Health Status Profile of American Indians in Arizona Population Health and Vital Statistics Section Bureau of Public Health Statistics Arizona Department of Services ~ Health and Wellness for all Arizonans ~ Douglas A. Ducey, Governor State of Arizona Cara Christ, Director Arizona Department of Health Services POPULATION HEALTH AND VITAL STATISTICS SECTION BUREAU OF PUBLIC HEALTH STATISTICS ARIZONA DEPARTMENT OF HEALTH SERVICES 150 North 18th Avenue, Suite 550 Phoenix, Arizona 85007 Phone: 602/542-7333; FAX: 602/542-2940 www.azdhs.gov/plan This publication can be made available in alternative format. Please contact the Bureau of Public Health Statistics at 602/542-7333 (voice) or call 1-800-367-8939 (TDD). The Arizona Department of Health Services is an Equal Employment Opportunity Agency. Permission to quote from or reproduce materials from this publication is granted when due acknowledgment is made. HEALTH STATUS PROFILE OF AMERICAN INDIANS IN ARIZONA: 2013 DATA BOOK by Nicholas J. Bishop, Ph.D., Arizona Vital Statistician, Sanhita Gupta, Vital Statistics Health Management Analyst Clare Torres, Senior Health Data Analyst June 2015 Acknowledgment Grateful acknowledgement is made to Wes Kortuem, GIS Coordinator and Marvis Kisakye, GIS Analyst, for spatially joining the American Indian birth and death data. HEALTH STATUS PROFILE OF AMERICAN INDIANS IN ARIZONA 2013 DATA BOOK TABLE OF CONTENTS Introduction ........................................................................................................................................................................................................................ 1 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 2013 ............................................................................................................................. 3 2013 Risk Profile of American Indians ........................................................................................................................................................................ 7 American Indians’ Standing in Arizona in 2013 on 69 Indicators of Health Status ............................................................................................................ 8 II COMPARISON OF AMERICAN INDIANS’ STANDING IN ARIZONA WITH RESPECT TO SELECTED HEALTH OBJECTIVES FOR THE YEAR 2013................................. 13 III. TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS AND ALL RESIDENTS OF ARIZONA, 2003-2013 .......................... 15 IV. CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND MOTHERS GIVING BIRTH BY PLACE OF RESIDENCE IN ARIZONA IN 2013 .................................... 17 SOCIODEMOGRAPHIC CHARACTERISTICS 4.1 4.2 4.3 4.4 4.5 4.6 Maternal Age ......................................................................................................................................................................................................... 20 Educational Attainment of Mother ............................................................................................................................................................................ 21 Marital Status of Mother.......................................................................................................................................................................................... 22 Race/Ethnicity of Father .......................................................................................................................................................................................... 23 Age of Father ........................................................................................................................................................................................................ 24 Source of Payment for Labor and Delivery ................................................................................................................................................................. 25 MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS 4.7 4.8 4.9 Maternal Weight Gain during Pregnancy .................................................................................................................................................................... 28 Medical Risk Factors of Pregnancy ............................................................................................................................................................................ 29 Substance Use during Pregnancy ............................................................................................................................................................................. 30 UTILIZATION OF MEDICAL SERVICES 4.10 4.11 4.12 4.13 4.14 4.15 Trimester of Pregnancy Prenatal Care Began ............................................................................................................................................................. 32 Number of Prenatal Visits ........................................................................................................................................................................................ 33 Obstetric Procedures .............................................................................................................................................................................................. 34 Complications of Labor and Delivery ......................................................................................................................................................................... 35 Method of Delivery ................................................................................................................................................................................................. 36 Attendant at Birth .................................................................................................................................................................................................. 37 NEWBORN’S HEALTH 4.16 4.17 4.18 4.19 4.20 4.21 Gestational Age ..................................................................................................................................................................................................... 40 Weight at Birth ...................................................................................................................................................................................................... 41 Abnormal Conditions of the Newborn ........................................................................................................................................................................ 42 Congenital Anomalies (Birth Defects)........................................................................................................................................................................ 43 Causes of Infant Death among American Indian Residents, Arizona, 2013 ..................................................................................................................... 44 Comparison of Selected Characteristics of American Indian Newborns and Women Giving Birth By County of Residence, Arizona, 2013 ..................................................................................................................................................................... 45 Health Status Profile of American Indians in Arizona, 2013 Data Book V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2013 .......................................................................... 49 AGE-SPECIFIC MORTALITY 5.1 5.2 5.3 Age-Specific Mortality among American Indians in 2013 ............................................................................................................................................. 52 Age-Specific Mortality among American Indian Males in 2013 ...................................................................................................................................... 53 Age-Specific Mortality among American Indian Females in 2013 .................................................................................................................................. 54 CAUSE-SPECIFIC MORTALITY 5.4 5.5 5.6 5.7 5.8 5.9 5.10 5.11 5.12 Deaths by Gender for Selected Causes among American Indians in 2013 ..................................................................................................................... 56 Deaths by Age Group for Selected Causes among American Indians in 2013 ................................................................................................................ 60 Deaths by Residence for Selected Causes among American Indians in 2013 ................................................................................................................. 64 Deaths by County of Residence for Selected Causes among American Indians in 2013 ................................................................................................... 68 Deaths from Motor Vehicle-Related Injuries among American Indians by Place of Residence, Gender, and Age Group, Arizona, 2013 ..................................................................................................................................................................... 72 Intentional Self-Harm (Suicide) among American Indians by Place of Residence, Gender, and Age Group, Arizona, 2013 ..................................................................................................................................................................... 73 Assault (Homicide) among American Indians by Place of Residence, Gender, and Age Group, Arizona, 2013 ........................................................................................................................................................................................................ 74 Diabetes-Related Deaths among American Indians by Place of Residence, Gender, and Age Group, Arizona, 2013 ........................................................................................................................................................................................................ 75 Alcohol-Induced Deaths among American Indians by Place of Residence, Gender, and Age Group, Arizona, 2013 ........................................................................................................................................................................................................ 76 COMPARATIVE CAUSE-SPECIFIC MORTALITY 5.13 5.14 5.15 5.16 5.17 5.18 5.19 Temporal Changes in the Selected Leading Causes of Death among American Indian Residents Of Arizona, 1993-2013 ........................................................................................................................................................................................... 78 Five Leading Causes of Death by Gender among American Indian Residents of Arizona in 2013 ....................................................................................... 79 Five Leading Causes of Death among American Indians by Gender and Residence On or Off Reservation, Arizona, 2013 ..................................................... 80 Proportional Mortality by Type of Cancer and Gender among American Indians and All Residents of Arizona, 2003-2013 .................................................... 81 Proportional Mortality by Mechanism of Unintentional Injury and Gender among American Indians and All Residents of Arizona, 2003-2013 ......................................................................................................................................................................... 82 Comparison of Mortality by Specific Type of Cancer by Gender among American Indians and All residents of Arizona, 2003-2013 ........................................ 83 Unintentional Injury Deaths by mechanism and Gender among American Indians and All Residents of Arizona, 2003-2013 ................................................. 84 TECHNICAL NOTES ............................................................................................................................................................................................................... 85 Sources of Data ..................................................................................................................................................................................................... 87 Definitions ......................................................................................................................................................................................................... 87 Rates ......................................................................................................................................................................................................... 87 Terms Related to Reproductive Health ............................................................................................................................................................. 87 Medical Terms Used on the Birth Certificate ............................................................................................................................................ 87 Medical risk factors for pregnancy ................................................................................................................................................... 87 Complications of labor and delivery ................................................................................................................................................. 88 Abnormal conditions of the newborn ................................................................................................................................................ 88 Congenital anomalies of child ......................................................................................................................................................... 88 Terms Related to Mortality ............................................................................................................................................................................. 89 ii Health Status Profile of American Indians in Arizona, 2013 Data Book INTRODUCTION The report Health Status Profile of American Indians in Arizona: 2013 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 2013. 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 2013 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 2013 on 69 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 2003-2013 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 2013. 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 2003-2013 are classified by the Tenth Revision (ICD-10). Health Status Profile of American Indians in Arizona, 2013 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 2013 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: 2013 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 1995–2013 are available at http://www.azdhs.gov/plan/ 2 Health Status Profile of American Indians in Arizona, 2013 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 2013 Health Status Profile of American Indians in Arizona, 2013 Data Book 3 The risk profile presented on the following page summarizes how American Indians as a group compared in 2013 to the state average on 69 measures of health status. The 69 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 betterthan-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 69 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 2013, AMERICAN INDIAN RESIDENTS OF ARIZONA:  ranked worse than the statewide average on 49 of 69 health indicators;  had high mortality from alcohol-induced causes, chronic liver disease and cirrhosis, assault, nephritis, diabetes, motor vehicle accidents, influenza and pneumonia, septicemia, 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 Racial/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 lowerthan-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, 2013 Data Book 5 2013 RISK PROFILE OF AMERICAN INDIANS (Percent above or below the average rate or ratio of all Arizona residents in 2013) Better than Average 5-7 5-5 5-17 4-1 8-4 5-8 2-9. 2-2 4-9 4-2 5-6 5-4 5-10 5-9 5-3 6-3 5-2 5-1 4-5 6-5 4-8 4-4 4-3 4-10 5-11 6-6 4-6 8-3 6-4 8-1 4-7 8-2 2-4 9-1 6-8 5-20 5-19 2-10 2-8 5-15 9-4 2-6 1-2 1-4 7-4 4-11 2-5 1-1 3-1 3-3 1-3 2-1 2-7 6-1 7-2 9-2 3-2 5-16 5-12 9-3 7-1 7-3 2-3 6-2 5-13 5-18 6-9 5-14 6-7 Worse than Average Lung cancer Chronic lower respiratory diseases Alzheimer's disease Hyaline membrane disease Percent of total deaths before expected years of life reached Breast cancer Genital herpes during pregnancy Tobacco use Mortality of infants from low birthweight/short gestation Newborn intensive care Malignant neoplasms (cancer) Cerebrovascular disease Colorectal cancer Cervical cancer Coronary heart disease Fall-related injuries Diseases of the heart Cardiovascular diseases Born too small: very low-birthweight (<1,500 grams) Injury by firearms Sudden Infant Death Syndrome (SIDS) Born too small: low-birthweight (<2,500 grams) Born too early (preterm or < 37 weeks) Neonatal mortality Prostate cancer Drug-induced deaths Incidence of congenital anomalies (birth defects) Median age at death from all causes among females Drowning mortality Median age at death from all causes Infant mortality Median age at death from all causes among males Chronic hypertension Incidence of early syphilis Intentional self-harm (suicide) Total mortality from all causes Essential (primary) hypertension Weight gain of less than 21 pounds Pregnancy associated hypertension HIV disease Incidence of HIV/AIDS Anemia during pregnancy Pregnancies among females 14 and younger Pregnancies among females 18-19 years old Mortality among middle-age adults 45-64 years old Postneonatal mortality Dysfunctional labor Pregnancies among females 19 and younger No care in the 1st trimester No prenatal care Pregnancies among females 15-17 years old Unmarried mothers Diabetes during pregnancy Unintentional injuries Mortality among adolescents 15-19 years old Incidence of gonorrhea Fewer than five prenatal visits Septicemia Influenza and pneumonia Incidence of chlamydia Mortality among children 1-14 years old Mortality among young adults 20-44 years old Alcohol use during pregnancy Motor vehicle-related injuries Diabetes Nephritis, nephrotic syndrome and nephrosis (kidney disease) Assault (homicide) Chronic liver disease and cirrhosis Alcohol-induced deaths Average for All Residents Health Status Profile of American Indians in Arizona, 2013 Data Book 7 AMERICAN INDIANS’ STANDING IN ARIZONA IN 2013 ON 69 INDICATORS OF HEALTH STATUS 1. TEEN PREGNANCIES Figure Number (Number of pregnancies per 1,000 females in specified age group) Indicator 2013 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2013 Definitions 1-1 Pregnancies among females 19 and younger 29.7 54.7 19.2 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 0.6 50.0 0.4 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 31.5 75.0 18.0 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 98.0 51.2 64.8 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 2013 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2013 Definitions 79.2 75.6 Tobacco use during pregnancy 2.9 -34.1 4.4 The number of mothers giving birth who self-reported tobacco use during pregnancy per 100 births. 2-3 Alcohol use during pregnancy 1.1 175.0 0.4 The number of mothers giving birth who self-reported alcohol use during pregnancy per 100 births. 2-4 Chronic hypertension 1.4 27..3 1.1 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 2.6 52.9 1.7 Failure to progress in a normal pattern of labor (the number of cases per 100 births). 2-6 Anemia during pregnancy 7.0 48.9 4.7 2-7 Diabetes during pregnancy 11.1 94.7 2-8 Pregnancy-associated hypertension 7.4 32.1 2-9 Genital herpes during pregnancy 0.7 -36.4 2-10 Weight gain of less than 21 pounds 36.3 31.5 8 45.1 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; 5.7 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 5.6 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). 27.6 The number of women giving birth who gained less than 21 pounds per 100 births. Health Status Profile of American Indians in Arizona, 2013 Data Book AMERICAN INDIANS’ STANDING IN ARIZONA IN 2013 ON 69 INDICATORS OF HEALTH STATUS (continued) 3. UTILIZATION OF PRENATAL CARE SERVICES Figure Number (Per 100 live births) Indicator 2013 rate for American Indians Percent above or below the average rate for all groups 3-1 st No care in the 1 trimester 31.3 67.4 3-2 Fewer than five prenatal visits 11.9 133.3 3-3 No prenatal care 2.4 71.4 Average rate for all groups in 2013 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 5.1 pregnancy per 100 births. 18.7 1.4 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 2013 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2013 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 4.1 -22.6 5.3 The number of babies admitted to Newborn Intensive Care units per 100 births. 4-3 Born too early (preterm or < 37 weeks) 9.7 7.8 4-4 Born too small: low-birthweight (<2,500 grams) 7.2 4.3 4-5 Born too small: very low-birthweight (<1,500 grams) 1.0 -9.1 4-6 Incidence of congenital anomalies (birth defects) 0.8 14.3 4-7 Infant mortality 6.6 24.5 4-8 Sudden Infant Death Syndrome (SIDS) 0.2 0.0 4-9 Mortality of infants from low birthweight/short gestation 0.5 -28.6 4-10 Neonatal mortality 3.7 8.8 4-11 Postneonatal mortality 2.9 52.6 Health Status Profile of American Indians in Arizona, 2013 Data Book The number of births before 37 weeks of gestation per 100 births. Preterm is any 9.0 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 low1.1 birthweight is any neonate whose weight at birth is 1,500 grams or less (less than 3 pounds 5 ounces). 0.7 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 5.3 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 3.4 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 2013 ON 69 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 2013 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2013 Definitions 5-1 Cardiovascular disease 164.2 -12.5 187.7 The number of deaths from cardiovascular diseases (ICD-10 codes I00-I78) per 100,000 age-adjusted population. 5-2 Diseases of the heart 122.9 -14.1 143.0 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 92.7 -15.7 110.0 The number of deaths from coronary heart disease (ICD-10 codes I200-I259) per 100,000 age-adjusted population. 5-4 Cerebrovascular disease 23.4 -17.0 28.2 The number of deaths from cerebrovascular disease (ICD-10 codes I60–I69) per 100,000 age-adjusted population. 5-5 Chronic lower respiratory diseases 15.5 -65.2 44.5 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) 118.2 -21.0 149.6 The number of deaths from cancer (ICD-10 codes C00–C97) per 100,000 age-adjusted population. 5-7 Lung cancer 10.0 -72.5 36.4 The number of deaths from lung cancer (ICD-10 codes C33–C34) per 100,000 ageadjusted population. 5-8 Breast cancer 13.1 -36.7 20.7 The number of deaths from breast cancer (ICD-10 code C50) per 100,000 age-adjusted female population. 5-9 Cervical cancer 2.0 -16.7 2.4 5-10 Colorectal cancer 11.3 -16.9 13.6 The number of deaths from colorectal cancer (ICD-10 codes C18–C21) per 100,000 ageadjusted population. 5-11 Prostate cancer 19.9 9.3 18.2 The number of deaths from prostate cancer (ICD-10 code C61) per 100,000 ageadjusted male population. 5-12 Influenza and pneumonia 24.7 147.0 10.0 The number of deaths from influenza and pneumonia (ICD-10 codes J10–J18) per 100,000 age-adjusted population. 5-13 Diabetes 65.7 178.4 23.6 The number of deaths from diabetes (ICD-10 codes E10–E14) per 100,000 ageadjusted population. 5-14 Chronic liver disease and cirrhosis 62.0 327.6 14.5 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 1.9 35.7 1.4 The number of deaths from HIV disease (ICD-10 codes B20-B24) per 100,000 ageadjusted population. 5-16 Septicemia 11.4 137.5 4.8 The number of deaths from septicemia (ICD-10 codes A40-A41) per 100,000 ageadjusted population. 5-17 Alzheimer's disease 16.0 -51.8 33.2 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 15.8 198.1 5.3 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. 5-19 Essential (primary) hypertension 12.7 30.9 9.7 The number of deaths from essential (primary) hypertension (ICD-10 codes I10, I12) per 100,000 age-adjusted population. 5-20 Total mortality from all causes 887.0 29.0 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. 687.8 Total number of deaths from all causes per 100,000 age-adjusted population. Health Status Profile of American Indians in Arizona, 2013 Data Book AMERICAN INDIANS’ STANDING IN ARIZONA IN 2013 ON 69 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 6-1 Unintentional injuries 6-2 2013 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2013 104.5 125.7 46.3 Motor vehicle-related injuries 31.7 178.1 11.4 6-3 Fall-related injuries 10.3 -14.9 12.1 6-4 Drowning mortality 1.3 18.2 1.1 6-5 Injury by firearms 13.0 -7.8 14.1 6-6 Drug-induced deaths 18.7 10.7 16.9 6-7 Alcohol-induced deaths 84.7 439.5 15.7 6-8 Intentional self-harm (suicide) 21.9 28.8 17.0 6-9 Assault (homicide) 17.7 200.0 5.9 Health Status Profile of American Indians in Arizona, 2013 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 2013 ON 69 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 2013 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2013 Definitions 49.2 148.5 19.8 The number of deaths per 100,000 children 1-14 years old. Mortality of adolescents 15-19 years old 103.1 126.6 45.5 The number of deaths per 100,000 adolescents 15-19 years old. 7-3 Mortality of young adults 20-44 years old 390.8 172.3 143.5 The number of deaths per 100,000 young adults 20-44 years old. 7-4 Mortality of middle-aged adults 45-64 years old 943.5 52.0 620.7 The number of deaths per 100,000 middle-aged adults 45-64 years old. Figure Number 8. AGE-SPECIFIC MORTALITY Indicator 2013 rate for American Indians Percent above or below the average for all groups * Average rate for all groups in 2013 Definitions 8-1 Median age at death from all causes 60.0 22.1 77.0 The median age (the age in the middle) of Arizonans who died in 2013. 8-2 Median age at death from all causes among males 55.0 25.7 74.0 The median age (the age in the middle) of Arizona males who died in 2013. 8-3 Median age at death from all causes among females 67.0 17.3 81.0 The median age (the age in the middle) of Arizona females who died in 2013. 8-4 Percent of total deaths before expected years of life reached 76.7 -40.5 54.6 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 2013 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2013 Definitions 9.6 28.0 Incidence of gonorrhea 224.6 128.7 98.2 Number of reported cases of gonorrhea per 100,000 population. 9-3 Incidence of chlamydia 1158.2 148.2 466.6 Number of reported cases of chlamydia per 100,000 population. 9-4 Incidence of HIV/AIDS 16.2 45.9 11.1 Number of reported cases of HIV/AIDS per 100,000 population. 12 7.5 Number of reported cases of early syphilis per 100,000 population. Health Status Profile of American Indians in Arizona, 2013 Data Book II. COMPARISON OF AMERICAN INDIANS’ STANDING IN ARIZONA WITH RESPECT TO SELECTED HEALTH OBJECTIVES FOR THE YEAR 2013 Health Status Profile of American Indians in Arizona, 2013 Data Book 13 COMPARISON OF AMERICAN INDIANS' STANDING IN ARIZONA WITH RESPECT TO SELECTED HEALTH OBJECTIVES FOR THE YEAR 2013 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 90.0 77.9 68.8 69.0 67.9 65.9 65.9 65.1 66.0 69.4 68.6 68.2 68.7 Number of infant deaths per 1,000 American Indian live births (6 per 1,000) 6.0 6.0 7.5 7.2 8.3 6.4 8.1 8.2 8.4 8.1 7.4 7.4 6.6 2.3 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 4.4 3.8 4.0 2.4 3.9 3.6 4.2 4.3 4.1 3.6 2.9 2.4 Number of unintentional injury deaths per 100,000 American Indian populationa (17.5 per 100,000); (36.0 per 100,000) 17.5 36.0 108.6 103.9 117.8 97.2 95.0 92.6 92.6 99.2 100.6 94.8 104.5 2.5 Number of deaths caused by motor vehicle crashes per 100,000 American Indian populationa (16 per 100,000); (12.4 per 100,000) 16.0 12.4 59.0 54.1 62.6 56.9 49.0 41.9 36.9 41.7 44.2 37.8 31.7 2.6 Number of suicides per 100,000 American Indian populationa (10 per 100,000); (10.2 per 100,000) 10.0 10.2 15.2 17.0 17.5 13.7 9.8 13.5 15.9 18.7 14.9 17.9 21.9 2.7 Number of homicides per 100,000 American Indian populationa (5 per 100,000); (5.5 per 100,000) 5.0 5.5 18.8 14.7 14.0 13.2 13.1 12.8 13.2 18.0 11.9 17.3 17.7 Number of deaths due to diabetes reported as the underlying or multiple cause of death per 100,000 American Indian populationa (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 populationa (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 populationa (2 per 100,000); (2.2 per 100,000) 2.8 Note: 14 Year 2010 2020 Objective Objective 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 a 45.0 65.8 118.7 125.4 138.9 100.2 107.2 108.1 111.4 130.4 105.3 155.7 146.4 3.0 8.2 38.8 51.0 51.2 43.6 36.8 40.7 54.0 64.6 43.6 59.2 62.0 2.0 2.2 4.2 2.0 3.4 5.8 2.3 4.8 4.1 3.0 3.1 2.8 2.0 Age-adjusted to the 2000 US standard population. Health Status Profile of American Indians in Arizona, 2013 Data Book III. TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS IN ARIZONA Health Status Profile of American Indians in Arizona, 2013 Data Book 15 TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS IN ARIZONA 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 Median Age at Death from all Causes All Arizonans 76.0 76.0 77.0 76.0 76.0 77.0 76.0 77.0 77.0 77.0 77.0 American Indians 56.0 58.0 59.0 57.0 59.0 59.0 59.0 58.0 60.0 59.0 60.0 All Arizonans 41.2 41.9 42.8 43.9 45.0 45.1 45.2 44.7 44.3 45.2 45.1 American Indians 72.4 73.1 72.9 74.8 75.9 75.8 76.9 77.7 77.1 78.5 79.2 63.5 70.1 81.9 95.3 78.7 52.8 49.3 50.8 71.4 89.4 98.2 103.1 142.7 142.6 125.7 94.4 73.3 50.0 85.1 162.8 185.7 224.6 All Arizonans 7.1 7.2 6.9 7.1 7.1 7.1 7.1 7.1 7.0 6.9 6.9 American Indians 6.8 7.2 7.3 7.4 6.6 6.7 6.4 7.0 6.9 6.7 7.2 All Arizonans 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.1 0.0 American Indians 0.0 0.5 0.2 0.6 0.2 0.0 0.5 0.3 0.0 0.2 0.0 All Arizonans 12.9 12.7 12.5 12.7 12.6 12.3 11.8 10.8 9.9 9.5 8.5 American Indians 19.4 18.7 19.1 19.1 20.1 18.6 19.0 17.0 16.9 16.0 14.2 All Arizonans 1.0 1.0 1.0 0.9 0.8 0.9 0.6 0.6 1.1 0.8 0.7 American Indians 1.3 1.6 1.5 1.2 1.4 0.9 0.8 0.6 1.4 0.9 0.8 All Arizonans 28.0 28.8 30.9 28.8 31.0 35.3 36.1 39.1 41.9 45.2 55.8 American Indians 57.1 54.4 58.2 58.8 57.9 58.9 55.4 61.2 62.8 64.6 74.1 All Arizonans 20.2 21.7 20.4 19.5 29.8 39.5 35.7 38.2 36.1 44.5 47.3 American Indians 54.8 54.6 56.1 66.2 67.6 72.5 71.8 59.5 59.9 80.8 70.5 21.4 24.5 29.7 31.6 34.3 38.9 38.7 41.8 46.4 51.2 57.2 60.0 75.7 82.5 72.0 80.4 82.0 82.2 77.9 93.3 99.3 111.4 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, 2013 Data Book IV. CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND MOTHERS GIVING BIRTH BY PLACE OF RESIDENCE IN ARIZONA IN 2013 Health Status Profile of American Indians in Arizona, 2013 Data Book 17 SOCIODEMOGRAPHIC CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2013 Data Book 19 4.1 MATERNAL AGE (2013 STATUS) 35-39 40-44 10† 240† 520† 1,780† 1,470† 920† 420† 100† 10† Ak-Chin Indian Community 20† 0 * * * Cocopah Tribe 20† 0 * * 7 7 * * 0 0 * 0 * 0 0 Colorado River Indian Tribe 60† 0 * 7 18 14 11 * * 0 Fort McDowell Yavapai Nation Reservation 20† 0 * * 6 7 * 0 0 0 Fort Mohave Indian Tribe 10† 0 0 0 * * * * 0 0 Gila River Indian Community 60† Havasupai Tribe 10† 0 * 7 24 17 6 * 0 0 0 0 * * * * * 0 0 170† 0 7 17 64 32 29 14 * * Hualapai Tribe 30† 0 * * * 7 8 * * 0 Navajo Nation 1,330† * 62 117 409 358 216 127 37 * Hopi Tribe Pascua Yaqui Tribe 70† 0 6 12 20 17 7 * 0 0 Salt River Pima-Maricopa Indian Community 100† * 8 14 36 20 15 * * 0 San Carlos Apache Tribe 290† * 27 37 100 68 39 12 0 * 20† * * * * * * * * 0 Tohono O'Odham Nation 140† 0 13 14 49 31 24 9 * 0 White Mountain Apache Tribe 280† * 14 35 102 74 38 11 * * San Xavier Yavapai-Apache Nation 20† 0 * * 10 * * 0 0 0 0† 0 0 0 * 0 * * * 0 TOTAL 2,630† 10† 150† 280† 870† 670† 410† 200† 50† 10† ---in Maricopa County 1,560† 0 48 131 501 432 299 117 25 * ---in Pima County 310† 0 10 29 94 94 51 21 7 * ---in Coconino County 220† 0 7 17 58 59 49 22 * 0 ---elsewhere in Arizona 760† 0 27 70 260 217 117 63 8 * 2,844 0 92 247 913 802 516 223 50† 10† Yavapai-Prescott Indian Tribe Resided off reservation 45+ 30-34 Resided on reservation 25-29 18-19 5,480† ALL AMERICAN INDIAN RESIDENTS OF ARIZONA <15 15-17 TOTAL BIRTHS 20-24 Mother's age group 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. 20 Health Status Profile of American Indians in Arizona, 2013 Data Book 4.2 EDUCATIONAL ATTAINMENT OF MOTHER (2013 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation <8 8 9-11 12 13-16 Unknown 17+ 5,480† 30† 100† 1,220† 2,290† 1,660† 150† 30† Ak-Chin Indian Community 20† 0 0 10 8 * 0 0 Cocopah Tribe 20† * 0 10 8 0 0 0 57 0 0 15 28 14 0 0 Fort McDowell Yavapai Nation Reservation 20† 0 * * 14 * 0 0 Fort Mohave Indian Tribe 10† 0 0 * * 0 0 0 Gila River Indian Community 60† * 6 18 22 12 * 0 Havasupai Tribe 10† 0 0 6 * 0 0 0 170† 0 0 27 93 46 * 0 Hualapai Tribe 30† 0 * 9 12 * 0 0 Navajo Nation 1,330† * 13 207 575 491 36 6 70† * * 20 29 14 0 0 Salt River Pima-Maricopa Indian Community 100† 0 * 43 44 10 0 * San Carlos Apache Tribe 290† * 8 98 125 47 * * 20† 0 * * 11 * 0 0 Tohono O'Odham Nation 140† * * 50 66 21 * * White Mountain Apache Tribe 280† * * 86 136 49 * 0 20† 0 * 6 8 * 0 0 0† 0 0 * * * 0 0 2,630† 10† 40† 620† 1,190† 720† 40† 10† 1,557 8 29 295 560 581 73 11 ---in Pima County 310† 0 * 82 121 83 16 0 ---in Coconino County 220† * * 32 100 71 7 * 763 7 23 191 324 203 13 * 2,844 20† 60† 600 1,105 938 109 20† Colorado River Indian Tribe Hopi Tribe Pascua Yaqui Tribe San Xavier Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Mother's education ---in Maricopa 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, 2013 Data Book 21 4.3 MARITAL STATUS OF MOTHER (2013 STATUS) Marital status TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Unmarried Other 5,480† 1,080† 4,340† 60† 20 9 11 0 Cocopah Tribe 20† * 17 0 Colorado River Indian Tribe 60† 8 47 * Fort McDowell Yavapai Nation Reservation 20† * 17 0 Fort Mohave Indian Tribe 10† * * 0 Gila River Indian Community 60† 8 51 * 9 0 9 0 170† 22 144 * Hualapai Tribe 27 8 19 0 Navajo Nation 1,331 212 1,104 15 Pascua Yaqui Tribe 70† * 59 * Salt River Pima-Maricopa Indian Community 100 11 89 0 290† 60 225 * San Xavier 20† * 16 * Tohono O'Odham Nation 144 11 133 0 280† 60 216 * 20† * 16 0 0† 0 * 0 2,630† 420† 2,180† 30† 1,557 377 1,158 22 ---in Pima County 310† 53 251 * ---in Coconino County 220† 61 154 * 763 161 592 10 2,844 652 2,155 40† Ak-Chin Indian Community Havasupai Tribe Hopi Tribe San Carlos Apache Tribe White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Married ---in Maricopa 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. 22 Health Status Profile of American Indians in Arizona, 2013 Data Book 4.4 RACE/ETHNICITY OF FATHER (2013 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 5,480† 430† 650† 150† 3,100† 40† 1,100† Ak-Chin Indian Community 20† * * * 13 0 * Cocopah Tribe 20† * * 0 10 0 * Colorado River Indian Tribe 60† 6 7 * 24 * 18 Fort McDowell Yavapai Nation Reservation 20† 0 * * 10 0 8 Fort Mohave Indian Tribe 10† 0 * 0 * 0 0 Gila River Indian Community 60† * 7 0 31 0 21 Havasupai Tribe 10† 0 * 0 * 0 * 170† * * 0 132 0 29 Hualapai Tribe 30† * 0 * 18 0 6 Navajo Nation 1,330† 27 16 * 1,063 * 218 70† * 8 * 39 0 15 Salt River Pima-Maricopa Indian Community 100† * 7 * 62 0 28 San Carlos Apache Tribe 290† * * * 202 * 77 20† 0 * 0 11 0 7 Tohono O'Odham Nation 140† * 0 0 99 0 44 White Mountain Apache Tribe 280† * * * 224 0 48 20† 0 * 0 7 0 * 0† 0 * 0 0 0 * 2,630† 50† 70† 10† 1,950† 10† 540† 1,557 232 352 106 535 29 303 ---in Pima County 310† 36 90 9 101 * 70 ---in Coconino County 220† 38 12 * 135 * 28 763 71 128 21 376 7 160 2,844 377 582 140† 1,147 40† 561 Hopi Tribe Pascua Yaqui Tribe San Xavier Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation White nonHispanic ---in Maricopa 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, 2013 Data Book 23 4.5 AGE OF FATHER (2013 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 1,210† 1,170† 830† 460† 200† Unknown 55+ 50-54 45-49 40-44 35-39 30-34 0 80† 30† 20† 1,100† 20† 0 0 * 6 * * 0 * 0 0 0 * Cocopah Tribe 20† 0 0 * 7 * * * 0 0 0 0 * Colorado River Indian Tribe 60† 0 0 * 9 12 9 * 0 * 0 * 18 Fort McDowell Yavapai Nation Reservation 20† 0 * * * * * 0 * * 0 0 9 Fort Mohave Indian Tribe 10† 0 0 0 * * * 0 * 0 0 0 0 Gila River Indian Community 60† 0 * * 19 9 6 * 0 0 0 0 21 Havasupai Tribe 10† 0 0 0 * * * * 0 0 0 0 * 170† 0 * 6 40 36 20 13 12 6 0 * 30 Hualapai Tribe 30† 0 * * * 7 * * 0 * 0 0 6 Navajo Nation 1,330† 0 21 74 294 285 207 137 58 22 12 * 217 Pascua Yaqui Tribe 90† 300† 25-29 20-24 18-19 5,480† Ak-Chin Indian Community Hopi Tribe 70† 0 0 6 20 7 11 * 0 0 * 0 15 Salt River Pima-Maricopa Indian Community 100† 0 8 6 21 16 12 6 * * * 0 28 San Carlos Apache Tribe 290† 0 8 22 68 57 34 9 6 * * * 78 20† 0 0 * * * * * * 0 0 0 7 Tohono O'Odham Nation 140† 0 7 8 26 23 10 16 6 * * 0 44 White Mountain Apache Tribe 280† 0 9 21 84 55 34 17 8 * * 0 48 20† 0 0 * * * * 0 0 0 0 0 * 0† 0 0 0 0 * 0 * 0 0 * 0 * TOTAL 2,630† 0 60† 160† 610† 530† 360† 220† 100† 40† 20† 10† 540† ---in Maricopa County 1,560† 0 15 70 327 368 259 136 50 19 8 * 303 ---in Pima County 310† 0 * 15 59 69 49 20 10 * * * 71 ---in Coconino County 220† 0 * 8 35 50 52 29 14 * 0 0 26 ---elsewhere in Arizona 760† 0 6 44 174 155 113 58 29 19 * * 159 2,844 0 30† 137 595 642 473 243 103 40† 10† 10† 559 San Xavier Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation <15 TOTAL BIRTHS 15-17 Father's age group 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, 2013 Data Book 4.6 SOURCE OF PAYMENT FOR LABOR AND DELIVERY (2013 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Private insurance IHS AHCCCSa Self Unknown 5,480† 3,750† 970† 700† 50† 10† Ak-Chin Indian Community 20† 10 * 7 0 0 Cocopah Tribe 20† 14 * 0 0 0 57 27 19 11 0 0 Fort McDowell Yavapai Nation Reservation 20† 6 * 12 0 0 Fort Mohave Indian Tribe 10† * * * 0 0 Gila River Indian Community 60† 41 12 * * 0 Havasupai Tribe 10† * 6 0 * 0 Hopi Tribe 168 108 50 9 0 * Hualapai Tribe 30† * 16 6 0 0 Navajo Nation 1,331 1,020 255 53 0 * 65 49 16 0 0 0 100 72 16 12 0 0 290† 56 206 18 * * San Xavier 20† 15 * * 0 0 Tohono O'Odham Nation 144 90 21 32 0 * 280† 258 8 11 * 0 20† 13 0 * * 0 0† * 0 * 0 0 2,630† 1,790† 640† 180† 10† 10† 1,557 1,058 167 308 22 * 310† 215 38 52 * 0 ---in Coconino County 217 160 25 32 0 0 ---elsewhere in Arizona 763 525 102 122 12 * 2,844 1,958 332 514 40† 0† Colorado River Indian Tribe Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community San Carlos Apache Tribe White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Payee for births ---in Maricopa County ---in Pima 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; Containment System (AHCCCS) is the State's Medicaid program. Health Status Profile of American Indians in Arizona, 2013 Data Book a The Arizona Health Care Cost 25 MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2013 Data Book 27 4.7 MATERNAL WEIGHT GAIN DURING PREGNANCY (2013 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 5,480† 120† 1,070† 800† 450† 1,130† 1,820† 90† Ak-Chin Indian Community 20† 0 * * 0 9 6 0 Cocopah Tribe 20† * 6 * * * * * Colorado River Indian Tribe 60† 0 35 * 0 * 14 * Fort McDowell Yavapai Nation Reservation 20† 0 0 * * * 11 * Fort Mohave Indian Tribe 10† * 0 0 * * * 0 Gila River Indian Community 60† * 11 7 * 17 17 * Havasupai Tribe 10† * * 0 0 * * 0 170† * 42 26 16 33 45 * Hualapai Tribe 30† * * 6 * 9 6 0 Navajo Nation 1,331 20 311 208 137 259 372 24 70† * 17 * * 11 23 * Salt River Pima-Maricopa Indian Community 100† * 16 14 6 16 38 6 San Carlos Apache Tribe 290† * 36 54 20 72 93 7 San Xavier 20† * * * * 6 * 0 Tohono O'Odham Nation 144 10 41 21 15 20 36 * 280† * 47 38 24 57 108 * 20† 0 * 6 0 * * 0 0† 0 * 0 * * * 0 2,630† 60† 580† 400† 230† 530† 790† 50† 1,557 31 265 218 130 303 587 23 307 6 68 44 28 53 102 6 220† * 21 31 13 57 89 * 763 18 134 108 47 189 261 6 2,844 60† 488 401 218 602 1,039 40† Hopi Tribe Pascua Yaqui Tribe White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Weight gain ---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. 28 Health Status Profile of American Indians in Arizona, 2013 Data Book 4.8 MEDICAL RISK FACTORS OF PREGNANCY (2013 STATUS) Resided on reservation 2,681 Ak-Chin Indian Community 20 10† * Cocopah Tribe 19 10† Colorado River Indian Tribe 57 Fort McDowell Yavapai Nation Reservation 21 Gila River Indian Community Havasupai Tribe Hopi Tribe 386 10† 60 10† 34 56 610 40 95 0 76 406 79 10† 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 10† * 0 0 * 0 0 0 * * 0 * 5 0† 0 0 0 * 0 0 0 0 0 0 60 20† 0 0 0 10 0 * 0 * * 9 0† 0 0 0 * 0 0 0 0 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 5,480† Fort Mohave Indian Tribe 0 18 1,826 0 0 0 9 0 0 0 0 6 0 0 0 0 0 19 0 * 0 0 0 11 0 0 * 0 0 0 * * 0 0 0 0 0 0 11 * 0 0 0 0 0 0 0 0 168 70† * 0 * 24 * * 0 * 13 * 0 * * 0 0 0 30 Hualapai Tribe 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Navajo Nation 1,331 600† 80 * 6 122 9 28 0 19 94 * * 12 17 * 0 7 387 65 50† * 0 0 * 0 0 0 * * 0 0 0 0 0 0 0 52 Salt River Pima-Maricopa Indian Community 100 80† 16 * * 17 * * 0 * 8 * * * * 0 0 0 64 San Carlos Apache Tribe 286 140† 15 0 * 23 * * 0 * 28 * * * * 0 0 0 96 19 10† 0 0 0 * 0 * 0 * * 0 0 0 0 0 0 0 12 Tohono O'Odham Nation 144 110† 9 0 * 9 0 6 0 * 11 * 0 * * 0 0 0 106 White Mountain Apache Tribe 280 160† 16 0 * 16 0 * 0 * 33 * 0 * 15 0 0 * 115 17 0† 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 * 4 0† 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 * 0† 20† 240† 10† 50† 0† 20† 40† 0† 0 10† 920† Pascua Yaqui Tribe San Xavier Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Anemia Births with medical risk factors TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Medical risk factorsa ---in Maricopa County 2,630† 1,310† 150† 0 40† 200† 30† 1,557 780† 166 6 30 247 19 24 0 24 119 19 * 7 23 * 0 * 493 ---in Pima County 307 220† 20 0 * 18 * * 0 6 13 * * 0 * 0 0 0 195 ---in Coconino County 217 60† * 0 0 19 0 * 0 * 19 * 0 * * 0 0 0 23 ---elsewhere in Arizona 763 320† 50 * 10 83 6 10 0 * 52 8 * * 7 * 0 * 192 0 10† 903 TOTAL 2,844 1,373 240† 10† 40† 367 30† 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, 2013 Data Book 40† a 0 40† 203 30† 0† 10† 40† 10† Medical risk factors do not sum to the number of births with medical risk 29 4.9 SUBSTANCE USE DURING PREGNANCY (2013 STATUS) Substance use TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Smoker, nondrinker Smoker and drinker Nonsmoker and nondrinker 5,480† 40† 130† 30† 5,280† Ak-Chin Indian Community 20 0 0 0 20 Cocopah Tribe 19 0 0 0 19 Colorado River Indian Tribe 57 0 0 0 57 Fort McDowell Yavapai Nation Reservation 21 0 0 0 21 Fort Mohave Indian Tribe 10† 0 0 0 * Gila River Indian Community 60† * * 0 55 Havasupai Tribe 10† * 0 0 8 170† * 0 * 166 Hualapai Tribe 27 0 0 0 27 Navajo Nation 1,330† * 13 * 1,311 70† 0 * 0 64 Salt River Pima-Maricopa Indian Community 100† * * 0 92 San Carlos Apache Tribe 290† * * * 277 19 0 0 0 19 Tohono O'Odham Nation 140† * * 0 140 White Mountain Apache Tribe 280† 8 9 * 259 Yavapai-Apache Nation 17 0 0 0 17 Yavapai-Prescott Indian Tribe 0† 0 0 0 * 2,630† 20† 40† 10† 2,560† 1,557 10 61 9 1,477 ---in Pima County 310† * 11 * 293 ---in Coconino County 220† 0 * 0 216 ---elsewhere in Arizona 760† * 22 * 733 2,844 20† 100† 10† 2,719 Hopi Tribe Pascua Yaqui Tribe San Xavier TOTAL Resided off reservation Drinker, nonsmoker ---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. 30 Health Status Profile of American Indians in Arizona, 2013 Data Book Utilization of Medical Services Health Status Profile of American Indians in Arizona, 2013 Data Book 31 4.10 TRIMESTER OF PREGNANCY PRENATAL CARE BEGAN (2013 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 1st trimester No care 2nd trimester 3rd trimester Unknown 5,480† 130† 3,760† 1,230† 340† 20† Ak-Chin Indian Community 20† 0 17 * * 0 Cocopah Tribe 20† * 7 9 * 0 Colorado River Indian Tribe 60† * 45 9 * 0 Fort McDowell Yavapai Nation Reservation 20† 0 14 * * 0 Fort Mohave Indian Tribe 10† 0 * * 0 0 Gila River Indian Community 60† * 48 7 * 0 Havasupai Tribe 10† 0 7 * * 0 Hopi Tribe 168 7 104 47 10 0 Hualapai Tribe 30† 0 24 * 0 0 Navajo Nation 1,331 21 900 320 87 * 70† 0 47 14 * 0 100† * 57 30 10 0 San Carlos Apache Tribe 286 19 143 92 29 * San Xavier 20† * 8 9 * 0 Tohono O'Odham Nation 140† * 70 51 19 0 White Mountain Apache Tribe 280† * 183 74 18 * 20† * 9 * * 0 0† 0 * * 0 0 2,630† 60† 1,690† 680† 190† 10† 1,557 38 1,154 282 77 6 307 9 189 82 25 * 220† * 167 38 8 0 763 16 563 151 32 * 2,844 70† 2,073 553 142 10† Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community Yavapai-Apache Nation 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, 2013 Data Book 4.11 NUMBER OF PRENATAL VISITS (2013 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 5,480† 130† 520† 1,310† 2,320† 1,170† 30† Ak-Chin Indian Community 20† 0 * * 12 * 0 Cocopah Tribe 20† * * 10 * * 0 Colorado River Indian Tribe 60† * * 16 15 20 * Fort McDowell Yavapai Nation Reservation 20† 0 * * 10 * 0 Fort Mohave Indian Tribe 10† 0 * * * * 0 Gila River Indian Community 60† * 6 9 34 9 0 Havasupai Tribe 10† 0 * * * 0 0 Hopi Tribe 168 7 13 45 64 39 0 Hualapai Tribe 30† 0 6 7 11 * 0 Navajo Nation 1,331 21 102 319 545 340 * 70† 0 * 19 23 18 0 100† * 14 37 37 9 0 San Carlos Apache Tribe 286 19 61 101 81 21 * San Xavier 20† * * * 10 * 0 Tohono O'Odham Nation 140† * 32 47 51 10 0 White Mountain Apache Tribe 280† * 35 109 103 26 * 20† * * * 6 * 0 0† 0 0 0 * * 0 2,630† 60† 300† 740† 1,010† 510† 10† 1,557 38 115 323 731 338 12 307 9 48 82 96 70 * 220† * 11 31 104 67 0 763 16 47 141 382 176 * 2,844 70† 221 577 1,313 651 20† Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Prenatal visits ---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. Health Status Profile of American Indians in Arizona, 2013 Data Book 33 4.12 OBSTETRIC PROCEDURES (2013 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Other Ultrasound Tocolysis Stimulation of labor Induction of labor 5,480† 20† 5,070† 980† 820† 30† 3,330† 440† Ak-Chin Indian Community 20† 0 20 * 0 0 18 * Cocopah Tribe 20† 0 19 * * 0 19 0 Colorado River Indian Tribe 60† 0 53 * * 0 30 * Fort McDowell Yavapai Nation Reservation 20† 0 20 6 * 0 17 * Fort Mohave Indian Tribe 10† 0 * * 0 0 * 0 Gila River Indian Community 60† * 53 14 9 * 39 12 Havasupai Tribe 10† 0 8 * 0 0 0 0 170† 0 159 39 28 * 58 6 Hualapai Tribe 30† 0 27 7 6 0 * 0 Navajo Nation Hopi Tribe 1,330† * 1,251 247 184 7 664 64 Pascua Yaqui Tribe 70† 0 62 8 * 0 63 15 Salt River Pima-Maricopa Indian Community 100 0 96 17 14 0 77 11 290† 0 263 40 41 * 75 37 20† 0 16 * * 0 19 * Tohono O'Odham Nation 140† 0 140 26 * 0 128 45 White Mountain Apache Tribe 280† * 212 63 66 * 260 * 20† 0 16 7 * 0 16 0 San Carlos Apache Tribe San Xavier Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation Amniocentesis TOTAL BIRTHS Electronic Fetal Monitor Obstetric proceduresa 0† 0 * 0 * 0 * 0 TOTAL 2,630† 10† 2,420† 490† 370† 20† 1,490† 200† ---in Maricopa County 1,560† * 1,434 215 270 9 970 91 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 310† * 297 66 21 * 273 71 217 0 213 40 38 0 83 0 760† 6 706 162 117 * 516 79 2,844 10† 2,650 483 446 10† 1,842 241 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, 2013 Data Book * 0 0 0 0 0 * 6 0 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 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 10† * * 0 0 0 0 19 10† * Colorado River Indian Tribe 57 10† Fort McDowell Yavapai Nation Reservation 21 10† * 60 Prolonged labor Seizures Meconium Cocopah Tribe 90† 140† 160† Other 0 * Breech malpresentation 0 0 Precipitous labor 0 Rupture of membrane 0 10† 0† 140† Fetal distress Cord prolapse * 0 90† 300† 180† Anesthetic complic. Cephalopelvic disp. Dysfunctional labor 0 Other bleeding 0 * 20 0† 190† 880† 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 60† * 9 9 * 0 * 0 * * 9 11 * 0 0 6 19 Hualapai Tribe 27 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * * Navajo Nation 1,331 430† 23 72 69 14 * 31 * 43 35 59 37 * * * 42 146 Hopi Tribe Pascua Yaqui Tribe 65 30† 0 * 0 0 0 * 0 * 0 0 * 0 0 0 * 27 Salt River Pima-Maricopa Indian Community 100 30† 0 7 * * * 0 0 * * * 7 0 0 0 * 9 San Carlos Apache Tribe 286 120† * 16 6 * 0 7 * 23 * * 8 * 0 0 7 66 10† 0 * 0 * 0 * 0 0 0 * * 0 0 0 0 * San Xavier Tohono O'Odham Nation 144 60† * 9 0 0 * 0 0 * 0 0 * 0 0 0 0 53 White Mountain Apache Tribe 280 120† 0 17 8 * 0 7 0 8 9 * 8 * 0 0 * 78 17 0† 0 * 0 0 0 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† 150† 100† Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation 0 80† Ak-Chin Indian Community Havasupai Tribe * 10† 1,790† Gila River Indian Community 10† 40† 5,480† Fort Mohave Indian Tribe 20† Placenta previa Resided on reservation 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 (2013 STATUS) 2,630† 920† 30† 0† 50† 0† 90† 60† 70† 90† 10† 0† 0† 1,557 430† 37 89 57 * * 11 * 25 14 52 40 * * 0 66 180 ---in Pima County 307 150† * 25 9 * 0 * 0 6 * * 6 0 0 0 * 109 ---in Coconino County 217 50† * 11 7 * * * 0 * * 6 8 * * 0 * 15 763 230† 20 26 16 * 0 * 0 13 11 7 17 * * 0 43 143 2,844 867 60† 151 89 10† 10† 20† 0† 50† 30† 70† 71 10† 0† 0 120† 447 ---in Maricopa 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; of labor and/or delivery as each birth may be associated with multiple complications. Health Status Profile of American Indians in Arizona, 2013 Data Book a 80† 430† Complications of labor and/or delivery do not sum to the sum of births with complications 35 4.14 METHOD OF DELIVERY (2013 STATUS) Method of deliverya TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Primary C-Section Repeat C-Section Forceps Vacuum 5,480† 4,040† 110† 630† 680† 20† 80† Ak-Chin Indian Community 20 14 0 6 0 0 0 Cocopah Tribe 19 13 0 * * 0 0 Colorado River Indian Tribe 57 42 0 7 8 0 0 Fort McDowell Yavapai Nation Reservation 21 14 0 * * 0 0 * 0 0 * * 0 0 60 42 * 10 7 0 0 9 7 0 0 * 0 0 168 125 6 24 13 * * Hualapai Tribe 27 18 0 * 7 * * Navajo Nation 1,331 1,053 52 109 110 9 11 65 50 * 7 * 0 0 Salt River Pima-Maricopa Indian Community 100 54 * 18 26 * 0 San Carlos Apache Tribe 286 206 * 29 49 0 11 19 14 0 * * 0 0 Tohono O'Odham Nation 144 113 * 12 15 0 0 White Mountain Apache Tribe 280 210 0 36 34 0 7 17 13 0 * 0 0 0 * * 0 0 * 0 0 2,630† 1,990† 70† 270† 290† 10† 30† 1,557 1,103 23 207 221 * 28 ---in Pima County 307 224 7 34 42 0 11 ---in Coconino County 217 170 * 20 25 0 * ---elsewhere in Arizona 763 555 9 97 102 * 6 2,840† 2,052 40† 358 390 10† 50† Fort Mohave Indian Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Pascua Yaqui Tribe San Xavier Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Vaginal after C-Section Vaginal ---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, 2013 Data Book 4.15 ATTENDANT AT BIRTH (2013 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Hospital admin C.N.M Midwife D.O. Unknown Other 5,480† 3,370† 1,480† 0† 30† 550† 50† 0† Ak-Chin Indian Community 20† 12 * 0 0 7 0 0 Cocopah Tribe 20† 14 * 0 0 * 0 0 57 57 0 0 0 0 0 0 Fort McDowell Yavapai Nation Reservation 20† 20 * 0 0 0 0 0 Fort Mohave Indian Tribe 10† * 0 0 0 0 0 0 Gila River Indian Community 60† 49 * 0 0 10 0 0 Havasupai Tribe 10† 7 0 0 0 * 0 0 170† 69 84 0 * 10 * 0 Hualapai Tribe 27 13 0 0 0 14 0 0 Navajo Nation 1,330† 343 902 * * 67 16 0 70† 45 19 0 0 * 0 0 Salt River Pima-Maricopa Indian Community 100† 80 18 0 * * 0 0 San Carlos Apache Tribe 290† 162 * 0 0 118 * 0 19 19 0 0 0 0 0 0 Tohono O'Odham Nation 140† 140 0 0 0 * * 0 White Mountain Apache Tribe 280† 226 * 0 0 45 6 * 20† 15 * 0 0 0 0 0 0† * 0 0 0 * 0 0 TOTAL 2,630† 1,280† 1,040† 0† 10† 280† 30† 0† ---in Maricopa County 1,560† 1,083 339 0 * 123 6 * ---in Pima County 310† 274 21 0 * * * 0 ---in Coconino County 220† 143 36 0 10 26 * 0 ---elsewhere in Arizona 760† 588 51 0 * 116 * * 2,844 2,088 447 0 20† 270† 20† 0† Colorado River Indian Tribe Hopi Tribe Pascua Yaqui Tribe San Xavier Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation M.D. 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, 2013 Data Book 37 Newborn’s Health Health Status Profile of American Indians in Arizona, 2013 Data Book 39 4.16 GESTATIONAL AGE (2013 STATUS) Length of gestation TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 37-41 weeks 42+ weeks Unknown 5,480† 530† 4,910† 30† 10† Ak-Chin Indian Community 20 7 13 0 0 Cocopah Tribe 19 0 19 0 0 Colorado River Indian Tribe 57 10 47 0 0 Fort McDowell Yavapai Nation Reservation 20† * 17 0 0 Fort Mohave Indian Tribe 10† * * 0 0 60 9 51 0 0 10† * 8 0 0 170† 15 152 * 0 Hualapai Tribe 30† * 25 0 0 Navajo Nation 1,331 103 1,219 7 * Pascua Yaqui Tribe 70† * 62 0 0 Salt River Pima-Maricopa Indian Community 100 17 83 0 0 290† 35 247 * * San Xavier 20† 0 18 * 0 Tohono O'Odham Nation 144 15 129 0 0 280† 32 244 * * 20† * 16 0 0 0† 0 * 0 0 2,630† 260† 2,360† 10† 10† 1,557 165 1,381 8 * ---in Pima County 310† 28 278 * 0 ---in Coconino County 220† 13 203 * 0 ---elsewhere in Arizona 760† 70 690 * 0 2,844 276 2,552 10† 0† Gila River Indian Community Havasupai Tribe Hopi Tribe San Carlos Apache Tribe White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation <37 weeks ---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. 40 Health Status Profile of American Indians in Arizona, 2013 Data Book 4.17 WEIGHT AT BIRTH (2013 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 5,480† 20† 40† 340† 4,590† 490† 10† Ak-Chin Indian Community 20† 0 * * 10 * 0 Cocopah Tribe 20† 0 0 0 16 * 0 57 0 0 7 40 10 0 Fort McDowell Yavapai Nation Reservation 20† 0 * * 17 * 0 Fort Mohave Indian Tribe 10† 0 0 0 * * 0 Gila River Indian Community 60† * 0 7 45 7 0 Havasupai Tribe 10† 0 0 0 8 * 0 170† * * 15 140 9 0 Hualapai Tribe 30† 0 0 * 25 * 0 Navajo Nation 1,330† * * 66 1,129 127 * 70† 0 0 * 61 * 0 Salt River Pima-Maricopa Indian Community 100† 0 * 11 76 12 0 San Carlos Apache Tribe 290† * * 19 239 21 0 20† 0 0 0 17 * 0 Tohono O'Odham Nation 140† * 0 10 121 12 0 White Mountain Apache Tribe 280† * * 15 242 16 * 20† 0 0 * 16 0 0 0† 0 0 0 * 0 0 2,630† 10† 20† 160† 2,210† 230† 0† 1,557 8 9 88 1,320 132 0 ---in Pima County 310† 0 * 20 255 29 * ---in Coconino County 220† 0 * 14 181 21 0 ---elsewhere in Arizona 760† * * 58 627 72 * 2,844 10† 20† 180 2,383 254 0† Colorado River Indian Tribe Hopi Tribe Pascua Yaqui Tribe San Xavier 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, 2013 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 5,480† 392 10† 0† 0 10† 0† 40† 20† 0† 340† Ak-Chin Indian Community 20 * 0 0 0 0 0 0 0 0 * Cocopah Tribe 19 * 0 0 0 0 0 0 * 0 * Colorado River Indian Tribe 57 12 0 0 0 0 0 9 0 0 * Fort McDowell Yavapai Nation Reservation 21 * 0 0 0 0 0 * 0 0 * * 0 0 0 0 0 0 0 0 0 0 60 14 0 0 0 0 0 * 0 0 13 9 0 0 0 0 0 0 0 0 0 0 * Fort Mohave Indian Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe 168 * 0 0 0 0 0 * 0 0 Hualapai Tribe 27 0 0 0 0 0 0 0 0 0 0 Navajo Nation 1,331 29 * 0 0 0 * 6 * 0 19 Pascua Yaqui Tribe 65 * 0 0 0 0 0 0 0 0 * Salt River Pima-Maricopa Indian Community 100 * 0 * 0 * 0 0 0 0 * San Carlos Apache Tribe 286 26 * 0 0 * * * * * 20 19 0 0 0 0 0 0 0 0 0 0 San Xavier Tohono O'Odham Nation 144 * 0 0 0 0 0 0 0 0 * White Mountain Apache Tribe 280 35 0 0 0 0 0 * 0 0 35 17 * 0 0 0 0 0 0 0 0 * * 0 0 0 0 0 0 0 0 0 0 2,630† 140† 0† 0† 0 0† 0† 20† 10† 0† 110† Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Abnormal conditionsa Anemia TOTAL BIRTHS Births with abnormal conditions of the newborn 4.18 ABNORMAL CONDITIONS OF THE NEWBORN (2013 STATUS) 1,557 109 * * 0 * * 6 6 0 100 ---in Pima County ---in Maricopa County 307 14 0 0 0 0 0 * 0 0 14 ---in Coconino County 217 * 0 0 0 * 0 0 * 0 * ---elsewhere in Arizona 763 125 * 0 0 * * * 6 0 113 2,844 250† 10† 0† 0 10† 0† 10† 10† 0 230† 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; 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, 2013 Data Book 4.19 CONGENITAL ANOMALIES / BIRTH DEFECTS (2013 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Other congenital anomalies Other Chromosomal Other Muscosceletal Down s Syndrome Diaphragmatic hernia 0 0† 0† 0 0 0† 0† 0† 0† 0 0† 0† 0 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cocopah Tribe 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribe 57 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Fort McDowell Yavapai Nation Reservation 21 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Havasupai Tribe Hopi Tribe 0† 10† 10† Club Foot Polydactyly / syndactyly / adactyly Cleft Lip/Palate Other Urogenital Renal Agenesis Malformed genitalia 46 20 Gila River Indian Community 0† 10† Other Gastrointestinal Other Respiratory / Circulatory Fistula / Esophageal atresia Omphalocele / gastroschisis Heart Malformations Other CNS Anomaly Microcephalus Hydrocephalus Spina Bifida / meningocele 5,476 Ak-Chin Indian Community Fort Mohave Indian Tribe 0† 10† * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 60 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 168 * 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 * 0 Hualapai Tribe 27 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Navajo Nation 1,331 11 0 * * 0 0 0 * 0 * 0 0 0 0 * * * * 0 0 0 * Pascua Yaqui Tribe 65 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Salt River Pima-Maricopa Indian Community 100 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 San Carlos Apache Tribe 286 * 0 0 0 0 0 0 0 0 0 0 0 0 0 * * 0 0 0 0 0 0 San Xavier 19 * 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * Tohono O'Odham Nation 144 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 White Mountain Apache Tribe 280 * 0 0 0 0 0 0 * 0 0 0 0 0 0 * 0 0 0 0 0 0 0 Yavapai-Apache Nation 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,630† 20† 0 0† 0† 0 0 0† 0† 0 0† 0† 0 0 0 10† 0† 0† 0† 0 0† 0† 0† 1,557 10 0 * * 0 0 0 * 0 0 0 * 0 * * * * 0 0 0 0 * ---in Pima County 307 * 0 0 0 0 0 0 0 0 0 * 0 0 0 0 * 0 0 0 * 0 * ---in Coconino County 217 * 0 0 0 0 0 0 0 0 0 0 * 0 0 * 0 0 0 0 0 0 * ---elsewhere in Arizona 763 7 0 * * 0 0 * * * * * 0 0 * 0 0 0 0 0 0 0 0 2,844 30† 0 0† 0† 0 0 0† 0† 0† 0† 0† 0† 0 0† 10† 0† 0† 0 0 0† Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Anencephalus TOTAL BIRTHS Births with congenital anomalies Congenital anomaliesa ---in Maricopa County TOTAL 0 10† 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, 2013 Data Book 43 4.20 CAUSES OF INFANT DEATHS AMONG AMERICAN INDIAN RESIDENTS, ARIZONA, 2013 Fort McDowell Yavapai Nation Fort Mohave Indian Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Tribe 10† 30† 10† 1 30† 10† 90† 10† 650† 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 20† * 0 0 0 of heart 0† 0 0 0 of brain, spinal cord or nervous system 0† * 0 0† 0 284 * 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 0 0† 0 0 0 0 0 0 0 0 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† 0 0 0 0 0 0 * 0 0 0 0 * 0 0 0 0† 0 0 0 * 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0† 0 * * * 0 * * 16 * 110 * * 8 * 11 26 * 0 200† 32 11 11 34 88 46 0 0 0 0 0 0 0 * 0 21 0 0 * 0 * * 0 0 30† * * * 6 20† Diseases of the digestive system 236 * 0 * * 0 * * 9 * 56 * 11 16 7 8 14 * 0 140† 31 15 8 40 94 Infectious and parasitic diseases 74 0 * * 0 0 * 0 * 0 21 * * * 0 * * 0 0 40† 10 10 * 10 30† Diseases of the nervous system 59 0 0 0 * 0 * 0 * * 22 0 * * 0 * * * 0 40† * 8 * 7 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† 10† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0† * 0 0 * 0† Maternal complications Complications of placenta, cord and membrane Short gestation and low birth weight Bacterial sepsis of newborn Congenital malformations Sudden infant death syndrome Accidents (unintentional injury) Influenza and pneumonia Choked on food Mechanical suffocation Drug poisoning, undetermined intent Yavapai-Apache Nation San Xavier White Mountain Apache Tribe 60† 320† Total * 3 1,220† 240† 120† ---elsewhere in Arizona 0 10† ---in Pima County * Certain conditions originating in the perinatal period 90† 100† Total 10† Yavapai-Prescott Indian Tribe 80† Tohono O'Odham Nation San Carlos Apache Tribe 50† Navajo Nation 30† Total, all causes Cocopah Tribe Salt River PimaMaricopa Indain ---in Coconino County Colorado River Indian Tribe 10† Resided off reservation ---in Maricopa County Ak-Chin Indian Community 1,955 Pascua Yaqui Tribe TOTAL STATE Resided on reservation 737 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, 2013 Data Book 590† 200† 110† 10† 60† 1,720† 70† 870† 540† 430† 0† 70† 50† 0 * * * 0 0 * 0 * * 0 0 0 0 15-17 240† 34 0 26 20 8 0 * 61 * 35 30 20 0 * * 18-19 520† 65 0 53 28 14 * 8 150 * 88 57 41 0 * 10 20-24 1,780† 217 8 178 66 43 * 21 562 18 315 168 137 0 27 17 25-29 1,470† 210 * 163 49 25 0 15 469 17 211 147 128 * 19 13 30-34 920† 130 * 102 29 15 * 11 325 16 134 85 60 * 6 * 35-39 420† 78 * 50 7 7 * * 124 * 64 34 37 0 6 * 40-44 100† 21 0 12 0 0 0 * 26 * 21 12 * 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 3,750† 618 9 395 51 21 * 29 1,166 19 714 369 274 * 45 33 IHS 970† 111 0 142 130 79 * 22 193 22 110 76 71 0 * 9 Private insurance 700† 26 6 49 16 8 * 11 335 21 43 87 73 0 15 * Self 50† 0 0 * * * 0 0 26 * * * 6 0 * 0 Unknown 10† * 0 0 * 0 0 0 * * * * * 0 0 0 <8 30† 0 * * * * 0 * 9 0 * * * 0 0 * 100† 7 0 * 6 * 0 * 37 * 11 10 18 0 * * 9-11 1,220† 106 * 112 72 35 * 15 353 17 167 157 147 0 16 16 12 2,290† 295 9 292 78 57 * 30 632 35 415 227 163 * 34 20 13-16 1,660† 317 * 166 37 16 * 15 604 11 259 120 84 * 14 8 150† 25 0 8 * 0 0 0 74 0 17 18 7 0 * * 45+ Unknown Payee for births Mother's education AHCCCS 8 17+ Unknown Marital status Yuma Yavapai Pinal Pima Navajo Mohave La Paz Graham Gila 6 0 * * 0 0 0 13 * 0 * * 0 0 0 1,080† 142 9 118 44 23 * 9 399 18 135 71 74 * 21 10 Unmarried 4,340† 601 6 464 156 90 * 51 1,300 47 728 459 347 * 44 37 60† 13 0 * * 0 0 * 23 0 10 * * 0 * 0 120† * * 15 * * * 0 38 * 16 22 7 * 0 * 1,070† 191 * 97 27 13 0 39 290 10 174 131 72 0 14 10 16-20 pounds 800† 110 * 89 35 21 0 * 241 11 140 71 58 0 13 6 21-24 pounds 450† 94 * 38 14 8 * 0 142 * 73 48 20 0 * * 25-30 pounds 1,130† 137 * 149 49 33 * * 331 17 176 90 121 * * 9 31+ pounds 1,820† 210 * 186 68 34 * 15 649 18 283 165 146 0 29 15 Unknown 90† 10 0 13 * * 0 * 31 * 11 8 * 0 * * Drinker, nonsmoker 40† * 0 * 0 * 0 0 14 * 7 * * 0 * 0 Smoker, nondrinker 130† 8 * * * * 0 0 69 * 17 14 12 0 * * Smoker and drinker 30† * 0 * * * 0 0 9 0 7 * * 0 0 0 5,280† 742 14 581 195 109 7 62 1,630 63 842 516 409 * 63 45 None 1-15 pounds Substance use Cochise 30† Married Otherb Weight gain Santa Cruz 20† * Maricopa 760† 10† Greenlee 5,476 <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, 2013 Nonsmoker and nondrinker Health Status Profile of American Indians in Arizona, 2013 Data Book 45 Length of gestation <37 weeks Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa * 10 194 * 87 46 44 0 * * * 52 1,517 60 780 487 379 * 64 44 42+ weeks 30† * 0 * * 0 * 0 8 0 * * * 0 0 0 Unknown 10† * 0 * * * 0 0 * 0 * 0 0 0 0 0 <1,000 grams 20† * 0 * * 0 0 0 9 0 * * * 0 0 0 1,000-1,499 40† * 0 * * * 0 0 11 0 9 * * 0 0 0 1,500-2,499 340† 34 * 28 12 7 * 7 105 * 68 32 34 0 * * 2,500-3,999 4,590† 640 13 502 171 94 * 45 1,444 55 734 454 336 * 59 38 490† 77 * 53 12 10 0 10 153 * 58 45 49 0 * 7 10† * 0 * 0 0 0 0 0 0 * * 0 0 0 0 No care 130† 11 * 12 14 8 0 * 43 0 14 14 9 0 * * 1st trimester 3,760† 510 10 422 104 55 6 49 1,257 52 559 314 355 * 42 25 2nd trimester 1,230† 180 * 122 67 32 * 10 322 12 244 156 47 0 19 18 3rd trimester 340† 53 * 31 14 17 0 * 94 0 54 49 14 * * * 20† * 0 0 * * 0 0 6 * * * 0 0 0 0 No visits 130† 11 * 12 14 8 0 * 43 0 14 14 9 0 * * 1-4 visits 520† 49 0 45 35 29 0 * 138 8 84 87 30 * 6 * 5-8 visits 1,310† 208 * 109 72 37 * 18 371 18 252 152 50 0 6 14 9-12 visits 2,320† 321 7 254 63 28 * 16 801 25 326 180 252 * 28 19 13+ visits 1,170† 165 * 167 15 10 * 22 357 13 192 100 84 0 24 10 30† * 0 0 * * 0 * 12 * * * 0 0 0 0 230† 9 * 9 7 * 0 * 111 * 36 16 24 0 * * 5,250† 747 14 578 194 108 7 61 1,611 62 837 519 401 * 65 44 Yes No Amniocentesis Electronic fetal monitoring 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20† * 0 * 0 0 0 0 * 0 * * 6 0 0 0 47 5,070† 695 13 572 182 108 6 58 1,588 64 773 515 387 * 64 Induction of labor 980† 150 * 106 31 18 * * 248 16 166 103 96 * 19 9 Stimulation of labor 820† 104 * 97 24 22 0 * 295 12 150 27 55 0 13 12 Tocolysis Ultrasound Other 46 La Paz 12 100 Unknown Method of delivery Greenlee 24 174 Unknown Obstetric procedures Graham 47 535 Unknown Newborn intensive care Gila * 14 Unknown Prenatal visits Coconino 54 698 4000+ Prenatal care Cochise 530† 4,910† 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, 2013 30† * 0 * * * 0 0 10 0 7 * 0 0 0 0 3,330† 437 11 239 41 55 6 32 1,089 21 470 483 340 * 60 47 440† 48 * * * 43 * * 112 0 20 134 70 * 0 * 4,040† 615 9 462 145 81 * 47 1,201 42 658 401 290 * 53 32 Vaginal after C-Section 110† 34 0 6 * 0 0 0 25 * 21 14 6 0 0 0 Primary C-Section 630† 53 * 53 23 11 * 7 238 8 108 55 63 0 6 * Repeat C-Section 680† 48 * 65 30 21 * 8 254 14 86 65 66 * 7 11 Forceps 20† * 0 * 0 0 0 0 * * * 0 0 0 0 * Vacuum 80† * * 12 8 * 0 0 28 * 11 11 * 0 * 0 Vaginal Health Status Profile of American Indians in Arizona, 2013 Data Book Births with medical risk factors Total Anemia Cardiac disease Lung disease Diabetes Genital herpes Hydramnios Pregnancy associated hypertension Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa La Paz Greenlee Graham Gila 367 12 201 89 66 * 24 889 * 395 400 177 * 24 390† 40 0 26 12 * * 0 183 0 48 34 36 0 * 25 0 10† 0 0 0 0 0 0 0 7 0 * 0 * 0 0 0 0 60† * * 0 * 0 0 0 32 0 * * 8 0 * 610† 69 * 55 16 8 * * 274 * 73 34 62 0 * 7 40† 6 0 * 0 * 0 0 20 0 * * 6 0 0 0 100† 18 0 11 * * 0 0 28 0 12 11 6 0 * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 80† 10 * 10 * 0 0 0 26 0 10 12 * 0 0 0 410† 58 0 41 19 10 0 * 132 * 75 30 36 0 * 0 Eclampsia 60† * 0 * * * 0 * 23 0 13 7 * 0 * 0 Previous infant 4000+g 30† 8 0 * * * 0 0 8 0 8 * 0 0 0 0 Previous SGA infant 80† 9 0 7 * 0 0 0 27 * 19 6 * 0 * * Renal disease 10† 0 0 0 0 0 0 0 * 0 * 0 * 0 0 0 RH sensitization 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Uterine bleeding 20† * 0 * 0 0 0 0 * 0 * 0 * 0 0 0 Incompetent cervix Other Abnormal conditions of the newborn Coconino 2,680† Hemoglobinopathy Chronic hypertension Cochise Apache Total State 4.21 (continued) COMPARISON OF SELECTED CHARACTERISTICSa OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2013 Total Anemia Birth injury 10† * 0 0 * 0 0 0 * 0 0 * * 0 0 * 1,830† 252 12 98 52 55 * 21 578 * 258 365 89 * 20 18 390† 14 * 18 13 14 * 12 124 * 51 18 115 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 10† 0 0 * * 0 0 0 * 0 0 0 * 0 0 0 0† 0 0 0 0 * 0 0 * 0 * 0 0 0 * 0 Assisted vent.<30 min 40† * 0 * * * 0 9 9 * * * * 0 * 0 Assisted vent.>30 min. 20† * 0 * * 0 0 0 6 0 * 0 * 0 * * 0† 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 340† 10 * 12 9 12 * * 111 0 44 18 113 0 * * 50† 6 0 7 * * 0 0 10 * 8 7 * 0 0 0 Fetal alcohol syndrome Membrane disease Meconium aspiration Newborn seizures Other Births with congenital Total anomalies Anencephalus 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 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 Microcephalus Other CNS anomaly Heart malformations Other respiratory / circulatory 0 0 0 0 0 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 Rectal atresia / stenosis Health Status Profile of American Indians in Arizona, 2013 Data Book 47 Tracheo-esophageal fistula / esophageal atresia Omphalocele / gastroschisis 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 Other gastrointestinal 0† 0 0 0 0 0 0 0 0 0 * * * 0 0 0 Malformed genitalia 0† 0 0 * 0 0 0 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 urogenital 0† 0 0 0 0 0 0 0 * 0 * 0 0 0 0 0 Cleft lip / palate 10† * 0 * * 0 0 0 * 0 * 0 0 0 0 0 Polydactyly / syndactyly / adactyly 10† * 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 Diaphragmatic hernia 0† * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other muscosceletal 0† 0 0 * 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Down's syndrome Other chromosomal 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 1,790† 232 6 176 84 57 * 8 483 9 315 250 116 0 12 32 90† 13 0 10 * 0 0 0 40 0 * * 18 0 0 * Meconium 300† 35 0 31 13 8 0 0 102 * 49 39 7 0 * 10 Rupture of membrane Other Total Febrile 180† 34 * 29 * * * 0 58 0 35 9 7 0 0 * Abruptio placenta 40† 8 0 6 * * 0 0 6 0 12 * * 0 0 0 Placenta previa 10† 0 0 * 0 0 0 0 6 0 * * 0 0 0 0 Other bleeding 80† 14 * 16 * * 0 0 11 0 18 6 * 0 0 * Seizures Precipitous labor Prolonged labor 0† * 0 0 * * 0 0 * 0 0 0 0 0 0 0 140† 27 0 14 16 9 * * 30 0 21 8 * 0 0 * 90† 27 0 13 * * 0 0 17 0 15 * * 0 0 * Dysfunctional labor 140† 24 0 30 * 0 0 0 53 0 24 * * 0 0 * Breech malpresentation 160† 17 * 21 * * 0 * 49 0 30 14 14 0 0 * Cephalopelvic disproportion 20† * 0 * * 0 0 0 * 0 6 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 Fetal distress 190† 25 0 14 10 * 0 0 76 * 16 * 34 0 * 7 Other 880† 84 * 52 41 34 * 6 197 6 166 192 57 0 9 24 Total 40† 10† 0 10† 0† 0† 0 0 10† 0† 0† 10† 0† 0 0 0 Neonatal 20† * 0 * * * 0 0 * 0 * * * 0 0 0 Postneonatal 20† * 0 * 0 0 0 0 * * 0 * * 0 0 0 Anesthetic complications Infant mortalityc Cochise 0† Renal agenesis 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, 2013 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, 2013 Data Book V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2013 Health Status Profile of American Indians in Arizona, 2013 Data Book 49 AGE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2013 Data Book 51 5.1 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIANS IN 2013 45-54 55-64 65-74 75-84 20† 20† 90† 170† 210† 280† 310† 260† 310† 0† 0 Ak-Chin Indian Community 10† * * * 0 0 * * * 0 0 * 0 Cocopah Tribe 10† 0 0 0 0 0 0 * * * * 0 0 Colorado River Indian Tribe 30† 0 * 0 0 * * * 9 6 6 0 0 Fort McDowell Yavapai Nation Reservation 10† 0 0 0 * 0 * 0 * * * 0 0 0† 0 0 0 0 * 0 0 0 0 0 0 0 Gila River Indian Community 20† * 0 0 0 * * * * * * * 0 Havasupai Tribe 10† 0 0 0 0 * * * * * * * 0 Hopi Tribe 50† * 0 0 * * * * 13 * 13 9 0 Hualapai Tribe 50† * 0 0 0 * * * 7 9 6 14 0 Navajo Nation 370† 6 6 * 24 39 39 63 51 41 59 42 * Pascua Yaqui Tribe 300† * * * 11 13 23 22 32 35 74 81 0 Salt River Pima-Maricopa Indian Community Fort Mojave Indian Tribe 1-4 <1 350† 7 0 * 9 28 35 49 63 59 61 33 0 San Carlos Apache Tribe 60† * * 0 * * * 8 10 10 * * 0 San Xavier 30† 0 0 0 * 0 * * 6 8 * * 0 Tohono O'Odham Nation 90† 0 * * * * 10 12 21 12 11 8 0 White Mountain Apache Tribe 70† * * * 10 11 9 11 6 * 8 * 0 Yavapai-Apache Nation 50† * * 0 * * 6 6 7 * 10 7 0 Yavapai-Prescott Indian Tribe 40† * * 0 * 6 7 * * 7 6 * 0 1,520† 30† 20† 10† 70† 120† 160† 200† 240† 200† 270† 210† 0† TOTAL Resided off reservation Unknown 35-44 Resided on reservation 85+ 25-34 40† ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 5-14 1,960† TOTAL 15-24 Age group ---in Maricopa County 150† * 0 * 7 15 27 39 23 10 10 8 0 ---in Pima County 70† * 0 0 * * * 11 17 13 10 * 0 ---in Coconino County 40† * 0 0 * * * * * * 7 * 0 ---elsewhere in Arizona 180† * * * 8 23 14 28 32 32 20 20 0 TOTAL 430† 10† 0† 10† 20† 50† 50† 80† 80† 60† 47 30† 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. 52 Health Status Profile of American Indians in Arizona, 2013 Data Book 5.2 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN MALES IN 2013 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 20† 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 20† * 0 0 0 * * * * * * * 0 Gila River Indian Community Havasupai Tribe 0† 0† 0 0 0 0 0 0 * * 0 0 0 0 Hopi Tribe 50† * 0 0 * * * * 13 * 12 9 0 Hualapai Tribe 10† 0 0 0 0 0 * * * * 0 0 0 Navajo Nation 370† * 6 * 24 39 38 61 50 41 59 41 * Pascua Yaqui Tribe 20† 0 0 0 0 * * * 7 * * 0 0 Salt River Pima-Maricopa Indian Community 30† * 0 0 * * 6 7 6 * * * 0 San Carlos Apache Tribe 40† * * 0 * * * 6 8 * * * 0 San Xavier 10† 0 0 0 * 0 * * * * * 0 0 Tohono O'Odham Nation 50† 0 * 0 * * * 6 9 9 6 6 0 White Mountain Apache Tribe 60† 0 * * 10 11 8 10 6 * 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 TOTAL 680† 10† 10† 0† 40† 70† 70† 100† 70† 0† ---in Maricopa County 140† * 0 * 7 15 26 38 22 8 9 8 0 ---in Pima County 70† * 0 0 * * * 11 17 12 10 * 0 ---in Coconino County 40† * 0 0 * * * * * * 7 * 0 ---elsewhere in Arizona 180† * * * 8 23 14 28 32 32 20 20 0 TOTAL 420† 10† 0† 0† 20† 50† 50† 80† 80† 60† 46 30† 0 Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation Unknown Ak-Chin Indian Community 85+ 70† 120† 130† 190† 190† 130† 140† 100† Fort Mojave Indian Tribe 75-84 10† Fort McDowell Yavapai Nation Reservation 65-74 15-24 10† Colorado River Indian Tribe 55-64 5-14 Resided on reservation 45-54 1-4 20† ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 35-44 <1 1,100† TOTAL 25-34 Age group 80† 110† 120† 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, 2013 Data Book 53 5.3 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN FEMALES IN 2013 25-34 35-44 45-54 10† 10† 20† 50† 80† 90† 120† 130† 170† 150† Ak-Chin Indian Community 10† * * * 0 0 * 0 * 0 0 * Cocopah Tribe 10† 0 0 0 0 0 0 * * * * 0 Colorado River Indian Tribe 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 0 Gila River Indian Community 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 Hualapai Tribe 40† * 0 0 0 * * * * 8 6 14 Navajo Nation 10† * 0 0 0 0 * * * 0 0 * Pascua Yaqui Tribe 280† * * * 11 12 22 19 25 31 73 81 Salt River Pima-Maricopa Indian Community 320† * 0 * 7 25 29 42 57 57 60 32 San Carlos Apache Tribe 10† 0 0 0 0 * * * * * * * San Xavier 20† 0 0 0 0 0 * * * * * * Tohono O'Odham Nation 40† 0 * * * * * 6 12 * * * 0† * 0 0 0 0 * * 0 0 0 0 Yavapai-Apache Nation 50† * * 0 * * 6 6 6 * 10 7 Yavapai-Prescott Indian Tribe 40† * * 0 * 6 7 * * 7 6 * 840† 20† 10† 10† 20† 50† 80† 10† 0 0 * 0 0 * * * * * 0 0† 0 0 0 0 0 0 0 0 * 0 * ---in Coconino County 0 0 0 0 0 0 0 0 0 0 0 0 ---elsewhere in Arizona 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0† 0 0 0† 0† 0† 0† 0† 0† Havasupai Tribe Hopi Tribe White Mountain Apache Tribe TOTAL Resided off reservation ---in Maricopa County ---in Pima County TOTAL 85+ 15-24 Resided on reservation 75-84 5-14 20† ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 65-74 1-4 850† TOTAL 55-64 <1 Age group 90† 120† 130† 170† 140† 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, 2013 Data Book CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2013 Data Book 55 5.4 DEATHS BY GENDER FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2013 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Total, all causes MALE FEMALE 1,955 1,103 0 0 0 0† 0 * 10† * 6 10† * * 0† * 0 Respiratory tuberculosis 0† * 0 Other tuberculosis 0† * 0 Whooping cough 0 0 0 Scarlet fever and erysipelas 0 0 0 Meningococcal infection 0† 0 * Septicemia Salmonella infections Shigellosis and amebiasis Certain other intestinal infections Enterocolitis due to Clostridium difficile Tuberculosis 852 24 15 9 Syphilis 0 0 0 Acute poliomyelitis 0 0 0 Arthropod-borne encephalitis 0 0 0 Measles 0 0 0 19 10 9 Viral hepatitis Human immunodeficiency virus (HIV) disease Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms Malignant neoplasm of lip, oral cavity and pharynx 10† * * 0 0 0 12 6 6 243 111 132 0† * 0 10† 9 * Malignant neoplasm of stomach 12 6 6 Malignant neoplasm of colon, rectum and anus 23 8 15 Malignant neoplasm of esophagus Malignant neoplasm of liver and intrahepatic bile ducts 33 18 15 Malignant neoplasm of pancreas 21 11 10 0 0 0 18 8 10 0 0 0 Malignant neoplasm of breast 17 0 17 Malignant neoplasm of cervix uteri 0† 0 * Malignant neoplasm of corpus uteri and uterus, part unspecified 0† 0 * Malignant neoplasm of ovary 12 0 12 Malignant neoplasm of prostate 13 13 0 Malignant neoplasm of kidney and renal pelvis 16 7 9 Malignant neoplasm of bladder 0† * 0 Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin 56 TOTAL Health Status Profile of American Indians in Arizona, 2013 Data Book 5.4 (continued) DEATHS BY GENDER FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2013 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL MALE FEMALE Malignant neoplasm of meninges, brain and other parts of CNS 0† * * Malignant neoplasm of lymphoid, hematopoietic and related tissue 25 10 15 Hodgkin's disease 0† 0 * Non-Hodgkin's lymphoma 0† * * Leukemia 10† * 6 Multiple myeloma and immunoproliferative neoplasms 10† * 6 Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm In situ neoplasms 0 0 0 28 18 10 * 10† * Anemias 0 0 0 Diabetes 142 76 66 Nutritional deficiencies 10† * * 10† * * 0† * * 10† 10 * 0† * 0 10† 8 * Malnutrition Other nutritional deficiencies Obesity Meningitis Parkinson's disease Alzheimer's disease Major cardiovascular diseases Diseases of heart 25 11 14 309 168 141 100 231 131 Acute rheumatic fever and chronic rheumatic heart disease 0† * * Hypertensive heart disease 19 12 7 Hypertensive heart and renal disease 0† * 0 154 90 64 Acute myocardial infarction 33 16 17 Other acute ischemic heart disease 0† * 0 120 73 47 46 32 14 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 Heart failure All other forms of heart disease 74 41 33 53 27 26 0† 0 * 0 0 0 10† * 7 17 42 25 Essential (primary) hypertension and hypertensive renal disease 25 14 11 Cerebrovascular diseases 43 18 25 Health Status Profile of American Indians in Arizona, 2013 Data Book 57 5.4 (continued) DEATHS BY GENDER FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2013 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Atherosclerosis MALE FEMALE 0† * * 10† * * Aortic aneurysm and dissection 0† * * Other disease of arteries, arterioles and capillaries 0† * * Other disorders of circulatory system 0† * * Influenza and pneumonia 46 24 22 Other diseases of circulatory system Influenza 0† * * Pneumonia 44 23 21 Other acute lower respiratory infections 0 0 0 Acute bronchiolitis 0 0 0 Unspecified acute lower respiratory infection 0 0 0 27 9 18 Bronchitis, chronic and unspecified 0 0 0 Emphysema 0 0 0 Asthma 0† * * Other chronic lower respiratory diseases 23 7 16 0† * 0 Chronic lower respiratory diseases Pneumoconioses and chemical effects Pneumonitis due to solids and liquids 10† 10 * 29 14 15 Peptic ulcer 0 0 0 Diseases of appendix 0 0 0 0† 0 * 166 89 77 131 76 55 35 13 22 10† * 6 31 15 16 0 0 0 Other disease of respiratory system Hernia 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 0† * 0 Renal failure 29 13 16 Others disorders of kidney Infections of kidney Hyperplasia of prostate 58 TOTAL 0 0 0 0† 0 * 0 0 0 Inflammatory diseases of female pelvic organs 0† 0 * Pregnancy, childbirth and the puerperium 0† 0 * Health Status Profile of American Indians in Arizona, 2013 Data Book 5.4 (continued) DEATHS BY GENDER FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2013 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Pregnancy with abortive outcome Other complications of pregnancy, childbirth and the puerperium Perinatal conditions TOTAL MALE FEMALE 0 0 0† 0 0 * 10† 9 * Congenital anomalies, deformations and chromosomal abnormalities 19 11 8 Symptoms, signs, abnormal findings 99 61 38 284 197 87 102 63 39 95 59 36 10† * * 0 0 0 182 134 48 Total accidents Transport accidents Motor vehicle accidents Other land transport accidents Water, air, space Nontransport accidents Falls 20 9 11 Accidental discharge of firearms 0† * 0 Accidental drowning and submersion 0† * 0 Accidental exposure to smoke, fire and flames 10† * * Accidental poisoning 106 85 21 Excessive natural heat 10† * * Excessive natural cold 10† 11 * 46 31 15 14 Other and unspecified nontransport accidents Intentional self-harm (suicide) 69 55 By discharge of firearms 17 17 0 By other means 52 38 14 10 Assault (homicide) By discharge of firearms By other means Legal intervention 55 45 20† 18 * 35 27 8 0 0 0 20† 13 * 0† * 0 20† 12 * 0 0 0 Complications of medical and surgical care 10† * * INJURY BY FIREARMS 40† 37 * 54 36 18 229 160 69 Events of undetermined intent Discharge of firearms Other and unspecified events of undetermined intent Operations of war DRUG-INDUCED DEATHS 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, 2013 Data Book 59 Total, all causes Salmonella infections Shigellosis and amebiasis Certain other intestinal infections Enterocolitis due to Clostridium difficile Unknown 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 1,955 36 21 17 90 172 205 283 314 259 314 243 1 0 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 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 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 0 20† 0 0 0 0 0 * * * 10 * * 0 Syphilis 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 Arthropod-borne encephalitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Tuberculosis Meningococcal infection Septicemia Measles 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis 20† 0 0 * 0 0 * 10 * * 0 0 0 Human immunodeficiency virus (HIV) disease 10† 0 0 0 0 * 0 * 0 * 0 0 0 0 Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms Malignant neoplasm of lip, oral cavity and pharynx 0 0 0 0 0 0 0 0 0 0 0 0 10† * * * 0 * * * * * 0 0 0 240† 0 0 * 0 9 14 28 54 55 51 31 0 0† 0 0 0 0 0 0 * 0 0 0 0 0 Malignant neoplasm of esophagus 10† 0 0 0 0 * 0 * * * * * 0 Malignant neoplasm of stomach 10† 0 0 0 0 0 * * * 0 * * 0 Malignant neoplasm of colon, rectum and anus 20† 0 0 0 0 * * * * * * * 0 Malignant neoplasm of liver and intrahepatic bile ducts 30† 0 0 0 0 0 * * 15 6 * * 0 Malignant neoplasm of pancreas 20† 0 0 0 0 0 0 * * 7 * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20† 0 0 0 0 0 * * * * 7 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20† 0 0 0 0 * * * * * * * 0 Malignant neoplasm of cervix uteri 0† 0 0 0 0 0 * 0 0 0 * 0 0 Malignant neoplasm of corpus uteri and uterus, part unspecified 0† 0 0 0 0 0 0 0 * * 0 0 0 Malignant neoplasm of ovary 10† 0 0 0 0 0 0 * * 6 * * 0 Malignant neoplasm of prostate 10† 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 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, 2013 Health Status Profile of American Indians in Arizona, 2013 Data Book Malignant neoplasm of kidney and renal pelvis Unknown 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, 2013 20† 0 0 0 0 0 * * * * * * 0 Malignant neoplasm of bladder 0† 0 0 0 0 0 0 0 0 * 0 0 0 Malignant neoplasm of meninges, brain and other parts of CNS 0† 0 0 0 0 0 0 * * * 0 0 0 30† 0 0 * 0 * * * * 7 * * 0 Hodgkin's disease 0† 0 0 0 0 0 0 0 0 0 * 0 0 Non-Hodgkin's lymphoma 0† 0 0 0 0 0 0 0 * * * * 0 Leukemia 10† 0 0 * 0 * * * * * 0 * 0 Multiple myeloma and immunoproliferative neoplasms 10† 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 * 6 * 6 * 0 10† 0 0 0 0 0 * * 0 0 * * 0 Anemias 0 0 0 0 0 0 0 0 0 0 0 0 0 Diabetes 140† 0 0 0 * * 19 19 35 31 22 13 0 10† 0 0 0 0 0 0 0 0 * 0 * 0 10† 0 0 0 0 0 0 0 0 * 0 * 0 Malignant neoplasm of lymphoid, hematopoietic and related tissue Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm In situ neoplasms Nutritional deficiencies Malnutrition Other nutritional deficiencies Obesity Meningitis Parkinson's disease Alzheimer's disease 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 10† 0 0 0 0 0 0 0 0 * 6 * 0 30† 0 0 0 0 0 0 0 * * 14 7 0 310† * 0 0 * 6 9 31 48 62 82 67 0 230† * 0 0 * * 7 23 36 43 59 54 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 0 150† 0 0 0 0 0 * 11 31 33 36 40 0 30† 0 0 0 0 0 0 * * 10 8 7 0 0† 0 0 0 0 0 0 0 0 * 0 0 0 120† 0 0 0 0 0 * 8 26 22 28 33 0 Atherosclerotic cardiovascular disease 50† 0 0 0 0 0 * 6 15 * 7 11 0 All other forms of chronic ischemic heart disease 70† 0 0 0 0 0 * * 11 17 21 22 0 50† * 0 0 * * * 7 * 8 16 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 Heart failure 10† 0 0 0 0 0 0 0 0 * * * 0 All other forms of heart disease 40† * 0 0 * * * 7 * 6 10 6 0 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 Other heart diseases Acute and subacute endocarditis Diseases of pericardium and acute myocarditis Health Status Profile of American Indians in Arizona, 2013 Data Book 61 Unknown 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 * * 6 * * 0 Cerebrovascular diseases 40† 0 0 0 0 0 * * * 11 14 7 0 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 * 0 0 * * 7 * 6 13 11 0 Other diseases of circulatory system Other disorders of circulatory system Influenza and pneumonia Influenza 0† 0 * 0 0 0 0 0 0 * 0 0 0 40† 0 0 0 0 * * 7 * * 13 11 0 Other acute lower respiratory infections 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 Unspecified acute lower respiratory infection 0 0 0 0 0 0 0 0 0 0 0 0 0 30† 0 * 0 0 0 * * * * 9 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pneumonia Chronic lower respiratory diseases Bronchitis, chronic and unspecified Emphysema 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 * * * * 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 * * * 0 Other disease of respiratory system 30† 0 0 0 0 0 * * * * 7 13 0 Peptic ulcer 0 0 0 0 0 0 0 0 0 0 0 0 0 Diseases of appendix 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 * 0 0 0 0 0 Asthma Other chronic lower respiratory diseases Pneumoconioses and chemical effects Hernia Chronic liver disease and cirrhosis Alcoholic liver disease Other chronic liver disease and cirrhosis 170† 0 0 0 * 16 38 54 42 15 0 0 0 130† 0 0 0 * 14 36 41 31 8 0 0 0 40† 0 0 0 0 * * 13 11 7 0 0 0 Cholelithiasis and other disorders of gallbladder 10† 0 0 0 0 0 * 0 * * * * 0 Nephritis, nephrotic syndrome and nephrosis 30† 0 0 0 0 * * * * 8 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 30† 0 0 0 0 * * * * 8 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 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute and rapidly progressive nephritic and nephrotic syndrome Chronic glomerulonephritis Renal failure Others disorders of kidney Infections of kidney Hyperplasia of prostate 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, 2013 Health Status Profile of American Indians in Arizona, 2013 Data Book Unknown 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, 2013 Inflammatory diseases of female pelvic organs 0† 0 0 0 0 0 0 * 0 0 0 0 0 Pregnancy, childbirth and the puerperium 0† 0 0 0 0 * 0 0 0 0 0 0 0 0 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 11 0 0 0 0 0 0 0 0 0 0 * Pregnancy with abortive outcome Other complications of pregnancy, childbirth and the puerperium Perinatal conditions Congenital anomalies, deformations and chromosomal abnormalities 20† 11 * 0 * * * 0 * * 0 0 0 Symptoms, signs, abnormal findings 100† * * * * 13 12 14 13 10 15 9 0 Total accidents 280† * 10 * 37 61 47 47 40 7 17 11 0 100† * 7 * 21 31 11 8 11 * 6 * 0 100† * 7 * 18 29 11 7 11 * * * 0 10† 0 0 0 * * 0 * 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 180† * * * 16 30 36 39 29 * 11 10 0 0 Transport accidents Motor vehicle accidents Other land transport accidents Water, air, space Nontransport accidents Falls 20† 0 0 * 0 * * * * 0 * * Accidental discharge of firearms 0† 0 * 0 0 0 0 0 0 0 0 0 0 Accidental drowning and submersion 0† 0 0 0 * * * 0 * 0 0 0 0 Accidental exposure to smoke, fire and flames Accidental poisoning 10† 0 0 0 0 0 * * * 0 * 0 0 110† 0 0 0 9 26 27 23 18 * * 0 0 0 Excessive natural heat 10† 0 0 0 * 0 0 * 0 * * * Excessive natural cold 10† 0 0 0 * 0 0 7 * * 0 0 0 Other and unspecified nontransport accidents 50† * * * 6 * * 11 8 * * * 0 0 Intentional self-harm (suicide) 70† 0 0 * 24 16 15 10 0 0 0 0 By discharge of firearms 20† 0 0 0 * * 6 * 0 0 0 0 0 By other means 50† 0 0 * 21 13 9 * 0 0 0 0 0 0 Assault (homicide) 60† 0 * * 11 19 9 8 * * 0 0 By discharge of firearms 20† 0 0 0 6 * * 6 * 0 0 0 0 By other means 40† 0 * * * 14 7 * * * 0 0 0 0 Legal intervention 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 20† * * 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 INJURY BY FIREARMS 40† 0 * 0 9 9 8 11 * 0 0 0 0 DRUG-INDUCED DEATHS 50† 0 0 0 * 17 13 12 8 0 0 0 0 230† 0 0 0 8 29 64 65 52 9 * 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 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, 2013 Data Book 63 Certain other intestinal infections elsewhere in Arizona Yavapai-Prescott Indian Tribe Yavapai-Apache Nation Tohono O'Odham Nation White Mountain Apache Tribe San Carlos Apache Tribe Fort McDowell Yavapai Nation Reservation Colorado River Indian Tribe 91 30 47 81 14 9 3 1,220† 242 117 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0† 0 0 0 0 0 93 102 Total Salt River Pima Maricopa Indian Hopi Tribe Navajo Nation 14 651 Total 5 0 in Coconino County 29 0 in Pima County 1 0 in Maricopa County 5 0 San Xavier 28 0 Pascua Yaqui Tribe 6 0 Hualapai Tribe 9 0 Havasupai Tribe 1,955 Cocopah Tribe Gila River Indian Community Shigellosis and amebiasis Resided off reservation Fort Mohave Indian Tribe Total, all causes Salmonella infections Resided on reservation Ak-Chin Indian Community Cause of death (Tenth Revision, International Statistical Classification of Diseases) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 5.6 DEATHS BY RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2013 62 316 737 10† 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 0† * 0 0 * 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 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 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 Septicemia Enterocolitis due to Clostridium difficile Tuberculosis 24 0 * 0 0 0 * 0 0 0 6 * * 0 0 * * 0 0 20† * * * * 10† 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 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 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 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 0 19 0 0 * 0 0 0 0 0 0 6 * 0 0 0 * 0 0 0 10† * * * * 10† 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 Other and unspecified infectious and parasitic diseases 10† 0 0 * 0 0 0 0 * 0 * 0 0 * 0 * * 0 0 10† * * 0 * 10† Malignant neoplasms 31 90† Viral hepatitis Human immunodeficiency virus (HIV) disease Malaria 243 * * * * 0 * 0 12 * 88 8 7 6 * 18 * * 0 150† 37 16 * 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 0 Malignant neoplasm of esophagus 13 0 0 0 0 0 0 0 0 0 * * 0 0 0 * 0 0 0 10† * * 0 * 10† Malignant neoplasm of stomach 0 10† 0 0 0 0 0 0 0 * 0 6 0 0 0 0 0 0 0 0 10† * 0 0 * 10† 23 0 0 0 0 0 * 0 * 0 9 0 * * 0 0 0 0 0 10† * * 0 * 10† Malignant neoplasm of liver and intrahepatic bile ducts 33 * 0 * 0 0 0 0 0 * 6 * * * 0 * 0 0 0 20† * * * * 10† Malignant neoplasm of pancreas 21 0 0 * * 0 * 0 * * 7 * 0 0 0 * 0 0 0 10† * * * * 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 18 0 0 0 0 0 0 0 * 0 * 0 0 0 0 * 0 0 0 10† 7 * 0 * 10† Malignant neoplasm of colon, rectum and anus Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin 0 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 breast 17 0 0 0 0 0 0 0 * 0 * * * * 0 * 0 0 0 10† * 0 0 * 10† Malignant neoplasm of cervix uteri 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 0† 0 0 0 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 8 0 0 0 0 * 0 0 0 10† * 0 0 0 0† Malignant neoplasm of prostate 10† 0 0 0 0 0 0 0 * 0 6 0 0 0 0 0 * 0 0 10† 0 * * * 0† Malignant neoplasm of kidney and renal pelvis 20† 0 0 0 0 0 0 0 * 0 6 * * 0 * * 0 0 0 10† * * 0 * 0† 64 0 Health Status Profile of American Indians in Arizona, 2013 Data Book Yavapai-Prescott Indian Tribe Yavapai-Apache Nation 0 0 0 0 0 0 0 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 lymphoid, hematopoietic and related tissue in Coconino County Total Salt River Pima Maricopa Indian Navajo Nation Hopi Tribe Total 0 0 elsewhere in Arizona 0 0 in Pima County 0 0 in Maricopa County 0 0 San Xavier 0 0 Pascua Yaqui Tribe 0 0 Hualapai Tribe Gila River Indian Community 0 0† Havasupai Tribe Fort Mohave Indian Tribe 0† Malignant neoplasm of meninges, brain and other parts of CNS Cocopah Tribe Malignant neoplasm of bladder Cause of death (Tenth Revision, International Statistical Classification of Diseases) Ak-Chin Indian Community Fort McDowell Yavapai Nation Reservation Tohono O'Odham Nation White Mountain Apache Tribe Resided off reservation San Carlos Apache Tribe Resided on reservation Colorado River Indian Tribe ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2013 30† 0 * 0 0 0 0 0 0 0 15 0 * 0 0 * 0 * 0 20† * * * * 10† Hodgkin's disease 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0† Non-Hodgkin's lymphoma 0† 0 * 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0† 0 * 0 0 0† Leukemia 10† 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 * 0 10† * 0 0 0 0† Multiple myeloma and immunoproliferative neoplasms 10† 0 0 0 0 0 0 0 0 0 * 0 * 0 0 * 0 0 0 10† * 0 0 * 0† 0 Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm In situ neoplasms 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 0 0 * 0 0 0 0 0 0 14 * * 0 0 * 0 0 0 20† * * * * 10† 10† * 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 0 0 0 0 Diabetes 142 0 0 * * 0 * 0 * * 38 * * 9 0 9 7 0 0 80† 25 13 * Nutritional deficiencies 10† 0 0 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 0 0 0 0† 0 0 0 * 0† Other nutritional deficiencies 0† 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 * 0† Obesity 14 0 0 0 0 0 0 0 * 0 * 0 0 * 0 * * 0 0 10† * * 0 * 10† Malnutrition Meningitis Parkinson's disease Alzheimer's disease Major cardiovascular diseases Diseases of heart 22 60† 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 6 0 0 0 0 * 0 0 0 10† 0 * * * 0† 25 0 0 0 * 0 * 0 0 0 6 0 * * 0 * * * 0 20† * * 0 * 10† 309 * * 9 0 0 * * 14 * 98 * 8 10 * 20 11 0 0 180† 38 19 10 58 125 231 * * 9 0 0 * 0 12 * 69 * * 6 0 14 9 0 0 130† 32 11 9 47 99 Acute rheumatic fever and chronic rheumatic heart disease 0† 0 0 0 0 0 0 0 0 0 * 0 0 * 0 0 0 0 0 0† 0 * 0 * 0† Hypertensive heart disease 19 0 0 * 0 0 0 0 * 0 * 0 * * 0 * * 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 0 154 * 0 6 0 0 * 0 7 * 44 * * * 0 12 6 0 0 90† 23 6 * Hypertensive heart and renal disease Ischemic heart disease 0 0 35 70† Acute myocardial infarction 33 0 0 * 0 0 0 0 * 0 9 0 0 0 0 * * 0 0 20† 7 * * * 10† Other acute ischemic heart disease 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 120 * 0 * 0 0 * 0 * * 35 * * * 0 10 * 0 0 70† 16 * * 30 60† Atherosclerotic cardiovascular disease 46 0 0 0 0 0 * 0 * * 11 * * 0 0 * * 0 0 20† 7 * * 13 30† All other forms of chronic ischemic heart disease 74 * 0 * 0 0 * 0 * 0 24 * 0 * 0 7 * 0 0 50† 9 * * 17 30† 53 0 * * 0 0 * 0 * 0 22 0 * * 0 * * 0 0 30† * * * 8 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 10† 0 0 0 0 0 0 0 * 0 * 0 0 0 0 0 * 0 0 10† 0 0 * 0 0† 42 0 * * 0 0 * 0 * 0 17 0 * * 0 0 * 0 0 30† * * * 8 20† Other forms of chronic ischemic heart disease Other heart diseases Acute and subacute endocarditis Diseases of pericardium and acute myocarditis Heart failure All other forms of heart disease Health Status Profile of American Indians in Arizona, 2013 Data Book 0† 0 65 Total elsewhere in Arizona in Coconino County in Pima County in Maricopa County Total Yavapai-Prescott Indian Tribe Yavapai-Apache Nation San Xavier Tohono O'Odham Nation White Mountain Apache Tribe Resided off reservation San Carlos Apache Tribe Salt River Pima Maricopa Indian Pascua Yaqui Tribe Navajo Nation Hualapai Tribe Hopi Tribe Havasupai Tribe Gila River Indian Community Fort Mohave Indian Tribe Fort McDowell Yavapai Nation Reservation Cocopah Tribe Colorado River Indian Tribe Resided on reservation Ak-Chin Indian Community Cause of death (Tenth Revision, International Statistical Classification of Diseases) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2013 Essential (primary) hypertension and hypertensive renal disease 25 0 0 0 0 0 * * * 0 * * * * 0 * 0 0 0 20† 0 * 0 Cerebrovascular diseases 43 0 * 0 0 0 0 0 * 0 18 0 * * * * * 0 0 30† * * * 7 20† Atherosclerosis 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† * 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 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 0 0† 0 Other diseases of circulatory system * 10† 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 Influenza and pneumonia 46 0 0 0 0 0 0 0 * 0 21 0 0 * 0 * * 0 0 30† * * * 6 20† Influenza 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 * 0 0 0† 0 0 0 0 Pneumonia 44 0 0 0 0 0 0 0 * 0 20 0 0 * 0 * * 0 0 30† * * * 6 20† 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 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 Unspecified acute lower respiratory 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 0 27 0 0 0 0 0 0 0 0 0 * * 0 * 0 0 * 0 * 10† * * 0 9 20† Bronchitis, chronic and unspecified 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 0 0 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 lower respiratory diseases Asthma Other chronic lower respiratory diseases 0 0 23 0 0 0 0 0 0 0 0 0 * * 0 * 0 0 * 0 * 10† * * 0 7 10† Pneumoconioses and chemical effects 0† 0 0 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 14 0 0 0 0 0 0 0 0 0 * 0 0 * 0 * 0 0 0 10† * * 0 * 10† Other disease of respiratory system 0 29 0 0 0 0 0 0 0 6 0 13 0 0 * 0 * * 0 0 20† * 0 * * 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 Diseases of appendix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0† 73 Hernia 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 0 166 * 0 * 0 0 * * * * 30 * 11 10 7 7 10 * 0 90† 27 13 6 27 131 * 0 * 0 0 * * * * 22 * 10 9 * * 8 * 0 70† 25 8 * 19 60† 35 0 0 * 0 0 0 0 * 0 8 0 * * * * * 0 0 20† * * * 8 20† 10† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0† 0 0 * * 31 0 0 0 0 0 * 0 * 0 13 * * * 0 0 * * 0 20† * 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 Chronic glomerulonephritis 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 failure 29 0 0 0 0 0 * 0 * 0 11 * * * 0 0 * * 0 20† * 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† Others disorders of kidney Infections of kidney 66 Health Status Profile of American Indians in Arizona, 2013 Data Book Yavapai-Prescott Indian Tribe Yavapai-Apache Nation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 Pregnancy, childbirth and the puerperium 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 Perinatal conditions 10† 0 0 0 0 0 * 0 0 * * 0 * * 0 * 0 0 0 10† 0 0 * 0 0† Congenital anomalies, deformations and chromosomal abnormalities 20† * 0 0 0 0 0 0 * 0 * 0 * * * * 0 0 0 10† * 0 * * 10† 0 Pregnancy with abortive outcome Other complications of pregnancy, childbirth and the puerperium 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 * 0 * 0 * * 0 * 0 * * * 0 * * 16 102 0 * * 0 0 * 0 * in Coconino County Total Salt River Pima Maricopa Indian Navajo Nation Hopi Tribe 99 284 Total 0 0 elsewhere in Arizona 0 0 in Pima County 0 0 in Maricopa County 0 0 San Xavier 0 0 Pascua Yaqui Tribe 0 0 Hualapai Tribe Gila River Indian Community 0 0 Havasupai Tribe Fort Mohave Indian Tribe 0 0† Hyperplasia of prostate Cocopah Tribe 0 Inflammatory diseases of female pelvic organs Cause of death (Tenth Revision, International Statistical Classification of Diseases) Ak-Chin Indian Community Fort McDowell Yavapai Nation Reservation Tohono O'Odham Nation White Mountain Apache Tribe Resided off reservation San Carlos Apache Tribe Resided on reservation Colorado River Indian Tribe ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2013 32 0 * * 0 * * 0 0 50† 9 * * * 110 * * 8 * 11 26 * 0 200† 32 11 11 31 50† 0 46 * * * 0 * * 0 0 70† 12 6 * 12 30† 11 30† 34 88 95 0 * * 0 0 * 0 * 0 44 * * * 0 * * 0 0 60† 11 6 * 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 0 182 0 * * * 0 * * 12 * 64 * * * * 7 21 * 0 130† 20 * 7 22 50† 20† 0 0 0 0 0 0 * * * 8 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 0† Accidental exposure to smoke, fire and flames 10† 0 0 0 0 0 0 0 0 0 * 0 0 * * 0 * 0 0 0† 0 0 0 * 0† Accidental poisoning 106 0 0 * * 0 * * 7 * 23 * * * * * 18 * 0 70† 16 * * Excessive natural heat 6 0 0 0 0 0 0 0 0 0 * 0 0 * 0 0 0 0 0 10† 0 0 0 0 0 Excessive natural cold 10† 0 * 0 0 0 0 0 * 0 9 * 0 0 0 0 0 0 0 10† 0 0 0 * 0† Other and unspecified nontransport accidents Intentional self-harm (suicide) 16 40† 46 0 * 0 0 0 * 0 * 0 31 * 0 * 0 * * 0 0 40† 0 * * * 10† 69 0 0 0 0 0 * 0 * 0 23 0 0 6 0 * 6 0 0 50† 6 * * 11 20† By discharge of firearms 17 0 0 0 0 0 * 0 * 0 * 0 0 * 0 0 0 0 0 10† * * 0 * 10† By other means 52 0 0 0 0 0 * 0 0 0 19 0 0 * 0 * 6 0 0 40† * * * 7 20† 55 0 0 * 0 0 0 0 * 0 23 0 * * 0 * * 0 0 30† 9 * * 9 20† By discharge of firearms 20 0 0 0 0 0 0 0 0 0 8 0 * 0 0 0 0 0 0 10† 6 * 0 * 10† By other means 35 0 0 * 0 0 0 0 * 0 15 0 0 * 0 * * 0 0 20† * 0 * 7 10† Legal intervention 0 0 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 * 0 0 10† * 0 * * 10† Assault (homicide) Events of undetermined intent 0 Discharge of firearms 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 events of undetermined intent 17 0 0 0 0 0 0 0 0 0 * * 0 * 0 0 * 0 0 10† * 0 * * 10† Operations of war 0 0 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† INJURY BY FIREARMS 39 0 0 0 0 0 * 0 * 0 12 0 * * 0 0 0 0 0 20† 8 * 0 7 20† DRUG-INDUCED DEATHS 54 0 0 * 0 0 * 0 0 * * * * * * * 7 0 0 20† 15 * * 13 30† 229 * 0 * * 0 * * 11 * 56 * 14 11 * 6 25 * 0 140† 34 11 10 Complications of medical and surgical care ALCOHOL-INDUCED DEATHS 31 86 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, 2013 Data Book 67 Total, all causes Salmonella infections Shigellosis and amebiasis 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 DEATHS BY COUNTY OF RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2013 1,960† 424 5 232 66 27 0 30 317 37 383 251 130 0 27 22 4 0 0 0 0 0 0 0 0 0 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 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 Respiratory tuberculosis 0† * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other tuberculosis Certain other intestinal infections Enterocolitis due to Clostridium difficile Tuberculosis 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 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 0 0 0 * 0 0 0 0 0 0 20† * 0 * 0 0 0 0 * 0 7 6 * 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 Arthropod-borne encephalitis 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 Viral hepatitis 20† * 0 * 0 0 0 * * * 0 6 * 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 0 240† 60 * 22 * * 0 * 46 6 33 42 14 0 * * 0 0† 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 Malignant neoplasm of esophagus 10† * 0 0 0 0 0 0 * 0 * * * 0 0 * 0 Malignant neoplasm of stomach 10† * 0 * 0 0 0 0 * * * 0 0 0 0 * 0 Malignant neoplasm of colon, rectum and anus 20† * 0 * 0 * 0 0 6 0 * * * 0 * 0 0 Malignant neoplasm of liver and intrahepatic bile ducts 30† * 0 * * 0 0 * 6 * * 12 * 0 * 0 0 Malignant neoplasm of pancreas 20† 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 20† * 0 * 0 0 0 0 7 * * * * 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 6 * * * * 0 0 0 0 0† * 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 Meningococcal infection Septicemia Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin Malignant neoplasm of breast Malignant neoplasm of cervix uteri Malignant neoplasm of corpus uteri and uterus, part unspecified 0† 0 0 0 * 0 0 0 * 0 * 0 0 0 * 0 0 Malignant neoplasm of ovary 10† 6 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 Malignant neoplasm of kidney and renal pelvis 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 Malignant neoplasm of bladder 68 Health Status Profile of American Indians in Arizona, 2013 Data Book Malignant neoplasm of meninges, brain and other parts of CNS 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, 2013 0† 0 0 0 * 0 0 0 * 0 * 0 0 0 0 0 0 30† 9 0 * 0 0 0 0 * 0 * * * 0 * * 0 Hodgkin's disease 0† 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 Non-Hodgkin's lymphoma 0† * 0 * 0 0 0 0 0 0 0 * 0 0 0 * 0 Leukemia 10† * 0 * 0 0 0 0 * 0 * 0 0 0 * 0 0 Multiple myeloma and immunoproliferative neoplasms 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 30† 10 0 * 0 0 0 * * 0 * 6 0 0 0 0 0 10† 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 Diabetes 140† 23 * 10 9 * 0 * 28 * 24 27 8 0 * * 0 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 0 0 0† 0 0 * 0 0 0 0 0 0 0 0 * 0 0 0 0 Malignant neoplasm of lymphoid, hematopoietic and related tissue Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm In situ neoplasms Nutritional deficiencies Malnutrition Other nutritional deficiencies Obesity 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 Parkinson's disease 10† * 0 * 0 0 0 0 0 0 * * 0 0 0 0 0 Alzheimer's disease 30† * 0 * * * 0 0 * 0 * 6 * 0 * 0 0 310† 64 * 33 8 * 0 10 49 8 52 43 28 0 * * 0 230† 44 * 25 6 * 0 10 38 8 40 27 23 0 * * 0 0† * 0 0 0 * 0 0 0 0 0 * * 0 0 0 0 20† * 0 * 0 * 0 * 6 * * * * 0 0 0 0 0† 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 150† 26 * 14 * * 0 7 25 6 30 20 16 0 * * 0 30† * 0 * * 0 0 * 7 0 11 * * 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 120† 21 * 11 * * 0 6 18 6 19 17 13 0 * * 0 50† * 0 * * 0 0 0 8 * 7 8 6 0 * * 0 Meningitis 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 Heart failure All other forms of heart disease 70† 16 * 7 * * 0 6 10 * 12 9 7 0 * * 0 50† 15 0 9 * 0 0 * 6 * 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 10† * 0 * 0 0 0 0 0 0 * 0 0 0 0 0 0 40† 10 0 7 * 0 0 * 6 * 6 * * 0 * * 0 Essential (primary) hypertension and hypertensive renal disease 30† * 0 * * * 0 0 * 0 * 9 * 0 0 0 0 Cerebrovascular diseases 40† 13 0 * * 0 0 0 * 0 8 7 * 0 * * 0 Health Status Profile of American Indians in Arizona, 2013 Data Book 69 Atherosclerosis 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, 2013 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 Aortic aneurysm and dissection 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 0 0 0 0 * 0 * * 0 0 0 0 0 50† 14 0 8 * 0 0 0 * 0 12 * * 0 0 0 0 Other diseases of circulatory system Other disorders of circulatory system Influenza and pneumonia Influenza 0† 0 0 * 0 0 0 0 0 0 * 0 0 0 0 0 0 40† 14 0 7 * 0 0 0 * 0 11 * * 0 0 0 0 Other acute lower respiratory infections 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 Unspecified acute lower respiratory infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30† * 0 * * 0 0 * * * 6 * * 0 * * 0 Bronchitis, chronic and unspecified 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 0 0 0 0 * 0 0 0 0 0 0 20† * 0 0 * 0 0 * * * * * * 0 * * 0 Pneumonia Chronic lower respiratory diseases Asthma Other chronic lower respiratory diseases 0† * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pneumonitis due to solids and liquids Pneumoconioses and chemical effects 10† * 0 0 * 0 0 0 * 0 * * 0 0 0 0 * Other disease of respiratory system 30† 7 * 6 * 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 Peptic ulcer Diseases of appendix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 170† 17 0 16 6 * 0 * 39 6 30 29 13 0 * * 0 130† 12 0 13 * * 0 * 36 * 24 19 9 0 * * 0 40† * 0 * * 0 0 * * * 6 10 * 0 0 * 0 Cholelithiasis and other disorders of gallbladder 10† * 0 * 0 0 0 0 0 0 * 0 * 0 0 0 0 Nephritis, nephrotic syndrome and nephrosis 30† * 0 * * * 0 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 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 0† 0 0 * 0 0 0 0 * 0 0 0 0 0 0 0 0 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 Hyperplasia of prostate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Inflammatory diseases of female pelvic organs 0† * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pregnancy, childbirth and the puerperium 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pregnancy with abortive outcome 70 Health Status Profile of American Indians in Arizona, 2013 Data Book Other complications of pregnancy, childbirth and the puerperium 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, 2013 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 Perinatal conditions 10† * 0 * * * 0 0 * * 0 * 0 0 0 0 0 Congenital anomalies, deformations and chromosomal abnormalities 20† * 0 * * 0 0 0 * 0 * * * 0 0 0 0 Symptoms, signs, abnormal findings 100† 45 0 * * 0 0 * 10 * 20 7 6 0 0 0 0 Total accidents 280† 65 0 46 8 * 0 * 39 * 70 27 11 0 * * * 100† 27 0 16 * 0 0 * 14 0 22 11 * 0 0 * * 100† 25 0 15 * 0 0 * 13 0 20 11 * 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 0 180† 38 0 30 * * 0 * 25 * 48 16 6 0 * * * 20† 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 Transport accidents Motor vehicle accidents Other land transport accidents Water, air, space Nontransport accidents Falls Accidental discharge of firearms Accidental drowning and submersion 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 * 110† 6 0 18 * 0 0 * 20 * 36 10 * 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 6 * 0 0 0 * 0 Other and unspecified nontransport accidents 50† 24 0 6 * * 0 0 * 0 8 * * 0 0 * 0 70† 20 0 9 * * 0 0 11 * 9 7 6 0 0 0 0 20† * 0 * * 0 0 0 * 0 * * * 0 0 0 0 0 Accidental exposure to smoke, fire and flames Accidental poisoning Intentional self-harm (suicide) By discharge of firearms By other means 50† 16 0 7 * * 0 0 6 * 7 * * 0 0 0 60† 12 0 6 * * 0 * 10 0 13 * * 0 0 0 * By discharge of firearms 20† * 0 * 0 0 0 0 7 0 * * * 0 0 0 0 By other means 40† 8 0 * * * 0 * * 0 9 * * 0 0 0 * Legal intervention 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 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 Complications of medical and surgical care 10† 0 0 * 0 0 0 0 * 0 * * * 0 0 0 0 INJURY BY FIREARMS 40† 8 0 * * 0 0 0 13 0 6 * * 0 0 * 0 DRUG-INDUCED DEATHS 50† 0 0 * * 0 0 * 17 * 8 9 * 0 * * 0 230† 25 0 34 7 * 0 * 50 6 63 23 11 0 * * 0 Assault (homicide) Events of undetermined intent Discharge of firearms Other and unspecified events of undetermined intent Operations of war 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, 2013 Data Book 71 5.8 DEATHS FROM MOTOR VEHICLE-RELATED INJURIES AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2013 TOTAL M F ALL AGES <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ ALL AGES 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 ALL AGES <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 100† 0† 7 0† 20† 29 10† 10† 10† 0† 10† 0† 60† 0† 0† 10† 18 10† 10† 10† 0† 0† 40† 0† 0† 0† 10† 10† 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 * 0 0 0 0 0 0 0† 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 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† 0 * * 10 10 8 * * * * * 30† * 0 * 10 * * * * * 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 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 * 0 * 0 0 0 0 0 0 0 0† 0 0 * 0 0 0 0 0 0 0† 0 * 0 0 0 0 0 0 0 0 0 0† * * 0 0 * 0 0 * 0 0 0 0† 0 0 0 0 0 0 * 0 0 0† * * 0 0 * 0 0 0 0 0 0 0† 0 0 0 * * 0 0 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† 10† 0† 10† 10† 8 0† 10† 0† 0† 0† 40† 0† 0 10† 10† 10† 0† 10† 0† 0† 20† 0† 0† 0† 10† 0† 0† 0† 0† 0 0† 0† 10† 0 0 * * * * * 0 0 0 0 10† 0 * * * * 0 0 0 0 10† 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† 0 0 0 0 * * 0 * 0 0 0 0† 0 0 0 0 * 0 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 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 Pascua Yaqui Tribe Navajo Nation Hopi Tribe Gila River Indian Community Colorado River Indian Tribe Cocopah Tribe TOTAL Resided on reservation 30† 0 0 0† 0† 20† 0† 0† 0† 0 0† 0 20† 0 0† 0† 10† 0† 0† 0† 0 0† 20† 0 0 0 0† 10† 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, 2013 Data Book 5.9 INTENTIONAL SELF-HARM (SUICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2013 TOTAL M F ALL AGES TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL Yavapai-Prescott Indian Tribe Resided off reservation Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Nation San Carlos Apache Tribe Navajo Nation Hopi Tribe TOTAL Gila River Indian Community Resided on reservation 70† 10† 0† 20† 10† 0† 10† 0 0 50† 10† 0† 0† 10† 20† 5-14 0† 0 0 * 0 0 * 0 0 0† * 0 0 0 0† 15-24 24 0 0 7 * * * 0 0 10† * * * * 10† 25-34 20† * 0 7 * 0 0 0 0 10† * * * * 10† 35-44 20† * * * 0 * * 0 0 10† * * 0 * 0† 45-54 10† 0 0 * * 0 0 0 0 10† * 0 0 * 0† ALL AGES 60† 0† 0† 20† 10† 0† 0† 0 0 40† 10† 0† 0† 10† 20† 5-14 0† 0 0 * 0 0 * 0 0 0† 0 0 0 0 0 15-24 17 0 0 * * 0 * 0 0 10† * * * * 10† 25-34 10† 0 0 7 * 0 0 0 0 10† * * 0 0 0† 35-44 10† * * * 0 * 0 0 0 10† * * 0 * 0† 45-54 10† 0 0 * * 0 0 0 0 10† * 0 0 * 0† ALL AGES 10† 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† 15-24 10† 0 0 * 0 * * 0 0 0† 0 0 * * 0† 25-34 0† * 0 0 0 0 0 0 0 0† 0 0 * * 0† 35-44 0† * 0 0 0 0 * 0 0 0† 0 0 0 0 0 5-14 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, 2013 Data Book 73 5.10 ASSAULT (HOMICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2013 TOTAL ALL AGES 1-4 5-14 15-24 M TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL White Mountain Apache Tribe Tohono O'Odham Nation San Carlos Apache Tribe Salt River PimaMaricopa Indian Community Navajo Nation Resided off reservation 60† 0† 0† 20† 0† 0† 0† 0† 30† 10† 0† 0† 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 0† 10† 0 0 * * * 0 * 10† 0 * 0 0 0† 25-34 19 * 0 6 0 0 0 * 10† 6 0 0 * 10† 35-44 10† * 0 6 0 * 0 0 10† 0 0 0 * 0† 45-54 10† 0 * * 0 0 0 0 10† * 0 0 * 0† 55-64 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 50† 0† 0† 20† 0† 0† 0† 0† 30† 10† 0† 0 10† 20† 0† 0 0 0 0 0 * 0 0† 0 0 0 0 0 15-24 10† 0 0 * * * 0 0 10† 0 * 0 0 0† 25-34 16 * 0 * 0 0 0 * 10† * 0 0 * 10† ALL AGES 1-4 35-44 7 * 0 6 0 0 0 0 10† 0 0 0 0 0 45-54 10† 0 * * 0 0 0 0 10† * 0 0 * 0† 55-64 0† 0 0 * 0 0 0 0 0† * 0 0 * 0† 65-74 F Hopi Tribe TOTAL Colorado River Indian Tribe Resided on reservation 0† 0 0 * 0 0 0 0 0† 0 0 0 0 0 10† 0 0 0† 0 0† 0 0† 10† 0† 0 0† 0† 0† 1-4 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† 15-24 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† 35-44 0† 0 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† 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. 74 Health Status Profile of American Indians in Arizona, 2013 Data Book 5.11 DIABETES-RELATED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2013 F 140† 0† 0† 19 19 35 31 22 10† 80† 0† 0† 12 10† 15 21 10† 10† 70† 0† 10† 10† 20 10† 10† 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 0 0 0 0† 0 * 0 * 0 * 0 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† 0 0 * * 8 * 10 7 20† 0 0 * * * * * * 20† 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 10† 0 0 * * * 0 * * 0† 0 0 * * 0 0 0 * 10† 0 * * * 0 * 0 10† * 0 * 0 * * * 0 0† * 0 0 0 0 * 0 0 10† 0 * 0 * * * 0 10† 0 0 * 0 * * * 0 0† 0 0 0 0 * * * 0 0† 0 * 0 0 * * 0 80† 0† 0 10† 10† 20† 20† 20† 10† 40† 0† 0 10† 0† 10† 10† 10† 10† 40† 0 10† 0† 10† 0† 10† 10† 0† 0 0 0 0 0 * * * 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 * * * 20† 0 * * * 8 * * * 10† 0 * 0 * * * * * 10† 0 * * * * * 0 TOTAL 10† 0 * * * * * * 0 10† 0 0 * * * * * 0 10† * 0 * 0 * * 0 ---elsewhere in Arizona 30† 0 0 * * 9 * 0 * 20† 0 0 * * * * 0 * 10† 0 0 * 6 * 0 0 ---in Coconino County TOTAL 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 0† 0 0 * 0 0 0 0 0 0† 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 ---in Pima County M ALL AGES 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ ALL AGES 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ ALL AGES 25-34 35-44 45-54 55-64 65-74 75-84 85+ Resided off reservation ---in Maricopa County TOTAL Colorado River Indian Tribe TOTAL Resided on reservation 60† 0 0† 10† 10† 20† 20† 10† 0† 40† 0 0† 10† 10† 10† 10† 0† 0† 30† 0† 0† 0† 10† 10† 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; 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 (142 in 2013) is shown in Tables 5.4 - 5.7. Health Status Profile of American Indians in Arizona, 2013 Data Book 75 5.12 ALCOHOL-INDUCED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2013 M F ---elsewhere in Arizona Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Nation 60† 0† 10† 10† 0† 10† 30† 34 10† 10† 30† 0 * 0 0 0 0 0 * 0 10† 0 0 0 * 0† 25-34 29 0 0 0 0 0 * 0 7 0 * * 0 * 8 * 20† 0 * * * 10† 35-44 64 * 0 0 0 0 * * 17 * * * * * 6 0 40† 12 * * 7 20† 45-54 65 0 0 0 * * * * 13 * * * 0 * 7 * 40† 14 * * 8 30† 55-64 52 0 * 0 0 0 * 0 13 0 * * * 0 * 0 30† 8 * * 11 20† 65-74 10† 0 0 0 0 0 0 0 * 0 * 0 * * 0 0 10† 0 * * * 0† 75-84 0† 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 0 0 0 160† 0 0† 0 0† 0† 10† 0† 40† 0† 10† 0† 0† 0† 20† 0† 100† 20† 10† 10† 20† 60† 15-24 10† 0 0 0 0 0 0 0 * 0 0 0 0 0 * 0 0† 0 0 0 * 0† 25-34 20† 0 0 0 0 0 * 0 * 0 * 0 0 * 6 * 20† 0 * * * 10† 35-44 43 0 0 0 0 0 * * 12 0 * * * * * 0 30† 9 0 * * 20† 45-54 45 0 0 0 * * * * 12 * * * 0 0 * 0 30† 9 * * * 20† 55-64 38 0 * 0 0 0 * 0 12 0 * * * 0 0 0 20† * * * 7 20† 65-74 10† 0 0 0 0 0 0 0 * 0 * 0 * * 0 0 10† 0 * * * 0† 75-84 0† 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 0 0 0 70† 0† 0 0† 0† 0† 0† 0† 10† 0† 0† 10† 0† 0† 10† 0† 40† 10† 10† 0 10† 30† 15-24 0† 0 0 * 0 * 0 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 10† 0 * 0 * 0† 35-44 21 * 0 0 0 0 0 * * * * * * * * 0 20† * * 0 * 10† 45-54 20 0 0 0 * 0 * * * 0 0 * 0 * * * 10† * * 0 * 10† 55-64 14 0 0 0 0 0 0 0 * 0 * * 0 0 * 0 10† * * 0 * 10† 65-74 0† 0 0 0 0 0 0 0 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 0 0 0 ALL AGES ALL AGES ---in Pima County Navajo Nation Hopi Tribe TOTAL 0† 140† TOTAL 10† 0 ---in Coconino County 10† * ---in Maricopa County 0† 0 San Xavier 0† * Salt River PimaMaricopa Indian Community Gila River Indian Community 0† 0 Pascua Yaqui Tribe Fort McDowell Yavapai Nation Reservation 0† 0 Hualapai Tribe Colorado River Indian Tribe 0† 10† ALL AGES Havasupai Tribe Ak-Chin Indian Community 230† 15-24 TOTAL TOTAL Resided off reservation San Carlos Apache Tribe Resided on reservation 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. 76 Health Status Profile of American Indians in Arizona, 2013 Data Book COMPARATIVE CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2013 Data Book 77 5.13 Temporal Changesa in the Selected Leading Causes of Death among American Indian Residents of Arizona, 1993-2013 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, 2013 Data Book 5.14 Five Leading Causes of Deatha by Gender among American Indian Residents of Arizona in 2013 Rank Female Both Male 1 Cancer 114.5 Diseases of heart 122.9 Diseases of heart 159.8 2 Diseases of heart 97.1 Cancer 118.2 Unintentional injury 150.5 3 Unintentional injury 62.9 Unintentional injury 104.5 Cancer 126.0 4 Diabetes 55.0 Diabetes 65.7 Diabetes 79.7 5 Chronic liver disease and cirrhosis 55.0 Chronic liver disease and cirrhosis 62.0 Chronic liver disease and cirrhosis 70.1 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 2013” report. Health Status Profile of American Indians in Arizona, 2013 Data Book 79 5.15 Five Leading Causes of Deatha among American Indians by Gender and Residence On or Off Reservation, Arizona, 2013 Rank Female, resided on reservation Female, resided off reservation Male, resided on reservation Male, resided off reservation 1 Cancer 16.2 Chronic liver disease and cirrhosis 12.0 Unintentional injury 16.8 Unintentional injury 34.4 2 Diseases of heart 11.8 Diseases of heart 10.0 Diseases of heart 12.2 Chronic liver disease and cirrhosis 7.8 3 Unintentional injury 10.2 Unintentional injury 10.0 Cancer 10.6 Diseases of heart 6.3 4 Chronic liver disease and cirrhosis 8.9 Diabetes 6.0 Chronic liver disease and cirrhosis 8.1 Diabetes 6.3 5 Diabetes 7.9 Cancer 4.0 Diabetes 6.9 Cancer 1.6 Note: 80 a Percent of total deaths in specified group. Health Status Profile of American Indians in Arizona, 2013 Data Book 5.16 Proportional Mortalitya by Type of Cancer and Gender among American Indians and all Residents of Arizona, 2003-2013 Rank Arizona male b American Indian male Arizona female b American Indian female 1 Trachea, bronchus, lung 27.3 Prostate 11.3 Trachea, bronchus, lung 25.3 Breast 12.7 2 Lymphoma 10.8 Liver 11.0 Breast 15.4 Lymphoma 11.4 3 Prostate 10.2 Lymphoma 10.4 Lymphoma 9.4 Ovary 8.3 4 Colon, rectum, anus 9.1 Colon, rectum, anus 8.9 Colon, rectum, anus 9.3 Trachea, bronchus, lung 7.7 5 Pancreas 6.2 Trachea, bronchus, lung 8.9 Pancreas 6.4 Colon, rectum, anus 7.5 6 Liver 4.5 Stomach 8.4 Ovary 5.9 Liver 7.4 7 Leukemia 4.4 Kidney 7.6 Leukemia 3.7 Pancreas 6.3 8 Esophagus 4.0 Pancreas 7.5 Non-Hodgkin's lymphoma 3.6 Stomach 5.0 9 Non-Hodgkin's lymphoma 4.0 Esophagus 3.9 Liver 2.7 Cervix uteri 4.0 10 Bladder 3.6 Multiple myeloma 3.5 Brain 2.6 Multiple myeloma 3.8 Notes: a Percent of cancer deaths in specified group in 2003-2013. All race/ethnic groups combined. See Table 5-18 for percentages based on frequency counts. b Health Status Profile of American Indians in Arizona, 2013 Data Book 81 5.17 Proportional Mortalitya by Mechanism of Unintentional Injury and Gender among American Indians and all Residents of Arizona, 2003-2013 Rank Arizona male b American Indian male Arizona female b American Indian female 1 Motor vehicle-related 35.4 Motor vehicle-related 49.3 Falls 34.9 Motor vehicle-related 56.7 2 Poisoning by drugs 24.0 Poisoning by drugs 9.7 Motor vehicle-related 26.0 Falls 12.5 3 Falls 17.9 Poisoning by gases 9.7 Poisoning by drugs 22.5 Poisoning by drugs 10.8 4 Accidental discharge of firearms 4.2 Falls 6.9 Choked on objects other than food 2.2 Poisoning by gases 5.0 5 Accidental drowning 3.5 Exposure to cold 5.3 Accidental drowning 2.0 Exposure to cold 2.0 6 Poisoning by gases 2.6 Accidental drowning 3.3 7 Exposure to heat 2.0 Accidental discharge of firearms 2.2 Choked on food 1.4 Choked on objects other than food 1.6 8 Choked on objects other than food 1.6 Mechanical suffocation 1.8 Fire, flames, smoke 1.4 Accidental drowning 1.4 9 Fire, flames, smoke 1.4 Railway accidents 1.7 Accidental discharge of firearms 1.4 Exposure to heat 1.3 10 Misadventures to patients 1.1 Exposure to heat 1.5 Poisoning by gases 1.2 Railway accidents 1.0 Notes: 82 Misadventures to patients Misadventures to patients 1.9 1.9 a Percent of unintentional injury deaths in specified group in 2003-2013. All race/ethnic groups combined. See Table 5-19 for percentages based on frequency counts. b Health Status Profile of American Indians in Arizona, 2013 Data Book 5.18 COMPARISON OF MORTALITY BY SPECIFIC TYPE OF CANCER BY GENDER AMONG AMERICAN INDIANS AND ALL RESIDENTSa OF ARIZONA, 2003-2013 ALL RESIDENTS OF ARIZONA TOTAL Malignant neoplasms, total MALE AMERICAN INDIANS OR ALASKA NATIVES FEMALE TOTAL MALE FEMALE 111,736 60,065 51,669 2,223 1,072 1,151 Malignant neoplasm of lip, oral cavity and pharynx 1,469 1,042 427 25 17 8 Malignant neoplasm of esophagus 2,958 2,393 565 60 42 18 Malignant neoplasm of stomach 2,138 1,267 871 147 90 57 10,290 5,495 4,794 181 95 86 Malignant neoplasm of liver and intrahepatic bile ducts 4,053 2,676 1,377 203 118 85 Malignant neoplasm of pancreas 7,065 3,735 3,330 152 80 72 616 486 130 10† * * 29,465 16,376 13,089 184 95 89 Malignant melanoma of skin 2,057 1,412 645 10† 6 * Malignant neoplasm of breast 8,006 71 7,935 150† * 146 734 0 734 46 0 46 Malignant neoplasm of corpus uteri and uterus, part unspecified 1,272 0 1,272 40 0 40 Malignant neoplasm of ovary 3,070 0 3,070 96 0 96 Malignant neoplasm of prostate 6,130 6,130 0 121 121 0 Malignant neoplasm of kidney and renal pelvis 2,728 1,772 956 125 81 44 Malignant neoplasm of bladder 2,960 2,180 779 20† 12 * Malignant neoplasm of meninges, brain and other parts of central nervous system 2,970 1,643 1,327 40 25 15 11,315 6,468 4,847 243 112 131 216 128 88 0† * * Non-Hodgkin's lymphoma 4,260 2,385 1,875 78 36 42 Leukemia 4,558 2,669 1,889 80 36 44 Multiple myeloma and immunoproliferative neoplasms 2,273 1,282 991 82 38 44 10† * * 0 0 0 12,440 6,926 5,514 381 171 210 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 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, 2013 Data Book a All race/ethnic groups combined. 83 5.19 UNINTENTIONAL INJURY DEATHS BY MECHANISM AND GENDER AMONG AMERICAN INDIANS AND ALL RESIDENTSa OF ARIZONA, 2003-2013 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 FEMALE 32,225 20,237 11,984 2,991 2,129 862 109 91 18 45 36 9 10,281 7,164 3,117 1,539 1,050 489 31 24 7 0† * 0 224 186 38 0† * 0 7,556 4,854 2,702 299 206 93 672 526 146 250 207 43 7,806 3,627 4,178 255 147 108 456 291 165 38 29 9 Excessive natural heat 542 400 142 43 32 11 Excessive natural cold 229 187 42 130 113 17 Contact with venomous snakes and lizards 10† 6 * 0† * 0 Contact with venomous spiders 10† * * 0 0 0 0 0 0 0 0 0 Contact with scorpions Contact with hornets, wasps, bees Bitten or struck by dog Lightning 10† 6 * 0 0 0 17 8 9 0† * 0 10† 13 * 0† * 0 Storms and floods 10† 6 * 0† * 0 Accidental drowning and submersion 948 712 235 83 71 12 Choked on food 378 212 166 20† 15 * Choked on other objects 584 324 260 38 24 14 Mechanical suffocation 304 219 85 47 38 9 1,015 851 164 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† * * 447 220 227 25 9 16 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; 84 MALE a All race/ethnic groups combined. Health Status Profile of American Indians in Arizona, 2013 Data Book TECHNICAL NOTES Health Status Profile of American Indians in Arizona, 2013 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, 2013 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, 2013 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, 2013 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+ 2013 population of American Indians 2013 deaths among American Indians Age-specific rates for American Indians in 2013 B C D (C/B)*100000 612.5 94.2 31.0 161.6 371.2 547.3 773.2 1177.0 1812.5 4680.8 10995.1 5,878 22,294 54,903 55,681 46,338 37,456 36,599 26,678 14,290 6,708 2,210 309,035 36 21 17 90 172 205 283 314 259 314 243 1955 Ageadjusted rate for American Indians In 2013 F D*E 8.5 5.2 4.5 22.4 50.3 89.0 104.3 102.7 119.7 209.9 170.5 2000 standard E .013818 .055317 .145565 .138646 .135573 .162613 .134834 .087247 .066037 .044842 .015508 TOTAL ∑ 887.0 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 Our Web site at http://www.azdhs.gov/plan provides access to a wide range of statistical information about the health status of Arizonans. The Arizona Health Status and Vital Statistics annual report examines trends in natality, mortality, and morbidity towards established health objectives. In addition to the print and original online versions, the 2013 report is made available as a mobile-friendly e-book (http://azdhs.gov/plan/epub/rotated-document-layout/). Additional reports and studies include Advance Vital Statistics by County of Residence, Injury Mortality among Arizona Residents (accidents, suicides, homicides, legal intervention, firearm-related fatalities, drug-related deaths, drowning deaths, falls among Arizonans 65 years or older), Hospital Inpatient and Emergency Room Statistics (first-listed diagnosis, procedures, mental disorders, asthma, diabetes, influenza and pneumonia, and substance abuse), Community Vital Statistics, Teenage Pregnancy, Differences in Health Status Among Racial/Ethnic Groups, and Health Status Profile of American Indians in Arizona. Population Health and Vital Statistics Section Bureau of Public Health Statistics PUBLIC HEALTH SERVICES ARIZONA DEPARTMENT OF HEALTH SERVICES