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Methods We obtained two de-identified datasets from the Utah birth certificate registry: (1) change history from 2000 to 2012, and (2) occurrences for adoptions, paternities, and amendments among births in 19.
We conducted cohort analyses for births in 19, examining the number, reason, and extent of changes over time.
This was a common practice in many European countries and carried over to America.
Results In a cohort of 48 350 individuals born in 2000 in Utah, 3164 (6.5%) experienced a change in identifiers prior to their 13th birthday, with most changes occurring before 2 years of age.
Cross-sectional analysis showed that identifiers are stable for individuals over 5 years of age, but patterns of changes fluctuate considerably over time, potentially due to policy and social factors.
Conclusions Identities represented in birth certificates change over time.
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