GLENDA R. MILLER, MPH, BSN, BC CHNCS DIRECTOR, DIVISION OF COMMUNITY AND PUBLIC HEALTH MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES [email protected].

GLENDA R. MILLER, MPH, BSN, BC CHNCSDIRECTOR, DIVISION OF COMMUNITY AND PUBLIC HEALTH

MISSOURI DEPARTMENT OF HEALTH AND SENIOR [email protected]

Selected Maternal and Child Health Indicators, St. Louis City, St. Louis County, and Missouri

Statewide1

Live Births, by Race

Source: Missouri MICA (Missouri Information for Community Assessment) - Births

1,841 (35%)

66,103 (81%) 7,583 (62%)

3,265 (62%)

12,665 (16%)

3,999 (32%)

202 (4%) 3,115 (4%) 752 (6%)

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

St. Louis City St. Louis County Missouri

Distribution of live births by race, St. Louis City, St. Louis County, and Missouri, 2007

Other races

African-American

White

2

Infant Mortality Rate

Source: DHSS. MICA-Deaths

13.812.9

13.6

10.8

8.5

7.3

7.98.5

9.1

7.7

7.7 7.5

0

2

4

6

8

10

12

14

16

1990-1993 1994-1998 1999-2002 2003-2007

IMR

(per

1,0

00 li

ve b

irths

)

Infant mortality rate (IMR), St. Louis City, St. Louis Coutny, and Missouri, 1990-2007


3

Infant Mortality Rate, by Race

Source: DHSS. MICA-Deaths

10.8

5.3

14.2

8.5

5.2

16.5

7.56.2

15.2

0.02.04.06.08.0

10.012.014.016.018.0

All races White African-American

IMR

(per

1,0

00 li

ve b

irth

s)

Infant mortality rate (IMR), by race, St. Louis City, St. Louis County, and MO, 2003-2007 average

St. Louis City

St. Louis CountyMissouri

4

Teen Birth Rate

Source: DHSS. MICA-Births; MICA-Population

115.4111.7 110.9

106.7

96.4

75.6 72.468.1 65.4

54.2 56.548.2 46.0 46.7 45.0

36.140.8 37.3

24.3 22.5 25.1 21.6 23.319.4 18.5 16.8 16.5 17.1 15.9 15.2 13.4 12.9 14.1 12.8 14.0 14.9

39.2 38.8 38.2 36.4 35.2 32.3 30.8 29.4 28.7 26.9 26.7 23.3 21.9 21.3 21.7 20.8 22.6 21.4

0.0

20.0

40.0

60.0

80.0

100.0

120.0

140.0

Bir

th r

ate

(p

er

1,0

00

)

Birth rate among girls 15-17 years of age, St. Louis City, St. Louis County and Missouri, 1990-2007

St. Louis City St. Louis County MO

5

Teen Birth Rate, by Race

Source: DHSS. MICA-Births; MICA-Population

38.1

13.3

50.2

13.9

5.8

34.4

21.617.7

41.5

0.0

10.0

20.0

30.0

40.0

50.0

60.0


Bir

th ra

te (p

er 1

,000

)

Birth rate among girls 15-17 years of age, by race, St. Louis City, St. Louis County, and MO, 2005-2007

average


6

Early Prenatal Care

Source: DHSS. MICA-Births

63.2

82.379.1

86.9

90.988.6

77.6

86.0

84.1

0.0

10.0

20.0

30.0

40.0

50.0

60.0

70.0

80.0

90.0

100.0

%

Percent of live births to women who began prenatal care in the first trimester of pregnancy, St. Louis City, St. Louis County,

and Missouri, 1990-2007


7

Early Prenatal Care, by Race


79.189.5

72.9

88.6 93.4

78.784.1 86.473.6

0.010.020.030.040.050.060.070.080.090.0

100.0


%

Percent of live births to women who began prenatal care in the first trimester of pregnancy, by race, St. Louis City, St. Louis

County, and MO, 2007

St. Louis City

St. Louis County

Missouri

8

Maternal Smoking During Pregnancy


26.8

14.6

18.2

8.9

24.717.7

0.0

5.0

10.0

15.0

20.0

25.0

30.0

%

Percent of live births to women who smoked during pregnancy, St. Louis City, St. Louis County, and Missouri,

1990-2007


9

Maternal Smoking During Pregnancy, by Race


14.6 14.3 15.4

8.9 9.4 9.1

17.719.2

12.9

0.0

5.0

10.0

15.0

20.0

25.0


%

Percent of live births to women who smoked during pregnancy, by race, St. Louis City, St. Louis County, and

MO, 2007


10

Prepregnancy Overweight


24.8

37.2

17.8

35.6

21.1

36.9

0.0

5.0

10.0

15.0

20.0

25.0

30.0

35.0

40.0

45.0

%

Percent of live births to women with prepregnancy overweight, St. Louis City, St. Louis County, and Missouri, 1990-2007


11

Prepregnancy Overweight, by Race


37.2

29.3

43.0

35.631.0

47.1

36.9 36.1

44.2

0.05.0

10.015.020.025.030.035.040.045.050.0


%

Percent of live births to women with prepregnancy overweight, by race, St. Louis City, St. Louis County

and MO, 2007

St. Louis City

St. Louis CountyMissouri

12

Motor Vehicle Traffic Injuries in Children

Source: DHSS. MICA-Injury

9591062 1082

1194

921

1055964

1044

896 877763 738

499

464 447 460 472 456 473 491 471 483542

431 465404

619 615 657 626 597 607 608 571 570 550 512 507443

0

200

400

600

800

1000

1200

1400

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Ra

te (p

er

10

0,0

00

)

Rate of ER visits and hospitalizations due to motor vehicle traffic related injuries among children under 15,

St. Louis City, St. Louis County, and Missouri, 1994-2006


13

Motor Vehicle Traffic Injuries in Children, by Race


667

251

871

433.5

243.3

849.5

487415

774

0100200300400500600700800900

1000

All Races White African-American

Ra

te (p

er

10

0,0

00

)

Rate of ER visits and hospitalizations due to motor vehicle traffic related injuries among children under

15, by race, St. Louis City, St. Louis County, and Missouri, 2004-2006 average


14

Motor Vehicle Traffic Injuries in Youths


3,010

2,141

3,282

2,112

3,242

2,495

0

500

1,000

1,500

2,000

2,500

3,000

3,500

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Ra

te (p

er

10

0,0

00

)

Rate of ER visits and hospitalizations due to motor vehicle traffic related injuries among children ages 15-24, St. Louis City, St. Louis County and Missouri, 1994-2006


15

Motor Vehicle Traffic Injuries in Youths, by Race


2,406

1,623

2,853

2,362

1,845

3,600

2,6502,506

3,150

0

500

1,000

1,500

2,000

2,500

3,000

3,500

4,000


Ra

te (p

er

10

0,0

00

)

Rate of ER visits and hospitalizations due to motor vehicle traffic related injuries among youths ages15-

24, by race, St. Louis City, St. Louis County, and Missouri, 2004-2006 average


16

Dental Disorders in Children


2.62.8

22.2

1.8

2.8

3.2

3.8

3.2 3.23.4

3.1

3.5

0.9 0.9 0.8 0.7 0.70.9

1.11.4 1.5 1.4 1.5 1.6 1.7

1.4 1.4 1.3 1.3 1.31.6

1.82.1 2.1 2.1

2.32.1

2

0

0.5

1

1.5

2

2.5

3

3.5

4

1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006

Ra

te (p

er

1,0

00

)

Rate of ER visits for disorders of teeth and jaw among children under 15, St. Louis City, St. Louis County and

Missouri, 1994-2006


17

Dental Disorder in Children, by Race


3.3

1.5

4

1.5

0.6

3.5

2.11.8

3.2

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5


Ra

te (p

er

1,0

00

)

Rate of ER visits for disorders of teeth and jaw among children under 15, by race, St. Louis City, St. Louis

County, and Missouri, 2002-2006 average


18

Chlamydia, by Age and Sex, St. Louis City

Source: City of St. Louis Department of Health. Sexually Transmitted Diseases In the City of St. Louis, MO - Five Year Summary 2003 to 2007.

Reported Chlamydia rate by age and sex, St. Louis City, 2003-2007 five-year average

19

Chlamydia, by Age and Sex, St. Louis County

0-9 10-14 15-19 20-24 25-34 35-44 45-54 55+

Female 4.9 205.6 3724.3 3548.3 934.2 100.1 17.1 2.2

Male 2.9 19.7 869.0 1418.0 557.1 106.9 22.5 4.1

All 3.9 111.0 2258.4 2490.3 751.2 103.3 19.7 3.0

0.0

500.0

1000.0

1500.0

2000.0

2500.0

3000.0

3500.0

4000.0

Ra

te p

er

10

0,0

00

Reported Chlamydia rate by age and gender, St. Louis County, 2003-2007

five-year average

Source: DHSS. Bureau of HIV, STD, and Hepatitis

20

Chlamydia in Teen Girls


114.0 115.7 111.9 102.7 99.8

35.3 38.1 41.6 42.3 43.3

34.2 34.4 34.4 34.8 37.40.0

20.040.060.080.0

100.0120.0140.0

2004 2005 2006 2007 2008

Rat

e p

er 1

,000

Rate of reported cases of Chlamydia among women ages 15-19, St. Louis City, St. Louis County,

and Missouri, 2004-2008


21

Chlamydia in Teen Girls, by Race


108.7

9.9

111.3

40.1

4.5

74.3

35.0

13.1

92.9

0.0

20.0

40.0

60.0

80.0

100.0

120.0


Rate

per

1,0

00

Rate of reported cases of Chlamydia among women ages 15-19, by race, St. Louis City, St. Louis County, and

Missouri, 2004-2008 five-year average


22

Chlamydia in Women 20-44


24.926.6 26.1 26.0 25.7

9.8 10.7 11.9 12.0 12.7

9.0 9.3 9.6 9.7 10.2

0.0

5.0

10.0

15.0

20.0

25.0

30.0

2004 2005 2006 2007 2008

Rat

e p

er 1

,000

Rate of reported cases of Chlamydia among women ages 20-44, St. Louis City, St. Louis County, and Missouri,

2004-2008


23

Chlamydia in Women 20-44, by Race


25.8

3.2

36.4

11.4

1.8

21.6

9.63.8

29.0

0.05.0

10.015.020.025.030.035.040.0


Rat

e p

er 1

,000

Rate of reported cases of Chlamydia among women ages 20-44, by race, St. Louis City , St. Louis County, and



24

Gonorrhea, by Age and Sex, St. Louis City

Source: City of St. Louis Department of Health. Sexually Transmitted Diseases In the City of St. Louis, MO - Five Year Summary 2003 to 2007.

Reported gonorrhea rate by age and gender, St. Louis City, 2003-2007 five-year average

25

Gonorrhea, by Age and Sex, St. Louis County

0-9 10-14 15-19 20-24 25-34 35-44 45-54 55+

Female 1.6 84.1 1249.7 1170.9 363.6 70.8 15.4 1.9

Male 1.6 15.4 533.9 963.5 480.4 145.5 55.3 9.0

All 1.6 49.1 882.2 1067.9 420.3 106.1 34.4 5.0

0.0

200.0

400.0

600.0

800.0

1000.0

1200.0

1400.0

Ra

te p

er

10

0,0

00

Reported gonorrhea rate by age and gender, St. Louis County, 2003-2007

five-year average


26

Gonorrhea in Teen Girls


40.2 43.4

52.0

39.833.1

10.813.7 13.7 14.8

9.4

9.2 9.9 10.6 9.98.1

0.0

10.0

20.0

30.0

40.0

50.0

60.0

2004 2005 2006 2007 2008

Rate

per

1,0

00

Rate of reported cases of gonorrhea among women ages 15-19, St. Louis City, St. Louis County, and Missouri, 2004-2008


27

Gonorrhea in Teen Girls, by Race


41.7

2.6

46.3

12.5

1.0

27.6

9.52.1

36.0

0.0

10.0

20.0

30.0

40.0

50.0


Rate

per

1,0

00

Rate of reported cases of gonorrhea among women ages 15-19, by race, St. Louis City, St. Louis County, and



28

Gonorrhea in Women 20-44


11.6 12.1 12.7 12.3

9.3

3.53.9 4.2 4.5

3.4

3.13.2 3.4 3.3 2.80.0

2.04.06.08.0

10.012.014.0

2004 2005 2006 2007 2008

Rat

e p

er 1

,000

Rate of reported cases of gonorrhea among women ages 20-44, St. Louis City, St. Louis County, and Missouri,

2004-2008


29

Gonorrhea in Women 20-44, by Race


11.6

1.4

17.6

3.9

0.4

9.2

3.20.9

13.7

0.0

5.0

10.0

15.0

20.0


Rate

per

1,00

0

Rate of reported cases of gonorrhea among women ages 20-44, by race, St. Louis City, St. Louis County, and Missouri,

2004-2008 five-year average


30

Acknowledgements

Section of Epidemiology for Public Health PracticesMCH Epidemiology Team

- Venkata Garikapaty – MCH Epidemiologist - Mei Lin – CDC MCH Epidemiology Assignee

- Supriya Nelluri – Research Analyst - Mary Jo Mosley – Research Analyst

Section of Healthy Families & Youth

Melinda Sanders – Administrator

31

GLENDA R. MILLER, MPH, BSN, BC CHNCS DIRECTOR, DIVISION OF COMMUNITY AND PUBLIC HEALTH MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES [email protected].

Documents

race source

louis city source

children source

youths source

pregnancy source

louis county source

teen girls source

micabirths micapopulation