California Birth Data
VitalWeb Standard
Online Help

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Table of Contents

  1. Introduction

    Quick Guide to Using VitalWeb Standard
    Multiple Windows
  2. Table Settings

    Main Statistic
    Table Axes (Rows and Columns)
    Statistic / Axis Conflicts
  3. Data Variables

    Categorical Variables
    Range Variables
    Statistic / Variable Conflicts
    Other Settings
  4. Chart Settings

    Bar Chart Coloring
    Bar Chart Layout
    Line Chart Settings
    More Line Chart Settings
    Pie Chart Coloring
    Pie Chart Layout
    Tabular Charts / Chart Links
  5. Map Settings

    Map Coloring
    Map Layout
    Map Color Palettes
  6. Producing and Using Results

    Getting Results
    Viewing Results
    Printing Results
    Saving Results
  7. Other Information

    Race Categories
    County Groupings
    95% Poisson Confidence Limits
    Statistical Methods
    Confidence Intervals
    Data Sources and Limitations
    Links to Related Resources
    Whom to Contact
    Legal Information

Quick Guide to Using VitalWeb Standard

Start Button First, select settings from within the Main Window:
Next, whenever you are ready:
After you have made output:

Multiple Windows

Screenshot: Multiple Windows

VitalWeb Standard uses multiple browser windows. Main Window ("command center") has the majority of settings and action buttons.

Map Settings Window customizes all map settings.

Other Settings Window: Help Window is what you are currently viewing.

Results Window displays any output maps or tables. Chart Setting Windows modify bar, line, and pie chart settings.

Main Statistic

Main Statistic - The basic numerical result in the output.

Main statistics include: Births | Births per 1,000 People | Births per 1,000 Females | General Fertility Rate | Cesarean Rate - Total | Cesarean Rate - Primary | Cesarean Rate - Repeat | % Births - Under 1500 gms | % Births - Under 2500 gms | % Births - Over 3999 gms | % Births - Early Prenatal Care | % Births - Adequate Kessner | % Births - Inadequate Kessner | % Births - Early Delivery

Selecting - Click on desired setting, such as Births.


Table Axes (Rows and Columns)

Year 0-1920-3940-5960+
1990 1,032 302 545 79
1991 1,134 317 555 88
1992 1,236 348 602 86

Example Table: Year Rows - Age Columns

Selecting - Click on desired setting, such as "Age" or "Race".

Statistic / Axis Conflicts

No Left Turn Sign If there is a conflict between statistic, rows, or columns:
Examples of conflicting settings (mismatches) include:
To correct a conflict, select a different Main Statistic, Row Variable, or Column Variable.

Selecting Data Variables

Data variables include - age of mother, birth weight, race, county of residence of mother, delivery method, sex of baby, gestational age, prenatal care visits, year of birth.

Example selector for data variable:  

Change Groups

Practice for selecting data variable:
  1. Select one value - Click on "Under 1".
  2. Add one value to selection - CTL-Click on "5 to 14".
  3. Delete one value from selection - CTL-Click on "Under 1".
  4. Select several values - Hold down mouse, drag over several.
  5. Select all values - Click on "All Ages".
  6. Change groups - Click on "Change Groups" at bottom.

Note: Can only "Change Groups" for "range variables", such as age or year.
Note: "CTL-Click" means: While holding down control key, click mouse.

Appearance of Data Selector for Geographic Areas:

Select areas - move from left to right

Unselect areas - move from right to left

To select geographic areas (in actual interface only):
  1. Highlight unselected area - Click on "Armstrong".
  2. Move area to "selected" column - Click on green arrow.

To unselect geographic areas (in actual interface only):
  1. Highlight selected area - Click on "Mills".
  2. Move area to "unselected" column - Click on red arrow.

Notes on geographic selection:

Selecting Data Variable Groupings

Certain data variables allow different "groupings".
For example, 5-year or 10-year age groups.

To change the grouping:


Example data grouping popup

Statistic / Variable Conflicts

No Left Turn Sign Sometimes, a conflict exists between a variable and a population-based rate. Vitalnet automatically prevents this from producing misleading output.
This is best shown with an example: Suppose there are 408,000 births, and the population is 12,000,000 females. Thus, the birth rate is 34 births per 1,000 females (408,000 / 12,000,000).
Now, suppose we try limiting the analysis to women with 12 years education. We know there are 108,000 births to such women. The result would seem to be 9 births per 1,000 such women (108,000/ 12,000,000). But of course this is totally wrong, because the denominator is not adjusted. And we don't have the population denominator data for women with 12 years education, so there is no easy solution.
To resolve this problem, when Vitalnet makes a rate calculation, it automatically prevents spurious results from being produced, by automatically adding all categories to demographic variables that are not included in the population data set.
So, for example, if you try to calculate a birth rate for women with 12 years of education, Vitalnet simply ignores the limitation to 12 years of education. Instead, it includes all levels of education, so the numerator and denominator match up. And it correctly reports that all levels of education were analyzed.
In contrast, if you try to calcuate a cesarean rate for women with 12 years of education, this does not require population data, only requires information on the births, so Vitalnet calculates the cesarean rate, limited to women with 12 years of education.

Other Settings

If you click on "Other Settings" in the Main Window, a separate "Other Settings Window" pops up. It lets you modify the following options:
Statistic Modifiers:
  - Early Care Cutoff - Early Prenatal Care % Month, such as 4
  - Early Delivery Cutoff - Week for Early Delivery %, such as 37
  - Reside / Occur - Residence or Occurrence Analysis
Secondary Statistics:
  - Cell Confidence Level - Confidence Level, such as 95%
  - Cell Suppression - Cell Suppression Level, such as 10
  - Table Percents - Row or Column Percents for Table
  - Trend Algorithm - Algorithm to use for Trend Analysis
  - Trend Confidence Level - Confidence Level, such as 95%
Miscellaneous Details:
  - Decimal Place Digits - Decimal Places, such as 2 for 5.99
  - HTML Output Font - Font for HTML Output, such as Arial
  - Spreadsheet Format - Spreadsheet Data Format, such as CSV
  - Tabular Chart - Tabular Chart Width, or Omit Chart
  - Unique ID - Unique ID on Maps and Charts

Example Selector, for One Setting:

Bar Chart Coloring

There are three settings for customizing Vitalnet bar chart colors:

  - The background color behind the chart.
  - The color palette to use for the bars.
  - The first color in the palette to use for the bars.

Below are shown the three settings, with examples for each:

Background Color for Chart (10 options)
Chart Image
  Chart Image
Grey 90
  Chart Image
Lemon Chiffon
  Chart Image
Light Blue

Color Palette for Bars (4 options)
Chart Image
Bright Colors
Chart Image
Subdued Colors
Chart Image
Bright + Subdued
Chart Image
Black + White

First Color in Palette to Use (10 options)
Chart Image
A Forward
Chart Image
D Reverse
Chart Image
E Forward
Chart Image
J Reverse

Bar Chart Layout

There are six ways to customize the layout of Vitalnet bar charts:
  - Bar height, and bar width.
  - Orientation (horizontal or vertical).
  - Stacking (works with either horizontal or vertical bars).
  - Grid lines may be added, or font size changed.

Bar Chart Height (9 options)
Chart Image
2 cm High
Chart Image
4 cm High

Width of Bars (8 options)
Chart Image
0.2 cm Wide
Chart Image
0.6 cm Wide

Vertical or Horizontal Bars
Chart Image
Vertical Bars
  Chart Image

Stacked Bars, or not Stacked
Chart Image
Stacked Bars
Chart Image
Not Stacked

Include or Omit Grid Lines
Chart Image
Include Grid
Chart Image
Omit Grid

Font Size for Chart Text (8 options)
Chart Image
10 pt Font
  Chart Image
14 pt Font

Line Chart Settings

There are eight ways to customize Vitalnet line charts, as shown on this and the next page.

Background Color for Chart (10 options)
Chart Image
Alice Blue
  Chart Image
Light Yellow

Include or Omit Data Point Symbols (2 options)
Chart Image
Include Symbols
  Chart Image
Omit Symbols

Radius for Chart Symbols (10 options)
Chart Image
1.0 mm Radius
  Chart Image
1.4 mm Radius

Line Chart Height - Vitalnet also allows you to set the chart height, eg 3.0 cm (9 height options).

More Line Chart Settings

Width of Lines (3 options)
Chart Image
Thin Lines
  Chart Image
Thick Lines

Include or Omit Grid Lines (2 options)
Chart Image
Include Grid
  Chart Image
Omit Grid

Colored Lines, or Black + White (2 options)
Chart Image
Colored Lines
  Chart Image
Black + White Lines

Font Size - Vitalnet also allows you to select font size, eg 9 pt (8 font size options).

Pie Chart Coloring

There are three settings for customizing Vitalnet pie chart coloring:

  - The background color behind the chart.
  - The color palette to use for the pie chart.
  - The first color in the palette to use (for slice #1).

Background Color for Chart (10 options)
Chart Image
Cornsilk Background
Chart Image
Grey Background
Chart Image
Light Cyan

Color Palette for Pie Chart (3 options)
Chart Image
Bright Colors
Chart Image
Subdued Colors
Chart Image
Mixed Colors

Slice #1 Color to Use (10 options)
Chart Image
Color A for #1
Chart Image
Color B for #1
Chart Image
Color C for #1

Pie Chart Layout

There are four settings for customizing Vitalnet pie chart layout, as shown below:

Slice #1 Clock Position (12 options)
Chart Image
Slice #1 at Noon
  Chart Image
Slice #1 at 3:00
  Chart Image
Slice #1 at 6:00

How to Label Pie Chart (9 options)
Chart Image
Line + Label
  Chart Image
Label Only
  Chart Image
Use Legend

How to Display Slice Percents (3 options)
Chart Image
Percent After Label
  Chart Image
Under Label
  Chart Image
Omit Percents

Pie Chart Radius - Vitalnet also allows you to select the pie chart size, eg 2.0 cm (9 options).

Tabular Charts / Chart Links

Tabular chart

A "tabular chart" is a convenient way of making comparisons.

The tabular chart is always made, unless turned off from the "Other Settings" menu. Also, you may specify the width of the columns within the chart.

Chart links: Note the links below the tabular chart. The links connect to additional graphical and data output formats. The example above links to bar chart, text, database, and spreadsheet formats.

Map Coloring

Color Combination for Map (36 options)
Map Image
  Map Image
  Map Image

Number of Map Colors (Ranges) (8 options)
Map Image
3 Colors
  Map Image
5 Colors
  Map Image
7 Colors

Equal Width, Equal Count, Jenks (3 options)
Map Image
Equal Count (Quantiles)
Map Image
Equal Interval
Map Image
Natural Breaks

Map Layout

Boundaries to Display (2 options)
Map Image
County Boundaries
  Map Image
HSR Boundaries
  Map Image
Border Counties

Cell Suppression (14 options)
Map Image
Suppression Off
  Map Image
Suppress < 10
  Map Image
Suppress < 30

PNG and PDF formats - Vitalnet always makes both PNG and PDF map output. Access the PDF version by clicking a link at the bottom of the web page with the PNG map. The PDF version is set to 8 1/2 x 11 inches.
Text Font for Map - There are 9 font options for displaying area labels:
[ Serif Normal ]     [ Sans-Serif Normal ]     [ Monospace Normal ]  
[ Serif Bold ]     [ Sans-Serif Bold ]     [ Monospace Bold ]  
[ Serif Italic ]     [ Sans-Serif Italic ]     [ Monospace Italic ]  
Time Trend Maps - Finally, Vitalnet can make (not shown here) a series of maps, one map for each selected year range. The map series is cycled within a special interface. The data ranges are the same for each map in the series, so you can directly compare the maps.

Map Color Palettes

1 2 3 4 5 6 7 8 9   Diverging Palette    BW   CB 
                                                        Brown-BlueGreen   - Y
                                                        Pink-Green   - Y
                                                        Purple-Green   - Y
                                                        Purple-Orange   Y Y
                                                        Red-Blue   - Y
                                                        Red-Grey   - -
                                                        Red-Yellow-Blue   - Y
                                                        Red-Yellow-Green   - -
                                                        Spectral   Y -
1 2 3 4 5 6 7 8 9   Sequential Palette    BW   CB 
                                                        Blue   Y Y
                                                        Blue-Green   Y Y
                                                        Blue-Purple   Y Y
                                                        Green-Blue   Y Y
                                                        Green   Y Y
                                                        Grey   Y Y
                                                        Orange   Y Y
                                                        Orange-Red   Y Y
                                                        Purple-Blue   Y Y
                                                        Purple-Blue-Green   Y Y
                                                        Purple-Red   Y Y
                                                        Purple   Y Y
                                                        Red-Purple   Y Y
                                                        Red   Y Y
                                                        Yellow-Green   Y Y
                                                        Yellow-Green-Blue   Y Y
                                                        Yellow-Orange-Brown   Y Y
                                                        Yellow-Orange-Red   Y Y

BW - OK for black and white photocopying?
CB - OK for people with red-green color blindness?
All palettes are suitable for desktop color printing.

References and research used to help design Vitalnet palettes: *** LW Pickle, M Mungiole, GK Jones, AA White, "Atlas of United States Mortality", National Center for Health Statistics, 1997. *** CA Brewer, "Color Use Guidelines for Mapping and Visualization", in "Visualization in Modern Cartography", Elsevier, 1994. *** ColorBrewer web site displays tested color palettes.

Getting Results

Go Sign To produce results:

1. Click on button - Click on "Make Map" or "Make Table". The program sends the query to the server.

2. View Results Window - Output will display in separate window. It takes a few seconds, depending on the analysis, the data set, and how much data.

3. Conflicts prevented - The program does not permit an invalid request. If a problem, such as row / column mismatch, you will be prompted to correct it before submitting request.

Viewing Results

Binoculars After you click "Make Map" or "Make Table", a separate "Results Window" appears.
To view results:
1. Scroll through the results - Use scroll bar, PgUp, PgDn, etc.
2. Print or Save results - Sends results to printer or disk.
3. Click on footnote links - Displays or downloads charts and data files.
Note: If viewing a map, pointing to a map area (use your mouse to position the cursor over a map area) displays the name of the area.
Note: Output forms a queue. In other words, new output replaces old output in the Results Window. Therefore, to review previous output, simply click the browser "Back" button in the Results Window.

Returning to Main Menu - To carry out another analysis:
  - Click on the Main Window, OR
  - Minimize the Results Windows.

If graphics do not display in the output, try refreshing the browser.

Printing Results

Printer To print results from your browser, use one of the following methods:
  - Press CTL-P - Hold down Control key, and press 'P' key.
  - Use Browser Icon - Click on Print Icon (if available).
  - Use Browser Menu - Select "File / Print" (if menu available).
If output table is too wide or long, here are two ways to make it fit:
  - Use fewer rows or columns. Also makes it easier to understand.
  - Change browser font size. Typical command is: View / Text Size.
How to print from a spreadsheet or word processor:
1. Click on the appropriate link in output footnotes.
2. Download and import the data file.
  - CSV / TSV / DIF for spreadsheet, such as Excel or StarOffice.
  - ASCII for word processor, such as Word or WordPerfect.
3. Format and print from within your spreadsheet or word processor.

Saving Results

File Cabinet To save results displayed in your browser, do one of the following:
  - Press CTL-S - Hold down Control key, and press 'S' key.
  - Use Browser Menu - Select "File / Save" (or equivalent).
To save an alternate data format, click on a footnote link:
  - ASCII text - For importing into word processing software.
  - CSV/TSV/DIF format - For importing into spreadsheet software.
  - dBASE III - For database, GIS, mapping, statistical software.
To save a map as an image file, minus any surrounding text:
  1. Position the cursor over the map, using your mouse.
  2. Press the right mouse button to bring up a popup menu.
  3. Select the "Save" option from the popup menu.
  4. Specify the directory (folder) to save the file.
Here are some suggestions on naming files:
  - Memorable - Select a name that will remind you of the content.
  - Organized - Organize files into project directories (folders).
  - Linkable - Use the unique ID for data files, such as "112jdhkm.dbf".


Apgar score - A summary measure of the condition of the infant based on heart rate, respiratory effort, muscle tone, reflex irritability, and color. Each factor is given a score of 0, 1, or 2; the sum of these five values is the Apgar score, ranging from 0 to 10.
Area set - One or more areas combined.
ASCII file - A text file, with only alphabetical, numerical, and punctuation characters, like you would see in normal text. Vitalnet can produce output in ASCII format.
Birth rate - Births per 1,000 female or total population.
Birth weight - The weight of an infant at delivery, expressed in grams.
CDC - Centers for Disease Control and Prevention. US federal health agency.
Cell - A space for a single numerical result in a table, at a row-column intersection.
Cell suppression - An asterisk "*" is placed in cells with fewer deaths than a limit set by the user. Row / column totals with exactly one suppressed cell in the row / column are also suppressed. If more than one cell in the row / column is suppressed, the row / column total is displayed.
Cesarean rate - Number of cesareans / number of births.
Cesarean rate - primary - FC / (FC + FV). Numerator is number of first-time cesarean deliveries (FC). Denominator is number of first-time cesarean deliveries (FC) plus number of first-time vaginal deliveries (FV).
Cesarean rate - repeat - RC / (RC + VA). Numerator is number of repeat cesarean deliveries (RC). Denominator is number of repeat cesarean deliveries (RC) plus number of vaginal deliveries after previous cesarean (VA).
CNM - Certified Nurse Midwife (birth attendant category)
Columns - Vertical groupings of data in a Vitalnet table, such as a column for each race group.
Confidence interval (confidence limits) - A range of values within which the true value of a variable is thought to lie, with a specified level of confidence. For a result of 23.5, a confidence interval might be (23.1-23.9). The smaller the interval, the more reliable the result. If the 95% confidence intervals do not overlap, there is probably a statistically significant difference. Vitalnet uses several methods to calculate confidence intervals. The output table documents which method was used.
Confidence level - The likelihood that the true value of a variable is within a confidence interval. For example, for confidence intervals at the 95% level, we are statistically 95% certain that the actual value of the variable is within the interval.
CSV format - Comma-separated-value format. CSV files are readily imported into spreadsheet software. Each output item is separated by a comma from surrounding items, and each output text item is surrounded by "double quotes". A comma-separated-value file has "csv" extension. Similar to TSV format.
Data mining - Finding unexpected relationships in a data set, for further study. Similar to exploratory data analysis. Vitalnet is excellent at data mining. Of course, keep in mind that the more you look, the more unusual events you will find, just by chance.
Data warehouse - Software system, such as Vitalnet, making large complex databases readily available for querying and analysis.
dBASE III format - A widely used file format originally for the database software of the same name. Files in dBASE III format may be readily imported into almost any data analysis, graphing, mapping, or other presentation software. Uses dbf extension. Suppressed cells are represented as the number "-1".
DIF format - Data interchange format. DIF files are readily imported into spreadsheet software. The DIF format is too complex to explain in this glossary. Has "dif" extension.
DO - Doctor of Osteopathy (birth attendant category)
Denominator - The number on the bottom of a fraction. Population data are often referred to as "denominator data", as they are used as denominators to calculate population-based rates.
Export - Produce output that can be read into other computer programs. Vitalnet produces ASCII text (txt), comma-separated-value (csv), HTML (htm), and dBASE III (dbf) files for export.
Filter variable - A variable solely used to filter which records are included in the output. For example, for a single table with race rows and sex columns, age is a filter variable.
Footer - Last part of a Vitalnet table. Lists less important details of the analysis, such as the date produced, and data sources. Also contains a unique ID to assist in keeping track of analyses.
General fertility rate - Total live births (to all women) per 1,000 women age 15-44 in a given year.
Gestational age - Number of completed weeks elapsed between: the first day of the last normal menstrual period, and the date of delivery. Gestational age is expressed in completed weeks.
General fertility rate - Live births per 1,000 women age 15-44 in a given year.
Header - First part of a Vitalnet table. Lists key analysis parameters, such as years analyzed.
High birth weight - A birth weight 4,000 grams or greater.
High birth weight percent - Percent of births with birth weight 4,000 grams or greater.
Import - Read information into a computer program. ASCII text, CSV, TSV, DIF, HTML, and dBASE III files from Vitalnet are easily imported into word processing, spreadsheet, data analysis, mapping, graphing, and other presentation software programs.
Infant - An individual less than one year of age.
Infant death - Death of a liveborn infant from the moment of birth to the end of the first year of life.
Intrauterine growth retardation - Birth weight in the lowest decile of birth weight for gestational age. An alternative definition is birth weight less than 2,500 grams (low birth weight) in a full-term infant (born at or after 37 weeks gestation).
Kessner adequate percent - Numerator is number of births with adequate Kessner index. Denominator is number of births with known Kessner index (unknown Kessner scores are not included in denominator). This is a measure of the adequacy of prenatal care. A higher Kessner adequate percent for a population indicates better prenatal care.
Kessner index - Method of categorizing adequacy of prenatal care, based on month of pregnancy care started, number of visits, and length of gestation. This takes both amount and start of prenatal care into account, and adjusts for the fact that women with short gestations have less time in which to make prenatal care visits.
Least-squares - A standard method for fitting the best straight line to a set of points. Produces a Y-intercept and a slope defining the least-squares line.
Live birth order - Live birth order is the number of children born alive to a mother, including the current baby. If the mother has three previous live births, the live birth order for the next birth is four. Another example: If the mother has one previous live birth, and has twins this time, the live birth order for the first twin is two, and is three for the second twin.
Low birth weight - A birth weight less than 2,500 grams (5 pounds, 9 ounces).
Low birth weight percent - Percent of births with birth weight less than 2,500 grams (5 pounds, 9 ounces).
MD - Doctor of Medicine (Physician) (birth attendant category)
Multiple age groups - One age group for each table row (or column). Example: 0-19, 20-59, 60-99+.
Natural Breaks - Method for determining map ranges. Minimizes "squared deviations from class means".
NCHS - National Center for Health Statistics. US health statistics agency. Part of the CDC.
Neonatal death - Death of a liveborn infant within the first 27 days, 23 hours, and 59 minutes of life.
Neonatal death rate - Numerator = neonatal deaths x 1000. Denominator = number of liveborn infants.
Neonatal period - Period from birth through the first 27 days, 23 hours, and 59 minutes of life.
Neonate - A newborn infant during the first 27 days, 23 hours, and 59 minutes of life.
Perinatal period - Period from the 20th completed week of gestation (140 days) through the first 27 days, 23 hours, and 59 minutes of life.
Place of occurrence - The geographic location where a birth occurred.
Place of occurrence birth data - Data compiled by the location where the birth occurred, without regard to the place of residence of the mother.
Place of residence - The geographic location where a birth occurred.
Plurality - Number in a birth, such as twins or triplets.
Population - The number of people living in an area.
Postneonatal - Period between 28 days and one year of age.
Post term birth - Birth after the 41st week of gestation. Birth during or after the 42nd week of gestation.
Preterm birth - Birth occurring before the 38th week of gestation. Birth occurring during or before the 37th week of gestation.
Rows - Horizontal lines in a Vitalnet table, such as a row for each race group.
Row sort settings - Vitalnet rows may be sorted in ascending or descending order.
Set - A combination of one or more things. For example, several areas may be combined into an area set.
Single age group - Only one age group (30-49, for example) is selected. A single age group is used for tables that do not have age columns or age rows.
Statistic (Main Statistic) - The basic type of numerical result displayed in a table, chart, or map. For example, birth rate, death rate, population, pregnancy rate, etc.
Table - A set of results produced by Vitalnet. A table has several parts:
  1. Header - lists basic analysis settings
  2. Data section - numerical results
  3. Horizontal bar graphs - graphical representation of the data
  4. Footer - lists other analysis settings
Tabular chart - A section of a Vitalnet table. Gives an scaleable graphical representation of the data. May be omitted from the output table.
Term birth - Birth during the four week period after the 37th week of gestation and before the 42nd week of gestation. Birth during the 38th through 41st week of gestation.
TSV format - Tab-separated-value format. TSV files are readily imported into spreadsheet software. Each output item is separated by a tab from surrounding items, and each output text item is surrounded by "double quotes". A tab-separated-value file has "tsv" extension. Similar to CSV format.
Unix - A popular set of computer operating systems. Vitalnet can run on Unix.
Unknown Values - Unknowns are automatically inserted into a Vitalnet table. For example, a separate row (or column) for unknown race. The rate is assigned as zero for an unknown category, since there is no population denominator to use. Some fields, such as sex for certain data sets, are never unknown, so unknowns are left off the table. When, such as for age-adjusted rates, the unknown variable (age) is different from the rows or columns, the number of unknowns for age is shown below the table.
Very low birth weight - A birth weight less than 1,500 grams (3 pounds, 5 ounces).
Very low birth weight percent - Percent of births with birth weight less than 1,500 grams (3 pounds, 5 ounces).
Windows - Microsoft PC operating systems. Vitalnet runs under any version of Windows.
World Wide Web (WWW) - A widely used part of the internet that may be easily accessed with a web browser. Vitalnet runs on the WWW.

Race Categories

California Race Groupings Used
1999 and earlier 2000 and later
Five Groupings:
- American Indian
- Black
- Hispanic
- White
- Asian / Pacific Islander
Seven Groupings:
- American Indian
- Black
- Hispanic
- White
- Asian
- Pacific Islander
- Two or More Races

County Groupings

Health Service Area 1: Butte, Colusa, Del Norte, Glenn, Humboldt, Lake, Lassen, Mendocino, Modoc, Plumas, Shasta, Siskiyou, Tehama, Trinity
Health Service Area 2: El Dorado, Nevada, Placer, Sacramento, Sierra, Sutter, Yolo, Yuba
Health Service Area 3: Napa, Solano, Sonoma
Health Service Area 4: Marin, San Francisco, San Mateo
Health Service Area 5: Alameda, Contra Costa
Health Service Area 6: Alpine, Amador, Calaveras, Merced, San Joaquin, Stanislaus, Tuolumne
Health Service Area 7: Santa Clara
Health Service Area 8: Monterey, San Benito, San Luis Obispo, Santa Cruz
Health Service Area 9: Fresno, Kern, Kings, Madera, Mariposa, Tulare
Health Service Area 10: Santa Barbara, Ventura
Health Service Area 11: Los Angeles
Health Service Area 12: Inyo, Mono, Riverside, San Bernardino
Health Service Area 13: Orange
Health Service Area 14: Imperial, San Diego

Statistical Methods

The "Main Statistic" (numerical outcome) is the basic type of number in a Vitalnet table. It is best understood by looking at the examples below.
Births - The number of live births.
Birth Weight Percent - The percent of births that are either:
  - Low birth weight = Less than 2500 grams
  - Very low birth weight = Less than 1500 grams
  - High birth weight = 4000 grams or over
Cesarean Rate - One of the three following rates:
  - Total = Total cesareans / Total live births
  - Primary = First cesareans / (First CS's + First-time vaginals)
  - Repeat = Repeat cesareans / (Repeat CS's + Vaginals after CS)
Note: Births with unknown delivery method are excluded from calculation of cesarean rates.
Early Prenatal Care Percent - The percent of births where the mother received care by or before a certain month, such as the third month of pregnancy.
Adequate Prenatal Care Percent - The percent of births with an "adequate prenatal care" Kessner index.
Birth Rate per 1,000 Total - Births per 1,000 total population. Also known as "crude birth rate" or "live birth rate".
Birth Rate per 1,000 Women - Births per 1,000 female population.
General Fertility Rate - Total number of births to women of any age, multiplied by 1,000, divided by the number of women age 15-44.

Confidence Intervals

Definition - A "confidence interval" is a range of values within which the true value of a variable is thought to lie, at a certain "confidence level", such as 95%. A larger percentage (such as 99%) is more stringent than a smaller percentage (such as 80%). Use 95% if you are unsure.
Interpretation - The smaller the interval, the more reliable the result. Two results that overlap at the 95% level are less likely to be significantly different than results which don't overlap.
Methods - The method Vitalnet uses to calculate confidence intervals depends on the context. The method is listed in the footnotes to the table.
Z * Rate / Sqrt (Events) - This method is recommended by the NCHS. Technical Appendix of the Vital Statistics of the United States, Vol II, Mortality, Part A
Poisson distribution - This method is valid if events are relatively rare, which usually applies to health events. Scientific Tables, Diem and Lentner (ed), Giegy, 1970, page 189.

95% Poisson Confidence Limits

Events Lo Factor Hi Factor Events Lo Factor Hi Factor Events Lo Factor Hi Factor
1 0.025318 5.571647 70 0.779549 1.263440 4,000 0.969250 1.031230
2 0.121104 3.612346 80 0.792938 1.244587 5,000 0.972473 1.027911
3 0.206224 2.922426 90 0.804118 1.229170 6,000 0.974857 1.025464
4 0.272466 2.560398 100 0.813640 1.216268 7,000 0.976711 1.023564
5 0.324697 2.333667 200 0.866209 1.143395 8,000 0.978207 1.022034
6 0.366982 2.176580 300 0.890041 1.116362 9,000 0.979446 1.020767
7 0.402052 2.060382 400 0.904401 1.100401 10,000 0.980496 1.019696
8 0.431729 1.970399 500 0.914267 1.089575 20,000 0.986189 1.013907
9 0.457263 1.898312 600 0.921584 1.081617 30,000 0.988716 1.011348
10 0.479539 1.839036 700 0.927291 1.075453 40,000 0.990224 1.009824
20 0.610826 1.544419 800 0.931904 1.070497 50,000 0.991254 1.008785
30 0.674696 1.427562 900 0.935734 1.066400 60,000 0.992014 1.008018
40 0.714415 1.361716 1,000 0.938980 1.062941 70,000 0.992606 1.007422
50 0.742219 1.318376 2,000 0.956653 1.044307 80,000 0.993082 1.006942
60 0.763105 1.287198 3,000 0.964536 1.036105 90,000 0.993477 1.006544

Data Sources and Limitations

VitalWeb Standard uses data from authoritative sources.

Birth data - All California birth data were provided by the Department of Health Services / Office of Health Information and Research.

Population data - All California population data were provided by the Department of Finance.

Links to Related Resources

Internet resources related to Birth Data:

Whom to Contact

For additional assistance with analyzing and interpreting the data, contact:

Legal Information

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Documentation produced: "Jul 18 2017" - Contact EHDP