COUNTY INFANT MORTALITY ANALYSIS Eliana Aguilar Florida DOH- Pinellas
Priority: Healthy moms & babies Goal: Eliminate infant mortality Strategy: Eliminate racial disparity in infant mortality Objective: Reduce black-white infant mortality gap to less than 2.0 by December 31, 2018
FLORIDA INFANT MORTALITY RATES BY RACE AND HISPANIC ETHNICITY (2005-2014)
PINELLAS INFANT MORTALITY RATES BY RACE AND HISPANIC ETHNICITY (2005-2014) 25.0 • On the rise from 2005-2010, 20.2 general decrease from 2010- 20.0 2014 15.0 • Overall decline in black IMR 13.1 10.0 • Slight increase in white, black, and total IMRs 2012-2014 • Flattening out or building 5.0 back up? 0.0 2005-2007 2006-2008 2007-2009 2008-2010 2009-2011 2010-2012 2011-2013 2012-2014 Total IMR Black IMR White IMR Other Race IMR Hispanic IMR (All Races)
BLACK/WHITE INFANT MORTALITY GAP
SELECT CAUSES OF INFANT DEATH 2012-2014 Total Highest: Sudden Unexpected Infant Death (SUID) & Prematurity/Low Birth Weight Black Highest: SUID White Highest: Congenital Anomaly/Birth Defect Hispanic Highest: Prematurity/LBW
CAUSE-SPECIFIC BLACK INFANT MORTALITY RATES (2005-2014) 6.0 5.0 4.0 3.0 2.0 1.0 0.0 2005-2007 2006-2008 2007-2009 2008-2010 2009-2011 2010-2012 2011-2013 2012-2014 Congenital Anomaly/Birth Defect Prematurity/Low Birth Weight Sudden Unexpected Infant Death (SUID) Unintentional Injury (non-SUID accidents) Intentional Injury (homicide)
SAFE SLEEPING • SUID categorization comprised of • SIDS • Undetermined • Asphyxia (in bed or elsewhere) Non Sleep-related Infant Deaths Sleep-related Infant Deaths 15% 85% PINELLAS/PASCO INFANT DEATHS (2014)
SAFE SLEEPING • SUID categorization comprised of • SIDS • Undetermined • Asphyxia (in bed or elsewhere) Non Sleep-related Infant Deaths Sleep-related Infant Deaths 15% 85% PINELLAS/PASCO INFANT DEATHS (2014)
INFANT HEALTH FACTORS Breastfeeding Initiation Low Birth Weight 90.0 18.0 80.0 16.0 70.0 14.0 60.0 12.0 50.0 10.0 40.0 8.0 30.0 6.0 20.0 4.0 10.0 2.0 0.0 2005-2007 2006-2008 2007-2009 2008-2010 2009-2011 2010-2012 2011-2013 2012-2014 0.0 2005-2007 2006-2008 2007-2009 2008-2010 2009-2011 2010-2012 2011-2013 2012-2014 Black Breastfeeding Initiation White Breastfeeding Initiation Black LBW White LBW Hispanic LBW (All Races) Hispanic Breastfeeding Initiation • Black infant LBW rate 6% higher Black infant breastfeeding than white (improvement from 8%) rate 22% lower than white • Similarly for preterm and VLBW (improvement from 29%) births
SOCIAL DETERMINANTS OF HEALTH Vast array of resources addressing multiple social determinants of health, including: • • Area hospitals Law, housing, and employment • Area churches and life centers (food, assistance • clothing, shelter, ESL) Lactation specialists • • Domestic Violence, Community Health, Parenting education • Adult Education, and Neighborhood Healthcare navigators • Family centers Pinellas Urban League • • Free clinics Smoking cessation, teen parent, and • Early childhood services home visiting programs • • Pregnancy centers Transportation services • • 6 DOH Locations WIC & Nutrition • Focus efforts on connecting community members with the appropriate resources
CONCLUSIONS Reduce Black/White IMR Gap Address safe sleeping Address breastfeeding and preconception/prenatal care Connect individuals with available community resources Next Step: Gain community input!
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