Vital Statistics Report 2008dhhs.ne.gov/Reports/Vital Statistics Report 2008.pdfJackie Fairbanks,...

Nebraska 2008 Vital Statistics Report

Issued February 2010

Dave Heineman Governor

Kerry T. Winterer Chief Executive Officer

Bob Zagozda Chief Operating Officer

Ming Qu, PhD Acting Administrator Public Health Support Unit

Mark A. Miller Health Data Coordinator Public Health Support Unit

Joann Schaefer, MD Chief Medical Officer Director, Division of Public Health

Jacquelyn Miller, DDS Chief Administrator Community Health Section

Stanley S. Cooper, MS, PhD Vital Records Administrator Public Health Support Unit

Paula S. Hartig, MS Program Analysis & Research Administrator Research and Performance Measurement

FOREWORD

Nebraska statute requires that records of birth, death, fetal death, marriage and divorce be filed with the Vital Records Office in the Division of Public Health of the Nebraska Department of Health and Human Services. Approximately 60,000 records of vital events occurring in Nebraska are filed annually, adding to the approximately 6 million such records already on file. Over 100,000 certified copies of these records are issued each year.

Responsibility for filing certificates of birth lies with the individual in attendance at birth, usually a physician. Funeral directors are responsible for filing certificates of death and of fetal death when burial takes place. Hospitals must file fetal death certificates when hospital disposal is performed. County clerks and District Court clerks are, respectively, responsible for filing records of marriage and divorce. The excellent cooperation of all these individuals is appreciated. Without their support, this report would not be possible.

The following individuals in the Nebraska Department of Health and Human Services have contributed to the information presented in this report.

Norm Nelson, MS, Statistical Analyst Kay Pytko, Staff Assistant Meridel Funk, Program Analyst Bryan Rettig, MS, Program Analyst Christine Noren, Staff Assistant Wendell Harper, MA, PM Consultant Nila Irwin, Staff Assistant Deb Firman, Staff Assistant Joe Boone, Business Appl. Supp. Tech. Barb Trusty, Vital Statistics Clerk Cindy Stolldorf, Data Entry Operator Diana Yeager, Vital Statistics Clerk Carla Becker, Health Data Manager Beverly Kliment, Vital Statistics Clerk Jill Krause, Staff Assistant Victor Filos, Data Base Manager Jackie Fairbanks, Registration Supervisor Edilma Him, Supervisor

Providing useful data stands as the goal of this report. Any questions or comments regarding the report, or requests for more detailed information, should be directed to:

Health Statistics Division of Public Health Nebraska Department of Health and Human Services 301 Centennial Mall South P.O. Box 95026 Lincoln, NE 68509 Phone: (402) 471-2241

A copy of this report may be found at: www.hhs.state.ne.us/ced/vs.htm

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http://www.hhs.state.ne.us/ced/vs.htm

Nebraska Vital Statistics Report 2008

TABLE OF CONTENTS

Page

Introduction ................................................................................................................................ 1 Definitions of Terms ................................................................................................................2-4

: Birth and death rates, 1940-2008 ............................................................................... 5Graph 1Graph 2: Marriage and divorce rates, 1940-2008 ...................................................................... 6 Table 1: Births, deaths, marriages and divorces, number and rate per 1,000 estimated population – 1940-2008 .......................................................................................................... 7 Table 2: Population by county, 1960-2008 .............................................................................8-9 Table 3: Summary of vital statistics by month, 2008................................................................ 10

BIRTH SECTION

Birth Highlights....................................................................................................................11-12 Map 1: Live births by county of residence, Nebraska, 2008 .................................................... 13 Map 2: Live birth rates by county of residence, Nebraska, 2008 ............................................. 14 Table 4: Births by place of occurrence and by usual residence of the mother, 2006-2008, rate for 2008 .................................................................................................15-18 Table 5: Births by sex, race and Hispanic origin, by place of residence, 2008...................19-22 Graph 3: Percent of all births by age of mother, 2004-2008 .................................................... 23 Graph 4: Average age of mother giving birth, 1975-2008........................................................ 24 Table 6: Birth order by age of mother, 2008 ............................................................................ 25 Table 7: Teen births by county of residence, 2008 and 2004-2008....................................26-27 Graph 5: Trimester prenatal care began by age of mother, 2008............................................ 28 Table 8: Births - trimester prenatal care began (percent) by number of

prenatal visits, 2008 .............................................................................................................. 29 Table 9: Births - number of prenatal care visits (percent) by age of mother, 2008 .................. 29 Table 10: Number of prenatal care visits (%) by education of mother, 2008 ........................... 30 Table 11: Number of prenatal care visits (%) by birth weight of child, 2008 ............................ 30 Table 12: Number of prenatal care visits (%) by race/Hispanic origin of mother, 2008 ........... 30 Table 13: Births by trimester prenatal care began and percent receiving inadequate care by county of residence, 2008 ...........................................................................................31-32 Graph 6: Low and very low birth weight rates, 1970-2008....................................................... 33 Table 14: Births by weight groups, 2008.................................................................................. 34 Table 15: Births, very low and low birth weight by county of residence, 2008 and

2004-2008........................................................................................................................35-36 Table 16: Medical risk factors of the mother, 2008 .................................................................. 37 Table 17: Obstetric procedures, 2008...................................................................................... 37 Table 18: Characteristics of labor and delivery, 2008.............................................................. 37 Table 19: Method of delivery, 2008.......................................................................................... 38 Table 20: Onset of labor, 2008 ................................................................................................ 38 Table 21: Perinatal cigarette smoking, 2008............................................................................ 38 Graph 7 ........................... 39 Graph 8: Tobacco use during third trimester of pregnancy by race/Hispanic origin of

: Average birth weight by tobacco usage of the mother, 2004-2008

the mother, 2008 ..................................................................................................... 40 : Birth rates for unmarried women, 1960-2008 ........................................................... 41Graph 9

Table 22: Births to unmarried women by place of residence, 2008 and 2004-2008...........42-44 Table 23: Births to unmarried women by age of mother, 2004-2008....................................... 45 Table 24: Births to unmarried women by age and race/Hispanic origin of mother, 2008......... 45 Table 25: Percent of race/Hispanic origin births to unmarried women, 1980-2008 ................. 46

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Page BIRTH SECTION (continued)

Table 26: Percent of age group births to unmarried women, 1980-2008................................. 46 Table 27: Birth order of births to unmarried women by age of mother, 2008........................... 47 Table 28: Birth defects – number and rate, 2008 and 2004-2008 ......................................48-49 Table 29: Birth defects by county of residence, 2008 and 2004-2008................................50-51 Table 30: Birth defects by month of birth, 2008 ....................................................................... 52 Table 31: Birth defects by age of mother, 2008 ....................................................................... 52 Table 32: Birth defects by age of father, 2008 ......................................................................... 52 Table 33: Birth defects by weight and sex of child, 2008......................................................... 53 Table 34: Birth defects by race of mother, 2008 ...................................................................... 53

DEATH SECTION

Death Highlights..................................................................................................................54-55

Maps 5-14 and Tables 44-53: Ten leading causes of death by county of residence,

Map 11 and Table 50: Diabetes...................................................................................100-102 Map 12 and Table 51: Pneumonia...............................................................................103-105

Map 3: Deaths by county of residence, 2008........................................................................... 56 Map 4: Death rates by county of residence, 2008 ................................................................... 57 Table 35: Deaths by place of occurrence and usual residence of deceased,

2006-2008........................................................................................................................58-61 Table 36: Deaths by sex, race and Hispanic origin, by place of residence, 2008...............62-65 Table 37: Deaths by principal and other causes, 2004-2008................................................... 66 Table 38: Deaths by principal and other causes, crude rates per 100,000 population,

2004-2008............................................................................................................................. 67 Table 39: Deaths by principal and other causes, age-adjusted rates per 100,000 population, 2004-2008 .......................................................................................................... 68 Table 40: Cancer deaths by selected sites and sex, 2004-2008 ............................................. 69 Table 41: Age-adjusted cancer death rates by selected sites and sex, 2004-2008................. 69 Graph 10: Average age at time of death, 1925–2008.............................................................. 70 Graph 11: Average age at time of death by sex, 1960-2008 ................................................... 71 Table 42: Deaths by age group and sex, 2008 ........................................................................ 72 Table 43: Deaths by age group and average age by county of residence, 2008................73-74 Graphs 12-18: leading causes of death by selected age groups and sex, 2008 ................75-81

Graph 12: all ages ................................................................................................................ 75 Graph 13: by sex................................................................................................................... 76 Graph 14: ages 1-19 ............................................................................................................. 77 Graph 15: ages 20-44 ........................................................................................................... 78 Graph 16: ages 45-59 ........................................................................................................... 79 Graph 17: ages 60-74 ........................................................................................................... 80 Graph 18: ages 75+ .............................................................................................................. 81

2008 and 2004-2008......................................................................................................82-111 : Heart disease ................................................................................82-84Map 5 and Table 44: Cancer ...........................................................................................85-87Map 6 and Table 45

Map 7 and Table 46: Chronic lung disease .....................................................................88-90 : Cerebrovascular disease ...............................................................91-93Map 8 and Table 47: Accidental ......................................................................................94-96Map 9 and Table 48

Map 10 and Table 49: Alzheimer’s disease .....................................................................97-99


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Page

DEATH SECTION (continued)

Map 13 and Table 52: Nephritis and Nephrosis...........................................................106-108 : Intentional self-harm ................................................................109-111Map 14 and Table 53

Table 54: Accidental deaths by cause, 2004-2008 ................................................................ 112 Graph 19: Leading causes of accidental deaths, 2008.......................................................... 113 Table 55: Accidental deaths by principal cause by place of residence, 2008.................114-117 Table 56: Drownings by site, sex and age group, 2008......................................................... 118 Table 57: Farm fatalities by type, sex and age group, 2008 .................................................. 118 Graph 20: Intentional self-harm (suicide), 1918-2008............................................................ 119 Table 58: Intentional self harm (suicide) by type, sex and age group, 2008.......................... 120

: Infant and neonatal death rates, 1925-2008 ......................................................... 121Graph 21Table 59: Infant and neonatal deaths by place of residence, 2008 and 2004-2008 .......122-124 Table 60: Deaths under one year of age by cause, 2008 ...................................................... 125 Table 61: Deaths under one year of age by race/Hispanic origin and sex, 2008 .................. 125 Table 62: Deaths under one year of age by birth weight groups, 2008 ................................. 125 Table 63: Perinatal and fetal deaths by place of residence, 2008 and 2004-2008 .........126-128 Table 64: Fetal deaths by cause of death, 2008 and 2004-2008....................................129-130 Table 65: Fetal deaths by age group of mother, sex, race, Hispanic origin and place of delivery, 2008 ........................................................................................................ 130

MARRIAGE AND DIVORCE SECTION

Marriage and Divorce Highlights............................................................................................ 131 Map 15: Marriages by county of occurrence, 2008................................................................ 132 Map 16: Marriage rates by county of occurrence, 2008......................................................... 133 Table 66: Marriages – number and rate by county, 2005-2008 ......................................134-135 Table 67: Number of marriages by race of bride and groom, 2008 ....................................... 136 Table 68: Number of marriages by Hispanic origin of bride and groom, 2008....................... 136 Table 69: Number of marriages by age of bride and groom, 2008 ........................................ 137 Map 17: Divorces by county of occurrence, 2008.................................................................. 138 Map 18: Divorce rates by county of occurrence, 2008........................................................... 139 Table 70: Divorces - number and rate by county, 2005-2008.........................................140-141 Table 71: Number of divorces by age of husband and wife, 2008......................................... 142 Table 72: Divorces by duration of marriage, 2006-2008........................................................ 143 Table 73: Number of divorces by race of husband and wife, 2008........................................ 144 Table 74: Number of divorces by Hispanic origin of husband and wife, 2008 ....................... 144 Table 75: Number of divorces by settlement type, 2008........................................................ 145 Table 76: Divorces - number of children affected, 2008 ........................................................ 145 Table 77: Divorces - custody and number of children awarded, 2008................................... 145


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Supplemental Tables:

Table S1: Principal source of payment for delivery, 2008...................................................... 146 Table S2: WIC/breastfeeding, 2008....................................................................................... 146 Table S3: Weight change during pregnancy by pre-pregnancy Body Mass Index (BMI), 2008 (for singleton births) ................................................................................................... 146 Table S4: Maternal morbidity, 2008 ....................................................................................... 147 Table S5: Infections present, 2008 ........................................................................................ 147 Table S6a: Premature births by county of residence, 2008 and 2004-2008 (gestational age determined by ultrasound).................................................................148-149 Table S6b: Premature births by county of residence, 2008 and 2004-2008 (gestational age determined by CDC algorithm)..........................................................150-151 Table S7: Abnormal conditions of newborn, 2008 ................................................................. 152 Table S8: Congenital abnormalities, 2008 ............................................................................. 152

Appendix – Selected Tables by Service Area and Health Department:

Table 4a: Births by place of occurrence and by usual residence of the mother, 2006-2008........................................................................................................................... 155

Table 5a: Births by sex, race and Hispanic origin, by Service Area and Health Department (residence), 2008 ............................................................................................ 156 Table 7a: Teen births by Service Area and Health Department (residence), 2008 and

2004-2008........................................................................................................................... 157 Table 13a: Births by trimester prenatal care began and percent receiving inadequate prenatal care by Service Area and health department (residence), 2008........................... 158 Table 35a: Deaths by place of occurrence and usual residence of deceased,

2006-2008........................................................................................................................... 159 Table 43a: Deaths by age group and place of residence, 2008 ............................................ 160 Table 44-50a: Deaths by cause (top seven) by place of residence, 2008 ............................. 161 Table 66 and 70a: Marriages and divorces – number and rate by Service Area and Health Department, 2008............................................................................................. 162

INTRODUCTION


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The information presented in this report comes from the vital records of the state of Nebraska. Records of events for Nebraska residents which occur in other states, territories and Canada, and which the Department receives through an Inter-Jurisdictional Exchange Agreement, are also included. The primary period covered by this report is calendar year 2008; however, some data from previous years are also included. Records received after the following dates were not included in this report: marriage and divorce records received after September 1, 2009; and birth, death and fetal death records received after October 22, 2009. The number of such records is minimal and their statistical effect negligible.

The birth defect data presented in the report are taken from the Nebraska Birth Defects Registry, with the exception of the death data, which are taken from death and fetal death certificates. Information for the Registry is provided by reporting personnel in approximately 90 Nebraska hospitals.

The state and county population figures used in the calculation of rates are from 2008 Census estimates provided by the U.S. Department of Commerce, Bureau of the Census. City and balance of county population estimates are provided by the Nebraska Department of Health and Human Services (DHHS).

Characteristics of the population, such as size and age structure, can have a great influence on vital statistics data. Only 27 counties and 16 cities in Nebraska had populations over 10,000 at the 2000 Census. Eleven counties had less than 1,000 residents. In any area with a population under 10,000, wide variations in numbers or rates of events can appear from year to year, and no single year may be truly representative of the population. Counties with a high proportion of young people will show relatively higher crude birth rates and lower crude death rates than counties with a greater number of older residents.

Information for towns having populations of 2,500 or more (in 2000) is included in this report. Information for towns with a population of 1,000 or more persons is available from the DHHS Health Statistics Section (see address and phone number on page i).

Supplemental tables have been included to reflect new data being collected. In addition, selected tables for the 20 local health districts and five DHHS Service Areas have been included in the appendix.


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DEFINITIONS OF TERMS

GEOGRAPHIC ALLOCATION

RESIDENCE – A person’s usual place of abode. This means, in general, the place where one lives and sleeps most of the time. However, when usual residence is a nursing home or other institution, residence is considered the place where the person lived prior to admission to the institution.

OCCURRENCE – The location in which an event takes place irrespective of the usual residence of persons involved.

BIRTHS

BIRTH WEIGHT – The first weight of the fetus or newborn obtained after birth. This weight should be measured preferably within the first hour of life before significant postnatal weight loss has occurred.

LOW BIRTH WEIGHT – A birth weight under 2500 grams or 5 pounds, 9 ounces.

VERY LOW BIRTH WEIGHT – A birth weight under 1500 grams or 3 pounds, 5 ounces.

LENGTH OF PREGNANCY – The duration of gestation, in completed weeks, as calculated from the first day of the last normal menses to the date of birth.

LIVE BIRTH – The complete expulsion or extraction of a product of conception from its mother, irrespective of the period of gestation which, after such separation, breathes or shows any other evidence of life such as beating of a heart, pulsation of the umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached, and is reportable.

LIVE BIRTH ORDER – The number of live born children including the current birth.

DEATHS

CAUSE OF DEATH – Deaths, by cause, are classified according to the International Classification of Diseases, Tenth Revision, of the World Health Organization.

FETAL DEATH – Death prior to the complete expulsion or extraction of a product of conception from its mother, irrespective of the duration of pregnancy. Until the pregnancy has reached 20 weeks duration, it is not required that such a death be reported.

INFANT DEATH – Death of a person under one year of age.

NEONATAL DEATH – Death of a person under 28 days of age.

PERINATAL DEATH – Fetal deaths plus neonatal deaths.

MATERNAL DEATH – Deaths attributable to delivery or the complications of pregnancy, childbirth or the puerperium.


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DEFINITIONS AND FORMULAS FOR RATES AND RATIOS

CRUDE BIRTH RATE = The number of live births per 1,000 population.

Number of Live Births X 1,000 Population of Area

FERTILITY RATE = The number of live births per 1,000 females 15-44 years of age.

Number of Live Births X 1,000 Female Population (ages 15-44)

UNMARRIED BIRTH RATE = The number of births to unmarried women per 1,000 live births.

Number of Births to Unmarried Women X 1,000 Number of Live Births

SEX RATIO = The number of male births for each 1,000 female births.

Number of Male Live Births X 1,000 Number of Female Live Births

CRUDE DEATH RATE = The number of deaths per 100,000 population.

Number of Deaths X 100,000 Population of Area

FETAL DEATH RATIO = The number of fetal deaths per 1,000 live births.

Number of Fetal Deaths X 1,000 Number of Live Births

INFANT DEATH RATE = The number of infant deaths per 1,000 live births.

Number of Infant Deaths X 1,000 Number of Live Births

NEONATAL DEATH RATE = The number of neonatal deaths per 1,000 live births.

Number of Neonatal Deaths X 1,000 Number of Live Births


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PERINATAL DEATH RATE = The number of perinatal deaths per 1,000 live births, plus fetal deaths.

Number of Perinatal Deaths X 1,000 Number of Live Births + Number of Fetal Deaths

MATERNAL DEATH RATE = The number of maternal deaths per 100,000 live births.

Number of Maternal Deaths X 100,000 Number of Live Births

AGE-SPECIFIC DEATH RATE = The number of deaths in a specific age group per 100,000 population in a specific age group.

Number of Deaths in Age Group X 100,000 Population in Age Group

AGE-ADJUSTED DEATH RATE = A weighted average of a crude death rate according to a standard age distribution. An age-adjusted death rate represents what the crude death rate would be if the population for which the rate is adjusted and the standard population had the same age distribution.

This procedure allows for the comparison of death rates among populations having different age distributions. The age-adjusted death rates in this report have been adjusted according to the age distribution of the United States population in 2000.

The sum of Age-Specific Death Rates for Each Standard Population

Age Group X in Each Age Group Total Standard Population

CAUSE-SPECIFIC DEATH RATE = The number of deaths from a specific cause per 100,000 population.

Number of Deaths for a Specific Cause X 100,000 Population of Area

Graph 1: Birth and Death Rates, 1940-2008 R

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Graph 2: Marriage and Divorce Rates, 1940-2008

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TABLE 1: Births, Deaths, Marriages and Divorces, Number and Rate per 1,000 Estimated Population, 1940-2008

Estimated Births Deaths Marriages Divorces Year Population # Rate # Rate # Rate # Rate 1940 1,315,834 22,153 16.8 12,593 9.6 15,977 12.1 2,028 1.5 1941 1,315,834 22,186 16.9 12,203 9.3 18,802 14.3 2,089 1.6 1942 1,315,834 23,950 18.2 12,293 9.3 18,462 14.0 1,805 1.4 1943 1,176,023 25,091 21.3 12,956 11.0 13,818 11.8 2,218 1.9 1944 1,213,792 24,694 20.3 12,560 10.3 9,115 7.5 2,471 2.0 1945 1,198,482 24,292 20.3 12,446 10.0 10,358 8.6 3,176 2.7 1946 1,198,482 27,753 23.2 12,365 10.3 14,130 11.8 4,504 3.8 1947 1,301,000 32,018 24.7 12,823 9.9 14,726 11.3 3,180 2.4 1948 1,301,000 31,066 23.9 12,569 9.7 14,928 11.5 2,648 2.0 1949 1,285,000 31,482 24.5 12,607 9.8 12,743 9.9 2,521 2.0 1950 1,325,510 31,713 23.9 12,548 9.5 13,828 10.4 2,471 1.9 1951 1,348,000 33,595 24.9 12,880 9.6 12,399 9.2 2,290 1.7 1952 1,371,000 33,809 24.7 13,056 9.5 11,484 8.4 2,363 1.7 1953 1,358,000 32,633 24.0 13,298 9.8 11,575 8.5 2,287 1.7 1954 1,358,000 33,617 24.8 12,741 9.4 11,307 8.3 2,355 1.7 1955 1,369,000 34,087 24.9 13,001 9.5 11,892 8.7 2,350 1.7 1956 1,402,000 33,855 24.1 13,161 9.4 11,364 8.1 2,284 1.6 1957 1,439,000 33,161 23.0 13,797 9.6 10,702 7.4 2,130 1.5 1958 1,444,000 32,935 23.0 13,680 9.5 10,607 7.3 2,062 1.4 1959 1,441,000 34,162 23.7 13,887 9.6 10,724 7.4 2,124 1.5 1960 1,411,330 34,257 24.3 14,071 10.0 10,635 7.5 2,092 1.5 1961 1,431,000 34,544 24.1 13,812 9.7 10,976 7.7 2,311 1.6 1962 1,484,000 33,886 22.8 14,305 9.6 11,185 7.5 2,301 1.6 1963 1,460,000 32,624 22.3 14,657 10.0 11,711 8.0 2,378 1.6 1964 1,480,000 30,727 20.8 14,758 10.0 11,920 8.1 2,455 1.7 1965 1,477,000 27,829 18.8 14,799 10.0 12,069 8.2 2,448 1.7 1966 1,456,000 25,618 17.6 14,799 10.2 12,390 8.5 2,531 1.7 1967 1,435,000 24,259 16.9 14,465 10.1 13,161 9.2 2,825 2.0 1968 1,439,000 24,236 16.8 15,017 10.4 14,287 9.9 2,940 2.0 1969 1,449,000 24,801 17.1 14,898 10.3 15,145 10.4 3,194 2.2 1970 1,483,791 25,877 17.4 15,016 10.1 15,666 10.6 3,629 2.4 1971 1,512,000 25,507 16.9 15,182 10.0 15,080 10.0 3,946 2.6 1972 1,525,000 23,473 15.4 15,540 10.2 14,106 9.2 4,326 2.8 1973 1,542,000 22,771 14.8 14,977 9.7 13,957 9.1 4,849 3.1 1974 1,543,000 23,695 15.4 15,016 9.7 13,873 9.0 5,114 3.3 1975 1,542,000 23,658 15.3 14,569 9.4 13,087 8.5 5,504 3.6 1976 1,553,000 23,767 15.3 14,536 9.4 13,431 8.6 5,788 3.7 1977 1,561,155 25,158 16.1 14,316 9.2 13,387 8.6 6,047 3.9 1978 1,565,390 25,103 16.0 14,408 9.2 13,711 8.8 6,010 3.8 1979 1,573,946 26,199 16.6 14,228 9.0 14,074 8.9 6,220 4.0 1980 1,569,825 27,335 17.4 14,465 9.2 14,239 9.1 6,368 4.1 1981 1,577,000 27,164 17.2 14,580 9.2 14,363 9.1 6,769 4.3 1982 1,586,000 26,954 17.0 14,567 9.2 14,350 9.0 6,357 4.0 1983 1,597,000 26,254 16.4 14,695 9.2 13,703 8.6 6,172 3.9 1984 1,606,000 26,099 16.3 14,633 9.1 13,274 8.3 6,348 4.0 1985 1,605,574 25,540 15.9 14,895 9.3 12,696 7.9 6,318 3.9 1986 1,598,000 24,425 15.3 14,662 9.2 12,107 7.6 6,127 3.8 1987 1,594,000 23,813 14.9 14,820 9.3 11,808 7.4 6,189 3.9 1988 1,602,000 23,904 14.9 14,858 9.3 12,242 7.6 6,225 3.9 1989 1,611,000 24,205 15.0 14,776 9.2 12,709 7.9 6,273 3.9 1990 1,578,385 24,362 15.4 14,751 9.3 12,625 8.0 6,454 4.1 1991 1,580,950 23,947 15.1 14,647 9.3 12,555 7.9 6,624 4.2 1992 1,582,900 23,336 14.7 14,577 9.2 12,437 7.9 6,516 4.1 1993 1,590,450 23,196 14.6 14,967 9.4 12,337 7.8 6,254 3.9 1994 1,598,625 23,131 14.5 14,974 9.4 12,641 7.9 6,312 3.9 1995 1,608,000 23,221 14.4 15,216 9.5 12,351 7.7 6,262 3.9 1996 1,617,550 23,271 14.4 15,435 9.5 12,257 7.6 6,140 3.8 1997 1,631,175 23,313 14.3 15,271 9.4 12,456 7.6 6,245 3.8 1998 1,643,850 23,533 14.3 15,181 9.2 12,404 7.6 6,073 3.7 1999 1,652,675 23,900 14.5 15,580 9.4 12,886 7.8 6,207 3.8 2000 1,711,263 24,643 14.4 14,979 8.8 13,396 7.8 6,304 3.7 2001 1,719,315 24,818 14.5 15,171 8.9 13,494 7.9 6,194 3.6 2002 1,727,040 25,381 14.7 15,721 9.1 12,889 7.5 6,143 3.6 2003 1,737,017 25,900 14.9 15,439 8.9 12,240 7.0 5,900 3.4 2004 1,746,980 26,324 15.1 14,647 8.4 12,484 7.1 5,942 3.4 2005 1,758,163 26,142 14.9 14,950 8.5 12,262 7.0 5,830 3.3 2006 1,768,311 26,723 15.1 14,894 8.4 12,053 6.8 6,065 3.4 2007 1,774,571 26,935 15.2 15,256 8.6 12,163 6.9 6,105 3.4 2008 1,783,432 26,992 15.1 15,451 8.7 12,353 6.9 5,885 3.3


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TABLE 2: Population by County, 1960-2008

County 1960 1970 1980 1990 2000 2008 Total 1,411,330 1,483,493 1,569,825 1,578,385 1,711,263 1,783,432

Adams 28,944 30,553 30,656 29,625 31,151 33,238 Antelope 10,176 9,047 8,675 7,965 7,452 6,679 Arthur 680 606 513 462 444 338 Banner 1,269 1,034 918 852 819 735 Blaine 1,016 847 867 675 583 428 Boone 9,134 8,190 7,391 6,667 6,259 5,446 Box Butte 11,688 10,094 13,696 13,130 12,158 11,043 Boyd 4,513 3,752 3,331 2,835 2,438 2,090 Brown 4,436 4,021 4,377 3,657 3,525 3,149 Buffalo 26,236 31,222 34,797 37,447 42,259 45,354 Burt 10,192 9,247 8,813 7,868 7,791 7,023 Butler 10,312 9,461 9,330 8,601 8,767 8,326 Cass 17,821 18,076 20,297 21,318 24,334 25,598 Cedar 13,368 12,192 11,375 10,131 9,615 8,407 Chase 4,317 4,129 4,758 4,381 4,068 3,629 Cherry 8,218 6,846 6,758 6,307 6,148 5,609 Cheyenne 14,828 10,778 10,057 9,494 9,830 9,965 Clay 8,717 8,266 8,106 7,123 7,039 6,270 Colfax 9,595 9,498 9,890 9,139 10,441 9,989 Cuming 12,435 12,034 11,664 10,117 10,203 9,306 Custer 16,517 14,092 13,877 12,270 11,793 10,842 Dakota 12,168 13,137 16,573 16,742 20,253 20,174 Dawes 9,536 9,693 9,609 9,021 9,060 8,724 Dawson 19,405 19,467 22,304 19,940 24,365 24,665 Deuel 3,125 2,717 2,462 2,237 2,098 1,880 Dixon 8,106 7,453 7,137 6,143 6,339 6,293 Dodge 32,471 34,782 35,847 34,500 36,160 35,872 Douglas 343,490 389,455 397,038 416,444 463,585 502,032 Dundy 3,570 2,926 2,861 2,582 2,292 2,002 Fillmore 9,425 8,137 7,920 7,103 6,634 6,001 Franklin 5,449 4,566 4,377 3,938 3,574 3,103 Frontier 4,311 3,982 3,647 3,101 3,099 2,584 Furnas 7,711 6,897 6,486 5,553 5,324 4,645 Gage 26,818 25,719 24,456 22,794 22,993 23,035 Garden 3,472 2,929 2,802 2,460 2,292 1,765 Garfield 2,699 2,411 2,363 2,141 1,902 1,710 Gosper 2,489 2,178 2,140 1,928 2,143 1,926 Grant 1,009 1,019 877 769 747 604 Greeley 4,595 4,000 3,462 3,006 2,714 2,290 Hall 35,757 42,851 47,690 48,925 53,534 56,401 Hamilton 8,714 8,867 9,301 8,862 9,403 9,300 Harlan 5,081 4,357 4,292 3,810 3,786 3,322 Hayes 1,919 1,530 1,356 1,222 1,068 1,005 Hitchcock 4,829 4,051 4,079 3,750 3,111 2,836 Holt 13,722 12,933 13,552 12,599 11,551 10,233 Hooker 1,130 939 990 793 783 736 Howard 6,541 6,807 6,773 6,055 6,567 6,593 Jefferson 11,620 10,436 9,817 8,759 8,333 7,405 Johnson 6,281 5,743 5,285 4,673 4,488 4,499 Kearney 6,580 6,707 7,053 6,629 6,882 6,479

TABLE 2: Population by County, 1960-2008 (Cont)


9

County 1960 1970 1980 1990 2000 2008 Keith 7,958 8,487 9,364 8,584 8,875 7,821 Keya Paha 1,672 1,340 1,301 1,029 983 836 Kimball 7,975 6,009 4,882 4,108 4,089 3,534 Knox 13,300 11,723 11,457 9,534 9,374 8,498 Lancaster 155,272 167,972 192,884 213,641 250,291 278,728 Lincoln 28,491 29,538 36,455 32,508 34,632 35,582 Logan 1,108 991 983 878 774 735 Loup 1,097 854 859 683 712 619 McPherson 735 623 593 546 533 514 Madison 25,147 27,402 31,382 32,655 35,226 34,020 Merrick 8,363 8,751 8,945 8,042 8,204 7,700 Morrill 7,057 5,813 6,085 5,423 5,440 4,989 Nance 5,635 5,142 4,740 4,275 4,038 3,550 Nemaha 9,099 8,976 8,367 7,980 7,576 7,085 Nuckolls 8,217 7,404 6,726 5,786 5,057 4,467 Otoe 16,503 15,576 15,183 14,252 15,396 15,549 Pawnee 5,356 4,473 3,937 3,317 3,087 2,602 Perkins 4,189 3,423 3,637 3,367 3,200 2,884 Phelps 9,800 9,553 9,769 9,715 9,747 9,127 Pierce 8,722 8,493 8,481 7,827 7,857 7,231 Platte 23,992 26,508 25,852 29,820 31,662 32,072 Polk 7,210 6,468 6,320 5,675 5,639 5,122 Red Willow 12,940 12,191 12,615 11,705 11,448 10,704 Richardson 13,903 12,277 11,315 9,937 9,531 8,294 Rock 2,554 2,231 2,383 2,019 1,756 1,508 Saline 12,542 12,809 13,131 12,715 13,843 13,771 Sarpy 31,281 63,696 86,015 102,583 122,595 150,467 Saunders 17,270 17,018 18,716 18,285 19,830 20,034 Scotts Bluff 33,809 36,432 38,344 36,025 36,951 36,554 Seward 13,581 14,460 15,789 15,450 16,496 16,758 Sheridan 9,049 7,285 7,544 6,750 6,198 5,337 Sherman 5,382 4,725 4,226 3,718 3,318 2,994 Sioux 2,575 2,034 1,845 1,549 1,475 1,287 Stanton 5,783 5,758 6,549 6,244 6,455 6,310 Thayer 9,118 7,779 7,582 6,635 6,055 5,104 Thomas 1,078 954 973 851 729 583 Thurston 7,237 6,942 7,186 6,936 7,171 7,102 Valley 6,590 5,783 5,633 5,169 4,647 4,182 Washington 12,103 13,310 15,508 16,607 18,780 19,812 Wayne 9,959 10,400 9,858 9,364 9,851 9,274 Webster 6,224 6,477 4,858 4,279 4,061 3,508 Wheeler 1,297 1,054 1,060 948 886 807 York 13,724 13,685 14,798 14,428 14,598 14,199

Population figures are from the United States Bureau of the Census.

TABLE 3: Summary of Vital Statistics by Month, 2008


10

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Total

LIVE BIRTHS

Sex:

2,217 2,096 2,226 2,304 2,251 2,222 2,429 2,332 2,457 2,196 2,034 2,228 26,992

Male 1,130 1,079 1,128 1,199 1,132 1,116 1,244 1,198 1,265 1,128 1,034 1,107 13,760 Female

Race:

1,087 1,017 1,098 1,105 1,119 1,106 1,185 1,134 1,192 1,068 1,000 1,121 13,232

White 1,682 1,640 1,757 1,812 1,731 1,723 1,918 1,840 1,897 1,685 1,544 1,729 20,958 Black 172 152 136 130 158 165 148 132 141 166 138 140 1,778 American Indian 44 31 36 48 48 36 32 41 43 33 37 33 462 Asian 57 44 49 44 60 39 51 52 66 53 53 60 628 Other

Hispanic Origin*

262 229 248 270 254 259 280 267 310 259 262 266 3,166

Hispanic 365 309 341 369 344 353 376 358 402 352 335 364 4,268 Not Hispanic 1,852 1,787 1,885 1,935 1,907 1,869 2,053 1,974 2,055 1,844 1,699 1,864 22,724

Unmarried Women 785 743 748 757 735 731 827 802 829 746 682 755 9,140

FETAL DEATHS 14 12 14 16 10 21 10 11 13 15 9 19 164

DEATHS

Sex:

1,375 1,397 1,421 1,377 1,288 1,130 1,157 1,268 1,180 1,229 1,272 1,357 15,451

Male 654 648 662 646 633 542 564 640 600 604 585 661 7,439 Female

Race:

721 749 759 731 655 588 593 628 580 625 687 696 8,012

White 1,299 1,321 1,361 1,325 1,230 1,070 1,104 1,214 1,126 1,190 1,208 1,300 14,748 Black 54 54 48 36 43 45 34 37 41 29 49 41 511 American Indian 9 13 3 7 9 6 8 8 6 3 7 7 86 Asian 8 4 2 3 1 4 2 5 1 0 3 5 38 Other

Hispanic Origin*

5 5 7 6 5 5 9 4 6 7 5 4 68

Hispanic 24 29 16 16 19 27 16 20 25 23 22 19 256 Not Hispanic 1,351 1,368 1,405 1,361 1,269 1,103 1,141 1,248 1,155 1,206 1,250 1,338 15,195

MARRIAGES 433 598 676 907 1,376 1,645 1,241 1,676 1,215 1,131 743 712 12,353

DIVORCES 529 443 513 491 511 487 473 499 479 511 441 508 5,885

ANNULMENTS 1 3 3 3 3 0 5 0 1 4 4 2 29

* Persons of Hispanic Origin may be any race.

BIRTH HIGHLIGHTS


11

In 2008, the number of resident live births in Nebraska increased for the 13th time in the last 14 years, reaching its highest level since 1981. A total of 26,992 live births were recorded among Nebraska women in 2008, compared to the 2007 tally of 26,935. The 2008 number translates into a crude birth rate of 15.1 live births per 1,000 population.

Nebraska’s increasing number of live births is largely the result of a surge in the number of live births within the state’s Hispanic population. Comparison of 2008’s live birth data with 1994 (the year that the current upward trend in live births began) show that live births among Hispanic women rose from 1,378 to 4,268, a 210% increase, while live births among non-Hispanic women rose from 21,753 to 22,724, a 4% increase. This trend is most likely the result of Nebraska’s expanding Hispanic population, which has tripled in size since 1990.

Among Nebraska women giving birth to their first child, the average age has hardly changed during the present decade, increasing slightly from 24.5 years in 2000 to 24.6 years in 2008, after much larger increases were recorded during the 1970s and 1980s, and into the mid-1990s. Among Nebraska women giving birth to their second and third children, recent changes in average age are similarly small. For women bearing their second child, the average age at birth was 27.5 years in 2008, compared to 27.6 years in 2000, while for women bearing their third child, the average age was 29.2 years in 2008, compared to 29.3 years in 2000.

Although Nebraska women today are having children later than earlier generations, the majority of all births still occur among women in their twenties. In 2008, women 20-29 accounted for 57.5% of all Nebraska live births, compared to 31.8% for women 30-39, 8.6% for teenagers, and 2.1% for women 40 and older. Thirty years ago, in 1978, women 20-29 accounted for 70.0% of all Nebraska live births, compared to 16.9% for women 30-39, 12.4% for teenagers, and 0.7% for women 40 and older.

Nebraska’s 2008 live births included 435 sets of twins, 17 sets of triplets, and 1 set of quadruplets. Nebraska has experienced increasing numbers of multiple births in recent years. By comparison, Nebraska recorded 259 sets of twins and 5 sets of triplets in 1978, just 30 years ago.

Nebraska’s 2008 live births included 1,909 low birth weight babies, i.e., babies that weighed less than 2500 grams (about 5 ½ pounds) at birth. This figure translates into a low birth weight rate of 70.7 per 1,000 live births, which is a slight increase from the 2007 figure of 70.3. Long-term trends show that Nebraska’s annual low birth weight rate has increased steadily since falling to an all-time low of 52.8 in 1990. Low weight birth rates in Nebraska declined throughout the 1970s and 1980s, before reversing direction in the 1990s and during the present decade.

Among the low birth weight babies born to Nebraska women in 2008, 326 were of very low weight, i.e., they weighed less than 1500 grams (about 3.3 pounds) at birth. This figure translates into a very low birth weight rate of 12.1 per 1,000 live births, a decrease from the 2007 figure of 13.0. For many years, Nebraska’s annual very low birth weight rate showed no consistent trend in any direction, but between 1986 and 1996, it rose by about 50%, and has changed little since.

BIRTH HIGHLIGHTS (continued)


12

The Nebraska birth certificate was substantially revised in 2005, adding data that have never been gathered before and altering the way that some existing data are collected. As a result, some data are not comparable to data collected in years prior to 2005. One such variable affected in this way is the trimester when prenatal care began. These data are now based on the actual calendar date when prenatal care began, which should improve their accuracy, but this has also increased the amount of missing information. In 2008, birth certificate data showed that prenatal care began during the first trimester of pregnancy for 72.1% of all Nebraska live births, a decrease from the 2007 figure of 73.2%. The 2008 figure increases to 73.8% when births with missing data are excluded. 2005 also marked the first year that Nebraska used the Kotelchuck Index as an indicator of the adequacy of prenatal care. This statistic combines information from the birth certificate concerning when prenatal care began and the number of prenatal visits from when prenatal care began to delivery. Using this measure, 14.6% of Nebraska's 2008 live births occurred among women who did not receive adequate prenatal care, compared to 14.2% in 2007.

The number of live births that occurred among unmarried Nebraska women increased in 2008, continuing a long-standing trend. A total of 9,140 live births were recorded in Nebraska among unmarried women in 2008, up from the 8,987 recorded in 2007. The 2008 figure represents 33.9% of the state's total number of resident live births, and this proportion is the highest ever recorded in Nebraska history. Thirty years ago, in 1978, teenaged mothers accounted for almost half (47.2%) of all births to unmarried women in Nebraska, but by 2008, this proportion had fallen to only one in five (22.1%).

A total of 929 birth defects were diagnosed among 649 children born to Nebraska women in 2008. The latter figure translates into a rate of 23.9 cases per 1,000 resident live births and stillborns. Defects of the circulatory system were the most frequently diagnosed conditions in Nebraska in 2008, accounting for 329 (35.4%) of all defects reported. Musculoskeletal conditions were the second most frequently reported defects among Nebraska children in 2008, with 167 diagnoses, followed by genitourinary system defects, with 97 diagnoses. Nebraska’s 2008 data also show that birth defects were reported over five times more often among low birth weight (less than 2500 grams) babies than among babies of normal weight. In addition, birth defects were more likely to be diagnosed among males and children born to women 40 years of age and older.


13


14


15

TABLE 4: Births by Place of Occurrence and by Usual Residence of the Mother, 2006-2008

Place 2006 2007 2008 2008

Occurrence Residence Occurrence Residence Occurrence Residence Birth Rate** STATE

Adams *Hastings Balance of Co.

Antelope Arthur Banner Blaine Boone Box Butte

Alliance Balance of Co.

Boyd Brown Buffalo *Kearney Balance of Co.

Burt Butler

David City Balance of Co.

Cass Plattsmouth Balance of Co.

Cedar Chase Cherry

Valentine Balance of Co.

Cheyenne Sidney Balance of Co.

Clay Colfax

Schuyler Balance of Co.

Cuming West Point Balance of Co.

Custer Broken Bow Balance of Co.

Dakota *So. Sioux City Balance of Co.

Dawes Chadron Balance of Co.

Dawson Cozad Gothenburg

*Lexington Balance of Co.

26,895

732 732

0 20

0 0 0

82 80 79

1 0 5

1,094 1,094

0 2

69 69

0 3 2 1 1

28 111 111

0 91 91

0 0

74 74

0 71 71

0 119 119

0 0 0 0

119 119

0 267

43 22

202 0

26,723

444 368

76 76

6 7 6

46 150 122

28 13 31

709 488 221

81 98 35 63

301 119 182 108

43 67 35 32

121 87 34 82

173 139

34 110

41 69

131 55 76

374 288

86 95 67 28

418 53 54

234 77

27,117

697 695

2 28

0 0 0

87 83 83

0 0 0

1,054 1,054

0 2

61 61

0 0 0 0 1

31 93 92

1 101 101

0 0

64 64

0 82 82

0 101

98 3 1 1 0

129 129

0 238

42 22

173 1

26,935

415 333

82 83

5 5 3

64 149 120

29 25 29

663 454 209

80 86 28 58

311 107 204 102

61 64 30 34

141 112

29 68

201 154

47 104

44 60

134 61 73

419 358

61 116

91 25

377 54 45

212 66

27,082

742 742

0 28

0 0 0

77 93 93

0 1 0

1,111 1,110

1 0

73 73

0 2 1 0 0

20 80 80

0 83 83

0 0

88 88

0 70 70

0 86 85

1 1 1 0

109 109

0 231

49 20

162 0

26,992

421 352

69 82

3 3 6

63 165 145

20 18 20

693 482 211

58 97 46 51

303 120 183 126

54 55 32 23

157 117

40 74

228 177

51 102

37 65

113 49 64

399 316

83 83 56 27

401 60 43

232 66

15.1

12.713.9

8.8 12.3

8.9 4.1

14.0 11.6 14.917.9

6.8 8.6 6.4

15.315.814.1

8.3 11.718.6

8.7 11.817.4

9.8 15.0 14.9

9.812.3

7.6 15.818.011.5 11.8 22.834.310.6 11.011.010.9 10.415.5

8.3 19.826.510.1

9.510.3

8.2 16.314.211.622.910.0


16

Place

TABLE 4: Births by Place of Occurrence and by Usual Residence of the Mother, 2006-2008 (Cont)

2006 2007 2008 2008

Occurrence Residence Occurrence Residence Occurrence Residence Birth Rate** Deuel Dixon Dodge *Fremont Balance of Co.

Douglas Elkhorn

*Omaha Ralston Balance of Co.

Dundy Fillmore Franklin Frontier Furnas Gage *Beatrice Balance of Co.

Garden Garfield Gosper Grant Greeley Hall *Grand Island Balance of Co.

Hamilton Aurora Balance of Co.

Harlan Hayes Hitchcock Holt

O'Neill Balance of Co.

Hooker Howard Jefferson

Fairbury Balance of Co.

Johnson Kearney

Minden Balance of Co.

Keith Ogallala Balance of Co.

Keya Paha Kimball

Kimball Balance of Co.

Knox

0 0

443 443

0 12,297

2 12,294

0 1

19 40

0 0

24 112 112

0 0 0 0 0 0

965 965

0 63 63

0 0 0 0

132 105

27 0

50 49

0 49 59

0 0 0

89 89

0 0 0 0 0 1

21 83

494 385 109

8,548 127

7,163 58

1,200 14 61 33 28 43

277 185

92 16 16 26

7 26

969 839 130 103

55 48 40

9 27

124 49 75

4 72 76 40 36 66 76 33 43 91 61 30 15 48 32 16

102

0 0

420 420

0 12,625

0 12,624

1 0

29 39

0 0

24 136 136

0 0 0 0 0 0

978 978

0 78 78

0 1 0 0

128 98 30

0 38 58

0 58 38

4 4 0

96 96

0 0 0 0 0 4

26 86

478 380

98 8,655

82 7,309

67 1,197

15 60 32 32 52

312 196 116

19 17 14

8 28

1,010 889 121

83 54 29 24 11 25

120 35 85

6 63 87 55 32 51 80 36 44

101 65 36

3 42 27 15

100

0 1

502 502

0 12,404

2 12,402

0 0

21 42

0 0

33 165 165

0 0 0 0 0 1

1,025 1,025

0 69 69

0 0 0 1

137 135

2 0

44 45

0 45 36

5 5 0

92 92

0 0 1 1 0 0

14 76

520 404 116

8,533 82

7,289 53

1,109 20 70 36 28 47

275 174 101

15 20 13

8 34

999 890 109 116

60 56 32

9 32

130 65 65

8 69 82 51 31 48 89 40 49 73 57 16

8 41 28 13

108

7.4 12.1 14.516.010.9 17.0

9.716.6

8.722.7 10.0 11.7 11.6 10.8 10.1 11.913.6

9.8 8.5

11.7 6.7

13.2 14.8 17.719.410.3 12.514.311.0

9.6 9.0

11.3 12.719.6

9.4 10.9 10.5 11.113.6

8.5 10.7 13.714.313.3

9.312.9

4.7 9.6

11.612.8

9.7 12.7


17


Place 2006 2007 2008 2008

Occurrence Residence Occurrence Residence Occurrence Residence Birth Rate** Lancaster *Lincoln Balance of Co.

Lincoln *North Platte Balance of Co.

Logan Loup McPherson Madison *Norfolk Balance of Co.

Merrick Central City Balance of Co.

Morrill Nance Nemaha

Auburn Balance of Co.

Nuckolls Otoe

Nebraska City Balance of Co.

Pawnee Perkins Phelps

Holdrege Balance of Co.

Pierce Platte *Columbus Balance of Co.

Polk Red Willow

McCook Balance of Co.

Richardson Falls City Balance of Co.

Rock Saline

Crete Balance of Co.

Sarpy *Bellevue *LaVista *Papillion Balance of Co.

Saunders Wahoo Balance of Co.

4,967 4,965

2 638 638

0 0 0 0

938 938

0 4 4 0 1 0 1 1 0

51 149 140

9 0

27 146 146

0 0

582 582

0 17

125 125

0 55 55

0 0

110 110

0 398

1 0

397 0 1 1 0

4,095 3,822

273 512 382 130

15 3 8

536 395 141

77 35 42 50 39 87 52 35 50

189 101

88 25 40

117 77 40 81

499 387 112

64 121

88 33 84 43 41 16

221 132

89 2,520

897 269 304

1,050 246

54 192

5,042 5,042

0 635 633

2 0 0 0

932 932

0 0 0 0 0 0 0 0 0

37 161 153

8 0

35 122 122

0 0

588 588

0 8

143 143

0 42 42

0 0

114 114

0 358

4 0

353 1 0 0 0

4,170 3,885

285 515 400 115

6 12

9 540 401 139

83 35 48 60 32 84 47 37 37

209 110

99 21 35

121 76 45 85

466 352 114

58 131

98 33 67 46 21 13

206 128

78 2,570

969 253 361 987 266

60 206

5,081 5,081

0 642 642

0 0 0 0

940 940

0 0 0 0 1 0 0 0 0

43 133 126

7 4

24 129 129

0 0

576 576

0 16

144 144

0 49 48

1 0

95 95

0 368

1 0

367 0 0 0 0

4,226 3,938

288 517 402 115

6 4 6

537 401 136

96 35 61 72 43 96 60 36 43

200 110

90 36 36

126 86 40 99

484 374 110

54 146 109

37 86 46 40 15

211 133

78 2,605

962 242 359

1,042 246

67 179

15.215.710.6 14.516.710.0

8.2 6.5

11.7 15.817.512.3 12.512.412.5 14.4 12.1 13.517.9

9.7 9.6

12.915.610.6 13.8 12.5 13.816.610.1 13.7 15.117.310.5 10.5 13.614.711.3 10.411.5

9.4 9.9

15.321.310.4 17.319.414.515.117.3 12.316.911.1


18


Place 2006 2007 2008 2008

Occurrence Residence Occurrence Residence Occurrence Residence Birth Rate** Scotts Bluff

Gering *Scottsbluff Balance of Co.

Seward Seward Balance of Co.

Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington

Blair Balance of Co.

Wayne Wayne Balance of Co.

Webster Wheeler York

York Balance of Co.

811 1

808 2

107 107

0 36

0 00

33 0

71 6

86 84

2 48 48

0 1 0

175 161

14

552 156 252 144 202

83 119

68 27 10 90 63

9 174

56 234 114 120 111

64 47 30

6 191 118

73

827 0

826 1

90 90

0 24

0 20

35 0

69 6

68 67

1 57 57

0 1 0

172 152

20

557 145 282 130 197

80 117

62 35 11 76 59

5 181

51 219 117 102 109

66 43 42

6 184 106

78

874 0

873 1

94 93

1 1 0 0 0

27 0

79 0

59 57

2 35 35

0 5 0

144 123

21

568 161 271 136 190

75 115

48 38 12 80 49

6 149

38 218

98 120

97 54 43 47

6 179 102

77

15.521.018.3

9.7 11.311.011.6

9.0 12.7

9.3 12.7

9.6 10.3 21.0

9.1 11.012.610.0 10.510.210.8 13.4

7.4 12.613.012.2

Indented - Cities 2,500 - 10,000 population in 2000; *cities over 10,000 population in 2000; balance of county ** The number of resident live births per 1,000 population


19

TABLE 5: Births by Sex, Race and Hispanic Origin, By Place of Residence, 2008

Place Total Births

Sex Race Hispanic Origin**Male Female White Black Amer Indian Asian Other

STATE





Burt Butler



Cedar Chase Cherry



Clay Colfax








26,992

421 352

69 82

3 3 6

63 165 145

20 18 20

693 482 211

58 97 46 51

303 120 183 126

54 55 32 23

157 117

40 74

228 177

51 102

37 65

113 49 64

399 316

83 83 56 27

401 60 43

232 66

13,760

210 173

37 37

1 1 1

34 85 76

9 10 10

383 260 123

27 52 26 26

159 60 99 68 24 32 20 12 73 55 18 33

118 91 27 52 17 35 60 25 35

203 163

40 45 35 10

211 27 22

116 46

13,232

211 179

32 45

2 2 5

29 80 69 11

8 10

310 222

88 31 45 20 25

144 60 84 58 30 23 12 11 84 62 22 41

110 86 24 50 20 30 53 24 29

196 153

43 38 21 17

190 33 21

116 20

20,958

338 273

65 77

3 3 6

63 134 115

19 18 18

645 450 195

55 95 44 51

295 114 181 121

42 47 25 22

149 110

39 62 81 31 50 96 33 63

110 47 63

189 121

68 71 44 27

209 52 41 64 52

1,778

2 2 0 0 0 0 0 0 1 1 0 0 0 5 5 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0

15 15

0 0 0 0

19 0 0

15 4

462

5 5 0 1 0 0 0 0

16 15

1 0 1 2 2 0 2 0 0 0 1 0 1 2 0 8 7 1 2 2 0 0 2 2 0 0 0 0 1 1 0

15 13

2 7 7 0 2 0 0 2 0

628

10 9 1 0 0 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 2 2 0 0 0 0 0 0 2 2 0 0 6 6 0 1 0 1 0 0 0 8 7 1 5 5 0 2 0 0 2 0

3,166

66 63

3 4 0 0 0 0

14 14

00 1

38 22 16

1 2 2 0 4 3 1 3

12 0 0 0 4 3 1

12 138 137

1 5 4 1 1 0 1

172 160

12 0 0 0

169 8 2

149 10

4,268

7370

3 4 0 0 0 0

2020

1 1

775225

2 330

1147 2

15 110

1110

1 13

146145

1 2016

4 101

216197

19 110

19510

2167

16

0


20

TABLE 5: Births by Sex, Race and Hispanic Origin, By Place of Residence, 2008 (Cont)

Place Total Births


Deuel Dixon Dodge *Fremont Balance of Co.

Douglas Elkhorn







Hooker Howard Jefferson Fairbury Balance of Co.

Johnson Kearney



Keya Paha Kimball


Knox

14 76

520 404 116

8,533 82

7,289 53

1,109 20 70 36 28 47

275 174 101

15 20 13

8 34

999 890 109 116

60 56 32

9 32

130 65 65

8 69 82 51 31 48 89 40 49 73 57 16

8 41 28 13

108

4 33

266 211

55 4,391

45 3,735

28 583

15 36 27 13 19

150 93 57

7 14 11

3 21

518 464

54 66 34 32 22

5 21 63 31 32

3 33 39 24 15 30 41 23 18 37 28

9 3

22 13

9 55

10 43

254 193

61 4,142

37 3,554

25 526

5 34

9 15 28

125 81 44

8 6 2 5

13 481 426

55 50 26 24 10

4 11 67 34 33

5 36 43 27 16 18 48 17 31 36 29

7 5

19 15

4 53

14 61

421 315 106

5,701 76

4,564 51

1,010 14 66 36 28 47

268 167 101

15 19 13

8 34

637 543

94 111

57 54 32

8 30

121 58 63

8 66 77 48 29 41 86 38 48 69 53 16

8 37 26 11 78

0 0 1 1 0

1,333 1

1,303 0

29 0 0 0 0 0 0 0 0 0 1 0 0 0

26 26

0 1 1 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0

0 0 5 5 0

82 0

78 0 4 0 2 0 0 0 1 1 0 0 0 0 0 0

13 13

0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 0 1 0 1 0 0 0 0 0 0 0

26

0 0 6 4 2

290 3

247 0

40 0 0 0 0 0 2 2 0 0 0 0 0 0 9 9 0 2 1 1 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1

015 87 79

8 1,127

2 1,097

2 26

6 2 0 0 0 4 4 0 0 0 0 0 0

314 299

15 2 1 1 0 1 0 8 7 1 0 2 3 2 1 7 2 2 0 3 3 0 0 2 2 0 3

18 978611

1,6244

1,5753

42 6 3 0 0 3 550 0 0 0 0 0

354339

15 422 0 1 1 981 0 2 642 7 330 651 0 431 0

0


21


Place Total Births


Lancaster *Lincoln Balance of Co.






Nuckolls Otoe Nebraska City Balance of Co.




Polk Red Willow



Rock Saline




4,226 3,938

288 517 402 115

6 4 6

537 401 136

96 35 61 72 43 96 60 36 43

200 110

90 36 36

126 86 40 99

484 374 110

54 146 109

37 86 46 40 15

211 133

78 2,605

962 242 359

1,042 246

67 179

2,109 1,972

137 252 194

58 2 2 3

237 173

64 51 18 33 41 25 44 32 12 21 99 57 42 19 20 59 44 15 48

237 187

50 27 85 61 24 55 29 26

9 106

69 37

1,322 498 117 189 518 118

37 81

2,117 1,966

151 265 208

57 4 2 3

300 228

72 45 17 28 31 18 52 28 24 22

101 53 48 17 16 67 42 25 51

247 187

60 27 61 48 13 31 17 14

6 105

64 41

1,283 464 125 170 524 128

30 98

3,530 3,250

280 476 366 110

6 4 6

435 327 108

90 35 55 59 43 92 57 35 41

176 88 88 34 35

120 82 38 97

361 258 103

51 136 101

35 84 44 40 15

118 44 74

2,217 732 199 309 977 236

60 176

219 218

1 4 4 0 0 0 0 6 4 2 1 0 1 0 0 1 0 1 0 1 0 1 0 0 2 2 0 0 6 6 0 0 3 3 0 0 0 0 0 0 0 0

117 70 16 14 17

0 0 0

66 66

0 7 7 0 0 0 0

11 11

0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 1 2 2 0 0 0 0 0 0 0 0 0 1 1 0

13 12

0 1 0 0 0 0

163 161

2 3 2 1 0 0 0 3 3 0 1 0 1 1 0 0 0 0 2 0 0 0 0 0 0 0 0 0 4 4 0 2 1 1 0 0 0 0 0 4 4 0

83 34 11 19 19

0 0 0

248 243

5 27 23

4 0 0 0

82 56 26

4 0 4

12 0 3 3 0 0

22 21

1 1 1 4 2 2 1

111 104

7 1 6 4 2 2 2 0 0

88 84

4 175 114

16 16 29 10

7 3

336331

5 4539

6 0 0 0

1178136

514

15 0 330 1

2524

1 1 1

1284 2

119112

7 1

1412

2 000 0

9287

5 278170

302454 13

76


22


Place Total Births


Scotts Bluff Gering

*Scottsbluff Balance of Co.






York Balance of Co.

568 161 271 136 190

75 115

48 38 12 80 49

6 149

38 218

98 120

97 54 43 47

6 179 102

77

282 83

130 69 91 39 52 23 22 11 37 19

2 81 16

113 47 66 53 28 25 23

2 97 50 47

286 78

141 67 99 36 63 25 16

1 43 30

4 68 22

105 51 54 44 26 18 24

4 82 52 30

434 129 185 120 183

70 113

39 37 12 78 49

6 27 35

208 95

113 90 48 42 45

6 166

95 71

2 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 1 0 2 0 2

31 7

23 1 1 0 1 9 0 0 0 0 0

119 0 0 0 0 0 0 0 0 0 0 0 0

4 0 4 0 3 2 1 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0

97 24 58 15

3 3 0 0 1 0 1 0 0 3 2 8 3 5 7 6 1 1 0

11 7 4

17549

10620

330 0 1 0 1 1 0 5 3 844 981 3 0

1376

Indented - Cities 2,500 - 10,000 population in 2000 *cities over 10,000 population in 2000; balance of county

** Persons of Hispanic origin may be any race.

Multiple Pregnancies: 435 sets of Twins 17 sets of Triplets 1 set of Quadruplets


23

Graph 3: Percent of All Births by Age of Mother, 2004-2008

0

5

10

15

20

25

30

35

40

Per

cen

t o

f A

ll B

irth

s

Under 20 20-24 25-29 30 and Over

Under 20 8.7 8.3 8.0 8.6 8.5

20-24 25.5 25.7 25.5 25.7 25.5

25-29 31.1 31.4 32.1 32.1 31.7

30 and Over 34.8 34.6 34.4 33.6 34.3

2004 2005 2006 2007 2008


24

Graph 4: Average Age of Mother Giving Birth, 1975-2008

0

5

10

15

20

25

30

35

Av

era

ge

Ag

e o

f M

oth

er

1st Born 2nd Born 3rd Born

1st Born 22.7 23.3 23.6 24.2 24.3 24.5 24.6 24.6

2nd Born 25.4 25.9 26.3 27.0 27.6 27.6 27.5 27.5

3rd Born 27.6 28.4 28.2 28.8 29.5 29.3 29.3 29.2

1975 1980 1985 1990 1995 2000 2005 2008

TA

BL

E 6

: B

irth

Ord

er b

y A

ge

of

Mo

ther

, 200

8

Ag

e o

f M

oth

er

To

tal

Bir

th O

rder

1 2

3 4

5 6

7 8

9 10

11

12+

U

nkn

ow

n

TO

TA

L

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

41

42

43

44

45

46+

U

nkno

wn

26,9

92 1

22

74

202

395

652

965

1,16

7 1,

156

1,31

1 1,

481

1,53

8 1,

728

1,76

9 1,

848

1,86

3 1,

659

1,56

2 1,

414

1,15

6 1,

069

902

759

600

488

353

281

216

139 90 64

35 15 17

1

9,96

2 1 22

71

18

9 34

6 56

0 71

5 73

8 60

2 60

4 63

0 62

8 70

5 64

9 66

3 61

5 49

1 38

2 29

0 23

4 20

4 14

2 12

0 98

83 55

38 33 20 9

10 9

3

3

8,49

3 2 10

35

79

20

3 33

1 38

3 46

8 54

1 52

8 56

5 60

5 63

3 64

9 58

4 55

9 48

1 41

9 32

9 28

4 21

316

7 13

3 82 66 54 38 18 20

11

3

5,04

5 2 7 10

33

82

12

7 18

2 23

2 25

8 29

6 32

8 36

7 36

7 36

5 38

1 38

4 29

1 30

7 24

5 23

816

7 11

2 82 74 42 26 18 13 6 1 2

2,10

0 1 5 10

31

42

47

81

11

8 12

7 12

6 15

5 13

3 15

9 14

2 12

5 14

0 15

1 11

4 87

77 69 57 35 25 17 12 6 5 2 1

744 1 1 2 4 8 20

24

27

39

39

46

53

43

74

50

45

40 42 39

36 32 27 22 11 11

3 1 3 1

270 2 6 7 9 8 13

12

18

21

22

23

20 14 22

24 14 8

11 6

6 1 3

127 1 3 4 5 4 9 8 7 10

8 8

10 8

11 6 8 5 6 2 1 3

58 1 1 3 1 1 1 5 4 6 2 3 2 3 3 5 4 4 3 1 3 2

27 1 1 2 2 1 2 5 3 2 1 3 2 1 1

10 1 1 2 1 1 2 1 1

16 1 1 2 1 1 2 1 1 2 1 1 2

10 1 1 1 1 1 1 2 2

130 0 0 1 1 5 3 8 4 8 4 8

11 5 5 7 11 9 5 7 6 5 5 2 1 3 1 0 4 1 0 0 0 0 0 0

25



26

TABLE 7: Teen Births by County of Residence, 2008 and 2004-2008

2008 2004-2008 Teen Total % Teen Teen Total % Teen

County Births Births Births Births Births Births

TOTAL 2,311 26,992 8.6 11,222 133,116 8.4

Adams 60 421 14.3 251 2,175 11.5 Antelope * 82 18 397 4.5 Arthur * 3 0 23 0.0 Banner * 3 7 26 26.9 Blaine * 6 2 24 8.3 Boone * 63 17 292 5.8 Box Butte 17 165 10.3 77 740 10.4 Boyd * 18 5 83 6.0 Brown * 20 8 145 5.5 Buffalo 57 693 8.2 233 3,343 7.0 Burt 5 58 8.6 25 377 6.6 Butler 5 97 5.2 25 442 5.7 Cass 22 303 7.3 90 1,584 5.7 Cedar * 126 22 561 3.9 Chase 8 54 14.8 27 249 10.8 Cherry 5 55 9.1 38 347 11.0 Cheyenne 10 157 6.4 63 703 9.0 Clay * 74 28 363 7.7 Colfax 24 228 10.5 133 1,003 13.3 Cuming 6 102 5.9 35 577 6.1 Custer 7 113 6.2 49 629 7.8 Dakota 51 399 12.8 230 2,012 11.4 Dawes 8 83 9.6 47 493 9.5 Dawson 67 401 16.7 280 2,084 13.4 Deuel * 14 11 101 10.9 Dixon * 76 30 392 7.7 Dodge 51 520 9.8 238 2,503 9.5 Douglas 779 8,533 9.1 3,837 42,278 9.1 Dundy * 20 8 93 8.6 Fillmore 8 70 11.4 28 310 9.0 Franklin * 36 10 167 6.0 Frontier * 28 11 145 7.6 Furnas 7 47 14.9 28 243 11.5 Gage 23 275 8.4 108 1,405 7.7 Garden * 15 5 87 5.7 Garfield * 20 5 87 5.7 Gosper * 13 6 97 6.2 Grant * 8 2 30 6.7 Greeley * 34 9 143 6.3 Hall 116 999 11.6 575 4,827 11.9 Hamilton 10 116 8.6 27 490 5.5 Harlan * 32 10 159 6.3 Hayes * 9 3 44 6.8 Hitchcock * 32 10 145 6.9 Holt 9 130 6.9 37 620 6.0 Hooker * 8 0 32 0.0 Howard 5 69 7.2 21 363 5.8 Jefferson 10 82 12.2 35 415 8.4 Johnson * 48 18 276 6.5 Kearney 5 89 5.6 24 405 5.9


27

TABLE 7: Teen Births by County of Residence, 2008 and 2004-2008 (Cont)

2008 2004-2008 Teen Total % Teen Teen Total % Teen

County Births Births Births Births Births Births Keith 6 73 8.2 48 447 10.7 Keya Paha * 8 2 47 4.3 Kimball 7 41 17.1 30 205 14.6 Knox 9 108 8.3 43 510 8.4 Lancaster 289 4,226 6.8 1,391 20,684 6.7 Lincoln 54 517 10.4 247 2,515 9.8 Logan * 6 1 46 2.2 Loup * 4 0 25 0.0 McPherson * 6 0 32 0.0 Madison 61 537 11.4 317 2,783 11.4 Merrick 7 96 7.3 25 412 6.1 Morrill 8 72 11.1 33 298 11.1 Nance * 43 11 208 5.3 Nemaha 10 96 10.4 41 427 9.6 Nuckolls 5 43 11.6 25 245 10.2 Otoe 20 200 10.0 95 965 9.8 Pawnee * 36 5 127 3.9 Perkins * 36 12 187 6.4 Phelps 8 126 6.3 38 589 6.5 Pierce 7 99 7.1 24 440 5.5 Platte 49 484 10.1 226 2,386 9.5 Polk * 54 13 294 4.4 Red Willow 5 146 3.4 50 683 7.3 Richardson 9 86 10.5 49 418 11.7 Rock * 15 7 75 9.3 Saline 31 211 14.7 106 1,038 10.2 Sarpy 132 2,605 5.1 650 12,502 5.2 Saunders 10 246 4.1 63 1,254 5.0 Scotts Bluff 77 568 13.6 385 2,735 14.1 Seward 7 190 3.7 46 976 4.7 Sheridan 5 48 10.4 35 321 10.9 Sherman * 38 9 164 5.5 Sioux * 12 4 58 6.9 Stanton 5 80 6.3 32 405 7.9 Thayer * 49 11 273 4.0 Thomas * 6 2 33 6.1 Thurston 25 149 16.8 166 804 20.6 Valley * 38 11 232 4.7 Washington 11 218 5.0 49 1,127 4.3 Wayne * 97 29 512 5.7 Webster * 47 9 178 5.1 Wheeler * 6 0 31 0.0 York 17 179 9.5 76 896 8.5

Teen Births = Ages 19 and under * For reasons of confidentiality, Teen Births are not provided for 2008 if there were less

than five for any given county.


28

Graph 5: Trimester Prenatal Care Began, 2008

0

10

20

30

40

50

60

70

80

90

100P

erc

en

t

1st Trimester 2nd Trimester 3rd Trimester No Care Unknown

1st Trimester 46.7 56.6 65.5 76.4 78.5 75.3

2nd Trimester 37.2 32.8 25.3 18.3 17.0 19.0

3rd Trimester 10.2 6.9 5.4 3.0 2.2 2.5

No Care 1.0 0.7 0.6 0.5 0.6 0.8

Unknown 4.9 3.0 3.2 1.9 1.8 2.6

17 and Under

18-19 20-24 25-29 30-34 35+

Age of Mother


29

TABLE 8: Births - Trimester Prenatal Care Began (Percent) by Number of Prenatal Visits, 2008

No Number Trimester Prenatal

Care Unknown Total of Visits First Second Third

0 - - - 100.0 - 100.0 1-5 29.3 33.9 35.0 - 1.7 100.0 6-9 59.5 34.4 5.5 - 0.6 100.0 10-12 78.9 18.6 0.8 - 1.6 100.0 13-15 84.5 10.2 0.3 - 5.1 100.0 16-18 85.9 9.7 0.4 - 3.9 100.0 > 18 83.5 10.0 - - 6.5 100.0 Unknown 39.5 8.1 2.3 - 50.0 100.0

Total 72.1 21.1 3.7 0.6 2.4 100.0

TABLE 9: Births - Number of Prenatal Care Visits (Percent) by Age of Mother, 2008

Number of Prenatal Care Visits Age of Mother 0 1-5 6-9 10-12 13-15 16-18 >18 Unknown Total < 17 years 1.3 11.0 38.7 34.0 10.3 3.0 1.0 0.7 100.0 17-19 years 0.8 9.7 31.1 36.5 17.2 3.2 1.0 0.4 100.0 20-24 years 0.6 7.6 28.2 37.7 19.8 4.1 1.6 0.3 100.0 25-29 years 0.5 4.4 24.1 42.2 22.8 4.0 1.7 0.3 100.0 30-34 years 0.6 3.8 24.5 43.7 21.3 3.9 2.0 0.3 100.0 35-39 years 0.7 4.4 25.2 41.0 22.4 4.0 2.0 0.2 100.0 > 39 years 1.0 5.4 23.8 38.5 22.2 5.7 3.0 0.3 100.0

Total 0.6 5.5 26.0 40.7 21.1 4.0 1.8 0.3 100.0

Rows may not sum to total due to rounding.


30

TABLE 10: Number of Prenatal Care Visits (%) by Education of Mother, 2008

Education of Mother (Yrs)

Number of Prenatal Care Visits 0 1-5 6-9 10-12 13-15 16-18 >18 Unknown Total

Less than 9 years 0.6 10.3 29.5 38.6 16.8 2.7 1.1 0.3 100.0 9-11 years 0.8 10.6 32.3 34.4 17.5 2.7 1.3 0.4 100.0 12 years 0.7 7.8 27.9 38.6 18.9 4.0 1.8 0.3 100.0 13 years 0.8 4.9 25.1 40.8 21.3 4.7 2.0 0.4 100.0 14 years 0.2 3.6 23.2 42.5 23.4 4.2 2.6 0.3 100.0 15 years - - - - - - - - -16 years 0.3 2.5 23.7 43.7 24.3 3.9 1.4 0.3 100.0 More than 16 years 0.3 1.9 22.0 46.6 23.2 3.9 2.0 0.2 100.0 Unknown 8.3 8.3 16.7 33.3 16.7 8.3 - 8.3 100.0

Total 0.6 5.5 26.0 40.7 21.1 4.0 1.8 0.3 100.0

TABLE 11: Births - Number of Prenatal Care Visits (%) by Birth Weight of Child, 2008

Birth Weight Number of Prenatal Care Visits of Child 0 1-5 6-9 10-12 13-15 16-18 >18 Unknown Total

< 1500 grams 2.5 36.2 34.4 13.2 5.8 2.5 4.3 1.2 100.0 1500-2499 grams 1.0 11.1 31.1 31.3 16.0 5.1 4.0 0.4 100.0 2500-4499 grams 0.5 4.8 25.6 41.7 21.6 3.9 1.6 0.3 100.0 >4499 grams 0.7 5.1 21.9 39.8 25.5 3.6 2.6 0.7 100.0 Unknown - - 33.3 - - - 33.3 33.3 100.0

Total 0.6 5.5 26.0 40.7 21.1 4.0 1.8 0.3 100.0

TABLE 12: Births - Number of Prenatal Care Visits (%) by Race/Hispanic Origin of Mother, 2008

Race/Hispanic Origin of Mother

Race:0 1-5

Number of Prenatal Care Visits 6-9 10-12 13-15 16-18 >18 Unknown Total

White 0.5 4.2 24.4 41.5 22.7 4.4 1.9 0.3 100.0Black 1.2 11.1 28.6 34.8 19.0 3.6 1.5 0.2 100.0American Indian 1.3 13.2 36.4 31.4 12.3 3.2 1.3 0.9 100.0All Other 0.6 9.2 32.3 40.3 14.3 2.0 1.3 0.1 100.0Unknown 6.1 - 27.3 33.3 21.2 6.1 - 6.1 100.0

Hispanic Origin * Mexican 0.6 8.1 30.8 38.6 17.2 2.9 1.5 0.3 100.0All Other 0.9 11.2 29.6 38.5 15.2 2.8 1.7 0.1 100.0

Total 0.6 5.5 26.0 40.7 21.1 4.0 1.8 0.3 100.0

* Persons of Hispanic Origin may be any race.

Rows may not sum to total due to rounding.


31

TABLE 13: Births by Trimester Prenatal Care Began and Percent Receiving Inadequate Care by County of Residence, 2008

County

Trimester Prenatal Care Began Percent Inadequate

Care* First

Trimester Second

Trimester Third

Trimester None Unknown STATE

Adams Antelope Arthur Banner Blaine Boone Box Butte Boyd Brown Buffalo Burt Butler Cass Cedar Chase Cherry Cheyenne Clay Colfax Cuming Custer Dakota Dawes Dawson Deuel Dixon Dodge Douglas Dundy Fillmore Franklin Frontier Furnas Gage Garden Garfield Gosper Grant Greeley Hall Hamilton Harlan Hayes Hitchcock Holt Hooker Howard Jefferson Johnson Kearney

19,464

313 52

3 2 5

48 118

13 13

559 41 70

235 113

38 39

112 52

123 75 80

269 67

232 9

56 337

5,787 11 53 25 20 37

205 11 12

7 4

26 615

80 21

7 25 84

7 55 53 37 71

5,708

79 23

0 0 1

14 38

5 4

114 13 20 57 11 14

8 34 15 86 21 31

108 14

141 5

18 155

1,835 7

14 10

5 8

60 2 4 6 4 6

322 31 11

1 7

37 1

13 24

8 13

1,010

25 5 0 1 0 1 4 0 1

15 3 3 8 1 1 6 8 7

18 4 2

17 2

26 0 0

24 334

2 3 1 2 2 7 2 4 0 0 1

52 4 0 1 0 6 0 1 5 3 5

158

3 0 0 0 0 0 2 0 0 3 1 4 1 1 1 1 2 0 1 1 0 1 0 0 0 2 2

53 0 0 0 0 0 2 0 0 0 0 1 8 1 0 0 0 0 0 0 0 0 0

652

1 2 0 0 0 0 3 0 2 2 0 0 2 0 0 1 1 0 0 1 0 4 0 2 0 0 2

524 0 0 0 1 0 1 0 0 0 0 0 2 0 0 0 0 3 0 0 0 0 0

14.6

16.7 25.0

0.0 33.3 16.7

4.8 18.5 11.1 27.8

8.8 13.8 18.6 10.7

4.0 15.1 20.4 17.4 19.2 28.9

8.9 14.2 16.7 14.5 23.6 14.3 10.5 18.3 15.1 30.0 17.1

8.3 14.8 12.8 13.9 33.3 25.0 23.1 37.5

8.8 20.6 17.4 18.8 11.1

3.1 18.9

0.0 10.1 19.5

8.3 11.2


32

TABLE 13: Births by Trimester Prenatal Care Began and Percent Receiving Inadequate Care by County of Residence, 2008 (Cont)

County

Trimester Prenatal Care Began Percent Inadequate

Care* First

Trimester Second

Trimester Third

Trimester None Unknown Keith Keya Paha Kimball Knox Lancaster Lincoln Logan Loup McPherson Madison Merrick Morrill Nance Nemaha Nuckolls Otoe Pawnee Perkins Phelps Pierce Platte Polk Red Willow Richardson Rock Saline Sarpy Saunders Scotts Bluff Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Wayne Webster Wheeler York

50 3

27 85

3,350 350

4 3 6

387 71 55 36 69 33

128 27 28 97 85

378 47

119 71 11

144 1,983

202 430 163

36 23 10 64 33

4 97 30

163 84 34

4 113

21 5

10 19

701 141

2 1 0

108 21 13

7 22 10 59

6 6

27 13 90

4 24 12

3 48

485 35

114 25

6 13

2 14 13

2 45

5 43 12 10

1 52

2 0 4 3

134 22

0 0 0

31 3 3 0 4 0

11 1 2 2 1

13 3 3 2 0

18 65

5 19

2 4 2 0 2 2 0 7 3 7 1 2 1 9

0 0 0 0

29 1 0 0 0 3 0 1 0 0 0 1 0 0 0 0 2 0 0 0 1 1

10 3 5 0 1 0 0 0 1 0 0 0 2 0 1 0 5

0 0 0 1

12 3 0 0 0 8 1 0 0 1 0 1 2 0 0 0 1 0 0 1 0 0

62 1 0 0 1 0 0 0 0 0 0 0 3 0 0 0 0

18.1 50.0 24.4 16.8 13.0 15.3

0.0 25.0

0.0 15.3 11.6 16.7

9.3 11.6

4.7 17.1 11.8 19.4 14.3

6.1 15.8 14.8 10.3

6.0 13.3 18.6 11.7 10.6 15.7

7.4 17.0 18.4

0.0 10.0 20.4 16.7 18.8 10.5 12.1

7.2 12.8 33.3 20.1

* Calculated by using the Kotelchuk Index. The Kotelchuk Index measures adequacy of prenatal care (adequate, inadequate, intermediate) by using a combination of the following factors: number of prenatal visits; gestation; and trimester prenatal care began.

Graph 6: Low and Very Low Birth Weight Rates, 1970-2008 R

ate

per

1,0

00 L

ive

Bir

ths

60

70

80

<2500 Grams

<1500 Grams

50

40

30

20

10

0

1970

1972

1974

1976

1978

1980

1982

1984

1986

1988

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008


33

TABLE 14: Births by Weight Groups, 2008


34

Weight (pounds) Number Percent of Total*

1 lb. and under

1 lb. 1 oz. - 2 lbs.

2 lbs. 1 ozs. - 3 lbs. 8 ozs.




6 lbs. - 6 lbs. 15 ozs.

7 lbs. - 7 lbs. 15 ozs.

8 lbs. - 8 lbs. 15 ozs.

9 lbs. - 9 lbs. 15 ozs.

10 lbs. - 10 lbs. 15 ozs.

11 lbs. - 11 lbs. 15 ozs.

12 lbs. and over

Unknown

34

101

243

389

1,159

1,181

6,229

9,864

5,984

1,560

211

30

4

3

0.1

0.4

0.9

1.4

4.3

4.4

23.1

36.5

22.2

5.8

0.8

0.1

0.0

0.0

Total Births 26,992 100.0

Weight (grams) Number Percent of Total*

499 and under

500-999

1000-1499

1500-1999

2000-2499

2500-2999

3000-3499

3500-3999

4000-4499

4500-4999

5000 and over

Unknown

36

116

174

363

1,220

4,409

10,552

7,816

2,029

244

30

3

0.1

0.4

0.6

1.3

4.5

16.3

39.1

29.0

7.5

0.9

0.1

0.0

Total Births 26,992 100.0

* Percents may not sum to total due to rounding.


35

TABLE 15: Births, Very Low and Low Birth Weight by County of Residence, 2008 and 2004-2008

County

2008 2004-2008 < 1500 grams < 2500 grams < 1500 grams < 2500 grams

Number Rate* Number Rate* Number Rate* Number Rate* STATE


326

4 0 0 0 0 0 3 0 0 7 0 1 4 1 1 0 1 1 1 0 1 3 0 5 0 2 5

102 0 1 0 0 0 4 0 0 0 0 0 8 2 1 0 1 0 0 0 2 1 3

12.1

9.5 -----

18.2 --

10.1 -

10.3 13.2

7.9 18.5

-6.4

13.5 4.4

-8.8 7.5

-12.5

-26.3

9.6 12.0

-14.3

---

14.5 -----

8.0 17.2 31.3

-31.3

---

24.4 20.8 33.7

1,909

31 4 0 0 0 0

19 2 0

39 2 5

25 5 2 1 6 3 9 6 9

26 7

25 0 5

29 657

2 5 3 1 5

21 1 0 1 0 0

67 6 2 0 3

12 0 5 4 3 9

70.7

73.6 48.8

----

115.2 111.1

-56.3 34.5 51.5 82.5 39.7 37.0 18.2 38.2 40.5 39.5 58.8 79.6 65.2 84.3 62.3

-65.8 55.8 77.0

100.0 71.4 83.3 35.7

106.4 76.4 66.7

-76.9

--

67.1 51.7 62.5

-93.8 92.3

-72.5 48.8 62.5

101.1

1,651

25 3 0 0 1 2 7 1 3

41 8 2

25 3 2 2

14 2 9 4 6

19 3

24 1 5

32 582

1 4 0 3 0

13 0 0 2 0 0

52 5 1 0 2 4 0 2 6 2 4

12.4

11.5 7.6

--

41.7 6.8 9.5

12.0 20.7 12.3 21.2

4.5 15.8

5.3 8.0 5.8

19.9 5.5 9.0 6.9 9.5 9.4 6.1

11.5 9.9

12.8 12.8 13.8 10.8 12.9

-20.7

-9.3

--

20.6 --

10.8 10.2

6.3 -

13.8 6.5

-5.5

14.5 7.2 9.9

9,396

143 20

1 1 1

16 61

9 8

208 29 21

115 22 14 21 47 18 46 34 44

142 30

133 5

29 173

3,338 5

27 13 10 11

109 4 2 3 4 8

329 44

8 0

13 41

4 18 35 10 29

70.6

65.7 50.4 43.5 38.5 41.7 54.8 82.4

108.4 55.2 62.2 76.9 47.5 72.6 39.2 56.2 60.5 66.9 49.6 45.9 58.9 70.0 70.6 60.9 63.8 49.5 74.0 69.1 79.0 53.8 87.1 77.8 69.0 45.3 77.6 46.0 23.0 30.9

133.3 55.9 68.2 89.8 50.3

-89.7 66.1

125.0 49.6 84.3 36.2 71.6


36

TABLE 15: Births, Very Low and Low Birth Weight by County of Residence, 2008 and 2004-2008 (Cont)

County

2008 2004-2008 < 1500 grams < 2500 grams < 1500 grams < 2500 grams

Number Rate* Number Rate* Number Rate* Number Rate* Keith Keya Paha Kimball Knox Lancaster Lincoln Logan Loup McPherson Madison Merrick Morrill Nance Nemaha Nuckolls Otoe Pawnee Perkins Phelps Pierce Platte Polk Red Willow Richardson Rock Saline Sarpy Saunders Scotts Bluff Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Wayne Webster Wheeler York

5 0 0 2

65 11

0 0 0 5 1 3 0 3 0 2 0 1 6 0 8 0 0 2 0 2

24 3 6 2 0 0 0 1 3 0 1 0 0 0 2 0 3

68.5 --

18.5 15.4 21.3

---

9.3 10.4 41.7

-31.3

-10.0

-27.8 47.6

-16.5

--

23.3 -

9.5 9.2

12.2 10.6 10.5

---

12.5 61.2

-6.7

---

42.6 -

16.8

10 0 3 8

298 50

0 0 0

37 7 5 2 8 2

18 7 4

14 4

33 3 6 6 0

10 168

17 49 13

2 1 0 6 5 0 9 1

11 4 6 0

15

137.0 -

73.2 74.1 70.5 96.7

---

68.9 72.9 69.4 46.5 83.3 46.5 90.0

194.4 111.1 111.1

40.4 68.2 55.6 41.1 69.8

-47.4 64.5 69.1 86.3 68.4 41.7 26.3

-75.0

102.0 -

60.4 26.3 50.5 41.2

127.7 -

83.8

16 0 1

12 262

35 0 0 0

32 4

13 3

11 3

13 3 1 9 4

26 1 5 3 0

15 138

15 27 12

0 4 1 1 6 0

11 2

10 4 4 0

17

35.8 -

4.9 23.5 12.7 13.9

---

11.5 9.7

43.6 14.4 25.8 12.2 13.5 23.6

5.3 15.3

9.1 10.9

3.4 7.3 7.2

-14.5 11.0 12.0

9.9 12.3

-24.4 17.2

2.5 22.0

-13.7

8.6 8.9 7.8

22.5 -

19.0

50 4

18 39

1,402 212

2 2 2

158 27 28 19 31 16 82 19

9 33 24

135 20 34 30

4 54

835 82

207 62 18

7 1

18 26

3 40 12 68 25 10

0 72

111.9 85.1 87.8 76.5 67.8 84.3 43.5 80.0 62.5 56.8 65.5 94.0 91.3 72.6 65.3 85.0

149.6 48.1 56.0 54.5 56.6 68.0 49.8 71.8 53.3 52.0 66.8 65.4 75.7 63.5 56.1 42.7 17.2 44.4 95.2 90.9 49.8 51.7 60.3 48.8 56.2

-80.4

* Per 1,000 live births NOTE: Rates based on small numbers may not be reliable.

TABLE 16: Medical Risk Factors of the Mother, 2008

Percent of Medical Risk Factors* Number Births

Prepregnancy Diabetes 173 0.6 Gestational Diabetes 1,194 4.4 Prepregnancy Hypertension 204 0.8 Gestational Hypertension 1,040 3.9 Previous Pre-Term Births 580 2.2 Poor Pregnancy Outcomes 1,153 4.3 Vaginal Bleeding 450 1.7 Infertility Treatment 329 1.2 Previous Cesarean 3,509 13.0 * More than one medical risk factor may be reported.


TABLE 17: Obstetric Procedures, 2008

Percent of Obstetric Procedures Number Births

Cervical Cerclage 106 0.4 Tocolysis 373 1.4 Successful External Cephalic Version 48 0.2 Failed External Cephalic Version 17 0.1

TABLE 18: Characteristics of Labor and Delivery, 2008

Percent of Characteristics of Labor and Delivery Number Births

Induction of Labor 7,477 27.7 Augmentation of Labor 8,031 29.8 Non-Vertex Presentation 517 1.9 Steriods 126 0.5 Antibiotics 4,764 17.7 Chorioamnionitis 118 0.4 Meconium Staining 1,281 4.8 Fetal Intolerance 2,726 10.1 Anesthesia 20,968 77.7

37

TABLE 19: Method of Delivery, 2008


38

Percent of Method of Delivery Number Births

Spontaneous 17,305 64.1 Forceps 609 2.3 Vacuum 713 2.6 Cesarean 8,364 31.0 Unknown 1 0.0

TABLE 20: Onset of Labor, 2008

Percent of Onset of Labor Number Births

Premature Rupture of Membranes 534 2.0 Preciptious Labor 540 2.0 Prolonged Labor 311 1.2

TABLE 21: Perinatal Cigarette Smoking, 2008

3 Months First Second Last Prior to 3 Months 3 Months 3 Months

Number of Cigarettes per Day Pregnancy of Pregnancy of Pregnancy of Pregnancy None 21,401 22,964 23,609 23,773 1-5 1,446 1,408 1,342 1,439 6-10 1,975 1,624 1,450 1,278 11-19 456 296 206 161 20-29 1,442 609 331 288 30-39 139 40 17 12 40 or more 93 15 6 6 Unknown 40 36 37 35

Birth Weight in Grams

4000

3500

3000

2500

2000

1500

1000 50

0 0

Non

e 1-

5 6-

10

11-2

0 21

-30

31+

Tob

acco

Use

(C

igar

ette

s pe

r D

ay)

2004

20

05

2006

20

07

2008

39


Gra

ph

7:

Ave

rag

e B

irth

Wei

gh

t b

y T

ob

acco

Usa

ge

of

the

Mo

ther

(20

04-2

008)


40

Graph 8: Tobacco Use During Third Trimester of Pregnancy

by Race/Hispanic Origin of the Mother, 2008

Total American White Black Asian Other Hispanic* Indian

*Hispanic Origin may be of any race.

15.2

32.0

17.2 14.5

3.8 2.6 4.0

0

10

20

30

40

50

60

70

80

90

100

Per

cen

t o

f M

oth

ers

Us

ing

To

bac

co

Graph 9: Birth Rates for Unmarried Women, 1960-2008 1

960

196

2

196

4

196

6

196

8

197

0

197

2

197

4

197

6

197

8

198

0

198

2

198

4

198

6

198

8

199

0

199

2

199

4

199

6

199

8

200

0

200

2

200

4

200

6

200

8

0

50

100

150

200

250

300

350

400

Ra

te p

er 1

,000

Liv

e B

irth

s


41


42

TABLE 22: Births to Unmarried Women by Place of Residence, 2008 and 2004-2008

2008 2004-2008 Place Number Rate* Number Rate*

STATE

Adams Hastings Balance of Co.

Antelope Arthur Banner Blaine Boone Box Butte Boyd Brown Buffalo

Kearney Balance of Co.

Burt Butler Cass Cedar Chase Cherry Cheyenne Clay Colfax Cuming Custer Dakota

So. Sioux City Balance of Co.

Dawes Dawson

Lexington Balance of Co.

Deuel Dixon Dodge

Fremont Balance of Co.

Douglas Omaha Balance of Co.

Dundy Fillmore Franklin Frontier Furnas Gage

Beatrice Balance of Co.

Garden Garfield

9,140

166 150

16 22

0 1 1

19 63

5 5

206 159

47 14 24 82 16 12 19 47 21

110 25 27

179 145

34 26

187 134

53 5

15 209 175

34 3,311 3,191

120 7

21 6 6

13 99 78 21

1 3

338.6

394.3 426.1 231.9 268.3

-333.3 166.7 301.6 381.8 277.8 250.0 297.3 329.9 222.7 241.4 247.4 270.6 127.0 222.2 345.5 299.4 283.8 482.5 245.1 238.9 448.6 458.9 409.6 313.3 466.3 577.6 313.6 357.1 197.4 401.9 433.2 293.1 388.0 437.8

96.5 350.0 300.0 166.7 214.3 276.6 360.0 448.3 207.9

66.7 150.0

42,766

774 702

72 100

1 6 2

72 253

18 41

905 691 214 105 106 392

82 58

112 206

90 445 139 146 864 729 135 151 845 536 309

41 107 902 761 141

15,705 15,062

643 22 79 36 30 53

434 335

99 23 12

321.3

355.9392.4186.5 251.9

43.5 230.8

83.3 246.6 341.9 216.9 282.8 270.7297.8209.2 278.5 239.8 247.5 146.2 232.9 322.8 293.0 247.9 443.7 240.9 232.1 429.4455.9326.9 306.3 405.5458.9337.3 405.9 273.0 360.4392.9249.1 371.5422.0

97.6 236.6 254.8 215.6 206.9 218.1 308.9370.2198.0 264.4 137.9


43

TABLE 22: Births to Unmarried Women by Place of Residence, 2008 and 2004-2008 (Cont)


Gosper 2 153.8 18 185.6 Grant 2 250.0 5 166.7 Greeley 6 176.5 24 167.8 Hall 445 445.4 2,056 425.9

Grand Island 410 460.7 1,896 449.7 Balance of Co. 35 321.1 160 261.9

Hamilton 31 267.2 110 224.5 Harlan 4 125.0 28 176.1 Hayes 2 222.2 6 136.4 Hitchcock 6 187.5 26 179.3 Holt 28 215.4 140 225.8 Hooker 0 - 2 62.5 Howard 11 159.4 87 239.7 Jefferson 30 365.9 113 272.3 Johnson 15 312.5 74 268.1 Kearney 19 213.5 93 229.6 Keith 21 287.7 150 335.6 Keya Paha 0 - 2 42.6 Kimball 15 365.9 83 404.9 Knox 24 222.2 152 298.0 Lancaster 1,305 308.8 5,937 287.0

Lincoln 1,255 318.7 5,707 295.5 Balance of Co. 50 173.6 230 167.4

Lincoln 185 357.8 878 349.1 North Platte 159 395.5 755 392.8 Balance of Co. 26 226.1 123 207.4

Logan 1 166.7 7 152.2 Loup 0 - 3 120.0 McPherson 1 166.7 7 218.8 Madison 216 402.2 1,004 360.8

Norfolk 174 433.9 95 424.1 Balance of Co. 42 308.8 93 199.6

Merrick 32 333.3 102 247.6 Morrill 25 347.2 94 315.4 Nance 11 255.8 51 245.2 Nemaha 30 312.5 128 299.8 Nuckolls 12 279.1 54 220.4 Otoe 65 325.0 322 333.7 Pawnee 5 138.9 23 181.1 Perkins 8 222.2 36 192.5 Phelps 31 246.0 156 264.9 Pierce 16 161.6 83 188.6 Platte 170 351.2 751 314.8

Columbus 148 395.7 633 346.3 Balance of Co. 22 200.0 118 211.5

Polk 13 240.7 62 210.9 Red Willow 43 294.5 197 288.4 Richardson 28 325.6 142 339.7 Rock 2 133.3 12 160.0 Saline 73 346.0 383 369.0


44

TABLE 22: Births to Unmarried Women by Place of Residence, 2008 and 2004-2008 (Cont)


Sarpy 583 223.8 2,579 206.3 Bellevue 299 310.8 1,257 283.4 LaVista 69 285.1 377 297.3 Papillion 75 208.9 340 206.8 Balance of Co. 140 134.4 605 117.4

Saunders 57 231.7 255 203.3 Scotts Bluff 251 441.9 1,137 415.7

Scottsbluff 133 490.8 622 467.3 Balance of Co. 118 397.3 515 366.8

Seward 32 168.4 173 177.3 Sheridan 17 354.2 113 352.0 Sherman 8 210.5 37 225.6 Sioux 2 166.7 6 103.4 Stanton 11 137.5 79 195.1 Thayer 9 183.7 56 205.1 Thomas 0 - 3 90.9 Thurston 109 731.5 591 735.1 Valley 10 263.2 55 237.1 Washington 55 252.3 256 227.2 Wayne 21 216.5 137 267.6 Webster 10 212.8 40 224.7 Wheeler 3 500.0 8 258.1 York 56 312.8 283 315.8

Indented - Cities over 10,000 population in 2000 Balance of county

* Per 1,000 live births

NOTE: Rates based on small numbers may not be reliable.


45

TABLE 23: Births to Unmarried Women by Age of Mother, 2004-2008

Age of Mother

2004 2005 2006 2007 2008 Number %* Number %* Number %* Number %* Number %*

12 or Under 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

30-34 35-39

40 and Over Unknown

Total

1 5

18 79

178 369 545 755 848 728 745 609 514 394 363 289 261 220 673 271

89 0

100.0 100.0 100.0

98.8 93.7 91.8 84.9 79.3 71.6 60.1 54.9 42.9 33.4 24.5 21.6 17.5 15.8 14.0 11.0 10.8 16.3 0.0

2 3

25 82

175 392 504 672 828 708 745 612 544 465 396 303 264 241 707 313

85 1

44.4 100.0

96.2 97.6 95.1 92.0 87.3 77.0 72.4 59.9 51.9 43.3 35.3 29.2 23.5 17.4 15.5 16.2 11.8 12.2 17.6 0.0

1 4

27 63

192 338 516 717 838 747 742 735 586 503 439 374 290 263 802 354

85 1

66.7 100.0 100.0

98.4 98.0 94.9 85.3 80.6 71.7 62.9 55.7 48.1 36.5 29.1 25.3 21.6 16.8 16.0 13.2 13.7 15.7 0.0

0 5

18 89

210 354 553 767 805 869 777 689 661 537 447 349 314 275 834 373

60 1

50.0 100.0

94.7 98.9 96.8 93.2 86.3 80.7 72.6 65.2 56.4 47.7 39.6 32.6 25.0 19.3 18.4 16.3 13.9 14.4 12.2 0.0

0 1

22 72

192 376 567 792 836 774 738 725 633 596 446 405 356 300 883 340

85 1

--100.0 100.0

97.3 95.0 95.2 87.0 82.1 71.6 67.0 56.3 49.0 41.2 34.5 25.2 21.9 19.1 18.1 14.5 13.7 14.8

100.0

7,954 30.2 8,068 30.9 8,617 32.2 8,987 33.4 9,140 33.9

TABLE 24: Births to Unmarried Women by Age and Race/Hispanic Origin of Mother, 2008

Age of Mother

White Black American Indian All Other Hispanic Origin** Number %* Number %* Number %* Number %* Number %*

15 or Under 43 97.7 16 100.0 6 100.0 31 100.0 44 95.6 16 97 96.0 25 100.0 9 100.0 61 91.0 75 90.4 17 198 94.7 54 98.2 22 100.0 102 93.6 124 91.9 18 348 88.3 89 97.8 21 87.5 109 76.2 139 76.4 19 526 82.1 103 93.6 27 84.4 136 74.7 174 76.0

20-24 2,503 51.4 491 81.0 159 82.0 553 56.3 716 58.4 25-29 1,345 18.7 291 58.4 67 69.1 400 37.2 505 43.7 30-34 524 10.4 109 44.0 28 56.0 222 28.7 266 33.0

35 and Over 286 11.6 33 25.6 15 53.6 91 21.2 110 27.2 Unknown

Total

1 100.0 0 0.0 0 0.0 0 0.0 1 100.0

5,870 28.0 1,211 68.1 354 76.6 1,705 44.9 2,154 50.5

* Percent of live births for each age category ** Persons of Hispanic origin may be any race


46

TABLE 25: Percent of Race/Hispanic Origin Births to Unmarried Women, 1980-2008

Race of Mother 1980 1990 2000 2007 2008

White 8.9 16.9 23.7 27.3 28.0

Black 61.5 71.3 67.4 72.2 68.1

American Indian 49.8 67.6 71.3 71.8 76.6

All Other 5.2 9.1 30.1 43.9 44.9

Hispanic Origin*

Mexican 22.6 31.3 39.9 48.6 49.1

All Other 19.4 32.3 49.4 52.3 54.1

* Persons of Hispanic origin may be any race.

TABLE 26: Percent of Age Group Births to Unmarried Women, 1980-2008

Age of Mother 1980 1990 2000

Under 20 years 43.6 72.8 82.7

20-24 years 12.0 30.5 43.0

25-29 years 4.2 10.6 15.9

30 years and over 3.7 7.2 9.5

2007

86.7

54.8

22.2

14.0

2008

87.5

55.7

23.7

14.3


47

TABLE 27: Birth Order of Births to Unmarried Women by Age of Mother, 2008

Age of Birth Order Mother Total 1 2 3 4 5 6 7 8 9 10 11 12 13 Unk

TOTAL 9,140 4,361 2,458 1,326 594 221 80 35 13 6 0 1 1 0 44

13 1 1 14 22 22 15 72 69 2 1 16 192 179 10 2 1 17 376 329 34 6 1 1 5 18 567 496 59 9 3 19 792 599 161 23 4 1 4 20 836 555 211 61 5 1 3 21 774 418 248 86 18 2 2 22 738 355 254 101 22 2 1 3 23 725 291 276 110 25 16 2 5 24 633 235 211 119 45 14 5 4 25 596 194 191 119 67 15 3 3 1 3 26 446 113 142 101 60 18 9 2 1 27 405 90 148 104 42 12 4 2 1 2 28 356 81 109 92 46 19 5 3 1 29 300 78 79 75 37 18 5 3 2 3 30 258 61 65 77 40 8 1 4 1 1 31 185 35 49 45 24 21 8 2 1 32 162 33 43 36 27 14 7 1 1 33 162 25 46 41 28 13 7 1 1 34 116 23 29 27 21 9 4 3 35 92 18 19 26 14 9 2 2 1 1 36 80 17 15 15 11 11 5 5 1 37 62 10 17 11 14 3 4 1 2 38 61 9 15 13 12 5 3 3 1 39 45 7 15 11 7 3 1 1 40 32 10 4 7 6 3 1 1 41 21 3 3 5 5 1 2 1 1 42 13 2 2 1 5 2 1 43 8 2 1 4 1 44 7 1 1 2 2 1 45 2 2

46+ 1 1


48

TABLE 28: Birth Defects - Number and Rate, 2008 and 2004-2008

Type of Defect* 2008 2004-2008

Number Rate Number Rate

Central Nervous System Anencephalus Spina bifida Hydrocephalus Other central nervous system defects

Defects of Eye Defects of Ear, Neck and Face Circulatory System

Transposition of great vessels Ventricular septal defect Atrial septal defect Other heart defects Patent ductus arteriosus Coarctation of aorta Other circulatory system defects

Defects of Respiratory System Craniofacial

Cleft palate Cleft lip Cleft palate with cleft lip

Digestive System Pyloric stenosis Tracheo-esophageal fistula Other upper alimentary defects Other abdominal cavity defects Other digestive defects

Genitourinary System Hypospadius Renal agenesis Cystic kidney disease Other genitourinary defects

Musculoskeletal System Club foot Polydactyly Syndactyly Reduction deformity Dislocated hips Omphalocele Gastrochisis Other musculoskeletal defects

Defects of Skin, Hair and Nails Defects of Metabolic and Blood Systems

(list continued on next page)

7 16 10 26

7 23

3 49 44 89 28

1 115

24

10 8

14

15 2

11 5

21

64 7 4

22

30 28

4 18 11

5 15 56 23

2

0.26 0.59 0.37 0.96 0.26 0.85

0.11 1.80 1.62 3.28 1.03 0.04 4.23 0.88

0.37 0.29 0.52

0.55 0.07 0.41 0.18 0.77

2.36 0.26 0.15 0.81

1.10 1.03 0.15 0.66 0.41 0.18 0.55 2.06 0.85 0.07

45 85 70

214 130 202

58 305 229 640 213

61 389 198

74 56 72

185 23

118 79

207

321 41 29

403

225 172

64 85 87 22 68

669 146

11

0.340.630.521.60 0.97 1.51

0.432.281.714.781.590.462.91 1.48

0.550.420.54

1.380.170.880.591.55

2.400.310.223.01

1.681.280.480.630.650.160.515.00 1.09 0.08


49

TABLE 28: Birth Defects - Number and Rate, 2008 and 2004-2008 (Cont)

Type of Defect*

Multiple Defects

2008 Number

2004-2008 Rate Number Rate

Down's syndrome 26 0.96 191 1.43 Other chromosomal syndromes 41 1.51 210 1.57 Other multiple system defects 8 0.29 72 0.54

Other and Unspecified Defects 37 267

Total Defects** 929 6,736

Total Cases** 649 23.90 4,045 30.21

* Classified according to the British Pediatric Association (BPA) Classification of Disease and World Health Organization's 1979 International Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM), with modifications developed by the National Centers for Disease Control and Prevention.

** Includes all cases reported through December 31 , 2009.

Rate per 1,000 live births and fetal deaths

NOTE: Some variance between years may be caused by a change in the coding classification.


50

TABLE 29: Birth Defects by County of Residence, 2008 and 2004-2008

County

2008 2004-2008 Number of

Cases Percent of

Total Births* Number of

Cases Percent of

Total Births* STATE


649

8 1 0 0 0 2 4 0 0

37 3 2 8 2 2 1 3 1 5 0 5 3 0 7 0 0

14 148

0 1 0 1 1

11 0 1 0 0 0

10 2 0 0 2 0 0 1 2 1 1

2.4

1.9 1.2

---

3.1 2.4

--

5.3 5.1 2.0 2.6 1.6 3.7 1.8 1.9 1.4 2.2

-4.3 0.7

-1.7

--

2.7 1.7

-1.4

-3.6 2.1 4.0

-5.0

---

1.0 1.7

--

6.1 --

1.4 2.4 2.1 1.1

4,045

63 9 0 1 0 8

28 1 2

126 25

9 58

5 9 8

16 7

23 16 31 29

3 60

3 5

92 1,413

1 10

5 4 6

42 1 4 3 0 5

77 11

2 0 8

18 1 6 9 6

20

3.0

2.9 2.3

-3.7

-2.7 3.8 1.2 1.4 3.7 6.6 2.0 3.6 0.9 3.6 2.3 2.3 1.9 2.3 2.7 4.9 1.4 0.6 2.8 3.0 1.3 3.7 3.3 1.1 3.2 3.0 2.8 2.5 3.0 1.1 4.6 3.0

-3.5 1.6 2.2 1.3

-5.5 2.9 3.1 1.6 2.1 2.2 4.9


51

TABLE 29: Birth Defects by County of Residence, 2008 and 2004-2008 (Cont)

County

2008 2004-2008 Number of

Cases Percent of

Total Births* Number of

Cases Percent of

Total Births* Keith Keya Paha Kimball Knox Lancaster Lincoln Logan Loup McPherson Madison Merrick Morrill Nance Nemaha Nuckolls Otoe Pawnee Perkins Phelps Pierce Platte Polk Red Willow Richardson Rock Saline Sarpy Saunders Scotts Bluff Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Wayne Webster Wheeler York

* Total number of live births and fetal deaths

4 0 2 1

180 25

0 0 0 4 2 2 4 5 1 9 0 1 2 1 9 1 7 4 0 7

39 4

15 4 0 1 0 0 4 0 0 0 5 1 5 1 9

5.5 -

4.9 0.9 4.2 4.8

---

0.7 2.0 2.7 9.3 5.2 2.3 4.5

-2.8 1.6 1.0 1.9 1.9 4.8 4.6

-3.3 1.5 1.6 2.6 2.1

-2.6

--

8.0 ---

2.3 1.0

10.6 14.3

5.0

20 0 6

12 589 122

1 1 1

47 6

13 8

18 10 33

3 6

22 5

69 10 30 16

1 26

395 30

106 24

5 3 1 9 9 1

11 4

38 7 7 3

28

4.4 -

2.9 2.3 2.8 4.8 2.2 4.0 3.1 1.7 1.4 4.3 3.8 4.2 4.1 3.4 2.4 3.2 3.7 1.1 2.9 3.4 4.3 3.8 1.3 2.5 3.1 2.4 3.9 2.4 1.6 1.8 1.7 2.2 3.3 3.0 1.4 1.7 3.3 1.4 3.9 9.4 3.1

TABLE 30: Birth Defects by Month of Birth, 2008


52

Month of Birth Total Births* No. of Cases with Defects

Percent of Total Births*

TOTAL

January February March April May June July August September October November December

27,156

2,231 2,108 2,240 2,320 2,261 2,243 2,439 2,343 2,470 2,211 2,043 2,247

649

71 57 52 51 55 60 64 51 49 54 39 46

2.4

3.2 2.7 2.3 2.2 2.4 2.7 2.6 2.2 2.0 2.4 1.9 2.0

TABLE 31: Birth Defects by Age of Mother, 2008

No. of Cases Percent of Age of Mother Total Births* with Defects Total Births*

19 and Under 2,321 52 2.2 20-24 6,702 187 2.8 25-29 8,901 198 2.2 30-34 6,140 125 2.0 35-39 2,506 63 2.5 40+ 583 24 4.1 Unknown 3 0 -

TABLE 32: Birth Defects by Age of Father, 2008

No. of Cases Percent of Age of Father Total Births* with Defects Total Births*

19 and Under 698 21 3.0 20-24 3,743 85 2.3 25-29 7,263 184 2.5 30-34 6,455 133 2.1 35-39 3,545 78 2.2 40+ 1,792 47 2.6 Unknown 3,660 101 2.8

* Total number of live births and fetal deaths

TABLE 33: Birth Defects by Weight and Sex of Child, 2008


53

No. of Cases Percent of Total Births* with Defects Total Births*

Total 27,156 649 2.4

Weight (grams) 1500 and under 415 74 17.8 1500-2499 1,611 118 7.3 2500-4499 24,843 451 1.8 4500+ 277 5 1.8 Unknown 10 1 10.0

Sex Male 13,836 382 2.8 Female 13,320 267 2.0

TABLE 34: Birth Defects by Race of Mother, 2008

No. of Cases Percent of Total Births* with Defects Total Births*

White 21,078 517 2.5 Black 1,805 44 2.4 American Indian 464 8 1.7 All Other 3,776 80 2.1 Unknown 33 0 -

Hispanic Origin** 4,286 58 1.4

* Total number of live births and fetal deaths ** Persons of Hispanic origin may be any race.


54

DEATH HIGHLIGHTS

A total of 15,451 deaths occurred among Nebraska residents in 2008, an increase from the 15,256 deaths that occurred in 2007. The 2008 figure translates into a crude mortality rate of 8.7 deaths per 1,000 residents and an age-adjusted mortality rate of 741.1 deaths per 100,000 residents.

The average age at death among Nebraska residents in 2008 was 75.4 years, an increase from last year’s figure of 75.2 years. The state’s all-time record is 75.5 years, which was set in 2003. By gender, the average age at death in 2008 was 79.1 years for Nebraska women, which is an increase from the 2007 mark of 78.7 years and is now the state’s all-time record, and 71.3 years for Nebraska men, the same figure recorded in 2007.

Nebraska's leading cause of death in 2008 was heart disease, which accounted for 3,492 resident deaths. This figure represents just under one-fourth (22.6%) of all deaths that occurred among Nebraska residents in 2008. Heart disease has been the most frequent cause of death both statewide and nationally for several decades, although its toll has steadily declined during the past 30 years. In Nebraska, 2008 marked the sixth consecutive year in which fewer than 4,000 heart disease deaths were recorded, and since the beginning of this decade, the state’s heart disease mortality rate has dropped by over 20%.

With only 115 fewer deaths than heart disease, cancer was the second leading cause of death among Nebraska residents in 2008, and was responsible for 3,377 deaths. As a result of declining heart disease mortality, the gap between the number of cancer and heart disease deaths in Nebraska has narrowed markedly in recent years, and could put cancer ahead of heart disease as the state’s leading cause of death within the next few years. In fact, among Nebraska men, this historic shift first occurred in 2006 and again in 2007. In 2008, cancer deaths outnumbered heart disease deaths among Nebraska men for the third straight year, by a count of 1,732 to 1,716.

Cancer of the lung was the year’s leading cause of cancer deaths among both Nebraska men and women, accounting for 886 deaths (482 men, 404 women). Colorectal (colon and rectum) cancer was Nebraska’s second leading cause of cancer deaths overall in 2008, with 366 deaths (190 men, 176 women). However, breast cancer was the second leading cause of cancer deaths among Nebraska women in 2008, claiming 230 lives, and prostate cancer was the #2 cause of cancer deaths among Nebraska men, claiming 191 lives in 2008. Taken together, these four sites were responsible for almost half (49.6%) of the state’s cancer deaths in 2008.

Although still #2 overall, cancer ranks well ahead of heart disease as the leading cause of death at younger ages. Among Nebraska residents between 45 and 74 years of age, 1,619 deaths were attributed to cancer in 2008, compared to 821 for heart disease, which was the next most frequent cause of death. At age 75 and beyond, however, heart disease easily outpaced cancer as the state’s leading cause of death in 2008, by a count of 2,583 to 1,649.


55

DEATH HIGHLIGHTS (continued)

After heart disease and cancer, no other single cause of death accounted for more than 10% of Nebraska resident deaths in 2008. Chronic lung disease was Nebraska’s third leading cause of death in 2008, accounting for 916 deaths. Cerebrovascular disease (usually referred to as stroke), long the state’s third leading cause of death, fell to fourth place in 2008, and was responsible for 825 deaths.

Accidents (also referred to as unintentional injuries) were Nebraska’s fifth leading cause of death in 2008, claiming 714 lives. Motor vehicle accidents were once again Nebraska’s leading cause of accidental deaths, accounting for 241 fatalities, which is the state’s lowest figure since 1995. Falls were the #2 cause of accidental deaths, with 207 resident fatalities in 2008. Sixteen of the state’s accidental deaths in 2008 were farm-related. Accidents were the leading cause of death in 2008 among Nebraska residents under the age of 45 years (excluding infants under one year of age), accounting for 226 (27.8%) of 814 deaths.

Alzheimer’s Disease has now ranked among the top ten causes of death in Nebraska for over a decade, and in 2008 it was again the state’s sixth leading cause of death. The number of Nebraska deaths attributed to Alzheimer’s Disease in 2008 (610) is an all-time record, surpassing the previous record of 512, which was set in 2007. After Alzheimer’s Disease, Nebraska’s top ten causes of death in 2008 included diabetes (with 470 deaths), pneumonia (331 deaths), nephritis and nephrosis (270 deaths), and suicide (191 deaths).

A total of 146 infant deaths occurred among Nebraska residents in 2008, which translates into an infant mortality rate of 5.4 per 1,000 live births. This figure represents a decrease from the 2007 rate of 6.8, and ties the state’s all-time lowest infant mortality rate, which was recorded in 2003. The leading cause of infant deaths in Nebraska in 2008 was birth defects, which accounted for 34 deaths. Low birth weight babies accounted for 98 (67.1%) of Nebraska's infant deaths, with 74 of these children falling into the very low birth weight (<1500 grams) category. Neonates (infants less than 28 days old) accounted for the majority of Nebraska’s 2008 infant deaths, with a count of 90, while post-neonates (infants between 28 days and one year of age) accounted for the remaining 56.


56


57


58

TABLE 35: Deaths by Place of Occurrence and Usual Residence of Deceased, 2006-2008

Place 2006 2007 2008 2008

Occurrence Residence Occurrence Residence Occurrence Residence Death Rate** STATE





Burt Butler



Cedar Chase Cherry



Clay Colfax






Dawson Cozad Gothenburg *Lexington Balance of Co.

15,060

287 254

33 72

3 1 2

73 105

94 11 28 34

482 433

49 65 89 83

6 121 62 59 52 44 48 47

1 90 82

8 52 66 47 19

111 62 49

122 79 43

103 80 23 73 48 25

217 66 56 88

7

14,894

287 226

61 74

7 5 7

79 114

83 31 43 41

342 242 100

95 101

53 48

206 81

125 92 40 51 39 12 98 74 24 77 93 48 45

141 57 84

134 56 78

171 119

52 75 40 35

232 67 43 85 37

15,427

326 300

26 80

1 2 1

75 98 86 12 16 41

496 449

47 69 96 89

7 116 52 64 70 51 57 55

2 91 85

6 39 48 40

8 92 69 23

127 87 40

114 92 22 85 71 14

189 55 57 71

6

15,256

300 254

46 85

2 8 2

69 113

90 23 26 49

364 236 128 104 104

58 46

230 85

145 105

56 67 55 12

105 65 40 71 81 46 35

100 53 47

145 81 64

181 130

51 86 54 32

202 48 49 59 46

15,659

333 307

26 61

1 3 0

59 115 104

11 16 32

514 452

62 74 77 68

9 130 63 67 77 63 47 40

7 90 81

9 60 53 33 20 90 56 34

150 98 52 95 77 18 72 53 19

191 50 62 72

7

15,451

314 259

55 66

3 10

4 52

130 107

23 22 34

369 247 122 102

78 44 34

202 92

110 107

59 57 41 16

104 73 31 92 91 43 48

103 36 67

163 82 81

145 97 48 73 39 34

227 59 59 68 41

8.7

9.410.2

7.0 9.9 8.9

13.6 9.3 9.5

11.813.2

7.8 10.5 10.8

8.18.18.2

14.5 9.4

17.85.8 7.9

13.35.9

12.7 16.3 10.215.8

5.3 10.411.2

8.9 14.7 9.18.39.9

11.110.711.3 15.026.010.5

7.28.15.8 8.47.2

10.3 9.2

14.016.0

6.76.2


59

TABLE 35: Deaths by Place of Occurrence and Usual Residence of Deceased, 2006-2008 (Cont)

Place 2006 2007 2008 2008

Occurrence Residence Occurrence Residence Occurrence Residence Death Rate** Deuel Dixon Dodge *Fremont Balance of Co.

Douglas Elkhorn *Omaha Ralston Balance of Co.




Harlan Hayes Hitchcock Holt O'Neill Balance of Co.



Johnson Kearney



Keya Paha Kimball Kimball Balance of Co.

Knox

9 35

375 308

67 4,446

78 4,311

13 44 30 79 36 11 61

251 196

55 30 16

8 2

22 596 564

32 70 62

8 43

3 19

119 68 51 11 62 86

0 86 59 48 42

6 76 70

6 1

48 45

3 93

23 57

414 282 132

3,561 67

3,306 33

155 32 84 45 29 85

297 192 105

31 30 13

7 29

542 477

65 76 47 29 45

8 39

130 49 81 11 81

109 80 29 66 74 41 33 93 58 35

8 61 46 15

128

12 32

397 333

64 4,542

25 4,469

11 37 30 80 40 18 63

233 180

53 23 21 20

0 14

531 499

32 86 81

5 37

3 22

128 64 64

9 73

109 0

109 42 49 42

7 85 79

6 3

39 36

3 118

22 57

434 323 111

3,587 25

3,363 48

151 32 93 58 32 71

271 164 107

37 34 28

3 29

493 421

72 99 80 19 45

8 37

135 45 90 12 72

128 96 32 49 65 48 17 95 77 18 12 42 34

8 153

14 38

381 308

73 4,684

6 4,622

8 48 31 74 31

9 61

255 188

67 17 11 14

2 21

576 540

36 87 78

9 40

2 19

113 74 39

9 69

104 0

104 53 31 24

7 80 73

7 2

41 39

2 84

27 75

411 290 121

3,702 21

3,499 34

148 37 88 45 21 71

295 190 105

23 24 29

2 32

514 428

86 98 76 22 46 11 45

133 57 76 13 81

119 84 35 58 45 28 17

107 72 35

7 54 45

9 116

14.4 11.9 11.511.511.4

7.42.58.05.63.0

18.5 14.7 14.5

8.1 15.3 12.814.910.2 13.0 14.0 15.1

3.3 14.0

9.19.38.1

10.518.1

4.3 13.8 10.9 15.9 13.017.211.0 17.7 12.3 16.122.4

9.6 12.9

6.910.0

4.6 13.716.310.3

8.4 15.320.5

6.7 13.7


60


Place 2006 2007 2008 2008

Occurrence Residence Occurrence Residence Occurrence Residence Death Rate** Lancaster *Lincoln Balance of Co.






Nuckolls Otoe





Polk Red Willow



Rock Saline




2,012 1,935

77 364 318

46 1 1 2

393 336

57 51 41 10 37 48 70 68

2 75

152 90 62 34 35

138 120

18 72

170 162

8 52

110 104

6 105

78 27 17

114 55 59

499 138

18 273

70 130

79 51

1,645 1,552

93 356 276

80 3 3 4

344 244 100

81 46 35 47 48 97 71 26 72

167 91 76 38 38

121 68 53 78

223 168 55 65

121 97 24

120 76 44 18

145 59 86

648 264

58 158 168 192

67 125

2,125 2,053

72 329 295

34 1 2 1

392 337

55 54 50

4 53 40 69 56 13 53

160 100

60 44 38

110 98 12 75

191 181 10 40

130 126

4 118

89 29 11

131 67 64

559 156

15 312

76 154

89 65

1,767 1,652

115 335 272

63 6 8 2

338 241

97 78 49 29 63 56 80 55 25 61

190 106

84 50 47

112 67 45 75

242 185 57 47

152 126

26 135

82 53 17

146 52 94

712 342

64 145 161 210

71 139

2,151 2,072

79 348 313

35 1 2 2

405 341

64 67 57 10 40 41 94 84 10 77

165 113

52 36 36 95 88

7 62

201 190 11 50

118 115

3 118

95 23 20

148 86 62

541 185

20 273

63 129

64 65

1,830 1,696

134 345 268

77 5 3 5

372 261 111

93 48 45 48 52

100 69 31 81

203 119

84 48 35 95 58 37 71

242 201 41 56

129 108

21 140

85 55 22

153 73 80

727 336

76 154 161 190

46 144

6.66.74.9 9.7

11.16.7 6.8 4.8 9.7

10.911.410.0 12.117.0

9.2 9.6

14.6 14.120.5

8.3 18.1 13.116.9

9.9 18.4 12.1 10.411.2

9.4 9.8 7.59.33.9

10.9 12.114.5

6.4 16.921.212.9 14.6 11.111.710.6

4.86.84.66.52.7 9.5

11.69.0


61


Place 2006 2007 2008 2008

Occurrence Residence Occurrence Residence Occurrence Residence Death Rate** Scotts Bluff







York Balance of Co.

481 81

348 52

159 88 71 70 21

5 32 60

2 74 46

123 107

16 64 60

4 43

2 111

88 23

432 109 207 116 173

75 98 75 39

8 49 63

5 82 56

161 107

54 71 53 18 62

3 128

92 36

474 84

331 59

146 89 57 78 20

0 30 72

2 51 58

150 133

17 51 48

3 45

1 130 105

25

412 109 187 116 168

78 90 87 51

5 47 83

4 73 61

162 106

56 57 38 19 68

7 154 110

44

512 110 345

57 141

82 59 60 18 10 38 66

4 66 55

143 119

24 65 62

3 45

2 131 104

27

457 125 184 148 161

78 83 72 41 15 52 82

4 74 60

161 93 68 67 46 21 70 12

142 98 44

12.516.312.410.5

9.611.4

8.4 13.5 13.7 11.7

8.2 16.1

6.9 10.4 14.3

8.111.9

5.7 7.28.75.3

20.0 14.9 10.012.5

7.0


** The number of resident deaths per 1,000 population


62

TABLE 36: Deaths by Sex, Race and Hispanic Origin, By Place of Residence, 2008

Place Total

Deaths Sex Race Hispanic

Origin**Male Female White Black Amer Indian Asian Other STATE





Burt Butler



Cedar Chase Cherry



Clay Colfax








15,451

314 259

55 66

3 10

452

130 107

23 22 34

369 247 122 102

78 44 34

202 92

110 107

5957 41 16

104 73 31 92914348

103 36 67

163 82 81

145 97 48 7339 34

227 5959 68 41

7,439

164 130

34 33

7 4

22 64 50 14 10 16

155 104

51 50 30 15 15 97 48 49 47 34 35 23 12 60 38 22 45 50 23 27 48 11 37 81 34 47 62 38 24 39 21 18

101 24 21 28 28

8,012

150 129

21 33

33

30 66 57

9 12 18

214 143

71 52 48 29 19

105 4461 60 25 22 18

4 44 35

9 47 41 20 21 55 25 30 82 48 34 8359 24 34 18 16

126 35 38 40 13

14,748

314 259

55 66

3 10

4 51

128 105

23 22 33

364 243 121 101

784434

201

110 107

58 56 40 16

102 72 30 92 88 40 48

1033667

162 81 81

135 89 46 69 36 33

221 57 58 65 41

511

1 1

2 2

1

1

86

1 1

11

1 1

6 5 1 431

38

1

1 1 1

1

1

1

68

4 3 1

1

1

2 11

2 2

1 1

2 1 1

4 2 1 1

256

22

11

1596

1

1

1

2

2 1 44

11

541

12219


63

TABLE 36: Deaths by Sex, Race and Hispanic Origin, By Place of Residence, 2008 (Cont)

Place Total


Origin**Male Female White Black Amer Indian Asian Other Deuel Dixon Dodge *Fremont Balance of Co.

Douglas Elkhorn









Johnson Kearney



Keya Paha Kimball


Knox

2775

411 290 121

3,702 21

3,499 34

148 3788 45 21 71

295190 105

23 24 29

232

514 428

86 98 76 22 4611 45

133 57 76 13 81

119 84 35 58 45 28 17

107 72 35

7 54 45

9 116

16 37

193 139

54 1,761

7 1,661

20 73 18 35 14 11 31

137 84 53 14

8 14

117

257 222

35 40 27 13 27

8 23 72 25 47

5 44 59 39 20 29 19 10

9 55 34 21

4 25 18

7 54

11 38

218 151

67 1,941

14 1,838

14 75 19 53 31 10 40

158 106

52 9

16 15

115

257 206

51 58 49

9 19

322 61 32 29

8 37 60 45 15 29 26 18

8 52 38 14

3 29 27

2 62

27 74

406 285 121

3,221 21

3,020 33

147 37 88 44 21 70

292 188 104

23 24 29

2 32

500 417

83 97 75 22 45 11 44

1335776 13 80

1198435 58 45 28 17

107 72 35

7 5445

9 105

441

440

1

1 1

1 1

1

1 1 1

14

14

1 1

1

11

13

13

4 4

13

12 1

1

1 2 1 1

12 9 3 11

1

1 1 44

75

74

1 1

11

2219

3

1

1

1 11

33

1


64


Place Total


Origin**Male Female White Black Amer Indian Asian Other Lancaster *Lincoln Balance of Co.






Nuckolls Otoe





Polk Red Willow



Rock Saline




1,830 1,696

134 345 268

77 53 5

372 261 111

93 48 45 48 52

100 69 31 81

203 119

84 48 35 95 58 37 71

242 201

41 56

129 108

21 140

85 55 22

153 7380

727 336

76 154 161 190

46144

886 810

76 151 113

38 3

2 177 122

55 48 21 27 17 27 39 24 15 41

111 61 50 26 14 44 26 18 37

117 92 25 21 65 54 11 66 32 34

876 3541

380 185

42 70 83 89 21 68

944 886

58 194 155

39 233

195 139

56 45 27 18 31 25 61 45 16 40 92 58 34 22 21 51 32 19 34

125 109

16 35 64 54 10 74 53 21 14773839

347 151

34 84 78

101 25 76

1,784 1,652

132 338 261

77 5 3 5

366

110 92 47 45 48 52

1006931 81

202 118

84 45 35 95 58 37 71

239 198

41 56

128 107

21 138

83 55 22

151 71 80

693 310

73 151 159 190

46 144

30 29

1 3 3

2

11

24 17

3 3 1

5 5

3 3

1

22

8 8

1 1

1 1

10 9

1

3 2 1 1 1

3

1

1 1

3

3 3

1 1

1918

1 1311

2

8

5

3

11

11

44

11

321

11911

11


65


Place Total


Origin**Male Female White Black Amer Indian Asian Other Scotts Bluff







York Balance of Co.

457 125 184 148 161

78 83 72 41 15 52 82

4 74 60

161 93 68 67 46 21 70 12

142 98 44

227 49 89 89 73 32 41 36 16

7 28 38

1 42 35 69 37 32 33 22 11 37

9 61 43 18

230 76 95 59 88 46 42 36 25

8 24 44

3 32 25 92 56 36 34 24 10 33

3 81 55 26

454 125 181 148 160

7882 71 41 15 52 82

4 45 60

158 90 68 674621 70 12

142 9844

33

3

3

1

29

1

1

324

208

1

1


** Persons of Hispanic Origin may be any race


66

TABLE 37: Deaths by Principal and Other Causes, 2004-2008

Cause 2004 2005 2006 2007 2008

Alzheimer's Disease (G30) 459 473 499 512 610 Anemias (D50-D64) 27 37 30 42 29 Aortic Aneurysm (I71) 87 81 83 101 79 Appendicitis (K35-K38) 2 3 6 4 0 Asthma (J45-J46) 31 42 24 27 29 Atherosclerosis (I70) 103 106 74 64 74 Birth Defects (Q00-Q99) 64 57 66 64 66 Cancer (C00-C97) 3,269 3,353 3,426 3,477 3,377 Cerebrovascular Diseases (I60-I69) 977 986 921 920 825 Cholelithiasis and other Disorders of the Gallbladder 23 20 22 26 27

(K80-K82) Chronic Liver Disease and Cirrhosis (K70, K73-K74) 116 133 123 116 134 Chronic Lung Disease (J44, J47) 703 813 784 810 916 Diabetes Mellitus (E10-E14) 395 449 437 472 470 Emphysema (J43) 77 83 65 77 82 Essential Hypertension and Hypertensive Renal 175 199 165 186 179

Disease (I10, I12) Heart Disease (all forms) (I00-I09, I11, I13, I20-I51) 3,736 3,633 3,444 3,517 3,492 Hernia (K40-K46) 18 11 12 11 17 Human Immunodeficiency Virus (HIV Disease) (B20-B24) 11 26 24 26 18 Influenza (J10-J11) 5 29 14 2 36 Nephritis and Nephrosis (N00-N07, N17-N19, N25-N27) 282 245 244 269 270 Nutritional Deficiencies (E40-E64) 19 19 14 20 16 Parkinson's Disease (G20-G21) 136 160 157 163 167 Peptic Ulcer (K25-K28) 31 23 28 24 28 Pneumonia (J12-J18) 342 341 331 329 331 Pneumonitis due to Solids and Liquids (J69) 132 116 111 126 97 Pregnancy, Childbirth and the Puerperium (O00-O99) 1 3 3 5 3 Septicemia (A40-A41) 133 123 132 138 122 Viral Hepatitis (B15-B19) 13 21 19 22 37 West Nile Virus (A92.3) 1 6 1 2 1 Accidental Deaths (V01-X59, Y85-Y86) 741 706 685 674 714

Drowning and Submersion (W65-W74) 25 8 11 12 16 Falls (W00-W19) 172 150 170 161 207 Firearms (W32-W34) 6 2 3 4 2 Motor Vehicle 282 288 270 284 241 Poisonings (X40-X49) 45 53 67 68 98

Smoke, Fire and Flames (X00-X09) 15 26 23 16 18 Assault (Homicide) (X85-Y09, Y87.1) 39 44 55 71 78 Intentional Self Harm (Suicide) (X60-X84, Y87.0) 166 182 201 181 191 All Other Causes 2,333 2,427 2,694 2,778 2,936

Total Deaths 14,647 14,950 14,894 15,256 15,451


67

TABLE 38: Deaths by Principal and Other Causes, Crude Rates per 100,000 Population, 2004-2008

Cause 2004 2005 2006 2007 2008

Alzheimer's Disease (G30) 26.3 26.9 28.2 28.9 34.2 Anemias (D50-D64) 1.5 2.1 1.7 2.4 1.6 Aortic Aneurysm (I71) 5.0 4.6 4.7 5.7 4.4 Appendicitis (K35-K38) 0.1 0.2 0.3 0.2 -Asthma (J45-J46) 1.8 2.4 1.4 1.5 1.6 Atherosclerosis (I70) 5.9 6.0 4.2 3.6 4.1 Birth Defects (Q00-Q99) 3.7 3.2 3.7 3.6 3.7 Cancer (C00-C97) 187.1 190.6 193.7 195.9 189.4 Cerebrovascular Diseases (I60-I69) 55.9 56.1 52.1 51.8 46.3 Cholelithiasis and other Disorders of the Gallbladder 1.3 1.1 1.2 1.5 1.5

(K80-K82) Chronic Liver Disease and Cirrhosis (K70, K73-K74) 6.6 7.6 7.0 6.5 7.5 Chronic Lung Disease (J44, J47) 40.2 46.2 44.3 45.6 51.4 Diabetes Mellitus (E10-E14) 22.6 25.5 24.7 26.6 26.4 Emphysema (J43) 4.4 4.7 3.7 4.3 4.6 Essential Hypertension and Hypertensive Renal 10.0 11.3 9.3 10.5 10.0

Disease (I10, I12) Heart Disease (all forms) (I00-I09, I11, I13, I20-I51) 213.8 206.6 194.8 198.2 195.8 Hernia (K40-K46) 1.0 0.6 0.7 0.6 1.0 Human Immunodeficiency Virus (HIV Disease) (B20-B24) 0.6 1.5 1.4 1.5 1.0 Influenza (J10-J11) 0.3 1.6 0.8 0.1 2.0 Nephritis and Nephrosis (N00-N07, N17-N19, N25-N27) 16.1 13.9 13.8 15.2 15.1 Nutritional Deficiencies (E40-E64) 1.1 1.1 0.8 1.1 0.9 Parkinson's Disease (G20-G21) 7.8 9.1 8.9 9.2 9.4 Peptic Ulcer (K25-K28) 1.8 1.3 1.6 1.4 1.6 Pneumonia (J12-J18) 19.6 19.4 18.7 18.5 18.6 Pneumonitis due to Solids and Liquids (J69) 7.6 6.6 6.3 7.1 5.4 Pregnancy, Childbirth and the Puerperium (O00-O99) 0.1 0.2 0.2 0.3 0.2 Septicemia (A40-A41) 7.6 7.0 7.5 7.8 6.8 Viral Hepatitis (B15-B19) 0.7 1.2 1.1 1.2 2.1 West Nile Virus (A92.3) 0.1 0.3 0.1 0.1 0.1 Accidental Deaths (V01-X59, Y85-Y86) 42.4 40.1 38.7 38.0 40.0

Drowning and Submersion (W65-W74) 1.4 0.5 0.6 0.7 0.9 Falls (W00-W19) 9.8 8.5 9.6 9.1 11.6 Firearms (W32-W34) 0.3 0.1 0.2 0.2 0.1 Motor Vehicle 16.1 16.4 15.3 16.0 13.5 Poisonings (X40-X49) 2.6 3.0 3.8 3.8 5.5

Smoke, Fire and Flames (X00-X09) 0.9 1.5 1.3 0.9 1.0 Assault (Homicide) (X85-Y09, Y87.1) 2.2 2.5 3.1 4.0 4.4 Intentional Self Harm (Suicide) (X60-X84, Y87.0) 9.5 10.3 11.4 10.2 10.7 All Other Causes 133.5 138.0 152.3 156.5 164.6

Total Deaths 838.3 850.0 842.3 859.7 866.4

Cause codes listed are from the Tenth Revision of the International Classification of Diseases (ICD-10).


68

TABLE 39: Deaths by Principal and Other Causes, Age-Adjusted Rates per 100,000 Population, 2004-2008

Cause 2004 2005 2006 2007 2008

Alzheimer's Disease (G30) 20.2 20.7 21.9 22.5 26.1 Anemias (D50-D64) 1.3 1.6 1.3 1.9 1.3 Aortic Aneurysm (I71) 4.2 4.0 4.1 5.0 3.9 Appendicitis (K35-K38) 0.1 0.2 0.3 0.2 -Asthma (J45-J46) 1.5 1.9 1.2 1.3 1.4 Atherosclerosis (I70) 4.5 4.8 3.2 2.8 3.3 Birth Defects (Q00-Q99) 3.3 3.0 3.4 3.3 3.4 Cancer (C00-C97) 165.6 169.0 172.1 174.6 170.1 Cerebrovascular Diseases (I60-I69) 45.2 45.8 42.7 42.5 38.5 Cholelithiasis and other Disorders of the Gallbladder 1.2 0.9 1.1 1.2 1.2

(K80-K82) Chronic Liver Disease and Cirrhosis (K70, K73-K74) 6.2 7.2 6.5 6.2 7.1 Chronic Lung Disease (J44, J47) 34.6 40.3 38.6 39.8 45.0 Diabetes Mellitus (E10-E14) 19.3 22.4 21.5 23.0 23.1 Emphysema (J43) 3.8 4.2 3.3 3.9 4.0 Essential Hypertension and Hypertensive Renal 7.9 8.9 7.3 8.3 8.1

Disease (I10, I12) Heart Disease (all forms) (I00-I09, I11, I13, I20-I51) 174.2 168.6 160.8 162.7 160.9 Hernia (K40-K46) 0.8 0.5 0.5 0.5 0.8 Human Immunodeficiency Virus (HIV Disease) (B20-B24) 0.7 1.7 1.4 1.6 1.0 Influenza (J10-J11) 0.2 1.2 0.6 0.1 1.5 Nephritis and Nephrosis (N00-N07, N17-N19, N25-N27) 13.7 11.6 11.6 12.4 12.5 Nutritional Deficiencies (E40-E64) 0.9 0.8 0.6 0.9 0.7 Parkinson's Disease (G20-G21) 6.4 7.6 7.2 7.7 7.9 Peptic Ulcer (K25-K28) 1.5 1.0 1.3 1.1 1.4 Pneumonia (J12-J18) 15.9 15.2 14.8 14.8 15.0 Pneumonitis due to Solids and Liquids (J69) 6.1 5.3 5.0 5.6 4.5 Pregnancy, Childbirth and the Puerperium (O00-O99) 0.1 0.2 0.2 0.3 0.2 Septicemia (A40-A41) 6.6 6.1 6.4 6.7 6.1 Viral Hepatitis (B15-B19) 0.7 1.1 1.0 1.1 1.9 West Nile Virus (A92.3) - 0.3 0.1 0.1 0.1 Accidental Deaths (V01-X59, Y85-Y86) 38.2 36.6 35.6 35.6 36.9

Drowning and Submersion (W65-W74) 1.4 0.4 0.6 0.7 0.9 Falls (W00-W19) 8.0 7.0 7.8 7.5 9.6 Firearms (W32-W34) 0.3 0.1 0.2 0.2 0.1 Motor Vehicle 15.5 15.9 14.7 15.7 13.1 Poisonings (X40-X49) 2.7 3.1 4.0 4.0 5.7

Smoke, Fire and Flames (X00-X09) 0.9 1.4 1.3 0.9 0.9 Assault (Homicide) (X85-Y09, Y87.1) 2.2 2.6 3.1 4.2 4.4 Intentional Self Harm (Suicide) (X60-X84, Y87.0) 9.5 10.6 11.1 10.2 10.7 All Other Causes 111.4 115.9 127.9 131.4 138.2

Total Deaths 708.0 721.5 717.6 733.5 741.1

Cause codes listed are from the Tenth Revision of the International Classification of Diseases (ICD-10).


69

TABLE 40: Cancer Deaths by Selected Sites and Sex, 2004-2008

Site 2004 2005 2006 2007 2008

M F M F M F M F M F

Oral Cavity & Pharynx Esophagus Stomach Colon & Rectum Liver and Intrahepatic Bile Duct Pancreas Lung & Bronchus Melanoma of the Skin Breast Uterine Cervix Uterine Corpus & Unspecified Ovary Prostate Kidney and Renal Pelvis Urinary Bladder Brain & Other CNS Non-Hodgkin Lymphoma Leukemia Multiple Myeloma All Other Sites All Sites

24 68 29

169 52 95

531 29

3 ---

183 53 53 50 62 76 36

178

6 12 18

188 23 78

347 23

248 23 59 80

-48 19 46 67 59 32

201

25 67 31

184 42 89

516 38

7 ---

201 54 51 46 74 79 30

201

12 13 20

180 22 83

388 20

258 15 48 94

-34 24 44 76 55 26

206

23 66 26

202 51

123 538

35 1 ---

183 55 57 48 71 87 28

245

19 20 23

179 32 98

365 23

213 16 56 92

-31 29 32 73 56 35

195

20 65 30

172 51 98

545 26

2 ---

197 42 53 58 80 73 37

251

16 13 22

197 23

110 394

12 232

15 59 80

-35 30 46 74 60 43

216

2165 39

190 42 94

482 47

1 ---

191 39 59 49 74 91 48

200

17 20

176 22

112 404

30 230

20 51

-37 22 55 56 65 28

204 1,691 1,578 1,735 1,618 1,839 1,587 1,800 1,677 1,732 1,645

20

76

TABLE 41: Age-Adjusted Cancer Death Rates by Selected Sites and Sex, 2004-2008

Site 2004 2005 2006 2007 2008

M F M F M F M F M F

Oral Cavity & Pharynx Esophagus Stomach Colon & Rectum Liver and Intrahepatic Bile Duct Pancreas Lung & Bronchus Melanoma of the Skin Breast Uterine Cervix Uterine Corpus & Unspecified Ovary Prostate Kidney and Renal Pelvis Urinary Bladder Brain & Other CNS Non-Hodgkin Lymphoma Leukemia Multiple Myeloma All Other Sites All Sites

2.8 7.9 3.5

19.8 5.9

11.1 63.0

3.4 0.4

---

22.5 6.0 6.5 5.8 7.5 9.2 4.3

21.0

0.5 1.1 1.6

15.3 2.2 7.1

32.3 2.2

22.8 2.2 5.2 7.3

-4.1 1.6 4.3 5.8 5.0 2.7

18.0

2.8 7.7 3.6

21.8 4.8

10.3 61.0

4.4 0.8

---

25.0 6.2 6.2 5.3 8.9 9.4 3.6

23.4

1.2 1.2 1.8

14.7 1.9 7.2

35.9 1.9

23.2 1.6 4.4 8.5

-2.8 1.9 4.3 6.5 4.8 2.2

17.3

2.5 7.6 3.1

23.8 6.1

14.3 63.7

4.1 0.1

---

22.7 6.5 6.9 5.4 8.4

10.4 3.4

28.8

1.7 1.7 2.0

14.6 2.9 8.5

33.5 2.3

19.2 1.6 4.9 8.4

-2.8 2.3 3.0 5.8 4.7 3.1

16.4

2.4 7.4 3.5

20.2 5.9

11.5 64.2

3.0 0.2

---

24.3 5.0 6.5 6.8 9.6 8.7 4.3

29.5

1.3 1.2 1.9

15.8 2.0 9.9

35.7 1.2

21.4 1.5 5.3 7.1

-3.2 2.5 4.4 6.2 5.2 3.9

18.4

2.3 7.3 4.6

22.3 4.8

10.9 56.9

5.3 0.1

---

23.5 4.5 7.3 5.7 8.8

10.7 5.8

23.5

1.9 1.5 1.6

14.8 2.0 9.5

36.5 2.8

20.7 2.0 4.5 7.1

-3.2 1.7 5.4 4.6 5.5 2.2

18.0 200.6 141.3 205.2 143.4 217.8 139.3 213.0 148.0 204.4 145.5

Rate per 100,000 estimated population.

Graph 10: Average Age at Time of Death, 1925-2008

Ag

e a

t D

ea

th

0

10

20

30

40

50

60

70

80

1925

1928

1931

1934

1937

1940

1943

1946

1949

1952

1955

1958

1961

1964

1967

1970

1973

1976

1979

1982

1985

1988

1991

1994

1997

2000

2003

2006

70


Graph 11: Average Age at Time of Death by Sex, 1960-2008 A

ge

at

De

ath

40

30

20

10

0

50

60

70

80

90

Female Male

1960

1962

1964

1966

1968

1970

1972

1974

1976

1978

1980

1982

1984

1986

1988

1990

1992

1994

1996

1998

2000

2002

2004

2006

2008


71


72

TABLE 42: Deaths by Age Group and Sex, 2008

Age f % of % of Group Total Male Female Total* Males* Females*

Total 15,451 7,439 8,012 100.0 100.0 100.0

< 1 year 146 90 56 0.9 1.2 0.7 1-4 years 38 23 15 0.2 0.3 0.2 5-9 years 12 9 3 0.1 0.1 0.0 10-14 years 21 12 9 0.1 0.2 0.1 15-19 years 76 54 22 0.5 0.7 0.3 20-24 years 103 78 25 0.7 1.0 0.3 25-29 years 98 67 31 0.6 0.9 0.4 30-34 years 97 72 25 0.6 1.0 0.3 35-39 years 136 85 51 0.9 1.1 0.6 40-44 years 233 136 97 1.5 1.8 1.2 45-49 years 373 230 143 2.4 3.1 1.8 50-54 years 524 334 190 3.4 4.5 2.4 55-59 years 673 428 245 4.4 5.8 3.1 60-64 years 837 505 332 5.4 6.8 4.1 65-69 years 947 538 409 6.1 7.2 5.1 70-74 years 1,295 689 606 8.4 9.3 7.6 75-79 years 1,807 984 823 11.7 13.2 10.3 80-84 years 2,390 1,217 1,173 15.5 16.4 14.6 85-89 years 2,609 1,058 1,551 16.9 14.2 19.4 90-94 years 1,970 608 1,362 12.7 8.2 17.0 95-99 years 846 180 666 5.5 2.4 8.3 100-104 years 200 38 162 1.3 0.5 2.0 105+ years 20 4 16 0.1 0.1 0.2

Average Age 75.4 71.3 79.1

% o

* Percents may not sum to total due to rounding.


73

TABLE 43: Deaths by Age Group and Average Age by County of Residence, 2008

Average Age

Age Group < 45

Years 45-64 Years

65-74 Years

75-84 Years

85+ Years

TOTAL


75.4

75.9 76.6 77.0 81.2 79.3 79.6 79.7 81.1 79.7 76.1 80.7 81.6 70.8 80.5 77.2 76.0 75.1 78.0 72.9 79.5 79.7 74.2 74.8 74.2 75.3 79.9 77.6 72.2 78.5 81.6 83.2 66.4 82.5 77.9 71.0 77.8 77.3 76.0 82.3 76.5 76.6 75.7 73.3 76.1 78.0 88.9 79.3 83.8 78.3 73.8

960

17 2 0 0 0 3 3 1 0

27 1 0

19 3 4 2 3 3 7 4 5 7 5

17 1 1

20 318

1 0 1 4 1

17 0 2 1 0 0

27 5 4 1 4 6 0 1 3 5 4

2,407

52 11

1 0 0 4

17 3 5

39 10 10 44 12 10

8 24

9 16 12 17 23 13 34

4 9

55 715

5 12

1 5 2

31 8 1 4 0 2

68 13

6 2 5

17 0 7 8 5 7

2,242

39 5 1 2 1 4

15 2 6

68 18

8 35

8 5

10 11 19 14 13 21 24 15 32

6 13 56

567 5

11 4 5

10 38

5 5 4 1 6

72 12

4 2 6 9 0

18 6 4 6

4,197

95 23

0 4 3

14 37

6 9

85 30 21 42 30 13 11 33 33 25 22 40 47 14 68

6 21

107 999

9 23 17

2 24 87

7 4

11 1

12 164

30 13

3 12 42

4 25 26 17 10

5,645

111 25

1 4 0

27 58 10 14

150 43 39 62 54 27 26 33 28 29 52 80 44 26 76 10 31

173 1,103

17 42 22

5 34

122 3

12 9 0

12 183

38 19

3 18 59

9 30 76 27 18


74

TABLE 43: Deaths by Age Group and Average Age by County of Residence, 2008 (Cont)

Average Age

Age Group < 45

Years 45-64 Years

65-74 Years

75-84 Years

85+ Years

Keith Keya Paha Kimball Knox Lancaster Lincoln Logan Loup McPherson Madison Merrick Morrill Nance Nemaha Nuckolls Otoe Pawnee Perkins Phelps Pierce Platte Polk Red Willow Richardson Rock Saline Sarpy Saunders Scotts Bluff Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Wayne Webster Wheeler York

69.7 80.1 71.0 75.9 75.1 74.3 66.8 87.7 85.4 77.3 74.7 76.5 74.5 78.9 79.3 77.5 75.4 82.5 74.5 76.9 76.1 83.1 79.9 76.3 86.0 80.4 70.0 76.1 76.6 77.9 79.5 77.8 71.5 76.2 80.4 60.5 69.0 79.7 77.2 78.3 78.9 75.7 80.3

12 0 6 7

113 24

0 0 0

15 7 2 3 6 2 9 2 2 6 2

19 1 5 6 0 5

75 12 20

5 2 1 0 2 2 1

11 2 3 2 4 0 4

16 1 9

18 319

53 3 0 0

53 13

7 8

13 13 22

9 1

17 12 27

3 10 27

0 9

149 26 67 23

9 3 5 9 8 1

11 6

26 9 9 2

15

20 2

11 10

229 62

0 0 0

54 15

6 11 14

9 34

9 4

12 11 30

5 15 20

3 25

142 33 67 19 10 14 1 5

11 1

15 8

26 7 6 1

14

31 1

13 31

479 88

1 1 2

98 21 18 12 17 20 62 10 10 23 17 69 16 37 30

5 46

175 48

130 55 19

8 8

16 22

1 17 19 51 22 16

8 43

28 3

15 50

690 118

1 2 3

152 37 15 18 50 37 76 18 18 37 29 97 31 62 57 14 68

186 71

173 59 32 15 1

20 39

0 20 25 55 27 35

1 66


75

Graph 12: Ten Leading Causes of Death, 2008

Heart Disease

Cancer

Chronic Lung Disease

Cerebrovascular

Accidents

Alzheimer's Disease

Diabetes Mellitus

Pneumonia

Nephritis & Nephrosis

Suicide 191

270

331

470

610

714

825

916

3,377

3,492

0 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000

Number of Deaths

Graph 13: Leading Causes of Death by Sex, 2008

Cancer

Heart Disease


Accidents

Cerebrovascular

Diabetes

Alzheimer's Disease

Suicide

Pneumonia

Nephritis/Nephrosis

Heart Disease

Cancer

Cerebrovascular

Alzheimer's Disease


Accidents

Diabetes

Pneumonia

Nephritis/Nephrosis

Musculoskeletal

1,732

1,716

481

431

340

Males216

166

163

155

119

1,776

1,645

485

444

435

283 Females

254

176

151

126

0 500 1,000 1,500 2,000

*Essential Hypertension and Hypertensive Renal Disease Number of Deaths


76


77

Graph 14: Leading Causes of Death by Selected Age Groups and Sex, 2008

7

7

18

7

10

11

46

Cancer

Suicide

Accidents

Cancer

Homicide

Suicide

Accidents

Males, 1-19

Females, 1-19

0 20 40 60 80

Number of Deaths

100


78


9

11

25

48

49

33

46

59

70

114

Suicide

Homicide

Heart Disease

Accidents

Cancer

Homicide

Cancer

Heart Disease

Suicide

Accidents

Males, 20-44

Females, 20-44

0 20 40 60 80 100

Number of Deaths

120


79


Cancer

Heart

Accidents

Suicide

Cirrhosis

Diabetes

Stroke


Cancer

Heart

Accidents


Stroke

Diabetes

Cirrhosis 16

18

20

20

39

79

232

27

30

34

41

53

87

202

274

Males, 45-59

Females, 45-59

0 50 100 150 200 250 300

Number of Deaths


80


Cancer

Heart


Stroke

Diabetes

Accidents

Nephritis/Nephrosis

Cirrhosis

Suicide

Cancer

Heart


Diabetes

Stroke

Accidents

Nephritis/Nephrosis

Septicemia

Cirrhosis 17

17

18

30

64

65

133

189

497

22

25

25

56

67

73

107

351

616

Females, 60-74

Males, 60-74

0 100 200 300 400 500 600 700

Number of Deaths


81


Heart Disease

Cancer


Stroke

Alzheimer's Disease

Accidents

Pneumonia

Diabetes

Parkinson's Disease

Nephritis/Nephrosis

Heart Disease

Cancer

Alzheimer's Disease

Stroke


Diabetes

Pneumonia

Accidents

Nephritis/Nephrosis 126

143

152

167

280

395

428

860

1,483

84

86

106

111

124

155

229

346

789

1,100

Males, 75+

Females, 75+

0 200 400 600 800 1,000 1,200 1,400 1,600

Number of Deaths


82


83

TABLE 44: Heart Disease Deaths by County of Residence, 2008 and 2004-2008

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*

STATE


3,492

101 14

0 2 2

10 30

6 8

87 30 29 38 32 12 13 23 24 22 28 46 40 18 49 10 24 63

741 11 21 11

6 19 61

7 9 5 0

11 101

28 8 0

14 30

2 26 40 15

4

195.8

303.9 209.6

-272.1 467.3 183.6 271.7 287.1 254.0 191.8 427.2 348.3 148.4 380.6 330.7 231.8 230.8 382.8 220.2 300.9 424.3 198.3 206.3 198.7 531.9 381.4 175.6 147.6 549.5 349.9 354.5 232.2 409.0 264.8 396.6 526.3 259.6

-480.3 179.1 301.1 240.8

-493.7 293.2 271.7 394.4 540.2 333.4

61.7

160.9

221.0 97.7

-151.0 245.0

96.5 198.7 113.7 109.0 167.1 212.7 241.6 144.8 165.3 177.3 140.3 160.1 208.2 158.8 132.3 196.2 235.1 168.8 165.1 240.5 182.1

95.9 157.5 225.6 161.3 110.1 167.2 161.4 152.6 229.9 197.1 123.6

-213.0 151.4 225.2 104.9

-216.7 130.8

92.7 239.2 197.7 185.6

38.3

17,822

467 112

4 6

10 77

123 58 49

435 125 158 237 170

53 51

109 108 143 191 202 208

99 250

36 95

398 3,914

38 121

77 34 99

311 43 52 21

1 53

526 133

62 10 63

173 13

103 183

59 53

201.8

285.8 324.8 216.7 160.1 421.9 272.6 219.9 531.0 297.5 196.6 343.7 368.9 184.4 387.4 279.5 173.3 219.3 330.5 280.4 399.5 361.6 203.9 228.2 202.3 369.1 306.7 220.9 159.1 362.7 388.3 467.9 249.2 403.6 267.3 440.5 585.8 211.5

31.1 437.3 189.5 282.1 359.1 193.9 431.6 327.7 349.4 308.7 471.5 257.5 158.5

165.4

203.0 167.6 221.2

90.2 242.4 140.5 157.6 237.0 135.3 173.4 188.0 265.6 185.5 193.3 133.5 110.8 156.7 201.0 210.0 199.0 189.1 240.4 173.5 173.3 164.8 153.3 130.2 166.9 175.0 199.7 227.9 148.6 180.4 151.3 208.7 236.6

96.5 25.6

213.7 155.2 212.6 176.1 117.7 230.9 159.9 144.7 187.0 207.9 103.3 102.0


84

TABLE 44: Heart Disease Deaths by County of Residence, 2008 and 2004-2008 (Cont)

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*


30 2

14 23

333 92

3 2 3

102 34

6 15 24 27 41

8 6

18 22 47 21 23 40 11 41

159 41

113 50 23 10

0 16 24

3 18 19 28 15 19

3 32

383.6 239.2 396.2 270.7 119.5 258.6 408.2 323.1 583.7 299.8 441.6 120.3 422.5 338.7 604.4 263.7 307.5 208.0 197.2 304.2 146.5 410.0 214.9 482.3 729.4 297.7 105.7 204.7 309.1 298.4 431.0 334.0

-253.6 470.2 514.6 253.4 454.3 141.3 161.7 541.6 371.7 225.4

247.1 119.6 210.0 120.9 129.0 189.5 270.4 238.6 354.0 210.9 272.8

76.7 249.3 151.7 284.0 150.4 146.2

76.7 102.7 198.3 103.4 148.6 113.2 236.3 303.7 197.1 167.2 151.9 204.0 218.7 188.4 128.5

-207.6 154.5 470.4 257.8 213.9 124.7 124.3 196.7 253.8 128.2

128 13 61

231 1,676

442 10

8 8

495 112

57 52 87

123 185

56 54

130 148 226 128 140 154

41 184 732 182 535 241 104

57 8

77 106

9 82 69

162 87 96 16

194

313.5 294.3 331.3 526.4 124.3 248.9 271.8 241.8 314.5 283.4 283.5 222.4 285.0 245.7 529.7 237.4 405.4 361.4 277.6 396.0 142.7 482.9 256.8 358.8 531.6 261.9 102.3 179.6 292.6 288.5 373.5 370.7 115.2 238.2 399.7 292.5 227.3 317.4 163.3 188.3 520.2 393.1 270.6

203.8 151.7 188.3 235.5 131.2 187.3 170.9 210.6 189.6 203.8 173.2 144.2 169.4 135.1 246.1 136.6 170.0 163.9 153.9 259.5

98.4 209.8 151.5 174.2 243.4 174.3 157.2 139.6 194.2 208.5 182.7 170.5

97.7 193.3 151.6 208.3 236.2 149.8 137.5 144.9 207.5 339.1 155.6

* Per 100,000 estimated population. Population estimates are calculated by the U.S. Department of Commerce, Bureau of the Census.



85


86

TABLE 45: Cancer Deaths by County of Residence, 2008 and 2004-2008

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*

STATE


3,377

63 19

1 2 1

14 18

5 4

94 29 12 56 16

8 16 29 20 26 24 30 27 14 45

4 14 99

857 6

22 4 6

11 71

6 4 7 1 6

115 16 14

5 10 27

2 21 20

7 8

189.4

189.5 284.5 295.9 272.1 233.6 257.1 163.0 239.2 127.0 207.3 412.9 144.1 218.8 190.3 220.4 285.3 291.0 319.0 260.3 257.9 276.7 133.8 160.5 182.4 212.8 222.5 276.0 170.7 299.7 366.6 128.9 232.2 236.8 308.2 339.9 233.9 363.4 165.6 262.0 203.9 172.0 421.4 497.5 352.6 263.9 271.7 318.5 270.1 155.6 123.5

170.1

162.3 180.8 254.0 149.9 118.0 156.0 125.3 119.5

78.7 223.6 242.7 106.0 203.7 126.4 115.5 199.9 223.3 215.9 219.3 174.3 169.1 153.5 130.8 175.1 187.5 141.4 190.2 185.0 154.9 203.8

50.9 180.4 115.0 188.8 180.5

95.0 194.0

90.5 142.5 176.5 135.6 201.3 326.3 213.7 154.6

92.7 208.4 110.6

98.0 85.1

16,902

344 78

6 9 8

93 126

27 42

395 117

74 266

89 43 70

113 83

118 117 147 169 101 221

30 75

457 4,196

31 105

41 32 68

300 30 25 23

5 33

537 86 59 14 42

135 15 88

113 54 78

191.4

210.5 226.2 325.0 240.2 337.6 329.3 225.2 247.2 255.0 178.5 321.7 172.8 206.9 202.8 226.7 237.9 227.4 254.0 231.3 244.7 263.2 165.6 232.8 178.8 307.6 242.2 253.6 170.5 295.9 337.0 249.2 234.5 277.2 257.8 307.3 281.7 231.6 155.4 272.3 193.5 182.4 341.8 271.5 287.7 255.7 403.1 263.7 291.2 235.6 233.3

170.3

172.4 142.7 419.0 141.0 207.7 212.1 185.1 130.2 139.2 180.7 195.2 129.6 201.8 135.7 126.6 165.5 171.5 176.9 211.4 158.3 166.4 196.0 190.7 169.9 196.4 143.8 177.5 181.4 155.8 198.2 143.4 162.6 152.8 170.2 176.6 135.3 145.2 152.5 146.6 167.4 146.1 176.0 186.8 183.7 153.0 190.2 179.1 150.2 127.3 175.1


87

TABLE 45: Cancer Deaths by County of Residence, 2008 and 2004-2008 (Cont)

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*


20 3

14 28

386 73

1 1 1

68 19

5 10 19 17 38 10

7 11 18 47 11 26 29

2 33

191 52 76 36 13

9 5

13 19

0 15 15 40 16

8 4

32

255.7 358.9 396.2 329.5 138.5 205.2 136.1 161.6 194.6 199.9 246.8 100.2 281.7 268.2 380.6 244.4 384.3 242.7 120.5 248.9 146.5 214.8 242.9 349.7 132.6 239.6 126.9 259.6 207.9 214.8 243.6 300.6 388.5 206.0 372.3

-211.2 358.7 201.9 172.5 228.1 495.7 225.4

158.6 191.1 257.4 184.4 153.6 164.9

81.5 160.2 160.2 169.8 179.7

65.6 177.2 187.7 199.1 171.3 215.3 143.1

81.7 191.7 114.3 115.0 151.3 205.1

67.5 190.6 175.7 219.6 149.3 175.1 138.4 166.7 299.4 171.1 174.4

-227.4 195.3 173.7 154.6 161.4 334.6 147.8

113 9

67 142

2,072 383

7 8 6

335 94 60 53 84 64

190 45 47

109 88

287 54

142 127

22 149 869 235 390 199

69 47 17 54 93

1 82 64

198 64 61

9 165

276.8 203.7 363.9 323.6 153.7 215.7 190.3 241.8 235.8 191.8 237.9 234.2 290.5 237.3 275.6 243.8 325.8 314.5 232.8 235.5 181.2 203.7 260.5 295.9 285.2 212.0 121.5 231.8 213.3 238.2 247.8 305.7 244.7 167.0 350.7

32.5 227.3 294.4 199.6 138.5 330.5 221.1 230.1

185.3 123.8 230.1 194.1 165.7 176.5 122.6 205.8 187.2 164.0 166.2 162.5 188.2 160.4 146.1 169.4 192.0 179.0 152.7 194.6 141.2 125.7 176.1 178.1 153.2 172.6 161.2 192.1 158.1 190.9 146.8 187.7 215.2 148.1 171.1

20.4 246.0 158.7 173.0 122.0 179.3 158.9 160.8




88


89

TABLE 46: Chronic Lung Disease Deaths by County of Residence, 2008 and 2004-2008

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*

STATE


916

14 3 1 2 0 2

12 0 3

17 7 3 5 6 6 5 6 6 8 4

13 11

2 12

1 8

24 242

3 3 4 0 3 7 1 1 0 0 2

40 2 3 1 1 4 1 5 5 0 5

51.4

42.1 44.9

295.9 272.1

-36.7

108.7 -

95.3 37.5 99.7 36.0 19.5 71.4

165.3 89.1 60.2 95.7 80.1 43.0

119.9 54.5 22.9 48.7 53.2

127.1 66.9 48.2

149.9 50.0

128.9 -

64.6 30.4 56.7 58.5

--

87.3 70.9 21.5 90.3 99.5 35.3 39.1

135.9 75.8 67.5

-77.2

45.0

29.2 20.3

242.4 149.9

-13.2 81.0

-55.2 38.5 53.0 24.0 17.3 41.9 99.2 55.4 45.0 67.9 71.9 31.7 61.0 72.8 19.7 42.9 27.2 63.2 40.5 53.4 74.0 27.3 67.9

-22.6 18.8 29.2 17.4

--

50.0 60.9 18.2 42.5 51.7 21.6 17.4 26.7 44.0 29.7

-58.5

4,026

55 17

3 2 1

13 37

2 15 76 25 19 54 20 17 18 35 19 24 23 52 43 25 55

6 16

101 1,044

12 17 15

8 24 56

8 11

5 2 6

168 13 10

1 13 35

2 16 26

8 15

45.6

33.7 49.3

162.5 53.4 42.2 46.0 66.1 18.3 91.1 34.3 68.7 44.4 42.0 45.6 89.6 61.2 70.4 58.1 47.1 48.1 93.1 42.1 57.6 44.5 61.5 51.7 56.1 42.4

114.5 54.6 91.2 58.6 97.9 48.1 82.0

123.9 50.4 62.2 49.5 60.5 27.6 57.9 19.4 89.1 66.3 53.7 47.9 67.0 34.9 44.9

39.6

23.9 26.6

168.0 30.0 25.4 26.8 51.6

7.8 49.9 34.8 37.9 31.7 42.5 25.8 54.0 41.2 50.2 38.9 40.7 32.4 50.2 54.2 45.0 39.1 28.6 25.2 36.6 46.5 60.8 29.4 48.2 38.1 49.3 31.3 36.5 51.5 22.1 36.2 25.6 51.8 23.4 31.1 10.3 49.3 34.6 22.3 31.3 33.5 17.6 30.7


90

TABLE 46: Chronic Lung Disease Deaths by County of Residence, 2008 and 2004-2008 (Cont)

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*

Keith 3 38.4 23.7 26 63.7 40.2 Keya Paha 0 - - 2 45.3 23.4 Kimball 6 169.8 91.5 17 92.3 52.3 Knox 10 117.7 61.6 24 54.7 29.0 Lancaster 118 42.3 49.3 476 35.3 39.1 Lincoln 22 61.8 52.0 94 52.9 41.9 Logan 0 - - 2 54.4 30.5 Loup 0 - - 1 30.2 23.9 McPherson 0 - - 1 39.3 33.9 Madison 16 47.0 34.9 83 47.5 37.1 Merrick 4 51.9 35.3 18 45.6 28.8 Morrill 1 20.0 13.9 10 39.0 27.0 Nance 1 28.2 19.4 19 104.1 65.5 Nemaha 4 56.5 34.1 24 67.8 40.0 Nuckolls 5 111.9 48.5 16 68.9 32.6 Otoe 11 70.7 46.5 45 57.7 35.1 Pawnee 2 76.9 49.7 11 79.6 39.9 Perkins 4 138.7 65.7 9 60.2 34.3 Phelps 5 54.8 34.5 33 70.5 44.9 Pierce 2 27.7 16.5 24 64.2 42.6 Platte 16 49.9 34.0 50 31.6 22.3 Polk 1 19.5 5.8 10 37.7 19.2 Red Willow 12 112.1 69.1 33 60.5 39.5 Richardson 8 96.5 53.5 47 109.5 57.4 Rock 1 66.3 35.9 4 51.9 26.2 Saline 7 50.8 38.7 35 49.8 34.8 Sarpy 52 34.6 58.8 192 26.8 41.3 Saunders 9 44.9 36.7 46 45.4 37.1 Scotts Bluff 37 101.2 68.7 145 79.3 54.4 Seward 5 29.8 24.3 29 34.7 28.1 Sheridan 0 - - 17 61.1 33.9 Sherman 4 133.6 78.1 17 110.6 57.5 Sioux 0 - - 4 57.6 48.2 Stanton 2 31.7 26.7 11 34.0 30.4 Thayer 2 39.2 17.5 14 52.8 20.1 Thomas 0 - - 2 65.0 36.7 Thurston 4 56.3 59.6 11 30.5 31.9 Valley 6 143.5 64.6 28 128.8 61.6 Washington 5 25.2 22.2 35 35.3 31.7 Wayne 7 75.5 59.0 16 34.6 26.5 Webster 4 114.0 47.3 21 113.8 48.4 Wheeler 0 - - 0 - -York 6 42.3 29.5 36 50.2 35.1




91


92

TABLE 47: Cerebrovascular Disease Deaths by County of Residence, 2008 and 2004-2008

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*

STATE


825

17 5 1 1 0 4 4 1 1

22 3 3 9

10 3 3 3 3 4 6

11 6 7

15 1 5

28 194

1 6 6 1 3

11 0 0 1 0 3

27 2 1 0 1 7 1 3 9

10 4

46.3

51.1 74.9

295.9 136.1

-73.4 36.2 47.8 31.8 48.5 42.7 36.0 35.2

118.9 82.7 53.5 30.1 47.8 40.0 64.5

101.5 29.7 80.2 60.8 53.2 79.5 78.1 38.6 50.0

100.0 193.4

38.7 64.6 47.8

--

51.9 -

131.0 47.9 21.5 30.1

-35.3 68.4

135.9 45.5

121.5 222.3

61.7

38.5

36.0 38.6

516.9 73.8

-26.4 25.7 14.6

9.2 42.1 17.2 25.4 36.1 49.9 42.0 30.2 22.1 25.1 37.0 28.4 46.2 32.2 57.0 52.0 27.2 43.7 48.1 42.0 15.5 36.4 86.7 25.2 22.6 25.1

--

41.4 -

57.1 40.4 16.7

9.4 -

10.6 38.4 26.7 27.1 47.3 52.3 41.0

4,629

93 38

1 3 0

36 43 21 12

102 43 27 62 59 23 23 24 21 20 37 59 55 33 62

5 25

148 979

12 45 17

5 27 79

6 7 8 1 9

161 21 17

0 10 45

4 18 46 43 23

52.4

56.9 110.2

54.2 80.1

-127.5

76.9 192.3

72.9 46.1

118.2 63.0 48.2

134.5 121.3

78.2 48.3 64.3 39.2 77.4

105.6 53.9 76.1 50.2 51.3 80.7 82.1 39.8

114.5 144.4 103.3

36.6 110.1

67.9 61.5 78.9 80.6 31.1 74.3 58.0 44.5 98.5

-68.5 85.2

107.5 53.9

118.5 187.6

68.8

42.9

40.7 54.9

103.4 45.2

-64.3 52.0 92.1 28.9 40.1 56.6 45.1 48.2 62.1 58.7 48.9 32.0 39.3 33.3 39.5 51.4 63.8 54.3 43.6 21.1 37.2 47.6 42.1 52.1 68.2 38.0 23.2 50.7 34.8 25.7 37.5 35.9 25.6 32.7 47.4 34.8 43.8

-38.1 46.4 29.2 30.5 53.2 60.5 46.4


93

TABLE 47: Cerebrovascular Disease Deaths by County of Residence, 2008 and 2004-2008 (Cont)

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*


5 1 1 2

95 16

0 0 0

18 2 4 1 6 5

22 1 2 6 6

14 4

11 6 0 9

24 9

26 12

3 2 1 0 5 0 5 2

12 3 5 1

11

63.9 119.6

28.3 23.5 34.1 45.0

---

52.9 26.0 80.2 28.2 84.7

111.9 141.5

38.4 69.3 65.7 83.0 43.7 78.1

102.8 72.3

-65.4 16.0 44.9 71.1 71.6 56.2 66.8 77.7

-98.0

-70.4 47.8 60.6 32.3

142.5 123.9

77.5

40.0 70.1 16.4 11.9 37.8 36.5

---

36.7 14.5 49.3 15.7 44.4 50.1 76.8 22.9 43.3 35.5 44.0 29.7 38.2 56.6 34.3

-43.9 28.2 36.9 45.6 55.6 22.9 37.2 66.9

-28.9

-71.6 30.1 55.8 18.5 50.6 84.6 42.9

19 5

12 30

520 95

1 0 0

129 33 11 20 24 18 68 10 17 30 29 82 17 48 46

2 50

173 48

123 59 25 16

1 8

27 1

24 13 55 16 18

3 45

46.5 113.2

65.2 68.4 38.6 53.5 27.2

--

73.9 83.5 42.9

109.6 67.8 77.5 87.2 72.4

113.8 64.1 77.6 51.8 64.1 88.1

107.2 25.9 71.2 24.2 47.4 67.3 70.6 89.8

104.1 14.4 24.7

101.8 32.5 66.5 59.8 55.4 34.6 97.5 73.7 62.8

31.3 83.4 35.7 32.4 41.5 40.0 12.4

--

50.0 50.8 27.9 67.9 35.4 37.4 46.7 31.2 53.8 34.4 49.8 36.0 25.9 51.8 57.2 14.3 46.9 39.9 37.6 44.6 51.7 46.7 53.7 13.4 25.0 35.4 16.3 65.4 23.3 49.7 24.9 39.6 68.6 35.5




94


95

TABLE 48: Accidental Deaths by County of Residence, 2008 and 2004-2008

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*

STATE


714

12 4 0 0 0 4 5 3 1

18 1 4

15 3 3 1 7 4 8 4 8 6 5 8 2 5

17 143

1 4 2 4 2

17 0 2 2 0 1

15 4 5 1 3

10 0 5 5 2 6

40.0

36.1 59.9

---

73.4 45.3

143.5 31.8 39.7 14.2 48.0 58.6 35.7 82.7 17.8 70.2 63.8 80.1 43.0 73.8 29.7 57.3 32.4

106.4 79.5 47.4 28.5 50.0 66.7 64.5

154.8 43.1 73.8

-117.0 103.8

-43.7 26.6 43.0

150.5 99.5

105.8 97.7

-75.8 67.5 44.5 92.6

36.9

30.7 42.6

---

82.0 35.8

138.9 17.1 35.7 11.6 33.6 59.4 38.6 73.5 11.3 62.3 65.9 80.6 39.7 43.4 31.9 58.0 33.1 73.1 46.4 38.0 29.4 15.5 39.4 63.6 99.1 16.6 67.6

-49.8 72.4

-27.7 23.7 37.2

117.0 57.5 69.7 79.0

-47.4 52.1 49.3 88.6

3,520

59 17

2 1 1

15 26 12

4 96 25 23 49 20 15 23 33 21 29 30 34 35 22 64

5 23 76

710 8

18 13

8 19 70

5 5 6 0 8

102 26

9 5

10 46

1 24 22 16 24

39.9

36.1 49.3

108.3 26.7 42.2 53.1 46.5

109.9 24.3 43.4 68.7 53.7 38.1 45.6 79.1 78.2 66.4 64.3 56.9 62.8 60.9 34.3 50.7 51.8 51.3 74.3 42.2 28.9 76.4 57.8 79.0 58.6 77.5 60.2 51.2 56.3 60.4

-66.0 36.7 55.2 52.1 97.0 68.5 87.1 26.9 71.9 56.7 69.8 71.8

36.6

31.2 36.6

125.8 14.8 25.4 55.4 41.4 93.4 24.7 42.3 58.2 48.1 38.5 40.0 56.2 67.2 64.3 58.8 58.2 55.9 50.9 37.6 48.8 50.8 45.0 58.2 35.5 29.4 33.6 48.5 76.0 42.6 82.1 48.8 40.5 34.8 45.6

-63.6 34.7 51.0 44.9

107.4 49.5 64.2 44.5 58.4 42.5 68.0 58.0


96

TABLE 48: Accidental Deaths by County of Residence, 2008 and 2004-2008 (Cont)

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*


11 0 4

10 101

17 0 0 0 9 7 4 4 5 3 6 3 1 4 4

15 2 6 7 0 8

39 9

18 7 3 1 0 2 3 0 0 2 4 4 3 0 6

140.6 -

113.2 117.7

36.2 47.8

---

26.5 90.9 80.2

112.7 70.6 67.2 38.6

115.3 34.7 43.8 55.3 46.8 39.0 56.1 84.4

-58.1 25.9 44.9 49.2 41.8 56.2 33.4

-31.7 58.8

--

47.8 20.2 43.1 85.5

-42.3

123.5 -

105.4 106.2

38.5 42.9

---

22.4 82.2 71.4

101.6 45.4 60.9 35.2

102.7 10.8 43.2 44.0 42.7 38.6 41.2 84.4

-49.7 32.4 41.4 43.1 36.2 68.8 10.5

-34.1 25.5

--

15.0 19.8 27.6 49.6

-25.3

26 4

11 45

429 80

3 2 1

65 26 27 19 23 11 41 11

7 20 14 61 15 32 40

2 31

170 66

108 28 19

8 3

12 16

3 21 12 40 15 16

3 19

63.7 90.5 59.7

102.5 31.8 45.1 81.5 60.5 39.3 37.2 65.8

105.4 104.1

65.0 47.4 52.6 79.6 46.8 42.7 37.5 38.5 56.6 58.7 93.2 25.9 44.1 23.8 65.1 59.1 33.5 68.2 52.0 43.2 37.1 60.3 97.5 58.2 55.2 40.3 32.5 86.7 73.7 26.5

54.2 61.2 47.9 86.0 32.3 40.5 48.3 56.0 32.0 33.8 64.9 99.3

106.0 50.8 49.8 47.5 79.0 47.9 40.6 32.5 35.4 48.8 51.4 84.8 13.5 34.2 29.3 58.1 53.9 27.8 69.6 36.9 40.5 38.7 37.4 81.1 61.9 41.5 37.7 25.5 71.7 51.5 18.2




97


98

TABLE 49: Alzheimer's Disease Deaths by County of Residence, 2008 and 2004-2008

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*

STATE


610

5 3 0 1 1 3 7 2 3

20 7 6 9 6 2 5 2 3 4 3 3 7 3

14 2 1

25 117

1 2 1 0 1

27 0 0 1 0 1

28 5 0 1 2

11 0 2 5 6 4

34.2

15.0 44.9

-136.1 233.6

55.1 63.4 95.7 95.3 44.1 99.7 72.1 35.2 71.4 55.1 89.1 20.1 47.8 40.0 32.2 27.7 34.7 34.4 56.8

106.4 15.9 69.7 23.3 50.0 33.3 32.2

-21.5

117.2 --

51.9 -

43.7 49.6 53.8

-99.5 70.5

107.5 -

30.3 67.5

133.4 61.7

26.1

8.4 15.1

-76.0

118.0 28.1 41.6 29.3 27.5 35.6 46.0 49.1 35.6 28.0 17.9 42.6 13.3 25.5 30.1 12.0 14.1 45.1 20.2 42.9 34.1

5.3 36.3 24.9 15.5 10.5

9.4 -

6.1 59.6

--

17.8 -

21.6 36.9 39.6

-57.5 21.2 39.0

-17.4 23.3 46.1 33.6

2,553

31 12

0 1 1

22 25

9 16 61 19 38 34 13

2 13 12

5 14 12 19 39 19 52

5 8

87 507

7 9 1 3

10 75

0 2 6 3 5

110 22

7 1

12 31

1 12 13 16 12

28.9

19.0 34.8

-26.7 42.2 77.9 44.7 82.4 97.2 27.6 52.2 88.7 26.5 29.6 10.5 44.2 24.1 15.3 27.4 25.1 34.0 38.2 43.8 42.1 51.3 25.8 48.3 20.6 66.8 28.9

6.1 22.0 40.8 64.5

-22.5 60.4 93.3 41.3 39.6 46.7 40.5 19.4 82.2 58.7 26.9 36.0 33.5 69.8 35.9

22.3

11.8 16.7

-15.2 23.6 37.7 30.1 28.3 36.0 21.9 24.4 62.7 27.5 14.6

3.6 23.8 15.7

9.3 22.0 10.0 15.6 48.0 29.8 31.9 24.1 10.2 25.7 21.5 23.2 11.4

1.9 11.0 14.8 32.9

-7.0

25.7 103.2

17.0 30.3 34.9 16.0 11.5 29.9 26.2 16.9 22.5 14.3 22.7 21.5


99

TABLE 49: Alzheimer's Disease Deaths by County of Residence, 2008 and 2004-2008 (Cont)

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*


1 0 3 3

66 15

0 0 0

20 2 3 2

12 0 8 0 0 5 1

15 0 9 6 1 9

15 2

16 8 0 0 0 5 0 0 1 1

11 1 1 0 6

12.8 -

84.9 35.3 23.7 42.2

---

58.8 26.0 60.1 56.3

169.4 -

51.5 --

54.8 13.8 46.8

-84.1 72.3 66.3 65.4 10.0 10.0 43.8 47.7

---

79.2 --

14.1 23.9 55.5 10.8 28.5

-42.3

6.5 -

49.3 11.3 25.3 33.1

---

32.0 10.7 35.6 30.1 77.0

-26.8

--

25.2 6.5

29.2 -

35.4 28.8 23.5 30.4 19.7

7.6 25.0 35.1

---

56.7 --

12.4 7.5

44.2 11.2

7.2 -

21.9

10 1 9

10 256

56 0 0 0

71 17 10 12 35 10 24

7 1

25 5

48 7

40 14

3 57 74 23 93 59 11

6 0

18 10

0 7 5

34 4

10 1

36

24.5 22.6 48.9 22.8 19.0 31.5

---

40.6 43.0 39.0 65.8 98.9 43.1 30.8 50.7

6.7 53.4 13.4 30.3 26.4 73.4 32.6 38.9 81.1 10.3 22.7 50.9 70.6 39.5 39.0

-55.7 37.7

-19.4 23.0 34.3

8.7 54.2 24.6 50.2

14.6 14.0 25.8 10.4 20.1 22.7

---

23.8 24.3 23.0 35.6 48.9 17.2 16.5 19.5

2.2 27.0

7.2 19.5 10.3 37.1 14.6 14.1 45.8 19.0 16.4 30.0 50.2 18.8 15.9

-43.6 13.1

-18.9

9.1 26.8

7.7 18.4 25.8 27.3




100


101

TABLE 50: Diabetes Mellitus Deaths by County of Residence, 2008 and 2004-2008

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*

STATE


470

7 1 0 0 0 1 2 2 3

11 1 2 3 4 0 2 2 4 2 2 5 5 0 9 3 0 9

123 2 2 5 0 3 8 1 1 1 0 0

12 5 1 1 1 8 0 2 7 2 5

26.4

21.1 15.0

---

18.4 18.1 95.7 95.3 24.3 14.2 24.0 11.7 47.6

-35.7 20.1 63.8 20.0 21.5 46.1 24.8

-36.5

159.6 -

25.1 24.5 99.9 33.3

161.1 -

64.6 34.7 56.7 58.5 51.9

--

21.3 53.8 30.1 99.5 35.3 78.2

-30.3 94.5 44.5 77.2

23.1

16.8 9.5

---

6.6 15.9 39.0 44.8 24.3

7.7 16.1 11.1 27.8

-26.4 15.5 40.9 20.4 10.2 34.4 28.1

-35.4 51.1

-19.7 26.7 52.0 15.4 67.0

-33.5 18.9 24.5 32.4 30.9

--

18.2 41.9 48.5 51.7 21.6 41.0

-19.4 50.8 15.4 48.8

2,223

29 7 0 1 0 7

13 4 7

48 8

15 27 10

6 10 19 10 18 16 19 30 11 41

7 2

45 572

14 10

5 6

10 44

4 6 5 1 1

64 16

3 2

10 19

0 10 16

6 15

25.2

17.7 20.3

-26.7

-24.8 23.2 36.6 42.5 21.7 22.0 35.0 21.0 22.8 31.6 34.0 38.2 30.6 35.3 33.5 34.0 29.4 25.4 33.2 71.8

6.5 25.0 23.2

133.6 32.1 30.4 44.0 40.8 37.8 41.0 67.6 50.4 31.1

8.3 23.1 33.9 17.4 38.8 68.5 36.0

-30.0 41.2 26.2 44.9

21.9

13.6 11.2

-15.0

-14.0 20.3 13.7 30.1 20.6 11.8 27.0 20.4 14.2 20.3 24.0 29.3 19.0 31.2 17.8 21.1 34.5 24.4 29.6 25.9

3.4 17.8 24.9 67.0 19.1 13.4 31.6 25.1 21.7 19.6 55.5 25.2 25.6

5.5 19.5 26.6 16.7 52.6 39.0 21.3

-18.4 23.2 14.6 30.5


102

TABLE 50: Diabetes Mellitus Deaths by County of Residence, 2008 and 2004-2008 (Cont)

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*


3 0 0 5

55 10

0 0 0

14 1 1 2 2 5 7 1 2 4 0

10 2 6 3 2 4

11 5

10 5 2 2 0 1 2 0 9 0 8 2 2 0 2

38.4 --

58.8 19.7 28.1

---

41.2 13.0 20.0 56.3 28.2

111.9 45.0 38.4 69.3 43.8

-31.2 39.0 56.1 36.2

132.6 29.0

7.3 25.0 27.4 29.8 37.5 66.8

-15.8 39.2

-126.7

-40.4 21.6 57.0

-14.1

25.7 --

23.0 22.2 21.3

---

29.5 5.4

13.7 33.1 10.3 58.3 32.2 10.9 33.6 29.0

-21.3 26.6 30.3 29.9 47.0 22.3 10.5 22.0 19.6 23.6 16.6 37.2

-10.0 21.2

-147.5

-36.0 20.3 21.1

-8.5

16 0 3

23 253

73 1 0 1

65 7 9 8 9

17 28

3 7

26 13 36

5 37 15

2 23 66 17 57 33

8 4 0 8 9 2

28 5

29 9 8 0

11

39.2 -

16.3 52.4 18.8 41.1 27.2

-39.3 37.2 17.7 35.1 43.9 25.4 73.2 35.9 21.7 46.8 55.5 34.8 22.7 18.9 67.9 35.0 25.9 32.7

9.2 16.8 31.2 39.5 28.7 26.0

-24.7 33.9 65.0 77.6 23.0 29.2 19.5 43.3

-15.3

27.5 -

10.1 26.8 20.3 31.9 17.9

-33.9 29.5 11.6 23.0 26.6 14.0 36.4 22.7

7.9 23.9 35.7 26.5 17.1 12.1 39.9 20.7

9.4 25.2 13.2 14.4 22.7 30.6 15.3 14.1

-20.0 16.4 31.4 92.2 10.5 25.7 15.1 17.3

-10.5




103


104

TABLE 51: Pneumonia Deaths by County of Residence, 2008 and 2004-2008

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*

STATE


331

7 3 0 0 0 2 3 0 1

12 1 2 8 1 1 0 0 4 0 7 3 5 1 3 0 1 9

89 1 0 0 1 3

10 0 0 1 1 0

11 4 2 0 2 3 0 3 2 0 0

18.6

21.1 44.9

---

36.7 27.2

-31.8 26.5 14.2 24.0 31.3 11.9 27.6

--

63.8 -

75.2 27.7 24.8 11.5 12.2

-15.9 25.1 17.7 50.0

--

38.7 64.6 43.4

--

51.9 165.6

-19.5 43.0 60.2

-70.5 29.3

-45.5 27.0

--

15.0

11.7 15.1

---

13.2 22.1

-9.2

21.8 5.7

16.1 29.5

6.7 9.0

--

62.9 -

36.5 10.0 33.5

6.7 10.4

-9.5

14.8 18.7 15.5

--

24.4 22.6 25.6

--

89.8 128.1

-14.4 30.8 18.8

-32.2 12.1

-30.5

8.0 --

1,674

44 10

0 0 0

16 12

4 7

53 7

15 35

4 8 6

10 15 10 16 19 13

7 15

6 5

38 392

3 4 4 5

11 24

2 4 3 1 1

66 12

6 0 4

16 3 7 6 4 7

19.0

26.9 29.0

---

56.6 21.5 36.6 42.5 24.0 19.2 35.0 27.2

9.1 42.2 20.4 20.1 45.9 19.6 33.5 34.0 12.7 16.1 12.1 61.5 16.1 21.1 15.9 28.6 12.8 24.3 36.6 44.8 20.6 20.5 45.1 30.2 31.1

8.3 23.8 25.5 34.8

-27.4 30.3 80.6 21.0 15.5 17.5 20.9

15.1

18.7 12.0

---

23.4 15.7 16.3 17.8 19.5 10.9 24.4 27.2

4.4 17.6 12.8 14.7 31.3 12.7 15.4 17.6 15.8 12.8 10.2 30.9

7.8 13.1 16.6

9.3 5.5

13.6 18.7 18.4 13.6

6.1 20.2 25.1 25.6

4.3 18.8 19.2 14.8

-12.9 13.9 16.0 13.0

7.9 5.0

14.5


105

TABLE 51: Pneumonia Deaths by County of Residence, 2008 and 2004-2008 (Cont)

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*


1 0 1 3

30 4 0 0 1

10 3 0 1 4 0 6 1 1 3 1 4 1 1 4 1 3

16 1 3 0 3 1 0 0 0 0 0 4 6 1 3 0 2

12.8 -

28.3 35.3 10.8 11.2

--

194.6 29.4 39.0

-28.2 56.5

-38.6 38.4 34.7 32.9 13.8 12.5 19.5

9.3 48.2 66.3 21.8 10.6

5.0 8.2

-56.2 33.4

-----

95.6 30.3 10.8 85.5

-14.1

6.5 -

11.7 18.2 11.5

8.8 --

96.9 22.7 19.8

-15.7 25.3

-20.8 10.9 10.8 16.9 11.2

8.8 5.8 3.9

20.4 23.5 15.5 19.6

3.3 7.4

-29.3 16.7

-----

34.0 27.0

9.8 28.3

-8.0

8 0 7

17 141

25 0 0 1

42 16

5 9

16 4

36 4 6

17 7

21 2

17 13

2 14 90 29 57 15

9 7 1 1 6 1 3

18 20

2 14

0 11

19.6 -

38.0 38.7 10.5 14.1

--

39.3 24.0 40.5 19.5 49.3 45.2 17.2 46.2 29.0 40.2 36.3 18.7 13.3

7.5 31.2 30.3 25.9 19.9 12.6 28.6 31.2 18.0 32.3 45.5 14.4

3.1 22.6 32.5

8.3 82.8 20.2

4.3 75.9

-15.3

11.5 -

20.7 18.0 10.8 10.3

--

19.4 16.8 23.1 13.2 28.7 19.5

6.4 25.0 11.5 12.9 20.4 14.3

9.1 2.3

16.2 14.3

9.4 13.2 22.2 22.4 18.7 13.2 16.7 18.0 13.5

2.0 10.5 16.3

8.4 34.2 17.0

3.9 27.7

-9.4




106


107

TABLE 52: Nephritis and Nephrosis Deaths by County of Residence, 2008 and 2004-2008

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*

STATE


270

10 0 0 0 0 0 3 1 0 9 2 0 0 0 1 1 1 2 1 1 4 3 2 4 0 0

13 64

1 3 1 1 3 3 0 0 0 0 2 7 3 1 0 0 2 2 1 3 0 0

15.1

30.1 -----

27.2 47.8

-19.8 28.5

---

27.6 17.8 10.0 31.9 10.0 10.7 36.9 14.9 22.9 16.2

--

36.2 12.7 50.0 50.0 32.2 38.7 64.6 13.0

----

87.3 12.4 32.3 30.1

--

19.5 271.7

15.2 40.5

--

12.5

22.7 -----

18.2 14.6

-18.2 13.4

---

9.0 8.5 5.5

20.6 5.6 4.0

17.5 18.7 19.7 13.7

--

21.7 13.9 36.5 25.6

9.4 14.6 58.7

6.8 ----

35.5 9.8

21.9 9.4

--

10.3 53.5 14.1 12.1

--

1,310

35 10

1 0 0 5 9 3 2

35 10

7 7 5 2 8 7 9 6

11 13 14

6 17

3 5

49 312

3 12

6 2 8

19 3 2 2 0 5

35 10

3 0 3

13 2 8

13 2 4

14.8

21.4 29.0 54.2

--

17.7 16.1 27.5 12.1 15.8 27.5 16.3

5.4 11.4 10.5 27.2 14.1 27.5 11.8 23.0 23.3 13.7 13.8 13.8 30.8 16.1 27.2 12.7 28.6 38.5 36.5 14.7 32.6 16.3 30.7 22.5 20.1

-41.3 12.6 21.2 17.4

-20.6 24.6 53.7 24.0 33.5

8.7 12.0

12.4

16.3 17.6 59.8

--

8.3 13.0 10.7

6.8 14.7 13.6 11.1

6.0 5.7 5.0

16.6 11.4 20.1

9.9 13.4 10.3 17.2 11.3 11.9 10.2

7.4 16.8 13.4 15.0 20.5 14.7

8.0 19.6

8.8 29.3 12.5 11.9

-20.0 10.8 15.4

5.6 -

10.7 12.5 10.7 15.6 13.9

4.9 8.9


108

TABLE 52: Nephritis and Nephrosis Deaths by County of Residence, 2008 and 2004-2008 (Cont)

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*

Keith 6 76.7 44.8 16 39.2 23.5 Keya Paha 0 - - 0 - -Kimball 2 56.6 23.5 3 16.3 7.0 Knox 0 - - 4 9.1 4.9 Lancaster 19 6.8 7.3 119 8.8 9.2 Lincoln 3 8.4 6.5 23 13.0 9.9 Logan 0 - - 2 54.4 35.9 Loup 0 - - 1 30.2 23.9 McPherson 0 - - 0 - -Madison 6 17.6 12.6 38 21.8 15.6 Merrick 1 13.0 5.4 8 20.2 11.7 Morrill 0 - - 8 31.2 19.6 Nance 0 - - 9 49.3 27.5 Nemaha 2 28.2 10.3 13 36.7 15.8 Nuckolls 2 44.8 15.9 6 25.8 9.5 Otoe 4 25.7 14.6 16 20.5 11.6 Pawnee 0 - - 4 29.0 13.6 Perkins 3 104.0 44.4 8 53.5 24.5 Phelps 4 43.8 26.7 11 23.5 14.0 Pierce 2 27.7 24.5 5 13.4 11.1 Platte 3 9.4 6.8 19 12.0 8.1 Polk 1 19.5 5.8 5 18.9 9.0 Red Willow 7 65.4 37.2 16 29.4 16.4 Richardson 5 60.3 32.6 19 44.3 22.3 Rock 1 66.3 23.5 5 64.8 30.9 Saline 6 43.6 21.8 12 17.1 11.2 Sarpy 12 8.0 13.5 64 8.9 13.7 Saunders 0 - - 6 5.9 4.5 Scotts Bluff 6 16.4 11.1 32 17.5 11.7 Seward 1 6.0 5.0 8 9.6 8.0 Sheridan 1 18.7 11.7 4 14.4 8.2 Sherman 0 - - 6 39.0 18.3 Sioux 0 - - 1 14.4 13.5 Stanton 0 - - 2 6.2 4.9 Thayer 3 58.8 22.5 12 45.3 19.5 Thomas 0 - - 0 - -Thurston 2 28.2 29.6 11 30.5 32.9 Valley 1 23.9 11.5 3 13.8 6.9 Washington 3 15.1 14.1 4 4.0 3.8 Wayne 1 10.8 9.8 13 28.1 20.8 Webster 4 114.0 48.8 13 70.4 24.3 Wheeler 1 123.9 76.8 1 24.6 15.4 York 3 21.1 8.9 14 19.5 10.1




109


110

TABLE 53: Intentional Self-Harm (Suicide) Deaths by County of Residence, 2008 and 2004-2008

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*

STATE


191

6 0 0 0 0 0 2 0 0 1 0 0 4 1 0 0 1 0 0 1 2 0 1 4 0 1 7

56 0 1 1 1 1 2 0 0 0 0 0 6 1 1 0 2 1 0 0 0 2 0

10.7

18.1 -----

18.1 --

2.2 --

15.6 11.9

--

10.0 --

10.7 18.4

-11.5 16.2

-15.9 19.5 11.2

-16.7 32.2 38.7 21.5

8.7 -----

10.6 10.8 30.1

-70.5

9.8 ---

44.5 -

10.7

18.3 -----

11.5 --

3.2 --

14.2 6.7

--

7.4 --

8.1 16.9

-10.2 15.8

-11.5 19.5 11.2

-11.1 16.1 24.4 13.7

8.0 -----

11.2 13.5 23.5

-88.1

7.7 ---

66.0 -

921

13 0 1 0 0 1 8 0 0

12 3 7

16 3 4 2

11 3 5 2 6 6 7

11 1 4

25 250

2 3 2 1 1

12 1 2 0 1 3

40 3 3 0 3 4 0 0 1 5 2

10.4

8.0 -

54.2 --

3.5 14.3

--

5.4 8.2

16.3 12.4

6.8 21.1

6.8 22.1

9.2 9.8 4.2

10.7 5.9

16.1 8.9

10.3 12.9 13.9 10.2 19.1

9.6 12.2

7.3 4.1

10.3 10.2 22.5

-31.1 24.8 14.4

6.4 17.4

-20.6

7.6 --

2.6 21.8

6.0

10.4

8.6 -

103.4 --

2.7 11.1

--

5.5 8.8

16.1 12.6

5.2 24.7

8.8 23.0 12.9

9.2 3.5 8.1 5.7

13.7 8.8 3.4

13.2 15.0 10.2 16.4 12.6 12.5

4.9 2.7

10.4 8.3

25.1 -

34.7 27.9 15.0

6.6 11.8

-23.5

6.2 --

2.2 22.8

6.5


111

TABLE 53: Intentional Self-Harm (Suicide) Deaths by County of Residence, 2008 and 2004-2008 (Cont)

2008 2004-2008

County Total

Deaths Crude Rate*

Age-Adjusted Rate*

Total Deaths

Crude Rate*

Age-Adjusted Rate*


3 0 1 2

23 6 0 0 0 8 0 0 1 1 1 1 2 1 2 0 0 0 0 2 0 1 9 2 7 0 1 0 0 1 2 0 1 1 2 2 2 0 0

38.4 -

28.3 23.5

8.3 16.9

---

23.5 --

28.2 14.1 22.4

6.4 76.9 34.7 21.9

----

24.1 -

7.3 6.0

10.0 19.1

-18.7

--

15.8 39.2

-14.1 23.9 10.1 21.6 57.0

--

39.8 -

46.2 22.5

8.2 17.3

---

23.3 --

51.6 22.0 10.1

7.5 54.7 54.9 25.7

----

23.7 -

8.8 6.1 8.3

18.5 -

11.7 --

12.9 40.2

-18.8 42.8

9.1 24.9 57.5

--

5 1 2 7

163 31

0 0 0

21 6 0 2 3 1 4 4 3 5 2 4 1 9 4 0 6

65 11 22

6 6 1 0 4 3 1 7 2 6 6 4 0 3

12.2 22.6 10.9 16.0 12.1 17.5

---

12.0 15.2

-11.0

8.5 4.3 5.1

29.0 20.1 10.7

5.4 2.5 3.8

16.5 9.3

-8.5 9.1

10.9 12.0

7.2 21.5

6.5 -

12.4 11.3 32.5 19.4

9.2 6.0

13.0 21.7

-4.2

13.5 14.5 13.0 13.8 12.0 18.6

---

12.6 19.0

-16.3

7.4 2.0 5.3

20.9 25.0 10.6

4.7 2.4 1.2

17.3 11.0

-8.6 8.9 9.9

12.4 8.2

20.4 6.0

-12.9 10.4 15.7 20.4 14.5

5.8 13.4 17.8

-4.4




112

TABLE 54: Accidental Deaths by Cause, 2004-2008

Cause of Death 2004 2005 2006 2007 2008

Railway accidents (all forms) 2 4 1 2 3 Motor vehicle traffic accidents* 266 274 260 263 227 Motor vehicle nontraffic accidents* 16 14 10 21 14 Other road vehicle accidents 4 6 7 3 2 Water transport accidents 2 1 4 3 0 Air transport accidents 7 0 3 5 1 Poisoning by drugs 33 44 56 50 73 Poisoning by other solids and liquids 1 4 3 11 18 Poisoning by gases and vapors 11 5 8 7 7 Accidental falls 172 150 170 161 207 Injury by fires 15 26 23 16 18 Excessive heat 1 0 2 0 1 Excessive cold 4 9 2 4 4 Hunger and Thirst 0 1 0 0 0 Injury by animals 0 0 0 2 2 Lightning 0 0 1 0 0 Drowning (excluding water transport) 25 8 11 12 16 Obstruction, suffocation, or puncture by 92 68 29 33 31

ingested objects Mechanical suffocation 7 9 7 12 21 Struck against or by machinery or other object 5 5 7 7 2 Caught between or in machinery or other object 4 6 8 5 8 Injury by cutting or piercing instruments 0 1 0 1 1 Injury by firearms 6 2 3 4 2 Injury by electric current 6 2 4 2 1 Other and unspecified accidents** Total Accidental Deaths

62 67 66 50 55 741 706 685 674 714

Male 441 402 404 408 431 Female 300 304 281 266 283

Rate per 100,000 population 42.4 40.1 38.7 38.0 40.0

* Motor vehicle accidents include collision between auto and train ** Includes late effects of all types of accidents


113

Graph 19: Leading Causes of Accidental Deaths, 2008

Number of Deaths

0 50 100 150 200 250 300

241

207

98

18

16

2

132

Motor Vehicle

Falls

Poisoning

Fires

Drowning

Firearms

All Others


114

TABLE 55: Accidental Deaths by Principal Cause by Place of Residence, 2008

Place All

Accidents Motor

Vehicle** Farm Fall** Drowning** Fire** All

Others** STATE





Burt Butler



Cedar Chase Cherry



Clay Colfax








714

12 10

2 4 0 0 0 4 5 4 1 3 1

18 13

5 1 4 0 4

15 6 9 3 3 1 0 1 7 3 4 4 8 3 5 4 0 4 8 3 5 6 2 4 5 4 1 8 4 0 1 3

237

4 4 0 3 0 0 0 3 2 1 1 0 0 7 6 1 0 1 0 1 7 2 5 2 2 0 0 0 3 1 2 2 6 1 5 3 0 3 1 0 1 3 0 3 1 1 0 5 2 0 1 2

16

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0

204

3 2 1 0 0 0 0 1 3 3 0 0 1 4 3 1 0 0 0 0 3 2 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 4 2 2 1 0 1 2 2 0 3 2 0 0 1

16

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0

17

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

224

541 1 0 0 0 0 000 3 0 743 1 101 523 0 1 101 220 1 220 000 312 220 110 00000


115

TABLE 55: Accidental Deaths by Principal Cause by Place of Residence, 2008 (Cont)

Place All

Accidents Motor


Others** Deuel Dixon Dodge *Fremont Balance of Co.

Douglas Elkhorn





Harlan Hayes Hitchcock Holt O'Neill Balance of Co.



Johnson Kearney



Keya Paha Kimball


Knox

2 5

17 12

5 143

1 134

2 6 1 4 2 4 2

17 11

6 0 2 2 0 1

15 13

2 4 3 1 5 1 3

10 1 9 0 5 5 3 2 2 6 3 3

11 7 4 0 4 3 1

10

1 0 5 4 1

30 0

28 1 1 0 2 2 2 1 8 4 4 0 0 2 0 0 5 3 2 2 1 1 2 0 2 4 0 4 0 0 2 1 1 2 3 1 2 3 1 2 0 2 1 1 4

0 0 2 0 2 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 0 0 0 0 0 0 0 1 1 0 0 0 0 0 2

0 3 6 4 2

37 0

36 0 1 0 0 0 1 1 3 2 1 0 1 0 0 0 6 6 0 2 2 0 1 1 0 3 0 3 0 3 1 1 0 0 2 2 0 2 1 1 0 0 0 0 2

0 1 0 0 0 3 0 3 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0

0 0 3 3 0 2 0 2 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0

1 1 110

711

6514 1 2 0 0 0 431 0 0 0 0 1 330 000 1 0 1 312 0 0 211 0 101 431 0 110 2


116


Place All

Accidents Motor


Others** Lancaster *Lincoln Balance of Co.






Nuckolls Otoe





Polk Red Willow



Rock Saline




101 90 11 17 15

2 0 0 0 9 6 3 7 1 6 4 4 5 4 1 3 6 2 4 3 1 4 2 2 4

15 12

3 2 6 4 2 7 4 3 0 8 2 6

39 18

2 5

14 9 4 5

24 18

6 4 2 2 0 0 0 2 2 0 3 1 2 2 1 2 1 1 2 3 1 2 1 0 2 2 0 2 5 5 0 2 2 0 2 3 2 1 0 2 0 2

15 3 0 3 9 3 0 3

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1

41 38

3 6 6 0 0 0 0 2 2 0 1 0 1 1 0 2 2 0 0 2 1 1 1 1 1 0 1 0 5 4 1 0 3 3 0 0 0 0 0 6 2 4 9 6 0 1 2 2 2 0

3 3 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0

3331

2 770 0 0 0 321 303 0 1 000 1 000 1 0 000 2 532 0 110 422 0 000

138212 321


117


Place All

Accidents Motor


Others** Scotts Bluff







York Balance of Co.

18 5 7 6 7 3 4 3 1 0 2 3 0 0 2 4 2 2 4 3 1 3 0 6 4 2

6 1 2 3 2 0 2 2 0 0 1 1 0 0 0 2 0 2 2 1 1 1 0 1 0 1

0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

6 3 2 1 3 2 1 0 1 0 1 1 0 0 2 0 0 0 0 0 0 1 0 4 4 0

0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

2 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0

4121 110 1 0 0 0 0 0 0 0 220 220 0 0 101

Indented - Cities 2,500 - 10,000 population in 2000; *cities over 10,000 population in 2000; balance of county

** Excludes cases which occur on a farm

TABLE 56: Drownings by Site, Sex and Age Group, 2008

Site Male Female Total Age Group

< 15 15-29 30-44 45-59 60+

Bath-Tub / Home 0 1 1 0 1 0 0 0 Swimming Pool / Sports Area 2 1 3 3 0 0 0 0 Natural Water / Other Place 3 2 5 1 2 1 0 1 Falling into Natural Water / Other Place 3 0 3 0 1 1 0 1 Reservoir / Other Place 1 0 1 0 1 0 0 0 Unspecified Drowning / Home 1 1 2 1 0 0 0 1 Unspecified Drowning / Other Place 1 0 1 0 1 0 0 0

Total 11 5 16 5 6 2 0 3


118

TABLE 57: Farm Fatalities by Type, Sex and Age Group, 2008

Type of Accident Male Female Total

Age Group < 15 15-29 30-44 45-59 60+

Agriculture Vehicle Accident 4 0 4 0 0 0 1 3 Fall from Tree 1 0 1 0 0 0 0 1 Striking Water after Jumping 1 0 1 0 0 0 1 0 Same-Level Fall 1 0 1 0 0 0 0 1 Struck by Object 1 0 1 0 0 0 1 0 Crushed Between Objects 1 0 1 1 0 0 0 0 Agricultural Machinery Contact 1 0 1 0 1 0 0 0 Contact with Other Machinery 1 0 1 0 1 0 0 0 Struck by Other Mammal 1 0 1 0 0 0 0 1 Cave-In 1 0 1 0 0 1 0 0 Uncontrolled Fire 1 0 1 0 0 0 0 1 Excessive Cold Exposure 1 0 1 0 0 0 0 1 Accidental Poisoning 1 0 1 0 0 0 1 0

Total 16 0 16 1 2 1 4 8

Graph 20: Intentional Self-Harm (Suicide), 1918-2008

Rat

e p

er 1

00,0

00 P

op

ula

tio

n

0

5

10

15

20

25

1918

1921

1924

1927

1930

1933

1936

1939

1942

1945

1948

1951

1954

1957

1960

1963

1966

1969

1972

1975

1978

1981

1984

1987

1990

1993

1996

1999

2002

2005

2008

119



120

TABLE 58: Intentional Self-Harm (Suicide) by Type, Sex and Age Group, 2008

Age in Years 5- 10- 15- 20- 25- 30- 35- 40- 45- 50- 55- 60- 65- 70- 75-

Type Sex Total <5 9 14 19 24 29 34 39 44 49 54 59 64 69 74 79 80+ Gunshot M 93 5 9 5 9 5 8 10 15 7 4 7 4 2 3

F 5 1 1 2 1 Hanging/Suffocation M 44 5 6 5 5 4 3 6 2 3 2 1 2

F 9 1 3 1 2 1 1 Carbon Monoxide M 8 1 1 1 3 1 1

F 3 1 1 1 Drugs M 8 1 1 2 2 1 1

F 9 1 1 2 3 1 1 Laceration M 4 1 1 1 1

F 0 Jumping M 1 1

F 0 Drowning M 1 1

F 0 Other M 4 1 1 1 1

F 2 1 1

Total 191 0 0 1 17 18 15 18 11 17 23 25 15 8 12 4 2 5

Male 163 Female 28

Graph 21: Infant and Neonatal Deaths, 1925-2008 R

ate

per

1,0

00 L

ive

Bir

ths

40

30

20

10

0

50

60

70

Infant Neonatal

1925

1929

1933

1937

1941

1945

1949

1953

1957

1961

1965

1969

1973

1977

1981

1985

1989

1993

1997

2001

2005


121


122

TABLE 59: Infant and Neonatal Deaths by Place of Residence, 2008 and 2004-2008

2008 2004-2008 2008 2004-2008 Infant Infant Neonatal Neonatal

Place Deaths Rate Deaths Rate Deaths Rate Deaths Rate STATE 146 5.4 797 6.0 90 3.3 511 3.8

Adams 2 4.8 12 5.5 0 - 8 3.7 Hastings 2 5.7 11 6.1 0 - 8 4.5 Balance of Co. 0 - 1 2.6 0 - 8 20.7

Antelope 1 12.2 5 12.6 1 12.2 3 7.6 Arthur 0 - 0 - 0 - 0 -Banner 0 - 0 - 0 - 0 -Blaine 0 - 1 41.7 0 - 1 41.7 Boone 0 - 0 - 0 - 0 -Box Butte 0 - 0 - 0 - 0 -Boyd 0 - 0 - 0 - 0 -Brown 0 - 0 - 0 - 0 -Buffalo 6 8.7 22 6.6 5 7.2 16 4.8

Kearney 2 4.1 17 7.3 2 4.1 13 5.6 Balance of Co. 4 19.0 5 4.9 3 14.2 3 2.9

Burt 0 - 2 5.3 0 - 2 5.3 Butler 0 - 0 - 0 - 0 -Cass 1 3.3 10 6.3 1 3.3 5 3.2 Cedar 1 7.9 1 1.8 1 7.9 1 1.8 Chase 1 18.5 2 8.0 0 - 0 -Cherry 0 - 1 2.9 0 - 1 2.9 Cheyenne 0 - 4 5.7 0 - 4 5.7 Clay 0 - 0 - 0 - 0 -Colfax 2 8.8 9 9.0 1 4.4 6 6.0 Cuming 0 - 1 1.7 0 - 1 1.7 Custer 2 17.7 7 11.1 2 17.7 4 6.4 Dakota 4 10.0 10 5.0 2 5.0 8 4.0

So. Sioux City 4 12.7 8 5.0 2 6.3 6 3.8 Balance of Co. 0 - 2 4.8 0 - 2 4.8

Dawes 0 - 2 4.1 0 - 1 2.0 Dawson 5 12.5 17 8.2 5 12.5 15 7.2

Lexington 2 8.6 9 7.7 2 8.6 8 6.8 Balance of Co. 3 17.8 8 8.7 3 17.8 7 7.6

Deuel 0 - 0 - 0 - 0 -Dixon 0 - 2 5.1 0 - 2 5.1 Dodge 2 3.8 18 7.2 1 1.9 13 5.2

Fremont 1 2.5 13 6.7 1 2.5 10 5.2 Balance of Co. 1 8.6 5 8.8 0 - 3 5.3

Douglas 44 5.2 272 6.4 24 2.8 173 4.1 Omaha 43 5.9 250 7.0 23 3.2 158 4.4 Balance of Co. 1 0.8 22 3.3 1 0.8 15 2.3

Dundy 1 50.0 1 10.8 1 50.0 1 10.8 Fillmore 0 - 2 6.5 0 - 2 6.5 Franklin 0 - 0 - 0 - 0 -Frontier 0 - 0 - 0 - 0 -Furnas 0 - 0 - 0 - 0 -Gage 1 3.6 4 2.8 0 - 0 -

Beatrice 1 5.7 4 4.4 0 - 0 -Balance of Co. 0 - 0 - 0 - 0 -

Garden 0 - 0 - 0 - 0 -Garfield 0 - 2 23.0 0 - 0 -


123

TABLE 59: Infant and Neonatal Deaths by Place of Residence, 2008 and 2004-2008 (Cont)


Place Deaths Rate Deaths Rate Deaths Rate Deaths Rate Gosper 0 - 1 10.3 0 - 1 10.3 Grant 0 - 0 - 0 - 0 -Greeley 0 - 2 14.0 0 - 2 14.0 Hall 3 3.0 31 6.4 2 2.0 20 4.1

Grand Island 3 3.4 27 6.4 2 2.2 16 3.8 Balance of Co. 0 - 4 6.5 0 - 4 6.5

Hamilton 2 17.2 2 4.1 2 17.2 2 4.1 Harlan 1 31.3 2 12.6 1 31.3 2 12.6 Hayes 0 - 0 - 0 - 0 -Hitchcock 0 - 2 13.8 0 - 0 -Holt 1 7.7 5 8.1 0 - 2 3.2 Hooker 0 - 0 - 0 - 0 -Howard 0 - 0 - 0 - 0 -Jefferson 0 - 2 4.8 0 - 1 2.4 Johnson 0 - 1 3.6 0 - 1 3.6 Kearney 1 11.2 2 4.9 0 - 1 2.5 Keith 4 54.8 7 15.7 4 54.8 7 15.7 Keya Paha 0 - 0 - 0 - 0 -Kimball 0 - 1 4.9 0 - 1 4.9 Knox 0 - 5 9.8 0 - 4 7.8 Lancaster 24 5.7 124 6.0 16 3.8 78 3.8

Lincoln 23 5.8 119 6.2 16 4.1 76 3.9 Balance of Co. 1 3.5 5 3.6 0 - 2 1.5

Lincoln 6 11.6 17 6.8 4 7.7 11 4.4 North Platte 6 14.9 15 7.8 4 10.0 9 4.7 Balance of Co. 0 - 2 3.4 0 - 2 3.4

Logan 0 - 0 - 0 - 0 -Loup 0 - 0 - 0 - 0 -McPherson 0 - 0 - 0 - 0 -Madison 1 1.9 17 6.1 0 - 9 3.2

Norfolk 1 2.3 16 6.9 0 - 9 3.9 Balance of Co. 0 - 1 2.1 0 - 9 19.3

Merrick 1 10.4 1 2.4 0 - 0 -Morrill 0 - 3 10.1 0 - 3 10.1 Nance 0 - 2 9.6 0 - 2 9.6 Nemaha 1 10.4 1 2.3 1 10.4 1 2.3 Nuckolls 0 - 3 12.2 0 - 1 4.1 Otoe 2 10.0 8 8.3 2 10.0 5 5.2 Pawnee 0 - 0 - 0 - 0 -Perkins 0 - 0 - 0 - 0 -Phelps 0 - 3 5.1 0 - 2 3.4 Pierce 1 10.1 3 6.8 0 - 2 4.5 Platte 5 10.3 19 8.0 4 8.3 10 4.2

Columbus 3 8.0 11 6.0 2 5.3 4 2.2 Balance of Co. 2 18.2 8 14.3 2 18.2 6 10.8

Polk 0 - 1 3.4 0 - 0 -Red Willow 2 13.7 5 7.3 1 6.8 3 4.4 Richardson 0 - 2 4.8 0 - 2 4.8 Rock 0 - 0 - 0 - 0 -Saline 0 - 5 4.8 0 - 5 4.8


124

TABLE 59: Infant and Neonatal Deaths by Place of Residence, 2008 and 2004-2008 (Cont)


Place Deaths Rate Deaths Rate Deaths Rate Deaths Rate Sarpy 13 5.0 61 4.9 7 2.7 38 3.0

Bellevue 5 5.2 24 5.4 2 2.1 14 3.2 LaVista 0 - 6 4.7 0 - 3 2.4 Papillion 3 8.4 10 6.1 3 8.4 5 3.0 Balance of Co. 5 4.8 21 4.1 2 1.9 16 3.1

Saunders 0 - 5 4.0 0 - 4 3.2 Scotts Bluff 1 1.8 18 6.6 0 - 9 3.3

Scottsbluff 1 3.7 13 9.8 0 - 7 5.3 Balance of Co. 0 - 5 3.6 0 - 2 1.4

Seward 0 - 5 5.1 0 - 2 2.0 Sheridan 0 - 2 6.2 0 - 0 -Sherman 0 - 2 12.2 0 - 1 6.1 Sioux 0 - 0 - 0 - 0 -Stanton 1 12.5 1 2.5 0 - 0 -Thayer 0 - 0 - 0 - 0 -Thomas 0 - 0 - 0 - 0 -Thurston 1 6.7 7 8.7 0 - 2 2.5 Valley 0 - 0 - 0 - 0 -Washington 0 - 3 2.7 0 - 3 2.7 Wayne 0 - 5 9.8 0 - 4 7.8 Webster 1 21.3 1 5.6 1 21.3 1 5.6 Wheeler 0 - 0 - 0 - 0 -York 1 5.6 3 3.3 1 5.6 2 2.2

Indented - Cities over 10,000 population in 2000 Balance of County

Rates based on small numbers may not be reliable.

Infant and Neonatal death rates are per 1,000 live births.


125

TABLE 60: Deaths Under One Year of Age by Cause, 2008

Cause Male Female Total 1 Heart Disease (I00-I09, I11, I13, I20-I51) 1 0

Pneumonia (J12-J18) 3 0 3 Birth Defects (Q00-Q99) 18 16 34 Maternal Complications of Pregnancy (P01) 3 4 7 Complications of Placenta, Cord, and Membranes (P02) 9 1 10 Prematurity (P07) 11 9 20 Respiratory Distress Syndrome (P22) 3 1 4 Other Respiratory Conditions (P23-P29) 8 3 11Perinatal Infections (P35-P39) 1 1 2 Other Perinatal Conditions (P50-P96) 5 3 8 Sudden Infant Death Syndrome (R95) 10 5 15 Violent or Accidental Causes (V00-Y98) 7 7 14 All Other Causes Total Infant Deaths

11 6 17 14690 56

TABLE 61: Deaths Under One Year of Age by Race/Hispanic Origin* and Sex, 2008

Race Male Female Total Rate White 73 37 110 5.2 Black 13 16 29 16.3 American Indian 1 1 2 4.3 Other 3 2 5 1.3Total 90 56 146 5.4

Hispanic Origin* Mexican 14 9 23 7.4 Other Total

1 15

1 2 1.710 25 5.9

TABLE 62: Deaths Under One Year of Age by Birth Weight Groups, 2008

Weight (pounds) Number Percent** 1 lb. and under 34 23.3 1 lb. 1 oz. - 2 lbs. 28 19.2 2 lbs. 1 oz. - 3 lbs. 8 ozs. 17 11.6 3 lbs. 9 ozs. - 4 lbs. 8 ozs. 12 8.2 4 lbs. 9 ozs. - 5 lbs. 8 ozs. 7 4.8 5 lbs. 9 ozs. - 5 lbs. 15 ozs. 4 2.7 6 lbs. - 6 lbs. 15 ozs. 13 8.9 7 lbs. - 7 lbs. 15 ozs. 16 11.0 8 lbs. - 8 lbs. 15 ozs. 10 6.8 9 lbs. or more 3 2.1 Unknown 2 1.4 Total 146 100.0

Weight (grams) Number Percent** 499 grams or less 36 24.7 500-999 grams 28 19.2 1000-1499 grams 10 6.8 1500-1999 grams 17 11.6 2000-2499 grams 7 4.8 2500-2999 grams 12 8.2 3000-3499 grams 17 11.6 3500-3999 grams 13 8.9 4000 grams or over 4 2.7 Unknown 2 1.4 Total 146 100.0


126

TABLE 63: Perinatal and Fetal Deaths by Place of Residence, 2008 and 2004-2008

2008 2004-2008 2008 2004-2008 Perinatal Perinatal Fetal Fetal

Place Deaths Rate Deaths Rate Deaths Rate Deaths Rate STATE 254 9.4 1,298 9.7 164 6.1 787 5.9

Adams 2 4.7 16 7.3 2 4.8 8 3.7 Hastings 1 2.8 15 8.4 1 2.8 7 3.9 Balance of Co. 1 14.3 1 2.6 1 14.5 1 2.6

Antelope 1 12.2 5 12.5 0 - 2 5.0 Arthur 0 - 0 - 0 - 0 -Banner 0 - 1 37.0 0 - 1 38.5 Blaine 1 142.9 2 80.0 1 166.7 1 41.7 Boone 1 15.6 1 3.4 1 15.9 1 3.4 Box Butte 0 - 1 1.3 0 - 1 1.4 Boyd 0 - 0 - 0 - 0 -Brown 1 47.6 1 6.8 1 50.0 1 6.9 Buffalo 9 12.9 36 10.7 4 5.8 20 6.0

Kearney 6 12.3 30 12.8 4 8.3 17 7.3 Balance of Co. 3 14.2 6 5.8 0 - 3 2.9

Burt 1 16.9 5 13.2 1 17.2 3 8.0 Butler 3 30.0 6 13.4 3 30.9 6 13.6 Cass 3 9.8 19 11.9 2 6.6 14 8.8 Cedar 1 7.9 2 3.6 0 - 1 1.8 Chase 0 - 0 - 0 - 0 -Cherry 0 - 4 11.4 0 - 3 8.6 Cheyenne 1 6.3 7 9.9 1 6.4 3 4.3 Clay 0 - 2 5.5 0 - 2 5.5 Colfax 1 4.4 10 9.9 0 - 4 4.0 Cuming 1 9.7 8 13.7 1 9.8 7 12.1 Custer 6 51.3 10 15.7 4 35.4 6 9.5 Dakota 4 10.0 17 8.4 2 5.0 9 4.5

So. Sioux City 3 9.5 14 8.7 1 3.2 8 5.0 Balance of Co. 1 11.9 3 7.2 1 12.0 1 2.4

Dawes 0 - 1 2.0 0 - 0 -Dawson 11 27.0 37 17.6 6 15.0 22 10.6

Lexington 5 21.3 19 16.1 3 12.9 11 9.4 Balance of Co. 6 34.9 18 19.4 3 17.8 11 12.0

Deuel 0 - 0 - 0 - 0 -Dixon 0 - 8 20.1 0 - 6 15.3 Dodge 2 3.8 28 11.1 1 1.9 15 6.0

Fremont 2 4.9 24 12.3 1 2.5 14 7.2 Balance of Co. 0 - 4 7.1 0 - 1 1.8

Douglas 91 10.6 452 10.6 67 7.9 279 6.6 Omaha 89 12.1 421 11.7 66 9.1 263 7.4 Balance of Co. 2 1.6 31 4.7 1 0.8 16 2.4

Dundy 1 50.0 3 31.6 0 - 2 21.5 Fillmore 1 14.1 3 9.6 1 14.3 1 3.2 Franklin 0 - 1 6.0 0 - 1 6.0 Frontier 0 - 0 - 0 - 0 -Furnas 0 - 1 4.1 0 - 1 4.1 Gage 1 3.6 8 5.7 1 3.6 8 5.7

Beatrice 1 5.7 5 5.5 1 5.7 5 5.5 Balance of Co. 0 - 3 6.0 0 - 3 6.0

Garden 0 - 1 11.4 0 - 1 11.5 Garfield 0 - 0 - 0 - 0 -


127

TABLE 63: Perinatal and Fetal Deaths by Place of Residence, 2008 and 2004-2008 (Cont)


Place Deaths Rate Deaths Rate Deaths Rate Deaths Rate Gosper 1 71.4 3 30.3 1 76.9 2 20.6 Grant 0 - 0 - 0 - 0 -Greeley 0 - 3 20.8 0 - 1 7.0 Hall 4 4.0 46 9.5 2 2.0 26 5.4

Grand Island 4 4.5 42 9.9 2 2.2 26 6.2 Balance of Co. 0 - 4 6.5 0 - 0 -

Hamilton 3 25.6 6 12.1 1 8.6 4 8.2 Harlan 1 31.3 3 18.8 0 - 1 6.3 Hayes 0 - 0 - 0 - 0 -Hitchcock 1 30.3 1 6.8 1 31.3 1 6.9 Holt 3 22.6 8 12.8 3 23.1 6 9.7 Hooker 0 - 0 - 0 - 0 -Howard 2 28.2 3 8.2 2 29.0 3 8.3 Jefferson 2 23.8 6 14.3 2 24.4 5 12.0 Johnson 0 - 4 14.3 0 - 3 10.9 Kearney 0 - 1 2.5 0 - 0 -Keith 4 54.8 12 26.5 0 - 5 11.2 Keya Paha 0 - 2 40.8 0 - 2 42.6 Kimball 0 - 4 19.2 0 - 3 14.6 Knox 0 - 5 9.8 0 - 1 2.0 Lancaster 39 9.2 193 9.3 23 5.4 115 5.6

Lincoln 38 9.6 184 9.5 22 5.6 108 5.6 Balance of Co. 1 3.5 9 6.5 1 3.5 7 5.1

Lincoln 7 13.5 23 9.1 3 5.8 12 4.8 North Platte 7 17.3 20 10.3 3 7.5 11 5.7 Balance of Co. 0 - 3 5.1 0 - 1 1.7

Logan 0 - 0 - 0 - 0 -Loup 0 - 0 - 0 - 0 -McPherson 0 - 0 - 0 - 0 -Madison 1 1.9 22 7.9 1 1.9 13 4.7

Norfolk 1 2.3 21 9.0 1 2.3 12 5.2 Balance of Co. 0 - 1 2.1 0 - 1 2.1

Merrick 2 20.4 3 7.2 2 20.8 3 7.3 Morrill 1 13.7 7 23.2 1 13.9 4 13.4 Nance 0 - 3 14.4 0 - 1 4.8 Nemaha 2 20.6 4 9.3 1 10.4 3 7.0 Nuckolls 0 - 1 4.1 0 - 0 -Otoe 3 14.9 10 10.3 1 5.0 5 5.2 Pawnee 0 - 0 - 0 - 0 -Perkins 0 - 1 5.3 0 - 1 5.3 Phelps 0 - 10 16.8 0 - 8 13.6 Pierce 0 - 3 6.8 0 - 1 2.3 Platte 5 10.3 24 10.0 1 2.1 14 5.9

Columbus 3 8.0 17 9.2 1 2.7 13 7.1 Balance of Co. 2 18.2 7 12.5 0 - 1 1.8

Polk 0 - 0 - 0 - 0 -Red Willow 2 13.6 10 14.5 1 6.8 7 10.2 Richardson 1 11.5 4 9.5 1 11.6 2 4.8 Rock 0 - 0 - 0 - 0 -Saline 0 - 7 6.7 0 - 2 1.9


128

TABLE 63: Perinatal and Fetal Deaths by Place of Residence, 2008 and 2004-2008 (Cont)


Place Deaths Rate Deaths Rate Deaths Rate Deaths Rate Sarpy 19 7.3 86 6.9 12 4.6 48 3.8

Bellevue 10 10.3 32 7.2 8 8.3 18 4.1 LaVista 0 - 6 4.7 0 - 3 2.4 Papillion 4 11.1 13 7.9 1 2.8 8 4.9 Balance of Co. 5 4.8 35 6.8 3 2.9 19 3.7

Saunders 0 - 9 7.1 0 - 5 4.0 Scotts Bluff 2 3.5 21 7.6 2 3.5 12 4.4

Scottsbluff 1 3.7 12 9.0 1 3.7 5 3.8 Balance of Co. 1 3.4 9 6.4 1 3.4 7 5.0

Seward 0 - 9 9.2 0 - 7 7.2 Sheridan 0 - 1 3.1 0 - 1 3.1 Sherman 0 - 3 18.1 0 - 2 12.2 Sioux 0 - 0 - 0 - 0 -Stanton 0 - 1 2.5 0 - 1 2.5 Thayer 1 20.0 1 3.6 1 20.4 1 3.7 Thomas 0 - 0 - 0 - 0 -Thurston 0 - 11 13.5 0 - 9 11.2 Valley 0 - 0 - 0 - 0 -Washington 2 9.1 13 11.4 2 9.2 10 8.9 Wayne 0 - 8 15.5 0 - 4 7.8 Webster 1 21.3 1 5.6 0 - 0 -Wheeler 1 142.9 1 31.3 1 166.7 1 32.3 York 1 5.6 5 5.6 0 - 3 3.3

Indented - Cities over 10,000 population in 2000 Balance of County

Rates based on small numbers may not be reliable.

Perinatal and fetal death rates are per 1,000 live births.


129

TABLE 64: Fetal Deaths by Cause of Death, 2008 and 2004-2008

Total Total Cause 2008 2004-2008

BIRTH DEFECTS Anencephalus 2 10 Spina Bifida without mention of hydrocephalus 1 2 Encephalocele 0 2 Reduction deformities of brain 0 2 Congenital hydrocephalus 1 1 Other specified defects of brain 0 1 Other specified defects of nervous system 0 2 Other specified defects of face and neck 0 1 Common truncus 1 1 Other specified defects of heart 0 1 Unspecified defects of heart 0 1 Pulmonary artery 1 1 Absence or hypoplasia of umbilical artery 0 1 Other specified defects of circulatory system 0 1 Congenital cystic lung 0 1 Tracheo-esophageal fistula, esophagial atresia and stenosis 0 1 Renal agenesis and dysgenesis 0 6 Cystic kidney disease 0 1 Atresia and stenosis of urethra and bladder neck 1 1 Skull and face bones 1 1 Diaphragm 0 1 Abdominal wall 1 4 Other specified defects of muscle, tendon, fasia and connective tissue 1 1 Down's syndrome 1 12 Patau's syndrome 2 2 Edward's syndrome 1 14 Other conditions due to autosomal defects 0 4 Gonadal dysgenesis 4 14 Conditions due to defect of unspecified chromosome 0 2 Situs inversus 0 1 Multiple defects, so described 1 6 Other specified defects 1 3 Unspecified defect 1 3

MATERNAL CONDITIONS Hypertensive disorders 8 22 Renal and urinary tract diseases 0 1 Infections 1 3 Other chronic maternal circulatory and respiratory diseases 0 2 Injury 0 5 Noxioux influences transmitted via placenta or breast milk 1 2 Other 2 10 Unspecified maternal condition 0 1

MATERNAL COMPLICATIONS OF PREGNANCY Incompetent cervix 3 26 Premature rupture of membranes 8 52 Oligohydramnios 0 6 Polyhydramnios 1 2 Multiple pregnancy 4 20 Other 0 2

COMPLICATIONS OF PLACENTA, CORD AND MEMBRANES Placenta previa 1 2 Placental separation and hemorrhage 12 79 Other abnormalities of placenta 5 36 Placental transfusion syndrome 3 15 (continued on next page)


130

TABLE 64: Fetal Deaths by Cause of Death, 2008 and 2004-2008 (Cont)

Total Total Cause 2008 2004-2008

Prolapsed cord 1 4 Other compression of umbilical cord 12 61 Other and unspecified conditions of umbilical cord 8 40 Chorioamnionitis 10 36 Unspecified abnormality of chorion and amnion 0 1

OTHER COMPLICATIONS OF LABOR AND DELIVERY Malpresentation, malposition and disproportion excluding breech 0 1 Other complications of labor and delivery 3 8

SLOW FETAL GROWTH AND FETAL MALNUTRITION Fetal growth retardation, unspecified 2 4

DISORDERS RELATING TO SHORT GESTATION AND LOW BIRTHWEIGHT Extreme immaturity 2 Other preterm infants 2 9

BIRTH TRAUMA Unspecified birth trauma 1 1

INTRAUTERINE HYPOXIA AND BIRTH ASPHYXIA Unspecified asphyxia in liveborn infant 5 6

OTHER RESPIRATORY CONDITIONS OF FETUS AND NEWBORN Primary atelectasis 0 1

INFECTIONS SPECIFIC TO PERINATAL PERIOD Congenital cytomegalovirus infection 0 1 Other congenital infections 0 3 Other infection specific to the perinatal period 0 2

FETAL AND NEONATAL HEMORRHAGE Umbilical hemorrhage after birth 0 1

HEMOLYTIC DISEASE OF FETUS OR NEWBORN, DUE TO ISOIMMUNIZATION Hemolytic disease due to other and unspecified isoimmunization 0 1 Hydrops fetalis due to isoimmunization 1 1

ENDOCRINE AND METABOLIC DISTURBANCES SPECIFIC TO THE FETUS AND NEWBORN Syndrome of an infant of a diabetic mother 6 23

CONDITIONS INVOLVING THE INTEGUMENT AND TEMPERATURE REGULATION Hydrops fetalis not due to isoimmunization 0 2

OTHER AND ILL-DEFINED CONDITIONS TOTAL

41 173 164 787

17

TABLE 65: Fetal Deaths by Age Group of Mother, Sex, Race, Hispanic Origin and Place of Delivery, 2008

Age of Mother Sex Place of Delivery

14 or under 3 Male 76 Hospital 159 15-19 9 Female 88 Non-Hospital 0 20-24 49 Deceased on 1 25-29 34 Arrival 30-34 37 Unknown 4 35-39 25 Race 40-44 6 White 120 Hispanic Origin* 45 + 1 Black 27 Mexican 14

American Indian 2 Other 4 Other 15

* Persons of Hispanic origin may be any race


131

MARRIAGE AND DIVORCE HIGHLIGHTS

In 2008, 12,353 marriages took place in Nebraska, which is an increase from the 12,163 marriages that occurred here in 2007. The Nebraska resident marriage rate in 2008 was 6.9 marriages per 1,000 population. Long-term trends show that Nebraska’s marriage rate rose sharply during the 1960s, peaking in 1970 at 10.6, and has declined steadily ever since.

Age at marriage continues to increase in Nebraska. In 2008, only 5.9% of all Nebraska marriages involved a teenaged bride or groom; thirty years ago, in 1978, 27.4% of all marriages in Nebraska had at least one teenaged bride or groom. Conversely, nearly half (46.7%) of all Nebraska marriages in 2008 involved either a bride or groom who was at least 30 years of age, up from 25.9% in 1978. The most popular ages for marriages taking place in Nebraska during 2008 were 25 for men and 23 for women; in 1978, the same numbers for Nebraska marriages were 22 for men and 19 for women.

There were 5,885 divorces granted in Nebraska in 2008, which is a decrease from the 2007 count of 6,105. The 2008 number translates into a rate of 3.3 divorces per 1,000 population. Nebraska’s divorce rate rose dramatically during the 1960s and 1970s (along with the number of divorces granted), stabilized during the 1980s, and has declined steadily since the early 1990s.

More divorces were granted to people in their thirties than in any other decade of life, with 45.2% of Nebraska divorces in 2008 involving at least one person between 30 and 39 years of age. Almost one of every four (24.4%) Nebraska divorces in 2008 terminated marriages lasting three years or less, while almost half (48.6%) ended marriages lasting seven years or less. Just over half (50.6%) of the state's 2008 divorces involved couples with children, and of the 5,442 children affected by these divorces, two-thirds (65.3%) were placed solely in custody of the wife. More than half (56.9%) of the state’s 2008 divorces involved a settlement of some type: child support was the most frequent type of settlement and was awarded in 2,314 divorces, followed by property (awarded in 1,581 divorces), medical reimbursement (awarded in 678 divorces), and alimony (awarded in 657 divorces).


132


133


134

TABLE 66: Marriages - Number and Rate by County, 2005-2008

2005 2006 2007 2008 County Number Rate* Number Rate* Number Rate* Number Rate*

TOTAL 12,260 7.0 12,053 6.8 12,164 6.9 12,353 6.9

Adams 208 6.3 206 6.2 242 7.3 198 6.0 Antelope 46 6.6 50 7.2 42 6.2 46 6.9 Arthur 3 7.9 1 2.7 1 2.8 2 5.9 Banner 1 1.4 2 2.6 3 4.1 1 1.4 Blaine 2 4.1 6 12.2 3 6.7 3 7.0 Boone 31 5.4 48 8.5 29 5.2 31 5.7 Box Butte 76 6.7 79 7.1 66 6.0 72 6.5 Boyd 10 4.4 16 7.3 16 7.6 10 4.8 Brown 19 5.7 18 5.4 17 5.3 32 10.2 Buffalo 384 8.8 338 7.7 344 7.6 369 8.1 Burt 42 5.6 39 5.3 36 5.1 48 6.8 Butler 55 6.3 42 4.9 72 8.6 84 10.1 Cass 122 4.7 126 4.9 112 4.4 108 4.2 Cedar 53 5.8 68 7.7 68 8.0 56 6.7 Chase 26 6.7 26 6.8 30 8.1 20 5.5 Cherry 70 11.5 47 7.9 52 9.1 59 10.5 Cheyenne 83 8.3 67 6.8 76 7.6 77 7.7 Clay 26 3.9 31 4.7 34 5.4 30 4.8 Colfax 76 7.3 84 8.3 58 5.8 67 6.7 Cuming 43 4.4 58 6.0 64 6.8 53 5.7 Custer 55 4.8 55 4.9 49 4.5 50 4.6 Dakota 144 7.1 188 9.1 189 9.3 216 10.7 Dawes 65 7.5 59 7.0 46 5.2 57 6.5 Dawson 176 7.1 146 5.8 144 5.8 170 6.9 Deuel 10 5.0 7 3.6 10 5.3 13 6.9 Dixon 54 8.8 37 6.0 38 6.1 52 8.3 Dodge 278 7.7 261 7.2 243 6.7 260 7.2 Douglas 3,619 7.4 3,682 7.5 3,828 7.7 3,835 7.6 Dundy 15 7.0 9 4.3 4 2.0 6 3.0 Fillmore 33 5.2 39 6.2 37 6.1 34 5.7 Franklin 27 7.9 21 6.3 16 5.1 21 6.8 Frontier 13 4.7 17 6.2 16 6.0 22 8.5 Furnas 37 7.4 29 5.8 29 6.1 14 3.0 Gage 147 6.3 164 7.0 142 6.1 115 5.0 Garden 14 7.0 11 5.5 14 7.6 19 10.8 Garfield 17 9.4 19 10.6 13 7.5 12 7.0 Gosper 20 9.9 20 10.1 21 10.7 20 10.4 Grant 5 7.5 3 4.5 2 3.3 1 1.7 Greeley 19 7.6 11 4.5 22 9.5 16 7.0 Hall 380 6.9 403 7.3 388 7.0 389 6.9 Hamilton 59 6.2 74 7.8 60 6.5 41 4.4 Harlan 22 6.4 24 7.0 27 8.0 18 5.4 Hayes 3 2.9 4 3.9 4 4.1 5 5.0 Hitchcock 21 7.1 22 7.5 11 3.9 15 5.3 Holt 65 6.0 68 6.4 76 7.4 69 6.7 Hooker 5 6.7 3 4.0 5 6.8 5 6.8 Howard 35 5.2 40 5.9 38 5.7 55 8.3 Jefferson 55 6.9 43 5.5 53 7.1 42 5.7 Johnson 32 6.8 37 7.9 35 7.8 49 10.9 Kearney 43 6.3 32 4.8 43 6.5 48 7.4


135

TABLE 66: Marriages - Number and Rate by County, 2005-2008 (Cont)

2005 2006 2007 2008 County Number Rate* Number Rate* Number Rate* Number Rate*

Keith 86 10.3 65 7.9 64 8.0 61 7.8 Keya Paha 3 3.3 4 4.5 5 5.9 2 2.4 Kimball 24 6.3 30 8.1 31 8.6 26 7.4 Knox 56 6.3 57 6.5 60 6.9 52 6.1 Lancaster 1,878 7.1 1,817 6.8 1,856 6.7 1,946 7.0 Lincoln 279 7.8 262 7.3 259 7.3 265 7.4 Logan 7 9.5 3 4.0 2 2.7 6 8.2 Loup 3 4.4 1 1.5 4 6.2 0 -McPherson 1 2.0 4 8.0 3 6.0 0 -Madison 251 7.1 243 6.9 252 7.4 227 6.7 Merrick 43 5.3 39 4.9 43 5.6 47 6.1 Morrill 22 4.3 22 4.3 27 5.3 15 3.0 Nance 25 6.8 25 6.7 25 7.0 27 7.6 Nemaha 57 8.2 55 7.6 59 8.4 61 8.6 Nuckolls 42 8.9 24 5.2 33 7.3 24 5.4 Otoe 132 8.5 155 9.8 133 8.5 129 8.3 Pawnee 19 6.6 13 4.6 14 5.2 18 6.9 Perkins 18 5.9 14 4.7 20 6.8 13 4.5 Phelps 69 7.3 53 5.6 73 8.0 63 6.9 Pierce 70 9.2 70 9.3 63 8.6 54 7.5 Platte 272 8.7 254 7.9 233 7.3 250 7.8 Polk 18 3.3 20 3.7 22 4.2 17 3.3 Red Willow 99 9.0 91 8.4 86 8.0 93 8.7 Richardson 71 8.1 53 6.1 60 7.2 62 7.5 Rock 6 3.8 11 7.1 10 6.6 11 7.3 Saline 102 7.2 87 6.1 108 7.8 88 6.4 Sarpy 761 5.5 740 5.2 642 4.4 797 5.3 Saunders 119 5.8 134 6.6 143 7.1 138 6.9 Scotts Bluff 262 7.1 274 7.5 247 6.8 276 7.6 Seward 104 6.2 98 5.8 114 6.9 80 4.8 Sheridan 32 5.6 31 5.6 38 7.0 32 6.0 Sherman 17 5.5 17 5.5 19 6.3 15 5.0 Sioux 4 2.7 5 3.6 4 3.0 3 2.3 Stanton 31 4.7 23 3.5 29 4.5 21 3.3 Thayer 34 6.3 43 8.1 47 9.1 50 9.8 Thomas 7 11.2 1 1.6 2 3.3 4 6.9 Thurston 37 5.0 30 4.1 28 3.9 35 4.9 Valley 29 6.6 22 5.0 25 5.9 33 7.9 Washington 125 6.3 93 4.6 112 5.6 98 4.9 Wayne 61 6.6 73 7.9 51 5.5 46 5.0 Webster 22 5.8 17 4.6 24 6.7 21 6.0 Wheeler 0 - 1 1.2 3 3.7 2 2.5 York 118 8.2 99 6.8 123 8.6 110 7.7

* The number of marriages per 1,000 population by county of occurrence


136

TABLE 67: Number of Marriages by Race of Bride and Groom, 2008

Bride American All

Groom Total White Black Indian Other Unknown White 9,735 9,357 56 32 290 0 Black 521 217 265 7 32 0 American Indian 91 39 1 47 4 0 All Other 497 172 5 8 312 0 Unknown 1,509 0 0 0 213 1,296

Total 12,353 9,785 327 94 851 1,296

TABLE 68: Number of Marriages by Hispanic Origin of Bride and Groom, 2008

Bride Not

Groom Total Hispanic Hispanic Unknown Hispanic 1,189 783 406 0 Not Hispanic 11,158 288 10,869 1 Unknown 6 0 2 4

Total 12,353 1,071 11,277 5

TA

BL

E 6

9: N

um

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of

Mar

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of

Bri

de

and

Gro

om

, 200

8

137


Ag

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roo

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Ag

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40

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45

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50

to

55

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60

to

65

to

70

to

T

ota

l <

18

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

39

44

49

54

59

64

69

74

75+

To

tal

12,3

53

72

189

369

564

653

959

1,03

2 1,

004

907

759

659

547

437

348

350

241

267

212

857

626

529

365

203

99

50

28

27

< 1

8 13

3

7 1

1 1

18

57

10

20

13

7

1 1

1 3

1

19

19

8 17

47

51

43

12

10

6

2 3

3 1

1 1

1 20

27

7 15

36

67

67

40

20

10

4

4 5

1 2

2 2

2 21

46

1 12

25 59

11

1

100

62

34

16

14

5 8

2 2

1 2

1 2

1 2

2

22

636

5

10 49

77

126

171

80

38

25

11 8

11

5 4

6 4

4

2

23

839

4

15 26

65

116

204

222

80

33

19 14

15 5

4 5

2 3

2 2

2 1

24

85

8 2

12

26 45

80 14

8 18

1 15

9 8

1 42

32 12

7 9

5 4

1 2

6 2

2

25

931

1 5

19

43

42

120

144

178

153

87

37

29

15

14

13

14

1 4

9 3

26

825

6 16

24

47

61

10

2 14

5 14

6 10

6 63

22

31

15

9

1 8

10

7 5

1 27

76

8 1

1 10

19

26

45

68

98

11

1 11

3 10

1 64

36

26

18

11

5

3 9

2 1

28

696

1 1

7 16

15

44

50

78

73

93

94

82

47

26

22

7

10

6 22

1

1 29

50

6 1

7 15

12

12

33

42

69

48

58

50

53

34

12

18

15

5

15

5 1

1 30

49

9

1 5

4 9

13

27

47

46

49 54

46 48

37 34

16 22

8

25 7

1

31

385

1 11

3

13

13

25

31

37

34

49

36

26

30

10

18

13

29

4 1

1 32

36

6

4 1

6

5

15

27

22 34

31 36

29 20

29 22

25 11

41

3 5

33

29

1

1 4

3

2

10

15

21 22

28 24

27 21

22 16

21

5 35

8

6

34

257

1 2

2 6

6 10

19

18

10

22

16

20

24

13

20

19

32

12

5

35-3

9 1,

103

1 5

7 8

13

21

21

42

50

65

49

47

63

77

63

72

68

265

117

37

10

1 1

40-4

4 73

9 4

4 5

9

10

9

13

24

17

11

25

27

30

37

218

17

1

91

29

5

45-4

9 59

1 3

1 3

1 5

5

6

4

5

10

9

14

6

6

12

93

160

16

7

65

11

5

50-5

4 41

7 1

2 3

1 1

2 3

3 1

3 3

4

33 83

12

6

107

36 5

55

-59

285

1 2

1 3

2 10

24

59

86

79

15

3

60-6

4 16

9 1

1 9

20

42

45

37

11

2 1

65-6

9 86

1

1 5

5 19

17

22

16

70

-74

43

2 6

8

11 14

75

+

57

1 2

3 6

9

12 22

4


138


139


140

TABLE 70: Divorces - Number and Rate by County, 2005-2008

County 2005 2006 2007 2008

Number Rate* Number Rate* Number Rate* Number Rate* TOTAL


5,830

116 18

0 0 0 9

39 2 9

154 20 28 87 19

7 13 42 19 30 16 50 56 24 60 10 20

119 1,582

5 17 13

7 21 93

2 1 5 2 6

234 33 12

1 6

27 0 9

27 20 22

3.3

3.5 2.6

---

1.6 3.4 0.9 2.7 3.5 2.7 3.2 3.4 2.1 1.8 2.1 4.2 2.8 2.9 1.7 4.4 2.8 2.8 2.4 5.0 3.2 3.3 3.2 2.3 2.7 3.8 2.5 4.2 4.0 1.0 0.6 2.5 3.0 2.4 4.2 3.4 3.5 1.0 2.0 2.5

-1.3 3.4 4.3 3.2

6,065

113 17

1 2 0

13 52

1 11

165 33 18 98 16 11 19 36 16 32 20 37 50 32 91

4 24

112 1,712

5 15

8 6

16 91

5 5 6 2 6

227 40 10

1 8

31 1

19 29 20 18

3.4

3.4 2.5 2.7 2.6

-2.3 4.7 0.5 3.3 3.8 4.5 2.1 3.8 1.8 2.9 3.2 3.6 2.4 3.2 2.1 3.3 2.4 3.8 3.6 2.0 3.9 3.1 3.5 2.4 2.4 2.4 2.2 3.2 3.9 2.5 2.8 3.0 3.0 2.4 4.1 4.2 2.9 1.0 2.7 2.9 1.3 2.8 3.7 4.3 2.7

6,092

101 17

3 0 0

16 49

4 9

136 14 22 94 11 12 15 45 16 28 21 42 41 25 88 10 14

141 1,713

6 15 18 13 17 54

3 7 5 0 1

222 28

8 1

15 26

1 21 21 23 15

3.4

3.1 2.5 8.4

--

2.9 4.5 1.9 2.8 3.0 2.0 2.6 3.7 1.3 3.2 2.6 4.5 2.5 2.8 2.2 3.9 2.0 2.8 3.6 5.3 2.2 3.9 3.4 3.0 2.5 5.7 4.9 3.6 2.3 1.6 4.1 2.5

-0.4 4.0 3.0 2.4 1.0 5.3 2.5 1.4 3.2 2.8 5.1 2.3

5,885

97 14

2 0 0

12 58

5 13

140 19 20 93 15

8 11 50

5 33 34 49 45 20

101 6

18 136

1,637 5

13 5 7

27 85

3 4 8 2 6

236 30

8 2

14 25

3 14 30 17 18

3.3

2.9 2.1 5.9

--

2.2 5.3 2.4 4.1 3.1 2.7 2.4 3.6 1.8 2.2 2.0 5.0 0.8 3.3 3.7 4.5 2.2 2.3 4.1 3.2 2.9 3.8 3.3 2.5 2.2 1.6 2.7 5.8 3.7 1.7 2.3 4.2 3.3 2.6 4.2 3.2 2.4 2.0 4.9 2.4 4.1 2.1 4.1 3.8 2.8


141

TABLE 70: Divorces - Number and Rate by County, 2005-2008 (Cont)

County 2005 2006 2007 2008

Number Rate* Number Rate* Number Rate* Number Rate* Keith Keya Paha Kimball Knox Lancaster Lincoln Logan Loup McPherson Madison Merrick Morrill Nance Nemaha Nuckolls Otoe Pawnee Perkins Phelps Pierce Platte Polk Red Willow Richardson Rock Saline Sarpy Saunders Scotts Bluff Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Wayne Webster Wheeler York

35 1

15 17

965 158

2 2 2

137 21 22

7 24 16 62 16

9 29 21 97 16 32 35

6 35

454 56

150 35 18

9 1

13 18

0 20 10 55 25

8 2

62

4.2 1.1 4.0 1.9 3.6 4.4 2.7 2.9 3.9 3.9 2.6 4.3 1.9 3.4 3.4 4.0 5.6 2.9 3.1 2.8 3.1 3.0 2.9 4.0 3.8 2.5 3.3 2.7 4.1 2.1 3.2 2.9 0.7 2.0 3.3

-2.7 2.3 2.8 2.7 2.1 2.4 4.3

32 1

20 27

901 156

2 2 3

123 19 18 10 15 15 55 10

9 35 10

102 19 53 32

3 41

493 68

183 53 14

5 4

20 13

4 20 13 54 25 15

2 61

3.9 1.1 5.4 3.1 3.4 4.3 2.7 3.0 6.0 3.5 2.4 3.5 2.7 2.1 3.2 3.5 3.6 3.0 3.7 1.3 3.2 3.6 4.9 3.7 1.9 2.9 3.5 3.3 5.0 3.1 2.5 1.6 2.9 3.0 2.4 6.4 2.7 3.0 2.7 2.7 4.1 2.4 4.2

25 0

13 23

1,009 154

0 3 2

110 29 12 13 22 14 47

9 7

37 18

113 12 50 35

4 51

568 63

154 50 25

8 4

27 17

4 13 10 45 17

6 2

60

3.1 -

3.6 2.7 3.7 4.3

-4.7 4.0 3.2 3.8 2.4 3.6 3.1 3.1 3.0 3.4 2.4 4.0 2.5 3.5 2.3 4.7 4.2 2.6 3.7 3.9 3.1 4.2 3.0 4.6 2.7 3.0 4.2 3.3 6.7 1.8 2.3 2.3 1.8 1.7 2.5 4.2

19 0

17 37

920 146

1 0 2

116 26 20 12 25 12 62

6 7

26 15

102 9

48 21

3 40

511 52

129 49 13 15

1 25 12

1 15 13 74 25

8 0

47

2.4 -

4.8 4.4 3.3 4.1 1.4

-3.9 3.4 3.4 4.0 3.4 3.5 2.7 4.0 2.3 2.4 2.8 2.1 3.2 1.8 4.5 2.5 2.0 2.9 3.4 2.6 3.5 2.9 2.4 5.0 0.8 4.0 2.4 1.7 2.1 3.1 3.7 2.7 2.3

-3.3

* The number of divorces per 1,000 population by county

TA

BL

E 7

1: N

um

ber

of

Div

orc

es b

y A

ge

of

Hu

sban

d a

nd

Wif

e, 2

008

142


Ag

e o

f H

usb

and

T

ota

l

Ag

e o

f W

ife

< 2

0 20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

39

40

to

44

45

to

49

50

to

54

55

to

59

60

to

64

65

to

69

70

to

74

75

+

No

t S

ta-

ted

T

ota

l 5,

883

21

41

65

87

118

184

168

194

197

241

200

218

200

197

181

179

172

191

222

167

183

844

661

475

223

98

53

17

24

62

< 2

0 6

2 3

1 20

17

4 5

3 3

1

1

21

27

2 8

6 6

3 1

1

22

62

6 7

10

11 12

6 2

1 3

1 1

1

1

23

75 3

4

15 11

14 9

5 2

3 4

1 1

2

1 24

10

8 1

4 10

13

19

27

17

7

2 2

2 1

2 1

25

134

4 7

16

20

22

20

19

4 8

2 5

1 2

1 2

1 26

16

0 1

1 5

8

18 27

25 24

19 13

6 4

2 3

1

1

1

27

16

7

1 4

5 7

25

20 26

30 12

8 7

3 8

2

2 1

1

1 1

28

20

5

1 1

5 7

20

22 29

35 37

15 8

10

3 2

1 2

1 1

1

1

1

29

168

2 2

2 12

5

23

14

37

24

15

7 5

3 4

3 1

2 1

3 2

1 30

21

9

2 3

2 8

13

17 23

33

34 25

15 5

13

5 4

3 3

2

3 1

3

31

193

1

2 7

9 9

19

16 27

25 28

17 5

6 4

3 6

1 1

5 1

32

18

5 1

2 3

4 10

2

6 15

28

30

20

31

11

5

4 3

1 1

7 1

33

190

3

4 4

5

10 14

8

23 22

27 14

18 9

10

3 1

3 5

4

1

34

175

1

4 8

5

17 11

12 18

16 24

20 8

11

4 1

3 7

1

2

35

169

1

3

4 9

7 4

14

16 15

15 14

19 12

7 6

4

11 3

3

36

191

2 2

2 8

5 9

14

13

17

19

18

21

22

10

7 18

4

37

217

1

2 1

5 4

4

7 9

7

10 23

18 18

22 28

11 7

30

7 3

38

18

0

1

2 1

2 3

3 1

6 5

8 8

12

13 15

25 20

16 26

10 1

39

19

8 1

1 2

1 1

4 3

2 4

9 22

10

15

19

22

24

41

14

1

1 1

40-4

4 84

9

1 2

1 2

5 5

4 9

14

20 18

20 35

36 68

63 74

34

0 88

23 6

2

1

45-4

9 74

9 1

2 4

1 3

5 7

6 4

8 7

16

22

21

15

22

214

278

86

18

1 8

50-5

4 53

5 1

2 1

2 1

3 6

2 7

8 4

11

82

163

189

40

8 1

4 55

-59

319

1 2

2 2

1 2

1 5

4 33

50

11

0 87

14

2

1 2

60-6

4 17

0

1

1

1

2 2

6

22 34

48 41

7

1

65

-69

79

1 6

13

15

21

21

1 1

70-7

4 42

1

13

5 6

16

875

+

40

1 1

1 5

5 6

19

2 N

ot

Sta

ted

54

1

1

2

1 1

2 2

2 1

1 1

2 3

2

11

6 3

1 1

1

3

2

2

1

2

2

2

2

12

4

2

10

TABLE 72: Divorces by Duration of Marriage, 2006-2008


143

Duration of Marriage

2006 2007 2008

Number Percent of Total Number

Percent of Total Number

Percent of Total

Less than 1 year 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years 23 years 24 years 25 years 26 years 27 years 28 years 29 years 30 years 31 years 32 years 33 years 34 years 35-39 years 40-44 years 45-49 years 50-54 years 55-59 years 60-64 years 65-69 years 70-74 years Unknown

147 395 494 472 481 400 423 305 250 256 224 198 188 189 159 136 132 120

94 95

103 73 90 93 80 59 49 47 42 30 31 31 31 27 20 58 21 10

8 1 0 1 0 2

2.4 6.5 8.1 7.8 7.9 6.6 7.0 5.0 4.1 4.2 3.7 3.3 3.1 3.1 2.6 2.2 2.2 2.0 1.5 1.6 1.7 1.2 1.5 1.5 1.3 1.0 0.8 0.8 0.7 0.5 0.5 0.5 0.5 0.4 0.3 1.0 0.3 0.2 0.1 0.0

-0.0

-0.0

156 379 482 455 450 403 374 356 290 276 218 220 209 153 171 147 145 109 132

87 102

85 81 80 72 65 54 45 49 36 30 22 21 24 23 55 26 6 7 3 0 0 0 7

2.6 6.2 7.9 7.5 7.4 6.6 6.1 5.8 4.8 4.5 3.6 3.6 3.4 2.5 2.8 2.4 2.4 1.8 2.2 1.4 1.7 1.4 1.3 1.3 1.2 1.1 0.9 0.7 0.8 0.6 0.5 0.4 0.3 0.4 0.4 0.9 0.4 0.1 0.1 0.0

---

0.1

177 400 448 412 392 371 355 303 278 274 233 193 212 187 145 130 114 142 121 101

84 75 68 79 79 54 53 57 51 39 27 31 15 21 23 84 32

9 8 3 2 0 0 3

3.0 6.8 7.6 7.0 6.7 6.3 6.0 5.1 4.7 4.7 4.0 3.3 3.6 3.2 2.5 2.2 1.9 2.4 2.1 1.7 1.4 1.3 1.2 1.3 1.3 0.9 0.9 1.0 0.9 0.7 0.5 0.5 0.3 0.4 0.4 1.4 0.5 0.2 0.1 0.1 0.0

--

0.1

Total 6,065 100.0 6,105 100.0 5,885 100.0

Percentages may not sum to 100.0 due to rounding.


144

TABLE 73: Number of Divorces by Race of Husband and Wife, 2008

Race of Race of Wife

American All Husband Total White Black Indian Other Unknown

White 4,568 4,415 15 22 78 38 Black 293 83 188 4 9 9 American Indian 40 20 1 17 1 1 All Other 407 147 6 10 241 3 Unknown

Total 577 47 3 2 7 518

5,885 4,712 213 55 336 569

TABLE 74: Number of Divorces by Hispanic Origin of Husband and Wife, 2008

Hispanic Origin of Wife Hispanic Origin Non

of Husband Total Hispanic Hispanic Unknown Hispanic Origin 513 313 189 11 Non Hispanic 4,736 102 4,605 29 Unknown

Total 636 7 16 613

5,885 422 4,810 653


145

TABLE 75: Number of Divorces by Settlement Type, 2008

Settlement Type Number of Divorces

None Alimony Child Support Property Settlement Alimony & Child Support Alimony & Property Settlement Child Support & Property Settlement Alimony, Child Support & Property Settlement Medical Reimbursement Property Settlement & Medical Reimbursement Child Support & Medical Reimbursment Child Support, Property Settlement & Medical Reimb Alimony, Property Settlement & Medical Reimbursement Alimony, Child Support, & Medical Reimbursement Alimony, Child Support, Property & Med. Reimb

2,534 146

1,333 678 225 121 133

37 13 72 50

415 7 3

118 Total 5,885

TABLE 76: Divorces - Number of Children Affected, 2008

Number of Total Number Number of Children of Children Couples per Couple Affected

2,906 0 0 1,228 1 1,228 1,191 2 2,382

435 3 1,305 105 4 420

15 5 75 4 6 1 8

5,885 5,442

24 8

TABLE 77: Divorces - Custody and Number of Children Awarded, 2008

Custody to: Total Number of Children Awarded

One Two Three Four Five Six or More

Husband 332 189 106 28 8 0 1 Wife 1,958 828 766 277 74 9 4 Joint 664 272 272 103 14 3 0 Other 99 51 35 11 0 2 0

Supplemental Tables - Nebraska Births


146

TABLE S1: Principal Source of Payment for Delivery, 2008

Source of Payment Number %

Medicaid 10,049 37.2 Private Insurance 14,691 54.4 Self-Pay 838 3.1 Indian Health Service 24 0.1 CHAMPUS / TRICARE 497 1.8 Other Government 32 0.1 Other 602 2.2 Unknown

Total 259 1.0

26,992 100.0

TABLE S2: WIC/Breastfeeding, 2008

Number % Did mother get WIC food for herself?

Yes 10,579 39.2

WIC mothers who breastfed their infant 7,668 72.5

Non-WIC mothers who breastfed their infant 13,830 84.3

TABLE S3: Weight Change During Pregnancy by Pre-Pregnancy Body Mass Index (BMI), 2008 (for singleton births)

Weight Change Pre-Pregnancy Body Mass Index (BMI)

Total < 19.8 19.8 - 26.0 26.1 - 29.0 > 29.0 Loss 50-99 lbs. 0 0 0 12 12 Loss 25-49 lbs. 0 1 3 47 51 Loss < 25 lbs. 14 147 116 499 776 Gain 1-9 lbs. 21 232 161 691 1,105 Gain 10-20 lbs. 250 1,571 613 1,458 3,892 Gain 21-29 lbs. 683 2,906 763 1,354 5,706 Gain 30-39 lbs. 785 4,109 855 1,242 6,991 Gain 40-49 lbs. 369 2,482 542 681 4,074 Gain 50-99 lbs. 253 1,608 405 566 2,832 Gain 100-149 lbs. 4 20 11 10 45 Unknown Total

38 134 40 77 289 2,417 13,210 3,509 6,637 25,773



147

TABLE S4: Maternal Morbidity, 2008

Percent of Maternal Morbidity Number Births

Maternal Transfusion 68 0.3 Perineal Laceration 1,418 5.3 Ruptured Uterus 4 0.0 Unplanned Hysterectomy 11 0.0 Admit to Intensive Care 22 0.1 Unplanned Operation 244 0.9

TABLE S5: Infections Present, 2008

Percent of Infections Number Births

Gonorrhea 53 0.2 Syphilis 12 0.0 Herpes Simplex (HSV) 332 1.2 Chlamydia 339 1.3 Hepatitis B 25 0.1 Hepatitis C 29 0.1


148


TABLE S6a: Premature Births by County of Residence, 2008 and 2004-2008

County

2008 2004-2008 Premature

Births* Total Births

% Premature Births

Premature Births*

Total Births

% Premature Births

TOTAL


2,598

31 12

0 0 0 4

15 0 1

60 3

13 36

6 5 3

11 7

15 9

13 30

8 37

0 3

46 880

1 6 0 1 3

21 0 0 1 0 5

99 12

2 0 4 9 0

10 8 4 9

26,992

421 82

3 3 6

63 165

18 20

693 58 97

303 126

54 55

157 74

228 102 113 399

83 401

14 76

520 8,533

20 70 36 28 47

275 15 20 13 8

34 999 116

32 9

32 130

8 69 82 48 89

9.6

7.4 14.6

0.0 0.0 0.0 6.3 9.1 0.0 5.0 8.7 5.2

13.4 11.9

4.8 9.3 5.5 7.0 9.5 6.6 8.8

11.5 7.5 9.6 9.2 0.0 3.9 8.8

10.3 5.0 8.6 0.0 3.6 6.4 7.6 0.0 0.0 7.7 0.0

14.7 9.9

10.3 6.3 0.0

12.5 6.9 0.0

14.5 9.8 8.3

10.1

12,938

168 29

0 3 1

21 63 11 14

306 43 49

181 33 25 34 73 33 66 50 69

193 30

174 5

30 265

4,514 4

33 7

11 15

150 5 4 7 3

14 463

62 6 0

15 45

3 38 35 23 39

133,116

2,175 397

23 26 24

292 740

83 145

3,343 377 442

1,584 561 249 347 703 363

1,003 577 629

2,012 493

2,084 101 392

2,503 42,278

93 310 167 145 243

1,405 87 87 97 30

143 4,827

490 159

44 145 620

32 363 415 276 405

9.7

7.7 7.3 0.0

11.5 4.2 7.2 8.5

13.3 9.7 9.2

11.4 11.1 11.4

5.9 10.0

9.8 10.4 9.1 6.6 8.7

11.0 9.6 6.1 8.3 5.0 7.7

10.6 10.7

4.3 10.6

4.2 7.6 6.2

10.7 5.7 4.6 7.2

10.0 9.8 9.6

12.7 3.8 0.0

10.3 7.3 9.4

10.5 8.4 8.3 9.6


149

TABLE S6a: Premature Births by Place of Residence, 2008 and 2004-2008 (Cont)

County

2008 2004-2008

Premature Births*

Total Births

% Premature

Births Premature


% Premature

Births Keith Keya Paha Kimball Knox Lancaster Lincoln Logan Loup McPherson Madison Merrick Morrill Nance Nemaha Nuckolls Otoe Pawnee Perkins Phelps Pierce Platte Polk Red Willow Richardson Rock Saline Sarpy Saunders Scotts Bluff Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Wayne Webster Wheeler York

10 1 5 6

384 71

0 0 0

52 9 4 3 7 4

22 8 5

17 7

42 5

12 11

0 16

279 20 50 17

2 2 0 9 6 0

10 1

24 5 9 1

19

73 8

41 108

4,226 517

6 4 6

537 96 72 43 96 43

200 36 36

126 99

484 54

146 86 15

211 2,605

246 568 190

48 38 12 80 49

6 149

38 218

97 47

6 179

13.7 12.5 12.2

5.6 9.1

13.7 0.0 0.0 0.0 9.7 9.4 5.6 7.0 7.3 9.3

11.0 22.2 13.9 13.5

7.1 8.7 9.3 8.2

12.8 0.0 7.6

10.7 8.1 8.8 8.9 4.2 5.3 0.0

11.3 12.2

0.0 6.7 2.6

11.0 5.2

19.1 16.7 10.6

65 5

20 42

1,877 319

1 3 1

237 35 27 14 31 31

100 23 15 58 34

180 29 54 48

6 82

1,297 118 212

89 20 15

2 37 22

3 54 15

112 33 18

1 88

447 47

205 510

20,684 2,515

46 25 32

2,783 412 298 208 427 245 965 127 187 589 440

2,386 294 683 418

75 1,038

12,502 1,254 2,735

976 321 164

58 405 273

33 804 232

1,127 512 178

31 896

14.5 10.6

9.8 8.2 9.1

12.7 2.2

12.0 3.1 8.5 8.5 9.1 6.7 7.3

12.7 10.4 18.1

8.0 9.8 7.7 7.5 9.9 7.9

11.5 8.0 7.9

10.4 9.4 7.8 9.1 6.2 9.1 3.4 9.1 8.1 9.1 6.7 6.5 9.9 6.4

10.1 3.2 9.8

* Premature births are live births with < 37 weeks of gestation. Gestational age was determined by ultrasound.


150


TABLE S6b: Premature Births by County of Residence, 2008 and 2004-2008

County

2008 2004-2008 Premature


% Premature Births

Premature Births*

Total Births

% Premature Births

TOTAL


3,180

44 11

0 0 0 5

24 2 2

71 3

15 40 13

7 4

14 8

36 13 14 44 11 45

0 10 56

1,052 1 6 5 2 2

25 0 0 3 0 3

117 15

4 0 7

12 0

15 9 6

11

26,992

421 82

3 3 6

63 165

18 20

693 58 97

303 126

54 55

157 74

228 102 113 399

83 401

14 76

520 8,533

20 70 36 28 47

275 15 20 13 8

34 999 116

32 9

32 130

8 69 82 48 89

11.8

10.5 13.4

0.0 0.0 0.0 7.9

14.5 11.1 10.0 10.2

5.2 15.5 13.2 10.3 13.0

7.3 8.9

10.8 15.8 12.7 12.4 11.0 13.3 11.2

0.0 13.2 10.8 12.3

5.0 8.6

13.9 7.1 4.3 9.1 0.0 0.0

23.1 0.0 8.8

11.7 12.9 12.5

0.0 21.9

9.2 0.0

21.7 11.0 12.5 12.4

16,090

215 38

0 4 1

34 84 15 19

362 54 56

189 60 31 42

100 36

132 58 71

303 48

245 7

57 300

5,408 5

30 14 15 21

190 5 5 8 2

13 577

74 11

1 16 70

4 50 46 21 49

133,116

2,175 397

23 26 24

292 740

83 145

3,343 377 442

1,584 561 249 347 703 363

1,003 577 629

2,012 493

2,084 101 392

2,503 42,278

93 310 167 145 243

1,405 87 87 97 30

143 4,827

490 159

44 145 620

32 363 415 276 405

12.1

9.9 9.6 0.0

15.4 4.2

11.6 11.4 18.1 13.1 10.8 14.3 12.7 11.9 10.7 12.4 12.1 14.2 9.9

13.2 10.1 11.3 15.1

9.7 11.8

6.9 14.5 12.0 12.8

5.4 9.7 8.4

10.3 8.6

13.5 5.7 5.7 8.2 6.7 9.1

12.0 15.1

6.9 2.3

11.0 11.3 12.5 13.8 11.1

7.6 12.1


151

TABLE S6b: Premature Births by Place of Residence, 2008 and 2004-2008 (Cont)

County

2008 2004-2008

Premature Births*

Total Births

% Premature

Births Premature


% Premature

Births Keith Keya Paha Kimball Knox Lancaster Lincoln Logan Loup McPherson Madison Merrick Morrill Nance Nemaha Nuckolls Otoe Pawnee Perkins Phelps Pierce Platte Polk Red Willow Richardson Rock Saline Sarpy Saunders Scotts Bluff Seward Sheridan Sherman Sioux Stanton Thayer Thomas Thurston Valley Washington Wayne Webster Wheeler York

12 0 8

11 472

81 1 0 1

65 11

7 5 6 3

36 10

5 17 14 63

5 19 11

0 27

302 20 61 18

3 2 1

10 6 0

15 1

25 6

10 1

22

73 8

41 108

4,226 517

6 4 6

537 96 72 43 96 43

200 36 36

126 99

484 54

146 86 15

211 2,605

246 568 190

48 38 12 80 49

6 149

38 218

97 47

6 179

16.4 0.0

19.5 10.2 11.2 15.7 16.7

0.0 16.7 12.1 11.5

9.7 11.6

6.3 7.0

18.0 27.8 13.9 13.5 14.1 13.0

9.3 13.0 12.8

0.0 12.8 11.6

8.1 10.7

9.5 6.3 5.3 8.3

12.5 12.2

0.0 10.1 2.6

11.5 6.2

21.3 16.7 12.3

67 3

24 66

2,460 364

4 4 2

282 43 36 25 39 32

138 27 18 73 46

247 36 72 58

7 117

1,475 149 293 123

31 22

6 43 27

2 105 17

121 50 20

3 117

447 47

205 510

20,684 2,515

46 25 32

2,783 412 298 208 427 245 965 127 187 589 440

2,386 294 683 418

75 1,038

12,502 1,254 2,735

976 321 164

58 405 273

33 804 232

1,127 512 178

31 896

15.0 6.4

11.7 12.9 11.9 14.5

8.7 16.0

6.3 10.1 10.4 12.1 12.0

9.1 13.1 14.3 21.3

9.6 12.4 10.5 10.4 12.2 10.5 13.9

9.3 11.3 11.8 11.9 10.7 12.6

9.7 13.4 10.3 10.6

9.9 6.1

13.1 7.3

10.7 9.8

11.2 9.7

13.1

* Premature births are live births with < 37 weeks of gestation. Gestational age was determined using a CDC algorithm.


152


TABLE S7: Abnormal Conditions of Newborn, 2008

Percent of Abnormal Conditions of Newborn Number Births Assisted Ventilation 1,235 4.6 Assisted Ventilation > 6 Hours 383 1.4 Admission to NICU 1,984 7.4 Surfactant 205 0.8 Antibiotics 934 3.5 Seizures 19 0.1 Birth Injury 24 0.1

TABLE S8: Congenital Anomalies, 2008

Percent of Congenital Anomalies Number Births Anencephaly 5 0.0 Meningomyelocele/Spina Bifida 13 0.1 Cyanotic Congenital Heart Disease 33 0.1 Congenital Diaphragmatic Hernia 7 0.0 Omphalocele 4 0.0 Gastroschisis 14 0.1 Limb Reduction Defect 12 0.0 Cleft Lip with or without Cleft Palate 16 0.1 Cleft Palate Alone 15 0.1 Down's Syndrome - Confirmed 12 0.0 Down's Syndrome - Pending 9 0.0 Suspected Chromosomal Disorder - Confirmed 7 0.0 Suspected Chromosomal Disorder - Pending 15 0.1 Hypospadias 20 0.1


153

APPENDIX

Selected Tables by Service Area and Health Department

Page intentionally blank

154


155

TABLE 4a: Births by Place of Occurrence and by Usual Residence of the Mother, 2006-2008

2006 2007 2008 2008 Occurrence Residence Occurrence Residence Occurrence Residence Birth Rate*

STATE 26,895 26,723 27,117 26,935 27,082 26,992 15.1

Service Area: Western Service Area 2,355 2,559 2,397 2,596 2,370 2,591 13.7 Central Service Area 3,231 3,073 3,117 3,007 3,260 3,100 14.2 Northern Service Area 2,667 3,677 2,624 3,679 2,674 3,715 14.3 Southeast Service Area 5,947 6,346 5,996 6,428 6,006 6,448 14.0 Eastern Service Area 12,695 11,068 12,983 11,225 12,772 11,138 17.1

Health Department: Dakota County 0 374 1 419 1 399 19.8 Douglas County 12,297 8,548 12,625 8,655 12,404 8,533 17.0 Scotts Bluff County 811 552 827 557 874 568 15.5 Lincoln-Lancaster County 4,967 4,095 5,042 4,170 5,081 4,226 15.2 Central District 1,032 1,149 1,056 1,176 1,094 1,211 16.5 East Central District 738 757 739 763 741 818 16.0 Elkhorn Logan Valley 1,011 817 1,016 800 1,010 777 13.7 Four Corners 368 555 331 525 327 520 11.7 Loup Basin 175 343 145 349 131 328 10.8 North Central District 269 525 253 522 246 535 11.7 Northeast Nebraska 120 476 127 478 115 448 14.4 Panhandle 327 586 339 631 288 610 12.4 Public Health Solutions 344 698 382 724 374 687 12.4 Sarpy/Cass 401 2,821 358 2,881 370 2,908 16.5 South Heartland District 784 606 735 562 790 585 12.3 Southeast District 264 451 241 432 222 466 12.3 Southwest 223 325 262 362 243 372 12.3 Three Rivers 530 974 488 963 561 984 13.0 Two Rivers 1,507 1,419 1,419 1,311 1,476 1,390 14.8 West Central District 727 652 731 655 734 627 13.4

* The number of resident live births per 1,000 population


156

TABLE 5a: Births by Sex, Race and Hispanic Origin, By Service Area and Health Department (Residence), 2008

Total Births

Sex Race Hispanic Origin*Male Female White Black Amer Indian Asian Other

STATE

Service Area: Western Service Area Central Service Area Northern Service Area Southeast Service Area Eastern Service Area

Health Department: Dakota County Douglas County Scotts Bluff County Lincoln-Lancaster County Central District East Central District Elkhorn Logan Valley Four Corners Loup Basin North Central District Northeast Nebraska Panhandle Public Health Solutions Sarpy/Cass South Heartland District Southeast District Southwest Three Rivers Two Rivers West Central District

26,992

2,591 3,100 3,715 6,448

11,138

399 8,533

568 4,226 1,211

818 777 520 328 535 448 610 687

2,908 585 466 372 984

1,390 627

13,760

1,321 1,625 1,851 3,250 5,713

203 4,391

282 2,109

635 414 353 267 171 267 235 312 350

1,481 287 247 202 497 754 303

13,232

1,270 1,475 1,864 3,198 5,425

196 4,142

286 2,117

576 404 424 253 157 268 213 298 337

1,427 298 219 170 487 636 324

20,958

2,111 2,560 2,808 5,561 7,918

189 5,701

434 3,530

838 548 664 495 317 479 299 533 578

2,512 486 427 340 865

1,141 582

1,778

33 40 31

224 1,450

15 1,333

2 219

28 7 7 2 2 0 0 3 0

118 3 2 5 2

26 4

462

74 22

195 76 95

15 82 31 66 13

4 13

1 1

37 121

34 6

14 5 2 0 5 5 7

628

19 29 31

176 373

8 290

4 163

12 10 4 5 2 2 0 8 6

85 12

0 1 7 5 4

3,166

354 449 650 411

1,302

172 1,127

97 248 320 249 89 17

6 17 28 32 97

179 79 35 26

105 213

30

4,268

513552778523

1,902

2161,624

175336363265140

207

183451

107289

903641

118287

51

* Persons of Hispanic origin may be any race.


157

TABLE 7a: Teen Births by Service Area and Health Department (Residence), 2008 and 2004-2008

2008 2004-2008 Teen Total % Teen Teen Total % Teen Births Births Births Births Births Births

STATE 2,311 26,992 8.6 11,222 133,116 8.4

Service Area: Western Service Area 291 2,591 11.2 1,432 12,895 11.1 Central Service Area 298 3,100 9.6 1,361 15,051 9.0 Northern Service Area 342 3,715 9.2 1,742 18,606 9.4 Southeast Service Area 469 6,448 7.3 2,200 31,784 6.9 Eastern Service Area 911 11,138 8.2 4,487 54,780 8.2

Health Department: Dakota County 51 399 12.8 230 2,012 11.4 Douglas County 779 8,533 9.1 3,837 42,278 9.1 Scotts Bluff County 77 568 13.6 385 2,735 14.1 Lincoln-Lancaster County 289 4,226 6.8 1,391 20,684 6.7 Central District 133 1,211 11.0 627 5,729 10.9 East Central District 77 818 9.4 387 3,889 10.0 Elkhorn Logan Valley 77 777 9.9 409 4,142 9.9 Four Corners 32 520 6.2 160 2,608 6.1 Loup Basin 22 328 6.7 106 1,698 6.2 North Central District 38 535 7.1 182 2,664 6.8 Northeast Nebraska 37 448 8.3 247 2,269 10.9 Panhandle 59 610 9.7 312 3,032 10.3 Public Health Solutions 74 687 10.8 288 3,441 8.4 Sarpy/Cass 154 2,908 5.3 740 14,086 5.3 South Heartland District 70 585 12.0 313 2,961 10.6 Southeast District 42 466 9.0 208 2,213 9.4 Southwest 26 372 7.0 149 1,789 8.3 Three Rivers 72 984 7.3 350 4,884 7.2 Two Rivers 141 1,390 10.1 601 6,844 8.8 West Central District 61 627 9.7 300 3,158 9.5

Teen Births = Ages 19 and under


158

TABLE 13a: Births by Trimester Prenatal Care Began and Percent Receiving Inadequate Prenatal Care by Service Area and Health Department (Residence), 2008

Trimester Prenatal Care Began Percent First Second Third Inadequate

Trimester Trimester Trimester None Unknown Care* STATE 19,464 5,708 1,010 158 652 14.6

Service Area: Western Service Area 1,829 628 110 13 11 16.9 Central Service Area 2,209 738 130 17 6 15.3 Northern Service Area 2,656 862 151 18 28 15.8 Southeast Service Area 5,000 1,160 220 47 21 13.3 Eastern Service Area 7,770 2,320 399 63 586 14.3

Health Department: Dakota County 269 108 17 1 4 16.7 Douglas County 5,787 1,835 334 53 524 15.1 Scotts Bluff County 430 114 19 5 0 15.7 Lincoln-Lancaster County 3,350 701 134 29 12 13.0 Central District 766 374 59 9 3 19.6 East Central District 585 197 32 3 1 18.3 Elkhorn Logan Valley 567 156 40 5 9 13.8 Four Corners 393 101 17 9 0 14.6 Loup Basin 238 75 14 1 0 14.0 North Central District 385 117 22 2 9 17.5 Northeast Nebraska 350 86 9 3 0 10.7 Panhandle 447 124 28 6 5 17.7 Public Health Solutions 488 159 35 4 1 16.8 Sarpy/Cass 2,218 542 73 11 64 11.6 South Heartland District 432 114 34 4 1 15.8 Southeast District 332 107 21 1 5 12.6 Southwest 285 72 13 1 1 13.0 Three Rivers 702 233 36 7 6 15.0 Two Rivers 1,012 322 49 3 4 14.1 West Central District 428 171 24 1 3 15.3

* Calculated by using the Kotelchuk Index. The Kotelchuk Index measures adequacy of prenatal care (adequate, inadequate, intermediate) by using a combination of the following factors: number of prenatal visits; gestation; and trimester prenatal care started.


159

TABLE 35a: Deaths by Place of Occurrence and Usual Residence of Deceased, 2006-2008

Occ. 2006 2007 2008 2008

Res. Occ. Res. Occ. Res. Death Rate* STATE

Service Area: Western Service Area Central Service Area Northern Service Area Southeast Service Area Eastern Service Area

Health Department: Dakota County Douglas County Scotts Bluff County Lincoln-Lancaster County Central District East Central District Elkhorn Logan Valley Four Corners Loup Basin North Central District Northeast Nebraska Panhandle Public Health Solutions Sarpy/Cass South Heartland District Southeast District Southwest Three Rivers Two Rivers West Central District

15,060

1,948 2,215 2,268 3,684 4,945

103 4,446

481 2,012

717 357 601 411 294 484 225 468 590 620 457 420 313 628 972 461

14,894

2,092 2,206 2,691 3,696 4,209

171 3,561

432 1,645

699 443 629 467 382 571 302 537 698 854 498 488 392 767 872 486

15,427

1,947 2,183 2,331 3,865 5,101

114 4,542

474 2,125

671 354 583 412 317 529 204 481 625 675 463 433 355 701 941 428

15,256

2,104 2,223 2,725 3,905 4,299

181 3,587

412 1,767

670 448 589 473 409 619 292 568 721 942 500 504 435 806 874 459

15,659

1,965 2,284 2,263 3,922 5,225

95 4,684

512 2,151

730 354 607 399 328 437 246 462 647 671 515 466 339 653 916 447

15,451

2,161 2,282 2,634 3,945 4,429

145 3,702

457 1,830

705 437 629 437 420 528 323 556 737 929 557 549 408 762 856 484

8.7

11.410.410.1

8.56.8

7.27.4

12.56.69.68.6

11.19.8

13.811.510.411.313.3

5.311.714.413.510.1

9.110.3

* The number of resident deaths per 1,000 population


160

TABLE 43a: Deaths by Age Group and Place of Residence, 2008

Age Group < 45 45-64 65-74 75-84 85+

Years Years Years Years Years Total STATE 960 2,407 2,242 4,197 5,645 15,451

Service Areas: Western Service Area 119 315 322 606 799 2,161 Central Service Area 118 285 340 647 892 2,282 Northern Service Area 121 359 356 726 1,072 2,634 Southeast Service Area 209 584 515 1,044 1,593 3,945 Eastern Service Area 393 864 709 1,174 1,289 4,429

Health Department: Dakota County 7 23 24 47 44 145 Douglas County 318 715 567 999 1,103 3,702 Scotts Bluff County 20 67 67 130 173 457 Lincoln-Lancaster County 113 319 229 479 690 1,830 Central District 39 94 99 215 258 705 East Central District 32 55 59 120 171 437 Elkhorn Logan Valley 22 84 90 166 267 629 Four Corners 10 51 46 135 195 437 Loup Basin 11 38 74 120 177 420 North Central District 20 75 58 145 230 528 Northeast Nebraska 17 41 43 90 132 323 Panhandle 22 96 82 159 197 556 Public Health Solutions 27 68 91 204 347 737 Sarpy/Cass 94 193 177 217 248 929 South Heartland District 26 83 73 164 211 557 Southeast District 28 76 81 136 228 549 Southwest 22 40 52 110 184 408 Three Rivers 35 107 115 206 299 762 Two Rivers 60 108 130 227 331 856 West Central District 37 74 85 128 160 484


161

TABLE 44-50a: Deaths by Cause (Top Seven) by Place of Residence, 2008

Cause Chronic Cerebro-

Heart Lung vascular Accidental Alzheimer's Diabetes All Disease Cancer Disease Disease Deaths Disease Mellitus Other

STATE 3,492 3,377 916 825 714 610 470 5,047

Service Area: Western Service Area 524 416 137 112 107 84 59 722 Central Service Area 590 480 140 122 102 82 72 694 Northern Service Area 619 580 149 145 119 140 93 789 Southeast Service Area 859 853 196 228 204 172 112 1,321 Eastern Service Area 900 1,048 294 218 182 132 134 1,521

Health Department: Dakota County 40 27 11 6 6 7 5 43 Douglas County 741 857 242 194 143 117 123 1,285 Scotts Bluff County 113 76 37 26 18 16 10 161 Lincoln-Lancaster County 333 386 118 95 101 66 55 676 Central District 163 150 46 31 26 35 18 236 East Central District 94 97 27 23 31 24 15 126 Elkhorn Logan Valley 176 134 29 27 16 35 18 194 Four Corners 132 91 15 30 19 20 11 119 Loup Basin 128 91 31 22 19 8 10 111 North Central District 129 122 28 26 33 29 23 138 Northeast Nebraska 89 61 25 23 12 9 15 89 Panhandle 133 110 31 25 30 21 11 195 Public Health Solutions 187 165 24 40 37 43 23 218 Sarpy/Cass 197 247 57 33 54 24 14 303 South Heartland District 171 108 29 30 22 9 18 170 Southeast District 128 103 25 45 23 32 15 178 Southwest 91 79 30 22 21 16 15 134 Three Rivers 132 191 38 49 30 38 22 262 Two Rivers 182 183 46 55 45 45 36 264 West Central District 133 99 27 23 28 16 13 145


162

TABLE 66a & 70a: Marriages and Divorces - Number and Rate by Service Area and Health Department, 2008

Marriages Divorces Number Rate* Number Rate**

TOTAL 12,353 6.9 5,885 3.3

Service Area: Western Service Area 1,313 6.9 720 3.8 Central Service Area 1,455 6.7 712 3.3 Northern Service Area 1,822 7.0 804 3.1 Southeast Service Area 3,131 6.8 1,501 3.2 Eastern Service Area 4,632 7.1 2,148 3.3

Health Department: Dakota County 216 10.7 45 2.2 Douglas County 3,835 7.6 1,637 3.3 Scotts Bluff County 276 7.6 129 3.5 Lincoln-Lancaster County 1,946 7.0 920 3.3 Central District 477 6.5 292 4.0 East Central District 375 7.3 159 3.1 Elkhorn Logan Valley 349 6.2 194 3.4 Four Corners 291 6.6 125 2.8 Loup Basin 186 6.1 101 3.3 North Central District 335 7.3 123 2.7 Northeast Nebraska 189 6.1 73 2.3 Panhandle 315 6.4 188 3.8 Public Health Solutions 329 5.9 180 3.3 Sarpy/Cass 905 5.1 604 3.4 South Heartland District 273 5.7 122 2.6 Southeast District 319 8.4 131 3.4 Southwest 188 6.2 118 3.9 Three Rivers 496 6.6 262 3.5 Two Rivers 709 7.5 306 3.3 West Central District 344 7.3 176 3.8

* The number of marriages per 1,000 population ** The number of divorces per 1,000 population

Division of Public Health Health Statistics

PO Box 95026 Lincoln, NE 68509-5026 (402) 471-2241

02/2010 – 350

AA/EOE/ADA

Alternate formats are available upon request. Please contact Health Statistics at (402) 471-2241 or (402) 471-9570 (TDD).

Printed with soy ink on recycled paper.

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