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BOfrON PUBLIC LIBRARY Annual Report :001 Massachusetts r Statistics of ital GOVDOC 6457 The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health 250 Washington Street, Boston, MA 02108-4619 DEVALL. PATRICK GOVERNOR TIMOTHYP. MURRAY LIEUTENANTGOVERNOR JUDYANN BIGBY,MD SECRETARY JOHN M.AUERBACH COMMISSIONER April, 2007 To theHonorable Clerks ofthe Senate and House ofRepresentatives: We have the honor to submit as required by Chapter 111, Section 2 of the General Laws, the one hundred sixtieth annual report on statistics ofbirths, deaths, marriages and divorces in Massachusetts which covers calendar year 2001. The information will also be available to the public via the DepartmentofPublic Health websiteat http://www.mass.gov/dph. Since 1964, the ANNUAL REPORT OF VITAL STATISTICS has been published by the Department of Public Health and is intended to assist in the development of policy and programmatic initiatives within the Department, as well as to provide State officials and agencies, and the general public, with valuablestatistical information. Sincerely, " Stanley E. Nyberg,Ph.D. Registrar ACKNOWLEDGEMENTS This publication of the 2001 ANNUAL REPORT OF VITAL STATISTICS is the result of the combined efforts of all data providers, including the 351 city and town clerks, hospital personnel, physicians, funeral directors, probate courts, clinics, and Department of Public Health personnel. We gratefully acknowledge the assistance provided by all data providers, without whose efforts there would be no vital statistics. Department of Public Health staff most significantly involved in the production of the 2001 ANNUAL REPORT OF VITAL STATISTICS include: Jane Purtill, Director, Statistics Unit: supervision of data collection, coding and editing. Sharon Pagnano and Paul Budrow: coordination of the hospital query program for birth certificate data, specialized data programming, and assistance in developing specialized table production, technical assistance from Maureen McKean (Statistics Unit), Robert Coffin (Nosologist), and Ann-Marie Neault (Nosologist); and Division of Data Processing: data file management and vital events series printouts. Isabel Caceres, Bruce Cohen, Malena Hood, and James West, Center for Health Information, Statistics, Research, and Evaluation: provided technical assistance and data, including the previously published: Massachusetts Births 2001 Figures B-4, B-5, B-6, B-7, B-8, B-9, B-10, B-11 and : D-3; as well as. Tables B-1, B-2A, B-2B, B-3A, B-3B, B-4, B-5A, B-5B, B-8, B-9, B-10, B-11, B-12, B-13, B-13A, B-14A, B-14B, B-14C, and D-2. Massachusetts Deaths 2001 Figures C-1, C-2, C-3, C-4, C-5 and F-4; as well as. : Tables C-1, C-2, C-3, C-3B, C-4, C-5, C-5B, C-6, C-7, C-8, and C-9, C-10A, C-10B, C-10C, C10-D, C-11A, C-11B, C-11C, C-11D, C-12, C14A, C-14B, C-14C, D-1, D-3, and D-4. The joint efforts of all the staff of the Registry of Vital Records and Statistics are necessary to produce the data contained in this publication. Special acknowledgement is made to the following Registry supervisors: Howard Wong, Director of Systems and Development, who is responsible for all the computer-based systems in the Registry office; Pedro Fidalgo, Operations Unit Supervisor, who is responsible for all printing and mailing of forms; Pauline McNulty, Registration Unit Director, who is responsible for coordination with cities and towns, funeral directors, courts and the overall registration and amendment process; June Deloney, Registration Unit Supervisor, who is responsible for coordinating timely and accurate document processing. The 2001 ANNUAL REPORT OF VITAL STATISTICS has been compiled and produced under the general supervision and direction of: Stanley E. Nyberg, PhD., State Registrar Registry of Vital Records and Statistics Karin A. Barrett, Assistant State Registrar Registry of Vital Records and Statistics Charlene J. Zion, Information Officer Registry of Vital Records and Statistics Editor Kevin Y. Foster, Biostatistician Registry of Vital Records and Statistics Editor Massachusetts Department of Public Health publications and materials can be accessed on the Internet. World Wide Web: Go to, http://www.mass.gov/dph/rvrs and look under publications. , CONTENTS TRANSMITTAL LETTER ACKNOWLEDGMENTS TABLE OF CONTENTS INTRODUCTION SECTION A-VITAL EVENTS Table A-1 Selected Facts in Vital Statistics, Massachusetts: 2001 5 Figure A-1 2001 Massachusetts Daily Vital Events 6 Table A-2 Number and Crude Rates of Vital Events, Massachusetts and 7 United States: 2000-2001 Figure A-2A Births and Deaths in Massachusetts, Selected Years: 1910- 2001 Figure A-2B Rates of Natural Increase in Massachusetts and the United 8 States, Selected Years: 1910-2001 Table A-3 Massachusetts Resident Births and Deaths with Resultant 9 Natural Increase, Selected Years: 1900-2001 Table A-4 Vital Events by Month, Massachusetts Residents: 2001 10 Table A-4A Vital Events by Community: 2001 11 Table A-4B Vital Events by County: 2001 22 SECTION B -BIRTHS 23 Figure B-1 Daily Birth Statistics, Massachusetts: 2001 34 Table B-1 Trends in Birth Characteristics, Massachusetts: 1980, 1985, 35 1990-2001 Table B-2A Birth Characteristics by Maternal Race/Hispanic Ethnicity and 36 Birthplace, Massachusetts: 2001 Table B-2B Birth Characteristics by Maternal Ancestries, Massachusetts: 37 2001 Figure B-2 Resident Live Births by Mother's Race/Ethnicity: 2001 38 Figure B-3 Resident Live Births by Mother's Age: 2001 39 SECTION B--BIRTHS (continued) Table B-3A Resident Birth Characteristics, 30 Largest Municipalities, 40 Massachusetts: 2001 Table B-3B Resident Birth Characteristics, Community Health Network 42 Areas (CHNAs), Massachusetts: 2001 Table B-4 Age-Specific and Crude Birth Rates, Massachusetts: 1990 44 and 2001 Figure B-4 Trends in the Number of Births by Mother's Age Group, 45 Massachusetts: 1980-2001 Figure B-5 Percent of Mothers Breastfeeding or Intending to 46 Breastfeed by Age Group, Massachusetts: 2001 Figure B-6 Percent of Mothers who Smoked during Pregnancy by 47 Mother's Race/Hispanic Ethnicity and Educational Attainment, Massachusetts: 2001 Figure B-7 Distribution of Smoking Status during Pregnancy by 48 Smoking Status prior to Pregnancy, Massachusetts: 2001 Table B-5A Parity by Age of Mother, Massachusetts: 2001 49 Table B-5B Trends in Number and Percent Distribution of Births by Plurality 50 and Age, Massachusetts: 1990-2001 Table B-6 Resident Births by Mother's Age, Marital Status and 51 Race/Hispanic Ethnicity, Massachusetts: 2001 Table B-7 Resident Births to Teenage Mothers: 1970-2001 52 Table B-8 Births by Birthweight, Race and Hispanic Ethnicity, 53 Massachusetts: 2001 Figure B-8 Low Birthweight among Smoking and Nonsmoking Mothers, by 54 Race and Hispanic Ethnicity, Massachusetts: 2001 Table B-9 Low Birthweight by Maternal Age, Race and Hispanic Ethnicity, 55 Massachusetts: 2001 Table B-10 Births by Gestational Age, Race and Hispanic Ethnicity, 56 Massachusetts: 2001 Figure B-9 Trends in Adequacy of Prenatal Care by Race and Hispanic 57 Ethnicity, Massachusetts: 1996-2001 TableB-11A Adequacy of Prenatal Care Initiation by Selected Characteristics, 58 Massachusetts: 2001 Table B-11B Adequacy of Prenatal Care Visits by Selected Characteristics, 59 Massachusetts: 2001 Figure B-10 Adequacy of Prenatal Care for Selected Population 60 Characteristics, Massachusetts: 2001 231 SECTION B -BIRTHS (continued) Figure B-1 Distribution of Prenatal Care Payment Source, Massachusetts: 61 2001 Table B-1 Birth Characteristics by Source of Prenatal Care Payment, Race, 62 and Hispanic Ethnicity, Massachusetts: 2001 Table B-1 Birth Characteristics by Licensed Maternity Facility, 64 Massachusetts: 2001 Table B-13A Caesarean Section Deliveries and Vaginal Births after Caesarean 66 Section (VBACs) by Licensed Maternity Facility, All Births, Massachusetts: 2001 Table B-14A Birth Characteristics: Occurrence and Resident Births and Infant 68 Deaths, Massachusetts Municipalities: 2001 Table B-14B Birth Characteristics: Occurrence and Resident Births and Infant 76 Deaths, Massachusetts Counties: 2001 Table B-14C Birth Characteristics: Occurrence and Resident Births and Infant 77 Deaths, Massachusetts Community Health Network Areas (CHNAs): 2001 SECTION C -DEATHS 79 Figure C-1 Daily Death Statistics, Massachusetts: 2001 85 Table C-1 Trends in Mortality Characteristics, gg Massachusetts: 1990-2001 Figure C-2 Expected Years of Life Remaining at Different Ages by Race/ 87 Hispanic Ethnicity and Gender, Massachusetts: 2001 Table C-2 Expected Years of Life Remaining at Different Ages by Race/ 87 Hispanic Ethnicity and Gender, Massachusetts: 2001 Table C-3 Five Leading Causes of Death Comparability Unmodified and 88 Comparability Modified Age-Adjusted Rates, Massachusetts and United States: 1991-2001 Table C-4A Leading Causes of Death, Numbers and Age-Specific Rates by 90 Gender, Massachusetts: 2001 Table C-4B Leading Causes of Death among the Oldest Age Groups, 91 Numbers and Age-Specific Rates by Gender, Massachusetts: 2001 Figure C-3 Trends in Deaths from Selected Causes, Massachusetts: 1842- 92 2001 SECTION C--DEATHS (continued) Table C-5 Leading Causes of Death and Age-Adjusted Death Rates by 93 Race and Hispanic Ethnicity, Massachusetts: 2001 Figure C-4 Percent Distribution of Leading Causes of Death, 94 Massachusetts: 2001 Table C-6A Number and Age-Specific Rates for Selected Causes of Death 95 by Race and Hispanic Ethnicity, Massachusetts: 2001 Table C-6B Number and Age-Specific Rates for Selected Causes of Death, 96 Persons age 65+ by Race and Hispanic Ethnicity, Massachusetts: 2001 Table C-7 Heart Disease and Cancer Deaths by Race and Gender, 97 Comparability Unmodified and Comparability Modified Age- Adjusted Rates, Massachusetts: 1995-2001 Table C-8 Number and Age-Adjusted Rates of Cancer Deaths by Selected 99 Types and Gender, Massachusetts: 2001 Table C-9 Selected Causes of Cancer Deaths by Age, Massachusetts: 100 2001 Table C-10 Leading Causes of Cancer Deaths and Age-Adjusted Rates by 101 Race and Hispanic Ethnicity, Massachusetts: 2001 Table C-11A Injury Deaths by Leading Causes. Gender, Age, Race and 102 Hispanic Ethnicity: Numbers, Age-Adjusted, and Age-Specific Rates, Massachusetts: 2001 CUB Table Intentional Injury Deaths by Gender, Age, Race and Hispanic 104 Ethnicity: Numbers, Age-Adjusted, and Age Specific Rates, Massachusetts: 2001 Table C-11C Injury Deaths by Intent, Method, and Gender: Number and Age- 106 Adjusted Rates, Massachusetts: 2001 Table C-12A HIV/AIDS Deaths by Place of Occurrence, Massachusetts: 107 1989-2001 Table C-12B HIV/AIDS Deaths by Age, Massachusetts: 1989-2001 108 Table C-12C HIV/AIDS Deaths by Gender and Race and Hispanic Ethnicity, 109 Massachusetts: 1989-2001