ALABAMA VITAL
STATISTICS
2
0
2
0
This publication was produced by:
DIVISION OF STATISTICAL ANALYSIS
CENTER FOR HEALTH STATISTICS
Izza Cagle, M.P.H.
Director, Division of Statistical Analysis
Division Members:
Jimmy T. Messick, M.S.
Michael Koko, M.D., M.P.H.
Qun Zheng, M.S.
Scott Harris, M.D., M.P.H., State Health Officer
Nicole H. Rushing, M.P.H., Director, Center for Health Statistics
Alabama Department of Public Health
Center for Health Statistics
Division of Statistical Analysis
Post Office Box 5625
Montgomery, Alabama 36103-5625
(334) 206-5429
For additional copies or more information on mortality, natality and other
vital events, please visit http://www.alabamapublichealth.gov/healthstats/.
Informational materials in alternative formats will be made available upon request.
i
TABLE OF CONTENTS
Page
INTRODUCTION
..................................................................................................................................................... 1
FIGURES
Figure 1 Live Birth Rates, Alabama and United States, 1970-2020 ..................................... 3
Figure 2
Live Birth Rates by Race of Mother, Alabama, 1970-2020 .................................... 3
Figure 3
Live Birth Rates by County of Residence, Alabama, 2020 .................................... 5
Figure 4 Percent
of Births to Unmarried Women by Race of Mother,
Alabama, 2000-2020 ............................................................................... 10
Figure 5 Percent
of Births to Teenage Mothers,
Alabama and United States, 1970-2020 ................................................. 22
Figure 6 Percent
of Births to Teenage Mothers by Race of Mother,
Alabama, 2000-2020 ............................................................................... 22
Figure 7 Birth Rates to Teenage Mothers by County of Residence,
Alabama, 2020 ......................................................................................... 25
Figure 8
Death Rates, Alabama and United States, 1970-2020 ........................................ 40
Figure 9
Death Rates by Race, Alabama,1970-2020 ......................................................... 40
Figure 10
Death Rates by County of Residence, Alabama, 2020 ........................................ 42
Figure 11
Infant Mortality Rates, Alabama and United States, 1970-2020 .......................... 77
Figure 12
Neonatal and Postneonatal Mortality Rates, Alabama, 1970-2020 ..................... 77
Figure 13
Marriage and Divorce Rates, Alabama and United States, 2000-2020 ...............
85
BIRTHS
General Data
Table 1 Resident Births and Birth Rates by Race,
Alabama and United States, 1970-2020 ................................................... 2
Table 2 Resident Births and
Birth Rates by County of Residence
and Race of Mother, Alabama, 2020 ......................................................... 4
Table 3
Resident Births by Plurality, Alabama, 1980-2020 ................................................. 6
Table 4 Births by M
ethods of Delivery and Hospitals of Occurrence
with Cesarean Section and Vaginal Birth after Cesarean Rates,
Alabama, 2020 ............................................................................................ 7
Maternal Demographics
Table 5 Total Births, Bi
rths to Unmarried Women and Percent of Births
to Unmarried Women by Race and Age Group of Mother,
Alabama, 2020 .......................................................................................... 9
Table 6 Percent of B
irths to Unmarried Women by Race and
Age Group of Mother, Alabama, 2010-2020 ............................................. 9
Table 7 Number and Perc
ent of Births to Unmarried Women
By Race of Mother, Alabama, 2000-2020 ............................................... 10
Table 8 Number and Percent of Births to Unmarried Women
By County of Residence and Race of Mother,
Alabama, 2020 .......................................................................................... 11
ii
Table 9 Births by Live Birth Order, Race and Age Group of Mother,
Alabama, 2020 .......................................................................................... 12
Prena
tal Care
Table 10 Bi
rths by Trimester Prenatal Care Began and Percent Prenatal Care Began
in First Trimester by County of Residence,
Alabama, 2020 .......................................................................................... 13
Table 11 Births and Percent of Births by the Adequacy of Prenatal
Care and County of Residence,
Alabama, 2020 .......................................................................................... 14
Table 12 Bi
rths by Race, Age Group of Mother and Adequacy of Prenatal Care,
Alabama, 2020 .......................................................................................... 16
Birth Weig
ht
Table 13 Bi
rths by Birth Weight, Race and Age Group of Mother,
Alabama, 2020 .......................................................................................... 17
Table 14 Low W
eight Births and Percent of Low Weight Births by Race,
Alabama, 1970-2020 ................................................................................ 18
Table 15 Low W
eight Births and Percent of Low Weight Births
by County of Residence and Race of Mother,
Alabama, 2020 .......................................................................................... 19
Table 16 Low W
eight Births and Percent of Low Weight Births
by Race and Age Group of Mother, Alabama, 2020 ................................ 20
Teenage Births
Table 17 Num
ber and Percent of Births to Teenage Mothers by Race,
Alabama and United States, 1970-2020 .................................................. 21
Table 18 Num
ber and Percent of Births to Teenage Mothers
by County of Residence and Race of Mother,
Alabama, 2020 .......................................................................................... 23
Table 19 Number and Rate of Births to Teenage Mothers by County of Residence
and Race of Mother, Alabama, 2020 ........................................................ 24
Table 20 Num
ber and Percent of Births to Unmarried Teenage Mothers by Race,
Alabama and United States, 1970-2020 .................................................. 26
Table 21 Num
ber and Percent of Births to Unmarried Teenage Mothers
by County of Residence and Race of M
other,
Alabama, 2020 .......................................................................................... 27
FERTIL
ITY
Table 22 Fert
ility Rates and Age-Specific Birth Rates,
Alabama, 1970-2020 ................................................................................ 28
Table 23 Fer
tility Rates and Age-Specific Birth Rates for White Females,
Alabama, 1970-2020 ................................................................................ 29
Table 24 Fertility Rates and Age-Specific Birth Rates for Black and Other Females,
Alabama, 1970-2020 ................................................................................ 30
iii
ESTIMATED PREGNANCIES
Table 25 Es
timated Pregnancies, Pregnancy Rates and Pregnancy Outcomes
by County of Residence and Race of Female, Alabama, 2020 ............... 31
Table 26
Estimated Pregnancy Rates by Race and Age Group of Female,
Alabama, 2010-2020 ................................................................................ 33
Table 27 E
stimated Pregnancies, Pregnancy Rates and Pregnancy Outcomes
by Race and Age Group of Female, Alabama, 2020 ............................... 34
Table 28 Estimated Teenage Pregnancies, Pregnancy Rates and Pregnancy
Outcomes by County of Residence and Race of Female,
Alabama, 2020 .......................................................................................... 35
FETAL DEAT
HS
Table 29 Fetal
Deaths and Fetal Death Rates by Race,
Alabama and United States, 1970-2020 .................................................. 37
Table 30 F
etal Deaths and Fetal Death Rates by County of Residence
and Race of Mother, Alabama, 2020 ........................................................ 38
DEATHS
General Data
Table 31 Resident Deaths and Death Rates by Race,
Alabama and United States, 1970-2020 .................................................. 39
Table 32
Deaths and Death Rates by County of Residence and Race,
Alabama, 2020 .......................................................................................... 41
Table 33 D
eaths and Death Rates by County of Residence and Sex,
Alabama, 2020 .......................................................................................... 43
Table 34 R
esident Deaths and Death Rates by Month of Occurrence,
Alabama, 2020 .......................................................................................... 44
Causes of Death
Table 35 Res
ident Deaths and Death Rates by Selected Causes, Race and Sex,
Alabama, 2020 .......................................................................................... 45
Table 36 Leadi
ng Causes of Death, Death Percentages and Death Rates
by Race and Sex, Alabama, 2020 ............................................................ 48
Table 37 Leadi
ng Causes of Death and Death Rates by Race and Age Group,
Alabama, 2020 .......................................................................................... 50
Table 38 Selected Causes of Death by Age Group,
Alabama, 2020 .......................................................................................... 52
Heart Di
sease Deaths
Table 39 Alabam
a Heart Disease Deaths and Death Rates by Race and
United States Heart Disease Death Rates, 1970-2020 ........................... 53
Table 40 He
art Disease Deaths and Death Rates
by Age Group, Race and Sex, Alabama, 2020 ........................................ 54
iv
Malignant Neoplasm Deaths
Table 41 Al
abama Malignant Neoplasm Deaths and Death Rates by Race and
United States Malignant Neoplasm Death Rates, 1970-2020 ................. 55
Table 42 Malignant Neoplasm Deaths and Death Rates
by Age Group, Race and Sex, Alabama, 2020 ........................................ 56
Table 43 M
alignant Neoplasm Deaths and Death Rates
by Primary Site and Sex, Alabama, 2020 ................................................ 57
Cerebrovascul
ar Disease Deaths
Table 44 Al
abama Cerebrovascular Disease Deaths and Death Rates by Race and
United States Cerebrovascular Disease Death Rates, 1970-2020 ......... 58
Table 4
5 Cerebrovascular Disease Deaths and Death Rates
by Age Group, Race and Sex, Alabama, 2020 ........................................ 59
Chronic Low
er Respiratory Disease Deaths
Table 46 Al
abama Chronic Lower Respiratory Disease Deaths and Death Rates by Race
and United States Chronic Lower Respiratory Disease Rates,
1980-2020 ................................................................................................. 60
Table 47 C
hronic Lower Respiratory Disease Deaths and Death Rates
by Age Group, Race and Sex, Alabama, 2020 ........................................ 61
Accidental D
eaths
Table 48 Al
abama Accidental Deaths and Death Rates by Race
and United States Accidental Death Rates, 1970-2020 .......................... 62
Table 49 Ac
cidental Deaths and Death Rates by Age Group and Race,
Alabama, 2020 .......................................................................................... 63
Table 50 A
ccidental Deaths and Death Rates by Age Group, Race and Sex,
Alabama, 2020 .......................................................................................... 64
Table 51 A
ccidental Deaths by Type of Accident and Age Group,
Alabama, 2020 .......................................................................................... 65
Diabetes D
eaths
Table 52 Al
abama Diabetes Deaths and Death Rates by Race and
United States Diabetes Death Rates, 1980-2020 .................................... 66
Table 53 Diabetes Deaths and Death Rates by Age Group, Race and Sex,
Alabama, 2020 .......................................................................................... 67
Alzheim
er’s Deaths
Table 54 Al
abama Alzheimer’s Deaths and Death Rates by Race and
United States Alzheimer’s Death Rates, 1980-2020 ................................ 68
Table 55 Alzheim
er’s Deaths and Death Rates by Age Group, Race and Sex,
Alabama, 2020 .......................................................................................... 69
v
Suicide Deaths
Table 56 Alabama Su
icide Deaths and Death Rates by Race and
United States Suicide Death Rates, 1970-2020 ...................................... 70
Table 57 Suicide D
eaths and Death Rates by Age Group, Race and Sex,
Alabama, 2020 .......................................................................................... 71
Homicide Dea
ths
Table 58 Alabama Homicide Deaths and Death Rates by Race and
United States Homicide Death Rates, 1970-2020 ................................... 72
Table 59 Homicide
Deaths and Death Rates by Age Group, Race and Sex,
Alabama, 2020 .......................................................................................... 73
Infant Deaths
Table 60 Infant Deaths and
Infant Mortality Rates by Race,
Alabama and United States, 1970-2020 .................................................. 74
Table 61 Neonatal D
eaths and Neonatal Mortality Rates by Race,
Alabama and United States, 1970-2020 .................................................. 75
Table 62 Postneonatal
Deaths and Postneonatal Mortality Rates by Race,
Alabama and United States, 1970-2020 .................................................. 76
Table 63 Infant Deat
hs and Infant Mortality Rates by
County of Residence and Race,
Alabama, 2020 .......................................................................................... 78
Table 64 Infant Deaths and Infant Mortality Rates by Age at Death and Race,
Alabama, 2020 .......................................................................................... 79
Table 65 Infant Deat
hs and Infant Mortality Rates by Live Birth Order,
Alabama, 2020 .......................................................................................... 79
Table 66 Infant Deat
hs and Infant Mortality Rates by Cause of Death
and Race of Child, Alabama, 2020 ........................................................... 80
Table 67 Infant Deat
hs and Infant Mortality Rates by Race of Child
and Age Group of Mother, Alabama, 2020 .............................................. 83
Table 68 Infant Deaths and Infant Mortality Rates by
Weight at Birth and Race of Child,
Alabama, 2020 .......................................................................................... 83
Table 69 Infant Deaths
and Infant Mortality Rates by
Plurality at Birth, Race and Sex, Alabama, 2020 ..................................... 84
Table 70 Infant Deat
hs and Infant Mortality Rates
by Adequacy of Prenatal Care and Race,
Alabama, 2020 .......................................................................................... 84
MARRIAGES AND DIV
ORCES
Table 71 Numbers and R
ates of Marriages and Divorces,
Alabama and United States, 1970, 1980, 1990, 1995, 2000-2020 .......... 85
Table 72 Numbers and
Rates of Marriages and Divorces
by Issuing County,
Alabama, 2020 .......................................................................................... 86
Table 73 Marr
iages and Marriage Rates by Month of Occurrence,
Alabama, 2020 .......................................................................................... 87
Table 74 Marriages
by Race of Spouse,
Alabama, 2020 .......................................................................................... 87
vi
Table 75 Marriages by Previous Marital Status of Spouse,
Alabama, 2020 .......................................................................................... 87
Table 76 Marriages by Age Group of Spouse
,
Alabama, 2020 .......................................................................................... 88
Table 77 Divorces and Annulments by Dura
tion of Marriage
and Number of Minor Children,
Alabama, 2020 .......................................................................................... 89
Table 78 Divorces and Annulments by Part
y to Whom Granted,
Alabama, 2020 .......................................................................................... 90
Table 79 Divorces and Annulments by Race of Spouse,
Alabama, 2020 .......................................................................................... 90
Table 80 Divorces and Annulments by Legal G
rounds for Decree,
Alabama, 2020 .......................................................................................... 90
Table 81 Divorces and Annulments by Age
Group of Spouse,
Alabama, 2020 .......................................................................................... 91
POPULATION
Table 82 Estimated Population by County of Resi
dence, Race and Sex,
Alabama, 2020 .......................................................................................... 92
Table 83 Estimated Population by Age Group
, Race and Sex,
Alabama, 2020 .......................................................................................... 93
APPENDIX A
Technical Notes .......................................................................................................................... 96
Sources of Data ................................................................................................................ 96
Quality and Completeness of Data ....................................................................................97
Residence Data ................................................................................................................ 98
Population Denominators ................................................................................................. 98
Race ...................................................................................................................................99
Cause of Death ................................................................................................................ 100
Handling of Unknowns ..................................................................................................... 101
Data Techniques .............................................................................................................. 101
Small Number Limitations ................................................................................................ 102
Definitions .................................................................................................................................. 103
APPENDIX B
Alabama Vital Statistics Formulas ............................................................................................. 108
Adequacy of Prenatal Care Utilization Index
..
.......................................................................... 111
Grams Conversion Table........................................................................................................... 112
APPENDIX C
NCHS 113 Selected Causes of Death ...................................................................................... 114
Selected Causes o
f Infant Death ............................................................................................... 118
INTRODUCTION
This Alabama Vital Statistics publication is intended to be a one-volume
reference on pregnancy, mortality, marriage and divorce for frequently requested data
obtained from Alabama vital records. Technical notes and definitions are included in
an appendix to give the user background on how the various data items are collected
and tabulated. Footnotes are also shown on tables to provide further explanations and
cautions to the user.
Data from Alabama vital records is also available in the publication County
Health Profiles which contains a two-page summary of vital statistics for each county in
Alabama. The intent is to give the user in need of county information an easy way to
locate the data.
Tables from this publication, County Health Profiles, and other publications of
the Alabama Center for Health Statistics are available online and may be accessed
through the Alabama Department of Public Health’s website at http://www.
alabamapublichealth.gov/healthstats. You will see a listing of our publications from
years 2005-2020 through menu option “Publications” on the left side of the screen.
The Center for Health Statistics also provides more interpretative analysis of the
data contained in this publication in a variety of other reports, graphs, charts and
special topic-specific publications. Many of these publications may also be found on
the website.
1
ADPH|CHS AVS (2020)
1970 67,570 19.6 18.4 45,479 17.9 17.4 22,091 24.3 25.1
1971 66,750 19.1 17.2 44,209 17.2 16.1 22,541 24.4 24.6
1972 61,765 17.4 15.6 40,134 15.4 14.5 21,631 23.1 22.8
1973 59,442 16.6 14.8 38,778 14.7 13.8 20,664 21.8 21.7
1974 59,342 16.2 14.8 38,642 14.4 13.9 20,700 21.6 21.2
1975 57,922 15.7 14.6 37,565 13.9 13.6 20,357 21.0 21.0
1976 57,895 15.6 14.6 37,415 13.6 13.6 20,480 20.9 20.8
1977 61,927 16.4 15.1 40,286 14.5 14.1 21,641 21.9 21.6
1978 60,108 15.8 15.0 38,646 13.7 14.0 21,462 21.4 21.6
1979 62,494 16.2 15.6
39,805 14.0 14.5 22,689 22.4 22.2
1980 63,405 16.3 15.9
40,624 14.1 14.9 22,781 22.3 22.5
1981 61,497 15.6 15.8
39,667 13.6 14.8 21,830 21.1 22.0
1982 60,296 15.1 15.9
38,895 13.2 14.9
21,401 20.5 21.9
1983 59,057 14.4 15.5 38,464 12.7 14.6
20,593 19.4 21.3
1984 59,104 14.3 15.5 38,255 12.5 14.5 20,849 19.5 21.2
1985 59,663 14.3 15.8 39,042 12.6 14.8 20,621 19.2 21.4
1986 59,441 14.5 15.6 38,632 12.8 14.5 20,809 19.3 21.4
1987 59,558 14.4 15.7 38,826 12.7 14.5 20,732 19.0 21.7
1988 60,718 14.5 15.9 39,155 12.7 14.7 21,563 19.5 22.5
1989 62,530 14.7 16.3 40,100 12.8 15.0 22,430 20.0 23.1
1990 63,420 15.7 16.7 41,072 13.8 15.8 22,348 21.0 21.7
1991 62,798 15.4 16.3 40,660 13.6 15.4 22,138 20.5 21.1
1992 62,226 15.3 15.9 40,144 13.4 15.0 22,082 20.6 20.5
1993 61,588 15.1 15.5 39,848 13.2 14.7 21,740 20.2 19.8
1994 60,836 14.8 15.2 39,579 13.1 14.4 21,257 19.7 19.0
1995 60,264 14.7 14.8 39,660 13.1 14.2 20,604 19.0 17.9
1996 60,460 14.6 14.7 40,142 13.2 14.1 20,318 18.6 17.5
1997 60,887 14.7 14.5 40,419 13.3 13.9 20,468 18.7 17.3
1998 62,025 14.9 14.6 41,486 13.6 14.0 20,539 18.6 17.4
1999 62,070 14.9 14.5 41,689 13.6 13.9 20,381 18.4 17.2
2000 63,166 14.2 14.7 41,946 13.3 14.1 21,220 16.5 17.6
2001 60,295 13.4 14.1 40,470 12.7 13.7 19,825 15.2 16.2
2002 58,867 13.0 13.9 39,845 12.5 13.5 19,022 14.3 15.9
2003 59,356
13.2
14.1
40,667 12.7
13.6
18,689 14.5
15.9
2004 59,170 13.0 14.0 40,140 12.3 13.5 19,030 14.6 16.1
2005 60,262 13.2 14.0 40,895 12.6 13.4 19,367 14.8 16.2
2006 62,915 13.7 14.2 42,369 12.9 13.7 20,546 15.5 16.7
2007 64,180 13.9 14.3 42,986 13.1 13.8 21,194 15.8 16.4
2008 64,345 13.8 14.0 42,897 13.0 13.5 21,448 15.9 16.0
2009 62,476 13.3 13.5 41,963 12.6 13.0 20,513 15.0 15.4
2010 59,979 12.5 13.0 40,193 12.3 12.5 19,786 13.2 14.7
2011 59,322 12.4 12.7 39,770 11.8 12.2 19,552 13.6 14.5
2012 58,381 12.1 12.6 38,637 11.5 12.1 19,744 13.6 14.5
2013 58,162 12.0
12.4
38,604 11.4
12.0
19,558 13.4
14.2
2014 59,532 12.3
12.5
39,488 11.7
12.1
20,044 13.6
14.2
2015 59,651 12.3 12.4 39,632 11.7 12.0 20,019 13.5 13.9
2016
59,090 12.2 12.2 39,241 11.6 11.7 19,849 13.3 14.0
2017 58,936 12.1 11.8 38,728 11.5 11.3 20,208 13.5 13.9
2018 57,754 11.8 11.6 38,149 11.3 11.2 19,605 13.0 13.2
2019 58,615 12.0 11.4 37,985 11.2 11.0 20,630 13.6 12.9
2020 57,643
11.7 11.0 37,492
11.0
10.6 20,151 13.2
12.2
RATE
ALABAMA
1
Rate is per 1,000 population in specified group. See formula in Appendix B.
ALABAMA
RATE
U.S.
U.S.
RATE
U.S.
RATE
TABLE 1
RESIDENT BIRTHS AND BIRTH RATES
1
BY RACE
2
YEAR
ALABAMA AND UNITED STATES, 1970-2020
BLACK AND OTHER
NUMBER
NUMBER
NUMBER
TOTAL
WHITE
RATE
ALABAMA
RATE
2
ADPH|CHS AVS (2020)
FIGURE 1. LIVE BIRTH RATES
ALABAMA AND UNITED STATES, 1970-2020
ALABAMA, 1970-2020
FIGURE 2. LIVE BIRTH RATES BY RACE OF MOTHER
11.7
11.0
0.0
5.0
10.0
15.0
20.0
25.0
30.0
1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 2020
Rate Per 1,000 Population
AL U.S.
11.0
13.2
0.0
5.0
10.0
15.0
20.0
25.0
30.0
1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 2020
Rate Per 1,000 Population
White Black and Other
3
ADPH|CHS AVS (2020)
TOTAL 57,643 11.7 37,492 11.0 20,151 13.2
Autauga 709 12.6 498 11.7 211 15.5
Baldwin 2,293 10.0 1,980 9.9 313 10.9
Barbour 279 11.3 103 8.6 176 14.0
Bibb 258 11.7 192 11.3 66 12.8
Blount 648 11.2 627 11.3 21 8.4
Bullock 114 11.4 32 12.0 82 11.2
Butler 224 11.5 89 8.8 135 14.4
Calhoun 1,263 11.1 921 10.8 342 12.0
Chambers 380 11.6 237 12.7 143 10.1
Cherokee 233 8.9 221 9.0 12 6.5
Chilton 574 12.9 512 13.2 62 10.8
Choctaw 141 11.4 84 11.8 57 10.8
Clarke 289 12.4 139 11.3 150 13.6
Clay 160 12.2 129 11.8 31 14.1
Cleburne 164 11.0 157 11.1 7 9.1
Coffee 712 13.4 545 13.5 167 12.9
Colbert 644 11.6 518 11.7 126 11.5
Conecuh 112 9.5 47 7.7 65 11.3
Coosa 86 8.1 66 9.2 20 5.7
Covington 431 11.7 338 10.9 93 16.1
Crenshaw 156 11.4 109 11.1 47 12.2
Cullman 967 11.4 942 11.6 25 7.0
Dale 676 13.8 487 13.5 189 14.6
Dallas 464 12.9 98 9.9 366 14.0
DeKalb 791 11.0 700 10.6 91 17.1
Elmore 887 10.8 664 10.7 223 11.1
Escambia 438 12.1 257 11.4 181 13.1
Etowah 1,171 11.4 867 10.5 304 15.1
Fayette 169 10.4 143 10.3 26 11.2
Franklin 384 12.2 339 11.8 45 16.7
Geneva 290 11.0 252 11.0 38 11.0
Greene 108 13.5 13 8.9 95 14.5
Hale 182 12.4 70 11.8 112 12.8
Henry 161 9.3 113 9.1 48 9.9
Houston 1,337 12.5 793 10.9 544 16.1
Jackson 516 10.0 486 10.3 30 6.8
Jefferson 7,922 12.1 4,177 12.1 3,745 12.1
Lamar 161 11.7 149 12.4 12 6.9
Lauderdale 886 9.5 736 9.1 150 12.1
Lawrence 333 10.1 303 11.8 30 4.2
Lee 1,844 11.1 1,230 10.4 614 12.6
Limestone 1,135 11.1 959 11.6 176 9.0
Lowndes 115 11.9 19 7.7 96 13.4
Macon 186 10.4 35 11.1 151 10.3
Madison 4,340 11.4 2,898 11.1 1,442 12.2
Marengo 234 12.5 84 9.7 150 14.9
Marion 320 10.8 305 10.9 15 8.2
Marshall 1,463 15.1 1,134 12.6 329 46.2
Mobile 5,301 12.8 2,717 11.2 2,584 15.2
Monroe 203 9.9 102 9.0 101 11.0
Montgomery 3,138 14.0 851 10.9 2,287 15.6
Morgan 1,464 12.2 1,185 12.0 279 13.4
Perry 112 12.9 26 9.8 86 14.3
Pickens 178 9.0 78 6.8 100 12.0
Pike 359 10.9 193 10.2 166 11.8
Randolph 257 11.2 207 11.5 50 10.0
Russell 772 13.3 383 13.3 389 13.2
St. Clair 977 10.8 862 10.9 115 9.8
Shelby 2,230 10.1 1,841 10.1 389 9.8
Sumter 133 10.9 32 10.0 101 11.2
Talladega 931 11.6 540 10.6 391 13.6
Tallapoosa 400 10.0 240 8.5 160 13.4
Tuscaloosa 2,570 12.2 1,392 10.4 1,178 15.4
Walker 725 11.5 663 11.5 62 10.8
Washington 187 11.7 127 12.0 60 11.2
Wilcox 128 12.5 29 10.2 99 13.4
Winston 228 9.7 227 10.1 1 1.0
TABLE 2
RESIDENT BIRTHS AND BIRTH RATES
1
RATENUMBER NUMBER
BY COUNTY OF RESIDENCE AND RACE OF MOTHER
ALABAMA, 2020
BLACK AND OTHER
RATE
NUMBER
COUNTY
WHITETOTAL
RATE
1
Rate is per 1,000 population in specified group. See formula in Appendix B. Use caution with rates derived from small numbers. Rates which apply to
populations under 1,000 are shaded.
4
ADPH|CHS AVS (2020)
Figure 3. LIVE BIRTH RATES BY COUNTY OF RESIDENCE
ALABAMA, 2020
10.5 and under
10.6-11.5
11.6-12.5
12.6 and above
5 ADPH|CHS AVS (2020)ADPH|CHS AVS (2020)
1980 63,405 62,148 1,237 20 0
1981 61,497 60,089 1,385 23 0
1982 60,296 59,042 1,231 23 0
1983 59,057 57,766 1,268 14 9
1984 59,104 57,819 1,270 15 0
1985 59,663 58,434 1,184 41 4
1986 59,441 58,127 1,297 13 4
1987 59,558 58,235 1,287 36 0
1988 60,718 59,294 1,389 33 2
1989 62,530 61,153 1,341 36 0
1990 63,420 61,874 1,488 54 4
1991 62,798 61,273 1,479 46 0
1992 62,226 60,711 1,457 49 9
1993 61,588 60,042 1,507 37 2
1994 60,836 59,215 1,573 32 16
1995 60,264 58,780 1,408 68 8
1996 60,460 58,784 1,595 62 19
1997 60,887 59,117 1,661 97 12
1998 62,025 60,118 1,803 87 17
1999 62,070 60,208 1,762 91 9
2000 63,166 61,032 2,018 98 18
2001 60,295 58,241 1,923 115 16
2002 58,867
56,882 1,850 124 11
2003 59,356 57,406 1,848 94
8
2004 59,170 57,101 1,945 115
9
2005 60,262 58,180 1,954 108
20
2006 62,915 60,638 2,177 94
6
2007 64,180 62,001 2,109 62
8
2008 64,345 62,173 2,055 93
24
2009 62,476 60,315 2,075 78
8
2010 59,979 57,772 2,114 80
13
2011 59,322 57,337 1,888 83
14
2012 58,381 56,386 1,882 104
9
2013 58,162 56,155 1,924 83
0
2014 59,532 57,417 2,072 39
4
2015 59,651 57,438 2,110 91
12
2016 59,090 56,819 2,180 74 17
2017 58,936 56,767 2,066 86 17
2018 57,754 55,648 2,015 87 4
2019 58,615 56,573 1,997 40 5
2020 57,643 55,471 2,095 77 0
TABLE 3
RESIDENT BIRTHS BY PLURALITY
ALABAMA, 1980-2020
YEAR TOTAL
SINGLE
BIRTHS
TWINS
Note: This table gives the number of live born individuals who were part of a single, twin, triplet, quadruplet or
TRIPLETS
QUADRUPLETS
OR GREATER
greater pregnancy; however, this table does not refer to the number of deliveries.
6
ADPH|CHS AVS (2020)
COUNTY AND HOSPITAL Total Vaginal
Vaginal After
Cesarean
Section
Primary
Cesarean
Section
Repeat
Cesarean
Section
Unknown
Cesarean
Section
Rate
2
Vaginal After
Cesarean
Section Rate
3
TOTAL
56,333 35,741 864 12,438 7,283 7 35.0 10.6
BALDWIN
North Baldwin Infimary
240 131 1 70 38 0 45.0 2.6
South Baldwin Medical Center
583 373 0 199 11 0
36.0 0.0
Thomas Hospital
1,309 920 18 215 156 0
28.3 10.3
BIBB
Bibb Medical Center 82 53 2 14 13 0 32.9 13.3
CALHOUN
Regional Medical Center-Anniston
1,960 1,283 34 408 235 0 32.8 12.6
CLARKE
Grove Hill Memorial Hospital 134 66 0 40 28 0 50.7 0.0
COFFEE
Medical Center Enterprise 903 588 24 159 132 0 32.2 15.4
COLBERT
Helen Keller Memorial Center 671 449 2 118 102 0 32.8 1.9
COVINGTON
Andalusia Regional Hospital 338 254 9 36 39 0 22.2 18.8
CULLMAN
Cullman Regional Medical Center 610 419 20 92 79 0 28.0 20.2
DALLAS
Vaughn Regional Medical Center 427 279 0 135 13 0 34.7 0.0
DEKALB
DeKalb Regional Medical Center 639 458 7 114 60 0 27.2 10.4
ESCAMBIA
D.W. McMillan Memorial Hospital 187 87 1 54 45 0 52.9 2.2
ETOWAH
Gadsden Regional Medical Center 833 630 17 74 112 0 22.3 13.2
HOUSTON
Flowers Hospital 1,363 818 13 311 221 0 39.0 5.6
Southeast Alabama Medical Center 1,607 994 21 331 261 0 36.8 7.4
JACKSON
Highland Medical Center 280 189 2 50 39 0 31.8 4.9
JEFFERSON
Brookwood Medical Center 3,000 1,825 35 860 280 0 38.0 11.1
Grandview Medical Center 2,081 1,340 1 662 78 0 35.6 1.3
Princeton Baptist Medical Center 508 339 42 61 66 0 25.0 38.9
St. Vincent's Birmingham 3,613 2,307 66 773 466 1 34.3 12.4
UAB Medical West 334 226 0 105 3 0 32.3 0.0
University of Alabama Hospital
3,890 2,413 144 802 531 0 34.3 21.3
TABLE 4
BIRTHS BY METHODS OF DELIVERY AND HOSPITALS
1
OF OCCURRENCE
WITH CESAREAN SECTION AND VAGINAL BIRTH AFTER CESAREAN RATES
ALABAMA, 2020
1
Only hos
pitals with 20 or more live births are listed by names. Caution should be exercised in using rates derived from small numbers.
7
ADPH|CHS
AVS (2020)
2, 3
See Appendix
B for formulas to calculate rates.
COUNTY AND HOSPITAL Total Vaginal
Vaginal After
Cesarean
Section
Primary
Cesarean
Section
Repeat
Cesarean
Section
Unknown
Cesarean
Section
Rate
2
Vaginal After
Cesarean
Section Rate
3
LAUDERDALE
North Alabama Medical Center 1,313 877 13 231 192 0 32.2 6.3
LEE
East Alabama Medical Center 2,158 1,420 50 352 336 0 31.9 13.0
LIMESTONE
Athens-Limestone Hospital 419 298 3 78 40 0 28.2 7.0
MADISON
Crestwood Medical Center 1,283 765 28 271 219 0 38.2 11.3
Huntsville Hospital 4,425 2,781 77 1,022 545 0 35.4 12.4
Madison Hospital 1,273 858 20 196 199 0 31.0 9.1
MARSHALL
Marshall Medical Center North 540 415 16 54 55 0 20.2 22.5
Marshall Medical Center South 799 558 21 147 73 0 27.5 22.3
MOBILE
Mobile Infirmary Medical Center 809 426 2 244 137 0 47.1 1.4
Providence Hospital
1,498 947 9 389 153 0 36.2 5.6
Springhill Memorial Hospital 1,482 800 5 497 180 0 45.7 2.7
USA Children's and Women's Hospital
2,354 1,326 64 561 403 0 41.0 13.7
MONROE
Monroe County Hospital
184 85 2 36 61 0 52.7 3.2
MONTGOMERY
Baptist Medical Center East 3,619 2,254 19 787 559 0 37.2 3.3
Baptist Medical Center South 712 394 4 171 143 0 44.1 2.7
Jackson Hospital 1,272 758 3 286 225 0 40.2 1.3
MORGAN
Decatur Morgan Hospital
353 248 3 59 43 0 28.9 6.5
SHELBY
Shelby Baptist Medical Center 930 614 12 158 146 0 32.7 7.6
TALLADEGA
Coosa Valley Medical Center 528 310 0 118 100 1 41.4 0.0
TALLAPOOSA
Russell Hospital 308 136 1 89 82 0 55.5 1.2
TUSCALOOSA
DCH Regional Medical Center 1,753 1,125 22 468 137 0 34.5 13.8
Northport Medical Center 1,517 913 22 341 241 5 38.5 8.4
WALKER
Walker Baptist Medical Center 831 626 0 199 6 0 24.7 0.0
All Other Hospitals
12 10 1 1 0 0 8.3 100.0
Out of Hospital
369 356 8 0 0 5 0.0 100.0
2, 3
See Appendix B for formulas to calculate rates.
ALABAMA, 2020
WITH CESAREAN SECTION AND VAGINAL BIRTH AFTER CESAREAN RATES
BIRTHS BY METHODS OF DELIVERY AND HOSPITALS
1
OF OCCURRENCE
1
Only hospitals with 20 or more live births are listed by names. Caution should be exercised in using rates derived from small numbers.
TABLE 4 (Continued)
8
ADPH|CHS
AVS (2020)
ADPH|CHS
AVS (2020)
ADPH|CHS
AVS (2020)
57,643 37,492 20,151 27,877
12,720 15,157
48.4 33.9 75.2
50 22 28
50
22 28 100.0 --- ---
927
492 435
885
455 430 95.5 92.5 98.9
2,860 1,669 1,191
2,512
1,362 1,150 87.8 81.6 96.6
14,577 8,811 5,766
10,111
4,866 5,245 69.4 55.3 91.0
18,216 12,050 6,166
7,976
3,318 4,658 43.8 27.5 75.6
13,887 9,719 4,168
4,222
1,790 2,432 30.4 18.4 58.4
5,938
3,998 1,940
1,720
735 985 29.0 18.4 50.8
1,120 692 428
383
166 217 34.2 24.0 50.7
65 37 28
16
5 11 24.6 --- ---
3
2 1
2
1 1 --- --- ---
41.9
42.1 42.6 42.2 43.2 43.8 44.7
47.1
46.8
48.3
48.4
99.1
96.8 98.8 98.4 98.4 100.0 ---
---
---
---
100.0
91.3
93.5 93.4 91.2 92.3 93.0 94.5
95.5
95.2
95.5
95.5
78.2
78.1 79.3 77.9 80.4 79.7 82.2
86.1
86.4
87.8
87.8
56.8
58.6 59.9 60.4 61.6 63.5 64.5
67.4
67.1
68.9
69.4
31.4
31.4 32.1 32.9 35.2 36.6 38.2
41.4
41.5
43.4
43.8
20.2
21.4 21.9 22.3 24.0 24.3 25.7
27.4
28.6
29.6
30.4
19.3
18.3 21.5 20.6 22.9 24.1 24.3
27.8
26.2
29.6
29.0
18.0
20.6 20.6 22.6 25.0 22.4 29.2
28.3
27.0
29.4
37.2
--- 19.6 --- 19.3 --- 20.4 ---
18.5
13.8
25.8
24.6
27.6
27.9 28.3 28.3 29.2 29.9 30.6
33.3
32.8
34.0
33.9
97.3 91.9 97.1 96.3 96.6 --- --- --- ---
---
---
84.5 88.9 88.6 86.1 87.4 88.7 90.9
92.8
91.6
92.6
92.5
66.0 65.2 68.4 66.6 71.1 70.5 73.4
79.2
79.8
81.5
81.6
40.2 41.7 43.1 44.3 45.0 47.3 48.9
52.6
52.4
55.1
55.3
18.1 18.7 18.8 19.4 21.1 22.5 23.1
26.6
26.0
27.1
27.5
11.3 12.3 12.0 12.6 13.9 14.2 15.9
17.4
17.6
17.6
18.4
11.4 11.6 13.5 12.7 13.7 16.4 15.3
17.6
17.2
19.3
18.4
10.5 15.6 13.1 15.3 17.9 16.3 21.7
21.1
18.4
22.5
24.0
--- --- --- --- --- --- ---
--- ---
---
---
71.0 70.8 70.6 69.8 71.0 71.5 72.6 73.4 74.0 74.7 75.2
100.0 100.0 100.0 100.0 100.0 --- --- --- ---
---
---
98.9 99.1 99.1 98.1 99.0 98.4 98.7
99.1
99.0
98.8
98.9
95.3 95.9 94.4 94.9 95.3 94.7 95.4
97.1
96.3
96.2
96.6
83.9 85.0 85.6 84.8 86.8 87.2 88.3
89.4
90.6
90.4
91.0
63.1 62.7 63.0 63.7 66.0 68.3 70.8
71.4
73.9
73.8
75.6
45.4 46.5 47.8 46.9 49.9 50.5 51.5
53.3
55.0
58.2
58.4
39.4 35.7 40.5 40.1 43.7 41.9 44.4
49
46.2
50.5
50.8
34.7 35.4 35.2 38.0 38.8 34.7 45.1
42.4
42.9
41.9
50.7
--- --- --- --- --- ---
--- --- ---
---
---
18-19
20-24
25-29
30-34
TOTAL
Under 15
15-17
where the marital status was known.
45+
1
Percentages were not calculated in instances where there were fewer than 50 live births in specified population group. Denominator includes only live births
30-34
25-29
30-34
35-39
40-44
Under 15
15-17
18-19
20-24
25-29
BLACK AND OTHER
45+
40-44
35-39
45+
TOTAL
Under 15
15-17
18-19
20-24
20-24
18-19
15-17
25-29
30-34
35-39
40-44
WHITE
Under 15
WHITE
BLACK AND
OTHER
BLACK AND
OTHER
BLACK AND
OTHER
AGE GROUP OF
MOTHER
TABLE 5
TOTAL BIRTHS, BIRTHS TO UNMARRIED WOMEN AND PERCENT
1
OF
BIRTHS TO UNMARRIED WOMEN BY RACE AND AGE GROUP OF MOTHER
ALABAMA, 2020
ALL
RACES
2020
ALL
RACES
WHITEWHITE
TOTAL BIRTHS
PERCENT OF BIRTHS TO
UNMARRIED WOMEN
BIRTHS TO UNMARRIED WOMEN
ALL
RACES
201520142011 201820162013
35-39
40-44
45+
Not stated
2010
2017
TABLE 6
PERCENT
1
OF BIRTHS TO UNMARRIED WOMEN BY RACE AND AGE GROUP OF MOTHER
ALABAMA, 2010-2020
1
Percentages were not calculated in instances where there were fewer than 50 live births in specified population group. Denominator
includes only live births where the marital status was known.
2012
RACE AND AGE GROUP
OF MOTHER
2019
9
ADPH|CHS
AVS (2020)
2000 21,663 34.3 7,556 18.0 14,107
66.5
2001 20,739 34.4 7,615 18.8 13,124
66.2
2002
20,503 34.8 7,862 19.7 12,641
66.5
2003 20,788 35.0
8,230
20.2 12,558 67.2
2004 21,608 36.5
8,724
21.7 12,884 67.7
2005 21,549 35.8 8,595 21.0 12,954 66.9
2006 23,144 36.8 9,461 22.3 13,683 66.6
2007 24,616 38.4 10,278 23.9 14,338 67.7
2008 25,667 39.9 10,910 25.4 14,757 68.8
2009
25,561 40.9 11,324 27.0 14,237 69.4
2010 25,127 41.9 11,086 27.6 14,041 71.0
2011 24,946 42.1 11,102 27.9 13,844 70.8
2012 24,854 42.6 10,916 28.3 13,938 70.6
2013 24,566 42.2 10,913 28.3 13,653 69.8
2014 25,728 43.2 11,514 29.2 14,214 71.0
2015 26,150 43.8 11,843 29.9 14,307 71.5
2016 26,408 44.7 12,025 30.6 14,380 72.6
2017 27,736 47.1 12,910 33.3 14,826 73.4
2018 26,991 46.8 12,493 32.8 14,498 74.0
2019 28,326 48.3 12,919 34.0 15,407 74.7
2020 27,877 48.4 12,720 33.9 15,157 75.2
WHITE
NUMBER
NUMBER
ALL RACES
PERCENT
BY RACE OF MOTHER
ALABAMA, 2000-2020
PERCENT
BLACK AND OTHER
YEAR
NUMBER AND PERCENT
1
OF BIRTHS TO UNMARRIED WOMEN
TABLE 7
1
Denominator includes only live births where the marital status was known.
1
Denominator includes only live births where the marital status was known.
NUMBER
PERCENT
FIGURE 4. PERCENT
1
OF BIRTHS TO UNMARRIED WOMEN BY RACE OF MOTHER
ALABAMA, 2000-2020
33.9
48.4
75.2
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
2000 2005 2010 2015 2020
Percent of Births to Unmarried Women
White Total Black and Other
10
ADPH|CHS
AVS (2020)
PERCENT
TOTAL 27,877 48.4 12,720 33.9 15,157 75.2
Autauga 311 43.9 152 30.5 159 75.4
Baldwin 918 40.0 707 35.7 211 67.4
Barbour 201 72.0 49 47.6 152 86.4
Bibb 139 53.9 85 44.3 54 81.8
Blount 212 32.8 201 32.1 11 52.4
Bullock 77 67.5 11 34.4 66 80.5
Butler 155 69.2 43 48.3 112 83.0
Calhoun 680 53.8 412 44.7 268 78.4
Chambers
241 63.6 120 50.8 121 84.6
Cherokee
106 45.5 98 44.3 8 66.7
Chilton 250 43.6 201 39.3 49 79.0
Choctaw 76 53.9 25 29.8 51 89.5
Clarke 171 59.2 48 34.5 123 82.0
Clay 78 48.8 50 38.8 28 90.3
Cleburne 65 39.6 61 38.9 4 57.1
Coffee 350 49.2 219 40.2 131 78.4
Colbert 302 46.9 210 40.5 92 73.0
Conecuh 76 67.9 16 34.0 60 92.3
Coosa 45 52.3 29 43.9 16 80.0
Covington 228 52.9 151 44.7 77 82.8
Crenshaw 82 52.6 47 43.1 35 74.5
Cullman 352 36.4 337 35.8 15 60.0
Dale 291 43.2 155 32.0 136 72.0
Dallas 370 79.7 43 43.9 327 89.3
DeKalb 302 38.2 266 38.0 36 39.6
Elmore 388 43.7 231 34.8 157 70.4
Escambia 266 60.7 127 49.4 139 76.8
Etowah 597 51.0 361 41.6 236 77.6
Fayette 71 42.0 51 35.7 20 76.9
Franklin 185 48.2 149 44.0 36 80.0
Geneva 136 46.9 105 41.7 31 81.6
Greene 89 82.4 4 30.8 85 89.5
Hale 126 69.2 26 37.1 100 89.3
Henry 85 52.8 46 40.7 39 81.3
Houston 738 55.2 302 38.1 436 80.1
Jackson 205 39.8 186 38.4 19 63.3
Jefferson 3,752 47.4 976 23.4 2,776 74.2
Lamar 62 38.5 55 36.9 7 58.3
Lauderdale 382 43.1 264 35.9 118 78.7
Lawrence 145 43.5 122 40.3 23 76.7
Lee 682 37.0 285 23.2 397 64.7
Limestone 390 34.4 286 29.8 104 59.1
Lowndes 85 73.9 7 36.8 78 81.3
Macon 134 72.0 6 17.1 128 84.8
Madison 1,685 38.8 749 25.8 936 64.9
Marengo
148 63.2 21 25.0 127 84.7
Marion
133 41.6 123 40.3 10 66.7
Marshall 700 47.8 494 43.6 206 62.6
Mobile 3,083 58.2 1,039 38.2 2,044 79.2
Monroe 126 62.1 42 41.2 84 83.2
Montgomery 2,045 65.2 259 30.5 1,786 78.1
Morgan 674 46.0 476 40.2 198 71.0
Perry 87 77.7 10 38.5 77 89.5
Pickens 115 64.6 26 33.3 89 89.0
Pike 188 52.4 63 32.6 125 75.3
Randolph 138 53.7 100 48.3 38 76.0
Russell 414 53.8 131 34.3 283 73.1
St. Clair 375 38.4 308 35.7 67 58.3
Shelby 628 28.2 440 23.9 188 48.3
Sumter 89 66.9 6 18.8 83 82.2
Talladega 566 60.8 253 46.9 313 80.1
Tallapoosa 248 62.0 104 43.3 144 90.0
Tuscaloosa 1,290 50.2 378 27.2 912 77.5
Walker 270 37.2 231 34.8 39 62.9
Washington 89 47.6 45 35.4 44 73.3
Wilcox 101 78.9 8 27.6 93 93.9
Winston 89 39.2 89 39.4 0 0.0
ALABAMA, 2020
TABLE 8
NUMBER AND PERCENT
1
OF BIRTHS TO UNMARRIED WOMEN
BY COUNTY OF RESIDENCE AND RACE OF MOTHER
1
Denominator includes only live births where the marital status was known. Percentages which apply to populations with fewer than 50 live births
are shaded.
NUMBER PERCENT NUMBER PERCENT NUMBER
COUNTY OF
RESIDENCE
TOTAL WHITE
BLACK AND OTHER
11
ADPH|CHS
AVS (2020)
TOTAL 57,643 50 3,787 14,577 18,216 13,887 5,938 1,185 3
White 37,492 22 2,161 8,811 12,050 9,719 3,998 729 2
Black and Other 20,151 28 1,626 5,766 6,166 4,168 1,940 456 1
FIRST 21,919 48 3,179 7,713 6,335 3,337 1,109 196 2
White 14,566 22 1,811 4,728 4,604 2,495 788 117 1
Black and Other 7,353 26 1,368 2,985 1,731 842 321 79 1
SECOND 18,228 2 546 4,586 6,242 4,853 1,725 274 0
White 12,308 0 318 2,804 4,219 3,605 1,190 172 0
Black and Other 5,920 2 228 1,782 2,023 1,248 535 102 0
THIRD 10,092 0 56 1,675 3,501 3,152 1,453 255 0
White 6,428 0 30 969 2,138 2,142 996 153 0
Black and Other 3,664 0 26 706 1,363 1,010 457 102 0
FOURTH 4,388 0 5 452 1,429 1,491 846 165 0
White 2,587 0 1 240 762 932 539 113 0
Black and Other 1,801 0 4 212 667 559 307 52 0
FIFTH AND ABOVE 3,012 0 1 150 707 1,054 804 295 1
White 1,601 0 1 70 326 545 484 174 1
Black and Other 1,411 0 0 80 381 509 320 121 0
NOT STATED 4 0 0 1 2 0 1 0 0
White 2 0 0 0 1 0 1 0 0
Black and Other 2 0 0 1 1 0 0 0 0
TABLE 9
20-24 25-29 30-34 35-39
AGE GROUP OF MOTHER
15-19 40+ NOT STATED
ALABAMA, 2020
LIVE BIRTH ORDER
AND RACE
TOTAL UNDER 15
BIRTHS BY LIVE BIRTH ORDER, RACE AND AGE GROUP OF MOTHER
12
ADPH|CHS
AVS (2020)
TOTAL 57,643 1,486 66.0 37,905 14,576 3,454 222
Autauga 709
7
69.3
491 167 44 0
Baldwin 2,293
19
66.9
1,528 589 147 10
Barbour
279
9
59.0
164 80 25 1
Bibb 258
7
65.1
166 73 9 3
Blount 648
15
66.2
427 166 37 3
Bullock 114
2
48.2
55 34 23 0
Butler 224
2
64.3
144 58 20 0
Calhoun 1,263
19
69.4
875 311 55 3
Chambers 380
3
69.7
265 82 30 0
Cherokee 233
5
66.5
155 66 7 0
Chilton 574
6
67.4
384 156 24 4
Choctaw 141
3
74.3
104 25 8 1
Clarke 289
5
71.2
205 64 14 1
Clay 160
2
78.1
125 25 8 0
Cleburne
164
0
62.8
103 56 5 0
Coffee 712
14
60.1
427 185 84 2
Colbert 644
8
71.4
460 127 49 0
Conecuh 112
1
66.1
74 33 4 0
Coosa 86
2
67.1
57 23 3 1
Covington 431
1
65.7
281 123 23 3
Crenshaw 156
0
68.6
107 31 18 0
Cullman 967
10
66.5
642 250 64 1
Dale 676
8
67.5
456 152 60 0
Dallas 464
12
59.2
274 138 39 1
DeKalb 791
52
62.5
481 183 54 21
Elmore 887
12
74.6
660 169 44 2
Escambia 438
2
69.1
302 107 26 1
Etowah 1,171
43
60.8
710 342 72 4
Fayette 169
4
54.4
92 67 6 0
Franklin 384
12
51.0
195 122 53 2
Geneva 290
7
68.9
199 61 22 1
Greene 108
4
39.8
43 57 4 0
Hale 182
4
51.1
93 66 19 0
Henry 161
2
67.7
109 38 12 0
Houston 1,337
16
68.8
916 316 83 6
Jackson 516
14
72.3
365 106 20 11
Jefferson 7,922
115
66.0
5,207 2,125 446 29
Lamar 161
5
68.3
110 41 5 0
Lauderdale 886
8
68.0
602 221 54 1
Lawrence 333
4
69.0
229 80 19 1
Lee 1,844
17
75.6
1,388 316 114 9
Limestone 1,135
31
66.6
755 278 69 2
Lowndes 115
1
64.3
74 33 7 0
Macon 186
1
61.1
113 51 20 1
Madison 4,340
109
63.9
2,763 1,218 235 15
Marengo 234
7
67.7
155 48 19 5
Marion 320
8
72.5
232 68 12 0
Marshall 1,463
293
51.7
755 316 96 3
Mobile 5,301
77
73.2
3,877 1,110 230 7
Monroe
203
0
77.3
157 37 9 0
Montgomery 3,138
95
59.0
1,849 935 254 5
Morgan 1,464
104
57.0
834 414 110 2
Perry 112
3
64.3
72 31 6 0
Pickens 178
13
50.3
88 67 7 3
Pike 359
5
73.0
262 71 21 0
Randolph 257
8
68.0
174 60 14 1
Russell 772
16
79.7
604 114 24 14
St. Clair 977
10
65.4
638 270 58 1
Shelby 2,230
8
71.8
1,596 504 116 6
Sumter 133
4
61.4
81 39 8 1
Talladega 931
14
66.4
614 247 50 6
Tallapoosa 400
3
76.0
304 76 17 0
Tuscaloosa 2,570
175
53.4
1,358 864 147 26
Walker 725
15
72.5
525 145 39 1
Washington 187
2
72.6
135 37 12 1
Wilcox 128
1
56.3
72 47 8 0
Winston 228
2
64.9
148 65 13 0
2
Includes unknown and missing data.
1
Denominator includes only live births where the trimester information was known.
NO PRENATAL
CARE
PERCENT
1
FIRST
TRIMESTER
FIRST
TRIMESTER
SECOND
TRIMESTER
NOT
STATED
2
THIRD
TRIMESTER
COUNTY OF
RESIDENCE
TOTAL
TABLE 10
BIRTHS BY TRIMESTER PRENATAL CARE BEGAN AND PERCENT
1
PRENATAL CARE BEGAN
IN FIRST TRIMESTER BY COUNTY OF RESIDENCE
ALABAMA, 2020
13
ADPH|CHS
AVS (2020)
TOTAL 57,643 19,506 35.0 21,392 38.3 4,581 8.2 10,318 18.5 1,846
Autauga
709 247 35.2 321 45.8 18 2.6 115 16.4 8
Baldwin
2,293 896 39.7 818 36.2 140 6.2 405 17.9 34
Barbour
279 70 26.0 110 40.9 19 7.1 70 26.0 10
Bibb
258 86 34.7 92 37.1 25 10.1 45 18.1 10
Blount
648 189 30.1 294 46.8 42 6.7 103 16.4 20
Bullock
114 35 31.3 32 28.6 3 2.7 42 37.5 2
Butler
224 91 41.2 79 35.7 7 3.2 44 19.9 3
Calhoun
1,263 379 30.6 548 44.2 117 9.4 196 15.8 23
Chambers
380 153 40.8 131 34.9 13 3.5 78 20.8 5
Cherokee
233 87 38.2 98 43.0 13 5.7 30 13.2 5
Chilton
574 174 30.9 278 49.4 28 5.0 83 14.7 11
Choctaw
141 75 54.7 40 29.2 7 5.1 15 10.9 4
Clarke
289 113 39.9 104 36.7 24 8.5 42 14.8 6
Clay
160 59 37.6 54 34.4 25 15.9 19 12.1 3
Cleburne
164 61 37.2 61 37.2 12 7.3 30 18.3 0
Coffee
712 220 31.6 266 38.2 21 3.0 189 27.2 16
Colbert
644 262 41.2 246 38.7 23 3.6 105 16.5 8
Conecuh
112 45 40.5 38 34.2 4 3.6 24 21.6 1
Coosa
86 31 37.3 27 32.5 16 19.3 9 10.8 3
Covington
431 185 43.4 148 34.7 14 3.3 79 18.5 5
Crenshaw
156 58 37.4 60 38.7 7 4.5 30 19.4 1
Cullman
967 257 26.9 430 45.1 92 9.6 175 18.3 13
Dale
676 264 39.7 241 36.2 21 3.2 139 20.9 11
Dallas
464 211 47.1 105 23.4 20 4.5 112 25.0 16
DeKalb
791 244 34.2 257 36.0 58 8.1 155 21.7 77
Elmore
887 318 36.6 401 46.1 39 4.5 111 12.8 18
Escambia
438 165 38.0 142 32.7 38 8.8 89 20.5 4
Etowah
1,171 259 23.2 533 47.7 79 7.1 246 22.0 54
Fayette
169 60 36.4 55 33.3 18 10.9 32 19.4 4
Franklin
384 112 30.7 110 30.1 30 8.2 113 31.0 19
Geneva
290 95 33.8 116 41.3 9 3.2 61 21.7 9
Greene
108 30 29.7 23 22.8 15 14.9 33 32.7 7
Hale
182 47 26.6 38 21.5 28 15.8 64 36.2 5
Henry
161 63 39.6 60 37.7 2 1.3 34 21.4 2
COUNTY OF
RESIDENCE
TOTAL
ADEQUATE
PLUS
PERCENT
1
ADEQUATE
PLUS
ADEQUATE
PERCENT
1
ADEQUATE
INTER-
MEDIATE
PERCENT
1
INTER-
MEDIATE
1
Percentages include only those live births where the Adequacy of Prenatal Care Utilization Index (Kotelchuck Index) value was known. See Appendix B.
TABLE 11
BIRTHS AND PERCENT
1
OF BIRTHS BY THE ADEQUACY OF PRENATAL CARE AND COUNTY OF RESIDENCE
ALABAMA, 2020
INADEQUATE
PERCENT
1
INADEQUATE
UNKNOWN
14
ADPH|CHS
AVS (2020)
TOTAL 57,643 19,506 35.0 21,392 38.3 4,581 8.2 10,318 18.5 1,846
Houston
1,337 527 40.1 508 38.7 51 3.9 227 17.3 24
Jackson
516 210 42.9 170 34.7 40 8.2 70 14.3 26
Jefferson
7,922 2,376 30.6 3,342 43.1 657 8.5 1382 17.8 165
Lamar
161 63 40.4 58 37.2 10 6.4 25 16.0 5
Lauderdale
886 356 40.6 328 37.4 43 4.9 149 17.0 10
Lawrence
333 147 45.0 103 31.5 22 6.7 55 16.8 6
Lee
1,844 896 49.4 545 30.0 93 5.1 281 15.5 29
Limestone
1,135 406 36.9 390 35.4 92 8.4 213 19.3 34
Lowndes
115 37 32.5 47 41.2 6 5.3 24 21.1 1
Macon
186 69 37.5 49 26.6 12 6.5 54 29.3 2
Madison
4,340 1,412 33.5 1,502 35.7 486 11.5 810 19.2 130
Marengo
234 84 37.8 62 27.9 38 17.1 38 17.1 12
Marion
320 107 34.4 143 46.0 20 6.4 41 13.2 9
Marshall
1,463 451 38.8 401 34.5 69 5.9 242 20.8 300
Mobile
5,301 1,879 36.1 1,969 37.8 550 10.6 807 15.5 96
Monroe
203 100 49.5 58 28.7 14 6.9 30 14.9 1
Montgomery
3,138 1,000 33.0 1,160 38.3 153 5.1 716 23.6 109
Morgan
1,464 548 40.4 428 31.6 80 5.9 300 22.1 108
Perry
112 44 40.4 24 22.0 16 14.7 25 22.9 3
Pickens
178 60 37.0 55 34.0 15 9.3 32 19.8 16
Pike
359 144 40.7 149 42.1 9 2.5 52 14.7 5
Randolph
257 107 43.3 87 35.2 17 6.9 36 14.6 10
Russell
772 236 31.8 321 43.3 101 13.6 84 11.3 30
St. Clair
977 280 29.0 416 43.2 98 10.2 170 17.6 13
Shelby
2,230 673 30.5 1,055 47.7 166 7.5 316 14.3 20
Sumter
133 53 41.4 42 32.8 9 7.0 24 18.8 5
Talladega
931 257 28.3 343 37.7 138 15.2 171 18.8 22
Tallapoosa
400 248 62.5 75 18.9 24 6.0 50 12.6 3
Tuscaloosa
2,570 672 28.5 666 28.2 442 18.7 580 24.6 210
Walker
725 227 32.0 333 47.0 43 6.1 106 15.0 16
Washington
187 81 44.0 59 32.1 16 8.7 28 15.2 3
Wilcox
128 43 34.4 42 33.6 6 4.8 34 27.2 3
Winston
228 72 32.0 106 47.1 18 8.0 29 12.9 3
1
Percentages include only those live births where the Adequacy of Prenatal Care Utilization Index (Kotelchuck Index) value was known. See Appendix B.
TABLE 11 (Continued)
BIRTHS AND PERCENT
1
OF BIRTHS BY THE ADEQUACY OF PRENATAL CARE AND COUNTY OF RESIDENCE
TOTAL UNKNOWN
ADEQUATE
PLUS
PERCENT
1
ADEQUATE
PLUS
ADEQUATE
PERCENT
1
ADEQUATE
INTER-
MEDIATE
PERCENT
1
INTER-
MEDIATE
INADEQUATE
PERCENT
1
INADEQUATE
ALABAMA, 2020
COUNTY OF
RESIDENCE
15
ADPH|CHS AVS (2020)
57,643 19,506 21,392 4,581 10,318 1,846
50 10 5 3 25 7
3,787 1,048 1,267 276 1,001 195
14,577 4,745 5,125 1,052 3,155 500
18,216 6,016 7,151 1,542 2,982 525
13,887 4,864 5,457 1,144 2,044 378
5,938 2,308 2,059 482 893 196
1,120 484 310 81 204 41
65 31 18 1 13 2
3 0 0 0 1 2
37,492 12,737 14,781 2,983 5,973 1,018
22
6 3 1 8 4
2,161
620 766 155 519 101
8,811
2,994 3,248 590 1,720 259
12,050
4,000 5,019 1,015 1,714 302
9,719
3,325 4,069 815 1,291 219
3,998
1,487 1,465 346 591 109
692
287 200 60 122 23
37
18 11 1 7 0
2
0 0 0 1 1
20,151 6,769 6,611 1,598 4,345 828
28 4 2 2 17 3
1,626
428
501 121 482 94
5,766
1,751 1,877 462 1,435 241
6,166
2,016 2,132 527 1,268 223
4,168
1,539 1,388 329 753 159
1,940
821 594 136 302 87
428
197 110 21 82 18
28
13 7 0 6 2
1 0 0 0 0 1
UNKNOWN
ALABAMA, 2020
BIRTHS BY RACE, AGE GROUP OF MOTHER AND ADEQUACY OF PRENATAL CARE
1
TABLE 12
45+
WHITE
Under 15
15-19
20-24
40-44
25-29
Under 15
15-19
30-34
35-39
ADEQUACY OF PRENATAL CARE
RACE AND AGE
GROUP OF MOTHER
ALL RACES
20-24
25-29
30-34
BLACK AND OTHER
45+
Not stated
35-39
40-44
30-34
Not stated
Under 15
20-24
25-29
15-19
1
See Appendix B for the Adequacy of Prenatal Care Utilization Index (Kotelchuck Index).
35-39
40-44
45+
Not stated
ADEQUATE
PLUS
TOTAL
INADEQUATEINTERMEDIATEADEQUATE
16
ADPH|CHS AVS (2020)
NOT
STATED
ALL BIRTH WEIGHTS
57,643 50 927 2,860 14,577 18,216 13,887 5,938 1,120 65 3
White 37,492 22 492 1,669 8,811 12,050 9,719 3,998 692 37 2
Black and Other 20,151 28 435 1,191 5,766 6,166 4,168 1,940 428 28 1
LESS THAN 500 GRAMS
110 0 1 3 30 35 31 6 4 0 0
White 30 0 0 2 6 11 7 4 0 0 0
Black and Other 80 0 1 1 24 24 24 2 4 0 0
500-999 GRAMS
418 0 12 21 98 131 99 47 10 0 0
White 166 0 3 9 38 49 44 20 3 0 0
Black and Other 252 0 9 12 60 82 55 27 7 0 0
1,000-1,499 GRAMS
614 1 11 29 146 171 156 86 14 0 0
White 306 0 3 14 65 82 90 43 9 0 0
Black and Other 308
1 8 15 81 89 66 43 5 0 0
1,500-1,999 GRAMS
1,228 2 14 61 293 374 292 162 30 0 0
White 613 0 7 24 134 209 155 70 14 0 0
Black and Other 615 2 7 37 159 165 137 92 16 0 0
2,000-2,499 GRAMS
3,858 7 73 235 984 1,128 910 409 104 8 0
White 1,972 3 38 107 442 583 523 223 46 7 0
Black and Other 1,886 4 35 128 542 545 387 186 58 1 0
2,500-4,499 GRAMS
50,937 40 815 2,499 12,960 16,221 12,250 5,146 947 56 3
White 34,029 19 440 1,506 8,078 10,994 8,779 3,569 612 30 2
Black and Other 16,908 21 375 993 4,882 5,227 3,471 1,577 335 26 1
4,500 GRAMS AND OVER
472 0 1 12 63 155 147 82 11 1 0
White 373 0 1
7 47 122 119 69 8 0 0
Black and Other 99 0 0 5 16 33 28 13 3 1 0
NOT STATED
6 0 0 0 3 1 2 0 0 0 0
White 3 0 0 0 1 0 2 0 0 0 0
Black and Other 3 0 0 0 2 1 0 0 0 0 0
1
See Appendix B for conversion from grams to pounds and ounces.
45+
TABLE 13
BIRTHS BY BIRTH WEIGHT
1
, RACE AND AGE GROUP OF MOTHER
ALABAMA, 2020
BIRTH WEIGHT AND
RACE
AGE GROUP OF MOTHER
TOTAL < 15 15-17 18-19 20-24 25-29 30-34 35-39 40-44
17
ADPH|CHS AVS (2020)
NUMBER
PERCENT NUMBER PERCENT NUMBER
PERCENT
1970
6,045 9.0 3,119 6.9 2,926 13.3
1971 5,841 8.8 3,011 6.8 2,830 12.6
1972 5,373 8.7 2,590 6.5 2,783 12.9
1973
5,122 8.6 2,558 6.6 2,564 12.4
1974 5,031 8.5 2,423 6.3 2,608 12.6
1975 4,886 8.4 2,414 6.4 2,472 12.1
1976
4,753 8.2 2,366 6.3 2,387 11.7
1977 4,912 7.9 2,351 6.8 2,561 11.8
1978
5,042 8.4 2,405 6.2 2,637 12.3
1979 4,968 8.0 2,298 5.8 2,670 11.8
1980 4,985 7.9 2,273 5.6 2,712 11.9
1981
4,885 7.9 2,326 5.9 2,559 11.7
1982 4,755 7.9 2,228 5.7 2,527 11.8
1983
4,679 7.9 2,294 6.0 2,385 11.6
1984 4,687 7.9 2,176 5.7 2,511 12.0
1985 4,785 8.0 2,323 6.0 2,462 11.9
1986 4,767 8.0 2,317 6.0 2,450 11.8
1987 4,790 8.0 2,301 5.9 2,489 12.0
1988 4,880 8.0 2,330 6.0 2,550 11.8
1989 5,171 8.3 2,462 6.1 2,709 12.1
1990 5,331 8.4 2,546 6.2 2,785 12.5
1991 5,470 8.7 2,622 6.5 2,848 12.9
1992 5,275 8.5 2,476 6.2 2,799 12.7
1993 5,376 8.7 2,663 6.7 2,713 12.5
1994 5,533 9.1 2,738 6.9 2,795 13.1
1995 5,448 9.0 2,815 7.1 2,633 12.8
1996 5,635 9.3 2,909 7.3 2,726 13.2
1997 5,639 9.3 2,993 7.4 2,646 12.9
1998 5,748 9.3 3,031 7.3 2,717 13.2
1999 5,800 9.3 3,049 7.3 2,751 13.5
2000 6,154 9.7 3,242 7.7 2,912 13.7
2001 5,815 9.6 3,067 7.6 2,748 13.9
2002 5,844 9.9 3,151 7.9 2,693 14.2
2003 5,932
10.0
3,275
8.1
2,657
14.2
2004 6,204
10.3
3,383
8.4
2,821
14.8
2005 6,428 10.7 3,527 8.6 2,901 15.0
2006 6,616 10.5 3,523 8.3 3,093 15.1
2007 6,695 10.4 3,535 8.2 3,160 14.9
2008 6,716 10.6 3,478 8.3 3,238 15.3
2009 6,472 10.4 3,436 8.2 3,036 14.8
2010 6,183 10.3 3,299 8.2 2,884 14.6
2011 5,908 10.0 3,071 7.7 2,837 14.5
2012 5,866 10.1 2,995 7.8 2,871 14.5
2013 5,824 10.0 3,072 8.0 2,752 14.1
2014 6,025 10.1 3,124 7.9 2,901 14.5
2015 6,227 10.4 3,163 8.0 3,064 15.3
2016 6,104 10.3 3,131 8.0 2,973 15.0
2017 6,052 10.3 3,017 7.8 3,035 15.0
2018 6,192 10.7 3,097 8.1 3,095 15.8
2019 6,153
10.5
2,957 7.8 3,196 15.5
2020 6,228
10.8
3,087 8.2 3,141 15.6
TABLE 14
ALABAMA, 1970-2020
LOW WEIGHT BIRTHS
1
AND PERCENT
2
OF LOW WEIGHT BIRTHS BY RACE
3
YEAR
TOTAL
WHITE
BLACK AND OTHER
2
Denominator includes only live births with known birth weights.
1
Low weight births are births weighing less than 2,500 grams.
3
Data for 1970-1989 are by race of child. Data for 1990-2020 are by race of mother.
18
ADPH|CHS AVS (2020)
TOTAL
6,228 10.8 3,087 8.2 3,141 15.6
Autauga 78 11.0 43 8.6 35 16.6
Baldwin 204 8.9 163 8.2 41 13.1
Barbour 44 15.8 9 8.7 35 19.9
Bibb
25 9.7 14 7.3 11 16.7
Blount 52 8.0 50 8.0 2 9.5
Bullock
13 11.4 0 0.0 13 15.9
Butler 34 15.2 8 9.0 26 19.3
Calhoun
123 9.7 76 8.3 47 13.7
Chambers 47 12.4 25 10.5 22 15.4
Cherokee 16 6.9 16 7.2 0 0.0
Chilton 53 9.2 41 8.0 12 19.4
Choctaw
14 10.0 5 6.0 9 16.1
Clarke 41 14.2 12 8.6 29 19.3
Clay 18 11.3 13 10.1 5 16.1
Cleburne 14 8.5 13 8.3 1 14.3
Coffee
56 7.9 41 7.5 15 9.0
Colbert 64 9.9 42 8.1 22 17.5
Conecuh 15 13.4 6 12.8 9 13.8
Coosa 9 10.5 3 4.5 6 30.0
Covington 49 11.4 30 8.9 19 20.4
Crenshaw 19 12.2 9 8.3 10 21.3
Cullman 100 10.3 99 10.5 1 4.0
Dale 59 8.7 36 7.4 23 12.2
Dallas 62 13.4 8 8.2 54 14.8
DeKalb 72 9.1 63 9.0 9 9.9
Elmore 75 8.5 44 6.6 31 13.9
Escambia 49 11.2 24 9.3 25 13.8
Etowah 98 8.4 63 7.3 35 11.5
Fayette 19 11.2 13 9.1 6 23.1
Franklin 36 9.4 27 8.0 9 20.0
Geneva 25 8.6 20 7.9 5 13.2
Greene 16 14.8 0 0.0 16 16.8
Hale 27 14.8 5 7.1 22 19.6
Henry 18 11.2 9 8.0 9 18.8
Houston 160 12.0 64 8.1 96 17.6
Jackson 63 12.2 58 11.9 5 16.7
Jefferson 908 11.5 318 7.6 590 15.8
Lamar 10 6.2 9 6.0 1 8.3
Lauderdale 82 9.3 62 8.4 20 13.3
Lawrence 36 10.8 29 9.6 7 23.3
Lee 188 10.2 89 7.2 99 16.1
Limestone 89 7.8 69 7.2 20 11.4
Lowndes 22 19.1 2 10.5 20 20.8
Macon 27 14.5 2 5.7 25 16.6
Madison 484 11.2 249 8.6 235 16.3
Marengo 25 10.7 4 4.8 21 14.1
Marion
31 9.7 30 9.8 1 6.7
Marshall 117 8.0 91 8.0 26 7.9
Mobile 670 12.6 254 9.4 416 16.1
Monroe 29 14.3 16 15.7 13 12.9
Montgomery 395 12.6 60 7.1 335 14.6
Morgan 121 8.3 80 6.8 41 14.7
Perry 16 14.3 3 11.5 13 15.1
Pickens 23 12.9 4 5.1 19 19.0
Pike 38 10.6 16 8.3 22 13.3
Randolph 21 8.2 17 8.2 4 8.0
Russell 83 10.8 28 7.3 55 14.1
St. Clair 94 9.6 74 8.6 20 17.4
Shelby 203 9.1 155 8.4 48 12.3
Sumter 22 16.5 3 9.4 19 18.8
Talladega 121 13.0 47 8.7 74 18.9
Tallapoosa 49 12.3 16 6.7 33 20.6
Tuscaloosa 324 12.6 112 8.0 212 18.0
Walker 70 9.7 57 8.6 13 21.0
Washington 24 12.8 14 11.0 10 16.7
Wilcox 16 12.5 2 6.9 14 14.1
Winston 23 10.1 23 10.1 0 0.0
TABLE 15
births are shaded.
1
Low weight births are births weighing less than 2,500 grams.
2
Denominator includes only live births with known birth weights. Percentages which apply to populations with fewer than 50 live
COUNTY OF
RESIDENCE
BLACK AND OTHER
LOW WEIGHT BIRTHS
1
AND PERCENT
2
OF LOW WEIGHT BIRTHS
BY COUNTY OF RESIDENCE AND RACE OF MOTHER
ALABAMA, 2020
NUMBER
PERCENT
WHITETOTAL
NUMBER PERCENT NUMBER PERCENT
19
ADPH|CHS AVS (2020)
UNKNOWN/
NOT STATED
ALL RACES 6,228 10.8 6
Under 15
50 10 20.0 0
15-17 927 111 12.0 0
18-19 2,860 349 12.2 0
20-24 14,577 1,551 10.6 3
25-29 18,216 1,839 10.1 1
30-34 13,887 1,488 10.7 2
35-39 5,938 710 12.0 0
40-44 1,120 162 14.5 0
45+ 65 8 12.3 0
Not stated 3 0 --- 0
WHITE 3,087 8.2 3
Under 15 22 3 --- 0
15-17 492 51 10.4 0
18-19 1,669 156 9.3 0
20-24 8,811 685 7.8 1
25-29 12,050 934 7.8 0
30-34 9,719 819 8.4 2
35-39 3,998 360 9.0 0
40-44 692 72 10.4 0
45+ 37 7 --- 0
Not stated 2 0 --- 0
BLACK AND OTHER 20,151 3,141 15.6 3
Under 15
28 7 --- 0
15-17 435 60 13.8 0
18-19 1,191 193 16.2 0
20-24 5,766 866 15.0 2
25-29 6,166 905 14.7 1
30-34 4,168 669 16.1 0
35-39 1,940 350 18.0 0
40-44 428 90 21.0 0
45+ 28 1 --- 0
Not stated 1 0 --- 0
2
Percentages were not calculated in instances where there were fewer than 50 live births in specified population group. Denominator includes only
57,643
37,492
1
Low weight births are births weighing less than 2,500 grams.
births with known birth weights.
TABLE 16
LOW WEIGHT BIRTHS
1
AND PERCENT
2
OF LOW WEIGHT BIRTHS
BY RACE AND AGE GROUP OF MOTHER
ALABAMA, 2020
RACE AND AGE
GROUP OF MOTHER
TOTAL BIRTHS
LOW WEIGHT
BIRTHS
PERCENT OF LOW
WEIGHT BIRTHS
20
ADPH|CHS AVS (2020)
NUMBER NUMBER
1970 15,834 23.4 17.6 8,734 19.2 7,100 32.1
1971
15,990 24.0 18.0 8,568 19.4 7,422 32.9
1972
15,917 25.8 19.3 8,279 20.6 7,638 35.3
1973
15,895 26.7 19.7 8,338 21.5 7,557 36.6
1974 15,547 26.2 19.2 8,112 21.0 7,435 35.9
1975
14,906 25.7 18.9 7,737 20.6 7,169 35.2
1976 14,211 24.5 18.0 7,240 19.4 6,971 34.0
1977 14,357 23.2 17.2 7,420 18.4 6,937 32.1
1978 13,409 22.3 16.6 6,868 17.8 6,541 30.5
1979 13,427 21.5 16.0 6,758 17.0 6,669 29.4
1980
13,048 20.6 15.6 6,730 16.6 6,318 27.7
1981 11,976 19.5 14.8 6,229 15.7 5,747 26.3
1982
11,371 18.9 14.2 5,884 15.1 5,487 25.6
1983 11,262 19.1 13.7 5,789 15.1 5,473 26.6
1984 10,751 18.2 13.1 5,520 14.4 5,231 25.1
1985 10,689 17.9 12.7 5,625 14.4 5,064 24.6
1986 10,357 17.4 12.6 5,280 13.7 5,077 24.4
1987 10,354 17.4 12.4 5,283 13.6 5,071 24.5
1988 10,590 17.4 12.5 5,402 13.8 5,188 24.1
1989 11,405 18.2 12.8 5,613 14.0 5,792 25.8
1990 11,552 18.2 12.8 5,905 14.4 5,647 25.3
1991 11,600 18.5 12.9 5,769 14.2 5,831 26.3
1992 11,299 18.2 12.7 5,580 13.9 5,719 25.9
1993 11,019 17.9 12.8 5,433 13.6 5,586 25.7
1994 11,333 18.6 13.1 5,563 14.1 5,770 27.1
1995 11,175 18.5 13.1 5,674 14.3 5,501 26.7
1996 11,115 18.4 12.9 5,636 14.0 5,479 27.0
1997 10,724 17.6 12.7 5,547 13.7 5,177 25.3
1998 10,617 17.1 12.5 5,529 13.3 5,088 24.8
1999 10,069 16.2 12.3 5,373 12.9 4,696 23.0
2000 9,916 15.7 11.8 5,338 12.7 4,578 21.6
2001 8,993 14.9 11.3 4,920 12.2 4,073 20.5
2002 8,589 14.6 10.8 4,769 12.0 3,820 20.1
2003 8,248 13.9 10.3 4,596 11.3 3,652 19.5
2004 8,259 14.0 10.3 4,600 11.5 3,659 19.2
2005 7,903 13.1 10.2 4,434 10.8 3,469 17.9
2006 8,670 13.8 10.4 4,825 11.4 3,845 18.7
2007
8,776 13.7 10.5 4,899 11.4 3,877 18.3
2008 8,567 13.3 10.4 4,742 11.1 3,825 17.8
2009 8,365 13.4 10.0 4,769 11.4 3,596 17.5
2010 7,446 12.4 9.3 4,196 10.4 3,250 16.4
2011 6,697 11.3 8.4 3,799 9.6 2,898 14.8
2012 6,236 10.7 7.8 3,546 9.2 2,690 13.6
2013 5,420 9.3 7.0 3,194 8.3 2,226 11.4
2014 5,084 8.5 6.3 3,075 7.8 2,009 10.0
2015 4,790 8.0 5.8 2,876 7.3 1,914 9.6
2016 4,526 7.7 5.4 2,642 6.7 1,884 9.5
2017 4,285 7.3 5.1 2,569 6.6 1,716 8.5
2018 3,961 6.9 4.8 2,288 6.0 1,673 8.5
2019 4,002 6.8 4.6 2,253 5.9 1,749 8.5
2020 3,837 6.7
4.4
2,183
5.8
1,654
8.2
1
Data for 1970-1989 are by race of child. Data for 1990-2020 are by race of mother.
ALABAMA
PERCENT
TABLE 17
NUMBER AND PERCENT OF BIRTHS TO TEENAGE MOTHERS BY RACE
1
ALABAMA AND UNITED STATES, 1970-2020
PERCENT
BLACK AND OTHER
ALABAMA
WHITE
YEAR
TOTAL
ALABAMA
PERCENT
U.S.
NUMBER PERCENT
21
ADPH|CHS AVS (2020)
FIGURE 5. PERCENT OF BIRTHS TO TEENAGE MOTHERS
ALABAMA AND UNITED STATES, 1970-2020
ALABAMA, 2000-2020
FIGURE 6. PERCENT OF BIRTHS TO TEENAGE MOTHERS BY RACE OF MOTHER
6.7
4.4
0.0
5.0
10.0
15.0
20.0
25.0
30.0
1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 2020
Percent of Teen Births
AL U.S.
5.8
8.2
0.0
5.0
10.0
15.0
20.0
25.0
30.0
2000 2005 2010 2015 2020
Percent of Teen Births
White Black and Other
22
ADPH|CHS AVS (2020)
TOTAL
3,837
6.7
2,183
5.8
1,654
8.2
Autauga 46 6.5 29 5.8 17 8.1
Baldwin 103 4.5 83 4.2 20 6.4
Barbour 23 8.2 12 11.7 11 6.3
Bibb 16 6.2 11 5.7 5 7.6
Blount 43 6.6 43 6.9 0 0.0
Bullock 8 7.0 3 9.4 5 6.1
Butler 24 10.7 10 11.2 14 10.4
Calhoun
90 7.1 63 6.8 27 7.9
Chambers
23 6.1 17 7.2 6 4.2
Cherokee 28 12.0 25 11.3 3 25.0
Chilton 63 11.0 53 10.4 10 16.1
Choctaw 7 5.0 2 2.4 5 8.8
Clarke 17 5.9 6 4.3 11 7.3
Clay 10 6.3 5 3.9 5 16.1
Cleburne 13 7.9 12 7.6 1 14.3
Coffee 43 6.0 34 6.2 9 5.4
Colbert 42 6.5 34 6.6 8 6.3
Conecuh 6 5.4 2 4.3 4 6.2
Coosa 4 4.7 2 3.0 2 10.0
Covington 33 7.7 28 8.3 5 5.4
Crenshaw
8 5.1 4 3.7 4 8.5
Cullman 81 8.4 80 8.5 1 4.0
Dale 42 6.2 26 5.3 16 8.5
Dallas 44 9.5 9 9.2 35 9.6
DeKalb 67 8.5 51 7.3 16 17.6
Elmore 57 6.4 39 5.9 18 8.1
Escambia
45 10.3 26 10.1 19 10.5
Etowah 113 9.6 82 9.5 31 10.2
Fayette 17 10.1 15 10.5 2 7.7
Franklin 26 6.8 22 6.5 4 8.9
Geneva 23 7.9 20 7.9 3 7.9
Greene 15 13.9 1 7.7 14 14.7
Hale
14 7.7 3 4.3 11 9.8
Henry 23 14.3 17 15.0 6 12.5
Houston 114 8.5 49 6.2 65 11.9
Jackson 41 7.9 37 7.6 4 13.3
Jefferson 412 5.2 129 3.1 283 7.6
Lamar 11 6.8 11 7.4 0 0.0
Lauderdale
35 4.0 31 4.2 4 2.7
Lawrence 28 8.4 24 7.9 4 13.3
Lee 87 4.7 54 4.4 33 5.4
Limestone 52 4.6 43 4.5 9 5.1
Lowndes
9 7.8 0 0.0 9 9.4
Macon 14 7.5 1 2.9 13 8.6
Madison
210 4.8 103 3.6 107 7.4
Marengo 19 8.1 4 4.8 15 10.0
Marion 23 7.2 21 6.9 2 13.3
Marshall 139 9.5 96 8.5 43 13.1
Mobile 372 7.0 135 5.0 237 9.2
Monroe 15 7.4 6 5.9 9 8.9
Montgomery 255 8.1 48 5.6 207 9.1
Morgan 112 7.7 88 7.4 24 8.6
Perry 6 5.4 0 0.0 6 7.0
Pickens 20 11.2 7 9.0 13 13.0
Pike 22 6.1 9 4.7 13 7.8
Randolph 29 11.3 25 12.1 4 8.0
Russell 40 5.2 22 5.7 18 4.6
St. Clair 60 6.1 58 6.7 2 1.7
Shelby 75 3.4 61 3.3 14 3.6
Sumter 13 9.8 2 6.3 11 10.9
Talladega 70 7.5 49 9.1 21 5.4
Tallapoosa 33 8.3 19 7.9 14 8.8
Tuscaloosa 180 7.0 83 6.0 97 8.2
Walker 56 7.7 52 7.8 4 6.5
Washington 17 9.1 13 10.2 4 6.7
Wilcox 18 14.1 1 3.4 17 17.2
Winston 33 14.5 33 14.5 0 0.0
TABLE 18
BLACK AND OTHER
WHITE
NUMBER AND PERCENT
1
OF BIRTHS TO TEENAGE MOTHERS
BY COUNTY OF RESIDENCE AND RACE OF MOTHER
ALABAMA, 2020
COUNTY OF
RESIDENCE
NUMBER PERCENT NUMBER PERCENT
1
Percentages which apply to populations with fewer than 50 live births are shaded.
NUMBER
PERCENT
TOTAL
23
ADPH|CHS AVS (2020)
TOTAL 3,837 12.6 2,183 11.1 1,654
15.2
Autauga 46 12.6 29 11.0 17
16.7
Baldwin
103 7.5 83 7.3 20
8.3
Barbour
23 16.1 12 18.1 11
14.4
Bibb
16 14.2 11 12.6 5
19.8
Blount 43 11.6 43 12.3 0
---
Bullock 8 15.7 3 31.9 5
12.0
Butler 24 21.6 10 20.4 14
22.5
Calhoun 90 12.7 63 13.0 27
12.0
Chambers 23 12.7 17 19.1 6
6.5
Cherokee 28 19.8 25 19.4 3
23.3
Chilton 63 21.1 53 20.9 10
22.7
Choctaw 7 11.0 2 5.6 5
17.7
Clarke 17 12.2 6 8.7 11
15.7
Clay 10 14.7 5 9.4 5
33.3
Cleburne 13 14.8 12 14.8 1
13.9
Coffee
43 12.7 34 13.6 9
10.1
Colbert 42 13.5 34 14.1 8
11.4
Conecuh 6 9.1 2 7.2 4
10.5
Coosa 4 8.6 2 7.2 2
10.8
Covington 33 15.7 28 16.5 5
12.3
Crenshaw 8 9.5 4 7.0 4
14.6
Cullman 81 16.3 80 17.0 1
3.6
Dale 42 15.0 26 13.7 16
17.9
Dallas 44 18.6 9 18.7 35
18.5
DeKalb 67 13.8 51 11.6 16
34.6
Elmore 57 11.3 39 10.8 18
12.8
Escambia 45 20.5 26 20.3 19
20.7
Etowah 113 19.0 82 18.2 31
21.5
Fayette 17 18.6 15 19.0 2
16.1
Franklin 26 12.7 22 11.8 4
23.1
Geneva 23 14.4 20 14.9 3
12.0
Greene 15 30.0 1 19.6 14
31.2
Hale 14 16.0 3 9.3 11
20.0
Henry 23 23.6 17 24.8 6
20.8
Houston 114 17.6 49 12.4 65
25.8
Jackson 41 14.2 37 14.3 4
13.7
Jefferson 412 10.1 129 6.7 283
13.1
Lamar 11 14.3 11 16.3 0
---
Lauderdale 35 6.1 31 6.6 4
3.8
Lawrence 28 14.5 24 16.5 4
8.2
Lee 87 7.5 54 6.7 33
9.3
Limestone 52 8.1 43 8.6 9
6.4
Lowndes 9 15.4 0 --- 9
18.8
Macon 14 11.5 1 8.5 13
11.8
Madison 210 9.1 103 7.1 107
12.4
Marengo 19 16.1 4 8.5 15
21.2
Marion 23 14.0 21 13.7 2
18.5
Marshall 139 21.7 96 16.6 43
68.9
Mobile 372 14.4 135 9.9 237
19.4
Monroe 15 12.4 6 9.5 9
15.5
Montgomery 255 18.1 48 12.6 207
20.1
Morgan 112 15.1 88 15.0 24
15.7
Perry 6 9.7 0 --- 6
13.3
Pickens 20 20.0 7 13.4 13
27.1
Pike 22 9.4 9 7.3 13
11.8
Randolph 29 21.9 25 26.2 4
10.8
Russell 40 11.5 22 14.9 18
9.0
St. Clair 60 11.2 58 12.6 2
2.6
Shelby 75 5.1 61 5.2 14
4.5
Sumter 13 16.4 2 10.0 11
18.6
Talladega 70 13.8 49 17.0 21
9.5
Tallapoosa 33 15.2 19 13.7 14
17.9
Tuscaloosa 180 12.0 83 9.0 97
16.7
Walker 56 15.5 52 16.3 4
9.2
Washington 17 18.2 13 22.6 4
11.2
Wilcox 18 27.5 1 7.8 17
32.3
Winston 33 25.0 33 26.5 0
---
from small numbers or rates that are based on small populations. Rates which apply to populations under 1,000 are shaded.
TABLE 19
ALABAMA, 2020
NUMBER AND RATE
1
OF BIRTHS TO TEENAGE MOTHERS
BY COUNTY OF RESIDENCE AND RACE OF MOTHER
1
Rate is per 1,000 females aged 10-19 years in specified group. See formula in Appendix B. Use caution with rates derived
TOTAL
COUNTY OF
RESIDENCE
NUMBER RATE
WHITE
BLACK AND OTHER
RATE
NUMBERRATE NUMBER
24
ADPH|CHS
AVS (2020)
Figure 7. BIRTH RATES TO TEENAGE MOTHERS BY
COUNTY OF RESIDENCE, ALABAMA, 2020
Under 12.0
12.0-16.0
16.1 - 19.5
19.6 and up
25 ADPH|CHS AVS (2020)
U.S.
NUMBER PERCENT PERCENT NUMBER
PERCENT
1970 5,147 32.7 30.5 815 9.4 4,332 61.2
1971
5,665 35.5 31.8 842 9.8 4,823 65.1
1972 5,858 36.8 33.8 852 10.3 5,006 65.5
1973 5,998 37.7 35.0 895 10.7 5,103 67.5
1974 6,087 39.2 36.4 935 11.5 5,152 69.3
1975 6,415 43.0 39.3 1,065 13.8 5,350 74.6
1976 6,469 45.5 41.2 1,039 14.4 5,430 76.6
1977 6,628 46.2 43.8 1,138 15.3 5,490 79.1
1978
6,447 48.1 44.9 1,131 16.5 5,316 81.3
1979 6,686 49.8 46.9 1,141 16.9 5,545 83.2
1980 6,491 49.8 48.3 1,198 17.8 5,293 83.8
1981 6,116 51.1 49.9 1,218 19.6 4,898 85.2
1982 5,935 52.2 51.4 1,177 20.0 4,758 86.7
1983 6,089 57.1 54.1 1,255 21.7 4,834 88.3
1984 5,902 54.9 56.3 1,248 22.6 4,654 89.0
1985 5,924 55.4 58.7 1,374 24.4 4,550 89.9
1986
6,034 58.3 61.5 1,438 27.2 4,596 90.5
1987 6,276 60.6 64.0 1,641 31.1 4,635 91.4
1988 6,461 61.0 65.9 1,715 31.8 4,746 91.5
1989 7,335 64.3 67.2 1,956 34.9 5,379 92.9
1990 7,289 63.1 67.6 2,032 34.4 5,257 93.1
1991 7,528 64.9 69.3 2,052 35.6 5,476 93.9
1992 7,530 66.6 70.5 2,138 38.3 5,392 94.3
1993 7,593 68.9 71.8 2,298 42.3 5,295 94.8
1994 7,930 70.0 75.9 2,430 43.7 5,500 95.3
1995 7,887 70.6 75.6 2,658 46.8 5,229 95.1
1996 7,819 70.3 76.3 2,623 46.5 5,196 94.8
1997 7,667 71.5 78.2 2,763 49.8 4,904 94.7
1998 7,604 71.6 78.9 2,768 50.1 4,836 95.0
1999
7,133 70.8 79.0 2,729 50.8 4,404 93.8
2000 7,064 71.2 79.1 2,761 51.7 4,303 94.0
2001 6,492 72.2 79.2 2,686 54.6 3,806 93.4
2002 6,268 73.0 80.2 2,663 55.8 3,605 94.4
2003 6,142
74.5
81.6 2,667
58.0
3,475
95.2
2004 6,196
75.0
82.6 2,709
58.9
3,487
95.3
2005
5,780 73.1 83.5 2,514 56.7 3,266 94.1
2006 6,405 73.9 84.4 2,821 58.5 3,584 93.2
2007 6,641 75.7 85.7 3,014 61.5 3,627 93.6
2008 6,699 78.2 86.8 3,062 64.6 3,637 95.1
2009 6,616 79.1 87.4 3,210 67.3 3,406 94.7
2010 6,135 82.4 88.2 2,997 71.4 3,138 96.6
2011 5,554 82.9 88.6 2,743 72.2 2,811 97.0
2012 5,202 83.4 88.8 2,623 74.0 2,579 95.9
2013 4,431 81.8 88.8 2,297 71.9 2,134 95.9
2014 4,259 83.8 88.7 2,322 75.5 1,937 96.4
2015 3,997 83.4 88.9 2,161 75.1 1,836 95.9
2016 3,878 85.7 89.2 2,061 78.0 1,817 96.4
2017 3,794 88.5 89.3 2,121 82.6 1,673 97.5
2018 3,512 88.7 89.9 1,888 82.5 1,624 97.1
2019 3,590 89.7 90.6 1,895 84.1 1,695 96.9
2020 3,447 89.8 91.8 1,839 84.2 1,608 97.2
ALABAMA
1
Percentage calculation = births to unmarried teenage mothers
/births to all teenage mothers.
2
Data for 1970-1989 are by race of child. Data for 1990-2020 are by race of mother.
3
Data for 1970 are by occurrence. Data for 1971-2020 are by residence.
TABLE 20
NUMBER AND PERCENT
1
OF BIRTHS
TO UNMARRIED TEENAGE MOTHERS BY RACE
2
ALABAMA AND UNITED STATES, 1970-2020
3
YEAR ALABAMA
TOTAL
BLACK AND OTHER
ALABAMA
NUMBER PERCENT
WHITE
26
ADPH|CHS AVS (2020)
TOTAL
3,447 89.8 1,839 84.2 1,608 97.2
Autauga
40 87.0 23 79.3 17 100.0
Baldwin
89 86.4 69 83.1 20 100.0
Barbour 19 82.6 9 75.0 10 90.9
Bibb 16 100.0 11 100.0 5 100.0
Blount 38 88.4 38 88.4 0 ---
Bullock 6 75.0 1 33.3 5 100.0
Butler 22 91.7 9 90.0 13 92.9
Calhoun 86 95.6 59 93.7 27 100.0
Chambers 21 91.3 15 88.2 6 100.0
Cherokee 26 92.9 24 96.0 2 66.7
Chilton 54 85.7 44 83.0 10 100.0
Choctaw 7 100.0 2 100.0 5 100.0
Clarke
16 94.1 6 100.0 10 90.9
Clay
9 90.0 4 80.0 5 100.0
Cleburne 12 92.3 11 91.7 1 100.0
Coffee 40 93.0 31 91.2 9 100.0
Colbert 36 85.7 28 82.4 8 100.0
Conecuh 5 83.3 1 50.0 4 100.0
Coosa 2 50.0 0
---
2 100.0
Covington 26 78.8 21 75.0 5 100.0
Crenshaw 8 100.0 4 100.0 4 100.0
Cullman 60 74.1 59 73.8 1 100.0
Dale 41 97.6 25 96.2 16 100.0
Dallas 43 97.7 8 88.9 35 100.0
DeKalb 49 73.1 41 80.4 8 50.0
Elmore 50 87.7 32 82.1 18 100.0
Escambia 41 91.1 23 88.5 18 94.7
Etowah 104 92.0 73 89.0 31 100.0
Fayette 14 82.4 12 80.0 2 100.0
Franklin 23 88.5 19 86.4 4 100.0
Geneva 20 87.0 17 85.0 3 100.0
Greene 14 93.3 0
---
14 100.0
Hale 14 100.0 3 100.0 11 100.0
Henry 18 78.3 12 70.6 6 100.0
Houston 108 94.7 44 89.8 64 98.5
Jackson 32 78.0 28 75.7 4 100.0
Jefferson 387 93.9 107 82.9 280 98.9
Lamar 9 81.8 9 81.8 0 ---
Lauderdale 27 77.1 23 74.2 4 100.0
Lawrence 24 85.7 20 83.3 4 100.0
Lee 74 85.1 41 75.9 33 100.0
Limestone 45 86.5 38 88.4 7 77.8
Lowndes 8 88.9 0
---
8 88.9
Macon 14 100.0 1 100.0 13 100.0
Madison 195 92.9 90 87.4 105 98.1
Marengo 19 100.0 4 100.0 15 100.0
Marion 18 78.3 16 76.2 2 100.0
Marshall 118 84.9 81 84.4 37 86.0
Mobile 352 94.6 116 85.9 236 99.6
Monroe 15 100.0 6 100.0 9 100.0
Montgomery 241 94.5 43 89.6 198 95.7
Morgan 98 87.5 74 84.1 24 100.0
Perry 6 100.0 0 --- 6 100.0
Pickens 18 90.0 5 71.4 13 100.0
Pike 21 95.5 8 88.9 13 100.0
Randolph 27 93.1 23 92.0 4 100.0
Russell 34 85.0 17 77.3 17 94.4
St. Clair 54 90.0 52 89.7 2 100.0
Shelby 68 90.7 55 90.2 13 92.9
Sumter 13 100.0 2 100.0 11 100.0
Talladega 65 92.9 44 89.8 21 100.0
Tallapoosa 32 97.0 18 94.7 14 100.0
Tuscaloosa 156 86.7 64 77.1 92 94.8
Walker 42 75.0 39 75.0 3 75.0
Washington 15 88.2 11 84.6 4 100.0
Wilcox 18 100.0 1 100.0 17 100.0
Winston 25 75.8 25 75.8 0 ---
TABLE 21
PERCENT
BY COUNTY OF RESIDENCE AND RACE OF MOTHER
ALABAMA, 2020
TOTAL WHITE
NUMBER
BLACK AND OTHER
NUMBER AND PERCENT
1
OF BIRTHS TO UNMARRIED TEENAGE MOTHERS
COUNTY OF
RESIDENCE
NUMBER PERCENT NUMBER PERCENT
fewer than 50 live births are shaded.
1
Percentage calculation = births to unmarried teenage mothers/births to all teenage mothers. Percentages which apply to populations with
27
ADPH|CHS
AVS (2020)
10-14
15-19 25-29 30-34 35-39 40-44 45-49
1970 2,587.0 92.5 1.8 91.1 181.5 134.4 66.7 32.4 8.8 0.7
1971
2,463.5 90.0 2.0 90.4 174.3 124.3 63.8 29.1 8.2 0.6
1972
2,205.0 81.4 2.1 88.5 147.0 113.9 55.4 25.8 7.6 0.7
1973
2,051.0 76.7 2.4 86.8 133.7 106.5 51.8 22.8 5.8 0.4
1974
1,985.5 74.9 2.3 83.7 131.1 105.1 48.6 19.8 5.9 0.4
1975
1,884.5 71.6 2.3 79.0 124.4 101.2 45.3 19.2 5.2 0.3
1976
1,852.5 70.3 2.4 75.9 122.5 101.2 46.2 17.6 4.4 0.3
1977
1,948.5 73.8 2.5 77.4 130.2 107.2 49.1 18.1 4.9 0.3
1978
1,853.5 70.0 2.5 72.5 123.8 101.1 49.6 16.7 4.3 0.2
1979
1,864.5 70.4 2.3 72.1 124.1 103.6 49.9 16.6 4.2 0.1
1980
1,884.0 70.6 2.2 68.0 125.1 107.9 52.6 16.9 3.8 0.3
1981
1,795.0 66.3 1.7 62.5 119.5 105.1 50.7 16.1 3.1 0.3
1982
1,762.0 64.4 1.7 60.0 117.3 103.8 50.1 16.2 3.1 0.2
1983
1,727.5 62.4 1.7 60.2 113.0 102.0 48.8 16.7 2.9 0.2
1984
1,729.0 61.8 1.7 58.2 114.8 100.6 50.6 17.2 2.6 0.2
1985
1,746.0 61.8 1.9 58.5 115.7 101.9 51.4 17.0 2.6 0.2
1986
1,748.0 62.7 1.6 59.5 106.0 103.3 58.0 18.0 3.0 0.2
1987
1,748.0 62.1 2.0 57.9 104.6 103.7 60.2 18.2 2.9 0.1
1988
1,779.5 62.6 1.6 58.5 107.4 103.0 62.6 19.8 2.9 0.1
1989
1,827.0 63.7 1.8 61.7 109.9 104.6 63.4 20.5 3.4 0.1
1990
1,987.0 67.2 2.1 71.2 126.8 111.5 60.7 21.6 3.4 0.1
1991
1,973.0 66.2 2.2 75.3 122.9 109.6 60.5 20.9 3.1 0.1
1992
1,988.5 66.3 2.4 71.3 124.9 110.9 63.7 20.9 3.5 0.1
1993
1,987.9 65.9 2.6 70.2 124.0 109.1 65.6 22.3 3.6 0.2
1994
1,983.2 65.3 2.4 73.4 120.2 107.7 66.5 22.8 3.5 0.2
1995
1,982.5 65.0 2.3 73.1 118.3 106.6 68.9 23.3 3.9 0.1
1996
2,008.5 65.6 2.2 73.4 116.5 110.8 69.4 25.1 4.2 0.1
1997
2,040.5 66.5 1.9 71.4 118.6 115.4 70.6 26.1 4.0 0.1
1998
2,096.0 68.2 1.7 71.3 125.0 118.5 71.0 26.9 4.7 0.1
1999
2,115.0 68.7 1.6 67.8 129.0 118.1 73.6 28.0 4.7 0.2
2000
2,023.5 65.1 1.3 60.7 129.3 112.3 70.4 26.2 4.4 0.1
2001
1,926.0 62.2 1.2 54.8 122.4 105.2 70.6 26.1 4.7 0.2
2002
1,876.5 60.7 1.1 52.1 117.2 102.3 72.7 25.1 4.6 0.2
2003
1,910.5 62.3 1.1 52.2 113.9 107.7 74.7 27.4 4.9 0.2
2004
1,895.0 62.1 1.1 52.2 113.7 106.4 71.9 28.4 5.1 0.2
2005 1,928.0 63.3 1.0 49.6 119.1 107.0 74.0 29.4 5.3 0.2
2006 2,023.0 66.7 1.1 53.3 124.1 114.0 75.5 30.9 5.4 0.3
2007 2,054.0 68.1 0.9 53.8 126.0 114.4 78.0 31.9 5.6 0.2
2008 2,022.0 68.3 1.1 52.0 123.4 113.8 77.5 31.0 5.4 0.2
2009
1,957.5 65.7 1.1 50.7 115.4 111.2 77.7 29.5 5.7 0.2
2010
1,869.0 62.4 0.7 43.6 105.6 112.2 76.4 29.1 6.0 0.2
2011
1,835.5 61.8 0.6 40.5 100.9 111.4 77.1 30.3 5.9 0.3
2012
1,804.5 60.9 0.5 38.9 96.6 110.5 78.0 30.6 5.5 0.3
2013
1,793.0 60.6 0.4 34.1 97.9 110.8 78.5 31.1 5.5 0.3
2014
1,829.5 61.9 0.4 32.1 97.3 113.3 83.7 33.1 5.7 0.3
2015
1,833.5 62.2 0.3 30.1 98.2 112.5 84.8 34.6 5.9 0.3
2016
1,823.5 62.0 0.3 28.3 97.1 111.0 86.1 35.6 6.1 0.2
2017
1,821.0 62.0 0.3 27.0 96.7 110.1 86.9 36.4 6.5 0.3
2018
1,786.0 60.9 0.2 25.2 94.5 107.5 86.3 36.3 6.9 0.3
2019
1,813.0 61.7 0.3 25.6 95.1 110.1 87.3 36.9 7.0 0.3
2020
1,781.0 60.4 0.3 24.8 90.3 109.7 85.4 37.9 7.4 0.4
1
Total fertility rate is an estimate of the average number of children that 1,000 women would bear if the current age-specific birth rates remained
TABLE 22
FERTILITY RATES AND AGE-SPECIFIC BIRTH RATES
1
ALABAMA, 1970-2020
YEAR
TOTAL
FERTILITY
RATE
GENERAL
FERTILITY
RATE
AGE-SPECIFIC BIRTH RATES
20-24
constant. General fertility rate is per 1,000 females aged 15-44 years. Age-specific birth rate is per 1,000 females in specified age group. See
formulas in Appendix B.
28
ADPH|CHS
AVS (2020)
1970 2,321.5 83.4 0.7 74.8 170.8 129.5 58.3 24.1 5.7 0.4
1971 2,196.0 79.8 0.8 72.3 164.7 119.7 54.5 21.6 5.3 0.3
1972 1,940.5 70.8 0.9 68.4 135.8 109.8 49.0 19.2 4.7 0.3
1973 1,821.5 67.0 0.9 67.7 122.4 105.2 46.7 17.4 3.8 0.2
1974 1,760.0 65.3 0.9 64.7 122.7 102.0 43.3 14.7 3.4 0.2
1975 1,668.5 62.2 0.9 60.7 115.6 97.6 41.5 14.1 3.1 0.2
1976 1,634.0 60.8 1.0 57.0 113.5 98.0 41.0 13.4 2.7 0.2
1977
1,730.0 64.2 1.1 58.7 119.4 104.7 45.2 13.6 3.1 0.2
1978 1,625.0 60.1 0.9 54.5 111.4 97.0 45.3 13.1 2.7 0.1
1979
1,627.0 60.1 0.8 53.1 112.3 99.0 45.0 12.8 2.4
---
2
1980 1,691.5 61.9 0.8 52.4 116.5 105.5 47.5 13.1 2.3 0.2
1981
1,622.0 58.6 0.6 48.3 111.2 102.2 47.0 12.8 2.1 0.2
1982 1,592.0 56.9 0.6 46.2 108.7 101.1 46.3 13.5 1.9 0.1
1983
1,575.5 55.8 0.6 46.0 105.4 101.2 45.6 14.2 2.0 0.1
1984 1,568.0 55.0 0.6 44.5 105.2 98.4 47.7 15.2 1.9 0.1
1985 1,598.5 55.6 0.7 45.8 106.7 100.6 49.6 14.2 2.0 0.1
1986 1,616.0 56.4 0.6 45.1 100.7 104.6 54.2 15.5 2.4 0.1
1987 1,625.5 56.1 0.6 44.3 97.6 106.8 57.7 15.7 2.3 0.1
1988 1,639.5 56.1 0.5 44.7 98.2 105.3 59.8 17.2 2.2
---
2
1989 1,679.5 56.9 0.5 45.7 100.5 108.2 60.5 17.7 2.7 0.1
1990 1,820.5 61.0 0.7 55.6 112.7 111.2 61.1 20.0 2.7 0.1
1991 1,814.5 60.4 0.8 57.6 109.8 111.1 61.1 19.9 2.5 0.1
1992 1,820.5 60.3 0.9 54.3 112.0 109.9 64.0 19.8 3.1 0.1
1993 1,827.6 60.2 1.0 53.7 111.5 108.6 66.2 21.3 3.0 0.1
1994 1,836.5 60.2 0.6 56.2 107.7 108.3 68.6 22.6 3.1 0.2
1995 1,862.5 60.8 0.8 57.9 107.6 108.1 71.7 22.9 3.4 0.1
1996 1,906.5 62.0 0.9 57.9 106.6 113.8 72.6 25.5 3.9 0.1
1997 1,941.5 62.9 0.6 57.7 107.1 119.0 73.6 26.5 3.7 0.1
1998 2,015.5 65.0 0.6 57.6 114.5 123.4 75.0 27.5 4.4 0.1
1999 2,047.0 65.9 0.7 55.9 118.6 123.0 77.6 28.9 4.6 0.1
2000 2,022.5 64.1 0.6 51.9 120.8 119.8 78.7 28.1 4.4 0.2
2001 1,957.0 62.1 0.6 47.7 116.9 113.6 80.0 27.8 4.5 0.3
2002 1,933.0 61.5 0.5 46.1 113.9 111.4 83.1 26.6 4.7 0.3
2003 1,971.5 63.3 0.5 45.9 109.6 119.2 84.5 29.5 4.9 0.2
2004 1,931.0 62.3 0.4 45.9 109.3 113.9 80.1 31.1 5.3 0.2
2005 1,971.5 63.6 0.4 43.9 114.8 115.1 82.4 32.2 5.2 0.3
2006 2,060.0 66.7 0.5 46.8 121.1 121.7 82.6 33.6 5.4 0.3
2007 2,091.0 68.1 0.4 47.6 122.7 121.5 86.0 34.0 5.8 0.2
2008 2,047.5 68.1 0.5 45.9 119.3 120.8 84.3 33.0 5.5 0.2
2009
2,005.5
66.3 0.6 46.0 112.0 120.1 85.2 31.1 5.8 0.3
2010 1,997.5 65.4 0.4 40.1 105.5 126.4 89.1 31.7 6.1 0.2
2011 1,898.5 63.0 0.4 36.6 96.2 121.0 86.3 32.4 6.5 0.3
2012 1,845.5 61.5 0.3 35.1 91.3 118.4 86.3 32.1 5.3 0.3
2013 1,844.5 61.5 0.3 31.8 93.0 118.0 86.7 33.2 5.5 0.4
2014 1,885.5 63.0 0.3 30.6 93.7 119.9 92.1 34.7 5.5 0.3
2015 1,897.0 63.7 0.2 28.5 94.1 119.8 93.8 36.9 5.8 0.3
2016 1,888.5 63.7 0.2 26.0 94.8 117.3 95.3 37.7 6.2 0.2
2017 1,866.5 63.1 0.2 25.4 92.6 114.8 95.8 37.7 6.5 0.3
2018 1,842.0 62.3 0.2 22.8 92.7 114.1 93.2 38.3 6.7 0.4
2019 1,832.5 62.0 0.2 22.5 91.9 112.8 94.3 37.6 6.8 0.4
2020 1,803.8 61.0 0.2 21.9 86.2 114.4 91.9 38.9 6.9 0.3
45-49
TABLE 23
FERTILITY RATES AND AGE-SPECIFIC BIRTH RATES
1
FOR WHITE FEMALES
ALABAMA, 1970-2020
TOTAL
FERTILITY
RATE
YEAR
GENERAL
FERTILITY
RATE
AGE-SPECIFIC BIRTH RATES
10-14
15-19 35-39 40-4420-24 25-29 30-34
1
Total fertility rate is an estimate of the average number of children that 1,000 women would bear if the current age-specific birth rates remained
constant. General fertility rate is per 1,000 females aged 15-44 years. Age-specific birth rate is per 1,000 females in specified age group. See
formulas in Appendix B.
2
Rate is less than 0.05 per 1,000 females in specified age group.
29
ADPH|CHS
AVS (2020)
1970 3,329.5 118.6 3.9 123.9 210.1 151.3 96.8 60.0 18.5 1.4
1971 3,233.5 120.0 4.4 128.6 202.5 140.9 96.8 54.6 17.3 1.6
1972 2,944.5 112.6 4.7 131.0 178.4 128.7 78.6 48.6 17.0 1.9
1973
2,675.0 105.3 5.4 127.7 164.4 111.1 70.8 42.1 12.6 0.9
1974 2,606.0 103.2 5.3 124.6 153.4 116.2 68.4 38.1 14.0 1.2
1975 2,481.5 99.4 5.3 119.0 146.7 113.9 60.1 38.4 12.1 0.8
1976 2,454.0 98.2 5.5 117.4 145.1 111.8 66.1 33.5 10.5 0.9
1977 2,543.5 102.1 5.4 118.9 157.6 115.2 63.8 35.8 11.2 0.8
1978 2,477.0 99.5 5.9 113.1 155.4 113.2 66.1 31.0 10.3 0.4
1979
2,508.5 100.7 5.5 114.7 153.5 116.8 67.7 32.1 10.9 0.5
1980 2,379.5 94.3 5.3 101.3 145.1 114.1 69.4 31.0 9.2 0.5
1981 2,228.0 87.3 3.9 92.7 139.1 112.7 62.3 27.6 6.8 0.5
1982 2,183.0 84.4 4.0 89.6 137.4 111.0 61.8 25.2 7.2 0.4
1983 2,095.5 80.2 4.0 90.6 130.7 103.9 58.4 25.0 6.1 0.4
1984 2,118.0 80.1 4.0 87.8 137.6 106.3 59.0 23.4 5.2 0.3
1985 2,098.5 78.3 4.4 85.8 137.0 105.4 56.5 25.6 4.5 0.5
1986 2,065.0 79.3 3.8 90.5 117.4 100.0 69.0 26.5 5.2 0.6
1987 2,034.5 77.5 4.9 86.7 119.7 96.4 67.4 26.5 5.1 0.2
1988 2,101.5 79.2 3.7 87.8 127.1 97.8 70.3 28.0 5.4 0.2
1989 2,167.5 81.0 4.4 95.3 130.4 96.2 71.5 29.4 5.9 0.4
1990 2,352.5 82.6 4.8 102.1 160.3 112.1 59.6 25.9 5.5 0.2
1991 2,304.0 80.6 4.8 109.5 153.4 105.8 59.0 23.2 5.0 0.1
1992 2,345.5 81.1 5.1 104.2 154.0 113.7 63.1 23.9 4.9 0.2
1993 2,317.6 79.6 5.7 101.5 151.6 110.5 64.0 24.6 5.2 0.4
1994 2,267.8 77.7 5.6 105.6 147.2 106.3 60.9 23.2 4.6 0.2
1995 2,208.5 75.2 5.0 101.6 140.8 102.9 61.5 24.2 5.5 0.2
1996 2,184.5 74.3 4.7 102.1 137.3 102.9 60.7 24.3 4.8 0.1
1997 2,211.0 75.0 4.4 97.2 142.1 106.1 62.5 25.0 4.7 0.2
1998 2,221.0 75.5 3.7 96.8 146.3 106.3 60.2 25.4 5.3 0.2
1999 2,213.0 75.3 3.3 90.2 149.7 106.3 62.5 25.6 4.9 0.1
2000 1,987.5 67.2 2.5 75.8 144.5 96.8 51.7 21.8 4.3 0.1
2001 1,834.5 62.2 2.2 67.1 132.2 88.3 49.7 22.2 5.0 0.2
2002 1,739.5 59.2 2.1 62.5 122.9 84.6 50.1 21.4 4.2 0.1
2003
1,763.5 60.4 2.1 63.4 121.8 85.2 52.6 22.4 5.0
0.2
2004 1,797.0 61.6 2.2 63.5 121.8
91.5 53.6 22.0 4.5 0.3
2005 1,819.5 62.6 2.0 59.9 127.1
91.0 55.6 22.7 5.4 0.2
2006 1,927.5 66.6 2.0 65.0 129.5
98.9 60.0 24.6 5.3 0.2
2007 1,961.0 68.1 1.8 64.4 132.1
100.7 61.2 26.9 4.9 0.2
2008 1,949.5 68.7 2.0 62.5 130.7
100.2 62.9 26.2 5.2 0.2
2009 1,849.5 64.6 1.9 58.7 121.4
94.0 62.3 26.0 5.5 0.1
2010 1,646.0 57.2 1.2 49.1 105.7
88.5 54.5 24.1 5.9 0.2
2011 1,706.5 59.4 1.0 47.0 109.0
93.1 59.7 26.0 5.1 0.4
2012 1,720.5 58.9 0.9 45.3 106.0
95.7 62.4 27.5 6.0 0.3
2013 1,692.5 58.9 0.7 38.1 106.3
97.2 63.3 26.9 5.7 0.3
2014 1,720.2 59.2 0.6 34.7 103.5
101.2 67.7 29.9 6.2 0.2
2015 1,709.0 59.4 0.6 33.0 105.1
98.9 67.7 30.1 6.1 0.3
2016 1,699.5 58.9 0.5 32.5 100.9
99.5 68.8 31.6 5.9 0.2
2017 1,730.5 60.0 0.4 29.7 103.4
101.9 70.1 33.8 6.6 0.2
2018 1,684.0 58.3 0.4 29.4 97.5
95.9 73.5 32.6 7.2 0.3
2019 1,774.0 61.4 0.4 31.1 100.5
105.5 74.1 35.4 7.4 0.4
2020 1,737.8 59.8 0.5 29.9 97.3
101.5 73.5 36.1 8.3 0.5
YEAR
TOTAL
FERTILITY
RATE
AGE-SPECIFIC BIRTH RATES
25-29 40-4420-2415-19
GENERAL
FERTILITY
RATE
FERTILITY RATES AND AGE-SPECIFIC BIRTH RATES
1
FOR BLACK AND OTHER FEMALES
TABLE 24
ALABAMA, 1970-2020
10-14
30-34 35-39 45-49
30
ADPH|CHS
AVS (2020)
1
Total fertility rate is an estimate of the average number of children that 1,000 women would bear if the current age-specific birth rates remained
constant. General fertility rate is per 1,000 females aged 15-44 years. Age-specific birth rate is per 1,000 females in specified age group. See
formulas in Appendix B.
TOTAL 77,385 81.3 57,643 7,467 12,275 47,494 77.2 37,492 2,276 7,726 29,891 88.8 20,151 5,191 4,549
Autauga 940 85.7 709 81 150 628 78.9 498 28 102 312 103.8 211 53 48
Baldwin 2,797 70.9 2,293 41 463 2,406 72.2 1,980 27 399 391 63.8 313 14 64
Barbour 378 100.0 279 39 60 130 81.0 103 6 21 248 114.1 176 33 39
Bibb 346 95.0 258 33 55 250 86.5 192 18 40 96 127.9 66 15 15
Blount 799 77.9 648 19 132 773 78.9 627 19 127 25 55.4 21 0 4
Bullock 169 109.3 114 29 26 44 146.3 32 5 7 125 100.4 82 24 19
Butler 299 84.9 224 27 48 112 75.3 89 5 18 186 92.0 135 22 29
Calhoun
1,730 79.0 1,263 195 272 1,199 77.0 921 85 193 531 83.6 342 110 79
Chambers 523 89.1 380 61 82 300 100.1 237 14 49 223 77.7 143 47 33
Cherokee 298 72.6 233 17 48 282 73.6 221 15 46 17 59.3 12 2 3
Chilton 724 88.9 574 32 118 634 90.2 512 18 104 90 80.5 62 14 14
Choctaw 191 94.5 141 20 30 102 92.2 84 1 17 89 97.3 57 19 13
Clarke 373 88.3 289 24 60 172 85.3 139 5 28 201 91.1 150 19 32
Clay 207 93.1 160 14 33 161 87.6 129 6 26 46 119.5 31 8 7
Cleburne 205 82.9 164 7 34 196 83.6 157 7 32 8 68.3 7 0 1
Coffee 889 90.9 712 31 146 667 93.0 545 12 110 221 85.0 167 19 35
Colbert 852 85.9 644 72 136 660 85.7 518 35 107 192 86.8 126 37 29
Conecuh 147 76.9 112 11 24 56 67.2 47 0 9 90 84.4 65 11 14
Coosa 116 75.4 86 12 18 85 82.3 66 5 14 32 61.7 20 7 5
Covinqton 523 84.1 431 5 87 408 80.2 338 2 68 115 101.6 93 3 19
Crenshaw 204 85.7 156 15 33 135 82.6 109 4 22 69 92.6 47 11 11
Cullman 1,226 81.2 967 60 199 1,191 82.6 942 55 194 36 50.6 25 5 6
Dale 840 90.2 676 26 138 591 92.3 487 6 98 249 85.5 189 20 40
Dallas 666 99.3 464 99 103 125 89.5 98 7 20 540 101.9 366 92 82
DeKalb 995 77.6 791 42 162 879 74.4 700 35 144 117 114.2 91 7 19
Elmore 1,184 72.3 887 109 188 834 70.6 664 34 136 350 77.0 223 75 52
Escambia 537 86.5 438 10 89 313 85.4 257 4 52 224 88.0 181 6 37
Etowah 1,542 83.0 1,171 124 247 1,091 75.9 867 46 178 451 107.6 304 78 69
Fayette 219 80.6 169 15 35 184 78.2 143 11 30 36 95.7 26 4 6
Franklin 483 86.6 384 20 79 427 83.2 339 18 70 56 126.0 45 2 9
Geneva 355 79.2 290 6 59 306 79.5 252 3 51 49 77.4 38 3 8
Greene 160 120.1 108 28 24 17 103.7 13 1 3 144 122.3 95 27 22
Hale 277 102.4 182 53 42 88 92.9 70 4 14 188 107.5
112
49 27
2
Estimated pregnancy rate is per 1,000 females aged 15-44 years. See pregnancy rate formulas in Appendix B. Use caution with rates derived from small numbers or rates that are based on small populations. Rates which apply to
ABORTION
1
Estimated pregnancy is the sum of abortions, live births and estimated total fetal losses.
populations under 1,000 are shaded.
3
Estimated total fetal loss is equal to two-tenths of live births plus one-tenth of abortions. Estimated total fetal loss should not be confused with fetal death.
ESTIMATED
PREGNANCY
EST. TOTAL
FETAL LOSS
3
PREGNANCY OUTCOMES
NUMBER RATE LIVE BIRTH ABORTION
EST. TOTAL
FETAL LOSS
3
NUMBER RATE LIVE BIRTH ABORTION
EST. TOTAL
FETAL LOSS
3
NUMBER RATE LIVE BIRTH
BY COUNTY OF RESIDENCE AND RACE OF FEMALE, ALABAMA, 2020
TABLE 25
ESTIMATED PREGNANCIES
1
, PREGNANCY RATES
2
AND PREGNANCY OUTCOMES
COUNTY OF
RESIDENCE
TOTAL WHITE BLACK AND OTHER
ESTIMATED
PREGNANCY
PREGNANCY OUTCOMES
ESTIMATED
PREGNANCY
PREGNANCY OUTCOMES
31
ADPH|CHS
AVS (2020)
TOTAL 77,385 81.3 57,643 7,467 12,275 47,494 77.2 37,492 2,276 7,726 29,891 88.8 20,151 5,191 4,549
Henry 210 71.7 161 15 34 139 68.0 113 3 23 71 80.4 48 12 11
Houston 1,675 83.1 1,337 64 274 974 76.8 793 20 161 701 93.9 544 44 113
Jackson 649 73.7 516 27 106 605 75.3 486 20 99 44 56.6 30 7 7
Jefferson 11,402 84.2 7,922 1,723 1,757 5,406 81.1 4,177 358 871 5,996 87.3 3,745 1,365 886
Lamar 200 87.6 161 6 33 183 92.3 149 4 30 17 55.7 12 2 3
Lauderdale
1,138 63.7 886 68 184 929 62.2 736 42 151 209 71.4 150 26 33
Lawrence 432 76.1 333 29 70 388 89.5 303 22 63 44 32.7 30 7 7
Lee 2,551 65.1 1,844 307 400 1,611 58.7 1,230 123 258 939 80.3 614 184 141
Limestone 1,502 79.0 1,135 127 240 1,226 80.9 959 68 199 276 71.4 176 59 41
Lowndes 179 103.5 115 37 27 26 78.9 19 3 4 153 109.4 96 34 23
Macon 285 72.5 186 56 43 50 102.3 35 7 8 235 68.3 151 49 35
Madison 6,022 80.3 4,340 740 942 3,752 79.5 2,898 249 605 2,271 81.5 1,442 491 338
Marengo 315 93.9 234 31 50 104 75.9 84 3 17 211 106.3 150 28 33
Marion 407 82.8 320 21 66 379 81.4 305 12 62 28 107.7 15 9 4
Marshall 1,863 108.5 1,463 98 302 1,452 91.1 1,134 83 235 411 332.0 329 15 67
Mobile 6,597 79.9 5,301 214 1,082 3,321 74.2 2,717 55 549 3,276 86.6 2,584 159 533
Monroe 251 69.6 203 7 41 122 67.9 102 0 20 129 71.3 101 7 21
Montgomery 4,665 99.9 3,138 818 709 1,120 89.9 851 90 179 3,545 103.6 2,287 728 530
Morgan 1,917 89.3 1,464 146 307 1,501 87.8 1,185 72 244 416 95.2 279 74 63
Perry 162 92.4 112 25 25 31 62.0 26 0 5 131 104.6 86 25 20
Pickens 263 76.4 178 45 40 98 54.2 78 4 16 165 100.9 100 41 24
Pike 502 63.1 359 65 78 246 57.8 193 13 40 256 69.0 166 52 38
Randolph 328 85.4 257 18 53 255 88.6 207 6 42 73 75.8 50 12 11
Russell 1,122 94.5 772 178 172 510 94.9 383 46 81 612 94.2 389 132 91
St. Clair 1,243 75.6 977 64 202 1,082 76.4 862 43 177 161 70.3 115 21 25
Shelby 2,895 66.7 2,230 199 466 2,330 69.3 1,841 110 379 565 57.8 389 89 87
Sumter 181 68.0 133 19 29 40 55.3 32 1 7 141 72.7 101 18 22
Talladega 1,244 82.0 931 115 198 682 78.0 540 31 111 562 87.4 391 84 87
Tallapoosa 539 81.8 400 54 85 311 74.3 240 21 50 228 94.8 160 33 35
Tuscaloosa 3,772 75.9 2,570 625 577 1,827 61.2 1,392 142 293 1,945 97.9 1,178 483 284
Walker 936 85.2 725 60 151 845 85.6 663 45 137 91 81.2 62 15 14
Washington 229 84.9 187 4 38 156 93.6 127 3 26 73 70.8 60 1 12
Wilcox 171 92.4 128 16 27 37 93.4 29 2 6 134 92.2 99 14 21
Winston 284 73.9 228 9 47 281 75.9 227 8 46 2 17.4 1 1 0
2
Estimated pregnancy rate is per 1,000 females aged 15-44 years. See pregnancy rate formulas in Appendix B. Use caution with rates derived from small numbers or rates that are based on small populations. Rates which apply to
populations under 1,000 are shaded.
PREGNANCY OUTCOMES
NUMBER RATE LIVE BIRTH ABORTION
EST. TOTAL
FETAL LOSS
3
NUMBER RATE LIVE BIRTH ABORTION
EST. TOTAL
FETAL LOSS
3
NUMBER RATE
EST. TOTAL
FETAL LOSS
3
ESTIMATED
PREGNANCY
PREGNANCY OUTCOMES
ESTIMATED
PREGNANCY
PREGNANCY OUTCOMES
ESTIMATED
PREGNANCY
3
Estimated total fetal loss is equal to two-tenths of live births plus one-tenth of abortions. Estimated total fetal loss should not be confused with fetal death.
1
Estimated pregnancy is the sum of abortions, live births and estimated total fetal losses.
TABLE 25 (Continued)
ESTIMATED PREGNANCIES
1
, PREGNANCY RATES
2
AND PREGNANCY OUTCOMES
BY COUNTY OF RESIDENCE AND RACE OF FEMALE, ALABAMA, 2020
COUNTY OF
RESIDENCE
TOTAL WHITE BLACK AND OTHER
LIVE BIRTH ABORTION
32
ADPH|CHS
AVS (2020)
AGE GROUP OF FEMALE 2010 2011 2012 2013 2014 2015 2016 2017
2018 2019 2020
TOTAL
Total (ages 15-44)
85.3 83.9 82.2 81.2
82.2
80.6 82.5 82.3 81.6 82.8 81.3
10 - 19
32.5 29.6 27.7 24.2 22.5 20.7 20.3 19.2 18.0 18.1 17.3
10 - 14
1.3 1.2 1.0 0.8 0.7 0.6 0.6 0.5 0.5 0.6 0.6
15 - 17
31.9 29.2 26.1 21.7 20.4 18.4 18.4 16 15.3 14.0 14.1
18 - 19
105.8 98.9 96.7 85.6 79.6 72.6 70.1 69 65.0 67.6 64.1
20 - 44
73.6 73.3 72.4 72.9 74.6 73.9 75.7 75.7 75.3 76.6 75.5
WHITE
Total (ages 15-44)
85.0 81.3 79.2 78.7 80.2 79.8 80.8
80.8
79.6 78.8 77.2
10 - 19
28.5 24.9 23.6 21.3 20.3 18.6 17.6
17.1
15.6 15.0 14.6
10 - 14
0.7 0.6 0.5 0.4 0.4 0.3 0.4
0.3
0.3 0.3 0.4
15 - 17
26.3 23.9 21.5 18.5 17.9 15.4 14.9
13.3
11.6 10.9 10.9
18 - 19
97.0 86.6 85.5 78.0 73.8 68.1 63.1
63.4
59.1 57.4 55.2
20 - 44
73.3 71.2 69.8 70.3 72.3 72.7 73.9
73.2
73.2 72.8 71.7
BLACK AND OTHER
Total (ages 15-44)
85.8 88.9 87.9 86.0 85.9 82.1 85.5
86.4
85.3 90.1 88.8
10 - 19
39.0 37.9 35.0 29.4 26.6
24.5 25.2 23.1 22.4 23.7 22.4
10 - 14
2.3 2.2 1.8 1.6 1.2 1.0 1.0
0.8
0.8 0.9 0.9
15 - 17
40.8 38.3 34.0 27.4 24.8 23.7 24.5
20.7
21.8 19.5 19.8
18 - 19
119.8 119.7 116.1 98.8 89.8 80.5 82.3
78.9
75.4 85.8 80.0
20 - 44
74.2 77.6 77.6 78.0 79.0 76.0 79.3
80.6
79.3 83.6 82.6
1
Rates are per 1,000 females in specified age group.
TABLE 26
ESTIMATED PREGNANCY RATES
1
BY RACE AND AGE GROUP OF FEMALE
ALABAMA, 2010-2020
33
ADPH|CHS
AVS (2020)
TOTAL 10-14 15-17 18-19 10-19 20 AND ABOVE UNKNOWN
ESTIMATED PREGNANCIES
1
77,385 88 1,292 3,917 5,296 72,079 9
White 47,494 39 647 2,176 2,862 44,630 2
Black and Other 29,891 49 645 1,741 2,434 27,449 7
ESTIMATED PREGNANCY RATES
2
81.3 0.6 14.1 64.1 17.3 75.5 --
White 77.2 0.4 10.9 55.2 14.6 71.7 --
Black and Other 88.8 0.9 19.8 80.1 22.4 82.6 --
LIVE BIRTHS 57,643 50 927 2,860 3,837 53,803 3
White 37,492 22 492 1,669 2,183 35,307 2
Black and Other 20,151 28 435 1,191 1,654 18,496 1
ABORTIONS 7,467 25 163 441 629 6,832 6
White 2,276 11 51 158 220 2,056 0
Black and Other 5,191 14 112 283 409 4,776 6
ESTIMATED TOTAL FETAL LOSSES
3
12,275 13 202 616 831 11,444 0
White 7,726 6 104 349 459 7,267 0
Black and Other 4,549 7 98 267
371
4,177 0
FEMALE POPULATION 1,260,589 152,508 91,712 61,141 305,361 955,228 --
White 819,282 98,036 59,095 39,397 196,528 622,754 --
Black and Other 441,307 54,472 32,617 21,744 108,833 332,474 --
1
Estimated pregnancy is the sum of abortions, live births and estimated total fetal losses.
2
Estimated pregnancy rate is per 1,000 females in specified age group. See pregnancy rat
e formulas in Appendix B.
3
Estimated total fetal loss is equal to two-tenths of live births plus one-tenth of abortions. Estimated total fetal loss should not be confused with fetal death.
AGE GROUP OF FEMALE
TABLE 27
ESTIMATED PREGNANCIES, PREGNANCY RATES AND PREGNANCY OUTCOMES BY RACE AND AGE GROUP OF FEMALE
ALABAMA, 2020
34 ADPH|CHS AVS (2020)
TOTAL
5,296 17.3 3,837 629 830 2,862 14.6 2,183 220 459 2,435 22.4 1,654 409 372
Autauga
66 18.1 46 10 10 40 15.3 29 5 6 26 25.5 17 5 4
Baldwin
127 9.2 103 3 21 101 8.9 83 1 17 26 10.8 20 2 4
Barbour
35 24.7 23 7 5 18 26.7 12 3 3 18 23.0 11 4 3
Bibb
24 21.0 16 4 4 15 17.7 11 2 2 8 32.4 5 2 1
Blount
53 14.3 43 1 9 53 15.1 43 1 9 0 0.0 0 0 0
Bullock
13 25.3 8 3 2 6 61.7 3 2 1 7 17.1 5 1 1
Butler
34 30.9 24 5 5 13 26.8 10 1 2 21 34.1 14 4 3
Calhoun
130 18.4 90 20 20 88 18.2 63 11 14 42 18.8 27 9 6
Chambers
33 18.3 23 5 5 22 24.2 17 1 4 12 12.6 6 4 2
Cherokee
37 26.1 28 3 6 33 25.9 25 3 5 4 27.9 3 0 1
Chilton
78 26.1 63 2 13 66 25.9 53 2 11 12 27.3 10 0 2
Choctaw
11 16.7 7 2 2 2 6.8 2 0 0 8 29.1 5 2 1
Clarke
24 17.0 17 3 4 8 12.0 6 1 1 15 22.0 11 2 2
Clay
12 17.6 10 0 2 6 11.3 5 0 1 6 40.0 5 0 1
Cleburne
19 21.5 13 3 3 18 21.9 12 3 3 1 16.7 1 0 0
Coffee
57 16.9 43 5 9 44 17.7 34 3 7 13 14.7 9 2 2
Colbert
55 17.6 42 4 9 45 18.7 34 4 7 10 13.7 8 0 2
Conecuh
8 12.6 6 1 1 2 8.6 2 0 0 6 15.4 4 1 1
Coosa
7 15.1 4 2 1 5 16.5 2 2 1 2 13.0 2 0 0
Covinqton
41 19.3 33 1 7 34 19.8 28 0 6 7 17.4 5 1 1
Crenshaw
12 14.0 8 2 2 7 12.3 4 2 1 5 17.5 4 0 1
Cullman
101 20.2 81 3 17 99 21.2 80 3 16 1 4.3 1 0 0
Dale
52 18.4 42 1 9 31 16.4 26 0 5 20 22.8 16 1 3
Dallas
67 28.3 44 13 10 12 24.7 9 1 2 55 29.2 35 12 8
DeKalb
84 17.3 67 3 14 65 14.7 51 3 11 19 41.5 16 0 3
Elmore
79 15.8 57 10 12 56 15.3 39 8 9 24 17.0 18 2 4
Escambia
54 24.6 45 0 9 31 24.4 26 0 5 23 24.8 19 0 4
Etowah
150 25.2 113 13 24 106 23.5 82 7 17 44 30.4 31 6 7
Fayette
22 23.5 17 1 4 19 24.2 15 1 3 2 19.4 2 0 0
Franklin
35 16.9 26 3 6 30 15.9 22 3 5 5 27.7 4 0 1
Geneva
29 18.0 23 1 5 24 17.9 20 0 4 5 18.9 3 1 1
Greene
21 42.6 15 3 3 1 23.5 1 0 0 20 44.8 14 3 3
Hale
22 25.5 14 5 3 4 11.1 3 0 1 19 34.0 11 5 3
COUNTY OF
RESIDENCE
TOTAL WHITE BLACK AND OTHER
NUMBER RATE LIVE BIRTH ABORTION
ESTIMATED
PREGNANCY
PREGNANCY OUTCOMES
ESTIMATED
PREGNANCY
PREGNANCY OUTCOMES
NUMBER
ESTIMATED
PREGNANCY
TABLE 28
ESTIMATED TEENAGE PREGNANCIES
1
, PREGNANCY RATES
2
AND PREGNANCY OUTCOMES
BY COUNTY OF RESIDENCE AND RACE OF FEMALE, ALABAMA 2020
2
Estimated pregnancy rate is per 1,000 females aged 15-19 years. See pregnancy rate formulas in Appendix B. Use caution with rates derived from small numbers or rates that are based on small populations. Rates which
apply to populations under 1,000 are shaded.
PREGNANCY OUTCOMES
EST. TOTAL
FETAL LOSS
3
RATE LIVE BIRTH ABORTION
EST. TOTAL
FETAL LOSS
3
RATE LIVE BIRTH ABORTION
EST. TOTAL
FETAL LOSS
3
NUMBER
1
Estimated pregnancy is the sum of abortions, live births and estimated total fetal losses.
3
Estimated total fetal loss is equal to two-tenths of live births plus one-tenth of abortions. Estimated total fetal loss should not be confused with fetal death.
35 ADPH|CHS
AVS (2020)
TOTAL
5,296 17.3 3,837 629 830 2,862 14.6 2,183 220 459 2,435 22.4 1,654 409 372
Henry
28 28.4 23 0 5 20 29.8 17 0 3 7 25.0 6 0 1
Houston
140 21.6 114 3 23 61 15.4 49 2 10 79 31.4 65 1 13
Jackson
53 18.2 41 3 9 47 18.0 37 2 8 6 20.2 4 1 1
Jefferson
630 15.5 412 123 95 174 9.1 129 17 28 456 21.2 283 106 67
Lamar
13 17.1 11 0 2 13 19.6 11 0 2 0 0.0 0 0 0
Lauderdale
46 8.1 35 4 7 41 8.7 31 3 7 6 5.6 4 1 1
Lawrence
39 20.2 28 5 6 33 22.9 24 4 5 6 12.2 4 1 1
Lee
136 11.8 87 29 20 77 9.5 54 11 12 59 16.8 33 18 8
Limestone
77 12.0 52 13 12 63 12.6 43 10 10 14 10.1 9 3 2
Lowndes
14 24.1 9 3 2 0 0.0 0 0 0 14 29.5 9 3 2
Macon
22 18.3 14 5 3 1 10.2 1 0 0 21 19.1 13 5 3
Madison
310 13.4 210 53 47 139 9.6 103 14 22 171 19.9 107 39 25
Marengo
26 22.2 19 3 4 5 10.2 4 0 1 21 30.2 15 3 3
Marion
30 18.2 23 2 5 26 17.2 21 1 4 4 32.4 2 1 1
Marshall
179 28.0 139 11 29 127 22.1 96 11 20 52 82.7 43 0 9
Mobile
465 18.0 372 17 76 165 12.2 135 3 27 300 24.5 237 14 49
Monroe
18 14.8 15 0 3 7 11.4 6 0 1 11 18.6 9 0 2
Montgomery
380 26.9 255 67 58 69 18.0 48 10 11 311 30.2 207 57 47
Morgan
149 20.1 112 13 24 114 19.5 88 8 18 34 22.5 24 5 5
Perry
8 13.4 6 1 1 0 0.0 0 0 0 8 18.4 6 1 1
Pickens
28 28.3 20 4 4 10 18.2 7 1 2 19 39.5 13 3 3
Pike
37 15.9 22 10 5 14 11.4 9 3 2 23 21.1 13 7 3
Randolph
37 28.0 29 2 6 31 32.6 25 1 5 6 16.0 4 1 1
Russell
60 17.3 40 11 9 30 20.2 22 3 5 30 15.2 18 8 4
St. Clair
78 14.5 60 5 13 74 16.1 58 4 12 4 4.6 2 1 1
Shelby
109 7.3 75 17 17 81 6.9 61 7 13 28 9.0 14 10 4
Sumter
20 25.3 13 4 3 2 12.0 2 0 0 18 29.8 11 4 3
Talladega
93 18.2 70 8 15 61 21.2 49 2 10 32 14.4 21 6 5
Tallapoosa
45 20.8 33 5 7 26 18.8 19 3 4 19 24.2 14 2 3
Tuscaloosa
268 17.9 180 47 41 119 13.0 83 18 18 148 25.5 97 29 22
Walker
76 21.0 56 8 12 70 22.0 52 7 11 6 13.6 4 1 1
Washington
20 21.9 17 0 3 16 27.1 13 0 3 5 13.4 4 0 1
Wilcox
26 39.7 18 4 4 1 9.3 1 0 0 25 47.1 17 4 4
Winston
40 30.0 33 0 7 40 31.8 33 0 7 0 0.0 0 0 0
apply to populations under 1,000 are shaded.
2
Estimated pregnancy rate is per 1,000 females aged 15-19 years. See pregnancy rate formulas in Appendix B. Use caution with rates derived from small numbers or rates that are based on small populations. Rates which
TABLE 28 (Continued)
ESTIMATED TEENAGE PREGNANCIES
1
, PREGNANCY RATES
2
AND PREGNANCY OUTCOMES
BY COUNTY OF RESIDENCE AND RACE OF FEMALE, ALABAMA 2020
COUNTY OF
RESIDENCE
TOTAL WHITE BLACK AND OTHER
ESTIMATED
PREGNANCY
PREGNANCY OUTCOMES
ESTIMATED
PREGNANCY
PREGNANCY OUTCOMES
ESTIMATED
PREGNANCY
PREGNANCY OUTCOMES
NUMBER RATE LIVE BIRTH
1
Estimated pregnancy is the sum of abortions, live births and estimated total fetal losses.
3
Estimated total fetal loss is equal to two-tenths of live births plus one-tenth of abortions. Estimated total fetal loss should not be confused with fetal death.
ABORTION
EST. TOTAL
FETAL LOSS
3
ABORTION
EST. TOTAL
FETAL LOSS
3
NUMBER RATE LIVE BIRTHABORTION
EST. TOTAL
FETAL LOSS
3
NUMBER RATE LIVE BIRTH
36 ADPH|CHS
AVS (2020)
1970 1,091 16.1 14.2 559 12.3 532 24.1
1971 1,073 16.1 13.4 551 12.5 522 23.2
1972 1,042 16.9 12.7 523 13.0 519 24.0
1973 938 15.8 12.2 463 11.9 475 23.0
1974 886 14.9 11.5 441 11.4 445 21.5
1975 798 13.8 10.7 393 10.5 405 19.9
1976
723 12.5 10.5 345 9.2 378 18.5
1977 780 12.6 9.9 390 9.7 390 18.0
1978 775 12.9 9.7 382 9.9 393 18.3
1979 659 10.5 9.4 339 8.5 320 14.1
1980 723 11.4 9.2 368 9.1 355 15.6
1981 754 12.3 9.0 366 9.2 388 17.8
1982
675 11.2 8.9 352 9.1 323 15.1
1983 658 11.1 8.5 338 8.8 320 15.5
1984 608 10.3 8.2 316 8.3 292 14.0
1985 660 11.1 7.9 317 8.1 343 16.6
1986 690 11.6 7.7 347 9.0 343 16.5
1987 600 10.1 7.7 306 7.9 294 14.2
1988 656 10.8 7.5 330 8.4 326 15.1
1989 628 10.0 7.5 294 7.3 334 14.9
1990 680 10.7 7.5 333 8.1 347 15.5
1991 584 9.3 7.3 282 6.9 302 13.6
1992 639 10.3 7.4 294 7.3 345 15.6
1993 605 9.8 7.2 300 7.5 305 14.0
1994 585 9.6 7.0 268 6.8 317 14.9
1995 572 9.5 7.0 264 6.7 308 14.9
1996 563 9.3 6.9 266 6.6 297 14.6
1997 524 8.6 6.8 266 6.6 258 12.6
1998 591 9.5 6.7 284 6.8 307 14.9
1999 602 9.7 6.7 290 7.0 312 15.3
2000 609 9.6 6.6 266 6.3 343 16.2
2001 574 9.5 6.5 274 6.8 300 15.1
2002 548 9.3 6.4 245 6.1 303 15.9
2003 534 9.0 6.3 250 6.1 284 15.2
2004 549 9.3 6.3 260 6.5 289 15.2
2005 543 9.0 6.2 256 6.3 287 14.8
2006 571 9.1 6.1 269 6.3 302 14.7
2007 585 9.1 6.1 297 6.9 288 13.6
2008 587 9.1 6.2 278 6.5 309 14.4
2009
548 8.8 6.0 250 6.0 298 14.5
2010
562
9.4
6.0
275 6.8 287 14.5
2011
536
9.0
6.1
265 6.7 271 13.9
2012
538
9.2
6.1
257 6.7 281 14.2
2013
534
9.2
6.0
245 6.3 289 14.8
2014
500
8.4
6.0
237 6.0 263 13.1
2015
517
8.7
6.0
249 6.3 268 13.4
2016
569
9.6
6.0
288 7.3 281 14.2
2017
551
9.3
5.9
277 7.2 274 13.6
2018
498 8.6 5.9 233 6.1 265 13.5
2019
525 9.0 6.5 259 6.8 266 12.9
2020
491
8.5
6.3
242 6.5 249 12.4
RATE
ALABAMA
NUMBER
RATE
U.S.
1
Rate is per 1,000 live births in specified group. See formula in Appendix B. Beginning in 1980, U.S. rates were calculated using a slightly different formula.
and live births.
TABLE 29
BLACK AND OTHER
FETAL DEATHS AND FETAL DEATH RATES
1
BY RACE
2
TOTAL
YEAR
WHITE
NUMBER
NUMBER
ALABAMA
RATE
RATE
ALABAMA
ALABAMA AND UNITED STATES, 1970-2020
37
ADPH|CHS
AVS (2020)
2
Data for 1970-1989 are by race of fetus for fetal deaths and by race of child for live births. Data for 1990-2020 are by race of mother for fetal deaths
TOTAL 491 8.5 242 6.5 249 12.4
Autauga 4 5.6 2 4.0 2 9.5
Baldwin 19 8.3 13 6.6 6 19.2
Barbour 4 14.3 1 9.7 3 17.0
Bibb 0 0.0 0 0.0 0 0.0
Blount 6 9.3 5 8.0 1 47.6
Bullock 2 17.5 0 0.0 2 24.4
Butler 3 13.4 0 0.0 3 22.2
Calhoun 22 17.4 16 17.4 6 17.5
Chambers 5 13.2 3 12.7 2 14.0
Cherokee 3 12.9 2 9.0 1 83.3
Chilton 2 3.5 1 2.0 1 16.1
Choctaw 1 7.1 1 11.9 0 0.0
Clarke 3 10.4 1 7.2 2 13.3
Clay 3 18.8 2 15.5 1 32.3
Cleburne 0 0.0 0 0.0 0 0.0
Coffee 4 5.6 2 3.7 2 12.0
Colbert 5 7.8 4 7.7 1 7.9
Conecuh 2 17.9 0 0.0 2 30.8
Coosa 1 11.6 1 15.2 0 0.0
Covington 5 11.6 4 11.8 1 10.8
Crenshaw 1 6.4 0 0.0 1 21.3
Cullman 4 4.1 3 3.2 1 40.0
Dale 6 8.9 2 4.1 4 21.2
Dallas 5 10.8 2 20.4 3 8.2
DeKalb 13 16.4 12 17.1 1 11.0
Elmore 4 4.5 0 0.0 4 17.9
Escambia 6 13.7 1 3.9 5 27.6
Etowah 6 5.1 4 4.6 2 6.6
Fayette 2 11.8 1 7.0 1 38.5
Franklin 4 10.4 4 11.8 0 0.0
Geneva 3 10.3 2 7.9 1 26.3
Greene 0 0.0 0 0.0 0 0.0
Hale 2 11.0 1 14.3 1 8.9
Henry 1 6.2 0 0.0 1 20.8
Houston 11 8.2 3 3.8 8 14.7
Jackson 7 13.6 6 12.3 1 33.3
Jefferson 52 6.6 17 4.1 35 9.3
Lamar 0 0.0 0 0.0 0 0.0
Lauderdale 5 5.6 2 2.7 3 20.0
Lawrence 4 12.0 4 13.2 0 0.0
Lee 13 7.0 7 5.7 6 9.8
Limestone 9 7.9 6 6.3 3 17.0
Lowndes 2 17.4 0 0.0 2 20.8
Macon 1 5.4 0 0.0 1 6.6
Madison 27 6.2 15 5.2 12 8.3
Marengo 2 8.5 0 0.0 2 13.3
Marion 1 3.1 1 3.3 0 0.0
Marshall 11 7.5 9 7.9 2 6.1
Mobile 48 9.1 14 5.2 34 13.2
Monroe 2 9.9 2 19.6 0 0.0
Montgomery 36 11.5 4 4.7 32 14.0
Morgan 13 8.9 11 9.3 2 7.2
Perry 4 35.7 0 0.0 4 46.5
Pickens 2 11.2 1 12.8 1 10.0
Pike 4 11.1 2 10.4 2 12.0
Randolph 2 7.8 2 9.7 0 0.0
Russell 2 2.6 1 2.6 1 2.6
St. Clair 7 7.2 5 5.8 2 17.4
Shelby 11 4.9 5 2.7 6 15.4
Sumter 4 30.1 3 93.8 1 9.9
Talladega 12 12.9 6 11.1 6 15.3
Tallapoosa 6 15.0 3 12.5 3 18.8
Tuscaloosa 22 8.6 7 5.0 15 12.7
Walker 16 22.1 14 21.1 2 32.3
Washington 1 5.3 0 0.0 1 16.7
Wilcox 1 7.8 0 0.0 1 10.1
Winston 2 8.8 2 8.8 0 0.0
NUMBER
1
Rate is per 1,000 live births in specified group. See formula in Appendix B. Rates which apply to populations with fewer than 50 births are shaded.
RATE
TABLE 30
FETAL DEATHS AND FETAL DEATH RATES
1
BY COUNTY OF RESIDENCE AND RACE OF MOTHER
ALABAMA, 2020
COUNTY OF
RESIDENCE
TOTAL WHITE
BLACK AND OTHER
NUMBER RATE NUMBER RATE
38
ADPH|CHS
AVS (2020)
1970 33,693 9.8 9.5 23,071 9.1 9.5 10,622 11.7 9.4
1971 33,807 9.6 9.3 23,455 9.1 9.3 10,352 11.3 9.2
1972
34,577 9.7 9.4 24,038 9.3 9.4 10,539 11.5 9.2
1973 35,342 9.8 9.3 24,570 9.2 9.4 10,772 11.3 9.0
1974 34,712 9.5 9.1 24,466 9.1 9.1 10,246 10.7 8.6
1975 33,629 9.1 8.8 23,745 8.7 8.9 9,884 10.2 8.2
1976 34,220 9.1 8.8 23,973 8.7 8.9 10,247 10.4 8.1
1977 34,772 9.2 8.6 24,531 8.8 8.7 10,241 10.3 8.0
1978 34,489 9.0 8.7 24,465 8.7 8.8 10,024 10.0 7.9
1979 33,502 8.6 8.5 23,746 8.3 8.7 9,756 9.6 7.7
1980 35,305 9.0 8.8 24,942 8.6 8.9 10,363 10.1 7.9
1981 35,348 8.8 8.6 25,498 8.6 8.8 9,850 9.4 7.5
1982 34,957 8.6 8.5 25,362 8.5 8.7 9,595 9.1 7.3
1983 35,471 8.7 8.6 25,594 8.4 8.8 9,877 9.3 7.4
1984 36,431 8.8 8.6 26,418 8.6 8.9 10,013 9.4 7.3
1985 37,531 9.0 8.7 27,198 8.8 9.0 10,333 9.6 7.4
1986 37,690 9.2 8.7 27,538 9.1 9.0 10,152 9.4 7.5
1987 37,681 9.1 8.7 27,631 9.0 9.0 10,050 9.2 7.5
1988 39,077 9.3 8.8 28,505 9.2 9.1 10,572 9.6 7.6
1989 38,924 9.2 8.7 28,464 9.1 8.9 10,460 9.3 7.6
1990 39,335 9.7 8.6 28,685 9.6 8.9 10,650 10.0 7.4
1991 40,024 9.8 8.6 29,350 9.8 8.9 10,674 9.9 7.3
1992 39,199 9.6 8.5 28,697 9.6 8.8 10,502 9.8 7.2
1993 41,232 10.1 8.7 30,397 10.1 9.0 10,835 10.1 7.4
1994 41,631 10.2 8.7 30,794 10.2 9.0 10,837 10.0 7.3
1995 42,321 10.3 8.7 31,317 10.3 9.0 11,004 10.1 7.3
1996 42,806 10.4 8.6 31,918 10.5 9.0 10,888 10.0 7.1
1997 43,208 10.4 8.5 32,370 10.6 8.9 10,838 9.9 6.9
1998 43,905 10.6 8.5 32,987 10.8 8.9 10,918 9.9 6.8
1999 44,720 10.7 8.6 33,588 11.0 9.0 11,132 10.0 6.9
2000 44,967 10.1 8.5 33,998 10.7 9.0 10,969 8.5 6.8
2001 45,196 10.1 8.5 34,034 10.7 9.0 11,162 8.5 6.4
2002 46,017 10.2 8.5 34,690 10.9 9.0 11,327 8.5 6.4
2003 46,598 10.4 8.4 35,273 11.0 8.9 11,325 8.8 6.3
2004 46,019 10.2 8.2 34,794 10.8 8.7 11,225 8.7 6.2
2005 46,797 10.3 8.3 35,491 10.9 8.8 11,306 8.7 6.3
2006 46,259 10.1 8.1 35,049 10.7 8.7 11,210 8.5 6.1
2007 45,983 9.9 8.0 34,968 10.6 8.6 11,015 8.2 6.0
2008 47,601 10.2 8.1 36,290 11.0 8.7 11,311 8.4 6.0
2009 47,278 10.0 7.9 36,141 10.8 8.5 11,137 8.1 5.8
2010 47,897 10.0 8.0 36,724 11.2 8.6 11,173 7.4 5.6
2011 48,318 10.1 8.1 37,078 11.0 8.7 11,240 7.8 5.6
2012 49,212 10.2 8.1 37,906 11.2 8.8 11,306 7.8 5.6
2013 50,140 10.4
8.2
38,443 11.4
8.9
11,697 8.0
5.7
2014 50,127 10.3
8.2
38,508 11.4
8.9
11,619 7.9
5.7
2015 51,896 10.7
8.4
39,833 11.8
9.2
12,063 8.1
5.8
2016 52,452 10.8
8.5
40,129 11.9
9.2
12,323 8.3
6.0
2017 53,240 10.9
8.6
40,802 12.1
9.4
12,438 8.3
6.1
2018 54,357 11.1
8.7
41,485 12.3
9.4
12,872 8.5
6.2
2019 54,109 11.0
8.7
41,054 12.1
9.5
13,055 8.6
6.2
2020 64,779 13.2
10.3
48,185 14.2
11.0
16,594 10.9
7.9
RATE
NUMBER
U.S.
ALABAMA
RATE
U.S.
RATE
NUMBER
RATE
RATE
TABLE 31
RESIDENT DEATHS AND DEATH RATES
1
BY RACE
ALABAMA AND UNITED STATES
2
, 1970-2020
YEAR
TOTAL
WHITE
BLACK AND OTHER
ALABAMA
1
Rate is per 1,000 population in specified group. See formula in Appendix B.
2
U.S. rates were obtained from CDC WONDER online database (https://wonder.cdc.gov/Deaths-by-Underlying-Cause.html).
U.S.
ALABAMA
NUMBER
RATE
39
ADPH|CHS
AVS (2020)
FIGURE 9. DEATH RATES BY RACE
ALABAMA, 1970-2020
FIGURE 8. DEATH RATES
ALABAMA AND UNITED STATES, 1970-2020
13.2
10.3
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
18.0
20.0
1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 2020
Rate Per 1,000 Population
AL U.S.
14.2
10.9
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
18.0
20.0
1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 2020
Rate Per 1,000 Population
White Black and Other
40
ADPH|CHS AVS (2020)
TOTAL 64,779 13.2 48,185 14.2 16,594 10.9
Autauga 650 11.6 530 12.5 120 8.8
Baldwin 2,694 11.7 2,449 12.2 245 8.5
Barbour 375 15.3 197 16.4 178 14.2
Bibb 297 13.4 242 14.3 55 10.6
Blount 851 14.7 830 15.0 21 8.4
Bullock 149 14.9 37 13.8 112 15.3
Butler 311 15.9 175 17.2 136 14.6
Calhoun 1,784 15.7 1,494 17.6 290 10.2
Chambers 598 18.2 377 20.2 221 15.6
Cherokee 462 17.6 439 17.9 23 12.5
Chilton
630 14.2 556 14.4 74 12.9
Choctaw 187 15.1 105 14.8 82 15.5
Clarke 436 18.7 244 19.9 192 17.4
Clay 251 19.1 222 20.3 29 13.2
Cleburne 235 15.7 221 15.6 14 18.1
Coffee 707 13.3 569 14.1 138 10.7
Colbert
817 14.7 653 14.7 164 14.9
Conecuh 220 18.6 129 21.1 91 15.8
Coosa 175 16.4 128 17.9 47 13.4
Covington 680 18.4 589 18.9 91 15.7
Crenshaw 249 18.2 186 18.9 63 16.4
Cullman 1,258 14.9 1,245 15.4 13 3.7
Dale 635 13.0 525 14.6 110 8.5
Dallas 632 17.5 213 21.6 419 16.0
DeKalb 1,025 14.3 999 15.1 26 4.9
Elmore 1,014 12.3 847 13.6 167 8.3
Escambia 602 16.6 421 18.7 181 13.1
Etowah 1,688 16.5 1,441 17.5 247 12.3
Fayette 269 16.6 230 16.5 39 16.7
Franklin 462 14.7 431 15.0 31 11.5
Geneva 466 17.6 416 18.1 50 14.4
Greene 163 20.4 44 30.3 119 18.2
Hale 251 17.1 101 17.0 150 17.2
Henry 267 15.5 185 14.9 82 16.9
Houston 1,429 13.4 1,093 15.0 336 9.9
Jackson 897 17.4 861 18.3 36 8.1
Jefferson 8,497 13.0 4,888 14.1 3,609 11.7
Lamar 249 18.1 227 18.9 22 12.7
Lauderdale 1,335 14.3 1,222 15.1 113 9.1
Lawrence 526 16.0 461 17.9 65 9.1
Lee 1,307 7.8 967 8.2 340 7.0
Limestone 1,084 10.6 957 11.6 127 6.5
Lowndes 178 18.5 56 22.8 122 17.0
Macon 320 17.9 55 17.4 265 18.0
Madison 3,766 9.9 2,887 11.1 879 7.4
Marengo 334 17.8 152 17.5 182 18.1
Marion 532 17.9 513 18.4 19 10.4
Marshall 1,414 14.6 1,372 15.3 42 5.9
Mobile
5,215 12.6 3,267 13.5 1,948 11.4
Monroe 332 16.2 203 18.0 129 14.1
Montgomery 2,772 12.3 1,236 15.8 1,536 10.5
Morgan 1,735 14.5 1,546 15.6 189 9.1
Perry 169 19.5 67 25.2 102 16.9
Pickens 329 16.6 194 17.0 135 16.2
Pike 427 13.0 278 14.7 149 10.6
Randolph 358 15.6 289 16.1 69 13.9
Russell 748 12.8 472 16.4 276 9.4
St. Clair 1,221 13.5 1,138 14.4 83 7.1
Shelby 1,843 8.3 1,642 9.0 201 5.0
Sumter 191 15.6 46 14.3 145 16.1
Talladega 1,194 14.9 838 16.4 356 12.3
Tallapoosa 628 15.6 477 16.9 151 12.7
Tuscaloosa 2,203 10.5 1,514 11.3 689 9.0
Walker 1,300 20.6 1,233 21.5 67 11.7
Washington 209 13.1 142 13.4 67 12.5
Wilcox 167 16.4 47 16.6 120 16.3
Winston 380 16.2 375 16.6 5 5.2
TABLE 32
DEATHS AND DEATH RATES
1
BY COUNTY OF RESIDENCE AND RACE
ALABAMA, 2020
COUNTY OF
RESIDENCE
TOTAL WHITE
BLACK AND OTHER
NUMBER RATE NUMBER RATE NUMBER
1
Rate is per 1,000 live births in specified group. See formula in Appendix B. Use caution with rates derived from small numbers or based on small populations.
Rates which apply to populations under 1,000 are shaded.
RATE
41
ADPH|CHS AVS (2020)
Figure 10. DEATH RATES BY COUNTY OF RESIDENCE
ALABAMA, 2020
Under 11.0
11.0 - 14.2
14.3 - 17.4
17.
5 and up
42 ADPH|CHS AVS (2020)
TOTAL 64,779 13.2 33,739 14.2 31,040 12.2
Autauga 650 11.6 359 13.2 291 10.1
Baldwin 2,694 11.7 1,461 13.2 1,233 10.4
Barbour 375 15.3 196 15.1 179 15.4
Bibb 297 13.4 154 13.1 143 13.8
Blount 851 14.7 471 16.5 380 13.0
Bullock 149 14.9 90 16.5 59 13.1
Butler 311 15.9 153 16.8 158 15.2
Calhoun 1,784 15.7 883 16.2 901 15.3
Chambers 598 18.2 307 19.6 291 16.9
Cherokee 462 17.6 235 18.0 227 17.1
Chilton
630 14.2 337 15.5 293 12.9
Choctaw 187 15.1 96 16.3 91 13.9
Clarke 436 18.7 220 20.0 216 17.6
Clay 251 19.1 130 20.4 121 18.0
Cleburne 235 15.7 122 16.6 113 14.8
Coffee 707 13.3 350 13.3 357 13.2
Colbert
817 14.7 445 16.8 372 12.9
Conecuh 220 18.6 115 20.3 105 17.0
Coosa 175 16.4 94 17.6 81 15.2
Covington 680 18.4 340 19.1 340 17.8
Crenshaw 249 18.2 123 18.5 126 17.9
Cullman 1,258 14.9 674 16.1 584 13.7
Dale 635 13.0 334 13.9 301 12.1
Dallas 632 17.5 314 18.8 318 16.4
DeKalb 1,025 14.3 538 15.1 487 13.5
Elmore 1,014 12.3 546 13.8 468 11.0
Escambia 602 16.6 302 16.6 300 16.6
Etowah 1,688 16.5 873 17.6 815 15.4
Fayette 269 16.6 143 18.0 126 15.2
Franklin 462 14.7 239 15.2 223 14.2
Geneva 466 17.6 238 18.5 228 16.8
Greene 163 20.4 83 22.3 80 18.7
Hale 251 17.1 117 16.9 134 17.3
Henry 267 15.5 132 16.0 135 15.1
Houston 1,429 13.4 744 14.6 685 12.3
Jackson 897 17.4 450 17.8 447 17.0
Jefferson 8,497 13.0 4,349 14.1 4,148 12.0
Lamar 249 18.1 134 19.8 115 16.4
Lauderdale 1,335 14.3 681 15.2 654 13.5
Lawrence 526 16.0 292 18.2 234 13.9
Lee 1,307 7.8 692 8.4 615 7.2
Limestone 1,084 10.6 587 11.5 497 9.7
Lowndes 178 18.5 96 21.4 82 15.9
Macon 320 17.9 163 20.1 157 16.0
Madison 3,766 9.9 1,932 10.4 1,834 9.5
Marengo 334 17.8 175 19.9 159 16.0
Marion 532 17.9 287 19.5 245 16.3
Marshall 1,414 14.6 728 15.2 686 13.9
Mobile
5,215 12.6 2,710 13.8 2,505 11.6
Monroe 332 16.2 168 17.3 164 15.2
Montgomery 2,772 12.3 1,413 13.4 1,359 11.4
Morgan 1,735 14.5 904 15.3 831 13.6
Perry 169 19.5 78 19.4 91 19.5
Pickens 329 16.6 175 17.7 154 15.6
Pike 427 13.0 227 14.4 200 11.6
Randolph 358 15.6 184 16.6 174 14.7
Russell 748 12.8 397 14.3 351 11.5
St. Clair 1,221 13.5 635 14.2 586 12.8
Shelby 1,843 8.3 977 9.1 866 7.6
Sumter 191 15.6 101 18.1 90 13.6
Talladega 1,194 14.9 632 16.4 562 13.6
Tallapoosa 628 15.6 352 18.1 276 13.3
Tuscaloosa 2,203 10.5 1,138 11.2 1,065 9.7
Walker 1,300 20.6 707 23.0 593 18.3
Washington 209 13.1 125 16.0 84 10.3
Wilcox 167 16.4 98 20.5 69 12.7
Winston 380 16.2 194 16.8 186 15.6
1
Rate is per 1,000 population. See formula in Appendix B.
TABLE 33
DEATHS AND DEATH RATES
1
BY COUNTY OF RESIDENCE AND SEX
ALABAMA, 2020
COUNTY OF
RESIDENCE
TOTAL MALE
FEMALE
NUMBER RATE NUMBER RATE NUMBER
RATE
43
ADPH|CHS
AVS (2020)
64,779
13.2
48,185
14.2
16,594
10.9
4,854 11.6 3,689 12.8 1,165 9.0
4,694 12.4 3,570 13.7 1,124 9.6
4,881 11.7 3,598 12.5 1,283 9.9
4,956 12.3 3,617 13.0 1,339 10.7
5,190 12.4 3,797 13.2 1,393 10.8
5,007 12.4 3,680 13.2 1,327 10.6
5,869 14.0 4,248 14.7 1,621 12.5
5,892 14.1 4,378 15.2 1,514 11.7
5,222 12.9 3,893 13.9 1,329 10.6
5,323 12.7 4,031 14.0 1,292 10.0
5,680 14.0 4,255 15.2 1,425 11.4
7,211 17.3 5,429 18.8 1,782 13.8
1
Rate is per 1,000 population in specified group. See formula in Appendix B.
December
August
September
October
November
February
March
July
January
TOTAL
April
May
June
TABLE 34
RESIDENT DEATHS AND DEATH RATES
1
BY MONTH OF OCCURRENCE
ALABAMA, 2020
TOTAL WHITE BLACK AND OTHER
MONTH
DEATHS DEATHS DEATHSRATE RATE RATE
44
ADPH|CHS AVS (2020)
MALE FEMALE MALE RATE FEMALE RATE
ALL CAUSES 64,779 1,316.2 25,040 1,504.0 23,145 1,336.9 8,699 1,221.6 7,895 970.7
Salmonella infections (A01-A02)
4 0.1 3
0.2
1
0.1
0 0.0 0 0.0
Shigellosis and amebiasis (A03, A06) 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0
Certain other intestinal infections (A04, A07–A09) 117 2.4 39 2.3 57 3.3 11 1.5 10 1.2
Enterocolitis due to clostridium difficile (A04.7) 65 1.3 27 1.6 31 1.8 3 0.4 4 0.5
Tuberculosis (A16–A19)
8 0.2 6 0.4 0 0.0 2 0.3 0 0.0
Respiratory tuberculosis (A16) 7 0.1 6 0.4 0 0.0 1 0.1 0 0.0
Other tuberculosis (A17–A19) 1 0.0 0 0.0 0 0.0 1 0.1 0 0.0
Whooping cough (A37) 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0
Scarlet fever and erysipelas (A38, A46) 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0
Meningococcal infection (A39) 1 0.0 0 0.0 0 0.0 1 0.1 0 0.0
Septicemia (A40–A41) 1,035 21.0 350 21.0 371 21.4 150 21.1 164 20.2
Syphilis (A50–A53) 3 0.1 1 0.1 0 0.0 1 0.1 1 0.1
Acute poliomyelitis (A80) 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0
Arthropod-borne viral encephalitis (A83–A84, A85.2) 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0
Measles (B05) 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0
Viral hepatitis (B15–B19) 38 0.8 18 1.1 12 0.7 7 1.0 1 0.1
Human immunodeficiency virus (B20–B24) 86 1.7 17 1.0 4 0.2 40 5.6 25 3.1
Malaria (B50–B54) 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0
Other and unspecified infectious and parasitic diseases and their sequelae (A00, A05, A20–A36, A42–A44,
A48–A49, A54–A79, A81–A82, A85.0–A85.1, A85.8, A86–B04, B06–B09, B25–B49, B55–B99, U07.1)
6,692 136.0 2,467 148.2 2,105 121.6 1,087 152.6 1,033 127.0
Coronavirus disease 2019 (U07.1) 6,549 133.1 2,410 144.8 2,065 119.3 1,062 149.1 1,012 124.4
Malignant neoplasms (C00–C97)
10,458 212.5 4,470 268.5 3,547 204.9 1,270 178.3 1,171 144.0
Lip, oral cavity and pharynx (C00–C14) 197 4.0 118 7.1 36 2.1 30 4.2 13 1.6
Esophagus (C15) 238 4.8 160 9.6 40 2.3 29 4.1 9 1.1
Stomach (C16) 163 3.3 62 3.7 39 2.3 32 4.5 30 3.7
Colon, rectum and anus (C18–C21) 905 18.4 348 20.9 296 17.1 138 19.4 123 15.1
Liver and intrahepatic bile ducts (C22) 509 10.3 258 15.5 127 7.3 83 11.7 41 5.0
Pancreas (C25) 787 16.0 343 20.6 252 14.6 81 11.4 111 13.6
Larynx (C32) 79 1.6 49 2.9 5 0.3 23 3.2 2 0.2
Trachea, bronchus and lung (C33–C34) 2,732 55.5 1,262 75.8 968 55.9 318 44.7 184 22.6
Skin (C43) 132 2.7 81 4.9 48 2.8 2 0.3 1 0.1
Breast (C50) 701 14.2 6 0.4 492 28.4 0 0.0 203 25.0
Cervix uteri (C53) 98 2.0
…
3
…
3
54 3.1
…
3
…
3
44 5.4
Corpus uteri and uterus, part unspecified (C54–C55) 157 3.2
…
3
…
3
94 5.4
…
3
…
3
63 7.7
Ovary (C56) 188 3.8
…
3
…
3
136 7.9
…
3
…
3
52 6.4
Prostate (C61) 534 10.9 339 20.4
…
3
…
3
195 27.4
…
3
…
3
Kidney and renal pelvis (C64–C65) 215 4.4 117 7.0 51 2.9 34 4.8 13 1.6
Bladder (C67) 294 6.0 189 11.4 66 3.8 22 3.1 17 2.1
Meninges, brain and other parts of central nervous system (C70–C72)
315 6.4 144 8.6 131 7.6 23 3.2 17 2.1
Lymphoid, hematopoietic and related tissue (C81–C96) 943 19.2 431 25.9 295 17.0 112 15.7 105 12.9
Hodgkin's disease (C81) 17 0.3 6 0.4 9 0.5 2 0.3 0 0.0
Non-Hodgkin's lymphoma (C82–C85) 299 6.1 156 9.4 102 5.9 22 3.1 19 2.3
Leukemia (C91–C95) 392 8.0 183 11.0 119 6.9 44 6.2 46 5.7
Multiple myeloma and immunoproliferative neoplasms (C88,C90) 230 4.7 84 5.0 62 3.6 44 6.2 40 4.9
Other and unspecified lymphoid, hematopoietic and related tissue (C96) 5 0.1 2 0.1 3 0.2 0 0.0 0 0.0
All other and unspecified malignant neoplasms (C17,C23–C24, C26–C31, C37–C41, C44–C49, C51–C52,
C57–C60, C62–C63, C66,C68–C69, C73–C80,C97)
1,271 25.8 563 33.8 417 24.1 148 20.8 143 17.6
In situ neoplasms, benign neoplasms and neoplasms of uncertain or unknown behavior (D00–D48)
251 5.1 113 6.8 86 5.0 27 3.8 25 3.1
Anemias (D50–D64) 113 2.3 36 2.2 28 1.6 25 3.5 24 3.0
Diabetes mellitus (E10–E14) 1,450 29.5 536 32.2 347 20.0 315 44.2 252 31.0
ALABAMA, 2020
CAUSE OF DEATH
BLACK AND OTHER
TOTAL
RATETOTAL
WHITE
RATERATE
TABLE 35
RESIDENT DEATHS AND DEATH RATES
1
BY SELECTED CAUSES
2
, RACE AND SEX
2
See Appendix C.
3
Category not applicable.
1
Total rate is per 1,000 population. Cause-specific rates are per 100,000 population. Use caution with rates based on small numbers.
45 ADPH|CHS
AVS (2020)
MALE FEMALE MALE RATE FEMALE RATE
ALL CAUSES 64,779 1,316.2 25,040 1,504.0 23,145 1,336.9 8,699 1,221.6 7,895 970.7
Nutritional deficiencies (E40–E64)
501 10.2 137 8.23 265 15.3 36 5.1 63 7.7
Malnutrition (E40–E46) 497 10.1 134 8.0 264 15.2 36 5.1 63 7.7
Other nutritional deficiencies (E50–E64) 4 0.1 3 0.2 1 0.1 0 0.0 0 0.0
Meningitis (G00,G03) 12 0.2 5 0.3 4 0.2 2 0.3 1 0.1
Parkinson's disease (G20–G21) 715 14.5 371 22.3 245 14.2 52 7.3 47 5.8
Alzheimer's disease (G30) 3,094 62.9 756 45.4 1,818 105.0 119 16.7 401 49.3
Major cardiovascular diseases (I00–I78) 19,262 391.4 7,500 450.5 6,784 391.9 2,538 356.4 2,440 300.0
Diseases of the heart (I00–I09, I11, I13, I20–I51) 14,739 299.5 6,064 364.2 5,050 291.7 1,887 265.0 1,738 213.7
Acute rheumatic fever and chronic rheumatic heart diseases (I00–I09) 35 0.7 13 0.8 18 1.0 1 0.1 3 0.4
Hypertensive heart disease (I11) 1,256 25.5 440 26.4 480 27.7 167 23.5 169 20.8
Hypertensive heart and renal disease (I13) 352 7.2 116 7.0 140 8.1 46 6.5 50 6.1
Ischemic heart diseases (I20–I25) 5,340 108.5 2,507 150.6 1,666 96.2 639 89.7 528 64.9
Acute myocardial infarction (I21–I22) 1,681 34.2 790 47.5 466 26.9 227 31.9 198 24.3
Other acute ischemic heart diseases (I24) 30 0.6 15 0.9 6 0.3 6 0.8 3 0.4
Other forms of chronic ischemic heart disease (I20, I25) 3,629 73.7 1,702 102.2 1,194 69.0 406 57.0 327 40.2
Atherosclerotic cardiovascular disease, so described (I25.0) 1,058 21.5 456 27.4 333 19.2 160 22.5 109 13.4
All other forms of chronic ischemic heart disease (I20,I25.1–I25.9) 2,571 52.2 1,246 74.8 861 49.7 246 34.5 218 26.8
Other heart diseases (I26–I51) 7,756 157.6 2,988 179.5 2,746 158.6 1,034 145.2 988 121.5
Acute and subacute endocarditis (I33) 17 0.3 6 0.4 7 0.4 3 0.4 1 0.1
Diseases of pericardium and acute myocarditis (I30–I31, I40) 21 0.4 4 0.2 10 0.6 4 0.6 3 0.4
Heart failure (I50) 2,704 54.9 999 60.0 1,066 61.6 308 43.3 331 40.7
All other forms of heart disease (I26–I28, I34–I38, I42–I49, I51) 5,014 101.9 1,979 118.9 1,663 96.1 719 101.0 653 80.3
Essential (primary) hypertension and hypertensive renal disease (I10, I12, I15) 706 14.3 199 12.0 234 13.5 129 18.1 144 17.7
Cerebrovascular diseases (I60–I69) 3,390 68.9 1,061 63.7 1,367 79.0 461 64.7 501 61.6
Atherosclerosis (I70) 130 2.6 47 2.8 42 2.4 20 2.8 21 2.6
Other diseases of circulatory system (I71–I78) 297 6.0 129 7.7 91 5.3 41 5.8 36 4.4
Aortic aneurysm and dissection (I71) 147 3.0 73 4.4 43 2.5 14 2.0 17 2.1
Other diseases of arteries, arterioles and capillaries (I72–I78) 150 3.0 56 3.4 48 2.8 27 3.8 19 2.3
Other disorders of circulatory system (I80–I99) 163 3.3 69 4.1 42 2.4 20 2.8 32 3.9
Influenza and pneumonia (J09–J18) 1,114 22.6 450 27.0 412 23.8 147 20.6 105 12.9
Influenza (J09–J11) 109 2.2 51 3.1 30 1.7 15 2.1 13 1.6
Pneumonia (J12–J18) 1,005 20.4 399 24.0 382 22.1 132 18.5 92 11.3
Other acute lower respiratory infections (J20–J22, U04) 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0
Acute bronchitis and bronchiolitis (J20–J21) 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0
Unspecified acute lower respiratory infection (J22, U04) 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0
Chronic lower respiratory diseases (J40–J47) 3,430 69.7 1,411 84.8 1,574 90.9 251 35.2 194 23.9
Bronchitis, chronic and unspecified (J40–J42) 12 0.2 3 0.2 2 0.1 3 0.4 4 0.5
Emphysema (J43) 91 1.8 41 2.5 39 2.3 9 1.3 2 0.2
Asthma (J45–J46) 63 1.3 13 0.8 18 1.0 16 2.2 16 2.0
Other chronic lower respiratory diseases (J44, J47) 3,264 66.3 1,354 81.3 1,515 87.5 223 31.3 172 21.1
Pneumoconiosis and chemical effects (J60–J66, J68) 13 0.3 11 0.7 0 0.0 1 0.1 1 0.1
Pneumonitis due to solids and liquids (J69) 298 6.1 132 7.9 107 6.2 33 4.6 26 3.2
Other diseases of the respiratory system (J00–J06, J30–J39, J67, J70–J98) 967 19.6 386 23.2 370 21.4 95 13.3 116 14.3
Peptic ulcer (K25–K28) 58 1.2 24 1.4 23 1.3 5 0.7 6 0.7
Diseases of the appendix (K35–K38) 5 0.1 2 0.1 1 0.1 1 0.1 1 0.1
Hernia (K40–K46) 29 0.6 11 0.7 13 0.8 2 0.3 3 0.4
Chronic liver disease and cirrhosis (K70, K73–K74) 966 19.6 479 28.8 320 18.5 107 15.0 60 7.4
Alcoholic liver disease (K70) 377 7.7 197 11.8 107 6.2 49 6.9 24 3.0
Other chronic liver disease and cirrhosis (K73–K74) 589 12.0 282 16.9 213 12.3 58 8.1 36 4.4
BLACK AND OTHER
1
Total rate is per 1,000 population. Cause-specific rates are per 100,000 population. Use caution with rates based on small numbers.
CAUSE OF DEATH
TOTAL
ALABAMA, 2020
RATE
TOTAL
2
See Appendix C.
RATE
WHITE
RATE
TABLE 35 (Continued)
RESIDENT DEATHS AND DEATH RATES
1
BY SELECTED CAUSES
2
, RACE AND SEX
46 ADPH|CHS
AVS (2020)
MALE FEMALE MALE RATE FEMALE RATE
ALL CAUSES 64,779 1,316.2 25,040 1,504.0 23,145 1,336.9 8,699 1,221.6 7,895 970.7
Cholelithiasis and other gallbladder disorders (K80–K82) 61 1.2 26 1.6 22 1.3 6 0.8 7 0.9
Nephritis, nephrotic syndrome and nephrosis (N00–N07, N17–N19, N25–N27) 1,083 22.0 362 21.7 336 19.4 191 26.8 194 23.9
Acute and rapidly progressive nephritic and nephotic syndrome (N00–N01, N04) 8 0.2 3 0.2 0 0.0 4 0.6 1 0.1
Chronic glomerulonephritis nephritis and nephritis not specified as acute and renal sclerosis (N02–N03,
N05–N07, N26)
2 0.0 2 0.1 0 0.0 0 0.0 0 0.0
Renal failure (N17–N19) 1,073 21.8 357 21.4 336 19.4 187 26.3 193 23.7
Other disorders of kidney (N25, N27) 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0
Infections of kidney (N10–N12, N13.6, N15.1) 27 0.5 4 0.2 16 0.9 3 0.4 4 0.5
Hyperplasia of prostate (N40) 10 0.2 7 0.4
…
3
…
3
3 0.4
…
3
…
3
Inflammatory diseases of female pelvic organs (N70–N76) 7 0.1
…
3
…
3
4 0.2
…
3
…
3
3 0.4
Pregnancy, childbirth and the puerperium (O00–O99) 29 0.6
…
3
…
3
10 0.6
…
3
…
3
19 2.3
Pregnancy with abortive outcome (O00–O07) 0 0.0
…
3
…
3
0 0.0
…
3
…
3
0 0.0
Other complications of pregnancy, childbirth and the puerperium (O10–O99) 29 0.6
…
3
…
3
10 0.6
…
3
…
3
19 2.3
Certain conditions originating in the perinatal period (P00–P96) 174 3.5 51 3.1 30 1.7 58 8.1 35 4.3
Congenital malformations, deformations and chromosomal abnormalities (Q00–Q99) 146 3.0 58 3.5 38 2.2 27 3.8 23 2.8
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
1,137 23.1 381 22.9 342 19.8 225 31.6 189 23.2
All other diseases (Residual) 6,626 134.6 2,141 128.6 2,844 164.3 721 101.2 920 113.1
Accidents (V01–X59, Y85–Y86) 3,005 61.1 1,478 88.8 734 42.4 582 81.7 211 25.9
Transport accidents (V01–V99,Y85) 1,019 20.7 511 30.7 195 11.3 237 33.3 76 9.3
Motor vehicle accidents (V02–V04, V09.0, V09.2, V12–V14, V19.0–V19.2, V19.4–V19.6, V20–V79,
V80.3–V80.5, V81.0–V81.1, V82.0–V82.1, V83–V86, V87.0–V87.8, V88.0–V88.8, V89.0, V89.2)
985 20.0 485 29.1 192 11.1 235 33.0 73 9.0
Other land transport (V01,V05–V06, V09.1, V09.3–V09.9, V10–V11, V15–V18, V19.3, V19.8–V19.9,
V80.0–V80.2, V80.6–V80.9, V81.2–V81.9, V82.2–V82.9, V87.9, V88.9, V89.1, V89.3, V89.9)
11 0.2 7 0.4 1 0.1 0 0.0 3 0.4
Water, air, space and other and unspecified transport accidents and their sequelae (V90–V99, Y85)
23 0.5 19 1.1 2 0.1 2 0.3 0 0.0
Nontransport accidents (W00–X59, Y86) 1,986 40.4 967 58.1 539 31.1 345 48.4 135 16.6
Falls (W00–W19) 301 6.1 167 10.0 100 5.8 21 2.9 13 1.6
Accidental discharge of firearms (W32–W34) 20 0.4 13 0.8 0 0.0 6 0.8 1 0.1
Accidental drowning and submersion (W65–W74) 63 1.3 35 2.1 13 0.8 13 1.8 2 0.2
Accidental exposure to smoke, fire and flames (X00–X09) 110 2.2 46 2.8 25 1.4 25 3.5 14 1.7
Accidental poisoning and exposure to noxious substances (X40–X49) 1,025 20.8 505 30.3 261 15.1 194 27.2 65 8.0
Other and unspecified nontransport accidents and their sequelae (W20–W31,W35–W64, W75–W99,
X10–X39, X50–X59, Y86)
467 9.5 201 12.1 140 8.1 86 12.1 40 4.9
Intentional self-harm (suicide) (*U03, X60–X84, Y87.0) 793 16.1 548 32.9 149 8.6 79 11.1 17 2.1
Suicide by discharge of firearms (X72–X74) 542 11.0 387 23.2 93 5.4 58 8.1 4 0.5
Suicide by other and unspecified means and their sequelae
(*U03, X60–X71, X75–X84,Y87.0)
Assault (homicide) (*U01–*U02, X85–Y09, Y87.1) 653 13.3 116 7.0 52 3.0 433 60.8 52 6.4
Homicide by discharge of firearms (*U01.4, X93–X95) 563 11.4 97 5.8 37 2.1 388 54.5 41 5.0
Homicide by other and unspecified means and their sequelae
(*U01.0–*U01.3, *U01.5–*U01.9, *U02, X85–X92, X96–Y09, Y87.1)
Legal intervention (Y35, Y89.0) 8 0.2 3 0.2 1 0.1 3 0.4 1 0.1
Events of undetermined intent (Y10–Y34, Y87.2, Y89.9) 49 1.0 25 1.5 11 0.6 12 1.7 1 0.1
Discharge of firearms, undetermined intent (Y22–Y24) 9 0.2 6 0.4 1 0.1 2 0.3 0 0.0
Other and unspecified events of undetermined intent and their sequelae
(Y10–Y21, Y25–Y34, Y87.2, Y89.9)
Operations of war and their sequelae (Y36, Y89.1) 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0
Complications of medical and surgical care (Y40–Y84, Y88) 82 1.7 37 2.2 19 1.1 11 1.5 15 1.8
An asterisk (*) preceding a cause-of-death code indicates that the code is not included in the International Classification of Diseases, 10th Revision (ICD-10).
ALABAMA, 2020
CAUSE OF DEATH
BLACK AND OTHER
10 1.4 1 0.1
45 6.3
TOTAL
5.1 161 9.7 56 3.2
3
Category not applicable.
21 2.9 13 1.6
90 1.8 19 1.1 15 0.9
251
11 1.4
40 0.8
TOTAL
RATE
RATE
WHITE
RATE
2
See Appendix C.
19 1.1 10 0.6
1
Total rate is per 1,000 population. Cause-specific rates are per 100,000 population. Use caution with rates based on small numbers.
TABLE 35 (Continued)
RESIDENT DEATHS AND DEATH RATES
1
BY SELECTED CAUSES
2
, RACE AND SEX
47 ADPH|CHS
AVS (2020)
TOTAL
64,779 100.0 1,316.2
1
14,
739 22.8 299.5
2
10,
458 16.1 212.5
3
6,
549 10.1 133.1
4
3,
430 5.3 69.7
5
3,
390 5.2 68.9
6
3,
094
4.8
62.9
7
3,
005 4.6 61.1
8
1,
450 2.2 29.5
9
1,
114 1.7 22.6
10
1,
083 1.7 22.0
11
1,
035 1.6 21.0
12
966 1
.5 19.6
13
793 1
.2 16.1
14
715 1
.1 14.5
15
706 1
.1 14.3
Diseases of the heart
Malignant neoplasms
Coronavirus disease 2019
Chronic lower respiratory diseases
Cerebrovascular diseases
Alzheimer's disease
Accidents (unintentional injuries)
Diabetes mellitus
Influenza and pneumonia
Nephritis, nephrotic syndrome and nephrosis
Septicemia
Chronic liver disease and cirrhosis
Intentional self-harm (suicide)
Parkinson's disease
Essential (primary) hypertension and hypertensive renal disease
All other causes
12,
252 18.9 ---
WHITE (TOTAL)
48,185 100.0 1,418.9
1
11,
114 23.1 327.3
2
8,
017 16.6 236.1
3
4,
475 9.3 131.8
4
2,
985 6.2 87.9
5
2,
574 5.3 75.8
6
2,
428 5.0 71.5
7
2,
212 4.6 65.1
8
883 1
.8 26.0
9
862 1
.8 25.4
10
799 1
.7 23.5
11
721 1
.5 21.2
12
698 1
.4 20.6
13
697 1
.4 20.5
14
616 1
.3 18.1
15
433 0
.9 12.8
Diseases of the heart
Malignant neoplasms
Coronavirus disease 2019
Chronic lower respiratory diseases
Alzheimer's disease
Cerebrovascular diseases
Accidents (unintentional injuries)
Diabetes mellitus
Influenza and pneumonia
Chronic liver disease and cirrhosis
Septicemia
Nephritis, nephrotic syndrome and nephrosis
Intentional self-harm (suicide)
Parkinson's disease
Essential (primary) hypertension and hypertensive renal disease
All other causes
8,671
18.0 ---
WHITE MALE 25,040 100.0 1,504.0
1
6,
064
24.2
364.2
2
4,
470
17.9
268.5
3
2,
410
9.6
144.8
4
1,
478
5.9
88.8
5
1,
411
5.6
84.8
6
1,
061
4.2
63.7
7
756
3
.0
45.4
8
548
2
.2
32.9
9
536
2
.1
32.2
10
479
1
.9
28.8
11
450
1
.8
27.0
12
371
1
.5
22.3
13
362
1
.4
21.7
14
350
1
.4
21.0
15
199
0
.8
12.0
Diseases of the heart
Malignant neoplasms
Coronavirus disease 2019
Accidents (unintentional injuries)
Chronic lower respiratory diseases
Cerebrovascular diseases
Alzheimer's disease
Intentional self-harm (suicide)
Diabetes mellitus
Chronic liver disease and cirrhosis
Influenza and pneumonia
Parkinson's disease
Nephritis, nephrotic syndrome and nephrosis
Septicemia
Essential (primary) hypertension and hypertensive renal disease
All other causes
4,095 16.4
---
WHITE FEMALE 23,145 100.0 1,336.9
1
5,
050 21.8 291.7
2
3,
547 15.3 204.9
3
2,
065 8.9 119.3
4
1,
818 7.9 105.0
5
1,
574 6.8 90.9
6
1,
367 5.9 79.0
7
734 3
.2 42.4
8
412 1
.8 23.8
9 371
1.6 21.4
10 347
1.5 20.0
11 336
1.5 19.4
12 320
1.4 18.5
13 265
1.1 15.3
14 245
1.1 14.2
15 234
1.0 13.5
Diseases of the heart
Malignant neoplasms
Coronavirus disease 2019
Alzheimer's disease
Chronic lower respiratory diseases
Cerebrovascular diseases
Accidents (unintentional injuries)
Influenza and pneumonia
Septicemia
Diabetes mellitus
Nephritis, nephrotic syndrome and nephrosis
Chronic liver disease and cirrhosis
Malnutrition
Parkinson's disease
Essential (primary) hypertension and hypertensive renal disease
All other causes
4,460
19.3 ---
RANK
RANK
RANK
RANK
CAUSE OF DEATH PERCENTNUMBER
1
Rates are per 100,000 population in specified group. See formula in Appendix B.
TABLE 36
LEADING CAUSES OF DEATH, DEATH PERCENTAGES AND DEATH RATES
1
BY RACE AND SEX
ALABAMA, 2020
RATE
48
ADPH|CHS AVS (2020)
BLACK AND OTHER (TOTAL)
16,594 100.0 1,087.8
1
3,
625 21.8 237.6
2
2,
441 14.7 160.0
3
2,
074 12.5 136.0
4
962 5
.8 63.1
5
793 4
.8 52.0
6
567 3
.4 37.2
7
520 3
.1 34.1
8
485 2
.9 31.8
9
445 2
.7 29.2
10
385 2
.3 25.2
11
314 1
.9 20.6
12
273 1
.6 17.9
13
252 1
.5 16.5
14
167 1
.0 10.9
15
99 0
.6 6.5
Diseases of the heart
Malignant neoplasms
Coronavirus disease 2019
Cerebrovascular diseases
Accidents (unintentional injuries)
Diabetes mellitus
Alzheimer's disease
Assault (homicide)
Chronic lower respiratory diseases
Nephritis, nephrotic syndrome and nephrosis
Septicemia
Essential (primary) hypertension and hypertensive renal disease
Influenza and pneumonia
Chronic liver disease and cirrhosis
Malnutrition
All other causes
3,192 19.2 ---
BLACK AND OTHER MALE 8,699 100.0 1,221.6
1
1,
887 21.7 265.0
2
1,
270 14.6 178.3
3
1,
062 12.2 149.1
4
582 6
.7 81.7
5
461 5
.3 64.7
6
433 5
.0 60.8
7
315 3
.6 44.2
8
251 2
.9 35.2
9
191 2
.2 26.8
10
150 1
.7 21.1
10
147 1
.7 20.6
12
129 1
.5 18.1
13
119 1
.4 16.7
14
107 1
.2 15.0
15
79 0
.9 11.1
Diseases of the heart
Malignant neoplasms
Coronavirus disease 2019
Accidents (unintentional injuries)
Cerebrovascular diseases
Assault (homicide)
Diabetes mellitus
Chronic lower respiratory diseases
Nephritis, nephrotic syndrome and nephrosis
Septicemia
Influenza and pneumonia
Essential (primary) hypertension and hypertensive renal disease
Alzheimer's disease
Chronic liver disease and cirrhosis
Intentional self-harm (suicide)
All other causes
1,516 17.4 ---
BLACK AND OTHER FEMALE 7,895 100.0 970.7
1
1,
738 22.0 213.7
2
1,
171 14.8 144.0
3
1,
012 12.8 124.4
4
501 6
.3 61.6
5
401 5
.1 49.3
6
252 3
.2 31.0
7
211 2
.7 25.9
8
194 2
.5 23.9
9
194 2
.5 23.9
10
164 2
.1 20.2
11
144 1
.8 17.7
12
105 1
.3 12.9
13
63 0
.8 7.7
14
60 0
.8 7.4
15
52 0
.7 6.4
Diseases of the heart
Malignant neoplasms
Coronavirus disease 2019
Cerebrovascular diseases
Alzheimer's disease
Diabetes mellitus
Accidents (unintentional injuries)
Chronic lower respiratory diseases
Nephritis, nephrotic syndrome and nephrosis
Septicemia
Essential (primary) hypertension and hypertensive renal disease
Influenza and pneumonia
Malnutrition
Chronic liver disease and cirrhosis
Assault (homicide)
All other causes
1,633 20.7 ---
1
Rates are per 100,000 population in specified group. See formula in Appendix B.
TABLE 36 (Continued)
LEADING CAUSES OF DEATH, DEATH PERCENTAGES AND DEATH RATES
1
BY RACE AND SEX
ALABAMA, 2020
RANK
RANK
RANK
CAUSE OF DEATH NUMBER PERCENT RATE
49
ADPH|CHS
AVS (2020)
404 692.0 196 536.3 208 952.6
69
118.2
20
54.7
49
224.4
64
109.6
39
106.7
25
114.5
43
73.7
19
52.0
24
109.9
26
44.5
11
30.1
15
68.7
19
32.5
8
21.9
11
50.4
90 38.5 55 37.6 35 40.1
30
12.8
18
12.3
12
13.7
13
5.6
6
4.1
7
8.0
11
4.7
10
6.8
1
1.1
8 3.4
1
0.7
7
8.0
104 17.1 65 16.5 39 18.0
37
6.1
23
5.9
14 6.5
8
1.3
5
1.3
3 1.4
7
1.1
4
1.0
3
1.4
4
0.7
3
0.8
1
0.5
4
0.7
1
0.3
3
1.4
4
0.7
4
1.0
0
0.0
246 79.3 135 67.0 111 102.1
92
29.7
64
31.8
28 25.7
61
19.7
8
4.0
53 48.7
29
9.4
26
12.9
3 2.8
13
4.2
7
3.5
6 5.5
5
1.6
4
2.0
1 0.9
482 149.1 243 116.9 239 207.0
195
60.3
122
58.7
73 63.2
112
34.6
21
10.1
91 78.8
67
20.7
53
25.5
14 12.1
20
6.2
6
2.9
14 12.1
11
3.4
5
2.4
6 5.2
1,371 210.7 781 184.1 590 260.7
446 68.6
314
74.0
132
58.3
189 29.1
35
8.3
154
68.0
159 24.4
128
30.2
31
13.7
121 18.6
59
13.9
62
27.4
50
7.7
30
7.1
20
8.8
RATE
WHITE
RATE
LEADING CAUSES OF DEATH
1
AND DEATH RATES
2
BY RACE AND AGE GROUP
Bacterial sepsis of newborn
Intentional self-harm (suicide)
Malignant neoplasms
UNDER 1 YEAR
1-4 YEARS
5-14 YEARS
TABLE 37
Assault (homicide)
Accidents (unintentional injuries)
Malignant neoplasms
Congenital malformations, deformations and chromosomal abnormalities
Assault (homicide)
ALABAMA, 2020
BLACK AND OTHER
AGE GROUP AND CAUSE OF DEATH
Disorders related to short gestation and low birth weight, not elsewhere
Congenital malformations, deformations and chromosomal abnormalities
Accidents (unintentional injuries)
Intentional self-harm (suicide)
Diseases of the heart
Diseases of the heart
NUMBER
NUMBER
NUMBER
Intentional self-harm (suicide)
Malignant neoplasms
1
See Appendix C for the ICD-10 codes that correspond to causes of death.
2
Rate is per 100,000 population in specified group. Use caution with rates based on small populations.
TOTAL
Intentional self-harm (suicide)
Accidents (unintentional injuries)
Accidents (unintentional injuries)
Congenital malformations, deformations and chromosomal abnormalities
Sudden infant death syndrome (SIDS)
Accidents (unintentional injuries)
15-19 YEARS
Assault (homicide)
20-24 YEARS
Diseases of the heart
Accidents (unintentional injuries)
Diseases of the heart
Diseases of the heart
Assault (homicide)
RATE
Assault (homicide)
25-34 YEARS
Malignant neoplasms
classified
50
ADPH|CHS
AVS (2020)
2,225 373.1 1,340 331.6 885 460.2
525
88.0
366
90.6
159 82.7
390
65.4
210
52.0
180 93.6
196
32.9
136
33.7
60 31.2
145
24.3
126
31.2
19 9.9
124
20.8
37
9.2
87 45.2
4,175 686.5 2,798 649.7 1,377 775.7
955
157.0
636
147.7
319 179.7
687
113.0
501
116.3
186 104.8
429
70.5
330
76.6
99 55.8
369
60.7
178
41.3
191
107.6
165
27.1
140
32.5
25
14.1
9,584 1,458.1 6,490 1,367.2 3,094 1,694.5
2,189 333.0
1,463
308.2
726
397.6
2,142 325.9
1,542
324.8
600
328.6
883 134.3
478
100.7
405
221.8
544
82.8
447
94.2
97
53.1
430
65.4
311
65.5
119
65.2
14,322 2,766.4 10,240 2,619.2 4,082 3,220.4
3,236 625.1
2,414
617.4
822
648.5
3,155 609.4
2,298
587.8
857
676.1
1,681 324.7
1,072
274.2
609
480.5
925 178.7
781
199.8
144
113.6
688 132.9
436
111.5
252
198.8
16,331 6,193.8 13,102 6,175.1 3,229 6,270.5
3,729 1,414.3
2,963
1,396.5
766
1,487.5
2,732 1,036.2
2,236
1,053.9
496
963.2
1,882 713.8
1,427
672.6
455
883.6
1,115 422.9
1,003
472.7
112
217.5
1,028 389.9
873
411.5
155
301.0
15,445 16,632.7 12,740 17,128.5 2,705 14,637.4
4,151 4,470.2
3,464
4,657.2
687
3,717.5
1,769 1,905.0
1,467
1,972.3
302
1,634.2
1,564 1,684.3
1,259
1,692.7
305
1,650.4
1,377 1,482.9
1,138
1,530.0
239
1,293.3
1,080
1,163.1
866
1,164.3
214
1,158.0
Cerebrovascular diseases
Cerebrovascular diseases
Alzheimer's disease
75-84 YEARS
Coronavirus disease 2019
85+ YEARS
Coronavirus disease 2019
Malignant neoplasms
Alzheimer's disease
Chronic lower respiratory diseases
Malignant neoplasms
Diseases of the heart
Coronavirus disease 2019
Chronic lower respiratory diseases
Malignant neoplasms
Diseases of the heart
AGE GROUP AND CAUSE OF DEATH
WHITE
BLACK AND OTHER
NUMBER
NUMBER
Diseases of the heart
Malignant neoplasms
Accidents (unintentional injuries)
Malignant neoplasms
Chronic lower respiratory diseases
55-64 YEARS
Diseases of the heart
Accidents (unintentional injuries)
Assault (homicide)
RATE
RATE
RATE
35-44 YEARS
Chronic liver disease and cirrhosis
65-74 YEARS
Accidents (unintentional injuries)
Coronavirus disease 2019
Diseases of the heart
Malignant neoplasms
TABLE 37 (Continued)
LEADING CAUSES OF DEATH
1
AND DEATH RATES
2
BY RACE AND AGE GROUP
ALABAMA, 2020
45-54 YEARS
Coronavirus disease 2019
NUMBER
1
See Appendix C for the ICD-10 c
odes that correspond to causes of death.
2
Rate is per 100,000 population in specified group. Use caution with rates based on small populations.
Diseases of the heart
Intentional self-harm (suicide)
TOTAL
51
ADPH|CHS
AVS (2020)
64,779 404 90 104 728 1,371 2,225 4,175 9,584 14,322 16,331 15,445
14,739 8 13 4 24 121 390 955 2,189 3,155 3,729 4,151
10,458 2 3 8 25 50 196 687 2,142 3,236 2,732 1,377
6,549 2 0 0 8 43 117 369 883 1,681 1,882 1,564
3,430 0 0 3 2 8 20 96 544 925 1,115 717
3,390 3 0 2 3 20 68 129 380 688 1,017 1,080
3,094 0 0 0 0 0 0 2 29 266 1,028 1,769
3,005 26 30 37 287 446 525 429 430 297 267 231
1,450 0 0 2 8 39 74 141 277 384 348 177
1,114 1 1 2 4 8 25 57 167 275 280 294
1,083 0 0 0 3 14 24 64 153 279 317 229
1,035 4
2 2 2 9 27 89 213 281 248 158
966 0 0 0 1 21 79 165 347 230 92 31
793 0 0 4 96 159 145 119 99 87 67 17
715 0 0 0 0 0 0 2 13 125 332 243
706 0 0 0 1 7 14 51 130 175 158 170
653 4 8 7 173 189 124 75 53 18 1 1
298 0 0 0 0 3 6 15 34 64 80 96
251 0 1 1 2 1 3 11 25 60 72 75
174 171 3 0 0 0 0 0 0 0 0 0
147 0 0 0 0 1 1 13 18 48 39 27
146 64 11 4 5 6 7 8 22 12 5 2
130 0 0 0
0 1 3 8 25 35 26 32
10,453 119 18 28 84 225 377 690 1,411 2,001 2,496 3,004
Congenital anomalies
Atherosclerosis
All other causes
Essential hypertension and hypertensive renal disease
Assault (homicide
)
Pneumonitis due to solids and liquids
In situ, benign, or uncertain neoplasms
Certain conditions originating in the perinatal period
Aortic aneurysm and dissection
Parkinson's disease
Coronavirus disease 2019
Chronic lower respiratory diseases
Cerebrovascular diseases
Alzheimer's disease
Accidents (unintentional injuries)
Diabetes mellitus
Influenza and pneumonia
Nephritis, nephrotic syndrome and nephrosis
Septicemia
Chronic liver disease and cirrhosis
Intentional self-harm (suicide)
Diseases of the heart
Malignant neoplasms
TOTAL
25-34 35-44 45-54 55-64 65-74 75-84
TABLE 38
SELECTED CAUSES OF DEATH BY AGE GROUP
ALABAMA, 2020
CAUSE OF DEATH
AGE GROUP
TOTAL
UNDER 1 1-4 5-14 15-24 85+
52
ADPH|CHS AVS (2020)
ADPH|CHS AVS (2020)
1970 362.0 11,311 328.0 8,404 331.5 2,907 318.2
1971 360.5 11,412 329.2 8,562 333.8 2,850 316.2
1972 363.0 11,346 325.7 8,581 331.3 2,765 309.3
1973 360.8 11,605 331.4 8,696 332.5 2,909 328.1
1974 349.2 11,612 329.9 8,792 333.0 2,820 320.7
1975 336.2 10,967 310.0 8,457 317.3 2,510 287.8
1976 337.2 11,158 313.9 8,498 315.9 2,660 307.6
1977 332.3 11,210 313.8 8,607 317.0 2,603 303.5
1978 334.3 11,326 302.7 8,574 306.6 2,752 291.1
1979 326.5 11,470 302.9 8,668 306.4 2,802 292.6
1980 336.0 11,807 302.6 8,960 311.3 2,847 278.3
1981
328.7 12,010 304.4 9,275 318.5 2,735 264.5
1982 326.0 12,091 302.7 9,220 312.7 2,871 274.4
1983 329.2 12,385 302.5 9,357 308.5 3,028 285.4
1984 323.5 12,695 307.2 9,558 311.9 3,137 293.8
1985 323.0 13,048 312.9 9,774 315.7 3,274 304.9
1986 317.5 12,887 314.2 9,678 320.2 3,209 297.3
1987 312.4 13,093 315.6 9,855 322.4 3,238 296.2
1988 311.3 13,211 314.9 10,017 324.2 3,194 288.8
1989 295.6 13,118 309.3 9,900 317.0 3,218 287.5
1990 289.5 12,893 319.1 9,778 328.6 3,115 292.5
1991 285.9 13,186 323.4 9,931 331.7 3,255 300.7
1992 282.5 12,806 314.6 9,682 322.6 3,124 292.1
1993 288.4 13,549 331.7 10,324 342.9 3,225 300.1
1994 281.3 13,107 319.7 10,104 334.6 3,003 278.1
1995 280.7 13,341 324.3 10,159 335.5 3,182 293.3
1996 276.4 13,466 326.2 10,415 342.9 3,051 279.7
1997 271.6 13,522 326.5 10,493 344.6 3,029 276.3
1998 268.2 13,449 323.7 10,361 339.4 3,088 280.2
1999 259.9 13,381 321.0 10,340 337.9 3,041 274.4
2000 252.6 13,354 300.3 10,358 327.5 2,996 233.3
2001 245.7 13,177 293.7 10,141 319.1 3,036 232.1
2002
242.3
13,183 291.3 10,132 317.2 3,051 229.0
2003
236.1 13,149 292.2 10,070 313.6 3,079 238.7
2004 222.8 12,734 281.1 9,822 303.6 2,912 224.8
2005 220.7 12,800 280.8 9,872 303.5 2,928 224.4
2006 211.7 12,434 270.4 9,606 303.5 2,828 213.8
2007 204.5 11,761 254.1 9,035 274.8 2,726 203.4
2008 202.8 12,091 259.4 9,383 283.4 2,708 200.5
2009 195.4 11,962 254.0 9,282 277.9 2,680 195.8
2010 193.6 12,035 251.8 9,272 283.1 2,763 183.7
2011 191.5 11,882 247.4 9,194 273.0 2,688 187.4
2012 191.0 12,002 248.9 9,231 273.6 2,771 191.3
2013 193.3
12,453
257.6 9,523 282.1 2,930 210.0
2014 192.7
12,438
256.4 9,613 284.6 2,825 191.9
2015 197.2
12,970
266.9 10,139 300.6 2,831 189.9
2016 196.6
12,824
263.1 9,912 293.9 2,912 195.3
2017 198.8
13,105
268.8 10,171 301.4 2,934 195.5
2018 200.3
13,473
275.6 10,251 303.3 3,222 213.7
2019 200.8
13,445
274.2 10,251 302.4 3,194 211.0
2020 211.5
14,739 299.5
11,114 327.3 3,625 237.6
1
Rate is per 100,000 population in specified group. See formula in Appendix B.
TABLE 39
ALABAMA HEART DISEASE DEATHS AND DEATH RATES
1
BY RACE
AND UNITED STATES HEART DISEASE DEATH RATES
1970-2020
YEAR
U.S.
RATE
ALABAMA
TOTAL WHITE
BLACK AND OTHER
NUMBER RATE NUMBER RATE NUMBER
RATE
53
ADPH|CHS
AVS (2020)
RATE RATE RATE
RATE RATE
TOTAL 14,739 299.5 6,064 364.2 5,050 291.7 1,887 265.0 1,738 213.7
Under 1 8 13.7 0 0.0 2 11.2 4 36.2
2
18.6
1-4 13 5.6 2 2.7 4 5.6 4 9.0
3
7.0
5-9 2 0.7 0 0.0 1 1.1 1 1.9
0
0.0
10-14 2 0.6 0 0.0 0 0.0 2 3.6
0
0.0
15-19 13 4.2 6 5.8 1 1.0 5 9.2
1
1.8
20-24 11 3.4 3 2.8 2 2.0 3 5.3
3
5.1
25-29 45 13.6 11 10.2 13 12.3 14 24.1
7
11.5
30-34 76 23.9 25 23.7 10 9.5 25 49.2
16
28.2
35-39 155 51.2 57 56.0 30 29.2 41 92.0
27
50.2
40-44 235 80.1 98 98.8 25 24.9 64 152.0
48
92.6
45-49 360 119.0 166 157.5 70 65.8 69 169.9
55
109.7
50-54 595 194.6 263 241.1 137 124.7 122 311.9
73
153.2
55-59 923 277.5 434 368.0 194 159.2 197 471.6
98
191.8
60-64 1,266 390.0 539 474.3 296 244.1 273 689.7
158
315.2
65-69 1,427 506.2 660 672.7 349 317.5 249 778.7
169
403.0
70-74 1,728 732.9 797 940.7 492 500.9 250 1,108.2
189
624.2
75-79 1,826 1,138.8 819 1,426.4 608 851.1 199 1,554.6
200
1,069.9
80-84 1,903 1,841.9 779 2,237.8 757 1,560.6 154 2,055.8
213
1,702.6
85+ 4,151 4,470.2 1,405 5,312.1 2,059 4,295.8 211 3,851.8
476
3,661.0
TOTAL
MALE
FEMALE
NUMBER NUMBERNUMBER
TABLE 40
HEART DISEASE DEATHS AND DEATH RATES
1
BY AGE GROUP, RACE AND SEX
ALABAMA, 2020
NUMBER
NUMBER
AGE
GROUP
MALE
FEMALE
BLACK AND OTHER
WHITE
1
Rate is per 100,000 population in specified group. Use caution with rates derived from small numbers. See formula in Appendix B.
54
ADPH|CHS
AVS (2020)
1970 162.8 4,943 143.3 3,633 143.3 1,310 143.4
1971 163.6 5,261 151.8 3,826 149.2 1,435 159.2
1972 166.0 5,437 156.1 4,044 156.1 1,393 155.8
1973 167.3 5,499 157.0 4,074 155.8 1,425 160.7
1974 170.5 5,755 163.5 4,293 162.6 1,462 166.2
1975 171.7 5,889 166.5 4,415 165.7 1,474 169.0
1976 175.8 6,046 170.1 4,452 165.5 1,594 184.3
1977
178.7 6,278 175.7 4,619 170.1 1,659 193.4
1978 181.9 6,507 173.9 4,740 169.5 1,767 186.9
1979
179.6 6,512 172.0 4,721 166.9 1,791 187.0
1980 183.9 7,024 180.0 5,197 180.6 1,827 178.6
1981
184.0 7,204 182.6 5,380 184.8 1,824 176.4
1982 187.2 7,343 183.8 5,489 186.1 1,854 177.2
1983 189.3 7,495 183.1 5,578 183.9 1,917 180.7
1984 191.8 7,845 189.8 5,828 190.2 2,017 188.9
1985 193.3 8,011 192.1 5,977 193.0 2,034 189.4
1986 194.7 8,206 200.1 6,177 204.4 2,029 188.0
1987 195.9 8,378 201.9 6,399 209.4 1,979 181.1
1988 197.3 8,502 202.6 6,365 206.0 2,137 193.2
1989 199.9 8,618 203.2 6,527 209.0 2,091 186.8
1990 201.7 8,697 215.2 6,485 217.9 2,212 207.7
1991 204.1 8,844 216.9 6,668 222.7 2,176 201.0
1992 204.1 9,005 221.2 6,761 225.3 2,244 209.8
1993 205.6 9,141 223.8 6,888 228.8 2,253 209.7
1994 205.2 9,442 230.3 7,138 236.4 2,304 213.4
1995 204.9 9,445 229.6 7,226 238.6 2,219 204.5
1996 203.4 9,524 230.7 7,286 239.9 2,238 205.2
1997 201.6 9,585 231.4 7,312 240.1 2,273 207.3
1998 200.3 9,687 233.1 7,422 243.1 2,265 205.5
1999 197.0 9,489 227.6 7,283 238.0 2,206 199.0
2000 196.5 9,772 219.7 7,549 238.7 2,223 173.1
2001 194.3 9,783 218.1 7,406 233.0 2,377 181.7
2002
193.7
9,685 214.0 7,427 232.5 2,258 169.5
2003 192.0 9,790 217.5 7,529 234.5 2,261 175.3
2004 189.2 9,745 215.1 7,509 232.1 2,236 172.6
2005 189.3 9,854 216.2 7,569 232.7 2,285 175.1
2006 187.6 9,759 212.2 7,539 230.1 2,220 167.9
2007 186.9 9,862 213.1 7,530 229.1 2,332 174.0
2008 186.0 10,152 217.8 7,791 235.3 2,361 174.8
2009 185.0 10,255 217.8 7,877 235.8 2,378 173.8
2010 186.2 10,156 212.5 7,842 239.4 2,314 153.8
2011 185.1 10,153 211.4 7,774 230.8 2,379 165.8
2012 185.6 10,264 212.9 7,865 233.1 2,399 165.7
2013 185.0 10,331 213.7 7,881 233.4 2,450 168.1
2014 185.6 10,285 212.1 7,848 232.4 2,437 165.6
2015 185.4 10,348 213.0 7,888 233.7 2,460 165.7
2016 185.1 10,419 214.2 7,991 236.9 2,428 162.9
2017 183.9 10,415 213.7 7,949 235.6 2,466 164.3
2018 183.2 10,630 217.5 8,173 241.8 2,457 162.9
2019 182.7 10,263 209.3 7,719 227.7 2,544 168.1
2020
182.8
10,458 212.5 8,017 236.1 2,441 160.0
ALABAMA
ALABAMA MALIGNANT NEOPLASM DEATHS AND DEATH RATES
1
BY RACE
TABLE 41
AND UNITED STATES MALIGNANT NEOPLASM DEATH RATES
1970-2020
YEAR U.S. RATE
NUMBER NUMBER RATE RATE
TOTAL WHITE
BLACK AND OTHER
NUMBER
RATE
1
Rate is per 100,000 population in specified group. See formula in Appendix B.
55
ADPH|CHS
AVS (2020)
RATE RATE RATE
TOTAL
10,458 212.5 4,470 268.5 3,547 204.9 1,270 178.3 1,171 144.0
Under 1 2 3.4 1 5.3 1 5.6 0 0.0
0
0.0
1-4 3 1.3 2 2.7 1 1.4 0 0.0
0
0.0
5-9 6 2.0 1 1.0 2 2.1 2 3.7
1
1.9
10-14 2 0.6 2 2.0 0 0.0 0 0.0
0
0.0
15-19 5 1.6 2 1.9 2 2.0 1 1.8
0
0.0
20-24 20 6.2 4 3.8 2 2.0 7 12.5
7
11.8
25-29 17 5.1 6 5.6 2 1.9 2 3.4
7
11.5
30-34 33 10.4 8 7.6 14 13.2 4 7.9
7
12.3
35-39 73 24.1 24 23.6 23 22.4 8 17.9
18
33.5
40-44 123 41.9 39 39.3 50 49.8 14 33.2
20
38.6
45-49 245 81.0 90 85.4 87 81.8 30 73.9
38
75.8
50-54 442 144.6 175 160.4 149 135.6 51 130.4
67
140.6
55-59 827 248.6 335 284.1 252 206.8 115 275.3
125
244.6
60-64 1,315 405.1 547 481.3 408 336.4 208 525.5
152
303.2
65-69 1,544 547.7 651 663.5 464 422.2 222 694.2
207
493.6
70-74 1,692 717.6 751 886.4 548 557.9 224 992.9
169
558.1
75-79 1,520 947.9 712 1,240.0 522 730.7 161 1,257.7
125
668.7
80-84 1,212 1,173.1 564 1,620.2 438 903.0 109 1,455.1
101
807.4
85+ 1,377 1,482.9 556 2,102.2 582 1,214.3 112 2,044.5
127
976.8
RATE
1
Rate is per 100,000 population in specified group. Use caution with rates derived from small numbers. See formula in Appendix B.
AGE
GROUP
NUMBER
TOTAL
MALE FEMALE
NUMBER
MALE FEMALE
NUMBER NUMBERNUMBER RATE
TABLE 42
MALIGNANT NEOPLASM DEATHS AND DEATH RATES
1
BY AGE GROUP, RACE AND SEX
ALABAMA, 2020
BLACK AND OTHERWHITE
56
ADPH|CHS
AVS (2020)
TOTAL C00-C97 10,458 212.5 5,740 241.5 4,718 185.4
Lip, oral cavity and pharynx C00-C14
197
4.0
148
6.2
49
1.9
Esophagus C15
238
4.8
189
8.0
49
1.9
Stomach C16
163
3.3
94
4.0
69
2.7
Colon, rectum and anus C18-C21
905
18.4
486
20.4
419
16.5
Liver and intrahepatic bile ducts C22
509
10.3
341
14.3
168
6.6
Pancreas C25
787
16.0
424
17.8
363
14.3
Larynx C32
79
1.6
72
3.0
7
0.3
Trachea, bronchus and lung C33-C34
2,732
55.5
1,580
66.5
1,152
45.3
Skin C43
132
2.7
83
3.5
49
1.9
Breast C50
701
14.2
6
0.3
695
27.3
Cervix uteri C53
98
2.0
…
2
…
2
98
3.9
Corpus uteri and uterus, part unspecified C54-C55
157
3.2
…
2
…
2
157
6.2
Ovary C56
188
3.8
…
2
…
2
188
7.4
Prostate C61
534
10.9
534
22.5
…
2
…
2
Kidney and renal pelvis C64-C65
215
4.4
151
6.4
64
2.5
Bladder C67
294
6.0
211
8.9
83
3.3
Meninges, brain and other parts of central nervous system
C70-C72 315 6.4 167 2.7 148 2.0
Lymphoid, hematopoietic and related tissue 943 19.2 543 22.8 400 15.7
Hodgkin’s disease C81
17
0.3
8
0.3
9
0.4
Non-Hodgkin’s lymphoma C82-C85
299
6.1
178
7.5
121
4.8
Leukemia C91-C95
392
8.0
227
9.5
165
6.5
Multiple myeloma and immunoproliferative neoplasms C88 or C90 230 4.7 128 2.7 102 2.0
Other and unspecified malignant neoplasms of C96 5 0.1 2 0.1
3
0.1
lymphoid, hematopoietic and related tissue
All other and unspecified malignant noplasms 1,271 25.8 711 29.9 560 22.0
TABLE 43
MALIGNANT NEOPLASM DEATHS AND DEATH RATES
1
BY PRIMARY SITE AND SEX
ALABAMA, 2020
NUMBER
FEMALE
RATE
RATE
NUMBER
RATE
MALE
PRIMARY SITE ICD-10 CODE
NUMBER
TOTAL
1
Rate is per 100,000 population in specified group. Use caution with rates derived from small numbers. See formula in Appendix B.
C00-C97 not
listed above
2
Category not applicable.
57
ADPH|CHS
AVS (2020)
1970 101.9 4,618 133.9 3,001 118.4 1,617 177.0
1971 101.1 4,601 132.7 3,046 118.7 1,555 172.5
1972 102.5 4,713 135.3 3,116 120.3 1,597 178.6
1973 102.1 4,953 141.4 3,293 125.9 1,660 187.2
1974 98.1 4,571 129.9 3,059 115.9 1,512 171.9
1975 91.1 4,241 119.9 2,846 106.8 1,395 160.0
1976 87.9 4,291 120.7 2,839 105.5 1,452 167.9
1977 84.1 4,052 113.4 2,705 99.6 1,347 157.1
1978 80.5 3,835 102.5 2,626 93.9 1,209 127.9
1979 75.5 3,487 92.1 2,409 85.2 1,078 112.6
1980 75.1 3,465 88.8 2,348 81.6 1,117 109.2
1981 71.3 3,462 87.7 2,347 80.6 1,115 107.8
1982 68.1 3,365 84.2 2,292 77.7 1,073 102.6
1983 66.6 3,152 77.0 2,137 70.5 1,015 95.7
1984 65.4 3,241 78.4 2,225 72.6 1,016 95.2
1985 64.3 3,304 79.2 2,283 73.7 1,021 95.1
1986 62.3 3,022 73.7 2,140 70.8 882 81.7
1987 61.8 3,000 72.3 2,065 67.6 935 85.5
1988 61.6 2,939 70.0 2,011 65.1 928 83.9
1989 59.0 2,905 68.5 2,014 64.5 891 79.6
1990 57.9 2,931 72.5 1,992 66.9 939 88.2
1991 56.9 2,829 69.4 1,996 66.7 833 77.0
1992 56.4 2,750 67.6 1,966 65.5 784 73.3
1993 58.2 2,833 69.4 2,034 67.6 799 74.4
1994 58.9 2,636 64.3 1,905 63.1 731 67.7
1995 60.1 2,793 67.9 2,007 66.3 786 72.4
1996 60.3 2,890 70.0 2,066 68.0 824 75.6
1997 59.7 2,922 70.6 2,150 70.6 772 70.4
1998 58.5 2,936 70.7 2,137 70.0 799 72.5
1999 60.0 3,137 75.3 2,341 76.5 796 71.8
2000 59.6 3,177 71.4 2,343 74.1 834 64.9
2001 57.4 2,983 66.5 2,214 69.7 769 58.8
2002
56.6
3,203 70.8 2,339 73.2 864 64.9
2003
54.4 3,020 67.1 2,225 69.3 795 61.6
2004 51.3 2,974 65.6 2,156 66.7 818 63.1
2005 48.6 2,940 64.5 2,131 65.5 809 62.0
2006 46.0 2,685 58.4 1,914 58.4 771 58.3
2007 45.1 2,693 58.2 1,951 59.3 742 55.4
2008 44.1 2,814 60.4 2,052 62.0 762 56.4
2009 42.0 2,647 56.2 1,943 58.2 704 51.4
2010 41.9 2,601 54.4 1,907 58.2 694 46.1
2011 41.4 2,538 52.8 1,868 55.5 670 46.7
2012 40.9 2,620 54.3 1,971 58.4 649 44.8
2013 40.8
2,589
53.6 1,927 57.1 662 45.4
2014 41.7
2,650
54.6 1,958 58.0 692 47.0
2015 43.7
2,937
60.4 2,173 64.4 764 51.5
2016 44.0
2,962
60.9 2,185 64.8 777 52.1
2017 44.9
2,932
60.1 2,176 64.5 756 50.4
2018 45.2
3,088
63.2 2,215 65.5 873 57.9
2019 45.7
3,139
64.0 2,276 67.2 863 57.0
2020 48.6
3,390
68.9
2,428 71.5 962 63.1
WHITE
BLACK AND OTHER
RATE
TABLE 44
ALABAMA CEREBROVASCULAR DISEASE DEATHS AND DEATH RATES
1
BY RACE
AND UNITED STATES CEREBROVASCULAR DISEASE DEATH RATES
1970-2020
YEAR
U.S.
RATE
RATENUMBER NUMBER RATE NUMBER
ALABAMA
1
Rate is per 100,000 population in specified group. See formula in Appendix B.
TOTAL
58
ADPH|CHS
AVS (2020)
RATE
TOTAL 3,390 68.9 1,061 63.7 1,367 79.0 461 64.7 501 61.6
Under 1 3 5.1 1 5.3 0 0.0 2 18.1
0
0.0
1-4 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
5-9 1 0.3 1 1.0 0 0.0 0 0.0
0
0.0
10-14 1 0.3 0 0.0 0 0.0 1 1.8
0
0.0
15-19 2 0.6 1 1.0 0 0.0 1 1.8
0
0.0
20-24 1 0.3 0 0.0 0 0.0 0 0.0
1
1.7
25-29 7 2.1 3 2.8 2 1.9 0 0.0
2
3.3
30-34 13 4.1 3 2.8 2 1.9 5 9.8
3
5.3
35-39 29 9.6 8 7.9 7 6.8 7 15.7
7
13.0
40-44 39 13.3 15 15.1 9 9.0 9 21.4
6
11.6
45-49 52 17.2 12 11.4 8 7.5 18 44.3
14
27.9
50-54 77 25.2 23 21.1 19 17.3 19 48.6
16
33.6
55-59 146 43.9 51 43.2 43 35.3 35 83.8
17
33.3
60-64 234 72.1 78 68.6 52 42.9 63 159.2
41
81.8
65-69 299 106.1 92 93.8 82 74.6 70 218.9
55
131.2
70-74 389 165.0 119 140.5 143 145.6 68 301.4
59
194.8
75-79 475 296.2 191 332.6 171 239.4 54 421.8
59
315.6
80-84 542 524.6 184 528.6 242 498.9 50 667.5
66
527.6
85+ 1,080 1,163.1 279 1,054.9 587 1,224.7 59 1,077.0
155
1,192.1
AGE
GROUP
1
Rate is per 100,000 population in specified group. Use caution with rates derived from small numbers. See formula in Appendix B.
NUMBER
TOTAL
FEMALE
MALE
FEMALE
TABLE 45
CEREBROVASCULAR DISEASE DEATHS AND DEATH RATES
1
BY AGE GROUP, RACE AND SEX
ALABAMA, 2020
NUMBER
BLACK AND OTHER
WHITE
NUMBER
NUMBER
NUMBERRATE RATE RATE
RATE
MALE
59
ADPH|CHS
AVS (2020)
1980 24.7 881 22.6 752 26.1 129 12.6
1981 25.7 1,022 25.8 880 30.2 142 13.7
1982
25.8 1,012 25.4 879 29.8 133 12.7
1983
28.3 1,063 26.0 951 31.4 112 10.6
1984 29.2 1,234 29.9 1,076 35.1 158 14.8
1985 31.3 1,340 32.1 1,160 37.5 180 16.8
1986 31.8 1,361 33.2 1,175 38.9 186 17.2
1987 32.2 1,281 30.9 1,109 36.3 172 15.7
1988 33.7 1,454 34.7 1,257 40.7 197 17.8
1989 34.0 1,417 33.4 1,227 39.3 190 17.0
1990 34.9 1,504 37.2 1,297 43.6 207 19.4
1991 35.9 1,620 39.7 1,413 47.2 207 19.1
1992 36.0 1,461 35.9 1,275 42.5 186 17.4
1993 39.2 1,675 41.0 1,432 47.6 243 22.6
1994 39.0 1,806 44.1 1,562 51.7 244 22.6
1995 39.2 1,663 40.4 1,451 47.9 212 19.5
1996 40.0 1,724 41.8 1,491 49.1 233 21.4
1997 40.7 1,858 44.9 1,604 52.7 254 23.2
1998 41.7 1,994 48.0 1,755 57.5 239 21.7
1999 44.5 2,174 52.2 1,944 63.5 230 20.8
2000 43.4 2,043 45.9 1,818 57.5 225 17.5
2001 43.2 2,196 48.9 1,964 61.8 232 17.7
2002
43.4
2,328 51.4 2,061 64.5 267 20.0
2003
43.6 2,426 53.9 2,159 67.2 267 20.7
2004 41.7 2,359 52.1 2,087 64.5 272 21.0
2005 44.3 2,371 52.0 2,108 64.8 263 20.2
2006 41.8 2,277 49.5 2,038 62.2 239 18.1
2007 42.5 2,510 54.2 2,247 68.4 263 19.6
2008 46.4 2,723 58.4 2,422 73.1 301 22.3
2009 44.8 2,761 58.6 2,480 74.2 281 20.5
2010 44.7 2,845 59.5 2,547 77.8 298 19.8
2011 45.9 2,892 60.2 2,576 76.5 316 22.0
2012 45.7 3,006 62.3 2,714 80.4 292 20.2
2013 47.2
3,040
62.9 2,714 80.4 326 22.4
2014 46.1
3,046
62.8 2,728 80.8 318 21.6
2015 48.2
3,275
67.4 2,937 87.0 338 22.8
2016 47.8
3,325
68.4 2,962 87.8 363 24.3
2017 49.2
3,484
71.5 3,087 91.5 397 26.5
2018 48.7
3,595
73.5 3,171 93.8 424 28.1
2019 47.8
3,530
72.0 3,110 91.8 420 27.7
2020 46.3
3,430
69.7
2,985 87.9 445 29.2
TABLE 46
NUMBER RATE NUMBER RATE NUMBER
1
Rate is per 100,000 population in specified group. See formula in Appendix B.
ALABAMA CHRONIC LOWER RESPIRATORY DISEASE DEATHS AND DEATH RATES
1
BY RACE
AND UNITED STATES CHRONIC LOWER RESPIRATORY DISEASE DEATH RATES
1980-2020
YEAR
U.S.
RATE
ALABAMA
RATE
TOTAL
WHITE
BLACK AND OTHER
60
ADPH|CHS
AVS (2020)
TOTAL
3,430 69.7 1,411 84.8 1,574 90.9 251 35.2 194 23.9
Under 1 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
1-4 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
5-9 1 0.3 0 0.0 0 0.0 1 1.9
0
0.0
10-14 2 0.6 0 0.0 0 0.0 2 3.6
0
0.0
15-19 2 0.6 1 1.0 0 0.0 1 1.8
0
0.0
20-24 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
25-29 1 0.3 0 0.0 1 0.9 0 0.0
0
0.0
30-34 7 2.2 0 0.0 4 3.8 1 2.0
2
3.5
35-39 4 1.3 0 0.0 0 0.0 3 6.7
1
1.9
40-44 16 5.5 3 3.0 5 5.0 4 9.5
4
7.7
45-49 34 11.2 18 17.1 11 10.3 3 7.4
2
4.0
50-54 62 20.3 24 22.0 22 20.0 7 17.9
9
18.9
55-59 198 59.5 87 73.8 87 71.4 15 35.9
9
17.6
60-64 346 106.6 125 110.0 148 122.0 43 108.6
30
59.8
65-69 372 131.9 168 171.2 137 124.7 32 100.1
35
83.5
70-74 553 234.5 249 293.9 227 231.1 55 243.8
22
72.7
75-79 584 364.2 247 430.2 276 386.4 33 257.8
28
149.8
80-84 531 513.9 214 614.7 266 548.4 21 280.3
30
239.8
85+ 717 772.1 275 1,039.7 390 813.7 30 547.6
22
169.2
AGE
GROUP
NUMBER
TOTAL
MALE
FEMALE
RATE RATE RATE
RATE RATE
1
Rate is per 100,000 population in specified group. Use caution with rates derived from small numbers. See formula in Appendix B.
TABLE 47
CHRONIC LOWER RESPIRATORY DISEASE DEATHS AND DEATH RATES
1
BY AGE GROUP, RACE AND SEX
ALABAMA, 2020
NUMBER
MALE
FEMALE
BLACK AND OTHER
WHITE
NUMBER
NUMBER
NUMBER
61
ADPH|CHS
AVS (2020)
1970 56.4 2,457 71.2 1,702 67.1 755 82.6
1971 55.0 2,603 74.9 1,817 71.0 786 86.0
1972 55.4 2,528 72.0 1,800 69.5 728 79.3
1973 55.2 2,577 72.7 1,817 69.3 760 82.4
1974 49.5 2,347 65.6 1,677 63.2 670 72.3
1975 48.4 2,204 61.0 1,562 58.2 642 69.0
1976 46.9 2,305 63.1 1,617 59.5 688 73.5
1977 47.7 2,459 66.6 1,746 63.5 713 75.9
1978 48.4 2,480 66.3 1,793 64.1 687 72.7
1979 46.9 2,161 57.1 1,551 54.8 610 63.7
1980 46.7 2,295 58.8 1,596 55.5 699 68.3
1981
43.9 2,160 54.7 1,551 53.3 609 58.9
1982 40.6 1,907 47.7 1,439 48.8 468 44.7
1983 39.5 2,037 49.8 1,473 48.6 564 53.2
1984 39.3 1,958 47.4 1,461 47.7 497 46.6
1985 39.1 1,985 47.6 1,400 45.2 585 54.5
1986 39.5 2,204 53.7 1,623 53.7 581 53.8
1987 39.0 2,169 52.3 1,564 51.2 605 55.4
1988 39.5 2,165 51.6 1,537 49.7 628 56.8
1989 38.3 2,186 52.1 1,581 51.2 605 54.7
1990 37.0 2,299 56.9 1,697 57.0 602 56.5
1991 35.4 2,201 54.0 1,605 53.6 596 55.1
1992 34.0 2,049 50.3 1,508 50.3 541 50.6
1993 35.1 2,143 52.5 1,546 51.4 597 55.6
1994 35.1 2,148 52.4 1,565 51.8 583 54.0
1995 35.5 2,232 54.3 1,620 53.5 612 56.4
1996 35.8 2,237 54.2 1,675 55.2 562 51.5
1997 35.7 2,313 55.9 1,749 57.4 564 51.4
1998 34.5 2,209 53.2 1,680 55.0 529 48.0
1999 35.1 2,284 54.8 1,667 54.5 617 55.7
2000 34.8 2,097 47.2 1,567 49.5 530 41.3
2001 35.6 2,187 48.7 1,648 51.9 539 41.2
2002
37.1
2,212 48.9 1,732 54.2 480 36.0
2003
37.7 2,183 48.5 1,658 51.6 525 40.7
2004 38.3 2,381 52.6 1,811 56.0 570 44.0
2005 39.9 2,368 52.0 1,796 55.2 572 43.8
2006 40.8 2,451 53.3 1,925 58.8 526 39.8
2007 41.1 2,476 53.5 1,971 60.0 505 37.7
2008 40.1 2,497 53.6 2,004 60.5 493 36.5
2009 38.5 2,342 49.7 1,903 57.0 439 32.1
2010 39.1 2,369 49.6 1,891 57.7 478 31.8
2011 40.6 2,596 54.1 2,064 61.3 532 37.1
2012 40.7 2,255 46.8 1,800 53.4 455 31.4
2013 41.3
2,302
47.6 1,819 53.9 483 33.1
2014 42.6
2,421
49.9 1,930 57.1 491 33.4
2015 45.6
2,529
52.0 1,987 58.9 542 36.5
2016 49.9
2,747
56.5 2,119 62.8 628 42.1
2017 52.2
2,700
55.4 2,109 62.5 591 39.4
2018 51.1
2,682
54.9 2,026 59.9 656 43.5
2019 52.7
2,757
56.2 2,112 62.3 645 42.6
2020 60.0
3,005
61.1
2,212 65.1 793 52.0
1
Rate is per 100,000 population in specified group. See formula in Appendix B.
NUMBER RATE NUMBER RATE NUMBER
RATE
TABLE 48
ALABAMA ACCIDENTAL DEATHS AND DEATH RATES
1
BY RACE
AND UNITED STATES ACCIDENTAL DEATH RATES
1970-2020
YEAR
U.S.
RATE
ALABAMA
TOTAL WHITE
BLACK AND OTHER
62
ADPH|CHS
AVS (2020)
TOTAL 3,005 61.1
2,212
65.1 793 52.0
Under 1 26 44.5 11 30.1 15 68.7
1-4 30 12.8 18 12.3 12 13.7
5-9 24 8.0 16 8.3 8 7.5
10-14 13 4.2 7 3.5 6 5.5
15-19 92 29.7 64 31.8 28 25.7
20-24 195 60.3 122 58.7 73 63.2
25-29 189 56.9 127 59.6 62 52.2
30-34 257 80.7 187 88.6 70 65.1
35-39 259 85.5 172 84.1 87 88.5
40-44 266 90.6 194 97.2 72 76.6
45-49 218 72.1 164 77.5 54 59.5
50-54 211 69.0 166 75.8 45 51.9
55-59 219 65.8 163 68.0 56 60.3
60-64 211 65.0 148 63.0 63 70.2
65-69 168 59.6 117 56.2 51 69.0
70-74 129 54.7 106 57.9 23 43.5
75-79 121 75.5 96 74.5 25 79.4
80-84 146 141.3 128 153.6 18 90.0
85+
231 248.8 206 277.0 25 135.3
TABLE 49
ACCIDENTAL DEATHS AND DEATH RATES
1
BY AGE GROUP AND RACE
ALABAMA, 2020
TOTAL
AGE GROUP
NUMBER RATE NUMBER RATE
WHITE
BLACK AND OTHER
NUMBER RATE
1
Rate is per 100,000 population in specified group. Use caution with rates derived from small numbers. See formula in Appendix B.
63
ADPH|CHS
AVS (2020)
TOTAL 3,005 61.1 1,478 88.8 734 42.4 582 81.7 211 25.9
Under 1 26 44.5 5 26.6 6 33.7 11 99.5
4
37.1
1-4 30 12.8 9 12.0 9 12.7 8 18.1
4
9.3
5-9 24 8.0 9 9.1 7 7.4 5 9.3
3
5.7
10-14 13 4.2 4 3.9 3 3.1 4 7.2
2
3.7
15-19 92 29.7 49 47.6 15 15.2 21 38.6
7
12.9
20-24 195 60.3 90 85.2 32 31.3 54 96.1
19
32.1
25-29 189 56.9 92 85.3 35 33.2 49 84.5
13
21.4
30-34 257 80.7 129 122.5 58 54.8 51 100.3
19
33.5
35-39 259 85.5 125 122.8 47 45.7 65 145.8
22
40.9
40-44 266 90.6 133 134.1 61 60.8 62 147.2
10
19.3
45-49 218 72.1 113 107.2 51 48.0 37 91.1
17
33.9
50-54 211 69.0 108 99.0 58 52.8 32 81.8
13
27.3
55-59 219 65.8 122 103.5 41 33.6 44 105.3
12
23.5
60-64 211 65.0 102 89.8 46 37.9 45 113.7
18
35.9
65-69 168 59.6 88 89.7 29 26.4 38 118.8
13
31.0
70-74 129 54.7 77 90.9 29 29.5 15 66.5
8
26.4
75-79 121 75.5 59 102.8 37 51.8 17 132.8
8
42.8
80-84 146 141.3 70 201.1 58 119.6 8 106.8
10
79.9
85+ 231 248.8 94 355.4 112 233.7 16 292.1
9
69.2
1
Rate is per 100,000 population in specified group. Use caution with rates derived from small numbers. See formula in Appendix B.
NUMBER RATE NUMBER RATE NUMBER
MALE
FEMALE
MALE
FEMALE
TABLE 50
ACCIDENTAL DEATHS AND DEATH RATES
1
BY AGE GROUP, RACE AND SEX
ALABAMA, 2020
AGE
GROUP
TOTAL
WHITE
BLACK AND OTHER
RATE NUMBER
RATE
NUMBER
RATE
64
ADPH|CHS
AVS (2020)
3,005 26 30 37 287 446 525 429 430 297 267 231
0 0 0 0 0 0 0 0 0 0 0 0
985 2 9 23 180 179 149 139 142 89 55 18
63 2 4 4 7 6 11 7 10 8 3 1
7 0 0 1 0 0 2 1 3 0 0 0
1,025 0 1 0 74 227 308 211 158 37 7 2
301 1 0 0 0 7 4 12 39 58 86 94
110 0 5 5 4 4 10 16 11 27 21 7
1 0 0 0 0 0 0 1 0 0 0 0
14 0 4 0 1 1 3 0 2 3 0 0
10 0 0 0 0 0 0 1 4 0 3 2
0 0
0 0 0 0 0 0 0 0 0 0
13 0 0 0 0 0 2 3 1 2 4 1
106 21 1 0 3 1 8 12 12 20 14 14
20 0 1 0 2 3 3 3 4 2 1 1
20 0 2 2 3 4 1 1 5 2 0 0
3 0 0 0 0 2 0 0 1 0 0 0
327 0 3 2 13 12 24 22 38 49 73 91
TABLE 51
ACCIDENTAL DEATHS BY TYPE OF ACCIDENT AND AGE GROUP
ALABAMA, 2020
TYPE OF ACCIDENT (ICD-10 CODE)
TOTAL
AGE GROUP
UNDER 1
1-4
5-14
15-24
85+
25-34
35-44
45-54
55-64
65-74
75-84
Drowning (W65-W74)
Air and space transport (V95-V97)
TOTAL
Occupant of railway train (V81.0-V-81.8)
Motor vehicle
1
All other accidents and late effects
1
See Appendix C for list of ICD-10 codes.
Electrocution (W85-W87)
Poisoning (X40-X49)
Falls (W00-W19)
Smoke, fire and flames (X00-X09)
Contact with venomous life forms (X20-X29)
Excessive natural heat (X30)
Excessive natural cold (X31)
Lightning (X33)
Cataclysmic storms and floods (X37-X38)
Suffocation (W75-W84)
Struck by falling objects, etc. (W20)
Firearms (W32-W34)
65
ADPH|CHS
AVS (2020)
1980 17.0 664 17.0 377 13.1 227 22.2
1981 15.1 632 16.0 397 13.6 235 22.7
1982 14.9 637 15.9 419 14.2 218 20.8
1983 15.5 603 14.7 369 12.2 234 22.1
1984 15.1 661 16.0 387 12.6 274 25.7
1985 15.5 720 17.3 421 13.6 299 27.8
1986
15.4 712 17.4 410 13.6 302 28.0
1987
15.8 670 16.1 402 13.2 268 24.5
1988 16.4 777 18.5 459 14.9 318 28.7
1989 18.9 724 17.1 442 14.2 282 25.2
1990 19.2 850 21.0 507 17.0 343 32.2
1991 19.4 891 21.9 547 18.3 344 31.8
1992 19.6 850 20.9 505 16.8 345 32.3
1993 20.9 856 21.0 515 17.1 341 31.7
1994 21.8 1,071 26.1 645 21.4 426 39.5
1995 22.6 1,151 28.0 707 23.3 444 40.9
1996 23.3 1,127 27.3 695 22.9 432 39.6
1997 23.4 1,173 28.3 699 23.0 474 43.2
1998 24.0 1,303 31.4 778 25.5 525 47.6
1999 24.5 1,337 32.1 826 27.0 511 46.1
2000 24.6 1,315 29.6 832 26.3 483 37.6
2001 25.0 1,339 29.8 820 25.8 519 39.7
2002
25.5
1,485 32.8 901 28.2 584 43.8
2003
25.6 1,411 31.4 892 27.8 519 40.2
2004 25.0 1,442 31.8 856 26.5 586 45.2
2005 25.4 1,420 31.2 885 27.2 535 41.0
2006 24.3 1,430 31.1 888 27.1 542 41.0
2007 23.7 1,288 27.8 801 24.4 487 36.3
2008 23.2 1,380 29.6 841 25.4 539 39.9
2009 22.4 1,271 27.0 760 22.8 511 37.3
2010 22.4 1,314 27.5 818 25.0 496 33.0
2011 23.7 1,255 26.1 787 23.4 468 32.6
2012 23.6 1,295 26.9 807 23.9 488 33.7
2013 23.9
1,346
27.8 870 25.8 476 32.7
2014 24.0
1,277
26.3 786 23.3 491 33.4
2015 24.7
1,253
25.8 755 22.4 498 33.5
2016 24.8
1,181
24.3 739 21.9 442 29.6
2017 25.7
1,172
24.0 707 21.0 465 31.0
2018 26.0
1,176
24.1 741 21.9 435 28.8
2019 26.7
1,223
24.9 755 22.3 468 31.0
2020 31.0
1,450
29.5
883 26.0 567 37.2
1
Rate is per 100,000 population in specified group. See formula in Appendix B.
NUMBER RATE NUMBER RATE NUMBER
RATE
TABLE 52
ALABAMA DIABETES DEATHS AND DEATH RATES
1
BY RACE
AND UNITED STATES DIABETES DEATH RATES
1980-2020
YEAR
U.S.
RATE
ALABAMA
TOTAL WHITE
BLACK AND OTHER
66
ADPH|CHS
AVS (2020)
TOTAL 1,450 29.5 536 32.2 347 20.0 315 44.2 252 31.0
Under 1 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
1-4 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
5-9 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
10-14 2 0.6 1 1.0 0 0.0 1 1.8
0
0.0
15-19 3 1.0 2 1.9 0 0.0 1 1.8
0
0.0
20-24 5 1.5 1 0.9 2 2.0 0 0.0
2
3.4
25-29 12 3.6 4 3.7 2 1.9 4 6.9
2
3.3
30-34 27 8.5 7 6.6 5 4.7 7 13.8
8
14.1
35-39 30 9.9 4 3.9 10 9.7 9 20.2
7
13.0
40-44 44 15.0 21 21.2 5 5.0 12 28.5
6
11.6
45-49 57 18.8 23 21.8 10 9.4 15 36.9
9
17.9
50-54 84 27.5 27 24.8 21 19.1 18 46.0
18
37.8
55-59 118 35.5 49 41.6 23 18.9 32 76.6
14
27.4
60-64 159 49.0 61 53.7 30 24.7 44 111.2
24
47.9
65-69 176 62.4 60 61.2 32 29.1 53 165.7
31
73.9
70-74 208 88.2 83 98.0 44 44.8 51 226.1
30
99.1
75-79 173 107.9 63 109.7 47 65.8 29 226.5
34
181.9
80-84 175 169.4 68 195.3 48 99.0 26 347.1
33
263.8
85+ 177 190.6 62 234.4 68 141.9 13 237.3
34
261.5
NUMBER
TABLE 53
DIABETES DEATHS AND DEATH RATES
1
BY AGE GROUP, RACE AND SEX
ALABAMA, 2020
TOTAL
MALE
FEMALE
AGE
GROUP
NUMBER
RATE
NUMBER
RATE
NUMBER
1
Rate is per 100,000 population in specified group. Use caution with rates derived from small numbers. See formula in Appendix B.
MALE
NUMBER
RATE
RATE
RATE
FEMALE
BLACK AND OTHER
WHITE
67
ADPH|CHS
AVS (2020)
1980 0.4 14 0.4 12 0.4 2 0.2
1981
15.1 32 0.8 30 1.0 2 0.2
1982
1.1 46 1.2 42 1.4 4 0.4
1983 1.9 58 1.4 56 1.8 2 0.2
1984 2.7 114 2.8 100 3.3 14 1.3
1985 3.5 136 3.3 124 4.0 12 1.1
1986 3.9 172 4.2 159 5.3 13 1.2
1987 4.7 181 4.4 158 5.2 23 2.1
1988 5.0 224 5.3 198 6.4 26 2.4
1989 5.3 237 5.6 214 6.9 23 2.1
1990 5.5 275 6.8 244 8.2 31 2.9
1991 5.6 250 6.1 221 7.4 29 2.7
1992 5.7 278 6.8 233 7.8 45 4.2
1993 6.5 323 7.9 278 9.2 45 4.2
1994 7.1 342 8.3 299 9.9 43 4.0
1995 7.8 426 10.4 357 11.8 69 6.4
1996 8.1 441 10.7 382 12.6 59 5.4
1997 8.4 459 11.1 407 13.4 52 4.7
1998 8.4 450 10.8 394 12.9 56 5.1
1999 16.0 772 18.5 668 21.8 104 9.4
2000 17.6 891 20.0 753 23.8 138 10.7
2001 18.9 1,100 24.5 938 29.5 162 12.4
2002
20.5
1,189 26.3 1,031 32.3 158 11.9
2003
21.9 1,266 28.1 1,063 33.1 203 15.7
2004 22.5 1,385 30.6 1,160 35.9 225 17.4
2005 24.2 1,494 32.8 1,276 39.2 218 16.7
2006 24.3 1,487 32.3 1,278 39.0 209 15.8
2007 24.8 1,506 32.5 1,266 38.5 240 17.9
2008 27.1 1,516 32.5 1,286 38.8 230 17.0
2009 25.8 1,510 32.1 1,274 38.1 236 17.2
2010 27.0 1,518 31.8 1,302 39.8 216 14.4
2011 27.3 1,470 30.6 1,241 36.8 229 16.0
2012 26.6 1,386 28.7 1,187 35.2 199 13.7
2013 26.8
1,399
28.9 1,189 35.2 210 14.5
2014 29.3
1,881
38.8 1,565 46.3 316 21.5
2015 34.4
2,281
46.9 1,878 55.7 403 27.1
2016 35.9
2,506
51.5 2,123 62.9 383 25.7
2017 37.3
2,562
52.6 2,136 63.3 426 28.4
2018 37.3
2,616
53.5 2,187 64.7 429 28.4
2019 37.0
2,659
54.2 2,235 65.9 424 28.0
2020 40.7
3,094
62.9
2,574 75.8 520 34.1
1
Rate is per 100,000 population in specified group. See formula in Appendix B.
NUMBER RATE NUMBER RATE NUMBER
RATE
TABLE 54
ALABAMA ALZHEIMER'S DEATHS AND DEATH RATES
1
BY RACE
AND UNITED STATES ALZHEIMER'S DEATH RATES
1980-2020
YEAR
U.S.
RATE
ALABAMA
TOTAL
WHITE
BLACK AND OTHER
68
ADPH|CHS
AVS (2020)
TOTAL 3,094 62.9 756 45.4 1,818 105.0 119 16.7 401 49.3
Under 1 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
1-4 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
5-9 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
10-14 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
15-19 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
20-24 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
25-29 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
30-34 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
35-39 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
40-44 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
45-49 1 0.3 0 0.0 1 0.9 0 0.0
0
0.0
50-54 1 0.3 0 0.0 0 0.0 0 0.0
1
2.1
55-59 8 2.4 0 0.0 6 4.9 2 4.8
0
0.0
60-64 21 6.5 6 5.3 9 7.4 4 10.1
2
4.0
65-69 79 28.0 34 34.7 27 24.6 6 18.8
12
28.6
70-74 187 79.3 56 66.1 95 96.7 13 57.6
23
76.0
75-79 383 238.9 112 195.1 221 309.4 16 125.0
34
181.9
80-84 645 624.3 186 534.3 354 729.8 28 373.8
77
615.5
85+ 1,769 1,905.0 362 1,368.7 1105 2,305.4 50 912.7
252
1,938.2
1
Rate is per 100,000 population in specified group. Use caution with rates derived from small numbers. See formula in Appendix B.
NUMBER RATE
NUMBER
RATE
NUMBER
RATE
NUMBER
MALE
FEMALE
MALE
FEMALE
TABLE 55
ALZHEIMER'S DEATHS AND DEATH RATES
1
BY AGE GROUP, RACE AND SEX
ALABAMA, 2020
AGE
GROUP
TOTAL
WHITE
BLACK AND OTHER
RATE
NUMBER
RATE
69
ADPH|CHS
AVS (2020)
1970 9.1 313 9.1 285 11.2 28 3.1
1971 15.1 360 10.4 333 13.0 27 3.0
1972 12.0 378 10.8 340 13.1 38 4.3
1973 12.0 352 10.1 317 12.1 35 3.9
1974 12.1 380 10.8 331 12.5 49 5.6
1975 12.7 394 11.1 353 13.2 41 4.7
1976 12.5 407 11.4 361 13.4 46 5.3
1977
13.3 405 11.3 369 13.6 36 4.2
1978 12.5 399 10.7 347 12.4 52 5.5
1979 12.1 417 11.0 368 13.0 49 5.1
1980
11.9 444 11.4 405 14.1 39 3.8
1981 12.0 398 10.1 353 12.1 45 4.4
1982 12.2 427 10.7 375 12.7 52 5.0
1983 12.1 428 10.5 385 12.7 43 4.1
1984 12.4 465 11.3 417 13.6 48 4.5
1985 12.3 442 10.6 399 12.9 43 4.0
1986 12.8 512 12.5 464 15.4 48 4.4
1987 12.7 450 10.8 401 13.1 49 4.5
1988 12.4 497 11.8 435 14.1 62 5.6
1989 12.2 516 12.2 451 14.4 65 5.8
1990 12.4 527 13.0 462 15.5 65 6.1
1991 12.2 573 14.1 498 16.6 75 6.9
1992 12.0 525 12.9 437 14.6 88 8.2
1993 12.1 575 14.1 490 16.3 85 7.9
1994 12.0 584 14.2 502 16.6 82 7.6
1995 11.9 564 13.7 479 15.8 85 7.8
1996 11.6 549 13.3 482 15.9 67 6.1
1997 11.4 531 12.8 456 15.0 75 6.8
1998 11.3 567 13.6 499 16.3 68 6.2
1999 10.5 560 13.4 498 16.3 62 5.6
2000 10.4 579 13.0 513 16.2 66 5.1
2001 10.7 508 11.3 450 14.2 58 4.4
2002 11.0 515 11.4 450 14.1 65 4.9
2003 10.9 525 11.7 472 14.7 53 4.1
2004
11.1 535 11.8 453 14.0 82 6.3
2005 11.0 526 11.5 460 14.1 66 5.1
2006 11.2 573 12.5 509 15.5 64 4.8
2007 11.5 586 12.7 530 16.1 56 4.2
2008 11.8 603 12.9 533 16.1 70 5.2
2009 12.0 667 14.2 602 18.0 65 4.7
2010 12.4 676 14.1 617 18.8 59 3.9
2011 12.7 640 13.3 567 16.8 73 5.1
2012 12.9 721 15.0 633 18.8 88 6.1
2013 13.0 719 14.9 649 19.2 70 4.8
2014 13.4 711 14.7 638 18.9 73 5.0
2015
13.7 748
15.4 672 19.9 76 5.1
2016
13.9 785
16.2 711 21.1 74 5.0
2017
14.5 834
17.1 750 22.2 84 5.6
2018
14.8 823
16.8 721 21.3 102 6.8
2019
14.5 804
16.4 711 21.0 93 6.1
2020
14.0
793
16.1 697 20.5 96 6.3
1
Rate is per 100,000 population in specified group. See formula in Appendix B.
NUMBER
RATE
NUMBER
RATE
NUMBER
RATE
YEAR
U.S.
RATE
ALABAMA
TOTAL WHITE
BLACK AND OTHER
TABLE 56
ALABAMA SUICIDE DEATHS AND DEATH RATES
1
BY RACE
AND UNITED STATES SUICIDE DEATH RATES
1970-2020
70
ADPH|CHS
AVS (2020)
TOTAL
793 16.1 548 32.9 149 8.6 79 11.1 17 2.1
Under 1 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
1-4 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
5-9 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
10-14 4 1.3 3 2.9 1 1.0 0 0.0
0
0.0
15-19 29 9.4 20 19.4 6 6.1 2 3.7
1
1.8
20-24 67 20.7 41 38.8 12 11.7 10 17.8
4
6.7
25-29 83 25.0 55 51.0 10 9.5 16 27.6
2
3.3
30-34 76 23.9 57 54.1 6 5.7 11 21.6
2
3.5
35-39 76 25.1 50 49.1 15 14.6 9 20.2
2
3.7
40-44 69 23.5 44 44.4 17 16.9 7 16.6
1
1.9
45-49 62 20.5 45 42.7 13 12.2 3 7.4
1
2.0
50-54 57 18.6 37 33.9 15 13.7 3 7.7
2
4.2
55-59 50 15.0 29 24.6 17 14.0 2 4.8
2
3.9
60-64 49 15.1 30 26.4 16 13.2 3 7.6
0
0.0
65-69 39 13.8 32 32.6 4 3.6 3 9.4
0
0.0
70-74 48 20.4 33 38.9 9 9.2 6 26.6
0
0.0
75-79 41 25.6 35 61.0 4 5.6 2 15.6
0
0.0
80-84 26 25.2 21 60.3 3 6.2 2 26.7
0
0.0
85+ 17 18.3 16 60.5 1 2.1 0 0.0
0
0.0
TABLE 57
SUICIDE DEATHS AND DEATH RATES
1
BY AGE GROUP, RACE AND SEX
ALABAMA, 2020
AGE
GROUP
TOTAL
WHITE
BLACK AND OTHER
MALE
FEMALE
MALE
FEMALE
1
Rate is per 100,000 population in specified group. Use caution with rates derived from small numbers. See formula in Appendix B.
NUMBER RATE
NUMBER
RATE
NUMBER
RATE
NUMBER
RATE
NUMBER
RATE
71
ADPH|CHS
AVS (2020)
1970 8.3 473 13.7 168 6.6 305 33.4
1971 9.1 526 15.2 188 7.3 338 37.5
1972 9.4 536 15.4 193 7.5 343 38.4
1973 9.8 540 15.4 213 8.1 327 36.9
1974 10.2 593 16.8 214 8.1 379 43.1
1975 10.0 613 17.3 243 9.1 370 42.4
1976 9.1 550 15.5 191 7.1 359 41.5
1977
9.2 546 15.3 203 7.5 343 40.0
1978 9.4 516 13.8 210 7.5 306 32.4
1979 10.0 531 14.0 181 6.4 350 36.5
1980
10.7 614 15.7 260 9.0 354 34.6
1981 10.3 554 14.0 217 7.5 337 32.6
1982 9.6 517 12.9 188 6.4 329 31.4
1983 8.6 423 10.3 165 5.4 258 24.3
1984 8.4 424 10.3 160 5.2 264 24.7
1985 8.3 468 11.2 180 5.8 288 26.8
1986 9.0 465 11.3 186 6.2 279 25.8
1987 8.7 471 11.4 201 6.6 270 24.7
1988 9.0 473 11.3 167 5.4 306 27.7
1989 9.2 512 12.1 195 6.2 317 28.3
1990 10.0 562 13.9 207 7.0 355 33.3
1991 10.5 608 14.9 191 6.4 417 38.5
1992 10.0 570 14.0 191 6.4 379 35.4
1993 10.1 599 14.7 217 7.2 382 35.6
1994 9.6 607 14.8 221 7.3 386 35.8
1995 8.2 588 14.3 207 6.8 381 35.1
1996 7.9 561 13.6 191 6.3 370 33.9
1997 7.4 535 12.9 182 6.0 353 32.2
1998 6.8 463 11.1 186 6.1 277 25.1
1999 6.1 438 10.5 180 5.9 258 23.3
2000 6.0 441 9.9 159 5.0 282 22.0
2001 7.1 424 9.5 185 5.8 239 18.3
2002 6.1 416 9.2 153 4.8 263 19.7
2003 6.1 436 9.7 161 5.0 275 21.3
2004
5.9 369 8.1 159 4.9 210 16.2
2005 6.1 428 9.4 138 4.2 290 22.2
2006 6.2 435 9.5 141 4.3 294 22.2
2007 6.1 477 10.3 176 5.4 301 22.5
2008 5.9 450 9.7 164 5.0 286 21.2
2009 5.5 411 8.7 172 5.1 239 17.5
2010 5.3 391 8.2 138 4.2 253 16.8
2011 5.1 379 7.9 130 3.9 249 17.4
2012 5.3 403 8.4 127 3.8 276 19.1
2013 5.1 420 8.7 134 4.0 286 19.6
2014 5.0 375 7.7 126 3.7 249 16.9
2015
5.5 472
9.7 158 4.7 314 21.2
2016
6.0 543
11.2 184 5.5 359 24.1
2017
6.0 601
12.3 168 5.0 433 28.9
2018
5.8 567
11.6 185 5.5 382 25.3
2019
5.8
587
12.0 180 5.0 407 26.9
2020
7.5
653
13.3 168 4.9 485 31.8
1
Rate is per 100,000 population in specified group. See formula in Appendix B.
NUMBER
RATE
NUMBER
RATE
NUMBER
RATE
YEAR
U.S.
RATE
ALABAMA
TOTAL WHITE
BLACK AND OTHER
TABLE 58
ALABAMA HOMICIDE DEATHS AND DEATH RATES
1
BY RACE
AND UNITED STATES HOMICIDE DEATH RATES
1970-2020
72
ADPH|CHS
AVS (2020)
TOTAL 653 13.3 116 7.0 52 3.0 433 60.8 52 6.4
Under 1 4 6.9 0 0.0 0 0.0 2 18.1
2
18.6
1-4 8 3.4 0 0.0 1 1.4 5 11.3
2
4.6
5-9 1 0.3 0 0.0 0 0.0 1 1.9
0
0.0
10-14 6 1.9 4 3.9 0 0.0 1 1.8
1
1.8
15-19 61 19.7 6 5.8 2 2.0 50 91.9
3
5.5
20-24 112 34.6 17 16.1 4 3.9 84 149.6
7
11.8
25-29 109 32.8 6 5.6 4 3.8 92 158.6
7
11.5
30-34 80 25.1 19 18.0 6 5.7 51 100.3
4
7.0
35-39 70 23.1 13 12.8 8 7.8 48 107.7
1
1.9
40-44 54 18.4 9 9.1 7 7.0 32 76.0
6
11.6
45-49 33 10.9 8 7.6 4 3.8 20 49.3
1
2.0
50-54 42 13.7 15 13.8 8 7.3 15 38.3
4
8.4
55-59 25 7.5 8 6.8 2 1.6 11 26.3
4
7.8
60-64 28 8.6 7 6.2 3 2.5 13 32.8
5
10.0
65-69 13 4.6 4 4.1 2 1.8 5 15.6
2
4.8
70-74 5 2.1 0 0.0 1 1.0 3 13.3
1
3.3
75-79 0 0.0 0 0.0 0 0.0 0 0.0
0
0.0
80-84 1 1.0 0 0.0 0 0.0 0 0.0
1
8.0
85+ 1 1.1 0 0.0 0 0.0 0 0.0
1
7.7
1
Rate is per 100,000 population in specified group. Use caution with rates derived from small numbers. See formula in Appendix B.
AGE
GROUP
NUMBER
TOTAL
MALE
FEMALE
NUMBER
MALE
FEMALE
RATE
RATERATE NUMBER
RATE NUMBER
NUMBERRATE
TABLE 59
HOMICIDE DEATHS AND DEATH RATES
1
BY AGE GROUP, RACE AND SEX
ALABAMA, 2020
BLACK AND OTHER
WHITE
73
ADPH|CHS
AVS (2020)
1970 1,628 24.1 20.0 838 18.4 17.8 790 35.8 30.9
1971 1,566 23.5 19.1 797 18.0 17.1 769 34.1 28.5
1972 1,385 22.4 18.5 691 17.2 16.4 694 32.1 27.7
1973 1,313 22.1 17.7 679 17.5 15.8 634 30.7 26.2
1974 1,231 20.7 16.7 648 16.8 14.8 583 28.2 24.9
1975 1,130 19.5 16.1 553 14.7 14.2 577 28.3 24.2
1976 1,156 20.0 15.2 569 15.2 13.3 587 28.7 23.5
1977
1,053 17.0 14.1 538 13.4 12.3 515 23.8 21.7
1978 970 16.1 13.8 466 12.1 12.0 504 23.5 21.1
1979
891 14.3 13.1 448 11.3 11.4 443 19.5 19.8
1980 960 15.1 12.6 472 11.6 11.0 488 21.4 19.1
1981 796 12.9 11.9 404 10.2 10.5 392 18.0 17.8
1982 831 13.8 11.5 400 10.3 10.1 431 20.1 17.3
1983 774 13.1 11.2 397 10.3 9.7 377 18.3 16.8
1984 764 12.9 10.8 368 9.6 9.4 396 19.0 16.1
1985 752 12.6 10.6 405 10.4 9.3 347 16.8 15.8
1986 788 13.3 10.4 374 9.7 8.9 414 19.9 15.7
1987 726 12.2 10.1 338 8.5 8.6 388 18.7 15.4
1988 735 12.1 10.0 365 9.3 8.5 370 17.2 15.0
1989 756 12.1 9.8 375 9.4 8.2 381 17.0 15.2
1990 689 10.9 9.2 338 8.2 7.6 351 15.7 15.5
1991 704 11.2 8.9 330 8.1 7.3 374 16.9 15.1
1992 651 10.5 8.5 303 7.5 6.9 348 15.8 14.4
1993 636 10.3 8.4 314 7.9 6.8 322 14.8 14.1
1994 617 10.1 8.0 275 6.9 6.6 342 16.1 13.5
1995 592 9.8 7.6 282 7.1 6.3 310 15.0 12.6
1996 634 10.5 7.3 331 8.2 6.1 303 14.9 12.2
1997 579 9.5 7.2 302 7.5 6.0 277 13.5 11.8
1998 632 10.2 7.2 316 7.6 6.0 316 15.4 11.8
1999 607 9.8 7.1 289 6.9 5.8 318 15.6 12.0
2000 594 9.4 6.9 274 6.5 5.7 320 15.1 11.4
2001 567 9.4 6.9 275 6.8 5.7 292 14.7 11.3
2002 538 9.1 7.0 278 7.0 5.8 260 13.7 11.4
2003 519 8.7 6.9 264 6.5 5.7 255 13.6 11.1
2004 516 8.7 6.8 270 6.7 5.7
246 12.9 10.9
2005 561 9.3 6.9 293 7.2 5.7 268 13.8 10.9
2006 569 9.0 6.7 284 6.7 5.6 285 13.9 10.6
2007 641 10.0 6.8 345 8.0 5.6 296 14.0 10.6
2008 612 9.5 6.6 324 7.6 5.6 288 13.4 10.1
2009 513 8.2 6.4 254 6.1 5.3 259 12.6 9.9
2010 522 8.7 6.1 265 6.6 5.2
257 13.0 9.2
2011 481 8.1 6.1 242 6.1 5.1 239 12.2 9.2
2012 519 8.9 6.0 253 6.5 5.1 266 13.5 8.8
2013 500 8.6
6.0
266 6.9
5.1
234 12.0
8.8
2014 517 8.7
5.8
238 6.0
4.9
279 13.9
8.6
2015 494 8.3
5.9
206 5.2
4.9
288 14.4
8.9
2016 537 9.1
5.9
255 6.5
4.9
282 14.2
8.6
2017 435 7.4
5.8
213 5.5
4.9
222 11.0
8.5
2018 405 7.0
5.7
196 5.1
4.8
209 10.7
8.4
2019 449 7.7
5.5
214 5.6
4.6
235 11.4
8.4
2020 404 7.0
5.2
196 5.2
4.5
208 10.3
7.3
TABLE 60
INFANT DEATHS AND INFANT MORTALITY RATES
1
BY RACE
2
ALABAMA AND UNITED STATES
3
, 1970-2020
YEAR
RATE
ALABAMA
BLACK AND OTHER
NUMBER
U.S.
U.S.
RATE
NUMBER
RATE
ALABAMA
RATE
RATE
TOTAL
ALABAMA
WHITE
1
Rate is per 1,000 live births in specified group.
2
Infant deaths are by race of child. Live births for 1970-1989 are by race of child. Live births for 1990-2020 are by race of mother.
3
U.S. rates (2007-2020) were obtained from CDC WONDER online database (https://wonder.cdc.gov/Deaths-by-Underlying-Cause.html).
NUMBER
U.S.
RATE
74
ADPH|CHS
AVS (2020)
1970 1,171 17.3 15.1 667 14.6 13.8 504 22.9 21.4
1971 1,113 16.7 14.2 611 13.8 13.0 502 22.3 19.6
1972 958 15.5 13.6 516 12.9 12.4 442 20.4 19.2
1973 890 15.0 13.0 501 12.9 11.8 389 18.8 17.9
1974 894 15.1 12.3 490 12.7 11.1 404 19.5 17.2
1975 818 14.1 11.6 427 11.4 10.4 391 19.2 16.8
1976 795 13.7 10.9 410 11.0 9.7 385 18.8 16.3
1977
687 11.1 9.9 367 9.1 8.7 320 14.8 14.7
1978 655 10.9 9.5 334 8.6 8.4 321 15.0 14.0
1979
582 9.3 8.9 306 7.7 7.9 276 12.2 12.9
1980 623 9.8 8.5 316 7.8 7.5 307 13.5 12.5
1981 512 8.3 8.0 268 6.8 7.1 244 11.2 11.8
1982 556 9.2 7.7 285 7.3 6.8 271 12.7 11.3
1983 486 8.2 7.3 265 6.9 6.4 221 10.7 10.8
1984 515 8.7 7.0 263 6.9 6.2 252 12.1 10.2
1985 496 8.3 7.0 273 7.0 6.1 223 10.8 10.3
1986 540 9.1 6.7 263 6.8 5.8 277 13.3 10.1
1987 482 8.1 6.5 233 6.0 5.5 249 12.0 10.0
1988 487 8.0 6.3 243 6.2 5.4 244 11.3 9.7
1989 500 8.0 6.2 256 6.4 5.2 244 10.9 9.6
1990 461 7.3 5.8 233 5.7 4.8 228 10.2 9.9
1991 460 7.3 5.6 204 5.0 4.5 256 11.6 9.5
1992 428 6.9 5.4 200 5.0 4.3 228 10.3 9.2
1993 408 6.6 5.3 200 5.0 4.3 208 9.6 9.0
1994 395 6.5 5.1 163 4.1 4.2 232 10.9 8.6
1995 388 6.4 4.9 180 4.5 4.1 208 10.1 8.1
1996 414 6.8 4.8 206 5.1 4.0 208 10.2 7.9
1997 374 6.1 4.8 193 4.8 4.0 181 8.8 7.7
1998 415 6.7 4.8 189 4.6 4.0 226 11.0 7.9
1999 382 6.2 4.7 176 4.2 3.9 206 10.1 8.0
2000 369 5.8 4.6 167 4.0 3.8 202 9.5 7.6
2001 355 5.9 4.5 170 4.2 3.8 185 9.3 7.4
2002 345 5.9 4.7 179 4.5 3.9 166 8.7 7.6
2003 312 5.3 4.6 150 3.7 3.9 162 8.7 7.4
2004 305 5.2 4.5 154 3.8 3.8 151 7.9 7.2
2005 342 5.7 4.5 189 4.6 3.8 153 7.9 7.2
2006 366 5.8 4.5 176 4.2 3.7 190 9.2 7.0
2007 407 6.3 4.4 215 5.0 3.7 192 9.1 7.0
2008 378 5.9 4.3 200 4.7 3.6 178 8.3 6.6
2009 313 5.9 4.2 149 3.6 3.5 164 8.0 6.5
2010 325 5.4 4.1 157 3.9 3.5
168 8.8 6.0
2011 306 5.2 4.1 158 4.0 3.4 148 7.6 6.1
2012 337 5.8 4.0 169 4.4 3.4 168 8.5 5.9
2013 322 5.5
4.0
164 4.2
3.4
158 8.1
6.0
2014 307 5.2
4.0
144 3.6
3.3
163 8.1
5.8
2015 300 5.0
3.9
126 3.2
3.3
174 8.7
5.9
2016 324 5.5
3.9
144 3.7
3.3
180 9.1
5.7
2017 257 4.4
3.9
123 3.2
3.3
134 6.6
5.6
2018 252 4.4
3.8
125 3.3
3.2
127 6.5
5.6
2019 243 4.1
3.7
114 3.0
3.1
129 6.3
5.5
2020 224
3.9 3.6
115 3.1
3.0
109 5.4
5.2
TABLE 61
NEONATAL DEATHS AND NEONATAL MORTALITY RATES
1
BY RACE
2
ALABAMA AND UNITED STATES
3
, 1970-2020
WHITE
YEAR
NUMBER
BLACK AND OTHER
TOTAL
RATE
RATE
RATE
U.S.
ALABAMA
U.S.
ALABAMA
U.S.
ALABAMA
RATE
NUMBER
NUMBER
RATE
RATE
75
ADPH|CHS
AVS (2020)
1
Rate is per 1,000 live births in specified group.
2
Infant deaths are by race
of child. Live births for 1970-1989 are by race of child. Live births for 1990-2020 are by race of mother.
3
U.S. rates (2007-2020) were obtained from CDC WONDER online database (https://wonder.cdc.gov/Deaths-by-Underlying-Cause.html).
1970 457 6.8 4.9 171 3.8 4.0 286 12.9 9.5
1971 453 6.8 4.9 186 4.2 4.1 267 11.8 8.9
1972 427 6.9 4.9 175 4.4 4.0 252 11.6 8.5
1973
423 7.1 4.7 178 4.6 4.0 245 11.9 8.3
1974 337 5.7 4.4 158 4.1 3.7 179 8.6 7.4
1975 312 5.4 4.5 126 3.4 3.8 186 9.1 7.4
1976 361 6.2 4.3 159 4.2 3.6 202 9.9 7.2
1977 366 5.9 4.2 171 4.2 3.6 195 9.0 7.0
1978 315 5.2 4.3 132 3.4 3.6 183 8.5 7.1
1979 309 4.9 4.2 142 3.6 3.5 167 7.4 6.9
1980 337 5.3 4.1 156 3.8 3.5 181 7.9 6.6
1981 284 4.6 3.9 136 3.4 3.4 148 6.8 6.0
1982 275 4.6 3.8 115 3.0 3.3 160 7.5 6.0
1983 288 4.9 3.9 132 3.4 3.3 156 7.6 6.0
1984 249 4.2 3.8 105 2.7 3.2 144 6.9 5.9
1985 256 4.3 3.6 132 3.4 3.2 124 6.0 5.5
1986 248 4.2 3.7 111 2.9 3.1 137 6.6 5.6
1987 244 4.1 3.6 105 2.7 3.1 139 6.7 5.4
1988 248 4.1 3.6 122 3.1 3.1 126 5.8 5.4
1989 256 4.1 3.6 119 3.0 3.0 137 6.1 5.6
1990 228 3.6 3.4 105 2.6 2.8 123 5.5 5.7
1991 244 3.9 3.4 126 3.1 2.8 118 5.3 5.6
1992 223 3.6 3.1 103 2.6 2.6 120 5.4 5.2
1993 228 3.7 3.1 114 2.9 2.5 114 5.2 5.1
1994 222 3.6 2.9 112 2.8 2.4 110 5.2 4.9
1995 204 3.4 2.7 102 2.6 2.2 102 5.0 4.5
1996 220 3.6 2.5 125 3.1 2.1 95 4.7 4.3
1997 205 3.4 2.5 109 2.7 2.0 96 4.7 4.0
1998 217 3.5 2.4 127 3.1 2.0 90 4.4 4.1
1999 225 3.6 2.3 113 2.7 1.9 112 5.5 4.0
2000 225 3.6 2.3 107 2.6 1.9 118 5.6 3.8
2001 212 3.5 2.3 105 2.6 1.9 107 5.4 4.0
2002 193 3.3 2.3 99 2.5 1.9 94 4.9 3.9
2003 207 3.5 2.2 114 2.8 1.8 93 5.0 3.7
2004 211 3.6 2.3 116 2.9 1.9 95 5.0 3.7
2005 219 3.6 2.3 104 2.5 1.9 115 5.9 3.7
2006 203 3.2 2.2 108 2.5 1.8 95 4.6 3.6
2007 234 3.6 2.3 130 3.0 1.9 104 4.9 3.7
2008 234 3.6 2.3 124 2.9 2.0 110 5.1 3.5
2009 200 3.2 2.2 105 2.5 1.9 95 4.6 3.4
2010 197 3.3 2.1 108 2.7 1.8
89 4.5 3.2
2011 175 3.0 2.0 84 2.1 1.7 91 4.7 3.0
2012 182 3.1 2.0 84 2.2 1.7 98 5.0 2.9
2013
178 3.1
1.9
102 2.6
1.6
76 3.9
2.8
2014
210 3.5
1.9
94 2.4
1.6
116 5.8
2.7
2015
194 3.3
2.0
80 2.0
1.6
114 5.7
3.0
2016
213 3.6
2.0
111 2.8
1.7
102 5.1
2.9
2017
178 3.0
1.9
90 2.3
1.6
88 4.4
2.9
2018
153 2.6
1.9
71 1.9
1.6
82 4.2
2.9
2019
206 3.5
1.9
100 2.6
1.5
106 5.1
2.9
2020
180 3.1
1.9
81 2.2
1.5
99 4.9
2.9
TABLE 62
POSTNEONATAL DEATHS AND POSTNEONATAL MORTALITY RATES
1
BY RACE
2
ALABAMA AND UNITED STATES
3
,1970-2020
BLACK AND OTHER
WHITE
YEAR
TOTAL
U.S.
RATE
ALABAMA
ALABAMA
NUMBER
NUMBER
RATE
RATE
RATE
NUMBER
ALABAMA
U.S.
RATE
U.S.
RATE
76
ADPH|CHS
AVS (2020)
1
Rate is per 1,000 live births in specified group.
2
Infant deaths are by race of child. Live births for 1970-1989 are by race of child. Live births for
1990-2020 are by race of mother.
3
U.S. rates (2007-2020) were obtained from CDC WONDER online database (https://wonder.cdc.gov/Deaths-by-Underlying-Cause.html).
FIGURE 11. INFANT MORTALITY RATES
FIGURE 12. NEONATAL AND POSNEONATAL MORTALITY RATES
ALABAMA AND UNITED STATES, 1970-2020
ALABAMA, 1970-2020
7.7
5.2
0.0
5.0
10.0
15.0
20.0
25.0
30.0
1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 2020
Rate Per 1,000 Live Births
AL U.S.
3.9
3.1
0.0
5.0
10.0
15.0
20.0
25.0
30.0
1970 1975 1980 1985 1990 1995 2000 2005 2010 2015 2020
Rate Per 1,000 Live Births
Neonatal Postneonatal
77
ADPH|CHS
AVS (2020)
TOTAL 404 7.0 196 5.2 208 10.3
Autauga
3 4.2 1 2.0 2 9.5
Baldwin 10 4.4 8 4.0 2 6.4
Barbour 3 10.8 1 9.7 2 11.4
Bibb
0 0.0 0 0.0 0 0.0
Blount 4 6.2 4 6.4 0 0.0
Bullock 1 8.8 1 31.3 0 0.0
Butler 1 4.5 0 0.0 1 7.4
Calhoun 4 3.2 3 3.3 1 2.9
Chambers 4 10.5 2 8.4 2 14.0
Cherokee 0 0.0 0 0.0 0 0.0
Chilton 0 0.0 0 0.0 0 0.0
Choctaw 0 0.0 0 0.0 0 0.0
Clarke 5 17.3 2 14.4 3 20.0
Clay 1 6.3 1 7.8 0 0.0
Cleburne 1 6.1 1 6.4 0 0.0
Coffee 3 4.2 2 3.7 1 6.0
Colbert
9 14.0 2 3.9 7 55.6
Conecuh 2 17.9 2 42.6 0 0.0
Coosa 1 11.6 0 0.0 1 50.0
Covington
3 7.0 2 5.9 1 10.8
Crenshaw 1 6.4 0 0.0 1 21.3
Cullman 5 5.2 5 5.3 0 0.0
Dale 5 7.4 4 8.2 1 5.3
Dallas 2 4.3 0 0.0 2 5.5
DeKalb 6 7.6 6 8.6 0 0.0
Elmore 5 5.6 2 3.0 3 13.5
Escambia 4 9.1 2 7.8 2 11.0
Etowah 7 6.0 6 6.9 1 3.3
Fayette 3 17.8 2 14.0 1 38.5
Franklin 0 0.0 0 0.0 0 0.0
Geneva 2 6.9 2 7.9 0 0.0
Greene 2 18.5 0 0.0 2 21.1
Hale 0 0.0 0 0.0 0 0.0
Henry 2 12.4 1 8.8 1 20.8
Houston 15 11.2 7 8.8 8 14.7
Jackson 1 1.9 0 0.0 1 33.3
Jefferson 58 7.3 15 3.6 43 11.5
Lamar 1 6.2 1 6.7 0 0.0
Lauderdale 4 4.5 4 5.4 0 0.0
Lawrence 1 3.0 1 3.3 0 0.0
Lee 11 6.0 5 4.1 6 9.8
Limestone 4 3.5 3 3.1 1 5.7
Lowndes 2 17.4 2 105.3 0 0.0
Macon 1 5.4 0 0.0 1 6.6
Madison 28 6.5 11 3.8 17 11.8
Marengo 0 0.0 0 0.0 0 0.0
Marion 4 12.5 4 13.1 0 0.0
Marshall 10 6.8 9 7.9 1 3.0
Mobile 43 8.1 19 7.0 24 9.3
Monroe 3 14.8 0 0.0 3 29.7
Montgomery 28 8.9 4 4.7 24 10.5
Morgan 12 8.2 9 7.6 3 10.8
Perry 1 8.9 0 0.0 1 11.6
Pickens 2 11.2 1 12.8 1 10.0
Pike 2 5.6 1 5.2 1 6.0
Randolph 2 7.8 1 4.8 1 20.0
Russell 7 9.1 2 5.2 5 12.9
St. Clair 6 6.1 4 4.6 2 17.4
Shelby 10 4.5 6 3.3 4 10.3
Sumter 1 7.5 0 0.0 1 9.9
Talladega 12 12.9 4 7.4 8 20.5
Tallapoosa 6 15.0 5 20.8 1 6.3
Tuscaloosa 20 7.8 7 5.0 13 11.0
Walker 7 9.7 7 10.6 0 0.0
Washington 3 16.0 2 15.7 1 16.7
Wilcox 0 0.0 0 0.0 0 0.0
Winston 0 0.0 0 0.0 0 0.0
NUMBER
RATE
NUMBER
RATE
NUMBER
RATE
COUNTY OF
RESIDENCE
TOTAL
WHITE
BLACK AND OTHER
TABLE 63
ALABAMA, 2020
INFANT DEATHS AND INFANT MORTALITY RATES
1
BY COUNTY OF RESIDENCE AND RACE
2
1
Rate is per 1,000 live births in specified group.
2
Infant deaths are by race of child and live births are by race of mother. See formula in Appendix B. Use caution with rates derived from
78
AVS (2020)
ADPH|CHS
small numbers or based on small birth totals. Rates which may apply to population with fewer that 50 births are shaded.
404 7.0 208 10.3
125 2.2 70 3.5
47 0.8 16 0.8
52 0.9 23 1.1
180 3.1 99 4.9
7.0
8.0
6.3
7.2
6.2
6.1
5.9
5.6
--
1
Rate is per 1,000 live births in specified group. See formula in Appendix B. Use caution with rates
derived from small numbers.
9
9
2
404
149
102
77
37
19
1,528
1,616
5
RATE
5.2
1.5
0.8
0.8
2.2
16,143
10,768
5,931
3,095
29
7 days - 27 days
LIVE BIRTH ORDER
TOTAL
First
Second
Seventh and above
Not stated
Fifth
Sixth
Third
Fourth
RATELIVE BIRTHS INFANT DEATHS
57,643
18,557
TABLE 65
INFANT DEATHS AND INFANT MORTALITY RATES
1
BY LIVE BIRTH ORDER
ALABAMA, 2020
28 days - 364 days
1
Rate is per 1,000 live births in specified group.
2
Infant deaths are by race of child and live births are by race of mother. See formula in Appendix B. Use caution with rates derived
81
Under 1 day
1 day - 6 days
55
31
TABLE 64
INFANT DEATHS AND INFANT MORTALITY RATES
1
BY AGE AT DEATH AND RACE
2
ALABAMA, 2020
AGE AT DEATH
TOTAL BLACK AND OTHER
NUMBER RATE
WHITE
NUMBER NUMBER RATE
TOTAL 196
79
ADPH|CHS
AVS (2020)
from small numbers.
ALL CAUSES 404 7.0 196 5.2 208 10.3
Certain infectious and parasitic diseases 11 19.1 7 18.7 4 19.9
Septicemia 4 6.9 4 10.7 0 0.0
Viral diseases 1 1.7 1 2.7 0 0.0
Other and unspecified infectious and parasitic diseases 6 10.4 2 5.3 4 19.9
Neoplasms 2 3.5 2 5.3 0 0.0
Malignant neoplasms 2 3.5 2 5.3 0 0.0
In situ neoplasms, benign neoplasms and uncertain or unknown neoplasms 0 0.0 0 0.0 0 0.0
Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
2 3.5 1 2.7 1 5.0
Endocrine, nutritional and metabolic diseases 5 8.7 3 8.0 2 9.9
Short stature, not elsewhere classified 0 0.0 0 0.0 0 0.0
Nutritional deficiencies 1 1.7 0 0.0 1 5.0
Cystic fibrosis 0 0.0 0 0.0 0 0.0
Volume depletion, disorders of fluid, electrolyte and acid-base balance 0 0.0 0 0.0 0 0.0
Other endocrine, nutritional and metabolic diseases 4 6.9 3 8.0 1 5.0
Diseases of the nervous system 12 20.8 8 21.3 4 19.9
Meningitis 1 1.7 1 2.7 0 0.0
Infantile spinal muscular atrophy, type I (Werdnig-Hoffman) 0 0.0 0 0.0 0 0.0
Infantile cerebral palsy 0 0.0 0 0.0 0 0.0
Anoxic brain damage, not elsewhere classified 3 5.2 2 5.3 1 5.0
Other diseases of the nervous system 8 13.9 5 13.3 3 14.9
Diseases of the ear and mastoid process 0 0.0 0 0.0 0 0.0
Diseases of the circulatory system 11 19.1 3 8.0 8 39.7
Pulmonary heart disease and diseases of pulmonary circulation 1 1.7 0 0.0 1 5.0
Cardiomyopathy 0 0.0 0 0.0 0 0.0
Cardiac arrest 3 5.2 0 0.0 3 14.9
Cerebrovascular diseases 3 5.2 1 2.7 2 9.9
Other diseases of the circulatory system 4 6.9 2 5.3 2 9.9
Diseases of the respiratory system 4 6.9 3 8.0 1 5.0
Acute upper respiratory infections 0 0.0 0 0.0 0 0.0
Influenza and pneumonia 1 1.7 1 2.7 0 0.0
Acute bronchitis and acute bronchiolitis 0 0.0 0 0.0 0 0.0
Bronchitis, chronic and unspecified 0 0.0 0 0.0 0 0.0
Asthma 0 0.0 0 0.0 0 0.0
Pneumonitis due to solids and liquids 0 0.0 0 0.0 0 0.0
Other and unspecified diseases of the respiratory system 3 5.2 2 5.3 1 5.0
Diseases of the digestive system 1 1.7 0 0.0 1 5.0
Gastritis, duodenitis, and noninfective enteritis and colitis 0 0.0 0 0.0 0 0.0
Hernia of abdominal cavity and intestinal obstruction without hernia 0 0.0 0 0.0 0 0.0
Other and unspecified diseases of the digestive system 1 1.7 0 0.0 1 5.0
Diseases of the genitourinary system 1 1.7 0 0.0 1 5.0
Renal failure and other disorders of the kidney 0 0.0 0 0.0 0 0.0
Other and unspecified diseases of the genitourinary system 1 1.7 0 0.0 1 5.0
NUMBER
RATE
TABLE 66
INFANT DEATHS AND INFANT MORTALITY RATES
1
BY CAUSE OF DEATH AND RACE OF CHILD
ALABAMA, 2020
CAUSE OF DEATH
TOTAL
WHITE
BLACK AND OTHER
NUMBER
RATE
NUMBER
RATE
80
ADPH|CHS
AVS (2020)
1
Rate is per 1,000 live births in specified group. Infant deaths are by race of child and live births are by race of mother. See formula in Appendix B. Use caution with rates derived from small
numbers.
ALL CAUSES 404 7.0 196 5.2 208 10.3
Certain conditions originating in the perinatal period 171 296.7 79 210.7 92 456.6
Newborn affected by maternal factors and complications of pregnancy, labor and delivery 22 38.2 11 29.3 11 54.6
Newborn affected by maternal hypertensive disorders 0 0.0 0 0.0 0 0.0
Newborn affected by other maternal conditions which may be unrelated to present pregnancy 0 0.0 0 0.0 0 0.0
Newborn affected by maternal complications of pregnancy 12 20.8 5 13.3 7 34.7
Newborn affected by incompetent cervix 6 10.4 3 8.0 3 14.9
Newborn affected by premature rupture of membranes 6 10.4 2 5.3 4 19.9
Newborn affected by multiple pregnancy 0 0.0 0 0.0 0 0.0
Newborn affected by other maternal complications of pregnancy 0 0.0 0 0.0 0 0.0
Newborn affected by complications of placenta, cord and membranes 8 13.9 5 13.3 3 14.9
Newborn affected by complications involving placenta 5 8.7 3 8.0 2 9.9
Newborn affected by complications involving cord 1 1.7 1 2.7 0 0.0
Newborn affected by chorioamnionitis 2 3.5 1 2.7 1 5.0
Newborn affected by other and unspecified abnormalities of membranes
0 0.0 0 0.0 0 0.0
Newborn affected by other complications of labor and delivery 1 1.7 1 2.7 0 0.0
Newborn affected by noxious influences transmitted by placenta or breastmilk 1 1.7 0 0.0 1 5.0
Disorders related to length of gestation and fetal malnutrition 70 121.4 20 53.3 50 248.1
Slow growth and fetal malnutrition 1 1.7 0 0.0 1 5.0
Disorders related to short gestation and low birth weight, not elsewhere classified 69 119.7 20 53.3 49 243.2
Extremely low birth weight or extreme immaturity 49 85.0 16 42.7 33 163.8
Other low birth weight or preterm 20 34.7 4 10.7 16 79.4
Disorders related to long gestation and high birthweight 0 0.0 0 0.0 0 0.0
Birth trauma 0 0.0 0 0.0 0 0.0
Intrauterine hypoxia and birth asphyxia 3 5.2 2 5.3 1 5.0
Intrauterine hypoxia 0 0.0 0 0.0 0 0.0
Birth asphyxia 3 5.2 2 5.3 1 5.0
Respiratory distress of newborn 12 20.8 10 26.7 2 9.9
Other respiratory conditions originating in the perinatal period 10 17.3 7 18.7 3 14.9
Congenital pneumonia 0 0.0 0 0.0 0 0.0
Neonatal aspiration syndromes 0 0.0 0 0.0 0 0.0
Interstitial emphysema and related conditions originating in the perinatal period 0 0.0 0 0.0 0 0.0
Pulmonary hemorrhage originating in the perinatal period 1 1.7 1 2.7 0 0.0
Chronic respiratory disease originating in the perinatal period 6 10.4 3 8.0 3 14.9
Atelectasis 3 5.2 3 8.0 0 0.0
Other respiratory conditions originating in the perinatal period 0 0.0 0 0.0 0 0.0
Infections specific to the perinatal period 22 38.2 10 26.7 12 59.6
Bacterial sepsis of newborn 19 33.0 8 21.3 11 54.6
Other infections specific to the perinatal period 3 5.2 2 5.3 1 5.0
Hemorrhagic and hematological disorders of newborn 7 12.1 5 13.3 2 9.9
Neonatal hemorrhage 5 8.7 3 8.0 2 9.9
Hemorrhagic disease of newborn 0 0.0 0 0.0 0 0.0
Hemolytic disease of newborn 0 0.0 0 0.0 0 0.0
Hematological disorders
2 3.5 2 5.3 0 0.0
INFANT DEATHS AND INFANT MORTALITY RATES
1
BY CAUSE OF DEATH AND RACE OF CHILD
ALABAMA, 2020
CAUSE OF DEATH
TOTAL
WHITE
BLACK AND OTHER
NUMBER
RATE
NUMBER
RATE
NUMBER
RATE
1
Rate is per 1,000 live births in specified group. Infant deaths are by race of child and live births are by race of mother. See formula in Appendix B. Use caution with rates derived from small
numbers.
TABLE 66 (Continued)
81
ADPH|CHS
AVS (2020)
ALL CAUSES 404 7.0 196 5.2 208 10.3
Neonatal diabetes mellitus and syndrome of infant of diabetic mother 0 0.0 0 0.0 0 0.0
Necrotizing enterocolitis of newborn 3 5.2 2 5.3 1 5.0
Hydrops fetalis not due to hemolytic disease 1 1.7 1 2.7 0 0.0
Other perinatal conditions 21 36.4 11 29.3 10 49.6
Congenital malformations, deformations and chromosomal abnormalities 64 111.0 39 104.0 25 124.1
Anencephaly and similar malformations 6 10.4 5 13.3 1 5.0
Congenital hydrocephalus 2 3.5 0 0.0 2 9.9
Spina bifida
0 0.0 0 0.0 0 0.0
Other congenital malformations of the nervous system 3 5.2 3 8.0 0 0.0
Congenital malformations of the heart 12 20.8 6 16.0 6 29.8
Other congenital malformations of the circulatory system 0 0.0 0 0.0 0 0.0
Congenital malformations of the respiratory system 6 10.4 2 5.3 4 19.9
Congenital malformations of the digestive system 1 1.7 0 0.0 1 5.0
Congenital malformations of the genitourinary system 6 10.4 5 13.3 1 5.0
Congenital malformations and deformations of musculoskeletal system, limbs and integument
9 15.6 6 16.0 3 14.9
Down’s syndrome 1 1.7 1 2.7 0 0.0
Edward’s syndrome 4 6.9 3 8.0 1 5.0
Patau’s syndrome 1 1.7 1 2.7 0 0.0
Other congenital malformations and deformations 8 13.9 4 10.7 4 19.9
Other chromosomal abnormalities, not elsewhere classified 5 8.7 3 8.0 2 9.9
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 86 149.2 37 98.7 49 243.2
Sudden infant death syndrome 43 74.6 19 50.7 24 119.1
Other symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified 43 74.6 18 48.0 25 124.1
All other diseases (residual of A00-R99) 1 1.7 1 2.7 0 0.0
External causes of mortality 33 57.2 13 34.7 20 99.3
Accidents 26 45.1 11 29.3 15 74.4
Motor vehicle accidents 2 3.5 0 0.0 2 9.9
Falls
0 0.0
0 0.0
0 0.0
Accidental discharge of firearms 0 0.0 0 0.0 0 0.0
Drowning 2 3.5 1 2.7 1 5.0
Accidental suffocation and strangulation in bed 18 31.2 8 21.3 10 49.6
Other accidental suffocation and strangulation 3 5.2 2 5.3 1 5.0
Accidental inhalation and ingestion of food or other objects causing obstruction of respiratory tract 0 0.0 0 0.0 0 0.0
Accidents caused by exposure to smoke, fire and flames
0
0.0
0
0.0
0
0.0
Accidental poisoning and exposure to noxious substances
0
0.0
0
0.0
0
0.0
Other and unspecified accidents and their sequelae
0
0.0
0
0.0
0
0.0
Homicide (assault)
4
6.9
0
0.0
4
19.9
Homicide by hanging, strangulation and suffocation 1 1.7 0 0.0 1 5.0
Homicide by discharge of firearms 0 0.0 0 0.0 0 0.0
Neglect, abandonment and other maltreatment syndromes 1 1.7 0 0.0 1 5.0
Homicide by other and unspecified means 2 3.5 0 0.0 2 9.9
Complications of medical and surgical care 0 0.0 0 0.0 0 0.0
Other external causes
3 5.2 2 5.3 1 5.0
INFANT DEATHS AND INFANT MORTALITY RATES
1
BY CAUSE OF DEATH AND RACE OF CHILD
CAUSE OF DEATH
TOTAL
WHITE
BLACK AND OTHER
NUMBER
RATE
NUMBER
RATE
NUMBER
RATE
ALABAMA, 2020
TABLE 66 (Continued)
1
Rate is per 1,000 live births in specified group. Infant deaths are by race of child and live births are by race of mother. See formula in Appendix B. Use caution with rates derived from small
numbers.
82
ADPH|CHS
AVS (2020)
404 7.0 196 5.2 208 10.3
2 40.0 2 90.9 0 0.0
6 6.5 1 2.0 5 11.5
25 8.7 10 6.0 15 12.6
118 8.1 55 6.2 63 10.9
116 6.4 50 4.1 66 10.7
92 6.6 54 5.6 38 9.1
32 5.4 19 4.8 13 6.7
11 9.3 3 4.1 8 17.5
2 -- 2 -- 0 --
404 7.0 196 5.2 208 10.3
78 709.1 21 700.0 57 712.5
70 167.5 37 222.9 33 131.0
27 44.0 18 58.8 9 29.2
25 20.4 17 27.7 8 13.0
37 9.6 18 9.1 19 10.1
157 3.1 78 2.3 79 4.7
4 8.5 3 8.0 1 10.1
6 -- 4 -- 2 --
TOTAL
Under 15
20-24
15-17
18-19
25-29
40+
35-39
30-34
Not stated
NUMBER
INFANT DEATHS AND INFANT MORTALITY RATES
1
TABLE 67
ALABAMA, 2020
BY RACE
2
OF CHILD AND AGE GROUP OF MOTHER
RATE RATE
AGE GROUP OF
MOTHER
NUMBER
TOTAL WHITE BLACK AND OTHER
NUMBER
2
Infant deaths are by race of child and live births are by race of mother.
RATENUMBER NUMBER
2,500-4,499 grams
4,500+ grams
Not stated
RATE
1
Rate is per 1,000 live births in specified group. See formula in Appendix B. Use caution with rates derived from small numbers.
1,500-1,999 grams
TOTAL
0-499 grams
500-999 grams
1,000-1,499 grams
2,000-2,499 grams
NUMBER
RATE
2
Infant deaths are by race of child and live births are by race of mother.
TOTAL WHITE
RATE
1
Rate is per 1,000 live births in specified group. See formula in Appendix B. Use caution with rates derived from small numbers.
BLACK AND OTHER
TABLE 68
INFANT DEATHS AND INFANT MORTALITY RATES
1
BY WEIGHT AT BIRTH AND RACE
2
OF CHILD
ALABAMA, 2020
WEIGHT AT BIRTH
83
ADPH|CHS
AVS (2020)
404 7.0 118 6.2 78 4.2 124 84
352 6.3 106 5.8 70 3.9 102 74
50 23.0 11 16.6 7 11.0 22 10
50 23.9 11 17.3 7 11.4 22 10
0 0.0 0 0.0 0 0.0 0 0
2
--- 1 --- 1 --- 0 0 ---
191 97
60 35
25 10
83 40
ADEQUACY OF
PRENATAL CARE
Adequate plus
Adequate
Intermediate
Inadequate
1
Rate is per 1,000 live births in specified group. Rates include only those births where the Adequacy of
Prenatal Care Utilization Index (Kotelchuck Index) value was known. See formula in Appendix B. Use
caution with rates derived from small numbers or based on small birth totals.
2
Infant deaths are by race of child and live births are by race of mother.
RATE
94
25
15
TOTAL WHITE BLACK AND OTHER
NUMBER RATE RATE NUMBERNUMBER
Twins
Triplets or higher order
0.0
51.6 23.7
0.0
Not stated
---
Multiple 50.9 22.7
TOTAL
Single
12.1
10.4
8.5
7.8
NUMBER RATE NUMBER RATE NUMBER RATE NUMBER NUMBER RATERATE
FEMALE FEMALEPLURALITY AT BIRTH
TOTAL
WHITE BLACK AND OTHER
MALE MALE
TABLE 69
INFANT DEATHS AND INFANT MORTALITY RATES
1
BY PLURALITY AT BIRTH, RACE
2
AND SEX
ALABAMA, 2020
9.8
2.8
5.5
8
13.9
3.8
9.4
9.9
7.6
2.4
3.4
6.7 43
84
ADPH|CHS
AVS (2020)
1
Rate is per 1,000 live births in specified group. Rates include only those births where birth order was known. See formula in Appendix B.
Use caution with rates derived from small numbers or based on small birth totals. Rates that apply to populations with fewer than 50 births
are shaded.
2
Infant deaths are by race of child and live births are by race of mother.
TABLE 70
INFANT DEATHS AND INFANT MORTALITY RATES
1
BY ADEQUACY OF PRENATAL CARE AND RACE
2
ALABAMA, 2020
NUMBER
NUMBER RATE U.S. RATE
1970 46,959 13.6 10.6 15,109 4.4 3.5
1980
49,018 12.6 10.6 26,745 6.9 5.2
1990
43,050 10.7
9.8
25,678 6.4 4.7
1995
42,234 10.3
8.9
25,813 6.3
4.4
2000
47,087 10.6
8.2
24,630 5.5
4.0
2001 45,052 10.0
8.2
24,159 5.4
4.0
2002 44,158 9.8
8.0
24,059 5.3
3.9
2003
43,139 9.6 7.7 23,205 5.2 3.8
2004
42,537 9.4 7.8 22,405 4.9 3.7
2005 41,962 9.2
7.6 22,430 4.9 3.6
2006 42,386 9.2
7.5 22,867 5.0 3.7
2007 41,622 9.0
7.3 21,255 4.6 3.6
2008 40,638 8.7
7.1 20,311 4.4 3.5
2009 39,278 8.3
6.8 20,757 4.4 3.5
2010 39,382 8.2
6.8 21,238 4.4 3.6
2011 40,523 8.4
6.8 20,550 4.3 3.6
2012 39,489 8.2
6.8 17,193 3.6 3.4
2013 37,789 7.8
6.8 17,805 3.7 3.3
2014 37,945 7.8
6.9 18,504 3.8 3.2
2015 35,726 7.4
6.9 18,946 3.9 3.1
2016 34,822 7.2
7.0 18,329 3.8 3.0
2017 34,329 7.0
6.9 17,887 3.7 2.9
2018 33,057 6.8
6.5 18,200 3.7 2.9
2019 32,832 6.7
6.1 17,979 3.7 2.7
2020 35,286
7.2 5.1 18,061 3.7 2.3
TABLE 71
NUMBERS AND RATES
1
OF MARRIAGES AND DIVORCES
ALABAMA AND UNITED STATES
2
, 1970, 1980, 1990, 1995, 2000-2020
YEAR
ALABAMA AND UNITED STATES, 2000-2020
FIGURE 13. MARRIAGE AND DIVORCE RATES
1
Rates are per 1,000 population. See formula in Appendix B.
2
After 1990, National Center for Health Statistics' method for obtaining marriage data changed, so U.S. rates may not be
DIVORCES
U.S. RATE
RATE
MARRIAGES
comparable to earlier years.
7.2
5.1
3.7
2.3
0.0
2.0
4.0
6.0
8.0
10.0
12.0
2000 2005 2010 2015 2020
Rate Per 1,000 Population
AL MARRIAGE U.S. MARRIAGE AL DIVORCE U.S. DIVORCE
85
ADPH|CHS
AVS (2020)
TOTAL 35,286 7.2
18,061 3.7
Autauga 438 7.8
177 3.2
Baldwin
2,346 10.2 827 3.6
Barbour 123 5.0 50 2.0
Bibb 154 7.0 78 3.5
Blount 456 7.9 266 4.6
Bullock 53 5.3 5 0.5
Butler 119 6.1 56 2.9
Calhoun 796 7.0 523 4.6
Chambers 156 4.7 160 4.9
Cherokee 223 8.5 102 3.9
Chilton
342 7.7 241 5.4
Choctaw
91 7.3 2 0.2
Clarke 132 5.7 108 4.6
Clay 115 8.8 40 3.1
Cleburne
111 7.4 52 3.5
Coffee 518 9.7 274 5.1
Colbert 400 7.2 240 4.3
Conecuh 80 6.8 35 3.0
Coosa 59 5.5 13 1.2
Covington 287 7.8 151 4.1
Crenshaw 129 9.4 64 4.7
Cullman 799 9.5 467 5.5
Dale 337 6.9 255 5.2
Dallas 165 4.6 136 3.8
DeKalb 449 6.3 206 2.9
Elmore 506 6.2 337 4.1
Escambia 288 7.9 103 2.8
Etowah 794 7.8 426 4.2
Fayette 142 8.7 70 4.3
Franklin 228 7.2 142 4.5
Geneva 187 7.1 108 4.1
Greene 29 3.6 12 1.5
Hale 54 3.7 43 2.9
Henry 106 6.2 65 3.8
Houston 899 8.4 446 4.2
Jackson 446 8.6 213 4.1
Jefferson 4,131 6.3 2,001 3.1
Lamar 136 9.9 124 9.0
Lauderdale 759 8.1 313 3.4
Lawrence 243 7.4 121 3.7
Lee 1,052 6.3 454 2.7
Limestone 709 6.9 371 3.6
Lowndes 30 3.1 42 4.4
Macon 54 3.0 35 2.0
Madison 2,683 7.1 1,412 3.7
Marengo 94 5.0 67 3.6
Marion 320 10.8 137 4.6
Marshall 790 8.1 492 5.1
Mobile 2,970 7.2 1,416 3.4
Monroe 119 5.8 82 4.0
Montgomery 1,552 6.9 720 3.2
Morgan 806 6.7 530 4.4
Perry 23 2.6 19 2.2
Pickens 94 4.7 72 3.6
Pike 162 4.9 94 2.9
Randolph 166 7.2 113 4.9
Russell 851 14.6 322 5.5
St. Clair 736 8.1 428 4.7
Shelby 1,217 5.5 599 2.7
Sumter 69 5.6 8 0.7
Talladega 466 5.8 352 4.4
Tallapoosa 258 6.4 111 2.8
Tuscaloosa 1,431 6.8 677 3.2
Walker 465 7.4 259 4.1
Washington
132 8.3 82 5.1
Wilcox 49 4.8 18 1.8
Winston 162 6.9
97 4.1
NUMBERS AND RATES
1
OF MARRIAGES AND DIVORCES BY ISSUING COUNTY
TABLE 72
ALABAMA, 2020
1
Rate is per 1,000 population. See formula in Appendix B. Use caution with rates derived from small numbers
or based on small populations.
ISSUING COUNTY
MARRIAGES
DIVORCES
NUMBER
NUMBER
RATE
RATE
86
ADPH|CHS
AVS (2020)
35,286
7.2 1,090
2,013
4.8 70
2,620
6.9 81
2,693
6.4 53
1,869
4.6 42
2,920
7.0 66
3,361
8.3 109
3,275
7.8 116
3,055
7.3 98
3,296
8.1 126
4,341
10.4 142
2,950
7.3 100
2,893
6.9 87
82
33
7,172 11
865 5
69 33
TOTAL
35,286 12,851 62
21,174 3,623 23
1,220 699 0
12,848 8,521 16
44 8 23
1,245
168
362
713
2
21,128
17,360
159
3,598
11
February
March
April
May
TABLE 73
MARRIAGES AND MARRIAGE RATES
1
BY MONTH OF OCCURRENCE
ALABAMA, 2020
RATE
SAME SEX
MARRIAGES
MONTH
ALL MARRIAGES
TOTAL
January
NUMBER
June
25,900
July
August
October
27,180
WIDOWED
ALABAMA, 2020
BLACK
NOT STATED
OTHER
1
Rate is per 1,000 population. See formula in Appendix B.
November
December
NOT STATED
MARITAL STATUS OF
SPOUSE 1
TOTAL
NEVER MARRIED
WIDOWED
TABLE 74
BLACK
OTHER
MARRIAGES BY RACE OF SPOUSE
ALABAMA, 2020
RACE OF SPOUSE 2
DIVORCED
898
449
22
6
27,269
1,052
NOT STATED
668
350
579
117
61
NOT STATED
35,286
September
TABLE 75
MARRIAGES BY PREVIOUS MARITAL STATUS OF SPOUSE
TOTAL
WHITE
TOTAL
WHITE
RACE OF SPOUSE 1
6,883
6,146
NEVER MARRIED
DIVORCED
MARITAL STATUS OF SPOUSE 2
8
87
ADPH|CHS
AVS (2020)
TOTAL 35,286 2 1,189 7,458 7,824 5,169 3,647 2,800 2,437 1,785 1,209 812 467 291 194 2
15-19 863 0 464 347 36 9 3 2 1 0 0 0 0 0 0 0
20-24 6,933 1 593 4,684 1,333 206 78 18 12 7 0 0 0 0 0 1
25-29 7,838 1 89 1,920 4,118 1,225 313 100 44 13 5 8 2 0 0 1
30-34 5,194 0 17 353 1,588 1,995 819 283 91 30 12 5 1 0 0 0
35-39 3,686 0 12 88 470 1,064 1,174 540 220 64 33 13 5 1 2 0
40-44 2,861 0 5 23 165 412 744 866 435 141 38 20 8 2 2 0
45-49 2,377 0 4 19 66 159 320 566 738 350 103 33 15 3
1 0
50-54 1,927 0 3 13 26 61 130 271 519 573 230 61 25 12 3 0
55-59 1,351 0 1 6 11 27 34 84 222 377 362 160 49 14 4 0
60-64 974 0 0 4 6 7 17 49 108 147 256 251 91 29 9 0
65-69 589 0 1 0 2 3 5 7 33 49 114 167 138 45 25 0
70-74 376 0 0 0 1 0 8 8 7 24 36 61 100 103 28 0
75+ 313 0 0 1 1 0 1 5 7 10 20 33 33 82 120 0
NOT STATED 4 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0
TABLE 76
AGE GROUP OF SPOUSE 2
AGE GROUP
OF SPOUSE 1
Under 15
ALABAMA, 2020
MARRIAGES BY AGE GROUP OF SPOUSE
TOTAL
15-19 20-24 25-29 65-69 70-74 75+
NOT
STATED
35-39 40-44 45-49 50-5430-34 55-59 60-64
88
ADPH|CHS
AVS (2020)
699
638 43 16 2 0 0 0 0
5,134
3,712 966 383 58 9 3 2 1
4,835
2,637 1,066 855 233 41 2 1 0
2,770
1,265 555 639 234 62 10 5 0
1,840
782 395 438 168 39 11 5 0
1,307
760 266 207 57 11 3 1 1
683
511 122 34 13 2 1 0 0
421
391 23 2 5 0 0 0 0
200
193 7 0 0 0 0 0 0
162
159 3 0 0 0 0 0 0
10
7 1 2 0 0 0 0 0
0
0
0
0
0
0
0
0
0
0
0
0 0 0
0
1
0
0
0
0
0
1
0
00
0
1
0 0
0 0 0
1
Divorces include the following decree types: divorce, dissolution, not stated and not classifiable.
770
UNDER 1
1-4
5-9
10-14
15-19
20-24
25-29
30-34
35-39
40+
0
2
Children 18 years of age and under are considered minors in Alabama.
TOTAL 18,061 11,055 3,447 2,576
4 5 6 7
NOT STATED
TOTAL 0 1 2 3
2164 30
TABLE 77
DIVORCES
1
AND ANNULMENTS BY DURATION OF MARRIAGE
AND NUMBER OF MINOR CHILDREN
2
ALABAMA, 2020
DURATION OF
MARRIAGE
(IN YEARS)
NUMBER OF MINOR CHILDREN
8 9+
NOT
STATED
14 1 02
89
ADPH|CHS
AVS (2020)
18,013 48
1,067 1,063 4
1,766 1,754 12
15,184 15,152 32
44 44 0
WHITE
18,061 13,126 4,935
13,407
12,816 591
4,654
310 4,344
142
30
66
150
8
77
15
0
0
5
0
8
3,887
13,682 18
129
30
13
4
0
3,891
BLACK AND OTHER
DIVORCES
1
AND ANNULMENTS BY RACE OF SPOUSE
TOTAL
Abandonment
Adultery
Bigamy
Irretrievable breakdown
Cruelty or violence
Fraud
All other causes
Not stated
1
Divorces include the following decree types: divorce, dissolution, not stated and not classifiable.
1
Divorces include the following decree types: divorce, dissolution, not stated and not classifiable.
TABLE 80
DIVORCES
1
AND ANNULMENTS BY LEGAL GROUNDS FOR DECREE
ALABAMA, 2020
Incompatibility
LEGAL GROUNDS DIVORCES ANNULMENTSTOTAL
18,013
18,061
48
13,664
66
150
3
77
7
PARTY TO WHOM DIVORCE
GRANTED
TOTAL DIVORCES ANNULMENTS
TABLE 78
DIVORCES
1
AND ANNULMENTS BY PARTY TO WHOM GRANTED
ALABAMA, 2020
TOTAL
WHITE
TOTAL
Spouse 1
TABLE 79
Spouse 2
Spouse 1 and Spouse 2
1
Divorces include the following decree types: divorce, dissolution, not stated and not classifiable.
18,061
BLACK AND OTHER
ALABAMA, 2020
RACE OF SPOUSE 1
TOTAL
RACE OF SPOUSE 2
Not stated
90
ADPH|CHS
AVS (2020)
18,061 54 1,057 2,433 2,952 2,898 2,636 2,105 1,582 1,136 621 309 156 110 12
32 7 21 1 0 0 0 2 0 0 0 0 0 0 1
640 34 459 108 25 9 2 0 2 1 0 0 0 0 0
2,039 6 442 1,226 281 61 15 5 1 0 0 1 0 0 1
2,558 4 102 752 1,262 303 95 20 13 4 0 0 0 1 2
2,790 3 17 212 881 1,227 318 88 35 6 2 1 0 0 0
2,648 0 8 82 312 833 1,026 276 86 22 1 0 0 0 2
2,356 0 5 32 118 275 737 856 249 59 18 5 1 0 1
1,852 0 0 13 46 109 293 559 569 199 51 9 2 1
1
1,381 0 3 3 18 58 102 190 393 446 122 30 11 2 3
852 0 0 1 4 18 31 75 152 254 233 61 16 7 0
454 0 0 1 1 4 12 21 57 96 117 113 25 6 1
238 0 0 0 1 1 2 7 18 29 53 57 53 17 0
219 0 0 2 2 0 3 6 7 19 24 32 48 76 0
2 0 0 0 1 0 0 0 0 1 0 0 0 0 0
TOTAL
30-34
TABLE 81
DIVORCES
1
AND ANNULMENTS BY AGE GROUP OF SPOUSE
ALABAMA, 2020
AGE GROUP OF
SPOUSE 1
AGE GROUP OF SPOUSE 2
TOTAL
UNDER
20
20-24 25-29 60-64 65-69 70-7435-39 50-54 55-59 75+
NOT
STATED
40-44 45-49
75+
NOT STATED
1
Divorces include the following decree types: divorce, dissolution, not stated or not classifiable.
70-74
UNDER 20
20-24
50-54
55-59
60-64
65-69
25-29
30-34
35-39
40-44
45-49
91
ADPH|CHS
AVS (2020)
TOTAL
4,921,532 2,376,966 2,544,566 3,396,053 1,664,839 1,731,214 1,525,479 712,127 813,352
Autauga
56,145 27,226 28,919 42,515 20,818 21,697 13,630 6,408 7,222
Baldwin
229,287 111,000 118,287 200,478 97,202 103,276 28,809 13,798 15,011
Barbour
24,589 12,987 11,602 12,045 6,352 5,693 12,544 6,635 5,909
Bibb
22,136 11,773 10,363 16,960 8,624 8,336 5,176 3,149 2,027
Blount
57,879 28,617 29,262 55,391 27,362 28,029 2,488 1,255 1,233
Bullock
9,976 5,461 4,515 2,676 1,638 1,038 7,300 3,823 3,477
Butler
19,504 9,084 10,420 10,159 4,866 5,293 9,345 4,218 5,127
Calhoun
113,469 54,567 58,902 84,916 41,245 43,671 28,553 13,322 15,231
Chambers
32,865 15,665 17,200 18,675 9,057 9,618 14,190 6,608 7,582
Cherokee
26,294 13,032 13,262 24,457 12,107 12,350 1,837 925 912
Chilton
44,397 21,736 22,661 38,648 18,915 19,733 5,749 2,821 2,928
Choctaw
12,418 5,876 6,542 7,116 3,478 3,638 5,302 2,398 2,904
Clarke
23,291 11,014 12,277 12,277 5,960 6,317 11,014 5,054 5,960
Clay
13,112 6,387 6,725 10,919 5,346 5,573 2,193 1,041 1,152
Cleburne
14,967 7,354 7,613 14,195 6,993 7,202 772 361 411
Coffee
53,230 26,245 26,985 40,291 19,984 20,307 12,939 6,261 6,678
Colbert
55,411 26,538 28,873 44,436 21,441 22,995 10,975 5,097 5,878
Conecuh
11,851 5,668 6,183 6,109 3,043 3,066 5,742 2,625 3,117
Coosa
10,650 5,333 5,317 7,144 3,626 3,518 3,506 1,707 1,799
Covington
36,930 17,831 19,099 31,146 15,140 16,006 5,784 2,691 3,093
Crenshaw
13,681 6,645 7,036 9,844 4,812 5,032 3,837 1,833 2,004
Cullman
84,515 41,789 42,726 80,960 39,988 40,972 3,555 1,801 1,754
Dale
48,959 23,980 24,979 36,053 18,016 18,037 12,906 5,964 6,942
Dallas
36,098 16,686 19,412 9,873 4,745 5,128 26,225 11,941 14,284
DeKalb
71,658 35,598 36,060 66,326 32,848 33,478 5,332 2,750 2,582
Elmore
82,158 39,643 42,515 62,081 29,904 32,177 20,077 9,739 10,338
Escambia
36,281 18,204 18,077 22,513 11,105 11,408 13,768 7,099 6,669
Etowah
102,371 49,559 52,812 82,299 40,019 42,280 20,072 9,540 10,532
Fayette
16,241 7,934 8,307 13,911 6,796 7,115 2,330 1,138 1,192
Franklin
31,507 15,767 15,740 28,814 14,337 14,477 2,693 1,430 1,263
Geneva
26,411 12,864 13,547 22,945 11,190 11,755 3,466 1,674 1,792
Greene
7,990 3,714 4,276 1,454 701 753 6,536 3,013 3,523
Hale
14,670 6,917 7,753 5,948 2,950 2,998 8,722 3,967 4,755
Henry
17,223 8,269 8,954 12,379 5,998 6,381 4,844 2,271 2,573
Houston
106,580 50,976 55,604 72,782 35,292 37,490 33,798 15,684 18,114
Jackson
51,582 25,314 26,268 47,151 23,129 24,022 4,431 2,185 2,246
Jefferson
655,342 309,232 346,110 345,894 167,769 178,125 309,448 141,463 167,985
Lamar
13,764 6,753 7,011 12,031 5,915 6,116 1,733 838 895
Lauderdale
93,368 44,753 48,615 80,988 38,934 42,054 12,380 5,819 6,561
Lawrence
32,857 16,031 16,826 25,747 12,647 13,100 7,110 3,384 3,726
Lee
166,831 81,985 84,846 117,961 58,769 59,192 48,870 23,216 25,654
Limestone
102,228 51,059 51,169 82,630 41,132 41,498 19,598 9,927 9,671
Lowndes
9,641 4,496 5,145 2,460 1,230 1,230 7,181 3,266 3,915
Macon
17,895 8,109 9,786 3,165 1,612 1,553 14,730 6,497 8,233
Madison
379,453 185,694 193,759 261,170 130,449 130,721 118,283 55,245 63,038
Marengo
18,733 8,794 9,939 8,699 4,246 4,453 10,034 4,548 5,486
Marion
29,703 14,707 14,996 27,871 13,678 14,193 1,832 1,029 803
Marshall
96,990 47,771 49,219 89,873 44,035 45,838 7,117 3,736 3,381
Mobile
412,716 196,061 216,655 242,534 117,815 124,719 170,182 78,246 91,936
Monroe
20,459 9,700 10,759 11,279 5,502 5,777 9,180 4,198 4,982
Montgomery
224,639 105,575 119,064 77,999 38,227 39,772 146,640 67,348 79,292
Morgan
119,883 58,904 60,979 99,066 48,839 50,227 20,817 10,065 10,752
Perry
8,687 4,031 4,656 2,664 1,291 1,373 6,023 2,740 3,283
Pickens
19,793 9,902 9,891 11,445 5,901 5,544 8,348 4,001 4,347
Pike
32,966 15,777 17,189 18,890 9,294 9,596 14,076 6,483 7,593
Randolph
22,920 11,110 11,810 17,941 8,772 9,169 4,979 2,338 2,641
Russell
58,237 27,763 30,474 28,853 14,059 14,794 29,384 13,704 15,680
St. Clair
90,739 44,838 45,901 79,039 38,836 40,203 11,700 6,002 5,698
Shelby
221,428 106,973 114,455 181,626 88,446 93,180 39,802 18,527 21,275
Sumter
12,225 5,588 6,637 3,206 1,515 1,691 9,019 4,073 4,946
Talladega
79,985 38,555 41,430 51,145 25,056 26,089 28,840 13,499 15,341
Tallapoosa
40,133 19,458 20,675 28,237 13,881 14,356 11,896 5,577 6,319
Tuscaloosa
210,758 101,215 109,543 134,348 66,322 68,026 76,410 34,893 41,517
Walker
63,143 30,731 32,412 57,407 27,931 29,476 5,736 2,800 2,936
Washington
15,976 7,802 8,174 10,606 5,262 5,344 5,370 2,540 2,830
Wilcox
10,206 4,792 5,414 2,839 1,379 1,460 7,367 3,413 3,954
Winston
23,508 11,554 11,954 22,554 11,068 11,486 954 486 468
1
Population estimates were provided by the U.S. Census Bureau.
COUNTY OF
RESIDENCE
MALETOTAL MALE
ALL RACES WHITE BLACK AND OTHER
FEMALE TOTAL MALE FEMALE
TABLE 82
ESTIMATED POPULATION
1
BY COUNTY OF RESIDENCE, RACE AND SEX
ALABAMA, 2020
TOTAL FEMALE
92
ADPH|CHS
AVS (2020)
ALL AGES
4,921,532 3,396,053 1,664,839 1,731,214 1,525,479 712,127 813,352
0-4
291,920 182,741 93,810 88,931 109,179 55,293 53,886
5-9
299,404 192,652 98,639 94,013 106,752 53,891 52,861
10-14
310,210 200,300 102,264 98,036 109,910 55,438 54,472
15-19
310,127 201,359 102,867 98,492 108,768 54,407 54,361
20-24
323,264 207,832 105,631 102,201 115,432 56,166 59,266
25-29
331,899 213,168 107,830 105,338 118,731 58,006 60,725
30-34
318,647 211,063 105,272 105,791 107,584 50,841 56,743
35-39
302,872 204,520 101,770 102,750 98,352 44,586 53,766
40-44
293,490 199,545 99,191 100,354 93,945 42,117 51,828
45-49
302,481 211,733 105,413 106,320 90,748 40,602 50,146
50-54
305,693 218,934 109,074 109,860 86,759 39,116 47,643
55-59
332,661 239,778 117,922 121,856 92,883 41,775 51,108
60-64
324,620 234,912 113,643 121,269 89,708 39,582 50,126
65-69
281,928 208,016 98,109 109,907 73,912 31,977 41,935
70-74
235,789 182,948 84,726 98,222 52,841 22,560 30,281
75-79
160,349 128,855 57,418 71,437 31,494 12,801 18,693
80-84
103,319 83,318 34,811 48,507 20,001 7,491 12,510
85+
92,859 74,379 26,449 47,930 18,480 5,478 13,002
1
Population estimates were provided by the U.S. Census Bureau.
TOTAL MALE FEMALE
TOTAL
MALE FEMALE
AGE GROUP
TOTAL
POPULATION
WHITE
BLACK AND OTHER
TABLE 83
ESTIMATED POPULATION
1
BY AGE GROUP, RACE AND SEX
ALABAMA, 2020
93
ADPH|CHS
AVS (2020)
Appendix A
Technical Notes
Definitions
94
ADPH|CHS
AVS (2020)
ThisPageIntentionallyLeftBlank.
95
ADPH|CHS
AVS (2020)
96 ADPH|CHS AVS (2020)
TECHNICAL NOTES
SOURCES OF DATA
Data in this publication are from certificates and reports filed with the Center for Health
Statistics (CHS) in the Alabama Department of Public Health according to Alabama Vital
Statistics Laws. The State Registrar of Vital Records enforces the laws and administers the
system of vital statistics. Certificates (birth, death, marriage, and divorce) and reports (fetal
death and induced termination of pregnancy) provide most of the information included in this
publication. The statewide data for Alabama are also sent to the National Center for Health
Statistics (NCHS) for inclusion in national reports and tabulations.
BIRTHS. If a birth occurs in a birthing hospital, the birth certificate is filed by that
hospital with CHS. Information on a birth certificate is obtained from a parent and from
medical files for the mother and infant. All birthing hospitals in Alabama use an internet-
based Electronic Birth Registration System to complete and transmit birth certificates to CHS.
If a birth occurs outside of a birthing hospital, the birth information is submitted by the parent
or staff in non-birthing facility who is aware of the facts of birth. Because the legal
requirements for certified copies of births have increased, 100 percent of all births are filed
with CHS.
In 2014, CHS implemented the revised certificate of birth. Capturing data from the
revised certificate now makes Alabama data more comparable with other states.
DEATHS. Mortality data are obtained from death certificates filed with CHS. In
Alabama, the funeral director who first takes custody of the body is responsible for obtaining
the demographic data from the next of kin and filing the death certificate. The medical
certification is completed by the medical professional in charge of the care of the decedent
for the illness or condition that resulted in death or by the county medical examiner or coroner.
Registration of deaths is thought to be nearly 100 percent complete since the death certificate
is needed by the next of kin for legal purposes. In addition, listings of deaths, which are
independently prepared by funeral directors, coroners, hospitals, nursing homes and other
institutions where deaths occur, are compared to certificates received to ensure that all
deaths are filed.
In 2016, CHS implemented the revised certificate of death. Capturing data from the
revised certificate now makes Alabama data more comparable with other states.
MARRIAGES. Starting August 29, 2019, marriage licenses are no longer issued and
certified in Alabama. On and after that date, a marriage certificate is completed by the
persons entering the marriage and delivered to a county probate court. The certificate is
recorded by the probate court who forwards it to CHS. Marriage data are believed to be
nearly 100 percent representative of valid marriage certificates recorded in the probate courts.
DIVORCES. Divorce certificates are prepared by the petitioner or his or her legal
representatives and presented to the clerk of a court where divorces are granted. The court
clerk completes the information certifying the divorce and forwards the certificate to CHS.
While the law does require the divorce certificate to be filed before a divorce is granted, the
97 ADPH|CHS AVS (2020)
filing of these records may not be as complete as other vital records since court procedures
vary.
FETAL DEATHS. Reports of fetal death are required to be filed with CHS if the fetus
has advanced to or beyond the 20th week of utero-gestation. If the fetal death occurs in an
institution, the person in charge of the institution or his or her representative is responsible
for filing the report. If the fetal death occurs outside of an institution, the medical
professional/coroner who is aware of the fact of the event is responsible for filing the report.
Since not all fetal deaths are medically attended, it is likely that there is some under-reporting
of these events. Evidence indicates that reporting may be better in metropolitan counties.
In 2014, CHS implemented the revised report of fetal death. Capturing data from the
revised report now makes Alabama data more comparable with other states.
INDUCED TERMINATIONS OF PREGNANCY. Since 1993, reports of induced
termination of pregnancy have been required for all events occurring in Alabama. If the
induced termination of pregnancy occurs in an institution, the person in charge of the
institution is required to file the report. If the induced termination of pregnancy occurs outside
of an institution, the physician in attendance is required to file the report. From September
1987 to December 1992, the only reporting requirement for induced terminations of
pregnancy was for events to women under 18 years of age as part of the Parental Consent
Act. The degree of completeness for these reports is not known. However, if CHS learns of
institutions that are not aware of the reporting requirements, they are contacted, and reporting
is immediately initiated.
OUT OF STATE EVENTS. To have complete data for state residents, offices of vital
statistics in all states have entered into an agreement to share data for statistical purposes.
When a report or certificate is filed for a vital event that occurred in Alabama to a resident of
another state or Canada, Alabama notifies that government. Likewise, Alabama receives
information and reports about events happening to Alabama residents in other states or in
Canada. Data from these out of state events are included in the tabulations of resident data
presented in this publication.
Most states send reports of out of state events to CHS on an ongoing basis, and these
reports are believed to be complete since laws and procedures in other states are similar to
Alabama’s. The exceptions are reports of induced termination of pregnancy which have
different reporting requirements in other states. Florida, a neighboring state, does not have
a procedure for reporting induced terminations of pregnancy for Alabama residents to CHS.
Since it is unknown how many Alabama residents might have these events in neighboring
states, the number of reported induced terminations of pregnancy for Alabama residents
might be somewhat low.
QUALITY AND COMPLETENESS OF DATA
Certificates and reports received at CHS are reviewed to ensure all information has
been entered correctly. If records are found to be incomplete or completed improperly,
queries are submitted to obtain the information. Once the information is accurate and
consistent, the record is accepted into the official vital records files for Alabama.
98 ADPH|CHS AVS (2020)
Data for 100 percent of the births and fetal deaths are submitted by hospitals through
the Electronic Birth Registration System. This electronic system contains edits and
consistency checks to verify data prior to being submitted.
Data for approximately 96 percent of the deaths were submitted through the Electronic
Death Registration System in 2020. This electronic system contains edits and consistency
checks to verify data prior to being submitted. The remainder of the deaths are filed using
paper certificates. These certificates are manually checked for accuracy and completeness.
If data are incomplete or missing, the provider is queried and asked to verify the information
provided or to furnish the correct data. Once these certificates are complete, they are keyed
into a computer database by CHS staff.
Data for approximately 95 percent of the divorces are received electronically from the
Administrative Office of Courts. The remainder of the divorces are filed using the paper
certificate. These certificates are manually checked for accuracy and completeness. If data
are incomplete or missing, the provider is queried and asked to verify the information provided
or to furnish the correct data. Once these certificates or reports are complete, they are keyed
into a computer database by CHS staff.
Data for induced terminations of pregnancy and marriages are manually checked for
accuracy and completeness. If data are incomplete or missing, the provider is queried and
asked to verify the information provided or to furnish the correct data. Once these certificates
or reports are complete, they are keyed into a computer database by CHS staff.
Numerous edits and consistency checks are performed on all computer files to ensure
the data are as accurate as possible. Additional procedures cross check that all births and
deaths are reported, particularly infant deaths.
RESIDENCE DATA
Unless specifically noted otherwise, data from vital events in this publication are
reported according to the county or place of residence where the person, patient or decedent
actually lived. Birth, fetal death and induced termination of pregnancy statistics are reported
according to the mother’s residence. Deaths are reported by the residence of the decedent.
The exceptions are marriage and divorce data that are reported by the residence of the
decedent. The exceptions are marriage and divorce data that are reported according to the
county where the marriage certificate was issued, or the divorce was finalized.
Vital events for Alabama residents occurring in other states and Canada are also
included in the residence data in this publication. See discussion under SOURCES OF DATA
– OUT OF STATE EVENTS.
POPULATION DENOMINATORS
Different population denominators have been used in this publication depending on
the year. For 1990, 2000, 2010 and 2020, actual Census counts were used for the
denominators for the rates. For the years 1991 through 1999, the population figures used
were prepared by the Alabama State Data Center, Center for Business and Economic
Research, University of Alabama (CBER) projecting forward from the 1990 Census. Caution
should be used in comparing rates over time, since the further away from the Census, the
less accurate the populations and associated rates become. Based on 2000 Census data,
99 ADPH|CHS AVS (2020)
the CBER population projections for the late 1990s appear to be too low, and thus the rates
for those years may be too high.
Population figures used to calculate rates for 2001 and 2002 were again from
projections provided by CBER. These population figures were based on 2000 U.S. Census
counts and projecting forward. Beginning in 2003, U.S. Census estimates (rather than CBER
projections) were used for population denominators in CHS publications.
The rates in this publication may not be the same as those given in other publications
if population data are from a different source. For the years between decennial national
Censuses, the National Center for Health Statistics (NCHS) calculates crude rates using
population estimates provided by the U.S. Census Bureau. These figures are calculated in
retrospect based on various housing, labor and vital statistics.
RACE
Birth, fetal death and induced termination of pregnancy statistics are reported
according to the race of the mother since many of the health conditions related to these events
are directly associated with the mother. Deaths are reported by the race of the decedent.
Infant deaths are also tabulated by the race of the infant. However, the infant mortality rates,
with the number of births used as the denominator, are based on the race of the mother. Data
for marriages and divorces are shown for both parties to the event.
RACE IN MARRIAGE, DIVORCE AND INDUCED TERMINATION OF PREGNANCY.
For processing purposes, 10 racial groups were used: White, Black, American Indian,
Chinese, Japanese, Hawaiian, Filipino, Other Asian or Pacific Islander, other entries and
unknown race. However, for tables shown in this publication, these groups are consolidated
into “White” and “Black and Other”. “White” encompasses Mexican, Puerto Rican, Cajun,
Creole and Other Caucasian. The “Black and Other” group includes Black, American Indian,
Chinese, Japanese, Hawaiian, Filipino and Other Asian or Pacific Islander. Events of
unknown race are included in the “White” category.
RACE IN LIVE BIRTH, DEATH AND FETAL DEATH. In 2014, Alabama implemented
the most recent NCHS revisions of the U.S. Standard Certificate of Live Birth and Fetal Death
which allows parent(s) to select more than one race. In 2016, Alabama implemented the
most recent NCHS revisions of the U.S. Standard Certificate of Death which allows
informant(s) to select more than one race for decedent. Twenty racial groupings are now
used: White, Black, American Indian, Asian Indian, Chinese, Filipino, Japanese, Korean,
Vietnamese, Hawaiian, Other Asian or Pacific Islander, Guamanian or Chamorro, Samoan,
other entries, Bridged White, Bridged Black, Bridged American Indian/Alaska Native, Bridged
Asian/Pacific Islander and unknown race. However, for tables shown in this publication, these
groups are consolidated into two categories: “White” and “Black and Other”. “White”
encompasses Mexican, Puerto Rican, Cajun, Creole, Other Caucasian and Bridged White.
The “Black and Other” group includes Black, American Indian, Asian Indian, Chinese, Filipino,
Japanese, Korean, Vietnamese, Hawaiian, Other Asian or Pacific Islander, Guamanian or
Chamorro, Samoan, other entries, Bridged Black, Bridged American Indian/Alaska Native
and Bridged Asian/Pacific Islander. Events of unknown race are included in the “White”
category.
100 ADPH|CHS AVS (2020)
Population figures from the 2020 Census show the population for Alabama as 64.1
percent White, 25.8 percent Black and 10.1 percent other races. Just over five percent of the
population reported two or more races and were included in the “Black and Other” population
for tables shown in this publication.
CAUSE OF DEATH
Alabama law requires the physician in charge of the care of the patient for the illness
or condition that resulted in death to complete the medical certification section on the death
certificate. The physician is requested to state the diseases or conditions that caused the
death and other significant conditions contributing to death. If a death occurs with no medical
professional in charge of the patient’s care, the county coroner, or in a few counties, the
medical examiner is responsible for determining the cause of death.
CLASSIFICATION. For tabulation purposes, causes of death are coded according to
the International Classification of Diseases
1
(ICD) which provides the essential ground rules
for the coding and classification of cause of death data. ICD was developed collaboratively
between the World Health Organization (WHO) and 10 international centers, one of which is
housed at NCHS. The purpose of ICD is to promote international comparability in the
collection, classification, processing and presentation of health statistics. The United States
is required to use ICD under an agreement with WHO that has the force of an international
treaty.
Besides being a classification system for the cause of death, ICD includes coding
rules. These rules identify the single condition on the death certificate considered most
informative from a public health point of view, called the underlying cause of death. The
underlying cause is the disease or injury initiating the sequence of events that led directly to
death or the circumstances of the accident or violence that produced the fatal injury.
Cause of death data in this publication are coded according to procedures established
by NCHS
2
. Starting with death records for 1999, cause of death data are processed through
computer software programs from NCHS which allow CHS staff to enter the literal information
provided by the physician or coroner in the medical certification section of the death
certificate. The software programs are written to apply WHO rules to select the underlying
cause of death from all the conditions given on the death certificate. Tables in this publication
contain the underlying cause of death as determined through these procedures.
TABULATION LISTS AND CAUSE OF DEATH RANKINGS. For dissemination and
presentation of data, NCHS developed several tabulation lists which group causes of death
codes into categories that are of public health interest and medical importance. The lists
have increasing levels of detail or are for specific categories of death and are published in
Part 9 of the NCHS Instruction Manual Series
3
. Certain groups of causes on these lists are
used for ranking causes of death to determine the leading causes of death. Starting with
1999 data, the list most widely used to identify and rank the leading causes of death in the
United States is the ICD-10 List of 113 Selected Causes of Death. This list replaces the ICD-
9 List of 72 Selected Causes of Death used from 1979 through 1998. A condensed list of
selected causes was also developed to present cause of death data in Alabama.
CHANGE IN ICD. The ICD has been revised approximately once every 10 years to
stay abreast with advances in medical science and to ensure the international comparability
101 ADPH|CHS AVS (2020)
of health statistics. The tenth and most recent revision, known as the ICD-10, was first used
to classify deaths that occurred on January 1, 1999 and after. The previous version, the ICD-
9, was used from 1979 through 1998. The ICD-10 is much more detailed with about 8,000
possible categories for cause of death compared with 4,000 categories in the previous
version. For the first time, the ICD-10 uses alphanumeric codes. In the tenth revision of the
ICD, cause of death titles have been changed and conditions have been regrouped. Some
coding rules have also been changed. In addition, ICD-10 tabulation lists used in publications
have also changed, so mortality data prepared under different revisions of the ICD may not
be comparable.
COMPARISON OF CAUSE OF DEATH DATA. Changes in moving to a new revision
of the ICD can cause major discontinuities in trend data for certain causes of death. To
understand the changes in mortality rates that are simply due to the new ICD revision, NCHS
double codes a large sample of deaths under each revision to develop comparability ratios.
This is simply the ratio of deaths coded under the new revision (ICD-10) divided by the
number under the old revision (ICD-9) for a particular cause of death. These ratios are given
in Robert Anderson, et. al., Comparability of Cause of Death between ICD-9 and ICD-10:
Preliminary Estimates, Hyattsville, MD, National Vital Statistics Reports, Volume 49, Number
2, May 18, 2001. Comparability ratios can be applied to specific cause of death groups that
were coded under ICD-9 to see how many deaths in that specific group would result if those
same deaths had been coded under the new ICD-10. Application of the comparability ratios
is crucial in time trend analyses. For additional information on comparability ratios, see the
NCHS web site at www.cdc.gov/nchs.
HANDLING OF UNKNOWNS
Items with a missing value or a response of “unknown” are shown as “not stated” in
tables of frequency distributions and are included in totals and subtotals. However, for
calculation of rates and ratios, “unknowns” are subtracted from denominators before
calculations are made.
The only exceptions to this rule are for race, sex and county of residence. Events with
race “unknown” are included with “White” for tabulation purposes. If sex cannot be
determined, sex is considered male if the date of the event is odd and female if the day is
even. Events with county of residence “unknown” are included in the statewide number.
Therefore, the statewide number may be higher than the combined county numbers.
DATA TECHNIQUES
Data in this publication are generally presented as frequencies, rates, ratios and
percentages. Frequency distributions tell how many times an event occurred for a particular
population. For purposes of comparison, rates, ratios and percentages are provided to
standardize the figures. A ratio is a comparison of two quantities and is generally expressed
as a fraction. A rate is the number of items having a certain characteristic divided by the total
number of items. Rates are generally expressed to a standard base of 100, 1000, or 100,000.
Percentages are rates standardized to a base of 100. Rounding errors may exist because of
the estimation techniques.
Demographic rates make all populations equal in size. Demographic rates such as
the death rate and birth rate are calculated by dividing the number of events in a given period
102 ADPH|CHS AVS (2020)
by the population at risk during that period. Thus, rates give the number of events per person,
or the average. By standardizing all populations to the same size, we eliminate one factor
that makes comparisons among areas difficult.
The base of demographic rate may be the total population or a sub population. Rates
based on the total population are called crude rates. Others are called specific rates such as
age-specific rates used for children or teenage populations or the sex-specific rate for
prostate cancer. For information on specific calculations, see Appendix B – ALABAMA VITAL
STATISTICS FORMULAS.
SMALL NUMBER LIMITATIONS
When using vital events data for studying small geographic areas or for examining
specific medical or social factors, the number of events reported in a given year may be very
small. Understanding the statistical limitations of small numbers is important in conducting
analyses. Any time something is measured, error is almost inevitable. Error can be based
on the accuracy of the reports, or alternately, the number of the events or the size of the
population. Some error is random, and when the numbers are very large, random error does
not affect the usefulness of the data. However, when the number of vital events is very small
or the population of the area is very low, random errors in data collection, or even randomly
occurring events, can cause drastic fluctuations in rates.
One way to counteract random error is to increase the number of years or enlarge the
area being studied. Otherwise, calculations may be correct, but of very limited practical value.
In this publication, rates are given regardless of their stability; however, for rates based on
very small numbers, warnings are issued in the footnotes.
REFERENCES
1
World Health Organization. “International Statistical Classification of Diseases and Related Health Problems, Tenth
Revision.” Geneva: World Health Organization, 1992.
2
National Center for Health Statistics. “NCHS Instruction Manual, Part 2a, Vital Statistics, Instructions for Classifying
the Underlying Causes of Death.” Hyattsville, Maryland: Public Health Service, published annually.
3
National Center for Health Statistics, Centers for Disease Control and Prevention. “Instruction Manual Part 9, ICD-
10 Cause-of-Death Lists for Tabulation Mortality Statistics, Effective 1999.” Hyattsville, Maryland: October 1997.
DEFINITIONS
Some definitions used in this publication may vary in meaning among states or nations. Also,
some subjects change in definition over time. Center for Health Statistics definitions are
consistent for all publications within a given year and are generally the same definitions used
by the National Center for Health Statistics. However, a data user should always compare
definitions across geographical areas and times.
ABORTION - See INDUCED TERMINATION OF PREGNANCY. In this publication, the terms
abortion and induced termination of pregnancy are used synonymously.
ADEQUACY OF PRENATAL CARE UTILIZATION INDEX (APNCU) - This index, also
known as the Kotelchuck Index of Prenatal Care, was designed as an improvement on the
Kessner Index. It has 5 values: 1 = adequate plus, 2 = adequate, 3 = intermediate, 4 =
inadequate and 5 = unknown. Its major advantage is that it divides the adequate into two
categories. Those with adequate plus had other risk factors, which increased the number of
visits. The index can serve as an indicator that some medical condition required additional
prenatal care. [Kotelchuck M., "An Evaluation of the Kessner Adequacy of Prenatal Care Index
and a Proposed Adequacy of Prenatal Care Utilization Index", American Journal of Public
Health, 1994, 84(9):1414-20.]
ANNULMENT - "To nullify, to abolish, to make void by competent authority. An annulment
differs from a divorce in that a divorce terminates a legal status, whereas an annulment
establishes that a marital status never existed." Black's Law Dictionary, Sixth Edition. In this
publication, annulments are included with divorces for rate calculation purposes and are
available only by place of occurrence.
BIRTH - See LIVE BIRTH. In this publication, the terms live birth and birth are used
synonymously.
BIRTH INTERVAL - The period from the date of the current birth to the date of the last
termination of pregnancy, birth or otherwise.
BIRTH ORDER - The numeric relationship of a child to other children born alive to that
mother.
CAUSE OF DEATH - The cause of death presented in this publication is the "underlying
cause" which is defined as the cause deemed responsible for the sequence of morbid events
leading directly to death or the circumstances of the accident or violence that produced the
fatal injury. Deaths, by cause, are classified according to the International Classification of
Diseases (ICD), Tenth Revision, following instructions established by the National Center for
Health Statistics. See Appendix C for the compilation lists and ICD-10 codes used for the
leading cause of death.
DEATH - Death is defined in Black's Law Dictionary, Sixth Edition as "the cessation of life;
permanent cessations of all vital functions and signs." For definitions of the determination of
death under other than general circumstances, the Code of Alabama should be consulted.
103
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DIVORCE - A court decree dissolving a marital relationship. A divorce from bed and board is
a separation from cohabitation which does not otherwise affect the marriage and is not
included in this publication. See Code of Alabama for additional information. For rate
calculation purposes in this publication, divorces include annulments and are reported by the
county where the divorce occurred.
ESTIMATED PREGNANCIES - The sum of births, induced terminations of pregnancy and
estimated total fetal losses. Rounding errors may exist because of the estimation techniques.
ESTIMATED TOTAL FETAL LOSSES - This term, which is a component used in
determining the number of estimated pregnancies, is an estimate of the total number of fetal
losses regardless of the gestational age of the fetus. Estimated total fetal losses are equal to
the sum of 20 percent of births and 10 percent of induced terminations of pregnancy. This
formula was developed by the Alan Guttmacher Institute and is widely accepted and used.
Rounding errors may exist because of the estimation techniques. Estimated total fetal losses
should be distinguished from the term fetal deaths as used in this publication.
FETAL DEATH - "Death prior to the complete expulsion or extraction from the mother of a
product of human conception, irrespective of the duration of pregnancy and which is not an
induced termination of pregnancy. The death is indicated by the fact that after the expulsion or
extraction the fetus does not breathe or show any other evidence of life, such as beating of the
heart, pulsation of the umbilical cord, or definite movement of voluntary muscles. Heartbeats
are to be distinguished from transient cardiac contractions; respirations are to be
distinguished from fleeting respiratory efforts or gasps." Code of Alabama, 1975, Section 22-
9A-1. While the definition of fetal death includes all gestations, only fetal deaths that have
advanced to or are beyond the twentieth week of utero-gestation are required to be reported
under Alabama law and are the only ones counted as fetal deaths in this publication.
GESTATION - The period of development from the time of fertilization of the ovum to birth. In
these publications, the terms gestation and utero-gestation are used synonymously.
INDUCED TERMINATION OF PREGNANCY - "The purposeful interruption of an intrauterine
pregnancy with the intention other than to produce a liveborn infant and which does not result in
a live birth. This definition excludes management of prolonged retention of products of
conception following fetal death." Code of Alabama, 1975, Section 22-9A-1. In these
publications, the terms induced termination of pregnancy and abortion are used
synonymously.
INFANT DEATH - Death of a live born infant under one year of age.
INTERNATIONAL CLASSIFICATION OF DISEASES (ICD) - A publication of the World Health
Organization (WHO) that provides the essential ground rules for the coding and classification of
cause of death data. The purpose of the ICD and of WHO sponsorship is to promote
international comparability in the collection, classification, processing and presentation of
health statistics. In addition to being a classification system, the rules provide for identification of
a single condition on the death certificate that is considered most informative from a public health
point of view, called the underlying cause of death.
104
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LIVE BIRTH - "The complete expulsion or extraction from the mother of a product of human
conception, irrespective of the duration of the pregnancy, which, after such expulsion or
extraction, breathes or shows any other evidence of life such as beating of the heart, pulsation
of the umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical
cord has been cut or the placenta is attached. Heartbeats are to be distinguished from
transient cardiac contractions; respirations are to be distinguished from fleeting respiratory
efforts or gasps." Code of Alabama, 1975, Section 22-9A-1. In these publications, the terms
live birth and birth are used synonymously.
LOW BIRTH WEIGHT - A weight at birth of under 2,500 grams or under five pounds and
eight ounces.
MARRIAGE - The legal union of two persons which establishes their relationship as spouses.
Marriage data are reported by the county where the marriage license was issued (prior to
August 29, 2019) or the county where the marriage certificate was recorded (on or after
August 29, 2019).
MATERNAL DEATH - Defined by WHO as "the death of a woman while pregnant or within 42
days of termination of pregnancy, irrespective of the duration and the site of pregnancy from
any cause of the pregnancy or its management, but not from accidental or incidental causes."
Included in these deaths are ICD-10 codes A34, O00-O95 and O98-O99.
NEONATAL DEATH - Death of a liveborn infant occurring within the first 27 days of life.
OCCURRENCE DATA - Data compiled as to the geographical place where the event
occurred.
PERINATAL DEATH - Death of a fetus of 28 or more weeks gestation or death of a liveborn
infant under seven days of age. Note that several other definitions of this term exist.
POSTNEONATAL DEATH - Death of a liveborn infant after the first 27 days of age, but
before one year of age.
RESIDENT DATA - Data compiled as to the place of residence without regard to the
geographical place where the event occurred. For births and fetal deaths, place of residence
of mother is used.
TEENAGE - In this publication, persons aged 10 years through 19 years.
TOTAL FERTILITY RATE - An estimate of the average number of children that 1,000 women
would bear if the current age-specific birth rates remained constant.
VERY LOW BIRTH WEIGHT - A weight at birth of under 1,500 grams or under three pounds
and five ounces.
105
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Appendix B
Alabama Vital Statistics Formulas
Adequacy of Prenatal Care Utilization Index
Grams Conversion Table
106
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107
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Number of Abortions
Estimated Female Population Aged 15-44
AGE-SPECIFIC Number of Live Births to Females in Specific Age Group
BIRTH RAT
E
Estimated Female Population in That Age Group
AGE-SPECIFIC Number of Deaths for Specific Age Group
DEATH RAT
E
Estimated Population in That Age Group
Number of Live Births to Females in Specific Age Group +
Abortions to Females in That Age Group +
Total Estimated Fetal Losses to Females in That Age Group
Estimated Female Population in That Age Group
BIRTH RATE or
Number of Live Births
CRUDE BIRTH RATE
Estimated Midyear Population
Number of Deaths for Specific Cause
Estimated Midyear Population
Number of Deaths Under 1 Year of Age for Specific Cause
Number of Live Births
Number of Birth Delivered by Primary Cesarean +
Number of Births Delivered by Repeat Cesarean
Number of Live Births with Known Methods of Delivery
DEATH RATE or
Number of Deaths
CRUDE DEATH RATE
Estimated Midyear Population
Number of Divorces and Annulments
Estimated Midyear Population
CAUSE-SPECIFIC
INFANT MORTALITY
RATE
X 1,000=
DIVORCE RATE
(
DISSOLUTION
)
=
X 1,000
CAUSE-SPECIFIC
DEATH RATE
=
X 100,000
=
X 100,000
CESAREAN DELIVERY
RAT
E
=
X 100
ALABAMA VITAL STATISTICS FORMULAS
AGE-SPECIFIC
PREGNANCY RATE
=
X 1,000
= X 1,000
ABORTION RATE =
X 1,000
X 1,000
X 1,000
=
=
108
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Number of Live Births + Number of Abortions
+ Estimated Total Fetal Losses
Number of Fetal Deaths 20 or More Weeks in Gestation
Number of Live Births
Number of Live Births
Estimated Female Population Aged 15-44
Number of Deaths Under 1 Year of Age
Number of Live Births
Number of Marriages
Estimated Midyear Population
Number of Births During Month
(Number of Days in Month/Number of Days in Year)
X Estimated Midyear Population
Number of Deaths During Month
(Number of Days in Month/Number of Days in Year)
X Estimated Midyear Population
Number of Marriages During Month
(Number of Days in Month/Number of Days in Year)
X Estimated Midyear Population
Number of Deaths Under 28 Days of Age
Number of Live Births
MARRIAGE RATE =
X 1,000
ALABAMA VITAL STATISTICS FORMULAS (Continued)
GENERAL FERTILITY
RATE
=
X 1,000
20 Percent of Live Births + 10 Percent of Abortions
FETAL DEATH RATIO
*
=
ESTIMATED
PREGNANCIES
=
NEONATAL
MORTALITY RATE
=
X 1,000
X 1,000
X 1,000
X 1,000
INFANT MORTALITY
RATE
=
X 1,000
ESTIMATED TOTAL
FETAL LOSSES
=
X 1,000
*The definition of a fetal death varies from state to state. Caution should be exercised in comparing this ratio between states.
MONTHLY BIRTH
RAT
E
=
MONTHLY DEATH
RAT
E
=
MONTHLY MARRIAGE
RAT
E
=
109
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Number of Deaths 28 or More Days, But Less Than 1 Year of Age
Number of Live Births
Estimated Female Population Aged 15-44
Number of Abortions to Females Aged 10-19
Estimated Female Population Aged 10-19
Number of Live Births to Females Aged 10-19
Estimated Female Population Aged 10-19
Number of Live Births to Females Aged 10-19
+ Number of Abortions to Females Aged 10-19
+ Estimated Total Fetal Losses to Females Aged 10-19
Estimated Female Population Aged 10-19
Number of Vaginal Births after Cesarean
Number of Births with a Vaginal Birth after Cesarean +
Number of Births with a Repeat Cesarean
*Some states do not consider age groups 10-14 and 45-49 in this computation. Caution should be exercised in comparing Total
Fertility Rates.
TEENAGE ABORTION
RAT
E
X 1,000
ALABAMA VITAL STATISTICS FORMULAS (Continued)
(Age-Specific Birth Rate For Females Aged 10-14 X Age
Interval In Age Group) + (Age-Specific Birth Rate For Females
Aged 15-19 X Age Interval In Age Group) + (Age-Specific Birth
Rate For Females Aged 20-24 X Age Interval In Age Group )
+ (Age-Specific Birth Rate For Females Aged 25-29 X Age
Interval In Age Group) + (Age-Specific Birth Rate For Females
Aged 30-34 X Age Interval In Age Group) + (Age-Specific
Birth Rate For Females Aged 35-39 X Age Interval In Age
Group)+(Age-Specific Birth Rate For Females Aged 40-44 X
Age Interval In Age Group ) + (Age-Specific Birth Rate For
Females Aged 45-49 X Age Interval In Age Group)
TOTAL FERTILITY
RATE
*
=
Number of Live Births + Number of Abortions + Estimated
Total Fetal Losses
PREGNANCY RATE = X 1,000
POSTNEONATAL
MORTALITY RATE
TEENAGE BIRTH
RAT
E
X 1,000
=
VAGINAL BIRTH
AFTER CESAREAN
RATE
X 1,000
=
=
TEENAGE
PREGNANCY RATE
X 1,000
=
X 1,000
=
110
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The Summary of Adequacy of Prenatal Care
Utilization Index (APNCU) or Kotelchuck Index
1
7-9 Month
5-6 Month
3-4 Month
1-2 Month
Under 50% 50-79% 80-109% 110% +
Percent of Recommended Visits
Inadequate - Prenatal care began after 4th month, or less than
50% of recommended visits. Do not include no prenatal care received.
Intermediate - Prenatal care began by 4th month, and 50% - 79%
of recommended visits.
Adequate - Prenatal care began by 4th month, and 80% - 109% of
recommended visits.
Adequate Plus - Prenatal care began by 4th month, and 110% or
more of recommended visits.
1
Adapted from Kotelchuck M., "An Evaluation of the Kessner Adequacy of Prenatal Care Index and a
Proposed Adequacy of Prenatal Care Utilization Index", American Journal of Public Health, 1994,
84(9): 1414-20.
Month Prenatal Care Began
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GRAMS CONVERSION TABLE
O U N C E S
P
O
U
N
D
S
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
P
O
U
N
D
S
0 ─ 28 57 85 113 142 170 198 227 255 284 312 340 369 397 425 0
1 454 482 510 539 567 595 624 652 680 709 737 765 794 822 851 879 1
2 907 936 964 992 1021 1049 1077 1106 1134 1162 1191 1219 1247 1276 1304 1332 2
3 1361 1389 1418 1446 1474 1503 1531 1559 1588 1616 1644 1673 1701 1729 1758 1786 3
4 1814 1843 1871 1899 1928 1956 1985 2013 2041 2070 2098 2126 2155 2183 2211 2240 4
5 2268 2296 2325 2353 2381 2410 2438 2466 2495 2523 2552 2580 2608 2637 2665 2693 5
6 2722 2750 2778 2807 2835 2863 2892 2920 2948 2977 3005 3033 3062 3090 3119 3147 6
7 3175 3204 3232 3260 3289 3317 3345 3374 3402 3430 3459 3487 3515 3544 3572 3600 7
8 3629 3657 3686 3714 3742 3771 3799 3827 3856 3884 3912 3941 3969 3997 4026 4054 8
9 4082 4111 4139 4167 4196 4224 4253 4281 4309 4338 4366 4394 4423 4451 4479 4508 9
10 4536 4564 4593 4621 4649 4678 4706 4734 4763 4791 4820 4848 4876 4905 4933 4961 10
11 4990 5018 5046 5075 5103 5131 5160 5188 5216 5245 5273 5301 5330 5358 5387 5415 11
12 5443 5472 5500 5528 5557 5585 5613 5642 5670 5698 5727 5755 5783 5812 5840 5868 12
13 5897 5925 5954 5982 6010 6039 6067 6095 6124 6152 6180 6209 6237 6265 6294 6322 13
14 6350 6379 6407 6435 6464 6492 6521 6549 6577 6606 6634 6662 6691 6719 6747 6776 14
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15
O U N C E S
112
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Appendix C
CAUSE OF DEATH LISTS
NCHS 113 Selected Causes of Death
Selected Causes of Infant Death
113
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CAUSE OF DEATH ICD-10 CODE
Salmonella infections # A01-A02
Shigellosis and amebiasis # A03, A06
Certain other intestinal infections A04, A07-A09
Tuberculosis# A16-A19
Respiratory tuberculosis A16
Other tuberculosis A17-A19
Whooping cough # A37
Scarlet fever and erysipelas # A38, A46
Meningococcal infection # A39
Septicemia # A40-A41
Syphilis # A50-A53
Acute poliomyelitis # A80
Arthropod-borne viral encephalitis # A83-A84, A85.2
Measles # B05
Viral hepatitis # B15-B19
Human immunodeficiency virus (HIV) disease # B20-B24
Malaria # B50-B54
A00, A05, A20-A36, A42-A44, A48-A49, A54-
A79, A81-A82, A85.0-A85.1, A85.8, A86-B04,
B06-B09, B25-B49, B55-B99, U071
Malignant neoplasms # C00-C97
Lip, oral cavity and pharynx C00-C14
Esophagus C15
Stomach C16
Colon, rectum and anus C18-C21
Liver and intrahepatic bile ducts C22
Pancreas C25
Larynx C32
Trachea, bronchus and lung C33-C34
Skin C43
Breast C50
Cervix uteri C53
Corpus uteri and uterus, part unspecified C54-C55
Ovary C56
Prostate C61
Kidney and renal pelvis C64-C65
Bladder C67
Meninges, brain and other parts of central nervous system C70-C72
Lymphoid, hematopoietic and related tissue
C81-C96
Hodgkin's disease C81
Non-Hodgkin's lymphoma C82-C85
Leukemia C91-C95
Multiple myeloma and immunoproliferative neoplasms C88, C90
Other and unspecified malignant neoplasms of lymphoid,
hematopoietic and related tissue
Other and unspecif
ied infectious and parasitic diseases
C96
NCHS 113 SELECTED CAUSES OF DEATH
#Eligible to be a leading cause of death
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CAUSE OF DEATH ICD-10 CODE
NCHS 113 SELECTED CAUSES OF DEATH
C17, C23-C24, C26-C31, C37-C41, C44-C49,
C51-C52, C57-C60, C62-C63, C66, C68-C69,
C73-C80, C97
In situ neoplasms, benign neoplasms and neoplasms of uncertain or
unknown behavior #
Anemias # D50-D64
Diabetes mellitus # E10-E14
Nutritional deficiencies # E40-E64
Malnutrition E40-E46
Other nutritional deficiencies E50-E64
Meningitis # G00, G03
Parkinson's disease # G20-G21
Alzheimer's disease #
G30
Major cardiovascular diseases
I00-I78
Diseases of heart # I00-I09, I11, I13, I20-I51
Acute rheumatic fever and chronic rheumatic heart diseases I00-I09
Hypertensive heart disease I11
Hypertensive heart and renal disease I13
Ischemic heart diseases I20-I25
Acute myocardial infarction I21-I22
Other acute ischemic heart diseases I24
Other forms of chronic ischemic heart disease I20, I25
Atherosclerotic cardiovascular disease, so described I25.0
All other forms of chronic ischemic heart disease I20, I25.1-I25.9
Other heart diseases I26-I51
Acute and subacute endocarditis I33
Diseases of pericardium and acute myocarditis
I30-I31, I40
Heart failure
I50
All other forms of heart disease
I26-I28, I34-I38, I42-I49, I51
Essential (primary) hypertension and hypertensive renal disease # I10, I12
Cerebrovascular diseases # I60-I69
Atherosclerosis # I70
Other diseases of circulatory system I71-I78
Aortic aneurysm and dissection # I71
Other diseases of arteries, arterioles and capillaries I72-I78
Other disorders of circulatory system I80-I99
Influenza and pneumonia # J09-J18
Influenza J09-J11
Pneumonia J12-J18
Other acute lower respiratory infections J20-J22
Acute bronchitis and bronchiolitis # J20-J21
Unspecified acute lower respiratory infection J22
Chronic lower respiratory diseases # J40-J47
Bronchitis, chronic and unspecified J40-J42
Emphysema J43
Asthma J45-J46
All other and unspecified malignant neoplasms
D00-D48
#Eligible to be a leading cause of death
ADPH|CHS
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AVS (2020)
CAUSE OF DEATH ICD-10 CODE
NCHS 113 SELECTED CAUSES OF DEATH
Other chronic lower respiratory diseases J44, J47
Pneumoconioses and chemical effects # J60-J66, J68
Pneumonitis due to solids and liquids # J69
Other diseases of respiratory system J00-J06, J30-J39, J67, J70-J98
Peptic ulcer # K25-K28
Diseases of appendix # K35-K38
Hernia # K40-K46
Chronic liver disease and cirrhosis # K70, K73-K74
Alcoholic liver disease K70
Other chronic liver disease and cirrhosis K73-K74
Cholelithiasis and other disorders of gallbladder # K80-K82
Nephritis, nephrotic syndrome and nephrosis # N00-N07, N17-N19, N25-N27
Acute and rapidly progressive nephritic and nephrotic syndrome N00-N01, N04
Chronic glomerulonephritis, nephritis and nephritis not specified as
acute or chronic, and renal
sclerosis unspecified
Renal failure N17-N19
Other disorders of kidney N25,N27
Infections of kidney # N10-N12, N13.6, N15.1
Hyperplasia of prostate # N40
Inflammatory diseases of female pelvic organs # N70-N76
Pregnancy, childbirth and the puerperium # O00-O99
Pregnancy with abortive outcome O00-O07
Other complications of pregnancy, childbirth and the puerperium O10-O99
Certain conditions originating in the perinatal period # P00-P96
Congenital malformations, deformations and chromosomal
abnormalities #
Symptoms, signs and abnormal clinical and laboratory findings, not
elsewhere classified
All other diseases (residual) D65-E07, E15-E34, E65-F99, G04-G12, G23-G25,
G31-H93, K00-K22, K29-K31, K50-K66, K71-K72,
K75-K76, K83-M99, N13.0-N13.5, N13.7-N13.9,
N14,N15.0, N15.8-N15.9, N20-N23, N28-N39,
N41-N64, N80-N98
Accidents (unintentional injuries) # V01-X59, Y85-Y86
Transport accidents V01-V99, Y85
V02-V04, V09.0, V09.2, V12-V14, V19.0-V19.2,
V19.4-V19.6, V20-V79, V80.3-V80.5, V81.0-V81.1,
V82.0-V82.1, V83-V86, V87.0-V87.8, V88.0-V88.8,
V89.0, V89.2
V01, V05-V06, V09.1, V09.3-V09.9, V10-V11,
V15-V18, V19.3, V19.8-V19.9, V80.0-V80.2,
V80.6-V80.9, V81.2-V81.9, V82.2-V82.9, V87.9,
V88.9, V89.1, V89.3, V89.9
Water, air and space, and other and unspecified transport
ac
cidents and their sequelae
Nont
ransport acc
idents W00-X59, Y86
Other land transport accidents
Motor vehicle accidents
N02-N03, N05-N07, N26
Q00-Q99
R00-R99
V90-V99, Y85
#Eligible to be a leading cause of death
116
ADPH|CHS
AVS (2020)
CAUSE OF DEATH ICD-10 CODE
NCHS 113 SELECTED CAUSES OF DEATH
Falls W00-W19
Accidental discharge of firearms W32-W34
Accidental drowning and submersion W65-W74
Accidental exposure to smoke, fire and flames X00-X09
Accidental poisoning and exposure to noxious substances X40-X49
W20-W31, W35-W64, W75-W99, X10-X39,
X50-X59, Y86
Intentional self-harm (suicide) # X60-X84, Y87.0
Suicide by discharge of firearms X72-X74
Suicide by other and unspecified means and their sequelae X60-X71, X75-X84, Y87.0
Assault (homicide) # X85-Y09, Y87.1
Homicide by discharge of firearms X93-X95
*U01.0-*U01.3, *U01.5-*U01.9, X85-X92,
X96-Y09, Y87.1
Legal intervention Y35, Y89.0
Events of undetermined intent Y10-Y34, Y87.2, Y89.9
Discharge of firearms, undetermined intent Y22-Y24
Other and unspecified events of undetermined intent and their sequelae Y10-Y21, Y25-Y34, Y87.2, Y89.9
Operations of war and their sequelae # Y36, Y89.1
Complications of medical and surgical care # Y40-Y84, Y88
Homicide by other and unspecified means and their sequelae
Other and unspecified nontransport accidents and their sequelae
# Eligible to be a leading cause of death
** Codes are not included in the International Classification of Dis
eases, 10th Revision (ICD-10).
117
ADPH|CHS
AVS (2020)
CAUSE OF DEATH ICD-10 CODE
Certain intestinal infectious diseases A00-B99
Septicemia # A40-A41
Viral diseases
A80-B34, U07.1
Other and unspecified infectious and parasitic diseases A00-A39, A42-A79, B35-B99
Malignant neoplasms #
C00-C97
In situ neoplasms, benign neoplasms and uncertain or unknown behavior # D00-D48
Diseases of the blood and blood forming organs and certain disorders
involving the immune mechanism #
Endocrine, nutritional and metabolic diseases E00-E88
Volume depletion, disorders of fluid, electrolyte and acid base balance #
E86-E87
Other endocrine, nutritional and metabolic diseases
E00-E85, E88
Diseases of the nervous system
G00-G98
Meningitis # G00, G03
Infantile spinal muscular atrophy, type I (Werding-Hoffman) # G12.0
Infantile cerebral palsy # G80
Anoxic brain damage, not elsewhere classified # G93.1
G01-G02, G04-G11, G12.1-G12.9, G13-G79,
G81-G92, G93.0, G93.2-G93.9, G94-G98
Diseases of the circulatory system #
I00-I99
Pulmonary heart disease and diseases of pulmonary circulation
I26-I28
Cardiomyopathy I42
Cardiac arrest I46
Cerebrovascular diseases
I60-I69
Other diseases of the circulatory system
Diseases of the respiratory system
J00-J98
Influenza and pneumonia # J09-J18
Acute bronchitis and acute bronchiolitis # J20-J21
Other and unspecified diseases of the respiratory system
J00-J09, J19, J22-J98
Diseases of the digestive system
K00-K92
Gastritis, duodenitis, and noninfective enteritis and colitis # K29, K50-K55
Hernia of abdominal cavity and intestinal obstruction without hernia # K40-K46, K56
Other and unspecified diseases of digestive system
Diseases of the genitourinary system
N00-N98
Renal failure and other disorders of kidney # N17-N19, N25, N27
Other and unspecified diseases of genitourinary system
Certain conditions originating in the perinatal period
P00-P96
Newborn affected by maternal factors and complications of pregnancy,
labor and delivery
Newborn affected by maternal hypertensive disorders #
P00.0
Newborn affected by other maternal conditions which may be unrelated
to present pregnancy #
Newborn affected by maternal complications of pregnancy #
P01
Newborn affected by incompetent cervix P01.0
Newborn affected by premature rupture of membranes P01.1
Newborn affected by multiple pregnancy P01.5
SELECTED CAUSES OF INFANT DEATH
(A MODIFICATION OF THE NCHS 130 CAUSES)
Other and unspecified infectious and parasitic diseases
D50-D89
P00-P04
P00.1-P00.9
ADPH|CHS
118
AVS (2020)
#Eligible to be a leading cause of death
K00-K28, K30-K38, K57-K92
N00-N16, N20-N23, N26, N28-N95
I00-I25, I29-I41, I43-I45, I47-I59, I70-I99
CAUSE OF DEATH ICD-10 CODE
SELECTED CAUSES OF INFANT DEATH
(A MODIFICATION OF THE NCHS 130 CAUSES)
Newborn affected by other maternal complications of pregnancy P01.2-P01.4, P01.6-P01.9
Newborn affected by complications of placenta, cord and membranes # P02
Newborn affected by complications involving placenta P02.0-P02.3
Newborn affected by complications involving cord P02.4-P02.6
Newborn affected by chorioamnionitis P02.7
Newborn affected by other and unspecified abnomalities of membranes P02.8-P02.9
Newborn affected by other complications of labor and delivery # P03
Newborn affected by noxious influences transmitted via placenta or
breast milk
Disorders related to length of gestation and fetal malnutrition P05-P08
Disorders related to short gestation and low birth weight, not elsewhere
classified #
Extremely low birth weight or extreme immaturity P07.0, P07.2
Other low birth weight or preterm P07.1, P07.3
Other disorders related to length of gestation and fetal malnutrition
P05-P06, P08
Birth trauma # P10-P15
Intrauterine hypoxia and birth asphyxia #
P20-P21
Intrauterine hypoxia P20
Birth asphyxia P21
Respiratory distress of newborn #
P22
Other respiratory conditions originating in the perinatal period
P23-P28
Congenital pneumonia # P23
Neonatal aspiration syndromes # P24
Interstitial emphysema and related conditions originating in the
perinatal period #
Pulmonary hemorrhage originating in the perinatal period # P26
Chronic respiratory disease originating in the perinatal period # P27
Atelectasis # P28.0-P28.1
All other respiratory conditions originating in the perinatal period P28.2-P28.9
Infections specific to the perinatal period
P35-P39
Bacterial sepsis of newborn P36
All other infections specific to the perinatal period P35, P37, P39
Hemorrhagic and hematological disorders of newborn
P50-P61
Neonatal hemorrhage # P50-P52, P54
Other hemorrhagic and hematological disorders of newborn
P53, P55-P59
Hematological disorders # P60-P61
Necrotizing entercolitis of newborn # P77
Hydrops fetalis not due to hemolytic disease # P83.2
P29, P70.3-P70.9, P71-P76, P78-P81,
P83.0-P83.1, P83.3-P83.9, P90-P96
Congenital malformations, deformations and chromosomal abnormalities # Q00-Q99
Anencephaly and similar malformations Q00
Congenital hydrocephalus Q03
Spina bifida Q05
Other congenital malformations of nervous system Q01-Q02, Q04, Q06-Q07
Other perinatal conditions
P04
P07
P25
ADPH|CHS
119
AVS (2020)
#Eligible to be a leading cause of death
CAUSE OF DEATH ICD-10 CODE
SELECTED CAUSES OF INFANT DEATH
(A MODIFICATION OF THE NCHS 130 CAUSES)
Congenital malformations of heart Q20-Q24
Other congenital malformations of circulatory system Q25-Q28
Congenital malformations of respiratory system Q30-Q34
Congenital malformations of digestive system Q35-Q45
Congenital malformations of genitourinary system Q50-Q64
Congenital malformations and deformations of musculoskeletal system,
limbs and integument
Down's syndrome Q90
Edward's syndrome Q91.0-Q91.3
Patau's syndrome Q91.4-Q91.7
Other congenital malformations and deformations Q10-Q18, Q86-Q89
Other chromosomal abnormalities, not elsewhere classified Q92-Q99
Symptoms, signs and abnormal clinical and laboratory findings, not
elsewhere classified
Sudden infant death syndrome # R95
Other symptoms, signs and abnormal clinical and laboratory findings, not
elsewhere classified
All other diseases (residual) of A00-R99
A00-R99 not listed above
External causes of mortality
V01-Y89
Accidents #
V01-X59
V02-V04, V09.0, V09.2, V12-V14, V19.0-V19.2,
V19.4-V19.6, V20-V79, V80.3-V80.5, V81.0-V81.1,
V82.0-V82.1, V83-V86, V87.0-V87.8, V88.0-V88.8,
V89.0, V89.2
Falls W00-W19
Accidental discharge of firearms W32-W34
Accidental drowning and submersion W65-W74
Accidental suffocation and strangulation in bed W75
Other accidental suffocation and strangulation W76-W77, W81-W84
Accidental inhalation and ingestation of food or other objects causing
obstruction of respiratory tract
Accidents caused by exposure to smoke, fire and flames X00-X09
Other and unspecified accidents and their sequelae
Homicide (assault) #
X85, Y09, Y87.1
Neglect, abandonment and other maltreatment syndrome Y06-Y07
*U01.0-*U01.3, *U01.5-*U01.9, X85-X90, X92,
X96-Y05, Y08-Y09
Complications of medical and surgical care Y40-Y84, Y88
Other external causes Y60-X84, Y10-Y36, Y87.0, Y87.2, Y89
W78-W80
Homicide by other and unspecified means
Motor vehicle accidents
Q65-Q85
R00-R99
R00-R53, R55-R94, R96-R99
# Eligible to be a leading cause of death
* Codes are not included in the International Classification of Diseases, 10th Revision (ICD-10)
120
ADPH|CHS
AVS (2020)
Residual of V01-X59