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Updated data on Poverty, Health Insurance, illicit drug use, and Behavioral Risk Factors

PeriStats has been updated with the most up to date data for poverty, health insurance, obesity, smoking, illicit drug use and alcohol use. Poverty has been updated to the 2018-2020 data set while most other variables have been updated to 2019 data, unless otherwise specified.

Health Insurance is updated for both women (15-44 years of age) and children (under 19 years old), by state and the US. The updated data are from the US Census American Community Survey.

For poverty, data is updated for both women (15-44 years of age) and children (under 19 years of age). The data are included for each state, District of Columbia and the U.S. and comes from the Current Population Survey which is sponsored by the U.S. Census Bureau and the U.S. Bureau of Labor Statistics.

The obesity, smoking and alcohol use data all come from the Behavioral Risk Factor Surveillance System and includes all 50 states, territories and the District of Columbia. Updated data includes that for smoking for women (age 18-44), men (age 18 and older), binge drinking for women (age 18-44) and obesity for women (age 18-44). Illicit drug use comes from the Substance Abuse and Mental Health Services Administration and is reported for everyone over age 12, from 2017-2018 data.

On PeriStats, using the data finder tool, the poverty data can be found under the topic area of 'Population' and then under the 'Filter' dropdown option while health insurance, illicit drug use, obesity and smoking can be found under the topic areas corresponding to the name of the indicator.


2020 March of Dimes Report Cards

For thirteenth year, March of Dimes presents report cards on preterm birth. This report card has evolved over the years and now encompasses many maternal and infant health topics.

The report card maintains its most influential aspect of a grade on preterm birth for the nation and each state. These grades, based solely on the preterm birth rate, compare the preterm birth rate to the March of Dimes 2020 goal for prematurity (8.1%). Grades for the 2020 report cards utilize the 2019 natality data from National Center for Health Statistics.

The 2020 Report Card contains measures that examine infant health. These include preterm birth rate, preterm birth rate by race/ethnicity and preterm birth rates for the city with the greatest number of births. For the second year, we present data on social determinants of health. These include poverty, lack of health insurance and inadequate prenatal care. As in 2019, we also present data on the average cost of preterm birth and Medicaid expansion.

New to the report cards in 2020 is the addition of information for states in the following areas Medicaid extension recent actions, Maternal Mortality Review Committees (MMRC) and Perinatal Quality Collaborative (PQC).

To view state report cards on PeriStats, select state and March of Dimes Report Card from the State Summaries. To view the full report card, which contains policy actions and state spotlights, please visit https://www.marchofdimes.org/mission/reportcard.aspx.


PRAMS Data Updated!

PeriStats has been updated with 2012-2017 data from the Pregnancy Risk Assessment Monitoring System (PRAMS) dataset.

PRAMS is a surveillance system from the Centers for Disease Control and Prevention (CDC) that is collected and administered through participating state health departments. Data presented on PeriStats can be searched by maternal race/ethnicity, maternal age and Medicaid status.

Variables that were updated include:

  • Alcohol use, before and during pregnancy
  • Smoking, before, during, and after pregnancy
  • Smoking, quit during pregnancy
  • Medicaid coverage, anytime and prenatal care and before pregnancy
  • Uninsured, before pregnancy
  • Hypertension
  • Vitamin use
  • Neonatal Intensive Care Unit admission
  • Breastfeeding
  • Contraception use
  • Diabetes
  • Postpartum follow up
  • Pre-Pregnancy Oral Health
  • Infant Sleep position

Perinatal and Late Fetal Mortaltiy rates updated

PeriStats has updated perinatal and late fetal mortality rates, 2014-2017. Perinatal mortality is defined as death to a fetus that is over 28 weeks of gestation and infants up to one week old. Late fetal mortality is defined as a death occurring after 28 weeks gestation but before birth. Perinatal and late fetal mortality are reported per 1,000 live births and fetal deaths.

The Perinatal Mortality and Late Fetal Mortality indicators can be queried by maternal age, race and race/ethnicity.

Two sources were utilized to calculate these counts and rates (see below).

United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics (DVS). Linked Birth / Infant Death Records 1995-2017, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program, on CDC WONDER Online Database.

United States Department of Health and Human Services (US DHHS), Centers for Disease Control and Prevention (CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics (DVS). Fetal Death Records 2005-2017, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program, on CDC WONDER Online Database.


COVID-19 Articles

PeriStats now includes a resource to help obtain the most up-to-date articles on COVID-19 and the maternal and child health population. The links provided here represent collections of published papers found on PubMed that have been reviewed and selected for relevancy to maternal health, pregnancy, infant health, and child health. Examples of topics that are included are: vertical transmission, systematic reviews, maternal screening, and characteristics of COVID-19. This selection is suited for public health professionals who work or are interested in the area of maternal and child health.

COVID-19 and Pregnancy

COVID-19 and Infants/Children

COVID-19 and Health Equity

Other sources for COVID-19 related articles:

NIH iSearch COVID-19 portfolio: includes articles from PubMed as well as pre-prints (preliminary reports of work that have not been certified by peer review) from medRxiv, SSRN, arXiv, bioRxiv, Research Square and ChemRxiv. The portfolio is updated daily.

https://icite.od.nih.gov/covid19/search/

Johns Hopkins Center for Humanitarian Health, COVID-19 Maternal and Child Health & Nutrition Literature Repository: Regularly updated list and summary of peer-reviewed journal articles related to COVID-19, maternal and child health (including infants), and nutrition.

http://hopkinshumanitarianhealth.org/empower/advocacy/covid-19/covid-19-children-and-nutrition/

The Indiana Clinical and Translational Sciences Institute (CTSI) COVID-19: Expert Review of Relevant and Emerging Literature (not specific to maternal and child health)

https://indianactsi.org/community/monon-collaborative/covid-19/lit-review/


Updates to Medicaid Coverage and Sexually Transmitted Disease Data

PeriStats is now updated with the most current data on Medicaid coverage of births to include rates for the years 2016-2018. You can find these updates under the topic of "Health Insurance/Income" and subtopic of "Medicaid Coverage". The data has been updated through the National Center for Health Statistics (NCHS) at the Center for Disease Control (CDC).

Additionally, PeriStats now includes the most recent rates of sexually transmitted diseases (STD) among women for the years 2014-2018. STDs included are Chlamydia, Syphilis, Congenital Syphilis, and Gonorrhea. These rates are reported per 100,000 women. You can find these updates under the topic of "Infections".


Updates to infant and maternal mortality

PeriStats has been updated with the most current data on infant mortality rates to include rates for the years 2014-2017. These updates also include the most current data on age at infant death, percent by age at death, percent by race/ethnicity and cause of infant death. International infant mortality rates and maternal mortality rates for states are also included.

The data has been updated through the National Center for Health Statistics (NCHS) at the Center for Disease Control (CDC). Infant mortality data is available based on maternal age, by race and ethnicity. Information is given on age of infant death (neonatal or post neonatal) and can be viewed in a variety of formats including pie charts, bar graphs and maps.

Infant mortality rates are defined as death of an infant before one year of age and are reported per 1,000 live births. These rates can also be thought of as the risk of death in the first year of life and can serve as one way to understand the health of the whole community. The neonatal period is defined as babies in the first four weeks of life and post-neonatal is the period after the first month of life up to the end of the first year of life.

Additional updates include International infant mortality rates and maternal mortality rates. International comparisons of infant mortality are available for 32 different countries.

Maternal mortality rates are available for 2018. Maternal deaths include deaths of women while pregnant or within 42 days of termination of pregnancy irrespective of the duration and the site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes.

Data for the update of infant mortality and maternal mortality measures is from the National Center for Health Statistics (NCHS). Data for the international infant mortality rate come from OECD or the Organization for Economic Co-Operation based in Paris, France. Variation in rates for some countries, including Canada and the United States, is due to differences in the registering practices for premature infants.


COVID-19 Articles

PeriStats now includes a resource to help gain the most up-to-date articles on COVID-19 and the maternal child health population. The links provided here represent collections of published articles found on Pub-Med that have been reviewed and selected for relevancy to maternal health, pregnancy, infant health and child health. Examples of topics that are included are: vertical transmission, systematic reviews, maternal screening and characteristics of COVID-19. This selection is suited for public health professionals that work or are interested in maternal child health.

COVID-19 and Pregnancy

COVID-19 and Infants/Children

COVID-19 and Health Equity

NIH iSearch COVID-19 portfolio: includes articles from PubMed as well as pre-prints (preliminary reports of work that have not been certified by peer review) from medRxiv, SSRN, arXiv, bioRxiv, Research Square and ChemRxiv. The portfolio is updated daily with the latest available data.

https://icite.od.nih.gov/covid19/search/

The Indiana Clinical and Translational Sciences Institute (CTSI) COVID-19: Expert Review of Relevant and Emerging Literature (not specific to maternal and child health)

https://indianactsi.org/community/monon-collaborative/covid-19/lit-review/


2018 Natality Data Update

PeriStats has been updated with the most current data on several birth outcomes. These include an update to preterm birth, birthweight, and delivery method. Additionally, current data is now available for prenatal care utilization, and singletons and multiples.

PeriStats has been updated with 2018 natality data set from the National Center for Health Statistic (NCHS), as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program.

These topics are available for all geographic areas and by maternal age, race, and race/ethnicity.

Also available are county preterm birth rates calculated using gestational age based on obstetric estimate (OE) for 2015-2018 and low birthweight rates by county (2015-2018).

PeriStats Tip: Don't forget to check out the contextual statements below each map, graph or chart that explain the data in words.

Contact the Perinatal Data Center with any questions.


Puerto Rico Natality data (2015-2018) now available

PeriStats has been updated with the most current data on several birth outcomes for Puerto Rico utilizing the 2015-2018 territories natality data set from the National Center for Health Statistic (NCHS). These include preterm birth, birthweight, and delivery method. These topics are available by maternal age, race, and race/ethnicity. Also available are preterm birth rates calculated using gestational age based on obstetric estimate (OE) for 2015-2018 and low birthweight rates (2015-2018) by municipality.

PeriStats Tip: Don't forget to check out the contextual statements below each map, graph or chart that explain the data in words.


Updated data on poverty and health insurance

PeriStats has been updated with the most current data on poverty and health insurance.

PeriStats has been updated with 2018 health insurance coverage data for women and children for the US and by state. The updated data are from the American Community Survey, a part of the US Census. The data were retrieved from the IPUMS.org, Minnesota Population Center at the University of Minnesota.

The topics updated include

  • Uninsured women (15-44 years)
  • Uninsured children (18 years and younger)

PeriStats has been updated with data on the proportion of women and children living in poverty for each state, the District of Columbia, and the U.S. during 2017-2019. The updated data are from The Current Population Survey (CPS) which is sponsored by the U.S. Census Bureau and the U.S. Bureau of Labor Statistics (BLS). The data were retrieved from IPUMS.org, Minnesota Population Center at the University of Minnesota.

Poverty is defined as those who make less than 100% of the poverty threshold established by the US Census Bureau. The poverty threshold for a family of three was $19,515 in 2017, $19,985 in 2018 and $19,998 in 2019. Data are available for the percent of women (15-44 years) and percent of children (18 years and younger) living in poverty.

Poverty data are available under the "Population" topic accessible from the selection tool on the left hand side of PeriStats.

Contact the Perinatal Data Center with any questions.


Updated data on behavioral risk factors

PeriStats has been updated with 2018 Behavioral Risk Surveillance System (BRFSS) data. The BRFSS is a nationally representative telephone survey which annually collects information on health risk behaviors from all 50 states, territories and the District of Columbia.

The topics updated include

  • Smoking in women (18-44 years)
  • Smoking in men (18 years and older)
  • Binge alcohol drinking in women (18-44 years)
  • Obesity in women (18-44 years)

Contact the Perinatal Data Center with any questions.


Natality data updates on PeriStats

PeriStats has been updated with the most current data on several birth outcomes. These include an update to preterm birth, birthweight, and delivery method. Additionally, current data is now available for prenatal care utilization, birth rates, singletons and multiples, and population data.

PeriStats has been updated with 2016 natality data set from the National Center for Health Statistic (NCHS), as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooperative Program.

These topics are available for all geographic areas and by maternal age, race, and race/ethnicity.

Also available are county preterm birth rates calculated using gestational age based on obstetric estimate (OE) for 2013-2016 and low birthweight rates by county (2013-2016).

PeriStats Tip: Don't forget to check out the contextual statements below each map, graph or chart that explain the data in words.

Contact the Perinatal Data Center with any questions.


Data updates on PeriStats

PeriStats has been updated with the most current data on several indicators associated with poor birth outcomes. These include an update to health insurance status, poverty status, and several behavioral risk factors such as smoking in women and men, binge alcohol use, and obesity.

PeriStats has been updated with 2017 health insurance coverage data for women (15-44 years) and children (18 years and younger) for the US and by state. The updated data are from the American Community Survey (ACS), an annual survey of the U.S. Census. PeriStats presents the percent of women and children who do not have any health insurance coverage. A respondent was considered uninsured if they were not covered by any type of health insurance at the time of the survey.

Data on poverty status among women and children living for each state, the District of Columbia, and the U.S. is now available for single years 2011-2018. Poverty is defined as those who make less than 100% of the poverty threshold established by the US Census Bureau. The poverty threshold for a family of three was $20,780 in 2018. The updated data are from The Current Population Survey (CPS) which is sponsored by the U.S. Census Bureau and the U.S. Bureau of Labor Statistics (BLS). Data are available for the percent of women (15-44 years) and percent of children (18 years and younger) living in poverty.

Data for health insurance and poverty were retrieved from the IPUMS.org, Minnesota Population Center at the University of Minnesota. The health insurance data was retrieved from IPUMS-USA (ACS) and poverty data is from IPUMS-CPS.

Additionally, PeriStats has been updated with 2017 Behavioral Risk Surveillance System (BRFSS) data. The BRFSS is a nationally representative telephone survey which annually collects information on health risk behaviors from all 50 states, territories and the District of Columbia.

The topics updated include

  • Smoking in women (18-44 years)
  • Smoking in men (18 years and older)
  • Binge alcohol drinking in women (18-44 years)
  • Obesity in women (18-44 years)

The Prematurity Profiles for each state have been updated with the most current statistics. These can be easily accessed through the State Summaries tool in the upper right corner of the PeriStats main page.