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iSTON JBLIC JBRARY 1999 Annual Report Massachusetts Vital Statistics of .o ^^ »- Q) Q} 0) ^ ft: CO Q. CO '^ The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Registry of Vital Records and Statistics 150 Mt. Vernon Street, 1^' Floor BOSTON MA 02125-3105 MITTROMNEY GOVENOR KERRY HEALEY LIEUTENANTGOVENOR TIMOTHYR. MURPHY SECRETARY PAULJ COTE, JR COMMISSIONER September, 2006 To the Honorable Clerks ofthe Senate and House ofRepresentatives: We have the honor to submit as required by Chapter HI, Section 2 of the General Laws, the one hundred fifty-eighth annual report on statistics of births, deaths, marriages and divorces in Massachusetts for calendar year 1999. The information will also be available to the public via the Department ofPublic Health website at http://wAV>v.mass.gov/dph. Since 1964, the AJVIVUAL 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 valuable statistical information. Sincerely, ^f^ Stanley E. Nyberg, FIQ). Registrar ANNUAL REPORT VITAL STATISTICS OF MASSACHUSETTS DOCUMENT PUBLIC #1 1999 THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH MITT ROMNEY, GOVERNOR KERRY HEALEY, LIEUTENANT GOVENOR TIMOTHY R. MURPHY, SECRETARY OF HEALTH AND HUMAN SERVICES PAUL COTE, COMMISSIONER OF PUBLIC HEALTH J. GERALD O'KEEFE, DIRECTOR CENTER FOR HEALTH INFORMATION, STATISTICS, RESEARCH, AND EVALUATION STANLEY E. NYBERG, Ph.D., REGISTRAR REGISTRY OF VITAL RECORDS AND STATISTICS 150 MOUNTVERNON STREET, 1^^ FLOOR DORCHESTER, MASSACHUSETTS 02125-3105 August 2006 ACKNOWLEDGEMENTS This publication of the 1999 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 1999 ANNUAL REPORT OF VITAL STATISTICS include: 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: Advance Data: Births 1999 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. Advance Data: Deaths 1999 Figures C-1, C-2, C-3. and C-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-10, C-11, C-12, C14a, C- 14b, C-14C, D-1, D-3, and D-4. 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 (Chief Nosologist), and Ann-Marie Neault (Nosologist); and Division of Data Processing: data file management and vital events series printouts. 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; Pailine 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 1999 ANNUAL REPORT OF VITAL STATISTICS has been compiled and produced under the general supervision and direction of: Stanley E. Nyberg, PhD., Registrar of Vital Records and Statistics Registry of Vital Records and Statistics Karin A. Barrett, Assistant Registrar of Vital Records and Statistics 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 Massachusetts Department of Public Health publications and materials can be accessed on the Internet. World Wide Web: Go to, http://www.mass.qov/dph/rvrs and look under publications. , 1 CONTENTS TRANSMITTAL LETTER ACKNOWLEDGMENTS TABLE OF CONTENTS INTRODUCTION SECTION A-VITAL EVENTS Table A-1 Selected Facts in Vital Statistics, Massachusetts: 1998 5 Figure A-1 1999 Massachusetts Daily Vital Events 6 Table A-2 Number and Crude Rates of Vital Events, Massachusetts and 7 United States: 1998-1999 Figure A-2A Births and Deaths in Massachusetts, Selected Years: 1910- 8 1999 Figure A-2B Rates of Natural Increase in Massachusetts and the United 8 States, Selected Years: 1910-1999 Table A-3 Massachusetts Resident Births and Deaths With Resultant 9 Natural Increase, Selected Years: 1900-1999 Table A-4 Vital Events by Month, Massachusetts Residents: 1999 10 Table A-4A Vital Events by Community: 1999 1 Table A-4B Vital Events by County: 1999 22 SECTION B-BIRTHS 23 Figure B-1 Daily Birth Statistics, Massachusetts: 1999 32 Table 8-1 Trends in Birth Characteristics, Massachusetts: 1980, 1985, 33 1990-1999 Table B-2A Birth Characteristics by Maternal Race and Ethnicity, 34 Massachusetts: 1999 Table B-2B Birth Characteristics by Major Maternal Ancestries, 35 Massachusetts: 1999 Figure B-2 Resident Live Births by Mother's Race/Ethnicity: 1999 36 Figure B-3 Resident Live Births by Mother's Age: 1999 37 Table B-3A Resident Birth Characteristics: 30 Largest Municipalities, 38 Massachusetts: 1999 Table B-3B Resident Birth Characteristics: Community Health Network 40 Areas (CHNAs), Massachusetts: 1999 2311 SECTION B-BIRTHS (continued) Table B-4 Age-Specific and Crude Birth Rates, Massachusetts: 1990 42 and 1999 Figure B-4 Trends in the Number of Births by Mother's Age Group, 43 iiit„,..,_„i,,,,.^«t.-. -lopn -iQOO Figure B-5 Percent of Mothers Breastfeeding or Intending to 44 Breastfeed by Age Group, Massachusetts: 1999 Figure B-6 Smoking Prevalence During Pregnancy, by Race and 45 Hispanic Ethnicity of Mother, Massachusetts: 1999 Figure B-7 The Distribution of Smoking Status During Pregnancy by 46 Smoking Status Prior to Pregnancy, Massachusetts: 1999 Table B-5A Parity by Age of Mother, Massachusetts: 1999 47 Table B-5B Number and Percentage Distribution of Births by Plurality and 48 Age, Massachusetts: 1990-1999 Table B-6 Resident Births by Mother's Age, Marital Status and 49 Race/Ethnicity, Massachusetts: 1999 Table B-7 Resident Births to Teenage Mothers: 1970-1999 50 Table B-8 Births by Birthweight, Race and Hispanic Ethnicity, 51 Massachusetts: 1999 Figure B-8 Low Birthweight Among Smoking and Nonsmoking Mothers, by 52 Race and Hispanic Ethnicity, Massachusetts: 1999 Table B-9 Low Birthweight by Maternal Age, Race and Hispanic Ethnicity, 53 Massachusetts: 1999 Table B-10 Births by Gestational Age, Race and Hispanic Ethnicity, 54 Massachusetts: 1999 Figure B-9 Trends in Adequacy of Prenatal Care by Race, Massachusetts: 55 1980-1999 Table B-1 Low Birthweight by Adequacy of Prenatal Care, Race and 56 Hispanic Ethnicity, Massachusetts: 1999 Figure B-10 Adequacy of Prenatal Care for Selected Population 57 Characteristics, Massachusetts: 1999 Figure B-1 Distribution of Prenatal Care Payment Source, Massachusetts: 58 1999 Table B-1 Birth Characteristics by Source of Prenatal Care Payment, Race, 59 and Hispanic Ethnicity, Massachusetts: 1999 Table B-1 Caesarean Section Deliveries and Vaginal Births After Caesarean 61 Section (VBACs) by Licensed Maternity Facility, Massachusetts: 1999