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In view of the absence of systematic data, a few studies that specifically examined causes of death during the perinatal period are worth mentioning, particularly in view of the dramatic and unexpected results they revealed. In high-income countries, Appleby (57), Kendell (58), Frautschi, Cerulli, and Maine (59), and Brockington (60) have examined mortality during the perinatal period. Overall, they found that the leading cause of death during this period was suicide, with rates significantly higher than in non-pregnant, non puerperal women. Risk factors identified by these authors include adolescent pregnancy (in many cases complicated by unintended pregnancy and. | Child Health USA 2008-2009 September 2009 U.S. Department of Health and Human Services Health Resources and Services Administration HRSA Child Health USA 2008-2009 is not copyrighted. Readers are free to duplicate and use all or part of the information contained in this publication however the photographs are copyrighted and permission may be required to reproduce. It is available online www.mchb.hrsa.gov Suggested Citation U.S. Department of Health and Human Services Health Resources and Services Administration Maternal and Child Health Bureau. Child Health USA 2008-2009. Rockville Maryland U.S. Department of Health and Human Services 2009. Single copies of this publication are also available at no cost from HRSA Information Center P.O. Box 2910 Merrifield VA 22116 1-888-ASK-HRSA or ask@hrsa.gov Child Health USA 2008-2009 Table of Contents Preface .5 Introduction.7 Population Characteristics.11 Population of Children.12 Children of Foreign-Born Parents.13 Children in Poverty.14 School Dropouts.15 Maternal Age.16 Working Mothers and Child Care.17 Neighborhood Characteristics.18 Health Status.19 Health Status - Infants.20 Breastfeeding.21 Low Birth Weight.22 Very Low Birth Weight.23 Maternal Mortality.24 Neonatal and Postneonatal Mortality.25 Infant Mortality.26 International Infant Mortality.27 Health Status - Children .29 Health Status.30 Vaccine-Preventable Diseases.31 Pediatric AIDS.32 Hospitalization.33 Hospitalization Trends.34 Abuse and Neglect.35 Child Mortality.36 Childhood Deaths Due to Injury.37 Health Status - Adolescents .39 Adolescent Childbearing.40 Sexual Activity.41 Sexually Transmitted Infections.42 Adolescent and Young Adult HIV AIDS.43 Physical Activity.45 Mental Health .46 Cigarette Smoking.47 Substance Abuse.48 Violence.49 Adolescent Mortality.50 Adolescent Mortality from Traffic and Firearm Injuries.51 Health Services Financing and Utilization .53 Health Care Financing.54 Adequacy of Health Insurance Coverage.55 Vaccination Coverage.56 .