National Vital Statistics System — Natality Stephanie J

National Vital Statistics System - Natality Stephanie J. Ventura, M. A. National Center for Health Statistics Presented at the 134 th Annual Meeting & Exposition of the American Public Health Association Continuing Education Institutes November 4, 2007 Washington, DC 1

The Natality Team Brady E. Hamilton Sharon Kirmeyer Marian F. Mac. Dorman Joyce A. Martin (Team Leader) T. J. Mathews Fay Menacker Martha L. Munson Paul D. Sutton Stephanie J. Ventura (Branch Chief) 2

Vital Statistics l Core of our health data system l Base for public health, social science, economic planning and program development l Monitor key indicators of health world-wide and at the local, state and national level l Track progress to goals l Identify disparities l Alert to emerging problems 3

National Vital Statistics System • Registration of births and deaths is not a Federal activity – responsibility lies with the states • Vital Statistics Cooperative Program • Includes all 57 registration areas (all states and territories, DC and NYC) • Standardization of data collection and data processing • Comparability among states • Compilation of national vital statistics data 4 sets

U. S. Standard Certificate of Live Birth: 2003 Revision Legal information: 5

U. S. Standard Certificate of Live Birth: 2003 Revision Parents’ Demographic Information and Birth Place Information: 6

U. S. Standard Certificate of Live Birth: 2003 Revision Maternal Medical and Health Information: 7

U. S. Standard Certificate of Live Birth: 2003 Revision Newborn Information: 8

Implementation of the 2003 Revised Birth Certificate WA MT ME ND MN OR ID VT NH WI SD NY WY PA IA NE OH IL UT CT RI MI NV IN CO WV KS CA MO VA KY OK NM NJ DE MD DC NC TN AZ MA AR SC MS AL GA TX LA FL AK HI 9 NOTE: New York State but not New York city implemented for 2004. 2003 or 2004 2005 Mid-year reviser 2006 2007 or later

Challenges in Implementing the 2003 Revised Birth Certificate l Delayed/Phased/Selective implementation of 2003 revised birth certificate l Multiple-race and geographic coding l Modified (improved) and new items l 10 Natality data files for 2003 and later years – larger and complex

Benefits in Implementing the 2003 Revised Birth Certificate l Changes to existing items l New items l Improved data quality • • Edit data at source • 11 Worksheets Standardized edits for all items

Types of Data Dissemination: National Vital Statistics Reports Provisional Reports • Counts of births, deaths, infant deaths • Only source of information on marriages and divorces 12 SOURCE: CDC/NCHS National Vital Statistics System

Preliminary Data l l l 13 Based on substantial sample of records – 99% of all births for 2005 More detailed inclusive annual report Provides preview of data in final report Data track very well with those from final report Sample of all records received and processed by cut-off date – 4 -5 months after end of data year Published 6 -10 months after end of year

Final Data l l Discussion and detailed data on almost all items in the data set l Released 12 -14 months after end of year l 14 Annual report – based on all US births in a given year Accompanies release of public use data file

Types of Data Dissemination: National Vital Statistics Reports 15 SOURCE: CDC/NCHS National Vital Statistics System

Types of Data Dissemination: Topical Reports 16 SOURCE: CDC/NCHS National Vital Statistics System

Selected Findings from Reports 17

From: Expanded Health Data from the New Birth Certificate, 2004 Rates of prepregnancy diabetes: 7 reporting states, 2004 18 SOURCE: CDC/NCHS National Vital Statistics System

From: Births: Preliminary Data for 2005 Cesarean delivery rates by age of mother: US, 1990 -2005 19 SOURCE: CDC/NCHS National Vital Statistics System

From: Infant Mortality Statistics from the 2004 Period Linked Birth/Infant Death Data Set Total and preterm-related infant mortality rates by race and ethnicity of mother: United States, 2004 20 SOURCE: CDC/NCHS National Vital Statistics System

From: Birth and Fertility Rates for States by Hispanic Origin Subgroups: United States, 1990 and 2000 Population of Hispanic Origin and Subgroups, 2000 21

From: Births: Preliminary Data for 2005 Percentage of preterm births: United States, 1990, 2004, and 2005 22 SOURCE: CDC/NCHS National Vital Statistics System

Upcoming Reports l l l l 23 Births: Preliminary Data for 2006 Expanded Health Data from the New Birth Certificate, 2005 Fetal and Perinatal Mortality: United States, 2005 Infant Mortality Statistics from the 2005 Period Linked Birth/Infant Death Data Set Estimated Pregnancy Rates: United States, 19902003 Teenage Birth Rates for the United States, 19402006 Births: Final Data for 2005

Types of Data Dissemination: Vital Statistics of the United States Tabulated Data 24

Types of Data Dissemination: Public Use Micro Data Files (ASCII and SETS versions) Unit Record Data 25 SOURCE: CDC/NCHS National Vital Statistics System

Types of Data Dissemination: Online Data Access Tools 26 SOURCE: CDC/NCHS National Vital Statistics System

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Interactive Table from Vital. Stats Interactive table from Vital. Stats 29

Other Web based interactive data systems l l 30 CDC WONDER: http: //wonder. cdc. gov/ CDC Interactive Atlas of Reproductive Health: http: //www. cdc. gov/reproductivehealth/gisatlas/index. htm

Website addresses l l Birth Data Web Page: http: //www. cdc. gov/nchs/births. htm l Linked Birth/Infant Death Web Page: http: //www. cdc. gov/nchs/linked. htm l 2003 Revisions of the U. S. Standard Certificates of Live Birth and Death and the Fetal Death Report Web Page: http: //www. cdc. gov/nchs/vital_certs_rev. htm l 31 National Center for Health Statistics Web Page: http: //www. cdc. gov/nchs/ U. S. Census Populations with Bridged Race Categories Web Page: http: //www. cdc. gov/nchs/about/major/dvs/popbridge. ht m

For more information contact: l l Joyce Martin JAMartin@cdc. gov l Brady Hamilton BHamilton@cdc. gov l Paul Sutton PSutton@cdc. gov l 32 Stephanie Ventura SVentura@cdc. gov Or births@cdc. gov -- 301 -458 -4111