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Bernard Guyer - One of the best experts on this subject based on the ideXlab platform.
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annual summary of Vital Statistics 2012 2013
Pediatrics, 2015Co-Authors: Michelle J K Osterman, Donna M Strobino, Kenneth D Kochanek, Marian F Macdorman, Bernard GuyerAbstract:The number of births in the United States declined by 1% between 2012 and 2013, to a total of 3 932 181. The general fertility rate also declined 1% to 62.5 births per 1000 women, the lowest rate ever reported. The total fertility rate was down by 1% in 2013 (to 1857.5 births per 1000 women). The teenage birth rate fell to another historic low in 2013, 26.5 births per 1000 women. Birth rates also declined for women 20 to 29 years, but the rates rose for women 30 to 39 and were unchanged for women 40 to 44. The percentage of all births that were to unmarried women declined slightly to 40.6% in 2013, from 40.7% in 2012. In 2013, the cesarean delivery rate declined to 32.7% from 32.8% for 2012. The preterm birth rate declined for the seventh straight year in 2013 to 11.39%; the low birth weight (LBW) rate was essentially unchanged at 8.02%. The infant mortality rate was 5.96 infant deaths per 1000 live births in 2013, down 13% from 2005 (6.86). The age-adjusted death rate for 2013 was 7.3 deaths per 1000 population, unchanged from 2012. Crude death rates for children aged 1 to 19 years declined to 24.0 per 100 000 population in 2013, from 24.8 in 2012. Unintentional injuries and suicide were, respectively, the first and second leading causes of death in this age group. These 2 causes of death jointly accounted for 45.7% of all deaths to children and adolescents in 2013.
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annual summary of Vital Statistics 2010 2011
Obstetrical & Gynecological Survey, 2013Co-Authors: Brady E Hamilton, Joyce A Martin, Donna M Strobino, Donna L Hoyert, Bernard GuyerAbstract:This review summarizes current Vital Statistics obtained from birth and death certificates for US residents. Patterns and trends were assessed according to age, race/ethnicity, and other characteristics. Infant mortality was defined as death at age younger than 1 year, and infant mortality rates (IMRs) were computed. Neonatal mortality rates (NMRs) were determined for infant deaths at age younger than 28 days, and postneonatal mortality rates (PNMRs) included infant deaths at 28 days to less than 1 year of age. In 2011, 3,953,593 births were recorded, 1% and 4% fewer than in 2010 and 2009, respectively. The crude birth rate was 12.7 births/1000 total population in 2011, the lowest rate ever. The general fertility rate decreased to a record low of 63.2 in 2011 compared with 64.1 in 2010. Birth rates declined among women aged 15 to 29 years and reached historic lows for those aged 15 to 19 and 20 to 24 years, whereas rates increased for women aged 35 to 39 and 40 to 44 years. The teenage birth rate decreased by 8% from 2010 to 2011 and was at an all-time low of 31.3 births/1000 women. Birth rates for teenagers 15 to 17 and 18 to 19 years old decreased by 11% and 7% from 2010 to 2011 (15.4/1000 and 54.1/1000, respectively, in 2011). The teenage birth rate fell by 49% from 1991 through 2011. The rate for women aged 30 to 34 years was unchanged from 2010 to 2011 at 96.5 births/1000, whereas the birth rate for women aged 35 to 39 years increased by 3% in 2011 to 47.2/1000 from 45.9/1000 women in 2010. The birth rate for women aged 40 to 44 years increased by 1% in 2011 to 10.3/1000 from 10.2/1000 women in 2010. The birth rate for women aged 45 to 49 years was unchanged at 0.7 for 2011 and 2010. The cesarean delivery rate remained at 32.8% in 2011 compared with 2010, after a steady increase from 1996 to 2009. In 2010, the twin birth rate declined to 33.1 twins/1000 total births from 33.2 in 2009. The twin birth rate increased by 76% overall from 1980 to 2009. The triplet/+ rate was 137.6/100,000 total births in 2010 compared with 153.5 in 2009, a decrease of 10%. In 2011, the preterm birth rate was 11.7% compared with 12.0% in 2010. The early preterm percentage birth rate declined from 3.5% to 3.4%, and the late preterm rate from 8.5% to 8.3%. In 2011, 23,910 infant deaths were reported. The IMRs, NMRs, and PNMRs were, respectively, 6.05, 4.04, and 2.01 deaths/1000 live births. Over the whole period, the IMR, NMR, and PNMR each decreased by ∼13%; for 2011, however, only the PNMR (2.01) was lower than the 2010 rate (2.10). In 2011, 56.4% of all infant deaths were due to congenital malformations, deformations, and chromosomal abnormalities (20.8%); disorders related to short gestation and low birth weight (17.2%); sudden infant death syndrome (7.2%); newborn affected by maternal complications of pregnancy (6.6%); and accidents (4.6%). These 5 leading causes of infant death were the same in 2010. Vital Statistics are essential for monitoring the health of a population. The value of the data will improve through efforts to advance data quality, especially that for health and medical information. Multiple strategies by various state and federal agencies and associations are being developed and implemented to assess and improve data quality.
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annual summary of Vital Statistics 2010 2011
Pediatrics, 2013Co-Authors: Brady E Hamilton, Joyce A Martin, Donna M Strobino, Donna L Hoyert, Bernard GuyerAbstract:The number of births in the United States declined by 1% between 2010 and 2011, to a total of 3 953 593. The general fertility rate also declined by 1% to 63.2 births per 1000 women, the lowest rate ever reported. The total fertility rate was down by 2% in 2011 (to 1894.5 births per 1000 women). The teenage birth rate fell to another historic low in 2011, 31.3 births per 1000 women. Birth rates also declined for women aged 20 to 29 years, but the rates increased for women aged 35 to 39 and 40 to 44 years. The percentage of all births to unmarried women declined slightly to 40.7% in 2011, from 40.8% in 2010. In 2011, the cesarean delivery rate was unchanged from 2010 at 32.8%. The preterm birth rate declined for the fifth straight year in 2011 to 11.72%; the low birth weight rate declined slightly to 8.10%. The infant mortality rate was 6.05 infant deaths per 1000 live births in 2011, which was not significantly lower than the rate of 6.15 deaths in 2010. Life expectancy at birth was 78.7 years in 2011, which was unchanged from 2010. Crude death rates for children aged 1 to 19 years did not change significantly between 2010 and 2011. Unintentional injuries and homicide were the first and second leading causes of death, respectively, in this age group. These 2 causes of death jointly accounted for 47.0% of all deaths of children and adolescents in 2011.
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annual summary of Vital Statistics 2009
Pediatrics, 2012Co-Authors: Kenneth D Kochanek, Joyce A Martin, Donna M Strobino, Sharon Kirmeyer, Bernard GuyerAbstract:The number of births in the United States decreased by 3% between 2008 and 2009 to 4 130 665 births. The general fertility rate also declined 3% to 66.7 per 1000 women. The teenage birth rate fell 6% to 39.1 per 1000. Birth rates also declined for women 20 to 39 years and for all 5-year groups, but the rate for women 40 to 44 years continued to rise. The percentage of all births to unmarried women increased to 41.0% in 2009, up from 40.6% in 2008. In 2009, 32.9% of all births occurred by cesarean delivery, continuing its rise. The 2009 preterm birth rate declined for the third year in a row to 12.18%. The low-birth-weight rate was unchanged in 2009 at 8.16%. Both twin and triplet and higher order birth rates increased. The infant mortality rate was 6.42 infant deaths per 1000 live births in 2009. The rate is significantly lower than the rate of 6.61 in 2008. Linked birth and infant death data from 2007 showed that non-Hispanic black infants continued to have much higher mortality rates than non-Hispanic white and Hispanic infants. Life expectancy at birth was 78.2 years in 2009. Crude death rates for children and adolescents aged 1 to 19 years decreased by 6.5% between 2008 and 2009. Unintentional injuries and homicide, the first and second leading causes of death jointly accounted for 48.6% of all deaths to children and adolescents in 2009.
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annual summary of Vital Statistics 2008
Pediatrics, 2011Co-Authors: T J Mathews, Arialdi M Minino, Michelle J K Osterman, Donna M Strobino, Bernard GuyerAbstract:The number of births in the United States decreased between 2007 and 2008 (preliminary estimate: 4 251 095). Birth rates declined among all women aged 15 to 39 years; the decrease among teenagers reverses the increases seen in the previous 2 years. The total fertility rate decreased 2% in 2008 to 2085.5 births per 1000 women. The proportion of all births to unmarried women increased to 40.6% in 2008, up from 39.7% in 2007. The 2008 preterm birth rate was 12.3%, a decline of 3% from 2007. In 2008, 32.3% of all births occurred by cesarean delivery, up nearly 2% from 2007. Twin and triplet birth rates were unchanged. The infant mortality rate was 6.59 infant deaths per 1000 live births in 2008 (significantly lower than the rate of 6.75 in 2007). Life expectancy at birth was 77.8 years in 2008. Crude death rates for children aged 1 to 19 years decreased by 5.5% between 2007 and 2008. Unintentional injuries and homicide were, respectively, the first and second leading causes of death in this age group. These 2 causes of death jointly accounted for 51.2% of all deaths of children and adolescents in 2008. This annual article is a long-standing feature in Pediatrics and provides a summary of the most current Vital Statistics data for the United States. We also include a special feature this year on the differences in cesarean-delivery rates according to race and Hispanic origin.
Alan D Lopez - One of the best experts on this subject based on the ideXlab platform.
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how reliable are self reported estimates of birth registration completeness comparison with Vital Statistics systems
PLOS ONE, 2021Co-Authors: Tim Adair, Alan D LopezAbstract:Background The widely-used estimates of completeness of birth registration collected by Demographic and Health Surveys (DHS) and Multiple Indicator Cluster Surveys (MICS) and published by UNICEF primarily rely on registration status of children as reported by respondents. However, these self-reported estimates may be inaccurate when compared with completeness as assessed from nationally-reported official birth registration Statistics, for several reasons, including over-reporting of registration due to concern about penalties for non-registration. This study assesses the concordance of self-reported birth registration and certification completeness with completeness calculated from civil registration and Vital Statistics (CRVS) systems data for 57 countries. Methods Self-reported estimates of birth registration and certification completeness, at ages less than five years and 12-23 months, were compiled and calculated from the UNICEF birth registration database, DHS and MICS. CRVS birth registration completeness was calculated as birth registrations reported by a national authority divided by estimates of live births published in the United Nations (UN) World Population Prospects or the Global Burden of Disease (GBD) Study. Summary measures of concordance were used to compare completeness estimates. Findings Birth registration completeness (based on ages less than five years) calculated from self-reported data is higher than that estimated from CRVS data in most of the 57 countries (31 countries according to UN estimated births, average six percentage points (p.p.) higher; 43 countries according to GBD, average eight p.p. higher). For countries with CRVS completeness less than 95%, self-reported completeness was higher in 26 of 28 countries, an average 13 p.p. and median 9-10 p.p. higher. Self-reported completeness is at least 30 p.p. higher than CRVS completeness in three countries. Self-reported birth certification completeness exhibits closer concordance with CRVS completeness. Similar results are found for self-reported completeness at 12-23 months. Conclusions These findings suggest that self-reported completeness figures over-estimate completeness when compared with CRVS data, especially at lower levels of completeness, partly due to over-reporting of registration by respondents. Estimates published by UNICEF should be viewed cautiously, especially given their wide usage.
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better data for better outcomes the importance of process mapping and management in crvs systems
BMC Medicine, 2020Co-Authors: Don De Savigny, Daniel Cobos Munoz, John D Hart, Renee Sorchik, Viola Kwa, Xavier Ngomituje, Nicola Richards, Alan D LopezAbstract:Despite attempts to apply standard methods proven to work in high-income nations, nearly all civil registration and Vital Statistics (CRVS) systems in low- and middle-income countries are failing to achieve adequate levels of registration completeness or produce the high-quality Vital Statistics needed to support better health outcomes and monitor progress towards the 2030 Sustainable Development Goals. This suggests that, rather than simple technical issues, these countries are facing additional or different systemic challenges, including duplication of roles and responsibilities, inefficient methods of data collection, and a reluctance to change. Process management is a valuable tool that strengthens the production of Vital Statistics by providing a visualisation of data flow from start to finish. It helps identify gaps and bottlenecks in the process, allowing stakeholders to work collaboratively to find solutions and target interventions. As part of the Bloomberg Philanthropies Data for Health Initiative at the University of Melbourne, 16 countries were supported in mapping the varied processes required in registering a birth or death. Comparative analysis exposed several limitations in the design of CRVS systems that hinder their performance — from ‘passive’ systems, to overly complex and fragmented system design, through to poor collaboration and duplication of efforts. The experiences from Myanmar, Papua New Guinea and Rwanda reported in this paper illustrate the benefits of process management to improve CRVS. While these three countries are at different stages of system development, each uniquely benefited. Process management is a useful tool for all CRVS systems, from the most rudimentary to the most developed. It can strengthen CRVS systems and improve the quality and completeness of Vital Statistics, resulting in more robust, reliable and timely Vital Statistics for health planning and better monitoring of the 2030 Sustainable Development Goal agenda.
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are well functioning civil registration and Vital Statistics systems associated with better health outcomes
The Lancet, 2015Co-Authors: David Phillips, Alan D Lopez, Lene Mikkelsen, Carla Abouzahr, Don De Savigny, Rafael Lozano, John R Wilmoth, Philip W. SetelAbstract:In this Series paper, we examine whether well functioning civil registration and Vital Statistics (CRVS) systems are associated with improved population health outcomes. We present a conceptual model connecting CRVS to wellbeing, and describe an ecological association between CRVS and health outcomes. The conceptual model posits that the legal identity that civil registration provides to individuals is key to access entitlements and services. Vital Statistics produced by CRVS systems provide essential information for public health policy and prevention. These outcomes benefit individuals and societies, including improved health. We use marginal linear models and lag-lead analysis to measure ecological associations between a composite metric of CRVS performance and three health outcomes. Results are consistent with the conceptual model: improved CRVS performance coincides with improved health outcomes worldwide in a temporally consistent manner. Investment to strengthen CRVS systems is not only an important goal for individuals and societies, but also a development imperative that is good for health.
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towards universal civil registration and Vital Statistics systems the time is now
The Lancet, 2015Co-Authors: Carla Abouzahr, Philip W. Setel, Lene Mikkelsen, Don De Savigny, Rafael Lozano, Alan D LopezAbstract:The health and development challenges of the coming decades cannot be tackled effectively without reliable data for births, deaths, and causes of death, which only a comprehensive civil registration and Vital Statistics (CRVS) system can deliver. Alternative methods such as surveys, censuses, or surveillance are not adequate substitutes from a statistical perspective, and do not provide individuals with the legal documentation they need to benefit from services and participate fully in a modern society. Research is needed to generate and disseminate evidence about which CRVS strategies work best in which contexts and to ensure that the potential benefits of innovation are successfully scaled up, and that possible pitfalls are avoided. Research findings need to be compiled and made readily accessible to users for policy making, programming, and practice. Modernisation of CRVS systems necessitates new, broad-based national and international coalitions. The global architecture for CRVS, so far dominated by UN agencies, should extend to include bilateral donors, funds, foundations, non-governmental organisations, the private sector, academic institutions, and civil society. This change is essential to ensure that further development of CRVS systems is inclusive, participatory, multisectoral, and has a strong evidence base.
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civil registration and Vital Statistics progress in the data revolution for counting and accountability
The Lancet, 2015Co-Authors: Carla Abouzahr, Philip W. Setel, Lene Mikkelsen, Don De Savigny, Rafael Lozano, Francis C Notzon, Erin Nichols, Alan D LopezAbstract:New momentum for civil registration and Vital Statistics (CRVS) is building, driven by the confluence of growing demands for accountability and results in health, improved equity, and rights-based approaches to development challenges, and by the immense potential of innovation and new technologies to accelerate CRVS improvement. Examples of country successes in strengthening of hitherto weak systems are emerging. The key to success has been to build collaborative partnerships involving local ownership by several sectors that span registration, justice, health, Statistics, and civil society. Regional partners can be important to raise awareness, set regional goals and targets, foster country-to-country exchange and mutual learning, and build high-level political commitment. These regional partners continue to provide a platform through which country stakeholders, development partners, and technical experts can share experiences, develop and document good practices, and propose innovative approaches to tackle CRVS challenges. This country and regional momentum would benefit from global leadership, commitment, and support.
Joyce A Martin - One of the best experts on this subject based on the ideXlab platform.
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annual summary of Vital Statistics 2013 2014
Pediatrics, 2017Co-Authors: Sherry L Murphy, Joyce A Martin, T J Mathews, Cynthia S Minkovitz, Donna M StrobinoAbstract:The number of births in the United States increased by 1% between 2013 and 2014, to a total of 3 988 076. The general fertility rate rose 1% to 62.9 births per 1000 women. The total fertility rate also rose 0.3% in 2014, to 1862.5 births per 1000 women. The teenage birth rate fell to another historic low in 2014, 24.2 births per 1000 women. The percentage of all births to unmarried women declined to 40.2% in 2014, from 40.6% in 2013. In 2014, the cesarean delivery rate declined to 32.2% from 32.7% in 2013. The preterm birth rate declined for the seventh straight year in 2014 to 9.57%; the low birth weight rate was unchanged at 8.00%. The infant mortality rate decreased to a historic low of 5.82 infant deaths per 1000 live births in 2014. The age-adjusted death rate for 2014 was 7.2 deaths per 1000 population, down 1% from 2013. Crude death rates for children aged 1 to 19 years did not change significantly between 2013 and 2014. Unintentional injuries and suicide were, respectively, the first and second leading causes of death in this age group. These 2 causes of death jointly accounted for 46.5% of all deaths to children and adolescents in 2014.
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measuring gestational age in Vital Statistics data transitioning to the obstetric estimate
National vital statistics reports : from the Centers for Disease Control and Prevention National Center for Health Statistics National Vital Statistic, 2015Co-Authors: Joyce A Martin, Michelle J K Osterman, Sharon Kirmeyer, Elizabeth C W GregoryAbstract:Beginning with the 2014 data year, the National Center for Health Statistics is transitioning to a new standard for estimating the gestational age of a newborn. The new measure, the obstetric estimate of gestation at delivery (OE), replaces the measure based on the date of the last normal menses (LMP). This transition is being made because of increasing evidence of the greater validity of the OE compared with the LMP-based measure. This report describes the relationship between the two measures. Agreement between the two measures is shown for 2013. Comparisons between the two measures for single gestational weeks and selected gestational age categories for 2013, and trends in the two measures for 2007-2013 by gestational category, focusing on preterm births, are shown for the United States and by race and Hispanic origin and state.
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annual summary of Vital Statistics 2010 2011
Obstetrical & Gynecological Survey, 2013Co-Authors: Brady E Hamilton, Joyce A Martin, Donna M Strobino, Donna L Hoyert, Bernard GuyerAbstract:This review summarizes current Vital Statistics obtained from birth and death certificates for US residents. Patterns and trends were assessed according to age, race/ethnicity, and other characteristics. Infant mortality was defined as death at age younger than 1 year, and infant mortality rates (IMRs) were computed. Neonatal mortality rates (NMRs) were determined for infant deaths at age younger than 28 days, and postneonatal mortality rates (PNMRs) included infant deaths at 28 days to less than 1 year of age. In 2011, 3,953,593 births were recorded, 1% and 4% fewer than in 2010 and 2009, respectively. The crude birth rate was 12.7 births/1000 total population in 2011, the lowest rate ever. The general fertility rate decreased to a record low of 63.2 in 2011 compared with 64.1 in 2010. Birth rates declined among women aged 15 to 29 years and reached historic lows for those aged 15 to 19 and 20 to 24 years, whereas rates increased for women aged 35 to 39 and 40 to 44 years. The teenage birth rate decreased by 8% from 2010 to 2011 and was at an all-time low of 31.3 births/1000 women. Birth rates for teenagers 15 to 17 and 18 to 19 years old decreased by 11% and 7% from 2010 to 2011 (15.4/1000 and 54.1/1000, respectively, in 2011). The teenage birth rate fell by 49% from 1991 through 2011. The rate for women aged 30 to 34 years was unchanged from 2010 to 2011 at 96.5 births/1000, whereas the birth rate for women aged 35 to 39 years increased by 3% in 2011 to 47.2/1000 from 45.9/1000 women in 2010. The birth rate for women aged 40 to 44 years increased by 1% in 2011 to 10.3/1000 from 10.2/1000 women in 2010. The birth rate for women aged 45 to 49 years was unchanged at 0.7 for 2011 and 2010. The cesarean delivery rate remained at 32.8% in 2011 compared with 2010, after a steady increase from 1996 to 2009. In 2010, the twin birth rate declined to 33.1 twins/1000 total births from 33.2 in 2009. The twin birth rate increased by 76% overall from 1980 to 2009. The triplet/+ rate was 137.6/100,000 total births in 2010 compared with 153.5 in 2009, a decrease of 10%. In 2011, the preterm birth rate was 11.7% compared with 12.0% in 2010. The early preterm percentage birth rate declined from 3.5% to 3.4%, and the late preterm rate from 8.5% to 8.3%. In 2011, 23,910 infant deaths were reported. The IMRs, NMRs, and PNMRs were, respectively, 6.05, 4.04, and 2.01 deaths/1000 live births. Over the whole period, the IMR, NMR, and PNMR each decreased by ∼13%; for 2011, however, only the PNMR (2.01) was lower than the 2010 rate (2.10). In 2011, 56.4% of all infant deaths were due to congenital malformations, deformations, and chromosomal abnormalities (20.8%); disorders related to short gestation and low birth weight (17.2%); sudden infant death syndrome (7.2%); newborn affected by maternal complications of pregnancy (6.6%); and accidents (4.6%). These 5 leading causes of infant death were the same in 2010. Vital Statistics are essential for monitoring the health of a population. The value of the data will improve through efforts to advance data quality, especially that for health and medical information. Multiple strategies by various state and federal agencies and associations are being developed and implemented to assess and improve data quality.
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annual summary of Vital Statistics 2010 2011
Pediatrics, 2013Co-Authors: Brady E Hamilton, Joyce A Martin, Donna M Strobino, Donna L Hoyert, Bernard GuyerAbstract:The number of births in the United States declined by 1% between 2010 and 2011, to a total of 3 953 593. The general fertility rate also declined by 1% to 63.2 births per 1000 women, the lowest rate ever reported. The total fertility rate was down by 2% in 2011 (to 1894.5 births per 1000 women). The teenage birth rate fell to another historic low in 2011, 31.3 births per 1000 women. Birth rates also declined for women aged 20 to 29 years, but the rates increased for women aged 35 to 39 and 40 to 44 years. The percentage of all births to unmarried women declined slightly to 40.7% in 2011, from 40.8% in 2010. In 2011, the cesarean delivery rate was unchanged from 2010 at 32.8%. The preterm birth rate declined for the fifth straight year in 2011 to 11.72%; the low birth weight rate declined slightly to 8.10%. The infant mortality rate was 6.05 infant deaths per 1000 live births in 2011, which was not significantly lower than the rate of 6.15 deaths in 2010. Life expectancy at birth was 78.7 years in 2011, which was unchanged from 2010. Crude death rates for children aged 1 to 19 years did not change significantly between 2010 and 2011. Unintentional injuries and homicide were the first and second leading causes of death, respectively, in this age group. These 2 causes of death jointly accounted for 47.0% of all deaths of children and adolescents in 2011.
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annual summary of Vital Statistics 2009
Pediatrics, 2012Co-Authors: Kenneth D Kochanek, Joyce A Martin, Donna M Strobino, Sharon Kirmeyer, Bernard GuyerAbstract:The number of births in the United States decreased by 3% between 2008 and 2009 to 4 130 665 births. The general fertility rate also declined 3% to 66.7 per 1000 women. The teenage birth rate fell 6% to 39.1 per 1000. Birth rates also declined for women 20 to 39 years and for all 5-year groups, but the rate for women 40 to 44 years continued to rise. The percentage of all births to unmarried women increased to 41.0% in 2009, up from 40.6% in 2008. In 2009, 32.9% of all births occurred by cesarean delivery, continuing its rise. The 2009 preterm birth rate declined for the third year in a row to 12.18%. The low-birth-weight rate was unchanged in 2009 at 8.16%. Both twin and triplet and higher order birth rates increased. The infant mortality rate was 6.42 infant deaths per 1000 live births in 2009. The rate is significantly lower than the rate of 6.61 in 2008. Linked birth and infant death data from 2007 showed that non-Hispanic black infants continued to have much higher mortality rates than non-Hispanic white and Hispanic infants. Life expectancy at birth was 78.2 years in 2009. Crude death rates for children and adolescents aged 1 to 19 years decreased by 6.5% between 2008 and 2009. Unintentional injuries and homicide, the first and second leading causes of death jointly accounted for 48.6% of all deaths to children and adolescents in 2009.
Donna M Strobino - One of the best experts on this subject based on the ideXlab platform.
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annual summary of Vital Statistics 2013 2014
Pediatrics, 2017Co-Authors: Sherry L Murphy, Joyce A Martin, T J Mathews, Cynthia S Minkovitz, Donna M StrobinoAbstract:The number of births in the United States increased by 1% between 2013 and 2014, to a total of 3 988 076. The general fertility rate rose 1% to 62.9 births per 1000 women. The total fertility rate also rose 0.3% in 2014, to 1862.5 births per 1000 women. The teenage birth rate fell to another historic low in 2014, 24.2 births per 1000 women. The percentage of all births to unmarried women declined to 40.2% in 2014, from 40.6% in 2013. In 2014, the cesarean delivery rate declined to 32.2% from 32.7% in 2013. The preterm birth rate declined for the seventh straight year in 2014 to 9.57%; the low birth weight rate was unchanged at 8.00%. The infant mortality rate decreased to a historic low of 5.82 infant deaths per 1000 live births in 2014. The age-adjusted death rate for 2014 was 7.2 deaths per 1000 population, down 1% from 2013. Crude death rates for children aged 1 to 19 years did not change significantly between 2013 and 2014. Unintentional injuries and suicide were, respectively, the first and second leading causes of death in this age group. These 2 causes of death jointly accounted for 46.5% of all deaths to children and adolescents in 2014.
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annual summary of Vital Statistics 2012 2013
Pediatrics, 2015Co-Authors: Michelle J K Osterman, Donna M Strobino, Kenneth D Kochanek, Marian F Macdorman, Bernard GuyerAbstract:The number of births in the United States declined by 1% between 2012 and 2013, to a total of 3 932 181. The general fertility rate also declined 1% to 62.5 births per 1000 women, the lowest rate ever reported. The total fertility rate was down by 1% in 2013 (to 1857.5 births per 1000 women). The teenage birth rate fell to another historic low in 2013, 26.5 births per 1000 women. Birth rates also declined for women 20 to 29 years, but the rates rose for women 30 to 39 and were unchanged for women 40 to 44. The percentage of all births that were to unmarried women declined slightly to 40.6% in 2013, from 40.7% in 2012. In 2013, the cesarean delivery rate declined to 32.7% from 32.8% for 2012. The preterm birth rate declined for the seventh straight year in 2013 to 11.39%; the low birth weight (LBW) rate was essentially unchanged at 8.02%. The infant mortality rate was 5.96 infant deaths per 1000 live births in 2013, down 13% from 2005 (6.86). The age-adjusted death rate for 2013 was 7.3 deaths per 1000 population, unchanged from 2012. Crude death rates for children aged 1 to 19 years declined to 24.0 per 100 000 population in 2013, from 24.8 in 2012. Unintentional injuries and suicide were, respectively, the first and second leading causes of death in this age group. These 2 causes of death jointly accounted for 45.7% of all deaths to children and adolescents in 2013.
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annual summary of Vital Statistics 2010 2011
Obstetrical & Gynecological Survey, 2013Co-Authors: Brady E Hamilton, Joyce A Martin, Donna M Strobino, Donna L Hoyert, Bernard GuyerAbstract:This review summarizes current Vital Statistics obtained from birth and death certificates for US residents. Patterns and trends were assessed according to age, race/ethnicity, and other characteristics. Infant mortality was defined as death at age younger than 1 year, and infant mortality rates (IMRs) were computed. Neonatal mortality rates (NMRs) were determined for infant deaths at age younger than 28 days, and postneonatal mortality rates (PNMRs) included infant deaths at 28 days to less than 1 year of age. In 2011, 3,953,593 births were recorded, 1% and 4% fewer than in 2010 and 2009, respectively. The crude birth rate was 12.7 births/1000 total population in 2011, the lowest rate ever. The general fertility rate decreased to a record low of 63.2 in 2011 compared with 64.1 in 2010. Birth rates declined among women aged 15 to 29 years and reached historic lows for those aged 15 to 19 and 20 to 24 years, whereas rates increased for women aged 35 to 39 and 40 to 44 years. The teenage birth rate decreased by 8% from 2010 to 2011 and was at an all-time low of 31.3 births/1000 women. Birth rates for teenagers 15 to 17 and 18 to 19 years old decreased by 11% and 7% from 2010 to 2011 (15.4/1000 and 54.1/1000, respectively, in 2011). The teenage birth rate fell by 49% from 1991 through 2011. The rate for women aged 30 to 34 years was unchanged from 2010 to 2011 at 96.5 births/1000, whereas the birth rate for women aged 35 to 39 years increased by 3% in 2011 to 47.2/1000 from 45.9/1000 women in 2010. The birth rate for women aged 40 to 44 years increased by 1% in 2011 to 10.3/1000 from 10.2/1000 women in 2010. The birth rate for women aged 45 to 49 years was unchanged at 0.7 for 2011 and 2010. The cesarean delivery rate remained at 32.8% in 2011 compared with 2010, after a steady increase from 1996 to 2009. In 2010, the twin birth rate declined to 33.1 twins/1000 total births from 33.2 in 2009. The twin birth rate increased by 76% overall from 1980 to 2009. The triplet/+ rate was 137.6/100,000 total births in 2010 compared with 153.5 in 2009, a decrease of 10%. In 2011, the preterm birth rate was 11.7% compared with 12.0% in 2010. The early preterm percentage birth rate declined from 3.5% to 3.4%, and the late preterm rate from 8.5% to 8.3%. In 2011, 23,910 infant deaths were reported. The IMRs, NMRs, and PNMRs were, respectively, 6.05, 4.04, and 2.01 deaths/1000 live births. Over the whole period, the IMR, NMR, and PNMR each decreased by ∼13%; for 2011, however, only the PNMR (2.01) was lower than the 2010 rate (2.10). In 2011, 56.4% of all infant deaths were due to congenital malformations, deformations, and chromosomal abnormalities (20.8%); disorders related to short gestation and low birth weight (17.2%); sudden infant death syndrome (7.2%); newborn affected by maternal complications of pregnancy (6.6%); and accidents (4.6%). These 5 leading causes of infant death were the same in 2010. Vital Statistics are essential for monitoring the health of a population. The value of the data will improve through efforts to advance data quality, especially that for health and medical information. Multiple strategies by various state and federal agencies and associations are being developed and implemented to assess and improve data quality.
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annual summary of Vital Statistics 2010 2011
Pediatrics, 2013Co-Authors: Brady E Hamilton, Joyce A Martin, Donna M Strobino, Donna L Hoyert, Bernard GuyerAbstract:The number of births in the United States declined by 1% between 2010 and 2011, to a total of 3 953 593. The general fertility rate also declined by 1% to 63.2 births per 1000 women, the lowest rate ever reported. The total fertility rate was down by 2% in 2011 (to 1894.5 births per 1000 women). The teenage birth rate fell to another historic low in 2011, 31.3 births per 1000 women. Birth rates also declined for women aged 20 to 29 years, but the rates increased for women aged 35 to 39 and 40 to 44 years. The percentage of all births to unmarried women declined slightly to 40.7% in 2011, from 40.8% in 2010. In 2011, the cesarean delivery rate was unchanged from 2010 at 32.8%. The preterm birth rate declined for the fifth straight year in 2011 to 11.72%; the low birth weight rate declined slightly to 8.10%. The infant mortality rate was 6.05 infant deaths per 1000 live births in 2011, which was not significantly lower than the rate of 6.15 deaths in 2010. Life expectancy at birth was 78.7 years in 2011, which was unchanged from 2010. Crude death rates for children aged 1 to 19 years did not change significantly between 2010 and 2011. Unintentional injuries and homicide were the first and second leading causes of death, respectively, in this age group. These 2 causes of death jointly accounted for 47.0% of all deaths of children and adolescents in 2011.
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annual summary of Vital Statistics 2009
Pediatrics, 2012Co-Authors: Kenneth D Kochanek, Joyce A Martin, Donna M Strobino, Sharon Kirmeyer, Bernard GuyerAbstract:The number of births in the United States decreased by 3% between 2008 and 2009 to 4 130 665 births. The general fertility rate also declined 3% to 66.7 per 1000 women. The teenage birth rate fell 6% to 39.1 per 1000. Birth rates also declined for women 20 to 39 years and for all 5-year groups, but the rate for women 40 to 44 years continued to rise. The percentage of all births to unmarried women increased to 41.0% in 2009, up from 40.6% in 2008. In 2009, 32.9% of all births occurred by cesarean delivery, continuing its rise. The 2009 preterm birth rate declined for the third year in a row to 12.18%. The low-birth-weight rate was unchanged in 2009 at 8.16%. Both twin and triplet and higher order birth rates increased. The infant mortality rate was 6.42 infant deaths per 1000 live births in 2009. The rate is significantly lower than the rate of 6.61 in 2008. Linked birth and infant death data from 2007 showed that non-Hispanic black infants continued to have much higher mortality rates than non-Hispanic white and Hispanic infants. Life expectancy at birth was 78.2 years in 2009. Crude death rates for children and adolescents aged 1 to 19 years decreased by 6.5% between 2008 and 2009. Unintentional injuries and homicide, the first and second leading causes of death jointly accounted for 48.6% of all deaths to children and adolescents in 2009.
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annual summary of Vital Statistics 2010 2011
Obstetrical & Gynecological Survey, 2013Co-Authors: Brady E Hamilton, Joyce A Martin, Donna M Strobino, Donna L Hoyert, Bernard GuyerAbstract:This review summarizes current Vital Statistics obtained from birth and death certificates for US residents. Patterns and trends were assessed according to age, race/ethnicity, and other characteristics. Infant mortality was defined as death at age younger than 1 year, and infant mortality rates (IMRs) were computed. Neonatal mortality rates (NMRs) were determined for infant deaths at age younger than 28 days, and postneonatal mortality rates (PNMRs) included infant deaths at 28 days to less than 1 year of age. In 2011, 3,953,593 births were recorded, 1% and 4% fewer than in 2010 and 2009, respectively. The crude birth rate was 12.7 births/1000 total population in 2011, the lowest rate ever. The general fertility rate decreased to a record low of 63.2 in 2011 compared with 64.1 in 2010. Birth rates declined among women aged 15 to 29 years and reached historic lows for those aged 15 to 19 and 20 to 24 years, whereas rates increased for women aged 35 to 39 and 40 to 44 years. The teenage birth rate decreased by 8% from 2010 to 2011 and was at an all-time low of 31.3 births/1000 women. Birth rates for teenagers 15 to 17 and 18 to 19 years old decreased by 11% and 7% from 2010 to 2011 (15.4/1000 and 54.1/1000, respectively, in 2011). The teenage birth rate fell by 49% from 1991 through 2011. The rate for women aged 30 to 34 years was unchanged from 2010 to 2011 at 96.5 births/1000, whereas the birth rate for women aged 35 to 39 years increased by 3% in 2011 to 47.2/1000 from 45.9/1000 women in 2010. The birth rate for women aged 40 to 44 years increased by 1% in 2011 to 10.3/1000 from 10.2/1000 women in 2010. The birth rate for women aged 45 to 49 years was unchanged at 0.7 for 2011 and 2010. The cesarean delivery rate remained at 32.8% in 2011 compared with 2010, after a steady increase from 1996 to 2009. In 2010, the twin birth rate declined to 33.1 twins/1000 total births from 33.2 in 2009. The twin birth rate increased by 76% overall from 1980 to 2009. The triplet/+ rate was 137.6/100,000 total births in 2010 compared with 153.5 in 2009, a decrease of 10%. In 2011, the preterm birth rate was 11.7% compared with 12.0% in 2010. The early preterm percentage birth rate declined from 3.5% to 3.4%, and the late preterm rate from 8.5% to 8.3%. In 2011, 23,910 infant deaths were reported. The IMRs, NMRs, and PNMRs were, respectively, 6.05, 4.04, and 2.01 deaths/1000 live births. Over the whole period, the IMR, NMR, and PNMR each decreased by ∼13%; for 2011, however, only the PNMR (2.01) was lower than the 2010 rate (2.10). In 2011, 56.4% of all infant deaths were due to congenital malformations, deformations, and chromosomal abnormalities (20.8%); disorders related to short gestation and low birth weight (17.2%); sudden infant death syndrome (7.2%); newborn affected by maternal complications of pregnancy (6.6%); and accidents (4.6%). These 5 leading causes of infant death were the same in 2010. Vital Statistics are essential for monitoring the health of a population. The value of the data will improve through efforts to advance data quality, especially that for health and medical information. Multiple strategies by various state and federal agencies and associations are being developed and implemented to assess and improve data quality.
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annual summary of Vital Statistics 2010 2011
Pediatrics, 2013Co-Authors: Brady E Hamilton, Joyce A Martin, Donna M Strobino, Donna L Hoyert, Bernard GuyerAbstract:The number of births in the United States declined by 1% between 2010 and 2011, to a total of 3 953 593. The general fertility rate also declined by 1% to 63.2 births per 1000 women, the lowest rate ever reported. The total fertility rate was down by 2% in 2011 (to 1894.5 births per 1000 women). The teenage birth rate fell to another historic low in 2011, 31.3 births per 1000 women. Birth rates also declined for women aged 20 to 29 years, but the rates increased for women aged 35 to 39 and 40 to 44 years. The percentage of all births to unmarried women declined slightly to 40.7% in 2011, from 40.8% in 2010. In 2011, the cesarean delivery rate was unchanged from 2010 at 32.8%. The preterm birth rate declined for the fifth straight year in 2011 to 11.72%; the low birth weight rate declined slightly to 8.10%. The infant mortality rate was 6.05 infant deaths per 1000 live births in 2011, which was not significantly lower than the rate of 6.15 deaths in 2010. Life expectancy at birth was 78.7 years in 2011, which was unchanged from 2010. Crude death rates for children aged 1 to 19 years did not change significantly between 2010 and 2011. Unintentional injuries and homicide were the first and second leading causes of death, respectively, in this age group. These 2 causes of death jointly accounted for 47.0% of all deaths of children and adolescents in 2011.
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annual summary of Vital Statistics 2006
Pediatrics, 2008Co-Authors: Joyce A Martin, T J Mathews, Donna M Strobino, Bernard Guyer, Donna L Hoyert, Hsiang Ching Kung, Shae R SuttonAbstract:US births increased 3% between 2005 and 2006 to 4,265,996, the largest number since 1961. The crude birth rate rose 1%, to 14.2 per 1000 population, and the general fertility rate increased 3%, to 68.5 per 1000 women 15 to 44 years. Births and birth rates increased among all race and Hispanic-origin groups. Teen childbearing rose 3% in 2006, to 41.9 per 1000 females aged 15 to 19 years, the first increase after 14 years of steady decline. Birth rates rose 2% to 4% for women aged 20 to 44; rates for the youngest (10-14 years) and oldest (45-49) women were unchanged. Childbearing by unmarried women increased steeply in 2006 and set new historic highs. The cesarean-delivery rate rose by 3% in 2006 to 31.1% of all births; this figure has been up 50% over the last decade. Preterm and low birth weight rates also increased for 2006 to 12.8% and 8.3%, respectively. The 2005 infant mortality rate was 6.89 infant deaths per 1000 live births, not statistically higher than the 2004 level. Non-Hispanic black newborns continued to be more than twice as likely as non-Hispanic white and Hispanic infants to die in the first year of life in 2004. For all gender and race groups combined, expectation of life at birth reached a record high of 77.9 years in 2005. Age-adjusted death rates in the United States continue to decline. The crude death rate for children aged 1 to 19 years decreased significantly between 2000 and 2005. Of the 10 leading causes of death for children in 2005, only the death rate for cerebrovascular disease was up slightly from 2000, whereas accident and chronic lower respiratory disease death rates decreased. A large proportion of childhood deaths, however, continue to occur as a result of preventable injuries.
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annual summary of Vital Statistics 2004
Pediatrics, 2006Co-Authors: Donna L Hoyert, T J Mathews, Donna M Strobino, Fay Menacker, Bernard GuyerAbstract:The crude birth rate in 2004 was 14.0 births per 1000 population, the second lowest ever reported for the United States. The number of births and the fertility rate (66.3) increased slightly (by <1%) from 2003 to 2004. Fertility rates were highest for Hispanic women (97.7), followed by Asian or Pacific Islander (67.2), non-Hispanic black (66.7), Native American (58.9), and non-Hispanic white (58.5) women. The birth rate for teen mothers continued to fall, dropping 1% from 2003 to 2004 to 41.2 births per 1000 women aged 15 to 19 years, which is another record low. The teen birth rate has fallen 33% since 1991; declines were more rapid for younger teens aged 15 to 17 (43%) than for older teens aged 18 to 19 (26%). The proportion of all births to unmarried women is now slightly higher than one third. Smoking during pregnancy declined slightly from 2003 to 2004. In 2004, 29.1% of births were delivered by cesarean delivery, up 6% since 2003 and 41% since 1996 (20.7%). The primary cesarean delivery rate has risen 41% since 1996, whereas the rate of vaginal birth after a previous cesarean delivery has fallen 67%. The use of timely prenatal care was 84.0% in both 2003 and 2004. The percentage of preterm births rose to 12.5% in 2004 from 10.6% in 1990 and 9.4% in 1981. The percentage of low birth weight births also increased to 8.1% in 2004, up from 6.7% in 1984. Twin birth rate and triplet/+ birth rates increased by 1% and <1%, respectively, from 2002 to 2003. Multiple births accounted for 3.3% of all births in 2003. The infant mortality rate was 7.0 per 1000 live births in 2002 compared with 6.8 in 2001. The ratio of the infant mortality rate among non-Hispanic black infants to that for non-Hispanic white infants was 2.4 in 2002, the same as in 2001. The United States continues to rank poorly in international comparisons of infant mortality. Expectation of life at birth reached a record high of 77.6 years for all gender and race groups combined. Death rates in the United States continue to decline, with death rates decreasing for 8 of the 15 leading causes. Death rates for children < or =19 years of age declined for 7 of the 10 leading causes in 2003. The death rates did not increase for any cause, and rates for heart disease, influenza, and pneumonia and septicemia did not change significantly for children as a group. A large proportion of childhood deaths, however, continue to occur as a result of preventable injuries.
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annual summary of Vital Statistics 2000
Pediatrics, 2001Co-Authors: Donna L Hoyert, Donna M Strobino, Mary Anne Freedman, Bernard GuyerAbstract:The birth rate in 2000 (preliminary data)was 14.8 births per 1000 population, an increase of 2% from 1999 (14.5). The fertility rate, births per 1000 women aged 15 to 44 years, increased 3% to 67.6 in 2000, compared with 65.9 in 1999. The 2000 increases in births and the fertility rate were the third consecutive yearly increases, the largest in many years, halting the steady decline in the number of births and fertility rates in the 1990s. Fertility rates for total white, non-Hispanic white, black, and Native American women each increased about 2% in 2000. The fertility rate for black women, which declined 19% from 1990 to 1996, has changed little since 1996. The rate for Hispanic women rose 4% in 2000 to reach the highest level since 1993. Birth rates for women 30 years or older continued to increase. The proportion of births to unmarried women remained about the same at one third, but the number of births rose 3%. The birth rate for teen mothers declined again for the ninth consecutive year. The use of timely prenatal care (83.2%) remained unchanged in 2000, and was essentially unchanged for non-Hispanic white (88.5%), black (74.2%), and Hispanic (74.4%) mothers. The number and rate of multiple births continued their dramatic rise, but all of the increase was confined to twins; for the first time in more than a decade, the number of triplet and higher-order multiple births declined (4%) between 1998 and 1999 (multiple birth information is not available in preliminary 2000 data). The overall increases in multiple births account, in part, for the lack of improvement in the percentage of low birth weight (LBW) births. LBW remained at 7.6% in 2000. The infant mortality rate (IMR) dropped to 6.9 per 1000 live births (preliminary data) in 2000 (the rate was 7.1 in 1999). The ratio of the IMR among black infants to that for white infants was 2.5 in 2000, the same as in 1999. Racial differences in infant mortality remain a major public health concern. The role of low birth weight in infant mortality remains a major issue. Among all of the states, Utah and Maine had the lowest IMRs. State-bystate differences in IMR reflect racial composition, the percentage LBW, and birth weight-specific neonatal mortality rates for each state. The United States continues to rank poorly in international comparisons of infant mortality. Expectation of life at birth reached a record high of 76.9 years for all gender and race groups combined. Death rates in the United States continue to decline. The age-adjusted death rate for suicide declined 4% between 1999 and 2000; homicide declined 7%. Death rates for children 19 years of age or less declined for 3 of the 5 leading causes in 2000; cancer and suicide levels did not change for children as a group. A large proportion of childhood deaths, however, continue to occur as a result of preventable injuries.
