DIFFERENCES IN THE HEALTH STATUS AMONG RACIAL/ETHNIC GROUPS ARIZONA, 2015 ~ Health and Wellness for all Arizonans ~ Douglas A. Ducey, Governor State of Arizona Cara M. Christ, M.D., M.S., Director Arizona Department of Health Services ARIZONA DEPARTMENT OF HEALTH SERVICES BUREAU OF PUBLIC HEALTH STATISTICS POPULATION HEALTH AND VITAL STATISTICS SECTION 150 North 18th Avenue, Suite 550 Phoenix, Arizona 85007 Phone: 602-542-7333; FAX: 602-542-2940 www.azdhs.gov/plan This publication can be made available in alternative format. Please contact the Bureau of Public Health Statistics at 602-542-7333 (voice) or call 1-800-367-8939 (TDD). The Arizona Department of Health Services is an Equal Employment Opportunity Agency. Permission to quote from or reproduce materials from this publication is granted when due acknowledgment is made. Differences in the Health Status Among Racial/Ethnic Groups, Arizona, 2015 BY MARGUERITE L. SAGNA, PH.D., ARIZONA VITAL STATISTICIAN SANHITA GUPTA, VITAL STATISTICS HEALTH MANAGEMENT ANALYST CLARE TORRES, SENIOR HEALTH DATA ANALYST March 2017 _____________________________________________________________________________________________ Acknowledgment Grateful acknowledgement is made to S. Robert Bailey for reviewing the typescript. _________________________________________________________________ Differences in Health Status among Racial/Ethnic Groups, Arizona, 2015 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 1999, 2001, 2003, 2005, 2007, 2009, 2011, 2013, and 2015 ................................................................................................................. 5 Number of Times Each Group Ranked Better Than Average, Average, And Worse Than Average on 65 Indicators, Arizona, 2015................................................. 5 Average Scores in 2015 ....................................................................................................... 6 Comparative Age-Adjusted Mortality Rates for the Five Leading Causes of Death By Race/Ethnicity in 2015 ........................................................................................... 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 2015 .................... 15 1. 2. 3. 4. 5. 6. 7. 8. 9. Teen Pregnancies.................................................................................................... 17 Maternal Lifestyle and Health Characteristics .............................................................. 23 Utilization of Prenatal Care Services .......................................................................... 33 Newborn's Health ................................................................................................... 39 Mortality from Natural Causes................................................................................... 51 Mortality from Injuries ............................................................................................. 73 Age-Specific Mortality .............................................................................................. 85 Patterns of Premature Mortality ................................................................................ 91 The Incidence of Reportable Diseases ........................................................................ 97 COMPARATIVE RATES AND RATIOS FOR 2005 – 2015 ...................................................... 103 SCORES IN 2015 .............................................................................................................. 119 RANK ORDER IN 2015...................................................................................................... 123 DATA SOURCES AND DEFINITIONS .................................................................................. 127 Sources of Data ........................................................................................................... 128 Definitions .................................................................................................................. 128 Terms Related to Mortality ............................................................................................ 133 POPULATION DENOMINATORS ........................................................................................ 135 PURPOSE Differences in Health Status among Racial/Ethnic Groups, Arizona, 2015 is drawn upon information reported to the Department (see Source of Data on page 139). The report provides population-level data concerning differences in the health of five racial/ethnic groups residing in Arizona: White non-Hispanics, Hispanics or Latinos, Blacks or AfricanAmericans, American Indians or Alaska Natives, and Asians or Pacific Islanders including Hawaiians. The report compares the relative standing of racial/ethnic groups on 65 indicators (prior to the 2013 report there were 70 indicators) or measures of health status. Due to the implementation of the revised birth certificate, the 2015 report will reflect 65 indicators. 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 2015 while the tabulated values also are available in the Comparative Rates and Ratios for 2005-2015 section of the report. The report also provides comparative risk profiles, as well as scores and rankings of racial/ethnic groups on each of the 65 health status measures. The comparisons of rates and ratios, as well as scores and rankings, are intended to present the extent 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 6,758,251 Arizona residents in 2015, approximately 3,860,314 (57.1 percent) were White non-Hispanic, 2,069,227 (30.6 percent) were Hispanic or Latino, and 287,001 (4.2 percent) were American Indian or Alaska Natives. Blacks or African Americans accounted for 307,902 or (4.6 percent), Asians or Pacific Islanders, the smallest racial/ethnic group, represented 3.0 percent 199,310 people, of the state’s population. Racial/ethnic minority groups have greater percentages of people younger than 25 years (45.1 percent) when compared with White non-Hispanics (25.8 percent). In contrast, people aged 65 years and older accounted for (22.7 percent) of White non-Hispanics, but only (6.8 percent) of all racial/ethnic minority groups combined. In 2015, among Arizonans less than 25 years old, (56.8 percent) more than half were a race/ethnicity other than White non-Hispanic. Among the Arizona’s adults 65 years old or older, (81.7 percent) eight out of ten were White non-Hispanic (Table A). Table A. POPULATION BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2015 Other than White non-Hispanica POPULATION BY AGE GROUP IN 2015 All groups White nonHispanic Total Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander < 25 years 2,303,184 995,818 1,307,366 975,607 130,716 123,151 77,892 Percent 34.1% 25.8% 45.1% 47.1% 42.5% 42.9% 33.3% 3,379,760 1,986,454 1,393,306 966,222 153,545 139,562 133,977 25-64 years Percent 65+ years Percent Total, all agesb Percent 50.0% 51.5% 48.1% 46.7% 49.9% 48.6% 57.3% 1,075,307 878,042 197,265 127,398 23,641 24,288 21,938 15.9% 22.7% 6.8% 6.2% 7.7% 8.5% 9.4% 6,758,251 3,860,314 2,897,937 2,069,227 307,902 287,001 233,807 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 1 Mortality patterns by age group in Arizona show similar contrasts between race/ethnicity groups. In 2015, the elderly (65 years and older) comprised 77.6 percent of the total mortality among White non-Hispanics, compared to 70.6 percent among American Indians, 43.2 percent among Blacks, 52.8 percent among Hispanics, and 50 percent among Asians. Only 1.3 percent of White non-Hispanics who died in 2015 were less than 25 years old. In comparison, (6.9 percent) of individuals who were of a racial/ethnic group other than White non-Hispanic died before reaching 25 years of age. Table B. MORTALITY BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2015 Other than White non-Hispanica MORTALITY BY AGE GROUP IN 2015 < 25 years Percent 25-64 years Percent 65+ years All groups 1,344 White nonHispanic Hispanic or Latino Total 554 472 129 Black or African American American Indian or Alaska Native Asian or Pacific Islander 157 29 * 2.5% 1.3% 6.9% 7.4% 7.3% 4.3% ** 13,323 8,997 2,404 693 1,059 169 * 24.6% 21.0% 35.2% 39.8% 49.5% 25.1% ** 39,480 33,194 3,963 920 924 475 * Percent 72.9% 77.6% 57.9% 52.8% 43.2% 70.6% ** Total, all agesb 54,152 42,750 6,839 1,742 2,140 673 10† Percent 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% Note: * Cell suppressed due to non-zero count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; † Sum rounded to nearest a b tens unit due to non-zero addend less than 6; Includes groups other than Hispanic, Black, American Indian, and Asian; Includes unknown age; Source: The 2015 death certificate file for Arizona residents. 2 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 In 2015, the absolute majority of deaths of American Indian (29.4 percent) and Black (56.8 percent) residents of Arizona occurred before the age of 65 years, compared to 22.3 percent among White non-Hispanics. 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, 2015 Percent distribution of deaths by age group and race/ethnicity, Arizona, 2015 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 3 METHODS The 65 indicators presented in this report are individual measures of various dimensions or facets of health status. By calculating overall scores and rankings it is possible to provide a summary measure representing the relative standing of each racial/ethnic group across a broad range of health status issues. Scores indicate the percentage points a racial/ethnic group falls above or below the statewide average. Each score is calculated as follows: THE VALUE OF A RATE OR RATIO IN A SPECIFIED GROUP SCORE = - 1.0 X 100 THE AVERAGE VALUE OF A RATE OR RATIO FOR THE STATE Scores may have positive (+) or negative (-) values. The above formula produces a score of 0.0 for a group with the same value as the statewide average. A negative score indicates better than average standing on an indicator. A positive score indicates worse than average standing on an indicator.* It is important to note that the unit of analysis in this report is the 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 2005-2015 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 analysis 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. Moreover, some natality trend analyses are compromised due to the adoption on Certificate of live birth, a revised version of the 1989 Standard Certificate of birth. January 1, 2014 of the 2003 U.S. The revision of the birth certificate has introduced some major changes on several items including but not limited to month prenatal began, weight gain during pregnancy, tobacco use during pregnancy, and congenital anomalies. Several checkboxes included in these categories were revised or are completely new to the 2003 form. Hence, rates on the selected items published in this report are not comparable to rates prior to 2014. 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 2013. This report uses the same methodology as the 1997 through 2013 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 2005-2015 is available in Table 2D-1 of “Arizona Health Status and Vital Statistics 2015” report at http://www.azdhs.gov/plan/report/ahs/ahs2015/2d1.pdf 4 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 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 2015, Asian or Pacific Islander at -36.4) to the highest (the least favorable standing for 2015, American Indians at 66.6), an increase from 90.1 in 2013, to 103.0 points in 2015 (Figure A). From 2011 to 2015, Asians and White non-Hispanics continued to experience favorable change among the racial/ethnic groups, meaning that the average scores decreased. American Indians show an increase in their average scores. (Figure A). The shift in average score for White non-Hispanics was trivial. Figure A Comparison of Average Scores by Race/Ethnicity in 1999, 2001, 2003, 2005, 2007, 2009, 2011, 2013, and 2015 In 2015, as in prior years, Arizona's Asian residents ranked highest among racial/ethnic groups in overall health status, followed by White non-Hispanics, Hispanics, Blacks, and American Indians (Figure B). Figure B Number of Times Each Group Ranked Better Than Average, Average, and Worse than Average on 65 Indicators, Arizona 2015 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 5 Figure C Average Scores in 2015 (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.) ASIANS or PACIFIC ISLANDERS Average rank: 1.6* Total score: -2,368.9 Average score: -36.4** In 2015, Asian residents of Arizona ranked best or second best among all racial/ethnic groups on 53 of 65 indicators, including low incidence of drug or alcohol induced deaths, low postneonatal mortality, and low mortality from reportable diseases, chronic diseases, and injuries. The age-adjusted mortality rate of 413.8 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 2015. The 2015 average score of -36.4 for Asian residents was slightly better than their average score of -33.1 in 2011 and -36.9 in 2013, indicates Asians’ health status remained stable in relation to the health of other racial/ethnic groups. __________ * The average rank based on all 65 measurements (the sum of the ranks divided by 65 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 65 measurements (the sum of all scores divided by 65 measurements). See section SCORES IN 2015. ** 6 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 WHITE NON-HISPANICS Average rank: 2.6 Total score: -571.3 Average score: -8.8 White non-Hispanics ranked second best in relative healthiness among racial/ethnic groups in Arizona. They ranked 1st or 2nd on 36 of 65 measures of health, including low teen pregnancy rates, high utilization of prenatal care, and low premature mortality. White non-Hispanics continued to rank worse than all other racial/ethnic groups in mortality due to chronic lower respiratory diseases, drug-induced deaths, and suicide. The overall score of -8.8 in 2015, was better than their overall score of -10.0 in 2013 and -10.4 in 2011. The age-adjusted mortality rate of 704.1 deaths per 100,000 in 2015 was higher than the total mortality rate of 693.7 in 2013. HISPANICS or LATINOS Average rank: 2.8 Total score: -229.9 Average score: -3.5 In 2015 Hispanics retained a 3rd place health ranking. Hispanics ranked best or second best on 26 indicators in 2015, a slight increase from 25 indicators in 2013, 19 indicators in 2011 and the same as 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 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 2005-2015 provide a detailed picture of changes over time for all of the 65 measures. AMERICAN INDIANS or ALASKA NATIVES Average rank: 3.9 Total score: 4,326.0 Average score: 66.6 In 2015, American Indians in Arizona had the second highest average score among all groups and second poorest rank of overall health status. They ranked 4th or 5th on 44 of the 65 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 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 2015, compared to White non-Hispanics, American Indian residents of Arizona were on-average 18 years younger at time of death. BLACKS or AFRICAN AMERICANS Average rank: 4.0 Total score: 2,965.6 Average score: 45.6 Compared to the average score of 87.0 for Arizona Black or African American residents in 2001, their scores from 2003 2013 were substantially lower. Despite this improvement, Blacks or African Americans had the lowest rank of overall health status because they ranked 5th among the five racial/ethnic groups on 51 of 65 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 cervical cancer, chronic liver disease and cirrhosis, and fall-related injuries. They also had low rates of diabetes during pregnancy and no prenatal care. Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 7 COMPARATIVE CAUSE-SPECIFIC In 2015, cancer was the leading cause of death for three of the five racial/ethnic groups in Arizona: White non-Hispanics, Hispanics or Latinos and Asians or Pacific Islanders (Figure D). The number one leading cause of death for Black or African Americans was diseases of the heart while the leading cause of death for American Indian or Alaska Natives was unintentional injury, but came in 4th for White non-Hispanics and Hispanic or Latinos, 5th for Black or African Americans and Asians or Pacific Islanders. Stroke was the 3rd leading cause of death for Asians and 4th for Blacks in 2015. Diabetes was among the top five causes of death among Hispanics, Blacks, American Indians, and Asians. While Alzheimer’s disease was the fifth leading cause of death among Asians, Blacks, and White non-Hispanics in 2011, in 2013 it remained 5th for Asians, Hispanics, and White non-Hispanics, but in 2015 it ranked 5th for only White non-Hispanic and Hispanics. Chronic liver disease and cirrhosis was the fourth leading cause of death specific to American Indians. Chronic lower respiratory diseases were the third leading cause of death for only White non-Hispanics. Figure D Comparative Age-Adjusted Mortality Rates for the Five Leading Causes of Death by Race/Ethnicity in Arizona in 2015 White non‐ Hispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Cancer 149.8 Cancer 120.4 Diseases of heart 184.4 Unintentional injury 139.0 Cancer 104.8 Diseases of heart 146.0 Diseases of heart 117.6 Cancer 154.7 Cancer 124.4 Diseases of heart 75.0 Chronic lower respiratory diseases 50.8 Diabetes 45.3 Diabetes 53.0 Diseases of heart 119.9 Stroke 30.4 Unintentional injury 49.3 Unintentional injury 36.7 Stroke 51.8 Chronic liver disease and cirrhosis 77.6 Diabetes 22.7 Alzheimer's disease 37.8 Alzheimer's disease 36.5 Unintentional injury 50.5 Diabetes 73.9 Unintentional injury 21.7 COMPARATIVE RATES AND RATIOS FOR 2005 and 2015 The 129 bar charts provide both a snapshot of differences between the racial/ethnic groups in Arizona in 2015, as well as a measure of change since 2005. More detailed comparisons over time are available in a special section of the report (Comparative Rates and Ratios for 2005 – 2015) that documents specific changes by year from 2005 through 2015 on the 65 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 65 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 Goups, Arizona 2015 Risk Profile of AsianV or Pacific IslanderV (Percent above or below the State mean) BETTER THAN AVERAGE 1‐2 4‐7 6‐7 6‐6 4‐10 9‐2 2‐2 6‐5 5‐14 9‐3 2‐1 1‐3 7‐3 7‐4 6‐8 1‐1 5‐5 1‐4 6‐9 6‐1 9‐1 4‐8 5‐15 4‐5 5‐3 5‐2 5‐17 2‐5 3‐3 7‐2 5‐20 5‐11 7‐1 5‐1 6‐2 6‐4 2‐3 5‐8 5‐12 4‐6 3‐2 5‐6 5‐10 6‐3 2‐7 5‐19 9‐4 5‐16 5‐7 3‐1 5‐13 5‐18 8‐4 5‐9 5‐4 8‐1 8‐3 8‐2 4‐4 4‐2 4‐9 4‐1 2‐6 4‐3 2‐4 Pregnancies among females 14 and younger Sudden Infant Death Syndrome (SIDS) Alcohol‐induced deaths Drug‐induced deaths Postneonatal mortality Incidence of gonorrhea Tobacco use during pregnancy Injury by firearms Chronic liver disease and cirrhosis Incidence of chlamydia Unmarried mothers Pregnancies among females 15‐17 years Mortality among young adults 20‐44 years Mortality among middle‐age adults 45‐64 years Intentional self‐harm (suicide) Pregnancies among females 19 and younger Chronic lower respiratory diseases Pregnancies among females 18‐19 years Assault (homicide) Unintentional injuries Incidence of early syphilis Mortality of infants from low birthweight/short gestation HIV disease Incidence of congenital anomalies Coronary heart disease Diseases of the heart Alzheimer's disease Gestational hypertension No prenatal care Mortality among adolescents 15‐19 years Total mortality from all causes Prostate cancer Mortality among children 1‐14 years Cardiovascular disease Motor vehicle‐related injuries Drowning mortality Pre‐existing hypertension Breast cancer Influenza and pneumonia Infant mortality Fewer than five prenatal visits Malignant neoplasm (cancer) Colorectal cancer Fall‐related injuries Gestational weight gain ‐ Excessive Essential (primary) hypertension Incidence of HIV/AIDS Septicemia Lung cancer No care in the 1st trimester Diabetes Nephritis, nephrotic syndrome and nephrosis Deaths before expected years of life reached Cervical cancer Cerebrovascular disease Median age at death from all causes Median age at death among females Median age at death among males Born too small: <1,500 grams Born too early (preterm or < 37 weeks) Neonatal mortality Incidence of newborn intensive care Gestational weight gain ‐ Inadequate Born too small: <2,500 grams Gestational diabetes WORSE THAN AVERAGE -100.0 -100.0 -93.7 -91.9 -85.7 -79.7 -79.1 -78.1 -73.2 -71.1 -68.4 -66.1 -64.4 -63.1 -60.7 -60.5 -59.9 -59.2 -57.1 -54.9 -51.8 -50.4 -50.0 -48.5 -47.5 -46.9 -45.3 -45.3 -43.5 -42.9 -40.1 -39.2 -37.9 -37.0 -34.9 -33.3 -32.1 -30.7 -28.7 -28.6 -27.4 -27.2 -27.1 -25.8 -22.8 -21.6 -17.7 -13.0 -12.8 -12.4 -11.7 -9.5 -9.1 -8.7 -2.3 1.3 2.5 2.7 2.8 4.1 5.7 13.5 23.8 25.5 79.8 -600.0 -300.0 0.0 600.0 300.0 AVERAGE FOR ALL RESIDENTS Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 9 Risk Profile of White non-HispanicV (Percent above or below the State mean) BETTER THAN AVERAGE 9‐3 1‐2 9‐2 1‐3 3‐3 3‐2 9‐4 1‐1 1‐4 2‐1 9‐1 6‐9 4‐8 5‐13 2‐4 4‐9 5‐15 5‐9 3‐1 4‐6 2‐6 6‐2 5‐14 4‐4 6‐7 5‐18 7‐1 4‐10 5‐12 2‐3 5‐16 4‐3 4‐2 2‐5 4‐1 5‐19 5‐4 8‐2 8‐1 8‐3 5‐11 5‐10 4‐5 7‐2 5‐17 6‐3 5‐1 5‐20 6‐1 5‐3 5‐2 5‐6 7‐3 7‐4 2‐7 8‐4 5‐8 6‐4 5‐7 5‐5 4‐7 6‐5 6‐6 6‐8 2‐2 WORSE THAN AVERAGE -69.1 -60.9 -58.3 -45.5 -41.9 -40.5 -36.9 -34.3 -31.3 -30.5 -29.1 -28.6 -24.4 -21.8 -20.5 -20.0 -18.8 -17.4 -16.7 -16.1 -15.7 -15.1 -12.1 -11.8 -11.4 -11.1 -10.1 -9.5 -8.5 -8.2 -7.4 -7.2 -5.3 -5.2 -3.9 -3.6 -3.2 -2.7 -2.6 -2.5 -1.7 Incidence of chlamydia Pregnancies among females 14 and younger Incidence of gonorrhea Pregnancies among females 15‐17 years No prenatal care Fewer than five prenatal visits Incidence of HIV/AIDS Pregnancies among females 19 and younger Pregnancies among females 18‐19 years Unmarried mothers Incidence of early syphilis Assault (homicide) Mortality of infants from low birthweight/short gestation Diabetes Gestational diabetes Neonatal mortality HIV disease Cervical cancer No care in the 1st trimester Infant mortality Gestational weight gain ‐ Inadequate Motor vehicle‐related injuries Chronic liver disease and cirrhosis Born too small: <1,500 grams Alcohol‐induced deaths Nephritis, nephrotic syndrome and nephrosis Mortality among children 1‐14 years Postneonatal mortality Influenza and pneumonia Pre‐existing hypertension Septicemia Born too small: <2,500 grams Born too early (preterm or < 37 weeks) Gestational hypertension Incidence of newborn intensive care Essential (primary) hypertension Cerebrovascular disease Median age at death among males Median age at death from all causes Median age at death among females Prostate cancer Colorectal cancer Incidence of congenital anomalies Mortality among adolescents 15‐19 years Alzheimer's disease Fall‐related injuries Cardiovascular disease Total mortality from all causes Unintentional injuries Coronary heart disease Diseases of the heart Malignant neoplasm (cancer) Mortality among young adults 20‐44 years Mortality among middle‐age adults 45‐64 years Gestational weight gain ‐ Excessive Deaths before expected years of life reached Breast cancer Drowning mortality Lung cancer Chronic lower respiratory diseases Sudden Infant Death Syndrome (SIDS) Injury by firearms Drug‐induced deaths Intentional self‐harm (suicide) Tobacco use during pregnancy 0.0 5.9 1.2 1.3 1.6 1.8 1.9 2.5 3.3 3.3 4.0 5.5 6.7 7.2 7.3 7.8 8.3 11.4 12.6 18.8 20.4 28.3 32.6 56.4 0.0 -600.0 -300.0 600.0 300.0 AVERAGE FOR ALL RESIDENTS 10 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Risk Profile of HispanicV or LatinoV (Percent above or below the State mean) 6‐8 2‐2 5‐5 6‐5 5‐7 6‐6 4‐7 6‐4 5‐8 7‐3 7‐4 6‐7 6‐1 7‐1 8‐4 6‐2 4‐10 4‐5 5‐2 5‐6 7‐2 5‐3 5‐20 5‐1 5‐15 5‐10 2‐7 5‐14 6‐3 6‐9 2‐3 9‐2 2‐5 4‐3 4‐1 5‐17 4‐4 4‐6 9‐3 5‐11 4‐2 5‐4 2‐4 5‐19 8‐3 4‐9 8‐1 5‐16 8‐2 2‐6 3‐1 9‐4 4‐8 5‐12 9‐1 2‐1 3‐2 1‐4 1‐1 5‐18 3‐3 1‐3 1‐2 5‐9 5‐13 Intentional self‐harm (suicide) Tobacco use during pregnancy Chronic lower respiratory diseases Injury by firearms Lung cancer Drug‐induced deaths Sudden Infant Death Syndrome (SIDS) Drowning mortality Breast cancer Mortality among young adults 20‐44 years Mortality among middle‐age adults 45‐64 years Alcohol‐induced deaths Unintentional injuries Mortality among children 1‐14 years Deaths before expected years of life reached Motor vehicle‐related injuries Postneonatal mortality Incidence of congenital anomalies Diseases of the heart Malignant neoplasm (cancer) Mortality among adolescents 15‐19 years Coronary heart disease Total mortality from all causes Cardiovascular disease HIV disease Colorectal cancer Gestational weight gain ‐ Excessive Chronic liver disease and cirrhosis Fall‐related injuries Assault (homicide) Pre‐existing hypertension Incidence of gonorrhea Gestational hypertension Born too small: <2,500 grams Incidence of newborn intensive care Alzheimer's disease Born too small: <1,500 grams Infant mortality Incidence of chlamydia Prostate cancer Born too early (preterm or < 37 weeks) Cerebrovascular disease Gestational diabetes Essential (primary) hypertension Median age at death among females Neonatal mortality Median age at death from all causes Septicemia Median age at death among males Gestational weight gain ‐ Inadequate No care in the 1st trimester Incidence of HIV/AIDS Mortality of infants from low birthweight/short gestation Influenza and pneumonia Incidence of early syphilis Unmarried mothers Fewer than five prenatal visits Pregnancies among females 18‐19 years Pregnancies among females 19 and younger Nephritis, nephrotic syndrome and nephrosis No prenatal care Pregnancies among females 15‐17 years Pregnancies among females 14 and younger Cervical cancer Diabetes WORSE THAN AVERAGE BETTER THAN AVERAGE -62.4 -55.7 -52.3 -47.4 -46.4 -40.9 -33.8 -33.3 -32.8 -29.8 -26.9 -24.0 -23.7 -23.0 -22.8 -21.4 -19.0 -16.7 -16.8 -16.4 -14.1 -13.8 -13.0 -12.6 -12.5 -8.5 -6.5 -6.0 -5.5 -5.4 -4.4 -4.0 -3.9 -3.7 -2.4 -2.1 -2.0 -1.8 -0.5 0.0 0.0 4.2 4.4 5.4 6.3 8.6 9.2 9.3 9.6 13.2 13.3 13.3 17.0 19.1 19.9 24.1 25.5 28.0 28.1 31.7 35.0 38.3 42.5 56.5 76.3 0.0 -600.0 600.0 300.0 -300.0 AVERAGE FOR ALL RESIDENTS Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 11 Risk Profile of American IndianV or Alaska NativeV (Percent above or below the State mean) BETTER THAN AVERAGE 5-7 5-5 5-17 8-4 2-2 5-8 5-3 6-6 5-9 6-5 5-2 5-6 4-1 5-1 4-9 4-8 2-7 5-4 4-3 5-10 9-1 2-6 4-2 6-8 4-4 8-3 6-4 5-19 8-1 6-3 8-2 2-3 3-1 5-15 4-6 5-20 5-11 9-2 1-4 1-1 9-4 2-5 7-4 2-1 9-3 2-4 1-3 3-3 7-2 4-5 4-10 3-2 4-7 5-12 5-16 6-9 5-13 6-1 7-3 5-18 1-2 7-1 6-2 5-14 6-7 Lung cancer Chronic lower respiratory diseases Alzheimer's disease Deaths before expected years of life reached Tobacco use during pregnancy Breast cancer Coronary heart disease Drug-induced deaths Cervical cancer Injury by firearms Diseases of the heart Malignant neoplasm (cancer) Incidence of newborn intensive care Cardiovascular disease Neonatal mortality Mortality of infants from low birthweight/short gestation Gestational weight gain - Excessive Cerebrovascular disease Born too small: <2,500 grams Colorectal cancer Incidence of early syphilis Gestational weight gain - Inadequate Born too early (preterm or < 37 weeks) Intentional self-harm (suicide) Born too small: <1,500 grams Median age at death among females Drowning mortality Essential (primary) hypertension Median age at death from all causes Fall-related injuries Median age at death among males Pre-existing hypertension No care in the 1st trimester HIV disease Infant mortality Total mortality from all causes Prostate cancer Incidence of gonorrhea Pregnancies among females 18-19 years Pregnancies among females 19 and younger Incidence of HIV/AIDS Gestational hypertension Mortality among middle-age adults 45-64 years Unmarried mothers Incidence of chlamydia Gestational diabetes Pregnancies among females 15-17 years No prenatal care Mortality among adolescents 15-19 years Incidence of congenital anomalies Postneonatal mortality Fewer than five prenatal visits Sudden Infant Death Syndrome (SIDS) Influenza and pneumonia Septicemia Assault (homicide) Diabetes Unintentional injuries Mortality among young adults 20-44 years Nephritis, nephrotic syndrome and nephrosis Pregnancies among females 14 and younger Mortality among children 1-14 years Motor vehicle-related injuries Chronic liver disease and cirrhosis Alcohol-induced deaths WORSE THAN AVERAGE -76.9 -67.2 -42.9 -41.0 -33.6 -33.3 -20.4 -20.2 -17.4 -16.8 -15.1 -13.6 -13.3 -11.6 -8.6 -3.4 1.4 1.6 2.2 3.1 3.5 4.6 6.4 6.7 15.8 16.5 16.7 17.1 21.1 21.9 23.3 26.9 29.2 31.3 39.3 39.6 47.7 49.8 55.5 68.5 69.1 71.6 72.9 75.7 76.0 91.6 93.2 94.2 104.4 109.1 119.0 121.2 127.5 153.2 159.3 180.4 187.5 189.0 189.2 190.5 222.4 225.8 331.0 420.8 537.1 0.0 -600.0 -300.0 600.0 300.0 AVERAGE FOR ALL RESIDENTS 12 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Risk Profile of BlackV or African AmericanV (Percent above or below the State mean) BETTER THAN AVERAGE 6‐8 6‐7 5‐14 8‐4 5‐5 2‐4 1‐2 4‐5 5‐9 6‐3 6‐4 1‐3 6‐6 1‐4 2‐7 1‐1 6‐1 5‐6 5‐7 2‐6 6‐2 8‐2 8‐3 8‐1 6‐5 3‐3 3‐1 5‐8 5‐20 5‐17 7‐4 7‐2 5‐3 2‐5 4‐7 5‐2 7‐3 3‐2 4‐2 2‐1 2‐2 5‐1 5‐10 4‐1 4‐9 7‐1 5‐4 5‐11 5‐18 4‐3 9‐3 5‐12 5‐16 5‐19 4‐6 4‐4 2‐3 5‐13 4‐8 4‐10 9‐1 6‐9 5‐15 9‐2 9‐4 Intentional self‐harm (suicide) Alcohol‐induced deaths Chronic liver disease and cirrhosis Deaths before expected years of life reached Chronic lower respiratory diseases Gestational diabetes Pregnancies among females 14 and younger Incidence of congenital anomalies Cervical cancer Fall‐related injuries Drowning mortality Pregnancies among females 15‐17 years Drug‐induced deaths Pregnancies among females 18‐19 years Gestational weight gain ‐ Excessive Pregnancies among females 19 and younger Unintentional injuries Malignant neoplasm (cancer) Lung cancer Gestational weight gain ‐ Inadequate Motor vehicle‐related injuries Median age at death among males Median age at death among females Median age at death from all causes Injury by firearms No prenatal care No care in the 1st trimester Breast cancer Total mortality from all causes Alzheimer's disease Mortality among middle‐age adults 45‐64 years Mortality among adolescents 15‐19 years Coronary heart disease Gestational hypertension Sudden Infant Death Syndrome (SIDS) Diseases of the heart Mortality among young adults 20‐44 years Fewer than five prenatal visits Born too early (preterm or < 37 weeks) Unmarried mothers Tobacco use during pregnancy Cardiovascular disease Colorectal cancer Incidence of newborn intensive care Neonatal mortality Mortality among children 1‐14 years Cerebrovascular disease Prostate cancer Nephritis, nephrotic syndrome and nephrosis Born too small: <2,500 grams Incidence of chlamydia Influenza and pneumonia Septicemia Essential (primary) hypertension Infant mortality Born too small: <1,500 grams Pre‐existing hypertension Diabetes Mortality of infants from low birthweight/short gestation Postneonatal mortality Incidence of early syphilis Assault (homicide) HIV disease Incidence of gonorrhea Incidence of HIV/AIDS -600.0 WORSE THAN AVERAGE -62.9 -53.7 -43.6 -35.0 -24.6 -18.9 -14.4 -9.2 -4.3 -2.3 0.0 0.6 1.0 2.4 3.8 4.2 5.0 7.4 9.4 11.2 11.9 12.3 12.7 13.2 14.6 16.2 17.6 20.3 20.5 23.6 23.9 24.0 26.7 28.0 30.0 30.5 30.8 35.4 35.6 39.5 41.0 41.2 51.2 58.7 62.9 63.2 66.6 68.2 69.8 71.2 72.6 74.5 79.6 94.6 96.4 98.6 99.4 106.2 120.7 152.4 169.5 176.8 231.3 254.5 301.5 -300.0 0.0 300.0 600.0 AVERAGE FOR ALL RESIDENTS Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 13 COMPARATIVE MEASURES OF HEALTH STATUS BY RACE/ETHNICITY IN 2015 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 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 Goups, Arizona 2015 17 1-1 PREGNANCIES AMONG FEMALES 19 OR YOUNGER 2015 Note: Number of pregnancies per 1,000 females 10-19 years old in specified group. 2005 Note: Number of pregnancies per 1,000 females 10-19 years old in specified group. COMPARATIVE RATES FOR 2005 AND 2015 Rate per 1,000 females by race/ethnicity Year 2005 2015 % change from 2005 32.7 15.9 15.8 10.5 55.5 20.4 43.5 16.6 American Indian or Alaska Native 40.8 26.8 -51.4 -33.5 -63.2 -61.8 -34.3 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 16.2 6.3 -61.1 19 1-2 PREGNANCIES AMONG FEMALES 14 OR YOUNGER 2015 Note: Number of pregnancies per 1,000 females 10-14 years old in specified group. 2005 Note: Number of pregnancies per 1,000 females 10-14 years old in specified group. COMPARATIVE RATES FOR 2005 AND 2015 Rate per 1,000 females by race/ethnicity Year 2005 2015 % change from 2005 20 1.1 0.3 0.3 0.1 2.2 0.4 1.6 0.3 American Indian or Alaska Native 1.5 0.9 -72.7 -66.7 -81.8 -81.3 -40.0 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 0.3 0.0 -100.0 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 1-3 PREGNANCIES AMONG FEMALES 15-17 YEARS OLD 2015 Note: Number of pregnancies per 1,000 females 15-17 years old in specified group. 2005 Note: Number of pregnancies per 1,000 females 15-17 years old in specified group. COMPARATIVE RATES FOR 2005 AND 2015 Rate per 1,000 females by race/ethnicity Year 2005 2015 % change from 2005 39.1 14.1 14.9 7.7 72.9 19.5 51.6 14.2 American Indian or Alaska Native 55.0 27.3 -63.9 -48.3 -73.3 -72.5 -50.4 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 16.2 4.8 -70.4 21 1-4 PREGNANCIES AMONG FEMALES 18-19 YEARS OLD 2015 Note: Number of pregnancies per 1,000 females 18-19 years old in specified group. 2005 Note: Number of pregnancies per 1,000 females 18-19 years old in specified group. COMPARATIVE RATES FOR 2005 AND 2015 Rate per 1,000 females by race/ethnicity Year 2005 2015 % change from 2005 22 103.6 58.4 55.1 40.2 168.9 74.7 144.8 59.8 American Indian or Alaska Native 137.0 90.8 -43.6 -27.0 -55.8 -58.7 -33.7 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 47.6 23.8 -50.0 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 2 Maternal Lifestyle and Health Characteristics 2-1 Unmarried Mothers 2-2 Tobacco Use during Pregnancy 2-3 Pre-existing Hypertension 2-4 Gestational Diabetes 2-5 Gestational Hypertension 2-6 Gestational Weight Gain - Inadequate 2-7 Gestational Weight Gain – Excessive Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 23 2-1 UNMARRIED MOTHERS 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. COMPARATIVE RATES FOR 2005 AND 2015 Per 100 births by race/ethnicity Year 2005 2015 % change from 2005 42.8 45.3 26.1 31.5 54.3 56.2 61.9 63.2 American Indian or Alaska Native 72.9 79.6 5.8 20.7 3.5 2.1 9.2 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 17.0 14.3 -15.9 25 2-2 TOBACCO USE DURING PREGNANCY 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. COMPARATIVE RATES FOR 2005 AND 2015 Per 100 births by race/ethnicity Year 2005 2015 % change from 2005 26 5.4 5.2 9.3 8.1 1.9 2.3 7.7 7.3 American Indian or Alaska Native 3.4 3.4 -3.7 -12.9 21.1 -5.2 0.0 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 2.2 1.1 -50.0 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 2-3 PRE-EXISTING HYPERTENSION 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. COMPARATIVE RATES FOR 2005 AND 2015 Per 100 births by race/ethnicity Year 2005 2015 % change from 2005 0.4 1.1 0.5 1.0 0.3 1.1 1.0 2.3 American Indian or Alaska Native 1.0 1.4 175.0 100.0 266.7 130.0 40.0 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 0.5 0.8 60.0 27 2-4 GESTATIONAL DIABETES 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. COMPARATIVE RATES FOR 2005 AND 2015 Per 100 births by race/ethnicity Year 2005 2015 % change from 2005 28 3.0 7.5 2.2 6.0 2.9 7.9 2.3 6.1 American Indian or Alaska Native 8.2 14.5 150.0 172.7 172.4 165.2 76.8 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 4.7 13.6 189.4 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 2-5 GESTATIONAL HYPERTENSION 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. COMPARATIVE RATES FOR 2005 AND 2015 Per 100 births by race/ethnicity Year 2005 2015 % change from 2005 3.1 6.0 3.8 5.7 2.1 5.7 3.0 7.7 American Indian or Alaska Native 5.8 10.3 93.5 50.0 171.4 156.7 77.6 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 2.4 3.3 37.5 29 2-6 GESTATIONAL WEIGHT GAIN – INADEQUATE* 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. * Due to differences in the manner this variable is collected in the revised version of the U.S Certificate of Live Birth implemented in 2014, 2005 and 2015 rates are not comparable. 30 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 2-7 GESTATIONAL WEIGHT GAIN – EXCESSIVE* 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. * Due to differences in the manner this variable is collected in the revised version of the U.S Certificate of Live Birth implemented in 2014, 2005 and 2015 rates are not comparable. Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 31 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 Goups, Arizona 2015 33 3-1 NO CARE IN THE 1ST TRIMESTER* 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. * Due to differences in the manner this variable is collected in the revised version of the U.S Certificate of Live Birth implemented in 2014, 2005 and 2015 rates are not comparable. Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 35 3-2 FEWER THAN 5 PRENATAL VISITS 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. COMPARATIVE RATES FOR 2005 AND 2015 Per 100 births by race/ethnicity Year 2005 2015 % change from 2005 36 6.5 6.6 2.8 3.9 19.2 8.3 13.4 8.9 American Indian or Alaska Native 12.6 14.6 1.5 39.3 -56.8 -33.6 15.9 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 3.5 4.8 37.1 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 3-3 NO PRENATAL CARE 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. COMPARATIVE RATES FOR 2005 AND 2015 Per 100 births by race/ethnicity Year 2005 2015 % change from 2005 2.3 2.2 0.8 1.3 6.7 3.0 4.4 2.5 American Indian or Alaska Native 3.0 4.3 -4.3 62.5 -55.2 -43.2 43.3 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 1.0 1.2 20.0 37 4 Newborn’s Health 4-1 Newborn Intensive Care 4-2 Born Too Early (Preterm or <37 Weeks) 4-3 Incidence of Low-Birthweight Births 4-4 Incidence of Very Low-Birthweight Births 4-5 Incidence of Congenital Anomalies/Birth Defects 4-6 Infant Mortality 4-7 Sudden Infant Death Syndrome 4-8 Mortality of Infants from Low-Birthweight/ Short Gestation 4-9 Neonatal Mortality 4-10 Postneonatal Mortality Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 39 4-1 NEWBORN INTENSIVE CARE 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. COMPARATIVE RATES FOR 2005 AND 2015 Per 100 births by race/ethnicity Year 2005 2015 % change from 2005 5.7 6.9 6.5 6.6 5.1 6.7 7.4 10.9 American Indian or Alaska Native 5.1 6.0 21.1 1.5 31.4 47.3 17.6 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 5.4 7.8 44.4 41 4-2 BORN TOO EARLY (PRETERM OF <37 WEEKS) 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. COMPARATIVE RATES FOR 2005 AND 2015 Per 100 births by race/ethnicity Year 2005 2015 % change from 2005 42 10.7 9.0 10.9 8.6 10.1 9.0 16.4 12.2 American Indian or Alaska Native 10.6 9.6 -15.9 -21.1 -10.9 -25.6 -9.4 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 10.2 9.4 -7.8 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 4-3 BORN TOO SMALL: LOW BIRTHWEIGHT (<2,500 GRAMS) 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. COMPARATIVE RATES FOR 2005 AND 2015 Per 100 births by race/ethnicity Year 2005 2015 % change from 2005 6.9 7.2 6.9 6.6 6.4 6.9 12.6 12.3 American Indian or Alaska Native 7.3 7.3 4.3 -4.3 7.8 -2.4 0.0 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 8.0 9.0 12.5 43 4-4 BORN TOO SMALL: VERY LOW BIRTHWEIGHT (<1,500 GRAMS) 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. COMPARATIVE RATES FOR 2005 AND 2015 Per 100 births by race/ethnicity Year 2005 2015 % change from 2005 44 1.2 1.1 1.1 1.0 1.2 1.1 2.5 2.3 American Indian or Alaska Native 1.1 1.3 -8.3 -9.1 -8.3 -8.0 18.2 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 1.2 1.2 0.0 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 4-5 INCIDENCE OF CONGENITAL ANOMALIES (BIRTH DEFECTS)* 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. * Due to differences in the manner this variable is collected in the revised version of the U.S Certificate of Live Birth implemented in 2014, 2005 and 2015 rates are not comparable. Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2015 45 4-6 INFANT MORTALITY 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. COMPARATIVE RATES FOR 2005 AND 2015 Per 1,000 births by race/ethnicity Year 2005 2015 % change from 2005 46 6.8 5.6 6.2 4.7 7.0 5.5 12.8 11.0 American Indian or Alaska Native 8.3 7.8 -17.6 -24.2 -21.4 -14.1 -6.0 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 5.3 4.0 -24.5 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 4-7 SUDDEN INFANT DEATH SYNDROME (SIDS) 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. COMPARATIVE RATES FOR 2005 AND 2015 Per 1,000 births by race/ethnicity Year 2005 2015 % change from 2005 0.3 0.2 0.3 0.2 0.3 0.1 0.6 0.2 American Indian or Alaska Native 0.6 0.4 -33.3 -33.3 -66.7 -66.7 -33.3 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2015 Asian or Pacific Islander 0.7 0.0 -100.0 47 4-8 MORTALITY OF INFANTS FROM LOW BIRTHWEIGHT/SHORT GESTATION 2015 Note: Per 100 live births. 2005 Note: Per 100 live births. COMPARATIVE RATES FOR 2005 AND 2015 Per 1,000 births by race/ethnicity Year 2005 2015 % change from 2005 0.8 0.6 0.5 0.5 1.2 0.7 1.2 1.4 American Indian or Alaska Native 0.5 0.6 -25.0 0.0 -41.7 16.7 20.0 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2015 Asian or Pacific Islander 0.0 0.3 NA 48 4-9 NEONATAL MORTALITY 2015 Note: Number of deaths per 1,000 live births. 2005 Note: Number of deaths per 1,000 live births. COMPARATIVE RATES FOR 2005 AND 2015 Per 1,000 births by race/ethnicity Year 2005 2015 % change from 2005 4.4 3.5 4.1 2.8 4.9 3.8 5.5 5.7 American Indian or Alaska Native 4.3 3.2 -20.5 -31.7 -22.4 3.6 -25.6 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 3.2 3.7 15.6 49 4-10 POSTNEONATAL MORTALITY 2015 Note: Number of deaths per 1,000 live births. 2005 Note: Number of deaths per 1,000 live births. COMPARATIVE RATES FOR 2005 AND 2015 Per 1,000 births by race/ethnicity Year 2005 2015 % change from 2005 50 2.4 2.1 2.1 1.9 2.1 1.7 7.3 5.3 American Indian or Alaska Native 4.0 4.6 -12.5 -9.5 -19.0 -27.4 15.0 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 2.1 0.3 -85.7 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 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 Goups, Arizona 2015 51 5-1 CARDIOVASCULAR DISEASE 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of ddaths per 100,000 population bq race/ethnicity Year 2005 2015 % change from 2005 245.7 189.0 241.3 192.4 266.1 165.1 343.3 266.8 American Indian or Alaska Nat)ve 235.6 167.0 -23.1 -20.3 -38.0 -22.3 -29.1 All groups White nonHispanic Hispanic or Latino Bla#k or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2015 Asian or Pacific Islander 243.0 119.1 -51.0 53 5-2 DISEASES OF THE HEART 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 54 186.9 141.3 185.2 146.0 189.6 117.6 250.3 184.4 American Indian or Alaska Native 179.1 119.9 -24.4 -21.2 -38.0 -26.3 -33.1 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 159.8 75.0 -53.1 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 5-3 CORONARY HEART DISEASE 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 147.9 104.6 147.3 108.0 147.1 90.2 211.4 132.5 American Indian or Alaska Native 133.7 83.3 -29.3 -26.7 -38.7 -37.3 -37.7 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 113.7 54.9 -51.7 55 5-4 CEREBROVASCULAR DISEASE 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 56 40.6 31.1 38.8 30.1 51.0 32.4 66.0 51.8 American Indian or Alaska Native 32.3 31.6 -23.4 -22.4 -36.5 -21.5 -2.2 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 64.6 30.4 -52.9 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 5-5 CHRONIC LOWER RESPIRATORY DISEASE 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 46.8 45.1 49.6 50.8 31.6 21.5 43.9 34.0 American Indian or Alaska Native 12.0 14.8 -3.6 2.4 -32.0 -22.6 23.3 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 17.9 18.1 1.1 57 5-6 MALIGNANT NEOPLASM (CANCER) 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 58 161.8 144.0 162.4 149.8 165.9 120.4 217.9 154.7 American Indian or Alaska Native 122.2 124.4 -11.0 -7.8 -27.4 -29.0 1.8 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 112.7 104.8 -7.0 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 5-7 LUNG CANCER 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 43.0 35.1 45.9 39.1 29.0 18.8 53.0 38.4 American Indian or Alaska Native 6.5 8.1 -18.4 -14.8 -35.2 -27.5 24.6 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 19.7 30.6 55.3 59 5-8 BREAST CANCER (FEMALE) 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 females by race/ethnicity Year 2005 2015 % change from 2005 60 20.7 19.2 20.5 20.7 19.8 12.9 35.7 23.1 American Indian or Alaska Native 14.9 12.8 -7.2 1.0 -34.8 -35.3 -14.1 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 17.3 13.3 -23.1 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 5-9 CERVICAL CANCER 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 females by race/ethnicity Year 2005 2015 % change from 2005 2.1 2.3 1.8 1.9 4.1 3.6 1.4 2.2 American Indian or Alaska Native 3.4 1.9 9.5 5.6 -12.2 57.1 -44.1 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2015 Asian or Pacific Islander 4.6 2.1 -54.3 61 5-10 COLORECTAL CANCER 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 62 15.4 12.9 15.2 12.9 17.6 11.8 27.0 19.5 American Indian or Alaska Native 7.5 13.3 -16.2 -15.1 -33.0 -27.8 77.3 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 12.5 9.4 -24.8 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 5-11 PROSTATE CANCER 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 males by race/ethnicity Year 2005 2015 % change from 2005 23.8 17.6 23.5 17.3 30.6 17.6 20.4 29.6 American Indian or Alaska Native 23.5 26.0 -26.1 -26.4 -42.5 45.1 10.6 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 5.1 10.7 109.8 63 5-12 INFLUENZA AND PNEUMONIA 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 64 22.3 9.4 20.5 8.6 26.5 11.2 21.6 16.4 American Indian or Alaska Native 72.0 23.8 -57.8 -58.0 -57.7 -24.1 -66.9 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 17.5 6.7 -61.7 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 5-13 DIABETES 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 20.1 25.7 15.5 20.1 46.0 45.3 55.2 53.0 American Indian or Alaska Native 69.9 73.9 27.9 29.7 -1.5 -4.0 5.7 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 17.8 22.7 27.5 65 5-14 CHRONIC LIVER DISEASE AND CIRRHOSIS 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 66 12.7 14.9 10.7 13.1 19.4 14.0 12.8 8.4 American Indian or Alaska Native 51.2 77.6 17.3 22.4 -27.8 -34.4 51.6 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 4.9 4.0 -18.4 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 5-15 HIV DISEASE 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 2.4 1.6 2.0 1.3 2.5 1.4 9.2 5.3 American Indian or Alaska Native 3.1 2.1 -33.3 -35.0 -44.0 -42.4 -32.3 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 0.5 0.8 60.0 67 5-16 SEPTICEMIA 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 68 8.4 5.4 7.3 5.0 13.0 5.9 18.2 9.7 American Indian or Alaska Native 18.2 14.0 -35.7 -31.5 -54.6 -46.7 -23.1 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 6.2 4.7 -24.2 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 5-17 ALZHEIMER’S DISEASE 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 32.7 37.3 33.0 37.8 31.3 36.5 42.7 46.1 American Indian or Alaska Native 16.2 21.3 14.1 14.5 16.6 8.0 31.5 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 30.2 20.4 -32.5 69 5-18 NEPHRITIS, NEPHROTIC SYNDROME, AND NEPHROSIS 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 70 10.4 6.3 8.5 5.6 22.5 8.3 19.8 10.7 American Indian or Alaska Native 31.4 18.3 -39.4 -34.1 -63.1 -46.0 -41.7 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 9.2 5.7 -38.0 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 5-19 ESSENTIAL (PRIMARY) HYPERTENSION 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 6.8 11.1 5.9 10.7 13.2 11.7 15.6 21.6 American Indian or Alaska Native 15.8 13.0 63.2 81.4 -11.4 38.5 -17.7 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 6.8 8.7 27.9 71 5-20 TOTAL MORTALITY FROM ALL CAUSES 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 72 772.5 691.3 744.6 704.1 849.2 601.5 1053.1 832.8 American Indian or Alaska Native 1006.6 965.3 -10.5 -5.4 -29.2 -20.9 -4.1 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 629.5 413.8 -34.3 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 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 Goups, Arizona 2015 73 6-1 UNINTENTIONAL INJURIES 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 51.1 48.1 46.2 49.3 54.8 36.7 64.3 50.5 American Indian or Alaska Native 117.8 139.0 -5.9 6.7 -33.0 -21.5 18.0 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 34.2 21.7 -36.5 75 6-2 MOTOR VEHICLE-RELATED INJURIES 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 76 18.9 12.6 15.0 10.7 22.7 9.9 24.9 14.1 American Indian or Alaska Native 62.6 54.3 -33.3 -28.7 -56.4 -43.4 -13.3 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 10.2 8.2 -19.6 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 6-3 FALL-RELATED INJURIES 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2003 12.0 12.8 11.9 13.0 12.1 12.1 6.5 12.5 American Indian or Alaska Native 10.4 15.6 6.7 9.2 0.0 92.3 50.0 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 15.0 9.5 -36.7 77 6-4 DROWNING 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 78 1.4 1.2 1.1 1.3 1.3 0.8 2.9 1.2 American Indian or Alaska Native 3.4 1.4 -14.3 18.2 -38.5 -58.6 -58.8 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 3.2 0.8 -75.0 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 6-5 FIREARM-RELATED 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 15.2 13.7 12.0 16.5 18.4 7.2 23.4 15.7 American Indian or Alaska Native 15.6 11.4 -9.9 37.5 -60.9 -32.9 -26.9 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 7.5 3.0 -60.0 79 6-6 DRUG-INDUCED 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 80 13.8 19.8 14.8 25.4 10.6 11.7 28.4 20.0 American Indian or Alaska Native 12.4 15.8 43.5 71.6 10.4 -29.6 27.4 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 2.1 1.6 -23.8 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 6-7 ALCOHOL-INDUCED 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 11.2 17.5 9.9 15.5 11.0 13.3 6.7 8.1 American Indian or Alaska Native 51.1 111.5 56.3 56.6 20.9 20.9 118.2 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 7.2 1.1 -84.7 81 6-8 INTENTIONAL SELF-HARM (SUICIDE) 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 82 15.4 17.8 16.6 23.6 10.5 6.7 3.3 6.6 American Indian or Alaska Native 17.5 19.0 15.6 42.2 -36.2 100.0 8.6 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 11.7 7.0 -40.2 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 6-9 ASSAULT (HOMICIDE) 2015 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). 2005 Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard). COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 8.2 5.6 3.5 4.0 14.6 5.3 27.4 15.5 American Indian or Alaska Native 14.0 15.7 -31.7 14.3 -63.7 -43.4 12.1 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 5.1 2.4 -52.9 83 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 Goups, Arizona 2015 85 7-1 MORTALITY AMONG CHILDREN 1-14 YEARS OLD 2015 Note: Number of deaths per 100,000 children 1-14 years. 2005 Note: Number of deaths per 100,000 children 1-14 years. COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 children 1-14 years old by race/ethnicity Year 2005 2015 % change from 2005 22.7 15.4 17.4 13.9 26.3 11.9 35.7 25.2 American Indian or Alaska Native 33.4 50.3 -32.2 -20.1 -54.8 -29.4 50.6 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 18.7 9.6 -48.7 87 7-2 MORTALITY AMONG ADOLESCENTS 15-19 YEARS OLD 2015 Note: Number of deaths per 100,000 adolescents 15-19 years. 2005 Note: Number of deaths per 100,000 adolescents 15-19 years. COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 adolescents 15-19 years old by race/ethnicity Year 2005 2015 % change from 2005 88 80.1 47.5 68.6 48.1 89.2 40.8 88.7 58.9 American Indian or Alaska Native 137.0 97.1 -40.7 -29.9 -54.3 -33.6 -29.1 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 24.6 27.1 10.2 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 7-3 MORTALITY AMONG YOUNG ADULTS 20-44 YEARS OLD 2015 Note: Number of deaths per 100,000 young adults 20-44 years. 2005 Note: Number of deaths per 100,000 young adults 20-44 years. COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 young adults 20-44 years old by race/ethnicity Year 2005 2015 % change from 2005 140.9 146.6 122.1 154.7 140.7 102.8 227.3 191.7 American Indian or Alaska Native 348.3 423.9 4.0 26.7 -26.9 -15.7 21.7 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 61.3 52.3 -14.7 89 7-4 MORTALITY AMONG MIDDLE-AGE ADULTS 45-64 YEARS OLD 2015 Note: Number of deaths per 100,000 middle-age adults 45-64 years. 2005 Note: Number of deaths per 100,000 middle-age adults 45-64 years. COMPARATIVE RATES FOR 2005 AND 2015 Number of deaths per 100,000 middle-age adults 45-64 years old by race/ethnicity Year 2005 2015 % change from 2005 90 673.1 641.0 654.2 684.0 631.6 468.5 1103.8 794.1 American Indian or Alaska Native 1077.0 1108.3 -4.8 4.6 -25.8 -28.1 2.9 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 313.1 236.4 -24.5 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 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 Goups, Arizona 2015 91 8-1 MEDIAN AGE AT DEATH FROM ALL CAUSES 2015 2005 MEDIAN AGE AT DEATH IN 2005 AND 2015 By race/ethnicity Year 2005 2015 % change from 2005 77.0 76.0 79.0 78.0 65.0 69.0 64.0 66.0 American Indian or Alaska Native 59.0 60.0 -1.3 -1.3 6.2 3.1 1.7 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 72.0 75.0 4.2 93 8-2 MEDIAN AGE AT DEATH FROM ALL CAUSES AMONG MALES 2015 2005 MEDIAN AGE AT DEATH AMONG MALES IN 2005 AND 2015 By race/ethnicity Year 2005 2015 % change from 2005 94 74.0 73.0 76.0 75.0 61.0 66.0 58.0 64.0 American Indian or Alaska Native 54.0 56.0 -1.4 -1.3 8.2 10.3 3.7 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 71.0 71.0 0.0 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 8-3 MEDIAN AGE AT DEATH FROM ALL CAUSES AMONG FEMALES 2015 2005 MEDIAN AGE AT DEATH AMONG FEMALES IN 2005 AND 2015 By race/ethnicity Year 2005 2015 % change from 2005 80.0 79.0 81.0 81.0 71.0 74.0 71.0 69.0 American Indian or Alaska Native 66.0 66.0 -1.3 0.0 4.2 -2.8 0.0 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 73.0 77.0 5.5 95 8-4 PERCENT OF TOTAL DEATHS BEFORE EXPECTED YEARS OF LIFE REACHED 2015 2005 DEATHS BEFORE EXPECTED YEARS OF LIFE REACHED IN 2005 AND 2015 By race/ethnicity Year 2005 2015 % change from 2005 96 52.7 54.9 47.9 50.9 71.3 67.4 75.1 74.1 American Indian or Alaska Native 78.4 77.4 4.2 6.3 -5.5 -1.3 -1.3 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 65.1 59.9 -8.0 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 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 HIV/AIDS Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 97 9-1 INCIDENCE (RATES) OF EARLY SYPHILIS 2015 2005 COMPARATIVE RATES FOR 2005 AND 2015 Number of reported cases per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 5.1 14.1 2.9 10.0 8.6 16.9 16.5 38.0 American Indian or Alaska Native 10.6 14.6 176.5 244.8 96.5 130.3 37.7 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 2.6 6.8 161.5 99 9-2 INCIDENCE (RATES) OF GONORRHEA 2015 2005 COMPARATIVE RATES FOR 2005 AND 2015 Number of reported cases per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 100 81.9 122.4 31.5 51.1 95.0 117.5 395.7 433.9 American Indian or Alaska Native 142.6 183.3 49.5 62.2 23.7 9.7 28.5 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 14.6 24.8 69.9 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 9-3 INCIDENCE (RATES) OF CHLAMYDIA 2015 2005 COMPARATIVE RATES FOR 2005 AND 2015 Number of reported cases per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 352.0 481.1 121.9 148.5 468.5 478.5 778.1 830.5 American Indian or Alaska Native 827.6 846.7 36.7 21.8 2.1 6.7 2.3 All groups White nonHispanic Hispanic or Latino Black or African American Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Asian or Pacific Islander 99.7 139.0 39.4 101 9-4 INCIDENCE (RATES) OF HIV/AIDS 2015 2005 COMPARATIVE RATES FOR 2005 AND 2015 Number of reported HIV/AIDS cases per 100,000 population by race/ethnicity Year 2005 2015 % change from 2005 102 12.8 10.9 10.1 6.9 16.0 12.4 41.6 43.8 American Indian or Alaska Native 15.1 18.5 -14.8 -31.7 -22.5 5.3 22.5 All groups White nonHispanic Hispanic or Latino Black or African American Asian or Pacific Islander 6.9 9.0 30.4 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 COMPARATIVE RATES AND RATIOS FOR 2005-2015 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 103 COMPARATIVE RATES AND RATIOS FOR 2005 – 2015 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 2015 15.9 10.5 20.4 16.6 26.8 6.3 2014 17.8 11.6 25.4 16.9 19.2 5.5 2013 19.2 9.8 25.0 25.1 29.7 6.8 2012 21.6 10.7 28.0 26.2 33.6 7.5 2011 23.0 11.8 30.2 24.9 29.2 9.1 2010 24.7 15.9 33.8 29.5 37.0 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 Figure 1-2 - Pregnancies among females 14 and younger 2015 0.3 0.1 0.4 0.3 0.9 0.0 2014 0.3 0.2 0.3 0.5 0.7 0.2 2013 0.4 0.1 0.6 0.7 0.6 0.3 2012 0.5 0.1 0.6 0.8 0.5 0.2 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 Figure 1-3 - Pregnancies among females 15-17 years old 2015 14.1 7.7 19.5 14.2 27.3 4.8 2014 16.1 8.2 25.2 15.9 21.0 4.6 2013 18.0 7.1 25.9 20.9 31.5 3.7 2012 21.8 9.0 31.6 26.2 32.2 5.6 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 Figure 1-4 - Pregnancies among females 18-19 years old 2015 58.4 40.2 74.7 59.8 90.8 23.8 2014 65.2 45.5 91.7 59.4 62.7 20.3 2013 64.8 34.0 87.4 82.9 98.0 25.5 2012 70.2 35.6 93.8 81.2 110.7 26.6 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 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 105 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 2015 45.3 2014 44.7 2013 45.1 2012 45.2 2011 44.3 2010 44.7 2009 45.2 2008 45.1 2007 45.0 2006 43.9 2005 42.8 Figure 2-2 - Tobacco use during pregnancy 56.2 56.1 57.1 57.2 56.6 56.2 56.9 56.5 56.7 55.4 54.3 63.2 62.5 63.7 64.8 63.6 63.1 62.7 62.6 61.9 62.3 61.9 79.6 78.9 79.2 78.5 77.1 77.7 76.9 75.8 75.9 74.8 72.9 14.3 15.2 16.0 17.3 17.3 17.4 15.8 17.4 17.6 16.2 17.0 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 Figure 2-3 - Pre-existing hypertension 5.2 5.3 4.4 4.2 4.3 4.7 4.8 4.9 4.7 5.1 5.4 8.1 8.3 7.0 6.7 6.7 7.5 8.0 8.4 8.3 8.8 9.3 2.3 2.2 1.8 1.6 1.6 1.7 1.8 1.6 1.6 1.8 1.9 7.3 6.8 6.5 6.4 6.7 6.9 7.0 7.3 6.8 7.2 7.7 3.4 3.4 2.9 2.3 2.4 2.5 2.6 2.8 3.1 3.6 3.4 1.1 1.3 1.1 1.0 1.5 1.7 1.7 1.6 1.9 1.8 2.2 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 Figure 2-4 - Gestational diabetes 1.1 1.2 1.1 0.9 0.8 0.9 0.8 0.8 0.6 0.6 0.4 1.0 1.1 1.1 0.9 0.8 0.9 0.8 0.8 0.6 0.6 0.5 1.1 1.1 1.1 0.8 0.7 0.6 0.6 0.6 0.5 0.4 0.3 2.3 2.1 1.8 1.4 1.7 1.8 1.6 1.7 1.1 1.0 1.0 1.4 1.9 1.4 1.4 1.2 1.5 1.6 1.4 1.5 1.4 1.0 0.8 0.9 0.8 1.0 0.6 0.6 0.9 0.4 0.5 0.5 0.5 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 Figure 2-5 - Gestational hypertension 7.5 6.1 5.7 5.1 4.6 4.2 3.9 3.9 3.4 3.2 3.0 6.0 4.9 4.4 3.7 3.4 3.2 3.0 2.9 2.7 2.5 2.2 7.9 6.4 6.1 5.8 5.1 4.5 4.0 4.1 3.3 3.2 2.9 6.1 4.6 5.0 4.3 3.8 3.4 2.9 2.9 3.0 2.7 2.3 14.5 12.1 11.1 9.9 9.3 7.8 8.2 8.2 8.0 7.2 8.2 13.6 11.4 9.7 7.9 7.5 6.8 6.1 6.8 5.9 4.5 4.7 6.0 5.2 5.6 4.5 4.2 3.9 3.6 3.5 3.1 2.9 3.1 5.7 5.2 5.9 4.7 4.5 4.1 4.2 4.0 3.7 3.3 3.8 5.7 4.7 4.9 4.0 3.5 3.3 2.7 2.7 2.2 2.1 2.1 7.7 6.9 6.4 4.9 5.2 4.6 4.3 4.5 3.5 3.5 3.0 10.3 8.6 7.4 6.5 6.3 6.1 5.5 5.9 5.8 5.9 5.8 3.3 3.1 4.9 3.8 3.1 3.2 2.5 3.0 2.4 1.8 2.4 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 106 31.5 31.1 30.3 30.4 29.5 29.9 29.7 29.5 28.4 27.7 26.1 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS (continued) (All ratios are per 100 live births) Indicator ALL ARIZONA RESIDENTS White nonHispanic Figure 2-6 - Gestational weight gain - Inadequate 2015 22.2 2014 21.8 2013 27.6 2012 26.4 2011 26.4 2010 26.8 2009 26.9 2008 25.9 2007 25.3 2006 25.5 2004 20.6 2005 24.4 Figure 2-7 - Gestational weight gain - Excessive 2015 46.1 2014 46.5 2013 27.6 2012 26.4 2011 26.4 2010 26.8 2009 26.9 2008 25.9 2007 25.3 2006 25.5 2004 20.6 2005 24.4 3. Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander 18.7 18.0 20.7 19.7 20.1 20.0 19.7 18.6 18.1 18.5 15.1 16.9 25.2 25.3 33.9 32.4 32.2 32.7 33.1 32.3 31.2 31.3 24.3 30.1 24.7 23.7 31.7 30.5 30.0 31.3 31.0 27.2 27.5 28.2 23.4 27.9 23.3 23.0 36.3 35.9 35.6 35.2 34.6 32.9 31.9 33.4 28.5 32.4 27.5 28.2 23.9 23.6 22.5 23.1 21.8 20.3 19.4 21.0 18.4 18.7 49.4 50.2 20.7 19.7 20.1 20.0 19.7 18.6 18.1 18.5 15.1 16.9 43.1 43.1 33.9 32.4 32.2 32.7 33.1 32.3 31.2 31.3 24.3 30.1 47.9 48.1 31.7 30.5 30.0 31.3 31.0 27.2 27.5 28.2 23.4 27.9 46.7 46.3 36.3 35.9 35.6 35.2 34.6 32.9 31.9 33.4 28.5 32.4 35.6 33.9 23.9 23.6 22.5 23.1 21.8 20.3 19.4 21.0 18.4 18.7 UTILIZATION OF PRENATAL CARE SERVICES (Per 100 live births) Indicator ALL ARIZONA RESIDENTS Figure 3-1 - No care in the 1 st trimester 2015 32.1 2014 34.0 2013 18.7 2012 17.4 2011 18.3 2010 18.1 2009 19.7 2008 20.6 2007 22.4 2006 22.3 2005 22.3 Figure 3-2 - Fewer than five prenatal visits 2015 6.6 2014 6.5 2013 5.1 2012 4.8 2011 5.0 2010 4.9 2009 5.3 2008 5.4 2007 6.0 2006 6.4 2005 6.5 Figure 3-3 - No prenatal care 2015 2.2 2014 2.1 2013 1.4 2012 1.2 2011 1.6 2010 1.6 2009 1.8 2008 1.8 2007 2.2 2006 2.4 2005 2.3 White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander 26.8 28.3 12.6 11.6 12.0 11.8 12.1 12.7 13.5 13.1 12.3 36.4 39.5 23.8 21.8 23.5 23.4 25.9 26.6 29.5 29.9 30.5 37.8 38.6 21.8 20.1 19.6 18.4 19.7 22.4 23.2 22.6 24.4 41.5 41.6 31.3 31.8 31.4 30.6 34.0 34.9 34.1 34.1 32.1 28.2 29.5 13.6 12.9 13.5 11.9 11.9 13.6 13.5 13.9 13.7 3.9 3.7 2.8 2.6 2.3 2.3 2.5 2.7 3.0 2.9 2.8 8.3 8.6 6.8 6.4 6.9 6.8 7.4 6.9 8.1 8.8 19.2 8.9 9.0 6.0 5.6 5.6 5.8 5.3 5.8 7.1 6.4 13.4 14.6 13.3 11.9 11.1 11.5 11.0 10.7 12.4 12.0 13.2 12.6 4.8 4.0 3.3 3.1 3.3 3.1 3.4 3.7 3.3 3.2 3.5 1.3 1.1 0.7 0.6 0.6 0.6 0.7 0.7 0.9 0.9 0.8 3.0 3.2 2.1 1.9 2.5 2.6 2.9 2.5 3.2 3.6 6.7 2.5 2.8 1.3 1.1 1.6 1.7 1.6 2.1 2.7 2.3 4.4 4.3 2.9 2.4 2.0 2.5 2.3 2.1 3.1 3.2 3.5 3.0 1.2 1.4 0.7 0.7 1.0 1.2 1.3 1.3 1.5 1.2 1.0 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 107 4. 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 - Newborn intensive care 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 Figure 4-2 - Born too early (preterm or 6.9 6.7 5.3 4.9 5.4 6.2 6.2 6.0 5.1 5.1 5.7 <37 weeks) 6.6 6.6 5.3 4.7 5.6 6.3 6.5 6.5 5.7 5.7 6.5 2015 9.0 8.6 2014 9.0 8.6 2013 9.0 8.4 2012 9.2 8.7 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 Figure 4-3 - Born too small: low-birthweight (<2,500 grams) 2015 7.2 6.6 2014 7.0 6.8 2013 6.9 6.4 2012 6.9 6.5 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 Figure 4-4 - Born too small: very low-birthweight (<1,500 grams) 2015 1.1 1.0 2014 1.2 1.1 2013 1.1 1.0 2012 1.2 1.0 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 Figure 4-5 - Incidence of congenital anomalies (birth defects) 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 108 0.5 0.5 0.7 0.8 1.1 0.6 0.6 0.9 0.8 0.9 1.0 0.5 0.5 0.7 0.8 1.1 0.6 0.7 0.9 0.9 0.9 1.0 6.7 6.7 5.2 4.9 5.2 5.8 5.8 5.4 4.5 4.4 5.1 10.9 9.8 7.2 6.9 7.5 8.1 9.2 7.6 7.3 7.0 7.4 6.0 4.7 4.1 4.2 4.3 5.6 4.7 4.9 4.5 4.8 5.1 7.8 7.2 5.5 4.1 5.2 6.0 6.2 6.7 4.9 4.9 5.4 9.0 9.2 9.3 9.4 9.1 9.5 9.7 9.9 9.8 10.1 10.1 12.2 12.1 11.8 11.9 12.7 12.3 14.4 14.0 14.9 14.5 16.4 9.6 8.2 9.7 9.7 9.0 10.7 9.6 9.8 10.4 11.7 10.6 9.4 8.0 8.9 8.4 9.0 10.0 10.0 10.0 9.6 10.4 10.2 6.9 6.7 6.6 6.8 6.4 6.8 6.6 6.7 6.6 6.9 6.4 12.3 11.9 11.1 11.7 12.5 11.4 12.8 11.7 12.8 12.7 12.6 7.3 6.1 7.2 6.7 6.9 7.0 6.4 6.7 6.6 7.4 7.3 9.0 8.1 7.9 7.2 8.3 8.5 8.8 9.1 8.0 8.5 8.0 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 1.2 1.2 1.2 2.3 2.5 2.0 2.3 2.5 2.6 2.8 2.6 2.6 2.3 2.5 1.3 0.9 1.0 1.1 1.3 1.2 0.9 1.1 1.0 1.1 1.1 1.2 1.2 1.1 0.8 1.1 1.4 1.5 1.5 1.0 1.1 1.2 0.4 0.5 0.8 0.8 1.1 0.7 0.6 0.9 0.7 0.8 0.9 0.4 0.3 0.9 0.7 1.0 0.6 0.7 0.8 0.7 0.8 0.9 1.0 0.8 0.8 0.9 1.4 0.6 0.8 0.9 1.4 1.2 1.5 0.2 0.2 0.5 0.8 0.8 0.5 0.4 0.7 0.8 0.5 1.2 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 4. NEWBORN'S HEALTH (continued) (Infant, neonatal and postneonatal rates are per 1,000 live births. All other indicators are expressed per 100 live births). Indicator ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Figure 4-6 - Infant mortality 2015 5.6 2014 6.2 2013 5.3 2012 5.8 2011 5.9 2010 6.0 2009 5.9 2008 6.3 2007 6.8 2006 6.3 2005 6.8 Figure 4-7 - Sudden Infant Death Syndrome (SIDS) 5.5 6.4 5.6 7.1 7.1 6.8 5.6 5.9 7.4 6.6 7.0 11.0 11.7 12.5 11.0 7.3 11.1 17.1 17.7 15.1 16.8 12.8 7.8 8.7 6.6 7.4 7.4 8.1 8.4 8.2 8.1 6.4 8.3 4.0 2.5 1.7 3.3 2.9 3.9 3.8 7.9 3.2 2.2 5.3 2015 0.2 0.2 2014 0.2 0.1 2013 0.2 0.2 2012 0.2 0.1 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 Figure 4-8 - Mortality of infants from low birthweight/short gestation 0.1 0.1 0.1 0.1 0.3 0.3 0.4 0.1 0.3 0.2 0.3 0.2 0.2 0.6 0.4 0.5 0.5 1.8 0.9 1.0 0.8 0.6 0.4 0.4 0.2 0.2 0.3 0.9 0.8 0.6 0.6 0.3 0.6 0.0 0.0 0.0 0.3 0.0 0.3 0.3 0.3 0.0 0.3 0.7 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 Figure 4-9 - Neonatal mortality 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 Figure 4-10 - Postneonatal mortality 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 4.7 5.3 4.2 4.0 4.5 3.9 4.8 5.1 5.6 5.4 6.2 0.6 0.7 0.7 0.7 0.7 0.7 1.1 0.9 0.9 0.9 0.8 0.5 0.5 0.4 0.5 0.5 0.3 0.8 0.6 0.5 0.6 0.5 0.7 0.8 0.9 1.1 0.8 1.0 1.3 0.8 1.2 1.1 1.2 1.4 1.3 1.7 1.5 1.1 2.5 3.0 3.5 2.4 2.6 1.2 0.6 0.8 0.5 0.2 1.2 1.0 0.5 0.6 0.8 1.1 0.5 0.3 0.9 0.3 0.0 0.6 0.0 0.6 2.0 0.9 0.6 0.0 3.5 4.1 3.4 3.9 3.9 3.8 3.9 4.2 4.7 4.3 4.4 2.8 3.4 2.5 2.6 3.1 2.5 3.2 3.3 3.8 3.7 4.1 3.8 4.4 4.0 5.1 4.7 4.5 3.9 4.1 5.2 4.7 4.9 5.7 7.5 8.0 7.2 4.6 7.4 10.5 11.9 10.3 9.6 5.5 3.2 5.1 3.7 3.8 3.3 3.8 4.2 4.6 4.2 4.0 4.3 3.7 2.2 0.9 1.9 2.9 3.3 2.9 6.4 2.6 1.0 3.2 2.1 2.1 1.9 1.9 2.0 2.2 2.0 2.1 2.2 2.0 2.4 1.9 1.9 1.7 1.4 1.3 1.4 1.6 1.8 1.8 1.7 2.1 1.7 2.0 1.6 2.0 2.4 2.3 1.7 1.8 2.2 1.9 2.1 5.3 4.2 4.4 3.8 2.7 3.7 6.6 5.8 4.8 7.2 7.3 4.6 3.7 2.9 3.6 4.1 4.3 4.2 3.6 3.9 2.4 4.0 0.3 0.3 0.9 1.4 0.0 0.6 0.9 1.5 0.6 1.2 2.1 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 109 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 Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander Figure 5-1 - Cardiovascular diseases 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 Figure 5-2 - Diseases of the heart 189.0 171.6 187.7 193.3 201.0 188.6 188.8 194.1 194.4 216.4 245.7 192.4 174.9 190.9 195.1 212.6 188.8 188.3 196.3 196.9 218.2 241.3 165.1 156.2 161.9 176.2 193.4 172.4 179.8 184.8 179.8 203.2 266.1 266.8 212.3 280.2 284.0 266.1 258.5 245.7 219.6 225.9 310.3 343.3 167.0 147.7 164.2 168.3 149.2 183.2 164.2 150.4 155.0 167.0 235.6 119.1 100.8 133.6 134.7 122.4 130.0 150.8 121.4 108.9 136.2 243.0 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 Figure 5-3 - Coronary heart disease 141.3 129.9 143.0 145.8 152.7 143.3 145.9 149.3 149.5 166.1 186.9 146.0 134.4 147.6 150.0 164.3 145.4 147.5 153.1 153.2 168.8 185.2 117.6 114.0 116.1 123.4 137.4 121.3 130.5 132.0 131.5 149.8 189.6 184.4 140.9 200.5 190.5 174.0 177.7 171.3 161.7 171.3 231.9 250.3 119.9 107.5 122.9 122.7 111.1 135.9 125.8 114.6 115.2 129.4 179.1 75.0 60.3 82.5 87.9 77.0 86.8 96.7 71.8 58.6 94.7 159.8 2015 104.6 2014 99.3 2013 110.0 2012 112.7 2011 120.3 2010 112.9 2009 115.9 2008 118.3 2007 115.0 2006 130.2 2005 147.9 Figure 5-4 - Cerebrovascular disease 108.0 102.7 113.3 115.9 130.6 114.5 117.3 121.8 118.0 132.3 147.3 90.2 88.1 91.6 95.5 106.0 96.3 103.7 103.3 101.7 117.3 147.1 132.5 109.9 164.0 156.1 142.7 159.3 137.3 131.9 136.6 190.1 211.4 83.3 79.6 92.7 88.9 79.6 98.6 94.6 83.2 84.6 97.6 133.7 54.9 50.4 63.4 80.5 61.0 75.6 81.0 61.5 47.9 86.2 113.7 31.1 26.2 28.2 29.9 30.6 30.7 28.9 30.3 30.6 34.8 40.6 diseases 30.1 25.3 27.1 28.1 30.4 29.4 27.5 29.2 29.7 34.1 38.8 32.4 27.4 29.7 35.5 34.9 35.1 33.8 33.6 34.9 37.3 51.0 51.8 40.8 54.4 56.0 56.5 53.5 42.8 40.0 34.1 58.2 66.0 31.6 24.5 23.4 27.1 29.7 29.8 24.7 23.5 22.0 27.0 32.3 30.4 28.7 30.7 30.9 29.1 26.0 39.2 36.2 37.7 18.4 64.6 45.1 41.1 44.5 44.2 45.9 42.6 40.5 42.2 39.2 44.3 46.8 50.8 45.9 49.3 49.4 55.3 47.1 45.0 46.9 43.7 49.2 49.6 21.5 21.1 20.9 20.3 19.5 18.6 16.4 20.5 18.8 18.3 31.6 34.0 34.0 46.7 35.0 34.8 27.4 26.8 26.0 18.7 27.3 43.9 14.8 12.4 15.5 18.0 14.4 21.7 19.2 15.8 13.0 8.4 12.0 18.1 17.3 19.4 14.7 17.2 12.0 18.0 13.7 7.5 9.9 17.9 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 Figure 5-5 - Chronic lower respiratory 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 110 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 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) 2015 144.0 2014 136.3 2013 149.6 2012 149.8 2011 151.3 2010 150.5 2009 147.2 2008 145.5 2007 148.0 2006 154.7 2005 161.8 Figure 5-7 - Lung cancer 2015 35.1 2014 32.2 2013 36.4 2012 37.7 2011 37.8 2010 38.1 2009 39.0 2008 38.5 2007 38.2 2006 42.7 2005 43.0 Figure 5-8 - Breast cancer (female) 2015 19.2 2014 17.9 2013 20.7 2012 19.2 2011 19.7 2010 19.2 2009 19.2 2008 19.8 2007 20.1 2006 21.6 2005 20.7 Figure 5-9 - Cervical cancer 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 Figure 5-10 - Colorectal cancer 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander 149.8 141.8 154.3 155.6 170.3 155.6 151.1 150.4 154.6 162.8 162.4 120.4 124.9 129.8 127.2 136.3 126.2 128.4 123.8 118.6 124.7 165.9 154.7 145.0 190.4 180.1 167.1 182.6 153.1 149.2 153.4 163.5 217.9 124.4 97.1 118.2 100.8 100.8 106.4 113.3 106.7 113.9 83.1 122.2 104.8 83.2 100.1 100.5 116.6 96.2 108.1 104.4 84.2 82.0 112.7 39.1 35.3 40.2 41.5 46.7 41.7 42.7 42.3 42.4 47.4 45.9 18.8 21.6 22.1 22.0 22.9 20.6 23.7 20.0 20.5 21.4 29.0 38.4 29.5 40.5 43.0 36.6 36.6 38.7 37.1 39.6 45.9 53.0 8.1 10.2 10.0 9.3 7.9 7.5 10.0 11.2 9.9 4.7 6.5 30.6 26.7 22.9 20.9 20.8 22,.1 26.6 32.7 21.5 18.4 19.7 20.7 18.5 21.3 20.0 20.8 19.9 19.8 20.6 20.5 23.2 20.5 12.9 16.5 19.7 14.8 12.2 18.5 16.4 15.1 16.9 14.0 19.8 23.1 29.4 23.3 30.3 24.1 25.8 30.7 38.0 23.9 25.7 35.7 12.8 9.2 13.1 8.6 7.5 8.2 11.6 11.6 16.2 6.9 14.9 13.3 6.3 11.4 15.3 15.6 12.9 5.9 7.1 11.3 7.5 17.3 2.3 2.0 2.4 2.0 2.1 2.0 1.8 1.8 1.9 1.7 2.1 1.9 2.0 2.1 1.8 1.6 1.6 1.5 1.3 1.6 1.4 1.8 3.6 2.2 4.4 1.8 3.7 2.8 2.1 3.3 3.2 2.4 4.1 2.2 4.5 1.5 4.4 2.4 1.8 2.2 3.3 2.3 2.7 1.4 1.9 0.0 2.0 2.8 3.1 5.0 4.1 4.8 2.3 5.8 3.4 2.1 1.9 0.8 2.5 3.0 3.5 2.9 0.0 1.2 1.2 4.6 12.9 12.4 13.6 13.1 13.4 13.8 12.9 13.1 14.4 14.6 15.4 12.9 13.2 13.7 13.4 14.4 13.9 12.9 13.2 15.0 15.1 15.2 11.8 10.8 12.5 12.2 13.6 13.5 13.8 13.2 12.0 14.2 17.6 19.5 15.8 21.7 20.5 20.2 21.9 14.1 16.4 15.7 14.9 27.0 13.3 7.0 11.3 7.1 9.9 12.4 8.5 11.1 8.0 4.7 7.5 9.4 7.2 12.1 9.8 14.3 10.3 13.8 8.6 9.4 6.5 12.5 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 111 5. MORTALITY FROM NATURAL CAUSES - Chronic or Infectious Diseases (continued) (Number of deaths per 100,000 population age-adjusted to 2000 standard) Indicator ALL ARIZONA RESIDENTS White nonHispanic Figure 5-11 - Prostate cancer 2015 17.6 2014 17.0 2013 18.2 2012 18.9 2011 19.8 2010 19.1 2009 18.4 2008 19.1 2007 18.9 2006 20.1 2005 23.8 Figure 5-1. - Influenza and pneumonia 2015 9.4 2014 8.9 2013 10.0 2012 9.1 2011 9.7 2010 10.9 2009 14.6 2008 15.6 2007 12.9 2006 18.4 2005 22.3 Figure 5-13 - Diabetes 2015 25.7 2014 23.0 2013 23.6 2012 23.5 2011 24.8 2010 20.1 2009 15.7 2008 17.0 2007 17.0 2006 18.9 2005 20.1 Figure 5-14 - Chronic liver disease and cirrhosis 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 Figure 5-15 - HIV disease 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 112 Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander 17.3 17.0 18.0 18.8 19.5 18.4 18.2 18.9 19.5 19.2 23.5 17.6 15.5 17.0 22.0 20.6 23.9 20.0 20.3 15.8 25.9 30.6 29.6 24.0 26.7 26.7 24.1 35.2 28.9 20.5 23.6 34.9 20.4 26.0 23.0 19.9 12.4 17.1 21.6 16.4 14.7 16.6 16.9 23.5 10.7 7.4 18.5 9.8 5.0 12.6 2.1 25.5 19.4 24.0 5.1 8.6 8.8 9.6 8.7 9.3 10.3 13.0 14.6 12.3 17.7 20.5 11.2 9.4 10.9 9.0 12.0 9.8 15.5 18.3 14.4 20.0 26.5 16.4 4.2 11.9 8.7 8.1 9.2 14.3 12.4 13.0 18.1 21.6 23.8 22.9 24.7 30.0 28.4 33.2 42.7 36.3 34.3 32.8 72.0 6.7 6.7 8.0 4.5 9.1 8.0 16.3 13.5 7.4 21.7 17.5 20.1 18.8 18.6 18.3 21.6 15.2 12.2 13.8 13.7 15.2 15.5 45.3 39.1 40.7 40.8 41.7 37.3 28.1 29.1 30.8 40.4 46.0 53 39.7 60.2 49.4 57.8 50.0 31.1 30.8 30.3 43.9 55.2 73.9 63.2 65.7 80.2 61.3 79.3 54.2 50.8 51.1 43.9 69.9 22.7 18.3 17.9 27.6 23.3 11.7 16.2 16.1 5.1 10.9 17.8 14.9 13.2 14.5 13.6 13.4 12.3 12.2 11.7 11.3 11.4 12.7 13.1 10.9 12.6 11.4 12.0 9.7 9.5 10.0 9.6 9.6 10.7 14.0 18.0 16.7 16.9 18.9 15.5 18.7 15.4 16.3 15.5 19.4 8.4 8.3 6.8 10.9 6.6 8.0 3.1 7.5 5.9 7.2 12.8 77.6 52.7 62.0 59.2 43.6 64.6 54.0 40.7 36.8 43.6 51.2 4.0 3.8 3.9 2.6 4.2 0.5 3.1 1.8 3.2 3.1 4.9 1.6 1.6 1.4 1.5 1.6 1.6 1.6 1.8 1.7 2.3 2.4 1.3 1.5 1.2 1.3 1.2 1.3 1.0 1.5 1.3 2.1 2.0 1.4 1.6 1.2 1.4 1.7 1.7 2.1 1.9 1.7 2.3 2.5 5.3 4.5 5.9 4.5 5.4 5.7 8.9 4.9 6.0 7.2 9.2 2.1 1.8 1.9 2.0 2.0 1.9 3.7 2.2 3.6 1.8 3.1 0.8 0.7 0.0 1.4 1.2 0.5 0.0 0.6 0.4 0.6 0.5 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 5. MORTALITY FROM NATURAL CAUSES - Chronic or Infectious Diseases (continued) (Number of deaths per 100,000 population age-adjusted to 2000 standard) Indicator ALL ARIZONA RESIDENTS White nonHispanic Hispanic or Latino Figure 5-16 - Septicemia 2015 5.4 5.0 5.9 2014 4.4 4.0 5.6 2013 4.8 4.5 6.1 2012 4.5 4.2 3.8 2011 4.7 4.2 6.4 2010 7.4 7.5 7.8 2009 7.7 6.5 8.0 2008 7.9 6.7 11.0 2007 8.1 7.0 10.4 2006 8.6 7.7 11.0 2005 8.4 7.3 13.0 Figure 5-17 - Alzheimer's disease 2015 37.3 37.8 36.5 2014 30.9 31.1 34.1 2013 33.2 33.4 35.6 2012 31.1 31.6 29.5 2011 35.2 36.3 30.9 2010 35.1 35.5 32.6 2009 29.5 30.4 26.9 2008 29.8 30.6 26.3 2007 29.6 30.9 24.1 2006 33.4 34.7 28.0 2005 32.7 33.0 31.3 Figure 5-18 - Nephritis, nephrotic syndrome and nephrosis (kidney disease) 2015 6.3 5.6 8.3 2014 4.6 4.2 6.8 2013 5.3 4.9 4.5 2012 6.2 5.3 8.7 2011 6.0 5.4 8.8 2010 7.6 6.3 10.7 2009 7.7 6.2 14.1 2008 7.1 5.6 13.2 2007 7.6 6.0 13.1 2006 8.8 7.4 14.2 2005 10.4 8.5 22.5 Figure 5-19 - Essential (primary) hypertension 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 Figure 5-20 - Total mortality from all 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 11.1 9.9 9.7 10.4 10.8 6.3 6.8 6.9 5.7 6.7 6.8 causes 691.3 676.0 687.8 687.2 699.6 679.9 653.2 659.6 663.2 727.3 772.5 Black or African American American Indian or Alaska Native Asian or Pacific Islander 9.7 4.0 7.4 6.3 6.4 4.4 13.2 10.9 14.7 14.6 18.2 14.0 8.5 11.4 15.8 16.5 8.1 31.4 20.6 17.8 17.3 18.2 4.7 3.1 3.8 4.4 3.2 1.4 9.2 7.1 10.9 5.5 6.2 46.1 35.8 41.3 38.5 54.7 46.7 29.6 42.5 29.8 28.8 42.7 21.3 21.4 16.0 12.0 18.1 14.9 10.9 8.5 10.3 15.3 16.2 20.4 11.0 18.2 31.3 21.0 32.2 18.1 18.4 12.9 8.3 30.2 10.7 5.3 12.2 17.0 10.0 16.5 16.2 9.8 19.1 9.8 19.8 18.3 8.3 15.8 15.5 15.3 19.9 19.6 23.5 20.6 23.3 31.4 5.7 3.8 6.2 3.2 8.6 3.8 1.5 5.3 5.0 5.2 9.2 10.7 9.2 8.9 9.7 10.5 5.4 6.1 6.4 5.3 6.1 5.9 11.7 10.2 11.4 10.8 12.9 6.3 9.0 9.5 5.6 8.3 13.2 21.6 23.1 21.3 28.3 29.4 17.6 22.0 12.3 12.7 12.9 15.6 13.0 13.3 12.7 14.6 6.9 16.3 7.0 6.7 11.2 8.5 15.8 8.7 9.2 17.0 11.3 9.8 3.8 10.6 5.0 7.3 14.1 6.8 704.1 685.7 693.7 693.1 741.5 674.4 647.3 660.1 665.1 728.5 744.6 601.5 636.9 615.6 616.2 656.4 612.0 614.9 606.9 603.7 685.6 849.2 832.8 739.9 918.5 886.5 833.6 835.0 736.8 710.7 719.2 885.1 1053.1 965.3 818.5 887.0 843.8 765.5 891.8 823.5 766.3 752.5 744.5 1006.6 413.8 371.8 413.4 440.1 436.7 424.1 472.8 427.0 356.3 393.4 629.5 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 113 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 2015 48.1 2014 43.3 2013 46.3 2012 42.4 2011 45.5 2010 43.8 2009 43.1 2008 44.7 2007 46.6 2006 51.2 2005 51.1 Figure 6-2 - Motor vehicle-related injuries 2015 12.6 2014 10.3 2013 11.4 2012 11.4 2011 12.1 2010 11.1 2009 11.6 2008 13.6 2007 16.2 2006 19.6 2005 18.9 Figure 6-3 - Fall-related injuries 2015 12.8 2014 11.7 2013 12.1 2012 11.2 2011 11.6 2010 11.5 2009 10.4 2008 10.8 2007 10.6 2006 11.3 2005 12.0 Figure 6-4 - Drowning mortality 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 Figure 6-5 - Injury by firearms 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 114 White nonHispanic Hispanic or Latino Black or African American American Indian or Alaska Native Asian or Pacific Islander 49.3 43.7 47.9 43.3 46.9 45.5 43.3 45.4 44.9 48.7 46.2 36.7 35.9 38.5 33.9 38.9 33.7 35.3 34.2 40.6 52.4 54.8 50.5 37.6 43.3 38.2 41.6 36.0 36.5 43.1 48.1 54.8 64.3 139.0 85.4 104.5 94.8 100.6 99.2 92.6 92.6 95.0 97.2 117.8 21.7 18.3 13.4 21.0 19.7 24.6 24.5 23.7 20.3 19.8 34.2 10.7 8.3 10.2 10.0 10.4 9.2 10.1 12.0 13.1 16.6 15.0 9.9 10.3 11.4 10.6 11.7 11.1 10.6 13.1 17.6 21.9 22.7 14.1 7.9 12.0 10.1 11.7 10.8 12.4 11.5 13.6 15.3 24.9 54.3 35.6 31.7 37.8 44.2 41.7 36.9 41.9 49.0 56.9 62.6 8.2 2.5 5.8 4.9 6.8 5.5 6.5 4.4 9.9 5.9 10.2 13.0 11.9 12.4 11.5 12.0 11.9 10.5 11.0 10.9 11.3 11.9 12.1 10.2 12.0 9.1 10.5 8.0 9.9 8.6 7.5 12.0 12.1 12.5 8.4 8.8 6.6 8.9 2.3 3.8 7.1 7.0 7.1 6.5 15.6 7.7 10.3 13.2 15.8 17.5 15.3 13.4 9.7 9.9 10.4 9.5 12.0 5.7 5.2 6.4 8.8 10.8 8.7 5.6 7.4 15.0 1.2 1.2 1.1 1.3 1.3 1.3 1.5 1.2 1.3 1.5 1.4 1.3 1.2 1.1 1.3 1.3 1.5 1.3 1.0 1.3 1.0 1.1 0.8 0.8 1.0 0.8 1.0 0.7 1.4 1.1 1.2 1.9 1.3 1.2 1.7 0.7 2.4 2.6 0.4 2.0 2.4 2.7 2.3 2.9 1.4 2.5 1.3 2.9 2.2 3.0 3.7 1.9 2.5 1.5 3.4 0.8 0.5 1.5 2.8 2.0 2.5 1.6 2.0 0.6 2.5 3.2 13.7 12.6 14.1 13.8 14.7 14.2 12.8 13.5 14.4 15.4 15.2 16.5 14.6 15.8 15.7 16.3 15.3 13.0 12.6 13.3 13.9 12.0 7.2 8.3 8.6 8.2 10.8 9.9 10.4 12.1 14.9 15.6 18.4 15.7 13.9 17.0 15.5 16.2 15.5 16.0 22.4 25.1 21.5 23.4 11.4 6.7 13.0 12.6 9.2 11.7 8.3 7.6 7.6 8.0 15.6 3.0 2.2 5.1 5.3 2.4 6.9 4.4 4.6 3.1 2.9 7.5 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 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 2015 19.8 25.4 11.7 20.0 15.8 1.6 2014 18.4 23.3 10.8 16.2 13.4 3.3 2013 16.9 21.2 9.9 13.5 18.7 0.4 2012 16.3 20.6 9.0 17.6 13.4 2.8 2011 16.8 21.6 10.9 12.6 9.6 1.8 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 13.8 14.8 10.6 28.4 12.4 2.1 2005 Figure 6-7 - Alcohol-induced deaths 2015 17.5 15.5 13.3 8.1 111.5 1.1 2014 14.8 12.7 13.8 9.2 68.0 1.6 2013 15.7 13.7 12.5 7.1 84.7 2.0 2012 14.2 12.0 12.8 9.6 78.6 2.5 2011 14.3 12.5 14.3 6.0 64.1 1.9 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 Figure 6-8 - Intentional self-harm (suicide) 2015 17.8 23.6 6.7 6.6 19.0 7.0 2014 16.5 21.0 8.3 9.0 13.9 7.0 2013 17.0 20.8 8.4 6.7 21.9 7.0 2012 16.2 20.2 6.8 10.0 17.9 5.7 2011 17.2 22.0 8.1 9.1 14.9 5.3 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 Figure 6-9 - Assault (homicide) 2015 5.6 4.0 5.3 15.5 15.7 2.4 2014 4.6 3.0 6.0 11.1 7.3 0.4 2013 5.9 4.0 5.8 15.4 17.7 1.9 2012 5.9 4.3 6.1 14.5 17.3 2.0 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 0.9 2009 5.5 3.2 8.1 14.2 13.2 2008 7.1 3.7 10.6 20.7 12.8 3.2 2007 2006 2005 7.7 8.5 8.2 3.9 4.6 3.5 12.0 13.0 14.6 23.4 19.6 27.4 13.1 13.2 14.0 2.6 2.4 5.1 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 115 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 among children 1-14 years old 2015 15.4 13.9 11.9 25.2 50.3 9.6 2014 17.9 16.2 17.2 21.7 28.8 10.1 2013 19.8 17.1 17.7 30.9 49.2 11.5 2012 19.4 14.9 16.5 37.7 57.4 23.8 2011 17.5 15.4 16.4 32.4 21.9 10.6 2010 18.9 18.3 17.2 18.8 30.5 32.6 2009 20.2 15.0 21.9 28.5 35.6 22.9 2008 19.7 14.6 21.0 39.3 29.4 17.2 2007 19.5 14.2 22.1 29.1 34.3 17.5 2006 21.5 18.2 23.5 20.2 33.3 22.0 2005 22.7 17.4 Figure 7-2 - Mortality among adolescents 15-19 years old 26.3 35.7 33.4 18.7 2015 47.5 48.1 40.8 58.9 97.1 27.1 2014 46.5 48.7 43.6 39.7 72.2 11.9 2013 45.5 42.5 39.1 64.1 103.1 32.4 2012 47.1 46.1 37.7 55.8 107.9 50.0 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 18.1 2007 76.9 66.1 83.9 91.5 124.4 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 Figure 7-3 - Mortality among young adults 20-44 years old 2015 146.6 154.7 102.8 191.7 423.9 52.3 2014 138.6 146.2 107.2 138.3 300.1 49.1 2013 143.5 143.2 112.6 174.2 390.8 51.3 2012 135.0 140.6 98.3 171.0 351.4 43.7 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 61.3 236.4 Figure 7-4 - Mortality among middle-age adults 45-64 years old 116 2015 641.0 684.0 468.5 794.1 1108.3 2014 617.7 656.4 479.5 721.1 860.3 208.9 2013 620.7 661.0 461.2 788.7 943.5 199.0 2012 607.6 637.5 466.9 786.8 880.3 295.4 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 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 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 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 76.0 76.0 77.0 77.0 77.0 77.0 76.0 77.0 76.0 76.0 77.0 78.0 78.0 79.0 79.0 79.0 79.0 78.0 78.0 78.0 78.0 79.0 69.0 69.0 69.0 69.0 68.0 68.0 67.0 68.0 64.0 65.0 65.0 66.0 65.0 66.0 66.0 66.0 65.0 64.0 62.0 62.0 63.0 64.0 60.0 61.0 60.0 60.0 60.0 58.0 59.0 59.0 59.0 57.0 59.0 75.0 74.0 76.0 73.0 72.0 71.0 74.0 70.0 70.0 73.0 72.0 71.0 Figure 8-2 - Median age at death from all causes among males 2015 73.0 75.0 66.0 64.0 56.0 2014 73.0 75.0 65.0 63.0 57.0 71.0 2013 74.0 76.0 64.0 63.0 55.0 73.0 2012 74.0 76.0 64.0 63.0 56.0 69.0 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 77.0 Figure 8-3 - Median age at death from all causes among females 2015 79.0 81.0 74.0 69.0 66.0 2014 80.0 81.0 74.0 67.0 66.0 79.0 2013 81.0 82.0 75.0 73.0 67.0 78.0 2012 81.0 82.0 75.0 70.0 65.0 79.0 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 Figure 8-4 - Percent of total deaths before expected years of life reached 2015 54.9 50.9 67.4 74.1 77.4 59.9 2014 54.8 50.9 66.7 75.2 77.8 58.9 2013 54.6 50.1 67.1 72.8 76.7 58.9 2012 55.0 50.9 68.4 74.4 78.7 62.3 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 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 117 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 2015 14.1 10.0 16.9 38.0 14.6 6.8 2014 13.1 9.1 16.1 29.3 16.9 5.6 2013 7.5 5.3 9.3 19.9 9.6 2.7 2012 5.4 3.9 6.3 12.2 9.1 3.2 2011 7.2 4.8 10.3 23.8 10.5 1.8 2010 6.2 3.8 7.4 15.1 12.4 2.3 2009 6.5 4.4 9.3 11.1 11.6 1.7 2008 8.8 5.8 11.1 19.8 16.1 4.1 2007 8.8 4.2 7.8 17.0 30.5 3.5 2006 6.2 3.5 7.6 14.9 8.4 1.2 5.1 2.9 8.6 16.5 10.6 2.6 24.8 2005 Figure 9-2 - Incidence of gonorrhea 2015 122.4 51.1 117.5 433.9 183.3 2014 112.7 40.6 103.8 336.2 206.5 24.8 2013 98.2 37.4 92.7 351.0 224.6 23.2 2012 89.4 31.0 89.8 380.6 185.7 25.1 2011 71.4 28.9 67.1 415.7 162.8 19.9 2010 50.8 21.5 52.0 305.7 85.1 11.1 2009 49.3 19.0 46.4 316.0 50.0 11.5 2008 52.8 21.0 49.5 256.8 73.3 9.9 2007 78.7 33.1 60.4 345.6 94.4 13.5 2006 2005 Figure 9-3 - Incidence of chlamydia 44.0 81.6 382.4 125.7 13.6 31.5 95.0 395.7 142.6 14.6 2015 481.1 148.5 478.5 830.5 846.7 139.0 2014 471.7 135.2 451.4 766.3 986.6 114.7 2013 466.6 149.3 518.0 848.9 1158.2 129.3 2012 466.5 148.7 540.1 884.3 1096.9 106.8 2011 457.6 186.8 533.0 1146.4 1129.6 132.5 2010 420.2 174.8 494.2 1148.5 1042.2 157.8 2009 394.2 156.3 471.5 926.9 679.3 150.6 100.3 2008 379.0 130.9 413.3 778.6 739.8 2007 386.6 142.5 346.1 722.7 641.6 91.3 2006 386.0 150.1 406.9 634.2 676.8 95.7 352.0 121.9 468.5 778.1 827.6 99.7 2005 Figure 9-4 - Incidence of HIV/AIDS 118 95.3 81.9 2015 10.9 6.9 12.4 43.8 18.5 9.0 2014 11.4 7.4 14.5 37.8 15.0 6.7 2013 11.1 7.8 12.7 44.9 16.2 4.5 2012 9.9 6.7 11.0 40.3 15.1 8.3 2011 9.2 6.4 11.4 29.9 11.4 8.0 2010 9.8 8.4 10.9 21.6 12.8 5.8 2009 10.2 7.4 13.2 28.0 11.0 5.7 2008 11.4 9.6 12.9 31.1 10.2 6.4 2007 12.7 9.8 15.8 35.5 8.3 8.8 2006 12.5 9.3 15.5 48.8 8.1 6.2 2005 12.8 10.1 16.0 41.6 15.1 6.9 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 SCORES IN 2015 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 119 SCORES IN 2015 (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. American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native Indicator 1-1 Pregnancies among females 19 and younger -34.3 28.1 4.2 68.5 -60.5 1-2 Pregnancies among females 14 and younger -60.9 42.5 -14.4 222.4 -100.0 1-3 Pregnancies among females 15-17 years old -45.5 38.3 0.6 93.2 -66.1 1-4 Pregnancies among females 18-19 years old TOTAL SCORE AVERAGE SCORE -31.3 -172.0 -43.0 28.0 136.8 34.2 2.4 -7.2 -1.8 55.5 439.6 109.9 -59.2 -285.7 -71.4 2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Figure No. American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native Indicator 2-1 Unmarried mothers 2-2 Tobacco use during pregnancy 2-3 Pre-existing hypertension 2-4 Gestational diabetes 2-5 Gestational hypertension 2-6 2-7 -30.5 24.1 39.5 75.7 -68.4 56.4 -55.7 41.0 -33.6 -79.1 -32.1 -8.2 -4.4 99.4 26.9 -20.5 4.4 -18.9 91.6 79.8 -5.2 -3.9 28.0 71.6 -45.3 Gestational weight gain - Inadequate -15.7 13.2 11.2 4.6 23.8 Gestational weight gain -Excessive TOTAL SCORE AVERAGE SCORE 7.2 -16.5 -2.4 -6.5 -29.0 -4.1 3.8 204.0 29.1 1.4 238.2 34.0 -22.8 -144.1 -20.6 3. UTILIZATION OF PRENATAL CARE SERVICES Figure No. American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native Indicator 3-1 No care in the 1st trimester -16.7 13.3 17.6 29.2 -12.4 3-2 Fewer than five prenatal visits -40.5 25.5 35.4 121.2 -27.4 3-3 No prenatal care -41.9 -99.0 -33.0 35.0 73.8 24.6 16.2 69.3 23.1 94.2 244.7 81.6 -43.5 -83.4 -27.8 TOTAL SCORE AVERAGE SCORE 4. NEWBORN'S HEALTH Figure No. 4-1 Incidence of newborn intensive care -3.9 -2.4 58.7 -13.3 4-2 Born too early (preterm or < 37 weeks) -5.3 0.0 35.6 6.4 4.1 4-3 Born too small: low-birthweight (<2,500 grams) -7.2 -3.7 71.2 2.2 25.5 4-4 Born too small: very low-birthweight (<1,500 grams) -11.8 -2.0 98.6 15.8 2.8 4-5 Incidence of congenital anomalies (birth defects) 5.9 -16.7 -9.2 109.1 -48.5 4-6 Infant mortality -16.1 -1.8 96.4 39.3 -28.6 4-7 Sudden Infant Death Syndrome (SIDS) 18.8 -33.8 30.0 127.5 -100.0 4-8 Mortality of infants from low birthweight/short gestation -24.4 17.0 120.7 -3.4 -50.4 4-9 Neonatal mortality -20.0 8.6 62.9 -8.6 5.7 4-10 Postneonatal mortality -9.5 -73.6 -7.4 -19.0 -53.8 -5.4 152.4 717.2 71.7 119.0 394.1 39.4 -85.7 -261.6 -26.2 TOTAL SCORE AVERAGE SCORE 120 American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native Indicator 13.5 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 5. MORTALITY FROM NATURAL CAUSES - Chronic or infectious diseases Figure No. Indicator American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native 5-1 Cardiovascular diseases 1.8 -12.6 41.2 -11.6 -37.0 5-2 Diseases of the heart 3.3 -16.8 30.5 -15.1 -46.9 5-3 Coronary heart disease 3.3 -13.8 26.7 -20.4 -47.5 5-4 Cerebrovascular disease -3.2 4.2 66.6 1.6 -2.3 5-5 Chronic lower respiratory diseases 12.6 -52.3 -24.6 -67.2 -59.9 5-6 Malignant neoplasms (cancer) 5-7 Lung cancer 5-8 Breast cancer 5-9 Cervical cancer 5-10 Colorectal cancer 5-11 Prostate cancer 5-12 Influenza and pneumonia 5-13 Diabetes 5-14 Chronic liver disease and cirrhosis -12.1 5-15 HIV disease -18.8 5-16 Septicemia -7.4 9.3 5-17 5-19 Alzheimer's disease Nephritis, nephrotic syndrome and nephrosis (kidney disease) Essential (primary) hypertension 5-20 Total mortality from all causes 5-18 TOTAL SCORE AVERAGE SCORE 4.0 -16.4 7.4 -13.6 -27.2 11.4 -46.4 9.4 -76.9 -12.8 -30.7 7.8 -32.8 20.3 -33.3 -17.4 56.5 -4.3 -17.4 -8.7 0.0 -8.5 51.2 3.1 -27.1 -1.7 0.0 68.2 47.7 -39.2 -8.5 19.1 74.5 153.2 -28.7 -21.8 76.3 106.2 187.5 -11.7 -6.0 -43.6 420.8 -73.2 -12.5 231.3 31.3 -50.0 79.6 159.3 -13.0 -45.3 1.3 -2.1 23.6 -42.9 -11.1 31.7 69.8 190.5 -9.5 -3.6 5.4 94.6 17.1 -21.6 1.9 -13.0 20.5 39.6 -40.1 -58.1 -30.8 948.9 953.2 -632.5 -2.9 -1.5 47.4 47.7 -31.6 6. MORTALITY FROM INJURIES Figure No. 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) American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native TOTAL SCORE AVERAGE SCORE 2.5 -23.7 5.0 189.0 -15.1 -21.4 11.9 331.0 -54.9 -34.9 1.6 -5.5 -2.3 21.9 -25.8 8.3 -33.3 0.0 16.7 -33.3 20.4 -47.4 14.6 -16.8 -78.1 28.3 -40.9 1.0 -20.2 -91.9 -11.4 -24.0 -53.7 537.1 -93.7 32.6 -62.4 -62.9 6.7 -60.7 -28.6 -5.4 176.8 180.4 -57.1 38.6 -264.0 90.3 1245.7 -530.5 4.3 -29.3 10.0 138.4 -58.9 7. AGE-SPECIFIC MORTALITY Figure No. Indicator American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native 7-1 Mortality among children 1-14 years old -10.1 -23.0 63.2 225.8 7-2 Mortality among adolescents 15-19 years old 1.2 -14.1 24.0 104.4 -37.9 -42.9 7-3 Mortality among young adults 20-44 years old 5.5 -29.8 30.8 189.2 -64.4 7-4 Mortality among middle-age adults 45-64 years old 6.7 -26.9 23.9 72.9 -63.1 TOTAL SCORE 3.3 -93.9 141.9 592.2 -208.2 AVERAGE SCORE 0.8 -23.5 35.5 148.1 -52.1 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 121 8. PREMATURE MORTALITY Figure No. American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native Indicator 8-1 Median age at death from all causes -2.6 9.2 13.2 21.1 1.3 8-2 Median age at death from all causes among males -2.7 9.6 12.3 23.3 2.7 8-3 Median age at death from all causes among females -2.5 6.3 12.7 16.5 2.5 8-4 Percent of total deaths before expected years of life reached 7.3 -22.8 -35.0 -41.0 -9.1 TOTAL SCORE -0.6 2.4 3.2 19.8 -2.5 AVERAGE SCORE -0.2 0.6 0.8 5.0 -0.6 9. REPORTABLE DISEASES - (Number of cases per 100,000 [persons in specified group) Figure No. American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native Indicator 9-1 Incidence of early syphilis -29.1 19.9 169.5 3.5 9-2 Incidence of gonorrhea -58.3 -4.0 254.5 49.8 -79.7 9-3 Incidence of chlamydia -69.1 -0.5 72.6 76.0 -71.1 9-4 Incidence of HIV/HIV/AIDS TOTAL SCORE AVERAGE SCORE -51.8 -36.9 13.3 301.5 69.1 -17.7 -193.4 28.6 798.1 198.4 -220.4 -48.3 7.2 199.5 49.6 -55.1 OVERALL HEALTH STATUS (ALL 65 INDICATORS) American Black or Asian or White Hispanic Indian or African Pacific nonor Latino Alaska American Islander Hispanic Native TOTAL SCORE AVERAGE SCORE 122 -571.3 -229.9 2965.6 4326.0 -2368.9 -8.8 -3.5 45.6 66.6 -36.4 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 RANK ORDER IN 2015 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 123 RANK ORDER IN 2015 (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 American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native Indicator Pregnancies Pregnancies Pregnancies Pregnancies among among among among females 19 and younger females 14 and younger females 15-17 years old females 18-19 years old SUM OF RANKS AVERAGE RANK 2.0 2.0 2.0 2.0 8.0 2.0 4.0 4.0 4.0 4.0 16.0 4.0 3.0 3.0 3.0 3.0 12.0 3.0 5.0 5.0 5.0 5.0 20.0 5.0 1.0 1.0 1.0 1.0 4.0 1.0 2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Figure No. 2-1 2-2 2-3 2-4 2-5 2-6 2-7 American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native Indicator Unmarried mothers Tobacco use during pregnancy Pre-existing hypertension Gestational diabetes Gestational hypertension Gestational weight gain - Inadequate Gestational weight gain -Excessive SUM OF RANKS AVERAGE RANK 2.0 5.0 2.0 1.0 2.0 1.0 5.0 18.0 2.6 3.0 2.0 3.0 3.0 3.0 4.0 2.0 20.0 2.9 4.0 4.0 5.0 2.0 4.0 3.0 4.0 26.0 3.7 5.0 3.0 4.0 5.0 5.0 2.0 3.0 27.0 3.9 1.0 1.0 1.0 4.0 1.0 5.0 1.0 14.0 2.0 3. UTILIZATION OF PRENATAL CARE SERVICES Figure No. 3-1 3-2 3-3 American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native Indicator No care in the 1st trimester Fewer than five prenatal visits No prenatal care SUM OF RANKS AVERAGE RANK 1.0 1.0 2.0 4.0 1.3 3.0 3.0 4.0 10.0 3.3 4.0 4.0 3.0 11.0 3.7 5.0 5.0 5.0 15.0 5.0 2.0 2.0 1.0 5.0 1.7 4. NEWBORN'S HEALTH Figure No. 4-1 4-2 4-3 4-4 4-5 4-6 4-7 4-8 4-9 4-10 124 American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native Indicator Incidence of 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 2.0 1.0 1.0 1.0 4.0 2.0 3.0 2.0 1.0 3.0 20.0 2.0 3.0 2.0 2.0 2.0 2.0 3.0 2.0 4.0 4.0 2.0 26.0 2.6 5.0 5.0 5.0 5.0 3.0 5.0 4.0 5.0 5.0 5.0 47.0 4.7 1.0 4.0 3.0 4.0 5.0 4.0 5.0 3.0 2.0 4.0 35.0 3.5 4.0 3.0 4.0 3.0 1.0 1.0 1.0 1.0 3.0 1.0 22.0 2.2 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 5. MORTALITY FROM NATURAL CAUSES - Chronic or infectious diseases Figure No. Indicator American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native 5-1 Cardiovascular diseases 4.0 2.0 5.0 3.0 1.0 5-2 Diseases of the heart 4.0 2.0 5.0 3.0 1.0 5-3 Coronary heart disease 4.0 3.0 5.0 2.0 1.0 5-4 Cerebrovascular disease 1.0 4.0 5.0 3.0 2.0 5-5 Chronic lower respiratory diseases 5.0 3.0 4.0 1.0 2.0 5-6 Malignant neoplasms (cancer) 4.0 2.0 5.0 3.0 1.0 5-7 Lung cancer 5.0 2.0 4.0 1.0 3.0 5-8 Breast cancer 4.0 2.0 5.0 1.0 3.0 5-9 Cervical cancer 1.5 5.0 4.0 1.5 3.0 5-10 Colorectal cancer 3.0 2.0 5.0 4.0 1.0 5-11 Prostate cancer 2.0 3.0 5.0 4.0 1.0 5-12 Influenza and pneumonia 2.0 3.0 4.0 5.0 1.0 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 2.0 3.0 5.0 4.0 1.0 5-16 Septicemia 2.0 3.0 4.0 5.0 1.0 5-17 4.0 3.0 5.0 2.0 1.0 1.0 3.0 4.0 5.0 2.0 5-19 Alzheimer's disease Nephritis, nephrotic syndrome and nephrosis (kidney disease) Essential (primary) hypertension 2.0 3.0 5.0 4.0 1.0 5-20 Total mortality from all causes 3.0 2.0 4.0 5.0 1.0 SUM OF RANKS 57.5 57.0 89.0 66.5 30.0 AVERAGE RANK 2.9 2.9 4.5 3.3 1.5 5-18 6. MORTALITY FROM INJURIES Figure No. Indicator American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native 6-1 Unintentional injuries 3.0 2.0 4.0 5.0 6-2 Motor vehicle-related injuries 3.0 2.0 4.0 5.0 1.0 1.0 6-3 Fall-related injuries 4.0 2.0 3.0 5.0 1.0 6-4 Drowning mortality 4.0 1.5 3.0 5.0 1.5 6-5 Injury by firearms 5.0 2.0 4.0 3.0 1.0 6-6 Drug-induced deaths 5.0 2.0 4.0 3.0 1.0 6-7 Alcohol-induced deaths 4.0 3.0 2.0 5.0 1.0 6-8 Intentional self-harm (suicide) 5.0 2.0 1.0 4.0 3.0 6-9 Assault (homicide) 2.0 3.0 4.0 5.0 1.0 SUM OF RANKS 35.0 19.5 29.0 40.0 11.5 AVERAGE RANK 3.9 2.2 3.2 4.4 1.3 7. AGE-SPECIFIC MORTALITY Figure No. Indicator American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native 7-1 Mortality among children 1-14 years old 3.0 2.0 4.0 5.0 7-2 Mortality among adolescents 15-19 years old 3.0 2.0 4.0 5.0 1.0 1.0 7-3 Mortality among young adults 20-44 years old 3.0 2.0 4.0 5.0 1.0 7-4 Mortality among middle-age adults 45-64 years old 3.0 2.0 4.0 5.0 1.0 SUM OF RANKS 12.0 8.0 16.0 20.0 4.0 AVERAGE RANK 3.0 2.0 4.0 5.0 1.0 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 125 8. PREMATURE MORTALITY Figure No. American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native Indicator 8-1 Median age at death from all causes 1.0 3.0 4.0 5.0 2.0 8-2 Median age at death from all causes among males 1.0 3.0 4.0 5.0 2.0 8-3 Median age at death from all causes among females 1.0 3.0 4.0 5.0 2.0 8-4 Percent of total deaths before expected years of life reached 5.0 3.0 2.0 1.0 4.0 SUM OF RANKS 8.0 12.0 14.0 16.0 10.0 AVERAGE RANK 2.0 3.0 3.5 4.0 2.5 9. REPORTABLE DISEASES - (Number of cases per 100,000 persons in specified group) Figure No. American Black or White Asian or Hispanic Indian or African nonPacific or Latino Alaska American Hispanic Islander Native Indicator 9-1 Incidence of early syphilis 2.0 4.0 5.0 3.0 9-2 Incidence of gonorrhea 2.0 3.0 5.0 4.0 1.0 1.0 9-3 Incidence of chlamydia 2.0 3.0 4.0 5.0 1.0 9-4 Incidence of HIV/AIDS 1.0 3.0 5.0 4.0 2.0 SUM OF RANKS 7.0 13.0 19.0 16.0 5.0 AVERAGE RANK 1.8 3.3 4.8 4.0 1.3 OVERALL HEALTH STATUS (ALL 65 INDICATORS) American Black or Asian or White Hispanic Indian or African Pacific nonor Latino Alaska American Islander Hispanic Native SUM OF ALL RANKS FOR 65 MEASUREMENTS AVERAGE RANKS BASED ON 65 MEASUREMENTS 126 169.5 181.5 263.0 255.5 105.5 2.6 2.8 4.0 3.9 1.6 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 DATA SOURCES AND DEFINITIONS Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 127 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 2015 and other intercensal years, utilize the best available data sources. They are described in detail at http://www.azdhs.gov/plan/ . Almost all figures are based on rates and ratios published in the 2015 Arizona Health Status and Vital Statistics report and available online at http://www.azdhs.gov/plan/ . 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 128 Indicator Definitions 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 Pre-existing 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). 2-4 Gestational diabetes 2-5 Gestational hypertension 2-6 Gestational weight gain Inadequate The number of women giving birth, whose gestational weight gain was inadequate in relation to pre-pregnancy body mass index (BMI). 2-7 Gestational weight gain Excessive The number of women giving birth, whose gestational weight gain was excessive in relation to pre-pregnancy body mass index (BMI). 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). Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 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 Indicator 4-1 Incidence of newborn intensive care 4-2 Born too early (preterm or < 37 weeks) 4-3 4-4 Born too small: lowbirthweight (<2,500 grams) Born too small: very lowbirthweight (<1,500 grams) Definition The number of babies admitted to Newborn Intensive Care units per 100 births. The number of births before 37 weeks of gestation per 100 births. Preterm is any 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). 4-5 Incidence of congenital anomalies (birth defects) The numbers of babies born with birth defects per 100 births. 4-6 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). 4-7 Sudden Infant Death Syndrome (SIDS) The number of infant deaths from Sudden Infant Death Syndrome (ICD-10 code R95) per 1,000 live births. 4-8 Mortality of infants from low birthweight/short gestation The number of infant deaths from low- birthweight/short gestation (ICD-10 code P07) per 1,000 live births. 4-9 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). 4-10 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. Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 129 Figure number 5. MORTALITY FROM NATURAL CAUSES (chronic or infectious diseases) 130 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 Goups, Arizona 2015 Figure number 6. MORTALITY FROM INJURIES 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 Goups, Arizona 2015 131 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 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. 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. 9-4 132 Indicators Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 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 agespecific 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 2015 population B 2015 deaths C Age-specific rates Age-adjusted 2000 standard in 2015 rate for 2015 D E F (C/B)*100000 D*E <1 86,222 473 548.6 .013818 7.6 1-4 346,443 102 29.4 .055317 1.6 5-14 922,530 94 10.2 .145565 1.5 15-24 947,989 675 71.2 .138646 9.9 25-34 900,890 1,184 131.4 .135573 17.8 35-44 839,319 1,629 194.1 .162613 31.6 45-54 842,450 3,493 414.6 .134834 55.9 55-64 797,101 7,017 880.3 .087247 76.8 65-74 625,412 10,474 1674.7 .066037 110.6 182.2 75-84 324,640 13,193 4063.9 .044842 85+ 125,255 15,813 12624.6 .015508 195.8 6,758,251 54,152 TOTAL ∑ =691.3 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. Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 133 POPULATION DENOMINATORS Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 135 POPULATION BY RACE/ETHNICITY: ARIZONA RESIDENTS, 1995, 2005, AND 2015 Racial/ethnic group 2005 2015 Percent increase from 1995 to 2015 All Groups 4,432,499 6,044,985 6,758,251 52.5 White Non-Hispanic 3,029,398 3,922,026 3,860,314 27.4 Hispanic or Latino 912,390 1,527,388 2,069,227 126.8 Black or African American 150,424 187,507 307,902 104.7 American Indian or Alaska Native 253,174 291,684 287,001 13.4 87,113 116,380 233,807 168.4 Asian or Pacific Islander 136 1995 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 Differences in the Health Status Among Racial/Ethnic Goups, Arizona 2015 137 1,569 1,498 Male Female 2,288 Female 3,067 2,418 Male Total 4,706 2,459 Female Total 2,595 Male 18,248 Female 5,054 19,087 Male Total 37,335 17,645 Female Total 18,415 Male 42,138 Female 36,060 44,084 Male Total 86,222 Total http://www.azdhs.gov/plan/ 1-4 6,022 5,744 11,766 9,615 9,949 19,564 10,257 10,540 20,797 73,246 77,017 150,263 70,482 73,571 144,053 169,622 176,821 346,443 Note: Population denominator tables can be found: Asian or Pacific Islander American Indian or Alaska Native Black or African American Hispanic or Latino White nonHispanic All groups <1 15,015 14,901 29,916 23,900 24,106 48,006 24,433 26,169 50,602 199,036 205,849 404,885 190,171 198,950 389,121 452,555 469,975 922,530 5-14 15,871 17,272 33,143 25,029 25,846 50,875 25,070 29,193 54,263 186,002 197,122 383,124 207,195 219,389 426,584 459,167 488,822 947,989 15-24 20,088 19,792 39,880 22,081 22,549 44,630 21,851 26,064 47,915 151,561 162,833 314,394 220,782 233,289 454,071 436,363 464,527 900,890 25-34 21,994 19,237 41,231 17,756 16,815 34,571 18,876 21,774 40,650 142,019 140,109 282,128 216,512 224,227 440,739 417,157 422,162 839,319 35-44 16,465 13,888 30,353 17,934 16,010 33,944 17,366 19,484 36,850 112,383 110,799 223,182 260,175 257,946 518,121 424,323 418,127 842,450 45-54 13,271 9,242 22,513 14,676 11,741 26,417 13,854 14,276 28,130 76,519 69,999 146,518 300,446 273,077 573,523 418,766 378,335 797,101 55-64 8,351 5,471 13,822 8,359 6,531 14,890 7,865 7,278 15,143 42,725 36,399 79,124 263,472 238,961 502,433 330,772 294,640 625,412 65-74 3,732 2,687 6,419 4,149 2,858 7,007 3,562 2,927 6,489 20,497 15,409 35,906 141,106 127,713 268,819 173,046 151,594 324,640 75-84 ESTIMATED POPULATION BY AGE GROUP, GENDER AND RACE/ETHNICITY, ARIZONA, 2015 1,124 573 1,697 1,518 873 2,391 1,311 698 2,009 7,818 4,550 12,368 65,056 41,734 106,790 76,827 48,428 125,255 85+ 123,431 110,376 233,807 147,305 139,696 287,001 146,904 160,998 307,902 1,030,054 1,039,173 2,069,227 1,953,042 1,907,272 3,860,314 3,400,736 3,357,515 6,758,251 Total Our Web site at http://www.azdhs.gov/plan provides access to a wide range of statistical information about the health status of Arizonans. The Arizona Health Status and Vital Statistics annual report examines trends in natality, mortality, and morbidity towards established health objectives. In addition to the print and original online versions, the 2015 report is made available as a mobile-friendly e-book. Additional reports and studies include Advance Vital Statistics by County of Residence, Injury Mortality among Arizona Residents (accidents, suicides, homicides, legal intervention, firearm-related fatalities, drug-related deaths, drowning deaths, falls among Arizonans 65 years or older), Hospital Inpatient and Emergency Room Statistics (first-listed diagnosis, procedures, mental disorders, asthma, diabetes, influenza and pneumonia, and substance abuse), Community Vital Statistics, Teenage Pregnancy, Differences in Health Status Among Racial/Ethnic Groups, and Health Status Profile of American Indians in Arizona. ARIZONA DEPARTMENT OF HEALTH SERVICES Bureau of Public Health Statistics Population Health and Vital Statistics Section