When the number of deaths or births events is small, differences by state may be unreliable due to instability in rates. Although adjusted for variations in age-distribution and population size, differences by state do not take into account other state specific population characteristics that may affect the level of the birth characteristic or mortality. Where ranked, states are categorized from highest rate to lowest rate.
For more information on age-adjustment, refer to this report pdf icon. 2019 birth data come from the National Vital Statistics System (NVSS) via CDC WONDER 2019 death data, including leading causes of death, firearm mortality, homicide, drug overdose mortality, and infant mortality, come from the NVSS via CDC WONDER and rankings and rates are based on 2019 age-adjusted death rates.
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