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Complete Health Indicator Report of Postneonatal Mortality Rate

Definition

Rate of death occurring from 28 days to 364 days of age in a given year per 1,000 live births in the same year Infant mortality is death within the first year of life. This is divided into two components: death before the 28th day of life is neonatal mortality; death between 28 days and one year is postneonatal mortality.

Numerator

Number of resident deaths occurring from 28 days to 364 days of age in a given year

Denominator

Number of live births to resident mothers in the same year

Why Is This Important?

Postneonatal mortality is an important indicator of infant and maternal health status and medical care (pre and post delivery), as well as a measure of how certain behavioral factors affect infant health.

Healthy People Objective: Postneonatal deaths (between 28 days and 1 year)

U.S. Target: 2.0 postneonatal deaths per 1,000 live births

How Are We Doing?

One-third of infant deaths occur in the postneonatal period. The postneonatal mortality rate among children of Black mothers is three to five times that of other racial/ethnic groups. The leading causes of postneonatal mortality are sudden infant death syndrome (SIDS) and congenital anomalies (birth defects). These two causes account for about 40% of postneonatal deaths.

How Do We Compare With the U.S.?

The postneonatal mortality rate among New Jersey residents is consistently below that of the U.S.

What Is Being Done?

The [http://www.nj.gov/health/fhs/ Division of Family Health Services] in the New Jersey Department of Health administers several programs aimed at improving children's health, including reducing infant mortality. Infant deaths are reviewed by the [http://www.nj.gov/health/fhs/maternalchild/outcomes/mortality-reviews/ Fetal Infant Mortality Review Team] and recommendations to reduce future deaths are made to public and private sources of care including hospitals, clinics, and health care professionals throughout the state. The Department of Health has provided state funding to improve perinatal public health services and birth outcomes in communities. Efforts are continuing to increase public and provider awareness of needs for greater access to maternal preconception care, more awareness of risky preconception and post-conception behavior, and for better general maternal health care. New Jersey is a participant in the [http://www.nichq.org/project/collaborative-improvement-and-innovation-network-reduce-infant-mortality-im-coiin Collaborative Improvement and Innovation Network to Reduce Infant Mortality] (CoIIN-IM). CoIIN is a multiyear national movement engaging federal, state, and local leaders; public and private agencies; professionals; and communities to employ quality improvement, innovation, and collaborative learning to reduce infant mortality and improve birth outcomes. In an effort to improve health outcomes among Black infants and mothers in New Jersey, six maternal and child health agencies across the state were awarded $4.3 million in grant funding in July, 2018, as part of the Department of Health's "[https://nj.gov/health/news/2018/approved/20180711a.shtml Healthy Women, Healthy Families]" initiative. In addition to these funds, the Department devoted $450,000 to implement a doula pilot program in municipalities with high Black infant mortality rates.

Available Services

The Division of Family Health Services (FHS) provides support for pregnant women and newborns through several programs, including the Supplemental Nutrition Program for [http://www.nj.gov/health/fhs/wic/ Women, Infants and Children] (WIC). Perinatal Mood Disorders (e.g., postpartum depression) Helpline: 1-800-328-3838 or [http://www.nj.gov/health/fhs/maternalchild/mentalhealth/getting-help/] FHS supports professional and public [http://www.nj.gov/health/fhs/maternalchild/outcomes/index.shtml Perinatal Addiction] education services, promotes perinatal screening, and has developed a network of available resources to aid pregnant, substance-using women. [http://njparentlink.nj.gov/ NJ Parent Link], an interdepartmental website, is New Jersey's online Early Childhood, Parenting, and Professional Resource Center offering "one-stop shopping" for State services and resources.

Health Program Information

The [http://www.rwjms.rutgers.edu/sids/index.html SIDS Center of New Jersey] (SCNJ) is a program of Rutgers Robert Wood Johnson Medical School and the Joseph M. Sanzari Children?s Hospital. The program is funded in part by a grant from the New Jersey Department of Health.


Related Indicators

Related Health Care System Factors Indicators:


Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:



Data Tables


Postneonatal Mortality Rate by Year, New Jersey and the United States, 2000-2016

US/NJYearDeaths per 1,000 Live birthsLower LimitUpper LimitNumer- ator
Record Count: 34
US20002.39,227
US20012.39,248
US20022.39,179
US20032.29,060
US20042.39,258
US20052.39,602
US20062.29,468
US20072.310,059
US20082.39,837
US20092.29,148
US20102.18,379
US20112.07,936
US20122.07,767
US20131.97,553
US20141.97,495
US20152.07,803
US20162.07,879
NJ20001.91.72.2224
NJ20012.11.92.4246
NJ20021.61.41.8181
NJ20031.61.41.8185
NJ20041.61.41.9187
NJ20051.71.52.0197
NJ20061.51.31.7170
NJ20071.71.52.0198
NJ20081.91.62.1211
NJ20091.51.21.7162
NJ20101.31.11.6143
NJ20111.61.41.8169
NJ20121.21.01.4124
NJ20131.31.11.5131
NJ20141.41.21.6145
NJ20151.51.21.7150
NJ20161.21.01.4124

Data Notes

Confidence limits are not available for the U.S. data.

Data Sources

  • Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Linked Infant Death-Birth Database, Center for Health Statistics, New Jersey Department of Health
  • National Center for Health Statistics, Centers for Disease Control and Prevention (CDC), [https://www.cdc.gov/nchs/index.htm]


Postneonatal Mortality Rate by Mother's Race/Ethnicity, New Jersey, 2000-2016

Race/Ethnicity3-year averageDeaths per 1,000 Live BirthsLower LimitUpper Limit
Record Count: 60
White2000-20021.10.91.2
White2001-20031.00.81.1
White2002-20040.90.81.1
White2003-20051.00.81.1
White2004-20061.00.81.1
White2005-20070.90.71.0
White2006-20080.90.81.0
White2007-20090.90.71.0
White2008-20100.90.81.1
White2009-20110.80.60.9
White2010-20120.80.60.9
White2011-20130.70.60.9
White2012-20140.70.60.8
White2013-20150.80.60.9
White2014-20160.80.61.0
Black2000-20024.23.74.8
Black2001-20034.23.64.7
Black2002-20043.53.04.0
Black2003-20053.73.24.2
Black2004-20063.83.24.3
Black2005-20074.23.64.7
Black2006-20084.53.95.1
Black2007-20094.23.74.8
Black2008-20103.93.44.5
Black2009-20113.63.14.2
Black2010-20123.42.83.9
Black2011-20133.52.94.0
Black2012-20143.22.73.8
Black2013-20153.52.94.0
Black2014-20163.52.94.0
Hispanic2000-20021.91.62.3
Hispanic2001-20031.71.42.0
Hispanic2002-20041.61.41.9
Hispanic2003-20051.51.21.7
Hispanic2004-20061.41.21.7
Hispanic2005-20071.51.21.7
Hispanic2006-20081.51.21.7
Hispanic2007-20091.61.41.9
Hispanic2008-20101.41.21.6
Hispanic2009-20111.41.11.6
Hispanic2010-20121.31.01.5
Hispanic2011-20131.31.01.5
Hispanic2012-20141.31.11.6
Hispanic2013-20151.31.01.5
Hispanic2014-20161.10.91.4
Asian2000-20021.00.61.4
Asian2001-20031.00.61.3
Asian2002-20041.00.61.4
Asian2003-20051.61.12.0
Asian2004-20061.51.12.0
Asian2005-20071.20.81.6
Asian2006-20080.90.51.2
Asian2007-20090.80.51.2
Asian2008-20100.80.41.0
Asian2009-20110.70.41.0
Asian2010-20120.60.30.8
Asian2011-20130.60.30.9
Asian2012-2014**0.30.7
Asian2013-20150.60.40.9
Asian2014-20160.70.40.9

Data Notes

Data for White, Black, and Asian do not include Hispanics. Hispanic ethnicity includes persons of any race. ** Number of deaths is too small to calculate a reliable rate.

Data Sources

  • Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Linked Infant Death-Birth Database, Center for Health Statistics, New Jersey Department of Health


Postneonatal Mortality Rate by Mother's Race/Ethnicity, New Jersey, 2014-2016

Race/EthnicityDeaths per 1,000 Live BirthsLower LimitUpper Limit
Record Count: 6
White0.80.61.0
Black3.52.94.0
Hispanic1.10.91.4
Asian0.70.40.9
New Jersey1.41.21.5
United States1.9

Data Sources

  • Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Linked Infant Death-Birth Database, Center for Health Statistics, New Jersey Department of Health


Postneonatal Mortality Distribution of Leading Causes, New Jersey, 2012-2016

Cause of DeathPercentage of Postneonatal Deaths
Record Count: 11
Circulatory System Diseases5.0%
Congenital Anomalies18.1%
Homicide2.7%
Infectious Diarrhea and Gastroenteritis3.0%
Influenza and Pneumonia2.5%
Septicemia2.7%
SIDS18.8%
Unintentional Injuries8.3%
Other Causes38.9%

Data Source

Linked Infant Death-Birth Database, Center for Health Statistics, New Jersey Department of Health


Postneonatal Mortality Rate by Leading Causes of Death, New Jersey, 2000-2004 and 2012-2016

5 Year GroupsCause of DeathDeaths per 1,000 Live BirthsLower LimitUpper Limit
Record Count: 8
2000-2004Circulatory System Diseases0.120.100.20
2000-2004Congenital Anomalies0.320.300.40
2000-2004SIDS0.350.300.40
2000-2004Unintentional Injuries0.090.090.10
2012-2016Circulatory System Diseases0.070.000.10
2012-2016Congenital Anomalies0.240.200.30
2012-2016SIDS0.250.200.30
2012-2016Unintentional Injuries0.110.100.11

Data Sources

  • Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Linked Infant Death-Birth Database, Center for Health Statistics, New Jersey Department of Health


Postneonatal Mortality Rate by County of Residence, New Jersey, 2012-2016

CountyDeaths per 1,000 Live BirthsLower LimitUpper Limit
Record Count: 23
Atlantic2.41.63.1
Bergen0.70.40.9
Burlington1.61.12.1
Camden1.91.42.4
Cape May**0.63.0
Cumberland2.01.12.9
Essex2.21.82.6
Gloucester**0.41.4
Hudson1.10.81.4
Hunterdon**0.01.8
Mercer1.61.12.2
Middlesex0.90.61.2
Monmouth1.00.61.3
Morris**0.30.9
Ocean1.00.71.3
Passaic1.30.91.7
Salem**0.63.7
Somerset**0.61.6
Sussex**0.32.0
Union1.51.11.9
Warren**0.73.2
New Jersey1.31.21.4
United States1.9

Data Notes

** The number of deaths is too small to calculate a reliable rate. Confidence limits are not available for U.S. data.

Data Sources

  • Birth Certificate Database, Office of Vital Statistics and Registry, New Jersey Department of Health
  • Linked Infant Death-Birth Database, Center for Health Statistics, New Jersey Department of Health

Page Content Updated On 08/06/2018, Published on 08/06/2018
The information provided above is from the Department of Health's NJSHAD web site (https://nj.gov/health/shad). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Tue, 25 June 2019 8:44:24 from Department of Health, New Jersey State Health Assessment Data Web site: https://nj.gov/health/shad ".

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