infant mortality 2009 - department of public healthpublichealth.lacounty.gov/mch/fhop/fhop09/infant...

Infant Mortality

TITLE V INDICATOR TEMPLATE

INDICATOR: Infant Mortality Rate

DEFINITION:

NUMERATOR: The number of infant deaths occurring at less than 365 days of age, by place of residence, in a calendar year

DENOMINATOR: The total number of live births, by place of residence, in a calendar year

HEALTHY PEOPLE 2010 OBJECTIVE:


RISK FACTORS: Race/ethnicity; prematurity/disorders related to short gestation; low birth weight; congenital anomalies; young maternal age; lowmaternal education level; maternal tobacco use; maternal alcohol or substance use/abuse; poor maternal nutrition; inadequate prenatal care; unintended pregnancy; maternal psychosocial problems; maternal medical complications/chronic illness during pregnancy (including diabetes); pregnancy complications; short interpregnancy interval; injury (including domestic violence); infection; respiratory distress syndrome; family history of SIDS

Reduce the infant mortality rate to no more than 6.0 per 1,000 live births. (Baseline: 6.7 per 1,000 live births in 2006) (Objective MICH-1.3)

The number of infant deaths occurring at less than 365 days of age per 1,000 live births

Reduce the infant mortality rate to no more than 4.5 per 1,000 live births. (Baseline: 7.2 per 1,000 live births in 1998) (Objective 16-1c)

Deaths Rate Lower Upper Deaths Rate Lower Upper Year California LA County

2000 2,884 5.4 5.2 5.6 777 4.9 4.6 5.3 2000 531,285 157,391

2001 2,815 5.3 5.1 5.5 828 5.4 5.0 5.8 2001 527,371 153,523

2002 2,875 5.4 5.2 5.6 825 5.5 5.1 5.8 2002 529,245 151,167

2003 2,819 5.2 5.0 5.4 822 5.4 5.0 5.8 2003 540,827 152,192

2004 2,811 5.2 5.0 5.4 757 5.0 4.6 5.4 2004 544,685 151,504

2005 2,913 5.3 5.1 5.5 745 5.0 4.6 5.3 2005 548,700 150,377

2006 2,829 5.0 4.8 5.2 738 4.9 4.5 5.2 2006 562,157 151,837

2007 2,941 5.2 5.0 5.4 812 5.3 5.0 5.7 2007 566,137 151,813

2008 2,806 5.1 4.9 5.3 742 5.0 4.7 5.4 2008 551,567 147,684

2009 2,593 4.9 4.7 5.1 704 5.0 4.7 5.4 2009 526,774 139,679

Source: California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2000-2009

Year

California Los Angeles County Denominator:Live BirthsInfant Mortality 95% Confidence Interval Infant Mortality 95% Confidence Interval

Page 91

3.0

4.0

5.0

6.0

7.0

8.0

aths

per

1,0

00 li

ve b

irths

California Los Angeles County Healthy People 2010 Healthy People 2020

Infant Deaths per 1,000 Live BirthsCalifornia vs. Los Angeles County, 2000-2009

Year 2010 Objective: Reduce the infant mortality rate to no more than 4.5 per 1,000 live births.

Year 2020 Objective: Reduce the infant mortality rate to no more than 6.0 per 1,000 live births.


0.0

1.0

2.0

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

infa

nt d

ea

Year

Page 92

Los Angeles County, 2009Total Live

BirthsRace/EthnicityInfant Mortality 95% Confidence Interval

10.4

3.2

4.94.1

8.5

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

African American Asian/Pacific Islander Hispanic White Two or More Races

Dea

ths

per 1

,000

Liv

e B

irths

Race/Ethnicity

Infant Mortality Rate by Race/EthnicityLos Angeles County, 2009

Percent Distribution of Infant Deaths by Race/Ethnicity

Los Angeles County, 2009Deaths Rate Lower Upper

African American 110 10.4 8.5 12.3 10,589

Asian/Pacific Islander 52 3.2 2.3 4.1 16,179Hispanic 424 4.9 4.4 5.4 86,642Native American <5 N/C N/C N/C 202White 96 4.1 3.3 5.0 23,150

Two or More Races 15 8.5 4.2 12.8 1,762

Other/Unknown 7 6.1 1.6 10.5 1,155

Total 704 5.0 4.7 5.4 139,679

Year 2010 Objective: Reduce the infant mortality rate to no more than 4.5 per 1,000 live births.Year 2020 Objective: Reduce the infant mortality rate to no more than 6.0 per 1,000 live births.

Note: Infant mortality rate is defined as infant deaths occurring less than 365 days per 1,000 live births.Racial/ethnic categorization has been revised in this report; data from previous year reports may not be comparable.African American, Asian/Pacific Islander, Native American, White and other races exclude Hispanic ethnicity. Hispanic includes any race category.Numbers fewer than 5 are shown as "<5". Rates are not calculated (N/C) if number is fewer than five.

Source: California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2009

y

African American

15.6% Asian/Pacific

Islander7.4%

Hispanic60.2%

Native American

0.0%

White13.6%

Two or More Races2.1%

Other/Unknown

1.0%

Los Angeles County, 2009

Page 93

1 - Antelope Valley2 - San Fernando Valley3 - San Gabriel4 - Metro5 - West6 - South7 - East8 - South Bay

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*Los Angeles County zip code boundaries as of April 2007Total number of live births in Los Angeles County, 2009 = 139,679Total number of infant deaths in Los Angeles County, 2009 = 704

n = total number of zip codes in range

Los Angeles County - Department of Public Health

Number of Infant Deathsby Zip Code* and Service Planning Area (SPA)


Source : California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2009.

SPA Boundary

Zip Code Boundary

90704

Page 94

Note : Infant death is defined as deaths occurring less than 365 days of age.

Number of Infant Deaths

9 to 16 (n=15)6 to 8 (n=25)4 to 5 (n=32)2 to 3 (n=76)0 to 1 (n=147)


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*Los Angeles County zip code boundaries as of April 2007Total number of live births in Los Angeles County, 2009 = 139,679Infant mortality rate per 1,000 live births in Los Angeles County, 2009 = 5.0


Infant Mortality Rate

13.07 to 45.45 (n=14)9.38 to 13.06 (n=26)6.85 to 9.37 (n=32)4.75 to 6.84 (n=50)0 to 4.74 (n=173)


Infant Mortality Rateby Zip Code* and Service Planning Area (SPA)



SPA Boundary

Zip Code Boundary

90704

Page 95

Year 2010 Objective: Reduce the infant mortality rate to no more than 4.5 per 1,000 live births.Year 2020 Objective: Reduce the infant mortality rate to no more than 6.0 per 1,000 live births.Note: Infant mortality rate is defined as infant deaths occurring less than 365 days per 1,000 live births.


INDICATOR: Neonatal Mortality Rate

DEFINITION:

NUMERATOR:




RISK FACTORS:

The number of infant deaths occurring at less than 28 days of age per 1,000 live births

The number of infant deaths occurring at less than 28 days of age, by place of residence, in a calendar year

Reduce the neonatal mortality rate to no more than 2.9 per 1,000 live births. (Baseline: 4.8 per 1,000 live births in 1998) (Objective 16-1d)

Congenital anomalies; respiratory distress syndrome; short gestation; low birth weight; maternal complications; race/ethnicity (African American, Puerto Rican)

See also risk factors for infant mortality.

Reduce the neonatal mortality rate to no more than 4.1 per 1,000 live births. (Baseline: 4.5 per 1,000 live births in 2006) (Objective MICH-1.4)

Deaths Rate Lower Upper Deaths Rate Lower Upper Year California LA County 2000 1,957 3.7 3.5 3.8 531 3.4 3.1 3.7 2000 531,285 157,3912001 1,889 3.6 3.4 3.7 551 3.6 3.3 3.9 2001 527,371 153,5232002 1,922 3.6 3.5 3.8 531 3.5 3.2 3.8 2002 529,245 151,1672003 1,909 3.5 3.4 3.7 566 3.7 3.4 4.0 2003 540,827 152,1922004 1,904 3.5 3.3 3.7 499 3.3 3.0 3.6 2004 544,685 151,5042005 1,977 3.6 3.4 3.8 498 3.3 3.0 3.6 2005 548,700 150,3772006 1,949 3.5 3.3 3.6 501 3.3 3.0 3.6 2006 562,157 151,8372007 2,007 3.5 3.4 3.7 567 3.7 3.4 4.0 2007 566,137 151,8132008 1,902 3.4 3.3 3.6 500 3.4 3.1 3.7 2008 551,567 147,6842009 1,755 3.3 3.2 3.5 466 3.3 3.0 3.6 2009 526,774 139,679


Los Angeles County Denominator:Live BirthsNeonatal Mortality 95% Confidence Interval Neonatal Mortality 95% Confidence IntervalYear

California

Page 96

3.5

4.0

4.5

5.0

per 1

,000

live

birt

hs


Neonatal Deaths per 1,000 Live BirthsCalifornia vs. Los Angeles County, 2000-2009

Reduce the neonatal mortality rate to no more than 2.9 per 1,000 live births.

Reduce neonatal deaths to no more than 4.1 per 1,000 live births.

California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2000-2009

Year 2010 Objective:

Source:


2.5

3.0

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

Dea

ths

p

Year

Page 97

Deaths Rate Lower Upper


BirthsRace/EthnicityNeonatal Mortality 95% Confidence Interval

6.2

1.8

3.2 3.4

5.1

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

African American Asian/Pacific Islander Hispanic White Two or More Races

Dea

ths

per 1

,000

Liv

e B

irths

Race/Ethnicity

Neonatal Mortality Rate by Race/EthnicityLos Angeles County, 2009

Other/

Percent Distribution of Neonatal Deaths by Race/Ethnicity



Asian/Pacific Islander 29 1.8 1.1 2.4 16,179

Hispanic 277 3.2 2.8 3.6 86,642Native American <5 N/C N/C N/C 202White 78 3.4 2.6 4.1 23,150Two or More Races 9 5.1 1.8 8.4 1,762Other/Unknown 7 6.1 1.6 10.5 1,155

Total 466 3.3 3.0 3.6 139,679

Year 2010 Objective: Reduce the neonatal mortality rate to no more than 2.9 per 1,000 live births.

Year 2020 Objective: Reduce neonatal deaths to no more than 4.1 per 1,000 live births.

Note: Neonatal mortality rate is defined as infant deaths occurring less than 28 days per 1,000 live births.

Racial/ethnic categorization has been revised in this report; data from previous year reports may not be comparable.African American, Asian/Pacific Islander, Native American, White and other races exclude Hispanic ethnicity. Hispanic includes any race category.Numbers fewer than 5 are shown as "<5". Rates are not calculated (N/C) if number is fewer than five.


African American

14.2% Asian/Pacific

Islander6.2%

Hispanic59.4%

Native American

0.0%

White16.7%


Other/Unknown

1.5%

8


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1

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*Los Angeles County zip code boundaries as of April 2007Total number of live births in Los Angeles County, 2009 = 139,679Total number of neonatal deaths in Los Angeles County, 2009 = 466


Number of Neonatal Deaths



Number of Neonatal Deathsby Zip Code* and Service Planning Area (SPA)



SPA Boundary

Zip Code Boundary

90704

Page 99

Note: Neonatal death is defined as deaths occurring less than 28 days of age.


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90806

90807

9002190023

90270

9006390033

91105

90032

90031

91030

90755

9024190242

90201

90280

90262

90001

90802

90810 9080890716

90715

9071290701

90706

90723

90650

9080590703

90606

90660

90640

91770

90713

90840

90803

90815

9063

1

90638

9060490603

9060590602

90639

9024090670

*Los Angeles County zip code boundaries as of April 2007Total number of live births in Los Angeles County, 2009 = 139,679Neonatal mortality rate per 1,000 live births in Los Angeles County, 2009 = 3.3


Neonatal Mortality Rate



Neonatal Mortality Rateby Zip Code* and Service Planning Area (SPA)



SPA Boundary

Zip Code Boundary

90704

Page 100

Year 2010 Objective: Reduce the neonatal mortality rate to no more than 2.9 per 1,000 live births.Year 2020 Objective: Reduce the neonatal mortality rate to no more than 4.1 per 1,000 live births.Note: Neonatal mortality rate is defined as infant deaths occurring less than 28 days per 1,000 live births.


INDICATOR: Post-Neonatal Mortality Rate

DEFINITION:

NUMERATOR:




RISK FACTORS:

Reduce the post-neonatal mortality rate to no more than 2.0 per 1,000 live births. (Baseline: 2.2 per 1,000 live births in 2006) (Objective MICH-1.5)

California Los Angeles County Denominator:

The number of infant deaths occurring from 28 through 364 days of age per 1,000 live births

The number of infant deaths occurring from 28 through 364 days of age, by place of residence, in a calendar year

Reduce the post-neonatal mortality rate to no more than 1.2 per 1,000 live births. (Baseline: 2.4 per 1,000 live births in 1998) (Objective 16-1e)

Congenital anomalies; injuries; infection in late pregnancy; family history of SIDS; maternal smoking or drug use; young maternal age (teen births); race/ethnicity (African American, Puerto Rican)

See also risk factors for infant mortality.

Rate Lower Upper Deaths Rate Lower Upper Year California LA County 2000 1.7 1.6 1.9 280 1.8 1.6 2.0 2000 531,285 157,391

2001 1.8 1.6 1.9 246 1.6 1.4 1.8 2001 527,371 153,523

2002 1.8 1.7 1.9 277 1.8 1.6 2.0 2002 529,245 151,167

2003 1.7 1.6 1.8 287 1.9 1.7 2.1 2003 540,827 152,192

2004 1.7 1.6 1.8 250 1.7 1.4 1.9 2004 544,685 151,504

2005 1.7 1.6 1.8 253 1.7 1.5 1.9 2005 548,700 150,377

2006 1.6 1.5 1.7 246 1.6 1.4 1.8 2006 562,157 151,837

2007 1.6 1.5 1.8 231 1.5 1.3 1.7 2007 566,137 151,813

2008 1.6 1.5 1.7 241 1.6 1.4 1.8 2008 551,567 147,684

2009 1.6 1.5 1.7 238 1.7 1.5 1.9 2009 526,774 139,679


904

936

880

904

838

934

95% Confidence Interval Post-Neonatal Mortality 95% Confidence IntervalDeaths

927

926

953

910

YearCalifornia Los Angeles County Denominator:

Live BirthsPost-Neonatal Mortality

Page 101

1.0

1.5

2.0

2.5

eath

s pe

r 1,0

00 li

ve b

irths

Post-Neonatal Deaths per 1,000 Live BirthsCalifornia vs. Los Angeles County, 2000-2009


Reduce the post-neonatal mortality rate to no more than 1.2 per 1,000 live births.

Reduce the post-neonatal deaths to no more than 2.0 per 1,000 live births.

California Department of Public Health, Center for Health Statistics, OHIR Vital Statistics Section, 2009


Source:


0.0

0.5

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009

De

Year

Page 102

Deaths Rate Lower Upper


BirthsRace/EthnicityPost-Neonatal Mortality 95% Confidence Interval

Los Angeles County, 20094.2

1.41.7

0.8

3.4

0.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

African American Asian/Pacific Islander Hispanic White Two or More RacesDea

ths

per 1

,000

Liv

e B

irths

Race/Ethnicity

Post-Neonatal Mortality Rate by Race/EthnicityLos Angeles County, 2009

T M Other/

Percent Distribution of Post-Neonatal Deaths by Race/Ethnicity



Asian/Pacific Islander 23 1.4 0.8 2.0 16,179

Hispanic 147 1.7 1.4 2.0 86,642Native American <5 N/C N/C N/C 202White 18 0.8 0.4 1.1 23,150Two or More Races 6 3.4 0.7 6.1 1,762Other/Unknown <5 N/C N/C N/C 1,155

Total 238 1.7 1.5 1.9 139,679

Year 2010 Objective: Reduce the post-neonatal mortality rate to no more than 1.2 per 1,000 live births.

Year 2020 Objective: Reduce the post-neonatal deaths to no more than 2.0 per 1,000 live births.

Note: Post-neonatal mortality rate is defined as infant deaths occurring from 28 through 364 days of age per 1,000 live births.

Racial/ethnic categorization has been revised in this report; data from previous year reports may not be comparable.African American, Asian/Pacific Islander, Native American, White and other races exclude Hispanic ethnicity. Hispanic includes any race category.Numbers fewer than 5 are shown as "<5". Rates are not calculated (N/C) if number is fewer than five.


African American

18.5%

Asian/Pacific

Islander9.7%Hispanic

61.8%

Native American

0.0%

White7.6%


Other/Unknown

0.0%

Page 103


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90272

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91342

91011

91042

91040

9138

791351

91321

9135

0

91504

91501

90016

90019

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90036

90010

90068

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90029

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91521

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91105

90032

90031

91030

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90201

90280

90262

90001

90802

90810 9080890716

90715

9071290701

90706

90723

90650

9080590703

90606

90660

90640

91770

90713

90840

90803

90815

9063

1

90638

9060490603

9060590602

90639

9024090670

*Los Angeles County zip code boundaries as of April 2007Total number of live births in Los Angeles County, 2009 = 139,679Total number of post-neonatal deaths in Los Angeles County, 2009 = 238


Number of Post-Neonatal Deaths



Number of Post-Neonatal Deathsby Zip Code* and Service Planning Area (SPA)



SPA Boundary

Zip Code Boundary

90704

Page 104

Note: Post-neonatal death is defined as deaths occurring from 28 through 364 days of age.


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91042

91040

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0

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90036

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90042

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93534

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91016

91010

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93550

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90275

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90064

90045

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9023290034

90056 90043

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90278

905039027790254

90303

90260

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90247

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90061

90506

9030590301

90302

9073190732

90274

90717

90710

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90255

90059

90002

90003

90047

90018

90062

90037

90007

9024990501

9001390014

90071

91205

90039

90026 90012

90057

90065

90058

90745

90744

90746

91204

91203

91020

91207

90065

91214

9022190220

90222

90747

9080490814

90813

90806

90807

9002190023

90270

9006390033

91105

90032

90031

91030

90755

9024190242

90201

90280

90262

90001

90802

90810 9080890716

90715

9071290701

90706

90723

90650

9080590703

90606

90660

90640

91770

90713

90840

90803

90815

9063

1

90638

9060490603

9060590602

90639

9024090670

*Los Angeles County zip code boundaries as of April 2007Total number of live births in Los Angeles County, 2009 = 139,679Post-neonatal mortality rate per 1,000 live births in Los Angeles County, 2009 = 1.7


Post-Neonatal Mortality Rate



Post-Neonatal Mortality Rateby Zip Code* and Service Planning Area (SPA)



SPA Boundary

Zip Code Boundary

90704

Page 105

Note: Post-neonatal mortality rate is defined as infant deaths occurring from 28 through 364 days of age per 1,000 live births.

Year 2010 Objective: Reduce the post-neonatal mortality rate to no more than 1.2 per 1,000 live births.Year 2020 Objective: Reduce the post-neonatal mortality rate to no more than 2.0 per 1,000 live births.

infant mortality 2009 - department of public healthpublichealth.lacounty.gov/mch/fhop/fhop09/infant...

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