INFANT MORTALITY RATES:

INTERNATIONAL AND STATE DATA COMPARISON

Prepared by: Amy Lin, MPH

INTERNATIONAL COMPARISON: INFANT MORTALITY RATES

WHERE DO WE RANK IN INFANT MORTALITY COMPARED TO OTHER

STATES?

MISSOURI’S INFANT MORTALITY RANK IN 50 STATES

INFANT DEATHS PER 1,000 LIVE BIRTHS, BY STATE: 2010 1. Mississippi 9.62 14. Michigan 7.12

2. Alabama 8.73 15. South Dakota 7.11

3. Tennessee 7.87 16. North Dakota 7.09

4. Ohio 7.72 17. Wyoming 6.88

5. Indiana 7.62 18. Illinois 6.84

6. Louisiana 7.55 19t.Virginia 6.83

7. Oklahoma 7.49 19t. Maryland 6.83

8. Delaware 7.48 21t. Kentucky 6.81

9. South Carolina 7.34 23. Missouri 6.58

10. West Virginia 7.33 24.Florida 6.51

11. Arkansas 7.24 25. Georgia 6.34

12. Pennsylvania 7.23 26. Hawaii 6.21

13. Rhode Island 7.16 27. Kansas 6.20

SOURCE: 2101 linked Birth/Infant Data Set. Includes data from the District of Columbia, and U.S. territories

INFANT MORTALITY RATE BY STATE

Source: CDC / NCHS, National Vital Statistics System, http://www.cdc.gov/nchs/data/databriefs/db120.htm

INFANT MORTALITY RATE; MO AND US, 2000-2012

Source: MO DHSS. Vital Statistics ;US data :CDC, NCHS. National Vital Statistics Reports, http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_04.pdf

CAUSES OF INFANT MORTALITY

Source: Missouri Vital Statistics (Modified Dolfus Classification)

RISK FACTORS ASSOCIATED WITH PREMATURE BIRTHS

Maternal health and behavior Genetic Stress Smoking Substance abuse (drug and alcohol abuse) Lack of physical activity Nutrition

Mother’s Age under the age of 18 and over the age of 35

Race African American (high risk population)

Socioeconomic status Low income (poverty) Low education level Low health literacy

Prenatal care Access to and quality of prenatal care at an early stage

RACIAL DISPARITIES IN IMR

Source: Missouri Vital Statistics

HEALTH DISPARITIES IN MISSOURI

The 2012 unemployment rate for AA us 12.9%, compared to 7.6% for all Missourians

Over 30% of AA live in poverty, compared to 15.8% for all Missourians

AA mothers with less than high school education is 23.7% compared to white mothers 15.1%.

Births to mothers receiving Medicaid in Missouri (AA 76% versus 40.5% for White mothers)

The rate of AA mothers (30.6%)with inadequate prenatal care is more than double the rate for white mothers (14%).

The obesity rate for Missouri’s AA mothers (30.2%) was a third higher than the rate for white mothers (22.5%).

REFERENCES Infant Mortality (Centers for Disease Control and Prevention)

http://www.cdc.gov/reproductivehealth/MaternalInfantHealth/InfantMortality.htm

Coleman, A. (2013, April 1). Health Equity Series: African American Health Disparities in Missouri. Retrieved December 1, 2014.

Garikapaty, V. (Director) (2014, February 19). Pregnancy Risk Assessment Monitoring System (PRAMS) . Lecture conducted from Missouri Department of Health and Senior Services

Ferrer, B. (n.d.). Low Birth Weight: Understanding all of the factors that affect our health. Boston Public Health Commission

Morrow, L., Terle, M., & Triana-Tremain, B. (2013). Missouri Health Assessment. Missouri Department of Health and Senior Services.