Annual report of the Bureau of Vital Statistics of the North Carolina State Board of Health

              North Carolina
VITAL STATISTICS
1987 Volume 1
NORTH CAROLINA GOVERNOR'S IIIANSION
STA11! CENTER FOR REALnt STAT1ST1CS
...;..~-----(~~
DItr.a fo£ dae U.s., South Atlantic Afa. N.C. -.:I N.C. 1."'UUflriaan ('4'nIrlltrJ in Dahular and namm~_fonnswirh ft'IOfe dwa8.000~a"In,!'''·_ ..
~patllerMolnriousnHdsiDdkarol$.wdt.birtN.Jc.ths.abortions.~.imrnunizatloaa,bc:ahhQlfe~mdocba_
ftOlm .-:..! ...oa:.l_~SVSMM and IW'Yf'V5. This oomposIfto of inlonNll'ion. contained In • «lIIIP'K't m&dout, will.",.. the need. 01
...., if nOt me. MidIh"'~.
,..... c...IiIwlVW~V.I.Mr J: ,., I _ • 8lrtIu,. DNdaa.~Dt-as(Annual);
foI'the_aad-=h[)pputmentofHUftIoMlRe8o...n"C!SlOHR)repoo.He.kh~~(HSA),PninataiCHeIlepob{PCR),Couaty..d
-;or1uWcJKliIlltUi city. oac-pIF~SUIIIIIIariIIt -.nual and S'yc:&I dlti... by~and xkcR.d. variabks.. Map., gnphsand ftUt'athoedelcribe
.... rL'='pu:lftD$_-'~t!alId5.
NlIftIl;c--..ViMl~V.-..w2:~c...ef~{Al\IlUIlI):
Fordae-.e. DHR rqioa6. lISA',_~~ann"'andS-yeat' dMa aft'glvtn in the rom.flfllUtllben oideM:bs.~
....ms_. tact .a-adjUIted.deMhratts.For-.:hOlUlK'. mapdepia >'~adiusud.oo~COUIItTfM:l';5.ln£mlamnality-.l
...IdoI<-.... ~ ....~... _
.... Ai '5tIa Y-'-Ic, N.nILe:-.ai. .......(A1mUaI):
ICaowD • tke BABY BOOK.. thiS sateWide report is a.mapri:Kd ofmuItipk I;nJ6$~ofvarious IUalaDIlImdiIIi::uK.....such •
..race. binh~. binh wdlJfK md rwmberolprenatal visits.. Dua fat DHR~HSA's and counties are~Oft mic:ro6dae.
......... _ .......... _~_(Amwol~
n.......-rcpoft~liNluaICOUfltSoideatbsspccitkfot-detai!~cdt::lUISleoide8th(4digirs)and.la~e SUtflro'UP. DM:tCor
CJJllIltieI; mel liSA'$ ~ available OIl 1'IIia'o6cbe.
_~_""""'(Annuo1~
For the ItatIe. USA', and cOuoties, annual. C5tinJau::5 of~r8le5., abonion raM aDd abonioa frP.ctioas byiFand ncr__fuIto-d br
~mb&es dispIayq estirDaIIed counts_~of abortions by race. marital~aDd CJl:ha- cbu..n:ti....cs 01 me abort'ft and
obonioo~"'-.......... --..<IncrU>e""""""",, .............................
_c..-.BinIo....-__V...... J(Annuo1~
Forme..8Dd-=hPeri-.ICareRqioa (PCR) and oou:rtty. ooe-paec: tables wunmaril:eaanuid IIOIIIbm and nwlti--yea:r mambers-.d...
fw 1M hktbs. fetal daabs. and matJ:bed~and r ........ ,J death5 by race aDd mcb of inf"8Dt>s binhwcicl:tt ..d ildcaJcd IDIIlI::nIII
I iItia.~uaUare eamincd.
lWIlc.--c ..f ~MorWie,~(AImuaI:):
IUthesa.re. OJUDI:icsuad .. mlliw-y hues, ~ahbdisplay I i i& counts for the curteDt Jar _ four prior"~ cuneat
aJUiD ~~Tables. ppIas aDd Dllmltive desc:ribe~tteads..I~puRID5 in rqxjrud CIlWS and nta.
SCfIS s..tia (Iutu ):
StudiaI OIl haIIh tDpia. of cunatt Humil" are~iD oews:em:r form.
SOlSPn--~~
Short~0Il1t:ltilcic::al mcrbods are ptaaaEaI in~fonn.
""-.of.......~-"""(_~ ' .'"Id1:w;iia.~-,d·acribesb,-sub;ect-tD8tlCl'eatepyn=poredheah:h draa. 5eUexi5tiagin tQO('etL.:i.60publicmdIlDllpllblicI~DcIudrd ...-,.....,.. _thIl:dataacnloadoo. thrdaQ:m8caion~thesmUbtuail:of""""wbdher , Dc:d,.d__of•
,....e...tt.~_p.'ri ~,....-(~):
lhiIbookproorilb~...dm.udepiainc~dwauubtksolNorthc.oliDa·Spopi"""'- bahhQR~hakbc.c-tbc.w. - -'_N.c.__o..._(Anou.I~
FKiIity le,d__t:gcqpilaim-dw-MliMJalIicmse 1"1"'. . -ihdudiaebtdsbytype.savicawitb~ol.-.lIOlIpiQIpa....d,
meI...... ...-.csby.by SC'Yke; 0ftI" 500~wK; $15..50. __.,...._N.c.__O"'_(........~ . .
hi::Iky--J_COUQtJ-bd d.a are-rompiIecI &om the annuaIlk:en.e-J~. ihdadincOJUlllY pIIb::al:lJriIiu.b-"'­boIpal~
for~rail:Iao. by ~ -d xniu:;aro.. 450.-.es; (I(JC $13.00.- __-._N.c.__O"'_(........ ~
Fa!Airv Ic.d"'_ciJalpled*"--dc--.I__RnrWai~.iedudincbed........., ' ueilizaimr.5IlI:dIriao,__....-.•
....c:-..b, • .MItIeIl,-;.e.dy ~..db.ic --w,.~3iboIII2Z1 ~-= SS.oo.
North Carolina
VITAL STATISTICS
1987
VOLUME 1: Births
Deaths
Population
Marriages
Divorces
N.C. Department of Human Resources
Division of Health Services
Office ofManagement services
Raleigh, North Carolina _-..-....-..-..-.......
STATE OF NORm CAROUNA
James G. Martin. Governor
DEPARTMENT OF HUMAN RESOUllCES
David T. f1ah<rtv. 5«n=y
DIVISION OF HEALTH SERVICES
Ronald H. l.Lvine, M.D.• M.P.H.. State Health Director
OFFICE OF MANAGEMENT SERVICES
Barry A. Blick. M.P.H., Assistant Director
sTATE CENTER FOR REALm STATISTICS
Ddtoh Atkin5Oll. M.S.P.H•• M.P.H., Direct<x
CldobaI<J68
750 copies of th~ pubiic document ~
moted at a cost of $1,3&).00 or $1.84 per ropy.
TABLE OF CONIENTS
ONTHECOVER ..•.......... iv
I. INlRODucnoN ••••••.••••••••.•.•.•...... ,.......................... \. \
U. TRENDSlNvrrALSTATISTICS........................................... \·3
m. GEOGRAPHICAL PATIalNS IN VITAL STATISTICS •..•••..••••.•••••••.•.•• , \.\3
IV. REG1S11lATION OF VITAL EVENTS , • .. • • \·27
Birtl,,">d DeoIh \.27
fdal DeoIh ,............................. \,27
Mamae< on<! J:);vo,no \·27
V. TEOIN1CAL NOlES \·29
Resi<Ien<e AIIocatloa..................................................... \·29
~AIIoatiun \·29
Roce or Colo< AlIoatioo.. . • . . .. .. . . • . . .. .. .. . . . .. .. . . . .. .. • . .. .. . .. • .. • .. \-29 Com"""""ofRegistro_ ofVRal E_ts. .. . . . . . . . .. .. . . .. . . . . . . . . . . . . . .. . .. \-29
Accuracy of Iteuis 0.'" <::enificate" ••••••••••••••••••••• '0 • • • • • • • • • • • • • • • • • • • • • • 1~30
T«atmmt of Ma.ing Values • • .. .. . .. . .. .. . .. • .. . • .. .. • .. .. .. .. • .. .. .. .. .. • \·30
o.m I'roc=ine "".................................. \·30
VI. POPI.JU,.11ON BASES AND BIASES IN PRE-\960 VITAL STATISTICS RATES . • . . • • • • \·33
VII. DEFINITIONS AND RJRMULAS ,............... \·35
SYMBOLS............................................................ \-40
REfERENCES • • • • • • • • • • • • • • . • • • • • • . • • • • • • • • • • • • . • • • • • • • • . • • • • • • • • • • • • • \-4\
TAIlLES
S- 2· \
IJ<oportm<nt ofH R<s.--= Rqions.. .. . .. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. .. J.- \
Hohb Scrn<r Amos.. • .. .. .. • .. .. .. .. .. .. .. .. • • .. .. .. • • .. • • .. • .. • .. .. .. • 1- \
P........ ea.-.R_.................................................... 5- \
eo...- 6- \
CitKs. • • . • • • • • . • • • • • . • • • • • • . • • • • • • • • • • • • . . • • . • . . • • • • • • • • • • • • • • • • • • • • • 7. \
COVER. A_on<!ad< dnwmgofthe NonhCaroIino Oo-nor'sMaosion by RaIcigh amst.J<nvMiller.
Sec note OIl tbt bC1d: plI(IIt for IDOR iDbmaoon.
ON TIlE COVER
1heExttutive Mansion, which is tM offic.ial home<.'fthe governor ofNorth Cairolina. is the fourth
residence for the SQre's governors. 1lte mansion has httn continuously occupied since 1891 with
GovemotJames G. Martin being the 25th. raidenl. Since 1988 is an ('kctioh year, CJOvetnOt Martin
O£ a new govemor-elect will reside in the rnansioft during the next.tttm.
I. INTRODUCTION
. rhis vulurm' is dw seveftty-s~:'Ondannual vital st:ltisrics repurt ,litht· State of North Cuulin.t. It is ir.tntdrd ttl
sdwasa bask te!'OUn"CtOthose individuals. institutionsanJ at:en£kos delivering and/or planni"R health. sefvices for
the- citizens uf North Carolina.
The tables ofthis report shoW annual frequencies. annual rates and five-year rateS for tMstate, four I:)r(.partmntt
ofHuinartR~regions. six Health Service Areas. six'PmnaUiI Can: Regions and the one hundred counties of
North Carolina. In addition. annualf~and sdm:ed fates are shown for 43 major incOl'pOtated dties.
Trends in state data are described' in Section Ii while Section -Ill contains maps depicting county d.ta.
Gec.,.pbial".......aremscus..d" oftheHSA·.. SectionsIV-VU conrkde.crip<ion uod_ofthe
.......uod~W>dcrlvine.....bul nd....,hical.da............... U..........._.-...intbe<a&Oof
birtb~tthat"""'in196CtOnjuly 1. 1979._tofGmmoISWuk IJ()-50allowcd.ceniIl<d ......
midwife (CNM) to attend binhs occu:rring in ahospit:aI 01" other medical. facility. Fmtbet-. a CNM may obtain a
permit to deliver out'Sidt a medical facility; Thus. on January 1. 1980. cntified nune midwives and~
midwives 9o"Cft coded separately.
Sintt mottdetailed infonnation is available on an annual basis than can be'published here. other publicatiOns
available'through this ~ are describrd on.the back·of the front COYer. Persons 'desiring copies of thne
public:ations m:y contact the Sate Center for Health Sa.tisrics at (919) 733-4728. or address COl .c:spoodence to:
State Center for- lkalth Statistics
DMsion ofHealth_
P.O. Boa Z091
Raleigh, Nonh Catolin:> Z7ooZ·Z09I
I-I
IL 11lENDS IN VITAL STATIS11CS
- N.C,', pttrDaturity rak ~nrdu~.
_. The~of the Slate'S live bi.rths that on:urred out of wedlodt continued·ies upward trend.
- N<>n experimced reduced kfal mortality but i~.......ta1 mortality: me _ -w....
remoined _ whi.. kfal mortality roo<.
- The oonWhit<~onon.Ii"' dedin<d _ .... _ .... ir>=ased.
- The _ oDdnco_.......mortality bodt roo<•
....:... N.C·swhitepopulabob ..Sand olderCX(Xikzocedsomr~ in. p&"K mortality.
Ezpand<danal_of......ODdotbe<ttm<is...eoaaincdindW;_.Theseanal_...bos<d""....uolfttal
...............-' oDd P<>i>uJa- hues opp!icable '"July , of.........t ...... The population hues and inh<t<nt
ptobIems are described in _ VI where .... r<adct ...y also gIcan """'" appt<Ciation fat ...... in .-.19llO
-.........fron>pop"l.- .mdctoount>.lt obould Ix- notal that ttmd dam oDd OXlespoco:lins gnpbs have
DOt bec:D com:cted. for- etTO£S-in prr-1980 popdario;n, baRs..
GnIpL< .... the loPnttumc scale. On dW; scale, equol ducaoca <q>t<Seftt equol__cba.-. n.;" scale
<hould "'" Ix- confu<ed w;m .... otitlunetic scale, where equol ducaoca ..,pm."t..,..,1 numeric~The
,-"lbmicscale is used in dW; t<p<>tt '" that the r<adct may """"""" ..Iativt: (__) cbaaces as oppoood 10
numcrical<K abwlutr changes in" ntt.
tn:uds depicted in .... gnpbs are lot North carolina (N.C.>. UMrd _ (U.S.), and tb.. South Adontic
Ata(SA.)'. Da.. lottb..US.oDdSA... fromtb.. Nationalem fot!l<alth-.andUS.and SA.dam
lot 1986 aDd 1987 are either provjsiooaI or not yet available.
1-3
POPULATION
The population ot North Cawhna Irn..eased by ~Jly 16 percent.dufmg the 1970's. approximan+,. 5 ~ttftt&ge
pointsgrelter than tM national gro",..-h ratt" ( I ). However. the tdtf' of natural increase" teXlt"5S ofbit"thsoVtt daths)
hasgont'downfrum 10.6 in 1970106: 1 in lQ80.Consequentlv, in-rruwationhasmadeacunsidmtbkimpanontht­statl':'
s gj'owth t1l.te as nearly half (If the 798,(X)O P<=")pk gained in the: 1a.;'1 decade were in~miRfarlts(t ).. In the first
eight years of~-e!ghtM-s.the estimated population growth-was 9.1 percent. The state's pOpulation is expected to
coa!inue to goow to a projectro 7,26 million by the yl:1r 2eO) (2).
As of t 980. Nonh Carolina was the tenth most populous statt" and had the Second largesnural population,
Surpused only by Pennsylvania. Approximately 52 perrtDl ofthe population resided in rural North Carolina. whk:h
is twice the ptoportion for rbe nation an whole. Futt.hermore. in 1980, thirteen percent ofaU North Carolimans
lived in places smalltt than 2.SOC! people; this rornptre5 with 7 percent of U.S. residents. (1)
1be 1980ndal makeupofNonh Carolinians was 76 percent white. 22 priceol black, 1 percent Ari~ic:anJndian.
aridO.7 percent other races (3). The large: black population makes North c.oltna one ofOnlysevenstateS in which
blacks constitutemore than one-fifth ohhe population. Funhennore, a large Indian population ranks~Slatl': fifth
in the.number of Native Americans. Approximately 1 percent of North Carolinians are lfi.qianic, but since the
ruitioriaI average: is 6 percent, Hispanics art relatively underrepresented in the state. (1)
Themedian age in North. CarOlina rose from 26,5 in 1970 to 29.6 in.I980, just under the 1980U.S. median ageof
3O(1). One ofthe reasons for this incr~ was that the proportion of North Carolina's popuhtion~age 18
declined from 34.6 percmt tQ 28.2 percent. Meanwhile, the propOrtion of people age 65 and o~~from
8.1 to 10.3 pttcent. slighdy under 11.2 percenfforme U.S. However. some pl"o.;ections indicate that between 1976
and 1985Nonh Carolina's increase in the percentage of r:esidents 65 and older was expected to be double the
narionwideincrease. By the year 2000. it LOS expttkd that one ofevery seven North Carolinians will be sixty-five or
older; that compare> to one of every ten in 1980. (3)
In 1960 females mU outnumbered males in North Carolina. S1.4 pttcent venus 4$.6 percent {3).·The state's
historiGdly high female labor force participation rate, eighth highest in the US., rose from 47 to 54 perCentin tbr
last decade. Nonh Carolina also has a largei Proportion.ofworking mothers than any otherscate, Sixty-fivepertent
of North Carolinian inothers with children below age 18 are in the labOt fOKe;. this compares with 55 pttcent
national!y.F~.thn~-quanersofNotth Carolina women versus 69 percent ofU.S. women wodc fuDtime.
(I)
Despite substantial gains in the past, North Carolina stiU ranbamong the- pcIOI"est states in terms of pet"SCIIl:I!
incomeand family poverty. FwYhermo:re, the North Carolina pl>\o-erty rate has risen from 13.5 percent in 1979to3ll
estimated 14.3 percent in 1986. The corresponding U.S. po\'erty r-.ates weTC J1.7 pttcent in 1979and 13.6 percent
in l_.(~)
Educational attainment also remains below average in North Carolina; in 1980, only 3 other Slarc$ had a lower
perc~ ofhigh sc.-hool graduateS amongpetsons·2.5 and o\det"(3). Howcvtt, North Carolinians are catcbing.up.
In 1970. 52 pt-H:t.'Ot of U.S. ·citizens over age 11-. had completed at I~four years·ofhigh school while oaly 39
percntt: ofNonhCarolinianshad. By I9&). S5 peTCttlrofthto sare's residents were high school graduares, VC:I"SlIS66
percent of U.S. dtlzens. (I)
0I:ber. health-rdatcddemographk factors documented by tbe i 9SO census include an increase in the nUlJlb,er of
noofamiJy households (petWnS living aloneor with nOnrdative;;). one~parenthousehOlds, childrc:n inday care, and
f'C:Si&mts in nursing homes. Altogci:her. the combination of.most of the above demographic factors, plus· the
anticipated continuation ofpopulation growth. portend an unprecedented demand £01' health servias throusboUt
th<~of m;, dttodc. (3)
1-4
TRENDS IN NORTII CAROLINA POPULATION CHARACI'EIUS'I1CS
1940-1980
(b) _ 1970 aDd 1900. diIfe,....... '" race-..._occun<d wbkb,.,..,.j to decrease the caJl¥>'V
'Wfutr and increase the~noowhite. Also in~bdore 1980. enumeratOl' jn"-mMI' was olkn
used ro~race.
SOURClO U.s. Deponmcmofeom.,.",re.lluteouoftheCensus. N.C. Oflkeofs....llud,JotaDd Ma.......'.
R<scattb aDd Pbnning SeM:es.
1-5
UVEBIR1lIS
North c.rolint.'s bfrthrak has shuWI'\: a ~I d«hne Wrk.:t" du.' ~by buum ye&irs uf thlt mid 19'X)'s. ~ rates
~26.8-in 1954. 19.4 in 1970. and 14.4 in 1980. F.Urthnmore. the,- fmility rate {nwnb« oflive births per 1(l(X)
worDen..,J 15-+4 ."ean) has also shown a ~I decliMi it was 109.4 in 1950. 8K7 in 1970. arad 60.4 in 1960..
Sina:.-t983.~.the birlh rate and frrtility ratr h.avr shown a emenl inc:rease. The: birth taU-rose from 13.~ in
1963 to 14.3inbodt 1985.00 1986amho 14.6in 1987. Tht-fnrilityratt"~frOm 57.7 in 1983t:060.5inl987.
Theincmasein the fenility rak bas bern evident in noeI)'. groupand rn.e larget increasesOa:urrM among~
30-34 (16Jl%~ 35·39 (25.1%) and 4O-4i (13.0%).
lneratc'for nonwhite liw:binhsrftnaincd ~atah.lUt17~5 from 1983 til 19B5 and then roseto 18.6 in
1986and 19.1 in 1987. F.x-~live births., thr ratetose from 12.6 in i963 to 13.2 in 1985. declined in 1966 to
-12.9, and ro&e to 13.1 in 1987.
~,.... U.S. birth ..... rose from 15.5 in 1986 '0 15.7 in 1987t.OO .... feniliry .... rose from 64.9 in
1986,.,66.1 in 1987(6).
Theoverwhelming~.98.2 percent•.:JbabieshomtoNOrmCarolina residents in 1987 v.uedelivered bY a
~in • ho&pital. This p.=ncage has mnained folrly coosw\' throughou, rhe e;ghties. Thepa=_of
babiesddiwr'ed br'cmified nurse midwives bas alsO remained birlv constanr:.lt was 1.4 pe:-cent in both 1986:and
1987,;"" sl;gbdy below .... 1985 o«=_of 1.5.
1be percentage ofNorth Carolina Uve births classified as premature - 5 pounds, 8 oon(:es or less.- remained
~af7.9in1987. ThiSpera:ntage is above the 1986 U.S. percentageof6.8, and 43 other states had lower
percentageS of ~tUre births than North Carolina in 1986 (5). In North Carolina the nonWhite premature
~cellitagt is about twice tba! of whites.
.................. . .
,..-----,
LIVE BIRTHS
1950-1987 .......................................................................
The percentage of NOrth Caroli~ live births that
occurred out ofWedlock continued its upward trend to
Z4.9percmt in 1987. Thisrompaies With percent8gcs
of 12.6 in 1970, 16.1 in 1975, and 19.0 in 1980. This
~. involvoi bOth whites3nd DonWbites. The
perrentaee o(white live,binhs that occwTed 00:( of
wedIocL:was 3.B in 1970.4.5iol975.6.4in 1960,and
lQ~61n 1987. The nonwhite" percentageS were'33.9 in
1970,40.6 in 1975, 45.6 in 1980,.md 55.6 in 1987.
Meanwhile, the U.S., 'which has also shown a steady
rise in the percentage of live births~out of
wedlock. had 23.4 percent ofits births classified as out
ofwedlock in 1986. Thewhitepercentagewas 15.7 and
",,-, p.unwhitl· pe1'("'t:nr...,.' wa.. "2.4 (").
The NatioNl Center for Health Statistics notes that
the rapid rise in -the number'of births to umnarried
womenrdkcts increasesin the~rarefor-unmarried
womenar.lani~nwnba-ofunmairiedWomc::n
of doikl-bciriog .... Ilerwttn 1980 and 1986. the
unrnani«lbinh ntte I"O'5e 17 pen.:entand the n,umber-of
unmanied women increased 13 pet:'Cftlt. By co...tn5t,
~ toul fertility rate decUned4 percent and the rood
numb« Of women in the childbearirig ages increased
just 8 "Percent. Tne growth- in the pOpulation of
UJlJIIaJTiN women' has outpaced that of aU women
became of the widespread tendency to delay marriage
to increasingly older ages as well as the~
•• number of diVOl'ccs. (5) . ,
• • YEN<
-tNml
"'AYES
... SOUTlf
An.ANI1C
•• ••
...........- L.__----'
'""
t.i\IItbinhstQtelm8F iDoIhers. stillanujorcono:m in North Carolina.lui~brn. goingdown in~years.1k
per~oIliwbinhato~_19.2tn1980.00mpa~toIS.7m 1987, H~.NorthCatulin.isstin
.-m. 1_U.s. pcr=_oi 12.6 (5~
Mnnwhtk\live births to mothers .15 andolder ha~ been coinItup in-recent yeats. The prt'Cft\tagt ofliW births to
modtus 35 and old« was 3.6 in 1980compuedto 5.6 in 1967.1M-connpondingU.S. percenta(Cein 1986 was 7.0
(5).
Otbet m::ent trmds in ~ pucmtagr distributiom of North Carolina births indudt ra::lucuI percentages of
mech.n ..im .......... chuact.rimcsasoocia.... with h;gh mfant noot1>IitY. n-t=d.includ..dtO.a.c in thr
_ of mech.n having I<Ss than • h;gh school educa_, having four at-._,and having •
_InoebominfaMwhodKd.Ho......, in 1987;m.pcr=,oiNotthCarolina_,...._involving..
least one:-ofihr mM:emal daa..n:.iaics aft 'M I with high infant mortality i'OlSie by 1.3% to S3.9. _By racr,. the
OOh', ..1...~.....44l'<'='!u<..m..... 76pcr=tforblod<s,70pcr=tfor Amcri<an/nd;ans.and
44 perca\t for ocher races.
Tho .......... oi """"'" having ............. ptmaW cue abo rose in 1967, _ ..... an upwattI tnnd. Tho
peicadalt for white mothers roee 8% tQ 4.0; ihat for hOIlWhite mothen; rose 2% to 11.6.
LOW-WEIGHT LIVE BIRTHS
.. 1950-1987 OUT CF WEDLOCK BlRlliS
1950-1987
. :.::::::: .
..........•........................................... .
.~
.......j == ·, h.
~
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laIl
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....................... CNltlt.INA . .
~:::~ .-l_llTE;D:, I:::
.j I 1.111: "-111111111111 1I1I1 i: III1 Iii I' s ~ ~ • • 1 17. • o 4 a t 8 0 482 8
laIl
1-7
PERINATAL AND INFANT MORTAUn'
Ann- a sudJm rise in 1982. North Carolina's pen­utal
mortality rate (fetal, and netMWal. dea~\S per
1.000 deli\lfties) resumed its course of steady c:kcline
OYettheJ*t.dtalde as itdropped from 17.Oin 198-tttl
16.4 ia. 1986. nus cc..'Knplt'eS with. rat-es. of :B.6 in
1970.25.5 in 1975. and 20:1 in 1980. Howntt. the
nb:~ln 1987 to 16.9.TM 1986U.S,~rin.atalrak'
woo 1'1.3 (7).
PERINATAL MORTALITY
1950-1881
...T .
The ktal~th rate had itsdf~ dcdi.ni.ngbUt"-«
in 1966 from 8.6 to 8.8. ~.thenkdnJppm in
1987ro8.6- Expond<d ..,.).........6 that. duringth<
last~. fetal mortality reductions were~for
whites-than foe -nonwhiteS; modest declines in fetal
monality fOe both ract'isoccul'I'edamonginfantsweigh.­iog
1500 gr1IlnS (K less at birth: and rcoductions in fetal
I1lOI"t31ity ainoog infants weighing over 2500 grams at
birth were grea.... fa< non~ than fa< ~(3).
Ute U.S. fetal mortality rate was 7.6 in 1986 (7).
North Carolina's neona:tal mortality tate ro&e from
7.7in 1986 ro8.3 in 1987. The 1987 increaseocruned
entirelv among nonwhites whose rate increased -17%.
from 10.8 to 12~6. Thewhiterateremainedunc~
at 63.
"":'lHTm
STATES
SOOTIt
All>NT1C
1011 11111 11111 11111 1'-11111 III lUll 11111 I
$ $ $ • • 7 7 7 8 ~
04.2' 0 4 a 2 •
YEN<
WH\TE WORTII.LlTY
... 1950-1987 NONWHITE UORTAU'TY
1950-1967
!OO •••••••••••••••
-POSTNEONATAl...
J
!···"""m
1 II 1111111111111111111111111111111111
: : : I : : : ~ ~ :
YEN!
.... . .
::!.\L~~::::
\'\. , .
' ..' .
. ::::':. :.
..............._ :::::::::::::~~0\::::::::::::::
......A.:-. . :\ /... ...
f'::::: ==:TAL .::::::::::::::::::::::
.J$"'"~,,~,",'"""."7""7"'17"""J J ""
041 2 • 0 4 .2.
YEN<
1-8
.............-:
~ to ----.••••.__.••.....
II;; ••••••• _. __ ••••••• __
......._...... ...- - _-..~.
TheUmtod-.......wlule. OllpCfomad .......... death ....of6 7 on 19l16..her 7 ,ta...had """'" neonatal
""""""" ..... than Nonb Carob..', (7)
Betweeh·l970md 1982. nonwbi~postneONltal mortality ~ted a major improvrment in Non:h Carolina's
infant mo;naJity. ThehOll~~rate dttn:ased by 54 percenr during the period while the white nne
droAxdonl'l 7.Spercent(3). AitttasUddmrWln 1983.thcnonw~~morulityn.te~fTom
6.7 in 1984 to 5.6 in 1985. roseto 5.9io 1986anddedmedto5.0io 1987.lbewruteposmeooaralmOrtality rate for
1987 ... 3.3, up from 3.0m19l16.
It sbooId bo no«d that both taC<$ ha""~me.-d """'.........1m<><taIity__"""I ....II infan..
(und« 1500.-lduringth< IaR d<ad«J). AIso•.-.ad<n may """,that the U.S. 1986pootn<ooanol monaIitv
.... of 3.7 """""'"" to N.C.', 3.9 (7).
••
WANT aM)RTAUTY
1950-1987
......................................~----.
.~. .........................::i<..
'\ '.
.~',.....~
..-I+<'i+t++t+I_'i+H++tf-t+i_>+t-H-t-t+l'i'l
• : I I : .....1 ~ ~
As orith other mo'talitY ...... ;nfem monality
.....,.uy show<d • downward~ durmgthe IaR
de<ade. The ....... 24.I .. 1970.18.5m1975.14.4
.. 1980, 12.0 in 1985. and 11.6m19l16. During this
rim<period, <wo~..oc<um:dthatmayba..
b.en r<oponsible fo< the notable decline. 0... ....
obiftof~-mcsfrom smaI1 deli""", _ to w....­OO<$.
The oecood_.doubling ofthe _ of
"""Ilow.w<ight deliveries QCCUlringmhoopitaIs orith
m.mlSive newborn eatt units. Those ~ts
were with'the ,ssiSfalr' of the state's Ptrinatal ~
Program. (3) Ho_. in 1987, the infant monaIitv
rate rose ·...3 ~t to 12.1.l"hte -increase is un­douht.
dly reIared tO~in the birchpopuIa_..
no«dearlier. me.-d o==ageoof.....ooms .....
1)under 1500"""",. 2)'" motheroatIUob n.k, and 3)
to m<>tb<n; who had iDadequat< p<=",l care. Tbeae
~"'cDs<u.s<doo~ 1-6 on<! 1·7•
o...~ fmdmg io that, ml985 and 19l16,
there ...... 8. ...... orith infant d<ath ..... 1Ugher that>
Noah Caro!Ula', (7.8); thiococnpares '" only 4 ......
ineachof198H984(9-11).~,this-.-...­ment
may be .....,.,.d by the finding that, between
1974 and 1984. the 0 ....... of""co orith lUgLa- .....
varied between 3on<! 7._"I""""volatility .. this
~n-.......at."-doofiDal_uaIda<a
_ the NetioDaJ CcnteT lor Healdl_
The~-of_"'Nonbc.__.._55.319.. 1987•• 1.3.,.....nt_.,..;-I9ll6.The
unacljuaeddcMh_inboth 19l16.nd 1987_8.6__I.OOOpopulatmn,o¥>dyabov<thcl985_of
8.5 but wd1 bdo". the peok ..... of9.1 ......_ .. 1972 and 1973. Nonh Cetolina', d<ath.-..,11._
sliolodvbdo".the UDit<d Stott',death "'Ie, howcv<r... the U.S. p"",;,;ooald<ath "",I\>< 1987 _8.7per 1,000
.....·_(6);
1-9
~rxpIan.tioo:,nx North Carolina-'$ sliahdy more &vorable death J1I~ is that North Carolina bas.~
population than the nation asa,whoIe. To take that intoaccount....adjusted dnthmes werecomputed for North
CaroIma. It woo found that the ...-adjust«! death ........ 5.7 .. 1967. The U.S.......whiIe, hod • provisional
...-adjust«! death .... of 5.4" 1967 (6). Conocquendy, one< the diff=nccs bctw=> the ... distributions of
North Carolina and the U.S. -aR' takm inro acCount, it is found mat North Carolinians. alT exp:rkncing higher
mort:ltlity J1I~.
The 1986-rist' in Nonh CaroIm.'$ death f8te ..
moRIy du. to the nonwhi.. death ..... espedalIy the
nonwhit<mal<death ..... Between 1965 and 1966, the
DOllwbite male death ratrrosefrom 9.5 to 102,
.......... at that bd .. 1967. Coinparing Nonh
CaroIma to tho Umtr<!-.one flDds that Nonh
CaroIina's white male and female rates are lower than
the COite&pcAodibg'U.S. rates ,while North CaroIina's
nonwhite mal< and t<rnaIe rates ott h;gbcr than the
conesponding U-S. 'rates. When ~' for age,
bow.=, Nonh Carolina's 1967 whi.. male, nonwhi..
male,and nOnwhite female rates -are higber than the
ctXiespondmgu.s. rates while NorthCarolina's whitt'
fanale ute is sligbdy Iowa- than the OAr S{ --ding
U.s. ..... (6)
The scate's median-age ai: <kath was 72.6 years in
1967,upfrom69.9 ....... 1960,66.4" 1970,and
28.1" 1914whendeaths.....,fu.t_mlly~
Among tho groups, Non!> CaroIma..adents Icss
thaD 5 t-.d tho ....test chano< .. mottsIity
between 1986 md' 1987 with a rise of.4 perttnt flX
infants mel aDewn ~ 7 prrant 6x 'age 1-4.
Wb<n cnmpsted to 1967 U.s....-sp<cificdeath .....,
it .. lOOnd that ctUy Non!> Cstotimans 15-24 and 85
and old.. ......-.d ofmottslitythandid
w ..........atitc U.s. group; (6).
DEATH RATES
1950-1987
~~~
...............................0••••••••••••••••••••••••••••••••••••••••••
l~SH-+Ts H-+....H-+T.H-+T.H-+T,H-+T,H-+fi,H-+.t-H+H.
04. 2 • 0 4 • 2 •
roR
Comporisoos of ..... aocl nstioosI ......"....,.-.peci/ic death rates fo.- 1967 (6) iJldlcue that tho fulIowing
pop"larion g!'OUpS in North CMolina havr II death m:r at least 25 percent above the U.S. rate;
A.,.. 1-'1 (59% above the U.s )
A,... 5-14 (39%""'" the U.s )
A.,.. 45-54 (31% ..."" tho U.S )
Ago$ 55-64 (27% ..."" tho U.S j
Ago$ 65-74(32% ..."" tho U.S j
Ago$ 1-'1 (37%""'" the U.S )
The 1967 NonhCarolina .....-....,.-.peci/ic death ..... sIoo_,.;de.... and sadiflumtials. Across aD
the groups. males hsvelUgberdeath than f<maIes. In all but one age """'"(85+), nonwhi... have IUgber
death than whites. In &ct. nonwh males hs.. tho IUeh<st death ....... all ... groups<>=pt 85 and aboYe.
1-10
.MAIUllAGES AND DlVORCI!S
TheNon!> CaroI;na ,..._duri..."",..rly ~ri<s, from8.0_1'<' 1,000popuIa_ in 1980
108.6;., 1983.!low<v«, during 19&410 1986, ""' ....,dropped, decrco8ino '" 7.9;0 1986and """"iN...
Ill: that bod int987.
In 1987,J_ .... "'" moot popuJa.- mo,,,1> fo< wnld........tiI 6,100. The _ "8" of 6r.;t.marric<l Non!>
CArolina brideswas 22.5. Thiscompares with 21.1 in 1980and 20.0 In 1975. The median.offint~ Noi1b.
Carolina....,.". .... l4.2 ;., 1987. ThIs """""",,...tiI 22.9 in 1980 and 21.9 in 1975.
Afuracoastant itK:raseduringthe 1910's. North Carolina·lJ.di~ rate boded offin the 1980~s. COmpared to
2.7 diYottesper l.(XX)populuion in 1970. itwas4.1 in 1975.4.8 in 1960. 5.0in 1986.and4.9 in 1987~1'hr:.-:'s
divon;:cupuicilla: indi.:ates that ro.- cvny 100matriIIJes in North CaroIiaa. there 'M'n 63 diwxasin 1987 venus
28;., 1970and 20;., 1962 /ltstcmttol1v rcconl.d. MamWlillr, during 1987, <49.6_01'
""'_'sdMxcesin__W>dcr I8. Thlscoonpott<s"'m 53.4% in 1980 and 56.7% in 1975.
The U.s. 1987 ...,..-1 and m"""", rates ..... 9.9 and 4.8....,ectivdy (6), The <a"';'
b;ahcrtbonNon!>CaroI;na's while .... divocc< ....,;.d;ghdy Jo-.lt.hould benored. """"" , that and
divocc< ooun<s ... b., plac< ofoci:unm<.< t>tbet ...... t<Sidehtt. and.me.Nonh CaroI;na's and diVO<Ce
laws~ more rtSttic:tiw chan in someot:Mr$(alQ".Nonh OtroIinians may tttki toaWry and divorce OUtofstare fat
moreoftm than IlOIlI't!Sidcots martY and~~.~.the N.C. marriaReanddivorce rau:smay bo«h
be artJfidaIly low compond 10""'" 01' .... U.S.
llARRIAGE RATES
1962.....1987
1:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
DIVORCE RATES
1958-1987
........• ·..• · '7·~/-:r"""'=
·······--····----·.·············:·r····· _- _-- .
~ · ·· /:" .. · · · ..
:-.-
sAoTolHnftt'"1C ,•••••....•••
.. SOUTH
AWHTlC
'.!.+.....:.!.:+'-f:!,.c+-'H.-.:.".t.+i+,.±+++.:!.:+'''+:.it. i "1S....-t1••'+++-.H-1+. 71+<H-<7-H+t7++-t1'.+++ti.
• • .....4. 2 •
I·ll
m. GEOGRAPHICAL PATrERNS IN VITAL STAnsrICS
llua_ron......... """""",-produced mops whkh det>ict pOpuIa_ on<! selected v;tal ..._ Cot !he
statt-~s lOOaxmties. Datltand population t.ses fur tlw: viw statistics rata:are for the fi~)Ufperiod 1963-87. The
..... of data val... mdicat<d by !he map '-'d ""'" fonned by ac1_=-from !he Sc>risriaI Analysis
s~ (12): This routine IIOUJl& mtl) 511; chmets counties that oft« "most like·mh other" 'Nkb respect to the
SClIistk: bcingcamined. Thi5; procedure may ~t in very larJeor vrty smaU·groupidepend'ing upon howCOUfltic:s
diffi:r from .",.. ano<he<.
The .... mops dispIoy !he county ..".;,00, bst<d b<1ow. DeIOIUtions aDd formulas .... found in _ vn aDd
mopsd;oplaying,-ounty .......... print<dOll!he.......sidcoof"'llionaDdrounty__Itshouldb<""""
that marriag< .....-.not ""'I'P'd this .... b..:ausc: on~"", majority of!he .......... "too much Uh
<aeh..n..-."
FIGURE
I. Estimat<d Population. July 1987
2. U.. Bi.-.hs per 1,000 Population
3. Prema"""u.._perIOOIi.. Bi.-.hs
4. Out..,f-W«!Iod< Ii.. _"... 100 u.. Bi.-.hs
5. Feu! Deoths "'" 1.000 o.:Ji.."""
6. Neonatal D<atbs per J.ooo Live Bi.-.hs
7. P"","""",," Deaths"... 1.000 Noonatal Smviv<ln
9. Death. per 1.000 Population
10. DWoroos per 1,000 PopuIarion
AItbough the vital Statistics rates e:xhibked on me maps are five..yeat rates. caution should be exrerdsed when
intc:l....edug rdatively high rates· in sparsdy populated counties. TheSe axmt:ies usually have a smaD. numbct of
4:'Wnts whkh '--n."atC=S a Ytty UIl5tahIt- rate.· Readers arc- urged to CllIP>ldI their respectiVC' county t8bIes for tbr 1967
.umbm; inYOl..... bo-fot. b<commo alano<d at <dotivdy .... cowuy.Jn.l ......
• 1-13
FO'!' each.Ofme.,mapped stafistics. me u.bk on dtt following p¥" shows dte ~ofvalues among me six HSAs
aDd each HSA's rank. A low rinIc indiC'M6 a high value. 4:".g.• a rank of 1 RU"ans ~ HSA had the highest: ofthe six
HSA values for a perticul.tr statistic. Tres: are assigned me,a~ ofthe tied 1'3Mr:s.. VaJut'S for file individual HSAs
are found on.-i-l through 4-6.
H;glilighls of th< 1983-1987 HSA "",b ;ndude th<,e,
...,. RariIring fourth in population. the- WesrcmHSA had the lmvesf birth,rate. prematurity tafe. percm.t.geof
births out ofwedlock. and'~taI. deadt rate, and W&.'l tied for- the-Iowest fetal arid. infant death taleS.
1MHSAalso had t:he highesf ovnall death I'3.k';-however. d-.is was dlK" ro if$; relatively oldci population.
- Ranking firsfin popul.tion. the Pie6nmu HSA was tied for ~ highest: divma rare, had the lowest
Dnlnlltaldeath-rafe and was tied for-last in t:ht- fetal <lead. rate. However. the HSA's posuoeouacal deadtme
was high.
- Rankingthkd in population, th<SoodMm PiaImoouHSAhadth< h;ghestpoo;meonatal <btl> """and ktal
death tak and was tied for first in dle infanf death rate and the divorce tate.
- Ran1cing last in population. the Capmd HSA had the lowest overall <bth rak bm the highest neonatal
Jeam tate and was tied for first in me infanf death rare.
- Rank.ing fifth in population. theCan:Un4lHSAhad tm- highest: prematurity tafeandthe highest: percentage
of births OUf of wallod:. n.e HSA WOolS- tio.:I foe last in the infant death rate.
- Ranking second in population. the Eastern HSA Iud me highest bitth rate and me lowc:st. diVrxte ratt'.
'-14
RANGE OF VALUES AMONG HSA'S AND HSA RANKS
FOR VARIABLES MAPPEDIN FIGURES 1·10
V.rtablo Ron.. ofHSA VoIu.. Health Service A... Ronk
W..tern Piedmont So. PIedmont C.p1111 Cudlnol Eootem
POpul.lion 7/1/87 947.100-1,191,239 4, 1 3 6 5 2
Uve Birch Rate 12,5 - 16,2 6 5 3 4 2
Perctnt Prcmlturc 7,0 - 8,1 6 4 2.5* 5 1 25'
-, Pm:t'nt Out of Wedlock' 195 - 28,1 6 5 3 4 1 2
:;;
Fetal De.th··Rue 7.4 - 10.0 5.5'* 5.S'* 1 2 3 4
Neonatal Deeth Rate 7.2 - 9.7 4 6 2 1 5 3
PottneonatalDeath Rate 3.4 - 4.3 6 2 I 5 4 3
infant Death Rate 11.2 - 13.2 5,5* 4 1.5- 1'.5'" 5.5'* 3
Death Rale 7,6 - 9.3 1 3 5 6 4 2
Divorce Rate 4.5 - 5.3 5 1.5· 1.511' 3 4 6
...Avener of the tied rauke.
<>
POPULATION
-ES1lMATED JULY 1 4e833S
333877 to 374S82
2S7802 to 284788
189227 to 172870
78228 to 12S842
4144 to 72344
POPULATION
FIGURE 1
NORTH CAROUNA
RESIDENT DATA
19B7
,
::;
TOTAL BIRTHS
PER 1,000 POPULATION
27.0
20.1 to 21.0
I ~.4 to 1Il.ll
13.7 to 111.2
11.3 to 13.&
e.e to 11.1 FIGURE 2
BIHTH RATES
NORTH CAROUNA
RESIDENT DATA
1983 - 1987
PREMATURE BIRTH RATES
NORTH CAROUNA
RESIDENT OATA
1983 - 1987
FIGURE 3
PRafATURE BIRTHS
­PER
100 UVE BIRTHS 11.0
10.0 to 10.&
e.7 to 9.8
7.4 to e.8
1M to 7.3
8.0 \I> 8.8
Q;
OUT-Of-WEDLOCK BIRTH RATES
NORTH CAROUNA
RESIDENT DATA
1983 - 1987
FIGURE 4
OUT-OF..WEDL.OCK BIRTHS
P-ER 100 UVE BIRTHS 43.2 to 4&.3
~.O to 40.8
28.' to 33.2
20.11 to 28.2
12.11 to lUI
7.1 to 12.0
:i;
I:.)
,:,
FETAL O£AllfS PER
1­,
000 OEUVERIES 111." to 17.9
1:2.4 to 13.8
10.0 to 12.0
7.8 to 9;7
".7 to 7.5
1.8
FETAL DEATH RATES
FIGURE 5
NORTH CAROUNA
RESIDENT DATA
1983 - 1987
~
NEONATAL DFAlllS PEFl
-1,000 1M! SIRniS 17.4 to 111.2
1S.1
10.& to 12.4
7.' to 10.4
4.2 to 7.3
2.1 to 3.2
NEONATAL DEATH RATES
NORTH CAROUNA
RESIDENT DATA
19B3 - 19B7
FIGURE 6
POSTNEONATAL DEATH RATES
NORTH CAROUNA
RESIDENT DATA
1983 - 1987
FIGURE 7
POsmEONATAI. DEATHS PER
1-,000 NEONATAl. SUfMVORS 11.1
8.3 to 8.8
11.2 to 7.11
3.1 to 4.7
1.8 to 2.8
0.0 to 0.8
N
,~
i;
INFANT DEATliS PER
1-.000 1M BIRTHS 22.0
la.7 to 18.4
12.4 to 1&.1
10.1 to 12.1
7.7 to 8.S
a.3 to u
INFANT DEATH RATES
NORTH CAROUNA
RESIDENT DATA
1983 - 1987
FIGURE 8
~
TOTAl. D~n-tS. PER
1-,000 POPULA110N 12.0 to 12.8
10.7 to 11.6
11.8 to 10.6
7.7 to l1.li
11.7 to 7.2
4.2
DEATH RATES
FIGURE 9
NORTH CAROUNA
RESIDENT DATA
1983 - 1987
..0'
TOTAl. DIVORCES
PER 1.000 POPULATION
1l.9 to 8.9
1l.3 to 1l.7
4.8 to 1l.1
3.8 to 4.4
2.11 to 3.8
1.11 to 2.3
DIVORCE RATES
1983 - 1987
FIGURE 10
IV. REGISTRATION OF VITAL EVENTS
~ OI'i$dn.tlow and_J~ti,",n of North Carolina vie&! «'\.-OnJS aTt'" iUmrr3rc:J in 1M flOw dia$ln.rn ondK'
followlng page. and a briefhistoryuf vital r.e:'Ccir&S-processinRand ofcurrent regisrralion practice in North Carolina
are discWoSJed below. The U$tt ofthiS repon should~.howcV1.'T. mat SOfIit: ofme informatiofl glvm was.changed
by the reocudiftuhon ofpublk health laws effC!Ctive January I. 19M. Thls volume will be tit,; fourth V(llurne
incoc-poiating these cha~.
1MButew ofVioo Statistics. with the State Health Director as Stak Rqtistra,. ofVital Statistics. was tTt'2ttd by
an Kt of the General Assembly of 1913. The 1973 General As5embly changed the name of the office to the
Ilcpmment of H..... R""""""". The Di,<ctot ofth< DivWon of Heolth _ is th< Soot< Registnlt of V;t21
StlIItistks. The authority oftI--is department and the laws which itadminmers a«: conwned in Chapw-130. Article
7. of the Gmeral Statutes of North Carol~. Within ~ orpnizationa( structure ofthe Department ofHuman
Resources; the duties of tk Stak Rc:gistrar of Vital Statistics an- -ao:omplisbed primarily by me Vital Reo:orm
Ilnnch wnh "'won from do< Scot< ea."" tOt H<alth Statimcs.
Birth_Doom
The cou..._ofbirth anddeath '<co<ds began on Octob<r 1,1913. ThcDepamnen'ofH...... R""""""ismc
CUStodian ofthese records. The hospital administrator or person attendinga non~hospital delivery is requioed to file
a birth cenificateot feq} death reporT within A~days aft« ddivery. The funetal directoe oc person buryinga bodyis
i'esponsi.ble fOl' Aling. death cemficate with the local registrar priot to final disposition and \\ithin 5 days after death.
The 1"",1 rqOstm is the cooney bc.Ilh .m<ctot. AcIuk ofthe couney bc.Ith dcpamncnr. dcs;gnatrd l>y lhc local
registrar as deputy ttgistrat. carries OUt registratiOn procedum locally. The deputy tegism:t.fon\'ards the origi..'1aI
binh and·death certifkatt:s. to the Department·o( Hurnan. Resout'~es on die_ fifth day of the month folloWing d:~
event, wi\.,. they "" pcoces><d and pcnna»endy pc=cved. Mia061m.d cop;.. and co<nputrcUod data from bmh
and.death certificateS are sent to·rhe National Unter fOl" Health StatiStics.
North .Carolina was admin....ad into the National Death RegiStration Area in 1916 and into the National Birth
Regi:sttation An.-a in 1917.
Prior to May 19. 1971.NorthCarolina bwrequiredthe tllingofa fecaldeath ccportfor fet:aJ deaths(stillbirt:bs)of
ZOotmo<ewodrs_. L.eg;sbrion coacrcrl hy.... 1971 Genecal ~b1y andaitrecd l>y..m..quent \egis!aDoo
(G.S. 1'H5.1 ) rcqunes that rhenpcutic abortic.... be"""""",."..,...Jy. Fa< £eccl deaths t2llino"mio!hepuMcw
of the refl:':l"eooo:I statUk. the rhenpcutic abortion report form now !ittVe5 in lieu of a fetal death report. For this
reason, counts offetal dcathsand perinatal deaths since 1971 are ncxmialyo.xnparabktocountS in previous years.
MarriaF and [)iyott:e
tn 1957. tbr C.merai As5embly enacteJ·legisbtion requiring dDt tht dUties of the clerk of <:ourt indudt- the
registr:ltion of divuret"5 -and annulmmts 'Of~ efkctive· January I, 1958. Cerri6c:ates of divon:e and
annulmenrsarereqcired to be san fll the DepartmentofHuman Resouro::s On or brl"VfetM J5th day ofthe month
foll9wing the event. ThefilingofceTtificuesofdivorce rathtt than divorce listingswasimplemmtedJanuouy 1. 1984
~Iq;olarioa in 1963.
By- virtUe -of_legislarjon; enamd in· 1961, ~ duties of me cowity rqistei" 'of~incJude dk- regiStratiOn of
m31"f'iattesocnmingon or aft~January 1. 1962. Copiesofu~ catif:catC5 ofmart'iavare required to beforwat~
to the Oeparmw:on( ofHuffian RntJO.lTC'eS O!I or &dotetht- t 5th dayof~month {oUmt-mgthe: marriage. Theoriginal
ttl tifkaks are filed wim the county regi:srer of deeds.
10January 1964. NonhCarolina wasadmitkdtomeNati<>nal MatriaK'e R~tioo Area. Non:hCarolinaishOl.a
member of thc~Dwoo«~mAna.
1-27
THE ORIGIN, FLOW. AND D1~POSITIONOF VITAL RCCORDS
NORTH CAROLINA
COUNTY REC;;ISTRAR (COUNTY HEALTH DEPARTMain
R£GlsreR OF DEEDS
Su,l\Irory C:lat,nn
O.S. ! }()A.11O
SI..h ..loryClIat"....
G.5.1 k1A,.t14.IIS &.
38)
MEDICAL EXAMINER
Inifilln cf'f1ifK:n.. f~'I' ..
.!;ad......ull.'" from Ie,,·
<knt.suiddc. or hom'<tJr
and (or ctt1am unalt,ndrd
dad>$ ~ (.:tal In,ths
lft~drc_un(es
."no",ndinl .iorcmrn­doIwd
deat:h,and cmifin
c........~.. ."d m ...nCf of
Cotnplc1n Il\;Irr. C~tn·
focil'" (0< il!1 rNn~
Sends copy _of """fT.
cntifKil~ to DcpanmC'nI
o.ft:_ftR~f:$.
P.-c~,n dd..yc'd ttrrifi· I«tu .nd Sftlds to DHR
fcwa~.
IJflitiU~s .. m~f1dm~nf
.ppltcanon...
L-_,-_-'
Slilulury Cit,lIion
C.s.130A·l1l & 1I'i
~norifiQlion"'(.kllh
... re£istrar arod C<llmpl~«
dr.lIlhccnifio::iI«:_
Obu....s Q~.;>f J..ad. IriJ
~"'«"01 rob,'"c;. .
Ob'.'as burial 1 nsh
pt'I'INt whm M<;«Ury.
DdiW'D dcMh uTtil~ti
to «lUftly ftCisna.....thin
'-clap.
RJNERAL UlREcTO'R
SanHOl"fnatIOn
a.s BOA-IOI &. 114
PHYSICIAN
I
Sttns bin" (ntihc:att Of
!fl.l dnlh ~ru«.
Complctn binh «nifi·
UR COl' fn>ollhath nport
(QI' ...............Q1 ddivriy;
~to counry ftCisnar .
Compktu auK of ckarh
:Iond sipI,. anifiC.R {ot'
aU --.edical~ ........
HOSPITAL
ADMINISTRAToR
StaNlOl"y-Qrarion
G-S. 130"'-101 oS<. 114
CorApInn birth ""i(,­nn.
IlX _fn.al dada Rp<Jn
(ot h_pilal d~li..niu.
Obtai.." «n;fo«'s ~. _.
Sen& binh cntifflCal't or
(csal dcnh repon 1....
:::..."":"~. (~I ."formanon. _ -
CLERK OF COURY
SaturoryCiratioaCS.130A·111
Compkrnd",or« ct:i-tlfia,[~and
forwardslO~olH.....,.,. """"0
-
SGMocyCilarion CS. 13OA·97
a-edcs fKOf'ds f~ ucuncy.nd~
1lc'Q~funhc, in(orma"on when ~ry.
~-copy of l.>inh and ~o:cni(rnn(or 1"qI~!rT of ok«k_
Sen.b ocie..",,1 binh .nd dud. cutifOcarn to t .... Dcr-~ of Human
Il<oou«e.
bo.un hoJr~1 U11rm. permits.
. j
DEPARTMENT OF HUMAN RESOURCES (DHR) DlVlSJON OF HEALTH SF.RVlCES
VITAL RECORDS BRANCH
REi'ORT PROCEssn~C
-R«nws and p!occsseS <:urrn;t rq>ans of bmhl. deacM. ~.
• nd diVOl"C:~and dcbycd b;nh cffl'i('cun
--Coda dcn~phkdaQ_
-f"~comulwionand assiscancC' to ind,vidvab inYOl~wirh vital
,tt<Jll<&s ~""rioa.
CORRECTIONS
-R«ci~ilAd procaou all fC'qUntS (...- ",fgnrt'"' W prioo" rco:onls.
SPECIAL RECISTRATION
-~and ptOCtSSCS ali uqacsu for~qm-uon. and
j~dnenNnatiofts ~ "",remity.
NOSOLOGY
--CoJo.~Ji:ondmom n dmd:t usme~rrt>r r("t."isiof> 01W ICD.
--CoJn un.krlyiae <;auK on (eal death '''poel.
-CoJocono:cnital~on binh ~CTti{QC'$
MICROALM AND PRESERVAnON
-MicT06lm$ a11 ...u1 lttonh.
-Prc;>oin'': ct:nifoa.ions,. verifications. and manuscripts from mict<>-
film and xcri:>,.•
"'"-Srocn.nd prne,"'" all OOgir..al rn:':K"<U.
STATECEf-o'TER FOR HEALm STATImCS
BIOSTATISTICS
-f\nSwns~for ¥lral_~daQ.
-Pul>lis!>o ar:mgJ rrpons;; "....duus sprxi:III :Kudo_
DATA PRcx:ESSlNG
-Kqsdata (rorA Yi...t ,("Cocds - births. datI.s..fetal dcachs. inarriala
",not di_c:es.
-t'doC"rfts ~vc em. oi -mobles .rwJ-maiNains ci>~.~ f.1n.
-Transmits dau 10 rho: National CmrrT for tkahh Sarisric:s.
SOCIAL SERVICES
Sc,nds adoption "'('0"1 co
sprcial rq;sn-atica.
NATION'.L CENTER FOR HEA:..'!'H STAnsncs
R.n:riYn nUcrolllm -d data froM SQIe.
Pcrfornw- pmpk qualotr control ~ asw«'S -ittriP' of all l'ffords and
~.....
Pw.lnJws I..JNreJ: Sarn roepxu.
Ptovidc. f.,d....aol usOstilftC<".
~claution r~ti<Jll<.-(ASl1).
OTIfER stATES_
V. TECHNICAL NOTES
Exc\"pt as\~herwise indkat~J. Vila\ ~>l'1\tS in thiS rep;;m art;' aUtKatt-J tu place Ilf resi&no:.1n the case ofil hirth Of
fl'tal death. residence IS th~ usual resiJt:"nc(' llf' t~ tm)ther. Fill Jearhs tlf inmates t1( lung-td'm insritutitms (mental,
~l.old aRt"; orphan, nursing home. rest hlmu~. rtc.), the insrituritln is(unsiJert:J the ·usual rc$iiknce provided the
deredenr has ~ided in the institutiun at le2St (loe year. Cnll~ stud...nts and military pe-rsonnd are conside~
ttsidents l){ the ;,:ol~ or miliury -:ornmunity.
North Carolina partidpates in :m interchange program wherehy photocopies of nonresident birth and death
cerrtfia;tes are requiffii to be $COt to me stare uf residence wirhin two months of the date of OCCUl'f'mtt. ~
National Cent« for Health Statistics Ktsas il control for this interChange through a report from ~.:hstak which lW:s
rlX' number ofeach type of vital record sent to every other state. However. delays or omissions in the inrer-change
undouIxedly occur.
Ikms 7 and 1611fthe tables allocate live binMand deaths respecti...ely to place ofCK:Clmenct' regaidlessofplaceof
residence. Marriage and divorce data arec6mpiled.only by placeofoo.:urrenct'---eQunty oflicense for marriages and
county 'of decree for divorces and annulments-beeaust" (i) all smtes do not engage in an interchange prGgr"dm
whereby we rcceiw notification ofNorth Carolina residenu who marty or di...orce in other states and {ii) the two
parties to these proceedings are often residenu of different counties or states.
Two btoad categories, "white" and "nonwhite." are used in thiS teport. Nonwhite is prooominantly Blad: (93%)
in North Carolina (1.3}. FO£ births and feral deaths. ~e one p;<.rent is classified as white and the other nonwhite,
the child is classified as nonwhite.
Due to 50me caSesofdiMimilar races ofthe two parties involved in-mai'riageand divorce/annulment prOc~
and to a number of "not stated" raCe cases, frequencies and rateS for these eventS are sho'A.'IJ -only fO(" the tooL
Completert.5s of registration is defined as the degree ro which reponed vital event enumerations agree with the
true- COuntsin- a giY\"fl time fralDl"_ Birth registration. tested for completeness in 1940 and 1950. waS found w be 86
and 96_ pen:ent complete -respectively (14). Death r~tion is believed to be eveJl more complete than birth
fl,::bttariun. Frtal ~'ath registratiun, tl"Stoo fur complctl'ness in 1974. was found to he- 99 percent complete (~S).
Marriage registration was~foccompletentsS in 1963. Over 99 pel"l:ent ofperformo:i marriages terminated in
properly reconkd (:eniflCa!esof rmorriage (16).
Delayed registration results in undcrenumerarion ofvital eventS for a specific time period. Freq~counts in
this report are based on 1987 ~nts filed with the local regiSrrar prior to Aprill, 198811nd Pl"Oce-ssed iIi ~ 5tate
office- hd"~1f"e the end ofJune i 988· Based ()(l examinations of lagtirnes in prior yeat5. thenumbe-r ofallendar y~t
evm,ts filed after April 1 of the subseqUt"llt year i5c~ negliKible.
Ir. addition to the above. a sour..:t." of incempkt~inresiJenct"dala l:ould involve failure ofother stares tosrnd
photocopies for Nonh Carolina residem !:Vents occurring in theit 5tates. The extent to which this occurs is
Wlkno-J,.-n,
1-29
Aocun<y of _ OIl Cenifl<a..
n.e Vital Records Branch tnainrain:- \'ontinuous surveillance: of rertificatl"S to Jetc.,.:r inc..msisteftdes in related
items (r.g., R",burn'$ name vs. St,')(). Ht.l~er.the ttlK' utmt of bia5 and unreliability Jue to itlCOtr«t ans~"et'S is
not krklwn.
Treatment of MiHiftl Value.
As a result ofa q~ program to reconcile inconsistencies in thedata and rocomplttt" unanswered i~ milIsing
values are rare for the characteristh..-s. included in this report. These "notstareJ" oses a~ nnred in oneoftwo ways:
(1) not allocated he..::liIuse tMy a~ believed to haw- an unknown distribution which is diffttent from the
distribution £0.- "stated" c;oses;
(2) randomly distributed in the same proportion as the "stated" cases for me SCIre.
The following table.-showstMnumbuand treatmentofmissing values in thrstamrical files underlying this report.
In the case ofnee and kg:tima<:y, most of~ missing values aito duC' to absen~of~ittm.5 On certifkates·from
other states.
Numbrr·ofMissiDc Values by Item and Treatment
N_CarnIioa 1987
Treatment of Mu.ing VatUCli
Treatment I Treatment 2
Live Births
s.. 0 4
Bini> We;gh, 84 0
lqitimacy 8 0
Rae< 0 to
Deatbs
Age 0 2
Race 0 37
s.. 0 2
Feuls
L<gitimocy 6 0
Rae< 0 7
s.. 0 12
I>ot2 ProeetoAnc
1-30
1'31
E
0
~. .:; !
~ ~
~ .. ~ ~
~ • ~
Z
U
~
~ r ~
~ \; ~ •Z 0Z ~ • ~
0 ~
~ Z ~ '" N •~
E · ~
N • ~ Z
•~ •~ • ~
0U
VI. POPULATION BASES AND BIASES IN
PRE-I980 VITAL STATIsnCS RATES
EWr, ten years (yeats ending .in zero) the U.S. Bureau of the Census condocts a count ohhe United Sc.ttS
pOpub.tion. which includes a profileof~ population's characteristics such as age. race, and sex. A.fttt .. C'C:l\SU5 YOor •
estimates of population.sUe and composition are- based on knowl~of the pOpW..-tion in the censu5 year plus
Subsequent ewnts such as births. de.lr:hs, and rnigratioo. 'In the latter yean. of a dec:a<k. estima~ may depart
ronsiderably from "tr\K'" popUJ~tion values -to th~ C'xtent. that--assWnprions. pa.rticuLu-ly about in- and out­migration.
depart from what bas actUally occurral. Thus. an estimate of~,1979 population of North Carolina
based On projeCtion £rom 1970 rr~y diffn- from an estimate ofthe 1979 population based. on knowkdRt 'Oh more­CUlftf\
t ( 1980) census COunt. Si.rla most vital statiStics rates ~ based on population counts in the dmommator.
changes in popuIation.-hich might result from llnewcen5US may causesubstuttial~iiI the tn.-nd of rates Over'
rime.
To complicate tM problem even funher. there W:as an undttcount Qfthe population of North Carolina-in the
1970 censuS. particularly among nonwhiteS.Thus,pro;eerions fOT later years ",tte low and rates based on those
population ""ojertions ~ingly...... 'l'hetdon-. ch..,.u.g to 19l1ll census lig""" foe no.. denominatDrs
caused-a decrease in rares from. 1979 to 1980. to the extent that the 1980 census figures were higher dum. 1980
pro;eerions based on me 1970 census.
u_o£scHS,............""",'" 1979-.1prier"""'......""_• .., ,....""""'IooIdoo«"'......,....
f'GWS.~, ..-. rmolysis is 4U dtt~inri Of for tI.e ...s 1e JIoPM'~For /wtIw:rdet.il
COIICtI'ftinc biases in daepopv...ri....~I'Wes~for tIte 1970'$0. dIe..-rr shouW'ft!(erto)f/llICes 1..33
""-" 1-370£"'" 19lIO_"'tIU.s,...~
1-3l
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
-----
I
VII. DEFlNmONS AND FORMULAS
Vital events are t'J:hibiteJ inthc.- tables ~lf this tq.'Iort by ffl'qlk'ndn> and r."~. n.e tC'fm ".raft;' usually means the
num~ofvitall-v.."ntS in agiVl'fi ('l"f'kllf \lfrirrn.-JiviJrd hy tm' a\'l'T~" numM\l( pt.;"'Pk 3{ risk Juriott that peril'ld. In
this report. the avt-~ number llf reuplt"3t risk is usUally the miJYC.af ~lo.lpulatk-.n, the p«\ltd is a ytllt 4,.\t fiv~ years,
and tM- fOlk is expressed per I ,()(Xl population. For example. dK- formula for 3 singk--year birth rate is
B
p
'where B is the numbei- of birthS In the year and P is tk midyear population. Similarly, the formula for a fi,,-e-year
birth tate is
x t,OClO
where 81. 82, etc. are the numbersofbirths in the particular years and PI.~.etc. aretbe'midyea.r~in thost= ......
'The reno. rate is also used in this K'JXl"- to rn;.>an a simple proportiOn expressed per 100 or, pet" 1CXX). ~_ rares
arethr ratioof£wu rdated viral ev::t\t counts. An example ofthis typeofrate is the single-year infant mort:aliiy tate.
11te formula is
D
x 1.000
B
where D represents deaths of infants during a year and' B represents live binhs during the same year. Anochet
example is the pttmatu!"t rate whicb .i:5 the nino of pl'emature births to total births expressed as a percentage.
p
x 100
B
Ratts are roundrd to one decimal place for publication. Except fo~ marriage and divor~ eventS for which
~Dtes are not caku!ated. a blank in the' rate column indicates that both. the nUf1lltZator and the
Je'Oohlinatllt are :0..'1'0. A rate of 0.0 is shown for rates less rhan 0.05.
100001.:UH,[l· rClII.lffiRK, ~tKln and missi~values have hem discussed (Seccion V).~facton, affect
the wlidity·of items of inflllm:ltion invoh.·ed in ratc computation.The users ofvital statistics me:asuns should be """'"of......,..-Iunitatioos.
Funhamoce, one' should intrrpr-et with Q:uOon rates\\ttich are based on smaU frequencies since they may be
a5IiOCiatnI -.ith reiativdy large ~fluetuation. Fot this rCtioo. fjve~year~ are included. Based 00 an
incre2sed number ofewnts, these average annual rates art ~stable.- than the singk.ycar rates.
In. comparing £lUes. one must and"ully examine the \'2rious factors [0 which a difference in rates might be
amibutnt Unkss ~ populations Me c:quivalmr in all facrors except" the ODe' for which the comparison is P:aal:k,
cllOClusions about diff~...-n«s-intaUSmay not beclearly draa-n. ~~adjustedratesor oth.:T funkanalyses may be
necessary in orJer to malee valid comparisons.
Defuuhons and formula:!> are gt\'m In the nutnet11,.-.1 order oftheir appeannce In the tahln Except for ltems 7 and
t~18 ratnart'flT~nomb
L Population is the expttted populationohnau-a as ofJuly I ofthe event year. Figures s~ov;.n ir. the tablesof
this repon-are summations OVl:'f" age~race--sex~specifict"5timates provided by the State Office 0{ Budget and
~l.
2. Naturallnaeaee is the excess of birth.! over deaths a~ residents of llI\ area.
3. A UveBirth is thero.-nplere-expulsion orexnaction {rom its motherofa product ofronceptioo,~
of the duration of pregnancy. which. after separation, breathes or :>howsany odler evidence of life. such zs
beatingofthe heart. pulsation ofthe umbilical cord. or llI\y ddtnite movement ofvoluntar; muscles., whether
or not ~ umbilical cord has hem cut or the placenla is attached (definition adopted by Wo..-ld Health
Organization in 1950).
4. AtteDdant is a physician in a hospital, a physician not inahospital. a Certified nurse midwife, or a permitted
midwife. LegislatiOn during !979-81 aUows- a certified nurSe midwife (CNM) to perform deliveries in a
hospital or- ~ medical facility and to obtain a pennit to perfonn deliveries outside a medical facility.
5. Premature Birth is definO:las hinh ofali~infant weighing ander 2500 grams (S pounds. 8~or
1M)at birth. regardlessofthe period ufgestation. (Birth weight index recommended by the Expert Group on
Prematurity Of the World Health Organization. 1950).
6. Birth OutofWedIockis birth toa woman who has never been legally married or who has been widowedor
legally divOrced from her husbcand-in excess of 280 days (I'l).
7. An Oa:urrena: Birth tsOllC' that occuFS-in an area irrespectiveofplace of residence. Live hirtbsoccurring in
an area to residencs of the area are also shown in the tables. Complemeru:ary-toWs, i.e., nonresident birthS
0CC1.ifTing in the area and resident births occurring elseWhere, may be obtained by St:bttaction.
8. PeriDatal Dootbo ore the sum of~f<tal .karns and nronatal.karns (s<e defimtioa, below).
9. Feal Death is'death prior_ to the ~expuIsion Ore>."'tractioa·from itsmodlcT ofaproductofhtiman
conception. incspective of the duration of pregnancy. as indicated by the fact that after,such expulsion or
extraction the fetus doe, nOt breathe atshowanynidence oflife. siKh as beatiragofthe heart. pulsation ofthe
wnbiIical<:oro. orddtnite~tofvoluntary m~(defmitionadopted by WCJ£lt;I I--blthOrganhatjon
in 1950). Consistent With North Carolina law, this repon: indudes only fetal deaths ..hich do no( qualify as
th<ropeuoc.oomoos and wltid> result from__of20or more"",*,~(_Seaion N).
10. Neonatal Death is~of a Ih-eborn child·undn 28 days of age.
II. pMtDeeJnatal Death is death ofan inf.mt Z8 days and over but less than 1· year of age.
12. IDfaat Oath is dd1ned as death Of a liveborn infant -under one year of age.
13. Dr.athisJrlined.~tbept"1'tI1anmt~nceofanyevidenceoflifeztanytimeaftCT1jvebirth(I8).AOO.
North C.arolina law (G.S. 90-322) defines criteria fcor cenifyiag "!xain death.';
14. Aee at Death is reported .. in coi'nplttai y~ as of the fast birthday. ErT(x"5_in reporting are bdicvul to
incl!.Kk undnntimatts for. ~ 22 through nUddk aRe and ovnt'Stimatt:S f~ pmuosnearintt their 21st aDd
65thNnhdaysandforthose\wtt.65.Pre{CTences(or~mdinglncen:aindigits(e.g.,.mdinginOand
'5) ·may also resuk in undur~c>f reponed ~(19).
.-36
"16. An~Deub. is one that~in an ana i~-nveof place of residence.
17. M.arriaI:e isJefined as t:lK-lqal union of a male and a female (North Carolina G.S. 51·1). Maniages are by
place ofoccurrence and race-specific data an: not shown (see Section V).
18. Di~aad AnnulJDelltli can occur oaly by decrtt oian authoruftlc:oun. Annulments. whkh void
~.from the beginning:~less than OM percent ofthesum ofthese evttlo!S. A divorce from hn1
and board is a judicial separation suspending cohabitation but not- otherwise: affecting -the marriage bond.
'Oivottts from bed ar.d board are DO{ included in this report. Divon:o and :mnulments are by place of
occutr<nee and .ace-specific data "'" not shown (see Seaion V). --
Percentage male population
in area
Percentage-female population
in area
2. N.....al_
Rate of
natural increase
populatioo. of area
PopuJ.lion of Nonh Carolina
Mole population of ....
ToW population of area
Female popuIatioil of area.
Tobi population of area
Number of live binhs
minus number ofdeaths
POpulation of area.
X 100
X 100
X 100
X 1000
Male bmh rate
Female btnh rate
.......................... X 1000
X 1000
Population ofarea
............................................................ X 1000
Population of area
4. A.tteodai:tt
P..-_oflWe bmbs
........ted bv pbys;cian in hospotal
\'37
Number of live biiths
Number. of Ii~ biI1hs atttnda:l
bv pbys;cian no< in hospotal
X 100
X 100
Perttn~ ofli~ births a~
by penn.itted midwik
5.__
NwnI:>e< al bY< him.. att<ndcd
by certified nurse midWife- '
Number of live births
Number of-live- births attended
by permitttd midwife
X 100
X 100
X 100
6. _outolW_
Pc,_alb.. births
occurring out ofwedlock.
7. 0caut00<e_
Percentage of N.C.live births
oa:urring in area
Number of live births
Occoning out ofwedlock
------------------------------------------ X 100
NlllTlber of live births
NwnI:>e< al bve hirth>
OCcurring in area
X 100
Number al b.. hirth>
occurring.in N.C.
Percentage of area liVe births
oc~ to residmts of area
8. PeriDotaI Dratbs
9. FemI Death.
Nwnbet-of resident live
births occurring in area
NwnI:>e< oftoW b..
births occurring ia area
NwnI:>e< of bve births plus
number of fetal de.ths
X 100
X 1000
--------------. X 1000
Nwnbtt ofl~ ~tus
number offetal
Nwnbec al feIaI d<atbs att<ndcd
byph_in~
------------------------------------------------ X 100
Number alfetal deaths
Nwnbec al feIaI d<atbs att<ndcd
by ""_n.o--<--i-n- .."-"--"--"--"--'-"----------. X 100
Numb« of feIaI d<atbs
1-31<
10. _DoodIo
11. Poetneonan' Deaths
12. lnbn. Deatba
Infant mortality tat<
13. Datbo
14. ~ I '&.Dtatb.
Number of fetal daths att<ndtd
.. .. by _ nun< midwifr
---.- _-- -. __ .-
NUmber of ktal deaths
Number of fetal deaths 3ttC'fodN
l'ty permitted midwife
···N~~~·~·f~i·-~-··
Number of f<taI daths
.__ ._--_..~~.~~-~~
Number of f<taI~ .
Nwnb« of_w_ ......_---_ __ .._--_ .
Number of 1M- binhs
......I>J~T:~tal.lca .....
Nwnb« of 1M- bitths minus
number of neonatal Jaths
Number of infant deaths
N.;;(jj;;,;~
Numberof_
...._------ -
Popubtion of ....
Number of maIr Jaths
M;k~;;(~
NumberoffcmaleJaths
Fmt* pnp.latioIt;i·~
Number ofJaths on ... ..,.., UnnUp;;;:';i~~u;;;,; ,.;;;;.;, U
1-39
X 100
X 100
X 100
X 1000
X 1000
X 1000
X 1000
X 1000
X 1000
X 1000
15. PIoceofv.atb
Per~~of Jearhs
ol..-cumnR in hi.~rit:als
Percen. of deaths occurring
in nonhospital institutions
Pm:en_ ofdeaths occwring
jD hoI:M: CK noninstinttion
16. CIccurrence n."tbo;
Pen.-entage of N.C. deaths
OCl-'UlTing in area
Percentage of area deaths
occurring to residents of area
17. Macriaaea
Marriage rate
Div<xeelAnnulment rate
Number' of deaths in huspitals
Number of deaths
Number ofdeaths in non­..
h..o..s.p..i.t.a..l.i.n..s..t.i.t.u..t.i.o..n..s.__ ._-_...-.....
Number of deaths
NUmber of deaths in
horne or noninstitutions
Nun>I>e. of deaths
Nun>I>e. of deaths
oCcurring in area
Number ofdeaths occurring
in North Carolina
Numbtt of usident deaths
oo:uning in wea
Number of tOtal deaths
occurring in area
Nun>I>e. of""""­occurring
in area
Population of 31'ea
NUt'IIher of divorces and annulments
occurring in are.iIo
Population ofarea
X 100
X 100
X 100
X 100
X 100
X 1000
X 1000
Quanbty(ft<qumcy)is= •••••..............••••••.•..•• 0
Rat< is buho.OJl5 •••....•........................... 0.0
R:atr is nut appl:icabIe .... < • • .. .. .. • • • .. • .... .. .. .. ... • • .. .. .. .. .. blank space
1--10
REFERENCES
(1) EwiRJ(. Francine J."North Cart.'lIina," AInl."I'iccm lJemograp'ut."S. Vol. 6. No.-!). September 1984. w- 46-49.
(2) N.C. Office of ~te BudRec and M~t. "N~lnh CarolitiaPopulation PrO;et.-rions 1988--2010:'
Septembe< 1988.
(3) North 'Carolina Stak Caner for Health Statistics. Kathryn B. Surl~: "North C'..aroUna's Health." SCH"S
Snod;e,. No. 28. Roleigh, N.C. Decembe" 1983.
(4} N.C. Office of State Budget and Mllt\8gettlCt\t. "North Carolina State Data Center Newsletter." Vol. 10,
No.2. August 1968.
(5) Natioa>l Cenrer fodl••lth St>timcs. "Advance Repon ofFinal Nalal;ty Statistics. 1986." MoNIU, V..u
_&port. Vol. 37, No.3 Supp. DIUlS Pub. No. (PHS)~1120. Public Health SenOCr. Hy.ttsville.
Md. july 12. 1988.
(6} Nuionai Center fix Health_Statistics_ toAnnwtl Summary of Births. Ma.rriages, Divon:es. and Deaths:
United States. 1987." Moouhl,V..u_ &port. Vol. 36. No. 13. DHHS Pub. No. (PHS) ~1120.
Public Health Ser.'ice. HyattSville. Md. July 29,- 1988.
(7) Nationai Center for Health Statistics. Personal communication with Mortality Statistics Bnoch.
Seprembe.. 26, 1988.
(8)
(9)
(10)
National Center for Health StatiStics. "Advance Report ()fFfnal Mortality Statistics. 1985." Month!, Vital
_ &port. Vol. 36. No.5 Supp. DHHS Pub. No. (PHS) 87·1120. Pubiie H<aIth Sernce. Hyatt>viIk,
Md. AugU.t 28.1987.
NationalCenttt fOl' Health Statistics. "Advance Report ofFinal MOnaIirj Statistics. 1984." M~,Vital
_ ~:Vol. 35. No. 6Supp. DHHS Pub. No. (PHS) 86-1120. PublicHealthSernce, HyatUviIle.
Md. Seprembe< 26.1986.
. National Center for HeaJth Statistia....Adv:mce ReportofFinal Mortality Statistics. 1983,"MoMIal, Viull
_ &port. Vol. H. No. 6 Supp. DHHS Pub. No. (PHS) 85-1120. Public Health SenOCr. HyatUviIle.
Md. Seprembe< 26. 1985.
(11) National Cenrer for Health Statisties. "AdvanceRepon:ofFinaI Mortality Statistics. 1982," MoRdlJyVieal
_&port. Vol. 33. No. 9Supp. DHHS Pub. No. (PHS) 85·1 120. Public HealthSernce,HyatUviIle.
Md.lRcembe< 20, 1984.
(12) 8,..,. Aothony j.; GoodWgb,.james H.; SaIs,johr. 0 ; =IHe1w;g,j....T. Stati.-l Aoal,ms,sw.. C1usrer
Procedure. SAS-..loc.• Raleigh. N.C. 1976.
(13) U.s. 80,<00 ofthe Census. Adwoce~; 1980 eau... o[Popa/ation andH_•.g. PHC80-V-35. Nonh
Carolina Final Population and Housing UnitCoUillS. U.S. Government PrintingOffice. Washington, D.C.
Mud> 1981.
(14) u.s. ~t of Health, Education, and Wdfare. "Bi.tth Registtarion Completc:nc:ss in the United
SQtcs and Geo~rapitical A«'aS, IQiO." Vol. 39, No.2. Public Health· ServiCe. National Office of Vital
S<ari>rics. S<p<embe< 21, 1<n4.
(IS) Lu.:as, I.}. AStwJ,.of~'k'n4'$S ofFct.." r.-eath lkgisrJal"'" in Ncirdt CmJina. North Carolina Dcvamr~r.t·
~-.f Hurnan Rdourccs, Di~>n l:..r Hcaith SrTvio.~ sDristical Report Series. No. SRs;''j14j..o7-28-7S.
Raleigh. N.C. 197';.
1-41
(16) North CaroUna Stat< llomIofH..Ith. Public H..Ith Statisli<sSection. T...conducud mrompliancowtth
~uresofthe National C>f6tt of Vital Statistics.
(17) North Carolina Stare Board o( Health. Public Health St:a[istics S«rion~ "Hospital Handbook fat Vital
Statistics Registtation."Raleigh. N.C.
(18) Grove. R.D. and Hettel. A.M. Viwl_1laro i. t/u, Uniu>! s.-, 19010-1960. Publk H~lth S<nna­Pubteation
No. 1677. US. Q)vemmmt PrinringOffice. Washington. D.C. i968.
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~",'U::£" /otAHoiL I\IUMdl::1l. I'(A 1 1::'0 "''''f't:t:1'I RAlt: c • • 1901 l"cil OJ-dl 1961 l'tfl1 '~H-d' lC;el !'iel o-al
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I. r(,TAl 151Cboi,; i.he ll." 1iJlH6l Zl.1 .2J.'i ..aZ9'01 31.1 ~C.9
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ft"Al't: ) 1111'tt 3 ':11.5 51.1 5ll"')!,; :le. " ~c.t l~ ..e 13 Sl .. 8 ::'l.1
2. ..... 'l,;RAL 1"":'U:A;)<: 11l0e e.l 1.' dO" ,., o.J SS9b 11.6 lC.<;
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•• TCUl l36btl 1~ .. 8 1',," "'''61 1.... 1 U.'f 9"01 19 .. 5 U.S
""US 1-l0..c '.0 1.' 7)25 7.1 101 .. 12.3 ,.0 ..,
FEMALES 11810 7.0 10. 113b .., ••• Uelt 'i. 1 <.Z •• AHtllllU\t<iT
PI-HIeIA" I" hCSPHAL lll30 i7.3 97.2 1391,. 9t..t, 'ib.S 9i5b <j8.,., 911.'"
PHYSICIAr. I!:CI Itoi I1GSP If,t.L 1_ 0.1 0.1 • e.l 0., 1 C.l 0.2
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e. ffiiI~...n.L LfilT..,S '30 11 .. 9 ' 11.~ 212 F .. ~ ll.9 21. i2.'; 1!.. 3 •• Fl;lAl(;c"'lH,s He ••< e •• IC, 7.i "t> .. 8 III H.1 12.1
HTENC"'NT
",",Sl::IAI\, H. HO~P1TAL 21Z '01::.1 <;1." 10' 90.1 95 .. 3 ID' 96.2 90 .. 1
Ph'tSJCU.,. Al' II. H(;SP HAL • C., 0.' • 1.C C'." D 0.0 1.' toUR1!'f-llC NIoIl.SE "IU".lfl: • D.' 0 •• I •• C C., 0 C.C O.D
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IC. Nf.(~,t.iAL-(Io~DER .d ·DA'tS) 2" '.C o.e lor 7 •• 1.1 ID7 11 ...... 11 .. 3
11. F(i$H.f,J ......T... l ". CAYS - • Yf.... IU ., ,"7 ••• " ,., ,.Z .0 ,., ••0
Il. lfof.A'" CtAHt.:i (l,.litUcfl •'f,tM) 'D. 12.6 13.0 ." lC.6 10.3 ... 15.(:- ll.l
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• T
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13. TOUL U5ee: 1.1 1 •• 1151 7.' ,.. ~1;I11 1." 1••
"ALES 61c.6 ••• 8 • ." ..Co2 O.C 0.' 2!C" '.2 ••• FUi"LfS 5..0,;; .., ••• H<;1S 1.1 '.C 111:7 •• 1 ..,
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'5-6.... 'tEM.S 111.. l.3.'i l".to 11060 li.O 12.6 .0< H ... 15.1
t,', ...·IU [l~E.i-. l'oo'i "~.G ;>0.1 5355 ....c... ..<;.<; 213.. '31 ..8 53.0
15. HACi Of, te... T..,
1-(;,1"11101. lld9 ol.l 63 ..6 ..619 bC .. 3 oz ... 2510 o5.'lio ct:.l
CT.. eR I lIiS 11 TuHCI\I i015 11...... 17... 15C8 lS •• It .. '; :;C 1 13 .. .3 1..... t-C,.e C' h::h-I~~lllllll(" l3t.. 4;0 ...... 19.C ISle zc.~ 16.1 19.. 20.CJ l'i••
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1 " I • • •• , " t ., • ." • I ,
Nu"'lll:'" RATe. "MEt!. IU.H:O t.l.flIl!Eil; RATt.·
I , " 1981 19117 l]-tt7 1"17 19d1 u-n 19&1 19et 83-07
p t • , L • 1 I t A
I. tOTAL 1.Hhtl'O .?:1.l .n.z 906961 1111.1 1(1. ..6 ,5CH8 .i'i.e il).lt
"'"l££ tobin", .. e.7 ..9.0 ..50111 .. Cl.f;> ..9.7 Z1l5el .l.t ft'':t
,. f!:flAlfS ()~!l1l1 51.) 51".C <t56HO 5C." 50.~ 2ltl9Z1 5) .0 52 ... toAJURAL IhC.Ii.l:4.iiE fat.. .., ••• 't82• '> • .! '.B ..c..o '.0 ,.,
L ••• • , • I , S
•• lCUl. ll2CJl 15.0 15.e llHB l .... 1..... ect!:3 IS.1s 111..5
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FIi"ALi:S lOSld ,.. ,.. b297 .., To' ..lU .., 5.' •• ""1;t.,0...", •
H'fSIC!AH It.' HlSflIIA... 207511 'n.o; '17.0; 12..2) 'il.5 ca.t: liB5 9800t ~b.3
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,. Ffll~ITTEC "to.IFt c c.c c.c c c.c c.c 0 0.0 0.0 PRE~A~UkE ol~THS 1739 .., .., ••• ,., ,.. lC-ttC 12.3 11.1 •• i:li Of .EDI-OCt!. 5196 .H,d 25.1 11£19 ,., l.~ IttZ1 5'h7 51.8
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TeTAL 2091e .a.J 23.2 125H 1~.' 2lhJ an) 28.2 2'j.1
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•• Pfkl/llAUi. vcArttS )AI 11.2 11l.Z '59 lZ.'t lIt-.o '00 .t:lt.~ Zlt.6 •• FET"l CE"TtiS "0 a.'io ••s " ,., ,., lC5 12.3 IhO
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F.ERfo!HEC "tCililH 0 0.0 0.0 0 0 ..0 O.C 0 c.C c.c
cur lif tlEeLCC,; " ... 1.1 .38 • .3 I. 18.0 12.8 .Z '5 ... 0 61.5
10. "'HUlAi. ("''''DCA .28 DAYS) '" .., ••• " '.0 .., 'c• 12.2 11 .. 7
II. fGSlh£liftodu (La U'rS - • YE;lIl.) " 3.' ••• l5 , .0 .. 5.' ..,
lZ. l"'FA"" tEA'''S U.HOCtt 1 YUR) ". 1.2 .. 1 n.l 10. ••• ••• ." Il.'t 11.8
0 ., T • S U:ACLuClh"" FeTAlS)
ll. Tor"L 12H1 '.1 ••• lo;Zlt 0.1 0.' 't.,I! ••• ..z
".U,E:. 6t:Je 10.0 ••• ..211 ,., s., H2t> 11.5 lC.£
fEr-joLtS '5t>.... 4.': 1.' 3112 '.1 ,., ... l'it1 ••• l.O ".0<::-0.. YEARS HI 30Z 3.' '30 2.3 ,.. ll. ••• ••• O~-h TEARS •• 0.' o.! .. 0:'3 0 .. 3 " c•• t ••
15-1" 'fEAKS '" 1.0 1.0 '" 1.0 0•• 9l 1.1 1.C
25-3.. n:ARS 3" I.' I.' 1" 1., ••• ... ,., ':.1
3~-o\" fUllS .. J 2.5 ,.. ". .., 1.' 'II 30' ••• .,5-5, YfAR:i ... '.3 ••• "0 't.l ,., !6b lC.~ ••• ,S-tllt YcA~S 181C lS • .2 15.1 1110 1.3.2 13.0; '00 lC.3 le.3
6S 1.1\,& tl\,oE~ 02::.:: ,,,.0 '':.' SHO 50.2 5'o.c lUi! 58.3 5,.3 ". PLAtt OF etATto
hCSPlTAL 19(,.'" 0'.. 1 65.,) ...9-iZ 03.0 00\0.7 2HZ 66.0 65.5
'thElt [/lisn lOTlOtt Id3e 1~.8 1''.3 1261 1~.'ii I~:a.l ~~9 Il.'9 ll.8
~~f L~h~-I~$TIIUII~~ l603 .21-1 19.1 ali. 21.1 19.1 '" ll.1 20.1
1•• Cc:t\.Ak~C:1;
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Areas
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I , , " 19111 B81'03-d 1 nlJl 1<;191 d]:-aT .\.'it. 1 l'Oc1 fj-61
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"ALES 5UJl't 't6.1 "d.3 'ttll961 'tlh'< 'ti:h~ H351 'H.I ",1.1
,. tEt'lALtS "628"" 51.<; '51.1 '51dt.C'5 51.1! 51.1 .... ll!'ii ~l." ')2.3 "'.. 1\III,t,1. Ifl,(.RdSc H14 >., .., .!ht. .: .e < .S ... He':' ...
L I , , • 1 R , " S ,. ICUI. lJ5'tl ll.5 12.0 11 'il8 ~ 11 .... lloot It.lq 19.5 H.9
....US 6910 ,., t .. 0150 t.1 S.' ozo '.e e.l
,. Fffl"LES 6511 •• 1 5.e 51bd j.g S.' .C' '.1 ••• "nEIoII;I"'"
F..,sic IA"" !h l-tJ5PUAlc IHti! ill.] 98.0 1110Z 'HI., 91.9 Itllb 99.Z 99.1
....ySU.I"llI lie'-lhH(,SPlUl Ie a.1 0.' lT e.l 0.' I C.I 0••
.UAflfIEO """,ItSttllo.He IS' 1.1 10' "I t.l 10' S c., C.5
ffR~11TtC PIC""IFE , c.e O.C , c.o C.I " 0.0 C.C
S. PRE"AtuP~ ~lRTHS ." ,., ... 1ST 0." ,.. .. e 12.2 ll.f
t. CLl c. .. t:DLec.", .l6·H 19.5 16.1 16tlo'i l".C 1l.1 <n5 59.9 5l!:.l
1. OC.CURKE~C.E
"TAL 13181 Il,.O 1"t .. 2 1159... 16 .. 1 ltl.~ 158'0 ,., '.1
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S. PERl-""' ..FcUTI1S >0, 15.2 15.... I.S 13.1 1....1 " ,. 25.5 25.2 FElIH CEAlHS la' 1.' ••e es 1.1 8.5 I' ,.1 11.2
,ATTeNOA.. r
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PI'i'l'SltlAt. AC' U. tiCSP II Al • '.C 0.9 1 1.<: C•• 1 6.3 l .. Z
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(t. T CF ~ClCCit .. 21.. 7 lilt.' 19 U .. ,. 16.9 • ~6.] 5.... ]
le. t.tC.UTAl (l;,"-OEft ·28 l,;uS) I" 1.e hi eo ,.1 ,.3 " It..u 1"'t.l
11. FCST,..f<tjt.AUL (i8 CAYS - , 'rEAR) ,. ,., '.t 3e 3.' ,., e , ~.o ••C
Il. U.f.1r.., (E"'HS (L.M)i::k 1 n.aRJ IS> H.l 10..8 lie ,., ,., " 20.'i 20.. 0
C • • I F S (EACLVCINb fEt.l~J
". TOTu 101H ••3 '.1 93cl ~.3 '.1 161 ,., 'i. 1
.....li::S Hl.3 Hi., 10 ..2 SODS Ie ... 1().2 He 10.a 10,,1
ff,f'!"'LiS .100 e.3 e.1 '0]'>1 e.' e.1 >u 1.1 e.'
I.. ...00-0... YE.1iiS 161 ,.. •• S .., .2 ... ,., U .., ,.e
O~-l'" YEAR~ ., 0.' 0." Z> c•• c., , C.3 c.,
15·2.. YE"'KS 111 I.C 1.0 159 1.0 I.C " ,,50-:=.. C.l '.e 3'-.... "';:AJ(~ lCl I.l 1., 181 1 .. " 101 'A I.S z..c 'YEAIilS 4:94 I.' ••c ." loT I.' ,e <.S 3.'
4S-s't 'i:.ARS SfC; .., ,.. SO, '.5 ,.. TT iC.9 5.' 55-6.. Y"'-A"S UU 14: .1 1.2.5 1199 11.8 1l.1 ,.. 18.] 1~.7
" ,1116[, (hEk 13..6 "'tb • .2 ..7.8 6'i05 "'E.O .,1.", '" 5 1.8 53.3
lS. PLACE 01' etAl"
"C~P11Al 6ll~ ee.5 bl.t 56b.. 6(;.5 oZ.3 'e' 61.C b6.1
Cf~ER 1~~'lfuTluN 19..6 li.1 l'j.C H05 1'>.3 i .... l "I H:.~ It."
~l:"E eli. IIIC..- .... Sf ITUI I'" lOo\'i 20.2 18.'" le'n le.2 la.S ISO ZO.5 11.0
lO. CCC"'M.H"',e
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I. TOTAL ll'i\2~'i the: le.l 'i'l~9<j l'il.t: l'il.l 2:!86~C n.lt 15.3
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FE"AlU bl5CC8 ~"i.5 52.. 3 ,.963 ..3 ~l.l 52.0 l.2IlClt5 53.9 !:t.!.lt
2. IlIA'li'Ul lhCRfASf $535 .., '.2 j.JttZ ,., ) • .! Ll'i) ,., ,.,
L I • , • I It T h S
3. lCUL 15915 11.,.. 12.8 HTaT 12:."- le.O '\lee 11.5 It.l
UtES - ea.H .., ,.. S9t;7 ••J 0.' lOll 0.7 0.1
nfll"us l~jCl .., 5810 •• 1 '.0 lllb ,., ••0 •• .l'UhOAt.t
Ft-lSlCl"h Ifill hUSPIUl 15TH 'l8.t 98.. 5 11593 98.,. 98.3 H5lt 99.2 99.2
PHYSICl"",, ~(iJ 1h h~Spn"L , 0.1 0.1 0 C.I 0.1 J Q.t C.l
aCEll:llfHo hl..llSt "lO"JfE Ib~ 1.1 1.1 1.1 I.' t •• II C.5 <.3
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5. Pflt:fI"I"'fie .;IfiTHS 125Ci ,.. O.C HI .., ••3 ,.. 12.0\ 12.8 ,•.• 0"'' CF ..ECl,.t:C.k 3TH 13.6 ll.3 12:'1" le.t 9.C 2531l floC.,. 51.1 OCCI.IRRHCE
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ll. POSlhI:Ot.A1AL 1.1:&1;:""$ - 1 nAil) e. •• 1 ••0 '0 4.1 3.' 11 <.1 5.0
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13. TOTAL 10"..C •• B B., dfl"S ..9 e.T l-i'iS, e•• 0.)
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C~-H HAAS •• 0.,) c., .. c.) 0.3 12 0.3 0.2 l'-Z" YeARS 20" 1.1 1.0 155 I.' I.C .9 I.C C••
25-" 3't VEAtiS ", 10' I., 190 1.' 1.0 8l I.' hl
)5-...... YEARS .c. i .. ) 2., '11 109 '.7 137 \.3 ••0
't'-~lp 'fAilS ... '.0 '.2 403 ...." ••S 171 e•• d.1
55--t", 'tl,t,OlS 151l 12 .. 8 13.3 1196 U.I! 12.2 316 18.11 20.. 2
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15. PLACIiLF tcAiH
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11. PC$II1lEO'-ATAL (28 VA'S - 1 YI'AR) .e 3.S .., ,. l •• ,.. II ••• t ••
ll. UIFJlhT Duns (lohOEll. , "E~R) U~ 1.3.2 ll.4 " 10.e 10.. 0 .. 17..", 19.6
C • " t t- • (EXClUCllIlb FETALS)
lo!. lOAI. 1220 1 •• T.l ",9"'3 T., T.' .cH7 6.. ~ '.3
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B. TC.T"L 0102 6.; .., Hll i..l t.!. lUI ••t ,.. "'''U3. """itl ••• 192", .., ••• ISZJ 9.3 8.9
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t·- E • 191H lljH dJ-81 ""'81 1981 ~j-81 l<;al l'i~l 8 ~-81
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fE"Ale) 'cUSS 'H.C 5C.8 3e1lClt,. 5C .1 50.C "OSHit 52.1i 52.3 •• ,.H\.RAI. [NCRE...SE 1iI~& 1.1 1., ..19Z ,.. ••• Bee. 9.i. 9 .. 3
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f'-"U:S 'iCal ••• .., 5318 1 •• 1.1 3103 .., ..,
FE.....LES .... ••0 ••0 51~6 .., 1.... !10lt ••• Ii.';: •• AllEIoDAU
P..,VstClAN IN toCS..IJAL. 1 ttl'll .,llhl 98.1 10193 Sl.3 'Hoof; 1350\ <;;".3 'H!.'i
F~YSJCI.U A.OJ -_JJ~_ HC$P1tAL .0 C., c., .. c., C., is 0.2 tlo~ 3
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11. PCSTNEGhATAl (~8 OA~S - 1 YEAR) 10 3.i It•• >0 ,.. 3.J .0 ••• ..0
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FEMALES olt671 0.' 1•• 1939 0.' ••C 1132 ••• 1.'
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Perinatal Care Regions
.REGION
TABLES
NDRTH CRRDL1NR PERINATRL
I CRRE REGIONS
WESTERN
I
NORTHWESTERN
I I
".u
SOUTHWESTERN
II!
~l<"_
NORmERSTERN
IV
SOUTHERSTERN
V
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t 1 A -I.; ." I 1 , h " • .• I 1 ,
M..fIlaU;M RAn:- Nl;MEl::A - ttAH4 lIIuf'cbt R""~~
I •• l'H:7 nel 8J~al 1981 1981 8'-8 , 1'fitl un tU-81
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Ff;".llS "Ii;";;' !:iZ .. 2 ~l.l 1l,3Zl 54.1 52.0 locel Sl.l 52 ....
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l 1 , • • , R , " ,
•• 1C1,t,l tIll 1,2 .1 11.1 bOb5o u.s, ll.~ 15" 1...... l7.l
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FEf'''LES ,Uttl ••0 ,.1 .z99t, , .1 5.' :n~ q.t1 s.3 •• AllEttO.U. ,
Pt;'W'SHUh 1110 t-OS,1TAL bb01 ~t1.'i 960." ,ebS 'ic.l 'lie .. I H.i: ic.} 'iile.l
f~'fSlCiA" hOI 1" .,C,SP 1TAL " O.Z c.:; " C.Z c., 0 0.0 D.Z
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S. COl C. IlEOlCeK 12<;10 18.9 15.8 e" 1... 1 u.s <3, 57.t 52 ...
1. OCC... jitRE~f.
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F , I , l l I h • • h 1 " C • 1 , l I ,
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AJ JEhUh I
PhySICI .." I" r"SPIUL >J 9b.'o\ 96.6 'b ';}." "6.<; 1 61.,= 90\.9
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