2004 Annual Report
Vital Statistics of Massachusetts
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ANNUAL REPORT
VITAL STATISTICS OF MASSACHUSETTS
PUBLIC DOCUMENT #1
2004
THE COMMONWEALTH OF MASSACHUSETTS
DEPARTMENT OF PUBLIC HEALTH
DEVAL L. PATRICK, GOVERNOR
TIMOTHY P. MURRAY, LIEUTENANT GOVENOR
JUDYANN BIGBY, MD, SECRETARY OF HEALTH AND HUMAN SERVICES
JOHN AUERBACH, COMMISSIONER OF PUBLIC HEALTH
GERALD O'KEEFE, DIRECTOR
BUREAU OF HEALTH INFORMATION, STATISTICS, RESEARCH, AND EVALUATION
STANLEY E. NYBERG, REGISTRAR
REGISTRY OF VITAL RECORDS AND STATISTICS
150 MOUNT VERNON STREET, FLOOR
DORCHESTER, MASSACHUSETTS 02125-3105
July 2012
Digitized by the Internet Archive
in 2013
http://archive.org/details/annualreportofviOOmass
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^^ Floor
Dorchester, MA 02125-3105
DEVAL L. PATRICK
GOVERNOR
TIMOTHY P. MURRAY
LIEUTENANT GOVERNOR
JUDYANN BIGBY, MD
SECRETARY
JOHN M. AUERBACH
COMMISSIONER
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-third annual report on statistics of births, deaths, marriages, and divorces in
Massachusetts for calendar year 2004.
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.
Sincerely,
Stanley E. Nyb^rg^ Ph.D.
Registrar
ACKNOWLEDGEMENTS
This publication of the 2004 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 2004
ANNUAL REPORT OF VITAL STATISTICS include:
Jane Purtill, Director, Statistics Unit: supervision of data collection, coding and
editing.
Sharon Pagnano and Maria Vu: coordination of the hospital query program for birth
certificate data, specialized data programming, and assistance in developing
specialized table production; Maureen McKean (Statistics Unit), Robert Coffin
(Nosologist), and Ann-Marie Neault (Nosologist): technical assistance; and Division
of Data Processing: data file management and vital events series printouts.
Isabel Caceres, Bruce Cohen, Malena Hood, and James West, Bureau of Health
Information, Statistics, Research, and Evaluation: provided technical assistance
and data, including the previously published:
Massachusetts Births 2004: Figures B-4, B-5, B-6, B-7, B-8, B-9, B-10, B-11, B-12,
B-13, B-14 and D-3; as well as. Tables B-1, B-2A, B-2B, B-3A, B-3B, B-4, B-5, B-6,
B-7, B-8A, B-8B, 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-23A, B-23B, B-23C, and D-2.
Massachusetts Deaths 2004: Figures C-1, C-2, C-3, C-4, C-5, C-6, C-7; as well as,
Tables C-1, C-2, C-3A, C-3B, C-4, C-5, C-6A, C-B6, C-7, C-8, C-9, C-10, C-11, C-1 2,
C13A, C-13B, C-13C, C-13D, C-14A, C-14B, C-14C, C-14D, C-16A, C-16B, C-16C, D-1,
D-3, and D-4.
The joint efforts of all the staff of the 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 of forms;
Pauline McNulty, 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 2004 ANNUAL REPORT OF VITAL STATISTICS has been compiled and produced
under the general supervision and direction of:
Stanley E. Nyberg, PhD., Registrar of Vital Records and Statistics
Registry of Vital Records and Statistics
Karin Barrett, Assistant Registrar of Vital Records and Statistics
Registry of Vital Records and Statistics
Charlene J. Zion, Information Officer
Registry of Vital Records and Statistics
Editor
Kevin Y. Foster, Epidemiologist
Registry of Vital Records and Statistics
Editor
Massachusetts Department of Public Health publications and materials can be accessed at
the following v^^ebsite:
http://www.mass.gov/dph
INTRODUCTION
The ANNUAL REPORT OF VITAL STATISTICS (Public Document No. 1) has been published
continuously since 1842. This is the 41st edition produced by the Department of Public
Health. This report, required under the provisions of Chapter 111, section 2, of the
Massachusetts General Laws, tabulates data on Massachusetts births, fetal deaths,
deaths, marriages, divorces, and population for calendar year 2004. The report provides
its users with an overview of the health status of the Massachusetts population.
Vital statistics data may be tabulated either in terms of resident data or occurrence data.
Resident data include all events which occur to residents of the Commonwealth, wherever
the events occur. Occurrence data include all those events which occur within the state,
including those which occur to out-of-state residents. There is an interstate exchange of
copies of birth and death records among the fifty states, the District of Columbia, Puerto
Rico, the U.S. Virgin Islands, Guam, and all Canadian provinces. These records are
exchanged for statistical purposes only, for events which occur in states or provinces
other than where the individual resides. This exchange allows each of the states and
provinces to track the births and deaths of its residents. The majority of the data
presented in this report for births and deaths is based on resident data. Marriage, divorce,
and fetal death data however, only reflect events that occurred within the Commonwealth.
REGISTRATION
The first government-operated system of vital events registration anywhere in the world
began in the Commonwealth of Massachusetts in 1639 under colonial administration.
Prior to that time, in countries with a vital registration system such as England, the
responsibility for the registration of vital events had been placed on church officials. The
Massachusetts system mandated the registration of vital events by the clerks of the
communities. In 1842, the Massachusetts legislature established the first statewide
coordination for the registration of these events by requiring that copies of the events
registered in the local cities and towns be sent to the Secretary of State. The first year of
collection was designated for 1841. The collection of data and the production of the
ANNUAL REPORT OF VITAL STATISTICS has continued since then. With the exception of
the administrative location of the State Registry, the actual mechanics of the system have
changed remarkably little over the years.
With limited exceptions, most vital records in Massachusetts are open records. For open
birth and death records, there is a triple registration process in Massachusetts. The event
is first recorded in the city or town where the event occurred. Originally, the clerk would
send a copy of the event to the State Registry, Since 2000, the clerk of that community has
been required to forward the original record to the State Registry and a certified copy to
the community where the person resided at the time of the event. Certified copies of the
records may be issued from local or state registries. If the record is a restricted birth
record, such as those of out-of-wedlock births, the registration occurs only in the
community where the event occurred and in the state office, unless the mother gives
permission for the resident community to receive a copy.
In addition to receiving a legal copy of each birth record from the city or town in which the
birth occurred, the State Registry also receives information about the birth record directly
from the hospital or birthing center where the birth occurred. These data include
confidential medical information in addition to the legal information. This medical
information is processed to produce the statistical information on births contained in this
report
Since 1986, the State Registry has utilized a program of direct electronic transmission of
birth records from hospitals. The system used in Massachusetts is called the Electronic
Birth Certificate (EBC). Most birth records are now received through this method. EEC
has contributed to reducing processing time at both the hospital and the State Registry,
while the system's built-in edits increase the quality of the data.
The process for creating death certificates is the most complex of all vital records.
Complete and accurate death records are dependent upon the following individuals: 1.)
Certifier, who not only initiates the death registration process but also determines the
cause of death as well as the place, time, and date of death; 2.) Funeral Director, who plays
the role of facilitator in the death registration process and adds the personal data
concerning the decedent, which are supplied by an informant; 3.) Burial Agent, who both
issues the permit that allows the chosen disposition to take place and serves as the initial
acceptor of the death certificate for official registration; and 4.) City or Town Clerk, who
records the death certificate, issues certified copies and forwards the original death record
to the Registry of Vital Records and Statistics and other communities as required by law.
Beginning in 1999, the International Classification of Diseases-Tenth Revision (ICD-10)
replaced the ninth revision as a means of classifying cause of death. The ICD-10,
developed by the World Health Organization, is an international classification system
employed by the United States in order to promote international comparability in
collecting, classifying, and tabulating mortality statistics.
The Registry of Vital Records and Statistics directly receives the fetal death reports for
fetuses of either twenty or more weeks gestation or weighing at least 350 grams from
hospitals or physicians. There are no local filings of fetal death reports.
Marriage licenses may be issued from any of the 351 cities or towns regardless of where
the marriage is to take place. The community issuing the license is required to submit an
attested copy of the marriage record to the State Registry. For the 2004 marriage records,
the event is recorded only in the community where the notice of intention to marry was
filed and at the State Registry.
Abstracts of divorces granted are also sent directly to the State Registry from the
Registers of Probate from each county probate court.
STATISTICAL PROCESSING AND TABULATING
The records received in the State Registry are carefully examined for legal errors and
inconsistencies. As part of the computerization process, errors and inconsistencies are
queried and corrected. A computerized hospital query program is part of the EBC
program. The Registry also has a data quality assurance program that includes on-site
instruction for clerks and hospital personnel who have reporting difficulties, and training
for ail groups involved in the data collection process.
Annually, when registration is considered as complete as possible, statistics are
aggregated for presentation in this report, in special studies, and for program monitoring
and surveillance.
Anyone using statistical information for comparisons over time should be aware of
inconsistencies and changing conventions for classification and coding. This is
particularly important when using cause of death information. Codes used for classifying
cause of death in this report are based on the Tenth Revision of the international
Classification of Diseases, World Health Organization. Classification of variables such as
race, nativity, and marital status may also differ over time.
It is hoped that this report will be useful to a wide range of health data users in the
Commonwealth, as well as to educational planners, demographers, and historians.
Questions concerning these data and requests for more detailed findings should be
directed to:
Massachusetts Department of Public Health
Registry of Vital Records and Statistics
150 Mount Vernon Street
Dorchester, Massachusetts 02125
(617) 740-2670
CONTENTS
TITLE PAGE
TRANSMITTAL LETTER
ACKNOWLEDGMENTS
INTRODUCTION
TABLE OF CONTENTS
SECTION A-VITAL EVENTS 1
Table A-1 Selected Facts In Vital Statistics, Massachusetts: 2004 5
Figure A-1 2004 Massachusetts Daily Vital Events 6
Table A-2 Number and Crude Rates of Vital Events, Massachusetts and 7
United States: 2003-2004
Figure A-2A Births and Deaths in Massachusetts, Selected Years: 1910- 8
2004
Figure A-2B Rates of Natural Increase in Massachusetts and the United 9
States, Selected Years: 1910-2004
Table A-3 Massachusetts Resident Births and Deaths with Resultant 10
Natural Increase, Selected Years: 1900-2004
Table A-4A Vital Events by Month, Massachusetts Residents: 2004 11
Table A-4B Vital Events by Community: 2004 12
Table A-4C Vital Events by County: 2004 23
SECTION B-BIRTHS 25
Figure B-1 Daily Birth Statistics, Massachusetts: 2004 37
Table B 1 Trends in Birth Characteristics, Massachusetts: 1980, 1990, ^8
1992-2004
Table B 2A Birth Characteristics by Maternal Race and Hispanic Ethnicity
and Birthplace, Massachusetts: 2004
Table B-2B Birth Characteristics by Maternal Ethnicity, Massachusetts: 40
2004
Figure B-2 Resident Live Births by Mother's Race and Hispanic Ethnicity, 41
Massachusetts: 2004
Figure B-3 Resident Live Births by Mother's Age: 2004 42
Table B-3A Resident Birth Characteristics, 30 Largest Municipalities, 43
Massachusetts: 2004
SECTION B-BIRTHS (continued)
Table B-3B
Table B-4
Figure B-4
Figure B-5
Figure B-6
Figure B-7
Table B-5
Table B-6
Table B-7
Table B-8A
Table B-8B
Figure B-8
Table B-9
Table B-10
Figure B-10
Table B-11
Table B-12
Table B-13
Resident Birth Characteristics, Community Health Network 45
Areas (CHNAs), Massachusetts: 2004
Age-Specific and Crude Birth Rates, Massachusetts: 1990 and 47
2004
Trends in the Number of Births by Mother's Age Group, 48
Massachusetts: 1980-2004
Percent of Mothers Breastfeeding or Intending to Breastfeed by 49
Age Group, Massachusetts: 2004
Percent of Mothers who Smoked During Pregnancy by 50
Mother's Race/Hispanic Ethnicity and Educational Attainment,
Massachusetts: 2004
Distribution of Smoking Status During Pregnancy by Smoking 51
Status Prior to Pregnancy, Massachusetts: 2004
Parity by Age of Mother, Massachusetts: 2004 52
Trends in Number and Percent Distribution of Births by 53
Plurality and Age, Massachusetts: 1990-2004
Selected Birth Characteristics by Maternal Education, 54
Massachusetts: 2004
Interpregnancy Intervals (IPI) and Birth Outcomes. 55
Pregnancies to Muciparous Mothers, Massachusetts: 2004
Interpregnancy Intervals (IPI) by Maternal Characteristics, 56
Pregnancies to Muciparous Mothers, Massachusetts: 2004
Interpregnancy Intervals (IPI) vs. LBW and Preterm 57
Pregnancies to Muciparous Mothers, Massachusetts: 2004
Comparison of Massachusetts Perinatal Health Indicators with 58
Healthy People 2010 Objectives
Summary of Selected Teen Birth Characteristics, 59
Massachusetts: 2004
Comparison of Teen vs. Adult Births, Selected Characteristics, 60
Massachusetts: 2004
Resident Teen Birth Characteristics, 30 Largest Municipalities, 61
Massachusetts: 2004
Trends in Teen Birth Rates for Selected Communities, Ranked 63
by 2004 Teen Birth Rate, Massachusetts: 1994, 2003, 2004
Births by Birthweight, Race and Hispanic Ethnicity, 64
Massachusetts: 2004
SECTION B-BIRTHS (continued)
Figure B-11
Table B-14
Table B-15
Table B-16
Figure B-12
Figure B-13
Table B-17
Table B-18
Table B-19
Figure B-14
Table B-20
Table B-21
Table B-22
Table B-23
Table B-24A
Table B-24B
Table B-24C
Low Birthweight Among Smoking and Nonsmoking Mothers by 65
Race and Hispanic Ethnicity, Massachusetts: 2004
Low Birthweight (LBW) by Maternal Age, Race and Hispanic 66
Ethnicity, Massachusetts: 2004
Low Birthweight by Plurality, Massachusetts: 1994-2004 67
Births by Gestational Age, Race and Hispanic Ethnicity, 68
Massachusetts: 2004
Trends in Adequacy of Prenatal Care by Race and Hispanic 69
Ethnicity, Massachusetts: 1996-2004
Adequacy of Prenatal Care by Selected Maternal Characteristics, 70
Massachusetts: 2004
Adequacy of Prenatal Care by Selected Characteristics, 71
Massachusetts: 2004
Adequacy of Prenatal Care Initiation by Selected Characteristics, 72
Massachusetts: 2004
Adequacy of Prenatal Care Visits by Selected Characteristics, 73
Massachusetts: 2004
Distribution of Prenatal Care Payment Source, Massachusetts: 74
2004
Birth Characteristics by Race/Hispanic Ethnicity and Source of 75
Prenatal Care Payment, Massachusetts: 2004
Cesarean Section Deliveries and Vaginal Births after Cesarean 77
Section (VBACs) by Licensed Maternity Facility, All Births,
Massachusetts: 2004
Cesarean Section Deliveries for Singleton Births by Licensed 79
Maternity Facility and Number of Previous Births,
Massachusetts: 2004
Birth Characteristics by Licensed Maternity Facility, 81
Massachusetts: 2004
Birth Characteristics: Occurrence and Resident Births and Infant 83
Deaths, Massachusetts Municipalities: 2004
Birth Characteristics: Occurrence and Resident Births and Infant 91
Deaths by County, Massachusetts: 2004
Birth Characteristics: Occurrence and Resident Births and Infant 92
Deaths, Massachusetts Community Health Network Areas
(CHNAs): 2004
SECTION C-DEATHS
Figure C-1
Table C-1
Table C-2
Table C-3A
Table C-3B
Figure C-2
Table C-4
Figure C-3
Table C-5
Figure C-4
Table C-6A
Table C-6B
Table C-7
Table C-8
Table C-9
Table C-10
Figure C-5
Table C-11
Table C-1 2
93
Daily Death Statistics, Massachusetts: 2004 104
Trends in Mortality Characteristics, Massachusetts: 1994-2004 105
Five Leading Causes of Death Comparability Unmodified and 106
Comparability Modified Age-Adjusted Rates, Massachusetts and
United States: 1994-2004
Leading Underlying Causes of Death, Numbers and Age-Specific 108
Rates by Gender, Massachusetts: 2004
Leading Underlying Causes of Death, Numbers and Age-Specific 109
Rates (Ages 65 and older) by Gender, Massachusetts: 2004
Expected Years of Life Remaining at Different Ages by Race/ 110
Hispanic Ethnicity, Massachusetts: 2004
Years of Life Remaining, Massachusetts: 2004 110
Trends in Deaths from Selected Causes, Massachusetts: 1842- 111
2004
Leading Causes of Death and Age-Adjusted Death Rates by 112
Race and Hispanic Ethnicity, Massachusetts: 2004
Percent Distribution of Leading Underiying Causes of Death, 113
Massachusetts: 2004
Number and Age-Specific Rates for Selected Causes of Death by 114
Race and Hispanic Ethnicity, Massachusetts: 2004
Number and Age-Specific Rates for Selected Causes of Death, 115
Persons age 65+ by Race and Hispanic Ethnicity,
Massachusetts: 2004
Heart Disease and Cancer Deaths by Race and Gender, 116
Comparability Unmodified and Comparability Modified Age-
Adjusted Rates, Massachusetts: 1998-2004
Number and Age-Adjusted Rates of Cancer Deaths by Selected 118
Causes and Gender, Massachusetts: 2004
Selected Causes of Cancer Deaths by Age, Massachusetts: 2004 119
Leading Causes of Cancer Deaths and Age-Adjusted Rates by 120
Race spanic Ethnicity, Massachusetts: 2004
Diabetes Deaths, Massachusetts: 1999-2004 121
Diabetes Deaths by Gender, Massachusetts: 2004 121
Diabetes Deaths by Race and Hispanic Ethnicity, Massachusetts: 122
2004
Figure C-6
Diabetes Death Rates by Race/Hispanic Ethnicity,
Massachusetts: 2004
122
SECTION C-DEATHS (continued)
Figure C-7
Table C-13A
Table C-13B
Table C-13C
Table C-13D
Table C-14A
Table C-14B
Table C-14C
Age Composition of Diabetes Deaths Massachusetts: 2004 122
Injury Deaths by Leading Causes, Gender, Age, Race and 123
Hispanic Ethnicity: Numbers, Age-Adjusted, and Age-Specific
Rates, Massachusetts: 2004
Intentional Injury Deaths by Gender, Age, Race and Hispanic 125
Ethnicity: Numbers, Age-Adjusted, and Age-Specific Rates,
Massachusetts: 2004
Injury Deaths by Intent, Method, and Gender: Number and Age- 127
Adjusted Rates, Massachusetts: 2004
Type of Injury Deaths by Method / Intent Categories: Numbers 128
and Age-Adjusted Rates, Massachusetts: 2004
HIV/AIDS Deaths by Place of Occurrence, Massachusetts: 1992- 129
2004
HIV/AIDS Deaths by Age, Massachusetts: 1992-2004 130
HIV/AIDS Deaths by Gender, Race and Hispanic Ethnicity,
Massachusetts: 1992-2004
Table C-14D
Table C-15A
Figure C-8
Table C-15B
Table C-16A
Table C-16B
Table C-16C
Table C-17
HIV/AIDS Deaths by Gender, Race, and Hispanic Ethnicity: 132
Numbers, Percent, and Age-Adjusted Rates, Massachusetts:
2000-2004
Medical Examiner Certified Deaths by Cause, Race, Sex, and 133
Age, Massachusetts Occurrence: 2004
Proportion of Deaths Certified by Medical Examiner for Selected 136
Causes of Death, Massachusetts Occurrence Deaths: 2004
Medical Examiner Certified Deaths by County, Massachusetts 137
Occurrence: 2004
Selected Causes of Death by Community, Massachusetts: 2004 138
Selected Causes of Death by Community Health Network Area 148
(CHNA), Massachusetts: 2004
Selected Causes of Death by County, Massachusetts: 2004 149
Resident Deaths by Cause, Sex, and Race, Massachusetts: 2004 150
SECTION D-INFANT & NEONATAL DEATHS
167
Figure D-1
Figure D-2
Table D-1
Infant Mortality Rates by Race, Massachusetts: 1980-2004 170
Neonatal Mortality Rates by Race, Massachusetts: 1980-2004 171
Trends in Infant, Neonatal, and Post Neonatal Mortality by Race 172
and Hispanic Ethnicity, Massachusetts: 1994-2004
SECTION D-INFANT & NEONATAL DEATHS (continued)
Table D-2
Table D-3
Table D-4
Figure D-3
Trends in Infant, Neonatal, and Post Neonatal Mortality by 173
Race, Massachusetts: 1980-2004
Infant, Neonatal, and Post Neonatal Deaths by Cause, 176
Massachusetts: 2004
Infant Deaths by Major Causes, Race and Hispanic Ethnicity, 177
Massachusetts: 2004
Infant Mortality Rates, Massachusetts: 1842-2004 178
SECTION E-MARRIAGES & DIVORCES
179
Table E-i
Table E-2
Table E-3
Table E-4A
Table E-4B
Table E-4C
Table E-4D
Table E-5A
Table E-5B
Table E-5C
Table E-6A
Table E-6B
Table E-6C
Table E-7
Marriages and Divorces by County, Massachusetts 183
Occurrence: 2004
Number of Marriage Certificates Issued and Registered in 184
Massachusetts by Month, 2004
Marriages, Divorces, and Rates per 1,000 Population, 185
Massachusetts Occurrence, Selected Years: 1900-2004
Marriages by Age and Prior Marital Status of Females in a 186
Male/Female Marriage: Massachusetts Occurrence: 2004
Marriages by Age and Prior Marital Status of Males in a 186
Male/Female Marriage: Massachusetts Occurrence: 2004
Marriages by Age and Prior Marital Status of Males in a 187
Male/Male Marriage: Massachusetts Occurrence: 2004
Marriages by Age and Prior Marital Status of Females in a 187
Female/Female Marriage: Massachusetts Occurrence: 2004
Number of Male/Female Marriages by Age, Massachusetts 188
Occurrence: 2004
Number of Male/Male Marriages by Age, Massachusetts 188
Occurrence: 2004
Number of Female/Female Marriages by Age, Massachusetts 189
Occurrence: 2004
Number of Male/Female Marriages by Number of Total 190
Marriages of Each Party, Massachusetts Occurrence: 2004
Number of Male/Male Marriages by Number of Total Marriages 190
of Each Party, Massachusetts Occurrence: 2004
Number of Female/Female Marriages by Number of Total 190
Marriages of Each Party, Massachusetts Occurrence: 2004
Marriages by Town of Licensure, Massachusetts Occurrence: 191
2004
SECTION F-POPULATION
199
Figure F-1
Table F-1
Figure F-2
Figure F-3
Figure F-4
Table F-2
Table F-3
Table F-4
APPENDICES
I
Massachusetts Population: 1900-2004 200
Population Estimates by Race, Hispanic Ethnicity, Age, and 201
Sex, Massachusetts: 2004
Population by Age Group, Massachusetts: 2004 203
Population by Race/Hispanic Ethnicity, Massachusetts: 2004 204
Changes in Age Composition of the Population, 205
Massachusetts: 1900-2000
Massachusetts Population by County: 1930-2004 206
Massachusetts Population by City and Town: 1980, 1990 and 207
2000 US Census
Population Counts and Estimates, Massachusetts: 1980, 1985- 211
2004
219
Source Documents
Standard Certificate of Live Birth 219
Standard Certificate of Death 220
Report of Fetal Death 221
Certificate of Marriage 222
Certificate of Absolute Divorce or Annulment 223
II
Registry of Vital Records and Statistics Staff
225
VITAL EVENTS
SECTION A
VITAL EVENTS
HIGHLIGHTS
BIRTHS
• In 2004, there were 78,460 births to Massachusetts residents.
• ^ Births decreased by 2.1 % from 2003 to 2004.
• The 2004 Massachusetts birth rate per 1,000 residents was 12.2, a decrease
of 2.4% from the birth rate of 12.5 per 1,000 residents in 2003.
• Massachusetts' 2004 birth rate of 12.2 per 1,000 residents was lower than the
2004 US birth rate of 14.0 per 1,000 residents.
• The most births occurred in July (9.0%--7,089 births); the fewest births
occurred in February (7.7%--6,079 births).
DEATHS
• In 2004, 54,419 Massachusetts residents died.
' • The number of resident deaths decreased by 3% from 2003 to 2004.
• The Massachusetts crude death rate decreased from 872.2 deaths per
100,000 residents in 2003 to 845.2 in 2004. The 2004 US crude death rate of
816.5 deaths per 100,000 residents was lower than the 2003 US crude death
rate of 841.9. The 2004 age-adjusted death rate in Massachusetts (739.3 per
1,000 residents) was lower than the US age-adjusted death rate (800.8).
• The most deaths in 2004 occurred in January (10.7%-5,799); the fewest
deaths occurred in June (7.5%~4,074).
FETAL DEATHS
• There were 415 reportable fetal deaths to Massachusetts residents in 2004.
• The number of reportable fetal deaths decreased by 49 from 2003 to 2004,
resulting in a fetal death rate of 5.3 per 1,000 live births.
1
INFANT DEATHS
In 2004, 376 infant deaths (less than 1 year of age) occurred to
Massachusetts residents.
• The 2004 Massachusetts infant mortality rate of 4.8 deaths per 1,000 live
births was equivalent to the 2003 infant mortality rate of 4.8 deaths per 1,000
live births.
• The Black non-Hispanic infant mortality rate decreased from 12.7 deaths per
1,000 live births to 11.5 deaths per 1,000 live births between 2003 and 2004.
• The Massachusetts 2004 infant mortality rate of 4.8 per 1,000 live births was
29.4% below the US infant mortality rate of 6.8.
MARRIAGES
• In 2004, there were 41,571 marriages in Massachusetts, which includes the
2,176 male to male and 3,945 female to female marriages.
• The total number of marriages in Massachusetts increased by 14.7% from
2003 to 2004, while the number of male/female marriages continued its
steady decline since 1985, decreasing by 2.1%.
• The 2004 Massachusetts rate of 6.5 marriages (5.5 for male/female
marriages) per 1,000 population was below the US marriage rate of 7.8 per
1,000 population.
• The most marriages occurred in June (13.9%--5,783); the fewest marriages
occurred in January (2.9%--1,193).
DIVORCES
• In 2004, 14,137 divorces were granted in Massachusetts.
• Divorces in Massachusetts decreased by 10.2% from 2003 to 2004.
• The 2004 Massachusetts divorce rate of 2.2 divorces per 1,000 population
was below the US rate of 3.7.
• The largest number of divorces that was finalized occurred in January
(1,433--10.1%), and the fewest occurred in May (971 --6.9%).
NATURAL INCREASE
• The rate of natural increase in the Massachusetts resident population
remained equivalent from 2003 to 2004, at 3.7 per 1,000 population.
2
The 2004 US natural increase rate of 5.4 remains above that of
Massachusetts.
The Vital Events section provides basic information on all vital events. In addition to the
information highlighted above, this section contains summary birth and death data by city,
town and county. More detailed information is contained in the sections on the individual
events. Counts and rates in this report may differ slightly from previously published
reports due to updating files and population estimates.
DEFINITIONS IMPORTANT FOR THIS SECTION INCLUDE:
LIVE BIRTH
A live birth is any infant who breathes or shows any other evidence of life (such as beating
of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles)
after separation from the mother's uterus, regardless of the duration of gestation.
FETAL DEATH
A fetal death is a death prior to the complete expulsion or extraction from its mother of a
product of conception, irrespective of the duration of the pregnancy; the death is indicated
by the fact that after such separation, the fetus does not breathe or show any other
evidence of life, such as the beating of the heart, pulsation of the umbilical cord, or definite
movement of the voluntary muscles.
Massachusetts law requires that fetal deaths of 20 or more weeks gestation or weighing at
least 350 grams be reported; therefore, the fetal deaths referred to in this report are of that
gestational age or weight.
INFANT DEATH
Death of a child whose age is less than one year.
MISER
The Massachusetts Institute for Social and Economic Research. This research institute,
which was located at the University of Massachusetts in Amherst, produced the official
population estimates and projections for the Commonwealth through 1999.
3
NATURAL INCREASE
The difference between the number of resident live births and the number of resident
deaths.
NEONATAL DEATH
Death of a child whose age is less than 28 days.
OCCURRENCE
Occurrence data reflect where the event took place without regard to residence. In
Massachusetts, place of event will be one of the 351 cities or towns.
RESIDENCE
The usual place of residence as reported by the mother (for births) or the informant (for
deaths). An infant's residence is considered that of the mother. While occurrence data
Include only events that occurred within Massachusetts, resident data for births and
deaths include those which may or may not have occurred in Massachusetts.
CRUDE RATES OF VITAL EVENTS:
BIRTH RATE
No. of Resident Live Births x 1,000
Total Resident Population
FETAL MORTALITY RATE
Number of Resident Fetal Deaths
X 1,000
Resident Live Births + Resident Fetal Deaths
INFANT MORTALITY RATE
No. of Resident Deaths <1 Year x 1,000
Resident Live Births
NEONATAL MORTALITY
RATE
No. of Resident Deaths <28 Davs x 1 ,000
Resident Live Births
DEATH RATE
No. of Resident Deaths x 100,000
Total Resident Population
MARRIAGE RATE
No. of Occurrence Marriages x 1,000
Total Resident Population
DIVORCE RATE
No. of Occurrence Divorces x 1,000
Total Resident Population
4
Table A-1
SELECTED FACTS IN VITAL STATISTICS,
MASSACHUSETTS: 2004
Age Range of Fathers: 13-78
Sets of Twins: 1,747
Most Births Occurred on: June 2 (290 births)
Highest # of Births at: Brigham and Women's Hospital (8,864)
BIRTH
Sets of Triplets: 75
Age Range of Mothers: 13-61
Sets of Quadruplets: 4
Fewest Births Occurred on: December 26 (124 births)
Lowest # of Births at: North Shore Birth Center (80)
Twenty Most Popular Names for Boys
Twenty Most Popular Names for Girls
Boys' Names
Michael
Ryan
Matthew
Nicholas
William
Andrew
John
Joseph
Daniel
Jacob
Number
740
711
710
598
548
541
525
516
500
487
Boys' Names
Joshua
Christopher
Alexander
Tyler
Jack
Anthony
Benjamin
James
Ethan
Samuel
Number
472
470
466
465
455
449
449
430
404
398
Girls' Names
Emily
Emma
Olivia
Abigail
Isabella
Julia
Ava
Grace
Madison
Sarah
Number
569
546
532
426
426
387
386
386
372
372
Girls' Names
Sophia
Samantha
Hannah
Elizabeth
Ella
Ashley
Lily
Lauren
Anna
Caroline
Number
351
331
324
293
258
254
237
236
231
225
DEATH
Male Decedents 100 Years and Older: 62
Most Deaths Occurred on: January 13 (215 Deaths)
Month Most Suicides Occurred: June (41 Deaths)
Female Decedents 1 00 Years and Older: 453
Fewest Deaths Occurred on: June 19 (95 Deaths)
Month Most Homicides Occurred: July & August (20 Deaths each)
Month Most Motor Vehicle Deaths Occurred: August (47 Deaths)
MARRIAGE
Ages of Men with Female Spouses: 16-96 years (average:34.7)
Ages of Men (first marriage) w. Female Spouses: 16-96
(average:30.5)
Ages of Men with Male Spouses: 18-89 years (average 44.7)
Most Popular Month for Marriages: June (5,783)
Most Marriages Occurred on: September 18 (928)
Greatest Age Difference When Male Older than Female: 48 years
Greatest Age Difference Between Two Men: 37 years
years
Ages of Women with Male Spouses: 15-88 years (average:32.3)
Ages of Women (first mamage) w. Male Spouses: 15-80
(average:27.8)
Ages of Women with Female Spouses: 18-86 years (average 43.8)
Least Popular Month for Marhages: January (1 ,1 93)
Fewest Marriages Occurred on: April 19 (5)
Greatest Age Difference When Female Older than Male: 37 years
Greatest Age Difference Between Two Women: 28
years
DIVORCE
Length of Marriages involved in Divorces: < 1 Year to 59 Years of Marriage
Month Most Divorces Granted: January (1,433)
Most Common Length of Marnage Prior to Divorce: 7 years
Month Fewest Divorces Granted: May (971)
5
Figure A-1
2004 Massachusetts Daily Vital Events
Each day in 2004, Massachusetts residents had approximately:
215
Live
Births
114
Marriages
36
Cancer
Deaths
1
Infant
Death
7
Injury
Deaths
149
Deaths
39
Divorces
38
Heart
Disease
Deaths
1
Fetal
Death
1
AIDS
Death
6
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9
Table A-3.
Massachusetts Resident Births and Deaths with Resultant Natural
Increase
Selected Years: 1900-2004
K.I o t ■ 1 1'o 1
INdlUral
r\dic/ 1 ,uuu
Year
Dinns
uedins
increase
Residents
1900
/ o.oob
0 1 . 1 OD
7.9
1905
75,022
50,486
24,536
8.2
1910
86,539
54,407
32,132
9.5
1915
93,155
53,131
40,024
10.8
1920
y 1 ,t5oy
op 007
00, Zz /
9.9
1925
86,014
51,890
34,124
8.2
1930
73,690
49,503
24,187
5.7
1935
62,416
49,634
12,782
2.9
1940
Do.ooy
ou.oyo
R7^
3.4
1945
76,455
50,763
25,692
5.7
1950
95.619
50,359
45,260
9.6
1955
109,610
53,386
56,224
11.6
1960
1 1 1 0
OD,v3DU
0 / ,hOO
11.2
1965
1 no ofio
cp pco
1 ,'Hjy
7.8
1970
yo.ooz
"IC COP
OD,D>3C3
6.4
1975
68,070
53,708
14,362
2.5
1 Z,09 1
O't , y o^t
0.1
1981
7-3 QOn
cn pi o
0-1 117
zl , 1 T /
3.7
1982
1 o, 1
RR7
00 PPO
ZZ,OOZ
4.0
1983
7(2
OH, 1 OU
01 PP1
zl ,oo1
3.8
1984
78,197
55,189
23,008
4.0
1985
81,781
55,597
26,184
4.5
1986
PO -ICQ
oz, loo
oo,oou
oc onp
4.5
1987
cc ceo
00,ODZ
OP 7PO
Zo, / 00
4.9
1988
op n>i7
CC ACT?
v5D,'tU /
0-1 C/1 n
o\ ,d4U
5.4
1989
91,314
53,748
37,566
6.4
1990
92,461
53,008
39,453
6.6
1991
pp •17C
DO, 1 /D
CO n-i n
0 c -1 cc
5.8
1992
0 / ,^U^
00 ooo
5.5
1993
cc CC7
00,00 /
on A-7n
zy,070 •
4.8
1994
83,758
54,914
28,844
4.7
1995
81,562
55,296
26,266
4.3
1996
pn i(v4
OU, 1 D*t
cc -t p7
OO, 1 0 /
0/1 077
4.0
1997
pn "^oi
OH,DO't
OC CO"?
zo,bo7
4.1
1998
81,406
55,204
26,202
4.2
1999
80,866
55,763
25,103
4.0
81,582
56,591
24,991
o.y
2001
81,104
56,733
24,371
3.8
2002
80,624
56,881
23,743
3.7
2003
80,167
56,194
23,973
3.7
2004
78,460
54,419
24,041
3.7
10
Table A-4A. Vital Events by Month, Massachusetts Residents: 2004
Fetal Infant Neonatal
Births
Deaths^
Deaths
Deaths^
Deaths^
Marriages
Divorces
Totals
78,460
416
54,419
376
291
41.571
14.137
January
if-
D,
o,ouy
oo
Z1
1 ,1 bo
i '3 '3
Rank
9
2
1
1
11
12
1
February
#
D,(J/y
Ol
4,tDl O
oo
24
A COO
1 ,DZZ
1 ,Ub1
Rank
12
8
4
1
7
10
1 1
March
■u
D.bOl
4, / OO
ol
*! >! 70
1 ,4/Z
1 ,ooy
Rank
5
11
3
6
1
1 1
2
April
M
b,44z
4,0oD
OU
zo
Z,1 00
i i 7*5
Rank
1 \cii ir\
8
5
6
7
5
7
7
May
#
D.b/D
4y
4,zzy
o4
ZD
0,41 0
Rank
4
1
g
3
4
2
12
June
#
6,807
38
4,uyu
oU
oo
ZZ
0, /OO
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Rank
3
4
12
7
10
1
10
July
#
7,089
ZD
4,Z / tL
zy
07
Z/
0,UZ/
•1 ooc
1 ,ZZO
Rank
1
12
8
10
1
4
3
August
#
D,yuo
O 1
1 oo
90
zo
4 q'=;r
*T,i?OD
1 1 Rt^
1 , 1 oo
Rank
2
Q
lU
0
c
0
0
September #
6,555
41
4,136
33
23
4,827
1,180
Rank
6
3
11
5
8
6
6
October
#
6,511
31
4,545
34
27
5,056
1,162
Rank
7
8
5
3
1
3
8
November #
6,245
32
4,438
26
21
2,149
1.133
Rank
10
7
7
12
11
8
9
December
#
6,173
33
4,806
30
23
1,915
1,197
Rank
11
5
2
7
8
9
4
Yetal deaths are not included in Births or Deaths. ^Infant deaths and neonatal deaths are included in total resident deaths;
neonatal deaths are included in infant deaths.
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23
BIRTHS
SECTION B
BIRTHS
There were 78,460 live births to Massachusetts residents in 2004, a 2.1% decrease from the
80,167 resident live births in 2003. Live births to Massachusetts residents include all
births to Massachusetts residents, regardless of the state in which the births occurred.
Most data presented in this section are resident data. Table B-20 presents births by
licensed maternity facility of occurrence, which includes births to women who live in other
states. Counts and rates in this report may differ slightly from previously published
reports due to updating files and population estimates.
OCCURRENCE BIRTHS
In 2004, 79,438 births occurred in Massachusetts. All but 312 births occurred at the 52
licensed maternity facilities in this state. The number of babies delivered at these
maternity facilities ranged from 80 at the North Shore Birth Center in Beverly to 8,864 at
Brigham and Women's Hospital in Boston. The four hospitals with the greatest numbers
of births were Brigham and Women's Hospital (8,864), Beth Israel Deaconess Medical
Center (5,219), UMass Memorial Medical Center (4,480), and Baystate Medical Center
(4,200). Births from these hospitals represented 28.7% of all births occurring in
Massachusetts. The distribution of Massachusetts births by hospital size is presented
below.
2004 DISTRIBUTION OF MASSACHUSETTS
• OCCURRENCE BIRTHS BY FACILITY
NUMBER OF
BIRTHS AT
HOSPITAL
NUMBER OF
HOSPITALS IN
CATEGORY
TOTAL NUMBER
OF BIRTHS IN
CATEGORY
%0F
TOTAL
BIRTHS
<500
10
2,036
2.6
500-999
14
9,932
12.5
1000-1499
10
12,770
16.1
1500-1999
7
12,315
15.5
> 2000
11
42,073
53.0
All other^
312
0.4
TOTAL
52
79,438
100.0^
'' Includes hospitals without maternity units, home births, births en route to hospital and births occurring in a doctor's office/clinic.
^ Percents do not sum to 100.0 due to rounding.
25
BIRTHS BY RACE/ETHNICITY
There are two points to keep in mind when analyzing 2004 data by race/ethnicity. First,
since June 1986, information on both race and ethnicity rather than just race has been
collected. This provides improved data, particularly for Hispanic births. Presented for
comparison below are resident birth data for calendar years 2003 and 2004, utilizing
maternal race and Hispanic ethnicity information:
RACE AND HISPANIC ETHNICITY OF MOTHER
2003 - 2004
MATERNAL
RACE/ETHNICITY
2004
2003
CHANGE
(2003-2004)
TOTAL
BIRTHS
%OF
BIRTHS
TOTAL
BIRTHS
%0F
BIRTHS
White non-Hispanic
55,321
70.5
57,604
71.9
-2,283
Black non-Hispanic
6,053
7.7
5,902
7.4
151
Hispanic
9,801
12.5
9,764
12.2
37
Asian
5,453
7.0
5,224
6.5
229
Other^
1,729
2.2
1,548
1.9
181
Unknown^
103
0.1
125
0.2
-22
TOTAL'
78,460
100
80,167
100
-1,707
^ Other races include American Indian, Hawaiian, and Other.
^ Unknown race: mothers did not indicate a race/ethnicity.
The other point which must be considered is the method used to present data by
race/ethnicity. Massachusetts follows the recommendation from the National Center for
Health Statistics (NCHS) for classifying race/ethnicity on the birth certificate according to
the self-reported race/ethnicity of the mother. Beginning with 1989 births, birth data are
presented by race/ethnicity of the mother only.
TEEN BIRTHS
The number of births to mothers ages 15-19 decreased slightly from 4,639 in 2003 to 4,559
in 2004. The teen birth rate declined from 22.6 to 22.2 births per 1,000 women ages 15-19
during these years. The percentage of total births to women under age 20 continues to
decrease markedly, from a peak of 12.7% in 1975 to 5.8% in 2004.
26
BIRTHS BY MARITAL STATUS
The percentage of births to unmarried women increased from 27.8% of all resident births
in 2003 to 28.5% of all resident births in 2004. Over 90% of the mothers under the age of
20 were unmarried while 24.5% of the mothers who were 20 years of age or older were
unmarried. The generally upward trend in percent of unwed mothers continues from
prior years, and developments in state law that in 2004 made marriage available to some
for whom it was previously prohibited do not have a statistically significant impact. In
2004 there were 56 women who gave birth to 61 infants (singletons and twins) who listed
a spouse of the same gender.
BIRTHS BY AGE OF MOTHER
The largest percentage increases in births between the years 2003 and 2004 (14.5%) were
to mothers in the 45 and over age group, as shown below. This percentage is based on
relatively few births and should be interpreted with caution.
AGE OF
MOTHER
NUMBER OF
BIRTHS
2004
NUMBER OF
BIRTHS
2003
DIFFERENCE IN
THE NUMBER OF
BIRTHS
2003-2004
PERCENTAGE
CHANGE
2003-2004
< 20
4,601
4,695
-94
-2.0
20-24
11,670
11,894
-224
-1.9
25-29
17,914
18,436
-522
-2.8
30-34
25,804
26,829
-1025
-3.8
35-39
14,977
14,889
88
0.6
40-44
3,308
3,260
48
1.5
>45
182
159
23
14.5
In 2004 there were 4 mothers with missing age information.
BIRTHS BY CAESAREAN SECTION
The number of Caesarean section deliveries to Massachusetts residents increased from
23,392 in 2003 to 24,295 in 2004, an increase of about 3.9%. Caesarean section was the
method of delivery for 31.0% of the 2004 resident births, compared to the 29.3% of
Caesarean section deliveries in 2003. (Calculations are based on births with known
method of delivery.)
27
HOSPITAL PROFILES
The following is a synopsis of hospital data, some of which is presented in Table B-21.
• In 2004, 79,438 bjrths occurred in Massachusetts, a decrease of 15.9% since 1990.
Caesarean section was the method of delivery for 31.1% of 2004 births.
(Calculations are based on births with known method of delivery.)
• In 2004, eight hospitals had Caesarean section delivery rates of 36.0% or more
Caritas Holy Family Hospital and Medical Center (40.3%), Tufts - New England
Medical Center Hospital (40.3%), Caritas St. Elizabeth's Medical Center of Boston
(39.9%), Beth Israel Deaconess Medical Center (38.1%), Newton - Wellesley Hospital
(37.6%), Metrowest Medical Center in Framingham (36.7%), Melrose-Wakefield
Hospital (36.2%), and Morton Hospital (36.0%).
• Statewide, the lowest rates of Caesarean section deliveries were at the following
hospitals: Nantucket Cottage Hospital (17.5%), Tobey Hospital (20.4%), Holyoke
Hospital (21.4%), Heywood Memorial Hospital (21.5%), Berkshire Medical Center
(22.3%), Mercy Medical Center (22.7%), Mount Auburn Hospital (23.0%), Franklin
Medical Center (23.8%), Cooley Dickinson Hospital (25.2%), Boston Medical Center
(25.7%), Anna Jaques Hospital (25.8%), Saint Vincent Hospital (25.8%), and
Leominster Hospital (26.1%).
• In 2004, at least 10% of the births in six hospitals were low birthweight. These
hospitals were: Tufts - New England Medical Center Hospital (26.1%), Baystate
Medical Center (13.2%), Caritas St. Elizabeth's Medical Center (13.2%), Beth Israel
Deaconess Medical Center (12.3%), Brigham and Women's Hospital (11.3%), and
UMass Memorial Medical Center - West Campus (10.8).
• In nine hospitals, 50% or more of the deliveries were paid with public funds: Boston
Medical Center (83.0%), Cambridge Hospital (72.1%), Holyoke Hospital (64.9%),
Lawrence General Hospital (61.3%), Brockton Hospital (60.6%), Mercy Medical
Center (58.3%), St. Luke's Hospital (57.0%), Mary Lane Hospital (53.8%), and North
Adams Regional Hospital (51.7%). In four facilities, less than 10% of deliveries were
paid with public funds: Saint Vincent Hospital (8.5%), Winchester Hospital (5.2%),
Emerson Hospital (3.4%), and Newton-Wellesley Hospital (2.5).
• In 2004, 26 of the 52 hospitals exceeded the state-wide average (84.2%) for
adequacy of prenatal care for their patients. The three maternity facilities with the
lowest reported rate of women who had received adequate prenatal care were:
Boston Medical Center (53.9%), Tobey Hospital (62.8%), and UMass Memorial
Medical Center - West Campus (63.8%).
LOW BIRTHWEIGHT INFANTS
The percentage of low birthweight infants (less than 2,500 grams or 5.5 pounds) increased
slightly from 7.6% in 2003 to 7.8% in 2004. The number of low birthweight deliveries
increased from 6,115 births in 2003 to 6,125 births in 2004.
28
DEFINITIONS IMPORTANT FOR THIS SECTION INCLUDE:
ADEQUACY OF PRENATAL CARE UTILIZATION
Beginning in 2001, adequacy of prenatal care is being measured using a new method.
The Adequacy of Prenatal Care Utilization (APNCU) Index, developed by Dr. Milton
Kotelchuck, replaced the Kessner Index. The APNCU Index is the standard used in
Healthy People 2010 and by the majority of states. It improves upon the Kessner Index
in various ways, the most important being the ability to distinguish between inadequate
prenatal care due to the timing of initiation and inadequate care due to insufficient
prenatal care visits. The APNCU Index also improves upon the Kessner Index by
correcting some of its principal faults. First, the APNCU Index more accurately assesses
adequacy of visits for term pregnancies; the Kessner Index characterizes 9 or more
visits as adequate, due to an early computer database limitation, which only allowed for
a single-digit number to record prenatal care visits. Other limitations of the Kessner
Index include its bias towards measurement of adequacy of initiation of care, and its
various computational algorithms based upon inadequate initial documentation.
Below are the definitions for the APNCU Index categories and its two component indices
(initiation and received services), and the definition of the Kessner Index categories.
Also following is a short summary of the major differences in classification of adequacy
of prenatal care using the Kessner Index and the APNCU Index.
Adequacv of Prenatal Care Utilization (APNCU) Index; Definition of Categories
Category
Month Prenatal Care
Began
% of Expected^
Prenatal Care
Adequate intensive
1, 2, 3, or 4
110% or more
Adequate Basic
1, 2, 3, or 4
80-109%
Intermediate
1, 2, 3, or 4
50 - 79%
Inadequate
Month 5 or later
Less than 50%
Unknown
Prenatal care information not recorded
1 . The number of "expected" visits is determined based on standards set by the American College of Obstetricians and
Gynecologists (AGOG). •
29
Component Indices of the APNCU Index: Definitions of Categories
Adequacy of Initiation Index
Category
Month Prenatal Care Began
Adequate Intensive
1 or 2
Adequate Basic
3 or 4
Intermediate
5 or 6
Inadequate
Month 7 or later, or no PNC
Unknown
Prenatal care initiation information not recorded
Adequacy of Received Services (Visits) Index
Category
% of Expected^ Prenatal Care Visits
Adequate Intensive
110% or more
Adequate Basic
80- 109%
Intermediate
50 - 79%
Inadequate
Less than 50%
Unknown
Information on prenatal care visits not recorded
1 . The number of "expected" visits is determined based on standards set by the American College of Obstetricians and
Gynecologists (ACOG).
Kessner Index of Adequacy of Prenatal Care: Definition of Categories
Category
Trimester Care Began
Number of Visits
Adequate
1
9 or more
Intermediate
1
5-8
2
5 or more
Inadequate
1
1-4
2
1-4
3
1 or more
No Prenatal
0
Unknown
Unknown
Unknown
Summary of Major Differences in Categorization of Adequacy of Prenatal Care between the
Kessner Index and the APNCU Index
The two different methods used in the Kessner Index and APNCU Index to calculate
adequacy of prenatal care can result in differences in how each one classifies adequacy
of prenatal care. These differences only occur under certain conditions, not in all cases
(see "Explanation" column).
30
The Kessner Index
classifies prenatal care
as...
... but the APNCU Index
classifies prenatal care as
Explanation
Intermediate
Adequate Basic
This is primarily due to the fact that
the APNCU Index allows for
prenatal care in the 4'^ month of
pregnancy to be considered
adequate if the mother received 80-
109% of expected visits, whereas
the Kessner Index only allows for
care begun in the first trimester
(months 1-3) to be considered
adequate.
Intermediate
Inadequate
This is primarily due to the fact that
the APNCU categorizes any
prenatal care beginning after month
4 as "inadequate" whereas the
Kessner Index allows for care
beginning in months 5 or 6 with 5
or more visits to be "intermediate."
Adequate
Intermediate
This is primarily due to the
consideration of "expected" visits
(based on when the mother
initiated care and the length of
gestation) using the APNCU Index,
which bases expected visits on the
ACOG recommendations, which
can be as high as 14 visits if a
gestational period is 40 weeks,
whereas the Kessner Index
considers 9 visits sufficient in all
cases.
Adequate
Adequate Intensive
The APNCU Index added an
"Adequate Intensive" category,
which is not used in the Kessner
Index. This allows analysis of
situations in which more than
normal care is received (e.g.
women with high risk conditions,
pregnancy complications).
31
ANCESTRY
A self-reported item
listed are:
Puerto Rican
Dominican
Mexican
Cuban
Columbian
Salvadorian
Other Central Amer.
Other South Amer.
Other Hispanic
Chinese
on the birth certificate, with listings and an open text field. The items
Cambodian
Asian Indian
Korean
Filipino
Japanese
Laotian
Pakistani
Thai
Hawaiian
Other Asian/Pac. IsL
Cape Verdean
Brazilian
Other Potuguese
Haitian
Jamaican
Barbadian
African American
Nigerian
Other African
Lebanese
Iranian
Israeli
Other Mid. Eastern
Native American
European
Other
Other West Indian / Caribbean
BIRTH CERTIFICATE
A vital record signed by an informant that includes the infant's name, sex, birth date, place
of residence, and place of occurrence.
BIRTHWEIGHT
The weight of an infant recorded at the time of delivery. It may be recorded in either
pounds/ounces or grams. If recorded in pounds/ounces, it is converted to grams for use
in this report
1 pound = 453.6 grams
1,000 grams = 2 pounds, 3 ounces
BIRTHWEIGHT CATEGORIES
Normal birthweight (NBW)
Low birthweight (LBW)
Very low birthweight (VLBW)
CAESAREAN SECTION or C-SECTION
An infant's weight of 2,500 grams (5.5
pounds) or more recorded at birth.
An infant's weight of less than 2,500 grams
(5.5 pounds) recorded at birth.
An infant's weight of less than 1,500 grams
(3.3 pounds) recorded at birth.
Primary: A mother's first Caesarean section delivery.
Repeat: A Caesarean delivery that has been preceded by at least one Caesarean delivery.
COMMUNITY HEALTH NETWORK AREAS (CHNA)
The Department of Public Health, in collaboration with health service providers, coalition
members, and other interested citizens, has designated 27 geographic areas for
community health planning. The Department of Public Health has fostered in each of these
32
areas the development of Community Health Networks: a consortia of health care
providers, human service agencies, schools, churches, youth, parents, elders, advocacy
groups, and individual consumers to address the health needs of the community. These
community coalitions will participate in monitoring outcomes and the progress of
strategies and responses to those health needs. The data published in this edition reflect
the new definitions of CHNAs instituted in January 1997.
A Community Health Network Area (CHNA) is defined as an aggregation of cities and
towns. It is hoped that fhe networks will mobilize around key health issues impacting the
community, promote prevention efforts, enhance access to health care, provide
opportunities for more collaboration among agencies, and create a client-centered,
outcome-oriented health service delivery system. Community Health Networks will also
promote efficiency in service delivery by working to reduce duplication and overlap, and
by identifying gaps in service.
ETHNICITY
See Race.
FOREIGN-BORN WOMEN
Women not born in the United States, its possessions or protectorates. Women born In
Puerto Rico, the US Virgin Islands, and Guam are not foreign-born.
HEALTHY START
A Massachusetts-funded program providing services and financing for prenatal care to
low-income pregnant women who lack health insurance, but do not qualify for Medicaid.
INFANT
A child whose age is less than one year (365 days).
Interpreqnancv Interval (IPI)
Interpregnancy interval is the time, in months, between the date of last menstrual period
of current pregnancy and the date of previous live birth. IPI is calculated for each
mother currently giving birth to their second or later child.
Number of mothers giving birth to their 2"^^ or later child with IPI
%Short IPI <12 months
= Number of mothers giving birth to their 2"^ or later child in the
same year
% IPI
Number of mothers giving birth to their 2"^* or later child with IPI
X 100
between 12 and 35 months X 100
*u Number of mothers giving birth to their 2"*^ or later child in the
months
same year
33
Number of mothers giving birth to their 2"*^ or later child with IP!
% IPI = >=36 months ^
36+ months Number of mothers giving birth to their 2"" or later child in the
same year
LIVE BIRTH
A live birth is any infant who breathes or shows any other evidence of life (such as beating
of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles)
after separation from the mother's uterus, regardless of the duration of gestation.
LOW BIRTHWEIGHT (LBW)
See Birthweight Categories.
NEONATAL
Referring to a child under 28 days of age.
NORMAL BIRTHWEIGHT (NBW)
See Birthweight Categories.
OCCURRENCE BIRTH
A birth occurring in the Commonwealth of Massachusetts, regardless of the residency of
the mother. In Massachusetts, the place will be one of the 351 cities or towns. See
Resident Birth.
PARITY
Total number of live births, including the present birth, ever born to the mother.
PLURALITY
The number of births to a woman produced in the same gestational period. A singleton is
the birth of one infant, twins represent the births of two infants, etc.
POSTNEONATAL
Referring to a child whose age is at least 28 days, but less than one year.
PRETERM
Referring to a child born before the 37*^ week of gestation.
34
PRIMARY CAESAREAN SECTION or C-SECTION
See Caesarean Section.
RACE
Race of mother: For data presented in this publication, mother's race is as reported by the
infant's mother. The tables that use race or ethnicity in this document all refer to the
mother's race or ethnicity.
Ethnicity: Beginning in 1986, an identifier for Hispanic and other ethnicities was added to
the birth certificate. Prior to this change, most Hispanics were included with Whites and it
was not possible to accurately calculate Hispanic-specific rates of natality.
REPEAT CAESAREAN SECTION or C-SECTION
See Caesarean Section.
RESIDENT BIRTH
The birth of an infant whose mother reports that her usual place of residence is in
Massachusetts. In Massachusetts, a resident is a person with a permanent address in one
of the 351 cities or towns. Vital statistics data may be presented in terms either of
residence or occurrence. Unless otherwise noted, all data in this publication are resident
data. Resident data include all events that occur to residents of the Commonwealth,
wherever they occur. Occurrence data include all events that occur within the state,
whether to residents or non-residents. There is an exchange agreement among the 50
states, Canada, Puerto Rico, Guam, the Virgin Islands, and the District of Columbia that
provides for exchange of copies of birth and death records. These records are used for
statistical purposes only, and allow each state or province to track the births and deaths of
its residents.
VAGINAL BIRTH AFTER CAESAREAN (VBAC)
A vaginal delivery of an infant to a mother who has had at least one prior Caesarean
section delivery.
VERY LOW BIRTHWEIGHT (VLBW)
See Birthweight Categor"ies.
35
RATES IMPORTANT FOR THIS SECTION INCLUDE:
AGE-SPECIFIC BIRTH RATE
CRUDE BIRTH RATE
GENERAL FERTILITY RATE
CAESAREAN SECTION or
C-SECTION RATE
No. of Resident Live Births for a
Specific Age Group of Mothers x 1,000
Total Female Population of That
Specific Age Group
No. of Resident Live Births x 1,000
Total Resident Population
No. of Resident Live Births x 1,000
Total Female Population of
Childbearing Age (15-44)
No. of Resident Births Delivered by C-Section x 100
Number of Resident Births Total
36
Figure B-1. Daily Birth Statistics, Massachusetts: 2004
Every day in 2004, residents of iVIassachusetts experienced an average of:
215 Births
67 Births by Cesarean Section
I
k r ♦!
51 Births to women aged 35 or older
36 Births with less than adequate
prenatal care
17 Births weighing less than 2500 grams
or 5 lbs. 8 oz. (low birthweight)
12 Births to women aged 15 through 19
37
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Table B-4. Age-Specific and Crude Birth Rates, Massachusetts: 1990 and 2004
1990 2004
Percent Change
Mother's Age
Births^
Rate
Births
Rate^
In Rate
10-14
124
1.3
42
0.3
-76.9
15-19
7,258
35.1
4,559
22.2
-36.8
20-24
18,115
69.5
11,670
56.8
-18.3
25-29
29,913
107.2
17,914
81.2
-24.3
30-34
ZD, bo/
yo.y
1U3.1
y.o
35-39
9,795
40.1
14,977
54.6
36.2
40-44
1,522
6.9
3,308
12.4
79.7
45+'
46
0.3
182
0.7
133.3
Birth rate, ages
15-44'
92,290
62.2
78,232
55.0
-11.6
Crude Birth
Rate'
92,461
15.4
78,460
12.4
-19.5
NOTE: All percentages are calculated based on only those births with known values for the charactehstic(s) of interest, unless
otherwise stated.
1 . Differences in the number of births from previous publications are the result of updating of the birth files. The number of births for all
age groups does not always add to the total number of births as mother's age is sometimes not recorded on the birth certificate.
2. 2004 birth rates are calculated using DPH 2000 population estimates, based on U.S. Census 2000 population counts
3. Denominator is female population ages 45-49. 4. Rate represents the total number of births to women age 1 5-44 per 1 ,000 women
age 15 to 44. 5. Births per 1,000 residents (male and female). Includes births to mothers of all age groups and mothers for whom age
is unknown.
47
Figure B-4. Trends in the Number of Births by Mother's Age Group^
Massachusetts: 1980-2004
60.000 X
•0,000 --
0 -J 1 1 1 1 1 1 i 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
•B80 -BSI V&2 mz -BBA -885 ^66 -987 -888 •B89 -990 -891 -892 -893 "894 -895 -896 V97 -898 -899 2000 2001 2002 2003 2004
Year
48
Figure B-5. Percent of Mothers Breastfeeding or Intending to Breastfeed^
by Age Group, Massachusetts? 2004
o
a.
10-14 15-19 20-24 25-29 30-34 35-39 40-44 45+ Total
Age Group of Mother (in years)
NOTE: All percentages are calculated based on only those births with known values for the characteristic(s) of interest, unless
otherwise stated.
1 . Information about breastfeeding is reported by the mother at the time of the birth.
2. For race-specific breastfeeding rates see Table B-2A.
49
Figure B-6. Percent of Mothers who Smoked During Pregnancy^
by Mother's Race/Hispanic Ethnicity and Educational Attainment,
Massachusetts: 2004
c
a>
u
a>
a.
50
40
30
20
10
0
Massachusetts Total
18.8
^_ 13.8
7.8
7.4
1.1
0.5
Less than High School Some College More than
High School Graduate College Graduate College
TOTAL
White non-Hispanic
36.4
5 20 -
10
18.9
1
9.0
■
1.3
8.4
Less than
High
Some
College
TOTAL
High
School
College
Grad or
School
Graduate
More
c
9)
a
Q.
50 -]
40 -
30
20
10
0
Black non-Hispanic
14.4
7.8
5.8
6.8
0.5
Less than High Sonne College TOTAL
High School College Grad or
School Graduate More
50 n
40 -
c
30 -
«
a
0)
20 -
Q.
10 -
0 -
8.4
Hispanic
5.4
3.9
0.4
Less than High Some College
High School College Grad or
School Graduate More
5.7
TOTAL
50n
Asian^
40-
c
0)
u
30 ■
0)
CL
20 -
10 -
5.6
2.6
1.9
0.2
1.5
0 -
Less than
High
Some
College
TOTAL
High
School
College
Grad or
School
Graduate
More
NOTE: All percentages are calculated based on only those births with known values for the characteristic(s) of Interest, unless otherwise stated.
1 Based on Information provided on parent worksheet. Because smoking is self-reported, data on smoking prevalence should be interpreted cautiously.
Mothers with multiples are counted for each birth. 2. Caution should be used with Asian data because of small numbers.
50
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15
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? OS
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o o
si
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51
Table B-5. Parity^ by Age of Mother, Massachusetts: 2004
Age of Mother (years)
Total Births
1st
2nd
3rd
4th
5th+
STATE TOTAL
2
n
78,460
34,702
27,053
11,139
3,538
1,838
/o
100.0
44.3
34.6
14.2
4.5
2.3
10-14
n
42
41
1
0
0
0
/O
100.0
97.6
2.4
0.0
0.0
0.0
15-19
n
4,559
3,909
561
69
5
0
0/
100.0
86.0
12.3
1.5
0.1
0.0
20-24
n
1 1 ,670
6,561
3,627
1,132
240
76
0/
70
100.0
56.4
31.2
9.7
2.1
0.7
25-29
n
17,914
8,766
5,802
2,262
720
317
%
100.0
49.1
32.5
12.7
4.0
1.8
30-34
n
25,804
10,093
10,060
3,823
1 ,158
619
%
100.0
39.2
39.1
14.8
4.5
2.4
35-39
n
14,977
4,314
5,813
3,179
1,084
557
%
100.0
28.9
38.9
21.3
7.3
3.7
40-44
n
3,308
935
1,135
656
317
254
%
100.0
28.4
34.4
19.9
9.6
7.7
45+
n
182
80
54
18
14
14
%
100.0
44.4
30.0
10.0
7.8
7.8
NOTE; All percentages are calculated based on only those births with known values for the characteristic(s) of
interest, unless otherwise stated.
1. The number of live births including this birth. 2. State totals include births of unknown parity and unknown
mother's age. 3. Percents may not sum to 100.0 due to rounding.
52
Table B-6.
Trends in Number and Percent Distribution of Births^ by Plurality and Age,
Massachusetts
1991
-2004
Singletons
Multiples^
Total births
Twins
Triplets or more
Total Multiples
Age
Group Year
n
%
n
%
n
%
n
%
1 1
/o
All A ~ ^ .
All Aqes
1991
85,802
97.3
2 285
2.6
89
0.1
2,374
2.7
OC3, 1 lO
1 nn n
1 uu.u
1992
84,722
97.2
2 347
2.7
133
0.2
2,480
2.8
0 / ,Z\jZ
1 nn n
1 UU.U
1993
82,055
97.0
2 "^67
2.8
205
0.2
2,572
3.0
1 nn n
1 UU.U
1994
81,187
96.9
7 357
2.8
214
0.3
2,571
3.1
Bo, / 00
•1 nn n
1 UU.U
1995
78,935
96.8
2 42Q
3.0
198
0.2
2,627
3.2
fit f^ftO
d 1 ,OaZ
1 nn n
\ UU.U
1996
77,355
96.5
2 621
3.3
194
0.2
2,815
3.5
OU, 1
1 nn n
1 UU.U
1997
77,203
96.1
2,856
3.6
262
0.3
3,118
3.9
80,321
100.0
1998
78,004
95.8
3,114
3.8
288
0.4
3,402
4.2
81,406
100.0
1999
77,473
95.8
3J47
3.9
246
0.3
3,393
4.2
80,866
100.0
2000
78,075
95.7
3,263
4.0
244
0.3
3,507
4.3
81,582
100.0
2001
77,409
95.6
0,0/ 1
4.2
234
0.3
3,605
4.4
81,014
100.0
2002
76,673
95.1
o, / Do
4.6
243
0.3
3,951
4.9
80,624
100.0
2003
76,367
95.3
o,ool
4.4
249
0.3
3,800
4.7
80,167
100.0
2004
74,677
95.2
o coo
3,538
4.5
245
0.3
3,783
4.8
78,460
100.0
Aqes <35
1991
74,810
97.5
1 863
2.4
76
0.1
1,939
2.5
7P. 74Q
inn n
1 UU.U
1992
73,043
97.3
1 ,914
2.6
103
0.1
2,017
2.7
7*i nfiD
1 \J , VJUVJ
inn n
1 uu . u
1993
70,042
97.2
1 ,849
2.6
158
0.2
2,007
2.8
72,049
100.0
1994
68,644
97.2
1,844
Z.D
1 D'f
n 0
u./
Z,UUo
/.o
70^652
100.0
1995
65,669
97.2
1787
2.6
141
0.2
1,928
2.9
67,597
100.0
1996
DO,ODU
Q
1,935
2.9
126
0.2
2^061
3.1
65,621
100.0
1997
62,598
96.7
1,949
3.0
170
0.3
2,119
3.3
64,717
100.0
1998
62719
96.4
2,193
3.4
170
0.3
2,363
3.6
65,082
100,0
1999
61,816
96.4
2,147
3.3
150
0.2
2,297
3.6
64,113
100.0
2000
61,659
96.4
2,205
3.4
130
0.2
2,335
3.6
63,994
100.0
2001
60,704
96.3
2,21 1
3.5
134
0.2
2,345
3.7
fi? 049
inn n
1 uu . u
2002
59,736
96.0
^,0 / \7
3.8
127
0.2
2,506
4.0
DZ,Z4Z
1 nn n
1 UU.U
2003
59,347
95.9
2,389
3.9
118
0,2
2,507
4.1
61,854
100.0
2004
57,618
96.0
2,229
3.7
142
0.2
2,371
4.0
59.989
100.0
Aqes 35+
1991
10,987
96.2
3.7
13
0.1
435
3.8
1 1 AOO
1 1 i^ZZ
inn n
1 UU.U
1992
11,675
96.2
3.6
30
0.3
463
3.8
1 Z, 1 OO
1 nn n
1 uu. u
1993
12,007
95.5
518
4.1
47
0.4
565
4.5
19 ^70
1 nn n
1 uu . u
1994
12,543
95.7
51 3
3.9
50
0.4
563
4.3
1 ? 1 OR
1 O, 1 uo
1 nn n
1 uu . u
1995
13,264
95.0
642
4.6
57
0.4
699
5.0
13 963
100 0
1996
13,793
94.8
686
4.7
68
0.5
754
5.2
14,547
100.0
1997
14,602
93.6
907
5.8
92
0.6
999
6.4
15,601
100.0
1998
15,282
93.6
921
5.6
118
0.7
1,039
6.4
16,321
100.0
1999
15,657
93.5
1,000
6.0
96
0.6
1,096
6.5
16,753
100.0
2000
16,412
93.3
1,058
6.0
114
0.6
1.172
6.7
17,584
100.0
2001
16,703
93.0
1,160
6.5
100
0.6
1,260
7.0
17,963
100.0
2002
16,936
92.1
1,329
7.2
116
0.6
1,445
7.9
18,381
100.0
2003
17,015
92.9
1,162
6.3
131
0.7
1.293
7.1
18,308
100.0
2004
17,055
92.4
1,309
7.1
103
0.6
1,412
7.6
18,467
100.0
NOTE: All percentages are calculated based on only those births with known values for the charactenstic(s) of interest, unless otherwise stated-
1 . Differences in the number of births from previous publications are the result of updating of files. 2. Numbers of multiples (n) represent individual
infants rather than sets of infants.
53
Table B-7. Selected Birth Characteristics by Maternal Education, Massachusetts: 2004
Less than Hiqh
School
n
Hiqh School
Graduate
n %'
Some Colleqe
n
Colleqe
Graduate
n %'
More than
Colleqe
n
State Total
8,103
10.3
19,072
24.4
17,298
22,1
21,417
27.4
12,409
15.8
Race
White non-Hispanic
2,855
5.2
11.518
20.8
12,611
22.8
17,918
32.4
10,358
18.7
DiCllif r\ 1 t\Jl I I 1 lOli/Cll II w
842
13.9
2,234
36.9
1 ,870
30.9
842
13.9
263
Hicna nip
3,482
35.6
3,651
37.3
1 ,652
16.9
720
7.4
285
7 Q
Asian
610
1 1.2
989
18.2
797
14.6
1,685
30.9
1 ,367
Age
20-29
4,010
13.6
10,260
34.8
7,822
26.5
5,568
18.9
1 ,858
6.3
30-39
1,534
3.8
6,404
15.7
8,472
20.8
14,638
36.0
9,658
23.7
40+
148
4.3
557
16.0
702
20.2
1,180
33.9
891
25.6
Non-U.S.-born^
3,359
41.5
5,849
30.7
3,715
21.5
4,096
19.1
2,738
22.1
Unmarried
5,936
73.3
9,558
50.1
5,009
29.0
1,406
6.6
428
3.5
Publicly-financed prenatal care
6,546
82.4
10, 354
55.4
4,798
28.5
1,412
6.7
286
2.4
Very low birthweight^
142
1.8
307
1.6
237
1.4
312
1.5
140
1.1
Low birthweight^
774
9.6
1,640
8.6
1,303
7.5
1,555
7.3
834
6.7
Adequate prenatal care^
5,593
70.2
15,185
80.6
14,449
84.7
18,932
88.8
11,130
90.2
Cesarean section delivery
1,908
23.6
5,618
29.5
5,639
32.7
7,091
33.2
4,009
32.3
Breastfeeding^
5,094
63.6
13,029
69.3
12,882
76.4
18,524
88.0
11,135
91.6
Multiple births
189
2.3
670
3.5
788
4.6
1,320
6.2
801
6.5
Smoking during pregnancy
1,521
18.8
2,635
13.8
1,347
7.8
239
1.1
64
0.5
NOTE: All percentages are calculated based on only those births with known values for the charactenstic(s) of interest unless otherwise stated.
1, For state total, race and age categones, percentages are based on row totals. For all other categories, percentages are based on state column totals. 2. Includes women
born outside of the 50 U.S. States, Washington D.C., and Puerto Rico/U S. temtories ( the U.S. Virgin Islands, and Guam). 3. Very low birthweight: less than 1 ,500 grams or
3.3 pounds. 4. Low birthweight: less than 2,500 grams or 5.5 pounds. 5. Beginning with the 2001 publication, the Adequacy of Prenatal Care Utilization Index has replaced
the Kessner Index as the measure of adequate prenatal care. 6. Mother was breastfeeding or was intending to breastfeed at the time the birth certificate was completed.
54
Table B-8A. Interpregnancy Intervals^ (IPI) and Birth Outcomes.
Pregnancies to Multiparous^ Mothers, Massachusetts: 2004
Birth Weight (BW)
Gestational Aqe (GA)
Low Birthweight
Very Low
Preterm"*
Very Early^
IPI
Pregnancies^
(<2,500 g)
Birthweight
(<37 wk)
;<28 wk)
(months)
% LBW*
(<1,500 g)
n
n
% VLBW
n
% Preterm
n
/o VhVjA
State Total
41,373
2,189
5.3%
358
0.9%
2,889
7.0%
160
0.4%
<5
1,786
110
6.2
13
0.7
163
9.2
5
0.3
6-11
4,849
201
4.1
36
0.7
284
5.9
21
0.4
12-17
6,079
244
4.0
39
0.6
391
6.4
20
0.3
18-23
5,348
220
4.1
31
0.6
310
5.8
14
0.3
24-29
4,338
198
4.6
30
0.7
268
6.2
13
0.3
30-35
3,216
168
5.2
23
0.7
230
7.2
•1 A
10
A O
0.3
36-41
2,525
128
5.1
18
0.7
167
6.6
3
2
42-47
2,092
108
5.2
19
0.9
141
6.8
6
0.3
48+
11,140
812
7.3
149
1.3
935
8.4
68
0.6
Short < 12
6,635
311
4.7
49
0.7
447
6.8
26
0.4
12-35
18,981
830
4.4
123
0.6
1,199
6.3
57
0.3
36+
15,757
1,048
6.7
186
1.2
1,243
7.9
77
0.5
Note: 1. Interpregnancy Interval (IP!) is calculated in months between the date of last menstrual period of the current pregnancy and the date of
previous live birth, among pregnancies to multiparous mothers (parity >1). 2. Muciparous is defined as having given birth 2 or more times. 3. IPIs
are calculated based upon pregnancies rather than births, i.e., multiple births are counted as 1 pregnancy. 4. Also known as premature delivery.
5. Very early gestational age (VEGA) refers to birth delivery before 28 weeks of gestation age and is also known as extremely pretenn delivery.
6. These are the row percentages, that is, the relevant column N/the row totals.
55
Table B-8B. Interpregnancy Interval (IPI) by Maternal Characteristics
Pregnancies to Multiparous Mothers^, Massachusetts: 2004
Total Pregnancies
Parity >1
N %
Short
(< 12 months)
N %
IPI
(12-35 months)
N %
(36+ months)
N %
btate Total
41,373
100%
6,635
16.0%
18,981
45.9%
15,757
38.1%
Age
<20
592
1.4
233
39.4
315
53.2
44
7.4
20-34
28,472
68.8
4,908
17.2
13,256
46.6
10.308
36.2
35+
12,309
29.8
1,494
12.1
5,410
44.0
5.405
43.9
Race Ethnicity
White non-Hispanic
29,000
70.1
4,899
16.9
14,533
50.1
9.568
33.0
Black non-Hispanic
3,354
8.1
495
14.8
1,109
33.1
1750
52.2
Hispanic
5,574
13.5
771
13.8
1,951
35.0
2,852
51.2
Asian non-Hispanic
2,583
6.2
355
13.7
1,091
42.2
1,137
44.0
Education
nign scnooi or less
14,904
36.0
2,230
15.0
5,422
36.4
7,252
48.7
College or some college
20,437
49.4
3.376
16.5
9,970
48.8
7,091
34.7
More than college
5,976
14.4
1,016
17.0
3,564
59.6
1^396
23.4
Delivery Payment Source
Public
12,877
31 .1
2,063
16.0
4,512
35.0
6,302
48,9
Private
27,342
66.1
4,366
16.0
13,905
50.9
9,071
33.2
EOHHS Region of Residency
Western
5,031
12.2
851
16.9
2,213
44.0
1,967
39.1
^jcnirai
5,889
14.2
948
16.1
2,625
44.6
2.316
39.3
Northeast
8,597
20.8
1,307
15.2
4,012
46.7
3,278
38.1
Metrowest
9,159
22.1
1,536
16.8
4,795
52.4
2,828
30.9
Southeast
8,050
19.5
1,345
16.7
3,556
44.2
3.149
39.1
Dosion
4,647
1 1 .2
648
13.9
1,780
38.3
2,219
47.8
1 own OT r\esiaency
10 Largest bv %
10 Larqest bv %
10 Larqest by %
Holyoke (21 .4%)
Needham (63.3%)
Chelsea (59.6%)
Attleboro (20.8%)
North Andover (62.9%)
Randolph (52.2%)
Mansfield (20.3%)
Newton (61 ,7%)
Everett (52.0%)
Pittsfield (19.1%)
Arlington (60.8%)
Lawrence (51 .8%)
Quincy (18.9%)
Marshfield (56.7%)
Revere (50.8%)
Westfieid (18.8%)
Natick (56.5%)
Lynn (49.6%)
Waltham (18.2%)
Peabody (56.0%)
Brockton (49.2%)
Springfield (18.2%)
Chelmsford (54.5%)
New Bedford (48.5%)
Natick (18.2%)
Brookline (54.2%)
Boston (47.2%)
Framingham (18.1%)
Franklin (53.9%)
Maiden (46.9%)
NOTE: Percentages are calculated based on pregnancies to mothers who gave birth to their 2" or later child in 2004 and with Known values for the characteristic(s) of
interest, unless otherwise stated.
1 . See Table B-8A. 2. Multiparous is defined as having given birth 2 or more times. 3. State total includes pregnancies with known IPI.
4. Among towns with at least 200 mothers giving birth to their 2nd or later child.
56
Figure B-8. Interpregnancy Interval (IPI)^ vs. LBW^ and Preterm^
Pregnancies to Multiparous Mothers^ iVIassachusetts: 2004
— y ' IP! (months)
Short IPI
NOTE: Percentages are calculated based on pregnancies to mothers who gave birth to their 2""" or later child in 2004 and with known values for
the charactenstic(s) of interest, unless otherwise stated.
1 . See Table B-8A.
2. Low birthweight: less than 2,500 grams or 5.5 pounds.
3. Preterm delivery is defined as gestational age less than 37 weeks. It is also known as premature delivery.
4. Multiparous is defined as having given birth 2 or more times.
57
I
Table B-9. Comparison of Massachusetts Perinatal Health Indicators
with Healthy People 2010 Objectives^
Heaitny people lu UDjectives
Massachusetts
nas iviassacnusens
(Focus Area 16: Maternal, Infant
and Child Health^)
HP2010
Target
2001
2002
2003
2004
achieved HP2010 target?
^ = YES
0 = NO, but within 25% of
target
• = NO, > 25% from target
Fetal, Infant, and Maternal Deaths
16-1 a. Fetal Mortality Rate^
4.1
4.7
4.6
5.7
5.3
•
16-1b. Perinatal Mortality Rate"
4.5
5.6
4.7
5.8
5.8
w
16-1c Infant Mortalitv Rate^
4.5
5.0
4.9
4.8
4.7
0
16-1d. Neonatal Mortality Rate^
2.9
3.8
3.7
3.6
3.7
•
16-1e, Postneonatal Mortality Rate^
1.2
1.2
1:2
1.2
1.1
✓
16-4. Maternal Mortality Ratio®
3.3
4.9
2.4
4.9
6.3
Risk Factors
16-10a. Low Birthweight^ (%)
5.0
7.2
7.5
7.6
7.8
•
16-1 Ob. Very Low Birthweight^° (%)
0.9
1.4
1.4
1.4
1.5
•
16-1 la. Preterm" (%)
7.6
8.0
8.5
8.7
9.2
0
Prenatal Care
16-6a. Care beginning in first trimester (%)
90.0
84.3
84.2
83.9
83.5
0
16-6b. Early and adequate care^^ (%)
90.0
85.2
85.0
84.5
84.2
0
Obstetrical Care
16-8. Very Low Birthweight^° Infants born
at Level IN Hospitals^^(%)
90.0
7Q 1
0 1
7Q 1
Rn 1
OU. 1
0
16-9a. Cesarean Sections; Low-Risk^''
Women Giving Birth for the First Time (%)
15.0
22.0
24.0
25.0
26.7
•
16-9b. Cesarean Sections; Low-Risk^"*
Women with Prior Cesarean Section (%)
63.0
79.2
84.2
86.7
87.9
Breastfeeding
16-1 9a. Breastfeeding^^ (%)
75.0
75.3
76.1
78.1
78.9
✓
Prenatal Substance Exposure
16-1 7c. Abstinence from Smoking (%)
99.0
90.9
92.1
92.3
92.6
0
NOTE: All percentages are calculated based on only those births with known values for the charactenstic(s) of interest, unless otherwise stated.
1. National health promotion and disease prevention agenda established by the U.S. Dept. of Health and Human Services. 2. Goal: to improve the health and well-being
of women, infants, children, and families. 3. Number of fetal deaths per 1 ,000 fetal deaths plus live births. 4. Number of fetal and infant deaths in perinatal period (from
28 weeks gestation (inclusive) to 6 days (inclusive) after birth per 1 ,000 fetal deaths plus live births. 5. Number of infant deaths (under one year of age) per 1 ,000 live
births. 6. Number of deaths to infants less than 28 days of age per 1,000 live births. 7. Number of deaths to infants 28-364 days of age per 1,000 live births. 8. See
explanation of rates in Section Definitions. 9. Less than 2,500 grams, or 5.5 pounds. 1 0. Less than 1 ,500 grams, or 3.3 pounds. 1 1 . Born before completion of 37*
week of gestation. 12. Based on Adequacy of Prenatal Care Utilization Index (see Section Definitions). 13. Facilities for high-risk deliveries and neonates that can
provide care to very small infants, including mechanical ventilation and neonatal surgery and special care for transferred patients and for which a full-time neonatologist
serves as the director. 14. "Low-risk"= full term birth, singleton, vertex presentation. 15. HP2010 specifies objective as mother breastfeeding in "early postpartum
period." Massachusetts data is based on mother's self-report of current breastfeeding or intention to breastfeed.
58
Table B-10. Summary of Selected Teen Birth Characteristics, Massachusetts: 2004
Age 15-17
Age 18-19 Combined Ages 15-19
N
%^
N
%^
N
%'
-.
state total
1,454
31.9
3,105
68.1
4,559
100.0
Maternal Demographics
Race/Hispanic Ethnicity
N
0/2
N
0/2
/o
N
Whitp nnn-Hi^n^nip
557
38.3
1,571
50.7
2,128
46.7
Black non-Hispanic
210
14.5
381
12.3
591
13.0
Asian
63
4.3
89
2.9
152
3.3
Hispanic
560
38.5
939
30.3
1,499
32.9
Other
63
4.3
121
3.9
184
4.0
Birthplace
U.S. States /D.C.
1,121
77.2
2,312
74.5
3,433
75.3
Puerto Rico / US Terr.
149
10.3
226
7.3
375
8.2
Non-U. S. -born
183
12.6
566
18.2
749
16.4
Prenatal care funding
Public
1,063
74.9
2,341
77.0
3,404
76.3
Private, other
357
25.1
698
23.0
1,055
23.7
Pregnancy-Related Factors
Adequacy of Prenatal Care^
Adequate Total''
997
69.3
2,200
71.9
3,197
71.1
Adequate Intensive
490
34.1
1,048
34.3
1,538
34.2
Adequate Basic
507
35.3
1,152
37.7
1,659
36.9
Intermediate
121
8.4
304
9.9
425
9.5
Inadequate/None
320
22.3
555
18.1
875
19.5
Unknown
16
1.1
46
1.5
62
1.4
Parity^
1
1,348
\ 93.0
2,561
82.7
3,909
86.0
2
96
6.6
465
15.0
561
12.3
3+
5
0.3
69
2.2
74
1.6
Smoking during Pregnancy
Yes
165
11.3
485
15.6
650
14.3
No
1,289
88.7
2,615
84.4
3,904
85.7
Birth Outcomes
Birthweight
< 500 9
5
0.3
7
0.2
12
0.3
500-1,499 g
30
2.1
41
1.3
71
1.6
1,500-2,499 g
133
9.2
248
8.0
381
8.4
LBW (<2,499 g)
168
11.6
296
10.0
464
10.3
2,500-3,999 g
1,221
84.3
2,612
84.3
3,833
84.3
4000+ g
59
4.1
192
6.2
251
5.5
Gestational age
< 28 weeks
16
1.1
24
0.8
40
0.9
< 37 weeks
161
11.2
297
9.6
458
10.1
37-42 weeks
1,279
88.8
2,791
90.4
4,070
89.8
43+ weeks
1
5
1
5
2
5
Plurality
Singleton
1,425
98.0
3,055
98.4
4,480
98.3
Multiple birth
29
2.0
50
1.6
79
1.7
NOTE: All percentages are calculated based on only those births with known values for the characteristic(s) of interest, unless otherwise stated.
1. For state total row, percentages are based on total births to women ages 15-19. For the rest of the table, percentages are based on births for a given age
group and charactenstic. 2. Percents are based on state total of the age group. 3. Based on Adequacy of Prenatal Care Utilization (APNCU) Index. 4.
Adequate Total = Adequate Basic + Adeq. Intensive. 5. Calculations based on fewer than five events are excluded. 6. Number of live births including the
current birth.
59
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Figure B-11. Low Birthweight^ Among Smoking and Nonsmoking^
IVIothers by Race and Hispanic Ethnicity, Massachusetts: 2004
NOTE: All percentages are calculated based on only those births with known values for the characteristic(s) of interest, unless otherwise
stated. Maternal smoking is self-reported on the Parent Worksheet of the Birth Certificate; these data should be interpreted cautiously.
1. Low birthweight: less than 2,500 grams or 5.5 pounds.
2. Based on information provided on the parent worksheet for birth certificates
65
Table B-14. Low Birthweight (LBW)^ by Maternal Age, Race and Hispanic Ethnicity,
Massachusetts: 2004
Mother's Total LBW White non- Black non-
Age Infants Hispanic Hispanic Hispanic Asian Other^ Unknown^
(in years) n %' n %' n %' n %' n %' n n
State Total^ 6,125 7.8 4,024 7.3 733 12.1 834 8.5 378 6.9 148 8.6 8
<18
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1
NOTE: All percentages are calculated t5ased on only those births with known values for the characteristic(s) of interest unless othenMse stated.
1. Low Birthweight (LBW): less than 2,500 grams or 5 5 pounds at birth. 2. State totals include women of unknown age. 3 Percentages are based upon the
number of low birthweight infants divided by the total births in each age and race/ethnicity category. 4. Other races include American Indian and others not
specified. 5. Race and/or mother's age unknown.
66
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68
Figure B-12. Trends in Adequacy or Prenatal Care^ byRace and
Hispanic Ethnicity, Massachusetts: 1996-2004
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PLEASE NOTE THAT THE VERTICAL SCALE OF GRAPH REPRESENTS A SMALL INTERVAL (from 70% to 90%) FOR PURPOSES OF
VISUAL REPRESENTATION.
NOTE: All percentages are calculated based on only those births with known values for the characteristic(s) of interest, unless otherwise stated.
1 . Based on the Adequacy of Prenatal Care Utilization (APNCU) Index. Please note: The APNCU is an assessment of the timing and number of
prenatal care visits and not an evaluation of the quality of care delivered.
69
Figure B-13. Adequacy of Prenatal Care^ for Selected Maternal
Characteristics, Massachusetts: 2004
Younger '^^^^^^■^^■^^■■■■^^^^H 69.0%
(< 12 yrs) ' ■■^■^^^■■■■■^^^^■^■^■i 71.0%
Smokers ' ■^^^^^■■■■■■■^^^^^■■H ^3.4%
Unmarried ' 75,30/^
Non-U.S.-born^ i^^^^Hi^^^^^^H^^^^^H^^^^H^H ^0.1%
Mothers ^■■^^■^■■IH^Hi^^^^^HHII^^^H ^^-2%
Breastfeeding ' ■■^■■■^^■^^^^■■■^^^^^^■■i 85-3%
Mothers Age 35+ ■^■■^■^^^^■■■^^■■^^■■^^^^■■i 88-6%
More than College ^■^^■■^^^■^^^■■■^^^^^^■^^^H ^0.2%
Birth bHlHHHH^HI^^^^^^IHHIjil^^^H^H ^2.7%
State Total ■■■■^^■■■■■■^^^^■^■■■{^■l 84.2%
0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Percent of Mothers with Adequate Prenatal Care ^
NOTE: All percentages are calculated based on only those births with known values for the characteristic(s) of interest, unless
otherwise stated. Characteristics of interest are not mutually exclusive, except as noted.
1 . Based on the Adequacy of Prenatal Care Utilization (APNCU) Index. 2. Women 20 years of age and older. 3. Smoking during
pregnancy is self-reported by the mother and should be inte.rpreted with caution. 4. Marital status at time of birth. 5, Nfon-U S -
born includes women bom outside of the 50 U.S. states. District of Columbia, and U.S. temtories (Puerto Rico, U.S. .Virgin Islands,
Guam). 6. Mother was or was intending to breastfeed at the time the birth certificate was completed.
70
Table B-17. Adequacy of Prenatal Care^ by Selected Characteristics, Massachusetts: 2004
Adequate Total^
Adequate
Adequate Basic
Intermediate
Inadequate
Unkno\
-
Intensive
n
%
n
%
n
%
n
%
n
%
n
State Total
65,362
84.2%
31,062
40.0%
34,300
44.2%
5,938
7.6%
6,322
8.1%
838
Age
Maternal Demoqraphics
<18
1,021
69.0
503
34.0
518
35.0
121
8.2
337
22.8
17
18-19
2,200
71.9
1,048
34.3
1,152
37.7
304
9.9
555
18.1
46
20-24
8,867
76.9
4,179
36.2
4,688
40.7
1,016
8.8
1,648
14.3
139
25-29
14,690
83.1
6,849
38.7
7,841
44.3
1,504
8.5
1,494
8.4
226
30-34
22,373
87.5
10,303
40.3
12,070
47.2
1,847
7.2
1,350
5.3
234
35-39
13,152
88.6
6,468
43.6
6,684
45.1
954
6.4
730
4.9
141
A r\ 1
40+
3,058
88.5
1,712
49.5
1,346
38.9
191
5.5
208
6.0
33
Educational Attainment
< than High School
5,593
70.2
2,876
36.1
2,717
34.1%
826
10.4
1,552
19.5
132
High School
15,185
80.6
7,301
38.8
7,884
41.8%
1,535
8.1
2,121
11.3
231
Some college
14,449
84.7
7,225
42.3
7,224
42.3%
1,311
7.7
1,302
7.6
236
College
18,932
88.8
8,396
39.4
10,536
49.4%
1,504
7.1
880
4.1
101
More than college
11,130
90.2
5,230
42.4
5,900
47.8%
756
6.1
448
3.6
75
Race/Hispanic Ethnicity
Hispanic
7,429
76.7
3,587
37.0
3,842
39.6%
885
9.1
1,377
14.2
107
White non-Hispanic
47,512
86.6
22,442
40.9
25,070
45.7%
4,052
7.4
3,297
6.0
461
Black non-Hispanic
4,522
76.6
2,305
39.0
2,217
37.5%
459
7.8
924
15.6
148
Asian
4,509
83.0
2,093
38.5
2,416
44.5%
403
7.4
518
9.5
24
Other
1,347
79.9
612
36.3
735
43.6%
135
8.0
203
12.0
45
Birthplace
U.S. States/D.C.
48,133
85.8
22,917
40.9
25,216
44.9%
4,206
7.5
3,759
6.7
582
Puerto Rico/U.S. Terr.
1,530
79.5
727
37.8
803
41.7%
153
8.0
241
12.5
25
Non-U.S.-Born
15,674
80.1
7,403
37.8
8,271
42.3%
1,574
8.0
2,321
11.9
223
rarity
Preqnancv-Related Factors
1
28,988
84.2
13,524
39.3
15,464
44.9%
2,643
7.7
2,790
8.1
281
2-3
32,249
85.3
15,435
40.8
16,814
44.5%
2,841
7.5
2,727
7.2
375
4+
4,049
76.5
2,065
39.0
1,984
37.5%
449
8.5
793
15.0
85
Smoking^
Yes
4,211
73.4
2,233
38.9
1,978
34.5%
539
9.4
988
17.2
71
No
61,090
85.1
28,797
40.1
32,293
45.0%
5,395
7.5
5,318
7.4
715
Plurality
Birth Outcomes
Singleton
61,914
83.8
28,048
38.0
33,866
45.8%
5,866
7.9
6,123
8.3
774
Multiple birth
3,448
92.7
3,014
81.0
434
11.7%
72
1.9
199
5.4
64
Birthweight
<500 g
95
89.6
87
82.1
8
7.5%
0
0.0
11
10.4
19
500-1,499 g
877
89.4
810
82.6
67
6.8%
23
2.3
81
8.3
42
1,499-2,499 g
4,251
86.8
3,483
71.2
768
15.7%
152
3.1
492
10.1
82
2,500-3,999 g
53,320
83.9
24,090
37.9
29,230
46,0%
5,036
7.9
5,184
8.2
533
4,000+ g
6,800
84.2
2,574
31.9
4,226
52.3%
727
9.0
552
6.8
56
Gestational Age
<28 weeks
409
89.3
384
83.8
25
5.5%
10
2.2
39
8.5
37
<37 weeks
6,314
89.5
5,603
79.4
711
10.1%
175
2.5
569
8.1
164
37-42 weeks
58,924
83.7
25,398
36.1
33,526
47.6%
5,746
8.2
5,724
8.1
537
NOTE; All percentages are calculated based on only those births with known values for the characteristic(s) of interest, unless otherwise stated,
1. Based on the Adequacy of Prenatal Care Utilization (APNCU) Index. See Section Definitions for and explanation of Index and its categories. 2, Adequate
Total is the sum of Adequate Intensive and Adequate Basic, 3, Parity is the number of live births including this birth. 4. Smoking during pregnancy is self-
reported by the mother and should be interpreted with caution, 4. Calculations based on fewer than five events are excluded.
71
Table B-18. Adequacy of Prenatal Care Initiation^ by Selected Characteristics, Massachusetts: 2004
Adequate Total^
Adequate
Intensive
Adequate Basic
Intemiediate
Inadequate
Unknown
n
%
n
n
n
%
n
%
p
State Total
71,799
92.5%
31,944
41.2%
39,855
51.3%
3,626 4.7%
2,197
2.8%
838
Age
Maternal
Demographics
<18
1,153
78.0
382
25.8
771
52.1%
203
13.7
123
8.3
17
18-19
2,534
82.8
973
31.8
1,561
51.0%
332
10.9
193
6.3
46
20-24
9,980
86.5
4,081
35.4
5,899
51.2%
972
8.4
579
5.0
139
25-29
16,327
92.3
7,315
41.4
9,012
50.9%
859
4.9
502
2.8
226
30-34
24,365
95.3
1 1 ,266
44.1
13,099
51.2%
748
2.9
457
1.8
234
35-39
14,174
95.5
6,481
43.7
7,693
51.9%
398
2.7
264
1.8
141
40+
3,264
94.4
1,445
41.8
1,819
52.6%
114
3.3
79
2.3
33
Educational Attainment
< than High School
6,521
81.8
2,295
28.8
4,226
53.0%
927
11.6
523
6.6
132
niyri ocricjui
16,865
89.5
7,149
37.9
9,716
51.6%
1,234
6.5
742
3.9
231
15,868
93.0
7,077
41.5
8,791
51.5%
744
4.4
450
2.6
236
College
20,529
96.3
9,819
46.1
10,710
50.2%
473
2.2
314
1.5
101
More than college
1 1 ,935
96.8
5,572
45.2
6,363
51.6%
241
2.0
158
1.3
75
Race/Hispanic Ethnicity
Hispanic
8,403
86.7
3,626
37.4
4,777
49.3%
827
8.5
461
4.8
107
VVIlILt; llUl l-niopalllU
51,855
94.5
23,558
42.9
28,297
51.6%
1,897
3.5
1,109
2.0
461
Black non-Hispanic
5,043
85.4
2,186
37.0
2,857
48.4%
475
8.0
387
6.6
148
Asian
4,944
91.0
1,872
34.5
3,072
56.6%
329
6.1
157
2.9
24
Other
1,507
89.4
675
40.1
832
49.4%
96
5.7
82
4.9
45
Rir+hnlace
u.o. oiaies/u.u.
52,668
93.9
23,807
42.4
28,861
51.4%
2,200
3.9
1,230
2.2
582
rUGlTO r\ICO/U.o. 1 €11.
1,710
88.9
730
37.9
980
50.9%
144
7.5
70
3.6
25
Non-U. S. -Born
17,391
88.9
7,387
37.7
10,004
51.1%
1,282
6.6
896
4.6
223
Parity^
Preqnancv-Related Factors
1
31,823
92.5
14,331
41.6
17,492
50.8%
1,579
4.6
1,019
3.0
281
2-3
35,329
93.4
15,725
41.6
19,604
51.8%
1,597
4.2
891
2.4
375
4+
4,565
86.3
1,819
34.4
2,746
51.9%
448
8.5
278
5.3
85
Smoking''
Yes
4,823
84.1
1,838
32.0
2,985
52.0%
540
9.4
375
6.5
71
No
66,909
93.2
30,084
41.9
36,825
51.3%
3,080
4.3
1,814
2.5
715
Plurality
Birth Outcomes
Singleton
68,269
92.4
30,186
40.8
38,083
51.5%
3,498
4.7
2,136
2.9
774
Multiple birth
3,530
94.9
1,758
47.3
1,772
47.6%
128
3.4
61
1.6
64
Birthweight
<500 g
95
89.6
40
37.7
55
51.9%
3
4
8
7.5
19
500-1,499 g
906
92.4
483
49.2
423
43.1%
48
4.9
27
2.8
42
1,499-2,499 g
4,435
90.6
2,097
42.8
2,338
47.8%
284
5.8
176
3.6
82
2,500-3,999 g
58,757
92.5
25,961
40.9
32,796
51.6%
2,973
4.7
1,810
2.8
533
4,000+ g
7,587
93.9
3,357
41.6
4,230
52.4%
318
3.9
174
2.2
56
Gestational Age
<28 weeks
421
91.9
223
48.7
198
43.2%
22
4.8
15
3.3
37
<37 weeks
6,520
92.4
3,232
45.8
3,288
46.6%
317
4.5
221
3.1
164
37-42 weeks
65,137
92.5
28,648
40.7
36,489
51.8%
3,301
4.7
1,956
2.8
537
NOTE: All percentages are calculated based on only those births with known values for the characteristic(s) of interest, unless otherwise stated,
r Based on the Adequacy of Initiation Index, a component index of the APNCU Index. See Section Definitions for an explanation of Index and its categories.
2. Adequate Total is the sum of Adequate Intensive and Adequate Basic. 3. Parity is the number of live births including this birth. 4. Smoking during
pregnancy is self-reported by the mother and should be interpreted with caution. 4. Calculations based on fewer than five events are excluded.
72
Table B-19. Adequacy of Prenatal Care Visits^ by Selected Characteristics, Massachusetts:
2004
Adeauate Total^
Adequate
intensive
Adequate Basic
Intermediate
Inadequate
Unknown
n
%
n
%
n
%
n
%
n
%
n
State Total
70,246
90.5%
34,784
44.8%
35,462
45.7%
6,505
B.4%
871
1.1%
838
Age
Maternal Demographics
<1o
1,288
87.1
707
47,8
581
39.3
154
10.4
37
2.5
17
1 0-1 9
2,638
86.2
1,393
45.5
1,245
40.7
359
11.7
62
2.0
46
OA Oil
20-24
10,135
87,9
5,130
44.5
5,005
43.4
1,180
10.2
216
1.9
139
25-29
15,844
89.6
7,686
43.5
8,158
46.1
1,636
9.2
208
1.2
226
30-34
23,406
91.5
11,105
43.4
12,301
48.1
1,961
7.7
203
0.8
234
35-39
13,713
92.4
6,925
46.7
6,788
45.8
1,005
6.8
118
0.8
141
40+
3,221
93.2
1,838
53.2
1,383
40.0
209
6.0
27
0.8
33
caucaLioriai Mtxainrneni
< than High School
6,766
84.9
3,748
47.0
3,018
37.9
989
12.4
216
2.7
132
16.816
89.3
8,527
45.3
8,289
44.0
1,740
9.2
285
1.5
231
Some colleae
15,475
90.7
8,008
46.9
7,467
43.8
1,410
8.3
177
1.0
236
Colleae
19,614
92,0
8,938
41.9
10,676
50.1
1,576
7.4
126
0.6
101
More than colleae
1 1 ,488
93.1
5,516
44.7
5,972
48.4
782
6.3
64
0.5
75
r\dCc/nispanic cinniciiy
Hispanic
8,491
87.6
4,389
45.3
4,102
42.3
1,030
10.6
170
1.8
107
White non-Hl^nanic
* V 1 1 1 Lw 1 1 1 I I llOfca'CII llw
50,062
91.3
24,410
44.5
25,652
46.8
4,319
7.9
480
0.9
461
RIack non-Hl^nanlc
k^lClwr\ llwll 1 IIOI^Cllllw
5,235
88.7
2,840
48.1
2,395
40.6
544
9.2
126
2.1
148
Asisn
4,923
90.7
2,406
44.3
2,517
46.4
454
8.4
53
1.0
24
other
1,491
88.5
715
42.4
776
46.1
153
9.1
41
2.4
45
Birthplace
U.S. States/D.C.
50,958
90.8
25,089
44.7
25,869
46.1
4,550
8.1
590
1.1
582
Puerto Rico/U.S. Terr.
1,704
88.6
851
44.2
853
44.3
181
9.4
39
2.0
25
Non-U. S. -Born
17,559
89.7
8,829
45.1
8,730
44.6
1,769
9.0
241
1.2
223
Parity^
Pregnancy-Related Factors
•I
31,215
90.7
15,244
44.3
15,971
46.4
2,869
8.3
337
1.0
281
2-3
34,323
90.8
17,016
45.0
17,307
45.8
3,095
8.2
399
1.1
375
4+
4,623
87.4
2,478
46.8
2,145
40.5
536
10.1
132
2.5
85
Smoking
Yes
4,913
85.6
2,760
48.1
2,153
37.5
646
11.3
179
3.1
71
No
65,264
90.9
31,984
44.5
33,280
46.3
5,852
8.2
687
1.0
715
Plurality
Birth Outcomes
Singleton
66,630
90.2
31,624
42.8
35,006
47.4
6,433
8.7
840
1.1
774
Multiple birth
3,616
97.2
3,160
85.0
456
12.3
72
1.9
31
0.8
64
Dinnweigni
<500 g
98
92.5
90
84.9
8
7.5
0
0.0
8
7.5
19
500-1 499 a
www 1 j^TW W U
924
94.2
853
87.0
71
7.2
28
2.9
29
3.0
42
1 499-2 499 a
4,630
94.6
3,799
77.6
831
17.0
177
3.6
88
1.8
82
2 500-3 999 a
57,342
90.2
27,138
42.7
30,204
47.5
5,524
8,7
674
1.1
533
4 000+ o
7,233
89.5
2,886
35.7
4,347
53.8
775
9.6
71
0.9
56
Gestational Age
<28 weeks
428
93.4
400
87.3
28
6.1
13
2.8
17
3.7
37
<37 weeks
6,730
95.4
5.964
84.5
766
10.9
202
2.9
126
1.8
164
37-42 weeks
63,382
90.0
28,750
40,8
34,632
49.2
6,283
8.9
729
1.0
537
NOTE: All percentages are calculated based on only those births with known values for the characteristic(s) of interest, unless otherwise stated.
1 . Based on the Adequacy of Received Services (Visits) Index, a component index of the APNCU Index. See Section Definitions for an explanation of Index
and its categones., 2. Adequate Total is the sum of Adequate Intensive and Adequate Basic. 3. Parity is the number of live births including this birth. 4.
Smoking dunng pregnancy is self-reported by the mother and should be interpreted with caution. 4. Calculations based on fewer than five events are
excluded.
73
Figure B-14 Distribution of Prenatal Care Payment Source\
Massachusetts: 2004
Other Self-Paid
0.4% n / 0.5%
NOTE: All percentages are calculated based on only those births with known values tor the characteristic(s) of interest unless
otherwise stated.
1. Private: Commercial indemnity plan, commercial managed care (HMO, PPO, IPP, IPA, and other), or other private insurance.
Public: Govemment programs including Commonhealth, Healthy Start, Medicaid/MassHealth, and Medicare (may also be HMO or
managed care), or free care. Other: Worker's Compensation and other sources.
74
Table B-20. Birth Characteristics by Race/Hispanic Ethnicity and Source of Prenatal Care Payment
(Public/Private)
- Massachusetts
: 2004
Births
1
Teen Births
Birthweight
Race/Ethnicity and
<18 Years
<20 Years
Very Low^
Low^
Payment Source
n
/o
n
%
n
/o
n
%
N
%
STATE TOTAL''
78,460
100.0
1,496
1.9
4,601
5.9
1,148
1.5
D, 1 iCO
7.8
Public
23,422
30.5
1,097
4.7
3,438
14.7
350
1.5
2,042
8.7
Medicaid
17,727
23.1
873
4.9
2,694
15.2
249
1.4
1,538
8.7
Other Public^
5,695
7.4
224
3.9
744
13.1
101
1.8
504
8.8
Private^
52,551
68.5
353
0.7
1,018
1.9
686
1.3
3,747
7.1
White non-Hispanic
100.0
566
1.0
2,137
3.9
687
1.2
4,024
7
Public
19.4
328
3.1
1,403
13.4
108
1.0
841
o.u
Medicaid^
8,385
15.6
273
3.3
1,161
13.8
76
0.9
658
7.8
Other Public®
2,063
3.8
00
Z. 1
ZhZ
183
8.9
Private^
42,952
79.7
218
0.5
654
1.5
499
1.2
2,928
6.8
Black non-Hispanic
6,053
100.0
214
3.5
595
9.8
213
3.5
733
12.1
Public
3,630
60.8
169
4.7
466
12.8
112
3.1
423
11.7
Medicaid^
2,750
46.1
140
5.1
382
13.9
84
3.1
336
12.2
Other Public®
880
14.7
29
3.3
84
9.5
28
3.2
87
9.9
Private^
2,278
38.2
38
1.7
108
4.7
88
3.9
281
12.3
Hispanic
9,798
100.0
585
6.0
1,524
15.6
153
1.6
834
8.5
Public
6,920
71.2
498
7.2
1,311
18.9
104
1.5
584
8.4
Medicaid^
4,635
47.7
366
7.9
924
19.9
67
1.4
383
8.3
Other Public®
2,285
23.5
132
5.8
387
16.9
37
1.6
201
8.8
Private^
2,690
27.7
74
2.8
188
7.0
41
1.5
221
8.2
Asian
5,454
100.0
67
1.2
156
2.9
57
1.0
378
6.9
Public
1,475
27.2
55
3.7
121
8.2
5
0.3
102
6.9
Medicaid^
1,177
21.7
49
4.2
107
9.1
5
0.4
84
7.1
Other Public®
298
5.5
6
2.0
14
4.7
0
0.0
18
6.0
Private^
3,915
72.1
8
0.2
29
0.7
52
1.3
270
6.9
Other-
1,730
100.0
63
3.6
184
10.6
34
2.0
148
8.6
Public
941
57.0
47
5.0
136
14.5
21
2.2
91
9.7
Medicaid^
773
46.8
45
5.8
119
15.4
17
2.2
76
9.8
Other Public®
168
10.2
2
8
17
10.1
4
8
15
8.9
Private^
683
41.3
15
2.2
39
5.7
4
8
42
6.1
NOTE: All percentages are calculated based on only those births with known values for the charactenstic(s) of interest, unless otherwise stated.
1. In the "Births" column, percentages are based on race/ethnicity category totals (in column). For all other characteristics, percentages are based on the total
number of births for the race/ethnicity by payment source for the row. 2. Very low birthweight: less than 1 ,500 grams or 3,3 pounds. 3. Low Birthweight: less
than 2,500 grams or 5.5 pounds. 4. Total births do not equal Public + Private because Workers' Compensation, self-paid, and other are in the state total but
not shown in the table. 5. Medicaid/MassHealth. 6. Other Public: Commonhealth, Healthy Start, Medicare, other government programs, and free care. 7.
Private: commercial indemnity plans or commercial managed care organizations (HMO, PPO, IPP, or IPA). 8. Calculations based on fewer than five events
are excluded. 9. Other: Mothers who designated their race as Amencan Indian or "Other " 10, Based on the Adequacy of Prenatal Care Utilization (APNCU)
Index. 1 1 . Mother was breastfeeding or intending to breastfeed at the time the birth certificate was completed.
75
Table B-20. (continued) Birth Characteristics by Race/Hispanic Ethnicity and Source of
Prenatal Care Payment (Public/Private) -- Massachusetts: 2004
Prenatal Care
Race/Ethnicity and
Adequate
10
Began 1st Trimester
Cesarean Section
Breastfeeding^^
Payment Source
n
%
n
%
n
%
n %
STATE TOTAL''
65,362
84.2
64,958
83.5
24,295
31.0
60,718 78.9
Public
17,272
74.6
16,609
71.5
6,184
26.4
16,481 70.4
Medicaid^
13,295
75.7
12,793
72.7
4,739
26.8
12.131 68.5
Other Public^
3,977
71.1
3,816
67.7
1,445
25.4
4,350 76.4
Private^
46,596
89.0
46,815
89.3
17,418
33.2
43.499 82.8
White non-Hispanic
Public
Medicaid^
Other Public^
Private^
Black non-Hispanic
Public
Medicaid^
Other Public^
Private^
Hispanic
Public
Medicaid^
Other Public^
Private^
Asian
Public
Medicaid^
Other Public^
Private^
Other-
Public
Medicaid*
Other Public^
Private^
47,512
86.6
47,817
87.0
17,693
32.0
42,032
77.8
7,937
76.5
7,683
73.9
2,810
26.9
6,567
62.9
6,440
77.3
6,210
74.5
2,260
27.0
5,034
60.1
1,497
73.2
1,473
71.8
550
26.7
1.533
74.3
38,314
89.4
38,820
90.5
14,320
33.4
34,990
81.5
4,522
76.6
4,288
72.0
1,987
33.0
4,806
80.0
2,517
71.3
2,390
67.0
1,089
30.1
2,744
75.6
1,974
73.4
1,884
69.4
815
29.8
2,088
76.0
543
64.8
506
59.3
274
31.1
656
74.5
1,952
86.8
1,843
81.6
858
37.8
1,994
87.5
7,429
76.7
7,194
74.0
2,625
26.8
7,915
81.0
5,033
73.5
4,921
71.6
1,740
25.2
5,437
78.6
3,433
74.7
3,385
73.5
1,220
26.4
3,648
78.7
1,600
71.1
1,536
67.7
520
22.8
1,789
78.3
2,317
86.6
2,201
82.1
840
31.3
2,355
87.5
4,509
83.0
4,292
78.9
1,502
27.6
4,536
83.4
1,071
73.1
925
62.9
296
20.1
963
65.3
845
72.1
727
61.9
242
20.6
736
62.5
226
76.9
198
67.1
54
18.1
227
76.4
3,399
87.1
3,337
85.4
1,194
30.5
3,537
90.3
1,347
79.9
1,323
78.1
470
27.3
1,394
84.0
707
76.4
682
73.3
247
26.3
763
81.3
597
78.3
580
75.7
200
25.9
619
80.3
110
67.5
102
61.8
47
28.0
144
85.7
585
86.5
584
86.4
195
28.6
600
88.1
NOTE; All percentages are calculated based on only those births with known values for the charactenstic(s) of interest, unless otherwise stated.
1 .In the "Births" column, percentages are based on race/ethnicity category totals (in column). For all other charactenstics. percentages are based on the total
number of births for the race/ethnicity by payment source for the row. 2. Very low birthweight: less than 1 ,500 grams or 3.3 pounds. 3. Low Birtfiweight less
than 2,500 grams or 5.5 pounds. 4, Total births do not equal Public + Private because Workers' Compensation, self-paid, and other are in the state total but
not shown in the table. 5. Medicaid/MassHeallh. 6. Other Public: Commonhealth, Healthy Start, Medicare, other government programs, and free care. 7.
Private: commercial indemnity plans or commercial managed care organizations (HMO, PPO, IPP, or IPA). 8. Calculations based on fewer than five events
are excluded. 9. Other: Mothers who designated their race as American Indian or "Other .' 10. Based on the Adequacy of Prenatal Care Utilization (APNCU)
Index. 1 1 . Mother was breastfeeding or intending to breastfeed at the time the birth certificate was completed.
76
I""
Table B-21. Cesarean Section Deliveries and Vaginal Births after Cesarean Section (VBACs) by
Licensed Maternity Facility\ All Births, Massachusetts: 2004
j Occurrence Total Primary C- Repeat
Facility Births^ C-Sections Section^ C-Sections VBACs2
n
0/3,4
/o
n
0/ 3,5
n
Q/ 3,6
n
0/7
/o
State Total
79.438
24,669
31.1
15.637
22.6
9,032
89.1
1,106
10.9
Anna Jaques Hspt.
743
192
25.8
124
19.1
68
71.6
27
28.4
Baystate Med. Ctr.
4,200
1,285
30.6
822
22.6
463
82.7
97
17.3
Berkshire Med. Ctr.
813
181
22.3
122
16.6
59
77.6
17
22.4
Beth Israel Deaconess
Med. Ctr.
5,219
1,987
38.1
1,356
30.1
631
88.7
80
11.3
Beverly Hspt.
2,123
626
29.5
368
20.1
258
87.5
37
12.5
Rn<^tnn MpH Ctr
2,238
575
25.7
379
18 7
196
91.6
18
R 4
Rrinh;=im And Wnmpn's
Hspt.
8,864
2,884
32.7
1,956
25,2
928
86.5
145
13.5
Brockton Hspt.
1,271
426
33.5
269
24.7
157
86.7
24
13.3
Cambridge Hspt.
1,096
302
27.6
187
19.4
115
87.1
17
12.9
Cape Cod Hspt.
932
254
27.3
146
18.1
108
87.1
16
12.9
Caritas Good Sannaritan
Med. Ctr.
974
345
35.4
211
25.4
134
93.1
10
6.9
Caritas Norwood Hspt.
604
189
31.3
123
23.3
66
86.8
10
13.2
Caritas St. Elizabeth's Med
1,398
555
39.9
328
28.5
227
93.4
16
6.6
Charlton Memorial Hspt.
1,630
477
29.3
325
22.1
152
95.0
8
5.0
Cooley Dickinson Hspt.
906
228
25.2
152
18.6
76
84.4
14
15.6
Emerson Hspt.
1,312
447
34.1
254
23.1
193
91.5
18
8.5
Fairview Hspt.
172
46
26.7
27
17.6
19
100.0
0
0.0
Falmouth Hspt.
653
215
33.5
118
21.7
97
98.0
2
g
Franklin Med. Ctr.
449
107
23.8
71
17.4
36
87.8
5
12.2
Harrinntnn MpmorisI Hsot
460
145
31.5
94
23.6
51
83.6
10
16.4
Heywood Memorial Hspt.
539
116
21.5
62
13.1
54
80.6
13
19.4
Caritas Holy Family Hspt.
c
And Med. Ctr.
1,342
541
40.3
319
28.6
222
98.2
4
Holyoke Hspt.
588
126
21.4
61
11.9
65
87.8
9
12.2
Jordan Hspt.
610
195
32.0
119
22.6
76
91.6
7
8.4
Lawrence General Hspt.
1,739
524
30.1
265
18.1
259
93.5
18
6.5
Leominster Hspt.
1,117
289
26.1
151
15.8
138
93.2
10
6.8
NOTE: All percentages are calculated based on only those births with known values for the characteristic(s) of interest, unless otherwise statec.
1 . A licensed maternity facility is a medical unit licensed by the Commonwealth for the care of women during pregnancy and childbirth. 2. See Section Definitions for
explanations of occurrence births, primary and repeat Cesarean sections, and VBACs. The percentages provided in this table are based on occurrence births, and may
differ from data which are based on resident births, presented elsewhere in this book. 3. The percentage of Cesarean births reported is not adjusted for nsk factors such as
mother's age, birthweight, or complications of labor and delivery, which would influence the number of procedures in a particular facility. Caution should be used when
comparing uriadjusted percentages. 4. Percentage of total Cesarean sections= (total Cesarean births/all births) x 100. 5. Percentage pnmary Cesarean sections= {primary
Cesarean sections/all births-repeat Cesarean sections-VBACs) x 100. 6. Percentage repeat Cesarean sections= (repeat Cesarean sections/ (repeat Cesarean sections +
VBACs)) xlOO. 7. Percentage VBACs= (VBAC deliveries/ (repeat Cesarean sections + VBAC)) x 100. 8. This percentage is based on less than 40 total births (in
denominator) and sTiould be interpreted with caution. 9. Calculations based on fewer than five events are excluded.
77
1
I
Table B-21. (continued). Cesarean Section Deliveries and Vaginal Births after Cesarean Section
(VBACs) by Licensed Maternity Facility\ All Births, Massachusetts: 2004
Occurrence Total C- Primary C- Repeat C-
Facility Births^ Sections Section^ Section^ VBACs^
n n n %^'' n %^
Lowell General Hspt.
1,899
550
29.0
339
20.5
211
86.8
32
13.2
KM 1 \f* III L
Martha s Vineyard Hspt.
131
36
27.7
19
16.8
17
100.0
0
0.0
Massachusetts General Hspt.
3,537
1,072
30.3
731
23.3
341
84.6
62
15.4
Mary Lane Hspt
130
38
29.2
24
20.7
14
100.0
0
0.0
Melrose-Wakefield Hspt.
1,460
529
36.2
322
25.9
207
95.0
11
5.0
Mercy Med. Ctr.
1,385
314
22.7
194
15.6
120
87.0
18
13.0
Metrowest Med. Ctr.-
2,022
742
36.7
466
26.7
276
100.0
0
0.0
Milford-Whitinsville Regional Hspt.
860
279
32.4
171
23.0
108
93.1
8
6.9
iviorTon nspi.
1 oo
OD. U
1 1 o
OP, A
ZD. O
/ U
oo.*+
-1 o
Mniint Aiihiirn Hcnt
1 824
420
23 0
278
17 0
14P
HO
OA R
Nantucket Cottage Hspt.
103
18
17.5
16
15.8
2
s
0
0.0
Newton Wellesley Hspt.
3,067
1,154
37.6
738
28.2
416
92.9
32
7."1
North Adams Regional Hspt.
292
78
26.7
54
20.2
24
96.0
1
9
North Shore Med. Ctr. - Salem Hspt.
1,806
546
30.2
354
22.3
192
88.9
24
11.1
Saint Vincent Hspt
1,856
478
25.8
293
18.1
185
76.8
56
23.2
Saints Memorial Med. Ctr.
671
219
32.6
142
24.0
77
96.3
3
9
South Shore Hspt
4,104
1,319
32.1
797
22.5
522
91.7
47
8.3
St Luke's Hspt.
1,561
402
26.5
222
16.7
180
95.2
9
4.8
Sturdy Memorial Hspt
1,065
346
32.5
235
24.9
111
91.7
10
8.3
Tobey Hspt
517
105
20.4
73
15.4
32
80.0
8
20.0
Tufts-New England Med. Ctr. Hspt
1,324
533
40.3
383
33.0
150
92.6
12
7.4
Umass Memorial Med. Ctr. - West
Campus
4,480
1,282
28.6
816
20.7
466
87.3
68
12.7
Winchester Hospital
2,219
763
34.4
443
23.5
320
97.0
10
3.0
NOTE: All percentages are calculated based on only those births with known values for the characteristic(s) of interest, unless othen/vise stated.
1 . A licensed maternity facility is a medical unit licensed by the Commonwealth for the care of women during pregnancy and childbirth. 2. See Section Definitions for
explanations of occurrence births, primary and repeat Cesarean sections, and VBACs. The percentages provided in this table are based on occurrence births, and may
differ from data which are based on resident births, presented elsewhere in this book. 3. The percentage of Cesarean births reported is, not adjusted for nsk factors such as
mother's age, birthweight, or complications of labor and delivery, which would influence the number of procedures in a particular facility. Caution should be used when
comparing unadjusted percentages. 4. Percentage of total Cesarean sections= (total Cesarean births/all births) x 100. 5. Percentage primary Cesarean sections= (primary
Cesarean sections/all births-repeat Cesarean sections-VBACs) x 100. 6 Percentage repeat Cesarean sections= (repeat Cesarean sections/ (repeat Cesarean sections +
VBACs)) xlOO. 7. Percentage VBACs= (VBAC deliveries/ (repeat Cesarean sections + VBAC)) x 100. 8. This percentage is based on less than 40 total births (in
denominator) and should be interpreted with caution. 9. Calculations based on fewer than five events are excluded.
78
Table B-22. Cesarean Section Deliveries for Singleton Births by Licensed Maternity
Facility^ and Number of Previous Births, Massachusetts: 2004
Facility
Second
or Later
Birth
Second
or Later
Birth
Fi
rst Birth
without prior C-section
with prior C-section
C-section
C-section
C-section
Births^
Births^
Births^
n
%^
n
%^
n
0/ 2
/o
State Total
34,006
10,410
30.6
o i,/1o
2,972
9.4
9,5Uo
8,422
88.6
Anna Jaques Hspt.
317
86
27.1
oUcS
23
7.5
67
71.3
Baystate Medical Ctr.
1,645
482
29.3
1 , /oz
170
9.7
con
ooO
433
81.7
Berkshire Medical Ctr.
363
9? 7
ODD
7
R7
77 n
Beth Israel Deaconess Med. Ctr.
2,349
ROT
oO.Z
1,757
1 OS
1 n R
1 U.o
649
D / H
D R n
Beverly Hspt.
881
?i n
880
%j /
277
940
Rfi fi
OD.D
Boston Medical Ctr.
998
961
1 1 Q
210
•1 09
1 yz
Q "1 /
y 1 .4
Brigham And Women's Hspt.
3,997
■1 ono
1 ,zuy
ou.z
3,029
O^A
ZO^
R A
888
7t^9
/ oz
Ryl 7
04. /
Brockton Hspt.
548
1 on
'\A 7
517
D't
19 4
171
1 /IQ
1 'ty
R7 1
Cambridge Hspt.
628
1 Ou
OA 7
323
9R
ZO
R n
o.u
126
1 no
1 uy
Rfi ^
OD. 0
Cape Cod Hspt.
414
111
1 1 1
96 8
372
91
122
1 Dfi
Rfi Q
OQ. y
Caritas Good Samaritan Med. Ctr.
398
Tt; 7
oO. I
401
A 1
141
no n
yz.y
Caritas Norwood Hspt.
280
96
34.3
233
21
9.0
75
66
88.0
Caritas St. Elizabeth's Medical Ctr.
603
233
38.6
470
51
10.9
235
219
93.2
Charlton Memorial Hspt.
737
216
29.3
682
78
11.4
151
143
94.7
Cooiey Dickinson Hspt.
414
116
28.0
364
17
4.7
86
72
83.7
Emerson Hspt.
538
172
32.0
523
49
9.4
200
182
91.0
Fairview Hspt.
74
21
28.4
79
6
7.6
19
19
100.0
Falmouth Hspt.
263
79
30.0
266
33
12.4
89
87
97.8
Franklin Medical Ctr.
204
45
22.1
184
16
8.7
41
36
87.8
Harrington Memorial Hspt.
190
62
32.6
203
28
13.8
61
51
83.6
Heywood Memorial Hspt.
232
49
21.1
229
11
4.8
67
54
80.6
Caritas Holy Family Hspt. And
Medical Ctr.'
555
225
40.5
"512
58
11.3
221
217
98.2
Holyoke Hspt.
243
37
15.2
265
20
7.5
70
61
87.1
Jordan Hspt.
246
81
32.9
268
29
10.8
79
72
91.1
Lawrence General Hspt.
680
165
24.3
738
63
8.5
267
249
93.3
Leominster Hspt.
429
96
22.4
501
38
7.6
144
134
93.1
Lowell General Hspt.
786
218
27.7
820
90
11.0
229
197
86.0
NOTE: All percentages are calculated based on only those births with known j/alues for the characteristic(s) of interest, unless otherwise stated.
1 . A licensed maternity facility is a medical unit licensed by the Commonwealth for the care of women during pregnancy and childbirth. 2.
Occurrence births (See Section Definitions for definition.) 3. The percentage of Cesarean births reported is not adjusted for risk factors such as
mother's age, birthweight, or complications of labor and delivery, which would influence the number of procedures in a particular facility. Caution
should be used when comparing unadjusted percentages. 4. This percentage is based on less than 40 total births (in denominator) and should be
interpreted with caution. 5. Calculations based on fewer than five events are excluded.
79
Table B-22 (continued). Cesarean Section Deliveries for Singleton Births by Licensed Maternity
Facility and Number of Previous Births, Massachusetts: 2004
Facility
First Birth
, C-section
Births^ 3
Second or Later Birth
without prior C-section
, C-section
Births ,
n
Second or Later Birth
with prior C-section
„ 2 C-section
Births ,
Martha's Vineyard Hspt.
65
15
23.1
43
2
c
16
16
100.0
Mary Lane Hspt.
52
19
36.5
64
5
7.8
14
14
100.0
Massachusetts General Hspt.
1,588
508
32.0
1,381
137
9.9
371
309
83.3
Melrose-Wakefield Hspt.
615
232
37.7
596
66
11.1
212
201
94.8
Mercy Medical Ctr.
525
146
27.8
702
41
5.8
134
116
86.6
Metrowest Medical Ctr.-
894
326
36.5
793
101
12.7
268
268
100.0
Milford-Whitinsville Regional Hspt.
350
123
35.1
377
39
10.3
116
108
93.1
Morton Hspt.
184
75
40.8
241
30
12.4
82
70
85.4
Mount Auburn Hspt.
885
223
25.2
702
31
4.4
186
140
75 3
Nantucket Cottage Hspt.
1 1
1 1
17 9
1 3 *i
o
o
5
Newton Wellesley Hspt.
R 7
O. 1
491
oy 1
OO Q
y/.y
North Adams Regional Hspt.
129
38
29.5
131
11
8.4
25
24
96.0
North Shore Medical Ctr - Salem
Hspt.
789
249
31.6
745
65
8.7
211
188
89.1
Saint Vincent Hspt.
805
212
26.3
780
66
8.5
231
175
75.8
Saints Memorial Medical Ctr-St.
311
107
34.4
266
25
9.4
76
73
96.1
South Shore Hspt.
1,650
523
31.7
1,702
138
8.1
540
493
91.3
St. Luke's Hspt.
621
151
24.3
679
64
9.4
182
173
95.1
Sturdy Memorial Hspt.
458
182
39.7
465
42
9.0
116
108
93.1
Tobey Hspt.
205
43
21.0
251
18
7.2
36
28
77.8
Tufts-New England Med. Ctr Hspt.
543
222
40.9
486
73
15.0
138
126
91.3
Umass Memorial Medical Ctr. -
West Campus
1,841
477
25.9
1,880
211
11.2
493
426
86.4
Winchester Hspt.
863
291
33.7
950
107
11.3
316
306
96.8
NOTE: All percentages are calculated based on only those births with known values for the characteristic(s) of interest, unless otherwise stated.
1 . A licensed maternity facility is a medical unit licensed by the Commonwealth for the care of women during pregnancy and childbirth. 2.
Occurrence births (See Section Definitions for definition.) 3. The percentage of Cesarean births reported is not adjusted for risk factors such as
mother's age, birthweight, or complications of labor and delivery, which would influence the number of procedures in a particular facility. Caution
should be used when comparing unadjusted percentages. 4. This percentage is based on less than 40 total births (in denominator) and should be
interpreted with caution. 5. Calculations based on fewer than five events are excluded.
80
Table B-23. Birth Characteristics by Licensed Maternity Facility\ Massachusetts: 2004
Occurrence Low Public Adequate
Births^ Birthweight^ Payment Prenatal Care^
Facility Location (n) (%) for (%)
Delivery"*
(%)
STATE I U 1 AL
7 R
/ .O
Anna Jaques Hspt.
Newburyport
743
3.9
18.1
88.8
Baystate Medical Ctr.
Springfield
4,200
13.2
44.1
80.9
Berkshire Medical Ctr.
Pittsfield
813
5.9
39.4
64.6
Beth Israel Deaconess Medical Ctr.
Boston
5,219
12.3
17.1
95.1
Beverly Hspt.
Beverly
2,123
4.7
26.0
93.3
Boston Medical Ctr.
Boston
2,238
9.3
83.0
53.9
Brigham And Women's Hspt,
Boston
8,864
11.3
18.8
98.1
Brockton Hspt.
Brockton
1,271
7.9
60.6
80.5
Cambridge Birth Ctr.
Cambridge
108
0.0
28.7
81.5
Cambridge Hspt.
Cambridge
1,096
3.3
72.1
78.0
Cape Cod Hspt.
Barnstable
932
. 6.3
38.2
88.7
Caritas Good Samaritan Medical
Ctr.
Brockton
974
7.0
48.7
66.5
Caritas Norwood Hspt.
Norwood
604
4.6
17.3
78.6
Charlton Memorial Hspt.
Fall River
1,630
5.8
44.0
90.5
Cooley Dickinson Hspt.
Northampton
906
3.3
23.7
91.0
Emerson Hspt.
Concord
1,312
4.6
3.4
84.7
Fairview Hspt.
Great Barrington
172
7
43.0
87.8
Falmouth Hspt.
Falmouth
653
2.7
32.5
85.8
Franklin Medical Ctr.
Greenfield
449
4.9
37.0
82.9
Harrington Memorial Hspt.
Southbridge
460
4.8
48.4
85.2
Heywood Memorial Hspt.
Gardner
539
3.2
36.6
83.9
Caritas Holy Family Hspt. and
Medical Ctr.
Methuen
1 ,342
4.8
18.6
83.3
Holyoke Hspt.
Holyoke
588
4.4
64.9
76.2
Jordan Hspt.
Plymouth
610
4.3
26.7
73.2
Lawrence General Hspt.
Lawrence
1,739
7.8
61.3
82.2
Leominster Hspt.
Leominster
1,117
2.6
39.0
86.1
Lowell General Hspt.
Lowell
1,899
5.3
39.5
64.5
Martha's Vineyard Hspt.
Oak Bluffs
131
3.8
35.7
88.4
Mary Lane Hspt.
Ware
130
3.8
53.8
71.5
Massachusetts General Hspt.
Boston
3,537
8.6
28.8
87.5
Melrose-Wakefield Hspt.
Melrose
1,460
5.3
19.5
89.0
NOTES: All percentages are calculated based on only those births with known values for the characteristic(s) of interest, unless otherwise stated.
1 . A licensed maternity facility is a medical unit licensed by the Commonwealth for the care of women during pregnancy and childbirth. 2. See Section
Definitions for definition of occurrence births. 3. Less than 2,500 grams (5.5 lbs.) 4. Public payment for delivery includes Medicaid/MassHealth, Commonhealth,
Medicare, Healthy Start, other government programs, and free care. 5. Based on the APNCU Index. 6. The percentages provided in this row are based on
occurrence births and may differ from data presented elsewhere in this book which are based on resident births. 7. Calculations based on values of 1-4 for
medical characteristics of facilities with less than 200 births are suppressed based Guidelines for Release of Births Data, Ctr. for Health Information, Statistics,
Research and Evaluation, Massachusetts Department of Public Health.
81
Table B-23. (continued) Births Characteristics by Licensed Maternity Facility\ Massachusetts:
2004
Occurrence
Low
Public
Adequate
Facility
Location
Births^ 1
Birthweight^
Payment for Prenatal Car
_ _ _ A
(n)
/O/ \
(%)
Delivery
(%)
(%)
Mercy Medical Ctr.
Springfield
1,385
3.7
58.3
77.0
Metrowest Medical Ctr.
Framingham
2,022
5.3
27.2
92.5
Milford-Whitinsville Regional Hspt.
Milford
860
2.9
19.6
90.2
Morton Hspt.
Taunton
522
5.9
40.8
73.6
Mount Auburn Hspt.
Cambridge
1,824
4.2
14.1
92.0
Nantucket Cottage Hspt.
Nantucket
103
_7
32.0
84.5
Newton Wellesley Hspt.
Newton
3,067
5.6
2.5
77.3
North Adams Regional Hspt.
North Adams
292
2.4
51.7
92.8
North Shore Birth Ctr.
Beveriy
80
0.0
16.3
91.3
North Shore Medical Ctr. - Salem
Hspt.
Salem
1,806
6.8
43.2
69.6
Saint Vincent Hspt.
Worcester
1,856
3.6
8.5
94.8
Saints Memorial Medical Ctr.
Lowell
671
5.1
36.3
83.2
South Shore Hspt.
Weymouth
4,104
5.4
11.3
90.1
Caritas St. Elizabeth's Medical Ctr.
Boston
1.398
13.2
20.5
85.7
St. Luke's Hspt.
New Bedford
1,561
6.7
57.0
80.7
Sturdy Memorial Hspt.
Attleboro
1,065
3.9
16.9
71.2
The Birthplace At Wellesley
Wellesley
111
7
0.0
82.7
Tobey Hspt.
Wareham
517
4.3
27.1
62.8
Tufts-New England Medical Ctr. Hspt.
Boston
1,324
26.1
33.8
85.5
Winchester Hospital
Winchester
2,219
5.2
5.2
86.2
Umass Memorial Medical Ctr. - West
Campus
Worcester
4,480
10.8
34.9
71.6
Other Hospitals
11
7
42.9
63.6
NOTES; All percentages are calculated based on only those births with known values for the characteiistic(s) of interest, unless otherwise stated.
1 . A licensed maternity facility is a medical unit licensed by the Commonwealth for the care of women during pregnancy and childbirth. 2. See Section
Definitions for definition of occurrence births. 3. Less than 2,500 grams (5.5 lbs.) 4. Public payment for delivery includes Medicaid/MassHealth, Commonhealth,
Medicare, Healthy Start, other govemment programs, and free care. 5. Based on the APNCU Index. 6. The percentages provided in this row are based on
occurrence births and may differ from data presented elsewhere in this book which are based on resident births, 7. Calculations based on values of 1-4 for
medical characteristics of facilities with less than 200 births are suppressed based Guidelines for Release of Births Data, Ctr. for Health Information. Statistics,
Research and Evaluation, Massachusetts Department of Public Health.
82
Table B-24A. Birth Characteristics': Occurrence and Resident Births and Infant Deaths,
Massachusetts Municipalities: 2004
Occurrence
Resident
Low
Teen
Infant
Neonatal
Fetal
Communitv
Births^
Births^
BIrthweight'*
Births
Deaths*
Deaths^
Deaths^
y 1 \j~ 1 *7
STATE TOTAL
79,438
78,460
6,125
4,559
372
288
417
Abington
0
182
16
7
0
0
2
Acton
0
234
21
~
0
0
3
Acushnet
2
72
—
5
0
0
0
Adams
0
90
10
14
3
3
0
Agawam
0
270
22
14
3
2
1
Alford
0
2
0
0
0
0
0
Amesbury
0
192
12
10
0
0
1
Amherst
6
191
10
8
0
0
1
Andover
0
310
25
~
0
0
2
Aquinnah (Gay Head)
0
3
—
0
0
0
0
Arlington
1
569
38
7
5
5
5
Ashburnham
1
66
0
-
0
0
0
Ashby
2
27
~
—
0
0
0
Ashfield
0
15
-
—
0
0
0
Ashland
0
238
14
—
0
0
0
Athol
1
132
6
15
2
2
0
Attleboro
1,066
616
50
37
4
4
2
Auburn
1
169
17
~
1
1
2
Avon
0
64
—
—
0
0
0
Ayer
1
108
8
~
1
1
0
Barnstable
934
448
41
21
1
1
6
Barre
0
68
—
6
0
0
0
Becket
0
19
—
~
0
0
0
Bedford
2
140
5
5
0
0
2
Belchertown
1
173
15
8
1
1
0
Bellingham
2
202
11
10
1
1
0
Belmont
0
286
18
—
1
0
2
Berkley
2
86
9
—
1
1
0
Berlin
0
26
~
—
0
0
0
Bernardston
0
18
0
—
0
0
0
Beverly
2,207
416
26
11
0
0
2
Billerica
0
455
40
13
1
1
0
Blackstone
0
114
9
8
0
0
0
Blandford
0
7
0
0
0
0
0
Bolton
0
64
6
0
0
0
1
Boston
22,627
7,721
693
578
46
36
57
Bourne
1
226
16
7
1
1
1
Boxborough
0
57
0
0
0
0
Boxford
1
80
8
0
0
0
Boylston
1
52
0
0
1
1
0
Braintree
0
375
23
6
0
0
0
Brewster
1
58
0
0
0
Bridgewater
0
241
20
0
0
2
Brimfield
0
39
5
0
0
1
- Due to small numbers for births (n=1-4), exact count not provided.
1. Values of 1-4 for medical characteristics of communities with less than 200 births are suppressed based on Guidelines for Release of Birth Data, Ctr. for
Health Information, Statistics, Research and Evaluation, Massachusetts Department of Public Health. 2. Births occurring in a geographical place (state,
city/town) regardless of the residency of the mother. 3. Births to mothers who report their usual place of residence as a particular geographical place (state, or
city/town). 4. Less than 2,500 grams (5.5 lbs.). 5. Death of a child whose age is less than one year. 6. Death of a child whose age is less than 28 days. 7. A
stillbirth delivered, extracted or expulsed, at 20 weeks gestation or more and/or weighs 350 grams or more.
83
Table B-24A. Birth Characteristics: Occurrence and Resident Births and Infant Deaths,
Massachusetts Municipalities: 2004
Omirrpnrp
Rp<<ident
Low
Teen
Infant
■ ^ w w 1 la La 1
pptal
r t;la 1
Community
Dirt hc^
Dinns
Rirthc'^
Dirfhu/oinhfr^
Dinnwcly ni
ueams
ueatns
(15-1 y
years)
Rrnrktnn
2,252
1,592
174
161
17
12
o
RrnnkfiplH
0
27
0
0
n
u
Rronklinp
2
697
55
1
1
1
1
Ri irkl^inH
LJUV^fMOl IVJ
0
17
0
0
0
0
n
Ri irlinntnn
I— J LJ 1 III 1 U I W 1 1
2
305
27
2
2
0
r^;^ mhriHnp
3,034
1,095
74
25
4
3
Q
o
Canton
0
269
21
1
1
0
Carlisle
0
49
7
0
0
0
0
Carver
0
104
8
8
0
0
1
Charlemont
0
11
0
0
0
0
Charlton
2
132
8
0
0
1
Chatham
0
31
0
0
0
3
Chelmsford
0
395
30
12
2
1
2
Chelsea
4
678
55
73
7
5
3
Cheshire
0
25
0
0
0
Chester
0
16
0
0
0
0
Chesterfield
2
12
0
0
0
0
Chicopee
0
612
52
64
8
4
6
Chilmark
0
9
0
0
0
0
0
Clarksburg
0
12
0
0
0
0
0
Clinton
1
186
14
14
2
1
3
Cohasset
0
102
1 1
0
0
0
1
Colrain
0
12
0
0
0
Concord
1.314
156
8
0
0
0
3
Conway
1
23
0
2
2
0
Cummington
0
13
0
0
0
0
0
Dalton
0
55
7
0
0
0
Danvers
1
233
21
0
0
1
Dartmouth
1
275
18
15
1
1
0
Dedham
0
302
31
5
0
0
0
Qeerfield
0
44
1
1
0
Dennis
0
113
6
8
0
0
0
Dighton
0
60
0
0
0
Douglas
0
116
9
0
2
2
1
Dover
0
50
0
1
0
1
Dracut
1
384
20
14
0
0
2
Dudley
1
113
8
1
0
0
Dunstable
0
35
0
0
0
0
Duxbury
1
131
8
0
0
0
0
East Bridgewater
0
160
6
7
3
2
2
East Brookfield
0
19
0
0
0
East Longmeadow
0
161
11
0
0
0
Eastham
0
27
6
0
0
0
Easthampton
0
154
8
16
0
0
0
Easton
0
249
23
0
0
0
Edgartown
0
34
0
0
0
2
Egremont
0
11
0
0
0
0
- Due to small numbers for births (n=1-4), exact count not provided.
1. Values of 1-4 for medical characteristics of communities with less than 200 births are suppressed based on Guidelines for Release of Birth Data, Ctr. for
Health Information, Statistics. Research and Evaluation, Massachusetts Department of Public Health. 2 Births occurring in a geographical place (state,
city/tovi^n) regardless of the residency of the mother. 3. Births to mothers who report their usual place of residence as a particular geographical place (state, or
city/town). 4 Less than 2,500 grams (5 5 lbs.). 5. Death of a child whose age is less than one year 6 Death of a child whose age is less than 28 days 7 A
stillbirth delivered, extracted or expulsed, at 20 weeks gestation or more and/or weighs 350 grams or more.
84
Table B-24A.
Birth Characteristics: Occurrence and Resident Births and Infant Deaths,
Massachusetts Municipalities: 2004
Occurrence
Resident
Low
Teen
inTant
Neonatal
Fetal
Community
Births^
Births^
Birthweight"*
Births
Deaths^
Deaths^
Deaths^
(15-19
years)
Erving
0
19 •
-
-
U
U
A
U
Essex
0
30
-
0
n
u
n
u
1
Everett
1
512
35
34
-1
1
1
A
4
Fairhaven
1
146
16
11
•1
1
Jt
\
U
Fall River
1,631
1,189
102
171
D
b
r\
y
Falmouth
655
298
26
25
Z
2.
Fitchburg
2
550
53
70
n
U
Florida
0
5
0
0
n
U
A
U
0
Foxborough
1
166
11
--
1
-1
1
1
Framingham
2,026
943
79
44
D
o
Q
Franklin
2
414
24
7
1
A
U
Freetown
0
94
9
--
u
A
U
A
U
Gardner
541
235
17
28
0
n
o
Georgetown
0
102
8
0
n
A
U
•1
1
Gill
0
13
-
n
A
u
n
u
Gloucester
0
312
28
15
-I
1
1
U
Goshen
1
11
~
0
u
A
U
A
U
Gosnold
0
0
0
0
u
A
U
A
U
Grafton
1
243
13
5
-]
n
n
Granby
0
47
~
u
A
u
A
u
Granville
0
10
~
0
u
A
u
1
Great Barrington
175
68
-
-
1
1
n
Greenfield
451
171
20
13
-1
1
1
A
u
Groton
1
109
6
-
u
A
U
A
U
Groveland
0
64
-
-
u
A
U
A
U
Hadley
1
46
~
-
n
u
A
U
A
U
Halifax
0
75
5
--
1
A
U
A
U
Hamilton
0
86
7
0
■3
O
O
O
A
U
Hampden
1
34
—
-
n
u
A
U
A
U
Hancock
0
10
0
-
n
u
A
U
A
U
Hanover
0
157
8
-
0
n
1
Hanson
1
140
13
-
n
u
A
U
A
\
Hardwick
0
37
-
-
n
u
A
U
A
U
Harvard
0
45
8
~
n
u
A
U
A
U
Harwich
0
100
9
6
-1
1
1
A
u
Hatfield
1
27
--
0
n
U
A
u
A
u
Haverhill
2
872
81
56
o
o
z.
4
Hawley
0
2
0
0
n
u
A
U
A
U
Heath
0
5
0
0
n
A
u
A
u
Hingham
1
254
16
0
0
0
Hinsdale
0
24
0
0
0
Holbrook
1
141
7
12
n
n
1
Holden
0
194
15
0
2
2
0
Holland
0
25
0
0
0
Holliston
0
153
9
1
1
0
Holyoke
591
608
66
115
6
4
0
Hopedale
1
92
6
0
0
1
-- Due to small numbers for births (n=1-4), exact count not provided.
1 . Values of 1-4 for medical characteristics of communities with less than 200 births are suppressed based on Guidelines for Release of Birth Data, Ctr. for
Health Information, Statistics, Research and Evaluation, Massachusetts Department of Public Health. 2 Births occurnng in a geographical place (state,
city/town) regardless of the residency of the mother. 3. Births to mothers who report their usual place of residence as a particular geographical place (state, or
city/town . 4. Less than 2,500 grams (5.5 lbs.) 5. Death of a child whose age is less than one year 6 Death of a child whose age is less than 28 days. 7. A
stillbirth delivered, extracted or expulsed, at 20 weeks gestation or more and/or weighs 350 grams or more.
85
Table B-24A. Birth Characteristics: Occurrence and Resident Births and Infant Deaths,
Massachusetts Municipalities: 2004
Occurrence
Resident
Low
Teen
Infant
Neonatal
Fetal
Community
Births^
Births^
Birthweight*
Births
Deaths*
Deaths^
Deaths^
(15-19
years)
Hopkinton
0
180
6
-
1
1
0
Hubbardston
0
35
-
0
0
0
0
Hudson
0
236
19
-
3
3
1
Hull
0
105
8
-
1
1
1
Huntington
4
19
0
-
0
0
0
Ipswich
0
141
7
-
0
0
1
Kingston
0
151
14
-
0
0
0
Lakeville
0
120
8
6
0
0
1
Lancaster
1
59
0
0
0
0
0
Lanesborough
0
22
-
~
0
0
0
Lawrence
1,741
1,417
134
226
13
9
13
Lee
1
49
-
--
0
0
0
Leicester
0
128
13
8
1
1
0
Lenox
0
39
-
-
0
0
0
Leominster
1,117
511
34
26
2
2
3
Leverett
0
13
0
0
0
0
0
Lexington
0
222
16
-
0
0
0
Leyden
0
0
0
0
0
0
0
Lincoln
0
102
-
-
0
0
0
Littleton
0
111
8
-
1
1
2
Longmeadow
0
136
7
0
0
0
3
Lowell
2,574
1,649
149
194
8
6
14
Ludlow
1
184
18
6
5
5
0
Lunenburg
1
102
--
-
0
0
0
Lynn
6
1,428
108
135
9
8
7
Lynnfield
0
99
9
0
2
1
0
Maiden
2
856
70
28
2
2
6
Manchester-by-the-Sea
0
51
7
0
1
0
0
Mansfield
0
316
25
-
0
0
1
Marblehead
0
223
11
-
0
0
0
Marion
0
55
-
-
0
0
0
Marlborough
3
566
28
21
1
1
1
Marshfield
0
332
24
7
1
0
0
Mashpee
1
160
10
10
0
0
0
Mattapoisett
0
47
-
-
0
0
0
Maynard
1
156
14
0
0
2
Medfield
1
124
5
0
0
0
1
Medford
2
617
44
16
5
4
5
Medway
0
163
14
6
1
1
0
Melrose
1,460
330
15
1
1
1
Mendon
1
67
0
1
1
1
Merrimac
0
57
0
0
0
Methuen
1,343
622
46
38
3
1
0
Middleborough
0
267
20
11
1
1
2
Middlefield
~ 0
4
0
0
0
0
Middleton
0
71
0
0
0
Milford
860
357
15
16
0
0
1
-- Due to small numbers for births (n=1-4), exact count not provided.
1 . Values of 1-4 for medical characteristics of communities with less than 200 births are suppressed based on Guidelines for Release of Birth Data, Ctr. for
Health Information, Statistics, Research and Evaluation, Massachusetts Department of Public Health. 2 Births occurring in a geographical place (state,
city/town) regardless of the residency of the mother. 3. Births to mothers who report their usual place of residence as a particular geographical place (state, or
city/town). 4. Less than 2,500 grams (5 5 lbs.). 5. Death of a child whose age is less than one year. 6. Death of a child whose age is less than 28 days. 7. A
stillbirth delivered, extracted or expulsed, at 20 weeks gestation or more and/or weighs 350 grams or more
86
M
Table B-24A
Birth Characteristics: Occurrence and Resident Births and Infant Deaths,
Massachusetts Municipalities: 2004
Occurrence
Resident
Low
Teen
Infant
■Neonatal
Fetal
Community
Births^
Births^
U II ii lO
RirthxA/pinht^
RirthQ
Deaths*
Deaths^
Deaths^
/■I C i Q
years)
Millbury
0
148
13
5
n
u
Millis
0
100
6
1
1
n
Millville
0
56
7
-
n
n
u
n
u
Milton
0
331
23
6
•J
o
o
o
A
U
Monroe
0
0
0
0
u
n
U
A
U
Monson
0
86
7
-
i
1
U
1
Montague
2
86
10
10
u
U
1
Monterey
0
9
0
0
n
u
U
0
Montgomery
0
9
0
0
u
n
U
A
U
Mount Washington
0
2
0
0
u
n
U
A
U
Nahant
0
25
0
-
n
u
n
U
A
U
Nantucket
105
149
14
—
n
u
A
u
Natick
1
436
43
—
0
Needham
0
348
23
0
1
1
9
New Ashford
0
1
0
0
n
n
n
u
New Bedford
1,563
1,378
108
183
o
o
New Braintree
0
4
0
0
n
u
A
u
A
u
New Marlborough
0
16
0
0
n
u
A
u
A
u
New Salem
0
7
0
0
n
u
A
u
A
u
Newbury
0
77
5
-
9
A
u
Newburyport
744
197
19
7
n
u
A
U
A
u
Newton
3,070
844
77
9
A
c
O
Norfolk
0
98
8
—
0
n
1
1
North Adams
292
151
8
20
0
n
9
North Andover
1
329
19
5
0
n
n
North Attleboro
0
374
24
11
n
A
U
A
U
North Brookfieid
0
46
-
-
n
u
A
U
A
U
North Reading
0
175
13
~
n
u
A
u
A
U
Northampton
910
242
21
16
n
u
A
U
A
u
Northborough
0
164
9
-
n
A
U
A
u
Northbridge
2
221
14
10
n
u
A
U
A
u
Northfield
2
36
-
--
n
A
U
A
u
Norton
2
243
16
8
u
A
U
A
U
Norwell
0
107
9
--
-1
-1
1
1
Norwood
605
371
36
-
1
1
1
O
O
Oak Bluffs
131
44
-
-
u
A
U
A
u
Oakham
0
12
0
n
u
A
U
A
u
Oraage
0
84
6
13
1
1
-t
1
Orleans
0
38
0
u
A
U
A
u
Otis
0
13
0
0
0
Oxford
1
148
13
7
2
2
2
1 all 1 Icl
0
135
6
9
0
n
n
Paxton
0
45
5
0
0
0
Peabody
2
513
57
24
0
0
2
Pelham
0
4
0
0
0
0
0
Pembroke
0
222
11
8
2
1
0
- Due to small numbers for births (n=1-4), exact count not provided.
1. Values of 1-4 for medical characteristics of communities with less than 200 births are suppressed based on Guidelines for Release of Birth Data. Ctr. for
Health Information, Statistics, Research and Evaluation, Massachusetts Department of Public Health 2, Births occurring in a geographical place (state,
city/town) regardless of the residency of the mother.
3. Births to mothers who report their usual place of residence as a particular geographical place (state, or
city/town). 4. Less than 2,500 grams (5.5 lbs,). 5. Death of a child v*/hose age is less than one year. 6. Death of a child whose age is less than 28 days. 7. A
stillbirth delivered, extracted or expulsed, at 20 weeks gestation or more and/or weighs 350 grams or more.
87
Table B-24A. Birth Characteristics: Occurrence and Resident Births and infant Deaths,
Massachusetts Municipalities: 2004
Or* 1 1 rrAfiP P
DpcjHpnt
1 nw
L_ W ¥>
Tppn
1 nf a nt
1 1 1 1 a 1 1 1
KJ o n ^ f o 1
reiai
uorrirnuniiy
RirthQ^
DliLI Id
Rirthc;^
D 1 1 LI to
R i rt h VA/0 i n h t'^
Rirth«
npathc^
L^cdlllo
UcdinS
ueatns
years)
Pepperell
1
115
13
--
1
1
0
Peru
0
8
-
~
0
0
0
Petersham
0
8
—
-
0
0
0
Phillipston
0
15
-
0
0
0
Pittsfield
814
538
49
59
3
1
4
Plainfield
0
5
0
0
0
0
0
Plainville
0
97
6 •
—
0
0
2
Plymouth
615
688
49
27
2
2
6
Plympton
0
30
-
0
0
0
0
Princeton
1
36
—
—
0
0
0
Provincetown
1
18
--
0
0
0
0
Quincy
4
1,168
83
34
5
4
3
Randolph
0
414
32
18
4
3
1
Raynham
0
168
16
5
0
0
0
Reading
0
273
13
-
0
0
1
Rehoboth
0
108
8
-
0
0
0
Revere
0
689
57
42
3
3
4
Richmond
0
8
0
0
0
0
0
Rochester
0
47
-
-
0
0
1
Rockland
1
228
19
13
1
1
0
Rockport
0
59
-
-
0
0
0
Rowe
0
4
0
—
0
0
0
Rowley
0
74
5
—
0
0
0
Royalston
0
15
-
—
0
0
0
Russell
1
17
—
0
0
0
0
Rutland
1
102
9
0
0
0
0
Salem
1,807
526
53
26
2
2
1
Salisbury
0
78
6
-
1
0
0
Sandisfield
0
8
0
0
0
0
0
Sandwich
0
177
8
8
0
0
1
Saugus
0
281
23
7
3
2
2
Savoy
0
3
0
0
0
0
0
Scituate
0
193
14
-
0
0
0
Seekonk
0
104
5
1
1
0
Sharon
0
190
18
1
1
0
Sheffield
1
29
1
0
1
Shelbume
0
13
0
0
0
0
0
Sherborn
2
39
0
0
0
0
Shirley
0
60
5
0
0
0
0
Shrewsbury
0
469
45
7
0
0
1
Shutesbury
2
19
0
0
0
0
Somerset
1
145
7
0
0
0
Somerville
4
849
56
36
5
4
9
South Hadley
0
158
8
5
1
1
0
Southampton
1
41
0
0
0
- Due to small numbers for births (n=1-4), exact count not provided.
1 . Values of 1 -4 for medical characteristics of communities with less than 200 births are suppressed based on Guidelines for Release of Birth Data. Ctr. for
Health Information, Statistics, Research and Evaluation, Massachusetts Department of Public Health 2. Births occurring in a geographical place (state,
clty/tov»^n) regardless of the residency of the mother. 3. Births to mothers who report their usual place of residence as a particular geographical place (state, or
city/town). 4, Less than 2,500 grams (5.5 lbs.). 5. Death of a child whose age is less than one year, 6. Death of a child whose age is less than 28 days. 7 A
stillbirth delivered, extracted or expulsed, at 20 weeks gestation or more and/or weighs 350 grams or more.
88
Table B-24A.
Birth Characteristics: Occurrence and Resident Births and Infant Deaths,
Massachusetts Municipalities: 2004
Oppiirrpnf"P
RpsiHpnt
Low
Teen
Infant
Neonatal
Fetal
Community
Dirtns
Dinns
Dinnweigni
Dinns
Deaths^
Deaths^
Deaths^
(15-19
years)
Southborough
0
125
6
0
0
0
2
Southbridge
463
261
24
38
4
4
2
Southwick
0
92
—
—
1
1
0
Spencer
1
125
10
9
1
1
1
Springfield
5,596
2,390
258
428
1 0
9
20
Sterling
1
83
7
—
0
0
0
Stockbridge
0
13
—
0
0
0
0
Stoneham
0
213
14
-
1
A
\
2
Stoughton
1
345
42
6
5
5
0
Stow
0
100
6
0
1
1
2
Sturbridge
1
100
—
~
A
\
A
U
Sudbury
2
200
15
0
1
A
1
A
\
Sunderland
1
31
-
~
U
A
U
A
u
Sutton
0
111
—
0
0
1
Swampscott
2
157
14
~
n
u
A
U
A
u
Swansea
0
133
12
--
I
A
1
A
0
Taunton
524
775
77
54
2.
1
3
Templeton
0
69
~
~
U
A
U
A
\
Tewksbury
0
318
23
8
U
A
U
2.
Tisbury
1
35
~
0
A
U
A
U
A
U
Tolland
0
3
0
0
A
0
A
0
0
Topsfield
0
56
7
0
0
0
0
Townsend
1
97
~
7
1
0
1
Truro
1
12
—
A
U
A
u
A
u
Tyngsborough
0
140
10
—
1
A
0
A
0
Tyringham
0
3
0
0
A
U
A
0
0
Upton
1
97
6
0
A
U
A
A
1
Uxbridge
0
153
—
5
1
0
1
Wakefield
2
298
25
6
A
1
A
1
0
Wales
0
18
—
—
A
U
A
U
A
U
Walpole
0
276
13
-
A
1
1
2
Waltham
5
676
44
18
A
1
A
1
o
z
Ware
130
110
8
13
0
0
0
Warehann
517
244
21
18
A
u
A
(J
A
U
Warren
2
59
-
—
0
0
0
Warwick
0
3
0
0
0
0
0
Washington
0
2
0
0
0
0
Watertown
0
335
27
—
A
u
A
u
A
\
Wayland
1
124
8
0
0
0
2
Webster
0
216
23
13
1
1
3
Wellesley
111
274
15
A
u
A
(J
A
\
VVcllTlccl
0
24
0
0
0
0
Wendell
0
7
0
0
0
0
Wenham
1
41
0
0
0
0
West Boylston
0
71
0
0
0
0
West Bridgewater
0
73
6
5
1
1
1
- Due to small numbers for births (n=1-4), exact count not provided
1 . Values of 1 -4 for medical characteristics of communities with less than 200 births are suppressed based on Guidelines for Release of Birth Data, Ctr. for
Health Information, Statistics, Research and Evaluation, Massachusetts Department of Public Health. 2. Births occurring In a geographical place (state.
city/town) regardless of the residency of the mother.
3. Births to mothers who report their usual place of residence as a particular geographical place (state, or
city/town). 4 Less than 2,500 grams (5.5 lbs ). 5. Death of a child vi/hose age is less than one year. 6. Death of a child v\/hose age is less than 28 days. 7. A
stillbirth delivered, extracted or expulsed, at 20 weeks gestation or more and/or weighs 350 grams or more.
89
Table B-24A. Birth Characteristics: Occurrence and Resident Births and Infant Deaths,
Massachusetts Municipalities: 2004
Occurrence
Resident
Low
Teen
Infant
Neonatal
Fetal
r» m m 1 1 n \f\/
Births^
Births^
Birthweight"
Births
Deaths*
Death<;^
■
\ 1 \j 1 ^
%# a o ro 1
yedis 1
West Brookfleld
0
38
0
0
0
0
0
West Newbury
0
34
—
0
0
0
0
West Springfield
1
351
22
30
3
2
3
West Stockbridge
0
12
0
0
0
0
0
West Tisbury
0
23
5
0
0
0
0
Westborough
1
235
19
7
1
1
2
Westfield
4
425
23
32
0
0
2
Westford
1
249
18
—
0
0
2
Westhampton
1
13
—
0
0
0
0
Westminster
0
49
—
—
0
0
1
Weston
1
84
5
—
0
0
0
Westport
0
109
7
5
1
0
0
Westwood
1
156
6
—
0
0
1
Weymouth
4,105
699
41
27
4
4
4
Whately
0
17
0
—
0
0
0
Whitman
0
205
14
6
0
0
1
Wilbraham
0
112
7
—
0
0
0
Williamsburg
0
23
—
0
0
0
0
Williamstown
1
42
0
0
0
Wilmington
1
298
16
7
1
1
1
Winchendon
0
103
8
0
0
1
Winchester
2,219
275
15
1
1
1
Windsor
0
8
0
0
0
Winthrop
0
176
12
7
1
1
0
Woburn
0
481
36
14
0
0
4
Worcester
6,357
2,579
196
250
17
12
18
Worthington
0
14
0
0
0
0
0
Wrentham
1
118
9
0
0
0
Yarmouth
1
202
15
14
2
2
1
- Due to small numbers for births (n=1-4), exact count not provided.
1 . Values of 1 -A for medical characteristics of communities with less than 200 births are suppressed based on Guidelines for Release of Birth Data, Ctr. for
Health Information, Statistics, Research and Evaluation, Massachusetts Department of Public Health. 2. Births occurring In a geographical place (state,
city/town) regardless of the residency of the mother. 3. Births to mothers who report their usual place of residence as a particular geographical place (state, or
city/town). 4. Less than 2,500 grams (5.5 lbs.). 5. Death of a child whose age is less than one year, 6 Death of a child whose age is less than 28 days. 7. A
stillbirth delivered, extracted or expulsed, at 20 weeks gestation or more and/or weighs 350 grams or more.
90
Table B-24B. Birth Characteristics, Occurrence and Resident Births and Infant Deaths by County
Massachusetts: 2004
Occurrence Resident Births
Births^ Deaths
Low Teen Births
County Name Number Birthweight^ (15-19 years) infant'' Neonatal^ Feta!^
STATE TOTAL
79,438
78,460
6,125
4,559
372
288
417
Barnstable
1,595
1,932
148
104
9
7
14
Berkshire
1,284
1,297
94
122
8
5
7
Bristol
4,793
6,640
535
535
22
17
27
Dukes
132
148
13
3
0
0
2
Essex
7,858
9,253
764
590
43
31
38
Franklin
459
670
55
49
5
5
2
Hampden
6,195
5,740
515
716.
42
27
38
Hampshire
1,058
1,307
87
73
2
2
1
Middlesex
15,738
17,954
1,303
575
69
58
112
Nantucket
105
149
14
4
0
0
0
Norfolk
4,837
8,054
577
167
34
30
26
Plymouth
3,388
6,150
500
311
31
22
31
Suffolk
22,631
9,264
817
700
57
45
64
Worcester
9,365
9,902
703
610
50
39
54
1 . Births occurring in a geographical place (state, city/town) regardless of the residency of the mother. 2. Births to mothers who report their usual place of
residence as a particular geographical place (state, or city/town). 3. Less than 2,500 grams (5.5 lbs.), 4. Death of a child whose age is less than one year. 5.
Death of a child whose age is less than 28 days. 6. A stillbirth delivered, extracted or expulsed, at 20 weeks gestation or more and/or weighs 350 grams or
more.
91
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DEATHS
SECTION C
DEATHS
The number of Massachusetts resident deaths decreased from 2003 (56,194 deaths) to
2004 (54,419 deaths). Using MassCHIP population estimates, the 2004 crude death rate of
848.1 per 100,000 population was lower than the 2003 crude death rate of 875.2. As with
live births, Massachusetts resident deaths include all deaths to Massachusetts residents
regardless of the state in which the deaths occurred. Most data presented in this section
are resident data. Occurrence deaths are used only to analyze cases referred to the
medical examiner.
DEATHS BY RACE/ETHNICITY
From 2003 to 2004, the number of deaths by race/ethnicity remained relatively constant
with White non-Hispanic residents comprising 92.7% of the total deaths in Massachusetts.
Black non-Hispanic deaths totaled 4.1% of the total deaths, Hispanic deaths 2.1%, Asian
non-Hispanic deaths 1.0%, and other and unknown race deaths 0.2%.
Prior to 1989, only a race question was included on death certificates. A separate item on
Hispanic origin was added to the death record beginning January 1, 1989. This item asks
whether the decedent was of Hispanic origin. If answered affirmatively, then specific
Hispanic origin (e.g., Puerto Rican, Dominican, Cuban, etc.) is requested.
DEATHS BY AGE
Persons 75 years of age or older accounted for 63.73% of all resident deaths. The percent
of deaths to residents in this age group varied widely by sex and race/ethnicity.
% OF DEATHS 75
% OF DEATHS
YEARS AND
SEX
RACE
UNDERAGE 75
OLDER
MALE
WHITE NON-HISPANIC
43.8
56.2
BLACK NON-HISPANIC
69.6
30.4
HISPANIC
83.5
16.5
ASIAN
61.9
38.1
OTHER/UNKNOWN
74.2
25.8
TOTAL
46.3
53.7
FEMALE
WHITE NON-HISPANIC
25.8
74.2
BLACK NON-HISPANIC
52.2
47.8
HISPANIC
68.4
31.6
ASIAN
42.0
58.0
OTHER/UNKNOWN
41.3
58.7
TOTAL
27.5
72.5
TOTAL
WHITE NON-HISPANIC
34.0
66.0
BLACK NON-HISPANIC
61.6
38.4
HISPANIC
77.4
22.6
ASIAN
52.5
47.5
OTHER/UNKNOWN
60.7
39.3
TOTAL
36.3
63.7
93
DEATHS BY PLACE OF OCCURRENCE
Between 2003 and 2004, there was little variation in the sites where deaths occurred. The
data are presented below:
SITE
% OF DEATHS
2004
% OF DEATHS
2003
HOSPITAL
43.3
44.4
NURSING OR REST HOME
30.3
30.1
AT HOME
22.6
22.1
EN ROUTE TO HOSPITAL OR DEAD ON ARRIVAL
1.7
1.6
OTHER AND UNKNOWN^
2.1
1.8
TOTAL
100.0
100.0
Other and Unkncswn includes pnson or other institutions and all other places.
DEATHS BY CAUSE
Cause of death statistics in this report are based on the Tenth Revision of the International
Classification of Diseases (ICD-10). The methodology of coding cause of death from death
certificates is consistent nationally, using the Automated Classification of Medical Entities
(ACME) developed by the National Center for Health Statistics (NCHS). The ACME system
requires every disease or condition mentioned on the record to be coded. The underlying
cause is then selected by a computer program which incorporates the ICD-10 rules and
conventions. Cause of death information in this report is based on underlying cause,
except where otherwise noted.
The leading causes of death differed somewhat by race and ethnicity in 2004, as in
previous years. Nine of the ten leading causes of death for White non-Hispanics were
chronic conditions (e.g., heart disease, cancer, stroke, respiratory illness, and diabetes)
which usually afflict older people. The leading causes of death for Black non-Hispanics
included homicide and AIDS/HIV-related diseases which occur more frequently among
younger people. For Asian non-Hispanics, suicide was among the top ten leading causes
of death. For Hispanics, AIDS/HIV-related diseases, perinatal conditions, homicide and
injuries of undetermined intent were among the leading causes of death in 2004.
ACQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS)
In 2004, 211 Massachusetts residents died from AIDS and HIV-related illnesses. This
represents a 6.6% decrease from 2003. The overall age adjusted rate of death was 3.1 in
2004, down from 3.4 in 2003.
94
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95
DEATHS CERTIFIED BY MEDICAL EXAMINERS
The total number of deaths occurring in Massachusetts that were certified by medical
examiners decreased from 4,011 in 2003 to 3,859 in 2004. Of the deaths certified by
medical examiners, 37.8% were reported as a result of natural causes. The percentage of
deaths due to natural causes (i.e., non-injury related causes) certified by medical
examiners varies somewhat by county, from a high of 63.6% in Dukes County to a low of
32.2% in Worcester County. The Dukes County value is based on only 7 deaths by natural
causes and should be interpreted with caution. Suffolk County had the greatest
percentage of deaths (31.0%) that were referred to medical examiners, while the highest
number of such deaths was in Middlesex County with 2,520 deaths.
COMMUNITY HEALTH NETWORK AREAS (CHNA)
The Department of Public Health, in collaboration with health service providers, coalition
members, and other interested citizens, has designated 27 geographic areas for
community health planning. It is the Department's intention to foster in each of these areas
the development of Community Health Networks: a consortia of health care providers,
human service agencies, schools, churches, youth, parents, elders, advocacy groups, and
individual consumers to address the health needs of the community. These community
coalitions will participate in monitoring outcomes and the progress of strategies and
responses to those health needs. The data published in this edition reflect the new
definitions of CHNAs instituted in January 1997.
A Community Health Network Area (CHNA) is defined as an aggregation of cities and
towns. The city of Boston constitutes its own Community Health Network Area. It is hoped
that the Networks will mobilize around key health issues impacting the community,
promote prevention efforts, enhance access to health care, provide opportunities for more
collaboration among agencies, and create a client-centered, outcome-oriented health
service delivery system. Community Health Networks will also promote efficiency in
service delivery by working to reduce duplication and overlap, and by identifying gaps in
service.
DEFINITIONS IMPORTANT FOR THIS SECTION INCLUDE:
AGE-ADJUSTED RATE
A procedure for adjusting rates, designed to minimize the effects of differences in age
distribution when comparing rates for different populations. This procedure is
accomplished by the computational process known as age standardization, whereby
mortality statistics are adjusted to a reference population. For this publication, the
reference population is the 2000 US population, the same used by the National Center for
Health Statistics. The result of the process is a summary index that can be used to
compare rates of different populations throughout the nation and over time.
96
DEATH CERTIFICATE
A vital record signed by a licensed physician that includes cause of death, decedent's
name, sex, birth date, place of residence, and place of death.
INTERNATIONAL CLASSIFICATION OF DISEASES. NINTH REVISION
The International Classification of Disease (ICD) classifies cause of death information for
statistical purposes. The ICD was first used in 1900 and has since been revised about
every 10 years. The Ninth Revision, published in 1977, is used to code mortality data
beginning with 1979. The International Classification of Diseases, Tenth Revision (ICD-
10) replaced the International Classification of Diseases, Ninth Revision (ICD-9) for
coding all mortality data in 1999.
MASSCHIP
MassCHIP is a free on-line interactive public health and sociodemographic data
dissemination service developed by the Department of Public Health. It contains 36
major data sets which users may query by downloading the application onto their
computer and accessing MassCHIP data servers through the Internet. MassCHIP returns
counts of events and a wide variety of statistical measures, including percentages, age-
specific and age-adjusted rates, and standardized incidence ratios. The system provides
charting and mapping options and results may be exported to EXCEL. The system also
offers 48 fixed-format topic-specific reports as web pages, for which users can choose
geographic areas of interest.
MISER
The Massachusetts Institute for Social and Economic Research. This research institute,
located at the University of Massachusetts in Amherst, produces the official population
estimates and projections for the Department of Public Health through 1998.
OCCURRENCE DEATH
Occurrence deaths include all deaths that occur within the state, including deaths of non-
residents. An interstate exchange agreement among the 50 states and Canada, Puerto
Rico, Guam, the Virgin Islands, and the District of Columbia provides for exchanges of
copies of birth and death records. These records are used for statistical purposes only,
and allow each state or province to track the births and deaths of residents.
97
RACE
For death records, race is provided by the death record informant (for example; spouse,
next of kin, or funeral director).
RESIDENT DEATH
The death of a person whose usual place of residence or permanent address (as reported
by the informant) is in one of the 351 cities or towns of Massachusetts, regardless of
where the death took place. Unless otherwise noted, all data in this publication are
resident data. An interstate exchange agreement among the 50 states, Canada, Puerto
Rico, Guam, the Virgin Islands, and the District of Columbia provides for exchange of
copies of birth and death records. These records are used for statistical purposes only,
and allow each state or province to track the births and deaths of residents.
UNDERLYING CAUSE OF DEATH
The underlying cause of death is: 1.) the disease or injury that initiated the series of events
leading to death, or 2.) the circumstances of the unintentional or intentional injury that
resulted in the death. See the Appendix for the Death Certificate.
RATES IMPORTANT FOR THIS SECTION INCLUDE:
AGE-SPECIFIC Number of Resident Deaths in Specific Age Group x 100.000
DEATH RATE Total Population of Specific Age Group
CAUSE-SPECIFIC Number of Resident Deaths for a Specific Cause x 100.000
DEATH RATE Total Population
CRUDE DEATH Number of Resident Deaths in a Year x 100.000
RATE Total Population
98
ICD-10 and ICD-9 Codes Used in this Publication
(Sorted by ICD-10 Codes)
Cause of Death
ICD-10 Code
ICD-9 Code
Infectious and parasitic diseases
A00-B99
001-139
Septicemia
A40-A41
038
Human Immunodeficiency Virus (HIV) disease
B20-B24
042-044
oancer ^iviaiignani iNcopiasms^
pnn PQ"7
of esophagus
U 1 O
1 f^n
OT siomacn
\j 1 D
1 01
of colon, rectum, rectum and anus
P 1 S P0 1
1 o4, 1 oy.y
of pancreas
157
of trachea, bronchus and lung
poo r"iA
OT Temaie ureasi
1 /
of cervix uteri
1 cn
OT corpus uien ana uierus, pan unspcciTieu
PRA pt;*;
1 7Q 1 PO
1 / y , 1
of ovary
*! O O A
1 oo.U
of nrn^itfltp
C61
185
of kidney and renal pelvis
C64-C65
189.0-189.1
of bladder
C67
188
of meninges, brain & other parts of central nervous
c\/c+om
oyolcl 1 1
C70-C72
191-192
Hodgkin's Disease
C81
201
Non-Hodgkin's lymphoma
C82-C85
200, 202 (except 202.4)
Leukemia
C91-C95
202.4, 204-208
Miiltinip mx/plnma and immunonrolifprstivp nponla^nr;
IviuiliL^ic iiiyduiiici ai lu II 1 II 1 lui iwi^i 1^1 alt V G ii^w^iaoiiio
C88 C90
203
DisKotoQ lUlotlitiiQ
L/lclUI?lt;o ivicillLUo
Fin-F14
Alzheimer's disease
oo -1 n
OJ 1 .U
Heart Disease
inn inQ mi ion I'\1
luu-iuy, II 1 , 1 io, i^iU-io 1
OOn OOQ yino >inyl ylOQ
Stroke (Cerebrovascular disease)
160-169
430-438
Influenza and pneumonia
J10-J18
480-487
Chronic lower respiratory diseases^
J40-J47
490-496
Chronic liver disease and cirrhosis
K70, K73-K74
571
Nephritis
N00-N07, N17-N19, N25-N27
580-589
Congenital malformations, deformations, and
Q00-Q99
740-759
chromosomal abnormalities
Certain conditions originating in the perinatal period
(Perinatal Conditions)
onn DOR
rUU-ryD
/DU- / /y
Signs and symptoms
R00-R99
780-797, 798.1-798.9, 799
Sudden infant death syndrome (SIDS)
R95
798.0
External causes of injuries and poisonings
V01-Y8y
E800-E999
(intentional, unintentional and of undetermined intent)
Accidents (Unintentional Injuries)
V01-X59, Y85-Y86
E800-E949
Motor Vehicle-related injuries
VU2-VU4, vuy.u, vuy.^, viz-vi4,
bo10-t825
V19.0-V19.2, V19.4-V19.6, V20-
V79, V80.3-V80.5, V81.0-V81.1,
V82.0-V82.1, V83-V86, V87.0-
V87.8, V88.0-V88.8, V89.0, V89.2
E850-E869, E880-E928,
Unintentional non-transport injuries
W00-X59, Y86
E929.2-E929.9
Suicide
X60-X84, Y87.0
E950-E959
Homicide
X85-Y09, Y87.1
E960-E969
Injuries of undetermined intent
Y10-Y34,Y87.2,Y89.9
E980-E989
1. The title of this cause of death has changed between ICD-10 and ICD-9. Chronic Lower Respiratory Disease (ICD-10 title) corresponds to Chronic
Obstructive Pulmonary Disease (COPD) (ICD-9 title).
99
ICD-10 and ICD-9 Codes Used in this Publication
(Sorted by Cause of Death)
Cause of Death
ICD-10 Code
ICD-9 Code
Alzheimer's Disease
G30
331.0
Cancer (Malignant Neoplasms)
C00-C97
140-208
of bladder
C67
188
of cervix uteri
C53
180
of colon, rectum, rectum and anus
C18-C21
153-154, 159.9
of corpus uteri and uterus, part unspecified
C54-C55
179,182
of esophagus
C15
150
of female breast
C50
174
Hodgkin's Disease
C81
201
of kidney and renal pelvis
C64-C65
189.0-189.1
Leukemia
uyi -oyo
ZvZA, 204-208
nf meninnpt; hrain A nthpr nflrt*; of central nervous
system
C70-C72
191-192
Multiple myeloma and immunoproliferative neoplasms
C88, C90
203
Non-Hodgkin's lymphoma
C82-C85
200, 202 (except 202.4)
of ovary
Cob
183.0
of prostate
1
1 oo
of stomach
P1R
^ 1 u
1 9 1
/^T o /^ro ^ c
uT poriurcdo
C25
1 'i?
1 \J 1
nf traphpfl hrnnchii^ flnH liinn
Ul 11 Cl'ta/l ICO , Ul Iwl lUO Cll IVJ lUI 1^
C33-C34
162
Certain conditions originating in the perinatal period
(Perinatal Conditions)
rUU-ryo
lOU-l 13
Chronic liver disease and cirrhosis
K70, K73-K74
571
Chronic lower respiratory diseases^
J40-J47
490-496
r^nnn^nital malfrirmatinn^ Hpfnrm^itirin^ PnH
wUIImOIIIcii 1 1 lal I ui 1 1 Id liUi'i , ud Ih'i 1 1 la 11 wi lo , ai ivj
chromosomal abnormalities
000-099
Diabetes Mellitus
hi U-h14
External causes of injuries and poisonings
V01-Y98
E800-E999
(intentional, unintentional and of undetermined
intent)
Homicide
X85-Y09, Y87.1
E960-E969
Injuries of undetermined intent
Y10-Y34,Y87.2,Y89.9
E980-E989
Suicide
X60-X84, Y87.0
E950-E959
ACCiuenis ^uninieniionai injuries^
\/ni y^o
vu 1 -Aoy
Motor Vehicle-related injuries
V02-V04, V09.0, V09.2, V12-
V14, V19.0-V19.2, V19.4-V19.6,
V20-V79, V80.3-V80.5, V81.0-
V81.1, V82.0-V82.1, V83-V86,
Vo/.U-Vo/.B, Voo.U-Voo.o,
V89.0, V89.2
E810-E825
Unintentional non-transport injuries
W00-X59, Y86
E850-E869, E880-E928,
E929.2-E929.9
Heart Disease
100-109, 111, 113, 120-151
390-398, 402, 404-429
Infectious and parasitic diseases
A00-B99
001-139
Human Immunodeficiency Virus (HIV) disease (AIDS)
B20-B24
042-044 '
Septicemia
A40-A41
038
Influenza and pneumonia
J10-J18
480^87
Nephritis
N00-N07, N17-N19, N25-N27
580-589
Stroke (Cerebrovascular disease)
160-169
430-438
Signs and symptoms
R00-R99
780-797, 798.1-798.9, 799
Sudden infant death syndrome (SIDS)
R95
798.0
1. The title of this cause of death has changed between ICD-10 and ICD-9. Chronic Lower Respiratory Disease (ICD-10 title) corresponds to Chronic
Obstructive Pulmonary Disease (COPD) (ICD-9 title).
100
ICD-10 Injury Codes Used in this Publication
Cause of Death
ICD-10 Code
Suicide
Poisoning
Hanging, strangulation or suffocation
Firearm
Otiier and unspecified
Homicide
Firearm
Cut or pierce
Other and unspecified
Unintentional Injuries (Accidents)
Fails
Hanging, strangulation or suffocation
Drowning or submersion
Smoke, fire and flames
Poisoning
Firearm
Motor Vehicle-related
Injury to pedestrian
Injury to pedal cyclist
Injury to motorcyclist
Injury to occupant
Other and unspecified
Other and unspecified
Events of Undetermined Intent
Poisoning
Drowning or submersion
Other and unspecified
Legal Intervention
Firearm
Adverse Effects
Drugs
Medical Care
X60-X84, Y87.0
X60-X69
X70
X72-X74
Residual
X85-Y09, Y87.1
Y93-Y95
X99
Residual
V01-X59, Y85-Y86
W00-W19
W75-W84
W65-W74
X00-X19
X40-X49
W32-W34
V02-V04, V09.0, V09.2, V12-
V14, V19.0-V19.2, V19.4-
V19.6, V20-V79, V80.3-
V80.5, V81.0-V81.1, V82.0-
V82.1, V83-V86, V87.0-
V87.8, V88.0-V88.8, V89.0,
V89.2
V02-V04, V09.0
V12-V14, V19.0, V19.2,
V19.4, V19.5, V19.6
V20-V29
V30-V79, V80.3, V80.4,
V80.5, V81.0,V81.1, V82.0,
V82.1, V83-V86
Residual
Residual
Y10-Y34, Y87.2, Y89.9
Y10-Y19
Y21
Residual
Y35.-Y36, Y89.0, Y89.1
Y35.0
Y40-Y59, Y60-Y84, Y88
Y40-Y59, Y88.0
Y60-Y84, Y88.1, Y88.2,
Y88.3
101
ICD-10 Poisoning Codes Used in this Publication
Manner of Death
ICD-10 Code
X40-X49, X60-X69, X85-X90,
All Poisoning Deaths
Y10-Y19, Y35.2
Narcotics and psychodysleptics
X42, X62, Y12
Other and unspecified drugs, medicaments, biological substances
X44, X64, X89, Y14
Antiepileptic, sedative-hypnotic, antiparkinsonism & psychotropic
X41, X61, Y11
Gases and vapours
X47, X67, X86, X88, Y17, Y35.2
Nonopioid analgesics, antipyretics & antirheumatics
X40, X60, Y10
Alcohol
X45, X65, Y15
Organic solvents and halogenated hydrocarbons
X46, X66, Y16
Other drugs acting on autonomic nervous system
X43, X63, Y13
Other and unspecified chemicals and noxious substances
Remaining causes
102
ICD-10 Codes for Selected Healthy People 2010 Mortality Objectives Used in this
Publication
(Sorted by Objective Number)
Number
Cause of Death
ICD-10 Identifying Codes
"5 1
uancer ^aii siiesj
pnn PQ7
•i-4
Lung cancer
poo (-"3 A
o-o
rerildtc Uccdol CallCcl
3-4
Uterine Cervix cancer
C53
3-5
Colorectal cancer
C18-C21
3-6
Oropharyngeal cancer
C00-C14
3-7
Prostate cancer
C61
3-8
Malignant melanoma
C43
12-1
Coronary heart disease
111, 120-125
12-7
Stroke
160-169
13-14
HIV infection
B20-B24
15-3
Firearm-related deaths
W32-W34, X72-X74, X93-X95,Y22-Y24,
Y35.0, Y93-Y95
15-8
Poisoning
X4(J-X49, Xd0-X69, X85-X90, Y10-Y19,
Y35.2
15-9
Hanqing, strangulation or suffocation
W75-W84, X70, X91, Y20
15-13
Unintentional injuries (Accidents)
V01-X59, Y85-Y86
15-15
Motor vehicle-related
V02-V04, V09.0, V09.2, V12-V14, VI 9.0-
VI 9.2, V19.4-V19.6, V20-V79, V80.3-
V80.5, V81.0-V81.1, V82.0-V82.1, V83-
VRfi VR7 n-VR7 R VRR 0 ft \/RQ D
VOU, Vu/.U vo/.o, voo.u voo.o, voy.u,
V89.2
15-25
Residential fire deaths
XOO, X02
15-27
Falls
W00-W19, X80, Y01, Y30
15-29
Drownings
W65-W74, X71, X92, Y21
15-32
Homicides
X85-Y09, Y87.1
16-1f
Birth defects
Q00-Q99
16-1g
Congenital heart and vascular defects
Q20-Q24
16-1h
Sudden infant death syndrome (SIDS)
R95
18-1-
Suicide
X60-X84, Y87.0
24-1
Asthma
J45-J46
26-1
Motor-vehicle crash deaths
V02-V04, V09.0, V09.2, V12-V14, VI 9.0-
VI 9.2, V19.4-V19.6, V20-V79, V80.3-
V80.5, V81.0-V81.1, V82.0-V82.1, V83-
V86, V87.0-V87.8, V88.0-V88.8, V89.0,
V89.2
26-2
Cirrhosis
K74
26-3
Drug induced deaths
F11,0-F11.5, F11.7-F11.9, F12.0-F12.5,
F12.7-F12.9, F13.0-F13.5, F13.7-F13.9,
F14.0-F14.5, F14.7-F14.9, F15.0-F15.5.
F15.7-F15.9, F16.0-F16.5, F16.7-F16.9.
F17.0, F17.3-F17.5, F17.7-F17.9, F18.0-
F18.5, F18.7-F18.9, F19.0-F19.5, F19.7-
F19.9,X40-X44,X60-64, X85,Y10-Y14
'These Healthy People 2010 objectives use underlying cause of death data.
103
Figure C-1
Daily Death Statistics
Massachusetts: 2004
Every day in 2004, residents of Massachusetts experienced on average:
1 Infant Death
1 HIV/AIDS Death
5 Alzheimer's Deaths
4 Diabetes Deaths
38 Heart Disease Deaths
7 Injury Deaths
36 Cancer Deaths
16 Respiratory Deaths
9 Stroke Deaths
1 Motor Vehicle Death
1 Suicide Death
5 Other Intentional &
Unintentional Injury Deaths
*includes 32 deaths due to other causes
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1
Table C-3A.
Leading Underlying Causes of Death*, Numbers and Age-Specific Rates by Gender,
Massachusetts: 2004
Total
Female
Male
Age
Cause of death^
Number
Rate'
Number
Rate'
Number
Rate'
t-AH years
THTAI
1 \J 1 ML.
1 J (
1 1
Oo
1 u.o
79
13.6
Unintentional Injuries
. 41
3.6
15
2.7
26
4.5
Cancer
23
2.0
11
2.0
12
2.1
Congenital Malformations
14
1.2
6
1.1
8
1.4
Homicide
7
0.6
2
5
5
0.9
15-24 years
TOTAL
517
60.7
119
28.3
398
Unintentional Injuries
165
19.3
42
9.8
123
28.5
Homicide
80
9.4
7
1.7
73
16.9
Injuries of Undetermined
Intent
73
8.6
13
3.1
60
13.9
Suicide
b.U
O
1.9
43
10.0
25-44 years
1 U 1 AL
2,247
117.6
779
80.4
1,468
155.9
Cancer
41 U
iil .O
224
23.1
186
19.8
Injuries of Undetermined
Intent
325
17.0
102
10.5
223
23.7
Heart Disease
285
14.9
78
8.0
207
22.0
Unintentional Injuries
263
13.8
64
6.6
199
21.1
45-64 years
TOTAL
8,347
525.2
3,214
391.0
5,133
669.1
Cancer
3,126
196.7
1,509
183.6
1,617
210.8
Heart Disease
1,697
106.7
452
55.0
1,245
162.2
Unintentional Injuries
279
17.6
82
10.0
197
25.7
Chronic Lower
Respiratory Disease^
256
16.1
123
15.0
133
17.3
65+ years^
TOTAL
42,795
5,009.1
24,746
4,870.1
18,049
5,212.8
Heart Disease
11,783
1,379.2
6,703
1,319.2
5,080
1,467.2
Cancer
9,723
1,138.1
4,965
977.1
4,758
1,374.2
Stroke
2,975
348.2
1,919
377.7
1,056
304.7
Chronic Lower
Respiratory Disease^
2,298
269.0
1,309
257.6
989
285.7
1, Cause of Death classified using ICD-10 See Section Definitions for ICD-10 codes. 2.
Number of deaths per 100,000 residents in each age group. 3.
The title of
this cause of death has changed between ICD-10 and ICD-9.
Chronic Lower Respiratory Disease (ICD-10 title) corresponds to Chronic Obstnjctive Pulmonary
Disease (COPD) (ICD-9 title). 4. See Table C-3B for leading causes of death for detailed age groups for persons ages 65+
years. 5.
Calculations based on fewer
than 5 events are excluded.
* Ranking based on nunnber of deaths for all persons.
108
Table C-3B. Leading Underlying Causes of Death, Numbers and Age-Specific Rates (Ages 65 and
older) by Gender, Massachusetts: 2004
Total Female Male
Age
Cause of death^
Number
Rate
Number
Rate
Number
Rate
65-74 years
TOTAL
8,126
2,051.6
3,680
1,692.6
4,446
2,335.8
Cancer
3,138
792.3
1,536
706.5
1,602
841.8
Heart Disease
1 ,o5o
467.8
732
336.7
1,121
589.1
Chronic Lower
Respiratory Disease
487
123.0
AC
245
1 12.7
242
127.2
Stroke
359
90.6
176
80.9
183
95.6
75-84 years
TOTAL
16,342
5,073.0
8,575
4,390.9
7,767
6,456.7
Cancer
4,273
1,326.5
2,093
1,071.7
2,180
1,812.2
Heart Disease
4,167
1,293.6
2,070
1,060.0
2,097
1,743.2
Stroke
1,100
341.5
619
317.0
481
399.9
Chronic Lower
1,033
320.7
575
294.4
458
380.7
Respiratory Disease^
85+ years
TOTAL
18,327
13,463.4
12,491
13,092.5
5,836
18,857.4
Heart Disease
5,763
4,233.6
3,901
4,088.8
1,862
6,016.5
Cancer
2,312
1,698.4
1,336
1,400.3
976
3,153.7
Stroke
1,516
1,113.7
1,124
1,178.1
392
1,266.6
Influenza and Pneumonia
1,108
814.0
737
772.5
371
1,198.8
1. Cause of Death classified according to ICD-10. See Section Definitions for ICD-10 codes 2. Number of deaths per 100,000 residents in each age group. 3, The
title of this cause of death has changed between ICD-10 and ICD-9. Chronic Lower Respiratory Disease (ICD-10 title) corresponds to Chronic Obstructive Pulmonary
Disease (COPD) (ICD-9 title).
109
Figure C-2
Expected Years of Life Remaining at Different Ages
by Race/Hispanic Ethnicity, Massachusetts: 2004
100 -,
0 5 15 25 35 45 55 65 75 85
Age
Table C-4. Years of Life Remaining\ Massachusetts: 2004
White non- Black non- Hispanic White non- Black non- Hispanic
At Age:
All Females
Hispanic
Females
Hispanic
Females
Females
Males
Hispanic
Males
Hispanic
Males
Males
Birth
79.6
81.9
81.9
80.1
92.9
77.1
77.2
72.3
83.2
1 year old
78.9
81.2
81.1
79.9
92.5
76.5
76.5
72.1
82.8
5 years old
75.0
77.2
77.1
75.9
88.6
72.6
72.5
68.3
78.9
1 5 years old
65.1
67.3
67.1
66.0
78.6
62.6
62.6
58.4
69.0
25 years old
55.4
57.4
57.3
56.2
68.8
53.2
53.1
49.4
59.6
35 years old
45.8
47.7
47.5
46.7
59.1
43.6
43.6 ■
40.2
50.2
45 years old
36.4
38.2
38.0
37.4
49.8
34.4
34.4
31.2
41.2
55 years old
27.5
29.0
28.8
28.7
40.8
25.8
25.7
22.9
33.2
65 years old
19.3
20.4
20.2
20.8
32.2
17.9
17.7
16.0
26.1
75 years old
12.5
13.2
13.0
14.0
25.7
11.4
11.3
10.9
21.0
85 years old
7.4
7.6
7.5
9.0
22.0
7.0
6.8
7.7
17.3
1 . Years of Life Remaining calculated using the Grevilie Abridged Life Table Method (source: Dublin LI. Length of Life - A Study of the Life Table.
Ronald Press Co. New York. 1949.) New population estimate for 2004 are used as the denominator.
110
Figure C-3
Trends in Percentage of Deaths from Selected Causes,
IVIassachusetts: 1842-2004
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Total Number of Deaths = 54,419
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Table C-8. Number and Age-Adjusted Rates of Cancer Deaths by
Selected Causes and Gender
, Massachusetts: 2004
Cause of Death^
ICD-10
Total
Female
Male
Code
#
Rate^^
#
Rate
#
Rate
Total Cancer Deaths
C00-C97
13,312
188.4
6,718
164.0
6,594
226.6
Bladder
C67
375
5.2
109
2.5
266
9.3
Brain and nervous system
C70-C72
273
4.0
128
3.3
145
4.7
Cervix
C53
64
1.7
64
1.7
NA
NA
Colorectal
018-021
1,286
17.7
684
15.5
602
20.7
Esophagus
C15
353
5.1
84
2.1
269
9.1
Female breast
050^
971
24.2
971
24.2
NA
NA
Hodgkin's disease
081
25
0.4
12
0.3
13
0.4
Kidney and other urinary
064, 065
284
4.0
102
2.4
182
6.2
organs
Leukemia
091-095
499
7.1
241
5.8
258
8.8
Lung
033, 034
3,607
52.0
1,726
43.4
1,881
64.7
Melanoma of the skin
043
190
2.7
65
1.7
125
4.2
Multiple myeloma
088, 090
240
3.3
112
2.6
128
4.3
Non-Hodgkin's lymphoma
082-085
517
7.2
264
6.1
253
8.8
Ovary
056
370
9.3
370
9.3
NA
NA
Pancreas
C25
789
11.2
420
10.1
369
. 12.5
Prostate
061
650
23.4
NA
NA
650
23.4
Stomach
016
295
4.1
128
3.0
167
5.8
Uterus
054, 055
173
4.3
173
4.3
NA
NA
All other cancers
Residual
2,351
33.3
1,065
25.6
1,286
43.7
1. Common temis are used to describe the causes of cancer deaths. For detailed terminology of cancer sites, please refer to ICD-10 code list in the
Section Definitions. 2. All rates are age-adjusted by the direct method using the 2000 US standard population. Rates are per 1 00,000 population. 3.
The total resident population is used to calculate all "Total Rates" except for ICD-10 C50, C53-C56, which are based on the total female population, and
ICD-10 C6 1 , which is based on the total male population. 4. Includes only female breast cancer.
118
Table C-9. Selected Causes of Cancer Deaths by Age, Massachusetts: 2004
Age
Cause of death^
ICD-10 Code
Number Age-specific rate^
1 _ 14 vears
TOTAL
23
2.0
Rrain ?inH nprvoii^ c;\/^tpm
C70-C72
8
0.7
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C91-C95
5
0.4
Kidney and other urinary organs,
C64, C65
2
3
3
1 1 inn
C33, C34
1
1 5 - 24 years
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30
3.5
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10
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2
3
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1
3
r ancr eas
1
3
25-44 years
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410
21.5
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Ci.2.
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C50
58
6.0
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C18-C21
39
2.0
Lpukemia
C91-C95
34
1 .8
4t> — d4 years
1 U 1 AL
3,126
196.7
Luna
C33, C34
857
53.9
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C50
293
35.6
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C18-C21
246
15.5
Pancreas
C25
199
12.5
65 + years
TOTAL
1 , 1 OO. 1
Lung
C33, C34
2,687
314.5
Colorectal
C18-C21
1,000
117,0
Female breast"*
C50
620
122.0
Prostate^
C61
603
174.2
DO-/ *f years
TOTAI
1 U 1 AL
3,138
792.3
Luna
C33, C34
1 ,055
266.4
Colorectal
C18-C21
242
61.1
Female Breast''
C50
Pancreas
C25
\J\J.O
75-o4 years
TOTAL
4,273
1,326.5
Lung
C33 C34
1,220
378.7
Colorectal
C18-C21
424
131.6
Prostate^
C61
273
215.2
Pancreas
C25
250
77.6
85+ years
TOTAL
2,312
1,698.4
Lung
C33, C34
412
302.7
Colorectal
C18-C21
334
245.4
Prostate^
C61
235
577.1
Female Breast"*
C50
172
180.3
1 Common terms are used to describe causes of cancer death. For detailed terminology, please refer to the ICD-10 codes listed in the Section
Definitions. 2. Number of deaths per 100,000 residents in each age group
3 Calculations based on fewer than five events are excluded
4.
Calculation based on female population In specified age group. 5. Calculation based on male population in specified age group.
119
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Figure C-5. Diabetes Deaths
Massachusetts: 1999-2004
V)
re
o
CO
o
•*->
o
Underlying Cause □ Contributing Cause Only
1999
5,000 -
4,000 -
m
3,000 -
2,000 -
IW
1,000 -
0 -
1,327
1,353
2000
4i
'mm
3r020
2001 2002
Year
2.843
2003
2,660
2004
Table C-11. Diabetes Deaths by Gender
Massachusetts: 2004
Proportion of all deaths (%)
Number
Cause of death
Males
Females
Total
Males
Females
Total
Underlying
2.6%
2.3%
2.4%
653
674
1,327
Contributing/Associated
5.2%
4.7%
4.9%
1,307
1,353
2,660
Total diabetes deaths
7.7%
7.0%
7.3%
1,960
2,027
3,987
Total deaths
100%
100%
100%
25,350
29,067
54,421
ICD-10: E10-E14
121
Table C-12. Diabetes Deaths by Race and Hispanic Ethnicity
Massachusetts: 2004
Race/Hispanic Ethnicity
Cause of death
White non-
Hispanic
Black non-
Hispanic
Hispanic
Asian non-
Hispanic
Total
Number
Underlying
1,172
83
45
24
1,327
Contributing/Associated
2,400
140
75
38
2.660
Total diabetes-related
3,572
223
120
62
3.987
Total deaths
50,439
2,225
1,115
531
54,421
Proportion of all deaths (%)
Underlying
2.3
3.7
4.0
4.5
2.4
Contributing/Associated
4.8
6.3
6.7
7.2
4.9
Total diabetes-related
7.1
10.0
10.8
11.7
7.3
Figure C-6. Diabetes Death Rates by Race/Hispanic Ethnicity
Massachusetts: 2004
100
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Hispanic
□ Contributing Cause Only
■ Underlying Cause
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Hispanic
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Massachusetts
Overall
(0
♦J
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re
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0
Figure C-7. Age Composition of Diabetes Deaths
Massachusetts: 2004
1
<15
Underlying □ Contributory
42
168
27
15-24 25-34 35-44 45-54 55-64 65-74
Age groups (years)
75-84
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Table C-13B. Intentional Injury Deaths^ by
Gender, Age, Race and Hispanic Ethnicity: Numbers,
Age-Adjusted, and Age-Specific Rates, Massachusetts: 2004
All Intentional
Number Rate
Suicide Homicide
Number Rate^ Number Rate^
All Persons
b04
C A
b.4
175
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225
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165
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0
a
1. Data presented In this table are classified according to ICD-10. Please refer to the Section Definitions for a list of ICD-10 codes used In this table
of deaths per 100,000 persons In each age group; rates for all rows except the age group rows are age-adjusted to the 2000 US standard populatior
Calculations based on fewer than five events are excluded.
2. Number
. 3.
125
Table C-13B. (continued) Intentional Injury Deaths^ by
Gender, Age, Race and Hispanic Ethnicity: Numbers,
Age-Adjusted, and Age-Specific Rates, Massachusetts: 2004
All Intentional
Number Rate^
Suicide
IN Ui 1 lUt^f
Rate^
Homicide
Number Rate^
White non- Hispanic
447
8.2
391
7.1
56
1.1
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102
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81
2.8
21
0.8
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345
13.2
310
11.8
35
1.4
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81
18.6
11
2.9
70
15.7
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8
3.8
3
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5
2.3
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73
33.4
8
4.0
65
29.4
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14
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10
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4
3
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2
2
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0
_3
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12
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8
4.8
4
3.1
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53
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12
2.3
41
6.9
Females
6
1.9
0
5
1.9
Males
48
16.5
12
4.6
36
11.9
1 . Data presented in this table are classified according to ICD-10. Please refer to the Section Definitions for a list of ICD-10 codes used in this table. 2. Number
of deaths per 100.000 persons in each age group; rates for all rows except the age group rows are age-adjusted to the 2000 US standard population. 3.
Calculations based on fewer than five events are excluded.
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Table C-14D. HIV/AIDS^ Deaths by Gender, Race and Hispanic Ethnicity
Numbers, Percent and Age-adjusted Rates, Massachusetts: 2000-2004
TOTAL White non-Hispanic^ Black non-Hispanic^ Hispanic
Year
#
Percent
Rate'
#
Percent
Rate'
#
Percent
Rate'
2000
104
46%
1.9
61
27%
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59
26%
17.4
2001
125
50%
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73
29%
21.1
51
20%
13.5
2002
108
47%
1.9
68
30%
20.3
52
23%
13.5
2003
113
50%
2.0
58
26%
17.2
53
23%
14.9
2004
97
46%
1.7
55
26%
15.8
55
26%
13.9
MALE
2000
77
48%
2.8
40
25%
26.0
42
26%
27.7
2001
92
51%
3.3
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27%
31.4
40
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22.5
2002
86
53%
3.1
43
26%
27.9
34
21%
18.7
2003
74
49%
2.7
36
24%
23.4
39
26%
23.8
2004
74
49%
2.7
39
26%
24.0
34
. 23%
18.4
FEMALE
2000
27
42%
1.0
21
32%
11.4
17
26%
8.6
2001
33
49%
1.2
23
34%
12.1
11
16%
5.4
2002
22
33%
0.8
25
38%
13.8
18
27%
8.7
2003
39
51%
1.4
22
29%
12.0
14
18%
7.1
2004
23
38%
0.8
16
27%
8.7
21
35%
10.0
1. AIDS and HIV disease deaths coded using ICD-10: B20-B24. 2. Race and ethnicity data in this table are presented as mutually exclusive categories. Persons of
Hispanic ethnicity are not included in a race category. 3. Number of deaths per 100,000 persons; rates are age-adjusted to the 2000 U.S. standard population.
Resident deaths rates for 2000-2004 have been recalculated using 2000-2004 new population estimates
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Table C-15B. Medical Examiner Certified Deaths by County,
Massachusetts Occurrence: 2004
Referred- Natural Cause
Occurrence
ME
Not Certified
Deaths Certified
County
Population
Deaths
Certified
by M E.
by M E.
Total
#
6,438,839
55,127
3,859
9,996
1,458
%
100.00%
100.00%
7.00%
18.13%
37.78%
Barnstable
#
227,974
2,657
165
412
57
%
3.54%
4.82%
6.21%
15.51%
34.55%
Rank
9
9
9
9
9
Berkshire
#
132,474
1,542
109
319
41
%
2.06%
2.80%
7.07%
20.69%
37.61%
Rank
11
10
10
10
10
Bristol
#
548,381
4,594
355
800
124
%
8.52%
8.33%
7.73%
17.41%
34.93%
Rank
6
7
5
7
7
Dukes
#
15,585
103
1 1
15
7
% ,
0.24%
0.19%
10.68%
14.56%
63.64%
Rank
13
13
13
13
13
Essex
#
747,290
6,094
376
91 1
149
%
11.61%
1 1.05%
6.17%
14.95%
39.63%
Rank
3
4
4
5
3
Franklin
#
72,280
Add
488
49
60
26
%
1.12%
0.89%
10.04%
12.30%
53.06%
Rank
12
12
12
12
11
Hampden
#
465,730
4,694
345
926
123
%
7.23%
8.51%
7.35%
19.73%
35.65%
Rank
8
6
6
4
8
Hampshire
#
154,194
1 ,006
64
173
24
%
2.39%
1.82%
6.36%
1 7.20%
37.50%
Rank
10
11
1 1
1 1
12
Middlesex
#
1,467,263
10,498
619
1 ,901
277
%
22.79%
19.04%
5.90%
A Ci A A n/
18.1 1%
44.75%
Rank
1
1
2
1
1
Nantucket
#
10,046
61
4
1
2
%
0.16%
0.11%
6.56%
1.64%
50.00%
Rank
14
14
14
14
14
Norfolk
#
655,865
4,951
286
827
128
%
10.19%
8.98%
5.78%
16.70%
44.76%
Rank
5
5
7
6
6
Plymouth
#
494,423
3,649
278
630
135
%
7.68%
6.62%
7.62%
17.27%
48.56%
Rank
7
8
8
8
5
Suffolk
#
664,921
7,973
748
1,723
220
%
10.33%
14.46%
9.38%.
21.61%
29.41%
Rank
4
2
1
2
2
Worcester
#
782,413
6,817
450
1,298
145
%
12.15%
12.37%
6.60%
19.04%
32.22%
Rank
2
3
3
3
4
Note: The percentages and ranks in the Medical Examiner Certified Deaths column and the Referred column are based
on totals In the Occurrence Deaths column. The percentages and ranks of natural cause of death are based on total
number of medical examiner certified deaths for each county. Total population based on sum of county estimates.
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166
INFANT & NEONATAL DEATHS
SECTION D
INFANT AND NEONATAL DEATHS
The total number of resident infant deaths (deaths of children less than 1 year of age)
decreased by 1.8% in Massachusetts from 383 in 2003 to 376 in 2004. The rate of infant
deaths remained stable at 4.8 infant deaths per 1,000 live births in between 2003 and 2004.
As with live births and other deaths, all Massachusetts resident infant deaths are included
regardless of the state in which they occurred. Neonatal deaths {deaths of infants under
28 days of age) rose slightly from 285 in 2003 to 291 in 2004, an increase of 2.1%. The rate
of neonatal deaths increased, from 3.6 in 2003 to 3.7 in 2004.
INFANT DEATHS BY RACE
Beginning with the publication of 1989 data, several changes occurred in the method of
calculating infant mortality rates (IMRs) by race and ethnicity. These changes affect only
the calculation of race/ethnic infant mortality rates; all other data presented in this
publication are comparable to information from previous years. These changes are the
result of new federal recommendations for analyzing birth information, including infant
mortality data, and the implementation of the new Massachusetts Standard Certificate of
Death in 1989. Counts and rates in this report may differ slightly from previously
published reports due to updating files and population estimates.
Infants born to Black non-Hispanic mothers continue to have the highest infant mortality
rates. The IMR for Black non-Hispanics in 2004 was 11.5 per 1,000 live births. This
represents a decrease of 1.2 (11.7%) from the 2003 rate, but it is over triple the IMR for
White non-Hispanic infants.
In 2004, the IMR for Hispanlcs increased to 7.6 per 1,000 live births from 5.6 per 1,000 live
births in 2003. This change is a 35.7% increase. The mortality rate of infants born to
Hispanic mothers is more similar to the rate of infants born to Black non-Hispanic mothers
than to White non-Hispanic mothers. The 2004 IMR of 7.6 for Hispanic infants is 200.0%
the White non-Hispanic rate and 66.1% of the Black non-Hispanic rate.
Asian mothers had the lowest rates of infant mortality compared to the other race/ethnicity
groups. This is consistent with prior years with the exception of 1995 and 2000, when the
rate rose above that of White Non-Hispanics. In 2003, the Asian IMR was 2.7 deaths per
1,000 live births. However, caution should be used when interpreting this rate since it is
based on a small number (15) of deaths.
INFANT DEATHS BY CAUSE
"Certain conditions originating in the perinatal period" (medical conditions arising from
approximately 28 weeks gestation to 28 days of age) was the leading cause of death for
White non-Hispanic, Black non-Hispanic, Asian non-Hispanic and Hispanic infants.
Congenital anomalies represented the second leading cause of death among these same
subgroups.
167
The overall leading causes of infant death were "Conditions arising in the perinatal period"
(227 deaths) and congenital anomalies (59 deaths), which underwent 1.3% and 3.2%
decreases, respectively, from 2003. Other causes of infant death were: Sudden Infant
Death Syndrome, or SIDS, (33 deaths), "Disorders relating to short gestation and
unspecified low birthweight" (83 deaths), "Other respiratory conditions of newborn" (14
deaths), and "Homicide" (3 deaths). There were 4 more deaths from SIDS in 2004 than
there were in 2003, representing a 13.8% increase. The number of homicide deaths (3) has
remained relatively constant since 1994.
SIDS remains the leading cause of death in the post-neonatal period (28-364 days), while
"disorders relating to short gestation and low birthweight" was the leading cause in the
neonatal period (1-27 days).
NEONATAL AND POST NEONATAL MORTALITY RATES
The neonatal mortality rate was 3.7 deaths per 1,000 live births in 2004. Among White non-
Hispanic mothers, the neonatal mortality rate decreased slightly (3.2%), from 3.1 in 2003 to
3.0 in 2004. During this same time period, the rate decreased by 11.6% among Black non-
Hispanic mothers (from 9.5 in 2003 to 8.4 in 2004) and increased by 48.7% among Hispanic
mothers (from 3.9 in 2003 to 5.8 in 2004). Among Asians, the number of neonatal deaths
increased from 10 to 12 in between 2003 and 2004, with the rates rising from 1.9 to 2,2.
These rates should be interpreted cautiously since they are based on very few deaths.
The overall post neonatal mortality rate, representing the number of deaths of infants
between 28 and 364 days of age per 1,000 live births, decreased slightly between 2004 and
2003, falling from 1.2 to 1.1. The post neonatal mortality rate among infants of White non-
Hispanic mothers fell from 1.0 deaths per 1,000 live births In 2003 to 0.8 in 2004. Among
infants of Black non-Hispanic mothers, the post neonatal mortality rate declined between
2003 and 2004, from 3.2 to 3.1 deaths per 1,000 births; a 3.1% decrease.
There was a small increase in the rate of post neonatal deaths among Hispanics, from 1.7
to 1.8, corresponding to a rate increase of 5.9%. The number of post neonatal deaths
among Asians went from 4 to 3 between 2003 and 2004.
DEFINITIONS IMPORTANT FOR THIS SECTION INCLUDE:
INFANT DEATH
Death of a child whose age is less than one year (365 days).
NEONATAL DEATH
Death of a child whose age is less than 28 days.
POST NEONATAL DEATH
Death of a child whose age is at least 28 days, but less than one year.
168
RATES IMPORTANT FOR THIS SECTION INCLUDE:
INFANT # of Resident Deaths at Less than 1 Year of Age x 1 ,000
MORTALITY RATE Total Resident Live Births
(IMR)
NEONATAL # of Resident Deaths at Less than 28 Days of Age x 1 ,000
MORTALITY RATE Total Resident Live Births
(NMR)
POST NEONATAL # of Resident Deaths at Least 28 Days of Age but <365 Days of Age x 1 ,000
MORTALITY RATE Total Resident Live Births
(PNMR)
169
170
171
Table D-1. Trends in Infant, Neonatal, and Post Neonatal Mortality, by Race and Hispanic
Ethnicity, Massachusetts: "
1994-2004
INFANT MORTALITY less than one year of aae
State Totar
White,
non-Hispanic
Black,
non-Hispanic
Hispanic
Asian, non-
Hispanic
Other^
T ear
#
Rate^
#
Rate^
#
Rate^
#
Rate^
#
Rate^
■u
W
Kate
1994
499
6.0
343
5.3
79
12.6
64
7.6
8
2.4
5
5.3
1995
419
5.1
275
4.4
65
11.1
58
7.2
19
5.5
2
4
1996
403
5.0
289
4.7
63
11.4
40
5.1
8
2.2
2
4
1997
425
5.3
294
4.8
64
11.7
55
6.7
10
2.6
2
4
1998
414
5.1
287
4.6
59
10.6
58
6.7
10
2.7
0
4
1999
418
5.2
285
4.7
72
12.3
49
5.5
8
1.9
4
4
2000
377
4.6
232
3.8
74
12.8
48
5.2
19
4.1
4
4
2001
407
5.0
245
4.1
71
12.1
69
7.3
15
3.1
7
4.1
2002
397
4.9
239
4.1
69
11.6
67
7.0
16
3.0
6
3.8
2003
383
4.8
235
4.1
75
12.7
55
5.6
14
2.7
4
4
2004
376
4.8
210
3.8
70
11.5
75
7.6
15
2.7
6
3.5
NEONATAL MORTALITY (birth to 27davs)
State Totaf
White,
non-Hispanic
Black,
non-Hispanic
Hispanic
non
Asian,
-Hispanic
Other^
Year
#
Rate^
#
Rate^
#
Rate^
#
Rate^
#
Rate^
#
Rate^
1994
349
4.2
240
3.7
58
9.3
40
4.7
7
2.1
4
4
1995
298
3.6
198
3.1
50
8.5
39
4.8
10
2.9
1
4
1996
290
3.6
222
3.6
34
6.2
27
3.5
5
1.4
1
4
1997
323
4.0
228
3.7
44
8.0
43
5.2
7
1.8
1
4
1998
315
3.9
218
3.5
47
8.5
43
5.0
7
1.9
0
4
1999
332
4.1
226
3.7
58
9.9
39
4.4
5
1.2
4
4
2000
288
3.5
177
2.9
57
9.9
37
4.0
14
3.0
3
4
2001
308
3.8
190
3.2
56
9.5
49
5.2
10
2.1
3
4
2002
299
3.7
185
3.2
49
8.2
50
5.2
13
2.4
2
4
2003
285
3.6
179
3.1
56
9.5
38
3.9
10
1.9
2
4
2004
291
3.7
167
3.0
51
8.4
57
5.8
12
2.2
4
4
POST NEONATAL MORTALITY (28-365 days)
State Total^
White,
non-Hispanic
Black,
Non-Hispanic
Hispanic
Asian,
non-Hispanic
Other^
Year
#
Rate^
#
Rate^
#
Rate^
#
Rate^
#
Rate^
#
Rate^
1994
150
1.8
103
1.6
21
3.3
24
2.8
1
4
1
4
1995
121
1.5
77
1.2
15
2.6
19
2.3
9
2.6
1
4
1996
113
1.4
67
1.1
29
5.3
13
1.7
3
4
1
4
1997
102
1.3
66
1.1
20
3.7
12
1.5
3
4
1
4
1998
99
1.2
69
1.1
12
2.2
15
1.7
3
4
0
4
1999
86
1.1
59
1.0
14
2.4
10
1.1
3
4
0
4
2000
89
1.1
55
0.9
17
2.9
11
1.2
5
1.1
1
4
2001
99
1.2
55
0 9
15
2.6
20
2.1
5
1.0
4
4
2002
98
1.2
54
0.9
20
3.4
17
1.8
3
4
4
4
2003
98
1.2
56
1.0
19
3.2
17
1.7
4
4
2
4
2004
85
1.1
43
0.8
19
3.1
18
1.8
3
4
2
4
1 , Deaths of infants of unknown race are included in the total calculation. For rate computations, births of infants of unknown race are allocated into the race
categories according to the distnbution of births of known race. 2. Other; American Indian and Other races. 3. Rates are expressed per 1,000 live births. 4.
Calculations based on fewer than five events are excluded.
172
Table D-2. Trends in Infant, Neonatal, and Post Neonatal Mortality, by
Race\ Massachusetts: 1980-2004
INFANT MORTALITY (less than one year of age)
State Total^ White Black Asian/Other'
Ypar
1 1
Ratp"
n
1 1
rxci LC
n
Rate"
n
R;)tp
r\ci iw
1 you
7/1 Q
/ 4o
bOO
y.o
fl7
0 /
1 » ft
1 o.D
c
0
1 so 1
710
/ 1 U
Q R
y.D
O 1 o
Q 1
ft'i
1 ft 9
Q
O
R 1
1 VOi.
7P.A
1 n 1
1 U. 1
DOD
Q A
V.H
109
91
V/
1
1 soo
ft ?
o. o
1Q n
1 ^
7 4
1 SOH
P. Q
o. y
DU 1
ft 4
R9
Ifi 4
1 o
/ .o
7/ R
Q 1
y. 1
DUO
ft 1
0. 1
1 9R
1 <1U
9'^ ft
1 1
R 1
D. 1
1 yob
oyo
0.4
obU
7 R
1 .0
1 Zo
99 n
1 1
4 ft
4.D
lyo/
dUo
7 O
4ob
b.4
1 1 n
1 1 u
1 7
A 9
4
4.0
1 yoo
byo
7 Q
/ .y
04 b
7 n
( .u
1 OO
1 y . o
1 o
ft
O.O
•1 QQQ
1 yoy
CQ7
by /
7 P;
/ .b
04y
ft ft
b.o
1 O 1
17 7
17
4 ft
1 yyu
7 n
/ .U
0 1 y
ft A
b.4
1 nft
1 UD
1 7
94
ft R
D.O
1 yyi
f;77
b.o
40 1
ft n
D.U
1 09
^'\ ft
1 o.o
0.9
I yy^
oby
b.o
400
Si 7
0. /
^^A
"1 <=; ft
1 o.o
17
4 7
1993
coo
b.Z
4zo
c; 7
0. /
fl7
1 9 R
lO
O.O
1994
499
6.0
407
5.6
81
12.0
11
2.9
1995
419
5.1
333
4.7
65
10.3
21
5.5
1996
403
5.0
329
4.7
65
10.8
8
2.0
1997
425
5.3
349
5.0
66
10.6
10
2.4
1998
414
5.1
345
4.9
59
9.3
10
2.3
1999
418
5.2
334
4.8
75
11.4
9
1.9
2000
377
4.6
280
4.0
76
11.7
19
3.6
2001
407
5.0
314
4.5
77
11.7
16
3.0
2002
397
4.9
306
4.5
74
11.1
17
2.9
2003
383
4.8
290
4.3
78
11.8
15
2.6
2004
377
4.8
285
4.4
75
11.2
15
2.5
r Hispanic origin could not be identified from the Massachusetts death certificate before 1989. thus, Hispanic trend data are not available
Most Hispanics are included in the race category of white. Hispanic infant mortality data for the years 1 990 through 2004 are presented in
Table 12B. 2. Deaths of infants of unknown race are included in the total calculation. For rate computations, infants of unknown race are
allocated into the race categories according to the distribution of births of known race. 3. Other: American Indian and Other races. 4. Rates
are expressed per 1 ,000 live births. 5. Calculations based on fewer than five events are excluded.
173
Table D-2 Continued (continued). Trends in Infant, Neonatal, and Post
Neonatal Mortality, by Race\ Massachusetts: 1980-2004
NEONATAL MORTALITY (birth to 27 days)
State Total^ White Black Asian/Other"
Year
n
Rate
n
Rate
n
Rate
n
Rate
1980
550
7.6
483
7.2
62
13.3
c;
4.6
1981
510
6.9
442
6.5
59
12.4
5
3.8
1982
573
7.6
494
7.1
75
15.7
3
5
1983
482
6.3
411
5.9
63
13.4
7
4.3
1984
472
6.0
411
5.8
49
9.8
8
4,6
1985
538
6.6
447
6.0
85
16.0
5
2.8
1986
478
5.8
383
5.2
89
15.9
5
2.1
1987
432
5.1
343
4.6
80
12.7
9
3.4
1988
477
5.4
383
4.9
87
12.8
6
1.8
1989
479
5.2
376
4.7
95
12.8
8
2.3
1990
446
4.8
347
4.3
80
10.3
9
5.1
1991
401
4.5
319
4.1
72
9.8
10
2.8
1992
415
4.8
325
4.3
79
10.9
11
3.1
1993
375
4.4
300
4.1
66
9.5
9
2.4
1994
349
4.2
280
3.8
60
8.9
9
2.4
1995
298
3.6
237
3.3
50
7.9
11
2.9
1996
290
3.6
249
3.5
35
5.8
5
1.2
1997
323
4.0
271
3.9
45
7.2
7
1.7
1998
315
3.9
261
3.7
47
7.4
7
1.6
1999
332
4.1
265
3.8
61
9.3
6
1.3
2000
288
3.5
214
3.1
58
8.9
14
2.7
2001
308
3.8
239
3.5
59
9.0
10
1.9
2002
299
3.7
235
3.4
51
7.6
13
2.2
2003
285
3.6
217
3.2
58
8.8
10
1.8
2004
291
3.7
221
3.4
55
8.2
16
2.2
1. Hispanic origin could not be identified from the Massachusetts death certificate before 1989; thus, Hispanic trend data are not
available. Most Hispanics are included in the race category of white. Hispanic infant mortality data for the years 1990 through 2004 are
presented in Table 12B 2 Deaths of infants of unknown race are included in the total calculation. For rate computations, infants of
unknown race are allocated into the race categories according to the distribution of births of known race. 3, Other American Indian and
Other races. 4. Rates are expressed per 1,000 live births. 5. Calculations based on fewer than five events are excluded
174
Table D-2 (continued). Trends in Infant, Neonatal, and Post Neonatal
Mortality, by Race\ Massachusetts: 1980-2004
POST NEONATAL MORTALITY (28-364 days)
State TotaP White Black Asian/Other^
Year
n
Rate'
n
Rate'
n
Rate'
n
Rate'
1980
198
2.7
172
2.6
25
5.3
0
0.0
1981
200
2.7
174
2.6
26
5.8
3
5
1982
191
2.5
162
2.3
27
5.6
2
5
1983
200
2.7
168
2.4
26
5.6
5
3.1
1984
227
2.9
190
2.6
33
6.6
5
2.9
1985
207
2.5
161
2.1
41
7.8
6
3.3
1986
217
2.6
177
2.3
34
6.1
6
2.5
1987
176
2.1
143
1.8
30
4.8
3
_5
1988
216
2.5
163
2.1
46
6.7
7
2.0
1989
218
2.4
173
2.1
36
4.9
9
2.5
1990
203
2.2
172
2.1
26
3.4
5
1.4
1991
176
2.0
142
1.8
30
4.1
4
_5
1992
154
1.8
113
1.5
35
4.8
6
1.7
1993
148
1.7
123
1.7
21
3.0
4
5
1994
150
1.8
127
1.7
21
3.1
2
_5
1995
121
1.5
96
1.3
15
2.4
10
2.6
1996
113
1.4
80
1.1
30
5.0
3
_5
1997
102
1.3
78
1.1
21
3.4
3
_5
1998
99
1.2
84
1.2
12
1.9
3
_5
1999
86
1.1
69
1.0
14
2.1
3
_5
2000
89
1.1
66
0.9
18
2.8
5
1.0
2001
99
1.2
75
1.1
18
2.7
6
1.1
2002
98
1.2
71
1.0
23
3.4
4
_5
2003
98
1.2
73
1.1
20
3.0
5
0.9
2004
85
1.1
61
0.9
19
2.8
5
0.8
1. Hispanic origin could not be identified from the Massachusetts death certificate before 1989; thus, Hispanic trend data are
not available. Most Hispanics are included in the race category of white. Hispanic infant mortality data for the years 1 990
through 2004 are presented in Table 12B- 2. Deaths of infants of unknown race are included in the total calculation. For rate
computations, infants of unknown race are allocated into the race categories according to the distribution of births of known
race. 3. Other: American Indian and Other races. 4. Rates are expressed per 1,000 live births. 5. Calculations based on
fewer than five events are excluded.
175
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Figure D-3. Infant Mortality Rates
Massachusetts: 1842-2004'
220 -r
200 --
0 -J . 1 ■ 1 . 1 ' i • ! ' : ■ 1 ■ i ' \ ' 1 ■ < ' 1 ' : ■ 1 ■ 1 • H
1840 1850 1860 1870 1880 1890 1900 1910 1920 1930 1940 1950 1960 1970 1980 1990 2000
Year
1. Data not available for 1850.
178
MARRIAGES & DIVORCES
SECTION E
MARRIAGES AND DIVORCES
Introduction
The statistics in the 2004 edition of PD-1 reflect final counts and statistical tables for
marriages and divorces in calendar year 2004. Notably, this edition of PD-1 reflects
changes in state law regarding access to civil marriage. On November 18, 2003 the
Massachusetts Supreme Judicial Court issued its historic ruling in Goodridge v.
Department of Public Health, 440 Mass. 309 (2003), making marriage licenses available
equally to couples of the same and opposite gender. The ruling went into effect May 17,
2004.
To implement the Goodridge decision, the Department of Public Health's Registry of
Vital Records and Statistics (RVRS) revised the Notice of Intention to Marry (Form R-202)
and provided uniform instructions to city and town clerks who issue marriage licenses
so as to be able to capture and report aggregated and disaggregated statistics regarding
marriages occurring in Massachusetts.
> The revised Notice of Intention and related forms use gender neutral nouns "Party
A" and "Party B" where prior forms used "bride" and "groom".
> The revised forms require parties to self-identify gender as "male" or "female" for
statistical purposes to allow for disaggregation of statistical counts of marriage
and divorce. The decision to capture gender and disaggregate annual and
monthly counts was made after consultation with the Data Acquisition and
Evaluation Branch of the Division of Vital Statistics within the National Center for
Health Statistics of the Centers for Disease Control & Prevention regarding the
Vital Statistics Cooperative Project Contract.
> Between May 5 and May 12, RVRS offered a series of regional training and
information sessions to provide uniform instructions to all 350 city and town
clerks and the Boston Registrar. The Governor's Chief Legal Counsel Daniel J.
Winslow, Registrar Stanley E. Nyberg, Assistant Registrar Karin Barrett and RVRS
Director of Registration Pauline McNulty participated in these sessions.
> All city and town clerks and the Boston Registrar were provided with a supply of
revised forms, a Notice of Intention of Marriage Fact Book, a Marriage Certificate
Update, and a Guide to Marriage Impediments prior to May 17.
Litigation^ ensued challenging the executive branch's interpretation and enforcement of
several state marriage statutes: G.L. c.207, §§ 1 1 , 1 2, 1 3 and 50.^ Clerks throughout the
^ On June 18, 2004, eight nonresident same-gender couples from Vermont, New York,
Connecticut, Rhode Island, Maine, and New Hampshire brought an action in state court (styled
Cote Whitacre v. Massachusetts Department of Public Health) against the Department of Public
Health, the commissioner, the registry of vital records and statistics, and the registrar
challenging the constitutionality of G.L. c.207, §§11 and 12, as well as the interpretation and
enforcement of these statutory provisions to prohibit the issuance of Massachusetts marriage
licenses to non-resident applicants whose home state law made void or prohibited or did not
allow marriage between persons of the same gender. Simultaneously, municipal clerks for
Provincetown, Somerville, Worcester, Acton, Burlington, Cambridge, Marblehead, Nantucket.
179
commonwealth acted professionally in administering their duties under state law
pending the outcome of judicial appeals^ and legislative processes that culminated with
the enactment of Chapter 216 of the Acts of 2008 repealing G.L. c.207, §§ 11, 12, 13 and
50 effective July 31, 2008.
Northampton, Plymouth, Sherborn, Westford and Rowe brought a companion action (styled
Johnstone v. Thomas Reilly) against the Attorney General, the commissioner, and the registrar,
seeking to enjoin the defendants from prosecuting them under G.L. c.207, §50, or from
otherwise requiring that they enforce the provisions of §§ 11 and 12. The Superior Court
consolidated these actions and denied the plaintiffs' motion for a preliminary injunction, leaving
the challenged statutes in force. Cote Whitacre v. Massachusetts Department of Public Health,
18 Mass. L. Rptr. 190 (August 18, 2004)aff'd 446 Mass. 350
(2006) .
^ Prior to its repeal, General Laws c. 207, §11 provided as follovi^s;
"No marriage shall be contracted in this commonwealth by a party residing and intending
to continue to reside in another jurisdiction if such marriage would be void if contracted in
such other jurisdiction, and every marriage contracted in this commonwealth in violation
hereof shall be null and void." Text effective until July 31, 2008. Repealed by 2008,
216, Sec. 1.
Prior to its repeal. General Laws c. 207, §12 provided as follows:
"Before issuing a license to marry a person who resides and intends to continue to
reside in another state, the officer having authority to issue the license shall satisfy himself,
by requiring affidavits or otherwise, that such person is not prohibited from intermarrying by
the laws of the jurisdiction where he or she resides." Text effective until July 31, 2008.
Repealed by 2008, 216, Sec. 1.
Prior to its repeal, General Laws c. 207. §13 directed at the construction of §§11 and 12, provided as
follows:
"The . . . preceding sections shall be so interpreted and construed as to effectuate their
general purpose to make uniform the law of those states which enact like legislation." Text
effective until July 31, 2008. Repealed by 2008, 216, Sec. 1.
Prior to its repeal. General Laws a. 207, §50 directed at the construction of §§11 and 12, provided as
follows:
"Any official issuing a certificate of notice of intention of marriage knowing that
the parties are prohibited by section eleven from intermarrying, and any person
authorized to solemnize marriage who shall solemnize a marriage knowing that the
parties are so prohibited, shall be punished by a fine of not less than one hundred
or more than five hundred dollars or by imprisonment for not more than one year,
or both." Text effective until July 31, 2008. Repealed by 2008, 216, Sec. 2.
^ See Cote Whitacre v. Massachusetts Department of Public Health, 446 Mass. 350
(2006) .
180
Marriage Tables, Counts and Rates
The statistics in this edition of PD-1 reflect final marriage counts and statistical tables
for calendar year 2004. As a service to the public and in response to public demand for
statistical information about the Commonwealth's experience with marriage equity, DPH
released a series of statistical tables with "preliminary numbers" of marriage certificates
issued and registered in Massachusetts from May 17 to December 31, 2004, pending
publication of the 2004 edition of PD-1. Statistics published herein supersede any and all
preliminary tables that DPH released prior to this publication.
Consistent with past practice, most tables in this section continue to report marriage by
place of occurrence of the vital event (marriage), not by place of residence or place of
marriage licensure For example, Table E-1 displays marriages by county. Consequently, if
two people apply for a license in Boston are married in Barnstable County, the vital event
(marriage) will be reported in Table E-1 as a Barnstable County marriage, irrespective of
the residence that each party identified on the application for the marriage license and
irrespective of the place where the license was issued. As in the past, this method of
reporting includes parties who identified a Massachusetts residence and parties who
identified an out-of-state or out-of-country residence as well as parties who identified the
same place of residence for both parties to the marriage and parties who identified
different places of residence from each other. Massachusetts residents who marry outside
of the state are not included in these statistics as there is no system of interstate exchange
for marriage records.
In 2004, a total of 41,571 marriages occurred in Massachusetts compared to a total of
36,224 in 2003, an increase of 14.9%. The 2004 total number of marriages includes 35,450
male/female marriages, 2,176 male/male marriages and 3,945 female/female marriages.
The number of male/female marriages occurring in Massachusetts continued its steady
decline since 1985, decreasing by 2.1%. The rate of marriages occurring in Massachusetts
was at 5.6 per 1,000 population in 2003 and increased to 6.5 in 2004; yet the disaggregated
rate of male/female marriages remained fairly steady with the rate of male/female
marriages occurring in Massachusetts being 5.5 per 1,000 in 2004. The 2004
Massachusetts rate of marriage remained below the US rate. The 2004 US rate of
marriages per 1,000 population was 7.5, the same as the 2003 US rate.
In 2004, 74.3% of the females who married males had not previously been married. This
percentage was slightly lower among the males who married females~72.3%. In marriages
between parties of the same gender, 88.4% of the males who married males and 79.1% of
the females who married females had never been married before.
The age statistics displayed in Table E-4A through Table E-4D_ reveal differing age trends
for persons entering into marriage with persons of the opposite gender compared with
persons entering into marriage with persons of the same gender. For instance,
approximately 22.6% of all persons who involved in a male-female marriage in 2004 were
over the age of 40. Yet of persons entering into marriage with a person of the same gender,
69.0% of males and 66.9% females were over the age of 40.
181
Table E-6A through Table E-6C reflect whether the 2004 marriage was the first, second,
third, forth, fifth or greater number marriage for each party. Of the 35,450 marriages
entered into by parties of the opposite gender in 2004, slightly more females (26,327) than
males (25,633) married for the first time while slightly more males (8,066) than females
(7,582) married for a second time and virtually the same number of females (172) and
males (174) married for a fourth time.
Of the 3,943 marriages occurring between female parties in 2004, 2,558 represent the first
marriage for each party; 1,014 represent the second marriage for one of the parties; and
214 represent the second marriage for both parties. Of the 2,175 marriages occurring
between male parties in 2004, 1,723 represent the first marriage for each party; 381
represent the second marriage for one of the parties; and 43 represent the second
marriage for both parties. More females than males who entered into a 2004 marriage with
a party of the same gender had been married three or more times before.
Divorce Tables, Counts, and Rates
Divorce reporting differs from marriage, birth or death reporting because the Registry of
Vital Records and Statistics does not record and file divorce decrees. Consequently unlike
marriage, birth, and death statistics (which the Registry derives from a count of birth,
death and marriage certificates on file with the Registry), the Registry derives divorce
statistics from secondary sources, namely statistical reports received from different
Massachusetts courts of each divorce judgment that is finalized. Massachusetts residents
who divorce in a jurisdiction outside of the commonwealth are not included in these
statistics.
Consistent with past practice, divorces in this publication are reported by the county in
which the parties filed and obtained a final divorce decree from the Massachusetts Family
and Probate Court. For example, see Table E-1 which displays the total number of final
divorces that occurred in the Commonwealth in 2004 as well as the number of divorces
disaggregated by county.
In 2004, 14,137 divorces were granted in Massachusetts, a decrease of 10.2% from the
15,738 divorces granted in 2003. The 2004 rate of divorce per 1,000 population in
Massachusetts was 2.2, lower than the 2003 divorce rate of 2.4. This rate was well below
the 2003 US rate of 3.8 divorces per 1,000 population. In 2004 there was no gender field on
the divorce certification, so divorce statistics for marriages of opposite-sex couples and
same-sex couples are not available.
RATES IMPORTANT FOR THIS SECTION INCLUDE:
MARRIAGE RATE Number of Occurrence Marriages x 1,000
Total Population
DIVORCE RATE Number of Occurrence Divorces x 1,000
Total Population
182
Table E-1. Marriages and Divorces by County
Massachusetts Occurrence: 2004
State Total
Male-Female
35,450
Marriages
Male-Male^
2,176
Female-Female^
3.945
Divorces
14,137
Counties
Barnstable
2,665
520
863
558
Berkshire
877
48
74
155
Bristol
2,775
86
164
1,356
Dukes
415
16
25
0
Essex
3,837
144
318
1,732
Franklin
376
15
117
275
Hampden
2,483
69
139
887
Hampshire
687
59
402
320
Middlesex
7,037
441
864
2,463
Nantucket
289
22
12
32
Norfolk
3,279
131
192
1,375
Plymouth
2,427
72
153
1,388
Suffolk
4,091
387
324
1,629
Worcester
4,212
166
298
1,966
^Marriages to partners of the same-sex began on May 17, 2004.
Note: 1 divorce occurrred in an unknown county.
183
Table E-2 Number of Marriage Certificates Issued and Registered in
Massachusetts by Month, 2004
Month
Male/Female
Male/Male
Female/Female
Total
Total
35,450
2,176
3,945
41,571
January
1,193
0
0
1,193
February
1,622
0
0
1,622
March
1,472
0
0
1,472
Apnl
2,158
0
0
2,158
May
3,671
579
1,163
5,413
June
4,345
501
937
5,783
July
4,039
339
649
5,027
August
4,253
278
425
4,956
September
4,369
178
280
4,827
October
4,608
166
282
5,056
November
1,981
60
108
2,149
December
1,739
75
101
1,915
184
Table E-3. Marriages, Divorces, and Rates per 1,000 Population,
Massachusetts Occurrence,
Selected Years
: 1900-2004
MarriaQes
Divorces
Year
Number Rate
Nunnber
Rate
1900
24,342
8.7
1,258
0.4
1905
27,184
9.1
1,554
0.5
1910
30,710
9.1
1,929
0.6
1915
31,301
8.5
2,252
0.6
1920
38,048
9.9
3,647
1.0
1925
31,238
7.5
3,395
0.8
1930
27,431
6.5
3,746
0.9
1935
30 019
6.9
4,081
0.9
1940
44,836
10.4
4,502
1.0
1945
38,197
8.5
6,833
1.5
1950
41,711
8.9
6,365
1.4
1955
35 585
7.3
5,601
1.2
1960
34,050
6.6
5,592
1.1
1965
38,281
7.2
7,728
1.5
1970
47,292
8.3
10,818
1.9
1975
42,103
7.3
16,460
2.8
1980
46,273
8.1
17,873
3.1
1985
49,849
8.6
21,573
3.7
1986
49,990
8.6
19,809
3.4
1987
49,034
8.4
16,994
2.9
1988
49,941
8.5
17,676
3.0
1989
49,174
8.4
16,819
2.9
1990
47,786
7.9
16,258
2.7
1991
44,621
7.4
14,987
2.5
1992
43,228
7.1
15,411
2.5
1993
42,355
7.0
14.435
2.4
1994
42,503
7.0
15,450
2.5
1995
41,522
6.8
15,772
2.6
1996
41,234
6.7
15,485
2.5
1997
41,528
6.7
15,942
2.6
1998
38,722
O.Z
ID,U 1 u
2.6
1999
39,425
6.2
15,632
2.5
2000
38,603
6.1
15,980
2.5
2001
40,048 .
6.3
15,324
2.4
2002
37,735
5.9
16,253
2.5
2003
36,224
5.6
15,738
2.4
2004
41,571
6.5
14,137
2.2
185
Table E-4A. Marriages by Age and Prior Marital Status of Females in a Male/Female Marriage
Massachusetts Occurrence: 2004
Females in a Male/Female Marriage
Total Never Married Widowed Divorced
Age
Number
%
Number
%
Number
%
Number
%
Total
35,450
100.0%
26,327
100.0%
769
100.0%
8,350
100.0%
<20
857
2.4%
854
3.2%
0
0.0%
3
0.0%
20-29
16,600
46.8%
15,836
60.2%
16
2.1%
747
8.9%
30-39
11,081
31.3%
7,852
29.8%
93
12.1%
3,135
37.5%
40-49
4,521
12.8%
1,453
5.5%
202
26.3%
2,865
34.3%
50-59
1,781
5.0%
279
1.1%
206
26.8%
1,295
15.5%
60-69
463
1.3%
45
0.2%
143
18.6%
275
3.3%
70+
147
0.4%
8
0.0%
109
14.2%
30
0.4%
4 women were of unknown prior marital status.
Table E-4B. Marriages by Age and Prior Marital Status of Males in a Male/Female Marriage
Massachusetts Occurrence: 2004
Males in a Male/Female Marnage
Total Never Married Widowed Divorced
Age Number % Number % Number % Number %
Total 35,450 100.0% 25,631 100.0% 719 100.0% 9,098 100.0%
<20 276 0.8% 276 1.1% 0 0.0% 0 0.0%
20-29 13,365 37.7% 13,007 50.7% 5 0.7% 352 3.9%
30-39 12,715 35.9% 9,796 38.2% 38 5.3% 2.881 31.7%
40^9 5,460 15.4% 2,121 8.3% 109 15.2% 3,229 35.5%
50-59 2,498 7.0% 354 1.4% 158 22.0% 1,986 21.8%
60-69 809 2.3% 61 0.2% 213 29.6% 535 5.9%
70+ 327 0.9% 16 0.1% 196 27.3% 115 1.3%
2 men were of unknown prior marital status.
186
Table E-4C. Marriages by Age and Prior Marital Status of Males in a Male/Male Marriage
Massachusetts Occurrence: 2004
Males in a Male/Male Marriage
Total Never Married Widowed Divorced
Age
Number
%
Number
%
Number
%
Number
%
Total
4,349
100.0%
3,847
100.0%
13
100.0%
489
100.0%
<20
9
0.2%
9
0.2%
0
0.0%
0
0.0%
20-29
245
5.6%
244
6.3%
0
0.0%
1
0.2%
30-39
1,096
25.2%
1,029
26.7%
0
0.0%
67
13.7%
40-49
1,710
39.3%
1,549
40.3%
3
23.1%
158
32.3%
50-59
936
21.5%
751
19.5%
4
30.8%
181
37.0%
60-69
279
6.4%
209
5.4%
3
23.1%,
67
13.7%
70+
74
1.7%
56
1.5%
3
23.1%
15
3.1%
3 men were of unknown prior marital status.
Table E-4D. Marriages by Age and Prior Marital Status of Females in a Female/Female Marriage
Massachusetts Occurrence: 2004
Females in a Female/Female Marriage
Total Never Married Widowed Divorced
Age
Number
%
Number
%
Number
%
Number
%
Total
7,886
100.0%
6,243
100.0%
51
100.0%
1,592
100.0%
<20
7
0.1%
7
0.1%
0
0.0%
0
0.0%
20-29
663
8.4%
643
10.3%
0
0.0%
20
1.3%
30-39
1,938
24.6%
1,716
27.5%
4
7.8%
218
13.7%
40-49
3,024
38.3%
2,453
39.3%
13
25.5%
558
35.1%
50-59
1,817
23.0%
1,201
19.2%
21
41.2%
595
37.4%
60-69
389
4.9%
195
3.1%
10
19.6%
184
11.6%
70+
48
0.6%
28
0.4%
3
5.9%
17
1.1%
4 women were of unknown prior marital status.
187
Table E-5A. Number of Male/Female Marriages by Age
Massachusetts Occurrence: 2004
Age of Male
Age of
Female
Total
<20
20-29
30-39
40-49
50 - 59
60-69
70+
Total
35,448
276
13,363
12,716
5,459
2,498
809
327
<20
855
150
618
72
14
0
0
1
20-29
16,601
124
11,054
4,865
499
55
4
0
30-39
11,080
Z.
1 ,oy 1
6,833
2,292
320
39
3
40-49
4,521
0
94
875
2,301
1,084
147
20
50-59
1,781
0
6
67
337
943
374
54
60-69
463
0
0
3
15
92
230
123
70+
147
0
0
1
1
4
15
126
2 marriages are not included due to missing age information.
Table E-5B. Number of Male/Male Marriages by Age
Massachusetts Occurrence: 2004
Age of Older Male
Age of
Younger
Male
Total
<20 20 - 29
30-39
40-49
50-59
60-69
70+
Total
2,176
1 67
353
891
581
221
62
<20
8
1 5
1
1
0
0
0
20-29
178
62
79
33
3
1
0
30-39
744
273
410
53
8
0
40-49
819
447
314
53
5
50-59
356
211
128
17
60-69
59
31
28
70+
12
12
188
Table E-5C. Number of Female/Female Marriages by Age
Massachusetts Occurrence: 2004
Age of Older Female
Age of
Y/^i 1 nn or
T uu 1 ly CI
Female
Total
<20 20 - 29 30 - 39
40-49
50-59
60-69
70+
1 Oldl
3,944
1 208 737
1,514
1,149
OQ/1
A 1
6
1 5 0
0
0
U
455
203 203
48
1
n
u
U
1 ,ZU 1
534
594
DO
c
n
40-49
1,510
872
590
48
0
50-59
669
490
166
13
60-69
96
75
21
70+
7
7
1 marriage is not included due to missing age information.
189
Table E-6A. Number of Male/Female Marriages by Number of Total Marriages of Each Party
Massachusetts Occurrence: 2004
Male
Female
Total
1
2
3
4
5+
Total
35,450
25,633
8,066
1,538
174
39
26,327
22,227
3,623
438
33
g
2
7,582
3,016
3,665
796
89
16
3
1,340
349
681
256
44
10
4
172
35
84
41
7
5
5+
29
6
13
7
1
2
Table E-6B. Number of Male/Male Marriages by Number of Total Marriages of Each Party
Massachusetts Occurrence: 2004
Number of Male/Male Marriages
Male Married More Often
Male Married
Less Often
Total
1
2
3
Total
2,175
1,723
424
28
1
2,124
1,723
381
20
2
50
43
7
3
1
1
Table E-6C. Number of Female/Female Marriages by Number of Total Marriages of Each Party
Massachusetts Occurrence: 2004
Number of Female/Female Marriages
Female Married More Often
Female Married
Less Often
Total
1
2
3
4
5
Total
3,943
2,558
1,228
135
18
4
1
3,688
2,558
1,014
98
16
2
2
252
214
34
2
2
3
3
3
0
0
Totals do not include 1 missing value for male to male marriages and 2 missing values for female
to female marriages.
190
Table E-7. Marriages by Town of Licensure
Massachusetts Occurrence: 2004
Town
1 Male/Female |
Male/Male
1 Female/Female |
Total
Total
35,450
2176
3945
41,571
ABINGTON
70
1
2
73
ACTON
84
2
10
96
ACUSHNET
58
0
3
61
ADAMS
58
1
4
63
AGAWAM
182
3
9
194
ALFORD
1
0
0
1
AMESBURY
91
3
9
103
AMHERST
144
7
50
201
ANDOVER
151
7
14
172
ARLINGTON
241
18
50
309
ASHBURNHAM
10
1
0
11
AQUINNAH
5
1
1
7
ASHBY
8
0
0
8
ASHFIELD
10
0
6
16
ASHLAND
73
4
10
87
ATHOL
57
0
3
60
ATTLEBORO
254
17
43
314
AUBURN
88
4
4
96
AVON
24
1
4
29
AVER
51
2
5
58
BARNSTABLE
404
20
33
457
BARRE
16
2
2
20
BECKET
12
1
1
14
BEDFORD
55
1
5
61
BELCHERTOWN
48
2
13
63
BELLINGHAM
86
3
2
91
BELMONT
148
6
14
168
BERKLEY
5
2
2
9
BERLIN
10
0
0
10
BERNARDSTON
3
0
1
4
BEVERLY
230
8
27
265
BILLERICA
144
4
7
155
BLACKSTONE
46
2
3
51
BLANDFORD
1
0
0
1
BOLTON
11
2
6
19
BOSTON
3,049
321
180
3,550
BOURNE
79
5
7
91
BOXBOROUGH
9
0
2
11
BOXFORD
11
2
0
13
BOYLSTON
21
1
1
23
BRAINTREE
199
6
9
214
BREWSTER
85
4
19
108
BRIDGEWATER
85
1
12
98
BRIMFIELD
9
0
1
10
BROCKTON
597
10
24
631
BROOKFIELD
11
2
0
13
BROOKLINE
466
62
113
641
BUCKLAND
13
0
4
17
191
Table E-7(continued). Marriages by Town of Licensure
Massachusetts Occurrence: 2004
Town 1
Male/Female |
Maie M2I6
1 Female/Female |
Total
dUKLINCj I UN
lift
lib
1 1
•1 -1
1 CI
LAMdKIUUL
1 ,UOD
0 1 "3
z 1 0
O40
1 ,544
UAN 1 UN
1U4
0
z
A
4
110
UAKLIoLb
14
•1
Q
0 0
23
C/AKVbK
0/
<l
1
y
67
L/HAKLLIVIUN 1
0
U
0
Z
7
UHAKL 1 UN
U
0
Z
31
L/HA 1 HAIVi
o o
OO
A
1
92
UnbLMorUKU
141)
/I
4
1 0
159
O LJ CI OCA
UnbLbbA
zo /
Q
0
298
O LJ CCi_l 1 D C
b
1
U
7
LJ C CXC D
UMbo 1 bK
C
0
n
U
(J
5
^LJCCXCDCICI r\
Unbo 1 bKrIbLU
4
n
U
U
A
4
UMIUUrbb
Q
y
lb
0 r\ -7
307
UnlLMAKK
1 J
0
z
0
z
1 7
^1 ADl/CDI IDO
0
n
U
U
5
^1 IMTOKI
ULIN 1 UN
•1
1
4
0/
L/UMAoob 1
/I p
40
1
0
Z
01
L/ULKAIN
1 U
n
u
U
1U
UUNUUKU
/ 1
Q
0
14
AO
UUNWAY
•1
n
u
A
1
0
z
r^i l^/l^^lM^^TPvM
UUMMINo 1 UN
n
u
4
1
UAL 1 UN
1 y
n
u
n
U
1 y
pi A M\/CD C
UAN VbKo
1 oy
0
z
b
1/17
14 /
UAK 1 MUU 1 n
4
b
■1 0*3
Izo
ncrvu A ^>l
UbUnAM
oon
zyu
y
OT
zo
"300
OZZ
UbbKrIbLU
00
0
z
4
"30
jy
PlCMMIO
UbNNIb
IzU
4
■1 n
1 U
-10/1
1 o4
Ulon 1 UN
0/
1
A
U
"30
PvOI 1^1 A c
OQ
zy
1
A
U
on
oU
UUVbK
1 0
u
A
1
■1 /I
14
PlD A ^ 1 IT
UKAUU 1
-1 on
IzU
b
i n
1 U
1 oc
1 ob
pi| IRI CV
UUULbY
A 0
4z
n
u
1
yi 0
4o
pvi 1 K 1 OTA D 1 C
UUNo 1 AbLb
■7
n
U
•0
0
1 A
1U
P>l 1 Y D 1 1 D V
JUadUKY
oy
U
c
0
y1 y1
44
CAOT D D 1 C\ A/ A TCD
tAo 1 bKIUUbWAIbK
b /
n
U
7 A
C A CT DDl^Ol/'CICI r>
tAb 1 DKUUI\rlbLU
£5
n
U
A
U
Q
CACT 1 ^^M(^^/lc A ri(^\A/
irAb 1 LUNoMbAUUvV
DQ
0
/I
4
yo
C A CTU A KH
rAb 1 nAIVl
OQ
ZO
0
z
b
oc
Ob
C A CTU A ^^DT^^M
rAb 1 nAIVl r 1 UN
yo
4b
■1/17
14/
rASTON
97
0
b
H A/^
106
EDGARTOWN
112
1
4
117
EGREMONT
2
0
1
3
ERVING
7
0
0
7
ESSEX
18
1
0
19
EVERETT
321
1
8
330
FAIR HAVEN
127
2
6
135
FALL RIVER
597
16
33
646
FALMOUTH
276
4
16
296
192
Table E-7(continued). Marriages by Town of Licensure
Massachusetts Occurrence: 2004
Town 1
Male/Female |
Male/Male
1 Female/Female |
Total
FITCHBURG
209
11
9
229
FLORIDA
0
0
0
0
FOXBOROUGH
93
0
6
99
FRAMINGHAM
555
12
36
603
FRANKLIN
124
4
10
138
FREETOWN
42
1
2
45
GARDNER
130
0
6
136
GEORGETOWN
15
0
2
17
GILL
2
0
2
4
GLOUCESTER
188
4
21
213
GOSHEN
0
0
1
1
GOSNOLD
2
0
0
2
GRAFTON
70
2
3
75
GRANBY
30
0
2
32
GRANVILLE
8
0
0
8
GREAT BARRINGTON
85
3
12
100
GREENFIELD
129
12
36
177
GROTON
39
1
8
48
GROVELAND
13
1
2
16
HADLEY
11
1
2
14
HALIFAX
28
2
0
30
HAMILTON
31
1
4
36
HAMPDEN
9
2
1
12
HANCOCK
0
0
0
0
HANOVER
63
3
3
69
HANSON
51
0
1
52
HARDWICK
32
2
0
34
HARVARD
11
4
1
16
HARWICH
82
9
13
104
HATFIELD
18
0
2
20
HAVERHILL
270
8
23
301
HAWLEY
1
0
1
2
HEATH
0
0
0
0
HINGHAM
85
3
2
90
HINSDALE
5
0
0
5
HOLBROOK
65
2
4
71
HOLDEN
42
1
6
49
HOLLAND
6
1
1
8
HOLLISTON
47
0
6
53
HOLYOKE
234 .
3
12
249
HOPEDALE
11
0
0
11
HOPKINTON
46
1
6
53
HUBBARDSTON
9
0
4
13
HUDSON
114
1
4
119
HULL
49
9
16
74
HUNTINGTON
6
0
1
7
IPSWICH
56
10
8
74
KINGSTON
54
0
2
66
LAKEVILLE
32
3
4
39
193
Table E-7(continued). Marriages by Town of Licensure
Massachusetts Occurrence: 2004
Town 1
Male/remale |
Male Male
1 Female/Female |
Total
LANuAb 1 LK
n
u
o
Z
2 '
LANESBOROUGH
U
U
u
u
LAWKENCh
ZoU
c
O
Q
o
294
1 1 — f—
LEE
O Q
oo
U
2
40
LEICESTER
(J
0
46
LENOX
A A
44
c
0
2
51
LEOMINb 1 ER
2/5
o
15
293
LEVERt 1 1
c
0
n
U
0
10
LEaING I ON
A no
7
/
14
124
LEYDEN
1
n
U
2
3
LINCOLN
2
4
26
Lli 1 LE 1 ON
n
u
6
32
LONOMEAUOW
r\
U
89
LOWbLL
on
OK
20
CQO
boo
LUDLOW
•ICO
1 by
1
Q
O
■170
1 / o
LUNENdURo
oc
ob
n
U
c
0
41
1 \/M K 1
LYNN
4oo
1 1
O/l
24
coo
02o
1 \/M M CI d Pi
LYNNr IhLU
A A
44
1
A
4
A Q
49
MALUEN
obi
1 /
14
ooo
o92
MANOHEo 1 ER
oU
1
o
2
3o
MANbrlELU
o4
o
14
1U1
MARdLEHEAU
no
4
1U
^ oo
1 o2
MARION
2b
u
1
07
Zl
MARLdOROUOH
Zoo
b
To
254
MARoMrlbLU
of
o
2
7
QC
yb
H/i A OLJDCn
MAonrht
on
o
z.
Q
9
yi
ft>l A T — r A D/^l O CT — r
MA 1 1 ArOloE 1 1
o1
2
O
o
oo
MAYNARU
4o
o
2
10
05
MtUrl cLU
Ob
•i
1
o
4U
MtUrURU
o2y
■1 o
07
2 /
obo
MEUWAY
oy
/I
4
o
2
A C
40
MELROob
■1 -1 c
110
■1 n
1 U
14
•1 OQ
1 oy
MENDON
ZZ
■1
T
o
O
2d
hylCTDDIIV/IA^
MERRIMAO
lb
o
2
0 1
21
METHUEN
233
Q
1o
ocn
259
MIDDLEBOROUOH
^ r\A
1 04
o
2
Q
'1 -i c
115
MIUULErlELU
4
U
U
4
MIDDLE 1 ON
2o
o
2
0
o5
MILrORD
1 DO
4
D
-ICO
ibo
IV /1 1 1 1 D 1 1 O \/
MILLdURY
bo
U
7
/
7n
MILLIS
A r\
40
U
o
/ o
43
MILLVILLE
12
1
2
15
MILTON
112
12
9
133
MONROE
0
0
0
0
MONSON
45
1
3
49
MONTAGUE
35
1
4
40
MONTEREY
8
0
0
8
MONTGOMERY
2
0
0
2
MOUNT WASHINGTON
2
0
0
2
194
Table E-7(continued). Marriages by Town of Licensure
Massachusetts Occurrence: 2004
Town 1
Male/Female |
Male/Male
1 Female/Female |
Total
NAHANT
16
0
1
17
NANTUCKET
191
17
9
217
NATICK
168
12
22
202
NEEDHAM
112
5
18
135
NEW ASHFORD
0
0
0
0
NEW BEDFORD
530
17
13
560
NEW BRAINTREE
4
0
0
4
NEW MARLBOROUGH
0
0
0
0
NEW SALEM
3
0
2
5
NEWBURY
17
1
5
23
NEWBURYPORT
146
13
37
196
NEWTON
457
46
100
603
NORFOLK
30
0
1
31
NORTH ADAMS
73
3
6
82
NORTH ANDOVER
86
2
8
96
NO. ATTLEBOROUGH
132
0
10
142
NORTH BROOKFIELD
30
0
2
32
NORTH READING
42
4
2
48
NORTHAMPTON
224
41
275
540
NORTHBOROUGH
50
0
16
66
NORTHBRIDGE
90
0
3
93
NORTHFIELD
12
0
3
15
NORTON
74
2
5
81
NORWELL
41
1
6
48
NORWOOD
174'
1
5
180
OAK BLUFFS
44
2
4
50
OAKHAM
3
0
0
3
ORANGE
36
0
6
42
ORLEANS
97
5
13
115
OTIS
. 7
1
0
8
OXFORD
68
1
3
72
PALMER
80
1
1
82
PAXTON
■ 6
1
0
7
PEABODY
212
3
11
226
PELHAM
1
0
5
6
PEMBROKE
75
4
3
82
PEPPERELL
32
0
1
33
PERU
1
0
0
1
PETERSHAM
4
2
1
7
PHILLIPSTON
3
0
0
3
PITTSFIELD
352
9
26
387
PLAINFIELD
1
0
0
1
PLAINVILLE
39
0
4
43
PLYMOUTH
317
10
21
348
PLYMPTON
5
1
1
7
PRINCETON
25
0
0
25
PROVINCETOWN
30
359
486
875
QUINCY
791
24
20
835
RANDOLPH
193
11
18
222
195
Table E-7(continued). Marriages by Town of Licensure
Massachusetts Occurrence: 2004
Town
1 IVIdIc' rcii Idle 1
IvlcalC' Ivldlc
1 rciTidic/ rernaic |
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1 Q
1 y
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STURBRIDGE
121
2
6
129
SUDBURY
40
3
17
60
SUNDERLAND
17
1
5
23
SUTTON
32
1
0
33
SWAMPSCOTT
49
10
6
65
SWANSEA
55
2
6
63
TAUNTON
369
7
18
394
196
Table E-7(continued)
Marriages by Town of Licensure
Massachusetts Occurrence:
2004
Town
1 Male/Female 1
Male/Male 1
Female/Female |
Total
TEMPLETON
22
0
1
23
TEWKSBURY
113
3
7
123
TISBURY
43
1
2
46
TOLLAND
1
0
0
1
TOPSFIELD
19
2
0
21
TOWNSEND
31
0
3
34
TRURO
8
10
17
35
TYNGSBOROUGH
70
2
1
73
TYRINGHAM
1
0
0
1
UPTON
28
0
2
30
UXBRIDGE
66
2
6
74
WAKEFIELD
138
4
15
157
WALES
3
0
0
3
WALPOLE
99
4
3
106
WALTHAM
412
11
22
445
WARE
52
1
1
54
WAREHAM
119
3
5
127
WARREN
29
1
1
31
WARWICK
3
0
1
4
WASHINGTON
1
0
0
1
WATERTOWN
286
11
22
319
WAYLAND
30
2
6
38
WEBSTER
131
0
2
133
WELLESLEY
78
9
9
96
WELLFLEET
31
5
8
44
WENDELL
0
0
0
0
WENHAM
8
1
1
10
WEST BOYLSTON
47
2
0
49
WEST BRIDGEWATER
30
1
5
36
WEST BROOKFIELD
8
2
3
13
WEST NEWBURY
7
1
0
8
WEST SPRINGFIELD
154
0
12
166
WEST STOCKBRIDGE
0
0
0
0
WEST TISBURY
23
2
3
28
WESTBOROUGH
77
1
0
78
WESTFIELD
231
3
14
248
WESTFORD
59
0
7
66
WESTHAMPTON
1
0 ■
2
3
WESTMINSTER
36
4
3
43
WESTON
54
1
7
62
WESTPORT
73
2
4
79
WESTWOOD
40
1
0
41
WEYMOUTH
269
8
11
288
WHATELY
3
0
6
9
WHITMAN
104
0
0
104
WILBRAHAM
62
3
2
67
WILLIAMSBURG
7
0
12
19
WILLIAMSTOWN
38
7
10
55
WILMINGTON
94
3
2
99
197
Table E-7(continued)
Marriages by Town of Licensure
Massachusetts Occurrence:
Town
1 Male/Female |
Maie/Male |
Female, Female |
1 otai
WINCHENDON
33
1
2
OD
WINCHESTER
79
7
3
DG
WINDSOR
7
/
u
0
7
WIN 1 HKUr
85
1
7
93
WOBURN
212
5
8
WORCESTER
1,217
97
148
1.462
WORTHINGTON
5
1
1
7
WRENTHAM
25
0
3
28
YARMOUTH
147
10
24
181
UNKNOWN
2
0
0
2
198
POPULATION
SECTION F
POPULATION
The population data in this section are presented for use in computing rates for small
areas and for reporting changes over time by municipality and county. The 2004 population
estimates are based upon the National Center for Health Statistics Modified Age, Race and
Sex file, and the Census Bureau Population Estimates. The new file is the Massachusetts
Modified Age, Race/Ethnicity, Census Estimate and can be accessed through MassCHIP.
In 2004, there were an estimated 6,438,839 residents of Massachusetts. This represents an
8.5% increase in population since 1987, when the population numbered 5,932,611. Among
the total 2004 population in Massachusetts, 48.4% were male, 25.5% were below the age of
20, and 7.1% were over 75 years of age.
199
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Table F-1. Population Estimates^ by Race^, Hispanic Ethnicity^, Age, and Sex, Massachusetts: 2004
White Black Asian Amer. Indian
Age
Sex
Total
non-Hispanic
non-Hispanic
Hispanic
non-Hispanic non-Hispanic
0-4
Male
203,484
147,730
17,275
26,703
Female
193,988
140,885
16,300
25,446
11,007
350
Total
397,472
288,615
33,575
52,149
22,450
683
5-9
Male
201,243
152,938
15,181
22,890
out
Female
192,611
145,444
14,551
21,837
10,317
462
Total
393,854
298,382
29,732
44,727
20,047
966
10-14
Male
220,952
168,819
17,633
24,228
Q P.Q7
o / o
Female
209,129
159,329
17,022
22,994
9,205
579
Total
430,081
328,148
34,655
47,222
18,902
1,154
15-19
Male
216,038
167,754
16,230
21,461
Female
205,406
158,729
15,617
19,989
10,492
579
Total
421,444
326,483
31,847
41,450
20,480
1,184
20-24
Male
215,227
159,465
16,165
25,377
Female
214,288
159,328
16,288
23,321
14,694
657
Total
429,515
318,793
32,453
48,698
28,287
1,284
25-29
Male
208,051
150,264
14,608
25,861
1 U, / o<3
Female
213,782
156,113
15,223
24,085
17,796
565
Total
421,833
306,377
29,831
49,946
34,585
1,094
30-34
Male
225,942
170,134
14,136
22,623
1R 'i^Q
510
Female
232,859
175,780
15,548
22,617
18,404
510
Total
458,801
345,914
29,684
45,240
36,943
1,020
35-39
Male
245,962
196,153
14,473
20,312
14 44Q
575
Female
253,612
201,954
15,748
20,947
14,385
578
Total
499,574
398,107
30,221
41,259
28,834
1,153
40-44
Male
264,384
219,901
14,879
16,960
1 1 QRQ
1 1 , y On?
655
Female
272,063
225,643
15,884
18,226
11,625
685
Total
536,447
445,544
30,763
35,186
23,614
1,340
45-49
Male
245,938
210,944
12,766
12,549
Q 076
603
Www
Female
257,717
220,215
13,386
13,797
9 697
622
Total
503,655
431,159
26,152
26,346
18,773
1.225
50-54
Male
212,406
185,804
9,827
8,981
7,276
518
Female
225,689
196,083
10,964
10,366
7,768
508
Total
438,095
381,887
20,791
19,347
15,044
1,026
55-59
Male
180,566
161,235
7,296
6,427
5,220
388
Female
195,602
172,921
8,821
7,904
5,528
428
Total
376,168
334,156
16,117
14,331
10,748
816
201
Table F-1 (Continued). Population Estimates^ by Race^,
Hispanic Ethnicity^, Age, and Sex. Massachusetts: 2004
Age
Sex
Total
White
non-Hispanic
Black
non-Hispanic
Hispanic
Asian Amer. Indian
non-Hispanic non-Hispanic
60-64
Male
131,924
118,462
5,111
4,329
3,733
289
Female
146,283
130,334
6,496
5,203
3,982
268
Total
278,207
248,796
11,607
9 532
7,715
557
65-69
Male
95,498
86,187
3,596
2,693
2,830
192
Female
111,556
99,722
4,894
3,721
3,054
165
Total
207,054
185 909
8,490
6,414
5,884
357
70-74
Male
83,049
2,682
1,886
z,iby
145
Female
106,469
97,085
4,005
2,721
2,499
159
Total
189 518
173,262
6,687
4,607
4,658
304
75-79
Male
73,924
69,030
1,946
1,380
•\ A A'\
\ ,441
Female
105,204
98,018
3,292
1,898
1,869
127
Total
179,128
167,048
5,238
3,278
3,310
254
80-84
Male
52,695
49,803
1,200
785
850
57
Female
89,890
84,963
2,367
1 ,246
1,186
128
Total
142,585
134,766
3,567
2,031
2,036
185
85+
Male
40,625
38,301
984
677
606
57
Female
94,785
90,281
2,095
1,293
978
138
Total
135,410
128,582
3,079
1,970
1,584
195
Total
Male
3,117,908
437,960
15,519
11,750
11,619
867
Female
3,320,933
2,691,544
193,618
250,454
151,357
7,407
Total
6,438,841
3,129,504
209,137
262,204
162,976
8,274
1. MDPH 2004 population estimates taken from MassCHIP. 2. The age-gender-race distributions from MassCHIP.
3. Persons of Hispanic Ethnicity are NOT included in the race categories. These estimates are
used to calculate population based rates in this report.
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c
03
m
m
Q
X
CD
if)
(/)
UJ
c
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en
hire
lesex
ket
T3
If)
o
Cl.
Cl
rfol
E
E
■D
"c
CD
03
03
o
I
X
■z.
CL W
206
Table F-3. Massachusetts Population by City and Town: 1980, 1990, And 2000 US Census
City/Town
19S0
1550
2000 City/Town
i5{i0
1550
2000
ABINGTON
13,517
13,817
15,111 CANTON
18,182
18,530
20,530
ACTON
17,544
17,872
20,189 CARLISLE
3,306
4,333
4,634
ACUSHNET
8,704
9,554
10,604 CARVER
6,988
10,590
11,414
ADAMS
10,381
9,445
8,829 CHARLEMONT
1,149
1,249
1,325
AGAWAM
26,271
27,323
28,845 CHARLTON i
6,719
9,576
11,242
ALFORD
394
418
417 CHATHAM
6,071
6,579
6,728
AMESBURY ^
13,971
14,997
16,271 CHELMSFORD
31,174
32,383
34,524
AMHERST
33,229
35,228
37,891 CHELSEA
25,431
28,710
31,956
ANDOVER
26,370
29,151
31,590 CHESHIRE
3,124
3,479
3,657
ARLINGTON
48,219
44,630
42,776 CHESTER
1 ,123
1,280
1 ,402
ASHBURNHAM
4,075
5,433
5,948 CHESTERFIELD
1,000
1,048
1,162
ASH BY
2,311
2,717
2,793 CHICOPEE
55, 112
56,632
53,873
ASHFIELD
1,458
1,715
1 ,849 CHILMARK
489
650
818
ASHLAND
9,165
12,066
14,415 CLARKSBURG
1,871
1,745
1,772
ATHOL
10,634
1 1,451
11,330 CLINTON
12,771
13,222
13,508
ATTLEBORO
34,196
38 383
41,282 COHASSET
7,174
7,075
7,463
AUBURN
14,845
15,005
15,783 COLRAIN
1,552
1,757
1^825
AVON
5,026
4,558
4,460 CONCORD
16^293
17,076
18,271
AYER
6,993
6^871
6,288 CONWAY
1,213
1,529
1,811
RARNSTABLE
30 898
40,949
47,188 CUMMINGTON
657
785
917
BARRE
4,102
4,546
5,144 DALTON
6,797
7,155
6,876
BECKET
1,339
1,481
1,754 DAN VERS
24,100
24,174
25,523
BEDFORD
13,067
12,996
12,289 DARTMOUTH
23,966
27,244
31,019
BELCHERTOWN
8,339
10,579
12,844 DEDHAM
25,298
23,782
23,288
BELLINGHAM
14,300
14,877
15,567 DEERFIELD
4,517
5,018
5,109
BELMONT
26,100
24,720
25,035 DENNIS
12,360
13,864
15,139
BERKLEY
2,731
4'237
5,750 DIGHTON
5,352
5,631
6,316
RFRl IN
2 215
2,293
2,386 DOUGLAS"
3,730
5,438
6,744
BERNARDSTON
1,750
2^048
2,119 DOVER
4703
4,915
5J63
37 655
38,195
40 210 DRACUT
21,249
25,594
28,585
bTllerica"
36,727
37,609
38,688 DUDLEY
8,717
9^540
1o!o09
BLACKSTONE
6,570
8,023
9,020 Dunstable"
1,671
2,236
2,893
BLANDFORD
1,038
1,187
1,212 DUXBURY
11,807
13,895
14,862
BOLTON
2,530
3,134
4,239 EAST BRIDGEWATER
9,945
11,104
13,322
BOSTON
562 994
574,283
576,554 EAST BROOKFIELD
1,955
2,033
2,166
Rni IRNF
16 064
1 7,834 EAST LONOlviEAboW
12,905
13,367
14,435
BOXBOROUGH
3,126
3,343
4,788 EASTHAM
3^472
4,462
5J70
BOXFORD
5,374
6^266
8,378 EASTHAMPfON
15,580
15,537
15,963
BOYLSTON
3,470
3,517
3,907 EASTON
16,623
19,807
22,437
BRAINTREE
36,337
33,836
34,095 EDGARTOWN
2,204
3,062
3,870
BREWSTER
5 226
8,440
10,110 EGREMONT
1,311
1,229
1,312
bKILUjtVVA 1 tK
1 f,ZUZ
9*1 4ftn ERVING
1 326
1 ,372
1,484
BRiMFiELD"
2,318
3,001
3,358 ESSEX
2,998
3^260
3,240
BROCKTON
95,172
92,788
92,700 EVERETT
37,195
35,701
37,494
BROOKFIELD
2,397
2,968
3,136 FAIRHAVEN
15,759
16,132
16,119
BROOKLINE
55,062
54,718
58,917 FALL RIVER
92,574
92,703
90,655
BUCKLAND
1,864
1,928
1,973 FALMOUTH
23,640
27,960
30,970
BURLINGTON
23,486
23,302
24,082 FITCHBURG
39,580
41,194
39,613
CAMBRIDGE
95,322
95,802
98,868 FLORIDA
730
742
768
207
Table F-3. Massachusetts Population by City and Town: 1980 and 1990
Citv/Town
1 you
—
^wUU oily/ 1 uwn
TW! —
1 sou
1
zuuu
rUADUKUUon
14,1 40
14, DO/
ID,4DZ l-MINtoDVJKUUon
O 1 0 -1
0, 1 ol
0 noo
o,Uoz
o -1 -1 n
0,1 ID
r KAMI N(j) MAM
DO, I To
C/1 OQQ
b4,yoy
CC 770 1 A\A/DCM^C
DD, / / o LAWKbrMUb
CO -1 7C
bo,l /o
7n on7
/0,Z07
7-1 OOO
71 ,228
FKANKLIN
oo r;Qc;
zz, uyo
OQ OC7 1 CC
Zy.Zb/ Lbb
C O >1 7
b,z47
5,849
5,93/
PKttTUVvN
/ ,Uoo
Q COO
0,OZZ
Q one 1 CI^COTCD
0,Oyb LblUboltK
C\ A AC
9,446
10,191
10,439
oAKUNbK-
1 / ,yuu
on i ot;
ZU, T ZO
O i i C/1 1 CKI/^Y
Z 1 , 1 04 LbNUA
c coo
b,oz3
c nc n
5,069
4,931
GAY HtAD
ZZU
on -1
zUI
0 14 LbUMlNo 1 bK
o A cno
34,508
38,145
41 ,631
GEORGETOWN
5. DO/
C O O /I
7 n^O 1 CX/CDCTT
/ ,04o LbvbKb 1 \
1 ,471
1 ,785
1,867
GILL
1 ,2by
H COO
1 ,0OO
H COO 1 CVIkl^T/^kl
1,OZO LbAlNGFON
29,479
28,974
31,090
GLUUCcbTcR
/ / , /DO
O Q 7 1 C
zo, /lb
on nnc i cvrvcM
Zy,yUO LbYUbN
/I no
498
662
111
/"> /^O L-l ^ kl
GUbnhN
DOT
Don
ooU
QOO 1 IM^/^I Kl
7 nno
"7
7,666
8,563
GOSNOLD
b-i
no
yo
^OO 1 1 1 1 1 CT/^kl
1 Zo LI 1 1 Lb 1 ON
b,y70
7,051
8,048
GRAFTON
1 1 ,238
-1 o no c
1 3,035
1 4,ool LONGMEADOW
16,301
15,467
15,460
D A Kl D V
GKANb T
C),OOU
c ccc
0,ObO
D,UDo LUWtLL
no /I ^ o
yz,41 0
^ no >i on
1Uo,439
A r\C OCA
105,854
^ D A M\ /IMC
CjKANVILLt
— ^ . 1 1
^ on/t
1 ,ZU4
-1 /I no
1,010 LUULUVV
■1 Q -1 cn
lO,loU
•1 o oon
1 O.OZU
•in cno
1 y,b93
dAKKING 1 ON
7 Add
7 70C
/, /ZO
o /I nc
O,4U0
n -1 -1 7
9,1 U
n o n yi
9,394
GKttNrlbLU
•ID /IOC
4 O ccc
1 o,bbb
^ Q n '3 i 1 VMM
1 O.Uo 1 LTiMiN
7D /I 7 -1
/o,4/l
0 *1 O >1 c
01 ,z4o
OC ono
ob,z9o
GKU 1 ON
D, 1 04
7 C 1 -1
y,*fU 1 LTiNlNrltLU
■1 1 OC7
1 1 ,zb/
•1 -1 07/!
1 1 ,z/4
•1 -1 7nn
1 1 , /yy
oKUVtLAlMU
0,U4U
0,Z14
D,U^ 1 MALUtlN
CO OQC
Oo,oOb
CO DO/1
Oo,0o4
cc nc/1
00,Ub4
HAULt Y
/I -IOC
/I oo 1
*+,DDo MArsiunto 1 tK
C /10/1
0,4Z4
c ooc
o.zob
c o n •!
0,o91
l_l A 1 1 C A V
HALIrAA
c coc
b,OZD
/ ,0 In5 MANorltLU
-1 o /ICO
1 0,40<3
A c cc o
1b,obo
O -1 A 7C
Zl ,4/b
nAMiL 1 UiN
D.ybU
7 oon
/ ,ZoU
0,*+Z/ MMKDLtncAU
on -1 oc
zU.lzb
•^ n n7 -i
1 9,9/1
on 77-1
zU, / / 1
nAMrUtN
A 7/1 K
4, / 40
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4, / uy
O QOO
A A nc
4,496
c ccn
0,ObU
HANOOOK
C /I "3
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on c^ 7
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o, /UU
7 DD/1
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1 1 ,obO
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Z,DO^ MA 1 lAKUIotl 1
C CQ7
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c 0/1 n
b,z49
nAKVAKU
■1 O ■! 7n
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Q con
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1 U.OOO
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1 l,OZO MtUritLU
^ n oon
lU,zzU
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Iz.zlo
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o,U40
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9,9ol
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oU,UOO
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o -1 no
A n H n
4,01 0
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0, Izo
nliNonAM
zu,ooy
-1 Q DO 1
1 y,oz 1
/I /I C-1
4,401
c -1 cc
0,lbb
C 007
b,oo/
rllNoUALb
-1 7n7
1 , / u /
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Z,UUy Mt 1 nUciN
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o9,yyu
A O OCC
4z.9bb
nOLDKOOrs
•1-1 "1 /I n
T 1 , l4U
■1 1 n/1 -1
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1 l,U I / MIUULtDUKUUGn
-1 c /I n/1
lb,4U4
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1 /,ob/
•in DD 0
1 9,90o
LjrM f^rkl
1 o.oob
^ /I COD
14, bzo
•1 C 07C K/iiPiPM ccici r\
10,0/0 MIUULhrlbLU
ooc
ooo
ono
392
cno
oUo
nOLLANU
i,ooy
O -1 QC
Z, 1 00
MIUULt 1 UIN
A "IOC
4, 1 00
A no -1
4,921
7 ncc
/,Uob
nULLIo 1 ON
'I o COO
■1 o ooc
iz,yzb
|^,^OZ MlLrUKU
oo onn
zo,oyu
o c o cc
Z0,OO0
oc on7
zo,oy /
nOLYOKh
A A C70
44, b /o
/I O 7n/!
4o, /U4
4U,0U4 MILLdUKY
H -1 ono
1 1 ,oUo
A o OOO
1Z,z2o
HO C OC
1z,bob
Lji^ocr^Ai cr
o,yUo
c ccc
o.bbb
D, U / 1 MILLIo
c nno
b,yuo
7 C H O
/ ,b1 o
7 O OC
/,oob
7 1 1 /I
/ , i i 4
y, 1 y 1
1 Z , / OO MILL V 1 LLC
•1 COO
1 ,byo
o ooc
Z,Zob
0 7fiC
Z, / OD
HUBBARDSTON
1,797
2,797
3 844 MILTON
25,860
25,725
26,725
HUDSON '
16,408
17,233
17,951 MONROE
179
115
102
HULL \
9,714
10,466
11,200 MONSON
7,315
7,776
8,835
HUNTINGTON ;
1,804
1,987
2,236 MONTAGUE ,
8,011
8,316
8,095
IPSWICH
11,158
11,873
12,566 MONTEREY
818
805
925
KINGSTON
7,362
9,045
11,242 MONTGOMERY
637
759
709
LAKEVILLE '
5,931
7,785
9 , 668 WASHINGTON
93
135
152
LANCASTER
6,334
6,661
7,432 NAHANT
3.947
3.828
3,748
208
Table F-3. Massachusetts Population by City and Town: 1980 and 1990
City/Town
1550
1550
2000 City.'Town
1550
199U
2000
NANTUCKET
5,087
6,012
8,651 READING
22,678
22,539
23,953
NAflCK
29,461
30,510
32,094 REHOBOTH
7.570
8,656
10,188
NEEDHAM
27,901
27,557
28,427 REVERE
42,423
42,786
43,681
new'ashford '
159
192
238 RICHMOND
1,659
1,677
1,740
NEW BEDFORD
98,478
99,922
94,347 ROCHESTER
3,205
3,921
4,623
NEW b'RAINTREE
671
881
997 ROCKLAND
15,695
16,123
17,608
MARLBOROUGH
1,160
1,240
1,538 ROCKPORT
6,345
7,482
8,043
NEW SALEM
688
802
898 ROWE
336
378
371
NEWBURY
4,529
5,623
6,666 ROWLEY
3,867
4,452
5,434
NEWBURYPORf
15,900
16,317
16,988 ROYALSTON
955
1,147
1,205
NEWTON
83,622
82,585
87,211 RUSSELL
1,570
1,594
1,734
NORFOLK
6,363
9,270
10,506 RUTLAND
4,334
4,936
6,123
NORTH ADAMS
18,063
16,797
15,675 SALEM
38,220
38,091
40,348
NORTH ANDOVER
20,129
22,792
26,785 SALISBURY
5,973
6,882
7,554
NORTH XtTLEBORO
21,095
25,038
26,858 SANDISFIELD
720
667
801
BROOKFIELD
4,150
4,708
4,893 sandwich"
8,727
15,489
19,908
NORTH READING
11,455
12,002
13,250 SAUGUS
24,746
25,549
25,898
NORTHAMPTON
29,286
29,289
29,435 SAVOY
644
634
697
NORTHBOROUGH
10,568
11,929
13,698 SCITUATE
17,317
16,786
17,380
NORTHBRIDGE
12,246
13,371
13,573 SEEKONK
12,269
13,046
13,789
NORTH FIELD
2,386
2,838
2,955 SHARON
13,601
15,517
17,276
NORTON
12,690
14,265
17,214 SHEFFIELD
2,743
2,910
3,347
NORWELL
9,182
9,279
9,981 SHELBURNE
2,002
2,012
2,178
NORWOOD"
29,711
28,700
28,779 SHERBORN
4,049
3,989
4,284
OAK BLUFFS
1,984
2,804
3,692 SHIRLEY
5,124
6,118
7,143
OAKHAM
994
1,503
1,762 SHREWSBURY
22,674
24,146
30,390
ORANGE
6,844
7,312
7,710 SHUTESBURY
1,049
1,561
1,954
ORLEANS"
5,306
5,838
6,434 SOMERSET '
18,813
17,655
18,067
OTIS
963
1,073
1,281 SOMERVILLE
77,372
76,210
77.838
OXFORD
11,680
12,588
13,457 SOUTH HADLEY
16,399
16,685
17,678
PALMER
11,389
12,054
12,564 SOUTHAMPTON
4,137
4,478
5,321
PAXTON
3,762
4,047
4,551 SOUTHBOROUGH
6,193
6,628
8,419
PEABODY
45,976
47,039
49,595 southbridge
16,665
17,816
17,489
pelHam"'™
1,112
1,373
1,463 SOUTHWICK
7,382
7,667
8,885
PEMBROKE
13,487
14,544
16,433 SPENCER
10,774
11,645
11,907
PEPPERELL
8,061
10,098
11,435 SPRINGFIELD
152,319
156,983
151,292
PERU
633
779
850 STERLING
5,440
6,481
7,416
PETERSHAM ,
1,024
1,131
1,212 STOCKBRIDGE
2,328
2,408
2,315
PHILLIPSTON
953
1,485
1,814 STONEHAM
21,424
22,203
22,020
PITTSFIELD
51,974
48,622
46,284 STOUGHTON
26,710
26,777
28.133
PLAINFIELD
425
571
594 STOW
5,144
5,328
5,715
PLAirWILLE
5,857
6,871
7,913 STURBRIDGE
5,976
7,775
8,082
PLYMOUTH
35,913
45,608
51,447 SUDBURY
14,027
14,358
16,260
PLYMPTON
1,974
2,384
2,690 SUNDERLAND
2,929
3,399
3,792
PRINCETON
2,425
3,189
3,470 SUTTON
5,855
6,824
8,153
PROVINCETOWN
3,536
3,561
3,372 SWAMPSCOTT
13,837
13,650
14,704
QUINCY
84,743
84,985
87,570 SWANSEA
15,461
15,411
16,079
RANDOLPH
28,218
30,093
31,630 TAUNTON
45,001
49,832
55,183
RAYNHAM
9,085
9,867
11,525 TEMPLETON "" "
6,070
6,438
6,955
209
Table F-3. Massachusetts Population by City and Town: 1980 and 1990
\^ 1 L y I u w 1 1
i 5S0
TOT"
2000 C.tvTown
■ VdW
1990
2onn
TPWK^RI IRY
97 9fifi
9Q fiO"^ WINCHESTER
90 701
90 9R7
^o,^u /
90 RQ9
^u, 09^
TI^^RI IRY
120
3,674 WINDSOR
598
770
839
00^
9RQ
?Qfi WINTHROP
1 Q 994
1 C7 , ^ i?H
1 R 1 97
10. 1 ^ /
17 7Cin
1 / , / 00
'i 7S4
fi '^?0 WOBURN
"Sfi R9R
00, i?Ho
"^7 14R
0 / , 1 HO
7 901
R 4Qfi
9 424 WORCESTER
161 799
169 7*^9
170 Qic;
1 / 0, C7 10
TDI IRO
1 QfiO WORTHINGTON
9*^9
1 1 ciR
1 , 1 00
1 ,oUo
1 T rNooDvjrvvjuon
o,ooo
R R49
10 71fi WRENTHAM
7 "^iRO
/ ,000
9 OOR
1 0 '^1
1 U.o 10
1 Tr\liNon/MVI
OUi?
?Q1 YARMOUTH
1 R 449
1 0,HHC3
91 174
9"^ 7R7
Zo, / D /
1 IPTHNJ
o,oou
4 fi77
H , 0 / /
*i '^40
I lYRRinriF
in 41*^
t U ,H 10
1 1 Statewide Totals
5 7?7 0*^7
6 01R 49*^
vv/Ar\cr icuu
94 R9'i
^H, 0^0
95 045
\A/Ai pc;
1 177
1,1//
1 *iRfi
1 , 000
1 75Q
WAI pni F
90 919
23 085
WML 1 n/Aivi
*iR 9nn
^1 R7fl
0 / , <j / 0
59 243
WARP
Q ROR
9 820
\A/A DPU AKil
1 Q 9?9
90 ^7^
WARRFNI
777
\J, III
4 437
4,815
WARWIPK
740
/ HO
778
VVMOmiNO 1 WIN
fiR7
GO /
R1 'i
u 1 0
572
WATFRTOWN
?4 ?R4
"^"^ 9R4
00, ^OH
32 399 '
\A/AVI AMn
WAT LHNU
10-1 7n
1 Z, 1 / u
• 1 1 R7i4
1 1 ,0 / 't
1 19R
1 0, 1 zo
WFR9TFR
14 4Rn
Ifi 1Q6
16,313
97 9nQ
27 716
\A/pi 1 PI PPT
9 9nQ
2 687
WFNDFLL
fiQ4
899
Vj C
1,062
WFNIHAM
? RQ7
4 919
H,^ 1 ^
5 014
\A/PCT RPlVI CTl^M
vVto 1 DU T Lo I UlN
R R1 1
7 CiOfl
/ ,OUO
RRinr^FWATFR
fi 3fiQ
6 760
3 *532
3,683
\A/F*^T NFWRl ]RY "
9 RR1
491
4 027
uupcT cjpDiKiri'pipi 1-)
V V L_0 1 0 1 IN 1 IN on i^^LJ
97 049
97 *i'^7
^ / , 00 /
28 425
1 9Rn
1 483
1 ,HOO
1 447
\A/F<=;T T19RURY
VV^O 1 1 lODVJiA I
1 Din
1 704
1 , / OH
2 338
WpcxRORni l(^H
vv^o 1 DWrxwuwri
1? R1Q
14 1?*^
( H , 100
17 320
WPC^TFIFI n
?R 4RCi
'^R ?79
00,0 / /L
40 51 1
HO, 0 1 1
WF^TPHRn
1 4*^4
1R ?Q9
90 1'^0
1 1?7
1 397
1 515
WF ^TM 1 N ^TF R
fi 1Q1
7 014
Vv C^O 1 V^IN
11 IRQ
1 1 , 1
11316
1 ? 7R?
14 805
WP'^TWOOD
1 919
19 ^^1
14,015
WtYMOUTn
OO.bU 1
/^C3
00,0/0
WHATELY
1,341
1,375
1,466
WHITMAN
13,534
13,240
13,580
WILBRAHAM
12,053
12,635
13,478
WILLIAMSBURG
2,237
2,515
2,599
WILLrAMSTOWN '
8,741
8,220
8,731
WILMINGTON '
17,471
17,651
20.839
WINCHENDON
7.019
8,805
9.532
210
Table F-4
Population Counts and Estimates, Massachusetts: 1980. 1985-2004
AGE GROUP
YEAR
TOTAL
MALE
FEMALE
0-4
1980
337,215
173,029
164,186
1985
379'282
194,237
185 045
1 WW,w t \^
1990
421 ,349
215 445
^ 1 w , " f w
205 904
^ w , W w~
1991
424,617
217,179
207,438
1992
425,142
217,537
207 605
1 , w w w
1QQ?
424,647
217 471
207,176
1994
421 ,986
216 493
^ 1 W , *T W W
205 493
^ w w , ~ w w
199S
415,741
213 448
202,293
409 660
210 345
199 315
1 ^ w , w 1 w
1997
404,223
207,394
196.829
1998
399,860
204,983
194,877
1QQQ
399 310
204,397
194,913
7000
397 268
203 062
^ \J w , W w^
194,206
?oo^
390 178
199 346
190 832
1 \tf W . W W
2002
394 810
201,751
193^059
2003
395 047
202! 150
192 897
2004
397,472
203^484
193^988
- Q
1980
374 J34
191 ,602
183,132
198^
375'677
192^542
183!l35
1990
376 619
193,482
183J37
1991
384 465
197 306
1 w » , W WW
187^159
1992
388 956
199 564
1 w w , W w~
189 392
1 w w . w w
1993
392 430
201,241
191,189
19Q4
1 Z/^'~r
399 236
204,404
194^832
199*^
404 660
r w r 1 w \^ w
206 980
4k w w , w w w
197,680
IQQfi
410 066
209 813
W W , W 1 w
200^253
1997
414,757
212,313
202^444
1998
414,810
212,483
202,327
1999
423 609
w 1 w w w
217,197
206,412
2000
430 861
r w \j I w 1
22T145
209J16
2001
413,188
21T921
201^267
2002
408,718
209 582
^— W W 1 Nil' W^—
199^136
2003
400,041
204 666
195^375
393 854
W ^ W J W w~
201,243
192^611
W ~ It-
IQftD
1 i?ou
461,332
235 669
«— W W , w W w
225,663
1 l70vJ
404,174
206,784
197 390
1 w 1 I w w w
347,016
177'899
169,1 17
1 QQ1
355 502
182^288
173^214
1 QQ9
358 775
O wU , / / w
184^070
174J05
1 QQ3
363 655
www , w W W
186^671
176^984
1 QQ4
368 790
WN^W I 1 V W
I89I353
179^437
372,452
19T298
181 J 54
1 QQfi
380 540
w w w , w r w
195^292
185^248
1997
388,421
199^263
189,158
1998
391,860
200,941
190,919
1999
412,311
211,441
200,870
2000
431,247
221,168
210.079
2001
431,303
221,113
210,190
2002
436,640
223,771
212,869
2003
434,596
222,868
211,728
2004
430,081
220,952
209,129
211
Table F-4 (continued). Population Counts and Estimates. Massachusetts: 1980. 1985-2004
AGE GROUP YEAR TOTAL MALE FEMALE
1 QfiD
548 239
974 85Q
97? "^ftO
482 135
949 074
940 Ofi1
iQQn
416 030
90Q 9ftQ
9nfi 741
^UU : / H 1
1QQ1
1Q7 409
383 111
1Q9 Q'^il
^ qn if^n
1 yu, 1 uu
1993
383,138
192,863
190,275
1994
389,017
195,597
193.420
900 O'i'^
iq7 R7?
1QQfi
407 088
904 R5Q
909 99q
1QQ7
410,740
907 13Q
90? fi01
^UO .wU 1
418,478
911 096
907 4*^9
1QQQ
417^862
211 120
906 749
415,737
210 460
905 977
409,422
909 348
900 074
^ w w , \J I ^
409 688
210,256
199 439
1 w w ,
415,270
213,161
909 109
^ w^ , 1 w w
7004
421 ,444
216 038
^ t w , w wW
905 406
^ W W , " WW
1QfiO
552 902
270 713
989 189
535 048
www, w~ w
263 685
971 363
^ / 1 . WWW
iQQn
517,194
256 657
960 537
1QQ1
514,576
255 360
959 916
516 059
256 092
^ WW , w
pc;q qfi7
^ W W . WW /
1993
508,509
252,385
256.124
1994
497,732
247,056
250,676
1 ^ ^ w
486,412
241 ,442
244 970
^ , w / w
1QQfi
469 010
~Ww,W I w
232 807
W^ , WW /
236 203
^ wW , ^ W w
1997
463 895
~ W W J ^ w w
230,140
233 755
^ W W , ( WW
465 352
~ W w , w w^
230886
^ w w , \J\J\J
234 466
w" , ^W w
1QQQ
435 534
^ w w , w w~
215 192
220 342
w , w"^
9000
404,279
198 756
905 593
9001
425,247
209 206
916 041
^ i \J , W*T 1
9009
432,849
913 995
^ 1 w, ^C\J
918 994
433 897
916 030
^ 1 W, \J WW
917 867
9004
499 515
oic; 997
914 9fiR
489 175
9'^Q '^41
^WW,s^*T 1
94Q R?4
. U W*T
522,748
958 318
^ wD, \^ I \J
9fi4 4?0
^ W*T , *T\J W
556 320
w W\J , w^ w
977 9Q5
^ 1 1 w w
979 095
1QQ1
540,234
968 978
^ wL> , w / \J
971 956
^ / 1 , ^ WW
1QQ9
529,71 1
963 810
^ w w , L> 1 w
965 901
518 304
958 994
^ w U , ^ w^
960 010
^ w W , w 1 w
1994
512^557
255,973
256,584
1995
510,664
255,351
255.313
1996
514,088
257,258
256.830
1997
511,765
256,137
255.628
1998
502,345
251,390
250,955
1999
468,891
232,721
236,170
2000
434,024
213,376
220.648
2001
422,879
208,425
214.454
2002
416,009
204,894
211,115
2003
416,701
205,376
211,325
2004
421,833
208.051
213,782
212
Table F-4 (continued). Population Counts and Estimates,
Massachusetts:
1980, 1985-2004
AGE GROUP YEAR
TOTAL
MALE
FEMALE
30 - 34 1980
446,395
217,649
228,746
1985
494,363
243^ 175
251J88
1990
542,330
268J01
273^629
1991
547,724
272 J 03
275^621
1992
543,398
270^256
273,142
1993
539^945
268^647
271^298
1994
537'869
267^675
270,194
1995
529J35
263 J82
265 953
1996
518^478
258J41
260 337
1997
512^473
255 510
256 963
1998
502,992
251 066
251,926
1999
498,617
247,105
251^512
2000
492,764
. 242,386
250,378
2001
492,792
242,263
250 529
2002
484,509
238^470
246,039
2003
473,853
233J36
240J17
2004
458,801
225^942
232^859
35 -39 1980
348,552
169,502
179,050
1985
414,863
203^352
211^511
1990
481,174
237^202
243^972
1991
492,003
242'601
249'402
1 992
501,299
247'290
254^009
1993
508,723
251^039
257^684
1994
517,102
255^251
261^851
1995
522,467
258'017
264^450
1996
527,036
260J58
266^278
1997
525,899
260^595
265^304
1998
522,796
259^389
263 407
1999
532,463
263^328
269^135
2000
540,593
266,507
274,086
2001
538,710
265,684
273,026
2002
527,402
260^018
267,384
2003
515,460
253^838
261^622
2004
499,574
245^962
253^612
40-44 1980
278,748
134,925
143,823
1985
356,061
173^162
182^899
1990
433,374
21 1^399
221^975
1991
452,459
221J23
231^336
1992
448,133
219^257
228^876
1993
450,944
220^919
23o!o25
1994
458,221
224^614
233,607
1995
466,848
229^037
237^811
1996
477,644
234^298
243^346
1997
489,729
240^396
249!333
1998
496,569
243!966
252^603
1999
510,253
250^285
259^968
2000
522,402
255,838
266,564
2001
537,406
263,687
273,719
2002
537,951
264,609
273,342
2003
537,967
264,898
273,069
2004
536.447
264,384
272.063
213
Table F-4
(continued). Population
Counts and Estimates, Massachusetts:
1980. 1985-2004
AGE GROUP
YEAR
TOTAL
MALE
FEMALE
45 - 49
1980
278,261
134,444
143,817
1985
305,798
148,540
157,258
1990
333,334
162,636
170,698
1991
347.758
169.614
178,144
1992
372.449
181.639
190^810
1993
388,267
189,222
199.045
1994
405.627
197,458
208.169
1995
424,194
206,334
217,860
1996
440,676
214,576
226^100
1997
439,700
214,255
225^445
1998
442,352
215,783
226^569
1999
452,918
220,796
232.122
2000
461,945
225,029
236,916
2001
479,151
233,606
245^545
2002
488,975
238,190
250 785
2003
498,397
243,290
255.107
2004
503,655
245,938
257,717
50 - 54
1980
306,574
146.211
160.363
1985
284,588
136.396
148.192
1990
262,601
126,581
136.020
1991
266,799
128,835
137,964
1992
274,537
132,602
141.935
1993
291,124
140,790
150.334
1994
305,629
148,204
157,425
1995
317,854
154,500
163,354
1996
331,747
161,214
170,533
1997
359,036
174,461
184,575
1998
376,308
182,775
193,533
1999
394,565
191,345
203,220
2000
411,408
199,205
212,203
2001
437,266
211,839
225,427
2002
■ 431,172
208,803
222,369
2003
434,131
210,453
223,678
2004
438,095
212,406
225,689
55 - 59
1980
310,995
145,603
165,392
1985
281,585
132,889
148,696
1990
252,174
120,175
131,999
1991
243,598
116,332
127,266
1992
239,741
114,800
124,941
1993
238,223
114,215
124^008
1994
240,256
115,150
125,106
1995
243,035
116,491
126,544
1996
248.445
119,247
129,198
1997
258,444
124,059
134,385
1998
275,482
132,476
143,006
1999
293,440
141,003
152,437
2000
310,002
148,841
161,161
2001
325,492
156,205
169,287
2002
351,475
168,863
182,612
2003
363,413
174,457
188,956
2004
376.168
180,566
195.602
214
Table F-4
(continued). Population Counts and Estimates
Massachusetts:
1980. 1985-2004
AGE GROUP
YEAR
TOTAL
MALE
FEMALE
60 - 64
1980
277,384
126,323
151,061
1985
269,645
123966
145|679
1990
26T905
12T609
140,296
1991
252,853
1 17797
135 056
1992
243,758
1 13,682
130 076
1993
236,302
1 10 383
125,919
1994
229,887
107,716
122,171
1995
225^426
105979
119*447
1996
22T450
104,381
117^069
1997
220^318
104^206
1 16,1 12
1998
220,073
104 333
115740
1999
228,893
108,256
12o!637
2000
236,405
111,504
124,901
2001
244,247
115,421
128,826
2002
252,593
119 505
133 088
2003
267,914
126 808
141,106
2004
278,207
131,924
146^283
65 - 69
1980
235,574
101,023
134,551
1985
243,479
105724
137755
1990
251,383
1 10,424
140,959
1991
242,200
107^138
135,062
1992
239,439
106 603
132^836
1993
236,419
106 028
130^391
1994
233,259
105,261
127!998
1995
229,328
103!887
125,441
1996
226,174
102^090
124^084
1997
220,342
99^675
120^667
1998
224,578
102^051
122^527
1999
221,157
100777
120 380
2000
216,498
98,882
117,616
2001
211,693
97,516
114,177
2002
208,031
95^834
112J97
2003
205,850
95^452
110|398
2004
207,054
95^498
111556
70 - 74
1980
187,041
73,235
113,806
1985
197,186
79'388
117798
1990
207,331
85^541
121790
1991
206,064
85!541
120^523
1992
207,286
86,41 1
120,875
1993
207,610
86774
12o!836
1994
209,543
88^009
121534
1995
211,201
89^345
121856
1996
210,014
88!742
121272
1997
209,512
89J13
120,399
1998
217,425
93^318
124,107
1999
214,991
92^667
122,324
2000
211,332
91,416
119,916
2001
206,665
89,544
117,121
2002
201,885
87,724
114,161
2003
196,641
85,632
111,009
2004
189,518
83,049
106,469
215
Table F-4 (continued). Population Counts and Estimates. Massachusetts:
1980 1985-2004
AGE GROUP YEAR
TOTAL
MALE
FEMALE
75 - 79 1980
137,828
48,145
89 683
1985
148.741
53,591
95 1 50
1 990
159 653
59 037
w w , w w /
100 616
1991
157,534
59 176
199?
157,819
59 824
Q7 QQ'^i
1993
158 987
60 752
\J\J . f w^
1994
161268
62 072
QQ 1QR
199*^
162 986
63 26?
QQ 794
1996
166,496
64.548
1997
169,323
66,029
1998
178,254
69,719
108.535
1999
182,156
72^061
110,095
2000
^ W w w
184,941
73 829
111,112
2001
184,81 1
74.287
110.524
2002
184,724
75 232
109 492
2003
183J93
75.076
108,1 17
2004
179J28
73 924
105,204
80-84 1980
92,180
28,513
63,667
1985
99,240
30,991
68,249
1990
106 299
33^468
72 831
1991
106,558
33 989
w ) W w w
72 569
1 992
108^271
34,969
73 302
1993
109 369
35782
73,587
1 994
110,817
36721
74 096
1995
112^913
37*919
74 994
1996
114^039
38^664
75,375
1997
114,787
39,273
75,514
1998
121,228
41,932
79^296
1999
126^467
44,435
82,032
2000
130*699
46,464
84.235
2001
134 896
48,601
86 295
2002
136 865
49,486
87^379
2003
138,872
50*760
88.1 12
2004
142,585
52*695
89 890
W W , W W W
85+ 1980
73,908
20,107
53 801
1985
82*124
21 006
61118
1990
90 339
WW) www
21 905
68 434
1991
91,218
22,231
68 987
1992
1 \J >J ^
99 J 84
24,479
lA 705
1993
106 943
26,789
80,154
1994
107 996
1 W 1 ) W W N-^
27^258
80,738
1995
108,970
27,600
81*370
1996
111703
28^439
83,264
1997
114,258
29,558
84,700
1998
120,501
31,447
89!054
1999
119,093
31,435
87,658
2000
116,692
30,948
85,744
2001
121,247
33,490
87,757
2002
125,466
35,910
89,556
2003
131,264
38,236
93,028
2004
135,410
40,625
94,785
216
1 duic r-H ^coniinuBu/
Population Counts and Estimates, Massachusetts:
iQon iQR*; onn^i
YEAR
Tr\T A 1
MALE
r tmALt
1 \J 1 ML
1 9oU
0, 1 6/ ,\JOI
2,730,oy<3
o,UUD,
-1 o o c
1 985
0,0/D, /O/
2,809,820
j,ubD,y 1 /
1 990
b, (Jib, 425
2,888,745
v3, 1 2 / ,Dt5U
1991
b,U1o,101
2,894,993
o -1 no I ns
o, \ 2o, 1 Uo
1 992
b,Uo / ,Ubo
2,905,83b
O 1 o-i ooo
1993
c AC o con
b,Ubo,5o9
2,920,265
O •( /( o 07/1
0, 140,2/4
1994
b,1Ub, /9/
2,944,265
o,nb2,o//
1 995
C -1 /I O OHO
b, 142,012
2,964, / 25
0 -1 7Q n07
o, n / 0,00 /
1996
b,1 o4, J54
2,985,4/2
O -1 DQ POO
o, n yo,ooz
1997
6,227,622
3.009,516
0,Z 1 0, 1 UD
o,zo 1 ,zyy
1999
6,332,530
3,055,561
3,276,969
2000
6,349,097
3,058,816
3 290 281
2001
6,406,593
3,091,502
3,315,091
2002
6,429,761
3,106,822
3,322,939
2003
6,442,506
3,116,285
3,326,221
2004
6,438,839 •
3,117,907
3,320,932
217
APPENDICES
I
Massachusetts Birth Certificate: 2004
1 )29-l007-S2oa OIPSS. Moofe Doeunwnl Soljtorc n nana nstnei ■ 0305
Vcr. tK Mwr? Inlemei Ad<3iess' wrm mxn can\
USE ONLY STATE APPROVED RIBBONS AND MASS. STANDARD INK
AS REQUIRED BY GEN. LAWS, CHAP. C6, SECT. 4
RECORD NUMBER
768283
iTCERTlFICATE NUMBER
(DPH USE ONLY)
'2b. RESIDENT COPY
INITIALS
1.
OCCURRENCE
01 • lOOM . 10-95
a: 3C. CITY/TOWN
3B. COUNTY
(2Jhr (tammoniucalth of fQassarhitsrtts
Q^^PiS DEPARTMENT OF PUBLIC HEALTH
REGISTRY OF VfTAL RECORDS AND STATISTICS
STANDARD CERTIFICATE OF UVE BIRTH
3A. FACILITY NAME-IF NOT IN FACILFn'. NUMBER AND STREET
STATE USE O
3D. REGISTERED NU
NAME
4A nssT
48 MIDDLE
40 LAST
o DATF OF BJfiTr ..r.^.r::. C •
"Tvniw£; C£>0!rv THATTrC FUiZOHfil fJi^ORWAl iOil APFCARifiO ABOVf fS TRUC A?;D COnRf CT
IVt RELATiOfiS'H'P TO >:ILU
17C. DATE SIGNED (Monlh. Day. Year)
17D. U\A\MG ADDRESS
(It tfitleren- (tcvt.
ilem * 13 sbovf)
NUMBER AND STREET
ciri-
STATE
Zl"^ C
18 DATE OF RECORD (Month. Day. Ysar)
IP. SUPPLEMENT FILED (Monih, Day, Year)
21. DPH USE ONLY
20. CLERK .'REGISTRAR
219
Massachusetts Death Certificate: 2004
(INSTRUCTIONS ON REVERSE SIDE) ^
FOR USE BY
PHYSICIANS AND
MEOICAt EXAMINERS
^Tbc Commnntucallh of fElassacIiusctis
tl^Pf STANDARD CERTIFICATE OF DEATH
w
REGISTRY OF VPTAL RECORDS AND STATISTICS
RBMSTBCD MUMCn
STATE USE ONLY I
STATE USE
ONLY
5 Typ«
10 Age
15 Qui- Stale
Manner
35c
Work Inj
351
Place
36-37
Cert
40a
Pron
DECEDENT - NAME
I Dt^E Of DEATH (Uo Day. yr ,
DECEDENT
INFORMANT
OlSPOSmON
CERTIFIER
Pronouncement of Death
Form (R-302) on File: □
PLACE OF DEATH IC«rT»^l
t»
COUNTY OF DEATH
HOSPITAL OR OTHER INSTITUTION - Utmt (II nol « time- _
*c
PLACE OF DEATH CCn«c* only one/
HOSPtTAL.
Cjinpalieot □ EFVOvilMIieni □ DO*
5
OTHER
Q Nursing Home [Z ^esioe^^e ~ Dr-.er iSpecfyj
SOCIAL SECURITY NUMBER
6
IF US V. -
SPECIF-
7
36a To the best my knowledge, death occurred at the time date, and place and due to the
cause{s) staled
yi (Signature
DATE SIGNED IMo . Day. Yr.)
HOUR OF DEATH
36b
36c
M
■o ^ NAME OF ATTENDING PHYSICIAN IF NOT CERTIFIER
Off
U 36d
37a On tfte basis of exarmnatjon afxVof mvesligaton tfi my oo«'i'or deal*"' cccj-^ecli
(3ale. and place and due to the causets) stated
(Signature
ana Titte)
|-2 J DATE SIGNED (Mo . Day. Yr.)
37b
PRONOUNCED DEAD (Mo . Day. Yr i
37a
NAME AND ADDRESS OF CERTIFYING PHYSICIAN OR MEDICAL EXAMINER (Type or Pr^mj
HOUR OF DEATH
37c
PRONOUNCED DEAi
37e
LICENSE NO OF CE
PERMANENT
BLACK INK ONLY
WAS THERE A
PRONOUNCEMENT FORM'
CYes or No)
40a
IF YES. DATE
PRONOUNCED
40b
IF YES, TIME
PRONOUNCED
M
40a NAME OF PRONOUNCER
TIT.E
□ R.N. □ P.A.
DATE BURIAL PERMIT ISSUED
RECEIVED IN THE CITYTOWN OF
DATE OF RECORD
®
SIGNATURE-BD OF
HEALTH AGENT
CLERKS
SIGNATURE
42
43
220
DEPARTMfcNT OF PUBLIC HbALTH
REGISTRY OF VITAL RECORDS AND STATISTICS
REPORT OF FETAL DEATH
DATE OF RECORD
STATE USE ONLY
FACILITY NUMBER
FACILITY NAME (IF NOT HOSPITAL. GIVE STREET AND NUMBER)
DATE Of DELIVERS iMonin o»r Vein
CITy/TOWN OF DELIVER V
COUNTY OF DELIVERY
FETUS
MOTHER
TIME OF DELIVERY
WEEKS GESTATION
AT DELIVERY DATE
CURRENT NAME
PLACE OF DEATH
BIRTH ORDER
DIED BEFORE LABOR /
DURING LABOR OR
DELIVERY
MAIDEN SURNAME
DATE OF BIRTH
RESIDENCE ADDRESS NUMBER AND STREET
FATHER
CAUSE OF
FETAL
DEATH
CURRENT NAME
DATE Of BIRTH
CITY AND STATE/COUNTRY OF BIRTH
CITY AND STATE/COUNTRY OF BIRTH
ENTER ONLY ONE CAUSE PER LINE FOR la), (b). and (cl
SPECIFY FETAL OR MATER/JAL
IMMEDIATE CAUSE
PART 1
DUE TO OR AS A ' i
CONSEQUENCE OF Ibl
DUE TO OR AS A
CONSEQUENCE OF (c)
PART II
OTHER
SIGNIFICANT
CONDITIONS
OF THE FETUS OR
THE MOTHER
WAS THE CASE REFERRED
WAS AN AUTOPSY
WERE AUTOPSY FINDINGS
TO A MEDICAL EXAMINER?
PERFORMED?
AVAILABLE PRIOR TO THE
COMPLETION OF CAUSE OF DEATH?
DATE OF INJURY (MATERNAL)
TIME OF INJURY
INJURY AT WORK
PLACE OF INJURY
DESCRIBE HOW INJURY OCCURRED
LOCATION OF INJURY
CERTIFIER
1 HEREBY CERTIFY that ttlis delivery occurred on the date staled and the product c
f cwQ^Kon was not a live birth
ATTENDANT
DISPOSITION
PERMIT
METHOD
PLAC^^ISPOSITIDN (NarDe of Cemetery. Crematory, or other lacilny)
LOCATION (City or Town and State!
FUNERAL SERVICE LICENSEE |lf any)
LICENSE t
NAME OF FACILITY (H any)
DATE OF DISPOSiTION
DATE PERMIT ISSUED
CITYH'OWN ISSUING
ISSUED BY (signature ol Health Agenll:
INSTRUCTIONS: Complete a Report of Fetal Death only for fetal deaths of twenty weeks or more gestation OR of a weight of
350 grams or more. Complete front and reverse sides
of form within 10 days and send original copy to:
Registry of Vital Records and Statistics/ Natality Data Unit - FD,
150 Mt. Vernon Street, T' Floor, Dorchester, MA 02125
When forwarding for disposition permit: Do not send the original report to the local Board of Health. Photocopy and forward only
the FRONT of this form. The original report must be sent to the Department of Public Health at the address listed above.
221
FORM R-201-07
THIS CERTinCATE IS
NOT TO BE USED
OUTSIDE OF
MASSACHUSETTS.
NOT VALID AFTER:
THIS IS A PERMANENT RECORD
Uie only ptrmaatin M»ck ink or
approved bl»ck rypewnier nbbor. Every
item of informiuon rousi be carefully
lupplied. ALTERATIONS AND ERA-
SURES IN THIS CERTinCATE ARE
FORBIDDEN. PENALTY FOR VIOLA-
TION. ONE HUNDRED DOLLARS.
MGL c 207. §} 28. 28A, 48. 49. 54. 57
and c 46. § 18.
□ COMMISSION
ON FILE
1 Place of Mamage
ilbt (Tominonturalth nf fBassachuHctts
DEPARTMENT OF PUBUC HEALTH
REGISTRY OF VITAL RECORDS AND STATISTICS
CERTIFICATE OF MARRIAGE
(State file
numbj
(City or town raiijnfjmi
Registered No.
Cit) or Touu^
(Do Dot eolcr oaiiM of tillage or section of dt> or town i
2 Date of Marriage.
Intention No
:7.1ontl-.:
I "l ea; ;
3 FULL NAME PARTY A
3A SURNAME
AFTER MARRIAGE
4 DATE OF BIRTH
12 DATE OF BIRTH
6 RESIDENCE
NO & ST
CITY/
TOV^TJ
8 BIRTHPLACE
I I FULL NAME PARrf B
1 A SURNAME
AFTER MARRIAGE
I
13 OCCUPATION
14 RESIDENCE
NO. <i: ST _
cnsz
ST
.CODE.
NU'MBER OF
MARRIAGE
(1st, 2nd. Srd. etc )
ER OF
2nd. 3rd. etc i
15A N^TDOV^-ED
OR DIVORCED
BIRTHPLACE
(Cit>- or town
(Cir\ or town i
fState or couni
9 NAME OF
MOTHER /PARENT
1 7 NAME OF
MOTHER.TARENT
2J
10 ^■.^MEOF y*-. V
FATHER/PARENT H j[
19 THE INTENTION OB .SL-
□ COURT WAIVER issued
□ AGE ORDER (Month)
b> iht above-mentioned persons was duly entered by me in the records of the Con
according to law, this day of
Signature .
1 8 NAME OF
FATHER /PARENT
iCity or Town Clerk or Registrar;
20 I HEREBY CERTIFY' that I solemnized the mansrage of
(Name of city or town)
Dcrsons at No
as solemiiized in a church, give its NAME iostead of street anc
(Month) ''Day) ^Yeaj
(Meitiber of the Clergy. Pnest. Rabbi, Imam, or Justice of the PeaccI
iPnnt or type namei
Address
2 1 Certificate recorded bv cirv or town clerk .
(Month)
CDav I
(Yean CLERK OR R£GISTR.\K
22 PARTY ASEX DMALE DFEMALE
U PARTY B SEX QMALE uFE.MALE
222
L
(Ehr Commontsralth o( /na<<arhu<r(t«
DEPARTMENT OF PUBLIC HEALTH
REGISTRY OF VITAL RECORDS AND STATISTICS
CERTIFICATE OF ABSOLUTE
DIVORCE OR ANNULMENT
(Chap. 208. Sec. 46 G.L.)
R-408
HUSBAND NAM£
CiTT. TOWN OR LOCATION
CCKJNIV
2c
STATE # #
NUMBER Of This MARRIAGE (fsr Jna Spectlrl
WIFE NAM£ flBST M100L£ L>SI
maiOEn name
So
USUAL BESIOENCE STREET ADDRESS
6a
CiTT TOWN OR LOCATION
COUNTY
6C
STATE
DATE Of SiRTh/Mo Dar " '
7
NUMBER Of THIS marriage fill ?'KJ S^C-'f'
e
DATE Of THIS MARRIAGE
(MO. Oar 11 1
9
NUMBER Of CHILDREN BORN ALIVE Of THIS MARRIAGE
lOa
NUMBER Of Children under AGE <e IN This f amilv
lOe
223
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