Ruth Ann Minner, Governor State of Delaware Vincent P. Meconi, Secretary Delaware Health and Social Services Delaware Vital Statistics Annual Report, 2005 Division of Public Health Delaware Health Statistics Center Division of Public Health 417 Federal Street Dover, DE 19901 Telephone (302) 744-4541 FAX (302) 739-4784 Jaime H. Rivera, MD, FAAP Director Division of Public Health Doc. No. 35-05-20/07/07/03 PREFACE I am pleased to present the 2005 Vital Statistics Annual 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 2005 Delaware Vital Statistics Annual Report is a key report issued by the Division of Public Health for this purpose. 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. 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 302-744-4541. The report is also available at http://www.state.de.us/dhss/dph/hp/annrepvs.html. Jaime H. Rivera, MD, FAAP Director, Delaware Division of Public Health ACKNOWLEDGMENTS This report was prepared by Barbara Gladders and Maridelle Dizon, and reviewed by Mona Dolbeare and Denese Welch 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 Dr. Paul Silverman for providing the cover photograph. 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, 2005 THE DELAWARE VITAL STATISTICS SYSTEM 1 BASIC DEFINITIONS 3 RATES 9 VITAL STATISTICS TRENDS 13 A. POPULATION Population Summary 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, 1800-2030 18 Figure A-2 Live Births, Deaths, and Natural Increase - Delaware, 1985- 2005 19 Table A-2 Population Estimates by Sex, Race and Age - Delaware, Counties, City of Dover, City of Newark, and City of Wilmington, 2005 20 Figure A-3 Projected Population Growth - Delaware and Counties, 1990-2030 21 B. MARRIAGE AND DIVORCE Marriage and Divorce Summary 23 Marriage and Divorce Tables Table B-1 Number of Marriages by Place of Ceremony - U.S., Delaware and Counties, 1985-2005 25 Table B-2 Five-Year Average Marriage Rates per 1,000 Population by Place of Ceremony - U.S., Delaware and Counties, 1985-2005 25 Table B-3 Number and Percent of Marriages by Race of Groom and Bride - Delaware, 2005 26 Table B-4 Number and Percent of Marriages by Previous Marital Status and Race of Bride and Groom - Delaware, 2005 26 Table B-5 Number and Percent of Marriages by Marriage Order, Type of Ceremony and Race of Bride and Groom - Delaware, 2005 27 Table B-6 Median and Mean Age of Bride and Groom by Marriage Order and Race - Delaware, 2005 27 Table B-7 Number and Percent of Marriages by Marriage Order, Age and Race of Bride and Groom - Delaware, 2005 28 Table B-8 Number of Marriages by Marriage Order and Age of Bride by Marriage Order and Age of Groom - Delaware, 2005 29 Table B-9 Number and Percent of Marriages by Month of Ceremony - Delaware, 2005 30 Table B-10 Number and Percent of Marriages by Day of Week Ceremony Performed - Delaware, 2005 30 Table B-11 Number of Divorces/Annulments* by Place of Decree - Delaware and Counties, 1985-2005 31 Table B-12 Five-Year Average Divorce/Annulment* Rates per 1,000 Population by Place of Decree - Delaware and Counties, 1985-2005 31 Table B-13 Number of Divorces/Annulments* by Race of Wife and Race of Husband - Delaware, 2005 32 Table B-14 Mean and Median Age of Husband and Wife at Time of Divorce Decree by Number of This Marriage and Race of Husband and Wife - Delaware, 2005 32 Table B-15 Number and Percent of Divorces/Annulments* by Marriage Order, Age of Husband and Wife at Time of Divorce Decree and Race of Husband and Wife - Delaware, 2005 33 Table B-16 Median and Mean Duration of Marriage in Years at Time of Divorce Decree by Number of This Marriage and Race of Husband and Wife - Delaware, 2005 34 Table B-17 Number and Percent of Divorces/Annulments* by Marriage Order, Duration of This Marriage and Race of Husband and Wife - Delaware, 2005 35 Table B-18 Number and Percent of Divorces by Race of Husband and Wife and Number of Children under 18 - Delaware, 2005 36 C. LIVE BIRTHS Live Birth Summary 37 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, 1995-2005 - (All Races) 45 Table C-2 Number of Live Births by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1995-2005 - (White) 46 Table C-3 Number of Live Births by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1995-2005 - (Black) 47 Table C-4 Number of Live Births by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1995-2005 - (Hispanic Origin*) 48 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, 1986-2005 49 Figure C-1 Five-Year Average Teenage (15-19) Live Birth Rates - U.S., Delaware and Counties, 1985-2005 50 Figure C-2 Five-Year Average Percent Live Births to Teens (15-19) by Census County Division, Delaware, 2001-2005 51 Figure C-3 Five-Year Average Teenage (15-19) Live Birth Rates by Race - U.S. and Delaware, 1985-2005 52 Figure C-4 Five-Year Average Teenage (15-17) Live Birth Rates - U.S., Delaware and Counties, 1985-2005 53 Figure C-5 Five-Year Average Teenage (18-19) Live Birth Rates - U.S., Delaware and Counties, 1985-2005 54 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, 1986-2005 - (All Races) 55 Table C-7 Five-Year General Fertility and Age-Specific Live Birth Rates - U.S., Delaware and Counties, 1986-2005 - (White) 56 Table C-8 Five-Year General Fertility and Age-Specific Live Birth Rates - U.S., Delaware and Counties, 1986-2005 - (Black) 57 Figure C-6 Five-Year Average General Fertility Rates - U.S., Delaware and Counties, 1985-2005 58 Figure C-7 Five-Year Average General Fertility Rates by Race - U.S. and Delaware, 1985-2005 59 Figure C-8 Five-Year Average Age-Specific Live Birth Rates by Race - Delaware, 2001-2005 60 Figure C-9 Five-Year Average Age-Specific Live Birth Rates - Counties, 2001-2005 61 Table C-9 Number of Live Births by Age, Race and Hispanic Origin of Mother - Delaware, Counties and City of Wilmington, 2005 62 NUMBER OF BIRTHS BY AGE, RACE, MARITAL STATUS, AND EDUCATION Table C-10 Number of Live Births to Married Mothers by Age of Mother and Age of Father - Delaware, Counties and City of Wilmington, 2005 63 Table C-11 Live Births per 1,000 Women in Each Age Group - Delaware, Counties and City of Wilmington, 2005 64 Table C-12 Number and Percent of Live Births by Education and Race and Hispanic Origin of Mother - Delaware, Counties and City of Wilmington, 2005 65 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, 1986-2005 - (All Races) 66 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, 1986-2005 - (White) 67 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, 1986-2005 - (Black) 68 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, 1992-2005 - (Hispanic Origin*) 69 Figure C-10 Five-Year Average Percentage of Births to Single Mothers by Race - U.S. and Delaware, 1985-2005 70 Table C-17 Number of Live Births by Age, Marital Status, Race and Hispanic Origin of Mother - Delaware, Counties and City of Wilmington, 2005 71 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, 2005 72 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, 2005 73 Table C-20 Number of Live Births by Plurality and Age of Mother - Delaware, Counties and City of Wilmington, 2005 74 Table C-21 Number and Percent of Live Births by Plurality, Race and Hispanic Origin of Mother - Delaware, Counties and City of Wilmington, 2005 75 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, 2005 76 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, 2005 77 FIVE-YEAR AVERAGE PERCENTAGE OF BIRTHS BY BIRTH WEIGHT Table C-24 Five-Year Average Percentage of Low Birthweight Births (<2500 Grams) by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1986-2005 - (All Races) 78 Table C-25 Five-Year Average Percentage of Low Birthweight Births (<2500 Grams) by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1986-2005 - (White) 79 Table C-26 Five-Year Average Percentage of Low Birthweight Births (<2500 Grams) by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1986-2005 - (Black) 80 Table C-27 Five-Year Average Percentage of Low Birthweight Births (<2500 Grams) by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1992-2005 - (Hispanic Origin*) 81 Figure C-11 Five-Year Average Percentage of Low Birthweight Births (<2500 Grams) by Race - U.S. and Delaware, 1991-2005 82 Figure C-12 Five-Year Average Percentage of Low Birthweight Births (<2500 Grams) by Race - Delaware and Counties, 2001-2005 83 Table C-28 Five-Year Average Percentage of Very Low Birthweight Births (<1500 Grams) by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1986-2005 - (All Races) 84 Table C-29 Five-Year Average Percentage of Very Low Birthweight Births (<1500 Grams) by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1986-2005 - (White) 85 Table C-30 Five-Year Average Percentage of Very Low Birthweight Births (<1500 Grams) by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1986-2005 - (Black) 86 Table C-31 Five-Year Average Percentage of Very Low Birthweight Births (<1500 Grams) by Age of Mother - U.S., Delaware, Counties and City of Wilmington, 1992-2005 - (Hispanic Origin*) 87 Figure C-13 Five-Year Average Percentage of Very Low Birthweight Births (<1500 Grams) by Race - U.S. and Delaware, 1991-2005 88 Figure C-14 Five-Year Average Percentage of Very Low Birthweight Births (<1500 Grams) by Race - Delaware and Counties, 2001-2005 89 Table C-32 Number of Live Births by Birthweight in Grams and Age of Mother - Delaware, Counties and City of Wilmington, 2005 90 NUMBER OF BIRTHS BY GESTATION Table C-33 Number of Live Births by Birthweight in Grams, Race and Hispanic Origin of Mother - Delaware, Counties and City of Wilmington, 2005 91 Table C-34 Number of Live Births by Race and Hispanic Origin of Mother, Weeks of Gestation and Age of Mother - Delaware, 2005 92 Table C-35 Number of Live Births by Race and Hispanic Origin of Mother, Birthweight and Weeks of Gestation - Delaware, 2005 93 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, 1992-2005 - (All Races) 94 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, 1992-2005 - (White) 95 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, 1992-2005 - (Black) 96 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, 1992-2005 - (Hispanic Origin*) 97 Figure C-15 Five-Year Average Percentage of Births to Mothers Beginning Prenatal Care in the First Trimester - U.S., Delaware and Counties, 2001-2005 98 Figure C-16 Five-Year Average Percentage of Births to Mothers Beginning Prenatal Care in the First Trimester by Race - U.S. and Delaware, 1991-2005 99 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, 2005 100 Figure C-17 Percentage of Births to Mothers Receiving Prenatal Care in the First Trimester by Race - Delaware, Counties and City of Wilmington, 2005 101 Table C-41 Number of Live Births by Age of Mother, Birthweight in Grams and Trimester Prenatal Care Began - Delaware, 2005 102 Table C-42 Number and Percent of Live Births by Age of Mother, Birthweight in Grams and Trimester Prenatal Care Began - Delaware, 2001-2005 103 Table C-43 Number and Percent of Live Births by Marital Status of Mother, Birthweight in Grams and Trimester Prenatal Care Began - Delaware, 2001-2005 104 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, 2005 105 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, 2005 106 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, 2005 107 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, 2005 108 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, 2005 109 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, 2005 110 METHOD OF DELIVERY Table C-50 Number of Live Births by Method of Delivery, Delaware, 2005 111 Table C-51 Number and Percent of Live Births by Birthweight in Grams and Method of Delivery, Delaware, 2005 111 Table C-52 Number and Percent of Live Births by Birthweight in Grams and Method of Delivery, Delaware, 2005 111 Figure C-18 Annual Percentage of Live Births by Method of Delivery, Delaware, 1989-2005 112 TOBACCO USE Table C-53 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, 2005 113 Table C-54 Number and Percent of Live Births by Age of Mother and Mother's Reported Use of Tobacco during Pregnancy - Delaware, 2005 114 Table C-55 Number and Percent of Live Births by Birthweight in Grams and Mother's Reported Use of Tobacco during Pregnancy - Delaware, Counties and City of Wilmington, 2005 114 Table C-56 Percentage of Live Births for Mothers Reporting Tobacco Use during Pregnancy by Race and Hispanic Origin - U.S. and Delaware, 1993-2005 115 TIME OF YEAR AND MOST POPULAR BIRTH NAMES Table C-57 Number and Percent of Live Births by Day of the Week - Delaware, 2005 116 Table C-58 Number and Percent of Live Births by Month - Delaware, 2005 116 Table C-59 Most Popular Birth Names by Sex of Child - Delaware, 2004-2005 117 RANKINGS AND MAPS Table C-60 Ranking of Percentage of Low Birthweight (<2500 Grams) and Very Low Birthweight (<1500 Grams) Births - U.S., 50 States and District of Columbia, 2005 118 Figure C-19 Annual Percentage of Low Birthweight Births (<2500 Grams) - 50 States and District of Columbia, 2005 119 Table C-61 Ranking of Percentage of Live Births by Cesarean Delivery and Percentage of Births to Single Mothers - U.S., 50 States and District of Columbia, 2005 120 Figure C-20 Annual Percentage of Live Births by Cesarean Delivery - 50 States and District of Columbia, 2004 121 Figure C-21 Annual Percentage of Births to Single Mothers - 50 States and District of Columbia, 2005 122 D. REPORTED PREGNANCIES Reported Pregnancy Summary 123 Reported Pregnancy Tables Table D-1 Number and Percent of Reported Pregnancies by Age of Woman - Delaware and Counties, 2005 125 Table D-2 Number and Percent of Reported Pregnancies by Race, Hispanic Origin, and Age of Woman - Delaware, 2005 126 Table D-3 Number and Percent of Reported Pregnancies by Race, Hispanic Origin, and Education of Woman - Delaware, 2005 127 Table D-4 Number and Percent of Reported Pregnancies by Race and Marital Status of Woman - Delaware and Counties, 2005 128 Table D-5 Number of Reported Pregnancies by Age of Woman - Delaware and Counties, 1997-2005 - (All Races) 129 Table D-6 Number of Reported Pregnancies by Age of Woman - Delaware and Counties, 1997-2005 - (White) 130 Table D-7 Number of Reported Pregnancies by Age of Woman - Delaware and Counties, 1997-2005 - (Black) 131 Table D-8 Five-Year Average Rate of Reported Pregnancies by Age of Woman - Delaware and Counties, 1997-2005 - (All Races) 132 Table D-9 Five-Year Average Rate of Reported Pregnancies by Age of Woman - Delaware and Counties, 1997-2005 - (White) 133 Table D-10 Five-Year Average Rate of Reported Pregnancies by Age of Woman - Delaware and Counties, 1997-2005 - (Black) 134 Figure D-1 Five-Year Average Rate of Reported Pregnancies by Age and Race of Woman - Delaware, 2001-2005 135 Figure D-2 Five-Year Average Rate of Reported Pregnancies by Race - Delaware and Counties, 2001-2005 136 Figure D-3 Five-Year Average Teenage (15-19) Pregnancy Rate by Race of Woman - Delaware and Counties, 2001-2005 137 Table D-11 Number of Fetal Deaths by Weight of Fetus in Grams and Race of Woman - Delaware and Counties, 2005 138 Table D-12 Number of Fetal Deaths by Weeks of Gestation and Race of Woman - Delaware and Counties, 2005 139 Table D-13 Number and Percent of Induced Terminations of Pregnancy by Selected Characteristics - Delaware, 2005 140 Table D-14 Number and Percent of Induced Terminations of Pregnancy by Place of Residence, Race, and Age of Woman - Delaware, 2005 141 Table D-15 Number of Induced Terminations of Pregnancy by Place of Residence, Age, Marital Status, and Race of Woman - Delaware, 2005 142 Table D-16 Number of Induced Terminations of Pregnancy by Place of Residence, Age, Marital Status, and Hispanic Origin of Woman - Delaware, 2005 143 Table D-17 Number of Induced Terminations of Pregnancy by Place of Residence, Education, and Age of Woman - Delaware, 2005 144 Table D-18 Number and Percent of Induced Terminations of Pregnancy by Place of Residence, Education, and Race of Woman - Delaware, 2005 145 Table D-19 Number of Induced Terminations of Pregnancy by Place of Residence, Weeks of Gestation, and Age of Woman - Delaware, 2005 146 Table D-20 Number of Induced Terminations of Pregnancy by Place of Residence, Age of Woman, and Number of Previous Pregnancies - Delaware, 2005 147 Table D-21 Number of Induced Terminations of Pregnancy by Place of Residence, Age of Woman, and Number of Previous Live Births - Delaware, 2005 148 Table D-22 Number of Induced Terminations of Pregnancy by Place of Residence, Age of Woman, and Number of Previous Induced Terminations - Delaware, 2005 149 E. INFANT MORTALITY Infant Mortality Summary 151 Infant Mortality Tables and Figures Table E-1 Number of Infant Deaths by Race - U.S., Delaware, Counties and City of Wilmington, 1988-2005 159 Table E-2 Number of Neonatal Deaths by Race - U.S., Delaware, Counties and City of Wilmington, 1988-2005 160 Table E-3 Number of Postneonatal Deaths by Race - U.S., Delaware, Counties and City of Wilmington, 1988-2005 161 Table E-4 Five-Year Average Infant Mortality Rates by Race - U.S., Delaware, Counties and City of Wilmington, 1985-2005 162 Figure E-1 Five-Year Average Infant Mortality Rates by Race - U.S. and Delaware, 1985-2005 163 Figure E-2 Five-Year Average Infant Mortality Rates by Race - Delaware, Counties and the City of Wilmington, 2001-2005 164 Table E-5 Five-Year Average Neonatal Mortality Rates by Race - U.S., Delaware, Counties and City of Wilmington, 1985-2005 165 Figure E-3 Five-Year Average Neonatal Mortality Rates by Race - U.S. and Delaware, 1985-2005 166 Table E-6 Five-Year Average Postneonatal Mortality Rates by Race - U.S., Delaware, Counties and City of Wilmington, 1985-2005 167 Figure E-4 Five-Year Average Postneonatal Mortality Rates by Race - U.S. and Delaware, 1985-2005 168 Table E-7 Five-Year Average Perinatal Mortality Rates by Race - Delaware and Counties, 1989-2005 169 Figure E-5 Five-Year Average Perinatal Mortality Rates by Race - Delaware, 1989-2005 170 Table E-8 Five-Year Average Infant Mortality Rates by Selected Risk Markers and Race of Mother - Delaware, 2000-2004 Live Birth Cohort 171 Table E-9 Leading Causes of Infant Death by Gestational Age Category - Delaware, 2000-2004 Live Birth Cohort 172 Table E-10 Five-Year Average Infant Mortality Rates by Race and Selected Risk Markers - Delaware Live Birth Cohort, 1989-2004 173 Figure E-6 Five-Year Average Infant Mortality Rates by Race and Plurality Delaware, 1994-2004 Live Birth Cohort 175 Figure E-7 Five-Year Average Mortality Rates of Infants by Mother's Race and Smoking Status during Pregnancy Delaware, 1989-2004 Live Birth Cohort 176 Figure E-8 Five-Year Average Infant Mortality Rates by Race and Source of Payment for Delivery Delaware, 1989-2004 Live Birth Cohort 177 Table E-11 Number of Infant Deaths by Plurality, Birth Weight in Grams, Race of Mother and Sex of Child - Delaware, 2000-2004 Live Birth Cohort 178 Table E-12 Number of Neonatal Deaths by Plurality, Birth Weight in Grams, Race of Mother and Sex of Child - Delaware, 2000-2004 Live Birth Cohort 179 F. MORTALITY Mortality Summary 181 Mortality Tables and Figures Table F-1 Number of Deaths by Race - U.S., Delaware, Counties and City of Wilmington, 1992-2005 189 Table F-2 Number of Deaths by Age, Race, and Hispanic Origin - Delaware, Counties and City of Wilmington, 2005 190 Table F-3 Number of Deaths by Age and Race - Delaware, Counties and City of Wilmington, 2005 - (Both Sexes) 191 Table F-4 Number of Deaths by Age and Race - Delaware, Counties and City of Wilmington, 2005 - (Males) 192 Table F-5 Number of Deaths by Age and Race - Delaware, Counties and City of Wilmington, 2005 - (Females) 193 Table F-6 Mortality Trends by Race, Ethnicity, Gender, and Age - Delaware, 1995-2005 194 Table F-7 Number of Deaths and Median Age at Death by Sex for Twenty Leading Causes, Alcohol-Induced Deaths, and Drug-Induced Deaths - Delaware, 2005 195 Figure F-1 Leading Causes of Death - Delaware, 2005 196 Figure F-2 Five-Year Age-Adjusted Mortality Rates for Drug- and Alcohol- Induced Deaths by Sex - Delaware, 1990-2005 197 Table F-8 Leading Causes of Death - Counties and City of Wilmington, 2001-2005 198 Table F-9 Ten Leading Causes of Death by Sex and Race Group - Delaware, 2001- 2005 199 Table F-10 Ten Leading Causes of Death by Race-Sex Group - Delaware, 2001-2005 200 Table F-11 Ten Leading Causes of Death by Age - Delaware, 2001-2005 201 Table F-12 Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2005 - (All Races, Both Sexes) 202 Table F-13 Number of Deaths by Age for Selected Leading Causes of Death - Kent, 2005 - (All Races, Both Sexes) 204 Table F-14 Number of Deaths by Age for Selected Leading Causes of Death - New Castle, 2005 - (All Races, Both Sexes) 206 Table F-15 Number of Deaths by Age for Selected Leading Causes of Death - City of Wilmington, 2005 - (All Races, Both Sexes) 208 Table F-16 Number of Deaths by Age for Selected Leading Causes of Death - Sussex, 2005 - (All Races, Both Sexes) 210 Table F-17 Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2005 - (All Races, Males) 212 Table F-18 Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2005 - (All Races, Females) 214 Table F-19 Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2005 - (White, Both Sexes) 216 Table F-20 Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2005 - (White Males) 218 Table F-21 Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2005 - (White Females) 220 Table F-22 Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2005 - (Black, Both Sexes) 222 Table F-23 Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2005 - (Black Males) 224 Table F-24 Number of Deaths by Age for Selected Leading Causes of Death - Delaware, 2005 - (Black Females) 226 Table F-25 HIV Infection/AIDS1 Deaths by County, Race, Hispanic2 Origin and Sex - U.S., Delaware, and Counties, 1991-2005 228 Figure F-3 Number of HIV Deaths by Race and Sex - Delaware, 1986-2005 229 Table F-26 Number and Percent of Deaths by Method of Disposition and Race Delaware, Counties and City of Wilmington, 2005 230 Table F-27 Life Expectancy at Birth* by Race and Sex - Delaware,1985-2005 231 Table F-28 Average Remaining Years of Life* by Age, Race, and Sex - Delaware, 2005 231 Table F-29 Maternal Deaths - Delaware and Counties, 1981-2005 232 Table F-30 Five-Year Age-Adjusted Mortality Rates for Selected Causes of Death - Delaware and Counties, 2001-2005 233 Table F-31 Five-Year Age-Adjusted Mortality Rates for Selected Causes of Death - Delaware and Counties, 1985-2005 234 Table F-32 Five-Year Age-Adjusted Mortality Rates for Selected Causes of Death by Race - Delaware, 1985-2005 236 TECHNICAL NOTES 237 APPENDICES APPENDIX A Random Variation 245 APPENDIX B Methods for Adjustment and Statistical Analysis of Five-Year Average Mortality Rates 246 APPENDIX C Creation of a Live Birth Cohort File 248 APPENDIX D Comparable Category Codes for Selected Causes of Infant Death 249 APPENDIX E Comparable Category Codes for Selected Causes of Death 250 APPENDIX F State of Delaware Certificate of Live Birth 251 APPENDIX G State of Delaware Certificate of Death 253 APPENDIX H State of Delaware Certificate of Fetal Death 254 APPENDIX I State of Delaware Certificate of Marriage 255 APPENDIX J State of Delaware Certificate of Divorce or Annulment 256 APPENDIX K State of Delaware Report of Induced Termination of Pregnancy 257 REFERENCES 259