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Full text of "Annual Report of Vital Statistics of Massachusetts Public Document #1 (2004)"

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 



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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 


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 


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11.2 


1965 


1 no ofio 


cp pco 


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7.8 


1970 


yo.ooz 




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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 


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4.5 


1987 




cc ceo 
00,ODZ 


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Zo, / 00 


4.9 


1988 


op n>i7 


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v5D,'tU / 


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o\ ,d4U 


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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 


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5.8 


1992 


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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 / 


0/1 077 


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 


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# 


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 






Rank 


4 


1 


g 


3 


4 


2 


12 


June 


# 


6,807 


38 


4,uyu 


oU 


oo 
ZZ 


0, /OO 


-1 n7c 




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 







c 






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 







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 



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46 



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 -- 



-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 

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u 

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40 

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20 
10 




Massachusetts Total 



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7.8 



7.4 



1.1 



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High School Graduate College Graduate College 



TOTAL 



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36.4 



5 20 - 



10 



18.9 





1 


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■ 


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8.4 


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TOTAL 


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More 





c 

9) 

a 

Q. 



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40 - 
30 
20 
10 




Black non-Hispanic 



14.4 



7.8 



5.8 



6.8 



0.5 



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High School College Grad or 
School Graduate More 





50 n 




40 - 


c 


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« 




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- 



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 






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40- 












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0) 

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2.6 


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TOTAL 






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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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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 




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14.2 


4.5 


2.3 


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42 


41 


1 













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3,909 


561 


69 


5 







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100.0 


86.0 


12.3 


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0.1 


0.0 


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1 1 ,670 


6,561 


3,627 


1,132 


240 


76 




0/ 
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100.0 


56.4 


31.2 


9.7 


2.1 


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25-29 


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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 


/ ,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 
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 


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 

= 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 





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 





Prenatal Care 














16-6a. Care beginning in first trimester (%) 


90.0 


84.3 


84.2 


83.9 


83.5 





16-6b. Early and adequate care^^ (%) 


90.0 


85.2 


85.0 


84.5 


84.2 





Obstetrical Care 














16-8. Very Low Birthweight^° Infants born 
at Level IN Hospitals^^(%) 


90.0 


7Q 1 


1 


7Q 1 


Rn 1 

OU. 1 





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 






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. 



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64 



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 



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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 



90 T 



(0 

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S 

IS 

c 
0. 

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n 

3 

a- 
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Q. 




2003 



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 


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 


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 


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 


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 


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 


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 


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 


278 


17 


14P 




HO 


OA R 


Nantucket Cottage Hspt. 


103 


18 


17.5 


16 


15.8 


2 


s 





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. 


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 





182 


16 


7 








2 


Acton 





234 


21 


~ 








3 


Acushnet 


2 


72 


— 


5 











Adams 





90 


10 


14 


3 


3 





Agawam 





270 


22 


14 


3 


2 


1 


Alford 





2 

















Amesbury 





192 


12 


10 








1 


Amherst 


6 


191 


10 


8 








1 


Andover 





310 


25 


~ 








2 


Aquinnah (Gay Head) 





3 


— 














Arlington 


1 


569 


38 


7 


5 


5 


5 


Ashburnham 


1 


66 





- 











Ashby 


2 


27 


~ 


— 











Ashfield 





15 


- 


— 











Ashland 





238 


14 


— 











Athol 


1 


132 


6 


15 


2 


2 





Attleboro 


1,066 


616 


50 


37 


4 


4 


2 


Auburn 


1 


169 


17 


~ 


1 


1 


2 


Avon 





64 


— 


— 











Ayer 


1 


108 


8 


~ 


1 


1 





Barnstable 


934 


448 


41 


21 


1 


1 


6 


Barre 





68 


— 


6 











Becket 





19 


— 


~ 











Bedford 


2 


140 


5 


5 








2 


Belchertown 


1 


173 


15 


8 


1 


1 





Bellingham 


2 


202 


11 


10 


1 


1 





Belmont 





286 


18 


— 


1 





2 


Berkley 


2 


86 


9 


— 


1 


1 





Berlin 





26 


~ 


— 











Bernardston 





18 





— 











Beverly 


2,207 


416 


26 


11 








2 


Billerica 





455 


40 


13 


1 


1 





Blackstone 





114 


9 


8 











Blandford 





7 

















Bolton 





64 


6 











1 


Boston 


22,627 


7,721 


693 


578 


46 


36 


57 


Bourne 


1 


226 


16 


7 


1 


1 


1 


Boxborough 





57 
















Boxford 


1 


80 


8 













Boylston 


1 


52 








1 


1 





Braintree 





375 


23 


6 











Brewster 


1 


58 















Bridgewater 





241 


20 










2 


Brimfield 





39 


5 










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 





27 












n 
u 


Rronklinp 


2 


697 


55 




1 


1 


1 

1 


Ri irkl^inH 

LJUV^fMOl IVJ 





17 














n 


Ri irlinntnn 

I— J LJ 1 III 1 U I W 1 1 


2 


305 


27 




2 


2 





r^;^ mhriHnp 


3,034 


1,095 


74 


25 


4 


3 


Q 
o 


Canton 





269 


21 




1 


1 





Carlisle 





49 


7 














Carver 





104 


8 


8 








1 


Charlemont 





11 
















Charlton 


2 


132 


8 










1 


Chatham 





31 













3 


Chelmsford 





395 


30 


12 


2 


1 


2 


Chelsea 


4 


678 


55 


73 


7 


5 


3 


Cheshire 





25 















Chester 





16 

















Chesterfield 


2 


12 
















Chicopee 





612 


52 


64 


8 


4 


6 


Chilmark 





9 

















Clarksburg 





12 

















Clinton 


1 


186 


14 


14 


2 


1 


3 


Cohasset 





102 


1 1 











1 


Colrain 





12 















Concord 


1.314 


156 


8 











3 


Conway 


1 


23 







2 


2 





Cummington 





13 

















Dalton 





55 


7 













Danvers 


1 


233 


21 










1 


Dartmouth 


1 


275 


18 


15 


1 


1 





Dedham 





302 


31 


5 











Qeerfield 





44 






1 


1 





Dennis 





113 


6 


8 











Dighton 





60 















Douglas 





116 


9 





2 


2 


1 


Dover 





50 







1 





1 


Dracut 


1 


384 


20 


14 








2 


Dudley 


1 


113 


8 




1 








Dunstable 





35 
















Duxbury 


1 


131 


8 














East Bridgewater 





160 


6 


7 


3 


2 


2 


East Brookfield 





19 















East Longmeadow 





161 


11 













Eastham 





27 


6 













Easthampton 





154 


8 


16 











Easton 





249 


23 













Edgartown 





34 













2 


Egremont 





11 

















- 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 





19 • 


- 


- 


U 


U 


A 
U 


Essex 





30 


- 





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 





5 








n 
U 


A 
U 





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 





94 


9 


-- 


u 


A 
U 


A 
U 


Gardner 


541 


235 


17 


28 





n 


o 


Georgetown 





102 


8 





n 


A 
U 


•1 
1 


Gill 





13 


- 




n 


A 

u 


n 

u 


Gloucester 





312 


28 


15 


-I 
1 


1 


U 


Goshen 


1 


11 


~ 





u 


A 
U 


A 

U 


Gosnold 














u 


A 
U 


A 

U 


Grafton 


1 


243 


13 


5 


-] 


n 


n 


Granby 





47 




~ 


u 


A 

u 


A 

u 


Granville 





10 


~ 





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 





64 


- 


- 


u 


A 
U 


A 
U 


Hadley 


1 


46 


~ 


- 


n 
u 


A 
U 


A 
U 


Halifax 





75 


5 


-- 


1 


A 
U 


A 
U 


Hamilton 





86 


7 





■3 

O 


O 
O 


A 
U 


Hampden 


1 


34 


— 


- 


n 
u 


A 
U 


A 
U 


Hancock 





10 





- 


n 
u 


A 
U 


A 
U 


Hanover 





157 


8 


- 





n 


1 


Hanson 


1 


140 


13 


- 


n 
u 


A 
U 


A 

\ 


Hardwick 





37 


- 


- 


n 

u 


A 
U 


A 
U 


Harvard 





45 


8 


~ 


n 
u 


A 
U 


A 
U 


Harwich 





100 


9 


6 


-1 
1 


1 


A 

u 


Hatfield 


1 


27 


-- 





n 
U 


A 

u 


A 

u 


Haverhill 


2 


872 


81 


56 


o 
o 


z. 


4 


Hawley 





2 








n 
u 


A 

U 


A 

U 


Heath 





5 








n 


A 

u 


A 

u 


Hingham 


1 


254 


16 













Hinsdale 





24 















Holbrook 


1 


141 


7 


12 


n 


n 


1 


Holden 





194 


15 





2 


2 





Holland 





25 















Holliston 





153 


9 




1 


1 





Holyoke 


591 


608 


66 


115 


6 


4 





Hopedale 


1 


92 


6 










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 





180 


6 


- 


1 


1 





Hubbardston 





35 


- 














Hudson 





236 


19 


- 


3 


3 


1 


Hull 





105 


8 


- 


1 


1 


1 


Huntington 


4 


19 





- 











Ipswich 





141 


7 


- 








1 


Kingston 





151 


14 


- 











Lakeville 





120 


8 


6 








1 


Lancaster 


1 


59 

















Lanesborough 





22 


- 


~ 











Lawrence 


1,741 


1,417 


134 


226 


13 


9 


13 


Lee 


1 


49 


- 


-- 











Leicester 





128 


13 


8 


1 


1 





Lenox 





39 


- 


- 











Leominster 


1,117 


511 


34 


26 


2 


2 


3 


Leverett 





13 

















Lexington 





222 


16 


- 











Leyden 























Lincoln 





102 


- 


- 











Littleton 





111 


8 


- 


1 


1 


2 


Longmeadow 





136 


7 











3 


Lowell 


2,574 


1,649 


149 


194 


8 


6 


14 


Ludlow 


1 


184 


18 


6 


5 


5 





Lunenburg 


1 


102 


-- 


- 











Lynn 


6 


1,428 


108 


135 


9 


8 


7 


Lynnfield 





99 


9 





2 


1 





Maiden 


2 


856 


70 


28 


2 


2 


6 


Manchester-by-the-Sea 





51 


7 





1 








Mansfield 





316 


25 


- 








1 


Marblehead 





223 


11 


- 











Marion 





55 


- 


- 











Marlborough 


3 


566 


28 


21 


1 


1 


1 


Marshfield 





332 


24 


7 


1 








Mashpee 


1 


160 


10 


10 











Mattapoisett 





47 


- 


- 











Maynard 


1 


156 


14 










2 


Medfield 


1 


124 


5 











1 


Medford 


2 


617 


44 


16 


5 


4 


5 


Medway 





163 


14 


6 


1 


1 





Melrose 


1,460 


330 


15 




1 


1 


1 


Mendon 


1 


67 







1 


1 


1 


Merrimac 





57 















Methuen 


1,343 


622 


46 


38 


3 


1 





Middleborough 





267 


20 


11 


1 


1 


2 


Middlefield 


~ 


4 
















Middleton 





71 















Milford 


860 


357 


15 


16 








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 





148 


13 


5 


n 




u 


Millis 





100 


6 




1 


1 


n 


Millville 





56 


7 


- 


n 


n 
u 


n 
u 


Milton 





331 


23 


6 


•J 

o 


o 
o 


A 
U 


Monroe 














u 


n 
U 


A 
U 


Monson 





86 


7 


- 


i 

1 


U 


1 


Montague 


2 


86 


10 


10 


u 


U 


1 


Monterey 





9 








n 
u 


U 





Montgomery 





9 








u 


n 
U 


A 
U 


Mount Washington 





2 








u 


n 
U 


A 
U 


Nahant 





25 





- 


n 
u 


n 
U 


A 
U 


Nantucket 


105 


149 


14 


— 


n 


u 


A 

u 


Natick 


1 


436 


43 


— 









Needham 





348 


23 





1 


1 


9 


New Ashford 





1 








n 


n 


n 
u 


New Bedford 


1,563 


1,378 


108 


183 


o 
o 






New Braintree 





4 








n 
u 


A 

u 


A 

u 


New Marlborough 





16 








n 
u 


A 

u 


A 

u 


New Salem 





7 








n 
u 


A 

u 


A 

u 


Newbury 





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 





98 


8 


— 





n 


1 
1 


North Adams 


292 


151 


8 


20 





n 


9 


North Andover 


1 


329 


19 


5 





n 


n 


North Attleboro 





374 


24 


11 


n 


A 
U 


A 
U 


North Brookfieid 





46 


- 


- 


n 
u 


A 
U 


A 
U 


North Reading 





175 


13 


~ 


n 
u 


A 

u 


A 
U 


Northampton 


910 


242 


21 


16 


n 
u 


A 
U 


A 

u 


Northborough 





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 





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 





12 







n 
u 


A 
U 


A 

u 


Oraage 





84 


6 


13 


1 


1 


-t 

1 


Orleans 





38 







u 


A 
U 


A 

u 


Otis 





13 















Oxford 


1 


148 


13 


7 


2 


2 


2 


1 all 1 Icl 





135 


6 


9 





n 


n 


Paxton 





45 


5 













Peabody 


2 


513 


57 


24 








2 


Pelham 





4 

















Pembroke 





222 


11 


8 


2 


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 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 





Peru 





8 


- 


~ 











Petersham 





8 


— 


- 











Phillipston 





15 


- 













Pittsfield 


814 


538 


49 


59 


3 


1 


4 


Plainfield 





5 

















Plainville 





97 


6 • 


— 








2 


Plymouth 


615 


688 


49 


27 


2 


2 


6 


Plympton 





30 


- 














Princeton 


1 


36 


— 


— 











Provincetown 


1 


18 


-- 














Quincy 


4 


1,168 


83 


34 


5 


4 


3 


Randolph 





414 


32 


18 


4 


3 


1 


Raynham 





168 


16 


5 











Reading 





273 


13 


- 








1 


Rehoboth 





108 


8 


- 











Revere 





689 


57 


42 


3 


3 


4 


Richmond 





8 

















Rochester 





47 


- 


- 








1 


Rockland 


1 


228 


19 


13 


1 


1 





Rockport 





59 


- 


- 











Rowe 





4 





— 











Rowley 





74 


5 


— 











Royalston 





15 


- 


— 











Russell 


1 


17 


— 














Rutland 


1 


102 


9 














Salem 


1,807 


526 


53 


26 


2 


2 


1 


Salisbury 





78 


6 


- 


1 








Sandisfield 





8 

















Sandwich 





177 


8 


8 








1 


Saugus 





281 


23 


7 


3 


2 


2 


Savoy 





3 

















Scituate 





193 


14 


- 











Seekonk 





104 


5 




1 


1 





Sharon 





190 


18 




1 


1 





Sheffield 


1 


29 






1 





1 


Shelbume 





13 

















Sherborn 


2 


39 
















Shirley 





60 


5 














Shrewsbury 





469 


45 


7 








1 


Shutesbury 


2 


19 
















Somerset 


1 


145 




7 











Somerville 


4 


849 


56 


36 


5 


4 


9 


South Hadley 





158 


8 


5 


1 


1 





Southampton 


1 


41 
















- 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 





125 


6 











2 


Southbridge 


463 


261 


24 


38 


4 


4 


2 


Southwick 





92 


— 


— 


1 


1 





Spencer 


1 


125 


10 


9 


1 


1 


1 


Springfield 


5,596 


2,390 


258 


428 


1 


9 


20 


Sterling 


1 


83 


7 


— 











Stockbridge 





13 


— 














Stoneham 





213 


14 


- 


1 


A 

\ 


2 


Stoughton 


1 


345 


42 


6 


5 


5 





Stow 





100 


6 





1 


1 


2 


Sturbridge 


1 


100 


— 


~ 




A 

\ 


A 
U 


Sudbury 


2 


200 


15 





1 


A 

1 


A 

\ 


Sunderland 


1 


31 


- 


~ 


U 


A 
U 


A 

u 


Sutton 





111 


— 










1 


Swampscott 


2 


157 


14 


~ 


n 
u 


A 
U 


A 

u 


Swansea 





133 


12 


-- 


I 


A 
1 


A 




Taunton 


524 


775 


77 


54 


2. 


1 


3 


Templeton 





69 


~ 


~ 


U 


A 
U 


A 

\ 


Tewksbury 





318 


23 


8 


U 


A 
U 


2. 


Tisbury 


1 


35 


~ 





A 

U 


A 
U 


A 
U 


Tolland 





3 








A 




A 







Topsfield 





56 


7 














Townsend 


1 


97 


~ 


7 


1 





1 


Truro 


1 


12 


— 




A 
U 


A 

u 


A 

u 


Tyngsborough 





140 


10 


— 


1 


A 




A 




Tyringham 





3 








A 
U 


A 







Upton 


1 


97 


6 





A 
U 


A 


A 

1 


Uxbridge 





153 


— 


5 


1 





1 


Wakefield 


2 


298 


25 


6 


A 
1 


A 

1 





Wales 





18 


— 


— 


A 
U 


A 
U 


A 
U 


Walpole 





276 


13 


- 


A 

1 


1 


2 


Waltham 


5 


676 


44 


18 


A 
1 


A 
1 


o 

z 


Ware 


130 


110 


8 


13 











Warehann 


517 


244 


21 


18 


A 

u 


A 
(J 


A 
U 


Warren 


2 


59 


- 


— 











Warwick 





3 

















Washington 





2 
















Watertown 





335 


27 


— 


A 

u 


A 

u 


A 

\ 


Wayland 


1 


124 


8 











2 


Webster 





216 


23 


13 


1 


1 


3 


Wellesley 


111 


274 


15 




A 

u 


A 

(J 


A 

\ 


VVcllTlccl 





24 
















Wendell 





7 
















Wenham 


1 


41 
















West Boylston 





71 
















West Bridgewater 





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 





38 

















West Newbury 





34 


— 














West Springfield 


1 


351 


22 


30 


3 


2 


3 


West Stockbridge 





12 

















West Tisbury 





23 


5 














Westborough 


1 


235 


19 


7 


1 


1 


2 


Westfield 


4 


425 


23 


32 








2 


Westford 


1 


249 


18 


— 








2 


Westhampton 


1 


13 


— 














Westminster 





49 


— 


— 








1 


Weston 


1 


84 


5 


— 











Westport 





109 


7 


5 


1 








Westwood 


1 


156 


6 


— 








1 


Weymouth 


4,105 


699 


41 


27 


4 


4 


4 


Whately 





17 





— 











Whitman 





205 


14 


6 








1 


Wilbraham 





112 


7 


— 











Williamsburg 





23 


— 














Williamstown 


1 


42 















Wilmington 


1 


298 


16 


7 


1 


1 


1 


Winchendon 





103 




8 








1 


Winchester 


2,219 


275 


15 




1 


1 


1 


Windsor 





8 















Winthrop 





176 


12 


7 


1 


1 





Woburn 





481 


36 


14 








4 


Worcester 


6,357 


2,579 


196 


250 


17 


12 


18 


Worthington 





14 

















Wrentham 


1 


118 


9 













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 








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 











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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92 



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 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 


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Q20-Q24 


16-1h 


Sudden infant death syndrome (SIDS) 


R95 


18-1- 


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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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t 



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 -, 




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 



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Total Number of Deaths = 54,419 
Causes of Death are classified according to ICD-10 



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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 




Leukemia 


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 


TOTAL 




30 


3.5 




Leukennia 


L/b* 1 -uyo 


10 


1.2 




Dialll dl lU [ICIvvJUo oyolclll 




2 


3 




r\\r\r^f^i^ 1 
L/UIUl cUldl 




1 


3 




r ancr eas 




1 


3 


25-44 years 


TOTAL 




410 


21.5 




Lung 


C33, C34 


d2 


Ci.2. 




Female breast"* 


C50 


58 


6.0 




Colorectal 


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 




Female breast"* 


C50 


293 


35.6 




Colorectal 


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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120 



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 


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2,000 - 




IW 






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- 




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 



White non- 
Hispanic 



□ Contributing Cause Only 
■ Underlying Cause 




Black non- 
Hispanic 



Hispanic 



Asian non- 
Hispanic 



Massachusetts 
Overall 



(0 

♦J 
(C 
0) 

Q 

(0 
0) 

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o 
n 
re 



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1,000 



500 







Figure C-7. Age Composition of Diabetes Deaths 
Massachusetts: 2004 



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27 




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124 



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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51 


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225 


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165 


8.6 


60 


3.1 


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161 


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141 


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20 


1.3 


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8.1 


29 


7.3 


3 


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28 


8.7 


26 


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2 


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33 


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13 


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45-64 


39 


4.7 


32 


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7 


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342 


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24.6 





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^ 


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Number Rate^ 


White non- Hispanic 


447 


8.2 


391 


7.1 


56 


1.1 


Females 


102 


3.6 


81 


2.8 


21 


0.8 


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345 


13.2 


310 


11.8 


35 


1.4 


Black non- Hispanic 


81 


18.6 


11 


2.9 


70 


15.7 


Females 


8 


3.8 


3 


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5 


2.3 


Males 


73 


33.4 


8 


4.0 


65 


29.4 


Asian non- Hispanic 


14 


4.3 


10 


2.7 


4 


3 


Females 


2 




2 


_3 





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Males 


12 


7.9 


8 


4.8 


4 


3.1 


Hispanic 


53 


9.2 


12 


2.3 


41 


6.9 


Females 


6 


1.9 







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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131 



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% 


18.3 


59 


26% 


17.4 


2001 


125 


50% 


2.2 


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 


50 


27% 


31.4 


40 


22% 


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 


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18.4 


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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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136 



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 





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 





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 





4 


1999 


86 


1.1 


59 


1.0 


14 


2.4 


10 


1.1 


3 


4 





4 


2000 


89 


1.1 


55 


0.9 


17 


2.9 


11 


1.2 


5 


1.1 


1 


4 


2001 


99 


1.2 


55 


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' 



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1 U. 1 


DOD 


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V.H 


109 


91 


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1 9R 

1 <1U 


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1 1 


R 1 

D. 1 


1 yob 


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0.4 


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1 .0 


1 Zo 


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1 1 


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17 


4 ft 


1 yyu 




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1 y 


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1 7 


94 


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1 yyi 


f;77 


b.o 


40 1 


ft n 

D.U 


1 09 


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0.9 


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b.o 


400 


Si 7 
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17 


4 7 


1993 


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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 


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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177 



Figure D-3. Infant Mortality Rates 
Massachusetts: 1842-2004' 



220 -r 

200 -- 




-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 





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 








1,193 


February 


1,622 








1,622 


March 


1,472 








1,472 


Apnl 


2,158 








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% 


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% 

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% 


20-29 


245 


5.6% 


244 


6.3% 





0.0% 


1 


0.2% 


30-39 


1,096 


25.2% 


1,029 


26.7% 





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% 


20-29 


663 


8.4% 


643 


10.3% 





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 








1 


20-29 


16,601 


124 


11,054 


4,865 


499 


55 


4 





30-39 


11,080 


Z. 


1 ,oy 1 


6,833 


2,292 


320 


39 


3 


40-49 


4,521 





94 


875 


2,301 


1,084 


147 


20 


50-59 


1,781 





6 


67 


337 


943 


374 


54 


60-69 


463 








3 


15 


92 


230 


123 


70+ 


147 








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 











20-29 


178 


62 


79 


33 


3 


1 





30-39 


744 




273 


410 


53 


8 





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 








U 






455 


203 203 


48 


1 


n 
u 


U 




1 ,ZU 1 


534 


594 


DO 


c 


n 


40-49 


1,510 




872 


590 


48 





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 









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 





3 


61 


ADAMS 


58 


1 


4 


63 


AGAWAM 


182 


3 


9 


194 


ALFORD 


1 








1 


AMESBURY 


91 


3 


9 


103 


AMHERST 


144 


7 


50 


201 


ANDOVER 


151 


7 


14 


172 


ARLINGTON 


241 


18 


50 


309 


ASHBURNHAM 


10 


1 





11 


AQUINNAH 


5 


1 


1 


7 


ASHBY 


8 








8 


ASHFIELD 


10 





6 


16 


ASHLAND 


73 


4 


10 


87 


ATHOL 


57 





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 








10 


BERNARDSTON 


3 





1 


4 


BEVERLY 


230 


8 


27 


265 


BILLERICA 


144 


4 


7 


155 


BLACKSTONE 


46 


2 


3 


51 


BLANDFORD 


1 








1 


BOLTON 


11 


2 


6 


19 


BOSTON 


3,049 


321 


180 


3,550 


BOURNE 


79 


5 


7 


91 


BOXBOROUGH 


9 





2 


11 


BOXFORD 


11 


2 





13 


BOYLSTON 


21 


1 


1 


23 


BRAINTREE 


199 


6 


9 


214 


BREWSTER 


85 


4 


19 


108 


BRIDGEWATER 


85 


1 


12 


98 


BRIMFIELD 


9 





1 


10 


BROCKTON 


597 


10 


24 


631 


BROOKFIELD 


11 


2 





13 


BROOKLINE 


466 


62 


113 


641 


BUCKLAND 


13 





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 


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1 CI 


LAMdKIUUL 


1 ,UOD 


1 "3 

z 1 


O40 


1 ,544 


UAN 1 UN 


1U4 




z 


A 

4 


110 


UAKLIoLb 


14 


•1 


Q 




23 


C/AKVbK 


0/ 


<l 
1 


y 


67 


L/HAKLLIVIUN 1 





U 



Z 


7 


UHAKL 1 UN 




U 



Z 


31 


L/HA 1 HAIVi 


o o 
OO 




A 

1 


92 


UnbLMorUKU 


141) 


/I 

4 


1 


159 


O LJ CI OCA 

UnbLbbA 


zo / 


Q 





298 


O LJ CCi_l 1 D C 


b 


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U 


7 


LJ C CXC D 

UMbo 1 bK 


C 




n 
U 


(J 


5 


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4 


n 
U 


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4 


UMIUUrbb 




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307 


UnlLMAKK 


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z 



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ZO 



z 


b 


oc 
Ob 


C A CTU A ^^DT^^M 

rAb 1 nAIVl r 1 UN 


yo 




4b 


■1/17 

14/ 


rASTON 


97 





b 


H A/^ 

106 


EDGARTOWN 


112 


1 


4 


117 


EGREMONT 


2 





1 


3 


ERVING 


7 








7 


ESSEX 


18 


1 





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 














FOXBOROUGH 


93 





6 


99 


FRAMINGHAM 


555 


12 


36 


603 


FRANKLIN 


124 


4 


10 


138 


FREETOWN 


42 


1 


2 


45 


GARDNER 


130 





6 


136 


GEORGETOWN 


15 





2 


17 


GILL 


2 





2 


4 


GLOUCESTER 


188 


4 


21 


213 


GOSHEN 








1 


1 


GOSNOLD 


2 








2 


GRAFTON 


70 


2 


3 


75 


GRANBY 


30 





2 


32 


GRANVILLE 


8 








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 





30 


HAMILTON 


31 


1 


4 


36 


HAMPDEN 


9 


2 


1 


12 


HANCOCK 














HANOVER 


63 


3 


3 


69 


HANSON 


51 





1 


52 


HARDWICK 


32 


2 





34 


HARVARD 


11 


4 


1 


16 


HARWICH 


82 


9 


13 


104 


HATFIELD 


18 





2 


20 


HAVERHILL 


270 


8 


23 


301 


HAWLEY 


1 





1 


2 


HEATH 














HINGHAM 


85 


3 


2 


90 


HINSDALE 


5 








5 


HOLBROOK 


65 


2 


4 


71 


HOLDEN 


42 


1 


6 


49 


HOLLAND 


6 


1 


1 


8 


HOLLISTON 


47 





6 


53 


HOLYOKE 


234 . 


3 


12 


249 


HOPEDALE 


11 








11 


HOPKINTON 


46 


1 


6 


53 


HUBBARDSTON 


9 





4 


13 


HUDSON 


114 


1 


4 


119 


HULL 


49 


9 


16 


74 


HUNTINGTON 


6 





1 


7 


IPSWICH 


56 


10 


8 


74 


KINGSTON 


54 





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 





46 


LENOX 


A A 

44 


c 



2 


51 


LEOMINb 1 ER 


2/5 


o 


15 


293 


LEVERt 1 1 


c 



n 
U 





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 



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 


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 





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 














MONSON 


45 


1 


3 


49 


MONTAGUE 


35 


1 


4 


40 


MONTEREY 


8 








8 


MONTGOMERY 


2 








2 


MOUNT WASHINGTON 


2 








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 





1 


17 


NANTUCKET 


191 


17 


9 


217 


NATICK 


168 


12 


22 


202 


NEEDHAM 


112 


5 


18 


135 


NEW ASHFORD 














NEW BEDFORD 


530 


17 


13 


560 


NEW BRAINTREE 


4 








4 


NEW MARLBOROUGH 














NEW SALEM 


3 





2 


5 


NEWBURY 


17 


1 


5 


23 


NEWBURYPORT 


146 


13 


37 


196 


NEWTON 


457 


46 


100 


603 


NORFOLK 


30 





1 


31 


NORTH ADAMS 


73 


3 


6 


82 


NORTH ANDOVER 


86 


2 


8 


96 


NO. ATTLEBOROUGH 


132 





10 


142 


NORTH BROOKFIELD 


30 





2 


32 


NORTH READING 


42 


4 


2 


48 


NORTHAMPTON 


224 


41 


275 


540 


NORTHBOROUGH 


50 





16 


66 


NORTHBRIDGE 


90 





3 


93 


NORTHFIELD 


12 





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 








3 


ORANGE 


36 





6 


42 


ORLEANS 


97 


5 


13 


115 


OTIS 


. 7 


1 





8 


OXFORD 


68 


1 


3 


72 


PALMER 


80 


1 


1 


82 


PAXTON 


■ 6 


1 





7 


PEABODY 


212 


3 


11 


226 


PELHAM 


1 





5 


6 


PEMBROKE 


75 


4 


3 


82 


PEPPERELL 


32 





1 


33 


PERU 


1 








1 


PETERSHAM 


4 


2 


1 


7 


PHILLIPSTON 


3 








3 


PITTSFIELD 


352 


9 


26 


387 


PLAINFIELD 


1 








1 


PLAINVILLE 


39 





4 


43 


PLYMOUTH 


317 


10 


21 


348 


PLYMPTON 


5 


1 


1 


7 


PRINCETON 


25 








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 | 


1 oiai 


R A YMHA^/1 




1 
1 


o 


oo 


r\CMUii\o 


Q7 




c 
o 


1 Uo 




oo 


1 

1 


1 


/in 






-5 
O 


D 


^ / D 




Q 


n 


o 

£. 


1 1 


RHPMPQTPR 


1 7 
1 / 


n 

u 


r\ 
U 




ROPk"! ANin 
r\ \J O IN LMI N L/ 




4 


Q 


■1 nc 




n 
u 


n 


n 
u 


U 






n 

u 


n 
u 


o 

o 


Rn\A/l PY 


1 Q 
1 y 


9 


o 

£. 




ROYAI QTOM 
iMw'TML.O 1 WIN 


-3 

o 


n 
u 


ft 


o 


Rl jOCpi 1 


c 

D 


n 
u 


ft 


c 



Rl ITI AMD 




n 


i 
1 


94 


c:ai P^y1 

OMLCIVl 


ASH 


1 *i 
1 o 


ou 


oos 


<5AI |c;RI IRY 




4 


7 


4*5 
fo 


oMINL-'IOr ICLU 


1 


-1 
1 


n 
u 


9 


QAMnWirH 
O/AIN uvvw^n 


117 
1 1 / 




u 


19Q 
1 Zy 


QAI ir^i ic: 


y+ 


o 


c 


1 ni 

1 U 1 


\jr\v\J T 


1 


1 


n 


9 


cpiTi lATF 

OW 1 1 UM 1 C 




o 


c 


RQ 

oy 


cppk'nMk' 

oCPrxwIN IN 


1 no 

1 us 


o 


O 

o 


1 1 Q 

1 1 y 


ARDM 


30 




A 


Do 






4 


O 


ou 


cupi Rl IRMP 


1 9 
1 ^ 


n 


1 


1 o 


CHFRRORM 


1 n 

1 u 


1 


1 


19 


q|_||R| PY 
onirxLP I 




1 

1 


o 


9R 


C|_|Rp\A/qD| IRY 


1 Cl^i 
1 


7 


19 


1 74 

1 ( H 


QU| IXFQRI IRY 




n 


7 


Q 

y 


c;nMPRc;PT 


71 
/ 1 


n 


-i 
o 


74 


QOMPR\/ll 1 F 
oWlvl Crx V 1 LLP 






fi7 

O / 


f^RR 
oOO 


c;ol ITH HADI FY 

OwU 1 n n/AL'LP T 


oo 


1 

1 


Ifi 
1 o 


1 nn 
1 uu 


c;ni ITHAMPTDM 
OKJyJ 1 ilMIVIr 1 KJW 


14 


n 


c 


1Q 




4*^ 


o 


ft 


47 


Qni iTWRRinr^F 


11"^ 

1 1 o 


o 


o 


1 9n 


o'^u 1 nvviv^r\ 


R9 




£. 


Do 


QPFMPPR 


71 
/ 1 




H 


7R 
/ D 


"^PRiMr;piFi n 

OirxllNOrlPLL/ 


R49 


OO 


oU 


Q97 
yz / 


O 1 PrvLI INO 


O 1 




9 


oy 


cJTDPk'RRirK^F 


94 




9 


9R 
zo 


O 1 WINPnMlvl 


19R 

1 


o 


4 


1 oo 


o 1 UUon 1 UlN 


To/ 


o 


1 n 
1 u 


1 fin 
1 ou 


b 1 uw 


1U 


U 


o 


To 


STURBRIDGE 


121 


2 


6 


129 


SUDBURY 


40 


3 


17 


60 


SUNDERLAND 


17 


1 


5 


23 


SUTTON 


32 


1 





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 





1 


23 


TEWKSBURY 


113 


3 


7 


123 


TISBURY 


43 


1 


2 


46 


TOLLAND 


1 








1 


TOPSFIELD 


19 


2 





21 


TOWNSEND 


31 





3 


34 


TRURO 


8 


10 


17 


35 


TYNGSBOROUGH 


70 


2 


1 


73 


TYRINGHAM 


1 








1 


UPTON 


28 





2 


30 


UXBRIDGE 


66 


2 


6 


74 


WAKEFIELD 


138 


4 


15 


157 


WALES 


3 








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 





1 


4 


WASHINGTON 


1 








1 


WATERTOWN 


286 


11 


22 


319 


WAYLAND 


30 


2 


6 


38 


WEBSTER 


131 





2 


133 


WELLESLEY 


78 


9 


9 


96 


WELLFLEET 


31 


5 


8 


44 


WENDELL 














WENHAM 


8 


1 


1 


10 


WEST BOYLSTON 


47 


2 





49 


WEST BRIDGEWATER 


30 


1 


5 


36 


WEST BROOKFIELD 


8 


2 


3 


13 


WEST NEWBURY 


7 


1 





8 


WEST SPRINGFIELD 


154 





12 


166 


WEST STOCKBRIDGE 














WEST TISBURY 


23 


2 


3 


28 


WESTBOROUGH 


77 


1 





78 


WESTFIELD 


231 


3 


14 


248 


WESTFORD 


59 





7 


66 


WESTHAMPTON 


1 


■ 


2 


3 


WESTMINSTER 


36 


4 


3 


43 


WESTON 


54 


1 


7 


62 


WESTPORT 


73 


2 


4 


79 


WESTWOOD 


40 


1 





41 


WEYMOUTH 


269 


8 


11 


288 


WHATELY 


3 





6 


9 


WHITMAN 


104 








104 


WILBRAHAM 


62 


3 


2 


67 


WILLIAMSBURG 


7 





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 





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 





3 


28 


YARMOUTH 


147 


10 


24 


181 


UNKNOWN 


2 








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 



o 
o 
o 

CN 



o 

00 



o 
o 

(N 
O 

o 



c 
o 

iS 

a 
o 

Q. 

o 

(0 

u 

(0 
(0 
(0 

re 



Li. 

o 
iZ 




o 

CD 
CD 



O 



o 

CN 
CJ> 



o 
o 



o 
o 
o 

o' 
o 
o 



o 
o 
o_ 

o" 
o 
o 

cd" 



o 
o 
o 

o" 
o 
o 

ui" 



o 
o 
o 

o" 
o 
o 



o 
o 
o 

o" 
o 
o 

CO 



o 
o 
o 

o" 
o 
o 

CN 



o 
o 
o_ 

o" 
o 
o 



uoj^eindod 



c 

(D 
O 

£ 
z 



200 



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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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 


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1 


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FKANKLIN 




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C O >1 7 

b,z47 


5,849 


5,93/ 


PKttTUVvN 


/ ,Uoo 


Q COO 
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C\ A AC 

9,446 


10,191 


10,439 


oAKUNbK- 


1 / ,yuu 


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c nc n 

5,069 


4,931 


GAY HtAD 


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34,508 


38,145 


41 ,631 


GEORGETOWN 


5. DO/ 


C O O /I 


7 n^O 1 CX/CDCTT 

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1 ,471 


1 ,785 


1,867 


GILL 


1 ,2by 


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1,OZO LbAlNGFON 


29,479 


28,974 


31,090 


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on nnc i cvrvcM 
Zy,yUO LbYUbN 


/I no 
498 


662 


111 


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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 


^ 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 


*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 


/I 7nQ 

4, / uy 




O QOO 


A A nc 
4,496 


c ccn 
0,ObU 


HANOOOK 


C /I "3 
D40 


CO Q 

bzo 


/ / / MAKLbUKUUGn 


on c^ 7 

oU,bl / 


-1 OHO 

01 ,o1 


O C •! C7 

oo,1o/ 


LJ A K ll^\ /CD 

HANO VhK 


-1 -1 C Q 

1 1 ,ooo 


-1 -1 n o 
1 1 ,y 1 z 


MAKonrltLU 


on n -1 c 

zu.yib 


O -1 C O H 

Zl ,oo1 


oo OOO 

Zo,oZZ 


LJ A MC/^M 


O.DT / 


Q noD 

y.uzo 


Q /OQ hAACUD^C 

y MAonr'tt 


o 7nn 
o, /UU 


7 DD/1 
/ ,004 


•1 -1 CCD 

1 1 ,obO 




O 070 


O ODC 

Z,ooO 


O ^^Q>1 h^ATTADOICCTT 
Z,DO^ MA 1 lAKUIotl 1 


C CQ7 

o,oy / 


c Dcn 
O.OOU 


c 0/1 n 
b,z49 


nAKVAKU 


■1 O ■! 7n 
1z,T /U 


1 O OOQ 

nz,ozy 


Q QQ^^ ^flAVMAD^ 
y,ooo matinaku 


Q con 

y.oyu 


•in ooc 
1 U.OZO 


•in CDC 
1 U.OOO 


nAKWIL/n 


Q 07-1 

o,y / T 


1 n 07c: 
1 U,Z / 


1 l,OZO MtUritLU 


^ n oon 
lU,zzU 


•1 n c 1 

1 U,ool 


•1 O O •I 

Iz.zlo 


MA 1 ritLU 


o,U40 


-1 R/( 
0, 1 04 




CD n7C 
00,U/b 


C7 A n7 
0/,4U/ 


cc Q-1 C 

Ob,y lb 


UI A \ /COUl 1 1 1 

nAVLKnILL 


/I c Qcc; 
4d,oD0 


C-l /I -1 Q 

on ,4T 


Do, 1 ly MtUvVAT 


D /I /I 7 

0,44/ 


Q no -1 
9,9ol 


•1 o •I n-1 

1 z, 1 Ul 


MAWLt Y 


ZoU 


ol / 


OOy MtLKUoc 


on ncc 
oU,UOO 


o D -1 cn 
zO, 1 OU 


oc O •! O 

zb,91z 


LJ C A TLJ 

HhA 1 n 


4oz 


7-1 C 

/lb 


QOO RytCMnr^Ki 
OZZ MtNUUiN 


o -1 no 


A n H n 
4,01 


C •IOC 

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 / 


T ,yoy 


Z,UUy Mt 1 nUciN 


oc 7ni 
Ob, /U 1 


on nnn 

o9,yyu 


A O OCC 

4z.9bb 


nOLDKOOrs 


•1-1 "1 /I n 
T 1 , l4U 


■1 1 n/1 -1 
T 1 ,U41 


1 l,U I / MIUULtDUKUUGn 


-1 c /I n/1 
lb,4U4 


A 7 OC7 

1 /,ob/ 


•in DD 
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 


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 

/ , 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 '^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 , / / 


*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 
/ , <j / 


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 


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 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, 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 


-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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3 



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