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Alameda County Pilot Project:  Term Low Birthweight Maps


 

It is important to understand where term low birthweight (TLBW) births are occurring in Alameda County.  This information can be used for various public health actions, including targeting resources, planning interventions, evaluating programs, and developing policies.

 

We created tables and charts showing TLBW rates by city and ZIP code.  This information can be useful for making comparisons between locations and for comparing to other information that is categorized by city or ZIP codes.

 

We also created a smoothed surface map of TLBW rates in Alameda County for 2001.  This map is useful for looking at rates at the neighborhood level.  To learn more about how we made these maps, go to Data and Methods Overview. 

 

Reading the map

- A smoothed-surface map is like a contour map of rates.  Instead of showing the term low birthweight birth rates by geographic unit (such as a ZIP code), it shows a continuous surface.  This gives a more realistic representation of what preterm birth looks like in the county, while preserving the confidentiality of the individuals whose records we used to create the map.

 

- The orange circles on the map show locations where the elevation in rate was statistically significant compared to the Alameda County rate of 2.4%.  This means that the difference between the rates of these locations and the countywide rate is not due to random chance.

 

- Because these maps are showing rates, population density is accounted for.  In other words, an area does not appear "high" just because there are more people living there. The rates are mapped by maternal address- where the mother was living at the time she gave birth.

 

Below is a map showing rates of TLBW in Alameda County in 2001.  The data used to create the map came from the California Department of Health Statistics, Center for Health Statistics.

 

TERM LOW BIRTHWEIGHT IN ALAMEDA COUNTY

Statistically significant elevations in rates of TLBW births were located in the northwest part of Alameda County.  Similar to preterm births, rates of TLBW births that were significantly higher than the county rate exist mainly in Oakland.  Another grouping of elevated rates exist around San Lorenzo, just below the split between the Interstate-880 and Interstate-580 freeways.

 

Figure 1.

Click here to download the map in PDF.

 

 

   You can also look at this map on InfoAlamedaCounty's online interactive web mapping tool at www.InfoAlamedaCounty.org.  This interactive interface allows the user to see the pilot project results and map other information on the county, including demographics, housing, and labor.  It also allows the user to zoom in to specific locations and to examine the information by city, zip code, and census tract.

 

 

TERM LOW BIRTHWEIGHT BY CITY

Reading the chart

- The dotted line across each chart shows the rate of TLBW births for all of California, which is 2.1%.

- The 95% confidence interval (CI) is the range of values that likely contains the true percent of term low birthweight births within the population. The upper and lower limits of this range are indicated by the thin black lines on each bar on the chart. These are sometimes known as error bars.

- Rates (or percents) were calculated by dividing the total number of TLBW births by the total number of live singleton births at full term in Alameda County.

 

Figure 2. shows percentages of TLBW births across Alameda County cities.  The rates among cities varied.  For example, Oakland had five times the rate of TLBW when compared to Castro Valley (3.1% and 0.6%).  Cherryland had the highest percentage of TLBW births at 5.4%, although the confidence interval was very wide.  The TLBW rates for cities in the southern part of Alameda Count (Fremont, Newark, Union City, and Hayward) were not significantly different from the statewide rate (2.06%).

 

Figure 2.

Click here to download a PDF of Figure 2.

 

 

We have also calculated percents of TLBW by city and ZIP code.  Click below to download the tables in PDF. 

 

 

Go to:

Preterm birth disparities

Preterm birth map and tables

Term low birthweight map and tables

FAQs on birth outcomes and results

 

  Return to the birth outcomes findings page

 

 

 

 

 

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