statistical notes for health planners, no. 13 (may 1981) · changes in infant mortality and related...

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9from the National Center for Health Statistics

——Number 13. May 13, 1981

Changes in Infant Mortality and Related Rates by HealthService Area: 1969-73 to 1974-77”-

by Jean E. Foster and Joel C. Kleinman, Division of Analysis, National Center for Health Statistics

“Introduction

The uses of infant mortality data for health plan-ning at the local level were discussed in StatisticrilNote for Health Planners No. 2.1 Its associated datasupplement provided infant mortality rates byhealth se~ice area for 1969-73 and 1974-75. Thesedata have been updated through 1977 for the presentNote, which provide: additional perspectives on thegeographic ~tifi~ri characte=tig infant mortalityin the United States over this time period. Examplesare presented to tilustrate the strategies healti plan-

‘mners cm employ to identify geographic areas witiextreme rates and assess changes in these rates overtime.

The usefulness of infant mortality data for smallareas is limited by the stability of the rates. As anestimate of the underlying rate, the observed inf~tmortality rate is always subject to some degree ofchance variation, depending on the number of birthsand deaths under consideration.: Aggregating datafor several years, as done in this Note, augmentsstability but tends to diminish the timeliness of thedata. \

A recent Note (No. 12) explored the potentialfor using data based entirely on the birth distribution(i.e., maternal characteristics such as low educationand late prenatal care) to evaluate infant mortality.For health planning at the local level, this approachgenerally employs estimates that are more stable thandirect measures of mortality. Natality indicators arealso useful for assessing the matemal-tisk dimensionof infant mortality. However, analysis must eventuallyencompass measures of outcome—for instance, mor-tality-in addition to variables that are associatedwith outcome.

It should be noted that mortality is not the only

ouseful measure of pregnancy outcome. Certaincharacteristics of the infant can be considered asoutcome variables. Low birth weight and gestational

age are both highly correlated with infant mortalityand morbidity. Any analysis of infant health shouldconsider the role of these factors on pregnancy out-come. A forthcoming Note covering data on birthweight will further expand the analytic potentialof the data presented here.

Thus the data and methodology presented in thisNote can be viewed as a component of a broaderplan for evaluating infant mortality with small-areadata. The Rand algorithm on infant mortality pro-vides details of a step-by-step approach that carriesanalysis from problem recognition through interven-tion and evaluation.

Presentation of:data

Three measures of infant mortality are shown onthe attached computer printout: the infmt mortalityrate, the neonatal mortality rate, and the postneonatalmortali~ rate. All are average annual rates that re-late deaths during the specified period to 1,000 livebirths during the same period. The rates are definedas follows:

Infantmortality =rate

Neonatalmortality =rate

Post-neonatalmortality =rate

Number of deaths to infantsunder 1 year of age x 1,000

Number of live birtis

Number of deaths to infantsunder 28 days of age x 1,000

Number of live births ..

Number of deaths to infants

between 28 days and 1 year of age X 1,000

Number of live births._— — .——

Race-specific measures (1 = total, 2 = wh;te, 3 =black, and 4 = other) are presented for each health

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, Public Health Service, Office of Health Research, Statistics, and Technology

2 statistical notes for health planners

service area for the two time petiods 1969-73 and1974-77. Data for 1969-73 published in this Notediffer slightly from data for this time period previ-ously published in the Statistical Note series. Thehealth service area (HSA) designations have changedsomewhat (see page 10), and data in the race category“all other” are now presented separately “black”and “o~her.”

– For each race-specific rate, HSA’S were rankedrelative to all other HSA’S. If two or more areas hadthe same value, the ranks were averaged. HSA’S witifewer than 1,000 live births in a race group were notincluded in the ranking due to the large random errorassociated with small numbers; the rank columnshows “NA” (not applicable) for cases in which therank was not calculated.

The ratio of the 1974-77 rate divided by the1969-73 rate is provided as a measure of change. Theratio expresses .@e more recent rate as a proportionof the earlier rate. Since it is a measure of relativechange (or relative risk), a ratio is generally considereda more useful means to assess change than the abso-lute difference in rates. Changes in rates are alsodiscussed in terms of percentage decl=es or–ticreases.~ey can be easily obtained from the ratio by usingthe following formula: Percentage change = (Ratio -1) X 100. (See Statistical Note No. 2 for a more de-tailed discussion of ratios and related measures.)A value of 1.00 indicates no change, whereas a ratioof .60 shows that the 1974-77 rate is only 60 percentof the 1969-73 rate–that is, the rate declined by 40percent. A ratio greater than 1.00 represents anincrease in the rates over this time period.

“Geographic variition

The geographic variation in infant mortality among~SA’s provides a context for interpreting both thelevel and change in infant mortality for an.~dividualHSA. The geographic distribution of tie rates wdlalso be examined to determine whether the steadydecline in U.S. infant mortality rates since., 1965(about a 5-percent decrease per year for boti blacksand whites) has resulted in smaller differences amongHSA’S. Since black infant mortali~ is about twiceas high as that for whites and since there is substantialgeographic variation in the proportion of births toblack women, the analysis of geographic variation israce specific.

Infant mortality rates at the State and regionallevel seem to have continued a pattern of substantialgeographic variation since the mid-1960’s. In 1975-77,both white and black infant mortality rates wereabout 50 percent greater in the States with thehighest rates than in the States with the lowest rates.4

A study of rates for smaller geographic areas wasconducted by Kleinman, Feldman, and Mug~e.sTheir comparison of patterns of infant mortality and orelated rates across State economic areas ~owedconsiderable geographic variation in both 1961-65and 1969-73. Variation in the postneonat~ ratesdecreased over this time period, but the variation inthe neonatal rates increased, yielding a net effect of-no consistent change in variation for the infantmortality rate.

Analysis of geographic variation among HSA’S in1969-73 and 1974-77 shows that variation remainedthe same for white rates. For black rates, geographicvariation m neonatal mortality increased, and vafia-tion in postneonatal mortali~ decreased. The netresult was a slight increase in geographic variation.for infant mortality. Although geographic variation ininfant mortality rates did not decrease, the relativeposition of different areas changed. In other words,there was a fair amount of geographic variation in therate of change between 1969-73 and 1974-77. Ex-.amples will be discussed later in this report.

Distribution of rates

The percentile distributions of the observedinfant, neonatal, and postneonatal mortality rates afor 1969-73 are”provided in table A. Correspondingdistributions for 1974-77 are given in table B. Thepercentile values are the values below which a givenproportion of the HSA’S will be included. For ex-ample, table A shows that the 90th percentile valuefor the infmt mortality rate for white births is 19.5.This indicates that 90 percent of the HSA’S hadfewer than 19.5 infant deaths per 1,000 births duringthe period 1969-73.

The percentile values for the associated ratiosof change for these infant mortality rates are providedin table C. Here the 90th percentile value for tiedistribution of ratios of white infant mortali~ ratesis shown to be .73. This indicates that 90 percentof the HSA’S had a 1974-77 to 1969-73 ratio ofgreater than .73 or, to express this in terns of percentdecrease, a decline of less than 27 percent [i.e.,percent = (.73 - 1) X 100]. The 30th percentile forthe distribution of ratios of black postneonatalmortality rates is .90. This indicates that 30 percentof the HSA’S had ratios above .90, or had a declineof less than 10 percent in their postneonatal mortal-ity rates. When converting from the ratio to percentreduction, remember that the higher the ratio, thelower the reduction.

As indicated by the low correlation coefficients a

shown in table D, HSA’S with high infant mortalityrates for white births do not necessarily have high

statistic~notes for health planners 3

a Tabla A. Percentile distribution of infant, naonatal, and postnaonatal mortality ratesby race: U.S. haalth s8wica areas(HSA’S), 1969-731

Total= White Black

Percentile Infint Neonatal Postneonatal Infant Neonatal Postneonatal Infant Neonatal Postneonatalmortality mortality mortality mortality mortality mortality mortality mortality mortality

rata rata rata rata rata rata rata rate rata

5 15.1 11.2 3.5 “14.61o:::::::::

11.0 3.116.0

23.511.7

14.83.7 15.1

5.411.5 3.2

16.825.7

12.6 3.917.5 6.6 “

::::::::::15.7 11.9 3.5

17,4 13.127.0 18.7

4.2 16.57.4

12.4 3.8 28.2 19.840 . . . . . . . . . 18.2 13.6 4.4 16.8 12.8 3.9 29.6 20.5 :::50 . . . . . . . . . 18.9 14.2 4.7 17.3 73.4 4.0 30.8 21.3 8.960 . . . . . . . . . 19.6 14.6 5.0 17.8 13.7 4.1

20.532.0

15.3.22.1 9.4

::;;;;;;;;5.2 18.4 14.1 4.3

21.2 15.932.9 23.1

5.8 ‘18.910.1

14.4 4.7 34.0 24.3 10.890 . . . . . . . . . 22.6 16.6 6.5 19.5 15.1 5.0 35.9 25.4 12.695...... .. . 24.1 17.2 7.4 20.4 15.7 5.3 38.0 26.6 13.8

NumberofHSA’S . . . . . 202 202 202 202 202 202 158 158 158

U,S.total..... 19.3 14.3 4.9 17.1 13.1 4.0 31.1 21.6 9.6

llncludes HSA'swith atleast l, OOObirths inthespecified race group in 19e9-73.21ncludas person50f all races.

Tabla B. Percantila distribution of infant, naonatal, and postneonatal mortality rates by rata: U.S. health serviceareas (HSA’S), 1974-771

Total= 149rite Black

Pementile Infant Neonetal Posmeonatal Infant Neonatal Postneonatal Infant Neonatal, Posmeonatalmortality mortality mortality mortality mortality ‘mortality mortality mortality mortality

rata rata ra@ rata rata rate rata rata rata

12.01:::::’::::: 12.520, . . . . . . . . 13.330 . . . . . . . . . 14.140 . . . . . . . . . 14.5

15.0::::::::::: 15.870, . . . . . . . . 16.380 . . . . . . . . . 17.290. ..,..... 18.595 . . . . . . . . . 19.5

NumberofHSA’S . . . . . 202

U.S.total.... . 15.5

8.38.79.5

10.110.510.911.411.712.313.314.0

202

11.1

3.13.33.63.84.04.24.44.75.0

:::

202

4.4

11.512.012.613.213.413.814.014.514.915.616.4

202

13.7

8.18.59.19.59.9

10.110.410.611.011.612.2

202

10.0

2.72.93.23.43.53.63.84.04.24.64.8

202

3.7

17.619.521.523.123.924.625.827.1‘28.530.132.0

156

25.5

11.512.314.615.716.517.418.218.819.921.322.7

156

17.7

4.6

=6.87.17.47.98.39.29.8

10.6

156

7.8

llncludes HSA'swith atleast l, OOObimhs inthespecifiad race group in 1974-77.21ncjudespers0ns0f all racas.


Table C. Percentile distribution of ratiosl of infant, neonatal, and postneonatel mortality rates by race: US. health service areas (HSA’S)2

Tote13 White Black

Percentile In tint Neonatal Posmeonatel Infant Neonatal Postneonatal Infant Neonatal Postneonatalmortality mortality mortality mortality mortality mortality mortality mortality mortality

rata rate rate rate rate rate rate rate rate

.931:::::::::: .8920 . . . . . . . . . .8430 . . . . . . . . . .8240 . . . . . . . . . .8150 . . . . . . . . . .8060 . . . . . . . . . .79

.95

.89

.84

.81

.79

.78

.75

1.07

1.01.97.94.91.89

.86

.83

.81

.92

.89

.84

.83

.81

.79

.78

.76

.74

.73

.71

.61 1.111.07

.99

.87

.94

.91

.89

.85

.82

.78

.75

1.00.96.90.87.85.81.79.76.72.67.62

1.05

.98

.92

.87

.84

.81

.80

1.271.10

.97

.90

.86

.82

.79

.74

.68

.64

.57

.86

.83

.80

.78

.76

.7470 . . . . . . . . . .7780 . . . . . . . . . .7590 . . . . . . . . . .7395 . . . . . . . . . .71

.73

.72.72.70

.77

.70..69.66

.77

.73.67.65

.63

.60

Number ofHSA’S . . . . . 202 202 202 202 202 202 156 156 156

U.S. total. . . . . .80 .78 .90 .80 .76 .93 .82 .82 .81

‘ 1974-77 rate+ 19S9-73 rate.21nclude~ ~SN~ ~i~ at least 1,000 ~rths in the specified race group in both time periods.

31nc!udes persons of all races.

Table D. Correlations between white and black rates and ratios of infant,neonatal, and postneonatal mortality: U.S. health service areas(HSA’S), 1969-73 and 1974-771

Table E. Health se~ice araas with whita and black infant mortalityrates or percant change in rates at opposite extremesl of thedistribution: 1969-73 and 1974-772 a

Health 198B-73 reta 1974-77 rateParcant change

sarvice In rates

araaWhite Black Whita Black Whita Black

Time period Correlation Numbar ofand typa of rate coefficient? HSA’S

1969-73:Infant mortality rate . . . . . . . . . . .43Neonatal mortality rata . . . . . . . . “.37Postneonatal mortality rate . . . . . . .28

158158158

CAL 10..COL 02..

HighHigh Low

HighHigh

High LowHighHighLow

High LowLowLowLow

Low

LowLOW

DC 02..FLA 03..

1974-77:Infant mortality rate . . . . . . . . . . .46Neonatal mortality rate . . . . . . . . .51Postneonatal mortality rate . . . . . . .21

Ratio3 of:Infant mortality rates. . . . . . . . . . -.07Neonatal mortality rates . . . . . . . . .08Postneonatal mortality rates. . . . . . -.01

156156156

GA 02.. High Low

ILL 03..ILL 04..ILL 05..KY 02.. High LowMD 02..MIC 06..

LowLowHigh

156156156

HighHighHighNJ 12..

NJ– 05.. LOW High

-.— .—. —.. —— —...—- —. —-— ——. -._.‘ Includes HSA’S with at least 1,000 births in each race group in thaapecifiad time period.2pearson product. moment correlation coefficient (r).

31974-77 rate + 1969-73 rate.

NY 03..OH 08..PA 07..WAS 01..iNT 03..

LowHigh LowHigh Low

Low

Low

High

High

High

rates for black births. Furthermore, the correlationbetween white and black change ratios is essentiallyzero; that is, an HSA’S change in white infant mor-tality is unrelated to its change in black infant mor-tality for the time period under study.

Table E presents a list of HSA’S that had white~d black infant mortality rates or ratios at tieopposite extremes of the distributions. The highestand lowest quintiles determined the cutoffs for

.- inclusion, and only HSA’S with at least 1,000 births

1,n the highe~ or lo~aat quintila Of the distribution.

21ncludes HSA’S with at least 1,000 births In aach race group inthe specifiad tima period.

in each race group were considered. This list demon-strates that the difference between the white andblack ratios of change in an HSA is likely to be greater @than the gap between white and black infant mor-tality rates in that HSA for either the 1969-73 or1974-77 period.

statistical notes for health planners 5

●Confidence intervals

Confidence intervals should be calculated in orderto assess the stability of an area’s mortality rate orits change ratio. The formula for calculating the.standard error for an infant mortality rate is:

where r = rate (infant mortality, neonatal mor-tality, or postneonatal mortality)

d = number of deaths

The attached computer printout shows rates per1,000 and number of births for each HSA. Since

d = births X r/1,000,

an equivalent formula for the standard error is:

where r = rate per 1,000

b = number of births

Using black births in ALA 01 as an exam~le, the

mstan;ard “efioi ~or the 1974-77 inf~t mortd-ity” rateis: #

SNIMR=28.4) = 31.623 X’~~ = 2.17,

The 95-percent confidence intervals are calculatedas follows. -

Lower limit: r -.1.96 x SE(r)

Upper limit: r + 1.96 x SE(r)

For the 197477 black infant mortality rate in01, these tiits are–

bwer limit: 28.4- (1.96 x 2.17) = 24.1

Upper limit: 28.4 + (1.96 X 2.17) = 32.7

ALA

Turning to table B, it can be seen that this confidenceinterval is fairly broad. The observed rate fell justbelow tie ‘80th percentile, whereas the confidenceinterval exte-nds from below the 50th to above the95th percentile. Thus, without additional years ofdata, it would not be advisable to conclude that thisHSA’S black infant mortality rate for 1974-77 was

o higher than that of the majority of HSA’S.Confidence intervals for the ratio of two inde-

pendent rates are best approxtiated by calculating

the interval in the log scale and then taking antilog-arithms.a The following formulas should be used.

Stan&rd error.–

SE(ln(R)) = ~- = ~-

where In(R) =

d, =

dz =

natural logarithm of ratio of twoindependent rates (e.g., 1974-77IMR-+ 1969-73 IMR)- -

number of deaths forriod 1 =rlbl/l,OOO

number of deaths forriod 2 = r2b2/1,000

Confidence intervals.–

bwer limit: In(R) -1.96 X SE(ln(R))

Upper limit: in(R) + 1.96X SE(2n(R))

time pe-

time pe-

The confidence interval for the ratio itself can beobtained by taking the antilogarithm of these lowerand upper limits (eL L and e“ L).

Note that the stipulation that the rates be “inde-pendent” means that the births and deaths that makeup one rate are not included in the other rate. Thusthese formulas are appropriate when the ratio re-lates to either nonoverlapping years or geographicareas.

To continue with the ALA 01 example, the ratiofor the black infant mortality rate is .96. Table Cshows that only 10 percent of the HSA’S had such asmall change in rates. The 95-percent confidence limitsfor the datural logarithm of this ratio (-.04082) arecalculated as follows.

SE(ln(R.) F - .04082)=

~*= 09864

Lower limit:’ - .04082 - ( 1.96 X .09864)=; .23416 - .—— ——--

Upper limit: -.04082 + (1.96 X .09864) =.15252

The antilogarithms of these numbers, which are theconfidence limits for the ratio itself, are as follows.

aUsing the logarithms rather than the ratio insures that the con-fidence interval will be the same regardless of which rate is included inthe denominator of the ratio.


Lower limit (R): e-”234’6 = .79

Upper limit (R): e“15252 = 1.16

Since this confidence interval extends from below the5th to the 60ti percentile (see table C), all that canbe inferred about ALA O1’s change is that it was notamong the most favorable.

“Case study

Perhaps the uses of infant mortality data andrelated measures c& best be illustrated by exminingan actual situation. Considerable public attention and.resources have recently been directed at finding waysto reduce infant mortality in the District of Columbia.The District has traditionally had high rates of infantmortality because of its racial composition, but re-cent trends indicate a worsening of the situation.Since 1970, the District has had one of the highestrates of black infant mortality among large U.S.cities. G

As part of the effort to lower infant mortality inthe District of Columbia, various groups of research-ers, health planners, and administrators were calledtogether to investigate the problem and proposesolutions. These working groups included the BlueRibbon Committee on Infant Mortality, designatedby the mayor of the District of Columbia, and aU.S. Public Health Service task force comprised ofrepresentatives of several government agencies.

On May 7, 1980, hearings were held before thecommittee within the House of Representativeswhich has oversight responsibility for the District of ~Columbia. The data in this Note can be used to re-construct some of the findings brought out at thishearing. First, a cross-sectional look will be taken atthe 1974-77 infant mortality rates for D.C. and the

Table F. Infant, neonatal, and postneonatal mortality rates, correspond-ing rank, and number of births by race: United States and the

District of Columbia, 1974-77

United States District of ColumbiaRate and rank

White Black White Black

Infant mortality:Rate . . . . . . . 13.7 25.5 16.6 29.1Rank . . . . . . . NA NA 193 134

Neonatal mortality:c rate . . . . . . . 10.0 17.7 13.8 22.7

Rank . . . . . . . NA NA 199 148

Postneonatalmortality:

Rate . . . . . . . 7.8 2.8 6.4Rank . . . . . . . :: NA 17 33

Number of births . . 10,386,472 2,077,443 5,719 33,382

comparable U.S. figures. These data have been ex-tracted from the attached printout and are shown intable F. The gap between white and black rates, o

although large, appears to be no greater in the Districtthan for the total United States. Comparison withineach race group, however, reveals that black infantmortality is about 14 percent higher than the U.S.average for blacks, and neonatal rates are about28 percent higher. A similar pattern seems to emergefor white births. For both races, the postneonatalmortality rate is lower in the District than for theentire United States.

In order to assess the stability of these rates forthe District, the confidence intervids were calculatedIusingthe formula given earlier:

Whita Black

Infant mortality:Lower limit . . . . . . . . . . . 13.3 27,3Upper limit . . . . . . . . . . . 19.9 30.9

Neonatal mortality:Lower limit . . . . . . . . . . .. 10.8 21.1Upper limit . . . . . . . . . . . 16.8 24.3

Postneonatal mortality:Lower limit . . . . . . . . . . . 1.4 5.5Upper limit . . . . . . . . . . . 4.2 7.3

. e

These confidence intervals ‘must now be checkedagainst the appropriate percentile distributions intable B. The wide confidence intervals for the infantand postneonatid rates for white births precludedrawing deftite conclusions, although there is someindication that white neonatal mortality rates arehigher than those of otier HSA’S. (It should benoted that the white rates are based on a relativelysmall number of births.) However, the original ob-servations regarding the black infant mortality ratesare supported. The lower limit for neonatid mortalityis just below the 90th percentfie, whereas the entireconfidence interval forpostneonata.l mortality remainsbelow the 50th percentile. Thus D.C.’s problem iswith its neonatal rates, which are greater than thoseof almost 90 percent of the HSA’S.

Since only about 15 percent of births in theDistrict of Columbia are white and the white estimatesare somewhat unstable, the investigation will con-tinue for black births only. Neonatal mortality datafor an earlier time period, 1969-73, will be looked atnext.

Black neonatal mortality:

Rate . . . . . . . . . . . . . . . . . . . . . . . . . 22.0Lower limit . . . . . . . . . . . . . . . . . . . . . 20.8Upper limit . . . . . . . . . . . . . . . . . . . . . 23.2Rank . . . . . . . . . . . . . . . . . . . . . . . . . 94

statistical notee for health planners 7

Although the confidence interval for the blackneonatal mortali~ rate in 1969-73 extends to justabove the 70th ~ercentie. its rank of 94 out of 158

,indicates that fi-e D.C. rate was about average. Thechange in rank to 148 out of 156 in 1974-77 dem-onstrates that the black neonatal mortality rateslipped from being average to poor during this time.This is reflected by the change ratio:

Ratio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.03

Lower limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94

Upper limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.13

The ratio indicates that there was virtually nochange in the District’s black neonatal mortalityrate. Since the lower limit falls below the 3Othpercentile, it can be concluded that D.C. is one of theminority of HSA’S that did not experience a sub-stantial decline in black neonatal mortality. Thisconclusion is consistent with findings presented atthe May 7 hearing:

. . .The trend in D.C.’S [other than white] neo-natal mortality was similar to the national tienduntil the 1970’s when the D.C. rate began toincrease. Concentrating on the current. decade, wefmd that the pattern for 1970 through 1977 hasbeen one with-no statistically signific~t deviationfrom a constant line. This is in marked contrast to

Table G. Salactad maternal risk measures for black births in the Unitedstates and in the District of Columbia, with paroent changw 1968and 1977

Maternal riskBlack births

measum1969 1977 Percent change

Percent under 20 years

United States . . . . . . . . . . . . 31.0 ‘29.7 -4.2

District of Columbia . . . . . . . . 29.7 26.4 -11.1

Percent high age-parity risk’

United States . . . . . . . . . . . . 65.8 53.4 -18.8


Percent unmarried

United States . . ~ ~ . . . . . .’. .“245.8 ‘“51.7 12.9

District of Columbia . . . . . . . . 247.7 57.8 21.2

Percent low education3

United States . . j . . . .’. .-; “. .“ 248:5- 41.0 “ -i5.5District of Columbia . . . . . . . . 238.1 33.5 -12.1

Percent late prenatal cara4

“United States . . . . . . . . . ...” 57.3 41.0 -28.5


.._. _‘Based on the following aga-parity combinations: (1) all births to wom-an under 20 or 35 and ovar, (2) total-birth ordar 3 or more to woman20-24 yaars, (3) total-birth ordar 4 or more to woman 25-29 Years, and(4) total-bimh orders 1 and 4 or mora to womenZ@-34 yaars. “2Ba~ed on 1973 data. (Data for tha District Of Columbia unevaiieble forgrior years.)

Lessthan high school.4After first trimastar or not at all.

the steady downward trend in the national ratefor black neonatal mortality.7

A look at maternal risk factors may provide someexplanations of these neonatal mortality trends. TableG presents selected measures of risk (based on char-acteristics of the birth distribution) for the Districtof Columbia in 1969 and 1977; national averages arealso included for comparison. A more detaileddiscussion of these measures can be found in Statis-tical Note No. 12.

Cornp-&g D.C. black births with U.S. blackbirths, it appears that the District has a somewhatmore favorable age, age-parity, and education profflein both time peiiods. Although the prenatal caremeasure. is slightly less favorable in the District in1977, the 37-percent change since 1969 indicatesimprovement at a faster pace than that experiencedby the U.S. black population. The proportion unmar-ried is the only measure that shows no improvement.As noted by a member of the Data Subcorn_rnittee of--—- .the Public Health Service task force and Blue RibbonCommittee:

For many of these characteristics, blacks in the.-.—Distric~=f Columbia have shown more hprove-ment between 1970 and 1977 than blacks in thetotal U.S., but blacks in the total U.S. have had asteady lowering of the infant mortality rate. Whythe paradox?s

It has been suggested that migration of the“low-risk” population out of the city may contributeto the lack of decline in D.C.’S neonatalmortality rate. For a number of decades, white cou-ples in the childbearing years have moved from thecity to the suburbs, and this migration pattern is nowbeing followed by middle-income blacks. Since recentblack migrants to the counties adjacent to D.C. tendto be in young families that are better educated andhave larger incomes than their city counterparts, blacksuburbanization may be leaving behind an increasinglylarge share of women whose babies are at greater riskof neonatal death.

The impact of an unequal distribution of high-riskbirths should be separated from the impact of otherfactors. One method for doing this involves adjustingthe mortality rates for infant birth weight. As men-tioned earlier, low birth weight is a strong determinantof both the mortality and morbidity of infants duringthe fnst year of life. However, infant mortality in anarea is affected by the birth-weight distribution aswell as the chances of survival within each birth-weight-specific category. Natality data show that since1970 the District has had an increasing incidence oflow birth weight among other-than-white births anda much slower decline. in birth-weight-specific mortal-ity than the United States as a whole has had. Insummary:


Statistical adjustments for birth weight patternsshow that about half of the differential [inneonatal mo~ality between the United States and.D:C. ] is due to tie larger proportion of low-birth-weight infants born to District residents relatiyeto the Nation as a whole. The rest of the differ-ential can be attributed to poorer infant survivalrates in the District. However, the reasons forpoorer pregnancy outcome are, at this time,largely unexplained.T

The Epidemiology Unit in the Office of theCommissioner of Public Health has been establishedwithin the District of Columbia government for thepurpose of pursuing research and intervention strate-gies to lower infant mortality. It is hoped that morewill be learned about the causes of low birth weightand infant death through continued surveillance andstudy of vital statistics and other health data.

Example of data use ,

Data for the HSA which comprises the entireState of Mississippi (MIS O1) will next be examinedto provide another example of how infant mortalityin an area can be assessed. In this case, the ratios ofthe neonatal mortafity rate and postneonatal mortal-ity rate: for white and black births will be looked atfust to see what changes took place between 1969-73and 1974-77.

Whita Black

Neonatal mortality:Ratio . . . . . . . . . . . . . . . .69 .79Lower limit . . . . . . . . . . . .64 .74Upper limit . . . . . . . . . . . .74 .84

Postneonatal mortality:Ratio . . . . . . . . . . . . . . . .99 .72Lower limit . . . . . . . . . . . .86 .66Upper limit . . . . . . . . . . . 1.14 .78

Based on the confidence intervals calculated fromthe fomulas given earlier, it can be concluded thatthe decline of 31 percent in the neonatal mortalitirate for white births in Mississippi was greater thanthat of the majority of HSA’S. For black births, tiedecrease of 21 percent in the neonatal mortalityrate appears to be an average rate of decline. On theother hand, the white postneonatal mortality ratedecreases only 1 percent (although subject to a wideconfidence interyal), while the decrease in the blackpostneonatal mortality rate is greater than that for-most of the HSA’S.

Next, the levels of the rates in each period areexamined.

/

1969-73 1974-77

0

White neonatal mortality:Rate . . . . . . . . . . . . . . . ‘15.7 10.9Lower limit . . . . . . . . . . . 15.0 10,2Upper limit . . . . . . . . . . . 16.4 11.6

White postneonatal mortality:Rate . . . . . . . . . . . . . . . 3.6 3.6Lower limit . . . . . . . . . . . 3.3 ‘Upper limit . . . . . . . . . . . 3.9 :::

Black neonatal mortality:Rate . . . . . . . . . . . . . . . 24.1 19.0Lower limit . . . . . . . . . . . 23.2 18.1Upper limit . . . . ...’.... 25.0 19.9

Black postneonatal mortality:Rate . . . . . . . . . . . . . . . 13.5 9.7Lower limit . . . . . . . . . . . 12.8 9.0Upper limit . . . . . . . . . . . 14.2 10.4

In 1969-73, the white neonatal mortality rate wasone of the highest in the United States, and eventhe lower limit of the confidence interval for thewhite rate was above the 80th percentile. The largereduction in this rate improved Mississippi’s standing,although even for 1974-77 the upper confidencelimit extends into the high end of the distribution.The lack of change in Mississippi’s white postneonatalmortali~ rate was a result of its very low rate in1969-73; which had become only an average rate by1974-77. *

Mississippi’s black neonatal mortality rates inboth time periods were in the highest qu~iles of thedistributions. The large decline in its black postneo-n-atal mortality rate improved its ranking, but sincethe rate in 1969-73 was extremely high (above the90th percentile), the rate remained in the highestquartile.

As d~ne in the case study for the District ofColumbia, maternal risk factors baseti on nata.litydata can be examined to help explain the infant mor-tality trends. For example, Mississippi has a greaterthan average proportion of births in bo~ races towomen with low educational attainment. & is pointsto an area for firther investigation. Additionally,the proportions of high age-parity risk births in 1977(defined according to the same age-ptity combina-tions used in Statistical Note No. 12) are higher inMississippi than the respective U.S. averages for whiteand black births. Although Mississippi has experienceda decrease in this measure since 1969 for both races,the decline has been at a slower pace than that forthe Nation as a whole.

SummatyThe considerable geographic variation in rates

of infant mortality in the United States can be used

statistical notes for health planners 9

to identify areas where further attention should befocused. Analysis of vital statistics data by HSA for1969-73 and 1974-77indicates that the geographicvariation has not decreased. Also, there is a fairamount of variability in the rates at which infantmortality measures changed during this time period.

Data on infant mortality for 1969-73 and 1974-77are presented on the attached computer printout.The percentile distribution for these rates and theirassociated change ratios (tables A-C) can be used todetermine how an HSA’S rate (or ratio) compares to

that of other HSA’S across the country. Local areaplanners are encouraged to assess the stability of therates and change’ ratios by ,calculattig confidenceintervals.

Finally, two examples are presented to illustratehow problem areas can be identified in terms of boththe level’ and the proportionate change in mortalityover time. It is also recommended that analysis ofinfant mortality in an area be expanded to considerthe roles of maternal risk factors as well as othervariables such as low birth weight.

References

lNation~ Center for Health Statistics: kf~t mortality, byJ. C. Kleinrn;. Statistical-Notes for HealthPlanners,No. 2.Health Resources Administration. Rockvfle, Md., July 1976.

2National Center for Health Statistics: Infant mortality andrelated rates by health service area, 1969-73 and 1974-75, byC. A. Young. Statistical Notes for Health Planners, No. 2,Data Supp. Public Health Service. HyattsviUe, Md., Aug.1977.

3The Rand Corporation: Algon”thmsfor Health Planners:VOZ.2, Infant Mortality, by L. J. Harris, i. Keeler, and M. E.Michnich. R-2215/2-HEW. Santa Monica, Calif. The RandCorporation, Aug. 1977.

0 4National Center for Health Statistics: Health, United States,1979. DHEW Pub. No. &HS) 80-1232. Public Health Service.Washington. U.S. Government Printing Office, 1980.

5Kleinman, J. C., Feldman, J. J., and Mugge, R. H.: Geographicvariations in infant morttity. PublicHealth Rep. 91(5):423-432, Sept.-Ott. 1976.

‘Statement by J. M. McGinnis, M.D., Deputy Assistant Secre-tary for Health (Disease Prevention and Health Promotion),Department of Health and Human Services, Before the Com-mittee on the District of Columbia Subcommittee on FiscalAffairs and Health, House of Representatives, May 7, 1980.

TNation~ Center for Health Statistics: Background Paper onInfant Mortality in the District of Columbia. Prepared forHearings Before the Committee on the District of ColumbiaSubcommittee on Fiscal Affairs and Health, House of Rep-resentatives, May 7, 1980. Unpublished document.

‘Findings and Recommendations From the Data Subcommit-tee, Presented by G. Oakley, M.D., Center for Disease Control,at the Joint Meeting of the Mayor’s Blue Ribbon Committeeon Infant Mortality and the PHS Task Force on Health in theDistrict of Columbia.


Health service area codes

The HSA codes used in this Note have beenmodified to be consistent with county boundaries.The codes are the same as those used by the Bureauof Health Manpower to produce the Area ResourceFile (Version 12). As a result of the redefinition, thereare a total of 202 HSA’S for which infant mortalitystatistics have been calculated. This excludes PuertoRico and other areas which are comprised of smallparts of counties which cannot be defined.

The exceptions to the official HSA designationsare as follows:

(a) The States requesting exemption from des-ignating HSA’S are redefined as follows:

Official HSA codeRedefinedHSA code

None . . . . . . . . . . . . . . . . . . . . . . . . . . .. DC02None . . . . . . . . . . . . . . . . . . . . . . . . . .. HAW03None . . . . . . . . . . . . . . . . . . . . . . . . . .. RI04

(b) Interstate HSA’S are listed with State nameas INT (for interstate) on the last pages ofthe printout. The 14 interstate HSA’S aredefined as follows:

Official HSA codeRedafinedHSA code

GA 01, TN 03 . . . . . . . . . . . . . . . . . . . . . .GA04, SC05 . . . . . . . . . . . . . . . . . . . . . .GA05, AL07 . . . . . . . . . . . . . . . . . . . . . .IA 01, NE04 . . . . . . . . . . . . . . . . . . . . . .NE03,1A 02 . . . . . . . . . . . . . . . . . . . . . .IA 03, ILIO . . . . . . . . . . . . . . . . . . . . . . .OHO1, KY03 . . . . . . . . . . . . . . . . . . . . . .ND02, MN 01 . . . . . . . . . . . . . . . . . . . . . .W107, MN02 . . . . . . . . . . . . . . . . . . . . . .ND03, MN 03 . . . . . . . . . . . . . . . . . . . . . .MO 01, KS04 . . . . . . . . . . . . . . . . . . . . . .M003,1L 11 . . . . . . . . . . . . . . . . . . . . . .NY04, PA08 . . . . . . . . . . . . . . . . . . . . . .TNO1, VA06 . . . . . . . . . . . . . . . . . . . . . .

INT02INT03INT 04INT 05INT06INT 07INT 08INT09INTIOINT 11INT 12INT13INT 14INT 15

●(c) HSA’S officially listed as including parts of

counties are redefined to include the follow-ing complete counties:

Official HSA code Countias included

AK Of . . . . . . . .AZ Of . . . . . . . .AZ02 . . . . . . . .

AZ03 . . . . . . . .

AZ05 . . . . . . . .CT Of . . . . . . . . .CT02. :.......CT03 . . . . . . . . .CT04 . . . . . . . . .CT05 . . . . . . . . .IL06 . . . . . . . . .

IL07 . . . . . . . . .MA O........

MA O........MA O;.......MA O........MA O....,...

MA O........

NM Of . . . . . . . .

UT OF . . . . . . . .

All divisions in AlaskaGila, Maricopa, PinalCochise, Greenlee, Pima, Santa Cruz,

GrahamCoconino, Yavapai, Apache, Navajo

(includas AZ 04)Mohave, YumaFairfieldNew HavenMiddlesex, New London, WindhamHartford, TollandLitchfieldAraa is not dafined. Chicago is in-

cluded in I L 07.Cook, Du PageBerkshire, Franklin, Hampden, Hamp-shire

WorcesterEssex, MiddlesexNorfolk, SuffolkBarnstable, Bristol, Dukes, Nantucket,

PlymouthArea is not defined. All of Essex and

Middlesex Counties are included inMA 03.

All counties in New Mexico (includesNM 02)

All counties in Utah (includas UT 02)

,

Infant, neonatal, and poatneonatal mortality rates, corresponding ranks, and ratios of change by ram: U.S. health service areas (HsA’s), 1988-73 and 1974-77

------------PoSTMEONATAL -------

BIRT+S :

---------------INFANT ---------- --------- -.--N~o~A ~A~------ ----

HSA R RATIO

74-77..—.69- ?3

00820.790096

NA

0e670.730,62

NA

0.770.790075

NA

00870.910078

NA

0-8200850.78

UA

0.820.780.83

NA

00810.75

NA0e92

00870-89

.9*750.79

0=690.680-620.83

0.790-69

NA0e85

RhTIO

74-77---—69-73

0.8400970076

mA

3.530e64O**9

MA

0.913.89O*72

MA

00780.900.55

MA

0.743-660.68

MA

1.001.20!l.89

MA

0.950.35

MA0.97

0-880.940c~60.71

9.770.1310.930.53

0.930.75

VA0.97

RATE RANK RATE RANK RATIO

74-7769:73

0=820.761.11

NA’

O*730.750.70

NA

007600760-76

NA

O*910.91O*86

NA

0.8600840.85

NA

0.750.660080

NA

O*740066

NA0.87

00870.870.870.90

0.660=64O*+71.50

0.75O*66

NA0.82

1974-77

167.0182.0124.0

NA

157.031.048.0

NA

15300152-0

34.0NA

199.0199.0L47.O

NA

200.014600146.0

NA

193.099.0

105.0NA

128-072.0

NA65.0

87.0131.0

45.053.0

7.05.03.0

62.0

192.073.0

NA67.0

1969.,-73

6015.112=6

8.23.414.7

5.6“+018*6

7.95.016=5

9.14.016.210.0

6*83.9

10.31605

6.55.27.1

10.4

5.04.49.110.9

4.94.27=616-9

12.05.616001606

1974 1969 “ “1974-77 -73 -77

1969-73

59260504148647199

18514106377845

32

686394623722282

120

410442988910535

620

630653651126294200

643853557428690

121

352402S74311308367

1068409667853944768

459194195517182246

235749971312

13291

1974-77

4165835460605:148

1405978376180

42

533213539i17813117

31064219038059102

450472541219398:237,’

502342680623311

117

3085222112

9937747

913298242345174389

399053632615572022

212829218194

11870

1969-73

1974 1969-77 -73

1969 1974-73 -77

1959 1974-73 -77

5.24.49.66.8

17400 ‘183.0142.0

NA

1.69=0173.0132.0

NA

17.515s628.413.5

16100188.065.0

N4,

ALA 01 1ALA 01 2ALA 01 3ALA 01 4

ALA 02 1ALA 02 2ALA 02 3ALA 02 4

ALA 03 1ALA 03 2ALA 03 3ALA 03 4

ALA 04 1ALA,04 2ALA 04 3ALA 04 4

ALA 05 1ALA C5 2ALA 05 3ALA 05 4

ALA 06 1ALA 06 2ALA 06 3ALA 06 4

ALK Cl 1ALK 01 2ALK 01 3ALK 01 4

ARI 01 1ARI 01 2ARI 01 3ARI 01 4

ARI 02 1ARI 02 2ARI 02 3ARI 02 4

ARI C3 1ARI.03 2ARI 03 3ARI C3 4

21.219s829-6

15.1 12=314e8 110217.0 18.8

6.8

136=0 16000177=0 169=014.0- 108.0

NA NA

197.085.0

148=0NA

197.029.0

15100N&

25-7160937-6

17.112.$23=1

17.5 12.713.5 10.222.9 16.0

194.0 169.0112.0 1060010400 55.0

NA NA

4.32.27.1

112.02.0

57.0NA

169.0141.058.0

NA

16.3 120414.3 10.920=4 15-4

8.3 8.5

149.011800

70.0NA

210818=429=38.3

160914.621.6

8.5

171.0 163.0152.0 157.062.0 44.0

NA NA

4.53.76.2

-

125.5136002800

NA

21.317..631.5

.

194.0181.0156.0

NA

16s7 15-214.4 1301,24.1 20-8

182=0 199-0163-0 197.0124.0 136.0

MA NA

6~24.5

10.8

195.0179.0156=0

NA

193.0177.01$9.0

NA

24=619.440.6

21-514.530.812-7

199.091.0

155.0NA

17.213.123.05.0

17.413.722.08.3

13.012.620.413.1

110811.521.77.3

12.412.515.17.6

12-913.812.812.3

140811:119.71207

191.0 197.090.0 164-0

109.0 123=0MA NA

6.73.411.1

199.097.0

154.0NA

198.065.0

151.0NA

26=417.139.315.0

24.117*532.324.8

19.%13.726.3

191.0108.5101.0

NA

13009.1

17-6

193s0 176.0122.0 41.0

93.0 82.0NA NA

1880069.0

112.0MA

199.0185.0125-0

NA

19.517.827.423.5

150913.328.221.6

117.0121.0

37.055.0

9.78.4

2*.211*5

55.0 44.069.0 160060.0 NA59.0 6303

6.25.04.0

10.1

18000190.0

230052.0

194.0195*5

NA54.0

16.815.930.818=2

14=614.223s31404

35.047.083.04B.O

13.311.018.86.6

21.0 70.021.0 93.0

.83-0 107.032.0 42.0

4.44.24.27.7

122.0150.0

88.053.0

114*O150.0

3.05700

17*316.722=724.5

120311.014.122-3

55.072.06.0

56.0

8.29007.1

11.4

34.0 7.066.0 7.0

9.0 1*933.0 62.0

3083.47.18.9

117.0.125.033.062.0

51.U58-052.05200

24.919.528.828=9

19e613.3200624.5

195.0182.0

NA62.0

9.79.1

15.510.0

53.0 45.0132-0 43.3

VA NA54.0 60e0

10.04.25.2

“14.5

202.019790

NA61.0

202.0155.0

NA6890

Infant, neonatal, and poatneonatal mortality rates, corresponding ranks, and ratios of change by race: U.S. health service areas (HSA’S), 1969-73 and 1974-77-Con.

‘--------------INFANT ---------- ‘------------NEONATAL ---------- ------------POSTNEONATAL -------

RATE

1969 197*-73 -77

RANK RATIO

74-77-.—-69-73

0.820.82

NANA

0.78O*751.+3

NA

0.8100800.86

NA

00780.740.80

MA

0.93O*950.92

NA

0.7+O*7+

N41.13

0.8400850.800.65

0.70O*710.700.52

0.800080O*750.95

00740.760.690.76

RATE RANK RATE RANKRATIO

.74-7769-73

0.870.82

NANA

0.760.721.85

NA

0.790.790.81

NA

0.720.67O*77

NA

0.9209910.93

NA

0.660.65

NA10*2

0.750.750.680.71

0.6+0.640.650.87

0.810.780.870.92

0.670.710.550.70

RAIIO

74-17-----69-73

0.710993

MAMA

0.84O*93O*94

NA

3.9709920.94

MA

3.950.980.S6

MA

0.961.110.89

MA

009si)*95

MAO*95

101810)91.160.50

0.890.9+0.820.17

00790.860.581.34

0.960.901*O73.98

HSA R 8rRTis

1969-73

6.05.0

29.410*7

5.25.17.9

-

6.14.2

11.1

4.93.97.8

.

6.53.5

10.8

5*15*O8.45*7

4.24.15.82.6

4*34.18.3393

4.64009.7202

4.33.96.9105

1974-77

L0300158.0

MANA

119.01s2.0

79.0MA

L75.O70.0

146.0NA

139.5123.0

42.0MA

135.012490133.0

MA

LQ9.O190.5

MA51.0

127.0178.0

450013*O

67.012100

47002.0

43*567oO15*O26.0

93*O76.075.014*O

1969-73

94078547

20+656

4571942949

2524246

470113352513460

86

~00692967510262

132

396652289316704

68

3859036358

4741758

7597757705

51673105

3889534987

24101498

101278733151486013103

1232159505522146

6014

1969-73

48*O81.0

NANA

88.0153.0

1.0NA

152.0107.0

62.0NA

141.0124.0

5000NA

145.048.031*O

NA

38.088.0

NA22.0

180020.0

9.020.0

46.073.042.0

8.0

8.06.0

10.015.0

32.019.022*O

9.0

1974-77

54.010800

NAMA

76.0115.0

70.0NA

156.011990

84.0NA

129.059.040 ●o

NA

187.0172.0

8000NA

180042.0

MA39 ●o

32.046.012.01500

9.017*O14.0

2*O

109010.0

9.029.0

17*O8.0

11.010.0

1969 1974 1969-73 -77 -73

11.1 9e6 9.011.8 906 34.5

1974-77

42.067.0

MANA

61.074.07190

NA

139.0136.0

3300NA

112.055.052.0

MA

171.0177.0

38.0MA

2*O4*O

NA20.0

13.014.012.017.0

6009.0

17006.0

12.010.013.029.0

9.06.06.0

11.0

1974-77

1969-73

1974-77

87207890236594

37964352952017652

378282728210424

122

32803230719547185

303091755712687

65

3248930248

3871854

ARI 05 1ARI 05 2ARI 05 3ARI 05 4

ARK 01 1ARK 01 2ARK 01 3ARK 01 +

ARK 02 1ARK 02 2ARK 02 3ARK 02 4

ARK 03 1ARK 03 2ARK 03 3ARK 03 4

ARK 04 1ARK 04 2ARK 04 3ARK 044

CAL 01 1CAL 01 2CAL 01 3CAL 01 4

CAL 02 1CAL 02 2CAL 02 3CAL 02 4

CAL 03 1CAL 03 2CAL 03 3CAL 03 4

CAL 04 1CAL 04 2CAL 04 3CAL 04 4

CAL 05 1CAL 05 2CAL 05 3CAL 05 4

17.0 13.916.8 13.829.4 8.515.2 16.8

18.5 14.518.6 14.117.0 24.3

8.1 12.3

20.9 17.117.5 140029.4 25.223.3 -

20.5 15.917.9 13.228.4 22.6

5.4

2G.6 19.21509 15.227.0 24.8

15.4

16*8 12.517.0 12.629.5 12.9

9.1 10.2

15.4 12.915.1 12.823.6 18.8

9.0 5.8

17.0 12*O16.7 11.927.8 19.4

6.7 3.5

14.9 12.314.4 11.523.7 17.3

8.1 7.7

16.7 12.415.1 11*526.4 18.2

6.8 5.2

4.24.24.25.1

168.0101.0

MAMA

4.2. MA4.6 11.8 MA

65.5114.0

1.0NA

128.0101.026=0

MA

152-0138e066.0

MA

95*O65.012.0

VA

18004300

MA7.0

12009.021*O24*O

46.072.041.05.0

3.05.0+.0

20*0

35.014.042.018.0

139313*69*18*1

10.19-8

16.96.1

4.44.27.46.1

140.0184.048.0

NA

14.813.418e42S=3

11.710061408

-

5.4394

10.5

173.0126s0130.0

NA

15s6149020●6

.

11*29.4

15.9504

112-580.538.0

NA

14.012-51602

12-911.315.1

6*33.89-615.4

1810034.5

12300NA

110712.02101394

7.77-8

10034.9

4.84082.65.4

130.5182.0

NA41.0

11.3110017.86.4

8.48.3

12.14.5

4*54*56Q7103

5800114.011.020.0

630585493750443077

314952754922151731

673754*3661171711292

89368647371947s6156

12.7120619053.3

3s83-86*8006

69.0104.0580028s0

10.310●414.05.9

804801

12.25.4

3.63.45062.3

880093.0

100.01600

12*411.219*55.3

8.3800

13.83*7

4023957.4105

72.087-021001090

Infant, neonatal, and postneonetal mortality rates, corresponding ranks, end ratios of change by race: U.S. health service arees (HSA’S), 1969-73 and 1974-77-Con.

‘--------------INFANT ---------- ------ .------ NE ONATAL ---------- ------------POSTNEONA TAB-------

HSA R RANK RATIO

~~~69-73

0.7+O*750-760.19

0-810.830.580.71

0.770.770.86O*4O

0.820.830.820.88

00710.701.071021

0-800.76Oe8S0.68

0.753,760.621.00

0.780.800.370.89

0s720.710.820.63

0.759.740.840.97

RATE

1969 1974-73 -77

RATE RANK RAIIO

g:;:-

0.920,920.960068

0.960.890-760-46

0.920.9609730.02

0.860.9100640-58

O*35O*931.102.73

0s92O*930.910061

1.0010J60s670.50

1.901.030.34O*98

0.760.750.94O*74

0.91O*9O0.901032

,TE RANK RATIO

EIl69-73

O*660.680.630008

0.790.8100510-92

0..720.710.920.39

00810.8000950.97

00640.6310060.91

0.75097300820.71

0.660.6600601.50

00720.730.390.87

O*7O0-6900810.59

0069006800810078

BIRTi S

1969-73

26.052oO23.021.0

4.05.0

13*O13*O

21.049.030.019.0

66.096.0”60001600

20.057.0

3.03.0

51*O41.0260031.0

69.098.047.011-0

10*O27.035.0

6-0

44.0680019.033.0

47.077.0

8.029-0

1974-77

11.020.019.0

1.0

2001600

4.012.0

15.030.051 ●O

5.0

83.01,37.0

67.027.0

1.04.0

22009.0

47.029.041.026.0

39.060.0

80023.0

60025.0

1.011.0

120013*O29s022*O

26.034.017.039.0

1959-73

15*O22*O10003000

2.0390

27.012.0

.24.042.029.017.0

+1.062.0160025.0

30.060.0

2.09.0

360023.030.031.0

59.083.035.5

8.0

19.033.054.015.0

25.037*O17.034.5

3B0059*O150026.0

1969-73

4.84.5

10.81.7

4.1*.16.1S*7

4.24.08.33.7

5.14.8

11071.9

3.83.86.80.7

4.74018.13.3

4.74.59.03.5

3.43047.1O*9

4.94.88.63.2

4.54.46.03.5

1969-73

5502850368

28661774

8953982239

29744326

4215238707

15581887

96B1288308

58862618

5486151840

16101411

588419477698

8522125500

10006491781

63041979

122858118156

15403162

123013139049

79426022

131000122863

61391998

1974-77

4663042481

24201729

6902860664

36784686

3734133589

18061946

8467077291

46882691

4446041313

15961551

$53835361052

6310223681

8227674372

56412263

10201495655

20554304

10527790070

789-17316

10650498975

53592170

1974-77

1969-73

1974-77

1969-73

1974-77

1974-77

1.03*O5.01.0

5*O1300

4*O12*O

160019.074*O

3.0

65oO86.065=539.0

3*O2.0

21.09.0

32.0180041*O25.0

17.022.0

80028s0

14.024.0

2*O1500

11.0120028.01600

1800200027.024.0

CAL 06 1CAL 06 2CAL 06 3CAL 06 4

CAL 07 1CAL 07 2CAL 07 3CAL 07 4

CAL 08 1CAL 08.2CAL 08 3CAL 08 4

CAL 09 1CAL 09 2CAL 09 3CAL 09 4

CAL 10 1CAL 10 2CAL 10 3CAL 10 4

CAL 11 1CAL 11 2CAL 11 3CAL 11 4

CAL 12 1CAL 12 2CAL 12 3CAL 12 4

CAL 13 1CAL 13 2CAL 13 3CAL 13 4

CAL 14 1CAL 14 2CAL 14 3CAL 14 4

COL 01 1COL 01 2COL 01 3COL 01 4

16.4160026.5

9.0

12.312*’I20.2

1.7

11.6 7.611.5 7.815.7 9.9

7.3 0.6

10.1 8.010.2 8.218.5 9.5

4.2 3.8

11.9 8.511*9 8.518.6 17.2

5.3 2* I

12.6 10.212.5 9.917.5 16.”6

6.5 6.3

12.2 7.812.4 7.812.4 13-2

3.5 3.2

12.4 9.31106 8-418.6 15.3

7.3 5-2

13.0 8.612.8 8e 519.2 11.5

3.5 5.3

11.7 8.411.8 8.620.1 7-8

5.1 $.4

12.0 8-41108 8.217.5 1402

7.6 4.5

12.5 8,712.4 80517.4 1+.2

6.5 501

4.44.2

10.31.2

3.63.64.61.7

3.93.96.11.5

4.44.37.51.1

3.63.67.51.9

4.33.97.42.0

4.74*76*O1.8

3.43.52.40.9

3e83.67.22.3

4.14.05*44.6

10500157.012600

12*O

57.0111.0

13.034.0

61.0101.0

600035.0

132.0171.0133.0

15*O

29*O6s.020.0

2*O

94.0122*O

5,1.02600

100.0152.0

83.031.0

90030.026.0

7.0

120.017200

69s025.0

84.0147.0

12.030.0

1180015100145.0

12.0

3900102*O

8-01800

72-0132=0

27.01500

116*5168.0

81.011.0

*70087.084e022.0

10600128.0

76.024-0

1+505188.0

24*O20.0

25-079.0

1.0IO*O

550089.072.527.0

84.01?1.0

14.0!3.0

14.314.324-5

7.9

11.611.91401

5.5

16.116.027*O

9.0

12.412.323.3

3.6

17.717.229.2

8.4

14.614.324.1

7.4

16.016.219.3

4.3

11.411.320-7

5.2

17.115.726.710.6

13.612.322.6

7.2

17.017.328.2

7.1

13.313.217.5

7.1

15.115.227.3

6.0

11.812.210.2

5.3

16.916.626.113.8

12.111.721.4

6.8

17.016.B23.510.0

12.712.419.6

9.7

Infant, neonatal, and poatnaonatal mortality rates, corresponding ranks, and ratios of change by raoa: U.S. haalth service areas ( HSA’S), 1969-73 and 1974-77-Con.

‘--------------INFANT ---------- ‘------------NCON&T&L ---------- ------------POSTNEONATAL -------

HSA R RA’

1969-73

210621s429.613.8

20.519,929.040.1

17*115*328.$9.9

16.9

RANK

1969 1974-73 -77

RATIO

~~-~~69-73

00730.740.72

N&

O*7O0973

NANA

O*830.780.96

NA

0.890.880.90

NA

0s830.811.18

NA

0.880.860.87

UA

10461-48

N&NA

0.7700840.65

NA

0.960.731.00

NA

00800.74O*9O

Nh

RATE

1969 1974-73 -77

E

1974-77

RhNK

1969 1974-73 -77

RATIO

“~:~169-73

0w6400640977

NA

0.640065

NANA

O*890=841-06

NA

0.880066O*95

NA

0.7909790086

NA

0.89O*8*O*97

NA

10581.62

NANA

00730.780.62

NA

0.990.731.03

NA

0.76O*710084

MA

RATE RANK

1969 1974-73 -77

RAIIO

:;::;.

10011.050.62

MA

9.951.06

MAHA

O*62O*6O0.67

MA

0.910.980975

NA

0.980.913.92

MA

0.B700940.6+

VA

1.121.37

HANA

0.9310080.72

NA

0.B80.770.89

M&

0.320.821.30

WA

BIRTYS

1969-73

5*55*3

10.54.1

4.43.9

19*1

4.03.57.12.5

3.62.97*7+*1

3.94*O2.1

3.72.910.8

-

2.93*O

4.13.08.8

6.73.77.21.2

5.84.3

10.5

1974-77

5.55.66.51*9

4.24.1

30032.7

2.52.14.8

3.22.85.6

3.83.78.3

-

3.22.76.92*2

3.33.2

22*2

3.93.26.3

5.92.86042.3

5.33.5

10.5009

1974-77

+190 o3902218331045

1$92114515

33373

360853J43fl5218433

35762302965200266

23953224221210321

42736372235048465

63966287

6445

33235256177285333

395375719

333a2436

5225937423137521084

1969,-73

51187484691995723

1617515601

50524

54306464467+55405

54741+67167541484

35371335231424*24

68396610576B73466

9876971811246

47561373839750428

670019037

57116848

585155036+17156

995

COL 02 1COL 02 2COL 02 3COL 02 4

COL 03 1COL 03 2COL 03 3COL 03 4

CON 01 1CON 01 2CON 01 3CON 01 4

CON 02 1CON 02 2CON 02 3CON 02 4

CON 03 1CON 03 2CON 03 3CON 03 4

CON 04 1CON 04 2CON 04 3CON 04 4

CON 05 1CON 05 2CON 05 3CON 05 4

DEL 01 1OEL 01 2DEL 01 3OEL 01 4

0C0210C0220C023DC024

FLA 01 1FLA 01 2FLA 01 3FLA 01 4

15.815.821.36.7

166.0 125.0198.0 186.064.0 28.0‘ NA 21.0

143.0 71.0189.0 1+9.0

NA NANA NA

52.0 60.032.0 22.053.0 115*O

NA NA

41.0 102.01400 58.063.0 103.0

NA NA

49.0 64.089.0 110.04.0 65.0

NA NA

34.0 94.016.0 49.0

122.5 135.0NA NA

1.0 155.01.0 196.0

NA NANA NA

93.0 73.015.0 38.0

118.0 32.0NA MA

202.0 202.0199.0 193.061.0 134.0

NA NA

167.0 164.0152.0 103.084.0 118.0

NA 19.0

16.1 10.316.1 10*319.0 1*O79.7 4.8

16.1 130316.0 109420.0 -21.0 $.4

13*1 11.711.8 9.921.3 22.67.4 2.3

13.3 11081290 LD*321.9 20.86.2 3.8

13*1 13.413.0 100218.3 15074.7 -

1391 11.612*O 10.123.0 22.44.3 10.8

8.7 13.88.6 14.01709 -

-

14.5 10.611.9 9.32,4●5 15.211*7 9.0

21.5 21*219*O 13.822.0 22.710.6 4.6

15*9 12.114.4 10.320●8 17.59.0 5.5

167.0 71.0197*O 110.533.0 32.0

NA 19.0

166.0 67.3195.0 122.0

NA NANA NA

6100 136.03600 85=06100 14700

NA NA

68.0 1420046-0 113009000 135*O

NA NA

62.0 73.085.0 108.025.0 48.0

NA NA

6000 133.0+800 101oO

107.0 146.0NA NA

100 189.01.0 20100

N4 NANA NA

117.0 86.041.0 50.0

131*O 40.0MA NA

202.0 202.020200 199.0

9400 1+800NA NA

16100 15300158=0 11200

72oO 80.0MA 30.0

147.0 180.5192.0 291.0116.0 35*S

NA 2100

76.0 94.089oO 152.0

NA NANA NA

49.0 10042.0 1.025.0 too

NA NA

11.0 16.02*O 20.0

36.0 20.0NA NA

38.0 66.099.0 103*O100 107.0

MA NA

21.0 14.03.0 10.0

12200 55.0NA NA

1.0 20.06.0 35.0

NA NANA NA

56.0 69.06.0 38.0

78.0 3000NA NA

167.0 1B7.O+8.0 17.030.0 33.0

NA NA

16100 173.0138.0 7700115.0 147.0

HA 9.0

14.414.530038.0

14.112.027.42<3

15.014.929.61003

13.126.5

3.8

17.017.020.44.7

1+.213.324.0

16.714.933.6

4.3

14.812.829.312.9

11.611.61709

17.317.2

22.2

18.614.933.31107

14.+12.521.69.0

28.122.729.311.a

27.116.629.16.3

21.718.631939.0

17**13.828.16.5

Infant, neonatal, and postrseonatal mortality rates, corresponding ranka, and ratios Of change by race: U.S. health =rvica areas (HSA’S), 1969-73 and 1974-77-Con.

--------------INFANT------A--- ------------ -MEoN~TAL- ---.----- ------------ POSTNEON&TAL -------

RATE RANKRATE RANK RATIO

74-7769-73

0.79008+O*73

NA

O*74O*660.87

NA

0.79O*740.90

NA

0.680.700.61

MA

O*79o,* 730.92

NA

0.770.770.78

MA

0.740.690.81

NA

0.800.780.81

NA

0.740.730.84

NA

0.830.730.92

NA

RATIOHSA R RATE RANK

1969 1974-73 -77

RATIO

~~69-73

0.840.900.78

NA

0.790.720.91

WA

00800.760.90

MA

0.750.770.69

NA

0.830.770.96

NA

0.760.720.80

NA

0.770.740.82

NA

0.830.790.83

NA

O*790.80O*74

NA

0.850.790.88

NA

BIRTHS

1969-73

6.04.1

10.7

5.24.27.8

5.64.79*5

4.63.59.03.0

5.84.89.5

6.74.5

11.6

4.72.9

10.1

4.43.17.81.6

5.64.8

12.3

5.13.78.7

1969-73

1974-77

31724226688881175

550143923615101

677

667305305113142

537

43845337319666448

40820318518707262

31402214069817179

36548267969500252

733174998022561

776

31904293243511

69

1233348644443892

998

1974-77

1969-73

1974-77

1969 1974-73 “ -77

1969 1974-73 -77

1969 1974-73 -77

74-77.--—69-73

FLA 02 1FLA 02 2FLA 02 3FLA 02 4

139.0 162.039.0 127.0

105.0 89.0NA NA

156.0 148.0147.0 65oO

49.0 95.0NA NA

138.0 147.0120.0 88.0

82.0 11900NA NA

102.5 62.044.0 24.088.0 35.0

NA NA

178.0 180.0176.0 161.0116.0 148.0

NA NA

186.0 172.0132.0 55.0141.0 129.0

NA NA

142.0 127.054*5 19.0

115.0 109.0NA NA

78.0 98.010.0 9.041.0 44.0

NA NA

136.0 136.0183.0 183.0

20.0 13.0NA NA

105.0’ 137.029.0 21.048.0 83.0

NA NA

“14●511●62107

11049*7

15.85*7

114.0 125-027s0 73.084.0 49.0

MA N&

5.84.39.7507

169.0107.0121.0

N&

166.0169.0135.0

NA

0=981.060.90

WA

380372696410913

160

20-415.732-4

17.214.125.$11.+

11*79*5

17.84.4

162.0 141.015490 60.0

65.0 87.0MA NA

4.93.78.0

136.0133.0

43.0NA

154.5111*O130.0

NA

9.940.891.12

MA

718955161519668

612

FLA 03 1FLA 03 2FLA 03 3FLA 03 4

21*118.528.3

3.3

16.513*325.8

4.$

15.914.320.5

3.3

FLA 04 1FLA 04 2FLA 04 3FLA 04 4

11*79.7

19.611.2

129.0 140.093.0 72.086*O 121.0

MA NA

4.73*98.4

150.01620096.0

NA

1$7.0129s0112.5

NA

0.950.830.89

VA

857606835917009

392

20.417.831.2

5.1

16.413.628*111.2

14.813.221.8

5.1

14.312.322.6

3 ●o

9.78.7

13.82*2

107.0 47.056.0 25.0

10190 25*ONA N&

4.43.58.0

-

91.040.084.0”

NA

122.074.097.0

NA

0,360.990.88

MA

598844750812047

329

FLA 05 1FLA 05 2FLA 05 3FLA 05 4

18.9150831-6601

14.112.121.72.2

F LAFLAF LAFLA

06 106 206 3“06 4

16.514 ●S23.718.2

13.013.521y915.3

178.0 174.016800. 134.0117.0 144*O

MA NA

5.54.3

10*1

163.0170 ●O

99.0NA

180.5171*O143.0

NA

0-960931.1.06

NA

486843779210618

274

22-319.333.21802

18.514.832.015.3

17.813.928.6

16.8130524.3

6.8

13.010041B08

186.0 172.0113.0 11900125.0 10900

MA NA

4.82-69.8

186*O151.0131.0

NA

153.0600

139.0NA

O*730.590084

NA

392962694912200

147

FLAF iAFLAFLA

07 107 207 307 4

23-51s.035.96.8

20-516=233=210.3

15.912*O27.17.9

15.813.323.110.3

11069.2

lB.74.0

155*O 134.098.0 46.0

110.0 10300MA NA

4.22.88-34.0

101.05.0

10800NA

102.01800

11O*ONA

0.890.960.92

NA

457863379911695

292

FLAFLAFLAFLA

08 108 208 308 4

139711.419.8

8.0

11008.9

16.0

84oO 107.019*O 34.047.0 56.0

NA NA

3.92.67.0

78.013.539.0

MA

79.07.0

58=0NA

0.89O*940.89

MA

989897143226932

625

F LAFLAFLAFLA

09 109 209 309 4

180114.527-69.6

14.911*523.0

160015.619.414.5

14.614.713.9

8.9

100910.811*7

123.0 98.5173.0 152.0

3* o 1090NA NA

5.24.87.7

14*5

15100174.0137.0

NA

170.0194*O87oO

NA

3*921.310.63

NA

44277391964969112

GAGAGAGA

02 102 202 302 4

20.219.526.2

8.9

03 103 203 303 4

19.015.228.3

1.5

160112.025.04.0

13.9110619.5

1.5

11.5B.5

18012.0

88.0 128.025.0 21*O43.0 90.0

MA NA

4.63*56*92.0

133.049.574*O

NA

136.090.057*O

NA

0.900096O*79

NA

190817127752

52381684

GAGA6AGA

infant, neonatal, andpoWneonatal mortality rates, corresponding ranks, and ratiosof change byraca: US. health sarvimareas (HSA's), 1969-73and l9?4-77-Con.

‘--------------INFANT ---------- --..--------posTNEoN~ TAL----.--‘------------NEONATA L----------

RATIO

14-71.--—69-73

0.750.913.70

MA

3030193*3.79

NA

1.311.241.590.32

0.920.95

NA3.0?

0.970.910.69

NA

3.310999O*9*

YA

008329011.10

NA

0.810.780.93

NA

1.041.133.57

MA

3.970.340.971029

HSA R

GA 06 1GA 06 2GA 06 36A 06 4

6A 07 1GA 07 2GA 07 3GA 07 4

HAU 03 1HAU 03 2HAU 03 314AU 03 4

IDA 01 1IDA 01 2IDA 01 3IDA 01 4

ILL 01 1ILL 01 2ILL 01 3ILL 01 4

ILL 02 1ILL 02 2ILL 02 3ILL 02 +

ILL 03 1ILL 03 2ILL 03 3ILL 03 4

ILL 04 1ILL 04 2ILL 04 3ILL 04 4

ILL 05 1ILL 05 2ILL 05 3ILL 05 4

ILL 07 1ILL 07 2ILL 07 3ILL 07 +

RATE

1969 1974-73 -77

RANK

1969 1974-73 -77

RATIO

74-77——.69-73

0.81O*890974

NA

00740.800967

NA

0.750.750.800.75

0s760.77

NA0.50

0.78O*790.70

NA

0.730.720.87

NA

00760.741*O4

NA

0.750-720095

NA

0.880.910.60

NA

0s870-830.891.03

RATE RANK

1969 197+ 1959 1974-73 -77 -73 -77

RATIO

74-77— ---69-73

0.850.920.78

Nh

O*680.740060

NA

0.68006+0.650071

0e690.70

NA0053

09750.750.70

NA

0.69O*670.83

NA

0.740.721.02

NA

0073O*7O0.95

NA

0.840.860061

NA

0s830Q800.86O*95

RATE RANK MS81R’

1969-73

1969-73

9.64.01601

6*73.91108

-.

3.53-22-73.6

+97to6

12=9

4.74.3

11.7

4.34*O10.0

4.14.07-2

5.04*88.6

3-83.3

13.6

5*73.8

10.11.9

1974-77

1969-73

1974-77

200.043*O

152.5NA

190.01$6.0126.0

NA

32.5135.0

$.03500

115.0170.0

NA55.0

91*O127.0191.0

NA

75.090.0

127*ONA

280044.096 ●,O

NA

B80011s.0

95.0NA

7+.0110.0

91.0NA

184.097.0

140.029.0

1974-77

23.1 18.615*3 13.732.2 23.9

5.4 -

23.5 17.418.9 15-232.2 2106

3.8 -

1608 120617.1 12-817.1 13Q616*7 12D5

17*3 13.1

8400 1840033.0 97.097.0 62.0

NA NA

87.0 166.062-0 173.098.0 33.0

NA NA

39.0 24.092.0 47.0

2.0 2*O45.0 46.0

58.0 37.0

13.511 ●41600

5.4

11.4 78e01004 18001295 11*O

NA

12600124e0

1600NA

200.095.0

15390NA

536112860624819

186

522913353818493

260

7867822817

111254749

7116769392

2221553

5006046575

3244241

5499251757

3004231

4192140221

1523177

6106656284

4326+56

4258740428

1980179

522224352679160038

9507

334012301919242

140

16*915.020.4

3 ●8

1105 187-011.1 179.012-3 61.0

NA

12700166.015*O

NA

6-04.09.3

185-082-0

13400NA

395892313314465

391

13.314.014●413.1

9.1 71.08=9 137009.3 6009.2 58-0

26e035*O3*O

56s0

3.53094*33,03

10.015.02.0

33*O

64510171901396

45924

1206120522051595

8.8 42-08.8 67-08.8 NA8.2 63-0

22*O28.0

NA49.0

4.44.34.4600

99.015990

NA56-0

6808266519

2281335

17*122.528.3

13*L13.214=2

90.0NA

60s0

18.917.835.1

1+.714.024-5

.

99.0123-0136.0

NA

9000123-076-0

NA

140213-623e4

1006 1000O1002 117.016-5 113-0

VA

8400103.061s0

NA

4.13*9800

98-0137*O13200

NA

3398431401236?216

19.919.233.0

12500171.0111.0

NA

82-0104.0126-0

NA

15.615 ●223.0

10.7 151.01002 185-01901 10600

NA

92*O105.0117.0

NA

3.93.69.4

68*O94.0

106-0NA

+2569397762559234

18*818-332.8

140313*534.010.6

96.0139.0108.0

NA

70.082.0

155.0NA

14.614.325-6

1309 124=010*2 151.026.0 145001006 NA

97.0107.0155.0

NA

3.43.38.0

5500100.0

28oONA

33113315421383188

20.219.628.415.4

.15*114.126-95*O

133.0184.052.0

NA

10300126.010600

NA

15.114 ●7190915 ●4

11.0 138-010.3 174*O19.0 48=0205 MA

10490116.0113.0

NA

4.13-88.0205

126-0176.067-0

NA

45658423603899399

17=8160938.4

15.715.*22e89.5

70.082.0

152.0NA

118.0176.042.0

NA

14*O13062*o7

1108 94.01106 1160015*O 134.09.5 NA

143.018400

35*ONA

3*93*77s8

2*.O2400

149*ONA

33595317221663210

22.417.334.58*O

19.514.530.78.2

179.0100.5131*O1*.O

190.0143.0145.033.0

160713*524.+6●1

1309 183s010.9 110.020-9 127.05.8 2100

190.0153.0137*O

36.0

155.066*O

11O*O14.0

364737243153lt5586

8998

Infant, neonatal, and poatrreonatal mortality rates, mrresponding ranks, and ratios of change by race: U.S. health service araas (HSA’S), 1969-73 and 1974-77-Con.

‘--------------INFANT ---------- -------------NE~NATAL ----------

RA~E RANK ...-RATIO

‘-----------POSTNEONA TAB-------

RATIO

7+-7769-73

0.8000800.85

NA

0.81O*77O*9O

NA

0.8100810.77

NA

0.750.740078

NA

0.79oO.z80.97

NA

0.860.86

NANA

0.8900890.781.01

0.730.730.74

NA

0s8200820-83

NA

00800.791.00

NA

RATE RANK RA11O

74-7769-73

00940.921.JO

VA

O*960sB80e78

VA

0.920.965.75

NA

0.981*O13.83

VA

O*990.971s38

MA

0.730.73

NAMA

1*33100600641.22

1.0009991018

MA

0.940.950.91

MA

0.01O.BO0937

NA

BIRTHSHSA R

ILL 08 1ILL 08 2ILL 08 3ILL 08 4

ILL 09 1ILL 09 2ILL 09 3ILL 09 4

IND 01 1IND 01 2IND 01 3IND 01 4

IND 02 1XND 02 2IND 02 3IND 02 4

IND 03 1IND 03 2IND 03 3IND 03 4

KAN 01 1KAN 01 2KAN 01 3KAN 01 4

KAN 02 1KAN 02 2KAN 02 3KAN 02 4

KAN 03 1KAN 03 2KAN 03 3KAN 03 4

KY 01 1KY 01 2KY 01 3KY 01 +

KY 02 1KY 02 2KY 02 3KY .024

RATE RA NK

1969-73

65451606374106708

366273216142S8208

17116014881821743

599

19751016676119938

811

.101593985832699311

2996329325

457181

472424335028291063

61123560384459626

14680812666019495

653

118252112671

5353228

1969-73

4.34.16.81.4

4.53-8

10.1

4.84.29.41.7

4.54.18003*7

3.93*95.2

3.93.96.6

3.63.2

10064.7

3.83.75.+106

4.64.17.9

5.85.86.9

1974-77

5065146232

3800619

3387426794

3807273

127624109235

17779610

129445113724

14961760

7452971942

2236351

2604825482

364202

3608032340

25171223

4896344613

3466884

1105949510414676

814

94594‘90171

4155268

1974 1969-77 -73

1974-77

1969 1974-73 -77

1969-73

1974-77

1969-73

1974-77

19s9-73

197+-77

~

0.790.790080

UA

00790.740.95

HA

O*7700760=78

NA

00680.660877

NA

007400730.87

MA

0.900.90

MANA

0.850-8500880087

00660.670065

NA

0.78O*780.79

NA

O*790.791.01

NA

17. B17.227.512.7

14*313.723.4

1.6

71.095.038.0

NA

68*O98s053.0

NA

10.710*31606106

79.0896071.0

MA

13.513.120●711.3

91.0117.0

63.0NA

3.63.46.8

6700120.019*O

MA

41.059.0#9.o

NA

210019.235.5

160914.732s018.3

153.0172.013800

NA

154.015700149.0

NA

13.111.424s210.3

177.0189s0142-0

MA

177.0179*O152e0

NA

16.515.525=4

3.93.37.9.

059061-0

109.0NA

71*O48.092.0

NA

20.218.333.5303

16-314.825.8

9s8

1340014000120.0

NA

110810.718-78-2

144.014600122.0

NA

141.0158.0

93.0NA

15.414.124.1

1.7

147.0149.0102.0

NA

4*54.07.1106

111.0129=094.0

NA

124.0147.564s0

NA

18.917.02806

8.6

14.213-222.5

1.3

104.0122.0

57.0NA

66.064.038.0

NA

9-89.1

1598

11100127.068.0

NA

14.413.820.74.9

53.040.051.0

NA

4.44.16.61.3

86.0108005000

NA

120.015100

3800NA

17.817.626-7

6.4

14.1130825.9

2.8

72.0112.0

25.0NA

59.01060096e0

NA

13.913.721.5

6 ●4

10.310.01908

93.012600

82.0NA

69.097.0

104.0NA

3.93.87.22.8

370080056.0

NA

6900112.069*O

NA

17.517.335.0

15.014.830e24.9

62.099.0

NANA

99.5159.0

NAWA

13.513.428●4

12.112.024.74.9

80e010400

MANA

J55.O190.0

NANA

2.82.85*5

39.085.0

NANA

4.01990

NANA

I

15.414.925.111.3

13.113.319.511.*

16-013.014.035.0

49.569.015.042.0

11 ●711.714.56.6

13.010.01207

5.7

20.028.0

7.0270 O

56.088.518.035.0

3.73.36.85.7

18001600

1180039.0

*9.555*O46.053.0

29.319.334.5

6.4

14-814.125.4

4.5

137.0178.0132.0

NA

93.0128.0

86.0NA

160515.729024.8

11.010.519*O2.3

179.0192.5156.0

MA

10600135.0114.0

NA

3.83.66-32=3

250051008-0

NA

58s09600320O

NA

18.216.927.2

1*5

15.013.922.6

307

810084.034.0

NA

101.0112.0

39.0NA

13.612.819*3105

10.710.015.32.5

82.081.039.0

MA

89.595.042.0

NA

4.33*97.21.2

90.0113*O

47.0NA

111.0137.072.5

NA

20.120.120.9

4.4

160115.920.97.5

131.0190.0

5.0NA

140.01880024.0

NA

14.314*414*O4.4

11.411.31402

3.7

105.0157.0

5.0MA

12105175.029.0

NA

4.74.66073.7

165s019900

22.0NA

144.0184-0$4.0

NA

Infant, neonatal, and poatnaonatal mortality rates, corresponding ranks, and ratios of change by race: Us. health Wrvica areas (HSA’S), 1969.73 and 1974-77-Con.

‘--------------INFANT ---------- ------------ -NEONATAL----- --.-- ----------- .fJosTNEoN~T ~L---..--

RATE RANK RATE RANU RATE RANKRATIO

g-+-

0.790.710.85

NA

00800.750.85

NA

0.800.770.82

NA

O*660066

NANA

O*730.74

NANA

00940.960.68

NA

0.930.9200801.76

0.923.9300900.59

O*750.810066

NA

0.770.760.82

NA

RATIO

fi~~~69-73

00790066O*9O

NA

00810.760.87

NA

O*770.700.83

NA

0.620.62

NANA

0.69O*68

NANA

009500990s62

NA

009+009100861.51

0.97O*950.980.59

097500810.66

NA

00730.720.81

NA

RATIO

~~:~69-73

0.9109910.72

4A

097709?1O.el

NA

0.8919350980

NA

O*773077

MANA

3*B70999

NANA

0.9220950.90

*A

0.880.943.66

.

O*7900950.720.56

09750.8+0.65

MA

9*B90.89O*9*

VA

HSA R BIRT+S

1969-73

1974-71

1969-73

1969-73

1974 1969-77 -73

1969-73

1284077839649271

740

127721831964421*

311

13100659107$1649

250

8472183471

398852

22698.21732

87294

3712733332

2914881

76758594881604Q

1226

159117108396

486892032

196351*225

5284126

5849454816

3246432

1974-77

1331675769941343

1125

1003356468535210

440

7B0214518532467

369

6155863729

230599

1569814954

628116

2654822451

30311066

490223163915162

1221

1131677318035181

1806

1439810523

379382

3173535151

2281303

1974-77

175.084.074.024.0

171.066.5

100 ●oNA

188.0139.0

99.0NA

16.036-5

NANA

48.080.0

NANA

28.026.0

7*O45.0

138.093.036.01300

158*O113.5

69.025.0

135.096.037*O

NA

33.0399030.0

NA

1974-77

.

187.399.0

100.038.0

18100133.0

98,0NA

184.011800

9100NA

21.032.0

NANA

68*O96.0

NANA

54.065oO20.04600

16100127.5

69oO21.0

173.0142.0

94.031.0

124.090.046.0

NA

40.047.050.0

NA

1969-73

5.3’3.77.92.7

5.83*99.3

6.33.89.98.0

4*74.82.5407

3*93.5

1409.

3*1390s. 12.3

4.33.+7.9

5.23898023.0

6.14*4

10.67.9

3*93.76084.6

1974-77

1969-73

1974-77

139006 2.=O1600

800

123.015.085.0

NA

105.0lko.o

98.0NA

$8.013500

NANA

24.06400

NANA

5.0400700

*590

56.037.013*O

5.0

92.052.0220017.0

1350013990

53.0NA

29.050.017*O

NA

,) LA 01 1LA 01 2LA 01 3LA 01 4

LA 02 1LA 02 2LA 02 3LA 02 4

LA 03 1LA 03 2LA 03 3LA 03 4

!, ME 01 1ME 01 2qE 01 3qE 01 4

Ho 01 1?lD 01 2flo ,01 3Ho 01 4

.,,P

02 1D022

:,Ml) 02 q‘?lDJ24

“~MO 03 1MD 03 2Ho 03 3Ho 03 4

Ho 04 1Ho 04 2?tO 04 3Ho 04 4

Ho 05 1MD 05 2no 05 3Ho 05 4

ttAS 01 1MAS 01 2HAS 01 3HAS 01 4

22,6180928=514.9

22.117.730-6604

24=018.6319720.0

18.8180917061006

18=7180135.5

17.913.524.4

7.1

170713.326.1

2.3

19.214*326.1

8.1

181.0165.0

54*ONA

17*315.220s712.2

13.6 192.010.1 184.018.7 690 O

6.2 MA

4.33*45.7099

142-058004s.0

NA

176901160077*O

NA

16.413=82193604

13.3 175*O10*5 130001806 79002e3 NA

4.42=87.6

1640088*O92-0

NA

190.0149.091*O

NA

17.714.8210812.0

13.5 197001004 178.01801 87.05.4 NA

5,64.08.02-7,

175906200

104.0NA

120412*58-76-7

13=613.*20-7

97.0163=0

NANA

146114921501

509

8.8 97.0908 147004,3 NA5*o NA

3.73.74031*7

104.0168*O

NAWA

9400134.0

NANA

14.814.720●6

10*3 1330010=0 172.01705 NA

NA

3043*43.2

360034.5

NANA

13.612.725.7

6.8

1T%314i&27.4

3.3

18.615. il26.912.3

21.416*834.1

7.9

16.916.526.2

4.6

12.812.217.51202

160113.72203507

17*113*924027-2

160313.722-412.2

13.312s521053.3

2.02.0

1600NA

10.59.8

20064.5

9.9 5.09.6 2.0

12.9 67-07.5 UA

2.92.54064.7

3.07.05.0

NA

540012.036s01.0

13*O119519*63*3

1203 580 O10.5 20.016.8 44904.9 2.0

3,83,2502008

65-028-044.0

92-017.029oO3900

13.411 ●118.7

9.3

13.0 7+0010.6 11.01802 31.05*5 4200

4.13.35*91*7

141.090●O55.02+.0

162.078.0

127.0NA

150312.423.5

1104 1420010.0 58,015-6 11400

NA

4s63.760912*2

171.0148.0117.0

MA

4300610021*O

NA

13.012.719.4

9.5 57.09-2 7700

1508 40.0MA

3.53*35.73.3

40.060 ●O17*O

NA

infant, neonatal, andpomneonatal motiali~rat=, wrrewOnding ranks, andratioaof change by ram: LJ.S. hea[thwrvica areas (HSA's),1969-73 andl974-77-COn.

---------------INFANT ---------- ------------.N~oNATAL ---------- ------------POSTNEONATAL -------

RATE RANK RATE RANKRATIO

~~~69-73

00740.74

NANA

0.780.770.671.52

0.780.810.650071

0.840.84

NANA

0.8200800-841.10

0.750.730.89

NA

0.810.760.95

NA

O*790.780087

NA

0.860-840088

NA

00810.840.62

NA

RANK RATIO

~$;

0.690070

NANA

O*760.760.621.2*

0-76008000610069

0.840084

NANA

00800.760.831.40

0.730.720080

NA

O*730.720.73

NA

0.710.700s78

NA

0.750.760.70

NA

0.780.830048

NA

RATE RN1[O

74-77-----69-73

0.930.92

MAMA

098+0.03O*943.20

0.B50s85O*770.76

09990.83

MAMA

0.3139940.860.58

!39910.77’1.32

MA

1*O40.B8L*57

MA

1.331.321.12

WA

1.251.111.61

MA

0091J*971913

MA

BIRTtiSHSA R

1969-73

4762446594

718312

1493221+5508

24911323

95416”79519144571440

72509705941424

●91

414653311s01100225

2927

579585+3673160431

6+719567677596356

85164784366283445

55616466978738181

63669589164448305

1969-73

197+-77

1969-73

1974-77

34.05400

NANA

5.014.0500

32.0

72.061.018.03100

30.043.0

NANA

1490076.0

102.034.0

65.075.0

132.0NA

.121.095.0

14100NA

55*O53.097.0

NA

16100166.011400

NA

84.0136.0

16.0NA

1969-73

16.036.0

NANA

5.018007.03.0

32.0199032.029.0

30.077.53.0

NA

1974-77

23oO3400

MANA

3.08005.0

28.0

21.011.0180031.0

13.039*O

NANA

128.0660088.01600

530078.083.0

NA

1660013900156.0

NA

133.0156=0119.0

NA

183.018300138.0

NA

62.075*O7700

NA

1969-73

3.63.5

12.s3.2

3.23025.2008

3.83.27*43*5

3.8309305

+.93.68.92.7

4s64065.7

.

4.94.58.2

4.44.17.89.0

4.4$.2601

.

4-24.06.53.3

1974-77

3*33.2

11.1.

2.72.64.42.4

3*329’75*72.6

3.23.24.1

1969 1974-73 -77

1969 1974-73 -77

974-77

14.2140126 ●5

9.79.89.9

101.0142.0

MA.MA

26.044.038oO13.0

121.088.0

118.034.5

13*O17.045.0

MA

143*O87.0

102*O14*O

106.0121*O149.0?

MA

126.0,111.0119.0

NA

64.068.097.0

NA

150.0131.0139*O

NA

87.084.0

140.0NA

48.37700

NANA

27.042.011*O3400

11O*O130.030.027.0

41.061.0

NANA

158,087.0

105.04300

82.079.0

14000NA

89.571007900

NA

36.029.076.0

NA

137.0123.084.0

NA

HAS 02 1HAS 02 2HAS 02 3HAS 02 4

17=817.539.0

3-2

13.113.021.3

68.010600

NANA

3265931614

809236

9263383123227012+0

5721545256,108261133

5213550717“ 978440

268986197946685062534

40699379462397356

46205398285997380

6498359552$918513

37254335586572.124

46489426023522365

12.112.019.3

4.5

9.1, 9.111.95.6

14AS03 1HAS 03 2HAS 03 3HAS 03 4

15.215.224-5

5.3

11*B11.816.38.1

13.025.012.0

5.0

85.0S8.0810034*O

14.613.023.87.6

110110*514.55*3

HAS 04 1HAS 04 2MAS 04 3HAS 04 4

18.416.231.2li.1

14.413.220.2

7.9

‘ 15.028.0700

NA

11.411.319*72*O

9.69.5

18.4

MAS 05 1HAS 05 2flAS05 3MAS 05 4

1503“15.223-2

2.0

12.012.722.5

135.069.090.012.0

15.3130022.7

4.8

12.213001s086.7

4.5 “3.47.71.6

118.047.081.021●o

HIC 01 1HIC 01 2flIC01 3HIC 01 4

20.216.731.77.5

16.713.426.5

8.3

307 .3.57*52.8

14.313*726.6

4.6

10.59.9

21.3208

89.0160.0

9.0NA

t41C02 1HIC 02 2HIC 02 3HIC 02 4

18.918.232.34.6

14.213.428.85.6

100.0137.0102*O

NA

5.13*9

12.82.6

11800129.0

94.0NA

14.713*523.85.6

10*79.7

17.52.6

112.51530054.0

NA

MIC 03 1HIC 03 2HIC 03 3MIC 03 4

19.6180032.0

5.6

15.813.730.35.3

64.070.069.0

NA

13.212.622.3

9.48.8

17.31.9

4*S4.28.73.9

77.0109.04000

NA

MIC 04 1MIC 04 2HIC 04 3MIC 04 4

17.616.730.19.D

13.913.026.05.8

5.64.69.7,

16.1

81.0124.014.0

NA

20.018.031.2

17.215.127.41601

128.0127.0

83.0NA

15.613.825.2

11*710*417.7

HIC 05 1HIC 05 2MIC 05 3MIC 05 4

3m83.57.4505

59*O96.01500

NA

18.9170031.719.7

77.087.092oO

NA

13.813.025.216.4

13.8100812.22.7

95.0150.014*O

NA

MIC 06 1MIC 06 2MIC 06 3MIC 06 4

14.614.219.s8.2

infant, neonatal, andpomneonatal mortality ratas, corresponding ranks, atiratios ofchange by ram: US. health wrviceareas (HSA's),1969-73 andl974-77-Con.

---------------INFANT ---------- ‘------------NEONATAL ---------- ------------posTNEoN~TAL -------

HSA R RATE

1969 1974-73 -77

RANK RATIO

7+-7769-73

O*680069

NANA

0.84O*66

NANA

00850.83

NAMA

0.7800760.861016

00810.82

MAMA

O*710.71

NANA

0.760.75O*772.31

0.820.840.70

NA

0.840.83

NANA

00760.770.80

NA

RATE RANK RATERATIO

74-77G

0=620062

NANA

0.780080

NANA

00800.79

NANA

00740.730.800.89

0.690070

NANA

0.720-72

NANA

O*7500690.792.38

O*7900800067

NA

O*790.78

NANA

0.73’0-720088

NA

RANK RATIO

~;z~

0.870.90

VAMA

1.371,12

NAMA

1.010.97

MAnfi

O*910.9510001.57

1.341.3#

NANA

0.s60066

HANA

9.780.990.722*12

0.950.980078

~A

00380099

NANA

3.340.910.71

NA

BIRTtlS

1969-73

2166521333

58274

2460424112

241451

3122330829

3$:

159319151837

46922790

3730037159

4893

3018030018

6498

235317121773112274

1270

7451571135

2915465

4065440066

381207

375583385*

3577127

1974-77

1728’117032

15234

1954518762

211572

2604326387

33423

109129102023

42982606

3103830821

21196

2297622773

44159

1763579195183205

1201

6066657622

2504540

3212731616

293218

2996927248

2588133

1969-73

10100160.0

NANA

5 O’* o80.0

NANA

19*O46.0

NANA

36.060.043.047.0

42.075.0

NANA

6100105*O

NAN4

201.017500147.0

1800

8300119.0117*O

NA

82s0135.0

NANA

172.51919015000

NA

1974-77

31.051*O

NANA

69.0151.0

NANA

42.066.5

MANA

36.035.064.063.0

51.5102.0

N4NA

14.032oO

NANA

198.0140.0131*O

61s0

104.016200

49.0NA

110.0170.0

NANA

151.018100143*O

NA

1969-73

1974-77

1969-73

1974-77

20803000

NANA

78.5145.0

NANA

46.070.0

NANA

378049.057.0580D

39.062.0

NANA

499078s0

NANA

196-0155.0115.0

6700

11800173.0

!53.0NA

10800159.0

NANA

144.017500

9300NA

1969-7s

4.84.5

17.221.9

3.63.s

11.1

3.73*7

504

4.03.87.96.8

3.23.1

21.!5

3.83*9

8.33.6

13.52.4

3.93.79.32*2

4*34.2

13.1-

5.94.7

17*3

1974-77

4.24.1

805

3.83.9

3*5

3.73.6

30.311.8

3.63.27*9

10.7

4.3402

15*3

2.52D5

.

6.53.69.75.0

3.73.67.2

4.24026.8406

5.04*3

12.4

1969 1974-73 -77

RIC 07 1flrc 07 2HIC 07 3HIC 07 4

18.9 12.918.6 12.917.2 -25o5 12.8

17.1 14.316.8 14.612.4 4.731*O 8.7

15.8 13.415.9 13.3

30.35.4 21.3

1608 130116.4 12.427.9 24.317.6 20.3

16.9 13.816.7 13.9

86.0 15*3

17.4 12.317.5 12.4

27.9 21*219.3 14*437.5 28.88.7 20.1

18.3 15.117.8 14.33303 23.26.5 -

18.3 15.318.2 150144.6 34.1

18.3

22*O 16.B2fi.3 15.638.0 30.531.5 -

14.114.3

3.6

8.78.8

4*3

98.0153.0

NANA

77.0100.0

NAMA

27.054.0

NANA

48*O740051.046.0

86*O119*O

NANA

81.0120.0

VANA

201*0192.5123.0

2200

1100014300121.0

NA

93.0135*O

NANA

165.0191.0

70.0NA

108*O158.0

NANA

96.015000

NANA

HIC 08 1UIC 06 2HIC 08 3HIC 08 4

130513.412.420.0

11.410074.75.2

15*O3700

NANA

S5.O13400

N4NA

MIN 04 1MIN 04 2fiIN 04 3MIN 04 4

12.112.3

9.79*7

9.5

22.053.0

NANA

51.088.0

NANA

HIN 05 1MIN 05 2HIN 05 3HIN 05 4

120612 ●620 ●o1006

9*59.2

16.19.6

470064.046.045.0

Qz.o+0.093.065*O

MIN 06 1HIN 06 2flIN06 3MIN 06 4

13*713.6

64 ●5

9*59.6

40012.0

NA

104.0159.0

NANA NA

31.0 20074.5 5*O

NA NANA NA

198.0 196.045.0 85.5

147.0 137001700 46.0

41.0 54*O5780 99.591.0 71.0

N4 NA

7000 101*O134.5 163.0

NA NANA NA

167.0 158.0167.0 167.0157.0 15500

NA NA

HIN 07 1HIN 07 2flIN 07 3flIN07 4

13.613.6

9.79.8

MIS 01 1MIS 01 2MIS 01 3HIS 01 4

19.615*724.16.3

14.810.919.015.0

Ho 02 1flo 02 2Ho 02 3Ho 02 4

14.414 ●124,0

4.3

1104110316.0

Mo 04 1Ho 04 2no 04 3MO 04 4

14*O13*931.5

11.110.927.313.8

Ho 05 1no 05 2?40 05 3Ho Q5 4

1601150620.731.5

11.811.318.2

infant, neonatal, andpotinaonatal mo~li~rat&, mrreqonding ranks. andratiosof change by ram: LJ.S. haalthaarvice araas(HSA’s), 1969.73 and 1974-77-Con.

---------------INFANT ---------- --------- ----N~~N~ TAL------ ---- ------------POSTNEONA TAB-------

RATE iNK RATIO

74-7769-73

RATE RANK RATIO

~:~~69-73

0.72O*74

NA0.49

0.720.72

NANA

00710971

NANA

00850.82

NA1.40

O*7O0.670.82

NA

O*7O0.69

NAUA

0.710.720.71

NA

0.760.840.650.58

008100790.85

NA

0.790.750.920.58

RATE RANK RATIO

74-77-----69-73

O*8!0900

NAO*B2

1.14102+

MAWA

1.371010

NAMA

0.971007

NAo*+a

0.92.0.890.98

MA

09640.66

NAMA

O*E20.751001

NA

0.9+1.320.890.36

0.950.871.37

NA

0.890.88O*351053

HSA R BIRTHS

1969-73

5954s53969

2885286

46801#5835

79887

2630125711

354236

1824816786

3181144

27655225104516629

6314962452

360337

903347883210602900

1531S6108612430111533

+87373843998444s4

140470123005162+91216

1974-77

5023945042

24049s7

3954238721

71750

2370821158

283267

1516413B65

2581041

2270818209

3669830

4600445406

277321

5352551863

6722940

1008207924929209

1362

3244525311

6703431

96672831B9121581325

1974-77

137.016400

NA59*O

31.068.0

NANA

43.!3104.0

NANA

174.0200.0

MA38.0

172.0182.011800

NA

6.02290

NANA

15.03.0

130.0NA

113.023.086*O54.0

1529094.0136.0

NA

179013.0$1.03790

1969-73

5*75.310.49.8

3*12.8

1800

3.43*38.5

5.!55.19.49.6

5.75.28.9

4*44*419.+

*.O3.29.4101

4.62.98.616.3

5.14.19*O

3.63*17.82.5

1969 1974-73 -77

1969-73

1974-77

1969 1974-73 -77

1974-77

1969-73

1969 1974-73 -77

MON Cl 1BON 01 2HON 01 3MON 01 4

NEB 01 1NEB 01 2NEB 01 3NEB 01 4

NEB 02 1NEB 02 2NEB 02 3NEB 02 4

NEV 01 1NEV 01 2NEV 01 3NEV 01 4

NEV 02 1NEV 02 2NEV 02 3NEV 02 4

NHO1lNHC12NH 013NII 014

NJOI1NJ 012NJ 013NJ 014

NJ 021NJ 022NJ 023NJ 024

NJ 031NJC32NJ 033NJ 034

NJ 041NJ 042NJ 043NJ 044

157.0191.0

MA51.0

2C .920.424.325.5

15*515.516.715.7

151.0193.0

NA59.0

112*O179.0

NA54.0

0.740,76

N40.62

15.215.113.915.7

10.911*312.5

7.7

10.610.61*.110.7

0.07.9

17.7

139.01B3. O

MA64.0

100.0172.0

NA47.0

4-64.24.28.1

17.817*525.331.6

14.114*314.117.3

73.0108.5

NANA

58.0117.0

NANA

0.79o.8a

NANA

14 .B14.025.313.5

127.0176.0

MANA

85.0139*O

NANA

3.53*4

-6.7

2.01.0

NANA

14.514.522.612.7

11.611.621.2

.

80025.0

NANA

7.08.0

NANA

3.011.0

NANA

O.BO0,80

NANA

11.211.114.112.7

10.012.0

NANA

4.05.0

NANA

3.63073.5

19.619.622.019.2

17.417.323.317*3

120.0186.0

NA49.0

165.0198.0

NA57.0

146.01B7.O

NA50.0

0.899*8B

NA0.90

14.1140512.6

9.6

12.111.819.413.4

10.49.4

1?.42.4

9.39.4

1*.4301

99.016690

NA43.0

152.01B7. O

NA64.0

5.35.53.93.8

20. s19.230.1

3.2

15.614.026.2

4.8

146.0173.070.0

NA

153.0189.079.0

NA

11700120.0101.0

NA

0.760.730.B7

NA

15.014.021.3

3.2

135.0141.0

78.0NA

78.556.078.0

NA

5.24.68.72.4

17.917.927.8

5.9

12.212.314.43.1

74.0125.0

NANA

13.028.0

NANA

83.0146.0

NANA

0.680.69,

NANA

13.413.5

8.35 ●9

75.0107.0”

NAMA

34.054.0

NANA

2.92.9

17.015*330.5

6.7

12.511.124.47.4

45.031.074.0

NA

23.01*O

7580NA

O*74O*730.80

NA

13.012.021.05.6

9.38.6

14.96.4

44.5229095.0

NA

56.047.074.0

NA

31*O2s.034.0

NA

3.22.49*5101

20.415.532.14G.4

16.413.523.119.8

140.036.096.065.0

146.085.047.059.0

0.800.870.720.49

15.812.623.524.1

12*O10.615*413.9

139411.523.79.3

10018.9

1B*75.3

1590071.0

116.0650 O

92.04.0

71.060 sO

150.0137.5

43.066.0

4.42.97.75*9

21.618.633.513.2

lB.215.130.411.6

165.0151.0121.0

NA

177.0168*O142.0

NA

0.840.810.91

NA

16.514.524.513.2

176.0165.0133.0

NA

1B2-O180.0134.0

NA

129.01190082.0

NA

4.83.69.72.3

16.5150028.111.5

13.411.725.39.1

30.018.046.036.0

41.012.085.035.0

0.819.780.900.79

12.911.920.3

9.0

51.040.058.040.0

62.036.0990026.0

19.011.042.018.0

3.22.76.73.8

infant, neonatal, andpoWneonatal mortality ratas, corresponding ranks, andratios ofchange by raw: U.S. health wrviceareas (HSA's), 1969-73and l974-77-Con.

HSA R

NJ 051NJ 052NJ 053NJ 054

NMO1lNH 012NM 013NM 014

NYO1lNY 012NY 013NY 014

NY 021NY 022NY 023NY 024

NY 031NY 032NY 033NY 034

NY 051NY 052NY 053NY 054

NY 061NY 062NY 063NY 064

NY 071NY 072NY 073NY 074

NY 081NY 082NY 083NY 084

NCO1lNC 012NC 013NC 014

---------------INFANT ---------- -------------NEONATAL ---------- ------------POSTNEONATAL -------

RATE

1969 1974-73 -77

18.9 16.115.7 13.435.5 27.99.2 4.1

20.8 16.119.3 15.*32.9 29.328.7, 17.9

18.5 150916.9 14.332.9 32.713.0 13.7

16.8 13.315.9 12.126.8 23.68.7 8.6

17.7 14.616.8 14.236.$ 23.616.1 10.3

17.4 14.316.9 13*434.0 28.15.2 7.5

16.7 13.615.2 12.229.9 24.35.1 7.5

21.1 17.917.4 14.630.2 24.69.2 9.2

15.4 12.514.1 11.129.8 26.89.4 12.9

24.+ 17.523.3 15.937.3 32.120.5 18.6

RANK

1969-73

192.540.0

137.0NA

148.0177.0109.061.0

89.086.0

11O*O40.0

37.042.02800NA

65.079.0

143.043.0

60.083.0

126.0NA

33.023.068.0+.0

158.0102.072.023.0

17*O4.0

67.027.0

193.0201.0146.0

NA

1974-77

134.078.0

116.0NA

139.0177.0133.058.0

132.011600152.050.0

40.023oO56.0

NA

86.0130.057.040.0

56.081.0

117*ONA

46.027.071.028.0

174.0154.078.036.0

20●O2.0

104*O47.0

16800187.0150.0

Nfi

RATIO

~~~~69-13

0.840.850.79

NA

0.770.800.880.62

0.860.830.991.05

0.79O*770.88

NA

0.830.840.650.64

0.800.800.83

NA

0.810.810.811.46

0.850.840.821.01

0.810.790.901.36

0.723.690.86

NA

RATE

1969 1974-73 -17

RA

1969-73

NK

1974-77

14.512.425.26.9

14.514.421 ●91397

14*413.324.88.9

12.611.919.2

4.4

13.312.627.511.6

13.212.826.8

5.2

12.811*722.6

3.6

15.613.221.8

6.6

11.811.021.25.7

18.718.025.411.5

120010.413.71.4

10.610.620.4

8.3

12.010.723.88.6

9.89.0

16.67.2

10.810.616.55.6

10.3100019.6600

10.29.2

18.35.0

13.110.917.7604

9.38.4

19.39*4

12.8110921.010.0

1180061.0

141.0NA

149.0121.0122.0

NA

113.0160.091.061.0

83.0143.0131.051.0

108.597.0

135*O39*O

151.0146.0151*O53.0

39.038.035.5

NA

52.037.067.0

NA

65.570.0

153.050.0

96.0140.062.033.0

63.080.0

151.0NA

72.092.0

12000NA

50.030.0

100*O10.0

64.048.095.022.0

153*O94.088.028,0

178.0156.0

86.040.0

22.010.075*O19.0

35.017*9

118.05700

200.023100143.0

NA

170.0189.0139.0

NA

RATIO

~-~69- r 3

0.830.840.78

NA

0.730.740.930.61

0.840.800.96O*97

0078O*750.87

NA

0.820.840.600.48

0.780.78O*73

NA

0.790.780.811.36

0.840.820.810.97

0.790.76O*911.67

0.690.660.83

NA

RATE RANK

1969-73

4.43.310.22.3

6.44.9

11.014*9

4.13.78.14.1

4.23097.64*4

4.4+.28.94.5

4*24*17.2

3.93.47*41.5

5.54.28.42.5

3.63.18.73.8

5*75.0

11.8900

1974-77

1969-73

4.03008.22.7

5.54.88.69.6

3*93.38.95.0

3.53.17.01*4

3.83.67.24.7

3.63.48.5105

3.43.16.02.5

4.83.86.92.8

3.12.77.43.4

4.73.9

11018.6

79.023.0

111*ONA

176.0178.0129.058.0

53.052.052.037*O

6+.072.53500

NA

0000131.080.038.0

60.0110.027.0

NA

34.033*O31008.0

145.0136.064.019*O

12*O10.073*O36oO

158.0180.013s.0

NA

1974-77

80.024.0

106.0MA

17900190.5116.063.0

78.0+7.0

122.047.0

37*O310060.0

NA

64.095.070.04400

45.07190

11590NA

26oO26oO25oO30.0

15000115.054*O32.0

10009.0

78oO36.0

142.0136.0150.0

NA

RA11O

~~:~69-73

0.900.920.00

MA

O*B70.970.790.5+

0.960.9110101.22

0.B4O.B10.92

MA

0.869.86O*B11.04

0.070.s41.18

NA

0.88O*B90.021*?O

0.1480.B90.821.10

0.880.880086O*91

0.320.78O*94

MA

81RT!iS

1969-73

1138539402518954

874

107350910132556

13781

134396119261134461689

97195870779430688

115015108730

51691116

102556981643621771

129470113599144991372

63099142782619005313112

170798155430143091059

73539653287429782

1974-77

82263665751$952

735

87475730952209

12171

887187803192991308

6s187563417150696

77979727234187LG69

69256658782709669

9019577980136051610

42358326424614596913368

121494109568137601166

51700458585143699

infant, neonatal, and postneonatal mortality ratas, corrasporrding ranks, and ratios of changa by raw U.S. haalth sarvicaaraas(HSA’S), 1989-73 and 1974-77-Con.

‘--------------INFA NT---------- -------------NEONA TAB---------- ‘-----------POD TNEONATAL -------

RATE RANK RATIO

74-77— —.69-73

0.7900800.75

NA

0.770.760.80

NA

0.740.760.72

NA

0.760.840.670.75

00800.820.79

NA

0.900.91

NA0.79

00910s871.05

NA

0.770.760.76

NA

0.750.740.78

NA

!*9O0.890.89

NA

RATE RANK RAIIO

74-77Zz

0.820.830.79

NA

0078O*730.89

NA

0.710.700.72

NA

O*7500800-670.85

0-810.800.82

NA

00890.89

NA1*15

0.850-820-98

NA

0.730-720.82

NA

O*[email protected]

WA

‘0.890s870.95.

NA

HSA R RATE RANK RAIIO

19=1169-73

0.710.723058

MA

0.740.850060

MA

0.820.980.72

MA

0.790.9800680.6+

0.790.97007+

MA

O*330999

MA0056

1.10100*1.27

MA

0.890P920~50

NA

00830=81

J 0.90MA

3=923.*9*

‘ ob79VA

.

81R’

1969-73

1969-73

5=84.59.8

6.04.3

10.98.4

5.93*1

10.92=8

7064.1

13*111.3

7.54.112. +5*4

3.83.2

15*5

4.23.96083-6

+.34.1800

5.14.510*54.8

4.7, 4.2

9.1lh3

1969 1974-73 -77

1969 1974-73 -77

1969 1974-73 -71

1969 197*-73 -77

1974-77

1969-73

1974-77

1974-77

NC 021NC 022NC 023NC 02+

NC 031NC 032NC 033NC 034

NC 041NC 042NC 043NC 044

NC 051NC 052NC 053NC 054

NC 061NC 062NC 063NC 064

NOO1lND 012ND 013ND 014

OH 02 1OH 02 2OH 02 3Oti 02 4

OH 03 1OH 03 2OH 03 3Oli 03 4

OH 04 1OH ‘ 0.42OH 04 3OH 0441

21.217.732.3

2-3

16.714.224.4

502

160.0 150.0117.0 134*O104.0 72.0

NA NA

150413s222 ●52=3

12.6110017.7

2.6

145*O95.099.0

MA

166001610085.0

NA

4*13*26.72.6

162.015690102.0

NA

.9790+1.5boo

NA

837666302120315

430

791175859920040

478

575133713820015

360

7935547509254076439

88738526483$352

738

2411922662

2281229

974828487912051

5s2

35827342261505

96

91179 “821608605 ., 414

.

L33657 “11899713903:’‘‘757

554884127713827

384

21.918.032.750.2

16.B13.626.15.3

170.0 152-0130.0 89.0106.0 98.0

Nh NA

15.913.721 ●841.8

12.510*O19*5

5.0

163.0123.0

89.0NA

165.088.5

119.0NA

+043.66.6

170.0139.0127*O

NA

116.513100

37.0NA

523463796413979

403

220115.833.813.9

16.411.92404

2.3

174*O 145.043.0 1800125.0 73.0

NA NA

16.212.722.911.1

11.58.9

16.5

169.075.0

103.0NA

1310033.06000

NA

4083.17.92-3

1669013*5

12800NA

1510027.094*O

MA

41024256921$893

439

24.418.635.523.0

18.615.623.917.2

192.0 182-0154.0 184-0139.0 63.054.0 56.0

12.611.615.19*9

16 ●814.522.511-6

185.0167.098.049.0

16700183.036.059.0

6004.08097.3

194.0123.0145.054.0

189.0147.512100

S600

6126035098235285634

25.0180534.724.4

20.015.127.37.1

196.0 195.0145.0 169.0133.0 113*O

NA NA

17.5140422.219.0

14.111051801

2.4

195.0159.096.0

MA

192.01810092.0

N&

5*93=69.24.7

19300121.013900

NA

188.093.0

124.0NA

685443960120097

846

16.3150730.725.2

14.714.321.519.8

23.0 89.038.0 138.0

NA NA58.0 60.0

12.512.530.79.8

11.211.116.111*2

379064.0

MA44.0

111.0165.0

NA6100

3*53*25.48*6

26.017.0

NA59.0

32.533.0

NA6100

1969618351

1861159

17.916.727.19.1

16.314.528.57.2

75.0 142.071.0 145.033.0 128.0

NA NA

13.7120820.35.4

11.719.519.9

3.6

85.082.059.0

MA

138.0127.5125.0

NA

63.074951800

NA

4.64.08.6S.6

139.s143.011700

NA

65168558218794553

19.518.739.2

140914.229.7

116.0 97.0156.0 135.0154.0 138.0

NA NA

15.214*531.2

110110.525-7

140.0169.0158.0

MA

109.0125=0154.0

NA

3.83.84.0

66.0116004900

NA

50.0119.0‘ 2*O

NA

26695253541245

96 ‘

19,.6180035.99.7

14.013.328.15.2

121.0 95.0131.0 70.0142.0 120.0

NA NA

14.613.525.44.8

10.69.7

18075.2

120.0lo~.o144.0

MA

87.069s0

101.0NA

4.23.e69.4

127.015500113.0

NA

99.099’.5

128-0NA

64;07,57343

668r383

137.0,138.06600

NA

OH 05 1 17.3 15.6 59.0 114.0OH 05 2 16.4 14.5 59.0 1+8.0Oli 05 3 26.6 23.8 24*O 60.5OH 0541 2.6 8.B NA NA

12.712.217.5

1.3

11.310.616.66.3

44.050.01800

MA

113.0141*O

65.5\ NA

4.33.97012.5

95-512?:086.0..NA

9,6374’04340$,11239

795

infant, neonatal, andpo~neonatal mortality ratas, corresponding ranks, andratios ofchange by race: U.S. haa[thservica areas (HSxs),1969-73and 1974-77–Con.

‘--------------INFANT ---------- ‘------------NEDNATAL ---------- ---------- --POSTNE13NA TAL----..-

HSA R RATE RANK

1969 1974-73 -77

RATIO

74-77-----69-73

0.810.820.64

NA

0.800.810.69

NA

0.840.820.85

NA

0.810.830.770;87

0.820079O*88

NA

0.830.820.850.98

0.820.83O*74O*68

0.820.82

NA0.46

0.770.74

NANA

0.8400810.850.81

RATE RANK RATIO

till69-73

0.780.790055

NA

0.810.83O*66

NA

00770.740.81

UA

0.820.8200800.78

0.770.750.83

NA

0.780.760086O*95

0w800081O*710.90

0.770.76

NAO*58

0.760.74

NANA

008500820.860.63

RATE RANK RATIO

:$=;:.

0.940.33l*i12

MA

0.75O*750.77

MA

1.071.100097

MA

3.000.960,691.30

10.000.961.06

NA

0.991*J10.841*I3

0.060.870.790.60

0.97O*97

MA0.21

O*B10074

VA4A

0.820.780.921.47

BIRTiS

1969-73

18.718.425.827.8

18.217.334.317.6

17.315.233.43.2

19.416.530.04.!l

19.017.532.26.5

19.118.530.212.0

16.416.!28.59.9

16.416.66.59.3

19.018.726.324.9

21.017.231.616.7

1974-77

15.215.216.54.9

14.514.023.64.8

14.512.5

1969 1974-73 -77

1969 1974-73 -77

1969-73

+.14.14.8

4.34.17.7

11.8

4.03.48.3

4*93*98.80.7

4*13.77.6

5.04.5

10.05.0

5.45.2

10*57.4

4.74.8

2.9

6.86.4

17.512.9

4.93.68.53.6

1974-77

1969-73

1974-77

59.0122.011.0

NA

18.030.023.0

NA

108.0116.0102.0

NA

76.056.026.07.0

90.085.5

103.0NA

15700181.0111.049.0

1*3.O179.0109*O*2*0

134.0186.0

NA3*O

178.0193*O

NAN&

81.0160059.050.0

1969-73

55638535641858216

68834649073757170

55725485836830312

1B7418147127387921499

60597538666+25306

2162671797582056915940

730766868627681622

6897466954

3061714

2247821278

1141086

292182212158778022222

1974-77

41025396061214205

53474472503C1Q21C

36647315654829253

12420796232268231152

.43847382415322284

17$3061417201708615500

591375528626541797

5878556799

3651621

1977119775

71925

196221138921552212C79

o

OH 06 1 95*O 107.043.0 174.017.0 6.0

NA NA

80.0 79.097.0 121.029.0 55.0

NA NA

57.0 78.024.0 36.5

14,614*321.027.8

11.311.411.5

122.0156.073*O

NA

117.0178.0

9.0NA

3.93.84.94.9

54.0115.0

4.0NA

Oli 06 2Oti 06 3Oli 06 4

OH 07 1OH 07 2

‘OH 07 3OH 07 4

13.913.126.65*9

11.310.9.J7.64.8

89.091.0

150.0NA

116.0160.081.0

NA

3.23.16.0

74901179037.0

NA

OH 08 1OH 08 2OH 08 3OH 08 4

13.311.725.0

3.2

10.28.7

20.3*.O

67.03100

138*ONA

66.026oO

130.0NA

4.33.88.1

50●o31.061.0

NA28.44.0

k19.oNA

122*ONA

OH 09 1OH 09 2ON 09 3OH 09 4

15.713.723.73.5

1149065.079.02.0

120.094.059.03.0

14.512.521.93.3

11.810.317.62.6

116.073.092.04.0

145.0115.083.05.0

3.93.36.1009

114.086.077.01.0

OH 10 1OH 10 2OH lC 3OH 10 4

15.613.328.43.5

108.0110.0100.0

NA

116.0113.5123.0

NA

15.013.824.66.5

11.510.420.3

134.0133.0132.0

NA

129.0120.0129.0

NA

4.13.68.13.5

52.055.034.0

NA

OKL 01 1OKL 01 2OKL 01 3OKL 01 4

16.015.225-711.7

110.0144.071*O38.0

133.0175.092.044.0

14.114.020●27.0

11.010.717.36.6

96.01400056.029.0

105.0147.077.04100

5.04.58.45.2

124.515+.0105.040.0

ORG 01 1ORG 01 2ORG 01 30R6 01 4

130s13*321.16.7

27.051.055.0‘28.0

44.071.027.020.0

10●910.818.12.5

23.031.019.04.0

4.74.58.34.5

8.88*8

12.82.2

8.08.0

23oO1.0

144.0188*O114.046.0

ORG 02 1ORG 02 2ORG 02 3ORG 02 4

13.513.632.94.3

25.067.0

NA25.0

45.092.0

NA6.0

11.611.86.56.4

24.038.0

NA10*O

102.017500

NA22*O

8.99.0

21.93.7

16.032.0

NA23.0

4.64.6

11.00.6

ORG 03 1ORG 03 2ORG 03 3

14.713.828.232.4

106.0155.0

NA57.0

92.0105.0

NANA

12.212.28.8

12*O

9.29.0

14.113.0

29.051.0

NA52.0

29.03900

NANA

5*54.8

14*119.5

189.0202.0

NA57.0

.ORG 03 4

PA 01 1PA 01 2PA 01 3PA 01 4

17.614.327.313.5

154.094.089.044.0

169.0118.0107.048.0

16.113.623.113.1

13.711.223.08.2

168.0118.0111.057.0

188.0170.0126.048.0

4.02.87.05.3

115004*.O66.032.0

infant, neonatal, andpo=neonataI motiality rates, mrresponding ranks, and ratios of change by race: U.S. health service areas (HSA's), 1969-73and l974-77-con.

---------------INFANT ---------- -------------N~o NATAL ---------- ------------PO STNEONATAL -------

RANK

1969 1974-73 -77

24.0 61.0+5.0 86.093.0 144.0

NA NA

86.0 74*O138.0 132.0

RATIO

~~~69-73

0.87.0.850.96

NA

0.783.78

MANA

0.870.87

0.9NA

0.80.8

NANA

0.80.80.8

NA

0080080.5

NA

0080.7

NAMA

0.72.70.8

NA

0.8O*90.8

NA

0.7O*70.7

-NA

.

HSA R RATE RANK RATIO

:$=g

000200831.17

MA

O*770.79

VAMA

1.321*370.91

NA

0.720.72

MANA

00803.79O*83

MA

0.910.913.77

MA

1.339.99

MAMA

0.990.061001

VA

O*92O*990.66

VA

0.5909771.64

MA

RATE RATE RANK RATIO

~~~69-73

0.880.870.90

NA

00790.77

NAM&

0.8300811*O1

NA

0.840.86

NANA

0.830.84O*79

NA

0.790.820.43

HA

0.740.72

MANA

00700.690.82

NA

0.900.90O*9O

NA

O*750.690.81

NA

BIR”

1969-73

5870556645

1798262

5389153379

372140

10200495052

6592360

5247751983

338156

205344185241

189311172

6113858403

2550185

3842937749

59882

7158067066

34501064

636344796415542

128

687684201226465

291

1969-73

4.03.97.2

4*O3*9

21.5

3.63.29.3

4.84.88.9

3.93.58.61.7

4.74.6‘8.6

4.03.9

10.0

4.24.18010.9

6.64.4

13.4

7.44.4

12.2

1969-73

44.576.029.0

NA

48.083.0

NANA

17.020.090.0

NA

106.5173.0

1974-77

14.113.630.6

5.9

14.514.246.7

7.7

13.312.625. *10.3

15.515.526.7

5.3

i5.113.928.5

3.8

15.815.817.912.8

15.715.158.414*5

14.113. *28.7

4.7

18.416.225.8

9.0

17.213. !23.3

3.1

1974-77

3033.18.5

3.13.16.2

3.73.47.51.7

3.43.53.8

‘-

3.22.87011.3

4.34.26.64.3

4.13.8

19.5

3.83.58.23.1

5.44.48.9

5.13037.8

1974-77

19.029.0

114*OMA

8.028.0

NAN&

49.569.080.0

NA

27.072.0

NANA

12.014.065.0

NA

135.0157.0

39*ONA

8500126.0

NANA

57.081.0

105.0NA

177.0174.0120.0

NA

164.053.099.0

NA

1969-73

16.315.931.7

3.8

18.518.351.1

15.314.527.3

2.8

19.218.953.344.9

18.416.735.6

6.8

19.4lB.834.9

19.819.445.2

19.118.533.013.2

21.217.632.3

23.718.931*4

6.9

1969 1974-73 -77

1969 1974-73 -77

1974.-77

PAPAPAPA

PAPAPAPA

PAPAPAPA

PAPAPAPA

PAPAPAPA

PAPAPAPA

PAPAPAPA

02 102 202 302 4

03 103 203 303 4

04 104 204 304 4

05 105 205 305 4

06 106 206 306 4

07 107 207 307 4

09 109 209 309 ●

12.312.024.5

3.8

100910.522.15.9

11.4110140057.7

9.69*1

18.08.3

12.112.122.95.3

12.011.021.42.5

11*511.611.28.5

11.611.238.914.5

10.49.9

20.51.6

13.011.817009.0

12.110.015.53.1

33.045.0

129.0MA

115.0162.0

NANA

17.015.020.0

NA

108.5144.0

NANA

112.096.0

152.016.0

125.0149.0147.0

NA

15705193.0

NAMA

132.0164.0137.0

53.0

119*O92.032.0

NA

174.0170.0

34.0NA

98.5131.0145.0

NA

4266141954

1538169

14.514.429.6

121.5167.5

NAMA

3718736736

321130

“HANA

14.09.0

32.0NA

112.0161.0

NANA

NANA

38.041.087.0

NA

110711.317*7

2.8

43.044.088.0

N&

7323760348

4288.501

13.080.0

NANA

14.414.141.444.9

154.0191.0

NANA

3608335631

262190

NANA

84.074.0

140.010.0

105.0107.0127.0

NA

123.0185.0

10.0NA

119.0167.0

NANA

63.079.0

130.0NA

179.0191.0

94.0NA

160-074.052.0

NA

140513.227.0

5.1

148.0163.0141.0

NA

43.039.0680013.0

137511123757

12965789

115.0158.0134.0

NA

14*714.226.3

132.0182.0

7.0NA

103.0161.0

72.0NA

4332541131

1960234

123.0180.0

NANA

15.815.53501

13500171.0

NANA

46.079.0

NANA

2757027090

41169

RIRIRIRI

ok 104 204 304 4

111.0146.0114.041.0

14.914.424.912*2

76.084.0

133.0NA

62.0106.0

53.06.0

4454541465

2437543

ScScScSc

01 101 201 301 4

159.0111.0103.0

NA

14.513.218.9

175.0186*O72.0

NA

184.0149.0146.0

NA

457543491610727

111

ScScScSc

02 102 202 302 4

188.0164.0

86.0NA

16.314.619.2

6.9

157.094.045.0

NA

191.0144*O136.0

NA

499782995919692

327

HSA R

SC 031SC 032SC 033SC 034

SC 041SC 042SC 043SCO+4

S,DollS0012SO 013SDO1*

TEN 02 1TEN 02 2TEN 02 3TEN 02 4

TEN 04 1TEN 04 2TEN 04 3TEN 04 4

TEN 05 1TEN 05 2TEN 05 3TEN 05 4

TEN 06 1TEN 06 2TEN 06 3TEN 06 4

TEX 01 1TEx 01 2TEX 01 3TEX 01 4

TEX 02 1TEX 02 2TEX 02 3TEX 02 4

TEX 03 1TEX 03 2TEX 03 3TEX 03 4

Infant, naonatal, and postnaonatal mortality ratas, corresponding ranks, and ratios of changa by race: U.S. haalth service areas ( HSA’S), 1969-73 and 1974~77–Con.

---------------INFANT ----------

.-----...-----N~oN~TAL ---------- ------------POSTNEONATAL ------- “ ; ‘ .

~k’

RATE

1969 1974-73 -77

27-8 24.+19.0 160437.6 32.2

8.9 6*6

19.6 18.515=6 13.*25.5 25.5

9.7 -

19.1 17.317.2 15.443.7 32.732-5 29.5

19.7 15.319.1 14.928-6 23.22+.1 “ +.*

20.0 14.517.8 12.933.0 23.7

2.5 7.1

23s0 19.318.0 14.537.1 33.526=3 -

22-6 18.$17.7 13.927-6 22.915e6 5.5

22.0 19*523.6 18.544.9 37.9

9.8 -

25-9 20.224-0 19.045.4 33.1

8.6 9.3

lB.O 14.717*7 14.634.1 20.8

4.6

RANK

1969 1974-73 -77

200.0 201.0167.0 192.0149*OI 15100

NA NA

119.0 181.037.0 77.015*O 90.0

NA NA

109.0 163.093.0 178.0

NA NA64.0 68.0

122.0 111.0170.0 163.056.0 50.0

NA NA

129.0 75.0118.0 50.0112.0 58.0

NA NA

182.0 189.0128.0 14200144.0 154.0

NA MA

180.0 178-0115.0 111.0

39.0 43.0NA N&

171.0 191.0194.0 200.0157.0 156.0

NA NA

198.0 196.0202.0 201.0158.0 153*O

NA NA

76.0 88.0114.0 153.0128.0 23-0

NA NA

RATIO

74-7769-73

0080.8008

NA

0.90081.0

NA

0.9. oq9

N43.9

0.70070.8

NA

0.7O*70.7

NA

0080.80.9

NA

0080.7908

NA

0s80.90.8

NA

0.70.70.7

NA

0.80-80.6

MA

RATE RANK RATIO RATE RANK

1969 1974 1959 1974 74-77’”—- 1969 1974 1969 1974-73 -77 -73 -77 69-73 -73 -77 -73 -77

!

RATIO , BIRliS ‘ .

74-77 1969 ‘ P974-----69-73 . . -73 “ -77 ,

. . .*1.. I

17.614.321.28.9

13.011.714.87.7

13.413.343.71208

14.013*520.124.1

140913.423-5

2 ●5

16.613.824 ●426 ●3

17=214.020.512-5

170016-329=9

18-517.727 ●6

13.513.420.3

17.112.32109

6.6

12-49.9

1600

12.111.618.715.1

10.91)061601

10.49*3

16.8306

14=211*123.4

130610.516.6

5.5

1+.+13.926el

1$.213.521.8

10.09.9

1s924.6

196.0155.0

77.0MA

54.029s0

8.0NA

73.099.0

NA56.0

91.0109*O55.0

NA

13100106.0115.0

NA

18100128-0128=0

NA

190.0139.064.0

NA

189.0198.0157.0

NA

199.0199.0154.0

NA

76.0102.0

5700MA

201.0193.0143*O

NA

0.980.861.03

NA

164-0800054.9

NA

156s018500

NA68.0

102.0144*O58.0

NA

770052.070.0

NA

194*O167=5150.0

NA

185-0129-0

64.0NA

195.0200.0156.0

MA

19300198.014200

NA

58.082.059*O

MA

0.960.841.08

NA

10.24.7

1604

7.24.210.2

606’3.9

10.71.9

6.1 .3.59.5

201.0166.0155.0

NA

20100154.0144*O

NA

183.07100

119.0NA

192.084*O

129.0MA

O*91 ‘ 5.7 5.2 154.0 171.00.87

NA1*19

0.780.790.80

NA

007000690s72

NA

0.860..81O*96

NA

00790.750081

MA

0085008S0.87

NA

0.770076O*79

MA

d. 75O*740.80

MA

3.8

1907

5*75.68.5

5.14.49.5

6.+4.212.7

5*43.77.13.1

5*O4.3

15.09.8

7.46.317.88.6

4.54*3

13.8

3.814.014*3

4.44.27.14.4

4*13.66.83.6

5.139310.1

.

4*93056.3

5014.7

11.8-

6.05*5

11039.3

4.64.74.6

67.0NA

64.0

159.0195.0

65e0NA

130.5145.097.0

NA

178.0129.0143*O

NA

1430056.02+00

NA

121*O14200152.0

NA

192.020100158.0

NA

87.0140.0150.0

NA

114.0NA

67-0

121.0166.0

6300NA

96.092.050.0

NA

163-051.0

14200NA

15+.573.029oO

NA

162.0189=0154*O

NA

13100199*O132.5

NA

1380019700

9.0NA

.0.7100990.52

NA

3.920.923.89

NA

3.910.98

MA0973

0.770.760083

NA

).8309920.72

NA

0.790.790979

NA

3*91O*930.88

VA

1.021.090.79

iA

0.9200863054

NA

100310090034

MA

r5’460228581

, 25797’224

596583474624395

517

5631449340

2296745

5883454896

3772166

1059828973915839

404

3268624088

856038

760623830737435

320

2900327230

1671102

3307129979

2976116

4987348307

1232334

‘442822144122540

301

466592545923571

629

+615339932

2146007

42590398202543227

829166993612419

561

24706183246336

+6

556302684828419

363

24118228001187131

25591231892295107

39927312001295432

))

>

;

,

infant, neonatal, andpOWneOnabl momli~rates, mrrespOnding ranks, andratiOs Ofchangebyra~: u.S. hea[th~rvim areas (HSA's), 1969.73and l974-77-Con.

---------------INFANT---Y------ -------------NEONATAL ---------- ------------POSTNEON&TAL -------

RATE

1969 1974-73 -17

R4NK

1969 1974-73 -77

RATIO

74-7769-73

O*80.80.7

NA

0.70.70.7

0.92

0.710.720.71

NA

!0810s760.93

NA

00800.801.00

NA

0.730.730.71

NA

00960.931.02

NA

0-800.770.890.25

0.940-960.76

NA

0.820-81

NA1.01

RATE RANK . RATIO

~~~~69-73

O*820.9010J9

MA

00960.940.700.92

00780.790.78

MA

0.823.970.75

NA

3.740.721.56

NA

00823.83O*75

NA

0.991.190.94

NA

0.971.0000960.59

0.860.930.41

MA

3.310.90

NA0.93

HSA R

TEX 04 1TEX 04 2TEX 04 3TEx 04 4

TEX 05 1TEx 05 2TEX 05 3TEX 05 4

TEX 06 1TEX 06 2TEX 06 3TEX 06 4

TEX 07 1TEX 07 2TEx 07 3TEX 07 4

TEX 08 1TEX 08 2TEX C8 3TEX 08 4

TEX 09 1TEX 09 2TEX 09 3TEX 09 4

TEX 10 1TEX 10 2TEX 10 3TEX 10 4

TEX 11 1TEX 11 2TEX 11 3TEX 11 4

TEX 12 1TSX 12 2

TEX 12 3TEX 12 4

UTH 01 1UTH 01 2UTH 01 3UTH 01 4

RATE R RATIO

~:

0.810.840.66

NA

0.730.720.740-92

0.6800690.68

NA

008000701.05

NA

0-83O*830080

MA

O*69O*7O0.70

NA

0.950-881*11

NA

O*75O*710.86Oe16

0.960-980.93

NA

0.790-78

NA1.14

BIRTHS

1969-73

+768743968

3499220

249506201990

459981518

949947792616205

863

523383684415378

116

129039125394

3127518

121656114047

6939670

464293298913268

172

228872171983

558721017

2893226938

191480

133828129849

7763203

L974-77

3816835274

2542352

18131114$675

349791657

794826501713260

1205

423883192511342

121

1335971)10182199380

93268846184862788

357762533710143

296

191089145645q37211723

23953224741355124

134782132438

6253719

1969-73

5.75.49.7

5.04.09.43.3

5.84.810.81*2

6.64.212.3

5.75.75.83.9

5.14.99.14.5

5.03.29.55.8

4.83.97.82.9

6.46.012.5

3093.6

10*312.5

1974-77

1969-73

1974-77

1969 1974-73 -77

1969-73

1974-77

22.0 17.920.0 17.238.3 29.54.5 2.B

29.8 15.918.2 14.132.7 23.06.6 6.0

21.0 15.018.6 13.333.8 24.15.8 5.0

23.3 18.319.6 14*832.2 30.18.6 -

18.5 14.818.4 14.724.0 24.17.7 5.3

20.0 14.519.2 14.033.3 23.+22.* 14*3

2G.8 20.117.9 16.728.0 28.523.3 6*B

19.9 15.317.4 13.527.6 24.613.8 3.5

22.2 20.721.1 20.338.7 29.5

14.2 11.714.0 11.Q25.8 19.220.3 20.4

172.5 173.0196.0 197.0151*O 136.0

NA NA

149.0 126.0136.0 124.0107.0 60.5

7.0 16.0

155*O 99.5148.0 68.0122.5 68.0

NA 14.0

185.0 185.0187.0 160.099.0 140.0

NA NA

90.0 96.0142.0 156.011.0 66.0NA NA

130.0 80.0174.0 122.0113.0 54.0

NA NA

150.0 194.0126.0 194.045.0 125.0

NA NA

126.0 131.0103.0 83.040.0 77.042.0 4.0

177.0 197.0197.0 202.0153.0 137.0

NA NA

3.0 4.03.0 6.0

NA NA52.0 64.0

179.0196.0110.0

NA

1.6.315.428.6

4.5

13.212.9lB.9

2.8

173.0187.0155.0

NA

156.0193.0101*O

NA

4.74.310.6

1$5.5172.0148.0

NA

130.011005

75.08-0

15.814.223.33.3

11.510.317.23.0

157.5148.0112.0

3.0

4.33.86.53.0

123.0103.0

93002700

110.0120.0

35.533.0

15.313.823.04.6

10.59.5

15.75.0

141.0129.0105.0

MA

81.059.047.023.0

4.53.88.40.8

160.0169.0125.0

NA

131.0118.0112.5

6.0

183.0151*O138.0

NA

16.715.419.98.6

13.510.820.9

-

184.0188.049.0

NA

5.44.09.2

182,0127.0138.0

N&

176.01*4.5123.0

NA

12.812.718.23.9

88.0137.531.0

NA

10.6100614.6

2.6

49.078.024.0

NA

4.24*19.52.6

152.0198.0

10.0NA

98.01+9.0131.0

NA

14.914.423.917.9

10.410.016.711.4

13300161+0120.0

NA

74.091.068.0

NA

4.24.06.82.5

134.0177.087.0

N&

97.01*4.5+8.0

NA

15.814.718.517.4

15*O12.920.56.8

198.0195.0132.0

NA

156.0171.028.0

NA

5903.98.0

124e521.098.0

NA

161-0131.0

99.0NA

114.066.073.0

2.0

15.113.619.810 ●8

11.39.6

17.11.7

137.0115.0

46.047.0

4.73.97.51.7

109.077.541.023.0

1$100130.0

82.019.0

200.020200153.0

NA

15.815.126.1

15.214.724.4

154.0181.0146.0

VA

5.65.65.2

179.0200.0141.0

N&

182.0202.012.0

NA

10.410.415.5

7.8

0.28.1

12.88.9

4.0+*O

NA37.0

8.011.0

NA54.0

3.53.36.411*6

35.046.0

N455.0

34.045.0

NA56.0

1

infant, neonatal, and postneonatal mortality rates, corresponding ranks, and ratios of change by race: U.S. Isaalth service areas (HSA’S), 1969-73 and 1974-77–Con. Na)

‘--------------INFANT ---------- ‘------------NEONATAL ---------- ------------POSTNEONATAL -------

HSA R RATE RATIO

74-77——.69-73

O*760.76

NANA

0.70O*71O*71

NA

0.790.750.861028

0.800.790.8+

NA

0.8400810.86

NA

00860.900.790.68

0082O*840e690.69

O*7*0.73

NA1046

00800.83

NA0052

0.740.7+

NA0,69

RATE RANK RATIO

74-77—--69-73

09740.74

NANA

0.66O*650.74

NA

0.720966O*920090

007800760-85

NA

O*8600810.90

NA

00820a85O*770.75

0.780079O*7O0066

0065006+

NA2.51

00800081

NA0067

0.710072

NA0-67

RATE RANK RAIIO

74-77---.-69-73

O*B2m9Bl

VAMA

3s8409950=65

MA

1.071*110s695014

0.87O*890.93

MA

9*Y9

O.B10.76

NA

O*971.37O*B50933

0.93O*970.670.7+

00970038

MAO*96

O.B1D.B9

NA0.$2

0.910.81

MA0.74

81?14s

1969 1974-73 -77

1969-73

197+-77

1969-73

1974-77

1959-73

1974-77

33*O57*O

NANA

80.076oO37*O

NA

28.0800

97904+.0

180.0192e0106.9

NA

19100158=0116*O

NA

186*O132.0128.0

37.0

389051*O26-050.0

19.027.0

NA52oO

590098=0

NA55.0

57.010080

NA45.0

1969-73

3.83=8

+.9+.0

10.012.0

393390606O*8

5.24039.9

5e23.4803206

5=23*98021.5

5.1**7

10.87*4

5.15.14.45.9

6045069.7

18s7

5.65.4

12.7509

1974-77

1969-73

1974-77

1969-73

3828938066

107116

+482437964

6694166

8141573623

65101282

848017151513114

172

72127*504426697

386

1100667*14033896

2030

1668381511+1

788+7813

3702635611

2271188

3189829720

4141764

3543333775

4741184

1974-17

2739327197

1;:

3367128789

4646236

5593347990

59461997

5938453305

BE 32247

497713031318955

503

825725353427006

2032

122898108253

66438002

3161530248

1821185

2824026330

3761534

2829826482

4511365

VT 01 1VT 01 2VT 01 3VT 01 4

VA 01 1VA 01 2VA 01 3VA 01 4

VA 02 1VA 02 2VA 02 3VA 02 4

VA 03 1VA 03 2VA 03 3VA 03 4

VA 04 1VA 04 2VA 04 3VA 04 4

VA 05 1VA 05 2VA 05 3VA 05 4

UAS 01 1UAS 01 2UAS 01 3UAS 01 4

UAS 02 AUAS 02 2UAS 02 3UAS 02 4

UAS 03 1UAS 03 2UAS 03 3UAS 03 4

UAS 04 1UAS 04 2UAS 04 3UAS 04 4

16.516.5

9.38.6

12s512.5

7.9

29.066.0

NANA

19.040.0

NANA

12,712=7

9.3896

150815*120.5

9*3304

+5.076.0

NANA

160.0180s0

63.0NA

47.052=053*O36,0

1880019600

95.0NA

172.0105.0

8000NA

1809057*O

148.038,0

31903*9550.05500

70.0124.0

NA6.0

43.063,0

NA6000

102.0145.0

MA48*O

3.13.1

7.9

28.068.0

NANA

11*O32.0

NANA

20.7190130.512*O

140613.621.5

147.0169,0

75.0NA

85.090.031.0

NA

10.59.8

15.1

4.23.86.5

119*O98.0

107.0NA

95.0125.034*O

NA

16.115*326.78.6

12.711.523.011.3

22.030.027.017.0

25.07.0

46.041.0

12.812.220.17.8

16.916002201

9.2801

18.57.0

3.53.+4.5+.0

6.09.0

16004*O

35.060.06.0

4090

1290Q133*O10800

NA

22.120.432-0

17.7160127.1

801

175.0192.0

95.0NA

170.0190.011O*O

NA

13.212.218*89.1

4*5“3.98.3

.

139.01Q3*0103*O

NA

21.516.829.6

7.8

18.113.625.4

800

163s076.066.0

NA

176.091.088.0

NA

16.313.421.35.2

16.512.326.37*9

12.2110819.912.4

13.313.78.83.4

12.612.5199313.6

14.21+*127.411.0

1*.O10.919.1

600

+.12.76.3200

138.0270059*O

NA

09.0120031.0

NA

210716.234.59.4

18.614.527.3

6.4

168.054*5

1300026.0

183.0155*O112.018.0

13-6100520.3

5.9

5.0+.27.0005

137.08+.0S6.09.0

160.0155*O6100190

12Be0163.012400

+700

1+8001800074.052oO

17.316.539.719.8

14s2130821.113.7

56.062.078.051*O

67.0109.026.051.0

9*59.3

13.88.2

4.74*57.25.5

5.05.0

.

5.1

1350018600

NA#2.o

156-0137.0

NA+890

18.518.813.29.3

130713.8

-13.5

87.0159.0

NA24.0

49.5101.0

NA49.0

8.78*8

904

s.i5.05.37.8

177*O196.0

NA63.0

167-0195*5

NA58s0

190018.129.032.3

150215.018.616.9

107.0133.0

NA63.0

10800164.0

NA55*O

10-113*113039.1

4.54*411*14.4

148.019490

NA43*O

132,017500

NA!1.0

19.819.640.116.9

14s614.524.411*7

124.0185.0

NA46s0

81.0150 ●O

NA43.0

10*O10*113.3

7.3

Infant, neonatal, and postneonatal mortality rates, mrresponding ranks, and ratios of change by ram US. health service areas (HSA’S), 19 S9-73 and 1974-77-Con.

‘--------------INF ANT---------- ‘------------NEO NATAL---------- ---------- --POSTNEOHA TAL----..-

E RANK RATIO

~=~69-73

00810.820.76

NA

0.790s78

NANA

0.740.730.750060

0.900090

NANA

0.760.75

NANA

1.011.01

NANA

0-850s84

NANA

00690.70

NANA

00730-760=67

NA

0.800.88O*7O

NA

iTE RATIO

~~~69-73

0.780.780080

NA

0.74O*74

NANA

0.7009700.691*O4

0.91O*9O

NANA

O*7+0.75

NANA

1*O21.02

NANA

00800081

NANA

09590060

NANA

0.700.690.73

NA

0-850.850.83

NA

RATE RANKRANK RAIIO

~$~~~69-73

0.330.950.64

VA

0.930.93

VAMA

3.860.040.890032

0.990098

NANA

3.010.77

VAMA

O*970.96

MAMA

J0980096

MAVA

1.0510J8

VAVA

0.830.340.55

VA

0.590.960.54

MA

liSA R RA”

1969-73

21.120.633.8

5.3

15.115.119.1

7.0

16.815*228.01007

14.514.6

3.3

16.516.5

2009

14.414. *40.0

7.0

15.015.1

-

8.5

230122.750.622 ●8

210519.037.2

5.1

23-515.429.1

5.7

BIRT14S

1969-73

+.84.79.1108

3.93.96=47.0

4*74.08.8606

3.73e8

4.3+.2

7*4

3.73.7

20.0

3.63*6

5=6

4094*7

12.7

1969-73

147801141386

5854561

6147759965

944568

139593120090

182831220

3471434368

46300

3716036296

52812

4190541571

50284

2765927271

34354

3070229256

3951051

4776240754

6810198

538303316820314

348

1969-73

157*O195.0124.0

NA

11.021.0

NANA

40.026.044.032.0

6001100

NANA

31.063.0

NANA

5.07.0

NANA

9.022.0

NANA

183=0200.0

NA53.0

164001688014500

NA

144.035.059.0

NA

1974-77

159.0195.0

91.0NA

80015.0

NANA

21003.0

25.017.0

35.057*O

NANA

22.033.0

NANA

77.0147*O

NANA

27.044.0

NANA

124.0189.0

NANA

122.0144.0

8200NA

143.087.021.0

NA

1969-73

173.0194.013600

NA

11.01600

MANA

28.013.0370011*O

6.07.0

MAMA

320O53.0

MAMA

7.06.0

NAMA

140026-0

MANA

19800200.0

MA6200

146.0136=013300

NA

69.024-013.0

NA

1974-77

16890194*O124.0

NA

10●01500

NANA

15001*O

22*O1400

50.075.0

NANA

25.945.0

NANA

103.016200

NANA

300053*O

NANA

93.015400

NANA

94.068.08900

NA

120.081.024.0

NA

1974 1969-77 -73

4.5 110.04.5 164.0

1974-77

1250517600

21.0NA

+60091.0

NANA

820061.090.025.0

22.0$9.0

NANA

[email protected]

NANA

38s092.0

NANA

36006300

NANA

168.0198.0

NANA

165.0132*O

51.5NA

159.010800

56s0NA

1974-77

1969-73

1974-77

1974-77

11+644109720

44934.31

45033-3687

807539

10126585383.144691413

2650126156

23322

2952828653

45830

3217831798

48332

2213121742

29360

2917427919

320935

35506306844672150

39705!2300616275

424.

UvollUV 012UVO13UV 014

MIS 01 1MIS 01 2UIS 01 3UIS 01 4

UIS 02 1UIS 02 2UIS 02 3UIS 02 4

MIS 03 1UIS 03 2UIS 03 3UIS 03 4

UIS 04 1UIS 04 2UIS 04 3UIS 04 4

UIS 05 1UIS 05 2UIS 05 3UIS 05 4

UIS 06 1UIS 06 2UIS 06 3MIS 06 4

UYO 01 1UYO 01 2UYO 01 3UYO 01 4

INT 02 1INT 02 2INT 02 3INT 02 4

INT 03 1INT 03 2INT 03 3INT 03 4

17*116.825.6

2.3

16.315.924.83.6

12.612.419.82.3

5.8

3.63.67.43.7

4*O3.47.8201

3.33.3

43.5

3.5

85.0N4

12*O11.918.69.3

11.211.31297

8.30.3

11.25.6

42.070.0

NANA

12.511.121036.4

12.111*119.24●1

8.57.8

13.2402

97.002.076.044.0

13.113*187.0

6.2

10.710.8

3.3

9.89.8

43.56.2

23.063.0

NANA

12.512.422.21405

12.212.2

13.5

9909.2

22.22.4

71.03.2 134.S

12.0NAMA

14.514.520.912.0

10.810.820.07.0

11.011.0

9.0

3.53.5

20.83*O

20.04905

NANA

12.712.7

13.9

11.511.6

2.8

9.29.3

2.8

3*53*4-

11.1

13.543.0

NANA

15.815.915.613*9

18.118.038.014.3

100713.912.55.3

5.15.03.18.6

116.0165.0

NA49*O8.6

15.814.524.813.3

15.413.924.75●1

10089.7

10.06.7

60159112.5

5.14.86*86.7

172.0185.0140.0

NA

16.313.620.57.1

13.311.616.4

11*49*9

13.67.1

7.2399

12.85*7

5*O3.76.9

190.072.5

1+4.0NA

Infant, neonatal, and postneonatal mortality rates, corresponding ranks, and ratios Of Changa by race: IJ.s. health service areas (HSA’S), 1969-73 and 1974-77-Con.

‘--------------INFANT ---------- -------------NEONATAL ---------- ------------posTNEoN~ TAL----...

RATE

1969 1974-73 -77

RANK RATIO

~5~7~69-73

0.790.770.79

NA

0.770.760.980.68

0.800.810.91

MA

0.740.730.81

NA

00800.810.78

NA

O*970.94

N&1.13

00790081

MA. NA

0.840.83

NANA

00860.820.96

N&

0.810.770.86

O*4

RATE RATE RATIO

z~~~~’69-73

0.931.050.71

MA

0.070.97O*742.03

0.830.B20.93

NA

0.050.980.65

NA

O*B7O*9O00B0

MA

3*9BO*95

MA1006

0.991.32

MAMA

0.990004

MAVA

0.8800880.96

NA

00960.940.970.96

RATIO

~$:

0.780.700.85

NA

0.740.731.090.47

O*790.800075

NA

0.700.690.87

NA

0.78O*780077

NA

0.97O*93

NA1.17

O*730.75

NANA

0.830.83

NANA

0.850.791.00

NA

O*770.730,82O*4*

RANK

1969 1974-73 -77

HSA R BIRT4S

1969-73

737664244530874

447

192227157348

35871292

6135155593

5052706

3530033181

1933186

147045127338

190 5s652

2519822611

1922395

3288131802

148931

2750927031

24454

1141569416519109

882

2m152*150871

494731180

1974-77

521182924723357

514

145995141950

27741271

4521043728

3823659

2768425720

1743221

1044539302813851

574

2064918187

2032259

2613424760

1161258

2256022031

39490

808666543914403

1024

1*$236102957

360541225

1969-73

189.0157.0

85.0NA

63-0100.5

73.037.0

98.0104.0135.0

NA

127.0179.0

76.0NA

53.050.01800

NA

28.053.0

NA50.0

67.0113.0

NANA

12.034.0

N&N4

79.056.051.0

N&

132.064.087.030.0

1974-77

186.0141.0

81.0NA

43.062.0

139.030.0

106.0125.0121*O

NA

91.0129.0

79.0NA

53.052.020.0

NA

130.0171 ●o

NA66*O

57.0L33.C

NA37.0

29.048.0

NANA

115.063.0

111*O7.0

144.045.0

108.08.0

1969-73

7.94.0

13.5

3.63.59.21.5

4.64.1

10.77*1

4.44028.8

4.33.78*41.5

3083.45027*9

4.13.9

9.7

3.43.4

4.84.18.32*3

4.73.s8.4008

1974-77

6.64.19.6

-

3.13.06.83.1

3093.39.91.5

3.83.75*7

3.83.46.7

3*73.2

.

8.4

4.04.08.64.0

3*O209

25*66.1

4.23*67.22*O

4*53*38.1008

1969 1974-73 -77

1969-73

1974-77

INT 04 1INT 04 2INT 04 3INT 04 4

23.9 18.918.7 14.431.3 24.82.2 -

17.5 13.517.3 13.230.4 29.911.5 7.9

18.9 15.217.5 14.135.0 28.314.2 6.1

19.9 14*719.3 14.230.5 2+.716.1 -

17.2 13.916.0 12.926.0 20.31.5 3.5

16.9 15.916.1 15.15.2 19.719.6 22.1

17.7 14.017.6 14.213.5 8.621.5 9.5

15.2 12.915.4 12.8

- 25.68.8 12*2

18.2 15.616.2 13.228.4 27.34.5 +.9

20.1 16.416.5 12.831*4 27.310.2 4.9

16.0140717.82.2

12.410.315.2

164.0175.022*O

NA

162.011400

39.0HA

19600 197.092.0 153.0

148.0 134.0NA MA

13.5 9.038oO 25.089,0 51.511*O 34*O

93.0 73.010500 54.0120.0 lQ1.O

NA NA

82.0 63.0132.0 1070075.0 19.0

NA NA

7300 59.059.0 57.063.0 43.0

N& NA

27oO 52.026.0 36.0

NA NA48.0 60.0

51.0 83.091*O 1$290

NA NANA 39.0

7.0 7.032.0 21.0

NA NANA NA

106.5 10000112.0 98.0S7.O S800

NA 23.0

95*5 130.041.0 46.062.0 10*.O5.0 4*O

INT 05 1INT 05 2INT 05 3INT 05 4

14.013.921.210.1

10.410.223.14.7

92.013*.O

76.045.0

75.0102.0149.018.0

INT 06 1INT 06 2INT 06 3INT 06 4

14.213.424.3

7.1

11*310.718.34.6

103.0103.0126.0

MA

115.0148.096.0

NA

INT 07 1INT 07 2INT 07 3INT 07 4

15.515.121.716.1

13*910*518.9

14900182.085.0

NA

10100126.0112.0

NA

INT 08 1INT 08 2INT 08 3[NT 08 4

12.912.317.6

10.19.6

13.63.5

52.055.019.0

NA

60.063.023.0

NA

INT 09 1[NT 09 2INT 09 3INT 09 4

12.612.8

11.7

12*211*919.713.7

+0.079.0MA

5100

15990188.0

NA65.0

INT 10 1INT 10 2INT 10 3INT 10 4

13*7130713.511.8

90910.2

5.6

83.0125.0

NANA

55*O109.0

NA32.0

INT 11 1INT 11 2INT 11 3INT 11 4

11.911.9

8.8

9.89.9

sol

23.039.0

NAMA

51.083.0

NANA

INT 12 1INT 12 2INT 12 3INT 12 4

130412.120●12.3

11.49.6

20.12.9

72.049* o52.0

NA

123.064.0

127.07.0

INT 13 1INT 13 2INT 13 3INT 13 4

15.513.023.09.3

11.89.5

18.94.1

147*O86.0

108.041.0

146.058.0

1110013*O

“ HSA R

INT 14 1INT 1+ 2INT 1+ 3INT 14 4

INT 15 1INT 15 2INT 15 3INT 15 4

Infant, neonatal,, and postneonatal morts[ity rates, mrresponding ranks, and ratios of change by ram: Us. hea[th semi~ areas (HSA”S), 1969-73 and 1974-77-Con.

‘--------------INFAN T---------- ‘------------NEO NATAL ---------- ------------PO STNEONATAL -------

RATE RANK RATIO RATE RANK RAT 10 RATE RANK RATIO BIRTfiS

1969 197$ 1969 1974 74-77— —- 1969 1974-73

1959-77 -73

1974 74-77 1969 1974 1969-77 69-73 -73

—- 1974 74-77 1969 “ 1974-77 -73 -77 69-73

---—-73 -77 -73 -77 69-73 -73 -77

18.6 13.8 91.0 51.5 007 14.2 1002 104.0 63.0 0.71 4.3 3.6 75.0 40.0 0.92 36563 2493218.6 13*7 15000 10000

..-0.7 14.3 10*2 150.0 10400 0:7; 4.3 3.5 141*O

NA NA 19.8 11.5S3.O 0.92

MA MA MA 7.435952

NA8.6 MA

24398

NA 5.3 NANA

MAHA

MA405 347

+*9 - MA NA MA 206 18727.2 20.2 NA

4.9 5.3 NA

19.3 15.3 113.019.9 15.3 166.033.3 26.1 NA

NA

.,

.

.

●

09.0 0.7 15.5 ,11.4 148.0 119.0 0073 3.865oO 0.7

3*9 33.0 77.0 1932 3740215.3 11.3 18600 175.0 0.74 307 3.8

2526954*O 117.0

NA MA1.03

23.2 15.3 NA MA36330

MA 10.1 9.824585

NA MANA NA

NA MANA 990

NA614

NA NA MA 82 70

,.

Symbols

NA Not applicableQuantity zero

0.0 Quantity more than O but less than 0.05 0

r

. ... .. .

Statistical Notes for Health Planners is a cooperative activity of the National Center for Health Statistics and the Bureau ofHealth Pl@g, Health Resources Administration.

Information, questions, and contributions should be directed to Joel C. Kleinman, Division of Analysis, NCHS, 3700 East-WestHighway,’Hyattsville, Maryland 20782.

... ?:“-..,.:

a

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES POSTAGE AND FEES PAID

Public Health Service U.S. DEPARTMENT OF HHS

Office of Health Research, Statistics, and Technology HHS 396 0*National Center for Health Statistics

3700 East-West Highway

U.S.MAIL

THIRD CLASS

Hyattsville, Maryland 20782

OFFICIAL BUSINESSPENALTY FOR PRIVATE USE, $300

HRsT”~.

from the OMce of Health Research, Statistics, and TechnologyDHHS Publication No. (PHS) 81-1237 .

L

statistical notes for health planners, no. 13 (may 1981) · changes in infant mortality and related...

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