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B«TON 
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(RARY 



Report 

I Vital Statistics of Massachusetts 



Lr A ' . - ■ ^' (Si 



GOVDOC 
6457 




The Commonwealth of Massachusetts 

Executive Office of Heaitli and Human Services 

Department of Public Health 

Registry of Vital Records and Statistics 

150 Mt. Vernon Street, 1^' Floor 

BOSTON MA 02125-3105 

MITTROMNEY 

GOVENOR 

KERRY HEALEY 

LIEUTENANT GOVENOR 

TIMOTHY R. MURPHY 

SECRETARY 

PAUL J. COTE, JR. 

COMMISSIONER 

December, 2006 

To the Honorable Clerks of the 
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 fifty-ninth annual report on statistics of births, deaths, marriages and divorces in 
Massachusetts for calendar year 2000. The information will also be available to the public via the 
Department of Public Health website at http://www.mass.gov/dph. 

Since 1964, the A^fNUAL 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. Nyberg,^ 
Registrar 



'^-*V7 



ACKNOWLEDGEMENTS 



This publication of the 2000 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 2000 
ANNUAL REPORT OF VITAL STATISTICS include: 

Jane Purtill, Director, Statistics Unit: supervision of data collection, coding and editing. 

Sharon Pagnano and Paul Budrow: coordination of the hospital query program for birth 
certificate data, specialized data programming, and assistance in developing 
specialized table production, technical assistance from Maureen McKean (Statistics 
Unit), Robert Coffin (Nosologist), and Ann-Marie Neault (Nosologist); and Division of 
Data Processing: data file management and vital events series printouts. 

Isabel Caceres, Bruce Cohen, Malena Hood, and James West, Center for Health 
Information, Statistics, Research, and Evaluation who provided technical assistance 
and data, including the previously published: 

Massachusetts Births 2000 : Figures B-4, B-5, B-6, B-7, B-8, B-9, B-10, B-11 and 
D-3; as well as. Tables B-1, B-2A, B-2BA, B-2B, B-3A, B-3B, B-4, B-5A, B-5B, B-8, 
B-9, B-10, B-11, B-12, B-13, B-13A, B-14A, B-14B, B-14c, and D-2. 

Massachusetts Deaths 2000 : Figures C-1, C-2, C-3, C-4, and F-4; as well as, tables 
C-1, C-2, C-3, C-3B, C-4, C-5, C-5B, C-6, C-7, C-8, C-9, C-10A, C-10B, C-10C, 
C-11A, CUB, C-11C, C-12, C14A, C-14B, C-14C, 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: 

Howard 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 2000 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, Biostatistician 
Registry of Vital Records 



Massachusetts Department of Public Health publications and materials can be accessed on 
the Internet. 

World Wide Web: http://www.mass.gov/dph 



CONTENTS 



TRANSMITTAL LETTER 
ACKNOWLEDGMENTS 
TABLE OF CONTENTS 
INTRODUCTION 

SECTION A--VITAL EVENTS 



Table A-1 
Figure A-1 
Table A-2 

Figure A-2A 

Figure A-2B 

Table A-3 

Table A-4 
Table A-4A 
Table A-4B 



Selected Facts in Vital Statistics, Massachusetts: 2000 5 

2000 Massachusetts Daily Vital Events 6 

Number and Crude Rates of Vital Events, Massachusetts and 7 
United States: 1999-2000 

Births and Deaths in Massachusetts, Selected Years: 1910- 8 
2000 

Rates of Natural Increase in Massachusetts and the United 8 
States, Selected Years: 1910-2000 

Massachusetts Resident Births and Deaths With Resultant 9 
Natural Increase, Selected Years: 1900-2000 

Vital Events by Month, Massachusetts Residents: 2000 10 

Vital Events by Community: 2000 1 1 

Vital Events by County: 2000 22 



SECTION B-BIRTHS 



23 



Figure B-1 
Table B-1 

Table B-2A 
Table B-2B 

Figure B-2 
Figure B-3 



Daily Birth Statistics, Massachusetts: 2000 

Trends in Birth Characteristics, Massachusetts: 1980, 1985, 

1990-2000 

Birth Characteristics by Maternal Race/Hispanic Ethnicity and 

Birthplace, Massachusetts: 2000 

Birth Characteristics by Major Maternal Ancestries, 

Massachusetts: 2000 

Resident Live Births by Mother's Race/Ethnicity: 2000 

Resident Live Births by Mother's Age: 2000 



35 
36 

37 
38 

39 
40 



SECTION B -BIRTHS (continued) 
Table B-3A 



Table B-3B 

Table B-4 

Figure B-4 

Figure B-5 

Figure B-6 

Figure B-7 

Table B-5A 
Table B-5B 

Table B-6 

Table B-7 
Table B-8 

Figure B-8 

Table B-9 

Table B- 10 

Figure B-9 

Table B-11 

Figure B-10 

Figure B-11 



Resident Birth Characteristics, 30 Largest Municipalities, 41 

Massachusetts: 2000 

Resident Birth Characteristics, Community Health Network 43 

Areas (CHNAs), Massachusetts: 2000 

Age-Specific and Crude Birth Rates, Massachusetts: 1990 45 

and 2000 

Trends in the Number of Births by Mother's Age Group, 46 

Massachusetts: 1980-2000 

Percent of Mothers Breastfeeding or Intending to 47 

Breastfeed by Age Group, Massachusetts: 2000 

Smoking Prevalence during Pregnancy by Race and 48 

Hispanic Ethnicity of Mother, Massachusetts: 2000 

The Distribution of Smoking Status during Pregnancy by 49 

Smoking Status Prior to Pregnancy, Massachusetts: 2000 

Parity by Age of Mother, Massachusetts: 2000 50 

Number and Percent Distribution of Births by Plurality and Age, 51 

Massachusetts: 1990-2000 

Resident Births by Mother's Age, Marital Status and 52 

Race/Ethnicity, Massachusetts: 2000 

Resident Births to Teenage Mothers: 1970-2000 53 

Births by Birthweight, Race and Hispanic Ethnicity, 54 

Massachusetts: 2000 

Low Birthweight among Smoking and Nonsmoking Mothers, by 55 

Race and Hispanic Ethnicity, Massachusetts: 2000 

Low Birthweight by Maternal Age, Race and Hispanic Ethnicity, 56 

Massachusetts: 2000 

Births by Gestational Age, Race and Hispanic Ethnicity, 57 

Massachusetts: 2000 

Trends in Adequacy of Prenatal Care by Race, Massachusetts: 58 

1980-2000 

Low Birthweight by Adequacy of Prenatal Care, Race and 59 

Hispanic Ethnicity, Massachusetts: 2000 

Adequacy of Prenatal Care for Selected Population 60 

Characteristics, Massachusetts: 2000 

Distribution of Prenatal Care Payment Source, Massachusetts: 61 

2000 



SECTION B--BIRTHS (continued) 
TableB-12 



Table B- 13 



Table B-13A 



Table B-14A 



Table B-14B 



Table B-14C 



Birth Characteristics by Source of Prenatal Care Payment, Race, 62 

and Hispanic Ethnicity, Massachusetts: 2000 

Birth Characteristics by Licensed Maternity Facility, 64 

Massachusetts: 2000 

Caesarean Section Deliveries and Vaginal Births after Caesarean 66 

Section (VBACs) by Licensed Maternity Facility, All Births, 
Massachusetts: 2000 

Birth Characteristics: Occurrence and Resident Births and Infant 68 

Deaths, Massachusetts Municipalities: 2000 

Birth Characteristics: Occurrence and Resident Births and Infant 76 

Deaths, Massachusetts Counties: 2000 

Birth Characteristics: Occurrence and Resident Births and Infant 77 

Deaths, Massachusetts Community Health Network Areas 
(CHNAs): 2000 



SECTION C--DEATHS 



79 



Figure C-1 
Table C-1 

Figure C-2 

Table C-2 

Table C-3A 
Table C-3B 
Figure C-3 



Daily Death Statistics, Massachusetts: 2000 85 

Trends in Mortality Characteristics, gg 

Massachusetts: 1990-2000 

Expected Years of Life Remaining at Different Ages by Race and 87 

Years of Life Remaining by Race and Gender, Massachusetts: 

2000 

Five Leading Causes of Death Comparability Unmodified and 88 

Comparability Modified Age-Adjusted Rates, Massachusetts and 
United States: 1990-2000 

Leading Causes of Death, Numbers and Age-Specific Rates, 90 

Massachusetts: 2000 

Leading Causes of Death by Age Among the Oldest Age Groups, 91 
Numbers and Age-Specific Rates, Massachusetts: 2000 

Trends in Deaths from Selected Causes, Massachusetts: 1842- 92 

2000 



SECTION C--DEATHS (continued) 



Table C-4 

Figure C-4 
Table C-5A 

Table C-5B 



Leading Causes of Death and Age-Adjusted Death Rates by 93 

Race and Hispanic Ethnicity, Massachusetts: 2000 

Distribution of Leading Causes of Death, Massachusetts: 2000 94 

Number and Age-Specific Rates for Selected Causes of Death 95 

by Race and Hispanic Ethnicity, Massachusetts: 2000 
Number and Age-Specific Rates for Selected Causes of Death 96 

among the Oldest Age Groups by Race and Hispanic Ethnicity, 
Massachusetts: 2000 



Table C-6 



Table C-7 



Heart Disease and Cancer Deaths by Race and Gender, 97 

Comparability Unmodified and Comparability Modified Age- 
Adjusted Rates, Massachusetts: 1990-2000 

Number and Age-Adjusted Rates of Cancer Deaths by Selected 99 

Causes and Gender, Massachusetts: 2000 



Table C-8 
Table C-9 
Table C-10A 

Table C-10B 
Table C-10C 
TableC-IIA 



Selected Causes of Cancer Deaths by Age, Massachusetts: 100 

2000 

Leading Causes of Cancer Deaths and Age-Adjusted Rates by 101 

Race and Hispanic Ethnicity, Massachusetts: 2000 

Injury Deaths by Gender, Age, Race and Hispanic Ethnicity: 102 

Numbers, Age-Adjusted, and Age-Specific Rates, 
Massachusetts: 2000 

Type of Injury Deaths by Gender: Number and Age-Adjusted 104 

Rates, Massachusetts: 2000 

Type of Injury Deaths by Manner / Intent Categories: Number 105 

and Age-Adjusted Rates, Massachusetts: 2000 

HIV/AIDS Deaths by Place of Occurrence, Massachusetts: 106 

1988-2000 



Table C-1 IB 
Table C-11C 



HIV/AIDS Deaths by Age, Massachusetts: 1988-2000 

HIV/AIDS Deaths by Gender and Race/Ethnicity, Massachusetts: 
1988-2000 



107 
108 



SECTION C -DEATHS (continued) 
Table C-12 



Table C-13A 

Figure C-5 

Table C-13B 

Table C-14A 
Table C-14B 

Table C-14C 
Table C-1 5 



HIV/AIDS Deaths by Race, Hispanic Ethnicity, and Gender: 109 

Persons Ages 25-44, Massachusetts: 1990-2000 

Medical Examiner Certified Deaths by Cause, Race, Sex, and 110 

Age, Massachusetts Occurrence: 2000 

Proportion of Deaths Certified by Medical Examiner for Selected 112 
Causes of Death, Massachusetts Occurrence Deaths: 2000 

Medical Examiner Certified Deaths by County, Massachusetts 113 

Occurrence: 2000 

Selected Causes of Death by Community, 2000 114 

Selected Causes of Death by Community Health Network Area 124 
(CHNA), 2000 

Selected Causes of Death by County, 2000 125 

Resident Deaths by Cause, Sex, and Race, 2000 126 



SECTION D -INFANT & NEONATAL DEATHS 



147 



Figure D-1 
Figure D-2 
Table D-1 

Table D-2 

Table D-3 

Table D-4 

Figure D-3 



Infant Mortality Rates by Race, Massachusetts: 1980-2000 
Neonatal Mortality Rates by Race, Massachusetts: 1980-2000 

Trends in Infant, Neonatal, and Post-Neonatal Mortality by Race 
and Hispanic Ethnicity, Massachusetts: 1991-2000 

Trends in Infant, Neonatal, and Post-Neonatal Mortality by Race, 
Massachusetts: 1990-2000 

Infant, Neonatal, and Post Neonatal Deaths by Cause, 
Massachusetts: 2000 

Infant Deaths by Major Causes, Race and Hispanic Ethnicity, 
Massachusetts: 2000 

Infant Mortality Rates. Massachusetts: 1842-2000 



150 
151 
152 

153 

154 

155 

156 



SECTION E -MARRIAGES & DIVORCES 



157 



Figure E-1 



Rates of Marriages and Divorces per 1,000 Population, Selected 
Years, Massachusetts: 1900-2000 



158 



SECTION E-MARRIAGES & DIVORCES (Continued) 



Table E-1 
Table E-2 
Table E-3 
Table E-4 
Table E-5 



Marriages and Divorces by County, Massachusetts Occurrence: 159 
2000 



Marriages and Divorces and Rates per 1,000 Population, 
Massachusetts Occurrence: 1900-2000 

Marriages by Age and Marital Status, Massachusetts 
Occurrence: 2000 

Number of Marriages by Age of Bride and Age of Groom, 
Massachusetts Occurrence: 2000 



160 



161 



162 



Number of Marriages for Bride by Number of Marriages for 162 

Groom, Massachusetts Occurrence: 2000 



SECTION F-POPULATION 



163 



Figure F-1 
Table F-1 
Figure F-2 
Figure F-3 
Figure F-4 

Table F-2 
Table F-3 

Table F-4 



Massachusetts Population: 1900-2000 164 

Population by Race, Age and Sex, Massachusetts: 2000 165 

2000 Massachusetts Population by Age Group 167 

2000 Massachusetts Population by Race 168 

Changes in Age Composition of the Population, Massachusetts: 169 
1900-2000 

Massachusetts Population by County: 1930-2000 170 

Massachusetts Population by City and Town: 1980, 1990 and 171 
2000 

Population Counts and Estimates, Massachusetts: 1980, 1985- -yg 
2000 



APPENDICES 



183 



Source Documents 



Standard Certificate of Live Birth 

Standard Certificate of Death 

Report of Fetal Death 

Certificate of Marriage 

Certificate of Absolute Divorce or Annulment 



183 
184 
185 
186 
187 



Registry of Vital Records and Statistics Staff 



189 



INTRODUCTION 

The ANNUAL REPORT OF VITAL STATISTICS {Public Document No. 1) has been published 
continuously since 1842. This is the 37th 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 2000. The report provides its users 
with an overview of the health status of the Massachusetts population. The report can be 
accessed at http://www.mass.gov/dph. 

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 Virgin Islands, Guam, and all Canadian provinces. These records are exchanged for 
statistical purposes only, for events, which occur in states other than where the individual 
resides. This exchange allows each of the states and provinces to track the births and 
deaths of their 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 town 
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. Beginning in 2000, the clerk of 
that community was then required to forward the original record to the State Registry. The 
clerk still sent 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 records. 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 developed 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. BBC 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 Refcords and Statistics and other communities as required by law. 

Beginning in 1999, the ICD-10 (International Classification of Diseases-Tenth Revision) 
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 receives directly from hospitals or physicians the 
fetal death reports for fetuses of either twenty or more weeks gestation or weighing at least 
350 grams. 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 2000 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 all groups 
involved in the data collection process. 

Annually, when registration is considered as complete as possible, statistics are aggregated 
for presentation in this report and 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 02125-3105 

(617) 740-2670 



VITAL EVENTS 



SECTION A 
VITAL EVENTS 



HIGHLIGHTS 
BIRTHS 



DEATHS 



In 2000, there were 81,582 births to Massachusetts residents. 

Births increased by 0.9% from 1999 to 2000. 

The 2000 Massachusetts birth rate per 1,000 residents was 12.8, equivalent 
to the birth rate of 12.8 in 1999. 

Massachusetts' 2000 birth rate of 12.8 per 1,000 residents was below the 
2000 US rate of 14.4. 

The most births occurred in May (8.8%--7,201 births); the fewest births 
occurred in February (7.7%--6,296 births). 



In 2000, 56,591 Massachusetts residents died. 

The number of resident deaths increased by 1.5% from 1999 to 2000. 

The Massachusetts crude death rate increased from 880.6 deaths per 
100,000 residents in 1999 to 891.3 in 2000. The 2000 US crude death rate of 
854.0 deaths per 100,000 residents was higher than the 1999 US crude death 
rate of 857.0. The 2000 age-adjusted death rate in Massachusetts 816.5 per 
100,000 residents was 6% lower than the US age-adjusted death rate. 

The most deaths in 2000 occurred in January (9.9%-5,922); the fewest 
deaths occurred in June (7.3%~4,235). 



FETAL DEATHS 

• There were 421 reportable fetal deaths to Massachusetts residents in 2000. 

• The number of reportable fetal deaths increased by 14 from 1999 to 2000, 
resulting in a fetal death rate of 5.4 per 1,000 live births. 



INFANT DEATHS 



In 2000, 377 infant deaths (less than 1 year of age) occurred to 
Massachusetts residents. 

The 2000 Massachusetts infant mortality rate of 4.6 deaths per 1,000 live 
births was a decrease of 11.5% from the 1999 infant mortality rate of 5.2 
deaths per 1,000 live births. 

The Black non-Hispanic infant mortality rate increased from 11.4 in 1999 to 
11.7 in 2000. 

The Massachusetts 2000 infant mortality rate of 4.6 per 1,000 live births was 
33.3% below the US rate of 6.9. 



MARRIAGES 

• In 2000, there were 38,603 marriages in Massachusetts. 

The number of marriages in Massachusetts decreased by 2.0% from 1999 to 
2000. 

• The 2000 Massachusetts rate of 6.1 marriages per 1,000 population was 
below the US rate of 8.3. 

The most marriages occurred in September (15.2%-5,873); the fewest 
marriages occurred in January (3.4%--1,320). 

DIVORCES 

• In 2000, 15,980 divorces were granted in Massachusetts. 
Divorces in Massachusetts increased by 2.2% from 1999 to 2000. 

• The 2000 Massachusetts divorce rate of 2.5 divorces per 1,000 population 
was below the US rate of 3.9. 

• The largest number of divorces were finalized in August (1,404 — 8.8%), and 
the fewest in November (1,213--7.6%). 

NATURAL INCREASE 

• The rate of natural increase in the Massachusetts resident population 
remained fairly constant going from 4.0 to 3.9 between 1999 and 2000. 

• The 2000 US natural increase rate of 6.1% remains above that of 
Massachusetts. 



The Vital Events section provides basic information on ail 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. 



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 before 1999. 



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 occurrence will be one of 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, residence 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 Days 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 



Table A-1 

SELECTED FACTS IN VITAL STATISTICS 

MASSACHUSETTS: 2000 



Age Range of Mothers 1 3-52 

Sets of Twins: 1,632 

Most Births Occurred on September 1, 2000 (299 births) 

Highest # of Births at Brigham and Women's Hospital ( 1 0.042) 

Twenty Most Popular Names for Boys 



BIRTH 



Sets of Triplets: 78 



Age Range of Fathers: 14-71 

Sets of Quadruplets: 1 

Fewest Births Occurred on: January 16, 2000 (139 births) 

Lowest # of Births at: Cambridge Birth Center (73 births) 



Boys' Names 

Matthew 

Michael 

John 

Nicholas 

Ryan 

Joseph 

Andrew 

Christopher 

Jacob 

Benjamin 



nber 


Boys' Names 


1,019 


William 


998 


Daniel 


791 


Joshua 


lib 


Anthony 


704 


Zachary 


654 


Alexander 


637 


Tyler 


637 


Kyle 


633 


James 


577 


Thomas 



565 
551 
519 
507 
487 
484 
476 
448 
447 
443 



Twenty Most Popular Names for Girls 



Emily 

Hannah 

Olivia 

Julia 

Sarah 

Emma 

Samantha 

Ashley 

Madison 

Abigail 



iber 


Girls' Names 


Number 


746 


Jessica 


370 


542 


Elizabeth 


356 


524 


Lauren 


320 


503 


Nicole 


309 


501 


Rachel 


305 


489 


Victoria 


302 


466 


Grace 


294 


392 


Caroline 


291 


386 


Katherine 


287 


384 


Kayla 


273 



DEATH 



Male Decedents 100 Years and Older: 72 

Most Deaths Occurred on: January 10. 2000 (226) 

Month Most Suicides Occurred November (44) 



Female Decedents 100 Years and Older: 562 

Fewest Deaths Occurred on: September 15. 2000 (106) 

Month Most Homicides Occurred January & December (15) 



Month Most Motor Vehicle Deaths Occurred: July (42) 



MARRIAGE 



Ages of Grooms: 16-96 years (average: 34 0) 

Age of First Time Grooms: 16-83 years (average: 30 1) 

Most Popular Month for Marriages: September (5,873) 

Most Marriages Occurred On: June 24, 2000 (924) 

Greatest Age Difference When Groom Older than Bride: 58 years 



Ages of Brides: 15-87 years (average: 31.6) 
Age of First Time Brides: 15-86 (average: 28.3) 

Least Popular Month for Marriages: January (1,320) 

Fewest Marriages Occurred On: January 17, 2000 (2) 

Greatest Age Difference When Bride Older than Groom: 34 years 



DIVORCE 



Length of Marriages Involved in Divorces: < 1 Year to 63 Years of Marriage 
Month Most Divorces Granted: August (1,404) 



Most Common Length of Marriage Prior to Divorce: 4 years 
Month Fewest Divorces Granted November (1,213) 



Figure A-1 

2000 Massachusetts Daily Vital Events 

Each day in 2000, Massachusetts residents had approximately: 



106 

Marriages 



38 

Cancer 
Deaths 



Infant 
Death 



7 

Injury 

Deaths 



224 

Live 
Births 




155 
Deaths 



44 

Divorces 




AIDS 
Death 



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Figure A-2A. Births and Deaths in Massachusetts, Selected Years, 1910-2000 




Figure A-2B. Rates of Natural Increase for Massachusetts and the United States, 
Selected Years, 1910-2000 




Table A-3. Massachusetts Resident Births and Deaths With Resultant Natural Increase 

Selected Years: 1900-2000 



Year 



Births 



Deaths 



Natural 
Increase 



Rate/1000 
Residents 



1900 
1905 
1910 
1915 

1920 
1925 
1930 
1935 

1940 
1945 
1950 
1955 



73,386 
75,022 
86,539 
93,155 

91.859 
86,014 
73,690 
62,416 

65,369 
76,455 
95,619 

109,610 



51,156 
50,486 
54,407 
53,131 

53,632 
51,890 
49,503 
49,634 

50,698 
50,763 
50,359 
53,386 



22,230 
24,536 
32,132 
40,024 

38,227 
34,124 
24,187 
12,782 

14,671 
25,692 
45,260 
56,224 



79 

8.2 

9.5 

10.8 

9.9 
8.2 
5.7 
2.9 

3.4 

5.7 

9.6 

11.6 



1960 


114,018 


56,560 


57,458 


11.2 


1965 


100,262 


58,853 


41,409 


7.8 


1970 


93,582 


56,944 


36,638 


6.4 


1975 


68,070 


53,708 


14,362 


2.5 


1980 


72,591 


54,934 


17,657 


3.1 


1981 


73,930 


52,813 


21,117 


3.7 


1982 


75,749 


52,867 


22,882 


4.0 


1983 


76,031 


54,150 


21,881 


3.8 


1984 


78,197 


55,189 


23,008 


4.0 


1985 


81,781 


55,597 


26,184 


4.5 


1986 


82,168 


55,860 


26,308 


4.5 


1987 


84,345 


55.562 


28,783 


4.9 


1988 


88,047 


56,407 


31,640 


5.4 


1989 


91,314 


53,748 


37,566 


6.4 


1990 


92,461 


53,008 


39,453 


6.6 


1991 


88,176 


53,010 


35,166 


5.8 


1992 


87.202 


53,804 


33,398 


5.5 


1993 


84,627 


55,557 


29,070 


4.8 


1994 


83,758 


54,914 


28,844 


4.7 


1995 


81,562 


55,296 


26,266 


4.3 


1996 


80,164 


55,187 


24,977 


4.0 


1997 


80,321 


54,634 


25,687 


4.1 


1998 


81,406 


55,204 


26,202 


4.2 


1999 


80,866 


55,763 


25,103 


4.0 


2000 


81,582 


56,591 


24,991 


3.9 



Table A-4. Vital Events by Month, Massachusetts Residents: 2000 



Fetal Infant Neonatal 

Births Deaths^ Deaths Deaths^ Deaths'' Marriages Divorces 



Totals 



81,582 



440 



56,591 



377 



288 



38,603 



15,980 



January 


# 
Rank 


6,578 
10 


February 


# 
Rank 


6,296 
12 


March 


# 
Rank 


6,841 
6 


April 


# 
Rank 


6.691 
8 


May 


# 
Rank 


7,201 

1 


June 


# 
Rank 


7,041 
4 


July 


# 
Rank 


7,068 
3 


August 


# 
Rank 


7,169 
2 


September # 

Rank 


6,779 
7 


October 


# 
Rank 


6,855 
5 


November # 

Rank 


6,467 
11 


December 


# 
Rank 


6,596 
9 



39 


5,922 


5 


1 


27 


4,970 


11 


3 


44 


4,820 


2 


4 


42 


4,463 


4 


8 


31 


4,568 


9 


7 


37 


4,235 


7 


12 


35 


4,373 


8 


9 


43 


4,340 


3 


10 


26 


4,302 


12 


11 


38 


4,775 


6 


5 


48 


4,587 


1 


6 


30 


5,236 


10 


2 



44 
1 

20 
12 

24 
11 

32 

7 

34 
4 

26 
10 

31 
8 

33 
6 

34 
4 

36 
2 

28 
9 

35 
3 



30 
1 

14 
12 

20 
10 

25 
5 

29 
2 

18 
11 

27 
4 

25 
5 

25 
5 

28 
3 

22 
9 

25 
5 



1,320 
12 


1,288 
10 


1,514 
11 


1,314 
8 


1,559 
10 


1,398 
2 


2,432 

7 


1,318 
7 


3,899 
6 


1,297 
9 


4,866 
2 


1,381 
5 


4,080 
5 


1,389 
3 


4,299 
4 


1,404 
1 


5,873 
1 


1,365 
6 


4,592 
3 


1,383 
4 


2,311 
8 


1,213 
12 


1,858 
9 


1,230 
11 



Fetal 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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22 



BIRTHS 



SECTION B 

BIRTHS 

There were 81,582 live births to Massachusetts residents in 2000, a 0.9% increase from the 
80,866 resident live births in 1999. 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-13 presents births by 
licensed maternity facility of occurrence, which includes births to women who live in other 
states. 



OCCURRENCE BIRTHS 

In 2000, 82,673 births occurred in Massachusetts. All but 295 births occurred at the 54 
licensed maternity facilities in this state. The number of babies delivered at these 
maternity facilities ranged from 73 at Cambridge Birth Center in Cambridge to 10,042 at 
Brigham and Women's Hospital in Boston. The four hospitals with the greatest numbers 
of births were Brigham and Women's (10,042), Baystate Medical Center (4,923), Beth Israel 
Deaconess Medical Center (4,876), and UMASS Memorial Medical Center - West Campus 
(4,360), and they represented 29.3% of all births occurring in Massachusetts. The 
distribution of Massachusetts births by hospital size is presented below. 



2000 DISTRIBUTION OF MASSACHUSETTS 
OCCURRENCE BIRTHS BY HOSPITAL 



NUMBER OF 
BIRTHS AT 
HOSPITAL 


NUMBER OF 

HOSPITALS IN 

CATEGORY 


TOTAL NUMBER 

OF BIRTHS IN 

CATEGORY 


%OF 
TOTAL 
BIRTHS 


<500 


14 


3,550 


4.3 


500-999 


14 


10,761 


13.0 


1000-1499 


5 


6,696 


8.1 


1500-1999 


9 


15,093 


18.3 


>2000 


12 


46,278 


56.0 


All other' 




295 


.4 


TOTAL 


54 


82,673 


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. 



23 



BIRTHS BY RACE/ETHNICITY 

There are two points to keep in mind when analyzing 2000 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 1999 and 2000, utilizing 
maternal race and Hispanic ethnicity information: 



RACE AND HISPANIC ETHNICITY OF MOTHER 
1999-2000 



MATERNAL 
RACE/ETHNICITY 


2000 


1999 


CHANGE 
(1999-2000) 


TOTAL 
BIRTHS 


%0F 
BIRTHS 


TOTAL 
BIRTHS 


%OF 
BIRTHS 


White non-Hispanic 


60,051 


73.6 


60,402 


74.7 


-351 


Black non-Hispanic 


5,755 


7.1 


5,844 


7.2 


-89 


Hispanic 


9,247 


11.3 


8,815 


10.9 


432 


Asian 


4,667 


5.7 


4,138 


5.1 


529 


Other' 


1,536 


1.9 


1,477 


1.8 


59 


Unknown^ 


326 


0.4 


190 


0.2 


136 


TOTAL^ 


81,582 


100 


80,866 


100 


716 



' other races include American Indian, Hawaiian, and Other 
^ Unknown race mothers did not indicate a race/ethnicity. 
^ Percents do not sum to 100.0 due to rounding. 



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 aged 15-19 decreased slightly from 5,515 in 1999 to 5,305 
in 2000. The teen birth rate also decreased, with the rate going from 26.7 in 1999 to the 
2000 rate of 25.8 births per 1,000 women aged 15-19. The teen birth rate has declined by 
27% since 1990. 



24 



BIRTHS BY MARITAL STATUS 

The percentage of births to unmarried women remained fairly stable between 1999 and 
2000 at 26.5% of all resident births. Over 90% of mothers under the age of 20 were 
unmarried while 21.9% of the mothers whose ages were 20 or older were unmarried. 



BIRTHS BY AGE OF MOTHER 

The largest percentage increases in births between the years 1999 and 2000 (21.0%) were 
to mothers in the 45+ 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 

2000 


NUMBER OF 

BIRTHS 

1999 


DIFFERENCE IN 

THE NUMBER OF 

BIRTHS 

1999-2000 


PERCENTAGE 
CHANGE 
1999-2000 


<20 


5,395 


5,588 


-193 


-3.5 


20-24 


11,965 


11,813 


152 


1.3 


25-29 


19,761 


20,382 


-621 


-3.0 


30-34 


26,873 


26,330 


543 


2.1 


35-39 


14,686 


13,973 


713 


5.1 


1 40-44 


2,748 


2,656 


92 


3.4 


>45 


150 


124 


26 


21.0 



BIRTHS BY CAESAREAN SECTION 

The number of Caesarean section deliveries in Massachusetts increased from 18,080 in 
1999 to 19,390 in 2000, an increase of about 7.2%. Caesarean section was the method of 
delivery for 23.9% of the 2000 occurrence births, compared to the 21.0% of Caesarean 
section deliveries in 1999. (Calculations are based on births with known method of 
delivery.) 



25 



HOSPITAL PROFILES 

The following is a synopsis of hospital data, some of which is presented in Table B-13, 
Occurrence and Caesarean Births by Licensed Maternity Facility: 

• In 2000, 81,582 births occurred in Massachusetts, a decrease of 11.8% since 1990. 
Caesarean section was the method of delivery for 23.9% of 2000 births. 
(Calculations are based on births with known method of delivery.) 

• Statewide, the lowest rates of Caesarean section deliveries were at the following 
licensed maternity facilities: Heywood Hospital (15.3%), Tobey Hospital (17.1%), St. 
Vincent Hospital (18.1%), Lawrence General Hospital (18.5%), Berkshire Medical 
Center (19.2%), and Deaconess Waltham Hospital (19.9%). 

• In 2000, at least 10% of the births in seven hospitals were low birthweight. These 
hospitals were: Baystate Medical Center, Boston Medical Center, Beth Israel 
Deaconess Medical Center, Brigham and Women's Hospital, New England Medical 
Center Hospital, St. Elizabeth's Medical Center of Boston, and University of 
Massachusetts Memorial Medical Center- West Campus. 

• In four hospitals, 50% or more of the deliveries were paid with public funds: Boston 
Medical Center, Hale Hospital, Lawrence General Hospital, and Mercy Hospital. In 
five facilities, less than 10% of deliveries were paid with public funds: Emerson 
Hospital, Newton-Wellesley Hospital, South Shore Hospital, The Birthplace at 
Wellesley, and Winchester Hospital. 

• In 2000, 25 of the 54 licensed maternity facilities exceeded the state-wide average 
(79.0%) 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 (45.2%), Cambridge Hospital (59.1%), 
and North Shore Medical Center- Salem Hospital (53.1%). 

• In 2000, the Caesarean section rate was less than 30% for the seventh consecutive 
year. Fourteen hospitals had Caesarean section delivery rates of 25% or more: 
Beth Israel Deaconess Medical Center, Brigham and Women's Hospital, Cambridge 
Hospital, Caritas Good Samaritan Medical Center, Holy Family Hospital and Medical 
Center, Jordan Hospital, Melrose-Wakefield Hospital, Morton Hospital, Nantucket 
Cottage Hospital, New England Medical Center Hospital, Newton Wellesley Hospital, 
South Shore Hospital, St. Elizabeth's Medical Center, and Sturdy Memorial Hospital. 



26 



LOW BIRTHWEIGHT INFANTS 

The percentage of low birthweight infants (less than 2,500 grams or five pounds eight 
ounces) remained fairly constant at 7.1% from 1999 and 2000. The number of low 
birthweight deliveries also remained fairly constant with 5,708 births in 1999 and 5,711 
births in 2000. 

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. 



27 



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, 
will replace the Kessner Index, which has been used to date in the Advanced Data Births 
and Massachusetts Births series. 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 principle 
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 faults of the Kessner Index include its bias towards 
measurement of adequacy of initiation of care, and its various computational algorithms 
due to inadequate initial documentation. 

Table B-1 of this report provides a comparison of data on adequacy of prenatal care from 
1996-2000 as measured by these two separate indices. 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 below is a short summary of the 
major differences in classification of adequacy of prenatal care using the Kessner Index and 
the APNCU Index. 



Adequacy 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 



28 



Component Indices of the APNCU Index: Definitions of Categories 
Adequacy of Initiation Index 



Category 


Month Prenatal Care Began 


Adequate 


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 



Adequacy of Received Services (Visits) Index 



Category 


% of Expected^ Prenatal Care Visits 


Adequate 


110% or more 


Adequafe Basic 


80 - 109% 


Intermediate 


50 - 79% 


Inadequate 


Less than 50% 


Unknown 


Information on prenatal care visits not 



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 



29 



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). 



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). 



30 



ANCESTRY 



A self-reported item on the birth certificate, with listings and an open text field. The items 

listed are: 

Puerto Rican 

Dominican 

Mexican 

Cuban 

Columbian 

Salvadorian 

Other Central Amer. 

Other South Amer. 

Other Hispanic 

Chinese 



Cambodian 

Asian Indian 

Korean 

Filipino 

Japanese 

Loatian 

Pakistani 

Thai 

Hawaiian 

Other Asian/Pac. Isl. 



Cape Verdean 

Brazilian 

Other Potuguese 

Haitian 

Jamaican 

Barbadian 

Other West Indian / Caribbean 

African American European 

Nigerian Other 



Other African 

Lebanese 

Iranian 

Israeli 

Other Mid. Eastern 

Native American 



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. 

ETHNICITY 



See Race. 

FOREIGN-BORN WOMEN 

Women not born in the United States, its possessions or protectorates. 
Puerto Rico, the US Virgin Islands, and Guam are not foreign-born. 



Women born in 



31 



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). 

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. 

POST NEONATAL 

Referring to a child whose age is at least 28 days, but less than one year. 

PRIMARY CAESAREAN SECTION or C-SECTION 

See Caesarean Section. 



32 



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 had had at least one prior Caesarean 
section delivery. 

VERY LOW BIRTHWEIGHT (VLBW) 

See Birthweight Categories. 



33 



RATES IMPORTANT FOR THIS SECTION INCLUDE: 



AGE-SPECIFIC BIRTH RATE No. of Resident Live Births for a 

Specific Age Group of Mothers 
Total Female Population of That 
Specific Age Group 



X 1,000 



CRUDE BIRTH RATE 



No. of Resident Live Births x 1,000 
Total Resident Population 



GENERAL FERTILITY RATE 



CAESAREAN SECTION or 
C-SECTION RATE 



No. of Resident Live Births x 1,000 
Total Female Population of 
Childbearing Age (15-44) 

No. of Resident Births Delivered by C-Secfion x 100 
Total Number of Resident Births 



34 



Figure B-1. Daily Birth Statistics, Massachusetts: 2000 



Every day in 2000, residents of Massachusetts experienced an average of: 




224 Births 




52 Births by Caesarean Section 




48 Births to women aged 35 or older 




46 Births with less than adequate 
prenatal care 




16 Births weighing less than 2500 grams 
or 5 lbs. 8 oz. (low birthweight) 



1 5 Births to women aged 1 5 through 1 9 



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Figure B-2. Resident Live Births by Mother's Race/Ethnicity: 2000 



Other & Unknown 
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(2.3%) 

Asian 
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Black Non-Hispanic 
5,755(7.1%) 



Hispanic 
9,247(11.3%) 




White Non-Hispanic 
60,051 (73.6%) 



39 



Figure B-3. Resident Live Births by Mother's Age: 2000 



35-39 Yrs 
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Table B-4. Age-Specific and Crude Birth Rates, Massachusetts: 1990 and 2000 

1990 2000 

Mother's Age Births^ Rate Births 

12-14 124 1.3 90 

15-19 7,258 35.1 5,305 

20-24 18,115 69.5 11,965 

25-29 29,913 107.2 19,761 

30-34 25,687 93.9 26,873 

35-39 9,795 40.1 14,686 

40-44 1,522 6.9 2,748 

45+ 46 0.3^ 150 

Birth rate, ages 92,290 62.2 81,338 

15-44" 

Crude Birth 92,461 15 4 81,582 12.8 -16.6 

Rate' 

NOTE: All percentages are calculated based on only those births with known values for the characteristic(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. 2000 
birth rates are calculated using DPH 2000 population estimates, based on US. Census 2000 population counts 3 Denominator is 
female population ages 45-49. 4 Rate represents the total number of births to women age 15^4 per 1,000 women age 15 to 44 5 
Births per 1 ,000 residents (females and males) Includes births to mothers of all age groups and mothers for whom age is unknown. 



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45 



Figure B-4. Trends in the Number of Births by Mother's Age Group, 
Massachusetts: 1980-2000 




Ages < 30 
Ages 30+ 



1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 

Year 



46 



Figure B-5. Percent of Mothers Breastfeeding or Intending to Breastfeed' by 
Age Group, [Massachusetts ^: 2000 




10-14 15-19 20-24 25-29 30-34 35-39 40-44 45* 

Age Group of Mother (In years) 



NOTE All percentages are calculated based on only those births with known values for the diaracten3lic($) of interest, unless 
otiierwise stated Data on breastfeeding were not provided for approx. 1 , 1 40 resident births from Winchester Hospital 

1 Information about breastfeeding was reported by the mother at the time the birth certificate was completed 

2 For race-specific breastfeeding rales, see Table 2B 



47 



Figure B-6. Smoking Prevalence' during Pregnancy by Race and 
Hispanic Ethnicity of Mother, Massachusetts: 2000 




9.7% 



1.6% 




White Non- 
Hispanic 



Black Non- 
Hispanic 



Hispanic 



jVlassachusetts 
Total 



Race and Hispanic Ethnicity of Mother 



NOTE All percentages are calculated based on only those births with known values for the characlenstic(s) of interest, unless 
othen«ise stated 

1 Based on information provided on the birth certificate by mother Mothers with more than one delivery are counted for each birth 
NOTE: Maternal smoking is self-reported, usually following childbirth, these data should be interpreted cautiously. 



48 



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TT 







rable B-5A. 


Parity' by Age of Mother, Mas 


sachusetts: 


2000 




Age of Mother 


(years) 


Total Births 


1st 


2nd 


3rd 


4th 


5th+ 


STATE 


TOTAL 


n^ 


81,582 


35,452 


27,025 


11,917 


3.842 


1,984 






%' 


100.0 


442 


33.7 


14.9 


4 8 


2.5 


10-14 




n 


90 


87 


3 















% 


100.0 


96.7 


3.3 


0.0 


0.0 


0,0 


15-19 




n 


5,305 


4,381 


742 


120 


24 


1 






% 


100.0 


83.2 


14.1 


2.3 


0.5 


00 


20-24 




n 


11,965 


6,401 


3,759 


1,229 


362 


101 






% 


100.0 


54.0 


31 7 


10.4 


3 1 


09 



30-34 



35-39 



45+ 



19.761 
100.0 



26.873 
100.0 



14,686 
100.0 



2,748 
100.0 



150 
100.0 



9,357 
48.2 



10,305 
392 



4,094 
284 



778 
28.8 



47 
31.3 



6.280 
32.3 



9,888 
37.6 



5,384 
373 



919 
34.1 



50 
33.3 



2,601 
13.4 



4,248 
16.1 



3,174 
22.0 



523 
19.4 



22 

14,7 



780 
4.0 



1,245 
4,7 



1,171 
8 1 



249 
9,2 



11 
7.3 



395 
2.0 



627 
2.4 



610 
4,2 



229 
85 



20 
13.3 



NOTE All percanlages are calculaled based on only those births with known values for the ctiaracteristic(s) of interest, unless otherwise stated 
Data on panty were not provided for approjc 1 . 140 resident births from Winchester Hospital 

1 The number of live binhs including this birth 2 Slate totals include births of unknown parity and unknown mother's age 3 Percents may not 
sum to 100,0 due to rounding 



50 



Table B-5B. Number and Percent Distribution of Births^ by Plurality and Age, 
Massachusetts: 1990-2000 







Singletons 






Multiples 






























Total bif^h*; 










Twi 


ns 


Triplets or more 


Total Mu 


Itiples 






Age 
























Group 


Year 


n 


% 


n^ 


% 


n' 


% 


n^ 


% 


n 


% 


All 
























Ages 


























1990 


90,049 


97.4 


2,312 


2.5 


99 


0.1 


2,411 


2.6 


92,460 


100.0 




1991 


85,802 


973 


2,285 


2.6 


89 


0.1 


2,374 


27 


88,176 


100.0 




1992 


84,722 


972 


2,347 


2.7 


133 


0.2 


2,480 


2.8 


87,202 


100.0 




1993 


82,055 


97.0 


2,367 


2.8 


205 


0.2 


2,572 


3.0 


84,627 


100.0 




1994 


81.187 


969 


2,357 


28 


214 


0.3 


2,571 


3.1 


83,758 


100.0 




1995 


78,935 


96.8 


2,429 


30 


198 


0.2 


2,627 


3.2 


81,562 


100.0 



1996 77,355 96.5 2,621 3.3 194 0.2 2,815 3.5 80,164 100.0 

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 


3,147 


3.9 


246 


03 


3,393 


4.2 


80,866 


100.0 


2000 


78,075 


957 


3,263 


4.0 


244 


03 


3,507 


4.3 


81,582 


100.0 


Ages 






















<35 






















1990 


79,081 


975 


1,946 


2.4 


70 


0.1 


2,016 


2.5 


81,097 


1000 


1991 


74,810 


975 


1,863 


2.4 


76 


0.1 


1,939 


2.5 


76,749 


100.0 


1992 


73,043 


973 


1,914 


2.6 


103 


01 


2',017 


2.7 


75,060 


100.0 


1993 


70,042 


972 


1,849 


2.6 


158 


0.2 


2,007 


2.8 


72,049 


100.0 


1994 


68,644 


972 


1,844 


2.6 


164 


0.2 


2,008 


28 


70,652 


100.0 


1995 


65,669 


97.2 


1,787 


2.6 


141 


0.2 


1,928 


2.9 


67,597 


100.0 


1996 


63,560 


969 


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 


62,719 


964 


2,193 


3.4 


170 


0.3 


2,363 


36 


65,082 


100.0 


1999 


61,816 


964 


2,147 


3.3 


150 


02 


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 


Ages 






















35+ 






















1990 


10,968 


96.5 


366 


3.2 


29 


0.3 


395 


3.5 


11,363 


100.0 


1991 


10,987 


962 


422 


3.7 


13 


0.1 


435 


3.8 


11,422 


100.0 


1992 


11,675 


962 


433 


3.6 


30 


0.3 


463 


3.8 


12,138 


100.0 


1993 


12,007 


95.5 


518 


4.1 


47 


0.4 


565 


4.5 


12,572 


100.0 


1994 


12,543 


957 


513 


3,9 


50 


0.4 


563 


4.3 


13,106 


100.0 


1995 


13,264 


950 


642 


4.6 


57 


0.4 


699 


5.0 


13,963 


100.0 


1996 


13,793 


948 


686 


4.7 


68 


05 


754 


5.2 


14,547 


100.0 


1997 


14,602 


936 


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 



NOTE: All percentages are calculated based on only those birttis with known values for the characteristic(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 represent individual infants 
rather than sets of infants 



51 



Table B-6. Resident Births By Mother's Age, Marital Status 


, and Race/Ethnicity 










Massachusetts: 


2000 








Age of 


Marital 




White 


Black 










Mother 


Status 


Total 


Non-Hisp. 


Non-Hisp. 


Hispanic 


Asian 


Other 


Unknown 


Grand Total 


81,546 


60,031 


5,755 


9,247 


4,667 


1,536 


310 


Total Married 


59,926 


49,014 


2,454 


3,481 


3,925 


798 


254 


Total Unmarried 


21,620 


11,017 


3,301 


5,766 


742 


738 


56 


<19 


Total 


3,373 


1,463 


442 


1,182 


144 


139 


3 




Married 


190 


68 


10 


88 


13 


11 







Unmarried 


3,183 


1,395 


432 


1,094 


131 


128 


3 


19 


Total 


2,021 


1,037 


248 


583 


73 


76 


4 




Married 


280 


153 


8 


90 


17 


11 


1 




Unmarried 


1,741 


884 


240 


493 


56 


65 


3 


20-24 


Total 


11,953 


6,786 


1,313 


2,883 


529 


415 


27 




Married 


4,419 


2,879 


288 


741 


350 


151 


10 




Unmarried 


7,534 


3,907 


1,025 


2,142 


179 


264 


17 


25-29 


Total 


19,751 


14,065 


1,462 


2,319 


1,448 


375 


82 




Married 


15,153 


11,770 


701 


1,126 


1,264 


225 


67 




Unmarried 


4,598 


2,295 


761 


1,193 


184 


150 


15 


30-34 


Total 


26,868 


21,988 


1,346 


1,513 


1,567 


334 


120 




Married 


24,075 


20,508 


816 


947 


1,446 


248 


110 




Unmarried 


2,793 


1,480 


530 


566 


121 


86 


10 


35-39 


Total 


14,682 


12,313 


745 


640 


753 


172 


59 




Married 


13,281 


11,491 


494 


417 


698 


129 


52 




Unmarried 


1,401 


822 


251 


223 


55 


43 


7 


40-44 


Total 


2,898 


2,379 


199 


127 


153 


25 


15 




Married 


2,528 


2,145 


137 


72 


137 


23 


14 




Unmarried 


370 


234 


62 


55 


16 


2 


1 


Table does not include 36 births to mothers of unknown marital status 


or age. 







52 



Table B-7. Resident Births to Teenage iWothers: 1970-2000 












Age of Mother 








%of 




Total 
















Total 


Total 


Year 


Births 


<14 


14 


15 


16 


17 


18 


19 


<19 


Births 


1970 


93,582 


11 


70 


320 


802 


1,726 


3,043 


4,285 


10,257 


11.0% 


1971 


86,755 


26 


84 


313 


875 


1,738 


2,981 


4,000 


10,017 


11.5% 


1972 


76,835 


21 


103 


348 


955 


1,841 


2,834 


3,690 


9,792 


12.7% 


1973 


72,237 


12 


93 


393 


959 


1,759 


2,584 


3,282 


9,082 


12.6% 


1974 


70,071 


18 


79 


333 


895 


1,762 


2,524 


3,181 


8,792 


12.5% 


1975 


68,070 


20 


84 


325 


915 


1,678 


2,560 


3,085 


8,667 


12.7% 


1976 


65,947 


19 


96 


336 


807 


1.478 


2,332 


2,923 


7,991 


12.1% 


1977 


67,838 


19 


68 


270 


792 


1,477 


2,293 


2,913 


7,832 


11.5% 


1978 


68,526 


18 


67 


303 


737 


1,445 


2,252 


2,979 


7,801 


11.4% 


1979 


70,568 


11 


70 


283 


773 


1,413 


2,306 


2,916 


7,772 


11.0% 


1980 


72,591 


15 


56 


300 


740 


1,360 


2,202 


3,092 


7,765 


10 7% 


1981 


73,931 


13 


82 


275 


722 


1,357 


2,164 


2,816 


7,429 


10.0% 


1982 


75,749 


15 


83 


299 


753 


1,328 


2,161 


2,722 


7,361 


9.7% 


1983 


76,031 


8 


78 


255 


726 


1,278 


2,053 


2,521 


6,919 


9.1% 


1984 


78,198 


9 


75 


265 


714 


1,307 


2,061 


2,585 


7,016 


9.0% 


1985 


81,766 


16 


97 


295 


698 


1,283 


1,986 


2,595 


6,970 


8.5% 


1986 


82.163 


15 


82 


334 


712 


1,233 


1,954 


2,521 


6,851 


8.3% 


1987 


84,343 


17 


79 


327 


796 


1,337 


1,965 


2,498 


7,019 


8.3% 


1988 


88,047 


27 


120 


352 


732 


1,450 


2,068 


2,511 


7,260 


8.2% 


1989 


91,314 


19 


108 


345 


853 


1,426 


2,207 


2,776 


7,734 


8.5% 


1990 


92,461 


21 


103 


351 


810 


1,344 


2,014 


2,739 


7,382 


8.0% 


1991 


88,176 


20 


102 


372 


758 


1,391 


1,910 


2,461 


7,014 


7.9% 


1992 


87,202 


17 


103 


341 


782 


1,327 


1,753 


2,352 


6,675 


7.6% 


1993 


84,627 


16 


121 


360 


741 


1.259 


1,872 


2,237 


6,606 


7.8% 


1994 


83,758 


24 


131 


371 


822 


1,244 


1,758 


2,217 


6,567 


7.8% 


1995 


81,562 


19 


98 


356 


721 


1.203 


1,648 


2,062 


6,107 


7.5% 


1996 


80,164 


11 


80 


342 


687 


1.115 


1,666 


1,948 


5,849 


7.3% 


1997 


80,321 


19 


84 


290 


694 


1,121 


1,613 


2,083 


5,904 


7.3% 


1998 


81,406 


14 


65 


271 


663 


1.120 


1,710 


2,059 


5,902 


7.3% 


1999 


80,866 


10 


63 


244 


570 


1,039 


1,679 


1,983 


5,588 


6.9% 


2000 


81,582 


12 


78 


211 


502 


1,026 


1,544 


2,022 


5,395 


6.6% 



53 



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54 



Figure B-8. Low Birthweight^ among Smoking and Non-Smoking^ 
Mothers by Race and Hispanic Ethnicity, IVIassachusetts: 2000 



18 ■, 


r 




17 






■ Smokers 


















DNon-Smokers 




16 - 


■ 




■ 


153 








14- 


■ 




I 


■ 








^ 12 ■ 






^Hll.6 


I 






10.7 


% 10 ■ 


96 




1 


■ 






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1 


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■ 


J 




1 


1 


NA 






1 





White Non- 
Hispanic 



Black Non- 
Hlspanlc 



Hispanic Asian 

Race and Hispanic Ethnicity 



Massachusetts 



NOTE. All percentages are calculated based on only those births with known values for the charactenslic(s) o( interesl. unless otherwise 
staled Maternal smoking is seH-reported, usually following childbirth, these data should be interpreted cautiously 
Data on birthweight were not provided lor approx 1.140 resident births occumng at Winchester Hospital 

1 Low birthweight; less than 2.500 grams or 5 5 pounds 

2 Based on information provided on the birth certificate by the mother 



55 



Table B-9. Low Birthweight^ by Maternal Age, Race and Hispanic Ethnicity, 
Massachusetts: 2000 



Mother's 


Total LBW 


White, 


non- 


Black, 


non- 
















Age 


Infants 


Hispanic 


Hispanic 


Hispanic 


As 


an 


Other 


Unknown 


(in years) 


n 


%' 


n 


%' 


n 


%' 


n 


Vo' 


n 


%' 


n 


%' 


n 


State Total^ 


5,711 


7.1 


3,780 


6.4 


690 


12.0 


756 


8.2 


333 


7.3 


137 


9.0 


15 


<18 


181 


9.9 


60 


85 


33 


13.9 


76 


10.4 


8 


9.4 


4 


4 





18-19 


316 


8.9 


130 


7.4 


54 


119 


97 


9.4 


14 


10.7 


20 


13.2 


1 


20-24 


870 


7.3 


427 


64 


133 


10.2 


238 


8.3 


41 


7.8 


30 


7.3 


1 


25-29 


1,295 


6.7 


815 


5.9 


174 


119 


175 


7.6 


96 


6.8 


32 


8.6 


3 


30-34 


1,656 


6.3 


1,265 


59 


159 


119 


107 


7.1 


96 


6.2 


22 


6.6 


7 


35-39 


1,120 


7.8 


875 


7.2 


106 


14.3 


50 


7.9 


60 


8.1 


26 


15.5 


3 


40+ 


273 


9.6 


208 


8.9 


31 


15.7 


13 


10.2 


18 


12.0 


3 


4 






NOTE. All percentages are calculated based on only those birttis with known values for the charactenstic(s) of interest unless othenwise stated 
Data on binhweight were not provided for approx 1,140 resident birlhs occurnng at Winchester Hospital. 

1 Low Birthweighl: 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 birthweighl infants divided by the total births in each age and race/ethniaty category 4, Calculations based on fewer than five events are excluded 



56 



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57 



Figure B-9. Trends in Adequacy of Prenatal Care^^ by Race', Massachusetts: 1980-2000 




1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 

Year 



1 . Due to changes beginning in 1 996 in the collection of information on Adequacy of Prenatal Care, caution should be used when 
comparing these data over time. 2. All percentages are calculated based on only those births with known values for the characteristic(s) of interest, 
unless otherwise stated. Data on adequacy of prenatal care were not provided for approx. 1 .140 resident births occurring at Winchester Hospital. 3. 
On tables and graphs which include data prior to June 1986. the race classifications do not include ethnicity; most Hispanics are included in the race 
category of Whites. 



58 



Table B-11. Low Birthweight by Adequacy of Prenatal Care, Race 
and Hispanic Ethnicity, Massachusetts: 2000 



Race, Ethnicity, 




Total^ 


Adequacy 


of Prenatal Care^ 


and Birthweight 


Adequate 


Intermediate Late/None 


STATE TOTAL 


Total Births 


79,813 


63,109 




13,855 


2,849 




#LBW' 


5,634 


4,205 




1.169 


260 




% LBW 


7.0 


6.7 




8.4 


9.1 


White 


Total Births 


58,696 


48,820 




8,499 


1,377 


non- Hispanic 


#LBW^ 


3.731 


2.943 




679 


109 




% LBW 


6.4 


6.0 




8.0 


7.9 



Black 


Total Births 


5,670 


3,729 


1,444 


497 


non-Hispanic 


#LBW' 


679 


447 


173 


59 




% LBW 


12.0 


12.0 


12.0 


11.9 


Hispanic 


Total Births 


9,178 


6,153 


2,400 


625 




#LBW^ 


749 


490 


191 


68 




% LBW 


8.2 


8.0 


8.0 


10.9 


Asian 


Total Births 


4,563 


3.269 


1,074 


220 




#LBW^ 


327 


233 


79 


15 




% LBW 


7.2 


7.1 


7.4 


6.8 


Other 


Total Births 


1,508 


975 


411 


122 




#LBW^ 


134 


81 


46 


7 




% LBW 


8.9 


8.3 


11.2 


5.7 


Unknown 


Total Births 


198 


163 


27 


8 




#LBW' 


14 


11 


1 


2 



NOTE: All percentages are calculated based on only those birtfis with known values for the characteristic(s) of interest. 

unless otherwise stated 

Data on adequacy of prenatal care were not provided for approx 1 . 140 resident births occurring at Winchester Hospital 

1 All data are based on the 79,8 1 3 births with known Adequacy of Prenatal Care data 2. A detailed explanation of the 
levels of prenatal care is presented In the Section Definitions 3 Low birthweight less than 2.500 grams or 5 5 pounds 



59 



Figure B-10. Adequacy of Prenatal Care for Selected Population 
Cfiaracteristics, Massachusetts: 2000 



Teens (<18 yrs) 
Education (< 12 yrs) 

2 

Unmarried 

Smokers 

} 
Non-U. S.-born 

First-time Mothers 

Breastfeeding 

Mothers Age 35+ 



i^S'w 



I 65 9% 






I 70 8% 



'a^A jq^^jfei^ liaj!»l.<j>/j;,S».^43g^a]<i^^M 80.1% 






20% 30% 40% 50% 60% 70% 80% 

Percent of Mottiers witti Adequate Prenatal Care 



90% 100% 



NOTE; AH percentages ana calculated based on only those births with known values lof the charactehstic(s) of interest, unless 

otherwise stated. 

Data on adequacy of prenatal care and breastfeeding were not provided for approx. 1.140 resident births from Winchester Hospital. 

1 . Women 20 years of age and older 2- Marital status at tjme of birth. 3- Non-U.S -bom indudes women bom outside of the 50 
U.S- states. District of Columbia, and U.S. territories (Puerto Rico. U.S. Virgin islands. Guam) 4 Mother was or was intending to 
breastfeed at the time the birth certificate was completed. 



60 



Figure B-11. Distribution of Prenatal Care Payment Source\ 
Massachusetts: 2000 



Self-paid 




NOTE All percenlages are calculated based on only those births with known values for the characteristic(s) of interest, unless 

otherwise staled 

Data on source o( prenatal care payment were not provided for approx. 1.140 resident births occumng at Winchester Hospital 

1 Pnvate Commercial indemnity plan, commeraal managed care (Ht»10, PPO. IPP. IPA. and other), or other pnvate insurance 
Public Government programs including Commonhealth. Healthy Start. Medicaid/MassHealth. and Medicare (may also be HMO or 
managed care), or free care Other Worlter's Compensation and other sources 



61 



Table B-12. Birth Characteristics by Source of Prenatal Care Payment, Race and 
Hispanic Ethnicity, Massachusetts: 2000 



Race, Ethnicity, and 


Births' 




Teen 


Births 






Birthweight 








<18 Yec 


rs 


<20 Yea 


rs 


Very Low^ 


Low' 




Payment Source 


n 


% 


n 


% 


n 


% 


n 


% 


n 


% 


STATE total" 


81,582 


100.0 


1,829 


2.2 


5,395 


6.6 


1,090 


1.4 


5,711 


7.1 


Public 


21,715 


27.5 


1,319 


6 1 


3,955 


18.2 


337 


1.6 


1,860 


8.6 


Medicaid* 


19,141 


24.2 


1,248 


65 


3,736 


19.5 


302 


1.6 


1,680 


8.8 


Other Public^ 


2,574 


3.3 


71 


2.8 


219 


8.5 


35 


1.4 


180 


7.0 


Private' 


56,305 


71.3 


467 


0.8 


1,297 


2.3 


676 


1.2 


3,575 


6.3 


White, Non-Hispanic 


60,051 


100.0 


714 


1.2 


2,500 


4.2 


675 


1.1 


3,780 


6.3 


Public 


9,876 


17.1 


400 


4 1 


1,545 


15.6 


117 


1.2 


749 


7.6 


Medicaid* 


8,927 


15.5 


380 


43 


1,473 


16.5 


109 


1.2 


698 


7.8 


Other Public^ 


949 


1.6 


20 


2.1 


72 


7.6 


8 


0.8 


51 


5.4 


Private' 


47,271 


81.9 


294 


0.6 


865 


1.8 


500 


1.1 


2,812 


5.9 


Black, Non-Hispanic 


5,755 


100.0 


237 


4.1 


690 


12.0 


196 


3.4 


690 


120 


Public 


3,262 


57.0 


190 


5.8 


567 


17.4 


99 


3.0 


402 


12.3 


Medicaid* 


2,823 


49.4 


176 


6.2 


535 


19.0 


85 


3.0 


351 


12.4 


Other Public* 


439 


7.7 


14 


3.2 


32 


7.3 


14 


3.2 


51 


11.6 


Private' 


2,355 


41.2 


43 


1.8 


114 


4.8 


89 


3.8 


265 


11.3 


Hispanic 


9,247 


100.0 


730 


79 


1,765 


19.1 


135 


1.5 


756 


8.2 


Public 


6,455 


70.0 


617 


9.6 


1,515 


23.5 


96 


1.5 


548 


8.5 


Medicaid* 


5,526 


60.0 


587 


10.6 


1,415 


25.6 


85 


1.5 


488 


8.8 


Other Public* 


929 


10.1 


30 


3.2 


100 


10.8 


11 


1.2 


60 


65 


Private' 


2,615 


28.4 


97 


37 


221 


8.5 


33 


1.3 


192 


7.3 


Asian 


4,667 


100.0 


85 


1.8 


217 


4.6 


54 


1.2 


333 


7.1 


Public 


1,210 


26.6 


68 


5.6 


165 


13.6 


10 


0.8 


79 


6.5 


Medicaid* 


1,121 


24.6 


65 


5.8 


158 


14.1 


10 


0.9 


74 


6.6 


Other Public* 


89 


2.0 


3 


8 


7 


79 





0.0 


5 


5.6 


Private' 


3,287 


72.2 


15 


0.5 


47 


1.4 


43 


1.3 


244 


7.4 


Other' 


1,536 


100.0 


63 


4.1 


215 


14.0 


23 


1.5 


137 


8.9 


Public 


894 


59.2 


44 


4.9 


162 


18.1 


14 


1.6 


81 


9.1 


Medicaid* 


737 


48.8 


40 


5.4 


154 


20.9 


13 


1.8 


69 


9.4 


Other Public* 


157 


10.4 


4 


8 


8 


5.1 


1 


8 


12 


7.6 


Private' 


588 


39.0 


18 


3.1 


49 


8.3 


9 


1.5 


54 


9.2 



62 



Table B-12 (cont'd). Birth Characteristics by Source of Prenatal Care Payment, Race, and 
Hispanic Ethnicity, Massachusetts: 2000 







Prenatal Care 




Cesarean 


Section 


Breastfee( 




Race, Ethnicity, and 


Adeq 


uate 


Began 1st Trimester 


ling^° 


Payment Source 


n 


% 


n 


% 


n 


% 


n 


% 


STATE total" 


63,109 


79.1 


66,952 


83.8 


19,086 


23.8 


58,188 


73.8 


Public 


13,849 


64.3 


15,020 


69.5 


4,314 


199 


13,655 


63.1 


iVIedicaid* 


12,348 


649 


13,376 


70.2 


3,750 


197 


11,512 


60.3 


Other Public' 


1,501 


593 


1,644 


64.4 


564 


21.9 


2,143 


83.3 


Private'^ 


47,611 


849 


50,184 


895 


14,275 


254 


43,848 


78.0 


Non-Hispanic White 


48,820 


83.2 


51,551 


87.8 


14,474 


246 


42,287 


73.3 


Public 


6,760 


68.8 


7,239 


73.6 


1,998 


203 


5,411 


54.9 


Medicaid^ 


6,084 


68.5 


6,516 


73.3 


1,765 


19.8 


4,688 


52.6 


Other Public* 


676 


71.8 


723 


76.7 


233 


246 


723 


76.3 


Private' 


40,620 


86.3 


42,792 


90.8 


12,053 


25.6 


36,429 


77.2 



Non-Hispanic Black 


3.729 


65.8 


4,046 


70.9 


1,415 


24.7 


4,182 


73.3 


Public 


1,795 


56.1 


2,031 


62.8 


718 


22.1 


2,193 


67.5 


Medicaid^ 


1,623 


58.3 


1,817 


64.8 


617 


21.9 


1,829 


65.0 


Other Public' 


172 


41.5 


214 


50,0 


101 


230 


364 


83.1 


Private' 


1,874 


79.8 


1,952 


83.1 


678 


289 


1,918 


81.5 


Hispanic 


6,153 


67.0 


6,631 


72.1 


1,884 


20.5 


6,933 


75.4 


Public 


4,087 


63.6 


4,425 


68.8 


1,211 


18.8 


4,685 


72.8 


Medicaid* 


3,574 


650 


3,870 


70.2 


1,044 


190 


3,846 


69.9 


Other Public' 


513 


55.3 


555 


599 


167 


180 


839 


90.3 


Private' 


1,995 


76.7 


2.127 


81.7 


645 


24.7 


2,147 


82.4 


Asian 


3,269 


71.6 


3.489 


76.4 


890 


19.4 


3,476 


76.4 


Public 


665 


55.4 


723 


60.1 


170 


14.0 


687 


56.8 


Medicaid^ 


611 


54.9 


666 


59.8 


150 


134 


614 


54.8 


Other Public' 


54 


62 1 


57 


64.0 


20 


225 


73 


82.0 


Private' 


2,549 


77.7 


2,707 


82.5 


706 


21.5 


2,745 


83.6 


Other' 


975 


64.7 


1,068 


70.5 


363 


24.0 


1,165 


77.4 


Public 


531 


599 


590 


66.2 


211 


23.7 


669 


74.9 


Medicaid* 


453 


61.8 


503 


68.5 


171 


23.3 


530 


72.0 


Other Public' 


78 


51.0 


87 


55.4 


40 


25.5 


139 


88.5 


Private' 


430 


73.6 


461 


78.8 


148 


254 


475 


81.2 



NOTE. All percentages are calculated based on only ttiose birttis witti known values for ttie cliaractenstic{s) of interest, unless otfien«ise slated 

Data on all indicators except for teen birttis were not provided for approx 1 .140 resident births occurring at Winctiester Hospital. 
1 . In ttie 'Birttis' category, percentages are based on Race/Etfiniaty totals (group column) For all ottier categories, percentages are based on Birth totals 
{row total) excluding unknowns for each charactenstic 2 Very Low Birthweight: less than 1.500 grams or 3 3 pounds 3 Low Birthweighf less than 2.500 
grams or 5,5 pounds 4 Total births does not equal Public + Pnvate Other categories of prenatal care payment are also included in Total: Workers' 
Compensation, self-paid, and other 5 Medicaid/MassHealth, 6. Other Public, Commonhealth. Healthy Start. Medicare, other government programs, and free 
care 7 Pnvate: commercial indemnity plans or commercial managed care org (HfVIO. 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 Mother was intending lo breastfeed at the time the birth certificate was 
completed 



63 



Table B-13. Birth Characteristics by Licensed Maternity Facility\ iVIassachusetts: 2000 



Facility 



Location 



Occurrence 
Births^ 

inl 



Low Public Payment Adequate 

Birthweight for Delivery^ Prenatal Care 
(%) (%) (%) 



STATE TOTAL" 



82,673 



7.1 



26.9 



79.0 



Anna Jaques Hospital 

Baystate Medical Center 

Berkshire Medical Center 

Beth Israel Deaconess Medical 
Center 



Newburyport 

Springfield 

Pittsfield 

Boston 



899 

4.923 

775 

4,876 



Holy Family Hospital and Medical 
Center 

Holyoke Hospital 

Jordan Hospital 

Lawrence General Hospital 

Leominster Hospital 

Lowell General Hospital 

Martha's Vineyard Hospital 



Methuen 

Holyoke 

Plymouth 

Lawrence 

Leominster 

Lowell 

Oak Bluffs 



1,371 

396 

783 

1,400 

1,403 

2,144 

107 



4.0 

10.3 

5.8 

12.0 



4.7 

4.3 
3.6 
5.1 
3.6 
5.1 



15.9 
43.1 
36.0 

16.5 



20.6 

45.7 
24.5 
56.9 
32.3 
33.2 
45.8 



83.4 
70.6 
64.1 

77.4 



Beverly Hospital 


Beverly 


2,508 


4.7 


26.8 


82.5 


Boston Medical Center 


Boston 


1,794 


11.0 


87.3 


45.2 


Brigham and Womens Hospital 


Boston 


10,042 


10.3 


17.6 


96.9 


Brockton Hospital 


Brockton 


1,661 


6.7 


48.1 


65.4 


Cambridge Birth Center 


Cambridge 


73 


0.0 


33.3 


60.3 


Cambridge Hospital 


Cambridge 


759 


2.0 


46.0 


59.1 


Cape Cod Hospital 


Barnstable 


977 


3.6 


30.5 


85.4 


Caritas Good Samaritan Medical 
Center 


Brockton 


759 


5.4 


33.3 


62.6 


Caritas Norwood Hospital 


Norwood 


628 


2.9 


13.9 


89.0 


Charlton Memorial Hospital 


Fall River 


1,651 


6.9 


40.3 


78.5 


Cooley Dickinson Hospital 


Northampton 


899 


2.4 


20.2 


87.7 


Deaconess-Waltham Hospital 


Waltham 


301 


3.0 


25.6 


83.7 


Emerson Hospital 


Concord 


1,510 


3.4 


3.7 


84.4 


Fairview Hospital 


Great Barrington 


156 


_5 


34.8 


81.8 


Falmouth Hospital 


Falmouth 


651 


3.6 


27.9 


76.6 


Franklin Medical Center 


Greenfield 


498 


4.2 


41.4 


79.7 


Hale Hospital 


Haverhill 


313 


5.4 


55.6 


72.5 


Harrington Memorial Hospital 


Southbridge 


443 


2.7 


39.8 


81.9 


Heywood Hospital 


Gardner 


561 


2.3 


36.1 


63.0 



70.5 

75.6 
69.8 
73.5 
79.4 
65.6 
83.2 



64 



Table B-13. (cont'd) Births Characteristics by Licensed Maternity Facility\ Massachusetts: 2000 



Facility 

Mary Lane Hospital 

Massachusetts General Hospital 

Melrose-Wakefield Hospital 

Mercy Hospital 

Metrowest Medical Center- 
Framingham Union Campus 

Milford-Whitinsville Regional 
Hospital 

Morion Hospital 

Mount Auburn Hospital 

Nantucket Cottage Hospital 

New England Medical Center 
Hospital 

Newton Wellesley Hospital 

North Adams Regional Hospital 

North Shore Birth Center 

North Shore Medical Center - 
Salem Hospital 

Saint Vincent Hospital 

Saints Memorial Medical Ctr.-St. 
John's Campus 

South Shore Hospital 

St Elizabeth's Medical Center of 
Boston 

St. Luke's Hospital 

Sturdy Memorial Hospital 

The Birthplace At Wellesley 

Tobey Hospital 

Umass Memorial Medical Center- 
West Campus 

Winchester Hospital'' 

All Other Hospitals 

Home Births, Enroute, Other 



Location 


Occurrence 

Births^ 

(n) 


Low 
Birthweight 

(%) 


Public Payment 

for Delivery^ 

(%) 


Adequate 
Prenatal Care 

(%) 


Ware 


196 


4.1 


40.3 


71.8 


Boston 


3,228 


8.7 


34 6 


68.0 


Melrose 


2,048 


4.7 


15.4 


88.1 


Springfield 


977 


3.4 


50.7 


70.8 


Framingham 


2,468 


5.3 


17.6 


93.0 



Milford 



774 



2.7 



Taunton 


637 


4.2 


Cambridge 


1,313 


3.8 


Nantucket 


96 


__s 


Boston 


1,587 


21.2 


Newton 


3,321 


4.2 


North Adams 


318 


3.5 


Beverly 


78 


0.0 


Salem 


1,701 


3.4 


Worcester 


1,841 


4.4 


Lowell 


682 


3.7 


Weymouth 


3,883 


4.3 


Boston 


1,791 


10.7 


New Bedford 


1,557 


6.0 


Attleboro 


1,209 


2.9 


Wellesley 


88 


0.0 


Wareham 


487 


3.3 


Worcester 


4,360 


11.1 


Winchester 


2,477 


4.6 




10 


_5 




285 


11.1 



15.4 



38.7 


74.1 


15.6 


84.9 


25.0 


73.4 


33.8 


76.5 


1.3 


84.1 


44.7 


84.0 


11.5 


84.4 


32.2 


53.1 


19.5 


80.4 


32.0 


68.2 


6.2 


91.2 


18.2 


85.7 


49.7 


75.1 


19.7 


79.1 


0.0 


75.3 


33.0 


73.5 


30.9 


73.7 


5.9 


84.6 


25.0 


50.0 


28.7 


52.2 



NOTE All percentages are calculated based on only those birttis witt) known values for the characteristic(s) of interest, unless otherwise stated. Boston Regional 
Medical Center closed to births on February 6. 1999, Also in 1999 there was a name change: Cantas Good Samantan l^edical Center from Good Samanlan (Medical 
Center In Octotier of 2000. Deaconess-Wallham Hospital closed, 1 A licensed maternity facility is a medical unit licensed by the Commonwealth for the care of women 
dunng pregnancy and childbirth 2, See Section Definition for explanation of occurrence births 3 Public payment for delivery includes Medicaid/Masshealth. 
Commonhealth. Medicare. Healthy Start, other government programs, and free care 4, 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 5 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. Bureau of Health Statistics. Research and Evaluation, Massachusetts Department of 
Public Health 6 Data on birth characteristics in this table were not provided for approx 1.180 occurrence births from Winchester Hospital, 



65 



Table B-13A. Caesarean Section Deliveries and Vaginal Births after Cesarean Section (VBACs) by 
Licensed Maternity Facility\ All Births, Massachusetts: 2000 





Occurrence 


Total C- 


Prima 


ry C- 


Repeat C- 






Facility 


Births^ 


Sections 


Section^ 


Section^ 


VBACs^ 






n 


%'■' 


n 


%'■' 


n 


,/^3,6 


n 


%' 


STATE TOTAL 


82,673 


19,390 


23.9 


12,865 


17.8 


6,525 


75.3 


2,139 


24.7 


Anna Jaques Hospital 


899 


200 


22.2 


127 


157 


73 


83.0 


15 


17.0 


Baystate Medical Center 


4,923 


1,060 


22.1 


678 


160 


382 


69.0 


172 


31.0 


Berkshire Medical Center 


775 


149 


19.2 


87 


12.6 


62 


75.6 


20 


244 


Beth Israel Deaconess Medical Center 4,876 


1,395 


28.6 


954 


22.4 


441 


71.7 


174 


28.3 


Beverly Hospital 


2,508 


502 


20.0 


317 


14.2 


185 


67.8 


88 


32.2 


Boston Medical Center 


1,794 


443 


24.7 


306 


19.0 


137 


74.9 


46 


25.1 


Brigham and Women's Hospital 


10,042 


2,514 


25.1 


1,759 


197 


755 


69.6 


330 


30.4 


Brockton Hospital 


1,661 


342 


20.6 


237 


156 


105 


75.0 


35 


25.0 


Cambridge Hospital 


759 


196 


25.8 


123 


184 


73 


79.3 


19 


20.7 


Cape Cod Hospital 


977 


215 


22.0 


128 


153 


87 


61.7 


54 


38.3 


Caritas Good Samaritan Medical 
Center 


759 


190 


25.0 


112 


17.0 


78 


76.5 


24 


23.5 


Cantas Norwood Hospital 


628 


155 


24.7 


108 


18.9 


47 


81.0 


11 


19.0 


Charlton Memorial Hospital 


1,651 


353 


21.4 


224 


15.0 


129 


81.1 


30 


18.9 


Cooley Dickinson Hospital 


899 


187 


20.8 


128 


15.8 


59 


64.8 


32 


35.2 


Deaconess-Waltham Hospital 


301 


60 


19.9 


38 


13.9 


22 


78.6^ 


6 


21.4' 


Emerson Hospital 


1,510 


370 


24.5 


224 


17.0 


146 


76.0 


46 


24.0 


Fairview Hospital 


156 


37 


23.7 


23 


17.0 


14 


66.7' 


7 


33.3' 


Falmouth Hospital 


651 


144 


23.5 


90 


16.6 


54 


76.1 


17 


23.9 


Franklin Medical Center 


498 


101 


20.3 


68 


15.2 


33 


66.0 


17 


34.0 


Hale Hospital 


313 


70 


22.4 


48 


16.8 


22 


81.5' 


5 


18.5' 


Harrington Memorial Hospital 


443 


101 


22.8 


55 


14.3 


46 


79.3 


12 


20.7 


Heywood Hospital 


561 


86 


15.3 


56 


110 


30 


56.6 


23 


43.4 


Holy Family Hospital and Medical 
Center 


1,371 


369 


26.9 


275 


21 9 


94 


83.2 


19 


16.8 


Holyoke Hospital 


396 


97 


24.6 


63 


17.9 


34 


81.0 


8 


19.0 


Jordan Hospital 


783 


206 


26.4 


132 


19.4 


74 


73.3 


27 


26.7 


Lawrence General Hospital 


1,400 


259 


18.5 


147 


117 


112 


81.2 


26 


18.8 


Leominster Hospital 


1,403 


311 


22.2 


175 


143 


136 


79.5 


35 


20.5 


Lowell General Hospital 


2,144 


431 


20.1 


282 


14.5 


149 


76.0 


47 


24.0 


Martha's Vineyard Hospital 


107 


25 


23.4 


16 


16.7 


9 


81.8' 


2 


9 


Mary Lane Hospital 


196 


46 


23.5 


27 


16.4 


19 


61.3 


12 


38.7 



66 



Table B-13A (cont'd). Caesarean Section Deliveries and Vaginal Births After Cesarean Section 
(VBACs) by Licensed Maternity Facility\ All Births, Massachusetts: 2000 



Facility 



Occurrence 
Births^ 



Total C- 
Sections 



Primary C- 
Section 
n %'■ 



Repeat C- 
Section 



VBACs' 



0/7 
/o 



Massachusetts General Hospital 

Melrose-Wakefield Hospital 

Mercy Hospital 

Metrowest Medical Center- 
Framinghiam Union Campus 

Milford-Whitinsville Regional Hospital 

Morton Hospital 

Mount Auburn Hospital 

Nantucket Cottage Hospital 

New England Medical Center Hospital 

Newton Wellesiey Hospital 

North Adams Regional Hospital 

North Shore Medical Center - Salem 
Hospital 

Saint Vincent Hospital 

Saints Memorial Medical Ctr.-St. 
John's Campus 

South Shore Hospital 

St. Elizabeth's Medical Center of 
Boston 

St. Luke's Hospital 

Sturdy Memorial Hospital 

Tobey Hospital 

UMass Memorial Medical Center-West 
Campus 

Winchester Hospital 



3,228 


706 


21.9 


518 


172 


188 


88.3 


25 


11.7 


2,048 


571 


27.9 


369 


20.7 


202 


75.4 


66 


24.6 


977 


195 


20.0 


123 


13.9 


72 


77.4 


21 


22.6 



2,468 



561 



22.7 



368 



164 



193 



85.0 



34 



15.0 



774 


183 


23.6 


135 


193 


48 


65.8 


25 


34.2 


637 


174 


27.9 


90 


17.6 


84 


75.0 


28 


25.0 


1,313 


302 


23.0 


212 


17,9 


90 


70.9 


37 


29.1 


96 


31 


32.3 


24 


27.0 


7 


100.0 





0.0 


1,587 


406 


25.6 


295 


20.5 


111 


75.0 


37 


250 


3,321 


885 


26.7 


605 


20.3 


280 


83.3 


56 


16.7 


318 


69 


21.7 


37 


13.7 


32 


68.1 


15 


31,9 


1,701 


393 


23.1 


238 


15.5 


155 


91 2 


15 


88 


1,841 


332 


18.1 


241 


14.3 


91 


58.7 


64 


41,3 


682 


158 


23.2 


109 


175 


49 


83.1 


10 


16.9 


3,883 


1,088 


28.0 


772 


21.9 


316 


89.8 


36 


10.2 


1,791 


538 


30.1 


352 


228 


186 


75.0 


62 


250 


1,557 


385 


24.9 


247 


181 


138 


77.5 


40 


22.5 


1,209 


348 


28.8 


200 


19.6 


148 


78.3 


41 


21.7 


487 


75 


17.1 


45 


11.4 


30 


71.4 


12 


28.6 


4,360 


1,070 


24.5 


689 


17.9 


381 


75.4 


124 


24.6 


2,477 


305 


23.6 


188 


163 


117 


81.3 


27 


18.8 



NOTE: All percentages are calculated based on only those births with known values for the characteristic{s) of Interest, unless otherwise stated. Deaconess-Waltham 
Hospital closed to births on October 1 . 2000, Data on method of delivery were not provided for approx, 1.180 occurrence births from Winchester Hospital. 

1 , A licensed maternity facility Is a medical unit licensed by the Commonwealth for the care of women dunng pregnancy and childbirth. 2 See Section Definitions for 
explanation of occurrence births, primary and repeat Caesarean sections, and VBACs, The percentages provided in this table are based on occun-ence births and may differ 
from data presented elsewhere in this book which are based on resident births, 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 
companng unadjusted percentages 4 Percentage of total Caesarean sections^ (total Cesarean births/all births) x 100 5 Percentage primary aaesarean sections=(pnmary 
Caesarean sections/all births-repeal Caesarean sections-VBACs) x 100 6. Percentage repeat Caesarean sections= (repeat Caesarean seclions/(repeat Caesarean 
sections * VBACs)) xlOO 7 Percentage VBACs= (VBAC deliveries/(repeat Caesarean sections + VBAC)) x 100. 8 This percentage is based on less than 40 total births 
and should be interpreted with caution 9 Calculations based on fewer than five events are excluded 



67 



Table B-14A. 


Birth Characteristics: Occurrence and Resident Births and Infant Deaths, 




Massachusetts Municipalities: 


2000 






Occurrence 


Resident Low 


Teen Births, 


infant 


Neonatal 


Community 


Births 


Births Birthweight 


< 20 years 


Deaths 


Deaths 


STATE TOTAL 


82,673 


81,582 5,711 


5,395 


377 


288 


Abington 


1 


214 18 


9 


4 


4 


Acton 


2 


247 10 


1 


1 


1 


Acushnet 





102 6 


9 


1 





Adams 


1 


93 ~ 


9 








Agawam 





285 13 


9 


2 


1 


Alford 


1 


3 











Amesbury 





194 14 


12 








Amherst 


3 


161 10 


6 


2 


1 


Andover 





338 10 


2 








Aquinnah (Gay Head) 


1 


5 











Arlington 


3 


541 22 


6 








Ashburnham 





49 


1 








Ashby 





34 


2 








Ashfield 


1 


21 


1 








Ashland 


1 


244 24 


5 


3 


2 


Athol 





132 - 


19 


1 





Attleboro 


1,210 


621 44 


47 


1 


1 


Auburn 


1 


176 10 


6 








Avon 





46 


3 








Ayer 


1 


136 11 


8 


3 


2 


Barnstable 


978 


481 25 


30 


4 


3 


Barre 





68 ~ 


2 








Becket 





16 


2 








Bedford 





168 14 





1 


1 


Belchertown 


2 


171 11 


5 








Bellingham 


2 


220 7 


7 


1 


1 


Belmont 


1 


278 19 


1 


3 


3 


Berkley 





75 


1 








Berlin 





31 











Bernardston 





16 


1 








Beverly 


2,586 


520 25 


22 


2 


1 


Billerica 


3 


514 23 


18 


4 


4 


Blackstone 





104 --' 


5 








Blandford 





8 


1 








Bolton 





69 











Boston 


23,363 


8,079 727 


805 


54 


43 


Bourne 





247 13 


9 


3 


3 


Boxborough 





61 











Boxford 





73 











Boylston 





41 











Braintree 


1 


417 22 


10 





" 



68 



Table B-14A. Birth Characteristics: Occu 
Massachusetts 



rrence and Resident Births and Infant Deaths, 
Municipalities: 2000 





Occurrence 


Resident 


Low 


Teen Births, 


Infant 


Neonatal 


Community 


Births 


Births 


Birthweight 


< 20 years 


Deaths 


Deaths 


Brewster 





52 


1 


1 


1 


1 


Bridgewater 


1 


299 


17 


11 


3 


3 


Brimfield 





38 


5 


4 








Brockton 


2,426 


1,559 


154 


219 


9 


6 


Brookfield 





25 


5 


4 








Brookline 


1 


614 


37 


6 








Buckland 





14 





1 








Burlington 


2 


297 


10 


1 


2 


1 


Cambridge 


2,157 


1,085 


76 


27 


4 


3 


Canton 


1 


265 


15 


2 








Carlisle 


1 


47 


1 











Carver 





123 


6 


8 


1 


1 


Charlemont 





15 





1 








Chiarlton 





156 


12 


3 








Chatham 





38 


1 











Chelmsford 


2 


443 


31 


12 


3 


2 


Chelsea 


1 


682 


54 


91 


3 


2 


Cheshire 





39 


1 


2 








Chester 





12 





1 








Chesterfield 





15 


1 


1 








Chicopee 





605 


57 


59 


2 


1 


Chilmark 





2 














Clarksburg 





9 














Clinton 


3 


173 


15 


14 








Cohasset 


1 


87 


1 


1 








Colrain 


1 


12 


1 











Concord 


1,512 


176 


10 


2 


2 


2 


Conway 


1 


11 














Cummington 





4 


1 











Dalton 





57 


1 


5 


1 





Danvers 





235 


13 


6 


3 


2 


Dartmouth 





264 


22 


18 








Dedham 





301 


21 


3 


2 


2 


Deerfield 


1 


43 


1 











Dennis 


1 


115 


8 


9 








Dighton 





65 


1 


1 








Douglas 





126 


5 


4 








Dover 





58 


1 











Dracut 


1 


375 


16 


16 








Dudley 





128 


14 


8 


1 





Dunstable 





45 





1 








Duxbury 





189 


13 


4 








East Bridgewater 





155 


17 


2 


2 


2 


East Brookfield 





21 


1 


1 








East Longmeadow 





154 


7 


6 









69 



Table B-14A. Birth Characteristics: Occurrence and Resident Births and Infant Deaths, 
Massachusetts Municipalities: 2000 





Occurrence 


Resident 


Low 


Teen Births, 


Infant 


Neonatal 


Community 


Births 


Births 


Birthweight 


< 20 years 


Deaths 


Deaths 


Eastham 





39 


_i 


1 


1 





Easthampton 


1 


169 


16 


12 








Easton 





266 


12 


3 








Edgartown 





40 


_i 


1 








Egremont 





6 














Erving 





18 


1 











Essex 





36 


_t 


1 








Everett 





495 


3d 


20 


3 


3 


Fairhaven 





130 


8 


3 


1 


1 


Fall River 


1,654 


1,187 


112 


154 


12 


10 


Falmouth 


653 


286 


20 


20 








Fitchburg 


5 


566 


41 


94 


3 


2 


Florida 





6 


1 


1 








Foxborough 


1 


230 


15 


3 


3 


3 


Framingham 


2,471 


991 


60 


45 


5 


4 


Franklin 


3 


523 


34 


3 


2 


2 


Freetown 





85 


_i 











Gardner 


561 


224 


10 


31 


2 


2 


Georgetow/n 





103 


__i 


3 


1 





Gill 





11 














Gloucester 


1 


335 


20 


26 








Goshen 





6 














Gosnold 





1 














Grafton 


1 


212 


10 


5 








Granby 





56 


_i 


3 








Granville 


■ 


19 














Great Barrington 


160 


51 


_1 


2 








Greenfield 


498 


204 


19 


22 








Groton 


1 


156 


18 











Groveland 





68 


7 


2 








Hadley 


2 


45 


5 


1 


2 


2 


Halifax 





93 


6 


3 








Hamilton 





102 


6 


1 








Hampden 





39 


1 


1 








Hancock 





6 





1 








Hanover 





156 


8 


2 


1 





Hanson 


1 


128 


7 


9 








Hardwick 





23 


_1 











Harvard 





44' 


1 











Harwich 





102 


_i 


3 








Hatfield 





18 














Haverhill 


314 


848 


68 


68 


4 


4 


Hawley 





2 














Heath 





10 


1 


1 








Hingham 





291 


12 


2 









70 



Table B-14A. 


Birth Characteristics: Occurrence and Resident Births a 


nd Infant Deaths, | 




Massachusetts Municipalities 


2000 








Occurrence 


Resident Low 


Teen Births, 


Infant 


Neonatal 


Community 


Births 


Births Birthweight 


< 20 years 


Deaths 


Deaths 


HinscJale 





10 


1 








Holbrook 





139 11 


1 








Holden 





167 16 


4 








Hollancj 





23 


2 








Holliston 





199 15 


1 


1 





Holyoke 


398 


663 62 


138 


2 


2 


Hopedale 





84 


1 








Hopkinton 


1 


227 13 


2 


1 


1 


Hubbardston 





59 5 


1 








Hudson 


1 


250 21 


9 








Hull 





107 9 


3 








Huntington 





22 











Ipswich 


1 


121 12 


4 








Kingston 





178 9 


3 


1 


1 


Lakeville 





130 9 


11 








Lancaster 


2 


73 


3 


2 


1 


Lanesborough 





32 -^ 











Lawrence 


1,400 


1,416 104 


284 


10 


8 


Lee 





45 


2 








Leicester 





117 5 


8 


1 


1 


Lenox 


2 


40 


1 








Leominster 


1,403 


589 35 


64 


1 


1 


Leverett 


1 


10 


1 








Lexington 





303 15 


3 








Leyden 





2 











Lincoln 





106 14 











Littleton 





135 6 


1 








Longmeadow 





139 6 


1 








Lowell 


2,830 


1,761 134 


251 


10 


9 


Ludlow 





169 11 


10 








Lunenburg 


1 


111 5 


3 








Lynn 


2 


1,446 112 


194 


12 


9 


Lynnfield 





126 7 





1 


1 


Maiden 





823 67 


26 


1 


1 


Manchester-by-ttie-Sea 





45 -' 











Mansfield 


1 


414 28 


6 


1 





Marblehead 





240 8 





2 


2 


Marion 





43 





3 


3 


Marlborough 


4 


617 43 


36 


2 


2 


Marshfield 





357 21 


7 


1 





Mashpee 


1 


152 17 


4 


1 





Mattapoisett 





61 6 


1 








Maynard 





174 16 


4 


1 


1 


Medfield 


1 


151 10 


1 








Medford 


3 


605 46 


11 


2 


2 



71 



Table B-14A. 


Birth Characteristics: Occurrence and Resident Births and Infant Deaths, 




Massachusetts Municipalities: 


2000 








Occurrence 


Resident Low 


Teen Births, 


Infant 


Neonatal 


Community 


Births 


Births Birthweight 


< 20 years 


Deaths 


Deaths 


Medway 





211 19 


3 


2 


2 


Melrose 


2,049 


383 25 


6 








Mendon 





61 5 


1 








Merrimac 





78 8 











Methuen 


1,372 


592 47 


35 


8 


8 


Middleborough 





251 13 


14 








Middlefield 





3 











Middleton 





81 5 


3 








Milford 


776 


375 25 


20 


3 


2 


Millbury 





142 12 


9 


1 





Millis 


1 


118 6 


3 








Millville 





39 --' 











Milton 





312 12 


5 








Monroe 





1 


1 








Monson 





98 -' 


10 








Montague 


5 


96 7 


11 








Monterey 





9 


2 








Montgomery 





12 


1 








Mount Washington 





2 











Nahant 





33 











Nantucket 


102 


141 10 


6 


1 


1 


Natick 


1 


503 29 


5 








Needham 


2 


401 18 





1 





New Astiford 





5 











New Bedford 


1,559 


1,311 93 


198 


6 


4 


New Braintree 





6 











New Marlborough 





17 


1 








New Salem 





12 











Newbury 





61 


1 








Newburyport 


900 


203 12 


9 








Newton 


3,321 


886 73 


8 


4 


3 


Norfolk 


1 


129 9 











North Adams 


319 


141 7 


31 








North Andover 





370 15 


1 


1 


1 


North Attleboro 


2 


413 31 


11 


1 


1 


North Brookfield 





51 


2 








North Reading 





202 17 


1 


1 


1 


Northampton 


904 


235 14 


12 








Northborough 





175 10 


3 








Northbridge 





197 12 


14 








Northfield 





26 -' 











Norton 





275 23 


16 








Norwell 





120 -^ 


2 








Norwood 


631 


347 21 


10 


1 


1 


Oak Bluffs 


108 


26 ~ 


1 









72 



Table B-14A. 


Birth Characteristics: Occurrence and Resident Births and Infant Deaths, 




Massachusetts Municipalities: 


2000 








Occurrence 


Resident Low 


Teen Births, 


infant 


Neonatal 


Community 


Births 


Births Birthweight 


< 20 years 


Deaths 


Deaths 


Oakham 





18 











Orange 





81 5 


11 








Orleans 





23 











Otis 





10 


1 








Oxford 


1 


170 10 


7 








Palmer 


1 


129 7 


16 








Paxton 





33 -' 


3 


1 


1 


Peabody 


1 


539 33 


20 


6 


4 


Pelham 





9 











Pembroke 





275 14 


5 


1 





Pepperell 





149 5 


8 








Peru 





8 











Petersham 





11 


2 








Phillipston 





16 


2 








Pittsfieid 


777 


484 44 


58 


1 





Plainfield 





5 











Plainville 


1 


105 --' 


5 








Plymouth 


786 


677 40 


23 


4 


3 


Plympton 





33 











Princeton 





25 


1 








Provincetown 





4 











Quincy 


2 


1,151 84 


39 


5 


4 


Randolph 


1 


445 36 


14 


2 


2 


Raynham 





124 9 


4 


1 


1 


Reading 


1 


287 19 


9 


2 


1 


Rehoboth 


1 


103 8 


3 








Revere 


1 


628 52 


35 








Richmond 





10 











Rochester 





43 


1 








Rockland 





230 19 


19 


2 


2 


Rockport 





60 --' 











Rowe 





5 











Rowley 





69 ~ 


1 








Royalston 





7 


1 








Russell 





14 


2 








Rutland 


1 


110 8 


3 








Salem 


1,703 


515 28 


34 


1 





Salisbury 





98 7 


13 


1 


1 


Sandisfield 





5 











Sandwich 


1 


218 7 


4 








Saugus 





286 25 


7 


1 


1 


Savoy 





6 


1 








Scituate 


1 


202 10 


2 








Seekonk 


1 


135 14 


7 


1 


1 


Sharon 


2 


213 15 


3 


1 


1 



73 



Table B-14A. 


Birth Characteristics: Occurrence and Resident Births and Infant Deaths, | 




Massachusetts Municipalities: 


2000 








Occurrence 


Resident Low 


Teen Births, 


Infant 


Neonatal 


Community 


Births 


Births Blrthwelght 


< 20 years 


Deaths 


Deaths 


Sheffield 


1 


28 


1 








Shelburne 





21 


2 








Sherborn 


1 


52 -' ■ 





1 


1 


Shirley 





64 


4 








Shrewsbury 





462 19 


5 








Shutesbury 


3 


18 











Somerset 





138 8 . 


9 


1 


1 


Somerville 


4 


928 63 


47 


6 


5 


South Hadley 





143 7 


6 








Southampton 





56 


2 








Southborough 


1 


154 7 


2 








Southbridge 


443 


242 19 


39 








Southwick 


1 


113 --' 


8 








Spencer 





139 10 


13 


1 





Springfield 


5,912 


2,503 227 


477 


15 


8 


Starting 





94 7 


2 


1 


1 


Stockbridge 





10 


1 








Stoneham 





263 18 


2 


1 


1 


Stoughton 


1 


320 27 


12 








Stow 


1 


88 5 ■ 











Sturbridge 





91 6 


5 


1 


1 


Sudbury 


1 


236 9 


1 


1 





Sunderland 





33 


2 








Sutton 





123 9 


4 


1 


1 


Swampscott 





175 11 


1 


1 


1 


Swansea 





139 8 


6 


1 


1 


Taunton 


637 


769 64 


62 


2 


1 


Templeton 





88 10 


4 








Tewksbury 





391 24 


8 


1 





Tisbury 


1 


37 


3 ■ 








Tolland 





4 











Topsfield 





69 -^ 











Townsend 


1 


115 6 


4 








Truro 





14 











Tyngsborough 





187 12 


8 








Tyringham 





2 











Upton 


1 


112 11 


3 


1 





Uxbridge 





186 13 


3 


1 


1 


Wakefield 





351 20 


1 








Wales 





20 ~ 


1 








Walpole 





303 18 


4 








Waltham 


302 


684 38 


16 


3 


1 


Ware 


196 


109 9 


9 


1 


1 


Wareham 


488 


225 9 


20 








Warren 





58 


5 









74 



Table B-14A. 


Birth Characteristics: Occurrence and Resident Births and Infant Deaths, | 




Massachusetts Municipalities: 2000 








Occurrence 


Resident Low Teen Births, 


Infant 


Neonatal 


Community 


Births 


Births Birthweight < 20 years 


Deaths 


Deaths 


Warwick 


1 


9 1 








Washington 





1 








Watertown 


2 


388 27 6 


2 


1 


Wayland 


2 


180 9 


1 


1 


Webster 


1 


195 13 14 








Wellesley 


88 


351 21 1 








Wellfleet 





17 " 2 








Wendell 





5 -' 


1 


1 


Wenham 





31 








West Boylston 





59 --' 2 








West Bridgewater 





81 -' 6 








West Brookfield 





30 --' 3 








West Newbury 





47 --' 








West Springfield 





291 14 23 








West Stockbridge 





7 1 








West Tisbury 


2 


32 -' 








Westborough 


3 


243 21 10 


3 


3 


Westfield 


1 


447 29 30 


4 


3 


Westford 





317 20 2 








Westhampton 





14 








Westminster 





77 --' 2 








Weston 


1 


93 8 








Westporl 





126 8 6 


1 


1 


Westwood 





193 10 1 








Weymouth 


3,883 


757 52 19 


4 


4 


Whately 





10 " 








Whitman 





195 17 6 


1 


1 


Wilbraham 





115 7 2 








Williamsburg 





22 ~ 








Williamslown 





46 -' 


1 





Wilmington 





318 15 2 


2 


2 


Winchendon 


1 


118 9 12 








Winchester 


2,478 


298 6 1 








Windsor 


1 


6 ~ 








Winthrop 





171 15 7 








Woburn 


2 


485 28 19 


4 


2 


Worcester 


6,223 


2,535 220 297 


25 


18 


Worthington 





11 -' 1 








Wrentham 





148 10 4 








Yarmouth 





204 15 14 


3 


3 


Unknown 





- 


-- 


- 



1 , Values of 1-4 for medical charactenslics of communities with less than 200 births are suppressed based on Guidelines for Release of Birth Data. Bureau of 
Health Statistics. Research and Evaluation, tulassachusetts Department of Public Health 



75 



Table B-14B 


. Birth Characteristics, 


Occurrence and Resident Births and Infant 




Deaths 


by County, Massachusetts: 2000 








Occurrence 














Births 




Resident Births 






Deaths 








Low 


Teen 






County Name 




Number 


Birthweight (< 


20 years) 


Infant 


Neonatal 


STATE TOTAL 


82,673 


81,582 


5,711 


5,395 


377 


288 


Barnstable 


1,634 


1,992 


119 


97 


13 


10 


Berkshire 


1,262 


1,210 


72 


123 


3 





Bristol 


5,065 


6,742 


508 


564 


30 


23 


Dukes 


112 


143 


6 


5 








Essex 


8,280 


9,553 


626 


750 


54 


43 


Franklin 


512 


706 


45 


56 


1 


1 


Hampden 


6.313 


5,900 


460 


802 


25 


15 


Hampshire 


1.108 


1.274 


81 


58 


5 


4 


Middlesex 


17,164 


19,381 


1,255 


667 


81 


63 


Nantucket 


102 


141 


10 


6 


1 


1 


Norfolk 


4,624 


8,555 


538 


163 


24 


22 


Plymouth 


3.704 


6,415 


448 


392 


33 


26 


Suffolk 


23,365 


9,560 


848 


938 


57 


45 


Worcester 


9,428 


10,010 


695 


774 


50 


35 





76 



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77 



DEATHS 



SECTION C 
DEATHS 



The number of Massachusetts resident deaths increased from 1999 (55,763 deaths) to 2000 
(56,591 deaths). However, the 2000 death rate of 891.3 per 100,000 population was only 
slightly higher than the 1999 death rate of 880.6. 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 data are used only for medical examiner data. 

DEATHS BY RACE/ETHNICITY 

From 1999 to 2000, the number of deaths by race/ethnicity remained relatively constant 
with White non-Hispanic residents comprising 94.7% of total deaths in Massachusetts. 
Black non-Hispanic deaths totaled 3.5% of total deaths, Hispanic deaths 1.1%, and Asian/ 
Pacific Islander non-Hispanic deaths 0.6%. 

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 63.0% of all resident deaths. The percent 
of deaths to residents in this age group vary widely by sex and race/ethnicity. 









% OF DEATHS 75 






% OF DEATHS 


YEARS AND 


SEX 


RACE 


UNDER AGE 75 


OLDER 


MALE 


WHITE NON-HISPANIC 


44.85 


55.15 




BLACK NON-HISPANIC 


71.48 


28.52 




HISPANIC 


84.52 


15.48 




ASIAN 


68.83 


31.17 




OTHER/UNKNOWN 


78.26 


21.74 




TOTAL 


47.07 


52.93 


FEMALE 


WHITE NON-HISPANIC 


26.57 


73.43 




BLACK NON-HISPANIC 


54.60 


45.40 




HISPANIC 


68.36 


31.64 




ASIAN 


50.46 


49.54 




OTHEPJUNKNOWN 


52.38 


47.62 




TOTAL 


28.32 


71.68 


TOTAL 


WHITE NON-HISPANIC 


34.92 


65.08 




BLACK NON-HISPANIC 


63.30 


36.70 




HISPANIC 


77.32 


22.68 




ASIAN 


60.22 


39.78 




OTHERyUNKNOWN 


65.91 


34.09 




TOTAL 


36.97 


63.03 



79 



DEATHS BY PLACE OF OCCURRENCE 

Between 1999 and 2000, there was little variation In the sites where deaths occurred. The 
data are presented below: 





% OF DEATHS 


% OF DEATHS 


SITE 


2000 


1999 


HOSPITAL 


44.6 


45.1 


NURSING OR REST HOME 


30.7 


30.2 


AT HOME 


20.8 


20.6 


EN ROUTE TO HOSPITAL OR DEAD ON ARRIVAL 


1.8 


1.8 


OTHER AND UNKNOWN' 


2.2 


2.2 


TOTAL 


100.0 


100.0 



DEATHS BY CAUSE 

In 1999, the International Classification of Disease, Tenth Revision (ICD-10) replaced the 
Ninth revision of this coding system. The World Health Organization developed the 
International Classification of Disease and the United States adopted it in accordance with 
an international agreement, to promote international comparability in collecting, 
classifying, and tabulating mortality statistics. 

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 markedly by race and ethnicity in 2000, 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 Blacks non-Hispanics 
included AIDS/HIV-related diseases and perinatal conditions, which occur more frequently 
among younger people. For Asians non-Hispanics, motor vehicle-related injuries, 
unintentional non-transport injuries, and perinatal conditions were among the top ten 
leading causes of death; although these numbers are fairly low and should be interpreted 
with caution. For Hispanics, AIDS/HIV-related diseases, perinatal conditions, homicide, 

' Other and Unknown includes prison or other institutions and all other places. 



80 



motor vehicle injuries, and injuries of undetermined intent were among the leading causes 
of death in 2000. 

ACQUIRED IMMUNE DEFICIENCY SYNDROME (AIDS) 

In 2000, 226 Massachusetts residents died from AIDS and HIV-related illnesses. This 
number of deaths is a decrease of 16 from 1999. This represents a continuing downward 
trend in the number of HIV/AIDS deaths since 1995. The marked decline in the number of 
deaths from AIDS and HIV-related diseases since 1996 is due in large part to improved 
treatment efforts that have resulted in increased longevity. The proportion of female 
HIV/AIDS deaths increased between 1999 and 2000 as did the proportion among those 45 
years and older when compared with previous years. 

DEATHS CERTIFIED BY MEDICAL EXAMINERS 

The total number of deaths certified by medical examiners decreased slightly from 3,783 in 
1999 to 3,753 in 2000. Of the deaths certified by medical examiners, 44.0% 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 59.6% in Franklin County to a low of 18.2% in Dukes County (this percentage is 
based on only 11 deaths and should be interpreted with caution). Suffolk County had the 
greatest percentage of deaths (27.1%) that were referred to medical examiners, while the 
highest number of such deaths was in Middlesex County with 2,389 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-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. 



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82 



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 as 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. 



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 occurrence. 



INTERNATIONAL CLASSIFICATION OF DISEASES. NINTH REVISION 

The International Classification of Disease (ICD) classifies mortality information for 
statistical purposes. The ICD was first used in 1900 and has since been revised about 
every 10 years. The Tenth Revision is used to code mortality data beginning with 1999. 



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 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 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. 



RACE 

For death records, race is provided by the death record informant (for example, spouse or 
next of kin). 



83 



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 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 



84 



Figure C-1. Daily Death statistics 
Massachusetts: 2000 

Every day in 2000, residents of Massachusetts experienced an average of the following: 



1 infant Death 



1 HIV/AIDS Death 



4 Alzheimer's Deaths 



4 Diabetes Deaths 



42 Heart Disease Deaths 




38 Cancer Deaths 



7 Injury Deaths 



18 Respiratory Deaths 



10 Stroke Deaths 



1 Motor Vehicle Death 


1 Suicide Death 


5 Other Intentional & 
Unintentional Injury Deaths 



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Figure C-2 



Expected Years of Life Remaining at Different Ages by Race, 
Massachusetts: 2000 



White, non-Hispanic 
BlacK non-Hispanic 
Hispanic 










Years of Life Remaining^ 


Massachusetts: 


2000 






At Age: 


All 


White, non- 
Hispanic 
Females Females 


Black, non- 
Hispanic 
Females 


Hispanic 
Females 


Males 


White, non- 
Hispanic 
Males 


Black, non- 
Hispanic 
Males 


Hispanic 
Males 


Birth 


78.5 


80.8 


80.9 


77.2 


84.8 


75.9 


76.1 


70.9 


80.8 


1 year old 


77.9 


80.1 


80.2 


77.3 


84.3 


75.3 


75.4 


70.9 


80.2 


5 years old 


73.9 


76.2 


76.2 


73.4 


80.4 


71.4 


71.5 


67.0 


76.3 


15 years old 


64.0 


66.3 


66.3 


63.6 


70.5 


61.5 


61.6 


57.3 


66.5 


25 years old 


54.3 


56.4 


56.4 


53.8 


60.7 


51.9 


51.9 


48.0 


57.0 


35 years old 


44.6 


46.7 


46.7 


44.3 


51.0 


42.3 


42.3 


38.9 


47.8 


45 years old 


35.3 


37.1 


37.1 


35,1 


41.7 


33.1 


33.1 


29.8 


39.1 


55 years old 


26.3 


28.0 


27.9 


26.7 


32.6 


24.3 


24.3 


22.1 


30.6 


65 years old 


18.2 


19.6 


19.5 


18.9 


24.3 


16.5 


16.4 


15.4 


23.7 


75 years old 


11.5 


12.4 


12.3 


12.5 


17.7 


10.2 


10.1 


10.1 


18.3 


85 years old 


6.4 


6.8 


6.7 


7.3 


13.1 


5.7 


5.6 


6.9 


14.9 


1. Years of Life Remaining calculated using the Greville Abridged Life Table Method, (source; Dublin LI. Length of Life - A Study of the Life 
Table Ronald Press Co. New York. 1949 ) DPH 2000 Preliminary Population Estimates (released January 2002) are used as the denominator 



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89 



Table C-3A. Leading Causes of Death, Numbers and Age- 
Specific Rates, Massachusetts: 2000 



Age 



Cause of death^ 



Deaths 



Number 



Rate'' 



1-14 years TOTAL 

Cancer 

Unintentional non-transport injuries^ 
Motor vehicle-related injuries 
Heart Disease 

15 -24 years TOTAL 

Motor vehicle-related injuries 

Suicide 

Injuries of undetermined intent" 

Homicide 

25-44 years TOTAL 

Cancer 
Heart Disease 

Injuries of undetermined intent'' 
Suicide 
45-64 years TOTAL 
Cancer 
Heart Disease 

Chronic Lower Respiratory Disease^ 
Diabetes 
65+ years* TOTAL 

Heart Disease 

Cancer 

Stroke 

Chronic Low/er Respiratory Disease^ 



181 


15.3 


31 


2.6 


29 


2.5 


16 


1.4 


15 


1.3 


403 


49.1 


121 


14.8 


53 


6.5 


51 


6.2 


45 


5.5 


2,375 


119.4 


456 


22.9 


329 


16.5 


285 


14.3 


178 


8.9 


7,841 


552.3 


3,108 


218.9 


1,699 


119.7 


267 


18.8 


245 


17.3 


45,413 


5,279.6 


13,235 


1,538.7 


10,376 


1,206.3 


3,371 


391.9 


2,619 


304.5 



1. Cause of Death classified using ICD-10 See page 122 for ICD-10 codes 2. Number of deaths per 100,000 residents in each age group. 
3. Unintentional non-transport injuries include injuries such as falls, fires, and drownings thai were not intended to occur Motor vehicle- 
related injuries and other transportation-related injuries are not included in these numtiers 4 Injuries of undetermined intent include deaths 
ft^om drug overdoses, falls, and fires where the investigation has not determined whether the injunes were unintentional or purposely inflicted 
5. The title of this cause of death has changed between ICD-1 and ICD-9 Chronic Lower Respiratory Disease (ICD-1 title) corresponds to 
Chronic Obstnjctive Pulmonary Disease (COPD) (ICD-9 title) 6. See Table C-3b for leading causes of death for detailed age groups for 
persons ages 65+ years 



90 



Table C-3B. Leading Causes of Death Among the Oldest Age Groups, 






Numbers and Age-Specific 


Rates 


Massachusetts 


2000 




Age 


Cause of death^ 






Deaths 




Number 


Rate' 


65-74 years 


TOTAL 






9,746 


2,278.0 




Cancer 






3,639 


850.6 




Heart Disease 






2.341 


547.2 




Chronic Lower Respiratory Disease'' 






674 


157.5 




Strol<e 






438 


102.4 


75-84 years 


TOTAL 






17,554 


5,561.4 




Heart Disease 






4.826 


1,529.0 




Cancer 






4.493 


1,423.5 




Stroke 






1,254 


397.3 




Ctironic Lower Respiratory Disease'' 






1,171 


371.0 


85+ years 


TOTAL 






18,113 


15,522.1 




Heart Disease 






6,068 


5,200.0 




Cancer 






2.244 


1,923.0 




Stroke 






1.679 


1,438.8 




Influenza and Pneumonia 






1.161 


994.9 


1 Cause of Death classified according to ICD-10 See page 122 for ICD-10 codes. 


2. Number of deaths per 100,000 residents in each age group | 


3 Tfie 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 Pulmonar) 


Disease (COPD) (ICD-9 title). 











91 



Figure C-3 



Trends in Deaths from Selected Causes, 
Massachusetts: 1842-2000 



70 T 



60 



50 - 



/V^^ 



Infectious Diseases 



Heart Disease 



^ 40 



° 30 



20 



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98 



Table C-7. Number and Age-Adjusted Rates of Cancer Deaths by 
Selected Causes and Gender, Massachusetts: 2000 



Cause of Death^ 



ICD-10 
Code 



Total 



Rate^ 



Female 



Rate 



Male 



Rate 



Total Cancer Deaths 


C00-C97 


Bladder 


C67 


Brain and nervous system 


C70-C72 


Cervix 


C53 


Colorectal 


C18-C21 


Esophagus 


C15 


Female breast 


C50^ 


Hodgkin's disease 


C81 


Kidney and other urinary 


C64, C65 


organs 




Leukemia 


C91-C95 


Lung 


C33, C34 


Melanoma of the skin 


C43 


Multiple myeloma 


C88, C90 


Non-Hodgkin's lymphoma 


C82-C85 


Ovary 


C56 


Pancreas 


C25 


Prostate 


C61 


Stomach 


C16 


Uterus 


C54, C55 


All other cancers 


Residual 



14,006 


206.9 


7,021 


175.7 


6,985 


258.3 


328 


4.8 


120 


2.8 


208 


8.0 


309 


4.7 


137 


3.7 


172 


5.9 


72 


2.0 


72 


2.0 





0.0 


1,511 


22.0 


761 


18.0 


750 


28.2 


352 


5.3 


80 


2.0 


272 


9.7 


1,055 


27.0 


1,055 


27.0 





0.0 


22 


0.3 


15 


0.4 


7 


0.2 


281 


4.2 


98 


2.4 


183 


6.6 


504 


7.5 


230 


5.7 


274 


10.0 


3,763 


56.2 


1,733 


44.5 


2,030 


73.5 


227 


3.4 


94 


2.5 


133 


4.7 


243 


3.6 


126 


3.1 


117 


4.4 


509 


7.5 


269 


6.6 


240 


8.8 


352 


9.1 


352 


9.1 





0.0 


794 


11.7 


437 


10.7 


357 


12.9 


765 


31.0 





0.0 


765 


31.0 


376 


5.5 


142 


3.3 


234 


8.8 


176 


4.5 


176 


4.5 





0.0 


2,367 


34.9 


1,124 


27.4 


1,243 


45.4 



1. Common terms are used to describe the causes of cancer deaths. For detailed temiinology of cancer sites, please refer to ICD-10 code on page 122. 

2. All rates are age-adjusted by the direct method using the 2000 US standard population. Rates are per 100,000 population, 3 The total resident 
population is used to calculate all 'Total Rates" except for ICD-10 050. C53-C56, which are based on the total female population, and ICD-10 061, 
which is based on the total male population 4 Calculations based on fewer than five events are excluded 5 Includes only female breast cancer. 



99 



Table C-8. Selected Causes of Cancer Deaths by Age, Massachusetts: 2000 



Age 



Cause of death^ 



ICD-10Code 



Number Age-specific rate 



1-14 years TOTAL 

Brain and nervous system C70-C72 

Leukemia C91-C95 

Kidney and other urinary organs C64, C65 

Non-Hodgkin's lymphoma C82-C85 



31 
12 

9 
1 
1 



2.6 

1.0 
0.8 



15- 24 years 


TOTAL 








Brain and nervous 


system 


C70-C72 




Non-Hodgkin's lymphoma 


C82-C85 




Melanoma of the skin 


C43 




Leukemia 




C91-C95 


25-44 years 


TOTAL 








Lung 




C33, C34 




Female breast" 




C50 




Brain and nervous 


system 


C70-C72 




Colorectal 




C18-C21 


45 - 64 years 


TOTAL 








Lung 




C33. C34 




Female breast" 




C50 




Colorectal 




C18-C21 




Pancreas 




C25 


65 + years 


TOTAL 








Lung 




C33, C34 




Colorectal 




C18-C21 




Prostate^ 




C61 




Female breast" 




C50 


65-74 years 


TOTAL 








Lung 




C33, C34 




Colorectal 




C18-C21 




Female breast" 




C50 




Pancreas 




C25 


75-84 years 


TOTAL 








Lung 




C33, C34 




Colorectal 




C18-C21 




Prostate^ 




C61 




Pancreas 




C25 


85+ years 


TOTAL 








Lung 




C33, C34 




Colorectal 




C18-C21 




Prostate^ 




C61 




Female breast" 




C50 



31 

5 
4 
3 

3 

456 
67 
62 

37 
31 

3,108 

933 
314 
265 
174 

10,376 

2,761 

1,214 

712 

679 



3,639 

1,203 
334 
213 
206 

4,493 

1,184 
540 
332 
278 

2,244 

374 
340 
236 
207 



3.8 

0.6 



22.9 

3.4 
6.1 
1.9 
1.6 

218.9 

65.7 
42.7 

18.7 
12.3 

1,206.3 

321.0 
141.1 
208.5 
130.9 



850.6 

281.2 
78.1 
89.7 
48.1 

1,423.5 

375.1 

171.1 

276.0 

88.1 

1,923.0 

320.5 
291.4 
762.6 
241.4 



1. Common temisare used to describe causes of cancer death. For detailed terrninology. please refer to the ICD-10 codes listed on page 122 2. 
Numtjer 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. 



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101 



Table C-10A. Injury 
Numbers, 



Deaths by Gender, Age, Race and Hispanic Ethnicity: 
Age-Adjusted, and Age-Specific Rates, Massachusetts: 2000 



Cause of 
Death^ 



All Injuries 



Motor 
Vehicle^ 



Suicide 



Homicide Other Injuries^ 



Age/Gender 


#' 


Rate* 


« 


Rate 


n 


Rate 


n 


Rate 


n 


Rate 


All Persons 


2,386 


36.1 


490 


7.6 


401 


6.2 


125 


2.0 


1,370 


20.3 


<1 


8 


10.1 





0.0 





00 


2 


6 


6 


7.6 


1-14 


54 


4.6 


16 


1.4 


3 


6 


4 


__6 


31 


2.6 


15-24 


283 


34.5 


121 


14.8 


53 


6.5 


45 


5.5 


64 


7.8 


25-44 


763 


38.3 


137 


6.9 


178 


8.9 


60 


3.0 


388 


19.5 


45-64 


497 


35.0 


110 


7.7 


123 


8.7 


12 


0.8 


252 


17.7 


65+ 


781 


90.8 


106 


12.3 


44 


5.4 


2 


_6 


629 


73.1 


65-74 


167 


39.0 


40 


9.3 


18 


4.2 


2 


6 


107 


25.0 


75-84 


297 


94.1 


53 


16.8 


20 


6.3 





0.0 


224 


71.0 


85+ 


317 


271,7 


13 


11.1 


6 


5.1 





0.0 


298 


255.4 


All Females 


853 


22.4 


158 


4.6 


106 


3.2 


37 


1.1 


552 


13.5 


<1 


4 


6 





0.0 





0.0 





0.0 


4 


6 


1-14 


20 


3.5 


5 


0.9 


1 


6 


2 


6 


12 


2.1 


15-24 


68 


16.6 


34 


8.3 


8 


1.9 


5 


1.2 


21 


5.1 


25-44 


209 


20.7 


34 


3.4 


50 


4.9 


24 


2.4 


101 


10.0 


45-64 


146 


19.9 


38 


5.2 


39 


5.3 


4 


__6 


65 


8.8 


65+ 


406 


78.3 


47 


9.1 


8 


1.5 


2 


__6 


349 


67.3 


65-74 


64 


26.9 


11 


4.6 


4 


6 


2 


6 


47 


19.8 


75-84 


145 


74.2 


31 


15.9 


4 


6 





0.0 


110 


56.3 


85+ 


197 


229.8 


5 


5.8 





0.0 





0.0 


192 


223.9 


All Males 


1,533 


52.1 


332 


11.0 


295 


9.6 


88 


2.8 


818 


28.6 


<1 


4 


6 





0.0 





0.0 


2 


__6 


2 


6 


1-14 


34 


5.6 


11 


1.8 


2 


6 


2 


__6 


19 


3.1 


15-24 


215 


52.5 


87 


21.3 


45 


11.0 


40 


9.8 


43 


10.5 


25-44 


554 


56.6 


103 


10.5 


128 


13.1 


36 


3.7 


287 


29.3 


45-64 


351 


51.3 


72 


10.5 


84 


12.3 


8 


1.2 


187 


27.3 


65+ 


375 


109.8 


59 


17.3 


36 


10.5 





0.0 


280 


82.0 


65-74 


103 


54.1 


29 


15.2 


14 


7.4 





0.0 


60 


31.5 


75-84 


152 


126.4 


22 


18.3 


16 


13.3 





0.0 


114 


94.8 


85+ 


120 


387.7 


8 


25.8 


6 


19.4 





0.0 


106 


342.5 


1. Data presented in this table are classified according to ICD-10 Please refer to page 122 for list of ICD-10 codes used in this table 2 Motor vehicle deaths to 
occupants, pedestrians, motorcyclists and bicyclists. 3 Other Injuries include deaths such as drownings, fires, falls and drug overdoses This category includes 
deaths from unintentional injunes and injuries of undetermined intent (deaths where investigation has not determined whether the injuries were accidental or 
purposely inflicted) 4 Column sum may not equal total because age or race of some decedents was not known 5 Numtier 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 6. Calculations based on fewer than five 
events are excluded. 7 Race categories presented in this report differ from previously published data Race and ethnicity data in this table are presented as 
mutually exclusive calegones: persons of Hispanic ethnicity are not included in a race category 



102 



Table C-10A. 


continued) Injury 


Deaths 


by Gender, Age, Race and Hispanic 


Ethnicity: 








Numbers, 


Age-Adjusted, 


and Age 


-Specific 


Rates 


Massachusetts: 2000 




Cause of 


All 


Injuries 


Motor Vehicle^ 


Su 


icide 


Homicide 


Other Injuries^ 


Death^ 
Race/Gender' 






















U* 


Rate' 


it 


Rate 


# 


Rate 


# 


Rate 


# 


Rate 


White, non- 






















Hispanic 


2,041 


35.2 


406 


7.4 


357 


6.5 


53 


1.0 


1.225 


20.3 


Females 


757 


22.2 


134 


4.5 


93 


3.3 


23 


0.8 


507 


13.6 


Males 


1,284 


50.6 


272 


10.7 


264 


10.1 


30 


1.2 


718 


28.6 


Black, non- 






















Hispanic 


149 


47.3 


24 


7.4 


17 


4.9 


39 


10.1 


69 


24.8 


Females 


45 


28.2 


6 


3.6 


5 


2.6 


6 


3.4 


28 


18.6 


Males 


104 


68.3 


18 


11.4 


12 


7.4 


33 


17.0 


41 


32.6 


Asian, non- 






















Hispanic 


47 


23.7 


20 


8.1 


5 


3.0 


6 


1.9 


16 


10.8 


Females 


18 


18.5 


8 


6.9 


2 


6 


1 


6 


7 


9.3 


Males 


29 


29.2 


12 


9.3 


3 


_6 


5 


3.5 


9 


11.9 


Hispanics 


147 


36.9 


39 


10.1 


22 


4.4 


27 


5.3 


59 


17.1 


Females 


33 


16.5 


10 


5.5 


6 


3.1 


7 


2.7 


10 


5.2 


Males 


114 


59.9 


29 


14.8 


16 


5.5 


20 


8.0 


49 


31.5 


1 Data presented in 


tfiis table are classified accord 


ngtolCD-10 


Please refer to page 122 for listof ICD-10 codes used in this table 2 


Motor vehicle deaths to 


occupants, pedestnans. motorcyclists and bicyclists 


3 Otfier Injunes include deattis such 


as drownings, fires, falls a 


nd dnjg overdoses 


This category includes 


deaths from unintentional injunes 


and injunes of undetermined intent (deattis 


where investigation has not determined whether the injunes were accidental or 




purposely inflicted) 


4 Column sum may not equal total because age or race 


of some decedents was not known 5 


Number of deaths per 1 00,000 persons in | 


eacti age group, rates for all rows except tfie age group rows are 


age-adjusted to the 2000 US standard population 6 


Calculations based on fewer than five 




events are excluded 


7. Race and ethnicity data in Itiis table are 


presented as mutually exclusive categories 


. Persons of Hispanic ethnicity are not included in a | 


race category. 























103 



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108 





TableC-12 


. HIV/AIDS' Deaths by Race, Hispanic 


Ethnicity, and Gender 










Persons Ages 25-44, Massachusetts: 


1990- 


-2000 










White, non-Hispanic^ 


Black, non-Hispanic^ 




Hispa 


nic 




TOTAL 


















Year 


# Rate' 


# Rate 


# Rate # 


Rate 


# 


Rate 


# 


Rate 




Comparability 
Unmodified 


Comparability 
Modified* 


Comparability Comparability 
Unmodified Modified' 


Comparability 
Unmodified 


Comparability 
Modified" 


1990 


230 13.0 


NA NA 


73 76.5 NA 


NA 


40 


42.4 


NA 


NA 


1991 


357 20 1 


NA NA 


99 102.9 NA 


NA 


55 


55.6 


NA 


NA 


1992 


362 205 


NA NA 


105 111.0 NA 


NA 


79 


78.3 


NA 


NA 


1993 


391 22.3 


NA NA 


122 130.4 NA 


NA 


76 


73.0 


NA 


NA 


1994 


451 256 


480 27.2 


152 162.0 162 


172.3 


127 


1183 


135 


125.8 


1995 


428 243 


455 25.8 


159 169.7 169 


180.5 


124 


113.0 


132 


120.2 


1996 


251 142 


267 15.1 


113 121.1 120 


128.8 


85 


75.4 


90 


80.2 


1997 


86 49 


98 5.6 


48 51.3 55 


58.7 


36 


31.1 


41 


35.6 


1998 


68 39 


78 4.5 


38 40.7 44 


46.6 


47 


39.8 


54 


45.6 


1999 


74^" 


4^4 


32^ "b'l.'i " ' 






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2000 


60^ 


3.7 


28' 25.3 






40' 


27.9 




MALE 


















1990 


212 24.3 


NA NA 


50 107.2 ^^ 


NA 


36 


77.2 


NA 


NA 


1991 


322 36.7 


NA NA 


71 150.7 ^^ 


NA 


39 


79.5 


NA 


NA 


1992 


328 37.6 


NA NA 


79 170.0 ^^ 


NA 


64 


127.7 


NA 


NA 


1993 


350 40.3 


NA NA 


91 197.6 ^^ 


NA 


57 


110.3 


NA 


NA 


1994 


388 44.5 


413 473 


113 244.3 120 


259.9 


93 


174.2 


99 


185.3 


1995 


367 42.1 


390 44.8 


112 242.2 119 


257.6 


90 


164 5 


96 


175.0 


1996 


221 25.3 


235 26.9 


73 158.1 78 


168.2 


61 


108.5 


65 


115.4 


1997 


71 8.1 


81 9.3 


30 64.6 34 


74.0 


28 


48,5 


32 


55.5 


1998 


57 6.6 


,65 7.6 


27 58.2 .,..31.. 


66.6 


34 


577 


....._3?.. 


66.1 


1999 


"" 54«" 


6.5 


20' 39.9 






3Q6-" 


46.2 




2000 


39' 


4.8 


17' 31.9 






27' 


28.4 




FEMALE 


















1990 


18 2.0 


NA NA 


23 47.1 NA 


NA 


4 


__5 


NA 


NA 


1991 


35 3.9 


NA NA 


28 57.1 NA 


NA 


16 


320 


NA 


NA 


1992 


34 3.8 


NA NA 


26 54.0 NA 


NA 


15 


29.5 


NA 


NA 


1993 


41 4.6 


NA NA 


31 65.2 NA 


NA 


19 


363 


NA 


NA 


1994 


63 7.1 


67 7.6 


39 82.0 41 


87.2 


34 


630 


36 


67.0 


1995 


61 6.9 


65 7.3 


47 99.0 50 


105.3 


34 


61 8 


36 


65.7 


1996 


30 3.4 


32 3.6 


40 ■ 84.9 43 


90.3 


24 


42.4 


26 


45.1 


1997 


15 1.7 


17 1.9 


18 38.2 21 


43.7 


8 


13.8 


9 


15.8 


1998 


11 1.3 


13 1.5 


11 23.4 13 


...2.6..8. 


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22.0 


15 


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1999 


20'"" 


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11' 19.2 






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1. AIDS and HIV disease cJeaths for years 1989-1998 coded us 
in this table are presented as mutually excJusive categones P« 
residents in the specified population group 4 Comparability Mc 
2001) CM data for 1994-1996 use 1996 based CR. CM data fc 
time between 1994 through 2000. please use comparability men 


ng ICD-9 042-044. 1999 and 2000 deaths coded us 
rsons of Hispanic ethnicity are not included in a race 
dified (CM) number and rate based on preliminary c 
)r 1997-1998 use revised 1998 based CR, 5. NA= n 
dified data for years 1994-1998 


ing (CD-10 B20-B24 2 Race and ethnicity data 
category, 3 Number of deaths per 100.000 
omparability ratios (CR) from NCHS (June 
ol applicable, 6. When comparing data over 



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Table C-13B. 


Medical Examiner Certified Deaths by County, 








Massachusetts Occurrence: 


2000 


















Natural Cause 








Occurrence 


ME 


Referred-Not 


Deaths Certified 


County 




Population 


Deaths 


Certified 


Certified by ME. 


By ME 


Total 


# 


6,349,098 


57,510 


3,753 


9,343 


1,652 




% 


100.00% 


100.00% 


6.53% 


16.25% 


44.02% 




Rank 


- 










Barnstable 


# 


222,230 


2,621 


145 


364 


67 




% 


3.50% 


4.46% 


5.53% 


13.89% 


46.21% 




Rank 


9 


9 


12 


10 


8 


Berkshire 


# 


134,953 


1,641 


98 


260 


46 




% 


2.13% 


2.80% 


5.97% 


15.84% 


46.94% 




Rank 


11 


10 


8 


7 


5 


Bristol 


# 


534,678 


4,787 


312 


723 


145 




% 


8.42% 


8.15% 


6.52% 


15.10% 


46.47% 




Rank 


6 


7 


7 


8 


7 


Dukes 


# 


14,987 


102 


11 


11 


2 




% 


0.24% 


0.17% 


10.78% 


10.78% 


18.18% 




Rank 


13 


13 


1 


13 


13 


Essex 


# 


723,419 


6,143 


363 


816 


156 




% 


11.39% 


10.46% 


5.91% 


13.28% 


42.98% 




Rank 


3 


4 


9 


11 


9 


Franklin 


# 


71,535 


543 


52 


66 


31 




% 


1.13% 


0.92% 


9.58% 


12.15% 


59.62% 




Rank 


12 


12 


2 


12 


1 


Hampden 


# 


456,228 


5,067 


331 


939 


142 




% 


7.19% 


8.63% 


6.53% 


18.53% 


42.90% 




Rank 


8 


6 


6 


1 


10 


Hampshire 


# 


152,251 


1,094 


64 


177 


30 




% 


2.40% 


1.86% 


5.85% 


16.18% 


46.88% 




Rank 


10 


11 


10 


5 


6 


Middlesex 


# 


1,465,396 


11,184 


591 


1,798 


290 




% 


23.08% 


19.05% 


5.28% 


16.08% 


49.07% 




Rank 


1 


1 


13 


6 


4 


Nantucket 


# 


9,520 


49 





1 







% 


0.15% 


0.08% 


0.00% 


2.04% 


- 




Rank 


14 


14 


14 


14 


- 


Norfolk 


# 


650,308 


5,220 


300 


783 


160 




% 


10.24% 


8.89% 


5.75% 


15.00% 


53.33% 




Rank 


5 


5 


11 


9 


2 


Plymouth 


# 


472,822 


3,454 


247 


561 


131 




% 


7.45% 


5.88% 


7.15% 


16.24% 


53.04% 




Rank 


7 


8 


4 


4 


3 


Suffolk 


# 


689,807 


8,640 


750 


1,587 


295 




% 


10.86% 


14.72% 


8.68% 


18.37% 


39.33% 




Rank 


4 


2 


3 


2 


11 


Worcester 


# 


750,963 


6,965 


489 


1,257 


157 




% 


11.83% 


11.86% 


7.02% 


18.05% 


32.11% 




Rank 


2 


3 


5 


3 


12 



The percentages and ranks in the Medical Examiner Certified Deaths column and the Referred column are based i 
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. 



113 



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146 



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 9.8% in Massachusetts from 418 in 1999 to 377 in 2000. The rate of infant 
deaths also decreased from 5.2 infant deaths per 1,000 live births in 1999 to 4.6 infant 
deaths per 1,000 live births in 2000. 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) decreased from 332 in 1999 to 
288 in 2000, a decrease of 13.3%. The rate of neonatal deaths also decreased, from 4 1 in 
1999 to 3.5 in 2000. 



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/ethnicity 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. 

Infants born to Black, non-Hispanic mothers continue to have the highest infant mortality 
rates (IMRs). The IMR for Black, non-Hispanics in 2000 was 12.8 per 1,000 live births. This 
represents an increase of 0.5 (4.1%) from the 1999 rate, and it is over triple the IMR for 
White, non-Hispanic infants. 

In 2000, the IMR for Hispanics had decreased from 5.5 in 1999 to 5.2 per 1,000 live births in 
2000. The mortality experience of infants born to Hispanic mothers is more similar to the 
experience of infants born to white non-Hispanic mothers than to black non-Hispanic 
mothers. The 2000 IMR of 5.2 for Hispanic infants is 26.9% higher than the white non- 
Hispanic rate and 59.4% below the black non-Hispanic rate. 

Asian mothers had the second lowest rate of infant mortality compared to the other 
race/ethnicity groups. They have been the lowest group in recent years with the exception 
of 1995. In 2000, the Asian IMR was 4.1 deaths per 1,000 live births. However, caution 
should be used when interpreting this rate since it is based on a small number (19) 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, Asian non-Hispanic, Black non-Hispanic and Hispanic infants causing 
61% of all fatalities. Congenital anomalies represented the second leading cause of death 
within each of the groups. 



147 



The overall leading causes of infant death were conditions arising in the perinatal period 
(229 deaths) and congenital anomalies (57 deaths), a 12.2% increase and 14.9% decrease, 
respectively, from 1999. Other causes of infant death were: SIDS (26 deaths), "Disorders 
relating to short gestation and unspecified low birthweight" (80 deaths), "Other respiratory 
conditions of newborn" (20 deaths), and homicide (2 deaths). There were 2 more deaths 
from SIDS in 2000 than there were in 1999, representing an 8.3% increase. The number of 
homicide deaths (2) 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. 



NEONATAL AND POST NEONATAL MORTALITY RATES 

The neonatal mortality rate (infants less than 28 days old) was 3.5 deaths per 1,000 live 
births in 2000. Among White, non-Hispanic mothers, the neonatal mortality rate decreased 
(21.6%), from 3.7 in 1999 to 2.9 in 2000. During this same time period, the rate remained at 
a constant 9.9 among Black, non-Hispanic mothers and decreased by 9.1% among 
Hispanic mothers (from 4.4 in 1999 to 4.0 in 2000). Among Asians, the number of neonatal 
deaths increased from 5 in 1999 to 14 in 1998, with rates of 1.2 and 3.0 respectively. 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, remained fairly constant between 
1999 and 2000, at 1.1. The post-neonatal mortality rate among infants of White, non- 
Hispanic mothers decreased slightly from 1.0 in 1999 to 0.9 in 2000 deaths per 1,000 live 
births. The most marked change was among infants of Black, non-Hispanic mothers, 
where the post neonatal mortality rate rose between 1999 and 2000, from 2.4 in 1999 to 2.9 
deaths per 1,000 births in 2000; a 20.8% increase. 

There was a small increase in the rate of post neonatal deaths among Hispanics, from 1.1 
to 1.2, corresponding to a rate increase of 9.1%. The number of post neonatal deaths 
among Asians changed from 3 deaths in 1999 to 5 death in 2000 giving a rate of 1.1 deaths 
per 1,000 live births in 2000. 

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. 



148 



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 Old but 065 Days Old x 1 ,000 

MORTALITY RATE Total Resident Live Births 

(PNMR) 



149 



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151 



Table D-1. Trends in Infant, Neonatal, and Post-Neonatal Mortality by Race and Hispanic 
Ethnicity, Massachusetts: 1991-2000 











INFANT MORTALITY (less 


than one 


vear of aqe) 








Year 


State Totaf 


White, 
non-Hispanic 


Black, 
non-Hispanic 


Hispanic 


Asian/Pacific 
Islander, non- 
Hispanic 


Other^ 


# 


Rate' 


# 


Rate' 


# 


Rate' 


# 


Rate' 


# 


Rate' 


# 


Rate' 


1991 
1992 


577 
569 


6.5 
6.5 


381 
371 


5.5 
5.5 


101 
110 


15.0 
16.4 


80 
67 


9.4 
7.9 


14 
16 


4.2 
4.9 


1 

5 


4 

5.1 


1993 


523 


6.2 


346 


5,3 


84 


13.1 


77 


9.3 


13 


3.9 


3 


4 


1994 


499 


6.0 


343 


5.3 


79 


12.6 


64 


7.6 


8 


2.4 


5 


5.3 


1995 


419 


5.1 


275 


4.4 


65 


11.1 


58 


7.2 


19 


5.5 


2 


4 


1996 


403 


5.0 


289 


4.7 


63 


11.4 


40 


5.1 


8 


2.2 


2 


4 


1997 


425 


5.3 


294 


4.8 


64 


11.7 


55 


6.7 


10 


2.6 


2 


4 


1998 


414 


5.1 


287 


4.6 


59 


10.6 


58 


6.7 


10 


2.7 





0.0 


1999 


418 


5.2 


285 


4.7 


72 


12.3 


49 


5.5 


8 


19 


4 


4 


2000 


377 


4.6 


232 


3.8 


74 


12.8 


48 


5.2 


19 


4.1 


4 


4 










NEONATAL MORTALITY (birth tc 


27davs) 










Year 


State Total' 


White, 
non-Hispanic 


Black, 
non-Hispanic 


Hispanic 


Asian/Pacific 
Islander, non- 
Hispanic 


Other^ 


# 


Rate' 


# 


Rate' 


# 


Rate' 


# 


Rate' 


# 


Rate' 


# 


Rate' 


1991 
1992 


401 
415 


4.5 
4.8 


266 
274 


3.9 
4.0 


72 
76 


10.7 
11.4 


53 
51 


6.2 
6.0 


10 
10 


3.0 
3.0 



4 


0.0 

4 


1993 


375 


4.4 


245 


3.7 


64 


10.0 


55 


6.7 


9 


2.7 


2 


4 


1994 


349 


4.2 


240 


3.7 


58 


9.3 


40 


4.7 


7 


2.1 


4 




1995 


298 


3.6 


198 


3.1 


50 


8.5 


39 


4.8 


10 


2.9 


1 




1996 


290 


3.6 


222 


3.6 


34 


6.2 


27 


3.5 


5 


1.4 


1 


4 


1997 


323 


4.0 


228 


3.7 


44 


8.0 


43 


5.2 


7 


1.8 


1 


4 


1998 


315 


3.9 


218 


3.5 


47 


8.5 


43 


5.0 


7 


1.9 





0.0 


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 


POST-NEONATAL MORTALITY (28-365 davs) 




State Total' 


White, 
non-Hispanic 


Black, 
Non-Hispanic 


Hispanic 


Asian/Pacific 
Islander, non- 


Other^ 


Year 


















Hispanic 






# 


Rate' 


# 


Rate' 


# 


Rate' 


# 


Rate' 


# 


Rate' 


# 


Rate' 


1991 


176 


2.0 


115 


1.7 


29 


4.3 


27 


3.2 


4 


4 




4 


1992 


154 


1.8 


97 


1.4 


34 


5.1 


16 


1.9 


6 


1.8 






1993 


148 


1.7 


101 


1.5 


20 


3.1 


22 


2.7 


4 


4 




4 


1994 


150 


1.8 


103 


1.6 


21 


3.3 


24 


2.8 


1 


4 






1995 


121 


1.5 


77 


1.2 


15 


2.6 


19 


2.3 


9 


2.6 






1996 


113 


14 


67 


1.1 


29 


5.3 


13 


1.7 


3 


4 






1997 


102 


1.3 


66 


1.1 


20 


3.7 


12 


1.5 


3 


4 






1998 


99 


1.2 


69 


1.1 


12 


2.2 


15 


1.7 


3 


4 





0.0 


1999 


86 


1.1 


59 


1.0 


14 


2.4 


10 


1.1 


3 


4 





0.0 


2000 


89 


1.1 


55 


0.9 


17 


2.9 


11 


1,2 


5 


1,1 


1 


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 
calegones according to the distribution of births of known race 2 Other American Indian and Other races. 3 Rates are expressed per 1 ,000 live births. 4 
Calculalions based on fewer than five events are excluded 



152 



Table D-2. Trends in Infant, Neonatal, and Post-Neonatal Mortality, by Race and Hispanic 
Ethnicity, Massachusetts: 1990-2000 

INFANT MORTALITY 



State Total^ 



White, 
Non-Hispanic 



Black, 
Non-Hispanic 



Hispanic 



Asian 



Other'' 



Year 


n 


Rate^ 


n 


Rate' 


n 


Rate' 


n 


Rate' 


n 


Rate' 


n 


Rate' 


1990 


649 


7.0 


442 


6.1 


98 


13.7 


77 


9.1 


24 


7.0 


8 


9.5 


1991 


577 


6.5 


381 


5.5 


101 


15.0 


80 


9.4 


14 


4.2 


1 


..•» 


1992 


569 


6.5 


371 


5.5 


110 


16.4 


67 


7.9 


16 


4.9 


5 


5.1 


1993 


523 


6.2 


346 


5.3 


84 


13.1 


77 


9.3 


13 


3.9 


3 


4 


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 


111 


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 


.." 


1997 


425 


5.3 


294 


4.8 


64 


11.7 


55 


6.7 


10 


2.6 


2 


4 


1998 


414 


5.1 


287 


4.6 


59 


10.6 


58 


6.7 


10 


2.7 





0.0 


1999 


418 


5.2 


285 


4.7 


72 


123 


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 



NEONATAL MORTALITY 



Year 



State Total^ 



White, 
Non-Hispanic 



Black, 
Non-Hispanic 



Hispanic 



Asian 



Other^ 



n 


Rate' 


n 


Rate' 


n 


Rate' 


n 


Rate' 


n 


Rate' 


n 


Rate' 


446 


4.8 


298 


4.1 


75 


10.5 


49 


5.8 


19 


5.5 


5 


5.5 


401 


4.5 


266 


3.9 


72 


107 


53 


6.2 


10 


3.0 





0.0 


415 


4.8 


274 


4.0 


76 


114 


51 


6.0 


10 


3.0 


4 


4 


375 


4.4 


245 


3.7 


64 


10.0 


55 


6.7 


9 


2.7 


2 


4 


349 


42 


240 


3.7 


58 


9.3 


40 


4.7 


7 


2.1 


4 


4 


298 


3.6 


198 


3.1 


50 


8.5 


39 


4.8 


10 


2.9 


1 


4 


290 


36 


222 


3.6 


34 


6.2 


27 


3.5 


5 


1.4 


1 


4 


323 


4.0 


228 


3.7 


44 


8.0 


43 


5.2 


7 


1.8 


1 


4 


315 


3.9 


218 


3.5 


47 


8.5 


43 


5.0 


7 


1.9 





0.0 


332 


4.1 


226 


3.7 


58 


9.9 


39 


4.4 


5 


1.2 


4 


4 


288 


3.5 


177 


2.9 


57 


9.9 


37 


4.0 


14 


3.0 


3 


4 



POST NEONATAL MORTALITY 



Year 



State Total' 



White, 
Non-Hispanic 



Black, 
Non-Hispanic 



Hispanic 



Asian 



Other^ 



n 


Rate' 


n 


Rate' 


n 


Rate' 


n 


Rate' 


n 


Rate' 


n 


Rate' 


203 


2.2 


144 


2.0 


23 


3.2 


28 


3.3 


5 


1.5 


3 


4 


176 


2.0 


115 


1.7 


29 


43 


27 


3.2 


4 


4 




4 


154 


1.8 


97 


1.4 


34 


5.1 


16 


1.9 


6 


1.8 




4 


148 


1.7 


101 


1.5 


20 


3.1 


22 


2.7 


4 


4 




4 


150 


1.8 


103 


1.6 


21 


3.3 


24 


2.8 


1 


4 




4 


121 


1.5 


77 


1.2 


15 


2.6 


19 


2.3 


9 


2.6 




4 


113 


1.4 


67 


1.1 


29 


53 


13 


1.7 


3 


4 




4 


102 


1.3 


66 


1.1 


20 


3.7 


12 


1.5 


3 


„" 




4 


99 


1.2 


69 


1.1 


12 


2.2 


15 


1.7 


3 


4 





0.0 


86 


1.1 


59 


1.0 


14 


2.4 


10 


1.1 


3 


4 





00 


89 


1.1 


55 


0.9 


17 


2.9 


11 


1.2 


5 


1.1 


1 


4 



1. Deaths of infants of unknown race are included in the total calculation For rate computations, births of infants of unlsnown race are allocated into the race 
categones according to the distribution 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. 



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1840 1850 1860 1870 1880 1890 1900 1910 1920 1930 1940 19S0 1960 1970 1980 1990 2000 

Year 



156 



MARRIAGES & DIVORCES 



SECTION E 

MARRIAGES AND DIVORCES 

Marriage and divorce tables are organized by place of occurrence in Massachusetts. For 
example, if two Boston residents are married in Barnstable, this marriage will be reported 
by place of occurrence (Barnstable) rather than the residence of the couple (Boston). 
Marriages have traditionally been reported in this manner because of the number of 
couples who live in different communities. Additionally, out-of-state residents who marry 
in Massachusetts are included in these data. 

Marriages and divorces which involve Massachusetts residents, but occur in other states, 
are not included in these figures. No system of interstate exchange exists for these 
events. Unlike some states, Massachusetts marriage and divorce laws neither encourage 
out-of-state residents to come to the state nor discourage residents from using the 
Massachusetts system by imposing long waiting periods, etc. This allows the marriage 
data to be used to estimate resident marriages. 

In 2000, 38,603 marriages occurred in Massachusetts compared to 39,410 in 1999, a 
decrease of 2.0%. The rate of marriages was at 6.2 per 1,000 population in 1999 and this 
rate was 6.1 in 2000. The 2000 US rate of marriages per 1,000 population was 8.3, roughly 
equivalent to the 1999 US rate of 8.3. Of all brides in Massachusetts in 2000, 73.5% had 
never previously been married. This percentage was slightly lower among the grooms- 
72.1%. 

In 2000, 15,980 divorces were granted in Massachusetts, an increase of 2.2% from the 
15,632 divorces granted in 1999. The 2000 rate of divorce per 1,000 population in 
Massachusetts was 2.5 roughly equivalent to the 1999 divorce rate of 2.5. This rate was 
well below the 2000 US rate of 3.9 divorces per 1,000 population. 



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 



157 



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158 





Table E-1 


Marriages 


and Divorces by County 






Massachusetts Occurrence: 2000 










Marriages 


Divorces 


state Total 






38,603 


15,980 


Counties 










Barnstable 






2,454 


511 


Bershire 






966 


351 


Bristol 






3,080 


1,501 


Dukes 






456 


60 


Essex 






4,626 


2,134 


Franklin 






386 


304 


Hampden 






2,729 


1,313 


Hampshire 






802 


403 


Middlesex 






7,800 


2,853 


Nantucket 






320 


43 


Norfolk 






3,490 


1,423 


Plymoutti 






2,695 


1,394 


Suffolk 






4,237 


1,242 


Worcester 






4,562 


2,448 



159 





Table E-2. Marriages 


and Divorces 


and Rates per 


1,000 Population 






Massachusetts Occurrence 


Selected Yea 


rs: 1900-2000 








Marriages 




Divorces 




Year 


Number 


Rate 


Number 


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 




67 


15,485 


2.5 


1997 


41,528 




6.7 


15,942 


2.6 


1998 


38,722 




6.2 


16,010 


2.6 


1999 


39,410 




6.2 


15,632 


2.5 


2000 


38,603 




6.1 


15,980 


2.5 



160 







Table E-3. 


Marriages by Age and Marital Status 










Massachusetts Occurrence: 2000 














Bride 














Total 




Single 




Widowed 


Divorced | 


Age 


Number 


% 


Number 


% 


Number 


% 


Number 


% 


Total 


38,599 


100.0% 


28,357 


73.5% 


841 


2.2% 


9,401 


24.4% 


<20 


967 


100.0% 


963 


99.6% 





0.0% 


4 


0.4% 


20-29 


18,661 


100.0% 


17,669 


94.7% 


18 


0.1% 


974 


5.2% 


30-39 


12,501 


100.0% 


8,278 


66.2% 


131 


1.0% 


4.092 


32.7% 


40-49 


4,400 


100.0% 


1,232 


28.0% 


213 


4.8% 


2,955 


67.2% 


50-59 


1,546 


100.0% 


173 


11.2% 


226 


14.6% 


1,147 


74.2% 


60-69 


388 


100.0% 


32 


8.2% 


157 


40.5% 


199 


51.3% 


70+ 


136 


100.0% 


10 
Groorr 


7.4% 

_ 


96 


70.6% 


30 


22.1% 




Total 




Single 




Widowed 


Divorced | 


Age 


Number 


% 


Number 


% 


Number 


% 


Number 


% 


Total 


38,599 


100.0% 


27,807 


72.0% 


828 


2.1% 


9,964 


25.8% 


<20 


301 


100.0% 


301 


100.0% 





0.0% 





0.0% 


20-29 


15,126 


100.0% 


14,605 


96.6% 


6 


0.0% 


515 


3.4% 


30-39 


14,376 


100.0% 


10,730 


74.6% 


53 


0.4% 


3,593 


25.0% 


40-49 


5,439 


100.0% 


1,843 


33.9% 


102 


1.9% 


3,494 


64.2% 


50-59 


2,280 


100.0% 


271 


11.9% 


206 


9.0% 


1,803 


79.1% 


60-69 


746 


100.0% 


47 


6.3% 


225 


30.2% 


474 


63.5% 


70+ 


331 


100.0% 


10 


3.0% 


236 


71.3% 


85 


25.7% 


4 values 


missing for each age. 















161 





Table E-4. 


Number of Marriages 


by Age of Bride and 


Age of Groom 








Massachusetts Occurrence: 


2000 














Age of Groom 










Age of 


Total 


<20 


20-29 


30-39 


40-49 


50-59 


60-69 


70+ 


Bride 


















Total 


38,599 


301 


15,126 


14,376 


5,439 


2,280 


746 


331 


<20 


967 


200 


680 


72 


12 


3 








20-29 


18,661 


92 


12,512 


5,512 


497 


42 


4 


2 


30-39 


12,501 


9 


1,847 


7,772 


2,435 


402 


32 


4 


40-49 


4,400 





83 


968 


2,171 


995 


158 


25 


50-59 


1,546 





3 


50 


311 


771 


346 


65 


60-69 


388 





1 


2 


13 


66 


185 


121 


70+ 


136 














1 


21 


114 



4 values were missing 



Table E-5. 


Number of Marriages for Bride by Number of Marriages 


ForG 


room 








Massachusetts Occurrence: 


2000 












Number of Marriages 
















Groom 












Total 


1 


2 


3 




4 


5+ 


Bride 
















Total 


38,603 


28,370 


8,481 


1,503 




221 


28 


1 


27,815 


23,912 


3,496 


362 




39 


6 


2 


8,973 


3,990 


4,021 


829 




119 


14 


3 


1,612 


423 


865 


275 




44 


5 


4 


177 


42 


86 


30 




18 


1 


5+ 


26 


3 


13 


7 




1 


2 



162 



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. They are based 
primarily on the US Federal Census for 2000. 

All additional interpolations and calculations have been provided by Bruce B. Cohen and 
James West, Division of Research and Epidemiology, Center for Health Information, 
Statistics, Research and Evaluation, Massachusetts Department of Public Health. 

In 2000, there were an estimated 6,349,097 residents of Massachusetts. This represents a 
7.0% increase in population since 1987, when the population numbered 5,932,611. Among 
the total 2000 population in Massachusetts, 48.2% were male, 26.4% were below the age of 
20, and 6.8% were over 75 years of age. 



163 



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164 





Table F-1. Population Estimates' 


by Race^ Ethnicity^ Age, 


and Sex, Massachusetts: 2000 










White, 


Black, 


Asian, 






Age 


Sex 


Total Non-Hispanic Non 


-Hispanic 


Non-Hispanic 


Hispanic 


Other 


Under 1 


Male 


40,562 


31,453 


2,688 


1,786 


4,576 


59 




Female 


38,802 


29,928 


2,573 


1,821 


4,421 


59 




Total 


79,364 


61,381 


5,261 


3,607 


8,997 


118 


1-4 


Male 


162,500 


125,841 


10,818 


7,194 


18,326 


321 




Female 


155,404 


119,721 


10,352 


7,327 


17,689 


315 




Total 


317,904 


245,562 


21,170 


14,521 


36,015 


636 


5-9 


Male 


221,145 


171,780 


15,842 


8,806 


24,219 


498 




Female 


209,716 


162,576 


15,111 


8,594 


22,960 


475 




Total 


430,861 


334,356 


30,953 


17,400 


47,179 


973 


10-14 


Male 


221,168 


175.195 


15,402 


8,371 


21,724 


476 




Female 


210,079 


165,837 


14,905 


7,987 


20,901 


449 




Total 


431,247 


341,032 


30,307 


16,358 


42,625 


925 


15-19 


Male 


210,460 


165,187 


14,205 


9,820 


20,791 


457 




Female 


205,277 


161,017 


13,559 


10,458 


19,793 


450 




Total 


415,737 


326,204 


27,764 


20,278 


40,584 


907 


20-24 


Male 


198,756 


151,645 


13,069 


12,017 


21,592 


433 




Female 


205,523 


156,538 


13,741 


13,583 


21,235 


426 




Total 


404,279 


308,183 


26,810 


25,600 


42,827 


859 


25-29 


Male 


213,376 


165,334 


12,638 


14,723 


20,269 


412 




Female 


220,648 


171,137 


13,785 


14,962 


20,353 


411 




Total 


434,024 


336,471 


26,423 


29,685 


40,622 


823 


30-34 


Male 


242,386 


195,842 


13,635 


12,950 


19,527 


432 




Female 


250,378 


202,104 


14,746 


12,863 


20,225 


440 




Total 


492,764 


397,946 


28,381 


25,813 


39,752 


872 


35-39 


Male 


266,507 


223,366 


14,197 


11,163 


17,287 


494 




Female 


274,086 


229,337 


15,242 


10,763 


18,228 


516 




Total 


540,593 


452,703 


29,439 


21,926 


35,515 


1,010 


40-44 


Male 


255,838 


220,532 


12,836 


8,795 


13,158 


517 




Female 


266,564 


229,263 


13,572 


9,062 


14,140 


527 




Total 


522,402 


449,795 


26,408 


17,857 


27,298 


1,044 


45-49 


Male 


225,029 


197,986 


9,981 


7,063 


9,558 


441 




Female 


236,916 


207,183 


10,990 


7,626 


10,663 


454 




Total 


461,945 


405,169 


20,971 


14,689 


20,221 


895 


50-54 


Male 


199,205 


178,244 


8,001 


5,408 


7,180 


372 




Female 


212,203 


188,557 


9,059 


5,793 


8,426 


368 




Total 


411,408 


366,801 


17,060 


11,201 


15,606 


740 



165 



Table F-1. (Continued) Population Estimates^ by Race^, Ethnicity^ Age, and Sex, Massachusetts: 2000 

White, Black, Asian, 

Age Sex Total Non-Hispanic Non-Hispanic Non-Hispanic Hispanic Other 



55-59 



60-64 



65-69 



70-74 



75-79 



80-84 



85+ 



Total 



Male 

Female 

Total 

Male 

Female 

Total 

Male 

Female 

Total 

Male 

Female 

Total 

Male 

Female 

Total 

Male 

Female 

Total 

Male 

Female 

Total 

Male 

Female 

Total 



148,841 


134,453 


5,667 


3,771 


4,712 


238 


161,161 


144,486 


6,975 


3,885 


5,555 


260 


310,002 


278,939 


12,642 


7,656 


10,267 


498 


111,504 


100,899 


4,201 


2,968 


3,256 


180 


124,901 


112,147 


5,364 


3,078 


4,162 


150 


236,405 


213,046 


9,565 


6,046 


7,418 


330 


98,882 


91,089 


3,191 


2,298 


2,172 


132 


117,616 


107,623 


4,339 


2,547 


2,979 


128 


216,498 


198,712 


7,530 


4,845 


5,151 


260 


91,416 


85,724 


2,504 


1,594 


1,482 


112 


119,916 


112,022 


3,622 


1,970 


2,182 


120 


211,332 


197,746 


6,126 


3,564 


3,664 


232 


73,829 


70,048 


1,697 


1,059 


939 


86 


111,112 


105,358 


2,865 


1,371 


1,428 


90 


184,941 


175,406 


4,562 


2,430 


2,367 


176 


46,464 


44,465 


953 


496 


515 


35 


84,235 


80,571 


1,904 


771 


915 


74 


130,699 


125,036 


2,857 


1,267 


1,430 


109 


30,948 


29,488 


669 


352 


418 


21 


85,744 


82,609 


1,656 


644 


773 


62 


116,692 


112,097 


2,325 


996 


1,191 


83 


3,058,816 


2,558,571 


162,194 


120,634 


211,701 


5,716 


3,290,281 


2,768,014 


174,360 


125,105 


217,028 


5,774 


6,349,097 


5,326,585 


336,554 


245,739 


428,729 


11,490 



1. MDPH 2000 Preliminary Population Estimates (released January 2002). 2. The age-gender-race distributions from the from the 
2000 US Census (MARS) file were applied to the 1999 population estimates to separate Asians from the combined category of 
Asians and American Indians 3 Persons or Hispanic Ethnicity are NOT included in the race categories These estimates are 
used to calculate populationbased rates in this report 



166 



Figure F-2. 2000 Massachusetts Population by Age Group 



60-69 Years 
452,903(7.1%) 



70+ Years 
643,664(10-1%) 



30-39 Years 
1,033,357(16.3%) 



50-59 Years 
721,410(11.4%) 



0-9 Years 

828,129(13.0%) 




40^9 Years 
984,347(15.5%) 



10-19 Years 
864,984(13.3%) 



20-29 Years 
838,303(13.2%) 



167 



Figure F-3. 2000 Massachusetts Population by Race 



other: 11490(0.2%)-, 

Asian, non-Hispanic 
245,739 (3.9%) 

Black, non-Hispanic: 
336,554 (5,3%) 



Hispanic: 428,729 (6.8%) 




White, non-Hispanic: 
5,326,585 (83.9%) 



168 



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170 



Table F-3. 


Massachusetts 


Population by City a 


nd Town: 1980, 1990, a 


nd 2000 US Census 




City/Town 


1980 


1990 


2000 


City/Town 


1980 


1990 


2000 


ABINGTON 


13,517 


13,817 


15,111 


CAMBRIDGE 


95,322 


95,802 


98,868 


ACTON 


17,544 


17,872 


20,189 


CANTON 


18,182 


18,530 


20,530 


ACUSHNET 


8,704 


9,554 


10,604 


CARLISLE 


3,306 


4,333 


4,634 


ADAMS 


10,381 


9,445 


8,829 


CARVER 


6,988 


10,590 


11,414 


AGAWAM 


26,271 


27,323 


28,845 


CHARLEMONT 


1,149 


1,249 


1,325 


ALFORD 


394 


418 


417 


CHARLTON 


6,719 


9,576 


11,242 


AMESBURY 


13,971 


14,997 


16,271 


CHATHAM 


6,071 


6,579 


6,728 


AMHERST 


33,229 


35,228 


37,891 


CHELMSFORD 


31,174 


32,383 


34,524 


ANDOVER 


26,370 


29,151 


31,590 


CHELSEA 


25,431 


28,710 


31,956 


HEAD) 


220 


201 


314 


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 


ASHBY 


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 


11,451 


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 


AVER 


6,993 


6,871 


6,288 


CONWAY 


1,213 


1,529 


1,811 


BARNSTABLE 


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 


DANVERS 


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 


BERLIN 


2,215 


2,293 


2,386 


DOUGLAS 


3,730 


5,438 


6,744 


BERNARDSTON 


1,750 


2,048 


2,119 


DOVER 


4,703 


4,915 


5,763 


BEVERLY 


37,655 


38,195 


40,210 


dfIacut' 


21,249 


25,594 


28,585 


BILLERICA 


36,727 


37,609 


38,688 


DUDLEY 


8,717 


9,540 


10,009 


BLACKSTONE 


6,570 


8,023 


9,020 


DUNSTABLE 


1,671 


2,236 


2,893 


BLjfl,NDFORD 


1,038 


1,187 


1,212 


duxburV ' 


11,807 


13,895 


14,862 


BOLTON 


2,530 


3,134 


4,239 


EAST ernDGEWATER 


9,945 


11,104 


13,322 


BOSTON 


562,994 


574,283 


576,554 


EAST BROOKFIELD 


1,955 


2,033 


2,166 


BOURNE 


13,874 


16,064 


17,834 


;EASTLONGMEADOW 


12,905 


13,367 


14,435 


BOXBOROUGH 


3,126 


3,343 


4,788 


lEASTHAM 


3,472 


4,462 


5,170 


BOXFORD 


5,374 


6,266 


8,378 


EASTHAMPTON ' 


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 


EGRIEMONT 


1,311 


1,229 


1,312 


BRIDGEWATER 


17,202 


21,249 


25,480 


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 


1 EVERETT 


37,195 


35,701 


37,494 


BROOKFIELD 


2,397 


2,968 


3,136 


faTrhaven 


15,759 


16,132 


16,119 


BROOKLINE 


55,062 


54,718 


58,917 


FALLRIVER 


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 



171 



Table F-3 (conti 


nued). Massachusetts 


Population by City and Town: 1980 


1990, and 2000 Census 


Cityn'own 


1980 


1990 


2000 


City /Town 


1980 


1990 


2000 


FLORIDA 


730 


742 


768 


l^NESBOROUGH 


3.131 


3,032 


3,110 


FOXBOROUGH 


14,148 


14,637 


16.462 


LAWRENCE 


63,175 


70,207 


71,228 


FRAMINGHAM 


65,113 


64,989 


66.773 


LEE 


6,247 


5,849 


5,937 


FRANKLIN 


18,217 


22,095 


29,267 


LEICESTER 


9,446 


10,191 


10,439 


FREETOWN 


7,058 


8,522 


8,896 


LENOX " 


6,523 


5,069 


4,931 


GARDNER 


17,900 


20,125 


21,154 


LEOMINSTER 


34,508 


38,145 


41,631 


GEORGETOWN 


5,687 


6,384 


7,543 


LEVERETT 


1,471 


1,785 


1,867 


GILL 


1,259 


1,583 


1,523 


LEXINGTON 


29,479 


28,974 


31,090 


GLOUCESTER 


27,768 


28.716 


29,905 


LEYDEN 


498 


662 


777 


GOSHEN 


651 


830 


923 


LINCOLN 


7,098 


7,666 


8.563 


GOSNOLD 


63 


98 


123 


LITTLETON 


6,970 


7,051 


8,048 


GRAFTON 


11,238 


13,035 


14,881 


LONGMEADOW 


16,301 


15,467 


15,460 


GRANBY 


5,380 


5,565 


6,063 


LOWELL 


92,418 


103,439 


105,854 


GRANVILLE 


1,204 


1,403 


1,518 


LUDLOW 


18,150 


18,820 


19,693 


BARRINGTON 


7,405 


7,725 


7,828 


LUNENBURG 


8,405 


9,117 


9,394 


GREENFIELD 


18,436 


18,666 


18,031 


LYNN 


78,471 


81,245 


86,298 


GROTON 


6,154 


7,511 


9,401 


LYNNFIELD 


11,267 


11,274 


11,799 


GROVE LAND 


5,040 


5,214 


6,041 


MALDEN 


63,386 


53,884 


55,064 


HADLEY 


4.125 


4,231 


4.663 


MANCHESTER ' 


5.424 


5,286 


5,391 


HALIFAX 


5,513 


6,526 


7,513 


MANSFIELD 


13.453 


16,568 


21,476 


HAMILTON 


6,960 


7,280 


8,427 


MARBLEHEAD 


20,126 


19,971 


20.771 


HAMPDEN 


4,745 


4,709 


4,891 


MARION 


3,932 


4,496 


5,560 


HANCOCK 


643 


628 


727 


MARLBOROUGH 


30,617 


31,813 


35,157 


HANOVER 


11,358 


11,912 


13,412 


MARSHFIELD 


20,916 


21,531 


23,822 


HANSON 


8,617 


9,028 


9,429 


MASHPEE 


3.700 


7,884 


11,568 


HARDWICK 


2,272 


2,385 


2,684 


MAffAPOiSETT 


5,597 


5,850 


6,249 


HARVARD 


12,170 


12,329 


9.885 


MAYNARD " 


9,590 


10,325 


10,585 


HARWICH 


8.971 


10,275 


11,828 


MEDFIELD " 


10,220 


10,531 


12,213 


HATFIELD 


3,045 


3,184 


3,205 


MEDFORD 


58,076 


57,407 


56,916 


HAVERHILL 


46,865 


51,418 


58,119 


MEDWAY 


8,447 


9,931 


12,101 


HAWLEY 


280 


317 


339 


melros'e ' 


30,055 


28,150 


26,912 


HEATH 


482 


716 


822 


MENDON 


3.108 


4,010 


5,125 


HINGHAM 


20,339 


19,821 


20,530 


MERRIMAC 


4,451 


5,166 


6,337 


HINSDALE 


1,707 


1,959 


2,009 


METHUEN 


36,701 


39,990 


42,966 


HOLBROOK 


11.140 


11.041 


11,017 


mid'dleborough 


16,404 


17,867 


19,983 


HOLDEN 


13,336 


14,628 


15,875 


MIDDLEFiELD 


385 


392 


503 


HOLU\N0 


1,589 


2,185 


2,412 


MIDDLETON 


4,135 


4,921 


7,056 


HOLLISTON 


12,622 


12.926 


14,432 


MILFORD 


23.390 


25,355 


25,897 


HOLYOKE 


44,678 


43,704 


40,504 


MILLBURY 


11,808 


12,228 


12,636 


HOPEDALE 


3,905 


5,666 


6,071 


MILLIS 


6,908 


7,613 


7,836 


HOPKINTON 


7,114 


9,191 


12,756 


MILLVILLE 


1.693 


2,236 


2,786 


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 


MOUNT WASHINGTON 


93 


135 


152 


LANCASTER 


6.334 


6.661 


7,432 


NAHANT 


3.947 


3,828 


3,748 



172 



Table F-3 (continued). Massachusetts Population 


by City and Town: 


1980, 1990, and 2000 Census 


City/Town 


1980 


1990 


2000 


City/Town 


1980 


1990 


2000 


NANTUCKET 


5,087 


6,012 


8,651 


READING 


22,678 


22,539 


23,953 


NATICK 


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 


NEWASHFORD 


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 BRAINTREE 


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 


NEWBURYPORT 


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 


F?UTLAND 


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 ATTLEBORO 


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 


SCltUATE 


17,317 


16,786 


17,380 


NORTHBRIDGE 


12,246 


13,371 


13,573 


SEEKONK 


12,269 


13,046 


13,789 


NORTHFIELD 


2,386 


2,838 


2,955 


SHARON 


13,601 


15,517 


17,276 


NORTON 


12,690 


14,265 


17,214 


SHEFFrELD 


2,743 


2,910 


3,347 


NORWELL 


9,182 


9,279 


9,981 


iSHELBURNE 


2,002 


2,012 


2,178 


NORWOOD 


29,711 


28,700 


28,779 


SHERBbRN 


4,049 


3,989 


4,284 


OAK BLUFFS 


1,984 


2,804 


3,692 


shTrley 


5,124 


6,118 


7,143 


OAKHAM 


994 


1,503 


1,762 


SHREWSBURY 


22,674 


24,146 


30,390 


OFIANGE 


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 


SdMERVILLE 


77,372 


76,210 


77,838 


OXFORD 


11,680 


12,588 


13,457 


SOUfHHADLEY 


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 


SOUTHBORbUGH 


6,193 


6,628 


8,419 


PEABODY 


45,976 


47,039 


49,595 


sdUTHBRIDGE 


16,665 


17,816 


17,489 


PELHAM 


1,112 


1,373 


1,463 


sduTHwick 


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 


PLAINVILLE 


5,857 


6,871 


7,913 


STURBRIDGE 


5,976 


7,775 


8,082 


PLYMOUTH 


35,913 


45,608 


51,447 


sudbITry " 


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 


FOAYNHAM 


9,085 


9,867 


11,525 


TEMPLETON 


6,070 


6,438 


6,955 



173 



Table F-3 (continued). Massachusetts 


Population by City and Town: 


1980, 1990, and 2000 Ce 


1SUS 


City /Town 


1980 


1990 


2000 


City/Town 


1980 


1990 


2000 


TEWKSBURY 


24,635 


27,266 


29,603 


WINCHESTER 


20,701 


20,267 


20,892 


TISBURY 


2,972 


3,120 


3,674 


WINDSOR 


598 


770 


839 


TOLU\ND 


235 


289 


396 


WINTHROP" 


19,294 


18,127 


17,750 


TOPSFIELD 


5,709 


5,754 


6,330 


WOBURN 


36,626 


35,943 


37,148 


TOWNSEND 


7,201 


8,496 


9,424 


WORCESTER 


161.799 


169,759 


170,915 


TRURO 


1,486 


1,573 


1,960 


WORTHINGTON 


932 


1,156 


1,305 


TYNGSBOROUGH 


5,683 


8,642 


10,716 


WRENTHAM 


7,580 


9,006 


10,515 


TYRINGHAM 


344 


369 


391 


YARMOUTH 


18,449 


21,174 


23,767 


UPTON 


3,886 


4,677 


5,540 










UXBRIDGE 


8,374 


10,415 


11,752 


Statewide Totals 


5,640,985 


5,919,881 


6,349,097 


WAKEFIELD 


24,895 


24,825 


25,045 










WALES 


1,177 


1,566 


1,759 










WALPOLE 


18,859 


20,212 


23,085 










WALTHAM 


58,200 


57,878 


59,243 










WARE 


8,953 


9,808 


9,820 










WAREHAM 


18,457 


19,232 


20,575 










WARREN 


3,777 


4,437 


4,815 










WARWICK 


603 


740 


778 










WASHINGTON 


587 


615 


572 










WATERTOWN 


34,384 


33,284 


32,399 










WAYU\NO 


12,170 


11,874 


13,128 










WEBSTER 


14,480 


16,196 


16,313 










WELLESLEY 


27,209 


26,615 


27,716 










WELLFLEET 


2,209 


2,493 


2,687 










WENDELL 


694 


899 


1,062 










WENHAM 


3,897 


4,212 


5,014 










WEST BOYLSTON 


6,204 


6,611 


7,508 










BRIDGEWATER 


6,359 


6,389 


6,760 










WEST BROOKFIELD 


3,026 


3,532 


3,683 










WEST NEWBURY 


2,861 


3,421 


4,027 










WEST SPRINGFIELD 


27,042 


27,537 


28,425 










STOCKBRIDGE 


1,280 


1,483 


1,447 










WEST TISBURY 


1,010 


1,704 


2,338 










WESTBOROUGH 


13,619 


14,133 


17,320 










WESTFIELD 


36,465 


38,372 


40,511 










WESTFORD 


13,434 


16,392 


20,130 










WESTHAMPTON 


1,137 


1,327 


1,515 










WESTMINSTER 


5,139 


6,191 


7,014 










WESTON 


11,169 


10,200 


11,316 










WESTPORT 


13,763 


13,852 


14,805 










WESTWOOD 


13,212 


12,557 


14,015 










WEYMOUTH 


55,601 


54,063 


53,878 










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 










WILLIAMSTOWN 


8,741 


8,220 


8,731 










WILMINGTON 


17,471 


17,651 


20,839 










WINCHENDON 


7,019 


8,805 


9,532 











174 



Table F-4. 


Population Counts 


and Estimates, 


Massachusetts: 1980, 


1985-2000 


AGE GROUP 


YEAR 


TOTAL 


MALE 


FEMALE 


0-4 


1980 


337,215 


173,029 


164,186 




1985 


379,282 


194,237 


185,045 




1986 


387,696 


198,479 


189,217 




1987 


396,109 


202,720 


193,389 




1988 


404,522 


206,962 


197,560 




1989 


412,935 


211.203 


201,732 




1990 


421,349 


215,445 


205,904 




1991 


424,617 


217,179 


207,438 




1992 


425,142 


217,537 


207,605 




1993 


424,647 


217,471 


207,176 




1994 


421,986 


216,493 


205,493 




1995 


415,741 


213,448 


202,293 




1996 


409,660 


210,345 


199,315 




1997 


404,223 


207,394 


196,829 




1998 


399,860 


204,983 


194,877 




1999 


399,310 


204,397 


194,913 




2000 


397,268 


203,062 


194,206 


5-9 


1980 


374,734 


191,602 


163,132 




1985 


375,677 


192,542 


183,135 




1986 


375,865 


192,730 


183,135 




1987 


376,054 


192,918 


183,136 




1988 


376,242 


193,106 


183,136 




1989 


376,431 


193,294 


183,137 




1990 


376,619 


193,482 


183,137 




1991 


384,465 


197,306 


187,159 




1992 


388,956 


199,564 


189,392 




1993 


392,430 


201,241 


191,189 




1994 


399,236 


204,404 


194,832 




1995 


404,660 


206,980 


197,680 




1996 


410,066 


209,813 


200,253 




1997 


414,757 


212,313 


202,444 




1998 


414,810 


212,483 


202,327 




1999 


423,609 


217,197 


206,412 




2000 


430,861 


221,145 


209,716 


10-14 


1980 


461,332 


235,669 


225,663 




1985 


404,174 


206,784 


197,390 




1986 


392,742 


201,007 


191,735 




1987 


381,311 


195,230 


186,081 




1988 


369,879 


189,453 


180,426 




1989 


358,448 


183,676 


174,772 




1990 


347,016 


177,899 


169,117 




1991 


355,502 


182,288 


173,214 




1992 


358,775 


184,070 


174,705 




1993 


363,655 


186,671 


176,984 




1994 


368,790 


189,353 


179,437 




1995 


372,452 


191,298 


181,154 




1996 


380,540 


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 



175 



Table F-4 (continued). Population Counts and Estimates, Massachusetts: 1980, 1985-2000 
AGE GROUP YEAR TOTAL MALE FEMALE 

15-19 



20-24 



25-29 



1980 


548,239 


274,859 


273,380 


1985 


482,135 


242,074 


240.061 


1986 


468,914 


235,517 


233.397 


1987 


455,693 


228,960 


226.733 


1988 


442,472 


222,403 


220.069 


1989 


429,251 


215,846 


213,405 


1990 


416,030 


209,289 


206,741 


1991 


391,939 


197.402 


194,537 


1992 


383,111 


192,951 


190,160 


1993 


383,138 


192,863 


190,275 


1994 


389,017 


195,597 


193,420 


1995 


397,926 


200,053 


197,873 


1996 


407,088 


204,859 


202,229 


1997 


410,740 


207,139 


203,601 


1998 


418,478 


211,026 


207,452 


1999 


417,862 


211,120 


206,742 


2000 


415,737 


210,460 


205,277 


1980 


552,902 


270,713 


282,189 


1985 


535,048 


263,685 


271,363 


1986 


531,477 


262,279 


269.198 


1987 


527,907 


260,874 


267,033 


1988 


524,335 


259,468 


264,867 


1989 


520,765 


258,063 


262,702 


1990 


517,194 


256,657 


260,537 


1991 


514,576 


255,360 


259,216 


1992 


516,059 


256,092 


259,967 


1993 


508,509 


252,385 


256,124 


1994 


497,732 


247.056 


250,676 


1995 


486,412 


241,442 


244,970 


1996 


469,010 


232,807 


236,203 


1997 


463,895 


230,140 


233,755 


1998 


465,352 


230.886 


234,466 


1999 


435,534 


215,192 


220,342 


2000 


404,279 


198,756 


205,523 


1980 


489,175 


239,341 


249,834 


1985 


522,748 


258,318 


264,430 


1986 


529,462 


262,113 


267,349 


1987 


536,177 


265.909 


270,268 


1988 


542,891 


269.704 


273,187 


1989 


549,606 


273.500 


276,106 


1990 


556,320 


277,295 


279,025 


1991 


540,234 


268.978 


271,256 


1992 


529,711 


263,810 


265,901 


1993 


518,304 


258,294 


260,010 


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 



176 



Table F-4 (continued). Population Counts and Estimates, Massachusetts: 1980, 1985-2000 
AGE GROUP YEAR TOTAL MALE FEMALE 

30-34 



35-39 



40-44 



1980 


446,395 


217,649 


228,746 


1985 


494,363 


243,175 


251,188 


1986 


503,956 


248,280 


255,676 


1987 


513,549 


253,385 


260,164 


1988 


523,143 


258,491 


264,652 


1989 


532,737 


263,596 


269,141 


1990 


542,330 


268,701 


273,629 


1991 


547,724 


272,103 


275,621 


1992 


543,398 


270,256 


273,142 


1993 


539,945 


268,647 


271,298 


1994 


537,869 


267,675 


270,194 


1995 


529,735 


263,782 


265,953 


1996 


518,478 


258,141 


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 


1980 


348,552 


169,502 


179,050 


1985 


414,863 


203,352 


211,511 


1986 


428,125 


210,122 


218,003 


1987 


441,387 


216,892 


224,495 


1988 


454,650 


223,662 


230,988 


1989 


467,912 


230,432 


237,480 


1990 


481,174 


237,202 


243,972 


1991 


492,003 


242,601 


249,402 


1992 


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 


260,758 


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 


1980 


278,748 


134,925 


143,823 


1985 


356,061 


173,162 


182,899 


1986 


371,523 


180,809 


190,714 


1987 


386,986 


188,457 


198,529 


1988 


402,449 


196,104 


206,345 


1989 


417,912 


203,752 


214,160 


1990 


433,374 


211,399 


221,975 


1991 


452,459 


221,123 


231,336 


1992 


448,133 


219,257 


228,876 


1993 


450,944 


220,919 


230,025 


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 



177 



Table F-4 (continued). 


Population 


Counts and Estimates, 


Massachusetts: 1980, 


1985-2000 


AGE GROUP 


YEAR 


TOTAL 


MALE 


FEMALE 


45-49 


1980 


278,261 


134,444 


143,817 




1985 


305,798 


148,540 


157,258 




1986 


311,305 


151,359 


159,946 




1987 


316,812 


154,178 


162,634 




1988 


322,320 


156,998 


165,322 




1989 


327,827 


159,817 


168,010 




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 


50-54 


1980 


306,574 


146,211 


160,363 




1985 


284,588 


136,396 


148,192 




1986 


280,190 


134,433 


145,757 




1987 


275,793 


132,470 


143,323 




1988 


271,396 


130,507 


140,889 




1989 


266,998 


128,544 


138,454 




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 


55-59 


1980 


310,995 


145,603 


165,392 




1985 


281,585 


132,889 


148,696 




1986 


275,702 


130,346 


145,356 




1987 


269,820 


127,803 


142,017 




1988 


263,939 


125,261 


138,678 




1989 


258,056 


122,718 


135,338 




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 



178 



Table F-4 (continued). 


Population Counts and Estimates, 


Massachusetts: 1980, 


1985-2000 


AGE GROUP 


YEAR 


TOTAL 


MALE 


FEMALE 


60-64 


1980 


277,384 


126.323 


151,061 




1985 


269,645 


123,966 


145,679 




1986 


268,097 


123,495 


144,602 




1987 


266,549 


123,023 


143,526 




1988 


265,001 


122,552 


142,449 




1989 


263,453 


122,080 


141,373 




1990 


261,905 


121,609 


140,296 




1991 


252,853 


117,797 


135,056 




1992 


243,758 


113,682 


130,076 




1993 


236,302 


110,383 


125,919 




1994 


229,887 


107,716 


122,171 




1995 


225,426 


105,979 


119,447 




1996 


221,450 


104,381 


117,069 




1997 


220,318 


104.206 


116,112 




1998 


220,073 


104,333 


115,740 




1999 


228,893 


108,256 


120,637 




2000 


236,405 


111,504 


124,901 


65-69 


1980 


235,574 


101,023 


134,551 




1985 


243,479 


105,724 


137,755 




1986 


245,060 


106,664 


138,396 




1987 


246,641 


107,604 


139,037 




1988 


248,221 


108,544 


139,677 




1989 


249,802 


109,484 


140,318 




1990 


251,383 


110,424 


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 


100,777 


120,380 




2000 


216,498 


98,882 


117,616 


70-74 


1980 


187,041 


73,235 


113,806 




1985 


197,186 


79,388 


117,798 




1986 


199,215 


80,619 


118,596 




1987 


201,244 


81,849 


119,395 




1988 


203,273 


83,080 


120,193 




1989 


205,302 


84,310 


120,992 




1990 


207,331 


85,541 


121,790 




1991 


206,064 


85,541 


120,523 




1992 


207,286 


86,411 


120,875 




1993 


207,610 


86,774 


120,836 




1994 


209,543 


88,009 


121,534 




1995 


211,201 


89,345 


121,856 




1996 


210,014 


88,742 


121,272 




1997 


209,512 


89,113 


120,399 




1998 


217,425 


93,318 


124,107 




1999 


214,991 


92,667 


122,324 




2000 


211,332 


91,416 


119,916 



179 



Table F-4 (continued). 


Population 


Counts and Estimates, 


Massachusetts: 1980, 


1985-2000 


AGE GROUP 


YEAR 


TOTAL 


MALE 


FEMALE 


75-79 


1980 


137,828 


48,145 


89,683 




1985 


148,741 


53,591 


95,150 




1986 


150,923 


54,680 


96,243 




1987 


153.105 


55,769 


97,336 




1988 


155,298 


56,869 


98,429 




1989 


157,471 


57,948 


99,523 




1990 


159,653 


59,037 


100,616 




1991 


157,534 


59,176 


98,358 




1992 


157,819 


59,824 


97.995 




1993 


158,987 


60,752 


98.235 




1994 


161,268 


62,072 


99,196 




1995 


162,986 


63,262 


99.724 




1996 


166,496 


64,548 


101.948 




1997 


169,323 


66,029 


103.294 




1998 


178,254 


69,719 


108,535 




1999 


182,156 


72,061 


110,095 




2000 


184,941 


73,829 


111,112 


80-84 


1980 


92,180 


28,513 


63,667 




1985 


99,240 


30,991 


68,249 




1986 


100,651 


31,486 


69.165 




1987 


102,064 


31,982 


70.082 




1988 


103,475 


32,477 


70.998 




1989 


104,888 


32,973 


71.915 




1990 


106,299 


33,468 


72.831 




1991 


106,558 


33,989 


72,569 




1992 


108,271 


34,969 


73,302 




1993 


109,369 


35,782 


73.587 




1994 


110,817 


36,721 


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 


85+ 


1980 


73,908 


20,107 


53,801 




1985 


82,124 


21,006 


61,118 




1986 


83,767 


21,186 


62,581 




1987 


85,410 


21,366 


64,044 




1988 


87,052 


21,545 


65,507 




1989 


88,696 


21,725 


66,971 




1990 


90,339 


21,905 


68,434 




1991 


91,218 


22,231 


68,987 




1992 


99,184 


24.479 


74,705 




1993 


106,943 


26.789 


80,154 




1994 


107,996 


27.258 


80,738 




1995 


108,970 


27.600 


81,370 




1996 


111,703 


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 



180 



Table F-4. 


(continued) Population Counts 


and Estimates, 


Massachusetts: 1980, 


1985-2000 


AGE GROUP 


YEAR 


TOTAL 


MALE 


FEMALE 


TOTAL 


1980 


5,737,037 


2,730,893 


3,006,144 




1985 


5,876,737 


2,809,820 


3,066,917 




1986 


5,904,670 


2,825,604 


3,079,066 




1987 


5,932,611 


2,841,389 


3,091,222 




1988 


5,960,548 


2,857,176 


3,103,372 




1989 


5,988,490 


2,872,961 


3,115,529 




1990 


6,016,425 


2,888,745 


3,127,680 




1991 


6,018,101 


2,894,993 


3,123,108 




1992 


6,037,068 


2,905,836 


3,131,232 




1993 


6,063,539 


2,920,265 


3,143,274 




1994 


6,106,792 


2,944,265 


3,162,527 




1995 


6,142,812 


2,964,725 


3,178,087 




1996 


6,184,354 


2,985,472 


3,198,882 




1997 


6,227,622 


3,009,516 


3,218,106 




1998 


6,291,263 


3,039,964 


3,251,299 




1999 


6,332,530 


3,055,561 


3,276,969 




2000 


6,349,097 


3,058,816 


3,290,281 



181 



APPENDICES 



1129-1007-a208©l998. Moore Oocunw«SoM«>s.Alngt*n=aved -0305 
Veil Ihe Moore bKemel AiUiess i 



USE ONLY STATE APPROVED RIBBONS AND MASS, STANDARD INK 
AS REQUIRED BY GEN. CAWS. CHAP. 66. slcT.T 



1. RECORD NUMBER 



612901 



3C. CITY/TOWN 



lA. CERTIFICATE NUMBER 
(DPH USE ONLY) 



. FACILfTY NUMBER 



3B. COUNTY 



^ Sljf fflnmmoniucaltJf of fflaaaacl/uactts 

DEPARTMENT OF PUBLIC HEALTH 

REGISTRY OF VfTAL RECORDS AND STATISTICS 

STANDARD CERTIFICATE OF LIVE BIRTH 



3A. FACIUTY NAMfc-lh NOT IN FACIUTY. NUMBER AND STREET 






STATE USE ONLY 



3D REGISTERED NUMBER 



9C. CERTIFIER TYPE 



9E NUMBER AND STREET 



8- DATE OF BIRTH (Month, Day, Year) 



9D. LICENSE NUMBER 



SOCIAL SECURITY CARD 



. RESIDENT COPY 



BIRTHPLACE llACfTY/TOWN 



RESIDENCE 13A. NUMBER AND STREET 
(Do not use 
mailing address) 




100. MAIOEN SURNAME 



12. DATE OF BIRTH (Month. Day, Year) 



1. 

DCCURRENCE 

lOOM . 10-98 ^\ 



BIRTHPUCE ISA. CfTY/TOWN 



I5B. STATE/COUNTRY 



17A I (WE) CERlt^r IMAl I Ht PERSONAL INFORMATION APPEARING ABOVE IS TRUE AND CORRECT 



17C. DATE SIGNED (Month. Day. Year) 



18. DATE OF RECORD (Month. Day, Yea.) 



170. MAIUNG ADDRESS 
(If drtferent horn 
item I 13 above) 



NUMBER AND STREET 



16. DATE OF BIRTH (Month, Day. Year) 



I7B. RELATIONSHIP TO CHILD 



21. DPH USE ONLY 



19 SUPPLEMENT FILED (Month. Day. Year) 



20. CLERK/REGISTRAR 



183 



fohuscbv 

physicUks amo . 

mcimou. exauincrs 



STATE use 
ONLY 



«)l}t Qloratnonmealtli a( Masaati^uBettB 

SIANOAAO CCBTinCATC Of OCATH 
fleCISTBY or VITAL RECORDS AND STATISTICS 



WEGISTEHeO WJMetB 



KACe Of OEAm tOitfTiiwn) 



«. 


nr»t 


r. vtT. 


♦ Ht» 




«■ CDUC 


M. MX 









imsi 



miQ 



PIACE OF OeATH (Omc* omy , 



WAS 0€Ca)€MT Of HISPANIC ORIGIK? 
f'rw. Sp«M(y Pumto Kc^ OominicM^ CUnn. 
CMO QYES 



COUNTY Of DEATH 



STATE use Owi Y 



OATEOf oeAiH(»«i . otf. r,i 



HOSmAl OH OTHEn INSTnVTIOH «^ f,^i, .«H,. OK, «,>« .™f ~-,^ 



p kv.fc« D EIVO>A,K.«, QoOA U^!ni^Ho™. D R«*«. Q Olft~fSp.c^ 



OHoeniYEAn 



MOS ; DAYS J MOORS ,' UINS 



MAnniED. NEVEA UAAniEO 
VMOOOVEO on CXVOftCEO 



nesioeice - NO. » ST, CITY/TOWN. cootOY 



FATHen-H<U.H«M£ 



tt. NATMTY 



SB 



d 



BLACK INK ONLY 

ROOI-89 



■NRXMAHTS NAME 



20 




SOCIAI. SECUfUTY 



OECEBENrS EDUCATION (l«9S.aG#«).C<x.,A^,»a ' 



aiHTHPlACE |C«>. »*I Sue or fVxwjn Co<«»r» 



lONOof auswEsson houstry 



M«JHG AOOfleSS -NO 4 ST, CtTYaOWH. STATE. W COOE 



■-■E!Eirrarsn52!R55ITIB« TTuNERXr^JRv^nj^NSEr 

U 8U«AI. O CB£»4AT10N I 

n EMTOueHEKT Q REJJOVAl FROM STATE I 

23 UDowAnow Q OTH. srec: 



o«nJE 



PtAC£Of01S«>SniO«(W,i/T»<rfC«Ti««T.&«™»ry<»oOW) 



2«a 



ZT 



NA«E AND AOOflESS Of f ACHJTY 



LOCATION (Ovro»ri ».»; 



29 'Aln(.Emwlh« «**«»«, inji*iM,o<convric«lionj Bui caused U*«d«atfi. Do. „ 
LM only o<u cause Ort eacit b>« (a ttwxMgft dV nVNT OA rVTE LEGIBLY 
WUCOIAIE CAUSE (Final 
. dtseas* or condition rhsuAlf^^ 
lntf«alh) ••■ ^■^^_^^, 

S«qWM1tU«r bS« COfVJHMMU. i< 

•ny loa^fing lo immAfiete 
ceuM. Enlw UNOCnLVWC 
CAUS€ (<t»ue or (nturr Out 
InMotod ovwits r«sulT!r>g n 
dMINLAST. 




^ 36* foffMCwsfo<nfy*r«'i*^oc^?«.dutfioccuTWjriA«Oni« 
• M (S<9(aA>o 



*. a'ltffWacea'K/duofe} 



1 2 O "^^ SK5NE0 (Mo, CMrt'l 
r 360 



;£ NAMEOFAnENplNapHYSICUNIFNOTCERTIFie) 



37a 0»ff>oft«SMorerartiAi«too«rt*«x*ivojll«jo(ijnnm^fl¥rt^tMd^lft 
«2 t^^ndTiOmt 



NAME A«0AOO«£SS OF CEHnfYlNGPHYSClAN on MEDICAL exAMINen(r,p. or Prtrt; 



|j5QA»ESIGNE0(IUo..0.r. YrJ 



I 37c 



I PflONOUNCEO OEAOIV*./ 



lUCENSENO.Of C£RnFiElt 



WAS THERE AH aw. 

P«0MOOHCEM£«T7 

r«>orN<> 

Mi 


rTES.OATE 
PHOMOONCEO 

40t> 


IF YES. TIME 
PRONOUHCED 

Mc M 


«<M NAME OfPnONOUNClNGnEGISTEnEO NURSE 
NAME 


M 






BECCIVEO l« THE OTY/TOWN OF: 


OATEOFRECOnO 


X HEALIVIAOEMT 


CLERICS 
SIGNATUnE 
42 . 


O 



184 




DEPARTMENT OF PUBLIC HEALTH 
REGISTRY OF VITAL RECORDS AND STATISTICS 

REPORT OF FETAL DEATH 



DATE OF RECORD 



STATE USE ONLY 




PART II 



HQunsUji 



OTHER 

SiGNIFICANT 

CONDITIONS 

Of THE FETUS OH 

THE MOTHER 



WERE AUTOPSY FINDINGS 
AVAILABLE PRIOR TO THE 
COMPLETION OF CAUSE OF DEATH? 




^■■illSSIii 



a'^SoTamroriFp"?"'"." "T" °' ^''" """''' '"'^ '°' '"'"' ^""''^ °' '^^"'^ ^^'"^^ °' -°'« 9«^«3'i°" OR °' ^ weight of 
^SU 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 fvlt. Vernon Street, 1" Floor, Dorchester, fWA 02125 



ZTFHONTnflVT '''-P^f ion 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. 



FORMR-IOI-«9 



THIS CERTIFICATE IS 
NOT TO BE USED 
OUTSIDE OF 
MASSACHUSETTS. 

NOT VALID AFTER: 



raiS IS A PERMANENT RECORD. 
Jtc ooly JnraMt bUtk. Init of approved 
lUck Ijrpewriier ribbon. Every Hem of 
qfotiiutkHi should be carefully supplied. 
U.TERATIONS AND ERASURES IN 

nils <:ertificate are forbid 

)EN.- PENALTT FOR VIOLATION. 
)NE HUNDRED DOLLARS. 

<OL CHAP. 2<n, J5 M. 28A, 48. 49. 
4.S7tndCHAP.4«. (18. 



D MEDICAL 
CERTIFICATES 
ON FILE 

D COMMISSION 
ON FILE 



I Place of Marriage 



^-7-' , *i'M«: wuuimunmcaim 01 ii«taBsau|Ufiens 

OEPARTMENT OF PUBUC HEALTH 
REGISTRY OF VITAL RECORDS AND STATISTICS 

CERTIFICATE OF MARRIAGE 

This cctlificale must be delivered to the person before wtiooi the 
marria^ is to be contracted before he prooeeds to solemnize the same 




City or Town 

(D« mot CTler ■■me of vilUge or te«io« «f city or (own) 



2 Date of Marriage. 



(Month) 



(Pay) 



(Year) 



(Stale file numbei 

(City m laym making r 

Registered No. 

. lateotion No. ___^^ 



J FULL NAME 



GROOM 



JA SURNAKIE 

AFTER MARRIAGE 



4 DATE OF BIRTH 



6 RESIDENCE 

NO.* ST. ; 

CITY/ 
TOWN 



5 OCCUPATl, 



7 NUMBER OF 
MARRIAGE 
(1st. 2nd, Jrd. etc.) 




9 BIRTHPLACE 



tCiiyorlown) 



(State or country) 



12 FULL NAME 



I2A SURNAME 

AFTER MARRIAGE 



13 DATE OF BIRTH 



15 RESIDENCE 
NO. A ST.: 

cmr/ 

TOWN 



14 OCCUPATION 



ZIP 
CODE. 



16 NUMBER OF 
MARRIAGE 
(I St. 2nd. Jrd. etc.) 



17 WIDOWED 
OR DIVORCED 



18 BIRTHPLACE 



(City or (own) 



(State Of country) 



21 THE INTENTION OF MARRIAGE by (he above-mentioned persons was duly entered by me in the records of the Commi 

according lo law, this ■ day o f 



(Name of Community) 



a COURTWAIVER rsjued 

PAGE ORDER (Month) (Day) (Year) 



(City or Town Qerk or Registrar) 



22 I HEREBY CERTIFY thai 1 joined the above-named pel, 




arriage at No ^___ _^. 

(If marriage was solemnized in a church, give its NAME instead of street and i 



(Moiith) 



(Day) 



OfHcial station _ 



(Minister of the Gospel, dergyman. Priest, Rabbi, or Justice of th 



St., City or Town of _ 



23 Ceaificate recorded by city or town clerk _ 



(Month) 



(Day) 



(Year) CLERK OR REGISTRAR 



186 



D8 -ym 9/7tt phr 



Thr ^ommontoraMb o( ifiaW<arl)U<rtt< 

DEPARTMENT OF PUBLIC HEALTH 

REGISTRY OF VITAL RECORDS AND STATISTICS 

CERTIFICATE OF ABSOLUTE 

DIVORCE OR ANNULMENT 

(Chap. 208. Sec. 46 G.L.) 

R-408 



HUSBAHO - HAMC 




F.osr 


U(OOc£ I.AST 


USUAL «£SIO€«CC - SrHECT AOOBtSS 


^?^. JOWN Ofl LOCATION 


COOMtX 




.pATt^O^iftf M («o_ a»r- **J 


HUUBCft Of THIS UAAniAGC ff > 


. 2™*. s^»<^/rf 


*V1Ct HAUE 


FiflSr 


_..<»^ 


CAST 


UAIOeN HAMC 
SO 


USUAL «£S10£NCe SfBCEt »OOfl£SS ^^*>^">^^ ' 


CitT. TOWN 0« tOCATlON 


COU«IT 




OAte Of eiRTM <wo_ a.r. ro 


HUMOER Of THIS UARAlAGC^rr 


L AW. S^X^tfl 


OAIC OF THCS MARftlACC 

(«•_ o.r. r<y 


I"" 


Of CMILDREh born ALIve Of fMfS MARRIAGC 




MOMOCH Of OW-OnCM UMO£fl AGE »« IH iMtS FAUICV 



FOR COURT USE ONLY 




187 



REGISTRY OF VITAL RECORDS AND STATISTICS 
STAFF 



REGISTRAR 
Stanley E. Nyberg 



ADMINISTRATION 

Karin A. Barrett, Assistant Registrar 

Dean L. DiMartino, Director 

Ramona A. Irving, Administrative Assistant 

Tuyet Luong 



INFORMATION TECHNOLOGY 
Howard Wong, Director 
Ian Skolnik 



INFORMATION UNIT 

Charlene J. Zion, Information Officer 

Kevin Y. Foster, Biostatistician 



REGISTRATION UNIT 
Pauline M. McNulty, Director 
June A. Deloney, Supervisor 
Denise O'Gara, Paralegal 
Crystal Steward, Paralegal 
Tara Andrews 
Irene Chu 
Pamela Corbin 
Carolyn Edwards 
Robert E. McMahan 
Venita B. Morabito 
Mary E. Risser 
MaryLou F. Rossetti 
Phyllis Rotman 
Monica Smith 



OPERATIONS UNIT 
Pedro Fidalgo, Supervisor 
Steven Sears 



STATISTICS UNIT 
Jane K. Purtill, Director 
Paul A. Budrow 
Robert A. Coffin III 
Hailekiros Gabreegziabher 
Annie B. Hobbs 
Judy Y. Lim 
Maureen L. McKean 
Ann-Marie Neault 
Waleska Ortiz 
Sharon Pagnano 
Adele L. Pascar 
Maria Vu 



RECORDS UNIT 

Harold L. Leonard, Supervisor 

Joseph R. Cummings, Supervisor 

Katherine Martinez, Vital Check Coordinator 

Michael Baker 

Christina Bocolos 

Trevor Hall 

Daniel Martel 

Donald T. McHugh 

Jim Orseno 

Jose Otero 

Simon Smith 



189 



BOSTON PUBLIC LIBRARY 



3 9999 06351 821 9 




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