Health Status Profile of American Indians in Arizona Health Status and Vital Statistics Bureau of Public Health Statistics Public Health Services ~ Leadership for a Healthy Arizona ~ Janet Napolitano, Governor State of Arizona Susan Gerard, Director Arizona Department of Health Services HEALTH STATUS AND VITAL STATISTICS 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 Bureau of Public Health 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: 2004 DATA BOOK by Christopher K. Mrela, Ph.D., Assistant Registrar of Vital Statistics, Clare Torres, Senior Health Data Analyst November 2005 Acknowledgment Grateful acknowledgement is made to Richard S. Porter for reviewing the typescript. HEALTH STATUS PROFILE OF AMERICAN INDIANS IN ARIZONA 2004 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 2004 ...................................................................................................... 3 2004 Risk Profile of American Indians............................................................................................................................................. 7 American Indians’ Standing in Arizona in 2004 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, 1994-2004........ 25 Average Age At Death From All Causes, 1994-2004 ........................................................................................................................ Births to Unmarried Mothers, 1994-2004 ...................................................................................................................................... The Incidence of Gonorrhea, 1994-2004 ....................................................................................................................................... The Incidence of Low-Birthweight Births, 1994-2004 ...................................................................................................................... The Incidence of Fetal Alcohol Syndrome, 1994-2004 ..................................................................................................................... Births to Teenage Mothers, 1994-2004 ......................................................................................................................................... The Incidence of Birth Defects (Congenital Anomalies), 1994-2004................................................................................................... The Incidence of Pregnancy Associated Hypertension, 1994-2004..................................................................................................... The Incidence of Anemia During Pregnancy, 1994-2004 .................................................................................................................. The Incidence of Diabetes During Pregnancy, 1994-2004 ................................................................................................................ Health Status Profile of American Indians in Arizona, 2004 Data Book 27 28 29 30 31 32 33 34 35 36 IV. CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND MOTHERS GIVING BIRTH BY PLACE OF RESIDENCE IN ARIZONA IN 2004.................. 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 ii 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...................................................................................................................................................................... 55 56 57 58 59 60 4.16 4.17 4.18 4.19 4.20 4.21 NEWBORN’S HEALTH Gestational Age......................................................................................................................................................................... 63 Weight At Birth ......................................................................................................................................................................... 64 Abnormal Conditions of the Newborn............................................................................................................................................ 65 Congenital Anomalies (Birth Defects) ........................................................................................................................................... 66 Causes of Infant Death Among American Indian Residents, Arizona, 2004 ......................................................................................... 67 Comparison of Selected Characteristics of American Indian Newborns and Women Giving Birth by County of Residence, Arizona, 2004......................................................................................................................................... 68 Health Status Profile of American Indians in Arizona, 2004 Data Book V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2004 ..................................................... 73 AGE-SPECIFIC MORTALITY 5.1 5.2 5.3 Age-Specific Mortality Among American Indians in 2004.................................................................................................................. 77 Age-Specific Mortality Among American Indian Males in 2004 .......................................................................................................... 78 Age-Specific Mortality Among American Indian Females in 2004....................................................................................................... 79 CAUSE-SPECIFIC MORTALITY 5.4 5.5 5.6 5.7 5.8 5.9 5.10 5.11 5.12 Deaths by Gender for Selected 113 Causes Among American Indians in 2004................................................................................... 83 Deaths by Age Group for Selected 113 Causes Among American Indians in 2004 .............................................................................. 87 Deaths by Residence for Selected 113 Causes Among American Indians in 2004 ............................................................................... 92 Deaths by County of Residence for Selected 113 Causes Among American Indians in 2004................................................................. 98 Deaths from Motor Vehicle-Related Injuries Among American Indians by Place of Residence, Gender and Age Group, Arizona, 2004.........................................................................................................................................103 Intentional Self-Harm (Suicide) Among American Indians by Place of Residence, Gender and Age Group, Arizona, 2004.........................................................................................................................................104 Assault (Homicide) Among American Indians by Place of Residence, Gender and Age Group. Arizona, 2004 ..........................................................................................................................................................................105 Diabetes-Related Deaths Among American Indians by Place of Residence, Gender and Age Group, Arizona, 2004 ..........................................................................................................................................................................106 Alcohol-Induced Deaths Among American Indians by Place of Residence, Gender and Age Group, Arizona, 2004 ..........................................................................................................................................................................107 TECHNICAL NOTES .................................................................................................................................................................................109 Sources of Data .......................................................................................................................................................................111 Definitions .............................................................................................................................................................................111 Rates .............................................................................................................................................................................111 Terms Related to Reproductive Health.................................................................................................................................111 Medical Terms Used on the Birth Certificate .................................................................................................................111 Medical risk factors for this pregnancy ...................................................................................................................111 Complications of labor and/or delivery ...................................................................................................................112 Abnormal conditions of the newborn......................................................................................................................112 Congenital anomalies of child ...............................................................................................................................112 Terms Related to Mortality ................................................................................................................................................113 Cause-of-Death Categories and Comparability Ratios for Selected 113 Causes of Death .....................................................114 APPENDIX A. TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA ............................................................................................................119 Health Status Profile of American Indians in Arizona, 2004 Data Book iii INTRODUCTION The report Health Status Profile of American Indians in Arizona: 2004 Data Book is the tenth 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 2004. 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 2004 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 2004 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 1993-2004 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 2004. 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 - 2004 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, 2004 Data Book 1 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 on reservations, and those who resided off reservation in Arizona in 2004. 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 1995–2004 are available at http://www.azdhs.gov/plan/report/hspam/index.htm 2 Health Status Profile of American Indians in Arizona, 2004 Data Book 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 2004 Health Status Profile of American Indians in Arizona, 2004 Data Book 3 The risk profile presented on the following page summarizes how American Indians as a group compared in 2004 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 2004, American Indian residents of Arizona ranked worse than statewide average 48 times on 70 indicators. American Indians ranked poorly on measures of maternal lifestyle and health (alcohol use during pregnancy, high incidence of anemia, diabetes and dysfunctional labor). High agespecific mortality of children, adolescents and young adults, high postneonatal mortality, alcoholism, diabetes, motor vehicle accidents and other unintentional injuries contributed to the premature death rate. However, American Indians ranked better than average with low mortality rates for several chronic diseases (lung cancer, Alzheimer’s disease, colorectal cancer, chronic lower respiratory diseases, coronary heart disease), low neonatal mortality, low tobacco use and low incidence of genital herpes among women giving birth. _____________________________________________________ * The comparative risk profiles for American Indian or Alaska Native, 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, 2001”. This publication is available online at http://www.azdhs.gov/plan/report/dhsag/index.htm Health Status Profile of American Indians in Arizona, 2004 Data Book 5 2004 RISK PROFILE OF AMERICAN INDIANS (percent above or below the average rate or ratio for all Arizona residents in 2004) BETTER THAN AVERAGE 4-8. Sudden Infant Death Syndrome (SIDS) 5-17. Alzheimer's disease 5-5. Chronic lower respiratory diseases 5-7. Lung cancer 4-9. Mortality of infants from lbw/short gest. 2-9. Genital herpes during pregnancy 5-10. Colorectal cancer 5-4. Cerebrovascular disease 2-2. Tobacco use during pregnancy 4-5. Born too small: very lbw (<1,500 grams) 4-10. Neonatal mortality 4-2. Incidence of newborn intensive care 6-5. Injury by firearms 5-6. Malignant neoplasm (cancer) 5-8. Breast cancer 5-1. Cardiovascular disease 5-2. Diseases of the heart 5-9. Cervical cancer 5-3. Coronary heart disease 9-5. Incidence of AIDS 4-3. Born too early (preterm or < 37 weeks) 4-4. Born too small: lbw (<2,500 grams) 3-1. No care in the 1st trimester 3-3. No prenatal care 4-7. Infant mortality 6-6. Drug-induced deaths 6-8. Intentional self-harm (suicide) 1-1. Pregnancies among females 19 and younger 5-20. Total mortality from all causes 8-3. Average age at death; all causes; females 8-1. Average age at death from all causes 8-2. Average age at death; all causes; males 1-4. Pregnancies among females 18-19 years old 5-15. HIV disease 1-3. Pregnancies among females 15-17 years old 1-2. Pregnancies among females 14 and younger 5-11. Prostate cancer 4-1. Incidence of hyaline membrane disease 2-10. Weight gain of less than 21 pounds 8-4. % of total deaths before life expectancy 6-3. Fall-related injuries 7-4. Mortality of middle-aged adults 45-64 years 7-1. Mortality of children 1-14 years old 4-6. Incidence of congenital anomalies 5-12. Influenza and pneumonia 7-2. Mortality of adolescents 15-19 years old 6-4. Drowning mortality 4-11. Postneonatal mortality 2-1. Unmarried mothers 9-4. Incidence of genital herpes 6-9. Assault (homicide) 5-19. Essential (primary) hypertension 2-8. Pregnancy-associated hypertension 3-2. Fewer than five prenatal visits 2-4. Chronic hypertension 9-2. Incidence of gonorrhea 7-3. Mortality of young adults 20-44 years old 6-1. Unintentional injuries 9-1. Incidence of early syphilis 2-6. Anemia during pregnancy 5-16. Septicemia 5-18. Nephritis/nephrotic syndrome/nephrosis 5-13. Diabetes 6-2. Motor vehicle-related injuries 9-3. Incidence of chlamydia 2-7. Diabetes during pregnancy 2-5. Dysfunctional labor 2-3. Alcohol use during pregnancy 5-14. Chronic liver disease and cirrhosis 6-7. Alcohol-induced deaths -500.0 -250.0 WORSE THAN AVERAGE -100.0 -74.4 -74.2 -61.9 -44.4 -42.9 -39.2 -36.9 -36.2 -25.0 -24.4 -22.8 -16.0 -15.4 -14.0 -13.6 -10.6 -9.1 -7.5 -5.5 -0.9 0.0 7.1 7.1 7.5 9.0 14.1 14.7 16.1 19.0 21.3 22.6 23.5 25.0 26.7 27.3 30.0 33.3 38.3 51.5 55.2 57.0 57.4 60.0 62.7 66.5 66.7 72.7 74.5 76.6 79.3 80.8 86.2 95.7 100.0 103.6 108.0 125.9 129.2 150.0 168.8 174.5 185.0 198.9 201.8 204.0 222.2 225.0 0.0 250.0 359.5 454.0 500.0 AVERAGE FOR ALL RESIDENTS Health Status Profile of American Indians in Arizona, 2004 Data Book 7 NATIVE AMERICAN INDIANS’ STANDING IN ARIZONA IN 2004 ON 70 INDICATORS OF HEALTH STATUS Figure number 1. TEEN PREGNANCIES (Number of pregnancies per 1,000 females in specified age group) Indicator 2004 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2004 1-1 Pregnancies among females 19 and younger 39.7 14.7 34.6 1-2 Pregnancies among females 14 and younger 1.4 27.3 1.1 1-3 Pregnancies among females 15-17 years old 53.2 26.7 42.0 1-4 Pregnancies among females 18-19 years old 134.2 23.5 108.7 2004 ratio for American Indians Percent above or below the average ratio for all groups Average ratio for all groups in 2004 73.1 74.5 41.9 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 Figure number 2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS (All ratios are per 100 live births) 8 Indicator 2-1 Unmarried mothers 2-2 Tobacco use during pregnancy 3.7 -36.2 5.8 2-3 Alcohol use during pregnancy 2.6 225.0 0.8 2-4 Chronic hypertension 0.8 100.0 0.4 2-5 Dysfunctional labor 2.9 222.2 0.9 2-6 Anemia during pregnancy 5.5 150.0 2.2 2-7 Diabetes during pregnancy 7.6 204.0 2.5 2-8 Pregnancy-associated hypertension 5.4 86.2 2.9 2-9 Genital herpes during pregnancy 0.4 -42.9 0.7 2-10 Weight gain of less than 21 pounds 28.5 38.3 20.6 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. Health Status Profile of American Indians in Arizona, 2004 Data Book Figure number 3. UTILIZATION OF PRENATAL CARE SERVICES (Per 100 live births) Indicator 2004 ratio for American Indians Percent above or below the average ratio for all groups Average ratio for all groups in 2004 3-1 No care in the 1st trimester 3.0 7.1 2.8 3-2 Fewer than five prenatal visits 9.0 95.7 4.6 3-3 No prenatal care 3.0 7.1 2.8 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. Figure number 4. NEWBORN'S HEALTH (Infant, neonatal and postneonatal rates are per 1,000 live births. All other indicators are expressed per 100 live births). Indicator 2004 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 2004 4-1 Incidence of hyaline membrane disease 0.4 33.3 0.3 4-2 Incidence of newborn intensive care 4.4 -22.8 5.7 4-3 Born too early (preterm or < 37 weeks) 10.9 -0.9 11.0 4-4 Born too small: low-birthweight (<2,500 grams) 7.2 0.0 7.2 4-5 Born too small: very low-birthweight (<1,500 grams) 0.9 -25.0 1.2 4-6 Incidence of congenital anomalies (birth defects) 1.6 60.0 1.0 4-7 Infant mortality 7.2 7.5 6.7 4-8 Sudden Infant Death Syndrome (SIDS) 0.0 -100.0 0.3 4-9 Mortality of infants from low birthweight/short gestation 0.5 -44.4 0.9 4-10 Neonatal mortality 3.4 -24.4 4.5 4-11 Postneonatal mortality 3.8 72.7 2.2 Health Status Profile of American Indians in Arizona, 2004 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 Figure number 5. MORTALITY FROM NATURAL CAUSES (chronic or infectious diseases) (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 2004 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2004 5-1 Cardiovascular disease 214.6 -13.6 248.5 5-2 Diseases of the heart 166.9 -10.6 186.7 5-3 Coronary heart disease 137.5 -7.5 148.7 5-4 Cerebrovascular disease 27.5 -36.9 43.6 5-5 Chronic lower respiratory diseases 10.8 -74.2 41.9 5-6 Malignant neoplasm (cancer) 139.3 -15.4 164.7 5-7 Lung cancer 17.3 -61.9 45.4 5-8 Breast cancer 18.4 -14.0 21.4 5-9 Cervical cancer 2.0 -9.1 2.2 5-10 Colorectal cancer 9.3 -39.2 15.3 5-11 Prostate cancer 31.2 30.0 24.0 5-12 Influenza and pneumonia 32.7 62.7 20.1 5-13 Diabetes 59.0 185.0 20.7 5-14 Chronic liver disease and cirrhosis 51.0 359.5 11.1 5-15 HIV disease 3.5 25.0 2.8 5-16 Septicemia 21.5 168.8 8.0 5-17 Alzheimer's disease 8.0 -74.4 31.3 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 30.2 174.5 11.0 5-19 Essential (primary) hypertension 13.2 80.8 7.3 5-20 Total mortality from all causes 879.2 16.1 757.3 10 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. Health Status Profile of American Indians in Arizona, 2004 Data Book Figure number 6. MORTALITY FROM INJURIES (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 2004 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2004 103.9 125.9 46.0 Motor vehicle-related injuries 54.1 198.9 18.1 6-3 Fall-related injuries 14.9 55.2 9.6 6-4 Drowning mortality 3.0 66.7 1.8 6-5 Injury by firearms 12.6 -16.0 15.0 6-6 Drug-induced deaths 14.5 9.0 13.3 6-7 Alcohol-induced deaths 55.4 454.0 10.0 6.8 Intentional self-harm (suicide) 17.0 14.1 14.9 6-9 Assault (homicide) 14.7 79.3 8.2 6-1 Unintentional injuries 6-2 Health Status Profile of American Indians in Arizona, 2004 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 Figure number 7. AGE-SPECIFIC MORTALITY (Number of deaths per 100,000 persons in specified group) Indicators 2004 rate for American Indians Percent above or below the average rate for all groups Average value for all groups in 2004 32.1 57.4 20.4 The number of deaths per 100,000 children 1-14 years old in 2004 The number of deaths per 100,000 adolescents 15-19 years old in 2004 Definition 7-1 Mortality of children 1-14 years old 7-2 Mortality of adolescents 15-19 years old 134.5 66.5 80.8 7-3 Mortality of young adults 20-44 years old 293.3 108.0 141.0 The number of deaths per 100,000 young adults 20-44 years old in 2004 7-4 Mortality of middle-aged adults 45-64 years old 1019.2 57.0 649.1 The number of deaths per 100,000 middle-aged adults 45-64 years old in 2004 2004 value for American Indians Percent above or below the average value for all groups Average value for all groups in 2004 55.9 21.3 71.0 The average age of Arizonans who died in 2004 52.4 22.6 67.7 The average age of Arizona males who died in 2004 60.4 19.0 74.6 The average age of Arizona females who died in 2004 51.5 53.0 The number of deaths before reaching 76.9 years (the life expectancy of all U.S. residents in 2004) per 100 deaths 2004 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2004 14.9 129.2 6.5 Figure number 8. PREMATURE MORTALITY 8-1 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 8-2 8-3 8-4 80.3 Definitions Figure number 9. REPORTABLE DISEASES (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 142.7 103.6 70.1 Number of reported cases of gonorrhea per 100,000 population 9-3 Incidence of chlamydia 872.7 201.8 289.2 Number of reported cases of chlamydia per 100,000 population 9-4 Incidence of genital herpes 36.2 76.6 20.5 Number of reported cases of genital herpes per 100,000 population 9-5 Incidence of AIDS 10.3 -5.5 10.9 Number of reported cases of AIDS per 100,000 population 12 Health Status Profile of American Indians in Arizona, 2004 Data Book 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, 2004 Data Book 13 2.1 Early Prenatal Care National Year 2010 Objective (HP16-10a*): Increase to 90 percent the proportion of w om en giving birth who receive prenatal care in the first trim ester of pregnancy 100.0 OBJECTIVE 90.0 80.0 70.0 60.0 50.0 40.0 30.0 20.0 Percent of Am erican Indian wom en giving birth who received early prenatal care 10.0 0.0 Am erican Indian 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 2004 69.0 Source: Table 1B-12 in the Arizona H ealth Sta tus and Vital Statistics 2004. HP16-10a: H ealthy People 2010 Objective, objective 16-10a. Health Status Profile of American Indians in Arizona, 2004 Data Book 15 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 6.0 OBJECTIVE 3.0 0.0 American Indian O B J E C T I Number of infant deaths per 1,000 live births 1994 10.2 1995 9.4 1996 9.1 1997 8.1 1998 11.4 1999 9.3 2000 9.6 2001 10.7 2002 7.0 2003 7.5 2004 7.2 Source: Table 2C-2 in the Arizona Health Status and Vital Statistics 2004. Infant deaths are by the race/ethnicity of the decedent. For consistency with the national data, the denominators used to calculate infant mortality are by race/ethnicity of mother. 16 Health Status Profile of American Indians in Arizona, 2004 Data Book 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 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 2004 3.8 Source: Table 2C-4 in the Arizona Health Status and Vital Statistics 2004. Postneonatal deaths are by the race/ethnicity of the decedent. For consistency with the national data, the denominators used to calculate postneonatal rates are by race/ethnicity of mother. Health Status Profile of American Indians in Arizona, 2004 Data Book 17 2.4 Unintentional Injury Deaths National Year 2010 Ob j ective (HP15-13): Reduce deaths caused by unintentional in juries to no more than 17.5 per 100,000 a g e-ad justed population. 122.5 113.1 112.7 111.0 108.6 105.0 103.9 Number of unintentional in jury 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 2004 2010 Source: Table 2B-3 in the Arizona Health Status and Vital Statistics 2004. 18 Health Status Profile of American Indians in Arizona, 2004 Data Book 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 54.1 48.0 32.0 16.0 16.0 OBJECTIVE 0.0 2000 2001 2002 2003 2004 2010 Source: Table 2B-3 in the Arizona Health Status and Vital Statistics 2004. Health Status Profile of American Indians in Arizona, 2004 Data Book 19 2.6 Intentional Self-Harm (Suicide) National Year 2010 Ob j ective (HP18-1): Reduce the suicide rate to no more than 10 per 100,000 a g e-ad justed population. 20.0 17.9 16.2 17.0 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 2004 2010 Source: Table 2B-3 in the Arizona Health Status and Vital Statistics 2004. 20 Health Status Profile of American Indians in Arizona, 2004 Data Book 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 14.7 10.0 5.0 5.0 0.0 2000 2001 2002 2003 2004 OBJECTIVE 2010 Source: Table 2B-3 in the Arizona Health Status and Vital Statistics 2004. Health Status Profile of American Indians in Arizona, 2004 Data Book 21 2.8 Diabetes-related National Year 2010 Objective (HP5-5): Reduce the diabetes-related death rate to 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) 134.4 118.7 125.4 90.0 45.0 0.0 OBJECTIVE 2000 2001 2002 2003 2004 2010 Note: The age-adjusted rate for diabetes as the underlying cause of death among American Indians was 59.0/100,000 in 2004. The rate of 125.4/100,000 in Figure 2.8 accounts for all mentions of diabetes on the death certificates, whether or not it was the underlying cause of death. 22 Health Status Profile of American Indians in Arizona, 2004 Data Book 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 51.0 45.0 39.1 40.5 38.8 30.0 15.0 3.0 0.0 2000 2001 2002 2003 2004 OBJECTIVE 2010 *Chronic liver disease and cirrhosis (ICD-10 codes K70, K73-K74). Source: Table 2B-3 in the Arizona Health Status and Vital Statistics 2004. Health Status Profile of American Indians in Arizona, 2004 Data Book 23 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 2.0 OBJECTIVE 0.0 2000 2001 2002 2003 2004 2010 *Note: These rates based on fewer than 10 deaths/year are not statistically reliable. Source: Table 2B-4 in the Arizona Health Status and Vital Statistics 2004. 24 Health Status Profile of American Indians in Arizona, 2004 Data Book III. TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS AND ALL RESIDENTS OF ARIZONA, 1994-2004 Health Status Profile of American Indians in Arizona, 2004 Data Book 25 3.1 Average Age At Death From All Causes, 1994-2004 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 68.4 68.5 69.6 71.0 71.2 71.7 71.6 71.2 71.5 72.2 71.0 60.0 40.0 52.0 52.2 52.9 55.4 56.5 55.7 55.4 54.3 55.8 54.7 55.9 20.0 0.0 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 American Indians All Arizonans Source: Table 2D-1 in the Arizona Health Status and Vital Statistics 2004. Health Status Profile of American Indians in Arizona, 2004 Data Book 27 3.2 Births to Unmarried Mothers, 1994-2004 Per 100 births: 80.0 60.0 66.4 67.5 68.4 67.8 68.2 69.2 68.5 70.1 69.7 72.4 73.1 40.0 38.2 20.0 38.2 38.8 37.7 38.4 38.8 39.3 39.4 40.2 41.2 41.9 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 All Arizonans American Indians Source: Table 1B-2 and Table 1B-12 in the Arizona Health Status and Vital Statistics 2004. 28 Health Status Profile of American Indians in Arizona, 2004 Data Book 3.3 The Incidence of Gonorrhea, 1994-2004 200.0 The number of reported cases of gonorrhea per 100,000 population. 160.0 120.0 80.0 40.0 0.0 All Arizonans American Indians 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 89.3 91.8 83.0 82.6 88.3 86.8 80.0 73.9 68.9 63.5 70.1 119.1 91.7 65.9 55.8 91.8 81.5 105.1 115.5 107.7 103.1 142.7 Source: Figure 3B-1, Table 3B-4 and Table 3B-5 in the Arizona Health Status and Vital Statistics 2004. The rates were provided by the Office of STD Services in the Bureau of Epidemiology and Disease Control, ADHS. Health Status Profile of American Indians in Arizona, 2004 Data Book 29 3.4 The Incidence of Low-Birthweight Births, 1994-2004 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 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 American Indians 5.8 6.2 6.6 6.6 6.6 7.4 6.7 7.3 6.5 6.8 7.2 All Arizonans 6.8 6.8 6.8 6.9 6.8 6.9 7.0 7.0 6.8 7.1 7.2 Source: Table 1B-2 and Table 1B-12 in the Arizona Health Status and Vital Statistics 2004. 30 Health Status Profile of American Indians in Arizona, 2004 Data Book 3.5 The Incidence of Fetal Alcohol Syndrome, 1994-2004 Per 1,000 live births: 2.50 2.00 1.50 1.00 0.50 0.00 American Indians All Arizonans 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2.00 0.59 1.30 1.70 0.60 0.60 0.36 0.19 0.36 0.00 0.49 0.20 0.14 0.20 0.20 0.10 0.10 0.05 0.05 0.03 0.00 0.04 Source: Table 1B-26 in the Arizona Health Status and Vital Statistics 2004. Health Status Profile of American Indians in Arizona, 2004 Data Book 31 3.6 Births to Teenage Mothers,* 1994-2004 Per 100 live births: 19.8 21.0 19.5 20.3 18.6 18.4 18.6 18.4 19.8 19.4 19.0 19.8 19.4 19.0 18.7 19.4 18.7 18.0 15.0 19.8 19.5 12.0 9.0 15.2 15.2 15.0 14.7 15.0 20.3 14.9 14.3 13.8 13.1 18.7 12.9 19.4 18.7 12.7 6.0 3.0 0.0 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 All Arizonans American Indians * 19 or younger. Source: Table 1B-2 and Table 1B-12 in the Arizona Health Status and Vital Statistics 2004. 32 Health Status Profile of American Indians in Arizona, 2004 Data Book 3.7 The Incidence of Birth Defects (Congenital Anomalies), 1994-2004 Per 100 births: 3.5 2.6 1.9 2.8 2.9 2.8 2.6 2.5 2.2 1.9 2.1 2.6 2.8 2.6 2.5 2.6 2.9 1.4 1.6 1.9 1.9 1.7 0.7 1.9 1.8 1.5 2.2 1.3 1.8 1.5 1.3 1.3 1.3 1.3 1.3 1.0 1. 1.0 0.0 1994 1995 1996 1997 1998 1999 All Arizonans 2000 2001 2002 2003 2004 American Indians Source: Table 1B-35 in the Arizona Health Status and Vital Statistics 2004. Health Status Profile of American Indians in Arizona, 2004 Data Book 33 3.8 The Incidence of Pregnancy Associated Hypertension, 1994-2004 Per 1,000 births: 70.0 60.0 50.0 65.3 65.3 40.0 53.3 53.0 56.0 55.7 56.1 57.1 57.1 54.4 46.0 46.0 30.0 20.0 29.0 24.0 25.1 26.0 27.7 28.5 30.4 26.3 25.2 28.0 28.8 10.0 0.0 1994 1995 1996 1997 1998 All Arizona mothers 1999 2000 2001 2002 2003 2004 American Indian mothers Source: Table 1B-26 in the Arizona Health Status and Vital Statistics 2004. 34 Health Status Profile of American Indians in Arizona, 2004 Data Book 3.9 The Incidence of Anemia During Pregnancy, 1994-2004 Per 1,000 births: 70.0 60.0 50.0 40.0 59.7 55.0 30.0 50.6 44.7 41.0 44.0 43.2 54.8 51.0 48.4 54.6 20.0 10.0 21.0 16.0 14.4 14.4 18.6 20.7 16.8 16.0 20.2 18.1 21.7 0.0 1994 1995 1996 1997 1998 All Arizona mothers 1999 2000 2001 2002 2003 2004 American Indian mothers Source: Table 1B-26 in the Arizona Health Status and Vital Statistics 2004. Health Status Profile of American Indians in Arizona, 2004 Data Book 35 3.10 The Incidence of Diabetes During Pregnancy, 1994-2004 Per 1,000 births: 80.0 70.0 60.0 50.0 63.0 65.0 70.2 75.3 75.6 67.6 66.3 63.7 40.0 61.8 65.5 60.0 30.0 20.0 24.0 24.0 23.8 25.2 23.5 10.0 0.0 1994 1995 1996 1997 1998 All Arizona mothers 21.8 1999 22.8 2000 22.2 2001 23.4 2002 21.4 2003 24.5 2004 American Indian mothers Source: Table 1B-26 in the Arizona Health Status and Vital Statistics 2004. 36 Health Status Profile of American Indians in Arizona, 2004 Data Book IV. CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND MOTHERS GIVING BIRTH BY PLACE OF RESIDENCE IN ARIZONA IN 2004 Health Status Profile of American Indians in Arizona, 2004 Data Book 37 SOCIODEMOGRAPHIC CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2004 Data Book 39 4.1 MATERNAL AGE (2004 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community <15 15-17 18-19 20-24 25-29 30-34 35-39 40-44 Unknown 45+ 6,120 21 452 669 1,991 1,464 911 470 138 3 1 7 0 0 0 4 2 0 1 0 0 0 Cocopah Tribe 10 0 0 1 3 2 4 0 0 0 0 Colorado River Indian Tribes 55 0 8 3 28 8 7 1 0 0 0 Fort McDowell Yavapai Nation 14 0 0 2 9 1 2 0 0 0 0 Fort Mojave Indian Tribe 8 0 1 1 3 2 0 1 0 0 0 Fort Yuma Quechan Tribe 8 0 1 2 3 1 0 0 1 0 0 187 2 25 27 54 40 23 15 1 0 0 10 0 1 0 4 2 2 0 1 0 0 149 1 11 20 31 45 24 14 3 0 0 34 0 2 4 15 4 7 2 0 0 0 1,834 2 119 200 524 425 311 191 59 3 0 184 3 22 27 62 38 21 6 5 0 0 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Resided off reservation Mother's Age Group 92 0 10 10 35 19 9 8 1 0 0 San Carlos Apache Tribe 229 4 22 35 82 50 21 13 2 0 0 Tohono O'odham Tribe 311 1 20 39 105 75 42 27 2 0 0 White Mountain Apache Tribe 319 0 37 42 129 51 39 18 3 0 0 Yavapai-Apache Nation 16 0 2 2 7 3 1 1 0 0 0 Yavapai-Prescott Indian Tribe 15 0 1 2 6 1 4 1 0 0 0 TOTAL 3,482 13 282 417 1,104 769 517 299 78 3 0 ---in Maricopa County 1,589 4 92 166 538 411 251 96 31 0 0 ---in Pima County 145 0 5 5 49 47 21 15 3 0 0 ---in Coconino County 319 2 20 20 112 86 47 19 12 0 1 ---elsewhere in Arizona 585 2 53 61 188 151 75 41 14 0 0 2,638 8 170 252 887 695 394 171 60 0 1 TOTAL Health Status Profile of American Indians in Arizona, 2004 Data Book 41 4.2 EDUCATIONAL ATTAINMENT OF MOTHER (2004 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community 8 9-11 12 13-16 Unknown 17+ 6,120 54 185 1,754 2,203 1,708 151 65 7 0 0 3 4 0 0 0 10 0 1 5 3 1 0 0 Colorado River Indian Tribes 55 0 2 18 23 9 0 3 Fort McDowell Yavapai Nation 14 0 0 2 8 3 0 1 Fort Mojave Indian Tribe 8 0 2 3 2 1 0 0 Fort Yuma Quechan Tribe 8 0 1 3 2 2 0 0 187 2 13 82 65 24 1 0 10 0 1 4 4 1 0 0 149 0 5 25 68 48 2 1 34 0 0 14 14 6 0 0 1,834 11 24 448 709 577 50 15 184 2 13 74 63 30 0 2 Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community 92 0 2 54 21 6 0 9 San Carlos Apache Tribe 229 3 12 83 85 43 2 1 Tohono O'odham Tribe 311 8 12 106 124 54 3 4 White Mountain Apache Tribe 319 3 10 134 121 46 2 3 Yavapai-Apache Nation 16 0 0 5 7 4 0 0 Yavapai-Prescott Indian Tribe 15 0 0 4 5 6 0 0 TOTAL 3,482 29 98 1,067 1,328 861 60 39 ---in Maricopa County 1,589 17 60 391 502 549 52 18 ---in Pima County 145 1 1 25 56 51 11 0 ---in Coconino County 319 2 3 75 100 115 18 6 ---elsewhere in Arizona 585 5 23 196 217 132 10 2 2,638 25 87 687 875 847 91 26 TOTAL 42 <8 Cocopah Tribe Gila River Indian Community Resided off reservation Mother's Education Health Status Profile of American Indians in Arizona, 2004 Data Book 4.3 MARITAL STATUS OF MOTHER (2004 STATUS) Marital Status TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Unmarried Other* 6,120 1,574 4,473 73 7 5 2 0 Cocopah Tribe 10 1 9 0 Colorado River Indian Tribes 55 6 49 0 Fort McDowell Yavapai Nation 14 3 11 0 Fort Mojave Indian Tribe 8 2 6 0 Fort Yuma Quechan Tribe 8 2 6 0 187 24 162 1 10 2 8 0 149 34 111 4 34 3 31 0 1,834 461 1,359 14 184 40 142 2 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Resided off reservation Married 92 9 82 1 San Carlos Apache Tribe 229 62 167 0 Tohono O'odham Tribe 311 38 268 5 White Mountain Apache Tribe 319 79 238 2 Yavapai-Apache Nation 16 4 12 0 Yavapai-Prescott Indian Tribe 15 5 9 1 TOTAL 3,482 780 2,672 30 ---in Maricopa County 1,589 457 1,101 31 ---in Pima County 145 70 75 0 ---in Coconino County 319 98 219 2 ---elsewhere in Arizona 585 169 406 10 2,638 794 1,801 43 TOTAL *Refused”, “Yes, divorced”, “Unknown”. Health Status Profile of American Indians in Arizona, 2004 Data Book 43 4.4 RACE/ETHNICITY OF FATHER (2004 STATUS) Father’s Race/Ethnicity TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community American Indian or Alaska Native Black or African American Asian or Pacific Islander Unknown 6,120 302 535 92 3,374 32 1,785 7 2 3 0 1 0 1 10 0 2 0 2 0 6 Colorado River Indian Tribes 55 4 4 0 24 0 23 Fort McDowell Yavapai Nation 14 0 1 0 9 0 4 Fort Mojave Indian Tribe 8 2 0 0 1 0 5 Fort Yuma Quechan Tribe 8 1 5 0 1 0 1 187 2 18 0 90 1 76 10 0 0 0 6 0 4 149 2 2 2 109 0 34 34 1 0 2 11 0 20 1,834 7 15 8 1,330 2 472 184 3 39 2 72 2 66 Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community 92 0 11 1 39 0 41 San Carlos Apache Tribe 229 1 3 2 144 0 79 Tohono O'odham Tribe 311 7 26 3 139 2 134 White Mountain Apache Tribe 319 6 3 0 255 2 53 Yavapai-Apache Nation 16 3 5 0 4 0 4 Yavapai-Prescott Indian Tribe 15 4 0 0 4 0 7 TOTAL 3,482 45 137 20 2,241 9 1,030 ---in Maricopa County 1,589 149 292 51 610 17 470 ---in Pima County 145 32 26 9 40 4 34 ---in Coconino County 319 20 21 2 234 0 42 ---elsewhere in Arizona 585 56 59 10 249 2 209 2,638 257 398 72 1,133 23 755 TOTAL 44 Hispanic or Latino Cocopah Tribe Gila River Indian Community Resided off reservation White nonHispanic Health Status Profile of American Indians in Arizona, 2004 Data Book 4.5 AGE OF FATHER (2004 STATUS) Resided on reservation Ak-Chin Indian Community Unknown 102 324 1,231 1,202 757 441 252 111 26 13 1,657 55+ 50-54 45-49 40-44 35-39 30-34 25-29 4 <15 6,120 7 0 0 0 1 1 2 1 1 0 0 0 1 Cocopah Tribe 10 0 0 0 2 2 0 0 0 0 0 0 6 Colorado River Indian Tribes 55 0 2 5 12 3 3 3 0 3 1 0 23 Fort McDowell Yavapai Nation 14 0 0 2 4 2 2 0 0 0 0 0 4 Fort Mojave Indian Tribe 8 1 0 0 0 0 0 0 1 1 0 0 5 Fort Yuma Quechan Tribe 8 0 0 2 2 2 0 0 0 1 0 0 1 187 0 3 16 29 30 10 15 3 4 0 1 76 10 0 0 0 1 2 2 1 0 0 0 0 4 149 0 5 12 30 31 17 19 5 1 0 0 29 34 0 1 3 2 1 2 3 2 1 0 0 19 1,834 1 31 84 352 341 229 167 115 43 15 5 451 184 1 4 11 28 37 24 11 2 1 1 0 64 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Resided off reservation 20-24 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 18-19 TOTAL BIRTHS 15-17 Father's Age Group 92 0 3 6 19 13 8 1 3 0 0 0 39 San Carlos Apache Tribe 229 1 5 17 57 36 20 5 5 4 0 0 79 Tohono O'odham Tribe 311 0 3 16 63 35 32 13 13 3 0 0 133 White Mountain Apache Tribe 319 0 16 30 88 66 32 22 9 3 0 2 51 Yavapai-Apache Nation 16 0 0 2 6 3 1 0 1 0 0 0 3 Yavapai-Prescott Indian Tribe 15 0 1 2 4 3 0 0 1 0 0 0 4 TOTAL 3,482 4 74 208 700 608 384 261 161 65 17 8 992 ---in Maricopa County 1,589 0 18 69 329 359 228 101 50 21 4 4 406 ---in Pima County 145 0 0 5 26 39 26 8 7 6 0 0 28 ---in Coconino County 319 0 5 17 78 88 46 27 11 9 1 1 36 585 0 5 25 98 108 73 44 23 10 4 0 195 2,638 0 28 116 531 594 373 180 91 46 9 5 665 ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2004 Data Book 45 4.6 SOURCE OF PAYMENT FOR LABOR AND DELIVERY (2004 STATUS) Payee for Birth TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Self Unknown 6,120 3,236 1,629 852 50 353 7 3 1 3 0 0 10 8 1 0 1 0 Colorado River Indian Tribes 55 35 0 14 2 4 Fort McDowell Yavapai Nation 14 4 0 10 0 0 Fort Mojave Indian Tribe 8 6 1 0 0 1 Fort Yuma Quechan Tribe 8 4 0 4 0 0 187 96 18 71 1 1 10 9 0 1 0 0 149 42 83 10 1 13 34 22 1 7 4 0 1,834 782 782 60 2 208 184 127 48 8 1 0 92 61 13 10 3 5 Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community San Carlos Apache Tribe 229 67 150 10 2 0 Tohono O'odham Tribe 311 177 84 44 1 5 White Mountain Apache Tribe 319 147 162 9 0 1 Yavapai-Apache Nation 16 8 0 8 0 0 Yavapai-Prescott Indian Tribe 15 8 1 6 0 0 TOTAL 3,482 1,606 1,345 275 18 238 ---in Maricopa County 1,589 982 173 384 20 30 ---in Pima County 145 82 10 49 1 3 ---in Coconino County 319 236 23 52 5 3 ---elsewhere in Arizona 585 330 78 92 6 79 2,638 1,630 284 577 32 115 TOTAL 46 Private Insurance IHS Cocopah Tribe Gila River Indian Community Resided off reservation AHCCCS Health Status Profile of American Indians in Arizona, 2004 Data Book MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2004 Data Book 47 4.7 MATERNAL WEIGHT GAIN DURING PREGNANCY (2004 STATUS) Weight Gain TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community 16-20 pounds 21-24 pounds 25-30 pounds 31+ pounds Unknown 6,120 124 888 735 395 1,251 1,865 862 7 0 1 1 0 5 0 0 Cocopah Tribe 10 0 1 1 0 5 3 0 Colorado River Indian Tribes 55 1 6 7 4 8 18 11 Fort McDowell Yavapai Nation 14 0 0 1 1 3 5 4 Fort Mojave Indian Tribe 8 0 1 2 0 2 2 1 Fort Yuma Quechan Tribe 8 0 0 0 0 5 2 1 187 5 24 16 2 96 40 4 10 1 0 1 0 6 2 0 149 2 14 11 6 30 22 64 34 0 11 4 0 7 12 0 1,834 31 336 238 136 287 398 408 184 1 27 25 15 34 75 7 5 13 34 15 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Resided off reservation 1-16 pounds None 92 3 10 12 San Carlos Apache Tribe 229 2 39 38 8 39 70 33 Tohono O'odham Tribe 311 3 65 49 19 50 107 18 White Mountain Apache Tribe 319 14 33 28 30 38 83 93 Yavapai-Apache Nation 16 0 0 3 0 1 12 0 Yavapai-Prescott Indian Tribe 15 0 2 2 1 3 7 0 TOTAL 3,482 63 570 439 227 632 892 659 ---in Maricopa County 1,589 45 190 179 112 337 597 129 ---in Pima County 145 1 21 14 9 22 58 20 ---in Coconino County 319 1 30 27 14 110 120 17 ---elsewhere in Arizona 585 14 77 76 33 150 198 37 2,638 61 318 296 168 619 973 203 TOTAL Health Status Profile of American Indians in Arizona, 2004 Data Book 49 4.8 MEDICAL RISK FACTORS OF PREGNANCY (2004 STATUS) 24 76 0 49 333 49 55 58 14 3 36 3 1,463 0 Other Uterine bleeding RH sensitization Renal disease Hydramnios Diabetes Lung disease Incompetent cervix Previous infant 4000+g 463 Previous SGA infant Eclampsia Chronic hypertension 21 Hemoglobinopathy 16 Genital herpes 334 Cardiac disease 2,414 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 4 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 Colorado River Indian Tribes 55 16 1 0 0 2 0 0 0 0 2 0 0 0 0 0 0 0 13 Fort McDowell Yavapai Nation 14 4 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 2 8 4 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 4 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 45 6 0 0 13 0 1 0 1 12 1 1 1 0 0 0 0 23 10 6 0 0 0 3 0 0 0 0 4 0 0 0 0 0 0 0 2 149 53 5 0 1 14 0 0 0 4 10 0 3 1 0 0 1 0 24 Fort Yuma Quechan Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation 34 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1,834 688 124 7 8 143 4 38 0 23 130 13 24 40 5 1 11 1 279 184 57 4 0 0 12 1 6 0 1 7 1 0 0 0 0 0 0 31 92 45 14 0 1 7 1 0 0 0 2 1 0 0 0 0 1 0 34 San Carlos Apache Tribe 229 112 19 1 0 19 2 3 0 3 17 6 8 2 1 0 0 1 70 Tohono O'odham Tribe 311 90 6 0 0 20 0 10 0 1 19 2 0 0 0 0 0 0 48 White Mountain Apache Tribe 319 183 17 2 5 19 7 4 0 2 26 3 9 8 5 0 10 0 149 Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Comm. Yavapai-Apache Nation 16 2 0 0 0 1 0 0 0 1 0 0 0 0 0 0 1 0 1 Yavapai-Prescott Indian Tribe 15 11 1 0 2 0 0 0 0 0 1 0 0 1 0 0 0 0 10 TOTAL 3,482 1,322 198 10 17 256 16 63 0 37 230 27 45 53 11 1 24 2 692 ---in Maricopa County 1,589 740 103 3 1 129 4 5 0 4 52 8 3 2 2 2 4 0 551 ---in Pima County 145 53 3 0 0 13 0 4 0 1 6 1 0 1 0 0 1 0 34 ---in Coconino County 319 107 6 0 0 18 0 1 0 1 22 10 1 1 0 0 2 0 74 ---elsewhere in Arizona 585 192 24 3 3 47 4 3 0 6 23 3 6 1 1 0 5 1 112 2,638 1,092 136 6 4 207 8 13 0 12 103 22 10 5 3 2 12 1 771 TOTAL 50 6,120 Cocopah Tribe Fort Mojave Indian Tribe Resided off reservation Anemia Ak-Chin Indian Community Births with medical risk factors Resided on reservation TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Pregnancy associated hypertension Medical Risk Factors Health Status Profile of American Indians in Arizona, 2004 Data Book 4.9 SUBSTANCE USE DURING PREGNANCY (2004 STATUS) Substance Use TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Smoker, nondrinker Smoker and drinker Nonsmoker and nondrinker 6,120 87 154 71 5,808 7 0 0 0 7 Cocopah Tribe 10 0 0 0 10 Colorado River Indian Tribes 55 1 2 0 52 Fort McDowell Yavapai Nation 14 1 1 0 12 Fort Mojave Indian Tribe 8 0 0 0 8 Fort Yuma Quechan Tribe 8 0 0 0 8 187 3 6 1 177 10 0 0 0 10 149 1 1 1 146 34 3 2 1 28 1,834 17 18 8 1,791 184 1 5 2 176 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Resided off reservation Drinker, nonsmoker 92 1 6 1 84 San Carlos Apache Tribe 229 10 3 9 207 Tohono O'odham Tribe 311 6 7 4 294 White Mountain Apache Tribe 319 15 5 21 278 Yavapai-Apache Nation 16 0 0 0 16 Yavapai-Prescott Indian Tribe 15 1 1 0 13 TOTAL 3,482 60 57 48 3,317 ---in Maricopa County 1,589 15 63 14 1,497 ---in Pima County 6,120 87 154 71 5,808 7 0 0 0 7 ---elsewhere in Arizona 16 0 0 0 16 TOTAL 10 0 0 0 10 ---in Coconino County Health Status Profile of American Indians in Arizona, 2004 Data Book 51 Utilization of Medical Services Health Status Profile of American Indians in Arizona, 2004 Data Book 53 4.10 TRIMESTER OF PREGNANCY PRENATAL CARE BEGAN (2004 STATUS) Prenatal Care TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community 1st Trimester 2nd Trimester 3rd Trimester Unknown 6,120 186 4,225 1,318 342 49 7 0 6 1 0 0 Cocopah Tribe 10 2 3 3 2 0 Colorado River Indian Tribes 55 3 22 14 15 1 Fort McDowell Yavapai Nation 14 0 13 0 1 0 Fort Mojave Indian Tribe 8 0 5 2 1 0 Fort Yuma Quechan Tribe 8 1 4 2 1 0 187 1 168 10 7 1 10 0 9 1 0 0 149 6 83 48 12 0 34 0 28 0 0 6 1,834 39 1,129 535 118 13 184 7 124 43 9 1 92 6 67 9 8 2 San Carlos Apache Tribe 229 13 138 58 13 7 Tohono O'odham Tribe 311 14 201 80 16 0 White Mountain Apache Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Resided off reservation No care 319 8 212 72 27 0 Yavapai-Apache Nation 16 1 8 5 1 1 Yavapai-Prescott Indian Tribe 15 1 11 3 0 0 TOTAL 3,482 102 2,231 886 231 32 ---in Maricopa County 1,589 54 1,296 193 39 7 ---in Pima County 145 4 93 32 16 0 ---in Coconino County 319 3 235 60 20 1 ---elsewhere in Arizona 585 23 370 147 36 9 2,638 84 1,994 432 111 17 TOTAL Health Status Profile of American Indians in Arizona, 2004 Data Book 55 4.11 NUMBER OF PRENATAL VISITS (2004 STATUS) Prenatal Visits TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 5-8 visits 9-12 visits 13+ visits Unknown 6,120 186 553 1,500 2,564 1,263 54 7 0 0 0 7 0 0 Cocopah Tribe 8 1 1 2 3 1 0 Colorado River Indian Tribes 10 2 2 3 3 0 0 Fort McDowell Yavapai Nation 14 0 1 2 7 4 0 Fort Mojave Indian Tribe 15 1 0 2 5 7 0 Fort Yuma Quechan Tribe 16 1 2 7 5 1 0 Gila River Indian Community 34 0 1 8 16 3 6 Havasupai Tribe 55 3 9 17 11 12 3 Hopi Tribe 92 6 17 21 35 7 6 Hualapai Nation 149 6 16 39 53 34 1 Navajo Nation 184 7 4 42 59 72 0 Pascua Yaqui Tribe 187 1 10 21 134 20 1 Salt River Pima-Maricopa Community 229 13 47 78 62 27 2 San Carlos Apache Tribe 311 14 30 88 111 68 0 Tohono O'odham Tribe 319 8 37 119 118 37 0 10 0 2 4 4 0 0 8 0 1 1 3 2 1 Yavapai-Prescott Indian Tribe 1,834 39 206 486 719 370 14 TOTAL 3,482 102 386 940 1,355 665 34 ---in Maricopa County 1,589 54 81 320 740 384 10 ---in Pima County 145 4 6 26 61 48 0 ---in Coconino County 319 3 18 67 142 88 1 ---elsewhere in Arizona 585 23 62 147 266 78 9 2,638 84 167 560 1,209 598 20 Yavapai-Apache Nation TOTAL 56 1-4 visits Ak-Chin Indian Community White Mountain Apache Tribe Resided off reservation No visits Health Status Profile of American Indians in Arizona, 2004 Data Book 4.12 OBSTETRIC PROCEDURES (2004 STATUS) Resided on reservation Other Ultrasound Tocolysis Stimulation of labor 5,830 43 5,552 986 988 139 3,273 778 Ak-Chin Indian Community 7 0 7 1 0 0 7 1 Cocopah Tribe 8 0 8 0 0 2 7 0 Colorado River Indian Tribes 55 1 54 2 3 0 18 2 Fort McDowell Yavapai Nation 12 0 10 6 4 0 8 2 Fort Mojave Indian Tribe 8 0 4 3 2 0 4 1 Fort Yuma Quechan Tribe 8 0 8 2 0 3 7 0 183 1 180 13 6 8 152 34 10 0 10 7 2 0 0 0 136 3 131 28 22 0 34 4 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community 34 0 33 5 8 0 1 0 1,683 17 1,624 287 268 20 893 56 182 1 180 11 19 1 152 16 90 0 90 26 23 2 42 19 San Carlos Apache Tribe 224 4 170 32 28 55 122 49 Tohono O'odham Tribe 300 1 296 10 18 0 270 11 White Mountain Apache Tribe 317 0 297 57 71 16 257 171 16 0 16 1 0 0 15 0 Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Resided off reservation Induction of labor Amniocentesis TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Electronic Fetal Monitoring Obstetric Procedures 15 1 15 4 10 0 12 1 TOTAL 3,288 29 3,133 495 484 107 2,001 367 ---in Maricopa County 1,543 12 1,456 289 346 14 705 355 ---in Pima County 143 1 142 18 18 0 128 4 ---in Coconino County 311 0 301 97 82 1 101 0 ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2004 Data Book 545 1 520 87 58 17 338 52 2,542 14 2,419 491 504 32 1,272 411 57 4.13 COMPLICATIONS OF LABOR AND DELIVERY (2004 STATUS) Resided on reservation Ak-Chin Indian Community 95 2 92 113 177 195 32 8 1 144 1,156 Other Fetal distress Cord prolapse Seizures Other bleeding Placenta previa Anesthetic Complic. 11 Cephalopelvic disp. Dysfunctional labor 21 Breech malpresentation Prolonged labor 244 Precipitous labor Meconium 264 Abruptio placenta Febrile 131 Rupture of membrane Births with complications 2,080 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 2 Colorado River Indian Tribes 55 6 1 2 0 0 0 0 0 0 0 0 2 0 0 0 0 2 Fort McDowell Yavapai Nation 14 6 2 1 0 0 0 0 0 0 1 0 0 0 0 0 0 5 Fort Mojave Indian Tribe 8 4 0 2 0 0 0 0 0 0 0 0 0 0 0 0 1 4 Fort Yuma Quechan Tribe 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 27 3 4 5 1 0 3 0 1 1 1 8 0 0 0 1 7 10 5 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 4 149 54 3 13 7 1 0 2 0 3 5 6 7 2 0 0 7 17 34 3 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 1 1,834 630 44 86 99 7 1 37 0 45 57 93 68 15 7 1 69 180 184 53 6 7 7 0 0 0 0 2 1 4 8 1 0 0 2 28 92 35 6 6 3 1 1 6 0 3 1 1 2 0 0 0 1 27 San Carlos Apache Tribe 229 84 3 6 4 1 1 2 1 6 3 1 4 2 0 0 2 57 Tohono O'odham Tribe 311 77 4 16 11 0 1 0 0 6 1 5 6 0 0 0 9 37 White Mountain Apache Tribe 319 139 2 14 15 1 1 12 0 1 13 38 18 4 0 0 22 92 16 6 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 4 Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Comm. Yavapai-Apache Nation Yavapai-Prescott Indian Tribe 15 10 0 1 0 0 0 0 0 1 0 1 0 2 0 0 0 10 TOTAL 3,482 1,142 74 160 151 12 5 62 1 68 83 150 127 26 7 1 116 477 ---in Maricopa County 1,589 602 51 62 70 5 2 23 0 13 16 21 44 4 1 0 14 448 ---in Pima County 145 57 2 10 3 0 0 1 0 1 1 0 3 0 0 0 2 43 ---in Coconino County 319 110 1 15 4 1 0 1 0 1 4 1 7 0 0 0 2 87 ---elsewhere in Arizona 585 169 3 17 16 3 4 8 1 9 9 5 14 2 0 0 10 101 2,638 938 57 104 93 9 6 33 1 24 30 27 68 6 1 0 28 679 TOTAL 58 6,120 Cocopah Tribe Gila River Indian Community Resided off reservation TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Complications of Labor and/or Delivery Health Status Profile of American Indians in Arizona, 2004 Data Book 4.14 METHOD OF DELIVERY (2004 STATUS) Method of Delivery TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Primary CSection Repeat CSection Forceps Vacuum 6,120 4,812 118 675 515 30 94 7 5 0 1 1 0 0 Cocopah Tribe 10 5 1 1 3 0 0 Colorado River Indian Tribes 55 43 0 4 8 0 1 Fort McDowell Yavapai Nation 14 11 0 2 1 0 1 Fort Mojave Indian Tribe 8 4 0 3 1 0 0 Fort Yuma Quechan Tribe 8 6 0 2 0 0 0 187 146 0 19 22 1 1 10 8 0 2 0 0 0 149 118 4 14 13 2 2 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation 34 25 0 6 3 0 0 1,834 1,508 50 168 108 6 23 184 134 4 24 22 0 3 92 72 4 8 8 0 7 San Carlos Apache Tribe 229 174 3 28 24 2 5 Tohono O'odham Tribe 311 253 6 28 24 0 1 White Mountain Apache Tribe Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Resided off reservation Vaginal after C-Section Vaginal 319 245 3 38 33 12 15 Yavapai-Apache Nation 16 9 0 4 3 0 0 Yavapai-Prescott Indian Tribe 15 12 0 3 0 0 0 TOTAL 3,482 2,778 75 355 274 23 59 ---in Maricopa County 1,589 1,214 28 205 142 2 17 ---in Pima County 145 112 4 17 12 0 2 ---in Coconino County 319 248 4 35 32 3 2 ---elsewhere in Arizona 585 460 7 63 55 2 14 2,638 2,034 43 320 241 7 35 TOTAL Health Status Profile of American Indians in Arizona, 2004 Data Book 59 4.15 ATTENDANT AT BIRTH (2004 STATUS) Attendant at Birth TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Midwife D.O. Other Unknown 3,578 1,908 70 529 31 4 7 4 0 0 3 0 0 Cocopah Tribe 10 7 2 0 0 1 0 Colorado River Indian Tribes 55 24 0 0 31 0 0 Fort McDowell Yavapai Nation 14 10 2 0 2 0 0 Fort Mojave Indian Tribe 8 6 0 0 2 0 0 Fort Yuma Quechan Tribe 8 5 3 0 0 0 0 187 141 4 0 42 0 0 10 9 0 0 0 1 0 149 80 64 0 5 0 0 34 17 0 0 16 1 0 1,834 591 1,136 37 54 16 0 184 110 70 1 2 1 0 Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community 92 68 22 0 2 0 0 San Carlos Apache Tribe 229 213 8 0 6 2 0 Tohono O'odham Tribe 311 289 18 0 4 0 0 White Mountain Apache Tribe 319 130 5 0 182 2 0 Yavapai-Apache Nation 16 16 0 0 0 0 0 Yavapai-Prescott Indian Tribe 15 13 1 0 1 0 0 TOTAL 3,482 1,733 1,335 38 352 24 0 ---in Maricopa County 1,589 1,050 433 21 85 0 0 ---in Pima County 145 122 19 0 4 0 0 ---in Coconino County 319 296 17 0 2 2 2 ---elsewhere in Arizona 585 377 104 11 86 5 2 2,638 1,845 573 32 177 7 4 TOTAL 60 C.N.M. 6,120 Ak-Chin Indian Community Gila River Indian Community Resided off reservation M.D. Health Status Profile of American Indians in Arizona, 2004 Data Book Newborn’s Health Health Status Profile of American Indians in Arizona, 2004 Data Book 61 4.16 GESTATIONAL AGE (2004 STATUS) Length of Gestation TOTAL BIRTHS <37 weeks ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community 42+ weeks Unknown 6,120 668 5,369 73 10 7 0 7 0 0 Cocopah Tribe 10 0 10 0 0 Colorado River Indian Tribes 55 4 49 2 0 Fort McDowell Yavapai Nation 14 2 12 0 0 Fort Mojave Indian Tribe 8 0 7 0 1 Fort Yuma Quechan Tribe 8 1 7 0 0 187 28 158 1 0 10 2 8 0 0 149 12 134 3 0 34 5 28 1 0 1,834 162 1,641 27 4 184 22 162 0 0 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Resided off reservation 37-41 weeks 92 11 79 2 0 San Carlos Apache Tribe 229 43 184 1 1 Tohono O'odham Tribe 311 33 276 2 0 White Mountain Apache Tribe 319 58 255 6 0 Yavapai-Apache Nation 16 2 14 0 0 Yavapai-Prescott Indian Tribe 15 0 15 0 0 TOTAL 3,482 385 3,046 45 6 ---in Maricopa County 1,589 176 1,400 12 1 ---in Pima County 145 13 130 1 1 ---in Coconino County 319 41 273 5 0 ---elsewhere in Arizona 585 53 520 10 2 2,638 283 2,323 28 4 TOTAL Health Status Profile of American Indians in Arizona, 2004 Data Book 63 4.17 WEIGHT AT BIRTH (2004 STATUS) Weight at Birth TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community 1,500-2,499 2,500-3,999 4000+ Unknown 6,120 23 33 385 5,118 558 3 7 0 0 0 6 1 0 10 0 0 0 8 2 0 Colorado River Indian Tribes 55 0 0 3 47 5 0 Fort McDowell Yavapai Nation 14 0 0 0 13 1 0 Fort Mojave Indian Tribe 8 0 0 0 8 0 0 Fort Yuma Quechan Tribe 8 0 0 1 5 2 0 187 3 0 19 148 17 0 10 0 0 1 9 0 0 149 0 0 11 132 6 0 34 0 0 2 28 4 0 1,834 5 10 109 1,564 143 3 184 1 1 13 153 16 0 Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community 92 0 0 4 72 16 0 San Carlos Apache Tribe 229 0 3 17 180 29 0 Tohono O'odham Tribe 311 0 0 22 258 31 0 White Mountain Apache Tribe 319 5 3 27 261 23 0 Yavapai-Apache Nation 16 0 1 1 12 2 0 Yavapai-Prescott Indian Tribe 15 0 0 0 15 0 0 TOTAL 3,482 14 18 230 2,919 298 3 ---in Maricopa County 1,589 6 8 95 1,322 158 0 ---in Pima County 145 0 2 6 118 19 0 ---in Coconino County 319 2 2 26 265 24 0 ---elsewhere in Arizona 585 1 3 28 494 59 0 2,638 9 15 155 2,199 260 0 TOTAL 64 1,000-1,499 Cocopah Tribe Gila River Indian Community Resided off reservation <1,000 grams Health Status Profile of American Indians in Arizona, 2004 Data Book 4.18 ABNORMAL CONDITIONS OF THE NEWBORN (2004 STATUS) Resided on reservation Ak-Chin Indian Community Other Seizures Assisted vent >30 min. Assissted vent. <30 min Meconium aspiration Membrane disease Fetal Alcohol Syndrome Birth injury 6,120 381 12 16 3 23 17 68 41 9 266 7 0 0 0 0 0 0 0 0 0 0 Cocopah Tribe 10 1 0 0 0 0 0 0 1 0 1 Colorado River Indian Tribes 55 10 0 0 0 0 0 6 0 0 4 Fort McDowell Yavapai Nation 14 0 0 0 0 0 0 0 0 0 0 8 2 0 0 0 0 0 0 0 0 2 Fort Mojave Indian Tribe Fort Yuma Quechan Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Resided off reservation Anemia Births with abnormal conditions of the newborn TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Abnormal Conditions 8 0 0 0 0 0 0 0 0 0 0 187 8 0 0 0 1 0 0 1 0 7 10 0 0 0 0 0 0 0 0 0 0 149 5 1 0 0 0 0 1 0 0 3 34 0 0 0 0 0 0 0 0 0 0 1,834 101 9 1 2 6 8 22 10 7 45 184 7 1 0 0 0 0 0 0 0 6 92 1 0 0 0 0 0 0 0 1 0 San Carlos Apache Tribe 229 41 0 0 1 0 0 5 0 0 35 Tohono O'odham Tribe 311 9 0 1 0 0 0 1 0 0 8 White Mountain Apache Tribe 319 56 0 8 0 10 3 4 19 1 47 Yavapai-Apache Nation 16 2 0 0 0 0 0 0 0 0 2 Yavapai-Prescott Indian Tribe 15 3 0 0 0 0 0 0 0 0 3 TOTAL 3,482 246 11 10 3 17 11 39 31 9 163 ---in Maricopa County 1,589 61 0 5 0 4 2 4 5 0 50 ---in Pima County 145 23 0 0 0 0 0 14 0 0 23 ---in Coconino County 319 16 0 1 0 1 0 5 1 0 9 ---elsewhere in Arizona 585 35 1 0 0 1 4 6 4 0 21 2,638 135 1 6 0 6 6 29 10 0 103 TOTAL Health Status Profile of American Indians in Arizona, 2004 Data Book 65 Other chromosomal Other muscosceletal 2 0 3 0 3 2 1 12 6 3 1 15 4 4 42 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Cocopah Tribe 10 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 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Fort McDowell Yavapai Nation 14 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Fort Mojave Indian Tribe 8 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 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 187 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 1 34 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,834 29 0 0 1 0 0 3 1 2 0 2 0 3 2 1 7 3 2 1 5 1 2 7 Pascua Yaqui Tribe Salt River Pima-Maricopa 184 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 San Carlos Apache Tribe 229 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 2 0 7 Tohono O'odham Tribe 311 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 319 22 0 0 0 0 3 0 3 0 0 1 0 0 0 0 0 0 0 0 7 1 2 8 Yavapai-Apache Nation 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Yavapai-Prescott Indian Tribe 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL 3,482 67 0 1 1 0 3 3 4 2 0 3 0 3 2 1 8 4 3 1 13 4 4 24 ---in Maricopa County 1,589 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 2 ---in Pima County 145 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 ---in Coconino County 319 13 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 9 ---elsewhere in Arizona 585 13 0 0 0 0 0 2 4 0 0 0 0 0 0 0 1 0 0 0 1 0 0 6 2,638 32 0 0 0 0 0 3 4 0 0 0 0 0 0 0 4 2 0 0 2 0 0 18 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Resided off reservation TOTAL 66 Health Status Profile of American Indians in Arizona, 2004 Data Book Other 8 0 Downs Syndrome 6 0 Diaphragmatic hernia 3 0 Club foot Other gastrointestinal Polydactyly/ Syndactyly/adactyly Omphalocele/ gastroschisis 0 0 Cleft Lip/Palate Fistula/esophageal atresia 1 0 Other urogenital Rectal atresia/stenosis 1 0 Renal agenesis Other respiratory /circulatory 0 0 Microcephalus 99 7 Hydrocephalus 6,120 Ak-Chin Indian Community Resided on reservation Spina Bifida/ meningocele ALL AMERICAN INDIAN RESIDENTS OF AZ Anencephalus Heart malformations Malformed genitalia Congenital Anomalies Other CNS anomaly TOTAL BIRTHS Births with congenital anomalies 4.19 CONGENITAL ANOMALIES (BIRTH DEFECTS) (2004 STATUS) 4.20 CAUSES OF INFANT DEATH AMONG AMERICAN INDIAN RESIDENTS, ARIZONA, 2004 ---elsewhere in Arizona ---in Coconino County ---in Pima County White Mountain Apache Tribe Yavapai-Apache Nation ---in Maricopa County Resided off reservation Tohono O'Odham Tribe Pascua Yaqui Tribe Navajo Nation Hopi Tribe Total Gila River Indian Community Colorado River Indian Tribes Resided on reservation Total, all causes 44 1 2 2 17 1 2 2 1 10 1 2 3 Congenital malformations 16 0 1 1 6 0 0 0 1 3 0 2 2 ---Congenital malformations of heart 1 0 0 0 0 0 0 0 0 0 0 1 0 Conditions originating in the perinatal period 9 0 1 1 4 1 0 1 0 1 0 0 0 ---Short gestation and low birth weight 3 0 0 1 0 1 0 0 0 1 0 0 0 ---Bacterial sepsis of newborn 1 0 0 0 0 0 0 1 0 0 0 0 0 ---Intrauterine hypoxia or birth asphyxia 1 0 1 0 0 0 0 0 0 0 0 0 0 ---Atelectasis 1 0 0 0 1 0 0 0 0 0 0 0 0 Assault (homicide) 4 0 0 0 2 0 0 0 0 2 0 0 0 Sudden death, unknown cause 3 0 0 0 2 0 1 0 0 0 0 0 0 ---Sudden infant death syndrome 3 1 0 0 1 0 1 0 0 0 0 0 0 ---Other sudden death 3 1 0 0 1 0 1 0 0 0 0 0 0 Accident (unintentional injury) 1 0 0 0 0 0 0 0 0 1 0 0 0 Influenza and pneumonia 1 0 0 0 0 0 0 0 0 1 0 0 0 Diseases of the circulatory system 0 0 0 0 0 0 0 0 0 0 0 0 0 Diseases of heart 1 0 0 0 0 0 0 0 0 1 0 0 0 Health Status Profile of American Indians in Arizona, 2004 Data Book 67 Payee for birth UNKNOWN LA PAZ YUMA YAVAPAI PINAL PIMA NAVAJO MOHAVE MARICOPA GREENLEE 789 199 50 1 1,768 69 997 580 340 57 40 56 9 0 2 4 0 0 5 0 1 3 3 0 0 0 0 15-17 452 71 0 54 23 0 0 112 4 89 39 44 3 8 1 1 18-19 669 129 0 69 28 7 0 185 9 115 66 48 3 3 1 1 20-24 1,991 322 6 244 72 20 0 608 29 325 195 108 12 28 3 3 25-29 1,464 261 4 209 42 13 0 446 11 218 146 74 13 8 2 2 30-34 911 203 0 121 15 7 0 272 9 142 77 39 8 8 1 1 35-39 470 120 2 62 13 3 1 107 5 86 45 22 0 1 1 1 40-44 138 42 0 27 2 0 0 33 2 20 9 2 1 0 0 0 45+ 3 2 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Unknown 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 AHCCCS 3,236 472 3 357 62 12 1 1,099 47 552 339 196 25 35 1 0 IHS 1,629 404 0 351 131 30 0 192 2 352 136 28 1 1 0 1 852 34 7 71 4 8 0 418 10 49 94 109 13 14 0 0 50 3 0 6 2 0 0 24 6 1 3 2 1 2 0 0 353 240 2 4 0 0 0 35 4 43 8 5 0 4 8 0 54 9 0 3 3 1 0 20 0 6 8 4 0 0 0 8 185 11 0 12 12 0 0 66 2 25 23 27 4 2 1 0 9-11 1,754 250 1 206 73 16 0 473 28 318 186 150 13 19 5 1 12 2,203 447 5 288 66 23 0 556 25 396 222 115 14 23 1 5 13-16 1,708 388 6 249 42 10 1 569 14 227 124 42 8 9 1 1 151 37 0 22 2 0 0 53 0 18 14 2 1 0 1 1 65 11 0 9 1 0 0 31 0 7 3 0 0 3 0 1 Married 1,574 285 8 214 50 19 1 480 17 260 139 63 12 6 3 0 Unmarried 4,473 858 4 569 149 31 0 1,256 52 723 434 275 28 50 5 3 73 10 0 6 0 0 0 32 0 14 7 2 0 0 1 5 None 124 31 0 2 2 0 0 50 0 21 4 13 0 0 1 0 1-16 pounds 888 263 4 69 36 8 0 209 13 130 105 42 2 1 6 0 16-20 pounds 735 192 0 64 32 8 0 199 9 100 81 33 7 1 7 2 21-24 pounds 395 108 2 30 7 1 0 124 2 68 38 7 2 0 4 2 25-30 pounds 1,251 177 2 187 32 9 1 375 15 162 92 149 10 29 9 2 31+ pounds 1,865 280 3 194 63 16 0 659 26 254 219 87 36 8 18 2 862 102 1 243 27 8 0 152 4 262 41 9 0 1 11 1 Unknown <8 8 17+ Unknown Other* Weight gain GRAHAM 12 3 Self Marital status GILA 1,153 21 <15 Private insurance Mother's education COCHISE 6,120 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, 2004 Unknown * “Refused”, “Yes, divorced”, “Unknown”. 68 Health Status Profile of American Indians in Arizona, 2004 Data Book Substance use UNKNOWN LA PAZ YUMA YAVAPAI PINAL PIMA NAVAJO 10 0 0 19 3 21 7 4 1 0 1 0 8 3 2 1 74 5 19 15 7 7 1 2 0 Smoker and drinker 71 6 0 5 8 1 0 17 2 25 6 1 0 0 0 0 5,808 1,125 12 767 178 47 0 1,658 59 932 552 328 49 39 53 9 668 125 0 87 32 13 1 204 8 89 59 40 3 1 4 2 5,369 1,013 12 689 166 36 0 1,548 58 885 518 297 52 38 50 7 42+ weeks 73 14 0 12 1 0 0 15 1 20 2 3 2 1 2 0 Unknown 10 1 0 1 0 1 0 1 2 3 1 0 0 0 0 0 <1,000 grams 23 6 0 2 0 0 0 6 0 5 1 3 0 0 0 0 1,000-1,499 33 9 0 2 3 0 0 9 0 6 2 0 2 0 0 0 1,500-2,499 385 73 0 50 15 4 1 104 2 68 38 24 1 2 3 0 2,500-3,999 5,118 968 11 685 161 35 0 1,464 61 834 481 281 48 33 48 8 558 95 1 49 20 11 0 185 6 84 58 32 6 5 5 1 3 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 186 28 0 11 12 2 0 60 0 29 25 9 3 4 3 0 1st trimester 4,225 695 10 536 115 34 0 1,437 54 627 369 273 29 19 23 4 2nd trimester 1,318 341 2 198 55 10 1 210 5 259 148 41 19 13 14 2 3rd trimester 342 78 0 41 12 2 0 52 1 79 37 16 4 4 15 1 49 11 0 3 5 2 0 9 9 3 1 1 2 0 1 2 No visits 186 28 0 11 12 2 0 60 0 29 25 9 3 4 3 0 1-4 visits 553 103 1 68 33 15 0 104 4 141 35 30 5 5 9 0 5-8 visits 1,500 301 2 186 66 20 1 355 14 312 144 48 20 10 17 4 9-12 visits 2,564 466 4 336 63 9 0 820 33 363 202 218 19 17 12 2 13+ visits 1,263 244 5 185 23 4 0 413 8 147 174 34 10 4 12 0 54 11 0 3 2 0 0 16 10 5 0 1 0 0 3 3 269 28 0 44 16 2 1 86 3 40 24 16 5 2 2 0 5,823 1104 12 745 182 48 0 1,682 66 953 555 324 52 38 54 8 Unknown 28 21 0 0 1 0 0 0 0 4 1 0 0 0 0 1 Amniocentesis 43 7 0 6 4 0 0 14 0 8 2 0 1 0 1 0 5,552 980 6 735 172 15 0 1,624 61 914 562 328 56 38 55 6 Induction of labor 986 157 1 209 36 5 0 337 13 159 25 25 10 5 2 2 Stimulation of labor 988 142 4 172 29 1 0 395 15 168 33 12 14 0 3 0 Tocolysis 139 16 0 4 55 5 0 18 0 22 0 7 0 12 0 0 <37 weeks No care Unknown Yes No Obstetric procedures MOHAVE 9 0 Unknown Newborn intensive care MARICOPA 0 10 Unknown Prenatal visits GREENLEE 12 154 4000+ Prenatal care GRAHAM 87 Smoker, nondrinker 38-41 weeks Weight at birth GILA Drinker, nonsmoker Nonsmoker and nondrinker Length of gestation COCHISE APACHE TOTAL STATE COCONINO 4.21 (continued) COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2004 Electronic Fetal Monitoring Health Status Profile of American Indians in Arizona, 2004 Data Book 69 UNKNOWN PINAL 777 9 518 536 290 50 35 19 4 1 397 2 213 14 40 1 0 2 1 4,812 938 10 626 153 35 0 1,346 51 807 458 270 37 29 44 8 Vaginal after C-Section 118 29 1 17 3 0 0 34 0 20 12 1 0 1 0 0 Primary C-Section 675 114 0 83 23 9 0 226 10 88 60 39 15 4 4 0 Repeat C-Section 515 72 1 63 20 6 1 162 8 82 50 30 5 6 8 1 Forceps 30 2 0 7 2 0 0 2 0 16 0 1 0 0 0 0 Vacuum 94 11 0 5 3 2 0 25 2 30 6 7 2 0 1 0 2,414 431 3 289 103 20 1 833 9 448 162 67 20 6 17 5 Vaginal Total YUMA LA PAZ PIMA YAVAPAI NAVAJO MOHAVE 1 32 334 91 1 28 20 2 0 121 0 48 9 9 2 1 2 0 Cardiac disease 16 5 0 1 1 0 0 3 0 6 0 0 0 0 0 0 Lung disease 21 6 0 1 0 0 0 2 0 9 0 0 3 0 0 0 463 96 0 54 17 6 0 144 1 74 39 25 2 2 2 1 Genital herpes 24 4 0 0 2 0 1 6 0 10 1 0 0 0 0 0 Hydramnios 76 22 0 14 2 1 0 5 0 8 20 1 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Chronic hypertension 49 13 0 7 3 2 0 4 1 13 3 2 1 0 0 0 Pregnancy associated hypertension 333 82 0 61 17 4 0 58 0 61 30 16 1 1 2 0 Hemoglobinopathy Eclampsia 49 7 0 11 5 1 0 9 0 11 4 1 0 0 0 0 Previous infant 4000+g 55 11 0 11 7 1 0 3 0 21 0 1 0 0 0 0 Previous SGA infant 58 24 0 13 2 0 0 2 0 14 1 1 1 0 0 0 Renal disease 14 3 0 1 1 0 0 2 0 7 0 0 0 0 0 0 RH sensitization 3 0 0 1 0 0 0 2 0 0 0 0 0 0 0 0 Uterine bleeding 36 6 0 6 0 0 0 5 0 16 1 1 1 0 0 0 Incompetent cervix 3 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1,463 160 3 156 58 14 1 621 8 294 82 34 16 1 13 2 381 75 1 39 22 19 1 68 5 84 36 11 9 1 10 0 Anemia 12 9 0 0 0 0 0 1 0 2 0 0 0 0 0 0 Birth injury 16 0 0 2 0 0 0 6 0 8 0 0 0 0 0 0 3 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 Hyaline membrane disease 23 5 0 1 0 0 0 4 0 12 0 1 0 0 0 0 Meconium aspiration 17 9 0 1 0 0 0 2 0 4 0 1 0 0 0 0 Other Total Fetal Alcohol Syndrome 70 MARICOPA 43 17 Diabetes Abnormal conditions of the newborn Abnormal conditions GREENLEE 87 8 Anemia Medical risk factors GRAHAM 231 0 GILA 5 50 Other Births with medical risk factors COCHISE 668 778 Ultrasound APACHE 3,273 TOTAL STATE Method of delivery COCONINO 4.21 (continued) COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2004 Health Status Profile of American Indians in Arizona, 2004 Data Book UNKNOWN LA PAZ YUMA YAVAPAI PINAL PIMA NAVAJO MOHAVE MARICOPA GREENLEE GRAHAM GILA 68 20 0 13 4 1 0 4 1 4 15 0 0 0 6 0 Newborn seizures 41 7 1 3 0 0 0 6 0 22 0 0 1 1 0 0 9 0 0 6 0 0 0 1 0 2 0 0 0 0 0 0 266 28 1 16 17 18 1 53 4 69 36 10 8 1 4 0 Total Anencephalus Congenital anomalies COCHISE Assisted vent>30 min. 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, 2004 99 12 0 21 5 6 1 7 0 45 1 0 1 0 0 0 Spina bifida 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Hydrocephalus 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 Microcephalus 1 1 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 3 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 6 3 0 1 0 0 0 0 0 2 0 0 0 0 0 0 8 0 0 0 0 0 0 0 0 8 0 0 0 0 0 0 2 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 0 0 3 0 0 1 0 0 0 0 0 2 0 0 0 0 0 0 Malformed genitalia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Renal agenesis 3 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 Other urogenital 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 Cleft lip/palate 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 3 0 4 1 0 0 2 0 2 0 0 0 0 0 0 Club foot 6 1 0 1 0 0 0 1 0 3 0 0 0 0 0 0 Diaphragmatic hernia 3 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0 Other muscosceletal 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 15 2 0 3 0 0 0 0 0 10 0 0 0 0 0 0 Other chromosomal 4 1 0 0 2 0 0 0 0 1 0 0 0 0 0 0 Other 4 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 Polydactyly Down's syndrome Health Status Profile of American Indians in Arizona, 2004 Data Book 71 UNKNOWN YAVAPAI 20 0 675 11 379 159 47 33 5 6 0 3 0 0 62 0 12 10 3 0 0 1 0 Meconium 264 62 1 40 6 1 0 75 2 39 28 4 2 2 2 0 Rupture of membrane 244 77 0 23 4 1 0 79 0 39 16 5 0 0 0 0 Abruptio placenta 21 6 0 1 1 0 0 7 0 4 0 1 1 0 0 0 Placenta previa 11 1 0 1 0 1 0 3 0 2 1 2 0 0 0 0 Other bleeding 95 17 0 11 2 0 0 29 0 31 1 4 0 0 0 0 2 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 92 29 0 13 6 0 0 17 1 15 8 2 1 0 0 0 Prolonged labor 113 30 0 23 3 0 0 20 0 32 1 3 1 0 0 0 Dysfunctional labor 177 47 1 25 1 0 0 24 0 70 7 1 1 0 0 0 Breech malpresentation Cephalopelvic disproportion Cord prolapse 195 42 0 26 6 0 0 52 4 40 12 10 1 0 2 0 32 9 0 4 3 0 0 5 0 8 0 1 2 0 0 0 8 5 0 0 0 0 0 1 0 2 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 144 41 0 21 3 0 0 15 1 44 13 3 2 1 0 0 Other 1,156 98 4 145 45 17 0 500 8 199 89 17 30 2 2 0 TOTAL 44 9 0 8 0 0 0 11 1 7 3 3 1 0 1 0 NEONATAL 21 6 0 4 0 0 0 4 0 4 1 2 0 0 0 0 POSTNEONATAL 23 3 0 4 0 0 0 7 1 3 2 1 1 0 1 0 Precipitous labor Anesthetic complications Fetal distress YUMA LA PAZ PIMA 72 11 PINAL NAVAJO MOHAVE MARICOPA GREENLEE GRAHAM 282 0 GILA 5 29 Seizures Infant mortality COCHISE 386 131 Total APACHE 2,080 Febrile 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, 2004 Note: In 2004, there were no live births or infant deaths to American Indians in Santa Cruz County. 72 Health Status Profile of American Indians in Arizona, 2004 Data Book V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2004 Health Status Profile of American Indians in Arizona, 2004 Data Book 73 AGE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2004 Data Book 75 5.1 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIANS IN 2004 TOTAL ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 1402 44 15 13 82 97 164 209 219 214 205 140 1 0 0 0 0 0 0 0 0 0 1 0 Cocopah Tribe 11 0 0 0 0 0 3 3 2 3 0 0 Colorado River Indian Tribes 20 1 0 0 0 2 2 3 4 4 1 3 Fort McDowell Yavapai Nation 5 0 0 0 0 1 2 1 0 0 1 0 Fort Mojave Indian Tribe 2 0 0 0 1 0 0 0 0 0 1 0 Fort Yuma Quechan Tribe 1 0 0 0 0 0 0 0 0 1 0 0 73 2 0 1 4 9 6 11 16 11 6 7 5 0 1 0 1 0 1 0 1 1 0 0 Hopi Tribe 61 2 2 1 1 3 4 12 7 7 13 9 Hualapai Nation 12 0 0 0 0 0 3 4 2 2 1 0 1 0 0 0 0 0 0 1 0 0 0 0 428 17 7 3 26 26 33 49 40 72 92 63 Pascua Yaqui Tribe 66 1 0 0 2 2 12 9 12 12 8 8 Salt River Pima-Maricopa Community 19 0 1 0 1 0 4 5 3 3 2 0 Gila River Indian Community Havasupai Tribe Kaibab-Paiute Tribe Navajo Nation San Carlos Apache Tribe 76 0 0 2 5 4 7 10 17 14 13 4 106 2 0 1 6 10 12 25 14 18 9 9 72 2 0 2 8 4 16 8 11 9 6 6 Yavapai-Apache Nation 9 1 0 0 2 1 0 0 1 2 0 2 Yavapai-Prescott Indian Tribe 2 0 0 0 0 0 1 0 0 1 0 0 TOTAL 970 28 11 10 57 62 106 141 130 160 154 111 ---in Maricopa County Tohono O'Odham Tribe White Mountain Apache Tribe Resided off reservation Age group 230 10 3 3 12 23 33 39 52 24 23 8 ---in Pima County 67 1 0 0 3 4 9 10 15 12 9 4 ---in Coconino County 29 2 1 0 5 1 7 2 3 4 3 1 ---elsewhere in Arizona 106 3 0 0 5 7 9 17 19 14 16 16 TOTAL 432 16 4 3 25 35 58 68 89 54 51 29 Health Status Profile of American Indians in Arizona, 2004 Data Book 77 5.2 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN MALES IN 2004 TOTAL ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 24 8 7 55 67 103 145 120 106 92 53 Ak-Chin Indian Community 1 0 0 0 0 0 0 0 0 0 1 0 Cocopah Tribe 7 0 0 0 0 0 3 3 1 0 0 0 12 0 0 0 0 2 0 3 3 2 0 2 Fort McDowell Yavapai Nation 3 0 0 0 0 1 0 1 0 0 1 0 Fort Mojave Indian Tribe 1 0 0 0 1 0 0 0 0 0 0 0 Fort Yuma Quechan Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe 1 0 0 0 0 0 0 0 0 1 0 0 38 1 0 0 1 5 4 8 10 3 3 3 3 0 1 0 0 0 1 0 0 1 0 0 32 1 0 1 1 2 3 9 4 3 4 4 Hualapai Nation 1 0 0 0 0 0 0 0 0 0 1 0 Kaibab-Paiute Tribe 0 0 0 0 0 0 0 0 0 0 0 0 Navajo Nation 251 9 3 2 17 21 24 36 27 40 47 25 Pascua Yaqui Tribe 36 1 0 0 2 2 7 7 7 3 3 4 Salt River Pima-Maricopa Community 12 0 1 0 1 0 2 4 2 1 1 0 San Carlos Apache Tribe 39 0 0 1 4 3 4 5 10 9 3 0 Tohono O'Odham Tribe 60 2 0 0 4 5 7 19 6 9 7 1 White Mountain Apache Tribe 35 1 0 0 5 2 11 4 6 6 0 0 Yavapai-Apache Nation 7 1 0 0 2 1 0 0 1 2 0 0 Yavapai-Prescott Indian Tribe 2 0 0 0 0 0 1 0 0 1 0 0 TOTAL 549 16 5 4 38 44 69 102 78 83 71 39 ---in Maricopa County 128 5 2 3 8 17 20 24 24 9 11 5 ---in Pima County 35 1 0 0 3 2 4 9 7 4 3 2 ---in Coconino County 15 0 1 0 3 0 6 1 2 1 1 0 ---elsewhere in Arizona 53 2 0 0 3 4 4 9 9 9 6 7 231 8 3 3 17 23 34 43 42 23 21 14 TOTAL 78 1-4 780 Colorado River Indian Tribes Resided off reservation Age group <1 Health Status Profile of American Indians in Arizona, 2004 Data Book 5.3 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN FEMALES IN 2004 TOTAL ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 622 20 7 6 27 30 61 64 99 108 113 87 Ak-Chin Indian Community 0 0 0 0 0 0 0 0 0 0 0 0 Cocopah Tribe 4 0 0 0 0 0 0 0 1 3 0 0 Colorado River Indian Tribes 8 1 0 0 0 0 2 0 1 2 1 1 Fort McDowell Yavapai Nation 2 0 0 0 0 0 2 0 0 0 0 0 Fort Mojave Indian Tribe 1 0 0 0 0 0 0 0 0 0 1 0 Fort Yuma Quechan Tribe 0 0 0 0 0 0 0 0 0 0 0 0 35 1 0 1 3 4 2 3 6 8 3 4 2 0 0 0 1 0 0 0 1 0 0 0 29 1 2 0 0 1 1 3 3 4 9 5 Hualapai Nation 3 0 0 0 0 0 1 1 1 0 0 0 Kaibab-Paiute Tribe 1 0 0 0 0 0 0 1 0 0 0 0 177 8 4 1 9 5 9 13 13 32 45 38 30 0 0 0 0 0 5 2 5 9 5 4 7 0 0 0 0 0 2 1 1 2 1 0 San Carlos Apache Tribe 37 0 0 1 1 1 3 5 7 5 10 4 Tohono O'Odham Tribe 46 0 0 1 2 5 5 6 8 9 2 8 White Mountain Apache Tribe 37 1 0 2 3 2 5 4 5 3 6 6 Yavapai-Apache Nation 2 0 0 0 0 0 0 0 0 0 0 2 Yavapai-Prescott Indian Tribe 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL 421 12 6 6 19 18 37 39 52 77 83 72 ---in Maricopa County Gila River Indian Community Havasupai Tribe Hopi Tribe Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Resided off reservation Age group 102 5 1 0 4 6 13 15 28 15 12 3 ---in Pima County 32 0 0 0 0 2 5 1 8 8 6 2 ---in Coconino County 14 2 0 0 2 1 1 1 1 3 2 1 53 1 0 0 2 3 5 8 10 5 10 9 201 8 1 0 8 12 24 25 47 31 30 15 ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2004 Data Book 79 CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2004 Data Book 81 5.4 DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Total Male Female Total, all causes 1402 780 622 Salmonella infections 0 0 0 Shigellosis and amebiasis 0 0 0 Certain other intestinal infections 1 0 1 Tuberculosis 1 1 0 Respiratory tuberculosis 1 1 0 Other tuberculosis 0 0 0 Whooping cough 0 0 0 Scarlet fever and erysipelas 0 0 0 Meningococcal infection 0 0 0 34 18 16 Syphilis 1 0 1 Acute poliomyelitis 0 0 0 Arthropod-borne encephalitis 0 0 0 Measles 0 0 0 Viral hepatitis 4 4 0 Human immunodeficiency virus (HIV) disease 8 6 2 Malaria 0 0 0 12 7 5 192 87 105 Malignant neoplasm of lip, oral cavity and pharynx 0 0 0 Malignant neoplasm of esophagus 1 1 0 Malignant neoplasm of stomach 13 6 7 Malignant neoplasm of colon, rectum, and anus 12 8 4 Malignant neoplasm of liver and intrahepatic bile ducts 17 5 12 Malignant neoplasm of pancreas 14 9 5 0 0 0 21 11 10 Septicemia Other and unspecified infectious and parasitic diseases Malignant neoplasms Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant neoplasm of skin 1 1 0 17 0 17 Malignant neoplasm of cervix uteri 2 0 2 Malignant neoplasm of corpus uteri and uterus, part unspecified 6 0 6 Malignant neoplasm of ovary 10 0 10 Malignant neoplasm of prostate 16 16 0 Malignant neoplasm of kidney and renal pelvis 10 7 3 Malignant neoplasm of breast Health Status Profile of American Indians in Arizona, 2004 Data Book 83 5.4 (continued) DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Malignant neoplasm of bladder Malignant neoplasm of meninges, brain and other parts of CNS Male 1 1 Female 0 1 1 0 18 8 10 Hodgkin’s disease 0 0 0 Non-Hodgkin’s lymphoma 3 2 1 Leukemia 8 3 5 Multiple myeloma and immunoproliferative neoplasms 7 3 4 Other and unspecified malignant neoplasms of lymphoid tissue 0 0 0 32 13 19 In situ neoplasms 7 3 4 Anemias 2 0 2 Diabetes 86 40 46 1 1 0 1 1 0 0 0 0 Meningitis 2 0 2 Parkinson’s disease 5 2 3 Malignant neoplasm of lymphoid, hematopoietic and related tissue All other and unspecified malignant neoplasm Nutritional deficiencies Malnutrition Other nutritional deficiencies Alzheimer’s disease 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 8 4 4 273 148 125 210 122 88 1 1 0 12 5 7 0 0 0 159 96 63 41 24 17 0 0 0 118 72 46 Atherosclerotic cardiovascular disease 44 28 16 All other forms of chronic ischemic heart disease 74 44 30 38 20 18 92 44 48 1 0 1 Heart failure 14 7 7 All other forms of heart disease 23 13 10 18 9 9 Other forms of chronic ischemic heart disease Other heart diseases Acute and subacute endocarditis Diseases of pericardium and acute myocarditis Essential (primary) hypertension and hypertensive renal disease 84 Total Health Status Profile of American Indians in Arizona, 2004 Data Book 5.4 (continued) DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Male Female 37 15 22 Atherosclerosis 4 1 3 Other diseases of circulatory system 4 1 3 Aortic aneurysm and dissection 1 0 1 Other disease of arteries, arterioles and capillaries 3 1 2 1 0 1 46 26 20 Cerebrovascular diseases Other disorders of circulatory system Influenza and pneumonia Influenza Total 0 0 0 46 26 20 Other acute lower respiratory infections 0 0 0 Acute bronchiolitis 0 0 0 Unspecified acute lower respiratory infection 0 0 0 13 3 10 Bronchitis, chronic and unspecified 0 0 0 Emphysema 1 0 1 Asthma 1 1 0 11 2 9 1 Pneumonia Chronic lower respiratory diseases Other chronic lower respiratory diseases Pneumoconioses and chemical effects 1 0 Pneumonitis due to solids and liquids 11 5 6 Other disease of respiratory system 26 13 13 Peptic ulcer 1 0 1 Diseases of appendix 0 0 0 Hernia 0 0 0 98 60 38 Alcoholic liver disease 76 49 27 Other chronic liver disease and cirrhosis 22 11 11 4 2 2 45 20 25 Acute and rapidly progressive nephritic and nephrotic syndrome 1 1 0 Chronic glomerulonephritis 1 1 0 43 18 25 Chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis 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, 2004 Data Book 85 5.4 (continued) DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Pregnancy, childbirth and the puerperium Male Female 0 0 0 Pregnancy with abortive outcome 0 0 0 Other complications of pregnancy, childbirth and the puerperium 0 0 0 9 5 4 20 10 10 Perinatal conditions Congenital malformations Symptoms, signs, abnormal findings 21 11 10 219 144 75 128 79 49 122 75 47 Other land transport accidents 5 4 1 Water, air, space 1 0 1 91 65 26 Total accidents Transport accidents Motor vehicle accidents Nontransport accidents Falls 21 12 9 Accidental discharge of firearms 3 3 0 Accidental drowning and submersion 8 7 1 Accidental exposure to smoke, fire and flames 1 1 0 Accidental poisoning 28 20 8 Other and unspecified nontransport accidents 30 22 8 47 37 10 By discharge of firearms 12 10 2 By other means 35 27 8 40 32 8 By discharge of firearms 19 13 6 By other means 21 19 2 Legal intervention 2 2 0 Events of undetermined intent Intentional self-harm (suicide) Assault (homicide) 8 6 2 Discharge of firearms 1 1 0 Other and unspecified events of undetermined intent 7 5 2 Operations of war 0 0 0 Complications of medical and surgical care 1 1 0 INJURY BY FIREARMS 37 29 8 DRUG-INDUCED DEATHS 37 27 10 111 76 35 ALCOHOL-INDUCED DEATHS 86 Total Health Status Profile of American Indians in Arizona, 2004 Data Book 5.5 DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 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+ 1402 44 15 13 82 97 164 209 219 214 205 140 Salmonella infections 0 0 0 0 0 0 0 0 0 0 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 0 1 0 0 Tuberculosis 1 0 0 0 0 0 0 0 1 0 0 0 Respiratory tuberculosis 1 0 0 0 0 0 0 0 1 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 34 3 0 2 0 1 4 4 6 5 5 4 Syphilis 1 0 0 0 0 0 0 1 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 Arthropod-borne encephalitis 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 Viral hepatitis 4 0 0 0 0 0 1 3 0 0 0 0 Human immunodeficiency virus (HIV) disease 8 0 0 0 0 0 6 1 1 0 0 0 Septicemia Malaria 0 0 0 0 0 0 0 0 0 0 0 0 12 0 1 0 0 2 1 2 1 3 1 1 192 0 0 0 3 1 5 31 53 38 42 19 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 Malignant neoplasm of stomach 13 0 0 0 0 0 1 2 5 2 2 1 Malignant neoplasm of colon, rectum, and anus 12 0 0 0 0 0 0 3 2 2 3 2 Malignant neoplasm of liver and intrahepatic bile ducts 17 0 0 0 0 0 0 3 4 3 5 2 14 0 0 0 0 0 0 2 4 4 3 1 0 0 0 0 0 0 0 0 0 0 0 0 Other and unspecified infectious and parasitic diseases Malignant neoplasms Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of esophagus Malignant neoplasm of pancreas Malignant neoplasm of larynx Health Status Profile of American Indians in Arizona, 2004 Data Book 87 5.5 DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 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 neoplasm of cervix uteri Malignant neoplasm of corpus uteri and uterus, part unspecified Total <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 21 0 0 0 0 0 0 0 4 8 6 3 1 0 0 0 0 0 0 0 0 1 0 0 17 0 0 0 0 0 1 5 7 3 1 0 2 0 0 0 0 0 0 1 1 0 0 0 6 0 0 0 0 0 0 2 1 2 1 0 Malignant neoplasm of ovary 10 0 0 0 0 0 1 3 1 3 1 1 Malignant neoplasm of prostate 16 0 0 0 0 0 1 1 4 2 5 3 Malignant neoplasm of kidney and renal pelvis 10 0 0 0 0 0 0 4 3 0 3 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 18 0 0 0 1 0 0 1 6 4 3 3 Hodgkin's disease 0 0 0 0 0 0 0 0 0 0 0 0 Non-Hodgkin's lymphoma 3 0 0 0 0 0 0 0 0 2 0 1 Leukemia 8 0 0 0 1 0 0 0 3 0 2 2 7 0 0 0 0 0 0 1 3 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Malignant neoplasm of bladder Malignant neoplasm of meninges, brain and other parts of CNS Malignant neoplasm of lymphoid, hematopoietic and related tissue Multiple myeloma and immunoproliferative neoplasms Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm 32 0 0 0 2 1 1 2 10 4 9 3 In situ neoplasms 7 0 0 0 0 0 1 1 2 1 0 2 Anemias 2 0 0 0 0 0 0 0 0 2 0 0 Diabetes 86 0 0 0 0 0 5 13 29 20 15 4 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningitis 2 0 0 0 0 0 0 1 0 0 1 0 Parkinson's disease 5 0 0 0 0 0 0 1 0 0 2 2 Alzheimer's disease 8 0 0 0 0 0 0 0 0 1 2 5 Nutritional deficiencies Malnutrition Other nutritional deficiencies 88 Age Group Health Status Profile of American Indians in Arizona, 2004 Data Book 5.5 DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Major cardiovascular diseases Age Group Total <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 273 3 1 0 1 4 13 25 42 64 60 60 210 3 1 0 1 3 10 17 35 41 49 50 1 0 0 0 0 0 0 0 1 0 0 0 12 0 0 0 0 0 2 2 2 2 2 2 0 0 0 0 0 0 0 0 0 0 0 0 159 0 1 0 0 1 7 13 26 34 41 36 41 0 0 0 0 0 0 2 5 14 11 9 0 0 0 0 0 0 0 0 0 0 0 0 118 0 1 0 0 1 7 11 21 20 30 27 44 0 0 0 0 0 3 6 8 6 8 13 74 0 1 0 0 1 4 5 13 14 22 14 38 3 0 0 1 2 1 2 6 5 6 12 92 0 0 0 0 1 6 14 29 21 16 5 1 1 0 0 0 0 0 0 0 0 0 0 Heart failure 14 0 0 0 0 0 0 1 1 2 4 6 All other forms of heart disease 23 2 0 0 1 2 1 1 5 3 2 6 Essential (primary) hypertension and hypertensive renal disease 18 0 0 0 0 0 1 3 2 7 4 1 Cerebrovascular diseases 37 0 0 0 0 1 2 5 5 12 6 6 Atherosclerosis 4 0 0 0 0 0 0 0 0 3 0 1 Other diseases of circulatory system 4 0 0 0 0 0 0 0 0 1 1 2 Aortic aneurysm and dissection 1 0 0 0 0 0 0 0 0 0 1 0 3 0 0 0 0 0 0 0 0 1 0 2 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 Atherosclerotic cardiovascular disease All other forms of chronic ischemic heart disease Other heart diseases Acute and subacute endocarditis Diseases of pericardium and acute myocarditis Other disease of arteries, arterioles and capillaries Other disorders of circulatory system Influenza and pneumonia Influenza Pneumonia Other acute lower respiratory infections 1 0 0 0 0 0 0 0 0 0 0 1 46 4 2 0 0 2 6 4 3 5 15 5 0 0 0 0 0 0 0 0 0 0 0 0 46 4 2 0 0 2 6 4 3 5 15 5 0 0 0 0 0 0 0 0 0 0 0 0 Health Status Profile of American Indians in Arizona, 2004 Data Book 89 5.5 DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Acute bronchiolitis Unspecified acute lower respiratory infection Total <1 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 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 2 3 6 1 Bronchitis, chronic and unspecified 0 0 0 0 0 0 0 0 0 0 0 0 Emphysema 1 0 0 0 0 0 0 0 1 0 0 0 Asthma 1 0 0 0 1 0 0 0 0 0 0 0 11 0 0 0 0 0 0 0 1 3 6 1 1 0 0 0 0 0 0 0 0 0 0 1 Pneumonitis due to solids and liquids 11 0 0 0 0 0 1 1 0 1 4 4 Other disease of respiratory system 26 1 2 0 1 0 0 4 0 6 6 6 Peptic ulcer 1 0 0 0 0 0 0 0 0 1 0 0 Diseases of appendix 0 0 0 0 0 0 0 0 0 0 0 0 Hernia 0 0 0 0 0 0 0 0 0 0 0 0 98 0 0 0 1 7 24 29 26 7 4 0 Alcoholic liver disease 76 0 0 0 1 7 18 24 18 5 3 0 Other chronic liver disease and cirrhosis 22 0 0 0 0 0 6 5 8 2 1 0 4 0 0 0 0 1 0 1 0 1 1 0 45 1 0 0 0 3 1 6 11 14 7 2 1 1 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 Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis Acute and rapidly progressive nephritic and nephrotic syndrome Chronic glomerulonephritis 1 0 0 0 0 0 0 1 0 0 0 0 43 0 0 0 0 3 1 5 11 14 7 2 0 0 0 0 0 0 0 0 0 0 0 0 Infections of kidney 1 0 0 0 0 0 0 0 1 0 0 0 Hyperplasia of prostate 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 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 Other complications of pregnancy, childbirth and the puerperium 0 0 0 0 0 0 0 0 0 0 0 0 Perinatal conditions 9 9 0 0 0 0 0 0 0 0 0 0 Renal failure Others disorders of kidney Pregnancy with abortive outcome 90 Age Group Health Status Profile of American Indians in Arizona, 2004 Data Book 5.5 DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Congenital malformations Symptoms, signs, abnormal findings Age Group Total <1 1-4 5-14 20 16 2 0 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 1 1 0 0 0 0 0 0 21 2 0 0 2 2 5 4 1 0 1 4 219 3 3 9 32 33 46 35 19 21 12 6 128 2 1 4 24 29 24 18 9 9 7 1 122 2 1 3 24 27 23 16 9 9 7 1 Other land transport accidents 5 0 0 1 0 1 1 2 0 0 0 0 Water, air, space 1 0 0 0 0 1 0 0 0 0 0 0 91 1 2 5 8 4 22 17 10 12 5 5 21 0 0 0 1 1 0 5 3 4 3 4 Accidental discharge of firearms 3 0 0 1 1 0 1 0 0 0 0 0 Accidental drowning and submersion 8 0 1 1 2 0 2 0 2 0 0 0 Accidental exposure to smoke, fire and flames 1 0 0 0 0 0 0 0 0 1 0 0 Accidental poisoning 28 0 0 1 4 3 15 4 1 0 0 0 Other and unspecified nontransport accidents 30 1 1 2 0 0 4 8 4 7 2 1 47 0 0 0 16 16 7 7 0 0 1 0 By discharge of firearms 12 0 0 0 4 5 1 1 0 0 1 0 By other means 35 0 0 0 12 11 6 6 0 0 0 0 Total accidents Transport accidents Motor vehicle accidents Nontransport accidents Falls Intentional self-harm (suicide) Assault (homicide) 40 1 1 1 11 11 7 5 1 2 0 0 By discharge of firearms 19 0 0 1 9 6 1 2 0 0 0 0 By other means 21 1 1 0 2 5 6 3 1 2 0 0 Legal intervention 2 0 0 0 1 0 1 0 0 0 0 0 Events of undetermined intent 8 0 0 0 1 2 1 1 1 1 1 0 1 0 0 0 0 1 0 0 0 0 0 0 Other and unspecified events of undetermined intent 7 0 0 0 1 1 1 1 1 1 1 0 Operations of war 0 0 0 0 0 0 0 0 0 0 0 0 Complications of medical and surgical care 1 1 0 0 0 0 0 0 0 0 0 0 INJURY BY FIREARMS 37 0 0 2 15 12 4 3 0 0 1 0 DRUG-INDUCED DEATHS 37 0 0 1 8 2 18 7 1 0 0 0 111 0 0 0 5 11 28 31 23 10 3 0 Discharge of firearms ALCOHOL-INDUCED DEATHS Health Status Profile of American Indians in Arizona, 2004 Data Book 91 5.6 DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 ---in Maricopa County ---in Pima County ---in Coconino County ---elsewhere in Arizona Total 0 0 0 0 0 0 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 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 0 0 0 1 0 0 0 0 0 Tuberculosis 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 Respiratory tuberculosis 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 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 34 0 1 0 0 0 1 0 0 0 0 0 8 1 1 3 5 4 0 0 24 5 2 0 3 10 Syphilis 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 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 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 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 4 0 0 0 0 0 0 1 0 0 0 0 0 2 0 0 0 0 0 0 3 0 1 0 0 1 Human immunodeficiency virus (HIV) disease 8 0 0 0 0 0 0 0 0 0 0 0 5 0 0 0 1 0 0 0 6 2 0 0 0 2 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 12 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 6 1 0 0 8 2 1 0 1 4 192 0 0 4 1 0 0 5 0 4 3 0 71 8 4 13 4 8 2 0 127 28 12 6 19 65 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 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 Malignant neoplasm of stomach 13 0 0 0 0 0 0 0 0 0 1 0 7 0 0 0 0 0 0 0 8 4 1 0 0 5 Malignant neoplasm of colon, rectum, and anus 12 0 0 0 0 0 0 1 0 0 0 0 6 0 0 1 0 0 1 0 9 2 0 0 1 3 Malignant neoplasm of liver and intrahepatic bile ducts 17 0 0 1 0 0 0 2 0 0 0 0 3 1 0 1 2 0 0 0 10 2 3 1 1 7 Other and unspecified infectious and parasitic diseases Malignant neoplasms Total Yavapai-Apache Nation 432 0 Yavapai-Prescott Indian Tribe White Mountain Apache Tribe 106 0 Tohono O'Odham Tribe 29 0 San Carlos Apache Tribe 67 0 Pascua Yaqui Tribe 230 0 Salt River Pima-Maricopa Community 2 970 0 Navajo Nation 9 0 Kaibab-Paiute Tribe 1 428 66 19 76 106 72 0 Hualapai Nation 5 61 12 0 Hopi Tribe 1 73 0 Havasupai Tribe 2 0 Gila River Indian Community Fort Mojave Indian Tribe 5 0 Fort Yuma Quechan Tribe Fort McDowell Yavapai Nation 1 11 20 0 Cocopah Tribe 1402 Salmonella infections Ak-Chin Indian Community TOTAL, ALL CAUSES Septicemia 92 Resided off reservation Colorado River Indian Tribes ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Health Status Profile of American Indians in Arizona, 2004 Data Book 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe San Carlos Apache Tribe Tohono O'Odham Tribe White Mountain Apache Tribe Yavapai-Apache Nation 0 0 0 0 0 8 1 0 1 0 0 0 0 10 2 1 0 1 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 1 0 0 1 0 0 0 0 7 1 1 1 0 0 0 0 12 3 2 0 4 9 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 17 0 0 2 0 0 0 0 0 0 0 0 6 0 0 1 0 0 0 0 9 3 1 1 3 8 Malignant neoplasm of cervix uteri 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 Malignant neoplasm of corpus uteri and uterus, part unspecified 6 0 0 0 0 0 0 1 0 1 0 0 2 1 0 0 0 0 0 0 5 0 1 0 0 1 Malignant neoplasm of ovary 10 0 0 0 0 0 0 0 0 0 0 0 5 1 0 1 1 1 0 0 9 0 0 0 1 1 Malignant neoplasm of prostate 16 0 0 0 0 0 0 0 0 2 0 0 6 1 0 1 0 1 1 0 12 1 1 0 2 4 Malignant neoplasm of kidney and renal pelvis 10 0 0 1 0 0 0 0 0 0 0 0 5 0 1 1 1 0 0 0 9 1 0 0 0 1 Malignant neoplasm of bladder 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 Malignant neoplasm of meninges, brain and other parts of CNS 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 18 0 0 0 0 0 0 0 0 0 0 0 6 1 0 1 0 3 0 0 11 3 1 1 2 7 Hodgkin's disease 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 Non-Hodgkin's lymphoma 3 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 3 0 0 0 0 0 Leukemia 8 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 3 2 1 1 1 5 Multiple myeloma and immunoproliferative neoplasms 7 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 3 0 0 5 1 0 0 1 2 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 0 0 0 0 0 0 0 0 0 32 0 0 0 0 0 0 0 0 1 2 0 9 0 1 4 0 2 0 0 19 6 1 2 4 13 In situ neoplasms 7 0 0 0 0 0 0 0 0 0 0 0 3 1 0 0 0 0 0 0 4 2 0 0 1 3 Anemias 2 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 Diabetes 86 0 1 4 0 0 0 5 1 6 3 0 15 9 3 6 9 1 0 0 63 12 4 0 7 23 1 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 trachea, bronchus and lung Malignant neoplasm of skin Malignant neoplasm of breast Malignant neoplasm of lymphoid, hematopoietic and related tissue All other and unspecified malignant neoplasm Nutritional deficiencies Health Status Profile of American Indians in Arizona, 2004 Data Book 1 1 Total Hopi Tribe 0 0 ---elsewhere in Arizona Havasupai Tribe 0 0 ---in Coconino County Gila River Indian Community 0 0 ---in Pima County Fort Yuma Quechan Tribe 0 0 ---in Maricopa County Fort Mojave Indian Tribe 0 0 Total Fort McDowell Yavapai Nation 0 0 Malignant neoplasm of larynx Yavapai-Prescott Indian Tribe Colorado River Indian Tribes 14 Malignant neoplasm of pancreas Salt River Pima-Maricopa Community Cocopah Tribe Resided off reservation Ak-Chin Indian Community ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 93 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe San Carlos Apache Tribe Tohono O'Odham Tribe White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe 0 0 0 0 0 1 0 0 0 0 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 Meningitis 2 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 2 0 0 0 0 0 Parkinson's disease 5 0 0 0 0 0 0 0 0 0 0 0 3 0 0 1 0 0 0 0 4 0 0 0 1 1 Alzheimer's disease 8 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 3 2 0 2 7 273 1 3 4 0 0 0 14 0 15 1 0 84 20 5 12 17 14 1 1 192 43 12 6 20 81 210 1 2 4 0 0 0 11 0 12 1 0 64 14 4 9 14 10 0 1 147 34 9 4 16 63 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 12 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 1 0 0 0 4 6 2 0 0 8 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 0 159 1 2 1 0 0 0 9 0 9 1 0 48 10 4 6 12 9 0 1 113 26 6 3 11 46 41 1 0 0 0 0 0 3 0 1 0 0 21 4 1 0 2 1 0 0 34 3 0 0 4 7 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 0 118 0 2 1 0 0 0 6 0 8 1 0 27 6 3 6 10 8 0 1 79 23 6 3 7 39 Atherosclerotic cardiovascular disease 44 0 1 0 0 0 0 3 0 4 0 0 12 3 2 0 3 4 0 0 32 5 4 1 2 12 All other forms of chronic ischemic heart disease 74 0 1 1 0 0 0 3 0 4 1 0 15 3 1 6 7 4 0 1 47 18 2 2 5 27 38 0 0 3 0 0 0 2 0 3 0 0 13 4 0 3 1 0 0 0 29 2 1 1 5 9 92 0 1 5 0 0 0 5 1 6 3 0 16 9 3 6 9 2 0 0 66 14 5 0 7 26 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 Acute and subacute endocarditis Diseases of pericardium and acute myocarditis Total Hopi Tribe 0 0 ---elsewhere in Arizona Havasupai Tribe 0 0 ---in Coconino County Gila River Indian Community 0 0 ---in Pima County Fort Yuma Quechan Tribe 0 0 ---in Maricopa County Fort Mojave Indian Tribe 0 0 Total Colorado River Indian Tribes Fort McDowell Yavapai Nation 0 0 Salt River Pima-Maricopa Community Cocopah Tribe 1 Malnutrition Other nutritional deficiencies 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 Heart failure 14 0 0 0 0 0 0 1 0 1 0 0 6 1 0 1 0 0 0 0 10 0 1 0 3 4 All other forms of heart disease 23 0 0 3 0 0 0 1 0 2 0 0 6 3 0 2 1 0 0 0 18 2 0 1 2 5 Essential (primary) hypertension and hypertensive renal disease 18 0 1 0 0 0 0 1 0 0 0 0 5 2 1 2 0 1 1 0 14 3 0 0 1 4 Cerebrovascular diseases 37 0 0 0 0 0 0 2 0 2 0 0 13 2 0 1 3 2 0 0 25 5 3 2 2 12 4 0 0 0 0 0 0 0 0 1 0 0 2 0 0 0 0 0 0 3 1 0 0 0 1 Atherosclerosis 94 Resided off reservation Ak-Chin Indian Community ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 0 Health Status Profile of American Indians in Arizona, 2004 Data Book 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe San Carlos Apache Tribe Tohono O'Odham Tribe White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Total 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 3 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 1 1 Other disease of arteries, arterioles and capillaries 3 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 0 3 0 0 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 1 1 46 0 1 0 0 0 0 2 0 1 1 0 20 1 0 4 3 2 0 1 36 6 0 2 2 10 Other disorders of circulatory system Influenza and pneumonia Influenza Total Gila River Indian Community 0 0 ---elsewhere in Arizona Fort Yuma Quechan Tribe 0 0 ---in Coconino County Fort Mojave Indian Tribe 0 1 ---in Pima County Fort McDowell Yavapai Nation 4 Aortic aneurysm and dissection ---in Maricopa County Colorado River Indian Tribes Other diseases of circulatory system Salt River Pima-Maricopa Community Cocopah Tribe 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 46 0 1 0 0 0 0 2 0 1 1 0 20 1 0 4 3 2 0 1 36 6 0 2 2 10 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 13 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 3 5 1 0 4 10 Bronchitis, chronic and unspecified 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 Emphysema 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 Asthma 1 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 11 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 2 5 1 0 3 9 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 Pneumonitis due to solids and liquids 11 0 0 0 0 0 0 0 0 1 0 0 6 0 1 0 1 1 0 0 10 1 0 0 0 1 Other disease of respiratory system 26 0 0 1 0 0 0 1 1 1 0 0 13 1 1 2 1 0 0 0 22 3 0 0 1 4 Peptic ulcer 1 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 Diseases of appendix 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 Hernia 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 98 0 2 2 0 0 0 11 0 2 1 0 14 5 1 7 9 6 0 0 60 25 5 2 6 38 Alcoholic liver disease 76 0 1 1 0 0 0 10 0 2 1 0 10 3 1 6 7 4 0 0 46 21 4 1 4 30 Other chronic liver disease and cirrhosis 22 0 1 1 0 0 0 1 0 0 0 0 4 2 0 1 2 2 0 0 14 4 1 1 2 8 4 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 2 0 3 Pneumonia Chronic lower respiratory diseases Other chronic lower respiratory diseases Pneumoconioses and chemical effects Chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Health Status Profile of American Indians in Arizona, 2004 Data Book 1 95 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 Navajo Nation Pascua Yaqui Tribe San Carlos Apache Tribe Tohono O'Odham Tribe White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe 0 3 1 1 13 2 0 4 7 4 0 0 39 3 1 0 2 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 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 43 0 0 0 0 1 0 3 0 3 1 1 13 2 0 4 7 4 0 0 39 2 0 0 2 4 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 1 0 0 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 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 with abortive outcome 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 complications of 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 0 0 9 0 0 0 0 0 0 1 0 1 0 0 4 1 0 0 0 1 0 0 8 1 0 0 0 1 Congenital malformations 20 0 0 0 0 0 0 1 0 2 0 0 7 0 0 0 0 0 1 0 11 4 0 2 3 9 Symptoms, signs, abnormal findings 21 0 0 0 0 0 0 0 0 3 1 0 5 0 0 0 3 2 0 0 14 3 1 1 2 7 219 0 1 2 1 0 0 7 1 14 0 0 79 7 0 12 16 11 1 0 152 42 12 4 9 67 128 0 0 1 0 0 0 4 1 6 0 0 57 3 0 8 10 8 0 0 98 18 6 2 4 30 122 0 0 1 0 0 0 4 1 6 0 0 56 3 0 7 10 8 0 0 96 15 6 2 3 26 Other land transport accidents 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 3 0 0 1 4 Water, air, space 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 91 0 1 1 1 0 0 3 0 8 0 0 22 4 0 4 6 3 1 0 54 24 6 2 5 37 Renal failure Others disorders of kidney Perinatal conditions Total accidents Transport accidents Motor vehicle accidents Nontransport accidents Falls Total Hualapai Nation 3 0 ---elsewhere in Arizona Hopi Tribe 0 0 ---in Coconino County Havasupai Tribe 1 0 ---in Pima County Gila River Indian Community 0 0 ---in Maricopa County Fort Yuma Quechan Tribe 0 0 Total Fort Mojave Indian Tribe 0 0 Salt River Pima-Maricopa Community Colorado River Indian Tribes Fort McDowell Yavapai Nation 0 1 Kaibab-Paiute Tribe Cocopah Tribe 45 Acute and rapidly progressive nephritic and nephrotic syndrome Nephritis, nephrotic syndrome and nephrosis 96 Resided off reservation Ak-Chin Indian Community ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 21 0 0 1 0 0 0 1 0 1 0 0 6 1 0 0 2 1 0 0 13 4 2 0 2 8 Accidental discharge of firearms 3 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 0 0 0 0 3 0 0 0 0 0 Accidental drowning and submersion 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 2 4 0 1 1 6 Accidental exposure to smoke, fire and flames 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 Health Status Profile of American Indians in Arizona, 2004 Data Book 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe San Carlos Apache Tribe Tohono O'Odham Tribe White Mountain Apache Tribe Yavapai-Apache Nation 0 1 0 0 0 0 2 3 0 0 3 1 1 0 13 11 3 0 1 0 0 1 0 7 0 0 12 0 0 1 0 1 0 0 22 5 1 1 1 8 47 0 0 1 0 0 0 3 1 1 1 0 16 0 0 2 5 2 1 0 33 8 2 2 2 14 By discharge of firearms 12 0 0 0 0 0 0 0 1 0 1 0 4 0 0 0 0 0 0 0 6 2 2 1 1 6 By other means 35 0 0 1 0 0 0 3 0 1 0 0 12 0 0 2 5 2 1 0 27 6 0 1 1 8 40 0 0 0 0 0 0 6 0 0 0 0 13 2 0 2 5 3 1 0 32 4 0 1 3 8 By discharge of firearms 19 0 0 0 0 0 0 5 0 0 0 0 4 1 0 1 3 0 1 0 15 3 0 0 1 4 By other means 21 0 0 0 0 0 0 1 0 0 0 0 9 1 0 1 2 3 0 0 17 1 0 1 2 4 Legal intervention 2 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 Events of undetermined intent 8 0 0 0 0 1 0 0 0 0 0 0 2 0 0 0 0 2 0 0 5 2 0 1 0 3 Discharge of firearms 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 Other and unspecified events of undetermined intent 7 0 0 0 0 1 0 0 0 0 0 0 2 0 0 0 0 1 0 0 4 2 0 1 0 3 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 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 INJURY BY FIREARMS 37 0 0 0 0 0 0 6 1 0 1 0 9 1 0 3 3 1 1 0 26 6 2 1 2 11 DRUG-INDUCED DEATHS 37 0 1 0 1 1 0 1 0 0 0 0 4 3 1 0 4 0 2 0 18 14 3 1 1 19 111 0 1 1 1 0 0 12 0 4 1 0 23 5 1 7 9 6 0 0 71 27 6 1 6 40 Intentional self-harm (suicide) Assault (homicide) ALCOHOL-INDUCED DEATHS Health Status Profile of American Indians in Arizona, 2004 Data Book Total Hopi Tribe 0 0 ---elsewhere in Arizona Havasupai Tribe 1 0 ---in Coconino County Gila River Indian Community 0 0 ---in Pima County Fort Yuma Quechan Tribe 1 0 ---in Maricopa County Fort Mojave Indian Tribe 0 30 Total Fort McDowell Yavapai Nation 28 Yavapai-Prescott Indian Tribe Colorado River Indian Tribes Accidental poisoning Other and unspecified nontransport accidents Salt River Pima-Maricopa Community Cocopah Tribe Resided off reservation Ak-Chin Indian Community ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 15 97 Unknown 4 153 65 19 0 293 28 246 202 100 0 20 16 22 0 Salmonella infections 0 0 0 0 0 0 0 0 0 0 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 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Respiratory tuberculosis 1 0 0 1 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 Yuma La Paz Pinal Yavapai Santa Cruz Pima 234 Total, all causes Gila Navajo Mohave Maricopa Greenlee Graham Cochise Apache 1402 Total State 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 34 4 0 2 2 1 0 8 0 6 6 3 0 0 2 0 0 Syphilis 1 0 0 0 0 0 0 0 0 0 0 1 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 0 0 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 4 0 0 0 0 0 0 1 0 0 2 1 0 0 0 0 0 Human immunodeficiency virus (HIV) disease 8 2 0 1 0 0 0 2 0 2 1 0 0 0 0 0 0 Septicemia Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12 0 0 0 0 0 0 3 0 2 6 1 0 0 0 0 0 192 40 0 19 8 5 0 35 10 34 22 10 0 4 0 5 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 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 Malignant neoplasm of stomach 13 2 0 1 0 0 0 4 1 4 1 0 0 0 0 0 0 Malignant neoplasm of colon, rectum, and anus 12 4 0 1 1 0 0 2 0 2 0 1 0 1 0 0 0 Malignant neoplasm of liver and intrahepatic bile ducts 17 3 0 1 1 0 0 2 0 0 6 3 0 0 0 1 0 14 6 0 1 0 1 0 3 0 1 1 1 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 pancreas Malignant neoplasm of larynx 98 Coconino 5.7 DEATHS BY COUNTY OF RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 Health Status Profile of American Indians in Arizona, 2004 Data Book 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 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 2004 21 3 0 0 1 0 0 5 2 4 3 2 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 4 0 3 1 0 0 3 2 1 1 0 0 0 0 2 0 2 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 6 1 0 0 0 0 0 0 0 2 2 1 0 0 0 0 0 Malignant neoplasm of ovary 10 3 0 0 1 0 0 0 0 3 2 0 0 1 0 0 0 Malignant neoplasm of prostate 16 5 0 2 1 0 0 2 2 2 1 0 0 1 0 0 0 Malignant neoplasm of kidney and renal pelvis 10 3 0 1 0 1 0 2 0 1 1 0 0 0 0 1 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 Malignant neoplasm of bladder Malignant neoplasm of meninges, brain and other parts of CNS Malignant neoplasm of lymphoid, hematopoietic and related tissue 18 2 0 4 1 0 0 3 0 5 2 0 0 1 0 0 0 Hodgkin's disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Non-Hodgkin's lymphoma 3 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 Leukemia 8 1 0 2 0 0 0 2 0 0 2 0 0 1 0 0 0 7 0 0 0 1 0 0 1 0 5 0 0 0 0 0 0 0 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 32 3 0 4 1 3 0 7 3 8 1 2 0 0 0 0 0 In situ neoplasms 7 1 0 1 0 0 0 3 0 2 0 0 0 0 0 0 0 Anemias 2 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 Diabetes 86 10 1 4 6 1 0 20 4 11 17 6 0 1 1 4 0 1 1 0 0 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 Meningitis 2 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 Parkinson's disease 5 2 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 All other and unspecified malignant neoplasm Nutritional deficiencies Malnutrition Other nutritional deficiencies Alzheimer's disease Major cardiovascular diseases Diseases of heart 8 1 0 0 0 0 0 3 0 0 2 2 0 0 0 0 0 273 47 1 32 11 3 0 59 3 50 39 15 0 5 4 4 0 210 37 1 23 8 3 0 46 3 37 30 12 0 3 3 4 0 Health Status Profile of American Indians in Arizona, 2004 Data Book 99 Acute rheumatic fever and chronic rheumatic heart disease Unknown La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 12 2 0 1 0 0 0 6 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 159 30 1 14 6 1 0 36 3 30 23 9 0 2 3 1 0 41 13 0 5 0 0 0 6 1 7 4 4 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 118 17 1 9 6 1 0 30 2 23 19 5 0 2 2 1 0 44 9 1 3 0 0 0 8 1 9 9 3 0 0 1 0 0 74 8 0 6 6 1 0 22 1 14 10 2 0 2 1 1 0 38 5 0 8 2 2 0 4 0 6 4 3 0 1 0 3 0 92 11 1 4 6 1 0 22 4 12 18 6 0 1 1 5 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Heart failure 14 3 0 3 0 2 0 0 0 2 2 2 0 0 0 0 0 All other forms of heart disease 23 1 0 5 2 0 0 4 0 4 2 1 0 1 0 3 0 Essential (primary) hypertension and hypertensive renal disease 18 3 0 1 2 0 0 6 0 3 0 1 0 1 1 0 0 Cerebrovascular diseases 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 All other forms of chronic ischemic heart disease Other heart diseases Acute and subacute endocarditis Diseases of pericardium and acute myocarditis 37 5 0 7 1 0 0 6 0 9 7 2 0 0 0 0 0 Atherosclerosis 4 0 0 1 0 0 0 1 0 0 2 0 0 0 0 0 0 Other diseases of circulatory system 4 2 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 Aortic aneurysm and dissection 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 Other disease of arteries, arterioles and capillaries 3 2 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 46 10 0 7 2 2 0 8 1 9 2 3 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 46 10 0 7 2 2 0 8 1 9 2 3 0 1 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 Other disorders of circulatory system Influenza and pneumonia Influenza Pneumonia 100 Cochise Apache Total State Coconino 5.7 (continued) DEATHS BY COUNTY OF RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 Health Status Profile of American Indians in Arizona, 2004 Data Book Chronic lower respiratory diseases 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 2004 13 1 1 0 0 0 0 5 1 2 2 0 0 0 1 0 0 Bronchitis, chronic and unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Emphysema 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Asthma 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 11 0 1 0 0 0 0 5 1 2 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 Pneumonitis due to solids and liquids 11 4 0 2 0 0 0 2 0 2 1 0 0 0 0 0 0 Other disease of respiratory system 26 10 0 4 2 0 0 4 0 2 2 1 0 0 0 1 0 Peptic ulcer 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Diseases of appendix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Hernia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 98 9 0 5 7 1 0 28 1 11 18 12 0 1 3 2 0 Alcoholic liver disease 76 7 0 3 6 1 0 23 1 8 13 10 0 1 2 1 0 Other chronic liver disease and cirrhosis 22 2 0 2 1 0 0 5 0 3 5 2 0 0 1 1 0 4 0 0 3 0 0 0 1 0 0 0 0 0 0 0 0 0 45 6 0 4 5 0 0 4 3 11 9 3 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 1 0 0 0 0 0 0 0 0 0 43 6 0 4 5 0 0 3 3 11 8 3 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Infections of kidney Others disorders of kidney 1 0 0 0 0 0 0 0 0 1 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 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 0 0 0 0 0 0 0 0 0 0 0 0 Pregnancy with abortive outcome Other complications of pregnancy, childbirth and the puerperium Perinatal conditions 9 3 0 0 0 0 0 1 0 3 1 1 0 0 0 0 0 Congenital malformations 20 4 0 4 1 0 0 4 0 4 0 2 0 1 0 0 0 Symptoms, signs, abnormal findings 21 2 0 2 1 0 0 3 2 7 4 0 0 0 0 0 0 Health Status Profile of American Indians in Arizona, 2004 Data Book 101 Total accidents Transport accidents Motor vehicle accidents Other land transport accidents Water, air, space Unknown La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila 219 37 1 35 8 4 0 49 0 42 29 9 0 1 1 3 0 128 28 0 22 5 3 0 23 0 26 14 6 0 0 0 1 0 122 28 0 21 4 3 0 20 0 26 14 5 0 0 0 1 0 5 0 0 0 1 0 0 3 0 0 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 91 9 1 13 3 1 0 26 0 16 15 3 0 1 1 2 0 21 3 0 1 0 0 0 4 0 5 5 1 0 0 0 2 0 Accidental discharge of firearms 3 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 Accidental drowning and submersion 8 0 0 1 1 0 0 4 0 1 1 0 0 0 0 0 0 Accidental exposure to smoke, fire and flames 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Accidental poisoning 28 1 1 0 0 0 0 13 0 2 8 1 0 1 1 0 0 Other and unspecified nontransport accidents 30 4 0 10 1 0 0 5 0 8 1 1 0 0 0 0 0 Nontransport accidents Falls Intentional self-harm (suicide) 47 10 0 7 2 0 0 8 1 6 6 5 0 1 0 1 0 By discharge of firearms 12 2 0 3 0 0 0 2 1 1 2 1 0 0 0 0 0 By other means 35 8 0 4 2 0 0 6 0 5 4 4 0 1 0 1 0 40 4 0 7 2 0 0 6 0 9 6 5 0 1 0 0 0 By discharge of firearms 19 1 0 1 1 0 0 4 0 3 4 4 0 1 0 0 0 By other means 21 3 0 6 1 0 0 2 0 6 2 1 0 0 0 0 0 Legal intervention 2 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 Events of undetermined intent 8 0 0 2 0 0 0 2 1 3 0 0 0 0 0 0 0 Assault (homicide) Discharge of firearms 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 Other and unspecified events of undetermined intent 7 0 0 2 0 0 0 2 1 2 0 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 INJURY BY FIREARMS 37 4 0 4 2 1 0 8 1 5 6 5 0 1 0 0 0 DRUG-INDUCED DEATHS 37 1 1 2 0 0 0 16 1 2 10 1 0 2 1 0 0 111 17 0 7 6 2 0 31 1 12 18 13 0 1 2 1 0 ALCOHOL-INDUCED DEATHS 102 Cochise Apache Total State Coconino 5.7 (continued) DEATHS BY COUNTY OF RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2004 Health Status Profile of American Indians in Arizona, 2004 Data Book 5.8 DEATHS FROM MOTOR VEHICLE-RELATED INJURIES AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2004 M F ALL AGES TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL White Mountain Apache Tribe Tohono O'Odham Tribe Resided off reservation San Carlos Apache Tribe Pascua Yaqui Tribe Navajo Nation Hopi Tribe Havasupai Tribe Colorado River Indian Tribes TOTAL TOTAL Gila River Indian Community Resided on reservation 122 1 4 1 6 56 3 7 10 8 96 15 6 2 3 26 <1 2 0 0 0 0 1 0 0 1 0 2 0 0 0 0 0 1-4 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 5-14 3 0 0 0 0 1 0 1 0 1 3 0 0 0 0 0 15-24 24 0 0 1 1 12 0 3 0 1 18 2 2 1 1 6 25-34 27 1 2 0 0 11 1 1 5 0 21 4 1 0 1 6 35-44 23 0 2 0 1 4 2 1 3 4 17 5 0 1 0 6 45-54 16 0 0 0 2 9 0 0 1 0 12 2 1 0 1 4 55-64 9 0 0 0 0 4 0 1 0 1 6 1 2 0 0 3 65-74 9 0 0 0 1 6 0 0 0 1 8 1 0 0 0 1 75-84 7 0 0 0 1 6 0 0 0 0 7 0 0 0 0 0 85+ 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 75 1 1 0 4 35 1 5 5 4 56 10 6 2 1 19 <1 2 0 0 0 0 1 0 0 1 0 2 0 0 0 0 0 1-4 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 15-24 18 0 0 0 1 9 0 2 0 0 12 2 2 1 1 6 25-34 19 1 0 0 0 8 1 1 3 0 14 4 1 0 0 5 35-44 13 0 1 0 1 3 0 1 1 2 9 3 0 1 0 4 45-54 9 0 0 0 1 6 0 0 0 0 7 1 1 0 0 2 55-64 8 0 0 0 0 4 0 1 0 1 6 0 2 0 0 2 65-74 4 0 0 0 1 2 0 0 0 1 4 0 0 0 0 0 85+ 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 47 0 3 1 2 21 2 2 5 4 40 5 0 0 2 7 5-14 3 0 0 0 0 1 0 1 0 1 3 0 0 0 0 0 15-24 6 0 0 1 0 3 0 1 0 1 6 0 0 0 0 0 25-34 8 0 2 0 0 3 0 0 2 0 7 0 0 0 1 1 35-44 10 0 1 0 0 1 2 0 2 2 8 2 0 0 0 2 45-54 7 0 0 0 1 3 0 0 1 0 5 1 0 0 1 2 55-64 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 65-74 5 0 0 0 0 4 0 0 0 0 4 1 0 0 0 1 75-84 7 0 0 0 1 6 0 0 0 0 7 0 0 0 0 0 ALL AGES ALL AGES Health Status Profile of American Indians in Arizona, 2004 Data Book 103 5.9 INTENTIONAL SELF-HARM (SUICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2004 M F 104 TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL White Mountain Apache Tribe Yavapai-Apache Nation Resided off reservation Tohono O'Odham Tribe San Carlos Apache Tribe Navajo Nation Hualapai Nation Hopi Tribe Havasupai Tribe Colorado River Indian Tribes TOTAL TOTAL Gila River Indian Community Resided on reservation ALL AGES 47 1 3 1 1 1 16 2 5 2 1 33 8 2 2 2 14 15-24 16 0 0 0 0 0 6 0 1 1 1 9 4 1 2 0 7 25-34 16 1 3 0 0 0 3 2 1 1 0 11 3 1 0 1 5 35-44 7 0 0 1 0 0 4 0 1 0 0 6 0 0 0 1 1 45-54 7 0 0 0 1 1 2 0 2 0 0 6 1 0 0 0 1 75-84 1 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 ALL AGES 37 1 2 1 0 1 14 2 4 0 1 26 7 2 1 1 11 15-24 12 0 0 0 0 0 4 0 1 0 1 6 4 1 1 0 6 25-34 12 1 2 0 0 0 3 2 1 0 0 9 2 1 0 0 3 35-44 6 0 0 1 0 0 4 0 0 0 0 5 0 0 0 1 1 45-54 6 0 0 0 0 1 2 0 2 0 0 5 1 0 0 0 1 75-84 1 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 10 0 1 0 1 0 2 0 1 2 0 7 1 0 1 1 3 15-24 4 0 0 0 0 0 2 0 0 1 0 3 0 0 1 0 1 25-34 4 0 1 0 0 0 0 0 0 1 0 2 1 0 0 1 2 35-44 1 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 45-54 1 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 ALL AGES Health Status Profile of American Indians in Arizona, 2004 Data Book 5.10 ASSAULT (HOMICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2004 TOTAL M F ALL AGES TOTAL ---elsewhere in Arizona ---in Coconino County ---in Maricopa County TOTAL Yavapai-Apache Nation Resided off reservation White Mountain Apache Tribe Tohono O'Odham Tribe San Carlos Apache Tribe Pascua Yaqui Tribe Navajo Nation TOTAL Gila River Indian Community Resided on reservation 40 6 13 2 2 5 3 1 32 4 1 3 8 <1 1 0 0 0 0 0 0 0 0 1 0 0 1 1-4 1 0 1 0 0 0 0 0 1 0 0 0 0 5-14 1 1 0 0 0 0 0 0 1 0 0 0 0 15-24 11 2 1 0 1 2 1 0 7 2 1 1 4 25-34 11 2 4 0 0 1 0 1 8 1 0 2 3 35-44 7 1 2 1 0 1 2 0 7 0 0 0 0 45-54 5 0 3 1 0 1 0 0 5 0 0 0 0 55-64 1 0 1 0 0 0 0 0 1 0 0 0 0 65-74 2 0 1 0 1 0 0 0 2 0 0 0 0 ALL AGES 32 3 12 1 2 4 3 1 26 2 1 3 6 1-4 1 0 1 0 0 0 0 0 1 0 0 0 0 15-24 7 0 1 0 1 1 1 0 4 1 1 1 3 25-34 10 2 3 0 0 1 0 1 7 1 0 2 3 35-44 6 1 2 0 0 1 2 0 6 0 0 0 0 45-54 5 0 3 1 0 1 0 0 5 0 0 0 0 55-64 1 0 1 0 0 0 0 0 1 0 0 0 0 65-74 2 0 1 0 1 0 0 0 2 0 0 0 0 ALL AGES 8 3 1 1 0 1 0 0 6 2 0 0 2 <1 1 0 0 0 0 0 0 0 0 1 0 0 1 5-14 1 1 0 0 0 0 0 0 1 0 0 0 0 15-24 4 2 0 0 0 1 0 0 3 1 0 0 1 25-34 1 0 1 0 0 0 0 0 1 0 0 0 0 35-44 1 0 0 1 0 0 0 0 1 0 0 0 0 Health Status Profile of American Indians in Arizona, 2004 Data Book 105 5.11 DIABETES-RELATED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2004 M ---elsewhere in Arizona Yavapai-Apache Nation White Mountain Apache Tribe Tohono O'Odham Tribe 38 20 7 9 15 8 1 132 29 8 2 13 52 0 1 0 0 0 0 0 0 2 1 1 0 0 2 35-44 14 0 1 0 0 0 0 1 2 1 1 0 1 2 0 9 4 0 1 0 5 45-54 33 0 0 0 3 0 0 1 7 1 3 1 6 0 0 22 9 1 0 1 11 55-64 48 0 1 0 4 0 1 0 9 7 3 1 4 2 0 32 10 1 0 5 16 65-74 42 2 1 0 3 1 2 2 9 6 0 3 3 2 0 34 2 4 1 1 8 75-84 32 0 0 0 1 0 5 0 9 3 0 4 1 1 0 24 3 1 0 4 8 85+ 11 0 1 0 1 0 2 0 1 2 0 0 0 1 1 9 0 0 0 2 2 ALL AGES 90 0 2 1 7 1 4 4 22 12 6 3 7 4 0 73 10 0 2 5 17 25-34 3 0 0 1 0 0 0 0 1 0 0 0 0 0 0 2 1 0 0 0 1 35-44 8 0 0 0 0 0 0 1 1 1 1 0 0 1 0 5 2 0 1 0 3 45-54 24 0 0 0 3 0 0 1 6 1 3 1 3 0 0 18 5 0 0 1 6 55-64 23 0 1 0 3 0 0 0 6 5 2 0 2 1 0 20 2 0 0 1 3 65-74 17 0 0 0 0 1 1 2 5 2 0 1 2 2 0 16 0 0 1 0 1 75-84 10 0 0 0 1 0 2 0 3 2 0 1 0 0 0 9 0 0 0 1 1 5 0 1 0 0 0 1 0 0 1 0 0 0 0 0 3 0 0 0 2 2 94 2 2 0 5 0 6 0 16 8 1 6 8 4 1 59 19 8 0 8 35 25-34 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 35-44 6 0 1 0 0 0 0 0 1 0 0 0 1 1 0 4 2 0 0 0 2 45-54 9 0 0 0 0 0 0 0 1 0 0 0 3 0 0 4 4 1 0 0 5 55-64 25 0 0 0 1 0 1 0 3 2 1 1 2 1 0 12 8 1 0 4 13 65-74 25 2 1 0 3 0 1 0 4 4 0 2 1 0 0 18 2 4 0 1 7 75-84 22 0 0 0 0 0 3 0 6 1 0 3 1 1 0 15 3 1 0 3 7 6 0 0 0 1 0 1 0 1 1 0 0 0 1 1 6 0 0 0 0 0 ALL AGES 85+ ---in Pima County TOTAL Navajo Nation Hopi Tribe TOTAL 4 0 ---in Coconino County 10 0 ---in Maricopa County 1 0 85+ F San Carlos Apache Tribe 12 1 Pascua Yaqui Tribe Gila River Indian Community 1 0 Hualapai Nation Fort McDowell Yavapai Nation 4 0 ALL AGES Havasupai Tribe Colorado River Indian Tribes 2 4 Cocopah Tribe 184 25-34 TOTAL TOTAL Resided off reservation Salt River Pima-Maricopa Community Resided on reservation Diabetes-related: deaths due to diabetes reported as multiple cause of death (any mention of diabetes on the death certificate). The number of deaths due to diabetes as the underlying causes of death (86 in 2004) is shown in Tables 5.4 - 5.7. 106 Health Status Profile of American Indians in Arizona, 2004 Data Book 5.12 ALCOHOL-INDUCED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2004 M ALL AGES TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL White Mountain Apache Tribe Tohono O'Odham Tribe San Carlos Apache Tribe Salt River PimaMaricopa Community Pascua Yaqui Tribe Navajo Nation Hualapai Nation Hopi Tribe Gila River Indian Community Resided off reservation 111 1 1 1 12 4 1 23 5 1 7 9 6 71 27 6 1 6 40 15-24 5 0 0 0 0 0 0 1 0 0 1 0 3 5 0 0 0 0 0 25-34 11 0 0 1 0 0 0 3 0 0 0 0 0 4 5 1 0 1 7 35-44 28 1 0 0 3 2 0 6 2 1 2 2 0 19 4 3 1 1 9 45-54 31 0 0 0 3 2 1 6 2 0 1 4 1 20 8 0 0 3 11 55-64 23 0 0 0 4 0 0 1 1 0 2 2 2 12 8 2 0 1 11 65-74 10 0 1 0 1 0 0 4 0 0 1 1 0 8 2 0 0 0 2 75-84 3 0 0 0 1 0 0 2 0 0 0 0 0 3 0 0 0 0 0 76 1 0 1 9 2 1 16 3 0 5 9 4 51 16 4 1 4 25 3 0 0 0 0 0 0 0 0 0 1 0 2 3 0 0 0 0 0 25-34 7 0 0 1 0 0 0 3 0 0 0 0 0 4 3 0 0 0 3 35-44 16 1 0 0 2 1 0 3 1 0 1 2 0 11 1 2 1 1 5 45-54 19 0 0 0 2 1 1 3 2 0 1 4 0 14 3 0 0 2 5 55-64 20 0 0 0 4 0 0 1 0 0 1 2 2 10 7 2 0 1 10 65-74 8 0 0 0 0 0 0 4 0 0 1 1 0 6 2 0 0 0 2 75-84 3 0 0 0 1 0 0 2 0 0 0 0 0 3 0 0 0 0 0 35 0 1 0 3 2 0 7 2 1 2 0 2 20 11 2 0 2 15 2 0 0 0 0 0 0 1 0 0 0 0 1 2 0 0 0 0 0 25-34 4 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 0 1 4 35-44 12 0 0 0 1 1 0 3 1 1 1 0 0 8 3 1 0 0 4 45-54 12 0 0 0 1 1 0 3 0 0 0 0 1 6 5 0 0 1 6 55-64 3 0 0 0 0 0 0 0 1 0 1 0 0 2 1 0 0 0 1 65-74 2 0 1 0 1 0 0 0 0 0 0 0 0 2 0 0 0 0 0 ALL AGES 15-24 F Fort McDowell Yavapai Nation Cocopah Tribe TOTAL TOTAL Colorado River Indian Tribes Resided on reservation ALL AGES 15-24 Health Status Profile of American Indians in Arizona, 2004 Data Book 107 TECHNICAL NOTES Health Status Profile of American Indians in Arizona, 2004 Data Book 109 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.workforce.az.gov/admin/uploadedPublications/506_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, 2004 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 for 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. 111 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. 112 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. Health Status Profile of American Indians in Arizona, 2004 Data Book 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, 2004 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+ 2004 population of American Indians 2004 deaths among American Indians B C 5572 22223 64895 51900 41152 39591 26587 15406 9344 4310 1488 282468 44 15 13 82 97 164 209 219 214 205 140 1402 Age2000 specific standard rates for American Indians in 2004 D E (C/B)*100000 789.7 .013818 67.5 .055317 20.0 .145565 158.0 .138646 235.7 .135573 414.2 .162613 786.1 .134834 1421.5 .087247 2290.2 .066037 4756.4 .044842 9408.6 .015508 Ageadjusted rate for American Indians In 2004 F D*E 10.9 3.7 2.9 21.9 32.0 67.4 106.0 124.0 151.2 213.3 145.9 TOTAL 879.2 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. 113 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. 114 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 Health Status Profile of American Indians in Arizona, 2004 Data Book 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 Influenza and pneumonia J10–J18 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. Health Status Profile of American Indians in Arizona, 2004 Data Book 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 * * * 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 115 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 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 See footnotes at end of table. 116 Health Status Profile of American Indians in Arizona, 2004 Data Book 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 * 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 291,303,305.0,357.5,425.5,535.3, 571.0–571.3,790.3,E860 * * * * * * * * * 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, 2004 Data Book 117 APPENDIX A TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA Health Status Profile of American Indians in Arizona, 2004 Data Book 119 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 COLORADO RIVER INDIAN TRIBES La Paz Parker Parker Valley Poston 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 Health Status Profile of American Indians in Arizona, 2004 Data Book 121 Reservation/Tribe County Community name HAVASUPAI NATION HOPI TRIBE Coconino Coconino Supai 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 NAVAJO 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 122 Health Status Profile of American Indians in Arizona, 2004 Data Book Tribal Communities of American Indians in Arizona (continued) Reservation/Tribe NAVAJO NATION (continued) County Apache Coconino Health Status Profile of American Indians in Arizona, 2004 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 Big Mountain Bitter Springs Cameron Canyon Diablo Cedar Ridge Copper Mine Cow Springs Gray Mountain 123 Tribal Communities of American Indians in Arizona (continued) Reservation/Tribe NAVAJO NATION (continued) County Coconino Navajo 124 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 Health Status Profile of American Indians in Arizona, 2004 Data Book 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, 2004 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 125 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 126 Health Status Profile of American Indians in Arizona, 2004 Data Book 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 Chino Springs Warrior Canyon 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, 2004 Data Book 127 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 Bureau of Public Health Statistics Public Health Services ARIZONA DEPARTMENT OF HEALTH SERVICES Printed by the Arizona Department of Education Print Shop