KITAGAWA Rate Decomposition

Outcome: Infant mortality rate (deaths per 1,000 live births)

Groups: Year (2007; 2017); Maternal Bridged Race/Ethnicity (NH Black; NH White)
Covariate/predictor: Gestational age in weeks (LMP)

1 The worksheet titled TOTAL has a completed Kitagawa decomposition including the summary (total) contribution
age and the age-specific rates to the overall decline in IMR between 2007 and 2017.

Review the TOTAL worksheet to understand how it corresponds to the formula above
2 The worksheets titled BLACK and WHITE have the birth and death information, but have not had the decompositi

Use the Excel formula's and calculations from the TOTAL sheet to produce calculations se
3 EXTENSION: Try changing the covariate/risk factor from gestational age to race/ethnicity
Can you calculate the contribution of population distribution by race/ethnicity and chang
towards the declines? This would require collapsing across gestational age and using race
mary (total) contribution of distribution of gestational

o the formula above

ot had the decomposition calculations completed.

produce calculations separately for BLACK and for WHITE

ace/ethnicity and changes in race-specific rates

tional age and using race/ethnicity as the covariate
 2007 2017
Gest Wks Births Deaths IMR Births Deaths IMR Pi07
20 1092 921 843.4 779 655 840.8 0.000374
21 1456 1203 826.2 1053 849 806.3 0.000498
22 1859 1433 770.8 1330 982 738.3 0.000636
23 2324 1483 638.1 1940 968 499.0 0.000795
24 3327 1314 395.0 2536 792 312.3 0.001138
25 3789 960 253.4 3014 658 218.3 0.001296
26 4491 853 189.9 3541 474 133.9 0.001536
27 5072 604 119.1 4183 411 98.3 0.001735
28 6583 522 79.3 5580 336 60.2 0.002252
29 7915 468 59.1 6634 279 42.1 0.002707
30 10530 407 38.7 8986 293 32.6 0.003602
31 13786 392 28.4 11370 304 26.7 0.004716
32 19386 362 18.7 16155 311 19.3 0.006631
33 28286 421 14.9 23479 316 13.5 0.009676
34 48953 591 12.1 41610 476 11.4 0.016745
35 79566 676 8.5 61778 501 8.1 0.027217
36 140309 813 5.8 112859 676 6.0 0.047995
37 275562 1136 4.1 241831 1006 4.2 0.094260
38 564518 1618 2.9 406949 1160 2.9 0.193102
39 759304 1773 2.3 789080 1627 2.1 0.259732
40 550413 1144 2.1 508724 871 1.7 0.188277
41 242078 547 2.3 224373 435 1.9 0.082807
42 80088 227 2.8 66884 167 2.5 0.027395
43 40835 117 2.9 33453 107 3.2 0.013968
44 21028 56 2.7 17949 58 3.2 0.007193
45 10864 37 3.4 9622 27 2.8 0.003716

TOTAL 2923414 20078 6.9 2605692 14739 5.7

RD = R2-R1: -1.21
Pi17 P2-P1 R2-R1 DistributionRate-i
0.000299 -0.000075 -2.5850 -0.063 -0.001
0.000404 -0.000094 -19.9685 -0.077 -0.009
0.000510 -0.000125 -32.4987 -0.095 -0.019
0.000745 -0.000050 -139.1549 -0.029 -0.107
0.000973 -0.000165 -82.6476 -0.058 -0.087
0.001157 -0.000139 -35.0505 -0.033 -0.043
0.001359 -0.000177 -56.0749 -0.029 -0.081
0.001605 -0.000130 -20.8303 -0.014 -0.035
0.002141 -0.000110 -19.0801 -0.008 -0.042
0.002546 -0.000161 -17.0722 -0.008 -0.045
0.003449 -0.000153 -6.0452 -0.005 -0.021
0.004364 -0.000352 -1.6976 -0.010 -0.008
0.006200 -0.000431 0.5777 -0.008 0.004
0.009011 -0.000665 -1.4249 -0.009 -0.013
0.015969 -0.000776 -0.6332 -0.009 -0.010
0.023709 -0.003508 -0.3864 -0.029 -0.010
0.043312 -0.004682 0.1954 -0.028 0.009
0.092809 -0.001452 0.0374 -0.006 0.004
0.156177 -0.036925 -0.0157 -0.106 -0.003
0.302829 0.043097 -0.2731 0.095 -0.077
0.195236 0.006958 -0.3663 0.013 -0.070
0.086109 0.003302 -0.3209 0.007 -0.027
0.025668 -0.001727 -0.3375 -0.005 -0.009
0.012838 -0.001130 0.3333 -0.003 0.004
0.006888 -0.000305 0.5683 -0.001 0.004
0.003693 -0.000024 -0.5997 0.000 -0.002
Absolute contribution of each component to change between years
-0.517 -0.695
Percent of total change due to each component:
42.7 57.3
 2007 2017
Gest Wks Births Deaths IMR Births Deaths IMR Pi07 Pi17
20 562 470 836.3 430 365 848.8 0.000901 0.000736
21 731 572 782.5 577 455 788.6 0.001172 0.000988
22 963 696 722.7 674 483 716.6 0.001544 0.001154
23 1192 698 585.6 1004 442 440.2 0.001911 0.001719
24 1554 575 370.0 1223 361 295.2 0.002492 0.002094
25 1767 436 246.7 1406 268 190.6 0.002833 0.002407
26 2009 372 185.2 1646 203 123.3 0.003221 0.002818
27 2169 258 118.9 1823 177 97.1 0.003478 0.003121
28 2559 223 87.1 2230 147 65.9 0.004103 0.003818
29 2955 199 67.3 2580 122 47.3 0.004738 0.004417
30 3786 149 39.4 3294 121 36.7 0.00607 0.00564
31 4643 125 26.9 4039 102 25.3 0.007445 0.006915
32 6344 121 19.1 5550 112 20.2 0.010172 0.009502
33 9036 138 15.3 7866 104 13.2 0.014488 0.013467
34 14858 191 12.9 13172 144 10.9 0.023823 0.022552
35 22469 216 9.6 18904 155 8.2 0.036027 0.032366
36 36256 286 7.9 32076 229 7.1 0.058133 0.054917
37 66034 364 5.5 64868 361 5.6 0.105879 0.111061
38 118791 459 3.9 100850 401 4.0 0.190469 0.172666
39 146910 524 3.6 160903 515 3.2 0.235555 0.275483
40 103412 335 3.2 94466 279 3.0 0.165811 0.161736
41 43957 149 3.4 38200 124 3.2 0.070481 0.065402
42 15413 65 4.2 12889 39 3.0 0.024713 0.022067
43 8725 39 4.5 7320 39 5.3 0.01399 0.012533
44 4397 18 4.1 3946 18 4.6 0.00705 0.006756
45 2183 15 6.9 2141 8 3.7 0.0035 0.003666
0 0
TOTAL 623675 7693 12.3 584077 5774 9.9 1 1

RD = R2-R1: -2.45
P2-P1 R2-R1 DistributionRate-i
-0.000165
-0.000184
-0.00039
-0.000192
-0.000398
-0.000426
-0.000403
-0.000357
-0.000285
-0.000321
-0.000431
-0.000529
-0.00067
-0.001021
-0.001271
-0.003661
-0.003215
0.005182
-0.017804
0.039927
-0.004075
-0.005078
-0.002646
-0.001457
-0.000294
0.000165
Absolute contribution of each component to change between years
0.000000
Percent of total change due to each component:
 2007 2017
Gest Wks Births Deaths IMR Births Deaths IMR Pi07
20 530 451 850.9 349 290 830.9
21 725 631 870.3 476 394 827.7
22 896 737 822.5 656 499 760.7
23 1132 785 693.5 936 526 562.0
24 1773 739 416.8 1313 431 328.3
25 2022 524 259.1 1608 390 242.5
26 2482 481 193.8 1895 271 143.0
27 2903 346 119.2 2360 234 99.2
28 4024 299 74.3 3350 189 56.4
29 4960 269 54.2 4054 157 38.7
30 6744 258 38.3 5692 172 30.2
31 9143 267 29.2 7331 202 27.6
32 13042 241 18.5 10605 199 18.8
33 19250 283 14.7 15613 212 13.6
34 34095 400 11.7 28438 332 11.7
35 57097 460 8.1 42874 346 8.1
36 104053 527 5.1 80783 447 5.5
37 209528 772 3.7 176963 645 3.6
38 445727 1159 2.6 306099 759 2.5
39 612394 1249 2.0 628177 1112 1.8
40 447001 809 1.8 414258 592 1.4
41 198121 398 2.0 186173 311 1.7
42 64675 162 2.5 53995 128 2.4
43 32110 78 2.4 26133 68 2.6
44 16631 38 2.3 14003 40 2.9
45 8681 22 2.5 7481 19 2.5

TOTAL 2299739 12385 5.4 2021615 8965 4.4

RD = R2-R1: -0.95
Pi17 P2-P1 R2-R1 DistributionRate-i

Absolute contribution of each component to change between years

Percent of total change due to each component:

Data retrieved from https://wonder.cdc.gov/
Dataset: Linked Birth / Infant Death Records, 2007-2017
Query Parameters:
LMP Gestational Age Weekly: 20 weeks; 21 weeks; 22 weeks; 23 weeks; 24 weeks; 25 weeks; 26 weeks; 27 weeks;
30 weeks; 31 weeks; 32 weeks; 33 weeks; 34 weeks; 35 weeks; 36 weeks; 37 weeks; 38 weeks; 39 weeks; 40 weeks
weeks; 43 weeks; 44 weeks; 45 weeks
Mother's Bridged Race/Hispanic Origin: Non-Hispanic White; Non-Hispanic Black
Group By: Year of Death; Mother's Bridged Race/Hispanic Origin; LMP Gestational Age Weekly
Show Totals: False
Show Zero Values: True
Show Suppressed: True
Calculate Rates Per: 1,000
---
Help: See http://wonder.cdc.gov/wonder/help/lbd.html for more information.
---
Query Date: Jul 2, 2020 9:33:45 AM
---
Suggested Citation: United States Department of Health and Human Services (US DHHS), Centers of Disease Contro
(CDC), National Center for Health Statistics (NCHS), Division of Vital Statistics (DVS). Linked Birth / Infant Death Reco
2007-2017, as compiled from data provided by the 57 vital statistics jurisdictions through the Vital Statistics Cooper
Program, on CDC WONDER On-line Database. Accessed at http://wonder.cdc.gov/lbd-current.html on Jul 2, 2020 9
---
Caveats:
1. 'Unreliable' appears for rates when there are fewer than 20 deaths in the numerator. This is because the figure d
the NCHS standard of reliability or precision. More information: http://wonder.cdc.gov/wonder/help/lbd.html#Unr
2. Infant deaths are weighted so numbers may not exactly add to totals due to rounding. More information:
http://wonder.cdc.gov/wonder/help/lbd.html#WeightFactors-Totals.
3. Note that there may be slight differences in the number of infant deaths when comparing the Linked Birth / Dea
the other vital statistics. More information: http://wonder.cdc.gov/wonder/help/lbd.html#Weight Factors.
 eeks; 26 weeks; 27 weeks; 28 weeks; 29 weeks;
weeks; 39 weeks; 40 weeks; 41 weeks; 42

), Centers of Disease Control and Prevention

ed Birth / Infant Death Records
gh the Vital Statistics Cooperative
urrent.html on Jul 2, 2020 9:33:45 AM

This is because the figure does not meet

wonder/help/lbd.html#Unreliable.
g. More information:

aring the Linked Birth / Death Records to

ml#Weight Factors.