Health Status Profile of American Indians in Arizona Health Status and Vital Statistics Section Bureau of Public Health Statistics Public Health Services ~ Leadership for a Healthy Arizona ~ Janet Napolitano, Governor State of Arizona Catherine R. Eden, Director Arizona Department of Health Services HEALTH STATUS AND VITAL STATISTICS SECTION BUREAU OF PUBLIC HEALTH STATISTICS ARIZONA DEPARTMENT OF HEALTH SERVICES 150 N. 18th Avenue, Suite 550 Phoenix, Arizona 85007-3248 Phone: 602/542-7333; FAX: 602/542-2940 www.azdhs.gov/plan This publication can be made available in alternative format. Please contact the Office of Epidemiology and Statistics at 602/542-7333 (voice) or call 1-800-367-8939 (TDD). The Arizona Department of Health Services is an Equal Employment Opportunity Agency. Permission to quote from or reproduce materials from this publication is granted when due acknowledgment is made. HEALTH STATUS PROFILE OF AMERICAN INDIANS IN ARIZONA: 2003 DATA BOOK by Christopher K. Mrela, Ph.D., Assistant Registrar of Vital Statistics, Clare Torres, Senior Health Data Analyst November 2004 Acknowledgment Grateful acknowledgement is made to Richard S. Porter for reviewing the typescript. HEALTH STATUS PROFILE OF AMERICAN INDIANS IN ARIZONA 2003 DATA BOOK TABLE OF CONTENTS Introduction .......................................................................................................................................................................................... 1 I. RISK PROFILE OF AMERICAN INDIANS IN ARIZONA: AN OVERVIEW OF SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS AND ALL RESIDENTS OF THE STATE IN 2003 ...................................................................................................... 3 2003 Risk Profile of American Indians............................................................................................................................................. 7 American Indians’ Standing in Arizona in 2003 on 70 Indicators of Health Status .................................................................................. 8 II 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 2.10 Early Prenatal Care .................................................................................................................................................................... Infant Mortality ......................................................................................................................................................................... Postneonatal Mortality................................................................................................................................................................ Unintentional Injury Deaths ........................................................................................................................................................ Motor Vehicle Crash Deaths ........................................................................................................................................................ Intentional Self-Harm (Suicide) ................................................................................................................................................... Assault (Homicide) .................................................................................................................................................................... Diabetes-related Deaths ............................................................................................................................................................. Cirrhosis Deaths........................................................................................................................................................................ Cervical Cancer Deaths .............................................................................................................................................................. III. 3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 3.9 3.10 COMPARISON OF AMERICAN INDIANS’ STANDING IN ARIZONA WITH RESPECT TO SELECTED HEALTH OBJECTIVES FOR THE YEAR 2010. ............. 13 15 16 17 18 19 20 21 22 23 24 TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS AND ALL RESIDENTS OF ARIZONA, 1993-2003........ 25 Average Age At Death From All Causes, 1993-2003 ........................................................................................................................ Births to Unmarried Mothers, 1993-2003 ...................................................................................................................................... The Incidence of Gonorrhea, 1993-2003 ....................................................................................................................................... The Incidence of Low-Birthweight Births, 1993-2003 ...................................................................................................................... The Incidence of Fetal Alcohol Syndrome, 1993-2003 ..................................................................................................................... Births to Teenage Mothers, 1993-2003 ......................................................................................................................................... The Incidence of Birth Defects (Congenital Anomalies), 1993-2003................................................................................................... The Incidence of Pregnancy Associated Hypertension, 1993-2003..................................................................................................... The Incidence of Anemia During Pregnancy, 1993-2003 .................................................................................................................. The Incidence of Diabetes During Pregnancy, 1993-2003 ................................................................................................................ Health Status Profile of American Indians in Arizona: 2003 Data Book 27 28 29 30 31 32 33 34 35 36 Health Status Profile of American Indians in Arizona: 2003 Data Book IV. ii CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND MOTHERS GIVING BIRTH BY PLACE OF RESIDENCE IN ARIZONA IN 2003................ 37 SOCIODEMOGRAPHIC CHARACTERISTICS 4.1 4.2 4.3 4.4 4.5 4.6 Maternal Age ............................................................................................................................................................................ Educational Attainment of Mother ................................................................................................................................................ Marital Status of Mother ............................................................................................................................................................. Race/Ethnicity of Father ............................................................................................................................................................. Age of Father............................................................................................................................................................................ Source of Payment for Labor and Delivery..................................................................................................................................... 41 42 43 44 45 46 MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS 4.7 4.8 4.9 Maternal Weight Gain During Pregnancy ....................................................................................................................................... 49 Medical Risk Factors of Pregnancy................................................................................................................................................ 50 Substance Use During Pregnancy................................................................................................................................................. 51 UTILIZATION OF MEDICAL SERVICES 4.10 4.11 4.12 4.13 4.14 4.15 Trimester of Pregnancy Prenatal Care Began ................................................................................................................................. Number of Prenatal Visits ........................................................................................................................................................... Obstetric Procedures.................................................................................................................................................................. Complications of Labor and Delivery............................................................................................................................................. Method of Delivery .................................................................................................................................................................... Attendant at Birth...................................................................................................................................................................... 4.16 4.17 4.18 4.19 4.20 4.21 NEWBORN’S HEALTH Gestational Age......................................................................................................................................................................... Weight At Birth ......................................................................................................................................................................... Abnormal Conditions of the Newborn............................................................................................................................................ Congenital Anomalies (Birth Defects) ........................................................................................................................................... Causes of Infant Death Among American Indian Residents, Arizona, 2003 ......................................................................................... Comparison of Selected Characteristics of American Indian Newborns and Women Giving Birth By County of Residence, Arizona, 2003......................................................................................................................................... 55 56 57 58 59 60 63 64 65 66 67 68 V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2003 ..................................................... 73 AGE-SPECIFIC MORTALITY 5.1 5.2 5.3 Age-Specific Mortality Among American Indians in 2003.................................................................................................................. 77 Age-Specific Mortality Among American Indian Males in 2003 .......................................................................................................... 78 Age-Specific Mortality Among American Indian Females in 2003 ....................................................................................................... 79 CAUSE-SPECIFIC MORTALITY 5.4 5.5 5.6 5.7 Deaths Deaths Deaths Deaths by by by by Gender for Selected 113 Causes Among American Indians in 2003..................................................................................... Age Group for Selected 113 Causes Among American Indians in 2003 ................................................................................ Residence for Selected 113 Causes Among American Indians in 2003................................................................................. County of Residence for Selected 113 Causes Among American Indians in 2003 .................................................................. 83 87 92 98 TECHNICAL NOTES .................................................................................................................................................................................103 Sources of Data .......................................................................................................................................................................105 Definitions .............................................................................................................................................................................105 Rates .............................................................................................................................................................................105 Terms Related to Reproductive Health.................................................................................................................................105 Medical Terms Used on the Birth Certificate .................................................................................................................105 Medical risk factors of pregnancy ............................................................................................................................105 Complications of labor and delivery..........................................................................................................................106 Abnormal conditions of the newborn ........................................................................................................................106 Congenital anomalies of child..................................................................................................................................106 Terms Related to Mortality ................................................................................................................................................107 Cause-of-Death Categories and Comparability Ratios for Selected 113 Causes of Death...................................................108 APPENDIX A. TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA ............................................................................................................113 Health Status Profile of American Indians in Arizona: 2003 Data Book iii INTRODUCTION The report Health Status Profile of American Indians in Arizona: 2003 Data Book is the ninth annual update of population-level data on trends and patterns in natality and mortality among American Indians who were residents of specified tribal communities on reservations, and those who resided off reservation in Arizona in 2003. American Indian births are determined by mother's race as indicated on a birth certificate, that is, these are the births to American Indian mothers. American Indian deaths are determined by decedent's race as stated on the death certificate. The charts and tables comprising the 2003 Health Status Profile of American Indians in Arizona are grouped into five major sections: 1) a summary risk profile of American Indian residents of Arizona in 2003 on 70 indicators or measures of health status, 2) a comparison of American Indians’ standing in Arizona with respect to selected health objectives for the year 2010, 3) a section presenting trend data for 1993-2003 for selected health problems and health risks among American Indians and all residents of Arizona, 4) a four-part section concerned with the characteristics of American Indian newborns and mothers giving birth, 5) a two-part section focused on patterns of cause-specific mortality among American Indians by age group, gender and place of residence in Arizona in 2003. Beginning with the 2001 edition of the report, these tables have changed to accommodate a new listing of 113 specific causes of mortality. These sections are followed by the Technical Notes, which provide information about the sources of data and definitions of terms used in the report, as well as a comparison of cause-of-death categories classified by the Ninth (ICD-9) and the Tenth Revisions (ICD-10) of the International Classification of Diseases. The causes of death for 2000 - 2003 are classified by ICD-10. Beginning with the first edition of this report published in 1996, specific Indian reservations have been identified by tribal communities comprising them. However, this approach does not work very well for the tribes residing within the limits of an incorporated city (such as Yavapai Prescott Indian Tribe) or inside a metropolitan area (such as Salt River Pima-Maricopa Community, Fort McDowell Yavapai Nation, Gila River Indian Community or Fort Yuma Quechan Tribe). Health Status Profile of American Indians in Arizona: 2003 Data Book 1 Health Status Profile of American Indians in Arizona: 2003 Data Book 2 In this edition of the report, tribal affiliation combined with a specific place of residence was used in order to distinguish between American Indian residents of specified tribal communities and/or reservations, and those who resided off reservation in Arizona in 2003. For example, Pascua Yaquis are defined here as the American Indian residents of Guadalupe, South Tucson, Marana or Tucson whose tribal affiliation was Pascua Yaqui. Vital events to Pascua Yaqui Indians who resided in Glendale or Scottsdale are included among events occurring outside their tribal communities or “off reservation”. Similarly, the only American Indian residents of Prescott who are included in the counts of events for Yavapai-Prescott Indian Tribe are those affiliated with the Yavapai-Prescott Indian Tribe. Tribal affiliation is being used in this report only in its supplementary role and the tabulations of births and deaths in this publication are not by tribal membership but by place of residence in Arizona, as originally intended. A detailed classification of tribal communities in Arizona is available in the Appendix A. It no longer identifies the numeric codes associated with community names because they are not used in the mortality database and the extent to which they appear in the birth database is quite limited. Generally, the information about the usual place (or tribal community) of residence is quite poorly recorded in the electronic databases of births and deaths. Certain communities are altogether absent and many are underrepresented. Therefore, the tribe-or-reservation-specific counts of vital events in this report are not exact enumerations. Health Status Profile of American Indians in Arizona was intended as a data book: a basic reference for some of the most frequently requested vital event statistics. The five sections of the report were computer-generated and contain information with little or no accompanying narrative. In addition to bound form, the online versions of the report for 1995–2003 are available at http://www.azdhs.gov/plan/report/hspam/index.htm I. Risk Profile of American Indians in Arizona: An Overview of Selected Health Problems and Health Risks Among American Indians and All Residents of the State in 2003 Health Status Profile of American Indians in Arizona: 2003 Data Book 3 The risk profile presented on the following page summarizes how American Indians as a group compared in 2003 to the state average on 70 measures of health status. The 70 indicators used in the profile are individual measures of the various dimensions or facets of health status. The profile uses the percentages an ethnic group is above or below the statewide average on each of the specific measures. In order to represent the level of each indicator for American Indians in comparison to the overall state level, the following formula was used:* THE VALUE OF A RATE OR RATIO IN A SPECIFIED GROUP - 1.0 X 100 THE AVERAGE VALUE OF A RATE OR RATIO FOR ALL GROUPS The above formula produces a score of 0.0 for a group with the same value as the statewide average. A negative value indicates better than average standing on an indicator. A positive value indicates worse than average standing on an indicator. The profile visually describes the better-thanaverage and worse-than-average clusters of health status characteristics for American Indian residents of Arizona. Following the graphic profile is a detailed description of the 70 indicators. These indicators are organized around 9 major subject areas: (1) Teen Pregnancies, (2) Maternal Lifestyle and Health Characteristics, (3) Utilization of Prenatal Care Services, (4) Newborn's Health, (5) Mortality from Natural Causes (chronic or infectious diseases), (6) Mortality from Injuries, (7) Age-Specific Mortality, (8) Premature Mortality and (9) Reportable Diseases. In 2003, American Indians in Arizona had the second highest average score among all groups and second lowest rank of overall health status. They ranked 5th or 4th 39 times on 70 indicators, and they exceeded the statewide averages by a wider margin than any other group except Black or African Americans. American Indians ranked poorly on measures of maternal lifestyle and health as well as in utilization of prenatal care. High incidence of birth defects and high infant mortality, alcoholism, diabetes, motor vehicle accidents and mortality from unintentional injuries contributed to the premature death rate. This resulted in the second lowest ranking of American Indians in the relative healthiness among racial and ethnic groups in Arizona. _____________________________________________________ * The comparative risk profiles for American Indian, White non-Hispanic, Hispanic or Latino, Black or African American and Asian or Pacific Islander residents of Arizona were developed for a report “Differences in the Health Status Among Ethnic Group, Arizona, 2003”. In order to receive a copy of this publication, call the Bureau of Public Health Statistics at 602-542-7333. This and previously published reports also are available online at http://www.azdhs.gov/plan/report/dhsag/index.htm Health Status Profile of American Indians in Arizona: 2003 Data Book 5 2003 RISK PROFILE OF AMERICAN INDIANS (percent above or below the average rate or ratio for all Arizona residents in 2003) BETTER THAN AVERAGE 5-17.Alzheimer's disease 5-7.Lung cancer 5-10.Colorectal cancer 5-5.Chronic lower respiratory diseases 2-2.Tobacco use during pregnancy 5-3.Coronary heart disease 6-6.Drug-induced deaths 5-6.Malignant neoplasm (cancer) 5-2.Diseases of the heart 4-10.Neonatal mortality 5-1.Cardiovascular disease 5-8.Breast cancer 4-2.Incidence of newborn intensive 4-5.Born too small: <1,500 grams 3-3.No prenatal care 5-4.Cerebrovascular disease 2-9.Genital herpes during pregnancy 5-11.Prostate cancer 5-19.Essential (primary) hypertension 4-3.Born too early (preterm or < 37 weeks) 4-4.Born too small: <2,500 grams 9-5.Incidence of AIDS 4-1.Incidence of hyaline membrane 4-8.Sudden Infant Death Syndrome (SIDS) 4-9.Mortality of infants from low birthweight 6-8.Intentional self-harm (suicide) 6-5.Injury by firearms 5-15.HIV disease 5-20.Total mortality from all causes 4-7.Infant mortality 1-1.Pregnancies among females 19 and younger 8-3.Average age at death among females 1-4.Pregnancies among females 18-19 years 8-1.Average age at death from all causes 1-3.Pregnancies among females 15-17 years 8-2.Average age at death among males 3-1.No care in the 1st trimester 4-6.Incidence of congenital anomal 7-4.Mortality of middle-aged adults 45-64 years 6-3.Fall-related injuries 8-4.Deaths before expected years of life reached 2-10.Weight gain of less than 21 pounds 9-2.Incidence of gonorrhea 3-2.Fewer than five prenatal visit 6-4.Drowning mortality 2-1.Unmarried mothers 1-2.Pregnancies among females 14 and younger 7-1.Mortality of children 1-14 years 9-4.Incidence of genital herpes 5-9.Cervical cancer 4-11.Postneonatal mortality 2-8.Pregnancy-associated hypertension 6-9.Assault (homicide) 7-3.Mortality of young adults 20-44 years 2-4.Chronic hypertension 6-1.Unintentional injuries 5-18.Nephritis, nephrotic syndrome and nephrosis 5-12.Influenza and pneumonia 7-2.Mortality of adolescents 15-19 years 2-3.Alcohol use during pregnancy 9-1.Incidence of early syphilis 9-3.Incidence of chlamydia 5-13.Diabetes 2-6.Anemia during pregnancy 2-7.Diabetes during pregnancy 2-5.Dysfunctional labor 5-16.Septicemia 6-2.Motor vehicle-related injuries 5-14.Chronic liver disease and cirrhosis 6-7.Alcohol-induced deaths WORSE THAN AVERAGE -82.8 -72.2 -64.8 -57.3 -44.8 -35.7 -29.2 -28.7 -28.0 -27.9 -27.0 -25.8 -22.2 -18.2 -17.2 -17.1 -16.7 -16.3 -14.3 -6.7 -4.2 -500.0 0.0 0.0 0.0 0.0 4.1 5.4 12.5 14.9 15.4 15.6 19.6 24.0 24.2 25.0 27.7 27.9 30.0 40.0 44.3 54.3 61.9 62.4 63.9 66.7 75.7 78.6 86.4 87.7 90.9 100.0 103.6 126.5 128.9 133.3 142.4 144.6 151.7 160.2 166.7 171.6 174.7 174.9 175.0 185.7 200.0 207.1 227.8 237.4 0.0 -250.0 388.1 500.0 250.0 AVERAGE FOR ALL RESIDENTS Health Status Profile of American Indians in Arizona: 2003 Data Book 7 Health Status Profile of American Indians in Arizona: 2003 Data Book 8 AMERICAN INDIANS’ STANDING IN ARIZONA IN 2003 ON 70 INDICATORS OF HEALTH STATUS 1. TEEN PREGNANCIES Figure number (Number of pregnancies per 1,000 females in specified age group) Indicator 2003 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2003 1-1 Pregnancies among females 19 and younger 39.9 15.7 34.5 1-2 Pregnancies among females 14 and younger 2.5 78.6 1.4 1-3 Pregnancies among females 15-17 years old 52.0 25.0 41.6 1-4 Pregnancies among females 18-19 years old 134.2 24.0 108.2 Definitions The sum of live or younger The sum of live or younger The sum of live 15-17 years The sum of live 18-19 years births, fetal deaths, and abortions per 1,000 females aged 19 births, fetal deaths, and abortions per 1,000 females aged 14 births, fetal deaths, and abortions per 1,000 females aged births, fetal deaths, and abortions per 1,000 females aged 2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Figure number (All ratios are per 100 live births) Indicator 2003 ratio for American Indians Percent above or below the average ratio for all groups Average ratio for all groups in 2003 72.4 75.7 41.2 2-1 Unmarried mothers 2-2 Tobacco use during pregnancy 3.2 -44.8 5.8 2-3 Alcohol use during pregnancy 2.4 166.7 0.9 2-4 Chronic hypertension 0.7 133.3 0.3 2-5 Dysfunctional labor 2.4 200.0 0.8 2-6 Anemia during pregnancy 5.5 175.0 2.0 2-7 Diabetes during pregnancy 6.0 185.7 2.1 2-8 Pregnancy-associated hypertension 5.7 103.6 2.8 2-9 Genital herpes during pregnancy 0.5 -16.7 0.6 2-10 Weight gain of less than 21 pounds 31.9 61.9 19.7 Definitions The number of births to unmarried mothers per 100 births The number of mothers giving birth who self-reported tobacco use during pregnancy per 100 births The number of mothers giving birth who self-reported alcohol use during pregnancy per 100 births Blood pressure persistently greater than 140/90, diagnosed prior to onset of pregnancy or before the 20th week of gestation (the number of cases per 100 births). Failure to progress in a normal pattern of labor (the number of cases per 100 births). Hemoglobin level of less than 10.0 g/dL during pregnancy, or hematocrit of less than 30 percent during pregnancy (the number of cases per 100 births). Metabolic disorder characterized by excessive discharge of urine and persistent thirst; includes juvenile onset, adult onset and gestational diabetes during pregnancy (the number of cases per 100 births). An increase in blood pressure of at least 30 mm hg systolic or 15 mm hg diastolic on two measurements taken 6 hours apart after the 20th week of gestation (the number of cases per 100 births). Infection of the skin of the genital area by herpes simplex virus (the number of cases per 100 births). The number of women giving birth who gained less than 21 pounds per 100 births. 3. UTILIZATION OF PRENATAL CARE SERVICES Figure number (Per 100 live births) Indicator 2003 ratio for American Indians Percent above or below the average ratio for all groups Average ratio for all groups in 2003 3-1 No care in the 1st trimester 31.2 27.9 24.4 3-2 Fewer than five prenatal visits 11.8 63.9 7.2 3-3 No prenatal care 2.4 -17.2 2.9 Definition The number of mothers giving birth who received no prenatal care in the 1st trimester of pregnancy per 100 births. The number of mothers giving birth who had fewer than five prenatal visits during pregnancy per 100 births. The number of mothers giving birth who received no prenatal care during pregnancy per 100 births. 4. NEWBORN'S HEALTH Figure number (Infant, neonatal and postneonatal rates are per 1,000 live births. All other indicators are expressed per 100 live births). Indicator 2003 rate or ratio for American Indians Percent above or below the average rate or ratio for all groups Average rate or ratio for all groups in 2003 4-1 Incidence of hyaline membrane disease 0.3 0.0 0.3 4-2 Incidence of newborn intensive care 4.2 -22.2 5.4 4-3 Born too early (preterm or < 37 weeks) 9.8 -6.7 10.5 4-4 Born too small: low-birthweight (<2,500 grams) 6.8 -35.2 7.1 4-5 Born too small: very low-birthweight (<1,500 grams) 0.9 -18.2 1.1 4-6 Incidence of congenital anomalies (birth defects) 1.3 30.0 1.0 4-7 Infant mortality 7.5 15.4 6.5 4-8 Sudden Infant Death Syndrome (SIDS) 0.3 0.0 0.3 4-9 Mortality of infants from low birthweight/short gestation 0.9 0.0 0.9 4-10 Neonatal mortality 3.1 3.1 4.3 4-11 Postneonatal mortality 4.4 100.0 2.2 Health Status Profile of American Indians in Arizona: 2003 Data Book Definition The number of cases of hyaline membrane disease per 100 births. Hyaline membrane disease = a disorder primarily of prematurity, manifested clinically by respiratory distress and pathologically by pulmonary hyaline membranes and incomplete expansion of the lungs at birth. The number of babies admitted to Newborn Intensive Care units per 100 births The number of births before 37 weeks of gestation per 100 births. Preterm = any neonate whose birth occurs through the end of the last day of the 37th week (259th day), following onset of the last menstrual period. The number of newborns weighing less than 2,500 grams per 100 births. Low-birthweight = any neonate weighing less than 2,500 grams at birth (less than 5 pounds 8 ounces). The number of newborns weighing less than 1,500 grams per 100 births. Very low-birthweight = any neonate whose weight at birth is 1,500 grams or less (less than 3 pounds 5 ounces). The numbers of babies born with birth defects per 100 births. The number of infant deaths per 1,000 live births. Infant death = any death at any time from birth up to, but not including, the first year of age (364 days, 23 hours, 59 minutes from the moment of birth). The number of infant deaths from Sudden Infant Death Syndrome (ICD-10 code R95) per 1,000 live births The number of infant deaths from low- birthweight/short gestation (ICD-10 code P07) per 1,000 live births The number of neonatal deaths per 1,000 live births. Neonatal death = death of a liveborn neonate before the neonate becomes 28 days old (up to and including 27 days, 23 hours, 59 minutes from the moment of birth). The number of postneonatal deaths per 1,000 live births. Postneonatal death = any death of a liveborn infant at least 28 days of age but less than one year of age. 9 Health Status Profile of American Indians in Arizona: 2003 Data Book 10 5. MORTALITY FROM NATURAL CAUSES (chronic or infectious diseases) Figure number (Number of deaths per 100,000 population age-adjusted to 2000 standard. The causes of death are classified by the Tenth Revision of the International Classification of Diseases or ICD-10). Indicator 2003 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2003 5-1 Cardiovascular disease 188.6 27.0 258.4 5-2 Diseases of the heart 141.9 28.0 197.1 5-3 Coronary heart disease 100.7 -35.7 156.6 5-4 Cerebrovascular disease 36.4 -17.1 43.9 5-5 Chronic lower respiratory diseases 19.4 -57.3 45.4 5-6 Malignant neoplasm (cancer) 120.7 -28.7 169.4 5-7 Lung cancer 13.2 -72.2 47.4 5-8 Breast cancer 16.4 25.8 22.1 5-9 Cervical cancer 4.2 90.9 2.2 5-10 Colorectal cancer 6.3 -64.8 17.9 5-11 Prostate cancer 21.0 -16.3 25.1 5-12 Influenza and pneumonia 58.9 151.7 23.4 5-13 Diabetes 55.8 174.9 20.3 5-14 Chronic liver disease and cirrhosis 38.8 237.4 11.5 5-15 HIV disease 3.6 12.5 3.2 5-16 Septicemia 25.8 207.1 8.4 5-17 Alzheimer's disease 5.6 -82.8 32.5 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 24.7 144.6 10.1 5-19 Essential (primary) hypertension 5.4 -14.3 6.3 5-20 Total mortality from all causes 900.7 14.9 784.0 Definition The number of deaths from cardiovascular diseases (ICD-10 codes I00-I78) per 100,000 age-adjusted population. The number of deaths from disease of the heart (ICD-10 codes I00–I09, I11, I13, I20–I51) per 100,000 age-adjusted population. The number of deaths from coronary heart disease (ICD-10 codes I200-I259) per 100,000 age-adjusted population. The number of deaths from cerebrovascular disease (ICD-10 codes I60–I69) per 100,000 age-adjusted population. The number of deaths from chronic lower respiratory diseases (ICD-10 codes J40–J47) per 100,000 age-adjusted population. The number of deaths from cancer (ICD-10 codes C00–C97) per 100,000 age-adjusted population. The number of deaths from lung cancer (ICD-10 codes C33–C34) per 100,000 age-adjusted population. The number of deaths from breast cancer (ICD-10 code C50) per 100,00 ageadjusted female population. The number of deaths from cervical cancer (ICD-10 code C53) per 100,000 age-adjusted female population. The number of deaths from colorectal cancer (ICD-10 codes C18–C21) per 100,000 age-adjusted population. The number of deaths from prostate cancer (ICD-10 code C61) per 100,000 age-adjusted male population. The number of deaths from influenza and pneumonia (ICD-10 codes J10–J18) per 100,000 age-adjusted population. The number of deaths from diabetes (ICD-10 codes E10–E14) per 100,000 age-adjusted population. The number of deaths from chronic liver disease and cirrhosis (ICD-10 codes K70, K73–K74) per 100,000 age-adjusted population. The number of deaths from HIV disease (ICD-10 codes B20-B24) per 100,000 age-adjusted population. The number of deaths from septicemia (ICD-10 codes A40-A41) per 100,000 age-adjusted population. The number of deaths from Alzheimer’s disease (ICD-10 code G30) per 100,000 age-adjusted population. The number of deaths from nephritis, nephritic syndrome and nephrosis (ICD-10 codes N00–N07, N17–N19,N25–N27) per 100,000 age-adjusted population. The number of deaths from essential (primary) hypertension (ICD-10 codes I10, I12) per 100,000 age-adjusted population. Total number of deaths from all causes per 100,000 age-adjusted population. 6. MORTALITY FROM INJURIES Figure number (Number of deaths per 100,000 population age-adjusted to 2000 standard. The causes of death are classified by the Tenth Revision of the International Classification of Diseases or ICD-10. Drug-induced deaths include accidental, suicidal and homicidal poisoning by drugs, but also disorders due to use of psychoactive substances. Alcohol-induced deaths include accidental, suicidal and homicidal poisoning by drugs, but also disorders due to use of alcohol.) Indicator 2003 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2003 108.6 142.4 44.8 6-1 Unintentional injuries 6-2 Motor vehicle-related injuries 59.0 227.8 18.0 6-3 Fall-related injuries 12.7 44.3 8.8 6-4 Drowning mortality 2.5 66.7 1.5 6-5 Injury by firearms 15.6 5.4 14.8 6-6 Drug-induced deaths 8.5 -29.2 12.0 6-7 Alcohol-induced deaths 49.3 388.1 10.1 6.8 Intentional self-harm (suicide) 15.2 4.1 14.6 6-9 Assault (homicide) 18.8 126.5 8.3 Health Status Profile of American Indians in Arizona: 2003 Data Book Definition The number of deaths from unintentional injuries in accidents (ICD-10 codes V01– X59, Y85–Y86) per 100,000 age-adjusted population. The number of deaths from motor vehicle-related injuries (ICD-10 codes V02– V04, V09.0, V09.2, V12–V14, V19.0–V19.2, V19.4–V19.6,V20–V79, V80.3– V80.5,V81.0–V81.1,V82.0–V82.1, V83–V86,V87.0–V87.8,V88.0–V88.8, V89.0,V89.2) per 100,000 age-adjusted population. The number of deaths from fall-related injuries (ICD-10 codes W00-W19) per 100,000 age-adjusted population. The number of deaths due to accidental drowning and submersion (ICD-10 codes W65-W74) per 100,000 age-adjusted population. The number of deaths by firearms (ICD-10 codes W32–W34, X72–X74, X93–X95, Y22–Y24, Y35.0) per 100,000 age-adjusted population. Causes of death attributable to firearm mortality include accidental discharge of firearms, intentional self-harm (suicide) by discharge of firearms, assault (homicide) by discharge of firearms, discharge of firearms, undetermined intent; and legal intervention involving firearm discharge. Deaths from injury by firearms exclude deaths due to explosives and other causes indirectly related to firearms. The number of drug-induced deaths (ICD-10 codes 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–F16.9, F17.0, F17.3– F17.5, F17.7–F17.9, F18.0–F18.5, F18.7–F18.9, F19.0–F19.5, F19.7–F19.9, X40– X44, X60–X64, X85, Y10–Y14) per 100,000 age-adjusted population. Causes of death attributable to drug-induced mortality include selected codes from the ICD10 title Mental and behavioral disorders due to psychoactive substance use, accidental poisoning by and exposure to drugs, medicaments and biological substances; intentional self-poisoning (suicide) by and exposure to drugs; assault (homicide) by drugs, medicaments and biological substances; and poisoning by and exposure to drugs, medicaments and biological substances, undetermined intent. Drug-induced causes exclude accidents, homicides, and other causes indirectly related to drug use. Also excluded are newborn deaths associated with mother’s drug use. The number of alcohol-induced deaths (ICD-10 codes F10, G31.2, G62.1, I42.6, K29.2, K70, R78.0, X45, X65, Y15) per 100,000 age-adjusted population. Causes of death attributable to alcohol-induced mortality include mental and behavioral disorders due to alcohol use, degeneration of nervous system due to alcohol, alcoholic polyneuropathy, alcoholic cardiomyopathy, alcoholic gastritis, alcoholic liver disease, finding of alcohol in blood, accidental poisoning by and exposure to alcohol, intentional self-poisoning by and exposure to alcohol; and poisoning by and exposure to alcohol, undetermined intent. Alcohol-induced causes exclude accidents, homicides, and other causes indirectly related to alcohol use. The number of deaths due to intentional self-harm (ICD-10 codes X60-X84, Y87.0) per 100,000 age-adjusted population. The number of homicides (ICD-10 codes X85-X09, Y87.1) per 100,000 ageadjusted population. 11 Health Status Profile of American Indians in Arizona: 2003 Data Book 12 7. AGE-SPECIFIC MORTALITY Figure number (Number of deaths per 100,000 persons in specified group) Indicators 2003 rate for American Indians Percent above or below the average rate for all groups Average value for all groups in 2003 45.3 86.4 24.3 The number of deaths per 100,000 children 1-14 years old in 2003 The number of deaths per 100,000 adolescents 15-19 years old in 2003 Definition 7-1 Mortality of children 1-14 years old 7-2 Mortality of adolescents 15-19 years old 196.2 160.2 75.4 7-3 Mortality of young adults 20-44 years old 345.8 128.9 151.1 The number of deaths per 100,000 young adults 20-44 years old in 2003 7-4 Mortality of middle-aged adults 45-64 years old 914.9 40.0 653.7 The number of deaths per 100,000 middle-aged adults 45-64 years old in 2003 2003 value for American Indians Percent above or below the average value for all groups Average value for all groups in 2003 54.7 -24.2 72.2 The average age of Arizonans who died in 2003 50.3 -27.7 69.6 The average age of Arizona males who died in 2003 60.4 -19.6 75.1 The average age of Arizona females who died in 2003 54.3 50.8 The number of deaths before reaching 76.9 years (the life expectancy of all U.S. residents in 2003) per 100 deaths 2003 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2003 20.1 171.6 7.4 Figure number 8. PREMATURE MORTALITY 8-1 8-2 8-3 8-4 Indicators Average age at death from all causes Average age at death from all causes among males Average age at death from all causes among females Percent of total deaths before expected years of life reached 78.4 Definitions 9. REPORTABLE DISEASES Figure number (Number of cases per 100,000 persons in specified group) Indicators Definitions Number of reported cases of early syphilis per 100,000 population 9-1 Incidence of early syphilis 9-2 Incidence of gonorrhea 103.1 62.4 63.5 Number of reported cases of gonorrhea per 100,000 population 9-3 Incidence of chlamydia 623.9 174.7 227.1 Number of reported cases of chlamydia per 100,000 population 9-4 Incidence of genital herpes 30.4 87.7 16.2 Number of reported cases of genital herpes per 100,000 population 9-5 Incidence of AIDS 11.3 0.0 11.3 Number of reported cases of AIDS per 100,000 population II. COMPARISON OF AMERICAN INDIANS’ STANDING IN ARIZONA WITH RESPECT TO SELECTED HEALTH OBJECTIVES FOR THE YEAR 2010 Health Status Profile of American Indians in Arizona: 2003 Data Book 13 2.1. Early Prenatal Care National Year 2010 Objective (HP16-10a*): Increase to 90 percent the proportion of women giving birth who receive prenatal care in the first trimester of pregnancy 100.0 OBJECTIVE 90.0 80.0 70.0 60.0 50.0 40.0 30.0 20.0 Percent of American Indian women giving birth who received early prenatal care 10.0 0.0 American Indian 1993 53.5 1994 54.9 1995 57.0 1996 58.7 1997 60.0 1998 61.2 1999 64.1 2000 65.8 2001 64.6 2002 64.4 2003 68.8 Source: Table 1B-2 and Table 1B-14 in Arizona Health Status and Vital Statistics 2003. HP16-10a: Healthy People 2010 Objectives, objective 16-10a. Health Status Profile of American Indians in Arizona: 2003 Data Book 15 Health Status Profile of American Indians in Arizona: 2003 Data Book 16 2.2. Infant Mortality National Year 2010 Objective (HP16-1c): Reduce the rate of infant deaths to no more than 6 per 1,000 live births 15.0 12.0 9.0 OBJECTIVE 6.0 3.0 0.0 American Indian Number of infant deaths per 1,000 live births 1993 9.7 1994 10.5 1995 9.6 1996 9.4 1997 8.3 1998 11.4 1999 9.3 2000 9.6 2001 10.7 Source: Table 2C-2 in Arizona Health Status and Vital Statistics 2003. Infant deaths are by the race/ethnicity of the decedent. For consistency with the national data, the denominators used to calculate infant mortality rates are by race/ethnicity of mother. 2002 7.0 O B J E C T I V E 2003 7.5 2.3. Postneonatal Mortality National Year 2010 Objective (HP16-1e): Reduce postneonatal mortality to no more than 1.2 per 1,000 live births. 7.2 Number of postneonatal (i.e., at least 28 days of age but less than one year of age) deaths per 1,000 live births 6.0 4.8 3.6 2.4 1.2 0.0 American Indian OBJECTIVE 1993 3.6 1994 6.0 1995 5.9 1996 4.9 1997 4.9 1998 6.2 1999 3.8 2000 3.2 2001 6.6 2002 3.4 2003 4.4 Source: Table 2C-4 in Arizona Health Status and Vital Statistics 2003. Postneonatal deaths are by the race/ethnicity of the decedent. For consistency with the national data, the denominators used to calculate postneonatal mortality rates are by race/ethnicity of mother. Health Status Profile of American Indians in Arizona: 2003 Data Book 17 Health Status Profile of American Indians in Arizona: 2003 Data Book 18 2.4. Unintentional Injury Deaths National Year 2010 Objective (HP15-13): Reduce deaths caused by unintentional injuries to no more than 17.5 per 100,000 age-adjusted population 122.5 113.1 112.7 111.0 108.6 105.0 Number of unintentional injury deaths per 100,000 American Indian population (age-adjusted to the year 2000 standard) 87.5 70.0 52.5 35.0 17.5 17.5 0.0 OBJECTIVE 2000 2001 2002 2003 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2003. 2010 2.5. Motor Vehicle Crash Deaths National Year 2010 Objective (HP15-15): Reduce deaths caused by motor vehicle crashes to no more than 16 per 100,000 age-adjusted population 96.0 Number of deaths caused by motor vehicle crashes per 100,000 American Indian population (age-adjusted to the year 2000 standard) 80.0 74.2 63.2 64.0 65.9 59.0 48.0 32.0 16.0 16.0 OBJECTIVE 0.0 2000 2001 2002 2003 2010 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2003. Health Status Profile of American Indians in Arizona: 2003 Data Book 19 Health Status Profile of American Indians in Arizona: 2003 Data Book 20 2.6. Intentional Self-Harm (Suicide) National Year 2010 Objective (HP18-1): Reduce the suicide rate to no more than 10 per 100,000 age-adjusted population 20.0 17.9 16.2 15.4 Number of suicides per 100,000 American Indian population (age-adjusted to the year 2000 standard) 15.2 15.0 10.0 10.0 OBJECTIVE 5.0 0.0 2000 2001 2002 2003 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2003. 2010 2.7. Assault (Homicide) National Year 2010 Objective (HP15-32): Reduce the homicide rate to no more than 5 per 100,000 age-adjusted population 25.0 Number of homicides per 100,000 American Indian population (age-adjusted to the year 2000 standard) 20.3 20.0 18.8 17.2 15.0 14.9 10.0 5.0 5.0 0.0 2000 2001 2002 2003 OBJECTIVE 2010 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2003. Health Status Profile of American Indians in Arizona: 2003 Data Book 21 Health Status Profile of American Indians in Arizona: 2003 Data Book 22 2.8. Diabetes-related Deaths National Year 2010 Objective (HP5-5): Reduce the diabetes-related death rate to no more than 45 per 100,000 age-adjusted population 180.0 155.7 135.0 129.3 Number of deaths due to diabetes reported as the underlying or multiple cause of death per 100,000 American Indian population (age-adjusted to the year 2000 standard) 134.4 118.7 90.0 45.0 OBJECTIVE 0.0 2000 2001 2002 2003 2010 2.9. Cirrhosis Deaths National Year 2010 Objective (HP26-2): Reduce the cirrhosis* death rate to no more than 3 per 100,000 age-adjusted population 75.0 Number of deaths due to chronic liver disease and cirrhosis reported as the underlying cause of death per 100,000 American Indian population (age-adjusted to the year 2000 standard) 61.7 60.0 45.0 39.7 40.5 38.8 30.0 15.0 3.0 0.0 2000 2001 2002 2003 OBJECTIVE 2010 *Chronic liver disease and cirrhosis (ICD-10 codes K70, K73-K74). Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2003. Health Status Profile of American Indians in Arizona: 2003 Data Book 23 Health Status Profile of American Indians in Arizona: 2003 Data Book 24 2.10. Cervical Cancer Deaths National Year 2010 Objective (HP3-4): Reduce the cervical cancer death rate to no more than 2 per 100,000 age-adjusted female population 14.0 12.0 10.0 Number of deaths due to cancer of the uterine cervix reported as the underlying cause of death per 100,000 American Indian female population (age-adjusted to the year 2000 standard) 10.1 8.0 6.0 5.4 4.7 4.0 4.2 2.0 2.0 OBJECTIVE 0.0 2000 2001 2002 2003 *Note: These rates based on fewer than 10 deaths/year are not statistically reliable. Source: Table 2B-4 in Arizona Health Status and Vital Statistics 2003. 2010 III. TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS AND ALL RESIDENTS OF ARIZONA, 1993-2003 Health Status Profile of American Indians in Arizona: 2003 Data Book 25 3.1. Average Age At Death From All Causes, 1993-2003 Age At Death: 80.0 68.5 68.7 68.6 68.4 68.5 69.6 71.0 71.2 71.7 71.6 71.2 68.6 68.4 68.5 69.6 71.0 71.2 71.7 71.6 71.2 71.5 72.2 60.0 40.0 51.9 52.0 52.2 52.9 55.4 56.5 55.7 55.4 54.3 55.8 54.7 20.0 0.0 1993 1994 1995 1996 1997 1998 1999 American Indians 2000 2001 2002 2003 All Arizonans Source: Table 2D-1 in Arizona Health Status and Vital Statistics 2003. Health Status Profile of American Indians in Arizona: 2003 Data Book 27 Health Status Profile of American Indians in Arizona: 2003 Data Book 28 3.2. Births to Unmarried Mothers, 1993-2003 Per 100 births: 80.0 60.0 64.8 66.4 67.5 67.8 68.4 68.2 69.2 68.5 70.1 69.7 40.0 37.8 20.0 38.2 38.2 38.8 37.7 38.4 38.8 39.3 39.4 40.2 41.2 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 All Arizonans American Indians Source: Table 1B-2 and Table 1B-13 in Arizona Health Status and Vital Statistics 2003. 72.4 3.3. The Incidence of Gonorrhea, 1993-2003 200.0 The number of reported cases of gonorrhea per 100,000 population 160.0 120.0 80.0 40.0 0.0 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 All Arizonans 105.8 89.3 91.8 83.0 82.6 88.3 86.8 80.0 73.9 68.9 63.5 American Indians 156.2 119.1 91.7 65.9 55.8 91.8 81.5 105.1 115.5 107.7 103.1 Source: Figure 3B-1, Table 3B-4 and Table 3B-5 in Arizona Health Status and Vital Statistics 2003. The rates were provided by the Office of HIV/STD Services in the Bureau of Epidemiology and Disease Control, ADHS Health Status Profile of American Indians in Arizona: 2003 Data Book 29 Health Status Profile of American Indians in Arizona: 2003 Data Book 30 3.4. The Incidence of Low-Birthweight Births, 1993-2003 Per 100 births: 8.0 The number of newborns weighing less than 2,500 grams per 100 births 7.5 7.0 6.5 6.0 5.5 5.0 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 American Indians 6.5 5.8 6.2 6.6 6.6 6.6 7.4 6.7 7.3 6.5 6.8 All Arizonans 6.7 6.8 6.8 6.8 6.9 6.8 6.9 7.0 7.0 6.8 7.1 Source: Table 1B-2 and Table 1B-12 in Arizona Health Status and Vital Statistics 2003. 3.5. The Incidence of Fetal Alcohol Syndrome, 1993-2003 Per 1,000 live births 2.50 2.00 1.50 1.00 0.50 0.00 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 American Indians 0.69 2.00 0.59 1.30 1.70 0.60 0.60 0.36 0.19 0.36 0.00 All Arizonans 0.12 0.20 0.14 0.20 0.20 0.10 0.10 0.05 0.05 0.03 0.00 Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2003. Health Status Profile of American Indians in Arizona: 2003 Data Book 31 Health Status Profile of American Indians in Arizona: 2003 Data Book 32 3.6. Births to Teenage Mothers,* 1993-2003 Per 100 live births 21.0 18.1 19.8 18.4 18.3 19.8 19.5 20.3 19.5 18.6 18.4 20.3 19.8 19.8 19.4 19.0 18.7 19.4 18.0 15.0 American Indians 12.0 9.0 18.3 15.2 15.1 15.2 15.0 18.6 14.7 18.4 15.0 14.9 14.3 19.4 19.0 13.8 13.1 12.9 6.0 3.0 0.0 1993 1994 * 19 or younger. 1995 1996 1997 1998 All Arizonans 1999 2000 2001 2002 2003 American Indians Source: Table 1B-2 and Table 1B-14 in Arizona Health Status and Vital Statistics 2003. 3.7. The Incidence of Birth Defects (Congenital Anomalies), 1993-2003 Per 100 births 3.5 2.6 1.9 2.8 2.8 2.6 2.6 2.8 2.6 2.5 2.6 1.2 1.5 1.7 1.8 1.5 2.9 2.2 1.9 1.9 1.9 1.9 2.9 1.9 1.4 2.9 2.5 1.7 2.1 0.7 2.9 2.2 1.3 1.3 1.8 1.3 1.3 1.3 1.3 1.0 0.0 1993 1994 1995 1996 1997 1998 All Arizonans 1999 2000 2001 2002 2003 American Indians Source: Table 1B-35 in Arizona Health Status and Vital Statistics 2003. Health Status Profile of American Indians in Arizona: 2003 Data Book 33 Health Status Profile of American Indians in Arizona: 2003 Data Book 34 3.8. The Incidence of Pregnancy Associated Hypertension, 1993-2003 Per 1,000 births 70.0 60.0 50.0 65.3 40.0 46.0 53.0 46.0 48.0 53.3 56.0 55.7 56.1 57.1 57.1 46.0 30.0 20.0 28.0 29.0 24.0 25.1 26.0 27.7 28.5 30.4 26.3 28.0 25.2 10.0 0.0 1993 1994 1995 1996 1997 1998 All Arizona mothers 1999 2000 2001 2002 2003 American Indian mothers Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2003. 3.9. The Incidence of Anemia During Pregnancy, 1993-2003 Per 1,000 births 70.0 60.0 50.0 40.0 65.0 59.7 55.0 30.0 41.0 44.7 44.0 50.6 43.2 48.4 51.0 54.8 20.0 10.0 21.0 21.0 16.0 14.4 14.4 18.6 20.7 16.8 16.0 18.1 20.2 0.0 1993 1994 1995 1996 1997 1998 All Arizona mothers 1999 2000 2001 2002 2003 American Indian mothers Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2003. Health Status Profile of American Indians in Arizona: 2003 Data Book 35 Health Status Profile of American Indians in Arizona: 2003 Data Book 36 IV. CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND MOTHERS GIVING BIRTH BY PLACE OF RESIDENCE IN ARIZONA IN 2003 Health Status Profile of American Indians in Arizona: 2003 Data Book 37 SOCIODEMOGRAPHIC CHARACTERISTICS Health Status Profile of American Indians in Arizona: 2003 Data Book 39 4.1 MATERNAL AGE (2003 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on Ak-Chin Indian Community reservation Ccocopah Tribe <15 15-17 18-19 20-24 25-29 30-34 35-39 40-44 45-49 5,881 37 434 670 1,928 1,415 835 457 100 5 13 0 1 1 5 2 3 1 0 0 11 0 2 3 2 2 2 0 0 0 Colorado River Indian Tribes 54 0 3 6 25 12 7 0 1 0 Fort McDowell Yavapai Nation 13 0 1 2 5 2 1 2 0 0 Fort Mojave Indian Tribe 12 0 1 3 3 4 0 0 1 0 Fort Yuma Quechan Tribe 12 0 1 1 6 2 2 0 0 0 191 5 17 18 63 51 26 8 3 0 7 0 0 0 3 0 2 2 0 0 123 1 8 15 30 25 26 13 4 1 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation 43 1 4 3 14 11 7 3 0 0 1,796 7 124 193 513 432 289 189 48 1 Pascua Yaqui Tribe 184 2 13 24 62 51 23 6 3 0 Salt River Pima-Maricopa Community 103 1 11 9 36 28 11 6 0 1 San Carlos Apache Tribe 221 3 33 44 68 42 20 8 3 0 Tohono O’Odham 177 2 15 30 47 34 30 16 3 0 White Mountain Apache Tribe 287 2 29 42 99 48 32 28 7 0 19 0 2 0 5 7 2 3 0 0 9 0 2 2 3 2 0 0 0 0 3,275 24 267 396 989 755 483 285 73 3 1,505 8 91 141 554 393 201 102 14 1 ---in Pima County 267 3 20 27 101 68 33 10 5 0 ---in Coconino County 315 1 17 25 119 86 42 23 1 1 ---elsewhere in Arizona 519 1 39 81 165 113 76 37 7 0 2,606 13 167 274 939 660 352 172 27 2 Navajo Nation Yavapai-Apache Nation Yavapai Prescott Indian Tribe TOTAL Resided off reservation Mother's Age Group ---in Maricopa County TOTAL Health Status Profile of American Indians in Arizona: 2003 Data Book 41 Health Status Profile of American Indians in Arizona: 2003 Data Book 42 4.2 EDUCATIONAL ATTAINMENT OF MOTHER (2003 STATUS) Mother's Education TOTAL BIRTHS 9-11 12 13-16 17+ Unknown 58 164 1,716 2,168 1,563 141 71 Ak-Chin Indian Community 13 0 0 4 8 1 0 0 Ccocopah Tribe 11 0 0 6 2 2 1 0 Colorado River Indian Tribes 54 0 1 11 26 15 0 1 Fort McDowell Yavapai Nation 13 0 0 6 4 2 0 1 Fort Mojave Indian Tribe 12 0 1 2 9 0 0 0 Fort Yuma Quechan Tribe 12 1 2 2 5 2 0 0 191 3 11 72 79 24 1 1 7 0 1 1 4 1 0 0 123 3 1 24 63 28 4 0 43 0 1 13 18 10 0 1 1,796 7 32 445 723 522 39 28 Pascua Yaqui Tribe 184 4 11 78 57 30 2 2 Salt River Pima-Maricopa Community 103 1 1 51 29 12 1 8 San Carlos Apache Tribe 221 2 4 90 79 42 2 2 Tohono O’Odham 177 5 8 80 60 21 1 2 White Mountain Apache Tribe 287 5 7 120 103 43 3 6 19 0 1 7 4 7 0 0 9 1 0 3 3 2 0 0 TOTAL 3,275 32 82 1,015 1,276 764 54 52 ---in Maricopa County 1,505 18 53 402 483 490 48 11 ---in Pima County 267 4 11 61 97 73 18 3 ---in Coconino County 315 0 3 68 113 115 14 2 ---elsewhere in AZ 519 4 15 170 199 121 7 3 2,606 26 82 701 892 799 87 19 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Apache Nation Yavapai Prescott Indian Tribe Resided off reservation 8 5,881 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation <8 TOTAL 4.3 MARITAL STATUS OF MOTHER (2003 STATUS) TOTAL BIRTHS Other* 1,570 4,255 56 Ak-Chin Indian Community 13 3 10 0 Ccocopah Tribe 11 2 9 0 54 17 36 1 13 3 10 0 Fort Mojave Indian Tribe 12 5 6 1 Fort Yuma Quechan Tribe 12 4 7 1 191 32 158 1 7 2 5 0 123 31 91 1 43 7 36 0 1,796 466 1,316 14 Pascua Yaqui Tribe 184 42 140 2 Salt River Pima-Maricopa Community 103 26 77 0 San Carlos Apache Tribe 221 41 177 3 Tohono O’Odham 177 19 157 1 White Mountain Apache Tribe 287 85 199 3 Yavapai-Apache Nation 19 3 15 1 9 1 8 0 TOTAL 3,275 789 2,457 29 ---in Maricopa County 1,505 451 1,037 17 ---in Pima County 267 82 183 2 ---in Coconino County 315 94 219 2 ---elsewhere in Arizona 519 154 359 6 2,606 781 1,798 27 Colorado River Indian Tribes Fort McDowell Yavapai Nation Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai Prescott Indian Tribe Resided off reservation Unmarried 5,881 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Marital Status Married TOTAL *Refused”, “Yes, divorced”, “Unknown”. Health Status Profile of American Indians in Arizona: 2003 Data Book 43 Health Status Profile of American Indians in Arizona: 2003 Data Book 44 4.4 RACE/ETHNICITY OF FATHER (2003 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Hispanic or Latino American Indian or Alaska Native Black or African American Asian or Pacific Islander Unknown 5,881 250 403 88 3,020 26 2,094 Ak-Chin Indian Community 13 0 2 1 5 0 5 Ccocopah Tribe 11 1 1 0 4 0 5 Colorado River Indian Tribes 54 6 5 0 26 0 17 Fort McDowell Yavapai Nation 13 0 0 1 7 0 5 Fort Mojave Indian Tribe 12 2 1 0 6 0 3 Fort Yuma Quechan Tribe 12 2 3 0 3 0 4 191 3 10 2 85 0 91 7 0 0 0 4 0 3 123 1 3 0 85 0 34 43 0 1 1 21 0 20 1,796 9 13 11 1,193 6 564 Pascua Yaqui Tribe 184 6 43 2 59 0 74 Salt River Pima-Maricopa Community 103 3 4 0 47 0 49 San Carlos Apache Tribe 221 0 5 3 143 0 70 Tohono O’Odham 177 1 1 0 86 0 89 White Mountain Apache Tribe 287 2 2 0 213 0 70 19 0 5 0 7 0 7 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Apache Nation Yavapai Prescott Indian Tribe Resided off reservation White nonHispanic 9 2 1 0 2 0 4 TOTAL 3,275 38 100 21 1,996 6 1,114 ---in Maricopa County 1,505 111 203 50 571 16 554 ---in Pima County 267 32 37 10 93 2 93 ---in Coconino County 315 15 12 1 171 1 115 ---elsewhere in Arizona TOTAL 519 54 51 6 189 1 218 2,606 212 303 67 1,024 20 980 4.5 AGE OF FATHER (2003 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on Ak-Chin Indian Community reservation Ccocopah Tribe Unknown 55+ 50-54 45-49 40-44 35-39 30-34 25-29 20-24 18-19 5,881 2 84 256 1,113 1,091 684 429 179 79 17 11 1,936 13 0 0 0 5 0 2 0 1 0 0 0 5 11 0 1 1 1 2 1 0 0 0 0 0 5 Colorado River Indian Tribes 54 0 1 5 14 11 7 1 2 0 0 0 13 Fort McDowell Yavapai Nation 13 0 0 0 3 2 2 1 0 0 0 0 5 Fort Mojave Indian Tribe 12 0 0 1 3 2 1 1 0 0 1 0 3 Fort Yuma Quechan Tribe 12 0 0 1 3 3 1 0 0 0 0 0 4 191 0 4 15 34 26 9 9 4 3 0 1 86 7 0 0 0 1 1 0 0 0 2 0 0 3 123 0 5 2 21 20 24 12 4 2 0 0 33 43 0 1 1 1 9 5 4 1 1 0 0 20 1,796 0 21 77 305 319 233 179 74 23 9 6 550 Pascua Yaqui Tribe 184 1 3 9 33 30 20 10 5 1 0 0 72 Salt River Pima-Maricopa Community 103 0 1 6 17 14 7 5 1 3 0 0 49 San Carlos Apache Tribe 221 1 9 18 62 34 13 9 3 1 1 0 70 Tohono O’Odham 177 0 3 11 19 30 13 5 5 2 0 0 89 White Mountain Apache Tribe 287 0 4 22 77 45 39 15 6 11 1 0 67 19 0 1 0 5 3 1 1 0 1 0 0 7 9 0 0 0 6 1 0 0 0 0 0 0 2 TOTAL 3,275 2 54 169 610 552 378 252 106 50 12 7 1,083 ---in Maricopa County 1,505 0 16 55 293 332 188 106 43 17 2 2 451 ---in Pima County 267 0 2 9 56 52 30 16 8 4 0 0 90 ---in Coconino County 315 0 3 9 57 69 36 24 8 1 1 0 107 ---elsewhere in Arizona 519 0 9 14 97 86 52 31 14 7 2 2 205 2,606 0 30 87 503 539 306 177 73 29 5 4 853 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Apache Nation Yavapai Prescott Indian Tribe Resided off reservation <15 TOTAL BIRTHS 15-17 Father's Age Group TOTAL Health Status Profile of American Indians in Arizona: 2003 Data Book 45 Health Status Profile of American Indians in Arizona: 2003 Data Book 46 4.6 SOURCE OF PAYMENT FOR LABOR AND DELIVERY (2003 STATUS) Payee for Birth TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on Ak-Chin Indian Community reservation Ccocopah Tribe Private Insurance IHS Self Unknown 5,881 3,140 1,508 829 36 368 13 5 1 7 0 0 11 7 1 3 0 0 Colorado River Indian Tribes 54 27 3 7 1 16 Fort McDowell Yavapai Nation 13 3 0 10 0 0 Fort Mojave Indian Tribe 12 4 0 2 0 6 Fort Yuma Quechan Tribe 12 11 0 1 0 0 191 112 12 62 1 4 7 6 0 0 0 1 123 37 70 6 0 10 43 36 0 7 0 0 1,796 793 711 71 3 218 Pascua Yaqui Tribe 184 132 38 12 1 1 Salt River Pima-Maricopa Community 103 68 20 11 1 3 San Carlos Apache Tribe 221 52 158 9 1 1 Tohono O’Odham 177 97 54 22 1 3 White Mountain Apache Tribe 287 167 105 12 1 2 19 8 2 9 0 0 9 7 0 2 0 0 TOTAL 3,275 1,572 1,175 253 10 265 ---in Maricopa County 1,505 867 224 364 10 40 ---in Pima County 267 152 46 66 2 1 ---in Coconino County 315 247 11 48 2 7 ---elsewhere in Arizona 519 302 52 98 12 55 2,606 1,568 333 576 26 103 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Apache Nation Yavapai Prescott Indian Tribe Resided off reservation AHCCCS TOTAL MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Health Status Profile of American Indians in Arizona: 2003 Data Book 47 4.7 MATERNAL WEIGHT GAIN DURING PREGNANCY (2003 STATUS) Weght Gain TOTAL BIRTHS 1-15 pounds None ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on Ak-Chin Indian Community reservation 21-24 pounds 25-30 pounds 31+ pounds Unknown 5,881 157 968 753 392 1,199 1,775 637 13 0 0 3 0 8 1 1 Yavapai-Apache Nation 19 1 2 2 1 6 4 3 Cocopah Tribe 11 0 0 0 0 8 2 1 Colorado River Indian Tribes 54 13 4 2 0 2 3 30 White Mountain Apache Tribe 287 2 46 36 20 29 77 77 Fort McDowell Yavapai Nation 13 0 1 1 2 3 6 0 Fort Mojave Indian Tribe 12 4 1 2 0 0 3 2 Fort Yuma Quechan Tribe 12 0 0 0 0 9 3 0 191 2 25 15 4 95 36 14 7 1 1 2 0 2 1 0 123 1 25 19 8 27 17 26 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation 43 0 1 9 1 15 17 0 1,796 68 436 280 141 274 391 206 Pascua Yaqui Tribe 184 0 25 25 18 35 71 10 Salt River Pima-Maricopa Community 103 1 15 10 8 20 29 20 San Carlos Apache Tribe 221 4 39 26 4 54 62 32 Tohono O'Odham Tribe 177 3 29 26 16 38 64 1 9 0 0 1 0 3 5 0 TOTAL 3,275 100 650 459 223 628 792 423 ---in Maricopa County 1,505 39 197 161 106 297 548 157 ---in Pima County 267 2 31 34 18 38 130 14 ---in Coconino County 315 3 26 35 17 82 133 19 ---elsewhere in Arizona 519 13 64 64 28 154 172 24 2,606 57 318 294 169 571 983 214 Navajo Nation Yavapai-Prescott Indian Tribe Resided off reservation 16-20 pounds TOTAL Health Status Profile of American Indians in Arizona: 2003 Data Book 49 Health Status Profile of American Indians in Arizona: 2003 Data Book 50 4.8 MEDICAL RISK FACTORS OF PREGNANCY (2003 STATUS) Uterine bleeding 32 60 47 10 7 21 2 1,265 Ak-Chin Indian Community 13 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 Ccocopah Tribe 11 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Colorado River Indian Tribes 54 15 0 0 0 2 1 0 0 0 1 1 0 0 0 0 0 0 10 Fort McDowell Yavapai Nation 13 6 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 3 Fort Mojave Indian Tribe 12 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 Fort Yuma Quechan Tribe 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 43 4 1 0 14 0 1 0 1 7 1 0 0 0 0 0 0 25 7 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 123 46 5 1 1 12 1 1 0 4 13 0 1 3 0 0 2 0 17 Havasupai Tribe Hopi Tribe Hualapai Nation Births with medical risk factors Other 336 Incompetent cervix Previous SGA infant RH sensitization Previous infant 4000+g 41 Renal disease Pregnancy associated hypertension 0 Eclampsia Chronic hypertension 85 Gila River Indian Community 43 4 0 0 0 1 0 0 0 0 2 2 0 0 0 0 0 0 3 1,796 625 99 4 8 114 2 47 0 16 113 7 34 23 6 0 3 0 278 Pascua Yaqui Tribe 184 41 0 0 0 7 0 3 0 0 10 0 0 1 0 0 0 0 26 Salt River Pima-Maricopa Community 103 56 12 0 1 11 4 1 0 0 5 0 0 1 0 0 0 0 37 San Carlos Apache Tribe 221 111 27 0 1 14 1 0 0 4 15 1 2 0 0 1 0 0 66 Tohono O’Odham 177 39 0 0 0 6 0 2 0 1 12 0 0 0 0 0 0 0 24 White Mountain Apache Tribe 287 146 18 0 5 21 1 1 0 0 18 5 4 5 2 0 9 0 110 19 7 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 1 5 9 6 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 TOTAL 3,275 1,156 166 6 16 209 10 57 0 26 196 17 41 33 8 1 14 1 619 ---in Maricopa County Navajo Nation Yavapai-Apache Nation Yavapai Prescott Indian Tribe Resided off reservation Hemoglobinopathy 28 Hydramnios 353 Genital herpes 21 Diabetes 9 Lung disease 322 Anemia 2,132 TOTAL BIRTHS 5,881 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Cardiac disease Medical Risk Factors 1,505 648 128 2 3 89 9 22 0 4 64 5 12 10 1 4 2 1 451 ---in Pima County 267 72 7 0 0 12 1 0 0 0 17 5 0 2 0 2 0 0 44 ---in Coconino County 315 113 3 0 0 20 4 3 0 6 37 4 1 0 0 0 4 0 54 519 143 18 1 2 23 4 3 0 5 22 1 6 2 1 0 1 0 97 2,606 976 156 3 5 144 18 28 0 15 140 15 19 14 2 6 7 1 646 ---elsewhere in Arizona TOTAL 4.9 SUBSTANCE USE DURING PREGNANCY (2003 STATUS) Substance Use TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Drinker, nonsmoker Smoker and drinker Nonsmoker and nondrinker 5,881 83 127 59 5,612 Ak-Chin Indian Community 13 0 0 0 13 Ccocopah Tribe 11 0 0 0 11 Colorado River Indian Tribes 54 0 2 1 51 Fort McDowell Yavapai Nation 13 0 1 0 12 Fort Mojave Indian Tribe 12 0 1 0 11 Fort Yuma Quechan Tribe 12 0 0 0 12 191 2 4 1 184 7 0 0 0 7 123 4 1 0 118 43 0 2 2 39 1,796 21 15 9 1,751 Pascua Yaqui Tribe 184 0 3 3 178 Salt River Pima-Maricopa Community 103 2 3 1 97 San Carlos Apache Tribe 221 9 3 4 205 Tohono O’Odham 177 4 1 2 170 White Mountain Apache Tribe 287 19 9 6 253 19 0 1 0 18 9 0 2 0 7 TOTAL 3,275 61 48 29 3,137 ---in Maricopa County 1,505 15 55 16 1,419 ---in Pima County 267 0 3 4 260 ---in Coconino County 315 3 1 2 309 519 4 20 8 487 2,606 22 79 30 2,475 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Apache Nation Yavapai Prescott Indian Tribe Resided off reservation Smoker, nondrinker ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona: 2003 Data Book 51 Utilization of Medical Services Health Status Profile of American Indians in Arizona: 2003 Data Book 53 4.10 TRIMESTER OF PREGNANCY PRENATAL CARE BEGAN (2003 STATUS) Prenatal Care TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on Ak-Chin Indian Community reservation Ccocopah Tribe 1st Trimester 2nd Trimester 3rd Trimester Unknown 5,881 144 4,045 1,217 350 125 13 0 13 0 0 0 11 0 5 4 2 0 Colorado River Indian Tribes 54 2 30 5 2 15 Fort McDowell Yavapai Nation 13 0 9 3 1 0 Fort Mojave Indian Tribe 12 0 6 2 2 2 Fort Yuma Quechan Tribe 12 0 6 5 1 0 191 4 170 13 3 1 Gila River Indian Community Havasupai Tribe 7 0 3 0 0 4 123 3 77 33 7 3 43 0 24 1 0 18 1,796 23 1,140 481 124 28 Pascua Yaqui Tribe 184 9 125 41 9 0 Salt River Pima-Maricopa Community 103 3 79 13 4 4 San Carlos Apache Tribe 221 11 118 49 28 15 Tohono O’Odham 177 10 111 40 15 1 White Mountain Apache Tribe 287 12 183 68 21 3 19 1 14 3 1 0 Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Apache Nation Yavapai Prescott Indian Tribe Resided off reservation No care 9 0 6 3 0 0 TOTAL 3,275 78 2,119 764 220 94 ---in Maricopa County 1,505 45 1,186 213 55 6 ---in Pima County 267 7 184 53 18 5 ---in Coconino County 315 1 238 61 11 4 ---elsewhere in Arizona 519 13 318 126 46 16 2,606 66 1,926 453 130 31 TOTAL Health Status Profile of American Indians in Arizona: 2003 Data Book 55 Health Status Profile of American Indians in Arizona: 2003 Data Book 56 4.11 NUMBER OF PRENATAL VISITS (2003 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on Ak-Chin Indian Community reservation Ccocopah Tribe No visits 1-4 visits 5-8 visits 9-12 visits 13+ visits Unknown 5,881 144 548 1,454 2,387 1,197 151 13 0 0 0 11 2 0 11 0 3 4 2 2 0 Colorado River Indian Tribes 54 2 8 7 11 9 17 Fort McDowell Yavapai Nation 13 0 1 3 7 2 0 Fort Mojave Indian Tribe 12 0 1 4 1 1 5 Fort Yuma Quechan Tribe 12 0 0 3 7 2 0 191 4 5 17 150 13 2 7 0 1 1 3 0 2 123 3 14 36 38 30 2 43 0 2 18 15 2 6 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation 1,796 23 193 513 663 373 31 Pascua Yaqui Tribe 184 9 10 38 62 65 0 Salt River Pima-Maricopa Community 103 3 9 30 35 15 11 San Carlos Apache Tribe 221 11 54 77 46 17 16 Tohono O’Odham 177 10 22 49 60 34 2 White Mountain Apache Tribe 287 12 39 96 104 33 3 Yavapai-Apache Nation 19 1 2 6 8 2 0 9 0 0 2 5 2 0 TOTAL 3,275 78 364 904 1,228 604 97 ---in Maricopa County 1,505 45 78 279 700 374 29 ---in Pima County 267 7 20 67 94 74 5 ---in Coconino County 315 1 12 56 155 83 8 ---elsewhere in Arizona 519 13 74 148 210 62 12 2,606 66 184 550 1,159 593 54 Yavapai Prescott Indian Tribe Resided off reservation Prenatal Visits TOTAL 4.12 OBSTETRIC PROCEDURES (2003 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on Ak-Chin Indian Community reservation Ccocopah Tribe Other Ultrasound Tocolysis Stimulation of labor Induction of labor 5,519 45 5,022 888 793 128 3,399 567 13 0 13 1 0 1 11 4 11 0 11 1 0 1 11 1 Colorado River Indian Tribes 40 0 36 3 2 0 11 4 Fort McDowell Yavapai Nation 12 2 7 3 2 0 7 0 2 Fort Mojave Indian Tribe Fort Yuma Quechan Tribe Gila River Indian Community 8 0 4 0 2 0 5 12 0 12 0 0 1 12 0 188 1 186 15 13 7 155 54 Havasupai Tribe 7 0 7 2 2 0 1 0 108 0 101 26 16 0 33 3 43 1 43 9 8 0 0 0 1,622 11 1,532 295 242 19 939 42 Pascua Yaqui Tribe Salt River Pima-Maricopa Community San Carlos Apache Tribe 181 0 136 4 8 0 153 9 99 2 96 22 16 1 58 8 213 1 165 28 31 38 130 47 Tohono O’Odham 174 0 127 0 1 0 163 2 White Mountain Apache Tribe 275 2 241 48 76 14 249 130 19 0 19 1 0 0 14 0 9 0 9 4 3 0 7 1 TOTAL 3,034 20 2,745 462 422 82 1,959 307 ---in Maricopa County 1,445 16 1,336 234 244 27 780 190 ---in Pima County 265 1 224 32 20 0 252 10 ---in Coconino County 306 5 291 105 49 0 102 3 ---elsewhere in Arizona 469 3 426 55 58 19 306 57 2,485 25 2,277 426 371 46 1,440 260 Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Apache Nation Yavapai Prescott Indian Tribe Resided off reservation Electronic Fetal Monitoring TOTAL BIRTHS Amniocentesis Obstetric Procedures TOTAL Health Status Profile of American Indians in Arizona: 2003 Data Book 57 Health Status Profile of American Indians in Arizona: 2003 Data Book 58 4.13 COMPLICATIONS OF LABOR AND DELIVERY (2003 STATUS) 108 83 141 176 32 9 2 167 809 0 1 0 0 0 0 0 0 0 0 Ccocopah Tribe 11 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 Colorado River Indian Tribes 54 15 1 3 1 0 0 0 0 0 0 0 1 0 0 0 0 10 Fort McDowell Yavapai Nation 13 4 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 2 Fort Mojave Indian Tribe 12 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 Fort Yuma Quechan Tribe 12 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 191 15 0 4 1 0 0 0 0 0 0 0 5 0 1 0 4 6 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 38 2 4 4 0 1 4 0 6 3 6 4 1 0 0 5 7 43 2 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 2 1,796 623 44 85 108 6 5 61 1 64 44 78 57 17 5 1 64 163 Pascua Yaqui Tribe 184 43 1 11 9 0 0 2 0 1 1 2 3 0 3 0 2 21 Salt River Pima-Maricopa Community 103 34 0 6 9 0 1 2 0 5 0 2 4 1 0 0 2 14 San Carlos Apache Tribe 221 54 1 7 2 1 0 4 0 4 0 1 4 0 0 1 5 34 Tohono O’Odham 177 29 0 8 3 0 1 1 0 2 0 0 4 0 0 0 6 7 White Mountain Apache Tribe 287 119 3 9 5 2 0 10 0 2 8 17 17 2 0 0 32 81 19 4 0 0 0 0 0 0 0 1 0 0 0 0 0 0 2 1 9 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 TOTAL 3,275 998 54 138 142 9 9 84 1 87 57 106 101 21 9 2 123 361 ---in Maricopa County 1,505 432 29 66 57 5 2 16 0 13 21 23 46 8 0 0 22 221 ---in Pima County 267 78 4 15 7 1 0 0 0 1 0 1 6 0 0 0 3 57 ---in Coconino County 315 89 0 11 6 1 0 3 0 2 1 1 11 0 0 0 4 66 519 150 3 7 11 1 2 2 0 5 4 10 12 3 0 0 15 104 2,606 749 36 99 81 8 4 21 0 21 26 35 75 11 0 0 44 448 Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Apache Nation Yavapai Prescott Indian Tribe ---elsewhere in Arizona TOTAL Other Meconium Febrile Fetal distress 1 0 Anesthetic Complic. Cephalopelvic disp. 105 1 Cord prolapse Breech malpresentation 13 0 Prolonged labor Dysfunctional labor Precipitous labor 17 0 Seizures 223 0 Other bleeding 237 1 Placenta previa 90 3 Gila River Indian Community Resided off reservation Abruptio placenta 1,747 13 Rupture of membrane 5,881 Ak-Chin Indian Community ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Births with complications TOTAL BIRTHS Complications of Labor and/or Delivery 4.14 METHOD OF DELIVERY (2003 STATUS) Method of Delivery TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on Ak-Chin Indian Community reservation Ccocopah Tribe Primary CSection Repeat CSection Forceps Vacuum 5,881 4,643 106 626 506 28 81 13 11 0 2 0 0 0 11 6 0 3 2 0 0 Colorado River Indian Tribes 54 33 1 14 6 1 0 Fort McDowell Yavapai Nation 13 10 0 0 3 0 0 Fort Mojave Indian Tribe 12 7 0 3 2 0 2 12 9 1 0 2 0 2 191 154 0 13 24 1 0 7 6 0 1 0 0 0 123 99 1 11 12 0 1 Fort Yuma Quechan Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation 43 31 0 4 8 0 1 1,796 1,483 56 150 107 6 18 Pascua Yaqui Tribe 184 148 3 18 15 0 1 Salt River Pima-Maricopa Community 103 77 4 13 9 0 2 San Carlos Apache Tribe 221 175 0 21 25 2 5 Tohono O’Odham 177 141 3 17 16 0 1 White Mountain Apache Tribe 287 228 6 30 23 7 6 19 15 0 2 2 0 0 Navajo Nation Yavapai-Apache Nation Yavapai Prescott Indian Tribe Resided off reservation Vaginal after CSection Vaginal 9 6 0 2 1 0 1 TOTAL 3,275 2,639 75 304 257 17 40 ---in Maricopa County 1,505 1,157 27 184 137 4 25 ---in Pima County 267 200 2 40 25 2 5 ---in Coconino County 315 249 1 34 31 0 4 ---elsewhere in Arizona 519 398 1 64 56 5 7 2,606 2,004 31 322 249 11 41 TOTAL Health Status Profile of American Indians in Arizona: 2003 Data Book 59 Health Status Profile of American Indians in Arizona: 2003 Data Book 60 4.15 ATTENDANT AT BIRTH (2003 STATUS) Attendant at Birth TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on Ak-Chin Indian Community reservation Ccocopah Tribe C.N.M. Midwife D.O. Other Unknown 5,881 3,450 1,782 73 475 37 64 13 9 0 0 4 0 0 11 6 5 0 0 0 0 Colorado River Indian Tribes 54 43 0 0 11 0 0 Fort McDowell Yavapai Nation 13 12 1 0 0 0 0 Fort Mojave Indian Tribe 12 9 0 0 2 0 1 Fort Yuma Quechan Tribe 12 4 8 0 0 0 0 191 134 6 0 50 1 0 7 7 0 0 0 0 0 123 65 52 0 6 0 0 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation 43 28 0 0 14 1 0 1,796 575 1,062 51 62 6 40 Pascua Yaqui Tribe 184 120 57 0 0 7 0 Salt River Pima-Maricopa Community 103 65 36 1 1 0 0 San Carlos Apache Tribe 221 204 13 0 3 0 1 Tohono O’Odham 177 164 4 0 1 8 0 White Mountain Apache Tribe 287 160 8 0 118 1 0 19 18 1 0 0 0 0 9 9 0 0 0 0 0 TOTAL 3,275 1,632 1,253 52 272 24 42 ---in Maricopa County 1,505 950 436 10 104 1 4 ---in Pima County 267 236 18 0 5 7 1 ---in Coconino County 315 287 15 0 10 1 2 ---elsewhere in Arizona 519 345 60 11 84 4 15 2,606 1,818 529 21 203 13 22 Navajo Nation Yavapai-Apache Nation Yavapai Prescott Indian Tribe Resided off reservation M.D. TOTAL Newborn’s Health Health Status Profile of American Indians in Arizona: 2003 Data Book 61 4.16 GESTATIONAL AGE (2003 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on Ak-Chin Indian Community reservation Ccocopah Tribe Unknown 5,881 579 480 4,787 5 30 13 2 2 9 0 0 11 0 2 9 0 0 Colorado River Indian Tribes 54 9 3 28 0 14 Fort McDowell Yavapai Nation 13 1 2 10 0 0 Fort Mojave Indian Tribe 12 1 0 5 0 6 Fort Yuma Quechan Tribe 12 0 2 10 0 0 191 24 12 155 0 0 7 1 0 6 0 0 123 14 13 94 1 1 43 8 2 33 0 0 1,796 149 124 1,518 2 3 Pascua Yaqui Tribe 184 27 15 142 0 0 Salt River Pima-Maricopa Community 103 8 6 89 0 0 San Carlos Apache Tribe 221 22 24 173 0 2 Tohono O’Odham 177 18 16 143 0 0 White Mountain Apache Tribe 287 50 33 204 0 0 19 0 4 15 0 0 9 0 0 9 0 0 TOTAL 3,275 334 260 2,652 3 26 ---in Maricopa County 1,505 137 123 1,244 0 1 ---in Pima County 267 32 21 214 0 0 ---in Coconino County 315 21 24 266 2 2 ---elsewhere in Arizona 519 55 52 411 0 1 2,606 245 220 2,135 2 4 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Apache Nation Yavapai Prescott Indian Tribe Resided off reservation <37 weeks Length of Gestation 38-43 37 weeks 43+ weeks weeks TOTAL Health Status Profile of American Indians in Arizona: 2003 Data Book 63 Health Status Profile of American Indians in Arizona: 2003 Data Book 64 4.17 WEIGHT AT BIRTH (2003 STATUS) Weight at Birth TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on Ak-Chin Indian Community reservation Ccocopah Tribe 1,000-1,499 1,500-2,499 2,500-3,999 4000+ Unknown 5,881 25 28 349 4,938 529 12 13 0 0 2 11 0 0 11 0 0 1 10 0 0 Colorado River Indian Tribes 54 0 0 1 48 5 0 Fort McDowell Yavapai Nation 13 0 0 0 11 2 0 Fort Mojave Indian Tribe 12 0 0 1 10 1 0 Fort Yuma Quechan Tribe 12 0 0 0 9 3 0 191 0 0 11 166 14 0 7 0 0 0 7 0 0 123 0 0 11 103 9 0 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation 43 0 1 5 35 2 0 1,796 5 12 104 1,529 137 9 Pascua Yaqui Tribe 184 1 1 16 143 23 0 Salt River Pima-Maricopa Community 103 1 0 1 93 8 0 San Carlos Apache Tribe 221 1 0 15 192 13 0 Tohono O’Odham 177 0 0 9 152 16 0 White Mountain Apache Tribe 287 0 1 23 253 10 0 19 0 0 0 16 3 0 9 0 0 0 9 0 0 TOTAL 3,275 8 15 200 2,797 246 9 ---in Maricopa County 1,505 6 9 75 1,232 183 0 ---in Pima County 267 2 1 23 209 32 0 ---in Coconino County 315 2 1 20 271 19 2 ---elsewhere in Arizona 519 7 2 31 429 49 1 2,606 17 13 149 2,141 283 3 Navajo Nation Yavapai-Apache Nation Yavapai Prescott Indian Tribe Resided off reservation <1,000 grams TOTAL 4.18 ABNORMAL CONDITIONS OF THE NEWBORN (2003 STATUS) Other Seizures Assisted vent >30 min. Assissted vent.<30 min Meconium aspiration Membrane disease Fetal Alcohol Syndrome Birth injury 5,881 342 7 6 0 18 14 44 65 15 242 13 0 0 0 0 0 0 0 0 0 0 11 2 0 0 0 0 0 0 1 0 2 Colorado River Indian Tribes 54 9 0 0 0 0 0 4 0 0 6 Fort McDowell Yavapai Nation 13 0 0 0 0 0 0 0 0 0 0 Fort Mojave Indian Tribe 12 2 0 0 0 0 0 0 0 0 2 Fort Yuma Quechan Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation 12 1 0 0 0 0 0 0 1 0 1 191 5 0 0 0 1 0 0 1 2 3 7 0 0 0 0 0 0 0 0 0 0 123 6 1 0 0 0 0 1 0 0 4 43 2 0 0 0 0 1 1 0 0 0 1,796 90 5 1 0 0 8 16 21 2 46 Pascua Yaqui Tribe 184 6 0 0 0 0 0 1 0 0 6 Salt River Pima-Maricopa Community 103 4 0 0 0 0 1 1 1 0 1 San Carlos Apache Tribe 221 25 0 0 0 0 1 0 0 1 23 Tohono O’Odham 177 4 0 0 0 0 0 0 0 0 4 White Mountain Apache Tribe 287 27 1 2 0 7 0 2 13 0 16 19 2 0 0 0 0 0 0 2 0 0 9 0 0 0 0 0 0 0 0 0 0 TOTAL 3,275 185 7 3 0 8 11 26 40 5 114 ---in Maricopa County 1,505 73 0 1 0 6 2 4 2 4 65 ---in Pima County 267 29 0 0 0 0 0 12 1 1 28 ---in Coconino County 315 21 0 0 0 0 0 0 5 2 14 519 34 0 2 0 4 1 2 17 3 21 2,606 157 0 3 0 10 3 18 25 10 128 Yavapai-Apache Nation Yavapai Prescott Indian Tribe Resided off reservation Anemia Births with abnormal conditions of the newborn TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on Ak-Chin Indian Community reservation Ccocopah Tribe Abnormal Conditions ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona: 2003 Data Book 65 Health Status Profile of American Indians in Arizona: 2003 Data Book 66 4.19 CONGENITAL ANOMALIES (BIRTH DEFECTS) (2003 STATUS) ALL AMERICAN INDIANS Resided on reservation Other Other Chromosomal Down's Syndrome Other Muscosceletal Diaphragmatic Hernia Club Foot Polydactyly Cleft Lip/Palate Other Urogenital Renal Agenesis Malformed Genitalia Other Gastrointestinal Omphalocele Fistula/Esoph. Atresia Rectal Atresia Other Respiratory /Circ.ulatory Heart Malformations Other CNS Anomaly Microcephalus Hydrocephalus Spina Bifida 5,881 76 0 0 0 0 0 2 3 0 0 2 0 1 0 3 14 3 0 1 2 6 1 41 Ak-Chin Indian Community 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Ccocopah Tribe 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribes 54 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 Fort McDowell Yavapai Nation 13 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Fort Mojave Indian Tribe 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Fort Yuma Quechan Tribe 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 191 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 123 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 43 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 1,796 23 0 0 0 0 0 1 0 0 0 1 0 1 0 0 5 1 0 0 1 4 0 10 Pascua Yaqui Tribe 184 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Salt River Pima-Maricopa Community 103 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 San Carlos Apache Tribe 221 8 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 4 Tohono O’Odham 177 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 White Mountain Apache Tribe 287 10 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 1 0 1 0 0 1 6 Yavapai-Apache Nation 19 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL 3,275 51 0 0 0 0 0 2 2 0 0 1 0 1 0 3 8 3 0 1 1 5 1 26 ---in Maricopa County 1,505 12 0 0 0 0 0 0 1 0 0 0 0 0 0 0 4 0 0 0 0 1 0 6 ---in Pima County 267 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 1 ---in Coconino County 315 4 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 2 ---elsewhere in Arizona 519 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 2,606 25 0 0 0 0 0 0 1 0 0 1 0 0 0 0 6 0 0 0 1 1 0 15 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai Prescott Indian Tribe Resided off reservation Anencephalus TOTAL BIRTHS Births with congenital anomalies Congenital Anomalies TOTAL 4.20 CAUSES OF INFANT DEATH AMONG AMERICAN INDIAN RESIDENTS, ARIZONA, 2003 Total, all causes TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County TOTAL ---in Maricopa County Resided off reservation White Mountain Apache Tribe San Carlos Apache Tribe Salt River Pima-Maricopa Community Pascua Yaqui Tribe Navajo Nation Total Colorado River Indian Tribes Resided on reservation 44 1 8 2 2 3 3 19 11 3 4 7 25 Congenital malformations 7 0 2 0 0 0 0 2 3 0 1 1 5 ---Congenital malformations of heart 3 0 0 0 0 0 0 0 1 0 1 1 3 11 0 3 1 0 1 1 6 1 2 2 0 5 ---Short gestation and low birth weight 5 0 2 0 0 1 0 3 0 0 2 0 2 ---Bacterial sepsis of newborn 1 0 0 0 0 0 0 0 0 1 0 0 1 ---Intrauterine hypoxia or birth asphyxia 1 0 1 0 0 0 0 1 0 0 0 0 0 ---Atelectasis 2 0 0 0 0 0 1 1 0 1 0 0 1 Assault (homicide) 5 0 1 0 0 1 0 2 2 0 0 1 3 Sudden death, unknown cause 4 1 0 1 0 0 0 2 0 0 0 2 2 ---Sudden infant death syndrome 2 0 0 1 0 0 0 1 0 0 0 1 1 ---Other sudden death 2 1 0 0 0 0 0 1 0 0 0 1 1 Accident (unintentional injury) 3 0 0 0 1 0 0 1 1 1 0 0 2 Influenza and pneumonia 3 0 1 0 0 0 1 2 1 0 0 0 1 Diseases of the circulatory system 1 0 1 0 0 0 0 1 0 0 0 0 0 Diseases of heart 1 0 1 0 0 0 0 1 0 0 0 0 0 Conditions originating in the perinatal period Health Status Profile of American Indians in Arizona: 2003 Data Book 67 Health Status Profile of American Indians in Arizona: 2003 Data Book 68 UNKNOWN LA PAZ YUMA YAVAPAI SANTA CRUZ PINAL PIMA NAVAJO MOHAVE 195 56 1,673 77 966 600 341 3 52 40 55 10 4 3 0 10 1 4 7 5 0 0 0 0 0 15-17 434 73 2 50 28 7 104 8 71 48 32 0 5 3 3 0 18-19 670 122 1 70 33 14 154 9 124 80 43 0 8 5 6 1 20-24 1,928 282 3 248 64 18 616 25 299 196 117 0 19 12 26 3 25-29 1,415 257 4 182 35 10 441 18 203 145 77 3 13 11 12 4 30-34 835 170 1 116 22 4 218 9 144 83 48 0 3 9 7 1 35-39 457 113 2 66 6 3 114 6 98 30 15 0 3 0 0 1 40-44 100 31 1 10 4 0 14 1 22 11 4 0 1 0 1 0 5 1 0 1 0 0 2 0 1 0 0 0 0 0 0 0 AHCCCS 3,140 461 3 369 57 14 969 54 557 359 204 3 34 28 28 0 IHS 1,508 334 1 305 124 41 251 0 290 135 21 0 2 1 3 0 829 38 10 59 11 1 398 13 68 97 102 0 15 10 7 0 36 0 0 4 1 0 11 1 2 4 10 0 1 1 1 0 368 219 0 10 2 0 44 9 49 5 4 0 0 0 16 10 Unknown <8 58 4 0 3 2 0 22 0 8 11 5 0 1 1 0 1 164 16 1 11 4 0 58 3 22 27 18 0 1 2 1 0 9-11 1,716 238 4 188 79 19 479 22 296 208 136 2 22 11 11 1 12 2,168 439 2 286 68 21 530 37 385 208 134 0 14 15 26 3 13-16 1,563 311 6 236 40 13 513 14 222 119 46 1 14 10 15 3 141 27 1 20 1 2 50 0 17 21 1 0 0 1 0 0 71 17 0 3 1 1 21 1 16 6 1 0 0 0 2 2 Married 1,570 270 8 209 43 10 495 20 271 135 63 1 12 13 17 3 Unmarried 4,255 777 6 532 149 45 1,161 56 686 460 275 0 38 26 37 7 56 5 0 6 3 1 17 1 9 5 3 2 2 1 1 0 None 157 67 2 8 4 1 40 5 8 5 3 0 1 0 13 0 1-16 pounds 968 231 0 165 36 6 221 5 176 81 36 0 5 0 4 2 16-20 pounds 753 163 3 99 25 5 182 12 151 76 29 0 5 0 2 1 8 17+ Unknown Other* Weight gain MARICOPA 747 0 Self Marital status GRAHAM 14 3 Private insurance Mother's education GILA 1,052 37 <15 45+ Payee for birth COCHISE 5,881 TOTAL Mother's age group APACHE TOTAL STATE COCONINO 4.21 COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2003 21-24 pounds 392 98 0 41 5 0 119 1 72 50 5 0 1 0 0 0 25-30 pounds 1,199 169 3 134 46 12 331 17 167 109 156 0 17 33 2 3 31+ pounds 1,775 255 6 197 50 25 596 34 226 258 94 3 19 6 3 3 637 69 0 103 29 7 184 3 166 21 18 0 4 1 31 1 Unknown * “Refused”, “Yes, divorced”, “Unknown”. Substance use UNKNOWN LA PAZ YUMA YAVAPAI SANTA CRUZ PINAL PIMA NAVAJO 7 2 17 0 28 4 3 0 0 1 0 0 2 5 2 60 3 14 6 10 0 7 0 3 0 Smoker and drinker 59 6 0 4 4 0 17 2 12 9 3 0 0 1 1 0 5,612 1,017 14 734 179 52 1,579 72 912 581 325 3 45 38 51 10 <37 weeks 579 83 3 54 22 5 152 12 110 73 47 0 3 3 9 3 37 weeks 480 67 1 56 21 6 136 3 97 48 28 1 9 4 3 0 4,787 899 10 631 150 45 1,384 55 757 479 266 2 40 33 29 7 5 0 0 4 0 0 0 0 1 0 0 0 0 0 0 0 Unknown 30 3 0 2 2 0 1 7 1 0 0 0 0 0 14 0 <1,000 grams 25 1 2 2 1 0 7 0 4 3 3 0 0 0 0 2 1,000-1,499 28 11 0 1 0 0 9 2 3 2 0 0 0 0 0 0 1,500-2,499 349 58 2 49 14 1 84 6 64 42 23 0 2 3 1 0 2,500-3,999 4,938 902 10 633 168 50 1,375 62 835 485 287 2 44 29 49 7 529 72 0 60 12 5 198 7 58 68 28 1 6 8 5 1 12 8 0 2 0 0 0 0 2 0 0 0 0 0 0 0 144 15 1 2 11 0 51 0 26 23 9 0 3 1 2 0 1st trimester 4,045 627 8 543 106 34 1,313 41 614 404 267 1 33 19 31 4 2nd trimester 1,217 302 4 167 44 10 238 9 239 126 44 2 13 14 5 0 3rd trimester 350 94 0 20 26 3 61 2 71 41 19 0 3 6 2 2 Unknown 125 14 1 15 8 9 10 25 16 6 2 0 0 0 15 4 No visits 144 15 1 2 11 0 51 0 26 23 9 0 3 1 2 0 1-4 visits 548 116 2 51 40 17 92 6 118 48 38 2 5 4 8 1 5-8 visits 1,454 297 4 163 61 25 320 30 322 149 47 0 14 12 7 3 9-12 visits 2,387 380 4 330 51 12 772 20 352 203 215 1 21 15 11 0 13+ visits 1,197 230 3 182 17 1 398 6 133 170 29 0 9 8 9 2 Unknown 151 14 0 19 15 1 40 15 15 7 3 0 0 0 18 4 Yes 249 28 1 39 10 2 63 6 40 36 13 0 1 7 3 0 5,604 1,004 13 705 185 54 1,610 68 924 564 328 3 51 33 52 10 Unknown 28 20 0 3 0 0 0 3 2 0 0 0 0 0 0 0 Amniocentesis 45 8 0 7 2 0 20 1 3 1 3 0 0 0 0 0 5,022 871 11 692 178 9 1,486 67 779 464 327 3 50 40 37 8 Induction of labor 888 137 0 219 32 1 263 12 150 35 20 0 11 3 3 2 Stimulation of labor 793 132 1 119 37 0 270 15 172 24 16 0 4 0 2 1 Tocolysis 128 13 0 6 40 3 29 0 19 0 12 0 0 5 0 1 No care No Obstetric procedures MOHAVE 7 0 Unknown Newborn intensive care MARICOPA 0 15 4000+ Prenatal visits GRAHAM 14 127 43+ weeks Prenatal care GILA 83 Smoker, nondrinker 38-43 weeks Weight at birth COCHISE Drinker, nonsmoker Nonsmoker and nondrinker Length of gestation APACHE TOTAL STATE COCONINO 4.21 (continued) COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2003 Electronic Fetal Monitoring Health Status Profile of American Indians in Arizona: 2003 Data Book 69 Health Status Profile of American Indians in Arizona: 2003 Data Book 70 100 50 869 10 535 562 287 3 41 40 12 3 14 10 42 210 3 171 14 68 0 1 1 4 Method of delivery 1 4,643 872 6 613 157 40 1,289 56 770 467 263 2 38 29 34 7 Vaginal after C-Section 106 34 0 9 0 0 33 0 21 6 0 0 0 1 1 1 Primary C-Section 626 85 4 70 18 9 201 9 90 72 39 1 8 4 14 2 Repeat C-Section 506 61 4 55 20 7 150 12 85 55 39 0 6 6 6 0 Forceps 28 6 0 0 3 0 5 0 10 2 0 1 0 0 1 0 Vacuum 81 12 0 8 2 5 27 4 12 7 1 0 1 2 0 Births with medical risk factors 0 2,132 372 8 257 105 18 736 12 376 135 66 1 24 2 16 4 322 74 0 18 28 0 143 0 46 7 5 0 1 0 0 0 9 3 0 1 0 0 2 0 2 0 1 0 0 0 0 0 21 6 0 0 0 1 4 0 9 0 0 0 1 0 0 0 353 65 1 54 10 6 105 2 57 23 22 0 5 0 2 1 Genital herpes 28 2 0 4 0 1 13 0 4 1 1 0 0 0 2 0 Hydramnios 85 29 1 12 0 0 24 0 11 5 2 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Chronic hypertension 41 10 0 11 2 3 4 0 8 1 2 0 0 0 0 0 Pregnancy associated hypertension Vaginal Total Anemia Cardiac disease Lung disease Diabetes Hemoglobinopathy Medical risk factors LA PAZ YUMA MOHAVE GRAHAM APACHE 336 61 0 67 17 1 70 2 64 39 10 1 2 0 1 1 Eclampsia 32 0 0 6 1 0 5 2 9 5 1 0 1 0 1 1 Previous infant 4000+g 60 20 1 12 2 0 12 0 12 0 1 0 0 0 0 0 Previous SGA infant 47 10 1 9 0 0 11 0 12 3 1 0 0 0 0 0 Renal disease 10 4 0 3 0 0 1 0 2 0 0 0 0 0 0 0 RH sensitization 7 0 0 0 1 0 4 0 0 2 0 0 0 0 0 0 Uterine bleeding 21 1 0 5 0 0 2 0 13 0 0 0 0 0 0 0 2 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1,265 159 7 110 67 9 514 10 238 77 40 0 19 2 11 2 342 56 4 34 16 13 83 5 67 34 9 0 3 7 9 2 Anemia 7 3 0 1 1 0 0 0 2 0 0 0 0 0 0 0 Birth injury 6 1 0 0 1 0 1 1 2 0 0 0 0 0 0 0 Fetal Alcohol Syndrome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Hyaline membrane disease 18 0 0 0 0 0 7 0 9 0 2 0 0 0 0 0 Meconium aspiration 14 5 0 2 1 0 3 1 2 0 0 0 0 0 0 0 Incompetent cervix Other Abnormal conditions of the newborn Abnormal conditions UNKNOWN PINAL 223 1 YAVAPAI PIMA 10 27 Other SANTA CRUZ NAVAJO 654 567 Ultrasound MARICOPA GILA 3,399 TOTAL STATE COCHISE COCONINO 4.21 (continued) COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2003 Total Congenital anomalies UNKNOWN LA PAZ YUMA YAVAPAI SANTA CRUZ PINAL PIMA NAVAJO MOHAVE MARICOPA GRAHAM GILA COCHISE Assisted vent>30 min. 65 16 0 8 1 0 4 0 22 1 2 0 3 6 0 2 Newborn seizures 15 1 0 3 2 0 4 0 2 1 2 0 0 0 0 0 242 27 4 17 14 13 72 2 41 33 7 0 0 5 6 1 76 9 1 11 5 3 14 2 24 3 1 0 1 0 2 0 Anencephalus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Spina bifida 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Hydrocephalus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Microcephalus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other CNS anomaly 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Heart malformations Other respiratory /circulatory Rectal atresia Tracheo-asophageal fistula / esophageal atresia Omphalocele/ gastroschisis Other gastrointestinal 2 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 3 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Malformed genitalia 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 Renal agenesis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other urogenital 3 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 14 3 0 1 0 0 4 2 2 2 0 0 0 0 0 0 Polydactyly 3 0 0 0 1 0 0 0 2 0 0 0 0 0 0 0 Club foot 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Diaphragmatic hernia 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 Other muscosceletal 2 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 Down's syndrome 6 0 0 1 1 0 1 0 3 0 0 0 0 0 0 0 Other chromosomal 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 41 6 1 4 1 3 8 1 14 1 0 0 0 0 2 0 Other Births with congenital anomalies APACHE TOTAL STATE COCONINO 4.21 (continued) COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2003 Total Cleft lip/palate Other Health Status Profile of American Indians in Arizona: 2003 Data Book 71 Health Status Profile of American Indians in Arizona: 2003 Data Book 72 UNKNOWN YAVAPAI 18 484 11 380 140 34 0 14 10 15 6 90 28 0 9 1 0 31 0 14 4 2 0 0 0 1 0 Meconium 237 51 1 23 7 0 75 0 39 32 4 0 0 2 3 0 Rupture of membrane 223 60 0 31 1 1 67 0 36 18 3 0 0 2 1 3 Abruptio placenta 17 3 0 2 1 0 5 0 4 1 1 0 0 0 0 0 Placenta previa 13 3 1 1 0 0 3 0 3 1 1 0 0 0 0 0 105 21 0 23 4 0 20 0 36 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 108 40 0 18 4 0 19 0 20 4 2 0 1 0 0 0 83 18 0 18 0 0 22 0 21 0 2 0 0 1 0 1 Dysfunctional labor 141 46 0 20 1 0 26 0 44 2 1 0 0 0 0 1 Breech malpresentation Cephalopelvic disproportion Cord prolapse 176 32 1 23 5 0 50 3 38 13 8 0 1 1 1 0 32 9 0 4 0 0 9 0 8 0 2 0 0 0 0 0 9 3 0 1 0 0 1 0 1 2 1 0 0 0 0 0 2 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 Fetal distress 167 35 2 23 7 0 24 0 55 11 6 0 3 1 0 0 Other 809 85 3 105 23 17 246 11 203 79 9 0 10 6 10 2 44 6 0 5 3 0 15 1 7 3 3 0 0 0 1 0 NEONATAL 18 4 0 2 2 0 3 0 3 2 2 0 0 0 0 0 Postneonatal 26 2 0 3 1 0 12 1 4 1 1 0 0 0 1 0 Febrile Seizures Precipitous labor Prolonged labor Anesthetic complications Total Note: there were no live births or infant deaths to American Indians in Greenlee County. YUMA PINAL LA PAZ PIMA 44 SANTA CRUZ NAVAJO MOHAVE MARICOPA GRAHAM 234 GILA 7 Other bleeding Infant mortality COCHISE 350 Total APACHE 1,747 TOTAL STATE Births with complications Complications of labor and/or delivery COCONINO 4.21 (continued) COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2003 V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2003 Health Status Profile of American Indians in Arizona: 2003 Data Book 73 AGE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona: 2003 Data Book 75 5.1 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIANS IN 2003 TOTAL DEATHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 1527 44 14 27 120 119 190 209 190 239 218 157 Ak-Chin Indian Community 2 0 0 0 0 1 0 0 0 0 0 1 Cocopah Tribe 4 0 0 0 0 1 0 0 1 0 1 1 26 1 0 0 2 2 1 4 4 1 3 8 7 0 0 0 1 0 1 3 0 0 1 1 Fort Mojave Indian Tribe 1 0 0 0 0 0 0 0 0 0 1 0 Fort Yuma Quechan Tribe 2 0 0 0 0 0 0 0 0 1 1 0 79 0 0 3 13 7 8 13 10 12 9 4 4 0 0 0 0 0 1 1 0 2 0 0 Hopi Tribe 62 0 1 1 7 5 7 10 4 10 8 9 Hualapai Nation 14 0 0 0 1 1 3 1 3 3 1 1 2 0 0 0 0 0 0 0 1 0 0 1 Colorado River Indian Tribes Fort McDowell Yavapai Nation Gila River Indian Community Havasupai Tribe Kaibab-Paiute Tribe Navajo Nation 465 8 4 7 39 29 54 42 45 66 96 75 Pascua Yaqui Tribe 56 2 0 3 1 2 10 5 11 14 7 1 Salt River Pima-Maricopa Community 24 2 0 1 1 2 8 3 4 3 0 0 San Carlos Apache Tribe 62 3 1 0 6 1 9 12 9 11 7 3 Tohono O'Odham Tribe 111 0 0 2 3 8 13 20 16 21 18 10 White Mountain Apache Tribe 100 3 3 3 14 13 14 13 15 12 9 1 Yavapai-Apache Nation 6 0 0 0 1 0 0 2 1 1 1 0 Yavapai-Prescott Indian Tribe 5 0 0 2 0 0 0 2 0 0 1 0 1032 19 9 22 89 72 129 131 124 157 164 116 TOTAL Resided off reservation Age Group <1 ---in Maricopa County 234 11 3 0 15 29 35 38 27 33 27 16 ---in Pima County 66 3 0 0 6 4 10 14 11 14 2 2 ---in Coconino County 34 4 2 2 1 5 3 5 4 5 1 2 ---elsewhere in Arizona 161 7 0 3 9 9 13 21 24 30 24 21 TOTAL 495 25 5 5 31 47 61 78 66 82 54 41 Health Status Profile of American Indians in Arizona: 2003 Data Book 77 Health Status Profile of American Indians in Arizona: 2003 Data Book 78 5.2 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN MALES IN 2003 TOTAL DEATHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe Colorado River Indian Tribes Fort McDowell Yavapai Nation Fort Yuma Quechan Tribe Gila River Indian Community Havasupai Tribe <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 864 22 7 21 90 87 132 126 104 124 95 56 1 0 0 0 0 1 0 0 0 0 0 0 3 0 0 0 0 1 0 0 1 0 1 0 12 0 0 0 2 0 1 3 2 0 1 3 4 0 0 0 0 0 1 2 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 45 0 0 3 9 5 6 10 4 5 2 1 2 0 0 0 0 0 1 1 0 0 0 0 43 0 1 1 6 4 6 7 3 6 6 3 Hualapai Nation 9 0 0 0 1 1 3 1 2 0 1 0 Kaibab-Paiute Tribe 2 0 0 0 0 0 0 0 1 0 0 1 267 4 0 7 34 24 38 30 27 35 39 29 Pascua Yaqui Tribe Salt River PimaMaricopa Community San Carlos Apache Tribe 29 2 0 1 1 0 6 4 6 5 4 0 13 1 0 0 0 2 7 1 1 1 0 0 34 2 0 0 5 1 8 5 3 6 3 1 Tohono O'Odham Tribe White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe TOTAL 66 0 0 1 3 6 8 15 10 10 9 4 64 0 2 2 10 11 11 6 10 8 4 0 3 0 0 0 1 0 0 1 1 0 0 0 2 0 0 1 0 0 0 0 0 0 1 0 600 9 3 16 72 56 96 86 71 77 72 42 ---in Maricopa County 117 6 2 0 8 19 20 17 12 20 9 4 ---in Pima County 38 2 0 0 2 4 8 9 6 5 1 1 ---in Coconino County 19 3 2 2 0 3 2 2 2 3 0 0 90 2 0 3 8 5 6 12 13 19 13 9 264 13 4 5 18 31 36 40 33 47 23 14 Hopi Tribe Navajo Nation Resided off reservation Age Group ---elsewhere in Arizona TOTAL 5.3 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN FEMALES IN 2003 TOTAL DEATHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 663 22 7 6 30 32 58 83 86 115 123 101 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 14 1 0 0 0 2 0 1 2 1 2 5 Fort McDowell Yavapai Nation 3 0 0 0 1 0 0 1 0 0 0 1 Fort Mojave Indian Tribe 1 0 0 0 0 0 0 0 0 0 1 0 0 Colorado River Indian Tribes Fort Yuma Quechan Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation 1 0 0 0 0 0 0 0 0 0 1 34 0 0 0 4 2 2 3 6 7 7 3 2 0 0 0 0 0 0 0 0 2 0 0 19 0 0 0 1 1 1 3 1 4 2 6 5 0 0 0 0 0 0 0 1 3 0 1 198 4 4 0 5 5 16 12 18 31 57 46 Pascua Yaqui Tribe 27 0 0 2 0 2 4 1 5 9 3 1 Salt River Pima-Maricopa Community 11 1 0 1 1 0 1 2 3 2 0 0 San Carlos Apache Tribe 28 1 1 0 1 0 1 7 6 5 4 2 Tohono O'Odham Tribe 45 0 0 1 0 2 5 5 6 11 9 6 White Mountain Apache Tribe 36 3 1 1 4 2 3 7 5 4 5 1 3 0 0 0 0 0 0 1 0 1 1 0 Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation Age Group <1 3 0 0 1 0 0 0 2 0 0 0 0 TOTAL 432 10 6 6 17 16 33 45 53 80 92 74 ---in Maricopa County 117 5 1 0 7 10 15 21 15 13 18 12 ---in Pima County 28 1 0 0 4 0 2 5 5 9 1 1 ---in Coconino County 15 1 0 0 1 2 1 3 2 2 1 2 ---elsewhere in Arizona 71 5 0 0 1 4 7 9 11 11 11 12 231 12 1 0 13 16 25 38 33 35 31 27 TOTAL Health Status Profile of American Indians in Arizona: 2003 Data Book 79 CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona: 2003 Data Book 81 5.4 DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Total, all causes Total Male Female 1527 864 663 Salmonella infections 1 0 1 Shigellosis and amebiasis 0 0 0 Certain other intestinal infections 1 1 0 Tuberculosis 0 0 0 Respiratory tuberculosis 0 0 0 Other tuberculosis 0 0 0 Whooping cough 0 0 0 Scarlet fever and erysipelas 0 0 0 Meningococcal infection 0 0 0 Septicemia 42 18 24 Syphilis 0 0 0 Acute poliomyelitis 0 0 0 Arthropod-borne encephalitis 1 1 0 Measles 0 0 0 Viral hepatitis 1 0 1 Human immunodeficiency virus (HIV) disease 9 7 2 Malaria 0 0 0 10 5 5 Other and unspecified infectious and parasitic diseases Malignant neoplasms 169 68 101 Malignant neoplasm of lip, oral cavity and pharynx 0 0 0 Malignant neoplasm of esophagus 2 2 0 Malignant neoplasm of stomach 9 4 5 Malignant neoplasm of colon, rectum, and anus 10 6 4 Malignant neoplasm of liver and intrahepatic bile ducts 14 7 7 Malignant neoplasm of pancreas 8 3 5 Malignant neoplasm of larynx 0 0 0 18 10 8 0 0 0 13 0 13 Malignant neoplasm of cervix uteri 3 0 3 Malignant neoplasm of corpus uteri and uterus, part unspecified 1 0 1 Malignant neoplasm of ovary 10 0 10 Malignant neoplasm of prostate 10 10 0 Malignant neoplasm of kidney and renal pelvis 11 5 6 Malignant neoplasm of trachea, bronchus and lung Malignant neoplasm of skin Malignant neoplasm of breast Health Status Profile of American Indians in Arizona: 2003 Data Book 83 Health Status Profile of American Indians in Arizona: 2003 Data Book 84 5.4 (continued) DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Malignant neoplasm of bladder Malignant neoplasm of meninges, brain and other parts of CNS Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin’s disease Non-Hodgkin’s lymphoma Leukemia Multiple myeloma and immunoproliferative neoplasms Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm In situ neoplasms Total Male Female 1 1 3 1 0 2 29 11 18 0 0 0 11 6 5 8 2 6 10 3 7 0 0 0 27 8 19 3 0 3 Anemias 1 0 1 Diabetes 82 35 47 5 2 3 5 2 3 0 0 0 Meningitis 2 1 1 Parkinson’s disease 8 4 4 Alzheimer’s disease 6 0 6 257 142 115 195 110 85 0 0 0 10 6 4 0 0 0 126 78 48 25 18 7 1 0 1 100 60 40 Atherosclerotic cardiovascular disease 48 29 19 All other forms of chronic ischemic heart disease 52 31 21 59 26 33 Acute and subacute endocarditis 4 3 1 Diseases of pericardium and acute myocarditis 0 0 0 Heart failure 13 6 7 All other forms of heart disease 42 17 25 7 2 5 Nutritional deficiencies Malnutrition Other nutritional deficiencies Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease Hypertensive heart and renal disease Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Other heart diseases Essential (primary) hypertension and hypertensive renal disease 5.4 (continued) DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Cerebrovascular diseases Total Male Female 50 27 23 Atherosclerosis 2 0 2 Other diseases of circulatory system 3 3 0 Aortic aneurysm and dissection 1 1 0 Other disease of arteries, arterioles and capillaries 2 2 0 2 2 0 76 40 36 Other disorders of circulatory system Influenza and pneumonia Influenza 1 0 1 75 40 35 Other acute lower respiratory infections 0 0 0 Acute bronchiolitis 0 0 0 Unspecified acute lower respiratory infection 0 0 0 25 11 14 Bronchitis, chronic and unspecified 3 1 2 Emphysema 2 2 0 Asthma 2 1 1 18 7 11 Pneumonia Chronic lower respiratory diseases Other chronic lower respiratory diseases Pneumoconioses and chemical effects 0 0 0 Pneumonitis due to solids and liquids 10 5 5 Other disease of respiratory system 19 10 9 Peptic ulcer 2 1 1 Diseases of appendix 1 0 1 Hernia 2 1 1 78 46 32 Alcoholic liver disease 63 38 25 Other chronic liver disease and cirrhosis 15 8 7 5 2 3 Chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis 37 18 19 Acute and rapidly progressive nephritic and nephrotic syndrome 0 0 0 Chronic glomerulonephritis 1 1 0 36 17 19 Renal failure 0 0 0 Infections of kidney Others disorders of kidney 1 0 1 Hyperplasia of prostate 0 0 0 Inflammatory diseases of female pelvic organs 0 0 0 Health Status Profile of American Indians in Arizona: 2003 Data Book 85 Health Status Profile of American Indians in Arizona: 2003 Data Book 86 5.4 DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Pregnancy, childbirth and the puerperium Total Male Female 2 0 2 Pregnancy with abortive outcome 1 0 1 Other complications of pregnancy, childbirth and the puerperium 1 0 1 Perinatal conditions 11 6 5 Congenital malformations 12 6 6 Symptoms, signs, abnormal findings 37 21 16 269 191 78 174 119 55 166 112 54 7 6 1 Total accidents Transport accidents Motor vehicle accidents Other land transport accidents Water, air, space Nontransport accidents Falls 1 1 0 95 72 23 19 12 7 Accidental discharge of firearms 1 1 0 Accidental drowning and submersion 7 6 1 Accidental exposure to smoke, fire and flames 4 3 1 Accidental poisoning 24 16 8 Other and unspecified nontransport accidents 40 34 6 47 41 6 By discharge of firearms 17 16 1 By other means 30 25 5 54 43 11 By discharge of firearms 20 18 2 By other means 34 25 9 Legal intervention 3 3 0 10 9 1 Discharge of firearms 2 2 0 Other and unspecified events of undetermined intent Intentional self-harm (suicide) Assault (homicide) Events of undetermined intent 8 7 1 Operations of war 0 0 0 Complications of medical and surgical care 4 1 3 INJURY BY FIREARMS 43 40 3 DRUG-INDUCED DEATHS 21 13 8 105 70 35 ALCOHOL-INDUCED DEATHS 5.5 DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Total, all causes Age Group Total <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 1527 44 14 27 120 119 190 209 190 239 218 157 Salmonella infections 1 0 0 0 0 0 0 0 0 1 0 0 Shigellosis and amebiasis 0 0 0 0 0 0 0 0 0 0 0 0 Certain other intestinal infections 1 0 0 0 0 0 0 0 1 0 0 0 Tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 Respiratory tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 Other tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 Whooping cough 0 0 0 0 0 0 0 0 0 0 0 0 Scarlet fever and erysipelas 0 0 0 0 0 0 0 0 0 0 0 0 Meningococcal infection 0 0 0 0 0 0 0 0 0 0 0 0 42 0 1 0 1 1 6 6 10 8 4 5 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 Arthropod-borne encephalitis 1 0 0 1 0 0 0 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis Human immunodeficiency virus (HIV) disease Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of esophagus 1 0 0 0 0 0 0 1 0 0 0 0 9 0 0 0 0 3 4 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 1 0 0 1 0 3 2 0 2 1 169 0 1 3 3 1 5 23 28 43 46 16 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 2 0 0 9 0 0 0 0 0 1 1 0 2 4 1 10 0 0 0 0 0 2 2 1 3 1 1 14 0 1 0 0 0 0 3 4 3 3 0 8 0 0 0 0 0 0 0 1 3 2 2 0 0 0 0 0 0 0 0 0 0 0 0 Septicemia Malignant Malignant anus Malignant intrahepatic Malignant neoplasm of stomach neoplasm of colon, rectum, and neoplasm of liver and bile ducts neoplasm of pancreas Malignant neoplasm of larynx Health Status Profile of American Indians in Arizona: 2003 Data Book 87 Health Status Profile of American Indians in Arizona: 2003 Data Book 88 5.5 DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Malignant neoplasm of trachea, bronchus and lung Malignant neoplasm of skin Malignant neoplasm of breast Malignant Malignant uterus, part Malignant neoplasm of cervix uteri neoplasm of corpus uteri and unspecified neoplasm of ovary Malignant neoplasm of prostate Malignant neoplasm of kidney and renal pelvis Malignant neoplasm of bladder Malignant neoplasm of meninges, brain and other parts of CNS Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin's disease Non-Hodgkin's lymphoma Leukemia Multiple myeloma and immunoproliferative neoplasms Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm In situ neoplasms Age Group Total <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 18 0 0 0 0 0 0 4 3 4 7 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 0 0 0 2 4 2 3 2 3 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 10 0 0 0 0 0 0 3 2 1 3 1 10 0 0 0 0 0 0 0 0 4 4 2 11 0 0 0 0 0 1 2 4 2 2 0 1 0 0 0 0 0 0 0 0 0 1 0 3 0 0 1 0 0 0 1 0 0 0 1 29 0 0 2 2 1 0 1 7 7 7 2 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 1 0 0 4 3 2 1 8 0 0 2 2 0 0 1 2 1 0 0 10 0 0 0 0 0 0 0 1 3 5 1 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 1 0 1 3 1 10 8 3 1 3 0 0 0 0 0 1 0 0 1 0 Anemias 1 0 0 0 0 0 0 1 0 0 0 0 Diabetes 82 0 0 0 0 2 6 10 19 22 13 10 5 0 0 0 0 0 0 0 0 1 2 2 5 0 0 0 0 0 0 0 0 1 2 2 0 0 0 0 0 0 0 0 0 0 0 0 Meningitis 2 1 0 0 0 0 0 1 0 0 0 0 Parkinson's disease 8 0 0 0 0 0 0 0 0 4 3 1 Alzheimer's disease 6 0 0 0 0 0 0 0 0 1 4 1 Nutritional deficiencies Malnutrition Other nutritional deficiencies 5.5 DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Age Group Total <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Major cardiovascular diseases 257 1 0 1 0 5 14 20 41 76 56 43 Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease 195 1 0 1 0 4 10 17 32 57 43 30 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 1 0 1 2 4 1 1 0 0 0 0 0 0 0 0 0 0 0 0 126 0 0 0 0 2 5 12 19 37 32 19 25 0 0 0 0 0 1 1 5 9 5 4 1 0 0 0 0 0 0 0 0 1 0 0 100 0 0 0 0 2 4 11 14 27 27 15 48 0 0 0 0 1 1 6 7 18 9 6 52 0 0 0 0 1 3 5 7 9 18 9 59 1 0 1 0 1 5 4 11 16 10 10 4 0 0 0 0 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 1 0 0 0 0 0 0 4 3 1 4 42 0 0 1 0 1 3 3 6 13 9 6 7 0 0 0 0 0 1 0 0 3 1 2 50 0 0 0 0 1 3 3 9 16 10 8 Atherosclerosis 2 0 0 0 0 0 0 0 0 0 1 1 Other diseases of circulatory system 3 0 0 0 0 0 0 0 0 0 1 2 Aortic aneurysm and dissection Other disease of arteries, arterioles and capillaries Other disorders of circulatory system 1 0 0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 0 0 1 1 Hypertensive heart and renal disease Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Atherosclerotic cardiovascular disease All other forms of chronic ischemic heart disease Other heart diseases Acute and subacute endocarditis Diseases of pericardium and acute myocarditis Heart failure All other forms of heart disease Essential (primary) hypertension and hypertensive renal disease Cerebrovascular diseases Influenza and pneumonia Influenza Pneumonia Other acute lower respiratory infections 2 0 0 0 0 0 0 1 0 0 1 0 76 3 0 0 0 0 5 6 11 9 15 27 1 0 0 0 0 0 0 0 0 0 0 1 75 3 0 0 0 0 5 6 11 9 15 26 0 0 0 0 0 0 0 0 0 0 0 0 Health Status Profile of American Indians in Arizona: 2003 Data Book 89 Health Status Profile of American Indians in Arizona: 2003 Data Book 90 5.5 DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Age Group Total <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Acute bronchiolitis 0 0 0 0 0 0 0 0 0 0 0 0 Unspecified acute lower respiratory infection 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 0 0 0 1 0 5 8 8 3 Bronchitis, chronic and unspecified 3 0 0 0 0 0 0 0 1 0 1 1 Emphysema 2 0 0 0 0 0 0 0 1 1 0 0 Asthma 2 0 0 0 0 0 0 0 1 0 1 0 18 0 0 0 0 0 1 0 2 7 6 2 0 0 0 0 0 0 0 0 0 0 0 0 Pneumonitis due to solids and liquids 10 1 0 0 0 0 0 1 0 3 2 3 Other disease of respiratory system 19 1 0 0 0 0 0 2 1 7 5 3 Peptic ulcer 2 0 0 0 0 0 0 1 0 0 1 0 Diseases of appendix 1 0 0 0 0 0 0 1 0 0 0 0 Hernia 2 0 0 0 0 0 0 1 0 1 0 0 78 0 0 0 0 6 21 29 13 5 4 0 63 0 0 0 0 6 17 26 9 4 1 0 15 0 0 0 0 0 4 3 4 1 3 0 5 0 0 0 0 0 1 0 0 0 3 1 37 0 0 0 1 1 4 8 3 9 9 2 0 0 0 0 0 0 0 0 0 0 0 0 Chronic lower respiratory diseases Other chronic lower respiratory diseases Pneumoconioses and chemical effects Chronic liver disease and cirrhosis Alcoholic liver disease Other chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis Acute and rapidly progressive nephritic and nephrotic syndrome Chronic glomerulonephritis Renal failure Others disorders of kidney 1 0 0 0 0 0 0 0 0 1 0 0 36 0 0 0 1 1 4 8 3 8 9 2 0 0 0 0 0 0 0 0 0 0 0 0 Infections of kidney 1 0 0 0 0 1 0 0 0 0 0 0 Hyperplasia of prostate Inflammatory diseases of female pelvic organs Pregnancy, childbirth and the puerperium 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 0 0 0 0 0 Pregnancy with abortive outcome Other complications of pregnancy, childbirth and the puerperium Perinatal conditions 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 11 11 0 0 0 0 0 0 0 0 0 0 5.5 DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Age Group Total <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Congenital malformations 12 7 3 1 0 0 0 1 0 0 0 0 Symptoms, signs, abnormal findings 37 5 0 2 1 4 7 4 4 0 2 8 269 3 2 14 65 48 54 36 20 14 9 4 174 1 1 10 59 36 28 22 12 4 1 0 166 1 1 10 57 30 28 22 12 4 1 0 Other land transport accidents 7 0 0 0 2 5 0 0 0 0 0 0 Water, air, space 1 0 0 0 0 1 0 0 0 0 0 0 95 2 1 4 6 12 26 14 8 10 8 4 19 0 0 0 1 1 3 2 0 6 4 2 1 0 0 0 0 0 0 0 0 0 1 0 7 0 0 1 1 1 3 1 0 0 0 0 4 0 0 1 0 0 1 0 1 1 0 0 24 0 0 0 2 3 13 4 1 1 0 0 40 2 1 2 2 7 6 7 6 2 3 2 Total accidents Transport accidents Motor vehicle accidents Nontransport accidents Falls Accidental discharge of firearms Accidental drowning and submersion Accidental exposure to smoke, fire and flames Accidental poisoning Other and unspecified nontransport accidents Intentional self-harm (suicide) 47 0 0 2 21 13 7 1 1 2 0 0 By discharge of firearms 17 0 0 0 7 4 3 0 1 2 0 0 By other means 30 0 0 2 14 9 4 1 0 0 0 0 54 5 1 0 12 16 10 8 1 1 0 0 By discharge of firearms 20 0 0 0 7 6 3 3 1 0 0 0 By other means 34 5 1 0 5 10 7 5 0 1 0 0 Legal intervention 3 0 0 0 1 0 2 0 0 0 0 0 10 0 0 2 2 1 2 2 1 0 0 0 Discharge of firearms Other and unspecified events of undetermined intent Operations of war 2 0 0 1 1 0 0 0 0 0 0 0 8 0 0 1 1 1 2 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Complications of medical and surgical care 4 0 0 0 0 1 0 1 2 0 0 0 INJURY BY FIREARMS 43 0 0 1 16 10 8 3 2 2 1 0 DRUG-INDUCED DEATHS 21 0 0 0 1 4 11 4 0 1 0 0 105 0 0 0 4 9 32 37 14 6 3 0 Assault (homicide) Events of undetermined intent ALCOHOL-INDUCED DEATHS Health Status Profile of American Indians in Arizona: 2003 Data Book 91 Health Status Profile of American Indians in Arizona: 2003 Data Book 92 5.6 DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 ---in Maricopa County ---in Pima County ---in Coconino County ---elsewhere in Arizona Total 495 0 1 0 0 0 0 0 1 0 0 0 0 0 Shigellosis and amebiasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Certain other intestinal infections 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 Tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Respiratory tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Whooping cough 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Scarlet fever and erysipelas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningococcal infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 0 0 0 1 3 0 0 0 4 0 2 0 0 9 2 1 3 4 0 29 8 2 0 3 13 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Arthropod-borne encephalitis 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 Human immunodeficiency virus (HIV) disease 9 0 0 0 0 1 0 0 0 1 0 0 0 0 2 0 1 0 0 0 5 3 0 0 1 4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 2 0 0 0 0 0 0 0 0 2 0 1 0 1 0 6 2 2 0 0 4 169 0 0 0 3 9 0 1 0 7 0 7 4 0 60 5 3 2 10 1 112 21 11 3 22 57 Malignant neoplasm of lip, oral cavity and pharynx 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Malignant neoplasm of esophagus 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 0 0 0 0 0 Malignant neoplasm of stomach 9 0 0 0 0 0 0 0 0 0 0 1 0 0 7 0 0 0 1 0 9 0 0 0 0 0 Malignant neoplasm of colon, rectum, and anus 10 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 1 0 5 2 1 0 2 5 Malignant neoplasm of liver and intrahepatic bile ducts 14 0 0 0 0 3 0 0 0 0 0 2 0 0 5 1 0 0 0 0 11 0 2 0 1 3 Septicemia Other and unspecified infectious and parasitic diseases Malignant neoplasms Total 161 0 Yavapai-Prescott Indian Tribe 34 0 Tohono O'Odham Tribe 66 0 San Carlos Apache Tribe 234 0 Pascua Yaqui Tribe 5 1032 0 Salt River Pima-Maricopa Community 2 465 56 24 62 111 0 Navajo Nation 4 62 14 0 Kaibab-Paiute Tribe 2 79 0 Hualapai Nation 1 0 Hopi Tribe 7 0 Havasupai Tribe 4 26 100 0 Gila River Indian Community Fort Mojave Indian Tribe 6 0 Fort Yuma Quechan Tribe Fort McDowell Yavapai Nation 2 1 White Mountain Apache Tribe 1527 Salmonella infections Colorado River Indian Tribes TOTAL, ALL CAUSES Cocopah Tribe Yavapai-Apache Nation Resided off reservation Ak-Chin Indian Community ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe San Carlos Apache Tribe Tohono O'Odham Tribe Yavapai-Prescott Indian Tribe Total 0 0 0 0 0 0 0 0 0 0 5 1 0 0 0 0 6 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18 0 0 0 0 0 0 0 0 0 0 0 1 0 2 0 0 1 1 1 6 5 3 0 4 12 Malignant neoplasm of trachea, bronchus and lung Malignant neoplasm of skin Total Fort Yuma Quechan Tribe Gila River Indian Community 0 0 ---elsewhere in Arizona Fort Mojave Indian Tribe 0 0 ---in Coconino County Fort McDowell Yavapai Nation 0 0 ---in Pima County Colorado River Indian Tribes White Mountain Apache Tribe 8 Malignant neoplasm of larynx ---in Maricopa County Cocopah Tribe Malignant neoplasm of pancreas Salt River Pima-Maricopa Community Yavapai-Apache Nation Resided off reservation Ak-Chin Indian Community ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 0 0 0 1 0 0 0 0 0 0 0 1 0 2 1 1 0 0 0 6 4 1 0 2 7 Malignant neoplasm of cervix uteri 3 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 2 1 0 0 0 1 Malignant neoplasm of corpus uteri and uterus, part unspecified 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Malignant neoplasm of ovary 10 0 0 0 1 0 0 0 0 0 0 0 0 0 4 0 2 1 0 0 8 1 0 1 0 2 Malignant neoplasm of prostate 10 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 1 0 4 1 0 0 5 6 Malignant neoplasm of kidney and renal pelvis 11 0 0 0 0 1 0 0 0 0 0 2 0 0 4 0 0 0 1 0 8 2 0 0 1 3 Malignant neoplasm of bladder 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 Malignant neoplasm of meninges, brain and other parts of CNS 3 0 0 0 0 1 0 0 0 0 0 0 0 0 2 0 0 0 0 0 3 0 0 0 0 0 29 0 0 0 1 1 0 0 0 5 0 1 1 0 10 1 0 0 3 0 23 3 1 0 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 0 3 0 0 1 0 4 0 0 0 0 0 8 1 0 0 2 3 8 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 0 0 2 0 6 1 1 0 0 2 10 0 0 0 0 1 0 0 0 1 0 1 0 0 5 0 0 0 1 0 9 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 0 0 0 0 3 0 0 0 1 0 1 1 0 10 0 0 0 1 0 17 2 3 1 4 10 In situ neoplasms 3 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 2 0 0 0 1 1 Anemias 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 Diabetes 82 1 0 1 3 7 0 0 1 5 0 3 1 1 19 9 2 4 6 0 63 13 2 0 4 19 5 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 Malignant neoplasm of breast Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin's disease Non-Hodgkin's lymphoma Leukemia Multiple myeloma and immunoproliferative neoplasms Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm Nutritional deficiencies Health Status Profile of American Indians in Arizona: 2003 Data Book 3 5 93 Health Status Profile of American Indians in Arizona: 2003 Data Book 94 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe San Carlos Apache Tribe Tohono O'Odham Tribe Yavapai-Prescott Indian Tribe 0 0 0 0 0 1 0 0 3 1 0 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningitis 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 1 Parkinson's disease 8 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 4 2 1 0 1 4 Alzheimer's disease 6 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 0 0 0 0 4 2 0 0 0 2 257 0 1 1 5 12 2 0 0 10 1 5 1 0 68 14 3 14 26 1 164 38 14 5 36 93 195 0 1 1 4 9 2 0 0 8 0 4 1 0 54 14 3 9 18 0 128 31 9 4 23 67 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 1 0 0 0 1 0 0 0 0 3 1 0 0 3 0 9 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 0 1 1 3 5 1 0 0 5 0 1 1 0 30 10 0 5 11 0 74 27 6 3 16 52 25 0 0 0 0 2 0 0 0 0 0 0 1 0 12 2 0 0 2 0 19 4 0 0 2 6 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 100 0 1 1 3 3 1 0 0 5 0 1 0 0 17 8 0 5 9 0 54 23 6 3 14 46 Atherosclerotic cardiovascular disease 48 0 0 0 1 3 0 0 0 2 0 0 0 0 5 2 0 3 6 0 22 13 3 3 7 26 All other forms of chronic ischemic heart disease 52 0 1 1 2 0 1 0 0 3 0 1 0 0 12 6 0 2 3 0 32 10 3 0 7 20 59 0 0 0 1 3 1 0 0 2 0 3 0 0 21 3 3 4 4 0 45 3 3 1 7 14 Acute and subacute endocarditis 4 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 2 2 0 0 0 2 Diseases of pericardium and acute myocarditis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Heart failure 13 0 0 0 1 1 0 0 0 1 0 1 0 0 2 1 0 0 2 0 9 0 0 0 4 4 All other forms of heart disease 42 0 0 0 0 1 1 0 0 1 0 2 0 0 19 2 3 4 1 0 34 1 3 1 3 8 7 0 0 0 0 0 0 0 0 0 0 1 0 0 2 0 0 1 1 0 5 1 1 0 0 2 50 0 0 0 1 3 0 0 0 2 1 0 0 0 10 0 0 4 6 1 28 6 4 0 12 22 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 2 Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease Hypertensive heart and renal disease Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Other heart diseases Essential (primary) hypertension and hypertensive renal disease Cerebrovascular diseases Atherosclerosis 0 Total Havasupai Tribe 0 0 ---elsewhere in Arizona Gila River Indian Community 0 0 ---in Coconino County Fort Mojave Indian Tribe Fort Yuma Quechan Tribe 0 0 ---in Pima County Fort McDowell Yavapai Nation 0 0 ---in Maricopa County White Mountain Apache Tribe 0 0 Total Cocopah Tribe Colorado River Indian Tribes 5 Malnutrition Other nutritional deficiencies Salt River Pima-Maricopa Community Yavapai-Apache Nation Resided off reservation Ak-Chin Indian Community ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe San Carlos Apache Tribe Tohono O'Odham Tribe Yavapai-Prescott Indian Tribe Total 0 0 0 0 0 0 0 0 0 0 2 0 0 0 1 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 Other disease of arteries, arterioles and capillaries 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 2 0 0 0 0 0 76 0 0 0 0 8 0 0 0 4 0 6 0 0 30 2 1 4 6 0 61 7 1 0 7 15 Other disorders of circulatory system Influenza and pneumonia Influenza Total Fort Yuma Quechan Tribe Gila River Indian Community 0 0 ---elsewhere in Arizona Fort Mojave Indian Tribe 0 0 ---in Coconino County Fort McDowell Yavapai Nation 0 1 ---in Pima County Colorado River Indian Tribes White Mountain Apache Tribe 3 Aortic aneurysm and dissection ---in Maricopa County Cocopah Tribe Other diseases of circulatory system Salt River Pima-Maricopa Community Yavapai-Apache Nation Resided off reservation Ak-Chin Indian Community ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 75 0 0 0 0 8 0 0 0 4 0 6 0 0 30 2 1 3 6 0 60 7 1 0 7 15 Other acute lower respiratory infections 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute bronchiolitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Unspecified acute lower respiratory infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25 0 0 1 0 0 0 0 0 1 0 0 0 0 4 0 0 1 0 0 7 4 4 1 9 18 Bronchitis, chronic and unspecified 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 2 2 Emphysema 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 1 Asthma 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 1 18 0 0 1 0 0 0 0 0 1 0 0 0 0 2 0 0 0 0 0 4 3 3 1 7 14 Pneumonia Chronic lower respiratory diseases Other chronic lower respiratory diseases Pneumoconioses and chemical effects 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pneumonitis due to solids and liquids 10 0 0 0 0 1 1 0 0 0 0 4 0 0 0 0 0 0 1 0 7 2 0 1 0 3 Other disease of respiratory system 19 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 1 4 0 16 1 0 1 1 3 Peptic ulcer 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 1 Diseases of appendix 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 Hernia 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 78 0 0 0 3 11 0 0 0 3 0 1 0 0 16 2 1 3 10 1 51 19 1 2 5 27 Alcoholic liver disease 63 0 0 0 1 11 0 0 0 3 0 1 0 0 15 2 1 2 5 1 42 18 1 0 2 21 Other chronic liver disease and cirrhosis 15 0 0 0 2 0 0 0 0 0 0 0 0 0 1 0 0 1 5 0 9 1 0 2 3 6 5 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 0 4 1 0 0 0 1 Chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Health Status Profile of American Indians in Arizona: 2003 Data Book 95 Health Status Profile of American Indians in Arizona: 2003 Data Book 96 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe San Carlos Apache Tribe Tohono O'Odham Tribe Yavapai-Prescott Indian Tribe Total ---in Maricopa County 0 2 0 0 0 2 0 2 0 0 6 1 1 4 2 0 21 10 1 0 5 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Chronic glomerulonephritis 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 36 0 1 0 0 2 0 0 0 2 0 2 0 0 6 1 1 4 2 0 21 9 1 0 5 15 Renal failure Others disorders of kidney Total Fort Mojave Indian Tribe Fort Yuma Quechan Tribe 0 0 ---elsewhere in Arizona Fort McDowell Yavapai Nation 1 0 ---in Coconino County White Mountain Apache Tribe 0 0 ---in Pima County Cocopah Tribe Colorado River Indian Tribes 37 Acute and rapidly progressive nephritic and nephrotic syndrome Nephritis, nephrotic syndrome and nephrosis Salt River Pima-Maricopa Community Yavapai-Apache Nation Resided off reservation Ak-Chin Indian Community ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Infections of kidney 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 Hyperplasia of prostate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Inflammatory diseases of female pelvic organs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pregnancy, childbirth and the puerperium 2 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 2 0 0 0 0 0 Pregnancy with abortive outcome 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 Other complications of pregnancy, childbirth and the puerperium 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 Perinatal conditions 11 0 0 0 0 1 0 0 0 0 0 0 0 0 3 1 0 1 0 0 6 1 2 2 0 5 Congenital malformations 12 0 0 0 0 1 0 0 0 0 0 0 0 0 4 1 0 0 0 0 6 4 0 1 1 6 Symptoms, signs, abnormal findings 37 0 0 0 1 1 0 0 0 3 0 2 0 0 12 1 0 1 3 0 24 4 1 2 6 13 269 1 1 1 5 25 4 0 1 19 2 15 4 1 94 9 4 8 12 1 207 27 10 4 21 62 174 1 1 1 3 16 4 0 0 15 2 11 4 0 66 2 2 6 7 1 142 16 3 1 12 32 166 1 1 1 3 15 4 0 0 14 2 11 4 0 62 2 2 6 5 1 134 16 3 1 12 32 Other land transport accidents 7 0 0 0 0 0 0 0 0 1 0 0 0 0 4 0 0 0 2 0 7 0 0 0 0 0 Water, air, space 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 95 0 0 0 2 9 0 0 1 4 0 4 0 1 28 7 2 2 5 0 65 11 7 3 9 30 Total accidents Transport accidents Motor vehicle accidents Nontransport accidents Falls 19 0 0 0 1 3 0 0 0 1 0 0 0 0 7 1 1 0 1 0 15 1 1 0 2 4 Accidental discharge of firearms 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 Accidental drowning and submersion 7 0 0 0 0 0 0 0 0 0 0 2 0 0 1 0 0 0 0 0 3 2 0 0 2 4 Accidental exposure to smoke, fire and flames 4 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 1 0 0 3 0 0 0 1 1 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe San Carlos Apache Tribe Tohono O'Odham Tribe 0 0 0 2 0 0 0 0 4 4 1 1 2 0 15 5 4 0 0 9 3 0 0 1 1 0 2 0 1 15 2 0 0 2 0 28 3 2 3 4 12 Intentional self-harm (suicide) Total Hopi Tribe 1 1 ---elsewhere in Arizona Havasupai Tribe 0 0 ---in Coconino County Fort Yuma Quechan Tribe Gila River Indian Community 0 0 ---in Pima County Fort Mojave Indian Tribe 0 0 ---in Maricopa County Fort McDowell Yavapai Nation 0 40 Total Colorado River Indian Tribes White Mountain Apache Tribe 24 Yavapai-Prescott Indian Tribe Cocopah Tribe Accidental poisoning Other and unspecified nontransport accidents Salt River Pima-Maricopa Community Yavapai-Apache Nation Resided off reservation Ak-Chin Indian Community ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 47 0 0 0 0 3 0 0 0 5 0 2 0 0 14 1 1 1 6 0 33 6 1 2 5 14 By discharge of firearms 17 0 0 0 0 0 0 0 0 2 0 1 0 0 5 0 0 1 3 0 12 2 0 1 2 5 By other means 30 0 0 0 0 3 0 0 0 3 0 1 0 0 9 1 1 0 3 0 21 4 1 1 3 9 54 0 0 0 0 2 0 0 0 4 0 2 0 0 15 1 0 6 2 0 32 15 3 0 4 22 By discharge of firearms 20 0 0 0 0 0 0 0 0 3 0 1 0 0 4 1 0 1 2 0 12 6 1 0 1 8 By other means 34 0 0 0 0 2 0 0 0 1 0 1 0 0 11 0 0 5 0 0 20 9 2 0 3 14 Assault (homicide) Legal intervention 3 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 2 0 0 0 1 1 10 0 0 0 1 1 0 0 0 1 0 0 0 0 2 0 0 1 0 1 7 2 0 0 1 3 Discharge of firearms 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 Other and unspecified events of undetermined intent 8 0 0 0 1 1 0 0 0 1 0 0 0 0 2 0 0 1 0 0 6 2 0 0 0 2 Operations of war 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Complications of medical and surgical care 4 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 2 1 1 0 0 2 INJURY BY FIREARMS 43 0 0 0 0 0 0 0 0 5 0 2 1 0 11 1 0 2 5 1 28 8 1 1 5 15 DRUG-INDUCED DEATHS 21 0 0 0 0 1 0 0 0 2 0 0 0 0 0 4 1 1 2 0 11 6 4 0 0 10 105 0 1 0 1 11 0 0 0 4 0 3 0 0 32 5 4 3 6 1 71 26 5 0 3 34 Events of undetermined intent ALCOHOL-INDUCED DEATHS Health Status Profile of American Indians in Arizona: 2003 Data Book 97 Health Status Profile of American Indians in Arizona: 2003 Data Book 98 Unknown Yavapai 6 144 46 21 0 288 37 319 205 125 2 28 12 26 1 Salmonella infections 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 Shigellosis and amebiasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Certain other intestinal infections 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 Tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Respiratory tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Whooping cough 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Scarlet fever and erysipelas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningococcal infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 42 2 0 1 1 2 0 9 1 12 8 5 0 0 0 1 0 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Arthropod-borne encephalitis 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 Human immunodeficiency virus (HIV) disease 9 2 0 0 0 0 0 4 0 2 0 1 0 0 0 0 0 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 2 0 0 0 4 0 2 2 0 0 0 0 0 0 Septicemia Other and unspecified infectious and parasitic diseases Yuma La Paz Pinal 268 Total, all causes Santa Cruz Pima 1527 Total State Gila Navajo Mohave Maricopa Greenlee Graham Apache Cochise Coconino 5.7 DEATHS BY COUNTY OF RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 169 33 2 15 0 2 0 28 8 34 23 10 2 8 1 3 0 Malignant neoplasm of lip, oral cavity and pharynx 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Malignant neoplasm of esophagus 2 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 Malignant neoplasm of stomach 9 5 0 1 0 0 0 1 0 2 0 0 0 0 0 0 0 Malignant neoplasm of colon, rectum, and anus 10 2 0 0 0 0 0 2 1 2 2 0 0 1 0 0 0 Malignant neoplasm of liver and intrahepatic bile ducts 14 1 0 1 0 0 0 0 0 8 3 1 0 0 0 0 0 Malignant neoplasm of pancreas 8 1 0 1 0 0 0 0 0 4 1 0 0 1 0 0 0 Malignant neoplasm of larynx 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Malignant neoplasms Unknown La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Cochise Apache Total State Coconino 5.7 (continued) DEATHS BY COUNTY OF RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 18 2 0 0 0 1 0 5 1 1 4 1 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 13 2 0 0 0 0 0 5 1 0 2 0 1 1 0 1 0 3 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Malignant neoplasm of ovary 10 1 0 4 0 1 0 3 0 0 0 0 0 0 0 1 0 Malignant neoplasm of prostate 10 3 1 0 0 0 0 1 1 1 1 0 1 1 0 0 0 Malignant neoplasm of kidney and renal pelvis 11 3 0 0 0 0 0 3 0 5 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 3 1 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 29 7 0 2 0 0 0 4 1 3 5 5 0 1 0 1 0 Malignant neoplasm of trachea, bronchus and lung Malignant neoplasm of skin Malignant neoplasm of breast Malignant neoplasm of cervix uteri Malignant neoplasm of corpus uteri and uterus, part unspecified Malignant neoplasm of bladder Malignant neoplasm of meninges, brain and other parts of CNS Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin's disease Non-Hodgkin's lymphoma Leukemia Multiple myeloma and immunoproliferative neoplasms Other and unspecified malignant neoplasms of lymphoid tissue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 1 0 2 0 0 0 2 1 1 0 3 0 1 0 0 0 8 1 0 0 0 0 0 1 0 0 4 1 0 0 0 1 0 10 5 0 0 0 0 0 1 0 2 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 27 4 1 4 0 0 0 2 2 7 4 2 0 1 0 0 0 In situ neoplasms 3 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 Anemias 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Diabetes 82 12 0 4 4 0 0 17 2 13 15 9 0 0 3 3 0 5 2 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 5 2 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningitis 2 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 Parkinson's disease 8 3 0 1 0 0 0 2 0 1 1 0 0 0 0 0 0 Alzheimer's disease 6 2 0 1 0 0 0 2 0 0 1 0 0 0 0 0 0 257 39 3 21 14 1 0 50 3 45 47 19 0 6 4 5 0 195 32 1 17 10 0 0 42 3 32 35 15 0 2 2 4 0 All other and unspecified malignant neoplasm Nutritional deficiencies Malnutrition Other nutritional deficiencies Major cardiovascular diseases Diseases of heart Health Status Profile of American Indians in Arizona: 2003 Data Book 99 Health Status Profile of American Indians in Arizona: 2003 Data Book 100 Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease Hypertensive heart and renal disease Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Atherosclerotic cardiovascular disease disease All other forms of chronic ischemic heart Unknown La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Cochise Apache Total State Coconino 5.7 (continued) DEATHS BY COUNTY OF RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 2 0 1 0 0 0 1 0 1 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 126 16 1 10 6 0 0 31 3 18 23 11 0 2 2 3 0 25 7 0 2 0 0 0 5 1 6 3 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 100 9 1 7 6 0 0 26 2 12 20 10 0 2 2 3 0 48 4 1 4 3 0 0 13 0 5 11 5 0 1 0 1 0 52 5 0 3 3 0 0 13 2 7 9 5 0 1 2 2 0 59 14 0 6 4 0 0 10 0 13 8 3 0 0 0 1 0 Acute and subacute endocarditis 4 0 0 0 0 0 0 2 0 1 1 0 0 0 0 0 0 Diseases of pericardium and acute myocarditis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Heart failure 13 2 0 2 0 0 0 1 0 4 3 0 0 0 0 1 0 All other forms of heart disease 42 12 0 4 4 0 0 7 0 8 4 3 0 0 0 0 0 Other heart diseases Essential (primary) hypertension and hypertensive renal disease 7 2 0 0 1 0 0 1 0 1 2 0 0 0 0 0 0 50 4 2 2 3 1 0 6 0 11 10 4 0 4 2 1 0 Atherosclerosis 2 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 Other diseases of circulatory system 3 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 Aortic aneurysm and dissection 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Other disease of arteries, arterioles and capillaries 2 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 76 18 0 4 3 2 0 9 0 25 8 6 0 0 1 0 0 Cerebrovascular diseases Other disorders of circulatory system Influenza and pneumonia 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 75 18 0 4 2 2 0 9 0 25 8 6 0 0 1 0 0 Other acute lower respiratory infections 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute bronchiolitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Unspecified acute lower respiratory infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Influenza Pneumonia Unknown La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Cochise Apache Total State Coconino 5.7 (continued) DEATHS BY COUNTY OF RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 25 3 1 3 0 1 0 4 1 5 4 2 0 0 1 0 0 Bronchitis, chronic and unspecified 3 2 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 Emphysema 2 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 Asthma 2 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 18 1 1 2 0 0 0 3 1 4 3 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pneumonitis due to solids and liquids 10 0 0 1 0 0 0 3 0 5 1 0 0 0 0 0 0 Other disease of respiratory system 19 7 0 2 0 1 0 1 0 3 4 0 0 1 0 0 0 Peptic ulcer 2 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 Diseases of appendix 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 Hernia 2 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 78 7 0 8 2 1 0 21 1 16 11 7 0 1 0 3 0 Alcoholic liver disease 63 7 0 6 1 1 0 20 1 14 7 4 0 1 0 1 0 Other chronic liver disease and cirrhosis 15 0 0 2 1 0 0 1 0 2 4 3 0 0 0 2 0 5 1 0 1 0 0 0 1 0 0 2 0 0 0 0 0 0 37 1 0 3 2 3 0 11 1 7 4 3 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 36 1 0 3 2 3 0 10 1 7 4 3 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Infections of kidney 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Hyperplasia of prostate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Inflammatory diseases of female pelvic organs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pregnancy, childbirth and the puerperium 2 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 Perinatal conditions 11 2 0 3 1 0 0 2 0 1 2 0 0 0 0 0 0 Congenital malformations 12 3 0 1 0 0 0 4 0 2 1 1 0 0 0 0 0 Symptoms, signs, abnormal findings 37 6 0 3 0 1 0 5 0 13 4 4 0 0 0 1 0 Chronic lower respiratory diseases Other chronic lower respiratory diseases Pneumoconioses and chemical effects Chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis Acute and rapidly progressive nephritic and nephrotic syndrome Chronic glomerulonephritis Renal failure Others disorders of kidney Pregnancy with abortive outcome Other complications of pregnancy, childbirth and the puerperium Health Status Profile of American Indians in Arizona: 2003 Data Book 101 Health Status Profile of American Indians in Arizona: 2003 Data Book 102 Unknown La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Cochise Apache Total State Coconino 5.7 (continued) DEATHS BY COUNTY OF RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2003 269 56 0 30 5 3 0 36 9 66 25 30 0 2 2 5 0 174 37 0 18 4 3 0 23 8 45 6 24 0 2 1 3 0 166 35 0 17 4 3 0 23 8 43 5 22 0 2 1 3 0 Other land transport accidents 7 2 0 1 0 0 0 0 0 1 1 2 0 0 0 0 0 Water, air, space 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 95 19 0 12 1 0 0 13 1 21 19 6 0 0 1 2 0 19 3 0 3 0 0 0 2 0 4 3 3 0 0 0 1 0 Accidental discharge of firearms 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Accidental drowning and submersion 7 2 0 1 0 0 0 2 0 2 0 0 0 0 0 0 0 Accidental exposure to smoke, fire and flames 4 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 Accidental poisoning 24 3 0 1 1 0 0 6 0 1 10 2 0 0 0 0 0 Other and unspecified nontransport accidents 40 8 0 7 0 0 0 3 1 12 6 1 0 0 1 1 0 47 10 0 4 1 0 0 8 1 11 6 6 0 0 0 0 0 By discharge of firearms 17 3 0 2 1 0 0 3 1 3 2 2 0 0 0 0 0 By other means 30 7 0 2 0 0 0 5 0 8 4 4 0 0 0 0 0 54 6 0 4 6 1 0 15 1 10 6 5 0 0 0 0 0 By discharge of firearms 20 1 0 2 0 1 0 6 1 2 4 3 0 0 0 0 0 By other means 34 5 0 2 6 0 0 9 0 8 2 2 0 0 0 0 0 Legal intervention 3 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 10 2 0 0 0 1 0 2 1 1 0 1 0 1 0 1 0 2 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 Other and unspecified events of undetermined intent 8 2 0 0 0 1 0 2 0 1 0 1 0 0 0 1 0 Operations of war 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Complications of medical and surgical care 4 0 0 0 0 0 0 1 0 1 1 1 0 0 0 0 0 INJURY BY FIREARMS 43 5 0 5 2 1 0 9 4 5 6 5 0 1 0 0 0 DRUG-INDUCED DEATHS 21 0 0 0 1 0 0 7 0 1 10 2 0 0 0 0 0 105 14 0 15 2 1 0 33 1 18 14 4 0 2 0 1 0 Total accidents Transport accidents Motor vehicle accidents Nontransport accidents Falls Intentional self-harm (suicide) Assault (homicide) Events of undetermined intent Discharge of firearms ALCOHOL-INDUCED DEATHS TECHNICAL NOTES Health Status Profile of American Indians in Arizona: 2003 Data Book 103 Sources of Data The charts in Sections I and II are based on rates and ratios published in the Arizona Health Status and Vital Statistics annual report. Information on live births and deaths in Sections III and IV is compiled from the original documents filed with the Arizona Department of Health Services', Office of Vital Records and from transcripts of original certificates filed in other states but affecting Arizona residents. (Copies of certificates for births and deaths occurring to Arizona residents outside the United States are not sent to Arizona). The 2000 Census data for Arizona’s Indian Reservations are available at http://www.de.state.az.us/links/economic/webpage/popweb/resage00.xls Definitions Rates Rate is a measure of the frequency of some event in relation to a unit of population during a specified time period such as a year; events in the numerator of the year occur to individuals in the denominator. Rates express the likelihood (or risk) of the event in the specified population during a particular time and are generally expressed as units of population in the denominator (per 1,000, per 100,000 and so forth). Terms Related to Reproductive Health Birth or Live Birth - The complete expulsion or extraction from its mother of a product of human conception, irrespective of the duration of pregnancy which, after such expulsion or extraction, breaths 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. Birth weight - The weight of a neonate determined immediately after delivery or as soon thereafter as possible. Infant death - Any death at any time from birth up to, but not including, the first year of age (364 days, 23 hours, 59 minutes from the moment of birth). Infant mortality rate - Number of infant deaths per 1,000 live births. Low-birthweight - Prior to 1990: any neonate whose weight at birth is 2,500 grams or less. Beginning in 1990: any neonate weighing less than 2,500 grams at birth (less than 5 pounds 8 ounces). Neonatal death - Death of a liveborn neonate before the neonate becomes 28 days old (up to and including 27 days, 23 hours, 59 minutes from the moment of birth). Neonatal mortality rate - Number of neonatal deaths per 1,000 live births. Health Status Profile of American Indians in Arizona: 2003 Data Book Postneonatal death - Any death of a liveborn infant at least 28 days of age but less than one year of age. Postneonatal mortality rate - Number of postneonatal deaths per 1,000 live births. Very low-birthweight - Any neonate whose weight at birth is 1,500 grams or less (less than 3 pounds 5 ounces). Medical Terms Used on the Birth Certificate Medical risk factors of this pregnancy Anemia - Hemoglobin level of less than 10.0 g/dL during pregnancy, or hematocrit of less than 30 percent during pregnancy. Cardiac disease - Disease of the heart. Acute or chronic lung disease - Disease of the lungs during pregnancy. Diabetes - Metabolic disorder characterized by excessive discharge of urine and persistent thirst; includes juvenile onset, adult onset and gestational diabetes during pregnancy. Genital herpes - Infection of the skin of the genital area by herpes simplex virus. Hydramnios/Oligohydramnios - Any noticeable excess (hydramnios) or lack (oligohydramnios) of amniotic fluid. Hemoglobinopathy - A blood disorder caused by alteration in the genetically determined molecular structure of hemoglobin (for example, sickle cell anemia). Hypertension, chronic - Blood pressure persistently greater than 140/90, diagnosed prior to onset of pregnancy or before the 20th week of gestation. Hypertension, pregnancy-associated - An increase in blood pressure of at least 30 mm hg systolic or 15 mm hg diastolic on two measurements taken 6 hours apart after the 20th week of gestation. Eclampsia - The occurrence of convulsions and/or coma unrelated to other cerebral conditions in women with signs and symptoms of preeclampsia. Incompetent cervix - Characterized by painless dilation of the cervix in the second trimester or early in the third trimester of pregnancy, with premature expulsion of membranes though cervix and ballooning of the membranes into vagina, followed by rupture of the membrane and subsequent expulsion of the fetus. Previous infant 4,000+ grams - The birthweight of a previous live-born child was over 4,000 grams (8lbs.14oz.). Previous preterm or small-for-gestational-age-infant - Previous birth of an infant prior to term (before 37 completed weeks of gestation) or of an infant weighing less than the 10th percentile for gestational age using a standard weight for age chart. Renal disease - Kidney disease. Rh Sensitization - The process or state of becoming sensitized to the Rh factor as when an Rh-negative woman is pregnant with an Rh-positive fetus. Uterine bleeding - Any clinically significant bleeding during the pregnancy taking into consideration the stage of pregnancy; any second or third trimester bleeding or third trimester bleeding of the uterus prior to the onset of labor. 105 Health Status Profile of American Indians in Arizona: 2003 Data Book 106 Complications of labor and/or delivery Abnormal conditions of the newborn Febrile - A fever greater than 100 degrees F. or 38 degrees C. occurring during labor and/or delivery. Meconium, moderate/heavy - Meconium consists of undigested debris from swallowed amniotic fluid, various products of secretion and shedding by the gastrointestinal tract, moderate to heavy amounts of meconium in the amniotic fluid noted during labor and/or delivery. Premature rupture of membranes (more than 12 hours) - Rupture of membranes at any time during pregnancy and more than 12 hours before the onset of labor. Abruptio placenta - Premature separation of normally implanted placenta from the uterus. Placenta previa - Implantation of the placenta over or near the internal opening of the cervix. Other excessive bleeding - The loss of significant amount of blood from conditions other than abruptio placenta or placenta previa. Seizures during labor - Maternal seizures occurring during labor from any cause. Precipitous labor (less than 3 hours) Extremely rapid labor and delivery lasting less than3 hours. Prolonged labor (more than 20 hours) Abnormally slow progress of labor lasting more than 20 hours. Dysfunctional labor - Failure to progress in a normal pattern of labor. Breech/Malpresentation - At birth, the presentation of the fetal buttocks, rather than the head or other malpresentation. Cephalopelvic disproportion - The relationship of the size, presentation and position of the fetal head to the maternal pelvis, which prevents dilation of the cervix and/or descent of the fetal head. Cord prolapse - Premature expulsion of the umbilical cord in labor before the fetus is delivered. Anesthetic complications - Any complication during labor and/or delivery brought on by an anesthetic agent or agents. Fetal distress - Signs indicating fetal hypoxia (deficiency in amount of oxygen reaching fetal tissues). Anemia - Hemoglobin level of less than 13.0 g/dL, or a hematocrit of less than 39 percent. Birth injury - Impairment of the infant's body function or structure due to adverse influences that occurred at birth. Fetal alcohol syndrome - A syndrome of altered prenatal growth and development occurring in infants born of women who consumed excessive amounts of alcohol during pregnancy. Hyaline membrane disease/RDS - A disorder primarily of prematurity, manifested clinically by respiratory distress and pathologically by pulmonary hyaline membranes and incomplete expansion of the lungs at birth. Meconium aspiration syndrome - Aspiration of meconium by the fetus or newborn, affecting the lower respiratory system. Assisted ventilation (less than 30 minutes) - A mechanical method of assisting respiration for newborns with respiratory failure. Assisted ventilation (30 minutes or more) - Newborn placed on assisted ventilation for 30 minutes or longer. Seizures - A seizure of any etiology. Congenital anomalies of child Anencephalus – Absence of the cerebral hemispheres. Spina bifida/meningocele – Developmental anomaly characterized by defective closure of the bony encasement of the spinal cord, through which the cord and meninges may or may not protrude. Hydrocephalus – Excessive accumulation of cerebrospinal fluid within the ventricles of the brain with consequent enlargement of cranium. Microcephalus – A significantly small head. Other central nervous system anomalies – Other specified anomalies of the brain, spinal cord, and nervous system. Heart malformations – Congenital anomalies of heart. Other circulatory/respiratory anomalies – Other specified anomalies of the circulatory and respiratory systems. Rectal atresia/stenosis – Congenital absence, closure, or narrowing of the rectum. Tracheo-esophageal fistula/Esophageal atresia – An abnormal passage between the trachea and the esophagus; esophageal atresia is the congenital absence or closure of the esophagus. Omphalocele/Gastroschisis – An omphalocele is a protrusion of variable amounts of abdominal viscera from a midline defect at the base of the umbilicus. In gastroschisis, the abdominal viscera protrude through an abdominal wall defect, usually on the right side of the umbilical cord insertion. Other gastrointestinal anomalies – Other specified congenital anomalies of the gastrointestinal system. Malformed genitalia – Congenital anomalies of the reproductive organs. Renal agenesis – One or both kidneys are completely absent. Other urogenital anomalies – Other specified congenital anomalies of the organs concerned in the production and excretion of the urine, together with organs of reproduction. Cleft lip/palate – Cleft lip is a fissure or elongated opening of the lip; cleft palate is a fissure in the roof of the mouth. These are failures of embryonic development. Down’s syndrome – The most common chromosomal defect with most cases resulting from an extra chromosome (trisomy 21). Other chromosomal anomalies – All other chromosomal aberrations. Polydactyly/Syndactyly/Adactyly– Polydactyly is the presence of more than five digits on either hands and/or feet.; syndactyly is having fused or webbed fingers and/or toes; adactyly is the absence of fingers and/or toes. Club foot – Deformities of the foot, which is twisted out of shape or position Diaphragmatic hernia – Herniation of the abdominal contents through the diaphragm into the thoracic cavity usually resulting in respiratory distress. Other muscoskeletal/integumental anomalies – Other specified congenital anomalies of the muscles, skeleton, or skin. Terms Related to Mortality Age-adjusted mortality rates - Because mortality from most causes of death occurs predominately among the elderly, a population group with a larger proportion of older persons would have a higher mortality rate. The "ageadjustment" removes the effect of the age differences among sub-populations (or in the same population over time) by placing them all in a population with a standard age distribution. All age-adjusted mortality rates in this report were computed by the direct method, that is by weighting the age-specific rates for a given year by the age distribution of a standard population. The weighted age-specific rates are then added to produce the summary rate for all ages combined. Health Status Profile of American Indians in Arizona: 2003 Data Book Beginning with the 2000 data year, a new population standard for the age adjustment of mortality rates has replaced the standard based on the 1940 population and used since 1943. The new standard uses the age composition of the 2000 U.S. projected population. The standard is expressed in terms of a ”standard million”: the relative distribution of the 2000 population of the United States totaling 1 million in 10-year age groups: Age group A <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 2003 population of American Indians 2003 deaths among American Indians B C 5768 23015 67402 53685 42414 40975 27569 16044 9767 4527 1587 292753 44 14 27 120 119 190 209 190 239 218 157 1527 Age2000 specific standard rates for American Indians in 2003 D E (C/B)*100000 762.8 .013818 60.8 .055317 40.1 .145565 223.5 .138646 280.6 .135573 463.7 .162613 758.1 .134834 1184.2 .087247 2447.0 .066037 4815.6 .044842 9892.9 .015508 Ageadjusted rate for American Indians In 2003 F D*E 10.5 3.4 5.8 31.0 38.0 75.4 102.2 103.3 161.6 215.9 153.4 TOTAL 900.7 Age-specific mortality - Number of deaths in a specific age group during a calendar year. Cause of death - For the purpose of national mortality statistics, every death is attributed to one underlying condition, based on information reported on the death certificate and utilizing the international rules for selecting the underlying cause of death from the reported conditions. Cause-specific mortality - Number of deaths from a specified cause during a calendar year. Classification of causes of death - The cause of death used in this report is the underlying cause classified according to the International Classification of Diseases (ICD). Beginning with the 2000 data year in Arizona (1999 nationally), a new revision of the International Classification of Diseases was implemented. The Tenth Revision (ICD-10) has replaced the Ninth Revision (ICD-9), which was in effect since 1979. Comparability ratios Comparability ratios are measures of comparison between ICD-9 and ICD-10. Any comparison of causes of mortality in Arizona between 2000 and previous years needs to take into account the changes in statistical trends that can be attributed to changes in the classification system alone. Comparability ratio of 1.0 indicates that the same number of deaths would be assigned to a cause-of-death when ICD-9 or ICD-10 was used. The following table provides comparable cause-of-death categories in ICD-9 and ICD-10 and shows comparability ratios for 113 causes of death. 107 Health Status Profile of American Indians in Arizona: 2003 Data Book 108 Cause-of-Death Categories and Comparability Ratios for Selected 113 Causes of Death Cause of death (Based on the Tenth Revision, International Classification of Diseases, 1992) Salmonella infections Shigellosis and amebiasis Certain other intestinal infections Tuberculosis Respiratory tuberculosis Other tuberculosis Whooping cough Scarlet fever and erysipelas Meningococcal infection Septicemia Syphilis Acute poliomyelitis Arthropod-borne viral encephalitis Measles Viral hepatitis Human immunodeficiency virus (HIV) disease Malaria Other and unspecified infectious and parasitic diseases and their sequelae Malignant neoplasms Malignant neoplasms of lip, oral cavity and pharynx Malignant neoplasm of esophagus Malignant neoplasm of stomach Malignant neoplasms of colon, rectum and anus Malignant neoplasms of liver and intrahepatic bile ducts Malignant neoplasm of pancreas Malignant neoplasm of larynx Malignant neoplasms of trachea, bronchus and lung Malignant melanoma of skin Malignant neoplasm of breast Malignant neoplasm of cervix uteri Malignant neoplasms of corpus uteri and uterus, part unspecified Malignant neoplasm of ovary Malignant neoplasm of prostate Malignant neoplasms of kidney and renal pelvis Malignant neoplasm of bladder Malignant neoplasms of meninges, brain and other parts of central nervous system Malignant neoplasms of lymphoid, hematopoietic and related tissue Hodgkin’s disease Non-Hodgkin’s lymphoma Leukemia See footnotes at end of table. Category codes according to the Tenth Revision (ICD–10) A01–A02 A03,A06 A04,A07–A09 A16–A19 A16 A17–A19 A37 A38,A46 A39 A40–A41 A50–A53 A80 A83–A84,A85.2 B05 B15–B19 B20–B24 B50–B54 A00,A05,A20–A36,A42–A44,A48–A49, A54–A79,A81–A82,A85.0–A85.1,A85.8, A86–B04,B06–B09,B25–B49,B55–B99 C00–C97 C00–C14 C15 C16 C18–C21 C22 C25 C32 C33–C34 C43 C50 C53 95-percent Number of deaths Estimated Relative allocated according to Category codes according to the comparability Standard standard confidence limits Ninth Revision (ICD–9) Tenth Revision Ninth Revision ratio error error Lower Upper 002–003 30 37 0.8108 0.0644 7.9 0.6846 0.9370 004,006 * * * * * * * 007–009 * * * * * * * 010–018 653 764 0.8547 0.0172 2.0 0.8209 0.8885 010–012 518 572 0.9056 0.0201 2.2 0.8662 0.9450 013–018 135 192 0.7031 0.0407 5.8 0.6233 0.7830 033 * * * * * * * 034.1–035 * * * * * * * 036 221 222 0.9955 0.0149 1.5 0.9663 1.0247 038 21,258 17,791 1.1949 0.0042 0.3 1.1867 1.2030 090–097 21 33 0.6364 0.1184 18.6 0.4043 0.8685 045 * * * * * * * 062–064 * * * * * * * 055 * * * * * * * 070 1,123 1,346 0.8343 0.0120 1.4 0.8109 0.8578 *042–*044 12,765 11,150 1.1448 0.0045 0.4 1.1360 1.1536 084 * * * * * * * 001,005,020–032,037,039–041,046–054, 056–061,065–066,071–083,085–088, 098–134,136–139,771.3 140–208 464,688 461,544 1.0068 0.0002 0.0 1.0064 1.0072 140–149 5,927 6,172 0.9603 0.0040 0.4 0.9525 0.9681 150 9,596 9,630 0.9965 0.0020 0.2 0.9926 1.0003 151 11,480 11,408 1.0063 0.0019 0.2 1.0025 1.0101 153–154 48,583 48,619 0.9993 0.0009 0.1 0.9975 1.0010 155 9,732 10,102 0.9634 0.0023 0.2 0.9588 0.9679 157 24,313 24,361 0.9980 0.0009 0.1 0.9963 0.9997 161 3,209 3,194 1.0047 0.0053 0.5 0.9943 1.0150 162 131,750 133,936 0.9837 0.0005 0.1 0.9827 0.9846 172 5,941 6,139 0.9677 0.0032 0.3 0.9614 0.9741 174–175 38,102 37,891 1.0056 0.0010 0.1 1.0036 1.0075 180 3,753 3,802 0.9871 0.0034 0.3 0.9805 0.9938 C54–C55 C56 C61 C64–C65 C67 179,182 183.0 185 189.0,189.1 188 5,318 11,292 30,672 9,521 9,563 5,183 11,344 30,267 9,521 9,594 1.0260 0.9954 1.0134 1.0000 0.9968 0.0040 0.0016 0.0015 0.0022 0.0026 0.4 0.2 0.1 0.2 0.3 1.0182 0.9923 1.0105 0.9957 0.9916 1.0339 0.9985 1.0162 1.0043 1.0019 C70–C72 191–192 10,039 10,359 0.9691 0.0025 0.3 0.9642 0.9740 C81–C96 C81 C82–C85 C91–C95 200–208 201 200,202 204–208 44,715 1,021 17,924 16,600 44,530 1,036 18,326 16,405 1.0042 0.9855 0.9781 1.0119 0.0012 0.0089 0.0018 0.0019 0.1 0.9 0.2 0.2 1.0064 1.0030 0.9817 1.0155 1.0019 0.9680 0.9745 1.0083 Cause-of-Death Categories and Comparability Ratios for Selected 113 Causes of Death Category codes according to the Cause of death (Based on the Tenth Revision, Tenth Revision (ICD–10) International Classification of Diseases, 1992) Multiple myeloma and immunoproliferative neoplasms C88,C90 Other and unspecified malignant neoplasms of C96 lymphoid, hematopoietic and related tissue All other and unspecified malignant neoplasms C17,C23–C24,C26–C31,C37–C41, C44–C49,C51–C52,C57–C60, C66,C68–C69,C73–C80,C97 In situ neoplasms, benign neoplasms and neoplasms of uncertain or unknown behavior D00–D48 Anemias D50–D64 Diabetes mellitus E10–E14 Nutritional deficiencies E40–E64 Malnutrition E40–E46 Other nutritional deficiencies E50–E64 G00,G03 Meningitis Parkinson’s disease G20–G21 Alzheimer’s disease G30 I00–I78 Major cardiovascular diseases Diseases of heart I00–I09,I11,I13,I20–I51 Acute rheumatic fever and chronic rheumatic heart diseases I00–I09 Hypertensive heart disease I11 I13 Hypertensive heart and renal disease Ischemic heart diseases I20–I25 Acute myocardial infarction I21–I22 Other acute ischemic heart diseases I24 Other forms of chronic ischemic heart disease I20,I25 Atherosclerotic cardiovascular disease, so described I25.0 All other forms of chronic ischemic heart disease I20,I25.1–I25.9 Other heart diseases I26–I51 Acute and subacute endocarditis I33 I30–I31,I40 Diseases of pericardium and acute myocarditis Heart failure I50 All other forms of heart disease I26–I28,I34–I38,I42–I49,151 Essential (primary) hypertension and I10,I12 hypertensive renal disease Cerebrovascular diseases I60–I69 Atherosclerosis I70 I71–I78 Other diseases of circulatory system Aortic aneurysm and dissection I71 I72–I78 Other diseases of arteries, arterioles and capillaries I80–I99 Other disorders of circulatory system J10–J18 Influenza and pneumonia Influenza J10–J11 Pneumonia J12–J18 J20–J22 Other acute lower respiratory infections Acute bronchitis and bronchiolitis J20–J21 See footnotes at end of table. Category codes according to the Ninth Revision (ICD–9) 203 --152,156,158–160,163–171,173,181, 183.2–184,186–187,189.2–190, 193–199 95-percent Number of deaths Estimated Relative allocated according to comparability Standard standard confidence limits Tenth Revision Ninth Revision ratio error error Lower Upper 9,099 8,763 1.0383 0.0030 0.3 1.0324 1.0443 * * * * 51,182 45,492 1.1251 210–239 280–285 250 260–269 260–263 264–269 320–322 332 331.0 390–434,436–448 390–398,402,404,410–429 9,263 3,059 48,636 3,215 2,607 608 592 10,404 29,707 796,919 615,564 5,532 3,200 48,242 2,763 2,665 98 584 10,392 19,121 798,435 624,405 390–398 402 404 410–414,429.2 410 411 412–414,429.2 2,446 17,322 2,170 466,459 178,125 2,667 285,667 429.2 412–414 415–429.1,429.3–429.9 421 420,422–423 428 415–417,424–427,429.0–429.1,429.3–42 401,403 430–434,436–438 440 441–448 441 442–448 451–459 480–487 487 480–486 466 466 Health Status Profile of American Indians in Arizona: 2003 Data Book * * * 0.0021 0.2 1.1210 1.1292 1.6744 0.9559 1.0082 1.1636 0.9782 6.2041 1.0137 1.0012 1.5536 0.9981 0.9858 0.0164 0.0077 0.0011 0.0165 0.0151 0.5961 0.0136 0.0028 0.0071 0.0002 0.0002 1.0 0.8 0.1 1.4 1.5 9.6 1.3 0.3 0.5 0.0 0.0 1.6422 0.9409 1.0060 1.1312 0.9487 5.0358 0.9871 0.9956 1.5398 0.9977 0.9854 1.7067 0.9710 1.0103 1.1960 1.0078 7.3724 1.0403 1.0067 1.5675 0.9985 0.9863 2,980 21,577 2,027 466,935 180,169 2,638 284,128 0.8208 0.8028 1.0705 0.9990 0.9887 1.0110 1.0054 0.0089 0.0028 0.0160 0.0002 0.0003 0.0117 0.0004 1.1 0.3 1.5 0.0 0.0 1.2 0.0 0.8034 0.7973 1.0392 0.9985 0.9880 0.9880 1.0046 0.8382 0.8083 1.1019 0.9994 0.9893 1.0340 1.0062 64,354 221,313 127,167 552 489 44,297 81,829 61,362 222,766 130,886 554 475 42,554 87,303 1.0488 0.9935 0.9716 0.9964 1.0295 1.0410 0.9373 0.0016 0.0004 0.0010 0.0137 0.0160 0.0013 0.0014 0.2 0.0 0.1 1.4 1.6 0.1 0.2 1.0456 0.9927 0.9696 0.9695 0.9981 1.0384 0.9345 1.0519 0.9942 0.9736 1.0233 1.0608 1.0435 0.9401 11,958 137,264 13,894 18,239 12,216 6,023 2,984 50,526 572 49,954 346 265 10,684 129,640 14,417 19,289 12,201 7,088 2,899 72,371 567 71,804 355 355 1.1192 1.0588 0.9637 0.9456 1.0012 0.8497 1.0293 0.6982 1.0088 0.6957 0.9746 0.7465 0.0050 0.0008 0.0025 0.0021 0.0010 0.0053 0.0172 0.0018 0.0073 0.0018 0.0392 0.0264 0.4 0.1 0.3 0.2 0.1 0.6 1.7 0.3 0.7 0.3 4.0 3.5 1.1094 1.0572 0.9588 0.9414 0.9992 0.8394 0.9956 0.6947 0.9945 0.6922 0.8978 0.6947 1.1291 1.0604 0.9686 0.9498 1.0032 0.8601 1.0631 0.7016 1.0231 0.6992 1.0515 0.7983 109 Health Status Profile of American Indians in Arizona: 2003 Data Book 110 Cause-of-Death Categories and Comparability Ratios for Selected 113 Causes of Death Cause of death (Based on the Tenth Revision, International Classification of Diseases, 1992) Unspecified acute lower respiratory infection Chronic lower respiratory diseases Bronchitis, chronic and unspecified Emphysema Asthma Other chronic lower respiratory diseases Pneumoconioses and chemical effects Pneumonitis due to solids and liquids Other diseases of respiratory system Peptic ulcer Diseases of appendix Hernia Chronic liver disease and cirrhosis Alcoholic liver disease Other chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis Acute and rapidly progressive nephritic and nephrotic syndrome Chronic glomerulonephritis, nephritis and nephropathy not specified as acute or chronic, and renal sclerosis unspecified Renal failure Other disorders of kidney Infections of kidney Hyperplasia of prostate Inflammatory diseases of female pelvic organs Pregnancy, childbirth and the puerperium Pregnancy with abortive outcome Other complications of pregnancy, childbirth and the puerperium Certain conditions originating in the perinatal period Congenital malformations, deformations and chromosomal abnormalities Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified All other diseases (Residual) Accidents (unintentional injuries) Transport accidents Motor vehicle accidents See footnotes at end of table. Category codes according to the Tenth Revision (ICD–10) Category codes according to the Ninth Revision (ICD–9) J22 J40–J47 J40–J42 J43 J45–J46 J44,J47 J60–J66,J68 J69 J00–J06,J30–J39,J67,J70–J98 K25–K28 K35–K38 K40–K46 K70,K73–K74 K70 K73–K74 K80–K82 N00–N07,N17–N19,N25–N27 --490–494,496 490–491 492 493 494,496 500–506 507 034.0,460–465,470–478,495,508–519 531–534 540–543 550–553 571 571.0–571.3 571.4–571.9 574–575 580–589 N00–N01,N04 580–581 N02–N03,N05–N07,N26 N17–N19 N25,N27 N10–N12,N13.6,N15.1 N40 N70–N76 O00–099 O00–O07 95-percent Number of deaths Estimated Relative allocated according to comparability Standard standard confidence limits Tenth Revision Ninth Revision ratio error error Lower Upper * * * * * * * 94,326 90,022 1.0478 0.0009 0.1 1.0460 1.0496 913 2,320 0.3935 0.0107 2.7 0.3726 0.4145 14,369 14,774 0.9726 0.0031 0.3 0.9666 0.9786 4,217 4,718 0.8938 0.0061 0.7 0.8819 0.9057 74,827 68,210 1.0970 0.0014 0.1 1.0943 1.0998 860 845 1.0178 0.0099 1.0 0.9983 1.0372 10,183 9,104 1.1185 0.0048 0.4 1.1092 1.1279 16,656 14,269 1.1673 0.0052 0.4 1.1572 1.1774 3,574 3,686 0.9696 0.0045 0.5 0.9608 0.9784 209 202 1.0347 0.0242 2.3 0.9873 1.0820 658 633 1.0395 0.0154 1.5 1.0094 1.0696 21,688 20,920 1.0367 0.0027 0.3 1.0314 1.0420 10,147 9,965 1.0183 0.0050 0.5 1.0085 1.0281 11,541 10,955 1.0535 0.0041 0.4 1.0454 1.0615 1,725 1,803 0.9567 0.0060 0.6 0.9450 0.9685 24,939 20,242 1.2320 0.0044 0.4 1.2234 1.2407 161 249 0.6466 0.0342 5.3 0.5796 0.7136 582–583,587 584–586 588–589 590 600 614–616 630–676 630–639 468 24,290 20 731 326 63 * * 1,213 18,758 22 726 327 64 * * 0.3858 1.2949 0.9091 1.0069 0.9969 0.9844 * * 0.0144 0.0050 0.0867 0.0144 0.0159 0.0410 * * 3.7 0.4 9.5 1.4 1.6 4.2 * * 0.3575 1.2852 0.7392 0.9786 0.9658 0.9040 * * 0.4141 1.3047 1.0790 1.0352 1.0280 1.0648 * * O10–O99 P00–P96 640–676 760–771.2,771.4–779 * 10,184 * 9,555 * 1.0658 * 0.0033 * * 0.3 1.0593 * 1.0724 Q00–Q99 740–759 5,950 7,025 0.8470 0.0055 0.6 0.8362 0.8577 R00–R99 Residual V01–X59,Y85–Y86 V01–V99,Y85 V02–V04,V09.0,V09.2,V12–V14, V19.0–V19.2,V19.4–V19.6,V20–V79, V80.3–V80.5,V81.0–V81.1,V82.0–V82. V83–V86,V87.0–V87.8,V88.0–V88.8, V89.0,V89.2 780–799 Residual E800–E869,E880–E929 E800–E848,E929.0,E929.1 E810–E825 16,940 109,853 31,084 17,547 17,732 122,107 30,163 17,586 0.9553 0.8996 1.0305 0.9978 0.0034 0.0015 0.0014 0.0006 0.4 0.2 0.1 0.1 0.9487 0.8968 1.0278 0.9966 0.9620 0.9025 1.0333 0.9990 16,632 17,051 0.9754 0.0006 0.1 0.9742 0.9766 Cause-of-Death Categories and Comparability Ratios for Selected 113 Causes of Death Cause of death (Based on the Tenth Revision, International Classification of Diseases, 1992) Other land transport accidents Water, air and space, and other and unspecified transport accidents and their sequelae Nontransport accidents Falls Accidental discharge of firearms Accidental drowning and submersion Accidental exposure to smoke, fire and flames Accidental poisoning and exposure to noxious Other and unspecified nontransport accidents and their sequelae Intentional self-harm (suicide) Intentional self-harm (suicide) by discharge of firearms Intentional self-harm (suicide) by other and unspecified means and their sequelae Assault (homicide) Assault (homicide) by discharge of firearms Assault (homicide) by other and unspecified means and their sequelae Legal intervention Events of undetermined intent Discharge of firearms, undetermined intent Other and unspecified events of undetermined intent and their sequelae Operations of war and their sequelae Complications of medical and surgical care 1 Injury by firearms 1 Drug-induced deaths 1 Alcohol-induced deaths Category codes according to the Category codes according to the Tenth Revision (ICD–10) Ninth Revision (ICD–9) 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. V82.2–V82.9,V87.8,V88.9,V89.1,V89.3, V89.9 E800–E807,E826–E829 Estimated comparability ratio 95-percent confidence limits Lower Upper Relative Standard standard error error * * * * * * * V90–V99,Y85 W00–X59,Y86 W00–W19 W32–W34 W65–W74 X00–X09 X40–X49 W20–W31,W35–W64,W75–W99, X10–X39,X50–X59,Y86 X60–X84,Y87.0 X72–X74 E830–E848,E929.0,E929.1 E850–E869,E880–E928,E929.2–E929.9 E880–E888 E922 E910 E890–E899 E850–E869,E924.1 E900–E909,E911–E921,E923–E924.0, E924.8–E928,E929.2–E929.9 E950–E959 E955.0–E955.4 351 13,537 5,173 493 283 493 * 347 12,577 6,152 466 284 506 * 1.0115 1.0763 0.8409 1.0579 0.9965 0.9743 * 0.0209 0.0035 0.0049 0.0127 0.0127 0.0089 * 2.1 0.3 0.6 1.2 1.3 0.9 * 0.9706 1.0696 0.8313 1.0331 0.9716 0.9568 * 1.0525 1.0831 0.8505 1.0828 1.0213 0.9918 * 6,698 18,352 14,157 4,721 18,422 14,183 1.4188 0.9962 0.9982 0.0123 0.0005 0.0007 0.9 1.3947 0.0 0.9952 0.1 0.9968 1.4428 0.9972 0.9996 X60–X71,X75–X84,Y87.0 X85–Y09,Y87.1 X93–X95 E950–E954,E955.5–E959 E960–E969 E965.0–E965.4 4,195 12,287 8,718 4,239 12,308 8,745 0.9896 0.9983 0.9969 0.0023 0.0006 0.0008 0.2 0.9850 0.1 0.9972 0.1 0.9953 0.9942 0.9994 0.9985 X85–X92,X96–Y09,Y87.1 Y35,Y89.0 Y10–Y34,Y87.2,Y89.9 Y22–Y24 E960–E964,E965.5–E969 E970–E978 E980–E989 E985.0–E985.4 3,569 * * * 3,563 * * * 1.0017 * * * 0.0024 * * * 0.2 0.9969 * * * * * * 1.0064 * * * Y10–Y21,Y25–Y34,Y87.2,Y89.9 Y36,Y89.1 Y40–Y84,Y88 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–F16.9 F17.0,F17.3–F17.5,F17.7–F17.9, F18.0–F18.5,F18.7–F18.9,F19.0–F19.5 F19.7–F19.9,X40–X44,X60–X64,X85, Y10–Y14 F10,G31.2,G62.1,I42.6,K29.2,K70, R78.0,X45,X65,Y15 E980–E984,E985.5–E989 E990–E999 E870–E879,E930–E949 E922,E955.0–E955.4,E965.0–E965.4, E970,E985.0–E985.4 292,304,305.2–305.9,E850–E858, E950.0–E950.5,E962.0,E980.0–E980.5 * * * * * * * * * * * * 23,355 23,418 0.9973 1,158 969 1.1950 14,783 15,269 291,303,305.0,357.5,425.5,535.3, 571.0–571.3,790.3,E860 * Figure does not meet standards of reliability or precision. - - - Category not applicable. 0.0 Quantity more than zero but less than 0.05. 1 Number of deaths allocated according to Tenth Revision Ninth Revision * * * * * * * * * 0.0006 0.1 0.9961 0.9985 0.0225 1.9 1.1509 1.2391 0.9682 0.0025 0.3 0.9633 0.9731 Source: National vital statistics reports; vol 49 no 8. National Center for Health Statistics. 2001. Included in selected categories. Health Status Profile of American Indians in Arizona: 2003 Data Book 111 APPENDIX A TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA Health Status Profile of American Indians in Arizona: 2003 Data Book 113 Tribal Communities of American Indians in Arizona Reservation/Tribe AK-CHIN INDIAN COMMUNITY County Pinal Community name Ak Chin Maricopa COCOPAH TRIBE Yuma Cocopah Reservation FORT MCDOWELL YAVAPAI NATION Maricopa Fort McDowell FORT MOJAVE INDIAN TRIBE Mohave Fort Mojave Reservation FORT YUMA-QUECHAN TRIBE Yuma Fort Yuma Reservation GILA RIVER INDIAN COMMUNITY Maricopa Chandler Heights Firebird Lake Gila Crossing Komatke Lone Butte Maricopa Village St. Johns Bapchule Blackwater Casa Blanca Cockleburr Goodyear Lower Santan Maricopa North Blackwater Olberg Progressive Colony Sacate Sacaton Sacaton Flats Santa Cruz Snaketown South Casa Blanca South Goodyear Stotonic Sweetwater Upper Santan West Casa Blanca West Chandler Wetcamp Pinal HAVASUPAI NATION Coconino Health Status Profile of American Indians in Arizona: 2003 Data Book Supai 115 Health Status Profile of American Indians in Arizona: 2003 Data Book 116 Tribal Communities of American Indians in Arizona (continued) Reservation/Tribe HOPI TRIBE County Coconino NAVAJO Community name Coal Mine Mesa Moenave Moenkopi Sand Springs Bacobi Dennebito Five House Hano Hotevilla Keams Canyon Kykotsmovi Mishongnovi Old Oraibi Polacca Second Mesa Shipaulovi Shungopovi Sichomovi Toreva Wali Polacca Walpi Wepo Village HUALAPAI NATION Coconino Mohave Fraziers Well Hindu Canyon Peach Springs Valentine KAIBAB-PAIUTE TRIBE Mohave Juniper Estates Kaibab Moccasin Redhills Six Mile Steam Boat NAVAJO NATION Apache Allentown Black Mountain Blue Canyon Blue Gap Chinle Cornfields Cottonwood Tribal Communities of American Indians in Arizona (continued) Reservation/Tribe NAVAJO NATION (continued) County Apache Coconino Health Status Profile of American Indians in Arizona: 2003 Data Book Community name Del Muerto Dinnehotso Fort Defiance Ganado Greasewood Houck Hunters Point Kin-li-chee Klagetoh Lukachukai Lupton Many Farms Mexican Water Navajo Navajo Station Nazlini Oak Springs Pine Springs Pinta Road Red Mesa Red Rock Rock Point Rough Rock Round Rock Salina Springs Sawmill St Michaels Steamboat Sunrise Springs Teec Nos Pos Toyei Tsaile Valley Store Wide Ruin Window Rock Bitter Springs Big Mountain Cameron Canyon Diablo Cedar Ridge Copper Mine Cow Springs Gray Mountain 117 Health Status Profile of American Indians in Arizona: 2003 Data Book 118 Tribal Communities of American Indians in Arizona (continued) Reservation/Tribe NAVAJO NATION (continued) County Coconino Navajo Community name Inscription House Kaibito Lechee Leupp Marble Canyon Navajo Mountain Red Lake Shonto Sunrise The Gap Tolani Lake Tonalea (Red Lake) Tuba City White Mesa Willow Springs Bidahochi Black Mesa Blue Gap Castle Butte Cedar Springs Chilchinbito Dilkon Forest lake Greasewood Springs Hard Rock Indian Wells Jadito Kayenta Low Mountain Naahtee Pinon Rocky Ridge Seba Dalkai Shonto Smoke Signal Tees Toh Tsegi Twin Buttes Whippoorwill White Cone Tribal Communities of American Indians in Arizona (continued) Reservation/Tribe PASCUA YAQUI TRIBE County Maricopa Pima Pinal Community name Guadalupe South Tucson Tucson Marana SALT RIVER PIMA-MARICOPA INDIAN COMMUNITY Maricopa Salt River Reservation SAN CARLOS APACHE TRIBE Gila Coolidge Dam Cutter Peridot San Carlos Seneca Bylas Calva Graham TOHONO O’ODHAM Maricopa Pima Health Status Profile of American Indians in Arizona: 2003 Data Book Gila Bend/San Lucy Village Kaka Totopitk Ak Chin Ak Chut Vaya Ak Komelik Ali Ak Chin Ali Molina Anegam Artesa Big Field Cababi Charco 27 Chiuli Shaik Chot Vaya Choulic Coldfield Comobabi Covered Wells Cowlic Coyote Field Fresnal Canyon Gu Chuapo Gu Oidak Gu Vo 119 Health Status Profile of American Indians in Arizona: 2003 Data Book 120 Tribal Communities of American Indians in Arizona (continued) Reservation/Tribe TOHONO O’ODHAM (continued) County Pima Community name Gunsight Haivana Nakya Hali Murk Hickiwan Hoi Oidak Iron Pipe Itak Kahachi Miliuk Kaihon Kug Kots Kug Kui Tatk Kupk Lincoln Little Tucson Makgum Havoka Narcho Santos Newfield Noipa Kam Nolic Palo Verde Stand Pan Tak Papago Farms Peach Pu Pia Oik Piato Vaya Pipyak Pisinemo Pitoikam Queens Well Quijotoa San Luis San Miguel San Pedro San Xavier Santa Cruz Santa Rosa Santa Rosa Ranch Sells Sikul Himatk Sil Nakya Tribal Communities of American Indians in Arizona (continued) Reservation/Tribe TOHONO O’ODHAM (continued) County Pima PINAL WHITE MOUNTAIN APACHE TRIBE Apache Gila Navajo Community name South Komelik Sweetwater Topawa Tracy Vainom Kug Vamori Vaya Chin Ventana Vopolo Havoka Chuichu Cockleburr Jackrabbit Kohatk North Komelik Hawley Lake Maverick Mcnary Amos Wash Canyon Day Carrizo Cedar Creek Warrior Canyon Chino Springs Castle Butte Cibecue Deer Springs Diamond Creek Fort Apache Grasshopper Hondah Indian Pine North Fork Rainbow City Seven Mile Whiteriver YAVAPAI-APACHE NATION Yavapai Camp Verde Reservation Middle Verde YAVAPAI-PRESCOTT INDIAN TRIBE Yavapai Prescott Health Status Profile of American Indians in Arizona: 2003 Data Book 121 Our Web site at http://www.azdhs.gov/plan provides instantaneous access to a wide range of statistical information about health status of Arizonans. The Arizona Health Status and Vital Statistics annual report examines trends in natality, mortality and morbidity towards established health objectives. Additional reports and studies include Differences in Health Status by Ethnic Group, Advance Vital Statistics by County of Residence, Mortality from Alzheimer's Disease, Injury Mortality among Arizona Residents (accidents, suicides, homicides, legal intervention, firearm-related fatalities, drug-related deaths, drowning deaths), Community Vital Statistics, Teenage Pregnancy, Selected Characteristics of Newborns and Mothers Giving Birth by Census Tract in Maricopa County, Pima County and South Phoenix Area, Health Status Profile of American Indians in Arizona and Deaths from Exposure to Excessive Natural Heat Occurring in Arizona. Health Status and Vital Statistics Section Bureau of Public Health Statistics Public Health Services ARIZONA DEPARTMENT OF HEALTH SERVICES