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B«TON PfBLIC (RARY Report LrA ' . - ^'(Si Massachusetts Vital Statistics of I GOVDOC 6457 The Commonwealth of Massachusetts Executive Office of Heaitli and Human Services Department of Public Health Registry ofVital Records and Statistics 150 Mt. Vernon Street, 1^' Floor BOSTON MA 02125-3105 MITTROMNEY GOVENOR KERRYHEALEY LIEUTENANTGOVENOR TIMOTHYR.MURPHY SECRETARY PAULJ.COTE,JR. COMMISSIONER December,2006 TotheHonorableClerksofthe SenateandHouseofRepresentatives: We have the honor to submit as required by Chapter 111, Section 2 ofthe General Laws, the one hundred fifty-ninth annual report on statistics of births, deaths, marriages and divorces in Massachusetts for calendar year 2000. The information will also be available to the public via the DepartmentofPublicHealthwebsiteathttp://www.mass.gov/dph. Since 1964,theA^fNUALREPORTOFVITALSTATISTICS has been published bytheDepartment ofPublic Health and is intended to assist in the development ofpolicy and programmatic initiatives within the Department, aswell as to provideStateofficialsand agencies,and the general public,with valuablestatisticalinformation. Sincerely, '^-*V7 StanleyE.Nyberg,^ Registrar ACKNOWLEDGEMENTS This publication of the 2000 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 2000 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 who provided technical assistance and data, including the previously published: Massachusetts Births 2000: 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-2BA, 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 2000 Figures C-1, C-2, C-3, C-4, 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, C-9, C-10A, C-10B, C-10C, C-11A, CUB, C-11C, 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 2000 ANNUAL REPORT OF VITAL STATISTICS has been compiled and produced under the general supervision and direction of: Stanley E. Nyberg, PhD., Registrarof Vital Records and Statistics Registry of Vital Records and Statistics Karin Barrett, Assistant Registrarof Vital Records and Statistics Registry of Vital Records and Statistics CharleneJ. Zion, Information Officer Registry of Vital Records and Statistics Editor Kevin Y. Foster, Biostatistician Registry of Vital Records Massachusetts Department of Public Health publications and materials can be accessed on the Internet. World Wide Web: http://www.mass.gov/dph 1 CONTENTS TRANSMITTAL LETTER ACKNOWLEDGMENTS TABLE OF CONTENTS INTRODUCTION SECTION A--VITAL EVENTS Table A-1 Selected Facts in Vital Statistics, Massachusetts: 2000 5 Figure A-1 2000 Massachusetts DailyVital Events 6 Table A-2 Numberand Crude Rates of Vital Events, Massachusetts and 7 United States: 1999-2000 Figure A-2A Birthsand Deaths in Massachusetts, Selected Years: 1910- 8 2000 Figure A-2B Rates ofNatural Increase in Massachusetts and the United 8 States, SelectedYears: 1910-2000 TableA-3 Massachusetts Resident Births and DeathsWith Resultant 9 Natural Increase, Selected Years: 1900-2000 TableA-4 Vital Eventsby Month, MassachusettsResidents: 2000 10 TableA-4A Vital Events by Community: 2000 1 TableA-4B Vital Events by County: 2000 22 SECTION B-BIRTHS 23 Figure B-1 Daily Birth Statistics, Massachusetts: 2000 35 Table B-1 Trends in Birth Characteristics, Massachusetts: 1980, 1985, 36 1990-2000 Table B-2A Birth Characteristics byMaternal Race/Hispanic Ethnicity and 37 Birthplace, Massachusetts: 2000 Table B-2B Birth Characteristics by Major Maternal Ancestries, 38 Massachusetts: 2000 Figure B-2 Resident Live Birthsby Mother's Race/Ethnicity: 2000 39 Figure B-3 Resident Live Births by Mother's Age: 2000 40 SECTION B-BIRTHS (continued) Table B-3A Resident Birth Characteristics, 30 Largest Municipalities, 41 Massachusetts: 2000 Table B-3B Resident Birth Characteristics, Community Health Network 43 Areas (CHNAs), Massachusetts: 2000 Table B-4 Age-Specificand Crude Birth Rates, Massachusetts: 1990 45 and 2000 Figure B-4 Trends in the Numberof Births by Mother's Age Group, 46 Massachusetts: 1980-2000 Figure B-5 Percentof Mothers Breastfeeding or Intending to 47 Breastfeed by Age Group, Massachusetts: 2000 Figure B-6 Smoking Prevalence during Pregnancy by Race and 48 Hispanic Ethnicity of Mother, Massachusetts: 2000 Figure B-7 The Distribution of Smoking Status during Pregnancy by 49 Smoking Status Priorto Pregnancy, Massachusetts: 2000 Table B-5A Parityby Age ofMother, Massachusetts: 2000 50 Table B-5B Numberand Percent Distribution of Births by Plurality and Age, 51 Massachusetts: 1990-2000 Table B-6 Resident Births by Mother's Age, Marital Statusand 52 Race/Ethnicity, Massachusetts: 2000 Table B-7 Resident Births toTeenage Mothers: 1970-2000 53 Table B-8 Births by Birthweight, Raceand Hispanic Ethnicity, 54 Massachusetts: 2000 Figure B-8 Low Birthweightamong Smoking and Nonsmoking Mothers, by 55 Raceand Hispanic Ethnicity, Massachusetts: 2000 Table B-9 Low Birthweightby MaternalAge, Race and Hispanic Ethnicity, 56 Massachusetts: 2000 TableB-10 Births by GestationalAge, Raceand Hispanic Ethnicity, 57 Massachusetts: 2000 Figure B-9 TrendsinAdequacy of Prenatal Care by Race, Massachusetts: 58 1980-2000 Table B-11 Low Birthweight byAdequacy of Prenatal Care, Raceand 59 Hispanic Ethnicity, Massachusetts: 2000 Figure B-10 Adequacy of Prenatal Care forSelected Population 60 Characteristics, Massachusetts: 2000 Figure B-11 Distribution of Prenatal Care Payment Source, Massachusetts: 61 2000 SECTION B--BIRTHS (continued) TableB-12 Birth Characteristics by Source ofPrenatal Care Payment, Race, 62 and Hispanic Ethnicity, Massachusetts: 2000 Table B-13 Birth Characteristicsby Licensed MaternityFacility, 64 Massachusetts: 2000 Table B-13A Caesarean Section Deliveriesand Vaginal Births after Caesarean 66 Section (VBACs) by Licensed Maternity Facility, All Births, Massachusetts:2000 Table B-14A Birth Characteristics: Occurrenceand Resident Births and Infant 68 Deaths, Massachusetts Municipalities: 2000 Table B-14B Birth Characteristics: Occurrenceand Resident Birthsand Infant 76 Deaths, Massachusetts Counties: 2000 Table B-14C Birth Characteristics: Occurrenceand Resident Births and Infant 77 Deaths, Massachusetts Community Health Network Areas (CHNAs): 2000 SECTION C--DEATHS 79 FigureC-1 Daily Death Statistics, Massachusetts: 2000 85 TableC-1 Trendsin Mortality Characteristics, gg Massachusetts: 1990-2000 FigureC-2 ExpectedYears of Life RemainingatDifferent AgesbyRace and 87 Years ofLife Remaining by Raceand Gender, Massachusetts: 2000 TableC-2 Five Leading Causes of Death Comparability Unmodified and 88 Comparability Modified Age-Adjusted Rates, Massachusettsand United States: 1990-2000 Table C-3A Leading Causes of Death, Numbers and Age-Specific Rates, 90 Massachusetts: 2000 TableC-3B Leading Causes of Death byAgeAmong the Oldest Age Groups, 91 NumbersandAge-Specific Rates, Massachusetts: 2000 Figure C-3 Trends in Deathsfrom Selected Causes, Massachusetts: 1842- 92 2000 SECTION C--DEATHS (continued) Table C-4 Leading Causes ofDeathandAge-Adjusted Death Rates by 93 Raceand Hispanic Ethnicity, Massachusetts: 2000 FigureC-4 Distribution of Leading Causes of Death, Massachusetts: 2000 94 Table C-5A Numberand Age-Specific Rates forSelected Causes ofDeath 95 byRace and Hispanic Ethnicity, Massachusetts: 2000 Table C-5B Numberand Age-Specific Rates forSelected Causes of Death 96 among the Oldest Age Groups by Race and Hispanic Ethnicity, Massachusetts: 2000 Table C-6 Heart Disease and Cancer Deaths by Race and Gender, 97 Comparability Unmodified and Comparability Modified Age- Adjusted Rates, Massachusetts: 1990-2000 TableC-7 Numberand Age-Adjusted Rates ofCancerDeaths by Selected 99 Causes and Gender, Massachusetts: 2000 TableC-8 Selected Causes ofCancerDeaths byAge, Massachusetts: 100 2000 TableC-9 Leading Causes of Cancer Deathsand Age-Adjusted Rates by 101 Raceand Hispanic Ethnicity, Massachusetts: 2000 TableC-10A Injury Deaths by Gender, Age, Raceand Hispanic Ethnicity: 102 Numbers, Age-Adjusted, and Age-Specific Rates, Massachusetts: 2000 TableC-10B Type ofInjury Deaths by Gender: NumberandAge-Adjusted 104 Rates, Massachusetts: 2000 Table C-10C Type ofInjury Deaths by Manner/Intent Categories: Number 105 andAge-Adjusted Rates, Massachusetts: 2000 TableC-IIA HIV/AIDS Deaths by Place of Occurrence, Massachusetts: 106 1988-2000 TableC-1IB HIV/AIDS Deaths byAge, Massachusetts: 1988-2000 107 Table C-11C HIV/AIDS Deaths by Genderand Race/Ethnicity, Massachusetts: 108 1988-2000