files.eric.ed.govbeing of indiana's children from 1990 to 1995, and assesses the trends. in order to...

229
ED 416 996 AUTHOR TITLE INSTITUTION PUB DATE NOTE AVAILABLE FROM PUB TYPE EDRS PRICE DESCRIPTORS IDENTIFIERS ABSTRACT DOCUMENT RESUME PS 026 280 Wallace, Dianna; Lane, Stephanie Kids Count in Indiana: 1997 Indiana Data Book. County Profiles of Child Well-Being. Indiana Youth Inst., Indianapolis. 1997-00-00 454p.; For 1994 Data Book, see ED 376 988. Indiana Youth Institute, 3901 North Meridian Street, Suite 200, Indianapolis, IN 46208-4046; phone: 317-924-3657, 800-343-7060; fax: 317-924-1314; World Wide Web: http://www.iyi.org/iyi Numerical/Quantitative Data (110) Reports - Descriptive (141) MF01/PC19 Plus Postage. Accidents; Adolescents; Birth Weight; Births to Single Women; Child Abuse; *Child Health; Child Neglect; *Children; *Counties; Delinquency; Demography; Dropout Rate; Early Parenthood; Economic Status; High Schools; Infants; *Social Indicators; *State Surveys; Statistical Surveys; Suicide; Tables (Data); Trend Analysis; *Well Being *Indiana; *Indicators This Kids Count report examines statewide trends in the well-being of Indiana's children. The statistical portrait is based on 6 general areas of children's well-being: (1) demographic change; (2) education; (3) economic independence; (4) healthy bodies; (5) humane environment; and (6) spirit and character. Nine key indicators of child well-being are: (1) low birth-weight babies; (2) infant mortality; (3) child mortality; (4) teen deaths by accident, homicide and suicide; (5) teen pregnancy; (6) juvenile violent crime arrests; (7) high school dropouts; (8) children living in poverty; and (9) substantiated child abuse and child neglect. Following a brief overview and summary of findings, the first section of the report provides information and data for community action, including sources of information and data interpretation. The second section provides state profiles for indicators listed above and state indicator maps summarizing county rates. The third section, which is the bulk of this report, provides profiles for each of the 92 counties. The report's two appendices provide definitions and data sources, and list ten blueprints for healthy child development. The profile shows that, overall, child poverty, high school dropouts, and idle teen rates have improved since 1990. However, six indicators--low birth-weight babies, infant mortality, child mortality, juvenile violent crime arrests, teen pregnancy, and single parent family--have worsened since 1990. (SD) ************************************* ***** ************************************** * Reproductions supplied by EDRS are the best that can be made * * from the original document. * ** ***** *************************************************************************

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  • ED 416 996

    AUTHORTITLE

    INSTITUTIONPUB DATENOTEAVAILABLE FROM

    PUB TYPE

    EDRS PRICEDESCRIPTORS

    IDENTIFIERS

    ABSTRACT

    DOCUMENT RESUME

    PS 026 280

    Wallace, Dianna; Lane, StephanieKids Count in Indiana: 1997 Indiana Data Book. CountyProfiles of Child Well-Being.Indiana Youth Inst., Indianapolis.1997-00-00454p.; For 1994 Data Book, see ED 376 988.Indiana Youth Institute, 3901 North Meridian Street, Suite200, Indianapolis, IN 46208-4046; phone: 317-924-3657,800-343-7060; fax: 317-924-1314; World Wide Web:http://www.iyi.org/iyiNumerical/Quantitative Data (110) Reports - Descriptive

    (141)

    MF01/PC19 Plus Postage.Accidents; Adolescents; Birth Weight; Births to SingleWomen; Child Abuse; *Child Health; Child Neglect; *Children;*Counties; Delinquency; Demography; Dropout Rate; EarlyParenthood; Economic Status; High Schools; Infants; *SocialIndicators; *State Surveys; Statistical Surveys; Suicide;Tables (Data); Trend Analysis; *Well Being*Indiana; *Indicators

    This Kids Count report examines statewide trends in thewell-being of Indiana's children. The statistical portrait is based on 6general areas of children's well-being: (1) demographic change; (2)

    education; (3) economic independence; (4) healthy bodies; (5) humaneenvironment; and (6) spirit and character. Nine key indicators of childwell-being are: (1) low birth-weight babies; (2) infant mortality; (3) child

    mortality; (4) teen deaths by accident, homicide and suicide; (5) teen

    pregnancy; (6) juvenile violent crime arrests; (7) high school dropouts; (8)

    children living in poverty; and (9) substantiated child abuse and childneglect. Following a brief overview and summary of findings, the firstsection of the report provides information and data for community action,including sources of information and data interpretation. The second sectionprovides state profiles for indicators listed above and state indicator mapssummarizing county rates. The third section, which is the bulk of thisreport, provides profiles for each of the 92 counties. The report's twoappendices provide definitions and data sources, and list ten blueprints forhealthy child development. The profile shows that, overall, child poverty,high school dropouts, and idle teen rates have improved since 1990. However,six indicators--low birth-weight babies, infant mortality, child mortality,juvenile violent crime arrests, teen pregnancy, and single parentfamily--have worsened since 1990. (SD)

    ************************************* ***** *************************************** Reproductions supplied by EDRS are the best that can be made *

    * from the original document. *

    ** ***** *************************************************************************

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    an a

    ndsh

    ould

    bec

    ome

    a st

    ate

    that

    gen

    uine

    ly c

    ares

    abou

    t its

    you

    ng p

    eopl

    e an

    d th

    at it

    s na

    -tio

    nal r

    eput

    atio

    n sh

    ould

    ref

    lect

    that

    conc

    ern

    and

    com

    mitm

    ent.

    To

    enha

    nce

    that

    com

    mitm

    ent,

    we

    wor

    k w

    ith a

    dults

    who

    car

    e ab

    out c

    hil-

    dren

    . We

    advo

    cate

    for

    bet

    ter

    serv

    ice

    for

    Indi

    ana'

    s yo

    ung

    peop

    le, b

    oth

    dire

    ctly

    and

    in c

    olla

    bora

    tion

    with

    oth

    ers.

    The

    Indi

    ana

    You

    th I

    nstit

    ute

    culti

    vate

    s an

    dsu

    ppor

    ts in

    nova

    tive

    proj

    ects

    that

    hol

    dpr

    omis

    e fo

    r im

    prov

    ing

    the

    lives

    of

    Indi

    ana'

    s ch

    ildre

    n.

    In c

    oncl

    usio

    n, m

    ost y

    oung

    peo

    ple

    inIn

    dian

    a ar

    e pr

    ospe

    ring

    mos

    t of

    the

    time.

    The

    y ar

    e he

    alth

    y, a

    nd th

    ey a

    re b

    eing

    nurt

    ured

    in s

    afe

    hom

    es a

    nd s

    ecur

    ene

    ighb

    orho

    ods.

    The

    y ar

    e do

    ing

    wel

    l in

    scho

    ol, a

    nd th

    ey a

    re s

    tayi

    ng o

    ut o

    ftr

    oubl

    e w

    ith th

    e la

    w. B

    ut th

    e st

    ate

    and

    coun

    ty p

    rofi

    les

    also

    sho

    w th

    at to

    o m

    any

    are

    not,

    and

    som

    e of

    the

    num

    bers

    are

    grow

    ing.

    We

    mus

    t con

    tinue

    to f

    ocus

    our

    atte

    ntio

    n on

    the

    ten

    esse

    ntia

    ls f

    orop

    timal

    dev

    elop

    men

    t of

    all c

    hild

    ren:

    1. H

    ealth

    y B

    odie

    s

    2. P

    ositi

    ve R

    elat

    ions

    hips

    3. S

    elf-

    Acc

    epta

    nce

    4. A

    ctiv

    e M

    inds

    5. S

    piri

    t and

    Cha

    ract

    er

    6. C

    reat

    ivity

    and

    Joy

    7. A

    Car

    ing

    Com

    mun

    ity

    8. A

    Glo

    bal P

    ersp

    ectiv

    e

    9. E

    cono

    mic

    Ind

    epen

    denc

    e

    10. A

    Hum

    ane

    Env

    iron

    men

    t.

    We

    belie

    ve th

    at th

    e ke

    y to

    the

    succ

    ess

    of y

    oung

    peo

    ple

    is in

    the

    hand

    s of

    the

    adul

    ts w

    ho c

    are

    abou

    t the

    m!

    Peg

    Smith

    Exe

    cutiv

    e D

    irec

    tor

    Indi

    ana

    You

    th I

    nstit

    ute

    !'In

    dian

    a Y

    outh

    Inst

    itute

    Kid

    s C

    ount

    in In

    dian

    a 19

    97 In

    dian

    a D

    ata

    Boo

    k

  • 6

    St-g

    fr S

    iviv

    itg

    oti ,T

    h/td

    igf

    -r, ..

    )r..1

    --4

    1-%

    .4. 0

    Kid

    s C

    ount

    in In

    dian

    a 19

    97 In

    dian

    a D

    ata

    Boo

    kIn

    dian

    a Y

    outh

    Inst

    itute

    I I I I I I I I I I I I I I1

  • Kid

    s C

    ount

    in In

    dian

    a In

    dica

    tors

    In th

    e pa

    ges

    that

    fol

    low

    , IY

    I pr

    esen

    tsth

    e m

    ost r

    ecen

    t dat

    a re

    latin

    g to

    the

    wel

    l-be

    ing

    of I

    ndia

    na's

    chi

    ldre

    n fr

    om 1

    990

    to19

    95, a

    nd a

    sses

    ses

    the

    tren

    ds. I

    n or

    der

    topr

    ovid

    e a

    fram

    ewor

    k fo

    r un

    ders

    tand

    ing

    the

    indi

    cato

    rs o

    f ch

    ild w

    ell-

    bein

    g, s

    ever

    alad

    ditio

    nal b

    ackg

    roun

    d m

    easu

    res

    are

    prov

    ided

    for

    eac

    h co

    unty

    , i.e

    ., va

    riou

    sdi

    men

    sion

    s of

    eco

    nom

    ic in

    depe

    nden

    ce, a

    hum

    ane

    envi

    ronm

    ent a

    nd b

    uild

    ing

    ofac

    tive

    min

    ds.

    The

    10

    key

    indi

    cato

    rs o

    f ch

    ild w

    ell-

    bein

    g us

    ed f

    or th

    e st

    ate

    anal

    ysis

    and

    the

    coun

    ty p

    rofi

    les

    are

    take

    n fr

    om g

    over

    nmen

    tso

    urce

    s an

    d re

    flec

    t the

    bes

    t dat

    aav

    aila

    ble

    for

    each

    indi

    cato

    r. A

    dditi

    onal

    res

    earc

    h is

    take

    n fr

    om w

    ell-

    resp

    ecte

    d jo

    urna

    ls a

    ndin

    stitu

    tes,

    and

    ref

    lect

    s pe

    rspe

    ctiv

    es f

    rom

    med

    ical

    , soc

    ial,

    econ

    omic

    and

    psy

    chol

    ogi-

    cal f

    ield

    s of

    stu

    dy. M

    uch

    of th

    e da

    ta a

    rede

    rive

    d fr

    om s

    ampl

    es a

    nd, l

    ike

    all s

    ampl

    eda

    ta, c

    onta

    in a

    cer

    tain

    am

    ount

    of

    rand

    omer

    ror.

    The

    refo

    re, w

    e ur

    ge r

    eade

    rs to

    foc

    uson

    thos

    e la

    rge

    diff

    eren

    ces

    acro

    ss c

    ount

    ies

    and

    thos

    e m

    ajor

    cha

    nges

    ove

    r tim

    e w

    ithin

    coun

    ties

    and

    the

    stat

    e. S

    mal

    l dif

    fere

    nces

    or

    chan

    ges

    may

    be

    due

    to r

    ando

    m f

    luct

    ua-

    tions

    . Dif

    fere

    nces

    or

    tren

    ds in

    the

    wel

    l-be

    ing

    of c

    hild

    ren

    can

    best

    be

    asse

    ssed

    by

    usin

    g al

    l ind

    icat

    ors

    colle

    ctiv

    ely.

    IYI

    is c

    ontin

    uing

    the

    trad

    ition

    of

    not

    publ

    ishi

    ng c

    ompa

    rativ

    e ra

    cial

    and

    eth

    nic

    info

    rmat

    ion

    due

    to th

    e te

    nden

    cy to

    inte

    r-pr

    et d

    iffe

    renc

    es in

    sta

    tistic

    s su

    ch a

    s ad

    oles

    -ce

    nt p

    regn

    ancy

    or

    high

    -sch

    ool d

    ropo

    utra

    tes

    as r

    acia

    l in

    natu

    re. T

    he in

    stan

    ces

    ofra

    cial

    and

    eth

    nic

    anal

    ysis

    are

    incl

    uded

    beca

    use

    the

    wri

    ter

    cam

    e ac

    ross

    res

    earc

    hth

    at s

    he c

    onsi

    ders

    impo

    rtan

    t for

    the

    adul

    tsw

    ho w

    ork

    with

    chi

    ldre

    n an

    d in

    flue

    nce

    polic

    ies

    rega

    rdin

    g ch

    ildre

    n so

    they

    may

    be

    bette

    r in

    form

    ed a

    bout

    tren

    ds th

    at a

    reoc

    curr

    ing.

    The

    con

    trib

    utor

    s of

    this

    rep

    ort h

    ave

    mad

    e ev

    ery

    effo

    rt to

    be

    accu

    rate

    in c

    om-

    mun

    icat

    ing

    the

    follo

    win

    g in

    form

    atio

    n as

    itw

    as o

    btai

    ned

    from

    ori

    gina

    l sou

    rces

    . At

    times

    con

    trib

    utor

    s fa

    ced

    chal

    leng

    es in

    obta

    inin

    g da

    ta a

    nd, a

    s a

    resu

    lt, a

    few

    of

    the

    indi

    cato

    rs a

    re la

    ckin

    g in

    cur

    rent

    info

    rma-

    tion.

    The

    se c

    halle

    nges

    are

    dis

    cuss

    ed in

    the

    text

    whe

    n ap

    plic

    able

    .

    Ove

    rall,

    a f

    ew d

    imen

    sion

    s of

    chi

    ldw

    ell-

    bein

    g im

    prov

    ed, m

    ost w

    orse

    ned,

    and

    som

    e sh

    owed

    littl

    e ch

    ange

    . At t

    he s

    tate

    leve

    l, th

    ree

    of th

    e in

    dica

    tors

    (pr

    opor

    tion

    ofch

    ildre

    n liv

    ing

    in p

    over

    ty, p

    erce

    nt o

    f hi

    ghsc

    hool

    dro

    pout

    s, a

    nd p

    erce

    nt o

    f id

    le te

    ens)

    show

    con

    ditio

    ns h

    ave

    impr

    oved

    sin

    ce19

    90. S

    ix in

    dica

    tors

    (pe

    rcen

    t of

    low

    bir

    th-

    wei

    ght b

    abie

    s, in

    fant

    mor

    talit

    y ra

    te, c

    hild

    deat

    h ra

    te, j

    uven

    ile v

    iole

    nt c

    rim

    e ar

    rest

    rate

    , the

    per

    cent

    of

    teen

    s gi

    ving

    bir

    th, a

    ndpe

    rcen

    t of

    fam

    ilies

    with

    chi

    ldre

    n he

    aded

    by a

    sin

    gle

    pare

    nt)

    show

    con

    ditio

    ns h

    ave

    wor

    sene

    d si

    nce

    1990

    . One

    indi

    cato

    r, te

    ende

    ath

    rate

    , sho

    ws

    no c

    hang

    e. K

    eep

    in m

    ind

    the

    pict

    ure

    vari

    es f

    rom

    cou

    nty

    to c

    ount

    y,an

    d co

    unty

    -lev

    el m

    easu

    res

    ofte

    n m

    ask

    impo

    rtan

    t dif

    fere

    nces

    with

    in a

    cou

    nty.

    Pove

    rty

    The

    pro

    port

    ion

    of c

    hild

    ren

    in p

    over

    tyis

    per

    haps

    the

    mos

    t wid

    ely

    used

    indi

    cato

    rfo

    r de

    term

    inin

    g th

    e w

    ell-

    bein

    g of

    chi

    ldre

    n.Po

    vert

    y is

    link

    ed to

    a n

    umbe

    r of

    neg

    ativ

    eou

    tcom

    es in

    the

    area

    s of

    hea

    lth, e

    duca

    tion,

    emot

    iona

    l wel

    l-be

    ing

    and

    delin

    quen

    cy.

    Chi

    ldre

    n ne

    ed r

    esou

    rces

    to m

    ove

    prod

    uc-

    tivel

    y th

    roug

    h lif

    e. M

    any

    indi

    cato

    rspr

    esen

    ted

    in th

    e K

    ids

    Cou

    nt in

    Ind

    iana

    1997

    Dat

    a B

    ook

    are

    inte

    rcon

    nect

    ed w

    ithpo

    vert

    y. T

    he d

    ata

    show

    n he

    re a

    re b

    ased

    on

    the

    sour

    ces

    from

    the

    U.S

    . Cen

    sus

    Bur

    eau

    and

    the

    Cen

    ter

    on B

    udge

    t and

    Pol

    icy

    Prio

    ritie

    s.

    Pov

    erty

    in th

    eU

    .S.

    The

    num

    ber

    of p

    eopl

    e in

    pov

    erty

    drop

    ped

    by 1

    .6 m

    illio

    n fr

    om 3

    8.1

    mill

    ion

    in 1

    994

    to 3

    6.4

    mill

    ion

    in 1

    995

    (Cen

    ter

    on B

    udge

    t & P

    olic

    y Pr

    iori

    ties,

    199

    7). T

    here

    duct

    ion

    of p

    over

    ty a

    ffec

    ted

    mos

    t pop

    ula-

    tion

    grou

    ps in

    clud

    ing

    Afr

    ican

    Am

    eric

    ans,

    elde

    rly

    and

    child

    ren.

    The

    pov

    erty

    line

    for

    afa

    mily

    of

    four

    was

    $15

    ,569

    . The

    poo

    rest

    of

    the

    poor

    Am

    eric

    ans

    also

    dec

    reas

    ed in

    num

    ber.

    Tho

    se w

    ith in

    com

    es b

    elow

    hal

    f

    Indi

    ana

    You

    th In

    stitu

    te4

    it

    Kid

    s C

    ount

    in In

    dian

    a 19

    97 In

    dian

    a D

    ata

    Boo

    k7 18

  • the

    pove

    rty

    line

    drop

    ped

    from

    15.

    4 m

    illio

    nin

    199

    4 to

    13.

    9 m

    illio

    n in

    199

    5. A

    lthou

    ghth

    ere

    has

    been

    a d

    ecre

    ase

    in th

    epo

    vert

    yra

    tes

    amon

    g ch

    ildre

    n, th

    ey s

    till a

    re th

    e

    larg

    est p

    opul

    atio

    n liv

    ing

    in p

    over

    ty. T

    heU

    rban

    Ins

    titut

    e (1

    996)

    est

    imat

    ed th

    at th

    ene

    w w

    elfa

    re la

    w w

    ould

    pus

    h ap

    prox

    imat

    ely

    2.6

    mill

    ion

    peop

    le, i

    nclu

    ding

    1.1

    mill

    ion

    child

    ren

    into

    pove

    rty.

    Res

    earc

    h w

    ill b

    ecr

    itica

    l in

    docu

    men

    ting

    the

    effe

    cts

    ofw

    elfa

    re r

    efor

    m o

    n ch

    ildre

    n.

    In a

    199

    5 in

    com

    e le

    vel a

    nd in

    com

    edi

    stri

    butio

    n co

    mpa

    rativ

    e st

    udy

    of U

    nite

    dSt

    ates

    fam

    ilies

    with

    chi

    ldre

    n an

    d th

    ose

    in18

    oth

    er c

    ount

    ries

    , U.S

    . chi

    ldre

    n w

    ere

    foun

    d to

    be

    wor

    se o

    ff th

    an 1

    6 of

    the

    18na

    tions

    stu

    died

    . In

    cont

    rast

    to o

    ur lo

    win

    com

    e ch

    ildre

    n, o

    ur h

    igh

    inco

    me

    child

    ren

    are

    bette

    r of

    f th

    an th

    eir

    coun

    terp

    arts

    inev

    ery

    natio

    n. T

    his

    stud

    y al

    so r

    evea

    led

    food

    stam

    ps a

    nd th

    e E

    arne

    d In

    com

    e T

    ax C

    redi

    tw

    ere

    the

    mos

    t eff

    ectiv

    e an

    ti-po

    vert

    yde

    vice

    s fo

    r ch

    ildre

    n (R

    ainw

    ater

    & S

    mel

    l-in

    g, 1

    995)

    .

    Indi

    ana'

    s im

    pove

    rishe

    d ch

    ildre

    nT

    he p

    ropo

    rtio

    n of

    chi

    ldre

    n in

    pove

    rty

    for

    the

    stat

    e of

    Ind

    iana

    has

    flu

    ctua

    ted

    sinc

    e19

    90. I

    n 19

    90 th

    e pr

    opor

    tion

    ofpo

    orch

    ildre

    n un

    der a

    ge 1

    8 w

    as 2

    0.75

    per

    cent

    of

    all c

    hild

    ren

    unde

    r 18

    . The

    pro

    port

    ion

    rose

    3.61

    per

    cent

    in 1

    991

    to 2

    4.36

    perc

    ent,

    drop

    ped

    cons

    ider

    ably

    in 1

    992

    to 1

    6.70

    perc

    ent,

    and

    stay

    ed f

    airl

    y co

    nsis

    tent

    thro

    ugh

    1995

    (se

    e T

    able

    1).

    In 1

    995,

    42

    perc

    ent o

    f In

    dian

    a's

    sing

    lepa

    rent

    fam

    ilies

    had

    inco

    mes

    bel

    ow th

    eof

    fici

    al p

    over

    ty li

    ne (

    Cen

    ter

    on B

    udge

    tan

    d Po

    licy

    Prio

    ritie

    s, 1

    997)

    .

    As

    of A

    pril

    1997

    , 83,

    097

    child

    ren

    wer

    eliv

    ing

    in h

    ouse

    hold

    s re

    ceiv

    ing

    mea

    ns-

    test

    ed a

    ssis

    tanc

    e (C

    ente

    r on

    Bud

    get a

    ndPo

    licy

    Prio

    ritie

    s, 1

    997)

    .

    Tab

    le 1

    . Pro

    port

    ion

    of C

    hild

    ren

    in P

    over

    tyS

    tate

    of I

    ndia

    na, 1

    990-

    1995

    All

    Poo

    rC

    hild

    ren

    Chi

    ldre

    nun

    der

    18un

    der

    18

    Pro

    port

    ion

    of C

    hild

    ren

    Poo

    r19

    901,

    375,

    000

    285,

    000

    20.7

    5

    1991

    1,43

    7,00

    035

    0,00

    024

    .36

    1992

    1,51

    4,00

    025

    3,00

    016

    .70

    1993

    1,60

    4,00

    028

    5,00

    016

    .50

    1994

    1,78

    3,00

    031

    4,00

    017

    .62

    1995

    1,40

    3,00

    021

    4,00

    015

    .24

    SO

    UR

    CE

    : U.S

    . Cen

    sus

    Bur

    eau.

    Bas

    ed o

    n th

    e U

    .S. C

    ensu

    s B

    urea

    ure

    cent

    rel

    ease

    of

    1993

    Cou

    nty

    Inco

    me

    and

    Pove

    rty

    Est

    imat

    es f

    or I

    ndia

    na, t

    he f

    ollo

    w-

    ing

    10 c

    ount

    ies

    had

    the

    high

    est p

    ropo

    rtio

    nof

    poor

    chi

    ldre

    n ag

    es 5

    to 1

    7* (

    see

    Tab

    le2)

    .

    Tab

    le 2

    .The

    Top

    Ten

    Indi

    ana

    Cou

    ntie

    sw

    ith th

    e H

    ighe

    st P

    ropo

    rtio

    n of

    Poo

    r C

    hild

    ren

    Mar

    ion

    22.6

    %St

    arke

    21.2

    %

    Way

    ne22

    .2%

    Ran

    dolp

    h20

    .5%

    Lak

    e21

    .7%

    Del

    awar

    e20

    .3%

    Scot

    t21

    .4%

    Gra

    nt20

    .3%

    Cra

    wfo

    rd21

    .4%

    Van

    dcrh

    urgh

    18.8

    %

    Bas

    ed o

    n th

    e to

    tal n

    umbe

    r of

    poo

    r pe

    rson

    s in

    eac

    h

    coun

    ty.

    The

    com

    mon

    ass

    umpt

    ion

    rega

    rdin

    gpo

    vert

    y is

    that

    impo

    veri

    shed

    chi

    ldre

    n liv

    ein

    fam

    ilies

    whe

    re th

    e pa

    rent

    s co

    uld

    wor

    kbu

    t do

    not.

    How

    ever

    , thi

    s is

    not

    anac

    cura

    te a

    ssum

    ptio

    n of

    poo

    r fa

    mili

    esna

    tiona

    lly o

    r in

    Ind

    iana

    . In

    fact

    , ear

    ning

    sfr

    om e

    mpl

    oym

    ent a

    re th

    e pr

    imar

    yso

    urce

    of

    inco

    me

    for

    the

    maj

    ority

    of

    poor

    fam

    ilies

    .

    Bet

    wee

    n 19

    94-1

    996,

    app

    roxi

    mat

    ely

    75pe

    rcen

    t of

    poor

    fam

    ilies

    with

    chi

    ldre

    n in

    Indi

    ana,

    had

    at l

    east

    one

    wor

    ker

    (Cen

    ter

    on B

    udge

    t and

    Pol

    icy

    Prio

    ritie

    s, 1

    997)

    .

    Whe

    n as

    ked

    the

    ques

    tion,

    "W

    hy d

    oes

    pove

    rty

    rem

    ain

    a so

    cial

    pro

    blem

    whe

    n th

    eco

    untr

    y is

    enj

    oyin

    g st

    rong

    eco

    nom

    icgr

    owth

    and

    a lo

    w u

    nem

    ploy

    men

    t rat

    e?"

    one

    answ

    er m

    ay b

    e, "

    A s

    tead

    y de

    clin

    e in

    wag

    es a

    mon

    g le

    ss s

    kille

    d w

    orke

    rs h

    as o

    ffse

    t

    the

    impr

    oved

    em

    ploy

    men

    top

    port

    uniti

    escr

    eate

    d by

    eco

    nom

    ic g

    row

    th."

    (B

    lank

    ,19

    97, p

    . 52)

    . The

    bot

    tom

    line

    is th

    at

    Kid

    s C

    ount

    in In

    dian

    a 19

    97 In

    dian

    a D

    ata

    Boo

    k20

    Indi

    ana

    You

    th In

    stitu

    te

  • empl

    oym

    ent n

    o lo

    nger

    gua

    rant

    ees

    inco

    me

    that

    will

    put

    a f

    amily

    ove

    r th

    e po

    vert

    y lin

    e.

    Low

    birt

    h-w

    eigh

    t bab

    ies

    Low

    Bir

    th-W

    eigh

    t (L

    BW

    ) is

    the

    term

    used

    to d

    efin

    e in

    fant

    s w

    ho a

    re to

    o sm

    all.

    Aba

    by is

    low

    bir

    th-w

    eigh

    t if

    he o

    r sh

    e is

    born

    wei

    ghin

    g le

    ss th

    an 2

    500

    gram

    s (a

    bout

    5.5

    poun

    ds).

    Res

    earc

    h sh

    ows

    that

    chi

    ldre

    nw

    ho w

    ere

    born

    low

    bir

    th-w

    eigh

    t are

    mor

    elik

    ely

    than

    chi

    ldre

    n of

    nor

    mal

    bir

    th w

    eigh

    tto

    hav

    e le

    arni

    ng d

    isor

    ders

    , atte

    ntio

    ndi

    sord

    ers,

    dev

    elop

    men

    tal i

    mpa

    irm

    ents

    , and

    brea

    thin

    g pr

    oble

    ms

    such

    as

    asth

    ma

    (Hac

    k,T

    aylo

    r, K

    lein

    , et a

    l. 19

    94).

    Low

    bir

    th-w

    eigh

    t is

    asso

    ciat

    ed (

    not

    caus

    ed b

    y) w

    ith th

    ree

    maj

    or r

    isk

    fact

    ors

    (Shi

    ono

    & B

    ehrm

    an, 1

    995)

    : cig

    aret

    tesm

    okin

    g du

    ring

    pre

    gnan

    cy, l

    ow m

    ater

    nal

    wei

    ght g

    ain,

    and

    low

    pre

    -pre

    gnan

    cyw

    eigh

    t. T

    here

    is s

    tron

    g ev

    iden

    ce th

    atsu

    gges

    ts a

    pre

    gnan

    t wom

    an w

    ho q

    uits

    smok

    ing

    duri

    ng p

    regn

    ancy

    can

    pre

    vent

    grow

    th r

    etar

    datio

    n an

    d lo

    w b

    irth

    -wei

    ght i

    nhe

    r un

    born

    chi

    ld. N

    utri

    tion

    prog

    ram

    s do

    not h

    ave

    as s

    tron

    g or

    as

    clea

    r an

    impa

    ct o

    nlo

    w b

    irth

    -wei

    ght a

    s sm

    okin

    g ce

    ssat

    ion.

    In I

    ndia

    na, 8

    2,94

    4 ba

    bies

    wer

    e bo

    rn in

    1995

    (In

    dian

    a St

    ate

    Dep

    artm

    ent o

    fH

    ealth

    , 199

    6). O

    f th

    ose,

    6,2

    28 (

    appr

    oxi-

    mat

    ely

    7.5

    perc

    ent)

    wer

    e bo

    rn w

    eigh

    ing

    less

    than

    250

    0 gr

    ams

    com

    pare

    d to

    6.9

    perc

    ent i

    n 19

    94. I

    t can

    be

    seen

    fro

    mFi

    gure

    1 th

    at s

    ince

    199

    0 th

    ere

    has

    been

    an

    incr

    ease

    of

    low

    bir

    th-w

    eigh

    t bab

    ies,

    but

    ade

    crea

    se in

    the

    num

    ber

    of to

    tal b

    abie

    sbo

    rn. N

    ote

    that

    the

    82,9

    44 n

    umbe

    rin

    clud

    es th

    ose

    babi

    es b

    orn

    pret

    erm

    .

    In 1

    995,

    3,7

    92 b

    abie

    s w

    ere

    born

    pre

    term

    in I

    ndia

    na, u

    p fr

    om 3

    ,547

    in 1

    994

    (Ind

    iana

    Sta

    te D

    epar

    tmen

    t of

    Hea

    lth,

    1995

    ).

    Fig

    ure

    I. Lo

    w B

    irth-

    Wei

    ght &

    Tot

    al L

    ive

    Birt

    hs v

    s.T

    ime

    6500

    -86

    000

    6000

    -84

    000

    5500

    -82

    000

    5000

    8000

    019

    9019

    9119

    9219

    9319

    9419

    95

    SO

    UR

    CE

    : KID

    S C

    OU

    NT

    Dat

    a B

    ook

    & In

    dian

    a S

    tate

    Dep

    artm

    ent o

    f Hea

    lth

    Pre

    term

    birt

    hsL

    ow b

    irth

    -wei

    ght (

    LB

    W)

    is th

    e nu

    m-

    ber

    one

    cont

    ribu

    tor

    to in

    fant

    mor

    talit

    y in

    Indi

    ana

    and

    num

    ber

    two

    natio

    nally

    beh

    ind

    cong

    enita

    l ano

    mal

    ies

    (see

    Inf

    ant M

    orta

    lity

    Indi

    cato

    r). P

    rete

    rm b

    irth

    is th

    e nu

    mbe

    r

    one

    cont

    ribu

    tor

    to th

    e L

    BW

    rat

    e. I

    t is

    impo

    rtan

    t to

    note

    that

    bla

    ck in

    fant

    s ar

    eal

    mos

    t tw

    ice

    as li

    kely

    as

    whi

    te in

    fant

    s to

    be

    born

    pri

    or to

    the

    37th

    wee

    k (p

    rete

    rm),

    henc

    e L

    BW

    . The

    re s

    till i

    s no

    t ade

    quat

    eex

    plan

    atio

    n fo

    r th

    is p

    heno

    men

    on.

    The

    bla

    ck in

    fant

    pre

    term

    bir

    th r

    ate

    inIn

    dian

    a ro

    se f

    rom

    71

    per

    1,00

    0 bl

    ack

    birt

    hs in

    199

    4 to

    78.

    6 in

    199

    5, w

    hile

    the

    whi

    te in

    fant

    pre

    term

    rat

    e ro

    se f

    rom

    40

    per

    1,00

    0 w

    hite

    bir

    ths

    in 1

    994

    to 4

    4.2

    in19

    95 (

    Indi

    ana

    Stat

    e D

    epar

    tmen

    t of

    Hea

    lth, 1

    997)

    .

    Pre

    nata

    l car

    ePr

    enat

    al c

    are

    prov

    ides

    a v

    arie

    ty o

    fva

    luab

    le m

    edic

    al s

    ervi

    ces

    to p

    regn

    ant

    wom

    en a

    nd th

    eir

    fetu

    ses:

    det

    ectio

    n of

    mat

    erna

    l hyp

    erte

    nsio

    n, d

    iabe

    tes,

    con

    geni

    -ta

    l mal

    form

    atio

    ns a

    nd g

    enet

    ic d

    isea

    ses

    inth

    e fe

    tus.

    Pre

    nata

    l car

    e af

    ford

    s th

    e op

    por-

    tuni

    ty to

    ass

    ess

    risk

    fac

    tors

    and

    to p

    rovi

    deed

    ucat

    ion

    rega

    rdin

    g ri

    sk f

    acto

    rs a

    ndst

    ayin

    g he

    alth

    y du

    ring

    pre

    gnan

    cy. T

    he"a

    dequ

    acy"

    of

    pren

    atal

    car

    e is

    eva

    luat

    edno

    t onl

    y by

    the

    timin

    g of

    the

    firs

    t pre

    nata

    lvi

    sit a

    nd n

    umbe

    r of

    vis

    its, b

    ut a

    lso

    by th

    eco

    nten

    t of

    care

    . Car

    e du

    ring

    pre

    gnan

    cysh

    ould

    incl

    ude

    med

    ical

    car

    e an

    d ev

    alua

    -tio

    n as

    wel

    l as

    psyc

    hoso

    cial

    ass

    essm

    ent a

    ndsu

    ppor

    t.

    Pren

    atal

    car

    e w

    as n

    ot d

    evel

    oped

    topr

    even

    t low

    bir

    th-w

    eigh

    t. St

    udie

    s th

    at

    Indi

    ana

    You

    th In

    stitu

    teK

    ids

    Cou

    nt in

    Indi

    ana

    1997

    Indi

    ana

    Dat

    a B

    ook

  • have

    exa

    min

    ed th

    e ef

    fect

    of

    pren

    atal

    car

    eon

    low

    bir

    th-w

    eigh

    t hav

    e pr

    oduc

    ed m

    ixed

    resu

    lts. I

    t app

    ears

    that

    pre

    nata

    l car

    e m

    aybe

    nefi

    t som

    e po

    pula

    tions

    , but

    not

    oth

    ers

    (Vill

    ar, J

    ., Fa

    rnot

    , V.,

    Bar

    ro, F

    , et a

    l. 19

    92).

    In o

    rder

    to p

    reve

    nt lo

    w b

    irth

    -wei

    ght,

    prog

    ram

    s m

    ust k

    now

    wha

    t cau

    ses

    it. W

    ekn

    ow lo

    w b

    irth

    -wei

    ght i

    s as

    soci

    ated

    with

    smok

    ing,

    low

    mat

    erna

    l wei

    ght g

    ain

    and

    low

    pre

    -pre

    gnan

    cy w

    eigh

    t, bu

    t we

    do n

    otkn

    ow th

    e ca

    use.

    Giv

    en th

    e in

    crea

    se in

    wom

    en r

    ecei

    ving

    pre

    nata

    l car

    e na

    tiona

    llyan

    d st

    ate-

    wid

    e, o

    ne m

    ight

    exp

    ect t

    o se

    e a

    decr

    ease

    in b

    abie

    s bo

    rn w

    ith lo

    w b

    irth

    -w

    eigh

    t. O

    n th

    e co

    ntra

    ry, I

    ndia

    na h

    as s

    een

    a st

    eady

    incr

    ease

    of

    low

    bir

    th-w

    eigh

    tba

    bies

    whi

    le th

    e to

    tal n

    umbe

    r of

    bab

    ies

    born

    has

    dec

    reas

    ed.

    Mor

    eove

    r, p

    rena

    tal c

    are

    pres

    ents

    an

    impo

    rtan

    t opp

    ortu

    nity

    to a

    ddre

    ss is

    sues

    such

    as

    smok

    ing,

    pre

    gnan

    cy w

    eigh

    t, an

    dnu

    triti

    on, a

    s w

    ell a

    s to

    det

    ect m

    ajor

    com

    plic

    atio

    ns o

    f pr

    egna

    ncy.

    How

    ever

    ,pr

    enat

    al c

    are

    star

    ts to

    o la

    te to

    add

    ress

    the

    prob

    lem

    of

    pre-

    preg

    nanc

    y w

    eigh

    t, an

    d fe

    wpr

    ogra

    ms

    inco

    rpor

    ate

    inte

    nsiv

    e ef

    fort

    s to

    enco

    urag

    e pr

    egna

    nt w

    omen

    to s

    top

    smok

    -in

    g. In

    1993

    , 78.

    6 pe

    rcen

    t of

    Indi

    ana'

    spr

    egna

    nt w

    omen

    rec

    eive

    d pr

    enat

    al c

    are

    in th

    e fi

    rst t

    rim

    este

    r (I

    ndia

    na S

    tate

    Dep

    artm

    ent o

    f H

    ealth

    , 199

    3).

    Soc

    ioec

    onom

    ic s

    tatu

    s an

    d lo

    w

    birt

    h-w

    eigh

    tT

    he a

    ssoc

    iatio

    n be

    twee

    n so

    cioe

    co-

    nom

    ic s

    tatu

    s an

    d lo

    w b

    irth

    -wei

    ght h

    as lo

    ngbe

    en e

    stab

    lishe

    d. T

    he f

    acto

    rs r

    elat

    ed to

    the

    asso

    ciat

    ion,

    how

    ever

    , are

    not

    ful

    ly u

    nder

    -st

    ood.

    The

    maj

    or r

    isk

    fact

    ors

    asso

    ciat

    edw

    ith lo

    w b

    irth

    -wei

    ght,

    ciga

    rette

    sm

    okin

    gdu

    ring

    pre

    gnan

    cy, l

    ow m

    ater

    nal w

    eigh

    tga

    in, a

    nd lo

    w p

    re-p

    regn

    ancy

    wei

    ght c

    an b

    eco

    nnec

    ted

    with

    a w

    oman

    's s

    ocio

    econ

    omic

    stat

    us. K

    ram

    er (

    1987

    ) an

    d St

    ein

    & K

    line

    (198

    3) f

    ound

    that

    sm

    okin

    g is

    mor

    e co

    m-

    mon

    am

    ong

    low

    er in

    com

    e w

    omen

    than

    amon

    g hi

    gher

    inco

    me

    wom

    en. I

    t has

    long

    been

    kno

    wn

    that

    pov

    erty

    is r

    elat

    ed to

    inad

    equa

    te n

    utri

    tion.

    Pro

    per

    nutr

    ition

    ises

    sent

    ial i

    n m

    aint

    aini

    ng a

    hea

    lthy

    wei

    ght

    befo

    re, d

    urin

    g, a

    nd a

    fter

    pre

    gnan

    cy.

    Giv

    en th

    e st

    rong

    ass

    ocia

    tion

    betw

    een

    pove

    rty

    and

    low

    bir

    th-w

    eigh

    t, a

    mor

    eco

    mpr

    ehen

    sive

    app

    roac

    h to

    war

    d w

    omen

    'she

    alth

    nee

    ds to

    be

    embr

    aced

    . Mor

    e sp

    ecif

    i-ca

    lly, s

    trat

    egie

    s to

    impr

    ove

    preg

    nanc

    you

    tcom

    es s

    houl

    d in

    clud

    e lo

    w b

    irth

    -wei

    ght

    prev

    entiv

    e ef

    fort

    s ta

    rget

    ed to

    bot

    h th

    ein

    divi

    dual

    and

    the

    com

    mun

    ity. E

    cono

    mic

    disa

    dvan

    tage

    has

    oft

    en b

    een

    view

    ed a

    s an

    indi

    vidu

    al tr

    ait t

    hat s

    houl

    d no

    t be

    re-

    war

    ded

    with

    ass

    ista

    nce.

    Thi

    s vi

    ew is

    cont

    radi

    ctor

    y fo

    r pr

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    ngto

    ent

    er th

    e w

    orkp

    lace

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    for

    the

    sing

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    e im

    poss

    ible

    with

    out c

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    car

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    alth

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    ranc

    e

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    as a

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    con

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    ate

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    th a

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    hey

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    rcon

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    ed.

    Giv

    en th

    e st

    agna

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    low

    bir

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    tes

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    ndia

    na, a

    str

    ateg

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    at in

    corp

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    both

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    ial a

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    edic

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    nee

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    en n

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    efor

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    et p

    regn

    ant.

    The

    sere

    sour

    ces

    may

    not

    be

    med

    ical

    in n

    atur

    e(i

    .e.,

    heal

    thy

    diet

    , edu

    catio

    n ab

    out t

    hene

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    tcom

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    g, e

    tc.)

    , but

    they

    fig

    ure

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    re o

    fpr

    oduc

    ing

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    alth

    y pr

    egna

    ncy

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    ease

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    e of

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    oord

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    s ne

    eded

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    ices

    and

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    ove

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    omes

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    nt m

    orta

    lity

    rate

    The

    num

    ber

    of in

    fant

    s pe

    r 1,

    000

    live

    birt

    hs w

    ho d

    ie b

    efor

    e th

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    t bir

    thda

    y is

    refl

    ecte

    d in

    the

    infa

    nt m

    orta

    lity

    rate

    .N

    atio

    nally

    , inf

    ant m

    orta

    lity

    reac

    hed

    are

    cord

    low

    in 1

    995

    with

    a r

    ate

    of 7

    .5de

    aths

    per

    1,0

    00 li

    ve b

    irth

    s, w

    hich

    is 5

    perc

    ent l

    ower

    than

    the

    1994

    rat

    e of

    8.0

    per

    1,00

    0 liv

    e bi

    rths

    . The

    nat

    iona

    l dea

    th r

    ate

    from

    Sud

    den

    Infa

    nt D

    eath

    Syn

    drom

    e(S

    IDS)

    was

    dow

    n 15

    per

    cent

    bet

    wee

    n19

    94 a

    nd 1

    995.

    Nat

    iona

    lly, c

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    omal

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    orde

    rs r

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    ing

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    hort

    10K

    ids

    Cou

    nt in

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    ana

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    Indi

    ana

    Dat

    a B

    ook

    Indi

    ana

    You

    th In

    stitu

    te

    I I I 1 I I I U 1 I

  • gest

    atio

    n an

    d un

    spec

    ifie

    d lo

    w b

    irth

    -w

    eigh

    t, an

    d SI

    DS

    are

    the

    thre

    e le

    adin

    gca

    uses

    of

    infa

    nt m

    orta

    lity,

    res

    pect

    ivel

    y(G

    uyer

    , B.,

    et. a

    l, 19

    95).

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    pite

    the

    over

    all d

    eclin

    e in

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    natio

    nal i

    nfan

    t mor

    talit

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    unfa

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    posi

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    in th

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    tern

    a-tio

    nal r

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    Uni

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    Stat

    esra

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    ong

    indu

    stri

    aliz

    ed c

    oun-

    trie

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    the

    num

    ber

    of b

    abie

    s w

    ho d

    ie in

    thei

    r fi

    rst y

    ear

    (Weg

    man

    , 199

    6).

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    ana

    cont

    inue

    s to

    be

    abov

    e th

    ena

    tiona

    l ave

    rage

    for

    Inf

    ant M

    orta

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    with

    a 1

    995

    rate

    of

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    per

    1,00

    0 liv

    ebi

    rths

    and

    a 8

    .6 r

    ate

    in 1

    996.

    Unt

    il19

    96, t

    he s

    tate

    had

    bee

    n m

    aint

    aini

    ng a

    dow

    nwar

    d tr

    end

    in th

    e nu

    mbe

    r of

    bab

    ies

    that

    die

    bef

    ore

    thei

    r fi

    rst b

    irth

    day

    sinc

    e

    9.5- 9-

    8.5- 8-

    Fig

    ure

    2. In

    dian

    a In

    fant

    Mor

    talit

    yTre

    nd

    7.5

    1990

    1991

    1992

    1993

    1994

    1995

    1996

    SO

    UR

    CE

    : KID

    S C

    OU

    NT

    Dat

    a B

    ook

    & In

    dian

    a S

    tate

    Dep

    artm

    ent o

    f Hea

    lth

    1992

    (se

    e Fi

    gure

    2).

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    bir

    th-w

    eigh

    t is

    the

    num

    ber

    one

    cont

    ribu

    tor

    to in

    fant

    mor

    talit

    y in

    Ind

    iana

    (In

    dian

    a St

    ate

    Dep

    artm

    ent o

    f H

    ealth

    , 199

    7).

    The

    rat

    e of

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    S in

    Ind

    iana

    dec

    reas

    ed32

    per

    cent

    to 8

    7 de

    aths

    in 1

    996,

    com

    -pa

    red

    with

    an

    aver

    age

    of 1

    28 f

    or th

    eye

    ars

    1989

    thro

    ugh

    1993

    (In

    dian

    a St

    ate

    Dep

    artm

    ent o

    f H

    ealth

    , 199

    7).

    Chi

    ld d

    eath

    rat

    eT

    he n

    umbe

    r of

    chi

    ldre

    n ag

    es 1

    to 1

    4th

    at d

    ie f

    rom

    all

    caus

    es is

    ref

    lect

    ed in

    the

    child

    dea

    th r

    ate.

    Nea

    rly

    15,0

    00 c

    hild

    ren

    betw

    een

    the

    ages

    of

    1 to

    14

    died

    in th

    eU

    nite

    d St

    ates

    dur

    ing

    1995

    . The

    dea

    th r

    ate

    for

    child

    ren

    1 to

    4 w

    as 4

    0.6

    per

    100,

    000,

    6pe

    rcen

    t low

    er th

    an th

    e ra

    te o

    f 42

    .9 in

    1994

    . The

    199

    5 ra

    te f

    or 5

    to 1

    4 ye

    ar-o

    lds

    was

    22.

    5 pe

    rcen

    t, un

    chan

    ged

    from

    199

    4.Fo

    r ch

    ildre

    n ag

    es 1

    to 4

    , the

    thre

    e le

    adin

    gca

    uses

    of

    deat

    h w

    ere

    acci

    dent

    s, c

    onge

    nita

    lan

    omal

    ies,

    and

    mal

    igna

    nt n

    eopl

    asm

    sre

    spec

    tivel

    y. W

    here

    as, a

    ccid

    ents

    , fol

    low

    edby

    mal

    igna

    nt n

    eopl

    asm

    s, a

    nd th

    en h

    omic

    ide

    wer

    e th

    e th

    ree

    lead

    ing

    caus

    es o

    f de

    ath

    for

    child

    ren

    ages

    5 to

    14.

    In I

    ndia

    na, 3

    76 c

    hild

    ren

    ages

    1 to

    14

    died

    fro

    m a

    ll ca

    uses

    in 1

    995.

    Num

    bers

    show

    an

    incr

    ease

    in r

    ate

    from

    28

    to 3

    0to

    33

    per

    100,

    000

    in 1

    993,

    199

    4 an

    d19

    95 (

    see

    Figu

    re 3

    ).

    The

    lead

    ing

    caus

    es o

    f de

    ath

    for

    Indi

    ana

    child

    ren

    ages

    1 to

    4 in

    199

    5, w

    ere

    inju

    ries

    (i.e

    ., fi

    res

    and

    burn

    s, d

    row

    ning

    s,ch

    okin

    g, f

    alls

    and

    fir

    earm

    s), f

    ollo

    wed

    by

    mot

    or v

    ehic

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    juri

    es, a

    nd m

    alig

    nant

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    lasm

    s.

    In 1

    995,

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    or v

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    le in

    juri

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    (i.e

    ., fi

    rear

    ms,

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    king

    ,dr

    owni

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    fir

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    alls

    , etc

    .) a

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    alig

    -na

    nt n

    eopl

    asm

    s, w

    ere

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    thre

    e le

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    uses

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    lso.

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    ath

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    ana

    child

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    ages

    As

    the

    stat

    istic

    s in

    dica

    te, I

    ndia

    na is

    expe

    rien

    cing

    an

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    ard

    tren

    d in

    the

    deat

    hra

    te o

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    ildre

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    es 1

    to 1

    4, w

    hile

    the

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    ing

    prog

    ress

    to r

    educ

    e ch

    ild-

    hood

    mor

    talit

    y (s

    ee F

    igur

    e 3)

    . The

    trag

    edy

    34 32

    c,30

    2328 2

    6 24

    Fig

    ure

    3. In

    dian

    a C

    hild

    Dea

    th R

    ate

    1990

    1991

    1992

    1993

    1994

    SO

    UR

    CE

    : KID

    S C

    OU

    NT

    Dat

    a B

    ook

    & In

    dian

    a S

    tate

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    artm

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    lth

    1995

    Indi

    ana

    You

    th In

    stitu

    te

    JK

    ids

    Cou

    nt in

    Indi

    ana

    1997

    Indi

    ana

    Dat

    a B

    ook

  • 4. 4

    is th

    at a

    larg

    e pr

    opor

    tion

    of th

    ese

    deat

    hsca

    n be

    pre

    vent

    ed b

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    ucat

    ion,

    str

    ict

    enfo

    rcem

    ent o

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    r se

    at r

    equi

    rem

    ents

    ,fi

    rear

    ms

    cont

    rol,

    and

    inst

    alla

    tion

    of s

    mok

    ede

    tect

    ors

    in h

    omes

    and

    sch

    ools

    .

    Tee

    n de

    aths

    by

    acci

    dent

    ,ho

    mic

    ide

    and

    suic

    ide

    The

    rat

    e of

    teen

    dea

    ths

    by a

    ccid

    ent,

    hom

    icid

    e, a

    nd s

    uici

    de r

    efle

    cts

    mor

    talit

    yfr

    om th

    ese

    thre

    e ca

    uses

    per

    100

    ,000

    teen

    sag

    es 1

    5 to

    19.

    With

    teen

    vio

    lenc

    e on

    the

    rise

    , thi

    s in

    dica

    tor

    is f

    requ

    ently

    hig

    hlig

    hted

    in th

    e m

    edia

    . How

    ever

    , it i

    s im

    port

    ant t

    ono

    te th

    at in

    juri

    es s

    usta

    ined

    in a

    ccid

    ents

    cont

    inue

    to a

    ccou

    nt f

    or f

    ar m

    ore

    teen

    deat

    hs th

    an d

    oes

    hom

    icid

    e or

    sui

    cide

    .T

    hese

    sta

    tistic

    s ar

    e tr

    ue n

    atio

    nally

    and

    inIn

    dian

    a. T

    he n

    umbe

    r of

    teen

    dea

    ths

    in

    Fig

    ure

    4.In

    dian

    aTee

    n D

    eath

    Rat

    e

    80 707

    60--

    5 0 50

    g 40

    7

    1990

    1991

    1992

    1993

    1994

    1995

    SO

    UR

    CE

    : KID

    S C

    OU

    NT

    Dat

    a B

    ook

    & In

    dian

    a S

    tate

    Dep

    artm

    ent o

    f Hea

    lth

    Indi

    ana

    due

    to in

    juri

    es in

    199

    5 w

    as 1

    49,

    whi

    le th

    e nu

    mbe

    r of

    teen

    hom

    icid

    es a

    ndsu

    icid

    es w

    as 7

    1 an

    d 45

    , res

    pect

    ivel

    y (s

    eeFi

    gure

    4).

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    or v

    ehic

    le a

    ccid

    ents

    con

    tinue

    s to

    be th

    e le

    adin

    g ca

    use

    of te

    en d

    eath

    s ea

    chye

    ar.

    Per

    cent

    of t

    eens

    giv

    ing

    birt

    hU

    nwed

    ado

    lesc

    ents

    bea

    ring

    chi

    ldre

    n is

    prob

    ably

    one

    of

    the

    mor

    e co

    ntro

    vers

    ial

    soci

    al is

    sues

    of

    our

    time.

    It h

    as b

    een

    blam

    ed f

    or s

    ocie

    ty's

    mor

    al d

    ecay

    and

    for

    the

    wel

    fare

    issu

    es th

    at h

    ave

    plag

    ued

    soci

    ety

    for

    deca

    des.

    Ver

    y fe

    w w

    ill d

    ispu

    te th

    etr

    agic

    nat

    ure

    of a

    dole

    scen

    t pre

    gnan

    cy.

    Whe

    n lo

    okin

    g fo

    r ca

    uses

    and

    sol

    utio

    ns,

    how

    ever

    , one

    mus

    t be

    care

    ful i

    n as

    sign

    ing

    blam

    e an

    d ch

    oosi

    ng th

    e be

    st c

    ours

    e of

    actio

    n. F

    indi

    ng c

    omm

    on g

    roun

    d in

    the

    fact

    that

    no

    one

    wan

    ts a

    you

    ng p

    erso

    n to

    beco

    me

    preg

    nant

    may

    be

    a pl

    ace

    to s

    tart

    .C

    aref

    ully

    exa

    min

    ing

    the

    rese

    arch

    on

    wha

    tis

    wor

    king

    is a

    noth

    er lo

    gica

    l ste

    p.

    Mor

    e of

    ten

    than

    not

    , chi

    ldbe

    arin

    g at

    ayo

    ung

    age

    dim

    inis

    hes

    the

    oppo

    rtun

    ities

    for

    both

    the

    mot

    her

    and

    her

    child

    . Mos

    tm

    othe

    rs w

    ill r

    emai

    n un

    mar

    ried

    and

    not

    com

    plet

    e th

    eir

    high

    sch

    ool e

    duca

    tion.

    With

    out a

    hig

    h sc

    hool

    edu

    catio

    n, p

    over

    tyis

    hig

    hly

    prob

    able

    . Giv

    en th

    e ch

    angi

    ng

    econ

    omy,

    a p

    erso

    n w

    ithou

    t a h

    igh

    scho

    oldi

    plom

    a w

    ill h

    ave

    a di

    ffic

    ult t

    ime

    find

    ing

    empl

    oym

    ent t

    hat p

    ays

    adeq

    uate

    wag

    es.

    Furt

    her,

    per

    sons

    with

    out s

    econ

    dary

    edu

    ca-

    tion,

    are

    not

    gua

    rant

    eed

    a w

    age

    that

    will

    keep

    them

    out

    of

    pove

    rty.

    Mor

    e lik

    ely

    than

    not

    , chi

    ldre

    n bo

    rn to

    youn

    g m

    othe

    rs w

    ill li

    kely

    be

    depr

    ived

    of

    fina

    ncia

    l res

    ourc

    es th

    ey n

    eed

    for

    heal

    thy

    deve

    lopm

    ent.

    The

    fol

    low

    ing

    fact

    s sh

    ould

    be c

    onsi

    dere

    d.

    Low

    bir

    th-w

    eigh

    t rat

    es a

    re g

    reat

    est

    amon

    g in

    fant

    s bo

    rn to

    the

    youn

    gest

    mot

    hers

    . In

    1994

    , in

    Indi

    ana,

    14.

    2pe

    rcen

    t of

    infa

    nts

    born

    to m

    othe

    rs a

    ge10

    to 1

    4 w

    ere

    born

    LB

    W. O

    f th

    e in

    fant

    sbo

    rn to

    mot

    hers

    age

    s 15

    to 1

    7, 1

    0pe

    rcen

    t wer

    e L

    BW

    . For

    com

    pari

    son,

    the

    stat

    e av

    erag

    e w

    as 6

    .8 p

    erce

    nt (

    Indi

    ana

    Stat

    e D

    epar

    tmen

    t of

    Hea

    lth, 1

    994)

    .

    Nat

    iona

    lly, t

    he te

    en b

    irth

    rat

    e fo

    r ag

    es15

    to 1

    9 de

    clin

    ed 4

    per

    cent

    fro

    m 1

    994

    to19

    95. A

    dec

    line

    in b

    irth

    rat

    es w

    as n

    oted

    for

    youn

    g te

    enag

    ers

    ages

    15

    to 1

    7 ye

    ars

    and

    was

    slig

    htly

    mor

    e pr

    onou

    nced

    than

    for

    thos

    e te

    enag

    ers

    18 to

    19

    year

    s ol

    d (4

    .3pe

    rcen

    t vs.

    2.6

    per

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    ). T

    he la

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    tde

    clin

    e, 9

    per

    cent

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    rep

    orte

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    r bl

    ack

    teen

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    s ag

    es 1

    5 to

    17;

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    8 p

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    teen

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    1990

    1991

    1992

    1993

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