Maricopa County Health Status Report 2003 – 2007 Five Year Trends Reference Tables Prepared by the Maricopa County Department of Public Health Office of Epidemiology June 2009 Maricopa County Acknowledgements This report was prepared by the Maricopa County Department of Public Health, Office of Epidemiology. Amy Prestanski, Epidemiologist Liva Nohre, Sr. Epidemiologist Mare Schumacher, Interim 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. Sarah Santana, Tammy Sylvester, Vjollca Berisha, Alana Shacter– 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 2003-2007, Five Year Trends: Reference Tables. Phoenix (AZ): 2009. Maricopa County Health Status Report 2003-2007 Five Year Trends: Reference Tables Table of Contents Introduction i I. Maricopa County Population Statistics – 2003-2007 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 for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, 2007 Population Estimates by Sex, Age, and Race/Ethnicity, 2007 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, 2006 Population Estimates by Sex, Age, and Race/Ethnicity,, 2006 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, 2005 Population Estimates by Sex, Age, and Race/Ethnicity,, 2005 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, 2004 Population Estimates by Sex, Age, and Race/Ethnicity,, 2004 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, 2003 Population Estimates by Sex, Age, and Race/Ethnicity,, 2003 Maricopa County, Phoenix, and Arizona Population 1980-2007 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 Table 2.02a Table 2.02b Selected Underlying Causes of Death 2003-2007, Number of Deaths Selected Underlying Causes of Death 2003-2007, Crude Death Rate per 100,000 Residents Other Selected Underlying Causes of Death 2003-2007, Number of Deaths Other Selected Underlying Causes of Death 2003-2007, Crude Death Rate per 100,000 Residents Firearm, Drug, and Alcohol Induced and Related Deaths 2003-2007, Number of Deaths Firearm, Drug, and Alcohol Induced and Related Deaths 2003-2007, Crude Death Rate per 100,000 Residents Number of Confirmed Cases to Residents of Selected Reportable Diseases, 2003-2007 Case Rates per 100,000 Residents for Selected Reportable Diseases, 2003-2007 Congenital Syphilis by Race/Ethnicity and Year, Number of Cases, 2003-2007 Congenital Syphilis by Race/Ethnicity and Year, Case Rates per 100,000 Live Births, 20032007 Hansen’s Disease Prevalence Selected Maternal & Child Health Indicators, 2003-2007 Selected Maternal & Child Health Indicator Percentages, 2003-2007 Infant Mortality by Race/Ethnicity of Mother, 2003-2007 (Linked) Infant Mortality Rates by Race/Ethnicity of Mother, 2003-2007 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Age of Mother, 2003-2007 (Linked) Infant Mortality Rates by Age of Mother, 2003-2007 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Educational Level of Mother, 2003-2007 (Linked) Infant Mortality Rates by Educational Level of Mother, 2003-2007 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Birthweight, 2003-2007 (Linked) 14 15 16 17 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 18 18 19 20 21 21 21 22 23 24 24 24 24 25 25 25 Maricopa County Health Status Report 2003-2007 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, 2003-2007 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality and Rates by Age of Infant, 2003-2007 (Linked & Unlinked) Infant Mortality by Age of Infant and Race/Ethnicity of Mother, 2003-2007 (Linked) Infant Mortality Rates by Age of Infant and Race/Ethnicity of Mother, 2003-2007 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Race/Ethnicity of Infant, 2003-2007 (Unlinked) Infant Mortality by Race/Ethnicity of Infant, 2003-2007 (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 2003 to 2007 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: 52 residents of Maricopa County were diagnosed with a confirmed case of West Nile Virus in 2007. Natality (Birth) Example: There were 818 infants born with a very low birthweight (less than 1500 grams) in 2007. Rate or percentage of cases in the county • • Communicable Disease Example: For every 100,000 residents of Maricopa County, 1.3 were diagnosed with West Nile Virus in 2007. Natality (Birth) Example: Among all live births in 2007, 1.2% of infants were born with a very low birthweight. All data in this report are for calendar years 2003 through 2007. Information on data sources and methodology are in Section III – Technical Notes. Maricopa County Health Status Report 2003-2007 Page i I. Maricopa County Population Statistics 2003-2007 Tables Maricopa County Health Status Report 2003-2007 Page 1 Maricopa County Population Statistics Table 1.01 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, 2007 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. % 165,376 150,503 143,036 134,994 132,485 314,442 291,635 248,959 181,781 104,257 64,011 22,597 8.5% 7.7% 7.3% 6.9% 6.8% 16.1% 14.9% 12.7% 9.3% 5.3% 3.3% 1.2% 1,954,076 Females No. % 158,485 143,906 136,610 125,473 115,933 281,137 273,123 252,271 197,657 118,221 84,186 39,103 8.2% 7.5% 7.1% 6.5% 6.0% 14.6% 14.2% 13.1% 10.3% 6.1% 4.4% 2.0% 1,926,105 Race/Ethnicity Total No. 323,861 294,409 279,646 260,467 248,418 595,579 564,758 501,230 379,438 222,478 148,197 61,700 % 8.3% 7.6% 7.2% 6.7% 6.4% 15.3% 14.6% 12.9% 9.8% 5.7% 3.8% 1.6% Males No. White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hisp. Asian Other/2+ Races 1,137,951 614,601 80,825 29,413 9,587 54,766 26,933 Total 1,954,076 % 58.2% 31.5% 4.1% 1.5% 0.5% 2.8% 1.4% Females No. % 1,171,596 549,405 77,863 32,192 9,063 59,480 26,506 60.8% 28.5% 4.0% 1.7% 0.5% 3.1% 1.4% 1,926,105 3,880,181 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 133,134 129,505 131,286 134,089 131,584 291,961 333,690 353,908 299,429 184,554 130,592 55,815 2,309,547 Hispanic % 5.8% 5.6% 5.7% 5.8% 5.7% 12.6% 14.4% 15.3% 13.0% 8.0% 5.7% 2.4% No. 150,154 127,434 112,876 93,954 87,769 234,609 168,353 99,773 51,586 23,196 10,717 3,585 1,164,006 African American % 12.9% 10.9% 9.7% 8.1% 7.5% 20.2% 14.5% 8.6% 4.4% 2.0% 0.9% 0.3% No. 14,712 14,216 13,762 13,338 11,954 24,279 24,158 20,219 11,885 6,178 2,952 1,035 158,688 % 9.3% 9.0% 8.7% 8.4% 7.5% 15.3% 15.2% 12.7% 7.5% 3.9% 1.9% 0.7% American Indian Non-Hispanic Hispanic No. % No. % No. 6,310 5,352 5,225 5,684 5,329 11,987 9,158 6,372 3,604 1,580 724 280 9,352 8,100 7,304 6,044 6,021 22,441 21,588 15,182 9,697 5,283 2,470 764 61,605 10.2% 8.7% 8.5% 9.2% 8.7% 19.5% 14.9% 10.3% 5.9% 2.6% 1.2% 0.5% 1,260 1,853 2,214 2,037 1,596 3,405 2,840 1,957 879 424 154 31 6.8% 9.9% 11.9% 10.9% 8.6% 18.3% 15.2% 10.5% 4.7% 2.3% 0.8% 0.2% 18,650 Asian 114,246 Other/2+ Races % 8.2% 7.1% 6.4% 5.3% 5.3% 19.6% 18.9% 13.3% 8.5% 4.6% 2.2% 0.7% No. 8,939 7,949 6,979 5,321 4,165 6,897 4,971 3,819 2,358 1,263 588 190 % 16.7% 14.9% 13.1% 10.0% 7.8% 12.9% 9.3% 7.1% 4.4% 2.4% 1.1% 0.4% 53,439 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2007. Maricopa County Health Status Report 2003-2007 Page 2 Total No. 323,861 294,409 279,646 260,467 248,418 595,579 564,758 501,230 379,438 222,478 148,197 61,700 3,880,181 Maricopa County Population Statistics Table 1.02 Population by Sex, Age, and Race/Ethnicity, 2007 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 65,049 63,279 63,938 65,109 62,691 73,851 69,580 80,048 84,943 92,941 86,826 84,710 71,726 54,512 43,199 109,194 Hispanic % No. 5.6% 5.4% 5.5% 5.6% 5.4% 6.3% 5.9% 6.8% 7.3% 7.9% 7.4% 7.2% 6.1% 4.7% 3.7% 9.3% 73,448 62,195 55,150 44,768 39,453 52,447 50,752 42,684 33,863 27,506 20,415 15,140 10,647 7,163 5,225 8,549 1,155,038 African American % 13.4% 11.3% 10.0% 8.1% 7.2% 9.5% 9.2% 7.8% 6.2% 5.0% 3.7% 2.8% 1.9% 1.3% 1.0% 1.6% 523,919 No. 7,361 7,036 6,807 6,254 5,488 5,925 5,590 6,025 5,737 5,422 4,378 3,573 2,516 1,895 1,435 2,421 % 9.5% 9.0% 8.7% 8.0% 7.0% 7.6% 7.2% 7.7% 7.4% 7.0% 5.6% 4.6% 3.2% 2.4% 1.8% 3.1% 73,063 American Indian Non-Hispanic Hispanic No. % No. % 3,214 2,660 2,543 2,881 2,743 3,420 2,953 2,415 2,271 1,989 1,552 1,213 785 558 384 611 10.0% 8.3% 7.9% 8.9% 8.5% 10.6% 9.2% 7.5% 7.1% 6.2% 4.8% 3.8% 2.4% 1.7% 1.2% 1.9% 30,099 643 942 1,069 1,048 810 832 727 693 609 547 372 235 193 140 93 110 7.1% 10.4% 11.8% 11.6% 8.9% 9.2% 8.0% 7.6% 6.7% 6.0% 4.1% 2.6% 2.1% 1.5% 1.0% 1.2% 9,047 Asian No. 4,554 4,098 3,675 2,856 2,798 4,970 6,439 6,183 5,090 4,417 3,902 3,268 2,369 1,674 1,243 1,944 Other/2+ Races % 7.7% 6.9% 6.2% 4.8% 4.7% 8.4% 10.8% 10.4% 8.6% 7.4% 6.6% 5.5% 4.0% 2.8% 2.1% 3.3% 55,932 No. 4,216 3,696 3,428 2,557 1,950 2,090 1,561 1,365 1,197 1,056 948 697 585 436 264 460 % 15.9% 13.9% 12.9% 9.6% 7.4% 7.9% 5.9% 5.1% 4.5% 4.0% 3.6% 2.6% 2.2% 1.6% 1.0% 1.7% 24,559 Total No. 158,485 143,906 136,610 125,473 115,933 143,535 137,602 139,413 133,710 133,878 118,393 108,836 88,821 66,378 51,843 123,289 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 68,085 66,226 67,348 68,980 68,893 76,895 71,635 83,083 85,616 91,224 82,917 77,077 65,916 49,450 37,393 77,213 1,137,95 6.0% 5.8% 5.9% 6.1% 6.1% 6.8% 6.3% 7.3% 7.5% 8.0% 7.3% 6.8% 5.8% 4.3% 3.3% 6.8% 76,706 65,239 57,726 49,186 48,316 68,286 63,124 51,304 40,502 30,452 21,400 15,476 10,323 6,583 4,225 5,753 614,601 12.5% 10.6% 9.4% 8.0% 7.9% 11.1% 10.3% 8.3% 6.6% 5.0% 3.5% 2.5% 1.7% 1.1% 0.7% 0.9% 7,351 7,180 6,955 7,084 6,466 6,670 6,094 6,223 6,173 5,843 4,576 3,381 2,415 1,644 1,204 1,566 80,825 9.1% 8.9% 8.6% 8.8% 8.0% 8.3% 7.5% 7.7% 7.6% 7.2% 5.7% 4.2% 3.0% 2.0% 1.5% 1.9% 3,096 2,692 2,682 2,803 2,586 2,980 2,634 2,369 2,103 1,670 1,161 980 626 397 241 393 29,413 10.5% 9.2% 9.1% 9.5% 8.8% 10.1% 9.0% 8.1% 7.1% 5.7% 3.9% 3.3% 2.1% 1.3% 0.8% 1.3% 617 911 1,145 989 786 966 880 765 773 582 456 253 198 111 80 75 6.4% 9.5% 11.9% 10.3% 8.2% 10.1% 9.2% 8.0% 8.1% 6.1% 4.8% 2.6% 2.1% 1.2% 0.8% 0.8% 9,587 4,798 4,002 3,629 3,188 3,223 4,923 6,109 5,908 4,407 3,820 3,043 2,369 1,691 1,372 994 1,290 54,766 8.8% 7.3% 6.6% 5.8% 5.9% 9.0% 11.2% 10.8% 8.0% 7.0% 5.6% 4.3% 3.1% 2.5% 1.8% 2.4% 4,723 4,253 3,551 2,764 2,215 1,906 1,340 1,310 1,099 1,046 769 605 471 342 221 318 17.5% 15.8% 13.2% 10.3% 8.2% 7.1% 5.0% 4.9% 4.1% 3.9% 2.9% 2.2% 1.7% 1.3% 0.8% 1.2% 26,933 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2007. Maricopa County Health Status Report 2003-2007 Page 3 165,376 150,503 143,036 134,994 132,485 162,626 151,816 150,962 140,673 134,637 114,322 100,141 81,640 59,899 44,358 86,608 1,954,076 Maricopa County Population Statistics Table 1.01 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by 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. % 160,738 8.5% 145,937 7.7% 140,268 7.4% 130,608 6.9% 132,584 7.0% 308,904 16.2% 286,549 15.1% 238,639 12.5% 173,828 9.1% 99,510 5.2% 63,063 3.3% 21,056 1.1% 1,901,684 Females No. % 154,004 8.2% 139,149 7.4% 133,698 7.1% 121,349 6.5% 116,651 6.2% 276,891 14.8% 269,248 14.3% 243,357 13.0% 189,090 10.1% 112,644 6.0% 83,804 4.5% 37,029 2.0% Race/Ethnicity Total No. 314,742 285,086 273,966 251,957 249,235 585,795 555,797 481,996 362,918 212,154 146,867 58,085 % 8.3% 7.5% 7.3% 6.7% 6.6% 15.5% 14.7% 12.8% 9.6% 5.6% 3.9% 1.5% Males No. White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hisp. Asian Other/2+ Races 1,126,561 582,822 76,915 28,702 9,405 51,608 25,671 Total 1,901,684 % 59.2% 30.6% 4.0% 1.5% 0.5% 2.7% 1.3% Females No. % 1,160,426 520,883 73,886 31,483 8,875 56,170 25,191 61.8% 27.8% 3.9% 1.7% 0.5% 3.0% 1.3% 1,876,914 3,778,598 1,876,914 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 132,260 128,715 132,488 133,301 132,580 293,334 338,759 346,028 289,225 177,171 130,384 52,742 2,286,987 Hispanic % 5.8% 5.6% 5.8% 5.8% 5.8% 12.8% 14.8% 15.1% 12.6% 7.7% 5.7% 2.3% 5.8% No. 143,148 120,561 107,372 87,910 87,907 225,879 157,190 91,631 47,425 21,352 10,070 3,260 1,103,705 African American % 13.0% 10.9% 9.7% 8.0% 8.0% 20.5% 14.2% 8.3% 4.3% 1.9% 0.9% 0.3% No. 14,056 13,338 13,365 12,591 11,555 23,156 23,306 18,949 10,983 5,744 2,786 972 150,801 % 9.3% 8.8% 8.9% 8.3% 7.7% 15.4% 15.5% 12.6% 7.3% 3.8% 1.8% 0.6% American Indian Non-Hispanic Hispanic No. % No. % No. 6,408 5,190 5,242 5,535 5,283 11,762 9,037 5,930 3,363 1,512 677 246 8,940 7,482 6,778 5,703 6,177 21,927 20,002 14,118 8,892 4,829 2,263 667 60,185 10.6% 8.6% 8.7% 9.2% 8.8% 19.5% 15.0% 9.9% 5.6% 2.5% 1.1% 0.4% 1,332 2,013 2,165 1,988 1,611 3,251 2,762 1,777 821 395 139 26 7.3% 11.0% 11.8% 10.9% 8.8% 17.8% 15.1% 9.7% 4.5% 2.2% 0.8% 0.1% Asian 107,778 18,280 Other/2+ Races % 8.3% 6.9% 6.3% 5.3% 5.7% 20.3% 18.6% 13.1% 8.3% 4.5% 2.1% 0.6% No. 8,598 7,787 6,556 4,929 4,122 6,486 4,741 3,563 2,209 1,151 548 172 % 16.9% 15.3% 12.9% 9.7% 8.1% 12.8% 9.3% 7.0% 4.3% 2.3% 1.1% 0.3% 50,862 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 2003-2007 Page 4 Total No. 314,742 285,086 273,966 251,957 249,235 585,795 555,797 481,996 362,918 212,154 146,867 58,085 3,778,598 Maricopa County Population Statistics Table 1.02 Population by Sex, Age, and Race/Ethnicity, 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 64,788 62,715 64,446 64,588 63,705 73,280 70,614 79,880 87,571 91,749 84,547 84,679 66,423 51,223 42,492 107,726 Hispanic % No. 5.6% 5.4% 5.6% 5.6% 5.5% 6.3% 6.1% 6.9% 7.5% 7.9% 7.3% 7.3% 5.7% 4.4% 3.7% 9.3% 69,938 58,792 52,430 41,972 39,243 51,171 48,467 39,525 32,138 25,344 18,741 14,074 9,643 6,599 4,849 7,957 1,160,426 African American % 13.4% 11.3% 10.1% 8.1% 7.5% 9.8% 9.3% 7.6% 6.2% 4.9% 3.6% 2.7% 1.9% 1.3% 0.9% 1.5% 520,883 No. 7,017 6,595 6,604 5,879 5,322 5,545 5,511 5,546 5,678 5,165 4,038 3,270 2,364 1,758 1,299 2,295 % 9.5% 8.9% 8.9% 8.0% 7.2% 7.5% 7.5% 7.5% 7.7% 7.0% 5.5% 4.4% 3.2% 2.4% 1.8% 3.1% 73,886 American Indian Non-Hispanic Hispanic No. % No. % 3,268 2,557 2,598 2,777 2,762 3,436 2,769 2,377 2,313 1,842 1,462 1,161 696 550 358 557 10.4% 8.1% 8.3% 8.8% 8.8% 10.9% 8.8% 7.6% 7.3% 5.9% 4.6% 3.7% 2.2% 1.7% 1.1% 1.8% 31,483 684 1,031 1,042 1,017 820 777 690 685 582 503 335 218 181 122 88 100 7.7% 11.6% 11.7% 11.5% 9.2% 8.8% 7.8% 7.7% 6.6% 5.7% 3.8% 2.5% 2.0% 1.4% 1.0% 1.1% 8,875 Asian No. 4,373 3,802 3,362 2,731 2,804 5,099 6,114 5,640 4,846 4,114 3,659 3,042 2,127 1,552 1,131 1,774 Other/2+ Races % 7.8% 6.8% 6.0% 4.9% 5.0% 9.1% 10.9% 10.0% 8.6% 7.3% 6.5% 5.4% 3.8% 2.8% 2.0% 3.2% 56,170 No. 3,936 3,657 3,216 2,385 1,995 1,929 1,489 1,281 1,186 1,003 855 671 541 384 239 424 % 15.6% 14.5% 12.8% 9.5% 7.9% 7.7% 5.9% 5.1% 4.7% 4.0% 3.4% 2.7% 2.1% 1.5% 0.9% 1.7% 25,191 Total No. 154,004 139,149 133,698 121,349 116,651 141,237 135,654 134,934 134,314 129,720 113,637 107,115 81,975 62,188 50,456 120,833 1,876,914 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 67,472 66,000 68,042 68,713 68,875 75,969 73,471 82,886 88,422 89,592 80,140 77,237 60,886 46,442 37,014 75,400 1,126,561 6.0% 5.9% 6.0% 6.1% 6.1% 6.7% 6.5% 7.4% 7.8% 8.0% 7.1% 6.9% 5.4% 4.1% 3.3% 6.7% 73,210 61,769 54,942 45,938 48,664 66,908 59,333 47,785 37,742 28,068 19,478 14,361 9,347 6,011 3,893 5,373 582,822 12.6% 10.6% 9.4% 7.9% 8.3% 11.5% 10.2% 8.2% 6.5% 4.8% 3.3% 2.5% 1.6% 1.0% 0.7% 0.9% 7,039 6,743 6,761 6,712 6,233 6,206 5,894 5,960 6,122 5,474 4,272 3,176 2,173 1,575 1,112 1,463 76,915 9.2% 8.8% 8.8% 8.7% 8.1% 8.1% 7.7% 7.7% 8.0% 7.1% 5.6% 4.1% 2.8% 2.0% 1.4% 1.9% 3,140 2,633 2,644 2,758 2,521 3,035 2,522 2,291 2,056 1,532 1,094 972 534 384 220 366 28,702 10.9% 9.2% 9.2% 9.6% 8.8% 10.6% 8.8% 8.0% 7.2% 5.3% 3.8% 3.4% 1.9% 1.3% 0.8% 1.3% 648 982 1,123 971 791 957 827 743 752 532 407 247 175 108 77 65 6.9% 10.4% 11.9% 10.3% 8.4% 10.2% 8.8% 7.9% 8.0% 5.7% 4.3% 2.6% 1.9% 1.1% 0.8% 0.7% 9,405 4,567 3,680 3,416 2,972 3,373 4,672 6,042 5,313 4,203 3,553 2,792 2,194 1,529 1,281 865 1,156 51,608 8.8% 7.1% 6.6% 5.8% 6.5% 9.1% 11.7% 10.3% 8.1% 6.9% 5.4% 4.3% 3.0% 2.5% 1.7% 2.2% 4,662 4,130 3,340 2,544 2,127 1,749 1,319 1,218 1,056 953 752 576 421 311 217 296 18.2% 16.1% 13.0% 9.9% 8.3% 6.8% 5.1% 4.7% 4.1% 3.7% 2.9% 2.2% 1.6% 1.2% 0.8% 1.2% 25,671 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 2003-2007 Page 5 160,738 145,937 140,268 130,608 132,584 159,496 149,408 146,196 140,353 129,704 108,935 98,763 75,065 56,112 43,398 84,119 1,901,684 Maricopa County Population Statistics Table 1.03 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by 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. % 155,124 8.5% 139,243 7.6% 136,319 7.4% 125,702 6.9% 133,498 7.3% 299,031 16.3% 276,361 15.1% 227,936 12.4% 163,310 8.9% 95,648 5.2% 61,873 3.4% 19,438 1.1% 1,833,483 Females No. % 148,913 8.2% 132,792 7.3% 129,692 7.2% 116,566 6.4% 116,178 6.4% 270,484 14.9% 261,093 14.4% 233,151 12.9% 177,651 9.8% 108,624 6.0% 83,166 4.6% 34,776 1.9% 1,813,086 Race/Ethnicity Total No. 304,037 272,035 266,011 242,268 249,676 569,515 537,454 461,087 340,961 204,272 145,039 54,214 % 8.3% 7.5% 7.3% 6.6% 6.8% 15.6% 14.7% 12.6% 9.4% 5.6% 4.0% 1.5% Males No. % White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hisp. Asian Other/2+ Races 1,106,824 546,684 71,953 27,598 9,125 47,277 24,022 Total 1,833,483 60.4% 29.8% 3.9% 1.5% 0.5% 2.6% 1.3% Females No. % 1,141,656 488,356 69,102 30,222 8,599 51,609 23,542 63.0% 26.9% 3.8% 1.7% 0.5% 2.8% 1.3% 1,813,086 3,646,569 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 131,677 126,513 132,779 131,494 133,199 293,757 336,927 336,325 274,248 172,197 129,875 49,489 2,248,480 Hispanic % 5.9% 5.6% 5.9% 5.8% 5.9% 13.1% 15.0% 15.0% 12.2% 7.7% 5.8% 2.2% No. 135,349 112,093 100,795 81,890 88,939 212,654 144,673 83,755 43,031 19,650 9,310 2,901 1,035,040 African American % 13.1% 10.8% 9.7% 7.9% 8.6% 20.5% 14.0% 8.1% 4.2% 1.9% 0.9% 0.3% No. 13,096 12,201 12,887 11,850 10,839 21,753 22,148 17,666 9,875 5,271 2,594 875 141,055 % 9.3% 8.6% 9.1% 8.4% 7.7% 15.4% 15.7% 12.5% 7.0% 3.7% 1.8% 0.6% American Indian Non-Hispanic Hispanic No. % No. % 6,168 4,989 5,242 5,215 5,350 11,371 8,590 5,592 3,079 1,369 642 213 57,820 10.7% 8.6% 9.1% 9.0% 9.3% 19.7% 14.9% 9.7% 5.3% 2.4% 1.1% 0.4% 1,383 2,166 2,107 1,892 1,557 3,107 2,619 1,635 755 356 132 15 7.8% 12.2% 11.9% 10.7% 8.8% 17.5% 14.8% 9.2% 4.3% 2.0% 0.7% 0.1% 17,724 Asian No. 8,239 6,598 6,216 5,339 5,921 20,769 18,073 12,861 7,935 4,396 1,975 564 98,886 Other/2+ Races % 8.3% 6.7% 6.3% 5.4% 6.0% 21.0% 18.3% 13.0% 8.0% 4.4% 2.0% 0.6% No. 8,125 7,475 5,985 4,588 3,871 6,104 4,424 3,253 2,038 1,033 511 157 % 17.1% 15.7% 12.6% 9.6% 8.1% 12.8% 9.3% 6.8% 4.3% 2.2% 1.1% 0.3% 47,564 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 2003-2007 Page 6 Total No. 304,037 272,035 266,011 242,268 249,676 569,515 537,454 461,087 340,961 204,272 145,039 54,214 3,646,569 Maricopa County Population Statistics Table 1.04 Population by Sex, Age, and Race/Ethnicity, 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 64,586 61,748 64,504 63,695 63,553 71,416 73,460 77,629 89,258 89,053 82,343 79,480 63,757 49,021 42,192 105,961 Hispanic % No. 5.7% 5.4% 5.7% 5.6% 5.6% 6.3% 6.4% 6.8% 7.8% 7.8% 7.2% 7.0% 5.6% 4.3% 3.7% 9.3% 66,131 54,620 49,199 38,992 39,227 48,887 45,311 36,318 29,777 23,242 17,126 12,810 8,807 6,060 4,533 7,316 1,141,656 African American % 13.5% 11.2% 10.1% 8.0% 8.0% 10.0% 9.3% 7.4% 6.1% 4.8% 3.5% 2.6% 1.8% 1.2% 0.9% 1.5% 488,356 No. 6,592 6,010 6,306 5,565 5,114 4,976 5,311 5,318 5,305 4,767 3,883 2,809 2,210 1,623 1,189 2,124 % 9.5% 8.7% 9.1% 8.1% 7.4% 7.2% 7.7% 7.7% 7.7% 6.9% 5.6% 4.1% 3.2% 2.3% 1.7% 3.1% 69,102 American Indian Non-Hispanic Hispanic No. % No. % 3,105 2,468 2,605 2,615 2,811 3,276 2,715 2,204 2,276 1,723 1,401 1,042 662 499 307 513 10.3% 8.2% 8.6% 8.7% 9.3% 10.8% 9.0% 7.3% 7.5% 5.7% 4.6% 3.4% 2.2% 1.7% 1.0% 1.7% 30,222 713 1,077 1,041 972 772 738 687 624 567 461 305 201 160 110 80 91 8.3% 12.5% 12.1% 11.3% 9.0% 8.6% 8.0% 7.3% 6.6% 5.4% 3.5% 2.3% 1.9% 1.3% 0.9% 1.1% 8,599 Asian No. 4,052 3,370 3,045 2,540 2,806 4,697 5,837 5,036 4,504 3,825 3,320 2,712 1,869 1,422 1,042 1,532 Other/2+ Races % 7.9% 6.5% 5.9% 4.9% 5.4% 9.1% 11.3% 9.8% 8.7% 7.4% 6.4% 5.3% 3.6% 2.8% 2.0% 3.0% 51,609 No. 3,734 3,499 2,992 2,187 1,895 1,769 1,404 1,154 1,123 938 764 618 514 335 211 405 % 15.9% 14.9% 12.7% 9.3% 8.0% 7.5% 6.0% 4.9% 4.8% 4.0% 3.2% 2.6% 2.2% 1.4% 0.9% 1.7% 23,542 Total No. 148,913 132,792 129,692 116,566 116,178 135,759 134,725 128,283 132,810 124,009 109,142 99,672 77,979 59,070 49,554 117,942 1,813,086 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 67,091 64,765 68,275 67,799 69,646 72,767 76,114 80,611 89,429 87,474 77,455 73,019 57,992 44,128 36,856 73,403 1,106,824 6.1% 5.9% 6.2% 6.1% 6.3% 6.6% 6.9% 7.3% 8.1% 7.9% 7.0% 6.6% 5.2% 4.0% 3.3% 6.6% 69,218 57,473 51,596 42,898 49,712 63,496 54,960 43,858 34,720 25,538 17,849 12,957 8,457 5,432 3,625 4,895 546,684 12.7% 10.5% 9.4% 7.8% 9.1% 11.6% 10.1% 8.0% 6.4% 4.7% 3.3% 2.4% 1.5% 1.0% 0.7% 0.9% 6,504 6,191 6,581 6,285 5,725 5,973 5,493 5,670 5,855 5,123 3,893 2,871 1,985 1,456 1,003 1,345 71,953 9.0% 8.6% 9.1% 8.7% 8.0% 8.3% 7.6% 7.9% 8.1% 7.1% 5.4% 4.0% 2.8% 2.0% 1.4% 1.9% 3,063 2,521 2,637 2,600 2,539 2,883 2,497 2,144 1,966 1,407 1,061 912 463 363 200 342 27,598 11.1% 9.1% 9.6% 9.4% 9.2% 10.4% 9.0% 7.8% 7.1% 5.1% 3.8% 3.3% 1.7% 1.3% 0.7% 1.2% 670 1,089 1,066 920 785 947 735 747 681 509 360 234 160 90 76 56 7.3% 11.9% 11.7% 10.1% 8.6% 10.4% 8.1% 8.2% 7.5% 5.6% 3.9% 2.6% 1.8% 1.0% 0.8% 0.6% 9,125 4,187 3,228 3,171 2,799 3,115 4,724 5,511 4,657 3,876 3,193 2,523 1,973 1,381 1,162 770 1,007 47,277 8.9% 6.8% 6.7% 5.9% 6.6% 10.0% 11.7% 9.9% 8.2% 6.8% 5.3% 4.2% 2.9% 2.5% 1.6% 2.1% 4,391 3,976 2,993 2,401 1,976 1,638 1,293 1,114 1,033 868 683 531 375 289 198 263 18.3% 16.6% 12.5% 10.0% 8.2% 6.8% 5.4% 4.6% 4.3% 3.6% 2.8% 2.2% 1.6% 1.2% 0.8% 1.1% 24,022 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 2003-2007 Page 7 155,124 139,243 136,319 125,702 133,498 152,428 146,603 138,801 137,560 124,112 103,824 92,497 70,813 52,920 42,728 81,311 1,833,483 Maricopa County Population Statistics Table 1.05 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by 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. % 147,703 8.4% 134,375 7.6% 131,980 7.5% 120,455 6.8% 132,872 7.5% 288,857 16.4% 266,481 15.1% 215,440 12.2% 151,822 8.6% 92,653 5.3% 60,185 3.4% 17,758 1.0% 1,760,581 Females No. % 140,678 8.1% 128,244 7.4% 125,645 7.2% 111,361 6.4% 116,402 6.7% 260,869 15.0% 252,498 14.5% 222,192 12.7% 165,450 9.5% 105,720 6.1% 81,585 4.7% 32,918 1.9% 1,743,562 Race/Ethnicity Total No. 288,381 262,619 257,625 231,816 249,274 549,726 518,979 437,632 317,272 198,373 141,770 50,676 % 8.2% 7.5% 7.4% 6.6% 7.1% 15.7% 14.8% 12.5% 9.1% 5.7% 4.0% 1.4% Males No. % White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hisp. Asian Other/2+ Races 1,080,437 511,600 67,609 26,219 8,823 43,602 22,291 Total 1,760,581 61.4% 29.1% 3.8% 1.5% 0.5% 2.5% 1.3% Females No. % 1,115,251 457,063 64,677 28,719 8,304 47,598 21,950 64.0% 26.2% 3.7% 1.6% 0.5% 2.7% 1.3% 1,743,562 3,504,143 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 127,998 125,262 132,327 128,754 132,431 290,973 333,548 323,757 257,517 168,746 127,919 46,456 2,195,688 Hispanic % 5.8% 5.7% 6.0% 5.9% 6.0% 13.3% 15.2% 14.7% 11.7% 7.7% 5.8% 2.1% No. 126,415 105,709 94,381 76,080 90,124 198,555 133,302 76,153 38,607 18,182 8,584 2,571 968,663 African American % 13.1% 10.9% 9.7% 7.9% 9.3% 20.5% 13.8% 7.9% 4.0% 1.9% 0.9% 0.3% No. 12,093 11,448 12,342 11,128 10,434 20,623 21,077 16,181 8,878 4,897 2,382 803 132,286 % 9.1% 8.7% 9.3% 8.4% 7.9% 15.6% 15.9% 12.2% 6.7% 3.7% 1.8% 0.6% American Indian Non-Hispanic Hispanic No. % No. % 5,481 4,864 5,167 4,888 5,378 10,896 8,252 5,226 2,756 1,253 574 203 54,938 10.0% 8.9% 9.4% 8.9% 9.8% 19.8% 15.0% 9.5% 5.0% 2.3% 1.0% 0.4% 1,516 2,161 2,091 1,766 1,533 2,959 2,504 1,444 691 335 113 14 8.9% 12.6% 12.2% 10.3% 9.0% 17.3% 14.6% 8.4% 4.0% 2.0% 0.7% 0.1% 17,127 Asian No. 7,269 6,202 5,740 5,007 5,720 19,971 16,222 11,855 7,006 4,006 1,716 486 91,200 Other/2+ Races % 8.0% 6.8% 6.3% 5.5% 6.3% 21.9% 17.8% 13.0% 7.7% 4.4% 1.9% 0.5% No. 7,609 6,973 5,577 4,193 3,654 5,749 4,074 3,016 1,817 954 482 143 % 17.2% 15.8% 12.6% 9.5% 8.3% 13.0% 9.2% 6.8% 4.1% 2.2% 1.1% 0.3% 44,241 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 2003-2007 Page 8 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 Sex, Age, and Race/Ethnicity, 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 62,631 60,960 64,306 62,342 63,939 67,839 74,783 76,496 88,763 86,211 79,441 74,276 60,207 47,058 42,431 103,568 Hispanic % No. 5.6% 5.5% 5.8% 5.6% 5.7% 6.1% 6.7% 6.9% 8.0% 7.7% 7.1% 6.7% 5.4% 4.2% 3.8% 9.3% 61,461 51,634 46,127 36,090 39,492 46,299 41,956 33,435 27,635 21,104 15,695 11,605 7,924 5,714 4,195 6,697 1,115,251 African American % 13.4% 11.3% 10.1% 7.9% 8.6% 10.1% 9.2% 7.3% 6.0% 4.6% 3.4% 2.5% 1.7% 1.3% 0.9% 1.5% 457,063 No. 5,974 5,702 6,023 5,172 5,003 4,591 5,105 4,982 5,086 4,377 3,569 2,532 1,976 1,475 1,142 1,968 % 9.2% 8.8% 9.3% 8.0% 7.7% 7.1% 7.9% 7.7% 7.9% 6.8% 5.5% 3.9% 3.1% 2.3% 1.8% 3.0% 64,677 American Indian Non-Hispanic Hispanic No. % No. % 2,762 2,387 2,579 2,444 2,774 3,130 2,697 2,093 2,231 1,579 1,297 933 605 465 268 475 9.6% 8.3% 9.0% 8.5% 9.7% 10.9% 9.4% 7.3% 7.8% 5.5% 4.5% 3.2% 2.1% 1.6% 0.9% 1.7% 28,719 765 1,070 1,052 909 759 687 657 594 554 378 296 177 151 101 78 76 9.2% 12.9% 12.7% 10.9% 9.1% 8.3% 7.9% 7.2% 6.7% 4.6% 3.6% 2.1% 1.8% 1.2% 0.9% 0.9% 8,304 Asian No. 3,624 3,159 2,797 2,407 2,611 4,723 5,437 4,486 4,057 3,554 3,087 2,387 1,652 1,319 961 1,337 Other/2+ Races % 7.6% 6.6% 5.9% 5.1% 5.5% 9.9% 11.4% 9.4% 8.5% 7.5% 6.5% 5.0% 3.5% 2.8% 2.0% 2.8% 47,598 No. 3,461 3,332 2,761 1,997 1,824 1,658 1,307 1,089 997 914 690 572 453 313 200 382 % 15.8% 15.2% 12.6% 9.1% 8.3% 7.6% 6.0% 5.0% 4.5% 4.2% 3.1% 2.6% 2.1% 1.4% 0.9% 0.8% 21,950 Total No. 140,678 128,244 125,645 111,361 116,402 128,927 131,942 123,175 129,323 118,117 104,075 92,482 72,968 56,445 49,275 114,503 1,743,562 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 65,367 64,302 68,021 66,412 68,492 70,361 77,990 79,224 89,065 83,912 74,193 68,511 54,523 42,511 36,746 70,807 1,080,437 6.1% 6.0% 6.3% 6.1% 6.3% 6.5% 7.2% 7.3% 8.2% 7.8% 6.9% 6.3% 5.0% 3.9% 3.4% 6.6% 64,954 54,075 48,254 39,990 50,632 59,825 50,475 40,565 31,667 23,062 16,292 11,514 7,564 4,910 3,363 4,458 511,600 12.7% 10.6% 9.4% 7.8% 9.9% 11.7% 9.9% 7.9% 6.2% 4.5% 3.2% 2.3% 1.5% 1.0% 0.7% 0.9% 6,119 5,746 6,319 5,956 5,431 5,331 5,596 5,329 5,680 4,648 3,587 2,584 1,786 1,362 918 1,217 67,609 9.1% 8.5% 9.3% 8.8% 8.0% 7.9% 8.3% 7.9% 8.4% 6.9% 5.3% 3.8% 2.6% 2.0% 1.4% 1.8% 2,719 2,477 2,588 2,444 2,604 2,691 2,378 2,113 1,815 1,333 1,017 773 445 325 195 302 26,219 10.4% 9.4% 9.9% 9.3% 9.9% 10.3% 9.1% 8.1% 6.9% 5.1% 3.9% 2.9% 1.7% 1.2% 0.7% 1.2% 751 1,091 1,039 857 774 934 681 745 611 469 301 230 133 86 70 51 8.5% 12.4% 11.8% 9.7% 8.8% 10.6% 7.7% 8.4% 6.9% 5.3% 3.4% 2.6% 1.5% 1.0% 0.8% 0.6% 8,823 3,645 3,043 2,943 2,600 3,109 4,446 5,365 4,111 3,568 2,901 2,313 1,716 1,251 1,024 702 865 43,602 8.4% 7.0% 6.7% 6.0% 7.1% 10.2% 12.3% 9.4% 8.2% 6.7% 5.3% 3.9% 2.9% 2.3% 1.6% 2.0% 4,148 3,641 2,816 2,196 1,830 1,496 1,288 988 1,000 794 618 447 345 267 174 243 18.6% 16.3% 12.6% 9.9% 8.2% 6.7% 5.8% 4.4% 4.5% 3.6% 2.8% 2.0% 1.5% 1.2% 0.8% 0.5% 22,291 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 2003-2007 Page 9 147,703 134,375 131,980 120,455 132,872 145,084 143,773 133,075 133,406 117,119 98,321 85,775 66,047 50,485 42,168 77,943 1,760,581 Maricopa County Population Statistics Table 1.07 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by 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. % 141,253 8.3% 130,888 7.7% 128,297 7.5% 116,603 6.8% 132,112 7.8% 279,453 16.4% 259,488 15.2% 206,414 12.1% 141,991 8.3% 90,215 5.3% 58,843 3.5% 16,693 1.0% 1,702,250 Females No. % 135,221 8.0% 124,851 7.4% 121,846 7.2% 107,693 6.4% 116,900 6.9% 252,976 15.0% 247,113 14.6% 214,024 12.7% 154,213 9.1% 103,608 6.1% 80,357 4.8% 31,464 1.9% 1,690,266 Race/Ethnicity Total No. 276,474 255,739 250,143 224,296 249,012 532,429 506,601 420,438 296,204 193,823 139,200 48,157 % 8.1% 7.5% 7.4% 6.6% 7.3% 15.7% 14.9% 12.4% 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 1,059,073 483,146 64,223 25,355 8,562 41,014 20,877 Total 1,702,250 62.2% 28.4% 3.8% 1.5% 0.5% 2.4% 1.2% Females No. % 1,095,044 432,307 61,537 27,835 8,055 44,799 20,689 64.8% 25.6% 3.6% 1.6% 0.5% 2.7% 1.2% 1,690,266 3,392,516 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 125,547 124,379 132,065 125,888 131,903 288,340 332,472 314,838 241,821 166,254 126,307 44,303 2,154,117 Hispanic % 5.8% 5.8% 6.1% 5.8% 6.1% 13.4% 15.4% 14.6% 11.2% 7.7% 5.9% 2.1% No. 118,681 100,811 88,655 72,623 91,168 186,534 124,313 70,292 35,015 17,022 8,000 2,339 915,453 African American % 13.0% 11.0% 9.7% 7.9% 10.0% 20.4% 13.6% 7.7% 3.8% 1.9% 0.9% 0.3% No. 11,370 11,139 11,768 10,612 9,744 19,741 20,478 15,137 8,171 4,586 2,258 756 125,760 % 9.0% 8.9% 9.4% 8.4% 7.7% 15.7% 16.3% 12.0% 6.5% 3.6% 1.8% 0.6% American Indian Non-Hispanic Hispanic No. % No. % 5,244 4,777 5,092 4,691 5,508 10,607 7,968 4,915 2,561 1,110 548 169 53,190 9.9% 9.0% 9.6% 8.8% 10.4% 19.9% 15.0% 9.2% 4.8% 2.1% 1.0% 0.3% 1,615 2,098 2,057 1,692 1,599 2,753 2,416 1,330 619 319 105 14 9.7% 12.6% 12.4% 10.2% 9.6% 16.6% 14.5% 8.0% 3.7% 1.9% 0.6% 0.1% 16,617 Asian No. 6,694 5,935 5,368 4,822 5,637 19,203 15,015 11,148 6,326 3,691 1,545 429 85,813 Other/2+ Races % 7.8% 6.9% 6.3% 5.6% 6.6% 22.4% 17.5% 13.0% 7.4% 4.3% 1.8% 0.5% No. 7,323 6,600 5,138 3,968 3,453 5,251 3,939 2,778 1,691 841 437 147 % 17.6% 15.9% 12.4% 9.5% 8.3% 12.6% 9.5% 6.7% 4.1% 2.0% 1.1% 0.4% 41,566 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 2003-2007 Page 10 Total No. 276,474 255,739 250,143 224,296 249,012 532,429 506,601 420,438 296,204 193,823 139,200 48,157 3,392,516 Maricopa County Population Statistics Table 1.08 Population by Sex, Age, and Race/Ethnicity, 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 61,366 60,550 64,165 61,069 64,304 65,751 75,379 77,244 87,660 83,908 77,447 69,659 56,373 45,734 42,735 101,700 Hispanic % No. 5.6% 5.5% 5.9% 5.6% 5.9% 6.0% 6.9% 7.1% 8.0% 7.7% 7.1% 6.4% 5.1% 4.2% 3.9% 9.3% 58,093 49,144 43,184 34,258 39,769 44,169 39,134 31,662 25,588 19,437 14,604 10,516 7,284 5,321 3,938 6,206 1,095,044 African American % 13.4% 11.4% 10.0% 7.9% 9.2% 10.2% 9.1% 7.3% 5.9% 4.5% 3.4% 2.4% 1.7% 1.2% 0.9% 1.4% 432,307 No. 5,625 5,575 5,718 4,954 4,782 4,303 4,927 4,866 4,885 4,097 3,343 2,261 1,865 1,412 1,059 1,865 % 9.1% 9.1% 9.3% 8.1% 7.8% 7.0% 8.0% 7.9% 7.9% 6.7% 5.4% 3.7% 3.0% 2.3% 1.7% 3.0% 61,537 American Indian Non-Hispanic Hispanic No. % No. % 2,628 2,357 2,545 2,359 2,904 2,964 2,651 2,084 2,083 1,543 1,198 835 587 421 234 442 9.4% 8.5% 9.1% 8.5% 10.4% 10.6% 9.5% 7.5% 7.5% 5.5% 4.3% 3.0% 2.1% 1.5% 0.8% 1.6% 27,835 823 1,028 1,054 856 798 613 616 592 510 359 267 168 135 99 70 67 10.2% 12.8% 13.1% 10.6% 9.9% 7.6% 7.6% 7.3% 6.3% 4.5% 3.3% 2.1% 1.7% 1.2% 0.9% 0.8% 8,055 Asian No. 3,349 2,981 2,622 2,310 2,622 4,572 5,167 4,193 3,758 3,369 2,945 2,100 1,496 1,236 892 1,187 Other/2+ Races % 7.5% 6.7% 5.9% 5.2% 5.9% 10.2% 11.5% 9.4% 8.4% 7.5% 6.6% 4.7% 3.3% 2.8% 2.0% 2.6% 44,799 No. 3,337 3,216 2,558 1,887 1,721 1,485 1,245 1,027 961 893 614 504 430 272 185 354 % 16.1% 15.5% 12.4% 9.1% 8.3% 7.2% 6.0% 5.0% 4.6% 4.3% 3.0% 2.4% 2.1% 1.3% 0.9% 1.7% 20,689 Total No. 135,221 124,851 121,846 107,693 116,900 123,857 129,119 121,668 125,445 113,606 100,418 86,043 68,170 54,495 49,113 111,821 1,690,266 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 64,181 63,829 67,900 64,819 67,599 67,829 79,381 79,893 87,675 81,448 72,035 64,757 51,032 40,727 37,058 68,910 1,059,073 6.1% 6.0% 6.4% 6.1% 6.4% 6.4% 7.5% 7.5% 8.3% 7.7% 6.8% 6.1% 4.8% 3.8% 3.5% 6.5% 60,588 51,667 45,471 38,365 51,399 56,127 47,104 37,921 29,142 21,200 15,051 10,363 6,852 4,560 3,203 4,133 483,146 12.5% 10.7% 9.4% 7.9% 10.6% 11.6% 9.7% 7.8% 6.0% 4.4% 3.1% 2.1% 1.4% 0.9% 0.7% 0.9% 5,745 5,564 6,050 5,658 4,962 5,124 5,387 5,271 5,456 4,331 3,366 2,370 1,675 1,271 844 1,149 64,223 8.9% 8.7% 9.4% 8.8% 7.7% 8.0% 8.4% 8.2% 8.5% 6.7% 5.2% 3.7% 2.6% 2.0% 1.3% 1.8% 2,616 2,420 2,547 2,332 2,604 2,630 2,362 2,065 1,736 1,194 980 716 423 281 174 275 25,355 10.3% 9.5% 10.0% 9.2% 10.3% 10.4% 9.3% 8.1% 6.8% 4.7% 3.9% 2.8% 1.7% 1.1% 0.7% 1.1% 792 1,070 1,003 836 801 857 667 750 564 417 287 203 113 93 57 52 9.3% 12.5% 11.7% 9.8% 9.4% 10.0% 7.8% 8.8% 6.6% 4.9% 3.4% 2.4% 1.3% 1.1% 0.7% 0.6% 8,562 3,345 2,954 2,746 2,512 3,015 4,436 5,028 3,813 3,251 2,739 2,095 1,571 1,159 953 610 787 41,014 8.2% 7.2% 6.7% 6.1% 7.4% 10.8% 12.3% 9.3% 7.9% 6.7% 5.1% 3.8% 2.8% 2.3% 1.5% 1.9% 3,986 3,384 2,580 2,081 1,732 1,293 1,228 975 976 697 574 419 338 228 156 230 19.1% 16.2% 12.4% 10.0% 8.3% 6.2% 5.9% 4.7% 4.7% 3.3% 2.7% 2.0% 1.6% 1.1% 0.7% 1.1% 20,877 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 2003-2007 Page 11 141,253 130,888 128,297 116,603 132,112 138,296 141,157 130,688 128,800 112,026 94,388 80,399 61,592 48,113 42,102 75,536 1,702,250 Maricopa County Population Statistics Table 1.11 Maricopa County, Phoenix, and Arizona Population 1980-2007 Year City of Phoenix Maricopa County State of Arizona Source 1980 789,704 1,509,175 2,726,100 1980 U.S. Census 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 1,349,471 3,200,844 5,301,097 2002 1,374,236 3,300,425 5,444,881 2003 1,394,587 3,392,516 5,579,307 2004 1,425,372 3,504,143 5,744,367 2005 1,473,223 3,646,569 5,952,083 2006 1,517,318 3,778,598 6,165,689 2007 1,552,259 3,880,181 6,338,755 Maricopa County Health Status Report 2003-2007 U.S. Census Estimate 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 2003-2007 Page 13 Maricopa County Five-Year Health Trends Table 2.01a Selected Underlying Causes of Death 2003-2007, Number of Deaths Cause Infectious Diseases Cancer Tuberculosis Syphilis HIV Stomach Colon Pancreas Lung Breast Uterine & Ovarian Prostate Urinary Lymphoma 2003 2004 2005 2006 2007 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 5 0 71 99 506 345 1,370 364 225 283 244 379 257 276 275 356 247 293 276 427 220 270 278 395 251 288 265 216 195 220 212 201 Leukemia Other Cancer 220 1,236 201 1,303 207 1,283 230 1,302 234 1,369 All Cancer 5,160 5,168 5,177 5,238 5,323 Diabetes and Alzheimer's Diabetes Alzheimer's 611 1,103 604 1,113 597 1,246 624 1,445 583 1,454 Major Cardiovascular Diseases 297 318 345 368 432 4,801 4,655 4,849 4,523 4,138 Heart Disease Hypertensive Heart Disease Ischemic Heart Disease Other Heart Disease 868 802 817 828 947 5,966 5,775 6,011 5,719 5,517 224 265 264 283 229 Cerebrovascular 1,313 1,350 1,270 1,217 1,114 Atherosclerosis Other Circulatory 116 193 128 220 171 200 76 175 60 208 All Other Cardiovascular 1,846 1,963 1,905 1,751 1,611 Other Respiratory Diseases Influenza & Pneumonia Chronic Lower Respiratory 628 1,357 582 1,318 715 1,506 623 1,484 456 1,407 GI & Urinary Peptic Ulcer All Heart Disease Other Cardiovascular Primary Hypertension 29 36 43 43 33 323 263 320 257 377 212 357 217 356 214 2 2 6 5 6 Perinatal Conditions Congenital Malformations 172 124 196 144 181 123 206 153 197 141 SIDS Symptoms, Signs 14 315 8 412 14 511 21 584 22 572 Other Diseases 3,175 3,218 3,574 3,864 3,770 Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes 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 2,742 505 1,190 551 329 80 2,655 202 36 6 1 23,549 23,532 24,897 25,176 16 24,409 Liver Disease Nephritis Pregnancy & Early Life Other Diseases External Causes Unknown Total Pregnancy Maricopa County Health Status Report 2003-2007 Page 14 Maricopa County Five-Year Health Trends Table 2.01b Selected Underlying Causes of Death, 2003-2007 Crude Death Rate per 100,000 Residents Cause Infectious Diseases 2003 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 2004 2005 2006 2007 0.1 0.2 0.2 0.3 0.1 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 8.7 0 2.4 2.4 12.7 7.8 0 1.8 2.6 13.0 8.9 42.7 10.7 13.3 16.6 39.1 10.8 14.7 15.7 37.1 9.8 13.6 16.0 37.9 11.3 11.7 14.2 35.3 10.2 13.0 14.7 7.2 7.8 7.6 7.4 6.8 6.4 6.5 36.4 152.1 18.0 32.5 5.6 5.7 37.2 147.5 17.2 31.8 6.0 5.7 35.2 142.0 16.4 34.2 5.6 6.1 34.5 138.6 16.5 38.2 5.2 6.0 35.3 137.2 15.0 37.5 8.8 141.5 25.6 175.9 9.1 132.8 22.9 164.8 9.5 133.0 22.4 164.8 9.7 119.7 21.9 151.4 11.1 106.6 24.4 142.2 6.6 38.7 3.4 7.6 38.5 3.7 7.2 34.8 4.7 7.5 32.2 2.0 5.9 28.7 1.5 5.7 54.4 18.5 6.3 56.0 16.6 5.5 52.2 19.6 4.6 46.3 16.5 5.4 41.5 11.8 40.0 37.6 41.3 39.3 36.3 0.9 9.5 1.0 9.1 1.2 10.3 1.1 9.4 0.9 9.2 7.8 7.3 5.8 5.7 5.5 0.1 5.1 0.1 5.6 0.3 5.0 0.3 5.5 0.3 5.1 3.7 0.2 4.1 0.1 3.4 0.2 4.0 0.3 3.6 0.3 9.3 93.6 14.5 23.8 13.2 9.4 2.1 62.9 6.0 11.8 91.8 15.3 25.9 13.1 8.8 1.6 64.6 1.0 14.0 98.0 16.1 30.1 13.3 9.1 2.5 71.1 0.2 15.5 102.3 17.0 30.8 13.2 9.4 2.2 72.6 0.0 14.7 97.2 13.0 30.7 14.2 8.5 2.1 68.4 0.4 694.1 671.5 682.8 666.3 629.1 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 2003-2007 Page 15 Maricopa County Five-Year Health Trends Table 2.02a Other Selected Underlying Causes of Death 2003-2007, Number of Deaths Cause Infectious Diseases Salmonella & Other Intestinal Infections 2006 2007 45 44 77 93 219 258 307 308 Viral Hepatitis 85 79 83 133 78 Coccidioidomycosis 16 20 19 23 20 Other Mycoses 18 15 18 24 17 128 141 162 149 133 55 67 72 63 66 Lip Skin (Melanoma) Ovarian Testicular Cardiovascular 2005 31 Brain Other Diseases 2004 235 Septicemia Cancer 2003 90 90 94 99 101 151 167 149 144 168 3 5 5 0 5 Anemias 27 28 26 21 30 Nutritional Deficiencies 18 13 14 9 10 Obesity 34 39 46 52 49 Mental & Behavioral Disorders Due to the Use of Alcohol 111 104 115 96 110 Parkinson’s Disease 239 222 290 269 253 Multiple Sclerosis 25 35 37 53 43 Epilepsy 15 19 14 13 13 1,286 1,130 1,168 1,015 958 148 135 149 187 186 262 232 215 197 148 38 28 38 37 33 Acute Myocardial Infarction (Heart Attack) Congestive Heart Failure Chronic Lower Respiratory Emphysema Liver Disease Alcoholic Liver Disease 161 181 223 233 220 Musculoskeletal Rheumatoid Arthritis 23 17 25 21 20 Lupus 11 12 20 17 16 11 10 7 6 7 57 61 46 64 61 Congenital Malformations of the Circulatory System 42 37 38 41 46 Chromosomal Abnormalities 25 29 21 30 24 289 323 434 441 497 Asthma Osteoporosis Perinatal Conditions & Disorders Related to Short Gestation & Congenital Malformations Low Birth Weight External Causes Falls 1 Drowning 55 66 55 56 53 235 299 327 384 418 18 20 46 40 20 9 12 4 6 9 Accidental Discharge of Firearms 11 5 6 7 6 Discharge of Firearms, Undetermined Intent Complications of Medical & Surgical Care 12 5 15 7 11 31 23 22 35 25 Unintentional Poisoning Exposure to Excessive Natural Heat1 Legal Intervention 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 2003-2007 Page 16 Maricopa County Five-Year Health Trends Table 2.02b Other Selected Underlying Causes of Death 2003-2007, Crude Death Rate per 100,000 Residents Cause Infectious Diseases Cancer Other Diseases Cardiovascular 2003 2004 2005 2006 2007 Salmonella & Other Intestinal Infections 0.9 1.3 1.2 2.0 2.4 Septicemia 6.9 6.2 7.1 8.1 7.9 Viral Hepatitis 2.5 2.3 2.3 3.5 2.0 Coccidioidomycosis 0.5 0.6 0.5 0.6 0.5 Other Mycoses 0.5 0.4 0.5 0.6 0.4 Brain 3.8 4.0 4.4 3.9 3.4 Lip 1.6 1.9 2.0 1.7 1.7 Skin (Melanoma) 2.7 2.6 2.6 2.6 2.6 Ovarian1 8.9 9.6 8.2 7.7 8.7 Testicular1 0.2 0.3 0.3 0.0 0.3 Anemias 0.8 0.8 0.7 0.6 0.8 Nutritional Deficiencies 0.5 0.4 0.4 0.2 0.3 Obesity 1.0 1.1 1.3 1.4 1.3 Mental & Behavioral Disorders Due to the Use of Alcohol 3.3 3.0 3.2 2.5 2.8 Parkinson’s Disease 7.0 6.3 8.0 7.1 6.5 Multiple Sclerosis 0.7 1.0 1.0 1.4 1.1 Epilepsy 0.4 0.5 0.4 0.3 0.3 37.9 32.2 32.0 26.9 24.7 4.4 3.9 4.1 4.9 4.8 Acute Myocardial Infarction (Heart Attack) Congestive Heart Failure Chronic Lower Respiratory Emphysema 7.7 6.6 5.9 5.2 3.8 Asthma 1.1 0.8 1.0 1.0 0.9 Liver Disease Alcoholic Liver Disease 4.7 5.2 6.1 6.2 5.7 Musculoskeletal Rheumatoid Arthritis 0.7 0.5 0.7 0.6 0.5 Lupus 0.3 0.3 0.5 0.4 0.4 0.3 0.3 0.2 0.2 0.2 1.7 1.7 1.3 1.7 1.6 1.2 1.1 1.0 1.1 1.2 Osteoporosis Perinatal Conditions & Disorders Related to Short Gestation & Congenital Malformations Low Birth Weight Congenital Malformations of the Circulatory System External Causes Chromosomal Abnormalities 0.7 0.8 0.6 0.8 0.6 Falls2 8.5 9.2 11.9 11.7 12.8 Drowning 1.6 1.9 1.5 1.5 1.4 Unintentional Poisoning 6.9 8.5 9.0 10.2 10.8 Exposure to Excessive Natural Heat2 0.5 0.6 1.3 1.1 0.5 Legal Intervention 0.3 0.3 0.1 0.2 0.2 Accidental Discharge of Firearms 0.3 0.1 0.2 0.2 0.2 0.4 0.1 0.4 0.2 0.3 0.9 0.7 0.6 0.9 0.6 Discharge of Firearms, Undetermined Intent Complications of Medical & Surgical Care 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 2003-2007 Page 17 Maricopa County Five-Year Health Trends Table 2.03a Firearm, Drug, and Alcohol Induced and Related Deaths 2003-2007 Number of Deaths Year Cause 2003 2004 2005 2006 2007 Firearm Induced 513 506 546 583 550 Drug Induced, Including Tobacco 357 406 470 569 569 Drug Related, Including Tobacco - 601 739 825 794 Drug Related, Excluding Tobacco - 443 539 629 662 Alcohol Induced 285 289 353 338 354 Alcohol Related - 469 530 550 557 Table 2.03b Firearm, Drug, and Alcohol Induced and Related Deaths 2003-2007 Crude Death Rate per 100,000 Residents Year Cause 2003 2004 2005 2006 2007 Firearm Induced 15.1 14.4 15.0 15.4 14.2 Drug Induced, Including Tobacco 10.5 11.6 12.9 15.1 14.7 Drug Related, Including Tobacco - 17.2 20.3 21.8 20.5 Drug Related, Excluding Tobacco - 12.6 14.8 16.6 17.1 Alcohol Induced 8.4 8.2 9.7 8.9 9.1 Alcohol Related - 13.4 14.5 14.6 14.4 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 2003-2007 Page 18 Maricopa County Five-Year Health Trends Table 2.04a Number of Confirmed Cases to Residents of Selected Reportable Diseases, 2003-2007 Disease Vaccine Preventable Central Nervous System 2003 60 1 0 54 0 3 46 0 4 Pertussis Enceph Viral Other 75 21 109 31 248 23 21 15 12 10 1,140 562 722 624 551 26 9 20 6 6 28 0 464 10 1 427 11 0 501 10 4 432 7 0 586 1 5 0 7 0 9 0 19 1 27 E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi 28 168 8 6 20 105 6 5 30 120 8 0 42 66 7 6 44 96 8 1 Salmonellosis Shigellosis 380 338 356 229 379 249 432 381 493 289 Meningitis Viral/Aseptic Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue 1 0 0 0 2 0 3 8 4 1 0 1 3 0 7 6 0 10 6 151 13 355 120 15 79 68 18 75 91 7 68 79 Legionellosis MRSA 3 183 180 239 265 110 1,906 1,725 1,366 1,585 1,480 0 0 2 0 0 12 13 15 25 33 - 218 1,109 997 846 149 152 168 216 106 29 34 31 39 42 Strep Pneumo Invasive 423 437 474 569 514 Toxic Shock Syndrome 5 2 1 0 3 Strep Group A Strep Group B (<90 Days) Vibrio spp. 8 5 13 10 7 VRE 622 991 1,362 1,805 1,692 Yersiniosis Hansen's Disease 7 1 195 584 5 3 186 817 1 1 169 799 11 2 171 1,213 4 1 171 1,479 2,674 2,967 2,915 4,000 3,173 141 112 123 163 192 Genital Herpes Gonorrhea 4 4 Syphilis – Primary and Secondary Syphilis – All Others Chlamydia HIV AIDS 4 5 3,450 10 Hepatitis D 3 7 4,209 0 Hepatitis C 2 4 2,461 1 2 1 2 2,702 Lyme Disease Hepatitis B (Acute) All Others Total 1 2,019 Hantavirus Pulm. Syndrome Malaria 1 West Nile Virus Hepatitis A Tuberculosis Sexually Transmitted Diseases 2007 44 0 1 Cholera Cryptosporidiosis Other 2006 44 1 1 Amebiasis Botulism Campylobacteriosis Hepatitides 2005 H. influenzae Measles Mumps Meningococcal Meningitis Enterics 2004 4 540 540 421 542 620 7,755 10,677 11,330 14,596 14,544 326 319 1 20,803 319 335 17 24,862 358 306 22 26,247 389 332 40 33,257 404 348 48 31,596 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 and 2007 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 2003-2007 Page 19 Maricopa County Five-Year Health Trends Table 2.04b Case Rates per 100,000 Residents for Selected Reportable Diseases, 2003-2007 Disease Vaccine Preventable Central Nervous System 2003 H. influenzae Measles Mumps Pertussis Enceph Viral Other Meningitis Viral/Aseptic Meningococcal Meningitis Amebiasis Botulism Campylobacteriosis Enterics Cholera Cryptosporidiosis E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hantavirus Pulm. Syndrome Lyme Disease Hepatitides Malaria 1 West Nile Virus Hepatitis A Hepatitis B (Acute) Hepatitis C Hepatitis D Legionellosis Other 2 MRSA Strep Group A 0.0 3.1 0 6.8 0.1 0.6 0.1 0.3 0.6 0.9 0.6 0.4 0.3 33.6 16.0 19.8 16.5 14.2 0.8 0.8 0 0.3 0.3 0.0 0.5 0.3 0 0.2 0.3 0.1 0.2 0.2 0 13.7 0.0 12.2 0 13.7 0 11.4 0 15.1 0.0 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 1.7 0.2 0.7 1.1 2.5 0.2 0.2 11.2 0.1 10.2 0 10.4 0.2 11.4 0.0 12.7 10.0 6.5 6.8 10.1 7.4 0.0 0.1 0.1 0.2 0.1 59.5 0.0 77.1 0 67.5 0.1 111.4 0.1 88.9 0.1 0 0 0 0.2 0.0 0 0 0.0 0.1 0 0.0 0.3 0.2 0.3 0.4 10.1 0.2 0.4 2.2 0.2 0.5 2.0 0 0.2 1.8 4.5 3.4 1.9 2.4 2.0 5.4 5.1 6.6 7.0 2.8 56.2 49.2 37.5 41.9 38.1 0 0 0.1 0 0 0.4 - 0.4 6.2 0.4 30.4 0.7 26.4 0.9 21.8 4.6 5.7 2.7 0.6 0.6 Strep Pneumo Invasive 12.5 12.5 13.0 15.1 13.2 Toxic Shock Syndrome 0.1 0.1 0.0 0 0.1 0.2 18.3 0.2 0.0 5.7 17.2 78.8 0.1 28.3 0.1 0.1 5.3 23.3 84.7 0.4 37.4 0.0 0.0 4.6 21.9 79.9 0.3 47.8 0.3 0.1 4.5 32.1 105.9 0.2 43.6 0.1 0.0 4.4 38.1 81.8 4 Genital Herpes 4 Gonorrhea Syphilis – Primary and Secondary HIV AIDS 4 0.0 2.2 0.9 Chlamydia 3 1.2 0 4.3 Syphilis – All Others 2 2007 1.4 0 1.0 VRE Yersiniosis Hansen's Disease 1 2006 1.6 0.0 4.4 3 Vibrio spp. All Others Total 2005 1.3 0 0.9 Strep Group B Tuberculosis Sexually Transmitted Diseases 2004 1.3 0.0 4 4.2 3.2 3.4 4.3 4.9 15.9 15.4 11.5 14.3 16.0 228.6 9.6 9.4 0.0 613.2 304.7 9.1 9.6 0.5 709.5 310.7 9.8 8.4 0.6 719.8 386.3 10.3 8.8 1.1 880.1 374.8 10.4 9.0 1.2 814.3 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 2003-2007 Page 20 Maricopa County Five-Year Health Trends Table 2.05a Congenital Syphilis by Race/Ethnicity and Year Number of Cases, 2003-2007 Year Race/Ethnicity White Hispanic (Including Amer. Ind.) African American American Indian, Non-Hispanic Asian Other/Unknown Total 2003 2004 2005 2006 2007 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 5 12 1 2 0 0 20 Table 2.05b Congenital Syphilis by Race/Ethnicity and Year Case Rates per 100,000 Live Births, 2003-2007 Year Race/Ethnicity White Hispanic (Including Amer. Ind.) African American American Indian, Non-Hispanic Asian Other/Unknown Total 2003 2004 2005 2006 2007 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 18.6 38.4 32.9 197.0 0 30.3 Table 2.06 Hansen’s Disease Prevalence Total number of cases reported in Maricopa County as of December 31, 2007 Sex Male Female Total 39 32 71 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 19 11 3 8 1 12 71 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 2007. Maricopa County Health Status Report 2003-2007 Page 21 Maricopa County Five-Year Health Trends Table 2.07a Selected Maternal & Child Health Indicators, 2003-2007 Indicator 2003 2004 2005 2006 2007 Countywide Indicators Number of Live Births 59,000 60,535 62,223 66,162 65,930 Male Infants of Total Live Births 30,119 30,971 31,771 33,867 33,829 Number of Live Births to Mothers With Selected Risk Factors Mothers With <12 Years Education 18,420 18,662 18,816 19,765 19,707 Births to Women 10-19 Years Old 6,968 7,082 7,212 7,904 7,816 Births to Women 15-17 Years Old 2,484 2,540 2,582 2,774 2,664 Births to Women Over 35 Years Old 6,753 7,339 7,478 8,218 8,372 Births to Never Married Women 23,191 24,204 25,574 28,224 29,185 Tobacco Use During Pregnancy 3,226 3,145 2,833 2,737 2,495 475 411 397 334 265 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 47,616 51,467 49,387 11,185 11,873 9,030 10,361 10,413 Repeat Cesarean Section 5,404 6,153 6,826 7,228 7,545 6,339 6,816 6,804 7,250 6,991 58,523 60,098 61,837 65,728 65,512 28,719 30,044 32,242 34,144 34,403 281 219 212 252 320 28,202 28,264 27,904 29,723 29,238 Self 1,153 1,421 1,602 1,819 1,695 None 1,619 1,460 1,193 1,382 1,339 1 Trimester 46,429 48,202 50,090 53,160 52,961 2nd Trimester 8,457 8,605 9,107 9,628 9,708 AHCCCS IHS 3 Trimester 2,157 2,129 1,797 1,949 1,889 0 1,619 1,460 1,193 1,382 1,339 1-4 1,883 2,198 2,147 2,287 2,134 5-8 7,687 8,791 9,859 10,455 10,505 9-12 26,899 30,114 33,038 33,328 31,834 13+ 19,260 17,426 15,932 18,577 20,081 Singletons 57,281 58,691 60,450 64,275 64,065 1,589 1,713 1,684 1,788 1,762 40,663 41,925 42,992 45,554 45,626 2,974 3,312 3,525 3,326 3,365 262 289 346 392 297 673 735 735 790 818 4,113 4,275 4,253 4,638 3,851 1,910 17 1,878 11 1,866 7 2,104 5 2,064 11 0 0 1 0 1 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 45,689 12,060 Singleton Births Receiving Early & Adequate Prenatal Care1 Neonatal Intensive Care 1 43,753 8,260 rd 2 111 2,255 10,726 st Plurality 117 2,005 7,856 Private Insurance Number of Prenatal Care Visits 99 1,713 10,122 Hospital Births Prenatal Care 53 1,303 Primary Cesarean Section Preterm Births (Less than 37 Weeks) Method of Payment 73 1,180 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 2003-2007 Page 22 Maricopa County Five-Year Health Trends Table 2.07b Selected Maternal & Child Health Indicator Percentages, 2003-2007 Indicator Countywide Indicators 2003 2004 2005 2006 2007 59,000 51.0% 60,535 51.2% 62,223 51.1% 66,162 51.2% 65,930 51.3% 81.2 81.5 81.1 84.0 82.9 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% 29.9% 11.9% 4.0% 12.7% 44.3% 5.5% 5.2% 4.6% 4.1% 3.8% % Alcohol Use During Pregnancy 0.8% 0.7% 0.6% 0.5% 0.4% % Mother with Pre-Existing Cardiac Disease 0.1% 0.1% 0.2% 0.2% 0.2% % Mother with Pre-Existing Diabetes 2.0% 2.2% 2.8% 3.0% 3.4% 74.2% 75.5% 76.5% 77.8% 74.9% 17.2% 17.7% 19.4% 16.9% 18.0% 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 % Mothers with No Medical Risk Factors for Pregnancy % Induced Labor Delivery via C-Section Primary Cesarean Section 13.3% 13.6% 14.5% 15.7% 15.8% Repeat Cesarean Section 9.2% 10.2% 11.0% 10.9% 11.4% % Preterm Births (Less than 37 Weeks) 10.7% 11.3% 10.9% 11.0% 10.6% % Hospital Births 99.2% 99.3% 99.4% 99.3% 99.4% 48.7% 49.6% 51.8% 51.6% 52.2% Method of Payment AHCCCS IHS 0.5% 0.4% 0.3% 0.4% 0.5% 47.8% 46.7% 44.8% 44.9% 44.4% Self 2.0% 2.3% 2.6% 2.7% 2.6% None 2.7% 2.4% 1.9% 2.1% 2.0% Private Insurance Prenatal Care st Number of Prenatal Care Visits Plurality 1 Trimester 78.7% 79.6% 80.5% 80.3% 80.3% 2nd Trimester 14.3% 14.2% 14.6% 14.6% 14.7% 3rd Trimester 3.7% 3.5% 2.9% 2.9% 2.9% 0 2.7% 2.4% 1.9% 2.1% 2.0% 1-4 3.2% 3.6% 3.5% 3.5% 3.2% 5-8 13.0% 14.5% 15.8% 15.8% 15.9% 9-12 45.6% 49.7% 53.1% 50.4% 48.38% 13+ 32.6% 28.8% 25.6% 28.1% 30.5% Singletons 97.1% 97.0% 97.2% 97.1% 97.2% 2.7% 2.8% 2.7% 2.7% 2.7% 71.0% 71.4% 71.1% 68.9% 69.2% 5.0% 5.5% 5.7% 5.0% 5.1% 0.4% 0.5% 0.6% 0.6% 0.5% 1.1% 1.2% 1.2% 1.2% 1.2% 7.0% 7.1% 6.8% 7.0% 5.8% 3.2% 0.0% 3.1% 0.0% 3.0% 0.0% 3.2% 0.0% 3.1% 0.0% 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 2003-2007 Page 23 Maricopa County Five-Year Health Trends Table 2.08a Infant Mortality by Race/Ethnicity of Mother, 2003-2007 (Linked) Race/Ethnicity of Mother Year 2003 138 171 26 18 1 12 1 367 White Hispanic African American Amer Ind., Non-Hisp. Amer Ind., Hispanic Asian Other/Unknown Total 2004 151 185 21 11 1 13 4 386 2005 155 172 21 11 0 13 1 373 2006 139 207 42 7 0 7 2 404 Total 742 920 147 57 3 55 8 1,932 2007 159 185 37 10 1 10 0 402 Table 2.08b Infant Mortality Rates by Race/Ethnicity of Mother, 2003-2007 (Linked) Infant Mortality per 1,000 Live Births Race/Ethnicity of Mother Year 2003 5.2 6.4 11.9 11.2 9.9 6.5 6.2 White Hispanic African American Amer Ind., Non-Hisp. Amer Ind., Hispanic Asian Other/Unknown Total 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 2007 5.9 5.9 12.2 5.2 9.1 4.0 6.1 Table 2.09a Infant Mortality by Age of Mother, 2003-2007 (Linked) Year Age of Mother <20 20-29 30-39 40 and Older Total 2003 57 201 96 13 367 2004 67 205 102 12 386 2005 63 208 89 13 373 2006 67 214 114 9 404 2007 52 213 124 13 402 Total 306 1,041 525 60 1,932 Table 2.09b Infant Mortality Rates by Age of Mother, 2003-2007 (Linked) Infant Mortality per 1,000 Live Births Year Age of Mother <20 20-29 30-39 40 and Older Total 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 2007 6.7 6.0 5.9 9.8 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 2003-2007 Page 24 Maricopa County Five-Year Health Trends Table 2.10a Infant Mortality by Educational Level of Mother, 2003-2007 (Linked) Educational Level of Mother Year 2003 13 109 118 2004 7 142 108 2005 9 125 113 2006 7 137 127 2007 11 133 105 Total 47 646 571 College or Higher 117 121 120 128 142 628 Unknown Total 10 367 8 386 6 373 5 404 11 402 40 1,932 th Less Than 6 Grade 6th – 11th Grade High School Diploma Table 2.10b Infant Mortality Rates by Educational Level of Mother, 2003-2007 (Linked) Infant Mortality per 1,000 Live Births Educational Level of Mother Year 2003 2004 2005 2006 2007 Less Than 6 Grade 6th – 11th Grade 10.6 6.3 6.2 8.1 8.3 7.0 5.4 7.4 9.5 7.2 High School Diploma 7.7 6.9 6.8 7.0 5.8 College or Higher 4.8 4.8 4.6 4.6 5.2 Unknown Total 9.6 6.2 9.0 6.4 10.4 6.0 8.3 6.1 13.7 6.1 th Table 2.11a Infant Mortality by Birthweight, 2003-2007 (Linked) Birthweight Year <1500 Grams 1500-2499 Grams 2500-4249 Grams >4249 Grams Unknown Total 2003 180 57 126 2004 212 70 103 2005 197 52 121 2006 215 54 127 2007 199 63 136 Total 1,003 296 613 2 0 2 3 4 11 2 367 1 386 1 373 5 404 0 402 9 1,932 Table 2.11b Infant Mortality Rates by Birthweight, 2003-2007 (Linked) Infant Mortality per 1,000 Live Births Birthweight Year 2003 2004 2005 2006 2007 <1500 Grams 1500-2499 Grams 267.5 16.6 288.4 19.8 268.0 14.8 272.2 14.0 243.3 16.4 2500-4249 Grams 2.4 1.9 2.2 2.1 2.3 >4249 Grams 1.0 0 1.1 1.4 1.9 95.2 6.2 66.7 6.4 200.0 6.0 714.3 6.1 0 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 2003-2007 Page 25 Maricopa County Five-Year Health Trends Table 2.12 Infant Mortality and Rates by Age of Infant, 2003-2007 (Linked & Unlinked) Year Infant Mortality Linked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 2003 251 116 367 2004 271 115 386 2005 249 124 373 2006 277 127 404 2007 286 116 402 Unlinked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 253 116 369 274 122 396 253 129 382 278 128 406 297 120 417 2006 2007 Infant Mortality Rates per 1,000 Live Births 2003 2004 Year 2005 Linked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 4.3 2.0 6.2 4.5 1.9 6.4 4.0 2.0 6.0 4.2 1.9 6.1 4.3 1.8 6.1 Unlinked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 4.3 2.0 6.3 4.5 2.0 6.5 4.1 2.1 6.1 4.2 1.9 6.1 4.5 1.8 6.3 Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2003-2007 Page 26 Maricopa County Five-Year Health Trends Table 2.13a Infant Mortality by Age of Infant and Race/Ethnicity of Mother, 2003-2007 (Linked) Linked Infant Mortality Year Neonatal (≤ 28 Days) White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hispanic Asian Other/Unknown Total 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 2007 107 142 23 6 0 8 0 286 Postnatal (> 28 Days) White Hispanic African American Amer. Ind., Non-Hisp. Amer. Ind., Hispanic Asian Other/Unknown Total 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 52 43 14 4 1 2 0 116 Table 2.13b Infant Mortality Rates by Age of Infant and Race/Ethnicity of Mother, 2003-2007 (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 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 - 2007 4.0 4.5 7.6 3.1 0 3.2 - 4.3 4.5 4.0 4.2 4.3 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 - 1.9 1.4 4.6 2.1 9.1 0.8 - 2.0 1.9 2.0 1.9 1.8 Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2003-2007 Page 27 Maricopa County Five-Year Health Trends Table 2.14a Infant Mortality by Race/Ethnicity of Infant, 2003-2007 (Unlinked) Race/Ethnicity of Infant Year White Hispanic African American Amer Ind., Non-Hisp. Amer Ind., Hispanic Asian Other/Unknown Total 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 2007 132 225 40 9 4 7 0 417 Total 686 998 167 49 27 39 4 1,970 Table 2.14b Infant Mortality Rates by Race/Ethnicity of Infant, 2003-2007 (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 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 2007 4.9 7.2 13.2 4.7 36.4 2.8 6.3 Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2003-2007 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, 2007, released August 7, 2008. This is at http://www.census.gov/popest/counties/asrh/files/cc-est2007alldata-04.csv. The population for Arizona is from http://www.census.gov/popest/states/tables/NST-EST2007-01.csv The population for Phoenix is from http://www.census.gov/popest/cities/files/SUB-EST2007almo.csv 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 2003 – 2007 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 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 in 2007 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). Two deaths that occurred in 2006 were updated with accurate causes of death. In addition, duplicate records were also identified and deleted: 1 record in 2004 and 5 records in 2005. Therefore, the numbers presented in this report may not precisely match those presented by ADHS in other reports. 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 actual 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. 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. Maricopa County Health Status Report 2003 – 2007 Page 30 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 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 ICD-10 Codes Used 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 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 (Table Continues) Maricopa County Health Status Report 2003 – 2007 Page 31 (Table 3.2, Continued) Cause 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) 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 ICD-10 Codes Used 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 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 (Table Continues) Maricopa County Health Status Report 2003 – 2007 Page 32 (Table 3.2, Continued) Cause 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 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 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. Communicable Disease (Morbidity) Statistics Communicable disease statistics are shown in Tables 2.04a through 2.06. 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 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. Maricopa County Health Status Report 2003 – 2007 Page 33 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. 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. All data on communicable diseases are new cases for each specific year of reportable diseases included in 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. In previous Health Status Reports, hepatitis B and West Nile Virus data were also obtained from the MCDPH. This report uses hepatitis B data for confirmed and probable acute cases from ADHS for all years presented. For 2007, data for West Nile Virus are from ADHS. West Nile Virus data from earlier years are from MCDPH. Data on hepatitis C, 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. Morbidity data include only confirmed cases, with the exception of West Nile Virus, 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 and 2007. Data for West Nile Virus includes confirmed and probable cases among Maricopa County residents 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. Congenital syphilis details may be found in Tables 2.05a and 2.05b. 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. Data are classified by date of report with one exception. Morbidity data for hepatitis C 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. 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. Comparison of Hepatitis B cases in 2007 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. 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. Maricopa County Health Status Report 2003 – 2007 Page 34 Natality (Birth) Statistics Natality (birth) statistics are shown in Tables 2.07a through 2.10b. All data on natality are from the Arizona Department of Heath Services (ADHS) final annual files. The data presented in this report are from birth certificates where the mother’s county of residence is Maricopa County. This includes births that did not occur in Maricopa County. 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. Therefore, some births that occurred outside of Arizona are included in Maricopa County’s final year end statistics even though the county and city of residence are unknown. 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). In addition, one record was identified as duplicate in 2005 and deleted. Therefore, the numbers presented in this report may not precisely match those presented by ADHS in other reports. 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. Adequate prenatal care is based on the Adequacy of Prenatal Care Utilization Index (APCUI)1. 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 The following definitions related to reproductive health have been established by NCHS2: • Birth or Live Birth3 – 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 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 2003 – 2007 Page 35 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 37th 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. 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 Maricopa County Health Status Report 2003 – 2007 Page 36