Maricopa County Health Status Report 2004 – 2008 Five Year Trends Reference Tables Prepared by the Maricopa County Department of Public Health Office of Epidemiology June 2010 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, 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– Office of Epidemiology and Data Services Tom Mickey, Jay Jones – 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 2004-2008, Five Year Trends: Reference Tables. Phoenix (AZ): 2010. Maricopa County Health Status Report 2004-2008 Five Year Trends: Reference Tables Table of Contents Introduction i I. Maricopa County Population Statistics – 2004-2008 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, Population Estimates by Sex, Age, and Race/Ethnicity, 2008 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, Population Estimates by Sex, Age, and Race/Ethnicity, 2007 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, Population Estimates by Sex, Age, and Race/Ethnicity, 2006 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, Population Estimates by Sex, Age, and Race/Ethnicity, 2005 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, Population Estimates by Sex, Age, and Race/Ethnicity, 2004 Maricopa County, Phoenix, and Arizona Population 1980-2008 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 2004-2008, Number of Deaths Selected Underlying Causes of Death 2004-2008, Crude Death Rate per 100,000 Residents Other Selected Underlying Causes of Death 2004-2008, Number of Deaths Other Selected Underlying Causes of Death 2004-2008, Crude Death Rate per 100,000 Residents Firearm, Drug, and Alcohol Induced and Related Deaths 2004-2008, Number of Deaths Firearm, Drug, and Alcohol Induced and Related Deaths 2004-2008, Crude Death Rate per 100,000 Residents Number of Confirmed Cases to Residents of Selected Reportable Diseases, 2004-2008 Case Rates per 100,000 Residents for Selected Reportable Diseases, 2004-2008 Congenital Syphilis by Race/Ethnicity and Year, Number of Cases, 2004-2008 Congenital Syphilis by Race/Ethnicity and Year, Case Rates per 100,000 Live Births, 20042008 Hansen’s Disease Prevalence Selected Maternal & Child Health Indicators, 2004-2008 Selected Maternal & Child Health Indicator Percentages, 2004-2008 Births by Maternal Indicators for Infant Mortality Rate Infant Mortality by Race/Ethnicity of Mother, 2004-2008 (Linked) Infant Mortality Rates by Race/Ethnicity of Mother, 2004-2008 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Age of Mother, 2004-2008 (Linked) Infant Mortality Rates by Age of Mother, 2004-2008 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Educational Level of Mother, 2004-2008 (Linked) Infant Mortality Rates by Educational Level of Mother, 2004-2008 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Birthweight, 2004-2008 (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 2.07b Table 2.08 Table 2.09a Table 2.09b Table 2.10a Table 2.10b Table 2.11a Table 2.11b Table 2.12a 2008 2007 2006 2005 2004 2 3 4 5 6 7 8 9 10 11 12 18 18 19 20 21 21 21 22 23 24 24 24 25 25 25 25 26 Maricopa County Health Status Report 2004-2008 Five Year Trends: Reference Tables Table of Contents Table 2.12b Table 2.13 Table 2.14a Table 2.14b Table 2.15a Table 2.15b III. Infant Mortality Rates by Birthweight, 2004-2008 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality and Rates by Age of Infant, 2004-2008 (Linked & Unlinked) Infant Mortality by Age of Infant and Race/Ethnicity of Mother, 2004-2008 (Linked) Infant Mortality Rates by Age of Infant and Race/Ethnicity of Mother, 2004-2008 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Race/Ethnicity of Infant, 2004-2008 (Unlinked) Infant Mortality by Race/Ethnicity of Infant, 2004-2008 (Unlinked), Infant Mortality per 1,000 Live Births 26 26 27 27 Technical Notes 29 28 28 Introduction This report provides health status information for the years 2004 to 2008 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 2008. Natality (Birth) Example: There were 818 infants born with a very low birthweight (less than 1500 grams) in 2008. 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 2008. Natality (Birth) Example: Among all live births in 2008, 1.2% of infants were born with a very low birthweight. All data in this report are for calendar years 2004 through 2008. Information on data sources and methodology are in Section III – Technical Notes. Maricopa County Health Status Report 2004-2008 Page i I. Maricopa County Population Statistics 2004-2008 Tables Maricopa County Health Status Report 2004-2008 Page 1 Maricopa County Population Statistics Table 1.01 Population By Race/Ethnicity, Age, and Sex, 2008 Age by Sex Race/Ethnicity by Sex Age Males 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 % 169,824 154,685 143,812 137,955 131,561 314,920 294,831 257,190 188,266 110,680 64,954 24,294 8.5% 7.8% 7.2% 6.9% 6.6% 15.8% 14.8% 12.9% 9.4% 5.6% 3.3% 1.2% 1,992,972 Females No. % 162,491 148,573 137,049 127,945 116,478 280,132 274,524 259,073 204,258 125,119 84,489 41,495 Total No. 8.3% 7.6% 7.0% 6.5% 5.9% 14.3% 14.0% 13.2% 10.4% 6.4% 4.3% 2.1% 1,961,626 332,315 303,258 280,861 265,900 248,039 595,052 569,355 516,263 392,524 235,799 149,443 65,789 Race/Ethnicity % Males No. 8.4% 7.7% 7.1% 6.7% 6.3% 15.0% 14.4% 13.1% 9.9% 6.0% 3.8% 1.7% White Hispanic African American Amer. Ind., Non-Hisp Asian Other/2+ Races 1,147,368 645,667 84,855 30,758 56,360 27,964 Total 1,992,972 % 57.6% 32.4% 4.3% 1.5% 2.8% 1.4% Females No. % 1,179,198 578,338 81,530 33,469 60,965 28,126 60.1% 29.5% 4.2% 1.7% 3.1% 1.4% 1,961,626 3,954,598 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 131,757 130,512 130,071 133,772 131,708 290,717 327,459 359,644 306,573 194,624 130,527 59,202 2,326,566 Hispanic % 5.7% 5.6% 5.6% 5.7% 5.7% 12.5% 14.1% 15.5% 13.2% 8.4% 5.6% 2.5% No. 159,937 135,472 116,880 100,675 88,049 237,829 179,320 108,396 56,119 25,598 11,646 4,084 1,224,005 African American % No. 13.1% 11.1% 9.5% 8.2% 7.2% 19.4% 14.7% 8.9% 4.6% 2.1% 1.0% 0.3% 15,255 14,926 14,138 14,038 12,421 25,566 25,042 21,352 12,748 6,640 3,142 1,117 166,385 % 9.2% 9.0% 8.5% 8.4% 7.5% 15.4% 15.1% 12.8% 7.7% 4.0% 1.9% 0.7% American Indian No. 6,805 5,977 5,191 5,800 5,517 11,961 9,538 6,721 3,877 1,747 775 318 64,227 % 10.6% 9.3% 8.1% 9.0% 8.6% 18.6% 14.9% 10.5% 6.0% 2.7% 1.2% 0.5% Asian No. Other/2+ Races % 9,179 8,061 7,558 6,229 5,969 21,814 22,830 15,913 10,499 5,709 2,721 843 7.8% 6.9% 6.4% 5.3% 5.1% 18.6% 19.5% 13.6% 8.9% 4.9% 2.3% 0.7% 117,325 No. 9,382 8,310 7,023 5,386 4,375 7,165 5,166 4,237 2,708 1,481 632 225 56,090 % 16.7% 14.8% 12.5% 9.6% 7.8% 12.8% 9.2% 7.6% 4.8% 2.6% 1.1% 0.4% Total No. 332,315 303,258 280,861 265,900 248,039 595,052 569,355 516,263 392,524 235,799 149,443 65,789 3,954,598 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2008. Maricopa County Health Status Report 2004-2008 Page 2 Maricopa County Population Statistics Table 1.02 Population By Race/Ethnicity, Age, and Gender, 2008 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 64,340 63,782 63,318 64,819 62,855 73,199 69,241 79,100 82,316 93,113 89,463 84,525 75,518 58,621 44,305 110,683 Hispanic % 5.5% 5.4% 5.4% 5.5% 5.3% 6.2% 5.9% 6.7% 7.0% 7.9% 7.6% 7.2% 6.4% 5.0% 3.8% 9.4% 1,179,198 African American No. % 78,118 66,403 56,979 48,049 40,249 51,545 52,881 45,253 36,323 29,464 22,088 16,347 11,662 8,005 5,585 9,387 13.5% 11.5% 9.9% 8.3% 7.0% 8.9% 9.1% 7.8% 6.3% 5.1% 3.8% 2.8% 2.0% 1.4% 1.0% 1.6% 578,338 No. 7,537 7,417 7,011 6,571 5,720 6,289 5,772 6,308 5,854 5,650 4,678 3,855 2,697 2,096 1,489 2,586 % 9.2% 9.1% 8.6% 8.1% 7.0% 7.7% 7.1% 7.7% 7.2% 6.9% 5.7% 4.7% 3.3% 2.6% 1.8% 3.2% 81,530 American Indian No. 3,413 2,973 2,538 2,932 2,843 3,313 3,062 2,574 2,242 2,090 1,634 1,288 857 604 440 666 % 10.2% 8.9% 7.6% 8.8% 8.5% 9.9% 9.1% 7.7% 6.7% 6.2% 4.9% 3.8% 2.6% 1.8% 1.3% 2.0% 33,469 Asian No. 4,481 4,014 3,772 2,977 2,783 4,823 6,250 6,518 5,353 4,538 4,114 3,491 2,540 1,797 1,366 2,148 Other/2+ Races % 7.4% 6.6% 6.2% 4.9% 4.6% 7.9% 10.3% 10.7% 8.8% 7.4% 6.7% 5.7% 4.2% 2.9% 2.2% 3.5% 60,965 No. 4,602 3,984 3,431 2,597 2,028 2,139 1,618 1,444 1,239 1,156 1,085 813 665 510 301 514 % 16.4% 14.2% 12.2% 9.2% 7.2% 7.6% 5.8% 5.1% 4.4% 4.1% 3.9% 2.9% 2.4% 1.8% 1.1% 1.8% 28,126 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 67,417 66,730 66,753 68,953 68,853 77,688 70,589 82,070 83,973 91,395 85,673 77,181 69,349 52,957 38,741 79,046 1,147,368 5.9% 5.8% 5.8% 6.0% 6.0% 6.8% 6.2% 7.2% 7.3% 8.0% 7.5% 6.7% 6.0% 4.6% 3.4% 6.9% 81,819 69,069 59,901 52,626 47,800 66,787 66,616 54,394 43,350 33,255 23,589 16,684 11,426 7,321 4,687 6,343 645,667 12.7% 10.7% 9.3% 8.2% 7.4% 10.3% 10.3% 8.4% 6.7% 5.2% 3.7% 2.6% 1.8% 1.1% 0.7% 1.0% 7,718 7,509 7,127 7,467 6,701 7,246 6,259 6,591 6,289 6,231 4,793 3,578 2,618 1,800 1,255 1,673 84,855 9.1% 8.8% 8.4% 8.8% 7.9% 8.5% 7.4% 7.8% 7.4% 7.3% 5.6% 4.2% 3.1% 2.1% 1.5% 2.0% 3,392 3,004 2,653 2,868 2,674 2,908 2,678 2,507 2,215 1,717 1,280 1,031 701 430 273 427 11.0% 9.8% 8.6% 9.3% 8.7% 9.5% 8.7% 8.2% 7.2% 5.6% 4.2% 3.4% 2.3% 1.4% 0.9% 1.4% 30,758 4,698 4,047 3,786 3,252 3,186 4,787 5,954 6,251 4,708 3,967 3,294 2,611 1,857 1,447 1,099 1,416 56,360 8.3% 7.2% 6.7% 5.8% 5.7% 8.5% 10.6% 11.1% 8.4% 7.0% 5.8% 4.6% 3.3% 2.6% 1.9% 2.5% 4,780 4,326 3,592 2,789 2,347 2,008 1,400 1,374 1,109 1,126 870 700 530 410 260 343 27,964 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2008. Maricopa County Health Status Report 2004-2008 Page 3 17.1% 15.5% 12.8% 10.0% 8.4% 7.2% 5.0% 4.9% 4.0% 4.0% 3.1% 2.5% 1.9% 1.5% 0.9% 1.2% Maricopa County Population Statistics Table 1.03 Population By Race/Ethnicity, Age, and Sex, 2007 Age by Sex Race/Ethnicity by Sex Age Males 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 % 165,885 149,559 142,069 134,153 131,194 311,810 290,944 248,540 181,432 104,023 64,175 22,766 8.5% 7.7% 7.3% 6.9% 6.7% 16.0% 14.9% 12.8% 9.3% 5.3% 3.3% 1.2% 1,946,550 Females No. % 159,198 143,020 135,636 124,607 115,097 278,718 272,052 251,633 197,186 117,843 84,172 39,336 Total No. 8.3% 7.5% 7.1% 6.5% 6.0% 14.5% 14.2% 13.1% 10.3% 6.1% 4.4% 2.1% 1,918,498 325,083 292,579 277,705 258,760 246,291 590,528 562,996 500,173 378,618 221,866 148,347 62,102 Race/Ethnicity % Males No. 8.4% 7.6% 7.2% 6.7% 6.4% 15.3% 14.6% 12.9% 9.8% 5.7% 3.8% 1.6% White Hispanic African American American Indian Asian Other/2+ Races 1,136,220 618,468 80,984 30,332 53,712 26,834 Total 1,946,550 Females % 58.4% 31.8% 4.2% 1.6% 2.8% 1.4% No. 1,168,563 554,169 77,711 32,966 58,253 26,836 1,918,498 3,865,048 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 131,593 129,075 131,064 133,683 131,237 291,612 333,435 353,378 298,840 184,018 130,663 56,185 2,304,783 Hispanic % 5.7% 5.6% 5.7% 5.8% 5.7% 12.7% 14.5% 15.3% 13.0% 8.0% 5.7% 2.4% No. 153,741 128,274 113,807 94,869 87,418 233,724 169,640 100,995 52,100 23,491 10,911 3,667 1,172,637 African American % No. 13.1% 10.9% 9.7% 8.1% 7.5% 19.9% 14.5% 8.6% 4.4% 2.0% 0.9% 0.3% 14,860 13,953 13,712 13,327 11,991 24,374 24,262 20,231 11,840 6,171 2,962 1,012 158,695 % 9.4% 8.8% 8.6% 8.4% 7.6% 15.4% 15.3% 12.7% 7.5% 3.9% 1.9% 0.6% American Indian No. 6,942 5,760 5,278 5,768 5,465 12,055 9,289 6,478 3,665 1,584 734 280 63,298 Asian % No. 11.0% 9.1% 8.3% 9.1% 8.6% 19.0% 14.7% 10.2% 5.8% 2.5% 1.2% 0.4% 8,769 7,594 7,207 5,955 5,977 21,981 21,314 15,068 9,616 5,269 2,458 757 111,965 Other/2+ Races % 7.8% 6.8% 6.4% 5.3% 5.3% 19.6% 19.0% 13.5% 8.6% 4.7% 2.2% 0.7% No. 9,178 7,923 6,637 5,158 4,203 6,782 5,056 4,023 2,557 1,333 619 201 % 17.1% 14.8% 12.4% 9.6% 7.8% 12.6% 9.4% 7.5% 4.8% 2.5% 1.2% 0.4% 53,670 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 2004-2008 Page 4 Total No. 325,083 292,579 277,705 258,760 246,291 590,528 562,996 500,173 378,618 221,866 148,347 62,102 3,865,048 % 60.9% 28.9% 4.1% 1.7% 3.0% 1.4% Maricopa County Population Statistics Table 1.04 Population By Race/Ethnicity, Age, and Gender, 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 64,233 62,993 63,824 64,862 62,500 73,663 69,460 79,925 84,808 92,804 86,616 84,507 71,587 54,328 43,081 109,372 Hispanic % 5.5% 5.4% 5.5% 5.6% 5.3% 6.3% 5.9% 6.8% 7.3% 7.9% 7.4% 7.2% 6.1% 4.6% 3.7% 9.4% 1,168,563 African American No. % 75,337 62,694 55,576 45,311 39,537 52,199 50,714 42,919 34,192 27,814 20,635 15,255 10,752 7,240 5,308 8,686 13.6% 11.3% 10.0% 8.2% 7.1% 9.4% 9.2% 7.7% 6.2% 5.0% 3.7% 2.8% 1.9% 1.3% 1.0% 1.6% 554,169 No. 7,400 6,887 6,787 6,225 5,495 5,922 5,618 6,037 5,734 5,422 4,374 3,563 2,515 1,885 1,437 2,410 % 9.5% 8.9% 8.7% 8.0% 7.1% 7.6% 7.2% 7.8% 7.4% 7.0% 5.6% 4.6% 3.2% 2.4% 1.8% 3.1% 77,711 American Indian No. 3,514 2,836 2,569 2,920 2,812 3,440 2,977 2,436 2,290 2,022 1,575 1,232 793 553 382 615 % 10.7% 8.6% 7.8% 8.9% 8.5% 10.4% 9.0% 7.4% 6.9% 6.1% 4.8% 3.7% 2.4% 1.7% 1.2% 1.9% 32,966 Asian No. 4,240 3,823 3,624 2,811 2,793 4,869 6,300 6,083 5,029 4,372 3,874 3,250 2,338 1,667 1,238 1,942 Other/2+ Races % 7.3% 6.6% 6.2% 4.8% 4.8% 8.4% 10.8% 10.4% 8.6% 7.5% 6.7% 5.6% 4.0% 2.9% 2.1% 3.3% 58,253 No. 4,474 3,787 3,256 2,478 1,960 2,026 1,530 1,367 1,232 1,115 1,010 755 639 454 270 483 Total % No. 16.7% 14.1% 12.1% 9.2% 7.3% 7.5% 5.7% 5.1% 4.6% 4.2% 3.8% 2.8% 2.4% 1.7% 1.0% 1.8% 159,198 143,020 135,636 124,607 115,097 142,119 136,599 138,767 133,285 133,549 118,084 108,562 88,624 66,127 51,716 123,508 26,836 1,918,498 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 67,360 66,082 67,240 68,821 68,737 76,871 71,618 83,106 85,596 91,178 82,780 76,966 65,780 49,267 37,342 77,476 1,136,220 5.9% 5.8% 5.9% 6.1% 6.0% 6.8% 6.3% 7.3% 7.5% 8.0% 7.3% 6.8% 5.8% 4.3% 3.3% 6.8% 78,404 65,580 58,231 49,558 47,881 67,746 63,065 51,562 40,967 30,868 21,678 15,647 10,446 6,634 4,309 5,892 618,468 12.7% 10.6% 9.4% 8.0% 7.7% 11.0% 10.2% 8.3% 6.6% 5.0% 3.5% 2.5% 1.7% 1.1% 0.7% 1.0% 7,460 7,066 6,925 7,102 6,496 6,696 6,138 6,281 6,210 5,872 4,563 3,360 2,402 1,653 1,196 1,564 80,984 9.2% 8.7% 8.6% 8.8% 8.0% 8.3% 7.6% 7.8% 7.7% 7.3% 5.6% 4.1% 3.0% 2.0% 1.5% 1.9% 3,428 2,924 2,709 2,848 2,653 2,984 2,654 2,419 2,144 1,696 1,185 1,000 640 404 245 399 11.3% 9.6% 8.9% 9.4% 8.7% 9.8% 8.7% 8.0% 7.1% 5.6% 3.9% 3.3% 2.1% 1.3% 0.8% 1.3% 30,332 4,529 3,771 3,583 3,144 3,184 4,831 5,981 5,819 4,383 3,799 3,023 2,352 1,676 1,369 995 1,273 53,712 8.4% 7.0% 6.7% 5.9% 5.9% 9.0% 11.1% 10.8% 8.2% 7.1% 5.6% 4.4% 3.1% 2.5% 1.9% 2.4% 4,704 4,136 3,381 2,680 2,243 1,899 1,327 1,319 1,138 1,098 800 664 499 364 245 337 26,834 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 2004-2008 Page 5 17.5% 15.4% 12.6% 10.0% 8.4% 7.1% 4.9% 4.9% 4.2% 4.1% 3.0% 2.5% 1.9% 1.4% 0.9% 1.3% 165,885 149,559 142,069 134,153 131,194 161,027 150,783 150,506 140,438 134,511 114,029 99,989 81,443 59,691 44,332 86,941 1,946,550 Maricopa County Population Statistics Table 1.05 Population By Race/Ethnicity, Age, and Sex, 2006 Age by Sex Race/Ethnicity by Sex Age Males 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 % 160,836 145,071 139,427 130,126 131,628 307,096 286,166 238,356 173,516 99,495 63,054 21,060 8.5% 7.7% 7.4% 6.9% 6.9% 16.2% 15.1% 12.6% 9.2% 5.2% 3.3% 1.1% 1,895,831 Females No. % 154,265 138,275 132,921 120,767 116,048 275,123 268,439 242,873 188,744 112,562 83,682 36,931 8.2% 7.4% 7.1% 6.5% 6.2% 14.7% 14.4% 13.0% 10.1% 6.0% 4.5% 2.0% 1,870,630 Total No. 315,101 283,346 272,348 250,893 247,676 582,219 554,605 481,229 362,260 212,057 146,736 57,991 Race/Ethnicity % Males No. 8.4% 7.5% 7.2% 6.7% 6.6% 15.5% 14.7% 12.8% 9.6% 5.6% 3.9% 1.5% White Hispanic African American Amer. Ind., Non-Hisp Asian Other/2+ Races 1,125,896 586,961 77,267 29,422 50,707 25,578 Total 1,895,831 % 59.4% 31.0% 4.1% 1.6% 2.7% 1.3% Females No. % 1,158,338 525,617 73,858 32,102 55,109 25,606 61.9% 28.1% 3.9% 1.7% 2.9% 1.4% 1,870,630 3,766,461 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 131,789 128,365 132,298 133,122 132,375 293,249 338,639 345,655 288,734 177,081 130,260 52,667 2,284,234 Hispanic % 5.8% 5.6% 5.8% 5.8% 5.8% 12.8% 14.8% 15.1% 12.6% 7.8% 5.7% 2.3% No. 145,209 121,461 108,483 89,075 87,994 225,829 158,753 92,769 47,897 21,658 10,180 3,270 1,112,578 African American % 13.1% 10.9% 9.8% 8.0% 7.9% 20.3% 14.3% 8.3% 4.3% 1.9% 0.9% 0.3% No. 14,167 13,252 13,331 12,618 11,605 23,300 23,414 18,966 10,969 5,754 2,786 963 151,125 % 9.4% 8.8% 8.8% 8.3% 7.7% 15.4% 15.5% 12.5% 7.3% 3.8% 1.8% 0.6% American Indian No. 6,893 5,455 5,280 5,606 5,407 11,817 9,144 6,034 3,420 1,529 691 248 % 11.2% 8.9% 8.6% 9.1% 8.8% 19.2% 14.9% 9.8% 5.6% 2.5% 1.1% 0.4% 61,524 Asian No. 8,145 7,181 6,695 5,652 6,128 21,615 19,803 14,033 8,832 4,825 2,249 658 105,816 Other/2+ Races % 7.7% 6.8% 6.3% 5.3% 5.8% 20.4% 18.7% 13.3% 8.3% 4.6% 2.1% 0.6% No. 8,898 7,632 6,261 4,820 4,167 6,409 4,852 3,772 2,408 1,210 570 185 51,184 % 17.4% 14.9% 12.2% 9.4% 8.1% 12.5% 9.5% 7.4% 4.7% 2.4% 1.1% 0.4% Total No. 315,101 283,346 272,348 250,893 247,676 582,219 554,605 481,229 362,260 212,057 146,736 57,991 3,766,461 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 2004-2008 Page 6 Maricopa County Population Statistics Table 1.06 Population By Race/Ethnicity, Age, and Gender, 2006 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. 64,433 62,517 64,353 64,444 63,577 73,183 70,527 79,797 87,473 91,638 84,382 84,542 66,293 51,189 42,454 107,536 5.6% 5.4% 5.6% 5.6% 5.5% 6.3% 6.1% 6.9% 7.6% 7.9% 7.3% 7.3% 5.7% 4.4% 3.7% 9.3% 71,094 59,254 52,955 42,627 39,503 51,122 48,564 39,852 32,489 25,660 18,936 14,176 9,755 6,685 4,933 8,012 1,158,338 African American % 13.5% 11.3% 10.1% 8.1% 7.5% 9.7% 9.2% 7.6% 6.2% 4.9% 3.6% 2.7% 1.9% 1.3% 0.9% 1.5% 525,617 No. 7,022 6,531 6,593 5,864 5,333 5,572 5,537 5,557 5,674 5,171 4,028 3,272 2,363 1,757 1,302 2,282 % 9.5% 8.8% 8.9% 7.9% 7.2% 7.5% 7.5% 7.5% 7.7% 7.0% 5.5% 4.4% 3.2% 2.4% 1.8% 3.1% 73,858 American Indian No. 3,488 2,682 2,616 2,811 2,822 3,446 2,790 2,390 2,331 1,872 1,487 1,175 708 557 362 565 % 10.9% 8.4% 8.1% 8.8% 8.8% 10.7% 8.7% 7.4% 7.3% 5.8% 4.6% 3.7% 2.2% 1.7% 1.1% 1.8% 32,102 Asian No. 3,929 3,654 3,330 2,702 2,808 5,032 5,997 5,573 4,790 4,080 3,640 3,026 2,107 1,547 1,129 1,765 Other/2+ Races % 7.1% 6.6% 6.0% 4.9% 5.1% 9.1% 10.9% 10.1% 8.7% 7.4% 6.6% 5.5% 3.8% 2.8% 2.0% 3.2% 55,109 No. 4,299 3,637 3,074 2,319 2,005 1,882 1,471 1,291 1,222 1,064 915 733 594 395 252 453 Total % No. 16.8% 14.2% 12.0% 9.1% 7.8% 7.3% 5.7% 5.0% 4.8% 4.2% 3.6% 2.9% 2.3% 1.5% 1.0% 1.8% 154,265 138,275 132,921 120,767 116,048 140,237 134,886 134,460 133,979 129,485 113,388 106,924 81,820 62,130 50,432 120,613 25,606 1,870,630 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 67,356 65,848 67,945 68,678 68,798 76,018 73,521 82,956 88,413 89,570 80,065 77,124 60,775 46,412 37,026 75,391 1,125,896 6.0% 5.8% 6.0% 6.1% 6.1% 6.8% 6.5% 7.4% 7.9% 8.0% 7.1% 6.9% 5.4% 4.1% 3.3% 6.7% 74,115 62,207 55,528 46,448 48,491 66,693 59,450 48,143 38,269 28,442 19,731 14,524 9,442 6,086 3,954 5,438 586,961 12.6% 10.6% 9.5% 7.9% 8.3% 11.4% 10.1% 8.2% 6.5% 4.8% 3.4% 2.5% 1.6% 1.0% 0.7% 0.9% 7,145 6,721 6,738 6,754 6,272 6,253 5,938 6,020 6,163 5,497 4,270 3,164 2,170 1,583 1,112 1,467 77,267 9.2% 8.7% 8.7% 8.7% 8.1% 8.1% 7.7% 7.8% 8.0% 7.1% 5.5% 4.1% 2.8% 2.0% 1.4% 1.9% 3,405 2,773 2,664 2,795 2,585 3,032 2,549 2,330 2,093 1,561 1,114 986 551 385 225 374 11.6% 9.4% 9.1% 9.5% 8.8% 10.3% 8.7% 7.9% 7.1% 5.3% 3.8% 3.4% 1.9% 1.3% 0.8% 1.3% 29,422 4,216 3,527 3,365 2,950 3,320 4,637 5,949 5,252 4,188 3,535 2,778 2,186 1,513 1,287 862 1,142 50,707 8.3% 7.0% 6.6% 5.8% 6.5% 9.1% 11.7% 10.4% 8.3% 7.0% 5.5% 4.3% 3.0% 2.5% 1.7% 2.3% 4,599 3,995 3,187 2,501 2,162 1,742 1,314 1,234 1,105 1,004 789 633 448 333 230 302 25,578 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 2004-2008 Page 7 18.0% 15.6% 12.5% 9.8% 8.5% 6.8% 5.1% 4.8% 4.3% 3.9% 3.1% 2.5% 1.8% 1.3% 0.9% 1.2% 160,836 145,071 139,427 130,126 131,628 158,375 148,721 145,935 140,231 129,609 108,747 98,617 74,899 56,086 43,409 84,114 1,895,831 Maricopa County Population Statistics Table 1.07 Population By Race/Ethnicity, Age, and Sex, 2005 Age by Sex Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Race/Ethnicity by Sex Males No. 154,872 138,562 135,641 125,223 132,667 297,584 276,144 227,695 163,105 95,587 61,838 19,423 % 8.5% 7.6% 7.4% 6.8% 7.3% 16.3% 15.1% 12.5% 8.9% 5.2% 3.4% 1.1% 1,828,341 Females No. % Total No. 148,773 132,134 129,071 116,089 115,739 269,063 260,479 232,769 177,429 108,524 83,092 34,747 303,645 270,696 264,712 241,312 248,406 566,647 536,623 460,464 340,534 204,111 144,930 54,170 8.2% 7.3% 7.1% 6.4% 6.4% 14.9% 14.4% 12.9% 9.8% 6.0% 4.6% 1.9% 1,807,909 Race/Ethnicity % 8.4% 7.4% 7.3% 6.6% 6.8% 15.6% 14.8% 12.7% 9.4% 5.6% 4.0% 1.5% Males No. White Hispanic African American American Indian Asian Other/2+ Races 1,106,092 551,416 72,234 28,149 46,496 23,954 Total 1,828,341 Females No. % % 60.5% 30.2% 4.0% 1.5% 2.5% 1.3% 1,139,962 493,475 69,075 30,694 50,724 23,979 1,807,909 3,636,250 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 130,803 126,393 132,631 131,305 133,062 293,664 336,847 336,010 273,985 172,092 129,817 49,445 2,246,054 Hispanic % 5.8% 5.6% 5.9% 5.8% 5.9% 13.1% 15.0% 15.0% 12.2% 7.7% 5.8% 2.2% No. 137,229 113,405 102,048 83,038 89,129 213,143 146,351 84,875 43,473 19,905 9,389 2,906 1,044,891 African American % 13.1% 10.9% 9.8% 7.9% 8.5% 20.4% 14.0% 8.1% 4.2% 1.9% 0.9% 0.3% No. 13,111 12,159 12,857 11,872 10,883 21,886 22,259 17,671 9,855 5,279 2,601 876 141,309 American Indian % No. 9.3% 8.6% 9.1% 8.4% 7.7% 15.5% 15.8% 12.5% 7.0% 3.7% 1.8% 0.6% 6,721 5,029 5,276 5,272 5,456 11,406 8,680 5,658 3,113 1,377 642 213 58,843 % 11.4% 8.5% 9.0% 9.0% 9.3% 19.4% 14.8% 9.6% 5.3% 2.3% 1.1% 0.4% Asian No. % 7,279 6,551 6,146 5,305 5,935 20,495 17,926 12,785 7,892 4,382 1,964 560 7.5% 6.7% 6.3% 5.5% 6.1% 21.1% 18.4% 13.2% 8.1% 4.5% 2.0% 0.6% 97,220 Other/2+ Races No. 8,502 7,159 5,754 4,520 3,941 6,053 4,560 3,465 2,216 1,076 517 170 47,933 Total % No. 17.7% 14.9% 12.0% 9.4% 8.2% 12.6% 9.5% 7.2% 4.6% 2.2% 1.1% 0.4% 303,645 270,696 264,712 241,312 248,406 566,647 536,623 460,464 340,534 204,111 144,930 54,170 3,636,250 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 2004-2008 Page 8 63.1% 27.3% 3.8% 1.7% 2.8% 1.3% Maricopa County Population Statistics Table 1.08 Population By Race/Ethnicity, Age, and Gender, 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 64,028 61,679 64,433 63,574 63,468 71,328 73,386 77,574 89,166 88,949 82,229 79,408 63,691 48,962 42,184 105,903 Hispanic % 5.6% 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% 1,139,962 No. 67,136 55,291 49,825 39,653 39,516 48,950 45,527 36,676 30,138 23,557 17,307 12,911 8,900 6,126 4,606 7,356 African American % 13.6% 11.2% 10.1% 8.0% 8.0% 9.9% 9.2% 7.4% 6.1% 4.8% 3.5% 2.6% 1.8% 1.2% 0.9% 1.5% 493,475 No. 6,544 5,985 6,297 5,554 5,130 5,001 5,337 5,330 5,308 4,762 3,875 2,806 2,205 1,626 1,190 2,125 % 9.5% 8.7% 9.1% 8.0% 7.4% 7.2% 7.7% 7.7% 7.7% 6.9% 5.6% 4.1% 3.2% 2.4% 1.7% 3.1% 69,075 American Indian No. 3,353 2,487 2,622 2,643 2,862 3,278 2,735 2,212 2,297 1,744 1,415 1,056 670 499 310 511 % 10.9% 8.1% 8.5% 8.6% 9.3% 10.7% 8.9% 7.2% 7.5% 5.7% 4.6% 3.4% 2.2% 1.6% 1.0% 1.7% 30,694 Asian No. 3,556 3,346 3,018 2,520 2,828 4,640 5,743 4,982 4,462 3,799 3,300 2,701 1,851 1,414 1,041 1,523 Other/2+ Races % 7.0% 6.6% 5.9% 5.0% 5.6% 9.1% 11.3% 9.8% 8.8% 7.5% 6.5% 5.3% 3.6% 2.8% 2.1% 3.0% 50,724 No. 4,156 3,346 2,876 2,145 1,935 1,730 1,408 1,172 1,162 1,006 826 677 553 345 221 421 Total % No. 17.3% 14.0% 12.0% 8.9% 8.1% 7.2% 5.9% 4.9% 4.8% 4.2% 3.4% 2.8% 2.3% 1.4% 0.9% 1.8% 148,773 132,134 129,071 116,089 115,739 134,927 134,136 127,946 132,533 123,817 108,952 99,559 77,870 58,972 49,552 117,839 23,979 1,807,909 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 66,775 64,714 68,198 67,731 69,594 72,835 76,115 80,685 89,422 87,436 77,396 72,951 57,935 44,096 36,850 73,359 1,106,092 6.0% 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% 70,093 58,114 52,223 43,385 49,613 63,514 55,152 44,304 35,233 25,914 18,097 13,106 8,556 5,490 3,683 4,939 551,416 12.7% 10.5% 9.5% 7.9% 9.0% 11.5% 10.0% 8.0% 6.4% 4.7% 3.3% 2.4% 1.6% 1.0% 0.7% 0.9% 6,567 6,174 6,560 6,318 5,753 6,028 5,520 5,724 5,897 5,141 3,893 2,871 1,973 1,459 1,004 1,352 72,234 9.1% 8.5% 9.1% 8.7% 8.0% 8.3% 7.6% 7.9% 8.2% 7.1% 5.4% 4.0% 2.7% 2.0% 1.4% 1.9% 3,368 2,542 2,654 2,629 2,594 2,868 2,525 2,173 1,998 1,424 1,075 918 469 368 200 344 12.0% 9.0% 9.4% 9.3% 9.2% 10.2% 9.0% 7.7% 7.1% 5.1% 3.8% 3.3% 1.7% 1.3% 0.7% 1.2% 28,149 3,723 3,205 3,128 2,785 3,107 4,677 5,435 4,616 3,866 3,176 2,510 1,976 1,364 1,164 763 1,001 46,496 8.0% 6.9% 6.7% 6.0% 6.7% 10.1% 11.7% 9.9% 8.3% 6.8% 5.4% 4.2% 2.9% 2.5% 1.6% 2.2% 4,346 3,813 2,878 2,375 2,006 1,617 1,298 1,141 1,085 907 726 578 408 301 209 266 23,954 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 2004-2008 Page 9 18.1% 15.9% 12.0% 9.9% 8.4% 6.8% 5.4% 4.8% 4.5% 3.8% 3.0% 2.4% 1.7% 1.3% 0.9% 1.1% 154,872 138,562 135,641 125,223 132,667 151,539 146,045 138,643 137,501 123,998 103,697 92,400 70,705 52,878 42,709 81,261 1,828,341 Maricopa County Population Statistics Table 1.09 Population By Race/Ethnicity, Age, and Sex, 2004 Age by Sex Age 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total Race/Ethnicity by Sex Males No. 147,291 133,749 131,439 119,998 132,201 287,736 266,343 215,288 151,710 92,605 60,162 17,757 1,756,279 % 8.4% 7.6% 7.5% 6.8% 7.5% 16.4% 15.2% 12.3% 8.6% 5.3% 3.4% 1.0% Females No. % 140,382 127,599 125,146 110,956 115,980 259,750 252,093 221,918 165,299 105,644 81,512 32,895 1,739,174 8.1% 7.3% 7.2% 6.4% 6.7% 14.9% 14.5% 12.8% 9.5% 6.1% 4.7% 1.9% Total No. 287,673 261,348 256,585 230,954 248,181 547,486 518,436 437,206 317,009 198,249 141,674 50,652 3,495,453 Race/Ethnicity % 8.2% 7.5% 7.3% 6.6% 7.1% 15.7% 14.8% 12.5% 9.1% 5.7% 4.1% 1.4% White Hispanic African American American Indian Asian Other/2+ Races Males No. 1,079,903 516,463 67,784 26,888 42,972 22,269 Total % 61.5% 29.4% 3.9% 1.5% 2.4% 1.3% Females No. % 1,113,883 462,218 64,601 29,291 46,875 22,306 1,756,279 1,739,174 Other/2+ Races Total Age by Race/Ethnicity Age White Hispanic African American % No. American Indian Asian No. % No. % No. % No. % 0-4 127,247 5.8% 127,863 13.1% 12,003 9.1% 6,160 11.0% 6,440 7.2% No. 7,960 17.9% % 287,673 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 125,165 132,211 128,587 132,364 290,932 333,478 323,519 257,326 168,653 127,868 46,436 5.7% 6.0% 5.9% 6.0% 13.3% 15.2% 14.7% 11.7% 7.7% 5.8% 2.1% 107,030 95,797 77,145 90,442 199,404 135,087 77,177 39,067 18,442 8,650 2,577 10.9% 9.8% 7.9% 9.2% 20.4% 13.8% 7.9% 4.0% 1.9% 0.9% 0.3% 11,429 12,306 11,143 10,464 20,722 21,165 16,192 8,868 4,904 2,387 802 8.6% 9.3% 8.4% 7.9% 15.7% 16.0% 12.2% 6.7% 3.7% 1.8% 0.6% 4,922 5,222 4,959 5,499 10,966 8,342 5,290 2,783 1,258 576 202 8.8% 9.3% 8.8% 9.8% 19.5% 14.8% 9.4% 5.0% 2.2% 1.0% 0.4% 6,163 5,687 4,974 5,719 19,762 16,142 11,807 6,972 3,995 1,702 484 6.9% 6.3% 5.5% 6.4% 22.0% 18.0% 13.1% 7.8% 4.4% 1.9% 0.5% 6,639 5,362 4,146 3,693 5,700 4,222 3,221 1,993 997 491 151 14.9% 12.0% 9.3% 8.3% 12.8% 9.5% 7.2% 4.5% 2.2% 1.1% 0.3% 261,348 256,585 230,954 248,181 547,486 518,436 437,206 317,009 198,249 141,674 50,652 Total 2,193,786 978,681 132,385 56,179 89,847 44,575 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 2004-2008 Page 10 No. 3,495,453 64.0% 26.6% 3.7% 1.7% 2.7% 1.3% Maricopa County Population Statistics Table 1.10 Population By Race/Ethnicity, Age, and Gender, 2004 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. 62,149 60,910 64,247 62,238 63,875 67,785 74,723 76,450 88,700 86,124 79,351 74,222 60,155 47,011 42,422 103,521 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% 62,240 52,281 46,856 36,721 39,809 46,445 42,224 33,828 28,043 21,365 15,898 11,707 8,022 5,785 4,268 6,726 1,113,883 % 13.5% 11.3% 10.1% 7.9% 8.6% 10.0% 9.1% 7.3% 6.1% 4.6% 3.4% 2.5% 1.7% 1.3% 0.9% 1.5% 462,218 African American No. 5,881 5,691 6,006 5,165 5,016 4,609 5,124 4,984 5,096 4,379 3,558 2,530 1,974 1,477 1,143 1,968 % 9.1% 8.8% 9.3% 8.0% 7.8% 7.1% 7.9% 7.7% 7.9% 6.8% 5.5% 3.9% 3.1% 2.3% 1.8% 3.0% 64,601 American Indian No. 3,073 2,419 2,606 2,480 2,838 3,134 2,719 2,103 2,252 1,599 1,309 943 609 463 271 473 % Asian No. 10.5% 8.3% 8.9% 8.5% 9.7% 10.7% 9.3% 7.2% 7.7% 5.5% 4.5% 3.2% 2.1% 1.6% 0.9% 1.6% 29,291 3,199 3,132 2,780 2,385 2,607 4,700 5,364 4,453 4,033 3,533 3,074 2,378 1,640 1,310 961 1,326 Other/2+ Races % 6.8% 6.7% 5.9% 5.1% 5.6% 10.0% 11.4% 9.5% 8.6% 7.5% 6.6% 5.1% 3.5% 2.8% 2.1% 2.8% 46,875 No. 3,840 3,166 2,651 1,967 1,835 1,615 1,308 1,112 1,039 979 749 628 491 323 210 393 % 17.2% 14.2% 11.9% 8.8% 8.2% 7.2% 5.9% 5.0% 4.7% 4.4% 3.4% 2.8% 2.2% 1.4% 0.9% 1.8% 22,306 Total No. 140,382 127,599 125,146 110,956 115,980 128,288 131,462 122,930 129,163 117,979 103,939 92,408 72,891 56,369 49,275 114,407 1,739,174 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 65,098 64,255 67,964 66,349 68,489 70,395 78,029 79,267 89,061 83,896 74,148 68,460 54,489 42,490 36,730 70,783 1,079,903 6.0% 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% 65,623 54,749 48,941 40,424 50,633 60,024 50,711 41,050 32,166 23,407 16,507 11,684 7,654 4,968 3,421 4,501 516,463 12.7% 10.6% 9.5% 7.8% 9.8% 11.6% 9.8% 7.9% 6.2% 4.5% 3.2% 2.3% 1.5% 1.0% 0.7% 0.9% 6,122 5,738 6,300 5,978 5,448 5,370 5,619 5,376 5,709 4,665 3,590 2,587 1,777 1,366 918 1,221 67,784 9.0% 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% 3,087 2,503 2,616 2,479 2,661 2,700 2,413 2,138 1,849 1,349 1,033 779 452 329 195 305 11.5% 9.3% 9.7% 9.2% 9.9% 10.0% 9.0% 8.0% 6.9% 5.0% 3.8% 2.9% 1.7% 1.2% 0.7% 1.1% 26,888 3,241 3,031 2,907 2,589 3,112 4,395 5,303 4,092 3,564 2,889 2,311 1,709 1,245 1,023 701 860 42,972 7.5% 7.1% 6.8% 6.0% 7.2% 10.2% 12.3% 9.5% 8.3% 6.7% 5.4% 4.0% 2.9% 2.4% 1.6% 2.0% 4,120 3,473 2,711 2,179 1,858 1,485 1,292 1,016 1,055 843 650 500 374 281 183 249 18.5% 15.6% 12.2% 9.8% 8.3% 6.7% 5.8% 4.6% 4.7% 3.8% 2.9% 2.2% 1.7% 1.3% 0.8% 1.1% 22,269 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 2004-2008 Page 11 147,291 133,749 131,439 119,998 132,201 144,369 143,367 132,939 133,404 117,049 98,239 85,719 65,991 50,457 42,148 77,919 1,756,279 Maricopa County Population Statistics Table 1.11 Maricopa County, Phoenix, and Arizona Population 1980-2008 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 1,347,223 3,199,440 5,303,632 2002 1,369,860 3,296,790 5,449,195 2003 1,390,122 3,386,847 5,585,512 2004 1,420,476 3,495,453 5,750,475 2005 1,465,336 3,636,250 5,961,239 2006 1,506,187 3,766,461 6,178,251 2007 1,534,740 3,865,048 6,353,421 2008 1,567,924 3,954,598 6,500,180 Maricopa County Health Status Report 2004-2008 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 U.S. Census Estimate Page 12 II. Maricopa County Five-Year Health Trends Maricopa County Health Status Report 2004-2008 Page 13 Maricopa County Five-Year Health Trends Table 2.01a Selected Underlying Causes of Death 2004-2008, Number of Deaths Cause Infectious Diseases Cancer Diabetes and Alzheimer's Major Cardiovascular Diseases Heart Disease Other Cardiovascular Other Respiratory Diseases GI & Urinary Pregnancy & Early Life Other Diseases External Causes Unknown Total 2004 Tuberculosis Syphilis HIV Stomach Colon Pancreas Lung Breast Uterine & Ovarian Prostate Urinary Lymphoma Leukemia Other Cancer All Cancer Diabetes Alzheimer's Hypertensive Heart Disease Ischemic Heart Disease Other Heart Disease All Heart Disease Primary Hypertension Cerebrovascular Atherosclerosis Other Circulatory All Other Cardiovascular Influenza & Pneumonia Chronic Lower Respiratory Peptic Ulcer Liver Disease Nephritis Pregnancy Perinatal Conditions Congenital Malformations SIDS Symptoms, Signs Other Diseases 1 Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes 2005 2006 2007 6 0 93 110 514 319 1,352 356 247 293 276 220 207 1,283 5,177 597 1,246 10 0 89 92 480 295 1,432 427 220 270 278 212 230 1,302 5,238 624 1,445 5 0 71 99 506 345 1,370 395 251 288 265 201 234 1,369 5,323 583 1,454 5 0 74 109 474 344 1,333 426 241 304 249 242 218 1,344 5,284 623 1,458 318 4,655 802 5,775 265 1,350 128 220 1,963 582 345 4,849 817 6,011 264 1,270 171 200 1,905 715 368 4,523 828 5,719 283 1,217 76 175 1,751 623 432 4,138 947 5,517 229 1,114 60 208 1,611 456 385 4,249 838 5,472 326 1,118 87 188 1,719 539 1,318 36 320 257 2 196 144 8 412 3,218 537 907 458 307 56 2,265 36 23,532 1,506 43 377 212 6 181 123 14 511 3,574 587 1,098 486 331 92 2,594 6 24,897 1,484 43 357 217 5 206 153 21 584 3,864 643 1,162 498 355 84 2,742 1 25,176 1,407 33 356 214 6 197 141 22 572 3,770 505 1,190 551 329 80 2,655 16 24,409 1,504 25 382 173 6 183 133 22 447 3,690 427 1,253 535 277 69 2,561 1 24,301 Note: The number of cases for the Selected Underlying Causes of Death may differ from the numbers reported by ADHS. See Technical Notes for further explanation. 1 2008 7 0 108 113 500 298 1,371 379 257 276 275 195 201 1,303 5,168 604 1,113 Refer to the Technical Notes for an explanation of the sharp changes in these causes of death over time Maricopa County Health Status Report 2004-2008 Page 14 Maricopa County Five-Year Health Trends Table 2.01b Selected Underlying Causes of Death, 2004-2008 Crude Death Rate per 100,000 Residents Cause Tuberculosis Syphilis HIV Cancer Stomach Colon Pancreas Lung Breast 1 Uterine & Ovarian 1 Prostate Urinary Lymphoma Leukemia Other Cancer All Cancer Diabetes and Alzheimer's Diabetes Alzheimer's Major CardioHeart Hypertensive Heart Disease vascular Disease Ischemic Heart Disease Diseases Other Heart Disease All Heart Disease Other Primary Hypertension CardioCerebrovascular vascular Atherosclerosis Other Circulatory All Other Cardiovascular Other Respiratory Influenza & Pneumonia Diseases Chronic Lower Respiratory GI & Urinary Peptic Ulcer Liver Disease Nephritis 1 Pregnancy & Early Life Pregnancy Perinatal Conditions Congenital Malformations 2 SIDS Other Diseases Symptoms, Signs Other Diseases 3 External Causes Motor Vehicle Collisions All Other Accidents Suicide Homicide Other External Causes All External Causes Unknown Total Infectious Diseases 2004 2005 2006 2007 2008 0.2 0 3.1 3.2 14.3 8.5 39.2 10.8 14.8 15.7 7.9 5.6 5.8 37.3 147.8 17.3 31.8 9.1 133.2 22.9 165.2 7.6 38.6 3.7 6.3 56.2 16.7 37.7 1.0 9.2 7.4 0.1 5.6 4.1 0.1 11.8 92.1 15.4 25.9 13.1 8.8 1.6 64.8 1.0 673.2 0.2 0 2.6 3.0 14.1 8.8 37.2 9.8 13.7 16.0 7.6 6.1 5.7 35.3 142.4 16.4 34.3 9.5 133.4 22.5 165.3 7.3 34.9 4.7 5.5 52.4 19.7 41.4 1.2 10.4 5.8 0.3 5.0 3.4 0.2 14.1 98.3 16.1 30.2 13.4 9.1 2.5 71.3 0.2 684.7 0.3 0 2.4 2.4 12.7 7.8 38.0 11.3 11.8 14.2 7.4 5.6 6.1 34.6 139.1 16.6 38.4 9.8 120.1 22.0 151.8 7.5 32.3 2.0 4.6 46.5 16.5 39.4 1.1 9.5 5.8 0.3 5.5 4.1 0.3 15.5 102.6 17.1 30.9 13.2 9.4 2.2 72.8 0.0 668.4 0.1 0 1.8 2.6 13.1 8.9 35.4 10.2 13.1 14.8 6.9 5.2 6.1 35.4 137.7 15.1 37.6 11.2 107.1 24.5 142.7 5.9 28.8 1.6 5.4 41.7 11.8 36.4 0.9 9.2 5.5 0.3 5.1 3.6 0.3 14.8 97.5 13.1 30.8 14.3 8.5 2.1 68.7 0.4 631.5 0.1 0 1.9 2.8 12.0 8.7 33.7 10.8 12.3 15.3 6.3 6.1 5.5 34.0 133.6 15.8 36.9 9.7 107.4 21.2 138.4 8.2 28.3 2.2 4.8 43.5 13.6 38.0 0.6 9.7 4.4 0.3 4.6 3.4 0.4 11.3 93.3 10.8 31.7 13.5 7.0 1.7 64.8 0.0 614.5 Note: The rates for the Selected Underlying Causes of Death may differ from the rates reported by ADHS. See Technical Notes for further explanation 1 Uterine & ovarian cancer and pregnancy rates are per 100,000 females; prostate cancer rates are per 100,000 males. Sudden Infant Death Syndrome (SIDS) rates are per 1,000 live births. 3 Refer to the Technical Notes for an explanation of the sharp changes in these causes of death over time 2 Maricopa County Health Status Report 2004-2008 Page 15 Maricopa County Five-Year Health Trends Table 2.02a Other Selected Underlying Causes of Death 2004-2008, Number of Deaths Infectious Diseases Cancer Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations External Causes Cause Clostridium difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip and Oral Skin (Melanoma) Ovarian Testicular Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson’s Disease Multiple Sclerosis Epilepsy Acute Myocardial Infarction (Heart Attack) Congestive Heart Failure Emphysema Asthma Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Disorders Related to Short Gestation & Low Birth Weight Congenital Malformations of the Circulatory System Chromosomal Abnormalities 1 Falls Drowning 1 Unintentional Poisoning Exposure to Excessive Natural Heat Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Intent Complications of Medical & Surgical Care 2004 2005 2007 2008 43 2 219 79 20 15 141 67 90 167 5 28 13 39 40 4 258 83 19 18 162 72 94 149 5 26 14 46 2006 77 0 307 133 23 24 149 63 99 144 0 21 9 52 87 6 308 78 20 17 133 66 101 168 5 30 10 49 75 10 180 103 9 17 135 69 98 130 5 19 12 39 104 222 35 19 115 290 37 14 96 269 53 13 110 253 43 13 94 273 42 11 1,130 135 232 28 181 17 12 10 1,168 149 215 38 223 25 20 7 1,015 187 197 37 233 21 17 6 958 186 148 33 220 20 16 7 869 138 130 20 259 27 14 8 61 46 64 61 60 37 29 323 66 299 20 12 5 38 21 434 55 327 46 4 6 41 30 441 56 384 40 6 7 46 24 497 53 418 20 9 6 35 32 480 45 458 23 8 7 5 15 7 11 5 23 22 35 25 25 Note: The number of cases for the Other Underlying Causes of Death may differ from the numbers reported by ADHS. See Technical Notes for further explanation 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 2004-2008 Page 16 Maricopa County Five-Year Health Trends Table 2.02b Other Selected Underlying Causes of Death 2004-2008, Crude Death Rate per 100,000 Residents Infectious Diseases Cancer Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations External Causes Cause Clostridium difficile Other Intestinal Infections Septicemia Viral Hepatitis Coccidioidomycosis Other Mycoses Brain Lip and Oral Skin (Melanoma) 1 Ovarian 1 Testicular Anemias Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson’s Disease Multiple Sclerosis Epilepsy Acute Myocardial Infarction (Heart Attack) Congestive Heart Failure Emphysema Asthma Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Disorders Related to Short Gestation & Low Birth Weight Congenital Malformations of the Circulatory System Chromosomal Abnormalities 2 Falls Drowning 2 Unintentional Poisoning Exposure to Excessive Natural Heat Legal Intervention Accidental Discharge of Firearms Discharge of Firearms, Undetermined Intent Complications of Medical & Surgical Care 2004 2005 2007 2008 1.2 0.1 6.3 2.3 0.6 0.4 4.0 1.9 2.6 9.6 0.3 0.8 0.4 1.1 1.1 0.1 7.1 2.3 0.5 0.5 4.5 2.0 2.6 8.2 0.3 0.7 0.4 1.3 2006 2.0 0.0 8.2 3.5 0.6 0.6 4.0 1.7 2.6 7.7 0.0 0.6 0.2 1.4 2.3 0.2 8.0 2.0 0.5 0.4 3.4 1.7 2.6 8.8 0.3 0.8 0.3 1.3 1.9 0.3 4.6 2.6 0.2 0.4 3.4 1.7 2.5 6.6 0.3 0.5 0.3 1.0 3.0 6.4 1.0 0.5 3.2 8.0 1.0 0.4 2.5 7.1 1.4 0.3 2.8 6.5 1.1 0.3 2.4 6.9 1.1 0.3 32.3 3.9 6.6 0.8 5.2 0.5 0.3 0.3 32.1 4.1 5.9 1.0 6.1 0.7 0.6 0.2 26.9 5.0 5.2 1.0 6.2 0.6 0.5 0.2 24.8 4.8 3.8 0.9 5.7 0.5 0.4 0.2 22.0 3.5 3.3 0.5 6.5 0.7 0.4 0.2 1.7 1.3 1.7 1.6 1.5 1.1 0.8 9.2 1.9 8.6 0.6 0.3 0.1 1.0 0.6 11.9 1.5 9.0 1.3 0.1 0.2 1.1 0.8 11.7 1.5 10.2 1.1 0.2 0.2 1.2 0.6 12.9 1.4 10.8 0.5 0.2 0.2 0.9 0.8 12.1 1.1 11.6 0.6 0.2 0.2 0.1 0.4 0.2 0.3 0.1 0.7 0.6 0.9 0.6 0.6 Note: The rates for the Other Underlying Causes of Death may differ from the rates reported by ADHS. See Technical Notes for further explanation 1 Ovarian cancer rates are per 100,000 females; testicular cancer rates are per 100,000 males. 2 Refer to the Technical Notes for an explanation of the sharp changes in these rates over time. Maricopa County Health Status Report 2004-2008 Page 17 Maricopa County Five-Year Health Trends Table 2.03a Firearm, Drug, and Alcohol Induced and Related Deaths 2004-2008 Number of Deaths Year Cause 2004 2005 2006 2007 2008 Firearm Induced 506 546 583 550 511 Drug Induced, Including Tobacco 406 470 569 569 571 Drug Related, Including Tobacco 601 739 825 794 813 Drug Related, Excluding Tobacco 443 539 629 662 656 Alcohol Induced 289 353 338 354 386 Alcohol Related 469 530 550 557 595 Note: The number of cases for Maricopa County deaths may differ from the numbers reported by ADHS. See Technical Notes for further explanation Table 2.03b Firearm, Drug, and Alcohol Induced and Related Deaths 2004-2008 Crude Death Rate per 100,000 Residents Year Cause 2004 2005 2006 2007 2008 Firearm Induced 14.5 15.0 15.5 14.2 12.9 Drug Induced, Including Tobacco 11.6 12.9 15.1 14.7 14.4 Drug Related, Including Tobacco 17.2 20.3 21.9 20.5 20.6 Drug Related, Excluding Tobacco 12.7 14.8 16.7 17.1 16.6 Alcohol Induced 8.3 9.7 9.0 9.2 9.8 Alcohol Related 13.4 14.6 14.6 14.4 15.0 Note: The rates for Maricopa County deaths may differ from the rates reported by ADHS. See Technical Notes for further explanation 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 2004-2008 Page 18 Maricopa County Five-Year Health Trends Table 2.04a Number of Confirmed Cases to Residents of Selected Reportable Diseases, 2004-2008 Disease Vaccine Preventable H. influenzae Measles Mumps Central Nervous System Pertussis Enceph Viral Other Meningitis Viral/Aseptic Meningococcal Meningitis Enterics Amebiasis Botulism Campylobacteriosis Cholera Cryptosporidiosis E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hantavirus Pulm. Syndrome Lyme Disease Malaria West Nile Virus Hepatitis A Hepatitides Hepatitis B1 (Acute) Hepatitis D Other 44 0 60 1 54 0 46 0 56 0 1 109 0 248 3 21 4 12 0 20 31 23 15 10 7 562 722 624 551 571 9 10 1 20 11 0 6 10 4 6 7 0 4 7 3 427 0 501 0 432 0 586 1 640 0 7 20 105 6 9 30 120 8 19 42 66 7 27 44 96 8 71 37 59 5 5 356 0 379 6 432 1 493 5 564 229 249 381 289 380 2 4 7 5 2 2,702 0 2,461 2 4,209 3 3,450 4 3,525 2 0 0 8 1 2 0 1 3 0 0 10 13 355 7 15 79 6 18 75 0 7 52 2 10 90 120 68 91 79 70 180 239 265 110 115 0 0 0 25 33 21 MRSA2 218 1,109 997 846 915 Strep Group A 152 168 216 106 112 34 31 39 42 34 Strep Pneumo Invasive 437 474 569 514 574 Toxic Shock Syndrome 2 1 0 3 1 Vibrio spp. 5 5 3 13 1 1 186 10 11 2 169 7 4 1 171 12 4 0 171 Genital Herpes Gonorrhea Syphilis – Primary and Secondary Chlamydia HIV AIDS 3 2008 2 Syphilis – All Others 2 2007 15 Yersiniosis Hansen's Disease 1 2006 0 Strep Group B (<90 Days) All Others3 Total 2005 13 Legionellosis Tuberculosis Sexually Transmitted Diseases 2004 195 817 799 1,213 1,479 969 2,967 2,915 4,000 3,173 2135 112 123 163 192 234 540 421 542 620 650 10,677 319 335 17 11,330 358 306 22 14,596 389 332 40 14,544 404 348 48 13,426 376 386 290 24,862 26,247 33,257 31,596 26,495 2006 - 2008 figures for Hepatitis B (Acute) include confirmed and probable cases. Methicillin-resistant Staphylococcus Aureus (MRSA) was not reported to health departments until October 2004. Refer to Technical Notes for an explanation of the sharp changes. Maricopa County Health Status Report 2004-2008 Page 19 Maricopa County Five-Year Health Trends Table 2.04b Case Rates per 100,000 Residents for Selected Reportable Diseases, 2004-2008 Disease Vaccine Preventable Central Nervous System H. influenzae Measles Mumps Pertussis Enceph Viral Other Meningitis Viral/Aseptic Meningococcal Meningitis Enterics Amebiasis Botulism Campylobacteriosis Cholera Cryptosporidiosis E. Coli O157.H7 Giardiasis Listeriosis Salmonella Paratyphi Salmonellosis Shigellosis Typhoid 1.4 0.0 1.2 0 1.4 0 0.0 3.1 0.0 6.8 0 0.6 0.1 0.3 0.0 0.5 0.9 0.6 0.4 0.3 0.2 16.1 19.9 16.6 14.3 14.4 0.3 0.3 0.0 0.6 0.3 0.0 0.2 0.3 0 0.2 0.2 0.0 0.1 0.2 0 12.2 0.0 13.8 0 11.5 0 15.2 0 16.2 0.0 0.2 0.6 3.0 0.2 0.2 0.8 3.3 0.2 0.5 1.1 1.8 0.2 0.7 1.1 2.5 0.2 1.8 0.9 1.5 0.1 0.1 10.2 0.0 10.4 0 11.5 0.0 12.8 0.1 14.3 6.6 6.8 10.1 7.5 9.6 0.1 0.1 89.3 0.1 89.1 0.1 0 0 0.2 0.0 0.1 0 0 0.1 0.0 0 0.3 0.4 10.2 0.2 0.4 2.2 0.2 0.5 2.0 0.0 0.2 1.3 0 0.3 2.3 3.4 1.9 2.4 2.0 1.8 5.1 6.6 7.0 2.8 2.9 0 0 0.0 0 0 0.4 6.2 0.4 30.5 0.7 26.5 0.9 21.9 0.5 23.1 4.3 4.6 5.7 2.7 2.8 0.6 0.5 0.6 0.6 0.5 Strep Pneumo Invasive 12.5 13.0 15.1 13.3 14.5 Toxic Shock Syndrome 0.1 0.0 0.0 0 0.0 0.1 0.1 0.1 5.7 23.4 84.9 0.4 0.0 0.0 5.3 22.0 80.2 0.3 0.3 0.1 4.6 32.2 106.2 0.2 0.1 0.0 4.5 38.3 82.1 0.3 0.1 0.0 4.4 24.5 54.0 Malaria West Nile Virus Hepatitis A Hepatitis B (Acute) Hepatitis D Legionellosis MRSA1 Strep Group A Strep Group B2 Vibrio spp. Yersiniosis Hansen's Disease Genital Herpes Gonorrhea Syphilis – Primary and Secondary Syphilis – All Others Chlamydia HIV AIDS 3 1.7 0 0.2 Lyme Disease 2 1.3 0.0 111.7 0.1 Hantavirus Pulm. Syndrome 1 2008 0.1 Brucellosis Dengue All Others3 Total 2007 67.7 0 Zoonoses/ Vectorborne Tuberculosis Sexually Transmitted Diseases 2006 0.1 Coccidioidomycosis Other 2005 77.3 0.0 Mycosis Hepatitides 2004 3.2 3.4 4.3 5.0 5.9 15.4 11.6 14.4 16.0 16.4 305.5 9.1 9.6 0.5 711.3 311.6 9.8 8.4 0.6 721.8 387.5 10.3 8.8 1.1 883.0 376.3 10.5 9.0 1.2 817.5 339.5 9.5 9.8 7.3 670.0 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. Refer to the Technical Notes for an explanation of the sharp changes in the rates over time. Maricopa County Health Status Report 2004-2008 Page 20 Maricopa County Five-Year Health Trends Table 2.05a Congenital Syphilis by Race/Ethnicity and Year Number of Cases, 2004-2008 Year Race/Ethnicity White Hispanic African American American Indian Asian Other/Unknown Total 2004 2005 2006 2007 2008 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 3 11 2 3 0 0 19 Table 2.05b Congenital Syphilis by Race/Ethnicity and Year Case Rates per 100,000 Live Births, 2004-2008 Year Race/Ethnicity White Hispanic African American American Indian Asian Other/Unknown Total 2004 2005 2006 2007 2008 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 11.4 40.7 61.1 154.6 0 30.3 Table 2.06 Hansen’s Disease Prevalence Total number of cases reported in Maricopa County as of December 31, 2008 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 2008. Maricopa County Health Status Report 2004-2008 Page 21 Maricopa County Five-Year Health Trends Table 2.07a Selected Maternal & Child Health Indicators, 2004-2008 Countywide Indicators Number of Live Births to Mothers With Selected Risk Factors Indicator Number of Live Births 2004 2005 2006 2007 2008 60,535 62,223 66,162 65,930 62,666 Male Infants of Total Live Births 30,971 31,771 33,867 33,829 31,950 Mothers With <12 Years Education 18,662 18,816 19,765 19,707 17,406 Births to Women 10-19 Years Old 7,082 7,212 7,904 7,816 7,210 Births to Women 15-17 Years Old 2,540 2,582 2,774 2,664 2,548 Births to Women Over 35 Years Old 7,339 7,478 8,218 8,372 8,216 Births to Never Married Women 24,204 25,574 28,224 29,185 27,656 Tobacco Use During Pregnancy 3,145 2,833 2,737 2,495 2,592 411 397 334 265 320 53 99 117 111 127 1,303 1,713 2,005 2,255 2,563 45,689 47,616 51,467 49,387 43,933 10,726 12,060 11,185 11,873 13,820 8,260 9,030 10,361 10,413 9,804 6,153 6,826 7,228 7,545 7,722 6,816 6,804 7,250 6,991 6,583 Hospital Births 60,098 61,837 65,728 65,512 62,300 Method of Payment 30,044 32,242 34,144 34,403 32,972 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 Primary Cesarean Section via CRepeat Cesarean Section Section Preterm Births (Less than 37 Weeks) AHCCCS IHS 219 212 252 320 267 28,264 27,904 29,723 29,238 27,610 Self 1,421 1,602 1,819 1,695 1,501 None 1,460 1,193 1,382 1,339 944 Private Insurance Prenatal Care st 1 Trimester 48,202 50,090 53,160 52,961 52,056 Trimester 8,605 9,107 9,628 9,708 8,046 3 Trimester 2,129 1,797 1,949 1,889 1,561 0 1,460 1,193 1,382 1,339 944 1-4 2,198 2,147 2,287 2,134 1,722 5-8 8,791 9,859 10,455 10,505 9,315 9-12 30,114 33,038 33,328 31,834 30,633 13+ 17,426 15,932 18,577 20,081 19,986 Singletons 2 nd rd Number of Prenatal Care Visits Plurality Number of Live Births with Selected Risk Factors Associated with the Neonate 1 2 58,691 60,450 64,275 64,065 60,810 Twins 1,713 1,684 1,788 1,762 1,748 Singleton Births Receiving Early & 1 Adequate Prenatal Care 41,925 42,992 45,554 45,626 44,803 3,312 3,525 3,326 3,365 3,768 289 346 392 297 350 Neonatal Intensive Care Infants Transferred to Another Facility Birthweight Very Low (<1500g) Low (<2500g) High (>4250g) Infants With a Neural Tube Defect 2 2 Infants With Fetal Alcohol Syndrome 1 735 735 790 818 714 4,275 4,253 4,638 3,851 3,663 1,878 1,866 2,104 2,064 1,903 11 7 5 11 11 0 1 0 1 1 See the technical notes for an explanation of early and adequate prenatal care and infants transferred to another facility. Due to the collection method for these data, information is underestimated. Maricopa County Health Status Report 2004-2008 Page 22 Maricopa County Five-Year Health Trends Table 2.07b Selected Maternal & Child Health Indicator Percentages, 2004-2008 Countywide Indicators Indicator Number of Live Births 2004 2005 2006 2007 2008 60,535 62,223 66,162 65,930 62,666 % Male Infants of Total Live Births 51.2% 51.1% 51.2% 51.3% 51.0% 1 Fertility Rate per 1,000 Women Age 15-44 Percentage of Live Births to Mothers With Selected Risk Factors Percentage of Live Births With Selected Risk Factors Associated with Pregnancy 81.9 81.7 84.8 83.4 78.4 % Mothers With <12 Years Education 30.8% 30.2% 29.9% 29.9% 27.8% % Births to Women 10-19 Years Old 11.7% 11.6% 11.9% 11.9% 11.5% % Births to Women 15-17 Years Old 4.2% 4.1% 4.2% 4.0% 4.1% % Births to Women Over 35 Years Old 12.1% 12.0% 12.4% 12.7% 13.1% % Births to Never Married Women 40.0% 41.1% 42.7% 44.3% 44.1% % Tobacco Use During Pregnancy 5.2% 4.6% 4.1% 3.8% 4.1% % Alcohol Use During Pregnancy 0.7% 0.6% 0.5% 0.4% 0.5% % Mother with Pre-Existing Cardiac Disease % Mother with Pre-Existing Diabetes 0.1% 0.2% 0.2% 0.2% 0.2% 2.2% 2.8% 3.0% 3.4% 4.1% % Mothers with No Medical Risk Factors for Pregnancy % Induced Labor 75.5% 76.5% 77.8% 74.9% 70.1% 17.7% 19.4% 16.9% 18.0% 22.1% Delivery via C-Section Primary Cesarean Section 13.6% 14.5% 15.7% 15.8% 15.6% Repeat Cesarean Section 10.2% 11.0% 10.9% 11.4% 12.3% % Preterm Births (Less than 37 Weeks) 11.3% 10.9% 11.0% 10.6% 10.5% % Hospital Births 99.3% 99.4% 99.3% 99.4% 99.4% Method of Payment 49.6% 51.8% 51.6% 52.2% 52.6% 0.4% 0.3% 0.4% 0.5% 0.4% 46.7% 44.8% 44.9% 44.3% 44.1% 2.3% 2.6% 2.7% 2.6% 2.4% AHCCCS IHS Private Insurance Self Prenatal Care None st 1 Trimester 2 nd Plurality 2 3 2.0% 1.5% 80.3% 83.1% 14.2% 14.6% 14.6% 14.7% 12.8% 3.5% 2.9% 2.9% 2.9% 2.5% 0 2.4% 1.9% 2.1% 2.0% 1.5% 1-4 3.6% 3.5% 3.5% 3.2% 2.7% 5-8 14.5% 15.8% 15.8% 15.9% 14.9% 9-12 49.7% 53.1% 50.4% 48.3% 48.9% 13+ 28.8% 25.6% 28.1% 30.5% 31.9% Singletons 97.0% 97.2% 97.1% 97.2% 97.0% 2.8% 2.7% 2.7% 2.7% 2.8% 69.3% 69.1% 68.9% 69.2% 71.5% 5.5% 5.7% 5.0% 5.1% 6.0% 0.5% 0.6% 0.6% 0.5% 0.6% 1.2% 1.2% 1.2% 1.2% 1.1% Low (<2500g) 7.1% 6.8% 7.0% 5.8% 5.8% High (>4250g) 3.1% 3.0% 3.2% 3.1% 3.0% 0.0% 0.0% 0.0% 0.0% 0.0% % Singleton Births Receiving Early & 2 Adequate Prenatal Care 1 2.1% 80.3% Trimester Twins Percentage of Live Births with Selected Risk Factors Associated with the Neonate 1.9% 80.5% 3 Trimester rd Number of Prenatal Care Visits 2.4% 79.6% Neonatal Intensive Care 2 % Infants Transferred to Another Facility Birthweight Very Low (<1500g) % Infants With a Neural Tube Defect 3 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 and infants transferred to another facility. . Due to the collection method for these data, information is underestimated. Maricopa County Health Status Report 2004-2008 Page 23 Maricopa County Five-Year Health Trends Table 2.08 Births by Maternal Indicators for Infant Mortality Rate Maternal Indicators Mother’s Race Mother’s Age Mother’s Education Level Birthweight White Hispanic African American American Indian Asian Other/Unknown <20 20-29 30-39 40 and Older Less than 6th Grade 6th-11th Grade High School Diploma College or Higher Unknown <1,500 Grams 1,500-2,499 Grams 2,500-4,249 Grams >4,249 Grams Unknown 2004 2005 2006 2007 2008 26,824 27,398 2,407 1,720 1,959 227 7,082 32,681 19,431 1,340 1,125 17,537 15,677 25,308 888 735 3,540 54,367 1,878 15 27,047 28,649 2,578 1,748 2,020 181 7,212 33,866 19,848 1,296 1,084 17,732 16,649 26,183 575 735 3,518 56,099 1,866 5 28,364 30,523 2,840 1,933 2,304 198 7,904 36,090 20,752 1,415 1,292 18,473 18,216 27,578 603 790 3,848 59,413 2,104 7 26,884 31,375 3,040 1,905 2,508 218 7,816 35,508 21,070 1,533 1,155 18,552 18,258 27,161 804 818 3,851 59,190 2,064 7 26,317 28,724 3,134 1,837 2,444 210 7,210 33,443 20,613 1,397 1,011 16,395 17,529 27,186 545 714 3,663 56,383 1,903 3 Table 2.09a Infant Mortality by Race/Ethnicity of Mother, 2004-2008 (Linked) Race/Ethnicity of Mother White Hispanic African American American Indian Asian Other/Unknown Total 2004 151 186 21 11 13 4 386 2005 155 172 21 11 13 1 373 2006 139 207 42 7 7 2 404 2007 159 186 37 10 10 0 402 2008 144 142 51 8 28 1 374 Total 748 893 172 47 71 8 1,939 Table 2.09b Infant Mortality Rates by Race/Ethnicity of Mother, 2004-2008 (Linked) Infant Mortality per 1,000 Live Births Race/Ethnicity of Mother White Hispanic African American American Indian Asian Other/Unknown Total 2004 5.6 2005 5.7 2006 4.9 2007 5.9 2008 5.5 6.8 8.7 6.4 6.6 6.4 6.0 8.1 6.3 6.4 6.0 6.8 14.8 3.6 3.0 6.1 5.9 12.2 5.2 4.0 6.1 4.9 16.3 4.2 11.5 6.0 Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2004-2008 Page 24 Maricopa County Five-Year Health Trends Table 2.10a Infant Mortality by Age of Mother, 2004-2008 (Linked) Age of Mother <20 20-29 30-39 40 and Older Total 2004 67 205 102 12 386 2005 63 208 89 13 373 2006 67 214 114 9 404 2007 52 213 124 13 402 2008 62 187 109 16 374 Total 311 1,027 538 63 1,939 Table 2.10b Infant Mortality Rates by Age of Mother, 2004-2008 (Linked) Infant Mortality per 1,000 Live Births Age of Mother <20 20-29 30-39 40 and Older Total 2004 2005 2006 2007 2008 9.5 6.3 5.2 9.0 6.4 8.7 6.1 4.5 10.0 6.0 8.5 5.9 5.5 6.4 6.1 6.7 6.0 5.9 9.8 6.1 8.6 5.6 5.3 11.4 6.0 Table 2.11a Infant Mortality by Educational Level of Mother, 2004-2008 (Linked) Education Level of Mother th Less Than 6 Grade th th 6 – 11 Grade High School Diploma 2004 2005 2006 2007 2008 Total 7 142 108 9 125 113 7 137 127 11 133 105 9 103 139 43 640 592 College or Higher 121 120 128 142 118 629 Unknown Total 8 386 6 373 5 404 11 402 5 374 35 1,939 Table 2.11b Infant Mortality Rates by Educational Level of Mother, 2004-2008 (Linked) Infant Mortality per 1,000 Live Births Education Level of Mother th Less Than 6 Grade th th 6 – 11 Grade 2004 2005 2006 2007 2008 6.2 8.1 8.3 7.0 5.4 7.4 9.5 7.2 8.9 6.3 High School Diploma 6.9 6.8 7.0 5.8 7.9 College or Higher 4.8 9.0 6.4 4.6 10.4 6.0 4.6 8.3 6.1 5.2 13.7 6.1 4.3 9.2 6.0 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 2004-2008 Page 25 Maricopa County Five-Year Health Trends Table 2.12a Infant Mortality by Birthweight, 2004-2008 (Linked) Birthweight <1500 Grams 1500-2499 Grams 2500-4249 Grams >4249 Grams Unknown Total 2004 212 70 103 2005 197 52 121 2006 215 54 127 2007 199 63 136 2008 189 64 118 Total 1,012 303 605 0 2 3 4 3 12 1 386 1 373 5 404 0 402 0 374 7 1,939 Table 2.12b Infant Mortality Rates by Birthweight, 2004-2008 (Linked) Infant Mortality per 1,000 Live Births Birthweight <1500 Grams 1500-2499 Grams 2004 2005 2006 2007 2008 288.4 19.8 268 14.8 272.2 14 243.3 16.4 264.7 17.5 2500-4249 Grams 1.9 2.2 2.1 2.3 2.1 0 66.7 6.4 1.1 200 6.0 1.4 714.3 6.1 1.9 0 6.1 1.6 0 6.0 >4249 Grams Unknown Total Table 2.13 Infant Mortality and Rates by Age of Infant, 2004-2008 (Linked & Unlinked) Infant Mortality Neonatal (≤ 28 Days) Linked Postnatal (> 28 Days) Data Total 2004 2005 2006 2007 2008 271 115 386 249 124 373 277 127 404 286 116 402 254 120 374 Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 274 122 396 253 129 382 278 128 406 297 120 417 257 124 381 Infant Mortality Rates per 1,000 Live Births 2004 2005 2006 2007 2008 Linked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 4.5 1.9 6.4 4.0 2.0 6.0 4.2 1.9 6.1 4.3 1.8 6.1 4.1 1.9 6.0 Unlinked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 4.5 2.0 6.5 4.1 2.1 6.1 4.2 1.9 6.1 4.5 1.8 6.3 4.1 2.0 6.1 Unlinked Data Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2004-2008 Page 26 Maricopa County Five-Year Health Trends Table 2.14a Infant Mortality by Age of Infant and Race/Ethnicity of Mother, 2004-2008 (Linked) Linked Infant Mortality White Hispanic African American Neonatal American Indian (≤ 28 Days) Asian Other/Unknown Total 2004 2005 2006 2007 2008 107 133 14 5 10 2 271 102 123 11 4 8 1 249 101 140 23 8 4 1 277 107 142 23 6 8 0 286 91 101 33 5 24 0 254 White Hispanic African American American Indian Asian Other/Unknown Total 44 53 7 6 3 2 115 53 49 10 7 5 0 124 38 63 19 3 3 1 127 52 44 14 4 2 0 116 53 41 18 3 4 1 120 Postnatal (> 28 Days) Table 2.14b Infant Mortality Rates by Age of Infant and Race/Ethnicity of Mother, 2004-2008 (Linked) Infant Mortality per 1,000 Live Births Linked Infant Mortality White Hispanic African American Neonatal American Indian (≤ 28 Days) Asian Other/Unknown Total 2004 2005 2006 2007 2008 4.0 4.9 5.8 2.9 5.1 4.5 3.8 4.3 4.3 2.3 4.0 4.0 3.6 4.6 8.1 4.1 1.7 4.2 4.0 4.5 7.6 3.1 3.2 4.3 3.5 3.5 10.6 2.6 9.8 4.1 White Hispanic African American American Indian Asian Other/Unknown Total 1.6 1.9 2.9 3.5 1.5 1.9 2.0 1.7 3.9 4.0 2.5 2.0 1.3 2.1 6.7 1.6 1.3 1.9 1.9 1.4 4.6 2.1 0.8 1.8 2.0 1.4 5.7 1.6 1.6 1.9 Postnatal (> 28 Days) Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2004-2008 Page 27 Maricopa County Five-Year Health Trends Table 2.154a Infant Mortality by Race/Ethnicity of Infant, 2004-2008 (Unlinked) Race/Ethnicity of Infant White Hispanic African American American Indian Asian Other/Unknown Total 2004 141 210 28 6 8 3 396 2005 142 189 27 10 13 1 382 2006 142 205 43 12 4 0 406 2007 132 229 40 9 7 0 417 2008 122 171 51 8 20 2 374 Total 679 1,004 189 45 52 6 1,975 Table 2.15b Infant Mortality Rates by Race/Ethnicity of Infant, 2004-2008 (Unlinked) Infant Mortality per 1,000 Live Births Race/Ethnicity of Infant White Hispanic African American American Indian Asian Other/Unknown Total 2004 2005 2006 2007 2008 5.3 7.7 11.6 3.5 4.1 6.5 5.2 6.6 10.5 5.7 6.4 6.1 5.0 6.7 15.1 6.2 1.7 6.1 4.9 7.3 13.2 4.7 2.8 6.3 4.6 6.0 16.3 4.2 8.2 6.0 Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2004-2008 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, 2008, released May 14, 2009. This is at http://www.census.gov/popest/counties/asrh/files/cc-est2008-alldata04.csv. The population for Arizona is from http://www.census.gov/popest/states/tables/NST-EST2008-01.csv The population for Phoenix is from http://www.census.gov/popest/cities/files/SUB-EST20084.csv. The population estimates used in this report are from the U.S. Census and based on the Census 2000 population. The population for a community, such as Maricopa County, changes as a result of births, deaths, and migration (moving into or out of the location). Although it is relatively easy to measure the change in population due to births and deaths, it is more difficult to measure the change due to migration. Population estimates may underestimate or overestimate the true population. Population estimates have the potential to become less reliable as more times passes from the last census count due to an accumulation of error. Many of the rates shown in this report use population estimates as the denominator (e.g., 50 cases of disease for every 100,000 people). Therefore, the true burden of disease within Maricopa County may be underestimated (if the population estimate over exaggerates the true population) or overestimated (if the population estimate under exaggerates the true population) due to population estimates even though these are the best estimates available. This report defines “Hispanic” as: all respondents listing Hispanic, either alone or in combination with any race. The Hispanic and American Indian categories in this report are slightly different from previous Maricopa County Health Status Reports. Previously, American Indians who identified their origin as either Hispanic or non-Hispanic were counted as American Indians. In this report, only American Indians who identified their origin as non-Hispanic were placed in the American Indian category. Hence, all individuals whose origin was Hispanic, regardless of race, were placed in the Hispanic group. In order to allow comparisons across years, the same method was used for all years (2004-2008) included in this report. 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 Asian Race=3 (American Indian or Alaska Native Alone) Race=4 (Asian Alone) or 5 (Native Hawaiian or Other Pacific Islander Alone) Origin=1 (Non-Hispanic) Origin=1 (Non-Hispanic) Other/2+ Races Race=6 (Two or More Races) Origin=1 (Non-Hispanic) Hispanic Race=1,2,3,4,5,6 Origin=2 (Hispanic) Maricopa County Health Status Report 2004 – 2008 Page 29 In 2008, the U.S. Census used a new methodology to estimate the race and Hispanic origin of the population. Using birth certificate data from the National Center for Health Statistics (NCHS), the race and Hispanic origin for both the mother and father of the baby were converted to the 1997 Office of Management and Budget (OMB) race categories. From the conversion, the race and Hispanic origin of the child was then calculated. Due to this new methodology, an actual increase in the population for Hispanic origin can be observed, specifically in the under 10 years of age population. For further information please see: http://www.census.gov/popest/topics/methodology/2008-est-relnotes.pdf. 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. In January 2008, ADHS Office of Vital Records implemented a new online death registration system. Maricopa County began entering deaths occurring in Maricopa County on July 1, 2008. Due to unforeseen circumstances, a large number of deaths were misclassified to ICD-10 codes of ‘R00-R99’ (Symptoms, signs, and abnormal findings), including a large proportion coded to a single code of ‘R99’ (Unknown cause of mortality). Unfortunately, this misclassification was not recognized before ADHS published the Arizona Health Status and Vital Statistics, 2008 report. Because Maricopa County published the 2008 health status reports later, this misclassification was corrected and the MCDPH reports are accurate. Therefore, the numbers and rates in Table 2.01a through Table 2.03b will not match the numbers reported in early printed reports by ADHS. ADHS later corrected the causes of death in the online copy of their annual report. Please see http://www.azdhs.gov/plan/report/ahs/ahs2008/pdf/misclassification.pdf for a more detailed explanation of this issue by ADHS Vital Statistician Christopher Mrela. During the course of routine data review, several deaths each year 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). One death in 2008 and two deaths that occurred in 2006 were updated with accurate causes of death. In addition, duplicate records were also identified and deleted: one 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 Maricopa County Health Status Report 2004 – 2008 Page 30 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 2.01a through 2.02b show sharp changes in the number and rates of deaths attributed to unintentional falls, unintentional poisonings, and motor vehicle accidents. These sharp changes have resulted in a shift in the order of leading causes of accidental deaths. Historically, motor vehicle accidents have been the most common, but in 2008 it dropped to the third highest rank for Maricopa County residents. 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 Diseases, 10 Revision (ICD-1) 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 such as suicides and as unintentional, or accidental injuries Further investigation into the reasons for these changes for the other causes of death 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. Table 3.2 ICD-10 Codes Used for This Report Cause Clostridium difficile 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 ICD-10 Codes Used A04.7 A01-A04.6, A04.8-A04.9 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 (Table Continues) Maricopa County Health Status Report 2004 – 2008 Page 31 (Table 3.2, Continued) 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 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 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 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 (Table Continues) Maricopa County Health Status Report 2004 – 2008 Page 32 (Table 3.2, Continued) 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 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 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 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 2004 – 2008 Page 33 Only the underlying cause of death is used for classification in this report. Although other causes may have contributed to death, the underlying cause of death is the cause that began the disease process that resulted in death. The underlying causes of death chosen for this report are based on the 113 selected causes of death reported by NCHS in their annual report. Due to an increase in the number of deaths due to Clostridium difficile, NCHS has also added this cause of death to their 113 selected causes of death. A few additional causes of death, like coccidioidomycosis, have been selected due to their importance in Arizona. 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). Drug-related deaths are listed both with and without tobacco-related deaths, because tobacco is not often considered to be a drug in the colloquial sense. Induced deaths refer to cases in which the use of a firearm, drug, or alcohol contributed directly to the cause of death, i.e., death due to an overdose of drugs, or a fatal gunshot injury. Related deaths refer to cases in which the use of a drug or alcohol was listed on the death certificate, but the substance was not necessarily involved in the underlying 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. Streptococcal Group B Invasive disease is only reportable in infants under 90 days; therefore, these numbers are divided by the number of live births, to produce a rate per 1,000 live births. The data presented in this report include communicable diseases to residents of Maricopa County. This includes Maricopa County residents who acquired a disease in Maricopa County and residents who acquired a disease elsewhere. Non-Maricopa County residents are not included, even if they acquired a disease in Maricopa County. Other reports or press releases 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 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 from the ADHS final annual data files. There are several exceptions: data on 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 2006-2008. For 2007 and 2008, data for West Nile virus are from ADHS. West Nile virus data from earlier years are from MCDPH. Maricopa County Health Status Report 2004 – 2008 Page 34 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. Communicable disease 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, as mentioned earlier. Data for hepatitis B includes confirmed and probable acute cases among Maricopa County residents in 2006-2008. 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 can be classified by date of onset, date of diagnosis or date of report to the health department. All diseases/conditions listed in this report are classified by the date of report to the health department. The only exceptions are HIV, AIDS, and Hansen’s disease which are classified by the date of diagnosis. The category “Encephalitis Viral” includes St. Louis encephalitis and all other types of viral encephalitis except for West Nile virus. This may differ somewhat from other reports that include only certain types of encephalitides. Comparison of hepatitis B cases in 2007 and 2008 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 previous Health Status Reports, hepatitis C and vancomycin-resistant enterococci (VRE) cases were reported. While hepatitis C is still reportable, limited funding has prevented investigations of most cases of the disease. Due to the poor validity of the data in question, the data is not presented in this report. VRE is not reported in this report because it was removed from the reportable disease lists on April 1, 2008. 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. A sharp increase can be seen due to changes in the reportable diseases list. On April 1, 2008, respiratory syncytial virus (RSV) and norovirus were added to the list. These additions explain the majority of the increase. Natality (Birth) Statistics Natality (birth) statistics are shown in Tables 2.07a through 2.08. All data on natality are from the Arizona Department of Health 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 Maricopa County Health Status Report 2004 – 2008 Page 35 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. 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 (the birth of one baby rather than twins, triplets or other multiple 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 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. Infant Mortality Statistics Infant mortality statistics are shown in Tables 2.09a through 2.15b. 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. 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. 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 2004 – 2008 Page 36 • Fertility Rate – Number of live births during a calendar year per 1,000 women age 15 to 44. • Births to Teenage Mothers − Live births occurring to females under age twenty. • Birth Weight – The weight of a neonate determined immediately after delivery or as soon thereafter as possible. • Low Birthweight – Any neonate weighing less than 2,500 grams at birth (less than 5 pounds, 8 ounces). • Very Low Birthweight – Any neonate weighing less than 1,500 grams at births (less than 3 pounds, 4 ounces). • Preterm – Any neonate whose birth occurs through the end of the last day of the 37 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: https://www.azdes.gov/aspnew/default.asp Maricopa County Health Status Report 2004 – 2008 Page 37