Native Hawaiian and Pacific Islander women had the highest fertility rate of any ethnicity in the United States in 2022, with about 2,237.5 births per 1,000 women. The fertility rate for all ethnicities in the U.S. was 1,656.5 births per 1,000 women. What is the total fertility rate? The total fertility rate is an estimation of the number of children who would theoretically be born per 1,000 women through their childbearing years (generally considered to be between the ages of 15 and 44) according to age-specific fertility rates. The fertility rate is different from the birth rate, in that the birth rate is the number of births in relation to the population over a specific period of time. Fertility rates around the world Fertility rates around the world differ on a country-by-country basis, and more industrialized countries tend to see lower fertility rates. For example, Niger topped the list of the countries with the highest fertility rates, and Taiwan had the lowest fertility rate.

In 2023, around 50 children were born per thousand Asian women in the United States. The highest birth rate was among Native Hawaiian and other Pacific Islander mothers, at 79 percent during the same year.

This dataset includes birth rates for unmarried women by age group, race, and Hispanic origin in the United States since 1970.

Methods for collecting information on marital status changed over the reporting period and have been documented in:

• Ventura SJ, Bachrach CA. Nonmarital childbearing in the United States, 1940–99. National vital statistics reports; vol 48 no 16. Hyattsville, Maryland: National Center for Health Statistics. 2000. Available from: http://www.cdc.gov/nchs/data/nvsr/nvsr48/nvs48_16.pdf. • National Center for Health Statistics. User guide to the 2013 natality public use file. Hyattsville, Maryland: National Center for Health Statistics. 2014. Available from: http://www.cdc.gov/nchs/data_access/VitalStatsOnline.htm.

National data on births by Hispanics origin exclude data for Louisiana, New Hampshire, and Oklahoma in 1989; for New Hampshire and Oklahoma in 1990; for New Hampshire in 1991 and 1992. Information on reporting Hispanic origin is detailed in the Technical Appendix for the 1999 public-use natality data file (see (ftp://ftp.cdc.gov/pub/Health_Statistics/NCHS/Dataset_Documentation/DVS/natality/Nat1999doc.pdf.)

All birth data by race before 1980 are based on race of the child. Starting in 1980, birth data by race are based on race of the mother.

Niger had the highest birth rate in the world in 2024, with a birth rate of 46.6 births per 1,000 inhabitants. Angola, Benin, Mali, and Uganda followed. Except for Afghanistan, all 20 countries with the highest birth rates in the world were located in Sub-Saharan Africa. High infant mortality The reasons behind the high birth rates in many Sub-Saharan African countries are manyfold, but a major reason is that infant mortality remains high on the continent, despite decreasing steadily over the past decades, resulting in high birth rates to counter death rates. Moreover, many nations in Sub-Saharan Africa are highly reliant on small-scale farming, meaning that more hands are of importance. Additionally, polygamy is not uncommon in the region, and having many children is often seen as a symbol of status. Fastest-growing populations As the high fertility rates coincide with decreasing death rates, countries in Sub-Saharan Africa have the highest population growth rates in the world. As a result, Africa's population is forecast to increase from 1.4 billion in 2022 to over 3.9 billion by 2100.

This dataset contains counts of live births for California counties based on information entered on birth certificates. Final counts are derived from static data and include out of state births to California residents, whereas provisional counts are derived from incomplete and dynamic data. Provisional counts are based on the records available when the data was retrieved and may not represent all births that occurred during the time period.

The final data tables include both births that occurred in California regardless of the place of residence (by occurrence) and births to California residents (by residence), whereas the provisional data table only includes births that occurred in California regardless of the place of residence (by occurrence). The data are reported as totals, as well as stratified by parent giving birth's age, parent giving birth's race-ethnicity, and birth place type. See temporal coverage for more information on which strata are available for which years.

This dataset contains counts of live births for California as a whole based on information entered on birth certificates. Final counts are derived from static data and include out of state births to California residents, whereas provisional counts are derived from incomplete and dynamic data. Provisional counts are based on the records available when the data was retrieved and may not represent all births that occurred during the time period.

The final data tables include both births that occurred in California regardless of the place of residence (by occurrence) and births to California residents (by residence), whereas the provisional data table only includes births that occurred in California regardless of the place of residence (by occurrence). The data are reported as totals, as well as stratified by parent giving birth's age, parent giving birth's race-ethnicity, and birth place type. See temporal coverage for more information on which strata are available for which years.

In 2025, there are six countries, all in Sub-Saharan Africa, where the average woman of childbearing age can expect to have between 5-6 children throughout their lifetime. In fact, of the 20 countries in the world with the highest fertility rates, Afghanistan and Yemen are the only countries not found in Sub-Saharan Africa. High fertility rates in Africa With a fertility rate of almost six children per woman, Chad is the country with the highest fertility rate in the world. Population growth in Chad is among the highest in the world. Lack of healthcare access, as well as food instability, political instability, and climate change, are all exacerbating conditions that keep Chad's infant mortality rates high, which is generally the driver behind high fertility rates. This situation is common across much of the continent, and, although there has been considerable progress in recent decades, development in Sub-Saharan Africa is not moving as quickly as it did in other regions. Demographic transition While these countries have the highest fertility rates in the world, their rates are all on a generally downward trajectory due to a phenomenon known as the demographic transition. The third stage (of five) of this transition sees birth rates drop in response to decreased infant and child mortality, as families no longer feel the need to compensate for lost children. Eventually, fertility rates fall below replacement level (approximately 2.1 children per woman), which eventually leads to natural population decline once life expectancy plateaus. In some of the most developed countries today, low fertility rates are creating severe econoic and societal challenges as workforces are shrinking while aging populations are placin a greater burden on both public and personal resources.

The average for 2022 based on 196 countries was 18.19 births per 1000 people. The highest value was in the Central African Republic: 45.42 births per 1000 people and the lowest value was in Hong Kong: 4.4 births per 1000 people. The indicator is available from 1960 to 2023. Below is a chart for all countries where data are available.

The total fertility rate of the world has dropped from around 5 children per woman in 1950, to 2.2 children per woman in 2025, which means that women today are having fewer than half the number of children that women did 75 years ago. Replacement level fertility This change has come as a result of the global demographic transition, and is influenced by factors such as the significant reduction in infant and child mortality, reduced number of child marriages, increased educational and vocational opportunities for women, and the increased efficacy and availability of contraception. While this change has become synonymous with societal progress, it does have wide-reaching demographic impact - if the global average falls below replacement level (roughly 2.1 children per woman), as is expected to happen in the 2050s, then this will lead to long-term population decline on a global scale. Regional variations When broken down by continent, Africa is the only region with a fertility rate above the global average, and, alongside Oceania, it is the only region with a fertility rate above replacement level. Until the 1980s, the average woman in Africa could expect to have 6-7 children over the course of their lifetime, and there are still several countries in Africa where women can still expect to have 5 or more children in 2025. Historically, Europe has had the lowest fertility rates in the world over the past century, falling below replacement level in 1975. Europe's population has grown through a combination of migration and increasing life expectancy, however even high immigration rates could not prevent its population from going into decline in 2021.

In 2023, the birth rate among Hispanic teenagers aged 15 to 19 years was **** per 1,000 women. In comparison, the birth rate among non-Hispanic Asian teens was just *** per 1,000. This statistic shows birth rates among teenagers and young adult women in the U.S. aged 15 to 19 in 1991 to 2023, by race/ethnicity.

The statistic shows the 20 countries with the lowest fertility rates in 2024. All figures are estimates. In 2024, the fertility rate in Taiwan was estimated to be at 1.11 children per woman, making it the lowest fertility rate worldwide. Fertility rate The fertility rate is the average number of children born per woman of child-bearing age in a country. Usually, a woman aged between 15 and 45 is considered to be in her child-bearing years. The fertility rate of a country provides an insight into its economic state, as well as the level of health and education of its population. Developing countries usually have a higher fertility rate due to lack of access to birth control and contraception, and to women usually foregoing a higher education, or even any education at all, in favor of taking care of housework. Many families in poorer countries also need their children to help provide for the family by starting to work early and/or as caretakers for their parents in old age. In developed countries, fertility rates and birth rates are usually much lower, as birth control is easier to obtain and women often choose a career before becoming a mother. Additionally, if the number of women of child-bearing age declines, so does the fertility rate of a country. As can be seen above, countries like Hong Kong are a good example for women leaving the patriarchal structures and focusing on their own career instead of becoming a mother at a young age, causing a decline of the country’s fertility rate. A look at the fertility rate per woman worldwide by income group also shows that women with a low income tend to have more children than those with a high income. The United States are neither among the countries with the lowest, nor among those with the highest fertility rate, by the way. At 2.08 children per woman, the fertility rate in the US has been continuously slightly below the global average of about 2.4 children per woman over the last decade.

Find data on births of Massachusetts residents. Information is obtained from birth certificates received by the Registry of Vital Records and Statistics.

Over the past 30 years, the birth rate in the United States has been steadily declining, and in 2023, there were 10.7 births per 1,000 of the population. In 1990, this figure stood at 16.7 births per 1,000 of the population. Demographics have an impact The average birth rate in the U.S. may be falling, but when broken down along ethnic and economic lines, a different picture is painted: Native Hawaiian and other Pacific Islander women saw the highest birth rate in 2022 among all ethnicities, and Asian women and white women both saw the lowest birth rate. Additionally, the higher the family income, the lower the birth rate; families making between 15,000 and 24,999 U.S. dollars annually had the highest birth rate of any income bracket in the States. Life expectancy at birth In addition to the declining birth rate in the U.S., the total life expectancy at birth has also reached its lowest value recently. Studies have shown that the life expectancy of both men and women in the United States has been declining over the last few years. Declines in life expectancy, like declines in birth rates, may indicate that there are social and economic factors negatively influencing the overall population health and well-being of the country.

Key Table Information.Table Title.Women 15 to 50 Years Who Had a Birth in the Past 12 Months by Marital Status (Two or More Races).Table ID.ACSDT1Y2024.B13002G.Survey/Program.American Community Survey.Year.2024.Dataset.ACS 1-Year Estimates Detailed Tables.Source.U.S. Census Bureau, 2024 American Community Survey, 1-Year Estimates.Dataset Universe.The dataset universe of the American Community Survey (ACS) is the U.S. resident population and housing. For more information about ACS residence rules, see the ACS Design and Methodology Report. Note that each table describes the specific universe of interest for that set of estimates..Methodology.Unit(s) of Observation.American Community Survey (ACS) data are collected from individuals living in housing units and group quarters, and about housing units whether occupied or vacant. For more information about ACS sampling and data collection, see the ACS Design and Methodology Report..Geography Coverage.ACS data generally reflect the geographic boundaries of legal and statistical areas as of January 1 of the estimate year. For more information, see Geography Boundaries by Year.Estimates of urban and rural populations, housing units, and characteristics reflect boundaries of urban areas defined based on 2020 Census data. As a result, data for urban and rural areas from the ACS do not necessarily reflect the results of ongoing urbanization..Sampling.The ACS consists of two separate samples: housing unit addresses and group quarters facilities. Independent housing unit address samples are selected for each county or county-equivalent in the U.S. and Puerto Rico, with sampling rates depending on a measure of size for the area. For more information on sampling in the ACS, see the Accuracy of the Data document..Confidentiality.The Census Bureau has modified or suppressed some estimates in ACS data products to protect respondents' confidentiality. Title 13 United States Code, Section 9, prohibits the Census Bureau from publishing results in which an individual's data can be identified. For more information on confidentiality protection in the ACS, see the Accuracy of the Data document..Technical Documentation/Methodology.Information about the American Community Survey (ACS) can be found on the ACS website. Supporting documentation including code lists, subject definitions, data accuracy, and statistical testing, and a full list of ACS tables and table shells (without estimates) can be found on the Technical Documentation section of the ACS website.Sample size and data quality measures (including coverage rates, allocation rates, and response rates) can be found on the American Community Survey website in the Methodology section.Data are based on a sample and are subject to sampling variability. The degree of uncertainty for an estimate arising from sampling variability is represented through the use of a margin of error. The value shown here is the 90 percent margin of error. The margin of error can be interpreted roughly as providing a 90 percent probability that the interval defined by the estimate minus the margin of error and the estimate plus the margin of error (the lower and upper confidence bounds) contains the true value. In addition to sampling variability, the ACS estimates are subject to nonsampling error (for a discussion of nonsampling variability, see ACS Technical Documentation). The effect of nonsampling error is not represented in these tables.Users must consider potential differences in geographic boundaries, questionnaire content or coding, or other methodological issues when comparing ACS data from different years. Statistically significant differences shown in ACS Comparison Profiles, or in data users' own analysis, may be the result of these differences and thus might not necessarily reflect changes to the social, economic, housing, or demographic characteristics being compared. For more information, see Comparing ACS Data..Weights.ACS estimates are obtained from a raking ratio estimation procedure that results in the assignment of two sets of weights: a weight to each sample person record and a weight to each sample housing unit record. Estimates of person characteristics are based on the person weight. Estimates of family, household, and housing unit characteristics are based on the housing unit weight. For any given geographic area, a characteristic total is estimated by summing the weights assigned to the persons, households, families or housing units possessing the characteristic in the geographic area. For more information on weighting and estimation in the ACS, see the Accuracy of the Data document.Although the American Community Survey (ACS) produces population, demographic and housing unit estimates, the decennial census is the official source of population totals for April 1st of each decennial year. In between censuses, the Census Bureau's Population Estimates Program produces and disseminates the official estimates of the population ...

This is a publication on maternity activity in English NHS hospitals. This report examines data relating to delivery and birth episodes in 2023-24, and the booking appointments for these deliveries. This annual publication covers the financial year ending March 2024. Data is included from both the Hospital Episodes Statistics (HES) data warehouse and the Maternity Services Data Set (MSDS). HES contains records of all admissions, appointments and attendances for patients admitted to NHS hospitals in England. The HES data used in this publication are called 'delivery episodes'. The MSDS collects records of each stage of the maternity service care pathway in NHS-funded maternity services, and includes information not recorded in HES. The MSDS is a maturing, national-level dataset. In April 2019, the MSDS transitioned to a new version of the dataset. This version, MSDS v2.0, is an update that introduced a new structure and content - including clinical terminology, in order to meet current clinical practice and incorporate new requirements. It is designed to meet requirements that resulted from the National Maternity Review, which led to the publication of the Better Births report in February 2016. This is the fifth publication of data from MSDS v2.0 and data from 2019-20 onwards is not directly comparable to data from previous years. This publication shows the number of HES delivery episodes during the period, with a number of breakdowns including by method of onset of labour, delivery method and place of delivery. It also shows the number of MSDS deliveries recorded during the period, with a breakdown for the mother's smoking status at the booking appointment by age group. It also provides counts of live born term babies with breakdowns for the general condition of newborns (via Apgar scores), skin-to-skin contact and baby's first feed type - all immediately after birth. There is also data available in a separate file on breastfeeding at 6 to 8 weeks. For the first time information on 'Smoking at Time of Delivery' has been presented using annual data from the MSDS. This includes national data broken down by maternal age, ethnicity and deprivation. From 2025/2026, MSDS will become the official source of 'Smoking at Time of Delivery' information and will replace the historic 'Smoking at Time of Delivery' data which is to become retired. We are currently undergoing dual collection and reporting on a quarterly basis for 2024/25 to help users compare information from the two sources. We are working with data submitters to help reconcile any discrepancies at a local level before any close down activities begin. A link to the dual reporting in the SATOD publication series can be found in the links below. Information on how all measures are constructed can be found in the HES Metadata and MSDS Metadata files provided below. In this publication we have also included an interactive Power BI dashboard to enable users to explore key NHS Maternity Statistics measures. The purpose of this publication is to inform and support strategic and policy-led processes for the benefit of patient care. This report will also be of interest to researchers, journalists and members of the public interested in NHS hospital activity in England. Any feedback on this publication or dashboard can be provided to enquiries@nhsdigital.nhs.uk, under the subject “NHS Maternity Statistics”.

Key Table Information.Table Title.Place of Birth (Some Other Race Alone) in Puerto Rico.Table ID.ACSDT1Y2024.B06004FPR.Survey/Program.American Community Survey.Year.2024.Dataset.ACS 1-Year Estimates Detailed Tables.Source.U.S. Census Bureau, 2024 American Community Survey, 1-Year Estimates.Dataset Universe.The dataset universe of the American Community Survey (ACS) is the U.S. resident population and housing. For more information about ACS residence rules, see the ACS Design and Methodology Report. Note that each table describes the specific universe of interest for that set of estimates..Methodology.Unit(s) of Observation.American Community Survey (ACS) data are collected from individuals living in housing units and group quarters, and about housing units whether occupied or vacant. For more information about ACS sampling and data collection, see the ACS Design and Methodology Report..Geography Coverage.ACS data generally reflect the geographic boundaries of legal and statistical areas as of January 1 of the estimate year. For more information, see Geography Boundaries by Year.Estimates of urban and rural populations, housing units, and characteristics reflect boundaries of urban areas defined based on 2020 Census data. As a result, data for urban and rural areas from the ACS do not necessarily reflect the results of ongoing urbanization..Sampling.The ACS consists of two separate samples: housing unit addresses and group quarters facilities. Independent housing unit address samples are selected for each county or county-equivalent in the U.S. and Puerto Rico, with sampling rates depending on a measure of size for the area. For more information on sampling in the ACS, see the Accuracy of the Data document..Confidentiality.The Census Bureau has modified or suppressed some estimates in ACS data products to protect respondents' confidentiality. Title 13 United States Code, Section 9, prohibits the Census Bureau from publishing results in which an individual's data can be identified. For more information on confidentiality protection in the ACS, see the Accuracy of the Data document..Technical Documentation/Methodology.Information about the American Community Survey (ACS) can be found on the ACS website. Supporting documentation including code lists, subject definitions, data accuracy, and statistical testing, and a full list of ACS tables and table shells (without estimates) can be found on the Technical Documentation section of the ACS website.Sample size and data quality measures (including coverage rates, allocation rates, and response rates) can be found on the American Community Survey website in the Methodology section.Data are based on a sample and are subject to sampling variability. The degree of uncertainty for an estimate arising from sampling variability is represented through the use of a margin of error. The value shown here is the 90 percent margin of error. The margin of error can be interpreted roughly as providing a 90 percent probability that the interval defined by the estimate minus the margin of error and the estimate plus the margin of error (the lower and upper confidence bounds) contains the true value. In addition to sampling variability, the ACS estimates are subject to nonsampling error (for a discussion of nonsampling variability, see ACS Technical Documentation). The effect of nonsampling error is not represented in these tables.Users must consider potential differences in geographic boundaries, questionnaire content or coding, or other methodological issues when comparing ACS data from different years. Statistically significant differences shown in ACS Comparison Profiles, or in data users' own analysis, may be the result of these differences and thus might not necessarily reflect changes to the social, economic, housing, or demographic characteristics being compared. For more information, see Comparing ACS Data..Weights.ACS estimates are obtained from a raking ratio estimation procedure that results in the assignment of two sets of weights: a weight to each sample person record and a weight to each sample housing unit record. Estimates of person characteristics are based on the person weight. Estimates of family, household, and housing unit characteristics are based on the housing unit weight. For any given geographic area, a characteristic total is estimated by summing the weights assigned to the persons, households, families or housing units possessing the characteristic in the geographic area. For more information on weighting and estimation in the ACS, see the Accuracy of the Data document.Although the American Community Survey (ACS) produces population, demographic and housing unit estimates, the decennial census is the official source of population totals for April 1st of each decennial year. In between censuses, the Census Bureau's Population Estimates Program produces and disseminates the official estimates of the population for the nation, states, counties, cities,...

Key Table Information.Table Title.Place of Birth (Some Other Race Alone) in the United States.Table ID.ACSDT1Y2024.B06004F.Survey/Program.American Community Survey.Year.2024.Dataset.ACS 1-Year Estimates Detailed Tables.Source.U.S. Census Bureau, 2024 American Community Survey, 1-Year Estimates.Dataset Universe.The dataset universe of the American Community Survey (ACS) is the U.S. resident population and housing. For more information about ACS residence rules, see the ACS Design and Methodology Report. Note that each table describes the specific universe of interest for that set of estimates..Methodology.Unit(s) of Observation.American Community Survey (ACS) data are collected from individuals living in housing units and group quarters, and about housing units whether occupied or vacant. For more information about ACS sampling and data collection, see the ACS Design and Methodology Report..Geography Coverage.ACS data generally reflect the geographic boundaries of legal and statistical areas as of January 1 of the estimate year. For more information, see Geography Boundaries by Year.Estimates of urban and rural populations, housing units, and characteristics reflect boundaries of urban areas defined based on 2020 Census data. As a result, data for urban and rural areas from the ACS do not necessarily reflect the results of ongoing urbanization..Sampling.The ACS consists of two separate samples: housing unit addresses and group quarters facilities. Independent housing unit address samples are selected for each county or county-equivalent in the U.S. and Puerto Rico, with sampling rates depending on a measure of size for the area. For more information on sampling in the ACS, see the Accuracy of the Data document..Confidentiality.The Census Bureau has modified or suppressed some estimates in ACS data products to protect respondents' confidentiality. Title 13 United States Code, Section 9, prohibits the Census Bureau from publishing results in which an individual's data can be identified. For more information on confidentiality protection in the ACS, see the Accuracy of the Data document..Technical Documentation/Methodology.Information about the American Community Survey (ACS) can be found on the ACS website. Supporting documentation including code lists, subject definitions, data accuracy, and statistical testing, and a full list of ACS tables and table shells (without estimates) can be found on the Technical Documentation section of the ACS website.Sample size and data quality measures (including coverage rates, allocation rates, and response rates) can be found on the American Community Survey website in the Methodology section.Data are based on a sample and are subject to sampling variability. The degree of uncertainty for an estimate arising from sampling variability is represented through the use of a margin of error. The value shown here is the 90 percent margin of error. The margin of error can be interpreted roughly as providing a 90 percent probability that the interval defined by the estimate minus the margin of error and the estimate plus the margin of error (the lower and upper confidence bounds) contains the true value. In addition to sampling variability, the ACS estimates are subject to nonsampling error (for a discussion of nonsampling variability, see ACS Technical Documentation). The effect of nonsampling error is not represented in these tables.Users must consider potential differences in geographic boundaries, questionnaire content or coding, or other methodological issues when comparing ACS data from different years. Statistically significant differences shown in ACS Comparison Profiles, or in data users' own analysis, may be the result of these differences and thus might not necessarily reflect changes to the social, economic, housing, or demographic characteristics being compared. For more information, see Comparing ACS Data..Weights.ACS estimates are obtained from a raking ratio estimation procedure that results in the assignment of two sets of weights: a weight to each sample person record and a weight to each sample housing unit record. Estimates of person characteristics are based on the person weight. Estimates of family, household, and housing unit characteristics are based on the housing unit weight. For any given geographic area, a characteristic total is estimated by summing the weights assigned to the persons, households, families or housing units possessing the characteristic in the geographic area. For more information on weighting and estimation in the ACS, see the Accuracy of the Data document.Although the American Community Survey (ACS) produces population, demographic and housing unit estimates, the decennial census is the official source of population totals for April 1st of each decennial year. In between censuses, the Census Bureau's Population Estimates Program produces and disseminates the official estimates of the population for the nation, states, counties, cit...

Components of population growth, annual: births, deaths, immigrants, emigrants, returning emigrants, net temporary emigrants, net interprovincial migration, net non-permanent residents, residual deviation.

This graph shows the population of the U.S. by race and ethnic group from 2000 to 2023. In 2023, there were around 21.39 million people of Asian origin living in the United States. A ranking of the most spoken languages across the world can be accessed here. U.S. populationCurrently, the white population makes up the vast majority of the United States’ population, accounting for some 252.07 million people in 2023. This ethnicity group contributes to the highest share of the population in every region, but is especially noticeable in the Midwestern region. The Black or African American resident population totaled 45.76 million people in the same year. The overall population in the United States is expected to increase annually from 2022, with the 320.92 million people in 2015 expected to rise to 341.69 million people by 2027. Thus, population densities have also increased, totaling 36.3 inhabitants per square kilometer as of 2021. Despite being one of the most populous countries in the world, following China and India, the United States is not even among the top 150 most densely populated countries due to its large land mass. Monaco is the most densely populated country in the world and has a population density of 24,621.5 inhabitants per square kilometer as of 2021. As population numbers in the U.S. continues to grow, the Hispanic population has also seen a similar trend from 35.7 million inhabitants in the country in 2000 to some 62.65 million inhabitants in 2021. This growing population group is a significant source of population growth in the country due to both high immigration and birth rates. The United States is one of the most racially diverse countries in the world.

SUMMARY This table contains data about women, ages 15 to 50, pregnant people, infants, children, and youths, up to age 24. It contains information about a wide range of health topics, including medical conditions, nutrition, dehydration, oral health, mental health, safety, access to health care, and basic needs, like housing. Local, county-level prevalence rates, time trends, and health disparities about national public health priorities, including preterm birth, infant death, childhood obesity, adolescent depression and substance use, and high blood pressure, diabetes, and kidney disease in young adults. The population data is from the 2023-2024 San Francisco Maternal Child and Adolescent Health needs assessment and is published on the Open Data Portal to share with community partners, plan services, and promote health. For more information see: Maternal, Child, and Adolescent Health Homepage Maternal, Child, and Adolescent Health Reports HOW THE DATASET IS CREATED The Maternal, Child, and Adolescent Health (MCAH) Needs Assessment for San Francisco included review of a wide range of citywide population data covering a ten-year span, from 2014 to 2023. Data from over 83,000 birth records, 59,000 death records, 261,000 emergency room visits, 66,000 hospital admissions, and 90,000 newborn screening discharges were gathered, along with citywide data from child welfare records, health screenings in childcare and schools, DMV records of first-time drivers, school surveys, and a state-run mailed survey of recent births (California Department of Public Health MIHA survey). The datasets provided information about approximately 700 health conditions. Each health condition was described in terms of the number of people affected or cases, and the rate affected, stratified by age, sex, race-ethnicity, insurance status, zip code, and time period. Rates were calculated by dividing the number of people or events by the population group estimate (e.g., total births or census estimates), then multiplying by 100 or 1,000 depending on the measure. Each rate was presented with its 95% confidence interval to support users to compare any two rates, either between groups or over time. Two rates differ “significantly” if their 95% confidence intervals do not overlap. The present dataset summarizes the group-level results for any age-, sex-, race-, insurance-, zip code-, and/or period-specific group that included at least 20 people or cases. Causes of death, health conditions that affected over 1000 people in the time frame, problems that got worse over time, and health disparities by insurance, race-ethnicity and/or zip code were flagged for the MCAH Needs Assessment. UPDATE PROCESS The dataset will be updated manually, bi-annually, each December and June. HOW TO USE THIS DATASET Population data from the MCAH needs assessment are shared in several formats, including aggregated datasets on DataSF.gov, downloadable PDF summary reports by age group, interactive online visualizations, data tables, trend graphs, and maps. Information about each variable is available in a linked data dictionary. The definition of each numerator and denominator depends on data source, life stage, and time. Health conditions may not be directly comparable across life stage, if the numerator definition includes age- or pregnancy-specific diagnosis codes (e.g. diabetes hospitalization). For small groups or rare conditions, consider combining time periods and/or groups. Data are suppressed if fewer than 20 cases happened in the group and period. Group-specific rates are available if the matched group-specific census estimates (denominator) were available. Census estim