Health Status Profile of American Indians in Arizona ~ Health and Wellness for all Arizonans ~ Douglas A. Ducey, Governor State of Arizona Cara M. Christ, M.D., M.S., Director Arizona Department of Health Services ARIZONA DEPARTMENT OF HEALTH SERVICES BUREAU OF PUBLIC HEALTH STATISTICS POPULATION HEALTH AND VITAL STATISTICS SECTION 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: 2015 DATA BOOK by Marguerite L. Sagna, Ph.D., Arizona Vital Statistician Sanhita Gupta, Vital Statistics Health Management Analyst Clare Torres, Senior Health Data Analyst February 2017 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 2015 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 2015 ............................................................................................................................. 3 2015 Risk Profile of American Indians ........................................................................................................................................................................ 7 American Indians’ Standing in Arizona in 2015 on 65 Indicators of Health Status ............................................................................................................ 8 II COMPARISON OF AMERICAN INDIANS’ STANDING IN ARIZONA WITH RESPECT TO SELECTED HEALTH OBJECTIVES FOR THE YEAR 2015................................. 13 III. TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS AND ALL RESIDENTS OF ARIZONA, 2005-2015 .......................... 15 IV. CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND MOTHERS GIVING BIRTH BY PLACE OF RESIDENCE IN ARIZONA IN 2015 .................................... 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 Smoking 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 Deaths among American Indian Residents, Arizona, 2015 ................................................................................................................... 44 Comparison of Selected Characteristics of American Indian Newborns and Women Giving Birth By County of Residence, Arizona, 2015 ..................................................................................................................................................................... 45 Health Status Profile of American Indians in Arizona, 2015 Data Book V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2015 .......................................................................... 49 AGE-SPECIFIC MORTALITY 5.1 5.2 5.3 Age-Specific Mortality among American Indians in 2015 ............................................................................................................................................. 52 Age-Specific Mortality among American Indian Males in 2015 ...................................................................................................................................... 53 Age-Specific Mortality among American Indian Females in 2015 .................................................................................................................................. 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 2015 ..................................................................................................................... 56 Deaths by Age Group for Selected Causes among American Indians in 2015 ................................................................................................................ 60 Deaths by Residence for Selected Causes among American Indians in 2015 ................................................................................................................. 64 Deaths by County of Residence for Selected Causes among American Indians in 2015 ................................................................................................... 68 Deaths from Motor Vehicle Injuries among American Indians by Place of Residence, Gender, and Age Group, Arizona, 2015 ..................................................................................................................................................................... 72 Intentional Self-Harm (Suicide) among American Indians by Place of Residence, Gender, and Age Group, Arizona, 2015 ..................................................................................................................................................................... 73 Assault (Homicide) among American Indians by Place of Residence, Gender, and Age Group, Arizona, 2015 ........................................................................................................................................................................................................ 74 Diabetes-Related Deaths among American Indians by Place of Residence, Gender, and Age Group, Arizona, 2015 ........................................................................................................................................................................................................ 75 Alcohol-Induced Deaths among American Indians by Place of Residence, Gender, and Age Group, Arizona, 2015 ........................................................................................................................................................................................................ 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, 1995-2015 ........................................................................................................................................................................................... 78 Five Leading Causes of Death by Gender among American Indian Residents of Arizona in 2015 ....................................................................................... 79 Five Leading Causes of Death among American Indians by Gender and Residence On or Off Reservation, Arizona, 2015 ..................................................... 80 Proportional Mortality by Type of Cancer and Gender among American Indians and All Residents of Arizona, 2005-2015 .................................................... 81 Proportional Mortality by Mechanism of Unintentional Injury and Gender among American Indians and All Residents of Arizona, 2005-2015 ......................................................................................................................................................................... 82 Comparison of Mortality by Specific Type of Cancer by Gender among American Indians and All residents of Arizona, 2005-2015 ........................................ 83 Unintentional Injury Deaths by mechanism and Gender among American Indians and All Residents of Arizona, 2005-2015 ................................................. 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, 2015 Data Book INTRODUCTION The report Health Status Profile of American Indians in Arizona: 2015 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 2015. 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 2015 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 2015 on 65 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 2005-2015 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 2015. 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 2005-2015 are classified by the Tenth Revision (ICD-10). Health Status Profile of American Indians in Arizona, 2015 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 2015 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: 2015 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 1998–2015 are available at http://www.azdhs.gov/plan/ 2 Health Status Profile of American Indians in Arizona, 2015 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 2015 Health Status Profile of American Indians in Arizona, 2015 Data Book 3 The risk profile presented on the following page summarizes how American Indians as a group compared in 2015 to the state average on 65 measures of health status. The 65 indicators used in the profile are individual measures of the various dimensions or facets of health status. The profile uses the percentages a racial/ethnic group is above or below the statewide average on each of the specific measures. In order to represent the level of each indicator for American Indians in comparison to the overall state level, the following formula was used:* THE VALUE OF A RATE OR RATIO IN A SPECIFIED GROUP - 1.0 X 100 THE AVERAGE VALUE OF A RATE OR RATIO FOR ALL GROUPS The above formula produces a score of 0.0 for a group with the same value as the statewide average. A negative value indicates better than average standing on an indicator. A positive value indicates worse than average standing on an indicator*. The profile visually describes the better-than-average and worse-than-average clusters of health status characteristics for American Indian residents of Arizona. Following the graphic profile is a detailed description of the 65 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 2015, AMERICAN INDIAN RESIDENTS OF ARIZONA:  ranked worse than the statewide average on 49 of 65 health indicators;  had high mortality from alcohol-induced causes, chronic liver disease and cirrhosis, motor vehicle accidents, nephritis, unintentional injuries, diabetes, assault, septicemia, incidence of congenital anomalies, influenza and pneumonia, and sudden infant death syndrome: all contributing to the premature death rate of 77.4 percent.  ranked poorly on measures of maternal lifestyle and health, as well as in utilization of prenatal care;  on average were 16 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, chronic lower respiratory diseases, Alzheimer’s disease, breast cancer, coronary heart disease, cervical cancer, heart disease, all malignant neoplasms, and cardiovascular 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 lower-than-average median age at death would signify a better than average standing on this indicators. A lower-than-average median age at death obviously reflects a worse off life expectancy. Health Status Profile of American Indians in Arizona, 2015 Data Book 5 2015 RISK PROFILE OF AMERICAN INDIANS (Percent above or below the average rate or ratio of all Arizona residents in 2015 WOR S E THA N A V ER A G E B ETTER THA N A V ER A GE 5-7 5-5 5-17 8-4 2-2 5-8 5-3 6-6 5-9 6-5 5-2 5-6 4-1 5-1 4-9 4-8 2-7 5-4 4-3 5-10 9-1 2-6 4-2 6-8 4-4 8-3 6-4 5-19 8-1 6-3 8-2 2-3 3-1 5-15 4-6 5-20 5-11 9-2 1-4 1-1 9-4 2-5 7-4 2-1 9-3 2-4 1-3 3-3 7-2 4-5 4-10 3-2 4-7 5-12 5-16 6-9 5-13 6-1 7-3 5-18 1-2 7-1 6-2 5-14 6-7 -76.9 -67.2 -42.9 -41.0 -33.6 -33.3 -20.4 -20.2 -17.4 -16.8 -15.1 -13.6 -13.3 -11.6 -8.6 -3.4 Lung cancer Chronic lower respiratory diseases Alzheimer's disease Deaths before expected years of life reached Tobacco use during pregnancy Breast cancer Coronary heart disease Drug-induced deaths Cervical cancer I njury by firearms Diseases of the heart Malignant neoplasm ( cancer) I ncidence of newborn intensive care Cardiovascular disease Neonatal mortality Mortality of infants from low birthweight/ short gestation Gestational weight gain - Excessive Cerebrovascular disease Born too small: <2,500 grams Colorectal cancer I ncidence of early syphilis Gestational weight gain - I nadequate Born too early (preterm or < 37 weeks) I ntentional self-harm ( suicide) Born too small: <1,500 grams Median age at death among females Drowning mortality Essential (primary) hypertension Median age at death from all causes Fall-related injuries Median age at death among males Pre-existing hypertension No care in the 1st trimester HI V disease I nfant mortality Total mortality from all causes Prostate cancer I ncidence of gonorrhea Pregnancies among females 18-19 years Pregnancies among females 19 and younger I ncidence of HI V/ AI DS Gestational hypertension Mortality among middle-age adults 45-64 years Unmarried mothers I ncidence of chlamydia Gestational diabetes Pregnancies among females 15-17 years No prenatal care Mortality among adolescents 15-19 years I ncidence of congenital anomalies Postneonatal mortality Fewer than five prenatal visits Sudden I nfant Death Syndrome ( SI DS) I nfluenza and pneumonia Septicemia Assault ( homicide) Diabetes Unintentional injuries Mortality among young adults 20-44 years Nephritis, nephrotic syndrome and nephrosis Pregnancies among females 14 and younger Mortality among children 1-14 years Motor vehicle-related injuries Chronic liver disease and cirrhosis Alcohol-induced deaths 1.4 1.6 2.2 3.1 3.5 4.6 6.4 6.7 15.8 16.5 16.7 17.1 21.1 21.9 23.3 26.9 29.2 31.3 39.3 39.6 47.7 49.8 55.5 68.5 69.1 71.6 72.9 75.7 76.0 91.6 93.2 94.2 104.4 109.1 119.0 121.2 127.5 153.2 159.3 180.4 187.5 189.0 189.2 190.5 222.4 225.8 331.0 420.8 537.1 -600.0 Health Status Profile of American Indians in Arizona, 2015 Data Book 600.0 0 .0 - 3 0 0 .0 A V ER A GE FOR A LL R ES IDENTS 3 0 0 .0 7 AMERICAN INDIANS’ STANDING IN ARIZONA IN 2015 ON 65 INDICATORS OF HEALTH STATUS 1. TEEN PREGNANCIES Figure Number (Number of pregnancies per 1,000 females in specified age group) Indicator 2015 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2015 Definitions 1-1 Pregnancies among females 19 and younger 26.8 68.5 15.9 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 0.9 222.4 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 27.3 93.2 14.1 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 90.8 55.5 58.4 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 2015 rate for American Indians Percent above or below the average rate for all groups 79.6 75.7 Tobacco use during pregnancy 3.4 -33.6 2-3 Pre-existing hypertension 1.4 26.9 2-4 Gestational diabetes 14.5 91.6 2-5 Gestational hypertension 10.3 71.6 2-6 Gestational weight gain - Inadequate 23.3 4.6 2-7 Gestational weight gain - Excessive 46.7 1.4 8 Average rate for all groups in 2015 Definitions 45.3 The number of births to unmarried mothers per 100 births. 5.2 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; 7.5 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 6.0 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 22.2 relation to pre-pregnancy body mass index (BMI). 1.1 46.1 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, 2015 Data Book AMERICAN INDIANS’ STANDING IN ARIZONA IN 2015 ON 65 INDICATORS OF HEALTH STATUS (continued) 3. UTILIZATION OF PRENATAL CARE SERVICES Figure Number (Per 100 live births) Indicator 2015 rate for American Indians Percent above or below the average rate for all groups 3-1 No care in the 1st trimester 41.5 29.2 3-2 Fewer than five prenatal visits 14.6 121.2 3-3 No prenatal care 4.3 94.2 Average rate for all groups in 2015 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 6.6 pregnancy per 100 births. 32.1 2.2 The number of mothers giving birth who received no prenatal care during pregnancy per 100 births. 4. NEWBORN'S HEALTH Figure Number (Infant, neonatal, and postneonatal rates are per 1,000 live births. All other indicators are expressed per 100 live births) Indicator 2015 rate for American Indians Percent above or below the average rate for all groups 4-1 Incidence of newborn intensive care 6.0 -13.3 4-2 Born too early (preterm or < 37 weeks) 9.6 6.4 4-3 Born too small: low-birthweight (<2,500 grams) 7.3 2.2 4-4 Born too small: very low-birthweight (<1,500 grams) 1.3 15.8 4-5 Incidence of congenital anomalies (birth defects) 0.9 109.1 4-6 Infant mortality 7.8 39.3 4-7 Sudden Infant Death Syndrome (SIDS) 0.4 127.5 4-8 Mortality of infants from low birthweight/short gestation 0.6 -3.4 4-9 Neonatal mortality 3.2 -8.6 4-10 Postneonatal mortality 4.6 119.0 Health Status Profile of American Indians in Arizona, 2015 Data Book Average rate for all groups in 2015 Definitions 6.9 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. Low7.2 birthweight is any neonate weighing less than 2,500 grams at birth (less than 5 pounds 8 ounces). The number of newborns weighing less than 1,500 grams per 100 births. Very low1.1 birthweight is any neonate whose weight at birth is 1,500 grams or less (less than 3 pounds 5 ounces). 0.4 The numbers of babies born with birth defects per 100 births. The number of infant deaths per 1,000 live births. Infant death is any death at any time 5.6 from birth up to, but not including, the first year of age (364 days, 23 hours, 59 minutes from the moment of birth). The number of infant deaths from Sudden Infant Death Syndrome (ICD-10 code R95) 0.2 per 1,000 live births. The number of infant deaths from low-birthweight/short gestation (ICD-10 code P07) per 1,000 live births. The number of neonatal deaths per 1,000 live births. Neonatal death is death of a 3.5 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. 0.6 9 AMERICAN INDIANS’ STANDING IN ARIZONA IN 2015 ON 65 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 2015 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2015 Definitions 5-1 Cardiovascular disease 167.0 -11.6 189.0 The number of deaths from cardiovascular diseases (ICD-10 codes I00-I78) per 100,000 age-adjusted population. 5-2 Diseases of the heart 119.9 -15.1 141.3 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 83.3 -20.4 104.6 The number of deaths from coronary heart disease (ICD-10 codes I200-I259) per 100,000 age-adjusted population. 5-4 Cerebrovascular disease 31.6 1.6 31.1 The number of deaths from cerebrovascular disease (ICD-10 codes I60–I69) per 100,000 age-adjusted population. 5-5 Chronic lower respiratory diseases 14.8 -67.2 45.1 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) 124.4 -13.6 144.0 The number of deaths from cancer (ICD-10 codes C00–C97) per 100,000 age-adjusted population. 5-7 Lung cancer 8.1 -76.9 35.1 The number of deaths from lung cancer (ICD-10 codes C33–C34) per 100,000 ageadjusted population. 5-8 Breast cancer 12.8 -33.3 19.2 The number of deaths from breast cancer (ICD-10 code C50) per 100,000 age-adjusted female population. 5-9 Cervical cancer 1.9 -17.4 2.3 5-10 Colorectal cancer 13.3 3.1 12.9 The number of deaths from colorectal cancer (ICD-10 codes C18–C21) per 100,000 ageadjusted population. 5-11 Prostate cancer 26.0 47.7 17.6 The number of deaths from prostate cancer (ICD-10 code C61) per 100,000 ageadjusted male population. 5-12 Influenza and pneumonia 23.8 153.2 9.4 The number of deaths from influenza and pneumonia (ICD-10 codes J10–J18) per 100,000 age-adjusted population. 5-13 Diabetes 73.9 187.5 25.7 The number of deaths from diabetes (ICD-10 codes E10–E14) per 100,000 ageadjusted population. 5-14 Chronic liver disease and cirrhosis 77.6 420.8 14.9 The number of deaths from chronic liver disease and cirrhosis (ICD-10 codes K70, K73–K74) per 100,000 age-adjusted population. 5-15 HIV disease 2.1 31.3 1.6 The number of deaths from HIV disease (ICD-10 codes B20-B24) per 100,000 ageadjusted population. 5-16 Septicemia 14.0 159.3 5.4 The number of deaths from septicemia (ICD-10 codes A40-A41) per 100,000 ageadjusted population. 5-17 Alzheimer's disease 21.3 -42.9 37.3 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 18.3 190.5 6.3 5-19 Essential (primary) hypertension 13.0 17.1 11.1 5-20 Total mortality from all causes 965.3 39.6 10 691.3 The number of deaths from cervical cancer (ICD-10 code C53) per 100,000 ageadjusted female population. The number of deaths from Alzheimer’s disease (ICD-10 code G30) per 100,000 ageadjusted population. The number of deaths from nephritis, nephritic syndrome, and nephrosis (ICD-10 codes N00–N07, N17–N19,N25–N27) per 100,000 age-adjusted population. The number of deaths from essential (primary) hypertension (ICD-10 codes I10, I12) per 100,000 age-adjusted population. Total number of deaths from all causes per 100,000 age-adjusted population. Health Status Profile of American Indians in Arizona, 2015 Data Book AMERICAN INDIANS’ STANDING IN ARIZONA IN 2015 ON 65 INDICATORS OF HEALTH STATUS (continued) 6. MORTALITY FROM INJURIES Figure Number (Number of deaths per 100,000 population age-adjusted to 2000 standard. The causes of death are classified by the Tenth Revision of the International Classification of Diseases or ICD-10. Drug-induced deaths include accidental, suicidal, and homicidal poisoning by drugs, but also disorders due to use of psychoactive substances. Alcohol-induced deaths include accidental, suicidal, and homicidal by drugs, but also disorders due to use of alcohol) Indicator 6-1 Unintentional injuries 6-2 2015 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2015 139.0 189.0 48.1 Motor vehicle-related injuries 54.3 331.0 12.6 6-3 Fall-related injuries 15.6 21.9 12.6 6-4 Drowning mortality 1.4 16.7 1.2 6-5 Injury by firearms 11.4 -16.8 13.7 6-6 Drug-induced deaths 15.8 -20.2 19.8 6-7 Alcohol-induced deaths 111.5 537.1 17.5 6-8 Intentional self-harm (suicide) 19.0 6.7 17.8 6-9 Assault (homicide) 15.7 180.4 5.6 Health Status Profile of American Indians in Arizona, 2015 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 2015 ON 65 INDICATORS OF HEALTH STATUS (continued) 7. PREMATURE MORTALITY Figure Number (Number of deaths per 100,000 persons in specific group) Indicator 2015 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2015 Definitions 7-1 Mortality of children 1-14 years old 50.3 225.8 15.4 The number of deaths per 100,000 children 1-14 years old. 7-2 Mortality of adolescents 15-19 years old 97.1 104.4 47.5 The number of deaths per 100,000 adolescents 15-19 years old. 7-3 Mortality of young adults 20-44 years old 423.9 189.2 146.6 The number of deaths per 100,000 young adults 20-44 years old. 7-4 Mortality of middle-aged adults 45-64 years old 1108.3 72.9 641.0 The number of deaths per 100,000 middle-aged adults 45-64 years old. Figure Number 8. AGE-SPECIFIC MORTALITY Indicator 2015 rate for American Indians Percent above or below the average for all groups * Average rate for all groups in 2015 Definitions 8-1 Median age at death from all causes 60.0 21.1 76.0 The median age (the age in the middle) of Arizonans who died in 2015. 8-2 Median age at death from all causes among males 56.0 23.3 73.0 The median age (the age in the middle) of Arizona males who died in 2015. 8-3 Median age at death from all causes among females 66.0 16.5 79.0 The median age (the age in the middle) of Arizona females who died in 2015. 8-4 Percent of total deaths before expected years of life reached 77.4 -41.0 54.9 The number of deaths before reaching 78.8 years (the life expectancy of all U.S. residents in 2015) 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 2015 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2015 Definitions 14.6 3.5 Incidence of gonorrhea 183.3 49.8 122.4 Number of reported cases of gonorrhea per 100,000 population. 9-3 Incidence of chlamydia 846.7 76.0 481.1 Number of reported cases of chlamydia per 100,000 population. 9-4 Incidence of HIV/AIDS 18.5 69.1 10.9 Number of reported cases of HIV/AIDS per 100,000 population. 12 14.1 Number of reported cases of early syphilis per 100,000 population. Health Status Profile of American Indians in Arizona, 2015 Data Book II. COMPARISON OF AMERICAN INDIANS’ STANDING IN ARIZONA WITH RESPECT TO SELECTED HEALTH OBJECTIVES FOR THE YEAR 2015 Health Status Profile of American Indians in Arizona, 2015 Data Book 13 COMPARISON OF AMERICAN INDIANS' STANDING IN ARIZONA WITH RESPECT TO SELECTED HEALTH OBJECTIVES FOR THE YEAR 2015 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 Objectives 2010 2020 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 90.0 77.9 67.9 65.9 65.9 65.1 66.0 69.4 68.6 68.2 68.7 58.4 58.5 Number of infant deaths per 1,000 American Indian live births (6 per 1,000) 6.0 6.0 8.3 6.4 8.1 8.2 8.4 8.1 7.4 7.4 6.6 8.7 7.8 Number of postneonatal (i.e., at least 28 days of age but less than one year of age) deaths per 1,000 American Indian live births (1.2 per 1000); (2.0 per 1000) 1.2 2.0 4.0 2.4 3.9 3.6 4.2 4.3 4.1 3.6 2.9 3.7 4.6 17.5 36.0 117.8 97.2 95.0 92.6 92.6 99.2 100.6 94.8 104.5 85.4 139.0 16.0 12.4 62.6 56.9 49.0 41.9 36.9 41.7 44.2 37.8 31.7 35.6 54.3 10.0 10.2 17.5 13.7 9.8 13.5 15.9 18.7 14.9 17.9 21.9 13.9 19.0 5.0 5.5 14.0 13.2 13.1 12.8 13.2 18.0 11.9 17.3 17.7 7.3 15.7 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 65.8 138.9 100.2 107.2 108.1 111.4 130.4 105.3 155.7 146.4 129.5 171.0 3.0 8.2 51.2 43.6 36.8 40.7 54.0 64.6 43.6 59.2 62.0 52.7 77.6 2.0 2.2 3.4 5.8 2.3 4.8 4.1 3.0 3.1 2.8 2.0 0.0 1.1 Age-adjusted to the 2000 US standard population. Health Status Profile of American Indians in Arizona, 2015 Data Book III. TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS IN ARIZONA Health Status Profile of American Indians in Arizona, 2015 Data Book 15 TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS IN ARIZONA 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 Median Age at Death from all Causes All Arizonans 77.0 76.0 76.0 77.0 76.0 77.0 77.0 77.0 76.0 76.0 76.0 59.0 57.0 59.0 59.0 59.0 58.0 60.0 59.0 60.0 61.0 60.0 42.8 43.9 45.0 45.1 45.2 44.7 44.3 45.2 45.1 44.7 45.3 72.9 74.8 75.9 75.8 76.9 77.7 77.1 78.5 79.2 78.9 79.6 81.9 95.3 78.7 52.8 49.3 50.8 71.4 89.4 98.2 112.2 122.4 142.6 125.7 94.4 73.3 50.0 85.1 162.8 185.7 224.6 206.5 183.3 All Arizonans 6.9 7.1 7.1 7.1 7.1 7.1 7.0 6.9 6.9 7.0 7.2 American Indians 7.3 7.4 6.6 6.7 6.4 7.0 6.9 6.7 7.2 6.1 7.3 All Arizonans 12.5 12.7 12.6 12.3 11.8 10.8 9.9 9.5 8.5 7.6 6.9 American Indians 19.1 19.1 20.1 18.6 19.0 17.0 16.9 16.0 14.2 11.7 11.4 All Arizonans 1.0 0.9 0.8 0.9 0.6 0.6 1.1 0.8 0.7 0.5 0.4 American Indians 1.5 1.2 1.4 0.9 0.8 0.6 1.4 0.9 0.8 0.8 0.9 All Arizonans 30.9 28.8 31.0 35.3 36.1 39.1 41.9 45.2 55.8 52.4 59.9 American Indians 58.2 58.8 57.9 58.9 55.4 61.2 62.8 64.6 74.1 85.9 102.7 All Arizonans 29.7 31.6 34.3 38.9 38.7 41.8 46.4 51.2 57.2 61.3 75.5 American Indians 82.5 72.0 80.4 82.0 82.2 77.9 93.3 99.3 111.4 121.5 144.7 American Indians Births to Unmarried Mothers a All Arizonans American Indians Incidence of Gonorrhea b All Arizonans American Indians Low-Birthweight Births a Births to Teenage Mothers a Congenital Anomilies (Birth Defects) a Gestational Hypertension c Gestational Diabetes c Notes: a Per 100 live births; 16 b Per 100,000 population; c Per 1,000 births. Health Status Profile of American Indians in Arizona, 2015 Data Book IV. CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND MOTHERS GIVING BIRTH BY PLACE OF RESIDENCE IN ARIZONA IN 2015 Health Status Profile of American Indians in Arizona, 2015 Data Book 17 SOCIODEMOGRAPHIC CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2015 Data Book 19 4.1 MATERNAL AGE (2015 STATUS) 390† 1,510† 1,470† 860† 460† 110† 10† Ak-Chin Indian Community 20† 0 0 * * Cocopah Tribe 10† 0 0 * * * * * * 0 * 0 0 0 0 Colorado River Indian Tribe 20† 0 0 * * * * * * 0 Fort McDowell Yavapai Nation Reservation 20† 0 * * * 7 * * 0 0 Fort Mohave Indian Tribe 10† 0 0 0 * * * 0 0 0 45+ 40-44 180† 240† 0 8 25 80 61 42 16 * 0 Havasupai Tribe 10† 0 0 0 * * * * 0 0 Hopi Tribe 107 0 7 6 34 26 20 8 6 0 Hualapai Tribe 30† 0 0 * 13 6 * * 0 0 0† 0 0 * 0 0 0 0 0 0 Kaibab Indian Reservation Navajo Nation 1,230† * 44 76 345 347 225 148 36 * Pascua Yaqui Tribe 20† 0 * * * * * * 0 0 Salt River Pima-Maricopa Indian Community 90† * 6 * 30 27 14 * 0 0 San Carlos Apache Tribe 300† * 12 30 106 89 33 22 * * Tohono O'Odham Nation 130† * 6 13 35 39 24 7 * 0 White Mountain Apache Tribe 300† * 17 25 107 71 55 19 * 0 Yavapai-Apache Nation 10† 0 0 * * * * 0 0 0 0† 0 0 * 0 0 * 0 0 0 TOTAL 2,510† 10† 100† 200† 780† 700† 430† 230† 60† 0† ---in Maricopa County 1,270† * 36 93 372 385 233 121 24 * 336 0 7 30 99 108 56 30 6 0 Yavapai-Prescott Indian Tribe Resided off reservation 35-39 10† Gila River Indian Community 30-34 Resided on reservation 25-29 18-19 4,980† ALL AMERICAN INDIAN RESIDENTS OF ARIZONA <15 15-17 TOTAL BIRTHS 20-24 Mother's age group ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 290† 0 13 21 78 99 39 31 7 * 586 0 19 41 175 184 101 49 17 0 2,480† 0† 75 185 724 776 429 231 54 0† Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 20 Health Status Profile of American Indians in Arizona, 2015 Data Book 4.2 EDUCATIONAL ATTAINMENT OF MOTHER (2015 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 4,980† 110† 1,280† 1,670† 1,340† 360† 160† 60† 20† Ak-Chin Indian Community 20† 0 8 * * * 0 0 0 Cocopah Tribe 10† 0 * * * 0 0 0 0 Colorado River Indian Tribe 20† 0 6 * * * 0 0 * Fort McDowell Yavapai Nation Reservation 20† 0 * * 7 * * 0 * Fort Mohave Indian Tribe 6 0 0 6 0 0 0 0 0 240† 15 98 78 34 6 * 0 * 10† * * * 0 0 0 0 0 110† * 18 48 23 9 6 * 0 30† 0 8 14 6 * 0 0 0 0† 0 * 0 0 0 0 0 0 1,226 6 223 430 374 123 47 19 * Pascua Yaqui Tribe 20† * * * * * 0 0 0 Salt River Pima-Maricopa Indian Community 90† * 31 22 25 * * 0 0 San Carlos Apache Tribe 300† 10 94 123 60 6 * 0 * Tohono O'Odham Nation 130† 7 51 42 20 * * 0 0 White Mountain Apache Tribe 300† * 132 105 47 7 * * 0 10† * * * * 0 0 0 0 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Tribe Kaibab Indian Reservation Navajo Nation 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 0† 0 0 * * 0 0 0 0 2,510† 50† 690† 900† 610† 160† 70† 20† 10† 1,266 29 285 364 397 106 55 24 6 336 9 104 98 86 23 10 * * 290† * 48 109 79 33 12 6 0 586 14 150 199 162 34 18 7 * 2,477 50† 587 770 724 196 95 40† 10† Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2015 Data Book 21 4.3 MARITAL STATUS OF MOTHER (2015 STATUS) Marital status TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Unmarried Unknown 4,980† 950† 3,970† 70† 15 7 8 0 8 0 8 0 Colorado River Indian Tribe 20† * 13 0 Fort McDowell Yavapai Nation Reservation 20† * 12 0 6 0 6 0 240† 20 212 * Havasupai Tribe 10† * 9 0 Hopi Tribe 107 9 98 0 Hualapai Tribe 30 7 23 0 Kaibab Indian Reservation 0† 0 * 0 1,226 227 981 18 20† * 12 0 87 11 76 0 San Carlos Apache Tribe 300† 45 250 * Tohono O'Odham Nation 130† 10 115 * White Mountain Apache Tribe 300† 75 218 * 10† * 9 * 0† * * 0 2,510† 420† 2,050† 30† 1,266 278 967 21 ---in Pima County 340† 43 289 * ---in Coconino County 290† 73 211 * 586 131 446 9 2,477 525 1,913 40† Ak-Chin Indian Community Cocopah Tribe Fort Mohave Indian Tribe Gila River Indian Community Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Married ---in Maricopa County ---elsewhere in Arizona TOTAL Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 22 Health Status Profile of American Indians in Arizona, 2015 Data Book 4.4 RACE/ETHNICITY OF FATHER (2015 STATUS) Father's race/ethnicity TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Hispanic or Latino American Indian or Alaska Native Black or African American Asian or Pacific Islander 4,980† 1,410† 610† 80† 2,870† 20† 20† * * * 7 0 Cocopah Tribe 10† * * 0 * 0 Colorado River Indian Tribe 20† 7 * 0 7 0 Fort McDowell Yavapai Nation Reservation 20† 6 * 0 * * Fort Mohave Indian Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Tribe Kaibab Indian Reservation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community 10† * * 0 * 0 240† 87 23 * 124 0 10† 7 0 0 * 0 110† 23 0 * 83 0 30† 7 * 0 22 0 0† 0 0 0 * 0 1,230† 264 21 * 938 * 20† * * * 7 0 90† 24 11 * 51 0 San Carlos Apache Tribe 300† 97 * 0 198 0 Tohono O'Odham Nation 130† 45 0 * 79 * White Mountain Apache Tribe 298 51 9 0 238 0 Yavapai-Apache Nation 10† * * 0 6 0 Yavapai-Prescott Indian Tribe 0† * * 0 0 0 2,510† 640† 90† 10† 1,770† 0† 1,266 392 316 50 495 13 ---in Pima County 340† 115 90 10 120 * ---in Coconino County 290† 76 14 0 198 * 590† 195 102 7 280 * 2,477 778 522 67 1,093 20† TOTAL Resided off reservation White nonHispanic ---in Maricopa County ---elsewhere in Arizona TOTAL Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2015 Data Book 23 4.5 AGE OF FATHER (2015 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 0 70† Ak-Chin Indian Community 20† 0 0 * 6 Cocopah Tribe 10† 0 0 * * Colorado River Indian Tribe 20† 0 0 * Fort McDowell Yavapai Nation Reservation 20† 0 * Fort Mohave Indian Tribe 10† 0 0 220† 1,000† 1,100† Unknown 55+ 50-54 45-49 40-44 35-39 30-34 25-29 20-24 18-19 4,980† Gila River Indian Community 790† 460† 200† 90† 20† 10† 1,040† 0 * 0 * 0 0 0 * 0 * * 0 0 0 0 * * * 0 0 * * 0 0 7 0 * * * 0 * 0 0 0 * * 0 * * 0 0 0 0 0 * 240† 0 * 15 51 33 29 19 7 * 0 0 75 10† 0 0 0 * 0 * 0 0 0 0 0 7 110† 0 * 6 19 28 15 6 7 * 0 0 22 30† 0 * * 9 * * * * 0 0 0 * 0† 0 0 0 * 0 0 0 0 0 0 0 0 1,230† 0 16 52 223 275 209 129 69 24 9 * 217 Pascua Yaqui Tribe 20† 0 0 * * * * * 0 0 0 0 * Salt River Pima-Maricopa Indian Community 90† 0 * * 21 23 7 7 * * 0 0 18 San Carlos Apache Tribe 300† 0 7 11 69 56 40 10 * * * 0 95 Tohono O'Odham Nation 130† 0 * 6 20 24 18 10 * * 0 0 43 White Mountain Apache Tribe 300† 0 9 17 68 81 42 28 6 * * 0 42 10† 0 0 0 * * * 0 * 0 0 0 * 0† 0 0 0 * 0 * 0 0 0 0 0 * TOTAL 2,510† 0 40† 120† 500† 540† 380† 210† 100† 40† 10† 0† 550† ---in Maricopa County Havasupai Tribe Hopi Tribe Hualapai Tribe Kaibab Indian Reservation Navajo Nation Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation <15 TOTAL BIRTHS 15-17 Father's age group 1,270† 0 18 52 263 287 205 130 52 14 * * 240 ---in Pima County 340† 0 * 13 64 76 49 28 6 12 * * 80 ---in Coconino County 290† 0 * 9 54 74 50 26 11 7 * 0 53 ---elsewhere in Arizona TOTAL 590† 0 * 25 111 128 104 59 24 12 * * 114 2,477 0 30† 99 492 565 408 243 93 45 10† 10† 487 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, 2015 Data Book 4.6 SOURCE OF PAYMENT FOR LABOR AND DELIVERY (2015 STATUS) Payee for births TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Self Unknown 4,980† 3,294 1,030† 550† 100† 20† Ak-Chin Indian Community 20† 7 * * 0 0 Cocopah Tribe 10† 7 * 0 0 0 Colorado River Indian Tribe 20† 9 * 0 0 * Fort McDowell Yavapai Nation Reservation 20† 6 * 8 * 0 6 6 0 0 0 0 Gila River Indian Community 235 142 68 25 0 0 Havasupai Tribe 10† 8 * 0 * 0 110† 81 9 15 * 0 30† 24 * * 0 0 0† 0 0 0 * 0 1,226 918 199 87 14 8 Pascua Yaqui Tribe 20† 11 * * 0 0 Salt River Pima-Maricopa Indian Community 90† 55 17 13 * * San Carlos Apache Tribe 300† 120 144 28 * * Tohono O'Odham Nation 130† 43 66 16 * 0 White Mountain Apache Tribe 298 264 12 14 8 0 Yavapai-Apache Nation 10† 9 * 0 0 0 0† 0 * 0 0 0 2,510† 1,710 540† 210† 30† 10† 1,266 781 295 165 25 0 ---in Pima County 336 189 92 43 10 * ---in Coconino County 289 220 10 51 8 0 ---elsewhere in Arizona 586 394 93 80 18 * 2,477 1,584 490 339 61 0† Fort Mohave Indian Tribe Hopi Tribe Hualapai Tribe Kaibab Indian Reservation Navajo Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Private insurance IHS AHCCCSa ---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; System (AHCCCS) is the State's Medicaid program. Health Status Profile of American Indians in Arizona, 2015 Data Book a The Arizona Health Care Cost Containment 25 MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2015 Data Book 27 4.7 MATERNAL WEIGHT GAIN DURING PREGNANCY (2015 STATUS) Weight gain TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Appropiate Excessive Unknown 1,160† 1,460† 2,330† 30† Ak-Chin Indian Community 20† * * 13 0 Cocopah Tribe 10† * * * * Colorado River Indian Tribe 20† * * 9 0 Fort McDowell Yavapai Nation Reservation 20† * * 9 * Fort Mohave Indian Tribe 10† * * * 0 Gila River Indian Community 235 38 52 145 0 Havasupai Tribe 10† * * * 0 110† 20 39 47 * Hualapai Tribe 30 9 8 13 0 Kaibab Indian Reservation 0† 0 0 * 0 1,226 324 395 501 6 Pascua Yaqui Tribe 20† 7 * * 0 Salt River Pima-Maricopa Indian Community 90† 28 23 34 * San Carlos Apache Tribe 298 71 95 132 0 Tohono O'Odham Nation 130† 30 41 53 * White Mountain Apache Tribe 300† 63 81 153 * 10† * 6 * 0 0† 0 0 * 0 TOTAL 2,510† 610† 760† 1,130† 10† ---in Maricopa County 1,270† 272 363 627 * ---in Pima County 336 79 94 156 7 ---in Coconino County 289 63 84 142 0 ---elsewhere in Arizona 586 141 163 274 8 2,477 555 704 1,199 20† Hopi Tribe Navajo Nation Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation Inadequate 4,980† 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, 2015 Data Book ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe Hepatitis C Hepatitis B Chlamydia Syphilis Gonorrhea Other previous poor pregnancy outcome Previous preterm birth Eclampsia Gestational hypertension Pre-existing hypertension Gestational diabetes 4,980† 1,763 139 721 72 512 21 246 77 29 10† 350 0† 10† 15 10† * * 0 * 0 0 0 0 0 * 0 0 8 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 16 0† 0 * 0 * 0 * 0 0 0 0 0 0 6 0† 0 0 0 0 0 0 0 0 0 * 0 0 235 80† 9 33 * 29 * 12 * 0 0 9 0 * 10 0† 0 * * 0 0 0 0 0 0 0 0 0 107 50† 0 19 * 22 0 * * 0 0 12 0 0 30 10† 0 0 * * * 0 0 0 0 * 0 0 1 0† 0 0 0 * 0 0 0 0 0 0 0 0 1,226 440† 35 157 17 118 * 63 24 7 * 109 0 0 15 10† 0 0 0 * 0 * 0 0 0 * 0 0 Fort Mohave Indian Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Tribe Kaibab Indian Reservation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community 87 30† * 15 * 7 0 * * 0 0 * 0 0 San Carlos Apache Tribe 298 100† 9 21 * 35 * 9 * * * 24 0 0 Tohono O'Odham Nation 126 50† 6 20 * 16 * 8 0 0 * 11 0 0 White Mountain Apache Tribe 298 120† 8 39 * 37 0 35 6 0 0 21 0 0 Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Medical risk factorsa Pre-existing diabetes TOTAL BIRTHS Births with medical risk factors 4.8 MEDICAL RISK FACTORS OF PREGNANCY (2015 STATUS) ---in Maricopa County 11 0† 0 * 0 0 0 0 0 0 0 * 0 * 3 0† 0 0 0 0 0 * 0 0 0 0 0 0 2,510† 900† 70† 310† 40† 270† 10† 140† 40† 10† 10† 200† 0 10† 1,266 460† 33 255 11 119 * 40 18 7 * 68 * * ---in Pima County 336 120† 9 41 9 37 0 29 6 * 0 25 * * ---in Coconino County 289 100† 7 39 6 24 * 10 * * 0 21 0 0 ---elsewhere in Arizona 586 200† 16 75 9 58 * 27 11 6 0 40 0 * 2,477 867 65 410 35 238 10† 106 40† 20† 10† 154 0† 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; medical risk factors as each birth may be associated with multiple medical risk factors. Health Status Profile of American Indians in Arizona, 2015 Data Book a Medical risk factors do not sum to the number of births with 29 4.9 SMOKING DURING PREGNANCY (2015 STATUS) Smoking during pregnancy TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Light Smoker Heavy Smoker Unknown 4,980† 4,790† 140† 30† 20† Ak-Chin Indian Community 20† 14 * 0 0 Cocopah Tribe 10† 7 * 0 0 Colorado River Indian Tribe 20† 12 * 0 * 16 16 0 0 0 6 6 0 0 0 240† 217 14 * 0 10 10 0 0 0 110† 105 * 0 0 Hualapai Tribe 30 30 0 0 0 Kaibab Indian Reservation 0† 0 0 0 * 1,230† 1,203 15 * 7 Pascua Yaqui Tribe 20† 14 * 0 0 Salt River Pima-Maricopa Indian Community 90† 85 * * 0 San Carlos Apache Tribe 298 287 11 0 0 Tohono O'Odham Nation 130† 122 * 0 0 White Mountain Apache Tribe 300† 275 18 * 0 10† 9 * 0 0 0† * 0 0 0 TOTAL 2,510† 2,420† 70† 10† 10† ---in Maricopa County 1,270† 1,229 24 11 * ---in Pima County 340† 314 15 * * ---in Coconino County 290† 280 * * * ---elsewhere in Arizona 590† 556 22 7 * 2,477 2,379 70† 20† 10† Fort McDowell Yavapai Nation Reservation Fort Mohave Indian Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Navajo Nation Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation Non 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, 2015 Data Book Utilization of Medical Services Health Status Profile of American Indians in Arizona, 2015 Data Book 31 4.10 TRIMESTER OF PREGNANCY PRENATAL CARE BEGAN (2015 STATUS) Prenatal care TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 2nd trimester 3rd trimester Unknown 4,980† 210† 2,910† 1,230† 420† 210† Ak-Chin Indian Community 20† 0 12 * 0 * Cocopah Tribe 10† 0 7 0 * 0 Colorado River Indian Tribe 20† * * 6 * * Fort McDowell Yavapai Nation Reservation 20† * * * * * Fort Mohave Indian Tribe 10† * 0 * 0 * Gila River Indian Community 235 9 168 29 9 20 Havasupai Tribe 10† 0 * * 0 * 110† * 64 28 12 * 30† * 16 8 * * 0† 0 0 0 * 0 1,226 18 815 299 72 22 20† 0 10 * * * 87 10 46 17 7 7 San Carlos Apache Tribe 298 49 74 91 71 13 Tohono O'Odham Nation 126 10 46 49 14 7 White Mountain Apache Tribe 298 11 146 100 34 7 Yavapai-Apache Nation 10† * 6 * * 0 0† 0 * 0 0 0 2,510† 110† 1,420† 650† 230† 90† 1,266 41 781 293 101 50 336 30 176 80 31 19 290† * 186 70 20 9 586 23 348 141 38 36 2,477 100† 1,491 584 190 114 Hopi Tribe Hualapai Tribe Kaibab Indian Reservation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community 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, 2015 Data Book 4.11 NUMBER OF PRENATAL VISITS (2015 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 4,980† 210† 520† 1,210† 2,060† 930† 60† Ak-Chin Indian Community 20† 0 * * 8 * 0 Cocopah Tribe 10† 0 * * * * 0 Colorado River Indian Tribe 20† * 0 8 * * * Fort McDowell Yavapai Nation Reservation 20† * * * * * * Fort Mohave Indian Tribe 10† * * * * 0 0 Gila River Indian Community 235 9 16 28 133 45 * Havasupai Tribe 10† 0 * * 7 0 0 110† * 16 28 42 19 * 30† * 6 6 11 * 0 0† 0 0 * 0 0 0 1,226 18 84 256 593 265 10 20† 0 * * 6 * 0 87 10 9 26 25 12 * San Carlos Apache Tribe 298 49 69 85 55 32 8 Tohono O'Odham Nation 126 10 24 49 34 8 * White Mountain Apache Tribe 298 11 45 125 99 13 * Yavapai-Apache Nation 10† * * * * * 0 0† 0 0 0 * * 0 2,510† 110† 280† 630† 1,030† 410† 40† 1,266 41 124 288 548 255 10 336 30 43 96 111 54 * 290† * 23 56 131 75 0 586 23 45 138 239 135 6 2,477 100† 235 578 1,029 519 20† Hopi Tribe Hualapai Tribe Kaibab Indian Reservation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community 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, 2015 Data Book 33 4.12 OBSTETRIC PROCEDURES (2015 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation External cephalic version failed External cephalic version successful Tocolysis Cervical cerclage Augmentation of labor 4,980† 2,250† 1,300† 1,170† 10† 20† 10† 20† Ak-Chin Indian Community 20† * * 0 0 0 0 0 Cocopah Tribe 10† 6 * * 0 0 0 0 Colorado River Indian Tribe 20† * * 0 0 0 0 0 Fort McDowell Yavapai Nation Reservation 20† 6 * * 0 0 0 0 Fort Mohave Indian Tribe 10† * * * 0 0 0 0 Gila River Indian Community 235 78 63 33 0 0 0 0 Havasupai Tribe 10† * * * 0 0 0 0 Hopi Tribe 110† 49 28 27 0 * 0 * Hualapai Tribe 30 18 12 10 0 0 0 0 Kaibab Indian Reservation 0† * * * 0 0 0 0 Navajo Nation 1,230† 525 315 256 * * * 6 Pascua Yaqui Tribe 15 12 7 6 0 0 0 0 Salt River Pima-Maricopa Indian Community 87 36 20 17 0 0 0 0 San Carlos Apache Tribe 300† 107 62 50 0 * 0 * Tohono O'Odham Nation 130† 76 38 42 * * 0 0 White Mountain Apache Tribe 300† 150 65 83 0 * * * Yavapai-Apache Nation 10† 8 * * 0 0 0 0 0† * * 0 0 0 0 0 TOTAL 2,510† 1,090† 630† 540† 0† 10† 0† 10† ---in Maricopa County 1,270† 531 326 268 * * 0 8 ---in Pima County 340† 227 108 135 * * 0 0 ---in Coconino County 290† 147 91 79 0 0 * 0 ---elsewhere in Arizona 590† 263 147 149 0 * * * 2,480† 1,168 672 631 0† 10† 0† 10† 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, 2015 Data Book Cocopah Tribe 340† 240† 70† 30† 0† 10† 10† 30† 15 0† * * 0 0 0 0 0 0 0 0 0 0 0 8 10† 0 * 0 0 * * * * 0 0 0 0 0 Unplanned Hysterectomy Unplanned surgery following delivery 110† Admission to intensive care unit 160† Ruptured uterus 140† Third or fourth degree perineal laceration 290† Colorado River Indian Tribe 15 0† * * 0 0 0 * 0 0 0 0 0 0 0 Fort McDowell Yavapai Nation Reservation 16 10† 0 * * * 0 * 0 0 0 0 0 0 0 6 0† 0 * 0 0 0 0 0 0 0 0 0 0 0 235 50† 9 6 * 8 * 14 10 * 0 0 * * * Fort Mohave Indian Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Tribe Kaibab Indian Reservation Navajo Nation 10 0† * 0 * 0 0 * * 0 0 0 0 0 0 107 30† * 7 * 6 * * * * 0 * * * * 30 10† * * 0 * * * * 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,226 390† 131 87 41 36 32 75 59 20 11 * * * 13 Pascua Yaqui Tribe 15 10† * 0 * 0 * * 0 0 0 0 0 0 0 Salt River Pima-Maricopa Indian Community 87 20† * * * * * * * 0 0 0 0 0 0 298 90† 6 34 * 12 * 17 18 17 * 0 * * * San Carlos Apache Tribe Tohono O'Odham Nation 30† * * * * * 15 0 * 0 0 0 0 0 298 70† 6 15 24 13 * 17 * * 0 0 0 0 0 11 0† * * 0 * 0 0 0 0 0 0 0 0 0 * 0† 0 0 0 0 0 0 * 0 0 0 0 0 0 2,510† 710† 170† 170† 90† 90† 50† 160† 110† 50† 10† 0† 10† 10† 20† 1,266 90† 75 58 36 44 33 98 76 13 7 * * * 6 ---in Pima County 336 80† 18 34 * 8 14 25 8 0 * 0 0 0 * ---in Coconino County 289 140† 20 11 * 7 7 19 20 * 0 0 0 0 * 586 710† 31 18 12 18 10 40 28 6 * 0 0 * * 2,477 644 144 121 60† 77 64 182 132 20† 10† 0† 0† 0† 10† White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation Maternal transfusion Chorioamnionitis 310† Fetal intolerance Breech presentation Ak-Chin Indian Community Meconium staining of the amniotic fluid Prolonged labor 1,360† Premature rupture of the membranes Precipitous labor Resided on reservation Births with complications of labor and deliverya 4,980† TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Births with complications of labor and or delivery 4.13 COMPLICATIONS OF LABOR AND DELIVERY (2015 STATUS) ---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; complications of labor and/or delivery as each birth may be associated with multiple complications. Health Status Profile of American Indians in Arizona, 2015 Data Book a Complications of labor and/or delivery do not sum to the sum of births with 35 4.14 METHOD OF DELIVERY (2015 STATUS) Method of deliverya TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation C-Section Forceps Vacuum Unknown 4,980† 3,780† 1,130† 20† 70† 0 15 9 6 0 0 0 8 6 * 0 0 0 Colorado River Indian Tribe 15 10 * 0 0 0 Fort McDowell Yavapai Nation Reservation 16 11 * 0 0 0 6 * * 0 0 0 235 161 73 0 * 0 10 8 * 0 0 0 107 84 23 0 0 0 30 22 8 0 0 0 * 0 * 0 0 0 1,226 1,050 168 * * 0 Pascua Yaqui Tribe 15 13 * 0 0 0 Salt River Pima-Maricopa Indian Community 87 62 24 0 * 0 San Carlos Apache Tribe 298 201 80 * 15 0 Tohono O'Odham Nation 126 105 17 0 * 0 White Mountain Apache Tribe 298 216 76 0 6 0 11 9 * 0 0 0 * * * 0 0 0 2,510† 1,970† 500† 10† 30† 0 1,266 887 363 * 12 0 ---in Pima County 336 266 66 * * 0 ---in Coconino County 289 231 52 0 6 0 ---elsewhere in Arizona 586 420 149 * 15 0 2,477 1,804 630 10† 40† 0 Ak-Chin Indian Community Cocopah Tribe Fort Mohave Indian Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Tribe Kaibab Indian Reservation Navajo Nation Yavapai-Apache Nation Yavapai-Prescott Indian 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, 2015 Data Book 4.15 ATTENDANT AT BIRTH (2015 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Hospital admin Midwife D.O. Unknown Other 4,980† 2,990† 440† 1,490† 20† 0 50† 0 Ak-Chin Indian Community 20† 11 * 0 0 0 0 0 Cocopah Tribe 10† 6 0 * 0 0 0 0 Colorado River Indian Tribe 20† 13 * 0 0 0 0 0 Fort McDowell Yavapai Nation Reservation 20† 14 * * 0 0 0 0 6 6 0 0 0 0 0 0 Gila River Indian Community 235 177 52 6 0 0 0 0 Havasupai Tribe 10† * * * 0 0 * 0 110† 46 * 55 0 0 * 0 30† 10 17 * * 0 0 0 0† 0 0 0 0 0 * 0 1,230† 310 35 870 * 0 9 0 Pascua Yaqui Tribe 20† 13 0 * 0 0 0 0 Salt River Pima-Maricopa Indian Community 90† 65 * 18 0 0 * 0 San Carlos Apache Tribe 300† 255 36 * 0 0 * 0 Tohono O'Odham Nation 130† 125 * 0 0 0 0 0 White Mountain Apache Tribe 300† 188 97 * 0 0 12 0 10† 9 0 * 0 0 0 0 0† * 0 0 0 0 0 0 TOTAL 2,510† 1,260† 260† 970† 0† 0 30† 0 ---in Maricopa County 1,270† 846 88 324 * 0 7 0 340† 280 * 50 0 0 * 0 289 197 15 57 12 0 8 0 590† 413 72 97 0 0 * 0 2,477 1,736 180† 528 10† 0 20† 0 Fort Mohave Indian Tribe Hopi Tribe Hualapai Tribe Kaibab Indian Reservation Navajo Nation Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation C.N.M / C.M. M.D. ---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, 2015 Data Book 37 Newborn’s Health Health Status Profile of American Indians in Arizona, 2015 Data Book 39 4.16 GESTATIONAL AGE (2015 STATUS) Length of gestation TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 37-41 weeks 42+ weeks Unknown 4,980† 480† 4,460† 20† 30† 20† * 12 0 0 8 0 8 0 0 Colorado River Indian Tribe 20† * 13 0 * Fort McDowell Yavapai Nation Reservation 20† * 11 0 0 Fort Mohave Indian Tribe 10† * * 0 0 240† 36 196 * * Havasupai Tribe 10† * 9 0 0 Hopi Tribe 107 11 96 0 0 Hualapai Tribe 30 6 24 0 0 Kaibab Indian Reservation 0† 0 * 0 0 1,230† 84 1,135 * * Pascua Yaqui Tribe 20† * 13 0 0 Salt River Pima-Maricopa Indian Community 90† 15 70 * * San Carlos Apache Tribe 300† 52 236 * 8 Tohono O'Odham Nation 126 10 114 0 * White Mountain Apache Tribe 298 37 260 0 * Yavapai-Apache Nation 11 0 11 0 0 Yavapai-Prescott Indian Tribe 0† 0 * 0 0 1,270† 260† 2,220† 10† 20† 1,266 110 1,141 12 * ---in Pima County 340† 30 305 * 0 ---in Coconino County 290† 17 270 * * ---elsewhere in Arizona 590† 58 523 * * 2,477 215 2,239 20† 10† Ak-Chin Indian Community Cocopah Tribe Gila River Indian Community Navajo Nation TOTAL Resided off reservation <37 weeks ---in Maricopa County TOTAL Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 40 Health Status Profile of American Indians in Arizona, 2015 Data Book 4.17 WEIGHT AT BIRTH (2015 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 4,980† 30† 40† 300† 4,140† 470† 0† Ak-Chin Indian Community 20† 0 0 * 11 * 0 Cocopah Tribe 10† 0 0 0 6 * 0 Colorado River Indian Tribe 20† 0 0 * 11 * 0 Fort McDowell Yavapai Nation Reservation 20† 0 * * 12 * * Fort Mohave Indian Tribe 10† * 0 0 * 0 0 240† * * 26 176 31 0 10† 0 * * 6 * 0 110† 0 * 10 89 6 0 30† 0 * * 26 * 0 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Tribe Kaibab Indian Reservation 0† 0 0 0 * 0 0 1,230† * 6 56 1,047 111 * 15 0 0 0 15 0 0 90† * * * 74 6 0 San Carlos Apache Tribe 300† * * 30 238 24 0 Tohono O'Odham Nation 126 0 0 7 110 9 0 300† * * 27 248 16 0 Yavapai-Apache Nation 11 0 0 0 11 0 0 Yavapai-Prescott Indian Tribe 0† 0 0 0 * 0 0 2,510† 10† 20† 170† 2,090† 210† 0† 1,266 10 6 61 1,024 165 0 ---in Pima County 340† * * 17 287 27 0 ---in Coconino County 290† * * 13 255 17 0 ---elsewhere in Arizona 590† 6 * 41 488 49 0 2,477 20† 10† 132 2,054 258 0 Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Indian Community White Mountain Apache Tribe TOTAL Resided off reservation Weight at birth ---in Maricopa County TOTAL Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2015 Data Book 41 4.18 ABNORMAL CONDITIONS OF THE NEWBORN (2015 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe 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 4,980† 261 160† 60† 20† 140† 0† 10† 15 * 0 * 0 * 0 0 8 0 0 0 0 0 0 0 Colorado River Indian Tribe 15 * * 0 0 0 0 0 Fort McDowell Yavapai Nation Reservation 16 * * * 0 * 0 0 6 0 0 0 0 0 0 0 235 13 * * * 10 0 0 Fort Mohave Indian Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Tribe Kaibab Indian Reservation Navajo Nation 10 * * 0 0 * 0 0 107 * * * 0 * 0 0 30 * * * 0 * 0 0 * 0 0 0 0 0 0 0 1,226 54 37 9 * 19 * * Pascua Yaqui Tribe 15 * * 0 0 * 0 0 Salt River Pima-Maricopa Indian Community 87 * * * * * 0 0 San Carlos Apache Tribe 298 12 9 * 0 6 * 0 Tohono O'Odham Nation 126 0 0 0 0 0 0 0 White Mountain Apache Tribe 298 31 20 10 0 15 0 * 11 * * 0 0 0 0 0 Yavapai-Apache Nation Yavapai-Prescott Indian Tribe * 0 0 0 0 0 0 0 1,270† 130† 90† 30† 10† 60† 0† 0† ---in Maricopa County 336 68 32 15 8 41 0 * ---in Pima County 289 10 9 * 0 * 0 * 0 TOTAL Resided off reservation Births with abnormal conditions of the newborn TOTAL BIRTHS Abnormal conditionsa ---in Coconino County 586 18 7 * 0 14 0 ---elsewhere in Arizona 2,507 36 26 13 * 19 0 * TOTAL 2,477 132 74 30† 10† 80† 0 10† Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; a 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, 2015 Data Book 4.19 CONGENITAL ANOMALIES / BIRTH DEFECTS (2015 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community 50 0† 0† 0† 0† 0† 0† 0† 0† 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 0† 0 40† 15 0 0 0 0 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribe 15 * 0 0 0 0 0 0 0 0 0 0 * Fort McDowell Yavapai Nation Reservation 16 * 0 0 0 0 0 * 0 0 0 0 0 Cocopah Tribe Fort Mohave Indian Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Tribe Kaibab Indian Reservation 6 0 0 0 0 0 0 0 0 0 0 0 0 235 * 0 0 * 0 0 0 0 0 * 0 0 0 10 0 0 0 0 0 0 0 0 0 0 0 107 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 1,226 15 0 0 0 0 0 0 0 * 0 0 14 Pascua Yaqui Tribe 15 0 0 0 0 0 0 0 0 0 0 0 0 Salt River Pima-Maricopa Indian Community 87 0 0 0 0 0 0 0 0 0 0 0 0 San Carlos Apache Tribe 298 * 0 0 0 0 0 0 0 0 0 0 * Tohono O'Odham Nation 126 0 0 0 0 0 0 0 0 0 0 0 0 White Mountain Apache Tribe 298 * 0 0 0 0 0 0 * 0 0 0 * 11 * 0 0 * 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 2,510† 30† 0 0 0† 0 0 0† 0† 0† 0† 0 20† 1,266 11 0 * 0 0 * 0 * * 0 0 7 ---in Pima County 336 * * 0 0 * 0 0 0 * 0 0 0 ---in Coconino County 289 * 0 0 0 0 0 0 0 0 0 0 * Navajo Nation Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation 4,984 Anencephalus TOTAL BIRTHS Births with congenital anomalies Congenital anomalies of the newborna ---in Maricopa County ---elsewhere in Arizona TOTAL 586 7 0 0 0 0 0 0 0 0 0 0 7 2,477 20† 0† 0† 0 0† 0† 0 0† 0† 0 0 20† Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; a Congenital anomalies do not sum to the number of births with congenital anomalies as each birth may be associated with multiple congenital anomalies. Health Status Profile of American Indians in Arizona, 2015 Data Book 43 4.20 CAUSES OF INFANT DEATHS AMONG AMERICAN INDIAN RESIDENTS, ARIZONA, 2015 Total ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County Total White Mountain Apache Tribe San Carlos Apache Tribe Salt River Pima-Maricopa Indian Community Navajo Nation Hopi Tribe Havasupai Tribe Gila River Indian Community Fort Mohave Indian Tribe TOTAL STATE Resided off reservation Total, all causes 39 0† 0† 0† 0† 10† 0† 0† 0† 20† 10† 0† 0† 10† 20† Certain conditions originating in the perinatal period 15 * * 0 0 * 0 * * 10† * * * * 10† 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0† 0† * 0 0 0 0 0 0 0 0† 0 0 0 0 0 Short gestation and low birth weight 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† 10† 0 * 0 0 * * 0 0 0† * * * * 10† 10† 0 0 0 0 * * 0 0 0† 0 0 * * 0† 0† 0 0 0 0 0 0 0 0 0 0 * 0 0 0† Sudden infant death syndrome 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† 10† 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 Mechanical suffocation 0† 0 0 0 0 0 0 0 0 0 0 0 0 * 0† Maternal complications Complications of placenta, cord and membrane Congenital malformations of heart of brain, spinal cord or nervous system Infectious and parasitic diseases 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, 2015 Data Book Total births Mother's age group <15 Unknown Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa La Paz Greenlee Graham Gila Coconino Cochise 4,984 720† 10† 610† 200† 120† 10† 50† 1,410† 70† 860† 480† 350† 0† 50† 0† 1 10† * 0 * 0 * 0 0 * 0 * * 0 0 0 0 0 15-17 180† 25 0 20 9 * 0 * 44 * 45 14 8 0 * * 0 18-19 390† 37 0 53 20 11 0 6 105 7 60 47 29 0 7 * 0 20-24 1,510† 200 * 175 64 47 * 17 418 28 272 139 113 0 14 11 0 25-29 1,470† 210 * 183 64 33 0 17 433 15 237 148 96 * 18 13 * 30-34 860† 140 * 100 29 7 * 7 255 11 145 82 66 0 9 * 0 35-39 460† 85 * 65 13 9 * * 129 * 79 39 32 0 * * 0 40-44 110† 22 0 16 * * 0 * 25 * 25 7 * 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 AHCCCS 3,290† 489 7 485 95 37 * 34 868 52 722 243 200 * 32 26 * IHS 1,030† 180 0 35 85 61 0 14 323 8 54 161 98 0 8 * 0 Private insurance 550† 40 * 82 18 15 * * 193 * 67 60 46 0 11 * 0 Self-pay 100† 11 * 10 * * 0 0 27 * 18 11 * 0 0 * 0 20† * 0 * * 0 0 * * 0 * * * 0 0 0 0 45+ Unknown 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, 2015 Unknown Mother's education 8th Grade or Less 110† * * * * 8 0 * 39 * 7 18 17 0 * * 0 Some High School 1,280† 122 0 112 76 23 0 19 336 20 253 160 129 * 11 13 0 High School / GED 1,670† 235 * 244 61 66 * 22 398 33 308 142 120 0 17 12 * Some College 1,340† 230 6 165 53 16 * 7 438 11 214 111 61 0 16 * 0 Marital status Associate Degree 360† 83 * 55 * * 0 * 112 * 51 26 11 0 * 6 0 Bachelor's Degree 160† 30 0 25 * 0 0 * 58 * 19 14 8 0 * 0 0 Postgraduate Education 60† 16 0 8 0 0 0 0 24 0 10 * * 0 * 0 0 Unknown 20† * 0 0 * * 0 * 7 0 * * * 0 0 0 0 Married 950† 142 * 128 33 17 * 8 297 13 168 56 52 0 14 10 0 3,970† 575 6 473 166 98 * 45 1,094 56 685 416 288 * 34 27 * 70† 6 0 13 * * 0 0 21 0 11 * 8 0 * 0 0 None 1,160† 178 * 150 47 28 * 11 313 19 213 116 56 0 15 7 0 1-15 pounds 1,460† 233 * 189 56 44 * 14 394 18 258 138 83 0 18 13 0 31+ pounds 2,330† 308 6 274 98 44 * 28 698 32 388 214 205 * 18 14 * 30† * 0 * 0 0 0 0 7 0 * 9 * 0 0 * 0 4,790† 715 11 598 193 111 6 43 1,372 64 827 450 324 * 46 32 * 140† * 0 8 8 * 0 7 26 * 30 20 19 0 * * 0 Heavy Smoker 30† * 0 * 0 0 0 * 12 * * * * 0 * * 0 Unknown 20† * 0 7 0 0 0 * * * * * 0 0 0 0 0 0 Unmarrieda Unknown Weight gain Unknown Substance use Non Smoker Light Smoker Length of gestation <37 weeks 480† 39 * 42 35 19 * * 135 12 96 42 50 0 * * 4,460† 679 9 569 160 93 * 48 1,258 57 764 432 295 * 50 35 * 42+ weeks 20† * 0 * * * 0 0 14 0 0 * * 0 0 0 0 Unknown 30† * 0 * * * 0 * * 0 * * * 0 0 * 0 37-41 weeks Health Status Profile of American Indians in Arizona, 2015 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 Total proceduresb 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† 40† 300† 4,143 470† 0† 210† 2,910† 1,230† 420† 210† 210† 520† 1,210† 2,060† 930† 60† 300† 4,690† 3,780† 1,130† 20† 70† 0 2,250† 1,300† 1,170† 10† 20† 10† 20† 1,760† 140† 720† 70† 510† 20† 250† 80† 30† 10† 350† 0† 10† 0 * 30 623 65 * 9 482 188 35 9 9 40 158 380 132 * 12 711 651 70 * * 0 304 180 140 0 * * * 256 15 82 6 70 * 47 16 6 * 63 0 0 0 0 * 10 0 0 0 7 * 0 0 0 0 * * * 0 0 11 8 * 0 0 0 * * * 0 0 0 0 * 0 0 0 0 0 0 0 0 0 * 0 0 * * 30 531 45 0 10 399 149 37 19 10 46 127 268 159 * 19 595 496 108 * 6 0 292 181 151 * 0 * * 213 16 95 14 45 * 20 10 6 0 53 0 0 * * 23 157 16 0 29 60 61 43 8 29 46 52 46 24 * 20 181 127 63 * 9 0 56 30 28 0 * 0 * 61 * 15 * 24 * 7 * * * 15 0 0 * * 8 96 10 0 20 24 35 31 6 20 28 36 16 11 * 6 110 84 24 0 8 0 58 36 26 0 * 0 0 38 * 6 * 14 0 * 0 * 0 10 0 0 0 0 0 6 0 0 * * * 0 0 * 0 * * * 0 0 6 * * 0 0 0 * * * 0 0 0 0 * 0 * 0 * 0 0 0 0 0 0 0 0 * 0 * 42 8 0 * 9 16 6 19 * * 22 15 6 * * 49 41 12 0 0 0 11 10 * 0 0 0 0 10 * 6 * * 0 0 0 * 0 * 0 * 12 9 69 1,143 178 * 54 853 324 116 65 54 141 323 592 280 22 104 1,308 993 402 * 13 0 594 362 301 * * 0 8 505 39 276 13 134 * 46 20 7 * 69 * * * * 8 54 * 0 * 29 24 7 * * 10 19 24 10 * 6 63 40 23 * * 0 37 27 17 0 0 0 0 14 * 0 * * * * 0 * 0 * 0 0 7 8 64 728 55 * 21 513 227 82 21 21 106 242 338 148 9 58 806 656 197 * 10 0 412 209 229 * * * 6 340 26 122 13 118 * 58 14 * * 71 0 0 * * 24 412 36 0 40 232 132 46 27 40 70 149 151 64 * 22 455 384 85 * 6 0 315 153 183 * * 0 0 171 15 61 11 56 * 40 6 * * 38 * * * 0 38 266 43 0 15 249 52 8 24 15 16 56 189 69 * 44 304 230 115 0 * 0 115 82 59 0 0 0 0 128 14 52 * 41 * 16 7 * 0 21 0 * 0 0 0 0 * 0 0 * 0 0 0 0 0 * 0 0 0 0 * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 45 * 0 * 32 9 * * * * 7 20 17 0 * 49 34 14 0 * 0 29 22 10 0 0 0 0 11 0 * * * 0 * 0 0 0 * 0 * 0 0 0 30 7 0 * 19 9 * * * * 12 13 6 0 * 36 25 11 0 * 0 22 8 17 0 0 0 0 13 * * * * 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, 2015 0 0 0 0 * 0 0 * 0 0 0 0 0 0 * 0 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, 2015 Data Book Births with Total complications of Premature rupture of the membranes labor and deliveryb Precipitous labor Unknown Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa La Paz Greenlee Graham Gila * 170 72 19 0 * 373 18 226 127 74 0 13 19 * 85 0 45 6 * 0 * 79 * 50 21 16 0 * * 0 290† 72 0 20 27 8 0 * 63 * 36 38 12 0 * * 0 Prolonged labor 140† 28 0 19 * * 0 0 42 * 37 * * 0 * 0 * Breech presentation 160† 11 0 19 10 * 0 0 51 * 44 11 9 0 * 0 0 Chorioamnionitis 110† 17 0 16 * 0 0 0 37 * 12 18 8 0 0 * 0 Meconium staining of the amniotic fluid 340† 43 * 44 14 * 0 * 107 * 52 43 17 0 * 6 * Fetal intolerance 240† 25 0 40 18 * 0 * 81 * 29 8 17 0 * 10 0 Maternal transfusion 70† 9 0 10 14 * 0 0 13 0 9 * * 0 0 * 0 Third or fourth degree perineal laceration 30† * 0 * * 0 0 0 7 0 * * 0 0 * 0 0 0† 0 0 * 0 0 0 0 * 0 * 0 0 0 0 0 0 Unplanned Hysterectomy 10† * 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 Unplanned surgery following delivery 30† * 0 9 * * 0 0 6 0 * * * 0 0 0 0 Total 260† 26 0 40 12 * 0 8 75 8 55 11 21 0 * * 0 Assisted ventilation immediately after delivery 160† 16 0 20 9 * 0 8 37 * 40 10 9 0 * * 0 60† 20† * * 0 0 * 0 * 0 * * 0 0 * 0 20 10 * * 16 * * 0 6 * 0 0 0 0 * 0 0 0 140† 13 0 22 6 * 0 0 47 6 27 * 14 0 0 0 0 0† 0 0 * * 0 0 0 0 0 0 0 0 0 0 0 0 0 Suspected neonatal sepsis Seizure or serious neurologic dysfunction Significant birth injury 10† * 0 * 0 0 0 0 * 0 * * 0 0 0 0 Total 50† 13 0 * * * 0 * 12 0 6 * * 0 * 0 0 Anencephalus 0† 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 Spina bifida / Meningocele 0† 0 0 0 0 0 0 0 * 0 0 0 0 0 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 Omphalocele / Gastroschisis 0† 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 Limb reduction defect 0† 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 Cleft lip / palate 0† 0 0 0 0 0 0 0 * 0 * 0 0 0 0 0 0 Down syndrome Suspected chromosomal disorder 0† 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 * 0 * 0 0 * 0 0 0 0 0 0 0 0 0 Hypospadias Infant mortalityc Coconino 239 310† Assisted ventilation for more than 6 hours Surfactant replacement therapy Congenital anomalies of the newbornb Cochise 1,360† Ruptured uterus Abnormal conditions of the newbornb Apache Total State 4.21 (continued) COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2015 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Unknown congenital anomalies 40† 13 0 * * * 0 * 7 0 * 0 0 0 0 0 0 Total 40† 0† 0 10† 0† 0 0 0† 10† 0† 10† 0† 0† 0 0† 0 0 Neonatal 20† * 0 * * 0 0 0 * * * * * 0 0 0 0 Postneonatal 20† * 0 * 0 0 0 * 7 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 The coding of marital status has changed as such unmarried category includes divorced; 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, 2015 Data Book 47 V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2015 Health Status Profile of American Indians in Arizona, 2015 Data Book 49 AGE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2015 Data Book 51 5.1 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIANS IN 2015 25-34 35-44 45-54 55-64 65-74 75-84 85+ 40† 20† 20† 80† 200† 190† 330† 340† 340† 320† 270† 10† 0 0 * * 0 * * * * 0 0 0† 0 0 0 0 0 0 0 * 0 0 0 Colorado River Indian Tribe 10† 0 0 0 0 0 0 * * * * * Fort McDowell Yavapai Nation Reservation 10† 0 0 0 * * 0 0 * * 0 0 Fort Mohave Reservation 10† * 0 0 0 0 * * 0 * 0 * 120† * * * * 11 15 26 19 18 12 7 Havasupai Tribe 10† * 0 0 * 0 * * * 0 0 0 Hopi Tribe 70† * * * * 7 8 6 11 10 11 12 Hualapai Tribe 20† 0 * 0 * * 0 * * * * * Navajo Nation 700† 8 * 8 23 61 62 82 88 108 129 127 Pascua Yaqui Tribe 10† 0 0 0 0 * * * * 0 0 0 Salt River Pima-Maricopa Indian Community 50† * * 0 * * * 10 9 * 8 * San Carlos Apache Tribe 120† * * 0 * 9 7 23 20 16 25 7 Tohono O'Odham Nation 80† 0 0 * * * * 20 17 12 14 8 120† * 0 * * 12 8 25 19 19 17 9 10† 0 0 0 0 0 * 0 * * * * 0† 0 0 0 0 0 0 * 0 0 * 0 1,310† 20† 10† 10† 50† 120† 110† 200† 190† 200† 220† 180† ---in Maricopa County 280† 7 * * 14 26 34 51 55 43 23 22 ---in Pima County 150† * * * * 11 8 26 30 24 19 18 80† * 0 0 6 12 7 8 10 12 13 11 ---elsewhere in Arizona 320† 6 * * 12 34 29 42 53 54 39 44 TOTAL 830† 20† 10† 10† 40† 83 78 127 148 133 94 95 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe Gila River Indian Community White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL Resided off reservation ---in Coconino County <1 1-4 5-14 2,140† TOTAL 15-24 Age group Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 52 Health Status Profile of American Indians in Arizona, 2015 Data Book 5.2 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN MALES IN 2015 55-64 65-74 75-84 85+ 10† 10† 60† 130† 130† 200† 200† 170† 150† 100† 0† 0 0 0 * 0 * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribe 0† 0 0 0 0 0 0 * 0 * 0 0 Fort McDowell Yavapai Nation Reservation 0† 0 0 0 0 0 0 0 0 * 0 0 Fort Mohave Reservation 0† * 0 0 0 0 * * 0 * 0 0 60† * 0 * * * 6 14 11 8 * * Ak-Chin Indian Community Cocopah Tribe Gila River Indian Community Havasupai Tribe 1-4 <1 0† 0 0 0 0 0 0 0 * 0 0 0 Hopi Tribe 40† * * * * * * * 7 6 * * Hualapai Tribe 10† 0 * 0 * * 0 0 * * * 0 Navajo Nation 420† 6 * * 20 47 45 58 61 63 65 47 0† 0 0 0 0 * * * 0 0 0 0 Salt River Pima-Maricopa Indian Community 30† * * 0 * * * 6 9 * * * San Carlos Apache Tribe 60† 0 * 0 * 6 * 12 11 8 14 * Tohono O'Odham Nation 40† 0 0 0 * * * 13 8 * * * White Mountain Apache Tribe 50† * 0 * * 6 * 15 13 * * * 0† 0 0 0 0 0 * 0 0 * * * Pascua Yaqui Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation 35-44 45-54 Resided on reservation 25-34 20† ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 5-14 1,190† TOTAL 15-24 Age group 0† 0 0 0 0 0 0 * 0 0 * 0 TOTAL 730† 10† 10† 10† 40† 80† 70† 130† 120† 100† 100† 60† ---in Maricopa County 150† * 0 * 9 15 22 28 24 18 14 8 ---in Pima County 80† * * * * * 7 16 16 13 10 * ---in Coconino County 50† * 0 0 * 10 * * * 7 9 6 ---elsewhere in Arizona 190† * * * 9 21 22 27 33 29 19 21 TOTAL 460† 10† 0† 0† 30† 50† 60† 80† 80† 67 52 40† Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2015 Data Book 53 5.3 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN FEMALES IN 2015 55-64 65-74 75-84 85+ 10† 10† 20† 70† 60† 120† 140† 170† 160† 170† Ak-Chin Indian Community 0† 0 0 * 0 0 * 0 * * 0 0 Cocopah Tribe 0† 0 0 0 0 0 0 0 * 0 0 0 Colorado River Indian Tribe 0† 0 0 0 0 0 0 0 * 0 * * Fort McDowell Yavapai Nation Reservation 1-4 <1 10† 0 0 0 * * 0 0 * * 0 0 0† 0 0 0 0 0 0 0 0 0 0 * 60† * * 0 * 6 9 12 8 10 8 * 0† * 0 0 * 0 * * 0 0 0 0 Hopi Tribe 30† 0 0 0 0 * * * * * 8 9 Hualapai Tribe 10† 0 0 0 * * 0 * * * 0 * Navajo Nation 280† * * * * 14 17 24 27 45 64 80 0† 0 0 0 0 * 0 0 * 0 0 0 Salt River Pima-Maricopa Indian Community 20† 0 0 0 0 * 0 * 0 * 6 * San Carlos Apache Tribe 50† * * 0 0 * * 11 9 8 11 * Tohono O'Odham Nation 40† 0 0 * 0 * * 7 9 7 9 6 White Mountain Apache Tribe 70† * 0 0 * 6 * 10 6 15 13 7 Yavapai-Apache Nation 0† 0 0 0 0 0 0 0 * * 0 0 Yavapai-Prescott Indian Tribe 0† 0 0 0 0 0 0 * 0 0 0 0 TOTAL 580† 10† 0† 10† 10† 40† 40† 70† 70† 100† 120† 120† ---in Maricopa County 130† * * 0 * 11 12 23 31 25 9 14 ---in Pima County 70† * * 0 * 6 * 10 14 11 9 14 ---in Coconino County 30† 0 0 0 * * * * 7 * * * ---elsewhere in Arizona 130† * * * * 13 7 15 20 25 20 23 TOTAL 370† 10† 10† 0† 10† 30† 20† 50† 72 70† 40† 60† Fort Mohave Reservation Gila River Indian Community Havasupai Tribe Pascua Yaqui Tribe Resided off reservation 35-44 45-54 Resided on reservation 25-34 20† ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 5-14 950† TOTAL 15-24 Age group Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 54 Health Status Profile of American Indians in Arizona, 2015 Data Book CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2015 Data Book 55 5.4 DEATHS BY GENDER FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2015 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Total, all causes MALE FEMALE 2,140 1,187 953 0† 0 * 0 0 0 10† * 9 10† * * 0† * * Respiratory tuberculosis 0† 0 * Other tuberculosis 0† * 0 Whooping cough 0 0 0 Scarlet fever and erysipelas 0 0 0 Meningococcal infection 0 0 0 33 14 19 Syphilis 0 0 0 Acute poliomyelitis 0 0 0 Arthropod-borne encephalitis 0 0 0 Measles 0 0 0 14 6 8 Salmonella infections Shigellosis and amebiasis Certain other intestinal infections Enterocolitis due to Clostridium difficile Tuberculosis Septicemia Viral hepatitis Human immunodeficiency virus (HIV) disease Malaria 10† * * 0 0 0 Other and unspecified infectious and parasitic diseases 10† * * Malignant neoplasms 258 125 133 Malignant neoplasm of lip, oral cavity and pharynx 10† * * Malignant neoplasm of esophagus 10† * * Malignant neoplasm of stomach 10† * 7 29 17 12 Malignant neoplasm of colon, rectum and anus Malignant neoplasm of liver and intrahepatic bile ducts Malignant neoplasm of pancreas Malignant neoplasm of larynx 32 19 13 10† * 10 0 0 0 Malignant neoplasm of trachea, bronchus and lung 16 8 8 Malignant melanoma of skin 0† 0 * Malignant neoplasm of breast 16 0 16 Malignant neoplasm of cervix uteri 0† 0 * 6 0 6 10 0 10 0 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 18 18 20† 14 * 0† * 0 Health Status Profile of American Indians in Arizona, 2015 Data Book 5.4 (continued) DEATHS BY GENDER FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2015 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Malignant neoplasm of meninges, brain and other parts of CNS Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin's disease TOTAL MALE FEMALE 10† * * 27 13 14 0† * * Non-Hodgkin's lymphoma 10† * 6 Leukemia 10† 6 * Multiple myeloma and immunoproliferative neoplasms 10† * * Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm In situ neoplasms 0 0 0 42 18 24 * 10† * Anemias 0† * * Diabetes 164 85 79 Nutritional deficiencies 10† * * 10† * * 0† 0 * 10† * * Meningitis 0† * * Parkinson's disease 14 8 6 Malnutrition Other nutritional deficiencies Obesity Alzheimer's disease Major cardiovascular diseases Diseases of heart 34 13 21 339 183 156 101 245 144 Acute rheumatic fever and chronic rheumatic heart disease 0† * * Hypertensive heart disease 20 14 6 Hypertensive heart and renal disease 0† * * 145 87 58 Acute myocardial infarction 36 23 13 Other acute ischemic heart disease 0† * * 106 62 44 32 25 7 Ischemic heart disease Other forms of chronic ischemic heart disease Atherosclerotic cardiovascular disease All other forms of chronic ischemic heart disease 74 37 37 75 41 34 Acute and subacute endocarditis 0† 0 * Diseases of pericardium and acute myocarditis 0† * 0 10† 7 * 29 Other heart diseases Heart failure 62 33 Essential (primary) hypertension and hypertensive renal disease All other forms of heart disease 29 11 18 Cerebrovascular diseases 60 25 35 Health Status Profile of American Indians in Arizona, 2015 Data Book 57 5.4 (continued) DEATHS BY GENDER FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2015 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† * * Other disease of arteries, arterioles and capillaries 0† * * Other disorders of circulatory system 0† * * Influenza and pneumonia 42 20 22 Influenza 0† * * Pneumonia 39 19 20 Other acute lower respiratory infections 0 0 0 Acute bronchiolitis 0 0 0 Unspecified acute lower respiratory infection 0 0 0 31 16 15 Chronic lower respiratory diseases Bronchitis, chronic and unspecified 0 0 0 Emphysema 0† * * Asthma 0† * * Other chronic lower respiratory diseases 25 13 12 Pneumoconioses and chemical effects 0† * 0 Pneumonitis due to solids and liquids 19 8 11 Other disease of respiratory system 41 29 12 Peptic ulcer 0† * 0 0 0 0 0† 0 * 193 107 86 172 96 76 21 11 10 Cholelithiasis and other disorders of gallbladder 0† 0 * Nephritis, nephrotic syndrome and nephrosis 34 13 21 0 0 0 Diseases of appendix Hernia Chronic liver disease and cirrhosis Alcoholic liver disease Other chronic liver disease and cirrhosis Acute and rapidly progressive nephritic and nephrotic syndrome Chronic glomerulonephritis Renal failure Others disorders of kidney 10† * * 29 10 19 0 0 0 0† * * Hyperplasia of prostate 0 0 0 Inflammatory diseases of female pelvic organs 0 0 0 0† 0 * Infections of kidney Pregnancy, childbirth and the puerperium 58 TOTAL Health Status Profile of American Indians in Arizona, 2015 Data Book 5.4 (continued) DEATHS BY GENDER FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2015 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 * 15 8 7 Congenital anomalies, deformations and chromosomal abnormalities 17 10 7 Symptoms, signs, abnormal findings 91 55 36 355 242 113 163 106 57 154 100 54 0† * * 10† * * Total accidents Transport accidents Motor vehicle accidents Other land transport accidents Water, air, space Nontransport accidents 192 136 56 Falls 31 16 15 Accidental discharge of firearms 0† * 0 Accidental drowning and submersion 0† * 0 10† * * Accidental poisoning 90 68 22 Excessive natural heat 0† * * Excessive natural cold 10† 11 * 61 44 17 16 Accidental exposure to smoke, fire and flames Other and unspecified nontransport accidents Intentional self-harm (suicide) By discharge of firearms By other means Assault (homicide) 58 42 10† 8 * 47 34 13 45 36 9 By discharge of firearms 20† 16 * By other means 30† 20 * Legal intervention 0 0 0 10† 7 * 0† * 0 Events of undetermined intent Discharge of firearms Other and unspecified events of undetermined intent 10† 6 * 0 0 0 Complications of medical and surgical care 0† * 0 INJURY BY FIREARMS 33 26 7 DRUG-INDUCED DEATHS 42 29 13 281 182 99 Operations of war ALCOHOL-INDUCED DEATHS Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2015 Data Book 59 Total, all causes 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 2,140 39 16 18 84 199 191 327 342 335 315 274 0† * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† * 0 0 0 0 * 0 * * * * 10† 0 0 0 0 0 * 0 * * * * 0† 0 0 0 0 0 0 0 0 * 0 * Respiratory tuberculosis 0† 0 0 0 0 0 0 0 0 * 0 0 Other tuberculosis 0† 0 0 0 0 0 0 0 0 0 0 * Whooping cough 0 0 0 0 0 0 0 0 0 0 0 0 Scarlet fever and erysipelas 0 0 0 0 0 0 0 0 0 0 0 0 Meningococcal infection 0 0 0 0 0 0 0 0 0 0 0 0 30† * 0 * 0 * 0 * 11 7 * * Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 Arthropod-borne encephalitis 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis 10† 0 0 0 0 0 0 * * * 0 0 Human immunodeficiency virus (HIV) disease 10† 0 0 0 * * * 0 * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† * * 0 0 * 0 0 * 0 0 * 260† 0 * * * 8 12 30 49 63 62 30 Malignant neoplasm of lip, oral cavity and pharynx 10† 0 0 0 0 0 * * 0 * 0 0 Malignant neoplasm of esophagus 10† 0 0 0 0 0 * 0 * 0 * * Malignant neoplasm of stomach 10† 0 0 0 0 * * 0 * * * 0 Malignant neoplasm of colon, rectum and anus 30† 0 0 0 0 * * 6 6 * * * Malignant neoplasm of liver and intrahepatic bile ducts 30† 0 0 0 0 0 * * 8 8 9 * Malignant neoplasm of pancreas 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† 0 0 0 0 0 0 0 0 * 0 * 20† 0 0 0 0 * * * * * * * 0† 0 0 0 0 0 0 0 0 * * 0 Malignant neoplasm of corpus uteri and uterus, part unspecified 10† 0 0 0 0 0 0 * * * 0 * Malignant neoplasm of ovary 10† 0 0 0 0 0 0 * * * 0 0 Malignant neoplasm of prostate 20† 0 0 0 0 0 0 0 * * 8 * Salmonella infections Shigellosis and amebiasis Certain other intestinal infections Enterocolitis due to Clostridium difficile Tuberculosis Septicemia Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin Malignant neoplasm of breast Malignant neoplasm of cervix uteri 60 <1 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL 5.5 DEATHS BY AGE GROUP FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2015 Health Status Profile of American Indians in Arizona, 2015 Data Book Malignant neoplasm of kidney and renal pelvis 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 <1 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL 5.5 (continued) DEATHS BY AGE GROUP FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2015 20† 0 0 0 0 0 * 0 * 7 * * 0† 0 0 0 0 0 0 0 0 * 0 0 Malignant neoplasm of meninges, brain and other parts of CNS 10† 0 0 * * 0 0 0 0 * * 0 Malignant neoplasm of lymphoid, hematopoietic and related tissue 30† 0 * 0 * * * * * * 9 * 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 40† 0 0 0 0 * * * 12 10 8 * 10† 0 0 0 0 0 * 0 0 * * * Anemias 0† 0 0 0 0 0 0 0 * 0 * * Diabetes 160† 0 0 0 0 * 8 29 41 48 23 13 Malignant neoplasm of bladder Hodgkin's disease Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm In situ neoplasms Nutritional deficiencies Malnutrition Other nutritional deficiencies Obesity 10† 0 0 0 0 0 0 0 * * * * 10† 0 0 0 0 0 0 0 * * * * 0† 0 0 0 0 0 0 0 0 0 * 0 10† 0 0 0 0 * * * * * 0 0 Meningitis 0† 0 0 0 0 0 0 * * * 0 0 Parkinson's disease 14 0 0 0 0 0 0 0 0 0 8 6 17 Alzheimer's disease Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease Hypertensive heart and renal disease Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease 30† 0 0 0 0 0 0 0 0 * 14 340† 0 * 0 6 10 14 44 60 66 70 68 250† 0 * 0 6 9 11 34 40 47 51 46 0† 0 0 0 0 0 0 * * 0 0 0 20† 0 0 0 0 * * * * * * * 0† 0 0 0 0 0 0 * 0 * * 0 150† 0 0 0 0 0 * 15 29 33 34 29 40† 0 0 0 0 0 * * 11 6 12 * 0† 0 0 0 0 0 0 * * 0 0 * 26 110† 0 0 0 0 0 * 12 17 27 22 Atherosclerotic cardiovascular disease 30† 0 0 0 0 0 * 6 6 13 * * All other forms of chronic ischemic heart disease 70† 0 0 0 0 0 * 6 11 14 18 24 Other heart diseases 80† 0 * 0 6 8 * 14 8 11 11 13 Acute and subacute endocarditis 0† 0 0 0 0 * 0 0 0 0 * 0 Diseases of pericardium and acute myocarditis 0† 0 0 0 0 0 0 0 * 0 0 0 Heart failure 10† 0 0 0 0 * 0 * 0 * * * All other forms of heart disease 60† 0 * 0 6 6 * 13 7 10 7 9 Health Status Profile of American Indians in Arizona, 2015 Data Book 61 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 Essential (primary) hypertension and hypertensive renal disease 30† 0 0 0 0 0 0 * 12 7 * * Cerebrovascular diseases 60† 0 0 0 0 * * 6 8 11 14 17 Atherosclerosis 0† 0 0 0 0 0 0 * 0 0 0 0 Other diseases of circulatory system 0† 0 0 0 0 0 0 * 0 * * * Aortic aneurysm and dissection 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 * Other disorders of circulatory system Influenza and pneumonia Influenza 0† 0 0 0 0 0 0 0 * * 0 * 40† 0 0 0 0 * * * * * 11 18 0† 0 0 0 0 0 0 0 * 0 * 0 40† 0 0 0 0 * * * * * 9 18 Other acute lower respiratory infections 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 Unspecified acute lower respiratory infection 0 0 0 0 0 0 0 0 0 0 0 0 30† 0 0 * 0 0 0 * * 11 6 * 0 0 0 0 0 0 0 0 0 0 0 0 Emphysema 0† 0 0 0 0 0 0 0 0 0 * * Asthma 0† 0 0 * 0 0 0 * 0 0 0 0 Pneumonia Chronic lower respiratory diseases Bronchitis, chronic and unspecified Other chronic lower respiratory diseases Pneumoconioses and chemical effects 30† 0 0 0 0 0 0 * * 11 * * 0† 0 0 0 0 0 0 0 0 0 0 * Pneumonitis due to solids and liquids 20† 0 0 0 0 * 0 * * * * 7 Other disease of respiratory system 40† 0 0 0 0 0 * * 6 18 7 6 Peptic ulcer Diseases of appendix Hernia 0† 0 0 0 0 0 0 * 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 * 0 0 0 0 190† 0 0 0 * 15 39 74 37 19 * * 170† 0 0 0 * 15 35 68 31 14 * * 20† 0 0 0 0 0 * 6 6 * 0 0 0† 0 0 0 0 0 0 0 0 * * 0 30† 0 0 0 0 0 * * * 6 12 7 0 0 0 0 0 0 0 0 0 0 0 0 Chronic glomerulonephritis 10† 0 0 0 0 0 0 0 0 * * * Renal failure 30† 0 0 0 0 0 * * * * 11 * 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 * * * 0 0 0 0 0 0 0 0 0 0 0 0 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 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, 2015 Health Status Profile of American Indians in Arizona, 2015 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 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, 2015 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 * * 0 0 0 0 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 15 0 0 0 0 0 0 0 0 0 Congenital anomalies, deformations and chromosomal abnormalities 20† 10 * * * * * 0 0 0 0 0 Symptoms, signs, abnormal findings 90† * * 0 * 13 12 13 * 13 10 14 360† * 7 8 29 80 66 62 51 13 19 17 160† * * 7 20 45 29 26 25 * * 0 150† * * 6 19 44 28 24 25 * * 0 0† 0 0 0 * * 0 0 0 * 0 0 10† 0 0 * 0 0 * * 0 * 0 0 190† * * * 9 35 37 36 26 8 18 17 Total accidents Transport accidents Motor vehicle accidents Other land transport accidents Water, air, space Nontransport accidents Falls 30† 0 0 0 * * * * 7 * * 11 Accidental discharge of firearms 0† 0 0 0 * 0 0 0 0 0 0 0 Accidental drowning and submersion 0† 0 0 0 0 * 0 * * 0 0 0 Accidental exposure to smoke, fire and flames 10† 0 0 0 * 0 * * 0 * 0 0 Accidental poisoning 90† 0 0 * * 23 27 19 12 * * 0 Excessive natural heat 0† 0 0 0 0 0 0 * * 0 * 0 Excessive natural cold 10† 0 0 0 0 0 * * * * * * Other and unspecified nontransport accidents 60† * * 0 * 9 8 11 6 * 9 6 60† 0 0 * 22 17 8 8 * 0 0 0 10† 0 0 0 * * * * 0 0 0 0 Intentional self-harm (suicide) By discharge of firearms By other means 50† 0 0 * 19 14 * 6 * 0 0 0 50† 0 0 * 8 19 8 * * * * 0 By discharge of firearms 20† 0 0 * * 6 * * * 0 * 0 By other means 30† 0 0 0 * 13 * * * * 0 0 Legal intervention 0 0 0 0 0 0 0 0 0 0 0 0 Assault (homicide) Events of undetermined intent 10† 0 0 0 * * * * * * 0 0 0† 0 0 0 * 0 0 0 0 0 0 0 10† 0 0 0 0 * * * * * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 * 0 0 0 0 INJURY BY FIREARMS 30† 0 0 * 10 9 6 * * 0 * 0 DRUG-INDUCED DEATHS 40† 0 0 0 * 14 13 9 * 0 0 0 280† 0 0 * 6 39 55 97 50 22 10 * 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, 2015 Data Book 63 5.6 DEATHS BY RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2015 Certain other intestinal infections Enterocolitis due to Clostridium difficile Tuberculosis Yavapai-Prescott Indian Tribe Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Nation San Carlos Apache Tribe Salt River Pima-Maricopa Indian Community Fort Mohave Reservation 118 5 69 19 698 5 48 115 81 119 6 3 1,310† 279 148 81 319 0 * 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 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 in Coconino County in Pima County Total Navajo Nation Hopi Tribe elsewhere in Arizona 6 0 in Maricopa County 7 0 Pascua Yaqui Tribe 6 0 Hualapai Tribe 1 0 Havasupai Tribe 7 0† Gila River Indian Community 2,140 Cocopah Tribe Fort McDowell Yavapai Nation Reservation Shigellosis and amebiasis Resided off reservation Colorado River Indian Tribe Total, all causes Salmonella infections Ak-Chin Indian Community Cause of death (Tenth Revision, International Statistical Classification of Diseases) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 827 10† 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 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† Respiratory tuberculosis 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 * 0 0 0† Other tuberculosis 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0† Whooping cough 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Scarlet fever and erysipelas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningococcal infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33 0 0 0 0 * * 0 0 0 11 0 0 * 0 6 * 0 20† * * * 6 10† Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Arthropod-borne encephalitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis 10† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 * 0† 6 0 0 * 10† Human immunodeficiency virus (HIV) disease Septicemia 10† 0 0 0 0 0 0 0 * 0 * 0 0 0 0 0 0 0 0† * 0 0 * 0† Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other and unspecified infectious and parasitic diseases 6 0 0 0 0 0 0 0 0 0 * 0 0 0 0 * 0 0 10† 0 0 0 0 0 258 * 0 * * * 11 0 12 0 75 * 7 17 10 7 0 0 150† 34 27 11 40 112 Malignant neoplasms Malignant neoplasm of lip, oral cavity and pharynx 10† 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 0 0† Malignant neoplasm of stomach 10† 0 0 0 * 0 * 0 0 0 * * 0 0 0 0 0 0 10† * * 0 * 0† 29 * 0 0 0 0 * 0 * 0 8 0 0 * * 0 0 0 20† * * 0 * 10† Malignant neoplasm of liver and intrahepatic bile ducts 32 0 0 0 0 * * 0 * 0 * 0 * * * * 0 0 20† * * * * 10† Malignant neoplasm of pancreas 13 0 0 0 0 0 0 0 0 0 6 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 20† 0 0 * 0 0 * 0 * 0 * 0 * 0 0 0 0 0 10† * 0 * 6 10† Malignant neoplasm of colon, rectum and anus Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin 0† 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 Malignant neoplasm of breast 16 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 Malignant neoplasm of cervix uteri Malignant neoplasm of corpus uteri and uterus, part unspecified Malignant neoplasm of ovary 10† 0 0 0 0 0 * 0 0 0 * 0 0 * 0 0 0 0 0† * * 0 0 0† 10† 0 0 0 0 0 0 0 0 0 * 0 0 * 0 0 0 0 10† * 0 * 0 10† Malignant neoplasm of prostate 18 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 11 * * 0 * 10† Malignant neoplasm of kidney and renal pelvis 19 0 0 0 0 0 0 0 * 0 * 0 0 * 0 0 0 0 10† * * * * 10† 64 Health Status Profile of American Indians in Arizona, 2015 Data Book 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2015 Yavapai-Prescott Indian Tribe Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Nation San Carlos Apache Tribe Salt River Pima-Maricopa Indian Community 0 0 0 0 0 0 0 0 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† Total in Coconino County in Pima County Total Navajo Nation Hopi Tribe elsewhere in Arizona 0 0 in Maricopa County 0 0 Pascua Yaqui Tribe 0 0 Hualapai Tribe 0 0 Havasupai Tribe 0 Gila River Indian Community 0† 10† Cocopah Tribe Fort McDowell Yavapai Nation Reservation Fort Mohave Reservation Resided off reservation Colorado River Indian Tribe Malignant neoplasm of bladder Malignant neoplasm of meninges, brain and other parts of CNS Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin's disease Ak-Chin Indian Community Cause of death (Tenth Revision, International Statistical Classification of Diseases) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 27 0 0 0 0 0 0 0 0 0 7 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 Non-Hodgkin's lymphoma 10† 0 0 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 0 0 0 0† * * 0 * 10† Multiple myeloma and immunoproliferative neoplasms Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm 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 42 0 0 0 0 0 * 0 * 0 14 0 * * * * 0 0 30† * * * * 20† In situ neoplasms 10† 0 0 0 0 0 0 0 * 0 * 0 0 0 0 0 0 0 0† * 0 0 * 0† Anemias 0† 0 0 0 0 0 0 0 0 0 * 0 0 * 0 * 0 0 0† 0 0 0 0 0 Diabetes 164 0 * 0 0 * 8 0 * * 44 0 8 13 16 7 * * 110† 21 12 * 24 60† Nutritional deficiencies 10† 0 0 0 0 0 0 0 0 0 * 0 0 * 0 0 0 0 10† 0 0 * * 0† 10† 0 0 0 0 0 0 0 0 0 * 0 0 * 0 0 0 0 0† 0 0 * * 0† Malnutrition Other nutritional deficiencies Obesity Meningitis Parkinson's disease Alzheimer's disease Major cardiovascular diseases Diseases of heart 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 0 0 0 10† 0 0 0 0 0 * 0 0 0 * 0 * 0 0 0 0 0 0† * * 0 * 10† 0† 0 0 0 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 9 0 0 0 0 0 0 0 9 * * 0 * 10† 34 0 0 * 0 0 * 0 0 0 8 0 0 * * * 0 0 20† * * * 9 20† 339 * 0 0 * * 17 0 12 * 120 0 * 17 14 15 * 0 210† 41 20 16 53 130 245 * 0 0 0 * 9 0 10 * 94 0 * 9 12 10 * 0 160† 27 11 8 42 88 Acute rheumatic fever and chronic rheumatic heart disease 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 * 0 0 0 0† 0 0 0 0 0 Hypertensive heart disease 20 0 0 0 0 * * 0 * * * 0 * * 0 0 0 0 10† 0 0 0 6 6 Hypertensive heart and renal disease 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 0 * 0† 145 * 0 0 0 0 6 0 7 * 56 0 * * 9 * * 0 90† 18 9 * 22 50† 36 * 0 0 0 0 0 0 * 0 13 0 0 0 * * 0 0 20† 7 * * * 20† Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 0 0 0 106 0 0 0 0 0 6 0 * * 40 0 * * 6 * * 0 70† 11 6 * 17 40† Atherosclerotic cardiovascular disease 32 0 0 0 0 0 * 0 * 0 12 0 0 * 0 * * 0 20† * * * * 10† All other forms of chronic ischemic heart disease 74 0 0 0 0 0 * 0 * * 28 0 * * 6 * * 0 50† 9 * * 12 30† 75 0 0 0 0 0 * 0 * * 31 0 * * * 6 0 0 50† 9 * * 12 30† Acute and subacute endocarditis 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 0 0 0 Diseases of pericardium and acute myocarditis 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0† 0 0 0 0 0 Other forms of chronic ischemic heart disease Other heart diseases Heart failure All other forms of heart disease 10† 0 0 0 0 0 0 0 0 0 * 0 0 * 0 0 0 0 10† 0 * 0 * 0† 62 0 0 0 0 0 * 0 * * 24 0 * * * * 0 0 40† 9 * * 9 20† Health Status Profile of American Indians in Arizona, 2015 Data Book 65 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2015 Yavapai-Prescott Indian Tribe Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Nation San Carlos Apache Tribe Salt River Pima-Maricopa Indian Community 0 * 0 0 0 * 0 0 * 0 * 0 0 20† 9 * 0 * 10† 0 0 * 0 * 0 19 0 0 * * * 0 0 30† * * 7 9 30† Atherosclerosis 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 0 0 0 Other diseases of circulatory system 0† 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 0 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0† * 0 0 * 0† 10† Other disorders of circulatory system Influenza and pneumonia Total in Coconino County in Pima County Total Navajo Nation Hopi Tribe elsewhere in Arizona * 0 in Maricopa County 0 0 Pascua Yaqui Tribe 0 0 Hualapai Tribe 0 60 Havasupai Tribe 29 Cerebrovascular diseases Gila River Indian Community Essential (primary) hypertension and hypertensive renal disease Cause of death (Tenth Revision, International Statistical Classification of Diseases) Cocopah Tribe Fort McDowell Yavapai Nation Reservation Fort Mohave Reservation Resided off reservation Colorado River Indian Tribe Ak-Chin Indian Community ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 42 0 0 * 0 0 0 0 * 0 23 0 0 * 0 * 0 0 30† * * * * Influenza 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 0 * 0† Pneumonia 39 0 0 * 0 0 0 0 * 0 21 0 0 * 0 * 0 0 30† * * * * 10† Other acute lower respiratory infections 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 * 0 0 * 0 0 * * 0 0 * * * 0 0 10† 8 * * * 20† 0 Chronic lower respiratory diseases 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 Asthma 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0† Other chronic lower respiratory diseases 20† 25 0 0 * 0 0 * 0 0 * * 0 0 * * * 0 0 10† * * * * Pneumoconioses and chemical effects 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 0 0 0 Pneumonitis due to solids and liquids 19 0 0 0 0 0 0 0 * 0 7 0 0 * * * 0 0 10† * * * * 10† Other disease of respiratory system 41 0 0 0 0 0 * 0 * 0 13 * 0 * * * 0 0 20† * 7 * * 20† Peptic ulcer 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 * 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Diseases of appendix Hernia Chronic liver disease and cirrhosis Alcoholic liver disease 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 0 0 0† 193 * 0 0 * 0 21 * * * 34 * 9 13 12 20 * 0 120† 30 12 * 22 70† 172 * 0 0 * 0 21 * * * 30 * 8 12 10 19 * 0 110† 29 10 * 18 60† 21 0 0 0 * 0 0 * * 0 * 0 * * * * 0 0 10† * * * * 10† Cholelithiasis and other disorders of gallbladder 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0† 0 0 0 * 0† Nephritis, nephrotic syndrome and nephrosis Acute and rapidly progressive nephritic and nephrotic syndrome Chronic glomerulonephritis 34 0 0 0 0 0 * 0 * * * 0 * * * * 0 0 20† * * 0 * 10† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other chronic liver disease and cirrhosis Renal failure Others disorders of kidney Infections of kidney 66 10† 0 0 0 0 0 * 0 0 0 * 0 0 * 0 0 0 0 10† 0 0 0 0 0 29 0 0 0 0 0 * 0 * * * 0 * * * * 0 0 20† * * 0 * 10† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 * 0 0 * 0 0 0 0 0† 0 0 0 * 0† Health Status Profile of American Indians in Arizona, 2015 Data Book 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2015 Yavapai-Prescott Indian Tribe Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Nation San Carlos Apache Tribe Salt River Pima-Maricopa Indian Community 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 * * 0 0 0 0 0 0 0 0† 0 0 0 0 0 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 Perinatal conditions Congenital anomalies, deformations and chromosomal abnormalities Symptoms, signs, abnormal findings Total accidents Transport accidents Motor vehicle accidents Other land transport accidents Water, air, space Nontransport accidents Falls Total in Coconino County in Pima County Total Navajo Nation Hopi Tribe elsewhere in Arizona 0 0 in Maricopa County 0 0 Pascua Yaqui Tribe 0 0 Hualapai Tribe 0 0 Havasupai Tribe 0 Inflammatory diseases of female pelvic organs Gila River Indian Community Hyperplasia of prostate Cause of death (Tenth Revision, International Statistical Classification of Diseases) Cocopah Tribe Fort McDowell Yavapai Nation Reservation Fort Mohave Reservation Resided off reservation Colorado River Indian Tribe Ak-Chin Indian Community ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 0 0† 0 0 0 0 0 0 0 0 * * 0 0 0 0 0 0 0 0† 0 0 0 0 0 15 0 0 0 0 * * 0 0 0 * 0 0 * 0 * 0 0 10† * * * * 10† 10† 17 0 0 0 0 0 * 0 0 0 * 0 * 0 0 0 0 0 10† * * * * 91 0 0 0 0 0 * 0 * 0 46 0 * * * * 0 0 60† 11 * * 16 30† 355 * 0 0 * 0 21 * 11 * 127 0 * 18 8 21 0 * 220† 43 19 15 58 135 163 * 0 0 * 0 12 * 6 * 50 0 * 12 * 10 0 0 100† 19 7 8 29 63 154 * 0 0 * 0 12 * 6 * 49 0 * 12 * 8 0 0 100† 15 7 8 28 58 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† 192 0 0 0 0 0 9 * * * 77 0 * 6 * 11 0 * 120† 24 12 7 29 72 31 0 0 0 0 0 * 0 0 0 8 0 0 * * * 0 * 20† * * * * 10† 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 0 0† Accidental drowning and submersion 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† 90 0 0 0 0 0 * 0 * * 34 0 * * * 9 0 0 60† 14 6 * 13 40† Excessive natural heat 0† 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 8 0 0 0 0 * 0 0 10† 0 0 0 * 0† 61 0 0 0 0 0 * * * * 30 0 * * 0 * 0 0 40† * * * 12 20† Accidental exposure to smoke, fire and flames Accidental poisoning Other and unspecified nontransport accidents Intentional self-harm (suicide) By discharge of firearms By other means 58 * 0 0 0 0 * 0 * * 20 0 0 * 0 * 0 0 30† 8 * * 12 20† 10† * 0 0 0 0 * 0 * 0 * 0 0 0 0 0 0 0 10† * * * * 10† 20† 47 0 0 0 0 0 * 0 * * 18 0 0 * 0 * 0 0 30† 7 * * 9 45 0 0 0 0 0 * 0 0 0 17 0 * 0 * * 0 0 30† 10 * * * 20† By discharge of firearms 20 0 0 0 0 0 * 0 0 0 6 0 0 0 * 0 0 0 10† 7 * 0 * 10† By other means 25 0 0 0 0 0 * 0 0 0 11 0 * 0 0 * 0 0 20† * * * * 10† Legal intervention 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 0 0 0 0 0 * 0 * 0 0 0 * 0 0 0 10† * * * * 10† 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 0† 0 0 0 0 0 10† 0 0 0 0 0 0 0 * 0 * 0 0 0 * 0 0 0 10† * * * * 10† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 33 * 0 0 0 0 * 0 * 0 9 0 0 0 * 0 0 0 20† 9 * * * 20† DRUG-INDUCED DEATHS 42 0 0 0 0 0 * 0 * 0 8 0 * 0 * 0 0 0 20† 10 7 * 8 30† 281 * 0 0 * 0 23 * 6 * 74 * 11 16 13 33 * 0 190† 42 13 6 32 93 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, 2015 Data Book 67 Total, all causes Unknown Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa La Paz Greenlee Graham Gila Coconino Cochise 2,140† 459 3 266 105 19 4 23 366 53 382 230 147 0 25 15 43 0† 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† * 0 * * 0 0 0 * * * * 0 0 0 0 0 10† * 0 * * 0 0 0 0 0 * * 0 0 0 0 0 0† * 0 0 0 0 0 0 0 0 0 * 0 0 0 0 * 0† * 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 * 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 Meningococcal infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30† 9 0 * * 0 0 0 * * 10 * * 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 * 6 0 * 0 0 0 * * 0 Human immunodeficiency virus (HIV) disease 10† * 0 * 0 0 0 0 * 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† * 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 260† 43 * 33 16 * 0 6 44 7 42 37 18 0 * * * Malignant neoplasm of lip, oral cavity and pharynx 10† 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 30† * 0 * * 0 0 0 * 0 8 * * 0 * 0 0 Malignant neoplasm of liver and intrahepatic bile ducts 30† * 0 * * 0 0 * * * * 8 7 0 0 * 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 0 0 0 0 0 0 0 0 20† * 0 * 0 0 0 * * * * 0 * 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 20† * 0 * * 0 0 * 0 * * * 0 0 0 0 * 0† * 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 * * 0 0 0 * 0 * * * 0 0 0 0 Salmonella infections Shigellosis and amebiasis Certain other intestinal infections Enterocolitis due to Clostridium difficile Tuberculosis Respiratory tuberculosis Other tuberculosis Septicemia Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms 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 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 * * * * * 0 0 0 * Malignant neoplasm of kidney and renal pelvis 20† * 0 * * 0 0 0 * 0 * * 0 0 * * * 0† 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 0 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, 2015 Health Status Profile of American Indians in Arizona, 2015 Data Book Malignant neoplasm of meninges, brain and other parts of CNS Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin's disease 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, 2015 10† * 0 * 0 0 0 0 0 0 0 * 0 0 0 0 0 30† * * * * 0 0 0 * 0 * * * 0 0 0 * 0† 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 * Non-Hodgkin's lymphoma 10† * * 0 0 0 0 0 * 0 * * 0 0 0 0 0 Leukemia 10† 0 0 * * 0 0 0 * 0 * * * 0 0 0 0 10† * 0 0 * 0 0 0 * 0 0 * 0 0 0 0 0 Multiple myeloma and immunoproliferative neoplasms Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 40† 9 0 8 * 0 0 * 8 0 7 * * 0 0 0 0 In situ neoplasms 10† * 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 Diabetes 160† 29 0 10 10 * * * 30 * 25 28 13 0 * * * 10† * 0 * * 0 0 0 0 0 * 0 0 0 0 0 0 10† * 0 * * 0 0 0 0 0 * 0 0 0 0 0 0 0† * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10† 0 0 * 0 0 0 0 * 0 0 * * 0 * * 0 0† * 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 Parkinson's disease 10† * 0 * 0 0 0 0 * * * * 0 0 0 0 * Alzheimer's disease 30† 7 0 * * 0 0 * 6 * 6 * * 0 0 * 0 340† 78 * 50 17 * * * 50 10 55 34 23 0 * * 8 250† 58 * 35 10 0 0 * 32 10 44 23 15 0 * * 8 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 0 150† 30 0 22 * 0 0 * 19 * 28 18 8 0 * * * 40† 7 0 * 0 0 0 * 7 * 7 6 * 0 0 * * 0 Nutritional deficiencies Malnutrition Other nutritional deficiencies Obesity 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 0† * 0 * 0 0 0 0 0 0 0 0 0 0 0 0 110† 22 0 16 * 0 0 * 12 * 21 12 7 0 * * * 30† 8 0 * * 0 0 0 * 0 6 * * 0 * 0 * Atherosclerotic cardiovascular disease All other forms of chronic ischemic heart disease 70† 14 0 11 * 0 0 * 10 * 15 9 6 0 * * * 80† 22 0 11 * 0 0 * 12 * 13 * * 0 0 0 * Acute and subacute endocarditis 0† 0 0 * 0 0 0 0 0 0 * 0 0 0 0 0 0 Diseases of pericardium and acute myocarditis 0† 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 Heart failure 10† * 0 0 * 0 0 0 0 0 * * * 0 0 0 0 All other forms of heart disease Other heart diseases 60† 17 0 10 * 0 0 * 12 * 9 * * 0 0 0 * Essential (primary) hypertension and hypertensive renal disease 30† * 0 * * 0 0 * 12 0 * * * 0 0 0 0 Cerebrovascular diseases 60† 16 0 13 * * * 0 6 0 7 7 * 0 * 0 0 Health Status Profile of American Indians in Arizona, 2015 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 Aortic aneurysm and dissection 0† 0 0 * 0 0 0 0 0 0 0 * 0 0 0 0 0 Other disease of arteries, arterioles and capillaries 0† * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 * 0 0 0 0 0 * 0 * 40† 12 0 10 * * 0 * * * 10 * 0 0 0 0 0 0† * 0 * 0 0 0 0 0 * 0 0 0 0 0 0 0 40† 11 0 9 * * 0 * * 0 10 * 0 0 0 0 0 Other acute lower respiratory infections 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute bronchiolitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Unspecified acute lower respiratory infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30† 6 0 * * 0 0 * 8 * 0 7 * 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 Asthma 0† 0 0 0 0 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 * 0 0 0 0 0 0 Pneumonitis due to solids and liquids 20† * 0 * * * 0 0 * 0 6 * 0 0 0 0 0 Other disease of respiratory system 40† 6 0 11 * * 0 * * 0 8 9 * 0 0 0 0 0† * 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 Other disorders of circulatory system Influenza and pneumonia Influenza Pneumonia Chronic lower respiratory diseases Bronchitis, chronic and unspecified Other chronic lower respiratory diseases Pneumoconioses and chemical effects 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 * 0 0 0 0 0 190† 24 * 14 13 * 0 * 50 6 35 25 16 0 * * * 170† 20 * 11 12 * 0 * 47 * 31 21 16 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 * 30† * 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 30† * 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 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 Nephritis, nephrotic syndrome and nephrosis Acute and rapidly progressive nephritic and nephrotic syndrome Chronic glomerulonephritis Renal failure Others disorders of kidney Infections of kidney 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, 2015 Health Status Profile of American Indians in Arizona, 2015 Data Book Other complications of pregnancy, childbirth and the puerperium Perinatal conditions Congenital anomalies, deformations and chromosomal abnormalities Symptoms, signs, abnormal findings Total accidents Transport accidents Motor vehicle accidents 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, 2015 0† 0 0 0 0 0 0 0 0 * * 0 0 0 0 0 0 20† * 0 * * 0 0 0 * * * * * 0 0 0 0 20† * 0 * 0 0 0 * 6 0 * * * 0 * 0 0 90† 33 0 11 * 0 0 0 12 * 19 * 6 0 0 * * 360† 94 0 46 16 * * * 54 8 63 27 26 0 * * 9 160† 33 0 24 12 * 0 0 25 * 33 10 18 0 * 0 * 150† 32 0 24 12 * 0 0 20 * 30 10 18 0 * 0 * 0† * 0 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 Other land transport accidents Water, air, space 10† 0 0 0 0 0 0 0 * 0 * 0 0 0 0 0 190† 61 0 22 * * * * 29 * 30 17 8 0 * * 6 30† 6 0 7 * * 0 * * 0 * * * 0 * 0 * Accidental discharge of firearms 0† 0 0 0 0 0 0 0 * 0 0 0 0 0 0 0 0 Accidental drowning and submersion 0† * 0 * 0 0 0 0 * 0 * 0 0 0 0 0 0 Accidental exposure to smoke, fire and flames 10† 0 0 * * 0 0 0 * 0 0 0 0 0 0 0 0 Accidental poisoning 90† 26 0 8 0 * * * 17 * 19 9 * 0 * * * Excessive natural heat 0† 0 0 0 0 0 0 0 * 0 0 * * 0 0 0 0 Excessive natural cold 10† 7 0 * 0 0 0 0 0 0 * 0 0 0 0 0 * Other and unspecified nontransport accidents 60† 28 0 * * 0 * * * * 8 * * 0 0 0 * * Nontransport accidents Falls Intentional self-harm (suicide) 60† 12 0 7 0 * 0 0 9 * 14 * 7 0 * 0 By discharge of firearms 10† * 0 * 0 0 0 0 * * * * * 0 0 0 0 By other means 50† 11 0 6 0 * 0 0 8 * 11 * * 0 * 0 * Assault (homicide) 50† 11 0 * 0 0 0 0 12 0 10 * * 0 0 0 * By discharge of firearms 20† * 0 * 0 0 0 0 7 0 * * * 0 0 0 0 By other means 30† 8 0 * 0 0 0 0 * 0 7 * 0 0 0 0 * Legal intervention 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 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 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 30† * 0 * 0 0 0 0 9 * 6 * 6 0 0 0 0 DRUG-INDUCED DEATHS 40† * 0 * 0 0 0 * 13 0 * 9 * 0 * * * 280† 52 * 25 13 * * * 65 8 56 28 19 0 * 0 * 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, 2015 Data Book 71 5.8 DEATHS FROM MOTOR VEHICLE INJURIES AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2015 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 75-84 150† 0† 0† 10† 20† 44 28 24 25 0† 0† 100† 0 0† 0† 20† 26 20† 16 17 0† 0† 50† 0† 0† 0† 0† 18 10† 10† 10† 0 0 0† 0 0 0 * 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 * 0 0 0 0 0 0 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 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 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 50† 0 0 * * 9 14 10 9 0 0 30† 0 0 0 * 6 11 7 6 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 10† 0 0 0 * * * * * 0 * 10† 0 0 0 * 0 * 0 * 0 * 0† 0 0 0 0 * 0 * * 0 0 0† 0 0 0 0 * 0 * 0 0 0 0† 0 0 0 0 * 0 * 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100† 0† 0 0† 10† 20† 20† 20† 20† 0† 0† 60† 0 0 0† 10† 10† 20† 10† 10† 0† 0† 30† 0† 0 0† 0† 10† 10† 10† 0† 0 0 20† 0 0 0 0 * * * * 0 0 10† 0 0 0 0 * * * * 0 0 10† 0 0 0 0 * * 0 * 0 0 10† 0 * * 0 * 0 0 0 0 0 10† 0 * * 0 * 0 0 0 0 0 0† 0 * 0 0 * 0 0 0 0 0 10† 0 0 0 * 7 0 0 0 0 0 10† 0 0 0 * 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30† 0 * * * 7 * * 6 * 0 20† 0 0 * * * * * * * 0 10† 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 Navajo Nation Hualapai Tribe Hopi Tribe Havasupai Tribe Gila River Indian Community Fort McDowell Yavapai Nation Reservation Ak-Chin Indian Community TOTAL Resided on reservation 60† 0 0† 0† 10† 20† 10† 10† 10† 0† 0 40† 0 0† 0† 0† 10† 0† 10† 10† 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, 2015 Data Book 5.9 INTENTIONAL SELF-HARM (SUICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2015 M ALL AGES TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL White Mountain Apache Tribe San Carlos Apache Tribe Navajo Nation Hualapai Tribe 60† 0† 0† 0† 0† 20† 0† 0† 30† 10† 0† 0† 10† 20† 5-14 0† 0 0 0 0 * 0 0 0† 0 0 0 * 0† 15-24 22 0 * * * 8 0 * 10† * 0 0 * 10† 25-34 17 0 0 * * * * * 10† * 0 * 6 10† 35-44 10† * * 0 0 * 0 0 10† 0 * 0 0 0† 45-54 10† 0 0 * 0 * 0 0 0† * * 0 * 10† 55-64 0† 0 0 0 0 * 0 0 0† 0 0 0 0 0 40† 0† 0† 0† 0 20† 0† 0† 30† 0† 0† 0† 10† 10† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15-24 20† 0 * * 0 8 0 0 10† * 0 0 * 10† 25-34 10† 0 0 * 0 * * * 10† * 0 * * 10† 35-44 10† * * 0 0 * 0 0 10† 0 * 0 0 0† 45-54 10† 0 0 * 0 * 0 0 0† * * 0 * 0† 55-64 0† 0 0 0 0 * 0 0 0† 0 0 0 0 0 20† 0 0† 0 0† 0† 0 0† 10† 0† 0 0† 10† 10† 0† 0 0 0 0 * 0 0 0† 0 0 0 * 0† 15-24 10† 0 * 0 * 0 0 * 0† * 0 0 0 0† 25-34 10† 0 0 0 * 0 0 0 0† 0 0 * * 0† 35-44 0† 0 0 0 0 * 0 0 0† 0 0 0 0 0 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 0 0 0 ALL AGES 5-14 F Hopi Tribe Ak-Chin Indian Community TOTAL TOTAL Gila River Indian Community Resided off reservation ALL AGES 5-14 Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. Health Status Profile of American Indians in Arizona, 2015 Data Book 73 5.10 ASSAULT (HOMICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2015 TOTAL ALL AGES TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL White Mountain Apache Tribe Tohono O'Odham Nation Salt River PimaMaricopa Indian Community 0† 20† 0† 0† 0† 30† 10† 0† 0† 10† 0† 0 * 0 0 0 0† 0 0 0 0 0 15-24 10† * * 0 0 * 0† * 0 0 0 10† 25-34 19 * 9 0 0 * 10† * * * * 10† 35-44 10† 0 * * 0 0 0† * * 0 * 0† 45-54 0† * 0 0 * * 0† 0 0 0 * 0† 55-64 0† * * 0 0 0 0† 0 0 0 0 0 65-74 0† 0 * 0 0 0 0† 0 0 0 0 0 75-84 0† 0 0 0 0 0 0 * 0 0 0 0† 40† 0† 20† 0† 0† 0† 20† 10† 0† 0† 0† 20† 0† 0 * 0 0 0 0† 0 0 0 0 0 15-24 10† * * 0 0 * 0† * 0 0 0 10† 25-34 10† 0 9 0 0 0 9 * 0 * * 10† 35-44 10† 0 * * 0 0 0† * * 0 * 0† 45-54 0† * 0 0 * * 0† 0 0 0 0 0 55-64 0 0 0 0 0 0 0 0 0 0 0 0 65-74 0 0 0 0 0 0 0 0 0 0 0 0 75-84 0† 0 0 0 0 0 0 * 0 0 0 0† ALL AGES 5-14 F Resided off reservation 50† 5-14 M Navajo Nation TOTAL Gila River Indian Community Resided on reservation ALL AGES 20† 10† 0† 0† 0 0 0† 10† 0 0† 0 0† 0† 5-14 0 0 0 0 0 0 0 0 0 0 0 0 15-24 0 0 0 0 0 0 0 0 0 0 0 0 25-34 10† * 0 0 0 * 0† 0 * 0 * 0† 35-44 0 0 0 0 0 0 0 0 0 0 0 0 45-54 0† 0 0 0 0 0 0 0 0 0 * 0† 55-64 0† * * 0 0 0 0† 0 0 0 0 0 65-74 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 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, 2015 Data Book 5.11 DIABETES-RELATED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2015 TOTAL M 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 Salt River PimaMaricopa Indian Community Pascua Yaqui Tribe Navajo Nation Hualapai Tribe Hopi Tribe Havasupai Tribe Gila River Indian Community Fort Mohave Reservation Colorado River Indian Tribe Cocopah Tribe Resided off reservation ALL AGES 368 0† 0† 0† 0† 20† 0† 20† 0† 110† 0† 20† 20† 20† 20† 0† 0† 240† 40† 30† 0† 50† 25-34 10† 0 0 0 0 * 0 0 0 0 0 * * 0 0 0 0 10† 0 0 0 * 0† 35-44 26 * 0 0 * * 0 * 0 * 0 0 * * * 0 0 20† * * 0 * 10† 45-54 51 0 0 0 * * 0 * * 8 * * * * * 0 * 30† 9 * * 9 20† 55-64 94 0 * * 0 8 * * * 24 0 * 7 8 * * 0 70† 11 6 * 11 30† 65-74 86 0 0 0 0 6 0 * 0 27 0 * * * * * 0 50† 11 8 * 14 30† 75-84 66 0 0 0 0 * 0 * 0 27 0 * * * * 0 0 50† 6 * * 8 20† 85+ 39 0 0 0 * 0 0 * 0 16 0 * * * * * 0 30† * * 0 6 10† 70† ALL AGES 130† 190† 0 0 0 0† 10† 0† 10† 0 70† 0† 10† 10† 10† 10† 0† 0 130† 20† 10† 0† 30† 25-34 0† 0 0 0 0 * 0 0 0 0 0 * * 0 0 0 0 0† 0 0 0 * 0† 35-44 17 0 0 0 * * 0 * 0 * 0 0 0 0 * 0 0 10† * * 0 * 10† 45-54 26 0 0 0 * * 0 * 0 * * * * * * 0 0 20† * * 0 * 10† 55-64 59 0 0 0 0 * * * 0 21 0 * * * * 0 0 40† 6 * * 8 20† 65-74 46 0 0 0 0 * 0 * 0 18 0 0 * * 0 * 0 30† 7 * 0 9 20† 75-84 29 0 0 0 0 * 0 0 0 15 0 * * * 0 0 0 20† * 0 0 * 10† 10† 0 0 0 0 0 0 0 0 7 0 0 * 0 * * 0 10† 0 0 0 * 0† 60† 85+ F Ak-Chin Indian Community TOTAL Resided on reservation ALL AGES 170† 0† 0† 0† 0† 10† 0 10† 0† 40† 0 10† 10† 20† 20† 0† 0† 120† 20† 20† 0† 20† 25-34 0† 0 0 0 0 0 0 0 0 0 0 * * 0 0 0 0 0† 0 0 0 0 0 35-44 10† * 0 0 0 * 0 * 0 * 0 0 * * 0 0 0 10† * * 0 0 0† 45-54 25 0 0 0 0 * 0 * * * 0 0 0 * * 0 * 10† * * * * 10† 55-64 35 0 * * 0 * 0 * * * 0 0 * 6 * * 0 30† * * 0 * 10† 65-74 40 0 0 0 0 * 0 0 0 9 0 * * * * 0 0 30† * * * * 10† 75-84 37 0 0 0 0 * 0 * 0 12 0 * * * * 0 0 30† * * * * 10† 85+ 26 0 0 0 * 0 0 * 0 9 0 * * * * 0 0 20† * * 0 * 10† Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; 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 (164 in 2015) is shown in Tables 5.4 - 5.7. Health Status Profile of American Indians in Arizona, 2015 Data Book 75 5.12 ALCOHOL-INDUCED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER, AND AGE GROUP, ARIZONA, 2015 TOTAL ALL AGES TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Nation San Carlos Apache Tribe Salt River PimaMaricopa Indian Community Pascua Yaqui Tribe Navajo Nation Hualapai Tribe Hopi Tribe Havasupai Tribe 0† 0† 20† 0† 10† 10† 70† 0† 10† 20† 10† 30† 0† 190† 40† 10† 10† 30† 0† 0 0 0 0 0 0 0 0 0 0 * 0 0 0† 0 0 0 0 0 15-24 10† 0 0 0 0 0 * * 0 0 0 * * 0 0† 0 * 0 * 0† 25-34 39 0 * 0 0 0 * 10 * * * * 6 0 20† * * 0 9 20† 35-44 55 * 0 6 * * 0 16 * * * * 7 * 40† 7 * 0 * 10† 45-54 97 0 0 11 0 0 0 22 0 * 8 6 14 0 70† 16 7 * 6 30† 55-64 50 0 0 * 0 * * 13 0 * 0 * * 0 30† 13 * * 9 30† 65-74 20† 0 * * 0 * * 7 0 * * 0 * 0 20† * 0 * * 0† 75-84 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 0 180† 0 0† 10† 0 0† 0† 50† 0† 10† 10† 10† 20† 0† 120† 30† 10† 0† 20† 60† 85+ ALL AGES 5-14 90† 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 0† 0 * 0 0 0† 25-34 28 0 0 0 0 0 * 10 0 * * * * 0 20† * 0 0 6 10† 35-44 36 0 0 * 0 * 0 9 * * * * * * 30† * * 0 * 10† 45-54 54 0 0 6 0 0 0 14 0 * * * 7 0 40† 8 * * * 20† 55-64 37 0 0 * 0 0 * 11 0 * 0 * * 0 20† 9 * 0 6 20† 65-74 10† 0 * * 0 0 0 * 0 0 * 0 * 0 10† * 0 * * 0† 75-84 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 0 100† 0† 0† 10† 0† 0† 0† 20† 0† 0† 10† 10† 20† 0 70† 20† 0† 0† 10† 30† 85+ F Gila River Indian Community 280† 5-14 M Fort McDowell Yavapai Nation Reservation TOTAL Ak-Chin Indian Community Resided off reservation ALL AGES 5-14 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 0 0 0† 0 0 0 * 0† 25-34 10† 0 * 0 0 0 0 0 * * 0 0 * 0 10† * * 0 * 10† 35-44 20† * 0 * * 0 0 7 0 0 * 0 * 0 20† * 0 0 * 0† 45-54 43 0 0 * 0 0 0 8 0 * * * 7 0 30† 8 * * * 10† 55-64 10† 0 0 * 0 * 0 * 0 0 0 * 0 0 10† * 0 * * 10† 65-74 9 0 0 * 0 * * * 0 * 0 0 * 0 10† 0 0 0 0 0 75-84 0† 0 0 * 0 0 0 0 0 0 0 0 0 0 0† 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 85+ Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6. 76 Health Status Profile of American Indians in Arizona, 2015 Data Book COMPARATIVE CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2015 Data Book 77 5.13 Temporal Changesa in the Selected Leading Causes of Death among American Indian Residents of Arizona, 1995-2015 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, 2015 Data Book 5.14 Five Leading Causes of Deatha by Gender among American Indian Residents of Arizona in 2015 Rank Female Both Male 1 Cancer 112.4 Accidents (unintentional injury) 139.0 Accidents (unintentional injury) 203.9 2 Diseases of heart 89.1 Cancer 124.4 Diseases of heart 158.9 3 Accidents (unintentional injury) 82.7 Diseases of heart 119.9 Cancer 142.1 4 Chronic liver disease and cirrhosis 66.1 Chronic liver disease and cirrhosis 77.6 Chronic liver disease and cirrhosis 91.8 5 Diabetes 65.3 Diabetes 73.9 Diabetes 85.6 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 2015” report. Health Status Profile of American Indians in Arizona, 2015 Data Book 79 5.15 Five Leading Causes of Deatha among American Indians by Gender and Residence On or Off Reservation, Arizona, 2015 Rank Female, resided on reservation Female, resided off reservation Male, resided on reservation Male, resided off reservation 1 Alzheimer's disease 12.7 Cancer 16.0 Accidents (unintentional injury) 20.4 Accidents (unintentional injury) 20.3 2 Cancer 12.2 Accidents (unintentional injury) 11.4 Diseases of heart 13.0 Cancer 11.6 3 Accidents (unintentional injury) 9.8 Diseases of heart 10.6 Cancer 9.9 Diseases of heart 10.7 4 Diabetes 5.8 Chronic liver disease and cirrhosis 7.9 Chronic liver disease and cirrhosis 9.2 Chronic liver disease and cirrhosis 8.7 5 Chronic lower respiratory diseases 2.1 Diabetes 7.3 Diabetes 7.4 Diabetes 6.8 Note: 80 a Percent of total deaths in specified group. Health Status Profile of American Indians in Arizona, 2015 Data Book 5.16 Proportional Mortalitya by Type of Cancer and Gender among American Indians and all Residents of Arizona, 2005-2015 1 Trachea, bronchus, lung 26.3 Liver 12.1 Trachea, bronchus, lung 25.0 Breast 12.2 2 Lymphoma 10.8 Prostate 11.3 Breast 15.3 Lymphoma 11.0 3 Prostate 10.1 Lymphoma 10.0 Lymphoma 9.2 Colon, rectum, anus 8.1 4 Colon, rectum, anus 9.0 Colon, rectum, anus 9.4 Colon, rectum, anus 9.1 Ovary 7.8 5 Pancreas 6.6 Trachea, bronchus, lung 8.1 Pancreas 6.8 Trachea, bronchus, lung 7.7 6 Liver 4.8 Kidney 7.8 Ovary 5.8 Liver 7.6 7 Leukemia 4.5 Stomach 7.7 Leukemia 3.6 Pancreas 6.4 8 Esophagus 4.0 Pancreas 6.6 Non-Hodgkin's lymphoma 3.6 Stomach 4.6 9 Non-Hodgkin's lymphoma 3.9 Esophagus 4.0 Liver 2.9 Non-Hodgkin's lymphoma 4.0 10 Bladder 3.8 Leukemia 3.6 Corpus uteri and uterus 2.7 Cervix uteri 3.7 Notes: a Percent of cancer deaths in specified group in 2005-2015. All race/ethnic groups combined. Source: Table 5-18 for percentages based on frequency counts. b Health Status Profile of American Indians in Arizona, 2015 Data Book 81 5.17 Proportional Mortalitya by Mechanism of Unintentional Injury and Gender among American Indians and all Residents of Arizona, 2005-2015 Rank Arizona male b American Indian male Arizona female b American Indian female 1 Motor vehicle accidents 32.8 Motor vehicle-related 46.8 Falls 36.6 Motor vehicle-related 53.6 2 Poisoning by drugs 25.5 Poisoning by gases 12.8 Poisoning by drugs 24.5 Falls 12.7 3 Falls 19.8 Poisoning by drugs 9.9 Motor vehicle-related 22.9 Poisoning by drugs 11.4 4 Accidental discharge of firearms 7.4 Falls 6.8 Accidental discharge of firearms 2.4 Poisoning by gases 6.6 5 Accidental drowning 3.3 Exposure to cold 5.0 Choked on other objects 2.0 Exposure to cold 2.2 6 Poisoning by gases 3.1 Accidental drowning 3.1 Accidental drowning 1.9 Choked on other objects 1.5 7 Exposure to heat 1.8 Accidental discharge of firearms 3.0 Poisoning by gases 1.5 Misadventures to patients 1.5 8 Choked on other objects 1.6 Mechanical suffocation 1.8 Misadventures to patients 1.4 Exposure to heat 1.3 9 Fire, flames, smoke 1.3 Railway accidents 1.4 Choked on food 1.3 Accidental drowning 1.3 10 Mechanical suffocation 1.1 Exposure to heat 1.4 Fire, flames, smoke 1.3 Mechanical suffocation 1.1 Notes: 82 a Percent of unintentional injury deaths in specified group in 2005-2015. All race/ethnic groups combined. Source: Table 5-19 for percentages based on frequency counts. b Health Status Profile of American Indians in Arizona, 2015 Data Book 5.18 COMPARISON OF MORTALITY BY SPECIFIC TYPE OF CANCER BY GENDER AMONG AMERICAN INDIANS AND ALL RESIDENTSa OF ARIZONA, 2005-2015 ALL RESIDENTS OF ARIZONA TOTAL Malignant neoplasms, total MALE AMERICAN INDIANS OR ALASKA NATIVES FEMALE TOTAL MALE FEMALE 114,791 61,759 53,030 2,339 1,161 1,178 Malignant neoplasm of lip, oral cavity and pharynx 1,521 1,073 448 34 24 10 Malignant neoplasm of esophagus 3,061 2,480 581 66 47 19 Malignant neoplasm of stomach 2,168 1,280 888 143 89 54 10,381 5,562 4,818 205 109 96 Malignant neoplasm of liver and intrahepatic bile ducts 4,530 2,990 1,540 231 141 90 Malignant neoplasm of pancreas 7,650 4,046 3,604 152 77 75 623 485 138 10† 6 * 29,507 16,251 13,256 185 94 91 Malignant melanoma of skin 2,175 1,488 687 10† * * Malignant neoplasm of breast 8,198 77 8,121 150† * 144 764 0 764 43 0 43 Malignant neoplasm of corpus uteri and uterus, part unspecified 1,450† * 1,448 43 0 43 Malignant neoplasm of ovary 3,100† * 3,095 92 0 92 Malignant neoplasm of prostate 6,238 6,229 9 131 131 0 Malignant neoplasm of kidney and renal pelvis 2,847 1,886 961 134 91 43 Malignant neoplasm of bladder 3,146 2,349 796 18 12 6 Malignant neoplasm of meninges, brain and other parts of central nervous system 3,184 1,781 1,403 44 28 16 11,583 6,679 4,904 245 116 129 227 137 90 10† * * Non-Hodgkin's lymphoma 4,265 2,382 1,883 82 35 47 Leukemia 4,721 2,810 1,911 81 42 39 Multiple myeloma and immunoproliferative neoplasms 2,360 1,344 1,016 77 36 41 10† 6 * 0 0 0 12,670 7,101 5,569 411 189 222 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, 2015 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, 2005-2015 ALL RESIDENTS OF ARIZONA TOTAL Unintentional injury, total Railway accidents Motor vehicle accidents 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 33,236 20,715 12,517 3,112 2,216 896 102 89 13 38 32 6 9,649 6,788 2,861 1,517 1,037 480 26 19 7 0† * 0 178 146 32 0† * 0 8,363 5,292 3,071 322 220 102 833 650 183 343 284 59 8,678 4,092 4,585 265 151 114 436 277 159 39 30 9 Excessive natural heat 528 379 149 43 31 12 Excessive natural cold 230 182 48 131 111 20 Contact with venomous snakes and lizards 10† 6 * 0† * 0 0† * * 0 0 0 0 0 0 0 0 0 10† 6 * 0 0 0 17 9 8 0† * * 20† 13 * 0† * 0 Contact with venomous spiders Contact with scorpions Contact with hornets, wasps, bees Bitten or struck by dog Lightning Storms and floods 0† * 0 0† * 0 Accidental drowning and submersion 920 684 235 81 69 12 Choked on food 364 199 165 20† 17 * Choked on other objects 584 331 253 41 28 13 Mechanical suffocation 326 226 100 49 39 10 1,845 1,542 303 75 66 9 58 58 0 0† * 0 10† * * 0 0 0 Accidental discharge of firearms Exposure to electric current Overexertion Adverse effects of drugs in therapeutic use Misadventures to patients during medical/surgical care 115 42 73 10† 6 * 352 175 177 20 7 13 Notes: * Cell suppressed due to non-zero count less than 6; † Sum rounded to nearest tens unit due to non-zero addend less than 6; 84 MALE a All racial/ethnic groups combined. Health Status Profile of American Indians in Arizona, 2015 Data Book TECHNICAL NOTES Health Status Profile of American Indians in Arizona, 2015 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, 2015 Data Book Pre-existing diabetes - Metabolic disorder characterized by excessive discharge of urine and persistent thirst diagnosed prior to onset of pregnancy. Gestational diabetes – The occurrence of diabetes during pregnancy. Pre-existing hypertension - Blood pressure persistently greater than 140/90, diagnosed prior to onset of pregnancy or before the 20th week of gestation. 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. Eclampsia - The occurrence of convulsions and/or coma unrelated to other cerebral conditions in women with signs and symptoms of preeclampsia. 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 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. 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 87 tenderness, maternal tachycardia (>100/min), fetal tachycardia (>160/min) and purulent or foul amniotic fluid. Solid organ, hemorrhage includes sub-capsular hematoma of the liver, fractures of the spleen, or adrenal hematoma. 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. Seizure or serious neurologic dysfunction – A seizure of any etiology; neurologic impairment such as obtundation, stupor, or coma. Maternal transfusion – Infusion of blood or blood components occurring 24 hours prior delivery or within 24 hours of delivery. 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. 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. 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.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. 88 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, 2015 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 2015 population of American Indians 2015 deaths among American Indians Age-specific rates for American Indians in 2015 A B C 4,706 19,564 48,006 50,875 44,630 34,571 33,944 26,417 14,890 7,007 2,391 287,001 39 16 18 84 199 191 327 342 335 315 274 2,140 D (C/B)*100000 828.7 81.8 37.5 165.1 445.9 552.5 963.4 1294.6 2249.8 4495.5 11459.6 <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 TOTAL Ageadjusted rate for American Indians In 2015 F D*E 11.5 4.5 5.5 22.9 60.5 89.8 129.9 113.0 148.6 201.6 177.7 ∑ 965.3 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, 2015 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 2015 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. ARIZONA DEPARTMENT OF HEALTH SERVICES Bureau of Public Health Statistics Population Health and Vital Statistics Section