using data to prevent sleep-related infant deaths in baltimore city samantha sileno, b.s. public...
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Using Data to Prevent Sleep-Related Infant Deaths in Baltimore City
Samantha Sileno, B.S. Public Health Associate
Baltimore City Health DepartmentOffice for State, Tribal, Local and Territorial Support
Centers for Disease Control and Prevention
2015 PHAP/PHPS Summer Seminar June 2, 2015
Centers for Disease Control and Prevention
Office for State, Tribal, Local and Territorial Support
Presentation Overview
Personal Background and PHAP Host Site Infant Mortality in Baltimore City B’more for Healthy Babies Safe Sleep Profile Results Barriers and Lessons Learned
Personal Background and PHAP Host Site
Education• Bachelor of Science- Health Education,
University of Florida Class of 2014o Focus on Community Health
Host Site• Baltimore City Health Department,
Bureau of Maternal and Child Health• Year 1 Assignment: Fetal-Infant
Mortality Review and Child Fatality Review
o Maintain and Expand Safe Sleep Profile
Baltimore City, Maryland 622,000 residents
81 sq. miles
64% of the population are African American
1/3 of households live below the poverty line and have an income less than $25,000/year
*Census Bureau
Baltimore City: High Infant Mortality & Health Disparities in 2009
Baltimore City had the highest rate of infant death in Maryland and the 4th worst infant mortality rate in the U.S. Infant Mortality Rate of 13.5 per 1,000 live births
127 infants died in Baltimore City
African American infants were 5x more likely to die than white infants
20% of infant deaths were attributable to unsafe sleep practices
*Maryland Vital Statistics
Formation of B’more for Healthy Babies (BHB)
Innovative citywide initiative launched in 2009 to improve birth outcomes
Strong emphasis on coordination of efforts, evidence-based interventions, and coalition-building
Baltimore City Health Department creates the Safe Sleep Profile to provide data to the initiative
*Maryland Vital Statistics
Safe Sleep Profile
Data set of all sleep-related infant deaths that occur in Baltimore City
Contains 15 variables that are used to help plan interventions and target media campaigns each year on safe sleep Sleep environment characteristics
These data are obtained from medical records, infant death-scene investigation reports from the medical examiner’s office, and child fatality reviews
Safe Sleep Data
Sleep-Related Infant Deaths in Baltimore City 2000-November 2014 (N=101)
Safe Sleep Data
Safe Sleep Data
Safe Sleep Data
Results
SLEEP SAFE Campaign : Alone, Back, Crib, No Exceptions is launched in 2010
B’more for Healthy Babies used the Profile to implement new tobacco initiatives, train 4,000 providers and produced 4 targeted SLEEP SAFE videos.
• SRID infant mortality rate (IMR) decreased from 2.8 in 2009 to 1.9 in 2013. The drop in SRIDs was reflected in the 2013 IMR (6.6) for Maryland.
Barriers and Lessons Learned
Incorrect or missing information may compromise the usefulness of the Profile and my host site is working to standardize reporting protocols to improve data quality.
A robust Safe Sleep Profile is essential to develop targeted messaging in order to inform an effective, dynamic safe sleep campaign. Strong accountability for agencies and other partners to contribute data to the profile must be established
For more information, please contact CDC’s Office for State, Tribal, Local and Territorial Support
4770 Buford Highway NE, Mailstop E-70, Atlanta, GA 30341Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: [email protected] Web: http://www.cdc.gov/stltpublichealth
The findings and conclusions in this presentation are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Questions?Contact:
Samantha Sileno [email protected]
Centers for Disease Control and Prevention
Office for State, Tribal, Local and Territorial Support