       Document 0638
 DOCN  M9630638
 TI    Annual summary of vital statistics-1994.
 DT    9603
 AU    Guyer B; Strobino DM; Ventura SJ; Singh GK; Department of Maternal and
       Child Health, Johns Hopkins School of; Hygiene and Public Health,
       Baltimore, MD 21205, USA.
 SO    Pediatrics. 1995 Dec;96(6):1029-39. Unique Identifier : AIDSLINE
       MED/96095150
 AB    Recent trends in the vital statistics of the United States continued in
       1994, including decreases in the number of births, the birth rate, the
       age-adjusted death rate, and the infant mortality rate. Life expectancy
       increased slightly to 75.7 years. Only marriages reversed the recent
       trend with a slight increase in 1994. An estimated 3,979,000 infants
       were born during 1994, a decline of < 1% from 1993. The birth rate was
       15.3 live births per 1000 population, a 1% decline. These decreasing
       rates reflect a decline in the fertility rate to 67.1 live births per
       1000 women aged 15 to 44 years. Final figures for 1993 indicate that
       fertility rates declined for all racial groups, by 1% for white women
       (to 65.4) and 3% for black women (to 80.5). The fertility rate for
       Hispanic women (106.9) was 84% higher than that for non-Hispanic white
       women and 31% higher than for non-Hispanic black women. Between 1991 and
       1993, birth rates for teenage mothers remained virtually unchanged, and
       abortion rates have steadily declined, suggesting that teenage pregnancy
       rates are levelling off. The number and proportion of births to women
       over age 30, however, continued to rise. The rate of births to all
       unmarried women (45.3 per 1000 in 1993) has been stable for 3 years.
       Prenatal care utilization improved in 1993; 79% of women initiated care
       in the first trimester and < 5% had delayed care or no care.
       Improvements occurred among nearly all racial and ethnic groups.
       Reported smoking during pregnancy declined to 15.8% in 1993 from 16.9%
       in 1992. The proportion of babies delivered by cesarean section was
       21.8% in 1993, a 2% decrease from 1992. Between 1992 and 1993, the rate
       of low birth weight (LBW) rose slightly to 7.2%, while very low birth
       weight (VLBW) remained stable at 1.3%. Most of the increase in LBW
       occurred among white infants and reflected, primarily, an increase in
       the proportion of multiple births. The black/white ratio in LBW
       continued to increase to more than two-fold with the largest difference
       recorded among term and postterm infants. Age-adjusted death rates in
       1994 were lower for heart disease, malignant neoplasm, pulmonary
       diseases, other accidents, and homicides. The age-adjusted death rate
       for human immunodeficiency virus disease continued to rise to 15.1 in
       1994. The infant mortality rate declined 4% in 1994, to 7.9 per 1000,
       the lowest rate ever recorded in the United States. The decline was
       primarily in neonatal mortality.(ABSTRACT TRUNCATED AT 400 WORDS)
 DE    Adolescence  Adult  Birth Weight  Delivery/STATISTICS & NUMER DATA
       Female  Human  Infant Mortality  Infant, Newborn  Male  Maternal Age
       Population Dynamics  Pregnancy  Pregnancy Rate  Racial Stocks  Single
       Parent/STATISTICS & NUMER DATA  United States  *Vital Statistics
       JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

