Delaware Vital Statistics Annual Report, 2003 Division of Public Health Delaware Health Statistics Center Division of Public Health 417 Federal Street Dover, DE 19901 (302) 744-4541 Telephone (302) 739-4784 FAX Jaime H. Rivera, MD, FAAP Director Division of Public Health "Selected Characteristics: Delaware Vital Statistics Annual Report, 2003" Population Number* Percent Delaware 817,501 100.0% Kent 134,382 16.4% New Castle 515,079 63.0% Sussex 168,040 20.6% Marriages Number* 5-yr Rate1 Delaware 4,923 6.5 Kent 923 7.4 New Castle 2,784 5.9 Sussex 1,216 7.6 Divorces Number* 5-yr Rate1 Delaware 3,178 3.9 Kent 673 5.4 New Castle 1,834 3.4 Sussex 671 4.2 Live Births Number* 5-yr Rate2 Delaware 11,337 62.3 Kent 2,062 66.0 New Castle 7,174 60.3 Sussex 2,101 67.0 Race White 7,823 61.2 Black 2,865 68.3 Births to Teenagers (15-19) White 681 36.4 Black 493 80.3 Delaware 1,206 46.9 Kent 241 51.1 New Castle 697 41.9 Sussex 268 60.5 Marital Status Number* Percent Married 7,596 61.6% Single 4,742 38.4% Births to Single Mothers3 White 2,583 33.0% Black 1,997 69.7% Low Birth Weight (<2500 gms) All Races 1,069 9.4% White 605 7.7% Black 409 14.3% Mother of Hispanic Origin4 1,382 12.2% First Trimester Care Number* Percent White 6,771 86.6% Black 2,254 78.7% Delaware 9,508 83.9% Kent 1,614 78.3% New Castle 6,355 88.6% Sussex 1,539 73.3% Reported Pregnancies Number* 5-yr Rate5 Delaware 14,523 82.5 Kent 2,546 83.9 New Castle 9,505 82.3 Sussex 2,472 81.9 Pregnancy Outcomes Number* Percent Live Births 11,337 78.1% Fetal Deaths 63 0.4% Induced Terminations (ITOP) 3,123 21.5% ITOP by Place of Residence Delaware 3,123 74.8% Kent 474 15.2% New Castle 2,292 73.4% Sussex 357 11.4% Other States 1,053 25.2% Infant Mortality Number* 5-yr Rate6 Delaware 107 9.1 White 53 6.9 Black 53 16.7 Mortality Number* Adj. Rate7 Delaware 7,067 832.8 Kent 1,114 833.7 New Castle 4,129 837.6 Sussex 1,824 823.3 Race and Gender White Males 2,842 958.4 White Females 2,940 676.1 Black Males 644 1274.0 Black Females 597 905.6 Leading Causes of Death Number* Percent Heart Disease 2,027 28.7% Cancer 1,718 24.3% Stroke 407 5.8% Chronic Lower Respiratory Disease 339 4.8% Unintentional Injuries 287 4.1% Notes: * Numbers are for 2003. 1. The 5-year Rate is per 1,000 population and refers to the period 1999-2003. 2. The 5-year Rate refers to total live births per 1,000 women 15-44 years of age during the 1998-2003 period. 3. Percentages for births to single mothers are based on total births for the race-group. 4. Persons of Hispanic origin may be of any race. The percentage is based on total resident births for 2003 5. Pregnancy rates represent the number of reported pregnancies to women of all ages per 1,000 women 15-44 years of age for 1999-2003. 6. The 5-year (1999-2003) infant mortality rates represent the number of deaths to children under one year of age per 1,000 live births. 7. The 2003 mortality rates (deaths per 100,000 population) for Delaware and counties are age-adjusted to the 2000 U.S. population. Source: Delaware Health Statistics Center PREFACE I am pleased to present the 2003 Vital Statistics Report, issued by the Division of Public Health's Delaware Health Statistics Center. This report features statistics that are essential to identify and understand the challenges facing Delaware as it strives to improve the health of its residents. Our challenges are significant, and include the reduction of infant mortality, lowering our high rates of cancer, and closing the health disparities gap that exists when we compare racial and ethnic groups. In order to meet these challenges, we must gain insight from, and track our progress through, health indicators. The Delaware Vital Statistics Annual Report is a key report issued by the Division of Public Health for this purpose. To assist users of this report, an introductory section describes Delaware's vital statistics system and defines terms used in the report. In addition, we can provide all data, tables, and graphs in Microsoft Excel spreadsheets, or the entire report in electronic format. To make such requests, or to ask questions about the report in general, please contact the Delaware Health Statistics Center at 302-744-4704. The report is also available at: http://www.state.de.us/dhss/dph/hp/annrepvs.html. The primary sources of data used in preparing this report are certificates of marriage, divorce, live birth, death, fetal death, and reports of induced termination of pregnancy. We are indebted to the hard work and dedication of the professionals who provide these certificates. Jaime H. Rivera, MD, FAAP Director Delaware's Division of Public Health ACKNOWLEDGMENTS This report was prepared by Barbara Gladders, and reviewed by Denese Welch and Mona Dolbeare of the Delaware Health Statistics Center. We gratefully acknowledge the contributions of Brenda Conner and the staff of the Office of Vital Statistics, Edward C. Ratledge and the staff of the Center for Applied Demography and Survey Research at the University of Delaware, and the Health Statistics Center staff, including: Jean Hreczan, Phil Barney, and Danielle Lawson. We also recognize local registrars, physicians, nurses, medical records staffs, midwives, funeral directors, and county clerks for their help in collecting and providing us with these data. Finally, special thanks go to the Delaware Tourism Office for providing the photo used on our cover. To obtain additional copies of this report, contact: State of Delaware Department of Health and Social Services Division of Public Health Health Statistics Center 417 Federal Street Dover, Delaware 19901 (302) 744-4541 FAX (302) 739-4784 Or visit our website at: http://www.dhss.delaware.gov/dhss/dph/hp/healthstats.html TABLE OF CONTENTS "DELAWARE VITAL STATISTICS ANNUAL REPORT, 2003" THE DELAWARE VITAL STATISTICS SYSTEM 1 BASIC DEFINITIONS 3 RATES 9 A. POPULATION Population Highlights 15 Population Tables and Figures Table A-1 "Percent Change in Population by Sex - Delaware, Counties, City of Dover, City of Newark, and City of Wilmington, 1970-2020" 17 Figure A-1 "Population Growth - Delaware and Counties, 1800-2020" 18 Figure A-2 "Live Births, Deaths, and Natural Increase - Delaware, 1983-2003" 19 Table A-2 "Population Estimates by Sex, Race and Age - Delaware, Counties, City of Dover, City of Newark, and City of Wilmington, 2003" 20 Figure A-3 "Projected Population Growth - Delaware and Counties, 1990-2030" 21 B. MARRIAGE AND DIVORCE Marriage and Divorce Highlights 25 Marriage and Divorce Tables Table B-1 "Number of Marriages by Place of Ceremony - U.S., Delaware and Counties, 1983-2003" 27 Table B-2 "Five-Year Average Marriage Rates per 1,000 Population by Place of Ceremony - U.S., Delaware and Counties, 1983-2003" 27 Table B-3 "Number and Percent of Marriages by Month of Ceremony - Delaware, 2003" 28 Table B-4 "Number and Percent of Marriages by Day of Week Ceremony Performed - Delaware, 2003" 28 Table B-5 "Number of Divorces/Annulments* by Place of Decree - Delaware and Counties, 1983-2003" 29 Table B-6 "Five-Year Average Divorce/Annulment* Rates per 1,000 Population by Place of Decree - Delaware and Counties, 1983-2003" 29 Table B-7 "Median and Mean Duration of Marriage in Years at Time of Divorce Decree by Race and Number of This Marriage - Delaware, 2003" 30 Table B-8 "Number and Percent of Divorces by Race of Husband and Wife and Number of Children under 18 - Delaware, 2003" 31 C. LIVE BIRTHS Live Birth Highlights 35 Live Birth Tables and Figures NUMBER OF LIVE BIRTHS BY AGE OF MOTHER Table C-1 "Number of Live Births by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1993-2003 - (All Races)" 37 Table C-2 "Number of Live Births by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1993-2003 - (White)" 38 Table C-3 "Number of Live Births by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1993-2003 - (Black)" 39 Table C-4 "Number of Live Births by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1993-2003 - (Hispanic Origin*)" 40 TEEN BIRTH RATES Table C-5 "Five-Year Average Teenage Live Birth Rates by Age and Race of Mother - U.S., Delaware, Counties and City of Wilmington, 1984-2003" 41 Figure C-1 "Five-Year Average Teenage (15-19) Live Birth Rates - U.S., Delaware and Counties, 1983-2003" 42 Figure C-2 "Five-Year Average Teenage (15-19) Live Birth Rates by Race - U.S. and Delaware, 1983-2003" 43 Figure C-3 "Five-Year Average Teenage (15-17) Live Birth Rates - U.S., Delaware and Counties, 1983-2003" 44 Figure C-4 "Five-Year Average Teenage (18-19) Live Birth Rates - U.S., Delaware and Counties, 1983-2003" 45 GENERAL FERTILITY AND AGE-SPECIFIC BIRTH RATES Table C-6 "Five-Year General Fertility and Age-Specific Live Birth Rates - U.S., Delaware and Counties, 1984-2003 - (All Races)" 46 Table C-7 "Five-Year General Fertility and Age-Specific Live Birth Rates - U.S., Delaware and Counties, 1984-2003 - (White)" 47 Table C-8 "Five-Year General Fertility and Age-Specific Live Birth Rates - U.S., Delaware and Counties, 1984-2003 - (Black)" 48 Figure C-5 "Five-Year Average General Fertility Rates - U.S., Delaware and Counties, 1983-2003" 49 Figure C-6 "Five-Year Average General Fertility Rates by Race - U.S. and Delaware, 1983-2003" 50 Figure C-7 "Five-Year Average Age-Specific Live Birth Rates by Race - Delaware, 1999-2003" 51 Figure C-8 "Five-Year Average Age-Specific Live Birth Rates - Counties, 1999-2003" 52 NUMBER OF BIRTHS BY AGE, RACE, MARITAL STATUS, AND EDUCATION Table C-9 "Number of Live Births by Age, Race and Hispanic Origin of Mother - Delaware, Counties and City of Wilmington, 2003" 53 Table C-10 "Number of Live Births to Married Mothers by Age of Mother and Age of Father - Delaware, Counties and City of Wilmington, 2003" 54 Table C-11 "Number of Live Births by Education and Age of Mother - Delaware, Counties and City of Wilmington, 2003" 55 Table C-12 "Number and Percent of Live Births by Education and Race and Hispanic Origin of Mother - Delaware, Counties and City of Wilmington, 2003" 56 Table C-13 "Five-Year Average Percentage of Live Births to Single Mothers by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1984-2003 - (All Races)" 57 Table C-14 "Five-Year Average Percentage of Live Births to Single Mothers by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1984-2003 - (White)" 58 Table C-15 "Five-Year Average Percentage of Live Births to Single Mothers by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1984-2003 - (Black)" 59 Table C-16 "Five-Year Average Percentage of Live Births to Single Mothers by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1989-2003 - (Hispanic Origin*)" 60 Figure C-9 "Five-Year Average Percentage of Births to Single Mothers by Race - U.S. and Delaware, 1983-2003" 61 Table C-17 "Number of Live Births by Age, Marital Status, Race and Hispanic Origin of Mother - Delaware, Counties and City of Wilmington, 2003" 62 NUMBER OF BIRTHS BY LIVE BIRTH ORDER AND PLURALITY Table C-18 "Number of Live Births by Live Birth Order and Age of Mother - Delaware, Counties and City of Wilmington, 2003" 63 Table C-19 "Number and Percent of Live Births by Live Birth Order, Race and Hispanic Origin of Mother - Delaware, Counties and City of Wilmington, 2003" 64 Table C-20 "Number of Live Births by Plurality and Age of Mother - Delaware, Counties and City of Wilmington, 2003" 65 Table C-21 "Number and Percent of Live Births by Plurality, Race and Hispanic Origin of Mother - Delaware, Counties and City of Wilmington, 2003" 66 NUMBER OF BIRTHS BY FACILITY AND ATTENDANT Table C-22 "Number and Percent of Live Births by Place of Birth, Type of Facility and Residence Status - Delaware, 2003" 67 Table C-23 "Number and Percent of Live Births by Attendant at Birth, Race and Hispanic Origin of Mother - Delaware, Counties and City of Wilmington, 2003" 68 FIVE-YEAR AVERAGE PERCENTAGE OF BIRTHS BY BIRTH WEIGHT Table C-24 "Five-Year Average Percentage of Low Birth Weight Births (<2500 Grams) by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1984-2003 - (All Races)" 69 Table C-25 "Five-Year Average Percentage of Low Birth Weight Births (<2500 Grams) by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1984-2003 - (White)" 70 Table C-26 "Five-Year Average Percentage of Low Birth Weight Births (<2500 Grams) by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1984-2003 - (Black)" 71 Table C-27 "Five-Year Average Percentage of Low Birth Weight Births (<2500 Grams) by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1989-2003 - (Hispanic Origin*)" 72 Figure C-10 "Five-Year Average Percentage of Low Birth Weight Births (<2500 Grams) by Race - U.S. and Delaware, 1983-2003" 73 Figure C-11 "Five-Year Average Percentage of Low Birth Weight Births (<2500 Grams) by Race - Delaware and Counties, 1999-2003" 74 Table C-28 "Five-Year Average Percentage of Very Low Birth Weight Births (<1500 Grams) by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1984-2003 - (All Races)" 75 Table C-29 "Five-Year Average Percentage of Very Low Birth Weight Births (<1500 Grams) by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1984-2003 - (White)" 76 Table C-30 "Five-Year Average Percentage of Very Low Birth Weight Births (<1500 Grams) by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1984-2003 - (Black)" 77 Table C-31 "Five-Year Average Percentage of Very Low Birth Weight Births (<1500 Grams) by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1989-2003 - (Hispanic Origin*)" 78 Figure C-12 "Five-Year Average Percentage of Very Low Birth Weight Births (<1500 Grams) by Race - U.S. and Delaware, 1983-2003" 79 Figure C-13 "Five-Year Average Percentage of Very Low Birth Weight Births (<1500 Grams) by Race - Delaware and Counties, 1999-2003" 80 Table C-32 "Number of Live Births by Birth Weight in Grams and Age of Mother - Delaware, Counties and City of Wilmington, 2003" 81 Table C-33 "Number of Live Births by Birth Weight in Grams, Race and Hispanic Origin of Mother - Delaware, Counties and City of Wilmington, 2003" 82 NUMBER OF BIRTHS BY GESTATION Table C-34 "Number of Live Births by Race and Hispanic Origin of Mother, Weeks of Gestation and Age of Mother - Delaware, 2003" 83 Table C-35 "Number of Live Births by Race and Hispanic Origin of Mother, Birth Weight and Weeks of Gestation - Delaware, 2003" 84 PRENATAL CARE Table C-36 "Five-Year Average Percentage of Births to Mothers Beginning Prenatal Care in the First Trimester by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1990-2003 - (All Races)" 85 Table C-37 "Five-Year Average Percentage of Births to Mothers Beginning Prenatal Care in the First Trimester by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1990-2003 - (White)" 86 Table C-38 "Five-Year Average Percentage of Births to Mothers Beginning Prenatal Care in the First Trimester by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1990-2003 - (Black)" 87 Table C-39 "Five-Year Average Percentage of Births to Mothers Beginning Prenatal Care in the First Trimester by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1990-2003 - (Hispanic Origin*)" 88 Figure C-14 "Five-Year Average Percentage of Births to Mothers Beginning Prenatal Care in the First Trimester - U.S., Delaware and Counties, 1990-2003" 89 Figure C-15 "Five-Year Average Percentage of Births to Mothers Beginning Prenatal Care in the First Trimester by Race - U.S. and Delaware, 1990-2003" 90 Table C-40 "Number and Percent of Live Births by Trimester Prenatal Care Began, Race and Hispanic Origin of Mother - Delaware, Counties and City of Wilmington, 2003" 91 Figure C-16 "Percentage of Births to Mothers Receiving Prenatal Care in the First Trimester by Race - Delaware, Counties and City of Wilmington, 2003" 92 Table C-41 "Number of Live Births by Age of Mother, Birth Weight in Grams and Trimester Prenatal Care Began - Delaware, 2003" 93 Table C-42 "Number and Percent of Live Births by Age of Mother, Birth Weight in Grams and Trimester Prenatal Care Began (Percentages Calculated by Birth Weight Category) - Delaware, 1999-2003" 94 Table C-43 "Number and Percent of Live Births by Marital Status of Mother, Birth Weight in Grams and Trimester Prenatal Care Began (Percentages Calculated by Birth Weight Category) - Delaware, 1999-2003" 95 Table C-44 "Number and Percent of Live Births by Number of Prenatal Visits, Race and Hispanic Origin of Mother - Delaware, Counties and City of Wilmington, 2003" 96 SOURCE OF PAYMENT Table C-45 "Number and Percent of Live Births by Race, Hispanic Origin, and Age of Mother and Principal Source of Payment for Delivery - Delaware, 2003" 97 Table C-46 "Number and Percent of Live Births by Race, Hispanic Origin, and Marital Status of Mother, and Principal Source of Payment for Delivery - Delaware, 2003" 98 Table C-47 "Number and Percent of Live Births by Trimester Prenatal Care Began and Principal Source of Payment for Delivery - Delaware, Counties and City of Wilmington, 2003" 99 Table C-48 "Number and Percent of Live Births by Race, Hispanic Origin of Mother, Trimester Prenatal Care Began and Principal Source of Payment for Delivery - Delaware, 2003" 100 Table C-49 "Number and Percent of Live Births by Race, Hispanic Origin of Mother, Method of Delivery and Principal Source of Payment for Delivery - Delaware, 2003" 101 TOBACCO USE Table C-50 "Number and Percent of Live Births for Mothers Reporting Tobacco Use during Pregnancy by Race and Hispanic Origin of Mother - Delaware, Counties and City of Wilmington, 2003" 102 Table C-51 "Number and Percent of Live Births by Age of Mother and Mother's Reported Use of Tobacco during Pregnancy - Delaware, 2003" 103 Table C-52 "Number and Percent of Live Births by Birth Weight in Grams and Mother's Reported Use of Tobacco during Pregnancy - Delaware, Counties and City of Wilmington, 2003" 103 Table C-53 "Percentage of Live Births for Mothers Reporting Tobacco Use during Pregnancy by Race and Hispanic Origin - U.S. and Delaware, 1993-2003" 104 TIME OF YEAR AND MOST POPULAR BIRTH NAMES Table C-54 "Number and Percent of Live Births by Day of the Week - Delaware, 2003" 105 Table C-55 "Number and Percent of Live Births by Month - Delaware, 2003" 105 Table C-56 "Most Popular Birth Names by Sex of Child - Delaware, 2002-2003" 106 RANKINGS AND MAPS Table C-57 "Ranking of Percentage of Low Birth Weight Births (<2500 Grams) by Race - U.S., 50 States and District of Columbia, 2003" 107 Figure C-17 "Annual Percentage of Low Birth Weight Births (<2500 Grams) - 50 States and District of Columbia, 2003" 108 Table C-58 "Ranking of Percentage of Live Births by Cesarean Delivery by Race - U.S., 50 States and District of Columbia, 2003" 109 Figure C-18 "Annual Percentage of Live Births by Cesarean Delivery - 50 States and District of Columbia, 2003" 110 Table C-59 "Ranking of Percentage of Mothers Receiving Prenatal Care in the First Trimester by Race - U.S., 50 States and District of Columbia, 2003" 111 Figure C-19 "Annual Percentage of Mothers Receiving Prenatal Care in First Trimester - 50 States and District of Columbia, 2003" 112 Table C-60 "Ranking of Percentage of Births to Single Mothers by Race - U.S., 50 States and District of Columbia, 2003" 113 Figure C-20 "Annual Percentage of Births to Single Mothers - 50 States and District of Columbia, 2003" 114 D. REPORTED PREGNANCIES Reported Pregnancy Highlights 117 Reported Pregnancy Tables Table D-1 "Number and Percent of Reported Pregnancies by Age of Woman - Delaware and Counties, 2003" 119 Table D-2 "Number and Percent of Reported Pregnancies by Race, Hispanic Origin, and Age of Woman - Delaware, 2003" 120 Table D-3 "Number and Percent of Reported Pregnancies by Race, Hispanic Origin, and Education of Woman - Delaware, 2003" 121 Table D-4 "Number and Percent of Reported Pregnancies by Race and Marital Status of Woman - Delaware and Counties, 2003" 122 Table D-5 "Number and Five-Year Average Rate of Reported Pregnancies by Age and Race of Woman - Delaware and Counties, 1999-2003" 123 Table D-6 "Number of Fetal Deaths by Weight of Fetus in Grams and Race of Woman - Delaware and Counties, 2003" 124 Table D-7 "Number of Fetal Deaths by Weeks of Gestation and Race of Woman - Delaware and Counties, 2003" 125 Table D-8 "Number and Percent of Induced Terminations of Pregnancy by Selected Characteristics - Delaware, 2003" 126 Table D-9 "Number and Percent of Induced Terminations of Pregnancy by Place of Residence, Race, and Age of Woman - Delaware, 2003" 127 Table D-10 "Number of Induced Terminations of Pregnancy by Place of Residence, Age, Marital Status, and Race of Woman - Delaware, 2003" 128 Table D-11 "Number of Induced Terminations of Pregnancy by Place of Residence, Age, Marital Status, and Hispanic Origin of Woman - Delaware, 2003" 129 Table D-12 "Number of Induced Terminations of Pregnancy by Place of Residence, Education, and Age of Woman - Delaware, 2003" 130 Table D-13 "Number and Percent of Induced Terminations of Pregnancy by Place of Residence, Education, and Race of Woman - Delaware, 2003" 131 Table D-14 "Number of Induced Terminations of Pregnancy by Place of Residence, Weeks of Gestation, and Age of Woman - Delaware, 2003" 132 Table D-15 "Number of Induced Terminations of Pregnancy by Place of Residence, Age of Woman, and Number of Previous Pregnancies - Delaware, 2003" 133 Table D-16 "Number of Induced Terminations of Pregnancy by Place of Residence, Age of Woman, and Number of Previous Live Births - Delaware, 2003" 134 Table D-17 "Number of Induced Terminations of Pregnancy by Place of Residence, Age of Woman, and Number of Previous Induced Terminations - Delaware, 2003" 135 E. INFANT MORTALITY Infant Mortality Highlights 139 Infant Mortality Tables and Figures Table E-1 "Number of Infant Deaths by Race - U.S., Delaware, Counties and City of Wilmington, 1986-2003" 141 Table E-2 "Number of Neonatal Deaths by Race - U.S., Delaware, Counties and City of Wilmington, 1986-2003" 142 Table E-3 "Number of Postneonatal Deaths by Race - U.S., Delaware, Counties and City of Wilmington, 1986-2003" 143 Table E-4 "Five-Year Average Infant Mortality Rates by Race - U.S., Delaware, Counties and City of Wilmington, 1983-2003" 144 Figure E-1 "Five-Year Average Infant Mortality Rates by Race - U.S. and Delaware, 1983-2003" 145 Figure E-2 "Five-Year Average Infant Mortality Rates by Race - Delaware, Counties and the City of Wilmington, 1999-2003" 146 Table E-5 "Five-Year Average Neonatal Mortality Rates by Race - U.S., Delaware, Counties and City of Wilmington, 1983-2003" 147 Figure E-3 "Five-Year Average Neonatal Mortality Rates by Race - U.S. and Delaware, 1983-2003" 148 Table E-6 "Five-Year Average Postneonatal Mortality Rates by Race - U.S., Delaware, Counties and City of Wilmington, 1983-2003" 149 Figure E-4 "Five-Year Average Postneonatal Mortality Rates by Race - U.S. and Delaware, 1983-2003" 150 Table E-7 "Five-Year Average Perinatal Mortality Rates by Race - Delaware and Counties, 1989-2003" 151 Figure E-5 "Five-Year Average Perinatal Mortality Rates by Race - Delaware, 1989-2003" 152 Table E-8 "Five-Year Average Infant Mortality Rates by Selected Risk Factors and Race of Mother - Delaware, 1999-2003 Live Birth Cohort" 153 Table E-9 "Number of Infant Deaths by Plurality, Birth Weight in Grams, Race of Mother and Sex of Child - Delaware, 1999-2003 Live Birth Cohort" 154 Table E-10 "Number of Neonatal Deaths by Plurality, Birth Weight in Grams, Race of Mother and Sex of Child - Delaware, 1999-2003 Live Birth Cohort" 155 Table E-11 "Ranking of Five-Year Average Infant Mortality Rates - U.S., 50 States and District of Columbia, 1998-2002" 156 F. MORTALITY Changes in Mortality Data Analysis and Reporting 159 Mortality Highlights 163 Mortality Tables and Figures Table F-1 "Number of Deaths by Race - U.S., Delaware, Counties and City of Wilmington, 1990-2003" 165 Table F-2 "Number of Deaths by Age, Race, and Hispanic Origin - Delaware, Counties and City of Wilmington, 2003" 166 Table F-3 "Number of Deaths by Age and Race - Delaware, Counties and City of Wilmington, 2003 - (Both Sexes)" 167 Table F-4 "Number of Deaths by Age and Race - Delaware, Counties and City of Wilmington, 2003 - (Males)" 168 Table F-5 "Number of Deaths by Age and Race - Delaware, Counties and City of Wilmington, 2003 - (Females)" 169 Table F-6 "Mortality Trends by Race, Ethnicity, Gender, and Age - Delaware, 1993-2003" 170 Table F-7 "Number of Deaths, Years of Potential Life Lost (YPLL*), and Median Age at Death for Fifteen Selected Leading Causes of Death - Delaware, 1999-2003" 171 Figure F-1 "Leading Causes of Death - Delaware, 1999-2003" 172 Figure F-2 "Percent of Total Deaths and Years of Potential Life Lost (YPLL) for Selected Causes - Delaware, 1999-2003" 173 Table F-8 "Leading Causes of Death - Counties and City of Wilmington, 1999-2003" 174 Table F-9 "Ten Leading Causes of Death by Sex and Race Group - Delaware, 1999-2003" 175 Table F-10 "Ten Leading Causes of Death by Race-Sex Group - Delaware, 1999-2003" 176 Table F-11 "Ten Leading Causes of Death by Age - Delaware, 1999-2003" 177 Table F-12 "Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2003 - (All Races, Both Sexes)" 178 Table F-13 "Number of Deaths by Age for Selected Leading Causes of Death - Kent, 2003 - (All Races, Both Sexes)" 180 Table F-14 "Number of Deaths by Age for Selected Leading Causes of Death - New Castle, 2003 - (All Races, Both Sexes)" 182 Table F-15 "Number of Deaths by Age for Selected Leading Causes of Death - City of Wilmington, 2003 - (All Races, Both Sexes)" 184 Table F-16 "Number of Deaths by Age for Selected Leading Causes of Death - Sussex, 2003 - (All Races, Both Sexes)" 186 Table F-17 "Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2003 - (All Races, Males)" 188 Table F-18 "Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2003 - (All Races, Females)" 190 Table F-19 "Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2003 - (White, Both Sexes)" 192 Table F-20 "Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2003 - (White Males)" 194 Table F-21 "Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2003 - (White Females)" 196 Table F-22 "Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2003 - (Black, Both Sexes)" 198 Table F-23 "Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2003 - (Black Males)" 200 Table F-24 "Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2003 - (Black Females)" 202 Table F-25 "HIV Infection/AIDS* Deaths by Age, Race and Hispanic Origin and Sex - Delaware, Counties and City of Wilmington, 2003" 204 Table F-26 "Number and Percent of Deaths by Method of Disposition and Race Delaware, Counties and City of Wilmington, 2003" 205 Table F-27 "Life Expectancy at Birth* by Race and Sex - Delaware, 1983-2003" 206 Table F-28 "Average Remaining Years of Life* by Age, Race, and Sex - Delaware, 2003" 206 Table F-29 "Maternal Deaths - Delaware and Counties, 1981-2003" 207 Table F-30 "Five-Year Age-Adjusted Mortality Rates1 for Selected Causes of Death Delaware and Counties, 1999-2003" 208 TECHNICAL NOTES 211 APPENDICES APPENDIX A Random Variation 221 APPENDIX B Methods for Adjustment and Statistical Analysis of Five-Year Average Mortality Rates 222 APPENDIX C Creation of a Live Birth Cohort File 224 APPENDIX D Methods for Calculation of Years of Potential Life Lost (YPLL) 225 APPENDIX E ICD Codes and Comparability Ratios 226 APPENDIX F State of Delaware Certificate of Live Birth 227 APPENDIX G State of Delaware Certificate of Death 229 APPENDIX H State of Delaware Certificate of Fetal Death 230 APPENDIX I State of Delaware Certificate of Marriage 231 APPENDIX J State of Delaware Certificate of Divorce or Annulment 232 APPENDIX K State of Delaware Report of Induced Termination of Pregnancy 233 REFERENCES 237