INTRODUCTION The report Health Status Profile of American Indians in Arizona: 2012 Data Book is the annual update of population-level data on trends and patterns in natality and mortality among American Indians who were residents of specified tribal communities on reservations, and those who resided off reservation in Arizona in 2012. 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 the 2012 Health Status Profile of American Indians in Arizona are grouped into five major sections: 1) a summary risk profile of American Indian residents of Arizona in 2012 on 70 indicators or measures of health status, 2) a comparison of American Indians’ standing in Arizona with respect to selected health objectives for the years 2010 and 2020, 3) a section presenting trend data for 2002-2012 for selected health problems and health risks comparing American Indians to Arizona’s entire population, 4) a four-part section concerned with the characteristics of American Indian newborns and mothers giving birth, 5) a three-part section focused on patterns of cause-specific mortality among American Indians by age group, gender, and place of residence in Arizona in 2012. Beginning with the 2006 report, it also includes additional statistics on “Comparative Cause-Specific Mortality” focused on leading causes of death by gender and residence status on or off reservation, as well as patterns in cancer mortality and proportional mortality from specific unintentional injuries. These sections are followed by the Technical Notes, which provide information about the sources of data and definitions of terms used in the report. The causes of death for 2002-2012 are classified by the Tenth Revision (ICD-10). Health Status Profile of American Indians in Arizona, 2012 Data Book 1 Identifying whether the vital events occurring to Arizona’s Native American population were to those living on tribal reservations has posed a persistent challenge. Beginning with the first edition of this report published in 1995, vital events occurring on reservation were identified by place of residence. From 2002 - 2009, tribal affiliation combined with a specific place of residence was used in order to distinguish between American Indian residents of specified tribal communities and/or on reservations, and those who resided off reservation. Starting in 2010, the identification of events occurring on or off tribal lands was based solely on whether or not the individual’s residence address was within the boundaries of a tribal reservation. While identifying a somewhat smaller number of on-reservation vital events than in previous years, this method provides a stricter definition of whether a specific vital event occurred to a Native American living within the boundaries of a reservation, and is also more reliable and reproducible than the method incorporating both residence address and tribal affiliation to identify on-reservation events. Future editions of the report will also use residence as the sole identifier of on-reservation vital events. Due to this change in methodology, the counts of vital events occurring on-oroff reservation in 2012 should not be directly compared to on-or-off reservation counts from years prior to 2010, specifically counts in Sections IV and V (excluding Section V Comparative Cause-Specific Mortality). The Health Status Profile of American Indians in Arizona: 2012 Data Book includes tables where small cells and related totals are suppressed. Using suppression rules similar to those used by the National Center for Health Statistics (NCHS), this report now attempts to maintain the anonymity of the individuals whose vital records are summarized herein. In cell suppression, the first task is primary suppression, or removing non-zero counts in the body of a table that fall below a certain number. Primary cells that were less than six but greater than zero were suppressed and identified with an asterisk (*). Next, secondary suppression is used to obfuscate the totals or sums with components, or addends, that fall below the threshold for primary suppression. These totals are typically reported in the margins of table rows and columns. Column or row totals that contained a non-zero addend less than 6 were rounded to the nearest tens-unit and identified with a dagger (†). In certain cases where these rules would have dictated the rounding of a row or column total but the value of the information contained in the total was identified as important or attainable from other sources, these rules were relaxed and the original value was reported. Health Status Profile of American Indians in Arizona was intended as a data book: a basic reference for some of the most frequently requested vital event statistics. The five sections of the report were computer-generated and contain information with little or no accompanying narrative. The online versions of the report for 1995–2012 are available at http://www.azdhs.gov/plan/report/hspam/index.htm 2 Health Status Profile of American Indians in Arizona, 2012 Data Book I. RISK PROFILE OF AMERICAN INDIANS IN ARIZONA: AN OVERVIEW OF SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS AND ALL RESIDENTS OF THE STATE IN 2012 Health Status Profile of American Indians in Arizona, 2012 Data Book 3 The risk profile presented on the following page summarizes how American Indians as a group compared in 2012 to the state average on 70 measures of health status. The 70 indicators used in the profile are individual measures of the various dimensions or facets of health status. The profile uses the percentages a racial/ethnic group is above or below the statewide average on each of the specific measures. In order to represent the level of each indicator for American Indians in comparison to the overall state level, the following formula was used:* THE VALUE OF A RATE OR RATIO IN A SPECIFIED GROUP - 1.0 X 100 THE AVERAGE VALUE OF A RATE OR RATIO FOR ALL GROUPS The above formula produces a score of 0.0 for a group with the same value as the statewide average. A negative value indicates better than average standing on an indicator. A positive value indicates worse than average standing on an indicator*. The profile visually describes the better-than-average and worse-than-average clusters of health status characteristics for American Indian residents of Arizona. Following the graphic profile is a detailed description of the 70 indicators. These indicators are organized around 9 major subject areas: (1) Teen Pregnancies, (2) Maternal Lifestyle and Health Characteristics, (3) Utilization of Prenatal Care Services, (4) Newborn's Health, (5) Mortality from Natural Causes (chronic or infectious diseases), (6) Mortality from Injuries, (7) Age-Specific Mortality, (8) Premature Mortality and (9) Reportable Diseases. IN 2012, AMERICAN INDIAN RESIDENTS OF ARIZONA: • ranked worse than the statewide average on 47 of 70 health indicators; • had high mortality from alcohol-induced causes, septicemia, diabetes, motor vehicle accidents, influenza and pneumonia, assault, nephritis, and mortality from unintentional injuries: all contributing to the premature death rate of 78.7 percent. • ranked poorly on measures of maternal lifestyle and health, as well as in utilization of prenatal care; • on average were 17 years younger at time of death compared to all racial/ethnic groups; • ranked better than average on a number of health indicators including (1) mortality rates for several chronic diseases (lung cancer, Alzheimer’s disease, chronic lower respiratory diseases, breast cancer, all malignant neoplasms, colorectal cancer, and heart disease), (2) tobacco use during pregnancy, (3) drug induced deaths, and (4) injury by firearms. * The comparative risk profiles for American Indian, White non-Hispanic, Hispanic or Latino, Black or African American, and Asian or Pacific Islander residents of Arizona were developed for a report “Differences in the Health Status among Ethnic Groups”. This publication is available online at http://www.azdhs.gov/plan/report/dhsag/index.htm. For consistency, the signs + and – for scores indicating the median age at death as higher or lower than the statewide average were reversed (indicators 8-1, 8-2, 8-3). Otherwise, a lower-than-average median age at death would signify a better than average standing on this indicators. A lower-than-average median age at death obviously reflects a worse off life expectancy. Health Status Profile of American Indians in Arizona, 2012 Data Book 5 Better than Average 2012 RISK PROFILE OF AMERICAN INDIANS (Percent above or below the average rate or ratio of all Arizona residents in 2012) 4-8. 4-9. 5-7. 5-17 5-5. 5-8. 4-1. 5-10 2-2. 5-11 5-6. 2-9. 5-3. 6-6. 5-2. 4-2. 5-1. 5-4. 6-5. 4-5. 4-4. 4-10 1-2. 4-3. 6-8. 4-6. 6-3. 5-20 8-3. 4-7. 8-1. 5-15 8-2. 2-10 5-9. 5-19 8-4. 2-8. 7-4. 1-3. 9-5. 1-1. 2-4. 1-4. 2-5. 3-3. 9-1. 2-1. 9-4. 2-6. 3-1. 4-11 2-7. 9-2. 6-1. 6-4. 7-2. 3-2. 9-3. 5-18 7-3. 6-9. 7-1. 2-3. 6-2. 5-12 5-16 5-13 5-14 6-7. . . . . . . . . . . . . . . Worse than Average Sudden Infant Death Syndrome (SIDS) Mortality of infants from low birthweight Lung cancer Alzheimer's disease Chronic lower respiratory diseases Breast cancer Incidence of hyaline membrane disease Colorectal cancer Tobacco use during pregnancy Prostate cancer Malignant neoplasm (cancer) Genital herpes during pregnancy Coronary heart disease Drug-induced deaths Diseases of the heart Incidence of newborn intensive care Cardiovascular disease Cerebrovascular disease Injury by firearms Born too small: <1,500 grams Born too small: <2,500 grams Neonatal mortality Pregnancies among females 14 and younger Born too early (preterm or < 37 weeks) Intentional self-harm (suicide) Incidence of congenital anomalies Fall-related injuries Total mortality from all causes Median age at death among females Infant mortality Median age at death from all causes HIV disease Median age at death among males Weight gain of less than 21 pounds Cervical cancer Essential (primary) hypertension Deaths before expected years of life reached Pregnancy-associated hypertension Mortality of middle-aged adults 45-64 years Pregnancies among females 15-17 years Incidence of HIV/AIDS Pregnancies among females 19 and younger Chronic hypertension Pregnancies among females 18-19 years Dysfunctional labor No prenatal care Incidence of early syphilis Unmarried mothers Incidence of genital herpes Anemia during pregnancy No care in the 1st trimester Postneonatal mortality Diabetes during pregnancy Incidence of gonorrhea Unintentional injuries Drowning mortality Mortality of adolescents 15-19 years Fewer than five prenatal visits Incidence of chlamydia Nephritis, nephrotic syndrome and nephrosis Mortality of young adults 20-44 years Assault (homicide) Mortality of children 1-14 years Alcohol use during pregnancy Motor vehicle-related injuries Influenza and pneumonia Septicemia Diabetes Chronic liver disease and cirrhosis Alcohol-induced deaths Average for All Residents Health Status Profile of American Indians in Arizona, 2012 Data Book 7 AMERICAN INDIANS’ STANDING IN ARIZONA IN 2012 ON 70 INDICATORS OF HEALTH STATUS 1. TEEN PREGNANCIES Figure Number (Number of pregnancies per 1,000 females in specified age group) Indicator 2012 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2012 Definitions 1-1 Pregnancies among females 19 and younger 33.6 55.6 21.6 The sum of live births, fetal deaths, and abortions per 1,000 females aged 19 or younger. 1-2 Pregnancies among females 14 and younger 0.5 0.0 0.5 The sum of live births, fetal deaths, and abortions per 1,000 females aged 14 or younger. 1-3 Pregnancies among females 15-17 years old 32.2 47.7 21.8 The sum of live births, fetal deaths, and abortions per 1,000 females aged 15-17 years. 1-4 Pregnancies among females 18-19 years old 110.7 57.7 70.2 The sum of live births, fetal deaths, and abortions per 1,000 females aged 18-19 years. 2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Figure Number (All rates are per 100 live births) Indicator 2-1 Unmarried mothers 2-2 2012 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2012 Definitions 78.5 73.7 Tobacco use during pregnancy 2.3 -45.2 4.2 The number of mothers giving birth who self-reported tobacco use during pregnancy per 100 births. 2-3 Alcohol use during pregnancy 1.5 200.0 0.5 The number of mothers giving birth who self-reported alcohol use during pregnancy per 100 births. 2-4 Chronic hypertension 1.4 55.6 0.9 Blood pressure persistently greater than 140/90, diagnosed prior to onset of pregnancy or before the 20th week of gestation (the number of cases per 100 births). 2-5 Dysfunctional labor 2.7 58.8 1.7 Failure to progress in a normal pattern of labor (the number of cases per 100 births). 2-6 Anemia during pregnancy 8.1 80.0 2-7 Diabetes during pregnancy 9.9 94.1 2-8 Pregnancy-associated hypertension 6.5 44.4 2-9 Genital herpes during pregnancy 0.8 -27.3 2-10 Weight gain of less than 21 pounds 35.9 36.0 8 45.2 The number of births to unmarried mothers per 100 births. Hemoglobin level of less than 10.0 g/dL during pregnancy, or hematocrit of less than 30 percent during pregnancy (the number of cases per 100 births). Metabolic disorder characterized by excessive discharge of urine and persistent thirst; 5.1 includes juvenile onset, adult onset, and gestational diabetes during pregnancy (the number of cases per 100 births). An increase in blood pressure of at least 30 mm hg systolic or 15 mm hg diastolic on 4.5 two measurements taken 6 hours apart after the 20th week of gestation (the number of cases per 100 births). Infection of the skin of the genital area by herpes simplex virus (the number of cases 1.1 per 100 births). 4.5 26.4 The number of women giving birth who gained less than 21 pounds per 100 births. Health Status Profile of American Indians in Arizona, 2012 Data Book AMERICAN INDIANS’ STANDING IN ARIZONA IN 2012 ON 70 INDICATORS OF HEALTH STATUS (continued) 3. UTILIZATION OF PRENATAL CARE SERVICES Figure Number (Per 100 live births) Indicator 2012 rate for American Indians Percent above or below the average rate for all groups 3-1 st No care in the 1 trimester 31.8 82.8 3-2 Fewer than five prenatal visits 11.1 131.3 3-3 No prenatal care 2.0 66.7 Average rate for all groups in 2012 Definitions st The number of mothers giving birth who received no prenatal care in the 1 trimester of pregnancy per 100 births. The number of mothers giving birth who had fewer than five prenatal visits during 4.8 pregnancy per 100 births. 17.4 1.2 The number of mothers giving birth who received no prenatal care during pregnancy per 100 births. 4. NEWBORN'S HEALTH Figure Number (Infant, neonatal, and postneonatal rates are per 1,000 live births. All other indicators are expressed per 100 live births) Indicator 2012 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2012 Definitions 4-1 Incidence of hyaline membrane disease 0.1 -50.0 The number of cases of hyaline membrane disease per 100 births. Hyaline membrane disease is a disorder primarily of prematurity, manifested clinically by respiratory 0.2 distress and pathologically by pulmonary hyaline membranes and incomplete expansion of the lungs at birth. 4-2 Incidence of newborn intensive care 4.2 -14.3 4.9 The number of babies admitted to Newborn Intensive Care units per 100 births. 4-3 Born too early (preterm or < 37 weeks) 9.7 5.4 4-4 Born too small: low-birthweight (<2,500 grams) 6.7 -2.9 4-5 Born too small: very low-birthweight (<1,500 grams) 1.1 -8.3 4-6 Incidence of congenital anomalies (birth defects) 0.9 12.5 4-7 Infant mortality 7.4 27.6 4-8 Sudden Infant Death Syndrome (SIDS) 0.0 -100.0 4-9 Mortality of infants from low birthweight/short gestation 0.0 -100.0 4-10 Neonatal mortality 3.8 -2.6 4-11 Postneonatal mortality 3.6 89.5 Health Status Profile of American Indians in Arizona, 2012 Data Book The number of births before 37 weeks of gestation per 100 births. Preterm is any 9.2 neonate whose birth occurs through the end of the last day of the 37th week (259th day), following onset of the last menstrual period. The number of newborns weighing less than 2,500 grams per 100 births. Low6.9 birthweight is any neonate weighing less than 2,500 grams at birth (less than 5 pounds 8 ounces). The number of newborns weighing less than 1,500 grams per 100 births. Very low1.2 birthweight is any neonate whose weight at birth is 1,500 grams or less (less than 3 pounds 5 ounces). 0.8 The numbers of babies born with birth defects per 100 births. The number of infant deaths per 1,000 live births. Infant death is any death at any time 5.8 from birth up to, but not including, the first year of age (364 days, 23 hours, 59 minutes from the moment of birth). The number of infant deaths from Sudden Infant Death Syndrome (ICD-10 code R95) 0.2 per 1,000 live births. The number of infant deaths from low-birthweight/short gestation (ICD-10 code P07) per 1,000 live births. The number of neonatal deaths per 1,000 live births. Neonatal death is death of a 3.9 liveborn neonate before the neonate becomes 28 days old (up to and including 27 days, 23 hours, 59 minutes from the moment of birth). The number of postneonatal deaths per 1,000 live births. Postneonatal death is any 1.9 death of a liveborn infant at least 28 days of age but less than one year of age. 0.7 9 AMERICAN INDIANS’ STANDING IN ARIZONA IN 2012 ON 70 INDICATORS OF HEALTH STATUS (continued) 5. MORTALITY FROM NATURAL CAUSES (chronic or infectious diseases) Figure Number (Number of deaths per 100,000 population age-adjusted to 2000 standard. The causes of death are classified by the Tenth Revision of the International Classification of Diseases or ICD-10) Indicator 2012 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2012 Definitions 5-1 Cardiovascular disease 168.3 -12.9 193.3 The number of deaths from cardiovascular diseases (ICD-10 codes I00-I78) per 100,000 age-adjusted population. 5-2 Diseases of the heart 122.7 -15.8 145.8 The number of deaths from disease of the heart (ICD-10 codes I00–I09, I11, I13, I20–I51) per 100,000 age-adjusted population. 5-3 Coronary heart disease 88.9 -21.1 112.7 The number of deaths from coronary heart disease (ICD-10 codes I200-I259) per 100,000 age-adjusted population. 5-4 Cerebrovascular disease 27.1 -9.4 29.9 The number of deaths from cerebrovascular disease (ICD-10 codes I60–I69) per 100,000 age-adjusted population. 5-5 Chronic lower respiratory diseases 18.0 -59.3 44.2 The number of deaths from chronic lower respiratory diseases (ICD-10 codes J40–J47) per 100,000 age-adjusted population. 5-6 Malignant neoplasm (cancer) 100.8 -32.7 149.8 The number of deaths from cancer (ICD-10 codes C00–C97) per 100,000 age-adjusted population. 5-7 Lung cancer 9.3 -75.3 37.7 The number of deaths from lung cancer (ICD-10 codes C33–C34) per 100,000 ageadjusted population. 5-8 Breast cancer 8.6 -55.2 19.2 The number of deaths from breast cancer (ICD-10 code C50) per 100,000 age-adjusted female population. 5-9 Cervical cancer 2.8 40.0 2.0 5-10 Colorectal cancer 7.1 -45.8 13.1 The number of deaths from colorectal cancer (ICD-10 codes C18–C21) per 100,000 ageadjusted population. 5-11 Prostate cancer 12.4 -34.4 18.9 The number of deaths from prostate cancer (ICD-10 code C61) per 100,000 ageadjusted male population. 5-12 Influenza and pneumonia 30.0 229.7 9.1 The number of deaths from influenza and pneumonia (ICD-10 codes J10–J18) per 100,000 age-adjusted population. 5-13 Diabetes 80.2 241.3 23.5 The number of deaths from diabetes (ICD-10 codes E10–E14) per 100,000 ageadjusted population. 5-14 Chronic liver disease and cirrhosis 59.2 335.3 13.6 The number of deaths from chronic liver disease and cirrhosis (ICD-10 codes K70, K73–K74) per 100,000 age-adjusted population. 5-15 HIV disease 2.0 33.3 1.5 The number of deaths from HIV disease (ICD-10 codes B20-B24) per 100,000 ageadjusted population. 5-16 Septicemia 15.8 251.1 4.5 The number of deaths from septicemia (ICD-10 codes A40-A41) per 100,000 ageadjusted population. 5-17 Alzheimer's disease 12.0 -61.4 31.1 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 15.5 150.0 6.2 5-19 Essential (primary) hypertension 14.6 40.4 10.4 5-20 Total mortality from all causes 843.8 22.8 10 The number of deaths from cervical cancer (ICD-10 code C53) per 100,000 ageadjusted female population. The number of deaths from Alzheimer’s disease (ICD-10 code G30) per 100,000 ageadjusted population. The number of deaths from nephritis, nephritic syndrome, and nephrosis (ICD-10 codes N00–N07, N17–N19,N25–N27) per 100,000 age-adjusted population. The number of deaths from essential (primary) hypertension (ICD-10 codes I10, I12) per 100,000 age-adjusted population. 687.2 Total number of deaths from all causes per 100,000 age-adjusted population. Health Status Profile of American Indians in Arizona, 2012 Data Book AMERICAN INDIANS’ STANDING IN ARIZONA IN 2012 ON 70 INDICATORS OF HEALTH STATUS (continued) 6. MORTALITY FROM INJURIES Figure Number (Number of deaths per 100,000 population age-adjusted to 2000 standard. The causes of death are classified by the Tenth Revision of the International Classification of Diseases or ICD-10. Drug-induced deaths include accidental, suicidal, and homicidal poisoning by drugs, but also disorders due to use of psychoactive substances. Alcohol-induced deaths include accidental, suicidal, and homicidal by drugs, but also disorders due to use of alcohol) Indicator 2012 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2012 6-1 Unintentional injuries 94.8 123.6 42.4 6-2 Motor vehicle-related injuries 37.8 231.6 11.4 6-3 Fall-related injuries 13.2 17.9 11.2 6-4 Drowning mortality 2.9 123.1 1.3 6-5 Injury by firearms 12.6 -8.7 13.8 6-6 Drug-induced deaths 13.4 -17.8 16.3 6-7 Alcohol-induced deaths 78.6 453.5 14.2 6-8 Intentional self-harm (suicide) 17.9 10.5 16.2 6-9 Assault (homicide) 17.3 193.2 5.9 Health Status Profile of American Indians in Arizona, 2012 Data Book Definitions The number of deaths from unintentional injuries in accidents (ICD-10 codes V01–X59, Y85–Y86) per 100,000 age-adjusted population. The number of deaths from motor vehicle-related injuries (ICD-10 codes V02–V04, V09.0, V09.2, V12–V14, V19.0–V19.2, V19.4–V19.6,V20–V79, V80.3–V80.5,V81.0–V81.1,V82.0–V82.1, V83–V86, V87.0–V87.8, V88.0–V88.8, V89.0, V89.2) per 100,000 age-adjusted population. The number of deaths from fall-related injuries (ICD-10 codes W00-W19) per 100,000 age-adjusted population. The number of deaths due to accidental drowning and submersion (ICD-10 codes W65W74) per 100,000 age-adjusted population. The number of deaths by firearms (ICD-10 codes W32–W34, X72–X74, X93–X95, Y22–Y24, Y 35.0) per 100,000 age-adjusted population. Causes of death attributable to firearm mortality include accidental discharge of firearms, intentional self-harm (suicide) by discharge of firearms, assault (homicide) by discharge of firearms, discharge of firearms -undetermined intent, and legal intervention involving firearm discharge. Deaths from injury by firearms exclude deaths due to explosives and other causes indirectly related to firearms. The number of drug-induced deaths (ICD-10 codes F11.0–F11.5, F11.7–F11.9, F12.0–F12.5, F12.7–F12.9, F13.0–F13.5, F13.7–F13.9, F14.0–F14.5, F14.7–F14.9, F15.0–F15.5, F15.7–F15.9, F16.0–F16.5, F16.7–F16.9, F17.0, F17.3–F17.5, F17.7–F17.9, F18.0–F18.5, F18.7–F18.9, F19.0–F19.5, F19.7–F19.9, X40–X44, X60–X64, X85, Y10–Y14) per 100,000 age-adjusted population. Causes of death attributable to drug-induced mortality include selected codes from the ICD-10 title Mental and behavioral disorders due to psychoactive substance use, accidental poisoning by and exposure to drugs, medicaments and biological substances; intentional self-poisoning (suicide) by and exposure to drugs; assault (homicide) by drugs, medicaments and biological substances; and poisoning by and exposure to drugs, medicaments and biological substances, undetermined intent. Drug-induced causes exclude accidents, homicides, and other causes indirectly related to drug use. Also excluded are newborn deaths associated with mother’s drug use. The number of alcohol-induced deaths (ICD-10 codes F10, G31.2, G62.1, I42.6, K29.2, K70, R78.0, X45, X65, Y15) per 100,000 age-adjusted population. Causes of death attributable to alcohol-induced mortality include mental and behavioral disorders due to alcohol use, degeneration of nervous system due to alcohol, alcoholic polyneuropathy, alcoholic cardiomyopathy, alcoholic gastritis, alcoholic liver disease, finding of alcohol in blood, accidental poisoning by and exposure to alcohol, intentional self-poisoning by and exposure to alcohol; and poisoning by and exposure to alcohol, undetermined intent. Alcohol-induced causes exclude accidents, homicides, and other causes indirectly related to alcohol use. The number of deaths due to intentional self-harm (ICD-10 codes X60-X84, Y87.0) per 100,000 age-adjusted population. The number of deaths due to assault (homicide; ICD-10 codes X85-X09, Y87.1) per 100,000 age-adjusted population. 11 AMERICAN INDIANS’ STANDING IN ARIZONA IN 2012 ON 70 INDICATORS OF HEALTH STATUS (continued) 7. PREMATURE MORTALITY Figure Number (Number of deaths per 100,000 persons in specific group) Indicator 7-1 Mortality of children 1-14 years old 7-2 2012 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2012 Definitions 57.4 195.9 19.4 The number of deaths per 100,000 children 1-14 years old. Mortality of adolescents 15-19 years old 107.9 129.1 47.1 The number of deaths per 100,000 adolescents 15-19 years old. 7-3 Mortality of young adults 20-44 years old 351.4 160.3 135.0 The number of deaths per 100,000 young adults 20-44 years old. 7-4 Mortality of middle-aged adults 45-64 years old 880.3 44.9 607.6 The number of deaths per 100,000 middle-aged adults 45-64 years old. Figure Number 8. AGE-SPECIFIC MORTALITY Indicator 2012 rate for American Indians Percent above or below the average for all groups * Average rate for all groups in 2012 Definitions 8-1 Median age at death from all causes 59.8 28.8 77.0 The median age (the age in the middle) of Arizonans who died in 2012. 8-2 Median age at death from all causes among males 55.5 32.8 73.7 The median age (the age in the middle) of Arizona males who died in 2012. 8-3 Median age at death from all causes among females 65.0 24.0 80.6 The median age (the age in the middle) of Arizona females who died in 2012. 8-4 Percent of total deaths before expected years of life reached 78.7 43.1 55.0 The number of deaths before reaching 78.7 years (the life expectancy of all U.S. residents in 2011) per 100 deaths. Note: For consistency, the signs + and – for scores indicating the median age at death as higher or lower than the statewide average were reversed. 9. REPORTABLE DISEASES Figure Number (Number of cases per 100,000 persons in specific group) Indicator 9-1 Incidence of early syphilis 9-2 2012 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2012 Definitions 9.1 68.5 Incidence of gonorrhea 185.7 107.7 89.4 Number of reported cases of gonorrhea per 100,000 population 9-3 Incidence of chlamydia 1096.9 135.1 466.5 Number of reported cases of chlamydia per 100,000 population 9-4 Incidence of genital herpes 46.7 77.6 9-5 Incidence of HIV/AIDS 15.1 52.5 12 5.4 Number of reported cases of early syphilis per 100,000 population 26.3 Number of reported cases of genital herpes per 100,000 population 9.9 Number of reported cases of HIV/AIDS per 100,000 population Health Status Profile of American Indians in Arizona, 2012 Data Book II. COMPARISON OF AMERICAN INDIANS’ STANDING IN ARIZONA WITH RESPECT TO SELECTED HEALTH OBJECTIVES FOR THE YEAR 2012 Health Status Profile of American Indians in Arizona, 2012 Data Book 13 COMPARISON OF AMERICAN INDIANS' STANDING IN ARIZONA WITH RESPECT TO SELECTED HEALTH OBJECTIVES FOR THE YEAR 2012 National Year 2010 Objectives / Healthy People 2020 Objectives 2.1 Increase the proportion of women giving birth who receive prenatal care in the first trimester of pregnancy; 2010 objective (HP16-10a); 2020 objective (HP-MICH-10.1) 2.2 Reduce the rate of infant deaths; 2010 objective (HP16-1c); 2020 objective (HP-MICH-1.3) 2.3 Reduce postneonatal mortality; 2010 objective (HP16-1e); 2020 objective (HP-MICH-1.5) 2.4 Reduce deaths caused by unintentional injuries; 2010 objective (HP15-13); 2020 objective(HP-IVP-11) 2.5 Reduce deaths caused by motor vehicle crashes; 2010 objective (HP15-15); 2020 objective (HP-IVP-13.1) 2.6 Reduce the suicide rate; 2010 objective (HP18-1); 2020 objective (HP-MHMD-1) 2.7 Reduce the homicide rate; 2010 objective (HP15-32); 2020 objective (HP-IVP-29) 2.8 Reduce the diabetes-related death rate; 2010 objective (HP5-5); 2020 objective (HP-D-3) 2.9 Reduce the cirrhosis* death rate; 2010 objective (HP26-2); 2020 objective (HP-SA-11) 2.10 Reduce the cervical cancer death rate; 2010 objective (HP3-4); 2020 objective (HP-C-4) Indicator 2.1 Percent of American Indian women giving birth who received early prenatal care 2.2 2.3 2.4 2.5 2020 2010 Objective Objective 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 90.0 77.9 64.4 68.8 69.0 67.9 65.9 65.9 65.1 66.0 69.4 68.6 68.2 Number of infant deaths per 1,000 American Indian live births (6 per 1,000) 6.0 6.0 7.0 7.5 7.2 8.3 6.4 8.1 8.2 8.4 8.1 7.4 7.4 Number of postneonatal (i.e., at least 28 days of age but less than one year of age) deaths per 1,000 American Indian live births (1.2 per 1000); (2.0 per 1000) 1.2 2.0 3.4 4.4 3.8 4.0 2.4 3.9 3.6 4.2 4.3 4.1 3.6 17.5 36.0 111.0 108.6 103.9 117.8 97.2 95.0 92.6 92.6 99.2 100.6 94.8 16.0 12.4 65.9 59.0 54.1 62.6 56.9 49.0 41.9 36.9 41.7 44.2 37.8 10.0 10.2 17.9 15.2 17.0 17.5 13.7 9.8 13.5 15.9 18.7 14.9 17.9 5.0 5.5 20.3 18.8 14.7 14.0 13.2 13.1 12.8 13.2 18.0 11.9 17.3 Number of unintentional injury deaths per 100,000 American Indian populationa (17.5 per 100,000); (36.0 per 100,000) Number of deaths caused by motor vehicle crashes per 100,000 American Indian populationa (16 per 100,000); (12.4 per 100,000) 2.6 Number of suicides per 100,000 American Indian population a (10 per 100,000); (10.2 per 100,000) 2.7 Number of homicides per 100,000 American Indian population a (5 per 100,000); (5.5 per 100,000) Number of deaths due to diabetes reported as the underlying or multiple 2.8 cause of death per 100,000 American Indian population a (45 per 100,000); (65.8 per 100,000) Number of deaths due to chronic liver disease and cirrhosis reported as the 2.9 underlying cause of death per 100,000 American Indian population a (3 per 100,000); (8.2 per 100,000) Number of deaths due to cancer of the uterine cervix reported as the 2.10 underlying cause of death per 100,000 American Indian female population a (2 per 100,000); (2.2 per 100,000) Note: 14 a 45.0 65.8 155.7 118.7 125.4 138.9 100.2 107.2 108.1 111.4 130.4 105.3 155.7 3.0 8.2 40.5 38.8 51.0 51.2 43.6 36.8 40.7 54.0 64.6 43.6 59.2 2.0 2.2 4.7 4.2 2.0 3.4 5.8 2.3 4.8 4.1 3.0 3.1 2.8 Age-adjusted to the 2000 US standard population. Health Status Profile of American Indians in Arizona, 2012 Data Book III. TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS IN ARIZONA Health Status Profile of American Indians in Arizona, 2012 Data Book 15 TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS IN ARIZONA 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 Median Age at Death from all Causes All Arizonans 76.0 76.0 76.0 77.0 76.0 76.0 77.0 76.0 77.0 77.0 77.0 American Indians 57.0 56.0 58.0 59.0 57.0 59.0 59.0 59.0 58.0 60.0 59.8 All Arizonans 40.2 41.2 41.9 42.8 43.9 45.0 45.1 45.2 44.7 44.3 45.2 American Indians 69.7 72.4 73.1 72.9 74.8 75.9 75.8 76.9 77.7 77.1 78.5 68.9 63.5 70.1 81.9 95.3 78.7 52.8 49.3 50.8 71.4 89.4 107.7 103.1 142.7 142.6 125.7 94.4 73.3 50.0 85.1 162.8 185.7 All Arizonans 6.8 7.1 7.2 6.9 7.1 7.1 7.1 7.1 7.1 7.0 6.9 American Indians 6.5 6.8 7.2 7.3 7.4 6.6 6.7 6.4 7.0 6.9 6.7 All Arizonans 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.1 American Indians 0.4 0.0 0.5 0.2 0.6 0.2 0.0 0.5 0.3 0.0 0.2 All Arizonans 13.1 12.9 12.7 12.5 12.7 12.6 12.3 11.8 10.8 9.9 9.5 American Indians 18.7 19.4 18.7 19.1 19.1 20.1 18.6 19.0 17.0 16.9 16.0 All Arizonans 1.3 1.0 1.0 1.0 0.9 0.8 0.9 0.6 0.6 1.1 0.8 American Indians 2.2 1.3 1.6 1.5 1.2 1.4 0.9 0.8 0.6 1.4 0.9 All Arizonans 25.2 28.0 28.8 30.9 28.8 31.0 35.3 36.1 39.1 41.9 45.2 American Indians 46.0 57.1 54.4 58.2 58.8 57.9 58.9 55.4 61.2 62.8 64.6 All Arizonans 18.1 20.2 21.7 20.4 19.5 29.8 39.5 35.7 38.2 36.1 44.5 American Indians 51.0 54.8 54.6 56.1 66.2 67.6 72.5 71.8 59.5 59.9 80.8 23.4 21.4 24.5 29.7 31.6 34.3 38.9 38.7 41.8 46.4 51.2 65.5 60.0 75.7 82.5 72.0 80.4 82.0 82.2 77.9 93.3 99.3 Births to Unmarried Mothers a Incidence of Gonorrhea b All Arizonans American Indians Low-Birthweight Births a Fetal Alcohol Syndrome c Births to Teenage Mothers a Birth Defects (Congenital Anomilies) a Pregnancy-associated Hypertension c Anemia during Pregnancy c Diabetes during Pregnancy c All Arizonans American Indians a Notes: Per 100 live births; 16 b Per 100,000 population; c Per 1,000 births. Health Status Profile of American Indians in Arizona, 2012 Data Book SOCIODEMOGRAPHIC CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2012 Data Book 19 4.1 MATERNAL AGE (2012 STATUS) 250† 630† 1,840† 1,430† 870† 430† 90† 10† Ak-Chin Indian Community 20† 0 * * 7 Cocopah Tribe 10† 0 * * * * * * 0 0 * * 0 0 0 Colorado River Indian Tribe 40† 0 * * 15 14 9 * * 0 Fort McDowell Yavapai Nation Reservation 20† 0 0 * * * 6 * 0 0 Fort Mojave Indian Tribe 10† 0 0 0 * 0 * * 0 0 Gila River Indian Community 70† Havasupai Tribe 10† * * 9 24 15 9 * * 0 0 0 * * * * * 0 0 Hopi Tribe 162 0 8 20 45 39 29 14 7 0 Hualapai Tribe 40† 0 * * 17 7 6 * 0 0 Navajo Nation 1,360† * 56 146 388 378 223 128 35 * Pascua Yaqui Tribe 70† 0 * 8 30 17 11 * 0 0 Salt River Pima-Maricopa Indian Community 100† 0 * 14 33 23 9 11 * 0 San Carlos Apache Tribe 280† 0 18 36 107 63 35 20 * * Tohono O'Odham Nation 150† 0 8 22 39 46 29 6 * 0 White Mountain Apache Tribe 340† * 17 43 141 72 40 21 * 0 10† 0 * * * * * * 0 0 Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation 45+ 35-39 10† 40-44 30-34 Resided on reservation 25-29 18-19 5,569 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA <15 15-17 TOTAL BIRTHS 20-24 Mother's age group ---in Maricopa County ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 0† 0 0 * 0 * 0 0 0 0 2,684 10† 130† 310† 860† 690† 420† 220† 50† 0† 1,560† * 65 175 522 376 271 120 23 * 365 0 10 39 126 112 43 28 7 0 210† 0 7 25 69 55 26 21 * * 760† 0 39 79 262 203 118 49 7 * 2,885 0† 121 318 979 746 458 218 40† 0† Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 20 Health Status Profile of American Indians in Arizona, 2012 Data Book 4.2 EDUCATIONAL ATTAINMENT OF MOTHER (2012 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation <8 8 9-11 12 13-16 Unknown 17+ 5,569 40† 100† 1,350† 2,300† 1,640† 130† 20† Ak-Chin Indian Community 20† 0 * 9 * * 0 0 Cocopah Tribe 10† 0 * * 8 0 0 0 Colorado River Indian Tribe 40† 0 0 12 22 7 * * Fort McDowell Yavapai Nation Reservation 20† 0 0 * 13 * 0 * Fort Mojave Indian Tribe 10† 0 0 * * * 0 0 Gila River Indian Community 70† * 6 31 19 9 0 0 Havasupai Tribe 10† 0 0 * * 0 0 0 160† 0 * 22 89 48 * 0 Hualapai Tribe 40† 0 * 16 16 * 0 0 Navajo Nation 1,360† * 13 235 587 494 25 0 70† 0 0 26 31 16 * 0 Salt River Pima-Maricopa Indian Community 100† * * 32 45 13 * * San Carlos Apache Tribe 280† 0 * 101 133 41 * 0 Tohono O'Odham Nation 150† * 0 68 60 22 0 0 White Mountain Apache Tribe 340† * * 117 158 55 * 0 10† 0 0 * 7 * 0 0 0† 0 0 * * 0 0 0 TOTAL 2,684 10† 30† 680† 1,200† 720† 40† 10† ---in Maricopa County 1,556 18 43 308 542 584 53 8 ---in Pima County 370† * 9 101 135 106 10 0 ---in Coconino County 210† * * 27 112 61 * 0 758 6 18 228 306 175 22 * 2,885 30† 70† 664 1,095 926 90† 10† Hopi Tribe Pascua Yaqui Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation Mother's education ---elsewhere in Arizona TOTAL Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2012 Data Book 21 4.3 MARITAL STATUS OF MOTHER (2012 STATUS) Marital status TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Unmarried Other 5,569 1,130† 4,370† 70† Ak-Chin Indian Community 19 6 13 0 Cocopah Tribe 12 0 12 0 Colorado River Indian Tribe 43 7 36 0 Fort McDowell Yavapai Nation Reservation 20† * 15 0 Fort Mojave Indian Tribe 10† 0 * 0 67 6 58 * Havasupai Tribe 10† * 6 0 Hopi Tribe 162 26 134 * Hualapai Tribe 40† * 31 0 Navajo Nation 1,359 242 1,099 18 Pascua Yaqui Tribe 74 9 65 0 Salt River Pima-Maricopa Indian Community 98 13 84 * San Carlos Apache Tribe 281 53 226 * Tohono O'Odham Nation 151 13 138 0 White Mountain Apache Tribe 339 84 252 * Yavapai-Apache Nation 10† * 10 0 0† * * 0 TOTAL 2,684 470† 2,190† 30† ---in Maricopa County 1,556 366 1,168 22 ---in Pima County 365 77 283 * ---in Coconino County 206 48 153 * ---elsewhere in Arizona 758 171 581 6 2,885 662 2,185 40† Gila River Indian Community Yavapai-Prescott Indian Tribe Resided off reservation Married TOTAL Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 22 Health Status Profile of American Indians in Arizona, 2012 Data Book 4.4 RACE/ETHNICITY OF FATHER (2012 STATUS) Father's race/ethnicity TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Unknown 5,569 400† 640† 150† 3,200† 50† 1,130† Ak-Chin Indian Community 20† 0 * * 10 * * Cocopah Tribe 10† * * 0 7 0 * 43 7 9 0 16 0 11 Fort McDowell Yavapai Nation Reservation 20† 0 * 0 9 0 8 Fort Mojave Indian Tribe 10† 0 0 0 * 0 * Gila River Indian Community 70† * * * 40 0 19 Havasupai Tribe 10† 0 * 0 * 0 * 160† * * 0 130 0 29 Hualapai Tribe 36 0 0 0 23 0 13 Navajo Nation 1,359 28 13 7 1,109 7 195 70† * 12 * 38 0 18 Salt River Pima-Maricopa Indian Community 100† 6 12 * 50 0 28 San Carlos Apache Tribe 280† * * * 196 0 79 Tohono O'Odham Nation 150† 0 * * 90 0 56 White Mountain Apache Tribe 340† * * 0 278 * 53 10† 0 * * * 0 * 0† 0 * 0 0 0 * TOTAL 2,684 50† 70† 20† 2,010† 10† 530† ---in Maricopa County 1,556 202 366 95 554 32 307 ---in Pima County 370† 36 84 11 127 * 102 ---in Coconino County 210† 24 9 * 139 * 27 ---elsewhere in Arizona 760† 82 111 18 374 * 169 2,885 344 570 130† 1,194 40† 605 Colorado River Indian Tribe Hopi Tribe Pascua Yaqui Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation White nonHispanic TOTAL Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2012 Data Book 23 4.5 AGE OF FATHER (2012 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 0† 110† 310† 1,210† 1,210† 830† 460† 200† Unknown 55+ 50-54 45-49 40-44 35-39 30-34 25-29 20-24 20† 10† 1,120† 20† 0 * 0 * 6 * 0 0 0 0 0 * Cocopah Tribe 10† 0 * * * * * 0 0 0 0 0 * Colorado River Indian Tribe 40† 0 * * 12 8 * * 0 0 0 0 11 Fort McDowell Yavapai Nation Reservation 20† 0 * 0 * * * * 0 0 0 0 8 Fort Mojave Indian Tribe 10† 0 0 0 0 * * * 0 0 0 0 * Gila River Indian Community 70† 0 * 6 22 9 * * 0 0 0 0 19 Havasupai Tribe 10† 0 0 * * 0 0 * 0 * 0 0 * 160† 0 * 12 30 30 31 17 6 * 0 0 29 Hualapai Tribe 40† 0 0 * * 9 * * * * 0 0 13 Navajo Nation 1,360† * 25 63 296 307 226 145 58 31 10 * 195 Pascua Yaqui Tribe 70† 0 * 9 12 15 10 * * * 0 0 18 Salt River Pima-Maricopa Indian Community 100† * * 7 19 16 13 6 * * 0 0 29 San Carlos Apache Tribe 280† 0 9 24 64 49 36 13 * * 0 * 79 Tohono O'Odham Nation 150† 0 * 10 19 33 18 10 * * 0 0 56 White Mountain Apache Tribe 340† 0 7 23 97 78 45 21 8 * * 0 53 10† 0 0 0 * * * * 0 0 0 0 * 0† 0 0 0 0 * 0 0 0 0 0 0 * 2,684 0† 60† 160† 590† 570† 400† 240† 90† 50† 10† 0† 530† 1,560† 0 30 80 341 338 246 128 63 19 7 * 301 ---in Pima County 370† 0 6 15 69 77 45 23 15 11 * * 102 ---in Coconino County 210† 0 * 11 46 54 30 21 11 * * 0 27 ---elsewhere in Arizona 760† 0 15 43 162 176 102 55 25 9 * * 168 2,885 0 50† 149 618 645 423 227 114 40† 10† 10† 598 Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation 18-19 90† Ak-Chin Indian Community Hopi Tribe 5,569 <15 TOTAL BIRTHS 15-17 Father's age group ---in Maricopa County TOTAL Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 24 Health Status Profile of American Indians in Arizona, 2012 Data Book 4.6 SOURCE OF PAYMENT FOR LABOR AND DELIVERY (2012 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Private insurance IHS AHCCCSa Self Unknown 5,569 3,460† 1,350† 690† 40† 20† Ak-Chin Indian Community 20† 13 * * 0 0 Cocopah Tribe 10† 10 * * 0 0 Colorado River Indian Tribe 40† 15 24 * * 0 Fort McDowell Yavapai Nation Reservation 20† * 0 15 * 0 Fort Mojave Indian Tribe 10† * * * 0 0 67 47 14 6 0 0 10† * * 0 * 0 160† 49 107 * 0 * Hualapai Tribe 40† 30 * * * 0 Navajo Nation 1,360† 733 579 43 * * 70† 57 15 * 0 0 100† 60 15 21 * * San Carlos Apache Tribe 281 85 176 19 0 * Tohono O'Odham Nation 150† 106 22 20 * * White Mountain Apache Tribe 340† 319 8 6 * * 10† * * * 0 0 0† 0 0 * 0 0 TOTAL 2,684 1,540† 970† 160† 10† 10† ---in Maricopa County 1,556 1,043 148 340 21 * ---in Pima County 370† 253 57 53 * 0 ---in Coconino County 210† 134 46 25 * 0 758 498 125 121 8 6 2,885 1,928 376 539 30† 10† Gila River Indian Community Havasupai Tribe Hopi Tribe Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation Payee for births ---elsewhere in Arizona TOTAL a Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; The Arizona Health Care Cost Containment System (AHCCCS) is the State's Medicaid program. Health Status Profile of American Indians in Arizona, 2012 Data Book 25 MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2012 Data Book 27 4.7 MATERNAL WEIGHT GAIN DURING PREGNANCY (2012 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 1-15 pounds None 16-20 pounds 21-24 pounds 25-30 pounds 31+ pounds Unknown 5,569 150† 1,080† 770† 430† 1,190† 1,830† 120† Ak-Chin Indian Community 20† * * * * * 9 0 Cocopah Tribe 10† * * * * * * 0 Colorado River Indian Tribe 40† 0 19 * * * 13 * Fort McDowell Yavapai Nation Reservation 20† 0 * * * * 6 0 Fort Mojave Indian Tribe 10† 0 * * 0 0 0 * Gila River Indian Community 70† * * 9 6 21 23 * Havasupai Tribe 10† 0 * 0 0 * * 0 Hopi Tribe 162 6 52 25 8 22 43 6 Hualapai Tribe 40† 0 9 * * 13 10 0 Navajo Nation 1,359 30 363 184 136 256 375 15 70† * 18 13 * 15 20 * Salt River Pima-Maricopa Indian Community 100† * 15 16 6 12 41 * San Carlos Apache Tribe 280† * 43 49 12 69 95 9 Tohono O'Odham Nation 151 14 46 18 7 35 28 * 340† * 66 54 25 58 108 24 10† 0 0 0 0 * 6 0 0† 0 0 0 * * 0 0 TOTAL 2,684 70† 650† 380† 210† 520† 780† 70† ---in Maricopa County 1,556 42 220 207 119 350 591 27 ---in Pima County 365 17 75 45 38 68 118 * ---in Coconino County 206 6 32 16 16 54 78 * ---elsewhere in Arizona 758 13 111 114 47 195 261 17 2,885 78 438 382 220 667 1,048 50† Pascua Yaqui Tribe White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation Weight gain TOTAL Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 28 Health Status Profile of American Indians in Arizona, 2012 Data Book 4.8 MEDICAL RISK FACTORS OF PREGNANCY (2012 STATUS) Resided on reservation 5,569 Other Incompetent cervix Uterine bleeding RH sensitization Renal disease Previous SGA infant Previous infant 4000+g Eclampsia Pregnancy associated hypertension Chronic hypertension Hemoglobinopathy Hydramnios Genital herpes Diabetes Lung disease Cardiac disease 2,730† 450† 10† 100† 550† 50† 80† 0 80† 360† 90† 10† 50† 50† 0† 10† 20† 1,880† Ak-Chin Indian Community 19 10† * 0 * * 0 * 0 0 0 0 0 0 0 0 0 0 Cocopah Tribe 12 10† 0 0 0 * 0 * 0 * 0 0 0 0 0 0 0 0 * Colorado River Indian Tribe 43 20† 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 15 Fort McDowell Yavapai Nation Reservation 18 10† * 0 * * 0 * 0 0 * 0 0 0 0 0 0 0 * 5 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 67 30† * 0 * 10 0 * 0 0 0 * 0 0 0 0 0 0 9 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 70† 8 0 0 23 0 * 0 * 15 * 0 * * 0 0 0 25 Hualapai Tribe 36 0† 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 * Navajo Nation 1,359 620† 100 * * 131 7 22 0 22 96 24 * 20 13 * * * 363 Pascua Yaqui Tribe 74 60† 14 0 0 6 0 * 0 * * * 0 0 0 0 0 0 52 Salt River Pima-Maricopa Indian Community 98 60† 15 0 * 20 0 * 0 * * * 0 * 0 0 0 0 45 San Carlos Apache Tribe 281 150† 21 0 * 27 * * 0 * 26 * * * * 0 0 * 106 Tohono O'Odham Nation 151 120† 16 0 * 22 * 7 0 * 9 8 0 * 0 0 0 0 108 White Mountain Apache Tribe 339 180† 17 0 0 24 0 0 0 * 24 9 0 * * 0 0 * 146 11 0† 0 0 0 0 0 0 0 * * * 0 0 0 0 0 0 * 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 1,320† 200† 0† 0† 10† 890† Fort Mojave Indian Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation Anemia Births with medical risk factors TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Medical risk factorsa TOTAL 2,684 ---in Maricopa County 1,556 810† 162 ---in Pima County 365 250† 40 0 0 ---in Coconino County 206 50† * 0 * ---elsewhere in Arizona 758 300† 46 * 33 62 1,409 250† 10† 80† TOTAL 2,885 * 20† 270† 10† 40† 46 171 17 19 25 9 10 23 * 0 11 10 39 281 40† Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; factors as each birth may be associated with multiple medical risk factors. Health Status Profile of American Indians in Arizona, 2012 Data Book a 0 40† 180† 50† 0 0† 30† 20† 0† 23 93 18 * 11 0 6 21 11 0 0 0 22 * 0 0 6 40 6 * 0 35 * 12 * 0 8 563 * * 0 0 * 219 0 0 0 0 0 19 * 11 * * * 193 176 40† 10† 10† 20† 0† 10† 10† 994 Medical risk factors do not sum to the number of births with medical risk 29 4.9 SUBSTANCE USE DURING PREGNANCY (2012 STATUS) Substance use TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Smoker, nondrinker Smoker and drinker Nonsmoker and nondrinker 5,569 50† 100† 30† 5,390† 19 0 0 0 19 Cocopah Tribe 10† * 0 0 11 Colorado River Indian Tribe 40† * * * 38 Fort McDowell Yavapai Nation Reservation 20† 0 * * 16 Fort Mojave Indian Tribe 10† 0 0 0 * Gila River Indian Community 70† * * 0 61 Havasupai Tribe 10† * 0 0 6 160† 0 0 * 161 Hualapai Tribe 40† * * 0 33 Navajo Nation 1,360† * 10 * 1,344 70† 0 * 0 73 Salt River Pima-Maricopa Indian Community 100† * * 0 95 San Carlos Apache Tribe 280† * * * 268 Tohono O'Odham Nation 150† * * * 148 White Mountain Apache Tribe 339 13 6 6 314 Yavapai-Apache Nation 10† 0 * 0 10 0† 0 0 0 * TOTAL 2,684 40† 30† 20† 2,600† ---in Maricopa County 1,556 9 33 8 1,506 ---in Pima County 370† * 9 0 353 ---in Coconino County 210† 0 * * 202 758 7 22 6 723 2,885 20† 70† 20† 2,784 Hopi Tribe Pascua Yaqui Tribe Yavapai-Prescott Indian Tribe Resided off reservation Drinker, nonsmoker ---elsewhere in Arizona TOTAL Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 30 Health Status Profile of American Indians in Arizona, 2012 Data Book Utilization of Medical Services Health Status Profile of American Indians in Arizona, 2012 Data Book 31 4.10 TRIMESTER OF PREGNANCY PRENATAL CARE BEGAN (2012 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 1st trimester No care 2nd trimester 3rd trimester Unknown 5,570† 110† 3,800† 1,240† 390† 20† Ak-Chin Indian Community 20† 0 16 * * 0 Cocopah Tribe 10† 0 9 * 0 0 Colorado River Indian Tribe 40† * 33 * * * Fort McDowell Yavapai Nation Reservation 20† * 12 * 0 0 Fort Mojave Indian Tribe 10† 0 * * 0 * Gila River Indian Community 70† * 50 10 * 0 Havasupai Tribe 10† 0 * * 0 0 160† * 105 38 13 * Hualapai Tribe 40† 0 31 * 0 0 Navajo Nation 1,359 16 932 308 101 * 70† 0 53 18 * 0 100† * 51 21 20 * San Carlos Apache Tribe 281 15 149 84 29 * Tohono O'Odham Nation 150† * 68 59 20 0 White Mountain Apache Tribe 339 12 210 92 25 0 Yavapai-Apache Nation 10† 0 10 * 0 0 0† 0 * 0 0 0 2,680† 60† 1,740† 650† 220† 10† 1,556 23 1,120 318 91 * 365 7 249 86 23 0 210† * 156 34 14 0 758 19 534 152 46 7 2,885 50† 2,059 590 174 10† Hopi Tribe Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Prenatal care ---in Maricopa County ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 32 Health Status Profile of American Indians in Arizona, 2012 Data Book 4.11 NUMBER OF PRENATAL VISITS (2012 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation No visits 1-4 visits 5-8 visits 9-12 visits 13+ visits Unknown 5,569 110† 510† 1,360† 2,410† 1,150† 30† Ak-Chin Indian Community 20† 0 0 * 13 * 0 Cocopah Tribe 10† 0 * * 8 * 0 Colorado River Indian Tribe 40† * * 9 14 13 * Fort McDowell Yavapai Nation Reservation 20† * * 6 9 0 0 Fort Mojave Indian Tribe 10† 0 0 * * 0 * Gila River Indian Community 70† * 7 10 33 13 0 Havasupai Tribe 10† 0 0 * * * 0 160† * 13 38 81 24 * Hualapai Tribe 40† 0 * 8 15 9 0 Navajo Nation 1,359 16 96 336 569 339 * 70† 0 * 17 40 13 0 100† * 19 25 34 14 * San Carlos Apache Tribe 281 15 57 91 84 28 6 Tohono O'Odham Nation 150† * 37 53 40 17 0 White Mountain Apache Tribe 339 12 35 132 135 25 0 Yavapai-Apache Nation 10† 0 * 0 7 * 0 0† 0 0 0 0 * 0 TOTAL 2,684 60† 280† 740† 1,090† 510† 10† ---in Maricopa County 1,556 23 117 352 728 332 * 365 7 51 87 142 77 * 210† * 14 36 94 60 0 758 19 43 149 363 177 7 2,885 50† 225 624 1,327 646 10† Hopi Tribe Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community Yavapai-Prescott Indian Tribe Resided off reservation Prenatal visits ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2012 Data Book 33 4.12 OBSTETRIC PROCEDURES (2012 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Other Ultrasound Tocolysis Stimulation of labor Induction of labor 5,569 20† 5,180† 980† 880† 30† 3,760† 570† Ak-Chin Indian Community 20† 0 19 * 0 0 19 * Cocopah Tribe 10† 0 12 * * 0 12 0 Colorado River Indian Tribe 40† 0 43 * * 0 29 * Fort McDowell Yavapai Nation Reservation 20† 0 17 * * 0 17 * Fort Mojave Indian Tribe 10† 0 * * * 0 * 0 67 0 64 11 10 0 46 13 Gila River Indian Community Havasupai Tribe 10† 0 6 * * 0 * 0 160† 0 148 32 32 0 62 * Hualapai Tribe 40† 0 36 9 9 0 * * Navajo Nation 1,360† * 1,280 245 248 7 651 92 70† 0 73 15 * 0 74 25 100† * 96 13 19 0 89 * San Carlos Apache Tribe 281 0 240 44 40 6 91 52 Tohono O'Odham Nation 151 0 141 28 6 0 137 51 340† * 237 65 74 0 303 * 10† 0 11 * * 0 10 0 0† 0 * * 0 0 * 0 TOTAL 2,684 10† 2,430† 480† 460† 13 1,550† 250† ---in Maricopa County 1,556 6 1,507 231 270 7 1,179 93 ---in Pima County 370† * 350 87 14 0 339 109 ---in Coconino County 210† 0 192 45 54 * 133 * ---elsewhere in Arizona 760† * 696 137 85 * 550 109 2,885 10† 2,745 500 423 10† 2,201 310† Hopi Tribe Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation Amniocentesis TOTAL BIRTHS Electronic Fetal Monitor Obstetric proceduresa TOTAL a Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; Obstetric procedures do not sum to the number of total births as each birth may be associated with multiple obstetric procedures. 34 Health Status Profile of American Indians in Arizona, 2012 Data Book Resided on reservation 10† Other 20† Fetal distress Anesthetic complic. Cord prolapse 60† 150† 160† Cephalopelvic disp. 0† 100† Breech malpresentation Dysfunctional labor Prolonged labor 70† Precipitous labor 20† Seizures Other bleeding Rupture of membrane Meconium 40† 0† 280† 960† Ak-Chin Indian Community 19 10† * * 0 0 * 0 0 * 0 0 0 0 0 0 * * Cocopah Tribe 12 10† 0 * * 0 0 0 0 0 0 * * 0 0 0 0 * Colorado River Indian Tribe 43 10† 0 * * 0 0 0 0 0 0 0 * 0 0 0 0 * Fort McDowell Yavapai Nation Reservation 18 0† 0 0 0 * 0 0 0 0 * 0 0 0 0 0 * * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 20† * * 0 0 * 0 0 * * 0 * 0 0 0 * 6 7 0† 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 162 50† * 8 10 * * * 0 * 0 * 7 0 0 0 7 12 Hualapai Tribe 36 0† 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 * Navajo Nation Fort Mojave Indian Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe 1,359 440† 23 47 61 9 * 41 * 41 20 74 38 10 * 0 36 171 Pascua Yaqui Tribe 74 30† 0 8 * 0 0 0 0 * 0 * 0 0 0 0 * 17 Salt River Pima-Maricopa Indian Community 98 40† * 6 0 * 0 * 0 * * * * 0 0 0 7 15 San Carlos Apache Tribe 281 130† * 14 6 * 0 * 0 20 * * 11 * 0 0 18 85 Tohono O'Odham Nation 151 60† 0 18 * * * * 0 0 * * * 0 0 0 6 38 White Mountain Apache Tribe 339 160† 0 18 * * 0 0 0 * * 0 * 0 0 0 * 144 11 0† 0 0 0 0 0 0 0 * 0 0 * 0 0 0 0 0 * 0† 0 0 0 0 0 0 0 0 0 * * 0 0 0 * * TOTAL 2,684 950† 40† 120† 80† 20† 10† 50† 0† 70† 30† 90† 80† 10† 0† 0 90† 500† ---in Maricopa County 1,556 480† 48 77 40 * * 9 0 16 17 43 41 * * 0 133 217 ---in Pima County 365 140† * 33 6 * * * 0 * * 11 11 0 0 * 9 89 ---in Coconino County 206 50† * * 10 * * * 0 * * * 9 * 0 0 * 12 758 230† 16 37 11 9 * * 0 10 * * 19 0 * 0 50 138 2,885 903 70† 150† 67 20† 10† 20† 0 30† 30† 60† 80 10† 0† 0† 200† 456 Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation 1,850 110† 270† 150† Placenta previa 5,569 Abruptio placenta ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Complications of labor and/or deliverya Febrile TOTAL BIRTHS Births with complications of labor and or delivery 4.13 COMPLICATIONS OF LABOR AND DELIVERY (2012 STATUS) ---elsewhere in Arizona TOTAL Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; of labor and/or delivery as each birth may be associated with multiple complications. Health Status Profile of American Indians in Arizona, 2012 Data Book a Complications of labor and/or delivery do not sum to the sum of births with complications 35 4.14 METHOD OF DELIVERY (2012 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Vaginal after C-Section Vaginal Primary C- Repeat CSection Section Forceps Vacuum 5,569 4,130† 110† 680† 650† 20† 70† Ak-Chin Indian Community 19 14 0 * * 0 0 Cocopah Tribe 12 6 0 * * 0 * Colorado River Indian Tribe 43 30 0 6 7 0 * Fort McDowell Yavapai Nation Reservation 18 9 0 * * 0 0 * * 0 0 * 0 0 67 53 0 6 8 0 * 7 6 0 0 * 0 0 162 126 * 19 14 * 0 Hualapai Tribe 36 29 0 * * * * Navajo Nation 1,359 1,085 54 130 86 7 11 Pascua Yaqui Tribe 74 58 * 8 6 0 * Salt River Pima-Maricopa Indian Community 98 65 * 16 15 0 * San Carlos Apache Tribe 281 204 * 37 37 * 9 Tohono O'Odham Nation 151 118 * 17 14 0 * White Mountain Apache Tribe 339 264 * 33 40 * * 11 6 0 * * 0 0 * * 0 * 0 0 0 2,680† 2,080† 70† 290† 250† 10† 30† 1,556 1,089 26 231 210 * 15 ---in Pima County 365 276 7 46 36 0 7 ---in Coconino County 206 159 * 25 18 * * ---elsewhere in Arizona 758 529 6 85 137 * 10 2,885 2,053 40† 387 401 10† 30† Fort Mojave Indian Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Method of deliverya ---in Maricopa County TOTAL a Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; Method of delivery does not sum to the number of total births as each birth may be associated with multiple methods of delivery. 36 Health Status Profile of American Indians in Arizona, 2012 Data Book 4.15 ATTENDANT AT BIRTH (2012 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation C.N.M Midwife D.O. Unknown Other 5,569 3,380† 1,530† 10† 620† 20† 0† Ak-Chin Indian Community 20† 15 0 0 * 0 0 Cocopah Tribe 10† 11 * 0 0 0 0 Colorado River Indian Tribe 43 25 0 0 18 0 0 Fort McDowell Yavapai Nation Reservation 18 18 0 0 0 0 0 Fort Mojave Indian Tribe 10† * * 0 * 0 0 Gila River Indian Community 70† 51 * 0 12 0 0 Havasupai Tribe 10† * * 0 * 0 0 Hopi Tribe 162 64 90 0 8 0 0 Hualapai Tribe 36 17 0 0 19 0 0 Navajo Nation 1,360† 362 900 * 84 8 0 74 51 23 0 0 0 0 Salt River Pima-Maricopa Indian Community 100† 77 17 0 * 0 0 San Carlos Apache Tribe 280† 165 * 0 108 6 * Tohono O'Odham Nation 150† 149 * 0 0 * 0 White Mountain Apache Tribe 340† 268 * 0 66 * 0 10† 10 * 0 0 0 0 0† * 0 0 0 0 0 2,684 1,290† 1,040† 10† 330† 20† 0† 1,560† 1,040 364 0 151 * 0 ---in Pima County 370† 314 42 * 7 * 0 ---in Coconino County 210† 144 38 * 19 * 0 ---elsewhere in Arizona 760† 589 46 * 114 * * 2,885 2,087 490 10† 291 10† 0† Pascua Yaqui Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation M.D. ---in Maricopa County TOTAL Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2012 Data Book 37 Newborn’s Health Health Status Profile of American Indians in Arizona, 2012 Data Book 39 4.16 GESTATIONAL AGE (2012 STATUS) Length of gestation TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 37-41 weeks 42+ weeks Unknown 5,569 540† 4,990† 30† 10† 20† * 14 0 0 12 0 12 0 0 40† * 40 0 0 18 6 12 0 0 10† 0 * 0 0 67 14 53 0 0 Havasupai Tribe 10† * 6 0 0 Hopi Tribe 162 20 142 0 0 Hualapai Tribe 40† * 32 0 0 Navajo Nation 1,359 109 1,237 13 0 74 8 66 0 0 Salt River Pima-Maricopa Indian Community 100† 10 87 * 0 San Carlos Apache Tribe 280† 46 234 * 0 Tohono O'Odham Nation 150† 14 136 * 0 White Mountain Apache Tribe 340† 42 293 * * 10† * 9 0 0 0† 0 * 0 0 TOTAL 2,684 280† 2,380† 20† 0† ---in Maricopa County 1,556 138 1,403 11 * ---in Pima County 365 29 336 0 0 ---in Coconino County 206 24 182 0 0 760† 63 691 * * 2,885 254 2,612 10† 10† Ak-Chin Indian Community Cocopah Tribe Colorado River Indian Tribe Fort McDowell Yavapai Nation Reservation Fort Mojave Indian Tribe Gila River Indian Community Pascua Yaqui Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation <37 weeks ---elsewhere in Arizona TOTAL Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 40 Health Status Profile of American Indians in Arizona, 2012 Data Book 4.17 WEIGHT AT BIRTH (2012 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation <1,000 grams 1,0001,499 1,5002,499 2,5003,999 4000+ Unknown 5,569 30† 30† 310† 4,660† 540† 0† Ak-Chin Indian Community 20† 0 0 * 16 * 0 Cocopah Tribe 10† 0 0 * 9 * 0 Colorado River Indian Tribe 40† 0 0 * 35 7 0 Fort McDowell Yavapai Nation Reservation 20† * 0 * 11 * 0 Fort Mojave Indian Tribe 10† 0 0 0 * 0 0 Gila River Indian Community 70† * 0 * 53 * 0 Havasupai Tribe 10† 0 0 * * * 0 160† * * 16 129 12 * Hualapai Tribe 40† 0 0 * 31 * 0 Navajo Nation 1,360† * 7 65 1,164 118 * 70† 0 0 * 61 8 0 Salt River Pima-Maricopa Indian Community 100† 0 * * 82 12 0 San Carlos Apache Tribe 280† * * 21 229 27 0 Tohono O'Odham Nation 150† * 0 * 132 14 0 White Mountain Apache Tribe 340† * * 29 290 14 0 10† 0 0 * 7 * 0 0† 0 0 0 * 0 0 2,684 20† 20† 160† 2,260† 230† 0† 1,560† 8 * 86 1,288 169 0 ---in Pima County 370† * * 12 304 43 0 ---in Coconino County 210† * * 13 173 16 0 ---elsewhere in Arizona 760† * * 38 637 76 0 2,885 20† 10† 149 2,402 304 0 Hopi Tribe Pascua Yaqui Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Weight at birth ---in Maricopa County TOTAL Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2012 Data Book 41 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Other Newborn seizures Assisted vent. >30 min. Assisted vent.<30 min Meconium aspiration Membrane disease Fetal Alcohol Syndrome Birth injury 5,569 509 0† 0† 0† 10† 10† 40† 10† 0† 460† Ak-Chin Indian Community 19 7 0 0 0 0 0 0 0 0 7 Cocopah Tribe 12 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribe 43 12 0 0 0 0 0 10 0 0 * Fort McDowell Yavapai Nation Reservation 18 * 0 0 0 * 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 67 19 0 0 0 * * 0 0 0 18 7 0 0 0 0 0 0 0 0 0 0 Fort Mojave Indian Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe 162 7 0 0 0 * 0 0 0 0 6 Hualapai Tribe 36 0 0 0 0 0 0 0 0 0 0 Navajo Nation 1,359 20 0 * 0 * * 6 * 0 13 Pascua Yaqui Tribe 74 * 0 0 0 0 0 0 0 0 * Salt River Pima-Maricopa Indian Community 98 7 0 0 0 0 0 * * 0 * San Carlos Apache Tribe 281 27 0 0 0 0 0 * * 0 25 Tohono O'Odham Nation 151 * 0 0 0 0 0 * 0 0 * White Mountain Apache Tribe 339 67 0 0 * 0 * * * 0 63 11 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 TOTAL 2,684 170† 0 0† 0† 0† 0† 20† 10† 0 150† ---in Maricopa County Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation Abnormal conditionsa Anemia TOTAL BIRTHS Births with abnormal conditions of the newborn 4.18 ABNORMAL CONDITIONS OF THE NEWBORN (2012 STATUS) 1,556 135 0 0 0 * * * * 0 129 ---in Pima County 365 23 0 0 0 0 0 * 0 0 23 ---in Coconino County 206 * * 0 0 0 0 0 0 0 * ---elsewhere in Arizona TOTAL 758 174 0 0 0 * * 10 6 * 163 2,885 340† 0† 0 0 0† 10† 20† 10† 0† 320† Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; a Abnormal conditions do not sum to the number of births with abnormal conditions of the newborn as each birth may be associated with multiple abnormal conditions. 42 Health Status Profile of American Indians in Arizona, 2012 Data Book 4.19 CONGENITAL ANOMALIES / BIRTH DEFECTS (2012 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Other congenital anomalies Down s Syndrome Club Foot Polydactyly/syndactyly/adactyly Cleft Lip/Palate Other Urogenital Renal Agenesis Other Gastrointestinal Omphalocele/gastroschisis Other Respiratory/Circulatory Heart Malformations Other CNS Anomaly Microcephalus Hydrocephalus Spina Bifida/meningocele Anencephalus TOTAL BIRTHS Births with congenital anomalies Congenital anomaliesa 5,569 52 0† 0† 0† 0 0† 0† 10† 0† 0† 0† 0† 10† 0† 0† 0† 20† 19 * 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribe 43 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * Fort McDowell Yavapai Nation Reservation 18 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Resided on Ak-Chin Indian Community reservation Cocopah Tribe Fort Mojave Indian Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 162 * 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 * 0 Hualapai Tribe 36 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Navajo Nation 1,359 15 0 0 0 0 0 0 * * * * * * 0 0 * 7 74 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community 98 * 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 * San Carlos Apache Tribe 281 * 0 0 0 0 0 * 0 0 0 0 0 * * * 0 * Tohono O'Odham Nation 151 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 White Mountain Apache Tribe 339 12 0 * * 0 * 0 * 0 0 0 0 * 0 * 0 * 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,680† 40† 0 0† 0† 0 0† 0† 0† 0† 0† 0† 0† 10† 0† 0† 0† 20† Resided off ---in Maricopa County reservation ---in Pima County 1,556 6 * 0 0 0 * 0 * 0 0 0 0 * 0 0 0 0 365 * * 0 0 0 0 * * 0 0 0 0 0 0 0 0 * ---in Coconino County 206 * 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 ---elsewhere in Arizona 758 6 0 0 0 0 0 0 * 0 0 0 0 * 0 * * * 2,885 20† 0† 0 0 0 0† 0† 10† 0† 0 0 0 0† 0 0† 0† 0† Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL TOTAL Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; a Congenital anomalies do not sum to the number of births with congenital anomalies as each birth may be associated with multiple congenital anomalies. Health Status Profile of American Indians in Arizona, 2012 Data Book 43 4.20 CAUSES OF INFANT DEATHS AMONG AMERICAN INDIAN RESIDENTS, ARIZONA, 2012 ---elsewhere in Arizona Total 0† 0† 0† 10† 0† 1 0† 10† 0 20† 10† 0† 0† 10† 20† 10† 0 0 * * 0 * 0 0 0 * 0 10† * 0 * * 0† Maternal complications 0† 0 0 0 0 0 0 0 0 0 0 0 0 * 0 * * 0† Complications of placenta, cord and membrane 0† 0 0 * * 0 0 0 0 0 * 0 0† 0 0 0 0 0 Short gestation and low birth weight 0† 0 0 0 0 0 * 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 * * 0 * * * 0 0 0 * 0 10† * * 0 * 10† of circulatory system 0† 0 * 0 0 0 0 0 0 0 0 0 0† * 0 0 0 0† of brain, spinal cord or nervous system 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0† 10† * 0 0 * * * 0 0 0 * 0 10† * * 0 * 0† Sudden infant death syndrome 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0† Accidents (unintentional injury) 0† 0 0 0 0 0 * 0 0 0 0 0 0† * 0 0 * 0† Influenza and pneumonia 0† 0 0 0 0 0 0 0 0 0 * 0 0† 0 0 0 0 0 Diseases of the digestive system 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Infectious and parasitic diseases 0† 0 0 0 0 0 0 * 0 * 0 0 0† 0 0 0 0 0 Diseases of the nervous system 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Choked on food 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Certain conditions originating in the perinatal period Bacterial sepsis of newborn Congenital malformations other malformation Mechanical suffocation Drug poisoning, undetermined intent ---in Pima County Navajo Nation Hopi Tribe Cocopah Tribe ---in Coconino County ---in Maricopa County 0† Yavapai-Apache Nation Total White Mountain Apache Tribe 0† Total, all causes Hualapai Tribe 41 TOTAL STATE Fort McDowell Yavapai Nation Reservation San Carlos Apache Tribe Tohono O'Odham Nation Resided off reservation Colorado River Indian Tribe Salt River Pima-Maricopa Indian Community Resided on reservation Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 44 Health Status Profile of American Indians in Arizona, 2012 Data Book 610† 190† 110† 0† 70† 950† 589 401 0 50† 0 * 0 0 0 0 * 0 * 0 0 0 0 15-17 0 250† 32 0 27 11 8 0 * 74 * 41 23 21 0 * 6 Yuma Yavapai Pinal Pima Navajo Mohave La Paz 72 25 15 0 * 199 * 112 69 41 0 6 6 * 178 74 41 0 18 580 35 320 195 146 0 24 16 25-29 1,430† 205 * 189 42 26 * 23 412 14 213 174 109 0 10 10 30-34 870† 120 * 80 29 13 0 13 290 13 162 83 54 0 6 8 35-39 430† 75 * 49 11 9 0 * 134 6 78 37 24 0 * * 40-44 90† 16 0 13 * 0 0 * 27 0 21 8 6 0 0 0 45+ 10† * 0 * 0 * 0 0 * 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 AHCCCS 3,460† 409 * 283 74 28 * 27 1,138 53 710 415 258 0 32 30 IHS 1,350† 310 * 281 106 73 0 34 174 * 188 94 77 0 * * 690† 17 * 42 13 11 0 * 381 13 42 75 63 0 15 16 Self 40† * 0 * 0 0 0 * 23 * 6 * * 0 * * Unknown 20† * 0 * 0 * 0 0 * 0 * * * 0 0 0 <8 40† * 0 * 0 0 0 0 22 * * * * 0 0 0 100† 7 0 * * * 0 0 48 * 12 9 16 0 0 * 1,346 118 0 108 78 30 0 18 363 24 223 195 164 0 13 12 12 2,300† 308 * 315 80 63 * 34 616 33 428 225 137 0 25 26 13-16 1,640† 291 * 169 30 18 * 10 605 14 271 144 67 0 13 7 130† 15 * 13 * * 0 * 54 0 12 11 11 0 * * 17+ Unknown 20† 0 0 0 0 0 0 * 13 0 * 0 * 0 0 0 Married 1,130† 134 * 126 38 27 0 8 386 16 197 99 79 0 9 10 Unmarried 4,370† 596 * 476 154 85 * 57 1,310 56 744 485 318 0 44 38 70† 13 0 8 * * 0 0 25 * 8 * * 0 0 * 150† 17 0 15 * * 0 0 49 0 20 35 * 0 0 * Otherb None 1-15 pounds 16-20 pounds 1,080† 201 0 145 29 19 0 28 238 22 207 139 44 0 * 8 770† 101 * 72 33 18 * 7 232 8 148 76 58 0 * * 21-24 pounds 430† 73 0 49 8 * 0 * 132 * 85 48 20 0 * * 25-30 pounds 1,190† 128 * 139 53 25 0 * 385 19 170 117 105 0 25 18 31+ pounds 1,830† 220 * 180 60 44 * 18 653 18 278 166 160 0 15 13 120† * 0 10 7 * 0 6 32 * 41 8 9 0 0 0 Drinker, nonsmoker 50† * 0 * * * 0 * 13 * 15 * * 0 0 * Smoker, nondrinker 100† 6 0 * * * 0 * 36 * 14 11 10 0 * * 30† * * * * 0 0 * 9 0 9 * * 0 0 0 5,390† 733 7 603 181 110 * 60 1,663 67 911 573 384 0 51 43 Unknown Substance use Graham 0 212 9-11 Weight gain Gila 80 1,840† 8 Marital status Cochise 630† 20-24 Private insurance Mother's education 50† 18-19 Unknown Payee for births 70† 1,720† Santa Cruz 10† * Maricopa 740† 10† Greenlee 5,569 <15 Coconino Apache Total births Mother's age group Total State 4.21 COMPARISON OF SELECTED CHARACTERISTICSa OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2012 Smoker and drinker Nonsmoker and nondrinker Health Status Profile of American Indians in Arizona, 2012 Data Book 45 Length of gestation <37 weeks * Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa 0 90 * 42+ weeks 30† * 0 9 * 0 0 0 12 0 * * * 0 0 0 Unknown 10† 0 0 0 0 0 0 0 * * * 0 0 0 0 0 <1,000 grams 30† * 0 * 0 * 0 0 11 0 6 * * 0 0 * 1,000-1,499 30† * 0 7 0 * 0 0 6 * * * * 0 0 * 163 8 94 51 37 0 * 7 60 1,542 64 848 537 363 0 49 42 * 93 6 70 21 16 0 * 6 53 1,421 61 814 497 331 0 47 35 1,500-2,499 310† 32 0 37 14 9 0 2,500-3,999 4,660† 634 8 505 159 92 * 540† 71 0 57 20 8 0 9 190 * 55 64 48 0 * 6 0† * 0 * 0 0 0 0 0 0 0 0 0 0 0 0 * No care 110† 12 0 6 10 * 0 33 * 20 11 8 0 0 * 1st trimester 3,800† 509 6 438 106 62 * 43 1,219 59 597 369 312 0 43 33 2nd trimester 1,240† 166 * 121 56 32 0 10 350 10 253 163 62 0 9 10 3rd trimester 390† 53 0 43 18 13 0 * 114 * 76 46 18 0 * * 20† * 0 * * * 0 * * * * 0 * 0 0 0 110† 12 0 6 10 * 0 * 33 * 20 11 8 0 0 * No visits 1-4 visits 510† 49 * 49 29 31 0 6 142 6 73 92 20 0 * 6 5-8 visits 1,360† 187 * 116 60 38 0 15 391 15 304 157 58 0 7 10 9-12 visits 2,410† 323 * 265 65 26 * 17 795 29 387 221 228 0 29 23 13+ visits 1,150† 169 * 172 24 12 0 20 355 20 161 107 86 0 15 8 30† * 0 * * * 0 * * * * * * 0 0 0 * 87 * 36 28 12 0 * 10 63 1,634 70 913 561 389 0 52 39 0 Yes 240† 20 0 19 11 7 0 5,330† 723 8 591 182 106 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20† * 0 * 0 0 0 0 7 0 * * * 0 0 * 5,180† 684 * 580 172 92 * 63 1,666 72 796 563 386 0 50 49 Induction of labor 980† 137 0 123 36 14 * 7 253 19 152 130 89 0 12 8 Stimulation of labor 880† 119 * 144 23 17 0 * 304 16 180 22 37 0 * 12 30† * 0 * * * 0 * 7 0 * 0 * 0 0 0 3,760† 349 8 351 31 70 * 40 1,315 28 557 549 356 0 50 49 No Amniocentesis Electronic Fetal Monitoring Tocolysis Ultrasound Other 46 La Paz 23 Unknown Method of delivery Greenlee 27 165 Unknown Obstetric procedures Graham 60 541 Unknown Newborn intensive care Gila 0 8 Unknown Prenatal visits Coconino 59 681 4000+ Prenatal care Cochise 540† 4,990† 37-41 weeks Weight at birth Apache Total State 4.21 (continued) COMPARISON OF SELECTED CHARACTERISTICSa OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2012 570† 65 0 * * 52 * 4,130† 599 6 474 140 80 * Vaginal after C-Section 110† 37 0 13 * 0 0 0 Primary C-Section 680† 61 * 72 26 14 0 7 Repeat C-Section 650† 43 * 51 24 19 * 12 233 Vaginal 100 * 36 185 113 0 * 0 46 1,205 * 51 733 452 271 0 42 30 28 0 16 11 * 0 0 0 255 10 99 70 45 0 7 9 12 99 56 82 0 * 10 Forceps 20† * 0 * 0 * 0 0 * * 7 0 0 0 * 0 Vacuum 70† 6 * * * * 0 * 17 * 12 9 * 0 0 * Health Status Profile of American Indians in Arizona, 2012 Data Book Births with medical risk factors Total Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa La Paz Greenlee Graham Gila Coconino Cochise 2,730† 356 * 211 92 64 0 27 896 10 422 428 183 0 16 22 450† 53 0 38 13 8 0 * 181 0 49 70 35 0 0 * 10† * 0 0 0 0 0 0 * 0 0 0 * 0 0 0 Lung disease 100† * 0 * * 0 0 0 52 0 * * 34 0 0 0 Diabetes Anemia Cardiac disease 550† 61 0 78 12 17 0 * 201 * 72 52 47 0 * 8 Genital herpes 50† * 0 * * 0 0 0 17 0 * 10 8 0 0 * Hydramnios 80† 13 0 9 * * 0 0 25 0 * 18 9 0 * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Hemoglobinopathy Chronic hypertension 80† 8 0 9 * * 0 * 27 0 11 10 * 0 * * 360† 51 * 56 19 8 0 * 100 0 63 34 19 0 * * Eclampsia 90† 11 0 15 0 * 0 * 19 0 16 21 * 0 * * Previous infant 4000+g 50† 13 0 7 * 0 0 0 13 0 10 * * 0 0 0 Previous SGA infant 50† 10 0 * * 0 0 * 12 0 11 * * 0 0 * 0† * 0 0 0 0 0 0 * 0 0 0 0 0 0 * RH sensitization 10† 0 0 0 0 0 0 * 0 0 * 0 * 0 0 0 Uterine bleeding 20† * 0 0 * * 0 0 8 0 * * * 0 0 0 Incompetent cervix 10† * 0 0 * 0 0 0 * 0 0 0 * 0 0 * 1,880† 230 * 93 60 54 0 26 619 9 290 379 86 0 14 15 Pregnancy associated hypertension Renal disease Other Abnormal conditions of the newborn Apache Total State 4.21 (continued) COMPARISON OF SELECTED CHARACTERISTICSa OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2012 Total 510† 15 0 10 10 17 0 19 153 * 92 30 150 0 0 10 Anemia 0† 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 Birth injury 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 Fetal Alcohol Syndrome 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 Membrane disease 10† 0 0 0 0 0 0 0 * 0 * 0 0 0 0 * Meconium aspiration 10† * 0 0 0 0 0 0 * * * 0 * 0 0 * Assisted vent.<30 min 40† * 0 * * 0 0 17 * * 6 * 0 0 0 0 Assisted vent.>30 min. 10† * 0 0 * 0 0 0 * 0 * 0 0 0 0 * Newborn seizures 0† 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 460† 10 0 9 8 17 0 6 144 * 83 29 147 0 0 9 50† 10 0 * * * 0 * 8 0 19 * * 0 0 * 0† 0 0 0 0 0 0 0 * 0 0 * 0 0 0 0 Spina bifida/meningocele 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 Hydrocephalus 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other CNS anomaly 0† 0 0 0 0 0 0 0 * 0 * 0 0 0 0 0 Heart malformations 0† 0 0 0 * 0 0 0 0 0 0 * 0 0 0 0 10† * 0 0 0 0 0 0 * 0 * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other Births with congenital Total anomalies Anencephalus Microcephalus Other respiratory/circulatory Rectal atresia/stenosis Health Status Profile of American Indians in Arizona, 2012 Data Book 47 Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa La Paz Greenlee Graham Gila Coconino 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 * 0 0 0 0 0 0 * 0 0 0 0 0 Other gastrointestinal 0† 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Renal agenesis 0† 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 Other urogenital 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 10† * 0 * * 0 0 0 * 0 * 0 * 0 0 * Polydactyly/syndactyly/adactyly 0† 0 0 0 0 * 0 0 0 0 * 0 0 0 0 0 Club foot 0† 0 0 0 0 * 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cleft lip/palate Diaphragmatic hernia Other muscosceletal Down's syndrome Other chromosomal Other 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† * 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20† * 0 * * * 0 * * 0 6 * 0 0 0 0 1,850† 251 * 170 80 61 * 11 527 10 354 229 122 0 8 25 Febrile 110† 11 0 11 * * 0 0 54 0 10 * 13 0 0 * Meconium 270† 32 0 14 13 * 0 * 84 * 38 59 21 0 0 8 Rupture of membrane 150† 37 0 32 * * 0 * 40 0 17 9 * 0 * * Abruptio placenta 40† 8 0 * * * 0 0 8 * 6 * * 0 0 * Placenta previa 20† * 0 * 0 0 0 0 * 0 * * * 0 0 0 Other bleeding 70† 20 0 12 * 0 0 0 10 0 17 * 0 0 0 * 0† * 0 0 0 0 0 0 0 0 * 0 0 0 0 0 100† 25 0 11 15 6 0 * 18 0 14 * 6 0 * 0 60† 12 0 9 * * 0 0 21 0 * * * 0 0 0 Dysfunctional labor 150† 28 0 30 0 * 0 0 45 0 24 18 * 0 * * Breech malpresentation Total Seizures Precipitous labor Prolonged labor 160† 19 * 23 7 7 0 * 48 * 22 15 6 0 * * Cephalopelvic disproportion. 20† * 0 7 * 0 0 0 * 0 * 0 0 0 0 0 Cord prolapse 10† * 0 0 0 0 0 0 * 0 * 0 * 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 Anesthetic complications Infant mortalityc Cochise Tracheo-esophageal fistula/esophageal atresia Omphalocele/gastroschisis Malformed genitalia Births with complications Apache Total State 4.21 (continued) COMPARISON OF SELECTED CHARACTERISTICSa OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2012 Fetal distress 280† 14 0 16 13 6 0 0 143 0 21 17 45 0 * * Other 960† 114 0 39 43 47 * 6 238 8 239 144 56 0 * 19 Total 40† 0† 0† 0† 0† 0 0 0† 10† 0† 10† 0† 0† 0 0 0† Neonatal 20† * 0 * 0 0 0 0 * * 7 * * 0 0 * Postneonatal 20† * * 0 * 0 0 * 8 0 * * 0 0 0 * Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; a Obstetric procedures, method of delivery, births with medical risk factors, abnormal conditions of the newborn, births with congenital anomalies, and births with complications may not sum to their respective totals as each birth may be associated with multiple occurrences of each of these indicators; 48 b 'Refused', 'Yes, divorced', 'Unknown'; c Total infant mortality includes unknown county of residence. Health Status Profile of American Indians in Arizona, 2012 Data Book AGE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2012 Data Book 51 5.1 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIANS IN 2012 25-34 35-44 45-54 55-64 65-74 75-84 85+ 40† 20† 30† 90† 160† 170† 260† 280† 260† 280† 210† Ak-Chin Indian Community 0† 0 0 0 0 0 0 0 * 0 0 * Cocopah Tribe 0† * 0 0 0 * * 0 0 * 0 0 Colorado River Indian Tribe 30† * 0 * * * 7 * * * * * Fort McDowell Yavapai Nation Reservation 10† * 0 0 0 0 0 * * * 0 0 0† 0 * 0 0 0 0 0 0 0 * 0 Gila River Indian Community 30† 0 * 0 * * * * * 6 * * Havasupai Tribe 10† 0 0 0 0 * 0 0 * * * * Hopi Tribe 80† * 0 0 * * 11 6 9 9 19 15 Hualapai Tribe 20† * 0 0 * * * * * 0 * * Navajo Nation 540† * * 10 30 53 61 65 50 71 100 92 Pascua Yaqui Tribe 30† 0 0 0 * * * 6 6 7 * * Salt River Pima-Maricopa Indian Community 50† * 0 0 * * 7 14 11 6 * * San Carlos Apache Tribe 80† * * * * 6 6 9 16 23 10 * Tohono O'Odham Nation 90† * * 0 * * 6 13 23 16 14 10 White Mountain Apache Tribe 138 9 0 0 14 17 14 16 17 17 25 9 Yavapai-Apache Nation 0† 0 0 0 0 * 0 0 * 0 0 * Yavapai-Prescott Indian Tribe 0† 0 0 0 0 0 0 0 0 0 * 0 1,100† 20† 10† 20† 60† 100† 120† 140† 150† 160† 180† 140† ---in Maricopa County 260† 9 * 6 15 22 19 48 46 33 33 21 ---in Pima County 100† * * 0 * 7 * 21 23 15 16 11 70† * * 0 * * 6 9 12 8 11 8 280† * * * 13 21 21 47 51 47 38 30 706 20† 10† 10† 40† 60† 50† 125 132 103 98 70 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Fort Mojave Indian Tribe TOTAL Resided off reservation ---in Coconino County ---elsewhere in Arizona TOTAL <1 1-4 5-14 1,806 TOTAL 15-24 Age group Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 52 Health Status Profile of American Indians in Arizona, 2012 Data Book 5.2 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN MALES IN 2012 Ak-Chin Indian Community 0† 0 0 0 0 0 0 0 * 0 0 * Cocopah Tribe 0† * 0 0 0 * * 0 0 * 0 0 20† * 0 * * 0 * * * * * * 0† * 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20† 0 * 0 * * * * * * * * 0† 0 0 0 0 * 0 0 0 * * 0 Hopi Tribe 50† * 0 0 * * 11 6 * * 12 * Hualapai Tribe 10† * 0 0 * * 0 * * 0 0 * Navajo Nation 330† * * 6 27 37 38 43 37 37 59 39 Pascua Yaqui Tribe 10† 0 0 0 0 0 * * * * * * Salt River Pima-Maricopa Indian Community 20† * 0 0 0 * * 9 * * 0 0 San Carlos Apache Tribe 50† * * * * * * 7 10 13 * * Tohono O'Odham Nation 50† * * 0 * * * 6 12 7 8 * White Mountain Apache Tribe 70† * 0 0 12 8 9 13 6 9 9 * Yavapai-Apache Nation 0† 0 0 0 0 * 0 0 0 0 0 0 Yavapai-Prescott Indian Tribe 0† 0 0 0 0 0 0 0 0 0 * 0 TOTAL 630† 20† 10† 10† 50† 60† 80† 90† 80† 80† 100† 60† ---in Maricopa County 140† * * * 8 13 14 28 28 16 18 * ---in Pima County 40† 0 * 0 * * * 7 12 * * * ---in Coconino County 30† 0 0 0 * * * 6 8 * * * ---elsewhere in Arizona 150† * * * 11 14 9 28 29 29 16 9 TOTAL 360† 10† 0† 0† 20† 40† 30† 69 77 60† 40† 20† Gila River Indian Community Havasupai Tribe Resided off reservation 85+ 70† 100† 110† 160† 160† 140† 140† Fort Mojave Indian Tribe 75-84 20† Fort McDowell Yavapai Nation Reservation 65-74 10† Colorado River Indian Tribe 55-64 15-24 Resided on reservation 45-54 5-14 20† ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 35-44 1-4 993 TOTAL 25-34 <1 Age group 70† Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2012 Data Book 53 5.3 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN FEMALES IN 2012 35-44 10† 20† 60† 60† 100† 120† 130† 140† 140† Ak-Chin Indian Community 0 0 0 0 0 0 0 0 0 0 0 0 Cocopah Tribe 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 0 * * * 0 0 0 * Fort McDowell Yavapai Nation Reservation 0† 0 0 0 0 0 0 * 0 * 0 0 Fort Mojave Indian Tribe 0† 0 * 0 0 0 0 0 0 0 * 0 10† 0 0 0 * * * 0 * * * 0 0† 0 0 0 0 0 0 0 * 0 0 * Hopi Tribe 30† * 0 0 0 * 0 0 7 * 7 10 Hualapai Tribe 10† 0 0 0 0 * * * * 0 * * Navajo Nation 210† * 0 * * 16 23 22 13 34 41 53 Pascua Yaqui Tribe 20† 0 0 0 * * * * * 6 * 0 Salt River Pima-Maricopa Indian Community 30† 0 0 0 * * * * 7 * * * San Carlos Apache Tribe 30† 0 * * * * * * 6 10 * * Tohono O'Odham Nation 40† 0 0 0 * * * 7 11 9 6 * White Mountain Apache Tribe 70† * 0 0 * 9 * * 11 8 16 8 0† 0 0 0 0 0 0 0 * 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL 470† 10† 0† 10† 10† 40† 40† 50† 70† 80† 90† 90† ---in Maricopa County 120† * * * 7 9 * 20 18 17 15 16 ---in Pima County 60† * 0 0 0 * * 14 11 10 13 10 ---in Coconino County 30† * * 0 * * * * * * 7 6 130† * * * * 7 12 19 22 18 22 21 345 10† 10† 10† 10† 20† 20† 60† 60† 50† 57 53 Gila River Indian Community Havasupai Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation ---elsewhere in Arizona TOTAL 85+ 25-34 10† Colorado River Indian Tribe 75-84 15-24 Resided on reservation 65-74 5-14 20† ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 55-64 1-4 812 TOTAL 45-54 <1 Age group Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 54 Health Status Profile of American Indians in Arizona, 2012 Data Book CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2012 Data Book 55 5.4 DEATHS BY GENDER FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2012 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Total, all causes MALE FEMALE 1,806 993 812 Salmonella infections 0 0 0 Shigellosis and amebiasis 0 0 0 10† * 6 10† * * 0 0 0 Respiratory tuberculosis 0 0 0 Other tuberculosis 0 0 0 Whooping cough 0 0 0 Scarlet fever and erysipelas 0 0 0 Meningococcal infection 0 0 0 30 10 20 Syphilis 0 0 0 Acute poliomyelitis 0 0 0 Arthropod-borne encephalitis 0 0 0 Measles 0 0 0 10† * 6 Human immunodeficiency virus (HIV) disease 6 6 0 Malaria 0 0 0 Other and unspecified infectious and parasitic diseases 10† * * Malignant neoplasms 208 104 104 Certain other intestinal infections Enterocolitis due to Clostridium difficile Tuberculosis Septicemia Viral hepatitis Malignant neoplasm of lip, oral cavity and pharynx 0† * * Malignant neoplasm of esophagus 0† * * Malignant neoplasm of stomach 21 15 6 Malignant neoplasm of colon, rectum and anus 16 9 7 Malignant neoplasm of liver and intrahepatic bile ducts 23 14 9 Malignant neoplasm of pancreas 15 9 6 0 0 0 17 7 10 0 0 0 Malignant neoplasm of breast 10 0 10 Malignant neoplasm of cervix uteri * Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin 0† 0 Malignant neoplasm of corpus uteri and uterus, part unspecified 6 0 6 Malignant neoplasm of ovary 7 0 7 0 Malignant neoplasm of prostate Malignant neoplasm of kidney and renal pelvis Malignant neoplasm of bladder 56 TOTAL 9 9 10† 6 * 0† * 0 Health Status Profile of American Indians in Arizona, 2012 Data Book 5.4 (continued) DEATHS BY GENDER FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2012 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Malignant neoplasm of meninges, brain and other parts of CNS Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin's disease Non-Hodgkin's lymphoma Leukemia Multiple myeloma and immunoproliferative neoplasms Other and unspecified malignant neoplasms of lymphoid tissue TOTAL MALE FEMALE 6 6 0 21 8 13 0 0 0 10† * * 0† * * 10† * 6 0 0 0 39 18 21 In situ neoplasms 0† * * Anemias 0† * * Diabetes 163 83 80 Nutritional deficiencies 10† * * 10† * * 0 0 0 All other and unspecified malignant neoplasm Malnutrition Other nutritional deficiencies Obesity 10† * 6 0 0 0 Parkinson's disease 10† * * Alzheimer's disease 20† * 13 Major cardiovascular diseases 309 165 144 223 126 97 0 0 0 20† 13 * Meningitis Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease Hypertensive heart and renal disease Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Atherosclerotic cardiovascular disease All other forms of chronic ischemic heart disease 0† * * 143 84 59 35 19 16 0 0 0 108 65 43 37 25 12 71 40 31 60 28 32 Acute and subacute endocarditis 0† * * Diseases of pericardium and acute myocarditis 0† 0 * Heart failure 14 8 6 All other forms of heart disease 24 Other heart diseases 43 19 Essential (primary) hypertension and hypertensive renal disease 28 12 16 Cerebrovascular diseases 52 26 26 Health Status Profile of American Indians in Arizona, 2012 Data Book 57 5.4 (continued) DEATHS BY GENDER FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2012 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Atherosclerosis Other diseases of circulatory system Aortic aneurysm and dissection Other disease of arteries, arterioles and capillaries MALE FEMALE 0† 0 10† * * * 0† * 0 0† 0 * Other disorders of circulatory system 0† * * Influenza and pneumonia 51 23 28 Influenza 0† * 0 Pneumonia 49 21 28 Other acute lower respiratory infections 0† * 0 Acute bronchiolitis 0† * 0 0 0 0 30 18 12 0 0 0 Emphysema 0† * * Asthma 0† * * Other chronic lower respiratory diseases 25 15 10 0 0 0 Unspecified acute lower respiratory infection Chronic lower respiratory diseases Bronchitis, chronic and unspecified Pneumoconioses and chemical effects Pneumonitis due to solids and liquids 14 6 8 Other disease of respiratory system 25 10 15 Peptic ulcer 0† * 0 0 0 0 Diseases of appendix Hernia Chronic liver disease and cirrhosis Alcoholic liver disease Other chronic liver disease and cirrhosis 0† 0 * 148 75 73 124 67 57 24 8 16 Cholelithiasis and other disorders of gallbladder 0† * * Nephritis, nephrotic syndrome and nephrosis 26 11 15 0 0 0 Acute and rapidly progressive nephritic and nephrotic syndrome Chronic glomerulonephritis 0† 0 * Renal failure 22 11 11 Others disorders of kidney 58 TOTAL 0 0 0 Infections of kidney 0† * * Hyperplasia of prostate 0† * 0 Inflammatory diseases of female pelvic organs 0 0 0 Pregnancy, childbirth and the puerperium 6 0 6 Health Status Profile of American Indians in Arizona, 2012 Data Book 5.4 (continued) DEATHS BY GENDER FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2012 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL MALE FEMALE Pregnancy with abortive outcome 0 0 Other complications of pregnancy, childbirth and the puerperium 6 0 6 10† * 8 Perinatal conditions 0 Congenital anomalies, deformations and chromosomal abnormalities 20 11 9 Symptoms, signs, abnormal findings 91 54 36 258 179 79 122 86 36 115 80 35 Other land transport accidents 0† * 0 Water, air, space 0† * * 136 93 43 Falls 27 18 9 Accidental discharge of firearms 0† * 0 Accidental drowning and submersion 10† 8 * Accidental exposure to smoke, fire and flames 10† * * 68 45 23 Excessive natural heat 10† * * Excessive natural cold 10† * 0 25 16 9 60 46 14 20† 18 * 41 28 13 15 Total accidents Transport accidents Motor vehicle accidents Nontransport accidents Accidental poisoning Other and unspecified nontransport accidents Intentional self-harm (suicide) By discharge of firearms By other means Assault (homicide) By discharge of firearms By other means Legal intervention Events of undetermined intent Discharge of firearms Other and unspecified events of undetermined intent Operations of war Complications of medical and surgical care INJURY BY FIREARMS DRUG-INDUCED DEATHS ALCOHOL-INDUCED DEATHS 54 39 20† 12 * 38 27 11 0 0† * 20† 12 * 0† * 0 10† 9 * 0 0 0 0† * * 40† 35 * 38 17 21 203 136 67 Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2012 Data Book 59 Total, all causes Salmonella infections Shigellosis and amebiasis 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 1,806 41 17 27 92 157 171 263 281 263 282 212 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† * 0 0 0 0 * * * 0 * * 10† 0 0 0 0 0 0 * * 0 * * 0 0 0 0 0 0 0 0 0 0 0 0 Respiratory tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 Other tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 Whooping cough 0 0 0 0 0 0 0 0 0 0 0 0 Scarlet fever and erysipelas 0 0 0 0 0 0 0 0 0 0 0 0 Meningococcal infection 0 0 0 0 0 0 0 0 0 0 0 0 30† * * 0 * 0 * * * * 8 * Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 Arthropod-borne encephalitis 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis 10† 0 0 0 0 0 * * * 0 * 0 Human immunodeficiency virus (HIV) disease 10† 0 0 0 * * * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 0 0 0 * * * * 0 Certain other intestinal infections Enterocolitis due to Clostridium difficile Tuberculosis Septicemia Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms 210† 0 * * * 8 8 19 54 59 38 17 Malignant neoplasm of lip, oral cavity and pharynx 0† 0 0 0 0 0 0 * * 0 0 0 Malignant neoplasm of esophagus 0† 0 0 0 0 0 0 0 * 0 * 0 20† 0 0 0 * 0 0 * * 6 * * Malignant neoplasm of colon, rectum and anus 20† 0 0 0 0 0 * * 6 * * 0 Malignant neoplasm of liver and intrahepatic bile ducts 20† 0 * 0 0 0 0 * 8 9 * * Malignant neoplasm of pancreas 20† 0 0 0 0 0 0 * 7 * * * 0 0 0 0 0 0 0 0 0 0 0 0 20† 0 0 0 0 0 0 * * * * * Malignant neoplasm of stomach Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin Malignant neoplasm of breast Malignant neoplasm of cervix uteri 60 <1 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL 5.5 DEATHS BY AGE GROUP FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2012 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 0 0 * 0 * * * * 0† 0 0 0 0 * * * * 0 0 0 Malignant neoplasm of corpus uteri and uterus, part unspecified 10† 0 0 0 0 0 * 0 * * 0 0 Malignant neoplasm of ovary 10† 0 0 0 0 0 0 0 * * * * Malignant neoplasm of prostate 10† 0 0 0 0 0 0 0 * * * * Health Status Profile of American Indians in Arizona, 2012 Data Book Malignant neoplasm of kidney and renal pelvis 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 <1 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL 5.5 (continued) DEATHS BY AGE GROUP FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2012 10† 0 0 0 0 * 0 0 * * * 0 0† 0 0 0 0 0 0 0 * 0 0 0 Malignant neoplasm of meninges, brain and other parts of CNS 10† 0 0 * 0 0 * 0 * 0 * 0 Malignant neoplasm of lymphoid, hematopoietic and related tissue 20† 0 0 * 0 0 * * * 7 * * 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 0 0 0 * * * * * Malignant neoplasm of bladder Hodgkin's disease Non-Hodgkin's lymphoma Leukemia 0† 0 0 * 0 0 * * 0 0 * 0 10† 0 0 0 0 0 0 0 * * * * 0 0 0 0 0 0 0 0 0 0 0 0 40† 0 * 0 0 6 0 * 6 11 9 * In situ neoplasms 0† 0 0 * * * 0 0 0 0 * 0 Anemias 0† 0 0 0 0 0 0 * 0 * 0 * Diabetes 160† 0 0 0 * * 10 24 38 42 38 8 10† 0 0 0 0 0 0 0 * * * 0 10† 0 0 0 0 0 0 0 * * * 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 0 * * * * 0 0 0 Multiple myeloma and immunoproliferative neoplasms Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm Nutritional deficiencies Malnutrition Other nutritional deficiencies Obesity Meningitis Parkinson's disease Alzheimer's disease Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease Hypertensive heart and renal disease 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 0 0 0 0 0 * * * 20† 0 0 0 0 0 0 0 0 * * 10 310† 0 0 * * * 14 36 53 61 78 59 220† 0 0 0 * * 12 21 37 47 60 41 0 0 0 0 0 0 0 0 0 0 0 0 20† 0 0 0 0 * * * * * * * 0† 0 0 0 0 0 0 0 * 0 * 0 140† 0 0 0 0 * * 11 25 32 43 26 40† 0 0 0 0 * * * * 9 9 6 0 0 0 0 0 0 0 0 0 0 0 0 110† 0 0 0 0 0 * 8 21 23 34 20 Atherosclerotic cardiovascular disease 40† 0 0 0 0 0 * * 10 * 11 7 All other forms of chronic ischemic heart disease 70† 0 0 0 0 0 0 * 11 20 23 13 Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Other heart diseases 60† 0 0 0 * 0 6 6 8 12 13 13 Acute and subacute endocarditis 0† 0 0 0 0 0 0 0 * 0 * 0 Diseases of pericardium and acute myocarditis 0† 0 0 0 0 0 0 0 0 0 * 0 Heart failure 10† 0 0 0 0 0 0 * * * * * All other forms of heart disease 40† 0 0 0 * 0 6 * 6 8 7 9 Health Status Profile of American Indians in Arizona, 2012 Data Book 61 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 Essential (primary) hypertension and hypertensive renal disease 30† 0 0 0 * 0 0 * 7 * * 6 Cerebrovascular diseases 50† 0 0 * * 0 * 11 8 9 10 10 Atherosclerosis 0† 0 0 0 0 0 0 0 0 0 0 * 10† 0 0 0 0 0 0 0 * 0 * * Aortic aneurysm and dissection 0† 0 0 0 0 0 0 0 0 0 * 0 Other disease of arteries, arterioles and capillaries 0† 0 0 0 0 0 0 0 * 0 * * 0† 0 0 0 0 0 0 0 0 0 * 0 50† * * 0 * * * * 8 * 17 15 Other diseases of circulatory system Other disorders of circulatory system Influenza and pneumonia Influenza 0† 0 0 0 0 0 * 0 0 0 0 * 50† * * 0 * * 0 * 8 * 17 14 Other acute lower respiratory infections 0† * 0 0 0 0 0 0 0 0 0 0 Acute bronchiolitis 0† * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30† 0 0 0 0 0 0 0 * 9 9 8 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 * 0 * Pneumonia Unspecified acute lower respiratory infection Chronic lower respiratory diseases Bronchitis, chronic and unspecified Emphysema Asthma Other chronic lower respiratory diseases Pneumoconioses and chemical effects 0† 0 0 0 0 0 0 0 * * * 0 30† 0 0 0 0 0 0 0 * 7 8 7 0 0 0 0 0 0 0 0 0 0 0 0 Pneumonitis due to solids and liquids 10† 0 0 0 0 * 0 0 * * * * Other disease of respiratory system 30† * 0 0 0 * 0 * * * 6 * 0† 0 0 0 0 0 0 0 * 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 * 0 0 Peptic ulcer Diseases of appendix Hernia Chronic liver disease and cirrhosis 150† 0 0 0 * 15 28 50 30 12 8 * 120† 0 0 0 * 12 23 46 28 8 * * 20† 0 0 0 0 * * * * * * * 0† 0 0 0 0 0 * 0 * 0 0 0 30† 0 0 0 0 0 * * * 7 6 8 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 * 0 0 0 * 20† 0 0 0 0 0 * 0 * 7 6 * 0 0 0 0 0 0 0 0 0 0 0 0 Infections of kidney 0† 0 0 0 0 0 0 * 0 0 0 0 Hyperplasia of prostate 0† 0 0 0 0 0 0 0 0 0 0 * Alcoholic liver disease Other chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis Acute and rapidly progressive nephritic and nephrotic syndrome Chronic glomerulonephritis Renal failure Others disorders of kidney 62 <1 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL 5.5 (continued) DEATHS BY AGE GROUP FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2012 Health Status Profile of American Indians in Arizona, 2012 Data Book Inflammatory diseases of female pelvic organs Pregnancy, childbirth and the puerperium Pregnancy with abortive outcome 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 <1 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL 5.5 (continued) DEATHS BY AGE GROUP FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2012 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 0 * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 0 * * 0 0 0 0 0 Perinatal conditions 10† 11 0 * 0 0 0 0 0 0 0 0 Congenital anomalies, deformations and chromosomal abnormalities 20† 12 * * * * 0 * * 0 0 0 Symptoms, signs, abnormal findings 90† 7 * * * 10 6 18 12 8 7 14 260† * * 13 37 51 54 52 17 10 11 * 120† 0 * 11 24 32 20 20 7 * * 0 Other complications of pregnancy, childbirth and the puerperium Total accidents Transport accidents Motor vehicle accidents 120† 0 * 11 23 30 20 18 7 * * 0 Other land transport accidents 0† 0 0 0 0 * 0 * 0 0 * 0 Water, air, space 0† 0 0 0 * * 0 0 0 0 * 0 140† * * * 13 19 34 32 10 8 8 * 30† 0 0 0 * * * * * * * * Nontransport accidents Falls Accidental discharge of firearms 0† 0 0 0 0 0 0 0 * 0 0 0 Accidental drowning and submersion 10† * * 0 * 0 * * * 0 0 0 Accidental exposure to smoke, fire and flames 10† 0 0 * 0 0 0 0 * * * * Accidental poisoning 70† 0 0 0 * 16 22 19 * * 0 0 Excessive natural heat 10† * 0 0 0 0 * * * 0 0 0 Excessive natural cold 10† 0 0 0 0 0 0 * 0 0 * 0 Other and unspecified nontransport accidents 30† * 0 0 * * 7 6 * * * 0 60† 0 0 * 20 25 * * * 0 0 0 By discharge of firearms 20† 0 0 0 6 8 * * * 0 0 0 By other means 40† 0 0 * 14 17 * * * 0 0 0 Intentional self-harm (suicide) Assault (homicide) 50† 0 * * 11 19 6 10 * * 0 0 By discharge of firearms 20† 0 0 0 * 6 * * 0 0 0 0 By other means 40† 0 * * 7 13 * 7 * * 0 0 Legal intervention 0† 0 0 0 0 * 0 0 0 0 0 0 20† * 0 0 * * * * * * 0 0 0† 0 0 0 * * * 0 0 0 0 0 10† * 0 0 * * * * * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 * 0 * 0 0 * 0 * 0 Events of undetermined intent Discharge of firearms Other and unspecified events of undetermined intent Operations of war Complications of medical and surgical care INJURY BY FIREARMS 40† 0 0 0 11 16 * * * 0 0 DRUG-INDUCED DEATHS 40† 0 0 0 * 10 10 10 * 0 0 0 200† 0 0 0 6 23 45 66 41 16 * * ALCOHOL-INDUCED DEATHS Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2012 Data Book 63 5.6 DEATHS BY RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2012 Total, all causes Total elsewhere in Arizona in Coconino County in Pima County in Maricopa County Total Yavapai-Prescott Indian Tribe 2 4 25 5 2 28 6 75 29 49 84 3 1 1,100† 256 104 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Shigellosis and amebiasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 0 0 0 0 0 0 * 0 * * * 0 0 0 10† 0 0 * 6 0† 10† 0 0 0 0 0 0 0 0 0 * 0 0 * * 0 0 0 0† 0 0 * * 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Respiratory tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Whooping cough 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Scarlet fever and erysipelas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningococcal infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 * 0 0 0 * * * 9 * 0 * * 0 0 0 20† * * * Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Arthropod-borne encephalitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis 10† 0 0 0 0 0 0 0 0 0 * 0 0 0 * 0 0 0 0† * * * * 10† Human immunodeficiency virus (HIV) disease 10† 0 0 0 0 0 0 0 * 0 * 0 0 0 * 0 0 0 10† 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other and unspecified infectious and parasitic diseases 10† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† * 0 * * 0† Malignant neoplasms 35 115 93 Enterocolitis due to Clostridium difficile Tuberculosis Septicemia Malaria 66 280 706 0 22 10† 0† 208 0 0 * 0 0 0 0 11 * 52 6 10 7 11 16 0 0 120† 15 10 Malignant neoplasm of lip, oral cavity and pharynx 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * * 0 0 0† Malignant neoplasm of esophagus 0† 0 0 0 0 0 0 0 * 0 * * 0 0 0 * 0 0 0† 0 0 0 * 0 20† 0 0 0 0 0 0 0 0 0 14 0 0 * 0 0 0 0 20† * * * 16 10† Malignant neoplasm of colon, rectum and anus 16 0 0 0 0 0 0 0 * 0 * 0 0 * 0 * 0 0 10† * * * 8 10† Malignant neoplasm of liver and intrahepatic bile ducts 23 0 0 0 0 0 0 0 0 0 * * * 0 * * 0 0 10† * * * 7 20† Malignant neoplasm of pancreas 15 0 0 * 0 0 0 0 * 0 * 0 0 0 * 0 0 0 10† * 0 * 7 10† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20† 0 0 0 0 0 0 0 0 * 0 * 0 * * * 0 0 10† 0 * 6 * 10† Malignant neoplasm of stomach Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin Malignant neoplasm of breast Malignant neoplasm of cervix uteri 64 92 138 Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Nation San Carlos Apache Tribe Pascua Yaqui Tribe 1,806 Salmonella infections Certain other intestinal infections 18 539 Resided off reservation Salt River Pima - Maricopa Indian Community Navajo Nation Hualapai Tribe Hopi Tribe Havasupai Tribe Gila River Indian Community Fort Mohave Indian Tribe Cocopah Tribe Colorado River Indian Tribe Fort McDowell Yavapai Nation Reservation Ak-Chin Indian Community Cause of death (Tenth Revision, International Statistical Classification of Diseases) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 0 0 0 0 0 0 * 0 * 0 0 * 0 0 10† * 0 * 6 0† 0† 0 0 0 0 0 0 0 0 0 * 0 * 0 0 * 0 0 0† 0 0 * * 0† Malignant neoplasm of corpus uteri and uterus, part unspecified 10† 0 0 0 0 0 0 0 * 0 0 0 * 0 * 0 0 0 0† * * 0 * 0† Malignant neoplasm of ovary 10† 0 0 0 0 0 0 0 * 0 * 0 * 0 0 0 0 0 10† 0 0 0 6 0† Malignant neoplasm of prostate 10† 0 0 0 0 0 0 0 * 0 0 0 * 0 * * 0 0 0† 0 0 * * 10† Malignant neoplasm of kidney and renal pelvis 10† 0 0 0 0 0 0 0 0 0 * 0 0 * 0 0 0 0 0† 0 0 * * 10† Health Status Profile of American Indians in Arizona, 2012 Data Book 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2012 Malignant neoplasm of bladder Malignant neoplasm of meninges, brain and other parts of CNS Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin's disease Non-Hodgkin's lymphoma Leukemia Total elsewhere in Arizona in Coconino County in Pima County in Maricopa County Total Yavapai-Prescott Indian Tribe Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Nation San Carlos Apache Tribe Pascua Yaqui Tribe Resided off reservation Salt River Pima - Maricopa Indian Community Navajo Nation Hualapai Tribe Hopi Tribe Havasupai Tribe Gila River Indian Community Fort Mohave Indian Tribe Cocopah Tribe Colorado River Indian Tribe Fort McDowell Yavapai Nation Reservation Ak-Chin Indian Community Cause of death (Tenth Revision, International Statistical Classification of Diseases) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0† 10† 0 0 0 0 0 0 0 0 0 * 0 0 * 0 * 0 0 0† 0 0 0 * 0† 21 0 0 0 0 0 0 0 0 0 * * 0 0 * * 0 0 10† * * * 12 10† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 0 0 0 0 0 0 * * 0 0 * * 0 0 0† * * 0 * 0† 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0† 0 * 0 * 0† 10† 0 0 0 0 0 0 0 0 0 * 0 0 0 * * 0 0 10† 0 0 * 7 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 0 0 0 0 0 0 * 0 10 * * * * * 0 0 30† * * 6 In situ neoplasms 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 * * Anemias 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 * * 0† Diabetes 163 0 0 * * 0 * * * * 33 9 7 7 13 10 0 * 100† 8 6 30 97 66 Nutritional deficiencies 10† 0 0 0 0 0 0 0 0 0 * 0 0 * 0 * 0 0 10† 0 0 0 * 0† 10† 0 0 0 0 0 0 0 0 0 * 0 0 * 0 * 0 0 10† 0 0 0 * 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 0 0 0 0 0 0 * 0 0 * * 0 0 0 0† * 0 * * 10† Meningitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Parkinson's disease 6 0 0 0 0 0 0 0 0 0 * 0 0 0 0 * 0 0 10† 0 0 0 6 0 Alzheimer's disease 20† 0 0 0 0 0 0 0 * 0 * 0 0 0 0 * * 0 0† * 0 * * 10† Major cardiovascular diseases 309 0 0 * * 0 * 0 14 * 90 * 11 21 22 16 0 0 190† 22 10 223 0 0 * * 0 * 0 11 * 67 * 6 12 16 10 0 0 130† 16 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 * 0 * * * * * 0 0 0 10† 0 * * Multiple myeloma and immunoproliferative neoplasms Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm Malnutrition Other nutritional deficiencies Obesity Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease Hypertensive heart and renal disease 27 10† 0† 49 189 120 36 133 0 90 0 11 10† 0† 0 0 0 0 0 0 0 * 0 0 0 0 0 * 0 0 0 0† 0 0 0 143 0 0 * * 0 * 0 8 * 44 0 * 7 9 8 0 0 90† 11 * 19 85 60† 35 0 0 * 0 0 0 0 * 0 11 0 0 * * * 0 0 20† * * * 20 20† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 0 0 * * 0 * 0 * * 33 0 * 6 7 6 0 0 70† 7 * 17 65 40† Atherosclerotic cardiovascular disease 37 0 0 0 0 0 * 0 * 0 13 0 * * * 0 0 0 20† * * * 22 20† All other forms of chronic ischemic heart disease 71 0 0 * * 0 * 0 * * 20 0 * * 6 6 0 0 40† * * 12 43 30† 60 0 0 * 0 0 * 0 * 0 20 * * * * * 0 0 40† * * 12 35 30† Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Other heart diseases * 0 0 0 Acute and subacute endocarditis 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† * 0 0 * 0† Diseases of pericardium and acute myocarditis 0† 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0† 0 0 0 * 0 Heart failure 14 0 0 0 0 0 0 0 0 0 * 0 0 * * 0 0 0 10† 0 * * 7 10† All other forms of heart disease 43 0 0 * 0 0 * 0 0 0 15 * * * * * 0 0 30† * 0 8 26 20† Health Status Profile of American Indians in Arizona, 2012 Data Book 65 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2012 Total elsewhere in Arizona in Coconino County in Pima County in Maricopa County Total Yavapai-Prescott Indian Tribe Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Nation San Carlos Apache Tribe Pascua Yaqui Tribe Resided off reservation Salt River Pima - Maricopa Indian Community Navajo Nation Hualapai Tribe Hopi Tribe Havasupai Tribe Gila River Indian Community Fort Mohave Indian Tribe Cocopah Tribe Colorado River Indian Tribe Fort McDowell Yavapai Nation Reservation Ak-Chin Indian Community Cause of death (Tenth Revision, International Statistical Classification of Diseases) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Essential (primary) hypertension and hypertensive renal disease 28 0 0 0 0 0 0 0 0 * * * * * * 0 0 0 20† * 0 * 16 10† Cerebrovascular diseases 52 0 0 * 0 0 0 0 * 0 17 0 * * * * 0 0 40† * * 6 38 10† Atherosclerosis 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0† 10† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 * 0 0 0† * 0 * * 0† Aortic aneurysm and dissection 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0† Other disease of arteries, arterioles and capillaries 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 * 0 0 0† * 0 * * 0† Other disorders of circulatory system 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 0 * 0† Influenza and pneumonia 51 0 * 0 0 0 0 0 * * 21 0 0 0 * 6 0 0 40† * * 8 Influenza 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 0 Pneumonia 49 0 * 0 0 0 0 0 * * 19 0 0 0 * 6 0 0 30† * * 8 Other acute lower respiratory infections 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0† 0 0 0 * 0 Acute bronchiolitis 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0† 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 * 0 0 0 0 * 0 * 0 0 * * * 0 0 10† * 0 8 Other diseases of circulatory system Unspecified acute lower respiratory infection Chronic lower respiratory diseases Bronchitis, chronic and unspecified 35 20† * 0 33 20† 13 20† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Emphysema 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 * 0 0 0 0† 0 0 0 * 0 Asthma 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 * * 0† Other chronic lower respiratory diseases 25 0 0 * 0 0 0 0 * 0 0 0 0 * * * 0 0 10† * 0 7 Pneumoconioses and chemical effects 10 20† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 0 0 * 0 0 0 8 0 0 0 * 0 0 0 10† 0 0 * 12 0† Other disease of respiratory system 25 0 0 0 0 0 * * 0 0 10 0 0 0 0 * 0 0 20† * * * 16 10† Peptic ulcer 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0† 0 0 0 * 0 148 0 0 * 0 0 * 0 * * 22 * 7 * 9 13 * 0 70† 11 * 27 72 80† 124 0 0 * 0 0 * 0 * 0 17 * 6 * 8 12 * 0 60† 11 * 23 60 60† 24 0 0 * 0 0 0 0 * * * 0 * 0 * * 0 0 10† 0 * * 12 10† Cholelithiasis and other disorders of gallbladder 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 * * 0 0 0† 0 0 0 Nephritis, nephrotic syndrome and nephrosis 26 * 0 0 0 * 0 0 * 0 6 0 * * * * 0 0 20† 0 0 * Pneumonitis due to solids and liquids Diseases of appendix Hernia Chronic liver disease and cirrhosis Alcoholic liver disease Other chronic liver disease and cirrhosis Acute and rapidly progressive nephritic and nephrotic syndrome Chronic glomerulonephritis Renal failure Others disorders of kidney Infections of kidney 66 * 0† 19 10† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 * 0 * 0 0 0 0 0 0† 0 0 * * 0† 20† * 0 0 0 * 0 0 * 0 * 0 0 * * * 0 0 20† 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† * 0 0 * 0† 17 10† Health Status Profile of American Indians in Arizona, 2012 Data Book 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2012 Hyperplasia of prostate Inflammatory diseases of female pelvic organs Pregnancy, childbirth and the puerperium Pregnancy with abortive outcome Other complications of pregnancy, childbirth and the puerperium Perinatal conditions Congenital anomalies, deformations and chromosomal abnormalities Symptoms, signs, abnormal findings Total accidents Transport accidents Motor vehicle accidents Other land transport accidents Water, air, space Nontransport accidents Falls Accidental discharge of firearms Accidental drowning and submersion Accidental exposure to smoke, fire and flames Accidental poisoning Excessive natural heat Excessive natural cold Other and unspecified nontransport accidents Intentional self-harm (suicide) By discharge of firearms By other means Assault (homicide) By discharge of firearms By other means Legal intervention Events of undetermined intent Discharge of firearms Other and unspecified events of undetermined intent Operations of war Complications of medical and surgical care 0† 0 10† 0 10† 10† INJURY BY FIREARMS DRUG-INDUCED DEATHS ALCOHOL-INDUCED DEATHS 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 * 0 * 0 * * 0 0 * 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 10† 0 10† 10† 0 0 0 0 0 0 0 0 * 0 * * 0 0 0 0 0 * * * 0 * 0 * 8 Total elsewhere in Arizona in Coconino County in Pima County in Maricopa County Total Yavapai-Prescott Indian Tribe Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Nation San Carlos Apache Tribe Pascua Yaqui Tribe 0 0 0 0 0 0 Resided off reservation Salt River Pima - Maricopa Indian Community Navajo Nation Hualapai Tribe Hopi Tribe Havasupai Tribe Gila River Indian Community Fort Mohave Indian Tribe Cocopah Tribe 0 0 0 0 0 0 Colorado River Indian Tribe Fort McDowell Yavapai Nation Reservation Ak-Chin Indian Community Cause of death (Tenth Revision, International Statistical Classification of Diseases) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 0 0 0† 0 0† 0† 20 0 * * 0 0 0 * * * * 0 0 0 0 * 0 0 10† * 0 91 258 122 115 0† 0† 136 27 0† 10† 6 68 10† 10† 25 60 19 41 54 20† 38 0† 17 0† 10† 0 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 * 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 6 0 0 0 0 0 0 0 0 0 0 0 * * 0 * 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 * 0 0 0 0 0 0 * 8 * * 0 0 * * 0 0 * * * 0 * 0 0 0 * * * 0 0 0 0 0 0 0 * * 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 14 8 8 0 0 6 * 0 0 0 * 0 * * 0 0 0 * 0 * 0 0 0 0 0 0 * * * * 0 0 * 0 0 0 0 * 0 0 0 * 0 * 0 0 0 0 0 0 0 0 0 47 96 58 55 0 * 38 7 0 * * 15 * * 12 22 9 13 11 * 8 0 * 0 * 0 0 0 * 0 0 0 0 * 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 * 0 * 0 0 * * * * 0 0 * * 0 0 0 0 0 0 0 0 0 0 * 0 * 0 0 0 0 0 0 0 14 * * 0 0 10 * 0 0 * * 0 0 0 * * * * 0 * 0 * 0 * 0 0 * * * * 0 0 * * 0 0 0 * 0 0 * * 0 * * 0 * 0 0 0 0 0 0 6 19 * * 0 0 17 * 0 * 0 10 0 0 * 6 * * 6 0 6 * * 0 * 0 0 0 * * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60† 180† 90† 80† 0† 0† 90† 20† 0 0† 10† 40† 0† 10† 20† 40† 10† 30† 30† 10† 20† 0† 10† 0 10† 0 0 * 10 * * 0 0 * * 0 * 0 * 0 0 0 * * * * * * 0 * 0 * 0 0 7 7 6 * * 0 * 0 0 0 0 * 0 0 0 * * * * * * 0 0 0 0 0 0 6 62 30† 35 175 83 14 87 40† 13 83 30† * * 0† 0 * 0 21 88 50† * 21 10† * 0 0† * * 10† 0 6 0 13 39 30† 0 * 0† 0 * 0 * 18 10† 7 37 20† * 12 10† 6 25 20† 11 28 30† * * 10† 7 23 20† 0 * 0 * 10 10† * 0 0† 0 10 0† 0 0 0 * 0 0† 10 10† 40 38 203 0 0 0 0 0 0 * 0 * 0 0 * 0 0 0 * * * 0 0 0 0 * * 0 * * 12 * 42 0 * * 0 0 8 * * 9 0 0 10 * * 25 0 0 * 0 0 0 20† 20† 110† * * 12 * 0 * 7 18 20† 6 15 20† 39 112 90† Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2012 Data Book 67 Total, all causes Unknown Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa La Paz Greenlee Graham Gila Coconino Cochise 1,810† 318 4 205 79 15 2 31 334 38 373 215 130 2 18 12 30 Salmonella infections 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Shigellosis and amebiasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† * 0 * * * 0 0 * 0 0 * 0 0 * 0 0 10† 0 0 * 0 * 0 0 * 0 0 * 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Respiratory tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Certain other intestinal infections Enterocolitis due to Clostridium difficile Tuberculosis Whooping cough Scarlet fever and erysipelas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningococcal infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30† 6 0 * * 0 0 * * * * 9 0 * 0 0 0 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Septicemia Arthropod-borne encephalitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis 10† 0 0 * 0 0 0 0 * 0 0 * 0 0 * 0 * Human immunodeficiency virus (HIV) disease 10† * 0 0 0 0 0 0 * 0 * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 * 0 0 0 0 0 * * * 0 0 0 0 0 Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms 210† 36 0 17 * * 0 * 43 * 46 29 20 0 * * * Malignant neoplasm of lip, oral cavity and pharynx 0† 0 0 * 0 0 0 0 0 0 0 * 0 0 0 0 0 Malignant neoplasm of esophagus 0† * 0 0 0 0 0 0 0 0 * * 0 0 0 0 0 Malignant neoplasm of stomach 20† 8 0 * * * 0 0 * 0 7 * * 0 0 0 0 Malignant neoplasm of colon, rectum and anus 20† * 0 * 0 * 0 0 * * * * * 0 * 0 0 Malignant neoplasm of liver and intrahepatic bile ducts 20† * 0 * 0 0 0 0 8 0 * 6 * 0 0 0 0 Malignant neoplasm of pancreas 20† * 0 0 0 0 0 * * * * * * 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20† 0 0 * * 0 0 0 * * * * * 0 0 0 0 0 Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin Malignant neoplasm of breast Malignant neoplasm of cervix uteri 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† * 0 * 0 0 0 0 * 0 * * 0 0 0 0 0 0† * 0 0 0 0 0 0 * 0 * 0 * 0 0 0 0 Malignant neoplasm of corpus uteri and uterus, part unspecified 10† 0 0 * 0 0 0 0 * 0 * * 0 0 0 0 0 Malignant neoplasm of ovary 10† * 0 0 0 0 0 0 * 0 * 0 0 0 0 0 0 Malignant neoplasm of prostate 10† 0 0 0 0 0 0 0 * 0 * * * 0 0 0 0 Malignant neoplasm of kidney and renal pelvis 10† * 0 0 0 * 0 0 * 0 * 0 * 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 Malignant neoplasm of bladder 68 Apache Cause of death (Tenth Revision, International Statistical Classification of Diseases) ARIZONA 5.7 DEATHS BY COUNTY OF RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2012 Health Status Profile of American Indians in Arizona, 2012 Data Book * * 0 0 0 * 0 * 0 0 0 0 0 0 * 0 0 0 0 * 0 6 * * 0 0 0 * Non-Hodgkin's lymphoma Leukemia Multiple myeloma and immunoproliferative neoplasms Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm Yuma Pinal Pima Navajo Mohave La Paz Graham Gila Cochise Apache Unknown 0 0 Yavapai * * Maricopa 10† 20† Greenlee Malignant neoplasm of meninges, brain and other parts of CNS Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin's disease Coconino Cause of death (Tenth Revision, International Statistical Classification of Diseases) ARIZONA Santa Cruz 5.7 (continued) DEATHS BY COUNTY OF RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2012 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 * 0 0 0 0 0 0 * * 0 0 0 0 0 0† 0 0 * 0 0 0 0 * 0 * 0 0 0 0 0 0 10† * 0 * 0 0 0 0 0 0 * * * 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40† 8 0 * * 0 0 0 8 0 11 * * 0 * 0 * 0 In situ neoplasms 0† * 0 0 0 0 0 0 * 0 0 0 * 0 0 0 Anemias 0† * 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 Diabetes 160† 23 0 10 7 * 0 * 35 * 26 30 15 0 * * * 10† * 0 * * 0 0 0 * 0 * 0 0 0 0 0 0 10† * 0 * * 0 0 0 * 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† * 0 0 * * 0 * * 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 * 0 0 0 0 0 0 * 0 0 0 0 0 0 Nutritional deficiencies Malnutrition Other nutritional deficiencies Obesity Meningitis Parkinson's disease Alzheimer's disease Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease Hypertensive heart and renal disease Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Atherosclerotic cardiovascular disease All other forms of chronic ischemic heart disease Other heart diseases Acute and subacute endocarditis Diseases of pericardium and acute myocarditis 20† 0 0 0 * 0 0 0 6 * * * * 0 * 0 0 310† 51 * 35 20 * * 7 52 7 53 46 21 0 * * 9 220† 37 0 29 11 * * * 38 * 36 33 18 0 * * 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20† * 0 * * 0 0 0 * * * * * 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 * * 0 0 0 0 0 140† 24 0 18 8 * 0 * 27 * 26 19 11 0 0 * * 40† 9 0 * * * 0 * 6 * * 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110† 15 0 13 7 0 0 * 21 * 21 13 11 0 0 * * 40† 6 0 * * 0 0 0 8 0 7 * * 0 0 0 * * 70† 9 0 8 * 0 0 * 13 * 14 11 7 0 0 * 60† 11 0 8 * * * * 9 * 8 9 * 0 * 0 * 0† * 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 Heart failure 10† * 0 * * 0 0 * * 0 * * * 0 0 0 0 All other forms of heart disease 40† 7 0 7 * * * * 7 * * 6 * 0 * 0 * Essential (primary) hypertension and hypertensive renal disease 30† * 0 0 * 0 0 * * * * 7 * 0 0 0 0 Cerebrovascular diseases 50† 11 0 * * 0 0 * 9 * 12 * * 0 * 0 * Health Status Profile of American Indians in Arizona, 2012 Data Book 69 Atherosclerosis Unknown Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa La Paz Greenlee Graham Gila Coconino Cochise 0† 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 10† 0 * * 0 0 0 0 0 0 * * 0 0 0 0 * Aortic aneurysm and dissection 0† 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other disease of arteries, arterioles and capillaries 0† 0 0 * 0 0 0 0 0 0 * * 0 0 0 0 * Other diseases of circulatory system Other disorders of circulatory system Influenza and pneumonia Influenza Pneumonia 0† 0 0 0 0 0 0 0 * 0 * 0 0 0 0 0 0 50† 13 0 7 0 0 0 0 * * 16 6 * 0 0 * * 0† * 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 50† 12 0 6 0 0 0 0 * * 16 6 * 0 0 * * Other acute lower respiratory infections 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 Acute bronchiolitis 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30† 0 0 * * 0 0 * 7 * * * * 0 0 * * Unspecified acute lower respiratory infection Chronic lower respiratory diseases Bronchitis, chronic and unspecified Emphysema Asthma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 * 0† 0 0 * * 0 0 0 * 0 0 0 0 0 0 0 0 30† 0 0 * * 0 0 * 6 * * * * 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pneumonitis due to solids and liquids 10† * 0 * 0 0 0 0 * 0 * * 0 0 * 0 0 Other disease of respiratory system 30† * 0 7 0 0 0 0 * 0 6 * * 0 0 0 0 0† * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other chronic lower respiratory diseases Pneumoconioses and chemical effects Peptic ulcer Diseases of appendix Hernia 0† 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 150† 19 0 9 * * 0 * 44 * 21 24 14 * * * * 120† 16 0 6 * * 0 * 36 * 18 23 11 * * * * 20† * 0 * 0 0 0 * 8 * * * * 0 0 0 0 0† * 0 0 0 0 0 0 * 0 0 * 0 0 0 0 0 30† * 0 * * 0 0 0 * * * * * 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 * 0 0 0 0 * 0 0 0 * 0 0 0 0 20† * 0 * * 0 0 0 * * * * * 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Infections of kidney 0† 0 0 0 0 0 0 0 0 0 * * 0 0 0 0 0 Hyperplasia of prostate 0† * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† * 0 * 0 0 0 0 * 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Chronic liver disease and cirrhosis Alcoholic liver disease Other chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis Acute and rapidly progressive nephritic and nephrotic syndrome Chronic glomerulonephritis Renal failure Others disorders of kidney Inflammatory diseases of female pelvic organs Pregnancy, childbirth and the puerperium Pregnancy with abortive outcome 70 Apache Cause of death (Tenth Revision, International Statistical Classification of Diseases) ARIZONA 5.7 (continued) DEATHS BY COUNTY OF RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2012 Health Status Profile of American Indians in Arizona, 2012 Data Book Other complications of pregnancy, childbirth and the puerperium Perinatal conditions Congenital anomalies, deformations and chromosomal abnormalities Symptoms, signs, abnormal findings Unknown Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa La Paz Greenlee Graham Gila Coconino Cochise Apache Cause of death (Tenth Revision, International Statistical Classification of Diseases) ARIZONA 5.7 (continued) DEATHS BY COUNTY OF RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2012 10† * 0 * 0 0 0 0 * 0 * 0 0 0 0 0 0 10† * 0 * 0 0 0 0 * 0 * 0 * 0 0 0 0 20† * 0 * 0 0 0 * 6 * * * * 0 0 * 0 90† 32 * 12 0 0 0 0 18 * 19 * * 0 0 0 * 260† 51 * 32 13 * 0 7 40 6 63 18 18 0 * * * 120† 33 0 23 * * 0 7 13 * 22 6 8 0 * * * 120† 31 0 21 * * 0 7 12 * 21 6 7 0 * * * Other land transport accidents 0† 0 0 * 0 0 0 0 * 0 0 0 * 0 0 0 0 Water, air, space 0† * 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 140† 18 * 9 10 0 0 0 27 * 41 12 10 0 * * * 30† * 0 * * 0 0 0 6 0 10 * * 0 0 0 0 Total accidents Transport accidents Motor vehicle accidents Nontransport accidents Falls Accidental discharge of firearms 0† 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 Accidental drowning and submersion 10† 0 0 0 0 0 0 0 * 0 * * * 0 0 * 0 Accidental exposure to smoke, fire and flames 10† * 0 0 * 0 0 0 * 0 0 0 0 0 0 0 0 Accidental poisoning 70† 7 0 * * 0 0 0 13 * 22 7 * 0 * 0 * 0 Excessive natural heat 10† 0 * 0 0 0 0 0 * 0 0 0 0 0 0 0 Excessive natural cold 10† * 0 * 0 0 0 0 0 0 * 0 0 0 0 0 0 Other and unspecified nontransport accidents 30† 8 * * 0 0 0 0 * 0 6 * * 0 0 0 0 0 Intentional self-harm (suicide) 60† 12 0 7 * * 0 * 11 * 14 * * 0 0 * By discharge of firearms 20† * 0 * * 0 0 * * 0 * * 0 0 0 0 0 By other means 40† 8 0 * * * 0 0 7 * 9 * * 0 0 * 0 0 Assault (homicide) 50† 6 0 10 * * 0 * 11 * 12 * 6 0 0 0 By discharge of firearms 20† * 0 * 0 0 0 0 * 0 * * * 0 0 0 0 By other means 40† * 0 7 * * 0 * 6 * 11 * * 0 0 0 0 Legal intervention Events of undetermined intent Discharge of firearms Other and unspecified events of undetermined intent Operations of war 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 20† 0 0 * * 0 0 0 * 0 * * * 0 0 0 0 0† 0 0 0 0 0 0 0 * 0 0 0 * 0 0 0 0 10† 0 0 * * 0 0 0 * 0 * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 * 0 * 0 0 0 0 0 0 INJURY BY FIREARMS 40† * 0 6 * 0 0 * 11 0 7 * 6 0 0 0 0 DRUG-INDUCED DEATHS 40† * 0 0 * 0 0 0 14 * 6 7 * 0 * 0 0 200† 31 0 12 9 * 0 * 48 * 46 26 18 * * * * Complications of medical and surgical care ALCOHOL-INDUCED DEATHS Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2012 Data Book 71 5.8 DEATHS FROM MOTOR VEHICLE-RELATED INJURIES AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2012 TOTAL ALL AGES 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 M ALL AGES 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 F ALL AGES 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 115 0† 10† 20† 30 20 18 10† 0† 0† 80 0† 10† 20† 18 20† 10† 10† 0† 35 0† 0† 0† 10† 0† 10† 0† 0† 0† 10† 0 * * * 0 * 0 0 0 0† 0 * * 0 0 0 0 0 0† 0 0 0 * 0 * 0 0 0 0† 0 0 * * 0 0 0 0 0 0† 0 0 0 * 0 0 0 0 0† 0 0 * * 0 0 0 0 0 10† 0 0 * * * 0 0 * 0 10† 0 0 * 0 * 0 0 * 0† 0 0 0 * 0 0 0 0 0 0† 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 * 0 0 0 0 0 60† 0 * 14 16 8 7 * * * 40† 0 * 14 10 6 * * 0 20† 0 * 0 6 * * 0 * * 0† 0 0 0 0 * 0 * 0 0 0† 0 0 0 0 * 0 * 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 * 0 0 * * 0 0 0† 0 0 0 0 0 * * 0 0† 0 0 * 0 0 0 * 0 0 0† 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 * 0 0 0 0† 0 0 0 0 0 * 0 0 0 0† 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 * 0 0 0 0 0 0† 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80† 0 10† 20† 20† 10† 10† 10† 0† 0† 60† 0 10† 20† 10† 10† 10† 10† 0† 20† 0 0† 0† 10† 0† 10† 0† 0† 0† 10† * * * * * 0 0 0 0 10† * * * * * 0 0 0 0† 0 0 * * 0 0 0 0 0 10† 0 0 * * 0 * * 0 0 0† 0 0 * * 0 * 0 0 0† 0 0 0 0 0 * * 0 0 10† 0 0 * * * * 0 0 0 0† 0 0 0 * * * 0 0 0† 0 0 * 0 0 * 0 0 0 10† * * * * * * 0 0 0 10† * 0 * * * * 0 0 10† * * 0 * * 0 0 0 0 TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL Yavapai-Apache Nation White Mountain Apache Tribe Resided off reservation Tohono O'Odham Nation San Carlos Apache Tribe Salt River PimaMaricopa Indian Community Navajo Nation Hualapai Tribe Hopi Tribe Gila River Indian Community Colorado River Indian Tribe TOTAL Resided on reservation 30† 0† 0† 10† 10† 10† 10† 0† 0 0 20† 0† 0† 0† 10† 10† 0† 0 0 10† 0† 0† 0† 0† 0† 0† 0† 0 0 Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 72 Health Status Profile of American Indians in Arizona, 2012 Data Book 5.9 INTENTIONAL SELF-HARM (SUICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2012 TOTAL M F TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County TOTAL White Mountain Apache Tribe ---in Maricopa County Resided off reservation Tohono O'Odham Nation San Carlos Apache Tribe Navajo Nation Hualapai Tribe TOTAL Colorado River Indian Tribe Resided on reservation ALL AGES 60 0† 0† 20† 0† 0† 10† 40† 10† 0† 0† 10† 20† 5-14 0† 0 0 * 0 0 0 0† * 0 0 * 0† 15-24 20 0 * 7 0 * * 10† * 0 * * 10† 25-34 25 0 * 7 * * * 20† * * * * 10† 35-44 10† * 0 * 0 0 0 0† * 0 0 * 0† 45-54 0† 0 0 * 0 0 0 0† 0 0 0 0 0 55-64 0† 0 0 * 0 0 0 0† * 0 0 0 0† ALL AGES 46 0† 0† 20† 0† 0† 10† 30† 10† 0† 0† 10† 20† 5-14 0† 0 0 * 0 0 0 0† * 0 0 * 0† 15-24 10† 0 * 7 0 * * 10† * 0 0 * 0† 25-34 18 0 * * * 0 * 10† * * * * 10† 35-44 0† * 0 * 0 0 0 0† * 0 0 * 0† 45-54 0† 0 0 * 0 0 0 0† 0 0 0 0 0 55-64 0† 0 0 * 0 0 0 0† * 0 0 0 0† ALL AGES 14 0 0 0† 0† 0† 0† 10† 0† 0† 0† 0† 10† 15-24 10† 0 0 0 0 * * 0† * 0 * 0 0† 25-34 10† 0 0 * * * 0 0† * * 0 * 0† 35-44 0† 22 0 * 0 0 0 0† 0 0 0 0 0 Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2012 Data Book 73 5.10 ASSAULT (HOMICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2012 TOTAL M F TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL White Mountain Apache Tribe Tohono O'Odham Nation Resided off reservation San Carlos Apache Tribe Salt River PimaMaricopa Indian Community Navajo Nation Hopi Tribe Gila River Indian Community Fort Mojave Indian Tribe TOTAL Colorado River Indian Tribe Resided on reservation ALL AGES 54 0† 0† 0† 0† 10† 0† 0† 0† 10† 30† 10† 0† 0† 10† 30† 1-4 0† 0 * 0 0 0 0 * 0 0 0† 0 0 0 0 0 5-14 0† 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0† 15-24 10† 0 0 * 0 * 0 0 0 * 0† * * 0 * 10† 25-34 19 0 0 * * 7 0 * * * 10† * * * * 10† 35-44 10† 0 0 0 0 * * 0 0 0 0† * * 0 * 0† 45-54 10† * 0 * 0 0 0 0 0 * 0† * * * * 10† 55-64 0† 0 0 0 * 0 0 0 0 * 0† * 0 * 0 0† 65-74 0† 0 0 0 0 * 0 0 0 0 0† 0 0 0 0 0 ALL AGES 39 0† 0 0† 0† 10† 0† 0† 0† 0† 20† 0† 0† 0† 10† 20† 1-4 0† 0 0 0 0 0 0 * 0 0 0† 0 0 0 0 0 15-24 10† 0 0 * 0 0 0 0 0 * 0† * * 0 * 10† 25-34 10† 0 0 * * 6 0 * * * 10† 0 * 0 * 0† 35-44 10† 0 0 0 0 * * 0 0 0 0† * * 0 * 0† 45-54 10† * 0 * 0 0 0 0 0 * 0† * 0 * * 10† 55-64 0† 0 0 0 0 0 0 0 0 0 0 * 0 * 0 0† 65-74 0† 0 0 0 0 * 0 0 0 0 0† 0 0 0 0 0 ALL AGES 15 0 0† 0 0† 0† 0 0 0 0† 10† 0† 0† 0† 0† 10† 1-4 0† 0 * 0 0 0 0 0 0 0 0† 0 0 0 0 0 5-14 0† 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0† 15-24 0† 0 0 0 0 * 0 0 0 * 0† * 0 0 * 0† 25-34 10† 0 0 0 0 * 0 0 0 * 0† * 0 * * 0† 45-54 0† 0 0 0 0 0 0 0 0 0 0 0 * * 0 0† 55-64 0† 0 0 0 * 0 0 0 0 * 0† 0 0 0 0 0 Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 74 Health Status Profile of American Indians in Arizona, 2012 Data Book 5.11 DIABETES-RELATED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2012 0† 70† 10† 20† 20† 20† 20† 50† 20† 10† 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0† 25-34 10† 0 0 0 0 0 0 0 0 0 * 0 0 0 0† * 0 0 * 10† 35-44 20† * 0 * 0 0 0 * * * 0 * * 0 10† * 0 0 * 0† 45-54 47 0 * 0 0 * * 9 * * * * * 0 30† 6 * * 7 20† 55-64 72 * 0 * 0 * * 12 * * * * * 0 40† 12 * * 18 40† 65-74 69 0 * * * * 0 12 * * * 6 * 0 40† 7 * * 16 30† 75-84 79 0 0 * 0 7 0 21 * * * * 9 * 50† 12 * * 11 30† F TOTAL ---in Coconino County ---in Pima County Salt River PimaMaricopa Indian Community Navajo Nation Hopi Tribe TOTAL 0† 180† ---elsewhere in Arizona 10† 0 ---in Maricopa County White Mountain Apache Tribe 0† 0 85+ M Yavapai-Prescott Indian Tribe Tohono O'Odham Nation 10† 0 Pascua Yaqui Tribe Gila River Indian Community 0† 0 Hualapai Tribe Fort McDowell Yavapai Nation Reservation 0† 0† ALL AGES Havasupai Tribe Colorado River Indian Tribe 313 15-24 TOTAL TOTAL Resided off reservation San Carlos Apache Tribe Resided on reservation 60† 130† 19 * 0 0 0 0 0 7 0 * * 0 0 0 10† * * 0 * 10† 162 0† 0 10† 0† 10† 0† 40† 0† 10† 10† 10† 10† 0† 90† 30† 0† 0† 30† 70† 15-24 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0† 25-34 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 * 0† 35-44 10† 0 0 * 0 0 0 * 0 * 0 0 * 0 10† * 0 0 * 0† 45-54 30 0 0 0 0 * * 7 * * * * * 0 20† * * * * 10† 55-64 39 * 0 * 0 0 0 10 * * * * * 0 20† 8 * * 8 20† 65-74 35 0 0 * * * 0 * 0 * * * * 0 20† * * 0 11 20† 75-84 38 0 0 0 0 * 0 14 0 0 * * * * 20† 7 0 * * 10† 85+ 0† 0 0 0 0 0 0 * 0 0 0 0 0 0 0† 0 * 0 * 0† ALL AGES 151 0† 0† 0† 0 0† 0† 20† 10† 10† 10† 10† 10† 0 90† 20† 10† 10† 30† 70† 25-34 10† 0 0 0 0 0 0 0 0 0 * 0 0 0 0† * 0 0 * 0† 35-44 10† * 0 * 0 0 0 0 * 0 0 * 0 0 10† 0 0 0 * 0† 45-54 17 0 * 0 0 0 0 * * * * * 0 0 10† * * 0 * 10† 55-64 33 0 0 0 0 * * * * * * * * 0 20† * * 0 10 20† 65-74 34 0 * * 0 0 0 7 * * * * * 0 20† * * * * 10† 75-84 41 0 0 * 0 * 0 7 * * * * 8 0 20† * * * 6 20† 20† * 0 0 0 0 0 6 0 * * 0 0 0 10† * 0 0 * 10† ALL AGES 85+ Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; Diabetes-related: deaths due to diabetes reported as multiple cause of death (any mention of diabetes on the death certificate). The number of deaths due to diabetes as the underlying cause of death (163 in 2012) is shown in Tables 5.4 5.7. Health Status Profile of American Indians in Arizona, 2012 Data Book 75 5.12 ALCOHOL-INDUCED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2012 TOTAL ALL AGES F 0† 0† 0† 0† 0† 40† 0† 10† 10† 10† 30† 0† 15-24 10† 0 0 0 0 0 0 0 0 0 0 * 25-34 23 * 0 0 0 * 6 0 * 0 * * 35-44 45 * 0 * 0 0 16 0 * * * 45-54 66 * 0 * * 0 12 * * * 55-64 41 0 * * * 0 * * * * 65-74 16 0 0 * 0 0 * 0 0 75-84 10† 0 0 0 * 0 0 * 0 TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Nation San Carlos Apache Tribe Salt River PimaMaricopa Indian Community Pascua Yaqui Tribe Navajo Nation Hualapai Tribe Hopi Tribe Gila River Indian Community Fort McDowell Yavapai Nation Reservation Resided off reservation 200† 85+ M Colorado River Indian Tribe TOTAL Resided on reservation 110† 40† 10† 0† 40† 90† 0 0† 0 * * * 0† 0 20† * * 0 * 10† 8 0 30† 6 0 * 6 10† * * 0 30† 17 * 0 15 40† * * * 20† * * * 10 20† * 0 * 0 10† * * 0 * 10† * 0 * 0 0† * 0 0 0 0† 0† 0 0 0 0 0 0 0 0 0 * 0 0 0† 0 0 0 0 0 140† 0† 0† 0† 0† 0† 30† 0† 10† 10† 10† 20† 0 80† 20† 10† 0† 20† 60† 15-24 10† 0 0 0 0 0 0 0 0 0 0 * 0 0† 0 * * * 0† 25-34 16 0 0 0 0 * * 0 * 0 * * 0 10† * 0 0 * 10† 35-44 31 0 0 * 0 0 12 0 * * * 6 0 30† * 0 * * 10† 45-54 42 * 0 * * 0 7 * * * * * 0 20† 11 * 0 9 20† 55-64 26 0 * 0 * 0 * * 0 * * * 0 10† * * * 7 20† 65-74 10† 0 0 0 0 0 * 0 0 * 0 0 0 10† * * 0 * 10† 75-84 0† 0 0 0 * 0 0 * 0 0 0 * 0 0† * 0 0 0 0† 85+ 0† 0 0 0 0 0 0 0 0 0 * 0 0 0† 0 0 0 0 0 ALL AGES 70† 0† 0 0† 0 0 10† 0† 0† 0† 0† 10† 0† 30† 10† 10† 0 20† 30† 25-34 10† * 0 0 0 0 * 0 0 0 0 * 0 10† * * 0 0 0† 35-44 14 * 0 0 0 0 * 0 0 0 0 * 0 10† * 0 0 * 10† 45-54 24 0 0 0 0 0 * * * 0 0 * 0 10† 6 * 0 6 20† 55-64 15 0 0 * 0 0 * 0 * * * * * 10† * * 0 * 10† 65-74 10† 0 0 * 0 0 0 0 0 * 0 * 0 0† * 0 0 * 0† 75-84 0† 0 0 0 0 0 0 0 0 * 0 0 0 0† 0 0 0 0 0 ALL AGES Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 76 Health Status Profile of American Indians in Arizona, 2012 Data Book COMPARATIVE CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2012 Data Book 77 5.13 Temporal Changesa in the Selected Leading Causes of Death among American Indian Residents of Arizona, 1992-2012 Notes: 78 a Based on age-adjusted mortality rates: Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard. Health Status Profile of American Indians in Arizona, 2012 Data Book 5.14 Five Leading Causes of Deatha by Gender among American Indian Residents of Arizona in 2012 Rank Female Both Male 1 Diseases of heart 93.9 Diseases of heart 122.7 Diseases of heart 160.6 2 Cancer 90.4 Cancer 100.8 Unintentional injury 136.9 3 Diabetes 69.7 Unintentional injury 94.8 Cancer 114.5 4 Unintentional injury 56.5 Diabetes 80.2 Diabetes 94.1 5 Chronic liver disease and cirrhosis 55.5 Chronic liver disease and cirrhosis 59.2 Chronic liver disease and cirrhosis 63.3 Notes: a Based on age-adjusted mortality rates: Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard. See Table 2B-4 in the “Arizona Health Status and Vital Statistics 2012” report. Health Status Profile of American Indians in Arizona, 2012 Data Book 79 5.15 Five Leading Causes of Deatha among American Indians by Gender and Residence On or Off Reservation, Arizona, 2012 Rank Female, resided on reservation Female, resided off reservation Male, resided on reservation Male, resided off reservation 1 Cancer 12.6 Cancer 13.0 Unintentional injury 19.9 Unintentional injury 14.7 2 Diseases of heart 11.8 Diseases of heart 12.2 Diseases of heart 12.3 Diseases of heart 13.3 3 Unintentional injury 10.5 Chronic liver disease and cirrhosis 10.7 Cancer 8.9 Cancer 13.3 4 Diabetes 9.9 Diabetes 9.9 Diabetes 8.1 Chronic liver disease and cirrhosis 10.8 5 Chronic liver disease and cirrhosis 7.7 Unintentional injury 8.7 Chronic liver disease and cirrhosis 5.7 Diabetes 8.9 Note: 80 a Percent of total deaths in specified group. Health Status Profile of American Indians in Arizona, 2012 Data Book 5.16 Proportional Mortalitya by Type of Cancer and Gender among American Indians and all Residents of Arizona, 2002-2012 Rank Arizona male b American Indian male Arizona female b American Indian female 1 Trachea, bronchus, lung 27.6 Lymphoma 11.0 Trachea, bronchus, lung 25.6 Breast 12.5 2 Lymphoma 10.7 Prostate 10.9 Breast 15.3 Lymphoma 11.2 3 Prostate 10.3 Liver 10.1 Lymphoma 9.4 Ovary 8.0 4 Colon, rectum, anus 9.3 Trachea, bronchus, lung 9.1 Colon, rectum, anus 9.3 Trachea, bronchus, lung 8.0 5 Pancreas 6.1 Colon, rectum, anus 9.0 Pancreas 6.3 Colon, rectum, anus 7.0 6 Leukemia 4.4 Stomach 8.8 Ovary 6.0 Liver 6.6 7 Liver 4.2 Kidney 8.3 Non-Hodgkin's lymphoma 3.8 Pancreas 5.8 8 Non-Hodgkin's lymphoma 4.0 Pancreas 7.1 Leukemia 3.6 Stomach 5.5 9 Esophagus 3.9 Leukemia 3.7 Brain 2.5 Cervix uteri 4.3 10 Bladder 3.6 Non-Hodgkin's lymphoma 3.6 Liver 2.5 Non-Hodgkin's lymphoma 3.9 Notes: a Percent of cancer deaths in specified group in 2002-2012. All race/ethnic groups combined. See Table 5-18 for percentages based on frequency counts. b Health Status Profile of American Indians in Arizona, 2012 Data Book 81 5.17 Proportional Mortalitya by Mechanism of Unintentional Injury and Gender among American Indians and all Residents of Arizona, 2002-2012 Rank Arizona male b American Indian male Arizona female b American Indian female 1 Motor vehicle-related 36.7 Motor vehicle-related 52.7 Falls 33.8 Motor vehicle-related 59.6 2 Poisoning by drugs 23.4 Poisoning by drugs 9.0 Motor vehicle-related 27.7 Falls 12.4 3 Falls 17.4 Poisoning by gases 7.5 Poisoning by drugs 21.5 Poisoning by drugs 9.8 4 Accidental discharge of firearms 4.3 Falls 7.0 Choked on objects other than food 2.3 Poisoning by gases 4.2 5 Accidental drowning 3.6 Exposure to cold 5.3 Accidental drowning 2.0 Exposure to cold 1.8 6 Poisoning by gases 2.3 Accidental drowning 3.2 7 Exposure to heat 1.9 Accidental discharge of firearms 2.2 Accidental discharge of firearms 1.4 Choked on objects other than food 1.6 8 Choked on objects other than food 1.6 Mechanical suffocation 1.8 Choked on food 1.4 Accidental drowning 1.4 9 Fire, flames, smoke 1.4 Railway accidents 1.6 Fire, flames, smoke 1.4 Fire, flames, smoke 0.9 10 Mechanical suffocation 1.1 Exposure to heat 1.5 Exposure to heat 1.2 Exposure to heat 0.9 Notes: 82 Misadventures to patients Misadventures to patients 2.0 1.8 a Percent of unintentional injury deaths in specified group in 2002-2012. All race/ethnic groups combined. See Table 5-19 for percentages based on frequency counts. b Health Status Profile of American Indians in Arizona, 2012 Data Book 5.18 COMPARISON OF MORTALITY BY SPECIFIC TYPE OF CANCER BY GENDER AMONG AMERICAN INDIANS AND ALL RESIDENTSa OF ARIZONA, 2002-2012 ALL RESIDENTS OF ARIZONA TOTAL Malignant neoplasms, total MALE AMERICAN INDIANS OR ALASKA NATIVES FEMALE TOTAL MALE FEMALE 109,715 59,109 50,603 2,149 1,033 1,115 Malignant neoplasm of lip, oral cavity and pharynx 1,441 1,032 409 27 18 9 Malignant neoplasm of esophagus 2,877 2,327 550 50 36 14 Malignant neoplasm of stomach 2,134 1,277 857 152 91 61 10,182 5,470 4,711 171 93 78 Malignant neoplasm of liver and intrahepatic bile ducts 3,779 2,497 1,282 178 104 74 Malignant neoplasm of pancreas 6,789 3,587 3,202 138 73 65 620 495 125 10† * * 29,267 16,330 12,937 183 94 89 Malignant melanoma of skin 1,992 1,377 615 10† 6 * Malignant neoplasm of breast 7,826 72 7,754 140† * 139 712 0 712 48 0 48 Malignant neoplasm of corpus uteri and uterus, part unspecified 1,210† * 1,206 39 0 39 Malignant neoplasm of ovary 3,030† * 3,028 89 0 89 Malignant neoplasm of prostate 6,095 6,087 8 113 113 0 Malignant neoplasm of kidney and renal pelvis 2,688 1,748 940 125 86 39 Malignant neoplasm of bladder 2,876 2,111 764 20 11 9 Malignant neoplasm of meninges, brain and other parts of central nervous system 2,855 1,598 1,257 37 25 12 11,101 6,332 4,768 240 114 125 216 127 89 0† * 0 Non-Hodgkin's lymphoma 4,252 2,339 1,912 82 37 44 Leukemia 4,408 2,586 1,822 81 38 43 Multiple myeloma and immunoproliferative neoplasms 2,218 1,277 941 75 37 38 10† * * 0 0 0 12,245 6,767 5,478 383 162 221 Malignant neoplasm of colon, rectum and anus Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant neoplasm of cervix uteri Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin's disease Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasms a Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; All race/ethnic groups combined. Health Status Profile of American Indians in Arizona, 2012 Data Book 83 5.19 UNINTENTIONAL INJURY DEATHS BY MECHANISM AND GENDER AMONG AMERICAN INDIANS AND ALL RESIDENTSa OF ARIZONA, 2002-2012 ALL RESIDENTS OF ARIZONA TOTAL Unintentional injury, total Railway accidents Motor vehicle -related Water transport accident Accident involving aircraft Poisoning by drugs/medicaments Poisoning by gases and vapors Falls Fire, flames, smoke MALE AMERICAN INDIANS OR ALASKA NATIVES FEMALE TOTAL MALE FEMALE 31,545 19,929 11,612 2,978 2,125 853 105 89 16 41 34 7 10,532 7,317 3,215 1,627 1,119 508 31 23 8 0† * 0 234 195 39 0† * 0 7,166 4,672 2,494 275 191 84 584 452 132 195 159 36 7,390 3,460 3,929 254 148 106 430 270 160 37 29 8 Excessive natural heat 526 388 138 39 31 8 Excessive natural cold 218 181 37 128 113 15 Contact with venomous snakes and lizards 10† 7 * 0† * 0 Contact with venomous spiders 0† * * 0 0 0 Contact with scorpions 0† * 0 0 0 0 10† * * 0 0 0 15 6 9 0† * 0 Lightning 10† 11 * 0† * 0 Storms and floods 10† 6 * 0† * 0 Accidental drowning and submersion 943 708 234 81 69 12 Contact with hornets, wasps, bees Bitten or struck by dog Choked on food 368 203 165 22 15 7 Choked on other objects 581 317 264 35 21 14 Mechanical suffocation 306 226 80 45 38 7 1,032 865 167 53 47 6 66 66 0 0† * 0 10† * * 0† * 0 Accidental discharge of firearms Exposure to electric current Overexertion Adverse effects of drugs in therapeutic use Misadventures to patients during medical/surgical care 101 40 61 10† * * 447 214 233 23 8 15 a Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; All race/ethnic groups combined. 84 Health Status Profile of American Indians in Arizona, 2012 Data Book TECHNICAL NOTES Health Status Profile of American Indians in Arizona, 2012 Data Book 85 Sources of Data Very low-birthweight - Any neonate whose weight at birth is 1,500 grams or less (less than 3 pounds 5 ounces). The tables in Sections I and II are based on rates and ratios published in the Arizona Health Status and Vital Statistics annual report. Medical Terms Used on the Birth Certificate Information on live births and deaths in Sections III and IV is compiled from the original documents filed with the Arizona Department of Health Services' Office of Vital Records, and from transcripts of original certificates filed in other states but affecting Arizona residents (copies of certificates for births and deaths occurring to Arizona residents outside the United States are not sent to Arizona). Medical risk factors for this pregnancy Definitions Rates Rate is a measure of the frequency of some event in relation to a unit of population during a specified time period such as a year; events in the numerator of the year occur to individuals in the denominator. Rates express the likelihood (or risk) of the event in the specified population during a particular time and are generally expressed as units of population in the denominator (per 1,000, per 100,000, and so forth). 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. 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). Infant mortality rate - Number of infant deaths per 1,000 live births. Low-birthweight - any neonate weighing less than 2,500 grams at birth (less than 5 pounds 8 ounces). Neonatal death - Death of a liveborn neonate before the neonate becomes 28 days old (up to and including 27 days, 23 hours, 59 minutes from the moment of birth). Neonatal mortality rate - Number of neonatal deaths per 1,000 live births. Postneonatal death - Any death of a liveborn infant at least 28 days of age but less than one year of age. Postneonatal mortality rate - Number of postneonatal deaths per 1,000 live births. Health Status Profile of American Indians in Arizona, 2012 Data Book Anemia - Hemoglobin level of less than 10.0 g/dL during pregnancy, or 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/Oligohydramnios - 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). 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-infant - 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. 87 Complications of labor and/or delivery Abnormal conditions of the newborn Febrile - A fever greater than 100 degrees F. or 38 degrees C. occurring during labor and/or delivery. Anemia - Hemoglobin level of less than 13.0 g/dL, or a hematocrit of less than 39 percent. 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. Birth injury - Impairment of the infant's body function or structure due to adverse influences that occurred at birth. 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 than3 hours. Prolonged labor (more than 20 hours) - Abnormally slow progress of labor lasting more than 20 hours. Dysfunctional labor - Failure to progress in a normal pattern of labor. Breech/Malpresentation - At birth, the presentation of the fetal buttocks, rather than the head or other malpresentation. Cephalopelvic disproportion - The relationship of the size, presentation, and position of the fetal head to the maternal pelvis, which prevents dilation of the cervix and/or descent of the fetal head. Cord prolapse - Premature expulsion of the umbilical cord in labor before the fetus is delivered. Anesthetic complications - Any complication during labor and/or delivery brought on by an anesthetic agent or agents. Fetal distress - Signs indicating fetal hypoxia (deficiency in amount of oxygen reaching fetal tissues). 88 Fetal alcohol syndrome - A syndrome of altered prenatal growth and development occurring in infants born of women who consumed excessive amounts of alcohol during pregnancy. Hyaline membrane disease/RDS - A disorder primarily of prematurity, manifested clinically by respiratory distress and pathologically by pulmonary hyaline membranes and incomplete expansion of the lungs at birth. Meconium aspiration syndrome - Aspiration of meconium by the fetus or newborn, affecting the lower respiratory system. Assisted ventilation (less than 30 minutes) - A mechanical method of assisting respiration for newborns with respiratory failure. Assisted ventilation (30 minutes or more) - Newborn placed on assisted ventilation for 30 minutes or longer. Seizures - A seizure of any etiology. Congenital anomalies of child Anencephalus – Absence of the cerebral hemispheres. Spina bifida/meningocele – Developmental anomaly characterized by defective closure of the bony encasement of the spinal cord, through which the cord and meninges may or may not protrude. Hydrocephalus – Excessive accumulation of cerebrospinal fluid within the ventricles of the brain with consequent enlargement of cranium. Microcephalus – A significantly small head. Other central nervous system anomalies – Other specified anomalies of the brain, spinal cord, and nervous system. Heart malformations – Congenital anomalies of heart. Other circulatory/respiratory anomalies – Other specified anomalies of the circulatory and respiratory systems. Health Status Profile of American Indians in Arizona, 2012 Data Book Rectal atresia/stenosis – Congenital absence, closure, or narrowing of the rectum. Tracheo-esophageal fistula/Esophageal atresia – An abnormal passage between the trachea and the esophagus; esophageal atresia is the congenital absence or closure of the esophagus. Omphalocele/Gastroschisis – An omphalocele is a protrusion of variable amounts of abdominal viscera from a midline defect at the base of the umbilicus. In gastroschisis, the abdominal viscera protrude through an abdominal wall defect, usually on the right side of the umbilical cord insertion. Other gastrointestinal anomalies – Other specified congenital anomalies of the gastrointestinal system. Malformed genitalia – Congenital anomalies of the reproductive organs. Renal agenesis – One or both kidneys are completely absent. Other urogenital anomalies – Other specified congenital anomalies of the organs concerned in the production and excretion of the urine, together with organs of reproduction. Cleft lip/palate – Cleft lip is a fissure or elongated opening of the lip; cleft palate is a fissure in the roof of the mouth. These are failures of embryonic development. Down’s syndrome – The most common chromosomal defect with most cases resulting from an extra chromosome (trisomy 21). Other chromosomal anomalies – All other chromosomal aberrations. Polydactyly/Syndactyly/Adactyly– Polydactyly is the presence of more than five digits on either hands and/or feet; syndactyly is having fused or webbed fingers and/or toes; adactyly is the absence of fingers and/or toes. Club foot – Deformities of the foot, which is twisted out of shape or position. Diaphragmatic hernia – Herniation of the abdominal contents through the diaphragm into the thoracic cavity usually resulting in respiratory distress. Other muscoskeletal/integumental anomalies – Other specified congenital anomalies of the muscles, skeleton, or skin. Terms Related to Mortality 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 "ageadjustment" removes the effect of the age differences among sub-populations (or in the same population over time) by placing them all in a population with a standard age distribution. All age-adjusted mortality rates in this report were computed by the direct method, that is by weighting the age-specific rates for a given year by the age distribution of a standard population. The weighted agespecific rates are then added to produce the summary rate for all ages combined. Health Status Profile of American Indians in Arizona, 2012 Data Book Beginning with the 2000 data year, a new population standard for the age adjustment of mortality rates has replaced the standard based on the 1940 population and used since 1943. The new standard uses the age composition of the 2000 U.S. projected population. The standard is expressed in terms of a ”standard million”: the relative distribution of the 2000 population of the United States totaling 1 million in 10-year age groups: Age group A <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 2012 population of American Indians 2012 deaths among American Indians Age-specific rates for American Indians in 2012 B C D (C/B)*100000 714.8 76.2 49.7 163.7 346.1 459.6 723.4 1104.5 1941.5 4391.7 10259.4 5,736 22,305 54,369 56,215 45,369 37,203 36,357 25,441 13,546 6,421 2,066 305,029 41 17 27 92 157 171 263 281 263 282 212 1806 Ageadjusted rate for American Indians In 2012 F D*E 9.9 4.2 7.2 22.7 46.9 74.7 97.5 96.4 128.2 196.9 159.1 2000 standard E .013818 .055317 .145565 .138646 .135573 .162613 .134834 .087247 .066037 .044842 .015508 TOTAL ∑ 843.8 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 during a calendar year. Classification of causes of death - The cause of death used in this report is the underlying cause classified according to the International Classification of Diseases (ICD). Beginning with the 2000 data year in Arizona (1999 nationally), a new revision of the International Classification of Diseases was implemented. The Tenth Revision (ICD-10) has replaced the Ninth Revision (ICD-9), which was in effect since 1979. Drug-induced deaths – This category was expanded in 2003. Causes of death attributable to drug-related mortality include mental and behavioral disorders due to psychoactive substance use, accidental poisoning by and exposure to drugs, suicide by drugs, homicide by drugs and poisoning by drugs, undetermined intent. Firearm mortality – Causes of death attributable to firearm mortality include accidental discharge of firearms, suicide by firearms, homicide by firearms, legal intervention involving discharge of firearms, terrorism involving firearms and discharge of firearms, undetermined intent. 89