HEALTH STATUS PROFILE OF AMERICAN INDIANS IN ARIZONA 1997 DATA BOOK by Christopher K. Mrela, Ph.D., Assistant Registrar of Vital Statistics Trentham Coe, Senior Research Data Analyst July 1999 HEALTH STATUS PROFILE OF AMERICAN INDIANS IN ARIZONA: 1997 DATA BOOK INTRODUCTION The report Health Status Profile of American Indians in Arizona: 1997 Data Book is the fourth annual update of population-level data on trends and patterns in natality and mortality among American Indian residents of Arizona. 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. The charts and tables comprising Health Status Profile of American Indians in Arizona are grouped into five major sections: 1) a section focused on American Indians' standing in 1997 with respect to selected health objectives for the year 2000, 2) a section presenting an overview of selected health problems and health risks among American Indian and all residents of Arizona in 1997, 3) a four-part section concerned with the characteristics of American Indian newborns and mothers giving birth who were residents of specified tribal communities on reservations, and those who resided off reservation in Arizona in 1997; 4) a three-part section focused on patterns of mortality among American Indians by age group, gender and place of residence in Arizona in 1997. Detailed mortality profiles are given for the seven largest tribal communities: Navajo, Hopi, Fort Apache, Tohono O'Odham, Gila River, Salt River and San Carlos; 5) a section presenting selected time series data for 1992-1997 by place of American Indian residence in Arizona. These sections are followed by the Technical Notes which provide definitions of terms used in the report, as well as information about the sources of data and a detailed classification of communities on Indian reservations in Arizona. Health Status Profile of American Indians in Arizona was intended as a data book: a basic reference for some of the most frequently requested statistics. The five sections of the report were computer-generated and contain information with no accompanying narrative. Prepared and made Web-ready by Christopher K. Mrela, Ph.D., Assistant Registrar of Vital Statistics, and Jose Jimenez, M.P.H., Senior Research Data Analyst Office of Epidemiology and Statistics Bureau of Public Health Statistics Arizona Department of Health Services Phone: (602) 542-7333 FAX: (602) 542-2940 Date: 7/7/99 I. Comparison of American Indians' Standing in Arizona in 1997 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 II. An Overview of Selected Health Problems and Health Risks Among American Indians and All Residents of Arizona in 1997 2.1. Causes From Which American Indians Were More Likely Or Less Likely to Die Relative to All Arizona Residents in 1997 2.2. Average Age At Death From All Causes Among American Indians and All Arizona Residents 2.3. Non-marital 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 as a Percentage of All Low-Birthweight Births 2.8. The Incidence of Pregnancy Associated Hypertension 2.9. The Incidence of Anemia During Pregnancy 2.10.The Incidence of Diabetes During Pregnancy III. Characteristics of American Indian Newborns and Mothers Giving Birth by Place of Residence in Arizona in 1997 Sociodemographic Characteristics 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 and Infant Mortality Rates 3.1 MATERNAL AGE AGE GROUP OF MOTHER AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 TOTAL 20-24 25-29 30-34 35-39 40-44 45+ 10 329 499 1619 1281 918 499 110 3 0 2 6 9 5 3 0 1 0 FORT APACHE 197 0 17 16 54 49 40 17 4 0 GILA RIVER 147 0 6 19 41 45 17 15 4 0 HAVASUPAI HOPI 10 0 1 0 1 1 7 0 0 0 120 0 6 12 37 32 14 14 5 0 33 0 1 6 10 10 2 4 0 0 1818 4 86 156 511 460 347 207 46 1 SAN CARLOS 201 0 19 23 65 37 34 15 8 0 TOHONO O'ODHAM 139 2 11 10 41 33 20 18 4 0 2691 6 149 248 769 672 484 290 72 1 1306 2 91 140 444 298 217 100 13 1 ---in Pima County 350 0 31 36 113 89 55 21 5 0 ---elsewhere in Arizona 921 2 58 75 293 222 162 88 20 1 2577 4 180 251 850 609 434 209 38 2 HUALAPAI NAVAJO TOTAL ---in Maricopa County TOTAL 18-19 26 COLORADO RIVER Resided off reservation 15-17 5268 TOTAL Resided on reservation <15 3.10. TRIMESTER OF PREGNANCY PRENATAL CARE BEGAN PRENATAL CARE AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 TOTAL No Care 1st trimester 2nd trimester 3rd trimester Unknown 5271 127 3163 1424 476 81 26 2 14 9 1 0 FORT APACHE 197 4 108 56 25 4 GILA RIVER 147 2 94 34 13 4 HAVASUPAI 10 0 3 4 2 1 120 2 65 36 15 2 33 1 23 5 2 2 TOTAL Resided on reservation COLORADO RIVER HOPI HUALAPAI 1818 56 1058 501 178 25 SAN CARLOS 201 5 102 61 25 8 TOHONO O'ODHAM 139 3 90 35 11 0 2691 75 1557 741 272 46 1307 25 823 349 92 18 NAVAJO TOTAL Resided off reservation ---in Maricopa County TOTAL ---in Pima County 350 6 227 85 26 6 ---elsewhere in Arizona 923 21 556 249 86 11 2580 52 1606 683 204 35 3.11. NUMBER OF PRENATAL VISITS NUMBER OF PRENATAL VISITS TOTAL Resided on reservation TOTAL Resided off reservation TOTAL TOTAL 5271 COLORADO RIVER 26 FORT APACHE 197 GILA RIVER 147 HAVASUPAI 10 HOPI 120 HUALAPAI 33 NAVAJO 1818 SAN CARLOS 201 TOHONO O'ODHAM 139 2691 ---in Maricopa County 1307 ---in Pima County 350 ---elsewhere in Arizona 923 2580 No visits 127 2 4 2 0 2 1 56 5 3 75 25 6 21 52 1-4 visits 604 7 43 11 3 14 5 222 40 14 359 117 19 109 245 5-8 visits 1426 7 51 33 4 39 15 522 55 41 767 314 79 266 659 9-12 visits 2046 8 71 76 2 47 8 646 58 38 954 581 127 384 1092 13+ visits 984 2 24 24 0 17 1 350 29 41 488 254 113 129 496 UNKN OWN 84 0 4 1 1 1 3 22 14 2 48 16 6 14 36 3.12. OBSTETRIC PROCEDURES Other Ultrasound Tocolysis 75 4334 1075 540 133 3209 467 26 1 13 5 1 2 14 11 FORT APACHE 192 3 184 48 26 9 146 10 GILA RIVER 147 7 133 19 2 1 129 77 HAVASUPAI 10 0 10 2 1 0 6 0 104 1 96 27 11 2 51 1 33 1 33 5 6 0 31 0 1611 15 1504 301 174 18 751 62 193 2 122 37 35 5 167 33 COLORADO RIVER HOPI HUALAPAI NAVAJO SAN CARLOS TOHONO O'ODHAM TOTAL ---in Maricopa County ---in Pima County ---elsewhere in Arizona TOTAL Induction of Labor 4921 TOTAL Resided off reservation Stimulation of Labor AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 Resided on reservation Electronic Fetal Monitoring Amniocentesis TOTAL OBSTETRIC PROCEDURES:* 131 1 122 36 14 1 121 13 2447 31 2217 480 270 38 1416 207 1254 26 1007 309 95 77 1027 104 333 6 299 84 56 2 260 85 887 12 811 202 119 16 506 71 2474 44 2117 595 270 95 1793 260 * More than one may be ported on a birth certificate. The total includes all births with one or more obstetric procedures listed. 3.13. COMPLICATIONS OF LABOR AND DELIVERY Resided on reservation COLORADO RIVER FORT APACHE 58 10 Other 94 106 177 Fetal Distress 64 Cord Prolapse 1 Anesthetic Complic. 99 Cephalopelvic Disp. Prolonged Labor Breech Malpresentation Precipitous Labor Dysfunctional Labor Seizures 15 3 100 1182 12 1 0 3 0 0 0 0 0 1 2 1 0 0 0 2 6 102 1 10 3 2 0 0 0 0 0 1 5 3 0 0 2 81 45 1 7 2 2 0 0 0 1 0 0 3 2 0 0 2 30 HAVASUPAI 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 HOPI 43 0 9 5 1 0 5 0 3 7 5 3 3 0 0 3 14 HUALAPAI 15 0 1 0 0 1 1 0 0 0 2 1 0 0 0 2 9 89 116 13 6 69 1 32 45 70 49 16 4 2 34 188 599 27 SAN CARLOS 69 0 7 9 1 1 2 0 2 8 3 8 3 1 0 10 32 TOHONO O'ODHAM 69 2 19 2 0 1 0 0 2 3 0 6 2 0 0 0 49 32 142 140 19 9 77 1 40 64 83 76 29 5 2 56 412 TOTAL TOTAL 29 GILA RIVER NAVAJO Resided off reservation 51 306 251 Other Bleeding 2094 Placenta Previa TOTAL Abruptio Placenta AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 Rupture of Membrane Meconium Febrile TOTAL COMPLICATIONS OF/LABOR AND DELIVERY* 958 ---in Maricopa County 615 9 102 67 4 3 5 0 4 15 5 54 12 0 0 15 443 ---in Pima County 169 2 36 11 1 0 1 0 10 4 4 8 5 1 0 7 124 ---elsewhere in Arizona 352 8 26 33 5 3 16 0 10 11 14 39 12 4 1 22 203 19 164 111 10 6 22 0 24 30 23 101 29 5 1 44 770 1136 * More than one may be reported on a birth certificate. The total includes all births with one or more complications listed. 3.14. METHOD OF DELIVERY AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 Vacuum 198 457 277 55 106 9 2 12 3 0 0 FORT APACHE 197 169 7 14 7 0 8 GILA RIVER 147 127 3 9 8 1 4 HAVASUPAI 10 8 0 0 2 0 0 120 98 1 12 9 0 5 33 24 0 5 4 1 1 1818 1544 73 131 70 15 18 SAN CARLOS 201 157 5 23 16 6 3 TOHONO O'ODHAM 139 114 3 10 12 6 5 2691 2250 94 216 131 29 44 1307 1055 60 113 79 18 27 350 282 10 34 24 6 12 HOPI HUALAPAI NAVAJO TOTAL ---in Maricopa County ---in Pima County ---elsewhere in Arizona TOTAL Forceps 4339 26 COLORADO RIVER Resided off reservation Repeat C-Section 5271 TOTAL Resided on reservation Primary C-Section Vaginal after C-section Vaginal TOTAL METHOD OF DELIVERY: 923 752 34 94 43 2 23 2580 2089 104 241 146 26 62 3.15. ATTENDANT AT BIRTH ATTENDANT AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 TOTAL TOTAL Resided on reservation 2925 2056 1 237 47 5 26 26 0 0 0 0 0 FORT APACHE 197 160 10 0 27 0 0 GILA RIVER 147 103 16 0 28 0 0 HAVASUPAI 10 7 0 0 3 0 0 120 52 67 0 0 1 0 33 18 0 0 15 0 0 1818 597 1182 0 27 10 2 SAN CARLOS 201 190 10 0 1 0 0 TOHONO O'ODHAM 139 118 17 0 1 3 0 2691 1271 1302 0 102 14 2 1307 739 507 0 48 11 2 ---in Pima County 350 269 61 0 7 13 0 ---elsewhere in Arizona 923 646 186 1 80 9 1 2580 1654 754 1 135 33 3 HOPI HUALAPAI NAVAJO TOTAL ---in Maricopa County TOTAL C.N.M. Midwife D.O. Other Unknown 5271 COLORADO RIVER Resided off reservation M.D. 3.16. GESTATIONAL AGE LENGTH OF GESTATION AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 TOTAL TOTAL Resided on reservation 5271 486 400 4251 87 47 26 3 4 8 0 11 FORT APACHE 197 25 8 161 2 1 GILA RIVER 147 9 11 124 1 2 HAVASUPAI 10 3 2 5 0 0 120 17 10 93 0 0 33 4 3 26 0 0 1818 146 118 1515 34 5 SAN CARLOS 201 24 12 158 7 0 TOHONO O'ODHAM 139 22 13 103 1 0 2691 253 181 2193 45 19 1307 130 97 1040 33 7 350 25 40 283 1 1 COLORADO RIVER HOPI HUALAPAI NAVAJO TOTAL Resided off reservation ---in Maricopa County ---in Pima County ---elsewhere in Arizona TOTAL <37 weeks 37 weeks 38-41 weeks 42+ weeks Unknown 923 78 82 735 8 20 2580 233 219 2058 42 28 3.17. WEIGHT AT BIRTH Weight at birth: AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 TOTAL <1500 grams TOTAL Resided on reservation 4000+ grams Unknown 57 290 4373 544 7 26 0 3 20 3 0 FORT APACHE 197 3 13 161 20 0 GILA RIVER 147 4 7 118 18 0 HAVASUPAI 10 0 0 10 0 0 120 1 13 102 4 0 33 1 2 28 2 0 1818 18 98 1537 162 3 SAN CARLOS 201 4 9 156 32 0 TOHONO O'ODHAM 139 3 8 118 10 0 2691 34 153 2250 251 3 1307 12 68 1065 160 2 ---in Pima County 350 3 15 289 42 1 ---elsewhere in Arizona 923 8 54 769 91 1 2580 23 137 2123 293 4 HOPI HUALAPAI NAVAJO TOTAL ---in Maricopa County TOTAL 2500-3999 grams 5271 COLORADO RIVER Resided off reservation 1500-2499 grams 3.18. ABNORMAL CONDITIONS OF THE NEWBORN 35 27 6 407 Resided on reservation 9 0 0 0 0 1 3 0 0 6 FORT APACHE 22 0 0 1 0 0 0 0 0 21 GILA RIVER 16 0 0 0 0 1 0 0 0 15 HAVASUPAI 1 0 0 0 0 0 0 0 0 1 HOPI 4 1 0 0 0 0 0 0 0 3 HUALAPAI 1 0 0 0 1 0 0 1 0 0 NAVAJO 75 1 2 1 5 8 10 14 1 45 SAN CARLOS 23 2 0 1 1 1 2 1 0 16 TOHONO O'ODHAM 20 0 0 0 0 0 3 0 0 18 171 4 2 3 7 11 18 16 1 125 202 1 4 2 6 8 5 3 2 187 ---in Pima County 53 0 4 2 0 0 10 0 0 42 ---elsewhere in Arizona 68 2 0 2 3 3 2 8 3 53 323 3 8 6 9 11 17 11 5 282 COLORADO RIVER TOTAL Resided off reservation ---in Maricopa County TOTAL Other Assisted Vent>30 min. 22 Seizures Assissted Vent.<30 min 16 Membrane Disease 9 TOTAL Fetal Alcohol Syndrome 10 AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 Birth Injury 7 Anemia 494 TOTAL Meconium Aspiration ABNORMAL CONDITIONS OF THE NEWBORN:* * More than one may be reported on a birth certificate. The total includes all births with one or more abnormal conditions listed. 3.19. CONGENITAL ANOMALIES (BIRTH DEFECTS) Spina Bifida Microcephalus Other CNS Anomaly Heart Malformations Other Resp./Circulatory Rectal Atresia Fistula/Esoph.Atresia Omphalocele Renal Agenesis Cleft Lip/Palate Polydactyly Club Foot Other Muscosceletal Down s Syndrome Other Chromosomal Other 132 2 4 1 1 9 12 1 1 1 1 8 3 1 3 1 2 93 COLORADO RIVER 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 FORT APACHE 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 GILA RIVER 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 4 HOPI 5 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 4 HUALAPAI 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 36 1 2 1 0 5 2 0 0 1 0 2 1 0 2 0 1 21 SAN CARLOS 6 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 5 TOHONO O'ODHAM 7 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 5 70 1 2 1 0 7 4 0 0 1 0 3 2 1 3 1 1 49 32 1 0 0 0 0 5 1 1 0 0 4 1 0 0 0 0 21 7 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 6 23 0 2 0 1 2 2 0 0 0 1 1 0 0 0 0 1 17 62 1 2 0 1 2 8 1 1 0 1 5 1 0 0 0 1 44 TOTAL Hydrocephalus BIRTH DEFECTS:* AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 TOTAL Resided on reservation NAVAJO TOTAL Resided off reservation ---in Maricopa County ---in Pima County ---elsewhere in Arizona TOTAL * More than one may be reported on a birth certificate. The total includes all births with one or more birth defects listed. 3.2. EDUCATIONAL ATTAINMENT OF MOTHER MOTHER'S EDUCATION TOTAL Resided on reservation COLORADO RIVER FORT APACHE GILA RIVER HAVASUPAI HOPI HUALAPAI NAVAJO SAN CARLOS TOHONO O'ODHAM TOTAL Resided off reservation ---in Maricopa County ---in Pima County ---elsewhere in Arizona TOTAL TOTAL 5271 26 197 147 10 120 33 1818 201 139 2691 1307 350 923 2580 <8 81 0 3 2 0 0 0 31 2 3 41 26 5 9 40 8 188 1 5 12 1 2 0 44 4 8 77 62 22 27 111 9-11 1586 12 87 52 2 23 12 502 74 49 813 393 115 265 773 12 2050 10 67 47 3 66 18 740 78 57 1086 464 128 372 964 13-16 1226 2 33 25 4 29 3 443 37 20 596 329 69 232 630 17+ 58 1 0 0 0 0 0 14 2 2 19 23 8 8 39 UNKN OWN 82 0 2 9 0 0 0 44 4 0 59 10 3 10 23 TABLE 3.20 CAUSES OF INFANT DEATH Cause of death: TOTAL, ALL CAUSES CONDITIONS ORIGINATING IN THE PERINATAL PERIOD -Low birthweight/short gestation -Other respiratory condition -Maternal complications -Other perinatal conditions CONGENITAL ANOMALIES -Heart and/or circulatory system -respiratory system Other anomalies SUDDEN INFANT DEATH SYNDROME (SIDS) UNINTENTIONAL INJURY INFECTIOUS & PARASITIC DISEASE PNEUMONIA/INFLUENZA HOMICIDE ALL OTHER CAUSES AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997: Resided on reservation: Resided off reservation: ---in ---in TOTAL COLO---elsewhere FORT GILA HUALA NASAN TOHONO RADO Maricopa Pima APACHE RIVER -PAI VAJO CARLOS O'ODHAM in Arizona RIVER County County 44 1 3 6 1 11 3 1 6 2 10 11 0 2 0 0 3 0 1 3 0 2 4 1 1 5 9 3 1 5 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 2 1 0 1 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 1 0 0 2 1 0 0 1 0 0 0 0 1 0 0 1 2 0 0 0 2 1 0 1 6 1 0 0 0 0 2 0 0 1 2 2 0 0 1 0 0 0 0 0 0 1 3 0 0 0 0 2 0 0 0 0 1 3 2 8 0 0 0 0 0 0 1 0 3 1 0 0 0 2 2 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 3.3. MARITAL STATUS OF MOTHER MARITAL STATUS AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 Unknown 1654 13 26 14 4 8 FORT APACHE 197 112 85 0 GILA RIVER 147 117 30 0 HAVASUPAI 10 6 4 0 120 94 26 0 33 22 11 0 1818 1267 549 2 SAN CARLOS 201 126 75 0 TOHONO O'ODHAM 139 120 19 0 2691 1878 803 10 1307 900 407 0 ---in Pima County 350 241 109 0 ---elsewhere in Arizona 923 585 335 3 2580 1726 851 3 HOPI HUALAPAI NAVAJO TOTAL ---in Maricopa County TOTAL Married 3604 COLORADO RIVER Resided off reservation Unmarried 5271 TOTAL Resided on reservation TOTAL 3.4. RACE/ETHNICITY OF FATHER ETHNICITY OF FATHER AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 TOTAL TOTAL Resided on reservation American Indian Black 5271 266 295 54 Asian Unknown 2634 62 1960 26 4 2 0 5 0 15 197 3 2 2 136 0 54 GILA RIVER 147 2 4 0 65 1 75 HAVASUPAI HOPI HUALAPAI 10 0 0 0 7 0 3 120 0 0 0 72 1 47 33 0 1 1 15 1 15 1818 11 10 3 1136 15 643 SAN CARLOS 201 0 4 0 123 2 72 TOHONO O'ODHAM 139 0 3 0 71 0 65 2691 20 26 6 1630 20 989 1307 151 167 28 424 22 515 ---in Pima County 350 26 46 6 133 7 132 ---elsewhere in Arizona 923 69 56 14 447 13 324 2580 246 269 48 1004 42 971 NAVAJO TOTAL ---in Maricopa County TOTAL Hispanic FORT APACHE COLORADO RIVER Resided off reservation NonHispanic White 3.5 AGE OF FATHER AGE GROUP OF FATHER TOTAL Resided on reservation COLORADO RIVER FORT APACHE GILA RIVER HAVASUPAI HOPI HUALAPAI NAVAJO SAN CARLOS TOHONO O'ODHAM TOTAL Resided off reservation ---in Maricopa County ---in Pima County ---elsewhere in Arizona TOTAL TOTAL 3482 12 150 71 7 81 18 1259 129 76 1803 822 223 634 1679 15-17 44 1 3 0 1 2 0 10 1 3 21 17 2 4 23 18-19 172 3 11 4 0 9 1 45 9 9 91 43 12 26 81 20-24 849 4 29 12 1 13 5 285 32 21 402 227 62 158 447 25-29 915 2 31 17 1 24 3 313 40 21 452 241 68 154 463 30-34 714 0 35 21 1 17 3 264 19 10 370 160 43 141 344 35-39 428 2 22 15 2 10 4 171 14 8 248 86 21 73 180 40-44 191 0 11 1 1 2 2 89 11 1 118 32 8 33 73 45+ 73 0 4 1 0 2 0 27 2 3 39 8 5 21 34 UNKN OWN 96 0 4 0 0 2 0 55 1 0 62 8 2 24 34 3.6. SOURCE OF PAYMENT FOR LABOR AND DELIVERY PAYEE FOR BIRTH AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 TOTAL AHCCCS 5271 TOTAL Resided on reservation 638 42 391 12 1 2 0 11 FORT APACHE 197 117 64 14 2 0 GILA RIVER 147 38 83 21 3 2 HAVASUPAI 10 7 0 1 1 1 120 15 99 2 1 3 33 26 2 2 3 0 1818 731 753 105 2 227 SAN CARLOS 201 36 156 6 2 1 TOHONO O'ODHAM 139 53 66 15 0 5 1035 1224 168 14 250 HOPI HUALAPAI NAVAJO 2691 TOTAL 1307 749 199 283 18 58 ---in Pima County 350 154 121 66 4 5 ---elsewhere in Arizona 923 537 181 121 6 78 2580 1440 501 470 28 141 ---in Maricopa County TOTAL 2475 1725 PRIVATE INSURANCE SELF UNKNOWN 26 COLORADO RIVER Resided off reservation IHS 3.7. MATERNAL WEIGHT GAIN DURING PREGNANCY WEIGHT GAIN AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 TOTAL Resided on reservation 5271 54 339 1030 3086 762 26 0 0 0 13 13 FORT APACHE 197 3 13 31 103 47 GILA RIVER 147 4 13 31 70 29 HAVASUPAI 10 0 0 1 9 0 120 1 10 19 59 31 33 2 2 7 17 5 1818 11 149 394 962 302 201 2 9 38 114 38 COLORADO RIVER HOPI HUALAPAI NAVAJO SAN CARLOS TOHONO O'ODHAM 139 1 15 20 65 38 2691 24 211 541 1412 503 1307 18 83 267 841 98 ---in Pima County 350 6 11 59 235 39 ---elsewhere in Arizona 923 6 34 163 598 122 2580 30 128 489 1674 259 TOTAL Resided off reservation ---in Maricopa County TOTAL TOTAL None 1-10 Pounds 11-20 Pounds 21 or more Unknown 3.8. MEDICAL RISK FACTORS OF PREGNANCY Resided on reservation COLORADO RIVER 6 Other RH Sensitization 13 Uterine Bleeding Renal Disease Eclampsia 46 19 1416 12 2 0 0 1 0 1 0 0 3 2 0 0 0 0 1 9 112 6 1 1 17 1 2 1 4 13 7 0 0 0 0 0 83 87 8 0 0 28 0 1 0 2 5 0 1 0 0 0 0 69 HAVASUPAI 7 0 0 0 1 0 0 0 0 2 0 0 0 0 0 0 6 49 2 1 0 15 1 8 0 5 10 3 4 1 0 0 0 19 HOPI HUALAPAI NAVAJO SAN CARLOS TOHONO O'ODHAM TOTAL TOTAL 73 GILA RIVER FORT APACHE Resided off reservation 61 281 109 Previous SGA Infant TOTAL Previous Infant 4000+g 2 Chronic Hypertension Hemoglobinopathy 23 102 AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 Pregnancy Associated Hypertension Hydramnios 13 397 Diabetes Lung Disease 10 Genital Herpes Cardiac Disease 2260 232 TOTAL Anemia MEDICAL RISK FACTORS:* 14 0 0 0 5 0 0 0 0 1 0 1 0 0 1 1 8 617 83 4 7 120 7 51 1 28 98 17 42 31 8 1 5 249 70 7 0 1 16 1 3 0 6 18 6 1 0 0 1 1 30 87 4 0 0 11 0 5 0 0 0 10 0 0 0 0 1 77 1055 112 6 9 214 10 71 2 45 150 45 49 32 8 3 9 550 95 1 1 106 9 10 0 9 52 33 7 5 2 0 2 520 ---in Maricopa County 679 ---in Pima County 194 2 2 2 23 4 6 0 2 16 15 0 0 0 0 4 161 ---elsewhere in Arizona 332 23 1 1 54 0 15 0 5 63 16 17 9 3 3 4 185 1205 120 4 4 183 13 31 0 16 131 64 24 14 5 3 10 866 * More than one may be reported on a birth certificate. The total includes all births with one or more medical risk factors listed. 3.9. SUBSTANCE USE DURING PREGNANCY Substance use during pregnancy AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 TOTAL Drinker, nonsmoker Smoker, nondrinker Smoker and drinker Nonsmoker and nondrinker 5271 107 151 68 4945 26 0 0 1 25 FORT APACHE 197 18 7 11 161 GILA RIVER 147 5 4 2 136 HAVASUPAI 10 0 1 0 9 120 3 0 0 117 33 4 1 0 28 1818 26 16 7 1769 SAN CARLOS 201 10 4 6 181 TOHONO O'ODHAM 139 4 4 1 130 2691 70 37 28 2556 1307 24 67 28 1188 ---in Pima County 350 2 18 5 325 ---elsewhere in Arizona 923 11 29 7 876 2580 37 114 40 2389 TOTAL Resided on reservation COLORADO RIVER HOPI HUALAPAI NAVAJO TOTAL Resided off reservation ---in Maricopa County TOTAL IV. Patterns of Mortality Among American Indians by Place of Residence in Arizona in 1997 Age-Specific Mortality 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 4.10. Leading Causes of Death by Age Group Among Residents of FORT APACHE Tribal Communities 4.11. Leading 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 in MARICOPA COUNTY 4.16. Leading Causes of Death by Age Group Among American Indians Who Resided Off Reservation in PIMA COUNTY 4.17. Leading Causes of Death by Age Group Among American Indians Who Resided Off Reservation elsewhere in Arizona 4.1. AGE-SPECIFIC MORTALITY AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65+ 1473 44 12 22 111 159 200 183 179 563 6 0 0 0 1 0 3 0 0 2 16 1 0 0 1 2 2 3 1 6 68 3 3 0 7 4 14 12 3 22 FORT McDOWELL 4 0 0 0 1 0 2 0 0 1 GILA BEND 3 0 0 0 0 0 0 0 1 2 GILA RIVER 109 6 1 2 8 12 12 17 14 37 HOPI 44 0 0 0 4 1 3 3 10 23 HUALAPAI 14 1 0 0 2 1 3 3 0 4 KAIBAB 1 0 0 0 0 0 0 0 0 1 NAVAJO 473 11 6 4 38 55 53 48 47 211 SALT RIVER 38 0 0 0 4 4 5 4 9 12 SAN CARLOS 61 3 0 0 4 4 7 13 14 16 SAN XAVIER 11 0 0 0 0 1 4 1 2 3 TOHONO O'ODHAM 99 1 1 2 7 8 9 13 17 41 TOTAL 947 26 11 8 77 92 117 117 118 381 ---in Maricopa County 187 6 0 4 10 22 32 27 31 55 91 2 0 2 5 9 12 8 13 40 ---elsewhere in Arizona 248 10 1 8 19 36 39 31 17 87 TOTAL 526 18 1 14 34 67 83 66 61 182 TOTAL Resided on AK CHIN reservation: COLORADO RIVER FORT APACHE Resided off reservation AGE GROUP: TOTAL ---in Pima County 4.10. LEADING CAUSES OF DEATH BY AGE GROUP AMONG RESIDENTS OF FORT APACHE TRIBAL COMMUNITIES, ARIZONA, 1997 AGE GROUP: TOTAL <1 1-4 15-24 25-34 35-44 45-54 55-64 65+ TOTAL, ALL CAUSES* 68 3 3 7 4 14 12 3 22 Cardiovascular Disease 12 0 0 1 0 1 3 1 6 --Diseases of Heart 7 0 0 0 0 1 2 1 3 ----Coronary Heart Disease 2 0 0 0 0 0 0 0 2 Malignant Neoplasms 5 0 0 0 0 1 1 1 2 -- Lung Cancer 0 0 0 0 0 0 0 0 0 -- Colorectal Cancer 0 0 0 0 0 0 0 0 0 --Female Breast Cancer 0 0 0 0 0 0 0 0 0 -- Cancer of Prostate 0 0 0 0 0 0 0 0 0 -- Cervical Cancer 0 0 0 0 0 0 0 0 0 Cerebrovascular Disease 5 0 0 1 0 0 1 0 3 Chronic Obstructive Pulmonary Disease 2 0 0 0 0 0 1 0 1 Unintentional injury 10 0 1 2 2 2 1 0 2 -- Motor Vehicle -Related 5 0 1 0 2 2 0 0 0 Pneumonia/Influenza 3 0 0 0 0 0 1 0 2 Infectious & Parasitic Diseases 4 0 0 1 0 1 1 0 1 -- HIV Infection 1 0 0 0 0 1 0 0 0 -- Septicemia 1 0 0 0 0 0 1 0 0 -- Other Infectious Disease 2 0 0 1 0 0 0 0 1 Diabetes 4 0 0 0 0 0 0 1 3 Suicide 4 0 0 2 1 0 1 0 0 Homicide/Legal intervention 3 0 0 1 0 2 0 0 0 Alcoholism 6 0 0 0 1 3 1 0 1 * May include deaths from causes not shown above. 4.11. LEADING CAUSES OF DEATH BY AGE GROUP AMONG RESIDENTS OF GILA RIVER TRIBAL COMMUNITIES, ARIZONA, 1997 AGE GROUP: TOTAL 15-24 25-34 35-44 45-54 55-64 109 6 1 2 8 12 12 17 14 37 Cardiovascular Disease 22 1 0 0 0 1 0 4 6 10 --Diseases of Heart 16 1 0 0 0 1 0 4 3 7 ----Coronary Heart Disease TOTAL, ALL CAUSES* <1 1-4 5-14 65+ 11 0 0 0 0 1 0 3 2 5 Malignant Neoplasms 8 0 0 0 1 0 0 2 2 3 -- Lung Cancer 1 0 0 0 0 0 0 0 0 1 -- Colorectal Cancer 0 0 0 0 0 0 0 0 0 0 -- Female Breast Cancer 0 0 0 0 0 0 0 0 0 0 -- Cancer of Prostate 0 0 0 0 0 0 0 0 0 0 -- Cervical Cancer 0 0 0 0 0 0 0 0 0 0 Cerebrovascular Disease 4 0 0 0 0 0 0 0 2 2 Chronic Obstructive Pulmonary Disease 2 1 0 0 0 0 0 0 0 1 Unintentional injury 21 1 0 2 1 7 5 4 0 1 -- Motor Vehicle -Related 17 0 0 2 1 7 3 3 0 1 Pneumonia/Influenza 3 1 0 0 0 0 0 0 0 2 Infectious & Parasitic Diseases 5 0 1 0 0 0 1 1 2 0 -- HIV Infection 1 0 0 0 0 0 0 0 1 0 -- Septicemia 1 0 0 0 0 0 0 1 0 0 -- Other Infectious Disease 3 0 1 0 0 0 1 0 1 0 15 0 0 0 0 0 2 2 3 8 Suicide 1 0 0 0 1 0 0 0 0 0 Homicide/Legal intervention 6 0 0 0 3 3 0 0 0 0 Alcoholism 4 0 0 0 0 1 0 2 0 1 Diabetes * May include deaths from causes not shown above. 4.12. LEADING CAUSES OF DEATH BY AGE GROUP AMONG RESIDENTS OF SALT RIVER TRIBAL COMMUNITIES AGE GROUP: TOTAL 15-24 25-34 35-44 45-54 55-64 65+ 38 4 4 5 4 9 12 Cardiovascular Disease 6 1 0 0 0 1 4 --Diseases of Heart 4 1 0 0 0 0 3 ----Coronary Heart Disease 3 0 0 0 0 0 3 Malignant Neoplasms 4 0 0 0 0 4 0 -- Lung Cancer 0 0 0 0 0 0 0 -- Colorectal Cancer 0 0 0 0 0 0 0 -- Female Breast Cancer 0 0 0 0 0 0 0 -- Cancer of Prostate 0 0 0 0 0 0 0 -- Cervical Cancer 0 0 0 0 0 0 0 Cerebrovascular Disease 2 0 0 0 0 1 1 Chronic Obstructive Pulmonary Disease 0 0 0 0 0 0 0 Unintentional injury 9 3 3 2 1 0 0 -- Motor Vehicle -Related 7 3 2 1 1 0 0 Pneumonia/Influenza 1 0 0 0 0 0 1 Infectious & Parasitic Diseases 2 0 1 0 0 0 1 -- HIV Infection 1 0 1 0 0 0 0 -- Septicemia 1 0 0 0 0 0 1 -- Other Infectious Disease 0 0 0 0 0 0 0 Diabetes 7 0 0 0 1 2 4 Suicide 1 0 0 0 1 0 0 Homicide/Legal Intervention 0 0 0 0 0 0 0 Alcoholism 1 0 0 0 0 1 0 TOTAL, ALL CAUSES* * May include deaths from causes not shown above. 4.13. LEADING CAUSES OF DEATH BY AGE GROUP AMONG RESIDENTS OF SAN CARLOS TRIBAL COMMUNITIES, ARIZONA, 1997 AGE GROUP: TOTAL <1 15-24 25-34 35-44 45-54 55-64 65+ 61 3 4 4 7 13 14 16 Cardiovascular Disease 9 0 0 0 0 2 5 2 --Diseases of Heart 9 0 0 0 0 2 5 2 ----Coronary Heart Disease 5 0 0 0 0 0 4 1 Malignant Neoplasms 7 0 1 0 1 0 2 3 -- Lung Cancer 1 0 0 0 0 0 0 1 -- Colorectal cancer 1 0 0 0 0 0 0 1 -- Female Breast Cancer 0 0 0 0 0 0 0 0 -- Cancer of Prostate 0 0 0 0 0 0 0 0 -- Cervical Cancer 0 0 0 0 0 0 0 0 Cerebrovascular Disease 0 0 0 0 0 0 0 0 Chronic Obstructive Pulmonary Disease 1 0 0 0 0 0 0 1 Unintentional injury 13 0 1 2 2 3 2 3 -- Motor Vehicle -Related 8 0 1 2 2 2 0 1 Pneumonia/Influenza 2 0 0 0 0 1 0 1 Infectious & Parasitic Diseases 2 0 0 0 0 1 1 0 -- HIV Infection 0 0 0 0 0 0 0 0 -- Septicemia 1 0 0 0 0 0 1 0 -- Other Infectious Disease 1 0 0 0 0 1 0 0 Diabetes 9 0 0 0 0 2 3 4 Suicide 0 0 0 0 0 0 0 0 Homicide/Legal intervention 3 0 1 1 0 1 0 0 Alcoholism 3 0 0 1 2 0 0 0 TOTAL, ALL CAUSES* * May include deaths from causes not shown above. 4.14. LEADING CAUSES OF DEATH BY AGE GROUP AMONG RESIDENTS OF TOHONO' O' ODHAM TRIBAL COMMUNITIES, ARIZONA, 1997 AGE GROUP: TOTAL <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65+ TOTAL, ALL CAUSE* 99 1 1 2 7 8 9 13 17 41 Cardiovascular Disease 22 0 0 0 0 0 0 2 7 13 --Diseases of Heart 16 0 0 0 0 0 0 2 4 10 ----Coronary Heart Disease 10 0 0 0 0 0 0 0 2 8 Malignant Neoplasms 16 0 1 0 1 0 1 2 0 11 -- Lung Cancer 0 0 0 0 0 0 0 0 0 0 -- Colorectal Cancer 0 0 0 0 0 0 0 0 0 0 -- Female Breast Cancer 1 0 0 0 0 0 0 0 0 1 -- Cancer of Prostate 2 0 0 0 0 0 0 0 0 2 -- Cervical Cancer 0 0 0 0 0 0 0 0 0 0 Cerebrovascular Disease 5 0 0 0 0 0 0 0 3 2 Chronic Obstructive Pulmonary Disease 1 0 0 0 1 0 0 0 0 0 Unintentional injury 16 0 0 2 2 3 4 1 0 4 -- Motor Vehicle -Related 11 0 0 1 2 3 4 0 0 1 Pneumonia/Influenza 5 0 0 0 0 0 0 3 2 0 Infectious & Parasitic Diseases 6 0 0 0 0 0 0 1 0 5 -- HIV Infection 0 0 0 0 0 0 0 0 0 0 -- Septicemia 3 0 0 0 0 0 0 0 0 3 -- Other Infectious Disease 3 0 0 0 0 0 0 1 0 2 Diabetes 7 0 0 0 0 0 0 1 4 2 Suicide 3 0 0 0 2 1 0 0 0 0 Homicide/Legal intervention 1 0 0 0 0 0 1 0 0 0 Alcoholism 4 0 0 0 0 1 0 1 1 1 * May include deaths from causes not shown above. 4.15. LEADING CAUSES OF DEATH BY AGE GROUP AMONG AMERICAN INDIANS WHO RESIDED OFF RESERVATION IN MARICOPA COUNTY, ARIZONA, 1997 AGE GROUP: TOTAL TOTAL 5-14 15-24 25-34 35-44 45-54 55-64 65+ 187 4 10 22 32 27 31 55 Cardiovascular Disease 26 0 0 1 0 2 9 14 --Diseases of Heart 17 0 0 0 0 2 6 9 ----Coronary Heart Disease 16 0 0 0 0 2 5 9 Malignant Neoplasms 20 0 0 0 2 3 5 10 -- Lung Cancer 3 0 0 0 1 0 1 1 -- Colorectal Cancer 2 0 0 0 0 0 0 2 -- Female Breast Cancer 0 0 0 0 0 0 0 0 -- Cancer of Prostate 1 0 0 0 0 0 0 1 -- Cervical Cancer 1 0 0 0 1 0 0 0 Cerebrovascular Disease 6 0 0 0 0 0 3 3 Chronic Obstructive Pulmonary Disease 7 0 0 0 0 0 2 5 Unintentional injury 42 2 4 11 12 9 1 3 -- Motor Vehicle -Related 21 1 3 6 6 3 1 1 Pneumonia/Influenza 5 0 1 1 0 0 0 2 Infectious & Parasitic Diseases 7 0 0 3 2 0 1 1 -- HIV Infection 2 0 0 0 2 0 0 0 -- Septicemia 3 0 0 2 0 0 0 1 -- Other Infectious Disease 2 0 0 1 0 0 1 0 15 0 0 0 1 3 6 5 Suicide 3 0 0 1 0 1 0 1 Homicide/Legal intervention 7 1 3 1 1 1 0 0 13 0 0 2 6 2 2 1 Diabetes Alcoholism 4.16. LEADING CAUSES OF DEATH BY AGE GROUP AMONG NATIVE AMERICANS WHO RESIDED OFF RESERVATION IN PIMA COUNTY, ARIZONA, 1997 AGE GROUP: 15-24 25-34 35-44 45-54 55-64 TOTAL, ALL CAUSES* TOTAL 91 <1 2 5-14 2 5 9 12 8 13 40 Cardiovascular Disease 27 0 0 0 2 1 1 5 18 --Diseases of Heart 20 0 0 0 1 0 1 5 13 ----Coronary Heart Disease 17 0 0 0 1 0 1 3 12 Malignant Neoplasms 4 0 0 0 0 0 0 1 3 -- Lung Cancer 0 0 0 0 0 0 0 0 0 -- Colorectal cancer 1 0 0 0 0 0 0 0 1 -- Female Breast Cancer 0 0 0 0 0 0 0 0 0 -- Cancer of Prostate 0 0 0 0 0 0 0 0 0 -- Cervical Cancer 0 0 0 0 0 0 0 0 0 Cerebrovascular Disease 5 0 0 0 1 1 0 0 3 Chronic Obstructive Pulmonary Disease 2 0 0 0 0 0 1 0 1 Unintentional injury 15 0 0 3 4 5 1 0 2 -- Motor Vehicle -Related 5 0 0 2 1 1 0 0 1 Pneumonia/Influenza 3 0 0 0 0 0 1 0 2 Infectious & Parasitic Diseases 2 0 0 0 1 0 0 0 1 -- HIV Infection 1 0 0 0 1 0 0 0 0 -- Septicemia 1 0 0 0 0 0 0 0 1 -- Other Infectious Disease 0 0 0 0 0 0 0 0 0 Diabetes 9 0 0 0 0 1 0 2 6 Suicide 2 0 1 0 1 0 0 0 0 Homicide/Legal Intervention 0 0 0 0 0 0 0 0 0 Alcoholism 2 0 0 0 0 1 1 0 0 * MAy include deaths from causes not shown above. 65+ 4.17. LEADING CAUSES OF DEATH BY AGE GROUP AMONG AMERICAN INDIANS WHO RESIDED OFF RESERVATION ELSEWHERE IN ARIZONA IN 1997 AGE GROUP: TOTAL <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65+ 248 10 1 8 19 36 39 31 17 87 Cardiovascular Disease 42 1 0 0 0 2 3 1 6 29 --Diseases of Heart 37 1 0 0 0 1 3 1 5 26 ----Coronary Heart Disease 27 0 0 0 0 1 2 1 4 19 Malignant Neoplasms 32 0 0 3 0 2 3 4 2 18 -- Lung Cancer 8 0 0 0 0 0 0 0 0 8 -- Colorectal cancer 3 0 0 0 0 0 0 3 0 0 -- Female Breast Cancer 0 0 0 0 0 0 0 0 0 0 -- Cancer of Prostate 0 0 0 0 0 0 0 0 0 0 -- Cervical Cancer 0 0 0 0 0 0 0 0 0 0 Cerebrovascular Disease 4 0 0 0 0 0 0 0 1 3 Chronic Obstructive Pulmonary Disease 1 0 0 0 0 0 0 0 1 0 Unintentional injury 48 1 1 3 9 15 8 5 1 5 -- Motor Vehicle -Related 22 0 1 1 7 7 1 2 1 2 Pneumonia/Influenza 15 0 0 0 0 1 2 1 0 11 Infectious & Parasitic Diseases 6 1 0 0 0 1 1 2 0 1 -- HIV Infection 1 0 0 0 0 1 0 0 0 0 -- Septicemia 5 1 0 0 0 0 1 2 0 1 -- Other Infectious Disease 0 0 0 0 0 0 0 0 0 0 Diabetes 12 0 0 0 0 0 3 4 0 5 Suicide 18 0 0 0 5 5 5 2 0 1 8 0 0 0 2 2 3 1 0 0 19 0 0 0 0 5 6 4 3 1 TOTAL, ALL CAUSES* Homicide/Legal intervention Alcoholism * May include deaths from causes not shown above. 4.2. AGE-SPECIFIC MORTALITY AMONG MALES AMERICAN INDIAN RESIDENTS OF ARIZONA TOTAL IN 1997 870 26 3 14 90 127 136 106 AK CHIN 4 0 0 0 1 0 2 0 0 1 COLORADO RIVER 9 1 0 0 0 1 2 0 1 4 35 1 0 0 6 4 7 5 0 12 FORT McDOWELL 3 0 0 0 1 0 2 0 0 0 GILA BEND 2 0 0 0 0 0 0 0 1 1 GILA RIVER 55 3 0 1 5 7 8 9 7 15 HOPI 25 0 0 0 3 1 2 1 8 10 HUALAPAI 11 1 0 0 1 1 2 3 0 3 292 7 3 3 34 47 37 30 SALT RIVER 19 0 0 0 2 4 5 1 5 2 SAN CARLOS 35 2 0 0 3 1 4 9 9 7 SAN XAVIER 4 0 0 0 0 1 2 0 0 1 56 1 0 2 7 5 8 6 7 20 TOTAL 550 16 3 6 63 72 81 64 65 180 ---in Maricopa County 112 2 0 2 8 16 21 16 18 29 52 1 0 2 4 8 8 4 9 16 ---elsewhere in Arizona 156 7 0 4 15 31 26 22 8 43 TOTAL 320 10 0 8 27 55 55 42 35 88 TOTAL Resided on reservation: FORT APACHE NAVAJO TOHONO O'ODHAM Resided off reservation AGE GROUP: <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65+ ---in Pima County 100 268 27 104 4.3. AGE-SPECIFIC MORTALITY AMONG FEMALES AMERICAN INDIAN RESIDENTS OF ARIZONA TOTAL <1 IN 1997 603 18 9 8 21 32 64 77 AK CHIN 2 0 0 0 0 0 1 0 0 1 COLORADO RIVER 7 0 0 0 1 1 0 3 0 2 33 2 3 0 1 0 7 7 3 10 FORT McDOWELL 1 0 0 0 0 0 0 0 0 1 GILA BEND 1 0 0 0 0 0 0 0 0 1 GILA RIVER 54 3 1 1 3 5 4 8 7 22 HOPI 19 0 0 0 1 0 1 2 2 13 HUALAPAI 3 0 0 0 1 0 1 0 0 1 KAIBAB 1 0 0 0 0 0 0 0 0 1 NAVAJO 181 4 3 1 4 8 16 18 SALT RIVER 19 0 0 0 2 0 0 3 4 10 SAN CARLOS 26 1 0 0 1 3 3 4 5 9 SAN XAVIER 7 0 0 0 0 0 2 1 2 2 43 0 1 0 0 3 1 7 10 21 397 10 8 2 14 20 36 53 53 201 ---in Maricopa County 75 4 0 2 2 6 11 11 13 26 ---in Pima County 39 1 0 0 1 1 4 4 4 24 ---elsewhere in Arizona 92 3 1 4 4 5 13 9 9 44 206 8 1 6 7 12 28 24 26 94 TOTAL Resided on reservation: FORT APACHE TOHONO O'ODHAM TOTAL Resided off reservation AGE GROUP: 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65+ TOTAL 79 295 20 107 4.4 DEATHS FROM CAUSES SELECTED* AS INDICATORS FOR MONITORING PROGRESS TOWARD THE YEAR 2000 OBJECTIVES AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 Resided off reservation Motor Vehicle Injury Lung Cancer Female Breast Cancer Homicide Suicide WorkRelated Injury** All Other Causes 1473 283 188 15 6 47 48 3 883 6 1 3 0 0 0 0 0 2 COLORADO RIVER 16 4 2 0 1 0 0 0 9 FORT APACHE TOTAL Resided on reservation: Cardiovascular TOTAL Disease AK CHIN 68 12 5 0 0 3 4 0 44 FORT McDOWELL 4 1 1 0 0 0 0 0 2 GILA BEND 3 1 0 0 0 0 0 0 2 GILA RIVER 109 22 17 1 0 6 1 0 62 HOPI 44 11 6 0 0 0 0 0 27 HUALAPAI 14 4 1 0 1 0 2 0 6 KAIBAB 1 0 0 0 0 0 0 0 1 NAVAJO 473 94 78 2 3 19 13 2 262 SALT RIVER 38 6 7 0 0 0 1 0 24 SAN CARLOS 61 9 8 1 0 3 0 0 40 SAN XAVIER 11 1 1 0 0 0 1 0 8 TOHONO O'ODHAM 99 22 11 0 1 1 3 0 61 TOTAL 947 188 140 4 6 32 25 2 550 ---in Maricopa County 187 26 21 3 0 7 3 0 127 91 27 5 0 0 0 2 0 57 ---elsewhere in Arizona 248 42 22 8 0 8 18 1 149 TOTAL 526 95 48 11 0 15 23 1 333 ---in Pima County * Centers for Disease Control, Consensus set of health status indicators for the general assessment of community health, United States. MMWR 40 (27): 449-51, 1991. ** Non-motor vehicle. 4.5 LEADING CAUSES OF DEATH AMONG AMERICAN INDIAN RESIDENTS OF ARIZONA IN 1997 ---elsewhere in Arizona ---in Maricopa County TOHONO O'ODHAM SAN XAVIER SAN CARLOS SALT RIVER NAVAJO KAIBAB HUALAPAI HOPI GILA RIVER GILA BEND FORT Mc DOWELL FORT APACHE COLORADO RIVER AK CHIN TOTAL TOTAL, ALL CAUSES* ---in Pima County Resided off reservation Resided on reservation: 1473 6 16 68 4 3 109 44 14 1 473 38 61 11 99 187 91 248 Cardiovascular Disease 283 1 4 12 1 1 22 11 4 0 94 6 9 1 22 26 27 42 --Diseases of Heart 221 0 4 7 1 1 16 8 3 0 77 4 9 1 16 17 20 37 153 0 2 2 0 0 11 5 3 0 52 3 5 0 10 16 17 27 ----Coronary Heart Disease Malignant Neoplasms 158 0 4 5 0 1 8 3 1 0 53 4 7 0 16 20 4 32 -- Lung Cancer 15 0 0 0 0 0 1 0 0 0 2 0 1 0 0 3 0 8 -- Colorectal cancer 10 0 0 0 0 0 0 0 0 0 3 0 1 0 0 2 1 3 -- Female Breast Cancer 6 0 1 0 0 0 0 0 1 0 3 0 0 0 1 0 0 0 -- Cancer of Prostate 4 0 0 0 0 0 0 0 0 0 1 0 0 0 2 1 0 0 -- Cervical Cancer 4 0 0 0 0 0 0 0 0 0 3 0 0 0 0 1 0 0 43 0 0 5 0 0 4 3 0 0 9 2 0 0 5 6 5 4 Chronic Obstructive Pulmonary Disease 20 0 0 2 0 0 2 1 0 0 2 0 1 1 1 7 2 1 Unintentional injury 315 3 3 10 2 0 21 9 3 1 119 9 13 1 16 42 15 48 -- Motor Vehicle -Related Cerebrovascular Disease 188 3 2 5 1 0 17 6 1 0 78 7 8 1 11 21 5 22 Pneumonia/Influenza 67 0 0 3 0 0 3 2 1 0 27 1 2 0 5 5 3 15 Infectious & Parasitic Diseases 60 0 0 4 1 0 5 2 1 0 21 2 2 1 6 7 2 6 -- HIV Infection -- Septicemia -- Other Infectious Disease 9 0 0 1 1 0 1 0 0 0 1 1 0 0 0 2 1 1 27 0 0 1 0 0 1 2 0 0 9 1 1 0 3 3 1 5 24 0 0 2 0 0 3 0 1 0 11 0 1 1 3 2 0 0 106 1 2 4 0 0 15 4 0 0 19 7 9 2 7 15 9 12 Suicide 48 0 0 4 0 0 1 0 2 0 13 1 0 1 3 3 2 18 Homicide/Legal intervention 47 0 0 3 0 0 6 0 0 0 19 0 3 0 1 7 0 8 Alcoholism 66 1 1 6 0 0 4 0 2 0 9 1 3 1 4 13 2 19 Diabetes * May include deaths from causes not shown above. 4.6. LEADING CAUSES OF DEATH AMONG AMERICAN INDIAN MALES, ARIZONA, 1997 Resided off reservation COLORADO RIVER FORT APACHE FORT McDOWELL GILA BEND GILA RIVER HOPI HUALAPAI NAVAJO SALT RIVER SAN CARLOS SAN XAVIER TOHONO O'ODHAM ---in Maricopa County ---in Pima County ---elsewhere in Arizona TOTAL, ALL CAUSES* 870 4 9 35 3 2 55 25 11 292 19 35 4 56 112 52 156 Cardiovascular Disease 148 0 3 5 0 1 7 6 4 54 0 7 0 10 18 12 21 --Diseases of Heart TOTAL AK CHIN Resided on reservation: 120 0 3 3 0 1 5 6 3 44 0 7 0 7 13 9 19 ----Coronary Heart Disease 82 0 2 1 0 0 4 3 3 30 0 4 0 3 13 7 12 Malignant Neoplasms 86 0 1 2 0 1 6 1 0 28 3 2 0 10 12 2 18 -- Lung Cancer 10 0 0 0 0 0 1 0 0 1 0 0 0 0 3 0 5 -- Colorectal cancer 6 0 0 0 0 0 0 0 0 2 0 0 0 0 1 1 2 -- Cancer of Prostate 4 0 0 0 0 0 0 0 0 1 0 0 0 2 1 0 0 Cerebrovascular Disease 17 0 0 2 0 0 1 0 0 6 0 0 0 2 3 2 1 Chronic Obstructive Pulmonary Disease 14 0 0 1 0 0 2 0 0 1 0 1 1 1 5 1 1 Unintentional injury 233 2 1 9 2 0 13 8 3 91 7 8 1 11 30 12 35 -- Motor Vehicle -Related 131 2 0 4 1 0 11 5 1 57 5 4 1 8 15 5 12 Pneumonia/Influenza 34 0 0 0 0 0 2 1 1 11 1 1 0 1 3 2 11 Infectious & Parasitic Diseases 33 0 0 1 1 0 2 1 1 11 1 1 0 2 7 1 4 8 0 0 1 1 0 0 0 0 1 1 0 0 0 2 1 1 -- Septicemia 13 0 0 0 0 0 1 1 0 3 0 0 0 2 3 0 3 -- Other Infectious Disease 12 0 0 0 0 0 1 0 1 7 0 1 0 0 2 0 0 Diabetes 42 1 1 2 0 0 8 1 0 6 2 4 0 4 5 3 5 Suicide 40 0 0 4 0 0 1 0 0 12 1 0 1 3 1 2 15 Homicide/Legal intervention 32 0 0 1 0 0 2 0 0 15 0 2 0 1 5 0 6 Alcoholism 37 1 1 2 0 0 2 0 2 7 0 1 0 4 6 0 11 -- HIV Infection * May include deaths from causes not shown above. 4.7. LEADING CAUSES OF DEATH AMONG FEMALES, ARIZONA, 1997 Resided off reservation COLORADO RIVER FORT APACHE FORT McDOWELL GILA BEND GILA RIVER HOPI HUALAPAI KAIBAB NAVAJO SALT RIVER SAN CARLOS SAN XAVIER TOHONO O'ODHAM ---in Maricopa County ---in Pima County ---elsewhere in Arizona TOTAL, ALL CAUSES* 603 2 7 33 1 1 54 19 3 1 181 19 26 7 43 75 39 92 Cardiovascular Disease 135 1 1 7 1 0 15 5 0 0 40 6 2 1 12 8 15 21 --Diseases of Heart 101 0 1 4 1 0 11 2 0 0 33 4 2 1 9 4 11 18 ----Coronary Heart Disease 71 0 0 1 0 0 7 2 0 0 22 3 1 0 7 3 10 15 Malignant Neoplasms 72 0 3 3 0 0 2 2 1 0 25 1 5 0 6 8 2 14 -- Lung Cancer 5 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 3 -- Colorectal cancer 4 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 1 -- Female Breast Cancer 6 0 1 0 0 0 0 0 1 0 3 0 0 0 1 0 0 0 -- Cervical Cancer 4 0 0 0 0 0 0 0 0 0 3 0 0 0 0 1 0 0 26 0 0 3 0 0 3 3 0 0 3 2 0 0 3 3 3 3 6 0 0 1 0 0 0 1 0 0 1 0 0 0 0 2 1 0 Unintentional injury 82 1 2 1 0 0 8 1 0 1 28 2 5 0 5 12 3 13 -- Motor Vehicle -Related 57 1 2 1 0 0 6 1 0 0 21 2 4 0 3 6 0 10 Pneumonia/Influenza 33 0 0 3 0 0 1 1 0 0 16 0 1 0 4 2 1 4 Infectious & Parasitic Diseases 27 0 0 3 0 0 3 1 0 0 10 1 1 1 4 0 1 2 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 -- Septicemia 14 0 0 1 0 0 0 1 0 0 6 1 1 0 1 0 1 2 -- Other Infectious Disease 12 0 0 2 0 0 2 0 0 0 4 0 0 1 3 0 0 0 Diabetes 64 0 1 2 0 0 7 3 0 0 13 5 5 2 3 10 6 7 8 0 0 0 0 0 0 0 2 0 1 0 0 0 0 2 0 3 Homicide/Legal intervention 15 0 0 2 0 0 4 0 0 0 4 0 1 0 0 2 0 2 Alcoholism 29 0 0 4 0 0 2 0 0 0 2 1 2 1 0 7 2 8 TOTAL AK CHIN Resided on reservation: Cerebrovascular Disease Chronic Obstructive Pulmonary Disease -- HIV Infection Suicide * May include deaths from causes not shown above. 4.8. LEADING CAUSES OF DEATH BY AGE GROUP AMONG RESIDENTS OF NAVAJO TRIBAL COMMUNITIES, ARIZONA, 1997 AGE GROUP: TOTAL 25-34 35-44 45-54 55-64 473 11 6 4 38 55 53 48 47 211 Cardiovascular Disease 94 0 0 0 0 4 4 8 14 64 --Diseases of Heart 77 0 0 0 0 4 4 5 11 53 ----Coronary Heart Disease 52 0 0 0 0 2 1 4 7 38 Malignant Neoplasms 53 0 1 0 0 5 5 5 12 25 -- Lung Cancer 2 0 0 0 0 0 0 0 1 1 -- Colorectal cancer 3 0 0 0 0 0 2 0 1 0 -- Female Breast Cancer 3 0 0 0 0 0 0 1 2 0 -- Cancer of Prostate 1 0 0 0 0 0 0 0 0 1 -- Cervical Cancer 3 0 0 0 0 1 0 0 2 0 Cerebrovascular Disease 9 0 0 0 0 0 0 0 1 8 Chronic Obstructive Pulmonary Disease 2 0 0 0 0 0 0 0 0 2 119 0 5 2 20 32 24 14 7 15 -- Motor Vehicle -Related 78 0 5 2 17 22 13 10 3 6 Pneumonia/Influenza 27 0 0 0 0 0 2 2 1 22 Infectious & Parasitic Diseases TOTAL, ALL CAUSES* Unintentional injury <1 1-4 5-14 15-24 65+ 21 2 0 0 1 1 0 1 1 15 -- HIV Infection 1 0 0 0 0 1 0 0 0 0 -- Septicemia 9 0 0 0 0 0 0 0 0 9 -- Other Infectious Disease 11 2 0 0 1 0 0 1 1 6 Diabetes 19 0 0 0 0 0 0 1 3 15 Suicide 13 0 0 0 7 2 3 1 0 0 Homicide/Legal intervention 19 2 0 0 5 6 2 3 1 0 9 0 0 0 1 1 3 2 2 0 Alcoholism * May include deaths from causes not shown above. 4.9. LEADING CAUSES OF DEATH BY AGE GROUP AMONG RESIDENTS OF HOPI TRIBAL COMMUNITIES, ARIZONA, 1997 AGE GROUP: TOTAL 15-24 25-34 35-44 45-54 55-64 65+ TOTAL, ALL CAUSES* 44 4 1 3 3 10 23 Cardiovascular Disease 11 0 0 0 2 4 5 --Diseases of Heart 8 0 0 0 2 2 4 ----Coronary Heart Disease 5 0 0 0 2 1 2 Malignant Neoplasms 3 0 0 0 0 1 2 -- Lung Cancer 0 0 0 0 0 0 0 -- Colorectal Cancer 0 0 0 0 0 0 0 -- Female Breast Cancer 0 0 0 0 0 0 0 -- Cancer of Prostate 0 0 0 0 0 0 0 -- Cervical Cancer 0 0 0 0 0 0 0 Cerebrovascular Disease 3 0 0 0 0 2 1 Chronic Obstructive Pulmonary Disease 1 0 0 0 0 0 1 Unintentional injury 9 2 1 3 0 2 1 -- Motor Vehicle -Related 6 2 1 3 0 0 0 Pneumonia/Influenza 2 0 0 0 0 0 2 Infectious & Parasitic Diseases 2 0 0 0 0 0 2 -- HIV Infection 0 0 0 0 0 0 0 -- Septicemia 2 0 0 0 0 0 2 -- Other Infectious Disease 0 0 0 0 0 0 0 Diabetes 4 0 0 0 0 1 3 Suicide 0 0 0 0 0 0 0 Homicide/Legal intervention 0 0 0 0 0 0 0 Alcoholism 0 0 0 0 0 0 0 * May include deaths from causes not shown above. V. Trends in Births and Deaths Among American Indians by Place of Residence in Arizona and Year, 1992-1997 5.1. Number of Births by Place of Residence and Year 5.2. Number of Births to Mothers 19 Years or Younger by Place of Residence and Year 5.3. Number of Low-Birthweight Births by Place of Residence and Year 5.4. First Trimester Prenatal Care by Place of Residence and Year 5.5. Number of Births to Mothers who had Diabetes by Place of Residence and Year 5.6. Number of deaths by Place of Residence and Year 5.7. Number of Suicide Deaths by Place of Residence and Year 5.8. Number of Homicide Deaths by Place of Residence and Year 5.9. Number of Unintentional Injury Deaths by Place of Residence and Year 5.10.Number of Deaths from Diabetes by Place of Residence and Year 5.1. NUMBER OF BIRTHS AMONG AMERICAN INDIAN RESIDENTS OF ARIZONA BY PLACE OF RESIDENCE AND YEAR, 1992-1997 YEAR 1992 1993 1994 1995 1996 1997 5872 5781 5513 5086 5328 5271 0 1 0 0 0 0 40 43 48 34 17 26 292 299 299 235 233 197 FORT McDOWELL 2 11 9 18 33 0 GILA BEND 0 1 0 0 0 0 GILA RIVER 152 176 177 150 146 147 HAVASUPAI 17 19 9 5 4 10 129 126 103 107 99 120 27 25 32 26 25 33 KAIBAB 0 2 3 5 1 0 NAVAJO 2438 2384 2098 1936 1943 1818 0 0 0 1 0 0 SALT RIVER 106 79 77 32 26 0 SAN CARLOS 250 206 205 185 177 201 10 11 22 17 10 0 192 173 180 148 143 139 3655 3556 3262 2899 2857 2691 1037 1098 1121 1119 1324 1307 ---in Pima County 307 264 296 290 306 350 ---elsewhere in Arizona 873 863 834 778 841 923 2217 2225 2251 2187 2471 2580 TOTAL Resided on reservation CAMP VERDE COLORADO RIVER FORT APACHE HOPI HUALAPAI PASCUA YAQUI SAN XAVIER TOHONO O'ODHAM TOTAL Resided off reservation ---in Maricopa County TOTAL 5.10 NUMBER OF DEATHS FROM DIABETES AMONG AMERICAN INDIAN RESIDENTS OF ARIZONA BY PLACE OF RESIDENCE AND YEAR, 1992-1997 YEAR 1992 1993 1994 1995 1996 1997 78 64 89 77 92 106 AK CHIN 0 0 0 0 0 1 COLORADO RIVER 2 3 1 0 2 2 FORT APACHE 2 2 0 4 4 4 FORT McDOWELL 0 0 1 0 1 0 GILA BEND 0 1 0 0 0 0 GILA RIVER 12 16 16 15 12 15 HAVASUPAI 1 1 1 0 1 0 HOPI 2 2 6 2 0 4 HUALAPAI 1 0 3 0 1 0 KAIBAB 0 0 0 1 2 0 NAVAJO 17 8 18 20 23 19 SALT RIVER 5 5 3 1 4 7 SAN CARLOS 4 4 4 9 3 9 SAN XAVIER 0 0 1 2 3 2 TOHONO O'ODHAM 10 3 10 5 8 7 TOTAL 56 45 64 59 64 70 ---in Maricopa County 6 11 10 6 10 15 ---in Pima County 3 3 3 4 7 9 ---elsewhere in Arizona 13 5 12 8 11 12 TOTAL 22 19 25 18 28 36 TOTAL Resided on reservation: Resided off reservation 5.2. NUMBER OF BIRTHS TO MOTHERS 19 YEARS OR YOUNGER AMONG AMERICAN INDIAN RESIDENTS OF ARIZONA BY PLACE OF RESIDENCE AND YEAR, 1992-1997 YEAR 1992 1993 1994 1995 1996 1997 1080 1060 1095 TOTAL Resided on reservation 838 1 0 0 0 0 COLORADO RIVER 10 8 12 12 3 8 FORT APACHE 53 57 60 45 39 33 1 2 1 5 13 0 GILA RIVER 33 37 43 35 24 25 HAVASUPAI 1 3 0 1 0 1 22 26 25 26 20 18 5 5 9 8 3 7 390 390 357 348 313 246 SALT RIVER 18 21 19 12 13 0 SAN CARLOS 49 45 49 32 46 42 SAN XAVIER 6 3 15 5 1 0 45 44 43 34 32 23 633 642 633 563 507 403 220 197 232 231 248 233 77 46 72 68 75 67 150 175 158 129 166 135 447 418 462 428 489 435 FORT McDOWELL HOPI HUALAPAI NAVAJO TOHONO O'ODHAM TOTAL ---in Maricopa County ---in Pima County ---elsewhere in Arizona TOTAL 996 0 CAMP VERDE Resided off reservation 991 5.3. NUMBER OF LOW-BIRTHWEIGHT BIRTHS AMONG AMERICAN INDIAN MOTHERS BY PLACE OF RESIDENCE IN ARIZONA AND YEAR, 1992-1997 YEAR 1992 1993 1994 1995 1996 1997 357 373 322 317 354 347 CAMP VERDE 0 1 0 0 0 0 COLORADO RIVER 0 2 2 2 1 3 22 25 29 21 23 16 FORT McDOWELL 0 0 0 2 0 0 GILA RIVER 5 12 8 5 8 11 HAVASUPAI 1 1 2 0 1 0 HOPI 6 8 7 7 8 14 HUALAPAI 1 2 1 0 3 3 146 156 125 110 108 116 4 4 3 3 1 0 SAN CARLOS 20 14 13 16 14 13 SAN XAVIER 1 0 0 1 0 0 15 10 9 11 11 11 221 235 199 178 178 187 ---in Maricopa County 59 64 66 67 93 80 ---in Pima County 24 15 13 24 30 18 ---elsewhere in Arizona 53 59 44 48 53 62 136 138 123 139 176 160 TOTAL Resided on reservation FORT APACHE NAVAJO SALT RIVER TOHONO O'ODHAM TOTAL Resided off reservation TOTAL 5.4. FIRST TRIMESTER PRENATAL CARE AMONG AMERICAN INDIAN MOTHERS BY PLACE OF RESIDENCE IN ARIZONA AND YEAR, 1992-1997 YEAR 1992 1993 1994 1995 1996 1997 3044 3095 3026 2900 3126 3163 TOTAL Resided on reservation 24 23 29 18 6 14 168 185 179 138 130 108 FORT McDOWELL 1 6 8 9 20 0 GILA BEND 0 1 0 0 0 0 GILA RIVER 83 128 119 102 99 94 HAVASUPAI 3 6 3 2 2 3 HOPI 68 64 59 77 52 65 HUALAPAI 14 11 16 14 15 23 0 1 3 5 0 0 COLORADO RIVER FORT APACHE KAIBAB NAVAJO PASCUA YAQUI SALT RIVER SAN CARLOS SAN XAVIER TOHONO O'ODHAM TOTAL 0 0 0 1 0 0 54 43 38 14 17 0 145 120 109 89 100 102 3 8 16 10 7 0 113 102 121 90 86 90 1922 1892 1803 1647 1671 1557 TOTAL Resided off reservation 1246 1194 1103 1078 1137 1058 ---in Maricopa County 553 613 599 634 767 823 ---in Pima County 166 171 187 196 202 227 ---elsewhere in Arizona 403 419 437 423 486 556 1122 1203 1223 1253 1455 1606 5.5. NUMBER OF BIRTHS TO AMERICAN INDIAN MOTHERS WHO HAD DIABETES BY PLACE OF RESIDENCE IN ARIZONA AND YEAR, 1992-1997 YEAR 1992 1993 1994 1995 1996 1997 280 318 348 332 374 397 2 0 0 0 3 1 10 16 12 19 20 17 0 1 1 1 3 0 GILA RIVER 10 18 26 34 21 28 HAVASUPAI 1 1 2 0 2 1 10 7 10 10 10 15 2 2 2 2 1 5 99 113 107 80 110 120 SALT RIVER 9 2 8 1 0 0 SAN CARLOS 7 8 17 21 12 16 SAN XAVIER 1 2 3 2 0 0 16 16 21 20 12 11 167 186 209 190 194 214 ---in Maricopa County 52 72 67 78 107 106 ---in Pima County 22 27 28 17 20 23 ---elsewhere in Arizona 39 33 44 47 53 54 113 132 139 142 180 183 TOTAL Resided on reservation COLORADO RIVER FORT APACHE FORT McDOWELL HOPI HUALAPAI NAVAJO TOHONO O'ODHAM TOTAL Resided off reservation TOTAL 5.6. NUMBER OF DEATHS AMONG AMERICAN INDIAN RESIDENTS OF ARIZONA BY PLACE OF RESIDENCE AND YEAR, 1992-1997 YEAR 1992 1993 1994 1995 1996 1997 1302 1392 1380 1406 1536 1473 AK CHIN 1 0 3 1 6 6 CAMP VERDE 0 0 0 0 1 0 COLORADO RIVER 19 21 15 19 19 16 FORT APACHE 70 92 76 71 66 68 FORT McDOWELL 2 0 1 3 4 4 GILA BEND 1 1 1 1 0 3 GILA RIVER 76 90 101 98 104 109 HAVASUPAI 4 3 4 2 4 0 HOPI 43 59 43 45 42 44 HUALAPAI 12 6 11 14 14 14 KAIBAB 1 2 0 1 4 1 NAVAJO 482 498 482 474 582 473 SALT RIVER 30 40 28 23 26 38 SAN CARLOS 50 51 31 43 52 61 SAN XAVIER 9 6 7 13 11 11 97 76 90 92 101 99 TOTAL 897 945 893 900 1036 947 ---in Maricopa County 160 175 190 213 162 187 64 54 93 85 84 91 ---elsewhere in Arizona 181 218 204 208 254 248 TOTAL 405 447 487 506 500 526 TOTAL Resided on reservation: TOHONO O'ODHAM Resided off reservation ---in Pima County 5.7. NUMBER OF SUICIDE DEATHS AMONG AMERICAN INDIAN RESIDENTS OF ARIZONA BY PLACE OF RESIDENCE AND YEAR, 1992-1997 YEAR 1992 1993 1994 1995 1996 1997 39 48 51 41 42 48 COLORADO RIVER 1 0 1 0 1 0 FORT APACHE 2 8 6 2 1 4 GILA RIVER 4 2 4 1 1 1 HAVASUPAI 0 0 1 1 0 0 HOPI 2 2 2 3 2 0 HUALAPAI 1 0 2 1 0 2 10 14 7 19 13 13 SALT RIVER 1 0 2 1 1 1 SAN CARLOS 0 0 2 1 1 0 SAN XAVIER 0 0 1 1 0 1 TOHONO O'ODHAM 3 2 1 2 3 3 24 28 29 32 23 25 ---in Maricopa County 6 3 6 6 6 3 ---in Pima County 2 2 3 1 5 2 ---elsewhere in Arizona 7 15 13 2 8 18 15 20 22 9 19 23 TOTAL Resided on reservation: NAVAJO TOTAL Resided off reservation TOTAL 5.8 NUMBER OF HOMICIDE DEATHS AMONG AMERICAN INDIAN RESIDENTS OF ARIZONA BY PLACE OF RESIDENCE AND YEAR, 1992-1997 YEAR 1992 1993 1994 1995 1996 1997 39 45 53 52 68 47 COLORADO RIVER 2 0 0 1 0 0 FORT APACHE 1 4 2 3 2 3 GILA RIVER 2 4 2 7 2 6 HAVASUPAI 1 0 0 0 0 0 HOPI 0 1 0 1 1 0 KAIBAB 0 0 0 0 1 0 NAVAJO 10 17 15 14 27 19 SALT RIVER 1 0 0 2 3 0 SAN CARLOS 1 1 0 0 3 3 SAN XAVIER 0 0 0 1 0 0 TOHONO O'ODHAM 3 5 2 4 3 1 TOTAL 21 32 21 33 42 32 ---in Maricopa County 11 6 20 9 9 7 3 2 5 3 2 0 4 5 7 7 15 8 18 13 32 19 26 15 TOTAL Resided on reservation: Resided off reservation ---in Pima County ---elsewhere in Arizona TOTAL 5.9 NUMBER OF UNINTENTIONAL INJURY DEATHS AMONG AMERICAN INDIAN RESIDENTS OF ARIZONA BY PLACE OF RESIDENCE AND YEAR, 1992-1997 YEAR 1992 1993 1994 1995 1996 1997 255 269 273 251 335 315 AK CHIN 0 0 3 0 0 3 CAMP VERDE 0 0 0 0 1 0 COLORADO RIVER 4 5 2 2 3 3 16 11 11 9 10 10 0 0 0 2 2 2 GILA RIVER 13 14 21 17 25 21 HAVASUPAI 0 0 2 1 0 0 HOPI 7 10 9 13 10 9 HUALAPAI 1 2 2 2 3 3 KAIBAB 1 0 0 0 0 1 NAVAJO 117 106 117 94 157 119 SALT RIVER 6 7 3 2 5 9 SAN CARLOS 8 19 6 8 8 13 SAN XAVIER 2 1 0 1 1 1 TOHONO O'ODHAM 7 18 18 14 18 16 182 193 194 165 243 210 24 23 22 38 21 42 9 6 15 9 8 15 40 47 42 39 63 48 73 76 79 86 92 105 TOTAL Resided on reservation: FORT APACHE FORT McDOWELL TOTAL Resided off reservation ---in Maricopa County ---in Pima County ---elsewhere in Arizona TOTAL