Maricopa County Health Status Report 2010 Reference Tables Prepared by the Maricopa County Department of Public Health Office of Epidemiology June 2012 Maricopa County Acknowledgements This report was prepared by the Maricopa County Department of Public Health, Office of Epidemiology. Amy Prestanski, Epidemiologist John Keenan, Epidemiologist Kara Stanley, Epidemiologist Liva Nohre, Epidemiology Supervisor Mare Schumacher, Program Manager The authors wish to thank the following individuals and organizations for contributing numeric data, consultation, and other information used in this report. Their assistance is much appreciated. Sarah Santana, Tammy Sylvester, Vjollca Berisha Office of Epidemiology and Data Services Tom Mickey, Renuka Khurana, Yoseph Sorri Maricopa County Department of Public Health, Division of Clinical Services Julia Skinner, Christopher Mrela, Laura Erhart, Richard Porter, Judy Bass Arizona Department of Health Services For additional copies of this report, please call the Maricopa County Department of Public Health, Office of Epidemiology at 602.372.2604. This report may also be found at http://www.maricopa.gov/publichealth/Services/EPI/Reports/ under “Health Statistics and Reports.” Permission to quote or reproduce materials from this report is granted when due acknowledgement is made. Suggested citation: Maricopa County Department of Public Health, Office of Epidemiology. Maricopa County Health Status Report 2010, Reference Tables. Phoenix (AZ): 2012. Maricopa County Health Status Report 2010 Reference Tables Table of Contents Introduction i I. Maricopa County 2010 Population Statistics 1 Table 1.01 Table 1.02 Figures Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, 2010 Population Estimates by Race/Ethnicity, Age, and Sex, 2010 Population Pyramids by Race/Ethnicity, 2010 2 3 4 II. Maricopa County 2010 Mortality (Death) Statistics 6 Table 2.01a Table 2.01b Table 2.02a Table 2.02b Table 2.03a Number of Deaths by Age Group and Race/Ethnicity Death Rates by Age Group and Race/Ethnicity, Crude Death Rate per 100,000 Residents Number of Deaths by Age Group and Sex Death Rates by Age Group and Sex, Crude Death Rate per 100,000 Residents Selected Underlying Causes of Death by Race/Ethnicity, Number of Cases Selected Underlying Causes of Death by Race/Ethnicity, Crude Death Rate per 100,000 Residents Selected Underlying Causes of Death by Age Group, Number of Cases Selected Underlying Causes of Death by Age Group, Crude Death Rate per 100,000 Residents Selected Underlying Causes of Death by Sex, Number of Cases Selected Underlying Causes of Death by Sex, Crude Death Rate per 100,000 Residents Other Selected Underlying Causes of Death by Race/Ethnicity, Number of Cases Other Selected Underlying Causes of Death by Race/Ethnicity, Crude Death Rate per 100,000 Residents Other Selected Underlying Causes of Death by Age Group, Number of Cases Other Selected Underlying Causes of Death by Age Group, Crude Death Rate per 100,000 Residents Other Selected Underlying Causes of Death by Sex, Number of Cases Other Selected Underlying Causes of Death by Sex, Crude Death Rate per 100,000 Residents Firearm, Drug and Alcohol Induced and Related Deaths by Age Group, Number of Cases Firearm, Drug and Alcohol Induced and Related Deaths by Age Group, Crude Death Rate per 100,000 Residents Firearm, Drug and Alcohol Induced and Related Deaths by Race/Ethnicity, Number of Cases Firearm, Drug and Alcohol Induced and Related Deaths by Race/Ethnicity, Crude Death Rate per 100,000 Residents Firearm, Drug and Alcohol Induced and Related Deaths by Sex, Number of Cases Firearm, Drug and Alcohol Induced and Related Deaths by Sex, Crude Death Rate per 100,000 Residents Number of Deaths by Race/Ethnicity and Sex Number of Deaths by Race/Ethnicity and Marital Status Number of Deaths by Race/Ethnicity and Education Level Crude and Age-Adjusted Rates for Selected Underlying Causes of Death by Race/Ethnicity Death Rate Comparisons to Arizona, U.S., and Healthy People 2010 Goals for Selected Underlying Causes of Death 7 7 8 8 9 Table 2.03b Table 2.04a Table 2.04b Table 2.05a Table 2.05b Table 2.06a Table 2.06b Table 2.07a Table 2.07b Table 2.08a Table 2.08b Table 2.09a Table 2.09b Table 2.10a Table 2.10b Table 2.11a Table 2.11b Table 2.12 Table 2.13 Table 2.14 Table 2.15 Table 2.16 10 11 13 15 16 17 18 19 20 21 22 23 23 24 24 24 24 25 25 26 27 28 Maricopa County Health Status Report 2010 Reference Tables Table of Contents III. Maricopa County 2010 Communicable Disease Statistics 29 Table 3.01a Table 3.01b Table 3.02a Table 3.02b Table 3.03a Table 3.03b Number of Cases of Selected Reportable Disease by Race/Ethnicity Case Rates per 100,000 Residents for Selected Reportable Diseases by Race/Ethnicity Number of Cases of Selected Reportable Diseases by Age Group Case Rates per 100,000 Residents for Selected Reportable Diseases by Age Group Number of Cases of Selected Reportable Diseases by Sex Case Rates per 100,000 Residents for Selected Reportable Diseases by Sex Case Rate Comparisons to Arizona, U.S., and Healthy People 2010 Goals for Selected Diseases 30 31 32 33 34 35 IV. Maricopa County 2010 Natality (Birth) Statistics 37 Table 4.01 Table 4.02 Table 4.03 Table 4.04 Table 4.05 Table 4.06 Table 4.07 Table 4.08 Table 4.09 Table 4.10 Table 4.11 Table 4.12 Table 4.13 Table 4.14 Table 4.15 Table 4.16 Table 4.17 Table 4.18 Table 4.19 Table 4.20 Table 4.21 Table 4.22 Table 4.23 Table 4.24 Number and Percent of Births by Age and Race/Ethnicity of Mother Number and Percent of Births by Marital Status and Race/Ethnicity of Mother Number and Percent of Births by Educational Level and Race/Ethnicity of Mother Number and Percent of Births by Method of Payment and Race/Ethnicity of Mother Trimester of First Prenatal Care by Race/Ethnicity of Mother Number and Percent of Prenatal Care Visits by Race/Ethnicity of Mother Adequacy of Prenatal Care by Race/Ethnicity of Mother, Singleton Births Only Birthweight of Infant by Race/Ethnicity of Mother Preterm Births (Less than 37 Weeks Gestation) by Race/Ethnicity of Mother Number and Percent of Births by Medical Risk Factor and Race/Ethnicity of Mother Number and Percent of Births by Type of Delivery and Race/Ethnicity of Mother Number and Percent of Births by Birth Attendee and Race/Ethnicity of Mother Number and Percent of Births by Marital Status and Age Group of Mother Number and Percent of Births by Educational Level and Age Group of Mother Number and Percent of Births by Method of Payment and Age Group of Mother Trimester of First Prenatal Care by Age Group of Mother Number and Percent of Prenatal Care Visits by Age Group of Mother Adequacy of Prenatal Care by Age Group of Mother, Singleton Births Only Birthweight of Infant by Age Group of Mother Preterm Births (Less Than 37 Weeks Gestation) by Age Group of Mother Number and Percent of Births by Medical Risk Factor and Age Group of Mother Number and Percent of Births by Birth Attendee and Age Group of Mother Number and Percent of Births by Type of Delivery and Age Group of Mother Comparisons to Arizona, U.S., and Healthy People 2010 Goals for Selected Natality Measures 38 38 38 39 39 39 40 40 40 41 41 41 42 42 42 43 43 44 44 44 45 45 45 46 V. Maricopa County 2010 Hospital Discharge Statistics 47 Table 5.01 Table 5.02 Table 5.03 Table 5.04a Number of Hospital Discharges by Age Group and Race/Ethnicity Number of Hospital Discharges by Age Group and Sex Number and Percent of Hospital Discharges by Sex and Payer Type Selected Primary Diagnosis Hospital Discharges by Race/Ethnicity, Number of Discharges Selected Primary Diagnosis Groups by Race/Ethnicity, Crude Hospitalization Rates per 100,000 Residents Selected Primary Diagnosis Groups by Age Group, Number of Discharges 48 48 49 50 Table 3.04 Table 5.04b Table 5.05a 36 52 54 Maricopa County Health Status Report 2010 Reference Tables Table of Contents Table 5.07 Table 5.08 Table 5.09 Table 5.10 Selected Primary Diagnosis Groups by Age Group, Crude Hospitalization Rates per 100,000 Residents Selected Primary Diagnosis Groups by Sex, Number of Discharges Selected Primary Diagnosis Groups by Sex, Crude Hospitalization Rates per 100,000 Residents Total Charges for Hospitalizations by Primary Diagnosis Groups Average Cost of Hospitalization Related to Pregnancy and Birth Length of Hospital Stay (Days) by Primary Diagnosis Group Length of Hospital Stay for Pregnancy and Birth Related Hospitalizations VI. Maricopa County 2010 Behavioral Risk Factor Statistics 67 Table 6.01 Table 6.02 Table 6.03 Table 6.04 Table 6.05 Table 6.06 Table 6.07 Self-Reported Health Indicators by Sex, Age Group, and Race/Ethnicity Medical Provider Diagnosed Conditions by Sex, Age Group, and Race/Ethnicity Self-Reported Alcohol and Cigarette Usage by Sex, Age Group, and Race/Ethnicity Health Screenings by Sex, Age Group, and Race/Ethnicity Vaccination Status by Sex, Age Group, and Race/Ethnicity Mental Health Indicators by Sex, Age Group, and Race/Ethnicity Health Care Coverage and Utilization by Sex, Age Group, and Race/Ethnicity 68 68 69 69 70 70 70 VII. Technical Notes 71 Table 5.05b Table 5.06a Table 5.06b 56 59 61 63 64 65 66 Introduction This report provides health status information for the year 2010 for residents of Maricopa County, Arizona. It includes data for mortality (death), communicable diseases, and natality (birth), as well as information on the size and demographic distribution of the population. For each disease or health indicator, the following information is provided: Number of cases in the county Mortality Disease Example: 5,508 residents of Maricopa County died due to cancer in 2010.* Communicable Disease Example: 63 residents of Maricopa County were diagnosed with a confirmed case of Pertussis in 2010. Natality (Birth) Example: There were 575 infants born with a very low birthweight (less than 1500 grams) in 2010. Rate or percentage of cases in the county Mortality Disease Example: For every 100,000 residents of Maricopa County, 144.3 died due to cancer in 2010.* Communicable Disease Example: For every 100,000 residents of Maricopa County, 1.7 were diagnosed with Pertussis in 2010. Natality (Birth) Example: Among all live births in 2010, 1.1% were born with a very low birthweight. Information on data sources and methodology are in Section III – Technical Notes. *Except where noted, the cause of death is the underlying cause of death, which is the condition that began the sequence of death. See Technical Notes for more information on the underlying cause of death. Maricopa County Health Status Report 2010 Page i I. Maricopa County 2010 Population Statistics Maricopa County Health Status Report 2010 Page 1 Maricopa County 2010 Population Statistics Table 1.01 Population By Race/Ethnicity, Age, and Sex, 2010 Age by Sex Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Race/Ethnicity by Sex Males No. 144,268 144,340 141,354 142,552 137,531 273,147 263,493 248,168 188,576 118,994 65,158 20,884 % 7.6% 7.6% 7.5% 7.5% 7.3% 14.5% 14.0% 13.1% 10.0% 6.3% 3.5% 1.1% 1,888,465 Females No. 138,502 138,369 135,874 134,347 129,341 267,979 261,105 255,797 209,733 136,394 83,041 38,170 % 7.2% 7.2% 7.0% 7.0% 6.7% 13.9% 13.5% 13.3% 10.9% 7.1% 4.3% 2.0% 1,928,652 Total No. 282,770 282,709 277,228 276,899 266,872 541,126 524,598 503,965 398,309 255,388 148,199 59,054 Race/Ethnicity Males No. % 7.4% 7.4% 7.3% 7.3% 7.0% 14.2% 13.7% 13.2% 10.4% 6.7% 3.9% 1.5% White Hispanic African American American Indian Asian Multiple Races Other 1,100,779 568,138 90,346 27,632 63,813 34,999 Total 1,888,465 2,758 Females No. % 58.3% 30.1% 4.8% 1.5% 3.4% 1.9% 0.1% 1,139,276 560,603 87,144 31,620 71,211 36,048 2,750 % 59.1% 29.1% 4.5% 1.6% 3.7% 1.9% 0.1% 1,928,652 3,817,117 Age by Race/Ethnicity Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total White Hispanic African American American Indian Asian Multiple Races Other Total No. % No. % No. % No. % No. % No. % No. % No. 113,519 119,850 124,435 129,055 134,058 281,757 297,869 341,517 305,537 210,666 128,420 53,372 5.1% 5.4% 5.6% 5.8% 6.0% 12.6% 13.3% 15.2% 13.6% 9.4% 5.7% 2.4% 128,894 123,906 115,414 110,053 96,394 185,230 159,349 108,003 58,292 27,316 12,408 3,482 11.4% 11.0% 10.2% 9.8% 8.5% 16.4% 14.1% 9.6% 5.2% 2.4% 1.1% 0.3% 13,966 13,806 14,510 16,103 14,877 27,278 25,922 24,023 15,195 7,478 3,277 1,055 7.9% 7.8% 8.2% 9.1% 8.4% 15.4% 14.6% 13.5% 8.6% 4.2% 1.8% 0.6% 5,126 4,906 4,764 5,460 6,414 10,926 8,376 6,929 3,872 1,705 587 187 8.7% 8.3% 8.0% 9.2% 10.8% 18.4% 14.1% 11.7% 6.5% 2.9% 1.0% 0.3% 9,358 9,519 8,643 8,137 8,950 25,372 25,489 17,733 11,970 6,437 2,714 702 6.9% 7.0% 6.4% 6.0% 6.6% 18.8% 18.9% 13.1% 8.9% 4.8% 2.0% 0.5% 11,301 10,164 8,915 7,561 5,754 9,708 6,876 5,112 3,073 1,613 741 229 15.9% 14.3% 12.5% 10.6% 8.1% 13.7% 9.7% 7.2% 4.3% 2.3% 1.0% 0.3% 606 558 547 530 425 855 717 648 370 173 52 27 11.0% 10.1% 9.9% 9.6% 7.7% 15.5% 13.0% 11.8% 6.7% 3.1% 0.9% 0.5% 282,770 282,709 277,228 276,899 266,872 541,126 524,598 503,965 398,309 255,388 148,199 59,054 2,240,055 1,128,741 177,490 59,252 135,024 71,047 5,508 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2010. Maricopa County Health Status Report 2010 Page 2 3,817,117 Maricopa County 2010 Population Statistics Table 1.02 Population Estimates by Sex, Age, and Race/Ethnicity, 2010 Females Age 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total White Hispanic African American American Indian Asian Multiple No. % No. % No. % No. % No. % No. 55,588 58,331 60,748 62,294 65,022 71,723 67,359 71,229 75,411 86,148 87,071 81,486 79,176 63,514 48,261 105,915 4.9% 5.1% 5.3% 5.5% 5.7% 6.3% 5.9% 6.3% 6.6% 7.6% 7.6% 7.2% 6.9% 5.6% 4.2% 9.3% 63,141 60,829 56,647 53,754 46,734 45,602 45,371 43,222 36,556 30,452 23,684 17,429 12,769 8,809 6,134 9,470 11.3% 10.9% 10.1% 9.6% 8.3% 8.1% 8.1% 7.7% 6.5% 5.4% 4.2% 3.1% 2.3% 1.6% 1.1% 1.7% 6,773 6,653 7,074 7,665 6,868 6,924 6,285 6,403 6,182 6,236 5,670 4,358 3,316 2,377 1,700 2,660 7.8% 7.6% 8.1% 8.8% 7.9% 7.9% 7.2% 7.3% 7.1% 7.2% 6.5% 5.0% 3.8% 2.7% 2.0% 3.1% 2,600 2,425 2,399 2,709 3,360 3,144 2,782 2,430 2,164 2,140 1,777 1,250 950 593 409 488 8.2% 7.7% 7.6% 8.6% 10.6% 9.9% 8.8% 7.7% 6.8% 6.8% 5.6% 4.0% 3.0% 1.9% 1.3% 1.5% 4,580 4,825 4,371 3,884 4,199 6,429 6,898 7,377 6,172 5,152 4,500 3,868 3,263 2,101 1,516 2,076 6.4% 6.8% 6.1% 5.5% 5.9% 9.0% 9.7% 10.4% 8.7% 7.2% 6.3% 5.4% 4.6% 3.0% 2.1% 2.9% 5,524 5,011 4,380 3,782 2,947 2,720 2,345 2,005 1,590 1,467 1,175 913 754 524 356 555 1,139,276 560,603 87,144 31,620 71,211 % 15.3% 13.9% 12.2% 10.5% 8.2% 7.5% 6.5% 5.6% 4.4% 4.1% 3.3% 2.5% 2.1% 1.5% 1.0% 1.5% 36,048 Other/2+ Races Total No. % No. 296 295 255 259 211 213 184 204 160 185 140 117 84 60 40 47 10.8% 10.7% 9.3% 9.4% 7.7% 7.7% 6.7% 7.4% 5.8% 6.7% 5.1% 4.3% 3.1% 2.2% 1.5% 1.7% 138,502 138,369 135,874 134,347 129,341 136,755 131,224 132,870 128,235 131,780 124,017 109,421 100,312 77,978 58,416 121,211 2,750 1,928,652 Males 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ 57,931 61,519 63,687 66,761 69,036 73,634 69,041 73,438 77,791 84,886 83,412 73,897 70,978 56,188 42,703 75,877 5.3% 5.6% 5.8% 6.1% 6.3% 6.7% 6.3% 6.7% 7.1% 7.7% 7.6% 6.7% 6.4% 5.1% 3.9% 6.9% 65,753 63,077 58,767 56,299 49,660 47,680 46,577 42,225 37,346 30,840 23,027 16,296 11,798 7,512 4,861 6,420 11.6% 11.1% 10.3% 9.9% 8.7% 8.4% 8.2% 7.4% 6.6% 5.4% 4.1% 2.9% 2.1% 1.3% 0.9% 1.1% 7,193 7,153 7,436 8,438 8,009 7,217 6,852 6,806 6,531 6,401 5,716 4,303 3,218 2,019 1,382 1,672 8.0% 7.9% 8.2% 9.3% 8.9% 8.0% 7.6% 7.5% 7.2% 7.1% 6.3% 4.8% 3.6% 2.2% 1.5% 1.9% 2,526 2,481 2,365 2,751 3,054 2,717 2,283 2,058 1,724 1,615 1,397 931 741 435 268 286 9.1% 9.0% 8.6% 10.0% 11.1% 9.8% 8.3% 7.4% 6.2% 5.8% 5.1% 3.4% 2.7% 1.6% 1.0% 1.0% 4,778 4,694 4,272 4,253 4,751 5,988 6,057 6,553 5,387 4,455 3,626 2,732 2,107 1,577 1,243 1,340 7.5% 7.4% 6.7% 6.7% 7.4% 9.4% 9.5% 10.3% 8.4% 7.0% 5.7% 4.3% 3.3% 2.5% 1.9% 2.1% 5,777 5,153 4,535 3,779 2,807 2,482 2,161 1,837 1,444 1,364 1,106 791 615 418 315 415 16.5% 14.7% 13.0% 10.8% 8.0% 7.1% 6.2% 5.2% 4.1% 3.9% 3.2% 2.3% 1.8% 1.2% 0.9% 1.2% 310 263 292 271 214 231 227 182 171 165 158 90 79 48 25 32 11.2% 9.5% 10.6% 9.8% 7.8% 8.4% 8.2% 6.6% 6.2% 6.0% 5.7% 3.3% 2.9% 1.7% 0.9% 1.2% 1,100,779 568,138 90,346 27,632 63,813 34,999 2,758 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2010. Total Maricopa County Health Status Report 2010 Page 3 144,268 144,340 141,354 142,552 137,531 139,949 133,198 133,099 130,394 129,726 118,442 99,040 89,536 68,197 50,797 86,042 1,888,465 Maricopa County 2010 Population Statistics Population Pyramid for Maricopa County by Age and Sex, 2010 White, Non-Hispanic Population Pyramid for Maricopa County by Age and Sex, 2010 All Race/Ethnicities 85+ % Female 80-84 % Male 74-79 74-79 70-74 70-74 65-69 65-69 60-64 60-64 Age Group in Years Age Group in Years 85+ % Female 80-84 55-59 50-54 45-49 40-44 35-39 30-34 55-59 50-54 45-49 40-44 35-39 30-34 25-29 25-29 20-24 20-24 15-19 15-19 10-14 10-14 5-9 5-9 0-4 0-4 4% 3% 2% 1% 0% 1% 2% 3% % Male 5% 4% 4% 2% 1% 0% 1% 2% 3% 4% 5% Population Pyramid for Maricopa County by Age and Sex, 2010 African-American, Non-Hispanic Population Pyramid for Maricopa County by Age and Sex, 2010 Hispanic 85+ 85+ % Female 80-84 % Female 80-84 % Male 74-79 74-79 70-74 70-74 65-69 65-69 60-64 60-64 Age Group in Years Age Group in Years 3% Percent of White, Non-Hispanic Population (2,240,055 People) Percent of Total Population (3,817,117 People) 55-59 50-54 45-49 40-44 35-39 30-34 55-59 50-54 45-49 40-44 35-39 30-34 25-29 25-29 20-24 20-24 15-19 15-19 10-14 10-14 5-9 5-9 0-4 % Male 0-4 7% 5% 3% 1% 1% 3% 5% 7% 5% 4% Percent of Hispanic Population (1,128,741 People) Maricopa County Health Status Report 2010 3% 2% 1% 0% 1% 2% 3% Percent of African-American, Non-Hispanic Population (177,490 People) Page 4 4% 5% Maricopa County 2010 Population Statistics Population Pyramid for Maricopa County by Age and Sex, 2010 American Indian, Non-Hispanic Population Pyramid for Maricopa County by Age and Sex, 2010 Asian, Non-Hispanic 85+ % Female 80-84 % Male 74-79 74-79 70-74 70-74 65-69 65-69 60-64 60-64 Age Group in Years Age Group in Years 85+ % Female 80-84 55-59 50-54 45-49 40-44 35-39 30-34 55-59 50-54 45-49 40-44 35-39 30-34 25-29 25-29 20-24 20-24 15-19 15-19 10-14 10-14 5-9 5-9 0-4 % Male 0-4 6% 4% 2% 0% 2% 4% 6% 6% 4% Percent of American Indian, Non-Hispanic Population (59,252 People) 85+ 4% 6% % Female 80-84 % Male 74-79 70-74 70-74 65-69 65-69 60-64 60-64 Age Group in Years Age Group in Years 2% 85+ % Female 74-79 55-59 50-54 45-49 40-44 35-39 30-34 50-54 45-49 40-44 35-39 30-34 25-29 20-24 20-24 15-19 15-19 10-14 10-14 5-9 5-9 0-4 % Male 55-59 25-29 10% 0% Population Pyramid for Maricopa County by Age and Sex, 2010 Some Other Race , Non-Hispanic Population Pyramid for Maricopa County by Age and Sex, 2010 Multiple Races, Non-Hispanic 80-84 2% Percent of Asian, Non-Hispanic Population (135,024 People) 0-4 8% 6% 4% 2% 0% 2% 4% 6% 8% 10% 6% Percent of Multiple Races, Non-Hispanic Population (71,047 People) Maricopa County Health Status Report 2010 4% 2% 0% 2% 4% Percent of Some Other Race, Non-Hispanic Population (5,508 People) Page 5 6% II. Maricopa County 2010 Mortality (Death) Statistics Maricopa County Health Status Report 2010 Page 6 Maricopa County 2010 Mortality (Death) Statistics Table 2.01a Number of Deaths by Age Group and Race/Ethnicity Race/Ethnicity Age Group White Hispanic Black American Other/ Indian Asian Multiple Unknown Total <1 90 153 35 6 11 14 2 312 1-4 30 29 3 1 3 2 0 68 5-9 15 15 2 0 5 0 2 39 10-14 15 14 0 1 1 2 0 33 15-19 50 46 9 3 4 3 1 116 20-24 108 72 13 7 6 3 4 213 25-34 40 28 19 4 7 516 277 141 35-44 485 168 42 40 17 10 8 770 45-54 1,203 327 131 57 29 8 22 1,777 55-64 2,231 399 185 54 49 15 29 2,962 65-74 3,178 410 157 41 51 21 50 3,908 75-84 5,280 490 188 32 87 32 42 6,151 85+ 6,904 389 129 13 69 24 44 7,572 0 0 0 0 0 0 1 1 19,866 2,653 934 283 351 138 Unknown Total 212 24,437 Table 2.01b Death Rates by Age Group and Race/Ethnicity Crude Death Rate per 100,000 Residents Race/Ethnicity Age Group 0-4 White Hispanic Black American Indian Asian Multiple Other/ Unknown Total 105.7 141.2 272.1 136.6 149.6 141.6 - 134.4 5-9 12.5 12.1 14.5 0.0 84.0 19.7 - 13.8 10-14 12.1 12.1 0.0 21 69.4 22.4 - 11.9 15-19 38.7 41.8 55.9 54.9 61.4 66.1 - 41.9 20-24 80.6 74.7 87.4 109.1 111.7 104.3 - 79.8 25-34 98.3 76.1 146.6 256.3 98.5 72.1 - 95.4 35-44 162.8 105.4 162.0 477.6 141.2 203.6 - 146.8 45-54 352.3 302.8 545.3 822.6 259.4 352.1 - 352.6 55-64 730.2 684.5 1,217.5 1,394.6 651.6 748.5 - 743.6 65-74 1,508.5 1,501.0 2,099.5 2,404.7 1,553.5 2,231.9 - 1,530.2 75-84 85+ 4,111.5 3,949.1 5,737.0 5,451.4 5,084.7 7,152.5 - 4,150.5 12,935.6 11,171.7 12,227.5 6,951.9 22,222.2 24,454.1 - 12,822.2 - - Unknown - - - - Total 886.9 235.0 526.2 477.6 260.0 Maricopa County Health Status Report 2010 194.2 Page 7 - 640.2 Maricopa County 2010 Mortality (Death) Statistics Table 2.02a Number of Deaths by Age Group and Sex Age Group Gender Male Female Unknown Total <1 179 132 0 311 1-4 39 29 0 68 5-9 18 21 0 39 10-14 20 13 0 33 15-19 90 26 0 116 20-24 163 50 0 213 25-34 365 151 0 516 35-44 483 287 0 770 45-54 1,097 680 0 1,777 55-64 1,779 1,183 0 2,962 65-74 2,207 1,701 0 3,908 75-84 3,179 2,971 1 6,151 85+ 2,887 4,684 1 7,572 1 0 0 1 12,507 11,928 2 24,437 Unknown Total Table 2.02b Death Rates by Age Group and Sex Crude Death Rate per 100,000 Residents Age Group Gender Male Female Unknown Total 0-4 151.1 116.2 - 134.0 5-9 12.5 15.2 - 13.8 10-14 14.1 9.6 - 11.9 15-19 63.1 19.4 - 41.9 20-24 118.5 38.7 - 79.8 25-34 133.6 56.3 - 95.4 35-44 183.3 109.9 - 146.8 45-54 442.0 265.8 - 352.6 55-64 943.4 564.1 - 743.6 65-74 1,854.7 1,247.1 - 1,530.2 75-84 4,878.9 3,577.8 - 4,150.5 13,824.0 12,271.4 - 12,822.2 - - - - 662.3 618.5 - 640.2 85+ Unknown Total Maricopa County Health Status Report 2010 Page 8 Maricopa County 2010 Mortality (Death) Statistics Table 2.03a Selected Underlying Causes of Death by Race/Ethnicity Number of Cases Race/Ethnicity Cause Infectious Diseases Cancer Diabetes and Alzheimer's Major Heart Cardiovascular Disease Diseases Other Cardiovascular Other Respiratory Diseases GI & Urinary Pregnancy & Early Life Other Diseases External Causes Unknown Total . White Hispanic Black Tuberculosis Syphilis HIV Stomach Colon Pancreas Lung Breast Uterine Prostate Urinary Lymphoma Leukemia Other Cancer All Cancer Diabetes Alzheimer's Hypertensive Heart Disease Ischemic Heart Disease Other Heart Disease All Heart Disease Primary Hypertension Cerebrovascular Atherosclerosis Other Circulatory All Other Cardiovascular Influenza & Pneumonia Chronic Lower Respiratory Peptic Ulcer Liver Disease Nephritis Pregnancy Perinatal Conditions Congenital Malformations SIDS Symptoms, Signs Other Diseases Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes 6 0 34 67 413 319 1,280 327 208 225 249 162 179 1,188 4,617 448 1,463 310 3,363 711 4,384 241 895 57 167 1,360 241 1,356 32 260 120 2 39 54 4 534 3,128 194 996 453 71 70 1,784 0 19,866 1 0 17 32 46 34 91 51 34 29 31 20 26 147 541 139 123 30 322 67 419 44 111 4 21 180 30 58 3 74 32 3 73 44 7 69 429 96 148 58 97 12 411 0 2,653 American Other/ Indian Asian Multiple Unknown 0 0 11 8 25 15 34 19 10 14 9 2 8 47 191 65 40 20 147 18 185 22 51 3 4 80 9 25 2 11 15 2 21 6 0 24 147 21 38 11 27 3 100 0 934 Maricopa County Health Status Report 2010 0 0 3 1 3 2 2 2 1 0 0 1 1 11 24 35 7 3 29 3 35 3 4 1 1 9 8 6 0 37 7 1 2 1 0 2 51 12 25 3 14 1 55 0 283 Page 9 2 0 0 6 11 8 24 8 6 3 1 4 5 16 92 10 20 5 52 7 64 7 19 1 4 31 5 6 1 0 4 0 3 7 1 5 50 8 22 11 7 2 50 0 351 0 0 0 0 3 2 9 3 1 2 1 0 1 7 29 3 7 2 25 7 34 0 3 0 2 5 2 7 1 4 0 0 3 2 4 3 14 4 7 3 2 4 20 0 138 Total 1 10 0 0 2 67 0 114 0 501 3 383 5 1,445 1 411 0 260 0 273 1 292 1 190 2 222 1 1,417 14 5,508 2 702 5 1,665 0 370 19 3,957 3 816 22 5,143 0 317 1 1,084 0 66 0 199 1 1,666 1 296 5 1,463 1 40 0 386 2 180 0 8 2 143 0 114 0 16 114 751 20 3,839 1 336 7 1,243 9 548 1 219 1 93 19 2,439 1 1 212 24,437 Maricopa County 2010 Mortality (Death) Statistics Table 2.03b Selected Underlying Causes of Death by Race/Ethnicity Crude Death Rate per 100,000 Residents Race/Ethnicity Cause Infectious Diseases White Hispanic Black Unknown 0.3 0 1.5 3.0 18.4 14.2 57.1 14.6 18.3 20.4 11.1 7.2 8.0 53.0 206.1 20.0 65.3 13.8 150.1 31.7 195.7 10.8 40.0 2.5 7.5 60.7 10.8 60.5 1.4 11.6 5.4 0.2 1.7 2.4 0.2 23.8 139.6 8.7 44.5 20.2 3.2 3.1 79.6 - Total 886.9 Cancer Diabetes and Alzheimer's Major Heart Cardiovascular Disease Diseases Other Cardiovascular Other Respiratory Diseases GI & Urinary Pregnancy & Early Life Other Diseases External Causes Tuberculosis Syphilis HIV Stomach Colon Pancreas Lung Breast Uterine & Ovarian1 Prostate1 Urinary Lymphoma Leukemia Other Cancer All Cancer Diabetes Alzheimer's Hypertensive Heart Disease Ischemic Heart Disease Other Heart Disease All Heart Disease Primary Hypertension Cerebrovascular Atherosclerosis Other Circulatory All Other Cardiovascular Influenza & Pneumonia Chronic Lower Respiratory Peptic Ulcer Liver Disease Nephritis Pregnancy1 Perinatal Conditions Congenital Malformations SIDS2 Symptoms, Signs Other Diseases Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External causes American Other/ Indian Asian Multiple Unknown Total 0.1 0 0 0 1.5 6.2 2.8 4.5 4.1 14.1 3.0 8.5 8.1 19.2 4.5 10.7 6.1 11.5 5.1 15.5 2.7 5.1 1.8 1.1 2.3 4.5 13.0 26.5 47.9 107.6 12.3 36.6 10.9 22.5 2.7 11.3 28.5 82.8 5.9 10.1 37.1 104.2 3.9 12.4 9.8 28.7 0.4 1.7 1.9 2.3 15.9 45.1 2.7 5.1 5.1 14.1 0.3 1.1 6.6 6.2 2.8 8.5 0.5 2.0 6.5 11.8 3.9 3.4 0.3 0 6.1 13.5 38.0 82.8 8.5 11.8 13.1 21.4 5.1 6.2 8.6 15.2 1.1 1.7 36.4 56.3 235.0 526.2 0 0 5.1 1.7 5.1 3.4 3.4 3.4 3.2 0.0 0 1.7 1.7 18.6 40.5 59.1 11.8 5.1 48.9 5.1 59.1 5.1 6.8 1.7 1.7 15.2 13.5 10.1 0 62.4 11.8 3.0 3.4 1.7 0 3.4 86.1 20.3 42.2 5.1 23.6 1.7 92.8 - 1.5 0 0 4.4 8.1 5.9 17.8 5.9 8.4 4.7 0.7 3.0 3.7 11.8 68.1 7.4 14.8 3.7 38.5 5.2 47.4 5.2 14.1 0.7 3.0 23.0 3.7 4.4 0.7 0 3.0 0 2.2 5.2 0.4 3.7 37.0 5.9 16.3 8.1 5.2 1.5 37.0 - 0 0 0 0 4.2 2.8 12.7 4.2 2.8 5.7 1.4 0 1.4 9.9 40.8 4.2 9.9 2.8 35.2 9.9 47.9 0 4.2 0 2.8 7.0 2.8 9.9 1.4 5.6 0 0 4.2 2.8 4.2 19.7 5.6 9.9 4.2 2.8 5.6 28.2 - 477.6 260.0 194.2 1 - 0.3 0 1.8 3.0 13.1 10.0 37.9 10.8 13.5 14.5 7.6 5.0 5.8 37.1 144.3 18.4 43.6 9.7 103.7 21.4 134.7 8.3 28.4 1.7 5.2 43.6 7.8 38.3 1.0 10.1 4.7 0.4 3.7 3.0 0.4 19.7 100.6 8.8 32.6 14.4 5.7 2.4 63.9 - - 640.2 Uterine & ovarian cancer and pregnancy rates are per 100,000 females; prostate cancer rates are per 100,000 males. Sudden Infant Death Syndrome (SIDS) rates are per 1,000 live births. No rate is calculated for Multiple race infants, see Technical Notes for explanation. 2 Maricopa County Health Status Report 2010 Page 10 Maricopa County 2010 Mortality (Death) Statistics Table 2.04a Selected Underlying Causes of Death by Age Group Number of Cases Age Group Cause Infectious Diseases Cancer Diabetes and Alzheimer's Major Cardiovascular Diseases Heart Disease Other Cardiovascular <1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Unk. Total Tuberculosis 0 0 0 0 0 0 1 1 3 2 1 1 1 0 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 HIV 0 0 0 0 0 0 9 15 27 14 2 0 0 0 67 Stomach 0 0 0 0 0 0 2 7 13 17 26 34 15 0 114 Colon 0 0 0 0 0 1 4 12 40 85 119 145 95 0 501 Pancreas 0 0 0 0 0 0 1 2 24 69 100 118 69 0 383 Lung 0 0 0 0 0 0 5 13 84 257 420 481 185 0 1,445 Breast 0 0 0 0 0 0 6 16 63 104 94 71 57 0 411 Uterine & Ovarian 0 0 0 0 0 0 5 6 40 52 58 60 39 0 260 Prostate 0 0 0 0 0 0 0 0 1 24 61 100 87 0 273 Urinary 0 0 0 0 0 0 1 3 20 39 64 96 69 0 292 Lymphoma 1 0 0 0 1 1 4 4 9 23 46 51 50 0 190 Leukemia 3 5 2 2 0 2 5 6 11 26 48 63 49 0 222 Other 0 2 3 2 5 3 15 41 131 301 335 377 202 0 1,417 All Cancer 4 7 5 4 6 7 48 110 436 997 1,371 1,596 917 0 5,508 Diabetes 0 0 0 0 0 0 8 29 67 131 156 176 135 0 702 Alzheimer's 0 0 0 0 0 0 0 0 1 10 89 447 1,118 0 1,665 Hypertensive Heart Dis. 0 0 0 0 1 0 2 10 27 47 48 69 166 0 370 Ischemic Heart Disease 0 1 0 0 0 2 8 42 188 455 628 1,046 1,587 0 3,957 Other Heart Disease 3 1 0 0 4 1 13 17 60 74 96 219 328 0 816 All Heart Disease 3 2 0 0 5 3 23 69 275 576 772 1,334 2,081 0 5,143 Primary Hypertension 0 0 0 0 0 0 0 3 11 25 40 100 138 0 317 Cerebrovascular 2 1 3 1 1 1 5 13 38 87 122 312 498 0 1,084 Atherosclerosis 0 0 0 0 0 0 1 0 1 1 1 20 42 0 66 Other Circulatory 0 1 0 0 0 1 0 5 8 19 40 62 63 0 199 All Other Cardiovascular 2 2 3 1 1 2 6 21 58 132 203 494 741 0 1,666 (Continued) Maricopa County Health Status Report 2010 Page 11 10 Maricopa County 2010 Mortality (Death) Statistics (Table 2.04a continued) Age Group Cause <1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Unk. Total Other Respiratory Diseases Influenza & Pneumonia 0 0 0 0 0 1 3 7 21 33 36 76 119 0 296 Chronic Lower Respiratory 0 0 1 0 1 2 0 3 40 121 344 516 435 0 1,463 GI & Urinary Peptic Ulcer 0 0 0 0 0 0 0 0 8 7 8 10 7 0 40 Liver Disease 0 0 0 0 0 0 10 43 95 115 71 37 15 0 386 Nephritis 2 0 1 0 0 0 2 3 9 21 35 51 56 0 180 Pregnancy 0 0 0 0 0 2 1 5 0 0 0 0 0 0 8 139 1 1 1 1 0 0 0 0 0 0 0 0 0 143 Congenital Malformations 66 5 5 3 1 1 3 2 7 4 5 7 5 0 114 SIDS 16 0 0 0 0 0 0 0 0 0 0 0 0 0 16 Symptoms, Signs 27 7 2 2 4 6 17 23 33 34 65 146 384 1 751 Other Diseases 33 12 7 5 8 16 55 114 276 490 595 1,016 1,212 0 3,839 1 7 5 7 26 33 48 47 58 41 24 23 16 0 336 10 21 6 2 26 51 108 122 192 121 101 174 309 0 1,243 Suicide 0 0 0 4 18 52 92 94 124 85 24 39 16 0 548 Homicide 4 4 3 3 18 35 67 40 25 12 3 2 3 0 219 Other External Causes 4 0 0 1 1 2 15 22 22 15 3 6 2 0 93 19 32 14 17 89 173 330 325 421 274 155 244 346 0 2,439 Pregnancy & Early Life Perinatal Conditions Other Diseases External Causes Motor Vehicle Collisions All Other Accidents All External Causes Unknown Total 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 311 68 39 33 116 213 516 770 1,777 2,962 3,908 6,151 7,572 1 24,437 Maricopa County Health Status Report 2010 Page 12 Maricopa County 2010 Mortality (Death) Statistics Table 2.04b Selected Underlying Causes of Death by Age Group Crude Death Rate per 100,000 Residents Age Group Cause Infectious Diseases Cancer Diabetes and Alzheimer's Major Cardiovascular Diseases Heart Disease Other Cardiovascular 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Unk. Total Tuberculosis 0 0 0 0 0 0.2 0.2 0.6 0.5 0.4 0.7 1.7 - Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 - 0 HIV 0 0 0 0 0 1.7 2.9 5.4 3.5 0.8 0 0 - 1.8 Stomach 0 0 0 0 0 0.4 1.3 2.6 4.3 10.2 22.9 25.4 - 3.0 Colon 0 0 0 0 0.4 0.7 2.3 7.9 21.3 46.6 97.8 160.9 - 13.1 Pancreas 0 0 0 0 0 0.2 0.4 4.8 17.3 39.2 79.6 116.8 - 10.0 Lung 0 0 0 0 0 0.9 2.5 16.7 64.5 164.5 324.6 313.3 - 37.9 Breast 0 0 0 0 0 1.1 3.0 12.5 26.1 36.8 47.9 96.5 - 10.8 Uterine & Ovarian 0 0 0 0 0 1.9 2.3 15.6 24.8 42.5 72.3 102.2 - 13.5 Prostate 0 0 0 0 0 0 0 0.4 12.7 51.3 153.5 416.6 - 14.5 Urinary 0 0 0 0 0 0.2 0.6 4.0 9.8 25.1 64.8 116.8 - 7.6 Lymphoma 0.4 0 0 0.4 0.4 0.7 0.8 1.8 5.8 18.0 34.4 84.7 - 5.0 Leukemia 2.8 0.7 0.7 0 0.7 0.9 1.1 2.2 6.5 18.8 42.5 83.0 - 5.8 Other Cancer 0.7 1.1 0.7 1.8 1.1 2.8 7.8 26.0 75.6 131.2 254.4 342.1 - 37.1 All Cancer 3.9 1.8 1.4 2.2 2.6 8.9 21.0 86.5 250.3 536.8 1,076.9 1,552.8 - 144.3 Diabetes 0 0 0 0 0 1.5 5.5 13.3 32.9 61.1 118.8 228.6 - 18.4 Alzheimer's 0 0 0 0 0 0 0 0.2 2.5 34.8 301.6 1,893.2 - 43.6 Hypertensive Heart Disease 0 0 0 0.4 0 0.4 1.9 5.4 11.8 18.8 46.6 281.1 - 9.7 Ischemic Heart Disease 0.4 0 0 0 0.7 1.5 8.0 37.3 114.2 245.9 705.8 2,687.4 - 103.7 Other Heart Disease 1.4 0 0 1.4 0.4 2.4 3.2 11.9 18.6 37.6 147.8 555.4 - 21.4 All Heart Disease 1.8 0 0 1.8 1.1 4.3 13.2 54.6 144.6 302.3 900.1 3,523.9 - 134.7 Primary Hypertension 0 0 0 0 0 0 0.6 2.2 6.3 15.7 67.5 233.7 - 8.3 Cerebrovascular 1.1 1.1 0.4 0.4 0.4 0.9 2.5 7.5 21.8 47.8 210.5 843.3 - 28.4 Atherosclerosis 0 0 0 0 0 0.2 0 0.2 0.3 0.4 13.5 71.1 - 1.7 Other Circulatory 0.4 0 0 0 0.4 0 1.0 1.6 4.8 15.7 41.8 106.7 All Other Cardiovascular 1.4 1.1 0.4 0.4 0.7 1.1 4.0 11.5 33.1 79.5 333.3 1,254.8 (Continued) Maricopa County Health Status Report 2010 Page 13 - 0.3 5.2 43.6 Maricopa County 2010 Mortality (Death) Statistics (Table 2.04b Continued) Age Group Cause Other Respiratory Diseases GI & Urinary Pregnancy & Early Life Other Diseases External Causes Unknown Total 1 2 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Unk. Total Influenza & Pneumonia 0 0 0 0 0.4 0.6 1.3 4.2 8.3 14.1 51.3 201.5 - 7.8 Chronic Lower Respiratory 0 0.4 0 0.4 0.7 0 0.6 7.9 30.4 134.7 348.2 736.6 - 38.3 Peptic Ulcer 0 0 0 0 0 0 0 1.6 1.8 3.1 6.7 11.9 - 1.0 Liver Disease 0 0 0 0 0 1.8 8.2 18.9 28.9 27.8 25.0 25.4 - 10.1 Nephritis 0.7 0.4 0 0 0 0.4 0.6 1.8 5.3 13.7 34.4 94.8 - 4.7 Pregnancy 0 0 0 0 0.7 0.2 1.0 0 0 0 0 0 - 0.2 Perinatal Conditions 49.5 0.4 0.4 0.4 0 0 0 0 0 0 0 0 - 3.7 Congenital Malformations 25.1 1.8 1.1 0.4 0.4 0.6 0.4 1.4 1.0 2.0 4.7 8.5 - 3.0 SIDS 5.7 0 0 0 0 0 0 0 0 0 0 0 - 0.3 Symptoms, Signs 12.0 0.7 0.7 1.4 2.2 3.1 4.4 6.5 8.5 25.5 98.5 650.3 - 19.7 Other Diseases 15.9 2.5 1.8 2.9 6.0 10.2 21.7 54.8 123.0 233.0 685.6 2,052.4 - 100.6 Motor Vehicle Collisions 2.8 1.8 2.5 9.4 12.4 8.9 9.0 11.5 10.3 9.4 15.5 27.1 - 8.8 All Other Accidents 11.0 2.1 0.7 9.4 19.1 20.0 23.3 38.1 30.4 39.5 117.4 523.2 - 32.6 Suicide 0 0 1.4 6.5 19.5 17.0 17.9 24.6 21.3 9.4 26.3 27.1 - 14.4 Homicide 2.8 1.1 1.1 6.5 13.1 12.4 7.6 5.0 3.0 1.2 1.3 5.1 - 5.7 Other External Causes 1.4 0 0.4 0.4 0.7 2.8 4.2 4.4 3.8 1.2 4.0 3.4 - 2.4 All External Causes 18.0 5.0 6.1 32.1 64.8 61.0 62.0 83.5 68.8 60.7 164.6 585.9 - 63.9 0 0 0 0 0 0 0 0 0 0 0 0 - 0.0 134.0 13.8 11.9 41.9 79.8 95.4 146.8 352.6 743.4 1,530.2 4,150.5 12,822.2 - 640.2 Uterine & ovarian cancer and pregnancy rates are per 100,000 females; prostate cancer rates are per 100,000 males. Sudden Infant Death Syndrome (SIDS) rates are per 1,000 live births. Maricopa County Health Status Report 2010 Page 14 Maricopa County 2010 Mortality (Death) Statistics Table 2.05a Selected Underlying Causes of Death by Sex Number of Cases Gender Cause Tuberculosis Female Unknown 6 4 0 10 Syphilis 0 0 0 0 HIV 57 10 0 67 Stomach 66 48 0 114 Colon 261 240 0 501 Pancreas 183 200 0 383 Lung 774 671 0 1,445 Breast 7 404 0 411 Uterine & Ovarian 0 260 0 260 Prostate 273 0 0 273 Urinary 209 83 0 292 Lymphoma 111 79 0 190 Leukemia 131 91 0 222 Other Cancer 878 539 0 1,417 All Cancer 2,893 2,615 0 5,508 Diabetes 384 318 0 702 Alzheimer's 533 1,131 1 1,665 Hypertensive Heart Disease 168 202 0 370 Ischemic Heart Disease 2,224 1,733 0 3,957 Other Heart Disease 382 434 0 816 All Heart Disease 2,774 2,369 0 5,143 Primary Hypertension 152 165 0 317 Cerebrovascular 433 651 0 1,084 Atherosclerosis 27 39 0 66 Other Circulatory 102 97 0 199 All Other Cardiovascular 714 952 0 1,666 Other Respiratory Diseases Influenza & Pneumonia 142 154 0 296 Chronic Lower Respiratory 686 777 0 1,463 GI & Urinary Peptic Ulcer 24 16 0 40 Liver Disease 254 132 0 386 Nephritis 96 84 0 180 Pregnancy 0 8 0 8 Perinatal Conditions 85 58 0 143 Congenital Malformations 62 52 0 114 SIDS 11 5 0 16 Symptoms, Signs 345 405 1 751 Other Diseases 1,852 1,987 0 3,839 Motor Vehicle Collisions 236 100 0 336 All Other Accidents 687 556 0 1,243 Suicide 428 120 0 548 Homicide 180 39 0 219 Other External Causes 57 36 0 93 All External causes 1,588 851 0 2,439 1 0 0 1 12,507 11,928 2 24,437 Infectious Diseases Cancer Diabetes and Alzheimer's Major Cardiovascular Diseases Heart Disease Other Cardiovascular Pregnancy & Early Life Other Diseases External Causes Unknown Total Male Maricopa County Health Status Report 2010 Page 15 Total Maricopa County 2010 Mortality (Death) Statistics Table 2.05b Selected Underlying Causes of Death by Sex Crude Death Rate per 100,000 Residents Cause Infectious Diseases Tuberculosis Syphilis HIV Cancer Stomach Colon Pancreas Lung Breast Uterine & Ovarian1 Prostate1 Urinary Lymphoma Leukemia Other Cancer All Cancer Diabetes and Alzheimer's Diabetes Alzheimer's Major Heart Hypertensive Heart Disease Cardiovascular Disease Ischemic Heart Disease Diseases Other Heart Disease All Heart Disease Other Primary Hypertension CardioCerebrovascular vascular Atherosclerosis Other Circulatory All Other Cardiovascular Other Respiratory Diseases Influenza & Pneumonia Chronic Lower Respiratory GI & Urinary Peptic Ulcer Liver Disease Nephritis Pregnancy & Early Life Pregnancy1 Perinatal Conditions Congenital Malformations SIDS2 Other Diseases Symptoms, Signs Other Diseases External Causes Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External causes Unknown Total 1 2 Male 0.3 0 3.0 3.5 13.8 9.7 41.0 0.4 0 14.5 11.1 5.9 6.9 46.5 153.2 20.3 28.2 8.9 117.8 20.2 146.9 8.0 22.9 1.4 5.4 37.8 7.5 36.3 1.3 13.5 5.1 0 4.5 3.3 0.4 18.3 98.1 12.5 36.4 22.7 9.5 3.0 84.1 0.1 662.2 Gender Female 0.2 0 0.5 2.5 12.4 10.4 34.8 20.9 13.5 0 4.3 4.1 4.7 27.9 135.6 16.5 58.6 10.5 89.9 22.5 122.8 8.6 33.8 2.0 5.0 49.4 8.0 40.3 0.8 6.8 4.4 0.4 3.0 2.7 0.2 21.0 103.0 5.2 28.8 6.2 2.0 1.9 44.1 0 618.5 Unknown - Total 0.3 0 1.8 3.0 13.1 10.0 37.9 10.8 13.5 14.5 7.6 5.0 5.8 37.1 144.3 18.4 43.6 9.7 103.7 21.4 134.7 8.3 28.4 1.7 5.2 43.6 7.8 38.3 1.0 10.1 4.7 0.2 3.7 3.0 0.3 19.7 100.6 8.8 32.6 14.4 5.7 2.4 63.9 0.1 640.2 Uterine & ovarian cancer and pregnancy rates are per 100,000 females; prostate cancer rates are per 100,000 males. Sudden Infant Death Syndrome (SIDS) rates are per 1,000 live births. Maricopa County Health Status Report 2010 Page 16 Maricopa County 2010 Mortality (Death) Statistics Table 2.06a Other Selected Underlying Causes of Death by Race/Ethnicity Number of Cases Race/Ethnicity Cause Infectious Diseases Cancer Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations External Causes White Hispanic Black American Other/ Indian Asian Multiple Unknown Total Clostridium Difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip & Oral Skin Ovarian Testicular Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol 87 18 138 76 13 7 124 53 98 130 3 18 17 63 9 4 36 28 4 5 19 7 1 19 2 3 4 11 3 1 16 4 4 0 4 0 2 4 0 4 0 12 3 0 5 1 1 0 0 1 0 1 0 0 1 4 0 0 4 3 0 0 1 1 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 103 23 199 112 22 12 149 63 103 156 5 27 22 90 79 13 3 10 0 1 2 108 Parkinson's Disease Multiple Sclerosis Epilepsy Acute Myocardial Infarction 247 44 14 16 1 3 5 2 1 0 0 0 2 0 1 0 0 0 0 0 0 270 47 19 (Heart Attack) 659 58 27 5 16 3 1 769 Congestive Heart Failure Emphysema Asthma Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Disorders Related to Short Gestation & Low Birth Weight Congenital Malformations of the Circulatory System 116 116 22 197 25 9 5 10 3 6 57 4 2 1 2 0 3 7 0 1 0 1 0 1 35 0 0 0 0 0 0 0 0 0 0 1 0 0 3 1 0 0 0 1 0 0 1 0 0 130 120 32 299 31 12 6 6 31 8 2 0 2 0 49 18 12 2 1 2 1 0 36 Chromosomal Abnormalities Falls Unintentional Drowning Unintentional Poisoning Exposure to Excessive Natural Heat Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Intent 9 450 33 346 17 6 6 9 32 12 71 5 1 1 1 1 0 21 5 0 1 0 2 2 16 0 0 1 1 7 4 3 0 0 0 1 2 1 4 0 0 0 0 0 0 1 1 0 0 21 494 52 462 28 7 9 6 2 0 0 0 0 0 8 25 4 1 0 0 0 0 30 Complications of Medical and Surgical Care Maricopa County Health Status Report 2010 Page 17 Maricopa County 2010 Mortality (Death) Statistics Table 2.06b Other Selected Underlying Causes of Death by Race/Ethnicity Crude Death Rate per 100,000 Residents Race/Ethnicity Cause Infectious Diseases 1.4 0 0 0 0 0 1.4 1.4 1.4 2.8 0 0 0 0 - 2.7 0.6 5.2 2.9 0.6 0.3 3.9 1.7 2.7 8.1 0.3 0.7 0.6 2.4 16.9 0 1.4 - 2.8 0 0 0 1.5 0 0.7 0 0 0 - 7.1 1.2 0.5 15.2 8.4 11.8 4.2 - 20.1 0.9 0.3 0.5 5.0 0.4 0.2 0.1 1.1 0 1.7 3.9 0 0.6 0 1.7 0 1.7 59.1 0 0 0 0 0 0 0 0 0 0 1.4 0 0 4.2 1.4 0 0 - 3.4 3.1 0.8 7.8 0.8 0.3 0.2 0.3 2.7 4.5 3.4 0 2.8 - 1.3 0.8 1.1 1.1 1.7 1.5 1.4 - 0.9 Chromosomal Abnormalities 0.4 0.8 0.6 0 Falls 20.1 2.8 0.6 3.4 Unintentional Drowning 1.5 1.1 0 3.4 Unintentional Poisoning 15.4 6.3 11.8 27.0 Exposure to Excessive Natural Heat 0.8 0.4 2.8 0 Legal Intervention 0.3 0.1 0 0 Accidental Discharge of Firearms 0.3 0.1 0.6 1.7 Discharge of Firearms, Undetermined Intent 0.3 0.2 0 0 Complications of Medical and Surgical Care 1.1 0.4 0.6 0 Ovarian cancer rates are per 100,000 females; prostate cancer rates are per 100,000 males. 0.7 5.2 3.0 2.2 0 0 0 0 0 1.4 2.8 1.4 5.6 0 0 0 0 0 - 0.6 12.9 1.4 12.1 0.7 0.2 0.2 0.2 0.8 Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations 1. American Other/ Indian Asian Multiple Unknown Total 0 0 3.0 2.2 0 0 0.7 0.7 0.7 1.4 0 0.7 0 0 Cancer External Causes White Hispanic Black Clostridium Difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip & Oral Skin Ovarian1 Testicular1 Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson's Disease Multiple Sclerosis Epilepsy Acute Myocardial Infarction 3.9 0.8 6.2 3.4 0.6 0.3 5.5 2.4 4.4 11.4 0.3 0.8 0.8 2.8 0.8 0.4 3.2 2.5 0.4 0.4 1.7 0.6 0.1 3.4 0.4 0.3 0.4 1.0 1.7 0.6 9.0 2.3 2.3 0 2.3 0 1.1 4.6 0 2.3 0 6.8 5.1 0 8.4 1.7 1.7 0 0 1.7 0 3.2 0 0 1.7 6.8 3.5 1.2 1.7 11.0 2.0 0.6 1.4 0.1 0.3 2.8 1.1 0.6 (Heart Attack) Congestive Heart Failure Emphysema Asthma Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Disorders Related to Short Gestation & Low Birth Weight Congenital Malformations of the Circulatory System 29.4 5.1 5.2 5.2 1.0 8.8 1.1 0.4 0.2 Maricopa County Health Status Report 2010 Page 18 Maricopa County 2010 Mortality (Death) Statistics Table 2.07a Other Selected Underlying Causes of Death by Age Group Number of Cases Age Group <1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Cause Infectious Diseases Cancer Other Diseases Cardiovascular Clostridium Difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip & Oral Skin Ovarian Testicular Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol 0 5 4 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 3 0 3 1 2 0 0 10 0 0 6 2 2 1 13 1 6 2 1 0 1 17 2 0 16 29 4 1 24 10 16 24 2 6 2 20 4 2 26 57 3 1 35 13 20 26 0 0 3 25 21 0 43 8 2 2 28 14 19 41 0 2 7 13 31 6 58 12 6 5 27 19 22 36 0 7 3 4 45 7 43 3 3 2 14 6 17 26 0 9 6 1 103 23 199 112 22 12 149 63 103 156 5 27 22 90 0 0 0 0 0 0 4 17 38 32 14 1 2 108 Parkinson's Disease Multiple Sclerosis Epilepsy Acute Myocardial Infarction 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 1 2 0 7 3 8 20 5 32 11 1 118 112 3 5 3 2 270 47 19 (Heart Attack) 0 1 0 0 0 0 2 6 35 95 137 218 275 769 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 0 2 0 0 0 0 10 0 1 0 0 1 1 40 0 1 0 5 6 6 89 2 1 0 10 9 7 94 2 0 0 10 36 5 48 9 1 0 39 39 4 11 9 4 1 66 29 6 7 9 1 5 130 120 32 299 31 12 6 49 0 0 0 0 0 0 0 0 0 0 0 0 49 16 2 2 1 1 1 0 1 4 3 1 2 2 36 14 0 1 0 1 0 15 0 0 1 1 0 1 0 0 0 0 0 4 19 0 0 4 39 1 4 5 89 0 2 4 96 2 20 5 137 1 18 4 66 1 52 4 10 0 0 130 267 2 3 3 3 21 494 52 462 0 2 0 0 0 2 0 3 9 3 3 3 3 28 0 0 0 1 0 0 0 0 0 1 0 1 0 1 3 0 3 2 1 1 0 2 0 0 0 0 7 9 0 0 0 0 1 0 4 2 0 0 0 1 0 8 1 0 0 0 0 0 1 5 1 3 10 5 4 30 Congestive Heart Failure Emphysema Asthma Liver Disease Alcoholic Liver Disease Musculoskeletal Rheumatoid Arthritis Lupus Osteoporosis Perinatal Conditions & Disorders Related to Short Congenital Gestation & Low Birth Weight Malformations Congenital Malformations of the Circulatory System Chronic Lower Respiratory External Causes Chromosomal Abnormalities Falls Unintentional Drowning Unintentional Poisoning Exposure to Excessive Natural Heat Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Intent Complications of Medical and Surgical Care Maricopa County Health Status Report 2010 Page 19 Maricopa County 2010 Mortality (Death) Statistics Table 2.07b Other Selected Underlying Causes of Death by Age Group Crude Death Rate per 100,000 Residents Age Group Cause Infectious Diseases Cancer Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations External Causes 1. 0-4 Clostridium Difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip & Oral Skin Ovarian1 Testicular1 Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson's Disease Multiple Sclerosis Epilepsy Acute Myocardial Infarction (Heart Attack) Congestive Heart Failure Emphysema Asthma Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Disorders Related to Short Gestation & Low Birth Weight 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 0 1.8 1.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.7 0 0 0 0 0.7 0 0 0 0 0 0 0 0 0.4 0 0 0 0 0 0 0 0 0 0.4 0 0.4 0 0.4 0 0 0 0 0 0 0 0 0.4 0.4 0 0 0 0 0 0 0 0 0.4 0 0 0 0 0.2 0.2 0.2 0 0.6 0 0.6 0.4 0.7 0 0 1.8 0 0 1.1 0.4 0.4 0.2 2.5 0.2 1.1 0.8 0.4 0 0.2 3.2 0.4 0 3.2 5.8 0.8 0.2 4.8 2.0 3.2 9.4 0.8 1.2 0.4 4.0 1.0 0.5 6.5 14.3 0.8 0.3 8.8 3.3 5.0 12.4 0 0 0.8 6.3 8.2 0 16.8 3.1 0.8 0.8 11.0 5.5 7.4 30.1 0 0.8 2.7 5.1 20.9 4.0 39.1 8.1 4.0 3.4 18.2 12.8 14.8 43.4 0 4.7 2.0 2.7 76.2 11.9 72.8 5.1 5.1 3.4 23.7 10.2 28.8 68.1 0 15.2 10.2 1.7 2.7 0.6 5.2 2.9 0.6 0.3 3.9 1.7 2.7 8.1 0.3 0.7 0.6 2.4 0 0 0 0 0 0.7 3.2 7.5 8.0 5.5 0.7 3.4 2.8 0 0 0 0 0 0.4 0 0 0 0 0 0.4 0 0 0 0 0 0.2 0 0.2 0.4 0 1.4 0.6 2.0 5.0 1.3 12.5 4.3 0.4 79.6 189.7 2.0 8.5 2.0 3.4 7.1 1.2 0.5 0 0 0 0 0 0.4 1.1 6.9 23.9 53.6 147.1 465.7 20.1 0 0 0 0 0 0 0 0 0 0.4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.4 0 0 0 0.7 0 0 0.7 0 0 0 0 1.8 0 0.2 0 0 0.2 0.2 7.6 0 0.2 0 1.0 1.2 1.2 17.7 0.4 0.2 0 2.5 2.3 1.8 23.6 0.5 0 0 3.9 14.1 2.0 18.8 3.5 0.4 0 17.3 0 0 0 0 0 0 0 0 0 0 0 1.3 Congenital Malformations of the Circulatory System 5.7 0.7 0.4 0.4 0.4 0 0.2 0.8 0.8 0.4 1.3 3.4 0.9 Chromosomal Abnormalities 5.0 0 0.4 0 0 0.2 0 0.4 0.3 0.4 0 0 0.6 Falls Unintentional Drowning Unintentional Poisoning Exposure to Excessive Natural Heat Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Intent Complications of Medical and Surgical Care 0 0.4 0 0.4 0.4 0 0 0 0 0 1.4 6.9 0 1.5 14.6 0.7 0.9 16.4 0.4 0.8 18.3 4.0 1.0 27.2 4.5 1.0 16.6 20.4 1.6 3.9 87.7 452.1 1.3 5.1 2.0 5.1 12.9 1.4 12.1 0 0 0 0 0.7 0 0.6 1.8 0.8 1.2 2.0 5.1 0.7 0 0 0 0 0 0 0.6 0.6 0.3 0 0 0 0.2 0 0 0 0.4 0.4 0.2 0 0.4 0.3 0.8 0 0 0.2 0 0 0 0.4 0 0.7 0.4 0 0 0 0.7 0 0.2 0.4 0 0 0 0 0.2 1.0 0.2 0.8 3.9 3.4 6.8 0.8 Ovarian cancer rates are per 100,000 females; prostate cancer rates are per 100,000 males. Maricopa County Health Status Report 2010 Page 20 26.3 111.8 26.3 49.1 2.7 10.2 7.4 11.9 6.1 15.2 2.7 1.7 0.7 8.5 3.4 3.1 0.8 7.8 0.8 0.3 0.2 Maricopa County 2010 Mortality (Death) Statistics Table 2.08a Other Selected Underlying Causes of Death by Sex Number of Cases Sex Cause Infectious Diseases Male Female Total 44 11 98 76 18 7 83 50 70 0 5 8 7 53 59 12 101 36 4 5 66 13 33 156 0 19 15 37 103 23 199 112 22 12 149 63 103 156 5 27 22 90 82 26 108 159 16 9 111 31 10 270 47 19 405 364 769 Congestive Heart Failure Emphysema Asthma Liver Disease Alcoholic Liver Disease Musculoskeletal Rheumatoid Arthritis Lupus Osteoporosis Perinatal Conditions & Disorders Related to Short Gestation & Low Congenital Malformations Birth Weight Congenital Malformations of the Circulatory System 62 67 13 207 7 2 0 68 53 19 92 24 10 6 130 120 32 299 31 12 6 28 21 49 23 13 36 Chromosomal Abnormalities Falls Unintentional Drowning Unintentional Poisoning Exposure to Excessive Natural Heat Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Intent Complications of Medical and Surgical Care 11 219 37 284 21 7 7 6 16 10 275 15 178 7 0 2 2 14 21 494 52 462 28 7 9 8 30 Cancer Other Diseases Cardiovascular Clostridium Difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip & Oral Skin Ovarian Testicular Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson's Disease Multiple Sclerosis Epilepsy Acute Myocardial Infarction (Heart Attack) Chronic Lower Respiratory External Causes Maricopa County Health Status Report 2010 Page 21 Maricopa County 2010 Mortality (Death) Statistics Table 2.08b Other Selected Underlying Causes of Death by Sex Crude Death Rate per 100,000 Residents Sex Cause Infectious Diseases Male Female Total 2.3 0.6 5.2 4.0 1.0 0.4 4.4 2.6 3.7 0 0.3 0.4 0.4 2.8 3.1 0.6 5.2 1.9 0.2 0.3 3.4 0.7 1.7 8.1 0 1.0 0.8 1.9 2.7 0.6 5.2 2.9 0.6 0.3 3.9 1.7 2.7 8.1 0.3 0.7 0.6 2.4 4.3 1.3 2.8 8.4 0.8 0.5 5.8 1.6 0.5 7.1 1.2 0.5 (Heart Attack) 21.4 18.9 20.1 Congestive Heart Failure Emphysema Asthma Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Disorders Related to Short Gestation & Low Birth Weight Congenital Malformations of the Circulatory System 3.3 3.5 0.7 11.0 0.4 0.1 0 3.5 2.7 1.0 4.8 1.2 0.5 0.3 3.4 3.1 0.8 7.8 0.8 0.3 0.2 1.5 1.1 1.3 1.2 0.7 0.9 Chromosomal Abnormalities 0.6 0.5 Falls 11.6 14.3 Unintentional Drowning 2.0 0.8 Unintentional Poisoning 15.0 9.2 Exposure to Excessive Natural Heat 1.1 0.4 Legal Intervention 0.4 0 Accidental Discharge of Firearms 0.4 0.1 Discharge of Firearms, Undetermined 0.3 0.1 Intent Complications of Medical and Surgical 0.8 0.7 Care Ovarian cancer rates are per 100,000 females; prostate cancer rates are per 100,000 males. 0.6 12.9 1.4 12.1 0.7 0.2 0.2 Cancer Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations Clostridium Difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip & Oral Skin Ovarian1 Testicular1 Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson's Disease Multiple Sclerosis Epilepsy Acute Myocardial Infarction External Causes 1. Maricopa County Health Status Report 2010 Page 22 0.2 0.8 Maricopa County 2010 Mortality (Death) Statistics Table 2.09a Firearm, Drug, and Alcohol Induced and Related Deaths by Age Group Number of Cases Age Group 1. Firearm Related Drug Induced Drug Related, Exc. Tobacco Drug Related, Inc. 1 Tobacco Alcohol Induced Alcohol Related 0-9 4 1 1 2 0 0 10-14 6 0 0 0 0 0 15-19 28 20 23 24 1 3 20-24 61 48 52 54 0 7 25-34 100 107 117 120 20 37 35-44 81 127 148 167 63 88 45-54 80 175 215 402 138 209 55-64 58 93 122 652 134 198 65-74 21 15 18 841 69 96 75-84 34 12 13 1,020 12 28 85+ 13 6 6 621 10 14 Total 486 604 715 3,903 447 680 See Technical Notes for explanation for the large difference between Drug Related deaths including and excluding tobacco. Table 2.09b Firearm, Drug, and Alcohol Induced and Related Deaths by Age Group Crude Death Rate per 100,000 Residents Age Group 1. Firearm Related Drug Induced Drug Related, Exc. Tobacco Drug Related, Inc. 1 Tobacco Alcohol Induced Alcohol Related 0-9 0.7 0.2 0.2 0.4 0 0 10-14 2.2 0 0 0 0 0 15-19 10.1 7.2 8.3 8.7 0 1.1 20-24 22.9 18.0 19.5 20.2 0 2.6 25-34 18.5 19.8 21.6 22.2 3.7 6.8 35-44 15.4 24.2 28.2 31.8 12.0 16.8 45-54 15.9 34.7 42.7 79.8 27.4 41.5 55-64 14.6 23.3 30.6 163.7 33.6 49.7 65-74 8.2 5.9 7.0 329.3 27.0 37.6 75-84 22.9 8.1 8.8 688.3 8.1 18.9 85+ 22.0 10.2 10.2 1051.6 16.9 23.7 Total 12.7 15.8 18.7 102.2 11.7 17.8 See Technical Notes for explanation for the large difference between Drug Related deaths including and excluding tobacco. Note: Firearm, drug, and alcohol induced and related deaths are also included in other categories, e.g., suicide, homicide or unintentional injuries. Refer to the Technical Notes for a complete explanation of induced versus related deaths involving firearms, drugs, or alcohol. Maricopa County Health Status Report 2010 Page 23 Maricopa County 2010 Mortality (Death) Statistics Table 2.10a Firearm, Drug, and Alcohol Induced and Related Deaths by Race/Ethnicity Number of Cases Firearm Related 333 107 25 8 11 2 0 486 Race/Ethnicity White Hispanic African American American Indian Asian Multiple Other/ Unknown Total 1. Drug Induced 461 87 27 13 3 6 7 604 Drug Related, Exc. Tobacco 543 105 37 16 5 6 3 715 Drug Related, Inc. 1 Tobacco 3,368 292 135 35 30 26 17 3,903 Alcohol Induced 305 75 11 49 1 4 2 447 Alcohol Related 469 120 16 67 1 4 3 680 See Technical Notes for explanation for the large difference between Drug Related deaths including and excluding tobacco. Table 2.10b Firearm, Drug, and Alcohol Induced and Related Deaths by Race/Ethnicity Crude Death Rate per 100,000 Residents Firearm Related 14.9 9.5 14.1 13.5 8.1 2.8 12.7 Race/Ethnicity White Hispanic African American American Indian Asian Multiple Other/ Unknown Total 1. Drug Induced 20.6 7.7 15.2 21.9 2.2 8.4 15.8 Drug Related, Exc. Tobacco 24.2 9.3 20.8 27.0 3.7 8.4 18.7 Drug Related, Inc. 1 Tobacco 150.4 25.9 76.1 59.1 22.2 36.6 102.2 Alcohol Induced 13.6 6.6 6.2 82.7 0.7 5.6 11.7 Alcohol Related 20.9 10.6 9.0 113.1 0.7 5.6 17.8 See Technical Notes for explanation for the large difference between Drug Related deaths including and excluding tobacco. Table 2.11a Firearm, Drug, and Alcohol Induced and Related Deaths by Sex Number of Cases Gender Male Female Total 1. Firearm Related 427 59 486 Drug Induced 346 258 604 Drug Related, Exc. Tobacco 424 291 715 Drug Related, Inc. 1 Tobacco 2,289 1,614 3,903 Alcohol Induced 321 126 447 Alcohol Related 495 185 680 See Technical Notes for explanation for the large difference between Drug Related deaths including and excluding tobacco. Table 2.11b Firearm, Drug, and Alcohol Induced and Related Deaths by Sex Crude Death Rate per 100,000 Residents Gender Male Female Total 1. Firearm Related 22.6 3.1 12.7 Drug Induced 18.3 13.4 15.8 Drug Related, Exc. Tobacco 22.5 15.1 18.7 Drug Related, Inc. 1 Tobacco 121.2 83.7 102.2 Alcohol Induced 17.0 6.5 11.7 Alcohol Related 26.2 9.6 17.8 See Technical Notes for explanation for the large difference between Drug Related deaths including and excluding tobacco. Note: Firearm, drug, and alcohol induced and related deaths are also included in other categories, e.g., suicide, homicide or unintentional injuries. Refer to the Technical Notes for a complete explanation of induced versus related deaths involving firearms, drugs, or alcohol. Maricopa County Health Status Report 2010 Page 24 Maricopa County 2010 Mortality (Death) Statistics Table 2.12 Number and Percent of Deaths by Race/Ethnicity and Sex Race/Ethnicity White Gender No. Hispanic % 0 Unknown No. 0 % 0 American Indian Black No. 0 % No. 0 0 0 % Asian No. 0 Other/ Unknown Multiple % No. % No. 0 0 0 0 2 % Total No. 0.9 % 2 0.0 Male 9,977 50.2 1,503 56.7 494 52.9 142 50.2 186 53.0 77 55.8 128 60.4 12,507 51.2 Female 9,890 49.8 1,150 43.3 440 47.1 141 49.8 165 47.0 61 44.2 82 38.7 11,929 48.8 19,867 2,653 934 283 351 212 24,438 Total 138 Table 2.13 Number and Percent of Deaths by Race/Ethnicity and Marital Status Race/Ethnicity American Black Asian Indian No. % No. % No. % Marital Status at Death No. Single 1,565 7.9 648 24.4 203 21.7 112 Married 7,849 39.5 999 37.7 285 30.5 Widowed 7,085 35.7 603 22.7 236 Divorced 3,197 16.1 387 14.6 201 Unknown 171 0.9 16 Total White 19,867 Hispanic % No. 2,653 % 0.6 9 934 Multiple No. % 17.7 38 27.5 21 9.9 2,649 10.8 62 21.9 170 48.4 40 29.0 67 31.6 9,472 38.8 25.3 45 15.9 86 24.5 33 23.9 48 22.6 8,136 33.3 21.5 63 22.3 32 9.1 26 18.8 26 12.3 3,932 16.1 1.0 1 0.4 1 0.3 1 0.7 50 23.6 249 1.0 283 351 Maricopa County Health Status Report 2010 % Total 62 39.6 No. Other/ Unknown No. % 138 Page 25 212 24,438 Maricopa County 2010 Mortality (Death) Statistics Table 2.14 Number and Percent of Deaths by Race/Ethnicity and Education Level Race/Ethnicity White Educational Level th No. 8 Grade or Less 1,125 Some High School Hispanic % No. % Black No. % American Indian No. % Asian No. 5.7 935 35.2 102 10.9 38 13.4 45 1,483 7.5 340 12.8 125 13.4 64 22.6 High School Graduate or GED 7,840 39.5 662 25.0 280 30.0 88 Some College 3,399 17.1 208 7.8 151 16.2 51 18.0 College Graduate 4,088 20.6 198 7.5 166 17.8 24 Graduate School 1,463 7.4 45 1.7 47 5.0 469 2.4 265 10.0 63 6.7 Unknown Total 19,867 2,653 934 % Multiple No. % 12.8 10 7.2 23 6.6 18 13.0 31.1 120 34.2 39 28.3 37 10.5 18 13.0 8.5 75 21.4 27 5 1.8 31 8.8 13 4.6 20 5.7 283 Maricopa County Health Status Report 2010 351 Page 26 Other/ Unknown No. No. % 6.6 2,269 7 3.3 2,060 8.4 63 29.7 9,092 37.2 21 9.9 3,885 15.9 19.6 52 24.5 4,630 18.9 8 5.8 13 6.1 1,612 6.6 18 13.0 42 19.8 890 3.6 138 14 % Total 212 24,438 9.3 Maricopa County 2010 Mortality (Death) Statistics Table 2.15 Crude and Age Adjusted Rates for Selected Underlying Causes of Death by Race/Ethnicity Note: The methods used for age adjusting may be found in the Technical Notes. Crude Death Rates All Causes - Total White 886.9 Hispanic 235.6 African American 526.2 American Indian 477.6 Asian 260.0 Multiple 194.2 Total 640.2 195.7 206.1 40.0 52.0 10.8 20.0 20.2 3.2 1.5 1.0 37.1 47.9 9.8 21.3 2.7 12.3 5.1 8.6 1.5 0.5 104.2 107.6 28.7 32.7 5.1 36.6 6.2 15.2 6.2 1.7 59.1 40.5 6.8 62.4 13.5 59.1 5.1 23.6 5.1 1.7 47.4 68.1 14.1 22.2 3.7 7.4 8.1 5.2 0 0 47.9 40.8 4.2 15.5 2.8 4.2 4.2 2.8 0 0 134.7 144.3 28.4 40.6 7.8 18.4 14.4 5.7 1.8 0.8 20.6 14.8 13.6 7.7 9.4 6.6 15.2 14.1 6.2 21.9 13.5 82.7 2.2 8.1 0.7 8.4 2.8 5.6 15.8 12.7 11.7 White 652.9 Hispanic 597.3 African American 841.2 American Indian 878.2 Asian 450.3 Multiple 552.8 Total 654.7 138.6 150.5 28.3 44.0 7.7 14.6 18.9 3.3 1.4 0.7 111.5 123.7 30.4 33.2 7.7 36.1 5.2 8.2 2.0 0.6 170.9 170.6 57.7 38.9 8.2 62.4 5.6 14.5 6.4 1.8 139.1 76.3 18.8 68.5 28.6 123.1 4.2 21.5 4.4 8.3 92.3 103.2 23.9 31.4 8.7 12.0 7.1 4.9 0 0 166.0 133.0 13.7 30.2 9.6 8.0 8.8 1.8 0 0 138.0 146.8 29.4 41.2 8.0 18.7 14.5 5.8 1.8 0.8 19.9 13.9 11.1 9.6 8.4 11.2 15.2 13.4 6.6 20.2 11.2 105.8 1.8 7.1 1.0 11.0 7.2 12.1 16.0 12.8 11.5 Heart Disease All Cancer Cerebrovascular 1 Unintentional Injuries Pneumonia & Influenza Diabetes (single cause) Suicide Homicide AIDS and HIV Asthma Drug Induced Firearm Related Alcohol Induced Age Adjusted Death Rates All Causes Heart Disease All Cancer Cerebrovascular 1 Unintentional Injuries Pneumonia & Influenza Diabetes (single cause) Suicide Homicide AIDS and HIV Asthma Drug Induced Firearm Related Alcohol Induced 1 Unintentional injuries listed in this table include 1,549 deaths from unintentional injuries, but do not include the 30 deaths from complications of medical or surgical care. The figure in this table is comparable to the HP 2010 goal for deaths due to unintentional injury. See Technical Notes for details Maricopa County Health Status Report 2010 Page 27 Table 2.16 Death Rate Comparisons to Arizona, U.S. and Healthy People 2010 Goals for Selected Underlying Causes of Death Causes of Death All Causes Heart Disease Coronary Heart Disease All Other Heart Disease All Cancers Lung, Trachea, Bronchus Cancer 1 Female Breast Cancer 1 Prostate Cancer All Other Cancers Cerebrovascular Disease (Stroke) Unintentional Injuries 2 (Accidents) Motor Vehicle Falls Accidental Poisoning Drowning All Other Unintentional Injuries Pneumonia & Influenza 5 Diabetes Suicide Homicide AIDS & HIV Asthma Drug Induced Firearm Related Alcohol Induced 2010 Maricopa County Crude Rate (Deaths No. of per Indivi100,000 duals Residents) 24,438 640.2 5,143 134.7 4,308 112.9 835 21.8 5,508 144.3 Age Adjusted Rate (Deaths per 100,000 Residents) Maricopa County 2010 654.7 138.0 115.5 22.5 146.8 Arizona 2010 679.9 143.3 112.9 150.5 U.S. 2010/2008 746.2 178.5 172.5 Healthy People 2010 Goal 166.0 159.9 1,445 404 273 3,386 37.9 20.9 14.5 71.0 38.7 19.3 17.9 - 38.1 19.2 19.1 - 47.6 4 22.5 4 22.3 - 44.9 22.3 28.8 - 1,084 28.4 29.4 30.7 39.0 48.0 1,549 336 494 462 52 205 296 702 548 219 67 32 40.6 8.8 12.9 12.1 1.4 5.4 7.8 18.4 14.4 5.7 1.8 0.8 41.2 8.9 13.4 12.2 1.3 8.0 18.7 14.5 5.8 1.8 0.8 43.8 11.1 11.5 14.0 1.3 10.9 20.1 16.7 6.5 1.6 - 37.1 11.2 7.9 9.9 1.2 15.1 20.8 11.9 5.3 2.6 1.0 17.5 5.0 3.0 3 0.7 - 604 484 447 15.8 12.7 11.7 16.0 12.8 11.5 17.6 14.2 14.1 12.1 10.0 7.5 1.0 4.1 - 1. The Maricopa County, Arizona, United States and HP 2010 Goal rates for female breast cancer are calculated as a rate per 100,000 women. The rates for prostate cancer are calculated as rates per 100,000 men. 2. Unintentional injuries listed in this table include 1,549 deaths from unintentional injuries, but do not include the 30 deaths from complications of medical or surgical care. The figure in this table is comparable to the HP 2010 goal. See Technical Notes for details. 3. When compared directly to the Healthy People 2010 Goals, Maricopa County data for HIV/AIDS and drug induced deaths are inflated by approximately 15-20% because a different method of classifying deaths was used to determine the Healthy People Goals. 4. All Figures are from Preliminary 2010 U.S. data except for Breast cancer and Prostate cancer which are Final 2008 U.S. data. 5. Healthy People 2010 Goal for diabetes includes deaths where diabetes is listed as a multiple cause of death. Maricopa County had a death rate of 30.9 deaths per 100,000 residents. The Healthy People 2010 Goal is 45.0 deaths per 100,000 residents. Maricopa County Health Status Report 2010 Page 28 III. Maricopa County 2010 Communicable Disease Statistics Maricopa County Health Status Report 2010 Page 29 Maricopa County 2010 Communicable Disease Statistics Table 3.01a Number of Cases of Selected Reportable Diseases by Race/Ethnicity Disease Vaccine Preventable H. influenzae Enterics Hispanic Asian Unknown Total 41 5 4 2 1 9 62 Measles 0 0 0 0 0 0 0 Mumps 2 0 1 0 1 0 4 32 21 0 6 0 4 63 Pertussis Central Nervous System White Race/Ethnicity African American American Indian Encephalitis Viral Other 2 0 0 0 0 0 2 Meningitis Viral/Aseptic 405 157 38 4 7 31 642 Meningococcal Meningitis 4 2 0 0 0 0 6 Amebiasis 0 0 0 0 0 1 1 Botulism 0 0 0 0 0 0 0 138 99 6 15 1 287 546 Campylobacteriosis Cholera 0 0 0 0 0 0 0 Cryptosporidiosis 17 1 0 2 0 1 21 E. Coli O157.H7 34 2 1 0 0 13 50 Giardiasis 37 7 7 1 2 49 103 Listeriosis 3 1 0 0 0 2 6 Norovirus 0 1 0 0 0 70 71 Salmonella Paratyphi 0 2 1 0 0 0 3 205 77 19 24 9 171 505 52 114 10 9 0 59 244 1 0 0 0 1 4 6 1,470 278 145 33 60 7,470 9,456 Salmonellosis Shigellosis Typhoid Fever Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis 1 5 0 0 0 0 6 Dengue 2 1 0 0 1 3 7 Hantavirus Pulmonary Syndrome 0 0 0 0 0 0 0 Lyme Disease 0 0 0 0 0 0 0 Malaria 3 0 9 0 2 6 20 West Nile Virus1 85 11 1 2 1 15 115 Hepatitis A 14 6 2 0 1 10 33 Hepatitis B (Acute)1 12 2 4 2 0 74 94 0 0 0 0 0 0 0 28 8 3 0 0 5 44 Hepatitides Hepatitis D Other Legionellosis MRSA 54 20 9 7 2 706 798 193 185 25 70 6 1,239 1,718 36 17 3 9 2 34 101 7 10 2 1 0 10 30 Strep Pneumo Invasive 200 59 22 13 4 125 423 Toxic Shock Syndrome 1 1 0 0 0 0 2 Vibrio Infection 7 1 1 0 0 4 13 Yersiniosis 1 0 0 0 0 0 1 RSV Strep Group A Strep Group B2 Invasive Hansen's Disease Tuberculosis Sexually Transmitted Disease Total 0 0 0 0 0 0 61 17 2 49 0 153 47 35 43 21 0 982 1,128 173 95 127 26 3 1,866 2,290 Syphilis-Primary and Secondary 16 7 6 0 0 130 159 Syphilis-All Others 34 27 16 11 0 387 475 Chlamydia 544 710 420 179 11 13,752 15,616 HIV 150 87 33 11 4 5 290 AIDS 150 95 45 19 7 4 320 98 35 4 0 4 53 194 4,323 2,245 1,024 469 1 Figures for West Nile virus and Hepatitis B (Acute) include confirmed and probable cases. 2 Streptococcal Group B Invasive disease is only reportable for cases in infants under 90 days. 179 27,581 35,821 All Others Genital Herpes 0 24 Gonorrhea Maricopa County Health Status Report 2010 Page 30 Maricopa County 2010 Communicable Disease Statistics Table 3.01b Case Rates per 100,000 Residents for Selected Reportable Diseases by Race/Ethnicity Disease Vaccine Preventable Central Nervous System White Hispanic 1.8 0.4 2.3 0 0 0 Mumps 0.1 0.0 Pertussis 1.4 Encephalitis Viral Other 0.1 Meningitis Viral/Aseptic Total Asian Unknown 3.4 1 - 0 0 - 0 0.6 0.0 0.7 - 0.1 1.9 0 10.1 0 - 1.7 0 0 0 0 - 0.1 18.1 13.9 21.4 6.8 5.2 - 16.8 0.2 0.2 0 0 0 - 0.2 Amebiasis 0 0 0 0 0 - 0.0 Botulism 0 0 0 0 0 - 0 6.2 8.8 3.4 25.3 0.7 - 14.3 H. influenzae Measles Meningococcal Meningitis Enterics Race/Ethnicity African American American Indian Campylobacteriosis Cholera 1.6 0 0 0 0 0 - 0 Cryptosporidiosis 0.8 0.1 0.0 3.4 0 - 0.6 E. Coli O157.H7 1.5 0.2 0.6 0 0 - 1.3 Giardiasis 1.7 0.6 3.9 1.7 1.5 - 2.7 Listeriosis 0.1 0.1 0 0 0 - 0.2 Norovirus 0 0.1 0 0 0 - 1.9 Salmonella Paratyphi 0 0.2 0.6 0 0 - 0.1 Salmonellosis 9.2 6.8 10.7 40.5 6.7 - 13.2 Shigellosis 2.3 10.1 5.6 15.2 0 - 6.4 Typhoid Fever 0.0 0 0 0 0.7 - 0.2 65.6 24.6 81.7 55.7 44.4 - 247.7 Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis 0.0 0.4 0 0 0 - 0.2 Dengue 0.1 0.1 0 0 0.7 - 0.2 Hantavirus Pulmonary Syndrome 0 0 0 0 0 - 0 Lyme Disease 0 0 0 0 0 - 0 Malaria 0.1 0 5.1 0 1.5 - 0.5 West Nile Virus 3.8 1.0 0.6 3.4 0.7 - 3.0 Hepatitis A 0.6 0.5 1.1 0 0.7 - 0.9 Hepatitis B (Acute) 0.5 0.2 2.3 3.4 0 - 2.5 0 0 0 0 0 - 0 Legionellosis 1.2 0.7 1.7 0 0 - 1.2 MRSA 2.4 1.8 5.1 11.8 1.5 - 20.9 RSV 8.6 16.4 14.1 118.1 4.4 - 45.0 Strep Group A 1.6 1.5 1.7 15.2 1.5 - 2.6 Strep Group B1 Invasive 0.3 0.4 0.6 0.6 0 - 0.6 Strep Pneumo Invasive 8.9 5.2 12.4 21.9 3.0 - 11.1 Toxic Shock Syndrome 0.0 0.1 0 0 0 - 0.1 Vibrio Infection 0.3 0.1 0.6 0 0 - 0.3 Yersiniosis 0.0 0 0 0 0 - 0.0 Hepatitides Hepatitis D Other Hansen's Disease 0 0 0 0 0 - 0 1.1 5.4 9.6 3.4 36.3 - 4.0 Genital Herpes 2.1 3.1 24.2 35.4 0.0 - 29.6 Gonorrhea 7.7 8.4 71.6 43.9 2.2 - 60.0 Syphilis-Primary and Secondary 0.7 0.6 3.4 0 0 - 4.2 Syphilis-All Others 1.5 2.4 9.0 18.6 0 - 12.4 Tuberculosis Sexually Transmitted Disease Chlamydia All Others Total 24.3 62.9 236.6 302.1 8.1 - 409.1 HIV 6.7 7.7 18.6 18.6 3.0 - 7.6 AIDS 6.7 8.4 25.4 32.1 5.2 - 8.4 4.4 3.1 2.3 0 3.0 - 5.1 - 938.4 193.0 198.9 576.9 791.5 132.6 1 Rates for Streptococcal Group B Invasive in infants <90 days are per 1,000 live births by race of the mother. Maricopa County Health Status Report 2010 Page 31 Maricopa County 2010 Communicable Disease Statistics Table 3.02a Number of Cases of Selected Reportable Diseases by Age Group Age Group Disease Vaccine Preventable Central Nervous System H. influenzae Measles Mumps Pertussis Enceph Viral Other Meningitis Viral/Aseptic Meningococcal Meningitis Enterics Amebiasis Botulism Campylobacteriosis Cholera Cryptosporidiosis E. Coli O157.H7 Giardiasis Listeriosis Norovirus Salmonella Paratyphi Salmonellosis Shigellosis <1 1-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-84 3 0 3 0 2 0 0 0 0 0 0 0 3 0 4 0 5 0 12 0 0 21 0 15 1 4 1 10 0 1 0 3 1 5 0 2 0 1 0 1 Total 85+ Unk. 21 0 9 0 0 0 62 0 1 0 0 0 0 0 4 63 0 0 0 0 1 0 0 0 0 0 1 0 0 2 51 24 55 50 54 68 103 83 60 38 44 10 2 642 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 6 1 0 14 0 86 0 49 0 28 0 19 0 32 0 60 0 60 0 74 0 52 0 54 0 5 0 13 0 546 0 1 1 1 0 0 12 18 0 3 8 11 0 2 5 9 0 0 2 3 0 3 1 7 0 2 3 10 0 2 2 17 0 5 4 13 1 2 6 8 0 1 5 4 4 0 1 1 1 0 0 1 0 21 50 103 6 1 5 4 2 1 2 8 5 2 8 25 8 0 71 0 55 1 81 0 39 0 32 0 33 1 28 0 53 0 34 0 66 1 30 0 46 0 8 0 0 3 505 244 6 73 56 26 9 9 24 13 15 5 6 0 2 Typhoid 0 0 1 1 1 0 0 1 0 0 2 0 0 6 Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue 6 0 39 1 106 1 209 0 512 0 449 1,295 1,672 1,654 1,466 1,808 0 3 1 0 0 0 201 0 39 0 9,456 6 Hepatitides Other 0 0 1 0 0 0 2 0 2 2 0 0 0 7 Hantavirus Pulm. Syn. 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Lyme Disease 0 0 0 0 1 0 0 1 0 0 0 2 0 0 2 0 3 1 0 8 10 0 5 21 0 1 31 0 1 19 0 0 27 0 0 2 0 0 0 0 20 115 Malaria West Nile Virus1 Hepatitis A 0 0 2 0 2 10 6 3 3 4 2 1 0 33 Hepatitis B1 (Acute) 0 0 0 0 2 4 28 22 18 13 6 1 0 94 Hepatitis D 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Legionellosis 1 1 0 0 0 0 1 2 5 10 23 1 0 44 MRSA 4 4 3 3 4 10 46 76 131 149 295 66 7 798 902 492 39 5 3 1 5 8 7 9 19 3 225 1,718 1 7 7 2 2 2 9 8 12 16 27 8 0 101 RSV Strep Group A 2 Tuberculosis Sexually Transmitted Diseases Strep Group B Invasive 30 0 0 0 0 0 0 0 0 0 0 0 0 30 Strep Pneumo Invasive 22 40 10 2 2 5 24 36 58 81 110 28 5 423 Toxic Shock Syndrome 0 0 0 1 0 0 1 0 0 0 0 0 0 2 Vibrio spp. 0 1 0 1 0 1 2 2 3 1 1 1 0 13 Yersiniosis Hansen’s Disease 0 0 0 0 0 7 0 0 6 0 0 2 0 0 4 0 0 6 0 0 29 0 0 26 0 0 26 0 0 25 1 0 20 0 0 2 0 0 0 1 0 153 Genital Herpes 0 0 1 2 0 0 3 19 100 513 244 730 341 682 209 228 142 98 65 14 23 4 0 0 0 0 1,128 2,290 159 Gonorrhea Syphilis-Primary and Secondary 0 0 0 0 8 24 53 33 29 10 2 0 0 Syphilis – All Others 13 0 0 0 20 60 121 126 90 35 10 0 0 475 Chlamydia 0 0 0 17 9 0 0 40 2 1 0 81 140 4,718 5,744 3,850 0 1 57 107 0 2 13 78 63 16 2 9 883 71 110 4 209 39 75 13 48 11 34 10 13 3 8 46 0 0 0 13 0 0 0 2 15,616 290 320 316 359 298 35,821 HIV AIDS All Others Total 1,147 952 457 584 6,026 7,524 6,984 3,768 2,889 2,196 2,637 Total 1 Figures for West Nile Virus and Hepatitis B (Acute) include confirmed and probable cases. 2 Streptococcal Group B Invasive disease is only reportable for cases in infants under 90 days. Maricopa County Health Status Report 2010 Page 32 Maricopa County 2010 Communicable Disease Statistics Table 3.02b Case Rates per 100,000 Residents for Selected Reportable Diseases by Age Group Age Group Disease Vaccine Preventable Central Nervous System 0-4 H. influenzae Measles Mumps Pertussis Enceph Viral Other Meningitis Viral/Aseptic Meningococcal Meningitis Enterics Amebiasis Botulism Campylobacteriosis Cholera Cryptosporidiosis E. Coli O157.H7 Giardiasis Listeriosis Norovirus Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hantavirus Pulm. Syn. Lyme Disease Hepatitides Other Malaria West Nile Virus Hepatitis A 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-84 85+ Unk. Total 2.1 0 0.7 0 0 0 0 0 0 0 0.6 0 0.8 0 1.0 0 3.0 0 5.2 0 15.2 0 - 1.6 0 0 12.7 0.4 1.4 0.4 3.6 0 0.4 0 1.1 0.2 0.9 0 0.4 0 0.2 0 0.3 0.2 0 0 0 - 0.1 1.7 0 0 0 0.4 0 0 0 0 0 0.2 0 - 0.1 26.5 19.5 18.0 19.5 25.5 19.0 15.8 11.9 9.5 10.9 16.9 - 16.8 1.1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.2 0 0 0 0 0 0.3 0 0 0.2 0.2 0 0 0 0 - 0.2 0.0 0 35.4 0 17.3 0 10.1 0 6.9 0 12.0 0 11.1 0 11.4 0 14.7 0 13.1 0 13.4 0 8.5 0 - 14.3 0 0.4 4.6 6.7 0 1.1 2.8 3.9 0 0.7 1.8 3.2 0 0 0.7 1.1 0 1.1 0.4 2.6 0 0.4 0.6 1.8 0 0.4 0.4 3.2 0 1.0 0.8 2.6 0.2 0.5 1.5 2.0 0 0.2 1.2 1.0 1.0 0 1.7 1.7 1.7 - 0.6 1.3 2.7 0.2 2.1 1.4 0.7 0.4 0.7 1.5 1.0 0.4 2.0 6.2 13.5 - 1.9 0.4 48.1 0 13.8 0 11.5 0 11.9 0.4 10.5 0 9.8 0 6.5 0 13.1 0.3 7.5 0 11.4 0 13.5 - 0.1 13.2 27.9 19.8 9.4 3.3 3.4 4.4 2.5 3.0 1.3 1.5 0 - 6.4 0 0.4 0.4 0.4 0 0 0.2 0 0 0.5 0 - 0.2 15.9 0.4 37.5 0.4 75.4 0 184.9 0 168.2 0 239.3 318.7 328.2 368.1 448.0 340.4 0.6 0.2 0 0 0 0 - 247.7 0.2 0 0.4 0 0 0 0.4 0 0.4 0.5 0 0 - 0.2 0 0 0 0 0 0 0 0 0 0 0 - 0 0 0.4 0 0 0.4 0 0 0 0.7 0 0 0.7 0 1.1 0.4 0 1.5 1.8 0 1.0 4.0 0 0.2 6.2 0 0.3 4.8 0 0 6.7 0 0 3.4 - 0 0.5 3.0 0 0.7 0 0.7 3.7 1.1 0.6 0.6 1.0 0.5 1.7 - 0.9 Hepatitis B (Acute) 0 0 0 0.7 1.5 5.2 4.2 3.6 3.3 1.5 1.7 - 2.5 Hepatitis D 0 0 0 0 0 0 0 0 0 0 0 - 0 5.7 1.7 - 1.2 73.1 111.8 - 20.9 Legionellosis 0.7 0 0 0 0 0.2 0.4 1.0 2.5 MRSA 2.8 1.1 1.1 1.4 3.7 8.5 14.5 26.0 37.4 493.0 13.8 1.8 1.1 0.4 0.9 1.5 1.4 2.3 4.7 5.1 - 45.0 2.8 2.5 0.7 0.7 0.7 1.7 1.5 2.4 4.0 6.7 13.5 - 2.6 RSV Strep Group A 1 Strep Group B Invasive 0.5 0 0 0 0 0 0 0 0 0 0 - 0.6 Strep Pneumo Invasive 21.9 3.5 0.7 0.7 1.9 4.4 6.9 11.5 20.3 27.3 47.4 - 11.1 Toxic Shock Syndrome 0 0 0.4 0 0 0.2 0 0 0 0 0 - 0.1 0.4 0 0 2.5 0 0 0 2.1 0.4 0 0 0.7 0 0 0 1.4 0.4 0 0 2.2 0.4 0 0 5.4 0.4 0 0 5.0 0.6 0 0 5.2 0.3 0 0 6.3 0.2 0.2 0 5.0 1.7 0 0 3.4 - 0.3 0.0 0 4.0 0.4 0.7 0 0 1 6.9 36.1 185.3 91.4 273.5 63.0 126.0 39.8 43.5 28.2 19.4 16.3 3.5 5.7 1.0 0 0 - 29.6 60.0 0 0 0 2.9 9.0 9.8 6.3 5.8 2.5 0.5 0 - 4.2 4.6 0 0 7.2 22.5 22.4 24.0 17.9 8.8 2.5 0 - 12.4 3.2 0.7 50.5 1,703.9 2,152.3 711.5 168.3 41.5 12.1 3.2 0 0 0.4 0 0.4 21.4 19.8 13.5 7.7 2.8 0.7 0 0 0 0 0.7 4.9 14.4 21.0 14.9 8.5 2.0 0 6.4 15.9 10.5 2.5 2.2 2.0 0.4 2.0 4.8 4.7 3.4 All Others 742.3 161.7 210.7 2,176.2 2,819.3 1,290.6 718.3 573.3 551.3 653.4 607.9 Total 1 Rates for Streptococcal Group B Invasive in infants <90 days are per 1,000 live births. - 409.1 7.6 8.4 5.1 938.4 Vibrio spp. Yersiniosis Hansen’s Disease Tuberculosis Sexually Transmitted Diseases Genital Herpes Gonorrhea Syphilis – Primary and Secondary Syphilis – All Others Chlamydia HIV AIDS Maricopa County Health Status Report 2010 Page 33 Maricopa County 2010 Communicable Disease Statistics Table 3.03a Number of Cases of Selected Reportable Diseases by Sex Disease Vaccine Preventable Central Nervous System Enterics H. influenzae Measles Mumps Pertussis Enceph Viral Other Meningitis Viral/Aseptic Meningococcal Meningitis Amebiasis Botulism Campylobacteriosis Cholera Cryptosporidiosis E. Coli O157.H7 Giardiasis Listeriosis Norovirus Salmonella Paratyphi Salmonellosis Shigellosis Typhoid 62 0 0 30 0 0 4 63 0 2 0 2 327 312 3 642 3 1 0 3 0 0 0 0 0 6 1 0 298 0 247 0 1 0 546 0 12 29 69 2 28 9 21 34 4 43 0 0 0 0 0 21 50 103 6 71 0 237 3 267 0 1 3 505 127 117 0 244 3 1 6 114 0 9,456 6 3 4 0 7 0 0 0 0 0 13 67 0 7 48 0 0 0 0 20 115 18 15 0 33 60 34 0 94 0 0 0 0 30 14 0 44 MRSA 472 307 19 798 RSV Brucellosis Dengue Hantavirus Pulm. Syn. Lyme Disease Malaria West Nile Virus1 Hepatitis A 1 Hepatitis B (Acute) Hepatitis D Legionellosis 788 669 261 1,718 Strep Group A 53 47 1 101 Strep Group B Invasive 12 18 0 30 Strep Pneumo Invasive 212 198 13 423 Toxic Shock Syndrome 0 2 0 2 6 0 0 88 7 1 0 65 0 0 0 0 13 1 0 153 402 1,251 725 1,039 0 0 1,128 2,290 150 9 0 159 349 126 0 475 4,402 261 276 91 11,214 29 44 91 0 0 0 12 15,616 290 320 194 Vibrio spp. Yersiniosis Hansen’s Disease Genital Herpes Gonorrhea Syphilis – Primary and Secondary Syphilis – All Others Chlamydia HIV AIDS 1 1 0 5,464 4 Zoonoses/ Vectorborne Tuberculosis Sexually Transmitted Diseases 4 33 Total Unk. 2 Coccidioidomycosis Other Sex Female 38 0 3,878 2 Mycosis Hepatitides Male 23 0 All Others Total 14,079 21,314 427 35,821 Figures for West Nile Virus and Hepatitis B (Acute) include confirmed and probable cases. Maricopa County Health Status Report 2010 Page 34 Maricopa County 2010 Communicable Disease Statistics Table 3.03b Case Rates per 100,000 Residents for Selected Reportable Diseases by Sex Disease Vaccine Preventable Central Nervous System H. influenzae Measles Mumps Pertussis Enceph Viral Other Meningitis Viral/Aseptic Meningococcal Meningitis Enterics Amebiasis Botulism Campylobacteriosis Cholera Cryptosporidiosis E. Coli O157.H7 Giardiasis Listeriosis Norovirus Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hantavirus Pulm. Syn. Lyme Disease Hepatitides Malaria West Nile Virus Hepatitis A Hepatitis B (Acute) Hepatitis D Other Legionellosis Sex Female 2.0 0 0.2 1.7 Total Unk. - 1.6 0 0 1.6 - 0.1 1.7 0 0.1 - 0.1 17.3 16.2 - 16.8 0.2 0.1 0 0.2 0 0 - 0.2 0.0 0 15.8 0 12.8 0 - 14.3 0 0.6 1.5 3.7 0.1 0.5 1.1 1.8 0.2 - 0.6 1.3 2.7 0.2 1.5 2.2 - 1.9 0 12.5 0.2 13.8 - 0.1 13.2 6.7 6.1 - 6.4 0.1 0.2 - 0.2 205.4 0.1 283.3 0.2 - 247.7 0.2 0.2 0.2 - 0.2 0 0 - 0 0 0.7 3.5 0 0.4 2.5 - 0.0 0.5 3.0 1.0 0.8 - 0.9 3.2 1.8 - 2.5 0 0 - 0 1.6 0.7 - 1.2 MRSA 25.0 15.9 - 20.9 RSV 41.7 34.7 - 45.0 Strep Group A 2.8 2.4 - 2.6 Strep Group B1 Invasive 0.4 0.7 - 0.6 Strep Pneumo Invasive 11.2 10.3 - 11.1 Toxic Shock Syndrome 0 0.1 - 0.1 0.3 0 0 4.7 0.4 0.1 0 3.4 - 0.3 0.0 0 4.0 21.3 66.2 37.6 53.9 - 29.6 60.0 7.9 0.5 - 4.2 18.5 6.5 - 12.4 Vibrio spp. Yersiniosis Hansen’s Disease Tuberculosis Sexually Transmitted Diseases Male 1.2 0 Genital Herpes Gonorrhea Syphilis – Primary and Secondary Syphilis – All Others Chlamydia 233.1 581.4 409.1 13.8 1.5 7.6 HIV 14.6 2.3 8.4 AIDS 4.8 4.7 5.1 All Others 745.5 1105.1 938.4 Total 1 Rates for Streptococcal Group B Invasive in infants <90 days are per 1,000 live births. Maricopa County Health Status Report 2010 Page 35 Maricopa County 2010 Communicable Disease Statistics Table 3.04 Case Rate Comparisons to Arizona, U.S. and Healthy People 2010 Goals for Selected Diseases Disease Salmonellosis AIDS HIV Tuberculosis Hepatitis B (Acute Cases Only) Hepatitis A Syphilis (Primary and Secondary) Pertussis Rubella Mumps Measles 2010 Maricopa County Crude Case Rate Number (Cases per of cases 100,000 Residents) 505 13.2 320 8.4 290 7.6 153 4.0 94 2.5 33 0.9 159 4.2 63 1.7 0 0 4 0.1 0 0 Crude Case Rate (Cases per 100,000 Residents) Healthy People Arizona 2010 2010 U.S. 2009 Goal 14.3 6.1 3.6 2.3 1.1 3.6 1.2 0.0 0.1 0.0 1 16.2 3.8 1.1 0.7 4.6 5.5 0 0.7 0.02 6.8 1.0 1.0 4.5 0.2 0.7 0 0 0 The Healthy People 2010 goal for primary and secondary syphilis includes only transmission of syphilis that occurred in the United States. It is likely that Maricopa County includes some cases acquired outside of the country. Maricopa County Health Status Report 2010 Page 36 1 IV. Maricopa County 2010 Natality (Birth) Statistics Maricopa County Health Status Report 2010 Page 37 Maricopa County 2010 Natality (Birth) Statistics Table 4.01 Number and Percent of Births by Age & Race/Ethnicity of Mother Race/Ethnicity Age Group of Mother White No. % Hispanic African American American Indian No. No. No. % % Other/ Unknown Asian % No. % No. Total % No. % 8 0.0 49 0.2 8 0.2 3 0.2 1 0.0 0 0 69 0.1 15-19 1,262 5.2 3,338 14.9 395 12.3 212 13.4 61 2.6 5 2.5 5,273 9.7 20-24 4,791 19.6 6,378 28.5 990 30.8 556 35.1 269 11.5 38 18.8 13,022 24.0 25-29 7,707 31.5 5,777 25.8 893 27.8 397 25.0 650 27.8 41 20.3 15,465 28.5 30-34 6,741 27.5 4,275 19.1 569 17.7 268 16.9 843 36.1 46 22.8 12,742 23.5 35-39 3,216 13.1 2,137 9.5 296 9.2 122 7.7 417 17.9 42 20.8 6,230 11.5 40-44 679 2.8 442 2.0 58 1.8 27 1.7 92 3.9 19 9.4 1,317 2.4 81 0.3 17 0.1 6 0.2 0 0 2 0.1 11 5.4 117 0.2 <15 45+ Total 24,485 22,413 3,215 1,585 2,335 202 54,235 Table 4.02 Number and Percent of Births by Marital Status & Race/Ethnicity of Mother Race/Ethnicity Marital Status of Mother Married Hispanic African American American Indian % No. % No. No. 70.5 9,217 41.1 1,121 34.9 28.6 12,935 57.7 2,056 64.0 1,160 White No. 17,264 7,000 Single % % 388 Other/ Unknown Asian No. % No. Total % No. 24.5 1,965 84.2 154 76.2 30,109 % 55.5 73.2 360 15.4 46 22.8 23,557 43.4 0 392 0.7 Refused 141 0.6 184 0.8 32 1.0 29 1.8 6 0.3 0 Divorced 11 0.0 18 0.1 1 0.0 1 0.1 1 0.0 0 0 32 0.1 Unknown 69 0.3 59 0.3 5 0.2 7 0.4 3 0.1 2 1.0 145 0.3 Total 24,485 22,413 3,215 1,585 2,335 202 54,235 Table 4.03 Number and Percent of Births by Educational Level & Race/Ethnicity of Mother Race/Ethnicity Education Level of Mother White No. % Hispanic African American American Indian No. No. No. % % % Other/ Unknown Asian No. % No. % Total No. % 59 0.2 531 2.4 84 2.6 4 0.3 52 2.2 2 1.0 732 1.3 6-11th Grade 1,643 6.7 8,632 38.5 502 15.6 427 26.9 128 5.5 9 4.5 11,341 20.9 HS Diploma 5,897 24.1 7,516 33.5 1,153 35.9 559 35.3 386 16.5 32 15.8 15,543 28.7 16,773 68.5 5,658 25.2 1,454 45.2 590 37.2 1,758 75.3 47 23.3 26,280 48.5 113 0.5 76 0.7 5 0.5 112 < 6th Grade College+ Unknown Total 24,485 22,413 0.3 22 3,215 1,585 0.3 11 2,335 Maricopa County Health Status Report 2010 202 Page 38 55.4 339 54,235 0.6 Maricopa County 2010 Natality (Birth) Statistics Table 4.04 Number and Percent of Births by Method of Payment & Race/Ethnicity of Mother Race/Ethnicity White Method of Payment AHCCCS Hispanic African American American Indian No. No. No. No. % 8,060 32.9 16,803 % 75.0 2,183 % 67.9 1,060 Other/ Unknown Asian % No. % No. 66.9 672 28.8 128 8.8 1 0.0 0 22.5 1,592 68.2 57 Total % No. 63.4 28,906 18 0.1 20 0.1 4 0.1 139 15,537 63.5 4,906 21.9 960 29.9 356 Self 744 3.0 601 2.7 52 1.6 24 1.5 54 2.3 10 5.0 1,485 2.7 Unknown 126 0.5 83 0.4 16 0.5 6 0.4 16 0.7 7 3.5 254 0.5 Indian Health Service Private Insurance Total 24,485 22,413 3,215 1,585 2,335 0 % 53.3 182 0.3 28.2 23,408 43.2 202 54,235 Table 4.05 Trimester of First Prenatal Care & Race/Ethnicity of Mother Race/Ethnicity Trimester of First Prenatal Care First White No. 22,434 % Hispanic African American American Indian No. No. No. 91.6 18,013 % % % Other/ Unknown Asian No. % 80.4 2,678 83.3 1,195 75.4 2,110 No. % 90.4 141 Total No. % 69.8 46,571 85.9 12.4 5,638 10.4 1,578 6.4 3,224 14.4 383 11.9 274 17.3 154 6.6 25 Third 316 1.3 681 3.0 100 3.1 78 4.9 44 1.9 12 5.9 1,231 2.3 None 112 0.5 449 2.0 51 1.6 30 1.9 23 1.0 21 10.4 686 1.3 45 0.2 46 0.2 3 0.1 8 0.5 4 0.2 3 1.5 109 0.2 Second Unknown Total 24,485 22,413 3,215 1,585 2,335 202 54,235 Table 4.06 Number and Percent of Prenatal Care Visits & Race/Ethnicity of Mother Race/Ethnicity Number of Prenatal Care Visits White No. % Hispanic African American American Indian No. No. No. % % % Other/ Unknown Asian No. % No. % Total No. % None 113 0.5 449 2.0 51 1.6 30 1.9 23 1.0 21 10.4 687 1.3 1 to 4 301 1.2 773 3.4 130 4.0 117 7.4 34 1.5 14 6.9 1,369 2.5 5 to 8 1,840 7.5 3,720 16.6 485 15.1 339 21.4 212 9.1 29 14.4 6,625 12.2 51.0 10,794 48.2 1,517 47.2 794 50.1 1,235 52.9 103 51.0 26,926 49.6 13 to 16 7,850 32.1 5,802 25.9 806 25.1 245 15.5 672 28.8 25 12.4 15,400 28.4 17 or More 1,848 7.5 825 3.7 221 6.9 54 3.4 155 6.6 7 3.5 3,110 5.7 50 0.2 50 0.2 5 0.2 6 0.4 4 0.2 3 1.5 118 0.2 9 to 12 Unknown Total 12,483 24,485 22,413 3,215 1,585 2,335 Maricopa County Health Status Report 2010 202 Page 39 54,235 Maricopa County 2010 Natality (Birth) Statistics Table 4.07 Adequacy of Prenatal Care & Race /Ethnicity of Mother Singleton Births Only (Excludes Twins and Other Multiple Births) Race/Ethnicity White Adequacy of Prenatal Care No. % Hispanic African American American Indian No. % No. No. % % Other/ Unknown Asian No. % No. Total % No. % Inadequate 1,279 5.4 3,113 14.2 407 13.1 296 19.0 155 6.8 58 29.6 5,308 10.1 Intermediate 2,663 11.3 3,474 15.9 447 14.4 305 19.6 237 10.5 30 15.3 7,156 13.6 11,466 48.7 9,090 41.5 1,293 41.7 640 41.1 1,108 48.9 78 39.8 23,675 45.0 8,109 34.4 6,180 28.2 947 30.5 305 19.6 763 33.7 28 14.3 16,332 31.1 51 0.2 49 0.2 7 0.2 10 0.6 4 0.2 2 Adequate Adequate Plus Information Missing Total 23,568 21,906 3,101 1,556 2,267 1.0 196 123 0.2 52,594 Table 4.08 Birthweight of Infant & Race/Ethnicity of Mother Race/Ethnicity Birthweight of Infant <1500 Grams White No. % 220 1500-2499 Grams 1,404 2500-4249 Grams 22,058 >4249 Grams African American American Indian No. No. No. % 0.9 225 5.7 1,314 90.1 20,255 1.0 82 5.9 294 90.4 2,786 % 2.6 13 9.1 86 86.7 1,412 % Other/ Unknown Asian No. 0.8 33 5.4 158 89.1 2,092 % No. 1.4 % Total No. % 2 1.0 575 1.1 6.8 22 10.9 3,278 6.0 89.6 169 83.7 48,772 89.9 803 3.3 618 2.8 53 1.6 74 4.7 52 2.2 6 3.0 1,606 3.0 0 0 1 0.0 0 0 0 0 0 0 3 1.5 4 0.0 Unknown Total Hispanic 24,485 22,413 3,215 1,585 2,335 202 54,235 Table 4.09 Preterm Births (Less than 37 Weeks Gestation) & Race/ Ethnicity of Mother Race/Ethnicity White Gestational Estimate Less than 34 Weeks Late Preterm (34-36 Weeks) 37 Weeks or More Unknown Total No. % Hispanic African American American Indian No. No. No. % % % Other/ Unknown Asian No. % No. % Total No. % 530 2.2 556 2.5 123 3.8 39 2.5 69 3.0 4 2.0 1,321 2.4 1,743 7.1 1,682 7.5 291 9.1 126 7.9 181 7.8 21 10.4 4,044 7.5 89.6 2,085 89.3 176 87.1 48,869 90.1 0 1 22,212 0 24,485 90.7 20,175 0 0 22,413 90.0 2,801 0 0 3,215 87.1 1,420 0 0 1,585 Maricopa County Health Status Report 2010 0 0 2,335 Page 40 202 0.5 1 54,235 0.0 Maricopa County 2010 Natality (Birth) Statistics Table 4.10 Number and Percent of Births by Medical Risk Factor & Race/Ethnicity of Mother Race/Ethnicity Hispanic African American American Indian No. No. No. White Medical Risk Factor No. No Medical Risk Present 16,132 Medical Risk Present Total % 8,353 % % Other/ Unknown Asian % No. % No. % Total No. % 65.9 15,350 68.5 1,901 59.1 742 46.8 1,565 67.0 121 59.9 35,811 66.0 34.1 7,063 31.5 1,314 40.9 843 53.2 33.0 81 40.1 18,424 34.0 22,413 3,215 202 54,235 24,485 1,585 770 2,335 Table 4.11 Number and Percent of Births by Type of Delivery & Race/Ethnicity of Mother Race/Ethnicity White Type of Delivery No. % African American American Indian No. No. No. % % % Other/ Unknown Asian No. % No. % Total No. % 70.0 16,676 74.4 2,230 69.4 1,139 71.9 1,537 65.8 157 77.7 38,877 71.7 Primary C-Section 4,268 17.4 2,884 12.9 553 17.2 240 15.1 488 20.9 30 14.9 8,463 15.6 Repeat C-Section 3,079 12.6 2,853 12.7 432 13.4 206 13.0 310 13.3 15 7.4 6,895 12.7 Vaginal Total 17,138 Hispanic 24,485 22,413 3,215 1,585 2,335 202 54,235 Table 4.12 Number and Percent of Births by Birth Attendee & Race/ Ethnicity of Mother Race/Ethnicity White Birth Attendee Medical Doctor Doctor of Osteopathy No. % 20,387 Hispanic African American American Indian No. No. No. 83.3 19,793 % 88.3 2,746 % % Other/ Unknown Asian No. % % No. % 1,989 85.2 166 82.2 46,158 85.1 6.8 290 12.4 26 12.9 5,827 10.7 395 24.9 48 2.1 6 3.0 1,738 3.2 85.4 1,077 67.9 3,184 13.0 1,856 8.3 364 11.3 Certified Nurse Midwife 521 2.1 676 3.0 92 2.9 Midwife 324 1.3 42 0.2 7 0.2 5 0.3 5 0.2 1 0.5 384 0.7 Other 69 0.3 46 0.2 6 0.2 1 0.1 3 0.1 3 1.5 128 0.2 Total 24,485 22,413 3,215 107 No. Total 1,585 Maricopa County Health Status Report 2010 2,335 Page 41 202 54,235 Maricopa County 2010 Natality (Birth) Statistics Table 4.13 Number and Percent of Births by Marital Status & Age Group of Mother Age Group of Mother Marital Status of <15 Mother No. % 0 0 Married 68 Single 15-19 No. % 20-24 No. % 25-29 No. % 30-34 No. % 35-39 No. % 40-44 No. % Total 45+ No. % No. % 574 10.9 4,612 35.4 9,711 62.8 9,483 74.4 4,715 75.7 915 69.5 99 84.6 30,109 55.5 98.6 4,681 88.8 8,283 63.6 5,572 36.0 3,110 24.4 1,444 23.2 381 28.9 18 15.4 23,557 43.4 Refused 1 1.4 14 0.3 87 0.7 126 0.8 104 0.8 48 0.8 12 0.9 0 0 392 0.7 Divorced 0 0 1 0.0 10 0.1 8 0.1 9 0.1 4 0.1 0 0 0 0 32 0.1 Unknown 0 0 3 0.1 30 0.2 48 0.3 36 0.3 19 0.3 9 0.7 0 0 145 0.3 Total 69 5,273 13,022 15,465 12,742 6,230 1,317 117 54,235 Table 4.14 Number and Percent of Births by Educational Level &Age Group of Mother Educational Level of Mother < 6th Grade Age Group of Mother <15 No. % 1 15-19 No. % 1.4 20-24 No. % 25-29 No. % 30-34 No. % 35-39 No. % 40-44 No. % Total 45+ No. % No. % 21 0.4 131 1.0 182 1.2 209 1.6 143 2.3 43 3.3 2 1.7 732 1.3 6-11th Grade 68 98.6 2,751 52.2 3,056 23.5 2,486 16.1 1,819 14.3 945 15.2 211 16.0 5 4.3 11,341 20.9 HS Diploma 0 0 2,040 38.7 5,470 42.0 4,142 26.8 2,493 19.6 1,133 18.2 249 18.9 16 13.7 15,543 28.7 College+ 0 0 438 8.3 4,302 33.0 8,583 55.5 8,136 63.9 3,953 63.5 790 60.0 78 66.7 26,280 48.5 0 0 23 0.4 63 0.5 72 0.5 24 1.8 16 13.7 Unknown Total 69 5,273 13,022 85 15,465 0.7 56 12,742 0.9 6,230 1,317 339 117 0.6 54,235 Table 4.15 Number and Percent of Births by Method of Payment & Age Group of Mother Age Group of Mother Method of Payment AHCCCS <15 No. % 62 15-19 No. % 89.9 4,591 20-24 No. % 25-29 No. % 30-34 No. % 87.1 9,486 72.8 7,282 47.1 4,717 35-39 No. % 37.0 2,247 40-44 No. % 36.1 494 37.5 27 7 0.1 1 0.1 0 59.2 3,736 No. 23.1 28,906 53.3 1 1.4 26 0.5 72 0.6 46 0.3 29 3 4.3 520 9.9 3,122 24.0 7,632 49.4 7,540 60.0 769 58.4 86 Self 3 4.3 116 2.2 267 2.1 435 2.8 411 3.2 206 3.3 43 3.3 4 3.4 1,485 2.7 Unknown 0 0 20 0.4 75 0.6 70 0.5 45 0.4 34 0.5 10 0.8 0 0 254 0.5 69 5,273 13,022 15,465 12,742 Maricopa County Health Status Report 2010 6,230 Page 42 1,317 117 0 % Indian Health Service Private Insurance Total 0.2 Total 45+ No. % 182 0.3 73.5 23,408 43.2 54,235 Maricopa County 2010 Natality (Birth) Statistics Table 4.16 Trimester of First Prenatal Care & Age Group of Mother Trimester Age Group of Mother of First Total <15 15-19 20-24 25-29 30-34 35-39 40-44 45+ Prenatal No. % No. % No. % No. % No. % No. % No. % No. % No. % Care 33 47.8 4,004 75.9 10,747 82.5 13,621 88.1 11,396 89.4 5,540 88.9 1,132 86.0 98 83.8 46,571 85.9 First 26 37.7 943 17.9 1,679 12.9 1,353 8.7 1,005 7.9 498 8.0 124 9.4 10 8.5 5,638 10.4 Third 7 10.1 203 3.8 365 2.8 306 2.0 203 1.6 106 1.7 40 3.0 1 0.9 1,231 2.3 None 3 4.3 101 1.9 203 1.6 160 1.0 117 0.9 77 1.2 17 1.3 8 6.8 686 1.3 0 0 22 0.4 28 0.2 25 0.2 21 0.2 9 0.1 4 0.3 0 0 109 0.2 Second Unknown Total 69 5,273 13,022 15,465 12,742 6,230 1,317 117 54,235 Table 4.17 Number and Percent of Prenatal Care Visits & Age Group of Mother Age Group of Mother Number of <15 Prenatal Care Visits No. % None 3 15-19 No. 4.3 101 7.2 20-24 % No. 1.9 203 25-29 % 1.6 No. 160 30-34 % 1.0 No. 35-39 % No. 40-44 % 118 0.9 77 1.2 No. 17 45+ % No. Total % No. 1.3 8 6.8 687 % 1.3 1 to 4 5 224 4.2 446 3.4 319 2.1 217 1.7 127 2.0 28 2.1 3 2.6 1,369 2.5 5 to 8 15 21.7 1,005 19.1 1,965 15.1 1,652 10.7 1,231 9.7 602 9.7 148 11.2 7 6.0 6,625 12.2 9 to 12 31 44.9 2,573 48.8 6,529 50.1 7,799 50.4 6,378 50.1 2,952 47.4 619 47.0 45 38.5 26,926 49.6 13 to 16 14 20.3 1,196 22.7 3,282 25.2 4,592 29.7 3,944 31.0 1,973 31.7 368 27.9 31 26.5 15,400 28.4 17 or More 1 1.4 152 2.9 568 4.4 915 5.9 830 6.5 489 7.8 132 10.0 23 19.7 3,110 5.7 Unknown 0 0 22 0.4 29 0.2 28 0.2 24 0.2 10 0.2 5 0.4 0 0 118 0.2 Total 69 5,273 13,022 15,465 12,742 6,230 Maricopa County Health Status Report 2010 1,317 Page 43 117 54,235 Maricopa County 2010 Natality (Birth) Statistics Table 4.18 Adequacy of Prenatal Care & Age Group of Mother Singleton Births Only(Excludes Twins and Other Multiple Births) Age Group of Mother Adequacy of Prenatal Care <15 No. % Inadequate Intermediate 15-19 No. % 20-24 No. % 25-29 No. % 30-34 No. % 35-39 No. % 40-44 No. % Total 45+ No. % No. % 27 39.1 888 17.1 1,598 12.5 1,289 8.6 895 7.3 470 7.9 128 10.3 13 16.3 5,308 10.1 5 7.2 835 16.1 1,932 15.1 2,048 13.7 1,526 12.4 655 11.0 149 12.0 6 7.5 7,156 13.6 Adequate 17 24.6 2,131 41.0 5,614 44.0 6,970 46.5 5,742 46.8 2,651 44.5 515 41.3 35 43.8 23,675 45.0 Adequate Plus 20 29.0 1,324 25.5 3,594 28.1 4,670 31.1 4,073 33.2 2,175 36.5 450 36.1 26 32.5 16,332 31.1 0.4 35 0.3 25 0.2 28 0.2 4 0.3 0 Information Missing 0 0 69 Total 20 5,198 12,773 15,002 0.2 12,264 11 5,962 1,246 0 80 123 0.2 52,594 Table 4.19 Birthweight of Infant & Age Group of Mother Age Group of Mother Birthweight of Infant <15 No. % 15-19 No. % 20-24 No. % 25-29 No. % 30-34 No. % 35-39 No. % 40-44 No. % Total 45+ No. % No. % <1500 Grams 1 1.4 62 1.2 152 1.2 123 0.8 121 0.9 87 1.4 24 1.8 5 4.3 575 1.1 1500-2499 Grams 7 10.1 357 6.8 748 5.7 839 5.4 768 6.0 433 7.0 104 7.9 22 18.8 3,278 6.0 2500-4249 Grams 61 87.9 1,133 86.0 90 76.9 48,772 89.9 88.4 4,781 90.7 11,823 90.8 14,050 90.9 11,356 89.1 5,478 >4249 Grams 0 0 72 1.4 299 2.3 452 2.9 496 3.9 232 3.7 55 4.2 0 0 1,606 3.0 Unknown 0 0 1 0.0 0 0 1 0.0 1 0.0 0 0 1 0.1 0 0 4 0.0 Total 69 5,273 13,022 15,465 12,742 6,230 1,317 117 54,235 Table 4.20 Preterm Births (Less Than 37 Weeks Gestation) & Age Group of Mother Gestational Estimate Less than 34 Weeks Late Preterm (3436 Weeks) 37 Weeks or More Unknown Total <15 No. % 15-19 No. % Age Group of Mother 25-29 30-34 No. % No. % 20-24 No. % 35-39 No. % 40-44 No. % Total 45+ No. % No. % 2 2.9 134 2.5 308 2.4 300 1.9 319 2.5 193 3.1 52 3.9 13 11.1 1,321 2.4 7 10.1 379 7.2 891 6.8 1,128 7.3 952 7.5 536 8.6 128 9.7 23 19.7 4,044 7.5 88.3 1,136 86.3 81 69.2 48,869 90.1 0.1 0 60 0 69 87.0 4,760 0 0 5,273 90.3 11,823 0 0 13,022 90.8 14,037 0 0 15,465 90.8 11,471 0 0 90.0 5,501 0 12,742 Maricopa County Health Status Report 2010 0 0 6,230 Page 44 1 1,317 117 0 1 54,235 0.0 Maricopa County 2010 Natality (Birth) Statistics Table 4.21 Number and Percent of Births by Medical Risk Factor & Age Group of Mother <15 Medical Risk Factor No. No Medical Risk Present Medical Risk Present Total 15-19 % No. Age Group of Mother 25-29 30-34 20-24 % No. % No. % No. % 35-39 No. % 40-44 No. % Total 45+ No. % No. % 29 42.0 3,249 61.6 8,828 67.8 10,610 68.6 8,669 68.0 3,688 59.2 695 52.8 43 36.8 35,811 66.0 40 58.0 2,024 38.4 4,194 32.2 31.4 4,073 32.0 2,542 40.8 622 47.2 74 63.2 18,424 34.0 4,855 69 100.0 5,273 100.0 13,022 100.0 15,465 100.0 12,742 100.0 6,230 100.0 1,317 100.0 117 100.0 54,235 100.0 Table 4.22 Number and Percent of Births by Birth Attendee & Age Group of Mother Age Group of Mother <15 No. % Birth Attendee 61 Medical Doctor 15-19 No. % 88.4 4,520 20-24 No. % 85.7 10,996 25-29 No. % 30-34 No. % 35-39 No. % 40-44 No. % 84.4 13,008 84.1 10,894 85.5 5,418 87.0 1,158 Total 45+ No. % 87.9 103 No. 88.0 46,158 % 85.1 Doctor of Osteopathy 4 5.8 504 9.6 1,451 11.1 1,761 11.4 1,362 10.7 621 10.0 113 8.6 11 9.4 5,827 10.7 Certified Nurse Midwife 4 5.8 239 4.5 497 3.8 520 3.4 324 2.5 124 2.0 27 2.1 3 2.6 1,738 3.2 Midwife 0 0 5 0.1 53 0.4 140 0.9 120 0.9 53 0.9 13 1.0 0 0 384 0.7 Other 0 0 5 0.1 25 0.2 36 0.2 42 0.3 14 0.2 6 0.5 0 0 128 0.2 Total 69 5,273 13,022 15,465 12,742 6,230 1,317 117 54,235 Table 4.23 Number and Percent of Births by Type of Delivery & Age Group of Mother Age Group of Mother <15 Type of Delivery No. 15-19 % No. 20-24 25-29 % No. % No. 30-34 % No. % 35-39 No. % 40-44 No. % 45+ No. % Total No. % Vaginal 59 85.5 4,343 82.4 9,893 76.0 11,235 72.6 8,663 68.0 3,872 62.2 757 57.5 55 47.0 38,877 71.7 Primary C-Section 10 14.5 801 15.2 1,924 14.8 2,244 14.5 2,018 15.8 1,124 18.0 297 22.6 45 38.5 8,463 15.6 Repeat C-Section 0 0 129 2.4 1,205 9.3 1,986 12.8 2,061 16.2 1,234 19.8 263 20.0 17 14.5 6,895 12.7 12,742 6,230 Total 69 5,273 13,022 15,465 Maricopa County Health Status Report 2010 Page 45 1,317 117 54,235 Maricopa County 2010 Natality (Birth) Statistics Table 4.24 Comparisons to Arizona, U.S. and Healthy People 2010 Goals for Selected Natality Measures Maricopa County 2010 Number of Rate or Individuals Percent Unlinked Infant Mortality – 1 Arizona 2010 U.S. 2010 Healthy People 2010 Goal Neonatal 200 3.7 3.8 4.0 2.9 Postnatal 111 2.0 2.2 2.1 1.2 Total 311 5.7 6.0 6.1 4.5 3,853 7.1% 7.1% 8.2% 5.0% 10-14 Years Old 69 0.13% 0.12% 0.11% - 15-17 Years Old 1,652 3.0% 3.3% 2.7% - 15-19 Years Old 5,273 9.7% 10.7% 9.2% - Total 10-19 Years Old 5,342 9.8% 10.8% 9.3% - 9 16.6 - Not Available 3.3 22 40.6 - - - Rate per 1,000 live births Low birthweight births (< 2500g) – Percent of live births Births to teen mothers – Percent of live births 2 Maternal Mortality - Rate per 100,000 live births Pregnancy-related Mortality Rate per 100,000 live births 1. 2. 3. All figures are Preliminary 2010 U.S. data. See Technical Notes for an explanation on the increase in maternal deaths . See Technical Notes for an explanation on why the Maternal Mortality rate is unavailable at the national level. Maricopa County Health Status Report 2010 Page 46 V. Maricopa County 2010 Hospital Discharge Statistics Maricopa County Health Status Report 2010 Page 47 Maricopa County 2010 Hospital Discharge Statistics Table 5.01 Number of Hospital Discharges by Age Group and Race/Ethnicity Race/Ethnicity Age Group White Hispanic African American American Indian Asian Other/ Unknown Total 0-4 6,893 7,945 1,196 591 408 578 17,611 5-9 2,273 2,414 387 161 102 184 5,521 10-14 2,315 1,932 387 112 82 138 4,966 15-19 4,014 2,495 604 189 112 143 7,557 20-24 5,150 2,714 840 308 137 116 9,265 25-34 13,293 6,321 2,183 743 397 285 23,222 35-44 20,490 7,702 3,138 1,046 555 391 33,322 45-54 34,410 9,157 4,182 1,137 747 463 50,096 55-64 41,488 8,306 3,539 853 825 555 55,566 65-74 45,524 6,396 2,272 481 864 585 56,122 75-84 45,145 4,405 1,494 226 685 398 52,353 85+ 26,599 1,500 557 79 242 160 29,137 1 1 0 0 0 0 2 247,595 61,288 20,779 5,926 5,156 3,996 344,740 Unknown Total Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Table 5.02 Number of Hospital Discharges by Age Group and Sex Gender Age Group Male Female Unknown Total 0-4 9,860 7,751 0 17,611 5-9 3,138 2,383 0 5,521 10-14 2,710 2,256 0 4,966 15-19 3,802 3,755 0 7,557 20-24 4,643 4,622 0 9,265 25-34 10,780 12,441 1 23,222 35-44 15,268 18,054 0 33,322 45-54 24,701 25,394 1 50,096 55-64 27,406 28,160 0 55,566 65-74 27,059 29,061 2 56,122 75-84 23,556 28,797 0 52,353 85+ 10,729 18,408 0 29,137 2 0 0 2 163,654 181,082 4 344,740 Unknown Total Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Maricopa County Health Status Report 2010 Page 48 Maricopa County 2010 Hospital Discharge Statistics Table 5.03 Number and Percent of Hospital Discharges by Sex and Payer Type Sex Male Payer Female Unknown Age Group Other No. % No. % 7,289 4.5 6,096 3.4 0 0 13,385 3.9 Self Pay 6,655 4.1 4,689 2.6 1 25 11,345 3.3 42,983 26.3 47,183 26.1 2 50 90,168 26.2 Private Insurance Medicare No. % No. % 69,486 42.5 85,828 47.4 0 0 155,314 45.1 AHCCCS Medicaid 37,241 22.8 37,286 20.6 1 25 74,528 21.6 Total Discharges 163,654 100 181,082 100 4 100 344,740 100 Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Maricopa County Health Status Report 2010 Page 49 Maricopa County 2010 Hospital Discharge Statistics Table 5.04a Selected Primary Diagnosis Groups by Race/Ethnicity Number of Discharges Race/Ethnicity Infectious and parasitic diseases Primary Diagnosis Septicemia Other Infectious and parasitic diseases Black 421 American Indian 250 Asian 160 Other/ Unknown 94 Total 9,482 5,141 1,874 503 164 192 88 7,962 3,532 924 414 352 182 17,444 Neoplasms - Other Malignant 6,589 1,178 373 70 169 122 8,501 Malignant Neoplasm of large intestine & rectum 1,074 156 69 5 25 12 1,341 Malignant neoplasm of trachea, bronchus & lung 1,307 92 56 4 28 12 1,499 622 92 31 1 20 4 770 2,271 725 409 26 106 58 3,595 490 73 18 5 17 9 612 12,353 2,316 956 111 365 217 16,318 3,605 1,811 584 258 66 54 6,378 170 26 33 2 2 2 235 Other Endocrine, nutritional and metabolic diseases, and immunity disorders 5,991 1,533 604 174 160 96 8,558 All Malignant neoplasm of breast Neoplasms - Benign Neoplasms - Other All Endocrine, nutritional and metabolic diseases, and immunity disorders Hispanic 1,658 12,040 All Neoplasms White 6,899 Diabetes mellitus Volume depletion (dehydration) 9,766 3,370 1,221 434 228 152 15,171 Diseases of the blood and blood-forming organs 2,724 816 867 65 78 68 4,618 Mental disorders 5,621 983 549 136 123 94 7,506 Psychoses Alcohol dependence syndrome 315 57 13 38 0 1 424 Other Mental disorders 1,314 347 133 49 32 31 1,906 All 7,250 1,387 695 223 155 126 9,836 Diseases of the nervous system and sense organs 7,052 1,756 666 161 138 143 9,916 Diseases of the circulatory system Heart disease 9,064 1,319 860 108 134 105 11,590 Acute myocardial infarction 4,287 668 198 61 87 59 5,360 Coronary atherosclerosis 6,017 965 309 53 144 105 7,593 246 50 31 3 3 2 335 Cardiac dysrhythmias 8,067 808 336 57 117 81 9,466 Congestive heart failure 1,730 288 174 30 36 22 2,280 Cerebrovascular disease 8,064 1,219 520 80 176 120 10,179 8,340 1,689 933 139 155 117 11,373 45,815 7,006 3,361 531 852 611 58,176 Other ischemic heart disease Other Diseases of the circulatory system All (Continued) Maricopa County Health Status Report 2010 Page 50 Maricopa County 2010 Hospital Discharge Statistics Race/Ethnicity Diseases of the respiratory system Diseases of the digestive system White 1,277 Hispanic 1,413 Black 224 American Indian 118 Asian 52 Other/ Unknown 64 Total 3,148 Pneumonia 6,999 1,950 591 222 192 123 10,077 Chronic bronchitis 4,563 350 236 30 29 22 5,230 Asthma 2,778 1,496 811 95 71 76 5,327 Other Diseases of the respiratory system 7,603 1,902 721 209 181 122 10,738 23,220 2,758 7,111 1,895 2,583 172 674 68 525 94 407 74 34,520 5,061 3,000 682 206 42 54 47 4,031 480 253 28 117 11 7 896 Primary Diagnosis Acute bronchitis and bronchiolitis All Appendicitis Noninfectious enteritis and colitis Cholelithiasis Diseases of the genitourinary system Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue Other Diseases of the digestive system 25,043 7,501 1,916 714 494 349 36,017 All 31,281 10,331 2,322 941 653 477 46,005 2,027 474 72 17 45 28 2,663 Other Diseases of the genitourinary system 14,000 4,278 1,181 321 318 206 20,304 All Cellulitis and abscess 16,027 6,385 4,752 1,930 1,253 423 338 284 363 106 234 70 22,967 9,198 Calculus of kidney and ureter Other Diseases of the skin and subcutaneous tissue 863 274 101 35 20 18 1,311 All Osteoarthrosis and allied disorders 7,248 9,422 2,204 795 524 330 319 45 126 61 88 143 10,509 10,796 Intervertebral disc disorders 2,625 326 131 24 37 33 3,176 Other - Diseases of the musculoskeletal system and connective tissue 7,797 1,455 578 157 156 123 10,266 19,844 835 2,576 528 1,039 75 226 50 254 27 299 63 24,238 1,578 All Congenital anomalies Certain conditions originating in the perinatal period 948 853 132 67 59 71 2,130 16,143 4,446 1,760 351 354 241 23,295 Fractures, all sites 7,194 1,913 409 224 132 148 10,020 Fracture of neck of femur 2,987 222 49 22 30 16 3,326 Poisonings 3,377 717 270 101 61 75 4,601 Other Injury and poisoning 16,116 4,313 1,357 578 305 283 22,952 All Symptoms, signs, and ill-defined conditions Injury and poisoning Other healthcare encounters 29,674 7,165 2,085 925 528 522 40,899 Rehab Services 3,397 402 199 48 49 47 4,142 Other healthcare encounters 1,978 737 117 48 50 48 2,978 5,375 247,595 1,139 61,288 316 20,779 96 5,926 99 5,156 95 3,996 7,120 344,740 All Total Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Maricopa County Health Status Report 2010 Page 51 Maricopa County 2010 Hospital Discharge Statistics Table 5.04b Selected Primary Diagnosis Groups by Race/Ethnicity Crude Hospitalization Rates per 100,000 Residents Race/Ethnicity Primary Diagnosis White Hispanic Black American Indian. Asian Other/ Unknown Total Infectious and parasitic diseases Septicemia Other Infectious and parasitic diseases All Neoplasms Malignant Neoplasm of large intestine & rectum Malignant neoplasm of trachea, bronchus & lung Malignant neoplasm of breast Neoplasms - Other Malignant Neoplasms - Benign Neoplasms - Other All Endocrine, nutritional and metabolic Diabetes mellitus diseases, and immunity disorders Volume depletion (dehydration) Other Endocrine, nutritional and metabolic diseases, and immunity disorders All Diseases of the blood and blood-forming organs 308.0 229.5 537.5 47.9 58.3 27.8 294.1 101.4 21.9 551.5 160.9 7.6 267.4 436.0 121.6 146.9 166.0 312.9 13.8 8.2 8.2 104.4 64.2 6.5 205.2 160.4 2.3 135.8 298.6 72.3 237.2 283.4 520.6 38.9 31.6 17.5 210.2 230.4 10.1 538.6 329.0 18.6 340.3 687.9 488.5 421.9 276.8 698.7 8.4 6.8 1.7 118.1 43.9 8.4 187.3 435.4 3.4 293.7 732.5 109.7 118.5 142.2 260.7 18.5 20.7 14.8 125.2 78.5 12.6 270.3 48.9 1.5 118.5 168.9 57.8 - 248.4 208.6 457.0 35.1 39.3 20.2 222.7 94.2 16.0 427.5 167.1 6.2 224.2 397.4 121.0 Mental disorders 250.9 14.1 58.7 323.7 314.8 87.1 5.0 30.7 122.9 155.6 309.3 7.3 74.9 391.6 375.2 229.5 64.1 82.7 376.4 271.7 91.1 0 23.7 114.8 102.2 - 196.6 11.1 49.9 257.7 259.8 404.6 191.4 268.6 11.0 360.1 77.2 360.0 372.3 2,045.3 116.9 59.2 85.5 4.4 71.6 25.5 108.0 149.6 620.7 484.5 111.6 174.1 17.5 189.3 98.0 293.0 525.7 1,893.6 182.3 103.0 89.4 5.1 96.2 50.6 135.0 234.6 896.2 99.2 64.4 106.6 2.2 86.7 26.7 130.3 114.8 631.0 - 303.6 140.4 198.9 8.8 248.0 59.7 266.7 297.9 1,524.1 Psychoses Alcohol dependence syndrome Other Mental disorders All Diseases of the nervous system and sense organs Diseases of the circulatory system Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Other Diseases of the circulatory system All (Continued) Maricopa County Health Status Report 2010 Page 52 Maricopa County 2010 Hospital Discharge Statistics Table 5.04b continued Race/Ethnicity Primary Diagnosis White Diseases of the respiratory system Diseases of the digestive system Diseases of the genitourinary system Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue Other Diseases of the respiratory system Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma All Other Diseases of the digestive system Appendicitis Noninfectious enteritis and colitis Cholelithiasis All Other Diseases of the genitourinary system Calculus of kidney and ureter All Other Diseases of the skin and subcutaneous tissue Cellulitis and abscess All Other - Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders Intervertebral disc disorders All 339.4 57.0 312.4 203.7 124.0 1,036.6 1,118.0 123.1 133.9 21.4 1,396.4 625.0 90.5 715.5 38.5 285.0 323.6 348.1 420.6 117.2 885.9 37.3 Congenital anomalies Certain conditions originating in the perinatal period Other healthcare encounters Total Injury and poisoning Fractures, all sites Fracture of neck of femur Poisonings All Other healthcare encounters Rehab Services All 168.5 125.2 172.8 31.0 132.5 630.0 664.5 167.9 60.4 22.4 915.3 379.0 42.0 421.0 24.3 171.0 195.3 128.9 70.4 28.9 228.2 46.8 Black American Indian. 406.2 126.2 333.0 133.0 456.9 1,455.3 1,079.5 96.9 116.1 15.8 1,308.2 665.4 40.6 706.0 56.9 238.3 295.2 325.7 185.9 73.8 585.4 42.3 352.7 199.1 374.7 50.6 160.3 1,137.5 1,205.0 114.8 70.9 197.5 1,588.1 541.8 28.7 570.4 59.1 479.3 538.4 265.0 75.9 40.5 381.4 84.4 Asian Other/ Unknown Total 134.1 38.5 142.2 21.5 52.6 388.8 365.9 69.6 40.0 8.1 483.6 235.5 33.3 268.8 14.8 78.5 93.3 115.5 45.2 27.4 188.1 20.0 - 281.3 82.5 264.0 137.0 139.6 904.3 943.6 132.6 105.6 23.5 1,205.2 531.9 69.8 601.7 34.3 241.0 275.3 268.9 282.8 83.2 635.0 41.3 42.3 75.6 74.4 113.1 43.7 - 55.8 720.7 393.9 991.6 592.4 262.2 - 610.3 719.4 321.2 133.3 150.8 1,324.7 88.3 151.6 239.9 11,053.1 382.1 169.5 19.7 63.5 634.8 65.3 35.6 100.9 5,429.8 764.6 230.4 27.6 152.1 1,174.7 65.9 112.1 178.0 11,707.1 975.5 378.0 37.1 170.5 1,561.1 81.0 81.0 162.0 10,001.4 225.9 97.8 22.2 45.2 391.0 37.0 36.3 73.3 3,818.6 - 601.3 262.5 87.1 120.5 1,071.5 78.0 108.5 186.5 9,031.4 Symptoms, signs, and ill-defined conditions Injury and poisoning Hispanic Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Maricopa County Health Status Report 2010 Page 53 Maricopa County 2010 Hospital Discharge Statistics Table 5.05a Selected Primary Diagnosis Groups by Age Group Number of Discharges Age Group Primary Diagnosis 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Unknown Total Infectious and parasitic Septicemia diseases Other Infectious and parasitic diseases All Neoplasms Malignant Neoplasm of large intestine & rectum Malignant neoplasm of trachea, bronchus & lung Malignant neoplasm of breast Neoplasms - Other Malignant Neoplasms - Benign Neoplasms - Other All Endocrine, nutritional Diabetes mellitus and metabolic Volume depletion (dehydration) diseases, and immunity Other Endocrine, nutritional and metabolic disorders diseases, and immunity disorders 52 856 908 0 2 0 104 29 9 144 41 21 255 276 0 0 0 76 12 5 93 65 13 212 225 0 2 0 52 14 2 70 156 108 254 362 1 6 0 84 51 21 163 296 211 321 532 0 3 1 78 54 19 155 396 463 712 1,175 12 8 27 306 262 42 657 665 664 846 1,510 61 42 106 603 969 49 1,830 905 1,215 1,166 2,381 189 156 178 1,350 1,111 83 3,067 1,214 1,614 992 2,606 260 318 174 2,135 469 102 3,458 1,144 1,932 891 2,823 345 476 166 2,056 371 130 3,544 763 1,964 913 2,877 325 389 81 1,230 204 103 2,332 529 1,225 544 1,769 148 97 37 427 49 47 805 204 0 0 0 0 0 0 0 0 0 0 0 9,482 7,962 17,444 1,341 1,499 770 8,501 3,595 612 16,318 6,378 17 640 7 146 14 65 42 105 33 156 66 623 11 859 8 1,257 9 1,388 12 1,261 11 1,257 5 801 0 0 235 8,558 All Diseases of the blood and blood-forming organs 698 209 218 168 235 140 443 140 585 141 1,354 476 1,775 504 2,479 600 2,541 634 2,036 688 1,797 602 1,010 316 0 0 15,171 4,618 Mental disorders Psychoses Alcohol dependence syndrome Other Mental disorders All Diseases of the nervous system and sense organs 14 0 12 26 547 87 0 32 119 327 105 0 77 182 337 179 2 102 283 397 581 8 174 763 395 1,320 48 312 1,680 1,004 1,372 117 335 1,824 1,217 1,526 141 364 2,031 1,448 1,080 63 234 1,377 1,369 560 33 126 719 1,167 424 12 91 527 1,094 258 0 47 305 613 0 0 0 0 1 7,506 424 1,906 9,836 9,916 Diseases of the circulatory system 16 0 0 0 31 15 17 60 139 13 0 0 0 14 1 11 28 67 10 0 0 0 11 3 6 17 47 45 3 0 2 55 6 14 58 183 90 4 1 1 50 3 19 79 247 282 41 17 6 236 39 116 450 1,187 681 241 219 38 394 92 402 879 2,946 1,233 805 1,061 70 857 214 1,147 1,564 6,951 1,853 1,252 2,065 90 1,513 328 1,828 2,089 11,018 2,464 1,267 2,282 49 2,299 482 2,291 2,390 13,524 2,940 1,077 1,590 51 2,540 590 2,743 2,524 14,055 1,963 670 358 28 1,466 507 1,585 1,234 7,811 0 0 0 0 0 0 0 1 1 11,590 5,360 7,593 335 9,466 2,280 10,179 11,373 58,176 Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Other Diseases of the circulatory system All (Continued) Maricopa County Health Status Report 2010 Page 54 Maricopa County 2010 Hospital Discharge Statistics Table 5.05a continued Age Group Primary Diagnosis 0-4 Diseases of the respiratory system 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Unknown Total 2,444 1,295 2 1,038 1,149 5,928 122 186 2 746 1,056 1 905 906 834 109 943 0 18 442 0 779 235 1,474 456 81 2 362 901 6 203 209 244 44 288 2 6 184 0 370 127 687 654 84 1 347 1,086 21 180 201 169 24 193 4 8 139 1 139 265 552 671 144 2 748 1,565 54 405 459 244 52 296 0 16 137 1 142 241 537 495 180 2 1,220 1,897 115 596 711 339 46 385 5 47 395 18 312 496 1,268 836 430 20 3,418 4,704 364 1,664 2,028 994 126 1,120 44 92 637 105 497 688 2,019 618 477 86 4,814 5,995 502 2,552 3,054 1,282 171 1,453 225 101 982 682 670 1,167 3,602 516 566 257 6,341 7,680 533 2,710 3,243 1,748 215 1,963 1,258 107 1,294 1,080 564 1,577 4,622 371 583 255 5,812 7,021 500 2,585 3,085 1,268 182 1,450 2,881 101 1,544 1,558 386 1,863 5,452 186 565 182 5,092 6,025 332 2,992 3,324 843 136 979 3,753 108 1,796 1,298 311 1,854 5,367 105 506 76 4,589 5,276 177 3,264 3,441 753 119 872 2,290 100 1,232 485 119 1,076 3,012 31 229 11 2,528 2,799 58 2,248 2,306 480 87 567 334 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3,148 10,077 5,230 5,327 10,738 34,520 5,061 4,031 896 36,017 46,005 2,663 20,304 22,967 9,198 1,311 10,509 10,796 0 90 0 133 1 190 9 269 49 233 305 650 637 996 808 1,732 607 1,865 433 1,825 232 1,515 95 768 0 0 3,176 10,266 All Congenital anomalies Certain conditions originating in the perinatal period 90 808 2,130 135 119 0 195 75 0 278 88 0 287 41 0 999 75 0 1,858 90 0 3,798 93 0 5,353 82 0 6,011 60 0 4,037 37 0 1,197 10 0 0 0 0 24,238 1,578 2,130 Symptoms, signs, and ill-defined conditions 1,332 293 357 476 445 1,357 2,507 4,121 4,048 3,290 3,247 1,822 0 23,295 409 4 136 797 1,346 22 379 401 17,611 292 5 18 387 702 13 119 132 5,521 311 8 78 430 827 13 96 109 4,966 550 5 326 792 1,673 56 143 199 7,557 571 12 397 1,011 1,991 57 96 153 9,265 1,036 13 819 1,974 3,842 100 196 296 23,222 984 38 818 2,390 4,230 181 329 510 33,322 1,210 92 984 3,549 5,835 325 479 804 50,096 1,240 275 577 3,790 5,882 578 442 1,020 55,566 1,024 484 245 3,517 5,270 798 412 1,210 56,122 1,235 1,065 151 2,949 5,400 1,172 220 1,392 52,353 1,158 1,325 52 1,366 3,901 827 67 894 29,137 0 0 0 0 0 0 0 0 2 10,020 3,326 4,601 22,952 40,899 4,142 2,978 7,120 344,740 Diseases of the digestive system Diseases of the genitourinary system Diseases of the skin and subcutaneous tissue Diseases of the musculoskeletal system and connective tissue Injury and poisoning Other healthcare encounters Total Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma Other Diseases of the respiratory system All Appendicitis Noninfectious enteritis and colitis Cholelithiasis Other Diseases of the digestive system All Calculus of kidney and ureter Other Diseases of the genitourinary system All Cellulitis and abscess Other Diseases of the skin and subcutaneous tissue All Osteoarthrosis and allied disorders 5-9 Intervertebral disc disorders Other - Diseases of the musculoskeletal system and connective tissue Fractures, all sites Fracture of neck of femur Poisonings Other Injury and poisoning All Rehab Services Other healthcare encounters All Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Maricopa County Health Status Report 2010 Page 55 Maricopa County 2010 Hospital Discharge Statistics Table 5.05b Selected Primary Diagnosis Groups by Age Group Crude Hospitalization Rates per 100,000 Residents Age Group Primary Diagnosis 0-4 Infectious and parasitic diseases Neoplasms Septicemia 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Unknown Total 4.7 39.0 79.1 85.6 126.6 241.1 405.2 756.5 1,325.2 2,074.4 - 248.4 Other Infectious and parasitic diseases 302.7 90.2 76.5 91.7 120.3 131.6 161.3 231.4 249.1 348.9 616.1 921.2 - 208.6 All Malignant Neoplasm of large intestine & rectum 321.1 0 97.6 0 81.2 0 130.7 0.4 199.3 0 217.1 2.2 287.8 11.6 472.5 37.5 654.3 65.3 1,105.4 135.1 1,941.3 219.3 2,995.6 250.6 - 457.0 35.1 0.7 0 0.7 2.2 1.1 1.5 8.0 31.0 79.8 186.4 262.5 164.3 - 39.3 Malignant neoplasm of breast 0 0 0 0 0.4 5.0 20.2 35.3 43.7 65.0 54.7 62.7 - 20.2 Neoplasms - Other Malignant 36.8 26.9 18.8 30.3 29.2 56.5 114.9 267.9 536.0 805.0 830.0 723.1 - 222.7 10.3 3.2 50.9 14.5 6.0 226.3 4.2 1.8 32.9 23.0 2.5 51.6 5.0 0.7 25.2 56.3 5.0 23.4 18.4 7.6 58.9 106.9 15.2 37.9 20.2 7.1 58.1 148.4 12.4 58.5 48.4 7.8 121.4 122.9 12.2 115.1 184.7 9.3 348.8 172.5 2.1 163.7 220.5 16.5 608.6 240.9 1.6 249.4 117.7 25.6 868.2 287.2 2.3 348.5 145.3 50.9 1,387.7 298.8 4.7 493.8 137.7 69.5 1,573.6 357.0 7.4 848.2 83.0 79.6 1,363.2 345.4 8.5 1,356.4 - 94.2 16.0 427.5 167.1 6.2 224.2 246.8 73.9 77.1 59.4 84.8 50.5 160.0 50.6 219.2 52.8 250.2 88.0 338.4 96.1 491.9 119.1 637.9 159.2 797.2 269.4 1,212.6 406.2 1,710.3 535.1 - 397.4 121.0 4.2 5.0 0 9.2 11.3 30.8 0 42.1 27.8 37.9 0 65.6 36.8 64.6 0.7 102.2 65.2 217.7 3.0 285.9 57.7 243.9 8.9 310.5 63.9 261.5 22.3 347.7 72.2 302.8 28.0 403.0 58.7 271.1 15.8 345.7 49.3 219.3 12.9 281.5 61.4 286.1 8.1 355.6 79.6 436.9 0 516.5 - 49.9 196.6 11.1 257.7 Neoplasms - Benign Neoplasms - Other All Diabetes mellitus Volume depletion (dehydration) Other Endocrine, nutritional and metabolic diseases, and immunity disorders All Diseases of the blood and blood-forming organs Mental disorders 10-14 7.4 Malignant neoplasm of trachea, bronchus & lung Endocrine, nutritional and metabolic diseases, and immunity disorders 5-9 18.4 Other Mental disorders Psychoses Alcohol dependence syndrome All (Continued) Maricopa County Health Status Report 2010 Page 56 Maricopa County 2010 Hospital Discharge Statistics Table 5.05b continued Age Group Primary Diagnosis 0-4 5-9 193.4 115.7 121.6 143.4 148.0 185.5 232.0 287.3 343.7 457.0 738.2 1,038.0 - 259.8 5.7 4.6 3.6 16.3 33.7 52.1 129.8 244.7 465.2 964.8 1,983.8 3,324.1 - 303.6 Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Other Diseases of the circulatory system 0 0 0 11.0 5.3 6.0 21.2 0 0 0 5.0 0.4 3.9 9.9 0 0 0 4.0 1.1 2.2 6.1 1.1 0 0.7 19.9 2.2 5.1 20.9 1.5 0.4 0.4 18.7 1.1 7.1 29.6 7.6 3.1 1.1 43.6 7.2 21.4 83.2 45.9 41.7 7.2 75.1 17.5 76.6 167.6 159.7 210.5 13.9 170.1 42.5 227.6 310.3 314.3 518.4 22.6 379.9 82.3 458.9 524.5 496.1 893.5 19.2 900.2 188.7 897.1 935.8 726.7 1,072.9 34.4 1,713.9 398.1 1,850.9 1,703.1 1,134.6 606.2 47.4 2,482.5 858.5 2,684.0 2,089.6 - 140.4 198.9 8.8 248.0 59.7 266.7 297.9 All Acute bronchitis and bronchiolitis 49.2 864.3 23.7 6.4 17.0 2.2 66.1 2.9 92.6 6.0 219.4 8.7 561.6 17.5 1,379.3 20.0 2,766.2 26.9 5,295.5 39.5 9,483.9 72.9 13,226.9 169.3 - 1,524.1 82.5 Pneumonia Chronic bronchitis Asthma Other Diseases of the respiratory system 458.0 0.7 367.1 406.3 156.3 0 275.5 83.1 66.4 0 133.5 45.8 50.2 0.4 50.2 95.7 51.3 0.4 53.2 90.3 73.0 3.3 57.7 91.7 121.4 20.0 94.7 131.1 194.9 135.3 132.9 231.6 324.9 271.1 141.6 395.9 604.6 610.1 151.1 729.5 1,211.9 875.8 209.9 1,251.0 2,086.2 821.3 201.5 1,822.1 - 264.0 137.0 139.6 281.3 2,096.4 43.1 521.4 161.3 247.8 235.9 199.4 242.3 201.2 185.5 234.3 154.5 384.9 117.8 714.7 102.4 1,160.4 93.1 2,134.8 72.8 3,621.5 70.9 5,100.4 52.5 - 904.3 132.6 65.8 28.7 30.3 52.0 67.4 79.5 90.9 112.3 146.4 221.2 341.4 387.8 - 105.6 Cholelithiasis Other Diseases of the digestive system All Calculus of kidney and ureter 0.7 263.8 0.7 128.0 0.4 125.2 0.7 270.1 0.7 457.1 3.7 631.6 16.4 917.7 51.0 1,258.2 64.0 1,459.2 71.3 1,993.8 51.3 3,096.5 18.6 4,280.8 - 23.5 943.6 373.4 0.4 318.7 2.1 391.7 7.6 565.2 19.5 710.8 43.1 869.3 67.3 1,142.8 95.7 1,523.9 105.8 1,762.7 125.5 2,359.2 130.0 3,560.1 119.4 4,739.7 98.2 - 1,205.2 69.8 Other Diseases of the genitourinary system 320.0 71.8 64.9 146.3 223.3 307.5 486.5 537.7 649.0 1,171.6 2,202.4 3,806.7 - 531.9 320.4 294.9 38.5 333.5 73.9 86.3 15.6 101.9 72.5 61.0 8.7 69.6 165.8 88.1 18.8 106.9 266.4 127.0 17.2 144.3 374.8 183.7 23.3 207.0 582.2 244.4 32.6 277.0 643.5 346.8 42.7 389.5 774.5 318.3 45.7 364.0 1,301.5 330.1 53.3 383.3 2,321.9 508.1 80.3 588.4 3,904.9 812.8 147.3 960.1 - 601.7 241.0 34.3 275.3 Diseases of the nervous system and sense organs Diseases of the circulatory system Diseases of the respiratory system Diseases of the digestive system Diseases of the genitourinary system Heart disease All Appendicitis Noninfectious enteritis and colitis All Diseases of the skin Cellulitis and abscess and subcutaneous Other Diseases of the skin and tissue subcutaneous tissue All 10-14 15-19 20-24 25-34 35-44 45-54 (Continued) Maricopa County Health Status Report 2010 Page 57 55-64 65-74 75-84 85+ Unknown Total Maricopa County 2010 Hospital Discharge Statistics Table 5.05b continued Age Group Primary Diagnosis 0-4 Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders 5-9 0 10-14 0.7 15-19 1.4 20-24 25-34 0 1.9 35-44 45-54 55-64 65-74 75-84 1,545.2 8.1 42.9 249.6 723.3 1,469.5 85+ Unknown Total 565.6 - 282.8 Intervertebral disc disorders 0 0 0.4 3.3 18.4 56.4 121.4 160.3 152.4 169.5 156.5 160.9 - 83.2 Other - Diseases of the musculoskeletal system and connective tissue 31.8 47.0 68.5 97.1 87.3 120.1 189.9 343.7 468.2 714.6 1,022.3 1,300.5 - 268.9 All 31.8 47.8 70.3 100.4 107.5 184.6 354.2 753.6 1,343.9 2,353.7 2,724.0 2,027.0 - 635.0 Congenital anomalies 285.7 42.1 27.1 31.8 15.4 13.9 17.2 18.5 20.6 23.5 25.0 16.9 - 41.3 Certain conditions originating in the perinatal period 753.3 0 0 0 0 0 0 0 0 0 0 0 - 55.8 Symptoms, signs, and ill-defined conditions 471.1 103.6 128.8 171.9 166.7 250.8 477.9 817.7 1,016.3 1,288.2 2,191.0 3,085.3 - 610.3 144.6 1.4 48.1 281.9 476.0 7.8 134.0 141.8 6,228.0 103.3 1.8 6.4 136.9 248.3 4.6 42.1 46.7 1,952.9 112.2 2.9 28.1 155.1 298.3 4.7 34.6 39.3 1,791.3 198.6 1.8 117.7 286.0 604.2 20.2 51.6 71.9 2,729.2 214.0 4.5 148.8 378.8 746.1 21.4 36.0 57.3 3,471.7 191.5 2.4 151.4 364.8 710.0 18.5 36.2 54.7 4,291.4 187.6 7.2 155.9 455.6 806.3 34.5 62.7 97.2 6,351.9 240.1 18.3 195.3 704.2 1,157.8 64.5 95.0 159.5 9,940.4 311.3 69.0 144.9 951.5 1,476.7 145.1 111.0 256.1 13,950.5 401.0 189.5 95.9 1,377.1 2,063.5 312.5 161.3 473.8 21,975.2 833.3 718.6 101.9 1,989.9 3,643.7 790.8 148.4 939.3 35,326.1 1,960.9 2,243.7 88.1 2,313.1 6,605.8 1,400.4 113.5 1,513.9 49,339.6 - 262.5 87.1 120.5 601.3 1,071.5 108.5 78.0 186.5 9,031.4 Injury and poisoning Other healthcare encounters Total Fractures, all sites Fracture of neck of femur Poisonings Other Injury and poisoning All Rehab Services Other healthcare encounters All Note: Pregnant women, newborns, Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Maricopa County Health Status Report 2010 Page 58 Maricopa County 2010 Hospital Discharge Statistics Table 5.06a Selected Primary Diagnosis Groups by Sex Number of Discharges Gender Primary Diagnosis Male Infectious and parasitic diseases Septicemia Other Infectious and parasitic diseases All Malignant Neoplasm of large intestine & rectum Neoplasms Malignant neoplasm of trachea, bronchus & lung Endocrine, nutritional and metabolic diseases, and immunity disorders Diseases of the respiratory system Diseases of the digestive system Diseases of the genitourinary system Diseases of the skin and subcutaneous tissue Unknown Total 4,616 3,773 8,389 651 4,866 4,189 9,055 690 0 0 0 0 9,482 7,962 17,444 1,341 744 755 0 1,499 Malignant neoplasm of breast 4 766 0 770 Neoplasms - Other Malignant 4,582 3,919 0 8,501 Neoplasms - Benign Neoplasms - Other All Diabetes mellitus 572 278 6,831 3,451 3,023 334 9,487 2,926 0 0 0 1 3,595 612 16,318 6,378 Volume depletion (dehydration) Other Endocrine, nutritional and metabolic diseases, and immunity disorders 116 3,281 119 5,277 0 0 235 8,558 6,848 1,977 4,120 307 880 5,307 4,291 8,322 2,641 3,386 117 1,026 4,529 5,625 1 0 0 0 0 0 0 15,171 4,618 7,506 424 1,906 9,836 9,916 5,978 3,416 5,096 150 4,861 1,241 4,836 5,770 31,348 1,642 4,933 2,289 2,365 5,605 16,834 2,807 1,447 510 15,785 20,549 1,451 6,779 8,230 4,952 661 5,613 5,612 1,944 2,497 185 4,605 1,039 5,343 5,602 26,827 1,506 5,144 2,941 2,962 5,133 17,686 2,254 2,584 386 20,232 25,456 1,212 13,525 14,737 4,246 650 4,896 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11,590 5,360 7,593 335 9,466 2,280 10,179 11,373 58,176 3,148 10,077 5,230 5,327 10,738 34,520 5,061 4,031 896 36,017 46,005 2,663 20,304 22,967 9,198 1,311 10,509 All Diseases of the blood and blood-forming organs Mental disorders Psychoses Alcohol dependence syndrome Other Mental disorders All Diseases of the nervous system and sense organs Diseases of the circulatory system Female Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Other Diseases of the circulatory system All Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma Other Diseases of the respiratory system All Appendicitis Noninfectious enteritis and colitis Cholelithiasis Other Diseases of the digestive system All Calculus of kidney and ureter Other Diseases of the genitourinary system All Cellulitis and abscess Other Diseases of the skin and subcutaneous tissue All (Continued) Maricopa County Health Status Report 2010 Page 59 Maricopa County 2010 Hospital Discharge Statistics Table 5.06a continued Gender Primary Diagnosis Male Diseases of the musculoskeletal system and connective tissue Female Unknown Total Congenital anomalies Certain conditions originating in the perinatal period 4,477 1,572 4,908 10,957 825 1,183 6,319 1,604 5,358 13,281 753 947 0 0 0 0 0 0 10,796 3,176 10,266 24,238 1,578 2,130 Symptoms, signs, and ill-defined conditions 10,148 13,147 0 23,295 5,178 1,090 2,134 12,337 20,739 2,041 1,544 3,585 163,654 4,842 2,236 2,467 10,614 20,159 2,101 1,433 3,534 181,082 0 0 0 1 1 0 1 1 4 10,020 3,326 4,601 22,952 40,899 4,142 2,978 7,120 344,740 Injury and poisoning Other healthcare encounters Total Osteoarthrosis and allied disorders Intervertebral disc disorders Other - Diseases of the musculoskeletal system and connective tissue All Fractures, all sites Fracture of neck of femur Poisonings Other Injury and poisoning All Rehab Services Other healthcare encounters All Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Maricopa County Health Status Report 2010 Page 60 Maricopa County 2010 Hospital Discharge Statistics Table 5.06b Selected Primary Diagnosis Groups by Gender Crude Hospitalization Rates per 100,000 Residents Gender Primary Diagnosis Male Infectious and parasitic diseases Unknown Total 244.4 199.8 444.2 34.5 252.3 217.2 469.5 35.8 - 248.4 208.6 457.0 35.1 39.4 39.1 - 39.3 Malignant neoplasm of breast Neoplasms - Benign Neoplasms - Other Malignant Neoplasms - Other All Endocrine, nutritional and Diabetes mellitus metabolic diseases, and immunity Volume depletion (dehydration) disorders Other Endocrine, nutritional and metabolic diseases, and immunity disorders All Diseases of the blood and blood-forming organs 0.2 30.3 242.6 14.7 361.7 182.7 6.1 173.7 39.7 156.7 203.2 17.3 491.9 151.7 6.2 273.6 - 20.2 94.2 222.7 16.0 427.5 167.1 6.2 224.2 362.6 104.7 431.5 136.9 - 397.4 121.0 Mental disorders 218.2 16.3 46.6 281.0 227.2 175.6 6.1 53.2 234.8 291.7 - 196.6 11.1 49.9 257.7 259.8 316.6 180.9 269.8 7.9 257.4 65.7 256.1 305.5 1,660.0 86.9 261.2 121.2 125.2 296.8 891.4 148.6 76.6 27.0 835.9 1,088.1 76.8 359.0 435.8 262.2 35.0 291.0 100.8 129.5 9.6 238.8 53.9 277.0 290.5 1,391.0 78.1 266.7 152.5 153.6 266.1 917.0 116.9 134.0 20.0 1,049.0 1,319.9 62.8 701.3 764.1 220.2 33.7 - 303.6 140.4 198.9 8.8 248.0 59.7 266.7 297.9 1,524.1 82.5 264.0 137.0 139.6 281.3 904.3 132.6 105.6 23.5 943.6 1,205.2 69.8 531.9 601.7 241.0 34.3 297.2 253.9 - 275.3 Neoplasms Septicemia Other Infectious and parasitic diseases All Malignant Neoplasm of large intestine & rectum Malignant neoplasm of trachea, bronchus & lung Female Psychoses Alcohol dependence syndrome Other Mental disorders All Diseases of the nervous system and sense organs Diseases of the circulatory system Diseases of the respiratory system Diseases of the digestive system Diseases of the genitourinary system Diseases of the skin and subcutaneous tissue Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease Other Diseases of the circulatory system All Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma Other Diseases of the respiratory system All Appendicitis Noninfectious enteritis and colitis Cholelithiasis Other Diseases of the digestive system All Calculus of kidney and ureter Other Diseases of the genitourinary system All Cellulitis and abscess Other Diseases of the skin and subcutaneous tissue All (Continued) Maricopa County Health Status Report 2010 Page 61 Maricopa County 2010 Hospital Discharge Statistics Table 5.06b continued Gender Primary Diagnosis Male Diseases of the musculoskeletal system and connective tissue Unknown Total Congenital anomalies Certain conditions originating in the perinatal period 237.1 83.2 259.9 580.2 43.7 62.6 327.6 83.2 277.8 688.6 39.0 49.1 - 282.8 83.2 268.9 635.0 41.3 55.8 Symptoms, signs, and ill-defined conditions 537.4 681.7 - 610.3 274.2 57.7 113.0 653.3 1,098.2 108.1 81.8 189.8 8,666.0 251.1 115.9 127.9 550.3 1,045.2 108.9 74.3 183.2 9,389.0 - 262.5 87.1 120.5 601.3 1,071.5 108.5 78.0 186.5 9,031.4 Injury and poisoning Other healthcare encounters Osteoarthrosis and allied disorders Intervertebral disc disorders Other - Diseases of the musculoskeletal system and connective tissue All Female Fractures, all sites Fracture of neck of femur Poisonings Other Injury and poisoning All Rehab Services Other healthcare encounters All Total Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Maricopa County Health Status Report 2010 Page 62 Maricopa County 2010 Hospital Discharge Statistics Table 5.07 Total Charges for Hospitalizations by Primary Diagnosis Groups Primary Diagnosis Category N Median Mean Sum Infectious and parasitic diseases Septicemia 17,444 9,482 $ $ 32,495 45,815 $ $ 56,724 73,914 $ $ 989,500,965 700,855,693 Neoplasms 16,318 $ 44,189 $ 70,640 $ 1,065,570,000 Malignant neoplasms 12,134 $ 48,687 $ 72,907 $ 857,151,423 Malignant neoplasm - large intestine & rectum 1,341 $ 58,399 $ 74,300 $ 99,636,552 Malignant neoplasm - trachea, bronchus, & lung 1,499 $ 53,522 $ 67,033 $ 100,482,288 770 $ 37,823 $ 46,760 $ 36,004,950 3,595 $ 32,251 $ 46,211 $ 166,128,748 15,171 $ 21,896 $ 30,624 $ 464,591,171 6,378 $ 22,609 $ 32,896 $ 209,809,523 235 $ 51,459 $ 73,783 $ 17,338,905 Diseases of the blood and blood-forming organs 4,618 $ 21,380 $ 32,988 $ 152,336,748 Mental disorders 9,836 $ 20,836 $ 30,660 $ 301,574,381 7,506 $ 22,725 $ 34,003 $ 255,225,241 424 $ 16,049 $ 21,619 $ 9,166,325 9,916 $ 23,304 $ 35,718 $ 354,178,477 58,176 $ 35,740 $ 57,807 $ 3,362,990,000 11,590 $ 35,007 $ 61,047 $ 707,534,757 Acute myocardial infarction 5,360 $ 71,177 $ 90,697 $ 486,136,782 Coronary atherosclerosis 7,593 $ 66,389 $ 83,387 $ 633,160,242 335 $ 21,816 $ 25,497 $ 8,541,626 Cardiac dysrhythmias 9,466 $ 26,712 $ 44,160 $ 418,017,722 Congestive heart failure 2,280 $ 28,087 $ 47,968 $ 109,366,148 Cerebrovascular disease 10,179 $ 29,475 $ 45,364 $ 461,764,870 Diseases of the respiratory system 34,520 $ 22,146 $ 35,462 $ 1,224,160,000 Acute bronchitis and bronchiolitis 3,148 $ 10,332 $ 15,374 $ 48,396,800 10,077 $ 23,067 $ 34,889 $ 351,573,230 Chronic bronchitis 5,230 $ 23,370 $ 29,542 $ 154,504,266 Asthma 5,327 $ 14,372 $ 19,635 $ 104,597,466 46,005 $ 27,322 $ 37,710 $ 1,734,870,000 Appendicitis 5,061 $ 29,996 $ 35,295 $ 178,628,150 Noninfectious enteritis and colitis 4,031 $ 22,597 $ 32,385 $ 130,545,767 896 $ 27,650 $ 50,295 $ 45,063,910 22,967 $ 23,688 $ 30,433 $ 698,963,517 2,663 $ 25,780 $ 28,718 $ 76,474,872 10,509 $ 18,260 $ 25,098 $ 263,759,180 9,198 $ 17,891 $ 23,556 $ 216,666,108 Malignant neoplasm - breast Benign neoplasms Endocrine, nutritional and metabolic diseases, and immunity disorders Diabetes mellitus Volume depletion (dehydration) Psychoses Alcohol dependence syndrome Diseases of the nervous system and sense organs Diseases of the circulatory system Heart disease Other ischemic heart disease Pneumonia Diseases of the digestive system Cholelithiasis Diseases of the genitourinary system Calculus of kidney and ureter Diseases of the skin and subcutaneous tissue Cellulitis and abscess (Continued) Maricopa County Health Status Report 2010 Page 63 Table 5.07 continued Maricopa County 2010 Hospital Discharge Statistics Primary Diagnosis Category N Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders Intervertebral disc disorders Median Mean Sum 24,238 $ 46,367 $ 55,343 $ 1,341,410,000 10,796 $ 48,732 $ 52,521 $ 567,020,583 3,176 $ 45,638 $ 64,240 $ 204,025,641 1,578 $ 55,677 $ 107,144 $ 169,073,103 Congenital anomalies Certain conditions originating in the perinatal period Symptoms, signs, and ill-defined conditions 2,130 $ 12,336 $ 62,277 $ 132,650,252 23,295 $ 19,884 $ 23,770 $ 553,725,713 Injury and poisoning 40,899 $ 33,652 $ 51,909 $ 2,123,040,000 Fractures, all sites 13,347 $ 41,353 $ 56,133 $ 749,204,132 3,326 $ 51,700 $ 58,985 $ 196,185,499 4,601 $ 18,815 $ 27,768 $ 127,762,670 Other healthcare encounters 7,120 $ 32,893 $ 44,206 $ 314,747,396 Rehab Services 4,142 $ 36,648 $ 44,447 $ 184,098,676 Fracture of neck of femur Poisonings Total 344,740 $ 28,415 $ 44,228 $ 15,247,000,000 Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Table 5.08 Average Cost of Hospitalization Related to Pregnancy and Birth N Median Infant 53,849 $ Mother 60,672 Total 114,521 2,331 Mean Sum 6,946 $ 374,011,490 $ 11,620 $ 14,388 $ 872,954,488 $ $ 5,675 $ 9,302 $ 1,246,965,978 Note: Mothers include all women hospitalized for pregnancy related conditions Maricopa County Health Status Report 2010 Page 64 Maricopa County 2010 Hospital Discharge Statistics Table 5.09 Length of Hospital Stay (Days) by Primary Diagnosis Group Primary Diagnosis Code Categories Infectious and parasitic diseases Septicemia N Median Mean Sum 17,444 4 6.1 105,881 9,482 5 7.2 68,222 Neoplasms 16,318 3 5.5 90,199 Malignant neoplasms Malignant neoplasm - large intestine & rectum Malignant neoplasm - trachea, bronchus, & lung Malignant neoplasm - breast 12,134 4 6.2 75,168 1,341 6 7.7 10,319 1,499 5 6.8 10,131 770 1 2.1 1,615 3,595 2 3.2 11,492 15,171 2 3.5 52,498 6,378 3 3.9 24,957 235 7 10.1 2,367 4,618 3 4.0 18,574 9,836 6 10.5 102,860 7,506 8 12.5 93,729 424 3 3.4 1,457 9,916 3 3.9 38,249 58,176 3 3.9 229,752 Benign neoplasms Endocrine, nutritional and metabolic diseases, and immunity disorders Diabetes mellitus Volume depletion (dehydration) Diseases of the blood and blood-forming organs Mental disorders Psychoses Alcohol dependence syndrome Diseases of the nervous system and sense organs Diseases of the circulatory system Heart disease 11,590 4 5.1 59,552 Acute myocardial infarction 5,360 3 4.6 24,790 Coronary atherosclerosis 7,593 2 3.5 26,612 335 1 1.9 635 Cardiac dysrhythmias 9,466 2 3.0 28,732 Congestive heart failure 2,280 3 4.0 9,168 Cerebrovascular disease 10,179 3 3.7 37,733 34,520 3 4.4 151,107 Other ischemic heart disease Diseases of the respiratory system Acute bronchitis and bronchiolitis 3,148 2 3.2 9,939 10,077 3 4.5 45,744 Chronic bronchitis 5,230 3 4.0 20,931 Asthma 5,327 2 3.0 15,823 46,005 3 3.9 181,208 Appendicitis 5,061 2 2.5 12,647 Noninfectious enteritis and colitis 4,031 3 4.1 16,474 896 4 5.6 5,023 22,967 2 3.3 75,708 2,663 2 2.2 5,964 10,509 3 3.9 41,264 Pneumonia Diseases of the digestive system Cholelithiasis Diseases of the genitourinary system Calculus of kidney and ureter Diseases of the skin and subcutaneous tissue (Continued) Maricopa County Health Status Report 2010 Page 65 Maricopa County 2010 Hospital Discharge Statistics Table 5.09 continued Primary Diagnosis Code Categories Cellulitis and abscess Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders N Median Mean 9,198 3 3.8 34,851 24,238 3 3.3 79,849 10,796 3 3.0 31,976 3,176 2 2.8 8,842 1,578 3 7.1 11,265 2,130 3 10.4 22,074 23,295 2 2.5 57,144 40,899 3 4.3 177,397 13,347 3 4.3 56,446 3,326 4 5.3 17,550 Intervertebral disc disorders Congenital anomalies Certain conditions originating in the perinatal period Symptoms, signs, and ill-defined conditions Injury and poisoning Fractures, all sites Fracture of neck of femur Poisonings Sum 4,601 2 3.0 13,710 Other healthcare encounters 7,120 7 10.0 71,430 Rehab Services 4,142 12 13.7 56,952 Total 344,740 3 4.4 1,506,459 Note: Pregnant women, newborns, and Long Term Acute Care Hospitals and Rehabilitation Hospital Admissions excluded Table 5.10 Length of Hospital Stay for Pregnancy and Birth Related Hospitlizations N Median Mean Sum Infant 53,849 2.0 2.9 158,240 Mother 60,672 2.0 2.6 158,122 Total 114,521 2.0 2.8 316,362 Note: Mothers include all women hospitalized for pregnancy-related conditions Maricopa County Health Status Report 2010 Page 66 VI. Maricopa County 2010 Behavioral Risk Factor Statistics Maricopa County Health Status Report 2010 Page 67 Maricopa County 2010 Behavioral Risk Factors Survey Statistics Table 6.01 Self-Reported Health Indicators by Sex, Age Group, and Race/Ethnicity Behavioral Risk Factor Survey Self-Reported Answers Male Female 18-34 35-44 45-54 55-64 65+ Hispanic Total 78.9% White nonHispanic 88.6% Health Status-Excellent, Very Good, or Good Life Satisfaction-Very Satisfied or Satisfied Activity Limited Due to Health Problems 1 BMI-Overweight 1 BMI-Obesity Fruit and Vegetable Consumption-5 or more servings a day Seat Belt Use-Always 88.5% 83.2% 93.3% 89.1% 84.9% 81.9% 72.3% 85.9% 91.5% 93.5% 91.6% 93.5% 90.1% 92.2% 96.9% 93.4% 89.7% 92.5% 16.3% 22.4% 7.5% 14.1% 16.8% 30.8% 34.1% 21.8% 13.5% 19.3% 50.0% 23.8% 20.7% 33.0% 21.8% 28.9% 33.9% 21.0% 28.1% 46.5% 20.9% 22.4% 41.5% 25.5% 19.8% 42.6% 26.6% 27.3% 44.3% 18.9% 32.2% 43.2% 22.8% 24.3% 42.1% 32.8% 19.3% 41.8% 22.9% 24.8% 87.5% 90.4% 80.1% 91.2% 89.8% 90.9% 92.5% 90.2% 86.7% 89.0% 1 Overweight and Obesity are based on the respondent’s self-report height and weight Table 6.02 Medical Provider Diagnosed Conditions by Sex, Age Group, and Race/Ethnicity Behavioral Risk Factor Survey Has a Medical Provider Ever Told You that You Have/Had Male Female 18-34 35-44 45-54 55-64 65+ Coronary Heart Disease Heart Attack Stroke Diabetes Asthma Emphysema Prostate Cancer 4.8% 5.5% 2.4% 7.6% 11.5% 1.4% 2.6% 2.5% 3.5% 2.9% 8.7% 16.1% 2.2% NA 0% 0.8% 0.7% 0.1% 15.9% 1.0% 0% 1.1% 1.1% 0.7% 3.8% 9.7% 0.3% 0% 0.3% 3.2% 0.9% 8.2% 15.1% 0.9% 0% 6.5% 5.7% 3.4% 16.1% 14.6% 3.1% 1.3% 15.2% 14.3% 10.2% 15.5% 13.8% 5.4% 12.6% White nonHispanic 4.4% 4.8% 2.8% 7.5% 15.5% 2.1% 2.3% Hispanic Total 0.9% 3.5% 3.2% 12.7% 9.7% 1.4% 3.6% 3.6% 4.5% 2.7% 8.1% 13.8% 1.8% 2.6% Note: See Technical Notes for detailed description of questionnaire questions and for weighted N for each question and group. Maricopa County Health Status Report 2010 Page 68 Maricopa County 2010 Behavioral Risk Factors Survey Statistics Table 6.03 Self-Reported Alcohol and Cigarette Usage by Sex, Age Group, and Race/Ethnicity Behavioral Risk Factor Survey Alcohol and Smoking Male Female 18-34 35-44 45-54 55-64 65+ Binge Drinking Heavy Drinking Current Smoker Former Smoker 20.4% 3.1% 15.4% 29.1% 9.1% 6.2% 12.3% 24.1% 22.7% 3.3% 19.0% 16.6% 17.4% 3.3% 12.6% 21.7% 16.4% 6.6% 14.8% 23.5% 9.8% 4.4% 11.2% 32.9% 3.6% 3.9% 10.3% 44.7% White nonHispanic 14.5% 5.5% 13.7% 29.3% Hispanic Total 21.7% 3.4% 17.9% 19.1% 14.8% 4.6% 13.8% 26.6% Hispanic Total 39.2% 51.8% 35.7% 60.8% Table 6.04 Health Screenings by Sex, Age Group, and Race/Ethnicity Behavioral Risk Factor Survey Health Screenings Male Ever Had an HIV Test 32.5% Ever Had a Colonoscopy/ 59.4% 1 Sigmoidoscopy Screening Ever Had a Mammography NA 2 Screening 2 Routine Mammography-within 2 year NA 3 Ever Had a Pap Smear NA 3 Routine Pap Smear-within 3 years NA 4 Ever Had a Prostate Screening-PSA 61.5% Prostate Cancer Screening PSA 49.7% 4 within 2 years 1 Males and females 50 years old or older. 2 Females 40 years old or older. 3 Females 18 years old or older. 4 Males 50 years old or older. Female 18-34 35-44 45-54 55-64 65+ 39.0% 62.1% 46.7% NA 47.9% NA 27.1% 42.4% 21.4% 67.0% 0% 76.6% White nonHispanic 32.5% 63.1% 74.6% NA 65.0% 91.7% 94.9% 96.1% 83.2% 62.2% 74.6% 74.3% 95.5% 82.6% NA NA NA 89.5% 84.7% 0% NA 47.7% 96.2% 86.3% 29.6% 24.1% 78.7% 98.8% 84.1% 55.7% 43.2% 78.3% 98.6% 85.0% 76.5% 59.1% 80.0% 92.7% 63.0% 93.6% 83.0% 77.1% 97.3% 86.0% 66.9% 54.1% 77.8% 90.2% 79.8% 36.0% 31.3% 74.3% 95.5% 82.6% 61.5% 49.7% Note: See Technical Notes for detailed description of questionnaire questions and for weighted N for each question and group. Maricopa County Health Status Report 2010 Page 69 Maricopa County 2010 Behavioral Risk Factors Survey Statistics Table 6.05 Vaccination Status by Sex, Age Group, and Race/Ethnicity Behavioral Risk Factor Survey Vaccinations Male Female 18-34 35-44 45-54 55-64 65+ Yearly Influenza Vaccine Pneumonia Vaccine Shingles Vaccine 30.1% 26.4% 6.1% 42.8% 33.3% 10.8% 25.0% 20.0% NA 26.5% 13.7% NA 28.9% 19.5% 0.9% 46.1% 36.1% 4.7% 68.8% 73.5% 20.3% White nonHispanic 38.9% 32.0% 9.5% Hispanic Total 30.7% 22.5% 3.5% 36.4% 29.9% 8.5% Table 6.06 Mental Health Indicators by Sex, Age Group, and Race/Ethnicity Behavioral Risk Factor Survey Mental Health Male Female 18-34 35-44 45-54 55-64 65+ Hispanic Total 79.6% White nonHispanic 84.7% Emotional Support-Always or Usually Anxiety Disorder Depressive Disorder 79.0% 82.2% 80.0% 79.0% 82.7% 80.3% 68.9% 80.6% 11.2% 13.0% 15.7% 21.9% 14.0% 16.1% 14.0% 13.6% 15.3% 22.3% 13.1% 18.5% 8.5% 13.2% 14.7% 19.8% 11.7% 13.4% 13.4% 17.4% Table 6.07 Health Care Coverage and Utilization by Sex, Age Group, and Race/Ethnicity Behavioral Risk Factor Survey Health Care Coverage and Utilization 1 Health Care Coverage Time Since Last Routine Checkupwithin past year Could Not Afford Needed Health Care Time Since Last Dental Exam-within past year 1 Males and females 18-64 years old. Male Female 18-34 35-44 45-54 55-64 65+ Hispanic Total NA 86.8% White nonHispanic 89.8% 66.3% 86.1% 58.9% 84.9% 73.1% 81.3% 63.6% 79.6% 58.9% 90.4% 60.5% 88.8% 68.2% 67.3% 61.9% 85.5% 66.0% 8.0% 14.4% 9.5% 15.7% 11.9% 12.4% 4.8% 7.6% 4.3% 11.2% 69.3% 69.6% 64.7% 70.3% 70.1% 68.4% 73.0% 74.9% 52.6% 69.4% Note: See Technical Notes for detailed description of questionnaire questions and for weighted N for each question and group. Maricopa County Health Status Report 2010 Page 70 VII. Technical Notes Population Statistics Population statistics are shown in Tables 1.01 and 1.02. This report used the 2010 Census data. • The Maricopa County population is from the U.S. Census Bureau, County Population Estimates by Age, Sex, Race and Hispanic Origin for April 1, 2010, released July 14, 2011. The United States Census Bureau is required by the U.S. Constitution to conduct a count of the population at least every 10 years. In 2010, a Census was conducted, providing the most accurate picture of the population and the demographics of Maricopa County since the 2000 Census. During the period between Censuses, the U.S. Census Bureau releases estimates of the population. Due to the nature of estimates, they become less reliable as more time progresses since the last Census. For example, the population of Maricopa County in 2009 was estimated to be more than 200,000 people greater than the 2010 Census. Therefore, the populations reported in previous reports may have underestimated the rates of disease in Maricopa County due to an overestimation of the population in Maricopa County during the years between the Census. This report defines “Hispanic” as all respondents listing Hispanic as origin, either alone or in combination with any race. The table below shows how the U.S. Census variables of “origin” and “race” are used for categorization in this report. Table 7.1 Race/Ethnicity Categories Used in This Report Category Used in This Report U.S. Census Code “Race” U.S. Census Code “Origin” White Race=1 (White Alone) Origin=1 (Non-Hispanic) African American Race=2 (Black Alone) Origin=1 (Non-Hispanic) American Indian, Non-Hispanic Asian Race=3 (American Indian or Alaska Native Alone) Race=4 (Asian Alone) or 5 (Native Hawaiian or Other Pacific Islander Alone) Origin=1 (Non-Hispanic) Origin=1 (Non-Hispanic) Multiple Race=6 (Two or More Races) Origin=1 (Non-Hispanic) Other Race=7 (Some Other Race) Origin=1 (Non-Hispanic) Hispanic Race=1,2,3,4,5,6,7 Origin=2 (Hispanic) The race category Multiple is only used for data from mortality (death) records. For all other data sources (communicable, birth, hospital discharge) the Multiple race population is included with “Other” because these data sources do not allow the selection of more than one race. Maricopa County Health Status Report 2010 Page 71 Mortality (Death) Statistics Mortality (death) statistics are shown in Tables 2.01a through 2.16. Any crude death rate can be calculated by taking the number of deaths from any mortality table in this report and dividing it by the appropriate age, gender, race/ethnicity, or total population denominator found in Tables 1.01 and 1.02. In tables where rates are shown, “0” means there were no cases/deaths in that category. However, when the number “0.0” is shown, it means that there were fewer than .05 deaths per 100,000 residents. Only one condition, Sudden Infant Death Syndrome (SIDS) is calculated differently. By definition, SIDS deaths only occur in infants; as a result, these numbers are divided by the number of live births (rather than the standard 100,000 residents), to produce a rate per 1,000 live births. All data on mortality statistics are from death certificates included in the Arizona Department of Health Services (ADHS) final annual files. The data presented in this report include Maricopa County residents only. This includes Maricopa County residents who died in Maricopa County and residents who died elsewhere. Non-Maricopa County residents who died in Maricopa County are not included. During the course of routine data review, several deaths were identified as being in one county even though their city and ZIP codes indicated that they lived in a different county. For these discrepant cases, final classification in this report was based on the address of the resident. (The address is determined by reviewing the street address, city, county, and ZIP code). Therefore, the numbers presented in this report may not precisely match those presented by ADHS in other reports. In addition, one death was not counted due to the death being voided after the data was finalized for 2010. For both mortality and morbidity (communicable disease), rates for some racial/ethnic populations such as American Indians, Asians, and African Americans may be high compared to other groups. Because these groups have relatively small populations in Maricopa County (under 150,000 residents as shown in Tables 1.01 and 1.02), these high rates may represent very few deaths/cases. Among small populations, rates are less stable so one case or death can cause a big increase or decrease in the rates from year to year. Therefore, it is advisable to examine the raw number of cases or deaths, in addition to the rates. Tables 2.01b, 2.02b, 2.03b, 2.04b, 2.05b, 2.06b, 2.07b, and 2.10b do not provide a rate for the categories labeled “Unknown Age” “Unknown Gender” or “Unknown Race/Ethnicity.” This is because there is no denominator to use for calculating the rate as the U.S. Census does not report any data on “unknown age,” “unknown gender,” or “unknown race/ethnicity.” In Tables 2.03a through 2.05b, unintentional injury deaths can be found by adding two categories – “motor vehicle collisions” and “all other accidents and adverse effects.” The total for unintentional injuries in this report is higher than the figure reported by ADHS because deaths from “complications of medical and surgical care” are included in most tables in this report. This convention follows the national model for classifying unintentional injuries. “Complications of medical and surgical care” include deaths from medical devices, adverse effects related to correct doses of therapeutic medications, and misadventures to patients during surgical or medical care (ICD-10 Y40-Y84, Y88). The only exceptions to this method are in Tables 2.15 and 2.16, where unintentional injury deaths do not include complications of medical/surgical care to make them comparable to the Healthy People 2010 goals. Tables 2.06a through 2.09b do not report total deaths by Race/Ethnicity, Age Group, or Sex because the causes of death reported in these tables are a subset of the causes of death reported in tables 2.03a through 2.05b. Unless otherwise noted, all deaths are attributed to one underlying condition, based on death th certificate information, using the rules of the International Classification of Diseases, 10 Revision Maricopa County Health Status Report 2010 Page 72 (ICD-10). Causes of death are classified by ICD-10 codes. The codes used for each category are listed in Table 7.2 below. Table 7.2 ICD-10 Codes Used for This Report Cause Tuberculosis Syphilis HIV Disease Malignant Neoplasms (Cancer) Malignant Neoplasm of the Stomach Malignant Neoplasm of the Colon Malignant Neoplasm of the Pancreas Malignant Neoplasm of Bronchus, Lung, or Trachea Malignant Neoplasm of the Breast Malignant Neoplasm of the Uterus, Cervix, Ovary Malignant Neoplasm of the Prostate Malignant Neoplasm of Urinary Organs Non-Hodgkins Lymphoma Leukemia Other Malignant Neoplasms Diabetes Alzheimer‟s Major Cardiovascular Disease Disease of Heart Hypertensive Heart Disease Ischemic Heart Disease Other Heart Disease Coronary Heart Disease Primary Hypertension Cerebrovascular Diseases Atherosclerosis Other Circulatory Influenza & Pneumonia Chronic Lower Respiratory Asthma Peptic Ulcer Liver Disease, including chronic liver disease, cirrhosis, alcoholic liver disease, and other chronic liver disease Nephritis, nephritic syndrome and nephrosis Pregnancy, childbirth, and the puerperium Perinatal Conditions Congenital Malformations SIDS (Sudden Infant Death Syndrome) Ill Defined Disease Conditions (Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified, excluding SIDS) ICD-10 Codes Used A16-A19 A50-A53 B20-B24 C00-C97 C16 C18-C21 C25 C33-C34 C50 C53-C56 C61 C64-C68 C82-C85 C91-C95 C00-C15, C17, C22-C24, C26-C32, C37-C49, C51-C52, C57-C60, C62C63, C69-C81, C88, C90, C96-97 E10-E14 G30 I00-I78 I00-I09, I11, I13, I20-I51 I11, I13 I20-I25 I00-I09, I26-I51 I11, I20-I25 I10, I12 I60-I69 I70 I71-I78 J09-J18 J40-J47 J45-J46 K25-K28 K70, K73-K74 N00-N07, N17-N19, N25-N27 A34, O00-O99 P00-P96 Q00-Q99 R95 R00-R94, R96-R99 (Table Continues) Maricopa County Health Status Report 2010 Page 73 (Table 5.2, Continued) All Other Diseases Motor Vehicle Collisions All Other Accidents & Adverse Effects Falls Excessive Exposure to Natural Heat Accidental Poisoning Accidental Drowning (Excludes drowning involving water transportation) Suicide Homicide All Other External Causes Unknown Causes Firearm Related Drug Induced or Related Alcohol Induced or Related A00-A09, A20-A33, A35-A49, A54-B19, B25-B99, D00-E07, E15-G25, G31H93, I80-J06, J20-J39, J60-K22, K29K66, K71-K72, K75-M99, N10-N15N20N23, N28-N98 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, V82.0V82.1, V83-V86, V87.0-V87.8, V88.0V88.8, V89.0 V89.2 V01, V05-V06, V09.1, V09.3-V09.9, V10-V11, V15-V18, V19.3, V19.8V19.9, V80.0-V80.2, V80.6-V80.9, V81.2-V81.9, V82.2-V82.9, V87.9, V88.9, V89.1, V89.3, V89.9 V90-X29, X31-X59, Y40-Y86, Y88 W00-W19 X30 X40-X49 W65-W74 U03, X60-X84, Y87.0 U01-U02, X85-Y09, Y87.1 Y10-Y36, Y87.2, Y89 No ICD code listed W32-W34, X72-X74, X93-X95, Y22Y24, Y35.0 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-F16.8, 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 F10, G31.2, G62.1, I42.6, K29.2, K70, R78.0, X45, X65, Y15 Only the underlying cause of death is used for classification in this report. Although other causes may have contributed to death, the underlying cause of death is the cause that began the disease process that resulted in death. The underlying causes of death shown in this report are based on the 113 selected causes of death reported by NCHS in their annual report. A few additional causes of death, like coccidioidomycosis, have been selected due to their importance in Arizona. Tables 2.09a through 2.11b show deaths resulting directly (induced) and indirectly (related) from firearms, drugs, and alcohol. Drugs include prescription medications and illegal substances, regardless of whether use was recreational or medicinal. Tobacco is considered a drug by the National Center for Health Statistics (NCHS). Drug-related deaths are listed both with and without tobacco-related deaths, because tobacco is not often considered to be a drug in the colloquial sense. Induced deaths refer to cases in which the use of a firearm, drug, or alcohol contributed directly to the cause of death, i.e., death due to an overdose of drugs, or a fatal gunshot injury. Related deaths refer to cases in which the use of a drug or alcohol was listed on the death certificate, but the substance was not necessarily involved in the final cause of death, i.e., death due to Maricopa County Health Status Report 2010 Page 74 dehydration resulting from environmental exposure, with chronic drug use noted elsewhere on the certificate. Related causes of deaths are counted using multiple causes of death (MCD) data supplied by ADHS with the final annual mortality files. This is the only place multiple cause of death data are used in this report. Firearm, drug, and alcohol induced deaths overlap with a number of other categories, such as suicide, homicide, unintentional injury, etc. For example, a firearm induced death may also be classified as a suicide, homicide, or “other accident or adverse effect.” An alcohol induced death may be attributed to a long or short term effect of alcohol, such as acute alcohol intoxication or alcoholic cardiomyopathy. This report only reports heat deaths where heat is the underlying COD. In other reports produced by Maricopa County regarding heat deaths, the number of deaths may be greater. In the other reports the following criteria is used in classifying heat deaths. Heat caused deaths are death where heat directly caused the decedent to die. The death certificate has heat mentioned in the Part I of the death certificate. Part I is a progression of disease that leads to the immediate cause of death. Heat related deaths are deaths where the heat played a part by exacerbating preexisting conditions, resulting in death. The death certificate has heat mentioned in the Part II of the death certificate. Part II is other significant conditions contributing to death but not resulting in the underlying cause given in Part I. In this report, the criterion used for classifying a death as heat is the underlying cause of death code. These deaths may have been classified as heat caused or heat related in the other reports. Tables 2.15 and 2.16 show age-adjusted rates for Maricopa County. Age-adjusting removes the effect of a disproportionately large young or old population on crude death rates by computing an “adjusted” death rate. An age adjusted rate allows comparisons between different groups, even if one group has more older members than another. A high (unadjusted) death rate for residents of a certain town may be high only because that town has more senior citizens, who are more likely to die than younger residents. Age-adjusted rates allow comparisons between towns, ethnic groups, etc. by adjusting for how many older and younger members there are in the group. For example, the population pyramids at the beginning of this report show a greater percentage of White Non-Hispanics over the age 65 than Hispanics. This creates a much lower crude death rate for Hispanics compared to White Non-Hispanics. Age adjustment shows that White nonHispanics still have a higher death rate, but the difference is not as extreme. Maricopa County rates are age-adjusted to the 2000 standard population using the direct method described in Health, United States, 2002 published by the National Center for Health Statistics at www.cdc.gov/nchs/data/hus/hus02.pdf, p.414. Arizona, Healthy People goals, and U.S. rates included in this report are published as age-adjusted to the 2000 standard population by the agencies generating the rates. For Table 2.16, the mortality rate for breast cancer is calculated among women only (using only female residents in the denominator). The few male residents with breast cancer are not included in the numerator of the rate for breast cancer. For Tables 2.03b, 2.04b, 2.05b, 2.06b, 2.07b, 2.08b and 2.16, prostate and testicular cancer rates are calculated among men only (using only male residents in the denominator), and uterine cancer, ovarian cancer, and pregnancy death rates are calculated among women only. In all other tables, and for all other diseases, the total population is used for the denominator for these conditions. See Table 2.05 for the incidence of male breast cancer. A recent decrease in the number of deaths with an underlying cause of death due to pneumonia and influenza has been noted. A review of all deaths has found that although the percent of death certificates that mention either pneumonia or influenza has not decreased, the percent of death certificates that have pneumonia or influenza as the underlying cause of death has decreased. At this time there is no explanation for this decrease. Decreases may occur due to changes in the coding of disease, improvements in the writing of cause of deaths by medical providers, or some other random cause. This decrease is being investigated further. Maricopa County Health Status Report 2010 Page 75 In 2010, the Arizona Department of Health Service Office of Vitals Records modified the death certificate to meet the recommendations of the 2003 Standard developed by the National Center for Health Statistics. Some of the changes directly impacted the data presented in this report. The changes in death certificates include questions pertaining to tobacco use, pregnancy status, classification of education level, and the introduction of classifying an individual to more than one race group. Each of these changes will be discussed further below. The tobacco use question asks if the cause of death is related to tobacco use. The certifier can select “Yes,” “No,” “Probably,” or “Unknown.” If either “Yes” or “Probably” is selected, the death will then have an ICD-10 code for tobacco. This new question caused a sharp increase in the number of deaths that are drug-related in Tables 2.09, 2.10, and 2.11. This increase is not necessarily due to more deaths being related to tobacco use, but rather by a change in identifying deaths due to tobacco use. The pregnancy status question asks the certifier to select if the female decedent was “Pregnant at time of death,” “Not pregnant but pregnant within 42 days of death,” “Not pregnant but pregnant 43 days to 1 year before death,” or not pregnant. The certifier can also select “Unknown.” In 2010, there was an increase in the number of deaths to women due to pregnancy. The increase is not necessarily due to more pregnancy-related deaths, but rather by a change in identifying deaths of women who were pregnant in the last year prior to death. The education level question on the death certificate asks for the highest level of education attained by the decedent. In previous reports, education was determined by the number of years of education, from 0 years to 17 years. Education classification in those reports had 13-15 years as Some College, 16 years as College Graduate, and 17 years as Graduate School. Starting in 2010, education level changed to a description of the education attainment, i.e., “High School Graduate or GED”, “Some College-No Degree”, and “Associates Degree”. Before the change, decedents who may have earned an Associate Degree would have had 14 years of education, and assigned to have attained “Some College”. With the new descriptive education levels, decedents with an Associate Degree are now classified as being a “College Graduate” along with decedents with a Bachelor‟s Degree. The last change in this report due to the new death certificate is the classification of race. Prior to 2010, decedents were recorded as having a single race. In 2010, a decedent could be recorded as having more than one race. In this report, a new race group was added called “Multiple race” to account for this change. This means that decedents in the “Multiple race” group could be any combination of White, Black, American Indian, and Asian. As has been done in the past, race and Hispanic origin were combined to create race/ethnicity groupings (i.e., White non-Hispanic) that were non-Hispanic races and a Hispanic group. Therefore, if a decedent had multiple races and was Hispanic, they are classified as Hispanic in this report. Due to the decision to report Multiple race as a separate racial group, our numbers may not be comparable across years. A method was developed by the National Center for Health Statistics that „bridge‟ the decedents with multiple races to a single race. This Report does not use the bridged race methodology. Please see http://www.cdc.gov/nchs/nvss/bridged_race.htm for more information on the methodology of the bridged race. Comparison death rates for Arizona, shown in Table 2.16, can be found in Arizona Health Status and Vital Statistics 2010, published by the ADHS at http://www.azdhs.gov/plan/report/ahs/ahs2010/chptr2a_2d.pdf. Figures for the U.S., except for breast cancer and prostate cancer are from Deaths: Preliminary Data for 2010. Figures for the U.S. for breast cancer and prostate cancer are from Deaths: Final Data for 2008. The Preliminary 2010 data were published in National Vital Statistics Reports, Vol 60, no 4 January 11, 2012. These data can be found at http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_04.pdf. The Final 2008 data were published in National Vital Statistics Reports, Vol 59, no10, December 7, 2011. These data can be found at: http://www.cdc.gov/nchs/data/nvsr/nvsr59/nvsr59_10.pdf. Healthy People 2010 Goals are set by the Department of Health and Human Services and may be found at www.healthypeople.gov/Document /tableofcontents.htm. Maricopa County Health Status Report 2010 Page 76 Communicable Disease (Morbidity) Statistics Communicable disease statistics are shown in Tables 3.01a through 3.04. Any morbidity rate, except for Streptococcal Group B Invasive disease, can be calculated by taking the number of cases from any communicable disease table in this report and dividing it by the appropriate age, gender, race/ethnicity, or total population denominator found in Tables 1.01 and 1.02. Because Streptococcal Group B Invasive disease is only reportable in infants under 90 days, these numbers are divided by the number of live births, to produce a rate per 1,000 live births. The data presented in this report include communicable diseases to residents of Maricopa County. This includes Maricopa County residents who acquired a disease in Maricopa County and residents who acquired a disease elsewhere. Non-Maricopa County residents are not included, even if they acquired a disease in Maricopa County. For Hansen‟s disease only, tables include residents from various counties in Arizona, regardless of where the disease was acquired. Other reports may show different morbidity rates because they include non-residents who acquired disease in Maricopa County or they exclude residents who were exposed outside of the county. For example, MCDPH Health Status Reports show twenty residents with malaria in 2009. All of these cases acquired malaria outside of Maricopa County. All data on communicable diseases are new cases of reportable diseases from the ADHS final annual files. There are several exceptions: data on hepatitis C, genital herpes, gonorrhea, Chlamydia, syphilis, and Hansen‟s disease are from MCDPH data files. Data on tuberculosis, STDs, HIV, and AIDS may differ from other reports published by MCDPH and ADHS. Data on these diseases are in databases that may have been updated during the time between reports. The data for this report were acquired on the following dates. Tuberculosis data were acquired on October 31, 2011. STD data were acquired on September 9, 2011. Syphilis data were acquired on September 9, 2011. HIV/AIDS data for Maricopa County residents were acquired on June 30, 2011. HIV/AIDS data for Arizona residents were acquired on June 30, 2011. Communicable disease data include only confirmed cases, with the exception of West Nile virus, hepatitis B (acute), and Hansen‟s disease. West Nile virus and hepatitis B data include confirmed and probable cases. Data for Hansen‟s disease includes confirmed, probable, and suspect cases diagnosed in Maricopa County (including diagnoses of non-county residents). All communicable disease statistics in this report are new cases for each specified year (incidence). The exception is Hansen‟s disease for which the prevalence (all existing cases from all years) is shown. The figures presented for Hansen‟s disease may differ from previous years due to the addition of cases diagnosed in previous years but only recently available. Data can be classified by date of onset, date of diagnosis or date of report to the health department. All diseases/conditions listed in this report are classified by the date of report to the health department. The only exceptions are HIV, AIDS, and Hansen‟s disease which are classified by the date of diagnosis. The category “Encephalitis Viral” includes St. Louis encephalitis and all other types of viral encephalitis except for West Nile virus. This may differ somewhat from other reports that include only certain types of encephalitides. Prior to 2008, hepatitis B data were also obtained from the MCDPH. This report uses hepatitis B data for confirmed and probable acute cases from ADHS. Comparison of hepatitis B cases in 2008 and 2009 to previous years will show a decrease in the total number of cases. This decrease is most likely due to changes in the investigation of the disease and not due to a change in the communicability of the disease in Maricopa County. Maricopa County Health Status Report 2010 Page 77 In 2009, a major laboratory changed reporting practices for coccidiodomycosis. Due to these changes, a large increase in the total number of cases has been observed. This increase in cases does not mean there is an increase of disease in Maricopa County. Rather, this means that more cases are being reported to public health. In Tables 3.01a through 3.03b, the category labeled “All Others” includes all reportable diseases in the ADHS communicable disease database that are not listed previously on the table. In Table 3.04, comparison morbidity rates for Arizona can be found in Arizona Health Status and Vital Statistics 2010, http://www.azdhs.gov/plan/report/ahs/ahs2010/chptr3a_3c.pdf. The rates for HIV and AIDS for Arizona were provided directly from ADHS on June 30, 2011. All U.S. rates are for 2010 and may be found in Morbidity and Mortality Weekly Report Vol 58 no. 53 May 13, 2011 at http://www.cdc.gov/mmwr/PDF/wk/mm5853.pdf. Healthy People 2010 Goals are set by the Department of Health and Human Services and may be found at www.healthypeople.gov/Document /tableofcontents.htm . Natality (Birth) Statistics Natality (birth) statistics are shown in Tables 4.01 through 4.24. The natality percentages for some groups such older and younger maternal age groups (under 15 and over 45) or certain racial/ethnic groups may be high compared to other groups. These groups have relatively small numbers of births in Maricopa County (as shown in Table 4.01). Although percentages may be high, they may represent only one or two cases in a given category. Therefore, it is advisable to check the raw numbers in addition to the rates. All data on birth statistics are from birth certificates included in the ADHS final annual files. The data presented in this report include births to mothers whose county of residence is Maricopa County. This may include births that did not occur in Maricopa County. Also included are some births that occurred outside of Arizona to mothers who reside in Arizona but whose county and city of residence is unknown. National Center for Health Statistics rules state that if a birth does not occur in the state of residency and the county and city are unknown, the city of residency is assigned to the largest city in the state of residency. For Arizona, the largest city is Phoenix. For further explanation, please see http://www.cdc.gov/nchs/data/dvs/3amanual.pdf. During the course of routine data review, several births were identified as being in one county even though their city and ZIP codes indicated that they lived in a different county. For these discrepant cases, final classification in this report was based on the address of the resident. (The address is determined by reviewing the street address, city, county, and ZIP code). Therefore, the numbers presented in this report may not precisely match those presented by ADHS in other reports. Table 4.24 compares natality measures for Maricopa County to Arizona and the U.S. Arizona figures for 2010 can be found in Arizona Health Status and Vital Statistics 2010, published by ADHS at http://www.azdhs.gov/plan/report/ahs/ahs2010/chptr1a_1d.pdf. Infant mortality statistics are from unlinked data or the number of infant deaths in a given year. U.S. data are preliminary for 2010, from the National Center for Health Statistics and can be found in Deaths: Preliminary Data for 2010, National Vital Statistics Reports, Vol 60, no 4, January 11, 2012 at http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_04.pdf. Maternal mortality data for the U.S. are unavailable for the most recent report. This is due to the changes on the death certificates nationwide. States that have adopted the 2003 standard consistently had higher rates of maternal deaths due to the changes discussed in the mortality section of these technical notes. U.S. Data for low birthweight births and births to teen mothers can be found in Births: Preliminary Data for 2010, National Vital Statistics Reports, Vol 60, no 2, November 2011 at http://www.cdc.gov/nchs/data/nvsr/nvsr60/nvsr60_02.pdf . An explanation of unlinked infant mortality data is presented below. Maricopa County Health Status Report 2010 Page 78 1 Adequate prenatal care is based on the Adequacy of Prenatal Care Utilization Index (APCUI) . This index considers both the timing of prenatal care initiation and the number of visits after care was initiated, comparing the number of actual visits to the number of visits recommended by the American College of Obstetricians and Gynecologists. This index does not describe the quality of the care or adjust for maternal risk factors. Only singleton (the birth of one baby rather than twins, triplets, or other multiple births) births are shown in these tables because twins and higher order births are typically higher risk pregnancies, and the index is not appropriate for summarizing their prenatal care usage. a) Inadequate: Prenatal care began after the fourth month of pregnancy or less than 50% of the expected prenatal care visits were attended b) Intermediate: Prenatal care began before the fourth month and 50 to 70% of the expected visits were attended c) Adequate: Prenatal care began prior to the fourth month and 80-109% of expected visits were attended d) Adequate plus: Prenatal care began prior to the fourth month of pregnancy and 110% or more of the expected visits were attended Maternal deaths reported in Table 4.24 are based on death certificates where the pregnancy status was either “Pregnant at the time of death” or “Not pregnant, but pregnant within 42 days of death,” and a pregnancy condition is mentioned anywhere on the death certificates. Maternal deaths where the underlying cause of death was not pregnancy were counted using multiple causes of death (MCD) data supplied by ADHS with the final annual mortality files. Pregnancyrelated deaths are based on death certificates where the pregnancy status was marked as either “Pregnant at the time of death” or “Not pregnant, but pregnant within 42 days of death,” regardless on the cause of death. The following definitions related to reproductive health have been established by National Center 2 for Health Statistics : 3 Birth or Live Birth – The complete expulsion or extraction from the mother of a product of human conception, irrespective of the duration of pregnancy or birthweight which, after such expulsion or extraction, breathes or shows any other evidence of life such as beating of the heart, pulsation of the umbilical cord or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached. Fertility Rate – Number of live births during a calendar year per 1,000 women age 15 to 44. Births to Teenage Mothers − Live births occurring to females under age twenty. Birth Weight – The weight of a neonate determined immediately after delivery or as soon thereafter as possible. Low Birthweight – Any neonate weighing less than 2,500 grams at birth (less than 5 pounds 8 ounces). Very Low Birthweight – Any neonate weighing less than 1,500 grams at births (less than 3 pounds, 4 ounces). Preterm – Any neonate whose birth occurs through the end of the last day of the 37 th week (259 day), following onset of the last menstrual period. 1 th Kotelchuck, M. An Evaluation of the Kessner Adequacy of Prenatal Care Index and a Proposed Adequacy of Prenatal Care Utilization Index, American Journal of Public Health, 1994; 84(9):1414-1420. 2 NCHS guidelines were adopted from those established by the World Health Organization (WHO). 3 The Arizona statute defining a live birth follows this definition. Maricopa County Health Status Report 2010 Page 79 Infant Death – Any death at any time from birth up to, but not including, the first year of age (<365 days). Infant Mortality Rate – Number of infant deaths per 1,000 live births. Maternal Mortality Rate – Number of deaths to “a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management, but not 4 from accidental or incidental causes” per 100,000 births. Pregnancy-related Mortality Rate-Number of deaths to “a woman while pregnant or within 5 42 days of termination of pregnancy, irrespective of the cause of death.” Neonatal Mortality Rate – Number of deaths to infants at or under 28 days of age, per 1,000 live births. Postnatal (Postneonatal) Mortality Rate – Number of deaths to infants between 29 days and 365 days after birth, per 1,000 live births. Unlinked Infant Mortality – The number of infant deaths in a given calendar year, as determined from mortality records. Hospital Discharge Data Statistics Hospital discharge data are presented in tables 5.01 through 5.10. Hospital Discharge Data (HDD) are submitted by Arizona Hospitals to Arizona Department of Health Services (ADHS). Data are submitted by half years, with the first half (January 1 – June 30) due August 15 of the same year and the second half (July 1 – December 31) due by February th 15 of the following year. ADHS then prepares the data for public release and the data are released between 3 and 6 months after collection. These datasets only contain hospitalizations from facilities within the state of Arizona. Hospitalizations of Maricopa Residents that occur outside of Arizona are not captured. HDD provides an address for each patient but does not include information about the county of residence. In order to select Maricopa County Residents, an algorithm was derived to determine residence based on city, state, and ZIP code. The list of cities and ZIP codes within Maricopa County are based on a national ZIP code database that is updated regularly with new ZIP codes and cities (U.S. ZIP code Database – Business version from: http://www.zip-codes.com/zip-codedatabase.asp). The algorithm is available by contacting the Office of Epidemiology by email at epidemiology@mail.maricopa.gov. Hospitalization Discharges represent the number of discharges from facilities within Arizona during a calendar year and are not unique patients. Therefore, if a person is hospitalized multiple times in a calendar year, that person will be represented multiple times in the dataset. Additionally, there is the probability that one patient may have two or more billing discharges for the same hospital encounter as a result of transfers between facilities and/or transfers between units of the same facility. All federal, state, military, and Department of Veteran Affairs‟ hospitals are excluded. No behavioral health hospitals reported data during this time period. Long-term acute care (LTAC) and rehabilitation hospitals are excluded from this report because patients in these settings are 4 Hoyert DL, Maternal mortality and related concepts. National Center for Health Statistics. Vital Health Stat 3 (33). 2007. 5 Ibid. Maricopa County Health Status Report 2010 Page 80 usually transferred from another facility to the LTAC or rehabilitation hospital and have an average stay of 25 days or longer. Pregnant woman and newborns were analyzed separately from other hospital discharges. This allows for better comparison of the burden of disease between sex and age groups. Pregnant women were defined as any female, with an ICD-9 code between 630-679 or V30-V39 and an age greater than 5 years in their record. Newborns were defined as a record having age = 0 and a social security number of „1111,‟ which is used to denote newborns, and an ICD-9 code of V30V39. Insurance types were grouped into the following categories: Self-pay, Private Insurance (Commercial, HMOs, PPOs, and Health Care Groups), Medicare (including Medicare Risk), AHCCCS/Medicaid, and other (CHAMPUS/TRICARE, Children‟s Rehab Services, Worker‟s Compensation, Charity, Foreign National, and other). Due to the exclusion of federal hospitals, there is the potential to have an underestimation of total discharges for American Indians in this report, because they may have sought care at a federal facility. In HDD, ICD-9-CM codes are used to identify the reasons for hospitalization. These codes are then grouped into categories for analysis. For this report, only the primary diagnosis codes are analyzed. Records without a primary diagnosis code or with an unknown code are classified as unknown. Table 7.3 Diagnostic Categories and corresponding ICD-9-CM codes Category of Primary Diagnoses Infectious and parasitic diseases Septicemia Neoplasms Malignant neoplasms Malignant neoplasm - large intestine & rectum Malignant neoplasm - trachea, bronchus, & lung Malignant neoplasm - breast Benign neoplasms Endocrine, nutritional & metabolic diseases, & immunity disorders Diabetes mellitus Volume depletion (dehydration) Diseases of the blood and blood-forming organs Mental disorders Psychoses Alcohol dependence syndrome Diseases of the nervous system and sense organs Diseases of the circulatory system Heart disease Acute myocardial infarction Coronary atherosclerosis Other ischemic heart disease Cardiac dysrhythmias Congestive heart failure Cerebrovascular disease ICD-9-CM Code 001–139 38 140–239 140–208,230–234 153–154,197.5 162,176.4,197.0,197.3 174–175,198.81 210–229 240–279 250 277 280–289 290–319 290–299 303 320–389 390–459 391–392.0,393– 398,402,404,410–416,420–429 410 414 411–413,414.1–414.9 427 428.0 430–438 Maricopa County Health Status Report 2010 Page 81 Category of Primary Diagnoses Diseases of the respiratory system Acute bronchitis and bronchiolitis Pneumonia Chronic bronchitis Asthma Diseases of the digestive system Appendicitis Noninfectious enteritis and colitis Cholelithiasis Diseases of the genitourinary system Calculus of kidney and ureter Complications of pregnancy, childbirth, and the puerperium Diseases of the skin and subcutaneous tissue Cellulitis and abscess Diseases of the musculoskeletal system and connective tissue Osteoarthrosis and allied disorders Intervertebral disc disorders Congenital anomalies Certain conditions originating in the perinatal period Symptoms, signs, and ill-defined conditions Injury and poisoning Fractures, all sites Fracture of neck of femur Poisonings Other healthcare encounters ICD-9-CM Code 460–519 466 480-486 491 493 520-579 540–543 555–558 574 580–629 592 630–677 680–709 681–682 710–739 715 722 740–759 760–779 780–799 800–999 800–829 820 960–989 990–999 Behavioral (BRFSS) Statistics Behavioral Risk Factor Surveillance System (BRFSS) data are presented in tables 6.01 through 6.06. All data on BRFSS statistics are from data from the Arizona Department of Health Services (ADHS) final annual files. The data presented in this report includes information collected from Maricopa County residents during telephone survey interviews conducted by ADHS. Arizona residents that were interviewed and responded that lived in another Arizona county were not included. The BRFSS is a state-based, cross-sectional, random telephone survey of household residents aged 18 and older conducted throughout the year. It has been conducted in Arizona since 1982. The BRFSS gathers information on risk factors related to both chronic and infectious diseases. Tables 6.01 through 6.06 are organized such that similar questions are shown together. Each table lists a short description of the topic for each question and the estimated percent of Maricopa County residents that met the condition, by sex, selected age groups, and selected races. Due to a small sample size for some demographic groups, they are not shown in the tables (i.e., Black, American Indian, and Asian residents are not shown) or are combined into a larger group (i.e., 18-24 and 25-34 year olds are combined into one age group). Unless otherwise stated below, respondents may respond with either “Yes” or “No” to each question. Respondents can also respond to all questions with “Don‟t know/not sure” or they can refuse to answer. Each question reported follows. Maricopa County Health Status Report 2010 Page 82 In Table 6.01, questions that are based on self-reported health indicators are shown. Health Status is from the question that asks “Would you say that in general your health is: Excellent, Very Good, Good, Fair, or Poor.” Respondents who answered “Excellent,” “Very Good,” or “Good” are reported. Life Satisfaction is from the question that asks “In general, how satisfied are you with life; Very Satisfied, Satisfied, Dissatisfied, or Very Dissatisfied.” Respondents who answered “Very Satisfied” or “Satisfied” are reported. Activity Limited Due to Health Problems is from the question that asks “Are you limited in any way in any activities because of physical, mental, or emotional problems”? Respondents who answered “Yes” are reported. BMI: Obese and Overweight is based on a calculated BMI (body mass index) from the respondent‟s given height and weight. Individuals with a BMI over 25 and under 30 are classified as overweight and individuals with a BMI 30 or greater are considered obese. Fruit and Vegetable Consumption is calculated based on several questions: “How often do you drink fruit juices such as orange, grapefruit, or tomato?” “How often do you eat fruit, green salad, potatoes, and carrots?” and “Not counting carrots, potatoes or salad, how many servings of vegetables do you usually eat?” Respondents who were calculated as eating 5 or more servings of fruits and vegetables per day are reported. Seat Belt Use is from the question “How often do you use seat belts when you drive or ride in a car?” The respondent could answer “Always,” “Nearly Always,” “Sometimes,” “Seldom,” or “Never.” Respondents who answered “Always” are reported. Table 6.02 shows a list of medical conditions that a medical provider may have told the respondent they have is shown. Coronary Heart Disease, Heart Attack, Stroke, Diabetes, Asthma, Emphysema, and Prostate Cancer are from similar questions that ask “Have you ever been told by a doctor that you have…?” Adults that responded “Yes” to each of the medical conditions are reported. Diabetes does not include females who only had diabetes during a pregnancy and does not include respondents who stated they have been told they have prediabetes or borderline diabetes. Prostate cancer includes only males. In Table 6.03 is a list of behaviors related to alcohol and tobacco. Binge Drinking and Heavy Drinking are based on several questions. The first question asked “During the past 30 days, have you had at least one drink of any alcoholic beverage such as beer, wine, a malt beverage, or liquor?” If the respondent answered “Yes” they are then asked additional questions. Binge Drinking was determined by asking “Considering all types of alcoholic beverages, how many times during the past 30 days did you have X or more drinks on an occasion?” The value of X was 5 if the respondent was male and 4 if the respondent was female. Binge Drinking includes residents that had five or more drinks on one occasion for males, or four or more drinks on one occasion for females. Heavy Drinking was determined by asking two questions: “During the past 30 days, how many days per week or per month did you have at least one drink of any alcoholic beverage?” and “During the past 30 days, on the days when you drank, about how many drinks did you drink on average.” Heavy Drinking includes residents who had more than two drinks per day if male and more than one drink per day if female. Current Smoker and Former Smoker are based on two questions. The first question is “Have you smoked at least 100 cigarettes in your entire life?” One hundred cigarettes is equivalent to five packs. If they answered “Yes” they were then asked the second question. The second question is “Do you now smoke cigarettes every day, some days, or not at all?” Adults who report smoking “Every day” or “Some days” are categorized as Current Smoker while adults who report smoking “Not at all” are categorized as Former Smoker. Table 6.04 lists several types of recommended health screenings that adults may have done during their lifetime. Ever Had an HIV Test is from the question “Have you ever been tested for HIV?” Respondents who answered “Yes” are reported, however this question specifies that the HIV test does not include tests performed as part of a blood donation. Ever Had a Colonoscopy/Sigmoidoscopy Screening is from the question that asks “Have you ever had either a sigmoidoscopy or colonoscopy?” Current recommendations from the American Cancer Society are that all individuals 50 years or older should either have a colonoscopy every 10 years or a sigmoidoscopy every 5 years for the early detection of colon cancer. Adults 50 years old or older who have ever had either a sigmoidoscopy or colonoscopy are shown. Ever Had a Mammography Screening is from the question that asks “Have you ever had a mammogram?” Maricopa County Health Status Report 2010 Page 83 Current recommendations from the American Cancer Society are that all females 40 years old or older should have a mammogram every two years. Females 40 years old or older who have ever had a mammogram are reported. Routine Mammography is from the question “How long has it been since you had your last mammogram?” The respondent may answer “Within past year,” “Within past 2 years,” “Within the past 3 years,” “Within past 5 years,” or “5 or more years ago.” Female respondents 40 years old or older who reported ever having a mammography done and answered “Within past year” or “Within past 2 years” are reported. Ever Had a Pap Smear is from the question “Have you ever had a Pap test?” Female respondents that answered “Yes” are reported. This similar to the American Cancer Society recommendation that all females 18 to 30 years old have an annual pap smear and that females over 30 who have had normal pap smear only need to have one every 3 years for the early detection of cervical cancer. Routine Pap Smear is from the question “How long has it been since you had your last pap test?” The respondent may answer “Within past year,” “Within past 2 years,” “Within the past 3 years,” “Within past 5 years,” or “5 or more years ago.” Female respondents who reported ever having a Pap test done and answered “Within the past year,” “Within past 2 years,” or “Within past 3 years” are reported. Ever Had a Prostate Screening is from the question “Have you ever had a PSA test?” Male respondents 50 years old or older are reported. This meets the American Cancer Society recommendation that males 50 years old or older should have a PSA test done for the early detection of prostate cancer. Prostate Cancer Screening is from the question “How long has it been since you had your last PSA test?” The respondent may answer “Within past year,” “Within past 2 years,” “Within the past 3 years,” “Within past 5 years,” or “5 or more years ago.” Male respondents 50 years old or older who reported ever having a PSA test and answered “Within the past year” or “Within the past 2 years” are reported. Table 6.05 includes adult vaccinations that are recommended by the Advisory Committee for Immunization Practices (ACIP). Yearly Influenza Vaccine is from the question “During the past 12 months, have you had a flu shot?” Respondents who said “Yes” are reported. Pneumonia Vaccine is from the question “Have you ever had a pneumonia shot?” Respondents who said “Yes” are reported. Shingles Vaccine is from the questions “Have you had this [shingles] vaccine?” The shingles vaccine is recommended for adults 60 years old or older and approved for adults 50 years old or older. Respondents 50 years old or older who said “Yes” are reported. Table 6.06 includes several questions related to the mental health of Maricopa County residents. Emotional Support is from the question “How often do you get the social and emotional support you need.” The respondent may answer “Always,” “Usually,” “Sometimes,” “Rarely,” “Never.” The table shows residents that responded “Always” or “Usually.” Anxiety Disorder is from the question “Has a doctor or other healthcare provider ever told you that you have an anxiety disorder (including acute stress disorder, anxiety, generalized anxiety disorder, obsessivecompulsive disorder, panic disorder, phobia, posttraumatic stress disorder, or social anxiety disorder)?” Respondents that answered “Yes” are reported. Depressive Disorder is from the question “Has a doctor or other healthcare provider ever told you that you have a depressive disorder (including depression, major depression, dysthymia, or minor depression)?” Respondents that answered “Yes” are reported. Table 6.07 includes questions related to health care coverage and utilization for residents. Health Care Coverage is the question that asks “Do you have any kind of health care coverage, including health insurance, prepaid plans such as HMOs, or government plans such as Medicare.” Respondents 18-64 that answered “Yes” are reported due to the majority of 65+ respondents being covered under a government plan such as Medicare. Time Since Last Routine Checkup is the question that asks “About how long has it been since you last visited a doctor for a routine checkup, not an exam for a specific injury, illness or condition?” The respondent may answer “Within past year,” “Within past 2 years,” “Within past 5 years,” “5 or more years ago,” “or “Never.” Respondents that answered “Within past year” are reported. Could Not Afford Needed Health Care is from the question “Was there a time in the past 12 months when you needed to see a doctor but could not because of cost?” Adults that answered “Yes” are shown. Time Since Last Dental Exam is from the question “How long has it been since you last visited a Dentist or a dental clinic for any reason? Include visits to dental specialists, such Maricopa County Health Status Report 2010 Page 84 as orthodontists.” The respondent may answer “Within past year,” “Within past 2 years,” “Within past 5 years,” “5 or more years ago,” “or “Never.” Respondents that answered “Within past year” are reported. BRFSS data are weighted to account for unequal probabilities of being selected and to adjust the numbers of those selected to reflect the actual state population estimates. Table 7.5 shows the number of individuals who responded in the affirmative (based on the specific answers already described) to the specified criteria. The total number of respondents per demographic group is shown in the first row, next to “Total Observations.” Unweighted N‟s are the total number of respondents who answered each question by demographic groups. Weighted N‟s are not shown. In 2010, a total 1,301 residents of Maricopa County answered the BRFSS. Table 7.5 Total Maricopa County Residents by Reported Question-2010 BRFSS Male Female 18354555- 65+ White Hispanic People Fitting Criteria 34 44 54 64 NonHispanic Total Observations 503 798 131 160 227 287 496 1,028 155 General Health Status 408 644 121 138 185 231 377 854 100 Life Satisfaction 447 709 112 146 192 143 463 924 132 Activity Limitations 128 215 12 24 42 90 175 299 22 BMI-Overweight 248 255 43 65 85 108 202 412 52 BMI-Obese 113 166 25 35 56 73 90 214 47 Fruit and Vegetables 105 226 32 32 47 71 149 271 27 Seat Belt 431 707 105 142 196 248 447 909 135 Coronary Heart Disease 46 39 0 1 2 19 63 78 3 Heart Attack 48 39 1 1 8 17 60 77 6 Stroke 26 35 2 1 2 9 47 51 8 Diabetes 64 86 1 6 20 48 75 105 30 Emphysema 15 21 1 1 3 9 22 31 2 Prostate Cancer 25 NA 0 0 0 1 24 19 3 Binge Drinking 79 55 29 25 37 26 17 101 26 Heavy Drinking 15 43 5 6 14 13 20 52 4 Current Smoker 74 94 24 19 37 35 53 135 20 Former Smoker 189 235 22 34 57 95 216 360 31 Ever had HIV Test 96 170 65 81 63 57 0 168 53 Ever had Colonoscopy 225 370 NA NA 58 175 362 536 36 Ever had Mammogram NA 640 12 60 118 156 294 532 67 Last Mammogram NA 477 NA 22 99 120 236 405 44 Ever had Pap Smear NA 397 67 76 83 81 90 301 57 Last Pap Smear NA 397 67 76 83 81 90 301 57 Ever had PSA 298 NA NA 14 53 80 151 264 20 Last PSA 251 NA NA 12 45 60 134 224 17 Influenza Vaccine 220 399 35 48 72 130 334 529 52 Pneumonia Vaccine 178 340 24 19 39 92 344 447 38 Shingle Vaccine 31 78 0 0 1 15 93 103 5 Emotional Support 354 608 100 121 172 212 357 790 95 Anxiety Disorder 50 105 19 24 32 39 41 126 17 Depressive Disorder 67 151 24 25 51 53 65 185 20 Health Care Coverage 281 402 107 128 203 245 NA 519 87 Last Checkup 344 608 87 96 150 201 418 762 102 Unable to Afford Health Care 42 86 14 27 29 34 24 71 39 Last Dental Exam 351 563 88 110 158 201 357 761 83 Maricopa County Health Status Report 2010 Page 85 Total 1,301 1,052 1,156 503 279 331 1,138 85 87 61 150 36 25 134 58 168 424 266 595 640 477 397 397 298 251 619 518 109 962 155 218 683 952 128 914 For more information on the BRFSS visit the CDC‟s BRFSS website: http://www.cdc.gov/brfss/index.htm or Arizona Behavioral Risk Factor Survey at: http://www.azdhs.gov/plan/brfs/. Healthy People 2010 Goals The Centers for Disease Control and Prevention provide national health goals for the year 2010 – Healthy People (HP) 2010 goals. Some of these goals are shown in Tables 2.14, 3.04, and 4.16. A hyphen indicates that no goal has been set for that indicator or the goal is not comparable to Maricopa County data shown. “0” indicates that the goal is zero. This report provides HP 2010 Goals only when the goals are comparable to Maricopa County data. A goal is considered comparable in this report if two conditions exist: First, the HP Goal must include the same conditions as are included in the Maricopa County data. For example, if the Maricopa County figure for heart disease includes all heart disease but the HP 2010 goal includes only coronary heart disease, the goal is not listed as a comparison to the heart disease rate. Second, the HP 2010 goals use ICD-9 codes while the Maricopa County data use ICD-10 codes. Therefore, they may or may not be comparable. For this reason, only select HP 2010 goals are presented here for comparison. A nationally tested “conversion ratio” between ICD-9 and ICD-10 codes for any given condition must fall between certain boundaries. The conversion ratio measures how closely the two classifications resemble each other. A conversion ratio of “1” means that the ICD-9 codes are equivalent to the ICD-10 codes for that category. If the conversion ratio is between 0.95 and 1.05, a direct comparison is made with no mention of any differences. If the ratio does not meet this requirement, but is between 0.80 and 1.20, the potential bias is mentioned in the report, along with specifying the direction of the bias. A ratio that exceeds the .80 to 1.20 range is not used for comparisons. The conversion ratios are from Deaths: Final Data for 1999, National Vital Statistics Reports, Volume 49:8, National Center for Health Statistics. More information on the technical aspects of HP 2010 can be found at www.healthypeople.gov/ document/tableofcontents.htm#tracking. More Information For more information on population and health statistics, please visit the following websites: Maricopa County Department of Public Health: http://www.maricopa.gov/Public_Health/ Arizona Department of Health Services: www.hs.state.az.us Centers for Disease Control and Prevention, National Center for Health Statistics: www.cdc.gov/nchs Department of Economic Security: https://www.azdes.gov/aspnew/default.asp United States Census Bureau: Census Bureau Homepage Maricopa County Health Status Report 2010 Page 86