DIFFERENCES IN THE HEALTH STATUS AMONG RACE/ETHNIC GROUPS ARIZONA, 2007 Public Health Services Bureau of Public Health Statistics Health Status and Vital Statistics Section ~ Leadership for a Healthy Arizona ~ Janet Napolitano, Governor State of Arizona January Contreras, Acting Director Arizona Department of Health Services HEALTH STATUS AND VITAL STATISTICS SECTION BUREAU OF PUBLIC HEALTH STATISTICS ARIZONA DEPARTMENT OF HEALTH SERVICES 150 North 18th Avenue, Suite 550 Phoenix, Arizona 85007 Phone: 602/542-7333; FAX: 602/542-2940 www.azdhs.gov/plan This publication can be made available in alternative format. Please contact the Bureau of Public Health Statistics at 602/542-7333 (voice) or call 1-800-367-8939 (TDD). The Arizona Department of Health Services is an Equal Employment Opportunity Agency. Permission to quote from or reproduce materials from this publication is granted when due acknowledgment is made. Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 BY CHRISTOPHER K. MRELA, PH.D., ARIZONA VITAL STATISTICIAN CLARE TORRES, SENIOR HEALTH DATA ANALYST October 2008 Acknowledgment Grateful acknowledgement is made to Richard S. Porter for reviewing the typescript. Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Table of Contents Purpose ................................................................................................................................ 1 Demographic Profile of Arizona’s Race/Ethnic Diversity ................................................................ 1 Methods................................................................................................................................ 4 Key Findings .......................................................................................................................... 5 Comparison of Scores by Race/Ethnicity in 1997, 1999, 2001, 2003, 2005 and 2007 .................... 5 Number of Times Each Group Ranked Better Than Average, Average, And Worse Than Average on 70 Indicators, Arizona, 2007................................................. 5 Average Scores in 2007....................................................................................................... 6 Comparative Age-Adjusted Mortality Rates for the Five Leading Causes of Death By Race/Ethnicity in 2007 ........................................................................................... 8 Risk Profiles ....................................................................................................................... 8 Risk Profile of Asian or Pacific Islander ................................................................................ 9 Risk Profile of White non-Hispanic .................................................................................... 10 Risk Profile of Hispanic or Latino ...................................................................................... 11 Risk Profile of American Indian or Alaska Native ................................................................. 12 Risk Profile of Black or African American............................................................................ 13 COMPARATIVE MEASURES OF HEALTH STATUS BY RACE/ETHNICITY IN 2007.................... 15 1. 2. 3. 4. 5. 6. 7. 8. 9. Teen Pregnancies.................................................................................................... 17 Maternal Lifestyle and Health Characteristics .............................................................. 23 Utilization of Prenatal Care Services .......................................................................... 35 Newborn's Health ................................................................................................... 41 Mortality from Natural Causes................................................................................... 55 Mortality from Injuries............................................................................................. 77 Age-Specific Mortality.............................................................................................. 89 Patterns of Premature Mortality ................................................................................ 95 The Incidence of Reportable Diseases ...................................................................... 101 COMPARATIVE RATES AND RATIOS FOR 2000 – 2007 ...................................................... 109 SCORES IN 2007.............................................................................................................. 125 RANKING ORDER IN 2007................................................................................................ 131 DATA SOURCES AND DEFINITIONS .................................................................................. 137 Sources of Data ........................................................................................................... 139 Definitions .................................................................................................................. 139 Terms Related to Mortality ............................................................................................ 144 POPULATION DENOMINATORS ........................................................................................ 145 PURPOSE The report Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 is the update of populationlevel data about differences in the relative health of five race/ethnic groups residing in Arizona: White non-Hispanics, Hispanics or Latinos, Blacks or African-Americans, American Indians or Alaska Natives and Asians or Pacific Islanders including Hawaiians. The report compares the relative standing of race/ethnic groups on 70 indicators or measures of health status. The indicators are presented in a series of simple, self-explanatory bar charts and 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) AGESPECIFIC MORTALITY, (8) PATTERNS OF PREMATURE MORTALITY and (9) THE INCIDENCE OF REPORTABLE DISEASES. Each bar chart visually describes how the race/ethnic group compares to other groups and the overall State level for each indicator. These graphic representations are found in Comparative Measures of Health Status by Race/Ethnicity in 2007 while the tabulated values also are available by year in the Comparative Rates and Ratios for 2000-2007 sections of the report. The report also provides comparative risk profiles, as well as scores and rankings of race/ethnic groups on each of the 70 health status measures. The comparisons of rates and ratios, as well as scores and rankings are intended to give some sense of the inequalities in health status among race/ethnic groups in our State and to stimulate viable initiatives to improve the health of all Arizonans. DEMOGRAPHIC PROFILE OF ARIZONA'S RACE/ETHNIC DIVERSITY The racial and ethnic composition of the population has important consequences for the State’s health status because many measures of disease and disability differ significantly by race and ethnicity. Among the estimated 6,432,007 Arizona residents in 2007, approximately 3,872,764 (60.2 percent) were White non-Hispanic, 1,798,222 (28.0 percent) were Hispanic or Latino, and 337,764 (5.3 percent) were American Indian or Alaska Natives. Blacks or African Americans accounted for 253,477 or 3.9 percent of the State’s population. Asians or Pacific Islanders, the smallest race/ethnic group, represented 2.6 percent of the total population (169,780 people). The White non-Hispanic population increased by 48.5 percent from 1990 to 2007, while Arizona saw a 141.9 percent increase in its minority population (See p.159: Population by Race/Ethnic Group: Arizona Residents, 1990, 2000 and 2007). Both the Hispanic and Black or African American race/ethnic minority groups in Arizona more than doubled in size since 1990. The Asian or Pacific Islander population more than tripled in size (208.5 percent increase) percent while the American Indian population increased by 66.0 percent from 1990 to 2007. Compared with the White non-Hispanics, the race/ethnic minority groups have had greater percentages of people younger than 25 years (46.8 vs. 28.5 percent). In contrast, people aged 65 years and older accounted for 17.9 percent of White non-Hispanics, but only 5.6 percent of all race/ethnic minority groups combined. Among Arizonans 25 years old or younger in 2007, the majority (52.1 percent) was other than White non-Hispanic. Among Arizona’s older adults 65 years old or older, eight out of ten (83.0 percent) were White non-Hispanic (Table A). Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 1 Table A. POPULATION BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2007 Other than White non-Hispanic* POPULATION BY AGE GROUP IN 2007 All groups White nonHispanic Total Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander < 25 years 2,301,902 1,103,197 1,198,705 866,382 111,029 160,989 60,305 Percent 35.8% 28.5% 46.8% 48.2% 43.8% 47.7% 35.5% 3,294,333 2,075,734 1,218,599 843,223 122,806 155,057 97,513 51.2% 53.6% 47.6% 46.9% 48.4% 45.9% 57.4% 835,772 693,833 141,939 88,617 19,642 21,718 11,962 13.0% 17.9% 5.6% 4.9% 7.8% 6.4% 7.1% 6,432,007 3,872,764 2,559,243 1,798,222 253,477 337,764 169,780 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 25-64 years Percent 65+ years Percent Total, all ages** Percent Similar to the differences in the age composition is the contrasting pattern of proportional mortality by age group. In 2007, the elderly (65 years and older) comprised 76.3 percent of the total mortality among White non-Hispanics, compared to 43.5 percent among American Indians, 46.6 percent among Blacks, 49.4 percent among Hispanics, and 58.9 percent among Asians. One out of fifty White non-Hispanics who died in 2007 was less than 25 years old (1.9 percent). In contrast, persons younger than 25 years of age accounted for one out of every eight (12.9 percent) deaths among Arizona race/ethnic minorities: Table B. MORTALITY BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2007 Other than White non-Hispanic * MORTALITY BY AGE GROUP IN 2007: All groups White nonHispanic Total Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander < 25 years 1,810 677 1,133 778 136 193 26 Percent 4.1% 1.9% 12.9% 14.2% 10.7% 11.6% 7.1% 25-64 years Percent 65+ years Percent Total, all ages** Percent 11,238 7,805 3,417 2,003 545 745 124 25.2% 21.8% 38.8% 36.4% 42.7% 44.9% 34.0% 31,592 27,323 4,248 2,715 595 723 215 70.8% 76.3% 48.3% 49.4% 46.6% 43.5% 58.9% 44,640 35,805 8,798 5,496 1,276 1,661 365 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% *Includes other groups than Hispanic, Black, American Indian, and Asian. **Includes unknown age. In 2007, the absolute majority of deaths of American Indian (56.5 percent), Black (53.4 percent), and Hispanic (50.6) residents of Arizona occurred before the age of 65 years, compared to 23.7 percent among White non-Hispanics. Elderly 65 years and older accounted for only 4.9 percent of Arizona’s Hispanic residents (the smallest fraction among the race/ethnic groups). Simultaneously, the proportion of deaths before the age 25 was the highest among Hispanics (14.2 percent). These two facts reflect both the young migrant effect (Hispanic immigrants are looking for work, not retirement), and the so-called “salmon bias” effect, “which posits that U.S. residents of Hispanic origin may return to their country of origin to die or when ill”.# 2 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Graphic representations of the contrasting patterns in age-specific mortality and in the age composition of the population are provided below: Percent distribution of population by age group and race/ethnicity, Arizona, 2007 W hite non-Hispanic 28.5% 46.8% Age group <25 O ther than W hite non-Hispanic 25-64 53.6% 47.6% 65+ 17.9% 100.0% 80.0% 60.0% 40.0% 20.0% 5.6% 0.0% 20.0% 40.0% 60.0% 80.0% 100.0% Percent distribution of deaths by age group and race/ethnicity, Arizona, 2007 W hite non-Hispanic O ther than W hite non-Hispanic 1.9% 12.9% Age group <25 25-64 65+ 100.0% 21.8% 38.8% 76.3% 80.0% 48.3% 60.0% 40.0% 20.0% 0.0% 20.0% 40.0% 60.0% 80.0% 100.0% ___________________________________ # Minino AM, Heron MP, Murphy SL, Kochanek, KD. Deaths: Final Data for 2004. National vital statistics report; vol.55 no 19. Hyattsville, MD: National Center for Health Statistics. 2007. Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 3 METHODS The 70 indicators presented in this report are individual measures of the various dimensions or facets of health status. By calculating overall scores and rankings it is possible to provide a summary measure representing a relative standing of each race/ethnic group on a broad range of health status issues. Scores indicate the percentage a race/ethnic group is above or below the statewide average. Each score is calculated as follows: THE VALUE OF A RATE OR RATIO IN A SPECIFIED GROUP SCORE = - 1.0 X 100 THE AVERAGE VALUE OF A RATE OR RATIO FOR THE STATE Scores may have positive (+) or negative (-) values. The above formula produces a score of 0.0 for a group with the same value as the statewide average. A negative score indicates better than average standing on an indicator. A positive score indicates worse than average standing on an indicator.* It is important to note that the unit of analysis in this report is the race/ethnic group. The aggregate measures of health status (such as teen pregnancy rate, infant mortality rate, mortality rate for drug-induced deaths or the incidence of lowbirthweight, etc.) apply to groups and not individuals. In addition, this is a study of the relative, not absolute healthiness of race/ethnic groups. The highest ranking group is not problem-free, it is comparatively better. The rates and ratios presented in sections 1-4 and 7-9 of Comparative Measures of Health Status by Race/Ethnicity and Comparative Rates and Ratios for 2000-2007 are directly comparable to the previously published rates and ratios for 1995, 1997, and 1999. However, the cause-specific mortality rates in section 5 and section 6 CANNOT BE compared to cause-specific mortality rates published in prior editions of this report. This is because beginning with the 2000 data year in Arizona (1999 nationally) two major changes have occurred that affect the computation of mortality rates and analyses of mortality data over time. First, a new revision of the International Classification of Diseases (ICD), used to classify causes of death, was implemented. The Tenth Revision (ICD-10) has replaced the Ninth Revision (ICD-9), which was in effect since 1979. Second, 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 set of age-adjustment weights uses the projected year 2000 U.S. population as a standard. Both changes have profound effects on the comparability of mortality data and continuity in statistical trends. Age-adjusted rates can only be compared to other age-adjusted rates that use the same population standard. In this report, ALL age-adjusted mortality rates are based on the (new) 2000 standard, and they CANNOT BE compared to rates using the 1940 standard population. Beginning with the 2005 edition of the report, the median age at death replaced the arithmetic mean age at death as one of the measures of premature mortality (indicators 8-1, 8-2 and 8-3). The median age is higher than the arithmetic mean age in negatively skewed distributions.** Prior editions of this report were published for the 1995, 1997, 1999, 2001, 2003, and 2005 data years. This report uses the same methodology as the 1997, 1999, 2001, 2003, and 2005 editions, so that average scores and average ranks (but not mortality rates published before 2000) are directly comparable. ________________________________ *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 higher-than-average median age at death would indicate worse than average standing on this indicator. ** A comparison of the median with the mean age at death in Arizona by race/ethnicity, gender, and year for 1997-2007 is available in Table 2D-1 of “Arizona Health Status and Vital Statistics 2007” report at http://www.azdhs.gov/plan/report/ahs/ahs2007/pdf/2d1.pdf 4 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 KEY FINDINGS The inequity between the groups, as measured by the range of score values from the lowest (the most favorable standing among the groups) to the highest (the least favorable standing), narrowed from 117.2 points in 2001 (from -30.2 for Asians to 87.0 for Blacks) to 81.7 in 2005, and slightly increased to 85.4 in 2007 (Figure A). The average score for Blacks improved from 87.0 in 2001 to 48.0 in 2007. Compared to a score of -11.7 in 2005, the average score for White nonHispanics slightly worsened to -9.5 in 2007. In contrast, the average score for American Indians improved from 59.8 in 2005 to 46.4 in 2007. Hispanics had their best average score in 2007, compared to their average scores in 1997, 1999, 2001, 2003, and 2005. In fact, their overall standing in 2007 was no different from the average for all groups (Figure A). Figure A Comparison of Average Scores by Race/Ethnicity in 1997, 1999, 2001, 2003, 2005, and 2007 WORSE THA N A VERA GE 90.0 75.0 60.0 Black 45.0 A merican Indian 30.0 15.0 Hispanic Average for all Arizonans 0.0 W hit e non-Hispanic BETTER THA N A VERA GE -15.0 -30.0 A sian -45.0 -60.0 -75.0 -90.0 1997 5 4 .7 1999 6 1 .0 2001 6 9 .9 2003 5 6 .0 2005 5 9 .8 2007 4 6 .4 A s ia n - 4 2 .8 - 4 6 .3 - 3 0 .2 - 2 9 .6 - 2 1 .9 - 3 7 .4 B la c k 7 1 .9 6 0 .5 8 7 .0 6 4 .3 5 9 .8 4 8 .0 4 .8 7 .1 8 .2 8 .2 1 4 .8 1 .4 - 7 .4 - 9 .2 - 9 .8 - 1 1 .7 - 9 .5 A m e ric a n I ndia n H is pa nic White non- H is pa nic - 1 0 .5 In 2007 as in 2005, 2003, 2001, 1999 and 1997, Arizona's Asian residents ranked best among race/ethnic groups in the overall health status, followed by White non-Hispanics, Hispanics, American Indians, and Blacks (Figure B). Figure B Number of Times Each Group Ranked Better Than Average, Average, and Worse Than Average on 70 Indicators, Arizona, 2007 White no n- Hispa nic A m e ric a n India n 45 7 18 7 20 29 21 49 14 Better than average (ranks 1 or 2) 4 19 15 36 Hispa nic Bla c k 9 57 A sia n Average (rank 3) Worse than average (ranks 4 or 5) Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 5 The average scores based on all 70 measurements ranged from –37.4 for Asians to 48.0 for Blacks (Figure C). The difference in the average scores for White non-Hispanics and Hispanics narrowed from 26.5 points in 2005 (-11.7 and 14.8; Figure A) to 10.9 in 2007. The average scores for American Indians (46.4) and Blacks (48.0) differed by a mere 1.6 percentage points. Figure C Average Scores in 2007 (A score is a percent above or below the average for all Arizona residents. A negative score indicates better than average standing on an indicator.) Asian -3 7 .4 W hite non-Hispanic -9 .5 Hispanic 1 .4 American Indian 4 6 .4 Black 4 8 .0 -100.0 -80.0 -60.0 -40.0 -20.0 B ETTER THA N A V ERA GE 0.0 20.0 AVERAGE FO R ALL ARIZ O N AN S 40.0 60.0 80.0 100.0 W O R SE THA N A V ERA GE ASIANS or PACIFIC ISLANDERS Average rank: 1.7* Total score: -2,616.8 Average score: -37.4** In 2007, Asian residents of Arizona ranked best or second best among race/ethnic groups on 57 of 70 indicators, including measures of utilization of prenatal care services, cause-and-age-specific mortality and in low incidence of teen pregnancies or reportable diseases. Asians median age at death was the second highest among the race/ethnic groups in Arizona in 2007. Asians also had the lowest risk of injury mortality in accidents, as well as drug-and/or–alcohol induced deaths and firearm-related mortality. Their overall score improved from -21.9 in 2005 to -37.4 in 2007. The total mortality rate of 356.3 deaths per 100,000 Asian or Pacific Islander residents of the State was the lowest rate among the race/ethnic groups, and it was the lowest rate for Asians since 2000. So were the mortality rates for diabetes, chronic lower respiratory diseases, cardiovascular diseases, and influenza and pneumonia. In 2000-2007, infants of Asian mothers had the lowest infant mortality rates (IMR) among the race/ethnic groups. In 2007, the Asian IMR of 3.2 infant deaths per 1,000 live births was 52.9 percent lower than the IMR of 6.8/1,000 for all groups (See Comparative Rates and Ratios for 2000-2007). __________ *The average rank based on all 70 measurements (the sum of the ranks divided by 70 measurements. Ranks range between 1 = the highest rank of health indicators and 5 = the lowest rank of health indicators). See section RANKING ORDER IN 2007. **The average score based on all 70 measurements (the sum of all scores divided by 70 measurements). See section SCORES IN 2007. 6 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 WHITE NON-HISPANICS Average rank: 2.7 Total score: -666.5 Average score: -9.5 White non-Hispanics ranked second best in the relative healthiness among race/ethnic groups in Arizona. They ranked No.1 or No.2 on 36 of 70 measures of health, including low teen pregnancy rates, high utilization of prenatal care and low premature mortality. However, in the use of tobacco among women giving birth, as well as in the incidence of genital herpes during pregnancy and in mortality rates for suicide, lung cancer, chronic lower respiratory diseases, and Alzheimer’s disease, White non-Hispanics ranked worst among race/ethnic groups. The White non-Hispanic overall score of -9.5 in 2007 was their 3rd worst score since 1997. It reflects deterioration in teen pregnancy rates among females 14 and younger and females 18-19 years old, as well as mortality rates for drug-and-alcohol induced deaths, suicide, and prostate cancer. The incidence of both early syphilis and HIV/AIDS increased in 2007. However, the 2007 total mortality rate of 665.1 deaths/100,000 was the lowest mortality rate of White non-Hispanics in 2000-2007. HISPANICS or LATINOS Average rank: 2.9 Total score: 100.8 Average score: +1.4 In 2007, as in 2005, 2003, 2001, 1999 and 1997, Hispanics achieved a 3rd place health ranking. The inequity between Hispanics and White non-Hispanics as measured by the range of score values narrowed from 26.5 in 2005 (14.8 and -11.7) to 10.9 in 2007 (1.4 and 9.5). Hispanics ranked in the middle of five groups on 29 of 70 measures of health. They ranked best or second best on 21 indicators in 2007, an increase from 18 indicators in 2005. They ranked worse than average with high teen pregnancy rates and low utilization of prenatal care services. They ranked better than average with low alcohol and tobacco use among women giving birth, low incidence of preterm births and low-birthweight. In 2005, the mortality rate for diabetes among Hispanics was 128.9 percent greater than the average rate for all groups; in 2007 it was 81.2 percent greater. The overall score of 1.4 reflects a lack of substantial gap between the statewide averages in 2007 and the rates or ratios specific to Hispanics. Comparative Rates and Ratios for 2000-2007 provide detailed picture of changes over time for all of the 70 measures. AMERICAN INDIANS or ALASKA NATIVES Average rank: 3.7 Total score: 3,247.2 Average score: +46.4 In 2007, American Indians in Arizona had the second highest average score among all groups and second lowest rank of overall health status. They ranked 5th or 4th 45 times on 70 indicators (Figure B), and they exceeded the statewide averages by a wider margin than any other group except Blacks (Figure C). American Indians ranked poorly on measures of maternal lifestyle and health as well as in utilization of prenatal care. High incidence of birth defects and high infant mortality, high mortality from alcohol-induced causes, diabetes, influenza and pneumonia, septicemia, motor vehicle accidents and mortality from other unintentional injuries contributed to the premature death rate. In 2007, compared to White non-Hispanics, on average American Indian residents of Arizona were 17 years younger at time of death. This resulted in the second lowest ranking of American Indians in the relative healthiness among racial and ethnic groups in Arizona. Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 7 BLACKS or AFRICAN AMERICANS Average rank: 4.0 Total score: 3,361.7 Average score: +48.0 The average score of Arizona Black or African American residents has improved from 87.0 in 2001 to 64.3 in 2003 and 59.8 in 2005. Despite this improvement, Blacks or African Americans had the lowest rank of overall health status because they ranked 5th or 4th among the five race/ethnic groups on 49 of 70 measures (see Figure B). No other race/ethnic group exceeded the statewide averages by a wider margin than Blacks. High infant mortality rate, high ratios of low birthweight and very low birthweight births, high incidence of many reportable diseases, high mortality rates for almost all of the leading causes of death and high rate of premature death all lowered the ranking for this population group. However, Blacks or African Americans ranked better than average with low incidence of birth defects, low mortality rates for alcohol-induced causes, suicide, and fall-related injuries. The total mortality rate of 719.2 deaths per 100,000 Black or African American residents of the State was the second highest rate among the race/ethnic groups, but it was the lowest rate for Blacks since 2000. COMPARATIVE CAUSE-SPECIFIC MORTALITY IN 2007 In 2007, diseases of the heart were the leading cause of death for three of the five race/ethnic groups in Arizona: American Indians, Blacks or African Americans, and Hispanics or Latinos (Figure D). Cancer was the number one cause among Asians or Pacific Islanders and White non-Hispanics. Unintentional injury was the third leading cause for each group except Asians. For Asians, stroke was the 3rd leading cause of death in 2007. Diabetes was among the top five causes of death among American Indians, Blacks, and Hispanics, but not among Asians and White non-Hispanics. Alzheimer’s disease was the fifth leading cause of death only among White non-Hispanics and Asians. Chronic liver disease and cirrhosis was the fifth leading cause of death specific to American Indians. Stroke was the fourth leading cause of death among both Hispanics or Latinos and Blacks or African Americans. Chronic lower respiratory diseases were the fourth leading cause of death specific to White non-Hispanics. Figure D Comparative Age-Adjusted Mortality Rates for the Five Leading Causes of Death by Race/Ethnicity in 2007 Rank A sian or Pacif ic Islander A merican Indian or A laska Nat ive Black or A f rican A merican Hispanic or Lat ino W hit e nonHispanic 1 Cancer 84.2 Diseases of heart 115.2 Diseases of heart 171.3 Diseases of heart 131.5 Cancer 154.6 2 Diseases of heart 58.6 Cancer 113.9 Cancer 153.4 Cancer 118.6 Diseases of heart 153.2 3 St roke 37.7 Unint ent ional injury 95.0 Unint ent ional injury 48.1 Unint ent ional injury 40.6 Unint ent ional injury 44.9 4 Unint ent ional injury 20.3 Diabet es 51.1 St roke 34.1 St roke 34.9 Chronic lower respirat ory diseases 43.7 5 A lzheimer's disease 12.9 Chronic liver disease and cirrhosis 36.8 Diabet es 30.3 Diabet es 30.8 A lzheimer's disease 30.9 RISK PROFILES Risk profiles presented on the following pages summarize how each race/ethnic group compares to the State average for the entire set of measures of health status. These profiles use scores, which were developed to describe the level of each of the 70 measures for each race/ethnic group in comparison to the average level for all groups. The profiles visually describe the better-than-average and worse-than-average clusters of health status characteristics for each race/ethnic group. 8 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Risk Profile of Asians or Pacific Islanders (percent above or below the State mean in 2007) WORSE THAN AVERAGE BETTER THAN AVERAGE -100.0 -82.8 -80.9 -80.8 -78.5 -77.5 -76.5 -76.5 -76.4 -73.9 -71.7 -70.0 -67.5 -66.7 -66.2 -65.9 -63.6 -60.9 -60.8 -60.4 -60.2 -59.6 -58.3 -56.4 -56.4 -55.5 -53.8 -53.3 -53.2 -52.9 -48.8 -47.2 -46.3 -45.0 -44.7 -44.0 -43.8 -43.7 -43.1 -42.6 -39.7 -38.9 -36.8 -34.7 -34.2 -31.8 -30.7 -28.6 -23.3 -22.6 -20.0 -16.7 -16.7 -10.3 -6.8 -3.9 4-8.Sudden Infant Death Syndrome (SIDS) 9-2.Incidence of gonorrhea 5-5.Deaths from chronic lower respiratory diseases 6-6.Drug-induced deaths 6-5.Deaths from injury by firearms 6-7.Alcohol-induced deaths 5-15.Deaths from HIV disease 7-2.Mortality of adolescents 15-19 years 9-3.Incidence of chlamydia 4-11.Postneonatal mortality 5-14.Deaths from chronic liver disease and cirrhosis 5-13.Deaths from diabetes 1-3.Pregnancies among females 15-17 years 2-3.Alcohol use during pregnancy 6-9.Assault (homicide) 9-4.Incidence of genital herpes 7-3.Mortality of young adults 20-44 years 2-1.Unmarried mothers 5-2.Deaths from diseases of the heart 6-8.Intentional self-harm (suicide) 9-1.Incidence of early syphilis 2-2.Tobacco use during pregnancy 5-3.Deaths from coronary heart disease 6-1.Deaths from unintentional injuries 5-17.Deaths from Alzheimer's disease 1-1.Pregnancies among females 19 and younger 6-4.Drowning mortality 1-2.Pregnancies among females 14 and younger 7-4.Mortality of middle-aged adults 45-64 years 4-7.Infant mortality 1-4.Pregnancies among females 18-19 years 6-3.Deaths from fall-related injuries 5-20.Total mortality from all causes 3-2.Fewer than five prenatal visits 4-10.Neonatal mortality 5-1.Deaths from cardiovascular disease 5-8.Deaths from breast cancer 5-7.Deaths from lung cancer 5-6.Deaths from malignant neoplasm (cancer) 5-12.Deaths from influenza and pneumonia 3-1.No care in the 1st trimester 6-2.Deaths from motor vehicle-related injuries 5-9.Deaths from cervical cancer 5-10.Deaths from colorectal cancer 5-18.Deaths from nephritis (kidney disease) 3-3.No prenatal care 9-5.Incidence of HIV/AIDS 2-9.Genital herpes during pregnancy 2-10.Weight gain of less than 21 pounds 2-8.Pregnancy-associated hypertension 2-6.Anemia during pregnancy 2-4.Chronic hypertension 4-5.Born too small: <1,500 grams 7-1.Mortality of children 1-14 years 4-3.Born too early (preterm or < 37 weeks) 4-2.Incidence of newborn intensive care 4-1.Incidence of hyaline membrane 4-6.Incidence of congenital anomalies 4-9.Mortality of infants from low birthweight 5-11.Deaths from prostate cancer 8-1.Median age at death from all causes 8-3.Median age at death among females 8-2.Median age at death among males 4-4.Born too small: <2,500 grams 2-5.Dysfunctional labor 5-4.Deaths from cerebrovascular disease 8-4.Deaths before expected years of life reached 5-19.Deaths from essential (primary) hypertension 5-16.Deaths from septicemia 2-7.Diabetes during pregnancy 0.0 0.0 0.0 2.6 7.9 8.8 12.3 12.7 18.2 23.2 23.4 28.1 34.6 73.5 0 .0 - 5 0 0 .0 - 2 5 0 .0 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 AVERAGE FOR ALL RESIDENTS 5 0 0 .0 2 5 0 .0 9 Risk Profile of White non-Hispanics (percent above or below the State mean in 2007) BETTER THAN AVERAGE 9-3.Incidence of chlamydia 3-3.No prenatal care 9-2.Incidence of gonorrhea 1-3.Pregnancies among females 15-17 years 9-1.Incidence of early syphilis 3-2.Fewer than five prenatal visits 6-9.Assault (homicide) 1-1.Pregnancies among females 19 and younger 4-9.Mortality of infants from low birthweight 9-4.Incidence of genital herpes 1-4.Pregnancies among females 18-19 years 1-2.Pregnancies among females 14 and younger 3-1.No care in the 1st trimester 2-1.Unmarried mothers 2-10.Weight gain of less than 21 pounds 7-1.Mortality of children 1-14 years 5-15.Deaths from HIV disease 9-5.Incidence of HIV/AIDS 4-11.Postneonatal mortality 5-18.Deaths from nephritis (kidney disease) 2-7.Diabetes during pregnancy 5-13.Deaths from diabetes 4-10.Neonatal mortality 6-2.Deaths from motor vehicle-related injuries 4-7.Infant mortality 5-9.Deaths from cervical cancer 6-7.Alcohol-induced deaths 5-14.Deaths from chronic liver disease and cirrhosis 7-2.Mortality of adolescents 15-19 years 5-16.Deaths from septicemia 8-4.Deaths before expected years of life reached 4-5.Born too small: <1,500 grams 6-5.Deaths from injury by firearms 5-19.Deaths from essential (primary) hypertension 5-12.Deaths from influenza and pneumonia 7-3.Mortality of young adults 20-44 years 6-1.Deaths from unintentional injuries 5-4.Deaths from cerebrovascular disease 8-2.Median age at death among males 8-1.Median age at death from all causes 8-3.Median age at death among females 2-4.Chronic hypertension 4-4.Born too small: <2,500 grams 6-4.Drowning mortality 5-20.Total mortality from all causes 4-3.Born too early (preterm or < 37 weeks) 5-1.Deaths from cardiovascular disease 7-4.Mortality of middle-aged adults 45-64 years 5-8.Deaths from breast cancer 5-2.Deaths from diseases of the heart 5-3.Deaths from coronary heart disease 6-3.Deaths from fall-related injuries 5-11.Deaths from prostate cancer 5-10.Deaths from colorectal cancer 5-17.Deaths from Alzheimer's disease 5-6.Deaths from malignant neoplasm (cancer) 2-5.Dysfunctional labor 2-6.Anemia during pregnancy 5-7.Deaths from lung cancer 5-5.Deaths from chronic lower respiratory diseases 4-2.Incidence of newborn intensive care 4-6.Incidence of congenital anomalies 2-3.Alcohol use during pregnancy 2-8.Pregnancy-associated hypertension 6-8.Intentional self-harm (suicide) 6-6.Drug-induced deaths 4-1.Incidence of hyaline membrane 4-8.Sudden Infant Death Syndrome (SIDS) 2-9.Genital herpes during pregnancy 2-2.Tobacco use during pregnancy -63.1 -59.1 -57.9 -57.7 -52.3 -50.0 -49.4 -44.8 -44.4 -42.8 -42.1 -40.0 -39.7 -36.9 -28.5 -27.2 -23.5 -22.8 -21.7 -21.1 -20.6 -19.4 -19.1 -19.1 -17.6 -15.8 -15.3 -15.0 -14.0 -13.6 -9.3 -8.3 -7.6 -7.0 -4.7 -4.3 -3.6 -2.9 -2.7 -2.6 -1.3 0.0 0.0 0.0 0.3 1.0 1.3 1.8 2.0 2.5 2.6 2.8 3.2 4.2 4.4 4.5 9.1 10.0 11.0 11.5 11.8 12.5 16.7 19.4 21.4 22.5 25.0 25.0 71.4 76.6 0 .0 - 5 0 0 .0 - 2 5 0 .0 10 WORSE THAN AVERAGE AVERAGE FOR ALL RESIDENTS 5 0 0 .0 2 5 0 .0 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Risk Profile of Hispanics or Latinos (percent above or below the State mean in 2007) WORSE THAN AVERAGE BETTER THAN AVERAGE 2-3.Alcohol use during pregnancy 2-2.Tobacco use during pregnancy 2-9.Genital herpes during pregnancy 5-5.Deaths from chronic lower respiratory diseases 4-1.Incidence of hyaline membrane 5-7.Deaths from lung cancer 6-6.Drug-induced deaths 6-8.Intentional self-harm (suicide) 2-6.Anemia during pregnancy 9-4.Incidence of genital herpes 6-3.Deaths from fall-related injuries 2-8.Pregnancy-associated hypertension 2-5.Dysfunctional labor 4-8.Sudden Infant Death Syndrome (SIDS) 9-2.Incidence of gonorrhea 5-6.Deaths from malignant neoplasm (cancer) 5-17.Deaths from Alzheimer's disease 5-10.Deaths from colorectal cancer 2-4.Chronic hypertension 5-11.Deaths from prostate cancer 5-8.Deaths from breast cancer 7-4.Mortality of middle-aged adults 45-64 years 6-1.Deaths from unintentional injuries 4-6.Incidence of congenital anomalies 5-2.Deaths from diseases of the heart 4-2.Incidence of newborn intensive care 5-3.Deaths from coronary heart disease 9-1.Incidence of early syphilis 7-3.Mortality of young adults 20-44 years 9-3.Incidence of chlamydia 5-20.Total mortality from all causes 6-4.Drowning mortality 5-1.Deaths from cardiovascular disease 4-4.Born too small: <2,500 grams 4-3.Born too early (preterm or < 37 weeks) 4-11.Postneonatal mortality 2-7.Diabetes during pregnancy 5-19.Deaths from essential (primary) hypertension 4-5.Born too small: <1,500 grams 5-15.Deaths from HIV disease 6-5.Deaths from injury by firearms 6-7.Alcohol-induced deaths 6-2.Deaths from motor vehicle-related injuries 4-7.Infant mortality 7-2.Mortality of adolescents 15-19 years 4-10.Neonatal mortality 8-3.Median age at death among females 5-12.Deaths from influenza and pneumonia 7-1.Mortality of children 1-14 years 5-4.Deaths from cerebrovascular disease 8-1.Median age at death from all causes 8-2.Median age at death among males 2-10.Weight gain of less than 21 pounds 9-5.Incidence of HIV/AIDS 2-1.Unmarried mothers 1-2.Pregnancies among females 14 and younger 5-16.Deaths from septicemia 3-1.No care in the 1st trimester 4-9.Mortality of infants from low birthweight 3-2.Fewer than five prenatal visits 8-4.Deaths before expected years of life reached 5-14.Deaths from chronic liver disease and cirrhosis 3-3.No prenatal care 6-9.Assault (homicide) 1-1.Pregnancies among females 19 and younger 1-4.Pregnancies among females 18-19 years 5-9.Deaths from cervical cancer 5-18.Deaths from nephritis (kidney disease) 5-13.Deaths from diabetes 1-3.Pregnancies among females 15-17 years -66.7 -66.0 -57.1 -52.0 -50.0 -46.3 -42.4 -40.3 -33.3 -30.2 -29.2 -29.0 -27.3 -25.0 -23.3 -19.9 -18.6 -16.7 -16.7 -16.4 -15.9 -15.2 -12.9 -12.5 -12.0 -11.8 -11.6 -11.4 -10.8 -10.5 -9.0 -7.7 -7.5 -7.0 -4.9 -4.3 -2.9 -1.8 0.0 0.0 3.5 6.3 8.6 8.8 9.1 10.6 11.3 11.6 13.3 14.1 15.8 19.2 23.3 24.4 26.0 26.7 28.4 31.7 33.3 35.0 36.1 44.2 45.5 55.8 60.8 65.7 68.4 72.4 81.2 85.6 0 .0 - 5 0 0 .0 - 2 5 0 .0 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 AVERAGE FOR ALL RESIDENTS 5 0 0 .0 2 5 0 .0 11 Risk Profile of American Indians or Alaska Natives (percent above or below the State mean in 2007) BETTER THAN AVERAGE -74.1 -66.8 -65.2 -50.0 -47.2 -44.4 -42.4 -36.4 -34.6 -34.0 -28.6 -28.1 -26.4 -23.0 -22.9 -20.3 -19.4 -16.7 -12.2 -11.8 -11.1 -10.6 -8.5 -7.0 5-7.Lung cancer 5-5.Chronic lower respiratory diseases 5-17.Alzheimer's disease 4-1.Incidence of hyaline membrane 6-5.Injury by firearms 5-10.Colorectal cancer 6-6.Drug-induced deaths 6-8.Intentional self-harm (suicide) 9-5.Incidence of HIV/AIDS 2-2.Tobacco use during pregnancy 2-9.Genital herpes during pregnancy 5-4.Cerebrovascular disease 5-3.Coronary heart disease 5-6.Malignant neoplasm (cancer) 5-2.Diseases of the heart 5-1.Cardiovascular disease 5-8.Breast cancer 4-5.Born too small: <1,500 grams 5-11.Prostate cancer 4-2.Incidence of newborn intensive care 4-9.Mortality of infants from low birthweight 4-10.Neonatal mortality 6-3.Fall-related injuries 4-4.Born too small: <2,500 grams 4-3.Born too early (preterm or < 37 weeks) 1-4.Pregnancies among females 18-19 years 9-4.Incidence of genital herpes 5-20.Total mortality from all causes 1-1.Pregnancies among females 19 and younger 1-3.Pregnancies among females 15-17 years 8-3.Median age at death among females 4-7.Infant mortality 9-2.Incidence of gonorrhea 5-9.Cervical cancer 8-1.Median age at death from all causes 8-2.Median age at death among males 2-10.Weight gain of less than 21 pounds 7-4.Mortality of middle-aged adults 45-64 years 1-2.Pregnancies among females 14 and younger 8-4.Deaths before expected years of life reached 3-3.No prenatal care 4-8.Sudden Infant Death Syndrome (SIDS) 3-1.No care in the 1st trimester 7-2.Mortality of adolescents 15-19 years 9-3.Incidence of chlamydia 2-1.Unmarried mothers 4-11.Postneonatal mortality 6-9.Assault (homicide) 4-6.Incidence of congenital anomalies 7-1.Mortality of children 1-14 years 2-8.Pregnancy-associated hypertension 6-4.Drowning mortality 5-19.Essential (primary) hypertension 3-2.Fewer than five prenatal visits 6-1.Unintentional injuries 7-3.Mortality of young adults 20-44 years 5-15.HIV disease 5-16.Septicemia 2-6.Anemia during pregnancy 2-7.Diabetes during pregnancy 2-4.Chronic hypertension 2-5.Dysfunctional labor 5-12.Influenza and pneumonia 5-18.Nephritis, nephrotic syndrome and nephrosis 2-3.Alcohol use during pregnancy 5-13.Diabetes 6-2.Motor vehicle-related injuries 5-14.Chronic liver disease and cirrhosis 9-1.Incidence of early syphilis 6-7.Alcohol-induced deaths -500.0 1.0 2.9 13.2 13.5 13.7 14.9 16.3 19.1 19.9 21.1 22.4 26.0 26.1 26.5 33.3 44.1 45.5 50.0 52.2 61.8 66.0 68.7 69.6 70.1 75.0 75.9 87.1 92.3 96.5 100.0 103.9 110.8 111.8 119.8 126.7 135.3 150.0 163.6 165.9 171.1 200.0 200.6 202.5 225.7 246.6 0.0 -250.0 12 WORSE THAN AVERAGE AVERAGE FOR ALL RESIDENTS 344.1 500.0 250.0 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Risk Profile of Blacks or African Americans (percent above or below the State mean in 2007) BETTER THAN AVERAGE WORSE THAN AVERAGE -59.7 -52.3 -47.8 -37.8 -34.0 -16.0 -12.5 -11.8 6-8.Intentional self-harm (suicide) 5-5.Deaths from chronic lower respiratory diseases 5-14.Deaths from chronic liver disease and cirrhosis 6-7.Alcohol-induced deaths 6-3.Deaths from fall-related injuries 6-2.Deaths from motor vehicle-related injuries 4-6.Incidence of congenital anomalies 2-7.Diabetes during pregnancy 1-3.Pregnancies among females 15-17 years 2-3.Alcohol use during pregnancy 2-5.Dysfunctional labor 5-17.Deaths from Alzheimer's disease 5-12.Deaths from influenza and pneumonia 6-1.Deaths from unintentional injuries 3-1.No care in the 1st trimester 5-6.Deaths from malignant neoplasm (cancer) 5-7.Deaths from lung cancer 1-1.Pregnancies among females 19 and younger 5-20.Total mortality from all causes 2-10.Weight gain of less than 21 pounds 5-10.Deaths from colorectal cancer 5-4.Deaths from cerebrovascular disease 8-3.Median age at death among females 2-8.Pregnancy-associated hypertension 2-9.Genital herpes during pregnancy 5-2.Deaths from diseases of the heart 5-1.Deaths from cardiovascular disease 3-2.Fewer than five prenatal visits 8-1.Median age at death from all causes 1-4.Pregnancies among females 18-19 years 5-3.Deaths from coronary heart disease 5-8.Deaths from breast cancer 7-2.Mortality of adolescents 15-19 years 5-9.Deaths from cervical cancer 8-2.Median age at death among males 3-3.No prenatal care 5-11.Deaths from prostate cancer 6-6.Drug-induced deaths 2-1.Unmarried mothers 8-4.Deaths before expected years of life reached 7-3.Mortality of young adults 20-44 years 7-4.Mortality of middle-aged adults 45-64 years 4-2.Incidence of newborn intensive care 2-6.Anemia during pregnancy 4-3.Born too early (preterm or < 37 weeks) 2-2.Tobacco use during pregnancy 7-1.Mortality of children 1-14 years 4-1.Incidence of hyaline membrane 1-2.Pregnancies among females 14 and younger 9-4.Incidence of genital herpes 6-5.Deaths from injury by firearms 5-13.Deaths from diabetes 4-4.Born too small: <2,500 grams 5-16.Septicemia 2-4.Chronic hypertension 9-3.Incidence of chlamydia 9-1.Incidence of early syphilis 6-4.Drowning mortality 4-11.Postneonatal mortality 4-5.Born too small: <1,500 grams 4-10.Neonatal mortality 4-7.Infant mortality 5-19.Deaths from essential (primary) hypertension 4-8.Sudden Infant Death Syndrome (SIDS) 5-18.Deaths from nephritis (kidney disease) 4-9.Mortality of infants from low birthweight 9-5.Incidence of HIV/AIDS 6-9.Assault (homicide) 5-15.Deaths from HIV disease 9-2.Incidence of gonorrhea 0.0 0.0 0.0 0.7 0.8 3.2 3.6 3.6 3.7 4.9 8.4 8.7 9.0 11.4 12.5 12.9 14.3 14.6 16.2 18.3 18.4 18.7 18.8 18.9 19.0 21.1 21.9 22.7 24.9 30.5 37.6 39.4 40.3 43.0 43.1 43.3 44.7 44.7 49.2 50.0 53.3 65.0 74.3 78.2 80.3 81.5 83.3 86.9 93.2 107.7 108.7 116.7 119.1 122.1 122.8 150.0 151.3 166.7 179.5 203.9 252.9 339.1 0 .0 - 5 0 0 .0 5 0 0 .0 2 5 0 .0 - 2 5 0 .0 AVERAGE FOR ALL RESIDENTS Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 13 COMPARATIVE MEASURES OF HEALTH STATUS BY RACE/ETHNICITY IN 2007 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 15 1 Teen Pregnancies 1-1 Pregnancies Among Females 19 or Younger 1-2 Pregnancies Among Females 14 or Younger 1-3 Pregnancies Among Females 15-17 Years Old 1-4 Pregnancies Among Females 18-19 Years Old Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 17 1-1 PREGNANCIES AMONG FEMALES 19 OR YOUNGER 2007 55.3 Hispa nic A m e r ic a n India n 39.1 36.1 Bla c k 34.4 A LL GROUPS White no n Hispa nic 19.0 15.3 A s ia n 0.0 15.0 30.0 45.0 60.0 75.0 Number of pregnancies per 1,000 females 10-19 years old in specified group. 2000 60.9 Hispanic 51.9 Black American Indian 41.3 39.5 ALL GROUPS White non Hispanic 25.2 21.3 Asian 0.0 15.0 30.0 45.0 60.0 75.0 Number of pregnancies per 1,000 females 10-19 years old in specified group. COMPARATIVE RATES FOR 2000 AND 2007 Rate per 1,000 females by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic Hispanic or Latino Black or African American 39.5 34.4 25.2 19.0 60.9 55.3 51.9 36.1 American Indian or Alaska Native 41.3 39.1 -12.9 -24.6 -9.2 -30.4 -5.3 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 21.3 15.3 -28.2 19 1-2 PREGNANCIES AMONG FEMALES 14 OR YOUNGER 2007 2.3 Bla c k A m e r ic a n India n 2.0 1.9 Hispa nic 1.5 A LL GROUPS White no n Hispa nic 0.9 0.7 A s ia n 0.0 0.7 1.4 2.1 2.8 3.5 Number of pregnancies per 1,000 females 10-14 years old in specified group. 2000 2.7 Hispanic 2.4 Black American Indian 1.6 1.5 ALL GROUPS White non Hispanic 0.7 0.3 Asian 0.0 0.7 1.4 2.1 2.8 3.5 Number of pregnancies per 1,000 females 10-14 years old in specified group. COMPARATIVE RATES FOR 2000 AND 2007 Rate per 1,000 females by race/ethnicity Year 2000 2007 % change from 2000 20 All groups White nonHispanic Hispanic or Latino Black or African American 1.5 1.5 0.7 0.9 2.7 1.9 2.4 2.3 American Indian or Alaska Native 1.6 2.0 0.0 28.6 -29.6 -4.2 25.0 Asian or Pacific Islander 0.3 0.7 133.3 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 1-3 PREGNANCIES AMONG FEMALES 15-17 YEARS OLD 2007 68.5 Hispa nic A m e r ic a n India n 42.4 Bla c k 36.9 A LL GROUPS 36.9 White no n Hispa nic 15.6 12.0 A s ia n 0.0 20.0 40.0 60.0 80.0 100.0 Number of pregnancies per 1,000 females 15-17 years old in specified group. 2000 84.0 Hispanic 64.2 Black American Indian 52.1 48.1 ALL GROUPS White non -Hispanic 25.1 21.4 Asian 0.0 20.0 40.0 60.0 80.0 100.0 Number of pregnancies per 1,000 females 15-17 years old in specified group. COMPARATIVE RATES FOR 2000 AND 2007 Rate per 1,000 females by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic Hispanic or Latino Black or African American 48.1 36.9 25.1 15.6 84.0 68.5 64.2 36.9 American Indian or Alaska Native 52.1 42.4 -23.3 -37.8 -18.5 -42.5 -18.6 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 21.4 12.0 -43.9 21 1-4 PREGNANCIES AMONG FEMALES 18-19 YEARS OLD 2007 201.2 His p a nic 144.1 Bla c k A m e r ic a n Ind ia n 124.9 121.4 A LL GROUPS White no n His p a nic 70.3 62.2 A s ia n 0.0 30.0 60.0 90.0 120.0 150.0 180.0 210.0 180.0 210.0 Number of pregnancies per 1,000 females 18-19 years old in specified group. 2000 178.4 His p a nic 171.7 Bla c k A m e r ic a n Ind ia n 144.4 123.6 A LL GROUPS White no n His p a nic 85.0 62.4 A s ia n 0.0 30.0 60.0 90.0 120.0 150.0 Number of pregnancies per 1,000 females 18-19 years old in specified group. COMPARATIVE RATES FOR 2000 AND 2007 Rate per 1,000 females by race/ethnicity Year 2000 2007 % change from 2000 22 All groups White nonHispanic Hispanic or Latino Black or African American 123.6 121.4 85.0 70.3 178.4 201.2 171.7 144.1 American Indian or Alaska Native 144.4 124.9 -1.8 -17.3 12.8 -16.1 -13.5 Asian or Pacific Islander 62.4 62.2 -0.3 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 2 Maternal Lifestyle and Health Characteristics 2-1 Unmarried Mothers 2-2 Tobacco Use During Pregnancy 2-3 Alcohol Use During Pregnancy 2-4 The Incidence of Chronic Hypertension 2-5 Dysfunctional Labor 2-6 The Incidence of Anemia During Pregnancy 2-7 The Incidence of Diabetes 2-8 The Incidence of Pregnancy-Associated Hypertension 2-9 The Incidence of Genital Herpes 2-10 Maternal Weight Gain of Less Than 21 Pounds Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 23 2-1 UNMARRIED MOTHERS 2007 A m e ric a n India n 75.9 61.9 Bla ck 56.7 His pa nic 45.0 A LL GROUPS White no n - His pa nic 28.4 17.6 A sia n 0.0 20.0 40.0 60.0 80.0 60.0 80.0 100.0 Per 100 live births. 2000 American Indian 68.5 62.2 Black 51.4 Hispanic 39.3 ALL GROUPS White non -Hispanic Asian 0.0 24.8 15.1 20.0 40.0 100.0 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 39.3 45.0 24.8 28.4 51.4 56.7 62.2 61.9 American Indian or Alaska Native 68.5 75.9 14.5 14.5 10.3 -0.5 10.8 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 15.1 17.6 16.6 25 2-2 TOBACCO USE DURING PREGNANCY 2007 White no nHis pa nic 8.3 6.8 Bla c k 4.7 A LL GROUPS A m e ric a n India n 3.1 1.9 A sia n His pa nic 1.6 0.0 3.0 6.0 9.0 12.0 Per 100 live births. 2000 White non -Hispanic 11.0 Black 11.0 6.8 ALL GROUPS American Indian 3.5 Asian 2.5 Hispanic 2.4 0.0 3.0 6.0 9.0 12.0 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 26 All groups White nonHispanic 6.8 4.7 11.0 8.3 2.4 1.6 11.0 6.8 American Indian or Alaska Native 3.5 3.1 -30.9 -24.5 -33.3 -38.2 -11.4 Hispanic or Latino Black or African American Asian or Pacific Islander 2.5 1.9 -24.0 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 2-3 ALCOHOL USE DURING PREGNANCY 2007 A m e rica n India n 1.8 White no n - His pa nic 0.7 A LL GROUPS 0.6 Bla c k 0.6 A sia n 0.2 His pa nic 0.2 0.0 0.6 1.2 1.8 2.4 3.0 Per 100 live births. 2000 American Indian 2.3 1.6 Black White non -Hispanic 1.3 1.0 ALL GROUPS Asian 0.6 Hispanic 0.6 0.0 0.6 1.2 1.8 2.4 3.0 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 1.0 0.6 1.3 0.7 0.6 0.2 1.6 0.6 American Indian or Alaska Native 2.3 1.8 -40.0 -46.2 -66.7 -62.5 -21.7 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 0.6 0.2 -66.7 27 2-4 CHRONIC HYPERTENSION 2007 A m e ric a n India n 1.5 1.1 Bla c k White no n - His pa nic 0.6 A LL GROUPS 0.6 A sia n 0.5 His pa nic 0.5 0.0 0.4 0.8 1.2 1.6 Per 100 live births. 2000 American Indian 1.3 0.7 Black White non -Hispanic 0.4 ALL GROUPS 0.4 Asian Hispanic 0.0 0.3 0.2 0.4 0.8 1.2 1.6 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 28 All groups White nonHispanic 0.4 0.6 0.4 0.6 0.2 0.5 0.7 1.1 American Indian or Alaska Native 1.3 1.5 50.0 50.0 150.0 57.1 15.4 Hispanic or Latino Black or African American Asian or Pacific Islander 0.3 0.5 66.7 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 2-5 DYSFUNCTIONAL LABOR 2007 A m e r ic a n India n 2.9 1.3 A s ia n White no n - His pa nic 1.2 A LL GROUPS 1.1 Bla c k 1.1 0.8 Hispa nic 0.0 0.7 1.4 2.1 2.8 3.5 Per 100 live births. 2000 American Indian 2.2 Asian 0.8 White non -Hispanic 0.8 ALL GROUPS 0.8 Black Hispanic 0.0 0.7 0.5 0.7 1.4 2.1 2.8 3.5 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 0.8 1.1 0.8 1.2 0.5 0.8 0.7 1.1 American Indian or Alaska Native 2.2 2.9 37.5 50.0 60.0 57.1 31.8 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 0.8 1.3 62.5 29 2-6 ANEMIA DURING PREGNANCY 2007 A m e ric a n India n 6.8 4.3 Bla c k White no n - His pa nic 3.3 3.0 A LL GROUPS 2.4 A s ia n 2.0 His pa nic 0.0 1.5 3.0 4.5 6.0 7.5 4.5 6.0 7.5 Per 100 live births. 2000 A m e ric a n India n 4.8 2.0 Bla c k White no n - His pa nic 1.7 A LL GROUPS 1.7 A s ia n 1.1 His pa nic 1.1 0.0 1.5 3.0 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 30 All groups White nonHispanic 1.7 3.0 1.7 3.3 1.1 2.0 2.0 4.3 American Indian or Alaska Native 4.8 6.8 76.5 94.1 81.8 115.0 41.7 Hispanic or Latino Black or African American Asian or Pacific Islander 1.1 2.4 118.2 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 2-7 DIABETES DURING PREGNANCY 2007 A m e r ic a n Ind ia n 8.0 5.9 A s ia n A LL GROUPS 3.4 His p a nic 3.3 3.0 Bla c k White no n - His pa nic 2.7 0.0 2.0 4.0 6.0 8.0 10.0 Per 100 live births. 2000 American Indian 6.7 3.1 Asian ALL GROUPS 2.3 Hispanic 2.0 White non -Hispanic 1.9 Black 1.8 0.0 2.0 4.0 6.0 8.0 10.0 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 2.3 3.4 1.9 2.7 2.0 3.3 1.8 3.0 American Indian or Alaska Native 6.7 8.0 47.8 42.1 65.0 66.7 19.4 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 3.1 5.9 90.3 31 2-8 PREGNANCY-ASSOCIATED HYPERTENSION 2007 A m e rica n India n 5.8 White no n - Hisp a nic 3.7 3.5 Bla c k 3.1 A LL GROUPS 2.4 A s ia n His pa nic 2.2 0.0 1.5 3.0 4.5 6.0 7.5 Per 100 live births. 2000 American Indian 5.6 White non -Hispanic 3.6 3.0 ALL GROUPS 2.9 Black Asian Hispanic 0.0 2.3 2.0 1.5 3.0 4.5 6.0 7.5 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 32 All groups White nonHispanic 3.0 3.1 3.6 3.7 2.0 2.2 2.9 3.5 American Indian or Alaska Native 5.6 5.8 3.3 2.8 10.0 20.7 3.6 Hispanic or Latino Black or African American Asian or Pacific Islander 2.3 2.4 4.3 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 2-9 GENITAL HERPES DURING PREGNANCY 2007 White no n - Hisp a nic 1.2 0.8 Bla c k 0.7 A LL GROUPS 0.5 A s ia n A m e rica n India n His pa nic 0.5 0.3 0.0 0.3 0.6 0.9 1.2 1.5 Per 100 live births. 2000 White non -Hispanic 1.2 0.7 ALL GROUPS 0.7 Black 0.5 Asian American Indian Hispanic 0.0 0.3 0.2 0.3 0.6 0.9 1.2 1.5 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 0.7 0.7 1.2 1.2 0.2 0.3 0.7 0.8 American Indian or Alaska Native 0.3 0.5 0.0 0.0 50.0 14.3 66.7 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 0.5 0.5 0.0 33 2-10 WEIGHT GAIN OF LESS THAN 21 POUNDS 2007 A m e ric a n India n 31.9 31.2 His pa nic 27.5 Bla c k 25.3 A LL GROUPS 19.4 A sia n White no n - His pa nic 0.0 18.1 7.0 14.0 21.0 28.0 35.0 Per 100 live births. 2000 American Indian 30.4 22.4 Black 21.3 Hispanic 19.1 ALL GROUPS Asian White non -Hispanic 0.0 16.7 15.4 7.0 14.0 21.0 28.0 35.0 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 34 All groups White nonHispanic 19.1 25.3 15.4 18.1 21.3 31.2 22.4 27.5 American Indian or Alaska Native 30.4 31.9 32.5 17.5 46.5 22.8 4.9 Hispanic or Latino Black or African American Asian or Pacific Islander 16.7 19.4 16.2 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 3 Utilization of Prenatal Care Services 3-1 No Care in the 1st Trimester 3-2 Fewer Than Five Prenatal Visits 3-3 No Prenatal Care Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 35 3-1 NO CARE IN THE 1ST TRIMESTER 2007 A m e ric a n Ind ia n 34.1 29.5 His pa nic 23.2 Bla c k 22.4 A LL GROUPS A s ia n 13.5 White no n - His pa nic 13.5 0.0 8.0 16.0 24.0 32.0 40.0 Per 100 live births. 2000 36.5 Hispanic American Indian 34.2 28.9 Black 25.0 ALL GROUPS Asian White non -Hispanic 0.0 15.0 14.0 8.0 16.0 24.0 32.0 40.0 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 25.0 22.4 14.0 13.5 36.5 29.5 28.9 23.2 American Indian or Alaska Native 34.2 34.1 -10.4 -3.6 -19.2 -19.7 -0.3 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 15.0 13.5 -10.0 37 3-2 FEWER THAN 5 PRENATAL VISITS 2007 A m e rica n India n 12.0 8.1 His pa nic 7.1 Bla c k 6.0 A LL GROUPS 3.3 A s ia n White no n - His pa nic 3.0 0.0 4.0 8.0 12.0 16.0 Per 100 live births. 2000 American Indian 12.5 10.5 Hispanic 6.7 ALL GROUPS 6.6 Black Asian White non -Hispanic 0.0 3.3 2.8 4.0 8.0 12.0 16.0 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 38 All groups White nonHispanic 6.7 6.0 2.8 3.0 10.5 8.1 6.6 7.1 American Indian or Alaska Native 12.5 12.0 -10.4 7.1 -22.9 7.6 -4.0 Hispanic or Latino Black or African American Asian or Pacific Islander 3.3 3.3 0.0 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 3-3 NO PRENATAL CARE 2007 A m e r ic a n Ind ia n 3.2 His p a nic 3.2 2.7 Bla c k 2.2 A LL GROUPS 1.5 A s ia n White no n - His pa nic 0.9 0.0 0.9 1.8 2.7 3.6 4.5 Per 100 live births. 2000 3.6 Hispanic American Indian 2.4 Black 2.4 2.1 ALL GROUPS Asian White non -Hispanic 0.0 0.9 0.7 0.9 1.8 2.7 3.6 4.5 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 2.1 2.2 0.7 0.9 3.6 3.2 2.4 2.7 American Indian or Alaska Native 2.4 3.2 4.8 28.6 -11.1 12.5 33.3 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 0.9 1.5 66.7 39 4 Newborn’s Health 4-1 The Incidence of Hyaline Membrane Disease 4-2 Newborn Intensive Care 4-3 Born Too Early (Preterm or <37 Weeks) 4-4 The Incidence of Low-Birthweight Births 4-5 The Incidence of Very Low-Birthweight Births 4-6 The Incidence of Congenital Anomalies (Birth Defects) 4-7 Infant Mortality 4-8 Sudden Infant Death Syndrome 4-9 Mortality of Infants from Low-Birthweight/ Short Gestation 4-10 Neonatal Mortality 4-11 Postneonatal Mortality Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 41 4-1 INCIDENCE OF HYALINE MEMBRANE DISEASE 2007 0.6 Bla c k White no n - His pa nic 0.5 A LL GROUPS 0.4 A sia n 0.4 A m e rica n India n 0.2 His pa nic 0.2 0.0 0.2 0.3 0.5 0.6 0.8 Per 100 live births. 2000 0.6 Black White non -Hispanic 0.4 0.3 ALL GROUPS 0.3 Asian American Indian 0.2 Hispanic 0.2 0.0 0.2 0.3 0.5 0.6 0.8 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 0.3 0.4 0.4 0.5 0.2 0.2 0.6 0.6 American Indian or Alaska Native 0.2 0.2 33.3 25.0 0.0 0.0 0.0 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 0.3 0.4 33.3 43 4-2 INCIDENCE OF NEWBORN INTENSIVE CARE 2007 7.3 Bla c k White no n - Hisp a nic 5.7 5.1 A LL GROUPS 4.9 A s ia n A m e rica n India n 4.5 His pa nic 4.5 0.0 2.0 4.0 6.0 8.0 10.0 Per 100 live births. 2000 9.3 Black 6.3 Hispanic 5.8 ALL GROUPS White non -Hispanic American Indian Asian 0.0 5.5 4.6 4.3 2.0 4.0 6.0 8.0 10.0 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 44 All groups White nonHispanic 5.8 5.1 5.5 5.7 6.3 4.5 9.3 7.3 American Indian or Alaska Native 4.6 4.5 -12.1 3.6 -28.6 -21.5 -2.2 Hispanic or Latino Black or African American Asian or Pacific Islander 4.3 4.9 14.0 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 4-3 BORN TOO EARLY (PRETERM OR <37 WEEKS) 2007 14.9 Bla c k White no n - His pa nic 10.4 A m e r ic a n Ind ia n 10.4 A LL GROUPS 10.3 His p a nic 9.8 A s ia n 9.6 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.0 20.0 Per 100 live births. 2000 14.9 Black White non -Hispanic 10.5 ALL GROUPS 10.3 9.8 Hispanic American Indian 9.4 Asian 9.3 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 18.0 20.0 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 10.3 10.3 10.5 10.4 9.8 9.8 14.9 14.9 American Indian or Alaska Native 9.4 10.4 0.0 -1.0 0.0 0.0 10.6 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 9.3 9.6 3.2 45 4-4 BORN TOO SMALL: LOW BIRTHWEIGHT (<2,500 GRAMS) 2007 12.8 Bla c k 8.0 A s ia n White no n - His pa nic 7.1 A LL GROUPS 7.1 His pa nic 6.6 A m e rica n India n 6.6 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 Per 100 live births. 2000 13.0 Black 7.6 Asian ALL GROUPS 7.0 White non -Hispanic 7.0 American Indian 6.7 Hispanic 6.7 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 16.0 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 46 All groups White nonHispanic 7.0 7.1 7.0 7.1 6.7 6.6 13.0 12.8 American Indian or Alaska Native 6.7 6.6 1.4 1.4 -1.5 -1.5 -1.5 Hispanic or Latino Black or African American Asian or Pacific Islander 7.6 8.0 5.3 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 4-5 BORN TOO SMALL: VERY LOW BIRTHWEIGHT (<1,500 GRAMS) 2007 2.6 Bla c k A LL GROUPS 1.2 His pa nic 1.2 White no n - Hisp a nic A m e rica n India n 1.1 1.0 1.0 A s ia n 0.0 0.5 1.0 1.5 2.0 2.5 3.0 Per 100 live births. 2000 2.6 Black American Indian ALL GROUPS Asian 1.4 1.2 1.2 Hispanic 1.1 White non -Hispanic 1.1 0.0 0.5 1.0 1.5 2.0 2.5 3.0 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 1.2 1.2 1.1 1.1 1.1 1.2 2.6 2.6 American Indian or Alaska Native 1.4 1.0 0.0 0.0 9.1 0.0 -28.6 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 1.2 1.0 -16.7 47 4-6 INCIDENCE OF CONGENITAL ANOMALIES (BIRTH DEFECTS) 2007 A m e rica n India n White no n - Hisp a nic 1.4 0.9 A LL GROUPS 0.8 A s ia n 0.8 His pa nic 0.7 Bla c k 0.7 0.0 0.5 1.0 1.5 2.0 2.5 Per 100 live births. 2000 American Indian 1.9 White non -Hispanic 1.5 1.3 ALL GROUPS 1.1 Black Hispanic Asian 0.0 0.9 0.8 0.5 1.0 1.5 2.0 2.5 Per 100 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 100 births by race/ethnicity Year 2000 2007 % change from 2000 48 All groups White nonHispanic 1.3 0.8 1.5 0.9 0.9 0.7 1.1 0.7 American Indian or Alaska Native 1.9 1.4 -38.5 -40.0 -22.2 -36.4 -26.3 Hispanic or Latino Black or African American Asian or Pacific Islander 0.8 0.8 0.0 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 4-7 INFANT MORTALITY 2007 15.1 Bla c k A m e rica n India n 8.1 7.4 His pa nic 6.8 A LL GROUPS White no n - His pa nic 5.6 3.2 A s ia n 0.0 4.0 8.0 12.0 16.0 20.0 Infant deaths per 1,000 live births. 2000 17.8 Black American Indian ALL GROUPS 9.6 6.7 Hispanic 6.3 White non -Hispanic 6.1 Asian 0.0 4.9 4.0 8.0 12.0 16.0 20.0 Infant deaths per 1,000 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 1,000 births by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 6.7 6.8 6.1 5.6 6.3 7.4 17.8 15.1 American Indian or Alaska Native 9.6 8.1 1.5 -8.2 17.5 -15.2 -15.6 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 4.9 3.2 -34.7 49 4-8 SUDDEN INFANT DEATH SYNDROME (SIDS) 2007 1.0 Bla c k A m e r ic a n India n 0.6 White no n - His pa nic 0.5 0.4 A LL GROUPS 0.3 His p a nic A s ia n0.0 0.0 0.0 0.3 0.6 0.9 1.2 Per 1,000 live births. 2000 American Indian 0.7 Black 0.7 ALL GROUPS 0.3 White non -Hispanic 0.3 Hispanic 0.2 Asian0.0 0.0 0.0 0.3 0.9 0.6 1.2 Per 1,000 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 1,000 births by race/ethnicity Year 2000 2007 % change from 2000 50 All groups White nonHispanic 0.3 0.4 0.3 0.5 0.2 0.3 0.7 1.0 American Indian or Alaska Native 0.7 0.6 33.3 66.7 50.0 42.9 -14.3 Hispanic or Latino Black or African American Asian or Pacific Islander 0.0 0.0 0.0 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 4-9 MORTALITY OF INFANTS FROM LOW BIRTHWEIGHT/SHORT GESTATION 2007 2.4 Bla c k 1.2 His pa nic A LL GROUPS 0.9 A s ia n 0.9 A m e rica n India n 0.8 White no n - Hisp a nic 0.5 0.0 0.5 1.0 1.5 2.0 2.5 3.0 Per 1,000 live births. 2000 2.5 Black Hispanic 0.9 American Indian 0.9 0.6 ALL GROUPS White non -Hispanic 0.4 Asian0.0 0.0 0.0 0.5 1.0 1.5 2.0 2.5 3.0 Per 1,000 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 1,000 births by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 0.6 0.9 0.4 0.5 0.9 1.2 2.5 2.4 American Indian or Alaska Native 0.9 0.8 50.0 25.0 33.3 -4.0 -11.1 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 0.0 0.9 NA 51 4-10 NEONATAL MORTALITY 2007 10.3 Bla c k 5.2 Hispa nic 4.7 A LL GROUPS A m e ric a n India n 4.2 White no n - His pa nic 3.8 2.6 A s ia n 0.0 3.0 6.0 9.0 12.0 Number of deaths per 1,000 live births. 2000 9.8 Black American Indian 6.4 ALL GROUPS 4.3 Hispanic 4.2 White non -Hispanic Asian 0.0 3.8 2.0 3.0 6.0 12.0 9.0 Number of deaths per 1,000 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 1,000 births by race/ethnicity Year 2000 2007 % change from 2000 52 All groups White nonHispanic 4.3 4.7 3.8 3.8 4.2 5.2 9.8 10.3 American Indian or Alaska Native 6.4 4.2 9.3 0.0 23.8 5.1 -34.4 Hispanic or Latino Black or African American Asian or Pacific Islander 2.0 2.6 30.0 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 4-11 POSTNEONATAL MORTALITY 2007 4.8 Bla c k A m e ric a n India n 3.9 A LL GROUPS 2.3 Hispa nic 2.2 White no n - His pa nic 1.8 0.6 A s ia n 0.0 2.0 4.0 6.0 8.0 10.0 Number of deaths per 1,000 live births. 2000 8.0 Black American Indian 3.2 ALL GROUPS 2.4 White non -Hispanic 2.3 Hispanic 2.0 Asian 2.0 0.0 2.0 4.0 6.0 8.0 10.0 Number of deaths per 1,000 live births. COMPARATIVE RATES FOR 2000 AND 2007 Per 1,000 births by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 2.4 2.3 2.3 1.8 2.0 2.2 8.0 4.8 American Indian or Alaska Native 3.2 3.9 -4.2 -21.7 10.0 -40.0 21.9 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 2.0 0.6 -70.0 53 5 Mortality from Natural Causes 5-1 5-2 5-3 5-4 5-5 5-6 5-7 5-8 5-9 5-10 5-11 5-12 5-13 5-14 5-15 5-16 5-17 5-18 Cardiovascular Disease Diseases of the Heart Coronary Heart Disease Cerebrovascular Disease Chronic Lower Respiratory Disease Malignant Neoplasms Lung Cancer Breast Cancer Cervical Cancer Colorectal Cancer Prostate Cancer Influenza and Pneumonia Diabetes Chronic Liver Disease and Cirrhosis HIV Disease Septicemia Alzheimer's Disease Nephritis, Nephrotic Syndrome & Nephrosis (kidney disease) 5-19 Essential (primary) Hypertension 5-20 Mortality from All Causes Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 55 5-1 CARDIOVASCULAR DISEASE 2007 225.9 Bla c k White non - His pa nic 196.9 A LL GROUPS 194.4 179.8 His pa nic A m e ric a n India n 155.0 108.9 A sia n 0.0 90.0 180.0 270.0 360.0 450.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 411.5 Black ALL GROUPS 276.1 White non -Hispanic 276.0 Hispanic 273.6 American Indian 257.5 190.6 Asian 0.0 90.0 180.0 270.0 360.0 450.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 276.1 194.4 276.0 196.9 273.6 179.8 411.5 225.9 American Indian or Alaska Native 257.5 155.0 -29.6 -28.7 -34.3 -45.1 -39.8 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 190.6 108.9 -42.9 57 5-2 DISEASES OF THE HEART 2007 171.3 Bla c k White no n - His pa nic 153.2 A LL GROUPS 149.5 131.5 His p a nic A m e r ic a n Ind ia n 115.2 58.6 A s ia n 0.0 70.0 140.0 210.0 280.0 350.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 289.5 Black White non -Hispanic 207.2 ALL GROUPS 206.1 Hispanic 204.7 American Indian 183.8 132.3 Asian 0.0 70.0 140.0 210.0 280.0 350.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 58 All groups White nonHispanic 206.1 149.5 207.2 153.2 204.7 131.5 289.5 171.3 American Indian or Alaska Native 183.8 115.2 -27.5 -26.1 -35.8 -40.8 -37.3 Hispanic or Latino Black or African American Asian or Pacific Islander 132.3 58.6 -55.7 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 5-3 CORONARY HEART DISEASE 2007 136.6 Bla c k White no n - His pa nic 118.0 A LL GROUPS 115.0 101.7 Hispa nic A m e r ic a n India n 84.6 47.9 A s ia n 0.0 60.0 120.0 180.0 240.0 300.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 225.1 Black White non -Hispanic 162.4 ALL GROUPS 160.4 154.7 Hispanic American Indian 124.4 107.4 Asian 0.0 60.0 120.0 180.0 240.0 300.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 160.4 115.0 162.4 118.0 154.7 101.7 225.1 136.6 American Indian or Alaska Native 124.4 84.6 -28.3 -27.3 -34.3 -39.3 32.0 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 107.4 47.9 -55.4 59 5-4 CEREBROVASCULAR DISEASE 2007 37.7 A s ia n Hispa nic 34.9 Bla c k 34.1 A LL GROUPS 30.6 White no n - His pa nic 29.7 A m e r ic a n India n 22.0 0.0 20.0 40.0 60.0 80.0 100.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 82.4 Black American Indian 55.3 ALL GROUPS 51.7 Hispanic 51.2 White non -Hispanic 50.8 46.1 Asian 0.0 20.0 40.0 60.0 80.0 100.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 60 All groups White nonHispanic 51.7 30.6 50.8 29.7 51.2 34.9 82.4 34.1 American Indian or Alaska Native 55.3 22.0 -40.8 -41.5 -31.8 -58.6 -60.2 Hispanic or Latino Black or African American Asian or Pacific Islander 46.1 37.7 -18.2 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 5-5 CHRONIC LOWER RESPIRATORY DISEASE 2007 White no n - Hispa nic 43.7 39.2 A LL GROUPS Hispa nic 18.8 Bla c k 18.7 A m e r ic a n India n 13.0 7.5 A s ia n 0.0 12.0 24.0 36.0 48.0 60.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 White non -Hispanic 51.1 47.4 ALL GROUPS 30.4 Black 24.4 Hispanic American Indian 21.9 12.7 Asian 0.0 12.0 24.0 36.0 48.0 60.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 47.4 39.2 51.1 43.7 24.4 18.8 30.4 18.7 American Indian or Alaska Native 21.9 13.0 -17.3 -14.5 -23.0 -38.5 -40.6 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 12.7 7.5 -40.9 61 5-6 MALIGNANT NEOPLASM (CANCER) 2007 White no n - His pa nic 154.6 153.4 Bla c k 148.0 A LL GROUPS 118.6 His pa nic A m e ric a n Ind ia n 113.9 84.2 A s ia n 0.0 50.0 100.0 150.0 200.0 250.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 216.1 Black White non -Hispanic 174.8 170.4 ALL GROUPS 156.9 Hispanic American Indian 123.0 103.4 Asian 0.0 50.0 100.0 150.0 200.0 250.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 62 All groups White nonHispanic 170.4 148.0 174.8 154.6 156.9 118.6 216.1 153.4 American Indian or Alaska Native 123.0 113.9 -13.1 -11.6 -24.4 -29.0 -7.4 Hispanic or Latino Black or African American Asian or Pacific Islander 103.4 84.2 -18.6 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 5-7 LUNG CANCER 2007 White no n - His pa nic 42.4 39.6 Bla c k 38.2 A LL GROUPS A s ia n 21.5 His pa nic 20.5 A m e rica n India n 9.9 0.0 15.0 30.0 45.0 60.0 75.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 65.8 Black White non -Hispanic 49.1 46.1 ALL GROUPS 31.6 Hispanic 29.6 Asian American Indian 8.9 0.0 15.0 30.0 45.0 60.0 75.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 46.1 38.2 49.1 42.4 31.6 20.5 65.8 39.6 American Indian or Alaska Native 8.9 9.9 -17.1 -13.6 -35.1 -39.8 11.2 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 29.6 21.5 -27.4 63 5-8 BREAST CANCER 2007 23.9 Bla c k White no n - Hisp a nic 20.5 A LL GROUPS 20.1 16.9 His pa nic A m e r ic a n India n 16.2 11.3 A sia n 0.0 9.0 18.0 27.0 36.0 45.0 Number of deaths per 100,000 female population (age-adjusted to the 2000 standard). 2000 29.5 Black 26.2 ALL GROUPS White non -Hispanic 25.4 20.7 Hispanic 12.8 Asian American Indian 12.1 0.0 9.0 18.0 27.0 36.0 45.0 Number of deaths per 100,000 female population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 females by race/ethnicity Year 2000 2007 % change from 2000 64 All groups White nonHispanic 25.4 20.1 26.2 20.5 20.7 16.9 29.5 23.9 American Indian or Alaska Native 12.1 16.2 -20.9 -21.8 -18.4 -19.0 33.9 Hispanic or Latino Black or African American Asian or Pacific Islander 12.8 11.3 -11.7 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 5-9 CERVICAL CANCER 2007 3.2 His pa nic 2.3 Bla c k A m e r ic a n India n 2.3 1.9 A LL GROUPS White no n - Hisp a nic 1.6 1.2 A sia n 0.0 2.5 5.0 7.5 10.0 12.5 Number of deaths per 100,000 female population (age-adjusted to the 2000 standard). 2000 American Indian 10.1 7.6 Black 3.7 Hispanic 3.5 Asian 3.0 ALL GROUPS White non -Hispanic 2.5 0.0 2.5 5.0 10.0 7.5 12.5 Number of deaths per 100,000 female population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 females by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 3.0 1.9 2.5 1.6 3.7 3.2 7.6 2.3 American Indian or Alaska Native 10.1 2.3 -36.7 -36.0 -13.5 -69.7 -77.2 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 3.5 1.2 -65.7 65 5-10 COLORECTAL CANCER 2007 15.7 Bla c k White no n - His pa nic 15.0 14.4 A LL GROUPS 12.0 His pa nic 9.4 A s ia n A m e ric a n Ind ia n 8.0 0.0 5.0 10.0 15.0 20.0 25.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 White no n - Hisp a nic 17.4 17.0 A LL GROUPS His pa nic 16.4 Bla c k 16.3 A m e r ic a n India n 8.2 6.6 A sia n 0.0 5.0 10.0 15.0 20.0 25.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 66 All groups White nonHispanic 17.0 14.4 17.4 15.0 16.4 12.0 16.3 15.7 American Indian or Alaska Native 8.2 8.0 -15.3 -13.8 -26.8 -3.7 -2.4 Hispanic or Latino Black or African American Asian or Pacific Islander 6.6 9.4 42.4 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 5-11 PROSTATE CANCER 2007 23.6 Bla c k White no n - Hisp a nic 19.5 A sia n 19.4 A LL GROUPS 18.9 A m e r ic a n India n 16.6 His pa nic 15.8 0.0 16.0 32.0 48.0 64.0 80.0 Number of deaths per 100,000 male population (age-adjusted to the 2000 standard). 2000 74.8 Black 30.0 Hispanic ALL GROUPS 28.4 White non -Hispanic 28.0 American Indian 27.1 Asian 0.0 8.9 16.0 32.0 48.0 64.0 80.0 Number of deaths per 100,000 male population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 males by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 28.4 18.9 28.0 19.5 30.0 15.8 74.8 23.6 American Indian or Alaska Native 27.1 16.6 -33.5 -30.4 -47.3 -68.4 -38.7 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 8.9 19.4 118.0 67 5-12 INFLUENZA AND PNEUMONIA 2007 A m e ric a n Ind ia n 34.3 14.4 His pa nic Bla c k 13.0 A LL GROUPS 12.9 White no n - His pa nic 12.3 7.4 A s ia n 0.0 12.0 24.0 36.0 48.0 60.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 A m e ric a n Ind ia n 48.2 30.1 His pa nic 26.9 Bla c k 24.4 A LL GROUPS White no n - His pa nic 23.3 11.9 A s ia n 0.0 12.0 24.0 36.0 48.0 60.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 68 All groups White nonHispanic 24.4 12.9 23.3 12.3 30.1 14.4 26.9 13.0 American Indian or Alaska Native 48.2 34.3 -47.1 -47.2 -52.2 -51.7 -28.8 Hispanic or Latino Black or African American Asian or Pacific Islander 11.9 7.4 -37.8 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 5-13 DIABETES 2007 A m e r ic a n India n 51.1 His pa nic 30.8 Bla c k 30.3 17.0 A LL GROUPS White no n - Hispa nic 13.7 5.1 A s ia n 0.0 16.0 32.0 48.0 64.0 80.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 A m e r ic a n India n 74.6 46.0 Bla c k 41.1 His pa nic A sia n 19.5 A LL GROUPS 19.0 White no n - Hisp a nic 14.9 0.0 16.0 32.0 48.0 64.0 80.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 19.0 17.0 14.9 13.7 41.1 30.8 46.0 30.3 American Indian or Alaska Native 74.6 51.1 -10.5 -8.1 -25.1 -34.1 -31.5 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 19.5 5.1 -73.8 69 5-14 CHRONIC LIVER DISEASE AND CIRRHOSIS 2007 A m e r ic a n India n 36.8 16.3 His pa nic 11.3 A LL GROUPS White no n - Hisp a nic 9.6 5.9 Bla c k A sia n 3.2 0.0 15.0 30.0 45.0 60.0 75.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 American Indian 61.7 15.8 Hispanic 12.8 ALL GROUPS White non -Hispanic 10.4 6.6 Black Asian 4.1 0.0 15.0 30.0 60.0 45.0 75.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 70 All groups White nonHispanic 12.8 11.3 10.4 9.6 15.8 16.3 6.6 5.9 American Indian or Alaska Native 61.7 36.8 -11.7 -7.7 3.2 -10.6 -40.4 Hispanic or Latino Black or African American Asian or Pacific Islander 4.1 3.2 -22.0 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 5-15 HIV DISEASE 2007 6.0 Bla c k A m e r ic a n India n 3.6 His pa nic 1.7 A LL GROUPS 1.7 White no n - Hisp a nic 1.3 A sia n 0.4 0.0 3.0 6.0 9.0 12.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 9.6 Black 3.4 Hispanic ALL GROUPS 3.2 White non -Hispanic 3.1 American Indian 1.8 Asian0.0 0.0 0.0 3.0 6.0 9.0 12.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 3.2 1.7 3.1 1.3 3.4 1.7 9.6 6.0 American Indian or Alaska Native 1.8 3.6 -46.9 -58.1 -50.0 -37.5 100.0 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 0.0 0.4 NA 71 5-16 SEPTICEMIA 2007 A m e r ic a n India n 17.8 14.7 Bla c k 10.9 A sia n 10.4 His pa nic 8.1 A LL GROUPS White no n - Hisp a nic 7.0 0.0 5.0 10.0 15.0 20.0 25.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 American Indian 21.5 9.9 Hispanic 6.7 ALL GROUPS Black 6.2 White non -Hispanic 6.0 Asian 1.3 0.0 5.0 10.0 15.0 20.0 25.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 72 All groups White nonHispanic 6.7 8.1 6.0 7.0 9.9 10.4 6.2 14.7 American Indian or Alaska Native 21.5 17.8 20.9 16.7 5.1 137.1 -17.2 Hispanic or Latino Black or African American Asian or Pacific Islander 1.3 10.9 738.5 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 5-17 ALZHEIMER’S DISEASE 2007 White no n - His pa nic 30.9 Bla c k 29.8 A LL GROUPS 29.6 24.1 Hispa nic 12.9 A s ia n A m e ric a n India n 10.3 0.0 10.0 20.0 30.0 40.0 50.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 White non -Hispanic 22.5 ALL GROUPS 21.8 20.5 Black 18.9 Hispanic Asian 7.8 American Indian 7.2 0.0 10.0 20.0 30.0 40.0 50.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 21.8 29.6 22.5 30.9 18.9 24.1 20.5 29.8 American Indian or Alaska Native 7.2 10.3 35.8 37.3 27.5 45.4 43.1 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 7.8 12.9 65.4 73 5-18 NEPHRITIS, NEPHROTIC SYNDROME AND NEPHROSIS 2007 A m e ric a n India n 20.6 19.1 Bla c k 13.1 Hispa nic 7.6 A LL GROUPS White no n - His pa nic 6.0 5.0 A s ia n 0.0 8.0 16.0 24.0 32.0 40.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 26.9 Black American Indian 22.6 Hispanic 22.2 11.7 ALL GROUPS White non -Hispanic 10.1 5.0 Asian 0.0 8.0 16.0 24.0 32.0 40.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 74 All groups White nonHispanic 11.7 7.6 10.1 6.0 22.1 13.1 26.9 19.1 American Indian or Alaska Native 22.6 20.6 -35.0 -40.6 -40.7 -29.0 -8.8 Hispanic or Latino Black or African American Asian or Pacific Islander 5.0 5.0 0.0 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 5-19 ESSENTIAL (PRIMARY) HYPERTENSION 2007 12.7 Bla c k A m e ric a n India n 11.2 7.3 A s ia n A LL GROUPS 5.7 Hispa nic 5.6 White no n - His pa nic 5.3 0.0 4.0 8.0 12.0 16.0 20.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 11.2 Black American Indian 10.8 7.3 Hispanic 5.8 Asian 5.6 ALL GROUPS White non -Hispanic 5.2 0.0 4.0 8.0 12.0 16.0 20.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 5.6 5.7 5.2 5.3 7.3 5.6 11.2 12.7 American Indian or Alaska Native 10.8 11.2 1.8 1.9 -23.3 13.4 3.7 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 5.8 7.3 25.9 75 5-20 TOTAL MORTALITY FROM ALL CAUSES 2007 A m e ric a n India n 752.5 719.2 Bla c k White no n - His pa nic 665.1 A LL GROUPS 663.2 603.7 Hispa nic 356.3 A s ia n 0.0 200.0 400.0 600.0 800.0 1000.0 1200.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 1057.5 Black American Indian 1011.4 ALL GROUPS 785.6 White non -Hispanic 776.6 Hispanic 769.9 504.1 Asian 0.0 200.0 400.0 600.0 800.0 1000.0 1200.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 76 All groups White nonHispanic 785.6 663.2 776.6 665.1 769.9 603.7 1057.5 719.2 American Indian or Alaska Native 1011.4 752.5 -15.6 -14.4 -21.6 -32.0 -25.6 Hispanic or Latino Black or African American Asian or Pacific Islander 504.1 356.3 -29.3 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 6 Mortality from Injuries 6-1 Unintentional Injuries 6-2 Motor Vehicle-Related Injuries 6-3 Fall-Related Injuries 6-4 Drowning 6-5 Injury by Firearms 6-6 Drug-Induced 6-7 Alcohol-Induced 6-8 Intentional Self-Harm (suicide) 6-9 Assault (homicide) Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 77 6-1 UNINTENTIONAL INJURIES 2007 A m e r ic a n India n 95.0 Bla c k 48.1 A LL GROUPS 46.6 White no n - His pa nic 44.9 40.6 Hispa nic 20.3 A s ia n 0.0 35.0 70.0 105.0 140.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 American Indian 113.1 49.7 Black Hispanic 41.6 ALL GROUPS 41.1 White non -Hispanic 36.9 24.1 Asian 0.0 35.0 70.0 105.0 140.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 41.1 46.6 36.9 44.9 41.6 40.6 49.7 48.1 American Indian or Alaska Native 113.1 95.0 13.4 21.7 -2.4 -3.2 -16.0 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 24.1 20.3 -15.8 79 6-2 MOTOR VEHICLE-RELATED INJURIES 2007 A m e r ic a n India n 49.0 17.6 Hispa nic 16.2 A LL GROUPS 13.6 Bla c k White no n - Hispa nic 13.1 9.9 A s ia n 0.0 15.0 30.0 45.0 60.0 75.0 90.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 American Indian 74.2 Black 19.3 Hispanic 18.2 ALL GROUPS 17.5 15.3 Asian White non -Hispanic 13.8 0.0 15.0 30.0 45.0 60.0 75.0 90.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 80 All groups White nonHispanic 17.5 16.2 13.8 13.1 18.2 17.6 19.3 13.6 American Indian or Alaska Native 74.2 49.0 -7.4 -5.1 -3.3 -29.5 -34.0 Hispanic or Latino Black or African American Asian or Pacific Islander 15.3 9.9 -35.3 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 6-3 FALL-RELATED INJURIES 2007 White no n - Hisp a nic 10.9 A LL GROUPS 10.6 A m e r ic a n India n 9.7 7.5 His pa nic 7.0 Bla c k 5.6 A sia n 0.0 4.0 8.0 12.0 16.0 20.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 8.9 Hispanic ALL GROUPS 7.6 White non -Hispanic 7.6 American Indian 6.0 5.2 Black 3.9 Asian 0.0 4.0 12.0 8.0 16.0 20.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 7.6 10.6 7.6 10.9 8.9 7.5 5.2 7.0 American Indian or Alaska Native 6.0 9.7 39.5 43.4 -15.7 34.6 61.7 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 3.9 5.6 43.6 81 6-4 DROWNING 2007 2.7 Bla c k A m e rica n India n 2.5 White no n - Hisp a nic 1.3 A LL GROUPS 1.3 1.2 His pa nic 0.6 A s ia n 0.0 1.0 2.0 3.0 4.0 5.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 American Indian 3.8 3.3 Black 1.7 ALL GROUPS White non -Hispanic 1.6 1.2 Hispanic 1.1 Asian 0.0 1.0 2.0 3.0 4.0 5.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 82 All groups White nonHispanic 1.7 1.3 1.6 1.3 1.2 1.2 3.3 2.7 American Indian or Alaska Native 3.8 2.5 -23.5 -18.8 0.0 -18.2 -34.2 Hispanic or Latino Black or African American Asian or Pacific Islander 1.1 0.6 -45.5 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 6-5 INJURY BY FIREARMS 2007 25.1 Bla c k 14.9 His pa nic 14.4 A LL GROUPS White no n - His p a nic 13.3 A m e r ic a n India n 7.6 3.1 A sia n 0.0 6.0 12.0 18.0 24.0 30.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 25.7 Black ALL GROUPS 15.3 Hispanic 14.9 White non -Hispanic 13.9 American Indian 12.2 11.1 Asian 0.0 6.0 12.0 18.0 24.0 30.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 15.3 14.4 13.9 13.3 14.9 14.9 25.7 25.1 American Indian or Alaska Native 12.2 7.6 -5.9 -4.3 0.0 -2.3 -37.7 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 11.1 3.1 -72.1 83 6-6 DRUG-INDUCED DEATHS 2007 19.7 Bla c k White no n - Hispa nic 18.5 15.1 A LL GROUPS A m e r ic a n India n 8.7 His pa nic 8.7 2.9 A s ia n 0.0 7.0 14.0 21.0 28.0 35.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 9.6 Black White non -Hispanic 7.3 ALL GROUPS 6.8 American Indian 6.7 5.0 Hispanic 0.0 Asian0.0 0.0 7.0 14.0 21.0 28.0 35.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 84 All groups White nonHispanic 6.8 15.1 7.3 18.5 5.0 8.7 9.6 19.7 American Indian or Alaska Native 6.7 8.7 122.1 153.4 74.0 105.2 29.9 Hispanic or Latino Black or African American Asian or Pacific Islander 0.0 2.9 NA Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 6-7 ALCOHOL-INDUCED DEATHS 2007 A m e ric a n India n 49.3 Hispa nic 11.8 A LL GROUPS 11.1 White no n - His pa nic 9.4 6.9 Bla c k A s ia n 2.5 0.0 13.0 26.0 39.0 52.0 65.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 American Indian 56.1 ALL GROUPS 8.7 Hispanic 8.6 White non -Hispanic 6.8 Black 6.1 Asian 1.3 0.0 13.0 26.0 52.0 39.0 65.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 8.7 11.1 6.8 9.4 8.6 11.8 6.1 6.9 American Indian or Alaska Native 56.1 49.3 27.6 38.2 37.2 13.1 -12.1 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 1.3 2.5 92.3 85 6-8 INTENTIONAL SELF-HARM (SUICIDE) 2007 White no n - His pa nic 18.7 15.4 A LL GROUPS A m e ric a n India n 9.8 9.2 Hispa nic Bla c k 6.2 A s ia n 6.1 0.0 4.0 8.0 12.0 16.0 20.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 White non -Hispanic 16.7 American Indian 16.2 14.6 ALL GROUPS 7.2 Hispanic 6.5 Black 5.7 Asian 0.0 4.0 8.0 12.0 16.0 20.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 86 All groups White nonHispanic 14.6 15.4 16.7 18.7 7.2 9.2 6.5 6.2 American Indian or Alaska Native 16.2 9.8 5.5 12.0 27.8 -4.6 -39.5 Hispanic or Latino Black or African American Asian or Pacific Islander 5.7 6.1 7.0 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 6-9 ASSAULT (HOMICIDE) 2007 23.4 Bla c k A m e ric a n India n 13.1 12.0 Hispa nic 7.7 A LL GROUPS White no n - His pa nic 3.9 2.6 A s ia n 0.0 8.0 16.0 24.0 32.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2000 22.7 Black American Indian 14.9 13.0 Hispanic ALL GROUPS 7.6 Asian 7.6 White non -Hispanic 3.9 0.0 8.0 16.0 24.0 32.0 Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 7.6 7.7 3.9 3.9 13.0 12.0 22.7 23.4 American Indian or Alaska Native 14.9 13.1 1.3 0.0 -7.7 3.1 -12.1 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 7.6 2.6 -65.8 87 7 Age-Specific Mortality 7-1 Children 1-14 Years Old 7-2 Adolescents 15-19 Years Old 7-3 Young Adults 20-44 Years Old 7-4 Middle-Age Adults 45-64 Years Old Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 89 7-1 CHILDREN 1-14 YEARS OLD 2007 A m e ric a n India n 34.3 29.1 Bla c k Hispa nic A LL GROUPS 22.1 19.5 17.5 A s ia n White no n - His pa nic 0.0 14.2 12.0 24.0 36.0 48.0 60.0 Number of deaths per 100,000 children 1-14 years. 2000 American Indian 48.2 37.2 Black Hispanic ALL GROUPS Asian White non -Hispanic 0.0 27.4 25.3 22.0 20.8 12.0 24.0 36.0 48.0 60.0 Number of deaths per 100,000 children 1-14 years. COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 children 1-14 years old by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 25.3 19.5 20.8 14.2 27.4 22.1 37.2 29.1 American Indian or Alaska Native 48.2 34.3 -22.9 -31.7 -19.3 -21.8 -28.8 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 22.0 17.5 -20.5 91 7-2 ADOLESCENTS 15-19 YEARS OLD 2007 A m e ric a n India n 124.4 91.5 Bla ck 83.9 His pa nic 76.9 A LL GROUPS White no n - His pa nic 66.1 18.1 A s ia n 0.0 40.0 80.0 120.0 160.0 200.0 Number of deaths per 100,000 adolescents 15-19 years. 2000 American Indian 171.2 149.5 Black 78.9 ALL GROUPS 74.0 Hispanic White non -Hispanic 68.6 Asian0.0 0.0 0.0 40.0 80.0 120.0 160.0 200.0 Number of deaths per 100,000 adolescents 15-19 years. COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 adolescents 15-19 years old by race/ethnicity Year 2000 2007 % change from 2000 92 All groups White nonHispanic 78.9 76.9 68.6 66.1 74.0 83.9 149.5 91.5 American Indian or Alaska Native 171.2 124.4 -2.5 -3.6 13.4 -38.8 -27.3 Hispanic or Latino Black or African American Asian or Pacific Islander 0.0 18.1 NA Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 7-3 YOUNG ADULTS 20-44 YEARS OLD 2007 A m e ric a n India n 291.3 193.9 Bla c k A LL GROUPS 138.2 White no n - His pa nic 132.3 123.3 His pa nic 50.3 A s ia n 0.0 90.0 180.0 270.0 360.0 450.0 Number of deaths per 100,000 young adults 20-44 years. 2000 American Indian 403.1 212.3 Black White non -Hispanic ALL GROUPS Hispanic Asian 0.0 173.1 156.5 136.3 93.3 90.0 180.0 270.0 360.0 450.0 Number of deaths per 100,000 young adults 20-44 years. COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 young adults 20-44 years old by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 156.5 138.2 173.1 132.3 136.3 123.3 212.3 193.9 American Indian or Alaska Native 403.1 291.3 -11.7 -23.6 -9.5 -8.7 -27.7 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 93.3 50.3 -46.1 93 7-4 MIDDLE-AGE ADULTS 45-64 YEARS OLD 2007 833.6 Bla c k A m e ric a n India n 737.5 White no n - His pa nic 593.4 A LL GROUPS 582.8 494.0 Hispa nic 272.9 A s ia n 0.0 200.0 400.0 600.0 800.0 1000.0 1200.0 1000.0 1200.0 Number of deaths per 100,000 middle-age adults 45-64 years. 2000 American Indian 994.2 929.9 Black ALL GROUPS 639.9 White non -Hispanic 636.8 540.5 Hispanic Asian 0.0 276.1 200.0 400.0 600.0 800.0 Number of deaths per 100,000 middle-age adults 45-64 years. COMPARATIVE RATES FOR 2000 AND 2007 Number of deaths per 100,000 middle-age adults 45-64 years old by race/ethnicity Year 2000 2007 % change from 2000 94 All groups White nonHispanic 633.9 582.8 636.8 593.4 540.5 494.0 929.9 833.6 American Indian or Alaska Native 994.2 737.5 -8.1 -6.8 -8.6 -10.4 -25.8 Hispanic or Latino Black or African American Asian or Pacific Islander 276.1 272.9 -1.2 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 8 Patterns of Premature Mortality 8-1 Median Age At Death From All Causes Among Arizona Residents 8-2 Median Age At Death From All Causes Among Arizona Males 8-3 Median Age At Death From All Causes Among Arizona Females 8-4 Percent of Total Deaths Before Expected Years of Life Reached Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 95 8-1 MEDIAN AGE AT DEATH FROM ALL CAUSES 2007 White non - His pa nic 78.0 76.0 A LL GROUPS 70.0 A s ia n 62.0 Bla c k A m e rica n India n 59.0 54.0 His pa nic 0.0 15.0 30.0 45.0 60.0 75.0 90.0 2000 White non -Hispanic 77.0 ALL GROUPS 76.0 68.0 Asian Hispanic 66.0 Black 66.0 American Indian 57.5 0.0 30.0 15.0 45.0 75.0 60.0 90.0 MEDIAN AGE AT DEATH IN 2000 AND 2007 By race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 76.0 76.0 77.0 78.0 66.0 54.0 66.0 62.0 American Indian or Alaska Native 57.5 59.0 0.0 1.3 -18.2 -6.1 2.6 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 68.0 70.0 2.9 97 8-2 MEDIAN AGE AT DEATH FROM ALL CAUSES AMONG MALES 2007 White no n - His pa nic 75.0 73.0 A LL GROUPS 64.0 A s ia n 59.0 Hispa nic 57.0 Bla c k A m e ric a n India n 0.0 54.0 15.0 30.0 45.0 60.0 75.0 90.0 2000 White non -Hispanic 75.0 73.0 ALL GROUPS 67.0 Asian Black 61.0 Hispanic 60.0 American Indian 52.0 0.0 15.0 30.0 45.0 60.0 75.0 90.0 MEDIAN AGE AT DEATH AMONG MALES IN 2000 AND 2007 By race/ethnicity Year 2000 2007 % change from 2000 98 All groups White nonHispanic 73.0 73.0 75.0 75.0 60.0 59.0 61.0 57.0 American Indian or Alaska Native 52.0 54.0 0.0 0.0 -1.7 -6.6 3.8 Hispanic or Latino Black or African American Asian or Pacific Islander 67.0 64.0 -4.5 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 8-3 MEDIAN AGE AT DEATH FROM ALL CAUSES AMONG FEMALES 2007 White no n - His pa nic 81.0 A LL GROUPS 80.0 73.0 A s ia n Hispa nic 71.0 Bla c k 70.0 A m e ric a n India n 0.0 67.0 15.0 30.0 45.0 60.0 75.0 90.0 2000 White non -Hispanic 80.0 ALL GROUPS 79.0 Black 71.0 Hispanic 71.0 68.0 Asian American Indian 65.0 0.0 15.0 30.0 45.0 60.0 75.0 90.0 MEDIAN AGE AT DEATH AMONG FEMALES IN 2000 AND 2007 By race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic Hispanic or Latino 79.0 80.0 80.0 81.0 71.0 71.0 1.3 1.3 0.0 Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 71.0 70.0 -1.4 American Indian or Alaska Native 65.0 67.0 3.1 Asian or Pacific Islander 68.0 73.0 7.4 99 8-4 PERCENT OF TOTAL DEATHS BEFORE EXPECTED YEARS OF LIFE REACHED 2007 A m e ric a n India n 75.8 73.3 Bla c k 71.6 Hispa nic 64.9 A s ia n 52.6 A LL GROUPS White no n - His pa nic 0.0 47.7 15.0 30.0 45.0 60.0 75.0 90.0 2000 American Indian 78.7 Hispanic 70.5 Asian 69.6 Black 69.3 51.6 ALL GROUPS White non -Hispanic 47.3 0.0 30.0 15.0 45.0 60.0 75.0 90.0 DEATHS BEFORE EXPECTED YEARS OF LIFE REACHED IN 2000 AND 2007 By race/ethnicity Year 2000 2007 % change from 2000 100 All groups White nonHispanic 51.6 52.6 47.3 47.7 70.5 71.6 69.3 73.3 American Indian or Alaska Native 78.7 75.8 1.9 0.8 1.6 5.8 -3.7 Hispanic or Latino Black or African American Asian or Pacific Islander 69.6 64.9 -6.8 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 9 The Incidence of Reportable Diseases 9-1 Rates of Early Syphilis 9-2 Rates of Gonorrhea 9-3 Rates of Chlamydia 9-4 Rates of Genital Herpes 9-5 Rates of HIV/AIDS Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 101 9-1 RATES OF EARLY SYPHILIS 2007 A m e ric a n India n 30.5 17.0 Bla c k 8.8 A LL GROUPS 7.8 Hispa nic White no n 4.2 - His pa nic A s ia n 3.5 0.0 13.0 26.0 39.0 52.0 65.0 2000 Black 60.4 Hispanic 15.4 American Indian 12.1 ALL GROUPS 8.5 White non -Hispanic 3.2 Asian 3.0 0.0 13.0 26.0 39.0 52.0 65.0 COMPARATIVE RATES FOR 2000 AND 2007 Number of reported cases per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 8.5 8.8 3.2 4.2 15.4 7.8 60.4 17.0 American Indian or Alaska Native 12.1 30.5 3.5 31.3 -49.4 -71.9 69.4 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 3.0 3.5 16.7 103 9-2 RATES OF GONORRHEA 2007 Bla c k 345.6 A m e rica n India n 94.4 A LL GROUPS 78.7 60.4 His pa nic White no n - Hispa nic 33.1 13.5 A s ia n 0.0 100.0 200.0 300.0 400.0 500.0 600.0 500.0 600.0 700.0 2000 630.8 Black 111.8 Hispanic American Indian 105.1 80.0 ALL GROUPS White non -Hispanic 29.5 22.2 Asian 0.0 100.0 200.0 300.0 400.0 700.0 COMPARATIVE RATES FOR 2000 AND 2007 Number of reported cases per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 104 All groups White nonHispanic 80.0 78.7 29.5 33.1 111.8 60.4 630.8 345.6 American Indian or Alaska Native 105.1 94.4 -1.6 12.2 -46.0 -45.2 -10.2 Hispanic or Latino Black or African American Asian or Pacific Islander 22.2 13.5 -39.2 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 9-3 RATES OF CHLAMYDIA 2007 722.7 Bla c k A m e r ic a n India n 641.6 386.6 A LL GROUPS 346.1 Hispa nic White no n - His pa nic 142.5 91.3 A s ia n 0.0 150.0 300.0 450.0 600.0 750.0 600.0 750.0 900.0 2000 American Indian 844.1 686.2 Black 350.3 Hispanic 243.9 ALL GROUPS White non -Hispanic 96.7 Asian 89.9 0.0 150.0 300.0 450.0 900.0 COMPARATIVE RATES FOR 2000 AND 2007 Number of reported cases per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 243.9 386.6 96.7 142.5 350.3 346.1 686.2 722.7 American Indian or Alaska Native 844.1 641.6 58.5 47.4 -1.2 5.3 -24.0 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 89.9 91.3 1.6 105 9-4 RATES OF GENITAL HERPES 2007 51.3 Bla c k A m e ric a n India n 35.2 31.1 A LL GROUPS 21.7 Hispa nic White no n - His pa nic 17.8 10.6 A s ia n 0.0 12.0 24.0 36.0 48.0 60.0 2000 47.8 Black American Indian 33.6 21.8 ALL GROUPS 17.1 Hispanic White non -Hispanic 15.8 7.1 Asian 0.0 12.0 24.0 36.0 60.0 48.0 COMPARATIVE RATES FOR 2000 AND 2007 Number of reported cases per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 106 All groups White nonHispanic 21.8 31.1 15.8 17.8 17.1 21.7 47.8 51.3 American Indian or Alaska Native 33.6 35.2 42.7 12.7 26.9 7.3 4.8 Hispanic or Latino Black or African American Asian or Pacific Islander 7.1 10.6 49.3 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 9-5 RATES OF HIV/AIDS 2007 35.5 Bla c k Hispa nic A LL GROUPS 15.8 12.7 White no n - His pa nic 9.8 A s ia n 8.8 A m e ric a n India n 8.3 0.0 15.0 30.0 45.0 60.0 75.0 45.0 60.0 75.0 2000 61.1 Bla c k Hispa nic 13.8 A LL GROUPS 13.4 White no n - His pa nic A m e ric a n India n 11.5 9.8 7.1 A s ia n 0.0 15.0 30.0 COMPARATIVE RATES FOR 2000 AND 2007 Number of reported HIV/AIDS cases per 100,000 population by race/ethnicity Year 2000 2007 % change from 2000 All groups White nonHispanic 13.4 12.7 11.5 9.8 13.8 15.8 61.1 35.5 American Indian or Alaska Native 9.8 8.3 -5.2 -14.8 14.5 -41.9 -15.3 Hispanic or Latino Black or African American Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Asian or Pacific Islander 7.1 8.8 23.9 107 COMPARATIVE RATES AND RATIOS FOR 2000-2007 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 109 COMPARATIVE RATES AND RATIOS FOR 2000 – 2007 1. TEEN PREGNANCIES (Number of pregnancies per 1,000 females in specified age group) Indicator Figure 1-1. - Pregnancies 2007 2006 2005 2004 2003 2002 2001 2000 Figure 1-2. - Pregnancies 2007 2006 2005 2004 2003 2002 2001 2000 Figure 1-3. - Pregnancies 2007 2006 2005 2004 2003 2002 2001 2000 Figure 1-4. - Pregnancies 2007 2006 2005 2004 2003 2002 2001 2000 2. ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander among females 19 and younger 34.4 19.0 34.1 18.9 32.7 15.8 34.6 17.7 34.5 18.2 35.2 20.1 36.0 21.1 39.5 25.2 55.3 56.0 55.5 59.2 57.5 57.6 59.1 60.9 36.1 32.6 43.5 44.2 45.4 42.5 45.1 51.9 39.1 36.2 40.8 39.7 39.9 36.6 36.7 41.3 15.3 12.9 16.2 19.3 19.2 19.1 20.3 21.3 among females 14 and younger 1.5 0.9 1.1 0.4 1.1 0.3 1.1 0.3 1.4 0.4 1.3 0.4 1.3 0.5 1.5 0.7 1.9 1.9 2.2 2.3 2.6 2.5 2.5 2.7 2.3 1.4 1.6 1.6 1.2 2.4 2.2 2.4 2.0 1.1 1.5 1.4 2.5 1.3 1.4 1.6 0.7 0.8 0.3 0.6 0.6 0.3 0.0 0.3 among females 15-17 years old 36.9 15.6 39.0 17.2 39.1 14.9 42.0 16.9 41.6 17.5 42.2 20.2 43.2 20.8 48.1 25.1 68.5 72.7 72.9 79.7 76.5 77.0 79.7 84.0 36.9 36.1 51.6 53.0 59.8 47.0 57.5 64.2 42.4 41.5 55.0 53.2 52.0 45.1 43.5 52.1 12.0 13.0 16.2 20.2 22.0 14.6 22.8 21.4 among females 18-19 years old 121.4 70.3 115.6 68.6 103.6 55.1 108.7 61.2 108.2 62.9 111.2 67.9 113.2 71.7 123.6 85.0 201.2 188.1 168.9 177.4 172.7 172.8 176.0 178.4 144.1 118.1 144.8 149.8 147.5 148.0 146.4 171.7 124.9 119.8 137.0 134.2 134.2 130.1 133.4 144.4 62.2 45.0 47.6 55.0 52.1 61.6 57.1 62.4 MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS (All ratios are per 100 live births) Indicator ALL ARIZONA RESIDENTS Figure 2-1. - Unmarried mothers 2007 2006 2005 2004 2003 2002 2001 2000 45.0 43.9 42.8 41.9 41.2 40.2 39.4 39.3 White nonHispanic Hispanic or Latino 28.4 27.7 26.1 24.8 25.1 25.0 24.5 24.8 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 56.7 55.4 54.3 53.9 52.7 52.2 51.0 51.4 Black or African American 61.9 62.3 61.9 62.0 62.7 61.8 64.2 62.2 American Indian or Alaska Native 75.9 74.8 72.9 73.1 72.4 69.7 70.1 68.5 Asian or Pacific Islander 17.6 16.2 17.0 15.8 16.3 15.5 17.0 15.1 111 2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS (continued) (All ratios are per 100 live births) Indicator ALL ARIZONA RESIDENTS Figure 2-2. - Tobacco use during pregnancy 2007 4.7 5.1 2006 5.4 2005 5.8 2004 5.8 2003 6.3 2002 6.8 2001 6.8 2000 Figure 2-3. - Alcohol use during pregnancy 2007 0.6 0.6 2006 0.8 2005 0.5 2004 0.9 2003 0.9 2002 0.9 2001 1.0 2000 Figure 2-4. - Chronic hypertension 2007 2006 2005 2004 2003 2002 2001 2000 Figure 2-5. - Dysfunctional labor 2007 2006 2005 2004 2003 2002 2001 2000 Figure 2-6. - Anemia during pregnancy 2007 2006 2005 2004 2003 2002 2001 2000 Figure 2-7. - Diabetes during pregnancy 2007 2006 2005 2004 2003 2002 2001 2000 112 White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander 8.3 8.8 9.3 9.4 9.4 10.7 11.0 11.0 1.6 1.8 1.9 2.1 2.1 2.1 2.4 2.4 6.8 7.2 7.7 9.0 8.7 9.7 10.7 11.0 3.1 3.6 3.4 3.7 3.2 3.3 4.0 3.5 1.9 1.8 2.2 2.4 2.8 2.3 2.7 2.5 0.7 0.8 1.1 0.6 1.1 1.0 1.0 1.3 0.2 0.3 0.3 0.2 0.4 0.4 0.5 0.6 0.6 0.6 0.7 0.4 1.3 1.2 1.6 1.6 1.8 1.9 2.2 1.4 2.4 2.6 2.6 2.3 0.2 0.4 0.4 0.3 0.5 0.2 0.4 0.6 0.6 0.6 0.4 0.4 0.3 0.4 0.4 0.4 0.6 0.6 0.5 0.4 0.4 0.4 0.4 0.4 0.5 0.4 0.3 0.2 0.2 0.2 0.2 0.2 1.1 1.0 1.0 0.4 0.5 0.7 0.7 0.7 1.5 1.4 1.0 0.8 0.7 0.8 1.3 1.3 0.5 0.5 0.5 0.4 0.3 0.2 0.2 0.3 1.1 1.0 1.2 0.9 0.8 1.0 1.2 0.8 1.2 1.1 1.4 1.0 0.9 1.1 1.4 0.8 0.8 0.6 0.8 0.6 0.5 0.7 0.6 0.5 1.1 1.0 1.0 0.8 0.8 1.2 1.2 0.7 2.9 2.5 3.0 2.9 2.4 2.7 3.0 2.2 1.3 1.4 1.5 1.0 0.6 1.3 1.7 0.8 3.0 2.0 2.0 2.2 2.0 1.8 1.6 1.7 3.3 1.7 2.0 2.4 2.3 1.9 1.5 1.7 2.0 1.6 1.5 1.5 1.2 1.1 1.0 1.1 4.3 2.3 3.5 2.5 2.8 2.7 1.7 2.0 6.8 6.6 5.6 5.5 5.5 5.1 6.0 4.8 2.4 1.5 1.6 1.5 1.7 1.1 1.6 1.1 3.4 3.2 3.0 2.5 2.1 2.3 2.2 2.3 2.7 2.5 2.2 2.0 1.8 1.9 1.8 1.9 3.3 3.2 2.9 2.1 1.8 2.2 2.0 2.0 3.0 2.7 2.3 1.9 2.2 2.0 1.8 1.8 8.0 7.2 8.2 7.6 6.0 6.5 6.2 6.7 5.9 4.5 4.7 3.9 3.0 2.9 3.9 3.1 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS (continued) (All ratios are per 100 live births) Indicator ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Figure 2-8. - Pregnancy-associated hypertension 3.1 2007 2.9 2006 3.1 2005 2.9 2004 2.8 2003 2.5 2002 2.6 2001 3.0 2000 Figure 2-9. - Genital herpes during pregnancy 3.7 3.3 3.8 3.6 3.4 3.0 3.1 3.6 2.2 2.1 2.1 1.9 1.9 1.7 1.7 2.0 3.5 3.5 3.0 2.8 2.7 2.5 2.4 2.9 5.8 5.9 5.8 5.4 5.7 4.6 5.7 5.6 2.4 1.8 2.4 2.3 1.9 1.5 1.8 2.3 0.7 2007 0.7 2006 0.7 2005 0.7 2004 0.6 2003 0.7 2002 0.8 2001 0.7 2000 Figure 2-10. - Weight gain of less than 21 pounds 25.3 2007 25.5 2006 24.4 2005 20.6 2004 19.7 2003 19.3 2002 18.5 2001 19.1 2000 1.2 1.1 1.2 1.2 1.0 1.1 1.3 1.2 0.3 0.3 0.3 0.3 0.2 0.2 0.3 0.2 0.8 1.0 1.1 0.8 1.0 1.2 1.2 0.7 0.5 0.4 0.5 0.4 0.5 0.3 0.3 0.3 0.5 0.4 0.7 0.4 0.5 0.4 0.7 0.5 18.1 18.5 16.9 15.1 14.5 15.4 14.9 15.4 31.2 31.3 30.1 24.3 22.9 22.1 20.9 21.3 27.5 28.2 27.9 23.4 23.3 19.3 21.3 22.4 31.9 33.4 32.4 28.5 31.9 28.2 28.8 30.4 19.4 21.0 18.7 18.4 16.0 16.3 16.0 16.7 3. UTILIZATION OF PRENATAL CARE SERVICES (Per 100 live births) Indicator ALL ARIZONA RESIDENTS Figure 3-1. - No care in the 1 st trimester 22.4 2007 22.3 2006 22.3 2005 23.7 2004 24.4 2003 24.3 2002 24.5 2001 25.0 2000 Figure 3-2. - Fewer than five prenatal visits 2007 2006 2005 2004 2003 2002 2001 2000 6.0 6.4 6.5 7.4 7.2 6.6 9.4 6.7 White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander 13.5 13.1 12.3 12.7 13.2 13.5 13.8 14.0 29.5 29.9 30.5 33.0 34.2 34.4 34.7 36.5 23.2 22.6 24.4 24.2 24.3 24.8 26.2 28.9 34.1 34.1 32.1 31.0 31.2 35.6 35.4 34.2 13.5 13.9 13.7 15.3 15.8 15.7 17.3 15.0 3.0 2.9 2.8 2.8 2.9 2.9 5.1 2.8 8.1 8.8 19.2 11.0 10.4 9.9 13.2 10.5 7.1 6.4 13.4 7.9 7.6 6.0 11.8 6.6 12.0 13.2 12.6 12.1 11.8 12.4 14.5 12.5 3.3 3.2 3.5 4.4 4.5 3.3 5.4 3.3 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 113 3. UTILIZATION OF PRENATAL CARE SERVICES (continued) (Per 100 live births) Indicator ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Figure 3-3. - No prenatal care 2007 2006 2005 2004 2003 2002 2001 2000 4. 2.2 2.4 2.3 2.8 2.9 2.2 1.9 2.1 0.9 0.9 0.8 0.7 0.6 0.7 0.6 0.7 3.2 3.6 6.7 4.5 4.8 3.8 3.2 3.6 2.7 2.3 4.4 3.3 3.5 1.7 1.6 2.4 3.2 3.5 3.0 3.0 2.4 2.6 1.9 2.4 1.5 1.2 1.0 1.5 1.6 1.1 1.1 0.9 NEWBORN'S HEALTH (Infant, neonatal and postneonatal rates are per 1,000 live births. All other indicators are expressed per 100 live births). Indicator ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Figure 4-1. - Hyaline membrane disease 2007 2006 2005 2004 2003 2002 2001 2000 Figure 4-2. - Newborn intensive care 0.4 0.2 0.3 0.3 0.3 0.5 0.3 0.3 0.5 0.3 0.4 0.4 0.5 0.7 0.4 0.4 0.2 0.2 0.1 0.2 0.2 0.3 0.2 0.2 0.6 0.4 0.5 0.3 0.2 0.5 0.5 0.6 0.2 0.3 0.3 0.4 0.3 0.4 0.4 0.2 0.4 0.2 0.2 0.3 0.3 0.8 0.3 0.3 2007 2006 2005 2004 2003 2002 2001 2000 Figure 4-3. - Born too early (preterm or < 5.1 5.1 5.7 5.7 5.4 5.6 5.7 5.8 5.7 5.7 6.5 6.4 6.2 6.3 5.9 5.5 4.5 4.4 5.1 5.2 4.7 5.0 5.4 6.3 7.3 7.0 7.4 7.2 7.0 7.2 9.0 9.3 4.5 4.8 5.1 4.4 4.2 4.8 4.6 4.6 4.9 4.9 5.4 5.8 5.6 5.7 5.6 4.3 2007 10.3 10.4 2006 10.6 10.5 10.7 10.9 2005 11.0 11.4 2004 10.5 11.0 2003 10.0 10.5 2002 9.9 10.1 2001 10.3 10.5 2000 Figure 4-4. - Born too small: low-birthweight (<2,500 grams) 9.8 10.1 10.1 10.3 9.8 9.4 9.4 9.8 14.9 14.5 16.4 14.4 14.4 14.0 14.8 14.9 10.4 11.7 10.6 10.9 9.8 9.6 10.1 9.4 9.6 10.4 10.2 11.0 10.8 11.0 9.8 9.3 6.6 6.9 6.4 6.8 6.9 6.4 6.7 6.7 12.8 12.7 12.6 11.6 11.7 11.9 13.7 13.0 6.6 7.4 7.3 7.2 6.8 6.5 7.3 6.7 8.0 8.5 8.0 8.0 8.5 8.6 7.7 7.6 2007 2006 2005 2004 2003 2002 2001 2000 114 37 weeks) 7.1 7.1 6.9 7.2 7.1 6.8 7.0 7.0 7.1 6.7 6.9 7.2 6.9 6.7 6.7 7.0 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 4. NEWBORN'S HEALTH (continued) (Infant, neonatal and postneonatal rates are per 1,000 live births. All other indicators are expressed per 100 live births). Indicator ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Figure 4-5. - Born too small: very low-birthweight (<1,500 grams) 2007 1.2 1.1 2006 1.2 1.1 1.2 1.1 2005 1.2 1.1 2004 1.1 1.1 2003 1.1 1.2 2002 1.1 1.0 2001 1.2 1.1 2000 Figure 4-6. - Incidence of congenital anomalies (birth defects) 2007 0.8 0.9 2006 0.9 0.9 1.0 1.0 2005 1.0 1.0 2004 1.0 1.0 2003 1.3 1.4 2002 1.3 1.4 2001 1.3 1.5 2000 Figure 4-7. - Infant mortality 2007 6.8 5.6 2006 6.3 5.4 6.8 6.2 2005 6.7 5.4 2004 6.5 5.4 2003 6.3 5.9 2002 6.9 5.7 2001 6.7 6.1 2000 Figure 4-8. - Sudden Infant Death Syndrome (SIDS) 2007 0.4 0.5 2006 0.4 0.5 0.3 0.3 2005 0.3 0.3 2004 0.3 0.3 2003 0.4 0.4 2002 0.4 0.4 2001 0.3 0.3 2000 Figure 4-9. - Mortality of infants from low birthweight/short gestation 2007 0.9 0.5 2006 0.9 0.6 0.8 0.5 2005 0.9 0.7 2004 0.9 0.6 2003 1.1 0.9 2002 0.9 0.6 2001 0.6 0.4 2000 Figure 4-10. - Neonatal mortality 2007 2006 2005 2004 2003 2002 2001 2000 4.7 4.3 4.4 4.5 4.3 4.1 4.5 4.3 3.8 3.7 4.1 3.9 3.7 3.9 4.0 3.8 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Black or African American American Indian or Alaska Native Asian or Pacific Islander 1.2 1.2 1.2 1.2 1.1 1.0 1.0 1.1 2.6 2.3 2.5 2.5 2.2 2.5 2.7 2.6 1.0 1.1 1.1 0.9 0.9 0.9 1.0 1.4 1.0 1.1 1.2 1.1 1.5 1.2 0.9 1.2 0.7 0.8 0.9 1.0 1.0 1.1 1.1 0.9 0.7 0.8 0.9 0.6 1.0 1.2 1.4 1.1 1.4 1.2 1.5 1.6 1.3 2.2 1.9 1.9 0.8 0.5 1.2 0.7 1.0 0.9 1.3 0.8 7.4 6.6 7.0 7.7 7.0 6.6 6.7 6.3 15.1 16.8 12.8 12.1 15.9 13.1 22.7 17.8 8.1 6.4 8.3 7.2 7.5 7.0 10.7 9.6 3.2 2.2 5.3 3.8 4.4 4.0 3.8 4.9 0.3 0.2 0.3 0.3 0.3 0.3 0.2 0.2 1.0 0.8 0.6 0.6 0.7 2.2 2.9 0.7 0.6 0.3 0.6 0.0 0.3 0.4 0.4 0.7 0.0 0.3 0.7 0.0 0.0 0.0 0.0 0.0 1.2 1.1 1.2 1.1 1.1 1.3 1.1 0.9 2.4 2.6 1.2 2.2 3.6 2.6 4.0 2.5 0.8 1.1 0.5 0.5 0.9 0.7 0.4 0.9 0.9 0.6 0.0 0.0 0.4 0.0 0.0 0.0 5.2 4.7 4.9 5.1 4.9 4.6 4.5 4.2 10.3 9.6 5.5 7.8 10.3 5.8 15.0 9.8 4.2 4.0 4.3 3.4 3.1 3.6 4.1 6.4 2.6 1.0 3.2 2.7 2.0 3.1 2.4 2.0 115 4. NEWBORN'S HEALTH (continued) (Infant, neonatal and postneonatal rates are per 1,000 live births. All other indicators are expressed per 100 live births). Indicator ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Figure 4-11. - Postneonatal mortality 2007 2006 2005 2004 2003 2002 2001 2000 5. 2.2 2.0 2.4 2.2 2.2 2.2 2.4 2.4 1.8 1.7 2.1 1.4 1.7 2.0 1.7 2.3 2.2 1.9 2.1 2.6 2.1 2.0 2.2 2.0 4.8 7.2 7.3 4.4 5.6 7.3 7.7 8.0 3.9 2.4 4.0 3.8 4.4 3.4 6.6 3.2 0.6 1.2 2.1 1.1 2.4 0.9 1.4 2.0 MORTALITY FROM NATURAL CAUSES - Chronic or infectious diseases (Number of deaths per 100,000 population age-adjusted to 2000 standard. The rates for breast and cervical cancer are per 100,000 females. The rates for prostate cancer are per 100,000 males.) Indicator ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Figure 5-1. - Cardiovascular diseases 2007 2006 2005 2004 2003 2002 2001 2000 Figure 5-2. - Diseases of the heart 194.4 216.4 245.7 248.5 258.4 265.5 267.3 276.1 196.9 218.2 241.3 243.1 257.2 266.1 265.8 276.0 179.8 203.2 266.1 284.1 278.2 276.3 281.4 273.6 225.9 310.3 343.3 372.5 390.1 329.8 388.1 411.5 155.0 167.0 235.6 214.6 188.6 216.2 234.1 257.5 108.9 136.2 243.0 200.3 145.3 218.4 184.3 190.6 2007 2006 2005 2004 2003 2002 2001 2000 Figure 5-3. - Coronary heart disease 2007 2006 2005 2004 2003 2002 2001 2000 Figure 5-4. - Cerebrovascular disease 2007 2006 2005 2004 2003 2002 2001 2000 149.5 166.1 186.9 186.7 197.1 201.0 201.7 153.2 168.8 185.2 184.9 197.7 203.0 202.1 131.5 149.8 189.6 197.6 198.5 201.2 206.1 171.3 231.9 250.3 258.5 299.4 237.0 273.6 115.2 129.4 179.1 166.9 141.9 164.0 177.7 58.6 94.7 159.8 135.3 97.6 145.6 116.1 206.1 207.2 204.7 289.5 183.8 132.3 115.0 130.2 147.9 148.7 156.6 159.5 149.3 160.4 118.0 132.3 147.3 147.3 157.8 161.7 149.8 162.4 101.7 117.3 147.1 158.2 154.4 159.4 159.7 154.7 136.6 190.1 211.4 207.5 245.7 181.2 196.9 225.1 84.6 97.6 133.7 137.5 100.7 119.5 116.4 124.4 47.9 86.2 113.7 120.6 75.5 104.4 80.7 107.4 30.6 34.8 40.6 43.6 43.9 47.0 47.7 51.7 29.7 34.1 38.8 41.4 41.7 45.9 46.2 50.8 34.9 37.3 51.0 61.3 61.9 53.9 55.4 51.2 34.1 58.2 66.0 71.5 69.0 69.6 79.6 82.4 22.0 27.0 32.3 27.5 36.4 39.4 44.3 55.3 37.7 18.4 64.6 45.1 35.9 57.6 51.1 46.1 116 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 5. MORTALITY FROM NATURAL CAUSES - Chronic or infectious diseases (continued) (Number of deaths per 100,000 population age-adjusted to 2000 standard) Indicator ALL ARIZONA RESIDENTS Figure 5-5. - Chronic lower respiratory diseases 2007 39.2 2006 44.3 46.8 2005 41.9 2004 45.4 2003 47.0 2002 46.9 2001 47.4 2000 Figure 5-6. - Malignant neoplasms (cancer) 2007 148.0 2006 154.7 161.8 2005 164.7 2004 169.4 2003 168.6 2002 169.2 2001 170.4 2000 Figure 5-7. - Lung cancer 2007 2006 2005 2004 2003 2002 2001 2000 Figure 5-8. - Breast cancer 2007 2006 2005 2004 2003 2002 2001 2000 Figure 5-9. - Cervical cancer 2007 2006 2005 2004 2003 2002 2001 2000 Figure 5-10. - Colorectal cancer 2007 2006 2005 2004 2003 2002 2001 2000 White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander 43.7 49.2 49.6 45.1 48.3 50.4 51.0 51.1 18.8 18.3 31.6 22.7 28.7 25.2 17.7 24.4 18.7 27.3 43.9 24.9 30.3 38.3 37.9 30.4 13.0 8.4 12.0 10.8 19.4 22.3 26.8 21.9 7.5 9.9 17.9 21.6 15.5 24.5 21.4 12.7 154.6 162.8 162.4 165.4 171.2 172.4 173.1 174.8 118.6 124.7 165.9 161.6 168.5 156.3 155.6 156.9 153.4 163.5 217.9 227.7 218.5 222.7 213.0 216.1 113.9 83.1 122.2 139.3 120.7 117.6 121.7 123.0 84.2 82.0 112.7 111.0 132.9 116.5 147.0 103.4 38.2 42.7 43.0 45.4 47.4 46.6 44.5 46.1 42.4 47.4 45.9 48.2 50.6 50.1 47.6 49.1 20.5 21.4 29.0 29.4 33.5 27.7 29.2 31.6 39.6 45.9 53.0 61.4 59.4 61.2 55.7 65.8 9.9 4.7 6.5 17.3 13.2 13.1 9.8 8.9 21.5 18.4 19.7 21.5 21.9 24.7 41.7 29.6 20.1 21.6 20.7 21.4 22.1 22.2 23.6 25.4 20.5 23.2 20.5 21.4 22.3 22.5 24.7 26.2 16.9 14.0 19.8 18.0 18.9 18.7 17.5 20.7 23.9 25.7 35.7 32.2 41.2 42.3 55.8 29.5 16.2 6.9 14.9 18.4 16.4 9.6 11.7 12.1 11.3 7.5 17.3 35.2 19.6 17.7 12.7 12.8 1.9 1.7 2.1 2.2 2.2 2.2 2.8 3.0 1.6 1.4 1.8 1.6 1.0 1.9 2.5 2.5 3.2 2.4 4.1 5.0 1.8 3.7 3.9 3.7 2.3 2.7 1.4 2.8 6.8 2.0 3.5 7.6 2.3 5.8 3.4 2.0 4.2 4.7 5.4 10.1 1.2 1.2 4.6 3.6 10.5 2.0 0.0 3.5 14.4 14.6 15.4 15.3 17.9 16.5 16.7 15.0 15.1 15.2 15.5 17.9 16.9 16.9 12.0 14.2 17.6 13.1 21.2 16.2 16.6 15.7 14.9 27.0 27.3 26.3 26.4 27.4 8.0 4.7 7.5 9.3 6.3 9.1 7.2 9.4 6.5 12.5 11.0 3.0 9.7 10.6 17.0 17.4 16.4 16.3 8.2 6.6 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 117 5. MORTALITY FROM NATURAL CAUSES - Chronic or Infectious Diseases (continued) (Number of deaths per 100,000 population age-adjusted to 2000 standard) Indicator ALL ARIZONA RESIDENTS Figure 5-11. - Prostate cancer 2007 18.9 2006 20.1 23.8 2005 24.0 2004 25.1 2003 24.8 2002 24.3 2001 28.4 2000 Figure 5-12. - Influenza and pneumonia 2007 12.9 2006 18.4 22.3 2005 20.1 2004 23.4 2003 25.0 2002 21.9 2001 24.4 2000 Figure 5-13. - Diabetes 2007 17.0 2006 18.9 20.1 2005 20.7 2004 20.3 2003 22.3 2002 19.9 2001 19.0 2000 Figure 5-14. - Chronic liver disease and cirrhosis 2007 11.3 2006 11.4 12.7 2005 11.1 2004 11.5 2003 12.1 2002 12.3 2001 12.8 2000 Figure 5-15. - HIV disease 2007 2006 2005 2004 2003 2002 2001 2000 Figure 5-16. - Septicemia 2007 2006 2005 2004 2003 2002 2001 2000 118 White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander 19.5 19.2 23.5 22.6 25.2 24.1 24.1 28.0 15.8 25.9 30.6 35.0 22.4 35.3 26.3 30.0 23.6 34.9 20.4 54.6 41.2 48.6 45.0 74.8 16.6 16.9 23.5 31.2 21.0 12.5 14.0 27.1 19.4 24.0 5.1 6.1 7.6 8.4 24.2 8.9 12.3 17.7 20.5 19.4 21.8 24.3 21.3 14.4 20.0 26.5 20.7 27.9 26.1 26.1 13.0 18.1 21.6 12.0 30.4 29.2 14.8 34.3 32.8 72.0 32.7 58.9 51.7 43.0 7.4 21.7 17.5 10.5 16.4 13.2 15.0 23.3 30.1 26.9 48.2 11.9 13.7 15.2 15.5 16.8 16.5 18.0 15.4 14.9 30.8 40.4 46.0 43.5 39.1 45.6 42.9 41.1 30.3 43.9 55.2 44.8 53.6 41.0 55.7 46.0 51.1 43.9 69.9 59.0 55.8 80.8 72.8 74.6 5.1 10.9 17.8 30.0 15.7 21.9 14.8 19.5 9.6 9.6 10.7 8.4 9.7 9.9 10.6 10.4 16.3 15.5 19.4 18.6 17.6 21.6 17.4 15.8 5.9 7.2 12.8 6.7 3.5 9.8 11.7 6.6 36.8 43.6 51.2 51.0 38.8 40.5 39.1 61.7 3.2 3.1 4.9 3.8 3.3 5.3 4.0 4.1 1.7 2.3 2.4 2.8 3.2 3.1 3.1 3.2 1.3 2.1 2.0 2.3 2.8 2.5 2.6 3.1 1.7 2.3 2.5 3.1 4.3 3.2 3.2 3.4 6.0 7.2 9.2 14.6 8.1 14.3 11.2 9.6 3.6 1.8 3.1 3.5 3.6 5.5 5.5 1.8 0.4 0.6 0.5 0.8 1.7 0.0 1.1 0.0 8.1 8.6 8.4 7.0 7.7 7.3 10.4 11.0 13.0 14.7 14.6 18.2 17.8 17.3 18.2 10.9 5.5 6.2 8.0 8.4 8.3 7.2 6.7 6.6 7.1 7.3 6.0 6.0 14.4 12.6 10.5 10.7 9.9 16.0 11.3 14.8 13.6 6.2 21.5 25.8 23.4 21.8 21.5 4.6 6.8 0.0 3.2 1.3 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 5. MORTALITY FROM NATURAL CAUSES - Chronic or Infectious Diseases (continued) (Number of deaths per 100,000 population age-adjusted to 2000 standard) Indicator ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Figure 5-17. - Alzheimer's disease 2007 29.6 30.9 24.1 2006 33.4 34.7 28.0 32.7 33.0 31.3 2005 31.3 32.0 26.6 2004 32.5 33.4 28.2 2003 28.0 28.9 24.7 2002 22.5 23.5 14.7 2001 21.8 22.5 18.9 2000 Figure 5-18. - Nephritis, nephrotic syndrome and nephrosis (kidney disease) 29.8 28.8 42.7 10.3 15.3 16.2 12.9 8.3 30.2 42.8 43.3 25.1 21.5 20.5 8.0 5.6 8.8 12.7 7.2 17.1 11.4 17.4 14.6 7.8 2007 7.6 2006 8.8 10.4 2005 11.0 2004 10.1 2003 11.3 2002 12.0 2001 11.7 2000 Figure 5-19. - Essential (primary) hypertension 2007 5.7 2006 6.7 6.8 2005 7.3 2004 6.3 2003 5.6 2002 5.9 2001 5.6 2000 Figure 5-20. - Total mortality from all causes 2007 2006 2005 2004 2003 2002 2001 2000 6. 663.2 727.3 772.5 757.3 784.0 796.4 791.2 785.6 6.0 7.4 8.5 13.1 14.2 22.5 19.1 9.8 19.8 20.6 23.3 31.4 5.0 5.2 9.2 8.9 8.4 9.7 9.9 10.1 21.5 18.4 21.6 22.6 22.1 26.6 20.9 20.8 23.5 26.9 30.2 24.7 25.8 33.5 22.6 16.0 16.0 4.7 8.4 5.0 5.3 6.1 5.9 6.2 6.0 5.4 5.5 5.2 5.6 8.3 13.2 11.9 7.9 7.3 8.7 7.3 12.7 12.9 15.6 27.0 14.5 12.5 13.8 11.2 11.2 8.5 15.8 13.2 5.4 4.9 3.4 10.8 7.3 14.1 6.8 6.0 9.4 5.1 11.8 5.8 665.1 728.5 744.6 734.6 764.9 786.7 778.1 776.6 603.7 685.6 849.2 834.0 839.5 811.1 787.6 769.9 719.2 885.1 1053.1 1021.7 1048.6 951.5 1050.6 1057.5 752.5 744.5 1006.6 879.2 900.7 975.1 1010.5 1011.4 356.3 393.4 629.5 557.5 497.2 560.4 560.7 504.1 MORTALITY FROM INJURIES (Number of deaths per 100,000 population age-adjusted to 2000 standard) Indicator ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Figure 6-1. - Unintentional injuries 2007 2006 2005 2004 2003 2002 2001 2000 46.6 51.2 51.1 44.9 48.7 46.2 40.6 52.4 54.8 48.1 54.8 64.3 95.0 97.2 117.8 20.3 19.8 34.2 46.0 44.8 45.2 46.6 41.1 43.3 40.9 41.5 42.5 36.9 48.9 44.7 45.5 45.6 41.6 45.9 52.4 44.0 52.6 49.7 103.9 108.6 111.0 112.7 113.1 21.2 25.3 15.5 29.9 24.1 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 119 6. MORTALITY FROM INJURIES (continued) (Number of deaths per 100,000 population age-adjusted to 2000 standard) Indicator ALL ARIZONA RESIDENTS Figure 6-2. - Motor vehicle-related injuries 2007 16.2 2006 19.6 18.9 2005 18.1 2004 18.0 2003 18.5 2002 17.2 2001 17.5 2000 Figure 6-3. - Fall-related injuries 2007 10.6 2006 11.3 12.0 2005 9.6 2004 8.8 2003 8.6 2002 8.9 2001 7.6 2000 Figure 6-4. - Drowning mortality 2007 1.3 2006 1.5 1.4 2005 1.8 2004 1.5 2003 1.2 2002 1.6 2001 1.7 2000 Figure 6-5. - Injury by firearms 2007 14.4 2006 15.4 15.2 2005 15.0 2004 14.8 2003 17.3 2002 15.5 2001 15.3 2000 Figure 6-6. - Drug-induced deaths 2007 15.1 2006 15.1 13.8 2005 13.3 2004 12.0 2003 12.2 2002 11.3 2001 6.8 2000 Figure 6-7. - Alcohol-induced deaths 2007 11.1 2006 10.3 11.2 2005 10.0 2004 10.1 2003 9.3 2002 8.4 2001 8.7 2000 120 White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander 13.1 16.6 15.0 15.3 14.6 14.7 13.5 13.8 17.6 21.9 22.7 23.2 21.3 21.1 18.2 18.2 13.6 15.3 24.9 14.8 15.2 11.9 19.1 19.3 49.0 56.9 62.6 54.1 59.0 65.9 63.2 74.2 9.9 5.9 10.2 11.3 11.8 10.1 8.6 15.3 10.9 11.3 11.9 9.5 9.0 8.7 8.9 7.6 7.5 12 12.1 8.7 5.5 6.6 7.8 8.9 7.0 7.1 6.5 8.8 6.3 4.9 8.8 5.2 9.7 9.9 10.4 14.9 12.7 12.9 11.3 6.0 5.6 7.4 15.0 3.3 7.5 2.7 8.3 3.9 1.3 1.0 1.1 1.6 1.3 1.3 1.8 1.6 1.2 1.9 1.3 1.6 1.5 1.2 1.3 1.2 2.7 2.3 2.9 4.1 2.7 0.5 1.5 3.3 2.5 1.5 3.4 3.0 2.5 1.3 1.2 3.8 0.6 2.5 3.2 1.7 0.5 1.9 4.0 1.1 13.3 13.9 12.0 13.2 12.7 16.2 13.9 13.9 14.9 15.6 18.4 16.8 15.7 17.0 15.8 14.9 25.1 21.5 23.4 23.7 23.2 19.1 25.3 25.7 7.6 8.0 15.6 12.6 15.6 14.6 11.8 12.2 3.1 2.9 7.5 1.4 1.8 5.8 9.0 11.1 18.5 17.5 14.8 14.7 12.8 13.1 12.4 8.7 10.4 10.6 9.4 10.5 9.8 9.4 19.7 24.6 28.4 14.7 23.5 19.8 13.8 8.7 10.6 12.4 14.5 8.5 13.1 9.3 2.9 5.1 2.1 0.8 0.0 0.0 0.9 7.3 5.0 9.6 6.7 0.0 9.4 8.7 9.9 8.0 8.3 8.2 6.8 6.8 11.8 10.2 11.0 9.8 10.2 9.9 9.1 8.6 6.9 5.8 6.7 7.3 6.8 10.3 7.9 6.1 49.3 48.1 51.1 55.4 49.3 39.4 41.5 56.1 2.5 0.7 7.2 3.8 0.0 0.9 1.1 1.3 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 6. MORTALITY FROM INJURIES (continued) (Number of deaths per 100,000 population age-adjusted to 2000 standard) Indicator ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Figure 6-8. - Intentional self-harm (suicide) 2007 2006 2005 2004 2003 2002 2001 2000 Figure 6-9. - Assault (homicide) 2007 2006 2005 2004 2003 2002 2001 2000 7. 15.4 15.4 15.4 14.9 14.6 15.9 14.9 14.6 18.7 17.8 16.6 16.6 16.4 18.3 12.8 16.7 9.2 8.2 10.5 9.8 8.2 8.3 5.9 7.2 6.2 8.3 3.3 12.1 11.3 6.2 9.2 6.5 9.8 13.7 17.5 17.0 15.2 17.9 15.4 16.2 6.1 8.4 11.7 4.0 6.0 4.1 9.4 5.7 7.7 8.5 8.2 8.2 8.3 8.6 8.7 7.6 3.9 4.6 3.5 4.8 3.7 4.4 4.3 3.9 12.0 13.0 14.6 13.6 14.7 15.1 15.5 13.0 23.4 19.6 27.4 22.3 24.9 21.3 22.2 22.7 13.1 13.2 14.0 14.7 18.8 20.3 17.2 14.9 2.6 2.4 5.1 1.4 5.4 3.3 4.9 7.6 AGE-SPECIFIC MORTALITY (Number of deaths per 100,000 persons in specified group) Indicator ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Figure 7-1. - Mortality of children 1-14 years old 2007 19.5 14.2 2006 21.5 18.2 22.7 17.4 2005 20.4 17.2 2004 24.3 21.8 2003 23.7 18.3 2002 28.8 23.9 2001 25.3 20.8 2000 Figure 7-2. - Mortality of adolescents and young adults 15-19 years old 22.1 23.5 26.3 21.0 22.1 25.0 26.3 27.4 29.1 20.2 35.7 39.2 42.5 32.6 43.2 37.2 34.3 33.3 33.4 32.1 45.3 55.8 71.0 48.2 17.5 22.0 18.7 9.7 9.2 15.5 31.9 22.0 66.1 72.4 68.6 64.9 51.6 64.8 70.2 68.6 83.9 103.0 89.2 91.1 87.5 93.8 82.7 74.0 91.5 127.1 88.7 150.9 89.5 107.5 73.2 149.5 124.4 188.6 137.0 134.5 196.2 195.8 265.2 171.2 18.1 29.1 24.6 25.4 36.2 24.3 61.9 0.0 138.2 147.5 140.9 132.3 142.7 122.1 123.3 132.9 140.7 193.9 177.3 227.3 291.3 305.1 348.3 50.3 64.1 61.3 141.0 151.1 154.7 158.2 156.5 130.8 139.6 143.4 145.2 173.1 134.0 139.1 148.5 147.5 136.3 209.0 220.4 212.3 250.1 212.3 293.3 345.8 350.3 373.2 403.1 59.7 56.8 48.6 60.6 93.3 2007 76.9 2006 93.8 80.1 2005 80.8 2004 75.4 2003 83.2 2002 86.6 2001 78.9 2000 Figure 7-3. - Mortality among adults 20-44 years old 2007 2006 2005 2004 2003 2002 2001 2000 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 121 7. AGE-SPECIFIC MORTALITY (continued) (Number of deaths per 100,000 persons in specified group) Indicator ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Figure 7-4. - Mortality among adults 45-65 years old 2007 2006 2005 2004 2003 2002 2001 2000 8. 582.8 614.6 673.1 649.1 653.7 654.8 632.1 633.9 593.4 638.3 654.2 633.9 651.1 656.7 631.9 636.8 494 477.3 631.6 592.2 593.5 588.5 545.9 540.5 833.6 872.5 1103.8 1032.2 909.7 878.8 996.1 929.9 737.5 775.4 1077.0 1019.2 914.9 1025.6 981.4 994.2 272.9 194.3 313.1 375.8 292.2 258.9 312.2 276.1 PREMATURE MORTALITY Indicator ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Figure 8-1. - Median age at death from all causes 2007 76.0 2006 76.0 77.0 2005 76.0 2004 76.0 2003 76.0 2002 76.0 2001 76.0 2000 Figure 8-2. - Median age at death from all causes among 2007 73.0 2006 73.0 74.0 2005 73.0 2004 73.0 2003 73.0 2002 73.0 2001 73.0 2000 Figure 8-3. - Median age at death from all causes among 78.0 78.0 79.0 64.0 65.0 65.0 62.0 63.0 64.0 59.0 57.0 59.0 70.0 73.0 72.0 78.0 78.0 78.0 78.0 77.0 65.0 66.0 65.0 65.0 66.0 64.0 66.0 65.0 63.0 66.0 58.0 56.0 57.0 56.0 57.5 69.0 70.0 74.0 68.5 68.0 59.0 59.0 61.0 60.0 60.0 59.0 59.0 60.0 57.0 59.0 58.0 59.0 60.0 60.0 58.0 61.0 54.0 52.0 54.0 53.0 51.0 52.0 49.0 52.0 64.0 71.5 71.0 68.0 70.0 72.0 68.0 67.0 71.0 73.0 71.0 72.0 70.0 70.0 71.0 70.0 67.0 65.0 66.0 64.0 73.0 73.0 73.0 70.0 72.0 72.0 71.0 71.0 71.0 72.0 69.0 71.0 65.0 64.0 65.0 65.0 71.0 75.0 69.0 68.0 71.6 70.8 71.3 71.5 70.0 70.3 71.2 70.5 73.3 73.9 75.1 74.3 70.6 71.7 73.0 69.3 75.8 77.4 78.4 80.3 78.4 78.3 79.1 78.7 64.9 61.0 65.1 64.3 65.7 59.8 69.9 69.6 males 75.0 75.0 76.0 75.0 75.0 75.0 75.0 75.0 females 2007 80.0 81.0 2006 80.0 81.0 80.0 81.0 2005 80.0 81.0 2004 80.0 81.0 2003 79.0 80.0 2002 79.0 80.0 2001 79.0 80.0 2000 Figure 8-4. - Percent of total deaths before expected years of life reached 2007 2006 2005 2004 2003 2002 2001 2000 122 52.6 52.7 52.7 53.0 50.8 50.2 51.0 51.6 47.7 48.2 47.9 48.3 46.1 45.6 46.2 47.3 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 9. REPORTABLE DISEASES (Number of cases per 100,000 persons in specified group) Indicator ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Figure 9-1. - Incidence of early syphilis 2007 2006 2005 2004 2003 2002 2001 2000 figure 9-2. - Incidence of gonorrhea 8.8 6.2 5.1 6.5 7.4 7.3 8.4 8.5 4.2 3.5 2.9 3.1 4.2 2.5 2.6 3.2 7.8 7.6 8.6 9.6 9.7 12.6 16.6 15.4 17.0 14.9 16.5 16.6 18.2 40.2 52.4 60.4 30.5 8.4 10.6 14.9 20.1 16.1 15.1 12.1 3.5 1.2 2.6 0.9 0.9 0.9 0.0 3.0 2007 2006 2005 2004 2003 2002 2001 2000 Figure 9-3. - Incidence of chlamydia 78.7 95.3 81.9 70.1 63.5 68.9 73.9 80.0 33.1 44.0 31.5 32.5 33.4 30.5 32.4 29.5 60.4 81.6 95.0 84.6 71.4 98.6 99.7 111.8 345.6 382.4 395.7 376.8 359.7 432.0 558.5 630.8 94.4 125.7 142.6 142.7 103.1 107.7 115.5 105.1 13.5 13.6 14.6 12.3 15.3 11.3 10.8 22.2 2007 386.6 2006 386.0 352.0 2005 289.2 2004 227.1 2003 272.2 2002 270.4 2001 243.9 2000 Figure 9-4. - Incidence of genital herpes 142.5 150.1 121.9 346.1 406.9 468.5 722.7 634.2 778.1 641.6 676.8 827.6 91.3 95.7 99.7 115.7 100.7 113.2 116.5 96.7 413.6 329.1 453.3 466.4 350.3 676.8 537.6 700.0 756.7 686.2 872.7 623.9 716.9 738.9 844.1 110.6 86.4 104.7 113.7 89.9 31.1 27.9 19.7 17.8 18.1 13.0 21.7 20.3 18.7 51.3 38.7 30.9 35.2 36.8 29.5 10.6 4.3 5.2 20.5 16.2 21.0 22.1 21.8 13.3 11.8 16.2 17.7 15.8 18.4 14.3 19.7 23.8 17.1 29.8 23.1 45.0 43.3 47.8 36.2 30.4 35.9 27.9 33.6 8.9 7.6 7.67 13.7 7.1 12.7 12.5 12.8 10.9 11.3 8.1 7.0 6.9 9.8 9.3 10.1 8.2 11.4 6.7 6.4 6.4 15.8 15.5 16.0 13.9 7.4 8.5 6.3 7.3 35.5 48.8 41.6 45.3 42.5 33.0 29.4 23.3 8.3 8.1 15.1 10.3 11.3 10.9 6.8 9.0 8.8 6.2 6.9 7.1 4.2 2.8 3.9 5.0 2007 2006 2005 2004 2003 2002 2001 2000 Figure 9-5. - Incidence of HIV/AIDS 2007 2006 2005 2004 2003 2002 2001 2000 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 123 SCORES IN 2007 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 125 SCORES IN 2007 (A score is the percent above or below the average rate or ratio for all Arizona residents. A negative score indicates better than average standing on an indicator). 1. TEEN PREGNANCIES Figure No. Indicator American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native 1-1 Pregnancies among females 19 and younger -44.8 60.8 4.9 13.7 -55.5 1-2 Pregnancies among females 14 and younger -40.0 26.7 53.3 33.3 -53.3 1-3 Pregnancies among females 15-17 years old -57.7 85.6 0.0 14.9 -67.5 1-4 Pregnancies among females 18-19 years old -42.1 65.7 18.7 2.9 -48.8 -184.6 238.8 77.0 64.8 -225.1 -46.2 59.7 19.3 16.2 -56.3 TOTAL SCORE AVERAGE SCORE 2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Figure No. Indicator American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native 2-1 Unmarried mothers -28.5 26.0 37.6 68.7 -60.9 2-2 Tobacco use during pregnancy 76.6 -66.0 44.7 -34.0 -59.6 2-3 Alcohol use during pregnancy 16.7 -66.7 0.0 200.0 -66.7 2-4 Chronic hypertension 0.0 -16.7 83.3 150.0 -16.7 2-5 Dysfunctional labor 9.1 -27.3 0.0 163.6 18.2 2-6 Anemia during pregnancy 10.0 -33.3 43.3 126.7 -20.0 2-7 Diabetes during pregnancy -20.6 -2.9 -11.8 135.3 73.5 2-8 Pregnancy associated hypertension 19.4 -29.0 12.9 87.1 -22.6 2-9 Genital herpes during pregnancy -28.6 2-10 Weight gain of less than 21 pounds TOTAL SCORE AVERAGE SCORE 71.4 -57.1 14.3 -28.6 -28.5 23.3 8.7 26.1 -23.3 125.6 -249.7 233.0 894.8 -206.6 12.6 -25.0 23.3 89.5 -20.7 3. UTILIZATION OF PRENATAL CARE SERVICES Figure No. Indicator American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native 3-1 No care in the 1st trimester -39.7 31.7 3.6 52.2 -39.7 3-2 Fewer than five prenatal visits -50.0 35.0 18.3 100.0 -45.0 3-3 No prenatal care TOTAL SCORE AVERAGE SCORE -59.1 45.5 22.7 45.5 -31.8 -148.8 112.2 44.6 197.7 -116.6 -49.6 37.4 14.9 65.9 -38.9 4. NEWBORN'S HEALTH Figure No. Indicator American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native 4-1 Hyaline membrane disease 25.0 -50.0 50.0 -50.0 0.0 4-2 Newborn intensive care 11.8 -11.8 43.1 -11.8 -3.9 4-3 Born too early (preterm or < 37 weeks) 1.0 -4.9 44.7 1.0 -6.8 4-4 Born too small: low-birthweight (<2,500 grams) 0.0 -7.0 80.3 -7.0 12.7 4-5 Born too small: very low-birthweight (<1,500 grams) -8.3 0.0 116.7 -16.7 -16.7 4-6 Incidence of congenital anomalies (birth defects) 12.5 -12.5 -12.5 75.0 0.0 4-7 Infant mortality -17.6 8.8 122.1 19.1 -52.9 4-8 Sudden Infant Death Syndrome (SIDS) 25.0 -25.0 150.0 50.0 -100.0 4-9 Mortality of infants from low birthweight/short gestation -44.4 33.3 166.7 -11.1 0.0 4-10 Neonatal mortality -19.1 10.6 119.1 -10.6 -44.7 4-11 Postneonatal mortality TOTAL SCORE AVERAGE SCORE Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 -21.7 -4.3 108.7 69.6 -73.9 -36.1 -62.7 988.8 107.4 -286.2 -3.3 -5.7 89.9 9.8 -26.0 127 5. MORTALITY FROM NATURAL CAUSES - Chronic or infectious diseases Figure No. American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native Indicator 5-1 Cardiovascular diseases 1.3 -7.5 16.2 -20.3 5-2 Diseases of the heart 2.5 -12.0 14.6 -22.9 -44.0 -60.8 5-3 Coronary heart disease 2.6 -11.6 18.8 -26.4 -58.3 5-4 Cerebrovascular disease -2.9 14.1 11.4 -28.1 23.2 5-5 Chronic lower respiratory diseases 11.5 -52.0 -52.3 -66.8 -80.9 5-6 Malignant neoplasms (cancer) 5-7 Lung cancer 5-8 Breast cancer 5-9 Cervical cancer 5-10 Colorectal cancer 5-11 Prostate cancer 5-12 Influenza and pneumonia 5-13 5-14 4.5 -19.9 3.6 -23.0 -43.1 11.0 -46.3 3.7 -74.1 -43.7 -43.8 2.0 -15.9 18.9 -19.4 -15.8 68.4 21.1 21.1 -36.8 4.2 -16.7 9.0 -44.4 -34.7 3.2 -16.4 24.9 -12.2 2.6 -4.7 11.6 0.8 165.9 -42.6 Diabetes -19.4 81.2 78.2 200.6 -70.0 Chronic liver disease and cirrhosis -15.0 44.2 -47.8 225.7 -71.7 5-15 HIV disease -23.5 0.0 252.9 111.8 -76.5 5-16 Septicemia -13.6 28.4 81.5 119.8 34.6 5-17 Alzheimer's disease 4.4 -18.6 0.7 -65.2 -56.4 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) -21.1 72.4 151.3 171.1 -34.2 5-19 Essential (primary) hypertension -7.0 -1.8 122.8 96.5 28.1 5-20 Total mortality from all causes 0.3 -9.0 8.4 13.5 -46.3 -75.7 92.6 738.8 722.8 -755.4 -3.8 4.6 36.9 36.1 -37.8 TOTAL SCORE AVERAGE SCORE 6. MORTALITY FROM INJURIES Figure No. American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native Indicator 6-1 Unintentional injuries 6-2 Motor vehicle-related injuries -3.6 -12.9 3.2 103.9 -19.1 8.6 -16.0 202.5 6-3 Fall-related injuries 6-4 6-5 -38.9 2.8 -29.2 -34.0 -8.5 -47.2 Drowning mortality 0.0 -7.7 107.7 92.3 -53.8 Injury by firearms -7.6 3.5 74.3 -47.2 -78.5 6-6 Drug-induced deaths 22.5 -42.4 30.5 -42.4 -80.8 6-7 Alcohol-induced deaths -15.3 6.3 -37.8 344.1 -77.5 6-8 Intentional self-harm (suicide) 21.4 -40.3 -59.7 -36.4 -60.4 6-9 Assault (homicide) -49.4 55.8 203.9 70.1 -66.2 -48.3 -58.2 272.0 678.5 -559.7 -5.4 -6.5 30.2 33.9 28.0 TOTAL SCORE AVERAGE SCORE -56.4 7. AGE-SPECIFIC MORTALITY Figure No. 128 American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native Indicator 7-1 Mortality of children 1-14 years old -27.2 13.3 49.2 75.9 7-2 Mortality of adolescents and young adults 15-19 years old -14.0 9.1 19.0 61.8 -10.3 -76.5 7-3 Mortality among adults 20-44 years old -4.3 -10.8 40.3 110.8 -63.6 7-4 Mortality among adults 45-65 years old 1.8 -15.2 43.0 26.5 -53.2 TOTAL SCORE -43.7 -3.6 151.6 275.0 -203.5 AVERAGE SCORE -10.9 -0.9 37.9 68.8 -50.9 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 8. PREMATURE MORTALITY Figure No. Indicator American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native 8-1 Median age at death from all causes -2.6 15.8 18.4 22.4 7.9 8-2 Median age at death from all causes among males -2.7 19.2 21.9 26.0 12.3 8-3 Median age at death from all causes among females -1.3 11.3 12.5 16.3 8.8 8-4 Percent of total deaths before expected years of life reached -9.3 36.1 39.4 44.1 23.4 TOTAL SCORE AVERAGE SCORE -15.9 82.3 92.2 108.8 52.4 -4.0 20.6 23.1 27.2 13.1 9. REPORTABLE DISEASES - (Number of cases per 100,000 [persons in specified group) Figure No. Indicator American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native 9-1 Incidence of early syphilis -52.3 -11.4 93.2 133.0 9-2 Incidence of gonorrhea -57.9 -23.3 339.1 19.9 -82.8 9-3 Incidence of chlamydia -63.1 -10.5 86.9 66.0 -76.4 9-4 Incidence of genital herpes -42.8 -30.2 65.0 13.2 -65.9 9-5 Incidence of HIV/HIV/AIDS -22.8 24.4 179.5 -34.6 -30.7 -239.0 -50.9 763.7 197.4 -316.1 -47.8 -10.2 152.7 39.5 63.2 TOTAL SCORE AVERAGE SCORE -60.2 OVERALL HEALTH STATUS (ALL 70 INDICATORS) American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native TOTAL SCORE AVERAGE SCORE Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 -666.5 100.8 3361.7 3247.2 -2616.8 -9.5 1.4 48.0 46.4 -37.4 129 RANKING ORDER IN 2007 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 131 RANK ORDER IN 2007 (A rank is the ordering of each race/ethnic group according to score). 1 = RANKS BEST AMONG RACE/ETHNIC GROUPS 5 = RANKS WORST AMONG RACE/ETHNIC GROUPS 1. TEEN PREGNANCIES Figure No. 1-1 1-2 1-3 1-4 Indicator Pregnancies Pregnancies Pregnancies Pregnancies among among among among females 19 and younger females 14 and younger females 15-17 years old females 18-19 years old SUM OF RANKS AVERAGE RANK American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native 2.0 5.0 3.0 4.0 1.0 2.0 3.0 5.0 4.0 1.0 2.0 5.0 3.0 4.0 1.0 2.0 5.0 4.0 3.0 1.0 8.0 18.0 15.0 15.0 4.0 2.0 4.5 3.8 3.8 1.0 2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Figure No. 2-1 2-2 2-3 2-4 2-5 2-6 2-7 2-8 2-9 2-10 Indicator Unmarried mothers Tobacco use during pregnancy Alcohol use during pregnancy Chronic hypertension Dysfunctional labor Anemia during pregnancy Diabetes during pregnancy Pregnancy associated hypertension Genital herpes during pregnancy Weight gain of less than 21 pounds SUM OF RANKS AVERAGE RANK American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native 2.0 3.0 4.0 5.0 1.0 5.0 1.0 4.0 3.0 2.0 4.0 1.5 3.0 5.0 1.5 3.0 1.5 4.0 5.0 1.5 3.0 1.0 2.0 5.0 4.0 3.0 1.0 4.0 5.0 2.0 1.0 3.0 2.0 5.0 4.0 4.0 1.0 3.0 5.0 2.0 5.0 1.0 4.0 2.5 2.5 1.0 4.0 3.0 5.0 2.0 31.0 18.0 33.0 45.5 22.5 3.1 1.8 3.3 4.6 2.3 3. UTILIZATION OF PRENATAL CARE SERVICES Figure No. 3-1 3-2 3-3 Indicator No care in the 1st trimester Fewer than five prenatal visits No prenatal care SUM OF RANKS AVERAGE RANK American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native 1.5 4.0 3.0 5.0 1.5 1.0 4.0 3.0 5.0 2.0 1.0 4.5 3.0 4.5 2.0 3.5 12.5 9.0 14.5 5.5 1.2 4.2 3.0 4.8 1.8 4. NEWBORN'S HEALTH Figure No. 4-1 4-2 4-3 4-4 4-5 4-6 4-7 4-8 4-9 4-10 4-11 Indicator Hyaline membrane disease Newborn intensive care Born too early (preterm or < 37 weeks) Born too small: low-birthweight (<2,500 grams) Born too small: very low-birthweight (<1,500 grams) Incidence of congenital anomalies (birth defects) Infant mortality Sudden Infant Death Syndrome (SIDS) Mortality of infants from low birthweight/short gestation Neonatal mortality Postneonatal mortality SUM OF RANKS AVERAGE RANK Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native 4.0 1.5 5.0 1.5 3.0 4.0 1.5 5.0 1.5 3.0 3.5 2.0 5.0 3.5 1.0 3.0 1.5 5.0 1.5 4.0 3.0 4.0 5.0 1.5 1.5 4.0 1.5 1.5 5.0 3.0 2.0 3.0 5.0 4.0 1.0 3.0 2.0 5.0 4.0 1.0 1.0 4.0 5.0 2.0 3.0 2.0 4.0 5.0 3.0 1.0 2.0 3.0 5.0 4.0 1.0 31.5 28.0 51.5 31.5 22.5 2.9 2.5 4.7 2.9 2.0 133 5. MORTALITY FROM NATURAL CAUSES - Chronic or infectious diseases Figure No. American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native 4.0 3.0 5.0 2.0 1.0 Indicator 5-1 Cardiovascular diseases 5-2 Diseases of the heart 4.0 3.0 5.0 2.0 1.0 5-3 Coronary heart disease 4.0 3.0 5.0 2.0 1.0 5-4 Cerebrovascular disease 2.0 4.0 3.0 1.0 5.0 5-5 Chronic lower respiratory diseases 5.0 4.0 3.0 2.0 1.0 5-6 Malignant neoplasms (cancer) 5.0 3.0 4.0 2.0 1.0 5-7 Lung cancer 5.0 2.0 4.0 1.0 3.0 5-8 Breast cancer 4.0 3.0 5.0 2.0 1.0 5-9 Cervical cancer 2.0 5.0 3.5 3.5 1.0 5-10 Colorectal cancer 4.0 3.0 5.0 1.0 2.0 5-11 Prostate cancer 4.0 1.0 5.0 2.0 3.0 5-12 Influenza and pneumonia 2.0 4.0 3.0 5.0 1.0 5-13 Diabetes 2.0 4.0 3.0 5.0 1.0 5-14 Chronic liver disease and cirrhosis 2.0 4.0 2.0 5.0 1.0 5-15 HIV disease 2.0 3.0 5.0 4.0 1.0 5-16 Septicemia 1.0 2.0 4.0 5.0 3.0 5-17 Alzheimer's disease 5.0 3.0 4.0 1.0 2.0 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 2.0 3.0 4.0 5.0 1.0 5-19 Essential (primary) hypertension 1.0 2.0 5.0 4.0 3.0 5-20 Total mortality from all causes 3.0 2.0 4.0 5.0 1.0 SUM OF RANKS 63.0 61.0 81.5 59.5 34.0 AVERAGE RANK 3.2 3.1 4.1 3.0 1.7 6. MORTALITY FROM INJURIES Figure No. American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native 3.0 2.0 4.0 5.0 1.0 Indicator 6-1 Unintentional injuries 6-2 Motor vehicle-related injuries 2.0 4.0 3.0 5.0 1.0 6-3 Fall-related injuries 5.0 3.0 2.0 4.0 1.0 6-4 Drowning mortality 3.0 2.0 5.0 4.0 1.0 Injury by firearms 3.0 4.0 5.0 2.0 1.0 6-6 Drug-induced deaths 4.0 2.5 5.0 2.5 1.0 6-7 Alcohol-induced deaths 3.0 4.0 2.0 5.0 1.0 6-8 Intentional self-harm (suicide) 5.0 3.0 2.0 4.0 1.0 6-9 Assault (homicide) 2.0 3.0 5.0 4.0 1.0 SUM OF RANKS 30.0 27.5 33.0 35.5 9.0 AVERAGE RANK 3.3 3.1 3.7 3.9 1.0 6-5 7. AGE-SPECIFIC MORTALITY Figure No. Indicator 7-1 Mortality of children 1-14 years old 7-2 Mortality of adolescents and young adults 15-19 years old 2.0 3.0 4.0 5.0 1.0 7-3 Mortality among adults 20-44 years old 3.0 2.0 4.0 5.0 1.0 Mortality among adults 45-65 years old 3.0 2.0 5.0 4.0 1.0 SUM OF RANKS 9.0 10.0 17.0 19.0 5.0 AVERAGE RANK 2.3 2.5 4.3 4.8 1.3 7-4 134 American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native 1.0 3.0 4.0 5.0 2.0 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 8. PREMATURE MORTALITY Figure No. Indicator American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native 1.0 3.0 4.0 5.0 2.0 8-1 Median age at death from all causes 8-2 Median age at death from all causes among males 1.0 3.0 4.0 5.0 2.0 8-3 Median age at death from all causes among females 1.0 3.0 4.0 5.0 2.0 8-4 Percent of total deaths before expected years of life reached 1.0 3.0 4.0 5.0 2.0 SUM OF RANKS 4.0 12.0 16.0 20.0 8.0 AVERAGE RANK 1.0 3.0 4.0 5.0 2.0 9. REPORTABLE DISEASES - (Number of cases per 100,000 persons in specified group) Figure No. Indicator American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native 2.0 3.0 4.0 5.0 1.0 9-1 Incidence of early syphilis 9-2 Incidence of gonorrhea 2.0 3.0 5.0 4.0 1.0 9-3 Incidence of chlamydia 2.0 3.0 5.0 4.0 1.0 9-4 Incidence of genital herpes 2.0 3.0 5.0 4.0 1.0 9-5 Incidence of HIV/AIDS 3.0 4.0 5.0 1.0 2.0 SUM OF RANKS 11.0 16.0 24.0 18.0 6.0 AVERAGE RANK 2.2 3.2 4.8 3.6 1.2 OVERALL HEALTH STATUS (ALL 70 INDICATORS) SUM OF ALL RANKS FOR 70 MEASUREMENTS AVERAGE RANKS BASED ON 70 MEASUREMENTS Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 American White Black or Asian or Hispanic Indian or nonAfrican Pacific or Latino Alaska Hispanic American Islander Native 191.0 203.0 280.0 258.5 116.5 2.7 2.9 4.0 3.7 1.7 135 DATA SOURCES AND DEFINITIONS Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 137 SOURCES OF DATA Information on births and deaths is compiled from the original documents (i.e., certificates of live births and certificates of death) filed with the Arizona Department of Health Services. Information on induced terminations of pregnancy (abortions) performed on Arizona women is compiled from reports sent to the Arizona Department of Health Services by facilities within but not outside the state. Pregnancies are the sum of live births, spontaneous terminations of pregnancy (fetal deaths or stillbirths) and induced terminations of pregnancy (abortions). Data on morbidity, levels of disease and disability in the population, are obtained for certain infectious diseases that must be reported by law. The ADHS Epidemiology and Disease Control Services conduct surveillance and monitoring of these reportable diseases and provided data for section 9 in this report. Two data sources were utilized in producing the 2007 population estimates. The totals for the State and each of its counties agree with the projections released by the Department of Economic Security (DES) on March 31, 2006 (http://www.workforce.az.gov/?PAGEID=67&SUBID=138). The percentages of population breakdowns by single-year of age, gender and race/ethnicity were derived from the “Bridged-Race Vintage 2006 Postcensal Population Estimates for Calculating Vital Rates”, available at http://www.cdc.gov/nchs/about/major/dvs/popbridge/datadoc.htm#vintage2006. These percentages were then applied to total state and county population projections for 2007 from DES. Almost all figures are based on rates and ratios published in the 2007 Arizona Health Status and Vital Statistics report and available online at http://www.azdhs.gov/plan/report/ahs/ahs2007/toc07.htm DEFINITIONS Figure number 1. TEEN PREGNANCIES Indicator Definitions 1-1 Pregnancies among females 19 and younger 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 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 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 The sum of live births, fetal deaths, and abortions per 1,000 females aged 18-19 years. Figure number 2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Definitions Indicator 2-1 Unmarried mothers The number of births to unmarried mothers per 100 births. 2-2 Tobacco use during pregnancy The number of mothers giving birth who self-reported tobacco use during pregnancy per 100 births. 2-3 Alcohol use during pregnancy The number of mothers giving birth who self-reported alcohol use during pregnancy per 100 births. 2-4 Chronic hypertension 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). Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 139 2-5 Dysfunctional labor Failure to progress in a normal pattern of labor (the number of cases per 100 births). 2-6 Anemia during pregnancy Hemoglobin level of less than 10.0 g/dL during pregnancy, or hematocrit of less than 30 percent during pregnancy (the number of cases per 100 births). 2-7 Diabetes during pregnancy 2-8 Pregnancy-associated hypertension 2-9 Genital herpes during pregnancy Infection of the skin of the genital area by herpes simplex virus (the number of cases per 100 births). 2-10 Weight gain of less than 21 pounds The number of women giving birth who gained less than 21 pounds per 100 births. Metabolic disorder characterized by excessive discharge of urine and persistent thirst; 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 two measurements taken 6 hours apart after the 20th week of gestation (the number of cases per 100 births). Figure number 3. UTILIZATION OF PRENATAL CARE SERVICES Indicator Definition 3-1 No care in the 1st trimester The number of mothers giving birth who received no prenatal care in the 1st trimester of pregnancy per 100 births. 3-2 Fewer than five prenatal visits The number of mothers giving birth who had fewer than five prenatal visits during pregnancy per 100 births. 3-3 No prenatal care The number of mothers giving birth who received no prenatal care during pregnancy per 100 births. Figure number 4. NEWBORN'S HEALTH Definition 4-1 Incidence of hyaline membrane disease The number of cases of hyaline membrane disease per 100 births. Hyaline membrane disease = a disorder primarily of prematurity, manifested clinically by respiratory distress and pathologically by pulmonary hyaline membranes and incomplete expansion of the lungs at birth. 4-2 Incidence of newborn intensive care The number of babies admitted to Newborn Intensive Care units per 100 births. 4-3 Born too early (preterm or < 37 weeks) 4-4 4-5 140 Indicator Born too small: lowbirthweight (<2,500 grams) Born too small: very lowbirthweight (<1,500 grams) The number of births before 37 weeks of gestation per 100 births. Preterm = any 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. Lowbirthweight = 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 lowbirthweight = any neonate whose weight at birth is 1,500 grams or less (less than 3 pounds 5 ounces). 4-6 Incidence of congenital anomalies (birth defects) The numbers of babies born with birth defects per 100 births. 4-7 Infant mortality The number of infant deaths per 1,000 live births. 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). 4-8 Sudden Infant Death Syndrome (SIDS) The number of infant deaths from Sudden Infant Death Syndrome (ICD-10 code R95) per 1,000 live births. Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 4-9 Mortality of infants from low birthweight/short gestation The number of infant deaths from low- birthweight/short gestation (ICD-10 code P07) per 1,000 live births. 4-10 Neonatal mortality The number of neonatal deaths per 1,000 live births. 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). 4-11 Postneonatal mortality The number of postneonatal 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. Figure number 5. MORTALITY FROM NATURAL CAUSES (chronic or infectious diseases) Indicator Definition 5-1 Cardiovascular disease The number of deaths from cardiovascular diseases (ICD-10 codes I00-I78) per 100,000 age-adjusted population. 5-2 Diseases of the heart 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 The number of deaths from coronary heart disease (ICD-10 codes I200-I259 and I110 – I119) per 100,000 age-adjusted population. 5-4 Cerebrovascular disease The number of deaths from cerebrovascular disease (ICD-10 codes I60–I69) per 100,000 age-adjusted population. 5-5 Chronic lower respiratory diseases 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) The number of deaths from cancer (ICD-10 codes C00–C97) per 100,000 ageadjusted population. 5-7 Lung cancer The number of deaths from lung cancer (ICD-10 codes C33–C34) per 100,000 ageadjusted population. 5-8 Breast cancer The number of deaths from breast cancer (ICD-10 code C50) per 100,000 ageadjusted female population. 5-9 Cervical cancer The number of deaths from cervical cancer (ICD-10 code C53) per 100,000 ageadjusted female population. 5-10 Colorectal cancer The number of deaths from colorectal cancer (ICD-10 codes C18–C21) per 100,000 age-adjusted population. 5-11 Prostate cancer The number of deaths from prostate cancer (ICD-10 code C61) per 100,000 ageadjusted male population. 5-12 Influenza and pneumonia The number of deaths from influenza and pneumonia (ICD-10 codes J10–J18) per 100,000 age-adjusted population. 5-13 Diabetes The number of deaths from diabetes (ICD-10 codes E10–E14) per 100,000 ageadjusted population. 5-14 Chronic liver disease and cirrhosis 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 The number of deaths from HIV disease (ICD-10 codes B20-B24) per 100,000 ageadjusted population. 5-16 Septicemia The number of deaths from septicemia (ICD-10 codes A40-A41) per 100,000 ageadjusted population. 5-17 Alzheimer's disease The number of deaths from Alzheimer’s disease (ICD-10 code G30) per 100,000 age-adjusted population. 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) The number of deaths from nephritis, nephritic syndrome and nephrosis (ICD-10 codes N00–N07, N17–N19, N25–N27) per 100,000 age-adjusted population. 5-19 Essential (primary) hypertension The number of deaths from essential (primary) hypertension (ICD-10 codes I10, I12) per 100,000 age-adjusted population. 5-20 Total mortality from all causes Total number of deaths from all causes per 100,000 age-adjusted population. Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 141 Figure number 6. MORTALITY FROM INJURIES 142 Indicator Definition 6-1 Unintentional injuries The number of deaths from unintentional injuries in accidents (ICD-10 codes V01– X59, Y85–Y86) per 100,000 age-adjusted population. 6-2 Motor vehicle-related injuries 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. 6-3 Fall-related injuries The number of deaths from fall-related injuries (ICD-10 codes W00-W19) per 100,000 age-adjusted population. 6-4 Drowning mortality The number of deaths due to accidental drowning and submersion (ICD-10 codes W65-W74) per 100,000 age-adjusted population. The number of deaths by firearms (ICD-10 codes W32–W34, X72–X74, X93–X95, Y22–Y24, Y35.0) 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. 6-5 Injury by firearms 6-6 Drug-induced deaths 6-7 Alcohol-induced deaths 6-8 Intentional self-harm (suicide) The number of deaths due to intentional self-harm (ICD-10 codes X60-X84, Y87.0) per 100,000 age-adjusted population. 6-9 Assault (homicide) The number of homicides (ICD-10 codes X85-X09, Y87.1) per 100,000 age-adjusted population. Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Figure number 7. AGE-SPECIFIC MORTALITY Indicators Definition 7-1 Mortality of children 1-14 years old The number of deaths per 100,000 children 1-14 years old in 2007 7-2 Mortality of adolescents 15-19 years old The number of deaths per 100,000 adolescents 15-19 years old in 2007 7-3 Mortality of young adults 20-44 years old The number of deaths per 100,000 young adults 20-44 years old in 2007 7-4 Mortality of middle-aged adults 45-64 years old The number of deaths per 100,000 middle-aged adults 45-64 years old in 2007 Figure number 8. PREMATURE MORTALITY Indicators 8-1 Median age at death from all causes The median age (the age in the middle) of Arizonans who died in 2007. 8-2 Median age at death from all causes among males The median age (the age in the middle) of Arizona males who died in 2007. 8-3 Median age at death from all causes among females The median age (the age in the middle) of Arizona females who died in 2007. 8-4 Percent of total deaths before expected years of life reached The number of deaths before reaching the life expectancy of all U.S. residents per 100 deaths. Figure number 9. REPORTABLE DISEASES Indicators 9-1 Incidence of early syphilis Number of reported cases of early syphilis per 100,000 population. 9-2 Incidence of gonorrhea Number of reported cases of gonorrhea per 100,000 population. 9-3 Incidence of chlamydia Number of reported cases of chlamydia per 100,000 population. 9-4 Incidence of genital herpes Number of reported cases of genital herpes per 100,000 population. Incidence of HIV/AIDS Number of reported new cases of HIV/AIDS per 100,000 population. The estimated incidence of HIV/AIDS includes the sum of new HIV cases and new AIDS cases which were not diagnosed as HIV positive in any prior calendar year. The cases of persons who were diagnosed with both HIV and AIDS in the same calendar year are counted only as AIDS to avoid double counting. Due to reporting delays, all counts for 20002007 are provisional (2000-2007 volume as of 5/20/2008). 9-5 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 143 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 "age-adjustment" 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 age-specific rates are then added to produce the summary rate for all ages combined. Beginning with the 2000 data year, a new population standard for the age adjustment of mortality rates has replaced the standard based on the 1940 population and used since 1943. The new standard uses the age composition of the 2000 U.S. projected population. The standard is expressed in terms of a “standard million”: the relative distribution of the 2000 population of the United States totaling 1 million in 10-year age groups: Age group A 2007 population B 2007 deaths C Age-specific rates Age-adjusted 2000 standard in 2007 rate for 2007 D E F (C/B)*100000 D*E <1 102587 701 683.3 .013818 9.4 1-4 396458 111 28.0 .055317 1.6 5-14 913680 145 15.9 .145565 2.3 15-24 889177 853 95.9 .138646 13.3 25-34 930335 999 107.4 .135573 14.6 35-44 883484 1610 182.2 .162613 29.6 45-54 831302 3353 403.3 .134834 54.4 55-64 649212 5276 812.7 .087247 70.9 65-74 425190 7340 1726.3 .066037 114.0 75-84 302091 11950 3955.8 .044842 177.4 85+ 108491 12292 11330.0 .015508 175.7 6432007 44640 TOTAL 663.2 All ages 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. The measures of comparison between ICD-9 and ICD-10 – the “comparability ratios” – for the causes of death shown in this report are available on the Arizona Vital Statistics web site at http://www.azdhs.gov/plan/report/ahs/ahs2007/pdf/compratios.pdf 144 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 POPULATION DENOMINATORS Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 145 POPULATION BY RACE/ETHNICITY: ARIZONA RESIDENTS, 1990, 2000 AND 2007 Race/ethnic group 1990 2000 2007 Percent increase from 1990 to 2007 All Groups 3,665,228 5,130,632 6,432,007 74.5 White Non-Hispanic 2,607,633 3,274,258 3,872,764 48.5 Hispanic or Latino 688,338 1,295,617 1,798,222 161.2 Black or African American 110,524 158,873 253,477 129.3 American Indian or Alaska Native 203,527 255,879 337,764 66.0 55,026 98,969 169,780 208.5 Asian or Pacific Islander Note: Data for 1990 and 2000 are the census counts. Two data sources were utilized in producing the 2007 population estimates. The totals for the State and each of its counties agree with the projections released by the Department of Economic Security (DES) on March 31, 2006 (http://www.workforce.az.gov/?PAGEID=67&SUBID=138). The percentages of population breakdowns by single-year of age, gender and race/ethnicity were derived from the “Bridged-Race Vintage 2006 Postcensal Population Estimates for Calculating Vital Rates”, available from the National Center for Health Statistics ( http://www.cdc.gov/nchs/about/major/dvs/popbridge/datadoc.htm#vintage2006). These percentages were then applied to total state and county population projections for 2007 from DES. The 2007 population estimates by race/ethnicity should not be compared with the previously published estimates for 2001-2005, which used the 2000 year census shares. Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 147 148 Differences in the Health Status Among Race/Ethnic Groups, Arizona, 2007 Female Male Total Female Male Total Female Male Total Female Male Total Female Male Total 1,396 1,453 2,849 5,313 5,591 10,904 11,730 11,972 3,269 3,231 23,702 8,700 9,971 18,671 83,532 87,603 171,135 84,024 88,022 172,046 193,299 203,159 396,458 6,500 1,937 2,138 4,075 22,395 22,963 45,358 21,599 22,206 43,805 50,558 52,029 102,587 1-4 11,710 11,663 23,373 31,638 32,060 63,698 21,909 24,633 46,542 172,595 181,258 353,853 207,474 218,740 426,214 445,326 468,354 913,680 5-14 10,877 12,302 23,179 33,353 33,736 67,089 18,677 23,064 41,741 139,038 156,998 296,036 223,175 237,957 461,132 425,120 464,057 889,177 15-24 17,258 16,786 34,044 25,215 25,052 50,267 17,589 21,192 38,781 149,052 180,675 329,727 234,465 243,051 477,516 443,579 486,756 930,335 25-34 15,567 13,819 29,386 22,887 21,567 44,454 16,841 19,921 36,762 117,216 131,692 248,908 259,567 264,407 523,974 432,078 451,406 883,484 35-44 11,656 9,323 20,979 19,917 17,259 37,176 13,815 16,007 29,822 84,530 86,348 170,878 290,584 281,863 572,447 420,502 410,800 831,302 45-54 7,701 5,403 13,104 12,257 10,903 23,160 8,649 8,792 17,441 47,763 45,947 93,710 260,552 241,245 501,797 336,922 312,290 649,212 55-64 4,300 3,160 7,460 7,236 5,587 12,823 4,998 5,468 10,466 27,574 23,441 51,015 181,767 161,659 343,426 225,875 199,315 425,190 65-74 2,139 1,381 3,520 3,717 2,795 6,512 3,283 4,200 7,483 16,575 12,824 29,399 142,046 113,131 255,177 167,760 134,331 302,091 75-84 622 360 982 1,564 819 2,383 1,060 633 1,693 5,178 3,025 8,203 59,447 35,783 95,230 67,871 40,620 108,491 85+ 88,539 81,241 169,780 172,745 165,019 337,764 117,458 136,019 253,477 865,448 932,774 1,798,222 1,964,700 1,908,064 3,872,764 3,208,890 3,223,117 6,432,007 Total Note: Two data sources were utilized in producing the 2007 population estimates. The totals for the State and each of its counties agree with the projections released by the Department of Economic Security (DES) on March 31, 2006 (http://www.workforce.az.gov/?PAGEID=67&SUBID=138). The percentages of population breakdowns by single-year of age, gender and race/ethnicity were derived from the “Bridged-Race Vintage 2006 Postcensal Population Estimates for Calculating Vital Rates”, available from the National Center for Health Statistics ( http://www.cdc.gov/nchs/about/major/dvs/popbridge/datadoc.htm#vintage2006). These percentages were then applied to total state and county population projections for 2007 from DES. The 2007 population estimates by race/ethnicity should not be compared with the previously published estimates for 2001-2005, which used the 2000 year census shares. Asian or Pacific Islander Female American Indian Total or Alaska Native Male Black or African American Hispanic or Latino White nonHispanic All groups <1 Age group ESTIMATED POPULATION BY AGE GROUP, GENDER AND RACE/ETHNICITY, ARIZONA, 2007 Our Web site at http://www.azdhs.gov/plan provides instantaneous access to a wide range of statistical information about health status of Arizonans. The Arizona Health Status and Vital Statistics annual report examines trends in natality, mortality, and morbidity towards established health objectives. Additional reports and studies include Differences in the Health Status Among Race/Ethnic Groups, Advance Vital Statistics by County of Residence, Mortality from Alzheimer's Disease, 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 for mental disorders, asthma, diabetes, influenza and pneumonia and substance abuse, Community Vital Statistics, Teenage Pregnancy, Selected Characteristics of Newborns and Mothers Giving Birth by Census Tract in Maricopa County, Pima County and South Phoenix Area, Health Status Profile of American Indians in Arizona, Deaths from Exposure to Excessive Natural Heat Occurring in Arizona, Obesity in Arizona: Prevalence, Hospital Care Utilization, Mortality, and Marital Status and Health. Health Status and Vital Statistics Section Bureau of Public Health Statistics ARIZONA DEPARTMENT OF HEALTH SERVICES