In Chapter 6 you have been reading about General Health and Population Indicators. Health indicators
In Chapter 6 you have been reading about General Health and Population Indicators. Health indicators are used to identify the health status of a population. Health indicators frequently rely on data required by law, such as birth certificates and death certificates. you will study the distribution of a particular health-related event, teenage births, by exploring data from birth certificates. Teenage pregnancy is a health indicator that remains a major contributor to maternal and child mortality, and to intergenerational cycles of ill-health and poverty. Read the following scenario: The Springfield, Massachusetts, Town Council thinks that the city may have a serious teenage pregnancy problem. The council wants to know how many children were born to Springfield’s teenagers during 2001. As the director of the Springfield’s Office of Vital Statistics, you have the responsibility of answering this question. Your assistant has combed through copies of the 1,673 Certificates of Live Birth that were issued for children born at 11 hospitals in western Massachusetts during 2001. He has made copies of all the birth certificates that he thought were issued for children born to Springfield’s teenagers. When he was in doubt, he made a copy of the certificate so that others could decide. These copies were placed on your desk at 2 p.m. You will need to review the birth certificates in question and written response for the Town Council meeting tomorrow, including a bar graph showing distribution of teenage births for each age. Your assignment: a case definition of a teenage birth. (A case definition is a way to describe who has the health-related state by identifying what happened, where it happened and when it happened.) Enter the Birth Certificate data in an Excel Spreadsheet including: Birth Certificate Number (1-51), Child Date of Birth, Child City of Birth, Mother Date of Birth, Mother Town of Residence, Father Date of Birth Count the number of teenage births that occurred in Springfield in 2001. Add the following columns to the Excel Spread Sheet: Mother’s age at time of birth, Is Mother a Teenager (0=No, 1=Yes), Child Born to a Springfield Teenage Mother (0=No, 1=Yes) Use the Data you compiled to form a bar graph with Age of Mother (Years) on the X-axis and # of Children Born in Springfield on the y-axis. Copy and paste this bar graph into your summary ***Creating the Bar Graph in Excel is the same procedure as you followed in creating the epidemic curve last week. The first column highlighted is the x-axis and the second one will be the y-axis. page summary of your findings for the Town Council meeting that includes responses to the following questions: Your case definition that you used to evaluate the data How many children were born to Springfield’s teenagers during 2001? Bar Graph of the results In your opinion, does Springfield have a serious problem with children being born to teenage mothers? What sources of error may have affected your answers to the above questions? (A source of error is a limitation in a procedure or an instrument that causes an inaccuracy in the quantitative results.) What additional information would you want to make this judgement? Please answer all of these questions and describe it. Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH 1… Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH 1… Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH 1… Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH 1… Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH 1… Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH 1… Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH 1… Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH 1… Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Image transcription text Is this a Certificate of Live Birth for a baby born to a Springfield, Massachusetts, teenager during 2001? U.S. STANDARD CERTIFICATE OF LIVE BIRTH … Show more Then answer: 1. Share your Case Definition with the Class 2. How many children were born to Springfield’s teenagers during 2001? 3. Did you feel that Springfield has a serious problem with children being born to teenage mothers? Next, consider the following: The National Center for Health Statistics defines a teenage birth as a live birth to a woman 15-19 years old According to the National Center for Health Statistics, a municipality’s births are defined as the births to women who reside in that municipality, not the births that occur in it. For example, A birth that occurs in Holyoke, Massachusetts, to a woman who lives in Springfield, Massachusetts, is Springfield’s birth. However, a birth that occurs in Springfield, Massachusetts, to a woman who lives in Palmer, Massachusetts, is Palmer’s birth. Now, return to the data set you compiled in your Excel Spreadsheet and apply the above listed definitions to your data and answer the following questions: How many children were born to Springfield’s teenagers during 2001? How did the updated definitions change your outcomes? Would these new numbers change your summary to the Town Council? If so, how? Teenage pregnancies and teenage births are not synonymous. Teenage Pregnancies = Number of Live Births (birth certificates) + Number of Stillbirths + Number of Pregnancies Electively Terminated + Number of Pregnancies Spontaneously Miscarried. Share with the class why this is an important distinction. Why is it important to define the health issue well?
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