Maricopa County Health Status Report 2005 – 2009 Five Year Trends Reference Tables Prepared by the Maricopa County Department of Public Health Office of Epidemiology June 2011 Maricopa County Acknowledgements This report was prepared by the Maricopa County Department of Public Health (MCDPH), Office of Epidemiology. Amy Prestanski, Epidemiologist Liva Nohre, Epidemiologist Supervisor Mare Schumacher, Program Manager The authors wish to thank the following individuals and organizations for contributing numeric data, consultation, and other information used in this report. Their assistance is much appreciated. Sarah Santana, Tammy Sylvester, Vjollca Berisha– MCDPH Office of Epidemiology Tom Mickey, Jay Jones – MCDPH, Division of Clinical Services Kristina Schaller, Julia Skinner, Christopher Mrela, Laura Erhart - Arizona Department of Health Services For additional copies of this report, please call the Maricopa County Department of Public Health, Office of Epidemiology at 602.372.2604. This report may also be found at http://www.maricopa.gov/publichealth/Services/EPI/Reports/ under “Health Status 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 2005-2009, Five Year Trends: Reference Tables. Phoenix (AZ): 2011. Maricopa County Health Status Report 2005-2009 Five Year Trends: Reference Tables Table of Contents Introduction i I. Maricopa County Population Statistics – 2005-2009 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, 2009 Population Estimates by Sex, Age, and Race/Ethnicity, 2009 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, 2008 Population Estimates by Sex, Age, and Race/Ethnicity, 2008 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, 2007 Population Estimates by Sex, Age, and Race/Ethnicity, 2007 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, 2006 Population Estimates by Sex, Age, and Race/Ethnicity, 2006 Population Estimates for Age by Sex, Race/Ethnicity by Sex, and Age by Race/Ethnicity, 2005 Population Estimates by Sex, Age, and Race/Ethnicity, 2005 Maricopa County, Phoenix, and Arizona Population 1980-2009 2 3 4 5 6 7 8 9 10 11 12 II. Maricopa County Five-Year Health Trends 13 Table 2.01a Table 2.01b Table 2.02a Table 2.02b Selected Underlying Causes of Death 2005-2009, Number of Deaths Selected Underlying Causes of Death 2005-2009, Crude Death Rate per 100,000 Residents Other Selected Underlying Causes of Death 2005-2009, Number of Deaths Other Selected Underlying Causes of Death 2005-2009, Crude Death Rate per 100,000 Residents Firearm, Drug, and Alcohol Induced and Related Deaths 2005-2009, Number of Deaths Firearm, Drug, and Alcohol Induced and Related Deaths 2005-2009, Crude Death Rate per 100,000 Residents Number of Confirmed Cases to Residents of Selected Reportable Diseases, 2005-2009 Case Rates per 100,000 Residents for Selected Reportable Diseases, 2005-2009 Congenital Syphilis by Race/Ethnicity and Year, Number of Cases, 2005-2009 Congenital Syphilis by Race/Ethnicity and Year, Case Rates per 100,000 Live Births, 20052009 Hansen’s Disease Prevalence Selected Maternal & Child Health Indicators, 2005-2009 Selected Maternal & Child Health Indicator Percentages, 2005-2009 Births by Maternal Indicators for Infant Mortality Rate Infant Mortality by Race/Ethnicity of Mother, 2005-2009 (Linked) Infant Mortality Rates by Race/Ethnicity of Mother, 2005-2009 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Age of Mother, 2005-2009 (Linked) Infant Mortality Rates by Age of Mother, 2005-2009 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Educational Level of Mother, 2005-2009 (Linked) Infant Mortality Rates by Educational Level of Mother, 2005-2009 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Birthweight, 2005-2009 (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 18 18 19 20 21 21 21 22 23 24 24 24 25 25 25 25 26 Maricopa County Health Status Report 2005-2009 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, 2005-2009 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality and Rates by Age of Infant, 2005-2009 (Linked & Unlinked) Infant Mortality by Age of Infant and Race/Ethnicity of Mother, 2005-2009 (Linked) Infant Mortality Rates by Age of Infant and Race/Ethnicity of Mother, 2005-2009 (Linked), Infant Mortality per 1,000 Live Births Infant Mortality by Race/Ethnicity of Infant, 2005-2009 (Unlinked) Infant Mortality by Race/Ethnicity of Infant, 2005-2009 (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 2005 to 2009 for residents of Maricopa County, Arizona. It includes data for mortality (death), communicable diseases, and natality (birth), as well as information on the size and demographic distribution of the population. For each disease or health indicator, the following information is provided: Number of cases in the county Mortality Disease Example: 5,420 residents of Maricopa County died due to cancer in 2009.* Communicable Disease Example: 65 residents of Maricopa County were diagnosed with a confirmed case of Pertussis in 2009. Natality (Birth) Example: There were 690 infants born with a very low birthweight (less than 1500 grams) in 2009. Rate or percentage of cases in the county Mortality Disease Example: For every 100,000 residents of Maricopa County, 134.7 died due to cancer in 2009.* Communicable Disease Example: For every 100,000 residents of Maricopa County, 1.6 were diagnosed with Pertussis in 2009. Natality (Birth) Example: Among all live births in 2009, 1.2% were born with a very low birthweight. All data in this report are for calendar years 2005 through 2009. Information on data sources and methodology are in Section III – Technical Notes. *Except where noted, the cause of death is the underlying cause of death, which is the condition that began the sequence of death. See Technical Notes for more information on the underlying cause of death. Maricopa County Health Status Report 2005-2009 Page i I. Maricopa County Population Statistics 2005-2009 Tables Maricopa County Health Status Report 2005-2009 Page 1 Maricopa County Population Statistics Table 1.01 Population By Race/Ethnicity, Age, and Sex, 2009 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 % 169,660 160,941 144,530 139,063 138,586 336,983 297,414 259,853 184,815 108,131 66,767 23,807 8.4% 7.9% 7.1% 6.8% 6.8% 16.6% 14.6% 12.8% 9.1% 5.3% 3.3% 1.2% 2,030,550 Females No. % 163,233 154,155 137,454 128,281 125,074 300,143 274,211 258,413 201,035 123,172 85,406 42,005 Total No. 8.2% 7.7% 6.9% 6.4% 6.3% 15.1% 13.8% 13.0% 10.1% 6.2% 4.3% 2.1% 1,992,582 332,893 315,096 281,984 267,344 263,660 637,126 571,625 518,266 385,850 231,303 152,173 65,812 Race/Ethnicity % Males No. 8.3% 7.8% 7.0% 6.6% 6.6% 15.8% 14.2% 12.9% 9.6% 5.7% 3.8% 1.6% White Hispanic African American Amer. Ind., Non-Hisp Asian Other/2+ Races 1,140,454 678,597 91,091 31,615 59,992 28,801 Total 2,030,550 % 56.2% 33.4% 4.5% 1.6% 3.0% 1.4% Females No. % 1,173,035 602,049 88,243 34,066 65,885 29,304 58.9% 30.2% 4.4% 1.7% 3.3% 1.5% 1,992,582 4,023,132 Age by Race/Ethnicity Age White No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 128,790 130,595 128,159 127,100 128,693 315,760 320,654 355,177 297,526 189,453 132,263 59,319 2,313,489 Hispanic % 5.6% 5.6% 5.5% 5.5% 5.6% 13.6% 13.9% 15.4% 12.9% 8.2% 5.7% 2.6% No. 161,497 143,908 118,634 107,821 103,771 246,235 185,588 113,025 57,753 26,148 12,136 4,130 1,280,646 African American % No. 12.6% 11.2% 9.3% 8.4% 8.1% 19.2% 14.5% 8.8% 4.5% 2.0% 0.9% 0.3% 16,381 16,640 14,967 14,820 14,227 29,509 26,049 22,451 13,338 6,575 3,407 970 179,334 % 9.1% 9.3% 8.3% 8.3% 7.9% 16.5% 14.5% 12.5% 7.4% 3.7% 1.9% 0.5% American Indian No. 6,536 5,892 4,975 5,412 5,768 13,710 9,723 6,949 3,831 1,828 816 241 65,681 % 10.0% 9.0% 7.6% 8.2% 8.8% 20.9% 14.8% 10.6% 5.8% 2.8% 1.2% 0.4% Asian No. Other/2+ Races % 10,146 9,617 8,121 6,662 6,760 23,398 24,257 16,466 10,796 5,895 2,848 911 8.1% 7.6% 6.5% 5.3% 5.4% 18.6% 19.3% 13.1% 8.6% 4.7% 2.3% 0.7% 125,877 No. 9,543 8,444 7,128 5,529 4,441 8,514 5,354 4,198 2,606 1,404 703 241 58,105 % 16.4% 14.5% 12.3% 9.5% 7.6% 14.7% 9.2% 7.2% 4.5% 2.4% 1.2% 0.4% Total No. 332,893 315,096 281,984 267,344 263,660 637,126 571,625 518,266 385,850 231,303 152,173 65,812 4,023,132 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2009. Maricopa County Health Status Report 2005-2009 Page 2 Maricopa County Population Statistics Table 1.02 Population Estimates by Sex, Age, and Race/Ethnicity, 2009 Females Age 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total White Hispanic African American American Indian Asian Other/2+ Races Total No. % No. % No. % No. % No. % No. % No. 62,912 63,821 62,286 61,238 62,697 80,900 74,551 77,725 79,903 91,185 88,346 81,581 73,818 56,779 43,691 111,602 5.4% 5.4% 5.3% 5.2% 5.3% 6.9% 6.4% 6.6% 6.8% 7.8% 7.5% 7.0% 6.3% 4.8% 3.7% 9.5% 79,254 70,182 57,858 51,387 47,247 54,117 52,784 46,275 37,180 30,533 22,677 16,809 12,143 8,123 5,782 9,698 13.2% 11.7% 9.6% 8.5% 7.8% 9.0% 8.8% 7.7% 6.2% 5.1% 3.8% 2.8% 2.0% 1.3% 1.0% 1.6% 8,101 8,282 7,417 7,059 6,602 7,340 6,678 6,738 6,066 5,940 4,972 4,055 2,821 2,050 1,469 2,653 9.2% 9.4% 8.4% 8.0% 7.5% 8.3% 7.6% 7.6% 6.9% 6.7% 5.6% 4.6% 3.2% 2.3% 1.7% 3.0% 3,295 2,938 2,423 2,688 2,875 3,687 3,432 2,745 2,294 2,139 1,661 1,279 886 603 475 646 9.7% 8.6% 7.1% 7.9% 8.4% 10.8% 10.1% 8.1% 6.7% 6.3% 4.9% 3.8% 2.6% 1.8% 1.4% 1.9% 5,006 4,830 4,053 3,177 3,421 5,627 6,592 6,982 5,544 4,706 4,076 3,429 2,775 2,007 1,412 2,248 7.6% 7.3% 6.2% 4.8% 5.2% 8.5% 10.0% 10.6% 8.4% 7.1% 6.2% 5.2% 4.2% 3.0% 2.1% 3.4% 4,665 4,102 3,417 2,732 2,232 2,507 1,928 1,479 1,280 1,174 1,004 810 629 460 321 564 15.9% 14.0% 11.7% 9.3% 7.6% 8.6% 6.6% 5.0% 4.4% 4.0% 3.4% 2.8% 2.1% 1.6% 1.1% 1.9% 163,233 154,155 137,454 128,281 125,074 154,178 145,965 141,944 132,267 135,677 122,736 107,963 93,072 70,022 53,150 127,411 1,173,035 602,049 88,243 34,066 65,885 29,304 1,992,582 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 65,878 66,774 65,873 65,862 65,996 83,073 77,236 80,928 82,098 90,420 85,226 74,721 67,406 50,709 38,274 79,980 1,140,454 5.8% 5.9% 5.8% 5.8% 5.8% 7.3% 6.8% 7.1% 7.2% 7.9% 7.5% 6.6% 5.9% 4.4% 3.4% 7.0% 82,243 73,726 60,776 56,434 56,524 69,810 69,524 56,692 45,441 35,116 24,699 17,076 11,725 7,438 4,805 6,568 678,597 12.1% 10.9% 9.0% 8.3% 8.3% 10.3% 10.2% 8.4% 6.7% 5.2% 3.6% 2.5% 1.7% 1.1% 0.7% 1.0% 8,280 8,358 7,550 7,761 7,625 8,512 6,979 6,987 6,258 6,398 5,141 3,749 2,713 1,750 1,306 1,724 91,091 9.1% 9.2% 8.3% 8.5% 8.4% 9.3% 7.7% 7.7% 6.9% 7.0% 5.6% 4.1% 3.0% 1.9% 1.4% 1.9% 3,241 2,954 2,552 2,724 2,893 3,437 3,154 2,542 2,142 1,776 1,373 956 710 440 310 411 10.3% 9.3% 8.1% 8.6% 9.2% 10.9% 10.0% 8.0% 6.8% 5.6% 4.3% 3.0% 2.2% 1.4% 1.0% 1.3% 31,615 5,140 4,787 4,068 3,485 3,339 5,139 6,040 6,555 5,176 4,309 3,375 2,622 1,970 1,435 1,041 1,511 59,992 8.6% 8.0% 6.8% 5.8% 5.6% 8.6% 10.1% 10.9% 8.6% 7.2% 5.6% 4.4% 3.3% 2.4% 1.7% 2.5% 4,878 4,342 3,711 2,797 2,209 2,289 1,790 1,481 1,114 1,123 897 680 487 354 269 380 28,801 16.9% 15.1% 12.9% 9.7% 7.7% 7.9% 6.2% 5.1% 3.9% 3.9% 3.1% 2.4% 1.7% 1.2% 0.9% 1.3% 169,660 160,941 144,530 139,063 138,586 172,260 164,723 155,185 142,229 139,142 120,711 99,804 85,011 62,126 46,005 90,574 2,030,550 Source: United States Census, Population Estimates Division. Data on this page were used for calculating all rates (denominators) in this report for 2009. Maricopa County Health Status Report 2005-2009 Page 3 Maricopa County Population Statistics Table 1.03 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 % 169,498 156,876 143,057 137,901 138,100 333,330 294,707 252,645 178,456 103,232 66,622 22,526 8.5% 7.9% 7.2% 6.9% 6.9% 16.7% 14.8% 12.7% 8.9% 5.2% 3.3% 1.1% 1,996,950 Females No. % 162,822 150,760 135,794 126,616 124,416 297,654 272,576 252,947 193,866 118,336 85,462 40,064 Total No. 8.3% 7.7% 6.9% 6.5% 6.3% 15.2% 13.9% 12.9% 9.9% 6.0% 4.4% 2.0% 1,961,313 332,320 307,636 278,851 264,517 262,516 630,984 567,283 505,592 372,322 221,568 152,084 62,590 Race/Ethnicity % Males No. 8.4% 7.8% 7.0% 6.7% 6.6% 15.9% 14.3% 12.8% 9.4% 5.6% 3.8% 1.6% White Hispanic African American American Indian Asian Other/2+ Races 1,135,267 657,104 87,356 31,570 57,803 27,850 Total 1,996,950 Females % 56.9% 32.9% 4.4% 1.6% 2.9% 1.4% No. 1,167,965 583,151 84,424 34,020 63,486 28,267 1,961,313 3,958,263 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 130,347 130,164 129,149 128,887 129,455 314,021 326,940 352,174 289,809 182,314 133,282 56,690 2,303,232 Hispanic % 5.7% 5.7% 5.6% 5.6% 5.6% 13.6% 14.2% 15.3% 12.6% 7.9% 5.8% 2.5% No. 159,456 138,901 115,292 104,267 102,505 243,391 177,088 105,742 53,828 24,496 11,527 3,762 1,240,255 African American % No. 12.9% 11.2% 9.3% 8.4% 8.3% 19.6% 14.3% 8.5% 4.3% 2.0% 0.9% 0.3% 16,125 15,597 14,592 14,179 13,672 27,903 25,440 21,426 12,490 6,237 3,228 891 171,780 % 9.4% 9.1% 8.5% 8.3% 8.0% 16.2% 14.8% 12.5% 7.3% 3.6% 1.9% 0.5% American Indian No. 6,959 5,764 5,062 5,576 5,854 13,763 9,588 6,667 3,635 1,734 769 219 65,590 Asian % No. 10.6% 8.8% 7.7% 8.5% 8.9% 21.0% 14.6% 10.2% 5.5% 2.6% 1.2% 0.3% 10,017 9,026 7,821 6,389 6,689 23,750 23,040 15,550 10,128 5,457 2,614 808 121,289 Other/2+ Races % 8.3% 7.4% 6.4% 5.3% 5.5% 19.6% 19.0% 12.8% 8.4% 4.5% 2.2% 0.7% No. 9,416 8,184 6,935 5,219 4,341 8,156 5,187 4,033 2,432 1,330 664 220 % 16.8% 14.6% 12.4% 9.3% 7.7% 14.5% 9.2% 7.2% 4.3% 2.4% 1.2% 0.4% 56,117 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 2005-2009 Page 4 Total No. 332,320 307,636 278,851 264,517 262,516 630,984 567,283 505,592 372,322 221,568 152,084 62,590 3,958,263 % 59.6% 29.7% 4.3% 1.7% 3.2% 1.4% Maricopa County Population Statistics Table 1.04 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 63,717 63,541 62,776 62,002 63,156 82,403 72,395 79,224 81,389 91,194 87,213 80,809 70,400 54,088 42,895 110,763 Hispanic % 5.5% 5.4% 5.4% 5.3% 5.4% 7.1% 6.2% 6.8% 7.0% 7.8% 7.5% 6.9% 6.0% 4.6% 3.7% 9.5% 1,167,965 African American No. % 78,082 68,072 56,082 49,503 46,393 54,249 51,595 44,037 35,951 28,632 21,291 15,872 11,190 7,583 5,520 9,099 13.4% 11.7% 9.6% 8.5% 8.0% 9.3% 8.8% 7.6% 6.2% 4.9% 3.7% 2.7% 1.9% 1.3% 0.9% 1.6% 583,151 No. 7,950 7,794 7,230 6,712 6,354 6,989 6,301 6,535 5,877 5,749 4,694 3,806 2,602 1,937 1,406 2,488 % 9.4% 9.2% 8.6% 8.0% 7.5% 8.3% 7.5% 7.7% 7.0% 6.8% 5.6% 4.5% 3.1% 2.3% 1.7% 2.9% 84,424 American Indian No. 3,509 2,870 2,465 2,756 2,937 3,867 3,296 2,690 2,293 2,060 1,624 1,205 810 580 456 602 % 10.3% 8.4% 7.2% 8.1% 8.6% 11.4% 9.7% 7.9% 6.7% 6.1% 4.8% 3.5% 2.4% 1.7% 1.3% 1.8% 34,020 Asian No. 4,974 4,552 3,855 3,067 3,400 5,661 6,663 6,683 5,243 4,469 3,891 3,301 2,541 1,833 1,306 2,047 Other/2+ Races % 7.8% 7.2% 6.1% 4.8% 5.4% 8.9% 10.5% 10.5% 8.3% 7.0% 6.1% 5.2% 4.0% 2.9% 2.1% 3.2% 63,486 No. 4,590 3,931 3,386 2,576 2,176 2,429 1,806 1,424 1,230 1,139 991 755 575 434 298 527 Total % No. 16.2% 13.9% 12.0% 9.1% 7.7% 8.6% 6.4% 5.0% 4.4% 4.0% 3.5% 2.7% 2.0% 1.5% 1.1% 1.9% 162,822 150,760 135,794 126,616 124,416 155,598 142,056 140,593 131,983 133,243 119,704 105,748 88,118 66,455 51,881 125,526 28,267 1,961,313 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 66,630 66,623 66,373 66,885 66,299 84,011 75,212 83,199 83,128 90,272 83,495 73,731 64,869 48,072 37,259 79,209 1,135,267 5.9% 5.9% 5.8% 5.9% 5.8% 7.4% 6.6% 7.3% 7.3% 8.0% 7.4% 6.5% 5.7% 4.2% 3.3% 7.0% 81,374 70,829 59,210 54,764 56,112 70,533 67,014 53,871 43,229 32,740 23,079 16,042 10,724 6,875 4,518 6,190 657,104 12.4% 10.8% 9.0% 8.3% 8.5% 10.7% 10.2% 8.2% 6.6% 5.0% 3.5% 2.4% 1.6% 1.0% 0.7% 0.9% 8,175 7,803 7,362 7,467 7,318 7,958 6,655 6,880 6,148 6,256 4,727 3,604 2,478 1,662 1,232 1,631 87,356 9.4% 8.9% 8.4% 8.5% 8.4% 9.1% 7.6% 7.9% 7.0% 7.2% 5.4% 4.1% 2.8% 1.9% 1.4% 1.9% 3,450 2,894 2,597 2,820 2,917 3,561 3,039 2,507 2,098 1,722 1,261 933 687 409 289 386 10.9% 9.2% 8.2% 8.9% 9.2% 11.3% 9.6% 7.9% 6.6% 5.5% 4.0% 3.0% 2.2% 1.3% 0.9% 1.2% 31,570 5,043 4,474 3,966 3,322 3,289 5,204 6,222 6,225 4,889 4,025 3,165 2,466 1,820 1,329 989 2,047 58,475 8.6% 7.7% 6.8% 5.7% 5.6% 8.9% 10.6% 10.6% 8.4% 6.9% 5.4% 4.2% 3.1% 2.3% 1.7% 3.5% 4,826 4,253 3,549 2,643 2,165 2,244 1,677 1,419 1,114 1,107 796 637 465 351 247 357 27,850 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 2005-2009 Page 5 17.3% 15.3% 12.7% 9.5% 7.8% 8.1% 6.0% 5.1% 4.0% 4.0% 2.9% 2.3% 1.7% 1.3% 0.9% 1.3% 169,498 156,876 143,057 137,901 138,100 173,511 159,819 154,101 140,606 136,122 116,523 97,413 81,043 58,698 44,534 89,820 1,997,622 Maricopa County Population Statistics Table 1.05 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 % 167,397 151,748 141,182 134,776 136,967 327,306 291,114 244,229 172,422 98,375 65,753 21,187 8.6% 7.8% 7.2% 6.9% 7.0% 16.8% 14.9% 12.5% 8.8% 5.0% 3.4% 1.1% 1,952,456 Females No. % 161,200 145,033 134,423 123,708 122,782 293,323 270,140 246,302 187,489 112,759 85,214 38,133 Total No. 8.4% 7.6% 7.0% 6.4% 6.4% 15.3% 14.1% 12.8% 9.8% 5.9% 4.4% 2.0% 1,920,506 328,597 296,781 275,605 258,484 259,749 620,629 561,254 490,531 359,911 211,134 150,967 59,320 Race/Ethnicity % Males No. 8.5% 7.7% 7.1% 6.7% 6.7% 16.0% 14.5% 12.7% 9.3% 5.5% 3.9% 1.5% White Hispanic African American Amer. Ind., Non-Hisp Asian Other/2+ Races 1,127,024 629,561 83,115 31,043 54,982 26,731 Total 1,952,456 % 57.7% 32.2% 4.3% 1.6% 2.8% 1.4% Females No. % 1,160,065 559,397 80,169 33,427 60,474 26,974 60.4% 29.1% 4.2% 1.7% 3.1% 1.4% 1,920,506 3,872,962 Age by Race/Ethnicity Age White No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 132,071 128,899 130,374 129,360 128,751 313,029 332,915 346,544 283,161 174,726 133,298 53,961 2,287,089 Hispanic % 5.8% 5.6% 5.7% 5.7% 5.6% 13.7% 14.6% 15.2% 12.4% 7.6% 5.8% 2.4% No. 155,178 131,518 112,037 99,032 101,303 236,407 167,777 98,673 50,102 22,672 10,842 3,417 1,188,958 African American % No. 13.1% 11.1% 9.4% 8.3% 8.5% 19.9% 14.1% 8.3% 4.2% 1.9% 0.9% 0.3% 15,541 14,548 14,092 13,402 13,123 26,347 24,558 20,289 11,596 5,907 3,056 825 163,284 % 9.5% 8.9% 8.6% 8.2% 8.0% 16.1% 15.0% 12.4% 7.1% 3.6% 1.9% 0.5% American Indian No. 7,007 5,580 5,157 5,604 5,799 13,641 9,289 6,469 3,432 1,582 715 195 64,470 % 10.9% 8.7% 8.0% 8.7% 9.0% 21.2% 14.4% 10.0% 5.3% 2.5% 1.1% 0.3% Asian No. Other/2+ Races % 9,618 8,394 7,379 6,067 6,605 23,522 21,668 14,709 9,329 5,029 2,408 728 8.3% 7.3% 6.4% 5.3% 5.7% 20.4% 18.8% 12.7% 8.1% 4.4% 2.1% 0.6% 115,456 No. 9,182 7,842 6,566 5,019 4,168 7,683 5,047 3,847 2,291 1,218 648 194 53,705 % 17.1% 14.6% 12.2% 9.3% 7.8% 14.3% 9.4% 7.2% 4.3% 2.3% 1.2% 0.4% Total No. 328,597 296,781 275,605 258,484 259,749 620,629 561,254 490,531 359,911 211,134 150,967 59,320 3,872,962 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 2005-2009 Page 6 Maricopa County Population Statistics Table 1.06 Population By Race/Ethnicity, Age, and Gender, 2007 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. 64,469 62,828 63,419 62,305 62,835 82,459 71,846 79,966 83,806 90,960 84,867 80,743 67,034 50,550 42,374 109,604 5.6% 5.4% 5.5% 5.4% 5.4% 7.1% 6.2% 6.9% 7.2% 7.8% 7.3% 7.0% 5.8% 4.4% 3.7% 9.4% 76,269 64,212 54,639 46,968 45,482 53,467 49,678 41,894 33,934 27,015 19,973 14,843 10,351 6,879 5,319 8,474 1,160,065 African American % 13.6% 11.5% 9.8% 8.4% 8.1% 9.6% 8.9% 7.5% 6.1% 4.8% 3.6% 2.7% 1.9% 1.2% 1.0% 1.5% 559,397 No. 7,714 7,224 6,972 6,316 6,078 6,593 6,004 6,156 5,783 5,498 4,402 3,529 2,393 1,785 1,371 2,351 % 9.6% 9.0% 8.7% 7.9% 7.6% 8.2% 7.5% 7.7% 7.2% 6.9% 5.5% 4.4% 3.0% 2.2% 1.7% 2.9% 80,169 American Indian No. 3,541 2,753 2,504 2,775 2,923 3,969 3,139 2,595 2,251 2,026 1,570 1,128 766 528 405 554 % 10.6% 8.2% 7.5% 8.3% 8.7% 11.9% 9.4% 7.8% 6.7% 6.1% 4.7% 3.4% 2.3% 1.6% 1.2% 1.7% 33,427 Asian No. 4,744 4,258 3,675 2,883 3,351 5,595 6,619 6,262 4,934 4,293 3,670 3,114 2,331 1,702 1,173 1,870 Other/2+ Races % 7.8% 7.0% 6.1% 4.8% 5.5% 9.3% 10.9% 10.4% 8.2% 7.1% 6.1% 5.1% 3.9% 2.8% 1.9% 3.1% 60,474 No. 4,463 3,758 3,214 2,461 2,113 2,241 1,713 1,345 1,214 1,101 927 707 550 404 269 494 Total % No. 16.5% 13.9% 11.9% 9.1% 7.8% 8.3% 6.4% 5.0% 4.5% 4.1% 3.4% 2.6% 2.0% 1.5% 1.0% 1.8% 161,200 145,033 134,423 123,708 122,782 154,324 138,999 138,218 131,922 130,893 115,409 104,064 83,425 61,848 50,911 123,347 26,974 1,920,506 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 67,602 66,071 66,955 67,055 65,916 83,891 74,833 84,228 84,915 89,959 80,758 73,762 61,622 45,184 36,618 77,655 1,127,024 6.0% 5.9% 5.9% 5.9% 5.8% 7.4% 6.6% 7.5% 7.5% 8.0% 7.2% 6.5% 5.5% 4.0% 3.2% 6.9% 78,909 67,306 57,398 52,064 55,821 70,067 63,195 51,180 40,769 30,444 21,241 15,029 9,879 6,295 4,179 5,785 629,561 12.5% 10.7% 9.1% 8.3% 8.9% 11.1% 10.0% 8.1% 6.5% 4.8% 3.4% 2.4% 1.6% 1.0% 0.7% 0.9% 7,827 7,324 7,120 7,086 7,045 7,298 6,452 6,488 6,131 5,948 4,441 3,408 2,266 1,571 1,180 1,530 83,115 9.4% 8.8% 8.6% 8.5% 8.5% 8.8% 7.8% 7.8% 7.4% 7.2% 5.3% 4.1% 2.7% 1.9% 1.4% 1.8% 3,466 2,827 2,653 2,829 2,876 3,609 2,924 2,401 2,042 1,713 1,160 920 618 388 261 356 11.2% 9.1% 8.5% 9.1% 9.3% 11.6% 9.4% 7.7% 6.6% 5.5% 3.7% 3.0% 2.0% 1.2% 0.8% 1.1% 31,043 4,874 4,136 3,704 3,184 3,254 5,154 6,154 5,890 4,582 3,827 2,919 2,231 1,653 1,254 900 1,870 55,586 8.8% 7.4% 6.7% 5.7% 5.9% 9.3% 11.1% 10.6% 8.2% 6.9% 5.3% 4.0% 3.0% 2.3% 1.6% 3.4% 4,719 4,084 3,352 2,558 2,055 2,173 1,556 1,359 1,129 1,068 751 592 442 311 234 348 26,731 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 2005-2009 Page 7 17.7% 15.3% 12.5% 9.6% 7.7% 8.1% 5.8% 5.1% 4.2% 4.0% 2.8% 2.2% 1.7% 1.2% 0.9% 1.3% 167,397 151,748 141,182 134,776 136,967 172,192 155,114 151,546 139,568 132,959 111,270 95,942 76,480 55,003 43,372 87,544 1,953,060 Maricopa County Population Statistics Table 1.07 Population By Race/Ethnicity, Age, and Sex, 2006 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. 162,904 146,940 138,536 130,877 135,526 320,043 286,597 234,435 165,686 95,862 64,753 19,768 % 8.6% 7.7% 7.3% 6.9% 7.1% 16.8% 15.1% 12.3% 8.7% 5.0% 3.4% 1.0% 1,901,927 Females No. % Total No. 156,928 139,870 131,818 119,881 122,158 287,393 266,920 238,278 180,144 109,420 85,205 36,176 319,832 286,810 270,354 250,758 257,684 607,436 553,517 472,713 345,830 205,282 149,958 55,944 8.4% 7.5% 7.0% 6.4% 6.5% 15.3% 14.2% 12.7% 9.6% 5.8% 4.5% 1.9% 1,874,191 Race/Ethnicity % 8.5% 7.6% 7.2% 6.6% 6.8% 16.1% 14.7% 12.5% 9.2% 5.4% 4.0% 1.5% Males No. White Hispanic African American American Indian Asian Other/2+ Races 1,118,970 596,905 78,932 29,900 51,757 25,463 Total 1,901,927 Females No. % % 58.8% 31.4% 4.2% 1.6% 2.7% 1.3% 1,152,516 530,751 75,861 32,364 56,967 25,732 1,874,191 3,776,118 Age by Race/Ethnicity Age White No. 0-4 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Total 132,277 128,386 131,684 128,782 129,023 312,935 338,360 339,633 274,752 171,197 133,447 51,010 2,271,486 Hispanic % 5.8% 5.7% 5.8% 5.7% 5.7% 13.8% 14.9% 15.0% 12.1% 7.5% 5.9% 2.2% No. 148,249 123,979 106,844 93,522 99,964 226,159 157,461 90,710 46,292 21,177 10,182 3,117 1,127,656 African American % 13.1% 11.0% 9.5% 8.3% 8.9% 20.1% 14.0% 8.0% 4.1% 1.9% 0.9% 0.3% No. 14,649 13,753 13,631 12,628 12,368 25,058 23,629 19,024 10,771 5,591 2,869 822 154,793 American Indian % No. 9.5% 8.9% 8.8% 8.2% 8.0% 16.2% 15.3% 12.3% 7.0% 3.6% 1.9% 0.5% 6,823 5,306 5,193 5,402 5,725 13,104 9,100 6,044 3,214 1,524 653 176 62,264 % 11.0% 8.5% 8.3% 8.7% 9.2% 21.0% 14.6% 9.7% 5.2% 2.4% 1.0% 0.3% Asian Other/2+ Races No. % 8,963 7,796 6,798 5,767 6,531 22,923 20,138 13,675 8,635 4,650 2,205 643 8.2% 7.2% 6.3% 5.3% 6.0% 21.1% 18.5% 12.6% 7.9% 4.3% 2.0% 0.6% 108,724 No. 8,871 7,590 6,204 4,657 4,073 7,257 4,829 3,627 2,166 1,143 602 176 51,195 Total % No. 17.3% 14.8% 12.1% 9.1% 8.0% 14.2% 9.4% 7.1% 4.2% 2.2% 1.2% 0.3% 319,832 286,810 270,354 250,758 257,684 607,436 553,517 472,713 345,830 205,282 149,958 55,944 3,776,118 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 2005-2009 Page 8 61.5% 28.3% 4.0% 1.7% 3.0% 1.4% Maricopa County Population Statistics Table 1.08 Population By Race/Ethnicity, Age, and Gender, 2006 Females Age White No. 0-4 5-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75+ Total 64,696 62,441 64,014 61,861 63,357 81,951 72,081 79,933 86,615 90,053 82,751 80,707 62,673 48,411 42,446 108,526 Hispanic % 5.6% 5.4% 5.6% 5.4% 5.5% 7.1% 6.3% 6.9% 7.5% 7.8% 7.2% 7.0% 5.4% 4.2% 3.7% 9.4% 1,152,516 No. 72,836 60,410 52,095 44,385 44,677 51,547 47,466 39,195 32,158 24,987 18,393 13,814 9,456 6,433 4,979 7,920 African American % 13.7% 11.4% 9.8% 8.4% 8.4% 9.7% 8.9% 7.4% 6.1% 4.7% 3.5% 2.6% 1.8% 1.2% 0.9% 1.5% 530,751 No. 7,255 6,811 6,738 5,916 5,775 6,158 5,833 5,682 5,697 5,174 4,125 3,234 2,252 1,678 1,278 2,255 % 9.6% 9.0% 8.9% 7.8% 7.6% 8.1% 7.7% 7.5% 7.5% 6.8% 5.4% 4.3% 3.0% 2.2% 1.7% 3.0% 75,861 American Indian No. 3,450 2,607 2,570 2,655 2,937 3,817 2,982 2,487 2,281 1,912 1,472 1,088 689 536 378 503 % 10.7% 8.1% 7.9% 8.2% 9.1% 11.8% 9.2% 7.7% 7.0% 5.9% 4.5% 3.4% 2.1% 1.7% 1.2% 1.6% 32,364 Asian No. 4,418 3,970 3,363 2,773 3,307 5,468 6,354 5,741 4,670 4,013 3,484 2,927 2,108 1,570 1,090 1,711 Other/2+ Races % 7.8% 7.0% 5.9% 4.9% 5.8% 9.6% 11.2% 10.1% 8.2% 7.0% 6.1% 5.1% 3.7% 2.8% 1.9% 3.0% 56,967 No. 4,273 3,631 3,038 2,291 2,105 2,112 1,624 1,262 1,199 1,051 863 671 525 357 264 466 Total % No. 16.6% 14.1% 11.8% 8.9% 8.2% 8.2% 6.3% 4.9% 4.7% 4.1% 3.4% 2.6% 2.0% 1.4% 1.0% 1.8% 156,928 139,870 131,818 119,881 122,158 151,053 136,340 134,300 132,620 127,190 111,088 102,441 77,703 58,985 50,435 121,381 25,732 1,874,191 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 67,581 65,945 67,670 66,921 65,666 83,043 75,860 84,200 87,612 88,584 78,245 73,949 57,423 43,341 36,999 75,931 1,118,970 6.0% 5.9% 6.0% 6.0% 5.9% 7.4% 6.8% 7.5% 7.8% 7.9% 7.0% 6.6% 5.1% 3.9% 3.3% 6.8% 75,413 63,569 54,749 49,137 55,287 67,776 59,370 47,885 38,223 28,022 19,308 14,016 9,006 5,870 3,895 5,379 596,905 12.6% 10.6% 9.2% 8.2% 9.3% 11.4% 9.9% 8.0% 6.4% 4.7% 3.2% 2.3% 1.5% 1.0% 0.7% 0.9% 7,394 6,942 6,893 6,712 6,593 6,761 6,306 6,215 6,035 5,590 4,135 3,242 2,043 1,526 1,109 1,436 78,932 9.4% 8.8% 8.7% 8.5% 8.4% 8.6% 8.0% 7.9% 7.6% 7.1% 5.2% 4.1% 2.6% 1.9% 1.4% 1.8% 3,373 2,699 2,623 2,747 2,788 3,571 2,734 2,324 2,008 1,585 1,075 911 526 374 236 326 11.3% 9.0% 8.8% 9.2% 9.3% 11.9% 9.1% 7.8% 6.7% 5.3% 3.6% 3.0% 1.8% 1.3% 0.8% 1.1% 29,900 4,545 3,826 3,435 2,994 3,224 5,070 6,031 5,349 4,378 3,497 2,681 2,108 1,492 1,183 807 1,711 52,331 8.7% 7.3% 6.6% 5.7% 6.2% 9.7% 11.5% 10.2% 8.4% 6.7% 5.1% 4.0% 2.9% 2.3% 1.5% 3.3% 4,598 3,959 3,166 2,366 1,968 2,040 1,481 1,255 1,113 978 735 571 399 294 228 312 25,463 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 2005-2009 Page 9 18.1% 15.5% 12.4% 9.3% 7.7% 8.0% 5.8% 4.9% 4.4% 3.8% 2.9% 2.2% 1.6% 1.2% 0.9% 1.2% 162,904 146,940 138,536 130,877 135,526 168,261 151,782 147,228 139,369 128,256 106,179 94,797 70,889 52,588 43,274 85,095 1,902,501 Maricopa County Population Statistics Table 1.09 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. 157,104 139,918 134,999 125,874 135,311 307,046 276,717 224,700 156,917 93,900 63,763 18,280 1,834,529 % 8.6% 7.6% 7.4% 6.9% 7.4% 16.7% 15.1% 12.2% 8.6% 5.1% 3.5% 1.0% Females No. % 151,494 133,144 128,350 115,142 121,725 276,379 259,815 229,387 170,652 107,375 84,981 34,158 1,812,602 8.4% 7.3% 7.1% 6.4% 6.7% 15.2% 14.3% 12.7% 9.4% 5.9% 4.7% 1.9% Total No. 308,598 273,062 263,349 241,016 257,036 583,425 536,532 454,087 327,569 201,275 148,744 52,438 3,647,131 Race/Ethnicity % 8.5% 7.5% 7.2% 6.6% 7.0% 16.0% 14.7% 12.5% 9.0% 5.5% 4.1% 1.4% Males No. % 60.1% 30.5% 4.0% 1.6% 2.6% 1.3% Females No. % White Hispanic African American American Indian Asian Other/2+ Races 1,101,988 559,461 73,491 28,563 47,152 23,874 1,137,211 497,739 70,612 30,908 52,043 24,089 Total 1,834,529 1,812,602 Other/2+ Races Total Age by Race/Ethnicity Age White Hispanic African American % No. American Indian Asian No. % No. % No. % No. % 0-4 131,254 5.9% 140,642 13.3% 13,514 9.4% 6,679 11.2% 8,027 8.1% No. 8,482 17.7% % 308,598 5-9 10-14 15-19 20-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 126,638 132,280 126,842 131,070 308,209 337,311 331,644 262,793 169,615 133,541 48,002 5.7% 5.9% 5.7% 5.9% 13.8% 15.1% 14.8% 11.7% 7.6% 6.0% 2.1% 114,857 100,834 87,661 98,229 211,974 145,493 83,240 42,282 19,753 9,436 2,799 10.9% 9.5% 8.3% 9.3% 20.1% 13.8% 7.9% 4.0% 1.9% 0.9% 0.3% 12,555 13,091 11,765 11,670 23,109 22,362 17,659 9,716 5,218 2,680 764 8.7% 9.1% 8.2% 8.1% 16.0% 15.5% 12.3% 6.7% 3.6% 1.9% 0.5% 4,916 5,204 5,051 5,831 12,322 8,666 5,690 2,979 1,375 604 154 8.3% 8.8% 8.5% 9.8% 20.7% 14.6% 9.6% 5.0% 2.3% 1.0% 0.3% 6,972 6,215 5,350 6,265 21,214 18,131 12,512 7,767 4,255 1,935 552 7.0% 6.3% 5.4% 6.3% 21.4% 18.3% 12.6% 7.8% 4.3% 2.0% 0.6% 7,124 5,725 4,347 3,971 6,597 4,569 3,342 2,032 1,059 548 167 14.9% 11.9% 9.1% 8.3% 13.8% 9.5% 7.0% 4.2% 2.2% 1.1% 0.3% 273,062 263,349 241,016 257,036 583,425 536,532 454,087 327,569 201,275 148,744 52,438 Total 2,239,199 1,057,200 144,103 59,471 99,195 47,963 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 2005-2009 Page 10 No. 3,647,131 62.7% 27.5% 3.9% 1.7% 2.9% 1.3% Maricopa County Population Statistics Table 1.10 Population By Race/Ethnicity, Age, and Gender, 2005 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. 64,276 61,715 64,250 60,986 64,539 77,252 74,193 77,967 88,544 87,982 80,949 76,365 60,753 47,459 42,640 107,341 5.7% 5.4% 5.6% 5.4% 5.7% 6.8% 6.5% 6.9% 7.8% 7.7% 7.1% 6.7% 5.3% 4.2% 3.7% 9.4% 69,007 55,908 49,190 41,461 43,446 48,789 44,501 36,163 30,037 22,976 16,918 12,684 8,662 6,010 4,679 7,308 1,137,211 % 13.9% 11.2% 9.9% 8.3% 8.7% 9.8% 8.9% 7.3% 6.0% 4.6% 3.4% 2.5% 1.7% 1.2% 0.9% 1.5% 497,739 African American No. 6,739 6,207 6,412 5,553 5,502 5,440 5,522 5,363 5,403 4,787 3,878 2,805 2,122 1,574 1,192 2,113 % 9.5% 8.8% 9.1% 7.9% 7.8% 7.7% 7.8% 7.6% 7.7% 6.8% 5.5% 4.0% 3.0% 2.2% 1.7% 3.0% 70,612 American Indian No. 3,330 2,426 2,587 2,479 3,028 3,558 2,829 2,345 2,224 1,791 1,397 983 661 492 324 454 % Asian No. 10.8% 7.8% 8.4% 8.0% 9.8% 11.5% 9.2% 7.6% 7.2% 5.8% 4.5% 3.2% 2.1% 1.6% 1.0% 1.5% 30,908 4,009 3,546 3,052 2,559 3,141 5,025 5,911 5,151 4,300 3,773 3,164 2,641 1,842 1,435 1,010 1,484 Other/2+ Races % 7.7% 6.8% 5.9% 4.9% 6.0% 9.7% 11.4% 9.9% 8.3% 7.2% 6.1% 5.1% 3.5% 2.8% 1.9% 2.9% 52,043 No. 4,133 3,342 2,859 2,104 2,069 1,873 1,486 1,194 1,124 976 796 633 501 333 227 439 % 17.2% 13.9% 11.9% 8.7% 8.6% 7.8% 6.2% 5.0% 4.7% 4.1% 3.3% 2.6% 2.1% 1.4% 0.9% 1.8% 24,089 Total No. 151,494 133,144 128,350 115,142 121,725 141,937 134,442 128,183 131,632 122,285 107,102 96,111 74,541 57,303 50,072 119,139 1,812,602 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 66,978 64,923 68,030 65,856 66,531 78,759 78,005 81,928 88,872 86,854 75,859 70,350 55,325 42,256 37,260 74,202 1,101,988 6.1% 5.9% 6.2% 6.0% 6.0% 7.1% 7.1% 7.4% 8.1% 7.9% 6.9% 6.4% 5.0% 3.8% 3.4% 6.7% 71,635 58,949 51,644 46,200 54,783 63,766 54,918 44,086 35,207 25,503 17,843 12,697 8,239 5,409 3,655 4,927 559,461 12.8% 10.5% 9.2% 8.3% 9.8% 11.4% 9.8% 7.9% 6.3% 4.6% 3.2% 2.3% 1.5% 1.0% 0.7% 0.9% 6,775 6,348 6,679 6,212 6,168 6,173 5,974 5,773 5,823 5,181 3,813 2,914 1,875 1,430 1,022 1,331 73,491 9.2% 8.6% 9.1% 8.5% 8.4% 8.4% 8.1% 7.9% 7.9% 7.0% 5.2% 4.0% 2.6% 1.9% 1.4% 1.8% 3,349 2,490 2,617 2,572 2,803 3,272 2,663 2,165 1,932 1,472 1,030 865 470 350 209 304 11.7% 8.7% 9.2% 9.0% 9.8% 11.5% 9.3% 7.6% 6.8% 5.2% 3.6% 3.0% 1.6% 1.2% 0.7% 1.1% 28,563 4,018 3,426 3,163 2,791 3,124 4,763 5,515 4,671 4,009 3,148 2,427 1,911 1,373 1,064 746 1,484 47,633 8.4% 7.2% 6.6% 5.9% 6.6% 10.0% 11.6% 9.8% 8.4% 6.6% 5.1% 4.0% 2.9% 2.2% 1.6% 3.1% 4,349 3,782 2,866 2,243 1,902 1,826 1,412 1,160 1,091 890 680 530 368 285 214 276 18.2% 15.8% 12.0% 9.4% 8.0% 7.6% 5.9% 4.9% 4.6% 3.7% 2.8% 2.2% 1.5% 1.2% 0.9% 1.2% 23,874 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 2005-2009 Page 11 157,104 139,918 134,999 125,874 135,311 158,559 148,487 139,783 136,934 123,048 101,652 89,267 67,650 50,794 43,106 82,524 1,835,010 Maricopa County Population Statistics Table 1.11 Maricopa County, Phoenix, and Arizona Population 1980-2009 Year City of Phoenix Maricopa County State of Arizona Source 1980 789,704 1,509,175 2,726,100 1980 U.S. Census 1984 NA 1,726,398 3,032,400 DES Estimate 1985 NA 1,837,912 3,162,900 1985 Special Census 1986 NA 1,909,998 3,291,600 DES Estimate 1987 NA 1,976,600 3,459,900 DES Estimate 1988 940,662 2,032,000 3,538,400 DES Estimate 1989 968,258 2,089,900 3,617,300 DES Estimate 1990 983,403 2,122,101 3,680,800 1990 U.S. Census 1991 1,005,600 2,181,950 3,767,000 DES Estimate 1992 1,020,285 2,233,700 3,858,850 DES Estimate 1993 1,035,560 2,285,200 3,958,875 DES Estimate 1994 1,059,585 2,338,263 4,071,650 DES Estimate 1995 1,098,684 2,551,765 4,228,900 1995 Special Census 1996 1,149,717 2,634,625 4,462,300 DES Estimate 1997 1,205,285 2,720,576 4,600,275 DES Estimate 1998 1,238,120 2,803,320 4,764,025 DES Estimate 1999 1,263,895 2,879,492 4,924,350 DES Estimate 2000 1,321,045 3,072,149 5,130,632 2000 U.S. Census 2001 1,349,058 3,200,075 5,304,417 U.S. Census Estimate 2002 1,374,124 3,299,127 5,452,108 U.S. Census Estimate 2003 1,396,380 3,391,391 5,591,206 U.S. Census Estimate 2004 1,428,351 3,502,635 5,759,425 U.S. Census Estimate 2005 1,476,331 3,647,131 5,974,834 U.S. Census Estimate 2006 1,517,126 3,776,118 6,192,100 U.S. Census Estimate 2007 1,545,949 3,872,962 6,362,241 U.S. Census Estimate 2008 1,577,812 3,958,263 6,499,377 U.S. Census Estimate 2009 1,601,587 4,023,132 6,595,778 U.S. Census Estimate Maricopa County Health Status Report 2005-2009 Page 12 II. Maricopa County Five-Year Health Trends Maricopa County Health Status Report 2005-2009 Page 13 Maricopa County Five-Year Health Trends Table 2.01a Selected Underlying Causes of Death 2005-2009, 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 1 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 2008 2009 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 5 0 62 93 457 342 1,410 388 252 285 288 216 268 1,421 5,420 548 1,481 345 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 1,719 539 423 4,132 864 5,419 318 1,068 80 171 1,637 519 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 1,444 26 383 197 4 168 126 18 565 3,896 355 1,241 529 212 78 2,415 5 24,338 Refer to the Technical Notes for an explanation of the sharp changes in these causes of death over time Maricopa County Health Status Report 2005-2009 Page 14 Maricopa County Five-Year Health Trends Table 2.01b Selected Underlying Causes of Death, 2005-2009 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 1 2 3 2005 2006 2007 2008 2009 0.2 0.0 2.5 3.0 14.1 8.7 37.1 9.8 13.6 16.0 7.6 6.0 5.7 35.2 141.9 16.4 34.2 9.5 133.0 22.4 164.8 7.2 34.8 4.7 5.5 52.2 19.6 41.3 1.2 10.3 5.8 0.3 5.0 3.4 0.2 14.0 98.0 16.1 30.1 13.3 9.1 2.5 71.1 0.2 682.6 0.3 0.0 2.4 2.4 12.7 7.8 37.9 11.3 11.7 14.2 7.4 5.6 6.1 34.5 138.7 16.5 38.3 9.7 119.8 21.9 151.5 7.5 32.2 2.0 4.6 46.4 16.5 39.3 1.1 9.5 5.7 0.3 5.5 4.1 0.3 15.5 102.3 17.0 30.8 13.2 9.4 2.2 72.6 0.0 666.7 0.1 0.0 1.8 2.6 13.1 8.9 35.4 10.2 13.1 14.8 6.8 5.2 6.0 35.3 137.4 15.1 37.5 11.2 106.8 24.5 142.4 5.9 28.8 1.5 5.4 41.6 11.8 36.3 0.9 9.2 5.5 0.3 5.1 3.6 0.3 14.8 97.3 13.0 30.7 14.2 8.5 2.1 68.6 0.4 630.2 0.1 0.0 1.9 2.8 12.0 8.7 33.7 10.8 12.3 15.2 6.3 6.1 5.5 34.0 133.5 15.7 36.8 9.7 107.3 21.2 138.2 8.2 28.2 2.2 4.7 43.4 13.6 38.0 0.6 9.7 4.4 0.3 4.6 3.4 0.4 11.3 93.2 10.8 31.7 13.5 7.0 1.7 64.7 0.0 613.9 0.1 0.0 1.5 2.3 11.4 8.5 35.0 9.6 12.6 14.0 7.2 5.4 6.7 35.3 134.7 13.6 36.8 10.5 102.7 21.5 134.7 7.9 26.5 2.0 4.3 40.7 12.9 35.9 0.6 9.5 4.9 0.2 4.2 3.1 0.3 14.0 96.8 8.8 30.8 13.1 5.3 1.9 60.0 0.1 605.0 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. Refer to the Technical Notes for an explanation of the changes in these causes of death over time Maricopa County Health Status Report 2005-2009 Page 15 Maricopa County Five-Year Health Trends Table 2.02a Other Selected Underlying Causes of Death 2005-2009, Number of Deaths Infectious Diseases Cancer Other Diseases Cardiovascular Chronic Lower Respiratory Liver Disease Musculoskeletal Perinatal Conditions & Congenital Malformations External Causes 1 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 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 2005 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 2007 87 6 308 78 20 17 133 66 101 168 5 30 10 49 2008 75 10 180 103 9 17 135 69 98 130 5 19 12 39 2009 96 22 298 138 22 18 163 59 121 157 6 27 22 50 115 290 37 14 96 269 53 13 110 253 43 13 94 273 42 11 106 252 38 17 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 8 888 143 109 28 262 15 7 6 46 64 61 60 65 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 47 19 480 54 493 20 3 5 15 7 11 5 3 22 35 25 25 20 Refer to the Technical Notes for an explanation of the changes in these causes of death over time Maricopa County Health Status Report 2005-2009 Page 16 Maricopa County Five-Year Health Trends Table 2.02b Other Selected Underlying Causes of Death 2005-2009, 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 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 2005 2006 2008 2009 1.1 0.1 7.4 2.4 0.5 0.5 4.6 2.1 2.7 8.2 0.3 0.7 0.4 1.3 2.1 0.0 8.4 3.7 0.6 0.7 4.1 1.7 2.7 7.7 0.0 0.6 0.2 1.4 2.3 0.2 8.2 2.1 0.5 0.5 3.5 1.8 2.7 8.7 0.3 0.8 0.3 1.3 1.9 0.3 4.7 2.7 0.2 0.4 3.5 1.8 2.5 6.6 0.3 0.5 0.3 1.0 2.4 0.6 7.5 3.5 0.6 0.5 4.1 1.5 3.1 7.9 0.3 0.7 0.6 1.3 3.3 8.3 1.1 0.4 2.6 7.4 1.5 0.4 2.9 6.7 1.1 0.3 2.4 7.1 1.1 0.3 2.7 6.4 1.0 0.4 33.4 4.3 6.2 1.1 6.4 0.7 0.6 0.2 27.9 5.1 5.4 1.0 6.4 0.6 0.5 0.2 25.4 4.9 3.9 0.9 5.8 0.5 0.4 0.2 22.5 3.6 3.4 0.5 6.7 0.7 0.4 0.2 22.5 3.6 2.8 0.7 6.6 0.4 0.2 0.2 1.3 1.8 1.6 1.6 1.6 1.1 0.6 12.4 1.6 9.4 1.3 0.1 0.2 1.1 0.8 12.1 1.5 10.6 1.1 0.2 0.2 1.2 0.6 13.2 1.4 11.1 0.5 0.2 0.2 0.9 0.8 12.4 1.2 11.8 0.6 0.2 0.2 1.2 0.5 12.1 1.4 12.5 0.5 0.1 0.1 0.4 0.2 0.3 0.1 0.1 0.6 1.0 0.7 0.6 0.5 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 changes in these rates over time. Maricopa County Health Status Report 2005-2009 Page 17 2007 Maricopa County Five-Year Health Trends Table 2.03a Firearm, Drug, and Alcohol Induced and Related Deaths 2005-2009 Number of Deaths Year Cause 2005 2006 2007 2008 2009 Firearm Induced 546 583 550 511 447 Drug Induced, Including Tobacco 470 569 569 571 618 Drug Related, Including Tobacco 739 825 794 813 824 Drug Related, Excluding Tobacco 539 629 662 656 684 Alcohol Induced 353 338 354 386 407 Alcohol Related 530 550 557 595 631 Table 2.03b Firearm, Drug, and Alcohol Induced and Related Deaths 2005-2009 Crude Death Rate per 100,000 Residents Year Cause 2005 2006 2007 2008 2009 Firearm Induced 15.0 15.4 14.2 12.9 11.1 Drug Induced, Including Tobacco 12.9 15.1 14.7 14.4 15.4 Drug Related, Including Tobacco 20.3 21.8 20.5 20.5 20.5 Drug Related, Excluding Tobacco 14.8 16.7 17.1 16.6 17.0 Alcohol Induced 9.7 9.0 9.1 9.8 10.1 Alcohol Related 14.5 14.6 14.4 15.0 15.7 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 2005-2009 Page 18 Maricopa County Five-Year Health Trends Table 2.04a Number of Confirmed Cases to Residents of Selected Reportable Diseases, 2005-2009 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 Norovirus1 Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hantavirus Pulm. Syndrome Lyme Disease Malaria West Nile Virus Hepatitis A Hepatitides Hepatitis B2 (Acute) Hepatitis D Other Legionellosis MRSA RSV1 Strep Group A Strep Group B (<90 Days) Strep Pneumo Invasive Toxic Shock Syndrome Vibrio spp. Yersiniosis Hansen's Disease Tuberculosis Sexually Transmitted Diseases Genital Herpes3 2 3 2007 2008 2009 60 1 54 0 46 0 56 0 50 0 0 248 3 21 4 12 0 20 4 65 23 15 10 7 1 722 624 551 571 435 20 11 0 6 10 4 6 7 0 4 7 3 6 0 3 501 0 432 0 586 1 640 0 518 0 9 30 120 8 19 42 66 7 27 44 96 8 71 37 59 5 24 46 113 5 - - - 64 40 0 379 6 432 1 493 5 564 3 556 249 381 289 380 521 4 7 5 2 2 2,461 2 4,209 3 3,450 4 3,525 2 8,078 1 0 8 1 2 4 1 3 0 0 0 7 15 79 6 18 75 0 7 52 2 10 90 1 9 19 68 91 79 70 30 239 265 110 115 145 2 0 0 0 0 15 25 33 21 37 1,109 997 846 915 806 - - - 109 1,928 168 216 106 112 85 31 39 42 34 28 474 569 514 574 474 1 0 3 1 0 13 1 2 169 10 11 2 171 7 4 1 171 12 4 0 109 9 6 0 138 799 1,213 1,479 969 693 4,000 3,173 2,135 2,264 Syphilis – Primary and Secondary 123 163 192 234 160 Syphilis – All Others 421 542 620 650 496 11,330 358 306 22 14,596 389 332 40 14,544 404 348 48 13,426 376 386 290 14,658 337 346 316 26,247 33,257 31,596 26,668 32,812 HIV AIDS 1 2006 2,915 Gonorrhea Chlamydia All Others3 Total 2005 Norovirus and respiratory syncytial virus (RSV) were not reported to health departments until April 2008. 2006 - 2009 figures for Hepatitis B (Acute) include confirmed and probable cases. Refer to Technical Notes for an explanation of the changes. Maricopa County Health Status Report 2005-2009 Page 19 Maricopa County Five-Year Health Trends Table 2.04b Case Rates per 100,000 Residents for Selected Reportable Diseases, 2005-2009 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 Norovirus1 Salmonella Paratyphi Salmonellosis Shigellosis Typhoid Mycosis Coccidioidomycosis Zoonoses/ Vectorborne Brucellosis Dengue Hepatitides Other 1.2 0 0 6.8 0.1 0.6 0.0 0.3 0 0.5 0.1 1.6 0.6 0.4 0.3 0.2 0.0 19.8 16.5 14.2 14.4 10.8 0.5 0.3 0 0.2 0.3 0.1 0.2 0.2 0 0.1 0.2 0.1 0.1 0 0.1 13.7 0 11.4 0 15.1 0.0 16.2 0 12.9 0 0.2 0.8 3.3 0.2 0.5 1.1 1.7 0.2 0.7 1.1 2.5 0.2 1.8 0.9 1.5 0.1 0.6 1.1 2.8 0.1 - - - 1.6 1.0 0 10.4 0.2 11.4 0.0 12.7 0.1 14.2 0.1 13.8 6.8 10.1 7.5 9.6 13.0 0.1 0.2 0.1 0.1 0 67.5 0.1 111.5 0.1 89.1 0.1 89.1 0.1 200.8 0.0 0.0 0.1 0.1 0.1 0 0 0 Lyme Disease 0.2 0.4 2.2 0.2 0.5 2.0 0.0 0.2 1.3 0.1 0.3 2.3 0 0.2 0.5 Malaria West Nile Virus Hepatitis A 1.9 2.4 2.0 1.8 0.7 Hepatitis B (Acute) 6.6 7.0 2.8 2.9 3.6 Hepatitis D 0.1 0 0 0 0 0.4 30.4 0.7 26.4 0.9 21.8 0.5 23.1 0.9 20.0 Legionellosis Toxic Shock Syndrome Vibrio spp. Yersiniosis Hansen's Disease Genital Herpes3 Gonorrhea Syphilis – Primary and Secondary Syphilis – All Others Chlamydia HIV AIDS 3 2009 1.4 0 0.2 Strep Pneumo Invasive 2 2008 1.2 0 0 Strep Group B2 1 2007 1.4 0 0.0 Strep Group A All Others3 Total 2006 1.6 0.0 Hantavirus Pulm. Syndrome MRSA RSV1 Tuberculosis Sexually Transmitted Diseases 2005 - - - 2.8 47.9 4.6 5.7 2.7 2.8 2.1 0.5 0.6 0.6 0.5 0.5 13.0 15.1 13.3 14.5 11.8 0 0 0.1 0.0 0 0.4 0.0 0.1 4.6 21.9 79.9 0.3 0.3 0.1 4.5 32.1 105.9 0.2 0.1 0 4.4 38.2 81.9 0.3 0.1 0 2.8 24.5 53.9 0.2 0.1 0 3.4 17.2 56.3 3.4 4.3 5.0 5.9 4.0 11.5 14.4 16.0 16.4 12.3 310.7 9.8 8.4 0.6 719.7 386.5 10.3 8.8 1.1 880.7 375.5 10.4 9.0 1.2 815.8 339.2 9.5 9.8 7.3 673.7 364.3 8.4 8.6 7.9 815.6 Norovirus and respiratory syncytial virus (RSV) were not reported to health departments until April 2008. 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 2005-2009 Page 20 Maricopa County Five-Year Health Trends Table 2.05a Congenital Syphilis by Race/Ethnicity and Year Number of Cases, 2005-2009 Year Race/Ethnicity White Hispanic African American American Indian Asian Other/Unknown Total 2005 2006 2007 2008 2009 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 2 7 1 1 1 0 12 Table 2.05b Congenital Syphilis by Race/Ethnicity and Year Case Rates per 100,000 Live Births, 2005-2009 Year Race/Ethnicity White Hispanic African American American Indian Asian Other/Unknown Total 2005 2006 2007 2008 2009 3.7 55.8 116.4 114.4 0 35.4 3.5 23 0 103.5 0 15.1 18.6 38.4 32.9 197 0 30.3 11.4 40.7 61.1 154.6 0 30.3 8.1 27.5 31.2 57.8 42.6 20.8 Table 2.06 Hansen’s Disease Treatment Visits Year Cases Seen for Treatment 2005 2006 2007 2008 2009 22 25 18 8 9 This table includes the number of unique cases seen by Maricopa County Department of Public Health for Hansen’s disease treatment each year. The total number of visits for the five-year period may include some duplicate cases who were seen multiple years. Maricopa County Health Status Report 2005-2009 Page 21 Maricopa County Five-Year Health Trends Table 2.07a Selected Maternal & Child Health Indicators, 2005-2009 Countywide Indicators Number of Live Births to Mothers With Selected Risk Factors Indicator Number of Live Births 2005 2006 2007 2008 2009 62,223 66,162 65,930 62,666 57,655 Male Infants of Total Live Births 31,771 33,867 33,829 31,950 29,499 Mothers With <12 Years Education 18,816 19,765 19,707 17,406 14,430 Births to Women 10-19 Years Old 7,212 7,904 7,816 7,210 6,246 Births to Women 15-17 Years Old 2,582 2,774 2,664 2,548 2,044 Births to Women Over 35 Years Old 7,478 8,218 8,372 8,216 7,832 Births to Never Married Women 25,574 28,224 29,185 27,656 25,535 Tobacco Use During Pregnancy 2,833 2,737 2,495 2,592 2,332 397 334 265 320 247 99 117 111 127 128 1,713 2,005 2,255 2,563 2,296 47,616 51,467 49,387 43,933 39,202 12,060 11,185 11,873 13,820 13,194 9,030 10,361 10,413 9,804 8,822 6,826 7,228 7,545 7,722 7,567 6,804 7,250 6,991 6,583 6,032 Hospital Births 61,837 65,728 65,512 62,300 57,238 Method of Payment 32,242 34,144 34,403 32,972 30,613 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 212 252 320 267 221 27,904 29,723 29,238 27,610 25,084 Self 1,602 1,819 1,695 1,501 1,372 None 1,193 1,382 1,339 944 864 Private Insurance Prenatal Care st 1 Trimester 50,090 53,160 52,961 52,056 48,689 Trimester 9,107 9,628 9,708 8,046 6,698 3 Trimester 1,797 1,949 1,889 1,561 1,296 0 1,193 1,382 1,339 944 864 1-4 2,147 2,287 2,134 1,722 1,493 5-8 9,859 10,455 10,505 9,315 7,933 9-12 33,038 33,328 31,834 30,633 28,396 13+ 15,932 18,577 20,081 19,986 18,849 Singletons 2 nd rd Number of Prenatal Care Visits Plurality Number of Live Births with Selected Risk Factors Associated with the Neonate 1 2 60,450 64,275 64,065 60,810 55,944 Twins 1,684 1,788 1,762 1,748 1,633 Singleton Births Receiving Early & 1 Adequate Prenatal Care 42,992 45,554 45,626 44,803 41,988 3,525 3,326 3,365 3,768 3,841 346 392 297 350 267 Neonatal Intensive Care Infants Transferred to Another Facility Birthweight Very Low (<1500g) Low (<2500g) High (>4250g) Infants With a Neural Tube Defect 2 Infants With Fetal Alcohol Syndrome 2 1 735 790 818 714 690 4,253 4,638 3,851 3,663 3,428 1,866 2,104 2,064 1,903 1,668 7 5 11 11 10 1 0 1 1 0 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 2005-2009 Page 22 Maricopa County Five-Year Health Trends Table 2.07b Selected Maternal & Child Health Indicator Percentages, 2005-2009 Countywide Indicators Indicator Number of Live Births 2005 2006 2007 2008 2009 62,223 66,162 65,930 62,666 57,655 % Male Infants of Total Live Births 51.1% 51.2% 51.3% 51.0% 51.2% 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 81.7 84.8 83.4 78.4 69.7 % Mothers With <12 Years Education 30.2% 29.9% 29.9% 27.8% 25.0% % Births to Women 10-19 Years Old 11.6% 11.9% 11.9% 11.5% 10.8% % Births to Women 15-17 Years Old 4.1% 4.2% 4.0% 4.1% 3.5% % Births to Women Over 35 Years Old 12.0% 12.4% 12.7% 13.1% 13.6% % Births to Never Married Women 41.1% 42.7% 44.3% 44.1% 44.3% % Tobacco Use During Pregnancy 4.6% 4.1% 3.8% 4.1% 4.0% % Alcohol Use During Pregnancy 0.6% 0.5% 0.4% 0.5% 0.4% % Mother with Pre-Existing Cardiac Disease % Mother with Pre-Existing Diabetes 0.2% 0.2% 0.2% 0.2% 0.2% 2.8% 3.0% 3.4% 4.1% 4.0% % Mothers with No Medical Risk Factors for Pregnancy % Induced Labor 76.5% 77.8% 74.9% 70.1% 68.0% 19.4% 16.9% 18.0% 22.1% 22.9% Delivery via C-Section Primary Cesarean Section 14.5% 15.7% 15.8% 15.6% 15.3% Repeat Cesarean Section 11.0% 10.9% 11.4% 12.3% 13.1% % Preterm Births (Less than 37 Weeks) 10.9% 11.0% 10.6% 10.5% 10.5% % Hospital Births 99.4% 99.3% 99.4% 99.4% 99.3% Method of Payment 51.8% 51.6% 52.2% 52.6% 53.1% 0.3% 0.4% 0.5% 0.4% 0.4% 44.8% 44.9% 44.3% 44.1% 43.5% 2.6% 2.7% 2.6% 2.4% 2.4% AHCCCS IHS Private Insurance Self Prenatal Care None st 1 Trimester 2 nd Plurality 2 3 1.5% 1.5% 83.1% 84.4% 14.6% 14.6% 14.7% 12.8% 11.6% 2.9% 2.9% 2.9% 2.5% 2.2% 0 1.9% 2.1% 2.0% 1.5% 1.5% 1-4 3.5% 3.5% 3.2% 2.7% 2.6% 5-8 15.8% 15.8% 15.9% 14.9% 13.8% 9-12 53.1% 50.4% 48.3% 48.9% 49.3% 13+ 25.6% 28.1% 30.5% 31.9% 32.7% Singletons 97.2% 97.1% 97.2% 97.0% 97.0% 2.7% 2.7% 2.7% 2.8% 2.8% 69.1% 68.9% 69.2% 71.5% 72.8% 5.7% 5.0% 5.1% 6.0% 6.7% 0.6% 0.6% 0.5% 0.6% 0.5% 1.2% 1.2% 1.2% 1.1% 1.2% Low (<2500g) 6.8% 7.0% 5.8% 5.8% 5.9% High (>4250g) 3.0% 3.2% 3.1% 3.0% 2.9% 0.0% 0% 0.0% 0.0% 0% % Singleton Births Receiving Early & 2 Adequate Prenatal Care 1 2.0% 80.3% Trimester Twins Percentage of Live Births with Selected Risk Factors Associated with the Neonate 2.1% 80.3% 3 Trimester rd Number of Prenatal Care Visits 1.9% 80.5% 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 2005-2009 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 2005 2006 2007 2008 2009 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 24,721 25,449 3,203 1,731 2,349 202 6,246 30,476 19,493 1,439 780 13,650 16,280 26,637 308 690 3,428 51,864 1,668 5 Table 2.09a Infant Mortality by Race/Ethnicity of Mother, 2005-2009 (Linked) Race/Ethnicity of Mother White Hispanic African American American Indian Asian Other/Unknown Total 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 2009 129 118 45 13 17 1 323 Total 726 825 196 49 75 5 1876 Table 2.09b Infant Mortality Rates by Race/Ethnicity of Mother, 2005-2009 (Linked) Infant Mortality per 1,000 Live Births Race/Ethnicity of Mother White Hispanic African American American Indian Asian Other/Unknown Total 2005 5.7 6.0 8.1 6.3 6.4 6.0 2006 4.9 6.8 14.8 3.6 3.0 6.1 2007 5.9 5.9 12.2 5.2 4.0 6.1 2008 5.5 5.0 16.3 4.2 11.5 6.0 2009 5.2 4.6 14.0 7.5 7.2 5.6 Total 5.4 5.7 13.2 5.4 6.5 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 2005-2009 Page 24 Maricopa County Five-Year Health Trends Table 2.10a Infant Mortality by Age of Mother, 2005-2009 (Linked) Age of Mother <20 20-29 30-39 40 and Older Total 2005 63 208 89 13 373 2006 67 214 114 9 404 2007 52 213 124 13 402 2008 62 187 109 16 374 2009 44 176 92 11 323 Total 288 998 528 62 1,876 Table 2.10b Infant Mortality Rates by Age of Mother, 2005-2009 (Linked) Infant Mortality per 1,000 Live Births Age of Mother 2005 2006 2007 2008 2009 Total <20 20-29 30-39 40 and Older Total 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 6.1 5.3 4.5 7.9 6.0 7.0 5.8 4.7 7.6 5.6 7.9 5.9 5.2 8.8 6.0 Table 2.11a Infant Mortality by Educational Level of Mother, 2005-2009 (Linked) Education Level of Mother th Less Than 6 Grade th th 6 – 11 Grade High School Diploma 2005 2006 2007 2008 2009 Total 9 125 113 7 137 127 11 133 105 9 103 139 5 83 114 41 581 598 College or Higher 120 128 142 118 119 627 Unknown Total 6 373 5 404 11 402 5 374 2 323 29 1,876 Table 2.11b Infant Mortality Rates by Educational Level of Mother, 2005-2009 (Linked) Infant Mortality per 1,000 Live Births Education Level of Mother th Less Than 6 Grade th th 6 – 11 Grade 2005 2006 2007 2008 2009 Total 6.2 8.1 8.3 7.0 5.4 7.4 9.5 7.2 6.4 6.1 7.7 6.9 High School Diploma 6.9 6.8 7.0 5.8 7.0 6.9 College or Higher 4.8 9.0 6.0 4.6 10.4 6.1 4.6 8.3 6.1 5.2 13.7 6.0 4.5 6.5 5.6 4.7 10.2 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 2005-2009 Page 25 Maricopa County Five-Year Health Trends Table 2.12a Infant Mortality by Birthweight, 2005-2009 (Linked) Birthweight <1500 Grams 1500-2499 Grams 2500-4249 Grams >4249 Grams Unknown Total 2005 197 52 121 2006 215 54 127 2007 199 63 136 2008 189 64 118 2009 174 44 100 Total 974 277 602 2 3 4 3 4 16 1 373 5 404 0 402 0 374 1 323 7 1,876 Table 2.12b Infant Mortality Rates by Birthweight, 2005-2009 (Linked) Infant Mortality per 1,000 Live Births Birthweight <1500 Grams 1500-2499 Grams 2005 2006 2007 2008 2009 Total 268.0 14.8 272.2 14.0 243.3 16.4 264.7 17.5 252.2 12.8 259.9 15.1 2500-4249 Grams 2.2 2.1 2.3 2.1 1.9 2.1 1.1 200.0 6.0 1.4 714.3 6.1 1.9 0 6.1 1.6 0 6.0 2.4 200.0 5.6 1.7 259.3 6.0 >4249 Grams Unknown Total Table 2.13 Infant Mortality and Rates by Age of Infant, 2005-2009 (Linked & Unlinked) Infant Mortality Neonatal (≤ 28 Days) Linked Postnatal (> 28 Days) Data Total 2005 2006 2007 2008 2009 249 124 373 277 127 404 286 116 402 254 120 374 220 103 323 Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 253 129 382 278 128 406 297 120 417 257 124 381 222 107 329 Infant Mortality Rates per 1,000 Live Births 2005 2006 2007 2008 2009 Linked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 4.0 2.0 6.0 4.2 1.9 6.1 4.3 1.8 6.1 4.1 1.9 6.0 3.8 1.8 5.6 Unlinked Data Neonatal (≤ 28 Days) Postnatal (> 28 Days) Total 4.1 2.1 6.1 4.2 1.9 6.1 4.5 1.8 6.3 4.1 2.0 6.1 3.9 1.9 5.7 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 2005-2009 Page 26 Maricopa County Five-Year Health Trends Table 2.14a Infant Mortality by Age of Infant and Race/Ethnicity of Mother, 2005-2009 (Linked) Linked Infant Mortality White Hispanic African American Neonatal American Indian (≤ 28 Days) Asian Other/Unknown Total 2005 2006 2007 2008 2009 102 123 11 4 8 1 249 101 140 23 8 4 1 277 107 142 23 6 8 0 286 91 100 33 5 24 0 254 82 84 28 11 14 1 220 White Hispanic African American American Indian Asian Other/Unknown Total 53 49 10 7 5 0 124 38 63 19 3 3 1 127 52 43 14 4 2 0 116 53 41 18 3 4 1 120 47 34 17 2 3 0 103 Postnatal (> 28 Days) Table 2.14b Infant Mortality Rates by Age of Infant and Race/Ethnicity of Mother, 2005-2009 (Linked) Infant Mortality per 1,000 Live Births Linked Infant Mortality White Hispanic African American Neonatal American Indian (≤ 28 Days) Asian Other/Unknown Total 2005 2006 2007 2008 2009 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 3.3 3.3 8.7 6.4 6.0 3.8 White Hispanic African American American Indian Asian Other/Unknown Total 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 5.8 1.6 1.6 1.9 1.9 1.3 5.3 1.2 1.3 1.8 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 2005-2009 Page 27 Maricopa County Five-Year Health Trends Table 2.154a Infant Mortality by Race/Ethnicity of Infant, 2005-2009 (Unlinked) Race/Ethnicity of Infant White Hispanic African American American Indian Asian Other/Unknown Total 2005 142 182 27 10 13 1 382 2006 142 203 43 12 4 0 406 2007 132 225 40 9 7 0 417 2008 122 167 51 8 20 2 374 2009 122 131 53 11 12 0 329 Total 660 908 214 50 56 3 1,908 Table 2.15b Infant Mortality Rates by Race/Ethnicity of Infant, 2005-2009 (Unlinked) Infant Mortality per 1,000 Live Births Race/Ethnicity of Infant White Hispanic African American American Indian Asian Other/Unknown Total 2005 2006 2007 2008 2009 5.2 6.4 10.5 5.7 6.4 6.1 5.0 6.7 15.1 6.2 1.7 6.1 4.9 7.2 13.2 4.7 2.8 6.3 4.6 5.8 16.3 4.2 8.2 6.0 4.9 5.1 16.5 6.4 5.1 5.7 Note: See Technical Notes at the end of this report for an explanation of linked and unlinked data. Maricopa County Health Status Report 2005-2009 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, 2009, released June 10, 2010. This is at http://www.census.gov/popest/counties/asrh/files/cc-est2009-alldata04.csv. The population for Arizona is from http://www.census.gov/popest/national/files/NST_EST2009_ALLDATA.csv The population for Phoenix is from http://www.census.gov/popest/cities/files/SUBEST2009_ALL.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. There are several considerations to keep in mind when using population estimates. First, population estimates may underestimate or overestimate the true population. Second, population estimates have the potential to become less reliable as more time passes from the last census count due to an accumulation of error. In this report, therefore, the 2009 counts are less reliable than the 2005 counts. Third, 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, a rate that uses an overestimated population will make the disease burden appear smaller than it truly is and vice versa. 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 (2005-2009) 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 2005 – 2009 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. 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, 5 duplicate records in 2005 were identified and deleted. Therefore, the numbers presented in this report may not precisely match those presented by ADHS in other reports. For both mortality and morbidity (communicable disease), rates for some racial/ethnic populations such as American Indians, Asians, and African Americans are high compared to other groups. Because these groups have relatively small populations in Maricopa County (under 150,000 residents as shown in Tables 1.01 through 1.10), these high rates may represent very few deaths/cases. Among small populations, rates are less stable so one case or death can cause a big increase or decrease in the rates. Therefore, it is advisable to examine the actual number of cases or deaths in addition to the rates. In Table 2.01a, deaths due to unintentional injury can be found by adding two categories – “motor vehicle collisions” and “all other accidents and adverse effects.” The total for unintentional injuries in this report is higher than the figure reported by ADHS because deaths from “complications of medical and surgical care” are included in this report. This convention follows the national model for classifying unintentional injuries. “Complications of medical and surgical care” include deaths from medical devices, adverse effects related to correct doses of therapeutic medications, and misadventures to patients during surgical or medical care (ICD-10 Y40-Y84, Y88). Table 2.02a presents the number of deaths by year meeting the criteria for „complications of medical and surgical care.‟ Tables 2.05b, 2.08b, 2.13b, and 2.14b do not provide a rate for the category labeled “Unknown Race/Ethnicity.” Since the U.S. Census Bureau does not report data on people of „unknown race/ethnicity,‟ there is no denominator to use for calculating the rate. Maricopa County Health Status Report 2005 – 2009 Page 30 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. At the same time, this decrease in motor vehicle accidents is being seen nationwide. 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 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 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 C43 C50 C53-C56 C56 C61 C62 C64-C68 C70-C72 (Table Continues) Maricopa County Health Status Report 2005 – 2009 Page 31 (Table 3.2, Continued) Non-Hodgkins Lymphoma Leukemia Other Malignant Neoplasms Anemias Diabetes Nutritional Deficiencies Obesity Mental & Behavioral Disorders Due to the Use of Alcohol Parkinson‟s Disease Alzheimer‟s Multiple Sclerosis Epilepsy Major Cardiovascular Disease Disease of Heart Hypertensive Heart Disease Ischemic Heart Disease Acute Myocardial Infarction Other Heart Disease Congestive Heart Failure Coronary Heart Disease Primary Hypertension Cerebrovascular Diseases Atherosclerosis Other Circulatory Influenza & Pneumonia Chronic Lower Respiratory Emphysema Asthma Peptic Ulcer Liver Disease, including chronic liver disease, cirrhosis, alcoholic liver disease, and other chronic liver disease Alcoholic Liver Disease Rheumatoid Arthritis Lupus Osteoporosis Nephritis, nephritic syndrome and nephrosis Pregnancy, childbirth, and the puerperium Perinatal Conditions Disorders Related to Short Gestation and Low Birth Weight (LBW) 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, C82-C85 C91-C95 C00-C15, C17, C22-C24, C26-C32, C37-C49, C51-C52, C57-C60, C62-C63, C69-C81, C88, C90, C96-97 D56-D64 E10-E14 E40-E64 E66 F10 G20-G21 G30 G35 G40-G41 I00-I78 I00-I09, I11, I13, I20-I51 I11, I13 I20-I25 I21-I22 I00-I09, I26-I51 I50 I11, I20-I25 I10, I12 I60-I69 I70 I71-I78 J10-J18 J40-J47 J43 J45-J46 K25-K28 K70, K73-K74 K70 M05-M08 M32 M80-M81 N00-N07, N17-N19, N25-N27 O00-O99 P00-P96 P07 Q00-Q99 Q20-Q28 Q90-Q99 R95 R00-R94, R96-R99 (Table Continues) Maricopa County Health Status Report 2005 – 2009 Page 32 (Table 3.2, Continued) 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 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 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 Maricopa County Health Status Report 2005 – 2009 Page 33 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. 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 2006-2009. For 2007-2009, data for West Nile virus are from ADHS. 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 2006-2009. 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 Maricopa County Health Status Report 2005 – 2009 Page 34 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 from 2007-2009 to previous years will show a decrease in the total number of cases. This decrease is most likely due to changes in the investigation of the disease and not due to a change in the communicability of the disease in Maricopa County. A sharp decrease in the number of reported cases of genital herpes occurred in 2009. A review of the cases indicated a large decrease in the number of laboratory reported cases. Although no explanation for this decrease has been identified, it is not believed to be due to an actual decrease in the incidence of disease in the community. 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. Beginning in April 2008, two diseases were added to the list of diseases that medical providers and laboratories must report: norovirus and respiratory syncytial virus (RSV). No counts exist for years earlier than 2008. Counts for RSV are much lower in 2008 because the number of RSV cases usually peak around January or February and reporting did not begin until April which was after the peak. 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 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. Maricopa County Health Status Report 2005 – 2009 Page 35 1 Adequate prenatal care is based on the Adequacy of Prenatal Care Utilization Index (APCUI) . This index considers both the timing of prenatal care initiation and the number of visits after care was initiated, comparing the number of actual visits to the number of visits recommended by the American College of Obstetricians and Gynecologists. This index does not describe the quality of the care or adjust for maternal risk factors. Only singleton births (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 : 3 Birth or Live Birth – The complete expulsion or extraction from the mother of a product of human conception, irrespective of the duration of pregnancy or birthweight which, after such expulsion or extraction, breathes or shows any other evidence of life such as beating of the heart, pulsation of the umbilical cord or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached. Fertility Rate – Number of live births during a calendar year per 1,000 women age 15 to 44. Births to Teenage Mothers − Live births occurring to females under age twenty. Birth Weight – The weight of a neonate determined immediately after delivery or as soon thereafter as possible. Low Birthweight – Any neonate weighing less than 2,500 grams at birth (less than 5 pounds, 8 ounces). 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 2005 – 2009 Page 36 Very Low Birthweight – Any neonate weighing less than 1,500 grams at births (less than 3 pounds, 4 ounces). Preterm – Any neonate whose birth occurs through the end of the last day of the 37 th week (259 day), following onset of the last menstrual period. th Infant Death – Any death at any time from birth up to, but not including, the first year of age (<365 days). Infant Mortality Rate – Number of infant deaths per 1,000 live births. Neonatal Mortality Rate – Number of deaths to infants at or under 28 days of age, per 1,000 live births. Postnatal (Postneonatal) Mortality Rate – Number of deaths to infants between 29 days and 365 days after birth, per 1,000 live births. Unlinked Infant Mortality – The number of infant deaths in a given calendar year, as determined from mortality records. Linked Infant Mortality – Whenever possible, infant death certificate data are linked to birth certificate information to determine parental, demographic and birth data. Not all infant deaths can be linked (up to 3% are lost to follow-up). In this report, MCDPH created a linked death cohort such that one calendar year of infant death data linked back to the birth data from the current or prior calendar year. More Information For more information on population and health statistics, please visit the following websites: Maricopa County Department of Public Health: http://www.maricopa.gov/publichealth/default.aspx 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 2005 – 2009 Page 37