.
Because of the growth of the area for which data have been collected and
tabulated, a national series of geographically comparable data before 1933
can be obtained only by estimation. Annual estimates of births have been
prepared by P. K. Whelpton for the period 1909-344 (table 1-1). These
estimates include adjustments both for underregistration and for States that
were not part of the birth-registration area before 1933.
Sources of Data
Natality Statistics
Natality statistics for 19-3/4 are based on information from two sources.
Statistics for 46 States are based on the total file of records received on
computer data tapes coded by the States and provided to the National Center
for Health Statistics (NCHS) through the Vital Statistics Cooperative
Program. Statistics for the remaining States (Arizona, California,
Delaware, and Georgia) and the District of Columbia are based on information
obtained from a 50-percent sample of microfilm copies of all live-birth
certificates filed in these States. NCHS receives these tapes and microfilm
copies from the registration offices of each State, the District of
Columbia, and New York City.
Records from the Virgin Islands are received in the form of microfilm
copies of birth certificates; those from Guam are received as photocopies of
original birth certificates; and those from Puerto Rico are received as
computer tapes through the Vital Statistics Cooperative Program. Natality
data for 1983/4 for these areas are based on the total file of records.
Before 1977 Puerto Rican records were sampled on a 50-percent basis.
Information for previous years for these three areas is published in the
annual vital statistics reports of the Department of Health of the
Commonwealth of Puerto Rico, the Department of Public Health of the virgin
Islands, the Department of Public Health and Social Services of the
Government of Guam, and in selected Vital Statistics of the United States
annual reports.
When the microfilmed data are received from the various registration
offices, the information on the sampled microfilm records is coded onto
magnetic tape for the computer, which then edits all the taped records and
produces tabulations of natality statistics adjusted for sampling factors.
U.S. natality data are limited to births occurring within the United
States, including those occurring to U.S. residents and nonresidents.
Births to nonresidents of the United States are excluded from all
tabulations by place of residence beginning in 1970. (See "Classification
by occurrence and residence" for further discussion.) Births occurring to
U.S. citizens outside the United States are not included in any tabulations
in this report. Similarly the data for Puerto Rico, the Virgin Islands, and
Guam are limited to births registered in these areas.
Standard Certificate of Live Birth
The U.S. Standard Certificate of Live Birth, issued by the Public Health
Service, has served for many years as the principal means of attaining
uniformity in the content of the documents used to collect information on
births in the United States. It has been modified in each State to the
extent required by the particular State's needs or by special provisions of
the State's vital statistics law. However, most State certificates conform
closely in content to the standard certificate.
The first standard certificate of birth was developed in 1900. Since
then it has been revised periodically by the national vital statistics
agency through consultation with State health officers and registrars,
Federal agencies concerned with vital statistics; national, State, and
county medical societies; and other working in the fields of public health,
social welfare, demography, and insurance. This procedure has assured
careful evaluation of each item for its current and future usefulness for
legal, medical, demographic, and research purposes. New items have been
added when necessary, and old items have been modified to ensure better
reporting or, in some cases, dropped when their usefulness appeared to be
limited.
1978 revision -- Effective January 1, 1978, a revised U.S. Standard
Certificate of Live Birth replaced the 1968 revision. Changes on the 1978
standard certificate include a new item on 1- and 5-minute Apgar scores, the
deletion of the item on birth injuries, and revisions of the items on
legitimacy status and previous pregnancies.
The item on legitimacy status was changed to read "Is mother married?"
This is now a factual piece of information about the mother rather than an
attribute ascribed to the child, and the person completing the record does
not have the responsibility for making what may be a legal determination.
The item on previous deliveries was changed to pregnancy history and
expanded to include two categories of fetal loss, before and after 20
completed weeks of gestation. This change provides information on two
groups that are of interest in medical research and emphasizes the fact that
all previous fetal losses should be included, both spontaneous and induced,
regardless of length of gestation. For further discussion see individual
sections for each item.
Classification of Data
General Information
One of the principal values of vital statistics data is realized through
the presentation of rates that are computed by relating the vital events of
a class to the population of a similarly defined class. Vital statistics
and population statistics must therefore be classified according to
similarly defined systems and tabulated in comparable groups. Even when the
variables common to both, such as geographic area, age, race, and sex, have
been similarly classified and tabulated, differences between the enumeration
method of obtaining population data and the registration method of obtaining
vital statistics data may result in significant discrepancies.
The general rules used to classify geographic and personal items for
live births are set forth in "Vital Statistics Classification and Coding
Instructions for Live Birth Records, 1983," NCHS Instruction Manual, Part
3a. The classification of certain important items is discussed in the
following pages.
Classification by Occurrence and Residence
All but three tabulations for States and other areas within the United
States are by place of mother's residence. These three tabulations (1-49,
1-50, and 2-1) show births by place of occurrence. Births to U.S. residents
occurring outside this country are not reallocated to the United States. In
tabulations by place of residence, births occurring within the United States
to U.S. citizens and to resident aliens are allocated to the usual place of
residence of the mother in the United States as reported on the birth
certificate. Beginning in 1970, births to nonresidents of the United States
occurring in the United States are excluded from these tabulations. From
1966 to 1969, births occurring in the United States to mothers who were
nonresidents of the United States were considered as births to residents of
the exact place of occurrence; in 1964 and 1965 all such births were
allocated to "balance of county" of occurrence even if the birth had
occurred in a city.
The change in coding beginning in 1970 to exclude births to nonresidents
of the United States from residence data significantly affects the
comparability of data with years before 1970 only for Texas. In 1983 births
to residents of Mexico constituted 84.7 percent of the 3,888 nonresident
births in the United States. No evaluation of the effect of the change in
procedure between 1965 and 1966 has been made.
For the total United States the tabulations by place of residence and by
place of occurrence are not identical. Births to nonresidents of the United
States are included in data by place of occurrence but excluded from data by
place of residence, as previously indicated.
Residence error--A nationwide test of birth-registration completeness in
1950 provided measures of residence error for natality statistics.
According to this test, errors in residence reporting for the country as a
whole tend to overstate the number of births to residents of urban areas and
to understate the number of births to residents of other areas. This
tendency has assumed special importance because of a concomitant
development--the increased utilization of hospitals in cities by residents
of nearby places--with the result that a number of births are erroneously
reported as having occurred to residents of urban areas. Another factor
that contributes to this overstatement of urban births is the customary
procedure of using "city" addresses for persons living outside the city
limits.
Incomplete residence--Beginning in 1973 where only the State of
residence is reported with no city or county specified, and the State named
is different from the State of occurrence, the birth is allocated to the
largest city of the State of residence. Before 1973 such births were
allocated to the exact place of occurrence.
Geographic Classification
The rules followed in the classification of geographic areas for live
births are contained in the instruction manual mentioned previously. The
geographic code structure for 1983 is given in another manual, "Vital
Records Geographic Classification, 1982."
United States--In the statistical tabulations, "United States" refers
only to the aggregate of the 50 States and the District of Columbia. Alaska
has been included in the U.S. tabulations since 1959 and Hawaii since 1960.
Standard metropolitan statistical areas--The standard metropolitan
statistical areas (SMSA's) used in this report are those established by the
U.S. Office of Management and Budget from final 1980 census population
counts5 and used by the U.S. Bureau of the Census except in the New England
States.
Except in the New England States, an SMSA is a county or a group of
contiguous counties containing either a city of 50,000 inhabitants or more
or an urbanized area of 50,000 with a total metropolitan population of at
least 100,000. In addition to the county or counties containing such a city
or urbanized area, contiguous counties are included in an SMSA if, according
to specified criteria, they are essentially metropolitan in character and
are socially and economically integrated with the central city or urbanized
area.6
In the New England States the U.S. Office of Management and Budget uses
towns and cities rather than counties as geographic components of SMSA's.
The National Center for Health Statistics cannot, however, use the SMSA
classification for these States because its data are not coded to identify
all towns. Instead, the New England County Metropolitan Areas (NECMA's) are
used. These areas are established by the U.S. Office of Management and
Budget and are made up of county units.6,7
Metropolitan and nonmetropolitan counties--Independent cities and
counties included in SMSA's or NECMA's are included in data for metropolitan
counties; all other counties are classified as nonmetropolitan.
Population-size groups--Beginning in 1982 vital statistics data for
cities and certain other urban places are classified according to the
population enumerated in the 1980 Census of Population. Data are available
for individual cities and other urban places of 10,000 or more population.
Data for the remaining areas not separately identified are shown in the
tables under the heading "Balance of area" or "Balance of county."
Classification of areas for the years 1970-81 was determined by the
population enumerated in the 1970 Census of Population. As a result of
changes in the enumerated population between 1970 and 1980, some urban
places identified in previous reports are no longer included, and a number
of other urban places have been added.
Urban places other than incorporated cities for which vital statistics
data are shown in this report include the following:
* Each town in New England, New York, and Wisconsin and each township
in Michigan, New Jersey, and Pennsylvania that had no incorporated
municipality as a subdivision and had either 25,000 inhabitants or
more or a population of 10,000 to 25,000 and a density of 1,000
persons or more per square mile.
* Each county in States other than those indicated above that had no
incorporated municipality within its boundary and had a density of
1,000 persons or more per square mile. (Arlington County, Virginia,
is the only county classified as urban under this rule.)
* Each place in Hawaii with 10,000 or more population, as there are no
incorporated cities in the State.
Race or National Origin
The race or national origin shown in a tabulation is that of the newborn
child. Classification of the Child's race or national origin for
statistical purposes is based on the race or national origin of the
parents. The categories are "White," "Black," "American Indian," "Chinese,"
"Japanese," "Hawaiian," "Filipino," "Other Asian or Pacific Islander," and
"Other." Before 1978 the category "Other Asian or Pacific Islander" was not
identified separately but included with "Other" races. The separation of
this category allows identification of the category "Asian or Pacific
Islander" with Chinese, Japanese, Hawaiian, and Filipino.
If the parents are of different races or national origins, the following
rules are used to assign race or national origin to the newborn child. When
only one parent is white, the child is assigned the other parent's race or
national origin. When neither parent is white, the child is assigned the
father's race or national origin with one exception; if the mother is
Hawaiian or part-Hawaiian, the child is assigned to Hawaiian. If race is
missing for one parent, the child is assigned the race of the parent for
whom race is given. When information on race is missing for both parents,
the race of the child is considered not stated and the birth is allocated
according to rules discussed in the section "Race or national origin not
stated."
White--The category "White" comprises births reported as white, and
births where race is reported as Hispanic. Before 1964, all births for
which race or national origin was not stated were classified as white.
Beginning in 1964 changes in the procedures for allocating race when race or
national origin is not stated have changed the composition of this
category. (See discussion on "Race or national origin not stated.")
All other--The category "All Other" comprises black, American Indian,
Chinese, Japanese, Hawaiian and part-Hawaiian, Filipino, other Asian or
Pacific Islander including Asian Indian, and "Other." Aleuts and Eskimos
are included in "American Indian."
If the race or naional origin of an Asian parent is ill-defined or not
clearly identifiable with one of the categories used in the classification
(for example, if "Oriental" is entered), an attempt is made to determine the
specific race from the entry for place of birth. If the birthplace is
China, Japan, or the Philippines, the parent's race is assigned to that
category. When race cannot be determined from birthplace, it is assigned to
the category "Other Asian or Pacific Islander."
Race or national origin not stated--The race of a child is considered
not stated in those cases in which information for both parents is missing.
Before 1964 all such cases were tabulated as white. From 1964 through 1968
the race of the child was allocated by the computer as follows. If the race
on the preceding record were white the assignment was to white; otherwise
the assignment was to black. Beginning in 1969 the race of the child has
been allocated electronically according to the specific race of the child on
the preceding record. Consequently, some of the not-stated frequencies that
had previously been assigned to the black category may now be assigned to
one of the other race or national origin categories.
Nearly all statistics by race or national origin for the United States
as a whole in 1962 and 1963 are affected by a lack of information for New
Jersey, which did not report parents' race in those years. Birth rates by
race for those years are computed on a population base that excludes New
Jersey. (For the method of estimating the U.S. population by age, sex, and
race excluding New Jersey in 1962 and 1963, see Vital Statistics of the
United States, 1963, Volume I, page 4-8). Estimates of births to unmarried
mothers by race for the United States, which include special estimates for
New Jersey for 1962 and 1963, have been prepared and are shown in table
1-31.)
Interracial parentage--The number of births for each racial or national
origin group classified according to the child's race by the preceding rules
differs from the number of births if classification were by the mother's
race because of interracial parentage. For white and black births, the
differences are relatively small. In 1983 there were 1.4 percent more white
mothers than there were births classified as white and 4.0 percent fewer
black mothers than births classified as black. The number of mothers of
other racial and national origin groups was considerably lower than the
number of births classified according to the child's race; American Indian,
20.6 percent; Chinese, 8.4 percent; Japanese, 17.3 percent; Hawaiian, 31.0
percent; Filipino, 6.9 percent; Other Asian and Pacific Islander, 6.4
percent; and Other, 24.3 percent.
Age of Mother
The birth certificate asks for "Age (at time of this birth)." The age
of the mother is edited for upper and lower limits. When mothers are
reported to be under 10 years of age or 50 years and over, the age of the
mother is considered not stated and is assigned as described below.
Age-specific birth rates shown in this report are based on populations
of women by age, which are prepared by the U.S. Bureau of the Census. In
census years the decennial census counts are used. In intercensal years,
estimates of the population by women by age are published by the U.S. Bureau
of the Census in Current Population Reports.
The 1980 Census of Population derived age in completed years as of April
1, 1980, from the responses to questions on age at last birthday and month
and year of birth, with the latter given preference. In the 1960 and the
1970 Census of Population, age was also derived from month and year of
birth. "Age in completed years" was asked in censuses before 1960. This
was nearly the equivalent of the birth certificate question, which the 1950
test of matched birth and census records confirms by showing a high degree
of consistency in the reporting of age in these two sources.8
Median age of mother--Median age is the value that divides an age
distribution into two equal parts, one-half of the values being less and
one-half being greater. Median ages of mothers for 1960 to the present have
been computed from birth rates for 5-year age groups rather than from birth
frequencies. This method eliminates the effects of changes in the age
composition of the childbearing population over time. Changes in the median
ages from year to year can thus be attributed solely to changes in the
age-specific birth rates.
Not stated age of mother--Beginning in 1964 birth records with age of
mother not stated have been allocated according to the age appearing on the
record previously processed for a mother of identical race and having the
same total-birth order (total of fetal deaths and live births). In 1963
birth records with age not stated were allocated according to the age
appearing on the record previously processed for a mother of identical race
and parity (number of live births). For 1960-62, not stated and unknown
ages were distributed in proportion to the known ages for each racial
group. Before 1960 this was done for age-specific birth rates but not for
the birth frequency tables, which showed a separate category for age not
stated.
Age of Father
Age of father is coded as stated on the birth certificate. If the age
is under 10 years, it is considered not stated and grouped with those cases
for which age is not stated on the certificate. Information on father's age
is often missing on birth certificates of children born to unwed mothers,
greatly inflating the number of "not stated" in all tabulations by age of
father. In computing birth rates by age of father, births tabulated as age
of father not stated are distributed in the same proportions as births with
known age within each 5-year age classification of the mother. This
procedure is done separately by race. The resulting distributions are
summed to form a composite frequency distribution which is the basis for
computing birth rates by age of father. This procedure avoids the
distortion in rates that would result if the relationship between age of
mother and age of father were disregarded.
Live-Birth Order and Parity
Birth order and parity classifications shown in this volume refer to the
total number of live births the mother has had including the 1983 birth.
Fetal deaths are excluded.
Birth order indicates what number the present birth represents; for
example, a baby born to a mother who has had two previous live births (even
if one or both are not now living) has a birth order of three.
Parity indicates how many live births a mother has had. Before delivery
a mother having her first baby has a parity of zero and a mother having her
third baby has a parity of two. After delivery the mother of a baby who is
a first live birth has a parity of one and the mother of a baby who is a
third live birth has a parity of three.
Birth order and parity are determined from two items on the birth
certificate, "Live births--now living" and "Live Births--now dead."
Not stated birth order--Before 1969 if both of these items were blank,
the birth was considered a first birth. Beginning in 1969, births for which
the pregnancy history items were not completed have been tabulated as birth
order not stated. As a result of this revised procedure, 22,686 births in
1969 that would have been assigned to the "First birth order" category under
the old rules were assigned to the "Not Stated" category.
All births tabulated in the "Not stated birth order" category are
excluded from the computation of percents. In computing birth rates by
live-birth order, births tabulated as birth order not stated are distributed
in the same proportion as births of known live-birth order.
Dates of Last Live Birth and Last Fetal Death
Date of last live birth and date of last fetal death were added to the
U.S. Standard Certificate of Live Birth in 1968 for the purpose of providing
information on child spacing and pregnancy intervals. Tabulations of these
items were presented for the first time in 1969. In 1978 the item "Date of
last fetal death" was reworded to "Date of last other termination" to ensure
inclusion of both spontaneous fetal deaths and induced terminations of
pregnancy. In 1983 this information was obtained from all States except
Texas.
Intervals since last live birth and last other termination--These data
are computed from the date of birth, date of last live birth, and date of
last other termination. The interval since last live birth is the
difference between the date of last live birth and the date of present
birth; the interval since last other termination is the difference between
the date of last other termination and the date of present birth. For an
interval to be computed, both the month and year of the last live birth or
the last other termination must be valid. These intervals are computed only
for events to mothers who have had at least one previous delivery.
Births for which the interval since last birth or last other termination
is not stated are excluded from the computation of percents and means.
Interval since last pregnancy and outcome of last pregnancy--These data
are derived from the computed intervals since the last live birth and the
last other termination.
Before 1982, the outcome of the last pregnancy was considered not stated
if the interval since either the last live birth or the last fetal death was
not computed because only the year of the event was recorded. Beginning in
1982, the outcome of the last pregnancy was derived for such records if the
year of the last live birth and the year of the last fetal death were not
the same. The effect of this revised procedure is to reduce substantially
the number of records with outcome of last pregnancy not stated.
In addition, for such records, the interval since the termination of the
last pregnancy was determined if both the month and year were reported for
the event immediately preceding the current live birth. Before 1982, the
interval since the termination of the last pregnancy was considered not
stated for such births.
Births for which the interval since last pregnancy is not stated are
excluded from the computation of percents and means.
Zero interval--An interval of zero months since the last live birth or
fetal death indicates the second born of a set of twins, the second or third
born of a set of twins, the second or third born of a set of triplets, and
so forth. Births with an interval of zero months are excluded from the
computation of mean intervals.
Educational Attainment
Data on the educational attainment of both parents were collected
beginning in 1968 and tabulated for publication in 1969 for the first time.
In 1983, data on education were obtained from 47 States and the District of
Columbia, as indicated in table A.
The educational attainment of either parent is defined as "the number of
years of school completed." Only those years completed in "regular"
schools, that is, a formal educational system of public schools or the
equivalent in accredited private or parochial schools, are counted.
Business or trade schools, such as beauty and barber schools, are not
considered "regular" schools for the purposes of this item. No attempt has
been made to convert years of school completed in foreign school systems,
ungraded school systems, and so forth, to equivalent grades in the American
school system. Such entries are included in the category "Not stated."
Persons who have completed only a partial year in high school or college
are tabulated as having completed the highest preceding grade. For those
certificates on which a specific degree is stated, years of school completed
is coded to the level at which the degree is most commonly attained; for
example, persons reporting B.A., A.B., or B.S. degrees are considered to
have completed 16 years of school.
Education not stated--The category "Not stated" includes all records in
reporting areas for which there is no information on years of school
completed as well as all records for which the information provided is not
compatible with coding specifications.
Births tabulated as education not stated are excluded from the
computations of percents.
Marital Status
Beginning with 1980 data, national estimates of births to unmarried
women are derived from two sources. For 41 States and the District of
Columbia marital status of the mother was reported directly on the birth
certificate in 1983 (see table A); for the remaining 9 States that lack this
item, marital status was inferred from a comparison of the child's and
parents' surnames. This procedure represents a substantial departure from
the previous method used to prepare national estimates, which assumed that
the incidence of births to unmarried women in States with no direct question
on marital status was the same as the incidence in reporting States in the
same geographic division. Ratios of births to unmarried women were computed
by race for the reporting States in each geographic division, applied to all
births in the division, and then summed to obtain national estimates by
race. The figures by race were summed to yield the totals for the United
States.
The new method attempts to use related information on the birth
certificate to improve the quality of national data on this topic, as well
as to provide data for the individual nonreporting States. Beginning in
1980, a birth in a nonreporting State is classified as occurring to a
married woman if the parents' surnames are the same or if the child's and
father's surnames are the same and the mother's current surname cannot be
obtained from the informant item of the birth certificate. A birth is
classified as occurring to an unmarried woman if the father's name is
missing, if the parents' surnames are different, or if the father's and
child's surnames are different and the mother's current surname is missing.
No adjustments are made during the data processing for errors in the
reporting of marital status on the birth records of the 41 reporting States
and the District of Columbia because the extent of this reporting problem is
unknown. When marital status is not stated on the birth certificate of a
reporting area, the mother is considered married.
When out-of-wedlock births are reported as second or higher order
births, it is not known whether the mother's previous deliveries occurred
out of wedlock, because her marital status at the time of these earlier
births is not available from the birth record.
Rates for 1940 and 1950 are based on decennial cnsus counts. In this
volume, rates for 1955-83 are based on a smoothed series of population
estimates.9 Because of sampling error, the original Bureau of the Census
population estimates fluctuate erratically from year to year; therefore,
they have been smoothed so that the rates do not show similar variations.
The rates shown in this volume differ from those published in issues of
Vital Statistics of the United States before 1969, which were based on the
original estimates provided annually by the Bureau of the Census. Birth
rates by marital status for 1971-79 have been revised and differ from rates
published before 1980 in issues of Vital Statistics of the United States
(see "Computation of Rates and Other Measures").
Table A. Areas reporting selected items on the live-birth certificate:
Each State, 1982
Date last
normal
Dates of menstrual Number
Educational last live period of
attainment birth and began prenatal
of parents fetal death (LMP) visits
Alabama X X X X
Alaska X X X X
Arizona X X X X
Arkansas X X X X
California X X
Colorado X X X X
Connecticut X X X X
Delaware X X X X
District of Columbia X X X X
Florida X X X X
Georgia X X X X
Hawaii X X X X
Idaho X X X X
Illinois X X X X
Indiana X X X X
Iowa X X X X
Kansas X X X X
Kentucky X X X X
Louisiana X X X X
Maine X X X X
Maryland X X X X
Massachusetts X X X X
Michigan X X X X
Minnesota X X X X
Mississippi X X X X
Missouri X X X X
Montana X X X X
Nebraska X X X X
Nevada X X X X
New Hampshire X X X X
New Jersey X X X X
New Mexico X X X
New York X X X X
North Carolina X X X X
North Dakota X X X X
Ohio X X X X
Oklahoma X X X X
Oregon X X X X
Pennsylvania X X X X
Rhode Island X X X X
South Carolina X X X X
South Dakota X X X X
Tennessee X X X X
Texas X X
Utah X X X X
Vermont X X X X
Virginia X X X X
Washington X X X
West Virginia X X X X
Wisconsin X X X X
Wyoming X X X X
Marital
status 1-Minute 5-Minute
of Apgar Apgar Ethnic Hispanic
mother score score origin origin
Alabama X X X
Alaska X X X
Arizona X X X X
Arkansas X X X X
California X
Colorado X X X X
Connecticut X X
Delaware X
District of Columbia X X X X
Florida X X X X
Georgia X X X X
Hawaii X X X X
Idaho X X X
Illinois X X X X
Indiana X X X X
Iowa X X X
Kansas X X X X
Kentucky X X X
Louisiana X X X
Maine X X X X
Maryland X X
Massachusetts X X X
Michigan X X
Minnesota X X X
Mississippi X X X X
Missouri X X X
Montana X X
Nebraska X X X X
Nevada X X X
New Hampshire X X X
New Jersey X X X X
New Mexico X X X X
New York X X X1 X2
North Carolina X X X
North Dakota X X X X
Ohio X X X
Oklahoma X
Oregon X X X
Pennsylvania X X X
Rhode Island X X X
South Carolina X X X
South Dakota X X X
Tennessee X X X X
Texas X
Utah X X X X
Vermont X X X
Virginia X X X
Washington X X X
West Virginia X X X
Wisconsin X X X
Wyoming X X X X
1New York City only.
2Excludes New York City.
Date last
normal
Dates of menstrual Number
Educational last live period of
attainment birth and began prenatal
of parents fetal death (LMP) visits
Alabama X X X X
Alaska X X X X
Arizona X X X X
Arkansas X X X X
California X X
Colorado X X X X
Connecticut X X X X
Delaware X X X X
District of Columbia X X X X
Florida X X X X
Georgia X X X X
Hawaii X X X X
Idaho X X X X
Illinois X X X X
Indiana X X X X
Iowa X X X X
Kansas X X X X
Kentucky X X X X
Louisiana X X X X
Maine X X X X
Maryland X X X X
Massachusetts X X X X
Michigan X X X X
Minnesota X X X X
Mississippi X X X X
Missouri X X X X
Montana X X X X
Nebraska X X X X
Nevada X X X X
New Hampshire X X X X
New Jersey X X X X
New Mexico X X X
New York X X X X
North Carolina X X X X
North Dakota X X X X
Ohio X X X X
Oklahoma X X X X
Oregon X X X X
Pennsylvania X X X X
Rhode Island X X X X
South Carolina X X X X
South Dakota X X X X
Tennessee X X X X
Texas X X
Utah X X X X
Vermont X X X X
Virginia X X X X
Washington X X X
West Virginia X X X X
Wisconsin X X X X
Wyoming X X X X
Marital
status 1-Minute 5-Minute
of Apgar Apgar Ethnic Hispanic
mother score score origin origin
Alabama X X X
Alaska X X X
Arizona X X X X
Arkansas X X X X
California X
Colorado X X X X
Connecticut X X
Delaware X
District of Columbia X X X X
Florida X X X X
Georgia X X X X
Hawaii X X X X
Idaho X X X
Illinois X X X X
Indiana X X X X
Iowa X X X
Kansas X X X X
Kentucky X X X
Louisiana X X X
Maine X X X X
Maryland X X
Massachusetts X X X
Michigan X X
Minnesota X X X
Mississippi X X X X
Missouri X X X
Montana X X
Nebraska X X X X
Nevada X X X
New Hampshire X X X
New Jersey X X X X
New Mexico X X X X
New York X X X1 X2
North Carolina X X X
North Dakota X X X X
Ohio X X X
Oklahoma X
Oregon X X X
Pennsylvania X X X
Rhode Island X X X
South Carolina X X X
South Dakota X X X
Tennessee X X X X
Texas X
Utah X X X X
Vermont X X X
Virginia X X X
Washington X X X
West Virginia X X X
Wisconsin X X X
Wyoming X X X X
1 New York City only.
2 Excludes New York City.
Place of Delivery and Attendant at Birth
Births occurring in hospitals, institutions, clinics, centers, or homes
are included in the category "In hospital." In this context the word
"homes" does not refer to the mother's residence but to an institution such
as a home for unwed mothers. Beginning in 1975, the attendant at birth and
place of delivery items were coded independently, primarily to permit the
identification of the person in attendance at hospital deliveries. Tables
1-37 and 1-38 of this report present this more detailed information for the
years 1975-83.
Data shown in this volume for the "In hospital" category for the years
1975-83 include all births in clinics or maternity centers, regardless of
the attendant. Data for 1975-77 published before 1980 included clinic and
center births in the category "In hospital" only when the attendant was a
physician. Data shown for 1975-77 in tables 1-37 and 1-38 therefore differ
from data published before 1980. As a result of this change, for 1975 an
additional 12,352 births are now classified as occurring in hospitals,
raising the percent of births occurring in hospitals from 98.7 to 99.1.
Similarly, for 1976 the number of births occurring in hospitals is increased
by 14,133 and the percent in hospitals raised from 98.6 to 99.1; for 1977,
the increase is 15,937 and the percent in hospitals raised from 98.5 to
99.0. For 1974 and earlier, the "In hospital" category includes all births
in hospitals or institutions and births in clinics, centers, or maternity
homes only when attended by physicians.
For births occurring outside of hospitals, separate classifications are
shown for physicians, midwives, and "Other" attendants. The
"Out-of-hospital" category also includes births for which no information is
reported on place of birth. Before 1975, the category "In hospital"
included births for which the stated place of birth was a doctor's office"
and delivery was by a physician. Beginning in 1975, births that were
delivered by physicians in a "doctor's office" were tabulated as "Not in
hospital" and included with births delivered by physicians in this
category. Although the actual number of such births is unknown, the effect
of the change is minimal. In 1974, 0.3 percent of all births were delivered
by physicians outside of hospitals; in 1975 this proportion was 0.4 percent.
Babies born on the way to or on arrival at the hospital was classified
as having been born in the hospital. This may account for some of the
hospital births not delivered by physicians or midwives.
The percent distributions by attendant at birth for 1975-81 shown in
table 1-38 have been revised to exclude births for which the attendant was
unspecified. In recent years, the number of births with unspecified
attendant has fluctuated substantially. Excluding these births from the
percent distributions allows for a more meaningful year-to-year comparison
in the proportion of births for each specified attendant.
Birth Weight
Birth weight is reported in some areas in pounds and ounces rather than
in grams. However, the metric system has been used in tabulating and
presenting the statistics to facilitate comparison with data published by
other groups.
The categories for birth weight were changed in 1979 to be consistent
with the recommendations in the Ninth Revision of the International
Classification of Diseases (ICD-9). The revised categories in gram
intervals and their equivalents in pounds and ounces are as follows:
Less than 500 grams = 1 lb 1 oz or less
500- 999 grams = 1 lb 2 oz- 2 lb 3 oz
1,000-1,499 grams = 2 lb 4 oz- 3 lb 4 oz
1,500-1,999 grams = 3 lb 5 oz- 4 lb 6 oz
2,000-2,499 grams = 4 lb 7 oz- 5 lb 8 oz
2,500-2,999 grams = 5 lb 9 oz- 6 lb 9 oz
3,000-3,499 grams = 6 lb 10 oz- 7 lb 11 oz
3,500-3,999 grams = 7 lb 12 oz- 8 lb 13 oz
4,000-4,499 grams = 8 lb 14 oz- 9 lb 14 oz
4,500-4,999 grams = 9 lb 15 oz- 11 lb 0 oz
5,000 grams or more = 11 lb 1 oz or more
The ICD-9 defines low birth weight as less than 2,500 grams. This is a
shift of 1 gram from the previous criterion of 2,500 grams or less, which
was recommended by the American Academy of Pediatrics in 1935 and adopted by
the World Health Organization in the Sixth Revision of the International
Lists of Diseases and Causes of Death (1948).
After data classified by pounds and ounces are converted to grams,
median weights are computed and rounded before publication. To establish
the continuity of class intervals needed to convert pounds and ounces to
grams, the end points of these intervals are assumed to be half an ounce
less at the lower end and half an ounce more at the upper end. For example,
2 lb 4 oz-3 lb 4 oz is interpreted as 2 lb 3 1/2 oz-3 lb 4 1/2 oz.
Births for which birth weight is not reported are excluded from the
computation of percents and medians.
Period of Gestation
The period of gestation is defined as beginning with the first day of
the last normal menstrual period (LMP) and ending with the day of the
birth. The LMP is used as the initial date as it can be more accurately
determined than the date of conception, which usually occurs 2 weeks after
the LMP.
For 1983 the computation of period of gestation is based entirely on LMP
data from the 49 States and the District of Columbia reporting LMP;
gestation data for New Mexico, which reports period of gestation in terms of
weeks or months, are excluded from the tabulations in this report.
Births occurring before 37 weeks of gestation are considered to be
"preterm" or "premature" for purposes of classification. At 37-41 weeks
gestation, births are considered to be "term," and at 42 weeks and over,
"post term." These distinctions are according to the ICD-9 definitions.
Before 1981, the period of gestation was computed only when there was a
valid month, day, and year of LMP. However, length of gestation could not
be determined from a substantial number of live birth certificates each year
because the day of LMP was missing. Beginning in 1981 weeks of gestation
have been imputed for records with missing day of LMP when there is a valid
month and year. Each such record is assigned the gestational period in
weeks of the preceding record that has a complete LMP date with the same
computed months of gestation and the same 500-gram birth weight interval.
The effect of the imputation procedure is to increase slightly the
proportion of premature births and to lower the proportion of births at 39,
40, 41, and 42 weeks of gestation. A more complete discussion of this
procedure and its implications is presented in a previous report.10
The calculated period of gestation in completed weeks is edited for
upper and lower limits. If the interval between date of last normal
menstrual period and date of birth is 16 weeks or less, or 53 weeks or more,
the period of gestation is considered not stated.
Because of post-conception bleeding or menstrual irregularities, the
presumed date of LMP may be in error. In these instances the computed
gestational period may be longer or shorter than the true gestational
period, but the extent of such errors is unknown.
Month of Pregnancy Prenatal Care Began
For those records in which the name of the month is entered for this
item, instead of first, second, third, and so forth, the month of pregnancy
in which prenatal care began is determined from the month named and the
month last normal menses began. For these births, if the item "Date last
normal menses began" is not on the certificate or is not stated, the month
of pregnancy in which prenatal care began is tabulated as not stated.
Number of Prenatal Visits
Tabulations of the number of prenatal visits were presented for the
first time in 1972. In 1983 these data were collected from the birth
certificate of 49 States and the District of Columbia (see table A).
Apgar Score
One-and 5-minute Apgar scores were added to the U.S. Standard
Certificate of Live Birth in 1978 to evaluate the condition of the newborn
infant at 1 and 5 minutes after birth. The Apgar score is a useful measure
of the need for resuscitation and a predictor of the infant's chances of
surviving the first year of life. It is a summary measure of the infant's
condition based on heart rate, respiratory effort, muscle tone, reflex
irritability, and color. Each of these factors is given a score of 0, 1, or
2; the sum of these 5 values is the Apgar score, which ranges from 0 to 10.
A score of 10 is optimum, and a low score raises some doubts about the
survival and subsequent health of the infant. In 1983 the 1- and 5-minute
Apgar scores were included on the birth certificates of 46 States and the
District of Columbia. See table A for a listing of reporting areas.
Hispanic Parentage
Concurrent with the 1978 revision of the U.S. Standard Certificate of
Live Birth, NCHS recommended that States add items to identify the Hispanic
or ethnic origin of the newborn's parents. Two formats were used: An
open-ended item to obtain the specific origin or descent of each parent, for
example, Italian, Mexican, or English; and an item directed toward the
Hispanic population, requesting only the specific Hispanic origin (Mexican,
Puerto Rican, Cuban, and so forth). In 1983 items requesting Hispanic or
ethnic origin were included on the birth certificates of 23 States and the
District of Columbia (see table A).
Quality of Data
General Information
Although vital statistics data are useful for a variety of
administrative and scientific purposes, they cannot be correctly interpreted
unless various qualifying factors and methods of classification are taken
into account. The factors to be considered depend on the specific purposes
for which the data are to be used. It is not feasible to discuss all the
pertinent factors in the use of vital statistics tabulations, but some of
the more important ones should be mentioned.
Most of the factors limiting the use of data arise from imperfections in
the original records or from the impracticability of tabulating these data
in very detailed categories. These limitations should not be ignored, but
their existence does not vitiate the value of the data for most general
purposes.
Completeness of Registration
An estimated 99.3 percent of all births occurring in the United States
in 1983 were registered; for white births registration was 99.4 percent
complete and for all other births, 98.6 percent complete. These estimates
are based on the results of the 1964-68 test of birth registration
completeness according to place of delivery (in or out of hospital) and race
and on the 1983 proportions of births in these categories. The primary
purpose of the test was to obtain current measures of registration
completeness for births in and out of hospital by race on a national basis.
Data for States were not available as they had been from the previous
birth-registration tests in 1940 and 1950. A detailed discussion of the
method and results of the 1964-68 birth registration test is available.11
The 1964-68 test has provided an opportunity to revise the estimates of
birth-registration completeness for the years since the previous test in
1950 to reflect the improvement in registration. This has been done using
registration completeness figures from the two tests by place of delivery
and race. Estimates of registration completeness for four groups (based on
place of delivery and race) for 1951-65 were computed by interpolation
between the test results. (It was assumed that the data from the more
recent test are for 1966, the midpoint of the test period.) The results of
the 1964-68 test are assumed to prevail for 1966 and later years. These
estimates were used with the proportions of births registered in these
categories to obtain revised numbers of births adjusted for
underregistration for each year. The overall percent of birth-registration
completeness by race was then computed. The figures for 1951-68 shown in
table 1-21 differ slightly from those shown in annual reports for years
prior to 1969.
Dated adjusted for underregistration for 1951-59 shown in tables 1-1,
1-3, 1-4, 1-6, and 1-8 have been revised to be consistent with the 1964-68
test results and differ slightly from data shown in annual reports for years
before 1969. For these years the published number of births and birth rates
for both racial groups have been revised slightly downward because the
1964-68 test indicated that previous adjustments to registered births were
slightly inflated. Because registration completeness figures by age of
mother and by live-birth order are not available from the 1964-68 test, it
must be assumed that the relationships among these variables have not
changed since 1950.
Discontinuation of adjustment for underregistration, 1960--Adjustment
for underregistration of births was discontinued in 1960, when birth
registration for the United States was estimated to be 99.1 percent
complete. This removed a bias introduced into age-specific rates when
adjusted births classified by age were used. Age-specific rates are
calculated by dividing the number of births to an age group of mothers by
the population of women in that age group. Tests have shown that population
figures are likely to be understated through census undercounts; these
errors compensate for underregistration of births. Adjustment for
underregistration of births, therefore, reoved the compensating effect of
underenumeration, biasing the age-specific rates more than when uncorrected
birth and population data are used. (For further details see Vital
Statistics of the United States, 1963, Volume I, page 4-11.)
The age-specific rates used in the cohort fertility tables (tables 1-12
through 1-19) are an exception to the above statement. These rates are
computed from births corrected for underregistration and population
estimates adjusted for underenumeration and misstatement of age. Adjusted
births and population estimates are used for the cohort rates because they
are an integral part of a series of rates, estimated with a consistent
methodology. It was considered desirable to maintain consistency with
respect to the cohort rates, even though it means that they will not be
precisely comparable with other rates shown for 5-year age groups.
Quality Control Procedures
Natality data coded by NCHS are simultaneously coded and entered onto
magnetic tape for input to the computer. Errors are controlled by an
independent replication of the original coding by verification clerks and by
resolution of any discrepancies. Original coding entries are subject to
total verification except for work by coders who maintain an error rate of
2.5 percent or less. For these qualified coders the original coding is
verified on the basis of a 10-percent sample of the coded natality records
until the allowable rate is exceeded. Then their coding is verified on a
100-percent basis until it requalifies for sample verification. Errors
detected by any method of verification are reviewed to determine coding bias.
States in the Vital Statistics Cooperative Program are required to have
an error rate of less than 2.0 percent fo each item for 3 consecutive data
months during the initial qualifying period. Once a State is qualified,
NCHS monitors the quality of data received through independent verification
of a sample of records to ensure that the item error rate is not more than
approximately 4 percent. In addition, there is verification at the State
level before NCHS is sent the data.
After completion of coding, counts of the taped records are balanced
against control totals for each shipment of records from a registration
area. Impossible codes are eliminated during the editing processes on the
computer and corrected on the basis of reference to the source record or
adjusted by arbitrary code assignment. All subsequent operations involved
in tabulation and table preparation are verified during the computer
processing or by statistical clerks.
Small Frequencies
The numbers of births reported for an area represent complete counts
except for those States where data are based on a 50-percent sample. As
such, they are not subject to sampling error, although they are subject to
errors in the registration process. However, when the figures are used for
analytical purposes, such as the comparison of rates over a time period or
for different areas, the number of events that actually occurred may be
considered as one of a large series of possible results that could have
arisen under the same circumstances. The probable range of values may be
estimated from the actual figures according to certain statistical
assumptions.
In general, distributions of vital evnts may be assumed to follow the
binomial distribution. Estimates of standard errors and tests of
significance under this assumption are described in most standard statistic
tests. When the number of events is large, the standard error, expressed as
a percent of the number or rate, is usually small.
When the number of events is small (perhaps less than 100) and the
probability of such an event is small, considerable caution must be observed
in interpreting the conditions described by the figures. Events of rare
nature may be assumed to follow a Poisson probability distribution. For
this distribution, a simple approximation may be used to estimate the error
as follows:
If N is the number of birthsa and R is the corresponding rate, the
changes are 19 in 20 that:
aFor States for which birth data are based on a 50-percent sample of births,
N should be taken as one-half of the number of births given in the tables.
1. The "true" number of events lies between
N - 2 N and N + 2 N
2. The "true" rate lies between
R R
R - 2 and R + 2
N N
If the rate R corresponding to N events is compared with the rate S
corresponding to M events, the difference between the two rates may be
regarded as statistically significant if it exceeds
R2 S2
2 +
N M
For example, suppose that the observed birth rate for area A was 15.0
per 1,000 population and that this rate was based on 50 recorded births.
Given prevailing conditions, the chances are 19 in 20 that the "true" or
underlying birth rate for that area lies between 10.8 and 19.2 per 1,000
population. Let it be further supposed that the birth rate for area A of
15.0 per 1,000 population is being compared with a rate of 20.0 per 1,000
population for area B, which is based on 40 recorded births.
Although the difference between the rates for the two areas is 5.0, this
difference is less than twice the standard error of the difference
(15.0)2 (20.0)2
2 +
50 40
of the two rates that is computed to be 7.6. From this, it is concluded
that the difference between the rates for the two areas is not statistically
significant.
Sampling of Birth Records
Birth statistics presented in this report for years before 1951 and for
1955 are based on the total file of birth records. Statistics for 1951-54,
1956-66, and 1968-71 are based on 50-percent samples with the exception of
data for Guam and the Virgin Islands, which are based on all the records
filed. During the course of processing the 1967 data, the sampling rate was
reduced from 50 percent to 20 percent. For details of this procedure and
its consequences for the 1967 data, see Vital Statistics of the United
States, 1967, Volume I, pages 3-9 to 3-11.
Beginning in 1972 statistics are based on all records filed in the
States submitting computer tapes and on a 50-percent sample of records in
all other States. In 1983 the total file of birth records was used for 46
States (see "Sources of Data"), which accounted for 84 percent of all births
in the country. The total file of records was also used for Puerto Rico,
the Virgin Islands, and Guam.
In the four States (Arizona, California, Delaware, and Georgia) and the
District of Columbia where a sample was used, the sampling design is
essentially a stratified random sample. The sampling frame consists of
births that occur in the State during a calendar year and that are
rerecorded by State registrars of vital statistics. Each month the birth
certificates that have been filed during the month are sent by local
registrars to the State registrars, where the records are numbered
sequentially as they are received. Therefore, the records for each local
registration area, usually a county, are numbered sequentially, and births
in the total file for each State are grouped by month of filing and county
of occurrence. Microfilm copies of the birth records filed in the State are
forwarded to the National Center for Health Statistics, where even-numbered
records are selected for the 50-percent sampling rate.
Reliability of Estimates
There is no sampling error in the total number of births occurring in a
State, whether the total file or a 50-percent sample is used.
Characteristics such as race and month of birth when shown by place of
occurrence are subject to sampling error only for the sampled States. All
data by place of residence, for all States, are subject to sampling error.
Sampling error is the difference between an estimate based on a sample
and the true value (assuming there is no measurement error). As calculated
for this report the standard error reflects this error as well as random
measurement errors that may have been made in data collection and
processing. However, it does not include any systematic biases in the
data. The chances are about 2 out of 3 that the difference between the
estimate and the value that would have been obtained from all births is less
than 1 standard error. The chances are about 19 out of 20 that the
difference is less than twice the standard error and about 99 out of 100
that it is less than 2 1/2 times as large.
The approximate standard errors for 1983 for total births in an area and
for numbers of births with a specific characteristic can be obtained using
table B in conjunction with table C. To use table B, both the total number
of births in the area and the estimated number of births with a specific
characteristic must be known. For estimated births with a specified
characteristic other than geographic area, the appropriate "Total births in
the area" in table B is the number in the relevant area--for example, city,
county, State, or United States. When the specified characteristic is a
substate geographic area, the number of births in the State is used as the
"Total births in the area." Linear interpolation may be used to obtain
standard errors for estimated numbers of births not shown in table B. After
the standard error is determined from table B, it is multiplied by the
appropriate factor from table C. If the multiplier is zero ("-"), then
there is no standard error. For substate geographic areas, the multiplier
shown for the State should be used.
For example, consider an estimate of 10,000 births to women with a
particular characteristic residing in Oregon, which has a total of 39,977
births to residents. Table B shows that the standard error for an estimate
of 10,000 births is 70.7 for an area having 20,000 total births and 89.4 for
an area having 50,000 total births. Linear interpolation yields a value of
83.2 for the appropriate standard error for an area having 39,977 births.
According to table C, the multiplier for resident births for Oregon is
0.28. Hence, the standard error for the estimate of 10,000 births to women
with a particular characteristic residing in Oregon is approximately 23.3 =
(83.2)(0.28).
The multiplier in table C for a nonsampled State is based on the
estimated proportion of births to that State's residents occurring in
adjacent sampled States. When the multiplier is zero ("-"), there are no
adjacent sampled States. The proportion of births to that State's residents
occurring in nonadjacent sampled States is small, with only a negligible
effect on the standard error.
Table B. Standard errors of estimated births for specified size of
estimate and total births in the area
(Standard errors shown must be used in conjunction with
multipliers in table C. See text.)
Number of Births With a Total Births in the Area (B)
Specified Characteristic(X)1 250 500 1,000 2,000 5,000
10 ------------------------------ 3.1 3.1 3.1 3.2 3.2
20 ------------------------------ 4.3 4.4 4.4 4.5 4.5
30 ------------------------------ 5.2 5.3 5.4 5.4 5.5
50 ------------------------------ 6.4 6.7 6.9 7.0 7.0
125 ----------------------------- 7.9 9.7 10.5 10.8 11.0
250 ----------------------------- 0.0 11.2 13.7 14.8 15.4
500 ----------------------------- - 0.0 15.8 19.4 21.2
1,000 --------------------------- - - 0.0 22.4 28.3
2,500 --------------------------- - - - 0.0 35.4
5,000 --------------------------- - - - - 0.0
10,000 -------------------------- - - - - -
25,000 -------------------------- - - - - -
50,000 -------------------------- - - - - -
100,000 ------------------------- - - - - -
250,000 ------------------------- - - - - -
500,000 ------------------------- - - - - -
1,000,000 ----------------------- - - - - -
2,000,000 ----------------------- - - - - -
3,000,000 ----------------------- - - - - -
(Standard errors shown must be used in conjunction with
multipliers in table C. See text.)
Number of Births
With a Specified Total Births in the Area (B)
Characteristic(X)1 10,000 20,000 50,000 500,000 3,600,000
10 ----------------------------- 3.2 3.2 3.2 3.2 3.2
20 ----------------------------- 4.5 4.5 4.5 4.5 4.5
30 ----------------------------- 5.5 5.5 5.5 5.5 5.5
50 ----------------------------- 7.1 7.1 7.1 7.1 7.1
125 ---------------------------- 11.1 11.1 11.2 11.2 11.2
250 ---------------------------- 15.6 15.7 15.8 15.8 15.8
500 ---------------------------- 21.8 22.1 22.2 22.3 22.4
1,000 -------------------------- 30.0 30.8 31.3 31.6 31.6
2,500 -------------------------- 43.3 46.8 48.7 49.9 50.0
5,000 -------------------------- 50.0 81.2 67.1 70.4 70.7
10,000 ------------------------- 0.0 70.7 89.4 99.0 99.9
25,000 ------------------------- - 0.0 111.8 154.1 157.6
50,000 ------------------------- - - 0.0 212.1 222.0
100,000 ------------------------ - - - 282.8 311.8
250,000 ------------------------ - - - 353.6 482.3
500,000 ------------------------ - - - 0.0 656.2
1,000,000 ---------------------- - - - - 849.8
2,000,000 ---------------------- - - - - 942.8
3,000,000 ---------------------- - - - - 707.1
1Standard errors for B minus X are the same as those shown for X.
Table C. Multipliers for approximating maximum standard errors,
by place of occurrence and place of residence:
United States, each division and State, 1983
Place of Place of
Division and State Occurrence Residence
United States ------------------------ 0.41 0.41
Geographic divisions:
New England ------------------------ - -
Middle Atlantic -------------------- - 0.08
East North Central ----------------- - -
West North Central ----------------- - -
South Atlantic --------------------- 0.46 0.48
East South Central ----------------- - 0.24
West South Central ----------------- - -
Mountain --------------------------- 0.48 0.49
Pacific ---------------------------- 0.87 0.87
New England:
Maine ------------------------------ - -
New Hampshire ---------------------- - -
Vermont ---------------------------- - -
Massachusetts ---------------------- - -
Rhode Island ----------------------- - -
Connecticut ------------------------ - -
Middle Atlantic:
New York --------------------------- - -
New Jersey-------------------------- - 0.18
Pennsylvania------------------------ - 0.14
East North Central:
Ohio ------------------------------- - -
Indiana ---------------------------- - -
Illinois --------------------------- - -
Michigan --------------------------- - -
Wisconsin -------------------------- - -
West North Central:
Minnesota -------------------------- - -
Iowa ------------------------------- - -
Missouri --------------------------- - -
North Dakota ----------------------- - -
South Dakota ----------------------- - -
Nebraska --------------------------- - -
Kansas ----------------------------- - -
South Atlantic:
Delaware -------------------------- 1.00 1.00
Maryland -------------------------- - 0.62
District of Columbia -------------- 1.00 1.00
Virginia -------------------------- - 0.50
West Virginia --------------------- - -
North Carolina -------------------- - 0.39
South Carolina -------------------- - 0.51
Georgia --------------------------- 1.00 1.00
Florida --------------------------- - 0.29
East South Central:
Kentucky -------------------------- - -
Tennessee ------------------------- - 0.42
Alabama --------------------------- - 0.47
Mississippi ----------------------- - -
West South Central:
Arkansas -------------------------- - -
Louisiana ------------------------- - -
Oklahoma -------------------------- - -
Texas ----------------------------- - -
Mountain:
Montana --------------------------- - -
Idaho ----------------------------- - -
Wyoming --------------------------- - -
Colorado -------------------------- - 0.20
New Mexico ------------------------ - 0.29
Arizona --------------------------- 1.00 1.00
Utah ------------------------------ - 0.24
Nevada ---------------------------- - 0.63
Pacific:
Washington ------------------------ - -
Oregon ---------------------------- - 0.28
California ------------------------ 1.00 1.00
Alaska ---------------------------- - -
Hawaii ---------------------------- - -
Table C. Multipliers for approximating maximum standard errors,
by place of occurrence and place of residence:
United States, each division and State, 1984
Place of Place of
Division and State Occurrence Residence
United States ------------------------ 0.40 0.41
Geographic divisions:
New England ------------------------ - -
Middle Atlantic -------------------- - 0.08
East North Central ----------------- - -
West North Central ----------------- - -
South Atlantic --------------------- 0.46 0.46
East South Central ----------------- - 0.24
West South Central ----------------- - -
Mountain --------------------------- 0.49 0.50
Pacific ---------------------------- 0.87 0.87
New England:
Maine ------------------------------ - -
New Hampshire ---------------------- - -
Vermont ---------------------------- - -
Massachusetts ---------------------- - -
Rhode Island ----------------------- - -
Connecticut ------------------------ - -
Middle Atlantic:
New York --------------------------- - -
New Jersey-------------------------- - 0.18
Pennsylvania------------------------ - 0.14
East North Central:
Ohio ------------------------------- - -
Indiana ---------------------------- - -
Illinois --------------------------- - -
Michigan --------------------------- - -
Wisconsin -------------------------- - -
West North Central:
Minnesota -------------------------- - -
Iowa ------------------------------- - -
Missouri --------------------------- - -
North Dakota ----------------------- - -
South Dakota ----------------------- - -
Nebraska --------------------------- - -
Kansas ----------------------------- - -
South Atlantic:
Delaware -------------------------- 1.00 1.00
Maryland -------------------------- - 0.62
District of Columbia -------------- 1.00 1.00
Virginia -------------------------- - 0.50
West Virginia --------------------- - -
North Carolina -------------------- - 0.39
South Carolina -------------------- - 0.52
Georgia --------------------------- 1.00 1.00
Florida --------------------------- - 0.29
East South Central:
Kentucky -------------------------- - -
Tennessee ------------------------- - 0.44
Alabama --------------------------- - 0.48
Mississippi ----------------------- - -
West South Central:
Arkansas -------------------------- - -
Louisiana ------------------------- - -
Oklahoma -------------------------- - -
Texas ----------------------------- - -
Mountain:
Montana --------------------------- - -
Idaho ----------------------------- - -
Wyoming --------------------------- - -
Colorado -------------------------- - 0.20
New Mexico ------------------------ - 0.28
Arizona --------------------------- 1.00 1.00
Utah ------------------------------ - 0.23
Nevada ---------------------------- - 0.58
Pacific:
Washington ------------------------ - -
Oregon ---------------------------- - 0.26
California ------------------------ 1.00 1.00
Alaska ---------------------------- - -
Hawaii ---------------------------- - -
The appropriate relative standard error for rates is equivalent to the
relative standard error of the numerator obtained using tables B and C.
This is because the denominators are estimates that are considered to be
without sampling errors (for example, populations by age, race, and sex or
by month for the United States; or populations for States or for SMSA's).
The standard error for estimates of the difference between two estimates
X1 and X2 may be calculated using
SE(d) = SE2(X1) + SE2(X2)
This formula represents the standard error quite accurately for the
difference between separate and uncorrelated characteristics. When the
characteristics are correlated, however, this formula overstates the
standard error.
The standard error for an estimate of the ratio R = X/Y may be
approximated if the sample sizes are large enough for the ratio's variance
to be valid. As a working rule, the variance formula may be used if Y
exceeds 60 and is also large enough that the relative standard errors
(RSE's) for both X and Y are less than 0.1012 or if RSE(Y) is less than
0.05.13 The RSE of an estimate (X or Y) is approximated by dividing the
standard error by the estimate itself. In the following it is assumed that
Y exceeds 60 and that at least on of the two conditions of the RSE's is
satisfied.
The standard error for percent estimates where X is a subclass of the
denominator Y may be calculated using
SE(R) = R RSE2(X) - RSE2(Y)
The standard error for estimates of means and other ratios where the
numerator X is not a subclass of the denominator Y may be calculated using
SE(R) = R RSE2(X) + RSE2(Y)
COMPUTATION OF RATES AND OTHER MEASURES
Population Bases
The rates shown in this report were computed on the basis of population
statistics prepared by the U.S. Bureau of the Census. Rates for 1940, 1950,
1960, 1970, and 1980 are based on the population enumerated as of April 1 in
the censuses of those years. Rates for all other years are based on the
estimated midyear (July 1) population for the respective years. Birth rates
for the United States, individual States, and SMSA's are based on the total
resident populations of the respective areas. Except as noted these
populations exclude the Armed Forces abroad but include the Armed Forces
stationed in each area.
The resident population of the birth- and death-registration States for
1900-1932 and for the United States for 1900-1983 is shown in table 4-1. In
addition, the population including Armed Forces abroad is shown for the
United States. Table D shows the sources for these populations.
Population estimates for 1981-83--The population of the United States by
age, race, and sex for 1983 is shown in table 4-2. The population for each
State is shown in table 4-3 and the monthly population figures were
published in Current Population Reports, Series P-25, Number 961.
Comparable data for 1981 and 1982 were shown in tables 4-2 and 4-3 of Vital
Statistics of the United States, Volume I, for those years and in Current
Population Reports, Series P-25, Numbers 931 and 949. Population data by
race are consistent with the modified 1980 populations by race.
Populations for 1980--The population of the United States by age, race,
and sex, and the population for each State are shown in tables 4-2 and 4-3
of Vital Statistics of the United States, 1980, Volume I. The figures by
race have been modified as described below. Monthly population figures were
published in Current Population Reports, Series P-25, Nuber 899.
The racial counts in the 1980 census are affected by changes in racial
reporting practices, particularly by the Hispanic population, and in coding
and classifying racial groups in the 1980 census. One particular change has
created a major inconsistency between the 1980 census data and historical
data series, including censuses and vital statistics. About 40 percent of
the Hispanic population counted in 1980, over 5.8 million persons, did not
mark one of the specified races listed on the census questionnaire but
instead marked the "Other" category. In the 1980 census, coding procedures
were modified for persons who marked "Other" race and wrote in a national
origin designation of a Latin American country or a specific Hispanic origin
group in response to the racial question. These persons remained in the
"Other" racial category in 1980 census data; in previous censuses and in
vital statistics such responses were almost always coded into the "White"
category.
In order to maintain comparability, the "Other" racial category in the
1980 census was reallocated to be consistent with previous procedures.
Persons who marked the "Other" racial category and reported any Spanish
origin on the Spanish origin question (5,840,648 persons) were distributed
to white and black races in proportion to the distribution of persons of
Hispanic origin who reported their race to be white or black. This was done
for each age-sex group.
As a result of this procedure, 5,705,155 persons were added to the white
population and 135,493 persons to the black population. Persons who marked
the "Other" racial category and reported that they were not of Spanish
origin (916,338 persons) were distributed as follows: 20 percent in each
age-sex group were added to the "Asian and Pacific Islander" category
(183,268 persons), and 80 percent were added to the "White" category
(733,070 persons). The count of American Indians, Eskimos, and Aleuts was
not affected by these procedures. Unpublished tabulations of these modified
census counts were obtained from the Bureau of the Census and used to
compute the 1980 rates for this report, except for tables 1-12 through 1-19.
Population estimates for 1971-79--Birth rates for 1971-79 (except those
for cohorts of women in tables 1-12 through 1-19) have been revised, based
on revised population estimates that are consistent with the 1980 census
levels. The 1980 census counted approximately 5.5 million more persons than
had earlier been estimated for April 1, 1980.14 The revised estimates for
the United States by age, race, and sex were published by the Bureau of the
Census in the Current Population Reports, Series P-25, Number 917.
Population estimates by month are based on data published in Current
Population Reports, Series P-25, Number 899. Unpublished revised estimates
for States were obtained from the Bureau of the Census.
Population estimates for 1961-69--Birth Rates in this volume for 1961-69
(except for those shown in tables 1-4 and 1-5) are based on revised
estimates of the population and thus may differ slightly from rates
published before 1976. The revised estimates used in computing these rates
were published in Current Population Reports, Series P-25, Number 519. The
rates shown in tables 1-4 and 1-5 for 1961-64 are based on revised estimates
of the population published in Current Population Reports, Series P-25,
Numbers 321 and 324, and may differ slightly from rates published in those
years.
Population estimates for 1951-59--Final intercensal estimates of the
population by age, race, and sex and total population by State for 1951-59
are shown in tables 4-4 and 4-5 of Vital Statistics of the United States,
1966, Volume I. Beginning with 1963 these final estimates have been used to
compute birth rates for 1951-59 in all issues of Vital Statistics of the
United States.
Net Census Undercounts and Overcounts
The Bureau of the Census has conducted extensive research to evaluate
the coverage of the United States population (including undercount and
overcount and misstatement of age, race, and sex) in the last four decennial
censuses--1950, 1960, 1970, and 1980. These studies provide estimates of
the national population that was not enumerated or overenumerated in the
respective censuses, by age, race, and sex.15-17 The report for 198017
includes estimates of net underenumeration and overenumeration for age, sex,
and racial subgroups of the national population, modified for race
consistency with previous population counts as described in the section
Populations for 1980.
Table D. Sources for resident population and population including
Armed Forces abroad: Birth- and death-registration States, 1900-1932,
and United States, 1900-1984
Year Source
1984-------------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 985, April 1986.
1983-------------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 965, Dec. 1984.
1982-------------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 949, May 1984.
1981-------------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 929, May 1983.
1980-------------- U.S. Bureau of the Census, U.S. Census of Population:
1980, Number of Inhabitants, PC80-1-A1, United States
Summary, 1983.
1971-79----------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 917, July 1982.
1970-------------- U.S. Bureau of the Census, U.S. Census of Population:
1970, Number of Inhabitants, Final Report PC(1)-A1,
United States Summary, 1971.
1961-69----------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 519, April 1974.
1960-------------- U.S. Bureau of the Census, U.S. Census of Population:
1960, Number of Inhabitants, Final Report PC(1)-A1,
United States Summary, 1964.
1951-59----------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 310, June 30, 1965.
1940-50----------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 499, May 1973.
1930-39----------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 499, May 1973, and National Office of
Vital Statistics, Vital Statistics Raters in the United
States, 1900-1940, 1947.
1920-29----------- National Office of Vital Statistics, Vital Statistics
Rates in the United States, 1900-1940, 1947.
1917-19----------- Same as for 1930-39.
1900-1916--------- Same as for 1920-29.
These studies indicate that there is differential coverage in the
censuses among the population subgroups; that is, some age, race, and sex
groups are more completely enumerated than others. To the extent that these
estimates of over- or undercounts are valid, that they are substantial, and
that they vary among subgroups and geographic areas, census miscounts can
have consequences for vital statistics measures.16 However, the effects of
undercounts in the census are reduced to the extent that there is
underregistration of births. If these two factors are of equal magnitude,
rates based on the unadjusted populations are more accurate than those based
on adjusted populations since the births have not been adjusted for
underregistration.
The impact of net census miscounts on vital statistics measures includes
the effects on levels of the rates and effects on differentials among groups.
If adjustments were made for persons who were not counted in the census
population, the size of the denominators would generally increase and the
rates would be smaller than without an adjustment. Adjusted rates for 1980
can be computed by multiplying the reported rates by ratios of the 1980
census-level population adjusted for the estimated net census miscounts,
which are shown in table E. A ratio of less than 1.0 indicates a net census
undercount and would result in a corresponding decrease in the rate. A
ratio in excess of 1.0 indicates a net census overcount and would result in
a corresponding increase in the rate.
Enumeration of females in the childbearing ages was at least 99 percent
complete for all ages; the underenumerated age groups were 25-29 years,
35-39 years, and 45-49 years. Only one white female age group was
underenumerated (35-39 years). Among women of races other than white, all
age groups but one (15-19 years) were underenumerated, with undercounts
ranging up to 4 percent. Generally, females in the childbearing ages were
more completely enumerated than males for similar race-age groups.
If vital statistics measures were calculated with adjustments for net
census miscounts for each of these subgroups, the resulting rates would have
been differentially changed from their original levels; that is, rates for
those groups with the greatest estimated overcounts or undercounts would
show the greatest relative changes due to these adjustments. Thus the
racial differential in fertility between the white and the all other
population can be affected by such adjustments.
Table E. provided for 1983 Birth Cohort
Table E. Ratio of census-level population to population adjusted
for estimated net census undercount, by age, sex, and race:
April 1, 1980
All Races White
Age Both Both
Sexes Male Female Sexes Male Female
All ages --------------- 0.9912 0.9822 0.9999 0.9960 0.9888 1.0029
10-14 years ------------ 1.0047 1.0052 1.0042 1.0071 1.0077 1.0066
15-19 years ------------ 1.0082 1.0070 1.0094 1.0068 1.0052 1.0084
20-24 years ------------ 0.9970 0.9876 1.0067 1.0004 0.9924 1.0088
25-29 years ------------ 0.9840 0.9694 0.9989 0.9885 0.9767 1.0007
30-34 years ------------ 0.9908 0.9739 1.0079 0.9964 0.9828 1.0104
35-39 years ------------ 0.9722 0.9535 0.9910 0.9815 0.9673 0.9961
40-44 years ------------ 0.9843 0.9646 1.0041 0.9933 0.9784 1.0083
45-49 years ------------ 0.9788 0.9600 0.9974 0.9891 0.9751 1.0029
50-54 years ------------ ... 0.9678 ... ... 0.9778 ...
55 years and older------ ... 0.9896 ... ... 0.9892 ...
15-44 years ------------ ... ... 1.0035 ... ... 1.0057
15-54 years ------------ ... 0.9761 ... ... 0.9838 ...
All Other
Total Black
Age Both Both
Sexes Male Female Sexes Male Female
All ages --------------- 0.9628 0.9425 0.9821 0.9458 0.9189 0.9716
10-14 years ------------ 0.9931 0.9932 0.9930 0.9858 0.9855 0.9861
15-19 years ------------ 1.0153 1.0183 1.0143 1.0042 1.0028 1.0056
20-24 years ------------ 0.9786 0.9614 0.9957 0.9504 0.9233 0.9775
25-29 years ------------ 0.9588 0.9269 0.9894 0.9264 0.8816 0.9705
30-34 years ------------ 0.9568 0.9179 0.9935 0.9214 0.8668 0.9746
35-39 years ------------ 0.9149 0.8666 0.9608 0.8828 0.8190 0.9448
40-44 years ------------ 0.9299 0.8783 0.9791 0.8992 0.8334 0.9623
45-49 years ------------ 0.9132 0.8597 0.9629 0.8930 0.8280 0.9548
50-54 years ------------ ... 0.8920 ... ... 0.8620 ...
55 years and older------ ... 0.9935 ... ... 0.9771 ...
15-44 years ------------ ... ... 0.9919 ... ... 0.9763
15-54 years ------------ ... 0.9302 ... ... 0.8939 ...
SOURCE: U.S. Bureau of the Census: Estimates of the population of the
United States, by age, sex, and race: 1980 to 1984. Current Population
Reports. Series P-25, No. 965. Washington. U.S. Government Printing
Office, March 1985.
Table E. provided for 1984 Birth Cohort
Table E. Ratio of census-level resident population to resident
population adjusted for estimated net census undercount,
by age, race, and sex: United States, April 1, 1980
All Races White
Age Both Both
Sexes Male Female Sexes Male Female
All ages --------------- 0.9862 0.9763 0.9958 0.9916 0.9839 0.9990
10-14 years ------------ 0.9978 0.9982 0.9974 1.0003 1.0008 0.9998
15-19 years ------------ 1.0011 0.9988 1.0034 1.0003 0.9976 1.0030
20-24 years ------------ 0.9834 0.9706 0.9965 0.9879 0.9769 0.9993
25-29 years ------------ 0.9742 0.9581 0.9908 0.9799 0.9673 0.9929
30-34 years ------------ 0.9850 0.9683 1.0020 0.9905 0.9778 1.0036
35-39 years ------------ 0.9776 0.9597 0.9955 0.9860 0.9730 0.9991
40-44 years ------------ 0.9743 0.9549 0.9937 0.9849 0.9706 0.9992
45-49 years ------------ 0.9734 0.9538 0.9926 0.9828 0.9690 0.9967
50-54 years ------------ ... 0.9638 ... ... 0.9755 ...
55 years and older------ ... 0.9865 ... ... 0.9875 ...
15-44 years ------------ ... ... 0.9973 ... ... 0.9995
15-54 years ------------ ... 0.9683 ... ... 0.9770 ...
All Other
Total Black
Age Both Both
Sexes Male Female Sexes Male Female
All ages --------------- 0.9543 0.9309 0.9765 0.9392 0.9103 0.9669
10-14 years ------------ 0.9858 0.9858 0.9859 0.9808 0.9807 0.9816
15-19 years ------------ 1.0051 1.0052 1.0055 0.9980 0.9958 1.0001
20-24 years ------------ 0.9590 0.9354 0.9819 0.9390 0.9076 0.9696
25-29 years ------------ 0.9422 0.9040 0.9786 0.9168 0.8695 0.9628
30-34 years ------------ 0.9519 0.9081 0.9931 0.9197 0.8638 0.9735
35-39 years ------------ 0.9248 0.8743 0.9736 0.8968 0.8322 0.9588
40-44 years ------------ 0.9107 0.8576 0.9614 0.8782 0.8135 0.9401
45-49 years ------------ 0.9124 0.8544 0.9669 0.8833 0.8139 0.9497
50-54 years ------------ ... 0.8759 ... ... 0.8413 ...
55 years and older------ ... 0.9779 ... ... 0.9578 ...
15-44 years ------------ ... ... 0.9848 ... ... 0.9712
15-54 years ------------ ... 0.9157 ... ... 0.8843 ...
SOURCE: U.S. Bureau of the Census: Estimates of the population of the
United States, by age, sex, and race: 1980 to 1985. Current Population
Reports. Series P-25, No. 985. Washington. U.S. Government Printing
Office, April 1986.
Cohort Fertility Tables
The various fertility measures shown for cohorts of women in tables 1-12
through 1-19 are computed from births adjusted for underregistration and
population estimates corrected for underenumeration and misstatement of
age. The data shown in this volume are not consistent with data published
in annual reports before 1974. These data use revised population estimates
prepared by the Bureau of the Census and have been expanded to include data
for the two major racial groups. A detailed description of the methods used
in deriving these measures as well as more detailed data for earlier years
were published in a separate report.18
Age-Sex-Adjusted Birth Rates
The age-sex-adjusted birth rates shown in table 1-3 are computed by the
direct method. The age distribution of women aged 10-49 years as enumerated
in 1940 and the total population of the United States for that year are used
as the standard populations. The birth rates by age of mother and race that
are used to compute these adjusted rates are shown in table 1-6. The
age-sex-adjusted birth rates show differences in the level of fertility
independent of differences in the age and sex composition of the
population. It is important not to confuse these adjusted rates with the
crude rates shown in other tables.
Total Fertility Rate
The total fertility rate is the sum of the birth rates by age of mother
(in 5-year age groups) multiplied by 5. It is an age-adjusted rate because
it is based on the assumption that there are the same number of women in
each age group. In table 1-6 the rate of 1,803 in 1983, for example, means
that if a hypothetical group of 1,000 women were to have the same birth
rates in each group that were observed in the actual childbearing population
in 1983, they would have a total of 1,803 children by the time they reached
the end of the reproductive period (taken here as age 50), assuming that all
of the women survived to that age.
Intrinsic Vital Rates
The intrinsic vital rates shown in table 1-5 are calculated from a
stable population. A stable population is that hypothetical population,
closed to external migration, which would become fixed in age-sex structure
after repeated applications of a constant set of age-sex specific birth and
death rates. For the mathematical derivation of intrinsic vital rates, see
Vital Statistics of the United States, 1962, Volume I, pages 4-13 and 4-14.
The technique of calculating intrinsic vital rates is described elsewhere.19
Parity Distribution
The percent distribution of women by parity (number of children ever
born alive to mother) shown in tables 1-13 and 1-17 is derived from
cumulative birth rates by order of birth, which are shown in tables 1-15 and
1-19. The percent of zero-parity women is found by subtracting the
cumulative first birth rate from 1,000 and dividing by 10. The proportions
of women at parities one through six are found from the following formula:
Percent at N parity = (cum. rate, order N) - (cum. rate, order N + 1)
10
The percent of women at seventh and higher parities is found by dividing
the cumulative rate for seventh-order births by 10.
Seasonal Adjustment of Rates
The seasonally adjusted birth and fertility rates shown in table 1-23
are computed from the X-11 variant of Census Method II.20 This method of
seasonal adjustment used since 1964 differs slightly from the U.S. Bureau of
Labor Statistics Seasonal Factor Method, which was used for Vital Statistics
of the United States, 1964. The fundamental technique is the same in that
it is an adaptation of the ratio-to-moving-average method. Before 1964 the
method of seasonal adjustment was based on the X-9 variant and other
variants of Census Method II. A comparison of the Census Method II with the
BLS Seasonal Factor Method shows the differences in the seasonal patterns of
births to be negligible.
Computation of Percents, Medians, and Means
Percent distributions, medians, and means are computed using only events
for which the characteristic is reported. The "Not stated" category is
subtracted from the total before computation of these measures.
Symbols Used in Tables
SYMBOLS USED IN TABLES
Data not available--------------------------- ---
Category not applicable---------------------- ...
Quantity zero-------------------------------- -
Quantity more than 0 but less than 0.05------ 0.0
Figure does not meet standards of
reliability or precision-------------------
References
REFERENCES
1. Third World Health Assembly: Official Records, No. 28 (WHO 3.6).
Geneva. World Health Organization. May 1950, pp. 16-17.
2. Statistical Office of the United Nations: Principles for a Vital
Statistics System, Recommendations for the Improvement and Standardization
of Vital Statistics, Doc. ST/STAT/SERM/19. New York. United Nations, Aug.
1953, p. 6.
3. National Office of Vital Statistics: International Recommendations on
Definitions of Live Birth and Fetal Deaths. PHS Pub. No. 39. Public Health
Service. Washington. U.S. Government Printing Office, Oct. 1950, p. 6.
4. National Office of Vital Statistics: Births and birth rates in the
entire United States, 1909 to 1948. Vital Statistics--Special Reports, Vol.
33, No. 8, 1950. Public Health Service. Washington. U.S. Government
Printing Office, 1954.
5. U.S. Office of Management and Budget: Standard metropolitan
statistical areas and standard consolidated areas. Statistical Reporter.
Washington. U.S. Government Printing Office, Oct. 1981, pp. 1-20.
6. U.S. Office of Management and Budget: 36 new standard metropolitan
statistical areas. Statistical Reporter. Washington. U.S. Government
Printing Office, July 1981, p. 420.
7. U.S. Office of Management and Budget: Standard metropolitan
statistical areas, rev. ed. Washington. U.S. Government Printing Office,
1975, pp. 89-90.
8. National Vital Statistics Division, J. Schachter: Matched record
comparison of birth certificate and census information in the United States
1950. Vital Statistics--Special Reports, Vol. 47, No. 12. Public Health
Service. Washington, D.C., Mar. 1962.
9. National Center for Health Statistics, S. J. Ventura: Trends and
differentials in births to unmarried women. United States, 1970-76. Vital
and Health Statistics, Series 21, No. 36. DHHS Pub. No. (PHS) 80-1914.
Public Health Service. Washington. U.S. Government Printing Office, May
1980.
10. National Center for Health Statistics, S. Taffel, D. Johnson, and R.
Heuser: A method of imputing length of gestation on birth certificates.
Vital and Health Statistics, Series 2, No. 93. DHHS Pub. No. (PHS)
82-1367. Public Health Service. Washington. U.S. Government Printing
Office, May 1982.
11. U.S. Bureau of the Census: Test of birth registration completeness
1964 to 1968. 1970 Census of Population and Housing. Evaluation and
Research Program. PHC (E)-2. Washington. U.S. Government Printing Office,
1973.
12. W. G. Cochran: Sampling Techniques. New York. John Wiley & Sons,
Inc. 1963.
13. H. Hansen, N. Hurwitz, and G. Madow: Sample Survey Methods and
Theory, Vol. 1, New York. John Wiley & Sons, Inc., 1953,
14. U.S. Bureau of the Census: Coverage of the national population in the
1980 census by age, sex, and race. Preliminary estimates by demographic
analysis. Current Population Reports, Series P-23, No. 115. Washington.
U.S. Government Printing Office, Feb. 1982.
15. U.S. Bureau of the Census: Developmental estimates of the coverage of
the population of States in the 1970 Census--demographic analysis. Current
Population Reports, Series P-23, No. 65. Washington. U.S. Government
Printing Office, Dec. 1977.
16. U.S. Bureau of the Census: 1970 Census of Population and Housing
Estimates of coverage of the population by sex, race, and age--demographic
analysis. Evaluation and Research Program. PHC (E)-4. Washington. U.S.
Government Printing Office, 1974.
17. U.S. Bureau of the Census: Estimates of the population of the United
States, by age, sex, and race: 1960 to 1984. Current Population Reports.
Series P-25, No. 965. Washington. U.S. Government Printing Office, March
1985.
18. National Center for Health Statistics, R. Heuser: Fertility Tables
for Birth Cohorts by Color: United States, 1917-73. DHEW Pub. No. (HRA)
76-1152. Health Resources Administration. Washington. U.S. Government
Printing Office, 1976.
19. G. W. Barclay: Techniques of Population Analysis. New York, John
Wiley and Sons, Inc., 1958, pp. 216-222.
20. U.S. Bureau of the Census: The X-11 Variant of the Census Method II
Seasonal Adjustment Program. Technical Paper No. 13. Washington. U.S.
Government Printing Office, 1963.
TECHNICAL APPENDIX, 1983 MORTALITY FILE
Sources of Data
Death and Fetal-Death Statistics
Mortality statistics for 1983 are, as for all previous years except
1972, based on information from records of all deaths occurring in the
United States. Fetal-death statistics for every year are based on all
reports of fetal death received by the National Center for Health Statistics
(NCHS).
The death-registration system and the fetal-death reporting system of
the United States encompass the 50 States, the District of Columbia, New
York City (which is independent of New York State for the purpose of death
registration), Puerto Rico, the Virgin Islands, Guam, American Samoa, and
the Trust Territory of the Pacific Islands. In the statistical tabulations
of this publication, United States refers only to the aggregate of the 50
States (including New York City) and the District of Columbia. Tabulations
for Guam, Puerto Rico, and the Virgin Islands are shown separately in this
volume. No data have ever been included for American Samoa or the Trust
Territory of the Pacific Islands.
The Virgin Islands was admitted to the "registration area" for deaths in
1924; Puerto Rico, in 1932; and Guam, in 1970. Tabulations of death
statistics for Puerto Rico and the Virgin Islands were regularly shown in
the annual volumes of Vital Statistics of the United States from the year of
their admission through 1971 except for the years 1967 through 1969, and
tabulations for Guam were included for 1970 and 1971. Death statistics for
Puerto Rico, the Virgin Islands, and Guam were not included in the 1972
volume but have been included in section 8 of the volumes for each of the
years 1973-78 and in section 9 beginning with 1979. Information for 1972
for these three areas was published in the respective annual vital
statistics reports of the Department of Health of the Commonwealth of Puerto
Rico, the Department of Health of the Virgin Islands, and the Department of
Public Health and Social Services of the Government of Guam.
Procedures used by NCHS to collect death statistics have changed over
the years. Before 1971, tabulations of deaths and fetal deaths were based
solely on information obtained by NCHS from copies of the original
certificates. The information from these copies was edited, coded, and
tabulated. For 1960-70, all mortality information taken from these records
was transferred by NCHS to magnetic tape for computer processing.
Beginning with 1971, an increasing number of States have provided NCHS
with computer tapes of data coded according to NCHS specifications and
provided to NCHS through the Vital Statistics Cooperative Program. The year
in which State-coded demographic data were first transmitted to NCHS is
shown below for New York City, Puerto Rico, and each of the 46 States now
furnishing demographic data.
1971 1976--Con.
Florida Minnesota
Nevada
1972 Texas
West Virginia
Maine
Missouri 1977
New Hampshire
Rhode Island Alaska
Vermont Idaho
Massachusetts
1973 New York City
Ohio
Colorado Puerto Rico
Michigan
New York (except New York City) 1978
1974 Indiana
Utah
Illinois Washington
Iowa
Kansas 1979
Montana
Nebraska Connecticut
Oregon Hawaii
South Carolina Mississippi
New Jersey
1975 Pennsylvania
Wyoming
Louisiana
Maryland 1980
North Carolina
Oklahoma Arkansas
Tennessee New Mexico
Virginia South Dakota
Wisconsin
1982
1976
North Dakota
Alabama
Kentucky
For the remaining four States, the District of Columbia, the Virginia
Islands, and Guam, mortality statistics for 1983 are based on information
obtained directly by NCHS from copies of the original certificates received
from the registration offices.
In 1974, States began coding medical (cause-of-death) data on computer
tapes according to NCHS specifications. The year in which State-coded
medical data were first transmitted to NCHS is shown below for the 16 States
now furnishing such data.
1974 1980--Con.
Iowa Massachusetts
Michigan Mississippi
New Hampshire
1975 Pennsylvania
South Carolina
Louisiana
Nebraska 1981
North Carolina
Virginia Maine
Wisconsin
1983
1980
Minnesota
Colorado
Kansas
For 1983 and previous years except 1972, NCHS coded the Medical
information from copies of the original certificates received from the
registration offices for all deaths occurring in those States that were not
furnishing NCHS with medical data coded according to NCHS specifications.
For 1981 and 1982, it was necessary to change these procedures because of a
backlog in coding and processing that resulted from personnel and budgetary
restrictions. To produce the mortality files on a timely basis with reduced
resources, NCHS used State-coded underlying cause-of-death information
supplied by 19 States for 50 percent of the records; for the other 50
percent of the records for these States as well as for 100 percent of the
records for the remaining 21 registration areas, NCHS coded the medical
information.
Mortality statistics for 1972 were based on information obtained from a
50-percent sample of death records instead of from all records as in other
years. The sample resulted from personnel and budgetary restrictions.
Sampling variation associated with the 50-percent sample is described below
in the section "Estimates of errors arising from 50-percent sample for 1972."
Fetal-death data are obtained directly from copies of original reports
of fetal deaths received by NCHS, except New York State (excluding New York
City), which began submitting State-coded data in 1980. Fetal-death data
are not published by NCHS for the Virgin Islands and Guam.
Standard Certificates and Reports
The U.S. Standard Certificate of Death and the U.S. Standard Report of
Fetal Death, issued by the Public Health Service, have served for many years
as the principal means of attaining uniformity in the content of documents
used to collect information on these events. They have been modified in
each State to the extent required by the particular needs of the State or by
special provisions of the State vital statistics law. However, the
certificates or reports of most States conform closely in content and
arrangement to the standards.
The first issue of the U.S. Standard Certificate of Death appeared in
1900. Since then, it has been revised periodically by the national vital
statistics agency through consultation with State health officers and
registrars; Federal agencies concerned with vital statistics; national,
State, and county medical societies; and others working in such fields as
public health, social welfare, demography, and insurance. This revision
procedure has assured careful evaluation of each item in terms of its
current and future usefulness for legal, medical and health, demographic,
and research purposes. New items have been added when necessary, and old
items have been modified to ensure better reporting, or in some cases have
been dropped when their usefulness appeared to be limited.
New revisions of the U.S. Standard Certificate of Death and the U.S.
Standard Report of Fetal Death were recommended for State use beginning
January 1, 1978. The certificate of death is for use by a physician, a
medical examiner, or a coroner. Two other forms of the U.S. Standard
Certificate of Death are available, they are similar except that the section
on certification is designed for the physician's signature on one, and for
the medical examiner's or coroner's signature on the other.
Among the changes in the new revision were the addition of (1) an item
asking "If Hosp. or Inst., Indicate DOA, OP/Emer. Rm., Inpatient" and (2) an
item "Was Decedent Ever in U.S. Armed Forces?" The latter item was
previously on the certificate but was deleted during 1968 through 1977. An
item on whether autopsy findings were considered for determining cause of
death was dropped.
History
The first death statistics published by the Federal Government concerned
events in 1850 and were based on statistics collected during the decennial
census of that year. In 1880 a national "registration area" was created for
deaths. Originally consisting of two States (Massachusetts and New Jersey),
the District of Columbia, and several large cities having efficient systems
for death registrations, the death-registration area continued to expand
until 1933, when it included the entire United States for the first time.
Tables that show data for death-registration States include the District of
Columbia for all years; registration cities in nonregistration States are
not included. For more details on the history of the death-registration
area see the technical Appendix in Vital Statistics of the United States,
1979, Volume II, Mortality, Part A, Section 7, pages 3-4, and the section
"History and Organization of the Vital Statistics System," chapter 1, Vital
Statistics of the United States, 1950, Volume I, pages 2-19.
Statistics on fetal deaths were first published for the
birth-registration area in 1918, and then every year beginning with 1922.
Classification of Data
Introduction
The principal value of vital statistics data is realized through the
presentation of rates, which are computed by relating the vital events of a
class to the population of a similarly defined class. Vital statistics and
population statistics must therefore be classified according to similarly
defined systems and tabulated in comparable groups. Even when the variables
common to both, such as geographic area, age, sex and race, have been
similarly classified and tabulated, differences between the enumeration
method of obtaining population data and the registration method of obtaining
vital statistics data may result in significant discrepancies.
The general rules used in the classification of geographic and personal
items for deaths and fetal deaths are set forth in two NCHS instruction
manuals.1,2
A discussion of the classification of certain important items is
presented below.
Classification by Occurrence and Residence
Tabulations for the United States and specified geographic areas in this
report are by place of residence unless stated as by place of occurrence.
Before 1970, resident mortality statistics for the United States included
all deaths occurring in the United States, with deaths of "nonresidents of
the United States" assigned to place of death. Deaths of nonresidents of
the United States" refers to deaths that occur in the United States of
nonresident aliens, nationals residing abroad, and residents of Puerto Rico,
the Virgin Islands, Guam, and other territories of the United States.
Beginning with 1970, deaths of nonresidents of the United States are not
included in tables by place of residence.
Tables by place of occurrence, on the other hand, include deaths of both
residents and nonresidents of the United States. Consequently, for each
year beginning with 1970, the total number of deaths in the United States by
place of occurrence was somewhat greater than the total by place of
residence. For 1984 this difference amounted to 2,935 deaths. Mortality
statistics by place of occurrence are shown in tables 1-10, 1-18, 1-19,
1-28, 1-29, 3-1, 3-8, 8-1, and 8-7.
Before 1970, except for 1964 and 1965, deaths of nonresidents of the
United States occurring in the United States were treated as deaths of
residents of the exact place of occurrence, which in most instances was an
urban area. In 1964 and 1965, deaths of nonresidents of the United States
occurring in the United States were allocated as deaths of residents of the
balance of the county in which they occurred.
Residence error--Results of a 1960 study showed that the classification
of residence information on the death certificates corresponded closely to
the residence classification of the census records for the decedents whose
records were matched.3
A comparison of the results of this study of deaths with those for a
previous matched record study of births4 showed that the quality of
residence data had considerably improved between 1950 and 1960. Both
studies found that events in urban areas were overstated by the NCHS
classification in comparison with the U.S. Bureau of the Census
classification. The magnitude of the difference was substantially less for
deaths in 1960 than it was for births in 1950.
The improvement is attributed to an item added in 1956 to the U.S.
Standard Certificates of Birth and of Death, asking if residence was inside
or outside city limits. This new item aided in properly allocating the
residence of persons living near cities but outside the corporate limits.
Geographic Classification
The rules followed in the classification of geographic areas for deaths
and fetal deaths are contained in the two instruction manuals referred to
previously.1,2
The geographic codes assigned by the National Center for Health
Statistics during data reduction of source information on birth, death, and
fetal-death records are given in another instruction manual.5 Beginning
with 1982 data, the geographic codes were modified to reflect results of the
1980 census. For 1980-81, codes are based on results of the 1970 census.
Standard metropolitan statistical areas--The standard metropolitan
statistical areas (SMSA's) used in this report are those established by the
U.S. Office of Management and Budget from final 1980 census population
counts6 and used by the U.S. Bureau of the Census, except in the New England
States.
Except in the New England States, an SMSA is a county or a group of
contiguous counties containing a city of 50,000 inhabitants or more or an
urbanized area of 50,000 with a total metropolitan population of at least
100,000. In addition to the county or counties containing such a city or
urbanized area, contiguous counties are included in an SMSA if, according to
specified criteria, they are essentially metropolitan in character and are
socially and economically integrated with the central city or urbanized
area.7
In the New England States the U.S. Office of Management and Budget uses
towns and cities rather than counties as geographic components of SMSA's.
The National Center for Health Statistics cannot, however, use the SMSA
classification for these States because its data are not coded to identify
all towns. Instead, NCHS uses New England County Metropolitan Areas
(NECMA's). These areas, established by the U.S. Office of Management and
Budget, are made up of county units.7,8
Metropolitan and nonmetropolitan counties--Independent cities and
counties included in SMSA's or NECMA's are included in data for metropolitan
counties; all other counties are classified as nonmetropolitan.
Population-size groups--Vital statistics data for cities and certain
other urban places in 1984 are classified according to the population
enumerated in the 1980 Census of Population. Data are available for
individual cities and other urban places of 10,000 or more population. Data
for the remaining areas not separately identified are shown in the tables
under the heading "Balance of area" or "Balance of county." For the years
1970-81, classification of areas was determined by the population enumerated
in the 1970 Census of Population. Beginning in 1982, as a result of changes
in the enumerated population between 1970 and 1980, some urban places
identified in previous reports are no longer included, and a number of other
urban places have been added.
Urban places other than incorporated cities for which vital statistics
data are shown in this report include the following:
* Each town in New England, New York, and Wisconsin and each township
in Michigan, New Jersey, and Pennsylvania that had no incorporated
municipality as a subdivision and had either 25,000 inhabitants or
more, or a population of 10,000 to 25,000 and a density of 1,000
persons or more per square mile.
* Each county in States other than those indicated above that had no
incorporated municipality within its boundary and had a density of
1,000 persons or more per square mile. (Arlington County, Virginia,
is the only county classified as urban under this rule.)
* Each place in Hawaii with 10,000 or more population, as there are no
incorporated cities in the State.
Before 1964, places were classified as "urban" or "rural." The
Technical Appendixes for earlier years discuss the previous classification
system.
State or Country of Birth
Mortality statistics by State or country of birth (table 1-32) became
available beginning with 1979. State or country of birth of a decedent is
assigned to 1 of the 50 States or the District of Columbia; or to Puerto
Rico, the Virgin Islands, or Guam--if specified on the death certificate.
The place of birth is also tabulated for Canada, Cuba, Mexico, and for the
Remainder of the World. Deaths for which information on State or country of
birth was unknown, not stated, or not classifiable accounted for a small
proportion of all deaths in 1984, about 0.5 percent.
Early mortality reports published by the U.S. Bureau of the Census
contained tables showing nativity of parents as well as nativity of
decedent. Publication of these tables was discontinued in 1933. Mortality
data showing nativity of decedent were again published in annual reports for
1939-41 and for 1950.
Age
The age recorded on the death record is the age at last birthday. With
respect to the computation of death rates, the age classification used by
the U.S. Bureau of the Census is also based on the age of the person in
completed years.
For computation of age-specific and age-adjusted death rates, deaths
with age not stated are excluded. For life table computation, deaths with
age not stated are distributed proportionately.
Race
For vital statistics in the United States in 1984, deaths are classified
by race--white, black, Indian, Chinese, Japanese, Filipino, Other Asian or
Pacific Islander, and other races. Mortality data for Filipino and Other
Asian or Pacific Islander were shown for the first time in 1979.
The white category includes, in addition to persons reported as white,
those reported as Mexican, Puerto Rican, Cuban, and all other Caucasians.
The Indian category includes American, Alaskan, Canadian, Eskimo, and
Aleut. If the racial entry on the death certificate indicates a mixture of
Hawaiian and any other race, the entry is coded to Hawaiian. If the race is
given as a mixture of white and any other race, the entry is coded to the
appropriate other race. If a mixture of races other than white is given
(except Hawaiian), the entry is coded to the first race listed. This
procedure for coding the first race listed has been in use since 1969.
Before 1969, if the entry for race was a mixture of black and any other race
except Hawaiian, the entry was coded to black.
Most of the tables in this report, however, do not show data for this
detailed classification by race. In about half of all the tables the
divisions are white, all other (including black), and black separately. In
other tables by race, where the main purpose is to isolate the major groups,
the classifications are simply white and all other.
Race not stated--For 1984 the number of death records for which race was
unknown, not stated, or not classifiable was 3,172, or less than 0.2 percent
of the total deaths. Death records with race entry not stated are assigned
to a racial designation as follows: If the preceding record is coded white,
the code assignment is made to white; if the code is other than white, the
assignment is made to black. Before 1964 all records with race not stated
were assigned to white except records of residents of New Jersey for 1962-64.
New Jersey, 1962-64--New Jersey omitted the race item from its
certificates of live birth, death, and fetal death in use in the beginning
of 1962. The item was restored during the latter part of 1962. However,
the certificate revision without the race item was used for most of 1962 as
well as 1963. Therefore figures by race for 1962 and 1963 exclude New
Jersey. For 1964, 6.8 percent of the death records in use for residents of
New Jersey did not contain the race item.
Adjustments made in vital statistics to take into account the omission
of the race item in New Jersey for part of the certificates filed during
1962 through 1964 are described in the Technical Appendix of Vital
Statistics of the United States for each of those data years.
Hispanic Origin
Mortality statistics for the Hispanic-origin population are published in
this report for the first time. They are based on information for those
States and the District of Columbia that included items on the death
certificate to identify Hispanic or ethnic origin of decedents. Data were
obtained from the District of Columbia and the following 22 States:
Arizona, Arkansas, California, Colorado, Georgia, Hawaii, Illinois, Indiana,
Kansas, Maine, Mississippi, Nebraska, Nevada, New Jersey, New Mexico, New
York (including New York City), North Dakota, Ohio, Tennessee, Texas, Utah,
and Wyoming. Generally, the reporting States used items similar to one of
two basic formats recommended by NCHS: the first format is open-ended to
obtain the specific origin or descent of the decedent (for example, Italian,
Mexican, Puerto Rican, English, and Cuban). The second format is directed
specifically toward the Hispanic population and asks whether the decedent is
of Spanish origin. If so, the specific origin--Mexican, Puerto Rican, and
Cuban--is to be indicated.
For 1984, mortality data in tables 1-33 and 2-18 are based on deaths to
residents of all 22 reporting States and the District of Columbia. In
tables 1-34, 2-19, 2-20, and 2-21 mortality data for the Hispanic-origin
population are based on deaths to residents of 15 reporting States whose
data were at least 90 percent complete and considered to be sufficiently
comparable to be used for analysis. The 15 States are as follows: Arizona,
Colorado, Georgia, Hawaii, Illinois, Indiana, Kansas, Mississippi, Nebraska,
New York (including New York City), North Dakota, Ohio, Texas, Utah, and
Wyoming. Excluded from these tables are data for New Mexico because the
format for the Hispanic item on the New Mexico death certificate departs
sufficiently from that of other areas to result in non-comparable data. In
addition, in tables 1-33 and 1-34 for New Mexico, no deaths are shown for
the category "not stated" origin. Because of the way in which the item on
the death certificate for New Mexico is worded, it was not possible to
determine if a blank entry represented a response of "non-Hispanic origin"
or of "unknown origin." Accordingly, blank entries were coded to
"non-Hispanic." Also excluded from the tables are data for California
because, according to information from registration officials in California,
coding procedures resulted in undercounts of deaths for the categories total
"Hispanic origin" and "Mexican origin" as well as overcounts of deaths for
the categories "Hispanic origins other than Mexican origin" and "not stated
origin." The data for five other States--Arkansas, Maine, Nevada, New
Jersey, and Tennessee--and the District of Columbia are excluded from these
tables because of the large proportion of deaths (in excess of 10 percent)
occurring in these States for which Hispanic origin was not stated or
unknown.
In 1980 the 15 reporting States accounted for about 45 percent of the
Hispanic population in the United States, including about 47 percent of the
Mexican population, 61 percent of the Puerto Rican population, 16 percent of
the Cuban population, and 38 percent of the "Other Hispanic" population.9
Accordingly, caution should be exercised in generalizing mortality patterns
from the reporting area to the Hispanic-origin population (especially
Cubans) of the entire U.S. For qualifications regarding infant mortality of
the Hispanic-origin population, see section Infant Deaths.
Marital Status
Mortality statistics by marital status (table 1-31) were published in
1979 for the first time since 1961. (Previously they had been published
only in the annual reports for the years 1949-51 and 1959-61.) Several
reports analyzing mortality by marital status have been published, including
the special study based on 1959-61 data.10 Reference to earlier reports may
be found in the appendix of part B of the 1959-61 special study.
Mortality statistics by marital status are tabulated separately for
never married, married, widowed, and divorced. Certificates in which the
marriage is specified as being annulled are classified as never married.
Where marital status is specified as separated or common-law marriage, it is
classified as married. Of the 1,982,817 resident deaths 15 years of age and
over in 1984, 8,580 certificates (0.4 percent) had marital status not stated.
Place of Death and Status of Decedent
Mortality statistics by place of death were published in 1979 for the
first time since 1958 (tables 1-28 and 1-29). In addition, mortality data
were also available for the first time in 1979 for the status of decedent
when death occurred in a hospital or medical center (table 1-28). These
data were obtained from the following two items that appeared on the U.S.
Standard Certificate of Death:
* Item 7c, Hospital or Other Institution--Name (If not in either, give
street and number)
* Item 7d, If Hosp. or Inst. Indicate DOA, OP/Emer. Rm., Inpatient
(Specify)
All of the States and the District of Columbia have item 7c (or its
equivalent) on the death certificate. For 46 States in the Vital Statistics
Cooperative Program, NCHS accepts the State definition, classification, or
codes for hospitals, medical centers, or other institutions. For the
remaining four States not in the Program, and the District of Columbia, NCHS
classifies and codes to a hospital or medical center according to whether
the terms "hospital" or "medical center" are entered as part of the name in
item 7c or its equivalent. If the terms "hospital" or "medical center" are
not entered as part of the name, the entry is coded to one of the following
according to the information entered in item 7c on the certificate: (1)
other institutions, (2) all other reported entries, or (3) unknown, not
stated.
Table 1-28 shows mortality data for the total of the following 42 States
(including New York City) that have item 7d or its equivalent on their death
certificates:
Alaska Nevada
Arizona New Hampshire
Arkansas New Jersey
Colorado New Mexico
Connecticut New York
Florida North Carolina
Georgia North Dakota
Hawaii Ohio
Idaho Oregon
Illinois Pennsylvania
Indiana Rhode Island
Iowa South Carolina
Kansas South Dakota
Kentucky Tennessee
Louisiana Utah
Maine Vermont
Michigan Virginia
Mississippi Washington
Missouri West Virginia
Montana Wisconsin
Nebraska Wyoming
Effective with data for 1980, the coding of place of death and status of
decedent was changed. A new coding category was added: "Dead on
arrival--hospital, clinic, medical center name not given." Deaths coded to
this category are tabulated in table 1-28 as "Dead on arrival" and in table
1-29 as "Not in hospital or medical center." Had the 1979 coding categories
been used, these deaths would have been tabulated as "Place unknown."
Mortality by Month and Date of Birth
Deaths by month have been regularly tabulated and published in the
annual report for each year beginning with data year 1900. For 1984, deaths
by month are shown in tables 1-19, 1-20, 1-23, 1-30, 2-12, 2-13, 2-14, and
3-9.
Date of death was first published for data year 1972. In addition,
unpublished data for selected causes by date of death for 1962 are available
from NCHS.
Number of deaths by date of death in this report are shown in table 1-30
for the total number of deaths and for the number of deaths for the
following three causes, for which the greatest interest in date of
occurrence of death has been expressed: Motor vehicle accidents, Suicide,
and Homicide and legal intervention.
These data show the frequency distribution of deaths for the selected
causes by day of week. They also make it possible to identify holidays with
peak numbers of deaths from specified causes.
Report of Autopsy
Before 1972, the last year for which autopsy data were tabulated was
1958. Beginning in 1972, all registration areas requested information on
the death certificate as to whether autopsies were performed. For 1984,
autopsies were reported on 259,187 death certificates, 12.7 percent of the
total (table 1-27).
Information as to whether the autopsy findings were used in determining
the causes of death were tabulated for 1972-73 for all but nine registration
areas and from 1974-77 for all but eight registration areas. The item
"autopsy findings used" was deleted from the 1978 U.S. Standard Certificate
of Death.
For five of the cause-of-death categories shown in table 1-27, autopsies
were reported as performed for 50 percent or more of all deaths
(Meningococcal infection; Pregnancy with abortive outcome; Other
complications of pregnancy, childbirth, and the puerperium; Homicide and
legal intervention; and All other external causes).
There were five other categories for which 40 percent or more of the
death certificates reported autopsies. Autopsies were reported for only 8.0
percent of the Major cardiovascular diseases. Among all causes other than
major cardiovascular diseases, autopsies were reported for 17.0 percent of
all deaths.
Cause of Death
Cause-of-death classification--Since 1949, cause-of-death statistics
have been based on the underlying cause of death which is defined as "(a)
the disease or injury which initiated the train of events leading directly
to death, or (b) the circumstances of the accident or violence which
produced the fatal injury."11
For a given death the underlying cause is selected from an array of
conditions given in the cause-of-death section on the death certificate.
These conditions are translated into medical codes through use of the
classification structure and selection and modification rules contained in
the applicable revision of the International Classification of Diseases
(ICD) published by the World Health Organization (WHO). Selection rules
provide guidance for systematically identifying the underlying cause of
death in terms of the format of reported conditions and their causal
relationship. Modification rules are intended to improve the usefulness of
mortality statistics by giving preference to certain classification
categories over others and/or to consolidate two or more conditions on the
certificate into a single classification category.
As a statistical datum, the underlying cause of death is a simple,
one-dimensional statistic; it is conceptually easy to understand and a
well-accepted measure of mortality. It identifies the initiating cause of
death and is therefore most useful to public health officials in developing
measures to prevent the start of the chain of events leading to death. The
rules for coding underlying causes of death are included with the ICD as a
means of standardizing classification, which contributes toward uniformity
in mortality medical statistics among countries.
Beginning with data year 1979 the cause-of-death statistics published by
the National Center for Health Statistics have been classified according to
the Ninth Revision of the International Classification of Diseases
(ICD-9).11 In addition to specifying that the Classification be used, WHO
also recommends how the data should be tabulated in order to promote
international comparability. The recommended system for tabulating data in
the Ninth Revision allows countries to construct their own mortality and
morbidity tabulation lists from the rubrics of the WHO Basic Tabulation List
as long as rubrics from the WHO mortality and morbidity lists, respectively,
are included. This tabulation system for the Ninth Revision is more
flexible than that of the Eighth Revision in which specific lists were
recommended for tabulating mortality and morbidity data.
The Basic Tabulation List (BTL) recommended under the Ninth Revision
consists of 57 two-digit rubrics that add to the "all causes" total. Within
each two-digit rubric, up to 9 three-digit rubrics numbered from 0 to 8 are
identified, but these do not add to the total of the two-digit rubric. The
two-digit rubrics of the BTL 01 through 46 provide for the tabulation of
nonviolent deaths to ICD categories 001-799. Rubrics relating to chapter 17
(nature-of-injury causes 47 through 56) are not used by NCHS for selecting
underlying cause of death; rather, preference is given to rubrics E47
through E56. The 57th two-digit rubric V0 is the Supplementary
Classification of Factors Influencing Health Status and Contact with Health
Services and is not appropriate for the tabulation of mortality data. The
WHO Mortality List, a subset of the title contained in the BTL, consists of
50 rubrics which are a minimum for the national display of mortality data.
Five lists of causes have been developed for tabulation and publication
of mortality data in this volume. The Each-Cause List, List of 282 Selected
Causes, List of 72 Selected Causes, List of 61 Selected Causes of Infant
Death, and List of 34 Selected Causes of Death. These lists were designed
to be as comparable as possible with the NCHS lists more recently in use
under the Eighth Revision. However, complete comparability could not always
be achieved.
The Each-Cause List is made up of each three-digit category of the WHO
Detailed List and each four-digit subcategory to which deaths may be validly
assigned and most four-digit subcategories. The list is used for tabulation
for the entire United States. The published Each-Cause table does not show
the four-digit subcategories provided for Motor vehicle accidents
(E810-E825); however, these subcategories, which identify persons injured,
are shown in the accident tables of this report (section 5). Special
fifth-digit subcategories are also used in the accident tables to identify
place of accident when deaths from nontransport accidents are shown. These
are not shown in the Each-Cause table.
The List of 282 Selected Causes of Death is constructed from BTL rubrics
01-46 and E47-E56. Each of the 56 BTL two-digit titles can be obtained
either directly or by combining titles in the List. The three-digit level
of the BTL is modified more extensively. Where more detail was desired,
categories not shown in the three-digit rubrics were added to the List of
282 Selected Causes of Death. Where less detail was needed, the three-digit
rubrics were combined. Moreover, each of the 50 rubrics of the WHO
Mortality List can be obtained from the List of 282 Selected Causes of Death.
The List of 72 Selected Causes of Death was constructed by combining
titles in the List of 282 Selected Causes of Death. It is used in tables
published for the United States and each State, and for standard
metropolitan statistical areas.
The List of 61 Selected Causes of Infant Death shows more detailed
titles for Congenital anomalies and Certain conditions originating in the
perinatal period than any other list except the Each-Cause List.
The List of 34 Selected Causes of Death was created by combining titles
in the List of 72 Selected Causes. A table using this list is published to
show detailed geographic areas.
Effect of list revisions--The International Lists, in use in this
country since 1900, have been revised approximately every 10 years so that
the disease classification may be consistent with advances in medical
science and with advances in diagnostic practice. Each revision of the
International Lists has produced some break in comparability of
cause-of-death statistics. Cause-of-death statistics beginning with 1979
are classified by NCHS according to the ICD-9.11 For a discussion of each
of the classifications used with death statistics since 1900, see the
Technical Appendix in Vital Statistics of the United States, 1979, Volume
II, Mortality, Part A, section 7, pages 9-14.
A dual coding study was undertaken between the Ninth and Eighth
Revisions to measure the extent of discontinuity in cause-of-death
statistics resulting from introducing the new Revision. An initial study
for the List of 72 Selected Causes of Death and the List of 10 Selected
Causes of Infant Death has been published in the Monthly Vital Statistics
Report (MVSR)12 The List of 10 Selected Causes of Infant Death is a basic
NCHS tabulation list but is not used in this volume. Comparability studies
were also undertaken between the Eighth and Seventh, Seventh and Sixth, and
Sixth and Fifth Revisions. For additional information about these studies,
again see the 1979 Technical Appendix.
Significant coding changes during the Ninth Revision--Since the
implementation of ICD-9 in the United States, effective with mortality data
for 1979, several coding changes have been introduced. The more important
changes will be discussed below. In early 1983, a change was made in the
coding of Acquired Immunodeficiency Syndrome (AIDS), which affected data
from 1981 onward. Also effective with data year 1981 was a coding change
for poliomyelitis. For data year 1982, a change was made in the definition
of child (which affects the classification of deaths to a number of
categories, including child battering and other maltreatment); and in
guidelines for coding deaths to the category Child battering and other
maltreatment (ICD No. E967). Detailed discussion of these changes may be
found in the technical appendix for previous volumes.
Coding in 1984--The rules for coding the 1984 mortality data remained
essentially the same as the previous year manuals that contain decisions and
interpretations that apply each year.
Medical certification--The use of a standard classification list,
although essential for State, regional, and international comparison, does
not assure strict comparability of the tabulated figures. A high degree of
comparability between areas could be attained only if all records of cause
of death were reported with equal accuracy and completeness. The medical
certification of cause of death can be made only by a qualified person,
usually a physician, a medical examiner, or a coroner. Therefore,
reliability and accuracy of cause-of-death statistics are, to a large
extent, governed by the ability of the certifier to make the proper
diagnosis and by the care with which he or she completes the death
certificate.
A number of studies have been undertaken on the quality of medical
certification on the death certificate. In general, these have been for
relatively small samples and for limited geographic areas. A bibliography,
prepared by NCHS, covering 128 references over a period of 23 years
indicates that no definitive conclusions have been reached about the quality
of medical certification on the death certificate.13 No country has a
well-defined program for systematically assessing the quality of medical
certifications reported on death certificates or for measuring the error
effects on the levels and trends of cause-of-death statistics.
One index of the quality of reporting causes of death is the proportion
of death certificates coded to the Ninth Revision Chapter XVI Symptoms,
signs, and ill-defined conditions (ICD-9 Nos. 780-799). While there are
cases for which it is not possible to determine the causes of death, this
proportion indicates the care and consideration given to the certification
by the medical certifier. It may also be used as a rough measure of the
specificity of the medical diagnoses made by the certifier in various
areas. In 1984, 1.5 percent of all reported deaths in the United States
were assigned to ill-defined or unknown causes. However, this percentage
varied among the States, from 0.4 percent to 6.0 percent.
Automated selection of underlying cause of death--Beginning with data
year 1968, NCHS began using a computer system for assigning the underlying
cause of death. It has been used every year since to select the underlying
cause of death. The system is called "Automated Classification of Medical
Entities" (ACME).
The ACME system applies the same rules for selecting the underlying
cause as applied by a nosologist; however, under this system, the computer
consistently applies the same criteria, thus eliminating intercoder
variation in this step of the process.
The ACME computer program requires the coding of all conditions shown on
the medical certification. These codes are matched automatically against
decision tables that consistently select the underlying cause of death for
each record according to international rules. The decision tables provide
not only a comprehensive relationship between the conditions classified by
ICD when applying the rules of selection and modification.
The decision tables were developed by NCHS staff on the basis of their
experience in coding underlying causes of death under the earlier manual
coding system and as a result of periodic independent validations. These
tables are periodically updated to reflect additional new information on the
relationship among medical conditions. For 1984, the content of these
tables was identical to that in the 1983 tables.14
Cause-of-death ranking--Cause-of-death ranking (except for infants) is
based on the List of 72 Selected Causes of Death. Cause-of-death ranking
for infants is based on the List of 61 Selected Causes of Infant Death. The
group titles Major cardiovascular diseases and Symptoms, signs, and
ill-defined conditions are not ranked from the List of 72 Selected Causes,
and Certain conditions originating in the perinatal period and Symptoms,
signs, and ill-defined conditions are not ranked from the List of 61
Selected Causes of Infant Death. In addition, category titles that begin
with the words "Other" or "All other" are not ranked to determine the
leading causes of death. When one of the titles that represents a subtotal
is ranked (such as Tuberculosis), its component parts (in this case,
Tuberculosis of respiratory system and Other tuberculosis) are not ranked.
Maternal Deaths
Maternal deaths are those for which the certifying physician has
designated a maternal condition as the underlying cause of death. Maternal
conditions are those assigned to Complications of pregnancy, childbirth, and
the puerperium (ICD-9 Nos. 630-676). In the Ninth Revision, WHO for the
first time defined a maternal death as follows:
A maternal death is defined as the death of a woman while pregnant or
within 42 days of termination of pregnancy, irrespective of the duration
and the site of the pregnancy, from any cause related to or aggravated
by the pregnancy or its management but not from accidental or incidental
causes.11
Under the Eighth Revision, maternal deaths were assigned to category
title "Complications of pregnancy, childbirth, and the puerperium" (ICDA-8
Nos. 630-678). Although WHO did not define maternal mortality, there was an
NCHS classification rule that limited a maternal death to a death within a
year after termination of pregnancy from any "maternal cause," that is, any
cause within the range of ICDA-8 Nos. 630-678. This rule applied only if a
duration of time for the condition was given. If no duration was specified
and the underlying cause of death was a maternal condition, then the
duration was assumed to be within a year and the death was coded by NCHS as
a maternal death. The change from an under-1-year limitation on duration
used in the Eighth Revision to an under-42-days limitation used in the Ninth
Revision is not expected to have much effect on the comparability of
maternal mortality statistics. However, comparability is affected by the
following classification change. Under the Ninth Revision, maternal causes
have been expanded to include indirect obstetric causes (ICD-9 Nos.
647-648). These causes include Infective and parasitic conditions and other
current conditions in the mother that are classifiable elsewhere but which
complicate pregnancy, childbirth, and the puerperium, such as Syphilis,
Tuberculosis, Diabetes mellitus, Drug dependence, and Congenital
cardiovascular disorders.
Maternal mortality rates are computed on the basis of the number of live
births. The maternal mortality rate indicates the likelihood that a
pregnant woman will die from maternal causes. The number of live births
used in the denominator is an approximation of the population of pregnant
women who are at risk of a maternal death.
Infant Deaths
Age--An infant death is defined as a death under 1 year of age. The
term excludes fetal deaths. Infant deaths are usually divided into two
categories according to age, neonatal and postneonatal. Neonatal deaths are
those that occur during the first 27 days of life, and postneonatal deaths
are those that occur between 28 days and 1 year of age. It has generally
been believed that different factors influencing the child's survival
predominate in these two periods: Factors associated with prenatal
development, heredity, and the birth process were considered dominant in the
neonatal period; and environmental factors, such as nutrition, hygiene, and
accidents, were considered more important in the postneonatal period.
Recently, however, the distinction between these two periods has blurred due
in part to advances in neonatology, which have enabled more very small,
premature infants to survive the neonatal period.
Rates--Infant mortality rates shown in section 2 and section 8 are the
most commonly used index for measuring the risk of dying during the first
year of life; they are calculated by dividing the number of infant deaths in
a calendar year by the number of live births registered for the same period
and are presented as rates per 1,000 or per 100,000 live births. Infant
mortality rates use the number of live births in the denominator to
approximate the population at risk of dying before the first birthday. This
measure is an approximation of the risk of dying in infancy because some of
the live births will not have been exposed to a full year's risk of dying
and some of the infants that die during a year will have been born in the
previous year. The error introduced in the infant mortality rate by this
inexactness is usually small, especially when the birth rate is relatively
constant from year to year.15,16 Other sources of error in the infant
mortality rate have been attributed to differences in applying the
definitions for infant death and fetal death when registering the event.17,18
In contrast to infant mortality rates based on live births, infant death
rates shown in section 1 are based on the estimated population under 1 year
of age. Infant death rates, which appear in tabulations of age-specific
death rates, are calculated by dividing the number of infant deaths in a
calendar year by the estimated midyear population of persons under 1 year of
age and are presented as rates per 100,000 population in this age group.
Patterns and trends in the infant death rate may differ somewhat from those
of the more commonly used "infant mortality rate" mainly because of
differences in the nature of the denominator and in the time reference
period. Whereas the population denominator for the infant death rate is
estimated using data on births, infant deaths, and migration for the
12-month period of July through June, the denominator for the infant
mortality rate is a count of births occurring during the 12 months of
January through December. The difference in the time reference period can
result in different trends between the two indices during periods when birth
rates are moving up or down markedly.
In addition, the infant death rate is also subject to greater
imprecision than is the infant mortality rate because of problems of
enumerating and estimating the population under 1 year of age.17
Race--Infant mortality rates for specified races other than white or
black may be underestimated, based on result of studies in which race on the
birth and death certificates for the same infant were compared.19 The
figures should be interpreted with caution because of possible
inconsistencies in reporting of race between the numerator and denominator
of the rates. This reflects differences in the nature of reporting and
processing race on these two vital records. On the birth certificate, race
of parents is reported by the mother at the time of delivery. On the death
certificate, race of the deceased infant is reported by the funeral director
based on observation or on information supplied by an informant, such as a
parent. With respect to processing, race of infant at birth is coded using
coding rules that take account of the race of each parent (see the Technical
Appendix in Vital Statistics of the United States, 1984, Volume I, Natality,
section entitled Race or national origin). For infant deaths, the race of
child is coded directly from the race reported on the death certificate.
Hispanic origin--Infant mortality rates for the Hispanic-origin
population are based on numbers of resident infant deaths reported as of
Hispanic origin (See section Hispanic origin) and numbers of resident live
births by Hispanic origin of mother for the 15 reporting States. In
computing infant mortality rates, deaths and live births of unknown origin
are not distributed among the specified Hispanic and non-Hispanic groups.
Because for 1984 the percent of deaths of unknown origin was 7.0 percent and
the percent of live births of unknown origin was 3.1 percent, infant
mortality rates by Hispanic origin may be somewhat underestimated.
Small numbers of infant deaths to specific Hispanic-origin groups can
result in imfant mortality rates subject to relatively large random
variation (See section on Random variation in numbers of deaths, death
rates, and mortality rates and ratios).
Tabulation List--Causes of death for infants are tabulated according to
a list of causes that is different from the list of causes for the
population of all ages, except for the Each Cause List. (See section
"Cause-of-death classification.")
Infant and neonatal mortality for Wyoming, 1981--The 1981 data on infant
and neonatal mortality shown in tables 2-8 and 2-9 for Wyoming are incorrect
because of NCHS processing errors. The correct numbers for Wyoming are 124
infant deaths and 76 neonatal deaths; the corresponding infant mortality
rates are 11.2 and 7.0 deaths under 1 year of age per 1,000 live births.
Fetal Deaths
In May 1950 the World Health Organization recommended the following
definition of fetal death be adopted for international use:
Death prior to the complete expulsion or extraction from its mother of a
product of conception, irrespective of the duration of pregnancy; the
death is indicated by the fact that after such separation, the fetus
does not breathe or show any other evidence of life such as beating of
the heart, pulsation of the umbilical cord, or definite movement of
voluntary muscles.20
The term "fetal death" was defined on an all-inclusive basis to end
confusion arising from use of such terms as stillbirth, abortion, and
miscarriage.
Shortly thereafter, this definition of fetal death was adopted by the
National Center for Health Statistics as the nationally recommended
standard. Currently all registration areas except Puerto Rico have
definitions similar to the standard definition.21 Puerto Rico has no formal
definition.
As another step toward increasing the comparability of data on fetal
deaths for different countries, the World Health Organization recommended
that for statistical purposes fetal deaths be classified as early,
intermediate, and late. These groups are defined as follows:
Less than 20 completed weeks of gestation
(early fetal deaths) ............................ Group I
20 completed weeks of gestation but less
than 28 (intermediate fetal deaths) ............. Group II
28 completed weeks of gestation and over
(late fetal deaths) ............................. Group III
Gestation period not classifiable in
groups I, II and III ............................ Group IV
Note that in table 3-13, group IV consists of fetal deaths with gestation
not stated but presumed to be 20 weeks or more gestation.
Until 1939 the nationally recommended procedures for registration of a
fetal death required the filing of both a live-birth and a death
certificate. In 1939 a separate Standard Certificate of Stillbirth (fetal
death) was created to replace the former procedure. This was revised in
1949, 1955, 1956, and 1968. In 1976 the Standard Certificate of Fetal Death
was replaced by the Standard Report of Fetal Death (figure 7-B).
The 1977 revision of the Model State Vital Statistics Act and Model
State Vital Statistics Regulations22 recommended that spontaneous fetal
deaths of 20 weeks or more gestation, or a weight of 350 grams or more, and
all induced terminations of pregnancy regardless of gestational age be
reported and further that they be reported on separate forms. These forms
are to be considered legally required statistical reports rather than legal
documents.
Beginning with 1970 fetal deaths, procedures were implemented that
attempted to separate reports of spontaneous fetal deaths from those of
induced terminations of pregnancy. These procedures were implemented
because the health implications are different for spontaneous fetal deaths
and induced terminations of pregnancy. These procedures are still in use.
Comparability and completeness of data--Registration area requirements
for reporting fetal deaths vary. Most of these areas require reporting
fetal deaths of gestations of 20 weeks or more. Table 3-1 shows the minimum
period of gestation required by each State for fetal-death reporting. There
is substantial evidence that not all fetal deaths for which reporting is
required are reported.23
For registration areas not requiring the reporting of fetal deaths of
all periods of gestation, underreporting is more likely to occur in the
earlier gestational periods. This is illustrated by the fact that for most
areas requiring reporting of fetal deaths of 20 weeks or more, the total
number reported for 20-23 weeks is lower than the numbers reported for 24-27
and 28-31 weeks. For areas requiring the reporting of all fetal deaths,
however, the opposite is generally true.
Another type of reporting problems arises from the inconsistent
application of the definition of fetal death by individual registration
areas. For example, some live-born infants who die shortly after birth,
particularly those born prematurely who die before the umbilical cord is
severed or while the placenta is still attached, may be erroneously reported
as fetal deaths.
To maximize the comparability of data by year and by State, most of the
tables in section 3 are based on fetal deaths occurring at gestations of 20
weeks or more. These tables also include fetal deaths of not stated
gestation for those States requiring reporting at 20 weeks or more only.
Beginning with 1969, fetal deaths of not stated gestation were excluded for
States requiring reporting of all products of conception except for those
with a stated birth weight of 500 grams or more. In 1984 this rule was
applied to the following States: Colorado, Georgia, Hawaii, New York
(including New York City), Rhode Island, and Virginia. Each year there are
some exceptions to this procedure.
The data in table 3-3 include only fetal deaths to residents of those
areas in the United States that report all periods of gestation. The areas
are Colorado, Georgia, Hawaii, New York (including New York City), Rhode
Island, and Virginia.
Arkansas--Arkansas has been using two reporting forms for fetal deaths.
A confidential Spontaneous Abortion form and a Fetal Death Certificate.
From 1981 through 1983 Arkansas specified that fetal deaths of less than 28
weeks gestation or weighing less than 1,000 grams could be reported on the
Spontaneous Abortion form rather than on their report of fetal death; for
1984 Arkansas specified that fetal deaths of 20 weeks gestation or weighing
500 grams be reported on its certificate of fetal death. The National
Center for Health Statistics receives the Arkansas certificates of fetal
death, but not the confidential abortion reports. Accordingly, counts of
fetal deaths of gestational age 20 to 27 weeks were not comparable between
Arkansas and other reporting areas for 1981 to 1983.
District of Columbia--Beginning in 1981, the District of Columbia
changed its reporting requirements for spontaneous fetal deaths from "passed
the fifth month of uterogestation" to "20 completed weeks or more or a
weight of 500 grams or more."
Idaho--Beginning in 1983, Idaho changed its reporting requirements for
spontaneous fetal deaths from "after 20 weeks" to "after 20 weeks or a
weight of 350 grams or more."
Kentucky--Beginning in 1981, Kentucky changed its reporting requirements
for spontaneous fetal deaths from "20 weeks gestation or more" to "a weight
of 350 grams or more or a gestational age of 20 weeks or more."
Massachusetts-Beginning in 1981, Massachusetts changed its reporting
requirements for spontaneous fetal deaths from "20 weeks or more" to "20
weeks or more or a weight of 350 grams or more."
Michigan--Beginning in 1981, Michigan changed its reporting requirements
for spontaneous fetal deaths from "advanced through 20th week" to "completed
20 weeks gestation or weighs at least 400 grams."
Missouri--Beginning in 1984, Missouri changed its reporting requirements
for spontaneous fetal deaths from "after 20 weeks" to "after 20 weeks or a
weight of 350 grams or more."
New Hampshire--Beginning in 1981, New Hampshire changed its reporting
requirements for spontaneous fetal deaths from "advanced to 20 weeks" to
"completed 20 weeks or weighing at least 350 grams."
New Mexico--Beginning in 1982, New Mexico changed its reporting
requirements for spontaneous fetal deaths from "20 completed weks" to "500
grams or more."
Tennessee--Beginning in 1981, Tennessee changed its reporting
requirements for spontaneous fetal deaths from "22 weeks or more (500 grams
weight)" to "a weight of 500 grams or more or if weight is unknown but fetus
is of 22 completed weeks or more."
Period of gestation--The period of gestation is the number of completed
weeks elapsed between the first day of the last normal menstrual period and
the date of delivery. The first day of the last normal menstrual period
(LMP) is used as the initial date because it can be more accurately
determined than the date of conception, which usually occurs 2 weeks after
LMP. Data on period of gestation are computed from information on "date of
delivery" and "date last normal menses began." If "date last normal menses
began" is not on the record or the calculated gestation falls beyond a
duration considered biologically plausible, "gestation in weeks" or
"Physician's estimate of gestation" is used. When the period of gestation
is reported in months on the report, it is allocated to gestational
intervals in weeks as follows:
1-3 months to under 16 weeks
4 months to 16-19 weeks
5 months to 20-23 weeks
6 months to 24-27 weeks
7 months to 28-31 weeks
8 months to 32-35 weeks
9 months to 40 weeks
10 months and over to 43 weeks and over
All areas reported LMP in 1984 except Delaware, New Mexico, Puerto Rico, and
South Dakota.
Birth weight--Of the 55 registration areas (including the 50 States, the
District of Columbia New York City, Puerto Rico, the Virgin Islands, and
Guam), 27 do not specify how weight should be given; 16 specify that weight
should be given in pounds and ounces; 5 specify grams; and the remaining 7
areas indicate weight can be given either in pounds and ounces or in grams.
Data on fetal deaths for the Virgin Islands and Guam are not published by
NCHS.
In the tabulation and presentation of these data, the metric system
(grams) has been used to facilitate comparison with other data published in
the United States and internationally. The equivalents of the gram
intervals in pounds and ounces are as follows:
Less than 350 grams = 0 lb 12 oz or less
350- 499 grams = 0 lb 13 oz- 1 lb 1 oz
500- 999 grams = 1 lb 2 oz- 2 lb 3 oz
1,000-1,499 grams = 2 lb 4 oz- 3 lb 4 oz
1,500-1,999 grams = 3 lb 5 oz- 4 lb 6 oz
2,000-2,499 grams = 4 lb 7 oz- 5 lb 8 oz
2,500-2,999 grams = 5 lb 9 oz- 6 lb 9 oz
3,000-3,499 grams = 6 lb 10 oz- 7 lb 11 oz
3,500-3,999 grams = 7 lb 12 oz- 8 lb 13 oz
4,000-4,499 grams = 8 lb 14 oz- 9 lb 14 oz
4,500-4,999 grams = 9 lb 15 oz- 11 lb 0 oz
5,000 grams or more = 11 lb 1 oz or more
With the introduction of the Ninth Revision, International
Classification of Diseases, the birth-weight classification intervals for
perinatal mortality statistics were shifted downward by 1 gram, as shown
above. Previously, the intervals were, for example, 1,001-1,500;
1,501-2,000; etc.
Race--The race of the fetus is ordinarily classified based on the race
of the parents. If the parents are of different races, the following rules
apply. (1) When only one parent is white, the fetus is assigned the other
parent's race. (2) When neither parent is white, the fetus is assigned the
father's race with one exception: If the mother is Hawaiian or
Part-Hawaiian, the fetus is classified as Hawaiian.
When the race of one parent is missing or ill defined, the race of the
other determines that of the fetus. When race of both parents is missing,
the race of the fetus is allocated to the specific race of the fetus on the
preceding record.
Total-birth order--Total-birth order refers to the sum of the live
births and other terminations (including both spontaneous fetal deaths and
induced terminations of pregnancy) that a woman has had including the fetal
death being recorded. For example, if a woman has previously given birth to
two live babies and to one born dead, the next fetal death to occur is
counted as number four in total-birth order.
In the 1978 revision of the Standard Report of Fetal Death, total-birth
order is calculated from four items on pregnancy history: Number of
previous live births, now living; number of previous live births, now dead;
number of other terminations before 20 weeks; and number of other
terminations after 20 weeks.
All registration areas use the two standard items pertaining to the
number of previous live births. Thirty areas use the two standard items
pertaining to the number of "other terminations" before and after 20 weeks
gestation; 4 report "other terminations" of 20 weeks or more; 14 do not
differentiate "other terminations" by gestational age; 6 areas use other
criteria for differentiating spontaneous and induced terminations; and 1
area reports "other terminations" before and after 16 weeks gestation.
Total-birth order for all areas is calculated from the sum of available
information. Thus, information on total-birth order may not be completely
comparable among the registration areas.
Marital status--Table 3-4 shows fetal deaths and fetal-death ratios by
mother's marital status. States excluded from this table are as follows:
California, Connecticut, Maryland, Michigan, Montana, New York (including
New York City), Ohio, Texas, and Vermont. Because live births comprise the
denominator of the ratio, marital status must also be reported for mothers
of live births. Starting in 1980, marital status of the mother of the live
birth was inferred for States that did not report it on the birth
certificate.
There are no quantitative data on the characteristics of unmarried women
who may misreport their marital status or who fail to register fetal
deaths. Underreporting may be greater for the unmarried group than for the
married group.
Age of mother--The fetal-death report asks for the mother's "age (at
time of delivery)," and the ages are edited in NCHS for upper and lower
limits. When mothers are reported to be under 10 years of age or 50 years
and over, the age of the mother is considered and not stated and is assigned
as follows: Age on all fetal-death records with age of mother not stated is
allocated according to the age appearing on the record previously processed
for a mother of identical race and having the same total-birth order (total
of live births and other terminations).
Perinatal Mortality
Perinatal definitions--Beginning with data year 1979, perinatal
mortality data for the United States and each State have been published in
section 4. The World Health Organization in the Ninth Revision of the
International Classification of Diseases (ICD-9) recommended that "national
perinatal statistics should include all fetuses and infants delivered
weighing at least 500 grams (or when birth weight is unavailable, the
corresponding gestational age (22 weeks) or body length (25 cm crown-heel)),
whether alive or dead...." It was further recommended that countries should
present, solely for international comparisons 'standard perinatal
statistics' in which both the numerator and denominator of all rates are
restricted to fetuses and infants weighing 1,000 grams or more (or, where
birth weight is unavailable, the corresponding gestational age (28 weeks) or
body length (35 cm crown-heel))." Because birth weight and gestational age
are not reported on the death certificate in the United States, NCHS was
unable to recommend adopting these definitions. Three definitions of
perinatal mortality are currently used by NCHS. Perinatal Definition I,
generally used for international comparisons, which includes fetal deaths of
28 weeks or more gestation and infant deaths of less than 7 days, Perinatal
Definition II, which includes fetal deaths of 20 weeks or more gestation and
infant deaths of less than 28 days; and Perinatal Definition III, which
includes fetal deaths of 20 weeks or more gestation and infant deaths of
less than 7 days.
Variations in fetal death reporting requirements and practices have
implications for comparing perinatal rates among States. Since reporting is
generally poorer near the lower limit of the reporting requirement, States
that require reporting of all products of pregnancy regardless of gestation
are likely to have more complete reporting of fetal deaths of 20 weeks or
more than are other States. The larger number of fetal deaths reported by
these "all periods" States may result in higher perinatal rates compared
with States whose reporting is less complete. Accordingly, reporting
completeness may account, in part, for differences among the State perinatal
rates, particularly differences for Definitions II and III, which use data
for fetal deaths of 20-27 weeks.
Not stated--Fetal deaths with gestational age not stated are presumed to
be of 20 weeks gestation or more if (1) the State requires reporting of all
fetal deaths of gestational age 20 weeks or more or (2) the fetus weighed
500 grams or more, in those States requiring reporting of all fetal deaths
regardless of gestational age. For Definition I, fetal deaths with
gestation not stated but presumed to be 20 weeks or more are allocated to
the category 28 weeks or more, according to the proportion of fetal deaths
with stated gestational age that falls into that category. For Definitions
II and III, fetal deaths with presumed gestation of 20 weeks or more are
included with those of stated gestation of 20 weeks or more.
For all three definitions, following the distribution of gestation not-
stated described above, fetal deaths with nonstated sex are allocated within
gestational age groups on the basis of the distribution of stated cases.
The allocation of not-stated gestational age and sex for fetal deaths is
made individually for each State, for metropolitan and nonmetropolitan
areas, and separately for the United States as a whole. Accordingly, the
sum of perinatal deaths for the areas according to Definition I may not
equal the total number of perinatal deaths for the United States.
Completeness of Registration
All States have adopted laws that require the registration of births and
deaths, and the reporting of fetal deaths. It is believed that over 99
percent of the births and deaths occurring in this country are registered.
Reporting requirements for fetal deaths vary somewhat from State to
State (see "Comparability and completeness of data"). Overall reporting
completeness is not as good for fetal deaths as for births and deaths, but
it is believed to be relatively complete for fetal deaths of 28 weeks
gestation or more. National statistical data on fetal deaths include only
those fetal deaths with stated or presumed gestation of 20 weeks or more.
Massachusetts Data
The 1964 data statistics for deaths exclude approximately 6,000 events
registered in Massachusetts, primarily to residents of that State.
Microfilm copies of these records were not received by NCHS. Figures for
the United States and the New England Division are also somewhat affected.
Quality Control Procedures
Demographic items on the death certificate--As previously indicated, for
1984 the mortality data for these items were obtained from two sources: (1)
Microfilm images of the original certificates furnished by 4 States, the
District of Columbia, and the Virgin Islands, and photocopies from Guam; and
(2) records on data tape furnished by the remaining 46 States, New York
City, and Puerto Rico. For the four States, the District of Columbia, the
Virgin Islands, and Guam that sent only copies of the original certificates,
the demographic items were coded for 100 percent of the death certificates.
The demographic coding for a 10-percent sample of the certificates was
independently verified.
As part of the quality control procedures for mortality data, each
registration area has to go through a calibration period during which it
must achieve the specified error tolerance level of 2 percent per item for 3
consecutive months, based on NCHS independent verification of a 50-percent
sample of that area's records. Once the area has achieved the required
error tolerance level, a sample of 70-80 records per month is used to
monitor quality of coding.
All of the areas had achieved the specified error tolerance before 1984;
accordingly, for these areas the demographic items on about 70-80 records
per area per month were independently verified by NCHS. These areas include
New York City, Puerto Rico, and the 46 States that furnished data on
computer tape to NCHS. The estimated average error rate for all demographic
items in the entire 1984 mortality file was 0.25 percent.
These verification procedures involve controlling two types of error
(coding and entering into the data record tape) at the same time and the
error rates are a combined measure of both types. While it may be assumed
that the entering errors are randomly distributed across all items on the
record, this assumption cannot be made as readily for coding errors.
Although systematic errors in coding infrequent events may escape detection
during sample verification, it is probable that some of these errors were
detected during the initial period when 50 percent of the file was being
verified, thus providing an opportunity to retrain the coders.
Medical items on the death certificate--As for demographic data,
mortality medical data are also subject to quality control procedures which
control for errors of both coding and data entry. Each of the 19
registration areas that furnished NCHS with coded medical information
according to NCHS specifications first had to qualify for sample
verification. During an initial calibration period, the area had to achieve
a specified error tolerance level of less than 5 percent for coding all
medical items. After the area has achieved the required error tolerance
level, a sample of 70-80 records per month is used to monitor quality of
medical coding. For these 19 States, the average coding error rate in 1984
was estimated at just over 4 percent.
For the remaining 39 registration areas--31 States, the District of
Columbia, New York City, Puerto Rico, the Virgin Islands, and Guam--NCHS
coded the medical items for 100 percent of the death records. A 1-percent
sample of the records was independently coded for quality control purposes.
The estimated average error rate for these areas was about 3 percent.
The ACME system for selecting the underlying cause of death through
computer application contributes to the quality control of medical items on
the death certificate (see the section on Automated selection of underlying
cause of death).
Demographic items on the report of fetal death--For 1984, all data on
fetal deaths, except for New York State (excluding New York City), were
coded under contract by the U.S. Bureau of the Census. For Oklahoma,
portions of the data were coded under contract by the U.S. Bureau of the
Census, and other portions were coded by the State. The combination coding
was necessary because the medical and confidential portion of the fetal
death report, which contain some of the essential statistical information,
became detached from the other part of the fetal death report prior to
receipt by NCHS. Coding and entering information "on data tapes were
verified on a 100-percent basis because of the relatively small number of
records involved.
Other control procedures--After coding and entering on data tape are
completed, record counts are balanced against control totals for each
shipment of records from a registration area. Editing procedures ensure
that records with inconsistent or impossible codes are modified.
Inconsistent codes are those, for example, where there is contradiction
between cause of death and age or sex of the decedent. Records so
identified during the computer-editing process are either corrected by
reference to the source record or adjusted by arbitrary code assignment.24
All subsequent operations in tabulating and in preparing tables are verified
during the computer processing or by statistical clerks.
Estimates of Errors Arising from 50-Percent Sample for 1972
Death statistics for 1972 in this report (excluding fetal-death
statistics) are based on a 50-percent sample of all deaths occurring in the
50 States and the District of Columbia.
A description of the sample design and a table of the percent errors of
the estimated number of deaths by size of estimate and total deaths in the
area are shown in the Technical Appendix of Vital Statistics of the United
States, 1972, Volume II, Mortality, Part A.
Population Bases
The population bases from which death rates shown in this report are
computed are prepared by the U.S. Bureau of the Census. Rates for 1940,
1950, 1960, 1970, and 1980, are based on the population enumerated as of
April 1 in the censuses of those years. Rates for all other years use the
estimated midyear (July 1) population for the respective years. Death rates
for the United States, individual States, and SMSA's are based on the total
resident populations of the respective areas. Except as noted these
populations exclude the Armed Forces abroad but include the Armed Forces
stationed in each area.
The resident populations of the birth- and death-registration States for
1900-32 and of the United States for 1900-84 are shown in table 7-1. In
addition, the population including Armed Forces abroad is shown for the
United States. Table A lists the sources for these populations.
Table A. Sources for resident population and population including
Armed Forces abroad: Birth- and death-registration States, 1900-1932,
and United States, 1900-1984
Year Source
1984-------------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 985, Apr. 1986.
1983-------------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 965, Mar. 1985.
1982-------------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 949, May 1984.
1981-------------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 929, May 1983.
1980-------------- U.S. Bureau of the Census, U.S. Census of Population:
1980, Number of Inhabitants, PC80-1-A1, United States
Summary, 1983.
1971-79----------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 917, July 1982.
1970-------------- U.S. Bureau of the Census, U.S. Census of Population:
1970, Number of Inhabitants, Final Report PC(1)-A1,
United States Summary, 1971.
1961-69----------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 519, April 1974.
1960-------------- U.S. Bureau of the Census, U.S. Census of Population:
1960, Number of Inhabitants, Final Report PC(1)-A1,
United States Summary, 1964.
1951-59----------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 310, June 30, 1965.
1940-50----------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 499, May 1973.
1930-39----------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 499, May 1973, and National Office of
Vital Statistics, Vital Statistics Raters in the United
States, 1900-1940, 1947.
1920-29----------- National Office of Vital Statistics, Vital Statistics
Rates in the United States, 1900-1940, 1947.
1917-19----------- Same as for 1930-39.
1900-1916--------- Same as for 1920-29.
Population estimates for 1984--The population of the United States
estimated by age, race, and sex for 1984 is shown in table 7-2, and the
population for each State by broad age groups follows in table 7-3.
Population estimates for 1984 incorporate new estimates for net migration
and net undocumented immigration; and, thus, are not comparable with the
postcensal estimates for 1981-83 shown in tables 7-2 and 7-3 of Vital
Statistics of the United States, Volume II, for those years. A comparison
of population estimates based on the new migration assumptions with
estimates based on the old assumption, by 5- and 10-year age-race-sex
groups, produced differences of less than 2 percent in all age groups except
40-44 years and 85 years and over for the black population. The 1984
population estimates for the black populations based on the new assumptions
were about 4 percent smaller for ages 40-44 years and about 3 percent
smaller for ages 85 years and over. Death rates and estimates of life
expectancy for 1984, therefore, are not strictly comparable with those for
previous years, although trends for the total population and most
age-race-sex groups are not substantially affected. Additional information
has been published by the U.S. Bureau of the Census.25 Population data by
race are consistent with the modified (see below) 1980 population by race.
Population for 1980--The population of the United States by age, race,
and sex and the population for each State by age are shown in tables 7-2 and
7-3, respectively, of Vital Statistics of the United States, 1980, Volume
II. The figures by race have been modified as described below.
The racial counts in the 1980 census are affected by changes in
reporting practices, particularly of the Hispanic population, and in coding
and classifying. One particular change created a major inconsistency
between the 1980 census data and historical data series, including censuses
and vital statistics. About 40 percent of the Hispanic population counted
in 1980, over 5.8 million persons, did not mark one of the specified races
listed on the census questionnaire but instead marked the "Other" category.
In the 1980 census, coding procedures were modified for persons who
marked "Other" race and wrote in a national origin designation of a Latin
American country or a specific Hispanic origin group in response to the
racial question. These persons remained in the "Other" racial category in
1980 census data; in previous censuses and in vital statistics, such
responses had almost always been coded into the "White" category.
In order to maintain comparability, the "Other" racial category in the
1980 census was reallocated to be consistent with previous procedures.
Persons who marked the "Other" racial category and reported any Spanish
origin on the Spanish origin question (5,840,648 persons) were distributed
to white and black races in proportion to the distribution of persons of
Hispanic origin who actually reported their race as "White" or "Black."
This was done for each age-sex group.
As a result of this procedure, 5,705,155 persons (98 percent) were added
to the white population and 135,493 persons (2 percent) to the black
population. Persons who marked the "Other" racial category and reported
that they were not of Spanish origin (916,338 persons) were distributed as
follows: 20 percent in each age-sex group were added to the "Asian and
Pacific Islander" category (183,268 persons), and 80 percent were added to
the "White" category (733,070 persons). The count of American Indians,
Eskimos, and Aleuts was not affected by these procedures. Unpublished
tabulations of these modified census counts were obtained from the U.S.
Bureau of the Census and used to compute the rates for this report.
Population estimates for 1971-79--Death rates in this volume for 1971-79
used revised population estimates that are consistent with the 1980 census
levels. The 1980 census enumerated approximately 5.5 million more persons
than had previously been estimated for April 1, 1980.26 These revised
estimates for the United States by age, race, and sex are published by the
U.S. Bureau of the Census in Current Population Reports, Series P-25, Number
917. Unpublished revised estimates for States were obtained from the U.S.
Bureau of the Census. For Puerto Rico, the Virgin Islands, and Guam,
revised estimates are published in Current Population Reports, Series P-25,
Number 919.
Population estimates for 1961-69--Death rates in this volume for 1961-69
are based on revised estimates of the population and thus may differ
slightly from rates published before 1976. The rates shown in tables 1-1
and 1-2, the life table values in table 6-5, and the population estimates in
table 7-1 for each year in the period 1961-69 have been revised to reflect
modified population bases, as published in the U.S. Bureau of the Census,
Current Population Reports, Series P-25, Number 519. The data shown in
table 1-10 for 1961-69 have not been revised.
Rates and ratios based on live births--Infant and maternal mortality
rates, and fetal death and perinatal mortality ratios, are computed on the
basis of the number of live births. Fetal death and perinatal mortality
rates are computed on the basis of the number of live births and fetal
deaths. Counts of live births are published annually in Vital Statistics of
the United States, Volume I, Natality.
New Jersey--As previously indicated, data by race are not available for
New Jersey for 1962 and 1963. Therefore for 1962 and 1963 the National
Center for Health Statistics estimated a population by age, race, and sex
excluding New Jersey for rates shown by race. The methodology used to
estimate the revised population excluding New Jersey is discussed in the
Technical Appendixes of the 1962 and 1963 reports.
Net Census Undercount
Just as the underenumeration of deaths and the misreporting of
demographic characteristics on the death certificate can introduce error
into the annual rates, errors in the latest decennial census such as
undercount or overcount can also adversely affect mortality statistics.
This is because annual population estimates for the postcensal interval,
which are used in the denominator for calculating death rates, are computed
using the decennial census count as a base.25 Net census undercount is
determined by miscounting and misreporting of demographic characteristics
such as age. Age-specific death rates are affected by both the net census
undercount and the misreporting of age on the death certificate.27 To the
extent that the net undercount is substantial and that it varies among
subgroups and geographic areas, it may have important consequences for vital
statistics measures.
Although death rates based on a population adjusted for net census
undercount may be more accurate than rates based on an unadjusted
population, rates in this volume are not adjusted; rather, they are computed
using population estimates that preserve the age pattern of the net census
undercount across the postcensal interval. Thus, it is important to
consider the possible impact of net census undercount on death rates.
The U.S. Bureau of the Census has conducted extensive research on
completeness of coverage of the U.S. population (including underenumeration
and misstatement of age, race, and sex) in the last four decennial
censuses--1950, 1960, 1970, and 1980. From this work have come estimates of
the national population that was not counted by age, race, and sex.22,28,29
The reports for 1980 include estimates of net census undercount using
alternative methodological assumptions for age, race, and sex subgroups of
the national population.22,30 These studies indicate that, although
coverage was improved over previous censuses, there was differential
coverage in the 1980 census among the population subgroups; that is, some
age, race, and sex groups were more completely counted than others.
Net census undercounts can affect (1) levels of the observed vital
rates, (2) differences among groups, and (3) levels and group differences
shown by summary measures such as age-adjusted death rates and life
expectancy.
Levels and differentials--If adjustments are made for net census were m
undercount, the size of denominators of the death rates generally would
increase and the rates, therefore, would decrease. Assuming net census
undercounts remained consistent by age after the 1980 census, the estimated
rates for 1984 can be computed by multiplying the reported rates by ratios
of the census-level population to the population adjusted for the estimated
net census undercount (table 7-4). A ratio of less than 1.0 indicates a net
census undercount and, when applied, results in a corresponding decrease in
the death rate. A ratio greater than 1.0--indicating a net census
overcount--multiplied by the reported rate results in an increase in the
death rate.
Coverage ratios for all ages show that, in general, females were more
completely enumerated than males and the white population more completely
than the population of all other races. The black population was counted
less completely than the total population of all other races.
For the total population, underenumeration varied by age group, with the
greatest undercount found for persons aged 80-84, and 85 years and over.
All other age groups were overcounted or undercounted by less than 3 percent.
Among the age-sex-race groups, coverage was lowest for black males aged
35-39, 40-44, and 45-49 years. Underenumeration for these groups was 19
percent. In contrast, white females in these age groups were essentially
completely enumerated. For black females and white males in these same age
groups, the undercount ranged from 3 to 6 percent. For the under-1-year age
group the white population was overenumerated by 2 percent, whereas infants
of other races were underenumerated by 9 percent.
If vital statistics measures were calculated with adjustments for net
census undercounts for each population subgroup, the resulting rates would
be differentially reduced from their original levels, that is, rates for
those groups with the greatest estimated undercounts would show the greatest
relative reductions due to these adjustments. Similar effects would be
evident in the opposite direction for groups with overcounts. As a
consequence, the ratio of mortality between the rates for males and females,
and between the rates for the white population and the population of other
races, or the black population, usually would be reduced.
Similarly, the differences between the death rates among subgroups of
the population by cause of death would be affected by adjustments for net
census undercounts. For example, for the age group 35-39 years in 1984, the
ratio of the death rate for Homicide and legal intervention for black males
to that for white males is 6.9, whereas the ratio of the death rates
adjusted for net census undercount in 1984 is 5.4, a reduction of 22
percent. For Ischemic heart disease for males aged 40-44 years, the ratio
of the death rate for the population of all other races to that for the
white population is 1.3 using the unadjusted rates, but it is 1.1 when
adjusted for estimated underenumeration.
Summary measures--The effect of net census undercount on age-adjusted
death rates depends on the underenumeration of each age group and on the
distribution of deaths by age. In 1984, the age-adjusted death rate for All
causes would decrease from 545.9 to 538.4 per 100,000 population if the
age-specific death rates were corrected for net census undercount.
For Diseases of the heart, the age-adjusted death rate for white males
would decrease from 249.5 to 245.5 per 100,000 population, a decline of 1.6
percent. For black males the change, from an unadjusted rate of 300.1 to an
adjusted rate of 273.2, would amount to 9.0 percent.
If death rates by age were adjusted, then the corresponding life
expectancy at birth computed from these rates would change. The importance
of adjustments varies by age, that is, when calculating life expectancy, the
impact of an undercount (or overcount) is greatest at the younger ages. In
general, the effect of correcting the death rates is to increase the
estimate of life expectancy at birth. Differential underenumeration among
race-sex groups would lead to greater changes in life expectancy at birth.
Differential underenumeration among race-sex groups would lead to greater
changes in life expectancy for some groups than for others. For white
females who were completely enumerated in 1980, revised estimates of life
expectancy would remain roughly constant; those for black males would show
the greatest increase.
Age-Adjusted Death Rates
Age-adjusted death rates shown in this report are computed by using the
distribution in 10-year age intervals of the enumerated population of the
United States in 1940 as the standard population. Each figure represents
the rate that would have existed if the age-specific rates of the particular
year prevailed in a population whose age distribution was the same as that
of the United States in 1940. The rates for the total population and for
each race-sex group were adjusted using the same standard population. It is
important not to compare age-adjusted death rates with crude rates. The
standard 1940 population, on the basis of one million total population, is
as follows:
Age Number
All ages ............................................... 1,000,000
Under 1 year................................................. 15,343
1-4 years.................................................... 64,718
5-14 years................................................... 170,355
15-24 years.................................................. 181,677
25-34 years.................................................. 162,066
35-44 years.................................................. 139,237
45-54 years.................................................. 117,811
55-64 years.................................................. 80,294
65-74 years.................................................. 48,426
75-84 years.................................................. 17,303
85 years and over............................................ 2,770
Life Tables
U.S. abridged life tables are constructed by reference to a standard
table.31 Life tables for the decennial period 1979-81 are used as the
standard life tables in constructing the 1980-84 abridged life tables. With
the availability of the 1979-81 standard life tables, revised life table
values were computed for 1980-82; these appear for the first time in this
volume. Life table values appearing in Vital Statistics of the United
States, 1983.
Life tables for the decennial period 1969-71 are used as the standard
life tables in constructing the 1970-79 abridged life tables. Life table
values for 1970-73 were first revised in Vital Statistics of the United
States, 1977; before 1977, life table values for 1970-73 were constructed
using the 1959-61 decennial life tables. In addition, life tables values
for 1951-59, 1961-69, and 1971-79 appearing in this publication are based on
revised intercensal estimates of the populations for those years. As such,
these life table values may differ from the life table values for those
years published in previous volumes.
There has been an increasing interest in data on average length of life
( 0) for single calendar years before the initiation of the annual abridged
life table series for selected race-sex groups in 1945. The figures in
table 6-5 for the race and sex groups for the following years were estimated
to meet these needs.32
Race and
Years Sex Groups
1900-45.............................................. Total
1900-47.............................................. Male
1900-47.............................................. Female
1900-50.............................................. White
1900-44.............................................. White, male
1900-44.............................................. White, female
1900-50.............................................. All other
1900-44.............................................. All other, male
1900-44.............................................. All other, female
The geographic areas covered in life tables before 1929-31 were limited
to the death-registration areas. Life tables for 1900-1902 and 1909-11 were
constructed using mortality data from the 1900 death-registration States--10
States and the District of Columbia--and for 1919-21 from the 1920
death-registration States--34 States and the District of Columbia. The
tables for 1929-31 through 1958 cover the counterminous United States.
Decennial life table values for the 3-year period 1959-61 were derived from
data that include both Alaska and Hawaii for each year (table 6-4). Data
for each year shown in table 6-5 include Alaska beginning in 1959 and Hawaii
beginning in 1960. It is not believed that the inclusion of these two
States materially affects life table values.
Random Variation in No. Deaths, Death Rates, Mort. Rates & Ratio
Deaths and population-based rates--Except for 1972, the numbers of
deaths reported for a community represent complete counts of such events.
As such, they are not subject to sampling error, although they are subject
to errors in the registration process. However, when the figures are used
for analytical purposes, such as the comparison of rates over a time period
or for different areas, the number of events that actually occurred may be
considered as one of a large series of possible results that could have
arisen under the same circumstances.33 The probable range of values may be
estimated from the actual figures according to certain statistical
assumptions.
In general, distributions of vital events may be assumed to follow the
binomial distribution. Estimates of standard error and tests of
significance under this assumption are described in most standard statistics
texts. When the number of events is large, the standard error, expressed as
a percent of the number or rate, is usually small.
When the number of events is small (perhaps less than 100) and the
probability of such an event is small, considerable caution must be observed
in interpreting the conditions described by the figures. This is
particularly true for infant mortality rates, cause-specific death rates,
and death rates for counties. Events of a rare nature may be assumed to
follow a Poisson probability distribution. For this distribution, a simple
approximation may be used to estimate a confidence interval, as follows.
If N is the number of registered deaths in the population and R is the
corresponding rate, the chances are 19 in 20 that
1. N - 2 / N and N + 2 / N
covers the "true" number of events.
2. R - 2 R and R + 2 R
/N /N
covers the "true" rate.
If the rate R corresponding to N events is compared with the rate S
corresponding to M events, the difference between the two rates may be
regarded as statistically significant if it exceeds
R2 S2
2 +
N M
For example, if the observed death rate for Community A were 10.0 per
1,000 population and if this rate were based on 20 recorded deaths, then the
chances are 19 in 20 that the "true" death rate for that community lies
between 5.5 and 14.5 per 1,000 population. If the death rate for Community
A of 10.0 per 1,000 population were being compared with a rate of 20.0 per
1,000 population for Community B, which is based on 10 recorded deaths, then
the difference between the rates for the two communities is 10.0. This
difference is less than twice the standard error of the difference
(10.0)2 (20.0)2
2 +
20 10
of the two rates, which is computed to be 13.4. From this, it is concluded
that the difference between the rates for the two communities is not
statistically significant.
Symbols Used in Tables
SYMBOLS USED IN TABLES
Data not available------------------------------------------ ---
Category not applicable------------------------------------- ...
Quantity zero----------------------------------------------- -
Quantity more than 0 but less than 0.05--------------------- 0.0
Quantity more than zero but less than 500 where numbers are
rounded to thousands-------------------------------------- Z
Figure does not meet standards of reliability or precision-- *
REFERENCES
1. National Center for Health Statistics: Vital statistics,
classification and coding instructions for fetal death records. NCHS
Instruction Manual, Part 3b. Public Health Service, Hyattsville, Md.
Published annually.
2. National Center for Health Statistics: Vital statistics, demographic
classification and coding instructions for death records. NCHS Instruction
Manual, Part 4. Public Health Service, Hyattsville, Md. Published annually.
3. National Center for Health Statistics, M.A. McCarthy: Comparison of
the classification of place of residence on death certificates and matching
census records, United States, May-August 1960. Vital and Health
Statistics, Series 2, No. 30. PHS Pub. No. 1000. Public Health Service.
Washington. U.S. Government Printing Office, Jan. 1969.
4. National Vital Statistics Division: Matched record comparison of birth
certificate and census information, United States, 1950. Vital
Statistics--Special Reports. Vol. 47, No. 12. Public Health Service.
Washington, D.C., Mar. 1962.
5. National Center for Health Statistics: Vital statistics, vital records
geographic classification, 1982. NCHS Instruction Manual, Part 8. Public
Health Service, Hyattsville, Md., June 1985.
6. U.S. Office of Management and Budget: Standard metropolitan
statistical areas and standard consolidated areas. Statistical Reporter.
Washington. U.S. Government Printing Office, Oct. 1981, pp. 1-20.
7. U.S. Office of Management and Budget: 36 new standard metropolitan
statistical areas and standard consolidated areas. Statistical Reporter.
Washington. U.S. Government Printing Office, July 1981, p. 420.
8. U.S. Office of Management and Budget: Standard Metropolitan
Statistical Areas, rev. ed. Statistical Reporter. Washington. U.S.
Government Printing Office, 1975, pp. 89-90.
9. U.S. Bureau of the Census: 1980 Census of Population, Persons of
Spanish Origin by State, 1980. Supplementary Report, PC80-S1-7.
Washington. Aug. 1982.
10. National Center for Health Statistics, A. J. Klebba: Mortality from
selected causes by marital status, United States, Parts A & B. Vital and
Health Statistics, Series 20, No. 8a, Series 20, No. 8b. PHS Pub. No.
1000. Public Health Service. Washington. U.S. Government Printing Office,
Dec. 1970.
11. World Health Organization: Manual of the International Statistical
Classification of Diseases, Injuries,, and Causes of Death, Based on the
Recommendations of the Ninth Revision Conference, 1975. Geneva. World
Health Organization, 1977.
12. National Center for Health Statistics: Estimates of selected
comparability ratios based on dual coding of 1976 death certificates by the
Eighth and Ninth Revisions of the International Classification of Diseases.
Monthly Vital Statistics Report, Vol. 28, No. 11 Supp. DHEW Pub. No. (PHS)
80-1120. Public Health Service, Hyattsville, Md., Feb. 29, 1980.
13. National Center for Health Statistics, A. Gittelsohn and P. N.
Royston: Annotated bibliography of cause-of-death validation studies,
1958-80, Vital and Health Statistics, Series 2, No. 89. DHHS Pub. No. (PHS)
82-1363. Public Health Service. Washington. U.S. Government Printing
Office, Sept. 1982.
14. National Center for Health Statistics: Vital statistics, ICD-9 ACME
decision tables for classifying the underlying causs of death, 1984. NCHS
Instruction Manual, Part 2c. Public Health Service, Hyattsville, Md., Sept.
1982.
15. L. Guralnick and E. D. Winter. A note on cohort infant mortality
rates. Pub. Health Rep. 80:692-694, 1965.
16. National Center for Health Statistics, R. D. Grove and A. M. Hetzel.
Vital Statistics Rates in the United States, 1940-1960. Public Health
Service. Washington. U.S. Government Printing Office, 1968.
17. National Office of Vital Statistics, F. E. Linder and R. D. Grove.
Vital Statistics Rates in the United States, 1900-1940. U.S. Public Health
Service. Washington. U.S. Government Printing Office, 1947.
18. B.J. McCarthy et al. The underregistration of neonatal deaths:
Georgia 1974-77. Am. J. Pub. Health 70:977-982, 1980.
19. F. Frost and Kirkwood K. Shy: Racial differences between linked birth
and infant death records in Washington State. American Journal of Public
Health, 70:974-976, Sept. 1980.
20. National Office of Vital Statistics: International Recommendations on
Definitions of Live Birth and Fetal Death, PHS Pub. No. 39. Public Health
Service. Washington. U.S. Government Printing Office, Oct. 1950.
21. For definitions used by the States and registration areas, see
National Center for Health Statistics, State Definitions and Reporting
Requirements for Live Births, Fetal Deaths, and Induced Terminations of
Pregnancy. DHHS Pub. No. (PHS) 81-1119. Public Health Service.
Washington. U.S. Government Printing Office, May 1981.
22. National Center for Health Statistics: Model State Vital Statistics
Act and Model State Vital Statistics Regulations. DHEW Pub. No. (PHS)
78-1115. Public Health Service. Washington. U.S. Government Printing
Office, May 1978.
23. Unpublished fetal mortality data contained in a thesis for Harvard:
School of Public Health, Apr. 1962, by Carl L. Erhardt, Sc.D., Director,
Bureau of Records and Statistics, Department of Health, New York, N.Y.
24. National Center for Health Statistics: Vital Statistics, computer
edits for mortality data, effective 1979. NCHS Instruction Manual, Part
11. Public Health Service, Hyattsville, Md., Nov. 1979.
25. U.S. Bureau of the Census: Estimates of the Population of the United
States, by age, sex, and race: 1980 to 1985. Current Population Reports.
Series P-25, No. 985. Washington. U.S. Government Printing Office, April
1986.
26. U.S. Bureau of the Census: Coverage of the national population in the
1980 census by age, sex, and race. Preliminary estimates by demographic
analysis. Current Population Reports. Series P-23, No. 115. Washington.
U.S. Government Printing Office, Feb. 1982.
27. National Center for Health Statistics, T. Z. Hambright: Comparability
of age on the death certificate and matching census records. United States,
May-August 1960. Vital and Health Statistics. Series 2, No. 29. PHS Pub.
No. 1000. Public Health Service. Washington. U.S. Government Printing
Office, June 1968.
28. U.S. Bureau of the Census: Developmental estimates of the coverage of
the population of States in the 1970 census--demographic analysis. Current
Population Reports. Series P-23, No. 65. Washington. U.S. Government
Printing Office, Dec. 1977.
29. U.S. Bureau of the Census: Estimates of coverage of the population by
sex, race, and age--demographic analysis. 1970 Census of Population and
Housing, PHC(E)-4. Washington. U.S. Government Printing Office, 1974.
30. J. S. Passel and J. G. Robinson. Revised Demographic Estimates of the
Coverage of the Population by Age, Sex, and Race in the 1980 Census.
Unpublished memorandum. U.S. Bureau of the Census, Washington, D.C., Apr.
8, 1985.
31. National Center for Health Statistics, M. G. Sirken: Comparison of
two methods of constructing abridged life tables by reference to a
"standard" table. Vital and Health Statistics. Series 2, No. 4. PHS Pub.
No. 1000. Public Health Service. Washington. U.S. Government Printing
Office, Mar. 1966.
32. For estimating procedure see National Office of Vital Statistics, T.
N. E. Greville and G. A. Carlson: Estimated average length of life in the
death-registration States. Vital Statistics--Special Reports, Vol. 33, No.
9. Public Health Service. Washington, D.C., 1951.
33. National Office of Vital Statistics, C. L. Chiang: Standard error of
the age-adjusted death rate. Vital Statistics--Special Reports, Vol. 47,
No. 9. U.S. Public Health Service. Washington, D.C., Aug. 1961.
TECHNICAL APPENDIX, 1984,1985 MORTALITY FILE
Sources of Data
Death and Fetal-Death Statistics
Mortality statistics for 1984-85 are, as for all previous years except
1972, based on information from records of all deaths occurring in the
United States. Fetal-death statistics for every year are based on all
reports of fetal death received by the National Center for Health Statistics
(NCHS).
The death-registration system and the fetal-death reporting system of
the United States encompass the 50 States, the District of Columbia, New
York City (which is independent of New York State for the purpose of death
registration), Puerto Rico, the Virgin Islands, Guam, American Samoa, and
the Trust Territory of the Pacific Islands. In the statistical tabulations
of this publication, United States refers only to the aggregate of the 50
States (including New York City) and the District of Columbia. Tabulations
for Guam, Puerto Rico, and the Virgin Islands are shown separately in this
volume. No data have ever been included for American Samoa or the Trust
Territory of the Pacific Islands.
The Virgin Islands was admitted to the "registration area" for deaths in
1924; Puerto Rico, in 1932; and Guam, in 1970. Tabulations of death
statistics for Puerto Rico and the Virgin Islands were regularly shown in
the annual volumes of Vital Statistics of the United States from the year of
their admission through 1971 except for the years 1967 through 1969, and
tabulations for Guam were included for 1970 and 1971. Death statistics for
Puerto Rico, the Virgin Islands, and Guam were not included in the 1972
volume but have been included in section 8 of the volumes for each of the
years 1973-78 and in section 9 beginning with 1979. Information for 1972
for these three areas was published in the respective annual vital
statistics reports of the Department of Health of the Commonwealth of Puerto
Rico, the Department of Health of the Virgin Islands, and the Department of
Public Health and Social Services of the Government of Guam.
Procedures used by NCHS to collect death statistics have changed over
the years. Before 1971, tabulations of deaths and fetal deaths were based
solely on information obtained by NCHS from copies of the original
certificates. The information from these copies was edited, coded, and
tabulated. For 1960-70, all mortality information taken from these records
was transferred by NCHS to magnetic tape for computer processing.
Beginning with 1971, an increasing number of States have provided NCHS
with computer tapes of data coded according to NCHS specifications and
provided to NCHS through the Vital Statistics Cooperative Program. The year
in which State-coded demographic data were first transmitted to NCHS is
shown below for New York City, Puerto Rico, and each of the 46 States now
furnishing demographic data.
1971 1976--Con.
Florida Minnesota
Nevada
1972 Texas
West Virginia
Maine
Missouri 1977
New Hampshire
Rhode Island Alaska
Vermont Idaho
Massachusetts
1973 New York City
Ohio
Colorado Puerto Rico
Michigan
New York (except New York City) 1978
1974 Indiana
Utah
Illinois Washington
Iowa
Kansas 1979
Montana
Nebraska Connecticut
Oregon Hawaii
South Carolina Mississippi
New Jersey
1975 Pennsylvania
Wyoming
Louisiana
Maryland 1980
North Carolina
Oklahoma Arkansas
Tennessee New Mexico
Virginia South Dakota
Wisconsin
1982
1976
North Dakota
Alabama
Kentucky
1985
Arizona
California
Delaware
Georgia
District of Columbia
For the remaining four States, the District of Columbia, the Virginia
Islands, and Guam, mortality statistics for 1984 are based on information
obtained directly by NCHS from copies of the original certificates received
from the registration offices.
In 1974, States began coding medical (cause-of-death) data on computer
tapes according to NCHS specifications. The year in which State-coded
medical data were first transmitted to NCHS is shown below for the 19 States
now furnishing such data.
1974 1980--Con.
Iowa Pennsylvania
Michigan South Carolina
1975 1981
Louisiana Maine
Nebraska
North Carolina 1983
Virginia
Wisconsin Minnesota
1980 1984
Colorado Maryland
Kansas New York State
Massachusetts (except New
Mississippi York City)
New Hampshire Vermont
For 1985 and previous years except 1972, NCHS coded the Medical
information from copies of the original certificates received from the
registration offices for all deaths occurring in those States that were not
furnishing NCHS with medical data coded according to NCHS specifications.
For 1981 and 1982, it was necessary to change these procedures because of a
backlog in coding and processing that resulted from personnel and budgetary
restrictions. To produce the mortality files on a timely basis with reduced
resources, NCHS used State-coded underlying cause-of-death information
supplied by 19 States for 50 percent of the records; for the other 50
percent of the records for these States as well as for 100 percent of the
records for the remaining 21 registration areas, NCHS coded the medical
information.
Mortality statistics for 1972 were based on information obtained from a
50-percent sample of death records instead of from all records as in other
years. The sample resulted from personnel and budgetary restrictions.
Sampling vaiation associated with the 50-percent sample is described below
in the section "Estimates of errors arising from 50-percent sample for 1972."
Fetal-death data are obtained directly from copies of original reports
of fetal deaths received by NCHS, except New York State (excluding New York
City), which submitted State-coded data in 1984. For Oklahoma in 1984,
fetal-death data were obtained partly from copies of original reports of
fetal deaths received by NCHS, and partly from State-coded data (See section
Quality control procedures). Fetal-death data are not published by NCHS for
the Virgin Islands and Guam.
Standard Certificates and Reports
The U.S. Standard Certificate of Death and the U.S. Standard Report of
Fetal Death, issued by the Public Health Service, have served for many years
as the principal means of attaining uniformity in the content of documents
used to collect information on these events. They have been modified in
each State to the extent required by the particular needs of the State or by
special provisions of the State vital statistics law. However, the
certificates or reports of most States conform closely in content and
arrangement to the standards.
The first issue of the U.S. Standard Certificate of Death appeared in
1900. Since then, it has been revised periodically by the national vital
statistics agency through consultation with State health officers and
registrars; Federal agencies concerned with vital statistics; national,
State, and county medical societies; and others working in such fields as
public health, social welfare, demography, and insurance. This revision
procedure has assured careful evaluation of each item in terms of its
current and future usefulness for legal, medical and health, demographic,
and research purposes. New items have been added when necessary, and old
items have been modified to ensure better reporting, or in some cases have
been dropped when their usefulness appeared to be limited.
New revisions of the U.S. Standard Certificate of Death and the U.S.
Standard Report of Fetal Death were recommended for State use beginning
January 1, 1978. The certificate of death is for use by a physician, a
medical examiner, or a coroner. Two other forms of the U.S. Standard
Certificate of Death are available, they are similar except that the section
on certification is designed for the physician's signature on one, and for
the medical examiner's or coroner's signature on the other.
Among the changes in the new revision were the addition of (1) an item
asking "If Hosp. or Inst., Indicate DOA, OP/Emer. Rm., Inpatient" and (2) an
item "Was Decedent Ever in U.S. Armed Forces?" The latter item was
previously on the certificate but was deleted during 1968 through 1977. An
item on whether autopsy findings were considered for determining cause of
death was dropped.
History
The first death statistics published by the Federal Government concerned
events in 1850 and were based on statistics collected during the decennial
census of that year. In 1880 a national "registration area" was created for
deaths. Originally consisting of two States (Massachusetts and New Jersey),
the District of Columbia, and several large cities having efficient systems
for death registrations, the death-registration area continued to expand
until 1933, when it included the entire United States for the first time.
Tables that show data for death-registration States include the District of
Columbia for all years; registration cities in nonregistration States are
not included. For more details on the history of the death-registration
area see the technical Appendix in Vital Statistics of the United States,
1979, Volume II, Mortality, Part A, Section 7, pages 3-4, and the section
"History and Organization of the Vital Statistics System," chapter 1, Vital
Statistics of the United States, 1950, Volume I, pages 2-19.
Statistics on fetal deaths were first published for the
birth-registration area in 1918, and then every year beginning with 1922.
Classification of Data
Introduction
The principal value of vital statistics data is realized through the
presentation of rates, which are computed by relating the vital events of a
class to the population of a similarly defined class. Vital statistics and
population statistics must therefore be classified according to similarly
defined systems and tabulated in comparable groups. Even when the variables
common to both, such as geographic area, age, sex and race, have been
similarly classified and tabulated, differences between the enumeration
method of obtaining population data and the registration method of obtaining
vital statistics data may result in significant discrepancies.
The general rules used in the classification of geographic and personal
items for deaths and fetal deaths are set forth in two NCHS instruction
manuals.1,2
A discussion of the classification of certain important items is
presented below.
Classification by Occurrence and Residence
Tabulations for the United States and specified geographic areas in this
report are by place of residence unless stated as by place of occurrence.
Before 1970, resident mortality statistics for the United States included
all deaths occurring in the United States, with deaths of "nonresidents of
the United States" assigned to place of death. Deaths of nonresidents of
the United States" refers to deaths that occur in the United States of
nonresident aliens, nationals residing abroad, and residents of Puerto Rico,
the Virgin Islands, Guam, and other territories of the United States.
Beginning with 1970, deaths of nonresidents of the United States are not
included in tables by place of residence.
Tables by place of occurrence, on the other hand, include deaths of both
residents and nonresidents of the United States. Consequently, for each
year beginning with 1970, the total number of deaths in the United States by
place of occurrence was somewhat greater than the total by place of
residence. For 1985 this difference amounted to 2,938 deaths. Mortality
statistics by place of occurrence are shown in tables 1-10, 1-18, 1-19,
1-28, 1-29, 3-1, 3-8, 8-1, and 8-7.
Before 1970, except for 1964 and 1965, deaths of nonresidents of the
United States occurring in the United States were treated as deaths of
residents of the exact place of occurrence, which in most instances was an
urban area. In 1964 and 1965, deaths of nonresidents of the United States
occurring in the United States were allocated as deaths of residents of the
balance of the county in which they occurred.
Residence error--Results of a 1960 study showed that the classification
of residence information on the death certificates corresponded closely to
the residence classification of the census records for the decedents whose
records were matched.3
A comparison of the results of this study of deaths with those for a
previous matched record study of births4 showed that the quality of
residence data had considerably improved between 1950 and 1960. Both
studies found that events in urban areas were overstated by the NCHS
classification in comparison with the U.S. bureau of the Census
classification. The magnitude of the difference was substantially less for
deaths in 1960 than it was for births in 1950.
The improvement is attributed to an item added in 1956 to the U.S.
Standard Certificates of Birth and of Death, asking if residence was inside
or outside city limits. This new item aided in properly allocating the
residence of persons living near cities but outside the corporate limits.
Geographic Classification
The rules followed in the classification of geographic areas for deaths
and fetal deaths are contained in the two instruction manuals referred to
previously.1,2
The geographic codes assigned by the National Center for Health
Statistics during data reduction of source information on birth, death, and
fetal-death records are given in another instruction manual.5 For 1982-83,
geographic codes were modified to reflect results of the 1980 census. For
1980-81, codes are based on results of the 1970 census.
Standard metropolitan statistical areas--The standard metropolitan
statistical areas (SMSA's) used in this report are those established by the
U.S. Office of Management and Budget from final 1980 census population
counts6 and used by the U.S. Bureau of the Census, except in the New England
States.
Except in the New England States, an SMSA is a county or a group of
contiguous counties containing a city of 50,000 inhabitants or more or an
urbanized area of 50,000 with a total metropolitan population of at least
100,000. In addition to the county or counties containing such a city or
urbanized area, contiguous counties are included in an SMSA if, according to
specified criteria, they are essentially metropolitan in character and are
socially and economically integrated with the central city or urbanized
area.7
In the New England States the U.S. Office of Management and Budget uses
towns and cities rather than counties as geographic components of SMSA's.
The National Center for Health Statistics cannot, however, use the SMSA
classification for these States because its data are not coded to identify
all towns. Instead, NCHS uses New England County Metropolitan Areas
(NECMA's). These areas, established by the U.S. Office of Management and
Budget, are made up of county units.7,8
Metropolitan and nonmetropolitan counties--Independent cities and
counties included in SMSA's or NECMA's are included in data for metropolitan
counties; all other counties are classified as nonmetropolitan.
Population-size groups--Vital statistics data for cities and certain
other urban places in 1983 are classified according to the population
enumerated in the 1980 Census of Population. Data are available for
individual cities and other urban places of 10,000 or more population. Data
for the remaining areas not separately identified are shown in the tables
under the heading "Balance of area" or "Balance of county." For the years
1970-81, classification of areas was determined by the population enumerated
in the 1970 Census of Population. Beginning in 1982, as a result of changes
in the enumerated population between 1970 and 1980, some urban places
identified in previous reports are no longer included, and a number of other
urban places have been added.
Urban places other than incorporated cities for which vital statistics
data are shown in this report include the following:
* Each town in New England, New York, and Wisconsin and each township
in Michigan, New Jersey, and Pennsylvania that had no incorporated
municipality as a subdivision and had either 25,000 inhabitants or
more, or a population of 10,000 to 25,000 and a density of 1,000
persons or more per square mile.
* Each county in States other than those indicated above that had no
incorporated municipality within its boundary and had a density of
1,000 persons or more per square mile. (Arlington County, Virginia,
is the only county classified as urban under this rule.)
* Each place in Hawaii with 10,000 or more population, as there are no
incorporated cities in the State.
Before 1964, places were classified as "urban" or "rural." The
Technical Appendixes for earlier years discuss the previous classification
system.
State or Country of Birth
Mortality statistics by State or country of birth (table 1-32) became
available beginning with 1979. State or country of birth of a decedent is
assigned to 1 of the 50 States or the District of Columbia; or to Puerto
Rico, the Virgin Islands, or Guam--if specified on the death certificate.
The place of birth is also tabulated for Canada, Cuba, Mexico, and for the
Remainder of the World. Deaths for which information on State or country of
birth was unknown, not stated, or not classifiable accounted for a small
proportion of all deaths in 1983, about 0.5 percent.
Early mortality reports published by the U.S. Bureau of the Census
contained tables showing nativity of parents as well as nativity of
decedent. Publication of these tables was discontinued in 1933. Mortality
data showing nativity of decedent were again published in annual reports for
1939-41 and for 1950.
Age
The age recorded on the death record is the age at last birthday. With
respect to the computation of death rates, the age classification used by
the U.S. Bureau of the Census is also based on the age of the person in
completed years.
For computation of age-specific and age-adjusted death rates, deaths
with age not stated are excluded. For life table computation, deaths with
age not stated are distributed proportionately.
Race
For vital statistics in the United States in 1983, deaths are classified
by race--white, black, Indian, Chinese, Japanese, Filipino, Other Asian or
Pacific Islander, and other races. Mortality data for Filipino and Other
Asian or Pacific Islander were shown for the first time in 1979.
The white category includes, in addition to persons reported as white,
those reported as Mexican, Puerto Rican, Cuban, and all other Caucasians.
The Indian category includes American, Alaskan, Canadian, Eskimo, and
Aleut. If the racial entry on the death certificate indicates a mixture of
Hawaiian and any other race, the entry is coded to Hawaiian. If the race is
given as a mixture of white and any other race, the entry is coded to the
appropriate other race. If a mixture of races other than white is given
(except Hawaiian), the entry is coded to the first race listed. This
procedure for coding the first race listed has been in use since 1969.
Before 1969, if the entry for race was a mixture of black and any other race
except Hawaiian, the entry was coded to black.
Most of the tables in this report, however, do not show data for this
detailed classification by race. In about half of all the tables the
divisions are white, all other (including black), and black separately. In
other tables by race, where the main purpose is to isolate the major groups,
the classifications are simply white and all other.
Race not stated--For 1985 the number of death records for which race was
unknown, not stated, or not classifiable was 3,488, or less than 0.2 percent
of the total deaths. Death records with race entry not stated are assigned
to a racial designation as follows: If the preceding record is coded white,
the code assignment is made to white; if the code is other than white, the
assignment is made to black. Before 1964 all records with race not stated
were assigned to white except records of residents of New Jersey for 1962-64.
New Jersey, 1962-64--New Jersey omitted the race item from its
certificates of live birth, death, and fetal death in use in the beginning
of 1962. The item was restored during the latter part of 1962. However,
the certificate revision without the race item was used for most of 1962 as
well as 1963. Therefore figures by race for 1962 and 1963 exclude New
Jersey. For 1964, 6.3 percent of the death records in use for residents of
New Jersey did not contain the race item.
Adjustments made in vital statistics to take into account the omission
of the race item in New Jersey for part of the certificates filed during
1962 through 1964 are described in the Technical Appendix of Vital
Statistics of the United States for each of those data years.
Hispanic Origin
Mortality statistics for the Hispanic-origin population
were published in 1984 for the first time. They are based on
information for those States and the District of Columbia that
included items on the death certificate to identify Hispanic or
ethnic origin of decedents. Data were obtained from D.C. and the
following 22 states: Arizona, Arkansas, California, Colorado,
Georgia, Hawaii, Illinois, Indiana, Kansas, Maine, Mississippi,
Nebraska, Nevada, New Jersey, New Mexico, New York (including New
York City), North Dakota, Ohio, Tennessee, Texas, Utah, and Wyoming.
Generally, the reporting states used items similar to one of two
basic formats recommended by NCHS. The first format is open-ended to
obtain the specific origin or descent of the decedent (for example,
Italian, Mexican, Puerto Rican, English, and Cuban). The second
format is directed specifically toward the Hispanic population and
asks whether the decedent is of Spanish origin. If so, the specific
origin - for example, Mexican, Puerto Rican, or Cuban - is to be
indicated.
For 1985, mortality data in tables 1-33 and 2-18 are based on
deaths to residents of all 22 reporting States and D.C. In tables
1-34, 2-19, 2-20, 2-21 mortality data for the Hispanic-origin
population are based on deaths to residents of 17 reporting states and
D.C. whose data were at least 90 percent complete and considered to be
sufficiently comparable to be used for analysis. The 17 states are as
follows: Arizona, Arkansas, California, Colorado, Georgia, Hawaii,
Illinois, Indiana, Kansas, Mississippi, Nebraska, New York (including
New York City), North Dakota, Ohio, Texas, Utah, and Wyoming.
Excluded from these tables are data for New Mexico because the format
for the Hispanic item on the N.M. death certificate departs
sufficiently from that of other areas to result in noncomparable data.
In addition, in tables 1-33 and 1-34 for New Mexico, no deaths are
shown for the category "not stated" origin. Because of the way in
which the item on the death certificate for N.M. is worded, it was not
possible to determine whether a blank entry represented a response of
"non-Hispanic origin" or of "unknown origin." Accordingly, blank
entries were coded to "non-Hispanic." The data for four other states -
Maine, Nevada, New Jersey, and Tennesse - are excluded from tables
1-34, 2-19, 2-20, and 2-21 because of the large proportion of deaths
(in excess of 10%) occurring in these states for which Hispanic
origin was not stated or was unknown.
In 1980, the 17 reporting states and D.C. accounted for about
77 percent of the Hispanic population in the U.S., including about
89 percent of the Mexican population, 66 percent of the Puerto Rican
population, 24 percent of the Cuban population, and 63 percent of the
"other Hispanic" population (U.S. Bureau of the Census, 1982b).
Accordingly, caution should be exercised in generalizing mortality
patterns from the reporting area to the Hispanic-origin population
(especially Cubans) of the entire U.S. For qualifications regarding
infant mortality of the Hispanic-origin population, see "Infant
deaths."
Marital Status
Mortality statistics by marital status (table 1-31) were published in
1979 for the first time since 1961. (Previously they had been published
only in the annual reports for the years 1949-51 and 1959-61.) Several
reports analyzing mortality by marital status have been published, including
the special study based on 1959-61 data.9 Reference to earlier reports may
be found in the appendix of part B of the 1959-61 special study.
Mortality statistics by marital status are tabulated separately
for never married, married, widowed, and divorced. Certificates in
which the marriage is specified as being annulled are classified as
never married. Where marital status is specified as separated or
common-law marriage, it is classified as married. Of the 2,029,261
resident deaths 15 years of age and over in 1985, 9,692 certificates
(0.5%) had marital status not stated.
Mortality statistics by marital status are tabulated separately for
never married, married, widowed, and divorced. Certificates in which the
marriage is specified as being annulled are classified as never married.
Where marital status is specified as separated or common-law marriage, it is
classified as married. Of the 1,961,007 resident deaths 15 years of age and
over in 1983, 8,442 certificates (0.4 percent) had marital status not stated.
Place of Death and Status of Decedent
Mortality statistics by place of death were published in 1979 for the
first time since 1958 (tables 1-28 and 1-29). In addition, mortality data
were also available for the first time in 1979 for the status of decedent
when death occurred in a hospital or medical center (table 1-28). These
data were obtained from the following two items that appeared on the U.S.
Standard Certificate of Death:
* Item 7c, Hospital or Other Institution--Name (If not in either, give
street and number)
* Item 7d, If Hosp. or Inst. Indicate DOA, OP/Emer. Rm., Inpatient
(Specify)
All of the States and the District of Columbia have item 7c (or its
equivalent) on the death certificate. For 46 States in the Vital Statistics
Cooperative Program, NCHS accepts the State definition, classification, or
codes for hospitals, medical centers, or other institutions. For the
remaining four States not in the Program, and the District of Columbia, NCHS
classifies and codes to a hospital or medical center according to whether
the terms "hospital" or "medical center" are entered as part of the name in
item 7c or its equivalent. If the terms "hospital" or "medical center" are
not entered as part of the name, the entry is coded to one of the following
according to the information entered in item 7c on the certificate: (1)
other institutions, (2) all other reported entries, or (3) unknown, not
stated.
Table 1-28 shows mortality data for the total of the following 42 States
(including New York City) that have item 7d or its equivalent on their death
certificates:
Alaska Louisiana Ohio
Arizona Maine Oregon
Arkansas Michigan Pennsylvania
Colorado Mississippi Rhode Island
Connecticut Missouri South Carolina
Florida Montana South Dakota
Georgia Nebraska Tennessee
Hawaii Nevada Utah
Idaho New Hampshire Vermont
Illinois New Jersey Virginia
Indiana New Mexico Washington
Iowa New York West Virginia
Kansas North Carolina Wisconsin
Kentucky North Dakota Wyoming
Effective with data for 1980, the coding of place of death and status of
decedent was changed. A new coding category was added: "Dead on
arrival--hospital, clinic, medical center name not given." Deaths coded to
this category are tabulated in table 1-28 as "Dead on arrival" and in table
1-29 as "Not in hospital or medical center." Had the 1979 coding categories
been used, these deaths would have been tabulated as "Place unknown."
Mortality by Month and Date of Birth
Deaths by month have been regularly tabulated and published in the
annual report for each year beginning with data year 1900. For 1983, deaths
by month are shown in tables 1-19, 1-20, 1-23, 1-30, 2-12, 2-13, 2-14, and
3-9.
Date of death was first published for data year 1972. In addition,
unpublished data for selected causes by date of death for 1962 are available
from NCHS.
Number of deaths by date of death in this report are shown in table 1-30
for the total number of deaths and for the number of deaths for the
following three causes, for which the greatest interest in date of
occurrence of death has been expressed: Motor vehicle accidents, Suicide,
and Homicide and legal intervention.
These data show the frequency distribution of deaths for the selected
causes by day of week. They also make it possible to identify holidays with
peak numbers of deaths from specified causes.
Report of Autopsy
Before 1972, the last year for which autopsy data were tabulated was
1958. For 1972-83, all registration areas requested information on the
death certificate as to whether autopsies were performed. For 1985,
autopsies were reported on 258,596 death certificates, 12.4 percent of the
total (table 1-27).
Information as to whether the autopsy findings were used in determining
the causes of death were tabulated for 1972-73 for all but nine registration
areas and from 1974-77 for all but eight registration areas. The item
"autopsy findings used" was deleted from the 1978 U.S. Standard Certificate
of Death.
For 8 of the cause of death categories shown in table 1-27,
autopsies were reported as performed for 50 percent or more of all
deaths (meningococcal infection; measles; pregnancy with abortive
outcome; other complications of pregnancy, childbirth, and the
puerperium; motor vehicle accidents; suicide; homicide and legal
intervention; and all other external causes). There were four other
categories for which 40% or more of the death certificates reported
autopsies. Autopsies were reported for only 7.9% of the major
cardiovascular diseases.
For six of the cause-of-death categories shown in table 1-27, autopsies
were reported as performed for 50 percent or more of all deaths (Whooping
cough; Meningoccocal infection; Pregnancy with abortive outcome; Other
complications of pregnancy, childbirth, and the puerperium; Homicide and
legal intervention; and All other external causes).
There were five other categories for which 40 percent or more of the
death certificates reported autopsies. Autopsies were reported for only 8.3
percent of the Major cardiovascular diseases. Among all causes other than
major cardiovascular diseases, autopsies were reported for 17.8 percent of
all deaths.
Cause of Death
Cause-of-death classification--Since 1949, cause-of-death statistics
have been based on the underlying cause of death which is defined as "(a)
the disease or injury which initiated the train of events leading directly
to death, or (b) the circumstances of the accident or violence which
produced the fatal injury."10
For a given death the underlying cause is selected from an array of
conditions given in the cause-of-death section on the death certificate.
These conditions are translated into medical codes through use of the
classification structure and selection and modification rules contained in
the applicable revision of the International Classification of Diseases
(ICD) published by the World Health Organization (WHO). Selection rules
provide guidance for systematically identifying the underlying cause of
death in terms of the format of reported conditions and their causal
relationship. Modification rules are intended to improve the usefulness of
mortality statistics by giving preference to certain classification
categories over others and/or to consolidate two or more conditions on the
certificate into a single classification category.
As a statistical datum, the underlying cause of death is a simple,
one-dimensional statistic; it is conceptually easy to understand and a
well-accepted measure of mortality. It identifies the initiating cause of
death and is therefore most useful to public health officials in developing
measures to prevent the start of the chain of events leading to death. The
rules for coding underlying causes of death are included with the ICD as a
means of standardizing classification, which contributes toward uniformity
in mortality medical statistics among countries.
Beginning with data year 1979 the cause-of-death statistics published by
the National Center for Health Statistics have been classified according to
the Ninth Revision of the International Classification of Diseases
(ICD-9).10 In addition to specifying that the Classification be used, WHO
also recommends how the data should be tabulated in order to promote
international comparability. The recommended system for tabulating data in
the Ninth Revision allows countries to construct their own mortality and
morbidity tabulation lists from the rubrics of the WHO Basic Tabulation List
as long as rubrics from the WHO mortality and morbidity lists, respectively,
are included. This tabulation system for the Ninth Revision is more
flexible than that of the Eighth Revision in which specific lists were
recommended for tabulating mortality and morbidity data.
The Basic Tabulation List (BTL) recommended under the Ninth Revision
consists of 57 two-digit rubrics that add to the "all causes" total. Within
each two-digit rubric, up to 9 three-digit rubrics numbered from 0 to 8 are
identified, but these do not add to the total of the two-digit rubric. The
residual of each two-digit rubric, the difference between the two-digit
total and the sum of its three-digit rubrics, is given the number 9. The
WHO Mortality List, a subset of the titles contained in the BTL, consists of
50 rubrics, which are a minimum for the national display of mortality data.
The two-digit rubrics of the BTL 01 through 46 provide for the tabulation of
nonviolent deaths to ICD categories 001-799. Rubrics relating to chapter 17
(nature-of-injury causes 47 through 56) are not used by NCHS for selecting
underlying cause of death, rather, preference is given to rubrics E47
through E56. The 57th two-digit rubric VO is the Supplementary
Classification of Factors Influencing Health Status and Contact with Health
Services and is not appropriate for the tabulation of mortality data.
Five lists of causes have been developed for tabulation and publication
of mortality data in this volume. The Each-Cause List, List of 282 Selected
Causes, List of 72 Selected Causes, List of 61 Selected Causes of Infant
Death, and List of 34 Selected Causes of Death. These lists were designed
to be as comparable as possible with the NCHS lists more recently in use
under the Eighth Revision. However, complete comparability could not always
be achieved.
The Each-Cause List is made up of each three-digit category of the WHO
Detailed List and each four-digit subcategory to which deaths may be validly
assigned. The list is used for tabulation for the entire United States.
The published Each-Cause table does not show the four-digit subcategories
provided for Motor vehicle accidents (E810-E825); however, these
subcategories, which identify persons injured, are shown in the accident
tables of this report (section 5). Special fifth-digit subcategories are
also used in the accident tables to identify place of accident when deaths
from nontransport accidents are shown. These are not shown in the
Each-Cause table.
The List of 282 Selected Causes of Death is constructed from BTL rubrics
01-46 and E47-E56. Each of the 56 BTL two-digit titles can be obtained
either directly or by combining titles in the List. The three-digit level
of the BTL is modified more extensively. Where more detail was desired,
categories not shown in the three-digit rubrics were added to the List of
282 Selected Causes of Death. Where less detail was needed, the three-digit
rubrics were combined. Moreover, each of the 50 rubrics of the WHO
Mortality List can be obtained from the List of 282 Selected Causes of
Death. The List is used in tables published for the United States and each
State.
The List of 72 Selected Causes of Death was constructed by combining
titles in the List of 282 Selected Causes of Death. It is used in tables
published for the United States and each State, and for standard
metropolitan statistical areas.
The List of 61 Selected Causes of Infant Death shows more detailed
titles for Congenital anomalies and Certain conditions originating in the
perinatal period than any other list except the Each-Cause List.
The List of 34 Selected Causes of Death was created by combining titles
in the List of 72 Selected Causes. A table using this list is published to
show detailed geographic areas.
Effect of list revisions--The International Lists, in use in this
country since 1900, have been revised approximately every 10 years so that
the disease classification may be consistent with advances in medical
science and with advances in diagnostic practice. Each revision of the
International Lists has produced some break in comparability of
cause-of-death statistics. Cause-of-death statistics beginning with 1979
are classified by NCHS according to the ICD-9.10 For a discussion of each
of the classifications used with death statistics since 1900, see the
Technical Appendix in Vital Statistics of the United States, 1979, Volume
II, Mortality, Part A, section 7, pages 9-14.
A dual coding study was undertaken between the Ninth and Eighth
Revisions to measure the extent of discontinuity in cause-of-death
statistics resulting from introducing the new Revision. An initial study
has been published for the list of 72 causes and the list of 10 infant
causes, both of which appear in the Monthly Vital Statistics Report.11 The
72-cause list is also a basic list used in this volume. Comparability
studies were also undertaken between the Eighth and Seventh, Seventh and
Sixth, and Sixth and Fifth Revisions. For additional information about
these studies, again see the 1979 Technical Appendix.
Significant coding changes during the Ninth Revision--Coding changes
have been introduced since the implementation of ICD-9 in the United States,
effective with mortality data for 1979. Among the more important changes
are the following. For 1981, a change was made in the coding of Acquired
Immunity Deficiency Syndrome (AIDS), described below. For 1982, a change
was made in the procedures for coding poliomyelitis; in the definition of
child (which affects the classification of deaths to a number of categories,
including child battering and other maltreatment); and in guidelines for
coding deaths to the category Child battering and other maltreatment (ICD
No. E967). Detailed discussion of these changes may be found in the
technical appendixes of the respective volumes.
Coding in 1983--The National Center for Health Statistics prepares for
its cause-of-death coding clerks instruction manuals that contain decisions
and interpretations that apply each year.12-16 These manuals are revised
annually, chiefly to bring coding procedures into alignment with new
developments in reporting practices and in medical opinions as to the
etiology and causal relationship of diseases and to eliminate
inconsistencies in coding procedures. Part 2e, Non-Indexed Terms, Standard
Abbreviations, and State Geographic Codes Used in Mortality Data
Classification, 1983 (including WHO Amendments to ICD-9)16 was added to the
vital statistics instruction manual series in 1983. The major reason for
development of Part 2e was to provide a published source of code assignments
for terms not indexed in Volume 2 of ICD-9. The rules for coding the 1983
mortality data essentially remained the same as the previous year except for
the coding of Acquired Immunity Deficiency Syndrome (AIDS).
Coding in 1985 -- The rules for coding the 1985 medical data
remained essentially the same as in the previous year. However, during
the calendar year 1985, detailed instructions for coding motor vehicle
accidents involving all-terrain vehicles (ATV's) were implemented by
NCHS and state medical coders in order to ensure consistency in coding
these accidents. The instructions specify that accidents involving
ATV's are to be coded to nontraffic accidents involving other off-road
motor vehicle (ICD-9 No. E821) unless "on road use" is clearly
specified. If "on road use" is specified, then ATV's are to be coded
to the appropriate category for traffic accidents (ICD-9 Nos. E810-
E819). Previously, there were no specific instructions for coding
these accidents.
AIDS--In early 1983, during the processing of the 1981, 1982, and 1983
mortality files, the code assignment for the Acquired Immunity Deficiency
Syndrome (AIDS) was changed from ICD No. 279.3 to ICD No. 279.1, both
subcategories of Disorders involving the immune mechanism (ICD No. 279).
This change was made in accordance with the World Health Organization's
recommendations. Prior to early 1983, AIDS had been assigned to Unspecified
immunity deficiency (ICD No. 279.3). (It was not included as an entry in
the index to ICD-9). As a result of the change, all AIDS deaths from the
1983 mortality file were assigned to ICD No. 279.1. For 1982, approximately
25 percent were assigned to ICD No. 279.1 and 75 percent to ICD No. 279.3.
For 1981, approximately 10 percent were assigned to ICD No. 279.1 and 90
percent to ICD No. 279.3.
Medical certification--The use of a standard classification list,
although essential for State, regional, and international comparison, does
not assure strict comparability of the tabulated figures. A high degree of
comparability between areas could be attained only if all records of cause
of death were reported with equal accuracy and completeness. The medical
certification of cause of death can be made only by a qualified person,
usually a physician, a medical examiner, or a coroner. Therefore,
reliability and accuracy of cause-of-death statistics are, to a large
extent, governed by the ability of the certifier to make the proper
diagnosis and by the care with which he or she completes the death
certificate.
A number of studies have been undertaken on the quality of medical
certification on the death certificate. In general, these have been for
relatively small samples and for limited geographic areas. A bibliography,
prepared by NCHS, covering 128 references over a period of 23 years
indicates that no definitive conclusions have been reached about the quality
of medical certification on the death certificate.17 No country has a
well-defined program for systematically assessing the quality of medical
certifications reported on death certificates or for measuring the error
effects on the levels and trends of cause-of-death statistics.
One index of the quality of reporting causes of death is the proportion
of death certificates coded to the Ninth Revision rubrics for Symptoms,
signs, and ill-defined conditions (ICD-9 Nos. 780-799). While there are
cases for which it is not possible to determine the causes of death, this
proportion indicates the care and consideration given to the certification
by the medical certifier. It may also be used as a rough measure of the
specificity of the medical diagnoses made by the certifier in various
areas. In 1985, 1.5 percent of all reported deaths in the United States
were assigned to ill-defined or unknown causes. However, this percentage
varied among the States, from 0.3 percent to 6.1 percent.
Automated selection of underlying cause of death--Beginning with data
year 1968, NCHS began using a computer system for assigning the underlying
cause of death. It has been used every year since to select the underlying
cause of death. The system is called "Automated Classification of Medical
Entities" (ACME).
The ACME system applies the same rules for selecting the underlying
cause as applied by a nosologist; however, under this system, the computer
consistently applies the same criteria, thus eliminating intercoder
variation in this step of the process.
The ACME computer program requires the coding of all conditions shown on
the medical certification. These codes are matched automatically against
decision tables that consistently select the underlying cause of death for
each record according to international rules. The decision tables provide
not only a comprehensive relationship between the conditions classifiable by
ICD when applying the rules of selection and modification, but also
decisions used when the underlying cause of death is assigned by ACME.
Decision tables were developed by NCHS staff on the basis of their
experience in coding underlying causes of death under the earlier manual
coding system and as a result of periodic independent validations. These
tables are periodically updated to reflect additional new information on the
relationship among medical conditions. For 1983, the content of these
tables was identical to that in the 1982 tables.14
Cause-of-death ranking--Cause-of-death ranking (except for infants) is
based on the List of 72 Selected Causes of Death. Cause-of-death ranking
for infants is based on the List of 61 Selected Causes of Infant Death. The
group titled Major cardiovascular diseases and Symptoms, signs, and
ill-defined conditions are not ranked from the List of 72 Selected Causes,
and Certain conditions originating in the perinatal period and Symptoms,
signs, and ill-defined conditions are not ranked from the List of 61
Selected Causes of Infant Death. In addition, category titles that begin
with the words "Other" or "All other" are not ranked to determine the
leading causes of death. When one of the titles that represents a subtotal
is ranked (such as Tuberculosis), its component parts (in this case,
Tuberculosis of respiratory system and Other tuberculosis) are not ranked.
Maternal Deaths
Maternal deaths are those for which the certifying physician has
designated a maternal condition as the underlying cause of death. Maternal
conditions are those assigned to Complications of pregnancy, childbirth, and
the puerperium (ICD-9 Nos. 630-676). In the Ninth Revision, WHO for the
first time defined a maternal death as follows:
A maternal death is defined as the death of a woman while pregnant or
within 42 days of termination of pregnancy, irrespective of the duration
and the site of the pregnancy, from any cause related to or aggravated
by the pregnancy or its management but not from accidental or incidental
causes.10
Under the Eighth Revision, maternal deaths were assigned to category
title "Complications of pregnancy, childbirth, and the puerperium" (ICDA-8
Nos. 630-678). Although WHO did not define maternal mortality, there was an
NCHS classification rule that limited a maternal death to a death within a
year after termination of pregnancy from any "maternal cause," that is, any
cause within the range of ICDA-8 Nos. 630-678. This rule applied only if a
duration of time for the condition was given. If no duration was specified
and the underlying cause of death was a maternal condition, then the
duration was assumed to be within a year and the death was coded by NCHS as
a maternal death. The change from an under-1-year limitation on duration
used in the Eighth Revision to an under-42-days limitation used in the Ninth
Revision is not expected to have much effect on the comparability of
maternal mortality statistics. However, comparability is affected by the
following classification change. Under the Ninth Revision, maternal causes
have been expanded to include indirect obstetric causes (ICD-9 Nos.
647-648). These causes include Infective and parasitic conditions and other
current conditions in the mother that are classifiable elsewhere but which
complicate pregnancy, childbirth, and the puerperium, such as Syphilis,
Tuberculosis, Diabetes mellitus, Drug dependence, and Congenital
cardiovascular disorders.
Maternal mortality rates are computed on the basis of the number of live
births. The maternal mortality rate indicates the likelihood that a
pregnant woman will die from maternal causes. The number of live births
used in the denominator is an approximation of the population of pregnant
women who are at risk of a maternal death.
Infant Deaths
An infant death is defined as a death under 1 year of age. The term
excludes fetal deaths. Infant deaths are usually divided into two
categories according to age, neonatal and postneonatal. Neonatal deaths are
those that occur during the first 27 days of life, and postneonatal deaths
are those that occur between 28 days and 1 year of age. It has generally
been believed that different factors influencing the child's survival
predominate in these two periods: Factors associated with prenatal
development, heredity, and the birth process were considered dominant in the
neonatal period; and environmental factors, such as nutrition, hygiene, and
accidents, were considered more important in the postneonatal period.
Recently, however, the distinction between these two periods has blurred due
in part to advances in neonatology, which have enabled more very small,
premature infants to survive the neonatal period.
Infant mortality rates shown in section 2 and section 8 are the most
commonly used index for measuring the risk of dying during the first year of
life; they are calculated by dividing the number of infant deaths in a
calendar year by the number of live births registered for the same period
and are presented as rates per 1,000 or per 100,000 live births. Infant
mortality rates use the number of live births in the denominator to
approximate the population at risk of dying before the first birthday. This
measure is an approximation of the risk of dying in infancy because some of
the live births will not have been exposed to a full year's risk of dying
and some of the infants that die during a year will have been born in the
previous year. The error introduced in the infant mortality rate by this
inexactness is usually small, especially when the birth rate is relatively
constant from year to year.18,19 Other sources of error in the infant
mortality rate have been attributed to differences in applying the
definitions for infant death and fetal death when registering the event.20,21
In contrast to infant mortality rates based on live births, infant death
rates shown in section 1 are based on the estimated population under 1 year
of age. Infant death rates, which appear in tabulations of age-specific
death rates, are calculated by dividing the number of infant deaths in a
calendar year by the estimated midyear population of persons under 1 year of
age and are presented as rates per 100,000 population in this age group.
Patterns and trends in the infant death rate may differ somewhat from those
of the more commonly used "infant mortality rate" mainly because of
differences in the nature of the denominator and in the time reference
period. Whereas the population denominator for the infant death rate is
estimated using data on births, infant deaths, and migration for the
12-month period of July through June, the denominator for the infant
mortality rate is a count of births occurring during the 12 months of
January through December. The difference in the time reference period can
result in different trends between the two indices during periods when birth
rates are moving up or down markedly.
In addition, the infant death rate is also subject to greater
imprecision than is the infant mortality rate because of problems of
enumerating and estimating the population under 1 year of age.20
Causes of death for infants are tabulated according to a list of causes
that is different from the list of causes for the population of all ages,
except for the Each Cause List. (See section "Effect of list revisions.")
Infant and neonatal mortality for Wyoming, 1981--The 1981 data on infant
and neonatal mortality shown in tables 2-8 and 2-9 for Wyoming are incorrect
because of NCHS processing errors. The correct numbers for Wyoming are 124
infant deaths and 76 neonatal deaths; the corresponding infant mortality
rates are 11.2 and 7.0 deaths under 1 year of age per 1,000 live births.
Race - Infant mortality rates for specified races other than white
or black may be underestimated, based on results of studies in which
race on the birth and death certificates for the same infant were
compared (Frost and Shy, 1980). The figures should be interpreted
with caution because of possible inconsistencies in reporting of race
between the numerator and denominator of the rates. This reflects
differences in the nature of reporting and processing of race on these
two vital records. On the birth certificate, race of parents is
reported by the mother at the time of delivery. On the death
certificate, race of the deceased infant is reported by the funeral
director based on observation or on information supplied by an
informant, such as a parent. With respect to processing, race of
infant at birth is coded using coding rules that take account of the
race of each parent (see the technical appendix in Vital Statistics
of the U.S., 1984 and 1985, Volume I, Natality, section entitled
Race or national origin). For infant deaths, the race of child is
coded directly from the race reported on the death certificate.
Hispanic origin - Infant mortality rates for the Hispanic-origin
population are based on numbers of resident infant deaths reported to
be of Hispanic origin (see section "Hispanic origin") and numbers of
resident live births by Hispanic origin of mother for the 17 reporting
states and D.C. In computing infant mortality rates, deaths and live
births of unknown origin are not distributed among the specified
Hispanic and non-Hispanic groups. Because for 1985 the percent of
deaths of unknown origin was 7.5 percent and the percent of live
births of unknown origin was 2.7 percent, infant mortality rates by
Hispanic origin may be somewhat underestimated.
Small numbers of infant deaths for Hispanic-origin groups can
result in infant mortality rates subject to relatively large random
variation (see section "Random variation in numbers of deaths, death
rates, and mortality rates and ratios").
Fetal Deaths
In May 1950 the World Health Organization recommended the following
definition of fetal death be adopted for international use:
Death prior to the complete expulsion or extraction from its mother of a
product of conception, irrespective of the duration of pregnancy; the
death is indicated by the fact that after such separation, the fetus
does not breathe or show any other evidence of life such as beating of
the heart, pulsation of the umbilical cord, or definite movement of
voluntary muscles.22
The term "fetal death" was defined on an all-inclusive basis to end
confusion arising from use of such terms as stillbirth, abortion, and
miscarriage.
Shortly thereafter, this definition of fetal death was adopted by the
National Center for Health Statistics as the nationally recommended
standard. Currently all registration areas except Puerto Rico have
definitions similar to the standard definition.23 Puerto Rico has no formal
definition.
As another step toward increasing the comparability of data on fetal
deaths for different countries, the World Health Organization recommended
that for statistical purposes fetal deaths be classified as early,
intermediate, and late. These groups are defined as follows:
Less than 20 completed weeks of gestation
(early fetal deaths) ............................ Group I
20 completed weeks of gestation but less
than 28 (intermediate fetal deaths) ............. Group II
28 completed weeks of gestation and over
(late fetal deaths) ............................. Group III
Gestation period not classifiable in
groups I, II and III ............................ Group IV
Note that in table 3-13, group IV consists of fetal deaths with gestation
not stated but presumed to be 20 weeks or more gestation.
Until 1939 the nationally recommended procedures for registration of a
fetal death required the filing of both a live-birth and a death
certificate. In 1939 a separate Standard Certificate of Stillbirth (fetal
death) was created to replace the former procedure. This was revised in
1949, 1955, 1956, and 1965. In 1976 the Standard Certificate of Fetal Death
was replaced by the Standard Report of Fetal Death (figure 7-B).
The 1977 revision of the Model State Vital Statistics Act and Model
State Vital Statistics Regulations24 recommended that spontaneous fetal
deaths of 20 weeks or more gestation, or a weight of 350 grams or more, and
all induced terminations of pregnancy regardless of gestational age be
reported and further that they be reported on separate forms. These forms
are to be considered legally required statistical reports rather than legal
documents.
Beginning with 1970 fetal deaths, procedures were implemented that
attempted to separate reports of spontaneous fetal deaths from those of
induced terminations of pregnancy. These procedures were implemented
because the health implications are different for spontaneous fetal deaths
and induced terminations of pregnancy. These procedures are still in use.
Comparability and completeness of data--Registration area requirements
for reporting fetal deaths vary. Most of these areas require reporting
fetal deaths of gestations of 20 weeks or more. Table 3-1 shows the minimum
period of gestation required by each State for fetal-death reporting. There
is substantial evidence that not all fetal deaths for which reporting is
required are reported.25
For registration areas not requiring the reporting of fetal deaths of
all periods of gestation, underreporting is more likely to occur in the
earlier gestational periods. This is illustrated by the fact that for most
areas requiring reporting of fetal deaths of 20 weeks or more, the total
number reported for 20-23 weeks is lower than the numbers reported for 24-27
and 28-31 weeks. For areas requiring the reporting of all fetal deaths,
however, the opposite is generally true.
Another type of reporting problems arises from the inconsistent
application of the definition of fetal death by individual registration
areas. For example, some live-born infants who die shortly after birth,
particularly those born prematurely who die before the umbilical cord is
severed or while the placenta is still attached, may be erroneously reported
as fetal deaths.
To maximize the comparability of data by year and by State, most of the
tables in section 3 are based on fetal deaths occurring at gestations of 20
weeks or more. These tables also include fetal deaths of not stated
gestation for those States requiring reporting at 20 weeks or more only.
Beginning with 1969, fetal deaths of not stated gestation were excluded for
States requiring reporting of all products of conception except for those
with a stated birth weight of 500 grams or more. In 1983 this rule was
applied to the following States: Colorado, Georgia, Hawaii, New York
(including New York City), Rhode Island, and Virginia. Each year there are
some exceptions to this procedure. Arkansas was one such exception in 1983,
requiring the reporting of fetal deaths of all periods of gestation;
however, all fetal deaths of not stated gestation were assumed to be of 20
weeks or more gestation.
The data in table 3-3 include only fetal deaths to residents of those
areas in the United States that report all periods of gestation. The areas
are Colorado, Georgia, Hawaii, New York (including New York City), Rhode
Island, and Virginia. Although Arkansas reports all periods of gestation, it
is excluded from this table because of a noncomparable reporting practice
explained below. This reporting practice results in undercounts of fetal
deaths of less than 28 weeks gestation.
Arkansas--Arkansas has been using two reporting forms for fetal deaths.
A confidential Spontaneous Abortion form and a Fetal Death Certificate.
Beginning with data year 1981, Arkansas specified that fetal deaths of less
than 28 weeks gestation or weighing less than 1,000 grams could be reported
on the Spontaneous Abortion form rather than on their report of fetal
death. Although the National Center for Health Statistics receives their
certificates of fetal death, it does not receive their confidential abortion
reports. Accordingly, counts of fetal deaths of gestational age 20 to 27
weeks declined sharply from 100 in 1980 to 39 in 1981 to 7 in 1982 and
increased to 24 in 1983. Beginning with 1984 data, the State specified
that fetal deaths of 20 weeks gestation or weighing 500 grams be
reported on the fetal death certificate. Because of these changes,
the comparability of counts of early fetal deaths may be affected.
In particular, counts of fetal deaths aged 20-27 weeks during 1981-83
were not comparable between Arkansas and other reporting areas nor
with data for 1984 and 1985. This reporting practice results in
noncomparability of fetal death data for fetal deaths under 28 weeks of
gestation between Arkansas and other reporting areas.
District of Columbia--Beginning in 1981, the District of Columbia
changed its reporting requirements for spontaneous fetal deaths from "passed
the fifth month of uterogestation" to "20 completed weeks or more or a
weight of 500 grams or more."
Kentucky--Beginning in 1981, Kentucky changed its reporting requirements
for spontaneous fetal deaths from "20 weeks gestation or more" to "a weight
of 350 grams or more or a gestational age of 20 weeks or more."
Maine--Beginning with data year 1978, Maine changed its reporting
requirements for spontaneous fetal deaths from "all periods of gestation" to
"20 weeks or more." This change affects the tabulation of fetal deaths with
no stated gestational age. Data for 1978-83 include all fetal deaths of not
stated gestational age.
New Mexico--Beginning in 1980, New Mexico changed its reporting
requirements for spontaneous fetal deaths from "20 completed weeks" to "500
grams or more."
South Dakota--Beginning in 1979, South Dakota changed its reporting
requirements for spontaneous fetal deaths from "20 weeks or more gestation"
to a weight of more than 500 grams."
Tennessee--Beginning in 1979, Tennessee changed its reporting
requirements for spontaneous fetal deaths from "20 weeks or more gestation"
to "500 grams or more, or in the absence of weight, of 22 completed weeks'
gestation or more."
Period of gestation--The period of gestation is the number of completed
weeks elapsed between the first day of the last normal menstrual period and
the date of delivery. The first day of the last normal menestrual period
(LMP) is used as the initial date because it can be more accurately
determined than the date of conception, which usually occurs 2 weeks after
LMP. Data on period of gestation are computed from information on "date of
delivery" and "date last normal menses began." If "date last normal menses
began" is not on the record or the calculated gestation falls beyond a
duration considered biologically plausible, "gestation in weeks" or
"Physician's estimate of gestation" is used. When the period of gestation
is reported in months on the report, it is allocated to gestational
intervals in weeks as follows:
1-3 months to under 16 weeks
4 months to 16-19 weeks
5 months to 20-23 weeks
6 months to 24-27 weeks
7 months to 28-31 weeks
8 months to 32-35 weeks
9 months to 40 weeks
10 months and over to 43 weeks and over
All areas reported LMP in 1983 except Delaware, New Mexico, Puerto Rico, and
South Dakota.
Table A-1. Period of gestation at which fetal-death reporting
is required: Each reporting area, 1985
/ All periods / / /
/ of / / / 20 wks or
Area / gestation / 16 weeks / 20 weeks / 350 grams
Alabama / / / X /
Alaska / / / X /
Arizona / / / X /
Arkansas / X / / /
California / / / X /
Colorado / X / / /
Connecticut / / / X /
Delaware / / / X /
District of Columbia / / / /
Florida / / / X /
Georgia / X / / /
Hawaii / X / / /
Idaho / / / / X
Illinois / / / X /
Indiana / / / X /
Iowa / / / X /
Kansas / / / /
Kentucky / / / / X
Louisiana / / / / X
Maine / / / X /
Maryland / / / X* /
Massachusetts / / / / X
Michigan / / / /
Minnesota / / / X /
Mississippi / / / / X
Missouri / / / / X
Montana / / / X /
Nebraska / / / X /
Nevada / / / X /
New Hampshire / / / / X
New Jersey / / / X /
New Mexico / / / /
New York / / / /
NY excluding NYC / X / / /
New York City / X / / /
North Carolina / / / X /
North Dakota / / / X /
Ohio / / / X /
Oklahoma / / / X /
Oregon / / / X** /
Pennsylvania / / X / /
Rhode Island / X / / /
South Carolina / / / / X
South Dakota / / / /
Tennessee / / / /
Texas / / / X /
Utah / / / X /
Vermont / / / X**** /
Virginia / X / / /
Washington / / / X /
West Virginia / / / X /
Wisconsin / / / X /
Wyoming / / / X /
Table A-1. Period of gestation at which fetal-death reporting
is required: Each reporting area, 1985
/ 20 weeks / 20 weeks / / /
/ or / or / / 350 / 500
Area / 400 grams / 500 grams / 5 months / grams /grams
Alabama / / / / /
Alaska / / / / /
Arizona / / / / /
Arkansas / / / / /
California / / / / /
Colorado / / / / /
Connecticut / / / / /
Delaware / / / / /
District of Columbia / / X / / /
Florida / / / / /
Georgia / / / / /
Hawaii / / / / /
Idaho / / / / /
Illinois / / / / /
Indiana / / / / /
Iowa / / / / /
Kansas / / / / X /
Kentucky / / / / /
Louisiana / / / / /
Maine / / / / /
Maryland / / / / /
Massachusetts / / / / /
Michigan / X / / / /
Minnesota / / / / /
Mississippi / / / / /
Missouri / / / / /
Montana / / / / /
Nebraska / / / / /
Nevada / / / / /
New Hampshire / / / / /
New Jersey / / / / /
New Mexico / / / / / X
New York / / / / /
New York excluding NYC/ / / / /
New York City / / / / /
North Carolina / / / / /
North Dakota / / / / /
Ohio / / / / /
Oklahoma / / / / /
Oregon / / / / /
Pennsylvania / / / / /
Rhode Island / / / / /
South Carolina / / / / /
South Dakota / / / / / X
Tennessee / / / / / X
Texas / / / / /
Utah / / / / /
Vermont / / / / /
Virginia / / / / /
Washington / / / / /
West Virginia / / / / /
Wisconsin / / / / /
Wyoming / / / / /
* If gestational age is unknown, weight of 500 grams or more.
** If gestational age is unknown, weight of 400 grams or more, or
crown-heel length of 28 centimeters or more
*** If weight is unknown, 22 completed weeks' gestation or more.
**** If gestational age is unknown, weight of 400 or more grams, 15 or more
ounces.
Birth weight--Of the 55 registration areas (including the 50 States, the
District of Columbia New York City, Puerto Rico, the Virgin Islands, and
Guam), 27 do not specify how weight should be given; 16 specify that weight
should be given in pounds and ounces; 5 specify grams; and the remaining 7
areas indicate weight can be given either in pounds and ounces or in grams.
Data on fetal deaths for the Virgin Islands and Guam are not published by
NCHS.
In the tabulation and presentation of these data, the metric system
(grams) has been used to facilitate comparison with other data published in
the United States and internationally. The equivalents of the gram
intervals in pounds and ounces are as follows:
Less than 350 grams = 0 lb 12 oz or less
350- 499 grams = 0 lb 13 oz- 1 lb 1 oz
500- 999 grams = 1 lb 4 oz- 2 lb 3 oz
1,000-1,499 grams = 2 lb 5 oz- 3 lb 4 oz
1,500-1,999 grams = 3 lb 7 oz- 4 lb 6 oz
2,000-2,499 grams = 4 lb 9 oz- 5 lb 8 oz
2,500-2,999 grams = 5 lb 10 oz- 6 lb 9 oz
3,000-3,499 grams = 6 lb 12 oz- 7 lb 11 oz
3,500-3,999 grams = 7 lb 14 oz- 8 lb 13 oz
4,000-4,499 grams = 8 lb 15 oz- 9 lb 14 oz
4,500-4,999 grams = 9 lb 15 oz- 11 lb 0 oz
5,000 grams or more = 11 lb 1 oz or more
With the introduction of the Ninth Revision, International
Classification of Diseases, the birth-weight classification intervals for
perinatal mortality statistics were shifted downward by 1 gram, as shown
above. Previously, the intervals were, for example, 1,001-1,500;
1,501-2,000; etc.
Race--The race of the fetus is ordinarily classified based on the race
of the parents. If the parents are of different races, the following rules
apply. (1) When only one parent is white, the fetus is assigned the other
parent's race. (2) When neither parent is white, the fetus is assigned the
father's race with one exception: If the mother is Hawaiian or
Part-Hawaiian, the fetus is classified as Hawaiian.
When the race of one parent is missing or ill defined, the race of the
other determines that of the fetus. When race of both parents is missing,
the race of the fetus is allocated to the specific race of the fetus on the
preceding record.
Total-birth order--Total-birth order refers to the sum of the live
births and other terminations (including both spontaneous fetal deaths and
induced terminations of pregnancy) that a woman has had including the fetal
death being recorded. For example, if a woman has previously given birth to
two live babies and to one born dead, the next fetal death to occur is
counted as number four in total-birth order.
In the 1976 revision of the Standard Report of Fetal Death, total-birth
order is calculated from four items on pregnancy history: Number of
previous live births, now living; number of previous live births, now dead;
number of other terminations before 20 weeks; and number of other
terminations after 20 weeks.
All registration areas use the two standard items pertaining to the
number of previous live births. Thirty areas use the two standard items
pertaining to the number of "other terminations" before and after 20 weeks
gestation; 4 report "other terminations" of 20 weeks or more; 14 do not
differentiate "other terminations" by gestational age; 6 areas use other
criteria for differentiating spontaneous and induced terminations; and 1
area reports "other terminations" before and after 16 weeks gestation.
Total-birth order for all areas is calculated from the sum of available
information. Thus, information on total-birth order may not be completely
comparable among the registration areas.
Marital status--Table 3-4 shows fetal deaths and fetal-death ratios by
mother's marital status. States excluded from this table are as follows:
California, Connecticut, Maryland, Michigan, Montana, New York (including
New York City), Ohio, Texas, and Vermont. Because live births comprise the
denominator of the ratio, marital status must also be reported for mothers
of live births. Starting in 1980, marital status of the mother of the live
birth was inferred for States that did not report it on the birth
certificate.
There are no quantitative data on the characteristics of unmarried women
who may misreport their marital status or who fail to register fetal
deaths. Underreporting may be greater for the unmarried group than for the
married group.
Age of mother--The fetal-death report asks for the mother's "age (at
time of delivery)," and the ages are edited in NCHS for upper and lower
limits. When mothers are reported to be under 10 years of age or 50 years
and over, the age of the mother is considered and not stated and is assigned
as follows: Age on all fetal-death records with age of mother not stated is
allocated according to the age appearing on the record previously processed
for a mother of identical race and having the same total-birth order (total
of live births and other terminations).
Perinatal Mortality
Perinatal definitions--Beginning with data year 1979, perinatal
mortality data for the United States and each State have been published in
section 4. The World Health Organization in the Ninth Revision of the
International Classification of Diseases (ICD-9) recommended that "national
perinatal statistics should include all fetuses and infants delivered
weighing at least 500 grams (or when birth weight is unavailable, the
corresponding gestational age (22 weeks) or body length (25 cm crown-heel)),
whether alive or dead...." It was further recommended that countries should
present, solely for international comparisons 'standard perinatal
statistics' in which both the numerator and denominator of all rates are
restricted to fetuses and infants weighing 1,000 grams or more (or, where
birth weight is unavailable, the corresponding gestational age (28 weeks) or
body length (35 cm crown-heel))." Because birth weight and gestational age
are not reported on the death certificate in the United States, NCHS was
unable to recommend adopting these definitions. Three definitions of
perinatal mortality are currently used by NCHS. Perinatal Definition I,
generally used for international comparisons, which includes fetal deaths of
28 weeks or more gestation and infant deaths of less than 7 days, Perinatal
Definition II, which includes fetal deaths of 20 weeks or more gestation and
infant deaths of less than 28 days; and Perinatal Definition III, which
includes fetal deaths of 20 weeks or more gestation and infant deaths of
less than 7 days.
Variations in fetal death reporting requirements and practices have
implications for comparing perinatal rates among States. Since reporting is
generally poorer near the lower limit of the reporting requirement, States
that require reporting of all products of pregnancy regardless of gestation
are likely to have more completereporting of fetal deaths of 20 weeks or
more than are other States. The larger number of fetal deaths reported by
these "all periods" States may result in higher perinatal rates compared
with States whose reporting is less complete. Accordingly, reporting
completeness may account, in part, for differences among the State perinatal
rates, particularly differences for Definitions II and III, which use data
for fetal deaths of 20-27 weeks.
Not stated--Fetal deaths with gestational age not stated are presumed to
be of 20 weeks gestation or more if (1) the State requires reporting of all
fetal deaths of gestational age 20 weeks or more or (2) the fetus weighed
500 grams or more, in those States requiring reporting of all fetal deaths
regardless of gestational age. For Definition I, fetal deaths with
gestation not stated but presumed to be 20 weeks or more are allocated to
the category 28 weeks or more, according to the proportion of fetal deaths
with stated gestational age that falls into that category. For Definitions
II and III, fetal deaths with presumed gestation of 20 weeks or more are
included with those of stated gestation of 20 weeks or more.
For all three definitions, following the distribution of gestation not-
stated described above, fetal deaths with nonstated sex are allocated within
gestational age groups on the basis of the distribution of stated cases.
The allocation of not-stated gestational age and sex for fetal deaths is
made individually for each State, for metropolitan and nonmetropolitan
areas, and separately for the United States as a whole. Accordingly, the
sum of perinatal deaths for the areas according to Definition I may not
equal the total number of perinatal deaths for the United States.
Quality of Data
Completeness of Registration
All States have adopted laws that require the registration of births and
deaths, and the reporting of fetal deaths. It is believed that over 99
percent of the births and deaths occurring in this country are registered.
Reporting requirements for fetal deaths vary somewhat from State to
State (see "Comparability and completeness of data"). Overall reporting
completeness is not as good for fetal deaths as for births and deaths, but
it is believed to be relatively complete for fetal deaths of 28 weeks
gestation or more. National statistical data on fetal deaths include only
those fetal deaths with stated or presumed gestation of 20 weeks or more.
Massachusetts Data
The 1964 data statistics for deaths exclude approximately 6,000 events
registered in Massachusetts, primarily to residents of that State.
Microfilm copies of these records were not received by NCHS. Figures for
the United States and the New England Division are also somewhat affected.
Quality Control Procedures
Demographic items on the death certificate--As previously indicated, for
1985 the mortality data for these items were obtained from two sources: (1)
Microfilm images of the original certificates furnished by the Virgin
Islands and photocopies from Guam, and
(2) records on data tape furnished by the 50 States, D.C., New York City,
City, and Puerto Rico. For the Virgin Islands and Guam which sent only
only copies of the original certificates,
the demographic items were coded for 100 percent of the death certificates.
The demographic coding for a 10-percent sample of the certificates was
independently verified.
As part of the quality control procedures for mortality data, each
registration area has to go through a calibration period during which it
must achieve the specified error tolerance level of 2 percent per item for 3
consecutive months, based on NCHS independent verification of a 50-percent
sample of that area's records. Once the area has achieved the required
error tolerance level, a sample of 70-80 records per month is used to
monitor quality of coding.
All of the areas had achieved the specified tolerance error before 1983;
accordingly, for these areas the demographic items on about 70-80 records
per area per month were independently verified by NCHS. These areas include
New York City, Puerto Rico, and the 46 States that furnished data on
computer tape to NCHS. The estimated average error rate for all demographic
items in the entire 1985 mortality file was 0.25 percent.
These verification procedures involve controlling two types of error
(coding and entering into the data record tape) at the same time and the
error rates are a combined measure of both types. While it may be assumed
that the entering errors are randomly distributed across all items on the
record, this assumption cannot be made as readily for coding errors.
Although systematic errors in coding infrequent events may escape detection
during sample verification, it is probable that some of these errors were
detected during the initial period when 50 percent of the file was being
verified, thus providing an opportunity to retrain the coders.
Medical items on the death certificate--As for demographic data,
mortality medical data are also subject to quality control procedures which
control for errors of both coding and data entry. Each of the 16
registration areas that furnished NCHS with coded medical information
according to NCHS specifications first had to qualify for sample
verification. During an initial calibration period, the area had to achieve
a specified error tolerance level of less than 5 percent for coding all
medical items for 3 consecutive months, based on independent verification by
NCHS, for all records. After the area has achieved the required error
tolerance level, a sample of 70-80 records per month is used to monitor
quality of medical coding. For these 16 States, the average coding error
rate in 1983 was just over 3 percent.
For the remaining 39 registration areas--34 States, the District of
Columbia, New York City, Puerto Rico, the Virgin Islands, and Guam--NCHS
coded the medical items for 100 percent of the death records. A 1-percent
sample of the records was independently coded for quality control purposes.
The estimated average error rate for these areas was about 3 percent.
The ACME system for selecting the underlying cause of death through
computer application contributes to the quality control of medical items on
the death certificate (see the section "Automated selection of underlying
cause of death").
Demographic items on the report of fetal death--For 1985, all data on
fetal deaths were coded under contract by the U.S. Bureau of the Census
except New York State (excluding New York City), which submitted State-coded
data. Coding and entering information on data tapes were verified on a
100-percent basis because of the relatively small number of records involved.
Other control procedures--After coding and entering on data tape are
completed, record counts are balanced against control totals for each
shipment of records from a registration area. Editing procedures ensure
that records with inconsistent or impossible codes are modified.
Inconsistent codes are those, for example, where there is contradiction
between cause of death and age or sex of the decedent. Records so
identified during the computer-editing process are either corrected by
reference to the source record or adjusted by arbitrary code assignment.26
All subsequent operations in tabulating and in preparing tables are verified
during the computer processing or by statistical clerks.
Estimates of Errors Arising from 50-Percent Sample for 1972
Death statistics for 1972 in this report (excluding fetal-death
statistics) are based on a 50-percent sample of all deaths occurring in the
50 States and the District of Columbia.
A description of the sample design and a table of the percent errors of
the estimated number of deaths by size of estimate and total deaths in the
area are shown in the Technical Appendix of Vital Statistics of the United
States, 1972, Volume II, Mortality, Part A.
Computation of Rates and Other Measures
Population Bases
The population bases from which death rates shown in this report are
computed are prepared by the U.S. Bureau of the Census. Rates for 1940,
1950, 1960, 1970, and 1980, are based on the population enumerated as of
April 1 in the censuses of those years. Rates for all other years use the
estimated midyear (July 1) population for the respective years. Death rates
for the United States, individual States, and SMSA's are based on the total
resident populations of the respective areas. Except as noted these
populations exclude the Armed Forces abroad but include the Armed Forces
stationed in each area.
The resident populations of the birth- and death-registration States for
1900-32 and of the United States for 1900-83 are shown in table 7-1. In
addition, the population including Armed Forces abroad is shown for the
United States. Table A shows the sources for these populations.
Population estimates for 1984-85--The population of the United States
estimated by age, race, and sex for 1985 is shown in table 7-2, and the
population for each State by broad age groups follows in table 7-3.
Comparable data for 1981 and 1982 were shown in tables 7-2 and 7-3 of Vital
Statistics of the United States, Volume II, for those years. Population
estimates for 1984 and 1985 incorporate new estimation procedures for
net migration and net undocumented immigration. The 1985 estimates are
comparable with those of 1984 but are not strictly comparable with the
postcensal estimates for 1981-83 shown in tables 7-2 and 7-3 of Vital
Statistics of the U.S., Volume II, for those years. Although the
death rates and estimates of life expectancy for 1984 and 1985 are
not strictly comparable with those for previous years, the trends for
the total population and most age-race-sex groups are not substantially
affected. For additional details, see the technical appendix in
Vital Statistics of the U.S., 1984, Volume II, and the report of the
U.S. Bureau of the Census (1986). Population
data by race are consistent with the modified (see below) 1980 population by
race.
Population for 1980--The population of the United States by age, race,
and sex and the population for each State by age are shown in tables 7-2 and
7-3, respectively, of Vital Statistics of the United States, 1980, Volume
II. The figures by race have been modified as described below.
The racial counts in the 1980 census are affected by changes in
reporting practices, particularly of the Hispanic population, and in coding
and classifying. One particular change created a major inconsistency
between the 1980 census data and historical data series, including censuses
and vital statistics. About 40 percent of the Hispanic population counted
in 1980, over 5.8 million persons, did not mark one of the specified races
listed on the census questionnaire but instead marked the "Other" category.
Table A. Sources for resident population and population including
Armed Forces abroad: Birth- and death-registration States, 1900-1932,
and United States, 1900-1983
Year Source
1985-------------- U.S. Bureau of the Census, Current Population Reprts,
Series P-25, No. 1000, Feb. 1987.
1984-------------- U.S. Bureau of the Census, Current Population Reprts,
Series P-25, No. 985, April 1986.
1983-------------- U.S. Bureau of the Census, Current Population Reprts,
Series P-25, No. 965, Dec. 1984.
1982-------------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 949, May 1984.
1981-------------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 929, May 1983.
1980-------------- U.S. Bureau of the Census, U.S. Census of Population:
1980, Number of Inhabitants, PC80-1-A1, United States
Summary, 1983.
1971-79----------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 917, July 1982.
1970-------------- U.S. Bureau of the Census, U.S. Census of Population:
1970, Number of Inhabitants, Final Report PC(1)-A1,
United States Summary, 1971.
1961-69----------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 519, April 1974.
1960-------------- U.S. Bureau of the Census, U.S. Census of Population:
1960, Number of Inhabitants, Final Report PC(1)-A1,
United States Summary, 1964.
1951-59----------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 310, June 30, 1965.
1940-50----------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 499, May 1973.
1930-39----------- U.S. Bureau of the Census, Current Population Reports,
Series P-25, No. 499, May 1973, and National Office of
Vital Statistics, Vital Statistics Raters in the United
States, 1900-1940, 1947.
1920-29----------- National Office of Vital Statistics, Vital Statistics
Rates in the United States, 1900-1940, 1947.
1917-19----------- Same as for 1930-39.
1900-1916--------- Same as for 1920-29.
In the 1980 census, coding procedures were modified for persons who
marked "Other" race and wrote in a national origin designation of a Latin
American country or a specific Hispanic origin group in response to the
racial question. These persons remained in the "Other" racial category in
1980 census data; in previous censuses and in vital statistics, such
responses had almost always been coded into the "White" category.
In order to maintain comparability, the "Other" racial category in the
1980 census was reallocated to be consistent with previous procedures.
Persons who marked the "Other" racial category and reported any Spanish
origin on the Spanish origin question (5,840,648 persons) were distributed
to white and black races in proportion to the distribution of persons of
Hispanic origin; who actually reported their race as "White" or "Black."
This was done for each age-sex group.
As a result of this procedure, 5,705,155 persons (98 percent) were added
to the white population and 135,493 persons (2 percent) to the black
population. Persons who marked the "Other" racial category and reported
that they were not of Spanish origin (916,338 persons) were distributed as
follows: 20 percent in each age-sex group were added to the "Asian and
Pacific Islander" category (183,268 persons), and 80 percent were added to
the "White" category (733,070 persons). The count of American Indians,
Eskimos, and Aleuts was not affected by these procedures. Unpublished
tabulations of these modified census counts were obtained from the U.S.
Bureau of the Census and used to compute the rates for this report.
Population estimates for 1971-79--Death rates in this volume for 1971-79
used revised population estimates that are consistent with the 1980 census
levels. The 1980 census enumerated approximately 5.5 million more persons
than had previously been estimated for April 1, 1980.27 These revised
estimates for the United States by age, race, and sex are published by the
U.S. Bureau of the Census in Current Population Reports, Series P-25, Number
917. Unpublished revised estimates for States were obtained from the U.S.
Bureau of the Census. For Puerto Rico, the Virgin Islands, and Guam,
revised estimates are published in Current Population Reports, Series P-25,
Number 919.
Population estimates for 1961-69--Death rates in this volume for 1961-69
are based on revised estimates of the population and thus may differ
slightly from rates published before 1976. The rates shown in tables 1-1
and 1-2, the life table values in table 6-5, and the population estimates in
table 7-1 for each year in the period 1961-69 have been revised to reflect
modified population bases, as published in the U.S. Bureau of the Census,
Current Population Reports, Series P-25, Number 519. The data shown in
table 1-10 for 1961-69 have not been revised.
Rates and ratios based on live births--Infant and maternal mortality
rates, and fetal death and perinatal mortality ratios, are computed on the
basis of the number of live births. Fetal death and perinatal mortality
rates are computed on the basis of the number of live births and fetal
deaths. Counts of live births are published annually in Vital Statistics of
the United States, Volume I, Natality.
New Jersey--As previously indicated, data by race are not available for
New Jersey for 1962 and 1963. Therefore for 1962 and 1963 the National
Center for Health Statistics estimated a population by age, race, and sex
excluding New Jersey for rates shown by race. The methodology used to
estimate the revised population excluding New Jersey is discussed in the
Technical Appendixes of the 1962 and 1963 reports.
Net Census Undercount
Just as the underenumeration of deaths and the misreporting of
demographic characteristics on the death certificate can introduce error
into the annual rates, errors in the latest decennial census such as
undercount or overcount can also adversely affect mortality statistics.
This is because annual population estimates for the postcensal interval,
which are used in the denominator for calculating death rates, are computed
using the decennial census count as a base.28 Net census undercount is
determined by miscounting and misreporting of demographic characteristics
such as age. Age-specific death rates are affected by both the net census
undercount and the misreporting of age on the death certificate.29 To the
extent that the net undercount is substantial and that it varies among
subgroups and geographic areas, it may have important consequences for vital
statistics measures.
Although death rates based on a population adjusted for net census
undercount may be more accurate than rates based on an unadjusted
population, rates in this volume are not adjusted; rather, they are computed
using population estimates that preserve the age pattern of the net census
undercount across the postcensal interval. Thus, it is important to
consider the possible impact of net census undercount on death rates.
The U.S. Bureau of the Census has conducted extensive research on
completeness of coverage of the U.S. population (including underenumeration
and misstatement of age, race, and sex) in the last four decennial
censuses--1950, 1960, 1970, and 1980. From this work have come estimates of
the national population that was not counted by age, race, and sex.25,30,31
The reports for 1980 include estimates of net census undercount using
alternative methodological assumptions for age, race, and sex subgroups of
the national population.25,32
These studies indicate that, although coverage was improved over
previous censuses, there was differential coverage in the 1980 census among
the population subgroups; that is, some age, race, and sex groups were more
completely counted than others.
Net census undercounts can affect (1) levels of the observed vital
rates, (2) differences among groups, and (3) levels and group differences
shown by summary measures such as age-adjusted death rates and life
expectancy.
Levels and differentials--If adjustments were made for net census
undercount, the size of denominators of the death rates generally would
increase and the rates, therefore, would decrease. Assuming net census
undercounts remained consistent by age after the 1980 census, the estimated
rates for 1985 can be computed by multiplying the reported rates by ratios
of the census-level population to the population adjusted for the estimated
net census undercount (table 7-4). A ratio of less than 1.0 indicates a net
census undercount and, when applied, results in a corresponding decrease in
the death rate. A ratio greater than 1.0--indicating a net census
overcount--multiplied by the reported rate results in an increase in the
death rate.
Coverage ratios for all ages show that, in general, females were more
completely enumerated than males and the white population more completely
than the population of all other races. The black population was counted
less completely than the total population of all other races.
For the total population, underenumeration varied by age group, with the
greatest undercount found for persons aged 80-84, and 85 years and over.
All other age groups were overcounted or undercounted by less than three
percent.
Among the age-sex-race groups, coverage was lowest for black males aged
35-39, 40-44, and 45-49 years. Underenumeration for these groups averaged
17.3 percent. In contrast, white females in these age groups were
essentially completely enumerated. For black females and white males in
these same age groups, the undercount ranged from 2 to 6 percent. For the
under-1-year age group the white population was overenumerated by about 2
percent, whereas infants of other races were underenumerated by about 8
percent.
If vital statistics measures were calculated with adjustments for net
census undercounts for each population subgroup, the resulting rates would
be differentially reduced from their original levels, that is, rates for
those groups with the greatest estimated undercounts would show the greatest
relative reductions due to these adjustments. Similar effects would be
evident in the opposite direction for groups with overcounts. As a
consequence, the ratio of mortality between the rates for males and females,
and between the rates for the white population and the population of other
races, or the black population, usually would be reduced.
Similarly, the differences between the death rates among subgroups of
the population by cause of death would be affected by adjustments for net
census undercounts. For example, for the age group 35-39 years in 1985, the
ratio of the death rate for Homicide and legal intervention for black males
to that for white males is 6.9, whereas the ratio of the death rates
adjusted for net census undercount in 1985 is 5.9, a reduction of about 16
percent. For Ischemic heart disease for males aged 40-44 years, the ratio
of the death rate for the population of all other races to that for the
white population is 1.3 using the unadjusted rates, but it is 1.1 when
adjusted for estimated underenumeration.
Summary measures--The effect of net census undercount on age-adjusted
death rates depends on the underenumeration of each age group and on the
distribution of deaths by age. In 1985, the age-adjusted death rate for All
causes would decrease from 546.1 to 540.1 per 100,000 population if the
age-specific death rates were corrected for net census undercount.
For Diseases of the heart, the age-adjusted death rate for white males
would decrease from 244.5 to 241.4 per 100,000 population, a decline of 1.3
percent. For black males the change, from an unadjusted rate of 301 to an
adjusted rate of 284.4, would amount to 5.5 percent.
If death rates by age were adjusted, then the corresponding life
expectancy at birth computed from these rates would change. The importance
of adjustments varies by age, that is, when calculating life expectancy, the
impact of an undercount (or overcount) is greatest at the younger ages. In
general, the effect of correcting the death rates is to increase the
estimate of life expectancy at birth. Differential underenumeration among
race-sex groups would lead to greater changes in life expectancy at birth.
Differential underenumeration among race-sex groups would lead to greater
changes in life expectancy for some groups than for others. For white
females who were completely enumerated in 1980, revised estimates of life
expectancy would remain roughly constant; those for black males would show
the greatest increase.
Age-Adjusted Death Rates
Age-adjusted death rates shown in this report are computed by using the
distribution in 10-year age intervals of the enumerated population of the
United States in 1940 as the standard population. Each figure represents
the rate that would have existed if the age-specific rates of the particular
year prevailed in a population whose age distribution was the same as that
of the United States in 1940. The rates for the total population and for
each race-sex group were adjusted using the same standard population. It is
important not to compare age-adjusted death rates with crude rates. The
standard 1940 population, on the basis of one million total population, is
as follows:
Age Number
All ages ............................................... 1,000,000
Under 1 year................................................. 15,343
1-4 years.................................................... 64,718
5-14 years................................................... 170,355
15-24 years.................................................. 181,677
25-34 years.................................................. 162,066
35-44 years.................................................. 139,237
45-54 years.................................................. 117,811
55-64 years.................................................. 80,294
65-74 years.................................................. 48,426
75-84 years.................................................. 17,303
85 years and over............................................ 2,770
Life Tables
U.S. abridged life tables are constructed by reference to a standard
table.33 Life tables for the decennial period 1979-81 are used as the
standard life tables in constructing the 1980-83 abridged life tables. With
the availability of the 1979-81 standard life tables, revised life table
values were computed for 1980-82, these appear for the first time in this
volume. Life table values appearing in Vital Statistics of the United
States for 1980-82 were constructed using the 1969-71 decennial life tables.
Life tables for the decennial period 1969-71 are used as the standard
life tables in constructing the 1970-79 abridged life tables. Life table
values for 1970-73 were first revised in Vital Statistics of the United
States, 1977; before 1977, life table values for 1970-73 were constructed
using the 1959-61 decennial life tables. In addition, life tables values
for 1951-59, 1961-69, and 1971-79 appearing in this publication are based on
revised intercensal estimates of the populations for those years. As such,
these life table values may differ from the life table values for those
years published in previous volumes.
There has been an increasing interest in data on average length of life
(e0) for single calendar years before the initiation of the annual abridged
life table series for selected race-sex groups in 1945. The figures in
table 6-5 for the race and sex groups for the following years were estimated
to meet these needs.34
Race and
Years Sex Groups
1900-45.............................................. Total
1900-47.............................................. Male
1900-47.............................................. Female
1900-50.............................................. White
1900-44.............................................. White, male
1900-44.............................................. White, female
1900-50.............................................. All other
1900-44.............................................. All other, male
1900-44.............................................. All other, female
The geographic areas covered in life tables before 1929-31 were limited
to the death-registration areas. Life tables for 1900-1902 and 1909-11 were
constructed using mortality data from the 1900 death-registration States--10
States and the District of Columbia--and for 1919-21 from the 1920
death-registration States--34 States and the District of Columbia. The
tables for 1929-31 through 1958 cover the counterminous United States.
Decennial life table values for the 3-year period 1959-61 were derived from
data that include both Alaska and Hawaii for each year (table 6-4). Data
for each year shown in table 6-5 include Alaska beginning in 1959 and Hawaii
beginning in 1960. It is not believed that the inclusion of these two
States materially affects life table values.
Random Variation in No. Deaths, Death Rates, Mort. Rates & Ratios
Deaths and population-based rates--Except for 1972, the numbers of
deaths reported for a community represent complete counts of such events.
As such, they are not subject to sampling error, although they are subject
to errors in the registration process. However, when the figures are used
for analytical purposes, such as the comparison of rates over a time period
or for different areas, the number of events that actually occurred may be
considered as one of a large series of possible results that could have
arisen under the same circumstances.35 The probable range of values may be
estimated from the actual figures according to certain statistical
assumptions.
In general, distributions of vital events may be assumed to follow the
binomial distribution. Estimates of standard error and tests of
significance under this assumption are described in most standard statistics
texts. When the number of events is large, the standard error, expressed as
a percent of the number or rate, is usually small.
When the number of events is small (perhaps less than 100) and the
probability of such an event is small, considerable caution must be observed
in interpreting the conditions described by the figures. This is
particularly true for infant mortality rates, cause-specific death rates,
and death rates for counties. Events of a rare nature may be assumed to
follow a Poisson probability distribution. For this distribution, a simple
approximation may be used to estimate a confidence interval, as follows.
If N is the number of registered deaths in the population and R is the
corresponding rate, the chances are 19 in 20 that
1. N - 2 / N and N + 2 / N
covers the "true" number of events.
2. R - 2 R and R + 2 R
/N /N
covers the "true" rate.
If the rate R corresponding to N events is compared with the rate S
corresponding to M events, the difference between the two rates may be
regarded as statistically significant if it exceeds
R2 S2
2 +
N M
For example, if the observed death rate for Community A were 10.0 per
1,000 population and if this rate were based on 20 recorded deaths, then the
chances are 19 in 20 that the "true" death rate for that community lies
between 5.3 and 14.5 per 1,000 population. If the death rate for Community
A of 10.0 per 1,000 population were being compared with a rate of 20.0 per
1,000 population for Community B, which is based on 10 recorded deaths, then
the difference between the rates for the two communities is 10.0. This
difference is less than twice the standard error of the difference
(10.0)2 (20.0)2
2 +
20 10
of the two rates, which is computed to be 13.4. From this, it is concluded
that the difference between the rates for the two communities is not
statistically significant.
Symbols Used in Tables
SYMBOLS USED IN TABLES
Data not available--------------------------- ---
Category not applicable---------------------- ...
Quantity zero-------------------------------- -
Quantity more than 0 but less than 0.05------ 0.0
Quantity more than zero but less than
500 where numbers are rounded to
thousands---------------------------------- Z
Figure does not meet standards of
reliability or precision------------------- *
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