Maricopa County Health Status Report 2002 – 2006 Five Year Trends Reference Tables Prepared by the Maricopa County Department of Public Health Office of Epidemiology April 2008 Maricopa County Acknowledgements This report was prepared by the Maricopa County Department of Public Health, Office of Epidemiology. Alana Shacter, Epidemiologist Liva Nohre, Sr. Epidemiologist Sarah Santana, Director 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. Mare Schumacher, Tammy Sylvester, Vjollca Berisha, Natalie Fuller – Office of Epidemiology and Data Services Tom Mickey, Deborah Ramon – Maricopa County Department of Public Health, Division of Clinical Services Kristina Schaller – Arizona Department of Health Services S. Robert Bailey – Arizona Department of Health Services Christopher Mrela – 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/public_health/epi/ 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 2002-2006, Five Year Trends: Reference Tables. Phoenix (AZ): 2008. Maricopa County Health Status Report 2002-2006 Five Year Trends: Reference Tables Table of Contents Introduction i I. Maricopa County Population Statistics – 2002-2006 Tables 1 Table 1.01 Table 1.02 Table 1.03 Table 1.04 Table 1.05 Table 1.06 Table 1.07 Table 1.08 Table 1.09 Table 1.10 Table 1.11 Population Estimates by Age, Sex, and Race/Ethnicity, 2006 Population by Race/Ethnicity, Age, and Sex, 2006 Population Estimates by Age, Sex, and Race/Ethnicity 2005 Population by Race/Ethnicity, Age, and Sex, 2005 Population Estimates by Age, Sex, and Race/Ethnicity 2004 Population by Race/Ethnicity, Age, and Sex, 2004 Population Estimates by Age, Sex, and Race/Ethnicity 2003 Population by Race/Ethnicity, Age, and Sex, 2003 Population Estimates by Age, Sex, and Race/Ethnicity 2002 Population by Race/Ethnicity, Age, and Sex, 2002 Maricopa County, Phoenix, and Arizona Population 1980-2006 2 3 4 5 6 7 8 9 10 11 12 II. Maricopa County Five-Year Health Trends 13 Table 2.01a Table 2.01b Selected Underlying Causes of Death 2002-2006, Number of Deaths Selected Underlying Causes of Death 2002-2006, Crude Death Rate per 100,000 Residents Other Selected Underlying Causes of Death 2002-2006, Number of Deaths Other Selected Underlying Causes of Death 2002-2006, Crude Death Rate per 100,000 Residents Firearm, Drug, and Alcohol Induced and Related Deaths 2002-2006, Number of Deaths Firearm, Drug, and Alcohol Induced and Related Deaths 2002-2006, Crude Death Rate per 100,000 Residents Number of Confirmed Cases to Residents of Selected Reportable Diseases, 2002-2006 Case Rates per 100,000 Residents for Selected Reportable Diseases, 2002-2006 Congenital Syphilis by Race/Ethnicity and Year, Number of Cases, 2002-2006 Congenital Syphilis by Race/Ethnicity and Year, Case Rates per 100,000 Live Births, 2002-2006 Hansen’s Disease Prevalence Selected Maternal & Child Health Indicators, 2002-2006 Selected Maternal & Child Health Indicator Percentages, 2002-2006 Infant Mortality by Race/Ethnicity of Mother, 2002-2006 (Linked) Infant Mortality Rates by Race/Ethnicity of Mother, 2002-2006 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Age of Mother, 2002-2006 (Linked) Infant Mortality Rates by Age of Mother, 2002-2006 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Educational Level of Mother, 2002-2006 (Linked) Infant Mortality Rates by Educational Level of Mother, 2002-2006 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Birthweight, 2002-2006 (Linked) 14 15 Table 2.02a Table 2.02b Table 2.03a Table 2.03b Table 2.04a Table 2.04b Table 2.05a Table 2.05b Table 2.06 Table 2.07a Table 2.08b Table 2.08a Table 2.08b Table 2.09a Table 2.09b Table 2.10a Table 2.10b Table 2.11a 16 17 18 18 19 20 21 21 21 22 23 24 24 24 24 25 25 25 Maricopa County Health Status Report 2002-2006 Five Year Trends: Reference Tables Table of Contents Table 2.11b Table 2.12 Table 2.13a Table 2.13b Table 2.14a Table 2.14b III. Infant Mortality Rates by Birthweight, 2002-2006 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality and Rates by Age of Infant, 2002-2006 (Linked & Unlinked) Infant Mortality by Age of Infant and Race/Ethnicity of Mother, 2002-2006 (Linked) Infant Mortality Rates by Age of Infant and Race/Ethnicity of Mother, 2002-2006 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Race/Ethnicity of Infant, 2002-2006 (Unlinked) Infant Mortality by Race/Ethnicity of Infant, 2002-2006 (Unlinked), Infant Mortality per 1,000 Live Births Technical Notes 25 26 27 27 28 28 29 Introduction This report provides health status information for the years 2002 to 2006 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 • • • Communicable Disease Example: 75 residents of Maricopa County were diagnosed with a confirmed case of West Nile Virus in 2006. Natality (Birth) Example: There were 790 infants born with a very low birthweight (less than 1500 grams) in 2006. Rate or percentage of cases in the county • • Communicable Disease Example: For every 100,000 residents of Maricopa County, 2.0 were diagnosed with West Nile Virus in 2006. Natality (Birth) Example: Among all live births in 2006, 1.2% of infants were born with a very low birthweight. All data in this report are for calendar years 2002 through 2006. Information on data sources and methodology are in Section III – Technical Notes. Maricopa County Health Status Report 2002-2006 Page i I. Maricopa County Population Statistics 2002-2006 Tables Maricopa County Health Status Report 2002-2006 Page 1 Maricopa County Population Statistics Table 1.01 Population Estimates by Age, Sex, and Race/Ethnicity, 2006 Race/Ethnicity by Sex 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 Males No. % 159,221 145,272 139,821 130,843 132,919 310,398 286,596 237,176 172,158 98,661 62,497 20,904 8.4% 7.7% 7.4% 6.9% 7.0% 16.4% 15.1% 12.5% 9.1% 5.2% 3.3% 1.1% 1,896,466 Females No. % 152,462 138,217 133,441 122,198 117,892 278,352 269,162 239,106 185,203 113,399 84,808 37,417 8.1% 7.4% 7.1% 6.5% 6.3% 14.9% 14.4% 12.8% 9.9% 6.1% 4.5% 2.0% 1,871,657 Race/Ethnicity Total No. 311,683 283,489 273,262 253,041 250,811 588,750 555,758 476,282 357,361 212,060 147,305 58,321 % 8.3% 7.5% 7.3% 6.7% 6.7% 15.6% 14.8% 12.6% 9.5% 5.6% 3.9% 1.6% Males No. White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hisp. Asian Other/2+ Races 1,120,051 587,041 75,483 27,436 9,549 52,214 24,692 Total 1,896,466 % 59.1% 31.0% 4.0% 1.4% 0.5% 2.8% 1.3% Females No. % 1,155,038 523,919 73,063 30,099 9,047 55,932 24,559 61.7% 28.0% 3.9% 1.6% 0.5% 3.0% 1.3% 1,871,657 3,768,123 Age by Race/Ethnicity Age White No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 132,163 129,201 133,120 133,866 132,133 292,875 336,979 340,410 284,215 176,730 130,486 52,911 2,275,089 Hispanic % 5.8% 5.7% 5.9% 5.9% 5.8% 12.9% 14.8% 15.0% 12.5% 7.8% 5.7% 2.3% No. 143,549 120,886 107,246 88,536 90,020 228,850 158,048 91,625 47,170 21,425 10,272 3,333 1,110,960 African American % 12.9% 10.9% 9.7% 8.0% 8.1% 20.6% 14.2% 8.2% 4.2% 1.9% 0.9% 0.3% No. 12,123 11,835 12,817 12,658 11,601 23,685 23,970 19,050 11,045 5,896 2,897 969 148,546 % 8.2% 8.0% 8.6% 8.5% 7.85% 15.9% 16.1% 12.8% 7.4% 4.0% 2.0% 0.7% American Indian Non-Hispanic Hispanic No. % No. % No. 5,965 4,995 4,923 5,202 4,828 11,193 8,829 5,827 3,269 1,534 714 256 8,532 7,205 6,719 5,931 6,544 22,506 20,351 13,938 8,576 4,917 2,266 661 57,535 10.4% 8.7% 8.6% 9.0% 8.4% 19.5% 15.4% 10.1% 5.7% 2.7% 1.2% 0.4% 1,648 2,082 2,179 1,988 1,665 3,240 2,752 1,766 770 369 128 9 8.9% 11.2% 11.7% 10.7% 9.0% 17.4% 14.8% 9.5% 4.1% 2.0% 0.7% 0.1% 18,596 Asian 108,146 Other/2+ Races % 7.9% 6.7% 6.2% 5.5% 6.1% 20.8% 18.8% 12.9% 7.9% 4.6% 2.1% 0.6% No. 7,703 7,285 6,258 4,860 4,020 6,401 4,829 3,666 2,316 1,189 542 182 % 15.6% 14.8% 12.7% 9.9% 8.2% 13.0% 9.8% 7.4% 4.7% 2.4% 1.1% 0.4% 49,251 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2006. Maricopa County Health Status Report 2002-2006 Page 2 Total No. 311,683 283,489 273,262 253,041 250,811 588,750 555,758 476,282 357,361 212,060 147,305 58,321 3,768,123 Maricopa County Population Statistics Table 1.02 Population by Race/Ethnicity, Age, and Sex, 2006 Females Age White No. 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 64,765 62,839 64,816 64,972 64,025 73,233 70,892 79,637 86,843 90,145 82,119 82,226 65,517 51,378 42,831 108,800 Hispanic % No. 5.6% 5.4% 5.6% 5.6% 5.5% 6.3% 6.1% 6.9% 7.5% 7.8% 7.1% 7.1% 5.7% 4.4% 3.7% 9.4% 70,091 58,950 52,406 42,424 40,136 51,810 48,879 39,696 32,354 25,353 18,660 13,929 9,534 6,658 4,908 8,131 1,155,038 African American % 13.4% 11.3% 10.0% 8.1% 7.7% 9.9% 9.3% 7.6% 6.2% 4.8% 3.6% 2.7% 1.8% 1.3% 0.9% 1.6% 523,919 No. 6,018 5,794 6,346 6,007 5,408 5,686 5,688 5,800 5,845 5,207 4,023 3,312 2,376 1,804 1,346 2,403 % 8.2% 7.9% 8.7% 8.2% 7.4% 7.8% 7.8% 7.9% 8.0% 7.1% 5.5% 4.5% 3.3% 2.5% 1.8% 3.3% 73,063 American Indian Non-Hispanic Hispanic No. % No. % 3,025 2,480 2,453 2,609 2,507 3,227 2,679 2,307 2,256 1,811 1,453 1,124 671 543 360 594 10.1% 8.2% 8.1% 8.7% 8.3% 10.7% 8.9% 7.7% 7.5% 6.0% 4.8% 3.7% 2.2% 1.8% 1.2% 2.0% 30,099 828 1,067 1,047 1,024 842 782 685 687 592 506 340 205 153 115 86 88 9.2% 11.8% 11.6% 11.3% 9.3% 8.6% 7.6% 7.6% 6.5% 5.6% 3.8% 2.3% 1.7% 1.3% 1.0% 1.0% 9,047 Asian No. 4,187 3,643 3,302 2,806 2,972 5,198 6,249 5,761 4,845 4,057 3,518 2,888 2,008 1,575 1,153 1,770 Other/2+ Races % 7.5% 6.5% 5.9% 5.0% 5.3% 9.3% 11.2% 10.3% 8.7% 7.3% 6.3% 5.2% 3.6% 2.8% 2.1% 3.2% 55,932 No. 3,548 3,444 3,071 2,356 2,002 1,894 1,450 1,297 1,242 1,030 884 694 566 387 255 439 % 14.4% 14.0% 12.5% 9.6% 8.2% 7.7% 5.9% 5.3% 5.1% 4.2% 3.6% 2.8% 2.3% 1.6% 1.0% 1.8% 24,559 Total No. 152,462 138,217 133,441 122,198 117,892 141,830 136,522 135,185 133,977 128,109 110,997 104,378 80,825 62,460 50,939 122,225 1,871,657 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+ Total 67,398 66,362 68,304 68,894 68,108 75,407 73,343 82,560 87,939 88,825 79,321 76,223 60,249 45,867 36,654 74,597 1,120,051 6.0% 5.9% 6.1% 6.2% 6.1% 6.7% 6.5% 7.4% 7.9% 7.9% 7.1% 6.8% 5.4% 4.1% 3.3% 6.7% 73,458 61,936 54,840 46,112 49,884 68,109 60,052 48,144 37,854 28,107 19,505 14,377 9,330 5,964 3,895 5,474 587,041 12.5% 10.6% 9.3% 7.9% 8.5% 11.6% 10.2% 8.2% 6.4% 4.8% 3.3% 2.4% 1.6% 1.0% 0.7% 0.9% 6,105 6,041 6,471 6,651 6,193 6,291 6,020 6,069 6,256 5,537 4,283 3,206 2,151 1,627 1,119 1,463 75,483 8.1% 8.0% 8.6% 8.8% 8.2% 8.3% 8.0% 8.0% 8.3% 7.3% 5.7% 4.2% 2.8% 2.2% 1.5% 1.9% 2,940 2,515 2,470 2,593 2,321 2,840 2,447 2,248 2,018 1,493 1,070 934 540 396 235 376 27,436 10.7% 9.2% 9.0% 9.5% 8.5% 10.4% 8.9% 8.2% 7.4% 5.4% 3.9% 3.4% 2.0% 1.4% 0.9% 1.4% 820 1,015 1,132 964 823 941 832 743 730 519 401 242 170 89 79 49 8.6% 10.6% 11.9% 10.1% 8.6% 9.9% 8.7% 7.8% 7.6% 5.4% 4.2% 2.5% 1.8% 0.9% 0.8% 0.5% 9,549 4,345 3,562 3,417 3,125 3,572 4,844 6,215 5,429 4,316 3,575 2,788 2,148 1,532 1,320 869 1,157 52,214 8.3% 6.8% 6.5% 6.0% 6.8% 9.3% 11.9% 10.4% 8.3% 6.8% 5.3% 4.1% 2.9% 2.5% 1.7% 2.2% 4,155 3,841 3,187 2,504 2,018 1,718 1,339 1,207 1,083 981 771 627 429 320 227 285 16.8% 15.6% 12.9% 10.1% 8.2% 7.0% 5.4% 4.9% 4.4% 4.0% 3.1% 2.5% 1.7% 1.3% 0.9% 1.2% 24,692 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2006. Maricopa County Health Status Report 2002-2006 Page 3 159,221 145,272 139,821 130,843 132,919 160,150 150,248 146,400 140,196 129,037 108,139 97,757 74,401 55,583 43,078 83,401 1,896,466 Maricopa County Population Statistics Table 1.03 Population Estimates by Age, Sex, and Race/Ethnicity, 2005 Race/Ethnicity by Sex 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 Males No. % 154,580 138,625 136,108 125,757 133,111 300,650 276,498 226,775 161,922 95,155 61,435 19,239 8.4% 7.6% 7.4% 6.9% 7.3% 16.4% 15.1% 12.4% 8.8% 5.2% 3.4% 1.1% 1,829,855 Females No. % 147,145 132,236 129,630 117,082 117,018 272,064 260,944 229,302 174,704 109,539 83,895 35,067 8.1% 7.3% 7.2% 6.5% 6.5% 15.0% 14.4% 12.7% 9.7% 6.1% 4.6% 1.9% 1,808,626 Race/Ethnicity Total No. 301,725 270,861 265,738 242,839 250,129 572,714 537,442 456,077 336,626 204,694 145,330 54,306 % 8.3% 7.4% 7.3% 6.7% 6.9% 15.7% 14.8% 12.5% 9.3% 5.6% 4.0% 1.5% Males No. % White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hisp. Asian Other/2+ Races 1,102,210 550,102 70,965 26,424 9,160 47,743 23,251 Total 1,829,855 60.2% 30.1% 3.9% 1.4% 0.5% 2.6% 1.3% Females No. % 1,137,376 490,599 68,564 28,943 8,685 51,279 23,180 62.9% 27.1% 3.8% 1.6% 0.5% 2.8% 1.3% 1,808,626 3,638,481 Age by Race/Ethnicity Age White No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 131,428 127,001 133,588 131,833 132,494 294,009 335,579 331,534 270,294 172,378 129,937 49,511 2,239,586 Hispanic % 5.9% 5.7% 6.0% 5.9% 5.9% 13.1% 15.0% 14.8% 12.1% 7.7% 5.8% 2.2% No. 136,253 112,195 100,655 82,227 90,407 215,071 145,262 83,638 42,840 19,710 9,502 2,941 1,040,701 African American % 13.1% 10.8% 9.7% 7.9% 8.7% 20.7% 14.0% 8.0% 4.1% 1.9% 0.9% 0.3% No. 11,562 11,168 12,483 11,926 10,769 22,305 22,737 17,732 9,900 5,397 2,654 896 139,529 % 8.3% 8.0% 8.9% 8.5% 7.7% 16.0% 16.3% 12.7% 7.1% 3.9% 1.9% 0.6% American Indian Non-Hispanic Hispanic No. % No. % 5,633 4,789 4,920 4,945 4,935 10,976 8,422 5,490 3,001 1,375 659 222 55,367 10.2% 8.6% 8.9% 8.9% 8.9% 19.8% 15.2% 9.9% 5.4% 2.5% 1.2% 0.4% 1,549 2,212 2,109 1,893 1,585 3,093 2,618 1,608 712 333 126 7 8.7% 12.4% 11.8% 10.6% 8.9% 17.3% 14.7% 9.0% 4.0% 1.9% 0.7% 0.0% 17,845 Asian No. 7,937 6,457 6,157 5,489 6,169 21,169 18,251 12,712 7,739 4,430 1,952 560 99,022 Other/2+ Races % 8.0% 6.5% 6.2% 5.5% 6.2% 21.4% 18.4% 12.8% 7.8% 4.5% 2.0% 0.6% No. 7,363 7,039 5,826 4,526 3,770 6,091 4,573 3,363 2,140 1,071 500 169 % 15.9% 15.2% 12.5% 9.7% 8.1% 13.1% 9.8% 7.2% 4.6% 2.3% 1.1% 0.4% 46,431 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2005. Maricopa County Health Status Report 2002-2006 Page 4 Total No. 301,725 270,861 265,738 242,839 250,129 572,714 537,442 456,077 336,626 204,694 145,330 54,306 3,638,481 Maricopa County Population Statistics Table 1.04 Population by Race/Ethnicity, Age, and Sex, 2005 Females Age White No. 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 64,197 61,902 64,943 63,961 63,788 71,544 73,770 77,483 88,612 87,676 80,182 77,570 63,071 49,293 42,641 106,743 Hispanic % No. 5.6% 5.4% 5.7% 5.6% 5.6% 6.3% 6.5% 6.8% 7.8% 7.7% 7.0% 6.8% 5.5% 4.3% 3.7% 9.4% 66,336 54,760 49,152 39,261 39,832 49,505 45,600 36,474 29,888 23,199 17,020 12,696 8,747 6,107 4,566 7,456 1,137,376 African American % 13.5% 11.2% 10.0% 8.0% 8.1% 10.1% 9.3% 7.4% 6.1% 4.7% 3.5% 2.6% 1.8% 1.2% 0.9% 1.5% 490,599 No. 5,704 5,474 6,125 5,646 5,180 5,129 5,478 5,543 5,459 4,797 3,861 2,842 2,204 1,684 1,222 2,216 % 8.3% 8.0% 8.9% 8.2% 7.6% 7.5% 8.0% 8.1% 8.0% 7.0% 5.6% 4.1% 3.2% 2.5% 1.8% 3.2% 68,564 American Indian Non-Hispanic Hispanic No. % No. % 2,821 2,377 2,455 2,481 2,580 3,146 2,645 2,148 2,223 1,699 1,380 1,012 648 484 312 532 9.7% 8.2% 8.5% 8.6% 8.9% 10.9% 9.1% 7.4% 7.7% 5.9% 4.8% 3.5% 2.2% 1.7% 1.1% 1.8% 28,943 788 1,101 1,043 980 785 743 684 628 571 465 300 190 132 112 74 89 9.1% 12.7% 12.0% 11.3% 9.0% 8.6% 7.9% 7.2% 6.6% 5.4% 3.5% 2.2% 1.5% 1.3% 0.9% 1.0% 8,685 Asian No. 3,904 3,291 2,999 2,582 2,941 4,755 5,902 5,057 4,478 3,744 3,220 2,607 1,803 1,438 1,043 1,515 Other/2+ Races % 7.6% 6.4% 5.8% 5.0% 5.7% 9.3% 11.5% 9.9% 8.7% 7.3% 6.3% 5.1% 3.5% 2.8% 2.0% 3.0% 51,279 No. 3,395 3,331 2,913 2,171 1,912 1,765 1,398 1,185 1,195 963 796 661 521 341 222 411 % 14.6% 14.4% 12.6% 9.4% 8.2% 7.6% 6.0% 5.1% 5.2% 4.2% 3.4% 2.9% 2.2% 1.5% 1.0% 1.8% 23,180 Total No. 147,145 132,236 129,630 117,082 117,018 136,587 135,477 128,518 132,426 122,543 106,759 97,578 77,126 59,459 50,080 118,962 1,808,626 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+ Total 67,231 65,099 68,645 67,872 68,706 72,685 76,010 80,459 89,025 86,918 76,758 72,214 57,439 43,790 36,654 72,705 1,102,210 6.1% 5.9% 6.2% 6.2% 6.2% 6.6% 6.9% 7.3% 8.1% 7.9% 7.0% 6.6% 5.2% 4.0% 3.3% 6.6% 69,917 57,435 51,503 42,966 50,575 64,467 55,499 44,083 34,817 25,552 17,867 12,947 8,450 5,399 3,638 4,987 550,102 12.7% 10.4% 9.4% 7.8% 9.2% 11.7% 10.1% 8.0% 6.3% 4.6% 3.2% 2.4% 1.5% 1.0% 0.7% 0.9% 5,858 5,694 6,358 6,280 5,589 6,078 5,620 5,746 5,989 5,175 3,899 2,878 1,976 1,482 1,009 1,334 70,965 8.3% 8.0% 9.0% 8.8% 7.9% 8.6% 7.9% 8.1% 8.4% 7.3% 5.5% 4.1% 2.8% 2.1% 1.4% 1.9% 2,812 2,412 2,465 2,464 2,355 2,755 2,430 2,108 1,943 1,373 1,038 876 465 372 207 349 26,424 10.6% 9.1% 9.3% 9.3% 8.9% 10.4% 9.2% 8.0% 7.4% 5.2% 3.9% 3.3% 1.8% 1.4% 0.8% 1.3% 761 1,111 1,066 913 800 923 743 744 675 490 353 233 157 68 79 44 8.3% 12.1% 11.6% 10.0% 8.7% 10.1% 8.1% 8.1% 7.4% 5.3% 3.9% 2.5% 1.7% 0.7% 0.9% 0.5% 9,160 4,033 3,166 3,158 2,907 3,228 4,882 5,630 4,748 3,968 3,222 2,526 1,944 1,385 1,180 769 997 47,743 8.4% 6.6% 6.6% 6.1% 6.8% 10.2% 11.8% 9.9% 8.3% 6.7% 5.3% 4.1% 2.9% 2.5% 1.6% 2.1% 3,968 3,708 2,913 2,355 1,858 1,619 1,309 1,125 1,068 894 710 574 384 299 209 258 17.1% 15.9% 12.5% 10.1% 8.0% 7.0% 5.6% 4.8% 4.6% 3.8% 3.1% 2.5% 1.7% 1.3% 0.9% 1.1% 23,251 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2005. Maricopa County Health Status Report 2002-2006 Page 5 154,580 138,625 136,108 125,757 133,111 153,409 147,241 139,013 137,485 123,624 103,151 91,666 70,256 52,590 42,565 80,674 1,829,855 Maricopa County Population Statistics Table 1.05 Population Estimates by Age, Sex, and Race/Ethnicity, 2004 Race/Ethnicity by Sex 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 Males No. % 147,570 133,932 131,878 120,114 132,425 290,140 266,496 214,496 150,859 92,229 59,863 17,642 8.4% 7.6% 7.5% 6.8% 7.5% 16.5% 15.2% 12.2% 8.6% 5.2% 3.4% 1.0% 1,757,644 Females No. % 140,137 127,881 125,709 111,572 117,082 262,260 252,213 218,977 163,360 106,397 82,125 32,990 8.1% 7.3% 7.2% 6.4% 6.7% 15.1% 14.5% 12.6% 9.4% 6.1% 4.7% 1.9% 1,740,703 Race/Ethnicity Total No. 287,707 261,813 257,587 231,686 249,507 552,400 518,709 433,473 314,219 198,626 141,988 50,632 % 8.2% 7.5% 7.4% 6.6% 7.1% 15.8% 14.8% 12.4% 9.0% 5.7% 4.1% 1.4% Males No. % White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hisp. Asian Other/2+ Races 1,076,830 514,157 66,779 25,548 8,779 43,842 21,709 Total 1,757,644 61.3% 29.3% 3.8% 1.5% 0.5% 2.5% 1.2% Females No. % 1,112,257 458,900 64,294 28,009 8,334 47,252 21,657 63.9% 26.4% 3.7% 1.6% 0.5% 2.7% 1.2% 1,740,703 3,498,347 Age by Race/Ethnicity Age White No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 128,758 125,709 132,951 128,523 131,792 291,442 332,346 319,834 254,587 168,805 128,002 46,338 2,189,087 Hispanic % 5.9% 5.7% 6.1% 5.9% 6.0% 13.3% 15.2% 14.6% 11.6% 7.7% 5.8% 2.1% No. 127,108 105,754 94,373 76,282 91,295 200,422 133,728 75,993 38,511 18,263 8,704 2,624 973,057 African American % 13.1% 10.9% 9.7% 7.8% 9.4% 20.6% 13.7% 7.8% 4.0% 1.9% 0.9% 0.3% No. 10,892 10,757 12,138 11,141 10,310 20,978 21,518 16,200 8,919 4,990 2,415 815 131,073 % 8.3% 8.2% 9.3% 8.5% 7.9% 16.0% 16.4% 12.4% 6.8% 3.8% 1.8% 0.6% American Indian Non-Hispanic Hispanic No. % No. % 5,286 4,715 4,929 4,731 5,116 10,677 8,117 5,173 2,721 1,276 601 215 53,557 9.9% 8.8% 9.2% 8.8% 9.6% 19.9% 15.2% 9.7% 5.1% 2.4% 1.1% 0.4% 1,560 2,186 2,092 1,761 1,558 2,942 2,501 1,422 665 309 108 9 9.1% 12.8% 12.2% 10.3% 9.1% 17.2% 14.6% 8.3% 3.9% 1.8% 0.6% 0.1% 17,113 Asian No. 7,065 6,076 5,680 5,122 5,869 20,239 16,304 11,723 6,880 3,984 1,677 475 91,094 Other/2+ Races % 7.8% 6.7% 6.2% 5.6% 6.4% 22.2% 17.9% 12.9% 7.6% 4.4% 1.8% 0.5% No. 7,038 6,616 5,424 4,126 3,567 5,700 4,195 3,128 1,936 999 481 156 % 16.2% 15.3% 12.5% 9.5% 8.2% 13.1% 9.7% 7.2% 4.5% 2.3% 1.1% 0.4% 43,366 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2004. Maricopa County Health Status Report 2002-2006 Page 6 Total No. 287,707 261,813 257,587 231,686 249,507 552,400 518,709 433,473 314,219 198,626 141,988 50,632 3,498,347 Maricopa County Population Statistics Table 1.06 Population by Race/Ethnicity, Age, and Sex, 2004 Females Age White No. 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 62,850 61,207 64,659 62,378 64,170 68,093 75,016 76,378 88,130 85,023 77,696 72,886 59,713 47,285 42,750 104,023 Hispanic % No. 5.7% 5.5% 5.8% 5.6% 5.8% 6.1% 6.7% 6.9% 7.9% 7.6% 7.0% 6.6% 5.4% 4.3% 3.8% 9.4% 61,769 51,687 46,166 36,290 39,950 46,793 42,166 33,514 27,747 21,053 15,582 11,539 7,886 5,744 4,216 6,798 1,112,257 African American % 13.5% 11.3% 10.1% 7.9% 8.7% 10.2% 9.2% 7.3% 6.0% 4.6% 3.4% 2.5% 1.7% 1.3% 0.9% 1.5% 458,900 No. 5,326 5,323 5,931 5,217 5,036 4,682 5,238 5,155 5,212 4,387 3,543 2,541 1,982 1,531 1,169 2,021 % 8.3% 8.3% 9.2% 8.1% 7.8% 7.3% 8.1% 8.0% 8.1% 6.8% 5.5% 4.0% 3.1% 2.4% 1.8% 3.1% 64,294 American Indian Non-Hispanic Hispanic No. % No. % 2,663 2,328 2,469 2,373 2,623 3,055 2,656 2,051 2,184 1,573 1,282 918 594 456 280 504 9.5% 8.3% 8.8% 8.5% 9.4% 10.9% 9.5% 7.3% 7.8% 5.6% 4.6% 3.3% 2.1% 1.6% 1.0% 1.8% 28,009 788 1,085 1,054 914 770 693 653 596 561 379 288 169 138 104 67 75 9.5% 13.0% 12.6% 11.0% 9.2% 8.3% 7.8% 7.2% 6.7% 4.5% 3.5% 2.0% 1.7% 1.2% 0.8% 0.9% 8,334 Asian No. 3,513 3,078 2,738 2,427 2,701 4,821 5,467 4,515 4,009 3,487 3,027 2,300 1,610 1,318 939 1,302 Other/2+ Races % 7.4% 6.5% 5.8% 5.1% 5.7% 10.2% 11.6% 9.6% 8.5% 7.4% 6.4% 4.9% 3.4% 2.8% 2.0% 2.8% 47,252 No. 3,228 3,173 2,692 1,973 1,832 1,622 1,305 1,112 1,049 935 722 606 478 326 212 392 % 14.9% 14.7% 12.4% 9.1% 8.5% 7.5% 6.0% 5.1% 4.8% 4.3% 3.3% 2.8% 2.2% 1.5% 1.0% 1.8% 21,657 Total No. 140,137 127,881 125,709 111,572 117,082 129,759 132,501 123,321 128,892 116,837 102,140 90,959 72,401 56,764 49,633 115,115 1,740,703 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+ Total 65,908 64,502 68,292 66,145 67,622 70,406 77,927 79,129 88,709 83,474 73,641 67,886 54,102 42,235 36,535 70,317 1,076,830 6.1% 6.0% 6.3% 6.1% 6.3% 6.5% 7.2% 7.3% 8.2% 7.8% 6.8% 6.3% 5.0% 3.9% 3.4% 6.5% 65,339 54,067 48,207 39,992 51,345 60,559 50,904 40,706 31,761 23,064 16,294 11,515 7,571 4,914 3,389 4,530 514,157 12.7% 10.5% 9.4% 7.8% 10.0% 11.8% 9.9% 7.9% 6.2% 4.5% 3.2% 2.2% 1.5% 1.0% 0.7% 0.9% 5,566 5,434 6,207 5,924 5,274 5,392 5,666 5,394 5,757 4,691 3,579 2,602 1,794 1,371 919 1,209 66,779 8.3% 8.1% 9.3% 8.9% 7.9% 8.1% 8.5% 8.1% 8.6% 7.0% 5.4% 3.9% 2.7% 2.1% 1.4% 1.8% 2,623 2,387 2,460 2,358 2,493 2,620 2,346 2,087 1,795 1,317 1,001 759 450 335 205 312 25,548 10.3% 9.3% 9.6% 9.2% 9.8% 10.3% 9.2% 8.2% 7.0% 5.2% 3.9% 3.0% 1.8% 1.3% 0.8% 1.2% 772 1,101 1,038 847 788 911 685 743 601 462 293 230 128 67 71 42 8.8% 12.5% 11.8% 9.6% 9.0% 10.4% 7.8% 8.5% 6.8% 5.3% 3.3% 2.6% 1.5% 0.8% 0.8% 0.5% 8,779 3,552 2,998 2,942 2,695 3,168 4,530 5,421 4,171 3,609 2,908 2,301 1,703 1,267 1,027 700 850 43,842 8.1% 6.8% 6.7% 6.1% 7.2% 10.3% 12.4% 9.5% 8.2% 6.6% 5.2% 3.9% 2.9% 2.3% 1.6% 1.9% 3,810 3,443 2,732 2,153 1,735 1,479 1,294 1,000 1,034 835 636 491 361 280 181 245 17.6% 15.9% 12.6% 9.9% 8.0% 6.8% 6.0% 4.6% 4.8% 3.8% 2.9% 2.3% 1.7% 1.3% 0.8% 1.1% 21,709 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2004. Maricopa County Health Status Report 2002-2006 Page 7 147,570 133,932 131,878 120,114 132,425 145,897 144,243 133,230 133,266 116,751 97,745 85,186 65,673 50,229 42,000 77,505 1,757,644 Maricopa County Population Statistics Table 1.07 Population Estimates by Age, Sex, and Race/Ethnicity, 2003 Race/Ethnicity by Sex 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 Males No. % 141,129 130,503 128,228 116,485 132,580 280,667 259,561 205,637 141,281 89,903 58,673 16,613 8.3% 7.7% 7.5% 6.8% 7.8% 16.5% 15.3% 12.1% 8.3% 5.3% 3.4% 1.0% 1,701,260 Females No. % 134,671 124,461 121,803 107,818 117,818 253,885 246,766 211,540 152,867 104,103 80,717 31,520 8.0% 7.4% 7.2% 6.4% 7.0% 15.0% 14.6% 12.5% 9.1% 6.2% 4.8% 1.9% 1,687,969 Race/Ethnicity Total No. 275,800 254,964 250,031 224,303 250,398 534,552 506,327 417,177 294,148 194,006 139,390 48,133 % 8.1% 7.5% 7.4% 6.6% 7.4% 15.8% 14.9% 12.3% 8.7% 5.7% 4.1% 1.4% Males No. % White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hisp. Asian Other/2+ Races 1,057,301 485,264 63,880 24,775 8,503 41,100 20,437 Total 1,701,260 62.1% 28.5% 3.8% 1.5% 0.5% 2.4% 1.2% Females No. % 1,093,024 433,640 61,228 27,226 8,068 44,352 20,431 64.8% 25.7% 3.6% 1.6% 0.5% 2.6% 1.2% 1,687,969 3,389,229 Age by Race/Ethnicity Age White No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 126,426 124,722 132,506 125,728 132,114 288,853 331,548 311,752 239,803 166,266 126,387 44,220 2,150,325 Hispanic % 5.9% 5.8% 6.2% 5.8% 6.1% 13.4% 15.4% 14.5% 11.2% 7.7% 5.9% 2.1% No. 118,944 100,822 88,564 72,915 92,441 187,921 124,594 70,170 34,940 17,099 8,117 2,377 918,904 African American % 12.9% 11.0% 9.6% 7.9% 10.1% 20.5% 13.6% 7.6% 3.8% 1.9% 0.9% 0.3% No. 10,469 10,654 11,691 10,636 9,726 20,084 20,820 15,133 8,195 4,658 2,277 765 125,108 % 8.4% 8.5% 9.3% 8.5% 7.8% 16.1% 16.6% 12.1% 6.6% 3.7% 1.8% 0.6% American Indian Non-Hispanic Hispanic No. % No. % 5,105 4,597 4,865 4,562 5,315 10,408 7,857 4,879 2,533 1,139 562 179 52,001 9.8% 8.8% 9.4% 8.8% 10.2% 20.0% 15.1% 9.4% 4.9% 2.2% 1.1% 0.3% 1,633 2,109 2,053 1,696 1,617 2,742 2,408 1,309 607 297 96 4 9.9% 12.7% 12.4% 10.2% 9.8% 16.5% 14.5% 7.9% 3.7% 1.8% 0.6% 0.0% 16,571 Asian No. 6,438 5,770 5,312 4,905 5,777 19,313 15,065 11,022 6,254 3,659 1,511 426 85,452 Other/2+ Races % 7.5% 6.8% 6.2% 5.7% 6.8% 22.6% 17.6% 12.9% 7.3% 4.3% 1.8% 0.5% No. 6,785 6,290 5,040 3,861 3,408 5,231 4,035 2,912 1,816 888 440 162 % 16.6% 15.4% 12.3% 9.4% 8.3% 12.8% 9.9% 7.1% 4.4% 2.2% 1.1% 0.4% 40,868 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2003. Maricopa County Health Status Report 2002-2006 Page 8 Total No. 275,800 254,964 250,031 224,303 250,398 534,552 506,327 417,177 294,148 194,006 139,390 48,133 3,389,229 Maricopa County Population Statistics Table 1.08 Population by Race/Ethnicity, Age, and Sex, 2003 Females Age White No. 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 61,673 60,730 64,389 61,065 64,733 65,894 75,563 77,187 87,064 82,952 76,139 68,705 56,096 45,896 42,950 101,988 Hispanic % No. 5.6% 5.6% 5.9% 5.6% 5.9% 6.0% 6.9% 7.1% 8.0% 7.6% 7.0% 6.3% 5.1% 4.2% 3.9% 9.3% 58,154 49,182 43,190 34,436 40,248 44,513 39,281 31,746 25,631 19,392 14,511 10,457 7,273 5,353 3,969 6,304 1,093,024 African American % 13.4% 11.3% 10.0% 7.9% 9.3% 10.3% 9.1% 7.3% 5.9% 4.5% 3.3% 2.4% 1.7% 1.2% 0.9% 1.5% 433,640 No. 5,110 5,288 5,675 4,985 4,812 4,394 5,025 4,999 4,962 4,086 3,328 2,254 1,874 1,451 1,082 1,903 % 8.3% 8.6% 9.3% 8.1% 7.9% 7.2% 8.2% 8.2% 8.1% 6.7% 5.4% 3.7% 3.1% 2.4% 1.8% 3.1% 61,228 American Indian Non-Hispanic Hispanic No. % No. % 2,567 2,280 2,425 2,300 2,800 2,898 2,609 2,064 2,043 1,539 1,187 819 576 416 245 458 9.4% 8.4% 8.9% 8.4% 10.3% 10.6% 9.6% 7.6% 7.5% 5.7% 4.4% 3.0% 2.1% 1.5% 0.9% 1.7% 27,226 831 1,034 1,053 863 812 611 615 592 516 358 263 162 133 100 63 62 10.3% 12.8% 13.1% 10.7% 10.1% 7.6% 7.6% 7.3% 6.4% 4.4% 3.3% 2.0% 1.6% 1.2% 0.8% 0.8% 8,068 Asian No. 3,219 2,885 2,560 2,336 2,686 4,621 5,149 4,230 3,702 3,324 2,878 2,034 1,481 1,220 872 1,155 Other/2+ Races % 7.3% 6.5% 5.8% 5.3% 6.1% 10.4% 11.6% 9.5% 8.3% 7.5% 6.5% 4.6% 3.3% 2.8% 2.0% 2.6% 44,352 No. 3,117 3,062 2,511 1,833 1,727 1,452 1,260 1,048 982 922 661 546 457 290 196 367 % 15.3% 15.0% 12.3% 9.0% 8.5% 7.1% 6.2% 5.1% 4.8% 4.5% 3.2% 2.7% 2.2% 1.4% 1.0% 1.8% 20,431 Total No. 134,671 124,461 121,803 107,818 117,818 124,383 129,502 121,866 124,900 112,573 98,967 84,977 67,890 54,726 49,377 112,237 1,687,969 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+ Total 64,753 63,992 68,117 64,663 67,381 68,058 79,338 79,853 87,444 81,095 71,566 64,275 50,727 40,515 36,905 68,619 1,057,301 6.1% 6.1% 6.4% 6.1% 6.4% 6.4% 7.5% 7.6% 8.3% 7.7% 6.8% 6.1% 4.8% 3.8% 3.5% 6.5% 60,790 51,640 45,374 38,479 52,193 56,679 47,448 38,008 29,209 21,204 15,063 10,366 6,844 4,564 3,213 4,190 485,264 12.5% 10.6% 9.4% 7.9% 10.8% 11.7% 9.8% 7.8% 6.0% 4.4% 3.1% 2.1% 1.4% 0.9% 0.7% 0.9% 5,359 5,366 6,016 5,651 4,914 5,208 5,457 5,337 5,522 4,362 3,357 2,378 1,689 1,282 843 1,139 63,880 8.4% 8.4% 9.4% 8.8% 7.7% 8.2% 8.5% 8.4% 8.6% 6.8% 5.3% 3.7% 2.6% 2.0% 1.3% 1.8% 2,538 2,317 2,440 2,262 2,515 2,566 2,335 2,041 1,709 1,181 972 711 427 292 186 283 24,775 10.2% 9.4% 9.8% 9.1% 10.2% 10.4% 9.4% 8.2% 6.9% 4.8% 3.9% 2.9% 1.7% 1.2% 0.8% 1.1% 802 1,075 1,000 833 805 846 670 749 551 406 282 201 111 77 57 38 9.4% 12.6% 11.8% 9.8% 9.5% 9.9% 7.9% 8.8% 6.5% 4.8% 3.3% 2.4% 1.3% 0.9% 0.7% 0.4% 8,503 3,219 2,885 2,752 2,569 3,091 4,479 5,064 3,866 3,267 2,747 2,073 1,562 1,177 958 609 782 41,100 7.8% 7.0% 6.7% 6.3% 7.5% 10.9% 12.3% 9.4% 7.9% 6.7% 5.0% 3.8% 2.9% 2.3% 1.5% 1.9% 3,668 3,228 2,529 2,028 1,681 1,293 1,226 1,005 1,000 735 594 460 353 242 160 235 17.9% 15.8% 12.4% 9.9% 8.2% 6.3% 6.0% 4.9% 4.9% 3.6% 2.9% 2.3% 1.7% 1.2% 0.8% 1.1% 20,437 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2003. Maricopa County Health Status Report 2002-2006 Page 9 141,129 130,503 128,228 116,485 132,580 139,129 141,538 130,859 128,702 111,730 93,907 79,953 61,328 47,930 41,973 75,286 1,701,260 Maricopa County Population Statistics Table 1.09 Population Estimates by Age, Sex, and Race/Ethnicity, 2002 Race/Ethnicity by Sex 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 Males No. % 135,495 128,223 124,217 114,145 131,303 273,686 255,056 198,100 132,291 88,314 57,510 15,298 8.2% 7.8% 7.5% 6.9% 7.9% 16.6% 15.4% 12.0% 8.0% 5.3% 3.5% 0.9% 1,653,638 Females No. % 128,894 122,530 117,995 105,237 116,918 247,425 243,859 204,604 143,432 102,894 79,451 29,862 7.8% 7.5% 7.2% 6.4% 7.1% 15.1% 14.8% 12.5% 8.7% 6.3% 4.8% 1.8% 1,643,101 Race/Ethnicity Total No. 264,389 250,753 242,212 219,382 248,221 521,111 498,915 402,704 275,723 191,208 136,961 45,160 % 8.0% 7.6% 7.3% 6.7% 7.5% 15.8% 15.1% 12.2% 8.4% 5.8% 4.2% 1.4% Males No. % White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hisp. Asian Other/2+ Races 1,042,395 458,514 61,754 24,324 8,348 38,847 19,456 Total 1,653,638 63.0% 27.7% 3.7% 1.5% 0.5% 2.3% 1.2% Females No. % 1,078,051 410,021 59,004 26,648 7,887 42,060 19,430 65.6% 25.0% 3.6% 1.6% 0.5% 2.6% 1.2% 1,643,101 3,296,739 Age by Race/Ethnicity Age White No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 124,036 124,873 131,587 123,627 130,506 289,554 334,216 304,495 225,976 165,107 124,808 41,661 2,120,446 Hispanic % 5.8% 5.9% 6.2% 5.8% 6.2% 13.7% 15.8% 14.4% 10.7% 7.8% 5.9% 2.0% No. 110,834 97,138 82,611 70,933 92,396 175,780 116,141 65,089 31,792 16,160 7,581 2,080 868,535 African American % 12.8% 11.2% 9.5% 8.2% 10.6% 20.2% 13.4% 7.5% 3.7% 1.9% 0.9% 0.2% No. 10,200 10,615 11,359 10,232 9,299 19,637 20,285 14,306 7,538 4,404 2,166 717 120,758 % 8.4% 8.8% 9.4% 8.5% 7.7% 16.3% 16.8% 11.8% 6.2% 3.6% 1.8% 0.6% American Indian Non-Hispanic Hispanic No. % No. % 4,920 4,634 4,837 4,435 5,502 10,108 7,752 4,673 2,360 1,056 527 168 50,972 9.7% 9.1% 9.5% 8.7% 10.8% 19.8% 15.2% 9.2% 4.6% 2.1% 1.0% 0.3% 1,790 2,058 1,973 1,702 1,520 2,720 2,297 1,204 592 283 89 7 11.0% 12.7% 12.2% 10.5% 9.4% 16.8% 14.1% 7.4% 3.6% 1.7% 0.5% 0.0% 16,235 Asian No. 5,985 5,503 5,048 4,804 5,805 18,396 14,280 10,203 5,806 3,330 1,384 363 80,907 Other/2+ Races % 7.4% 6.8% 6.2% 5.9% 7.2% 22.7% 17.6% 12.6% 7.2% 4.1% 1.7% 0.4% No. 6,624 5,932 4,797 3,649 3,193 4,916 3,944 2,734 1,659 868 406 164 % 17.0% 15.3% 12.3% 9.4% 8.2% 12.6% 10.1% 7.0% 4.3% 2.2% 1.0% 0.4% 38,886 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2002. Maricopa County Health Status Report 2002-2006 Page 10 Total No. 264,389 250,753 242,212 219,382 248,221 521,111 498,915 402,704 275,723 191,208 136,961 45,160 3,296,739 Maricopa County Population Statistics Table 1.10 Population by Race/Ethnicity, Age, and Sex, 2002 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 No. % No. 60,431 60,831 63,953 60,177 64,161 65,417 75,734 79,265 86,574 80,142 75,474 65,289 52,342 44,791 43,653 99,817 5.6% 5.6% 5.9% 5.6% 6.0% 6.1% 7.0% 7.4% 8.0% 7.4% 7.0% 6.1% 4.9% 4.2% 4.0% 9.3% 54,024 47,480 40,331 33,146 40,208 42,015 36,688 29,643 24,038 18,059 13,508 9,559 6,621 5,106 3,801 5,794 1,078,051 African American % 13.2% 11.6% 9.8% 8.1% 9.8% 10.2% 8.9% 7.2% 5.9% 4.4% 3.3% 2.3% 1.6% 1.2% 0.9% 1.4% 410,021 No. 4,983 5,284 5,488 4,778 4,579 4,381 4,848 4,928 4,758 3,835 3,092 2,096 1,713 1,400 1,016 1,825 % 8.4% 9.0% 9.3% 8.1% 7.8% 7.4% 8.2% 8.4% 8.1% 6.5% 5.2% 3.6% 2.9% 2.4% 1.7% 3.1% 59,004 American Indian Non-Hispanic Hispanic No. % No. % 2,457 2,280 2,410 2,235 2,916 2,815 2,471 2,099 1,985 1,484 1,147 767 544 372 243 423 9.2% 8.6% 9.0% 8.4% 10.9% 10.6% 9.3% 7.9% 7.4% 5.6% 4.3% 2.9% 2.0% 1.4% 0.9% 1.6% 26,648 913 1,001 1,027 853 728 636 599 558 500 328 230 174 127 95 52 66 11.6% 12.7% 13.0% 10.8% 9.2% 8.1% 7.6% 7.1% 6.3% 4.2% 2.9% 2.2% 1.6% 1.2% 0.7% 0.8% 7,887 Asian No. 3,007 2,770 2,417 2,294 2,717 4,522 4,766 3,959 3,576 3,116 2,712 1,875 1,394 1,087 817 1,031 Other/2+ Races % 7.1% 6.6% 5.7% 5.5% 6.5% 10.8% 11.3% 9.4% 8.5% 7.4% 6.4% 4.5% 3.3% 2.6% 1.9% 2.5% 42,060 No. 3,079 2,884 2,369 1,754 1,609 1,328 1,205 1,049 927 854 623 524 407 268 193 357 % 15.8% 14.8% 12.2% 9.0% 8.3% 6.8% 6.2% 5.4% 4.8% 4.4% 3.2% 2.7% 2.1% 1.4% 1.0% 1.8% 19,430 Total No. 128,894 122,530 117,995 105,237 116,918 121,114 126,311 121,501 122,358 107,818 96,786 80,284 63,148 53,119 49,775 109,313 1,643,101 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+ Total 63,605 64,042 67,634 63,450 66,345 68,372 80,031 81,238 87,139 78,234 70,645 60,926 47,419 39,465 37,198 66,652 1,042,395 6.1% 6.1% 6.5% 6.1% 6.4% 6.6% 7.7% 7.8% 8.4% 7.5% 6.8% 5.8% 4.5% 3.8% 3.6% 6.4% 56,810 49,658 42,280 37,787 52,188 52,712 44,365 35,565 26,895 19,415 14,107 9,400 6,212 4,197 3,056 3,867 458,514 12.4% 10.8% 9.2% 8.2% 11.4% 11.5% 9.7% 7.8% 5.9% 4.2% 3.1% 2.1% 1.4% 0.9% 0.7% 0.8% 5,217 5,331 5,871 5,454 4,720 5,151 5,257 5,329 5,270 4,190 3,189 2,160 1,569 1,206 782 1,058 61,754 8.4% 8.6% 9.5% 8.8% 7.6% 8.3% 8.5% 8.6% 8.5% 6.8% 5.2% 3.5% 2.5% 2.0% 1.3% 1.7% 2,463 2,354 2,427 2,200 2,586 2,542 2,280 1,962 1,706 1,099 943 640 409 262 179 272 24,324 10.1% 9.7% 10.0% 9.0% 10.6% 10.5% 9.4% 8.1% 7.0% 4.5% 3.9% 2.6% 1.7% 1.1% 0.7% 1.1% 877 1,057 946 849 792 828 657 710 529 406 240 181 110 86 50 30 10.5% 12.7% 11.3% 10.2% 9.5% 9.9% 7.9% 8.5% 6.3% 4.9% 2.9% 2.2% 1.3% 1.0% 0.6% 0.4% 8,348 2,978 2,733 2,631 2,510 3,088 4,448 4,660 3,593 3,152 2,517 1,858 1,421 1,116 868 558 716 38,847 7.7% 7.0% 6.8% 6.5% 7.9% 11.5% 12.0% 9.2% 8.1% 6.5% 4.8% 3.7% 2.9% 2.2% 1.4% 1.8% 3,545 3,048 2,428 1,895 1,584 1,210 1,173 993 975 677 580 422 306 231 176 213 18.2% 15.7% 12.5% 9.7% 8.1% 6.2% 6.0% 5.1% 5.0% 3.5% 3.0% 2.2% 1.6% 1.2% 0.9% 1.1% 19,456 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2002. Maricopa County Health Status Report 2002-2006 Page 11 135,495 128,223 124,217 114,145 131,303 135,263 138,423 129,390 125,666 106,538 91,562 75,150 57,141 46,315 41,999 72,808 1,653,638 Maricopa County Population Statistics Table 1.11 Maricopa County, Phoenix, and Arizona Population 1980-2006 Year City of Phoenix Maricopa County State of Arizona Source 1980 789,704 1,509,175 2,726,100 1980 U.S. Census 1983 NA 1,642,300 2,898,400 DES Estimate 1984 NA 1,726,398 3,032,400 DES Estimate 1985 NA 1,837,912 3,162,900 1985 Special Census 1986 NA 1,909,998 3,291,600 DES Estimate 1987 NA 1,976,600 3,459,900 DES Estimate 1988 940,662 2,032,000 3,538,400 DES Estimate 1989 968,258 2,089,900 3,617,300 DES Estimate 1990 983,403 2,122,101 3,680,800 1990 U.S. Census 1991 1,005,600 2,181,950 3,767,000 DES Estimate 1992 1,020,285 2,233,700 3,858,850 DES Estimate 1993 1,035,560 2,285,200 3,958,875 DES Estimate 1994 1,059,585 2,338,263 4,071,650 DES Estimate 1995 1,098,684 2,551,765 4,228,900 1995 Special Census 1996 1,149,717 2,634,625 4,462,300 DES Estimate 1997 1,205,285 2,720,576 4,600,275 DES Estimate 1998 1,238,120 2,803,320 4,764,025 DES Estimate 1999 1,263,895 2,879,492 4,924,350 DES Estimate 2000 1,321,045 3,072,149 5,130,632 2000 U.S. Census 2001 1,348,061 3,198,064 5,300,366 2002 1,372,495 3,296,739 5,445,333 2003 1,393,036 3,389,229 5,582,252 2004 1,422,822 3,498,347 5,745,674 2005 1,469,794 3,638,481 5,953,007 2006 1,512,986 3,768,123 6,166,318 Maricopa County Health Status Report 2002-2006 U.S. Census Estimate U.S. Census Estimate U.S. Census Estimate U.S. Census Estimate U.S. Census Estimate U.S. Census Estimate Page 12 II. Maricopa County Five-Year Health Trends Maricopa County Health Status Report 2002-2006 Page 13 Maricopa County Five-Year Health Trends Table 2.01a Selected Underlying Causes of Death 2002-2006, Number of Deaths Cause Infectious Diseases Cancer Tuberculosis Syphilis HIV Stomach Colon Pancreas Lung Breast Uterine & Ovarian Prostate Urinary Lymphoma Heart Disease 2003 2004 2005 2006 11 1 110 94 502 278 1,417 5 0 119 87 570 267 1,448 7 0 108 113 500 298 1,371 6 0 93 110 514 319 1,352 10 0 89 92 480 295 1,432 394 226 300 232 364 225 283 244 379 257 276 275 356 247 293 276 427 220 270 278 233 216 195 220 212 Leukemia Other Cancer 201 1,188 220 1,236 201 1,303 207 1,283 230 1,302 All Cancer 5,066 5,160 5,168 5,177 5,238 691 936 611 1,103 604 1,113 597 1,246 624 1,445 Diabetes and Alzheimer's Diabetes Alzheimer's Major Cardiovascular Diseases 2002 Hypertensive Heart Disease Ischemic Heart Disease Other Heart Disease 307 297 318 345 368 4,752 4,801 4,655 4,849 4,523 883 868 802 817 828 5,942 5,966 5,775 6,011 5,719 209 224 265 264 283 Cerebrovascular 1,385 1,313 1,350 1,270 1,217 Atherosclerosis Other Circulatory 122 234 116 193 128 220 171 200 76 175 All Other Cardiovascular 1,950 1,846 1,963 1,905 1,751 Other Respiratory Diseases Influenza & Pneumonia Chronic Lower Respiratory 708 1,389 628 1,357 582 1,318 715 1,506 623 1,484 GI & Urinary Peptic Ulcer All Heart Disease Other Cardiovascular Primary Hypertension 35 29 36 43 43 350 269 323 263 320 257 377 212 357 217 4 2 2 6 5 Perinatal Conditions Congenital Malformations 193 113 172 124 196 144 181 123 206 153 SIDS Symptoms, Signs 20 159 14 315 8 412 14 511 21 584 Other Diseases 3,152 3,175 3,218 3,574 3,864 Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes 504 810 457 298 59 2,128 493 806 447 319 70 2,135 537 907 458 307 56 2,265 587 1,098 486 331 92 2,594 643 1,162 498 355 84 2,742 264 202 36 6 23,491 23,549 23,532 24,897 1 25,176 Liver Disease Nephritis Pregnancy & Early Life Other Diseases External Causes Unknown Total Pregnancy Maricopa County Health Status Report 2002-2006 Page 14 Maricopa County Five-Year Health Trends Table 2.01b Selected Underlying Causes of Death, 2002-2006 Crude Death Rate per 100,000 Residents Cause Infectious Diseases 2002 Tuberculosis Syphilis HIV Stomach Colon Pancreas Lung Cancer Breast Uterine & Ovarian1 Prostate1 Urinary Lymphoma Leukemia Other Cancer All Cancer Diabetes and Alzheimer's Diabetes Alzheimer's Major Heart Hypertensive Heart Disease CardioDisease Ischemic Heart Disease vascular Other Heart Disease Diseases All Heart Disease Other Primary Hypertension CardioCerebrovascular vascular Atherosclerosis Other Circulatory Other Respiratory Diseases All Other Cardiovascular Influenza & Pneumonia Chronic Lower Respiratory GI & Urinary Peptic Ulcer Liver Disease Nephritis Pregnancy & Early Life 1 Pregnancy Perinatal Conditions Congenital Malformations Other Diseases External Causes Unknown Total 1 SIDS2 Symptoms, Signs Other Diseases Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes 2003 2004 2005 2006 0.3 0.1 0.2 0.2 0.3 0.0 3.3 2.9 15.2 8.4 0 3.5 2.6 16.8 7.9 0 3.1 3.2 14.3 8.5 0 2.6 3.0 14.1 8.8 0 2.4 2.4 12.7 7.8 43.0 12.0 13.8 18.1 42.7 10.7 13.3 16.6 39.2 10.8 14.8 15.7 37.2 9.8 13.7 16.0 38.0 11.3 11.8 14.2 7.0 7.2 7.9 7.6 7.4 7.1 6.1 36.0 153.7 21.0 28.4 6.4 6.5 36.5 152.2 18.0 32.5 5.6 5.7 37.2 147.7 17.3 31.8 6.0 5.7 35.3 142.3 16.4 34.2 5.6 6.1 34.6 139.0 16.6 38.3 9.3 144.1 26.8 180.2 8.8 141.7 25.6 176.0 9.1 133.1 22.9 165.1 9.5 133.3 22.5 165.2 9.8 120.0 22.0 151.8 6.3 42.0 3.7 6.6 38.7 3.4 7.6 38.6 3.7 7.3 34.9 4.7 7.5 32.3 2.0 7.1 59.1 21.5 5.7 54.5 18.5 6.3 56.1 16.6 5.5 52.4 19.7 4.6 46.5 16.5 42.1 40.0 37.7 41.4 39.4 1.1 10.6 0.9 9.5 1.0 9.1 1.2 10.4 1.1 9.5 8.2 7.8 7.3 5.8 5.8 0.2 5.9 0.1 5.1 0.1 5.6 0.3 5.0 0.3 5.5 3.4 0.4 3.7 0.2 4.1 0.1 3.4 0.2 4.1 0.3 4.8 95.6 15.3 24.6 13.9 9.0 1.8 64.5 8.0 9.3 93.7 14.5 23.8 13.2 9.4 2.1 63.0 6.0 11.8 92.0 15.4 25.9 13.1 8.8 1.6 64.7 1.0 14.0 98.2 16.1 30.2 13.4 9.1 2.5 71.3 0.2 15.5 102.5 17.1 30.8 13.2 9.4 2.2 72.8 0.0 712.6 694.8 672.7 684.3 668.1 Uterine & ovarian cancer and pregnancy rates are per 100,000 females; prostate cancer rates are per 100,000 males. 2 Sudden Infant Death Syndrome (SIDS) rates are per 1,000 live births. Maricopa County Health Status Report 2002-2006 Page 15 Maricopa County Five-Year Health Trends Table 2.02a Other Selected Underlying Causes of Death 2002-2006, Number of Deaths Cause Infectious Diseases Salmonella & Other Intestinal Infections 2005 2006 31 45 44 77 235 219 258 307 Viral Hepatitis 59 85 79 83 133 Coccidioidomycosis 24 16 20 19 23 Other Mycoses 12 18 15 18 24 123 128 141 162 149 57 55 67 72 63 Lip Skin (Melanoma) Ovarian Testicular 78 90 90 94 99 143 151 167 149 144 5 3 5 5 0 Anemias 31 27 28 26 21 Nutritional Deficiencies 20 18 13 14 9 Obesity 29 34 39 46 52 Mental & Behavioral Disorders Due to the Use of Alcohol 86 111 104 115 96 230 239 222 290 269 Multiple Sclerosis 33 25 35 37 53 Epilepsy 22 15 19 14 13 1,382 1,286 1,130 1,168 1,015 127 148 135 149 187 253 262 232 215 197 43 38 28 38 37 Parkinson’s Disease Cardiovascular 2004 11 Brain Other Diseases 2003 210 Septicemia Cancer 2002 Acute Myocardial Infarction (Heart Attack) Congestive Heart Failure Chronic Lower Respiratory Emphysema Liver Disease Alcoholic Liver Disease 168 161 181 223 233 Musculoskeletal Rheumatoid Arthritis 32 23 17 25 21 Lupus 16 11 12 20 17 11 11 10 7 6 67 57 61 46 64 Congenital Malformations of the Circulatory System 37 42 37 38 41 Chromosomal Abnormalities 12 25 29 21 30 282 289 323 434 441 Asthma Osteoporosis Perinatal Conditions & Disorders Related to Short Gestation & Congenital Malformations Low Birth Weight External Causes Falls 1 Drowning 41 55 66 55 56 258 235 299 327 384 Exposure to Excessive Natural Heat1 15 18 20 46 40 Legal Intervention 10 9 12 4 6 Accidental Discharge of Firearms 11 11 5 6 7 8 12 5 15 7 31 31 23 22 35 Unintentional Poisoning Discharge of Firearms, Undetermined Intent Complications of Medical & Surgical Care 1 Refer to the Technical Notes for an explanation of the sharp changes in these causes of death over time. Maricopa County Health Status Report 2002-2006 Page 16 Maricopa County Five-Year Health Trends Table 2.02b Other Selected Underlying Causes of Death 2002-2006, Crude Death Rate per 100,000 Residents Cause Infectious Diseases Cancer Other Diseases Cardiovascular 2002 2003 2004 2005 2006 Salmonella & Other Intestinal Infections 0.3 0.9 1.3 1.2 2.0 Septicemia 6.4 6.9 6.3 7.1 8.1 Viral Hepatitis 1.8 2.5 2.3 2.3 3.5 Coccidioidomycosis 0.7 0.5 0.6 0.5 0.6 Other Mycoses 0.4 0.5 0.4 0.5 0.6 Brain 3.7 3.8 4.0 4.5 4.0 Lip 1.7 1.6 1.9 2.0 1.7 Skin (Melanoma) 2.4 2.7 2.6 2.6 2.6 Ovarian1 8.7 8.9 9.6 8.2 7.7 Testicular1 0.3 0.2 0.3 0.3 0 Anemias 0.9 0.8 0.8 0.7 0.6 Nutritional Deficiencies 0.6 0.5 0.4 0.4 0.2 Obesity 0.9 1.0 1.1 1.3 1.4 Mental & Behavioral Disorders Due to the Use of Alcohol 2.6 3.3 3.0 3.2 2.5 Parkinson’s Disease 7.0 7.1 6.3 8.0 7.1 Multiple Sclerosis 1.0 0.7 1.0 1.0 1.4 Epilepsy 0.7 0.4 0.5 0.4 0.3 41.9 37.9 32.3 32.1 26.9 3.9 4.4 3.9 4.1 5.0 Acute Myocardial Infarction (Heart Attack) Congestive Heart Failure Chronic Lower Respiratory Emphysema 7.7 7.7 6.6 5.9 5.2 Asthma 1.3 1.1 0.8 1.0 1.0 Liver Disease Alcoholic Liver Disease 5.1 4.8 5.2 6.1 6.2 Musculoskeletal Rheumatoid Arthritis 1.0 0.7 0.5 0.7 0.6 Lupus 0.5 0.3 0.3 0.5 0.5 0.3 0.3 0.3 0.2 0.2 2.0 1.7 1.7 1.3 1.7 Congenital Malformations of the Circulatory System 1.1 1.2 1.1 1.0 1.1 Chromosomal Abnormalities 0.4 0.7 0.8 0.6 0.8 Falls2 8.6 8.5 9.2 11.9 11.7 Drowning 1.2 1.6 1.9 1.5 1.5 Unintentional Poisoning 7.8 6.9 8.5 9.0 10.2 Exposure to Excessive Natural Heat2 0.5 0.5 0.6 1.3 1.1 Legal Intervention 0.3 0.3 0.3 0.1 0.2 Accidental Discharge of Firearms 0.3 0.3 0.1 0.2 0.2 Discharge of Firearms, Undetermined Intent Complications of Medical & Surgical Care 0.2 0.4 0.1 0.4 0.2 0.9 0.9 0.7 0.6 0.9 Osteoporosis Perinatal Conditions & Disorders Related to Short Gestation & Congenital Malformations Low Birth Weight External Causes 1 2 Ovarian cancer rates are per 100,000 females; testicular cancer rates are per 100,000 males. Refer to the Technical Notes for an explanation of the sharp changes in these rates over time. Maricopa County Health Status Report 2002-2006 Page 17 Maricopa County Five-Year Health Trends Table 2.03a Firearm, Drug, and Alcohol Induced and Related Deaths 2002-2006 Number of Deaths Year Cause 2002 2003 2004 2005 2006 Firearm Induced 558 513 506 546 583 Drug Induced, Including Tobacco 354 357 406 470 569 Drug Related, Excluding Tobacco - - 443 539 629 Drug Related, Including Tobacco - - 601 739 825 Alcohol Induced 263 285 289 353 338 Alcohol Related - - 469 530 550 Table 2.03b Firearm, Drug, and Alcohol Induced and Related Deaths 2002-2006 Crude Death Rate per 100,000 Residents Year Cause 2002 2003 2004 2005 2006 16.9 15.1 14.5 15.0 15.5 10.7 10.5 11.6 12.9 15.1 Drug Related, Excluding Tobacco - - 12.7 14.8 16.7 Drug Related, Including Tobacco - - 17.2 20.3 21.9 8.0 8.4 8.3 9.7 9.0 - - 13.4 14.6 14.6 Firearm Induced Drug Induced, Including Tobacco Alcohol Induced Alcohol Related 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 2002-2006 Page 18 Maricopa County Five-Year Health Trends Table 2.04a Number of Confirmed Cases to Residents of Selected Reportable Diseases, 2002-2006 Disease Vaccine Preventable Central Nervous System 2002 44 0 1 60 1 0 54 0 3 Pertussis Enceph Viral Other 58 12 75 21 109 31 248 23 21 15 232 1,140 562 722 624 21 26 9 20 6 17 2 367 28 0 464 10 1 427 11 0 501 10 4 432 0 15 1 5 0 7 0 9 0 19 E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi 25 162 10 6 28 168 8 6 20 105 6 5 30 120 8 0 42 66 7 6 Salmonellosis Shigellosis 395 354 380 338 356 229 379 249 432 381 Meningitis Viral/Aseptic Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue 5 0 1 0 0 0 2 0 3 8 0 0 1 3 10 7 6 15 182 10 6 151 13 355 120 15 79 68 18 75 91 148 183 180 239 265 1,492 1,906 1,725 1,366 1,585 Hepatitis D 0 0 0 2 0 Legionellosis 8 12 13 15 25 3 Strep Group A Strep Group B (<90 Days) - - 218 1,109 997 191 149 152 168 216 19 29 34 31 39 Strep Pneumo Invasive 495 423 437 474 569 Toxic Shock Syndrome 0 5 2 1 0 Vibrio spp. 7 8 5 13 10 VRE 733 622 991 1,362 1,805 Yersiniosis Hansen's Disease 6 0 172 777 7 1 195 584 5 3 186 817 1 1 169 799 11 2 171 1,213 2,974 2,674 2,967 2,915 4,000 155 141 112 123 163 Genital Herpes Gonorrhea 4 4 Syphilis – Primary and Secondary Syphilis – All Others Chlamydia HIV AIDS 4 7 4,209 1 MRSA 3 4 2,461 3 Hepatitis C 2 2 2,702 3 2 1 1 2,019 Lyme Disease Hepatitis B (Acute) All Others Total 0 2,337 Hantavirus Pulm. Syndrome Malaria 1 West Nile Virus Hepatitis A Tuberculosis Sexually Transmitted Diseases 2006 44 1 1 Cholera Cryptosporidiosis Other 2005 56 0 0 Amebiasis Botulism Campylobacteriosis Hepatitides 2004 H. influenzae Measles Mumps Meningococcal Meningitis Enterics 2003 4 708 540 540 421 542 9,663 7,755 10,677 11,330 14,596 348 327 8 22,509 326 319 1 20,803 319 335 17 24,862 358 306 22 26,247 389 332 40 33,257 In 2003, two WNV cases were Maricopa County residents who acquired WNV locally but tests were not confirmed until 2004. The remaining four cases in 2003 were Maricopa County residents who acquired WNV outside of the county. WNV was not reported to health departments until 2003. 2006 figures for Hepatitis B (Acute) include confirmed and probable cases. Methicillin-resistant Staphylococcus Aureus (MRSA) was not reported to health departments until October 2004. 2003 data for genital herpes, chlamydia, and gonorrhea are disproportionately lower than other years due to a backlog in data entry during 2003. Maricopa County Health Status Report 2002-2006 Page 19 Maricopa County Five-Year Health Trends Table 2.04b Case Rates per 100,000 Residents for Selected Reportable Diseases, 2002-2006 Disease Vaccine Preventable Central Nervous System 2002 1.4 0 0.0 1.8 0.0 2.2 0.0 3.1 0.0 6.8 0.1 0.6 0.4 0.6 0.9 0.6 0.4 Meningitis Viral/Aseptic 7.0 33.6 16.1 19.8 16.6 Meningococcal Meningitis 0.6 0.5 0.1 0.8 0.8 0.0 0.3 0.3 0.0 0.5 0.3 0.0 0.2 0.3 0.1 11.1 0.0 13.7 0.0 12.2 0.0 13.8 0.0 11.5 0 0.5 0.8 4.9 0.3 0.1 0.8 5.0 0.2 0.2 0.6 3.0 0.2 0.2 0.8 3.3 0.2 0.5 1.1 1.8 0.2 0.2 12.0 0.2 11.2 0.1 10.2 0.0 10.4 0.2 11.5 10.7 10.0 6.5 6.8 10.1 0.0 0.0 0.1 0.1 0.2 70.9 0.2 59.6 0.0 77.2 0.0 67.6 0.1 111.7 0.1 Pertussis Enceph Viral Other Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue 0.0 0.0 0.0 0.0 0.2 Hantavirus Pulm. Syndrome 0.1 0.0 0.0 0.0 0.1 Lyme Disease 0.1 0.5 - 0.0 0.3 0.2 0.3 0.4 10.1 0.2 0.4 2.2 0.2 0.5 2.0 5.5 4.5 3.4 1.9 2.4 4.5 5.4 5.1 6.6 7.0 Hepatitis C 45.3 56.2 49.3 37.5 42.1 Hepatitis D 0.0 0.0 0.0 0.1 0 Legionellosis 0.2 - 0.4 - 0.4 6.2 0.4 30.5 0.7 26.5 Malaria 1 West Nile Virus Hepatitis A Hepatitis B (Acute) 2 MRSA Strep Group A 5.8 4.4 4.3 4.6 5.7 0.6 0.9 1.0 0.9 0.6 Strep Pneumo Invasive 15.0 12.5 12.5 13.0 15.1 Toxic Shock Syndrome 0.0 0.1 0.1 0.0 0 0.2 22.2 0.2 0.0 5.2 23.6 90.2 0.2 18.4 0.2 0.0 5.8 17.2 78.9 0.1 28.3 0.1 0.1 5.3 23.4 84.8 0.4 37.4 0.0 0.0 4.6 22.0 80.1 0.3 47.9 0.3 0.1 4.5 32.2 106.2 4.7 4.2 3.2 3.4 4.3 Strep Group B 3 Vibrio spp. VRE Yersiniosis Hansen's Disease Tuberculosis Sexually Transmitted Diseases 4 Genital Herpes 4 Gonorrhea Syphilis – Primary and Secondary Syphilis – All Others Chlamydia HIV AIDS All Others Total 1 2 3 4 2006 1.6 0.0 E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi Other 2005 1.3 0.0 Cholera Cryptosporidiosis Hepatitides 2004 1.3 0.0 Amebiasis Botulism Campylobacteriosis Enterics 2003 1.7 0.0 H. influenzae Measles Mumps 4 21.5 15.9 15.4 11.6 14.4 293.1 10.6 9.9 0.2 682.8 228.8 9.6 9.4 0.0 613.8 305.2 9.1 9.6 0.5 710.7 311.4 9.8 8.4 0.6 721.4 387.4 10.3 8.8 1.1 882.6 In 2003, two WNV cases were Maricopa County residents who acquired WNV locally but tests were not confirmed until 2004. The remaining four cases in 2003 were Maricopa County residents who acquired WNV outside of the county. WNV was not reported to health departments until 2003. Methicillin-resistant Staphylococcus Aureus (MRSA) was not reported to health departments until October 2004. Rates for Streptococcus Group B Invasive disease in infants <90 days are per 1,000 live births. 2003 data for genital herpes, chlamydia, and gonorrhea are disproportionately lower than other years due to a backlog in data entry during 2003. Maricopa County Health Status Report 2002-2006 Page 20 Maricopa County Five-Year Health Trends Table 2.05a Congenital Syphilis by Race/Ethnicity and Year Number of Cases, 2002-2006 Year Race/Ethnicity White Hispanic (Including Amer. Ind.) African American American Indian, Non-Hispanic Asian Other/Unknown Total 2002 2003 2004 2005 2006 2 12 3 3 0 0 20 2 19 3 1 0 0 25 1 11 0 0 0 0 12 1 16 3 2 0 0 22 1 7 0 2 0 0 10 Table 2.05b Congenital Syphilis by Race/Ethnicity and Year Case Rates per 100,000 Live Births, 2002-2006 Year Race/Ethnicity White Hispanic (Including Amer. Ind.) African American American Indian, Non-Hispanic Asian Other/Unknown Total 2002 2003 2004 2005 2006 7.6 48.0 151.7 191.6 0 35.3 7.6 71.0 137.6 62.0 0 42.4 3.7 40.1 0 0 0 19.8 3.7 55.8 116.4 114.4 0 35.4 3.5 23.0 0 103.5 0 15.1 Table 2.06 Hansen’s Disease Prevalence Total number of cases reported in Maricopa County as of December 31, 2006 Sex Male Female Total 39 31 70 Age at Diagnosis 0-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65 and Older Unknown Total 1 1 7 8 18 11 3 8 1 12 70 This table includes all known cases of Hansen’s Disease diagnosed in Maricopa County, including some non-Maricopa County residents. It includes suspect and confirmed cases diagnosed between 1955 and 2006. Maricopa County Health Status Report 2002-2006 Page 21 Maricopa County Five-Year Health Trends Table 2.07a Selected Maternal & Child Health Indicators, 2002-2006 Indicator 2002 2003 2004 2005 2006 Countywide Indicators Number of Live Births 56,611 59,000 60,535 62,223 66,162 Male Infants of Total Live Births 29,059 30,119 30,971 31,771 33,867 Number of Live Births to Mothers With Selected Risk Factors Mothers With <12 Years Education 17,139 18,420 18,662 18,816 19,765 Births to Women 10-19 Years Old 6,832 6,968 7,082 7,212 7,904 Births to Women 15-17 Years Old 2,351 2,484 2,540 2,582 2,774 Births to Women Over 35 Years Old 6,544 6,753 7,339 7,478 8,218 Births to Never Married Women 21,720 23,191 24,204 25,574 28,224 Tobacco Use During Pregnancy 3,263 3,226 3,145 2,833 2,737 400 475 411 397 334 Alcohol Use During Pregnancy Mother with Pre-Existing Cardiac Disease Mother with Pre-Existing Diabetes Number of Live Births With Selected Risk Factors Associated with Pregnancy Mothers with No Medical Risk Factors for Pregnancy Induced Labor Delivery via C-Section 45,689 47,616 51,467 12,060 11,185 8,260 9,030 10,361 Repeat Cesarean Section 4,933 5,404 6,153 6,826 7,228 5,877 6,339 6,816 6,804 7,250 56,186 58,523 60,098 61,837 65,728 26,569 28,719 30,044 32,242 34,144 263 281 219 212 252 28,091 28,202 28,264 27,904 29,723 Self 1,188 1,153 1,421 1,602 1,819 None 1,000 1,619 1,460 1,193 1,382 1 Trimester 44,784 46,429 48,202 50,090 53,160 2nd Trimester 8,566 8,457 8,605 9,107 9,628 3 Trimester 1,905 2,157 2,129 1,797 1,949 0 1,000 1,619 1,460 1,193 1,382 1-4 1,885 1,883 2,198 2,147 2,287 AHCCCS IHS 5-8 7,239 7,687 8,791 9,859 10,455 9-12 25,250 26,899 30,114 33,038 33,328 13+ 20,204 19,260 17,426 15,932 18,577 Singletons 54,962 57,281 58,691 60,450 64,275 1,524 1,589 1,713 1,684 1,788 40,885 40,663 41,925 42,992 45,554 3,233 2,974 3,312 3,525 3,326 216 262 289 346 392 673 673 735 735 790 3,800 4,113 4,275 4,253 4,638 1,953 7 1,910 17 1,878 11 1,866 7 2,104 5 0 0 0 1 0 Twins Number of Live Births Infants Transferred to Another Facility2 with Selected Very Low (<1500g) Risk Factors Birthweight Associated Low (<2500g) with the High (>4250g) Neonate Infants With a Neural Tube Defect3 Infants With Fetal Alcohol Syndrome3 3 43,753 10,726 Singleton Births Receiving Early & Adequate Prenatal Care1 Neonatal Intensive Care 2 42,285 7,856 rd 1 117 2,005 10,122 st Plurality 99 1,713 7,372 Private Insurance Number of Prenatal Care Visits 53 1,303 9,424 Hospital Births Prenatal Care 73 1,180 Primary Cesarean Section Preterm Births (Less than 37 Weeks) Method of Payment 103 1,343 See the technical notes for an explanation of early and adequate prenatal care. Infants transferred from Banner Good Samaritan Hospital to Phoenix Children’s Hospital have not been counted as transfers since the two hospitals share facilities, with Phoenix Children’s Hospital providing Neonatal Intensive Care services to infants born at Banner Good Samaritan. Due to the collection method for these data, information is underestimated. Maricopa County Health Status Report 2002-2006 Page 22 Maricopa County Five-Year Health Trends Table 2.07b Selected Maternal & Child Health Indicator Percentages, 2002-2006 Indicator Countywide Indicators 2002 2003 2004 2005 2006 56,611 51.3% 59,000 51.0% 60,535 51.2% 62,223 51.1% 66,162 51.2% 79.3 81.2 81.5 81.1 84.0 30.3% 12.1% 4.2% 11.6% 38.4% 31.2% 11.8% 4.2% 11.4% 39.3% 30.8% 11.7% 4.2% 12.1% 40.0% 30.2% 11.6% 4.1% 12.0% 41.1% 29.9% 11.9% 4.2% 12.4% 42.7% 5.8% 5.5% 5.2% 4.6% 4.1% % Alcohol Use During Pregnancy 0.7% 0.8% 0.7% 0.6% 0.5% % Mother with Pre-Existing Cardiac Disease 0.2% 0.1% 0.1% 0.2% 0.2% % Mother with Pre-Existing Diabetes 2.4% 2.0% 2.2% 2.8% 3.0% % Mothers with No Medical Risk Factors for Pregnancy % Induced Labor 74.7% 74.2% 75.5% 76.5% 77.8% 16.6% 17.2% 17.7% 19.4% 16.9% Delivery via C-Section Primary Cesarean Section 13.0% 13.3% 13.6% 14.5% 15.7% Repeat Cesarean Section 8.7% 9.2% 10.2% 11.0% 10.9% % Preterm Births (Less than 37 Weeks) 10.4% 10.7% 11.3% 10.9% 11.0% % Hospital Births 99.2% 99.2% 99.3% 99.4% 99.3% 46.9% 48.7% 49.6% 51.8% 51.6% Number of Live Births % Male Infants of Total Live Births Fertility Rate per 1,000 Women Age 15-441 Percentage of Live Births to Mothers With Selected Risk Factors Percentage of Live Births With Selected Risk Factors Associated with Pregnancy % Mothers With <12 Years Education % Births to Women 10-19 Years Old % Births to Women 15-17 Years Old % Births to Women Over 35 Years Old % Births to Never Married Women % Tobacco Use During Pregnancy Method of Payment AHCCCS IHS 0.5% 0.5% 0.4% 0.3% 0.4% 49.6% 47.8% 46.7% 44.8% 44.9% Self 2.1% 2.0% 2.3% 2.6% 2.7% None 1.8% 2.7% 2.4% 1.9% 2.1% Private Insurance Prenatal Care st Number of Prenatal Care Visits Plurality 1 Trimester 79.1% 78.7% 79.6% 80.5% 80.3% 2nd Trimester 15.1% 14.3% 14.2% 14.6% 14.6% 3rd Trimester 3.4% 3.7% 3.5% 2.9% 2.9% 0 1.8% 2.7% 2.4% 1.9% 2.1% 1-4 3.3% 3.2% 3.6% 3.5% 3.5% 5-8 12.8% 13.0% 14.5% 15.8% 15.8% 9-12 44.6% 45.6% 49.7% 53.1% 50.4% 13+ 35.7% 32.6% 28.8% 25.6% 28.1% Singletons 97.1% 97.1% 97.0% 97.2% 97.1% 2.7% 2.7% 2.8% 2.7% 2.7% 74.4% 71.0% 71.4% 71.1% 68.9% 5.7% 5.0% 5.5% 5.7% 5.0% 0.4% 0.4% 0.5% 0.6% 0.6% 1.2% 1.1% 1.2% 1.2% 1.2% 6.7% 7.0% 7.1% 6.8% 7.0% 3.4% 0.0% 3.2% 0.0% 3.1% 0.0% 3.0% 0.0% 3.2% 0.0% 0% 0% 0% 0.0% 0% Twins % Singleton Births Receiving Early & Adequate Prenatal Care2 Neonatal Intensive Care Percentage of Live Births % Infants Transferred to Another Facility3 with Selected Very Low (<1500g) Risk Factors Birthweight Associated Low (<2500g) with the High (>4250g) Neonate % Infants With a Neural Tube Defect4 % Infants With Fetal Alcohol Syndrome4 1 2 3 4 The annual number of women age 15 to 44 years old was used to compute this rate. See the technical notes for an explanation of early and adequate prenatal care. Infants transferred from Banner Good Samaritan Hospital to Phoenix Children’s Hospital have not been counted as transfers since the two hospitals share facilities, with Phoenix Children’s Hospital providing Neonatal Intensive Care services to infants born at Banner Good Samaritan. Due to the collection method for these data, information is underestimated. Maricopa County Health Status Report 2002-2006 Page 23 Maricopa County Five-Year Health Trends Table 2.08a Infant Mortality by Race/Ethnicity of Mother, 2002-2006 (Linked) Race/Ethnicity of Mother Year 2002 168 148 20 10 0 9 0 355 White Hispanic African American Amer Ind., Non-Hisp. Amer Ind., Hispanic Asian Other/Unknown Total 2003 138 171 26 18 1 12 1 367 2004 151 185 21 11 1 13 4 386 2005 155 172 21 11 0 13 1 373 Total 751 883 130 57 2 54 8 1,885 2006 139 207 42 7 0 7 2 404 Table 2.08b Infant Mortality Rates by Race/Ethnicity of Mother, 2002-2006 (Linked) Infant Mortality per 1,000 Live Births Race/Ethnicity of Mother Year 2002 6.4 6.0 10.1 6.4 0 5.4 6.3 White Hispanic African American Amer Ind., Non-Hisp. Amer Ind., Hispanic Asian Other/Unknown Total 2003 5.2 6.4 11.9 11.2 9.9 6.5 6.2 2004 5.6 6.8 8.7 6.4 11.6 6.6 6.4 2005 5.7 6.0 8.1 6.3 0 6.4 6.0 2006 4.9 6.8 14.8 3.6 0 3.0 6.1 Table 2.09a Infant Mortality by Age of Mother, 2002-2006 (Linked) Year Age of Mother <20 20-29 30-39 40 and Older Total 2002 65 172 109 9 355 2003 57 201 96 13 367 2004 67 205 102 12 386 2005 63 208 89 13 373 2006 67 214 114 9 404 Total 319 1,000 510 56 1,885 Table 2.09b Infant Mortality Rates by Age of Mother, 2002-2006 (Linked) Infant Mortality per 1,000 Live Births Year Age of Mother <20 20-29 30-39 40 and Older Total 2002 9.5 5.6 6.2 8.0 6.3 2003 8.2 6.2 5.2 10.6 6.2 2004 9.5 6.3 5.2 9.0 6.4 2005 8.7 6.1 4.5 10.0 6.0 2006 8.5 5.9 5.5 6.4 6.1 Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2002-2006 Page 24 Maricopa County Five-Year Health Trends Table 2.10a Infant Mortality by Educational Level of Mother, 2002-2006 (Linked) Educational Level of Mother Year 2002 6 115 102 2003 13 109 118 2004 7 142 108 2005 9 125 113 2006 7 137 127 Total 42 628 568 College or Higher 122 117 121 120 128 608 Unknown Total 10 355 10 367 8 386 6 373 5 404 39 1,885 th Less Than 6 Grade 6th – 11th Grade High School Diploma Table 2.10b Infant Mortality Rates by Educational Level of Mother, 2002-2006 (Linked) Infant Mortality per 1,000 Live Births Educational Level of Mother Year 2002 2003 2004 2005 1006 Less Than 6 Grade 6th – 11th Grade 5.7 7.1 10.6 6.3 6.2 8.1 8.3 7.0 5.4 7.4 High School Diploma 6.7 7.7 6.9 6.8 7.0 College or Higher 5.3 4.8 4.8 4.6 4.6 Unknown Total 8.3 6.3 9.6 6.2 9.0 6.4 10.4 6.0 8.3 6.1 th Table 2.11a Infant Mortality by Birthweight, 2002-2006 (Linked) Birthweight Year <1500 Grams 1500-2499 Grams 2500-4249 Grams >4249 Grams Unknown Total 2002 196 38 117 2003 180 57 126 2004 212 70 103 2005 197 52 121 2006 215 54 127 Total 1,000 271 594 3 2 0 2 3 10 1 355 2 367 1 386 1 373 5 404 10 1,885 Table 2.11b Infant Mortality Rates by Birthweight, 2002-2006 (Linked) Infant Mortality per 1,000 Live Births Birthweight Year 2002 2003 2004 2005 2006 <1500 Grams 1500-2499 Grams 291.2 12.2 267.5 16.6 288.4 19.8 268.0 14.8 272.2 14.0 2500-4249 Grams 2.3 2.4 1.9 2.2 2.1 >4249 Grams 1.5 1.0 0 1.1 1.4 58.8 6.3 95.2 6.2 66.7 6.4 200.0 6.0 714.3 6.1 Unknown Total Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2002-2006 Page 25 Maricopa County Five-Year Health Trends Table 2.12 Infant Mortality and Rates by Age of Infant, 2002-2006 (Linked & Unlinked) Year Infant Mortality Linked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 2002 241 114 355 2003 251 116 367 2004 271 115 386 2005 249 124 373 2006 277 127 404 Unlinked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 244 117 361 253 116 369 274 122 396 253 129 382 278 128 406 2005 2006 Infant Mortality Rates per 1,000 Live Births 2002 2003 Year 2004 Linked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 4.3 2.0 6.3 4.3 2.0 6.2 4.5 1.9 6.4 4.0 2.0 6.0 4.2 1.9 6.1 Unlinked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 4.3 2.1 6.4 4.3 2.0 6.3 4.5 2.0 6.5 4.1 2.1 6.1 4.2 1.9 6.1 Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2002-2006 Page 26 Maricopa County Five-Year Health Trends Table 2.13a Infant Mortality by Age of Infant and Race/Ethnicity of Mother, 2002-2006 (Linked) Linked Infant Mortality Year Neonatal (≤ 28 Days) White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hispanic Asian Other/Unknown Total 2002 120 101 10 3 0 7 0 241 2003 92 126 17 6 1 8 1 251 2004 107 132 14 5 1 10 2 271 2005 102 123 11 4 0 8 1 249 2006 101 140 23 8 0 4 1 277 Postnatal (> 28 Days) White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hispanic Asian Other/Unknown Total 48 47 10 7 0 2 0 114 46 45 9 12 0 4 0 116 44 53 7 6 0 3 2 115 53 49 10 7 0 5 0 124 38 63 19 3 0 3 1 127 Table 2.13b Infant Mortality Rates by Age of Infant and Race/Ethnicity of Mother, 2002-2006 (Linked) Infant Mortality per 1,000 Live Births Linked Infant Mortality Neonatal (≤ 28 Days) Postnatal (> 28 Days) White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hispanic Asian Other/Unknown Total White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hispanic Asian Other/Unknown Total Year 2002 4.6 4.1 5.1 1.9 0 4.2 - 2003 3.5 4.7 7.8 3.7 9.9 4.4 - 2004 4.0 4.8 5.8 2.9 11.6 5.1 - 2005 3.8 4.3 4.3 2.3 0 4.0 - 2006 3.6 4.6 8.1 4.1 0 1.7 - 4.3 4.3 4.5 4.0 4.2 1.8 1.9 5.1 4.5 0 1.2 - 1.7 1.7 4.1 7.4 0 2.2 - 1.6 1.9 2.9 3.5 0 1.5 - 2.0 1.7 3.9 4.0 0 2.5 - 1.3 2.1 6.7 1.6 0 1.3 - 2.0 2.0 1.9 2.0 1.9 Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2002-2006 Page 27 Maricopa County Five-Year Health Trends Table 2.14a Infant Mortality by Race/Ethnicity of Infant, 2002-2006 (Unlinked) Race/Ethnicity of Infant Year White Hispanic African American Amer Ind., Non-Hisp. Amer Ind., Hispanic Asian Other/Unknown Total 2002 157 161 24 6 5 8 0 361 2003 129 185 29 12 7 7 0 369 2004 141 203 28 6 7 8 3 396 2005 142 182 27 10 7 13 1 382 2006 142 203 43 12 2 4 0 406 Total 711 934 151 46 28 40 4 1,914 Table 2.14b Infant Mortality Rates by Race/Ethnicity of Infant, 2002-2006 (Unlinked) Infant Mortality per 1,000 Live Births Race/Ethnicity of Infant White Hispanic African American Amer Ind., Non-Hisp. Amer Ind., Hispanic Asian Other/Unknown Total Year 2002 6.0 6.5 12.1 3.8 44.2 4.8 6.4 2003 4.9 6.9 13.3 7.4 69.3 3.8 6.3 2004 5.3 7.4 11.6 3.5 81.4 4.1 6.5 2005 5.2 6.4 10.5 5.7 67.3 6.4 6.1 2006 5.0 6.7 15.1 6.2 18.9 1.7 6.1 Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2002-2006 Page 28 III. Technical Notes Population Statistics Population statistics are shown in Tables 1.01 through 1.11. This report used the most recent U.S. Census data and estimates for population figures at the time of analysis. • • • The population for Maricopa County population is from the U.S. Census Bureau, County Population Estimates by Age, Sex, Race and Hispanic Origin for July 1, 2006, released August 9, 2007. This is at http://www.census.gov/popest/counties/files/CO-EST2006ALLDATA.csv The population for Arizona is from http://www.census.gov/popest/national/files/NST_EST2006_ALLDATA.csv The population for Phoenix is from http://www.census.gov/popest/cities/files/SUB-EST2006almo.csv The population figures in this report may differ from figures in previous Maricopa County Department of Public Health (MCDPH) and other reports in two ways. First, some reports use Arizona Department of Economic Security (ADES) or MCDPH estimates for population data. Second, some reports may use the first published estimates by the 2000 U.S. Census. This report uses the most recent U.S. Census population figures and estimates for 2006. For a complete explanation on how the most recent U.S. Census data differ from the first published U.S. Census data, see the following: “2000 Census of Population and Housing, Notes and Errata” at www.census.gov/prod/cen2000/notes/errata.pdf. This report defines “Hispanic” as: all respondents listing Hispanic, either alone or in combination with any race that do not identify themselves as American Indian or Alaska Native. This report separates the American Indian population by ethnicity (Hispanic, Non-Hispanic). The table below shows how the U.S. Census variables of “origin” and “race” are used for categorization in this report. Table 3.1 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 Race=3 (American Indian or Alaska Native Alone) Origin=1 (Non-Hispanic) American Indian, Hispanic Race=3 (American Indian or Alaska Native Alone) Origin=2 (Hispanic) Asian Race=4 (Asian Alone) or 5 (Native Hawaiian or Other Pacific Islander Alone) Origin=1 (Non-Hispanic) Other Race=6 (Two or More Races) Origin=1 (Non-Hispanic) Hispanic Race=1,2,4,5,6 Origin=2 (Hispanic) Maricopa County Health Status Report 2002 – 2006 Page 29 Mortality (Death) Statistics Mortality (death) statistics are shown in Tables 2.01a through 2.03b. 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, sex, race/ethnicity, or total population denominator found in Tables 1.01 through 1.10. 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. By definition, deaths due to SIDS only occur in infants; as a result, these numbers are divided by the number of live births, to produce a rate per 1,000 live births. All data on mortality statistics are from the Arizona Department of Health Services (ADHS) final annual files. The Maricopa County mortality data are from death certificates for 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. In the course of routine data review, miscoded causes of death and duplicate mortality records were identified. The following number of duplicates have been deleted from the mortality records: 5 records in 2005, 1 record in 2004, and 1 record in 2002. Two records with erroneous causes of death were altered in 2006. As a result of these changes, the numbers presented in this report may not match those presented by ADHS for Maricopa County. For both mortality and morbidity (communicable disease), rates for some racial/ethnic populations such as American Indians, Asians, and African Americans are 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 through 1.10), 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. Therefore, it is advisable to examine the raw number of cases or deaths, in addition to the rates. In Table 2.01a, deaths due to unintentional injury 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 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). Table 2.02a presents the number of deaths by year meeting the criteria for ‘complications of medical and surgical care.’ Tables 2.05b, 2.08b, 2.13b, and 2.14b do not provide a rate for the category labeled “Unknown Race/Ethnicity.” Since the U.S. Census Bureau does not report data on people of ‘unknown race/ethnicity,’ there is no denominator to use for calculating the rate. Tables 2.02a and 2.02b show sharp changes in the numbers and rates of deaths attributed to unintentional falls, exposure to excessive natural heat, and accidental discharge of firearms. These changes may be artifacts of the mortality specification and coding systems and not real changes in the actual incidence of these events. Causes of death due to external events, as opposed to those intrinsically related to disease processes, are subject to many sources of variability: th • Causes of deaths may be translated into International Classification of Disease, 10 Revision (ICD-10) codes by different methods • The medical examiners’ specification of the sequence of the causes of death may change from year to year in systematic, non-random ways • Changes in NCHS rules regarding the manner, or intentionality, of death may have caused misclassification of intentional injuries, like suicides and homicides, as unintentional, or accidental, injuries. Maricopa County Health Status Report 2002 – 2006 Page 30 Further investigation into the reasons for these changes is ongoing. Unless otherwise noted, all deaths are attributed to one underlying condition, based on death certificate information, using the rules of the International Classification of Diseases. Causes of death are classified by ICD-10 codes. The codes used for each category are listed in Table 3.2 below. Firearm, drug, and alcohol induced deaths are also included in 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. Tables 2.03a and 2.03b 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). Since tobacco is not often considered to be a drug in the colloquial sense, drug-related deaths are listed both with and without tobacco-related deaths. 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 dehydration resulting from environmental exposure, with chronic drug use noted elsewhere on the certificate. Related causes of deaths are counted using multiple cause of death (MCD) data supplied by ADHS with the final annual mortality files, beginning in 2004. Table 3.2 ICD-10 Codes Used for This Report Cause Salmonella & Other Intestinal Infections Tuberculosis Septicemia Syphilis HIV Disease Viral Hepatitis Coccidioidomycosis Other Mycoses Malignant Neoplasms (Cancer) Malignant Neoplasm of the Lip, Oral Cavity, and Pharynx Malignant Neoplasm of the Stomach Malignant Neoplasm of the Colon Malignant Neoplasm of the Pancreas Malignant Neoplasm of Bronchus, Lung, or Trachea Malignant Melanoma of Skin Malignant Neoplasm of the Breast Malignant Neoplasm of the Uterus, Cervix, Ovary Malignant Neoplasm of the Ovary ICD-10 Codes Used (2002-2006) A01-A04, A06-A09 A16-A19 A40-A41 A50-A53 B20-B24 B15-B19 B38 B35-B37, B39-B49 C00-C97 C00-C14 C16 C18-C21 C25 C33-C34 C43 C50 C53-C56 C56 (Table Continues) Maricopa County Health Status Report 2002 – 2006 Page 31 (Table 3.2, Continued) Cause Malignant Neoplasm of the Prostate Malignant Neoplasm of the Testes Malignant Neoplasm of Urinary Organs Malignant Neoplasm of the Meninges, Brain, and Central Nervous System Non-Hodgkins Lymphoma Leukemia Other Malignant Neoplasms Anemias Diabetes Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson’s Disease Alzheimer’s Multiple Sclerosis Epilepsy Major Cardiovascular Disease Disease of Heart Hypertensive Heart Disease Ischemic Heart Disease Acute Myocardial Infarction Other Heart Disease Congestive Heart Failure Coronary Heart Disease Primary Hypertension Cerebrovascular Diseases Atherosclerosis Other Circulatory Influenza & Pneumonia Chronic Lower Respiratory Emphysema Asthma Peptic Ulcer Liver Disease, including chronic liver disease, cirrhosis, alcoholic liver disease, and other chronic liver disease Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Nephritis, nephritic syndrome and nephrosis Pregnancy, childbirth, and the puerperium Perinatal Conditions Disorders Related to Short Gestation and Low Birth Weight (LBW) ICD-10 Codes Used (2002-2006) C61 C62 C64-C68 C70-C72 C82-C85 C91-C95 C00-C15, C17, C22-C24, C26-C32, C37-C49, C51-C52, C57-C60, C62-C63, C69-C81, C88, C90, C96-97 D56-D64 E10-E14 E40-E64 E66 F10 G20-G21 G30 G35 G40-G41 I00-I78 I00-I09, I11, I13, I20-I51 I11, I13 I20-I25 I21-I22 I00-I09, I26-I51 I50 I11, I20-I25 I10, I12 I60-I69 I70 I71-I78 J10-J18 J40-J47 J43 J45-J46 K25-K28 K70, K73-K74 K70 M05-M08 M32 M80-M81 N00-N07, N17-N19, N25-N27 O00-O99 P00-P96 P07 (Table Continues) Maricopa County Health Status Report 2002 – 2006 Page 32 (Table 3.2, Continued) Cause Congenital Malformations Congenital Malformations of the Circulatory System Chromosomal Abnormalities SIDS (Sudden Infant Death Syndrome) Ill Defined Disease Conditions (Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified, excluding SIDS) All Other Diseases Motor Vehicle Collisions All Other Accidents & Adverse Effects Falls Exposure to Excessive Natural Heat Accidental Poisoning Accidental Drowning (Excludes drowning involving water transportation) Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Intent Complications of Medical & Surgical Care (Excludes accidental overdose of a drug or drugs administered in error) Suicide Homicide All Other External Causes Unknown Causes Firearm Related Drug Induced or Related Alcohol Induced or Related ICD-10 Codes Used (2002-2006) Q00-Q99 Q20-Q28 Q90-Q99 R95 R00-R94, R96-R99 A00-A09, A20-A49, A54-B19, B25-B99, D00-E07, E15-G25, G31-H93, I80-J06, J20-J39, J60-K22, K29-K66, K71-K72, K75-M99, N10-N15N20-N23, N28-N98 V02-V04, V09.0, V09.2, V12-V14, V19.0 - V19.2, V19.4-V19.6, V20-V79, V80.3V80.5, V81.0-V81.1, V82.0-V82.1, V83V86, V87.0-V87.8, V88.0-V88.8, V89.0 V89.2 V01, V05-V06, V09.1, V09.3-V09.9, V10-V11, V15-V18, V19.3, V19.8-V19.9, 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, Y40Y86, Y88 W00-W19 X30 X40-X49 W65-W74 Y35, Y890 W32-W34 Y22-Y24 Y40-Y84, Y88 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, Y22-Y24, 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, F18.0F18.5, F18.7-F18.9, F19.0-F19.5, F19.7F19.9, X40-X44, X60-X64, X85, Y10Y14 F10, G31.2, G62.1, I42.6, K29.2, K70, R78.0, X45, X65, Y15 Maricopa County Health Status Report 2002 – 2006 Page 33 Communicable Disease (Morbidity) Statistics Communicable disease statistics are shown in Tables 2.04a through 2.06. Any morbidity rate 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 through 1.10. 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 Maricopa County morbidity data are for Maricopa County residents only. 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. 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, this report shows six residents with West Nile virus (WNV) in 2003. Two of these cases acquired WNV outside of Maricopa County, the other four cases were acquired locally. Other reports and press releases may focus on only the locally acquired WNV cases, regardless of the residency status of the cases. For Hansen’s disease only, tables include residents from various counties in Arizona, regardless of where the disease was acquired. Communicable disease data are from the ADHS final annual files with several exceptions: data on West Nile virus, hepatitis C, genital herpes, gonorrhea, chlamydia, syphilis, and Hansen’s disease are from MCDPH. Because the MCDPH communicable disease database is continuously updated, the data for hepatitis C and West Nile virus can change over time. Hepatitis C data for 2006 used in this report were generated on May 29, 2007 for confirmed, acute and chronic, physician-reported cases among Maricopa County residents. West Nile virus data for 2006 used in this report were generated on May 30, 2007 for all confirmed cases among Maricopa County residents. In previous Health Status Reports, hepatitis B data were also obtained from the MCDPH. However, there have been a number of issues contributing to unreliable Hepatitis B data. Therefore, this report uses hepatitis B data for confirmed and probable acute cases from ADHS for all years presented. 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. HIV/AIDS data for Maricopa County are from May 9, 2007 and were provided to MCDPH for this report. Primary and secondary syphilis is shown as “Syphilis-Prim. and Sec”. The “Syphilis - All others” category includes latent and congenital syphilis. These two categories can be added to determine the total number of syphilis cases. Syphilis data were generated on June 1, 2007. Congenital syphilis details may be found in Tables 2.05a and 2.05b. Morbidity data include only confirmed cases, with the exception of Hepatitis B and Hansen’s disease. Data for Hansen’s disease includes all confirmed, suspect, and probable cases diagnosed in Maricopa County, including diagnoses to non-county residents. Data for Hepatitis B includes confirmed and probable acute cases among Maricopa County residents in 2006. All communicable disease statistics in this report are new cases for each specified year (incidence). The only exception is Hansen’s disease for which the prevalence (all existing cases from all years) is shown. The figures presented for Hansen’s disease differ from previous years due to the addition of several cases diagnosed in previous years but only recently available. Morbidity data for hepatitis C and West Nile Virus are classified by the earliest date in the record. The earliest date may be date of onset, date of diagnosis, or date of report. HIV, AIDS, and Hansen’s disease data are classified by date of diagnosis. All other data are classified by date of report. Maricopa County Health Status Report 2002 – 2006 Page 34 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. In Tables 2.04a and 2.04b, the category labeled “All Others” includes all reportable diseases in the ADHS communicable disease database that are not listed previously on the table. Natality (Birth) Statistics Natality (birth) statistics are shown in Tables 2.07a through 2.10b. In the course of routine data review, erroneous natality records were identified. The following number of duplicates have been deleted from the natality records: 1 record in 2005 and 2 records in 2002. 2 records in 2006 had been assigned to an incorrect residential county, and were altered for accuracy. As a result of these changes, the numbers presented in this report may not match those presented by ADHS for Maricopa County. Infant mortality statistics shown in this report are from linked and unlinked data as indicated in each table. An explanation of linked and unlinked data is presented below. The infant mortality rates for older and younger maternal age groups (under 15 and over 45) may be high compared to other groups. These groups have relatively small populations in Maricopa County. Although rates may be high, they may represent only one or two cases in a given category. Therefore, it is advisable to check the raw numbers. 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 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 2 The following definitions related to reproductive health have been established by NCHS : • Birth or Live Birth 3 – 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. 1 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 2002 – 2006 Page 35 • 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 week (259th day), following onset of the last menstrual period. • 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. • 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. • Linked Infant Mortality – Whenever possible, infant death certificate data are linked to birth certificate information to determine parental, demographic and birth data. Not all infant deaths can be linked (up to 3% are lost to follow-up). In this report, MCDPH created a linked death cohort such that one calendar year of infant death data linked back to the birth data from the current or prior calendar year. th 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: www.de.state.az.us Maricopa County Health Status Report 2002 – 2006 Page 36