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Health Indicators for Mothers and Babies in Los Angeles County, 2016 Maternal, Child & Adolescent Health Division Research Evaluation and Planning Unit JULY 2018 A PUBLICATION OF THE LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH

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Page 1: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

Hea

lth

Indi

cato

rs fo

r Mot

hers

and

Bab

ies

in L

os A

ngel

es C

ount

y, 2

016

Mat

erna

l, C

hild

& A

dole

scen

t H

ealt

h D

ivis

ion

Rese

arch

Eva

luat

ion

and

Plan

ning

Uni

tJU

LY 2

018

A P

UBL

ICAT

ION

OF

THE

LOS

AN

GEL

ES C

OU

NTY

DEP

ART

MEN

T O

F PU

BLIC

HEA

LTH

Page 2: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

TAB

LE O

F CO

NTE

NTS

2

Hea

lth

Indi

cato

rs fo

r Mot

hers

and

Bab

ies

in

Los

Ang

eles

Cou

nty,

201

6

Sele

cted

Dem

ogra

phic

Cha

ract

eris

tics

, Los

Ang

eles

Cou

nty

3

Tabl

es, b

y R

ace/

Ethn

icit

y

Pre-

preg

nanc

y H

ealt

h &

Wel

l-be

ing

5

Pren

atal

Car

e an

d M

ater

nal R

isk

Fact

ors

Dur

ing

Preg

nanc

y

7

Psyc

hoso

cial

and

Beh

avio

ral R

isk

Fact

ors

Dur

ing

Preg

nanc

y

9

Post

part

um H

ealt

h &

Wel

l-be

ing

11

Infa

nt H

ealt

h &

Wel

l-be

ing

11

Tabl

es, b

y Se

rvic

e Pl

anni

ng A

rea

Pre-

preg

nanc

y H

ealt

h &

Wel

l-be

ing

13

Pren

atal

Car

e an

d M

ater

nal R

isk

Fact

ors

Dur

ing

Preg

nanc

y

15

Psyc

hoso

cial

and

Beh

avio

ral R

isk

Fact

ors

Dur

ing

Preg

nanc

y

17

Post

part

um H

ealt

h &

Wel

l-be

ing

19

Infa

nt H

ealt

h &

Wel

l-be

ing

19

Tabl

es, b

y Su

perv

isor

ial D

istr

ict

Pre-

preg

nanc

y H

ealt

h &

Wel

l-be

ing

21

Pren

atal

Car

e an

d M

ater

nal R

isk

Fact

ors

Dur

ing

Preg

nanc

y

23

Psyc

hoso

cial

and

Beh

avio

ral R

isk

Fact

ors

Dur

ing

Preg

nanc

y

25

Post

part

um H

ealt

h &

Wel

l-be

ing

27

Infa

nt H

ealt

h &

Wel

l-be

ing

27

Page 3: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

LA County 2014

LA County 2012

(%)

(%)

LA County 2016

(%)

Mot

her’

s R

ace/

Ethn

icit

y

Whi

te

17.8

18

.5

18.6

Latin

a 57

.7

55.2

55

.3A

fric

an A

mer

ican

7.

6 7.

4 6.

8A

sian

15.0

17

.6

15.9

Mat

erna

l Age

<2

0*

7.0

5.3

4.3

20-2

4 18

.9

16.5

16

.325

-34*

51

.0

55.5

55

.435

+ 23

.2

22.7

24

.0

Mot

her’

s Ye

ars

of E

duca

tion

<1

2*

22.0

17

.5

13.7

=12

24.1

25

.8

23.2

>12*

54

.0

56.7

63

.1

Mot

her’

s M

arit

al S

tatu

s W

hen

Bab

y W

as B

orn

Mar

ried*

54

.9

57.1

59

.3N

ot m

arrie

d*

45.1

42

.9

40.7

Lang

uage

(s) U

sual

ly S

poke

n at

Hom

e

Engl

ish*

71.0

72

.5

77.1

Span

ish

44.7

41

.0

42.0

Asia

n La

ngua

ge

11.1

12

.9

11.9

Oth

er L

angu

age

5.7

4.6

5.5

Hou

seho

ld In

com

e

<$

20,0

00*

33.2

32

.1

27.5

$20,

000

- $3

9,99

9 20

.6

19.5

19

.9$4

0,00

0 -

$59,

999

8.1

8.4

9.2

$60,

000

- $9

9,99

9 10

.8

10.6

11

.9$1

00,0

00 a

nd m

ore*

14

.5

16.9

19

.6

Sele

cted

Dem

ogra

phic

Cha

ract

eris

tics

3

* In

dica

tes

sign

ifi ca

nt d

iffer

ence

s be

twee

n 20

12 a

nd 2

016.

Page 4: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

4H

EALT

H IN

DIC

TORS

FO

R M

OTH

ERS

AN

D B

ABI

ES IN

LO

S A

NG

ELES

CO

UN

TY, 2

016

Perc

ent

of M

othe

rs a

cros

s Se

rvic

e Pl

anni

ng A

reas

(SPA

)Lo

s A

ngel

es C

ount

y 20

16Pe

rcen

t of

Mot

hers

acr

oss

Supe

rvis

oria

l Dis

tric

tsLo

s A

ngel

es C

ount

y 20

16

“I re

ally

hop

e th

at th

is su

rvey

mak

es a

cha

nge

in h

elpi

ng w

omen

whe

ther

the

y ar

e pr

egna

nt

or tr

ying

to g

et p

regn

ant.

” ~2

016

LAM

B M

om

Page 5: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

Hea

lth

Insu

ranc

e C

over

age

Bef

ore

Preg

nanc

y

U

nins

ured

* 35

.8

32.9

18

.6

7.2

26.3

10

.8

10.5

On

Med

i-Cal

* 22

.3

20.8

28

.8

10.4

37

.6

46.6

14

.9Em

ploy

er b

ased

& P

rivat

e N

A

39.1

40

.4

69.1

25

.7

28.4

60

.3C

over

ed C

A &

Insu

ranc

e th

roug

h pa

rent

s N

A

2.1

4.8

5.0

4.4

5.6

5.0

Pre-

preg

nanc

y H

ealt

h B

ehav

iors

and

Exp

erie

nces

W

as d

ietin

g 6

mon

ths

befo

re p

regn

ancy

N

A

35.2

35

.8

32.3

39

.5

38.6

25

.8W

as e

xerc

ising

3+

days

/wk

befo

re p

regn

ancy

N

A

54.3

54

.0

62.6

54

.5

53.3

41

.1W

as re

gula

rly ta

king

pre

scrip

tion

med

icin

e N

A

12.4

13

.1

21.0

10

.9

15.7

9.

9N

o pr

econ

cept

ion

heal

th c

ouns

elin

g1 68

.6

72.6

70

.1

58.6

75

.8

70.5

64

.5N

ot ta

king

a m

ultiv

itam

in

47.5

49

.9

45.5

28

.6

53.3

51

.8

36.7

Lack

of f

olic

aci

d kn

owle

dge

67.9

65

.2

68.1

54

.1

77.5

76

.5

51.2

Did

not

hav

e en

ough

mon

ey fo

r foo

d 5.

5 5.

1 4.

3 2.

7 4.

5 10

.7

2.5

Smok

ed c

igar

ette

s in

the

6 m

onth

s be

fore

pre

gnan

cy

8.7

7.2

7.3

10.3

5.

2 15

.4

6.3

Cig

aret

te s

mok

ing/

nico

tine

use

in th

e 6

mon

ths

befo

re p

regn

ancy

² N

A

NA

11

.6

15.7

8.

6 23

.1

10.4

She

or h

er p

artn

er tr

avel

led

to o

r res

ided

in a

regi

on w

ith Z

ika

viru

s3 N

A

NA

6.

4 5.

8 7.

3 4.

3 4.

8†

Chi

ldho

od E

xper

ienc

es4

Did

not

hav

e an

adu

lt w

ho b

elie

ved

in th

em

NA

N

A

12.4

8.

7 13

.7

13.7

11

.9Pa

rent

/gua

rdia

n go

t div

orce

d or

sep

arat

ed

NA

N

A

30.3

29

.6

33.8

39

.3

14.8

Mov

ed d

ue to

trou

ble

payi

ng th

e re

nt/m

ortg

age

NA

N

A

14.8

12

.9

17.4

21

.5

5.1

Wen

t hun

gry

beca

use

they

cou

ld n

ot a

fford

food

N

A

NA

10

.1

5.9

13.1

12

.5

4.3

Pare

nt/g

uard

ian

wen

t to

jail

NA

N

A

8.7

7.2

9.8

17.1

2.

5†

Pare

nt/g

uard

ian

had

drin

king

or d

rug

prob

lem

N

A

NA

15

.8

15.7

18

.9

16.3

5.

6W

as in

fost

er c

are

NA

N

A

2.3

1.7

2.2

9.7

0.5†

Fam

ily P

lann

ing

Prac

tice

s

U

nwan

ted/

mist

imed

pre

gnan

cy b

y m

othe

r5 46

.6

44.9

42

.7

23.8

52

.0

55.9

30

.0U

nwan

ted

preg

nanc

y by

par

tner

6 28

.0

31.0

29

.4

20.9

34

.9

37.1

19

.8U

sing

birt

h co

ntro

l whe

n th

ey b

ecam

e pr

egna

nt7*

28

.9

24.9

23

.5

14.5

26

.6

20.4

26

.0Re

ceiv

ed fe

rtili

ty tr

eatm

ent

5.6

4.6

5.0

9.6

2.6

3.1

7.8

Ever

use

d em

erge

ncy

cont

race

ptio

n*

19.5

23

.6

27.9

33

.5

27.9

29

.4

20.0

Pre-

preg

nanc

y H

ealt

h &

Wel

l-be

ing

by R

ace/

Ethn

icit

y

5

LA County 2014

LA County 2012

(%)

(%)

LA County 2016

(%)

(%)

(%)

(%)

(%)

White

(%)

AfricanAmerican

(%)

Latina

(%)

Asian

(%)

LA C

ount

y 20

16

Page 6: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

6H

EALT

H IN

DIC

TORS

FO

R M

OTH

ERS

AN

D B

ABI

ES IN

LO

S A

NG

ELES

CO

UN

TY, 2

016

† Si

gnifi

es t

hat

the

estim

ate

is s

tatis

tical

ly u

nsta

ble

(rel

ativ

e st

anda

rd e

rror

> 2

5%) a

nd t

here

fore

may

not

be

appr

opria

te t

o us

e fo

r pla

nnin

g or

pol

icy

purp

oses

.

* In

dica

tes

sign

ifi ca

nt d

iffer

ence

s be

twee

n 20

12 a

nd 2

016.

1

Que

stio

n as

ked:

Dur

ing

the

six

mon

ths

befo

re y

ou g

ot p

regn

ant

with

you

r new

bab

y, d

id y

ou t

alk

to a

doc

tor,

nurs

e, o

r oth

er h

ealth

car

e w

orke

r abo

ut h

ow t

o pr

epar

e fo

r a h

ealth

y pr

egna

ncy

and

baby

?

² Q

uest

ion

aske

d: In

the

six

mon

ths

befo

re y

ou g

ot p

regn

ant,

did

you

use

any

of t

he fo

llow

ing

toba

cco/

nico

tine

prod

ucts

? Re

spon

dent

s w

ho a

nsw

ered

“ye

s” t

o us

ing

e-ci

gare

ttes

, vap

es, c

hew

ing

toba

cco,

nic

otin

e pa

tch

or

othe

r pro

duct

OR

ciga

rett

e sm

okin

g w

ere

reco

ded

as “

Ciga

rett

e sm

okin

g/ni

cotin

e us

e in

the

6 m

onth

s be

fore

pr

egna

ncy.

”3 Q

uest

ion

aske

d: D

id y

ou, o

r you

r sex

ual p

artn

er, t

rave

l to

or re

side

in a

regi

on w

ith o

ngoi

ng Z

ika

Viru

s tr

ansm

issi

on (M

exic

o, C

entr

al a

nd S

outh

Am

eric

a, C

arib

bean

, New

Gui

nea,

Sam

oa, F

iji, M

arsh

all I

slan

ds,

Pala

u, S

inga

pore

, Ton

ga) i

n th

e 3

mon

ths

befo

re o

r dur

ing

your

mos

t re

cent

pre

gnan

cy?

4 Q

uest

ion

stat

ed: P

leas

e te

ll us

if a

ny o

f the

se t

hing

s ev

er h

appe

ned

to y

ou fr

om b

irth

thro

ugh

age

13.

5 Q

uest

ion

aske

d: T

hink

ing

back

to

just

bef

ore

you

got

preg

nant

with

you

r new

bab

y, h

ow d

id y

ou fe

el a

bout

be

com

ing

preg

nant

? Re

spon

dent

s w

ho a

nsw

ered

, “I w

ante

d to

be

preg

nant

late

r” o

r “I d

idn’

t w

ant

to b

e pr

egna

nt t

hen

or a

ny t

ime

in t

he fu

ture

” w

ere

code

d as

“U

nwan

ted

or m

istim

ed.”

6 Q

uest

ion

aske

d: Ju

st b

efor

e yo

u go

t pr

egna

nt w

ith y

our n

ew b

aby,

how

did

you

r hus

band

or p

artn

er fe

el

abou

t yo

u be

com

ing

preg

nant

? Re

spon

dent

s w

ho a

nsw

ered

, “H

e w

ante

d m

e to

be

preg

nant

late

r” o

r “H

e di

dn’t

wan

t m

e to

be

preg

nant

the

n or

any

tim

e in

the

futu

re”

wer

e co

ded

as “

Unw

ante

d pr

egna

ncy

by fa

-th

er.”

Res

pond

ents

who

ans

wer

ed, “

I don

’t k

now

” or

“I d

idn’

t ha

ve a

hus

band

or p

artn

er”

wer

e co

ded

mis

sing

fo

r thi

s fi e

ld.

7 Q

uest

ion

aske

d: B

efor

e yo

u go

t pr

egna

nt w

ith y

our n

ew b

aby,

wer

e yo

u us

ing

any

met

hod

of b

irth

cont

rol?

Re

spon

dent

s w

ho a

nsw

ered

“Ye

s, a

ll th

e tim

e” o

r “Ye

s, s

omet

imes

” w

ere

code

d as

“us

ing

birt

h co

ntro

l bef

ore

gett

ing

preg

nant

”.

Pre-

preg

nanc

y H

ealt

h C

ondi

tion

s

Ove

rwei

ght/

Obe

se

44.9

47

.9

49.6

35

.0

61.5

61

.3

21.8

Ast

hma

5.0

5.7

5.4

5.1

4.9

11.2

4.

9H

igh

bloo

d pr

essu

re

3.6

3.6

3.6

3.2

2.8

7.7

5.0

Dia

bete

s 2.

8 2.

5 3.

0 1.

3† 3.

2 3.

5 4.

3A

nem

ia

11.8

10

.9

9.6

6.5

9.9

19.7

8.

0D

epre

ssed

moo

d 11

.0

10.0

9.

6 9.

5 8.

8 14

.7

10.0

Perio

dont

al d

iseas

e

9.5

9.6

8.0

6.4

8.8

10.7

6.

2

Obs

tetr

ic H

isto

ry

Prev

ious

pre

term

birt

h 8.

0 6.

9 7.

3 4.

3 8.

8 9.

5 5.

0Pr

evio

us lo

w b

irth

wei

ght

5.6

5.6

6.5

3.9

7.3

9.7

5.8

Still

birt

h (p

regn

ancy

that

did

not

resu

lt in

a li

ve b

irth)

1.

3 1.

6 1.

4 0.

7† 1.

3† 2.

9 2.

2†

Prev

ious

misc

arria

ge

19.5

21

.2

21.3

21

.6

20.7

26

.6

19.8

Prev

ious

abo

rtio

n 15

.2

15.8

14

.7

13.3

12

.0

32.9

17

.0

LA County 2014

LA County 2012

(%)

(%)

LA County 2016

(%)

(%)

(%)

(%)

(%)

White

(%)

AfricanAmerican

(%)

Latina

(%)

Asian

(%)

LA C

ount

y 20

16

Page 7: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

LA County 2014

LA County 2012

(%)

LA County 2016

(%)

White

(%)

AfricanAmerican

(%)

Latina

(%)

Asian

(%)

(%)

Pren

atal

Car

e

En

tere

d pr

enat

al c

are

afte

r 1st

trim

este

r 9.

5 8.

6 8.

2 4.

7 9.

7 13

.1

5.2

Did

not

get

pre

nata

l car

e as

ear

ly a

s w

ante

d 13

.4

13.4

10

.9

6.7

11.8

18

.6

9.4

Trav

eled

15

mile

s or

mor

e fo

r pre

nata

l car

e 11

.2

10.8

9.

8 8.

0 9.

0 12

.5

13.0

Diss

atisfi

ed

with

am

ount

of w

ait t

ime

at p

rena

tal c

are

18.0

19

.7

17.9

14

.6

18.4

15

.4

21.1

Diss

atisfi

ed

with

am

ount

of t

ime

spen

t with

doc

tor/

nurs

e 9.

8 12

.4

10.1

7.

6 11

.6

8.2

8.6

Diss

atisfi

ed

with

adv

ice

give

n at

pre

nata

l car

e 6.

5 7.

0 6.

7 5.

6 7.

5 5.

8 5.

5D

issat

isfi e

d w

ith u

nder

stan

ding

/res

pect

rece

ived

3.

8 3.

6 3.

8 2.

7 4.

6 5.

2 1.

8†

Nee

ded

to s

ee a

den

tist*

23

.1

20.4

19

.2

16.7

20

.7

25.0

14

.1Re

ceiv

ed d

enta

l car

e 36

.8

37.4

38

.7

55.4

34

.0

34.5

36

.7Re

ceiv

ed a

sea

sona

l fl u

sho

t dur

ing

or b

efor

e pr

egna

ncy

NA

N

A

57.4

62

.3

54.4

47

.6

64.4

Rece

ived

a T

dap

shot

dur

ing

preg

nanc

y or

at d

eliv

ery

NA

N

A

74.9

78

.9

72.2

71

.2

79.5

Med

ical

Con

diti

ons

Dur

ing

Preg

nanc

y

La

bor p

ain

3 w

eeks

bef

ore

due

date

* 15

.0

12.7

11

.8

9.8

13.4

13

.7

8.3

Hig

h bl

ood

pres

sure

9.

7 10

.5

11.2

10

.8

11.8

16

.8

7.6

Ges

tatio

nal d

iabe

tes

11.8

12

.2

12.6

7.1

13

.1

8.8

19.2

Prob

lem

s w

ith th

e pl

acen

ta8

4.8

4.5

5.1

5.8

4.9

5.5

5.4

Urin

ary

trac

t inf

ectio

n*

13.2

9.

5 8.

1 7.

9 8.

8 9.

5 5.

2W

ater

bro

ke m

ore

than

3 w

eeks

ear

ly

4.4

4.9

5.0

4.7

5.2

6.0

4.1

Inco

mpe

tent

cer

vix

2.2

2.0

1.6

0.9†

1.9

2.3

0.8†

Sexu

ally

tran

smitt

ed d

iseas

e*

3.5

2.1

1.6

1.4

1.6

3.9

0.4†

Bact

eria

l vag

inos

is 10

.8

10.3

9.

9 4.

6 11

.8

17.6

5.

7Pe

riodo

ntal

dise

ase*

16

.7

15.1

11

.9

11.5

12

.4

16.3

8.

5

Ris

k B

ehav

iors

Dur

ing

Preg

nanc

y

Cig

aret

te s

mok

ing*

2.

4 1.

5 1.

5 2.

2 0.

8† 5.

8 1.

2†

Cig

aret

te s

mok

ing/

nico

tine

use

N

A

NA

2.

5 3.

7 1.

4 7.

4 2.

6†

Expo

sure

to s

econ

dhan

d sm

oke10

4.

3 4.

5 4.

5 3.

1 2.

8 8.

3 10

.3U

sing

illeg

al d

rugs

or d

rugs

not

pre

scrib

ed b

y a

doct

or11

5.

7 4.

1 5.

5 6.

5 4.

0 10

.8

6.7

Usin

g m

ariju

ana

1.8

1.5

2.0

3.5

1.4

5.7

0.5†

Bing

e dr

inki

ng a

lcoh

ol12

N

A

NA

7.

4 7.

0 8.

1 9.

8 4.

2†

Did

not

exe

rcise

dur

ing

preg

nanc

y13*

20.9

23

.0

24.5

21

.5

24.1

30

.8

26.9

Pren

atal

Car

e an

d M

ater

nal

Ris

k Fa

ctor

s D

urin

g Pr

egna

ncy

by

Rac

e/Et

hnic

ity

7

LA C

ount

y 20

16

Page 8: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

8H

EALT

H IN

DIC

TORS

FO

R M

OTH

ERS

AN

D B

ABI

ES IN

LO

S A

NG

ELES

CO

UN

TY, 2

016

Perc

enta

ge o

f Mot

hers

Ent

erin

g Pr

enat

al C

are

Aft

er F

irst

Tri

mes

ter

by A

ge G

roup

Lo

s A

ngel

es C

ount

y 20

16

Perc

enta

ge o

f Mot

hers

wit

h Se

lf-R

epor

ted

Ges

tati

onal

Dia

bete

s by

Age

Gro

up

Los

Ang

eles

Cou

nty

2016

8 Q

uest

ion

aske

d: D

urin

g yo

ur p

regn

ancy

did

you

hav

e an

y of

the

se p

robl

ems?

Res

pond

ents

who

ans

wer

ed

“pro

blem

s w

ith p

lace

nta

(suc

h as

abr

uptio

pla

cent

ae o

r pla

cent

a pr

evia

)” w

ere

code

d as

“pr

oble

ms

with

pl

acen

ta.”

9

Que

stio

n as

ked:

Dur

ing

your

last

pre

gnan

cy, d

id y

ou u

se a

ny o

f the

follo

win

g to

bacc

o/ni

cotin

e pr

oduc

ts?

Re-

spon

dent

s w

ho a

nsw

ered

“ye

s” t

o us

ing

e-ci

gare

ttes

, vap

es, c

hew

ing

toba

cco,

nic

otin

e pa

tch

or o

ther

pro

duct

O

R ci

gare

tte

smok

ing

durin

g pr

egna

ncy

wer

e re

code

d as

“Ci

gare

tte

smok

ing/

nico

tine

use.

”10

Que

stio

n as

ked:

Dur

ing

your

pre

gnan

cy, a

bout

how

man

y ho

urs

a da

y, o

n av

erag

e, w

ere

you

in t

he s

ame

room

w

ith s

omeo

ne w

ho w

as s

mok

ing?

Res

pond

ents

who

indi

cate

d m

ore

than

0 h

ours

wer

e co

ded

as “

expo

sed

to

seco

ndha

nd s

mok

e.”

11 R

espo

nden

ts w

ho a

nsw

ered

“ye

s” w

hen

ques

tione

d ab

out

use

of m

ariju

ana,

has

hish

, tra

nqui

lizer

s,

hallu

cino

gens

, coc

aine

, her

oin,

am

phet

amin

es o

r, pr

escr

iptio

n dr

ugs

not

pres

crib

ed b

y th

eir d

octo

rs w

ere

code

d as

“us

ing

illeg

al d

rugs

or d

rugs

not

pre

scrib

ed b

y a

doct

or.”

12

Que

stio

n as

ked:

“D

urin

g yo

ur p

regn

ancy

(inc

ludi

ng b

efor

e yo

u kn

ew y

ou w

ere

preg

nant

for s

ure)

how

man

y tim

es d

id y

ou d

rink

4 or

mor

e dr

inks

with

alc

ohol

in o

ne s

ittin

g (w

ithin

2 h

ours

)?”

Resp

onde

nts

who

ans

wer

ed

one

or m

ore

times

wer

e re

code

d as

“Bi

nge

drin

king

alc

ohol

.”13

Que

stio

n as

ked:

How

oft

en d

id y

ou e

xerc

ise

for 3

0 m

inut

es o

r mor

e in

the

last

thr

ee m

onth

s of

pre

gnan

cy;

wom

en w

ho w

ere

told

by

a do

ctor

, nur

se, o

r hea

lth c

are

wor

ker n

ot t

o ex

erci

se w

ere

excl

uded

from

the

de

nom

inat

or t

o ca

lcul

ate

prev

alen

ce o

f exe

rcis

e du

ring

last

thr

ee m

onth

s of

pre

gnan

cy.

Page 9: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

Men

tal H

ealt

h D

urin

g Pr

egna

ncy

D

epre

ssed

moo

d14*

29.7

26

.1

25.0

18

.5

27.5

35

.8

19.4

Low

Mat

erna

l Res

ilien

cy15

8.

1 8.

2 7.

9 7.

2 7.

4 9.

6 10

.6

Soci

al S

uppo

rt

Diss

atisfi

ed

with

sup

port

giv

en b

y th

e ba

by’s

fath

er16

8.

3 8.

2 6.

9 3.

4 7.

0 18

.5

5.9

Expe

rienc

ed d

omes

tic v

iole

nce/

intim

ate

part

ner a

buse

17

2.3

1.6

1.9

1.0†

1.9

3.9

1.9†

Wou

ld h

ave

som

eone

to lo

an m

oney

if n

eede

d18

82.1

82

.5

84.8

95

.5

81.9

82

.0

82.0

Wou

ld h

ave

som

eone

to h

elp

if sic

k 86

.1

87.2

89

.1

94.8

86

.7

87.0

91

.0W

ould

hav

e so

meo

ne to

list

en to

pro

blem

s 85

.1

85.3

87

.7

96.5

84

.0

87.1

89

.8

Soci

al E

nvir

onm

ent

Perc

eive

d ne

ighb

orho

od a

s un

safe

19

14.2

13

.5

14.4

5.

8 19

.2

20.8

5.

8

Stre

ssfu

l Life

Eve

nts

Dur

ing

Preg

nanc

y

Fa

mily

mem

ber h

ad to

go

into

the

hosp

ital

16.1

14

.7

14.5

18

.6

13.1

21

.9

10.5

Div

orce

d/se

para

ted

from

hus

band

/par

tner

8.

1 6.

9 5.

6 1.

7 7.

3 12

.2

1.5†

Mov

ed to

a n

ew a

ddre

ss

25.6

24

.9

23.6

23

.6

22.1

31

.5

24.0

Wer

e ho

mel

ess

4.6

3.5

3.3

1.2†

3.2

15.7

0.

3†

Hus

band

/par

tner

lost

his/

her j

ob*

12.4

10

.8

9.2

6.4

10.8

14

.4

4.6

Lost

job

but w

ante

d to

con

tinue

wor

king

* 9.

6 9.

2 7.

2 3.

3 8.

1 14

.7

5.2

Arg

ued

mor

e th

an u

sual

with

hus

band

/par

tner

26

.3

23.8

22

.8

17.2

23

.4

40.9

19

.1H

ad a

lot o

f bill

s th

at c

ould

not

be

paid

* 18

.5

17.8

14

.8

9.2

17.5

27

.1

6.4

Wer

e in

a p

hysic

al fi

ght*

2.

7 2.

2 1.

7 0.

6† 1.

5 7.

0 1.

0†

Hus

band

/par

tner

or s

elf w

ent t

o ja

il*

3.5

2.5

2.1

1.0†

2.5

5.6

0.2†

Som

eone

clo

se h

ad d

rinki

ng o

r dru

g pr

oble

ms

8.

1 7.1

7.

4 7.

5 8.

2 12

.5

1.7†

Som

eone

clo

se a

nd im

port

ant d

ied

12.5

11

.2

11.7

11

.0

12.0

17

.9

8.2

Psyc

hoso

cial

and

Beh

avio

ral

Ris

k Fa

ctor

s D

urin

g Pr

egna

ncy

by R

ace/

Ethn

icit

y

9

LA County 2014

LA County 2012

(%)

(%)

LA County 2016

(%)

(%)

(%)

(%)

(%)

White

(%)

AfricanAmerican

(%)

Latina

(%)

Asian

(%)

LA C

ount

y 20

16

Page 10: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

10H

EALT

H IN

DIC

TORS

FO

R M

OTH

ERS

AN

D B

ABI

ES IN

LO

S A

NG

ELES

CO

UN

TY, 2

016

Perc

enta

ge o

f Mot

hers

wit

h Se

lf-R

epor

ted

Dep

ress

ed M

ood

by A

ge G

roup

Lo

s A

ngel

es C

ount

y 20

16

Perc

enta

ge o

f Mot

hers

Per

ceiv

ing

Nei

ghbo

rhoo

d in

Pre

gnan

cy

as U

nsaf

e by

Age

Gro

up

Los

Ang

eles

Cou

nty

2016

Rep

orte

d Ev

er E

xper

ienc

ing

Dis

crim

inat

ion

Any

disc

rimin

atio

n 39

.1

37.8

35

.6

34.2

33

.6

53.7

34

.8A

t wor

k 17

.4

16.8

16

.3

21.2

12

.7

24.8

17

.8W

hen

gett

ing

med

ical

car

e 8.

2 7.

6 6.

4 4.

5 7.

3 11

.6

3.4

Whe

n ge

ttin

g ho

usin

g*

9.1

8.0

7.0

4.4

6.9

18.5

6.

0Be

caus

e of

race

/col

or

18.1

15

.5

15.6

6.

8 15

.0

39.4

17

.7Be

caus

e of

gen

der

11.3

11

.1

12.5

20

.4

8.5

18.3

12

.5A

t hom

e N

A

7.9

7.1

4.6

6.6

15.1

8.

0Be

caus

e of

bre

astf

eedi

ng

NA

5.

9 8.

3 10

.5

7.9

9.1

6.5

Beca

use

of p

regn

ancy

14

.7

14.9

13

.0

12.6

13

.3

19.5

9.

2

† Sig

nifi e

s th

at t

he e

stim

ate

is s

tatis

tical

ly u

nsta

ble

(rel

ativ

e st

anda

rd e

rror

> 2

5%) a

nd t

here

fore

may

not

be

appr

opria

te t

o us

e fo

r pla

nnin

g or

pol

icy

purp

oses

.

* In

dica

tes

sign

ifi ca

nt d

iffer

ence

s be

twee

n 20

12 a

nd 2

016.

14 T

wo-

part

que

stio

n as

ked:

For

2 w

eeks

or l

onge

r dur

ing

your

mos

t re

cent

pre

gnan

cy d

id y

ou fe

el s

ad, e

mpt

y or

dep

ress

ed fo

r mos

t of

the

day

? an

d Fo

r 2 w

eeks

or l

onge

r dur

ing

your

mos

t re

cent

pre

gnan

cy d

id y

ou lo

se

inte

rest

in m

ost

thin

gs li

ke w

ork,

hob

bies

, and

oth

er t

hing

s yo

u us

ually

enj

oyed

? Re

spon

dent

s w

ho a

nsw

ered

“Y

es”

to e

ither

resp

onse

wer

e co

ded

as h

avin

g “d

epre

ssed

moo

d.”

15 L

ow m

ater

nal r

esili

ency

com

bine

d th

e re

spon

ses

of s

even

LA

MB

2016

que

stio

ns t

hat

aske

d m

othe

rs h

ow

stro

ngly

the

y ag

reed

with

sta

tem

ents

abo

ut t

heir

self-

este

em a

nd p

erce

ptio

n th

at t

hey

can

achi

eve

thei

r goa

ls

or c

ompl

ete

task

s an

d co

ntro

l the

eve

nts

affe

ctin

g th

em.

16 Q

uest

ion

aske

d: O

vera

ll, h

ow s

atisfi e

d w

ere

you

with

the

sup

port

giv

en b

y yo

ur b

aby’

s fa

ther

dur

ing

your

pr

egna

ncy?

Res

pond

ents

who

ans

wer

ed “

som

ewha

t di

ssat

isfi e

d” o

r “no

t at

all

satisfi e

d” w

ere

code

d as

“di

s-sa

tisfi e

d.”

17 Q

uest

ion

aske

d: D

urin

g yo

ur la

st p

regn

ancy

, did

the

bab

y’s

fath

er d

o an

y of

the

follo

win

g fo

r you

? H

it or

sla

p yo

u w

hen

he w

as a

ngry

.18

Que

stio

n as

ked:

Dur

ing

your

last

pre

gnan

cy, w

ould

you

hav

e so

meo

ne t

o lo

an y

ou $

50 if

you

had

nee

ded

it?19

Que

stio

n as

ked:

How

wou

ld y

ou p

erce

ive

this

nei

ghbo

rhoo

d in

ter

ms

of it

s sa

fety

from

vio

lenc

e? R

espo

nden

ts

who

ans

wer

ed “

Very

Poo

r” o

r “Po

or”

wer

e re

code

d to

“N

eigh

borh

ood

Uns

afe.

LA County 2014

LA County 2012

(%)

(%)

LA County 2016

(%)

(%)

(%)

(%)

(%)

White

(%)

AfricanAmerican

(%)

Latina

(%)

Asian

(%)

LA C

ount

y 20

16

Page 11: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

(%)

(%)

(%)

(%)

Del

iver

y M

etho

d

H

ad a

C-s

ectio

n N

A

35.4

32

.7

33.6

32

.0

38.8

31

.9C

-sec

tion

disc

ussio

n in

itiat

ed b

y m

othe

r N

A

11.7

12

.6

17.3

10

.5

13.5

14

.2Re

ason

for C

-sec

tion:

Had

pre

viou

s C

-sec

tion

NA

44

.6

46.2

36

.9

51.4

45

.8

41.2

Reas

on fo

r C-s

ectio

n: B

aby

was

in w

rong

pos

ition

N

A

16.9

16

.2

20.6

15

.6

8.7

15.9

Reas

on fo

r C-s

ectio

n: L

abor

was

taki

ng to

o lo

ng

NA

15

.8

12.6

10

.6

12.8

11

.0

15.5

Mat

erna

l Pos

tpar

tum

Hea

lth

Had

a p

ostp

artu

m c

heck

-up

89.9

92

.1

90.7

93

.8

89.5

86

.9

93.3

Fam

ily p

lann

ing

disc

usse

d du

ring

chec

k-up

90

.1

89.3

90

.5

92.0

90

.9

92.8

85

.7Re

ceiv

ed h

ome

visit

atio

n se

rvic

es

NA

N

A

12.2

6.

2 15

.8

17.7

5.

0D

epre

ssed

moo

d sin

ce b

irth

of b

aby20

N

A

NA

25

.2

22.5

26

.3

28.2

24

.0

Infa

nt H

ealt

h &

Wel

l-be

ing

Pret

erm

/Low

Bir

th W

eigh

t

Pret

erm

9.

7 9.

1 8.

1 6.

6 8.

3 11

.8

7.3

Low

Birt

h W

eigh

t 7.

5 6.

4 6.

8 6.

6 6.

6 8.

9 7.

0

Infa

nt H

ealt

h

C

urre

ntly

read

ing

to b

aby*

74

.0

79.7

85

.2

90.9

84

.7

92.2

77

.0H

ad a

wel

l-bab

y ch

eck-

up

97.1

97

.2

98.1

99

.3

97.8

97

.4

98.2

Bre

astf

eedi

ng P

ract

ice

Any

bre

astf

eedi

ng a

t 1 w

eek

NA

86

.9

88.8

93

.5

87.1

81

.7

91.8

Excl

usiv

e br

east

feed

ing

at 1

wee

k N

A

54.4

55

.7

70.5

51

.9

55.6

50

.6A

ny b

reas

tfee

ding

at 1

mon

th

NA

80

.3

82.9

89

.7

79.4

77

.0

89.3

Excl

usiv

e br

east

feed

ing

at 1

mon

th

NA

47

.8

51.1

66

.7

44.3

51

.6

54.7

Any

bre

astf

eedi

ng a

t 3 m

onth

s N

A

65.5

70

.8

81.5

65

.2

64.0

80

.1Ex

clus

ive

brea

stfe

edin

g at

3 m

onth

s N

A

38.2

43

.2

59.0

35

.3

41.7

51

.6

Post

part

um H

ealt

h &

Wel

l-be

ing

by

Rac

e/Et

hnic

ity

11

LA County 2014

LA County 2012

(%)

(%)

LA County 2016

(%)

White

(%)

AfricanAmerican

(%)

Latina

(%)

Asian

(%)

LA C

ount

y 20

16

Page 12: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

12H

EALT

H IN

DIC

TORS

FO

R M

OTH

ERS

AN

D B

ABI

ES IN

LO

S A

NG

ELES

CO

UN

TY, 2

016

Perc

enta

ge o

f Mot

hers

Bre

astf

eedi

ng a

t 3

Mon

ths

by

Age

Gro

up

Los

Ang

eles

Cou

nty

2016

Perc

enta

ge o

f Mot

hers

hav

ing

a Po

stpa

rtum

Che

ck U

p by

A

ge G

roup

Lo

s A

ngel

es C

ount

y 20

16

Bab

y’s

Slee

p En

viro

nmen

t21

Slee

ps o

n hi

s/he

r sid

e*

20.0

12

.8

10.8

8.

4 11

.3

12.1

11

.7Sl

eeps

on

his/

her b

ack*

75

.4

82.7

85

.0

87.4

86

.5

72.2

82

.9Sl

eeps

on

his/

her s

tom

ach

4.6

4.5

4.1

4.2

2.2

15.7

5.

5Ev

er s

lept

with

ano

ther

per

son22

75

.3

71.7

72

.6

58.8

74

.0

83.7

79

.9

† Sig

nifi e

s th

at t

he e

stim

ate

is s

tatis

tical

ly u

nsta

ble

(rel

ativ

e st

anda

rd e

rror

> 2

5%) a

nd t

here

fore

may

not

be

appr

opria

te t

o us

e fo

r pla

nnin

g or

pol

icy

purp

oses

.

* In

dica

tes

sign

ifi ca

nt d

iffer

ence

s be

twee

n 20

12 a

nd 2

016.

20 Tw

o-pa

rt q

uest

ion

aske

d: F

or 2

wee

ks o

r lon

ger s

ince

you

r mos

t re

cent

pre

gnan

cy d

id y

ou fe

el s

ad, e

mpt

y or

dep

ress

ed fo

r mos

t of

the

day

? an

d Fo

r 2 w

eeks

or l

onge

r dur

ing

your

mos

t re

cent

pre

gnan

cy d

id y

ou lo

se in

tere

st in

mos

t th

ings

like

wor

k, h

obbi

es, a

nd o

ther

thi

ngs

you

usua

lly e

njoy

ed?

Resp

onde

nts

who

ans

wer

ed “

Yes”

to

eith

er re

spon

se

wer

e co

ded

as h

avin

g “d

epre

ssed

moo

d si

nce

birt

h of

bab

y.”

21 A

vera

ge a

ge o

f bab

ies

at t

ime

of in

terv

iew

was

5.5

mon

ths.

22 Q

uest

ion

aske

d: H

ow o

ften

doe

s yo

ur n

ew b

aby

slee

p in

the

sam

e be

d w

ith y

ou o

r any

one

else

? Th

ose

who

resp

onde

d “A

lway

s,”

“Fre

quen

tly,”

“So

met

imes

,” o

r “Ra

rely

” w

ere

reco

ded

as “

Ever

sle

pt w

ith a

noth

er p

erso

n.”

LA County 2014

LA County 2012

(%)

(%)

LA County 2016

(%)

White

(%)

AfricanAmerican

(%)

Latina

(%)

Asian

(%)

LA C

ount

y 20

16

Page 13: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

Hea

lth

Insu

ranc

e C

over

age

Bef

ore

Preg

nanc

y

U

nins

ured

* 35

.8

32.9

18

.6

13.3

17

.2

16.9

22

.4

7.4

26.4

22

.3

15.5

On

Med

i-Cal

* 22

.3

20.8

30

.1

45.7

25

.1

22.4

32

.6

8.1

47.4

35

.9

27.5

Empl

oyer

bas

ed &

Priv

ate

NA

39

.1

40.3

29

.2

47.8

47

.2

35.8

73

.8

18.9

31

.9

43.0

Cov

ered

CA

& In

sura

nce

thro

ugh

pare

nts

NA

2.

1 4.

8 5.

8 4.

6 5.

0 4.

6 4.

8 2.

5† 5.

0† 6.

3

Pre-

preg

nanc

y H

ealt

h B

ehav

iors

and

Exp

erie

nces

W

as d

ietin

g 6

mon

ths

befo

re p

regn

ancy

N

A

35.2

35

.8

42.5

39

.6

33.4

32

.1

26.6

36

.9

37.5

35

.0W

as e

xerc

ising

3+

days

/wk

befo

re p

regn

ancy

N

A

54.3

54

.0

56.1

52

.5

46.8

55

.6

69.0

51

.6

55.6

59

.7W

as re

gula

rly ta

king

pre

scrip

tion

med

icin

e N

A

12.4

13

.1

17.1

13

.8

10.2

12

.5

20.6

13

.2

10.3

15

.1N

o pr

econ

cept

ion

heal

th c

ouns

elin

g1

68.6

72

.6

70.1

74

.6

66.6

71

.6

73.7

54

.4

72.9

73

.7

69.0

Not

taki

ng a

mul

tivita

min

47

.5

49.9

45

.5

54.5

42

.2

43.3

49

.1

27.0

58

.1

47.5

40

.8La

ck o

f fol

ic a

cid

know

ledg

e 67

.9

65.2

68

.1

73.6

65

.0

63.1

63

.9

43.1

82

.0

75.2

70

.7D

id n

ot h

ave

enou

gh m

oney

for f

ood

5.5

5.1

4.3

8.8

3.0

3.5

4.8

1.7†

6.3

3.4†

5.5

Smok

ed c

igar

ette

s in

the

6 m

onth

s be

fore

pre

gnan

cy

8.7

7.2

7.3

13.2

8.

5 6.

3 7.

0 6.

5† 8.

4 4.

2 7.

4C

igar

ette

sm

okin

g/ni

cotin

e us

e in

the

6 m

onth

s be

fore

pre

gnan

cy2

NA

N

A

11.6

18

.3

12.3

10

.4

11.9

10

.2†

13.7

6.

8 12

.3Sh

e or

her

par

tner

trav

elle

d to

or r

esid

ed in

a re

gion

with

Zik

a vi

rus3

NA

N

A

6.4

6.0†

4.7†

4.6†

6.8†

8.5

7.1†

9.6†

6.5†

Chi

ldho

od E

xper

ienc

es4

Did

not

hav

e an

adu

lt w

ho b

elie

ved

in th

em

NA

N

A

12.4

14

.8

10.1

12

.4

16.2

7.

9 14

.0

13.3

11

.4Pa

rent

/gua

rdia

n go

t div

orce

d or

sep

arat

ed

NA

N

A

30.3

37

.2

26.0

25

.6

33.4

26

.1

35.0

33

.8

32.2

Prob

lem

s pa

ying

the

rent

/mor

tgag

e N

A

NA

14

.8

20.2

11

.8

10.2

17

.2

10.7

21

.2

16.1

16

.2W

ent h

ungr

y be

caus

e th

ey c

ould

not

affo

rd fo

od

NA

N

A

10.1

10

.0

6.9

9.2

12.8

3.

9 14

.9

9.8

12.3

Pare

nt/g

uard

ian

wen

t to

jail

NA

N

A

8.7

15.9

5.

9 7.

2 10

.5

4.3

12.2

11

.3

6.9

Pare

nt/g

uard

ian

had

drin

king

or d

rug

prob

lem

N

A

NA

15

.8

18.8

13

.0

13.4

18

.0

12.0

19

.1

16.0

18

.8W

as in

fost

er c

are

NA

N

A

2.3

5.8

1.2†

1.4†

2.0†

0.9†

4.7

2.7†

2.3†

Fam

ily P

lann

ing

Prac

tice

s

U

nwan

ted/

mist

imed

pre

gnan

cy b

y m

othe

r5 46

.6

44.9

42

.7

50.1

38

.5

40.0

42

.3

22.2

57

.1

45.7

41

.7U

nwan

ted

preg

nanc

y by

par

tner

6 28

.0

31.0

29

.3

33.9

27

.2

27.7

29

.9

18.8

35

.4

32.4

29

.0U

sing

birt

h co

ntro

l whe

n th

ey b

ecam

e pr

egna

nt7 *

28

.9

24.9

23

.5

22.6

21

.5

25.7

25

.2

15.1

26

.4

24.4

21

.8Re

ceiv

ed fe

rtili

ty tr

eatm

ent

5.6

4.6

5.0

3.2†

5.8

5.3

5.3

13.3

2.

5† 2.

6† 5.

7Ev

er u

sed

emer

genc

y co

ntra

cept

ion*

19

.5

23.6

27

.9

21.1

29

.6

24.3

30

.1

34.7

29

.4

27.0

27

.7

Pre-

preg

nanc

y H

ealt

h &

Wel

l-be

ing

by S

PA

13

LA County 2012

(%)

LA County 2014

(%)

LA County 2016

(%)

(%)

(%)

(%)

(%)

(%)

(%)

(%)

(%)

AntelopeValley

(%)

SPA

1

West

(%)

SPA

5

San Gabriel

(%)

SPA

3

East

(%)

SPA

7

SanFernando

(%)

SPA

2

South

(%)

SPA

6

Metro

(%)

SPA

4

South Bay

(%)

SPA

8

LA C

ount

y 20

16

Page 14: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

14H

EALT

H IN

DIC

TORS

FO

R M

OTH

ERS

AN

D B

ABI

ES IN

LO

S A

NG

ELES

CO

UN

TY, 2

016

Pre-

preg

nanc

y H

ealt

h C

ondi

tion

s

Ove

rwei

ght/

Obe

se

44.9

47

.9

49.6

63

.0

51.3

39

.9

43.1

24

.8

63.0

56

.5

50.5

Ast

hma

5.

0 5.

7 5.

4 10

.0

4.7

5.1

5.6

4.0

6.5

4.8*

5.

6H

igh

bloo

d pr

essu

re

3.6

3.6

3.6

5.3

2.5

4.5

3.5

2.6*

5.

7 2.

0*

3.1

Dia

bete

s

2.8

2.5

3.0

4.0†

1.5†

3.8†

3.3

1.5†

5.4†

2.4†

2.1

Ane

mia

11

.8

10.9

9.

6 13

.7

9.1

9.5

9.8

6.2

12.1

7.

5 9.

9D

epre

ssed

Moo

d 11

.0

10.0

9.

6 15

.5

6.1

9.0

9.7

11.3

11

.6

9.3

10.9

Perio

dont

al d

iseas

e

9.5

9.6

8.0

9.7

6.1

8.0

8.2

5.2

11.6

6.

9 8.

7

Obs

tetr

ic H

isto

ry

Prev

ious

pre

term

birt

h 8.

0 6.

9 7.

3 9.

2 6.

3 6.

8 7.1

3.

9 8.

4 9.

2 7.

4Pr

evio

us lo

w b

irth

wei

ght

5.6

5.6

6.5

9.1

5.7

6.4

6.3

2.2†

8.0

7.0

6.6

Still

birt

h (p

regn

ancy

that

did

not

resu

lt in

a li

ve b

irth)

1.

3 1.

6 1.

4 0.

9† 0.

8† 2.

2† 0.

9† 0.

3† 2.

2† 2.

1† 0.

8†

Prev

ious

misc

arria

ge

19.5

21

.2

21.3

26

.3

20.5

22

.9

17.1

21

.6

23.1

18

.1

22.7

Prev

ious

abo

rtio

n 15

.2

15.8

14

.7

14.1

12

.0

16.8

11

.9

13.3

16

.8

13.3

17

.1

† Si

gnifi

es t

hat

the

estim

ate

is s

tatis

tical

ly u

nsta

ble

(rel

ativ

e st

anda

rd e

rror

> 2

5%) a

nd t

here

fore

may

not

be

appr

opria

te t

o us

e fo

r pla

nnin

g or

pol

icy

purp

oses

.

* In

dica

tes

sign

ifi ca

nt d

iffer

ence

s be

twee

n 20

12 a

nd 2

016.

1

Que

stio

n as

ked:

Dur

ing

the

six

mon

ths

befo

re y

ou g

ot p

regn

ant

with

you

r new

bab

y, d

id y

ou t

alk

to a

doc

tor,

nurs

e, o

r oth

er h

ealth

car

e w

orke

r abo

ut h

ow t

o pr

epar

e fo

r a h

ealth

y pr

egna

ncy

and

baby

?

² Q

uest

ion

aske

d: In

the

six

mon

ths

befo

re y

ou g

ot p

regn

ant,

did

you

use

any

of t

he fo

llow

ing

toba

cco/

nico

tine

prod

ucts

? Re

spon

dent

s w

ho a

nsw

ered

“ye

s” t

o us

ing

e-ci

gare

ttes

, vap

es, c

hew

ing

toba

cco,

nic

otin

e pa

tch

or

othe

r pro

duct

OR

ciga

rett

e sm

okin

g w

ere

reco

ded

as “

Ciga

rett

e sm

okin

g/ni

cotin

e us

e in

the

6 m

onth

s be

fore

pr

egna

ncy.

”3 Q

uest

ion

aske

d: D

id y

ou, o

r you

r sex

ual p

artn

er, t

rave

l to

or re

side

in a

regi

on w

ith o

ngoi

ng Z

ika

Viru

s tr

ansm

issi

on (M

exic

o, C

entr

al a

nd S

outh

Am

eric

a, C

arib

bean

, New

Gui

nea,

Sam

oa, F

iji, M

arsh

all I

slan

ds,

Pala

u, S

inga

pore

, Ton

ga) i

n th

e 3

mon

ths

befo

re o

r dur

ing

your

mos

t re

cent

pre

gnan

cy?

4 Q

uest

ion

stat

ed: P

leas

e te

ll us

if a

ny o

f the

se t

hing

s ev

er h

appe

ned

to y

ou fr

om b

irth

thro

ugh

age

13.

5 Q

uest

ion

aske

d: T

hink

ing

back

to

just

bef

ore

you

got

preg

nant

with

you

r new

bab

y, h

ow d

id y

ou fe

el a

bout

be

com

ing

preg

nant

? Re

spon

dent

s w

ho a

nsw

ered

, “I w

ante

d to

be

preg

nant

late

r” o

r “I d

idn’

t w

ant

to b

e pr

egna

nt t

hen

or a

ny t

ime

in t

he fu

ture

” w

ere

code

d as

“U

nwan

ted

or m

istim

ed.”

6 Q

uest

ion

aske

d: Ju

st b

efor

e yo

u go

t pr

egna

nt w

ith y

our n

ew b

aby,

how

did

you

r hus

band

or p

artn

er fe

el

abou

t yo

u be

com

ing

preg

nant

? Re

spon

dent

s w

ho a

nsw

ered

, “H

e w

ante

d m

e to

be

preg

nant

late

r” o

r “H

e di

dn’t

wan

t m

e to

be

preg

nant

the

n or

any

tim

e in

the

futu

re”

wer

e co

ded

as “

Unw

ante

d pr

egna

ncy

by fa

-th

er.”

Res

pond

ents

who

ans

wer

ed, “

I don

’t k

now

” or

“I d

idn’

t ha

ve a

hus

band

or p

artn

er”

wer

e co

ded

mis

sing

fo

r thi

s fi e

ld.

7 Q

uest

ion

aske

d: B

efor

e yo

u go

t pr

egna

nt w

ith y

our n

ew b

aby,

wer

e yo

u us

ing

any

met

hod

of b

irth

cont

rol?

Re

spon

dent

s w

ho a

nsw

ered

“Ye

s, a

ll th

e tim

e” o

r “Ye

s, s

omet

imes

” w

ere

code

d as

“us

ing

birt

h co

ntro

l bef

ore

gett

ing

preg

nant

”.

LA County 2012

(%)

LA County 2014

(%)

LA County 2016

(%)

(%)

(%)

(%)

(%)

(%)

(%)

(%)

(%)

AntelopeValley

(%)

SPA

1

West

(%)

SPA

5

San Gabriel

(%)

SPA

3

East

(%)

SPA

7

SanFernando

(%)

SPA

2

South

(%)

SPA

6

Metro

(%)

SPA

4

South Bay

(%)

SPA

8

LA C

ount

y 20

16

Page 15: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

Pren

atal

Car

e an

d M

ater

nal R

isk

Fact

ors

Dur

ing

Preg

nanc

y by

SPA

LA County 2012

(%)

LA County 2014

(%)

LA County 2016

(%)

AntelopeValley

(%)

SPA

1

West

(%)

SPA

5

San Gabriel

(%)

SPA

3

East

(%)

SPA

7

SanFernando

(%)

SPA

2

South

(%)

SPA

6

Metro

(%)

SPA

4

South Bay

(%)

SPA

8

Pren

atal

Car

e

En

tere

d pr

enat

al c

are

afte

r 1st

trim

este

r 9.

5 8.

6 8.

2 17

.0

5.5

7.6

8.3

4.0

10.0

7.

6 10

.6D

id n

ot g

et p

rena

tal c

are

as e

arly

as

wan

ted

13.4

13

.4

10.9

20

.0

8.8

10.0

10

.7

4.2

13.6

10

.2

13.1

Trav

eled

15

mile

s or

mor

e fo

r pre

nata

l car

e 11

.2

10.8

9.

8 26

.1

9.8

11.7

6.

4 4.

4† 9.

4 6.

8 9.

4D

issat

isfi e

d w

ith a

mou

nt o

f wai

t tim

e at

pre

nata

l car

e 18

.0

19.7

17

.9

18.1

15

.1

21.9

18

.6

14.8

17

.8

19.1

16

.0D

issat

isfi e

d w

ith a

mou

nt o

f tim

e sp

ent w

ith d

octo

r/nu

rse

9.8

11.1

10

.1

9.9

8.6

11.9

12

.4

6.4

9.9

11.9

8.

2D

issat

isfi e

d w

ith a

dvic

e gi

ven

at p

rena

tal c

are

6.5

7.0

6.7

7.1

5.0

7.8

8.7

4.0

6.0

7.7

6.4

Diss

atisfi

ed

with

und

erst

andi

ng/r

espe

ct re

ceiv

ed

3.8

3.6

3.8

5.6

2.9†

4.6

4.1†

1.4†

3.7†

4.8

3.4

Nee

ded

to s

ee a

den

tist*

23

.1

20.4

19

.2

18.8

18

.3

17.7

22

.0

15.4

25

.3

18.1

17

.0Re

ceiv

ed d

enta

l car

e 36

.8

37.4

38

.7

30.5

44

.2

30.9

43

.7

59.9

38

.1

33.1

38

.6Re

ceiv

ed a

sea

sona

l fl u

sho

t dur

ing

or b

efor

e pr

egna

ncy

NA

N

A

57.4

53

.1

57.8

55

.6

65.0

74

.0

55.1

52

.5

56.0

Rece

ived

a T

dap

shot

dur

ing

preg

nanc

y or

at d

eliv

ery

NA

N

A

74.9

73

.0

78.9

73

.0

75.4

86

.0

70.0

68

.5

78.0

Med

ical

Con

diti

ons

Dur

ing

Preg

nanc

y

La

bor p

ain

3 w

eeks

bef

ore

due

date

* 15

.0

12.7

11

.8

14.6

11

.9

11.6

11

.2

10.1

12

.8

10.9

11

.7H

igh

bloo

d pr

essu

re

9.7

10.5

11

.2

11.7

9.

1 11

.1

9.4

7.9

17.4

10

.3

11.7

Ges

tatio

nal d

iabe

tes

11.8

12

.2

12.6

12

.5

9.1

17.9

10

.1

6.5

15.2

11

.5

12.4

Prob

lem

s w

ith th

e pl

acen

ta8

4.8

4.5

5.1

7.3

3.8

6.2

4.1

6.2

4.2†

5.3†

5.9

Urin

ary

trac

t inf

ectio

n*

13.2

9.

5 8.

1 12

.6

8.3

7.6

8.1

5.4

6.5

7.7

10.0

Wat

er b

roke

mor

e th

an 3

wee

ks e

arly

4.

4 4.

9 5.

0 8.

3 4.

0† 3.

5† 5.

5 6.

6† 6.

1† 5.

0† 5.

4In

com

pete

nt c

ervi

x 2.

2 2.

0 1.

6 2.

3† 0.

9† 1.

6† 2.

4† 1.

4† 2.

1† 0.

9† 2.

2†

Sexu

ally

tran

smitt

ed d

iseas

e*

3.5

2.1

1.6

3.3†

1.0†

0.5†

1.5†

0.6†

1.4†

2.3†

3.1

Bact

eria

l vag

inos

is 10

.8

10.3

9.

9 12

.4

6.7

10.2

9.

4 6.

2 10

.9

13.1

10

.9Pe

riodo

ntal

dise

ase*

16

.7

15.1

11

.9

13.4

11

.4

10.7

12

.5

9.8

15.0

10

.5

12.1

Ris

k B

ehav

iors

Dur

ing

Preg

nanc

y

Cig

aret

te s

mok

ing*

2.

4 1.

5 1.

5 6.

6 1.

6† 1.

7† 0.

9† 0.

7† 1.

7 0.

4† 1.

2†

Cig

aret

te s

mok

ing/

nico

tine

use9

NA

N

A

2.6

8.1

2.8†

2.8†

1.8†

0.9†

3.7†

0.6†

1.8†

Expo

sure

to s

econ

dhan

d sm

oke10

4.

3 4.

5 4.

5 7.

4 2.

9 9.

0 2.

8 1.

7† 4.

4† 2.

6† 3.

7U

sing

illeg

al d

rugs

or d

rugs

not

pre

scrib

ed b

y a

doct

or11

5.

7 4.

1 5.

5 7.1

4.

8 7.

0 6.

0 7.

5† 5.

5 3.

0† 4.

9U

sing

mar

ijuan

a 1.

8 1.

5 2.

0 2.

9† 2.

4† 1.

1† 1.

9† 4.

4† 3.

0† 0.

6† 2.

0†

Bing

e dr

inki

ng a

lcoh

ol12

N

A

NA

7.

4 5.

5 4.

1 5.

4 11

.7

6.2

9.7

7.8

10.0

Did

not

exe

rcise

dur

ing

preg

nanc

y13*

20.9

23

.0

24.5

27

.0

27.9

22

.9

19.7

17

.1

26.4

26

.4

23.5

15LA

Cou

nty

2016

Page 16: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

16H

EALT

H IN

DIC

TORS

FO

R M

OTH

ERS

AN

D B

ABI

ES IN

LO

S A

NG

ELES

CO

UN

TY, 2

016

Perc

enta

ge o

f Mot

hers

Rec

eivi

ng S

easo

nal F

lu S

hot

Dur

ing

or B

efor

e Pr

egna

ncy

by A

ge G

roup

Lo

s A

ngel

es C

ount

y 20

16

Perc

enta

ge o

f Mot

hers

who

did

Not

Exe

rcis

e D

urin

g Pr

egna

ncy

by

Age

Gro

up

Los

Ang

eles

Cou

nty

2016

“I s

tres

s to

fut

ure

mot

hers

to

do m

ore

exer

cise

, w

alki

ng,

and

keep

ing

busy

to

mai

ntai

n a

good

wei

ght

for

preg

nanc

y.

It h

elpe

d m

e a

lot.

” ~2

014

LAM

B M

om

8 Q

uest

ion

aske

d: D

urin

g yo

ur p

regn

ancy

did

you

hav

e an

y of

the

se p

robl

ems?

Res

pond

ents

who

ans

wer

ed

“pro

blem

s w

ith p

lace

nta

(suc

h as

abr

uptio

pla

cent

ae o

r pla

cent

a pr

evia

)” w

ere

code

d as

“pr

oble

ms

with

pl

acen

ta.”

9

Que

stio

n as

ked:

Dur

ing

your

last

pre

gnan

cy, d

id y

ou u

se a

ny o

f the

follo

win

g to

bacc

o/ni

cotin

e pr

oduc

ts?

Re-

spon

dent

s w

ho a

nsw

ered

“ye

s” t

o us

ing

e-ci

gare

ttes

, vap

es, c

hew

ing

toba

cco,

nic

otin

e pa

tch

or o

ther

pro

duct

O

R ci

gare

tte

smok

ing

durin

g pr

egna

ncy

wer

e re

code

d as

“Ci

gare

tte

smok

ing/

nico

tine

use.

”10

Que

stio

n as

ked:

Dur

ing

your

pre

gnan

cy, a

bout

how

man

y ho

urs

a da

y, o

n av

erag

e, w

ere

you

in t

he s

ame

room

w

ith s

omeo

ne w

ho w

as s

mok

ing?

Res

pond

ents

who

indi

cate

d m

ore

than

0 h

ours

wer

e co

ded

as “

expo

sed

to

seco

ndha

nd s

mok

e.”

11 R

espo

nden

ts w

ho a

nsw

ered

“ye

s” w

hen

ques

tione

d ab

out

use

of m

ariju

ana,

has

hish

, tra

nqui

lizer

s,

hallu

cino

gens

, coc

aine

, her

oin,

am

phet

amin

es o

r, pr

escr

iptio

n dr

ugs

not

pres

crib

ed b

y th

eir d

octo

rs w

ere

code

d as

“us

ing

illeg

al d

rugs

or d

rugs

not

pre

scrib

ed b

y a

doct

or.”

12

Que

stio

n as

ked:

“D

urin

g yo

ur p

regn

ancy

(inc

ludi

ng b

efor

e yo

u kn

ew y

ou w

ere

preg

nant

for s

ure)

how

man

y tim

es d

id y

ou d

rink

4 or

mor

e dr

inks

with

alc

ohol

in o

ne s

ittin

g (w

ithin

2 h

ours

)?”

Resp

onde

nts

who

ans

wer

ed

one

or m

ore

times

wer

e re

code

d as

“Bi

nge

drin

king

alc

ohol

.”13

Que

stio

n as

ked:

How

oft

en d

id y

ou e

xerc

ise

for 3

0 m

inut

es o

r mor

e in

the

last

thr

ee m

onth

s of

pre

gnan

cy;

wom

en w

ho w

ere

told

by

a do

ctor

, nur

se, o

r hea

lth c

are

wor

ker n

ot t

o ex

erci

se w

ere

excl

uded

from

the

de

nom

inat

or t

o ca

lcul

ate

prev

alen

ce o

f exe

rcis

e du

ring

last

thr

ee m

onth

s of

pre

gnan

cy.

Page 17: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

LA County 2012

(%)

LA County 2014

(%)

LA County 2016

(%)

(%)

(%)

(%)

(%)

(%)

(%)

(%)

(%)

Antelope Valley

(%)

SPA

1

West

(%)

SPA

5

San Gabriel

(%)

SPA

3

East

(%)

SPA

7

San Fernando

(%)

SPA

2

South

(%)

SPA

6

Metro

(%)

SPA

4

South Bay

(%)

SPA

8

Men

tal H

ealt

h D

urin

g Pr

egna

ncy

D

epre

ssed

moo

d14*

29.7

26

.1

25.0

25

.3

24.4

24

.9

25.6

18

.1

29.6

25

.6

23.3

Low

Mat

erna

l Res

ilien

cy15

8.

1 8.

2 7.

9 7.

7 6.

5 9.

7 8.

3 9.

9 9.

8 4.

5 7.

9

Soci

al S

uppo

rt

Diss

atisfi

ed

with

sup

port

giv

en b

y th

e ba

by’s

fath

er16

8.

3 8.

2 6.

9 12

.1

4.1

6.9

7.4

2.5†

8.1

7.6

8.4

Expe

rienc

ed d

omes

tic v

iole

nce/

intim

ate

part

ner a

buse

17

2.3

1.6

1.9

2.5†

14†

2.9†

2.8†

1.1†

1.7†

0.8†

1.9†

Wou

ld h

ave

som

eone

to lo

an m

oney

if n

eede

d18

82.1

82

.5

84.8

84

.5

85.1

82

.5

83.3

94

.5

80.9

84

.6

88.5

Wou

ld h

ave

som

eone

to h

elp

if sic

k 86

.1

87.2

89

.1

89.4

89

.9

90.2

86

.9

96.2

84

.2

87.3

91

.5W

ould

hav

e so

meo

ne to

list

en to

pro

blem

s 85

.1

85.3

87

.7

88.4

89

.9

87.5

86

.7

95.5

83

.4

85.5

88

.8

Soci

al E

nvir

onm

ent

Perc

eive

d ne

ighb

orho

od a

s un

safe

19

14.2

13

.5

14.4

10

.2

10.1

7.

6 19

.3

2.6†

34.0

12

.7

15.0

Stre

ssfu

l Life

Eve

nts

Dur

ing

Preg

nanc

y

Fa

mily

mem

ber h

ad to

go

into

the

hosp

ital

16.1

14

.7

14.5

14

.9

16.8

11

.4

14.0

14

.7

15.6

12

.6

16.1

Div

orce

d/se

para

ted

from

hus

band

/par

tner

8.

1 6.

9 5.

6 6.

3 3.

7 4.

7 6.

3 1.

2† 8.

2 6.

3 7.

2M

oved

to a

new

add

ress

25

.6

24.9

23

.6

31.2

23

.6

23.9

21

.2

23.7

21

.1

23.9

24

.2W

ere

hom

eles

s 4.

6 3.

5 3.

3 6.

7 2.

5† 2.

8† 3.

1† 0.

6† 6.

8 1.

2† 3.

6H

usba

nd/p

artn

er lo

st h

is/he

r job

* 12

.4

10.8

9.

2 10

.1

8.8

8.1

7.8

4.8

11.2

11

.0

10.1

Lost

job

but w

ante

d to

con

tinue

wor

king

* 9.

6 9.

2 7.

2 10

.1

3.7

5.9

7.8

3.7

11.6

8.

1 8.

7A

rgue

d m

ore

than

usu

al w

ith h

usba

nd/p

artn

er

26.3

23

.8

22.8

26

.7

18.8

21

.1

23.4

20

.6

28.5

19

.1

27.5

Had

a lo

t of b

ills

that

cou

ld n

ot b

e pa

id*

18.5

17

.8

14.8

18

.8

10.2

12

.0

16.2

5.

8 25

.1

15.2

15

.9W

ere

in a

phy

sical

fi gh

t*

2.7

2.2

1.7

4.0

1.2†

1.2†

2.0†

1.1†

2.7†

1.3†

1.8†

Hus

band

/par

tner

or s

elf w

ent t

o ja

il*

3.5

2.5

2.1

5.5

1.7†

1.7†

0.9†

0.7†

2.6†

1.5†

3.4†

Som

eone

clo

se h

ad d

rinki

ng o

r dru

g pr

oble

ms

8.

1 7.1

7.

4 10

.1

5.3

4.8

7.8

6.2

11.9

8.

4 8.

0So

meo

ne c

lose

and

impo

rtan

t die

d

12.5

11

.2

11.7

15

.1

12.0

9.

6 9.

6 7.

9 15

.0

12.5

12

.0

Rep

orte

d Ev

er E

xper

ienc

ing

Dis

crim

inat

ion

Any

disc

rimin

atio

n 39

.1

37.8

35

.6

34.8

31

.1

36.9

41

.9

39.9

33

.1

34.6

37

.7A

t wor

k 17

.4

16.8

16

.3

14.2

16

.3

16.3

17

.7

25.0

16

.1

11.1

17

.6W

hen

gett

ing

med

ical

car

e 8.

2 7.

6 6.

4 8.

0 4.

7 5.

3 8.

6 4.

4 7.

6 8.

2 6.

3W

hen

gett

ing

hous

ing*

8.

8 9.

1 7.

0 6.

4 4.

5 8.

7 8.

0 3.

8 8.

5 6.

9 7.

7Be

caus

e of

race

/col

or

20.0

18

.1

15.6

15

.1

11.9

15

.4

16.1

13

.9

20.3

14

.9

17.8

Beca

use

of g

ende

r 11

.6

11.3

12

.5

10.4

11

.3

11.6

15

.1

23.9

9.

5 11

.2

14.1

At h

ome

NA

7.

9 7.1

9.

6 6.

5 9.

0 7.

2 3.

6 5.

4 8.

0 6.

7Be

caus

e of

bre

astf

eedi

ng

NA

5.

9 8.

3 8.

6 6.

5 9.

6 11

.3

10.4

5.

3 7.

9 9.

4Be

caus

e of

pre

gnan

cy

15.1

14

.7

13.0

14

.9

12.1

11

.0

9.8

12.8

16

.6

15.6

12

.6

Psyc

hoso

cial

and

Beh

avio

ral R

isk

Fact

ors

Dur

ing

Preg

nanc

y by

SPA

17LA

Cou

nty

2016

Page 18: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

18H

EALT

H IN

DIC

TORS

FO

R M

OTH

ERS

AN

D B

ABI

ES IN

LO

S A

NG

ELES

CO

UN

TY, 2

016

Perc

enta

ge o

f Mot

hers

Rep

orti

ng e

xper

ienc

ing

Any

Typ

e of

D

iscr

imin

atio

n by

Age

Gro

up

Los

Ang

eles

Cou

nty

2016

Perc

enta

ge o

f Mot

hers

wit

h Lo

w M

ater

nal R

esili

ency

by A

ge G

roup

Lo

s A

ngel

es C

ount

y 20

16

“My

part

ner

stru

ggle

s w

ith

addi

ctio

n an

d is

now

rec

eivi

ng

trea

tmen

t. D

urin

g bo

th m

y pr

egna

ncie

s he

was

una

vaila

ble

to m

e fo

r su

ppor

t or

car

e. I

thi

nk i

t's

impo

rtan

t fo

r ot

her

expe

ctin

g m

oms

to k

now

if

they

are

not

hav

ing

an

"ide

al

preg

nanc

y"

that

th

ey

are

NO

T al

one.

M

y pa

rtne

r ha

s no

w b

een

sobe

r on

e ye

ar, a

nd t

hing

s ar

e be

tter

.”

~201

6 LA

MB

Mom

“I fe

el v

ery

fort

unat

e to

hav

e ha

d a

heal

thy

and

easy

pre

gnan

cy, l

ovin

g hu

sban

d, fo

od,

shel

ter a

nd fi

nanc

ial r

esou

rces

for o

ur n

ew

fam

ily.”

~20

16 L

AM

B M

om

† Sig

nifi e

s th

at t

he e

stim

ate

is s

tatis

tical

ly u

nsta

ble

(rel

ativ

e st

anda

rd e

rror

> 2

5%) a

nd t

here

fore

may

not

be

appr

opria

te t

o us

e fo

r pla

nnin

g or

pol

icy

purp

oses

.

* In

dica

tes

sign

ifi ca

nt d

iffer

ence

s be

twee

n 20

12 a

nd 2

016.

14 T

wo-

part

que

stio

n as

ked:

For

2 w

eeks

or l

onge

r dur

ing

your

mos

t re

cent

pre

gnan

cy d

id y

ou fe

el s

ad, e

mpt

y or

dep

ress

ed fo

r mos

t of

the

day

? an

d Fo

r 2 w

eeks

or l

onge

r dur

ing

your

mos

t re

cent

pre

gnan

cy d

id y

ou lo

se

inte

rest

in m

ost

thin

gs li

ke w

ork,

hob

bies

, and

oth

er t

hing

s yo

u us

ually

enj

oyed

? Re

spon

dent

s w

ho a

nsw

ered

“Y

es”

to e

ither

resp

onse

wer

e co

ded

as h

avin

g “d

epre

ssed

moo

d.”

15 L

ow m

ater

nal r

esili

ency

com

bine

d th

e re

spon

ses

of s

even

LA

MB

2016

que

stio

ns t

hat

aske

d m

othe

rs h

ow

stro

ngly

the

y ag

reed

with

sta

tem

ents

abo

ut t

heir

self-

este

em a

nd p

erce

ptio

n th

at t

hey

can

achi

eve

thei

r goa

ls

or c

ompl

ete

task

s an

d co

ntro

l the

eve

nts

affe

ctin

g th

em.

16 Q

uest

ion

aske

d: O

vera

ll, h

ow s

atisfi e

d w

ere

you

with

the

sup

port

giv

en b

y yo

ur b

aby’

s fa

ther

dur

ing

your

pr

egna

ncy?

Res

pond

ents

who

ans

wer

ed “

som

ewha

t di

ssat

isfi e

d” o

r “no

t at

all

satisfi e

d” w

ere

code

d as

“di

s-sa

tisfi e

d.”

17 Q

uest

ion

aske

d: D

urin

g yo

ur la

st p

regn

ancy

, did

the

bab

y’s

fath

er d

o an

y of

the

follo

win

g fo

r you

? H

it or

sla

p yo

u w

hen

he w

as a

ngry

.18

Que

stio

n as

ked:

Dur

ing

your

last

pre

gnan

cy, w

ould

you

hav

e so

meo

ne t

o lo

an y

ou $

50 if

you

had

nee

ded

it?19

Que

stio

n as

ked:

How

wou

ld y

ou p

erce

ive

this

nei

ghbo

rhoo

d in

ter

ms

of it

s sa

fety

from

vio

lenc

e? R

espo

nden

ts

who

ans

wer

ed “

Very

Poo

r” o

r “Po

or”

wer

e re

code

d to

“N

eigh

borh

ood

Uns

afe.

Page 19: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

Del

iver

y M

etho

dH

ad a

C-s

ectio

n N

A

35.4

32

.7

34.5

35

.9

34.8

31

.8

26.4

30

.3

30.8

32

.2C

-sec

tion

disc

ussio

n in

itiat

ed b

y m

othe

r N

A

11.6

12

.6

8.7

15.4

11

.8

11.6

13

.0

10.9

13

.1

12.3

Reas

on fo

r C-s

ectio

n: H

ad p

revi

ous

C-s

ectio

n N

A

44.6

46

.2

55.2

46

.4

48.3

39

.4

30.3

50

.3

54.6

38

.1Re

ason

for C

-sec

tion:

Bab

y w

as in

wro

ng p

ositi

on

NA

16

.9

16.2

14

.6

15.8

17

.5

19.9

26

.3

10.8

† 18

.4

12.5

Reas

on fo

r C-s

ectio

n: L

abor

was

taki

ng to

o lo

ng

NA

15

.8

12.6

9.

1† 12

.0

11.6

† 15

.0

15.5

12

.5†

9.9†

16.2

Mat

erna

l Pos

tpar

tum

Hea

lth

Had

a p

ostp

artu

m c

heck

-up

89.9

92

.1

90.7

84

.2

93.2

91

.1

89.1

96

.2

87.0

91

.4

90.6

Fam

ily p

lann

ing

disc

usse

d du

ring

chec

k-up

90

.1

89.3

90

.5

93.8

92

.5

84.8

91

.8

90.4

90

.0

91.4

93

.0Re

ceiv

ed h

ome

visit

atio

n se

rvic

es

NA

N

A

12.2

20

.8

13.0

5.

6 8.

1 3.

3 16

.3

12.6

19

.1D

epre

ssed

moo

d sin

ce b

irth

of b

aby20

N

A

NA

25

.2

24.4

25

.2

28.1

22

.1

16.9

28

.7

23.4

24

.8

Infa

nt H

ealt

h &

Wel

l-be

ing

Pret

erm

/Low

Bir

th W

eigh

t

Pret

erm

9.

7 9.

1 8.

1 8.

7 7.

6 7.

5 9.

4 6.

2 8.

8 7.

5 9.

2Lo

w B

irth

Wei

ght

7.5

6.4

6.8

8.5

6.8

5.3

8.2

5.8

8.3

7.0

6.4

Infa

nt H

ealt

h

C

urre

ntly

read

ing

to b

aby*

74

.0

79.7

85

.2

86.4

87

.8

82.5

85

.4

92.3

83

.6

82.6

85

.8H

ad a

wel

l-bab

y ch

eck-

up

97.1

97

.2

98.1

95

.9

99.0

97

.8

98.5

99

.0

97.1

98

.3

98.1

Bre

astf

eedi

ng P

ract

ice

Any

bre

astf

eedi

ng a

t 1 w

eek

NA

N

A

88.8

83

.9

89.3

88

.2

93.5

96

.7

83.5

87

.5

90.6

Excl

usiv

e br

east

feed

ing

at 1

wee

k N

A

NA

55

.7

56.1

56

.8

55.3

58

.0

70.1

45

.9

51.1

61

.1A

ny b

reas

tfee

ding

at 1

mon

th

NA

N

A

82.9

77

.1

83.5

83

.6

86.7

94

.5

74.8

79

.7

86.5

Excl

usiv

e br

east

feed

ing

at 1

mon

th

NA

N

A

51.1

48

.3

53.1

53

.0

49.7

69

.5

40.0

45

.6

55.8

Any

bre

astf

eedi

ng a

t 3 m

onth

s N

A

NA

70

.8

59.9

71

.4

71.9

77

.4

90.1

58

.9

67.9

74

.2Ex

clus

ive

brea

stfe

edin

g at

3 m

onth

s N

A

NA

43

.2

33.3

44

.1

46.9

42

.7

68.6

28

.8

39.4

47

.6

Post

part

um H

ealt

h &

Wel

l-be

ing

by

SPA

19

LA County 2012

(%)

LA County 2014

(%)

LA County 2016

(%)

Antelope Valley

(%)

SPA

1

West

(%)

SPA

5

San Gabriel

(%)

SPA

3

East

(%)

SPA

7

SanFernando

(%)

SPA

2

South

(%)

SPA

6

Metro

(%)

SPA

4

South Bay

(%)

SPA

8

LA C

ount

y 20

16

Page 20: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

20H

EALT

H IN

DIC

TORS

FO

R M

OTH

ERS

AN

D B

ABI

ES IN

LO

S A

NG

ELES

CO

UN

TY, 2

016

Perc

enta

ge o

f Mot

hers

wit

h B

abie

s Sl

eepi

ng S

upin

e (o

n th

eir

back

) by

Age

Gro

up

Los

Ang

eles

Cou

nty

2016

Perc

enta

ge o

f Mot

hers

Dis

cuss

ing

Fam

ily P

lann

ing

Dur

ing

Post

part

um C

heck

up b

y A

ge G

roup

Los

Ang

eles

Cou

nty

2016

Bab

y’s

Slee

p En

viro

nmen

t21

Slee

ps o

n hi

s/he

r sid

e*

20.0

12

.8

10.8

10

.1

12.0

11

.5

12.6

7.

9 11

.6

10.4

8.

1Sl

eeps

on

his/

her b

ack*

75

.4

82.7

85

.0

82.9

84

.1

84.8

84

.1

87.2

83

.3

86.7

87

.4Sl

eeps

on

his/

her s

tom

ach

5.2

4.6

4.1

7.1

3.9

3.7†

3.3

4.9

5.1

2.9†

4.5

Ever

sle

pt w

ith a

noth

er p

erso

n22*

76.9

75

.3

72.6

75

.2

67.5

78

.3

74.4

60

.8

76.7

70

.9

72.4

LA County 2012

(%)

LA County 2014

(%)

LA County 2016

(%)

Antelope Valley

(%)

SPA

1

West

(%)

SPA

5

San Gabriel

(%)

SPA

3

East

(%)

SPA

7

SanFernando

(%)

SPA

2

South

(%)

SPA

6

Metro

(%)

SPA

4

South Bay

(%)

SPA

8

LA C

ount

y 20

16

† Sig

nifi e

s th

at t

he e

stim

ate

is s

tatis

tical

ly u

nsta

ble

(rel

ativ

e st

anda

rd e

rror

> 2

5%) a

nd t

here

fore

may

not

be

appr

opria

te t

o us

e fo

r pla

nnin

g or

pol

icy

purp

oses

.

* In

dica

tes

sign

ifi ca

nt d

iffer

ence

s be

twee

n 20

12 a

nd 2

016.

20 Tw

o-pa

rt q

uest

ion

aske

d: F

or 2

wee

ks o

r lon

ger s

ince

you

r mos

t re

cent

pre

gnan

cy d

id y

ou fe

el s

ad, e

mpt

y or

dep

ress

ed fo

r mos

t of

the

day

? an

d Fo

r 2 w

eeks

or l

onge

r dur

ing

your

mos

t re

cent

pre

gnan

cy d

id y

ou lo

se in

tere

st in

mos

t th

ings

like

wor

k, h

obbi

es, a

nd o

ther

thi

ngs

you

usua

lly e

njoy

ed?

Resp

onde

nts

who

ans

wer

ed “

Yes”

to

eith

er re

spon

se

wer

e co

ded

as h

avin

g “d

epre

ssed

moo

d si

nce

birt

h of

bab

y.”

21 A

vera

ge a

ge o

f bab

ies

at t

ime

of in

terv

iew

was

5.5

mon

ths.

22 Q

uest

ion

aske

d: H

ow o

ften

doe

s yo

ur n

ew b

aby

slee

p in

the

sam

e be

d w

ith y

ou o

r any

one

else

? Th

ose

who

resp

onde

d “A

lway

s,”

“Fre

quen

tly,”

“So

met

imes

,” o

r “Ra

rely

” w

ere

reco

ded

as “

Ever

sle

pt w

ith a

noth

er p

erso

n.”

Page 21: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

LA County 2012

(%)

LA County 2014

(%)

LA County 2016

(%)

(%)

(%)

(%)

(%)

(%)

First District

(%)

Fifth District

(%)

Third District

(%)

SecondDistrict

(%)

FourthDistrict

(%)

Hea

lth

Insu

ranc

e C

over

age

Bef

ore

Preg

nanc

y

Uni

nsur

ed*

35.8

32

.9

18.6

25

.7

22.4

17

.8

14.5

11

.7O

n M

edi-C

al*

22.3

20

.8

30.1

34

.8

39.8

25

.2

25.2

23

.2Em

ploy

er b

ased

& P

rivat

e N

A

39.1

40

.4

28.9

29

.8

45.6

46

.3

53.9

Cov

ered

CA

& In

sura

nce

thro

ugh

pare

nts

NA

2.

1 4.

8 5.

4 3.

0 5.

4 6.

4 4.

1

Pre-

preg

nanc

y H

ealt

h B

ehav

iors

and

Exp

erie

nces

Was

die

ting

6 m

onth

s be

fore

pre

gnan

cy

NA

35

.2

35.8

34

.2

34.6

36

.8

35.1

38

.6W

as e

xerc

ising

3+

days

/wk

befo

re p

regn

ancy

N

A

54.3

54

.0

51.7

52

.7

55.1

59

.0

52.8

Was

regu

larly

taki

ng p

resc

riptio

n m

edic

ine

NA

12

.4

13.1

10

.8

13.2

13

.7

14.6

13

.7N

o pr

econ

cept

ion

heal

th c

ouns

elin

68.6

72

.6

70.1

76

.1

71.6

63

.8

68.1

69

.0N

ot ta

king

a m

ultiv

itam

in

47.5

49

.9

45.5

50

.3

52.4

39

.4

39.8

42

.8La

ck o

f fol

ic a

cid

know

ledg

e 67

.9

65.2

68

.1

71.7

76

.4

61.8

65

.3

62.9

Did

not

hav

e en

ough

mon

ey fo

r foo

d 5.

5 5.

1 4.

3 5.

0 6.

0 3.

3 3.

5 3.

3Sm

oked

cig

aret

tes

in th

e 6

mon

ths

befo

re p

regn

ancy

8.

7 7.

2 7.

3 5.

5 7.

3 9.

7 7.

6 7.

0C

igar

ette

sm

okin

g/ni

cotin

e us

e in

the

6 m

onth

s be

fore

pre

gnan

cy2

NA

N

A

11.6

8.

4 11

.7

14.6

12

.7

11.5

She

or h

er p

artn

er tr

avel

led

to o

r res

ided

in a

regi

on w

ith Z

ika

viru

s3 N

A

NA

6.

4 6.

1† 7.

9† 4.

3† 7.

3† 5.

9†

Chi

ldho

od E

xper

ienc

es4

Did

not

hav

e an

adu

lt w

ho b

elie

ved

in th

em

NA

N

A

12.4

15

.7

14.0

9.

5 10

.0

11.6

Pare

nt/g

uard

ian

got d

ivor

ced

or s

epar

ated

N

A

NA

30

.3

31.6

34

.7

27.6

30

.7

26.1

Prob

lem

s pa

ying

the

rent

/mor

tgag

e N

A

NA

14

.8

14.0

19

.1

11.0

15

.1

13.7

Wen

t hun

gry

beca

use

they

cou

ld n

ot a

fford

food

N

A

NA

10

.1

10.5

12

.8

6.4

11.0

9.

2Pa

rent

/gua

rdia

n w

ent t

o ja

il N

A

NA

8.

7 10

.1

10.1

5.

9 9.

0 7.

6Pa

rent

/gua

rdia

n ha

d dr

inki

ng o

r dru

g pr

oble

m

NA

N

A

15.8

16

.8

17.9

12

.9

17.7

13

.5W

as in

fost

er c

are

NA

N

A

2.3

2.9†

3.5

1.6†

1.7

1.7

Fam

ily P

lann

ing

Prac

tice

s

Unw

ante

d/m

istim

ed p

regn

ancy

by

mot

her5

46.6

44

.9

42.7

47

.6

49.8

36

.8

40.1

37

.2U

nwan

ted

preg

nanc

y by

par

tner

6 28

.0

31.0

29

.4

31.4

33

.0

26.5

28

.3

26.9

Usin

g bi

rth

cont

rol w

hen

they

bec

ame

preg

nant

7 *

28.9

24

.9

23.5

28

.0

24.4

20

.3

20.8

22

.7Re

ceiv

ed fe

rtili

ty tr

eatm

ent

5.6

4.6

5.0

3.8

4.2

7.2

5.1

5.4

Ever

use

d em

erge

ncy

cont

race

ptio

n*

19.5

23

.6

27.9

24

.7

27.5

30

.6

30.0

27

.3

Pre-

preg

nanc

y H

ealt

h &

Wel

l-be

ing

by S

uper

viso

ry D

istr

ict

21LA

Cou

nty

2016

Page 22: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

LA County 2012

(%)

LA County 2014

(%)

LA County 2016

(%)

(%)

(%)

(%)

(%)

(%)

First District

(%)

Fifth District

(%)

Third District

(%)

SecondDistrict

(%)

FourthDistrict

(%)

22

LA C

ount

y 20

16

Pre-

preg

nanc

y H

ealt

h C

ondi

tion

s

O

verw

eigh

t/O

bese

44

.9

47.9

49

.6

50.3

55

.7

44.9

48

.2

47.4

Ast

hma

5.

0 5.

7 5.

4 5.

2 6.

4 4.

6 4.

5 6.

1H

igh

bloo

d pr

essu

re

3.6

3.6

3.6

3.0

4.3

2.3

3.7

4.2

Dia

bete

s

2.8

2.5

3.0

3.2

4.4

1.6†

2.2†

3.0

Ane

mia

11

.8

10.9

9.

6 10

.5

11.0

8.

3 8.

3 9.

5D

epre

ssed

moo

d 11

.0

10.0

9.

6 9.

1 11

.8

6.8

10.4

9.

1Pe

riodo

ntal

dise

ase

9.

5 9.

6 8.

0 8.

1 10

.4

6.5

6.9

7.7

Obs

tetr

ic H

isto

ry

Pr

evio

us p

rete

rm b

irth

8.0

6.9

7.3

7.1

7.5

6.0

9.1

6.8

Prev

ious

low

birt

h w

eigh

t 5.

6 5.

6 6.

5 6.

7 6.

6 5.

4 7.

4 6.

2St

illbi

rth

(pre

gnan

cy th

at d

id n

ot re

sult

in a

live

birt

h)

1.3

1.6

1.4

2.2†

1.8†

0.9†

1.3†

0.8†

Prev

ious

misc

arria

ge

19.5

21

.2

21.3

19

.2

23.1

19

.6

19.4

24

.4Pr

evio

us a

bort

ion

15.2

15

.8

14.7

14

.6

16.0

11

.0

15.8

15

.2

† Si

gnifi

es t

hat

the

estim

ate

is s

tatis

tical

ly u

nsta

ble

(rel

ativ

e st

anda

rd e

rror

> 2

5%) a

nd t

here

fore

may

not

be

appr

opria

te t

o us

e fo

r pla

nnin

g or

pol

icy

purp

oses

.

* In

dica

tes

sign

ifi ca

nt d

iffer

ence

s be

twee

n 20

12 a

nd 2

016.

1

Que

stio

n as

ked:

Dur

ing

the

six

mon

ths

befo

re y

ou g

ot p

regn

ant

with

you

r new

bab

y, d

id y

ou t

alk

to a

doc

tor,

nurs

e, o

r oth

er h

ealth

car

e w

orke

r abo

ut h

ow t

o pr

epar

e fo

r a h

ealth

y pr

egna

ncy

and

baby

?

² Q

uest

ion

aske

d: In

the

six

mon

ths

befo

re y

ou g

ot p

regn

ant,

did

you

use

any

of t

he fo

llow

ing

toba

cco/

nico

tine

prod

ucts

? Re

spon

dent

s w

ho a

nsw

ered

“ye

s” t

o us

ing

e-ci

gare

ttes

, vap

es, c

hew

ing

toba

cco,

nic

otin

e pa

tch

or

othe

r pro

duct

OR

ciga

rett

e sm

okin

g w

ere

reco

ded

as “

Ciga

rett

e sm

okin

g/ni

cotin

e us

e in

the

6 m

onth

s be

fore

pr

egna

ncy.

”3 Q

uest

ion

aske

d: D

id y

ou, o

r you

r sex

ual p

artn

er, t

rave

l to

or re

side

in a

regi

on w

ith o

ngoi

ng Z

ika

Viru

s tr

ansm

issi

on (M

exic

o, C

entr

al a

nd S

outh

Am

eric

a, C

arib

bean

, New

Gui

nea,

Sam

oa, F

iji, M

arsh

all I

slan

ds,

Pala

u, S

inga

pore

, Ton

ga) i

n th

e 3

mon

ths

befo

re o

r dur

ing

your

mos

t re

cent

pre

gnan

cy?

4 Q

uest

ion

stat

ed: P

leas

e te

ll us

if a

ny o

f the

se t

hing

s ev

er h

appe

ned

to y

ou fr

om b

irth

thro

ugh

age

13.

5 Q

uest

ion

aske

d: T

hink

ing

back

to

just

bef

ore

you

got

preg

nant

with

you

r new

bab

y, h

ow d

id y

ou fe

el a

bout

be

com

ing

preg

nant

? Re

spon

dent

s w

ho a

nsw

ered

, “I w

ante

d to

be

preg

nant

late

r” o

r “I d

idn’

t w

ant

to b

e pr

egna

nt t

hen

or a

ny t

ime

in t

he fu

ture

” w

ere

code

d as

“U

nwan

ted

or m

istim

ed.”

6 Q

uest

ion

aske

d: Ju

st b

efor

e yo

u go

t pr

egna

nt w

ith y

our n

ew b

aby,

how

did

you

r hus

band

or p

artn

er fe

el

abou

t yo

u be

com

ing

preg

nant

? Re

spon

dent

s w

ho a

nsw

ered

, “H

e w

ante

d m

e to

be

preg

nant

late

r” o

r “H

e di

dn’t

wan

t m

e to

be

preg

nant

the

n or

any

tim

e in

the

futu

re”

wer

e co

ded

as “

Unw

ante

d pr

egna

ncy

by fa

-th

er.”

Res

pond

ents

who

ans

wer

ed, “

I don

’t k

now

” or

“I d

idn’

t ha

ve a

hus

band

or p

artn

er”

wer

e co

ded

mis

sing

fo

r thi

s fi e

ld.

7 Q

uest

ion

aske

d: B

efor

e yo

u go

t pr

egna

nt w

ith y

our n

ew b

aby,

wer

e yo

u us

ing

any

met

hod

of b

irth

cont

rol?

Re

spon

dent

s w

ho a

nsw

ered

“Ye

s, a

ll th

e tim

e” o

r “Ye

s, s

omet

imes

” w

ere

code

d as

“us

ing

birt

h co

ntro

l bef

ore

gett

ing

preg

nant

”.

“I s

uffe

red

anxi

ety

and

depr

essi

on

durin

g pr

egna

ncy

and

coul

d no

t fi n

d m

enta

l hea

lth s

ervi

ces

targ

eted

tow

ards

pr

egna

nt w

omen

. I s

ough

t ou

t m

enta

l he

alth

ser

vice

s in

stea

d, b

ut it

was

ve

ry d

iffi c

ult.

” ~2

016

LAM

B M

om

HEA

LTH

IND

ICTO

RS F

OR

MO

THER

S A

ND

BA

BIES

IN L

OS

AN

GEL

ES C

OU

NTY

, 201

6

Page 23: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

First District

Fifth District

(%)

Third District

(%)

SecondDistrict

(%)

FourthDistrict

(%)

LA County 2012

(%)

LA County 2014

(%)

LA County 2016

(%)

(%)

(%)

(%)

(%)

(%)

Pren

atal

Car

e

Ente

red

pren

atal

car

e af

ter 1

st tr

imes

ter

9.5

8.6

8.2

8.9

9.8

5.9

8.9

7.1D

id n

ot g

et p

rena

tal c

are

as e

arly

as

wan

ted

13.4

13

.4

10.9

10

.9

13.0

8.

2 10

.2

11.4

Trav

eled

15

mile

s or

mor

e fo

r pre

nata

l car

e 11

.2

10.8

9.

8 8.

0 9.

2 6.

8 8.

3 15

.6D

issat

isfi e

d w

ith a

mou

nt o

f wai

t tim

e at

pre

nata

l car

e 18

.0

19.7

17

.9

20.4

16

.9

14.9

17

.6

19.0

Diss

atisfi

ed

with

am

ount

of t

ime

spen

t with

doc

tor/

nurs

e 9.

8 11

.1

10.1

12

.6

8.5

7.4

10.7

10

.9D

issat

isfi e

d w

ith a

dvic

e gi

ven

at p

rena

tal c

are

6.5

7.0

6.7

7.4

5.5

3.9

7.6

8.5

Diss

atisfi

ed

with

und

erst

andi

ng/r

espe

ct re

ceiv

ed

3.8

3.6

3.8

4.7

3.9

2.6†

3.3

4.1

Nee

ded

to s

ee a

den

tist*

23

.1

20.4

19

.2

19.1

23

.9

18.9

15

.3

17.6

Rece

ived

den

tal c

are

36.8

37

.4

38.7

31

.0

40.1

46

.7

39.3

38

.1Re

ceiv

ed a

sea

sona

l fl u

sho

t dur

ing

or b

efor

e pr

egna

ncy

NA

N

A

57.4

56

.1

58.4

61

.2

56.8

55

.2Re

ceiv

ed a

Tda

p sh

ot d

urin

g pr

egna

ncy

or a

t del

iver

y N

A

NA

74

.9

69.8

73

.3

79.8

77

.1

75.7

Med

ical

Con

diti

ons

Dur

ing

Preg

nanc

y

Labo

r pai

n 3

wee

ks b

efor

e du

e da

te*

15.0

12

.7

11.8

12

.2

11.5

11

.1

11.6

12

.2H

igh

bloo

d pr

essu

re

9.7

10.5

11

.2

9.5

14.5

8.

1 12

.1

11.4

Ges

tatio

nal d

iabe

tes

11.8

12

.2

12.6

14

.1

14.4

8.

4 12

.1

12.8

Prob

lem

s w

ith th

e pl

acen

ta8

4.8

4.5

5.1

6.1

3.9

2.7

5.9

6.8

Urin

ary

trac

t inf

ectio

n*

13.2

9.

5 8.

1 8.

9 7.

9 7.

2 7.

6 8.

6W

ater

bro

ke m

ore

than

3 w

eeks

ear

ly

4.4

4.9

5.0

5.1

5.9

4.1

5.2

4.4

Inco

mpe

tent

cer

vix

2.2

2.0

1.6

1.6†

2.4†

1.1†

1.2†

1.6†

Sexu

ally

tran

smitt

ed d

iseas

e*

3.5

2.1

1.6

1.5†

1.5

0.5*

2.

7† 1.

5†

Bact

eria

l vag

inos

is 10

.8

10.3

9.

9 13

.6

11.0

7.

7 8.

4 7.

9Pe

riodo

ntal

dise

ase*

16

.7

15.1

11

.9

11.3

14

.1

11.8

10

.6

11.2

Ris

k B

ehav

iors

Dur

ing

Preg

nanc

y

Sm

okin

g*

2.4

1.5

1.5

1.4†

1.3

1.4†

1.1†

2.4

Cig

aret

te s

mok

ing/

nico

tine

use9

NA

N

A

2.6

1.7†

2.3

2.8†

2.1†

3.9†

Expo

sure

to s

econ

dhan

d sm

oke10

4.

3 4.

5 4.

5 6.

7 4.

3 2.

6 2.

6 5.

6U

sing

illeg

al d

rugs

or d

rugs

not

pre

scrib

ed b

y a

doct

or11

5.

7 4.

1 5.

5 5.

9 6.

2 5.

3 4.

0 5.

7U

sing

mar

ijuan

a 1.

8 1.

5 2.

0 1.

0† 2.

8† 3.

1 2.

3† 1.

2†

Bing

e dr

inki

ng a

lcoh

ol12

N

A

NA

7.

4 8.

1 9.

9 4.

3 8.

6 5.

4D

id n

ot e

xerc

ise d

urin

g pr

egna

ncy13

* 20

.9

23.0

24

.5

22.2

25

.7

23.7

24

.9

25.7

Pren

atal

Car

e an

d M

ater

nal

Ris

k Fa

ctor

s D

urin

g Pr

egna

ncy

by S

uper

viso

ry D

istr

ict

LA C

ount

y 20

1623

Page 24: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

8 Q

uest

ion

aske

d: D

urin

g yo

ur p

regn

ancy

did

you

hav

e an

y of

the

se p

robl

ems?

Res

pond

ents

who

ans

wer

ed “

prob

lem

s w

ith

plac

enta

(suc

h as

abr

uptio

pla

cent

ae o

r pla

cent

a pr

evia

)” w

ere

code

d as

“pr

oble

ms

with

pla

cent

a.”

9 Q

uest

ion

aske

d: D

urin

g yo

ur la

st p

regn

ancy

, did

you

use

any

of t

he fo

llow

ing

toba

cco/

nico

tine

prod

ucts

? Re

spon

dent

s w

ho

answ

ered

“ye

s” t

o us

ing

e-ci

gare

ttes

, vap

es, c

hew

ing

toba

cco,

nic

otin

e pa

tch

or o

ther

pro

duct

OR

ciga

rett

e sm

okin

g du

ring

preg

nanc

y w

ere

reco

ded

as “

Ciga

rett

e sm

okin

g/ni

cotin

e us

e.”

10 Q

uest

ion

aske

d: D

urin

g yo

ur p

regn

ancy

, abo

ut h

ow m

any

hour

s a

day,

on

aver

age,

wer

e yo

u in

the

sam

e ro

om w

ith s

omeo

ne

who

was

sm

okin

g? R

espo

nden

ts w

ho in

dica

ted

mor

e th

an 0

hou

rs w

ere

code

d as

“ex

pose

d to

sec

ondh

and

smok

e.”

11 R

espo

nden

ts w

ho a

nsw

ered

“ye

s” w

hen

ques

tione

d ab

out

use

of m

ariju

ana,

has

hish

, tra

nqui

lizer

s,

hallu

cino

gens

, coc

aine

, her

oin,

am

phet

amin

es o

r, pr

escr

iptio

n dr

ugs

not

pres

crib

ed b

y th

eir d

octo

rs w

ere

code

d as

“us

ing

illeg

al

drug

s or

dru

gs n

ot p

resc

ribed

by

a do

ctor

.”

12 Q

uest

ion

aske

d: “

Dur

ing

your

pre

gnan

cy (i

nclu

ding

bef

ore

you

knew

you

wer

e pr

egna

nt fo

r sur

e) h

ow m

any

times

did

you

drin

k 4

or m

ore

drin

ks w

ith a

lcoh

ol in

one

sitt

ing

(with

in 2

hou

rs)?

” Re

spon

dent

s w

ho a

nsw

ered

one

or m

ore

times

wer

e re

code

d as

“B

inge

drin

king

alc

ohol

.”13

Que

stio

n as

ked:

How

oft

en d

id y

ou e

xerc

ise

for 3

0 m

inut

es o

r mor

e in

the

last

thr

ee m

onth

s of

pre

gnan

cy; w

omen

who

wer

e to

ld b

y a

doct

or, n

urse

, or h

ealth

car

e w

orke

r not

to

exer

cise

wer

e ex

clud

ed fr

om t

he d

enom

inat

or t

o ca

lcul

ate

prev

alen

ce o

f ex

erci

se d

urin

g la

st t

hree

mon

ths

of p

regn

ancy

.

24

Perc

enta

ge o

f Mot

hers

Lac

king

Kno

wle

dge

of F

olic

Aci

d B

enefi

ts

by

Age

Gro

up

Los

Ang

eles

Cou

nty

2016

Perc

enta

ge o

f Mot

hers

Eve

r U

sing

Em

erge

ncy

Con

trac

epti

on b

y A

ge G

roup

Lo

s A

ngel

es C

ount

y 20

16

HEA

LTH

IND

ICTO

RS F

OR

MO

THER

S A

ND

BA

BIES

IN L

OS

AN

GEL

ES C

OU

NTY

, 201

6

Page 25: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

First District

(%)

Fifth District

(%)

Third District

(%)

SecondDistrict

(%)

FourthDistrict

(%)

LA County 2012

(%)

LA County 2014

(%)

LA County 2016

(%)

(%)

(%)

(%)

(%)

(%)

Men

tal H

ealt

h D

urin

g Pr

egna

ncy

Dep

ress

ed m

ood14

* 29

.7

26.1

25

.0

26.8

28

.3

22.5

21

.8

24.6

Low

Mat

erna

l Res

ilien

cy15

8.

1 8.

2 7.

9 7.

3 9.

5 5.

0 7.

5 9.

5

Soci

al S

uppo

rt

D

issat

isfi e

d w

ith s

uppo

rt g

iven

by

the

baby

’s fa

ther

16

8.3

8.2

6.9

7.8

8.6

3.9

5.8

7.2

Expe

rienc

ed d

omes

tic v

iole

nce/

intim

ate

part

ner a

buse

17

2.3

1.6

1.9

2.4†

1.6†

1.3†

1.6†

2.5†

Wou

ld h

ave

som

eone

to lo

an m

oney

if n

eede

d18

82.1

82

.5

84.8

81

.9

82.1

84

.5

89.0

87

.1W

ould

hav

e so

meo

ne to

hel

p if

sick

86.1

87

.2

89.1

86

.0

86.3

90

.7

91.9

91

.6W

ould

hav

e so

meo

ne to

list

en to

pro

blem

s 85

.1

85.3

87

.7

84.6

85

.1

89.9

90

.0

90.0

Soci

al E

nvir

onm

ent

Pe

rcei

ved

neig

hbor

hood

as

unsa

fe19

14

.2

13.5

14

.4

16.8

26

.2

9.9

10.2

6.

7

Stre

ssfu

l Life

Eve

nts

Dur

ing

Preg

nanc

y

Fam

ily m

embe

r had

to g

o in

to th

e ho

spita

l 16

.1

14.7

14

.5

11.9

15

.7

14.4

13

.0

16.9

Div

orce

d/se

para

ted

from

hus

band

/par

tner

8.

1 6.

9 5.

6 6.

4 7.

3 3.

4† 6.

6 3.

8M

oved

to a

new

add

ress

25

.6

24.9

23

.6

24.5

21

.1

21.6

24

.5

25.9

Wer

e ho

mel

ess

4.6

3.5

3.3

3.0

5.2

3.1

2.3

2.5

Hus

band

/par

tner

lost

his/

her j

ob*

12.4

10

.8

9.2

10.8

10

.7

7.7

8.9

7.6

Lost

job

but w

ante

d to

con

tinue

wor

king

* 9.

6 9.

2 7.

2 7.

9 10

.0

3.1

7.2

6.8

Arg

ued

mor

e th

an u

sual

with

hus

band

/par

tner

26

.3

23.8

22

.8

19.9

27

.1

19.9

23

.9

22.3

Had

a lo

t of b

ills

that

cou

ld n

ot b

e pa

id*

18.5

17

.8

14.8

18

.2

21.3

9.

1 12

.2

11.2

Wer

e in

a p

hysic

al fi

ght*

2.

7 2.

2 1.

7 1.

5† 2.

3 1.

4† 1.

5† 1.

7†

Hus

band

/par

tner

or s

elf w

ent t

o ja

il*

3.5

2.5

2.1

1.7†

2.5

1.6†

1.9†

2.6

Som

eone

clo

se h

ad d

rinki

ng o

r dru

g pr

oble

ms

8.

1 7.1

7.

4 6.

9 9.

2 5.

8 9.

0 6.

0So

meo

ne c

lose

and

impo

rtan

t die

d

12.5

11

.2

11.7

11

.5

13.5

11

.1

11.3

10

.7

Rep

orte

d Ev

er E

xper

ienc

ing

Dis

crim

inat

ion

A

ny d

iscrim

inat

ion

39.1

37

.8

35.6

36

.7

36.8

32

.3

37.8

33

.8A

t wor

k 17

.4

16.8

16

.3

12.6

16

.5

18.4

18

.8

16.0

Whe

n ge

ttin

g m

edic

al c

are

8.2

7.6

6.4

7.8

7.6

4.5

6.2

5.4

Whe

n ge

ttin

g ho

usin

g*

9.1

8.0

7.0

8.7

8.7

4.4

6.5

6.2

Beca

use

of ra

ce/c

olor

18

.1

15.5

15

.6

15.1

19

.0

11.4

16

.9

14.7

Beca

use

of g

ende

r 11

.3

11.1

12

.5

9.2

12.1

13

.3

15.0

13

.4A

t hom

e N

A

7.9

7.1

8.8

5.9

5.9

6.7

8.1

Beca

use

of b

reas

tfee

ding

N

A

5.9

8.3

8.3

8.0

6.6

9.7

8.8

Beca

use

of p

regn

ancy

14

.7

14.9

13

.0

11.9

14

.1

12.4

14

.3

12.2

Psyc

hoso

cial

and

Beh

avio

ral

Ris

k Fa

ctor

s D

urin

g Pr

egna

ncy

by S

uper

viso

ry D

istr

ict

25

LA C

ount

y 20

16

Page 26: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

† Sig

nifi e

s th

at t

he e

stim

ate

is s

tatis

tical

ly u

nsta

ble

(rel

ativ

e st

anda

rd e

rror

> 2

5%) a

nd t

here

fore

may

not

be

appr

opria

te t

o us

e fo

r pla

nnin

g or

pol

icy

purp

oses

.

* In

dica

tes

sign

ifi ca

nt d

iffer

ence

s be

twee

n 20

12 a

nd 2

016.

14 T

wo-

part

que

stio

n as

ked:

For

2 w

eeks

or l

onge

r dur

ing

your

mos

t re

cent

pre

gnan

cy d

id y

ou fe

el s

ad, e

mpt

y or

dep

ress

ed fo

r mos

t of

the

day

? an

d Fo

r 2 w

eeks

or l

onge

r dur

ing

your

mos

t re

cent

pre

gnan

cy d

id y

ou lo

se

inte

rest

in m

ost

thin

gs li

ke w

ork,

hob

bies

, and

oth

er t

hing

s yo

u us

ually

enj

oyed

? Re

spon

dent

s w

ho a

nsw

ered

“Y

es”

to e

ither

resp

onse

wer

e co

ded

as h

avin

g “d

epre

ssed

moo

d.”

15 L

ow m

ater

nal r

esili

ency

com

bine

d th

e re

spon

ses

of s

even

LA

MB

2016

que

stio

ns t

hat

aske

d m

othe

rs h

ow

stro

ngly

the

y ag

reed

with

sta

tem

ents

abo

ut t

heir

self-

este

em a

nd p

erce

ptio

n th

at t

hey

can

achi

eve

thei

r goa

ls

or c

ompl

ete

task

s an

d co

ntro

l the

eve

nts

affe

ctin

g th

em.

16 Q

uest

ion

aske

d: O

vera

ll, h

ow s

atisfi e

d w

ere

you

with

the

sup

port

giv

en b

y yo

ur b

aby’

s fa

ther

dur

ing

your

pr

egna

ncy?

Res

pond

ents

who

ans

wer

ed “

som

ewha

t di

ssat

isfi e

d” o

r “no

t at

all

satisfi e

d” w

ere

code

d as

“di

s-sa

tisfi e

d.”

17 Q

uest

ion

aske

d: D

urin

g yo

ur la

st p

regn

ancy

, did

the

bab

y’s

fath

er d

o an

y of

the

follo

win

g fo

r you

? H

it or

sla

p yo

u w

hen

he w

as a

ngry

.18

Que

stio

n as

ked:

Dur

ing

your

last

pre

gnan

cy, w

ould

you

hav

e so

meo

ne t

o lo

an y

ou $

50 if

you

had

nee

ded

it?19

Que

stio

n as

ked:

How

wou

ld y

ou p

erce

ive

this

nei

ghbo

rhoo

d in

ter

ms

of it

s sa

fety

from

vio

lenc

e? R

espo

nden

ts

who

ans

wer

ed “

Very

Poo

r” o

r “Po

or”

wer

e re

code

d to

“N

eigh

borh

ood

Uns

afe.

Perc

enta

ge o

f Mot

hers

Ove

rwei

ght

or O

bese

Bef

ore

Preg

nanc

y by

Age

Gro

upLo

s A

ngel

es C

ount

y 20

16

Perc

enta

ge o

f Mot

hers

who

Sm

oked

in t

he 6

Mon

ths

Bef

ore

Preg

nanc

y by

Age

Gro

upLo

s A

ngel

es C

ount

y 20

16

26H

EALT

H IN

DIC

TORS

FO

R M

OTH

ERS

AN

D B

ABI

ES IN

LO

S A

NG

ELES

CO

UN

TY, 2

016

Page 27: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

27

LA County 2012

(%)

LA County 2014

(%)

LA County 2016

(%)

(%)

(%)

(%)

(%)

(%)

First District

(%)

Fifth District

(%)

Third District

(%)

SecondDistrict

(%)

FourthDistrict

(%)

Post

part

um H

ealt

h &

Wel

l-be

ing

by

Supe

rvis

ory

Dis

tric

tD

eliv

ery

Met

hod

H

ad a

C-s

ectio

n N

A

35.4

32

.7

32.0

32

.7

32.3

28

.5

37.5

C-s

ectio

n di

scus

sion

initi

ated

by

mot

her

NA

11

.6

12.6

11

.8

10.3

12

.0

15.6

13

.7Re

ason

for C

-sec

tion:

Had

pre

viou

s C

-sec

tion

NA

44

.6

46.2

49

.4

45.5

43

.4

48.1

44

.7Re

ason

for C

-sec

tion:

Bab

y w

as in

wro

ng p

ositi

on

NA

16

.9

16.2

18

.7

11.9

17

.2

14.1

18

.7Re

ason

for C

-sec

tion:

Lab

or w

as ta

king

too

long

N

A

15.8

12

.6

12.2

14

.0

13.6

12

.5

11.1

Mat

erna

l Pos

tpar

tum

Hea

lth

H

ad a

pos

tpar

tum

che

ck-u

p 89

.9

92.1

90

.7

89.2

89

.2

93.4

90

.8

91.6

Fam

ily p

lann

ing

disc

usse

d du

ring

chec

k-up

90

.1

89.3

90

.5

88.7

91

.6

93.6

91

.8

87.4

Rece

ived

hom

e vi

sitat

ion

serv

ices

N

A

NA

12

.2

10.2

14

.4

14.3

15

.5

7.4

Dep

ress

ed m

ood

since

birt

h of

bab

y20

NA

N

A

25.2

24

.5

27.4

22

.6

22.9

27

.3

Infa

nt H

ealt

h &

Wel

l-be

ing

Pret

erm

/Low

Bir

th W

eigh

t

Pret

erm

9.

7 9.

1 8.

1 7.

6 9.

1 7.

6 7.

6 8.

5Lo

w B

irthw

eigh

t 7.

5 6.

4 6.

8 6.

1 7.1

5.

2 7.

7 7.

7

Infa

nt H

ealt

h

Cur

rent

ly re

adin

g to

bab

y*

74.0

79

.7

85.2

81

.0

84.6

88

.3

86.1

86

.8H

ad a

wel

l-bab

y ch

eck-

up

97.1

97

.2

98.1

98

.4

96.9

99

.0

98.4

98

.1En

rolle

d in

hea

lth c

over

age

prog

ram

bef

ore

leav

ing

hosp

ital*

71

.9

69.8

65

.9

69.9

71

.2

64.6

63

.8

59.4

Bre

astf

eedi

ng P

ract

ice

A

ny b

reas

tfee

ding

at 1

wee

k N

A

86.9

88

.8

86.8

88

.1

91.2

90

.0

88.6

Excl

usiv

e br

east

feed

ing

at 1

wee

k N

A

54.4

55

.7

51.3

51

.5

59.4

59

.5

58.3

Any

bre

astf

eedi

ng a

t 1 m

onth

N

A

80.3

82

.9

77.2

80

.4

86.4

87

.1

84.9

Excl

usiv

e br

east

feed

ing

at 1

mon

th

NA

47

.9

51.1

43

.0

45.6

56

.2

56.8

56

.1A

ny b

reas

tfee

ding

at 3

mon

ths

NA

65

.5

70.8

64

.5

66.3

74

.6

76.7

73

.9Ex

clus

ive

brea

stfe

edin

g at

3 m

onth

s N

A

38.3

43

.2

35.3

37

.6

46.5

49

.9

48.6

Bab

y’s

Slee

p En

viro

nmen

t21

Sl

eeps

on

his/

her s

ide*

20

.0

12.8

10

.8

12.9

11

.4

10.5

8.

7 10

.3Sl

eeps

on

his/

her b

ack*

75

.4

82.7

85

.0

84.2

83

.5

85.3

86

.9

85.7

Slee

ps o

n hi

s/he

r sto

mac

h 4.

6 4.

5 4.

1 2.

9† 5.

1 4.

2 4.

4 4.

0Ev

er s

lept

with

ano

ther

per

son22

75

.3

71.7

72

.6

75.1

75

.4

68.1

71

.3

72.0

LA C

ount

y 20

16

† Sig

nifi e

s th

at t

he e

stim

ate

is s

tatis

tical

ly u

nsta

ble

(rel

ativ

e st

anda

rd e

rror

> 2

5%) a

nd t

here

fore

may

not

be

appr

opria

te t

o us

e fo

r pla

nnin

g or

pol

icy

purp

oses

.*

Indi

cate

s si

gnifi

cant

diff

eren

ces

betw

een

2012

and

201

6.20

Tw

o-pa

rt q

uest

ion

aske

d: F

or 2

wee

ks o

r lon

ger s

ince

you

r mos

t re

cent

pre

gnan

cy d

id y

ou fe

el s

ad, e

mpt

y or

dep

ress

ed fo

r mos

t of

the

day

? an

d Fo

r 2 w

eeks

or l

onge

r dur

ing

your

mos

t re

cent

pre

gnan

cy d

id

you

lose

inte

rest

in m

ost

thin

gs li

ke w

ork,

hob

bies

, and

oth

er t

hing

s yo

u us

ually

enj

oyed

? Re

spon

dent

s w

ho a

nsw

ered

“Ye

s” t

o ei

ther

resp

onse

wer

e co

ded

as h

avin

g “d

epre

ssed

moo

d si

nce

birt

h of

bab

y.”

21 A

vera

ge a

ge o

f bab

ies

at t

ime

of in

terv

iew

was

5.5

mon

ths.

22 Q

uest

ion

aske

d: H

ow o

ften

doe

s yo

ur n

ew b

aby

slee

p in

the

sam

e be

d w

ith y

ou o

r any

one

else

? Th

ose

who

resp

onde

d “A

lway

s,”

“Fre

quen

tly,”

“So

met

imes

,” o

r “Ra

rely

” w

ere

reco

ded

as “

Ever

sle

pt w

ith a

noth

er p

erso

n.”

Page 28: Health Indicators for Mothers and Babies in Los Angeles ...publichealth.lacounty.gov/mch/LAMB/Results/2016 Results... · Mother’s Marital Status When Baby Was Born Married* 54.9

Lo

s A

nge

les

Co

unty

Dep

artm

ent

of

Pub

lic H

ealt

hB

arba

ra F

erre

r, Ph

D, M

PH, M

EdD

irect

or

Deb

orah

Alle

n, S

cDD

eput

y D

irect

or, H

ealth

Pro

mot

ion

Jeff

rey

D. G

unze

nhau

ser,

MD

, MPH

Inte

rim H

ealth

Offi

cer

Mat

ernal

, C

hild

& A

do

lesc

ent

Hea

lth D

ivis

ion

Lind

a M

. Ara

gon,

MPH

, Dire

ctor

Mat

ernal

, C

hild

& A

do

lesc

ent

Hea

lth D

ivis

ion

Res

earc

h, E

valu

atio

n an

d Pl

anni

ng U

nit

Shin

Mar

gare

t C

hao,

MPH

, PhD

, Prin

cipa

l Inv

estig

ator

Dia

na L

iu, M

PH, E

pide

mio

logi

st

Cha

ndra

Hig

gins

, MPH

, Epi

dem

iolo

gist

Chr

isti

ne B

enja

min

, MPH

, Epi

dem

iolo

gy A

naly

st

Mar

ian

Elda

haby

, BA

, Res

earc

h A

naly

st II

Lesl

ie B

arne

tt, R

esea

rch

Ana

lyst

II

Ad

min

istr

ativ

e Sta

ffYv

orni

a H

orto

n

Judi

th Z

arat

e

Lo

s A

nge

les

Co

unty

Bo

ard

of

Sup

ervi

sors

Hild

a L.

Sol

is, F

irst

Dis

tric

tM

ark

Rid

ley-

Thom

as, S

econ

d D

istr

ict

Shei

la K

uehl

, Thi

rd D

istr

ict

Jani

ce H

ahn,

Fou

rth

Dis

tric

tK

athr

yn B

arge

r, Fi

fth

Dis

tric

t

Ack

no

wle

dgm

ents

The

LAM

B Pr

ojec

t is

gra

tefu

l to

all o

f th

e Lo

s A

ngel

es C

ount

y m

othe

rs w

ho t

ook

the

time

to c

ompl

ete

the

surv

ey. T

he in

form

atio

n th

ey p

rovi

ded

will

pro

vide

a m

ore

thor

ough

und

erst

andi

ng o

f th

e he

alth

of

mot

hers

and

bab

ies

in L

os A

ngel

es C

ount

y. M

ater

nal,

Chi

ld &

Ado

lesc

ent

Hea

lth D

ivis

ion

wou

ld li

ke t

o th

ank

all o

f th

e in

tern

s w

ho h

ave

cont

ribut

ed t

heir

time

and

effo

rt t

o th

e 20

16 L

AM

B pr

ojec

t.

Gra

phic

Des

ign b

yA

lan

Alb

ert

Offi

ce o

f C

omm

unic

atio

ns &

Pub

lic A

ffai

rs

This

pro

ject

is m

ade

poss

ible

by

fund

ing

from

LA

Car

e C

omm

unity

Ben

efi t

Fun

d an

d M

CA

H g

ener

al g

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