DIFFERENCES IN THE HEALTH STATUS AMONG RACIAL/ETHNIC GROUPS ARIZONA, 2011 Public Health Services Bureau of Public Health Statistics Population Health and Vital Statistics Section ~ Leadership for a Healthy Arizona ~ Janice K. Brewer, Governor State of Arizona Will Humble, Director Arizona Department of Health Services POPULATION HEALTH AND VITAL STATISTICS SECTION BUREAU OF PUBLIC HEALTH STATISTICS ARIZONA DEPARTMENT OF HEALTH SERVICES 150 North 18th Avenue, Suite 550 Phoenix, Arizona 85007 Phone: 602/542-7333; FAX: 602/542-2940 www.azdhs.gov/plan This publication can be made available in alternative format. Please contact the Bureau of Public Health Statistics at 602/542-7333 (voice) or call 1-800-367-8939 (TDD). The Arizona Department of Health Services is an Equal Employment Opportunity Agency. Permission to quote from or reproduce materials from this publication is granted when due acknowledgment is made. Differences in Health Status among Racial/Ethnic Groups, Arizona, 2011 __________________ BY NICHOLAS J. BISHOP, PH.D., ARIZONA VITAL STATISTICIAN SANHITA GUPTA, VITAL STATISTICS HEALTH MANAGEMENT ANALYST CLARE TORRES, SENIOR HEALTH DATA ANALYST February 2014 Acknowledgment Grateful acknowledgement is made to Dr. Khaleel S. Hussaini for reviewing the typescript. Differences in Health Status among Racial/Ethnic Groups, Arizona, 2011 Table of Contents Purpose ................................................................................................................................ 1 Demographic Profile of Arizona’s Racial/Ethnic Diversity ............................................................... 1 Methods ................................................................................................................................ 4 Key Findings .......................................................................................................................... 5 Comparison of Scores by Race/Ethnicity in 1997, 1999, 2001, 2003, 2005, 2007, 2009, and 2011 .......................................................................................................................... 5 Number of Times Each Group Ranked Better Than Average, Average, And Worse Than Average on 70 Indicators, Arizona, 2011................................................. 5 Average Scores in 2011 ....................................................................................................... 6 Comparative Age-Adjusted Mortality Rates for the Five Leading Causes of Death By Race/Ethnicity in 2011 ........................................................................................... 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 2011 .................... 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 2001 – 2011 ...................................................... 109 SCORES IN 2011 .............................................................................................................. 127 RANK ORDER IN 2011...................................................................................................... 133 DATA SOURCES AND DEFINITIONS .................................................................................. 139 Sources of Data ........................................................................................................... 141 Definitions .................................................................................................................. 141 Terms Related to Mortality ............................................................................................ 146 POPULATION DENOMINATORS ........................................................................................ 147 PURPOSE The report Differences in Health Status among Racial/Ethnic Groups, Arizona, 2011 is the update of population-level data about differences in the relative health of five racial/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 racial/ethnic groups on 70 indicators or measures of health status. The indicators are presented in a series of simple, self-explanatory bar charts and are organized around 9 major subject areas: (1) TEEN PREGNANCIES, (2) MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS, (3) UTILIZATION OF PRENATAL CARE SERVICES, (4) NEWBORN'S HEALTH, (5) MORTALITY FROM NATURAL CAUSES (CHRONIC AND INFECTIOUS DISEASES), (6) MORTALITY FROM INJURIES, (7) AGE-SPECIFIC MORTALITY, (8) PATTERNS OF PREMATURE MORTALITY and (9) THE INCIDENCE OF REPORTABLE DISEASES. Each bar chart visually describes how the racial/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 2011 while the tabulated values also are available in the Rates and Ratios in 2011 and Comparative Rates and Ratios for 2001-2011 sections of the report. The report also provides comparative risk profiles, as well as scores and rankings of racial/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 racial/ethnic groups in our State and to stimulate viable initiatives to improve the health of all Arizonans. DEMOGRAPHIC PROFILE OF ARIZONA'S RACIAL/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 6,438,178 Arizona residents in 2011, approximately 3,779,432 (58.7 percent) were White non-Hispanic, 1,827,753 (28.4 percent) were Hispanic or Latino, and 360,414 (5.6 percent) were American Indian or Alaska Natives. Blacks or African Americans accounted for 270,944 or (4.2 percent) of the State’s population. Asians or Pacific Islanders, the smallest racial/ethnic group, represented 3.1 percent of the total population (199,635 people). It is important to note that the population denominators for 2011 are not exact enumerations of the State’s residents in different racial/ethnic, gender, or age group categories. These denominators are extrapolations, which use past experience, and are not adjusted for the impact of economic and legal factors, which were previously absent. The most severe economic recession in 80 years obviously is one of these factors. The high rate of foreclosures, many built but vacant houses, high unemployment, the collapse of the home construction business, etc. have impacted not only vital events (such as the number of resident births) but also in-and-out migration. Implementation of the employer-sanction law on January 1st, 2008 (a penalty on employers hiring illegal immigrants), and a widespread practice of e-verify (checking the legal-residence status of those seeking employment) affected Hispanics or Latinos, the second largest group of Arizona’s residents. These recent events have shaped the racial/ethnic distribution of Arizona’s population, meaning projections used to estimate the State’s population that were not able to take these factors into account contain some bias, generally reflecting larger populations, especially of Hispanics or Latinos, than those actually residing in Arizona. Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 1 Compared with the White non-Hispanics, racial/ethnic minority groups have had greater percentages of people younger than 25 years (27.1 vs. 47.1 percent). In contrast, people aged 65 years and older accounted for 19.5 percent of White nonHispanics, but only 5.6 percent of all racial/ethnic minority groups combined. Among Arizonans less than 25 years old in 2011, more than one out of two (55.0 percent) was a race/ethnicity other than White non-Hispanic. Among Arizona’s adults 65 years old or older, eight out of ten (83.2 percent) were White non-Hispanic (Table A). Table A. POPULATION BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2011 Other than White non-Hispanic* POPULATION BY AGE GROUP IN 2011 All groups White nonHispanic Total < 25 years 2,278,658 1,025,087 1,253,572 Percent 25-64 years Percent 65+ years Percent Total, all ages** Percent 35.4% 3,271,567 27.1% 2,015,913 50.8% 887,953 53.3% 738,433 13.8% 6,438,178 100.0% 19.5% 3,779,432 100.0% Hispanic or Latino 47.1% 1,255,655 47.2% 149,520 5.6% 2,658,746 100.0% Black or African American American Indian or Alaska Native Asian or Pacific Islander 895,583 117,674 171,722 68,593 49.0% 43.4% 47.6% 34.4% 837,815 135,531 166,386 115,923 45.8% 50.0% 46.2% 58.1% 94,356 17,739 22,306 15,119 5.2% 6.5% 6.2% 7.6% 270,944 360,414 199,635 100.0% 100.0% 100.0% 1,827,753 100.0% Similar to differences in the age composition of Arizona’s population by race/ethnicity is the contrasting pattern of proportional mortality by age group. In 2011, the elderly (65 years and older) comprised 77.0 percent of the total mortality among White non-Hispanics, compared to 43.5 percent among American Indians, 52.5 percent among Blacks, 56.0 percent among Hispanics, and 61.4 percent among Asians. In 2011, only 1.5 percent of White non-Hispanics who died were less than 25 years old. In comparison, 8.6 percent of individuals who were of a racial/ethnic group other than White nonHispanic died before reaching 25 years of age. Table B. MORTALITY BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2011 Other than White non-Hispanica MORTALITY BY AGE GROUP IN 2011 < 25 years Percent 25-64 years Percent 65+ years All groups 1,399 White nonHispanic 567 Hispanic or Latino Total 800 Black or African American American Indian or Alaska Native Asian or Pacific Islander 520 91 167 22 2.9% 1.5% 8.6% 9.1% 6.7% 9.8% 4.3% 11,814 8,124 3,523 1,994 559 795 175 24.8% 21.5% 37.9% 34.9% 40.9% 46.7% 34.2% 34,318 29,085 4,970 3,199 717 740 314 Percent 72.2% 77.0% 53.5% 56.0% 52.5% 43.5% 61.4% Total, all agesb 47,547 37,779 9,295 5,714 1,367 1,703 511 Percent 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% Note: a Includes groups other than Hispanic, Black, American Indian, and Asian; b Includes unknown age; Source: The 2011 death certificate file for Arizona residents. In 2011, the absolute majority of deaths of American Indian (56.5 percent) and Black (47.6 percent) residents of Arizona occurred before the age of 65 years, compared to 23.0 percent among White non-Hispanics. 2 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 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, 2011 White non-Hispanic 27.1% 47.1% Age group <25 Other than White non-Hispanic 25-64 53.3% 47.2% 65+ 19.5% 100.0% 80.0% 60.0% 40.0% 5.6% 20.0% 0.0% 20.0% 40.0% 60.0% 80.0% 100.0% Percent distribution of deaths by age group and race/ethnicity, Arizona, 2011 White non-Hispanic Other than White non-Hispanic 1.5% 8.6% Age group <25 25-64 65+ 21.5% 37.9% 77.0% 100.0% 75.0% 53.5% 50.0% 25.0% 0.0% Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 25.0% 50.0% 75.0% 100.0% 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 racial/ethnic group on a broad range of health status issues. Scores indicate the percentage a racial/ethnic group is above or below the statewide average. Each score is calculated as follows: SCORE = THE VALUE OF A RATE OR RATIO IN A SPECIFIED GROUP THE AVERAGE VALUE OF A RATE OR RATIO FOR THE STATE - 1.0 X 100 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 racial/ethnic group. The aggregate measures of health status (such as teen pregnancy rate, infant mortality rate, mortality rate for drug-induced deaths, the incidence of lowbirthweight, etc.) apply to groups and not individuals. In addition, this is a study of the relative, not absolute, healthiness of racial/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 Rates and Ratios for 2001-2011 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 editions of this report prior to 2001. 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 biennially from 1995 to 2009. This report uses the same methodology as the 1997 through 2009 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 1999-2011 is available in Table 2D-1 of “Arizona Health Status and Vital Statistics 2011” report at http://www.azdhs.gov/plan/report/ahs/ahs2011/pdf/2d1.pdf 4 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 KEY FINDINGS The overall inequity between the groups, as measured by the range of score values from the lowest (the most favorable standing among the groups, for 2011 Asian or Pacific Islander at -33.1) to the highest (the least favorable standing, for 2011 American Indians at 48.6), decreased from 87.4 in 2009 to 81.7 points in 2011 (Figure A). From 2009 to 2011, all racial/ethnic groups excluding White non-Hispanics experienced favorable change, meaning that the average score for Blacks, American Indians, Hispanics, and Asians decreased (Figure A). The shift in average score for White non-Hispanics was trivial. Figure A Comparison of Average Scores by Race/Ethnicity in 1997, 1999, 2001, 2003, 2005, 2007, 2009, and 2011 WORSE THAN AVERAGE 90.0 75.0 American Indian 60.0 45.0 Black 30.0 15.0 BETTER THAN AVERAGE Averag e for all Arizon an s Hispanic 0.0 White non-Hispanic -15.0 Asian -30.0 -45.0 -60.0 -75.0 -90.0 1997 1999 2001 2003 2005 2007 2009 Americ an Indian 54.7 61.0 69.9 56.0 59.8 46.4 57.1 2011 48.6 As ian -42.8 -46.3 -30.2 -29.6 -21.9 -37.4 -29.2 -33.1 47.8 Blac k 71.9 60.5 87.0 64.3 59.8 48.0 58.2 His panic 4.8 7.1 8.2 8.2 14.8 1.4 3.9 3.1 White non-His panic -7.4 -9.2 -9.8 -10.5 -11.7 -9.5 -12.0 -10.4 In 2011, as in prior years, Arizona's Asian residents ranked highest among racial/ethnic groups in 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 2011 62 Asian White non-Hispanic 35 17 19 Hispanic American Indian Black 5 9 18 34 18 6 3 17 46 13 48 Better than average (ranks 1 or 2) Average (rank 3) Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Worse than average (ranks 4 or 5) 5 Figure C Average Scores in 2011 (A score is the percent above or below the average for all Arizona residents. A negative score reflects better than average standing on an indicator.) Asian -33.1 White non-Hispanic -10.4 Hispanic 3.1 Black 47.8 American Indian 48.6 -40.0 -20.0 BETTER THAN AVERAGE 0.0 AVERAGE FOR ALL ARIZONANS 20.0 40.0 WORSE THAN AVERAGE ASIANS or PACIFIC ISLANDERS Average rank: 1.6* Total score: -2,319.5 Average score: -33.1** In 2011, Asian residents of Arizona ranked best or second best among all racial/ethnic groups on 60 of 70 indicators, including low incidence of drug or alcohol induced deaths, low postneonatal mortality, and low mortality from reportable diseases, chronic diseases, and injuries. The total mortality rate of 436.7 deaths per 100,000 Asian or Pacific Islander residents of the State was the lowest rate among all racial/ethnic groups. Asians’ median age at death was the second highest among the racial/ethnic groups in Arizona in 2011. The 2011 average score of -33.1 for Asian residents was slightly better than their average score of -29.2 in 2009 and indicates Asians’ health status remained stable in relation to the health of other racial/ethnic groups. __________ *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). **The average score based on all 70 measurements (the sum of all scores divided by 70 measurements). See section SCORES IN 2011. 6 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 WHITE NON-HISPANICS Average rank: 2.6 Total score: -727.5 Average score: -10.4 White non-Hispanics ranked second best in relative healthiness among racial/ethnic groups in Arizona. They ranked 1st or 2nd on 35 of 70 measures of health, including low teen pregnancy rates, high utilization of prenatal care, and low premature mortality. However, White non-Hispanics ranked worse than all other racial/ethnic groups in mortality due to chronic lower respiratory diseases, malignant neoplasms, injury by firearms, drug-induced deaths, and suicide. The White non-Hispanic overall score of -10.4 in 2011 was similar to their overall score of -12.0 in 2009. The total mortality rate of 741.5 deaths per 100,000 in 2011 was somewhat higher than the total mortality rate for Whites in recent years (2006 – 2010). HISPANICS or LATINOS Average rank: 3.1 Total score: 217.1 Average score: 3.1 In 2011 Hispanics achieved a 3rd place health ranking. The average score of Hispanics decreased from a recent peak of 14.8 in 2005 to 3.1 in 2011. Hispanics ranked best or second best on 19 indicators in 2011, a decrease from 25 indicators in 2009. They ranked worse than average with diabetes, high teen pregnancy rates, low utilization of prenatal care, and cervical cancer. They ranked better than average with low alcohol and tobacco use among women giving birth, low incidence of death due to chronic lower respiratory diseases, and a low suicide mortality rate. Comparative Rates and Ratios for 2001-2011 provides a detailed picture of changes over time for all of the 70 measures. AMERICAN INDIANS or ALASKA NATIVES Average rank: 3.7 Total score: 3,404.3 Average score: 48.6 In 2011, American Indians in Arizona had the highest average score among all groups and second poorest rank of overall health status. They ranked 4th or 5th on 46 of the 70 health indicators (Figure B) and they exceeded the statewide averages by a wider margin than any other group except Blacks (Figure C). American Indians had relatively poor values on a number of health indicators including incidence of alcohol use during pregnancy, infant mortality, chronic liver disease and cirrhosis, diabetes, motor vehicle accidents, and mortality from unintentional injuries, contributing to a high premature death rate. American Indians also ranked poorly on measures of maternal lifestyle and health as well as in utilization of prenatal care. In 2011, compared to White non-Hispanics, American Indian residents of Arizona were on-average 19 years younger at time of death. BLACKS or AFRICAN AMERICANS Average rank: 4.0 Total score: 3,345.3 Average score: 47.8 Compared to the average score of 87.0 for Arizona Black or African American residents in 2001, their scores from 2003 2011 were substantially lower. Despite this improvement, Blacks or African Americans had the lowest rank of overall health status because they ranked 4th or 5th among the five racial/ethnic groups on 48 of 70 measures (see Figure B). High mortality among children and middle-aged adults, high ratios of low birthweight and preterm births, high incidence of many reportable diseases, high mortality rates for almost all of the leading causes of death, and a high rate of premature death all lowered the ranking for this population group. However, Blacks or African Americans ranked better than average with low mortality rates from influenza and pneumonia, fall-related injuries, and low rates of dysfunctional labor and diabetes during pregnancy. Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 7 COMPARATIVE CAUSE-SPECIFIC MORTALITY In 2011, diseases of the heart were the leading cause of death for three of the five racial/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 of death only for American Indians. For Asians, stroke was the 3rd leading cause of death in 2011. Diabetes was among the top five causes of death among Blacks, Hispanics, Asians, and American Indians. Alzheimer’s disease was the fifth leading cause of death among Asians, Blacks, and White non-Hispanics. Chronic liver disease and cirrhosis was the fifth leading cause of death specific to American Indians. Chronic lower respiratory diseases were the third 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 Arizona in 2011 Rank Asian or Pacific Islander American Indian or Alaska Native Black or African American Hispanic or Latino White nonHispanic 1 Cancer 116.6 Diseases of heart 111.1 Diseases of heart 174.0 Diseases of heart 137.4 Cancer 170.3 2 Diseases of heart 77.0 Cancer 100.8 Cancer 167.1 Cancer 136.3 Diseases of heart 164.3 3 Stroke 29.1 Unintentional injury 100.6 Diabetes 57.8 Diabetes 41.7 Chronic lower respiratory diseases 55.3 4 Diabetes 23.3 Diabetes 61.3 Stroke 56.5 Unintentional injury 38.9 Unintentional injury 46.9 5 Alzheimer's disease 21.0 Chronic liver disease and cirrhosis 43.6 Alzheimer's disease 54.7 Stroke 34.9 Alzheimer's disease 36.3 COMPARATIVE RATES AND RATIOS FOR 2001 and 2011 The 140 bar charts provide both a snapshot of differences between the racial/ethnic groups in Arizona in 2011, as well as a measure of change since 2001. More detailed comparisons over time are available in a special section of the report (Comparative Rates and Ratios for 2001 – 2011) that documents specific changes by year from 2001 through 2011 on the 70 health status measures by racial/ethnic group. RISK PROFILES Risk profiles presented on the following pages summarize how each racial/ethnic group compares to the State average for the entire set of measures of health status. These profiles use scores developed to describe the level of each of the 70 measures for each racial/ethnic group relative to the average level for all groups. The profiles visually describe the betterthan-average and worse-than-average clusters of health status characteristics for each racial/ethnic group. 8 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Risk Profile of Asians or Pacific Islanders (percent above or below the State mean) BETTER THAN AVERAGE WORSE THAN AVERAGE -100.0 -100.0 -89.3 -86.7 -83.7 -75.7 -75.0 -74.7 -72.1 -71.0 -69.4 -69.2 -68.7 -67.4 -66.7 -65.5 -65.1 -62.5 -60.9 -60.4 -57.6 -56.7 -50.8 -49.6 -49.3 -46.3 -45.0 -44.8 -43.8 -40.3 -39.4 -39.1 -37.6 -37.5 -36.1 -34.0 -31.9 -28.6 -27.8 -27.3 -26.2 -26.2 -25.6 -25.0 -25.0 -22.9 -20.8 -20.0 -20.0 -14.8 -14.3 -13.0 -9.3 -8.3 -6.2 -6.0 -4.9 -3.7 -3.2 4-8 Sudden Infant Death Syndrome (SIDS) 4-11 Postneonatal mortality 6-6 Drug-induced deaths 6-7 Alcohol-induced deaths 6-5 Injury by firearms 9-4 Incidence of genital herpes 9-1 Incidence of early syphilis 5-11 Prostate cancer 9-2 Incidence of gonorrhea 9-3 Incidence of chlamydia 7-2 Mortality of adolescents and young adults 15-19 years old 6-8 Intentional self-harm (suicide) 5-14 Chronic liver disease and cirrhosis 1-3 Pregnancies among females 15-17 years old 4-1 Hyaline membrane disease 7-3 Mortality among adults 20-44 years old 2-2 Tobacco use during pregnancy 5-5 Chronic lower respiratory diseases 2-1 Unmarried mothers 1-1 Pregnancies among females 19 and younger 1-4 Pregnancies among females 18-19 years old 6-1 Unintentional injuries 4-7 Infant mortality 5-2 Diseases of the heart 5-3 Coronary heart disease 7-4 Mortality among adults 45-65 years old 5-7 Lung cancer 6-3 Fall-related injuries 6-2 Motor vehicle-related injuries 5-17 Alzheimer's disease 7-1 Mortality of children 1-14 years old 5-1 Cardiovascular diseases 5-20 Total mortality from all causes 3-3 No prenatal care 6-9 Assault (homicide) 3-2 Fewer than five prenatal visits 5-16 Septicemia 1-2 Pregnancies among females 14 and younger 2-6 Anemia during pregnancy 4-6 Incidence of congenital anomalies (birth defects) 2-8 Pregnancy associated hypertension 3-1 No care in the 1st trimester 4-10 Neonatal mortality 2-4 Chronic hypertension 5-15 HIV disease 5-6 Malignant neoplasms (cancer) 5-8 Breast cancer 2-3 Alcohol use during pregnancy 2-9 Genital herpes during pregnancy 2-10 Weight gain of less than 21 pounds 4-9 Mortality of infants from low birthweight/short gestation 9-5 Incidence of HIV/AIDS 5-19 Essential (primary) hypertension 4-5 Born too small: very low-birthweight (<1,500 grams) 5-12 Influenza and pneumonia 5-13 Diabetes 5-4 Cerebrovascular disease 4-2 Newborn intensive care 4-3 Born too early (preterm or < 37 weeks) 8-2 Median age at death from all causes among males 8-1 Median age at death from all causes 5-10 Colorectal cancer 5.5 6.5 6.7 7.4 12.5 18.6 23.2 42.9 43.3 53.8 63.0 8-3 Median age at death from all causes among females 2-5 Dysfunctional labor 4-4 Born too small: low-birthweight (<2,500 grams) 8-4 Percent of total deaths before expected years of life reached 5-9 Cervical cancer 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 6-4 Drowning mortality 2-7 Diabetes during pregnancy -500.0 0.0 -250.0 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 AVERAGE FOR ALL RESIDENTS 500.0 250.0 9 Risk Profile of White non-Hispanics (percent above or below the State mean) BETTER THAN AVERAGE WORSE THAN AVERAGE -71.4 -62.5 -59.5 -59.2 -56.6 -54.0 -48.7 -47.2 -42.6 -35.0 -34.4 -33.4 -33.3 -33.3 -33.2 -30.4 -28.6 -26.1 -25.0 -23.9 -23.8 -23.7 -20.5 -14.0 -12.9 -12.6 -12.0 -10.6 -10.4 -10.0 -8.3 -7.8 -7.8 -4.3 -4.1 -4.1 -2.8 -2.6 -2.2 -1.5 -1.2 -0.7 1-2 Pregnancies am ong fem ales 14 and younger 3-3 No prenatal care 9-2 Incidence of gonorrhea 9-3 Incidence of chlam ydia 1-3 Pregnancies am ong fem ales 15-17 years old 3-2 Few er than five prenatal visits 1-1 Pregnancies am ong fem ales 19 and younger 1-4 Pregnancies am ong fem ales 18-19 years old 6-9 Assau lt (hom icide) 4-11 Postneonatal m ortality 3-1 No care in the 1st trim ester 2-1 U nm arried m others 4-8 Sudden Infant D eath Syndrom e (SIDS) 9-1 Incidence of early syphilis 9-4 Incidence of genital herpes 9-5 Incidence of HIV/AIDS 4-9 M ortality of infants from low birthw eight/short gestation 2-7 D iabetes during pregnancy 5-15 H IV disease 2-10 W eight gain of less than 21 pounds 5-9 Cervical cancer 4-7 Infant m ortality 4-10 Neonatal m ortality 6-2 M otor vehicle-related injuries 5-13 D iabetes 6-7 Alcohol-induced deaths 7-1 M ortality of children 1-14 years old 5-16 Septicem ia 5-14 Chronic liver disease and cirrhosis 5-18 Nephritis, nephrotic syndrom e and nephrosis (kidney disease) 4-5 Born too sm all: very low -birthw eight (<1,500 gram s) 7-2 M ortality of adolescents and young adults 15-19 years old 8-4 Percent of total deaths before expected years of life reached 4-4 Born too sm all: low-birthw eight (<2,500 gram s) 8-2 M edian age at death from all causes am ong m ales 5-12 Influenza and pneum onia 5-19 Essential (prim a ry) hypertension 8-1 M edian age at death from all causes 4-3 Born too early (preterm or < 37 weeks) 5-11 Prostate cancer 8-3 M edian age at death from all causes am ong fem ales 5-4 Cerebrovascu lar disease 0.0 0.0 0.0 0.0 0.0 1.8 2.8 2.8 3.1 3.1 3.4 3.7 5.6 5.8 6.0 7.1 7.5 7.6 8.6 10.9 12.6 20.0 20.5 23.5 27.9 28.6 40.0 55.8 2-4 Chronic hypertension 2-5 D ysfunctional labor 4-1 H yaline m em brane disease 4-6 Incidence of congenital anom alies (birth defects) 6-4 D rowning m ortality 7-3 M ortality am ong adults 20-44 years old 2-6 Anem ia during pregnancy 7-4 M ortality am ong adults 45-65 years old 5-17 Alzh eim er's disease 6-1 Unintentional injuries 6-3 Fall-related injuries 4-2 Newborn intensive care 5-8 Breast cancer 5-1 Cardiovascu lar diseases 5-20 Total m ortality from all causes 2-8 Pregnancy associated hypertension 5-10 Colorectal cancer 5-2 D iseases of the heart 5-3 Coronary heart disease 6-5 Injury by firearm s 5-6 M alignant neoplasm s (cancer) 2-3 Alcohol use during pregnancy 5-5 Chronic low er respiratory diseases 5-7 Lung cancer 6-8 Intentional self-h arm (suicide) 6-6 D rug-induced deaths 2-9 Genital herpes during pregnancy 2-2 Tobacco use during pregnancy -500.0 0.0 -250.0 10 AVERAGE FOR AL L RESIDENTS 500.0 250.0 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Risk Profile of Hispanics or Latinos (percent above or below the State mean) BETTER THAN AVERAGE 2-2 2-3 5-5 6-8 2-9 5-7 5-8 6-6 6-5 7-3 6-4 2-6 WORSE THAN AVERAGE -62.8 -60.0 -57.5 -52.9 -40.0 -39.4 -38.1 -35.1 -26.5 -23.4 -23.1 -22.2 -20.4 -18.8 -16.7 -14.5 -12.5 -12.2 -11.9 -11.3 -11.0 -10.0 -9.9 -9.5 -8.6 -8.3 -6.3 -6.2 -6.0 -3.8 -3.7 -3.3 -2.2 Tobacco use during pregnancy Alcohol u se d uring pregn ancy Chronic low e r respiratory disea ses Intention al self-h arm (suic ide) G enita l herpes d uring p regnancy Lung cancer Brea st can cer D rug-in duced deaths Injury by firearm s M ortality am ong adu lts 20-44 years o ld D row ning m ortality Anem ia during pregnan cy 7-4 M ortality am ong adu lts 45-65 years o ld 2-5 D ysfunctional labor 2-8 Pregnancy associated h ypertension 6-1 U nintentional injuries 2-4 Chronic hyp ertension 5-17 Alzh eim er's dise ase 5-3 Coronary heart disea se 7-2 M ortality of adolescents and youn g adu lts 15-19 years old 9-4 Incidence of genital herp es 5-2 D ise ase s of the heart 5-6 M alignant neoplasm s (cancer) 6-3 Fall-related injuries 4-4 Born too sm all: low -birthw eigh t (< 2,5 00 g ram s) 4-5 Born too sm all: very low -b irthw eight (< 1,500 gram s) 7-1 M ortality of children 1-14 years old 5-20 Total m orta lity from all causes 9-2 Incidence of gonorrhea 5-1 Card iovascu lar dise ase s 4-2 N ew born intensiv e care 6-2 M otor vehicle-re lated in jurie s 4-3 Born too early (preterm or < 37 w eek s) 4-1 H yalin e m em brane disease 4-6 Incidence of cong enital an om alies (birth defects) 4-8 Sudden Infant D eath Syndrom e (SID S) 6-7 Alcohol-induced d eaths 0.0 0.0 0.0 0.0 1.5 4.0 6.2 7.4 10.9 11.7 13.7 14.1 14.3 16.5 19.4 20.0 20.3 20.5 22.0 23.7 23.9 25.3 27.8 28.4 28.6 29.5 31.3 34.7 36.2 38.0 41.0 43.1 43.9 46.7 56.3 68.1 76.2 5-10 Colorectal cancer 5-11 Prostate cancer 5-15 H IV disease 8-3 M edian age at death from all causes am o ng fem ales 2-7 D iabetes du ring p regnancy 8-1 M edian age at death from all causes 8-2 M edian age at death from all causes am o ng m ales 5-4 Cerebrovascu lar dise ase 4-9 M ortality of infants from low birth w eight/short gestation 9-3 Incidence of chlam ydia 5-19 Essential (prim a ry) h ypertension 4-11 Postneon atal m orta lity 4-7 Infant m ortality 4-10 N e onatal m ortality 2-10 W e igh t gain of less than 21 p ounds 5-12 Influenza and pneu m on ia 9-5 Incidence of H IV /AID S 8-4 Percent of total deaths before expected years of life re ached 2-1 U nm arried m oth ers 3-1 N o care in the 1st trim ester 1-2 Pregnancies am ong fem ale s 14 and younger 6-9 Assau lt (hom icide) 1-1 Pregnancies am ong fem ale s 19 and younger 1-4 Pregnancies am ong fem ale s 18-1 9 years old 5-16 Septicem ia 3-2 Few er than five prenatal visits 5-14 Chronic liver disea se and cirrhosis 9-1 Incidence of early syphilis 1-3 Pregnancies am ong fem ale s 15-1 7 years old 5-18 Nephritis, nephrotic syn drom e and nephrosis (kidney dise ase) 3-3 N o p renatal care 5-13 D iabete s 5-9 Cervica l can cer -500.0 0.0 -250.0 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 AVERAGE FOR ALL RESIDENTS 500.0 250.0 11 Risk Profile of American Indians or Alaska Natives (percent above or below the State mean) BETTER THAN AVERAGE WORSE THAN AVERAGE -79.1 -68.6 -61.9 -48.6 -44.2 -42.9 -37.4 -36.1 -33.8 -33.4 -33.3 -30.0 -27.3 -26.1 -25.8 -20.4 -15.4 -13.6 -13.4 -3.2 -2.9 -1.4 5 -7 L u n g ca n ce r 5 -5 C h ro n ic lo w e r re sp irato ry d ise a se s 5 -8 B re a st ca n ce r 5 -1 7 A lzh e im e r's d ise a se 2 -2 T o b a cco u se d u rin g p re g n a n cy 6 -6 D ru g -in d u ce d d e a th s 6 -5 In ju ry b y fire a rm s 5 -1 9 E ss e n tia l (p rim a ry ) h y p e rten sio n 5 -3 C o ro n a ry h e a rt d ise a se 5 -6 M a lig n a n t n e o p la sm s (can c e r) 4 -1 H y a lin e m e m b ran e d is e a s e 2 -9 G e n ita l h e rp e s d u rin g p re g n a n cy 5 -2 D ise a se s o f th e h e a rt 5 -1 0 C o lo re cta l ca n cer 5 -1 C a rd io v a scu la r d ise a se s 4 -2 N e w b o rn in te n siv e ca re 4 -1 0 N e o n a ta l m o rta lity 5 -1 1 P ro sta te ca n ce r 6 -8 In te n tio n a l se lf-h a rm (su ic id e ) 4 -3 B o rn to o e a rly (p re te rm o r < 3 7 w e e k s) 5 -4 C e re b ro va scu la r d ise a se 4 -4 B o rn to o sm a ll: lo w -b irth w e ig h t (< 2 ,5 0 0 g ra m s) 4 -8 S u d d e n In fa n t D e a th S y nd ro m e (S ID S ) 0.0 8.3 9.4 14.3 17.3 22.0 22.1 22.2 23.9 25.0 25.1 25.4 26.0 27.0 27.3 30.3 34.8 36.2 44.4 45.8 47.6 50.0 50.0 56.3 66.7 69.2 71.4 71.6 74.0 95.1 102.2 103.0 105.0 106.3 107.0 121.1 128.0 129.8 130.0 146.9 147.2 155.0 192.8 200.0 225.4 251.1 265.3 4 -5 B o rn to o sm a ll: v e ry lo w -b irth w e ig h t (< 1 ,5 0 0 g ra m s) 5 -2 0 T o ta l m o rta lity fro m a ll ca u s e s 1 -2 P re g n a n cie s am o n g fe m a le s 1 4 a n d y o u n g e r 8 -3 M e d ia n a g e a t d e a th fro m a ll ca u se s a m o n g fem a le s 1 -4 P re g n a n cie s am o n g fe m a le s 1 8 -1 9 y e a rs o ld 8 -1 M e d ia n a g e a t d e a th fro m a ll ca u se s 7 -4 M o rta lity a m o n g a d u lts 4 5 -6 5 y e a rs o ld 9 -5 In cid e n ce o f H IV /A ID S 5 -1 5 H IV d ise a se 7 -1 M o rta lity o f ch ild re n 1 -1 4 y e a r s o ld 4 -7 In fa n t m o rta lity 8 -2 M e d ia n a g e a t d e a th fro m a ll ca u se s a m o n g m a le s 1 -1 P re g n a n cie s am o n g fe m a le s 1 9 a n d y o u n g e r 4 -6 In cid e n ce o f co n g e n ita l a n o m a lie s (b irth d e fe cts) 1 -3 P re g n a n cie s am o n g fe m a le s 1 5 -1 7 y e a rs o ld 2 -1 0 W e ig h t g a in o f le ss th a n 2 1 p o u n d s 6 -3 F a ll-re la te d in ju rie s 8 -4 P e rce n t o f to ta l d e a th s b e fo re e x p e cte d ye a rs o f life re a ch e d 9 -1 In cid e n ce o f e a rly sy p h ilis 5 -9 C e rv ica l ca n ce r 2 -4 C h ro n ic h y p e rte n sio n 2 -8 P re g n a n cy a sso cia te d h y p e rte n sio n 3 -3 N o p re n a ta l ca re 2 -6 A n e m ia d u rin g p re g n a n cy 6 -4 D ro w n in g m o rta lity 4 -9 M o rta lity o f in fa n ts fro m lo w b irth w e ig h t/sh o rt g e sta tio n 3 -1 N o ca re in th e 1 st trim e ste r 2 -1 U n m a rrie d m o th ers 6 -9 A ssa u lt (h o m icid e ) 2 -7 D ia b e te s d u rin g p re g n a n cy 9 -4 In cid e n ce o f g e n ita l h e rp e s 4 -1 1 P o stn e o n a ta l m o rta lity 2 -5 D y sfu n ctio n a l la b o r 7 -3 M o rta lity a m o n g a d u lts 2 0 -4 4 y e a rs o ld 6 -1 U n in te n tio n a l in ju rie s 9 -2 In cid e n ce o f g o n o rrh e a 7 -2 M o rta lity o f a d o le sce n ts a n d y o u n g a d u lts 1 5 -1 9 y e a r s o ld 3 -2 F e w e r th a n fiv e p re n a ta l v is its 9 -3 In cid e n ce o f ch la m y d ia 5 -1 3 D ia b e te s 5 -1 8 N e p h ritis, n e p h ro tic sy n d ro m e a n d n e p h ro sis (k id n e y d ise a se ) 5 -1 2 In flu e n za a n d p n e u m o n ia 2 -3 A lco h o l u se d u rin g p re g n a n cy 5 -1 4 C h ro n ic liv e r d ise a se a n d cirrh o sis 5 -1 6 S e p tice m ia 6 -2 M o to r v e h icle -re la te d in ju rie s 6 -7 A lco h o l-in d u ce d d e a th s 348.3 -500.0 0.0 -250.0 12 AVERAGE FOR ALL RESIDENTS 500.0 250.0 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Risk Profile of Blacks or African Americans (percent above or below the State mean) WORSE THAN AVERAGE BETTER THAN AVERAGE -58.0 -50.7 -47.1 -25.0 -24.2 -23.3 -19.9 -17.4 -16.5 -9.1 -8.6 -6.3 -3.3 -3.2 6-7 Alcohol-induced deaths 5-14 Chronic liver disease and cirrhosis 6-8 Intentional self-harm (suicide) 6-6 Drug-induced deaths 5-5 Chronic lower respiratory diseases 6-3 Fall-related injuries 7-2 Mortality of adolescents and young adults 15-19 years old 2-7 Diabetes during pregnancy 5-12 Influenza and pneumonia 4-6 Incidence of congenital anomalies (birth defects) 6-1 2-5 6-2 5-7 3-3 Unintentional injuries Dysfunctional labor Motor vehicle-related injuries Lung cancer No prenatal care 1-3 3-1 1-1 1-4 Pregnancies among females 15-17 years old No care in the 1st trimester Pregnancies among females 19 and younger Pregnancies among females 18-19 years old 0.0 0.9 7.1 8.3 8.8 10.2 10.4 12.0 12.3 13.6 14.0 14.1 14.3 14.3 14.8 17.9 18.6 19.2 20.0 21.7 22.3 23.7 23.8 27.6 28.6 32.4 33.3 35.0 36.2 36.6 38.3 38.9 43.6 50.0 50.7 55.4 55.8 57.1 63.9 66.7 66.7 78.6 84.6 85.1 100.0 108.3 112.5 133.1 148.1 150.5 170.5 172.2 6-5 Injury by firearms 5-6 Malignant neoplasms (cancer) 3-2 Fewer than five prenatal visits 8-2 Median age at death from all causes among males 2-10 Weight gain of less than 21 pounds 5-2 7-3 8-1 5-9 8-3 Diseases of the heart Mortality among adults 20-44 years old Median age at death from all causes Cervical cancer Median age at death from all causes among females 4-10 Neonatal mortality 5-3 Coronary heart disease 5-20 Total mortality from all causes 2-3 Alcohol use during pregnancy 5-11 Prostate cancer 5-8 4-7 2-8 7-4 Breast cancer Infant mortality Pregnancy associated hypertension Mortality among adults 45-65 years old 1-2 Pregnancies among females 14 and younger 5-1 Cardiovascular diseases 4-1 Hyaline membrane disease 4-11 Postneonatal mortality 5-16 Septicemia 4-3 8-4 4-2 2-1 2-9 Born too early (preterm or < 37 weeks) Percent of total deaths before expected years of life reached Newborn intensive care Unmarried mothers Genital herpes during pregnancy 5-10 Colorectal cancer 5-17 Alzheimer's disease 2-2 Tobacco use during pregnancy 4-9 Mortality of infants from low birthweight/short gestation 2-6 Anemia during pregnancy 4-8 Sudden Infant Death Syndrome (SIDS) 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 4-4 Born too small: low-birthweight (<2,500 grams) 5-4 Cerebrovascular disease 7-1 Mortality of children 1-14 years old 6-4 Drowning mortality 4-5 Born too small: very low-birthweight (<1,500 grams) 2-4 Chronic hypertension 5-13 Diabetes 9-4 Incidence of genital herpes 9-3 Incidence of chlamydia 6-9 Assault (homicide) 5-19 Essential (primary) hypertension 9-5 Incidence of HIV/AIDS 225.0 230.6 237.5 9-1 Incidence of early syphilis 5-15 HIV disease 9-2 Incidence of gonorrhea 482.2 -600.0 0.0 -300.0 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 AVERAGE FOR ALL RESIDENTS 600.0 300.0 13 COMPARATIVE MEASURES OF HEALTH STATUS BY RACE/ETHNICITY IN 2011 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 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 Racial/Ethnic Groups, Arizona 2011 17 1-1 PREGNANCIES AMONG FEMALES 19 OR YOUNGER 2011 30.2 Hispanic 29.2 American Indian 24.9 Black 23.0 ALL GROUPS 11.8 White nonHispanic 9.1 Asian 0.0 15.0 30.0 45.0 60.0 Note: Number of pregnancies per 1,000 females 10-19 years old in specified group. 2001 59.1 Hispanic 45.1 Black 36.7 American Indian 36.0 ALL GROUPS 21.1 White nonHispanic 20.3 Asian 0.0 15.0 30.0 45.0 60.0 Note: Number of pregnancies per 1,000 females 10-19 years old in specified group. COMPARATIVE RATES FOR 2001 AND 2011 Rate per 1,000 females by race/ethnicity Year 2001 2011 % change from 2001 All groups White nonHispanic Hispanic or Latino Black or African American 36.0 23.0 21.1 11.8 59.1 30.2 45.1 24.9 American Indian or Alaska Native 36.7 29.2 -36.1 -44.1 -48.9 -44.8 -20.4 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 20.3 9.1 -55.2 19 1-2 PREGNANCIES AMONG FEMALES 14 OR YOUNGER 2011 0.9 Black 0.9 Hispanic 0.8 American Indian 0.7 ALL GROUPS 0.5 Asian 0.3 White non -Hispanic 0.0 0.7 1.4 2.1 2.8 Note: Number of pregnancies per 1,000 females 10-14 years old in specified group. 2001 2.5 Hispanic 2.2 Black 1.4 American Indian 1.3 ALL GROUPS 0.5 Asian White non- 0.0 Hispanic 0.0 0.7 1.4 2.1 2.8 Note: Number of pregnancies per 1,000 females 10-14 years old in specified group. COMPARATIVE RATES FOR 2001 AND 2011 Rate per 1,000 females by race/ethnicity Year 2001 2011 % change from 2001 20 All groups White nonHispanic Hispanic or Latino Black or African American 1.3 0.7 0.5 0.2 2.5 0.9 2.2 0.9 American Indian or Alaska Native 1.4 0.8 -46.2 -60.0 -64.0 -59.1 -42.9 Asian or Pacific Islander 0.0 0.5 NA Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 1-3 PREGNANCIES AMONG FEMALES 15-17 YEARS OLD 2011 31.8 Hispanic 28.8 American Indian 22.3 Black 22.1 ALL GROUPS 9.6 White non -Hispanic 7.2 Asian 0.0 20.0 40.0 60.0 80.0 Note: Number of pregnancies per 1,000 females 15-17 years old in specified group. 2001 79.7 Hispanic 57.5 Black 43.5 American Indian 43.2 ALL GROUPS 22.8 Asian 20.8 White nonHispanic 0.0 20.0 40.0 60.0 80.0 Note: Number of pregnancies per 1,000 females 15-17 years old in specified group. COMPARATIVE RATES FOR 2001 AND 2011 Rate per 1,000 females by race/ethnicity Year 2001 2011 % change from 2001 All groups White nonHispanic Hispanic or Latino Black or African American 43.2 22.1 20.8 9.6 79.7 31.8 57.5 22.3 American Indian or Alaska Native 43.5 28.8 -48.8 -53.8 -60.1 -61.2 -33.8 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 22.8 7.2 -68.4 21 1-4 PREGNANCIES AMONG FEMALES 18-19 YEARS OLD 2011 104.0 Hispanic 94.2 American Indian 84.0 Black 77.2 ALL GROUPS 40.8 White nonHispanic 32.7 Asian 0.0 20.0 40.0 60.0 80.0 100.0 120.0 140.0 160.0 180.0 160.0 180.0 Note: Number of pregnancies per 1,000 females 18-19 years old in specified group. 2001 176.0 Hispanic 146.4 Black 133.4 American Indian 113.2 ALL GROUPS 71.7 White nonHispanic 57.1 Asian 0.0 20.0 40.0 60.0 80.0 100.0 120.0 140.0 Note: Number of pregnancies per 1,000 females 18-19 years old in specified group. COMPARATIVE RATES FOR 2001 AND 2011 Rate per 1,000 females by race/ethnicity Year 2001 2011 % change from 2001 22 All groups White nonHispanic Hispanic or Latino Black or African American 113.2 77.2 71.7 40.8 176.0 104.0 146.4 84.0 American Indian or Alaska Native 133.4 94.2 -31.8 -43.1 -40.9 -42.6 -29.4 Asian or Pacific Islander 57.1 32.7 -42.7 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 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 Racial/Ethnic Groups, Arizona 2011 23 2-1 UNMARRIED MOTHERS 2011 77.1 American Indian 63.6 Black 56.6 Hispanic 44.3 ALL GROUPS 29.5 White nonHispanic 17.3 Asian 0.0 20.0 40.0 60.0 80.0 100.0 60.0 80.0 100.0 Note: Per 100 live births. 2001 70.1 American Indian 64.2 Black 51.0 Hispanic 39.4 ALL GROUPS 24.5 White nonHispanic 17.0 Asian 0.0 20.0 40.0 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 All groups White nonHispanic 39.4 44.3 24.5 59.5 51.0 56.6 64.2 63.6 American Indian or Alaska Native 70.1 77.1 12.4 20.4 11.0 -0.9 10.0 Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 17.0 17.3 1.8 25 2-2 TOBACCO USE DURING PREGNANCY 2011 6.7 Black 6.7 White nonHispanic 4.3 ALL GROUPS 2.4 American Indian 1.6 Hispanic 1.5 Asian 0.0 3.0 6.0 9.0 12.0 9.0 12.0 Note: Per 100 live births. 2001 11.0 White nonHispanic 10.7 Black 6.8 ALL GROUPS 4.0 American Indian 2.7 Asian 2.4 Hispanic 0.0 3.0 6.0 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 26 All groups White nonHispanic 6.8 4.3 11.0 6.7 2.4 1.6 10.7 6.7 American Indian or Alaska Native 4.0 2.4 -36.8 -39.1 -33.3 -37.4 -40.0 Hispanic or Latino Black or African American Asian or Pacific Islander 2.7 1.5 -44.4 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 2-3 ALCOHOL USE DURING PREGNANCY 2011 1.5 American Indian 0.6 Black 0.6 White nonHispanic 0.5 ALL GROUPS 0.4 Asian 0.2 Hispanic 0.0 0.6 1.2 1.8 2.4 3.0 1.8 2.4 3.0 Note: Per 100 live births. 2001 2.6 American Indian 1.6 Black 1.0 White nonHispanic 0.9 ALL GROUPS 0.5 Hispanic 0.4 Asian 0.0 0.6 1.2 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 All groups White nonHispanic 0.9 0.5 1.0 0.6 0.5 0.2 1.6 0.6 American Indian or Alaska Native 2.6 1.5 -44.4 -40.0 -60.0 -62.5 -42.3 Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 0.4 0.4 0.0 27 2-4 CHRONIC HYPERTENSION 2011 1.7 Black 1.2 American Indian 0.8 ALL GROUPS 0.8 White nonHispanic 0.7 Hispanic 0.6 Asian 0.0 0.3 0.6 0.9 1.2 1.5 1.8 1.2 1.5 1.8 Note: Per 100 live births. 2001 1.3 American Indian 0.7 Black 0.4 ALL GROUPS 0.4 White nonHispanic 0.2 Asian 0.2 Hispanic 0.0 0.3 0.6 0.9 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 28 All groups White nonHispanic 0.4 0.8 0.4 0.8 0.2 0.7 0.7 1.7 American Indian or Alaska Native 1.3 1.2 100.0 100.0 250.0 142.9 -7.7 Hispanic or Latino Black or African American Asian or Pacific Islander 0.2 0.6 200.0 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 2-5 DYSFUNCTIONAL LABOR 2011 3.3 American Indian 1.8 Asian 1.6 ALL GROUPS 1.6 White nonHispanic 1.5 Black 1.3 Hispanic 0.0 0.7 1.4 2.1 2.8 3.5 2.1 2.8 3.5 Note: Per 100 live births. 2001 3.0 American Indian 1.7 Asian 1.4 White nonHispanic 1.2 ALL GROUPS 1.2 Black 0.6 Hispanic 0.0 0.7 1.4 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 All groups White nonHispanic 1.2 1.6 1.4 1.6 0.6 1.3 1.2 1.5 American Indian or Alaska Native 3.0 3.3 33.3 14.3 116.7 25.0 10.0 Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 1.7 1.8 5.9 29 2-6 ANEMIA DURING PREGNANCY 2011 6.0 American Indian 5.9 Black 3.7 White nonHispanic 3.6 ALL GROUPS 2.8 Hispanic 2.6 Asian 0.0 1.3 2.6 3.9 5.2 6.5 3.9 5.2 6.5 Note: Per 100 live births. 2001 6.0 American Indian 1.7 Black 1.6 ALL GROUPS 1.6 Asian 1.5 White nonHispanic 1.0 Hispanic 0.0 1.3 2.6 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 30 All groups White nonHispanic 1.6 3.6 1.5 3.7 1.0 2.8 1.7 5.9 American Indian or Alaska Native 6.0 6.0 125.0 146.7 180.0 247.1 0.0 Hispanic or Latino Black or African American Asian or Pacific Islander 1.6 2.6 62.5 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 2-7 DIABETES DURING PREGNANCY 2011 9.3 American Indian 7.5 Asian 5.1 Hispanic 4.6 ALL GROUPS 3.8 Black 3.4 White nonHispanic 0.0 2.0 4.0 6.0 8.0 10.0 6.0 8.0 10.0 Note: Per 100 live births. 2001 6.2 American Indian 3.9 Asian 2.2 ALL GROUPS 2.0 Hispanic 1.8 Black 1.8 White nonHispanic 0.0 2.0 4.0 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 All groups White nonHispanic 2.2 4.6 1.8 3.4 2.0 5.1 1.8 3.8 American Indian or Alaska Native 6.2 9.3 109.1 88.9 155.0 111.1 50.0 Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 3.9 7.5 92.3 31 2-8 PREGNANCY-ASSOCIATED HYPERTENSION 2011 6.3 American Indian 5.2 Black 4.5 White nonHispanic 4.2 ALL GROUPS 3.5 Hispanic 3.1 Asian 0.0 1.3 2.6 3.9 5.2 6.5 3.9 5.2 6.5 Note: Per 100 live births. 2001 5.7 American Indian 3.1 White nonHispanic 2.6 ALL GROUPS 2.4 Black 1.8 Asian 1.7 Hispanic 0.0 1.3 2.6 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 32 All groups White nonHispanic 2.6 4.2 3.1 4.5 1.7 3.5 2.4 5.2 American Indian or Alaska Native 5.7 6.3 61.5 45.2 105.9 116.7 10.5 Hispanic or Latino Black or African American Asian or Pacific Islander 1.8 3.1 72.2 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 2-9 GENITAL HERPES DURING PREGNANCY 2011 1.5 Black 1.4 White nonHispanic 1.0 ALL GROUPS 0.8 Asian 0.7 American Indian 0.6 Hispanic 0.0 0.3 0.6 0.9 1.2 1.5 0.9 1.2 1.5 Note: Per 100 live births. 2001 1.3 White nonHispanic 1.2 Black 0.8 ALL GROUPS 0.7 Asian 0.3 American Indian 0.3 Hispanic 0.0 0.3 0.6 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 0.8 1.0 1.3 1.4 0.3 0.6 1.2 1.5 American Indian or Alaska Native 0.3 0.7 25.0 7.7 100.0 25.0 133.3 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 0.7 0.8 14.3 33 2-10 WEIGHT GAIN OF LESS THAN 21 POUNDS 2011 35.6 American Indian 32.2 Hispanic 30.0 Black 26.4 ALL GROUPS 22.5 Asian 20.1 White nonHispanic 0.0 7.0 14.0 21.0 28.0 35.0 42.0 28.0 35.0 42.0 Note: Per 100 live births. 2001 28.8 American Indian 21.3 Black 20.9 Hispanic 18.5 ALL GROUPS 16.0 Asian 14.9 White nonHispanic 0.0 7.0 14.0 21.0 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 34 18.5 26.4 14.9 20.1 20.9 32.2 21.3 30.0 American Indian or Alaska Native 28.8 35.6 42.7 34.9 54.1 40.8 23.6 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 16.0 22.5 40.6 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 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 Racial/Ethnic Groups, Arizona 2011 35 3-1 NO CARE IN THE 1ST TRIMESTER 2011 31.4 American Indian 23.5 Hispanic 19.6 Black 18.3 ALL GROUPS 13.5 Asian 12.0 White nonHispanic 0.0 8.0 16.0 24.0 32.0 40.0 24.0 32.0 40.0 Note: Per 100 live births. 2001 35.4 American Indian 34.7 Hispanic 26.2 Black 24.5 ALL GROUPS 17.3 Asian 13.8 White nonHispanic 0.0 8.0 16.0 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 24.5 18.3 13.8 12.0 34.7 23.5 26.2 19.6 American Indian or Alaska Native 35.4 31.4 -25.3 -13.0 -32.2 -25.1 -11.3 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 17.3 13.5 -22.0 37 3-2 FEWER THAN 5 PRENATAL VISITS 2011 11.5 American Indian 6.9 Hispanic 5.6 Black 5.0 ALL GROUPS 3.3 Asian 2.3 White nonHispanic 0.0 4.0 8.0 12.0 16.0 12.0 16.0 Note: Per 100 live births. 2001 14.5 American Indian 13.2 Hispanic 11.8 Black 9.4 ALL GROUPS 5.4 Asian 5.1 White nonHispanic 0.0 4.0 8.0 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 38 9.4 5.0 5.1 2.3 13.2 6.9 11.8 5.6 American Indian or Alaska Native 14.5 11.5 -46.8 -54.9 -47.7 -52.5 -20.7 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 5.4 3.3 -38.9 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 3-3 NO PRENATAL CARE 2011 2.5 American Indian 2.5 Hispanic 1.6 ALL GROUPS 1.6 Black 1.0 Asian 0.6 White nonHispanic 0.0 0.7 1.4 2.1 2.8 3.5 2.1 2.8 3.5 Note: Per 100 live births. 2001 3.2 Hispanic 1.9 ALL GROUPS 1.9 American Indian 1.6 Black 1.1 Asian 0.6 White nonHispanic 0.0 0.7 1.4 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 1.9 1.6 0.6 0.6 3.2 2.5 1.6 1.6 American Indian or Alaska Native 1.9 2.5 -15.8 0.0 -21.9 0.0 31.6 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 1.1 1.0 -9.1 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 Racial/Ethnic Groups, Arizona 2011 41 4-1 INCIDENCE OF HYALINE MEMBRANE DISEASE 2011 0.4 Black 0.3 ALL GROUPS 0.3 Hispanic 0.3 White nonHispanic 0.2 American Indian 0.1 Asian 0.0 0.1 0.2 0.3 0.4 0.5 0.3 0.4 0.5 Note: Per 100 live births. 2001 0.5 Black American Indian 0.4 White nonHispanic 0.4 0.3 ALL GROUPS 0.3 Asian 0.2 Hispanic 0.0 0.1 0.2 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 0.3 0.3 0.4 0.3 0.2 0.3 0.5 0.4 American Indian or Alaska Native 0.4 0.2 0.0 -25.0 50.0 -20.0 -50.0 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 0.3 0.1 -66.7 43 4-2 INCIDENCE OF NEWBORN INTENSIVE CARE 2011 7.5 Black 5.6 White nonHispanic 5.4 ALL GROUPS 5.2 Asian 5.2 Hispanic 4.3 American Indian 0.0 2.0 4.0 6.0 8.0 6.0 8.0 10.0 Note: Per 100 live births. 2001 9.0 Black 5.9 White nonHispanic 5.7 ALL GROUPS 5.6 Asian 5.4 Hispanic 4.6 American Indian 0.0 2.0 4.0 10.0 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 44 5.7 5.4 5.9 5.6 5.4 5.2 9.0 7.5 American Indian or Alaska Native 4.6 4.3 -5.3 -5.1 -3.7 -16.7 -6.5 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 5.6 5.2 -7.1 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 4-3 BORN TOO EARLY (PRETERM OF <37 WEEKS) 2011 12.7 Black 9.3 ALL GROUPS 9.1 Hispanic White nonHispanic 9.1 American Indian 9.0 9.0 Asian 0.0 3.0 6.0 9.0 12.0 9.0 12.0 15.0 Note: Per 100 live births. 2001 14.8 Black American Indian 10.1 White nonHispanic 10.1 9.9 ALL GROUPS 9.8 Asian 9.4 Hispanic 0.0 3.0 6.0 15.0 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 9.9 9.3 10.1 9.1 9.4 9.1 14.8 12.7 American Indian or Alaska Native 10.1 9.0 -6.1 -9.9 -3.2 -14.2 -10.9 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 9.8 9.0 -8.2 45 4-4 BORN TOO SMALL: LOW BIRTHWEIGHT (<2,500 GRAMS) 2011 12.5 Black 8.3 Asian 7.0 ALL GROUPS 6.9 American Indian 6.7 White nonHispanic 6.4 Hispanic 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 10.0 12.0 14.0 Note: Per 100 live births. 2001 13.7 Black 7.7 Asian 7.3 American Indian 7.0 ALL GROUPS 6.7 Hispanic 6.7 White nonHispanic 0.0 2.0 4.0 6.0 8.0 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 46 7.0 7.0 6.7 6.7 6.7 6.4 13.7 12.5 American Indian or Alaska Native 7.3 6.9 0.0 0.0 -4.5 -8.8 -5.5 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 7.7 8.3 7.8 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 4-5 BORN TOO SMALL: VERY LOW BIRTHWEIGHT (<1,500 GRAMS) 2011 2.5 Black 1.3 American Indian 1.2 ALL GROUPS 1.1 Asian 1.1 Hispanic 1.1 White nonHispanic 0.0 0.5 1.0 1.5 2.0 2.5 3.0 2.0 2.5 3.0 Note: Per 100 live births. 2001 2.7 Black 1.1 ALL GROUPS 1.0 American Indian 1.0 Hispanic 1.0 White nonHispanic 0.9 Asian 0.0 0.5 1.0 1.5 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 1.1 1.2 1.0 1.1 1.0 1.1 2.7 2.5 American Indian or Alaska Native 1.0 1.3 9.1 10.0 10.0 -7.4 30.0 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 0.9 1.1 22.2 47 4-6 INCIDENCE OF CONGENITAL ANOMALIES (BIRTH DEFECTS) 2011 1.4 American Indian 1.1 ALL GROUPS 1.1 Hispanic 1.1 White nonHispanic 1.0 Black 0.8 Asian 0.0 0.5 1.0 1.5 2.0 1.5 2.0 Note: Per 100 live births. 2001 1.9 American Indian 1.4 Black 1.4 White nonHispanic 1.3 ALL GROUPS 1.3 Asian 1.1 Hispanic 0.0 0.5 1.0 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 100 births by race/ethnicity Year 2001 2011 % change from 2001 48 1.3 1.1 1.4 1.1 1.1 1.1 1.4 1.0 American Indian or Alaska Native 1.9 1.4 -15.4 -21.4 0.0 -28.6 -26.3 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 1.3 0.8 -38.5 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 4-7 INFANT MORTALITY 2011 7.4 American Indian 7.3 Black 7.1 Hispanic 5.9 ALL GROUPS 4.5 White nonHispanic 2.9 Asian 0.0 5.0 10.0 15.0 20.0 25.0 15.0 20.0 25.0 Note: Per 100 live births. 2001 22.7 Black 10.7 American Indian 6.9 ALL GROUPS 6.7 Hispanic 5.7 White nonHispanic 3.8 Asian 0.0 5.0 10.0 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 1,000 births by race/ethnicity Year 2001 2011 % change from 2001 6.9 5.9 5.7 4.5 6.7 7.1 22.7 7.3 American Indian or Alaska Native 10.7 7.4 -14.5 -21.1 6.0 -67.8 -30.8 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 3.8 2.9 -23.7 49 4-8 SUDDEN INFANT DEATH SYNDROME (SIDS) 2011 0.5 Black 0.3 ALL GROUPS 0.3 American Indian 0.3 Hispanic 0.2 White nonHispanic Asian 0.0 0.0 0.6 1.2 1.8 2.4 3.0 1.8 2.4 3.0 Note: Per 100 live births. 2001 2.9 Black 0.4 ALL GROUPS American Indian 0.4 White nonHispanic 0.4 0.2 Hispanic Asian 0.0 0.0 0.6 1.2 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 1,000 births by race/ethnicity Year 2001 2011 % change from 2001 50 0.4 0.3 0.4 0.2 0.2 0.3 2.9 0.5 American Indian or Alaska Native 0.4 0.3 -25.0 -50.0 50.0 -82.8 -25.0 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 0.0 0.0 NA Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 4-9 MORTALITY OF INFANTS FROM LOW BIRTHWEIGHT/SHORT GESTATION 2011 1.2 American Indian 1.1 Black 0.8 Hispanic 0.7 ALL GROUPS 0.6 Asian 0.5 White nonHispanic 0.0 1.0 2.0 3.0 4.0 5.0 3.0 4.0 5.0 Note: Per 100 live births. 2001 4.0 Black 1.1 Hispanic 0.9 ALL GROUPS 0.6 White nonHispanic 0.4 American Indian Asian 0.0 0.0 1.0 2.0 Note: Per 100 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 1,000 births by race/ethnicity Year 2001 2011 % change from 2001 0.9 0.7 0.6 0.5 1.1 0.8 4.0 1.1 American Indian or Alaska Native 0.4 1.2 -22.2 -16.7 -27.3 -72.5 200.0 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 0.0 0.6 NA 51 4-10 NEONATAL MORTALITY 2011 4.7 Hispanic 4.6 Black 3.9 ALL GROUPS American Indian 3.3 White nonHispanic 3.1 2.9 Asian 0.0 3.0 6.0 9.0 12.0 15.0 Note: Number of deaths per 1,000 live births. 2001 15.0 Black 4.5 ALL GROUPS 4.5 Hispanic American Indian 4.1 White nonHispanic 4.0 2.4 Asian 0.0 3.0 6.0 9.0 12.0 15.0 Note: Number of deaths per 1,000 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 1,000 births by race/ethnicity Year 2001 2011 % change from 2001 52 4.5 3.9 4.0 3.1 4.5 4.7 15.0 4.6 American Indian or Alaska Native 4.1 3.3 -13.3 -22.5 4.4 -69.3 -19.5 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 2.4 2.9 20.8 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 4-11 POSTNEONATAL MORTALITY 2011 4.1 American Indian 2.7 Black 2.4 Hispanic 2.0 ALL GROUPS 1.3 White nonHispanic 0.0 Asian 0.0 2.0 4.0 6.0 8.0 Note: Number of deaths per 1,000 live births. 2001 7.7 Black 6.6 American Indian 2.4 ALL GROUPS 2.2 Hispanic 1.7 White nonHispanic 1.4 Asian 0.0 2.0 4.0 6.0 8.0 Note: Number of deaths per 1,000 live births. COMPARATIVE RATES FOR 2001 AND 2011 Per 1,000 births by race/ethnicity Year 2001 2011 % change from 2001 2.4 2.0 1.7 1.3 2.2 2.4 7.7 2.7 American Indian or Alaska Native 6.6 4.1 -16.7 -23.5 9.1 -64.9 -37.9 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 1.4 0.0 -100.0 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 Racial/Ethnic Groups, Arizona 2011 55 5-1 CARDIOVASCULAR DISEASE 2011 266.1 Black 212.6 White nonHispanic 201.0 ALL GROUPS 193.4 Hispanic 149.2 American Indian 122.4 Asian 0.0 100.0 200.0 300.0 400.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 388.1 Black 281.4 Hispanic 267.3 ALL GROUPS 265.8 White nonHispanic 234.1 American Indian 184.3 Asian 0.0 100.0 200.0 300.0 400.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 267.3 201.0 265.8 212.6 281.4 193.4 388.1 266.1 American Indian or Alaska Native 234.1 149.2 -24.8 -20.0 -31.3 -31.4 -36.3 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 184.3 122.4 -33.6 57 5-2 DISEASES OF THE HEART 2011 174.0 Black 164.3 White nonHispanic 152.7 ALL GROUPS 137.4 Hispanic 111.1 American Indian 77.0 Asian 0.0 40.0 80.0 120.0 160.0 200.0 240.0 280.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 273.6 Black 206.1 Hispanic 202.1 White nonHispanic 201.7 ALL GROUPS 177.7 American Indian 116.1 Asian 0.0 40.0 80.0 120.0 160.0 200.0 240.0 280.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 58 201.7 152.7 202.1 164.3 206.1 137.4 273.6 174.0 American Indian or Alaska Native 177.7 111.1 -24.3 -18.7 -33.3 -36.4 -37.5 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 116.1 77.0 -33.7 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 5-3 CORONARY HEART DISEASE 2011 142.7 Black 130.6 White nonHispanic 120.3 ALL GROUPS 106.0 Hispanic 79.6 American Indian 61.0 Asian 0.0 50.0 100.0 150.0 200.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 196.9 Black 159.7 Hispanic 149.8 White nonHispanic 149.3 ALL GROUPS 116.4 American Indian 80.7 Asian 0.0 50.0 100.0 150.0 200.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 149.3 120.3 149.8 130.6 159.7 106.0 196.9 142.7 American Indian or Alaska Native 116.4 79.6 -19.4 -12.8 -33.6 -27.5 -31.6 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 80.7 61.0 -24.4 59 5-4 CEREBROVASCULAR DISEASE 2011 56.5 Black 34.9 Hispanic 30.6 ALL GROUPS White nonHispanic 30.4 American Indian 29.7 29.1 Asian 0.0 20.0 40.0 60.0 80.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 79.6 Black 55.4 Hispanic 51.1 Asian 47.7 ALL GROUPS 46.2 White nonHispanic 44.3 American Indian 0.0 20.0 40.0 60.0 80.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 60 47.7 30.6 46.2 30.4 55.4 34.9 79.6 56.5 American Indian or Alaska Native 44.3 29.7 -35.8 -34.2 -37.0 -29.0 -33.0 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 51.1 29.1 -43.1 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 5-5 CHRONIC LOWER RESPIRATORY DISEASE 2011 55.3 White nonHispanic 45.9 ALL GROUPS 34.8 Black 19.5 Hispanic 17.2 Asian 14.4 American Indian 0.0 12.0 24.0 36.0 48.0 60.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 51.0 White nonHispanic 46.9 ALL GROUPS 37.9 Black 26.8 American Indian 21.4 Asian 17.7 Hispanic 0.0 12.0 24.0 36.0 48.0 60.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 46.9 45.9 51.0 55.3 17.7 19.5 37.9 34.8 American Indian or Alaska Native 26.8 14.4 -2.1 8.4 10.2 -8.2 -46.3 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 21.4 17.2 -19.6 61 5-6 MALIGNANT NEOPLASM (CANCER) 2011 170.3 White nonHispanic 167.1 Black 151.3 ALL GROUPS 136.3 Hispanic 116.6 Asian 100.8 American Indian 0.0 25.0 50.0 75.0 100.0 125.0 150.0 175.0 200.0 225.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 213.0 Black 173.1 White nonHispanic 169.2 ALL GROUPS 155.6 Hispanic 147.0 Asian 121.7 American Indian 0.0 25.0 50.0 75.0 100.0 125.0 150.0 175.0 200.0 225.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 62 169.2 151.3 173.1 170.3 155.6 136.3 213.0 167.1 American Indian or Alaska Native 121.7 100.8 -10.6 -1.6 -12.4 -21.5 -17.2 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 147.0 116.6 -20.7 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 5-7 LUNG CANCER 2011 46.7 White nonHispanic 37.8 ALL GROUPS 36.6 Black 22.9 Hispanic 20.8 Asian 7.9 American Indian 0.0 15.0 30.0 45.0 60.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 55.7 Black 47.6 White nonHispanic 44.5 ALL GROUPS 41.7 Asian 29.2 Hispanic 9.8 American Indian 0.0 15.0 30.0 45.0 60.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 44.5 37.8 47.6 46.7 29.2 22.9 55.7 36.6 American Indian or Alaska Native 9.8 7.9 -15.1 -1.9 -21.6 -34.3 -19.4 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 41.7 20.8 -50.1 63 5-8 BREAST CANCER 2011 24.1 Black 20.8 White nonHispanic 19.7 ALL GROUPS 15.6 Asian 12.2 Hispanic 7.5 American Indian 0.0 10.0 20.0 30.0 40.0 50.0 60.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 55.8 Black 24.7 White nonHispanic 23.6 ALL GROUPS 17.5 Hispanic 12.7 Asian 11.7 American Indian 0.0 10.0 20.0 30.0 40.0 50.0 60.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 females by race/ethnicity Year 2001 2011 % change from 2001 64 23.6 19.7 24.7 20.8 17.5 12.2 55.8 24.1 American Indian or Alaska Native 11.7 7.5 -16.5 -15.8 -30.3 -56.8 -35.9 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 12.7 15.6 22.8 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 5-9 CERVICAL CANCER 2011 3.7 Hispanic 3.1 American Indian 3.0 Asian 2.4 Black 2.1 ALL GROUPS 1.6 White nonHispanic 0.0 1.5 3.0 4.5 6.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 5.4 American Indian 3.9 Hispanic 3.5 Black 2.8 ALL GROUPS 2.5 White nonHispanic Asian 0.0 0.0 1.5 3.0 4.5 6.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 females by race/ethnicity Year 2001 2011 % change from 2001 2.8 2.1 2.5 1.6 3.9 3.7 3.5 2.4 American Indian or Alaska Native 5.4 3.1 -25.0 -36.0 -5.1 -31.4 -42.6 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 0.0 3.0 NA 65 5-10 COLORECTAL CANCER 2011 20.2 Black 14.4 White nonHispanic 14.3 Asian 13.6 Hispanic 13.4 ALL GROUPS 9.9 American Indian 0.0 4.0 8.0 12.0 16.0 20.0 24.0 28.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 27.4 Black 16.9 White nonHispanic 16.7 ALL GROUPS 16.6 Hispanic 10.6 Asian 7.2 American Indian 0.0 4.0 8.0 12.0 16.0 20.0 24.0 28.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 66 16.7 13.4 16.9 14.4 16.6 13.6 27.4 20.2 American Indian or Alaska Native 7.2 9.9 -19.8 -14.8 -18.1 -26.3 37.5 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 10.6 14.3 34.9 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 5-11 PROSTATE CANCER 2011 24.1 Black 20.6 Hispanic 19.8 ALL GROUPS 19.5 White nonHispanic 17.1 American Indian 5.0 Asian 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 45.0 Black 26.3 Hispanic 24.3 ALL GROUPS 24.2 Asian 24.1 White nonHispanic 14.0 American Indian 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 males by race/ethnicity Year 2001 2011 % change from 2001 24.3 19.8 24.1 19.5 26.3 20.6 45.0 24.1 American Indian or Alaska Native 14.0 17.1 -18.5 -19.1 -21.7 -46.4 22.1 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 24.2 5.0 -79.3 67 5-12 INFLUENZA AND PNEUMONIA 2011 28.4 American Indian 12.0 Hispanic 9.7 ALL GROUPS 9.3 White nonHispanic 9.1 Asian 8.1 Black 0.0 15.0 30.0 45.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 43.0 American Indian 26.1 Hispanic 21.9 ALL GROUPS 21.3 White nonHispanic 15.0 Asian 14.8 Black 0.0 15.0 30.0 45.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 68 21.9 9.7 21.3 9.3 26.1 12.0 14.8 8.1 American Indian or Alaska Native 43.0 28.4 -55.7 -56.3 -54.0 -45.3 -34.0 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 15.0 9.1 -39.3 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 5-13 DIABETES 2011 61.3 American Indian 57.8 Black 41.7 Hispanic 24.8 ALL GROUPS 23.3 Asian 21.6 White nonHispanic 0.0 15.0 30.0 45.0 60.0 75.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 72.8 American Indian 55.7 Black 42.9 Hispanic 19.9 ALL GROUPS 15.4 White nonHispanic 14.8 Asian 0.0 15.0 30.0 45.0 60.0 75.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 19.9 24.8 15.4 21.6 42.9 41.7 55.7 57.8 American Indian or Alaska Native 72.8 61.3 24.6 40.3 -2.8 3.8 -15.8 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 14.8 23.3 57.4 69 5-14 CHRONIC LIVER DISEASE AND CIRRHOSIS 2011 43.6 American Indian 18.9 Hispanic 13.4 ALL GROUPS 12.0 White nonHispanic 6.6 Black 4.2 Asian 0.0 15.0 30.0 45.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 39.1 American Indian 17.4 Hispanic 12.3 ALL GROUPS 11.7 Black 10.6 White nonHispanic 4.0 Asian 0.0 15.0 30.0 45.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 70 12.3 13.4 10.6 12.0 17.4 18.9 11.7 6.6 American Indian or Alaska Native 39.1 43.6 8.9 13.2 8.6 -43.6 11.5 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 4.0 4.2 5.0 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 5-15 HIV DISEASE 2011 5.4 Black 2.0 American Indian 1.7 Hispanic 1.6 ALL GROUPS 1.2 Asian 1.2 White nonHispanic 0.0 3.0 6.0 9.0 12.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 11.2 Black 5.5 American Indian 3.2 Hispanic 3.1 ALL GROUPS 2.6 White nonHispanic 1.1 Asian 0.0 3.0 6.0 9.0 12.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 3.1 1.6 2.6 1.2 3.2 1.7 11.2 5.4 American Indian or Alaska Native 5.5 2.0 -48.4 -53.8 -46.9 -51.8 -63.6 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 1.1 1.2 9.1 71 5-16 SEPTICEMIA 2011 16.5 American Indian 6.4 Black 6.4 Hispanic 4.7 ALL GROUPS 4.2 White nonHispanic 3.2 Asian 0.0 4.0 8.0 12.0 16.0 20.0 24.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 21.8 American Indian 13.6 Black 10.7 Hispanic 7.2 ALL GROUPS 6.0 White nonHispanic 3.2 Asian 0.0 4.0 8.0 12.0 16.0 20.0 24.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 72 7.2 4.7 6.0 4.2 10.7 6.4 13.6 6.4 American Indian or Alaska Native 21.8 16.5 -34.7 -30.0 -40.2 -52.9 -24.3 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 3.2 3.2 0.0 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 5-17 ALZHEIMER’S DISEASE 2011 54.7 Black 36.3 White nonHispanic 35.2 ALL GROUPS 30.9 Hispanic 21.0 Asian 18.1 American Indian 0.0 10.0 20.0 30.0 40.0 50.0 60.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 23.5 White nonHispanic 22.5 ALL GROUPS 21.5 Black 14.7 Hispanic 14.6 Asian 12.7 American Indian 0.0 10.0 20.0 30.0 40.0 50.0 60.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 22.5 35.2 23.5 36.3 14.7 30.9 21.5 54.7 American Indian or Alaska Native 12.7 18.1 56.4 54.5 110.2 154.4 42.5 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 14.6 21.0 43.8 73 5-18 NEPHRITIS, NEPHROTIC SYNDROME, AND NEPHROSIS 2011 15.3 American Indian 10.0 Black 8.8 Hispanic 8.6 Asian 6.0 ALL GROUPS 5.4 White nonHispanic 0.0 7.0 14.0 21.0 28.0 35.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 33.5 American Indian 23.5 Black 22.6 Hispanic 12.0 ALL GROUPS 9.9 White nonHispanic 8.4 Asian 0.0 7.0 14.0 21.0 28.0 35.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 74 12.0 6.0 9.9 5.4 22.6 8.8 23.5 10.0 American Indian or Alaska Native 33.5 15.3 -50.0 -45.5 -61.1 -57.4 -54.3 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 8.4 8.6 2.4 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 5-19 ESSENTIAL (PRIMARY) HYPERTENSION 2011 29.4 Black 12.9 Hispanic 10.8 ALL GROUPS 10.5 White nonHispanic 9.8 Asian 6.9 American Indian 0.0 5.0 10.0 15.0 20.0 25.0 30.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 13.8 Black 11.8 Asian 8.7 Hispanic 5.9 ALL GROUPS 5.5 White nonHispanic 3.4 American Indian 0.0 5.0 10.0 15.0 20.0 25.0 30.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 5.9 10.8 5.5 10.5 8.7 12.9 13.8 29.4 American Indian or Alaska Native 3.4 6.9 83.1 90.9 48.3 113.0 102.9 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 11.8 9.8 -16.9 75 5-20 TOTAL MORTALITY FROM ALL CAUSES 2011 833.6 Black 765.5 American Indian 741.5 White nonHispanic 699.6 ALL GROUPS 656.4 Hispanic 436.7 Asian 0.0 300.0 600.0 900.0 1200.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 1050.6 Black 1010.5 American Indian 791.2 ALL GROUPS 787.6 Hispanic 778.1 White nonHispanic 560.7 Asian 0.0 300.0 600.0 900.0 1200.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 76 791.2 699.6 778.1 741.5 787.6 656.4 1050.6 833.6 American Indian or Alaska Native 1010.5 765.5 -11.6 -4.7 -16.7 -20.7 -24.2 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 560.7 436.7 -22.1 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 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 Racial/Ethnic Groups, Arizona 2011 77 6-1 UNINTENTIONAL INJURIES 2011 100.6 American Indian 46.9 White nonHispanic 45.5 ALL GROUPS 41.6 Black 38.9 Hispanic 19.7 Asian 0.0 23.0 46.0 69.0 92.0 115.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 112.7 American Indian 52.6 Black 46.6 ALL GROUPS 45.6 Hispanic 42.5 White nonHispanic 29.9 Asian 0.0 23.0 46.0 69.0 92.0 115.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 46.6 45.5 42.5 46.9 45.6 38.9 52.6 41.6 American Indian or Alaska Native 112.7 100.6 -2.4 10.4 -14.7 -20.9 -10.7 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 29.9 19.7 -34.1 79 6-2 MOTOR VEHICLE-RELATED INJURIES 2011 44.2 American Indian 12.1 ALL GROUPS 11.7 Black 11.7 Hispanic 10.4 White nonHispanic 6.8 Asian 0.0 14.0 28.0 42.0 56.0 70.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 63.2 American Indian 19.1 Black 18.2 Hispanic 17.2 ALL GROUPS 13.5 White nonHispanic 8.6 Asian 0.0 14.0 28.0 42.0 56.0 70.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 80 17.2 12.1 13.5 10.4 18.2 11.7 19.1 11.7 American Indian or Alaska Native 63.2 44.2 -29.7 -23.0 -35.7 -38.7 -30.1 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 8.6 6.8 -20.9 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 6-3 FALL-RELATED INJURIES 2011 15.8 American Indian 12.0 White nonHispanic 11.6 ALL GROUPS 10.5 Hispanic 8.9 Black 6.4 Asian 0.0 4.0 8.0 12.0 16.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 11.3 American Indian 8.9 ALL GROUPS 8.9 White nonHispanic 8.8 Black 8.3 Asian 7.8 Hispanic 0.0 4.0 8.0 12.0 16.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 8.9 11.6 8.9 12.0 7.8 10.5 8.8 8.9 American Indian or Alaska Native 11.3 15.8 30.3 34.8 34.6 1.1 39.8 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 8.3 6.4 -22.9 81 6-4 DROWNING 2011 2.6 Black 2.2 American Indian 2.0 Asian 1.3 ALL GROUPS 1.3 White nonHispanic 1.0 Hispanic 0.0 1.0 2.0 3.0 4.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 4.0 Asian 1.8 White nonHispanic 1.6 ALL GROUPS 1.5 Black 1.3 Hispanic 1.2 American Indian 0.0 1.0 2.0 3.0 4.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 82 1.6 1.3 1.8 1.3 1.3 1.0 1.5 2.6 American Indian or Alaska Native 1.2 2.2 -18.8 -27.8 -23.1 73.3 83.3 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 4.0 2.0 -50.0 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 6-5 FIREARM-RELATED 2011 16.3 White nonHispanic 16.2 Black 14.7 ALL GROUPS 10.8 Hispanic 9.2 American Indian 2.4 Asian 0.0 7.0 14.0 21.0 28.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 25.3 Black 15.8 Hispanic 15.5 ALL GROUPS 13.9 White nonHispanic 11.8 American Indian 9.0 Asian 0.0 7.0 14.0 21.0 28.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 15.5 14.7 13.9 16.3 15.8 10.8 25.3 16.2 American Indian or Alaska Native 11.8 9.2 -5.2 17.3 -31.6 -36.0 -22.0 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 9.0 2.4 -73.3 83 6-6 DRUG-INDUCED 2011 21.6 White nonHispanic 16.8 ALL GROUPS 12.6 Black 10.9 Hispanic 9.6 American Indian 1.8 Asian 0.0 5.0 10.0 15.0 20.0 25.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 13.8 Black 12.4 White nonHispanic 11.3 ALL GROUPS 9.4 Hispanic 9.3 American Indian 0.9 Asian 0.0 5.0 10.0 15.0 20.0 25.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 84 11.3 16.8 12.4 21.6 9.4 10.9 13.8 12.6 American Indian or Alaska Native 9.3 9.6 48.7 74.2 16.0 -8.7 3.2 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 0.9 1.8 100.0 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 6-7 ALCOHOL-INDUCED 2011 64.1 American Indian 14.3 ALL GROUPS 14.3 Hispanic 12.5 White nonHispanic 6.0 Black Asian 1.9 0.0 13.0 26.0 39.0 52.0 65.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 8.4 14.3 6.8 12.5 9.1 14.3 7.9 6.0 American Indian or Alaska Native 41.5 64.1 70.2 83.8 57.1 -24.1 54.5 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 1.1 1.9 72.7 85 6-8 INTENTIONAL SELF-HARM (SUICIDE) 2011 22.0 White nonHispanic 17.2 ALL GROUPS 14.9 American Indian 9.1 Black 8.1 Hispanic 5.3 Asian 0.0 4.0 8.0 12.0 16.0 20.0 24.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 15.4 American Indian 12.8 White nonHispanic 11.5 ALL GROUPS 9.4 Asian 9.2 Black 5.9 Hispanic 0.0 4.0 8.0 12.0 16.0 20.0 24.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 86 11.5 17.2 12.8 22.0 5.9 8.1 9.2 9.1 American Indian or Alaska Native 15.4 14.9 49.6 71.9 37.3 -1.1 -3.2 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 9.4 5.3 -43.6 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 6-9 ASSAULT (HOMICIDE) 2011 16.5 Black 11.9 American Indian 7.9 Hispanic 6.1 ALL GROUPS 3.9 Asian 3.5 White nonHispanic 0.0 6.0 12.0 18.0 24.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2001 22.2 Black 17.2 American Indian 15.5 Hispanic 8.7 ALL GROUPS 4.9 Asian 4.3 White nonHispanic 0.0 6.0 12.0 18.0 24.0 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 8.7 6.1 4.3 3.5 15.5 7.9 22.2 16.5 American Indian or Alaska Native 17.2 11.9 -29.9 -18.6 -49.0 -25.7 -30.8 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 4.9 3.9 -20.4 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 Racial/Ethnic Groups, Arizona 2011 89 7-1 CHILDREN 1-14 YEARS OLD 2011 32.4 Black 21.9 American Indian 17.5 ALL GROUPS 16.4 Hispanic 15.4 White nonHispanic 10.6 Asian 0.0 12.0 24.0 36.0 48.0 60.0 72.0 60.0 72.0 Note: Number of deaths per 100,000 children 1-14 years. 2001 71.0 American Indian 43.2 Black 31.9 Asian 28.8 ALL GROUPS 26.3 Hispanic 23.9 White nonHispanic 0.0 12.0 24.0 36.0 48.0 Note: Number of deaths per 100,000 children 1-14 years. COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 children 1-14 years old by race/ethnicity Year 2001 2011 % change from 2001 28.8 17.5 23.9 15.4 26.3 16.4 43.2 32.4 American Indian or Alaska Native 71.0 21.9 -39.2 -35.6 -37.6 -25.0 -69.2 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 31.9 10.6 -66.8 91 7-2 ADOLESCENTS 15-19 YEARS OLD 2011 114.2 American Indian 49.7 ALL GROUPS 45.8 White nonHispanic 44.1 Hispanic 39.8 Black 15.2 Asian 0.0 40.0 80.0 120.0 160.0 200.0 240.0 280.0 240.0 280.0 Note: Number of deaths per 100,000 adolescents 15-19 years. 2001 265.2 American Indian 86.6 ALL GROUPS 82.7 Hispanic 73.2 Black 70.2 White nonHispanic 61.9 Asian 0.0 40.0 80.0 120.0 160.0 200.0 Note: Number of deaths per 100,000 adolescents 15-19 years. COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 adolescents 15-19 years old by race/ethnicity Year 2001 2011 % change from 2001 92 86.6 49.7 70.2 45.8 82.7 44.1 73.2 39.8 American Indian or Alaska Native 265.2 114.2 -42.6 -34.8 -46.7 -45.6 -56.9 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 61.9 15.2 -75.4 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 7-3 YOUNG ADULTS 20-44 YEARS OLD 2011 276.5 American Indian 152.4 Black 136.0 White nonHispanic 133.6 ALL GROUPS 102.4 Hispanic 46.1 Asian 0.0 75.0 150.0 225.0 300.0 375.0 300.0 375.0 Note: Number of deaths per 100,000 young adults 20-44 years. 2001 373.2 American Indian 250.1 Black 158.2 ALL GROUPS 147.5 Hispanic 145.2 White nonHispanic 60.6 Asian 0.0 75.0 150.0 225.0 Note: Number of deaths per 100,000 young adults 20-44 years. COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 young adults 20-44 years old by race/ethnicity Year 2001 2011 % change from 2001 158.2 133.6 145.2 136.0 147.5 102.4 250.1 152.4 American Indian or Alaska Native 373.2 276.5 -15.5 -6.3 -30.6 -39.1 -25.9 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 60.6 46.1 -23.9 93 7-4 MIDDLE-AGE ADULTS 45-64 YEARS OLD 2011 759.3 Black 726.8 American Indian 611.6 White nonHispanic 595.0 ALL GROUPS 473.9 Hispanic 319.3 Asian 0.0 200.0 400.0 600.0 800.0 1000.0 Note: Number of deaths per 100,000 middle-age adults 45-64 years. 2001 996.1 Black 981.4 American Indian 632.1 ALL GROUPS 631.9 White nonHispanic 545.9 Hispanic 312.2 Asian 0.0 200.0 400.0 600.0 800.0 1000.0 Note: Number of deaths per 100,000 middle-age adults 45-64 years. COMPARATIVE RATES FOR 2001 AND 2011 Number of deaths per 100,000 middle-age adults 45-64 years old by race/ethnicity Year 2001 2011 % change from 2001 94 632.1 595.0 631.9 611.6 545.9 473.9 996.1 759.3 American Indian or Alaska Native 981.4 726.8 -5.9 -3.2 -13.2 -23.8 -25.9 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 312.2 319.3 2.3 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 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 Racial/Ethnic Groups, Arizona 2011 95 8-1 MEDIAN AGE AT DEATH FROM ALL CAUSES 2011 79.0 White nonHispanic 77.0 ALL GROUPS 72.0 Asian 68.0 Hispanic 66.0 Black 60.0 American Indian 0.0 15.0 30.0 45.0 60.0 75.0 90.0 60.0 75.0 90.0 2001 78.0 White nonHispanic 76.0 ALL GROUPS 68.5 Asian 65.0 Hispanic 63.0 Black 56.0 American Indian 0.0 15.0 30.0 45.0 MEDIAN AGE AT DEATH IN 2001 AND 2011 By race/ethnicity Year 2001 2011 % change from 2001 76.0 77.0 78.0 79.0 65.0 68.0 63.0 66.0 American Indian or Alaska Native 56.0 60.0 1.3 1.3 4.6 4.8 7.1 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 68.5 72.0 5.1 97 8-2 MEDIAN AGE AT DEATH FROM ALL CAUSES AMONG MALES 2011 76.0 White nonHispanic 73.0 ALL GROUPS 69.0 Asian 64.0 Black 63.0 Hispanic 54.0 American Indian 0.0 20.0 40.0 60.0 80.0 60.0 80.0 2001 75.0 White nonHispanic 73.0 ALL GROUPS 68.0 Asian 59.0 Hispanic 58.0 Black 49.0 American Indian 0.0 20.0 40.0 MEDIAN AGE AT DEATH AMONG MALES IN 2001 AND 2011 By race/ethnicity Year 2001 2011 % change from 2001 98 73.0 73.0 75.0 76.0 59.0 63.0 58.0 64.0 American Indian or Alaska Native 49.0 54.0 0.0 1.3 6.8 10.3 10.2 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 68.0 69.0 1.5 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 8-3 MEDIAN AGE AT DEATH FROM ALL CAUSES AMONG FEMALES 2011 82.0 White nonHispanic 81.0 ALL GROUPS 75.0 Asian 75.0 Hispanic 69.0 Black 67.0 American Indian 0.0 15.0 30.0 45.0 60.0 75.0 90.0 60.0 75.0 90.0 2001 80.0 White nonHispanic 79.0 ALL GROUPS 71.0 Hispanic 69.0 Asian 69.0 Black 65.0 American Indian 0.0 15.0 30.0 45.0 MEDIAN AGE AT DEATH AMONG FEMALES IN 2001 AND 2011 By race/ethnicity Year 2001 2011 % change from 2001 79.0 81.0 80.0 82.0 71.0 75.0 69.0 69.0 American Indian or Alaska Native 65.0 67.0 2.5 2.5 5.6 0.0 3.1 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 69.0 75.0 8.7 99 8-4 PERCENT OF TOTAL DEATHS BEFORE EXPECTED YEARS OF LIFE REACHED 2011 77.7 American Indian 74.4 Black 67.4 Hispanic 66.3 Asian 53.8 ALL GROUPS 49.6 White nonHispanic 0.0 20.0 40.0 60.0 80.0 60.0 80.0 2001 79.1 American Indian 73.0 Black 71.2 Hispanic 69.9 Asian 51.0 ALL GROUPS 46.2 White nonHispanic 0.0 20.0 40.0 DEATHS BEFORE EXPECTED YEARS OF LIFE REACHED IN 2001 AND 2011 By race/ethnicity Year 2001 2011 % change from 2001 100 51.0 53.8 46.2 49.6 71.2 67.4 73.0 74.4 American Indian or Alaska Native 79.1 77.7 5.5 7.4 -5.3 1.9 -1.8 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 69.9 66.3 -5.2 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 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 Racial/Ethnic Groups, Arizona 2011 101 9-1 RATES OF EARLY SYPHILIS 2011 23.8 Black 10.5 American Indian 10.3 Hispanic 7.2 ALL GROUPS 4.8 White nonHispanic Asian 1.8 0.0 11.0 22.0 33.0 44.0 55.0 33.0 44.0 55.0 2001 52.4 Black 16.6 Hispanic 15.1 American Indian 8.4 ALL GROUPS 2.6 White nonHispanic Asian 0.0 0.0 11.0 22.0 COMPARATIVE RATES FOR 2001 AND 2011 Number of reported cases per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 8.4 7.2 2.6 4.8 16.6 10.3 52.4 23.8 American Indian or Alaska Native 15.1 10.5 -14.3 84.6 -38.0 -54.6 -30.5 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 0.0 1.8 NA 103 9-2 RATES OF GONORRHEA 2011 2001 558.5 Black 115.5 American Indian 99.7 Hispanic 73.9 ALL GROUPS 32.4 White nonHispanic 10.8 Asian 0.0 100.0 200.0 300.0 400.0 500.0 600.0 COMPARATIVE RATES FOR 2001 AND 2011 Number of reported cases per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 104 73.9 71.4 32.4 28.9 99.7 67.1 558.5 415.7 American Indian or Alaska Native 115.5 162.8 -3.4 -10.8 -32.7 -25.6 41.0 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 10.8 19.9 84.3 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 9-3 RATES OF CHLAMYDIA 2011 1146.4 Black 1129.6 American Indian 533.0 Hispanic 457.6 ALL GROUPS 186.8 White nonHispanic 132.5 Asian 0.0 300.0 600.0 900.0 1200.0 900.0 1200.0 2001 756.7 Black 738.9 American Indian 466.4 Hispanic 270.4 ALL GROUPS 116.5 White nonHispanic 113.7 Asian 0.0 300.0 600.0 COMPARATIVE RATES FOR 2001 AND 2011 Number of reported cases per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 270.4 457.6 116.5 186.8 466.4 533.0 756.7 1146.4 American Indian or Alaska Native 738.9 1129.6 69.2 60.3 14.3 51.5 52.9 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 113.7 132.5 16.5 105 9-4 RATES OF GENITAL HERPES 2011 83.6 Black 68.4 American Indian 33.7 ALL GROUPS 30.0 Hispanic 22.5 White nonHispanic 8.2 Asian 0.0 15.0 30.0 45.0 60.0 75.0 90.0 60.0 75.0 90.0 2001 43.3 Black 27.9 American Indian 23.8 Hispanic 22.1 ALL GROUPS 17.7 White nonHispanic 13.7 Asian 0.0 15.0 30.0 45.0 COMPARATIVE RATES FOR 2001 AND 2011 Number of reported cases per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 106 22.1 33.7 17.7 22.5 23.8 30.0 43.3 83.6 American Indian or Alaska Native 27.9 68.4 52.5 27.1 26.1 93.1 145.2 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 13.7 8.2 -40.1 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 9-5 RATES OF HIV/AIDS 2011 29.9 Black 11.4 American Indian 11.4 Hispanic 9.2 ALL GROUPS 8.0 Asian 6.4 White nonHispanic 0.0 5.0 10.0 15.0 20.0 25.0 30.0 20.0 25.0 30.0 2001 29.4 Black 7.0 ALL GROUPS American Indian 6.8 White nonHispanic 6.4 6.3 Hispanic 3.9 Asian 0.0 5.0 10.0 15.0 COMPARATIVE RATES FOR 2001 AND 2011 Number of reported HIV/AIDS cases per 100,000 population by race/ethnicity Year 2001 2011 % change from 2001 7.0 9.2 6.4 6.4 6.3 11.4 29.4 29.9 American Indian or Alaska Native 6.8 11.4 31.4 0.0 81.0 1.7 67.6 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander 3.9 8.0 105.1 107 COMPARATIVE RATES AND RATIOS FOR 2001-2011 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 109 COMPARATIVE RATES AND RATIOS FOR 2001 – 2011 1. TEEN PREGNANCIES (Number of pregnancies per 1,000 females in specified age group) Indicator ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Figure 1-1 - Pregnancies among females 19 and younger 2011 23.0 11.8 30.2 24.9 29.2 2010 24.7 15.9 33.8 29.5 37.0 9.1 9.9 2009 28.0 15.6 43.5 33.3 34.7 11.6 2008 31.6 17.5 49.4 37.7 35.5 13.5 2007 34.4 19.0 55.3 36.1 39.1 15.3 2006 34.1 18.9 56.0 32.6 36.2 12.9 2005 32.7 15.8 55.5 43.5 40.8 16.2 2004 34.6 17.7 59.2 44.2 39.7 19.3 2003 34.5 18.2 57.5 45.4 39.9 19.2 2002 35.2 20.1 57.6 42.5 36.6 19.1 2001 36.0 21.1 59.1 45.1 36.7 20.3 Figure 1-2 - Pregnancies among females 14 and younger 2011 0.7 0.2 0.9 0.9 0.8 0.5 2010 0.7 0.3 0.9 1.1 1.2 0.2 2009 0.7 0.3 1.1 0.8 1.0 0.5 2008 1.0 0.3 1.7 1.6 1.4 0.5 2007 1.5 0.9 1.9 2.3 2.0 0.7 2006 1.1 0.4 1.9 1.4 1.1 0.8 2005 1.1 0.3 2.2 1.6 1.5 0.3 2004 1.1 0.3 2.3 1.6 1.4 0.6 2003 1.4 0.4 2.6 1.2 2.5 0.6 2002 1.3 0.4 2.5 2.4 1.3 0.3 2001 1.3 0.5 2.5 2.2 1.4 0.0 Figure 1-3 - Pregnancies among females 15-17 years old 2011 22.1 9.6 31.8 22.3 28.8 7.2 2010 25.5 12.9 38.9 27.3 40.5 8.3 2009 28.5 12.3 51.3 31.6 36.9 8.2 2008 34.6 14.9 62.7 37.2 38.1 11.6 2007 36.9 15.6 68.5 36.9 42.4 12.0 2006 39.0 17.2 72.7 36.1 41.5 13.0 2005 39.1 14.9 72.9 51.6 55.0 16.2 2004 42.0 16.9 79.7 53.0 53.2 20.2 2003 41.6 17.5 76.5 59.8 52.0 22.0 2002 42.2 20.2 77.0 47.0 45.1 14.6 2001 43.2 20.8 79.7 57.5 43.5 22.8 Figure 1-4 - Pregnancies among females 18-19 years old 2011 77.2 40.8 104.0 84.0 94.2 32.7 2010 80.8 53.9 112.6 97.0 111.0 35.5 2009 102.5 59.6 164.2 141.7 114.0 48.7 2008 111.3 65.3 177.2 155.7 115.2 53.5 2007 121.4 70.3 201.2 144.1 124.9 62.2 2006 115.6 68.6 188.1 118.1 119.8 45.0 2005 103.6 55.1 168.9 144.8 137.0 47.6 2004 108.7 61.2 177.4 149.8 134.2 55.0 2003 108.2 62.9 172.7 147.5 134.2 52.1 2002 111.2 67.9 172.8 148.0 130.1 61.6 2001 113.2 71.7 176.0 146.4 133.4 57.1 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 111 2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS (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 2-1 - Unmarried mothers 112 2011 44.3 2010 44.7 2009 45.2 2008 45.1 2007 45.0 2006 43.9 2005 42.8 2004 41.9 2003 41.2 2002 40.2 2001 39.4 Figure 2-2 - Tobacco use during pregnancy 29.5 29.9 29.7 29.5 28.4 27.7 26.1 24.8 25.1 25.0 24.5 56.6 56.2 56.9 56.5 56.7 55.4 54.3 53.9 52.7 52.2 51.0 63.6 63.1 62.7 62.6 61.9 62.3 61.9 62.0 62.7 61.8 64.2 77.1 77.7 76.9 75.8 75.9 74.8 72.9 73.1 72.4 69.7 70.1 17.3 17.4 15.8 17.4 17.6 16.2 17.0 15.8 16.3 15.5 17.0 2011 4.3 2010 4.7 2009 4.8 2008 4.9 2007 4.7 2006 5.1 2005 5.4 2004 5.8 2003 5.8 2002 6.3 2001 6.8 Figure 2-3 - Alcohol use during pregnancy 6.7 7.5 8.0 8.4 8.3 8.8 9.3 9.4 9.4 10.7 11.0 1.6 1.7 1.8 1.6 1.6 1.8 1.9 2.1 2.1 2.1 2.4 6.7 6.9 7.0 7.3 6.8 7.2 7.7 9.0 8.7 9.7 10.7 2.4 2.5 2.6 2.8 3.1 3.6 3.4 3.7 3.2 3.3 4.0 1.5 1.7 1.7 1.6 1.9 1.8 2.2 2.4 2.8 2.3 2.7 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 Figure 2-4 - Chronic hypertension 0.5 0.5 0.5 0.5 0.6 0.6 0.8 0.5 0.9 0.9 0.9 0.6 0.5 0.6 0.7 0.7 0.8 1.1 0.6 1.1 1.0 1.0 0.2 0.2 0.4 0.4 0.2 0.3 0.3 0.2 0.4 0.4 0.5 0.6 0.8 0.6 0.5 0.6 0.6 0.7 0.4 1.3 1.2 1.6 1.5 1.9 1.4 1.3 1.8 1.9 2.2 1.4 2.4 2.6 2.6 0.4 0.4 0.2 0.4 0.2 0.4 0.4 0.3 0.5 0.2 0.4 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 Figure 2-5 - Dysfunctional labor 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 0.8 0.9 0.8 0.8 0.6 0.6 0.4 0.4 0.3 0.4 0.4 0.8 0.9 0.8 0.8 0.6 0.6 0.5 0.4 0.4 0.4 0.4 0.7 0.6 0.6 0.6 0.5 0.4 0.3 0.2 0.2 0.2 0.2 1.7 1.8 1.6 1.7 1.1 1.0 1.0 0.4 0.5 0.7 0.7 1.2 1.5 1.6 1.4 1.5 1.4 1.0 0.8 0.7 0.8 1.3 0.6 0.6 0.9 0.4 0.5 0.5 0.5 0.4 0.3 0.2 0.2 1.6 1.9 1.6 1.4 1.1 1.0 1.2 0.9 0.8 1.0 1.2 1.6 2.1 1.8 1.4 1.2 1.1 1.4 1.0 0.9 1.1 1.4 1.3 1.4 1.2 1.1 0.8 0.6 0.8 0.6 0.5 0.7 0.6 1.5 2.1 1.5 1.8 1.1 1.0 1.0 0.8 0.8 1.2 1.2 3.3 2.6 2.5 3.3 2.9 2.5 3.0 2.9 2.4 2.7 3.0 1.8 2.3 2.5 1.4 1.3 1.4 1.5 1.0 0.6 1.3 1.7 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 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 2-6 - Anemia during pregnancy 2011 3.6 2010 3.8 2009 3.6 2008 3.9 2007 3.0 2006 2.0 2005 2.0 2004 2.2 2003 2.0 2002 1.8 2001 1.6 Figure 2-7 - Diabetes during pregnancy 3.7 4.0 3.7 4.3 3.3 1.7 2.0 2.4 2.3 1.9 1.5 2.8 3.0 2.6 2.9 2.0 1.6 1.5 1.5 1.2 1.1 1.0 5.9 6.2 6.0 6.3 4.3 2.3 3.5 2.5 2.8 2.7 1.7 6.0 6.0 7.2 7.2 6.8 6.6 5.6 5.5 5.5 5.1 6.0 2.6 3.5 3.0 3.4 2.4 1.5 1.6 1.5 1.7 1.1 1.6 2011 4.6 2010 4.2 2009 3.9 2008 3.9 2007 3.4 2006 3.2 2005 3.0 2004 2.5 2003 2.1 2002 2.3 2001 2.2 Figure 2-8 - Pregnancy-associated hypertension 3.4 3.2 3.0 2.9 2.7 2.5 2.2 2.0 1.8 1.9 1.8 5.1 4.5 4.0 4.1 3.3 3.2 2.9 2.1 1.8 2.2 2.0 3.8 3.4 2.9 2.9 3.0 2.7 2.3 1.9 2.2 2.0 1.8 9.3 7.8 8.2 8.2 8.0 7.2 8.2 7.6 6.0 6.5 6.2 7.5 6.8 6.1 6.8 5.9 4.5 4.7 3.9 3.0 2.9 3.9 2011 4.2 2010 3.9 2009 3.6 2008 3.5 2007 3.1 2006 2.9 2005 3.1 2004 2.9 2003 2.8 2002 2.5 2001 2.6 Figure 2-9 - Genital herpes during pregnancy 4.5 4.1 4.2 4.0 3.7 3.3 3.8 3.6 3.4 3.0 3.1 3.5 3.3 2.7 2.7 2.2 2.1 2.1 1.9 1.9 1.7 1.7 5.2 4.6 4.3 4.5 3.5 3.5 3.0 2.8 2.7 2.5 2.4 6.3 6.1 5.5 5.9 5.8 5.9 5.8 5.4 5.7 4.6 5.7 3.1 3.2 2.5 3.0 2.4 1.8 2.4 2.3 1.9 1.5 1.8 2011 1.0 2010 1.0 2009 1.0 2008 1.0 2007 0.7 2006 0.7 2005 0.7 2004 0.7 2003 0.6 2002 0.7 2001 0.8 Figure 2-10 - Weight gain of less than 21 pounds 2011 26.4 2010 26.8 2009 26.9 2008 25.9 2007 25.3 2006 25.5 2005 24.4 2004 20.6 2003 19.7 2002 19.3 2001 18.5 1.4 1.4 1.5 1.5 1.2 1.1 1.2 1.2 1.0 1.1 1.3 0.6 0.6 0.6 0.5 0.3 0.3 0.3 0.3 0.2 0.2 0.3 1.5 1.7 1.2 1.3 0.8 1.0 1.1 0.8 1.0 1.2 1.2 0.7 0.7 0.6 0.9 0.5 0.4 0.5 0.4 0.5 0.3 0.3 0.8 0.7 0.6 0.6 0.5 0.4 0.7 0.4 0.5 0.4 0.7 20.1 20.0 19.7 18.6 18.1 18.5 16.9 15.1 14.5 15.4 14.9 32.2 32.7 33.1 32.3 31.2 31.3 30.1 24.3 22.9 22.1 20.9 30.0 31.3 31.0 27.2 27.5 28.2 27.9 23.4 23.3 19.3 21.3 35.6 35.2 34.6 32.9 31.9 33.4 32.4 28.5 31.9 28.2 28.8 22.5 23.1 21.8 20.3 19.4 21.0 18.7 18.4 16.0 16.3 16.0 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 113 3. UTILIZATION OF PRENATAL CARE SERVICES (Per 100 live births) Indicator ALL ARIZONA RESIDENTS Figure 3-1 - No care in the 1 st trimester 2011 18.3 2010 18.1 2009 19.7 2008 20.6 2007 22.4 2006 22.3 2005 22.3 2004 23.7 2003 24.4 2002 24.3 2001 24.5 Figure 3-2 - Fewer than five prenatal visits 2011 5.0 2010 4.9 2009 5.3 2008 5.4 2007 6.0 2006 6.4 2005 6.5 2004 7.4 2003 7.2 2002 6.6 2001 9.4 Figure 3-3 - No prenatal care 2011 1.6 2010 1.6 2009 1.8 2008 1.8 2007 2.2 2006 2.4 2005 2.3 2004 2.8 2003 2.9 2002 2.2 2001 1.9 4. White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander 12.0 11.8 12.1 12.7 13.5 13.1 12.3 12.7 13.2 13.5 13.8 23.5 23.4 25.9 26.6 29.5 29.9 30.5 33.0 34.2 34.4 34.7 19.6 18.4 19.7 22.4 23.2 22.6 24.4 24.2 24.3 24.8 26.2 31.4 30.6 34.0 34.9 34.1 34.1 32.1 31.0 31.2 35.6 35.4 13.5 11.9 11.9 13.6 13.5 13.9 13.7 15.3 15.8 15.7 17.3 2.3 2.3 2.5 2.7 3.0 2.9 2.8 2.8 2.9 2.9 5.1 6.9 6.8 7.4 6.9 8.1 8.8 19.2 11.0 10.4 9.9 13.2 5.6 5.8 5.3 5.8 7.1 6.4 13.4 7.9 7.6 6.0 11.8 11.5 11.0 10.7 12.4 12.0 13.2 12.6 12.1 11.8 12.4 14.5 3.3 3.1 3.4 3.7 3.3 3.2 3.5 4.4 4.5 3.3 5.4 0.6 0.6 0.7 0.7 0.9 0.9 0.8 0.7 0.6 0.7 0.6 2.5 2.6 2.9 2.5 3.2 3.6 6.7 4.5 4.8 3.8 3.2 1.6 1.7 1.6 2.1 2.7 2.3 4.4 3.3 3.5 1.7 1.6 2.5 2.3 2.1 3.1 3.2 3.5 3.0 3.0 2.4 2.6 1.9 1.0 1.2 1.3 1.3 1.5 1.2 1.0 1.5 1.6 1.1 1.1 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 114 2011 0.3 0.3 0.3 0.4 0.2 0.1 2010 0.4 0.5 0.4 0.8 0.2 0.3 2009 0.5 0.6 0.4 0.7 0.2 0.3 2008 0.5 0.7 0.4 0.4 0.3 0.6 2007 0.4 0.5 0.2 0.6 0.2 0.4 2006 0.2 0.3 0.2 0.4 0.3 0.2 2005 0.3 0.4 0.1 0.5 0.3 0.2 2004 0.3 0.4 0.2 0.3 0.4 0.3 2003 0.3 0.5 0.2 0.2 0.3 0.3 2002 0.5 0.7 0.3 0.5 0.4 0.8 2001 0.3 0.4 0.2 0.5 0.4 0.3 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 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 4-2 - Newborn intensive care 2011 5.4 5.6 2010 6.2 6.3 2009 6.2 6.5 2008 6.0 6.5 2007 5.1 5.7 2006 5.1 5.7 2005 5.7 6.5 2004 5.7 6.4 2003 5.4 6.2 2002 5.6 6.3 2001 5.7 5.9 Figure 4-3 - Born too early (preterm or <37 weeks) 2011 9.3 9.1 2010 9.7 9.3 2009 10.0 9.9 2008 10.2 10.1 2007 10.3 10.4 2006 10.6 10.5 2005 10.7 10.9 2004 11.0 11.4 2003 10.5 11.0 2002 10.0 10.5 2001 9.9 10.1 Figure 4-4 - Born too small: low-birthweight (<2,500 grams) 2011 7.0 6.7 2010 7.1 6.7 2009 7.1 6.9 2008 7.1 6.9 2007 7.1 7.1 2006 7.1 6.7 2005 6.9 6.9 2004 7.2 7.2 2003 7.1 6.9 2002 6.8 6.7 2001 7.0 6.7 Figure 4-5 - Born too small: very low-birthweight (<1,500 grams) 2011 1.2 1.1 2010 1.1 0.9 2009 1.2 1.1 2008 1.2 1.1 2007 1.2 1.1 2006 1.2 1.1 2005 1.2 1.1 2004 1.2 1.1 2003 1.1 1.1 2002 1.1 1.2 2001 1.1 1.0 Figure 4-6 - Incidence of congenital anomalies (birth defects) 2011 1.1 1.1 2010 0.6 0.6 2009 0.6 0.7 2008 0.9 0.9 2007 0.8 0.9 2006 0.9 0.9 2005 1.0 1.0 2004 1.0 1.0 2003 1.0 1.0 2002 1.3 1.4 2001 1.3 1.4 Black or African American American Indian or Alaska Native Asian or Pacific Islander 5.2 5.8 5.8 5.4 4.5 4.4 5.1 5.2 4.7 5.0 5.4 7.5 8.1 9.2 7.6 7.3 7.0 7.4 7.2 7.0 7.2 9.0 4.3 5.6 4.7 4.9 4.5 4.8 5.1 4.4 4.2 4.8 4.6 5.2 6.0 6.2 6.7 4.9 4.9 5.4 5.8 5.6 5.7 5.6 9.1 9.5 9.7 9.9 9.8 10.1 10.1 10.3 9.8 9.4 9.4 12.7 12.3 14.4 14.0 14.9 14.5 16.4 14.4 14.4 14.0 14.8 9.0 10.7 9.6 9.8 10.4 11.7 10.6 10.9 9.8 9.6 10.1 9.0 10.0 10.0 10.0 9.6 10.4 10.2 11.0 10.8 11.0 9.8 6.4 6.8 6.6 6.7 6.6 6.9 6.4 6.8 6.9 6.4 6.7 12.5 11.4 12.8 11.7 12.8 12.7 12.6 11.6 11.7 11.9 13.7 6.9 7.0 6.4 6.7 6.6 7.4 7.3 7.2 6.8 6.5 7.3 8.3 8.5 8.8 9.1 8.0 8.5 8.0 8.0 8.5 8.6 7.7 1.1 1.1 1.1 1.1 1.2 1.2 1.2 1.2 1.1 1.0 1.0 2.5 2.6 2.8 2.6 2.6 2.3 2.5 2.5 2.2 2.5 2.7 1.3 1.2 0.9 1.1 1.0 1.1 1.1 0.9 0.9 0.9 1.0 1.1 1.4 1.5 1.5 1.0 1.1 1.2 1.1 1.5 1.2 0.9 1.1 0.7 0.6 0.9 0.7 0.8 0.9 1.0 1.0 1.1 1.1 1.0 0.6 0.7 0.8 0.7 0.8 0.9 0.6 1.0 1.2 1.4 1.4 0.6 0.8 0.9 1.4 1.2 1.5 1.6 1.3 2.2 1.9 0.8 0.5 0.4 0.7 0.8 0.5 1.2 0.7 1.0 0.9 1.3 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 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 Figure 4-7 - Infant mortality 2011 5.9 4.5 2010 6.0 3.9 2009 5.9 4.8 2008 6.3 5.1 2007 6.8 5.6 2006 6.3 5.4 2005 6.8 6.2 2004 6.7 5.4 2003 6.5 5.4 2002 6.3 5.9 2001 6.9 5.7 Figure 4-8 - Sudden Infant Death Syndrome (SIDS) 2011 0.3 0.2 2010 0.4 0.3 2009 0.5 0.3 2008 0.2 0.1 2007 0.4 0.5 2006 0.4 0.5 2005 0.3 0.3 2004 0.3 0.3 2003 0.3 0.3 2002 0.4 0.4 2001 0.4 0.4 Figure 4-9 - Mortality of infants from low birthweight/short gestation 2011 0.7 0.5 2010 0.7 0.3 2009 1.1 0.8 2008 0.9 0.6 2007 0.9 0.5 2006 0.9 0.6 2005 0.8 0.5 2004 0.9 0.7 2003 0.9 0.6 2002 1.1 0.9 2001 0.9 0.6 Figure 4-10 - Neonatal mortality 2011 3.9 3.1 2010 3.8 2.5 2009 3.9 3.2 2008 4.2 3.3 2007 4.7 3.8 2006 4.3 3.7 2005 4.4 4.1 2004 4.5 3.9 2003 4.3 3.7 2002 4.1 3.9 2001 4.5 4.0 Figure 4-11 - Postneonatal mortality 2011 2.0 1.3 2010 2.2 1.4 2009 2.0 1.6 2008 2.1 1.8 2007 2.2 1.8 2006 2.0 1.7 2005 2.4 2.1 2004 2.2 1.4 2003 2.2 1.7 2002 2.2 2.0 2001 2.4 1.7 116 Black or African American American Indian or Alaska Native Asian or Pacific Islander 7.1 6.8 5.6 5.9 7.4 6.6 7.0 7.7 7.0 6.6 6.7 7.3 11.1 17.1 17.7 15.1 16.8 12.8 12.1 15.9 13.1 22.7 7.4 8.1 8.4 8.2 8.1 6.4 8.3 7.2 7.5 7.0 10.7 2.9 3.9 3.8 7.9 3.2 2.2 5.3 3.8 4.4 4.0 3.8 0.3 0.3 0.4 0.1 0.3 0.2 0.3 0.3 0.3 0.3 0.2 0.5 0.5 1.8 0.9 1.0 0.8 0.6 0.6 0.7 2.2 2.9 0.3 0.9 0.8 0.6 0.6 0.3 0.6 0.0 0.3 0.4 0.4 0.0 0.3 0.3 0.3 0.0 0.3 0.7 0.0 0.0 0.0 0.0 0.8 1.0 1.3 0.8 1.2 1.1 1.2 1.1 1.1 1.3 1.1 1.1 2.5 3.0 3.5 2.4 2.6 1.2 2.2 3.6 2.6 4.0 1.2 1.0 0.5 0.6 0.8 1.1 0.5 0.5 0.9 0.7 0.4 0.6 0.0 0.6 2.0 0.9 0.6 0.0 0.0 0.4 0.0 0.0 4.7 4.5 3.9 4.1 5.2 4.7 4.9 5.1 4.9 4.6 4.5 4.6 7.4 10.5 11.9 10.3 9.6 5.5 7.8 10.3 5.8 15.0 3.3 3.8 4.2 4.6 4.2 4.0 4.3 3.4 3.1 3.6 4.1 2.9 3.3 2.9 6.4 2.6 1.0 3.2 2.7 2.0 3.1 2.4 2.4 2.3 1.7 1.8 2.2 1.9 2.1 2.6 2.1 2.0 2.2 2.7 3.7 6.6 5.8 4.8 7.2 7.3 4.4 5.6 7.3 7.7 4.1 4.3 4.2 3.6 3.9 2.4 4.0 3.8 4.4 3.4 6.6 0.0 0.6 0.9 1.5 0.6 1.2 2.1 1.1 2.4 0.9 1.4 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 5. MORTALITY FROM NATURAL CAUSES - Chronic or infectious diseases (Number of deaths per 100,000 population age-adjusted to 2000 standard) Indicator ALL ARIZONA RESIDENTS White nonHispanic Figure 5-1 - Cardiovascular diseases 2011 201.0 2010 188.6 2009 188.8 2008 194.1 2007 194.4 2006 216.4 2005 245.7 2004 248.5 2003 258.4 2002 265.5 2001 267.3 Figure 5-2 - Diseases of the heart 152.7 2011 143.3 2010 2009 145.9 2008 149.3 2007 149.5 2006 166.1 2005 186.9 2004 186.7 2003 197.1 2002 201.0 2001 201.7 Figure 5-3 - Coronary heart disease 120.3 2011 112.9 2010 2009 115.9 2008 118.3 2007 115.0 2006 130.2 2005 147.9 2004 148.7 2003 156.6 2002 159.5 2001 149.3 Figure 5-4 - Cerebrovascular disease 30.6 2011 30.7 2010 2009 28.9 2008 30.3 2007 30.6 2006 34.8 2005 40.6 2004 43.6 2003 43.9 2002 47.0 2001 47.7 Figure 5-5 - Chronic lower respiratory diseases 45.9 2011 42.6 2010 2009 40.5 2008 42.2 2007 39.2 2006 44.3 2005 46.8 2004 41.9 2003 45.4 2002 47.0 2001 46.9 Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander 212.6 188.8 188.3 196.3 196.9 218.2 241.3 243.1 257.2 266.1 265.8 193.4 172.4 179.8 184.8 179.8 203.2 266.1 284.1 278.2 276.3 281.4 266.1 258.5 245.7 219.6 225.9 310.3 343.3 372.5 390.1 329.8 388.1 149.2 183.2 164.2 150.4 155.0 167.0 235.6 214.6 188.6 216.2 234.1 122.4 130.0 150.8 121.4 108.9 136.2 243.0 200.3 145.3 218.4 184.3 164.3 137.4 174.0 111.1 77.0 145.4 121.3 177.7 135.9 86.8 147.5 153.1 153.2 168.8 185.2 184.9 197.7 203.0 202.1 130.5 132.0 131.5 149.8 189.6 197.6 198.5 201.2 206.1 171.3 161.7 171.3 231.9 250.3 258.5 299.4 237.0 273.6 125.8 114.6 115.2 129.4 179.1 166.9 141.9 164.0 177.7 96.7 71.8 58.6 94.7 159.8 135.3 97.6 145.6 116.1 130.6 106.0 142.7 79.6 61.0 114.5 96.3 159.3 98.6 75.6 117.3 121.8 118.0 132.3 147.3 147.3 157.8 161.7 149.8 103.7 103.3 101.7 117.3 147.1 158.2 154.4 159.4 159.7 137.3 131.9 136.6 190.1 211.4 207.5 245.7 181.2 196.9 94.6 83.2 84.6 97.6 133.7 137.5 100.7 119.5 116.4 81.0 61.5 47.9 86.2 113.7 120.6 75.5 104.4 80.7 30.4 34.9 56.5 29.7 29.1 29.4 35.1 53.5 29.8 26.0 27.5 29.2 29.7 34.1 38.8 41.4 41.7 45.9 46.2 33.8 33.6 34.9 37.3 51.0 61.3 61.9 53.9 55.4 42.8 40.0 34.1 58.2 66.0 71.5 69.0 69.6 79.6 24.7 23.5 22.0 27.0 32.3 27.5 36.4 39.4 44.3 39.2 36.2 37.7 18.4 64.6 45.1 35.9 57.6 51.1 55.3 19.5 34.8 14.4 17.2 47.1 18.6 27.4 21.7 12.0 45.0 46.9 43.7 49.2 49.6 45.1 48.3 50.4 51.0 16.4 20.5 18.8 18.3 31.6 22.7 28.7 25.2 17.7 26.8 26.0 18.7 27.3 43.9 24.9 30.3 38.3 37.9 19.2 15.8 13.0 8.4 12.0 10.8 19.4 22.3 26.8 18.0 13.7 7.5 9.9 17.9 21.6 15.5 24.5 21.4 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 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 5-6 - Malignant neoplasms (cancer) 151.3 2011 150.5 2010 2009 147.2 2008 145.5 2007 148.0 2006 154.7 2005 161.8 2004 164.7 2003 169.4 2002 168.6 2001 169.2 Figure 5-7 - Lung cancer 37.8 2011 38.1 2010 2009 39.0 2008 38.5 2007 38.2 2006 42.7 2005 43.0 2004 45.4 2003 47.4 2002 46.6 2001 44.5 Figure 5-8 - Breast cancer (female) 19.7 2011 19.2 2010 2009 19.2 2008 19.8 2007 20.1 2006 21.6 2005 20.7 2004 21.4 2003 22.1 2002 22.2 2001 23.6 Figure 5-9 - Cervical cancer 2.1 2011 2.0 2010 2009 1.8 2008 1.8 2007 1.9 2006 1.7 2005 2.1 2004 2.2 2003 2.2 2002 2.2 2001 2.8 Figure 5-10 - Colorectal cancer 13.4 2011 13.8 2010 2009 12.9 2008 13.1 2007 14.4 2006 14.6 2005 15.4 2004 15.3 2003 17.9 2002 16.5 2001 16.7 118 White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander 170.3 136.3 167.1 100.8 155.6 126.2 182.6 106.4 116.6 96.2 151.1 150.4 154.6 162.8 162.4 165.4 171.2 172.4 173.1 128.4 123.8 118.6 124.7 165.9 161.6 168.5 156.3 155.6 153.1 149.2 153.4 163.5 217.9 227.7 218.5 222.7 213.0 113.3 106.7 113.9 83.1 122.2 139.3 120.7 117.6 121.7 108.1 104.4 84.2 82.0 112.7 111.0 132.9 116.5 147.0 46.7 22.9 36.6 7.9 20.8 41.7 20.6 36.6 7.5 22,.1 42.7 42.3 42.4 47.4 45.9 48.2 50.6 50.1 47.6 23.7 20.0 20.5 21.4 29.0 29.4 33.5 27.7 29.2 38.7 37.1 39.6 45.9 53.0 61.4 59.4 61.2 55.7 10.0 11.2 9.9 4.7 6.5 17.3 13.2 13.1 9.8 26.6 32.7 21.5 18.4 19.7 21.5 21.9 24.7 41.7 20.8 12.2 24.1 7.5 15.6 19.9 18.5 25.8 8.2 12.9 19.8 20.6 20.5 23.2 20.5 21.4 22.3 22.5 24.7 16.4 15.1 16.9 14.0 19.8 18.0 18.9 18.7 17.5 30.7 38.0 23.9 25.7 35.7 32.2 41.2 42.3 55.8 11.6 11.6 16.2 6.9 14.9 18.4 16.4 9.6 11.7 5.9 7.1 11.3 7.5 17.3 35.2 19.6 17.7 12.7 1.6 3.7 2.4 3.1 3.0 1.6 2.8 1.8 5.0 3.5 1.5 1.3 1.6 1.4 1.8 1.6 1.0 1.9 2.5 2.1 3.3 3.2 2.4 4.1 5.0 1.8 3.7 3.9 2.2 3.3 2.3 2.7 1.4 2.8 6.8 2.0 3.5 4.1 4.8 2.3 5.8 3.4 2.0 4.2 4.7 5.4 2.9 0.0 1.2 1.2 4.6 3.6 10.5 2.0 0.0 14.4 13.6 20.2 9.9 14.3 13.9 13.5 21.9 12.4 10.3 12.9 13.2 15.0 15.1 15.2 15.5 17.9 16.9 16.9 13.8 13.2 12.0 14.2 17.6 13.1 21.2 16.2 16.6 14.1 16.4 15.7 14.9 27.0 27.3 26.3 26.4 27.4 8.5 11.1 8.0 4.7 7.5 9.3 6.3 9.1 7.2 13.8 8.6 9.4 6.5 12.5 11.0 3.0 9.7 10.6 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 5. MORTALITY FROM NATURAL CAUSES - Chronic or Infectious Diseases (continued) (Number of deaths per 100,000 population age-adjusted to 2000 standard) Indicator Figure 5-11 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 Figure 5-12 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 Figure 5-13 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 Figure 5-14 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 Figure 5-15 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Prostate cancer 19.8 19.5 20.6 24.1 17.1 5.0 19.1 18.4 23.9 35.2 21.6 12.6 18.4 19.1 18.9 20.1 23.8 24.0 25.1 24.8 24.3 Influenza and pneumonia 18.2 18.9 19.5 19.2 23.5 22.6 25.2 24.1 24.1 20.0 20.3 15.8 25.9 30.6 35.0 22.4 35.3 26.3 28.9 20.5 23.6 34.9 20.4 54.6 41.2 48.6 45.0 16.4 14.7 16.6 16.9 23.5 31.2 21.0 12.5 14.0 2.1 25.5 19.4 24.0 5.1 6.1 7.6 8.4 24.2 9.1 9.7 9.3 12.0 8.1 28.4 10.9 10.3 9.8 9.2 33.2 8.0 14.6 15.6 12.9 18.4 22.3 20.1 23.4 25.0 21.9 13.0 14.6 12.3 17.7 20.5 19.4 21.8 24.3 21.3 15.5 18.3 14.4 20.0 26.5 20.7 27.9 26.1 26.1 14.3 12.4 13.0 18.1 21.6 12.0 30.4 29.2 14.8 42.7 36.3 34.3 32.8 72.0 32.7 58.9 51.7 43.0 16.3 13.5 7.4 21.7 17.5 10.5 16.4 13.2 15.0 24.8 21.6 41.7 57.8 61.3 23.3 20.1 15.2 37.3 50.0 79.3 11.7 12.2 13.8 13.7 15.2 15.5 16.8 16.5 18.0 15.4 28.1 29.1 30.8 40.4 46.0 43.5 39.1 45.6 42.9 31.1 30.8 30.3 43.9 55.2 44.8 53.6 41.0 55.7 54.2 50.8 51.1 43.9 69.9 59.0 55.8 80.8 72.8 16.2 16.1 5.1 10.9 17.8 30.0 15.7 21.9 14.8 13.4 12.0 18.9 6.6 43.6 4.2 12.3 9.7 15.5 8.0 64.6 0.5 12.2 11.7 11.3 11.4 12.7 11.1 11.5 12.1 12.3 9.5 10.0 9.6 9.6 10.7 8.4 9.7 9.9 10.6 18.7 15.4 16.3 15.5 19.4 18.6 17.6 21.6 17.4 3.1 7.5 5.9 7.2 12.8 6.7 3.5 9.8 11.7 54.0 40.7 36.8 43.6 51.2 51.0 38.8 40.5 39.1 3.1 1.8 3.2 3.1 4.9 3.8 3.3 5.3 4.0 1.6 1.2 1.7 5.4 2.0 1.2 1.6 1.3 1.7 5.7 1.9 0.5 1.6 1.8 1.7 2.3 2.4 2.8 3.2 3.1 3.1 1.0 1.5 1.3 2.1 2.0 2.3 2.8 2.5 2.6 2.1 1.9 1.7 2.3 2.5 3.1 4.3 3.2 3.2 8.9 4.9 6.0 7.2 9.2 14.6 8.1 14.3 11.2 3.7 2.2 3.6 1.8 3.1 3.5 3.6 5.5 5.5 0.0 0.6 0.4 0.6 0.5 0.8 1.7 0.0 1.1 Diabetes 15.7 17.0 17.0 18.9 20.1 20.7 20.3 22.3 19.9 Chronic liver disease and cirrhosis HIV disease Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 119 5. MORTALITY FROM NATURAL CAUSES - Chronic or Infectious Diseases (continued) (Number of deaths per 100,000 population age-adjusted to 2000 standard) Indicator Figure 5-16 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 Figure 5-17 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 Figure 5-18 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 Figure 5-19 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 Figure 5-20 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 120 ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Septicemia 4.7 4.2 6.4 6.4 16.5 3.2 7.4 7.5 7.8 4.4 8.1 1.4 7.7 7.9 8.1 8.6 8.4 8.0 8.4 8.3 7.2 6.5 6.7 7.0 7.7 7.3 6.6 7.1 7.3 6.0 8.0 11.0 10.4 11.0 13.0 14.4 12.6 10.5 10.7 13.2 10.9 14.7 14.6 18.2 16.0 11.3 14.8 13.6 31.4 20.6 17.8 17.3 18.2 21.5 25.8 23.4 21.8 9.2 7.1 10.9 5.5 6.2 4.6 6.8 0.0 3.2 35.2 36.3 30.9 54.7 18.1 21.0 35.1 35.5 32.6 46.7 14.9 32.2 29.6 42.5 29.8 28.8 42.7 42.8 43.3 25.1 21.5 10.9 8.5 10.3 15.3 16.2 8.0 5.6 8.8 12.7 18.1 18.4 12.9 8.3 30.2 17.1 11.4 17.4 14.6 8.6 Alzheimer's disease 29.5 30.4 26.9 29.8 30.6 26.3 29.6 30.9 24.1 33.4 34.7 28.0 32.7 33.0 31.3 31.3 32.0 26.6 32.5 33.4 28.2 28.0 28.9 24.7 22.5 23.5 14.7 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 6.0 5.4 8.8 10.0 15.3 7.6 6.3 10.7 16.5 19.9 3.8 6.2 5.6 6.0 7.4 8.5 8.9 8.4 9.7 9.9 14.1 13.2 13.1 14.2 22.5 21.5 18.4 21.6 22.6 16.2 9.8 19.1 9.8 19.8 26.6 20.9 20.8 23.5 19.6 23.5 20.6 23.3 31.4 30.2 24.7 25.8 33.5 1.5 5.3 5.0 5.2 9.2 16.0 16.0 4.7 8.4 10.8 10.5 12.9 29.4 6.9 9.8 6.3 5.4 6.3 17.6 16.3 3.8 6.1 6.4 5.3 6.1 5.9 6.2 6.0 5.4 5.5 9.0 9.5 5.6 8.3 13.2 11.9 7.9 7.3 8.7 22.0 12.3 12.7 12.9 15.6 27.0 14.5 12.5 13.8 7.0 6.7 11.2 8.5 15.8 13.2 5.4 4.9 3.4 10.6 5.0 7.3 14.1 6.8 6.0 9.4 5.1 11.8 699.6 741.5 656.4 833.6 765.5 436.7 679.9 674.4 612.0 835.0 891.8 424.1 653.2 659.6 663.2 727.3 772.5 757.3 784.0 796.4 791.2 647.3 660.1 665.1 728.5 744.6 734.6 764.9 786.7 778.1 614.9 606.9 603.7 685.6 849.2 834.0 839.5 811.1 787.6 736.8 710.7 719.2 885.1 1053.1 1021.7 1048.6 951.5 1050.6 823.5 766.3 752.5 744.5 1006.6 879.2 900.7 975.1 1010.5 472.8 427.0 356.3 393.4 629.5 557.5 497.2 560.4 560.7 7.7 7.1 7.6 8.8 10.4 11.0 10.1 11.3 12.0 Essential (primary) hypertension 6.8 6.9 5.7 6.7 6.8 7.3 6.3 5.6 5.9 Total mortality from all causes Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 6. MORTALITY FROM INJURIES (Number of deaths per 100,000 population age-adjusted to 2000 standard) Indicator ALL ARIZONA RESIDENTS Figure 6-1 - Unintentional injuries 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 Figure 6-2 - Motor vehicle-related 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 Figure 6-3 - Fall-related injuries 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 Figure 6-4 - Drowning mortality 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 Figure 6-5 - Injury by firearms 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander 45.5 46.9 38.9 41.6 100.6 19.7 43.8 45.5 33.7 36.0 99.2 24.6 43.1 44.7 46.6 51.2 51.1 46.0 44.8 45.2 46.6 injuries 43.3 45.4 44.9 48.7 46.2 43.3 40.9 41.5 42.5 35.3 34.2 40.6 52.4 54.8 48.9 44.7 45.5 45.6 36.5 43.1 48.1 54.8 64.3 45.9 52.4 44.0 52.6 92.6 92.6 95.0 97.2 117.8 103.9 108.6 111.0 112.7 24.5 23.7 20.3 19.8 34.2 21.2 25.3 15.5 29.9 12.1 10.4 11.7 11.7 44.2 6.8 11.1 9.2 11.1 10.8 41.7 5.5 11.6 13.6 16.2 19.6 18.9 18.1 18.0 18.5 17.2 10.1 12.0 13.1 16.6 15.0 15.3 14.6 14.7 13.5 10.6 13.1 17.6 21.9 22.7 23.2 21.3 21.1 18.2 12.4 11.5 13.6 15.3 24.9 14.8 15.2 11.9 19.1 36.9 41.9 49.0 56.9 62.6 54.1 59.0 65.9 63.2 6.5 4.4 9.9 5.9 10.2 11.3 11.8 10.1 8.6 11.6 12.0 10.5 8.9 15.8 6.4 11.5 11.9 8.0 2.3 17.5 8.8 10.4 10.8 10.6 11.3 12.0 9.6 8.8 8.6 8.9 10.5 11.0 10.9 11.3 11.9 9.5 9.0 8.7 8.9 9.9 8.6 7.5 12.0 12.1 8.7 5.5 6.6 7.8 3.8 7.1 7.0 7.1 6.5 8.8 6.3 4.9 8.8 15.3 13.4 9.7 9.9 10.4 14.9 12.7 12.9 11.3 10.8 8.7 5.6 7.4 15.0 3.3 7.5 2.7 8.3 1.3 1.3 1.0 2.6 2.2 2.0 1.3 1.5 0.7 0.4 3.0 2.5 1.5 1.2 1.3 1.5 1.4 1.8 1.5 1.2 1.6 1.3 1.0 1.3 1.0 1.1 1.6 1.3 1.3 1.8 1.4 1.1 1.2 1.9 1.3 1.6 1.5 1.2 1.3 2.0 2.4 2.7 2.3 2.9 4.1 2.7 0.5 1.5 3.7 1.9 2.5 1.5 3.4 3.0 2.5 1.3 1.2 1.6 2.0 0.6 2.5 3.2 1.7 0.5 1.9 4.0 14.7 16.3 10.8 16.2 9.2 2.4 14.2 15.3 9.9 15.5 11.7 6.9 12.8 13.5 14.4 15.4 15.2 15.0 14.8 17.3 15.5 13.0 12.6 13.3 13.9 12.0 13.2 12.7 16.2 13.9 10.4 12.1 14.9 15.6 18.4 16.8 15.7 17.0 15.8 16.0 22.4 25.1 21.5 23.4 23.7 23.2 19.1 25.3 8.3 7.6 7.6 8.0 15.6 12.6 15.6 14.6 11.8 4.4 4.6 3.1 2.9 7.5 1.4 1.8 5.8 9.0 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 121 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 6-6 - Drug-induced deaths 2011 16.8 21.6 10.9 12.6 9.6 2010 17.6 22.2 10.2 14.6 12.5 2.2 2009 16.8 20.6 9.9 14.8 13.2 1.8 2008 14.9 18.7 6.8 17.9 10.9 3.3 2007 15.1 18.5 8.7 19.7 8.7 2.9 2006 15.1 17.5 10.4 24.6 10.6 5.1 2005 13.8 14.8 10.6 28.4 12.4 2.1 2004 13.3 14.7 9.4 14.7 14.5 0.8 2003 12.0 12.8 10.5 23.5 8.5 0.0 2002 12.2 13.1 9.8 19.8 13.1 0.0 2001 11.3 12.4 9.4 13.8 9.3 0.9 1.9 1.8 Figure 6-7 - Alcohol-induced deaths 2011 14.3 12.5 14.3 6.0 64.1 2010 14.1 12.0 11.0 7.3 84.8 0.0 2009 12.0 10.0 10.1 7.0 62.1 2.8 2008 11.8 10.6 9.2 7.3 54.3 1.8 2007 11.1 9.4 11.8 6.9 49.3 2.5 2006 10.3 8.7 10.2 5.8 48.1 0.7 2005 11.2 9.9 11.0 6.7 51.1 7.2 3.8 2004 10.0 8.0 9.8 7.3 55.4 2003 10.1 8.3 10.2 6.8 49.3 0.0 2002 9.3 8.2 9.9 10.3 39.4 0.9 2001 8.4 6.8 9.1 7.9 41.5 1.1 22.0 8.1 9.1 14.9 5.3 Figure 6-8 - Intentional self-harm (suicide) 2011 17.2 2010 16.7 20.6 7.4 6.4 18.7 6.8 2009 16.1 18.4 9.0 10.5 15.9 9.9 2008 14.8 17.6 6.5 7.5 13.5 9.9 2007 15.4 18.7 9.2 6.2 9.8 6.1 2006 15.4 17.8 8.2 8.3 13.7 8.4 2005 15.4 16.6 10.5 3.3 17.5 11.7 2004 14.9 16.6 9.8 12.1 17.0 4.0 2003 14.6 16.4 8.2 11.3 15.2 6.0 2002 15.9 18.3 8.3 6.2 17.9 4.1 2001 11.5 12.8 5.9 9.2 15.4 9.4 2011 6.1 3.5 7.9 16.5 11.9 3.9 2010 6.5 3.8 8.0 15.4 18.0 4.1 Figure 6-9 - Assault (homicide) 122 2009 5.5 3.2 8.1 14.2 13.2 0.9 2008 7.1 3.7 10.6 20.7 12.8 3.2 2007 7.7 3.9 12.0 23.4 13.1 2.6 2006 8.5 4.6 13.0 19.6 13.2 2.4 2005 8.2 3.5 14.6 27.4 14.0 5.1 2004 8.2 4.8 13.6 22.3 14.7 1.4 2003 8.3 3.7 14.7 24.9 18.8 5.4 2002 8.6 4.4 15.1 21.3 20.3 3.3 2001 8.7 4.3 15.5 22.2 17.2 4.9 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 7. 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 2011 17.5 15.4 16.4 2010 18.9 18.3 17.2 2009 20.2 15.0 21.9 2008 19.7 14.6 21.0 2007 19.5 14.2 22.1 2006 21.5 18.2 23.5 2005 22.7 17.4 26.3 2004 20.4 17.2 21.0 2003 24.3 21.8 22.1 2002 23.7 18.3 25.0 2001 28.8 23.9 26.3 Figure 7-2 - Mortality of adolescents and young adults 15-19 years old 32.4 18.8 28.5 39.3 29.1 20.2 35.7 39.2 42.5 32.6 43.2 21.9 30.5 35.6 29.4 34.3 33.3 33.4 32.1 45.3 55.8 71.0 10.6 32.6 22.9 17.2 17.5 22.0 18.7 9.7 9.2 15.5 31.9 2011 49.7 45.8 44.1 39.8 114.2 15.2 2010 47.7 39.7 43.1 59.4 115.3 32.7 2009 55.9 44.7 62.2 49.2 102.6 44.4 2008 65.7 47.7 80.0 85.6 111.8 35.8 2007 76.9 66.1 83.9 91.5 124.4 18.1 2006 93.8 72.4 103.0 127.1 188.6 29.1 2005 80.1 68.6 89.2 88.7 137.0 24.6 2004 80.8 64.9 91.1 150.9 134.5 25.4 2003 75.4 51.6 87.5 89.5 196.2 36.2 2002 83.2 64.8 93.8 107.5 195.8 24.3 2001 86.6 70.2 82.7 73.2 265.2 61.9 Figure 7-3 - Mortality among adults 20-44 years old 2011 133.6 136.0 102.4 152.4 276.5 46.1 2010 131.8 133.4 96.9 142.1 358.1 55.5 2009 123.0 120.4 95.7 185.6 332.1 50.5 2008 123.0 119.4 98.2 190.9 287.0 52.2 2007 138.2 132.3 123.3 193.9 291.3 50.3 2006 147.5 142.7 132.9 177.3 305.1 64.1 2005 140.9 122.1 140.7 227.3 348.3 61.3 2004 141.0 130.8 134.0 209.0 293.3 59.7 2003 151.1 139.6 139.1 220.4 345.8 56.8 2002 154.7 143.4 148.5 212.3 350.3 48.6 2001 158.2 145.2 147.5 250.1 373.2 60.6 Figure 7-4 - Mortality among adults 45-64 years old 2011 595.0 611.6 473.9 759.3 726.8 319.3 2010 587.2 594.6 448.9 772.0 978.8 282.1 2009 590.0 593.9 488.5 808.8 846.9 302.0 2008 591.8 609.7 445.9 843.0 832.3 301.5 2007 582.8 593.4 494.0 833.6 737.5 272.9 2006 614.6 638.3 477.3 872.5 775.4 194.3 2005 673.1 654.2 631.6 1103.8 1077.0 313.1 2004 649.1 633.9 592.2 1032.2 1019.2 375.8 2003 653.7 651.1 593.5 909.7 914.9 292.2 2002 654.8 656.7 588.5 878.8 1025.6 258.9 2001 632.1 631.9 545.9 996.1 981.4 312.2 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 123 8. 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 2011 77.0 79.0 68.0 66.0 60.0 72.0 2010 77.0 79.0 68.0 65.0 58.0 71.0 2009 76.0 78.0 67.0 64.0 59.0 74.0 2008 77.0 78.0 68.0 62.0 59.0 70.0 2007 76.0 78.0 64.0 62.0 59.0 70.0 2006 76.0 78.0 65.0 63.0 57.0 73.0 2005 77.0 79.0 65.0 64.0 59.0 72.0 2004 76.0 78.0 65.0 64.0 58.0 69.0 2003 76.0 78.0 66.0 66.0 56.0 70.0 2002 76.0 78.0 65.0 65.0 57.0 74.0 2001 76.0 78.0 65.0 63.0 56.0 68.5 Figure 8-2 - Median age at death from all causes among males 2011 73.0 76.0 63.0 64.0 54.0 69.0 2010 73.0 75.0 63.0 63.0 53.0 70.0 2009 73.0 75.0 63.0 60.0 54.0 69.0 2008 73.0 76.0 62.0 59.0 54.0 67.5 2007 73.0 75.0 59.0 57.0 54.0 64.0 2006 73.0 75.0 59.0 59.0 52.0 71.5 2005 74.0 76.0 61.0 58.0 54.0 71.0 2004 73.0 75.0 60.0 59.0 53.0 68.0 2003 73.0 75.0 60.0 60.0 51.0 70.0 2002 73.0 75.0 59.0 60.0 52.0 72.0 2001 73.0 75.0 59.0 58.0 49.0 68.0 Figure 8-3 - Median age at death from all causes among females 2011 81.0 82.0 75.0 69.0 67.0 75.0 2010 80.0 82.0 74.0 69.0 65.0 74.0 2009 80.0 81.0 72.0 68.0 66.0 77.0 2008 80.0 81.0 74.0 67.0 67.0 73.0 2007 80.0 81.0 71.0 70.0 67.0 73.0 2006 80.0 81.0 73.0 70.0 65.0 73.0 2005 80.0 81.0 71.0 71.0 66.0 73.0 2004 80.0 81.0 72.0 70.0 64.0 70.0 2003 80.0 81.0 72.0 71.0 65.0 71.0 2002 79.0 80.0 72.0 72.0 64.0 75.0 2001 79.0 80.0 71.0 69.0 65.0 69.0 Figure 8-4 - Percent of total deaths before expected years of life reached 124 2011 53.8 49.6 67.4 74.4 77.7 66.3 2010 54.5 49.9 68.7 73.4 79.6 65.1 2009 52.5 48.0 68.0 73.0 76.4 60.6 2008 52.4 48.0 67.6 74.7 76.5 66.4 2007 52.6 47.7 71.6 73.3 75.8 64.9 2006 52.7 48.2 70.8 73.9 77.4 61.0 2005 52.7 47.9 71.3 75.1 78.4 65.1 2004 53.0 48.3 71.5 74.3 80.3 64.3 2003 50.8 46.1 70.0 70.6 78.4 65.7 2002 50.2 45.6 70.3 71.7 78.3 59.8 2001 51.0 46.2 71.2 73.0 79.1 69.9 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 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 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 Figure 9-2 - Incidence of gonorrhea 7.2 6.2 6.5 8.8 8.8 6.2 5.1 6.5 7.4 7.3 8.4 4.8 3.8 4.4 5.8 4.2 3.5 2.9 3.1 4.2 2.5 2.6 10.3 7.4 9.3 11.1 7.8 7.6 8.6 9.6 9.7 12.6 16.6 23.8 15.1 11.1 19.8 17.0 14.9 16.5 16.6 18.2 40.2 52.4 10.5 12.4 11.6 16.1 30.5 8.4 10.6 14.9 20.1 16.1 15.1 1.8 2.3 1.7 4.1 3.5 1.2 2.6 0.9 0.9 0.9 0.0 2011 71.4 2010 50.8 2009 49.3 2008 52.8 2007 78.7 2006 95.3 2005 81.9 2004 70.1 2003 63.5 2002 68.9 2001 73.9 Figure 9-3 - Incidence of chlamydia 28.9 21.5 19.0 21.0 33.1 44.0 31.5 32.5 33.4 30.5 32.4 67.1 52.0 46.4 49.5 60.4 81.6 95.0 84.6 71.4 98.6 99.7 415.7 305.7 316.0 256.8 345.6 382.4 395.7 376.8 359.7 432.0 558.5 162.8 85.1 50.0 73.3 94.4 125.7 142.6 142.7 103.1 107.7 115.5 19.9 11.1 11.5 9.9 13.5 13.6 14.6 12.3 15.3 11.3 10.8 2011 457.6 2010 420.2 2009 394.2 2008 379.0 2007 386.6 2006 386.0 2005 352.0 2004 289.2 2003 227.1 2002 272.2 2001 270.4 Figure 9-4 - Incidence of genital herpes 186.8 174.8 156.3 130.9 142.5 150.1 121.9 115.7 100.7 113.2 116.5 533.0 494.2 471.5 413.3 346.1 406.9 468.5 413.6 329.1 453.3 466.4 1146.4 1148.5 926.9 778.6 722.7 634.2 778.1 676.8 537.6 700.0 756.7 1129.6 1042.2 679.3 739.8 641.6 676.8 827.6 872.7 623.9 716.9 738.9 132.5 157.8 150.6 100.3 91.3 95.7 99.7 110.6 86.4 104.7 113.7 2011 33.7 2010 29.0 2009 11.7 2008 28.4 2007 31.1 2006 27.9 2005 19.7 2004 20.5 2003 16.2 2002 21.0 2001 22.1 Figure 9-5 - Incidence of HIV/HIV/AIDS 2011 9.2 2010 9.8 2009 10.2 2008 11.4 2007 12.7 2006 12.5 2005 12.8 2004 10.9 2003 11.3 2002 8.1 2001 7.0 22.5 18.5 5.7 15.5 17.8 18.1 13.0 13.3 11.8 16.2 17.7 30.0 22.7 7.9 19.9 21.7 20.3 18.7 18.4 14.3 19.7 23.8 83.6 72.4 13.1 41.2 51.3 38.7 30.9 29.8 23.1 45.0 43.3 68.4 76.1 31.5 53.2 35.2 36.8 29.5 36.2 30.4 35.9 27.9 8.2 10.0 2.9 4.1 10.6 4.3 5.2 8.9 7.6 7.7 13.7 6.4 8.4 7.4 9.6 9.8 9.3 10.1 8.2 11.4 6.7 6.4 11.4 10.9 13.2 12.9 15.8 15.5 16.0 13.9 7.4 8.5 6.3 29.9 21.6 28.0 31.1 35.5 48.8 41.6 45.3 42.5 33.0 29.4 11.4 12.8 11.0 10.2 8.3 8.1 15.1 10.3 11.3 10.9 6.8 8.0 5.8 5.7 6.4 8.8 6.2 6.9 7.1 4.2 2.8 3.9 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 125 SCORES IN 2011 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 127 SCORES IN 2011 (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 Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native 1-1 Pregnancies among females 19 and younger -48.7 31.3 8.3 27.0 -60.4 1-2 Pregnancies among females 14 and younger -71.4 28.6 28.6 14.3 -28.6 1-3 Pregnancies among females 15-17 years old -56.6 43.9 0.9 30.3 -67.4 1-4 Pregnancies among females 18-19 years old -47.2 34.7 8.8 22.0 -57.6 -223.9 138.5 46.6 93.6 -214.0 -56.0 34.6 11.7 23.4 -53.5 TOTAL SCORE AVERAGE SCORE 2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Figure No. Indicator American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native 2-1 Unmarried mothers -33.4 27.8 43.6 74.0 -60.9 2-2 Tobacco use during pregnancy 55.8 -62.8 55.8 -44.2 -65.1 2-3 Alcohol use during pregnancy 20.0 -60.0 20.0 200.0 -20.0 2-4 Chronic hypertension 0.0 -12.5 112.5 50.0 -25.0 2-5 Dysfunctional labor 0.0 -18.8 -6.3 106.3 12.5 2-6 Anemia during pregnancy 2.8 -22.2 63.9 66.7 -27.8 2-7 Diabetes during pregnancy -26.1 10.9 -17.4 102.2 63.0 2-8 Pregnancy associated hypertension 7.1 -16.7 23.8 50.0 -26.2 2-9 Genital herpes during pregnancy -20.0 2-10 Weight gain of less than 21 pounds TOTAL SCORE AVERAGE SCORE 40.0 -40.0 50.0 -30.0 -23.9 22.0 13.6 34.8 -14.8 42.3 -172.3 359.5 609.8 -184.3 4.2 -17.2 36.0 61.0 -18.4 3. UTILIZATION OF PRENATAL CARE SERVICES Figure No. Indicator American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native 3-1 No care in the 1st trimester -34.4 28.4 7.1 71.6 -26.2 3-2 Fewer than five prenatal visits -54.0 38.0 12.0 130.0 -34.0 3-3 No prenatal care TOTAL SCORE AVERAGE SCORE -62.5 56.3 0.0 56.3 -37.5 -150.9 122.7 19.1 257.9 -97.7 -50.3 40.9 6.4 86.0 -32.6 4. NEWBORN'S HEALTH Figure No. Indicator American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native 4-1 Hyaline membrane disease 0.0 0.0 33.3 -33.3 -66.7 4-2 Newborn intensive care 3.7 -3.7 38.9 -20.4 -3.7 4-3 Born too early (preterm or < 37 weeks) -2.2 -2.2 36.6 -3.2 -3.2 4-4 Born too small: low-birthweight (<2,500 grams) -4.3 -8.6 78.6 -1.4 18.6 4-5 Born too small: very low-birthweight (<1,500 grams) -8.3 -8.3 108.3 8.3 -8.3 4-6 Incidence of congenital anomalies (birth defects) 0.0 0.0 -9.1 27.3 -27.3 4-7 Infant mortality -23.7 20.3 23.7 25.4 -50.8 4-8 Sudden Infant Death Syndrome (SIDS) -33.3 0.0 66.7 0.0 -100.0 4-9 Mortality of infants from low birthweight/short gestation -28.6 14.3 57.1 71.4 -14.3 4-10 Neonatal mortality -20.5 20.5 17.9 -15.4 -25.6 4-11 Postneonatal mortality TOTAL SCORE AVERAGE SCORE Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 -35.0 20.0 35.0 105.0 -100.0 -152.2 52.3 487.0 163.7 -381.3 -13.8 4.8 44.3 14.9 -34.7 129 5. MORTALITY FROM NATURAL CAUSES - Chronic or infectious diseases Figure No. American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native Indicator 5-1 Cardiovascular diseases 5.8 -3.8 32.4 -25.8 5-2 Diseases of the heart 7.6 -10.0 14.0 -27.3 -39.1 -49.6 5-3 Coronary heart disease 8.6 -11.9 18.6 -33.8 -49.3 5-4 Cerebrovascular disease -0.7 14.1 84.6 -2.9 -4.9 5-5 Chronic lower respiratory diseases 20.5 -57.5 -24.2 -68.6 -62.5 5-6 Malignant neoplasms (cancer) 12.6 -9.9 10.4 -33.4 -22.9 5-7 Lung cancer 23.5 -39.4 -3.2 -79.1 -45.0 5-8 Breast cancer 5-9 Cervical cancer 5-10 Colorectal cancer 5-11 Prostate cancer 5-12 Influenza and pneumonia 5-13 Diabetes 5-14 5-15 5.6 -38.1 22.3 -61.9 -20.8 -23.8 76.2 14.3 47.6 42.9 7.5 1.5 50.7 -26.1 6.7 -1.5 4.0 21.7 -13.6 -74.7 -4.1 23.7 -16.5 192.8 -6.2 -12.9 68.1 133.1 147.2 -6.0 Chronic liver disease and cirrhosis -10.4 41.0 -50.7 225.4 -68.7 HIV disease -25.0 6.2 237.5 25.0 -25.0 5-16 Septicemia -10.6 36.2 36.2 251.1 -31.9 5-17 Alzheimer's disease 3.1 -12.2 55.4 -48.6 -40.3 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) -10.0 46.7 66.7 155.0 43.3 5-19 Essential (primary) hypertension -2.8 19.4 172.2 -36.1 -9.3 5-20 Total mortality from all causes 6.0 -6.2 19.2 9.4 -37.6 TOTAL SCORE -1.0 148.1 894.7 596.3 -500.9 AVERAGE SCORE 0.0 7.4 44.7 29.8 -25.0 6. MORTALITY FROM INJURIES Figure No. American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native Indicator 6-1 Unintentional injuries 6-2 Motor vehicle-related injuries 6-3 Fall-related injuries 6-4 Drowning mortality 6-5 Injury by firearms 6-6 Drug-induced deaths 6-7 Alcohol-induced deaths 6-8 Intentional self-harm (suicide) 6-9 Assault (homicide) 3.1 -14.5 -8.6 121.1 -14.0 -3.3 -3.3 265.3 -56.7 -43.8 3.4 -9.5 -23.3 36.2 -44.8 0.0 -23.1 100.0 69.2 53.8 10.9 -26.5 10.2 -37.4 -83.7 28.6 -35.1 -25.0 -42.9 -89.3 -12.6 0.0 -58.0 348.3 -86.7 27.9 -52.9 -47.1 -13.4 -69.2 -42.6 29.5 170.5 95.1 -36.1 TOTAL SCORE 4.7 -135.4 115.4 841.5 -456.5 AVERAGE SCORE 0.5 -15.0 12.8 93.5 -50.7 7. AGE-SPECIFIC MORTALITY Figure No. 7-1 Mortality of children 1-14 years old 7-2 Mortality of adolescents and young adults 15-19 years old 7-3 Mortality among adults 20-44 years old 7-4 Mortality among adults 45-65 years old 2.8 -20.4 27.6 22.2 -46.3 TOTAL SCORE -15.2 -61.4 106.9 284.1 -220.6 -3.8 -15.4 26.7 71.0 -55.2 AVERAGE SCORE 130 American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native Indicator -12.0 -6.3 85.1 25.1 -7.8 -11.3 -19.9 129.8 -39.4 -69.4 1.8 -23.4 14.1 107.0 -65.5 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 8. PREMATURE MORTALITY Figure No. Indicator American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native 8-1 Median age at death from all causes -2.6 11.7 14.3 22.1 6.5 8-2 Median age at death from all causes among males -4.1 13.7 12.3 26.0 5.5 8-3 Median age at death from all causes among females -1.2 7.4 14.8 17.3 7.4 8-4 Percent of total deaths before expected years of life reached -7.8 25.3 38.3 44.4 23.2 TOTAL SCORE AVERAGE SCORE -15.7 58.1 79.7 109.8 42.6 -3.9 14.5 19.9 27.5 10.7 9. REPORTABLE DISEASES - (Number of cases per 100,000 [persons in specified group) Figure No. Indicator American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native 9-1 Incidence of early syphilis -33.3 43.1 230.6 45.8 9-2 Incidence of gonorrhea -59.5 -6.0 482.2 128.0 -72.1 9-3 Incidence of chlamydia -59.2 16.5 150.5 146.9 -71.0 9-4 Incidence of genital herpes -33.2 -11.0 148.1 103.0 -75.7 9-5 Incidence of HIV/HIV/AIDS -30.4 23.9 225.0 23.9 -13.0 -215.6 66.5 1236.4 447.6 -306.8 -43.1 13.3 247.3 89.5 -61.4 TOTAL SCORE AVERAGE SCORE -75.0 OVERALL HEALTH STATUS (ALL 70 INDICATORS) American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native TOTAL SCORE AVERAGE SCORE Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 -727.5 217.1 3345.3 3404.3 -2319.5 -10.4 3.1 47.8 48.6 -33.1 131 RANK ORDER IN 2011 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 133 RANK ORDER IN 2011 (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 American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native females 19 and younger females 14 and younger females 15-17 years old females 18-19 years old SUM OF RANKS AVERAGE RANK 2.0 1.0 2.0 2.0 7.0 1.8 5.0 4.5 5.0 5.0 19.5 4.9 3.0 4.5 3.0 3.0 13.5 3.4 4.0 3.0 4.0 4.0 15.0 3.8 1.0 2.0 1.0 1.0 5.0 1.3 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 American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native 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 2.0 4.5 3.5 3.0 3.0 3.0 1.0 3.0 4.0 1.0 28.0 2.8 3.0 2.0 1.0 2.0 1.0 2.0 3.0 2.0 1.0 4.0 21.0 2.1 4.0 4.5 3.5 5.0 2.0 4.0 2.0 4.0 5.0 3.0 37.0 3.7 5.0 3.0 5.0 4.0 5.0 5.0 5.0 5.0 2.0 5.0 44.0 4.4 1.0 1.0 2.0 1.0 4.0 1.0 4.0 1.0 3.0 2.0 20.0 2.0 3. UTILIZATION OF PRENATAL CARE SERVICES Figure No. 3-1 3-2 3-3 Indicator American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native No care in the 1st trimester Fewer than five prenatal visits No prenatal care SUM OF RANKS AVERAGE RANK 1.0 1.0 1.0 3.0 1.0 4.0 4.0 4.5 12.5 4.2 3.0 3.0 3.0 9.0 3.0 5.0 5.0 4.5 14.5 4.8 2.0 2.0 2.0 6.0 2.0 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 American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native 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 Racial/Ethnic Groups, Arizona 2011 3.5 4.0 3.5 2.0 2.0 3.5 2.0 2.0 1.0 2.0 2.0 27.5 2.5 3.5 2.5 3.5 1.0 2.0 3.5 5.0 3.5 3.0 5.0 3.0 35.5 3.2 5.0 5.0 5.0 5.0 5.0 2.0 4.0 5.0 4.0 4.0 4.0 48.0 4.4 2.0 1.0 1.5 3.0 4.0 5.0 3.0 3.5 5.0 3.0 5.0 36.0 3.3 1.0 2.5 1.5 4.0 2.0 1.0 1.0 1.0 2.0 1.0 1.0 18.0 1.6 135 5. MORTALITY FROM NATURAL CAUSES - Chronic or infectious diseases Figure No. American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native Indicator 5-1 Cardiovascular diseases 4.0 3.0 5.0 2.0 5-2 Diseases of the heart 4.0 3.0 5.0 2.0 1.0 1.0 5-3 Coronary heart disease 4.0 3.0 5.0 2.0 1.0 5-4 Cerebrovascular disease 3.0 4.0 5.0 2.0 1.0 5-5 Chronic lower respiratory diseases 5.0 3.0 4.0 1.0 2.0 5-6 Malignant neoplasms (cancer) 5.0 3.0 4.0 1.0 2.0 5-7 Lung cancer 5.0 3.0 4.0 1.0 2.0 5-8 Breast cancer 4.0 2.0 5.0 1.0 3.0 5-9 Cervical cancer 1.0 5.0 2.0 4.0 3.0 5-10 Colorectal cancer 4.0 2.0 5.0 1.0 3.0 5-11 Prostate cancer 3.0 4.0 5.0 2.0 1.0 5-12 Influenza and pneumonia 3.0 4.0 1.0 5.0 2.0 5-13 Diabetes 1.0 3.0 4.0 5.0 2.0 5-14 Chronic liver disease and cirrhosis 3.0 4.0 2.0 5.0 1.0 5-15 HIV disease 1.5 3.0 5.0 4.0 1.5 5-16 Septicemia 2.0 3.5 3.5 5.0 1.0 5-17 Alzheimer's disease 4.0 3.0 5.0 1.0 2.0 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 1.0 3.0 4.0 5.0 2.0 5-19 Essential (primary) hypertension 3.0 4.0 5.0 1.0 2.0 5-20 Total mortality from all causes SUM OF RANKS AVERAGE RANK 3.0 2.0 5.0 4.0 1.0 63.5 3.2 64.5 3.2 83.5 4.2 54.0 2.7 34.5 1.7 6. MORTALITY FROM INJURIES Figure No. American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native Indicator 6-1 Unintentional injuries 4.0 2.0 3.0 5.0 6-2 Motor vehicle-related injuries 2.0 3.5 3.5 5.0 1.0 6-3 Fall-related injuries 4.0 3.0 2.0 5.0 1.0 6-4 Drowning mortality 2.0 1.0 5.0 4.0 3.0 6-5 Injury by firearms 5.0 3.0 4.0 2.0 1.0 6-6 Drug-induced deaths 5.0 3.0 4.0 2.0 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 2.0 3.0 4.0 1.0 6-9 Assault (homicide) 1.0 3.0 5.0 4.0 2.0 31.0 3.4 24.5 2.7 31.5 3.5 36.0 4.0 12.0 1.3 SUM OF RANKS AVERAGE RANK 1.0 7. AGE-SPECIFIC MORTALITY Figure No. 7-1 Mortality of children 1-14 years old 2.0 3.0 5.0 4.0 7-2 Mortality of adolescents and young adults 15-19 years old 4.0 3.0 2.0 5.0 1.0 7-3 Mortality among adults 20-44 years old 3.0 2.0 4.0 5.0 1.0 7-4 Mortality among adults 45-65 years old SUM OF RANKS AVERAGE RANK 136 American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native Indicator 1.0 3.0 2.0 5.0 4.0 1.0 12.0 3.0 10.0 2.5 16.0 4.0 18.0 4.5 4.0 1.0 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 8. PREMATURE MORTALITY Figure No. Indicator American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native 8-1 Median age at death from all causes 1.0 3.0 4.0 5.0 8-2 Median age at death from all causes among males 1.0 4.0 3.0 5.0 2.0 2.0 8-3 Median age at death from all causes among females 1.0 2.5 4.0 5.0 2.5 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 12.5 15.0 20.0 8.5 AVERAGE RANK 1.0 3.1 3.8 5.0 2.1 9. REPORTABLE DISEASES - (Number of cases per 100,000 persons in specified group) Figure No. Indicator American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native 9-1 Incidence of early syphilis 2.0 3.0 5.0 4.0 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 1.0 3.5 5.0 3.5 2.0 9.0 1.8 15.5 3.1 25.0 5.0 19.5 3.9 6.0 1.2 SUM OF RANKS AVERAGE RANK 1.0 OVERALL HEALTH STATUS (ALL 70 INDICATORS) SUM OF ALL RANKS FOR 70 MEASUREMENTS American Asian or Black or White Indian or Hispanic Pacific African nonAlaska or Latino Islander American Hispanic Native 185.0 215.5 278.5 257.0 114.0 AVERAGE RANKS BASED ON 70 MEASUREMENTS Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 2.6 3.1 4.0 3.7 1.6 137 DATA SOURCES AND DEFINITIONS Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 139 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 and 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. Population denominators for Arizona residents, used to calculate rates for 2011 and other intercensal years, utilize the best available data sources. They are described in detail at http://www.azdhs.gov/plan/menu/info/pd.htm . Almost all figures are based on rates and ratios published in the 2011 Arizona Health Status and Vital Statistics report and available online at http://www.azdhs.gov/plan/report/ahs/ahs2011/toc11.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). 2-5 Dysfunctional labor Failure to progress in a normal pattern of labor (the number of cases per 100 births). Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 141 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 is 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 4-5 142 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 is 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 is any neonate weighing less than 2,500 grams at birth (less than 5 pounds 8 ounces). The number of newborns weighing less than 1,500 grams per 100 births. Very lowbirthweight is 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 is 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. 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. Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 4-10 Neonatal mortality The number of neonatal deaths per 1,000 live births. Neonatal death is death of a live born 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 is any death of a live born 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 Racial/Ethnic Groups, Arizona 2011 143 Figure number 6. MORTALITY FROM INJURIES 144 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 Racial/Ethnic Groups, Arizona 2011 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. 7-2 Mortality of adolescents 15-19 years old The number of deaths per 100,000 adolescents 15-19 years old. 7-3 Mortality of young adults 20-44 years old The number of deaths per 100,000 young adults 20-44 years old. 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. Figure number 8. PREMATURE MORTALITY Indicators 8-1 Median age at death from all causes The median age (the age in the middle) of death for Arizonans. 8-2 Median age at death from all causes among males The median age (the age in the middle) of death for Arizona males. 8-3 Median age at death from all causes among females The median age (the age in the middle) of death for Arizona females. 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. 9-5 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 145 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 2011 population B 2011 deaths C Age-specific rates Age-adjusted 2000 standard in 2011 rate for 2011 D E F (C/B)*100000 D*E <1 88,211 504 571.4 .013818 7.9 1-4 370,926 106 28.6 .055317 1.6 5-14 909,069 118 13.0 .145565 1.9 15-24 910,452 671 73.7 .138646 10.2 25-34 863,216 950 110.1 .135573 14.9 35-44 828,783 1,466 176.9 .162613 28.8 45-54 848,406 3,368 397.0 .134834 53.5 55-64 731,162 6,030 824.7 .087247 72.0 65-74 501,370 8,170 1629.5 .066037 107.6 75-84 282,492 11,986 4243.0 .044842 190.3 85+ 104,091 14,162 13605.4 .015508 211.0 6,438,178 47,547 TOTAL ∑ = 699.6 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. 146 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 POPULATION DENOMINATORS Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 147 POPULATION BY RACE/ETHNICITY: ARIZONA RESIDENTS, 1991, 2001, AND 2011 Racial/ethnic group 1991 2001 2011 Percent increase from 1991 to 2011 All Groups 3,788,576 5,307,331 6,438,178 69.9 White Non-Hispanic 2,685,338 3,387,025 3,779,432 40.7 Hispanic or Latino 695,103 1,340,240 1,827,753 162.9 Black or African American 121,994 164,344 270,944 122.1 American Indian or Alaska Native 222,457 264,690 360,414 62.0 63,684 102,377 199,635 213.5 Asian or Pacific Islander Note: Two data sources were utilized to produce the 2011 population denominators. First, "July 2011 Population Estimates for Arizona Counties", released by the Office of the State Demographer provided population estiamtes at the county-level. It is important to note that the data tabulated above match the July 2011 estimates. Second, the information about the population breakdowns by age, gender, and race/ethnicity is based on "April 1, 2010 Bridged-Race Population Estimates" available online on the National Vital Statistics website. Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 149 150 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 Asian or Pacific Islander American Indian or Alaska Native Black or African American Hispanic or Latino White nonHispanic All groups 1,337 1,295 Male Female 3,457 Female 2,632 3,536 Male Total 6,993 2,228 Female Total 2,371 Male 18,412 Female 4,599 19,095 Male Total 37,507 17,832 Female Total 18,648 Male 43,224 Female 36,480 44,987 Male Total 88,211 Total <1 5,506 5,624 11,130 14,355 14,513 28,868 9,080 9,652 18,732 77,177 80,451 157,628 75,486 79,082 154,568 181,604 189,322 370,926 1-4 13,493 13,248 26,741 33,163 33,686 66,849 22,272 23,875 46,147 182,621 189,509 372,130 193,851 203,351 397,202 445,400 463,669 909,069 5-14 13,214 14,876 28,090 33,915 35,097 69,012 22,249 25,947 48,196 159,472 168,846 328,318 211,519 225,318 436,837 440,368 470,084 910,452 15-24 18,886 17,443 36,329 26,245 27,678 53,923 18,845 22,268 41,113 139,866 145,154 285,020 218,184 228,648 446,832 422,026 441,190 863,216 25-34 18,789 16,652 35,441 22,499 22,134 44,633 17,277 20,245 37,522 130,222 124,611 254,832 220,687 235,669 456,355 409,473 419,310 828,783 35-44 14,333 11,773 26,106 21,783 19,862 41,645 16,393 18,320 34,713 94,153 91,690 185,843 283,934 276,165 560,099 430,596 417,810 848,406 45-54 10,854 7,193 18,047 13,975 12,210 26,185 10,901 11,282 22,183 58,565 53,555 112,120 288,878 263,749 552,627 383,173 347,989 731,162 55-64 5,663 4,112 9,775 7,735 6,136 13,871 5,904 5,289 11,193 31,483 26,021 57,504 212,711 196,316 409,027 263,496 237,874 501,370 65-74 2,593 1,689 4,282 3,769 2,630 6,399 2,864 2,142 5,006 16,494 12,048 28,542 128,144 110,119 238,263 153,864 128,628 282,492 75-84 ESTIMATED POPULATION BY AGE GROUP, GENDER AND RACE/ETHNICITY, ARIZONA, 2011 691 371 1,062 1,301 735 2,036 1,067 473 1,540 5,277 3,033 8,310 57,759 33,384 91,143 66,095 37,996 104,091 85+ 105,317 94,318 199,635 182,197 178,217 360,414 129,080 141,864 270,944 913,741 914,012 1,827,753 1,908,984 1,870,448 3,779,432 3,239,319 3,198,859 6,438,178 Total 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, Marital Status, and Health, Heart Disease vs. Cancer: An Epidemiologic Transition in Mortality Risks. Population Health and Vital Statistics Section Bureau of Public Health Statistics ARIZONA DEPARTMENT OF HEALTH SERVICES