placestats

Child mortality and Premature mortality

Where Child mortality is higher, Premature mortality tends to be higher. The link is moderate: +0.53 across 1,725 counties, on a scale from −1 (opposite) to +1 (in step). That figure compares places with the same population density, income and education, so those differences can't explain it. It holds inside states too. Measured separately within each of 31 states, the middle value of the link is +0.64.

Holds after adjusting

Every place, plotted

One dot for each place reporting both measures. Hover over or tap a dot to see its name and values. The thin line is the straight line that best fits the dots. The bold line, shown for counties, is the link after adjusting for density, income and education. A dot far from the lines is a place that does not follow the pattern.

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What each measure is

Child mortality

Deaths of children under 18 per 100,000 children.

County Health Rankings · County Health Rankings v128

Premature mortality

Deaths before age 75 per 100,000 people. It is adjusted so places with older or younger populations can be compared fairly.

County Health Rankings · County Health Rankings v127

Highest and lowest

Where each measure is highest and lowest among the places reporting both (2023), with the other measure beside it. This is shown for every size of place where both are published. Metro-area values are added up from their counties. A measure that cannot be added up across counties, such as a middle value (median), has no metro figure. Counts are shown per 1,000 residents, since raw totals would only list the largest places. Cities and towns and ZIP codes are shown where the Census survey or the CDC publishes them; most other sources stop at the county. They are shown for places of 5,000 residents or more, and only where the survey’s margin of error is small enough for the figure to be usable. The CDC publishes its health estimates for cities in a version adjusted for age, so places with older or younger people can be compared fairly, but not for ZIP codes.

Counties

By child mortality

By premature mortality

States

By child mortality

Child mortalityPremature mortality
Highest
Mississippi86.5629
Louisiana78.6563
Arkansas73552
Alaska72.9439
Alabama72.7569
Lowest
Massachusetts30.4303
New Jersey33.9334
New Hampshire34.6324
Rhode Island34.7331
Vermont36.3340

By premature mortality

Child mortalityPremature mortality
Highest
Mississippi86.5629
West Virginia60.7625
Alabama72.7569
Kentucky60.1565
Louisiana78.6563
Lowest
Massachusetts30.4303
Hawaii44.5310
Minnesota43.6315
Utah47317
Connecticut36.8323
Metro areas

By child mortality

Child mortalityPremature mortality
Highest
Greenville, MS143875
Uvalde, TX139628
Vernon, TX137668
Rockingham, NC137783
Minden, LA135730
Lowest
Corvallis, OR19.1222
Blacksburg-Christiansburg-Radford, VA21.2428
Amherst Town-Northampton, MA22.8284
Santa Cruz-Watsonville, CA27.5260
Keene, NH27.5350

By premature mortality

Child mortalityPremature mortality
Highest
Gallup, NM65.41,079
Clarksdale, MS901,070
Middlesborough, KY91.1929
Cleveland, MS112927
Greenwood, MS118891
Lowest
Edwards, CO35.4167
Heber, UT36.1202
Bozeman, MT40.2207
San Jose-Sunnyvale-Santa Clara, CA28.3214
Corvallis, OR19.1222

Counties furthest from the pattern

Compared with the straight line that best fits all 1,726 counties: the five with far more premature mortality than their child mortality would suggest, and the five with far less.

Child mortalityPremature mortality
Above the line
Roosevelt County, MT1141,337
McKinley County, NM65.41,079
Logan County, WV59.61,004
Todd County, SD1531,413
Mingo County, WV67.51,014
Below the line
Kusilvak Census Area, AK274800
Bethel Census Area, AK200626
Switzerland County, IN177537
Trinity County, CA159480
Sanders County, MT148477

Two series, one county

Both measures over time for a county you pick. The two charts are stacked, so they share only the years along the bottom. You can pick from the thirty largest counties reporting both. This panel covers 2010–2024, and a measure published only once shows as a single dot.

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Every version of the link

Each row measures the same link, from −1 to +1, in a different way. If the rows mostly agree, the link does not depend on one choice of method.

Before adjusting for anything+0.7241,725 counties reporting both
After adjusting for density, income and education+0.531the part of the link that is not just how urban, rich and educated a place is
Also adjusting for population size+0.519size taken out as well as density
Also comparing only within each state+0.458each county is compared only with others in its own state, so this is no longer a comparison between states
Giving bigger counties more weight+0.656the adjusted link for the average resident rather than the average county. With this weighting, the data counts for about 255 equally weighted counties
Middle value inside single states+0.637the link worked out inside each of 31 states with at least 20 counties reporting
Using ranks, after adjusting+0.483uses each county’s rank, not its value, so a few extreme counties cannot create the link

How much to believe it

Could it be chance?

The p-value is the chance of seeing a link this strong if there were really none. A value of 0.05 or less means the link is unlikely to be chance. Very small values are written in short form: 3.1e-16 means 0.00000000000000031, and the bigger the number after “e-”, the smaller the value. Treating every county as a separate case gives p = 8.7e-126. But counties in the same state tend to resemble each other, so the better figure allows for that: p = 5.0e-12. The site tested 20,910 pairs, and testing so many turns up some flukes. The q-value allows for that too. For this pair it is 8.0e-125.

Do nearby places look alike?

Moran’s I measures how much nearby places look alike: 0 means no map pattern, and higher means neighbours are more similar. For the part of each county that the adjustment leaves unexplained, it is +0.32 (p = 0.001). That unexplained part still clusters on the map. So some regional factor shared by both measures is not accounted for.

Did they change together?

The figures above compare counties at one moment. This asks a different question: where child mortality rose most, did premature mortalitymove too? Each county’s change is compared with the average change in its own state. That takes out ups and downs that hit a whole region at once. Each change is the gap between two estimates that both contain some error. That error pulls these links towards zero, so a weak one is weak partly for that reason. The q column shows whether a link could be a fluke, allowing for the many pairs tested: 0.05 or less means it is unlikely to be chance.

PeriodCountiesChange togetherWithin statesq
2014–2019 the main test: each Census survey figure averages five years, and these two do not overlap; before the pandemic1,435+0.15+0.150.000
2019–2023 a repeat check: its two five-year survey figures both include 2019, and it covers the COVID years1,484+0.24+0.198.4e-7

Measured over the nearest years published: Child mortality: 2013–2019 for the 2014–2019 row; Premature mortality: 2013–2019 for the 2014–2019 row; Child mortality: 2019–2022 for the 2019–2023 row; Premature mortality: 2019–2022 for the 2019–2023 row.

In counties where one changed more, the other tended to move the same way, compared with other counties in the same state (r = +0.15). The same holds in the second period. How change is measured.

Related pairs

Association only. Nothing here shows that either measure changes the other. This describes counties, not the people in them. Two measures going together across places does not mean the same people have both. How the US county data works · Explore Child mortality and Premature mortality