HEALTH STATUS PROFILE OF AMERICAN INDIANS IN ARIZONA 1996 DATA BOOK by Christopher K. Mrela, Ph.D., Assistant Registrar of Vital Statistics Trentham Coe, Senior Research Data Analyst Health Status Profile of American Indians in Arizona: 1996 Data Book This report was prepared by Christopher K. Mrela, Ph.D., Assistant Registrar of Vital Statistics This report is the third annual update of population-level data on trends and patterns in natality and mortality among American Indian residents of Arizona. Topics 1)American Indians' standing with respect to selected health objectives for the year 2000 1.1 Early Prenatal Care 1.2 Infant Mortality 1.3 Postneonatal Mortality 1.4 Mortality From Unintentional Injuries 1.5 Mortality From Motor Vehicle-Related Injuries 1.6 Suicide Mortality 1.7 Homicide Mortality 1.8 Mortality of Children 1-14 Years Old 1.9 Mortality of Adolescents and Young Adults 15-24 Years Old 1.10 Mortality of Adults 25-64 Years of Age 2) Selected health problems and health risks among American Indian and all residents of Arizona 2.1 Causes From Which American Indians Are More Likely Or Less Likely to Die Relative to All Arizona Residents 2.2 Average Age At Death From All Causes Among American Indians and All Arizona Residents 2.3 Nonmarital Births 2.4 Low-Birthweight Births 2.5 The Incidence of Fetal Alcohol Syndrome 2.6 Births to Teenage Mothers 2.7 Low-Birthweight Births to Mothers 30 Years or Older 2.8 The Incidence of Pregnancy Associated Hypertension 2.9 The Incidence of Anemia During Pregnancy 2.10 The Incidence of Diabetes During Pregnancy 3) Characteristics of American Indian newborns and mothers giving birth who were residents of specified tribal communities on reservations, and those who resided off reservation 3.1 Maternal Age 3.2 Educational Attainment of Mother 3.3 Marital Status of Mother 3.4 Race/Ethnicity of Father 3.5 Age of Father 3.6 Source of Payment for Labor and Delivery Maternal Lifestyle and Health Characteristics 3.7 Maternal Weight Gain During Pregnancy 3.8 Medical Risk Factors of Pregnancy 3.9 Substance Use During Pregnancy Utilization of Medical Services 3.10 Trimester of Pregnancy Prenatal Care Began 3.11 Number of Prenatal Visits 3.12 Obstetric Procedures 3.13 Complications of Labor and Delivery 3.14 Method of Delivery 3.15 Attendant at Birth Newborn's Health 3.16 Gestational Age 3.17 Weight at Birth 3.18 Abnormal Conditions of the Newborn 3.19 Congenital Anomalies (Birth Defects) 3.20 Causes of Infant Death 4) Patterns of mortality among American Indians 4.1 Age-Specific Mortality 4.2 Age-Specific Mortality Among Males 4.3 Age-Specific Mortality Among Females Cause-Specific Mortality 4.4 Deaths From Causes Selected as Indicators for Monitoring Progress Toward The Year 2000 Objectives 4.5 Leading Causes of Death 4.6 Leading Causes of Death Among Males 4.7 Leading Causes of Death Among Females Leading Causes of Death by Age Group for Selected Indian Nations 4.8 Leading Causes of Death by Age Group Among Residents of NAVAJO Tribal Communities 4.9 Leading Causes of Death by Age Group Among Residents of HOPI Tribal Communities 4.10Leading Causes of Death by Age Group Among Residents of FORT APACHE Tribal Communities 4.11Leading Causes of Death by Age Group Among Residents of GILA RIVER Tribal Communities 4.12 Leading Causes of Death by Age Group Among Residents of SALT RIVER Tribal Communities 4.13 Leading Causes of Death by Age Group Among Residents of SAN CARLOS Tribal Communities 4.14 Leading Causes of Death by Age Group Among Residents of TOHONO O'ODHAM Tribal Communities 4.15 Leading Causes of Death by Age Group Among American Indians Who Resided Off Reservation Glossary of Terms Technical Notes It should be noted that tribal identity is not recorded on birth or death certificates. Tabulations of births and deaths in this publication are by place of residence in Arizona and not by tribe. American Indian births are determined by mother's race as indicated on a birth certificate, that is, these are the births to American Indian mothers. American Indian deaths are determined by decedent's race as stated on the death certificate. Health Status Profile of American Indians in Arizona is intended as a data book: a basic reference for some of the most frequently requested statistics. The four sections of the report were computer-generated and contain information with no accompanying narrative. Sources of Data The charts in Section I and II are based on rates and ratios published in the Arizona Health Status and Vital Statisticsannual report (s). Information on live births and deaths in Sections III and IV is compiled from the original documents (i.e., certificates of live births and certificates of death) filed with the Arizona Department of Health Services. Population denominators for American Indians by place of residence in Arizona were not available for 1996. Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 Health Status Profile of American Indians in Arizona:Figure 1-1 http://www.azdhs.gov/plan/report/hspam/ind96/images/f1-1.htm7/30/2009 10:41:59 AM Health Status Profile of American Indians in Arizona:Figure 1-10 http://www.azdhs.gov/plan/report/hspam/ind96/images/f1-10.htm7/30/2009 10:47:30 AM Health Status Profile of American Indians in Arizona:Figure 1-2 http://www.azdhs.gov/plan/report/hspam/ind96/images/f1-2.htm7/30/2009 10:42:43 AM Health Status Profile of American Indians in Arizona:Figure 1-3 http://www.azdhs.gov/plan/report/hspam/ind96/images/f1-3.htm7/30/2009 10:44:18 AM Health Status Profile of American Indians in Arizona:Figure 1-4 http://www.azdhs.gov/plan/report/hspam/ind96/images/f1-4.htm7/30/2009 10:44:45 AM Health Status Profile of American Indians in Arizona:Figure 1-5 http://www.azdhs.gov/plan/report/hspam/ind96/images/f1-5.htm7/30/2009 10:45:09 AM Health Status Profile of American Indians in Arizona:Figure 1-6 http://www.azdhs.gov/plan/report/hspam/ind96/images/f1-6.htm7/30/2009 10:45:33 AM Health Status Profile of American Indians in Arizona:Figure 1-7 http://www.azdhs.gov/plan/report/hspam/ind96/images/f1-7.htm7/30/2009 10:45:54 AM Health Status Profile of American Indians in Arizona:Figure 1-8 http://www.azdhs.gov/plan/report/hspam/ind96/images/f1-8.htm7/30/2009 10:46:30 AM Health Status Profile of American Indians in Arizona:Figure 1-9 http://www.azdhs.gov/plan/report/hspam/ind96/images/f1-9.htm7/30/2009 10:46:54 AM Health Status Profile of American Indians in Arizona:Figure 2-1 http://www.azdhs.gov/plan/report/hspam/ind96/images/f2-1.htm7/30/2009 10:48:46 AM Health Status Profile of American Indians in Arizona:Figure 2-10 http://www.azdhs.gov/plan/report/hspam/ind96/images/f2-10.htm7/30/2009 10:53:54 AM Health Status Profile of American Indians in Arizona:Figure 2-2 http://www.azdhs.gov/plan/report/hspam/ind96/images/f2-2.htm7/30/2009 10:49:18 AM Health Status Profile of American Indians in Arizona:Figure 2-3 http://www.azdhs.gov/plan/report/hspam/ind96/images/f2-3.htm7/30/2009 10:50:30 AM Health Status Profile of American Indians in Arizona:Figure 2-4 http://www.azdhs.gov/plan/report/hspam/ind96/images/f2-4.htm7/30/2009 10:51:08 AM Health Status Profile of American Indians in Arizona:Figure 2-5 http://www.azdhs.gov/plan/report/hspam/ind96/images/f2-5.htm7/30/2009 10:52:04 AM Health Status Profile of American Indians in Arizona:Figure 2-6 http://www.azdhs.gov/plan/report/hspam/ind96/images/f2-6.htm7/30/2009 10:52:29 AM Health Status Profile of American Indians in Arizona:Figure 2-7 http://www.azdhs.gov/plan/report/hspam/ind96/images/f2-7.htm7/30/2009 10:52:50 AM Health Status Profile of American Indians in Arizona:Figure 2-8 http://www.azdhs.gov/plan/report/hspam/ind96/images/f2-8.htm7/30/2009 10:53:12 AM Health Status Profile of American Indians in Arizona:Figure 2-9 http://www.azdhs.gov/plan/report/hspam/ind96/images/f2-9.htm7/30/2009 10:53:33 AM Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 3-1 3.1 MATERNAL AGE AGE GROUP OF MOTHER TOTAL <15 1517 1819 2024 2529 3034 3539 4044 45 + Unknown 5328 28 401 567 1674 1212 909 426 106 3 2 17 0 1 2 6 4 0 4 0 0 0 233 2 19 18 65 58 37 30 4 0 0 FORT McDOWELL 33 0 7 6 7 6 7 0 0 0 0 GILA RIVER 146 1 12 11 48 40 24 10 0 0 0 HAVASUPAI 4 0 0 0 1 1 1 1 0 0 0 HOPI 99 0 8 12 29 25 14 9 2 0 0 HUALAPAI 25 0 1 2 7 4 9 2 0 0 0 KAIBAB 1 0 0 0 1 0 0 0 0 0 0 NAVAJO 1943 1 115 197 563 450 364 194 55 3 1 26 0 4 9 6 3 3 1 0 0 0 SAN CARLOS 177 2 17 27 51 33 30 15 2 0 0 SAN XAVIER 10 0 0 1 5 1 3 0 0 0 0 143 0 16 16 40 37 21 12 1 0 0 Subtotal 2857 6 200 301 829 662 513 278 64 3 1 Subtotal 2471 22 201 266 845 550 396 148 42 0 1 TOTAL COLORADO RIVER FORT APACHE Resided on reservation: SALT RIVER TOHONO O ODHAM Resided off reservation 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_1.htm (1 of 2)7/30/2009 10:55:15 AM Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 3-1 http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_1.htm (2 of 2)7/30/2009 10:55:15 AM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-10 3.10. TRIMESTER OF PREGNANCY PRENATAL CARE BEGAN PRENATAL CARE TOTAL No Care 1st trimester 2nd trimester 3rd trimester Unknown 5328 117 3126 1507 519 59 17 0 6 7 3 1 233 7 130 63 28 5 FORT McDOWELL 33 0 20 7 4 2 GILA RIVER 146 3 99 29 12 3 HAVASUPAI 4 0 2 2 0 0 HOPI 99 4 52 29 9 5 HUALAPAI 25 1 15 6 3 0 KAIBAB 1 0 0 0 1 0 NAVAJO 1943 38 1137 568 188 12 26 0 17 4 5 0 SAN CARLOS 177 7 100 50 17 3 SAN XAVIER 10 1 7 2 0 0 143 4 86 34 17 2 2857 5 61671 801 287 33 TOTAL COLORADO RIVER FORT APACHE Resided on reservation: SALT RIVER TOHONO O' ODHAM Subtotal http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_10.htm (1 of 2)7/30/2009 1:03:54 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-10 Resided off reservation Subtotal 2471 52 1455 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_10.htm (2 of 2)7/30/2009 1:03:54 PM 706 232 26 Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-11 3.11. NUMBER OF PRENATAL VISITS NUMBER OF PRENATAL VISITS TOTAL No visits 1-4 visits 5-8 visits 9-12 visits 13+ visits Unknown 5328 125 554 1406 2083 1007 153 17 1 3 7 3 3 0 233 8 32 62 70 45 16 FORT McDOWELL 33 0 6 6 14 6 1 GILA RIVER 146 3 14 29 64 29 7 HAVASUPAI 4 0 1 1 2 0 0 HOPI 99 4 11 26 36 17 5 HUALAPAI 25 1 5 11 7 0 1 KAIBAB 1 0 1 0 0 0 0 NAVAJO 1943 39 213 539 732 385 35 SALT RIVER 26 0 3 12 8 3 0 SAN CARLOS 177 11 26 50 43 22 25 SAN XAVIER 10 1 0 2 5 2 0 143 4 7 38 54 38 2 2857 72 322 783 1038 550 92 TOTAL COLORADO RIVER FORT APACHE Resided on reservation: TOHONO O'ODHAM Subtotal http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_11.htm (1 of 2)7/30/2009 1:04:21 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-11 Resided off reservation Subtotal 2471 53 232 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_11.htm (2 of 2)7/30/2009 1:04:21 PM 623 1045 457 61 Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-12 3.12. OBSTETRIC PROCEDURES OBSTETRIC PROCEDURES:* Amniocentesis Electro. Fetal Monit. Induction of Labor Stimulation of Labor Tocolysis Ultrasound Other 4985 90 4315 1047 439 106 3427 544 17 0 16 5 0 2 12 0 210 0 199 34 3 6 170 3 FORT McDOWELL 33 1 26 7 2 0 24 3 GILA RIVER 145 8 137 38 1 3 125 85 HAVASUPAI 4 0 4 2 2 0 4 0 HOPI 84 2 75 22 9 2 53 3 HUALAPAI 24 1 23 4 4 0 24 0 KAIBAB 1 0 1 0 0 0 0 0 NAVAJO 1748 22 1621 317 181 30 1046 40 26 1 18 8 1 0 20 3 SAN CARLOS 159 3 106 29 20 5 145 27 SAN XAVIER 9 0 7 4 2 0 6 3 139 3 132 42 15 1 129 22 Subtotal 2599 41 2365 512 240 49 1758 189 Subtotal 2386 49 1950 535 199 57 1669 355 TOTAL TOTAL COLORADO RIVER FORT APACHE Resided on reservation: SALT RIVER TOHONO O'ODHAM Resided off reservation *More than one may be reported on a birth certificate. 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_12.htm7/30/2009 1:04:45 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-13 3.13. COMPLICATIONS OF LABOR AND DELIVERY TOTAL COLORADO RIVER FORT APACHE FORT McDOWELL GILA RIVER HAVASUPAI HOPI HUALAPAI KAIBAB NAVAJO SALT RIVER SAN CARLOS SAN XAVIER TOHONO O'ODHAM Subtotal 2148 6 107 12 61 3 35 10 1 713 12 58 4 82 1044 50 0 1 0 0 0 0 0 0 21 1 1 0 0 26 Meconium 287 0 15 2 3 0 8 2 0 86 4 7 0 22 138 Rupture of Membrane 285 1 2 2 2 1 4 0 0 136 4 10 1 8 114 Abruptio Placenta 24 0 1 0 0 0 0 1 0 10 1 1 0 1 9 Placenta Previa 19 0 0 0 0 0 1 0 0 7 0 1 1 0 9 Other Bleeding 111 0 0 0 1 0 9 0 0 72 0 3 0 2 24 3 0 0 0 0 0 0 0 0 0 0 0 0 0 3 Precipitous Labor 73 0 0 0 0 0 1 0 1 53 0 1 0 1 16 Prolonged Labor 96 0 3 0 0 1 2 0 0 58 1 3 0 4 24 Dysfunctional Labor 142 1 2 0 0 1 2 0 0 92 0 3 1 0 40 Breech Malpresentation 180 1 1 0 4 0 3 3 0 74 1 6 0 5 82 Cephalopelvic Disp. 58 0 4 0 6 0 0 0 0 17 0 1 0 1 29 Cord Prolapse 14 0 1 0 0 0 0 0 0 6 0 1 0 0 6 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 120 1 1 0 6 0 2 2 0 51 0 5 0 1 51 1228 4 86 12 46 3 13 7 1 235 9 32 1 57 722 TOTAL Febrile Seizures COMPLICATIONS OF/LABOR AND DELIVERY* Anesthetic Complic. Fetal Distress Other *More than one may be reported on a birth certificate. 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_13.htm7/30/2009 1:05:09 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-14 3.14. METHOD OF DELIVERY METHOD OF DELIVERY:* Vaginal Vaginal after Csection Primary CSection Repeat CSection Forceps Vacuum 5321 4355 243 450 273 65 108 17 12 1 4 0 1 1 233 202 6 16 9 1 13 FORT McDOWELL 33 26 3 3 1 1 0 GILA RIVER 146 122 1 17 6 2 7 HAVASUPAI 4 4 0 0 0 0 0 HOPI 99 86 4 6 4 0 2 HUALAPAI 25 18 1 4 2 0 1 KAIBAB 1 1 0 0 0 0 0 NAVAJO 1943 1611 114 137 83 13 19 26 21 2 2 1 0 1 SAN CARLOS 176 140 11 13 12 5 6 SAN XAVIER 10 8 0 1 1 0 1 143 119 7 6 11 1 0 2855 2370 150 209 130 24 51 TOTAL TOTAL COLORADO RIVER FORT APACHE Resided on reservation: SALT RIVER TOHONO O'ODHAM Subtotal http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_14.htm (1 of 2)7/30/2009 1:05:31 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-14 Resided off reservation Subtotal 2466 1985 93 *More than one may be reported on a birth certificate. 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_14.htm (2 of 2)7/30/2009 1:05:31 PM 241 143 41 57 Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-15 3.15. ATTENDANT AT BIRTH ATTENDANT TOTAL M.D. C.N. M. 5328 2917 2086 3 17 15 2 233 212 FORT McDOWELL 33 GILA RIVER HAVASUPAI D. O. Other Unknown 271 41 10 0 0 0 0 4 0 15 2 0 16 13 0 3 1 0 146 100 19 0 27 0 0 4 2 2 0 0 0 0 HOPI 99 48 46 0 4 1 0 HUALAPAI 25 17 0 0 7 1 0 KAIBAB 1 1 0 0 0 0 0 NAVAJO 1943 652 1210 1 61 14 5 SALT RIVER 26 9 17 0 0 0 0 SAN CARLOS 177 167 9 0 1 0 0 SAN XAVIER 10 8 0 0 0 2 0 143 109 29 0 1 4 0 2857 1356 1351 1 119 25 5 TOTAL COLORADO RIVER FORT APACHE Resided on reservation: Hospital admin. TOHONO O'ODHAM Subtotal http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_15.htm (1 of 2)7/30/2009 1:05:51 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-15 Resided off reservation Subtotal 2471 1561 735 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_15.htm (2 of 2)7/30/2009 1:05:51 PM 2 152 16 5 Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-16 3.16. GESTATIONAL AGE LENGTH OF GESTATION TOTAL TOTAL 38-41 42+ Unknown 488 411 4315 94 20 17 3 1 13 0 0 233 30 17 182 3 1 FORT McDOWELL 33 5 0 27 0 1 GILA RIVER 146 10 13 123 0 0 HAVASUPAI 4 2 1 1 0 0 HOPI 99 8 8 82 0 1 HUALAPAI 25 3 4 18 0 0 KAIBAB 1 0 0 1 0 0 NAVAJO 1943 138 124 1631 47 3 SALT RIVER 26 3 0 23 0 0 SAN CARLOS 177 26 17 131 3 0 SAN XAVIER 10 1 1 8 0 0 143 15 17 110 1 0 Subtotal 2857 244 203 2350 54 6 Subtotal 2471 244 208 1965 40 14 FORT APACHE TOHONO O'ODHAM Resided off reservation 37 weeks 5328 COLORADO RIVER Resided on reservation: <37 weeks http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_16.htm (1 of 2)7/30/2009 1:06:28 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-16 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_16.htm (2 of 2)7/30/2009 1:06:28 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-17 3.17. WEIGHT AT BIRTH BIRTHWEIGHT TOTAL <2500g TOTAL Unknown 354 4422 548 4 17 1 14 2 0 233 23 192 18 0 33 0 25 8 0 GILA RIVER 146 8 124 14 0 HAVASUPAI 4 1 2 1 0 HOPI 99 8 86 5 0 HUALAPAI 25 3 22 0 0 KAIBAB 1 0 1 0 0 NAVAJO 1943 108 1645 189 1 SALT RIVER 26 1 24 1 0 SAN CARLOS 177 14 142 21 0 SAN XAVIER 10 0 8 2 0 143 11 118 14 0 Subtotal 2857 178 2403 275 1 Subtotal 2471 176 2019 273 3 FORT APACHE FORT McDOWELL TOHONO O'ODHAM Resided off reservation 4000g+ 5328 COLORADO RIVER Resided on reservation: 2500g3999g http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_17.htm (1 of 2)7/30/2009 1:06:56 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-17 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_17.htm (2 of 2)7/30/2009 1:06:56 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-18 3.18. ABNORMAL CONDITIONS OF THE NEWBORN TOTAL COLORADO RIVER FORT APACHE FORT McDOWELL GILA RIVER HAVASUPAI HOPI HUALAPAI NAVAJO SALT RIVER SAN CARLOS SAN XAVIER TOHONO O ODHAM Subtotal 493 5 32 3 21 1 10 4 117 1 19 2 9 269 Anemia 11 0 0 0 1 0 0 1 6 0 1 0 0 2 Birth Injury 10 0 0 0 0 0 0 0 2 0 1 0 0 7 Fetal Alcohol Syndrome 7 0 1 0 0 0 0 1 0 0 2 1 0 2 Membrane Disease 13 0 0 0 1 0 0 0 5 0 0 0 0 7 Meconium Aspiration 15 0 1 0 1 0 0 0 5 0 0 0 0 8 Assissted Vent.<30 min 56 1 0 0 1 0 0 1 26 0 1 1 0 25 Assisted Vent>30 min. 39 0 0 0 1 0 0 3 17 0 2 0 0 16 Seizures 3 0 0 0 0 0 0 0 2 0 1 0 0 0 389 5 31 3 18 1 10 2 69 1 14 1 9 225 TOTAL ABNORMAL CONDITIONS OF THE NEWBORN* Other *More than one may be reported on a birth certificate. 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_18.htm7/30/2009 1:07:21 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-19 3.19. CONGENITAL ANOMALIES (BIRTH DEFECTS) TOTAL COLORADO RIVER FORT APACHE GILA RIVER HOPI HUALAPAI NAVAJO SALT RIVER SAN CARLOS TOHONO O'ODHAM Subtotal 137 3 9 1 2 2 36 2 4 6 72 Anencephalus 1 0 0 0 0 0 1 0 0 0 0 Spina Bifida 1 0 0 0 0 0 0 0 0 0 1 Hydrocephalus 3 0 0 0 0 0 0 0 0 0 3 Microcephalus 1 0 0 0 0 0 1 0 0 0 0 Other CNS Anomaly 1 0 0 0 0 0 1 0 0 0 0 Heart Malformations 3 0 0 0 0 1 0 0 1 0 1 20 0 3 0 0 0 1 1 1 0 14 Fistula/Esoph. Atresia 1 0 1 0 0 0 0 0 0 0 Omphalocele 1 0 0 0 0 0 1 0 0 0 Other Gatrointestinal 1 0 0 0 0 0 1 0 0 0 0 Malformed Genitalia 2 0 0 0 0 0 1 0 0 0 1 Renal Agenesis 1 0 0 0 0 0 0 0 0 0 1 Other Urogenital 2 0 0 0 0 0 1 0 0 0 1 Cleft Lip/ Palate 7 0 0 0 1 0 4 0 1 0 1 Polydactyly 5 0 0 0 0 0 5 0 0 0 0 TOTAL Other Resp./ Circulatory BIRTH DEFECTS: * http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_19.htm (1 of 2)7/30/2009 1:07:41 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-19 Club Foot 2 1 0 0 0 0 1 0 0 0 0 Diaphragmatic Hernia 2 0 0 0 0 0 2 0 0 0 0 Other Muscosceletal 4 1 0 0 0 0 2 0 0 0 1 Down's Syndrome 2 0 0 0 0 1 1 0 0 0 0 Other Chromosomal 3 0 0 0 1 0 1 0 0 0 1 85 1 7 1 0 0 12 1 2 6 55 Other 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_19.htm (2 of 2)7/30/2009 1:07:41 PM Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 3-2 3.2. EDUCATIONAL ATTAINMENT OF MOTHER MOTHER'S EDUCATION TOTAL <8 8 9-11 12 13-16 17 + Unknown 5328 81 191 1574 2057 1285 49 91 17 0 0 4 7 5 0 1 233 5 5 84 93 42 1 3 FORT McDOWELL 33 1 2 15 8 7 0 0 GILA RIVER 146 2 13 54 40 24 0 13 HAVASUPAI 4 0 0 1 2 1 0 0 HOPI 99 0 0 26 45 26 0 2 HUALAPAI 25 0 0 7 15 2 0 1 KAIBAB 1 0 0 0 1 0 0 0 NAVAJO 1943 34 34 530 818 471 20 36 SALT RIVER 26 0 2 11 10 3 0 0 SAN CARLOS 177 1 1 69 70 32 1 3 SAN XAVIER 10 0 0 3 3 4 0 0 TOHONO O' ODHAM 143 2 6 64 54 16 0 1 Subtotal 2857 45 63 868 1166 633 22 60 Subtotal 2471 36 128 706 891 652 27 31 TOTAL COLORADO RIVER FORT APACHE Resided on reservation: Resided off reservation http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_2.htm (1 of 2)7/30/2009 10:55:38 AM Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 3-2 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_2.htm (2 of 2)7/30/2009 10:55:38 AM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-20 3.20 CAUSES OF INFANT DEATH TOTAL, AK CHIN FORT APACHE GILA RIVER HUALAPAI KAIBAB NAVAJO SALT RIVER SAN CARLOS TOHONO O'ODHAM Resided off reservation TOTAL, ALL CAUSES 50 1 4 1 1 1 15 1 3 4 19 CONDITIONS ORIGINATING IN THE PERINATAL PERIOD 15 1 1 0 1 0 5 0 0 0 7 -Low birthweight/ short gestation 3 0 1 0 0 0 0 0 0 0 2 -Respiratory distress syndrome 1 0 0 0 0 0 1 0 0 0 0 -Other respiratory condition 3 0 0 0 1 0 0 0 0 0 2 -Intrauterine hypoxia or birth asphyxia 1 1 0 0 0 0 0 0 0 0 0 -Other perinatal conditions 7 0 0 0 0 0 4 0 0 0 3 CONGENITAL ANOMALIES 11 0 2 0 0 0 3 0 0 1 5 -Heart and/or circulatory system 3 0 1 0 0 0 1 0 0 1 0 -respiratory system 1 0 0 0 0 0 1 0 0 0 0 -Brain, spinal cord or nervous system 2 0 0 0 0 0 1 0 0 0 1 http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_20.htm (1 of 2)7/30/2009 1:08:16 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 3-20 Other anomalies 5 0 1 0 0 0 0 0 0 0 4 SUDDEN INFANT DEATH SYNDROME (SIDS) 5 0 0 0 0 0 0 0 1 2 2 UNINTENTIONAL INJURY 6 0 0 1 0 0 3 0 0 1 1 PNEUMONIA & INFLUENZA 1 0 0 0 0 0 1 0 0 0 0 12 0 1 0 0 1 3 1 2 0 4 ALL OTHER CAUSES 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_20.htm (2 of 2)7/30/2009 1:08:16 PM Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 3-3 3.3. MARITAL STATUS OF MOTHER MARITAL STATUS TOTAL Unmarried Married Unknown 5328 3614 1713 1 17 12 5 0 233 137 96 0 33 25 8 0 GILA RIVER 146 120 26 0 HAVASUPAI 4 2 2 0 HOPI 99 77 22 0 HUALAPAI 25 16 9 0 KAIBAB 1 1 0 0 NAVAJO 1943 1302 641 0 SALT RIVER 26 20 6 0 SAN CARLOS 177 116 61 0 SAN XAVIER 10 7 3 0 143 123 20 0 Subtotal 2857 1958 899 0 Subtotal 2471 1656 814 1 TOTAL COLORADO RIVER FORT APACHE FORT McDOWELL Resided on reservation: TOHONO O'ODHAM Resided off reservation 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_3.htm7/30/2009 10:56:02 AM Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 3-4 3.4. RACE/ETHNICITY OF FATHER ETHNICITY OF FATHER NonHispanic White Hispanic Black Native American Asian Unknown 5328 260 257 38 2269 19 2485 17 0 3 0 3 0 11 233 3 2 0 140 0 88 FORT McDOWELL 33 0 0 0 11 0 22 GILA RIVER 146 2 4 1 52 0 87 HAVASUPAI 4 0 0 0 2 0 2 HOPI 99 0 0 0 52 0 47 HUALAPAI 25 1 0 0 12 0 12 KAIBAB 1 0 0 0 0 0 1 NAVAJO 1943 17 13 6 1062 2 843 26 0 1 0 10 0 15 SAN CARLOS 177 2 2 0 88 2 83 SAN XAVIER 10 0 1 0 3 0 6 143 0 1 0 60 0 82 2857 25 27 7 1495 4 1299 TOTAL TOTAL COLORADO RIVER FORT APACHE Resided on reservation: SALT RIVER TOHONO O'ODHAM Subtotal http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_4.htm (1 of 2)7/30/2009 10:56:26 AM Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 3-4 Resided off reservation Subtotal 2471 235 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_4.htm (2 of 2)7/30/2009 10:56:26 AM 230 31 774 15 1186 Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 3-5 3.5 AGE OF FATHER AGE GROUP OF FATHER TOTAL 1517 1819 2024 2529 3034 3539 4044 45 + Unknown 5328 58 150 766 764 703 406 143 79 2259 17 0 0 2 3 1 1 0 0 10 233 4 12 41 39 33 26 7 3 68 FORT McDOWELL 33 1 1 3 2 4 2 0 1 19 GILA RIVER 146 1 4 15 21 16 4 2 1 82 HAVASUPAI 4 0 0 2 0 0 0 0 1 1 HOPI 99 4 3 18 10 12 9 4 1 38 HUALAPAI 25 0 0 2 3 4 4 1 0 11 KAIBAB 1 0 0 0 0 0 0 0 0 1 NAVAJO 1943 18 57 258 264 318 168 71 40 749 26 3 2 1 4 0 2 0 0 14 SAN CARLOS 177 3 7 33 20 12 19 4 2 77 SAN XAVIER 10 0 1 0 1 1 1 0 0 6 143 3 4 21 16 18 6 1 2 72 2857 37 91 396 383 419 242 90 51 1148 TOTAL COLORADO RIVER FORT APACHE Resided on reservation: SALT RIVER TOHONO O'ODHAM Subtotal http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_5.htm (1 of 2)7/30/2009 10:56:55 AM Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 3-5 Resided off reservation Subtotal 2471 21 59 370 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_5.htm (2 of 2)7/30/2009 10:56:55 AM 381 284 164 53 28 1111 Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 3-6 3.6. SOURCE OF PAYMENT FOR LABOR AND DELIVERY PAYEE FOR BIRTH TOTAL AHCCCS IHS PRIVATE INSUR. SELF UNKNOWN 5328 2185 1983 666 51 443 17 11 1 2 0 3 233 193 26 7 3 4 FORT McDOWELL 33 13 5 10 1 4 GILA RIVER 146 22 82 35 6 1 HAVASUPAI 4 1 2 0 1 0 HOPI 99 14 80 3 0 2 HUALAPAI 25 16 2 4 3 0 KAIBAB 1 0 0 0 0 1 NAVAJO 1943 493 1117 91 4 238 26 12 10 1 0 3 SAN CARLOS 177 52 111 10 0 4 SAN XAVIER 10 2 4 3 0 1 143 39 92 10 0 2 2857 868 1532 176 18 263 TOTAL COLORADO RIVER FORT APACHE Resided on reservation: SALT RIVER TOHONO O'ODHAM Subtotal http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_6.htm (1 of 2)7/30/2009 10:57:27 AM Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 3-6 Resided off reservation Subtotal 2471 1317 451 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_6.htm (2 of 2)7/30/2009 10:57:27 AM 490 33 180 Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 3-7 3.7. MATERNAL WEIGHT GAIN DURING PREGNANCY WEIGHT GAIN None 1-10 Pounds 11-20 Pounds 21-30 Pounds 31 or more Unknown 5328 45 346 1068 1489 1602 778 17 0 0 3 3 9 2 233 1 15 39 52 66 60 FORT McDOWELL 33 0 1 3 17 8 4 GILA RIVER 146 2 13 29 32 36 34 HAVASUPAI 4 0 1 2 1 1 0 HOPI 99 0 6 27 27 19 20 HUALAPAI 25 1 2 5 7 5 5 KAIBAB 1 0 0 0 1 0 0 NAVAJO 1943 17 163 462 527 460 314 26 0 2 8 6 9 1 SAN CARLOS 177 4 12 25 42 56 38 SAN XAVIER 10 0 0 1 4 2 3 143 3 11 29 38 29 33 2857 28 226 633 757 699 514 TOTAL TOTAL COLORADO RIVER FORT APACHE Resided on reservation: SALT RIVER TOHONO O'ODHAM Subtotal http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_7.htm (1 of 2)7/30/2009 10:58:31 AM Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 3-7 Resided off reservation Subtotal 2471 17 120 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_7.htm (2 of 2)7/30/2009 10:58:31 AM 435 732 903 264 Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 3-8 3.8. MEDICAL RISK FACTORS OF PREGNANCY 0 TOTAL COLORADO RIVER FORT APACHE FORT McDOWELL GILA RIVER HAVASUPAI HOPI HUALAPAI NAVAJO SALT RIVER SAN CARLOS SAN XAVIER TOHONO O'ODHAM Resided off reservation 2257 10 123 17 79 4 41 7 758 8 67 6 102 1035 238 2 10 1 6 1 3 0 101 0 7 0 4 103 Cardiac Disease 17 0 2 0 1 1 1 0 4 0 1 0 0 7 Lung Disease 11 0 0 0 0 0 0 0 5 0 1 0 0 5 374 3 20 3 21 2 10 1 110 0 12 0 12 180 Genital Herpes 12 0 0 0 2 0 0 0 2 0 1 0 0 7 Hydramnios 96 1 0 0 0 2 0 46 0 1 0 7 39 1 0 0 0 0 0 1 0 0 0 0 0 0 0 Chronic Hypertension 60 0 3 0 0 0 4 0 29 0 4 0 1 19 Pregnancy Associated Hypertension 348 1 16 3 10 0 11 2 150 1 21 1 3 129 Eclampsia 116 0 3 3 2 0 2 0 14 0 6 2 13 71 Previous Infant 4000+g 65 0 0 1 0 0 1 0 40 0 4 0 0 19 Previous SGA Infant 57 0 3 0 0 0 0 0 37 0 4 0 1 12 Renal Disease 35 0 3 0 1 0 1 0 22 0 0 0 0 8 RH Sensitization 2 1 0 0 0 0 0 0 1 0 0 0 0 0 Uterine Bleeding 22 0 1 0 0 0 0 0 9 0 2 0 0 10 1352 9 86 11 57 2 17 4 351 7 27 3 91 687 TOTAL Anemia Diabetes Hemoglobinopathy MEDICAL RISK FACTORS: * Other * More than one may be reported on a birth certificate. 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_8.htm7/30/2009 10:58:53 AM Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 3-9 3.9. SUBSTANCE USE DURING PREGNANCY TOTAL Tobacco use during pregnancy Alcohol use during pregnancy 271 271 208 79 4928 3 3 3 2 13 26 26 42 20 185 FORT McDOWELL 4 4 3 2 28 GILA RIVER 12 12 9 4 129 HAVASUPAI 1 1 0 0 3 HOPI 2 2 3 2 96 HUALAPAI 1 1 4 1 21 KAIBAB 0 0 0 0 1 NAVAJO 39 39 56 12 1860 SALT RIVER 4 4 1 0 21 SAN CARLOS 10 10 15 6 158 SAN XAVIER 0 0 1 0 9 TOHONO O'ODHAM 9 9 6 4 132 111 111 143 53 2656 TOTAL COLORADO RIVER FORT APACHE Resided on reservation: Use of both tobacco and alcohol Subtotal http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_9.htm (1 of 2)7/30/2009 10:59:19 AM Nonsmoker and nondrinker Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 3-9 Resided off reservation Subtotal 160 160 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t3_9.htm (2 of 2)7/30/2009 10:59:19 AM 65 26 2272 Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-1 4.1. AGE-SPECIFIC MORTALITY AGE GROUP: TOTAL <1 14 514 1524 2534 3544 4554 5564 65+ Unknown 1536 50 25 38 117 170 193 179 179 584 1 AK CHIN 6 1 0 0 1 0 0 1 1 2 0 CAMP VERDE 1 0 0 0 0 0 0 0 1 0 0 COLORADO RIVER 19 0 0 1 0 2 3 1 3 9 0 FORT APACHE 66 4 2 2 2 8 5 9 12 22 0 FORT McDOWELL 4 0 0 0 0 0 3 0 1 0 0 GILA RIVER 104 1 1 5 5 8 10 19 18 37 0 HAVASUPAI 4 0 0 0 0 0 2 1 0 1 0 HOPI 42 0 1 1 3 3 6 4 10 14 0 HUALAPAI 14 1 0 0 0 0 4 2 2 5 0 KAIBAB 4 1 0 0 0 0 1 1 0 1 0 NAVAJO 582 15 10 15 55 65 65 45 55 256 1 SALT RIVER 26 1 0 1 2 4 0 3 6 9 0 SAN CARLOS 52 3 3 0 5 6 5 7 8 15 0 SAN XAVIER 11 0 0 0 0 1 3 1 2 4 0 TOTAL Resided on reservation: http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_1.htm (1 of 2)7/30/2009 1:09:02 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-1 TOHONO O'ODHAM Resided off reservation 101 4 0 1 9 12 10 13 13 39 0 Subtotal 1036 31 17 26 82 109 117 107 132 414 1 Subtotal 500 19 8 12 35 61 76 72 47 170 0 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_1.htm (2 of 2)7/30/2009 1:09:02 PM Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 4-10 4.10. LEADING CAUSES OF DEATH BY AGE GROUP AMONG RESIDENTS OF FORT APACHE TRIBAL COMMUNITIES AGE GROUP: TOTAL <1 1-4 514 1524 2534 3544 4554 5564 65+ TOTAL 66 4 2 2 2 8 5 9 12 22 Unintentional injury 10 0 1 1 0 3 0 0 2 3 ---Motor Vehicle Related 5 0 1 1 0 3 0 0 0 0 -- Fall injury 1 0 0 0 0 0 0 0 0 1 ---Other Injury 4 0 0 0 0 0 0 0 2 2 10 0 0 0 0 0 1 2 2 5 Malignant Neoplasms 5 0 0 0 0 0 0 0 1 4 Diabetes 4 0 0 0 0 0 0 1 2 1 10 0 0 0 0 2 3 3 2 0 Pneumonia/Influenza 1 0 0 0 0 0 1 0 0 0 Homicide/Legal intervention 2 0 0 0 1 0 0 0 1 0 Suicide 1 0 0 0 0 1 0 0 0 0 Cerebrovascular Disease 3 0 0 0 0 0 0 0 1 2 Ill Defined Conditions 2 1 0 0 0 0 0 1 0 0 Congenital Anomalies 3 2 0 1 0 0 0 0 0 0 Diseases of Heart Alcoholism http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_10.htm (1 of 2)7/30/2009 1:13:09 PM Health Status Profile of American Indians in Arizona, 1996 Data Book:Table 4-10 Chronic Obstructive Pulmonary Disease All Other Causes 1 0 0 0 0 0 0 0 0 1 13 0 1 0 1 2 0 2 1 6 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_10.htm (2 of 2)7/30/2009 1:13:09 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-11 4.11. LEADING CAUSES OF DEATH BY AGE GROUP AMONG RESIDENTS OF GILA RIVER TRIBAL COMMUNITIES AGE GROUP: TOTAL 514 1524 2534 3544 4554 5564 <1 1-4 104 1 1 5 5 8 10 19 18 37 Unintentional injury 25 1 1 4 4 6 4 2 0 3 --- Motor VehicleRelated 18 1 1 3 3 4 4 1 0 1 --- Fall injury 1 0 0 0 0 0 0 1 0 0 --- Other Injury 6 0 0 1 1 2 0 0 0 2 Diseases of Heart 11 0 0 0 0 0 1 1 3 6 Malignant Neoplasms 10 0 0 0 0 0 1 1 3 5 Diabetes 12 0 0 0 0 0 0 1 5 6 Alcoholism 7 0 0 0 0 1 2 4 0 0 Pneumonia & Influenza 3 0 0 0 0 0 0 1 1 1 Homicide/Legal intervention 2 0 0 0 0 0 1 1 0 0 Suicide 1 0 0 0 0 1 0 0 0 0 Cerebrovascular Disease 4 0 0 0 0 0 0 1 2 1 Infectious & Parasitic Diseases 3 0 0 0 0 0 0 2 1 0 TOTAL http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_11.htm (1 of 2)7/30/2009 1:13:43 PM 65+ Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-11 ---HIV Infection 0 0 0 0 0 0 0 0 0 0 ---Other Infectious Disease 3 0 0 0 0 0 0 2 1 0 Ill Defined Conditions 1 0 0 0 0 0 1 0 0 0 Chronic Obstructive Pulmonary Disease 5 0 0 0 0 0 0 0 0 5 18 0 0 1 1 0 0 4 3 9 All Other Causes 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_11.htm (2 of 2)7/30/2009 1:13:43 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-12 4.12. LEADING CAUSES OF DEATH BY AGE GROUP AMONG RESIDENTS OF SALT RIVER TRIBAL COMMUNITIES AGE GROUP: TOTAL <1 5-14 15-24 25-34 45-54 55-64 65+ 26 1 1 2 4 3 6 9 Unintentional injury 5 0 0 0 3 0 1 1 ---Motor Vehicle-Related 4 0 0 0 3 0 1 0 ---Fall injury 1 0 0 0 0 0 0 1 Diseases of Heart 4 0 1 0 0 1 0 2 Diabetes 4 0 0 0 0 0 2 2 Alcoholism 2 0 0 0 0 1 0 1 Homicide/Legal-intervention 3 0 0 1 1 1 0 0 Suicide 1 0 0 1 0 0 0 0 Infectious & Parasitic Diseases 1 0 0 0 0 0 1 0 All Other Causes 5 1 0 0 0 0 2 2 TOTAL 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_12.htm7/30/2009 1:14:03 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-13 4.13. LEADING CAUSES OF DEATH BY AGE GROUP AMONG RESIDENTS OF SAN CARLOS TRIBAL COMMUNITIES AGE GROUP: TOTAL <1 1-4 15-24 25-34 35-44 45-54 55-64 65+ 52 3 3 5 6 5 7 8 15 Unintentional injury 8 0 1 3 1 1 1 1 0 ---Motor Vehicle-Related 8 0 1 3 1 1 1 1 0 10 0 1 0 0 1 2 2 4 Malignant Neoplasms 3 0 0 0 0 0 1 0 2 Diabetes 3 0 0 0 0 0 0 1 2 Alcoholism 6 0 0 0 1 2 2 1 0 Pneumonia & Influenza 2 0 0 0 1 0 0 1 0 Suicide 1 0 0 0 1 0 0 0 0 Infectious & Parasitic Diseases 2 0 1 0 0 0 0 0 1 ---HIV Infection 0 0 0 0 0 0 0 0 0 ---Other Infectious Disease 2 0 1 0 0 0 0 0 1 All Other Causes 9 2 0 1 0 0 1 2 3 TOTAL Diseases of Heart 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_13.htm7/30/2009 1:14:30 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-14 4.14. LEADING CAUSES OF DEATH BY AGE GROUP AMONG RESIDENTS OF TOHONO O'ODHAM TRIBAL COMMUNITIES AGE GROUP: TOTAL <1 5-14 15-24 25-34 35-44 45-54 55-64 65+ 101 4 1 9 12 10 13 13 39 Unintentional injury 18 1 1 5 4 4 2 0 1 ---Motor Vehicle-Related 12 0 1 5 2 2 2 0 0 6 1 0 0 2 2 0 0 1 Diseases of Heart 13 0 0 1 0 0 2 0 10 Malignant Neoplasms 12 0 0 1 1 0 1 1 8 Diabetes 8 0 0 0 0 2 2 0 4 Alcoholism 9 0 0 0 2 2 1 4 0 Pneumonia & Influenza 4 0 0 0 0 0 0 1 3 Homicide/Legal intervention 3 0 0 1 2 0 0 0 0 Suicide 3 0 0 0 2 1 0 0 0 Cerebrovascular Disease 4 0 0 0 0 0 0 1 3 Infectious & Parasitic Diseases 5 0 0 0 0 0 1 2 2 ---HIV Infection 0 0 0 0 0 0 0 0 0 ---Other Infectious Disease 5 0 0 0 0 0 1 2 2 Ill Defined Conditions 5 2 0 0 0 0 0 2 1 TOTAL ---Other Injury http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_14.htm (1 of 2)7/30/2009 1:15:00 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-14 Chronic Obstructive Pulmonary Disease All Other Causes 2 0 0 0 0 0 0 0 2 14 0 0 1 1 1 4 2 5 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_14.htm (2 of 2)7/30/2009 1:15:00 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-15 4.15. LEADING CAUSES OF DEATH BY AGE GROUP AMONG NATIVE AMERICANS WHO RESIDED OFF RESERVATION AGE GROUP: TOTAL 514 1524 2534 3544 4554 5564 <1 1-4 500 19 8 12 35 61 76 72 47 170 Unintentional injury 92 1 5 7 20 28 12 9 6 4 --- Motor Vehicle Related 59 1 3 5 16 18 6 4 5 1 6 0 0 0 1 2 1 1 0 1 --- Other Injury 27 0 2 2 3 8 5 4 1 2 Diseases of Heart 68 0 0 0 0 0 3 8 11 46 Malignant Neoplasms 58 0 0 1 0 2 6 8 9 32 Diabetes 28 0 0 0 0 2 0 4 7 15 Alcoholism 31 0 0 0 0 5 16 6 3 1 Pneumonia & Influenza 16 0 0 0 0 0 2 2 1 11 Homicide/Legal intervention 26 0 1 2 7 6 8 1 0 1 Suicide 19 0 0 1 6 5 4 2 0 1 Cerebrovascular Disease 21 0 0 0 0 0 2 1 0 18 Infectious & Parasitic Diseases 30 0 0 0 2 7 8 5 2 6 TOTAL --- Fall injury http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_15.htm (1 of 2)7/30/2009 1:15:24 PM 65+ Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-15 ---HIV Infection 12 0 0 0 0 5 7 0 0 0 ---Other Infectious Disease 18 0 0 0 2 2 1 5 2 6 Ill Defined Conditions 8 4 1 0 0 1 1 1 0 0 Congenital Anomalies 6 5 1 0 0 0 0 0 0 0 Chronic Obstructive Pulmonary Disease 3 0 0 0 0 1 0 0 0 2 Perinatal Conditions 7 7 0 0 0 0 0 0 0 0 Atherosclerosis 2 0 0 0 0 0 0 0 0 2 85 2 0 1 0 4 14 25 8 31 All Other Causes 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_15.htm (2 of 2)7/30/2009 1:15:24 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-2 4.2. AGE-SPECIFIC MORTALITY AMONG MALES AGE GROUP: TOTAL <1 14 514 1524 2534 3544 4554 5564 65+ Unknown 895 24 10 26 91 124 122 103 104 290 1 AK CHIN 2 0 0 0 0 0 0 0 1 1 0 CAMP VERDE 1 0 0 0 0 0 0 0 1 0 0 COLORADO RIVER 10 0 0 1 0 0 1 1 2 5 0 FORT APACHE 42 1 0 2 1 6 4 5 9 14 0 FORT McDOWELL 2 0 0 0 0 0 1 0 1 0 0 GILA RIVER 49 0 0 3 4 5 5 11 6 15 0 HAVASUPAI 1 0 0 0 0 0 0 0 0 1 0 HOPI 33 0 0 1 3 3 5 2 9 10 0 HUALAPAI 10 0 0 0 0 0 3 2 1 4 0 KAIBAB 3 1 0 0 0 0 1 0 0 1 0 NAVAJO 341 8 4 10 47 49 40 28 33 121 1 SALT RIVER 14 0 0 1 2 3 0 2 2 4 0 SAN CARLOS 26 1 2 0 4 5 1 3 3 7 0 SAN XAVIER 2 0 0 0 0 0 1 1 0 0 0 TOTAL Resided on reservation: http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_2.htm (1 of 2)7/30/2009 1:09:29 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-2 TOHONO O'ODHAM Resided off reservation 57 3 0 1 6 8 7 5 8 19 0 Subtotal 593 14 6 19 67 79 69 60 76 202 1 Subtotal 302 10 4 7 24 45 53 43 28 88 0 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_2.htm (2 of 2)7/30/2009 1:09:29 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-3 4.3. AGE-SPECIFIC MORTALITY AMONG FEMALES AGE GROUP: TOTAL <1 14 514 1524 2534 3544 4554 5564 65+ 641 26 15 12 26 46 71 76 75 294 AK CHIN 4 1 0 0 1 0 0 1 0 1 COLORADO RIVER 9 0 0 0 0 2 2 0 1 4 24 3 2 0 1 2 1 4 3 8 FORT McDOWELL 2 0 0 0 0 0 2 0 0 0 GILA RIVER 55 1 1 2 1 3 5 8 12 22 HAVASUPAI 3 0 0 0 0 0 2 1 0 0 HOPI 9 0 1 0 0 0 1 2 1 4 HUALAPAI 4 1 0 0 0 0 1 0 1 1 KAIBAB 1 0 0 0 0 0 0 1 0 0 NAVAJO 241 7 6 5 8 16 25 17 22 135 SALT RIVER 12 1 0 0 0 1 0 1 4 5 SAN CARLOS 26 2 1 0 1 1 4 4 5 8 SAN XAVIER 9 0 0 0 0 1 2 0 2 4 44 1 0 0 3 4 3 8 5 20 443 17 11 7 15 30 48 47 56 212 TOTAL FORT APACHE Resided on reservation: TOHONO O'ODHAM Subtotal http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_3.htm (1 of 2)7/30/2009 1:09:49 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-3 Resided off reservation Subtotal 198 9 4 5 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_3.htm (2 of 2)7/30/2009 1:09:49 PM 11 16 23 29 19 82 Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-4 4.4 DEATHS FROM CAUSES SELECTED* AS INDICATORS FOR MONITORING PROGRESS TOWARD THE YEAR 2000 OBJECTIVES Cardiovascular Disease Motor Vehicle Injury Lung Cancer Female Breast Cancer Homicide Suicide WorkRelated Injury** All Other Causes 295 232 13 12 68 42 2 872 AK CHIN 1 0 0 0 0 0 0 5 CAMP VERDE 0 0 0 0 0 0 0 1 COLORADO RIVER 5 1 0 0 0 1 2 10 13 5 0 0 2 1 0 45 FORT McDOWELL 0 2 0 0 0 0 0 2 GILA RIVER 17 18 0 0 2 1 0 66 HAVASUPAI 0 0 0 0 0 0 0 4 12 6 0 0 1 2 0 21 HUALAPAI 3 1 0 0 0 0 0 10 KAIBAB 0 0 0 0 1 0 0 3 NAVAJO 113 115 2 8 27 13 0 304 5 4 0 0 3 1 0 13 SAN CARLOS 12 8 0 0 3 1 0 28 SAN XAVIER 3 1 0 0 0 0 0 7 18 12 0 1 3 3 0 64 Subtotal 202 173 2 9 42 23 2 583 Subtotal 93 59 11 3 26 19 0 289 TOTAL FORT APACHE Resided on reservation: HOPI SALT RIVER TOHONO O'ODHAM Resided off reservation 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_4.htm7/30/2009 1:10:22 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-5 4.5. LEADING CAUSES OF DEATH TOTAL AK CHIN CAMP VERDE COLORADO RIVER FORT APACHE FORT McDOWELL GILA RIVER HAVASUPAI HOPI HUALAPAI KAIBAB NAVAJO SALT RIVER SAN CARLOS SAN XAVIER TOHONO O'ODHAM Resided off reservation 1536 6 1 19 66 4 104 4 42 14 4 582 26 52 11 101 500 Unintentional injury 335 0 1 3 10 2 25 0 10 3 0 157 5 8 1 18 92 ---Motor Vehicle -Related 232 0 0 1 5 2 18 0 6 1 0 115 4 8 1 12 59 ---Fall injury 16 0 0 0 1 0 1 0 2 0 0 5 1 0 0 0 6 ---Other Injury 87 0 1 2 4 0 6 0 2 2 0 37 0 0 0 6 27 Diseases of Heart 217 1 0 4 10 0 11 0 9 3 0 81 4 10 3 13 68 Malignant Neoplasms 167 1 0 2 5 0 10 0 3 2 0 71 0 3 0 12 8 Diabetes 92 0 0 2 4 1 12 1 0 1 2 23 4 3 3 8 28 Alcoholism 95 0 0 2 10 0 7 2 4 1 0 20 2 6 1 9 31 Pneumonia & Influenza 68 0 0 0 1 0 3 1 2 0 1 38 0 2 0 4 16 Homicide/Legal intervention 68 0 0 0 2 0 2 0 1 0 1 27 3 3 0 3 26 Suicide 42 0 0 1 1 0 1 0 2 0 0 13 1 1 0 3 19 Cerebrovascular Disease 60 0 0 0 3 0 4 0 2 0 0 23 1 2 0 4 21 Infectious & Parasitic Diseases 56 1 0 0 0 0 3 0 2 1 0 11 1 2 0 5 30 --- HIV Infection 14 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 12 --- Other Infectious Disease 42 1 0 0 0 0 3 0 2 0 0 10 1 2 0 5 18 Ill Defined Conditions 27 0 0 0 2 0 1 0 1 0 0 8 0 2 0 5 8 Congenital Anomalies 14 0 0 0 3 0 0 0 0 0 0 4 0 0 0 1 6 Chronic Obstructive Pulmonary Disease 18 0 0 0 1 0 5 0 0 0 0 6 0 1 0 2 3 Diseases of Arteries 7 0 0 0 0 0 1 0 0 0 0 6 0 0 0 0 0 TOTAL http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_5.htm (1 of 2)7/30/2009 1:10:49 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-5 Perinatal Conditions Atherosclerosis All Other Causes 15 1 0 0 1 0 0 0 0 1 0 5 0 0 0 0 7 4 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 2 251 2 0 4 13 1 18 0 6 2 0 89 5 9 3 14 85 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_5.htm (2 of 2)7/30/2009 1:10:49 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-6 4.6. LEADING CAUSES OF DEATH AMONG MALES TOTAL AK CHIN CAMP VERDE COLORADO RIVER FORT APACHE FORT McDOWELL GILA RIVER HAVASUPAI HOPI HUALAPAI KAIBAB NAVAJO SALT RIVER SAN CARLOS SAN XAVIER TOHONO O'ODHAM Resided off reservation TOTAL 895 2 1 10 42 2 49 1 33 10 3 341 14 26 2 57 302 Unintentional injury 234 0 1 2 8 1 12 0 9 2 0 112 2 6 0 14 65 ---Motor Vehicle -Related 156 0 0 0 4 1 8 0 6 1 0 81 2 6 0 9 38 ---Fall injury 12 0 0 0 1 0 1 0 2 0 0 4 0 0 0 0 4 ---Other Injury 66 0 1 2 3 0 3 0 1 1 0 27 0 0 0 5 23 Diseases of Heart 118 0 0 1 5 0 7 0 3 0 47 2 4 0 6 35 Malignant Neoplasms 75 1 0 0 4 0 4 0 2 1 0 31 0 2 0 4 26 Alcoholism 54 0 0 1 6 0 3 0 3 0 0 14 2 2 0 6 17 Pneumonia & Influenza 40 0 0 0 1 0 2 1 2 0 1 18 0 1 0 3 11 Homicide/Legal intervention 54 0 0 0 2 0 2 0 1 0 1 20 3 3 0 2 20 Suicide 33 0 0 0 1 0 1 0 2 0 0 11 1 0 0 3 14 Diabetes 38 0 0 2 1 1 3 0 0 1 1 10 1 1 1 1 15 Infectious & Parasitic Diseases 38 0 0 0 0 0 1 0 1 1 0 9 0 1 0 3 22 ---HIV Infection 12 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 10 ---Other Infectious Disease 26 0 0 0 0 0 1 0 1 0 0 8 0 1 0 3 12 Ill Defined Conditions 15 0 0 0 1 0 0 0 1 0 0 6 0 1 0 3 3 Cerebrovascular Disease 31 0 0 0 3 0 2 0 1 0 0 9 0 1 0 2 13 Congenital Anomalies 7 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 4 Chronic Obstructive Pulmonary Disease 11 0 0 0 1 0 2 0 0 0 0 4 0 1 0 1 2 Diseases of Arteries 4 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_6.htm (1 of 2)7/30/2009 1:11:12 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-6 Perinatal Conditions Atherosclerosis All Other Causes 10 0 0 0 1 0 0 0 0 0 0 4 0 0 0 0 5 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 131 1 0 3 7 0 10 0 3 2 0 41 3 3 1 8 49 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_6.htm (2 of 2)7/30/2009 1:11:12 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-7 4.7. LEADING CAUSES OF DEATH AMONG FEMALES TOTAL AK CHIN COLORADO RIVER FORT APACHE FORT McDOWELL GILA RIVER HAVASUPAI HOPI HUALAPAI KAIBAB NAVAJO SALT RIVER SAN CARLOS SAN XAVIER TOHONO O'ODHAM Resided off reservation 641 4 9 24 2 55 3 9 4 1 241 12 26 9 44 198 99 1 3 5 0 4 0 1 0 0 34 2 6 3 7 33 101 0 1 2 1 13 0 1 1 0 45 3 2 1 4 27 76 0 1 1 1 10 0 0 0 0 34 2 2 1 3 21 4 0 0 0 0 0 0 0 0 0 1 1 0 0 0 2 ---Other Injury 21 0 0 1 0 3 0 1 1 0 10 0 0 0 1 4 Malignant Neoplasms 92 0 2 1 0 6 0 1 1 0 40 0 1 0 8 32 Diabetes 54 0 0 3 0 9 1 0 0 1 13 3 2 2 7 13 Pneumonia & Influenza 28 0 0 0 0 1 0 0 0 0 20 0 1 0 1 5 Alcoholism 41 0 1 4 0 4 2 1 1 0 6 0 4 1 3 14 Cerebrovascular Disease 29 0 0 0 0 2 0 1 0 0 14 1 1 0 2 8 Infectious & Parasitic Diseases 18 1 0 0 0 2 0 1 0 0 2 1 1 0 2 8 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 --- Other Infectious Disease 16 1 0 0 0 2 0 1 0 0 2 1 1 0 2 6 Ill Defined Conditions 12 0 0 1 0 1 0 0 0 0 2 0 1 0 2 5 Homicide/Legal intervention 14 0 0 0 0 0 0 0 0 0 7 0 0 0 1 6 Congenital Anomalies 7 0 0 2 0 0 0 0 0 0 3 0 0 0 0 2 Suicide 9 0 1 0 0 0 0 0 0 0 2 0 1 0 0 5 Diseases of Arteries 3 0 0 0 0 1 0 0 0 0 2 0 0 0 0 0 TOTAL Diseases of Heart Unintentional injury ---Motor Vehicle-Related ---Fall injury --- HIV Infection http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_7.htm (1 of 2)7/30/2009 1:11:50 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-7 Chronic Obstructive Pulmonary Disease 7 0 0 0 0 3 0 0 0 0 2 0 0 0 1 1 Perinatal Conditions 5 1 0 0 0 0 0 0 1 0 1 0 0 0 0 2 Atherosclerosis 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 120 1 1 6 1 8 0 3 0 0 48 2 6 2 6 36 All Other Causes 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_7.htm (2 of 2)7/30/2009 1:11:50 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-8 4.8. LEADING CAUSES OF DEATH BY AGE GROUP AMONG RESIDENTS OF NAVAJO TRIBAL COMMUNITIES AGE GROUP: TOTAL <1 1-4 514 1524 2534 3544 4554 5564 65+ Unknown TOTAL 582 15 10 15 55 65 65 45 55 256 1 Unintentional injury 157 3 7 8 34 36 21 16 13 19 0 --- Motor VehicleRelated 115 2 5 6 31 26 17 11 8 9 0 5 1 0 0 0 1 0 2 0 1 0 --- Other Injury 37 0 2 2 3 9 4 3 5 9 0 Diseases of Heart 81 1 1 0 2 2 3 5 8 59 0 Malignant Neoplasms 71 0 0 0 2 1 9 5 11 43 0 Diabetes 23 0 0 0 0 1 3 1 5 13 0 Alcoholism 20 0 0 0 0 3 6 6 5 0 0 Pneumonia & Influenza 38 1 1 0 1 1 3 1 1 29 0 7 0 0 4 9 5 5 2 2 0 0 Suicide 13 0 0 1 3 7 1 1 0 0 0 Cerebrovascular Disease 23 0 0 0 0 0 0 0 3 20 0 --- Fall injury Homicide/Legal intervention http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_8.htm (1 of 2)7/30/2009 1:12:18 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-8 Infectious & Parasitic Diseases 11 0 0 0 0 0 2 1 0 8 0 --- HIV Infection 1 0 0 0 0 0 0 1 0 0 0 --- Other Infectious Disease 10 0 0 0 0 0 2 0 0 8 0 Ill Defined Conditions 8 0 0 0 0 2 0 1 1 4 0 Congenital Anomalies 4 3 0 0 1 0 0 0 0 0 0 Chronic Obstructive Pulmonary Disease 6 0 0 0 0 0 0 1 5 0 Diseases of Arteries 6 0 0 0 0 0 1 1 1 3 0 Perinatal Conditions 5 5 0 0 0 0 0 0 0 0 0 89 2 1 2 3 7 11 5 4 53 1 All Other Causes 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_8.htm (2 of 2)7/30/2009 1:12:18 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-9 4.9. LEADING CAUSES OF DEATH BY AGE GROUP AMONG RESIDENTS OF HOPI TRIBAL COMMUNITIES AGE GROUP: TOTAL 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65+ TOTAL 42 1 1 3 3 6 4 10 14 Unintentional injury 10 1 1 2 3 2 0 0 1 ---Motor Vehicle-Related 6 0 0 2 2 2 0 0 0 ---Fall injury 2 0 0 0 1 0 0 0 1 ---Other Injury 2 1 1 0 0 0 0 0 0 Diseases of Heart 9 0 0 0 0 1 1 4 3 Malignant Neoplasms 3 0 0 0 0 0 1 0 2 Alcoholism 4 0 0 0 0 1 1 1 1 Pneumonia & Influenza 2 0 0 0 0 1 0 0 1 Homicide/Legal intervention 1 0 0 0 0 0 0 1 0 Suicide 2 0 0 1 0 0 0 1 0 Cerebrovascular Disease 2 0 0 0 0 0 0 0 2 Infectious & Parasitic Diseases 2 0 0 0 0 0 0 2 0 ---HIV Infection 0 0 0 0 0 0 0 0 0 ---Other Infectious Disease 2 0 0 0 0 0 0 2 0 Ill Defined Conditions 1 0 0 0 0 0 0 0 1 http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_9.htm (1 of 2)7/30/2009 1:12:41 PM Health Status Profile of American Indians in Arizona, 1996 Data Book: Table 4-9 All Other Causes 6 0 0 0 1996 data. http://www.azdhs.gov/plan/report/hspam/ind96/tables/96t4_9.htm (2 of 2)7/30/2009 1:12:41 PM 0 1 1 1 3 Glossary of Terms The Health Status Profile of American Indians Definition of Terms Rates Age-adjusted mortality rates - Because mortality from most causes of death occurs predominately among the elderly, a population group with a larger proportion of older persons would have a higher mortality rate. The "age-adjustment" removes the effect of the age differences among subpopulations by placing them all in a population with a standard age distribution. All age-adjusted mortality rates used in this report were computed by the direct method, that is by applying the age-specific death rates to the standard population distributed by age. The total U.S. population as enumerated in 1940 was selected as the standard. Infant mortality rate - Number of infant (< 1 year old) deaths per 1,000 live births. Postneonatal mortality rate - Number of postneonatal (at least 28 days of age)deaths per 1,000 live births. Terms Related to Reproductive Health Birth or Live Birth - The complete expulsion or extraction from its mother of a product of human conception, irrespective of the duration of pregnancy which, after such expulsion or extraction, breaths or shows any other evidence of life such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached. Birth weight - The weight of a neonate determined immediately after delivery or as soon thereafter as possible.. Gestational age - The number of completed weeks that have elapsed between then first day of the last menstrual period and the date of delivery, irrespective of whether the gestation results in a live birth or a fetal death. Infant death - Any death at any time from birth up to, but not including, the first year of age(364 days, 23 hours, 59 minutes from the moment of birth). Low-birthweight - Prior to 1990: any neonate whose weight at birth is 2,500 grams or less. Beginning in 1990: any neonate weighing less than 2,500 grams at birth (less than 5 pounds 8 ounces). http://www.azdhs.gov/plan/report/hspam/ind96/gloss96.htm (1 of 5)7/30/2009 1:16:13 PM Glossary of Terms Postneonatal death - Any death of a liveborn infant at least 28 days of age but under one year of age. Terms Related to Mortality Age-specific mortality - Number of deaths in a specific age group during a calendar year. Cause of death - For the purpose of national mortality statistics, every death is attributed to one underlying condition, based on information reported on the death certificate and utilizing the international rules for selecting the underlying cause of death from the reported conditions. Cause-specific mortality - Number of deaths from a specified cause duirng a calendar year. Classification of cause of death - The cause of death used in this report is the underlying cause classified according to the International Classification of Diseases, Injuries and Causes of Death. Listed below are categories and International Classification of Diseases (ICD) codes for selected causes of mortality discussed in this report. n 001-139: Infectious and parasitic diseases; n 042-044: HIV infection; n 140-208: Malignant neoplasms (cancers); n 250: Diabetes mellitus; n 291, 303, 571.0-571.3: Alcoholism; n 390-398, 402, 404-429: Diseases of the heart n 430-438: Cerebrovascular disease (stroke) n 440: Atherosclerosis n 441-448: Other diseases of the arteries n 480-487: Pneumonia and influenza n490-496: Chronic obstructive pulmonary disease n 740-759: Congenital anomalies (birth defects) http://www.azdhs.gov/plan/report/hspam/ind96/gloss96.htm (2 of 5)7/30/2009 1:16:13 PM Glossary of Terms n 760-779: Certain conditions originating in the peri-natal period n 765: Disorders relating to short gestation and unspecified low birthweight (LBW/prematurity in Table 3.20) n 780-799: Symptoms and ill-defined conditions n798.0: Sudden infant death syndrome n 800-949: Unintentional injuries n810-824: Motor vehicle-related injuries n830, 832, 910: Drowning n 950-959: Suicide n 960-978: Homicide and legal intervention Medical Terms Used on the Birth Certificate Medical risk factors for this pregnancy Anemia - Hemoglobin level of less than 10.0 g/dLduring pregnancy, or a hematocrit of less than 30 percent during pregnancy. Cardiac disease - Disease of the heart. Acute or chronic lung disease - Disease of the lungs during pregnancy. Diabetes - Metabolic disorder characterized by excessive discharge of urine and persistent thirst; includes juvenile onset, adult onset, and gestational diabetes during pregnancy. Genital herpes - Infection of the skin of the genital area by herpes simplex virus. Hydramnios/Oligohydramnio s - Any noticeable excess (hydramnios) or lack (oligohydramnios)of amniotic fluid. Hemoglobinopathy - A blood disorder caused by alteration in the genetically determined molecular structure of hemoglobin (for example, sickle cell anemia). http://www.azdhs.gov/plan/report/hspam/ind96/gloss96.htm (3 of 5)7/30/2009 1:16:13 PM Glossary of Terms Hypertension, chronic - Blood pressure persistently greater than 140/90, diagnosed prior to onset of pregnancy or before the 20th week of gestation. Hypertension, pregnancy-associated - An increase in blood pressure of at least 30 mm hg systolic or 15 mm hg diastolic on two measurements taken 6 hours apart after the 20th week of gestation. Eclampsia - The occurrence of convulsions and/or coma unrelated to other cerebral conditions in women with signs and symptoms of preeclampsia. Incompetent cervix - Characterized by painless dilation of the cervix in the second trimester or early in the third trimester of pregnancy, with premature expulsion of membranes though cervix and ballooning of the membranes into vagina, followed by rupture of the membrane and subsequent expulsion of the fetus. Previous infant 4,000+ grams - The birthweight of a previous live-born child was over 4,000 grams (8lbs.14oz.). Previous preterm or small-for-gestational-age-i nfant - Previous birth of an infant prior to term (before 37 completed weeks of gestation) or of an infant weighing less than the 10th percentile for gestational age using a standard weight for age chart. Renal disease - Kidney disease. Rh Sensitization - The process or state of becoming sensitized to the Rh factor as when an Rh-negative woman is pregnant with an Rh-positive fetus. Uterine bleeding - Any clinically significant bleeding during the pregnancy taking into consideration the stage of pregnancy; any second or third trimester bleeding or third trimester bleeding of the uterus prior to the onset of labor. Obstetric procedures Amniocentesis - Surgical transabdominal perforation of the uterus to obtain amniotic fluid to be used in the detection of genetic disorders, fetal abnormalities, and fetal lung maturity. Electronic fetal monitoring - Monitoring with external devices applied to maternal abdomen or with internal devices with an electrode attached to the fetal scalp and a catheter through the cervix into uterus, to detect and record fetal heart tones and uterine contractions. Induction of labor - The initiation of uterine contractions before the spontaneous onset of labor by medical and/or surgical means for the purpose of delivery. http://www.azdhs.gov/plan/report/hspam/ind96/gloss96.htm (4 of 5)7/30/2009 1:16:13 PM Glossary of Terms Stimulation of labor - Augmentation of previously established labor by use of oxytocin. Tocolysis - Use of medications to inhibit preterm uterine contactions to extend the length of pregnancy and therefore, avoid a preterm birth. Ultrasound - Visualization of the fetus and the placenta by means of sound wave. Complications of labor and/or delivery Febrile - A fever greater than 100 degrees F. or 38 C. occurring during labor and/or delivery. Meconium, moderate/heavy - Meconium consists of undigested debris from swallowed amniotic fluid, various products of secretion and shedding by the gastrointestinal tract, moderate to heavy amounts of meconium in the amniotic fluid noted during labor and /or delivery. Premature rupture of membranes (more than 12 hours) - Rupture of membranes at any time during pregnancy and more than 12 hours before the onset of labor. Abruptio placenta - Premature separation of normally implanted placenta from the uterus. Placenta previa - Implantation of the placenta over or near the internal opening of the cervix. Other excessive bleeding - The loss of significant amount of blood from conditions other than abruptio placenta or placenta previa. Seizures during labor - Maternal seizures occurring during labor from any cause. Precipitous labor (less than 3 hours) - Extremely rapid labor and delivery lasting less than 3 hours. Prolonged labor (more than 20 hours) - Abnormally slow progress of labor lasting more than 20 hours. Public Health Services Office of Health Planning, Evaluation and Statistics Arizona Center for Health Statistics Phone: 602/542-7333; FAX: 602/542-1244 http://www.azdhs.gov/plan/report/hspam/ind96/gloss96.htm (5 of 5)7/30/2009 1:16:13 PM