Table 2.
NHa White | NHa Black | Hispanic | Marshallese | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
(n=65,800) | (n=1,680) | (n=21,654) | (n=2,488) | ||||||||
Cases | Prev (95% CI)b | Cases | Prev (95% CI)b | Cases | Prev (95% CI)b | Cases | Prev (95% CI)b | ||||
Central Nervous System | |||||||||||
Anencephaly | 6 | 0.9 (0.3, 2.0) | 0 | - | ≤4c | 0.9 (0.1, 3.3) | 0 | - | |||
Spina bifida without anencephaly | 26 | 4.0 (2.6, 5.8) | ≤4c | 5.9 (0.2, 33.1) | 11 | 5.1 (2.5, 9.1) | ≤4c | 4.0 (0.1, 22.4) | |||
Hydrocephaly without spina bifida | 43 | 6.5 (4.7, 8.8) | 0 | - | 15 | 6.9 (3.9, 11.4) | ≤4c | 4.0 (0.1, 22.4) | |||
Microcephaly | 23 | 3.5 (2.2, 5.2) | 0 | - | 6 | 2.8 (1.0, 6.0) | ≤4c | 16.1 (4.4, 41.1) | |||
Holoprosencephaly | ≤4c | 0.5 (0.1, 1.3) | 0 | - | ≤4c | 0.5 (0.0, 2.6) | ≤4c | 8.0 (1.0, 29.0) | |||
Subtotal | 100 | 15.2 (12.4, 18.5) | ≤4c | 6 (0.2, 33.1) | 32 | 14.8 (10.1, 20.9) | 8 | 32.2 (13.9, 63.3) | |||
Eye | |||||||||||
Anophthalmia/microphthalmia | 16 | 2.4 (1.4, 3.9) | 0 | - | ≤4c | 1.8 (0.5, 4.7) | ≤4c | 4.0 (0.1, 22.4) | |||
Congenital cataract | 15 | 2.3 (1.3, 3.8) | 0 | - | ≤4c | 1.8 (0.5, 4.7) | ≤4c | 16.1 (4.4, 41.1) | |||
Subtotal | 30 | 4.6 (3.1, 6.5) | 0 | - | 8 | 3.7 (1.6, 7.3) | 5 | 20.1 (6.5, 46.8) | |||
Ear | |||||||||||
Anotia/microtia | 9 | 1.4 (0.6, 2.6) | 0 | - | 8 | 3.7 (1.6, 7.3) | 0 | - | |||
Cardiovascular | |||||||||||
Truncus arteriosus | ≤4c | 0.3 (0, 1.1) | ≤4c | 6 (0.2, 33.1) | ≤4c | 0.5 (0.0, 2.6) | ≤4c | 4.0 (0.1, 22.4) | |||
Transposition of the great arteries | 34 | 5.2 (3.6, 7.2) | 0 | - | ≤4c | 1.8 (0.5, 4.7) | 0 | - | |||
Tetralogy of Fallot | 19 | 2.9 (1.7, 4.5) | 0 | - | 9 | 4.2 (1.9, 7.9) | 0 | - | |||
Ventricular septal defect | 378 | 57.4 (51.8, 63.5) | 8 | 47.6 (20.6, 93.6) | 115 | 53.1 (43.9, 63.7) | 10 | 40.2 (19.3, 73.8) | |||
Atrial septal defect | 211 | 32.1 (27.9, 36.7) | ≤4c | 17.9 (3.7, 52.1) | 62 | 28.6 (22.0, 36.7) | 11 | 44.2 (22.1, 79.0) | |||
Atrioventricular septal defect | 44 | 6.7 (4.9, 9.0) | ≤4c | 6 (0.2, 33.1) | 8 | 3.7 (1.6, 7.3) | ≤4c | 8.0 (1.0, 29.0) | |||
Pulmonary valve atresia and stenosis | 80 | 12.2 (9.6, 15.1) | ≤4c | 23.8 (6.5, 60.8) | 23 | 10.6 (6.7, 15.9) | 6 | 24.1 (8.9, 52.4) | |||
Tricuspid valve atresia and stenosis | 7 | 1.1 (0.4, 2.2) | 0 | - | ≤4c | 1.4 (0.3, 4.0) | 0 | - | |||
Ebstein anomaly | 9 | 1.4 (0.6, 2.6) | 0 | - | ≤4c | 1.8 (0.5, 4.7) | 0 | - | |||
Aortic valve stenosis | 18 | 2.7 (1.6, 4.3) | 0 | - | 8 | 3.7 (1.6, 7.3) | 0 | - | |||
Hypoplastic left heart syndrome | 18 | 2.7 (1.6, 4.3) | 0 | - | ≤4c | 1.4 (0.3, 4.0) | ≤4c | 4.0 (0.1, 22.4) | |||
Patent ductus arteriosus | 140 | 21.3 (17.9, 25.1) | 11 | 65.5 (32.7, 116.9) | 41 | 18.9 (13.6, 25.7) | ≤4c | 16.1 (4.4, 41.1) | |||
Coarctation of the aorta | 49 | 7.4 (5.5, 9.8) | 0 | - | 12 | 5.5 (2.9, 9.7) | ≤4c | 4.0 (0.1, 22.4) | |||
Total anomalous pulmonary venous connection | ≤4c | 0.6 (0.2, 1.6) | 0 | - | ≤4c | 0.5 (0.0, 2.6) | ≤4c | 8.0 (1.0, 29.0) | |||
Interrupted aortic arch | 7 | 1.1 (0.4, 2.2) | 0 | - | 0 | - | 0 | - | |||
Double outlet right ventricle | 11 | 1.7 (0.8, 3.0) | ≤4c | 6.0 (0.2, 33.1) | 5 | 2.3 (0.7, 5.4) | ≤4c | 8.0 (1.0, 29.0) | |||
Subtotal | 765 | 116.3 (108.2, 124.7) | 22 | 131 (82.2, 197.6) | 220 | 101.6 (88.7, 15.9) | 28 | 112.5 (74.9, 162.2) | |||
Orofacial | |||||||||||
Cleft palate alone | 35 | 5.3 (3.7, 7.4) | 0 | - | 15 | 6.9 (3.9, 11.4) | ≤4c | 8.0 (1.0, 29.0) | |||
Cleft lip alone | 26 | 4.0 (2.6, 5.8) | 0 | - | ≤4c | 1.4 (0.3, 4.0) | 0 | - | |||
Cleft lip with cleft palate | 36 | 5.5 (3.8, 7.6) | 0 | - | 14 | 6.5 (3.5, 10.8) | 0 | - | |||
Subtotal | 92 | 14.0 (11.3, 17.1) | 0 | - | 31 | 14.3 (9.7, 20.3) | ≤4c | 8.0 (1.0, 29.0) | |||
Gastrointestinal | |||||||||||
Esophageal atresia/tracheoesophageal fistula | 25 | 3.8 (2.5, 5.6) | 0 | - | ≤4c | 1.4 (0.3, 4.0) | 0 | - | |||
Rectal and large intestinal atresia/stenosis | 30 | 4.6 (3.1, 6.5) | ≤4c | 17.9 (3.7, 52.1) | 8 | 3.7 (1.6, 7.3) | ≤4c | 4.0 (0.1, 22.4) | |||
Pyloric stenosis | 113 | 17.2 (14.2, 20.6) | ≤4c | 6.0 (0.2, 33.1) | 43 | 19.9 (14.4, 26.7) | 0 | - | |||
Hirshsprung’s disease | 18 | 2.7 (1.6, 4.3) | 0 | - | ≤4c | 0.5 (0.0, 2.6) | ≤4c | 4.0 (0.1, 22.4) | |||
Small intestinal atresia/stenosis | 22 | 3.3 (2.1, 5.1) | 0 | - | ≤4c | 1.8 (0.5, 4.7) | ≤4c | 4.0 (0.1, 22.4) | |||
Subtotal | 211 | 32.1 (27.9, 36.7) | ≤4c | 23.8 (6.5, 60.8) | 60 | 27.7 (21.2, 35.7) | ≤4c | 16.1 (4.4, 41.1) | |||
Genitourinary | |||||||||||
Renal agenesis/hypoplasia | 20 | 3.0 (1.9, 4.7) | 0 | - | 8 | 3.7 (1.6, 7.3) | 0 | - | |||
Obstructive genitourinary defect | 116 | 17.6 (14.6, 21.1) | ≤4c | 23.8 (6.5, 60.8) | 29 | 13.4 (9.0, 19.2) | ≤4c | 16.1 (4.4, 41.1) | |||
Hypospadias | 284 | 84.2 (38.3, 48.5) | 7 | 82.7 (16.8, 85.7) | 25 | 22.9 (7.5, 17) | 5 | 39.8 (6.5, 46.8) | |||
Cystic kidney | 15 | 2.3 (1.3, 3.8) | 0 | - | 5 | 2.3 (0.7, 5.4) | 0 | - | |||
Subtotal | 420 | 63.8 (57.9, 70.2) | 11 | 65.5 (32.7, 116.9) | 67 | 30.9 (24, 39.3) | 9 | 36.2 (16.6, 68.6) | |||
Musculoskeletal | |||||||||||
Limb deficiencies | 27 | 4.1 (2.7, 6.0) | ≤4c | 6 (0.2, 33.1) | 12 | 5.5 (2.9, 9.7) | ≤4c | 8.0 (1.0, 29.0) | |||
Gastroschisis | 43 | 6.5 (4.7, 8.8) | 0 | - | 7 | 3.2 (1.3, 6.7) | 0 | - | |||
Omphalocele | 14 | 2.1 (1.2, 3.6) | 0 | - | 6 | 2.8 (1.0, 6.0) | 0 | - | |||
Congenital hip dislocation | 12 | 1.8 (0.9, 3.2) | 0 | - | 5 | 2.3 (0.7, 5.4) | ≤4c | 4.0 (0.1, 22.4) | |||
Diaphragmatic hernia | 26 | 4.0 (2.6, 5.8) | ≤4c | 17.9 (3.7, 52.1) | ≤4c | 1.4 (0.3, 4.0) | 0 | - | |||
Craniosynostosis | 52 | 7.9 (5.9, 10.4) | ≤4c | 6.0 (0.2, 33.1) | 13 | 6.0 (3.2, 10.3) | 0 | - | |||
Clubfoot | 91 | 13.8 (11.1, 17) | ≤4c | 11.9 (1.4, 42.9) | 26 | 12 (7.8, 17.6) | ≤4c | 8.0 (1.0, 29.0) | |||
Prune belly | ≤4c | 0.2 (0.0, 0.8) | 0 | - | 0 | - | 0 | - | |||
Subtotal | 257 | 39.1 (34.4, 44.1) | 6 | 35.7 (13.1, 77.6) | 72 | 33.3 (26.0, 41.9) | ≤4c | 16.1 (4.4, 41.1) | |||
Chromosomal | |||||||||||
Trisomy 13 | ≤4c | 0.2 (0.0, 0.8) | 0 | - | ≤4c | 0.5 (0.0, 2.6) | 0 | - | |||
Trisomy 18 | 15 | 2.3 (1.3, 3.8) | 0 | - | 10 | 4.6 (2.2, 8.5) | ≤4c | 4.0 (0.1, 22.4) | |||
Trisomy 21 | 74 | 11.2 (8.8, 14.1) | ≤4c | 6.0 (0.2, 33.1) | 43 | 19.9 (14.4, 26.7) | ≤4c | 12.1 (2.5, 35.2) | |||
Turner syndrome | ≤4c | 0.5 (0.1, 1.3) | 0 | - | ≤4c | 0.5 (0.0, 2.6) | 0 | - | |||
Subtotal | 96 | 14.6 (11.8, 17.8) | ≤4c | 11.9 (1.4, 42.9) | 56 | 25.9 (19.5, 33.6) | 4 | 16.1 (4.4, 41.1) | |||
Other | |||||||||||
Achondroplastic dwarfism | ≤4c | 0.6 (0.2, 1.6) | 0 | - | ≤4c | 0.5 (0.0, 2.6) | ≤4c | 4.0 (0.1, 22.4) | |||
Lung agenesis or aplasia | ≤4c | 0.2 (0.0, 0.8) | 0 | - | 0 | - | 0 | - | |||
Total births with defects | 1697 | 258.2 (246.2, 70.6) | 39 | 232.1 (165.6,316) | 459 | 212 (193.2,232.0) | 54 | 217 (163.5, 282.3) |
NH=Non-Hispanic;
Prev (95% CI)= prevalence and 95% confidence intervals
Data suppressed due to small numbers