ANNUAL REPORT VITAL STATISTICS OF MASSACHUSETTS DOCUMENT PUBLIC #1 2006 THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH DEVAL L. PATRICK, GOVERNOR JOHN W. POLANOWICZ, SECRETARY OF HEALTH AND HUMAN SERVICES CHERYL BARTLETT, RN, COMMISSIONER OF PUBLIC HEALTH GERALD F. O'KEEFE, DIRECTOR BUREAU OF HEALTH INFORMATION, STATISTICS, RESEARCH, AND EVALUATION GERALD F. O'KEEFE, REGISTRAR REGISTRY OF VITAL RECORDS AND STATISTICS 150 MOUNTVERNON STREET, 1st FLOOR DORCHESTER, MASSACHUSETTS 02125-3105 NOVEMBER 2013 ANNUAL REPORT VITAL STATISTICS OF MASSACHUSETTS PUBLIC DOCUMENT #1 2006 THE COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH DEVAL L. PATRICK, GOVERNOR JOHN W. POLANOWICZ, SECRETARY OF HEALTH AND HUMAN SERVICES CHERYL BARTLETT, RN, COMMISSIONER OF PUBLIC HEALTH GERALD F. O'KEEFE, DIRECTOR BUREAU OF HEALTH INFORMATION, STATISTICS, RESEARCH, AND EVALUATION GERALD F. O'KEEFE, REGISTRAR REGISTRY OF VITAL RECORDS AND STATISTICS 150 MOUNTVERNON STREET, 1st FLOOR DORCHESTER, MASSACHUSETTS 02125-3105 NOVEMBER 2013 State Library of Massachusetts State House, Boston The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Registry of Vital Records and Statistics 150 Mount Vernon Street, 1 st Floor Dorchester, MA 02125-3105 DEVALL. PATRICK GOVERNOR JOHN W. POLANOWICZ SECRETARY Tel: 617-740-2600 CHERYLBARTLETT, RN Fax: 617-740-2613 COMMISSIONER www.mass.gov/dph/rvrs November, 2013 To the Honorable Senate and House of Representatives: We have the honor to submit, as required by Chapter 111, Section 2 of the General Laws, the one hundred sixty-fifth annual report on statistics of births, deaths, marriages, and divorces in Massachusetts for calendar year 2006. Since 1964, the ANNUAL 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. Digitized by the Internet Archive 2014 in https://archive.org/details/annualreportvita00mass_1 ACKNOWLEDGEMENTS This publication of the 2006 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 2006 ANNUAL REPORT OF VITAL STATISTICS include: The Statistical Unit comprised of; Sharon Pagnano, Director of Statistical Unit, Maria Vu, Maureen McKean, Donna Barlow, Marsha Grabau, Jennifer O'Hearn, Annette Luc, and Michael Baker. This unit is responsible for coordination of the hospital query program for birth certificate data, specialized data programming, assistance in developing specialized table production, technical assistance, data file management, and vital events series printouts. Bruce Cohen, Malena Hood, James West, and Dana Bernson, Bureau for Health Information, Statistics, Research, and Evaluation: provided technical assistance and data, including the previously published: Massachusetts Births 2006 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-4, B-5A, B-5B, B-6A, B-6B, B-7, B-8, B-9, B-10, B-11, B-12, B-13, B-14, B-15, B-16, B-17, B-18, B-19, B-20, B-21, B-22, B-23, B-24, B-25, B-26A, B- 26B, B-26C and D-2. Massachusetts Deaths 2006 Figures C-1, C-2, C-3, C-4, C-5, C-6, C-7, C-8 and F-4; : as well as, Tables C-4, C-5, C-6, C-7, C-8A, C-8B, C-9, C-1OA, C-10B, C-11, C-12, C- 13, C-14, C15, C-16, C-17, C-18, C-19, C-20, C-21, C-22, C-23, C-24, C-25, C-26, C-27, C-28, C-29, C-30, C-31, C-33A, C-33B, C-33C D-1, D-3, D-4, and F-1. The joint efforts of all the staff ofthe 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: Maisy 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 offorms; Alex Forman, 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 2006 ANNUAL REPORT OF VITAL STATISTICS has been compiled and produced under the general supervision and direction of: Gerald O'Keefe, Registrar ofVital Records and Statistics Registry ofVital Records and Statistics Karin Barrett, Assistant Registrar ofVital Records and Statistics Registry ofVital Records and Statistics Charlene J. Zion, Information Officer Registry ofVital Records and Statistics Editor Kevin Y. Foster, Epidemiologist Registry ofVital Records and Statistics Editor Massachusetts Department of Public Health publications and materials can be accessed at the following website: http://www.mass.gov/dph 1 CONTENTS TRANSMITTAL LETTER ACKNOWLEDGMENTS TABLE OFCONTENTS INTRODUCTION SECTIONA-VITALEVENTS 1 A Section Definitions 3 Table A-l Selected Facts in Vital Statistics, Massachusetts: 2006 5 Figure A-l 2006 Massachusetts Daily Vital Events 6 TableA-2 Number and Crude Rates ofVital Events, Massachusetts and United States: 2005-2006 FigureA-2A Birth and Death Rates in Massachusetts, Selected Years: 1910-2006 8 Figure A-2B Rates ofNatural Increase, Massachusetts and United States, Selected Years: 1910-2006 8 TableA-3 Massachusetts Resident Births and Deaths With Resultant Natural Increase: 1900-2006 9 Table A-4 Vital Events by Month, Massachusetts Residents: 2006 10 TableA-5A VitalEvents by Community: 2006 1 Table A-5B Vital Events by County: 2006 20 SECTION B-BIRTHS 21 Table B-l 2006 Distribution ofMassachusetts Occurrence Births by Facility 21 Table B-2 Race and Hispanic Ethnicity ofMother, Massachusetts Residents: 2005-2006 22 Table B-3 Birth byAge ofMother, Massachusetts Residents: 2006 23 Section B Definitions 25 Figure B-l Daily Birth Statistics, Massachusetts: 2006 33 Table B-4 Trends in Birth Characteristics, Massachusetts: 1990, 1991, 1994-2006 34 Table B-5A Birth Characteristics by Maternal Race and Hispanic Ethnicity and Birthplace, Massachusetts: 35 2006 Table B-5B Birth Characteristics by Maternal Ancestry, Massachusetts: 2005 36 Figure B-2 Resident Live Births by Maternal Race and Hispanic Ethnicity, Massachusetts: 2006 37 Figure B-3 Resident Live Births by Maternal Age, Massachusetts: 2006 38 Table B-6A Resident Birth Characteristics, 30 Largest Municipalities, Massachusetts: 2006 39 Table B-6B Resident Birth Characteristics by Community Health NetworkAreas (CHNAs), Massachusetts: 41 2006 Table B-7 Age-Specific and Crude Birth Rates, Massachusetts: 1990 and 2006 43 Figure B-4 Trends in the Number ofBirths by Mother's Age Group, Massachusetts: 1980-2006 44 Figure B-5 Percent ofMothers Breastfeeding or Intending to Breastfeed by Age Group, Massachusetts: 45 2006 Figure B-6 Percent ofMothers who Smoked During Pregnancy, by Maternal Race/Hispanic Ethnicity and 46 Educational Attainment, Massachusetts: 2006 Figure B-7 Distribution ofSmoking Status DuringPregnancy by Smoking Status Prior to Pregnancy. 4" Massachusetts: 2006 Table B-8 Parity by Age ofMother, Massachusetts: 2006 48 SECTION B—BIRTHS (continued) Table B-9 Trends in Number and Percent Distribution ofBirths byPlurality and Age, Massachusetts: 49 1993-2006 Table B-10 Selected Birth Characteristics by Maternal Education, Massachusetts: 2006 50 Table B-ll Inter-pregnancy Interval (TPI) and Birth Outcomes— Pregnancies to Multiparous Mothers, 51 Massachusetts: 2006 Table B-12 Inter-pregnancy Interval (TPI) by Maternal Characteristics— Pregnancies to Multiparous 52 Mothers, Massachusetts: 2006 LBW Figure B-8 Inter-pregnancy Interval (TPI) vs. and Preterm Pregnancies to Multiparous Mothers, 53 Massachusetts: 2006 Table B-13 Summary ofSelected Teen Birth Characteristics, Massachusetts: 2006 54 Table B-14 Trends in Teen Birth Rates for Selected Communities, Ranked by 2006 Teen Birth Rate, 55 Massachusetts: 1996, 2005, and 2006 Table B-15 Resident Teen Birth Characteristics, 30 Largest Municipalities, Massachusetts: 2006 56 Figure B-9 Adequacy ofPrenatal Care by Selected Maternal Characteristics, Massachusetts: 2006 58 Figure B-10 Trends in Adequacy ofPrenatal Care by Race and Hispanic Ethnicity, Massachusetts: 1996- 59 2006 Table B-16 Adequacy ofPrenatal Care Utilization: Summary and ComponentIndices, Massachusetts: 2006 60 Table B-17 Adequacy ofPrenatal Care by Selected Characteristics, Massachusetts: 2006 61 Table B-18 Adequacy ofPrenatal Care Initiation by Selected Characteristics, Massachusetts: 2006 62 Table B-19 Adequacy ofPrenatal Care Visits by Selected Characteristics, Massachusetts: 2006 63 Table B-20 Birth Characteristics by Race and Hispanic Ethnicity and Source ofPrenatal Care Payment, 64 Massachusetts: 2006 Table B-21 Births by Birthweight, Race and Hispanic Ethnicity, Massachusetts: 2006 66 Table B-22 Low Birthweight by Plurality, Massachusetts: 1996-2006 67 Figure B-ll Low Birthweight Among Smoking and Nonsmoking Mothers, byRace and Hispanic Ethnicity, 68 Massachusetts: 2006 Table B-23 Low Birthweight (LBW) by Maternal Age, Race and Hispanic Ethnicity, Massachusetts: 2006 69 Table B-24 Cesarean Section Deliveries and Vaginal Births after Cesarean Section (VBACs) by Licensed 70 Maternity Facility, All Births, Massachusetts: 2006 Table B-25 Cesarean Section Deliveries for Singleton Births by Licensed Maternity Facility and Number of 72 Previous Births, Massachusetts: 2006 Table B-26A Birth Characteristics: Occurrence and Resident Births and Infant Deaths, Massachusetts 74 Municipalities: 2006 Table B-26B Birth Characteristics: Occurrence and Resident Births and InfantDeaths by County, 82 Massachusetts: 2006 Table B-26C Birth Characteristics: Occurrence and Resident Births and InfantDeaths, Massachusetts 83 Community Health NetworkAreas (CHNAs): 2006 SECTION C-DEATHS 85 Table C-l Leading Causes ofDeath by Race and Hispanic Ethnicity, Massachusetts: 2006 86 Table C-2 Deaths to Those 75 and Older versus Younger than 75 by Race and Hispanic Ethnicity, 87 Massachusetts Residents: 2006 Table C-3 Distribution ofDeaths by Place ofOccurrence, Massachusetts: 2003-2006 88 Section C Definitions 89 Figure C-l Daily Mortality Statistics, Massachusetts: 2006 96 Table C-4 Trends in Mortality Characteristics, Massachusetts: 1996-2006 97