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

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Presentation transcript:

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

Duval County Overview

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

Duval County Overview

Higher rate than Florida & U.S. –Births to adolescent females per 1000 females –Repeat births to females per 1000 previous teen birth (compared to FL only) –Percent of live births born pre-term

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

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

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

g 1500+g Fetal (24+ Wks Gestation) Neonatal Postneonatal Maternal Health/Prematurity All Races: =1.20 Black: =3.36 White: =0.13 Maternal Care All Races: =0.87 Black: =2.06 White: =0.34 Newborn Care All Races: =0.35 Black: =0.58 White: =0.17 Infant Care All Races: =1.42 Black: =1.64 White: =1.32 Total Difference between Ref Group & All Races: 3.84 Total Difference between Ref Group & Blacks: 7.64 Total Difference between Ref Group & Whites: 1.96 Excess Death Rates as Determined by Using Internal Reference Group

Contribution to Mortality Difference Birth Weight Bwt Dist. Mortality Rate Bwt Dist. Mortality Rate % % % % % % % % % % % % % %2.8 Total100% %8.5 Black Women Internal Reference Group

Contribution to Mortality Difference (continued) Birth WeightBirth Weight Distribution Mortality Rate Combined Total