Early (First Trimester) Prenatal Care
New York State, New York City and Rest of State, 2000 - 2009
90
80
Percent
70
60
50
40
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
New York State
72.8
73.0
73.0
74.7
74.9
75.4
74.6
73.8
72.2
73.3
New York City
66.0
67.7
67.7
71.9
72.0
72.9
72.4
72.6
69.4
71.6
Rest of State
78.5
77.7
77.7
77.4
77.8
77.9
76.7
75.0
75.1
74.9
85
Percent Early (1st Trimester) Prenatal Care) by Race/Ethnicity,
New York State Residents, 2000-2009
80
75
70
Percent
65
60
55
50
45
40
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
White NH
82.1
82.0
82.2
82.7
82.6
82.7
81.8
81.2
80.3
80.8
Black NH
61.3
61.0
62.9
64.0
65.0
66.3
65.5
64.5
60.6
62.1
Asian/PI NH
65.9
66.6
69.6
70.1
70.5
72.1
70.6
71.3
70.4
73.5
Hispanic
62.5
64.4
66.1
67.6
67.6
68.4
67.3
66.8
63.6
65.8
Source: Vital Records, NYSDOH Bureau of Biometrics and Health Statistics
1
Percent of Births to Females < 18
Percent of Births to Females Aged less than 18 with Early
and Late or No Prenatal Care
by Race/Ethnicity, New York State, 2009
60.0
50.0
47.9
52.3
50.4
41.6
40.0
30.0
20.0
22.222.2
13.1
10.0
17.0
12.3
9.5
0.0
Total
White nonHispanic
% Early
Black nonHispanic
%Late/No
Source: Vital Records, NYSDOH Bureau of Biometrics and Health Statistics
2
Asian/PI nonHispanic
Hispanic
Note: Kotelchuck Index is a calculation based on the number of prenatal care visits received by
pregnant women who had a live birth during the reporting year, expressed as a percentage of
observed-to-expected number of prenatal visits. Adequate prenatal care is defined as completion of
greater than 80% of expected visits.
Adequacy of Prenatal Care as demonstrated by Kotelchuck Index
New York State Births By Region
2000 through 2009
‘06
‘07
‘08
‘09
57.6 56.6 56.5 57.8 59.9 59.5 59.8
58.0
61.7
64.4
Rest of State
72.3 69.7 69.9 67.6 72.7 73.2 71.8
68.9
69.0
67.6
Total NYS
65.6 63.5 63.6 63.1 66.4 66.5 65.9
63.5
65.5
66.0
Year →
New York City
‘00
‘01
‘02
‘03
‘04
‘05
Adequate Prenatal Care (Kotelchuck Index) by Race/Ethnicity,
New York State Residents, 2000-2009
75
70
Percent
65
60
55
50
45
40
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
White NH
72.4
70.5
70.7
70.7
71.8
71.8
71.3
71.5
73.1
73.2
Black NH
50.2
47.5
48.5
49.4
50.2
50.4
51.3
51.7
52.1
53.4
Asian/PI NH
56.2
54.4
56.5
57.1
58.8
58.9
58.2
60.1
64.0
67.2
Hispanic
53.9
52.7
55.0
55.9
55.7
55.9
54.9
54.3
57.7
60.0
Source: Vital Records, NYSDOH Bureau of Biometrics and Health Statistics
3
Teen Pregnancy Rates per 1,000 Women Ages 15 - 19
New York State vs United States 2000 - 2009
100
80
60
40
20
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
New York State 69.6
67.4
64
61.8
60.5
60.7
59.2
58.4
56.0
54.2
United States
80.6
76.4
73.7
72.2
70.6
84.8
Teen Pregnancy Rates per 1,000 Women Ages 15 - 19
By New York State Region, 1999-2008
100
Rate per 1,000
80
60
40
20
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
New York State 69.6
67.4
64.0
61.8
60.5
60.7
59.2
58.4
56.0
54.2
Rest of State
48.9
46.7
44.2
42.5
40.2
40.9
41.5
41.6
39.3
37.3
New York City
99.8
99.1
95.4
92.7
93.4
88.9
86.2
83.9
81.3
81.7
Source: Vital Records, NYSDOH Bureau of Biometrics and Health Statistics
4
160
Teen (Age 15-19) Pregnancies per 1,000 Females 15-19 by Race/Ethnicity,
New York State Residents, 2000-2009
140
120
Rate
100
80
60
40
20
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
White NH
34.1
32.7
31.6
29.8
27.0
26.0
25.9
25.6
23.4
23.5
Black NH
136.5
131.2
125.8
119.0
110.6
111.6
111.1
110.2
106.5
103.8
Asian/PI NH
27.1
26.1
24.4
24.1
23.2
19.3
20.7
19.2
19.7
17.0
Hispanic
119.4
117.7
112.5
111.7
113.0
112.5
110.4
107.8
103.5
96.5
Teen (Age 15-17) Pregnancies per 1,000 Females 15-17 by Race/Ethnicity,
New York State Residents, 2000-2009
100
90
80
70
Rate
60
50
40
30
20
10
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
White NH
18.4
17.7
16.8
15.6
13.9
13.1
13.7
13.1
11.4
11.0
Black NH
91.2
85.8
82.6
75.3
70.0
69.4
70.9
69.7
67.3
64.1
Asian/PI NH
15.9
12.8
11.7
10.7
11.2
9.1
9.7
9.5
9.7
8.2
Hispanic
78.5
75.9
73.5
68.7
69.5
69.2
69.4
67.2
64.3
58.3
Source: Vital Records, NYSDOH Bureau of Biometrics and Health Statistics
5
Births per 1,000 Females Ages 15 - 17
New York State by Region 2000 - 2009
30
25
20
15
10
5
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
New York State
18.7
16
15.7
14.9
14.2
13.7
13.1
13.2
12.9
12.1
New York City
24
21.3
20.3
19.3
18.7
17.8
16.7
16.7
16.1
15.1
Rest of State
15.1
12.6
12.6
12
11.3
10.9
10.7
10.9
10.8
10.2
45
Teen (Age 15-17) Birth Rate per 1,000 Females 15-17 by Race/Ethnicity,
New York State Residents, 2000-2009
40
35
Rate
30
25
20
15
10
5
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
White NH
8.6
8.4
7.4
6.9
5.8
5.6
5.3
5.5
5.2
5.0
Black NH
33.4
31.0
27.7
24.8
22.7
21.1
20.4
20.0
20.3
18.1
Asian/PI NH
4.5
3.7
2.9
2.3
2.1
2.2
2.6
1.9
2.5
1.5
Hispanic
40.4
37.7
34.3
32.5
34.4
32.9
30.9
31.7
30.0
28.1
Source: Vital Records, NYSDOH Bureau of Biometrics and Health Statistics
6
Percent of Preterm Births (<37 Weeks Gestation)
by Region, New York State, 2000 - 2009
18
16
Percent
14
12
10
8
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
New York State
11.8
11.3
11.4
11.4
12.1
12.3
12.5
12.4
12.1
12.2
New York City
12.4
12.1
12.1
12.0
12.9
12.8
13.1
13.0
12.8
13.1
Rest of State
11.3
10.7
10.8
10.8
11.4
11.8
12.0
11.9
11.3
11.4
20
Percent Premature Births (<37 Weeks Gestation) by Race/Ethnicity,
New York State Residents, 2000-2009
18
16
14
Percent
12
10
8
6
4
2
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
White NH
10.2
9.7
10.0
9.9
10.5
10.7
11.2
11.0
10.4
10.5
Black NH
16.8
15.8
15.8
16.0
16.9
17.3
16.8
16.9
16.6
17.0
Asian/PI NH
9.2
9.4
9.5
9.8
10.3
9.8
10.7
10.1
10.4
10.0
Hispanic
12.4
12.0
12.0
12.0
12.8
13.2
13.1
13.3
13.0
13.1
7
Source: Vital Records, NYSDOH Bureau of Biometrics and Health Statistics
Percent Low Birth Weight (<2.5 Kg.)
by NYS, NYC and Upstate, 2000- 2009
Percent of Births
15.0
10.0
5.0
HP 2020 Goal = 7.8 percent
0.0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
NY City
8.2
8.4
8.4
8.5
8.8
8.9
8.9
8.6
8.8
8.7
Upstate
7.3
7.0
7.5
7.4
7.6
7.7
7.9
7.7
7.6
7.7
NY State
7.8
7.7
7.9
7.9
8.2
8.3
8.3
8.1
8.2
8.2
14
Percent Low Birthweight (<2500g) Births by Race/Ethnicity,
New York State Residents, 2000-2009
13
12
11
Percent
10
9
8
7
6
5
4
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
White NH
6.5
6.4
6.6
6.6
6.9
7.0
7.1
6.9
6.8
6.9
Black NH
12.1
11.7
12.3
12.2
13.0
13.2
12.7
12.7
13.0
13.0
Hispanic
7.3
7.4
7.5
7.4
7.5
7.8
8.0
7.7
7.9
7.7
Source: Vital Records, NYSDOH Bureau of Biometrics and Health Statistics
8
Percent Low Birth Weight (<2500 gms)
New York Singleton and Total Birth 2000 - 2009
9.5
8.5
%
7.5
6.5
5.5
4.5
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
6
5.9
6.1
6
6.2
6.4
6.4
6.2
6.3
6.2
7.8
7.7
7.9
7.9
8.2
8.3
8.3
8.1
8.2
8.2
5
5
5
5
5
5
5
5
5
7.8
Singletons
Total
HP Goal*/LBW
12.0
Percent Singleton Low Birthweight (<2500g) Births Race/Ethnicity,
New York State Residents, 2000-2009
10.0
Percent
8.0
6.0
4.0
2.0
0.0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
White NH
4.4
4.3
4.4
4.5
4.5
4.8
4.7
4.6
4.6
4.5
Black NH
10.3
10.0
10.4
10.4
10.8
11.1
10.7
10.5
11.0
10.8
Hispanic
6.1
6.1
6.2
6.1
6.1
6.4
6.6
6.4
6.4
6.3
Source: Vital Records, NYSDOH Bureau of Biometrics and Health Statistics
9
Percent Very Low Birthweight (<1500g) Births Race/Ethnicity,
New York State Residents, 2000-2009
3.5
3.0
2.5
Percent
2.0
1.5
1.0
0.5
0.0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
White NH
1.1
1.1
1.1
1.1
1.2
1.1
1.2
1.1
1.1
1.2
Black NH
3.0
2.8
3.0
3.0
3.2
3.2
2.9
3.1
3.2
3.1
Hispanic
1.4
1.5
1.5
1.4
1.5
1.4
1.5
1.4
1.4
1.4
3.0
Percent Singleton Very Low Birthweight (<1500g) Births Race/Ethnicity,
New York State Residents, 2000-2009
2.5
Percent
2.0
1.5
1.0
0.5
0.0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
White NH
0.7
0.7
0.7
0.7
0.8
0.8
0.8
0.7
0.7
0.7
Black NH
2.5
2.4
2.5
2.5
2.5
2.6
2.4
2.5
2.7
2.6
Hispanic
1.2
1.2
1.2
1.1
1.2
1.1
1.2
1.2
1.1
1.1
10
Source: Vital Records, NYSDOH Bureau of Biometrics and Health Statistics
Maternal Mortality Rate
ICD10 Codes 000 to 099
New York State, New York City and Rest of State 2000 - 2009
40.0
Per 100,000 Births
35.0
30.0
25.0
20.0
15.0
10.0
5.0
0.0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
New York State
15.9
20.3
13.2
20.9
20.5
15.1
19.3
15.8
28.9
28.4
New York City
23.1
33.9
22.9
23.4
24.3
21.4
29.3
22.0
35.8
37.0
Rest of State
9.5
8.3
4.5
18.7
16.9
9.4
10.0
10.0
22.4
20.0
90
80
Maternal Mortality Rate per 100,000 Births by Race/Ethnicity,
New York State Residents, 2000-2009
70
60
Rate
50
40
30
20
10
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
White NH
2.2
6.8
6.2
14.4
11.1
9.0
5.7
7.3
17.4
15.1
Black NH
58.5
57.8
40.0
57.2
50.7
46.5
60.5
52.8
76.9
82.8
Asian/PI NH
15.5
0.0
0.0
9.5
19.3
4.9
27.8
8.5
28.6
24.2
Hispanic
13.0
25.7
9.2
9.1
19.3
8.7
11.8
11.6
21.7
23.7
Source: Vital Records, NYSDOH Bureau of Biometrics and Health Statistics
11
Per 1,000 Births
10
Infant Mortality Rate
New York State, New York City and Rest of State 2000 - 2009
5
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
New York State
6.3
5.7
5.9
6.0
6.0
5.8
5.6
5.5
5.4
5.3
New York City
6.3
5.6
5.8
6.2
6.1
5.6
5.7
5.1
5.1
4.9
Rest of State
6.3
5.9
6.0
5.8
6.0
5.9
5.5
5.9
5.8
5.6
HP 2010/2020 Goal
4.5
4.5
4.5
4.5
4.5
4.5
4.5
4.5
4.5
6.0
Healthy People 2010 Goal (2000-2008) / Healthy People 2020 Goal (2009)
Infant (<1 Yr) Mortality Rate per 1,000 Births by Race/Ethnicity,
New York State Residents, 2000-2009
14
12
10
Rate
8
6
4
2
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
White NH
5.5
5.2
5.7
4.7
4.9
4.7
4.5
4.6
4.2
4.2
Black NH
12.0
10.5
10.3
11.7
11.8
11.1
11.1
10.8
11.8
10.9
Asian/PI NH
3.1
2.2
2.0
2.6
2.8
2.8
2.2
2.1
2.5
2.4
Hispanic
4.1
3.9
3.8
5.2
4.8
4.8
4.9
4.5
4.5
4.5
Source: Vital Records, NYSDOH Bureau of Biometrics and Health Statistics
12
9
Neonatal (<28 Days) Mortality Rate per 1,000 Births by Race/Ethnicity,
New York State Residents, 2000-2009
8
7
6
Rate
5
4
3
2
1
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
White NH
4.0
3.6
4.1
3.4
3.6
3.4
3.2
3.1
2.9
3.0
Black NH
8.5
7.0
6.9
8.0
7.8
7.1
7.0
7.3
7.8
7.0
Asian/PI NH
2.3
1.2
1.2
1.9
1.8
2.3
1.7
1.4
1.7
1.7
Hispanic
2.6
3.0
2.7
3.3
3.4
3.3
3.2
2.7
3.1
3.1
Per 1,000 Births
Neonatal Mortality Rate
New York State Residents by Region 2000 - 2009
5.0
4.5
4.0
3.5
3.0
2.5
2.0
1.5
1.0
0.5
0.0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
New York State
4.5
4.0
4.2
4.2
4.3
4.0
3.8
3.6
3.7
3.6
New York City
4.4
3.9
3.9
4.2
4.1
3.7
3.7
3.2
3.4
3.2
Rest of State
4.5
4.0
4.5
4.2
4.4
4.3
3.8
4.0
4.0
4.0
Source: Vital Records, NYSDOH Bureau of Biometrics and Health Statistics
13
Postneonatal Mortality
New York State Residents by Region 2000 - 2009
2.5
Per 1,000
2
1.5
1
0.5
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
New York State
1.8
1.7
1.7
1.8
1.8
1.8
1.8
1.9
1.8
1.7
New York City
2
1.6
1.6
2
1.9
1.9
2.0
1.9
1.7
1.7
Rest of State
1.7
1.9
1.9
1.7
1.6
1.6
1.7
1.9
1.8
1.7
5
Postneonatal Mortality by Race/Ethnicity,
New York State Residents, 2000 - 2009
4
4
3
Rate
3
2
2
1
1
0
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
White NH
1.5
1.5
1.5
1.3
1.2
1.3
1.3
1.5
1.3
1.2
Black NH
3.5
3.6
3.4
3.7
4.0
4.0
4.1
3.5
4.0
3.8
Asian/PI NH
0.7
1.0
0.8
0.7
1.0
0.5
0.6
0.7
0.8
0.7
Hispanic
1.5
1.0
1.1
1.9
1.4
1.4
1.7
1.7
1.4
1.4
14
Source: Vital Records, NYSDOH Bureau of Biometrics and Health Statistics
15
Percent of Moms Who Were Obese Before Pregnancy by
Region,New York State Residents, 2004-2008
30
25
Percent
20
15
10
5
0
2004
2005
2006
2007
2008
New York State
20.3
22.4
20.8
20.9
19.4
New York City
18.5
18.4
17.3
19.5
16.2
Upstate
21.2
25
24.3
22.3
22
Percent of Moms Who Were Obese Before Pregnancy by
Race/Ethnicity,New York State Residents, 2004-2008
35
30
Percent
25
20
15
10
5
0
2004
2005
2006
2007
2008
White NH
18.1
22.1
20.7
17.5
19.2
Black NH
31.6
30.3
33.1
33.3
26.3
Other NH
15.4
15.1
7.7
13.2
7.4
Hispanic
21.1
20.4
16.8
21.8
22.3
Source: New York State Pregnancy Risk Assessment Monitoring System (PRAMS)
16
Births Resulting from Unintentional Pregancy by Region
New York State Residents, 2004-2008
45
40
35
Percent
30
25
20
15
10
5
0
2004
2005
2006
2007
2008
New York State
38.1
33.6
36.8
36.7
32.1
New York City
42.7
37.4
35.9
36
35.1
Upstate
35.8
32.8
37.7
37.4
29.6
Births Resulting From Unintentional Pregnancy by
Race/Ethnicity
New York State Residents, 2004-2008
70
Percent
60
50
40
30
20
10
0
2004
2005
2006
2007
2008
White NH
31.6
27.1
28.7
28.6
23.2
Black NH
61.3
51.9
53.2
57.2
54.3
Other NH
34.4
31.4
35.9
31.6
30.2
Hispanic
43.7
42
43.3
40.2
38.7
Source: New York State Pregnancy Risk Assessment Monitoring System (PRAMS)
17
Percent of Moms Who Smoked During Last 3 Months of
Pregnancy by Region, New York State Residents, 2004-2008
18
16
14
Percent
12
10
8
6
4
2
0
2004
2005
2006
2007
2008
New York State
12.9
9.8
8.5
9.1
8.2
New York City
7.6
5
3.9
4.7
3.6
Upstate
15.6
12.9
13.1
13.7
11.9
Percent of Moms Who Smoked during Last 3 Months of Pregnancy by
Race/Ethnicity,New York State Residents, 2004-2008
18
16
14
Percent
12
10
8
6
4
2
0
2004
2005
2006
2007
2008
White NH
16.5
14.4
11.7
12.7
10
Black NH
10.3
4.1
6.9
9.3
11.5
Other NH
11
2
1.9
3.5
6.5
Hispanic
4.1
4.9
4.9
4.1
3.1
Source: New York State Pregnancy Risk Assessment Monitoring System (PRAMS)
18
Percent of Moms Who drank During Last 3 Months of
Pregnancy by Region,New York State Residents, 2004-2008
12
10
Percent
8
6
4
2
0
2004
2005
2006
2007
2008
New York State
7.1
7.6
9.1
8.4
7.3
New York City
8.9
8.5
10.5
9.7
7.2
Upstate
6.2
7
7.7
7.2
7.3
Percent of Moms Who Drank During Last 3 Months of Pregnancy by
Race/Ethnicity,New York State Residents, 2004-2008
12
10
Percent
8
6
4
2
0
2004
2005
2006
2007
2008
White NH
9.2
9.9
11.1
10.6
10
Black NH
5.4
4.8
7.4
9.3
4
Other NH
3
7.1
2.7
4.2
6.1
Hispanic
3
4.2
8
5.2
3.6
Source: New York State Pregnancy Risk Assessment Monitoring System (PRAMS)
19
Percent of Moms Who Initiated Breastfeeding by Region
New York State Residents, 2004-2008
90
Percent
85
80
75
70
65
2004
2005
2006
2007
2008
New York State
76.5
76.9
79.2
80.2
80.5
New York City
84.9
82.9
84.1
86.2
86.5
Upstate
72.4
72.9
74.3
74
75.6
Percent of Moms Who Initiated Breastfeeding by Race/Ethnicity,
New York State Residents, 2004-2008
100
90
80
70
Percent
60
50
40
30
20
10
0
2004
2005
2006
2007
2008
White NH
70.6
72.9
76.9
78.5
77.6
Black NH
81.8
74
75.2
76.9
77.1
Other NH
86.5
85.6
83.3
81.6
81.2
Hispanic
88.7
85.2
85.2
85.2
88.1
Source: New York State Pregnancy Risk Assessment Monitoring System (PRAMS)
20
Percent of Moms Breastfeeding at 8 weeks by Region
New York State Residents, 2004-2008
80
70
60
Percent
50
40
30
20
10
0
2004
2005
2006
2007
2008
New York State
53.8
55.3
59.2
60.2
60.1
New York City
63.5
60.6
64.1
67.3
68.2
49
51.8
54.4
53
53.6
Upstate
Percent of Moms Breastfeeding at 8 weeks by Race/Ethnicity
New York State Residents, 2004-2008
80
70
Percent
60
50
40
30
20
10
0
2004
2005
2006
2007
2008
White NH
49.9
52.1
58
58.1
57.9
Black NH
50.9
51.6
57
57.9
51.3
Other NH
71.4
63.9
64.2
62.5
66.6
Hispanic
62.2
62.4
61.6
65.2
67
Source: New York State Pregnancy Risk Assessment Monitoring System (PRAMS)
21
Percent of Moms Who Put Babies to Sleep on Their Backs by
Region,New York State Residents, 2004-2008
80
70
Perecnt
60
50
40
30
20
10
0
2004
2005
2006
2007
2008
New York State
65.9
66.1
67.7
67.1
70.2
New York City
58.4
63.5
64.5
63.6
63.3
Upstate
69.6
67.8
70.8
70.7
75.7
Percent of Moms Who Put Babies to Sleep on Their Backs by
Race/Ethnicity,New York State Residents, 2004-2008
90
80
Percent
70
60
50
40
30
20
10
0
2004
2005
2006
2007
2008
White NH
71.5
71.1
75.3
72.5
78.2
Black NH
50
55.2
54.5
54.1
52.3
Other NH
70.2
72.2
70
68.8
69.4
Hispanic
57.7
59.3
59.4
64.8
63.4
Source: New York State Pregnancy Risk Assessment Monitoring System (PRAMS)
22