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 M. Christ, M.D., 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: 2014 DATA BOOK by Marguerite L. Sagna, Ph.D., Arizona Vital Statistician Sanhita Gupta, Vital Statistics Health Management Analyst Clare Torres, Senior Health Data Analyst May 2016 Acknowledgment Grateful acknowledgement is made to Wes Kortuem, GIS Coordinator for spatially joining the American Indian birth and death data. HEALTH STATUS PROFILE OF AMERICAN INDIANS IN ARIZONA 2014 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 2014 ............................................................................................................................. 3 2014 Risk Profile of American Indians ........................................................................................................................................................................ 7 American Indians’ Standing in Arizona in 2014 on 64 Indicators of Health Status ............................................................................................................ 8 II COMPARISON OF AMERICAN INDIANS’ STANDING IN ARIZONA WITH RESPECT TO SELECTED HEALTH OBJECTIVES FOR THE YEAR 2014................................. 13 III. TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS AND ALL RESIDENTS OF ARIZONA, 2004-2014 .......................... 15 IV. CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND MOTHERS GIVING BIRTH BY PLACE OF RESIDENCE IN ARIZONA IN 2014 .................................... 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, 2014 ..................................................................................................................... 44 Comparison of Selected Characteristics of American Indian Newborns and Women Giving Birth By County of Residence, Arizona, 2014 ..................................................................................................................................................................... 45 Health Status Profile of American Indians in Arizona, 2014 Data Book V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2014 .......................................................................... 49 AGE-SPECIFIC MORTALITY 5.1 5.2 5.3 Age-Specific Mortality among American Indians in 2014 ............................................................................................................................................. 52 Age-Specific Mortality among American Indian Males in 2014 ...................................................................................................................................... 53 Age-Specific Mortality among American Indian Females in 2014 .................................................................................................................................. 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 2014 ..................................................................................................................... 56 Deaths by Age Group for Selected Causes among American Indians in 2014 ................................................................................................................ 60 Deaths by Residence for Selected Causes among American Indians in 2014 ................................................................................................................. 64 Deaths by County of Residence for Selected Causes among American Indians in 2014 ................................................................................................... 68 Deaths from Motor Vehicle-Related Injuries among American Indians by Place of Residence, Gender, and Age Group, Arizona, 2014 ..................................................................................................................................................................... 72 Intentional Self-Harm (Suicide) among American Indians by Place of Residence, Gender, and Age Group, Arizona, 2014 ..................................................................................................................................................................... 73 Assault (Homicide) among American Indians by Place of Residence, Gender, and Age Group, Arizona, 2014 ........................................................................................................................................................................................................ 74 Diabetes-Related Deaths among American Indians by Place of Residence, Gender, and Age Group, Arizona, 2014 ........................................................................................................................................................................................................ 75 Alcohol-Induced Deaths among American Indians by Place of Residence, Gender, and Age Group, Arizona, 2014 ........................................................................................................................................................................................................ 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, 1994-2014 ........................................................................................................................................................................................... 78 Five Leading Causes of Death by Gender among American Indian Residents of Arizona in 2014 ....................................................................................... 79 Five Leading Causes of Death among American Indians by Gender and Residence On or Off Reservation, Arizona, 2014 ..................................................... 80 Proportional Mortality by Type of Cancer and Gender among American Indians and All Residents of Arizona, 2004-2014 .................................................... 81 Proportional Mortality by Mechanism of Unintentional Injury and Gender among American Indians and All Residents of Arizona, 2004-2014 ......................................................................................................................................................................... 82 Comparison of Mortality by Specific Type of Cancer by Gender among American Indians and All residents of Arizona, 2004-2014 ........................................ 83 Unintentional Injury Deaths by mechanism and Gender among American Indians and All Residents of Arizona, 2004-2014 ................................................. 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 ................................................................................................................................................. 87 Abnormal conditions of the newborn ................................................................................................................................................ 88 Congenital anomalies of child ......................................................................................................................................................... 88 Terms Related to Mortality ............................................................................................................................................................................. 88 ii Health Status Profile of American Indians in Arizona, 2014 Data Book INTRODUCTION The report Health Status Profile of American Indians in Arizona: 2014 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 2014. 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 2014 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 2014 on 64 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 2004-2014 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 2014. 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 2004-2014 are classified by the Tenth Revision (ICD-10). Health Status Profile of American Indians in Arizona, 2014 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 2014 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: 2014 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 1995–2014 are available at http://www.azdhs.gov/plan/ 2 Health Status Profile of American Indians in Arizona, 2014 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 2014 Health Status Profile of American Indians in Arizona, 2014 Data Book 3 The risk profile presented on the following page summarizes how American Indians as a group compared in 2014 to the state average on 64 measures of health status. The 64 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 64 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 2014, AMERICAN INDIAN RESIDENTS OF ARIZONA:  ranked worse than the statewide average on 42 of 64 health indicators;  had high mortality from alcohol-induced causes, chronic liver disease and cirrhosis, motor vehicle accidents, diabetes, influenza and pneumonia, drowning, unintentional injuries, septicemia, nephritis, and assault: all contributing to the premature death rate of 77.8 percent.  ranked poorly on measures of maternal lifestyle and health, as well as in utilization of prenatal care;  on average were 15 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, 2014 Data Book 5 2014 RISK PROFILE OF AMERICAN INDIANS (Percent above or below the average rate or ratio of all Arizona residents in 2014 W O R S E THA N A V ER A G E B ETTER THA N A V ER A G E 5-9. 5-5. 5-7. 2-2. 5-8. 6-5. 5-10. 8-4. 6-3. 5-17. 4-1. 5-6. 6-6. 4-4. 5-3. 5-2. 6-8. 5-1. 4-3. 4-2. 5-4. 1-4. 2-6.2. 2-6.1. 4-8. 1-1. 5-15. 8-3. 8-1. 5-20. 8-2. 3-1. 4-9. 9-1. 1-3. 9-4. 5-19. 3-3. 5-11. 7-4. 4-6. 7-2. 6-9. 2-3. 7-1. 2-5. 4-5. 4-10. 2-1. 5-18. 9-2. 5-16. 6-1. 2-4. 3-2. 9-3. 7-3. 6-4. 1-2. 5-12. 4-7. 5-13. 6-2. 5-14. 6-7. -100.0 -69.8 -68.3 -62.4 -48.9 -46.3 -43.4 -42.0 -34.1 -30.9 -29.9 -28.7 -27.1 -23.9 -19.8 -17.2 -15.9 -13.9 -12.6 -8.1 -6.6 -3.8 -0.4 Cervical cancer Chronic lower respiratory diseases Lung cancer Tobacco use during pregnancy Breast cancer I njury by firearms Colorectal cancer Deaths before expected years of life reached Fall-related injuries Alzheimer's disease I ncidence of newborn intensive care Malignant neoplasm ( cancer) Drug-induced deaths Born too small: <1,500 grams Coronary heart disease Diseases of the heart I ntentional self-harm ( suicide) Cardiovascular disease Born too small: <2,500 grams Born too early ( preterm or < 37 weeks) Cerebrovascular disease Pregnancies among females 18-19 years Excessive weight gain I nadequate weight gain Mortality of infants from low birthweight/ short gestation Pregnancies among females 19 and younger HI V disease Median age at death among females Median age at death from all causes Total mortality from all causes Median age at death among males No care in the 1st trimester Neonatal mortality I ncidence of early syphilis Pregnancies among females 15-17 years I ncidence of HI V/ AI DS Essential ( primary) hypertension No prenatal care Prostate cancer Mortality among middle-age adults 45-64 years I nfant mortality Mortality among adolescents 15-19 years Assault ( homicide) Pre-existing hypertension Mortality among children 1-14 years Gestational hypertension I ncidence of congenital anomalies Postneonatal mortality Unmarried mothers Nephritis, nephrotic syndrome and nephrosis I ncidence of gonorrhea Septicemia Unintentional injuries Gestational diabetes Fewer than five prenatal visits I ncidence of chlamydia Mortality among young adults 20-44 years Drowning mortality Pregnancies among females 14 and younger I nfluenza and pneumonia Sudden I nfant Death Syndrome ( SI DS) Diabetes Motor vehicle-related injuries Chronic liver disease and cirrhosis Alcohol-induced deaths 5.6 6.9 8.0 13.4 17.5 19.7 21.1 21.9 22.4 24.4 29.0 30.4 31.6 34.7 34.9 35.0 39.3 40.3 55.3 58.9 59.3 60.9 63.9 64.4 76.2 76.2 79.4 83.2 92.8 97.4 98.3 105.3 109.2 116.5 117.1 131.7 155.9 159.1 175.1 -600.0 0.0 -300.0 Health Status Profile of American Indians in Arizona, 2014 Data Book 246.6 299.5 A V ER A G E FOR A LL R ES I D ENTS 359.8 600.0 300.0 7 AMERICAN INDIANS’ STANDING IN ARIZONA IN 2014 ON 64 INDICATORS OF HEALTH STATUS 1. TEEN PREGNANCIES Figure Number (Number of pregnancies per 1,000 females in specified age group) Indicator 2014 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2014 Definitions 1-1 Pregnancies among females 19 and younger 19.2 -7.3 17.8 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 0.7 -57.1 0.3 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 21.0 -23.3 16.1 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 62.7 4.0 65.2 The sum of live births, fetal deaths, and abortions per 1,000 females aged 18-19 years. 2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Figure Number (All rates are per 100 live births) Indicator 2-1 Unmarried mothers 2-2 2014 rate for American Indians Percent above or below the average rate for all groups 78.9 -43.3 Tobacco use during pregnancy 1.5 160.0 2-3 Pre-existing hypertension 1.9 -36.8 2-4 Gestational diabetes 12.1 -49.6 2-5 Gestational hypertension 8.6 -39.5 2-6.1 Gestational weight gain - Inadequate 23.0 -5.2 2-6.2 Gestational weight gain - Excessive 46.3 0.4 8 Average rate for all groups in 2014 Definitions 44.7 The number of births to unmarried mothers per 100 births. 3.9 The number of mothers giving birth who self-reported tobacco use during pregnancy per 100 births. 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). Metabolic disorder characterized by excessive discharge of urine and persistent thirst; 6.1 includes juvenile onset, adult onset, and gestational diabetes during pregnancy (the number of cases per 100 births). An increase in blood pressure of at least 30 mm hg systolic or 15 mm hg diastolic on 5.2 two measurements taken 6 hours apart after the 20th week of gestation (the number of cases per 100 births). The number of women giving birth whose gestational weight gain was inadequate in 21.8 relation to pre-pregnancy body mass index (BMI). 1.2 46.5 The number of women giving birth whose gestational weight gain was excessive in relation to pre-pregnancy body mass index (BMI). Health Status Profile of American Indians in Arizona, 2014 Data Book AMERICAN INDIANS’ STANDING IN ARIZONA IN 2014 ON 64 INDICATORS OF HEALTH STATUS (continued) 3. UTILIZATION OF PRENATAL CARE SERVICES Figure Number (Per 100 live births) Indicator 2014 rate for American Indians Percent above or below the average rate for all groups 3-1 st No care in the 1 trimester 41.6 -18.3 3-2 Fewer than five prenatal visits 13.3 -51.1 3-3 No prenatal care 2.9 -27.6 Average rate for all groups in 2014 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 6.5 pregnancy per 100 births. 34.0 2.1 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 2014 rate for American Indians Percent above or below the average rate for all groups 4-1 Incidence of newborn intensive care 4.7 42.6 4-2 Born too early (preterm or < 37 weeks) 8.2 9.8 4-3 Born too small: low-birthweight (<2,500 grams) 6.1 14.8 4-4 Born too small: very low-birthweight (<1,500 grams) 0.9 33.3 4-5 Incidence of congenital anomalies (birth defects) 0.8 -37.5 4-6 Infant mortality 8.7 -28.7 4-7 Sudden Infant Death Syndrome (SIDS) 0.4 -50.0 4-8 Mortality of infants from low birthweight/short gestation 0.8 -12.5 4-9 Neonatal mortality 5.1 -19.6 4-10 Postneonatal mortality 3.7 -43.2 Health Status Profile of American Indians in Arizona, 2014 Data Book Average rate for all groups in 2014 Definitions 6.7 The number of babies admitted to Newborn Intensive Care units per 100 births. 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. Low7.0 birthweight is any neonate weighing less than 2,500 grams at birth (less than 5 pounds 8 ounces). The number of newborns weighing less than 1,500 grams per 100 births. Very low1.2 birthweight is any neonate whose weight at birth is 1,500 grams or less (less than 3 pounds 5 ounces). 0.5 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 6.2 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 4.1 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 2.1 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 2014 ON 64 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 2014 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2014 Definitions 5-1 Cardiovascular disease 147.7 16.2 171.6 The number of deaths from cardiovascular diseases (ICD-10 codes I00-I78) per 100,000 age-adjusted population. 5-2 Diseases of the heart 107.5 20.8 129.9 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 79.6 24.7 99.3 The number of deaths from coronary heart disease (ICD-10 codes I200-I259) per 100,000 age-adjusted population. 5-4 Cerebrovascular disease 24.5 6.9 26.2 The number of deaths from cerebrovascular disease (ICD-10 codes I60–I69) per 100,000 age-adjusted population. 5-5 Chronic lower respiratory diseases 12.4 255.6 44.1 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) 97.1 40.4 136.3 The number of deaths from cancer (ICD-10 codes C00–C97) per 100,000 age-adjusted population. 5-7 Lung cancer 10.2 215.7 32.2 The number of deaths from lung cancer (ICD-10 codes C33–C34) per 100,000 ageadjusted population. 5-8 Breast cancer 9.2 94.6 17.9 The number of deaths from breast cancer (ICD-10 code C50) per 100,000 age-adjusted female population. 5-9 Cervical cancer 0.0 NA 2.0 5-10 Colorectal cancer 7.0 77.1 12.4 The number of deaths from colorectal cancer (ICD-10 codes C18–C21) per 100,000 ageadjusted population. 5-11 Prostate cancer 23.0 -26.1 17.0 The number of deaths from prostate cancer (ICD-10 code C61) per 100,000 ageadjusted male population. 5-12 Influenza and pneumonia 22.9 -61.1 8.9 The number of deaths from influenza and pneumonia (ICD-10 codes J10–J18) per 100,000 age-adjusted population. 5-13 Diabetes 63.2 -63.6 23.0 The number of deaths from diabetes (ICD-10 codes E10–E14) per 100,000 ageadjusted population. 5-14 Chronic liver disease and cirrhosis 52.7 -75.0 13.2 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 1.8 -11.1 1.6 The number of deaths from HIV disease (ICD-10 codes B20-B24) per 100,000 ageadjusted population. 5-16 Septicemia 8.5 -48.2 4.4 The number of deaths from septicemia (ICD-10 codes A40-A41) per 100,000 ageadjusted population. 5-17 Alzheimer's disease 21.4 44.4 30.9 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 8.3 -44.6 4.6 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 13.3 -25.6 9.9 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 818.5 -17.4 10 676.0 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. Total number of deaths from all causes per 100,000 age-adjusted population. Health Status Profile of American Indians in Arizona, 2014 Data Book AMERICAN INDIANS’ STANDING IN ARIZONA IN 2014 ON 64 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 2014 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2014 6-1 Unintentional injuries 85.4 -49.3 43.3 6-2 Motor vehicle-related injuries 35.6 -71.1 10.3 6-3 Fall-related injuries 7.7 51.9 11.7 6-4 Drowning mortality 2.5 -52.0 1.2 6-5 Injury by firearms 6.7 88.1 12.6 6-6 Drug-induced deaths 13.4 37.3 18.4 6-7 Alcohol-induced deaths 68.0 -78.2 14.8 6-8 Intentional self-harm (suicide) 13.9 18.7 16.5 6-9 Assault (homicide) 7.3 -37.0 4.6 Health Status Profile of American Indians in Arizona, 2014 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 2014 ON 64 INDICATORS OF HEALTH STATUS (continued) 7. PREMATURE MORTALITY Figure Number (Number of deaths per 100,000 persons in specific group) Indicator 2014 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2014 Definitions 7-1 Mortality of children 1-14 years old 28.8 -37.8 17.9 The number of deaths per 100,000 children 1-14 years old. 7-2 Mortality of adolescents 15-19 years old 72.2 -35.6 46.5 The number of deaths per 100,000 adolescents 15-19 years old. 7-3 Mortality of young adults 20-44 years old 300.1 -53.8 138.6 The number of deaths per 100,000 young adults 20-44 years old. 7-4 Mortality of middle-aged adults 45-64 years old 860.3 -28.2 617.7 The number of deaths per 100,000 middle-aged adults 45-64 years old. Figure Number 8. AGE-SPECIFIC MORTALITY Indicator 2014 rate for American Indians Percent above or below the average for all groups * Average rate for all groups in 2014 Definitions 8-1 Median age at death from all causes 61.0 19.7 76.0 The median age (the age in the middle) of Arizonans who died in 2014. 8-2 Median age at death from all causes among males 57.0 21.9 73.0 The median age (the age in the middle) of Arizona males who died in 2014. 8-3 Median age at death from all causes among females 66.0 17.5 80.0 The median age (the age in the middle) of Arizona females who died in 2014. 8-4 Percent of total deaths before expected years of life reached 77.8 -42.0 54.8 The number of deaths before reaching 78.8 years (the life expectancy of all U.S. residents in 2014) 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 2014 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2014 Definitions 16.9 -22.5 Incidence of gonorrhea 206.5 -45.4 112.7 Number of reported cases of gonorrhea per 100,000 population. 9-3 Incidence of chlamydia 986.6 -52.2 471.7 Number of reported cases of chlamydia per 100,000 population. 9-4 Incidence of HIV/AIDS 15.0 -24.0 11.4 Number of reported cases of HIV/AIDS per 100,000 population. 12 13.1 Number of reported cases of early syphilis per 100,000 population. Health Status Profile of American Indians in Arizona, 2014 Data Book II. COMPARISON OF AMERICAN INDIANS’ STANDING IN ARIZONA WITH RESPECT TO SELECTED HEALTH OBJECTIVES FOR THE YEAR 2014 Health Status Profile of American Indians in Arizona, 2014 Data Book 13 COMPARISON OF AMERICAN INDIANS' STANDING IN ARIZONA WITH RESPECT TO SELECTED HEALTH OBJECTIVES FOR THE YEAR 2014 National Year 2010 Objectives / Healthy People 2020 Objectives 2.1 Increase the proportion of women giving birth who receive prenatal care in the first trimester of pregnancy; 2010 objective (HP16-10a); 2020 objective (HP-MICH-10.1) 2.2 Reduce the rate of infant deaths; 2010 objective (HP16-1c); 2020 objective (HP-MICH-1.3) 2.3 Reduce postneonatal mortality; 2010 objective (HP16-1e); 2020 objective (HP-MICH-1.5) 2.4 Reduce deaths caused by unintentional injuries; 2010 objective (HP15-13); 2020 objective(HP-IVP-11) 2.5 Reduce deaths caused by motor vehicle crashes; 2010 objective (HP15-15); 2020 objective (HP-IVP-13.1) 2.6 Reduce the suicide rate; 2010 objective (HP18-1); 2020 objective (HP-MHMD-1) 2.7 Reduce the homicide rate; 2010 objective (HP15-32); 2020 objective (HP-IVP-29) 2.8 Reduce the diabetes-related death rate; 2010 objective (HP5-5); 2020 objective (HP-D-3) 2.9 Reduce the cirrhosis* death rate; 2010 objective (HP26-2); 2020 objective (HP-SA-11) 2.10 Reduce the cervical cancer death rate; 2010 objective (HP3-4); 2020 objective (HP-C-4) Indicator 2.1 Percent of American Indian women giving birth who received early prenatal care 2.2 2.3 2.4 2.5 Year Objectives 2010 2020 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 90.0 77.9 69.0 67.9 65.9 65.9 65.1 66.0 69.4 68.6 68.2 68.7 58.4 Number of infant deaths per 1,000 American Indian live births (6 per 1,000) 6.0 6.0 7.2 8.3 6.4 8.1 8.2 8.4 8.1 7.4 7.4 6.6 8.7 Number of postneonatal (i.e., at least 28 days of age but less than one year of age) deaths per 1,000 American Indian live births (1.2 per 1000); (2.0 per 1000) 1.2 2.0 3.8 4.0 2.4 3.9 3.6 4.2 4.3 4.1 3.6 2.9 3.7 17.5 36.0 103.9 117.8 97.2 95.0 92.6 92.6 99.2 100.6 94.8 104.5 85.4 16.0 12.4 54.1 62.6 56.9 49.0 41.9 36.9 41.7 44.2 37.8 31.7 35.6 10.0 10.2 17.0 17.5 13.7 9.8 13.5 15.9 18.7 14.9 17.9 21.9 13.9 5.0 5.5 14.7 14.0 13.2 13.1 12.8 13.2 18.0 11.9 17.3 17.7 7.3 Number of unintentional injury deaths per 100,000 American Indian populationa (17.5 per 100,000); (36.0 per 100,000) Number of deaths caused by motor vehicle crashes per 100,000 American Indian populationa (16 per 100,000); (12.4 per 100,000) 2.6 Number of suicides per 100,000 American Indian populationa (10 per 100,000); (10.2 per 100,000) 2.7 Number of homicides per 100,000 American Indian populationa (5 per 100,000); (5.5 per 100,000) Number of deaths due to diabetes reported as the underlying or multiple 2.8 cause of death per 100,000 American Indian 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) Note: 14 a 45.0 65.8 125.4 138.9 100.2 107.2 108.1 111.4 130.4 105.3 155.7 146.4 129.5 3.0 8.2 51.0 51.2 43.6 36.8 40.7 54.0 64.6 43.6 59.2 62.0 52.7 2.0 2.2 2.0 3.4 5.8 2.3 4.8 4.1 3.0 3.1 2.8 2.0 0.0 Age-adjusted to the 2000 US standard population. Health Status Profile of American Indians in Arizona, 2014 Data Book III. TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS IN ARIZONA Health Status Profile of American Indians in Arizona, 2014 Data Book 15 TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS IN ARIZONA 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 Median Age at Death from all Causes All Arizonans 76.0 77.0 76.0 76.0 77.0 76.0 77.0 77.0 77.0 76.0 77.0 58.0 59.0 57.0 59.0 59.0 59.0 58.0 60.0 59.0 60.0 61.0 41.9 42.8 43.9 45.0 45.1 45.2 44.7 44.3 45.2 45.1 44.7 73.1 72.9 74.8 75.9 75.8 76.9 77.7 77.1 78.5 79.2 78.9 70.1 81.9 95.3 78.7 52.8 49.3 50.8 71.4 89.4 98.2 112.2 142.7 142.6 125.7 94.4 73.3 50.0 85.1 162.8 185.7 224.6 206.5 7.2 6.9 7.1 7.1 7.1 7.1 7.1 7.0 6.9 6.9 7.0 7.2 7.3 7.4 6.6 6.7 6.4 7.0 6.9 6.7 7.2 6.1 12.7 12.5 12.7 12.6 12.3 11.8 10.8 9.9 9.5 8.5 7.6 18.7 19.1 19.1 20.1 18.6 19.0 17.0 16.9 16.0 14.2 11.7 All Arizonans 1.0 1.0 0.9 0.8 0.9 0.6 0.6 1.1 0.8 0.7 0.5 American Indians 1.6 1.5 1.2 1.4 0.9 0.8 0.6 1.4 0.9 0.8 0.8 American Indians Births to Unmarried Mothers a All Arizonans American Indians Incidence of Gonorrhea b All Arizonans American Indians Low-Birthweight Births a All Arizonans American Indians Births to Teenage Mothers a All Arizonans American Indians Birth Defects (Congenital Anomilies) a Pregnancy-associated Hypertension / Gestational Hypertension c All Arizonans 28.8 30.9 28.8 31.0 35.3 36.1 39.1 41.9 45.2 55.8 52.4 American Indians 54.4 58.2 58.8 57.9 58.9 55.4 61.2 62.8 64.6 74.1 85.9 All Arizonans 24.5 29.7 31.6 34.3 38.9 38.7 41.8 46.4 51.2 57.2 61.3 American Indians 75.7 82.5 72.0 80.4 82.0 82.2 77.9 93.3 99.3 111.4 121.5 Diabetes during Pregnancy / Gestational Diabetes c 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, 2014 Data Book IV. CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND MOTHERS GIVING BIRTH BY PLACE OF RESIDENCE IN ARIZONA IN 2014 Health Status Profile of American Indians in Arizona, 2014 Data Book 17 SOCIODEMOGRAPHIC CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2014 Data Book 19 4.1 MATERNAL AGE (2014 STATUS) 200† 400† 1,690† 1,480† 870† 420† 90† 0† Ak-Chin Indian Community 20† 0 * * * Cocopah Tribe 10† 0 0 0 * * 0 * 0 0 * * * 0 0 Colorado River Indian Tribe 20† 0 0 * * * * 0 * 0 Fort McDowell Yavapai Nation Reservation 30† 0 * * * 10 6 * 0 0 Fort Mohave Indian Tribe 10† 0 0 0 * 7 * 0 0 0 240† 10† 0 8 23 83 63 40 16 * * 0 0 0 * * * 0 0 0 120† 0 * 9 39 35 13 13 8 0 Hualapai Tribe 30† 0 * 0 11 6 * * 0 0 Navajo Nation 1,290† * 53 104 397 346 229 122 36 * Gila River Indian Community Havasupai Tribe Hopi Tribe Pascua Yaqui Tribe 20† 0 * 0 * 7 * * 0 0 Salt River Pima-Maricopa Indian Community 100† 0 7 * 39 32 16 * 0 0 San Carlos Apache Tribe 310† * 16 28 114 81 44 22 * 0 Tohono O'Odham Nation 150† 0 * 13 53 38 27 10 0 0 White Mountain Apache Tribe 300† 0 14 25 118 81 40 17 * 0 10† 0 0 0 * * * * 0 0 Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation 45+ 35-39 10† 40-44 30-34 Resided on reservation 25-29 18-19 5,150† ALL AMERICAN INDIAN RESIDENTS OF ARIZONA <15 15-17 TOTAL BIRTHS 20-24 Mother's age group 0† 0 0 0 * 0 0 0 0 0 TOTAL 2,640† 10† 110† 220† 890† 720† 430† 210† 50† 0† ---in Maricopa County 1,300† * 40 93 398 391 236 119 19 0 ---in Pima County 310† 0 15 24 113 87 46 22 * 0 ---in Coconino County 330† 0 10 24 106 113 53 21 * * 570† * 20 40 190 162 100 44 9 0 2,510† 0† 85 181 807 753 435 206 40† 0† ---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. 20 Health Status Profile of American Indians in Arizona, 2014 Data Book 4.2 EDUCATIONAL ATTAINMENT OF MOTHER (2014 STATUS) Mother's education TOTAL 8th BIRTHS Grade or Less ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation High Some School / College GED Associate Degree Bachelor's Degree Postgraduate Education Unknown 5,150† 110† 1,340† 1,770† 1,320† 340† 170† 70† 30† Ak-Chin Indian Community 20† 0 9 * * 0 0 0 0 Cocopah Tribe 10† 0 * * 0 0 * 0 0 Colorado River Indian Tribe 20† 0 * 8 0 0 0 0 * Fort McDowell Yavapai Nation Reservation 30† * 7 12 * * * 0 0 Fort Mohave Indian Tribe 10† 0 * 7 * 0 0 0 0 240† 20 99 69 42 * * 0 0 10† 0 * * 0 0 0 0 0 120† * 26 52 25 6 * * 0 Hualapai Tribe 30† * 10 9 * * 0 0 0 Navajo Nation 1,293 15 259 461 381 106 47 13 11 20† * * 6 * * 0 0 0 Salt River Pima-Maricopa Indian Community 100† * 37 40 21 0 * 0 * San Carlos Apache Tribe 310† 9 86 135 57 14 * * * Tohono O'Odham Nation 150† * 52 59 22 6 * 0 0 White Mountain Apache Tribe 300† * 121 105 58 * * * * 10† 0 * * * 0 0 0 0 0† 0 * 0 0 0 0 0 0 2,640† 60† 730† 980† 620† 140† 70† 20† 20† 1,297 28 297 382 409 98 52 23 8 312 13 103 86 75 18 11 6 0 330† * 57 106 95 42 20 10 0 567 11 155 214 116 41 18 9 * 2,508 50† 612 788 695 199 101 48 10† Gila River Indian Community Havasupai Tribe Hopi Tribe Pascua Yaqui Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Some High School ---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, 2014 Data Book 21 4.3 MARITAL STATUS OF MOTHER (2014 STATUS) Marital status TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Unmarried Other 5,150† 1,020† 4,060† 60† Ak-Chin Indian Community 20† * 11 0 Cocopah Tribe 10† * 6 0 Colorado River Indian Tribe 20† 0 14 * Fort McDowell Yavapai Nation Reservation 30† * 22 0 Fort Mohave Indian Tribe 10† * 10 0 240† 32 201 * 10† * 7 0 120† 19 99 * Hualapai Tribe 30† * 22 0 Navajo Nation 1,293 226 1,055 12 Pascua Yaqui Tribe 20† * 14 0 Salt River Pima-Maricopa Indian Community 103 15 88 0 San Carlos Apache Tribe 310† 63 242 * Tohono O'Odham Nation 146 14 132 0 300† 85 211 * 7 0 7 0 0† 0 * 0 2,640† 470† 2,140† 20† 1,297 271 1,007 19 312 57 248 7 330† 94 234 * 567 129 426 12 2,508 551 1,915 40† Gila River Indian Community Havasupai Tribe Hopi Tribe White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Married ---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. 22 Health Status Profile of American Indians in Arizona, 2014 Data Book 4.4 RACE/ETHNICITY OF FATHER (2014 STATUS) Father's race/ethnicity TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Hispanic or Latino American Indian or Alaska Native Black or African American Asian or Pacific Islander 5,150† 1,410† 550† 110† 3,050† 30† Ak-Chin Indian Community 20† 6 * * 6 0 Cocopah Tribe 10† * * 0 7 0 Colorado River Indian Tribe 20† 7 * 0 7 0 Fort McDowell Yavapai Nation Reservation 30† 9 * 0 12 * Fort Mohave Indian Tribe 10† 7 0 0 * 0 240† 60 25 * 146 0 8 0 0 0 8 0 120† 23 0 * 94 * Hualapai Tribe 30† 6 * 0 18 0 Navajo Nation 1,290† 252 14 * 1,019 * 20† * * * 7 0 Salt River Pima-Maricopa Indian Community 100† 34 9 * 58 0 San Carlos Apache Tribe 310† 92 8 * 207 0 Tohono O'Odham Nation 150† 41 8 * 96 0 White Mountain Apache Tribe 300† 53 * 0 242 0 10† * 0 0 * 0 0† 0 * 0 0 0 2,640† 600† 80† 20† 1,940† 10† 1,297 420 288 66 506 17 ---in Pima County 310† 121 66 8 114 * ---in Coconino County 330† 77 24 7 221 * ---elsewhere in Arizona 570† 194 93 7 271 * 2,508 812 471 88 1,112 30† Gila River Indian Community Havasupai Tribe Hopi Tribe Pascua Yaqui Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation White nonHispanic ---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, 2014 Data Book 23 4.5 AGE OF FATHER (2014 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Unknown 55+ 0† 70† 30† 10† 0 0 0 * * * 0 0 0 0 0 0 Cocopah Tribe 20† 0 * 0 * * * 0 * * 0 0 7 300† 0 9 13 79 78 42 25 * * * 0 44 30† 0 0 * * 6 * * * 0 0 0 * Fort McDowell Yavapai Nation Reservation Fort Mohave Indian Tribe 70† 220† 1,120† 1,200† 810† 410† 200† 50-54 45-49 40-44 35-39 30-34 25-29 20-24 18-19 5,150† Ak-Chin Indian Community Colorado River Indian Tribe 10† 1,000† 10† 0 0 0 * * * 0 0 0 0 0 6 240† 0 6 13 58 50 30 18 * * * 0 50 10† 0 0 0 * * * 0 0 0 0 0 0 120† 0 * * 30 28 13 * 11 * 0 * 21 Hualapai Tribe 30† 0 0 * 7 * * * * 0 0 0 6 Navajo Nation 20† 0 0 * * * * * * * 0 0 * 1,290† * 21 66 280 287 201 130 70 26 8 * 200 20† 0 0 0 * * * * 0 0 0 0 * San Carlos Apache Tribe 100† 0 * 8 26 21 10 * * * * * 26 Tohono O'Odham Nation 310† 0 9 14 66 71 38 15 6 * * * 85 White Mountain Apache Tribe 150† 0 * 8 29 33 23 8 6 0 0 0 38 Gila River Indian Community Havasupai Tribe Hopi Tribe Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community Yavapai-Apache Nation 10† 0 0 0 * * * 0 0 0 0 0 * 0† 0 0 0 * 0 0 0 0 0 0 0 0 TOTAL 2,640† 0† 50† 130† 590† 600† 380† 210† 110† 40† 10† 10† 500† ---in Maricopa County 1,300† 0 10 45 269 321 223 109 43 15 8 * 252 ---in Pima County 310† 0 6 13 57 65 48 23 9 * * * 83 ---in Coconino County 330† 0 * 13 79 84 65 30 7 * * 0 49 ---elsewhere in Arizona 570† 0 * 21 122 136 89 40 27 9 * * 117 2,508 0 20† 92 527 606 425 202 86 30† 10† 10† 501 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, 2014 Data Book 4.6 SOURCE OF PAYMENT FOR LABOR AND DELIVERY (2014 STATUS) Payee for births TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Self Unknown 5,150† 3,510† 970† 580† 70† 20† Ak-Chin Indian Community 20† 6 8 * * 0 Cocopah Tribe 10† * * 0 0 0 Colorado River Indian Tribe 20† 9 * * 0 0 Fort McDowell Yavapai Nation Reservation 30† 9 * 13 0 * Fort Mohave Indian Tribe 10† 7 0 * * 0 240† 92 114 24 * 0 10† * * 0 0 0 120† 96 8 13 * 0 Hualapai Tribe 30† 16 8 * 0 0 Navajo Nation 1,293 977 218 81 9 8 20† 10 * * 0 0 Salt River Pima-Maricopa Indian Community 100† 70 19 8 * * San Carlos Apache Tribe 310† 115 159 30 * * Tohono O'Odham Nation 150† 91 31 23 * 0 White Mountain Apache Tribe 300† 272 22 * * 0 10† * * * 0 0 0† 0 * 0 0 0 2,640† 1,790† 610† 200† 30† 10† 1,297 892 182 193 25 * ---in Pima County 310† 212 48 50 * * ---in Coconino County 330† 264 15 51 * 0 567 353 116 80 15 * 2,508 1,721 361 374 40† 10† Gila River Indian Community Havasupai Tribe Hopi Tribe Pascua Yaqui Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Private insurance IHS AHCCCSa ---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; System (AHCCCS) is the State's Medicaid program. Health Status Profile of American Indians in Arizona, 2014 Data Book a The Arizona Health Care Cost Containment 25 MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2014 Data Book 27 4.7 MATERNAL WEIGHT GAIN DURING PREGNANCY (2014 STATUS) Weight gain TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Appropiate Excessive Unknown 5,150† 1,190† 1,510† 2,380† 70† Ak-Chin Indian Community 20† * * 11 0 Cocopah Tribe 10† * * * 0 Colorado River Indian Tribe 20† * * 6 * Fort McDowell Yavapai Nation Reservation 30† * 9 13 * Fort Mohave Indian Tribe 10† * * * 0 Gila River Indian Community 235 41 70 124 0 Havasupai Tribe 10† 0 * * * 120† 22 38 54 * Hualapai Tribe 25 7 7 11 0 Navajo Nation 1,293 317 425 534 17 20† 7 * 8 0 100† 21 21 56 * San Carlos Apache Tribe 309 64 73 166 6 Tohono O'Odham Nation 150† 43 33 68 * White Mountain Apache Tribe 300† 62 84 149 * 10† * * * 0 0† * 0 0 0 2,640† 600† 780† 1,220† 40† 1,297 297 376 611 13 ---in Pima County 310† 74 93 144 * ---in Coconino County 330† 76 102 149 * 567 138 155 264 10 2,508 585 726 1,168 30† Hopi Tribe Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Inadequate ---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. 28 Health Status Profile of American Indians in Arizona, 2014 Data Book 4.8 MEDICAL RISK FACTORS OF PREGNANCY (2014 STATUS) Resided on reservation Hepatitis C Hepatitis B Chlamydia Syphilis Gonorrhea Other previous poor pregnancy outcome Previous preterm birth Eclampsia Gestational hypertension Pre-existing hypertension Gestational diabetes 5,150† 1,606 144 625 98 442 23 228 74 23 10† 363 0† 16 Ak-Chin Indian Community 16 10† * * 0 * 0 0 0 0 0 * 0 0 Cocopah Tribe 10 0† 0 * 0 0 0 0 * 0 0 * 0 0 Colorado River Indian Tribe 15 0† 0 * 0 * 0 0 0 0 0 * 0 0 Fort McDowell Yavapai Nation Reservation 25 10† 0 * 0 * 0 0 * 0 0 0 0 0 Fort Mohave Indian Tribe 11 0† 0 0 0 0 0 0 0 0 0 * 0 0 235 70† 11 21 * 22 0 9 * * 0 11 0 * 8 0† * 0 0 0 0 0 0 0 0 0 0 0 119 40† * 13 6 14 * 6 0 0 0 12 0 0 Hualapai Tribe 25 0† * * 0 * 0 0 0 0 0 0 0 0 Navajo Nation 1,293 430† 28 151 25 114 * 61 19 * * 143 0 * Gila River Indian Community Havasupai Tribe Hopi Tribe Pascua Yaqui Tribe 16 10† 0 * * * 0 * * 0 0 0 0 0 Salt River Pima-Maricopa Indian Community 103 50† 9 24 0 8 * 7 * * 0 7 0 0 San Carlos Apache Tribe 309 90† * 33 * 34 * 8 * * * 30 0 0 Tohono O'Odham Nation 146 60† 8 23 * 19 0 * * * * 13 0 * White Mountain Apache Tribe 298 90† * 31 * 30 * 27 7 * 0 14 * * Yavapai-Apache Nation 7 0 0 0 0 0 0 0 0 0 0 0 0 0 Yavapai-Prescott Indian Tribe 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2,640† 860† 70† 310† 40† 250† 10† 130† 40† 10† 10† 240† 0† 10† 1,297 430† 38 215 32 107 7 50 19 6 * 56 0 * ---in Pima County 312 90† 8 27 7 26 0 17 0 0 0 18 0 * ---in Coconino County 332 80† * 26 6 27 * 10 * * * 20 0 * ---elsewhere in Arizona 567 150† 24 50 12 35 * 25 10 * 0 32 * * 2,508 744 70† 318 57 195 10† 102 30† 10† 0† 126 0† 10† TOTAL Resided off reservation Pre-existing diabetes Births with medical risk factors TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Medical risk factorsa ---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; risk factors as each birth may be associated with multiple medical risk factors. Health Status Profile of American Indians in Arizona, 2014 Data Book a Medical risk factors do not sum to the number of births with medical 29 4.9 SUBSTANCE USE DURING PREGNANCY (2014 STATUS) Substance use TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Heavy Smoker Unknown 5,150† 5,020† 60† 10† 50† 20† 15 * 0 0 10 10 0 0 0 Colorado River Indian Tribe 20† 14 0 0 * Fort McDowell Yavapai Nation Reservation 30† 23 * * 0 Fort Mohave Indian Tribe 10† 8 * * 0 240† 230 * * 0 8 8 0 0 0 120† 118 0 0 * Hualapai Tribe 30† 24 * 0 0 Navajo Nation 1,293 1,255 8 0 30 16 16 0 0 0 Salt River Pima-Maricopa Indian Community 100† 99 * 0 * San Carlos Apache Tribe 310† 304 * 0 * Tohono O'Odham Nation 146 146 0 0 0 300† 296 * 0 0 10† 6 * 0 0 0† * 0 0 0 TOTAL 2,640† 2,570† 20† 0† 40† ---in Maricopa County 1,300† 1,269 19 * * ---in Pima County 310† 306 * * * ---in Coconino County 330† 327 * * * ---elsewhere in Arizona 570† 542 15 * 8 2,508 2,444 40† 10† 20† Ak-Chin Indian Community Cocopah Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Pascua Yaqui Tribe White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation Non Smoker Light Smoker 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, 2014 Data Book Utilization of Medical Services Health Status Profile of American Indians in Arizona, 2014 Data Book 31 4.10 TRIMESTER OF PREGNANCY PRENATAL CARE BEGAN (2014 STATUS) Prenatal care TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 2nd trimester 3rd trimester Unknown 5,150† 150† 3,000† 1,230† 390† 380† Ak-Chin Indian Community 20† 0 12 * * 0 Cocopah Tribe 10† * * * * * Colorado River Indian Tribe 20† 0 * * * 9 Fort McDowell Yavapai Nation Reservation 30† * 12 * * * Fort Mohave Indian Tribe 10† * * * 0 * 240† * 156 35 18 21 10† 0 * * 0 * 120† * 53 41 13 10 Hualapai Tribe 30† * 13 9 * 0 Navajo Nation 1,293 18 841 279 82 73 Pascua Yaqui Tribe 20† 0 11 * * 0 Salt River Pima-Maricopa Indian Community 103 7 56 23 8 9 San Carlos Apache Tribe 309 25 78 106 57 43 Tohono O'Odham Nation 146 13 61 54 14 * 300† * 177 78 18 20 10† 0 * * * 0 0† 0 * 0 0 0 2,640† 80† 1,490† 650† 220† 200† 1,297 37 782 295 85 98 312 18 176 82 28 8 330† * 225 77 20 8 567 10 331 122 33 71 2,508 70† 1,514 576 166 185 Gila River Indian Community Havasupai Tribe Hopi Tribe White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation 1st trimester No 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, 2014 Data Book 4.11 NUMBER OF PRENATAL VISITS (2014 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 5,150† 150† 540† 1,320† 2,120† 930† 90† Ak-Chin Indian Community 20† 0 * * 9 * 0 Cocopah Tribe 10† * * * * * * Colorado River Indian Tribe 20† 0 0 * * * * Fort McDowell Yavapai Nation Reservation 30† * * * 9 * * Fort Mohave Indian Tribe 10† * 0 * * * 0 240† * 22 37 135 30 6 10† 0 0 * * * 0 120† * 9 34 47 26 * Hualapai Tribe 30† * * 7 14 0 0 Navajo Nation 1,293 18 104 299 546 316 10 Pascua Yaqui Tribe 20† 0 * * 9 * 0 Salt River Pima-Maricopa Indian Community 103 7 11 33 29 20 * San Carlos Apache Tribe 309 25 73 108 61 20 22 Tohono O'Odham Nation 146 13 23 56 38 15 * 300† * 44 119 116 11 * 10† 0 * * * 0 0 0† 0 0 0 0 * 0 2,640† 80† 300† 720† 1,030† 450† 50† 1,297 37 109 313 612 211 15 312 18 56 92 87 57 * 330† * 28 71 151 79 * 567 10 45 124 236 135 17 2,508 70† 238 600 1,086 482 40† Gila River Indian Community Havasupai Tribe Hopi Tribe White Mountain Apache Tribe 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, 2014 Data Book 33 4.12 OBSTETRIC PROCEDURES (2014 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation External cephalic version failed External cephalic version successful Tocolysis Cervical cerclage Augmentation of labor 5,150† 2,130† 1,200† 1,120† 40† 10† 10† 20† Ak-Chin Indian Community 20† 7 * * 0 0 0 0 Cocopah Tribe 10† * * * 0 0 0 0 Colorado River Indian Tribe 20† * * * 0 0 0 0 Fort McDowell Yavapai Nation Reservation 30† 7 * * 0 0 0 0 Fort Mohave Indian Tribe 10† 6 * * 0 0 0 0 Gila River Indian Community 235 76 55 40 0 0 0 0 Havasupai Tribe 10† * * * 0 0 0 0 120† 48 31 20 * * 0 * Hualapai Tribe 25 11 6 7 0 0 0 0 Navajo Nation 1,290† 504 289 265 8 * 10 12 20† 11 * 6 0 0 0 0 Salt River Pima-Maricopa Indian Community 100† 44 31 23 0 * 0 0 San Carlos Apache Tribe 310† 117 64 62 8 0 * 0 Tohono O'Odham Nation 150† 100 47 54 0 0 0 * White Mountain Apache Tribe 300† 119 48 68 * 0 0 * 10† * * * 0 0 0 0 1 0 0 0 0 0 0 0 TOTAL 2,640† 1,060† 600† 560† 20† 0† 10† 20† ---in Maricopa County 1,300† 460 282 223 * 0 0 * ---in Pima County 310† 206 95 118 * * 0 * ---in Coconino County 330† 153 87 95 0 * 0 0 ---elsewhere in Arizona 570† 247 134 123 21 * 0 * 2,508 1,066 598 559 20† 10† 0 10† Hopi Tribe Pascua Yaqui Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation Induction of labor TOTAL BIRTHS Births with obstetrics procedure Obstetric proceduresa TOTAL a Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; Obstetric procedures do not sum to the number of total births as each birth may be associated with multiple obstetric procedures. 34 Health Status Profile of American Indians in Arizona, 2014 Data Book 260† 240† 40† 30† 0† 0† 10† 20† Ak-Chin Indian Community 16 10† * * 0 * 0 0 * * 0 0 0 0 0 Cocopah Tribe 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribe 15 0† 0 * 0 * 0 * 0 0 0 0 0 0 0 Fort McDowell Yavapai Nation Reservation 25 10† * * * * 0 * * 0 0 0 0 0 0 Fort Mohave Indian Tribe 11 0† 0 * 0 0 0 0 * 0 0 0 0 0 0 235 50† 7 12 8 8 * 9 12 * * 0 0 0 0 Gila River Indian Community Havasupai Tribe Unplanned Hysterectomy Unplanned surgery following delivery 100† Admission to intensive care unit 180† Ruptured uterus 150† Third or fourth degree perineal laceration Chorioamnionitis Maternal transfusion Breech presentation 280† Fetal intolerance Prolonged labor Meconium staining of the amniotic fluid Precipitous labor 330† Premature rupture of the membranes 1,160† ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 8 0† 0 * 0 0 0 * 0 0 0 0 0 0 0 119 40† 12 9 7 7 * 8 11 * * 0 0 0 0 Hualapai Tribe 25 0† 0 0 0 * 0 * 0 0 0 0 0 0 0 Navajo Nation 1,293 340† 134 80 37 38 22 51 52 16 10 0 0 * 8 Hopi Tribe Pascua Yaqui Tribe 16 0† * 0 * * 0 * * 0 0 0 0 0 0 Salt River Pima-Maricopa Indian Community 103 20† * 7 * 6 * 10 * 0 * 0 0 0 * San Carlos Apache Tribe 309 70† 20 23 * 9 * 8 14 14 * 0 * * * 30† 8 7 * * * 10 * 0 * 0 0 0 * Tohono O'Odham Nation White Mountain Apache Tribe 298 50† 6 13 7 10 * 19 16 * * 0 0 * * Yavapai-Apache Nation 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Yavapai-Prescott Indian Tribe * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,640† 620† 190† 160† 70† 90† 40† 120† 120† 30† 20† 0 0† 10† 10† TOTAL Resided off reservation Complications of labor and/or deliverya 5,150† TOTAL BIRTHS Resided on reservation Births with complications of labor and or delivery 4.13 COMPLICATIONS OF LABOR AND DELIVERY (2014 STATUS) ---in Maricopa County 1,297 280† 69 58 31 46 45 77 66 6 * * * * * ---in Pima County 312 80† 21 40 11 9 * 18 6 0 * * * * 0 ---in Coconino County 332 60† 19 * 11 12 * 10 21 0 0 0 0 0 0 ---elsewhere in Arizona 567 120† 29 23 19 23 7 27 29 * 6 0 0 * * 2,508 541 138 130† 72 90 60† 132 122 10† 10† 0† 0† 10† 10† 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; complications of labor and/or delivery as each birth may be associated with multiple complications. Health Status Profile of American Indians in Arizona, 2014 Data Book a Complications of labor and/or delivery do not sum to the sum of births with 35 4.14 METHOD OF DELIVERY (2014 STATUS) Method of deliverya TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation C-Section Forceps Vacuum Unknown 5,150† 3,880† 1,170† 20† 70† 0 Ak-Chin Indian Community 16 10 6 0 0 0 Cocopah Tribe 10 9 * 0 0 0 Colorado River Indian Tribe 15 10 * 0 0 0 Fort McDowell Yavapai Nation Reservation 25 17 7 0 * 0 Fort Mohave Indian Tribe 11 9 * 0 0 0 235 150 78 * 6 0 8 6 * 0 0 0 119 95 23 0 * 0 Hualapai Tribe 25 18 7 0 0 0 Navajo Nation 1,293 1,080 194 6 13 0 16 13 * 0 0 0 Salt River Pima-Maricopa Indian Community 103 67 35 0 * 0 San Carlos Apache Tribe 309 208 94 0 7 0 Tohono O'Odham Nation 146 120 22 * * 0 White Mountain Apache Tribe 298 192 88 0 18 0 Yavapai-Apache Nation 7 * * 0 0 0 Yavapai-Prescott Indian Tribe * 0 * 0 0 0 2,640† 2,010† 570† 10† 50† 0 1,297 935 346 * 11 0 ---in Pima County 312 260 49 * * 0 ---in Coconino County 332 265 63 * * 0 ---elsewhere in Arizona 567 417 140 * 6 0 2,508 1,877 598 10† 20† 0 Gila River Indian Community Havasupai Tribe Hopi Tribe Pascua Yaqui Tribe TOTAL Resided off reservation 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, 2014 Data Book 4.15 ATTENDANT AT BIRTH (2014 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Hospital admin C.N.M Midwife D.O. Unknown Other 5,150† 2,900† 530† 1,390† 20† 0 320† 0† 16 10 6 0 0 0 0 0 Cocopah Tribe 10† 8 0 * 0 0 0 0 Colorado River Indian Tribe 20† 13 * 0 0 0 * 0 Fort McDowell Yavapai Nation Reservation 30† 19 0 * 0 0 * 0 11 11 0 0 0 0 0 0 Gila River Indian Community 235 157 55 13 0 0 10 0 Havasupai Tribe 10† 6 * 0 0 0 0 0 120† 65 * 40 * 0 10 0 Hualapai Tribe 30† 16 8 * 0 0 0 0 Navajo Nation 1,290† 311 58 820 * 0 99 0 20† 11 0 * 0 0 * 0 Salt River Pima-Maricopa Indian Community 100† 80 * 12 0 0 9 0 San Carlos Apache Tribe 310† 171 115 * 0 0 21 0 Tohono O'Odham Nation 150† 138 * * 0 0 * 0 White Mountain Apache Tribe 300† 201 80 * 0 0 15 * 10† 6 0 * 0 0 0 0 0† * 0 0 0 0 0 0 2,640† 1,220† 330† 900† 10† 0 170† 0† 1,297 794 95 335 0 0 73 0 310† 259 * 36 0 0 13 0 ---in Coconino County 332 227 39 37 10 0 19 0 ---elsewhere in Arizona 567 393 59 76 0 0 39 0 2,508 1,673 200† 484 10 0 144 0 Ak-Chin Indian Community Fort Mohave Indian Tribe Hopi Tribe Pascua Yaqui Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation M.D. ---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. Health Status Profile of American Indians in Arizona, 2014 Data Book 37 Newborn’s Health Health Status Profile of American Indians in Arizona, 2014 Data Book 39 4.16 GESTATIONAL AGE (2014 STATUS) Length of gestation TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 37-41 weeks 42+ weeks Unknown 5,150† 420† 4,670† 20† 40† Ak-Chin Indian Community 20† * 15 0 0 Cocopah Tribe 10† * 9 0 0 Colorado River Indian Tribe 20† * 13 0 0 Fort McDowell Yavapai Nation Reservation 30† * 22 0 * 11 0 11 0 0 Gila River Indian Community 235 25 208 0 * Havasupai Tribe 10† * 7 0 0 Hopi Tribe 119 14 103 0 * Hualapai Tribe 30† 7 17 * 0 Navajo Nation 1,290† 89 1,193 * 6 20† * 12 0 0 100† 7 93 * * San Carlos Apache Tribe 309 38 263 0 8 Tohono O'Odham Nation 146 12 134 0 0 White Mountain Apache Tribe 298 37 260 0 * Yavapai-Apache Nation 10† * * 0 0 0† 0 * 0 0 2,640† 240† 2,370† 10† 20† 1,297 98 1,184 8 7 310† 25 285 * * 332 20 312 0 0 570† 39 522 * * 2,508 182 2,303 10† 10† Fort Mohave Indian Tribe Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community Yavapai-Prescott Indian Tribe TOTAL Resided off reservation <37 weeks ---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. 40 Health Status Profile of American Indians in Arizona, 2014 Data Book 4.17 WEIGHT AT BIRTH (2014 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 5,150† 30† 20† 270† 4,310† 510† 10† Ak-Chin Indian Community 20† 0 0 0 12 * 0 Cocopah Tribe 10† 0 0 0 8 * 0 Colorado River Indian Tribe 20† 0 0 * 10 * 0 Fort McDowell Yavapai Nation Reservation 30† 0 0 0 22 * 0 11 0 0 0 11 0 0 240† * 0 15 193 26 0 10† 0 0 * 7 0 0 120† 0 * 11 101 * 0 Hualapai Tribe 30† * 0 * 21 0 0 Navajo Nation 1,290† 7 * 45 1,113 121 * 20† 0 0 * 14 0 0 Salt River Pima-Maricopa Indian Community 100† * * * 81 17 0 San Carlos Apache Tribe 310† * * 20 251 33 0 Tohono O'Odham Nation 150† 0 * * 123 17 0 White Mountain Apache Tribe 300† * * 28 248 17 0 10† 0 0 0 6 * 0 0† 0 0 0 * 0 0 TOTAL 2,640† 20† 10† 130† 2,220† 250† 0† ---in Maricopa County 1,300† 7 * 69 1,046 170 * ---in Pima County 310† 0 * 23 258 28 * ---in Coconino County 330† 0 * 16 288 27 0 ---elsewhere in Arizona 570† * * 27 496 39 * 2,508 10† 10† 135 2,088 264 0† Fort Mohave Indian Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Pascua Yaqui Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation Weight at birth 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, 2014 Data Book 41 4.18 ABNORMAL CONDITIONS OF THE NEWBORN (2014 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Significant birth injury Seizure or serious neurologic dysfunction Suspected neonatal sepsis Surfactant replacement therapy Assisted ventilation for more than 6 hours Assisted ventilation immediately after delivery 5,150† 204 120† 50† 20† 110† 0† 10† Ak-Chin Indian Community 16 * 0 0 0 * 0 0 Cocopah Tribe 10 * * * 0 * 0 0 Colorado River Indian Tribe 15 * * 0 0 0 0 0 Fort McDowell Yavapai Nation Reservation 25 0 0 0 0 0 0 0 Fort Mohave Indian Tribe 11 0 0 0 0 0 0 0 235 18 8 7 * 15 0 0 8 0 0 0 0 0 0 0 Gila River Indian Community Havasupai Tribe Hopi Tribe 119 * * * 0 * 0 0 Hualapai Tribe 25 * * * * * 0 * Navajo Nation 1,293 42 24 6 * 24 0 0 Pascua Yaqui Tribe 16 0 0 0 0 0 0 0 Salt River Pima-Maricopa Indian Community 103 * * * 0 0 0 0 San Carlos Apache Tribe 309 19 16 * * 7 0 0 Tohono O'Odham Nation 146 7 6 * * * 0 * White Mountain Apache Tribe 298 18 10 6 * 13 0 * Yavapai-Apache Nation 7 0 0 0 0 0 0 0 Yavapai-Prescott Indian Tribe * 0 0 0 0 0 0 0 2,640† 120† 80† 30† 10† 70† 0 0† TOTAL Resided off reservation Births with abnormal conditions of the newborn TOTAL BIRTHS Abnormal conditionsa ---in Maricopa County 1,297 37 15 7 * 22 0 0 ---in Pima County 312 11 6 * * * 0 * ---in Coconino County 332 10 * * 0 9 0 0 567 26 19 * * 11 * * 2,508 84 40† 20† 10† 50† 0† 0† ---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; a Abnormal conditions do not sum to the number of births with abnormal conditions of the newborn as each birth may be associated with multiple abnormal conditions. 42 Health Status Profile of American Indians in Arizona, 2014 Data Book 4.19 CONGENITAL ANOMALIES / BIRTH DEFECTS (2014 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Unknown congenital anomalies Hypospadias Suspected chromosomal disorder Down syndrome Cleft lip / palate Limb reduction defect Omphalocele / Gastroschisis Congential diaphragmatic hernia Cyanotic congenital heart disease Spina bifida / Meningocele 5,145 41 0† 0† 0† 0 10† 0† 10† 0† 0† 0† 10† Ak-Chin Indian Community 16 0 0 0 0 0 0 0 0 0 0 0 0 Cocopah Tribe 10 0 0 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribe 15 0 0 0 0 0 0 0 0 0 0 0 0 Fort McDowell Yavapai Nation Reservation 25 0 0 0 0 0 0 0 0 0 0 0 0 Fort Mohave Indian Tribe 11 0 0 0 0 0 0 0 0 0 0 0 0 235 * 0 * 0 0 0 0 0 0 0 0 0 Gila River Indian Community Havasupai Tribe 8 0 0 0 0 0 0 0 0 0 0 0 0 119 * 0 0 0 0 0 0 * 0 0 * * Hualapai Tribe 25 0 0 0 0 0 0 0 0 0 0 0 0 Navajo Nation 1,293 13 * 0 0 0 0 0 6 0 * 0 * 16 0 0 0 0 0 0 0 0 0 0 0 0 Salt River Pima-Maricopa Indian Community 103 0 0 0 0 0 0 0 0 0 0 0 0 San Carlos Apache Tribe 309 * 0 0 * 0 0 0 0 0 0 0 0 Tohono O'Odham Nation 146 * * 0 0 0 0 0 0 0 0 0 0 White Mountain Apache Tribe Hopi Tribe Pascua Yaqui Tribe 298 * 0 * 0 0 0 * 0 0 0 0 0 Yavapai-Apache Nation 7 0 0 0 0 0 0 0 0 0 0 0 0 Yavapai-Prescott Indian Tribe * 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL Resided off reservation Anencephalus TOTAL BIRTHS Births with congenital anomalies Congenital anomaliesa 1,300† 10† 0† 0† 0† 0 1 0† 0† 1 0† 0† 0† ---in Maricopa County 312 * * 0 0 0 * 0 0 * 0 0 0 ---in Pima County 332 * 0 0 0 0 0 0 * 0 0 0 * ---in Coconino County 567 * 0 0 0 0 * 0 * 0 0 0 * ---elsewhere in Arizona 2,637 20 * * * 0 0 * 7 0 * * * TOTAL 2,508 20† 0† 0† 0† 0 10† 0 0† 0† 0† 0 10† 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; 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, 2014 Data Book 43 4.20 CAUSES OF INFANT DEATHS AMONG AMERICAN INDIAN RESIDENTS, ARIZONA, 2014 Total, all causes 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 Hualapai Tribe Hopi Tribe Gila River Indian Community TOTAL STATE Colorado River Indian Tribe Resided off reservation 45 1 0† 1 0† 10† 0† 0† 0† 10† 30† 10† 0† 0† 0† 20† 10† 0 0 0 * * * * 0 * 10† * 0 0 0 10† 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† Short gestation and low birth weight 0† 0 0 0 0 * * 0 0 0 0† * 0 0 0 0† Bacterial sepsis of newborn 0† 0 0 0 0 0 0 * 0 0 0† 0 0 0 0 0 10† 0 0 0 0 0 0 0 * * 0† * * * 0 10† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 * 0 0† 0 * * 0 0† Sudden infant death syndrome 0† 0 0 0 0 0 0 0 0 0 0 * 0 0 * 0† Accidents (unintentional injury) 0† 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0† Influenza and pneumonia 0† 0 * 0 0 0 0 0 0 0 0† 0 0 0 0 0 Diseases of the digestive system 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Infectious and parasitic diseases 0† 0 * 0 0 0 0 0 0 0 0† 0 0 0 0 0 Diseases of the nervous system 0† 0 0 0 0 0 0 0 * * 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Certain conditions originating in the perinatal period Maternal complications Complications of placenta, cord and membrane Congenital malformations of heart of brain, spinal cord or nervous system Choked on food Mechanical suffocation Drug poisoning, undetermined intent 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, 2014 Data Book Total births Mother's age group Marital status Length of gestation Unknown Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa La Paz Greenlee Graham 690† 210† 120† 0† 40† 1,460† 70† 900† 470† 350† 0† 40† 10† 5 0 * * 0 0 0 * 0 * 0 0 0 0 0 0 15-17 200† 22 0 29 12 * 0 * 50 * 38 21 12 * * * 0 18-19 400† 57 * 52 20 11 0 * 101 * 70 37 35 * * * 0 20-24 1,690† 225 * 218 75 48 * 14 461 28 304 169 113 0 11 17 * 25-29 1,480† 179 * 214 58 28 0 11 441 19 260 132 106 0 13 11 * 30-34 870† 130 * 117 27 21 0 9 264 10 145 77 51 * * 6 0 35-39 420† 89 * 46 16 8 0 0 125 * 59 33 30 0 * * 0 40-44 90† 23 * 14 * * 0 * 19 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 3,510† 492 7 557 95 29 0 22 986 39 759 313 153 * 24 23 * IHS 970† 205 * 37 92 73 * 16 222 11 68 83 142 0 * 12 0 Private insurance 580† 23 * 92 21 16 * * 216 11 60 75 45 * * * 0 AHCCCS Self 70† * 0 6 * * 0 0 30 * 11 * 8 0 * * 0 Unknown 20† * 0 * * 0 0 0 8 * * * * 0 0 0 0 0 8th Grade or Less 110† * * 9 7 * 0 * 40 * 16 17 15 0 0 0 Some High School 1,340† 141 * 136 67 24 0 12 355 19 250 160 143 * 15 15 * High School / GED 1,770† 233 * 257 79 66 * 18 444 29 351 151 107 * 9 12 * Some College 1,320† 231 7 176 44 18 0 * 437 11 207 100 62 0 10 9 * Associate Degree 340† 66 0 68 6 9 0 0 100 * 47 25 15 0 * * 0 Bachelor's Degree 0 170† 36 * 32 * 0 0 0 54 * 16 15 6 0 0 * Postgraduate Education 70† 10 0 14 * 0 0 * 23 0 8 6 * 0 0 0 0 Unknown 30† 7 0 * 0 * 0 * 9 0 * 0 0 0 0 0 0 0 Married 1,020† 140 6 152 52 21 0 * 293 13 193 73 63 0 7 8 Unmarried 4,060† 578 8 535 157 98 * 37 1,150 51 696 394 284 * 29 30 * 60† 9 0 6 * * 0 * 19 * 11 7 * 0 0 * 0 None 1,190† 189 * 151 51 17 0 9 328 17 205 124 59 * 10 19 * 1-15 pounds 1,510† 234 * 225 49 31 * 14 416 15 274 127 93 * 11 10 * 31+ pounds 2,380† 293 7 306 108 69 * 14 699 33 410 220 194 * 15 11 * 70† 11 0 11 * * 0 * 19 0 11 * * 0 0 0 0 Unknown Substance use Gila 10† * Othera Weight gain Coconino 730† 10† Unknown Mother's education Cochise 5,145 <15 45+ Payee for births Apache Total State 4.21 COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2014 Non Smoker 5,020† 706 14 679 207 118 * 38 1,428 56 885 468 336 * 34 38 * Light Smoker 60† * 0 7 * * 0 * 21 * 7 * 12 0 * * 0 Heavy Smoker 10† 0 0 * 0 0 0 0 * * 0 * * 0 0 * 0 Unknown 50† 20 0 6 * * 0 * 8 * 8 * * 0 0 0 0 420† 51 * 46 26 14 0 * 110 9 81 41 30 * * * 0 <37 weeks 37-41 weeks 4,670† 668 13 645 178 106 * 36 1,333 55 813 431 315 * 32 36 * 42+ weeks 20† * 0 * 0 0 0 0 9 * * * * 0 0 0 0 Unknown 40† 7 0 * 7 * 0 * 10 0 * * * 0 0 0 0 Health Status Profile of American Indians in Arizona, 2014 Data Book 45 Weight at birth <1,000 grams 1,000-1,499 1,500-2,499 2,500-3,999 4000+ Unknown Prenatal care No care 1st trimester 2nd trimester 3rd trimester Unknown Prenatal visits No visits 1-4 visits 5-8 visits 9-12 visits 13+ visits Unknown Newborn intensive Yes care No Method of delivery Vaginal C-Section Forceps Vacuum Unknown Obstetric proceduresb Total Induction of labor Augmentation of labor Cervical cerclage Tocolysis External cephalic version successful External cephalic version failed Births with medical Total risk factorsb Pre-existing diabetes Gestational diabetes Pre-existing hypertension Gestational hypertension Eclampsia Previous preterm birth Other previous poor pregnancy outcome Gonorrhea Syphilis Chlamydia Hepatitis B Hepatitis C 46 30† 20† 270† 4,310† 510† 10† 150† 3,000† 1,230† 390† 380† 150† 540† 1,320† 2,120† 930† 90† 4,900† 240† 3,880† 1,170† 20† 70† 0 2,130† 1,196 1,120† 10† 40† 10† 20† 1,610† 140† 630† 100† 440† 20† 230† 70† 20† 10† 360† 0† 20† * * 23 633 63 * 8 457 159 47 56 8 63 171 335 144 6 713 14 617 104 * * 0 263 144 140 * * 6 8 243 21 65 12 72 * 29 12 * * 90 0 * 0 0 0 14 0 0 * * 7 0 * * * * 6 * * 14 0 10 * 0 0 0 7 6 * 0 0 0 0 * 0 * 0 * 0 0 0 0 0 * 0 0 * * 26 596 66 0 9 481 147 37 19 9 48 139 306 186 * 683 10 550 127 * 13 0 308 170 181 * * * * 210 10 86 17 57 * 34 11 * * 49 0 * * * 12 172 23 0 18 43 77 41 32 18 44 67 49 17 16 191 20 150 59 0 * 0 76 50 33 0 * * 0 58 * 24 * 20 * * * * * 17 0 0 0 * 8 101 11 0 9 45 37 19 11 9 33 47 20 6 6 117 * 76 40 0 * 0 50 21 32 0 * 0 0 42 * 12 * 15 0 * * * 0 16 0 0 0 0 0 * 0 0 0 * 0 * 0 0 0 * 0 * 0 * 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 33 6 0 0 6 * * 31 0 * 14 8 13 * 42 0 26 14 * * 0 9 7 * 0 0 0 0 10 0 * 0 * * * * 0 0 * 0 0 8 * 72 1,180 196 * 46 872 326 101 117 46 130 352 674 238 22 1,374 88 1,041 401 * 15 0 523 324 255 * * 0 * 483 47 244 32 119 8 58 22 8 * 64 0 * * 0 * 58 * 0 * 36 17 * * * * 19 31 7 0 64 * 47 18 0 0 0 33 18 19 0 * 0 0 9 * * 0 * 0 * * 0 0 * 0 0 * * 67 766 57 0 12 543 224 64 57 12 92 274 328 185 9 867 33 689 187 * 22 0 377 203 180 * 25 0 6 270 18 92 11 76 6 53 10 * * 69 * * 0 * 30 395 45 * 31 248 140 43 12 31 81 152 134 73 * 447 27 393 74 * * 0 317 147 178 * * 0 * 146 16 51 9 47 0 25 * * * 31 0 * * 0 21 291 36 * 6 224 56 24 40 6 32 61 187 50 14 309 41 230 114 * * 0 132 86 77 0 0 0 0 112 18 37 12 31 0 16 6 * 0 18 * * 0 * * * 0 0 0 * * 0 0 0 * * * 0 0 * * * 0 0 0 0 * 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 32 * 0 * 18 16 * 0 * * 9 17 7 0 35 * 23 11 * 0 0 14 11 * 0 0 0 0 7 * * 0 * 0 * 0 0 0 0 0 0 * 0 * 31 6 0 * 20 13 * * * * 10 19 * * 38 * 26 13 0 * 0 17 9 13 * 0 0 0 11 * * * 0 0 * * 0 0 * 0 0 Unknown Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa La Paz Greenlee Graham Gila Coconino Cochise Apache Total State 4.21 (continued) COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2014 0 0 0 * 0 0 0 * * 0 0 0 0 * * * 0 * 0 * * 0 0 0 * 0 0 0 * 0 0 * 0 * 0 0 0 0 0 0 0 0 0 0 Health Status Profile of American Indians in Arizona, 2014 Data Book Births with complications of labor and deliveryb Abnormal conditions of the newbornb Total Unknown Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa La Paz Greenlee Graham Gila Coconino Cochise 1,160† 196 * 149 58 14 0 6 319 7 210 114 75 * * 7 Premature rupture of the membranes 330† 82 * 50 18 * 0 0 74 * 58 31 9 * 0 * 0 Precipitous labor 280† 48 0 24 20 * 0 * 67 * 53 47 17 * 0 0 0 Prolonged labor 150† 22 * 24 * * 0 0 36 * 28 17 10 0 0 0 0 Breech presentation 180† 23 * 26 8 * 0 * 56 * 33 14 12 0 0 * 0 Chorioamnionitis 100† 6 0 15 * 0 0 * 47 0 11 8 6 * 0 0 0 Meconium staining of the amniotic fluid 260† 28 * 24 10 0 0 * 93 * 46 29 11 * * 7 0 Fetal intolerance 0 0 240† 26 * 39 15 * 0 * 76 * 44 11 23 0 * * Maternal transfusion 40† 7 0 * 10 * 0 * 6 0 9 0 * 0 0 * 0 Third or fourth degree perineal laceration 30† 9 0 * * 0 0 * * 0 6 * * 0 0 0 0 Ruptured uterus 0† 0 0 0 0 0 0 0 * 0 0 * 0 0 0 0 0 Unplanned Hysterectomy 0† 0 0 0 * 0 0 0 * 0 0 * 0 0 0 0 0 Admission to intensive care unit 10† 0 0 * * 0 0 * * 0 * * 0 0 0 0 0 Unplanned surgery following delivery 20† * 0 * * 0 0 * 6 0 * * 0 0 0 0 0 Total 200† 18 0 26 15 * 0 9 41 * 37 18 27 0 * * 0 Assisted ventilation immediately after delivery Assisted ventilation for more than 6 hours Surfactant replacement therapy 120† 50† 20† 13 * * 0 0 0 11 * * 12 * * * 0 0 0 0 0 9 0 0 19 8 * * * * 22 8 * 12 8 * 12 9 * 0 0 0 0 0 0 * * * 0 0 0 Suspected neonatal sepsis 110† 10 0 20 7 0 0 0 22 * 21 * 22 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 40† * 0 7 * 0 0 * 10 0 11 * * * 0 0 0 0† * 0 * 0 0 0 0 0 0 0 * 0 0 0 0 0 Spina bifida / Meningocele 0† 0 0 0 0 0 0 0 * 0 * 0 * 0 0 0 0 Cyanotic congenital heart disease Congential 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 Seizure or serious neurologic dysfunction Significant birth injury Congenital anomalies Total of the newbornb Anencephalus Omphalocele / Gastroschisis Limb reduction defect Cleft lip / palate Down syndrome Suspected chromosomal disorder Hypospadias Infant mortalityc Apache Total State 4.21 (continued) COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2014 10† 0 0 0 0 0 0 0 * 0 * * 0 * 0 0 0 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 10† 0 0 * 0 0 0 * * 0 * 0 0 0 0 0 0 0† 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * * 0 0 0 * * 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 Unknown congenital anomalies 10† * 0 * 0 0 0 0 * 0 * 0 0 0 0 0 0 Total 50† 10† 0 0† 0† 0† 0 0† 14 0† 10† 0† 0† 0 0 0 0† Neonatal 30† * 0 * * * 0 * 8 * * * 0 0 0 0 0 Postneonatal 20† * 0 * * 0 0 0 6 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; a 'Refused', 'Yes, divorced', 'Unknown'; b Total birth where an obstetric procedure; medical risk factor; complication of labor and delivery; abnormal condition of the newborn; or a congenital anomaly of the newborn was identified; c Total infant mortality includes unknown county of residence. Health Status Profile of American Indians in Arizona, 2014 Data Book 47 V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2014 Health Status Profile of American Indians in Arizona, 2014 Data Book 49 AGE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2014 Data Book 51 5.1 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIANS IN 2014 90† 170† 190† 300† 340† 320† 340† 0† 0 0 0 0 * 0 0 * * Cocopah Tribe 10† 0 0 0 * 0 * * * Colorado River Indian Tribe 10† * 0 0 * 0 * * Fort McDowell Yavapai Nation Reservation 10† 0 0 0 * * * 120† * 0 * 8 7 0† 0 0 0 0 Hopi Tribe 70† * 0 0 Hualapai Tribe 20† * 0 Navajo Nation 610† 8 0† Unknown 10† 85+ 75-84 65-74 20† 0 0 * 0 0 * * 0 0 * * 0 0 0 * 0 * * 0 0 15 21 17 28 15 7 0 * 0 0 0 0 0 0 0 * * * 7 12 10 15 22 0 * * * * * 7 * 0 0 0 * * 30 48 49 69 86 90 121 102 0 0 0 0 0 0 0 * * * 0 0 0 50† * 0 0 6 6 8 * 10 7 * * 0 San Carlos Apache Tribe 110† * * * 6 9 7 22 24 18 10 * 0 Tohono O'Odham Nation 80† * 0 * * * * 10 9 17 19 9 0 130† * 0 * * 25 13 19 18 22 17 8 0 10† 0 0 0 0 * 0 * * * * 0 0 0† 0 0 0 0 0 0 0 0 * 0 * 0 1,240† 30† 0† 10† 60† 110† 110† 170† 190† 210† 210† 160† 0 330 13 7 0 13 31 36 55 69 39 40 27 0 140† * * 0 * 11 13 24 27 23 27 12 0 70† * 0 * * 9 8 10 9 * 10 16 0 ---elsewhere in Arizona 290† * * * 12 13 24 46 38 51 52 47 0 TOTAL 830† 20† 10† 0† 30† 64 81 135 143 120† 129 102 0 Ak-Chin Indian Community Gila River Indian Community Havasupai Tribe Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation 55-64 15-24 Resided on reservation 45-54 5-14 50† ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 35-44 1-4 2,070† TOTAL 25-34 <1 Age group ---in Maricopa County ---in Pima County ---in Coconino County 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, 2014 Data Book 5.2 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN MALES IN 2014 110† 190† 180† 180† 160† 90† 0 0† 0 0 0 0 0 0 0 * 0 0 0 0 Cocopah Tribe 10† 0 0 0 0 0 0 * * * 0 0 0 Colorado River Indian Tribe 10† * 0 0 0 0 * * * * 0 0 0 Fort McDowell Yavapai Nation Reservation 10† 0 0 0 * * 0 * 0 * * 0 0 Gila River Indian Community 60† * 0 0 * * 11 14 * 15 * * 0 0† 0 0 0 0 * 0 0 0 0 0 0 0 Hopi Tribe 40† 0 0 0 * * * * 8 * * 10 0 Hualapai Tribe 10† * 0 0 * * * * * 0 0 0 0 Navajo Nation 380† * * * 24 39 39 42 54 54 74 41 0 0† 0 0 0 0 0 0 0 * 0 0 0 0 Salt River Pima-Maricopa Indian Community 20† * 0 0 * * * * 6 * * 0 0 San Carlos Apache Tribe 60† * 0 * * 9 * 13 15 10 * * 0 Tohono O'Odham Nation 40† * 0 * * * * 7 7 9 7 * 0 White Mountain Apache Tribe 80† * 0 0 * 19 7 10 14 13 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 TOTAL 720† 20† 0† 10† 50† 90† 70† 100† 120† 120† 100† 60† 0 ---in Maricopa County 190† 8 * 0 11 24 22 37 27 24 21 8 0 ---in Pima County 70† 0 0 0 * 8 6 12 12 13 12 * 0 ---in Coconino County 40† 0 0 0 * 7 * * * * 9 * 0 ---elsewhere in Arizona 150† 0 * * * 8 11 32 22 28 18 18 0 TOTAL 440† 8 10† 0† 20† 47 40† 90† 70† 70† 60 30† 0 Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation Unknown 130† 85+ 60† Pascua Yaqui Tribe 75-84 10† Havasupai Tribe 65-74 15-24 10† Ak-Chin Indian Community 55-64 5-14 Resided on reservation 45-54 1-4 20† ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 35-44 <1 1,150† TOTAL 25-34 Age group Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2014 Data Book 53 5.3 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN FEMALES IN 2014 35-44 10† 30† 40† 70† 120† 150† 140† 180† 170† 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 Fort McDowell Yavapai Nation Reservation 10† 0 0 0 0 * * * 0 0 * 0 Gila River Indian Community 60† * 0 * * * * 7 13 13 14 * 0 0 0 0 0 0 0 0 0 0 0 0 Hopi Tribe 40† * 0 0 0 0 0 * * 6 11 12 Hualapai Tribe 10† 0 0 * 0 0 0 * * * 0 0 Navajo Nation 230† * 0 * 6 9 10 27 32 36 47 61 0† 0 0 0 0 0 0 * 0 * 0 0 Salt River Pima-Maricopa Indian Community 30† 0 0 0 * * 6 * * * * * San Carlos Apache Tribe 40† * * 0 * 0 * 9 9 8 6 * Tohono O'Odham Nation 40† * 0 0 0 * * * * 8 12 7 White Mountain Apache Tribe 50† * 0 * * 6 6 9 * 9 9 6 Yavapai-Apache Nation 10† 0 0 0 0 0 0 * * 0 0 0 0† 0 0 0 0 0 0 0 0 * 0 * TOTAL 530† 10† 0† 10† 20† 20† 40† 70† 70† 90† 110† 100† ---in Maricopa County 140† * * 0 * 7 14 18 42 15 19 19 ---in Pima County 80† * * 0 0 * 7 12 15 10 15 10 ---in Coconino County 30† * 0 * 0 * * * * * * 12 ---elsewhere in Arizona 150† * 0 0 8 * 13 14 16 23 34 29 TOTAL 400† 10† 0† 0† 10† 20† 40† 50† 80† 50† 70† 70 Cocopah Tribe Colorado River Indian Tribe Havasupai Tribe Pascua Yaqui Tribe Yavapai-Prescott Indian Tribe Resided off reservation 85+ 25-34 10† Ak-Chin Indian Community 75-84 15-24 Resided on reservation 65-74 5-14 20† ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 55-64 1-4 920† TOTAL 45-54 <1 Age group Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 54 Health Status Profile of American Indians in Arizona, 2014 Data Book CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2014 Data Book 55 5.4 DEATHS BY GENDER FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2014 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Total, all causes MALE FEMALE 2,074 1,152 922 0† 0 * 0 0 0 12 6 6 10† * 6 0† 0 * 0† 0 * 0 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 Respiratory tuberculosis Other tuberculosis 22 7 15 Syphilis 0 0 0 Acute poliomyelitis 0 0 0 Arthropod-borne encephalitis 0 0 0 Measles 0 0 0 Viral hepatitis 10† 12 * Human immunodeficiency virus (HIV) disease 10† * * 0 0 0 Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms Malignant neoplasm of lip, oral cavity and pharynx 13 6 7 224 122 102 0† * * Malignant neoplasm of esophagus 10† * * Malignant neoplasm of stomach * 10† 6 Malignant neoplasm of colon, rectum and anus 17 11 6 Malignant neoplasm of liver and intrahepatic bile ducts 27 16 11 Malignant neoplasm of pancreas 10† 7 * Malignant neoplasm of larynx 0† * 0 Malignant neoplasm of trachea, bronchus and lung 25 13 12 0 0 0 12 0 12 0 Malignant melanoma of skin Malignant neoplasm of breast Malignant neoplasm of cervix uteri Malignant neoplasm of corpus uteri and uterus, part unspecified Malignant neoplasm of ovary Malignant neoplasm of prostate Malignant neoplasm of kidney and renal pelvis Malignant neoplasm of bladder 56 TOTAL 0 0 0† 0 * 6 0 6 0 18 18 10† 9 * 0† * * Health Status Profile of American Indians in Arizona, 2014 Data Book 5.4 (continued) DEATHS BY GENDER FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2014 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 22 10 12 Hodgkin's disease 0 0 0 Non-Hodgkin's lymphoma 10† * * Leukemia 10† * * Multiple myeloma and immunoproliferative neoplasms 10† * * Other and unspecified malignant neoplasms of lymphoid tissue 0 0 0 47 21 26 In situ neoplasms 0† * 0 Anemias 0† * * Diabetes 153 81 72 Nutritional deficiencies 10† * * 10† * * 0 0 0 10† * * All other and unspecified malignant neoplasm Malnutrition Other nutritional deficiencies Obesity Meningitis 0† * 0 Parkinson's disease 18 11 7 Alzheimer's disease Major cardiovascular diseases Diseases of heart 37 11 26 323 186 137 86 236 150 Acute rheumatic fever and chronic rheumatic heart disease 0† * * Hypertensive heart disease 29 19 10 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 0† * * 147 100 47 36 21 15 0 0 0 111 79 32 40 33 7 71 46 25 55 29 26 0† * 0 0 0 0 10† * * 21 45 24 Essential (primary) hypertension and hypertensive renal disease 31 12 19 Cerebrovascular diseases 51 21 30 Health Status Profile of American Indians in Arizona, 2014 Data Book 57 5.4 (continued) DEATHS BY GENDER FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2014 Cause of death (Tenth Revision, International Statistical Classification of Diseases) MALE FEMALE Atherosclerosis 0† 0 * Other diseases of circulatory system 0† * * Aortic aneurysm and dissection 0† * 0 Other disease of arteries, arterioles and capillaries 0† * * Other disorders of circulatory system 0† 0 * Influenza and pneumonia 48 25 23 Influenza 0† * 0 Pneumonia 44 21 23 Other acute lower respiratory infections 0 0 0 Acute bronchiolitis 0 0 0 Unspecified acute lower respiratory infection 0 0 0 28 13 15 Bronchitis, chronic and unspecified 0 0 0 Emphysema 0 0 0 Asthma 0† * * Other chronic lower respiratory diseases 25 12 13 0† * 0 Chronic lower respiratory diseases Pneumoconioses and chemical effects Pneumonitis due to solids and liquids Other disease of respiratory system Peptic ulcer Diseases of appendix Hernia Chronic liver disease and cirrhosis Alcoholic liver disease Other chronic liver disease and cirrhosis 10† * 6 32 15 17 10† * * 0 0 0 0† * * 162 73 89 132 64 68 30 9 21 Cholelithiasis and other disorders of gallbladder 0† * 0 Nephritis, nephrotic syndrome and nephrosis 20 10 10 0 0 0 * Acute and rapidly progressive nephritic and nephrotic syndrome Chronic glomerulonephritis 0† 0 Renal failure 19 10 9 0 0 0 Others disorders of kidney Infections of kidney 0† 0 * Hyperplasia of prostate 0 0 0 Inflammatory diseases of female pelvic organs 0 0 0 0† 0 * Pregnancy, childbirth and the puerperium 58 TOTAL Health Status Profile of American Indians in Arizona, 2014 Data Book 5.4 (continued) DEATHS BY GENDER FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2014 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 18 8 10 Symptoms, signs, abnormal findings 72 42 30 289 207 82 136 92 44 131 88 43 Other land transport accidents 0† * * Water, air, space 0† * 0 153 115 38 Falls 20 13 7 Accidental discharge of firearms 0† * 0 * Total accidents Transport accidents Motor vehicle accidents Nontransport accidents Accidental drowning and submersion 10† 7 Accidental exposure to smoke, fire and flames 0† * * Accidental poisoning 82 63 19 Excessive natural heat 0† * * Excessive natural cold 10† 7 * 37 28 9 53 45 8 By discharge of firearms 11 11 0 By other means 42 34 8 30† 25 * By discharge of firearms 10† 10 * By other means 20† 15 * Legal intervention 0† * 0 10† 7 * 0 0 0 Other and unspecified nontransport accidents Intentional self-harm (suicide) Assault (homicide) Events of undetermined intent Discharge of firearms Other and unspecified events of undetermined intent Operations of war Complications of medical and surgical care INJURY BY FIREARMS DRUG-INDUCED DEATHS ALCOHOL-INDUCED DEATHS 10† 7 * 0 0 0 0† * 0 30† 23 * 45 28 17 220 134 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, 2014 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 2,074 45 15 13 90 173 187 302 335 320 336 258 0 0† * 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 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 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 * * * * 6 * * 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 Respiratory tuberculosis Other tuberculosis Meningococcal infection Septicemia Measles 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis 10† 0 0 0 0 0 * * 7 * 0 0 0 Human immunodeficiency virus (HIV) disease 10† 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 0 220† 0 * * * * 6 23 54 50 60 24 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 Malignant neoplasm of stomach 10† 0 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 * * 9 * 8 * 0 Malignant neoplasm of pancreas 10† 0 0 0 0 0 0 * * * * 0 0 0† 0 0 0 0 0 0 0 0 0 0 * 0 30† 0 0 0 0 0 0 * * 15 * * 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 Malignant neoplasm of ovary 10† 0 0 0 0 * 0 0 * * * 0 0 Malignant neoplasm of prostate 20† 0 0 0 0 0 0 * * * 7 * 0 Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin Malignant neoplasm of breast Malignant neoplasm of cervix uteri Malignant neoplasm of corpus uteri and uterus, part unspecified 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, 2014 Health Status Profile of American Indians in Arizona, 2014 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, 2014 10† 0 0 0 0 0 0 * * * * * 0 Malignant neoplasm of bladder 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 20† 0 * * 0 * * * * * * * 0 0 Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin's disease 0 0 0 0 0 0 0 0 0 0 0 0 Non-Hodgkin's lymphoma 10† 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 0 0 50† 0 0 0 0 0 * * 8 * 21 6 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 Anemias 0† 0 0 0 0 0 0 * 0 0 * 0 0 Diabetes 150† 0 0 * * * 10 24 32 37 35 10 0 10† 0 0 0 0 0 0 * 0 * * * 0 10† 0 0 0 0 0 0 * 0 * * * 0 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 0 0 10† 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 * * 9 6 0 40† 0 0 0 0 0 0 0 * * 11 20 0 320† 0 0 0 * 9 24 24 44 80 73 65 0 240† 0 0 0 * 7 19 19 29 60 55 44 0 0† 0 0 0 0 0 0 0 * * * 0 0 30† 0 0 0 0 * 7 * * * 0 * 0 0† 0 0 0 0 0 * 0 0 0 * 0 0 150† 0 0 0 * * * 11 18 43 39 27 0 40† 0 0 0 0 0 * * * 14 10 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110† 0 0 0 * * * 9 14 29 29 22 0 Atherosclerotic cardiovascular disease 40† 0 0 0 * * * 6 * 10 8 * 0 All other forms of chronic ischemic heart disease 70† 0 0 0 0 * * * 9 19 21 17 0 60† 0 0 0 * * 6 * * 11 14 12 0 0† 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Heart failure 10† 0 0 0 0 0 0 * 0 * * * 0 All other forms of heart disease 50† 0 0 0 * * * * * 9 12 9 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, 2014 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 * * * 6 8 * * 0 Cerebrovascular diseases 50† 0 0 0 0 * * * 9 11 10 16 0 Atherosclerosis 0† 0 0 0 0 0 0 0 0 0 * 0 0 Other diseases of circulatory system 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 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 50† * 0 0 * * * * 7 8 9 16 0 Other disorders of circulatory system Influenza and pneumonia Influenza 0† 0 0 0 0 0 0 * 0 * * * 0 40† * 0 0 * * * * 7 7 8 15 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 0 * 6 8 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 0 0 30† 0 0 0 0 0 0 * * 8 8 * 0 0† 0 0 0 0 0 0 0 0 0 0 * 0 Pneumonitis due to solids and liquids 10† 0 0 0 0 0 0 0 * * * * 0 Other disease of respiratory system 30† 0 0 0 0 * * * 6 * 9 9 0 Peptic ulcer 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 Asthma Other chronic lower respiratory diseases Pneumoconioses and chemical effects Diseases of appendix 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 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, 2014 160† 0 0 0 0 17 25 52 40 22 * * 0 130† 0 0 0 0 15 25 46 38 7 * 0 0 30† 0 0 0 0 * 0 6 * 15 * * 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 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 Health Status Profile of American Indians in Arizona, 2014 Data Book Inflammatory diseases of female pelvic organs Pregnancy, childbirth and the puerperium Pregnancy with abortive outcome Other complications of pregnancy, childbirth and the puerperium Perinatal conditions 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, 2014 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 * * 0 0 0 0 0 0 13 13 0 0 0 0 0 0 0 0 0 0 0 Congenital anomalies, deformations and chromosomal abnormalities 20† 8 * * * * 0 0 * 0 * * 0 Symptoms, signs, abnormal findings 70† 8 * 0 * 7 11 14 8 * * 12 0 290† * * 6 40 66 49 61 34 12 11 * 0 140† 0 * * 29 37 10 28 16 6 * 0 0 130† 0 * * 29 36 8 27 15 6 * 0 0 Other land transport accidents 0† 0 0 0 0 * * * * 0 0 0 0 Water, air, space 0† 0 0 0 0 0 * 0 0 0 0 0 0 150† * * * 11 29 39 33 18 6 7 * 0 20† 0 0 0 0 * * 6 * * * * 0 0† 0 0 0 * 0 0 0 0 0 0 0 0 10† 0 * 0 * 0 * * * 0 0 0 0 Total accidents Transport accidents Motor vehicle accidents Nontransport accidents Falls Accidental discharge of firearms Accidental drowning and submersion Accidental exposure to smoke, fire and flames Accidental poisoning 0† 0 0 0 * 0 * * 0 0 0 0 0 80† 0 0 0 * 24 26 14 10 * * 0 0 Excessive natural heat 0† 0 0 0 0 * * * 0 0 0 0 0 Excessive natural cold 10† 0 0 0 * 0 * * * * 0 0 0 Other and unspecified nontransport accidents 40† * * * * * 6 9 * * * * 0 50† 0 0 * 16 19 7 * * * * 0 0 Intentional self-harm (suicide) By discharge of firearms 10† 0 0 0 * * * 0 * * 0 0 0 By other means 40† 0 0 * 13 16 6 * 0 * * 0 0 Assault (homicide) 30† * * 0 7 13 * * * 0 0 0 0 By discharge of firearms 10† 0 0 0 * 6 * * 0 0 0 0 0 By other means 20† * * 0 * 7 * * * 0 0 0 0 Legal intervention 0† 0 0 0 0 * 0 0 0 0 0 0 0 10† 0 0 0 * * * * * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 * * * * * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 * 0 0 INJURY BY FIREARMS 30† 0 0 0 8 10 * * * * 0 0 0 DRUG-INDUCED DEATHS 50† 0 0 0 * 13 17 8 * * 0 0 0 220† 0 0 0 * 32 48 71 53 11 * 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, 2014 Data Book 63 Certain other intestinal infections Enterocolitis due to Clostridium difficile Tuberculosis Respiratory tuberculosis Other tuberculosis Whooping cough Scarlet fever and erysipelas Yavapai-Prescott Indian Tribe Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Nation San Carlos Apache Tribe 19 610 3 50 105 79 134 8 2 1,240† 330 142 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 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 Salt River PimaMaricopa Indian Community Navajo Nation Hopi Tribe Total 72 0 elsewhere in Arizona 1 * in Coconino County 122 0 in Pima County 12 0 in Maricopa County 10 0 Pascua Yaqui Tribe 12 0 Hualapai Tribe 4 0† Havasupai Tribe Gila River Indian Community 2,074 Cocopah Tribe Fort McDowell Yavapai Nation Reservation Shigellosis and amebiasis Resided off reservation Colorado River 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, 2014 68 291 831 10† 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 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 Meningococcal infection 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0† Septicemia 22 0 * 0 * * 0 * * * 0 0 * * * 0 0 10† * * 0 * 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 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 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 Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis 14 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 13 0 0 0 0 0 0 0 0 * 0 0 * 0 0 0 0 10† * * * * 10† 224 * * 0 0 13 0 13 0 60 0 * 14 6 9 * 0 120† 52 17 * 28 100† 0† 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 * 0 0 0 0 0† * 0 0 * 0† Malignant neoplasm of stomach 10† 0 0 0 0 * 0 0 0 * 0 0 0 0 * 0 0 10† * 0 0 0 0† 17 0 0 0 0 * 0 0 0 * 0 0 * * * 0 0 10† * * 0 * 10† Human immunodeficiency virus (HIV) disease Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of colon, rectum and anus Malignant neoplasm of liver and intrahepatic bile ducts Malignant neoplasm of pancreas 27 * 0 0 0 * 0 * 0 * 0 * * * 0 0 0 10† 9 * 0 * 20† 10† 0 0 0 0 0 0 * 0 * 0 0 0 0 0 0 0 10† * 0 0 * 10† Malignant neoplasm of larynx 0† 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 0 0 Malignant neoplasm of trachea, bronchus and lung 25 0 0 0 0 * 0 * 0 * 0 0 * 0 0 * 0 10† 7 * 0 * 20† Malignant melanoma of skin Malignant neoplasm of breast Malignant neoplasm of cervix uteri Malignant neoplasm of corpus uteri and uterus, part unspecified Malignant neoplasm of ovary Malignant neoplasm of prostate Malignant neoplasm of kidney and renal pelvis 64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 * 0 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 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 18 0 0 0 0 * 0 * 0 7 0 0 * 0 * 0 0 10† * * 0 * 10† 10† 0 0 0 0 0 0 * 0 6 0 * * * * 0 0 10† 0 * 0 0 0† Health Status Profile of American Indians in Arizona, 2014 Data Book Total elsewhere in Arizona in Coconino County in Pima County in Maricopa County Total Yavapai-Prescott Indian Tribe Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Nation San Carlos Apache Tribe Resided off reservation Salt River PimaMaricopa Indian Community Pascua Yaqui Tribe Navajo Nation Hualapai Tribe Hopi Tribe Havasupai Tribe Gila River Indian Community 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, 2014 Malignant neoplasm of bladder 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 * 0† Malignant neoplasm of meninges, brain and other parts of CNS 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 22 0 0 0 0 * 0 * 0 * 0 * * 0 * 0 0 10† * * 0 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 Non-Hodgkin's lymphoma 10† 0 0 0 0 0 0 * 0 * 0 * * 0 0 0 0 10† * 0 0 * 0† Leukemia 10† 0 0 0 0 * 0 0 0 * 0 * * 0 0 0 0 10† * * 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 Hodgkin's disease Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 0 0 0 0 * 0 * 0 16 0 * * * * 0 0 30† 10 * * * 20† In situ neoplasms 0† 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0† 0 0 0 * 0† Anemias 0† 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† * 0 0 0 0† Diabetes 153 0 * 0 * 14 0 * * 33 * 7 10 10 10 0 0 90† 26 11 * Nutritional deficiencies 10† 0 0 0 0 0 0 * 0 * 0 0 * 0 0 0 0 0† 0 * 0 * 0† 10† 0 0 0 0 0 0 * 0 * 0 0 * 0 0 0 0 0† 0 * 0 * 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 0 * 0 0 0 0 0 0 * * 0 0 0 0† * 0 0 * 0† 0 Malnutrition Other nutritional deficiencies Obesity 20 60† Meningitis 0† 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 0 0 Parkinson's disease 18 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 8 * * * * 10† Alzheimer's disease Major cardiovascular diseases Diseases of heart 37 0 0 0 0 * 0 * 0 * 0 * * * 6 0 0 20† 8 * 0 8 20† 323 * * * * 24 0 13 * 87 * 7 15 16 18 0 * 190† 44 25 12 51 132 43 103 236 0 * * 0 15 0 7 * 64 0 * 11 11 14 0 0 130† 32 21 7 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 * Hypertensive heart disease 29 0 0 0 0 * 0 * 0 8 0 * * 0 * 0 0 20† * * 0 * 10† Hypertensive heart and renal disease Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic 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† 147 0 * * 0 9 0 * * 37 0 * 7 9 6 0 0 80† 26 11 6 26 69 36 0 * 0 0 * 0 0 0 9 0 0 * * * 0 0 20† * * * 9 20† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 111 0 * * 0 6 0 * * 28 0 * * 7 * 0 0 60† 21 10 * 17 50† 0 0 8 20† Atherosclerotic cardiovascular disease 40 0 0 * 0 * 0 0 * 12 0 * * 0 * 0 0 20† * * * All other forms of chronic ischemic heart disease 71 0 * * 0 * 0 * 0 16 0 * * 7 * 0 0 40† 16 * * 9 30† 55 0 * 0 0 * 0 * 0 18 0 * * * * 0 0 40† * * * 11 20† Other heart diseases Acute and subacute endocarditis Diseases of pericardium and acute myocarditis Heart failure All other forms of 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 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 10† 0 0 0 * 45 0 * 0 0 * 0 * 0 15 0 * 0 * * 0 0 30† * * * 8 20† Health Status Profile of American Indians in Arizona, 2014 Data Book 65 6 * * * * * 0 0 20† * * * 0 17 0 0 * * * 0 * 30† 8 * * * 20† Atherosclerosis 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 0† 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0† * 0 0 * 0† Aortic aneurysm and dissection 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0† 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† Total Salt River PimaMaricopa Indian Community Navajo Nation Hopi Tribe Total 0 * elsewhere in Arizona * 0 in Coconino County 0 * in Pima County * 0 in Maricopa County White Mountain Apache Tribe * 0 Yavapai-Apache Nation Tohono O'Odham Nation 0 0 Pascua Yaqui Tribe 0 * Hualapai Tribe 0 Havasupai Tribe Gila River Indian Community 31 51 Cocopah Tribe Essential (primary) hypertension and hypertensive renal disease Cerebrovascular diseases Cause of death (Tenth Revision, International Statistical Classification of Diseases) Ak-Chin Indian Community Fort McDowell Yavapai Nation Reservation Yavapai-Prescott Indian 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, 2014 * 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 48 0 * 0 0 * 0 0 0 21 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 Pneumonia 44 0 * 0 0 * 0 0 0 20 0 * * 0 * 0 0 30† * * * * 10† 0† 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 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 Unspecified acute lower respiratory infection Chronic lower respiratory diseases 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 * * * 0 0 10† 6 * 0 * 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 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† Asthma 0† 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† * 0 0 * Other chronic lower respiratory diseases 25 0 0 0 0 * 0 * 0 * 0 0 * * * 0 0 10† * * 0 * 10† Pneumoconioses and chemical effects Pneumonitis due to solids and liquids Other disease of respiratory system Peptic ulcer Diseases of appendix 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 Renal failure Others disorders of kidney Infections of kidney 66 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 10† 0 0 0 0 0 0 * 0 * 0 0 0 0 * 0 0 10† 0 * * * 10† 0† 32 0 0 0 * 0 0 * 0 17 0 0 * * 0 0 0 20† * 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† 162 * * * 0 18 0 * * 20 * 9 11 * 12 * 0 90† 37 13 * 21 80† 132 0 0 * 0 16 0 * * 14 * 8 9 * 11 * 0 70† 32 12 * 17 60† 0† 30 * * 0 0 * 0 * * 6 0 * * * * * 0 20† * * * * 10† 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 20† 0 0 0 0 0 0 * * * 0 0 * 0 * 0 * 20† 0 0 * * 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 20† 0 0 0 0 0 0 * * * 0 0 * 0 0 0 * 10† 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† Health Status Profile of American Indians in Arizona, 2014 Data Book Total elsewhere in Arizona in Coconino County in Pima County in Maricopa County Total Yavapai-Prescott Indian Tribe Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Nation San Carlos Apache Tribe Resided off reservation Salt River PimaMaricopa Indian Community Pascua Yaqui Tribe Navajo Nation Hualapai Tribe Hopi Tribe Havasupai Tribe Gila River Indian Community 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, 2014 Hyperplasia of prostate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Inflammatory diseases of female pelvic organs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 0 * * 0 0 0 0† 0 0 0 0 0 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 Pregnancy with abortive outcome Other complications of 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 10† 0 0 0 0 0 0 0 * * 0 * * 0 * 0 0 10† * 0 0 0 10† Congenital anomalies, deformations and chromosomal abnormalities 18 0 0 0 0 0 0 0 0 * 0 0 0 * * 0 0 10† * * * * 10† Symptoms, signs, abnormal findings 72 0 0 * 0 * 0 * 0 23 0 * 7 * * 0 0 50† 14 * * 9 30† 289 0 * * * 13 0 6 * 97 0 7 12 8 25 * 0 180† 44 16 16 30 106 136 0 0 * * 6 0 * * 52 0 * 7 7 7 * 0 90† 19 7 7 12 45 131 0 0 * * 6 0 * * 50 0 * 7 7 7 * 0 90† 19 6 7 12 44 Other land transport accidents 0† 0 0 0 0 0 0 0 * * 0 * 0 0 0 0 0 0† 0 0 0 0 0 Water, air, space 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0† 153 0 * * 0 7 0 * * 45 0 * * * 18 0 0 90† 25 9 9 18 61 20 0 0 0 0 0 0 * * 6 0 0 0 0 * 0 0 10† * * * * 10† Perinatal conditions Total accidents Transport accidents Motor vehicle accidents Nontransport accidents Falls Accidental discharge of firearms 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 10† 0 * * 0 0 0 0 * * 0 0 * 0 * 0 0 10† * * 0 0 0† Accidental exposure to smoke, fire and flames 0† 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 * * 0† Accidental poisoning 82 0 * * 0 7 0 * * 19 0 * * 0 11 0 0 50† 17 * * 8 30† Excessive natural heat 0† 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† * * 0 0 0† Excessive natural cold 10† 0 0 0 0 0 0 0 0 6 0 0 0 0 * 0 0 10† 0 0 * * 0† 37 0 * 0 0 0 0 * 0 16 0 0 * * * 0 0 20† * * * 7 10† Accidental drowning and submersion Other and unspecified nontransport accidents Intentional self-harm (suicide) By discharge of firearms By other means Assault (homicide) By discharge of firearms 0† 53 0 0 * 0 * 0 * * 21 0 * * * * 0 0 40† 6 0 * * 10† 10† 0 0 * 0 * 0 0 0 * 0 * 0 0 * 0 0 10† * 0 0 * 42 0 0 0 0 * 0 * * 18 0 * * * * 0 0 30† * 0 * * 10† 30 0 0 0 0 * 0 0 0 * 0 * * 0 * 0 0 10† 10 * * * 20† 10† 0 0 0 0 * 0 0 0 * 0 * 0 0 0 0 0 0† * * 0 * 10† 0† By other means 17 0 0 0 0 0 0 0 0 * 0 0 * 0 * 0 0 10† * * * * 10† Legal intervention 0† 0 0 0 0 0 0 0 0 * 0 0 0 0 * 0 0 0† 0 0 0 0 0 10† 0 0 0 0 0 0 * 0 * 0 0 0 0 * 0 0 10† * 0 * * 0† Events of undetermined intent Discharge of firearms Other and unspecified events of undetermined intent Operations of war 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 0 0 0 * 0 * 0 0 0 0 * 0 0 10† * 0 * * 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 0 0 0 INJURY BY FIREARMS 26 0 0 * 0 * 0 0 0 * 0 * 0 0 * 0 0 10† 7 * 0 * 10† DRUG-INDUCED DEATHS 45 0 * 0 0 * 0 * * * 0 * * * * 0 0 20† 14 * * 220 0 0 * * 21 * * * 42 * 9 12 * 21 * 0 130† 49 15 8 Complications of medical and surgical care ALCOHOL-INDUCED DEATHS * 20† 23 95 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, 2014 Data Book 67 Total, all causes Salmonella infections Shigellosis and amebiasis Certain other intestinal infections Enterocolitis due to Clostridium difficile Tuberculosis Respiratory tuberculosis Other tuberculosis Unknown Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa La Paz Greenlee Graham Gila Coconino Cochise 2,074 407 6 204 100 19 0 28 419 43 390 216 154 0 31 23 34 0† 0 0 0 0 0 0 0 0 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 * 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 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 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 10† * 0 0 * 0 0 0 * 0 0 * * 0 0 0 * Human immunodeficiency virus (HIV) disease 10† * 0 0 0 0 0 0 * 0 * * 0 0 0 0 * Meningococcal infection Septicemia Malaria 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 0 220† 33 0 15 11 * 0 * 59 * 44 22 19 0 9 * 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 0 0 Malignant neoplasm of stomach 10† * 0 * 0 0 0 0 * 0 * 0 * 0 0 0 0 Malignant neoplasm of colon, rectum and anus 20† * 0 0 * 0 0 0 6 0 * * * 0 0 0 0 Malignant neoplasm of liver and intrahepatic bile ducts 30† * 0 * * 0 0 0 10 0 * * * 0 * 0 0 Malignant neoplasm of pancreas 10† * 0 0 0 0 0 0 * * * 0 0 0 0 0 0 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 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 30† * 0 0 * * 0 0 8 * * * * 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Malignant neoplasm of ovary 10† * 0 * 0 0 0 0 * 0 * 0 0 0 0 0 0 Malignant neoplasm of prostate 20† * 0 * 0 * 0 0 * 0 7 * * 0 * 0 0 Malignant neoplasm of kidney and renal pelvis 10† * 0 * * 0 0 0 * 0 * * 0 0 0 0 0 0† 0 0 0 0 0 0 * 0 0 0 * 0 0 0 0 0 Malignant neoplasm of breast Malignant neoplasm of cervix uteri Malignant neoplasm of corpus uteri and uterus, part unspecified Malignant neoplasm of bladder 68 Apache Cause of death (Tenth Revision, International Statistical Classification of Diseases) ARIZONA 5.7 DEATHS BY COUNTY OF RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2014 Health Status Profile of American Indians in Arizona, 2014 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, 2014 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 Non-Hodgkin's lymphoma 10† 0 0 0 * 0 0 0 * 0 * 0 0 0 * 0 0 Leukemia 10† * 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 Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin's disease 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 50† 8 0 * * * 0 0 11 * 9 * * 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 Diabetes 150† 23 0 11 10 * 0 * 41 * 22 21 14 0 * * * 0 Nutritional deficiencies Malnutrition Other nutritional deficiencies Obesity 10† * 0 0 0 * 0 0 0 * * * 0 0 0 0 10† * 0 0 0 * 0 0 0 * * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 * 0 0 0 * 0 * * * 0 0 0 0 0† 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 Parkinson's disease 20† * * * 0 0 0 0 * 0 6 * 0 0 0 0 0 Alzheimer's disease 40† * 0 * * * 0 0 10 0 10 * * 0 * 0 * 320† 47 * 37 18 * 0 8 56 * 67 39 34 0 * * * 240† 35 * 25 14 * 0 7 40 * 47 30 22 0 * * * 0† * 0 0 0 0 0 0 0 0 0 * * 0 0 0 0 30† * 0 * * 0 0 * * 0 8 * * 0 0 0 0 0† 0 0 0 0 0 0 0 0 * * 0 0 0 0 0 0 150† 23 * 16 8 * 0 * 30 * 22 18 13 0 * * * 40† 6 * * * * 0 0 6 * 7 * * 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110† 17 0 13 * 0 0 * 24 * 15 15 10 0 * * * Atherosclerotic cardiovascular disease 40† 6 0 * * 0 0 * 7 * 7 * * 0 * 0 0 All other forms of chronic ischemic heart disease 70† 11 0 8 * 0 0 * 17 0 8 10 9 0 * * * 60† 8 0 7 * 0 0 0 * 0 16 6 6 0 * * 0 0† * 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Other heart diseases Acute and subacute endocarditis Diseases of pericardium and acute myocarditis 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 0 0 All other forms of heart disease 50† 6 0 7 * 0 0 0 * 0 14 * * 0 * * 0 Essential (primary) hypertension and hypertensive renal disease 30† * 0 * * 0 0 * 7 0 7 6 * 0 0 0 0 Cerebrovascular diseases 50† 9 0 10 * 0 0 0 8 0 13 * * 0 * 0 0 Health Status Profile of American Indians in Arizona, 2014 Data Book 69 Unknown Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa La Paz Greenlee Graham Gila Coconino Cochise Atherosclerosis 0† 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 Other diseases of circulatory system 0† 0 0 0 0 0 0 0 * 0 0 0 * 0 0 0 0 Aortic aneurysm and dissection 0† 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 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 0 * 0 50† 15 0 * * 0 0 0 * 0 14 6 * 0 * * * 0 Other disorders of circulatory system Influenza and pneumonia Influenza 0† 0 0 0 0 0 0 0 * 0 * * 0 0 * 0 40† 15 0 * * 0 0 0 * 0 13 * * 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 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 0 30† 0 0 0 * * 0 * * 0 * * * 0 0 * * 0 Pneumonia Chronic lower respiratory diseases Asthma Other chronic lower respiratory diseases Pneumoconioses and chemical effects 0† 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 Pneumonitis due to solids and liquids 10† * 0 * 0 0 0 0 0 0 * * 0 0 0 0 0 Other disease of respiratory system 30† 10 0 7 * 0 0 0 * 0 * * 0 0 0 0 * Peptic ulcer 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 Diseases of appendix 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 Renal failure Others disorders of kidney Infections of kidney 0† * 0 * 0 0 0 0 * 0 0 * 0 0 0 0 0 160† 17 * 8 7 * 0 * 50 * 20 16 19 0 7 * * 130† 12 0 7 6 * 0 * 44 * 17 14 15 0 6 * * 30† * * * * 0 0 * 6 * * * * 0 * * * 0† 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 20† * 0 * * 0 0 0 0 * 6 0 * 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 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 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 0 0† 0 0 0 0 * 0 0 0 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 Pregnancy with abortive outcome 70 Apache Cause of death (Tenth Revision, International Statistical Classification of Diseases) ARIZONA 5.7 (continued) DEATHS BY COUNTY OF RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2014 Health Status Profile of American Indians in Arizona, 2014 Data Book Other complications of pregnancy, childbirth and the puerperium Perinatal conditions 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, 2014 0† 0 0 0 0 * 0 0 0 0 0 * 0 0 0 0 0 10† * 0 0 * * 0 0 6 * * 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 70† 21 0 * 6 * 0 * 16 0 10 * 7 0 0 0 * 290† 51 * 46 12 * 0 * 57 8 59 24 13 0 * 6 * 140† 24 0 21 * * 0 * 27 * 26 14 7 0 * * * 130† 24 0 20 * * 0 * 26 * 25 13 7 0 * * * Other land transport accidents 0† 0 0 * 0 0 0 0 * * * 0 0 0 0 0 0 Water, air, space 0† 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 150† 27 * 25 7 0 0 * 30 * 33 10 6 0 * * * 20† * 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 10† * 0 * * 0 0 * * * * * 0 0 0 * 0 0† * 0 * 0 0 0 0 0 0 * 0 0 0 0 0 0 80† 12 0 12 * 0 0 * 22 * 16 * * 0 * * * Excessive natural heat 0† 0 0 * 0 0 0 0 * 0 0 * 0 0 0 0 0 Excessive natural cold 10† * 0 * 0 0 0 0 0 0 * 0 0 0 0 0 0 Other and unspecified nontransport accidents 40† 10 * 7 * 0 0 * * * 9 * 0 0 0 * 0 50† 12 0 7 * 0 0 * 11 * 10 * * 0 * 0 * By discharge of firearms 10† * 0 0 0 0 0 * * 0 * 0 0 0 * 0 0 By other means 40† 10 0 7 * 0 0 * 7 * 8 * * 0 0 0 * 30† * 0 * 0 * 0 * 11 0 * * * 0 0 0 * By discharge of firearms 10† 0 0 0 0 0 0 * 6 0 * * * 0 0 0 * By other means 20† * 0 * 0 * 0 0 * 0 * * * 0 0 0 0 Legal intervention 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 Total accidents Transport accidents Motor vehicle accidents Nontransport accidents Falls Accidental discharge of firearms Accidental drowning and submersion Accidental exposure to smoke, fire and flames Accidental poisoning Intentional self-harm (suicide) Assault (homicide) Events of undetermined intent Discharge of firearms Other and unspecified events of undetermined intent Operations of war Complications of medical and surgical care 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† * 0 * 0 0 0 0 * 0 * 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 INJURY BY FIREARMS 30† * 0 0 0 0 0 * 10 0 * * * 0 * 0 * DRUG-INDUCED DEATHS 50† * 0 * * 0 0 0 16 * 7 * * 0 0 * * 220† 30 0 22 9 * 0 * 65 * 33 20 19 0 7 * * 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, 2014 Data Book 71 5.8 DEATHS FROM MOTOR VEHICLE-RELATED INJURIES AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2014 TOTAL ALL AGES <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 M ALL AGES <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 F ALL AGES <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 130† 0 0† 0† 29 36 10† 27 20† 10† 0† 90† 0 0† 0† 20† 25 0† 17 10† 0† 0† 40† 0 0 0† 10† 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 0† 0 0 0 * * 0 0 0 0 0 0† 0 0 0 * * 0 0 0 0 0 0† 0 0 0 0 * 0 0 0 0 0 10† 0 0 0 * * 0 * 0 0 0 0† 0 0 0 * * 0 * 0 0 0 0† 0 0 0 * 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 * 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 * 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 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† 0 0 * 8 14 * 9 8 * * 40† 0 0 * 7 11 * 6 * * * 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 10† 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 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 90† 0 0 0† 20† 20† 10† 20† 10† 0† 0† 60† 0 0 0† 20† 20† 0† 10† 10† 0† 0† 30† 0 0 0† 10† 10† 0† 10† 0† 0† 0† 20† 0 0 0 * * * 7 * 0 0 10† 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 * 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 10† 0 * 0 * * * 0 0 * 0 10† 0 * 0 * * 0 0 0 * 0 10† 0 0 0 * * * 0 0 * 0 TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Nation Resided off reservation San Carlos Apache Tribe Salt River PimaMaricopa Indian Community Navajo Nation Hualapai Tribe Hopi Tribe Gila River Indian Community Fort McDowell Yavapai Nation Reservation Colorado River Indian Tribe TOTAL Resided on reservation 40† 0 0† 0† 10† 10† 0† 10† 0† 0† 0 30† 0 0† 0 0† 10† 0† 10† 0† 0† 0 20† 0 0 0† 0† 10† 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, 2014 Data Book 5.9 INTENTIONAL SELF-HARM (SUICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2014 5-14 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 Hualapai Tribe Resided off reservation 50† 0† 0† 0† 0† 20† 0† 0† 0† 10† 40† 10† 0 0† 10† 10† 0† 0 0 0 * * 0 0 0 0 0† 0 0 0 0 0 15-24 16 0 * 0 0 8 * * 0 * 10† 1 0 0 2 3 25-34 19 0 * 0 0 * * * * * 20† 3 0 1 0 4 35-44 7 0 0 * 0 * 0 0 0 * 0† 0 0 1 2 3 45-54 0† 0 0 0 0 * 0 0 0 0 0† * 0 0 * 0† 0† 55-64 0† 0 0 0 0 0 0 0 0 0 0† * 0 0 0 65-74 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 50† 0† 0 20† 0† 0† 10† 3 1 5 30† 10† 0 0† 0† 10† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15-24 13 0 * 0 0 7 * * 0 * 11 1 0 0 1 2 25-34 17 0 * 0 0 * * * * * 14 2 0 1 0 3 ALL AGES 5-14 F Hopi Tribe Colorado River Indian Tribe TOTAL TOTAL ALL AGES Gila River Indian Community Resided on reservation 35-44 7 0 0 * 0 * 0 0 0 * 4 0 0 1 2 3 45-54 0† 0 0 0 0 * 0 0 0 0 0† * 0 0 * 0† 0† 55-64 0† 0 0 0 0 0 0 0 0 0 0 * 0 0 0 65-74 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 10† 0 0† 0† 0 0 0 1 0 0 10† 0† 0 0 0† 0† 0† 0 0 0 * * 0 0 0 0 0† 0 0 0 0 0 3 0 0 0 0 * 0 * 0 0 2 0 0 0 1 1 ALL AGES 5-14 15-24 25-34 2 0 * 0 0 0 0 0 0 0 1 1 0 0 0 1 35-44 0 0 0 0 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 0 0 0 55-64 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 65-74 0† 0 0 0 0 * 0 0 0 0 0† 0 0 0 0 0 75-84 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2014 Data Book 73 5.10 ASSAULT (HOMICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2014 TOTAL ALL AGES TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL White Mountain Apache Tribe San Carlos Apache Tribe Salt River PimaMaricopa Indian Community 30† 0† 10† 0† 0† 0† 10† 10† 0† 0† 0† 20† 0† 0 0 0 0 0 0 * 0 0 0 0† 1-4 0† 0 0 0 0 0 0 * 0 0 0 0† 15-24 10† * * * 0 0 0† * 0 * 0 0† 25-34 13 * * 0 * 0 10† * * * * 10† 35-44 0† 0 0 0 0 * 0† * 0 0 * 0† 45-54 0† 0 0 0 0 0 0 0 0 0 * 0† 0† 0 0 0 0 * 0† 0 * * 0 0† 30† 0† 0† 0† 0† 0† 10† 10† 0† 0† 0† 20† <1 0† 0 0 0 0 0 0 * 0 0 0 0† 1-4 0† 0 0 0 0 0 0 * 0 0 0 0† 15-24 10† * 0 * 0 0 0† * 0 * 0 0† 25-34 10† * * 0 * 0 10† * * * 0 10† 35-44 0† 0 0 0 0 * 0† * 0 0 0 0† 45-54 0† 0 0 0 0 0 0 0 0 0 * 0† ALL AGES 55-64 F Resided off reservation <1 55-64 M Navajo Nation TOTAL Gila River Indian Community Resided on reservation ALL AGES <1 1-4 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 15-24 0† 0 * 0 0 0 0† 0 0 0 0 0 25-34 0† 0 0 0 0 0 0 * 0 0 * 0† 35-44 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 55-64 0† 0 0 0 0 0 0 0 0 * 0 0† Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 74 Health Status Profile of American Indians in Arizona, 2014 Data Book 5.11 DIABETES-RELATED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2014 TOTAL M F ALL AGES 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ ALL AGES 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ ALL AGES 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 150† 0† 0† 0† 10† 24 32 37 35 10† 80† 0 0† 0† 10† 20† 20† 16 17 10† 70† 0† 0 0† 10† 10† 13 20† 18 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 10† 0 0 0 * * * 6 * 0 10† 0 0 0 * * * * 0 0 10† 0 0 0 * 0 * * * 0 0† 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 * 0 0 0† 0 0 0 * 0 * 0 0 0 0† 0 0 0 * 0 0 0 0 0 0† 0 0 0 0 0 * 0 0 0 30† 0 0 0 0 * 10 7 9 * 20† 0 0 0 0 * 8 * 7 * 10† 0 0 0 0 0 * * * * 0† 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 * 0 0 10† 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 10† 0 0 0 * * * * 0 * 10† 0 0 0 * * * * * * 10† 0 0 0 * * * * * 0 0† 0 0 0 0 0 0 * * * 10† * 0 * 0 * * * * * 10† 0 0 * 0 * * 0 0 0 0† * 0 0 0 0 0 * * * 90† 0† 0 0† 10† 20† 20† 20† 20† 10† 50† 0 0 0† 0† 10† 10† 10† 10† 0† 40† 0† 0 0† 0† 0† 10† 20† 10† 10† 30† 0 * 0 * * * 6 * * 10† 0 * 0 * * * * * * 10† 0 0 0 * * * * * 0 10† 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 * 0 0 0 0 0 0† 0 0 0 0 * 0 0 0 0 20† 0 0 0 * * * 6 7 0 10† 0 0 0 0 * * * * 0 10† 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 Hualapai Tribe Hopi Tribe Gila River Indian Community Fort McDowell Yavapai Nation Reservation Cocopah Tribe TOTAL Resided on reservation 60† 0 0† 0 0† 10† 10† 10† 20† 0† 30† 0 0† 0 0† 0† 10† 10† 10† 0† 30† 0 0 0 0† 10† 10† 10† 10† 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 (153 in 2014) is shown in Tables 5.4 5.7. Health Status Profile of American Indians in Arizona, 2014 Data Book 75 5.12 ALCOHOL-INDUCED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2014 F ---elsewhere in Arizona Yavapai-Apache Nation White Mountain Apache Tribe 40† 0† 10† 10† 10† 20† 49 20† 10† 0 * 0 0 0 0 0 0 0† 0 0 0 0 0 25-34 32 0 0 * * * 0 7 0 0 * * 6 * 20† 8 0 * * 10† 35-44 48 * 0 * 0 0 0 11 0 * * 0 * 0 30† 12 * * * 20† 45-54 71 * * 9 0 * * 11 0 * * * 6 * 40† 12 6 * 11 30† 55-64 53 0 0 * 0 * * 6 * * * * * * 30† 17 * 0 * 30† 65-74 10† 0 0 0 0 0 0 * 0 0 * 0 0 0 10† 0 * * * 10† ---in Pima County Salt River PimaMaricopa Indian Community Navajo Nation Hopi Tribe TOTAL 0† 130† TOTAL 0† 0 ---in Coconino County 10† 0 ---in Maricopa County 0† * 75-84 M San Carlos Apache Tribe 20† 0 Pascua Yaqui Tribe Gila River Indian Community 0† 0 Hualapai Tribe Fort McDowell Yavapai Nation Reservation 0† 0† ALL AGES Havasupai Tribe Colorado River Indian Tribe 220† 15-24 TOTAL TOTAL Tohono O'Odham Nation Resided off reservation 20† 100† 0† 0 0 * 0 0 0 * 0 0 0 0 0 0 0† 0 0 0 0 0 130† 0† 0 10† 0† 0† 0† 30† 0† 10† 10† 0† 10† 0† 80† 30 10† 10† 10† 60† 15-24 0† 0 0 * 0 0 0 * 0 0 0 0 0 0 0† 0 0 0 0 0 25-34 22 0 0 * * * 0 * 0 0 * 0 * * 10† 6 0 * * 10† 35-44 33 * 0 * 0 0 0 10 0 * 0 0 * 0 20† 9 * * * 20† 45-54 41 * 0 6 0 * * 8 0 * 0 * * 0 20† 9 * * 7 20† 55-64 27 0 0 0 0 * 0 * * * * * * 0 20† 6 * 0 * 10† 65-74 10† 0 0 0 0 0 0 * 0 0 * 0 0 0 10† 0 0 * * 0† 75-84 0† 0 0 0 0 0 0 * 0 0 0 0 0 0 0† 0 0 0 0 0 ALL AGES ALL AGES 90† 0 0† 10† 0 0† 0† 10† 0 0† 10† 0† 10† 0† 50† 20† 10† 0† 10† 40† 15-24 0 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 10† * 0 0 * 0† 35-44 15 0 0 * 0 0 0 * 0 * * 0 * 0 10† * * * * 10† 45-54 30 0 * * 0 0 0 * 0 * * * * * 20† * * * * 10† 55-64 26 0 0 * 0 * * * 0 * * 0 * * 10† 11 * 0 * 20† 65-74 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 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, 2014 Data Book COMPARATIVE CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2014 Data Book 77 5.13 Temporal Changesa in the Selected Leading Causes of Death among American Indian Residents of Arizona, 1994-2014 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, 2014 Data Book 5.14 Five Leading Causes of Deatha by Gender among American Indian Residents of Arizona in 2014 Rank Female Both Male 1 Cancer 77.3 Diseases of heart 107.5 Diseases of heart 159.3 2 Diseases of heart 70.3 Cancer 97.1 Unintentional injury 128.2 3 Chronic liver disease and cirrhosis 55.5 Unintentional injury 85.4 Cancer 124.6 4 Diabetes 54.5 Diabetes 63.2 Diabetes 74.7 5 Unintentional injury 47.4 Chronic liver disease and cirrhosis 52.7 Chronic liver disease and cirrhosis 48.0 Notes: a Based on age-adjusted mortality rates: Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard. Source: Table 2B-4 in the “Arizona Health Status and Vital Statistics 2014” report. Health Status Profile of American Indians in Arizona, 2014 Data Book 79 5.15 Five Leading Causes of Deatha among American Indians by Gender and Residence On or Off Reservation, Arizona, 2014 Rank Female, resided on reservation Female, resided off reservation Male, resided on reservation Male, resided off reservation 1 Cancer 10.6 Cancer 11.6 Unintentional injury 19.1 Unintentional injury 16.1 2 Unintentional injury 8.7 Chronic liver disease and cirrhosis 10.9 Diseases of heart 12.4 Diseases of heart 14.0 3 Chronic liver disease and cirrhosis 8.7 Diseases of heart 10.6 Cancer 9.5 Cancer 12.4 4 Diseases of heart 8.4 Unintentional injury 9.1 Diabetes 7.1 Chronic liver disease and cirrhosis 7.4 5 Diabetes 8.2 Diabetes 7.3 Chronic liver disease and cirrhosis 5.7 Diabetes 6.9 Note: 80 a Percent of total deaths in specified group. Health Status Profile of American Indians in Arizona, 2014 Data Book 5.16 Proportional Mortalitya by Type of Cancer and Gender among American Indians and all Residents of Arizona, 2004-2014 Rank Arizona male b American Indian male Arizona female b American Indian female 1 Trachea, bronchus, lung 26.7 Prostate 11.5 Trachea, bronchus, lung 25.1 Breast 12.6 2 Lymphoma 10.9 Liver 11.3 Breast 15.3 Lymphoma 10.9 3 Prostate 10.1 Lymphoma 9.9 Lymphoma 9.3 Trachea, bronchus, lung 8.1 4 Colon, rectum, anus 9.0 Colon, rectum, anus 8.9 Colon, rectum, anus 9.2 Ovary 8.0 5 Pancreas 6.4 Trachea, bronchus, lung 8.7 Pancreas 6.6 Liver 7.7 6 Liver 4.7 Stomach 8.2 Ovary 5.9 Colon, rectum, anus 7.7 7 Leukemia 4.5 Kidney 7.5 Leukemia 3.6 Pancreas 6.1 8 Esophagus 4.0 Pancreas 7.4 Non-Hodgkin's lymphoma 3.6 Stomach 4.7 9 Non-Hodgkin's lymphoma 3.9 Esophagus 3.9 Liver 2.8 Cervix uteri 3.7 10 Bladder 3.7 Leukemia 3.5 Brain 2.7 Uterus 3.7 Notes: a Percent of cancer deaths in specified group in 2004-2014. All race/ethnic groups combined. Source: Table 5-18 for percentages based on frequency counts. b Health Status Profile of American Indians in Arizona, 2014 Data Book 81 5.17 Proportional Mortalitya by Mechanism of Unintentional Injury and Gender among American Indians and all Residents of Arizona, 2004-2014 Rank Arizona male b American Indian male Arizona female b American Indian female 1 Motor vehicle-related 34.0 Motor vehicle-related 47.7 Falls 35.9 Motor vehicle-related 55.2 2 Poisoning by drugs 24.9 Poisoning by gases 11.4 Motor vehicle-related 24.5 Falls 12.5 3 Falls 18.8 Poisoning by drugs 10.2 Poisoning by drugs 23.5 Poisoning by drugs 11.7 4 Accidental discharge of firearms 7.6 Falls 6.9 Accidental discharge of firearms 2.5 Poisoning by gases 5.3 5 Accidental drowning 3.4 Exposure to cold 5.0 Accidental drowning 1.9 Exposure to cold 2.2 6 Poisoning by gases 2.9 Accidental drowning 3.4 Misadventures to patients 1.6 Accidental drowning 1.5 7 Exposure to heat 1.9 Accidental discharge of firearms 3.2 Choked on food 1.4 Misadventures to patients 1.5 8 Fire, flames, smoke 1.4 Mechanical suffocation 1.9 Poisoning by gases 1.3 Exposure to heat 1.3 9 Mechanical suffocation 1.1 Railway accidents 1.6 Fire, flames, smoke 1.3 Accidental discharge of firearms 1.0 10 Choked on food 1.0 Exposure to heat 1.4 Exposure to heat 1.2 Fire, flames, smoke 0.9 Notes: 82 a Percent of unintentional injury deaths in specified group in 2004-2014. All race/ethnic groups combined. Source: Table 5-19 for percentages based on frequency counts. b Health Status Profile of American Indians in Arizona, 2014 Data Book 5.18 COMPARISON OF MORTALITY BY SPECIFIC TYPE OF CANCER BY GENDER AMONG AMERICAN INDIANS AND ALL RESIDENTSa OF ARIZONA, 2004-2014 ALL RESIDENTS OF ARIZONA TOTAL Malignant neoplasms, total MALE AMERICAN INDIANS OR ALASKA NATIVES FEMALE TOTAL MALE FEMALE 112,756 60,642 52,112 2,274 1,124 1,150 Malignant neoplasm of lip, oral cavity and pharynx 1,488 1,051 437 29 20 9 Malignant neoplasm of esophagus 2,999 2,422 577 62 44 18 Malignant neoplasm of stomach 2,146 1,269 877 146 92 54 10,235 5,464 4,770 188 100 88 Malignant neoplasm of liver and intrahepatic bile ducts 4,294 2,836 1,458 216 127 89 Malignant neoplasm of pancreas 7,355 3,894 3,461 153 83 70 618 483 135 10† 6 * 29,301 16,219 13,082 191 98 93 Malignant melanoma of skin 2,118 1,451 667 10† 6 * Malignant neoplasm of breast 8,058 73 7,985 150† * 145 745 0 745 43 0 43 Malignant neoplasm of corpus uteri and uterus, part unspecified 1,367 0 1,367 43 0 43 Malignant neoplasm of ovary 3,082 0 3,082 92 0 92 Malignant neoplasm of prostate 6,152 6,152 0 129 129 0 Malignant neoplasm of kidney and renal pelvis 2,765 1,811 954 125 84 41 Malignant neoplasm of bladder 3,033 2,254 778 18 12 6 Malignant neoplasm of meninges, brain and other parts of central nervous system 3,088 1,707 1,381 40 26 14 11,425 6,593 4,832 236 111 125 214 128 86 0† * * Non-Hodgkin's lymphoma 4,242 2,377 1,865 76 34 42 Leukemia 4,638 2,758 1,880 80 39 41 Multiple myeloma and immunoproliferative neoplasms 2,322 1,324 998 77 36 41 10† 6 * 0 0 0 12,487 6,970 5,517 401 184 217 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, 2014 Data Book a All racial/ethnic groups combined. 83 5.19 UNINTENTIONAL INJURY DEATHS BY MECHANISM AND GENDER AMONG AMERICAN INDIANS AND ALL RESIDENTSa OF ARIZONA, 2004-2014 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 20,351 12,209 2,987 2,126 861 107 91 16 40 33 7 9,902 6,912 2,990 1,490 1,015 475 29 22 7 0† * 0 195 163 32 0† * 0 7,941 5,066 2,875 317 216 101 746 586 160 288 242 46 8,197 3,817 4,379 255 147 108 442 282 160 36 28 8 Excessive natural heat 522 381 141 41 30 11 Excessive natural cold 228 183 45 126 107 19 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 10† 6 * 0 0 0 Bitten or struck by dog 17 8 9 0† * 0 Lightning 12 12 0 0† * 0 Storms and floods 0† * 0 0† * 0 Accidental drowning and submersion 936 702 233 85 72 13 Choked on food 366 201 165 20† 16 * Choked on other objects 580 326 254 40 26 14 Mechanical suffocation 308 224 84 47 40 7 1,855 1,551 304 78 69 9 65 65 0 0† * 0 Accidental discharge of firearms Exposure to electric current Overexertion 10† * * 0 0 0 Adverse effects of drugs in therapeutic use 105 40 65 10† * * 398 197 201 21 8 13 Misadventures to patients during medical/surgical care 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 32,564 a All racial/ethnic groups combined. Health Status Profile of American Indians in Arizona, 2014 Data Book TECHNICAL NOTES Health Status Profile of American Indians in Arizona, 2014 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). Births with medical risk factors 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, 2014 Data Book Eclampsia - The occurrence of convulsions and/or coma unrelated to other cerebral conditions in women with signs and symptoms of preeclampsia. Gestational diabetes – The occurrence of diabetes during pregnancy. Pre-existing diabetes - Metabolic disorder characterized by excessive discharge of urine and persistent thirst diagnosed prior to onset of pregnancy. Gestational hypertension - 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. Pre-existing hypertension - Blood pressure persistently greater than 140/90, diagnosed prior to onset of pregnancy or before the 20th week of gestation. Previous preterm - Previous birth of an infant prior to term, before 37 completed weeks of gestation. Other previous poor pregnancy outcome – History of pregnancies continuing into the 20th week of gestation and resulting in perinatal death, small-for-gestational age or intrauterine growth restricted birth. Gonorrhea – A highly contagious sexually transmissible disease that is caused by bacterium Neisseria gonorrhea. Chlamydia – A wide-spread sexually transmissible disease caused by the bacterium Chlamydia trachomatis. Chlamydia during pregnancy can increase the risk of stillbirth or premature birth. Hepatitis B – A potentially serious form of liver inflammation due to infection by the hepatitis B virus. Hepatitis C – Type of liver inflammation that causes primarily a longlasting disease. Births with complications of labor and/or delivery Breech presentation - At birth, presentation of the fetus in which the buttocks or feet appear first as opposed to head. Chorioamnionitis – Acute inflammation of the membranes and chorion of the placenta, typically due to ascending infectious organisms in the setting of membrane rupture. Clinical signs of chorioamnionitis include fundal tenderness, maternal tachycardia (>100/min), fetal tachycardia (>160/min) and purulent or foul amniotic fluid. Maternal transfusion – Infusion of blood or blood components occurring 24 hours prior delivery or within 24 hours of delivery. Meconium staining of the amniotic fluid – Fetal defecation of meconium while in utero resulting in amniotic fluid with greenish discoloration. Moderate to heavy amounts of meconium in the amniotic fluid noted during labor and/or delivery indicate fetal distress. 87 Premature rupture of membranes (more than 12 hours) - Rupture of membranes at any time during pregnancy and 12 hours before the onset of labor. Precipitous labor - Extremely rapid labor and delivery lasting less than 3 hours. Prolonged labor - Abnormally slow progress of labor lasting for 20 hours or more. Third or fourth degree perineal laceration – Serious types of perineal injury that can be sustained during childbirth. A third-degree perineal laceration is a severe tear in the vaginal tissue, perineal skin, and perineal muscles that extends into the anal sphincter. A fourth-degree laceration is the most severe type of perineal injury; the tear goes completely into the anal sphincter through the rectal mucosa. Ruptured uterus – Tearing of the uterus wall during labor and delivery. Unplanned hysterectomy – Surgical removal of the uterus that was not planned prior to admission for delivery. Admission to intensive care unit – Any admission, planned or unplanned, of the mother to a facility/unit designated as providing intensive care. Unplanned surgery following delivery – Any unplanned operative procedure, excluding postpartum tubal ligations, prior to the admission for delivery. Abnormal conditions of the newborn Assisted ventilation immediately after delivery - A mechanical method of assisting respiration for newborns with respiratory failure, required immediately following delivery. Assisted ventilation for more than 6 hours - Newborn placed on assisted ventilation for more than 6 hours. Seizure or serious neurologic dysfunction – A seizure of any etiology; neurologic impairment such as obtundation, stupor, or coma. Significant birth injury - Impairment of the infant's body function or structure due to adverse influences that occurred at birth. Injuries include skeletal fracture(s), peripheral nerve injury and/or soft tissue/solid organ hemorrhage which require intervention. Skeletal fracture includes any bony fracture or weakness or loss of sensation, but excludes fractured clavicles and transient facial nerve palsy. Soft tissue hemorrhage includes sub-galeal (progressive extravasation within the scalp) hemorrhage, giant cephalohematoma, extensive truncal, facial and/or extremity ecchymossi accompanied by evidence of anemia and/or hypovolemia and/or hypotension. Solid organ, hemorrhage includes sub-capsular hematoma of the liver, fractures of the spleen, or adrenal hematoma. Surfactant replacement therapy – Endotracheal instillation of a surface active suspension for the treatment of surfactant deficiency resulting in decreased lung compliance. The treatment is administered immediately after birth for extremely premature babies or later once respiratory problems have manifested themselves. 88 Suspected neonatal sepsis – Neonates presenting signs of sepsis and to whom Anitbiotics received by the newborn. Any antibacterial drug given systemically (intravenous or intramuscular) to the newborn for suspected neonatal sepsis. Congenital anomalies of the newborn 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. Cyanotic congenital heart disease – Congenital anomalies of heart. Congenital diaphragmatic hernia – Defect in the diaphragm, characterized by an abnormal opening that allows abdominal organs to move into the chest, usually resulting in respiratory distress. 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. Limb reduction defect – Complete or partial absence of any part of a limb or limbs, excluding congenital amputation and dwarfing syndromes. 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). Suspected chromosomal disorder – Any group of congenital malformations resulting from or compatible with known syndromes caused by noticeable defects in chromosome structure. Hypospadias – Congenital anomaly of the male genitalia characterized by an incomplete closure of the urethra. 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, 2014 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 2014 population of American Indians 2014 deaths among American Indians Age-specific rates for American Indians in 2014 A B C 6,562 28,468 68,916 70,351 58,488 46,367 43,178 30,862 16,421 7,495 2,482 309,590 45 15 13 90 173 187 302 335 320 336 258 2,074 D (C/B)*100000 685.8 52.7 18.9 127.9 295.8 403.3 699.4 1085.5 1948.7 4483.0 10394.8 <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 2000 standard E .013818 .055317 .145565 .138646 .135573 .162613 .134834 .087247 .066037 .044842 .015508 Ageadjusted rate for American Indians In 2014 F D*E 9.5 2.9 2.7 17.7 40.1 65.6 94.3 94.7 128.7 201.0 161.2 TOTAL ∑ 818.5 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. Health Status Profile of American Indians in Arizona, 2014 Data Book 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 2014 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