Health Status Profile of American Indians in Arizona Health Status and Vital Statistics Section Bureau of Public Health Statistics Arizona Department of 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 SECTION BUREAU OF PUBLIC HEALTH STATISTICS ARIZONA DEPARTMENT OF HEALTH SERVICES 150 N. 18th Avenue, Suite 550 Phoenix, Arizona 85007-3248 Phone: 602/542-7333; FAX: 602/542-2940 www.azdhs.gov/plan This publication can be made available in alternative format. Please contact the Office of 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: 2006 DATA BOOK by Christopher K. Mrela, Ph.D., Arizona Vital Statistician, Clare Torres, Senior Health Data Analyst October 2007 Acknowledgment Grateful acknowledgement is made to Richard S. Porter for reviewing the typescript. HEALTH STATUS PROFILE OF AMERICAN INDIANS IN ARIZONA 2006 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 2006 ...................................................................................................... 3 2006 Risk Profile of American Indians............................................................................................................................................. 7 American Indians’ Standing in Arizona in 2006 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, 1996-2006 ........ 25 Median Age At Death From All Causes, 1996-2006 ......................................................................................................................... Births to Unmarried Mothers, 1996-2006 ...................................................................................................................................... The Incidence of Gonorrhea, 1996-2006 ....................................................................................................................................... The Incidence of Low-Birthweight Births, 1996-2006 ...................................................................................................................... The Incidence of Fetal Alcohol Syndrome, 1996-2006 ..................................................................................................................... Births to Teenage Mothers, 1996-2006 ......................................................................................................................................... The Incidence of Birth Defects (Congenital Anomalies), 1996-2006................................................................................................... The Incidence of Pregnancy Associated Hypertension, 1996-2006..................................................................................................... The Incidence of Anemia During Pregnancy, 1996-2006 .................................................................................................................. The Incidence of Diabetes During Pregnancy, 1996-2006 ................................................................................................................ Health Status Profile of American Indians in Arizona, 2006 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 2006.................. 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, 2006 ......................................................................................... 67 Comparison of Selected Characteristics of American Indian Newborns and Women Giving Birth by County of Residence, Arizona, 2006........................................................................................................................................ 68 Health Status Profile of American Indians in Arizona, 2006 Data Book V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2006 ..................................................... 73 AGE-SPECIFIC MORTALITY 5.1 5.2 5.3 Age-Specific Mortality Among American Indians in 2006.................................................................................................................. 77 Age-Specific Mortality Among American Indian Males in 2006 .......................................................................................................... 78 Age-Specific Mortality Among American Indian Females in 2006 ....................................................................................................... 79 CAUSE-SPECIFIC MORTALITY 5.4 5.5 5.6 5.7 5.8 5.9 5.10 5.11 5.12 5.13 5.14 5.15 5.16 5.17 5.18 Deaths by Gender for Selected 113 Causes Among American Indians in 2006 ................................................................................... 83 Deaths by Age Group for Selected 113 Causes Among American Indians in 2006 .............................................................................. 87 Deaths by Residence for Selected 113 Causes Among American Indians in 2006 ............................................................................... 91 Deaths by County of Residence for Selected 113 Causes Among American Indians in 2006 ................................................................. 95 Deaths from Motor Vehicle-Related Injuries Among American Indians by Place of Residence, Gender and Age Group, Arizona, 2006.......................................................................................................................................... 99 Intentional Self-Harm (Suicide) Among American Indians by Place of Residence, Gender and Age Group, Arizona, 2006.........................................................................................................................................100 Assault (Homicide) Among American Indians by Place of Residence, Gender and Age Group. Arizona, 2006 ..........................................................................................................................................................................101 Diabetes-Related Deaths Among American Indians by Place of Residence, Gender and Age Group, Arizona, 2006 ..........................................................................................................................................................................102 Alcohol-Induced Deaths Among American Indians by Place of Residence, Gender and Age Group, Arizona, 2006 ..........................................................................................................................................................................103 COMPARATIVE CAUSE-SPECIFIC MORTALITY Five Leading Causes of Death by Gender Among American Indian Residents of Arizona in 2006 ...........................................................107 Five Leading Causes of Death Among American Indians by Gender and Residence On or Off Reservation, Arizona, 2006 .........................108 Proportional Mortality by Type of Cancer and Gender Among American Indians and All Residents of Arizona, 2000-2006 .........................109 Proportional Mortality by Mechanism of Unintentional Injury and Gender Among American Indians and All Residents of Arizona, 1996-2006 ............................................................................................................................................110 Comparison of Mortality by Specific Type of Cancer by Gender Among American Indians and All Residents of Arizona, 2000-2006 ............111 Unintentional Injury Deaths by Mechanism and Gender Among American Indians and All Residents of Arizona, 1996-2006......................112 TECHNICAL NOTES ............................................................................................................................................................................................................. 113 Sources of Data ................................................................................................................................................................................................... 115 Definitions ....................................................................................................................................................................................................... 115 Rates ....................................................................................................................................................................................................... 115 Terms Related to Reproductive Health........................................................................................................................................................... 115 Medical Terms Used on the Birth Certificate .......................................................................................................................................... 115 Medical risk factors for pregnancy ................................................................................................................................................. 115 Complications of labor and delivery ............................................................................................................................................... 116 Abnormal conditions of the newborn.............................................................................................................................................. 116 Congenital anomalies of child ....................................................................................................................................................... 116 Terms Related to Mortality........................................................................................................................................................................... 117 Cause-of-Death Categories and Comparability Ratios for Selected 113 Causes of Death ............................................................................. 118 Appendix A. Tribal Communities of American Indians in Arizona................................................................................................................................... 123 Health Status Profile of American Indians in Arizona, 2006 Data Book iii INTRODUCTION The report Health Status Profile of American Indians in Arizona: 2006 Data Book is the eleventh 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 2006. American Indian births are determined by mother's race as indicated on a birth certificate. American Indian deaths are determined by decedent's race as stated on the death certificate. The charts and tables comprising the 2006 Health Status Profile of American Indians in Arizona are grouped into five major sections: 1) summary risk profile of American Indian residents of Arizona according to 70 indicators or measures of health status; 2) comparison of American Indians’ standing in Arizona with respect to select health objectives for the year 2010; 3) trend data for 1996-2006 for select health problems and health risks among American Indians and all residents of Arizona; 4) characteristics of American Indian newborns and mothers giving birth; and 5) patterns of cause-specific mortality among American Indians by age group, gender and place of residence. This report presents additional statistics on “Comparative Cause-Specific Mortality” focused on leading causes of death by gender and residence status on or off reservation, as well as patterns in cancer mortality and proportional mortality from specific unintentional injuries. These sections are followed by 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 - 2006 are classified by ICD-10. Health Status Profile of American Indians in Arizona, 2006 Data Book 1 Beginning with the first edition of this report published in 1996, specific Indian reservations have been identified by the tribal community in residence. However, this approach does not consider 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). Therefore, in this edition of the report, tribal affiliation combined with a specific place of residence was used to distinguish between American Indian residents of specified tribal communities and/or on reservations, and those who resided off reservation in Arizona in 2006. 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 limited. Generally, the information about the usual place (or tribal community) of residence is poorly recorded in the electronic databases of births and deaths. Certain communities are altogether absent or 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 is 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 1995–2006 are available at http://www.azdhs.gov/plan/report/hspam/index.htm 2 Health Status Profile of American Indians in Arizona, 2006 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 2006 Health Status Profile of American Indians in Arizona, 2006 Data Book 3 The risk profile presented on the following page summarizes how American Indians as a group compared in 2006 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 a race/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 2006, American Indian residents of Arizona: • had the second highest average score among all groups and second lowest rank of overall health status; • ranked worse than the statewide average on 45 of 70 health indicators; • ranked poorly on measures of maternal lifestyle and health, as well as in utilization of prenatal care; • on average were 21 years younger at time of death compared to White non-Hispanics; and • ranked better than average on (1) mortality rates for several chronic diseases (lung cancer, Alzheimer’s disease, colorectal cancer, chronic lower respiratory diseases and coronary heart disease), (2) tobacco use and (3) incidence of genital herpes among women giving birth. * The comparative risk profiles for American Indian, White non-Hispanic, Hispanic or Latino, Black or African American and Asian or Pacific Islander residents of Arizona were developed for a report “Differences in the Health Status Among Ethnic Groups”. This publication is available online at http://www.azdhs.gov/plan/report/dhsag/index.htm. Health Status Profile of American Indians in Arizona, 2006 Data Book 5 2006 RISK PROFILE OF AMERICAN INDIANS (Percent above or below the average rate or ratio of all Arizona residents in 2006) BETTER THAN AVERAGE WORSE THAN AVERAGE -8 9 .0 -8 1 .0 -6 8 .1 -6 7 .8 -5 4 .2 -4 8 .1 -4 6 .3 -4 2 .9 -3 5 .2 -2 9 .8 -2 9 .4 -2 5 .0 -2 5 .0 -2 2 .8 -2 2 .4 -2 2 .1 -2 1 .7 -1 5 .9 -1 2 .4 -1 1 .0 -8 .3 -7 .0 -5 .9 5-7. Lung cancer 5-5. Chronic lower respiratory diseases 5-8. Breast cancer 5-10. Colorectal cancer 5-17. Alzheimer's disease 6-5. Injury by f irearms 5-6. Malignant neoplasm (cancer) 2-9. Genital herpes during pregnancy 9-5. Incidence of HIV/AIDS 6-6. Drug-induced deaths 2-2. Tobacco use during pregnancy 4-8. Sudden Inf ant Death Syndrome (SIDS) 5-3. Coronary heart disease 5-1. Cardiovascular disease 5-4. Cerebrovascular disease 5-2. Diseases of the heart 5-15. HIV disease 5-11. Prostate cancer 6-3. F all-related injuries 6-8. Intentional self-harm (suicide) 4-5. Born too small: <1, 500 grams 4-10. Neonatal mortality 4-2. Incidence of newborn intensive care 1-2. Pregnancies among females <15 years 6-4. Drowning mortality 4-7. Inf ant mortality 5-20. Total mortality f rom all causes 1-4. Pregnancies among females 18-19 years 4-4. Born too small: <2, 500 grams 1-1. Pregnancies among females <20 years 1-3. Pregnancies among females 15-17 years 4-3. Born too early < 37 weeks 4-11. Postneonatal mortality 4-9. Mortality of inf ants from low birthweight 8-3. Median age at death among f emales 7-4. Mortality of adults 45-64 years 5-19. Essential (primary) hypertension 2-10. W eight gain of less than 21 pounds 9-2. Incidence of gonorrhea 9-4. Incidence of genital herpes 4-6. Incidence of congenital anomalies 8-1. Median age at death f rom all causes 9-1. Incidence of early syphilis 8-2. Median age at death among males 3-3. No prenatal care 8-3. Deaths bef ore expected years of lif e 4-1. Incidence of hyaline membrane disease 3-1. No care in the 1st trimester 7-1. Mortality of children 1-14 years 6-9. Assault (homicide) 2-1. Unmarried mothers 9-3. Incidence of chlamydia 5-12. Influenza and pneumonia 6-1. Unintentional injuries 7-2. Mortality of adolescents 15-19 years 5-16. Septicemia 2-8. Pregnancy-associated hypertension 3-2. F ewer than f ive prenatal visits 7-3. Mortality of adults 20-44 years 2-7. Diabetes during pregnancy 5-13. Diabetes 2-4. Chronic hypertension 2-5. Dysfunctional labor 5-18. Nephritis 6-2. Motor vehicle-related injuries 2-3. Alcohol use during pregnancy 2-6. Anemia during pregnancy 5-9. Cervical cancer 5-14. Chronic liver disease and cirrhosis 6-7. Alcohol-induced deaths - 5 0 0 .0 0 .0 0 .0 1 .6 2 .4 3 .6 4 .2 6 .2 6 .4 1 0 .4 2 0 .0 2 2 .2 2 3 .1 2 6 .2 2 6 .9 3 1 .0 3 1 .9 3 1 .9 3 3 .3 3 3 .3 3 5 .5 4 0 .4 4 5 .8 4 6 .9 5 0 .0 5 2 .9 5 4 .9 5 5 .3 7 0 .4 7 5 .8 7 8 .3 8 9 .8 1 0 1 .1 1 0 1 .2 1 0 3 .4 1 0 6 .3 1 0 6 .8 1 2 5 .0 1 3 2 .3 1 3 3 .3 1 5 0 .0 1 6 4 .8 1 9 0 .3 2 1 6 .7 2 3 0 .0 2 4 1 .2 2 8 2 .5 0 .0 - 2 5 0 .0 3 6 7 .0 5 0 0 .0 2 5 0 .0 AVERAGE FOR ALL RESIDENTS Health Status Profile of American Indians in Arizona, 2006 Data Book 7 AMERICAN INDIANS’ STANDING IN ARIZONA IN 2006 ON 70 INDICATORS OF HEALTH STATUS Figure number 1. TEEN PREGNANCIES (Number of pregnancies per 1,000 females in specified age group) Indicator 2006 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2006 1-1 Pregnancies among females 19 and younger 36.2 6.2 34.1 1-2 Pregnancies among females 14 and younger 1.1 0.0 1.1 1-3 Pregnancies among females 15-17 years old 41.5 6.4 39.0 1-4 Pregnancies among females 18-19 years old 119.8 3.6 115.6 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 2006 ratio for American Indians Percent above or below the average ratio for all groups Average ratio for all groups in 2006 74.8 70.4 43.9 Tobacco use during pregnancy 3.6 -29.4 5.1 2-3 Alcohol use during pregnancy 1.9 216.7 0.6 2-4 Chronic hypertension 1.4 133.3 0.6 2-5 Dysfunctional labor 2.5 150.0 1.0 2-6 Anemia during pregnancy 6.6 230.0 2.0 2-7 Diabetes during pregnancy 7.2 125.0 3.2 2-8 Pregnancy-associated hypertension 5.9 103.4 2.9 2-9 Genital herpes during pregnancy 0.4 -42.9 0.7 2-10 Weight gain of less than 21 pounds 33.4 31.0 25.5 2-1 Unmarried mothers 2-2 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, 2006 Data Book Figure number 3. UTILIZATION OF PRENATAL CARE SERVICES (Per 100 live births) Indicator 2006 ratio for American Indians Percent above or below the average ratio for all groups Average ratio for all groups in 2006 3-1 No care in the 1st trimester 34.1 52.9 22.3 3-2 Fewer than five prenatal visits 13.2 106.3 6.4 3-3 No prenatal care 3.5 45.8 2.4 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 2006 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 2006 4-1 Incidence of hyaline membrane disease 0.3 50.0 0.2 4-2 Incidence of newborn intensive care 4.8 -5.9 5.1 4-3 Born too early (preterm or < 37 weeks) 11.7 10.4 10.6 4-4 Born too small: low-birthweight (<2,500 grams) 7.4 4.2 7.1 4-5 Born too small: very low-birthweight (<1,500 grams) 1.1 -8.3 1.2 4-6 Incidence of congenital anomalies (birth defects) 1.2 33.3 0.9 4-7 Infant mortality 6.4 1.6 6.3 4-8 Sudden Infant Death Syndrome (SIDS) 0.3 -25.0 0.4 4-9 Mortality of infants from low birthweight/short gestation 1.1 22.2 0.9 4-10 Neonatal mortality 4.0 -7.0 4.3 4-11 Postneonatal mortality 2.4 20.0 2.0 Health Status Profile of American Indians in Arizona, 2006 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 2006 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2006 5-1 Cardiovascular disease 167.0 -22.8 216.4 5-2 Diseases of the heart 129.4 -22.1 166.1 5-3 Coronary heart disease 97.6 -25.0 130.2 5-4 Cerebrovascular disease 27.0 -22.4 34.8 5-5 Chronic lower respiratory diseases 8.4 -81.0 44.3 5-6 Malignant neoplasm (cancer) 83.1 -46.3 154.7 5-7 Lung cancer 4.7 -89.0 42.7 5-8 Breast cancer 6.9 -68.1 21.6 5-9 Cervical cancer 5.8 241.2 1.7 5-10 Colorectal cancer 4.7 -67.8 14.6 5-11 Prostate cancer 16.9 -15.9 20.1 5-12 Influenza and pneumonia 32.8 78.3 18.4 5-13 Diabetes 43.9 132.3 18.9 5-14 Chronic liver disease and cirrhosis 43.6 282.5 11.4 5-15 HIV disease 1.8 -21.7 2.3 5-16 Septicemia 17.3 101.2 8.6 5-17 Alzheimer's disease 15.3 -54.2 33.4 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 23.3 164.8 8.8 5-19 Essential (primary) hypertension 8.5 26.9 6.7 5-20 Total mortality from all causes 744.5 2.4 727.3 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, 2006 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 2006 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2006 6-1 Unintentional injuries 97.2 89.8 51.2 6-2 Motor vehicle-related injuries 56.9 190.3 19.6 6-3 Fall-related injuries 9.9 -12.4 11.3 6-4 Drowning mortality 1.5 0.0 1.5 6-5 Injury by firearms 8.0 -48.1 15.4 6-6 Drug-induced deaths 10.6 -29.8 15.1 6-7 Alcohol-induced deaths 48.1 367.0 10.3 6.8 Intentional self-harm (suicide) 13.7 -11.0 15.4 6-9 Assault (homicide) 13.2 55.3 8.5 Health Status Profile of American Indians in Arizona, 2006 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 2006 rate for American Indians Percent above or below the average rate for all groups 33.3 54.9 21.5 The number of deaths per 100,000 children 1-14 years old in 2006 The number of deaths per 100,000 adolescents 15-19 years old in 2006 Average value for all groups in 2006 Definition 7-1 Mortality of children 1-14 years old 7-2 Mortality of adolescents 15-19 years old 188.6 101.1 93.8 7-3 Mortality of young adults 20-44 years old 305.1 106.8 147.5 The number of deaths per 100,000 young adults 20-44 years old in 2006 7-4 Mortality of middle-aged adults 45-64 years old 775.4 26.2 614.6 The number of deaths per 100,000 middle-aged adults 45-64 years old in 2006 Figure number 8. PREMATURE MORTALITY 8-1 Indicators Median age at death from all causes Median age at death from all causes among males Median age at death from all causes among females Percent of total deaths before expected years of life reached 8-2 8-3 8-4 2006 value for American Indians Percent above or below the average value for all groups Average value for all groups in 2006 Definitions 57.0 33.3 76.0 The median age (the age in the middle) of Arizonans who died in 2006 52.0 40.4 73.0 The median age (the age in the middle) of Arizona males who died in 2006 65.0 23.1 80.0 The median age (the age in the middle) of Arizona females who died in 2006 46.9 52.7 The number of deaths before reaching 77.9 years (the life expectancy of all U.S. residents in 2004) per 100 deaths 2006 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2006 8.4 35.5 6.2 77.4 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 125.7 31.9 95.3 Number of reported cases of gonorrhea per 100,000 population 9-3 Incidence of chlamydia 678.8 75.8 386.1 Number of reported cases of chlamydia per 100,000 population 9-4 Incidence of genital herpes 36.8 31.9 27.9 Number of reported cases of genital herpes per 100,000 population 9-5 Incidence of HIV/AIDS 8.1 -35.2 12.5 Number of reported cases of HIV/AIDS per 100,000 population 12 Health Status Profile of American Indians in Arizona, 2006 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, 2006 Data Book 13 2.1 Early Prenatal Care NATIONAL YEAR 2010 OBJECTIVE (HP16-10a*): INCREASE TO 90 PERCENT THE PROPORTION OF WOMEN GIVING BIRTH WHO RECEIVE PRENATAL CARE IN THE FIRST TRIMESTER OF PREGNANCY Percent of Am erican Indian w om en giv ing birth w ho receiv ed early prenatal care: 100.0 O B J ECTI V E 90.0 75.0 58.7 60.0 61.2 1996 1997 1998 64.1 65.8 64.6 64.4 2000 2001 2002 68.8 69.0 67.9 2003 2004 2005 65.9 50.0 25.0 0.0 1999 2006 Source: Table 1B-2 and Table 1B-12 in Arizona Health Status and Vital Statistics 2006. Health Status Profile of American Indians in Arizona, 2006 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 Number of infant deaths per 1,000 live births 15.0 12.0 11.4 10.7 9.4 9.0 9.3 9.6 8.3 8.3 7.0 7.5 7.2 6.4 6.0 O B J E C T I V E 3.0 OBJE CT IVE 0.0 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Source: Table 2C-2 in Arizona Health Status and Vital Statistics 2006. Infant deaths are by the race/ethnicity of the decedent. For consistency with the national data, the denominators used to calculate infant mortality rates are by race/ethnicity of mother. 16 Health Status Profile of American Indians in Arizona, 2006 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 Number of postneonatal (i.e., at least 28 days of age but less than one year of age) deaths per 1,000 live births 8.0 6.6 6.0 6.2 5.9 4.9 4.9 4.4 3.8 4.0 3.8 4.0 3.4 3.2 2.0 OBJE CT IVE 0.0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 Source: Table 2C-3 or Table 2C-4 in Arizona Health Status and Vital Statistics 2006. Postneonatal deaths are by the race/ethnicity of the decedent. For consistency with the national data, the denominators used to calculate postneonatal mortality rates are by race/ethnicity of mother. Health Status Profile of American Indians in Arizona, 2006 Data Book 17 2.4 Unintentional Injury Deaths NATIONAL YEAR 2010 OBJECTIVE (HP15-13): REDUCE DEATHS CAUSED BY UNINTENTIONAL INJURIES TO NO MORE THAN 17.5 PER 100,000 AGE-ADJUSTED POPULATION Number of unintentional injury deaths per 100,000 American Indian population (age-adjusted to the year 2000 standard) 140.0 113.1 112.7 117.8 111.0 108.6 105.0 103.9 97.2 70.0 35.0 17.5 OBJE CT IVE 0.0 2000 2001 2002 2003 2004 2005 2006 2010 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2006. 18 Health Status Profile of American Indians in Arizona, 2006 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 Number of deaths caused by motor vehicle crashes per 100,000 American Indian population (age-adjusted to the year 2000 standard) 96.0 74.2 63.2 64.0 65.9 62.6 59.0 56.9 54.1 32.0 16.0 OBJE CT IVE 0.0 2000 2001 2002 2003 2004 2005 2006 2010 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2006. Health Status Profile of American Indians in Arizona, 2006 Data Book 19 2.6 Intentional Self-Harm (Suicide) NATIONAL YEAR 2010 OBJECTIVE (HP18-1): REDUCE THE SUICIDE RATE TO NO MORE THAN 10 PER 100,000 AGE-ADJUSTED POPULATION Number of suicides per 100,000 American Indian population (age-adjusted to theyear 2000 standard) 25.0 20.0 17.9 16.2 15.4 17.0 17.5 15.2 15.0 13.7 10.0 10.0 OBJE CT IVE 5.0 0.0 2000 2001 2002 2003 2004 2005 2006 2010 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2006. 20 Health Status Profile of American Indians in Arizona, 2006 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 Number of homicides per 100,000 American Indian population (age-adjusted to the year 2000 standard) 25.0 20.3 20.0 18.8 17.2 15.0 14.9 14.7 14.0 13.2 10.0 5.0 5.0 OBJE CT IVE 0.0 2000 2001 2002 2003 2004 2005 2006 2010 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2006. Health Status Profile of American Indians in Arizona, 2006 Data Book 21 2.8 Diabetes-related Deaths NATIONAL YEAR 2010 OBJECTIVE (HP5-5): REDUCE THE DIABETES-RELATED DEATH RATE TO NO MORE THAN 45 PER 100,000 AGE-ADJUSTED POPULATION 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) 180.0 155.7 129.3 138.9 134.4 118.7 120.0 125.4 100.2 60.0 45.0 45.0 OBJE CT IVE 0.0 2000 2001 2002 2003 2004 2005 2006 2010 Note: The age-adjusted rate for diabetes as the underlying cause of death among American Indians was 43.9/100,000 in 2006. The rate of 100.2/100,000 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, 2006 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 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) 75.0 61.7 51.0 51.2 50.0 43.6 39.7 40.5 38.8 25.0 3.0 OBJE CT IVE 0.0 2000 2001 2002 2003 2004 2005 2006 2010 *Chronic liver disease and cirrhosis (ICD-10 codes K70, K73-K74). Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2006. Health Status Profile of American Indians in Arizona, 2006 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 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) 14.0 12.0 10.1 10.0 8.0 6.0 5.8 5.4 4.7 4.2 4.0 3.4 2.0 2.0 2.0 OBJE CT IVE 0.0 2000 2001 2002 2003 2004 2005 2006 2010 *Note: These rates based on fewer than 10 deaths/year are not statistically reliable. Source: Table 2B-4 in Arizona Health Status and Vital Statistics 2006. 24 Health Status Profile of American Indians in Arizona, 2006 Data Book III. TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS IN ARIZONA Health Status Profile of American Indians in Arizona, 2006 Data Book 25 3.1 Median Age at Death from All Causes, 1996-2006 Median age at deat h: 100.0 75.0 75.0 54.0 55.0 1996 1997 75.0 76.0 76.0 76.0 76.0 76.0 57.0 58.0 57.5 56.0 57.0 56.0 1998 1999 2000 2001 2002 2003 76.0 77.0 58.0 59.0 2004 2005 76.0 57.0 50.0 0.0 2006 A merican Indians A ll A rizonans Source: Table 2D-1 in Arizona Health Status and Vital Statistics 2006. Health Status Profile of American Indians in Arizona, 2006 Data Book 27 3.2 Births to Unmarried Mothers, 1996-2006 Per 100 birt hs: 100.0 80.0 60.0 68.4 67.8 67.5 69.2 68.2 70.1 68.5 73.1 72.4 69.7 72.9 40.0 38.2 38.8 37.7 38.4 38.8 39.3 39.4 40.2 41.2 41.9 42.8 20.0 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 A ll A rizonans A merican Indians Source: Table 1B-2 and Table 1B-13 in Arizona Health Status and Vital Statistics 2006. 28 Health Status Profile of American Indians in Arizona, 2006 Data Book 3.3 The Incidence of Gonorrhea, 1996-2006 200.0 The number of reported cases of gonorrhea per 100,000 population 160.0 120.0 80.0 40.0 0.0 A ll A rizonans A merican Indians 1996 83.0 1997 82.6 1998 88.3 1999 86.8 2000 80.0 2001 73.9 2002 68.9 2003 63.5 2004 70.1 2005 81.9 2006 95.3 65.9 55.8 91.8 81.5 105.1 115.5 107.7 103.1 142.7 142.6 125.7 Source: Table 3B-5 in Arizona Health Status and Vital Statistics 2006. The rates were provided by the STD Program in the Bureau of Epidemiology and Disease Control, ADHS. Beginning in 2005, the rates are based on all positive laboratory results with or without communicable disease report. Health Status Profile of American Indians in Arizona, 2006 Data Book 29 3.4 The Incidence of Low-Birthweight Births, 1996-2006 Per 100 birt hs: 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 A m e ric a n I ndia ns A ll A rizo na ns 1996 6 .6 1997 6 .6 1998 6 .6 1999 7 .4 2000 6 .7 2001 7 .3 2002 6 .5 2003 6 .8 2004 7 .2 2005 7 .3 2006 7 .4 6 .8 6 .9 6 .8 6 .9 7 .0 7 .0 6 .8 7 .1 7 .2 6 .9 7 .1 Source: Table 1B-2 and Table 1B-12 in Arizona Health Status and Vital Statistics 2006. 30 Health Status Profile of American Indians in Arizona, 2006 Data Book 3.5 The Incidence of Fetal Alcohol Syndrome, 1996-2006 P er 1,000 live birt hs 2.00 1.50 1.00 0.50 0.00 A m e ric a n I ndia ns A ll A rizo na ns 1996 1 .3 0 1997 1 .7 0 1998 0 .6 0 1999 0 .6 0 2000 0 .3 6 2001 0 .1 9 2002 0 .3 6 2003 0 .0 0 2004 0 .4 9 2005 0 .1 6 2006 0 .6 0 0 .2 0 0 .2 0 0 .1 0 0 .1 0 0 .0 5 0 .0 5 0 .0 3 0 .0 0 0 .0 4 0 .0 2 0 .0 4 Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2006. Note: the incidence rates of Fetal Alcohol Syndrome are based on fewer than 10 cases/year and are not statistically reliable. Health Status Profile of American Indians in Arizona, 2006 Data Book 31 3.6 Births to Teenage Mothers,* 1996-2006 P er 100 live birt hs 25.0 20.3 18.6 18.4 18.6 18.4 19.8 19.4 19.0 18.7 19.0 18.7 19.4 18.7 19.1 12.5 15.0 14.7 20.3 15.0 19.8 14.9 19.4 19.4 18.7 19.1 14.3 13.8 13.1 12.9 12.7 12.5 2000 2001 2002 2003 2004 2005 0.0 1996 1997 1998 1999 A ll A rizonans A merican Indians * 19 or younger. Source: Table 1B-2 and Table 1B-14 in Arizona Health Status and Vital Statistics 2006. 32 Health Status Profile of American Indians in Arizona, 2006 Data Book 3.7 The Incidence of Birth Defects (Congenital Anomalies), 1996-2006 P er 100 birt hs 4.0 2.9 3.0 2.6 2.5 2.6 2.2 1.9 2.0 1.8 1.9 1.8 1.6 1.5 1.3 1.3 1.3 1.3 1.5 1.3 1.2 1.0 1.0 1.0 2003 2004 2005 1.0 0.9 0.0 1996 1997 1998 1999 2000 2001 2002 2006 A ll A rizonans A merican Indians Source: Table 1B-35 in Arizona Health Status and Vital Statistics 2006. Health Status Profile of American Indians in Arizona, 2006 Data Book 33 3.8 The Incidence of Pregnancy Associated Hypertension, 1996-2006 P er 1,000 birt hs 65.3 75.0 56.0 53.3 55.7 56.1 57.1 57.1 58.2 58.8 54.4 46.0 50.0 25.0 25.1 26.0 27.7 28.5 30.4 26.3 25.2 28.8 28.0 30.9 28.8 0.0 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 A ll A rizona mot hers A merican Indian mot hers Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2006. 34 Health Status Profile of American Indians in Arizona, 2006 Data Book 3.9 The Incidence of Anemia during Pregnancy, 1996-2006 P er 1,000 birt hs 70.0 60.0 50.0 66.2 40.0 59.7 50.6 44.7 30.0 44.0 43.2 54.8 51.0 48.4 56.1 54.6 20.0 10.0 14.4 14.4 18.6 20.7 16.8 16.0 18.1 20.2 21.7 20.4 19.5 0.0 1996 1997 1998 1999 2000 2001 A ll A rizona mot hers 2002 2003 2004 2005 2006 A merican Indian mot hers Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2006. Health Status Profile of American Indians in Arizona, 2006 Data Book 35 3.10 The Incidence of Diabetes during Pregnancy, 1996-2006 P er 1,000 birt hs 1 0 0 .0 8 0 .0 6 0 .0 75.3 70.2 67.6 66.3 4 0 .0 2 0 .0 23.8 25.2 23.5 82.5 75.7 21.8 63.7 22.8 65.5 61.8 22.2 23.4 72.0 60.0 21.4 29.7 24.5 31.6 0 .0 1996 1997 1998 1999 2000 2001 A ll A rizona mot hers 2002 2003 2004 2005 2006 A merican Indian mot hers Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2006. 36 Health Status Profile of American Indians in Arizona, 2006 Data Book IV. CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND MOTHERS GIVING BIRTH BY PLACE OF RESIDENCE IN ARIZONA IN 2006 Health Status Profile of American Indians in Arizona, 2006 Data Book 37 SOCIODEMOGRAPHIC CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2006 Data Book 39 4.1 MATERNAL AGE (2006 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 45+ 40-44 35-39 30-34 25-29 20-24 18-19 6,364 19 430 767 2,075 1,569 922 456 124 2 7 0 0 1 2 3 1 0 0 0 Colorado River Indian Tribes 48 0 4 3 19 13 4 4 1 0 Fort McDowell Yavapai Nation 25 0 3 2 15 4 0 1 0 0 Fort Mojave Indian Tribe 10 0 0 3 2 3 2 0 0 0 Cocopah Tribe Fort Yuma Quechan Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community 15 0 1 4 6 2 2 0 0 0 244 1 18 33 87 48 31 22 4 0 8 0 0 0 2 3 2 1 0 0 143 0 13 19 42 29 27 11 2 0 31 0 4 2 14 9 1 1 0 0 1 0 0 0 0 1 0 0 0 0 2,263 5 119 258 691 538 367 220 64 1 205 0 26 31 79 39 21 7 2 0 89 1 14 12 26 26 3 3 4 0 San Carlos Apache Tribe 214 3 25 35 67 47 21 11 5 0 Tohono O'Odham Tribe 392 3 38 42 133 88 61 19 8 0 White Mountain Apache 355 0 44 47 130 75 37 18 4 0 Yavapai-Apache Nation 11 0 2 2 5 1 1 0 0 0 Yavapai-Prescott Indian Tribe Resided off reservation <15 TOTAL BIRTHS 15-17 Mother's age group 2 0 0 0 0 1 1 0 0 0 TOTAL 4,063 13 311 494 1,320 930 582 318 94 1 ---in Maricopa County 1,736 5 88 200 551 501 265 106 19 1 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2006 Data Book 140 0 5 22 45 35 21 9 3 0 40 0 3 6 11 7 8 5 0 0 385 1 23 45 148 96 46 18 8 0 2,301 6 119 273 755 639 340 138 30 1 41 4.2 EDUCATIONAL ATTAINMENT OF MOTHER (2006 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 8 9-11 12 13-16 Unknown 17+ 51 169 1,793 2,366 1,745 167 73 7 0 0 2 4 1 0 0 Colorado River Indian Tribes 48 0 1 11 22 9 0 5 Fort McDowell Yavapai Nation 25 0 0 8 12 4 0 1 Fort Mojave Indian Tribe 10 0 1 4 5 0 0 0 Fort Yuma Quechan Tribe 15 0 1 4 5 4 1 0 244 2 21 104 87 27 2 1 Cocopah Tribe Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community 8 0 0 4 3 0 0 1 143 0 0 36 58 45 3 1 31 0 3 8 17 3 0 0 1 0 0 0 1 0 0 0 2,263 12 29 528 908 694 76 16 205 2 10 91 77 21 0 4 89 1 3 49 23 8 2 3 San Carlos Apache Tribe 214 4 10 79 82 36 1 2 Tohono O'Odham Tribe 392 9 24 141 129 80 5 4 White Mountain Apache 355 0 8 147 132 62 5 1 Yavapai-Apache Nation 11 0 0 7 2 2 0 0 Yavapai-Prescott Indian Tribe 2 0 0 0 2 0 0 0 TOTAL 4,063 30 111 1,223 1,569 996 95 39 ---in Maricopa County 1,736 14 49 395 577 616 58 27 140 0 2 29 53 48 7 1 40 0 0 13 19 6 1 1 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 42 <8 6,364 Gila River Indian Community Resided off reservation Mother's education 385 7 7 133 148 79 6 5 2,301 21 58 570 797 749 72 34 Health Status Profile of American Indians in Arizona, 2006 Data Book 4.3 MARITAL STATUS OF MOTHER (2006 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Married Unmarried Other 6,364 1,542 4,760 62 7 1 6 0 Colorado River Indian Tribes 48 8 40 0 Fort McDowell Yavapai Nation 25 4 21 0 Fort Mojave Indian Tribe 10 0 10 0 Cocopah Tribe Fort Yuma Quechan Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe 15 3 12 0 244 41 202 1 8 2 6 0 143 13 130 0 31 4 27 0 1 1 0 0 2,263 559 1,688 16 205 46 157 2 89 9 79 1 San Carlos Apache Tribe 214 43 170 1 Tohono O'Odham Tribe 392 58 329 5 White Mountain Apache 355 83 267 5 Yavapai-Apache Nation 11 1 10 0 2 0 2 0 TOTAL 4,063 876 3,156 31 ---in Maricopa County 1,736 498 1,214 24 Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Yavapai-Prescott Indian Tribe Resided off reservation Marital status ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2006 Data Book 140 47 91 2 40 12 27 1 385 109 272 4 2,301 666 1,604 31 43 4.4 RACE/ETHNICITY OF FATHER (2006 STATUS) Father's race/ethnicity TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation American Indian or Alaska Native Asian or Pacific Islander Unknown 332 651 100 3,484 27 1,770 7 1 0 1 2 0 3 Colorado River Indian Tribes 48 10 3 0 21 0 14 Fort McDowell Yavapai Nation 25 2 3 0 12 0 8 Fort Mojave Indian Tribe 10 0 0 1 5 0 4 Fort Yuma Quechan Tribe 15 2 3 1 6 0 3 244 9 19 0 133 0 83 8 0 0 0 3 0 5 143 3 6 3 114 0 17 Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community 31 0 1 1 10 0 19 1 1 0 0 0 0 0 2,263 34 49 8 1,680 3 489 205 6 51 3 77 0 68 89 1 14 1 38 0 35 San Carlos Apache Tribe 214 1 3 3 137 0 70 Tohono O'Odham Tribe 392 14 48 2 139 1 188 White Mountain Apache 355 1 5 2 283 0 64 Yavapai-Apache Nation 11 0 2 0 4 0 5 2 1 1 0 0 0 0 Yavapai-Prescott Indian Tribe TOTAL 4,063 86 208 26 2,664 4 1,075 ---in Maricopa County 1,736 157 338 66 636 21 518 140 35 30 5 31 1 38 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 44 Black or African American Hispanic or Latino 6,364 Cocopah Tribe Gila River Indian Community Resided off reservation White nonHispanic 40 3 7 0 20 0 10 385 51 68 3 133 1 129 2,301 246 443 74 820 23 695 Health Status Profile of American Indians in Arizona, 2006 Data Book 4.5 AGE OF FATHER (2006 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Unknown 55+ 50-54 45-49 40-44 6 132 833 486 226 82 43 7 0 0 0 1 2 0 1 0 0 0 0 3 Colorado River Indian Tribes 48 0 2 1 8 10 4 5 1 2 0 0 15 Fort McDowell Yavapai Nation 25 0 1 1 10 5 0 0 0 0 0 0 8 Fort Mojave Indian Tribe 10 0 0 2 0 2 2 0 0 0 0 0 4 Gila River Indian Community Havasupai Tribe Hopi Tribe 358 1,328 1,213 35-39 30-34 25-29 20-24 18-19 6,364 Cocopah Tribe Fort Yuma Quechan Tribe 8 1,649 15 0 1 0 4 4 1 2 0 0 0 0 3 244 0 7 14 50 42 19 13 9 5 2 0 83 8 0 0 0 0 0 2 1 0 0 0 0 5 143 0 8 12 31 27 28 17 3 0 2 0 15 31 0 0 2 5 1 5 0 0 1 0 0 17 1 0 0 0 0 0 0 1 0 0 0 0 0 2,263 2 39 125 461 462 312 223 116 43 24 3 453 205 0 8 18 40 37 24 8 2 1 0 0 67 89 0 3 13 17 13 3 1 1 2 2 0 34 San Carlos Apache Tribe 214 0 10 10 48 39 17 13 4 1 2 0 70 Tohono O'Odham Tribe 392 0 5 20 65 46 34 21 12 3 1 0 185 White Mountain Apache 355 0 15 35 92 82 36 18 11 3 1 0 62 Yavapai-Apache Nation 11 0 0 0 1 3 1 0 1 0 0 0 5 2 0 0 0 1 1 0 0 0 0 0 0 0 TOTAL 4,063 2 99 253 834 776 488 324 160 61 34 ---in Maricopa County 1,736 4 28 74 363 338 268 128 46 14 7 3 463 140 0 1 6 32 31 26 6 6 2 0 1 29 Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Yavapai-Prescott Indian Tribe Resided off reservation <15 TOTAL BIRTHS 15-17 Father's age group ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2006 Data Book 3 1,029 40 0 0 1 10 6 9 2 2 0 0 0 10 385 0 4 24 89 62 42 26 12 5 2 1 118 2,301 4 33 105 494 437 345 162 66 21 9 5 620 45 4.6 SOURCE OF PAYMENT FOR LABOR AND DELIVERY (2006 STATUS) Payee for births TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Private insurance IHS Self Unknown 6,364 3,528 1,717 905 60 154 7 4 2 1 0 0 Colorado River Indian Tribes 48 26 4 17 0 1 Fort McDowell Yavapai Nation 25 10 1 14 0 0 Fort Mojave Indian Tribe 10 4 2 3 1 0 Fort Yuma Quechan Tribe 15 11 0 4 0 0 244 153 11 75 5 0 Cocopah Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community 8 8 0 0 0 0 143 54 79 5 0 5 31 27 0 2 2 0 1 0 0 0 0 1 2,263 1,168 888 101 7 99 205 150 34 17 2 2 89 61 12 12 3 1 San Carlos Apache Tribe 214 42 165 6 0 1 Tohono O'Odham Tribe 392 243 91 51 7 0 White Mountain Apache 355 157 181 11 4 2 Yavapai-Apache Nation 11 10 0 0 1 0 Yavapai-Prescott Indian Tribe Resided off reservation AHCCCS 2 1 0 1 0 0 TOTAL 4,063 2,129 1,470 320 32 112 ---in Maricopa County 1,736 1,078 177 458 18 5 140 80 7 48 4 1 40 35 1 3 0 1 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 385 206 62 76 6 35 2,301 1,399 247 585 28 42 *The Arizona Health Care Cost Containment System (AHCCCS) is the State's Medicaid program. 46 Health Status Profile of American Indians in Arizona, 2006 Data Book MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2006 Data Book 47 4.7 MATERNAL WEIGHT GAIN DURING PREGNANCY (2006 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation None 16-20 pounds 21-24 pounds 25-30 pounds 31+ pounds Unknown 6,364 108 1,096 923 513 1,414 2,193 117 7 0 0 0 0 6 1 0 Colorado River Indian Tribes 48 0 12 7 1 7 17 4 Fort McDowell Yavapai Nation 25 1 2 2 3 1 15 1 Fort Mojave Indian Tribe 10 0 1 0 0 3 6 0 Fort Yuma Quechan Tribe 15 0 1 0 0 10 4 0 244 6 38 35 8 88 65 4 Cocopah Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community 8 0 3 0 0 2 3 0 143 1 37 32 11 24 31 7 31 0 5 5 1 7 13 0 1 0 0 0 1 0 0 0 2,263 28 458 314 222 468 700 73 205 6 26 33 15 58 67 0 89 2 11 25 5 18 28 0 San Carlos Apache Tribe 214 3 39 38 11 50 70 3 Tohono O'Odham Tribe 392 11 73 57 27 85 135 4 White Mountain Apache 355 4 92 46 30 55 126 2 Yavapai-Apache Nation 11 0 1 2 0 1 7 0 Yavapai-Prescott Indian Tribe Resided off reservation Weight gain 1-15 pounds 2 0 0 0 2 0 0 0 TOTAL 4,063 62 799 596 337 883 1,288 98 ---in Maricopa County 1,736 35 213 245 147 398 684 14 140 1 19 24 11 26 58 1 40 0 5 6 1 11 17 0 385 10 60 52 17 96 146 4 2,301 46 297 327 176 531 905 19 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2006 Data Book 49 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 0 89 374 Other Incompetent cervix Uterine bleeding RH sensitization Renal disease Previous SGA infant Previous infant 4000+g Eclampsia 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribes 48 12 2 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 8 Fort McDowell Yavapai Nation 25 9 1 0 0 4 0 2 0 0 1 0 0 0 0 0 0 0 6 Fort Mojave Indian Tribe 10 2 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 Fort Yuma Quechan Tribe 15 5 0 0 0 0 0 1 0 0 3 0 0 0 0 0 0 0 1 244 72 4 1 1 24 1 1 0 1 12 3 2 1 0 0 0 0 43 8 5 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 5 143 62 4 1 1 10 0 3 0 7 15 1 0 4 0 0 2 0 33 Navajo Nation 24 127 Pregnancy associated hypertension Chronic hypertension Hemoglobinopathy 3 0 Kaibab-Paiute Tribe 29 458 Hydramnios Genital herpes 27 0 Hualapai Nation 14 Diabetes 68 0 Hopi Tribe 6,364 2,717 421 Lung disease 63 0 Havasupai Tribe 0 1,759 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 166 503 9 48 0 18 37 29 10 2 8 0 205 96 9 0 0 18 0 7 0 3 11 5 0 0 0 0 0 0 66 89 53 17 0 1 7 2 3 0 2 8 1 0 0 0 0 1 0 31 San Carlos Apache Tribe 214 107 30 0 1 19 3 4 0 9 13 5 2 3 1 0 1 0 71 Tohono O'Odham Tribe 392 198 12 0 0 39 2 15 0 4 28 6 0 0 0 0 0 0 154 White Mountain Apache 355 158 12 1 8 21 1 3 0 2 35 2 10 22 16 0 10 0 116 Yavapai-Apache Nation 11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 25 309 19 87 0 66 294 41 51 59 27 2 22 Pascua Yaqui Tribe Salt River Pima-Maricopa Community Yavapai-Prescott Indian Tribe 2,263 953 134 8 1 0 TOTAL 4,063 1,734 226 11 ---in Maricopa County 1,736 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 50 Cardiac disease 57 7 Cocopah Tribe Gila River Indian Community Resided off reservation Medical risk factors Anemia TOTAL BIRTHS Births with medical risk factors 4.8 MEDICAL RISK FACTORS OF PREGNANCY (2006 STATUS) 140 768 172 71 12 165 0 1,038 2 2 116 5 30 0 13 63 10 11 7 0 1 8 0 559 7 0 0 12 0 4 0 1 6 2 0 0 0 0 0 0 60 26 40 28 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 0 385 116 16 1 2 21 0 6 0 9 9 3 1 2 0 0 1 0 76 983 195 3 4 149 5 40 0 23 80 16 12 9 0 1 9 0 721 2,301 Health Status Profile of American Indians in Arizona, 2006 Data Book 4.9 SUBSTANCE USE DURING PREGNANCY (2006 STATUS) Substance use TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Smoker, nondrinker Smoker and drinker Nonsmoker and nondrinker 6,364 57 165 61 6,081 7 0 1 0 6 Colorado River Indian Tribes 48 0 1 0 47 Fort McDowell Yavapai Nation 25 0 0 1 24 Fort Mojave Indian Tribe 10 0 4 0 6 Fort Yuma Quechan Tribe 15 0 1 0 14 244 2 5 5 232 Cocopah Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community 8 1 0 1 6 143 4 2 2 135 31 0 1 0 30 1 0 0 0 1 2,263 17 29 13 2,204 205 2 6 0 197 89 1 2 2 84 San Carlos Apache Tribe 214 4 5 5 200 Tohono O'Odham Tribe 392 5 8 4 375 White Mountain Apache 355 11 6 7 331 Yavapai-Apache Nation 11 0 0 0 11 Yavapai-Prescott Indian Tribe Resided off reservation Drinker, nonsmoker 2 0 0 0 2 TOTAL 4,063 47 71 40 3,905 ---in Maricopa County 1,736 8 56 13 1,659 140 1 10 2 127 40 0 3 1 36 385 1 25 5 354 2,301 10 94 21 2,176 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2006 Data Book 51 Utilization of Medical Services Health Status Profile of American Indians in Arizona, 2006 Data Book 53 4.10 TRIMESTER OF PREGNANCY PRENATAL CARE BEGAN (2006 STATUS) Prenatal care TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Cocopah Tribe No care 2nd trimester 3rd trimester Unknown 6,364 223 4,196 1,489 445 11 7 0 2 4 1 0 Colorado River Indian Tribes 48 2 34 9 3 0 Fort McDowell Yavapai Nation 25 2 13 10 0 0 Fort Mojave Indian Tribe 10 1 4 3 2 0 Fort Yuma Quechan Tribe 15 0 5 8 2 0 244 11 189 28 16 0 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community 8 1 4 1 2 0 143 5 98 33 7 0 31 1 22 7 1 0 1 0 1 0 0 0 2,263 49 1,425 624 159 6 205 7 136 48 13 1 89 7 51 22 9 0 San Carlos Apache Tribe 214 14 121 61 18 0 Tohono O'Odham Tribe 392 19 263 79 30 1 White Mountain Apache 355 14 182 113 46 0 Yavapai-Apache Nation 11 0 5 4 2 0 Yavapai-Prescott Indian Tribe Resided off reservation 1st trimester 2 0 2 0 0 0 TOTAL 4,063 133 2,557 1,054 311 8 ---in Maricopa County 1,736 59 1,265 320 91 1 140 3 102 28 7 0 40 0 25 12 2 1 385 28 247 75 34 1 2,301 90 1,639 435 134 3 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2006 Data Book 55 4.11 NUMBER OF PRENATAL VISITS (2006 STATUS) Prenatal visits TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 5-8 visits 9-12 visits 13+ visits Unknown 223 619 1,658 2,685 1,165 14 7 0 1 3 3 0 0 Colorado River Indian Tribes 48 2 6 19 13 8 0 Fort McDowell Yavapai Nation 25 2 0 7 9 7 0 Fort Mojave Indian Tribe 10 1 2 2 3 2 0 Fort Yuma Quechan Tribe 15 0 1 6 6 2 0 244 11 13 36 113 71 0 Cocopah Tribe Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community 8 1 1 2 3 1 0 143 5 9 43 65 21 0 31 1 2 5 18 5 0 1 0 0 0 1 0 0 2,263 49 243 613 913 441 4 205 7 12 44 88 53 1 89 7 9 33 26 14 0 San Carlos Apache Tribe 214 14 40 69 71 20 0 Tohono O'Odham Tribe 392 19 41 99 149 82 2 White Mountain Apache 355 14 61 159 105 16 0 Yavapai-Apache Nation 11 0 2 5 3 1 0 Yavapai-Prescott Indian Tribe 2 0 0 0 2 0 0 TOTAL 4,063 133 443 1,145 1,591 744 7 ---in Maricopa County 1,736 59 131 380 854 309 3 140 3 9 29 64 35 0 40 0 2 8 20 9 1 385 28 34 96 156 68 3 2,301 90 176 513 1,094 421 7 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 56 1-4 visits 6,364 Gila River Indian Community Resided off reservation No visits Health Status Profile of American Indians in Arizona, 2006 Data Book 4.12 OBSTETRIC PROCEDURES (2006 STATUS) Resided on reservation Other Ultrasound Tocolysis Stimulation of labor 6,164 43 5,899 961 1,158 43 3,469 564 7 0 7 0 0 0 7 0 Colorado River Indian Tribes 46 0 45 1 5 0 22 1 Fort McDowell Yavapai Nation 25 0 24 6 9 0 16 2 8 0 6 4 1 0 7 0 15 0 15 1 0 0 15 0 241 2 240 22 16 1 212 5 8 0 8 2 5 0 0 0 135 0 130 18 27 0 51 4 31 0 31 2 5 0 0 0 Cocopah Tribe Fort Mojave Indian Tribe Fort Yuma Quechan Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe 1 0 1 0 1 0 1 0 2,171 16 2,113 401 419 17 1,084 84 203 0 203 6 17 0 157 12 87 1 86 17 31 1 39 11 San Carlos Apache Tribe 201 1 152 42 35 0 91 41 Tohono O'Odham Tribe 388 1 382 23 38 0 315 21 White Mountain Apache 328 2 267 53 56 15 299 117 Yavapai-Apache Nation 11 0 11 1 0 0 11 0 2 0 2 0 1 0 2 0 TOTAL 3,908 23 3,723 599 666 34 2,329 298 ---in Maricopa County 1,709 17 1,662 293 433 7 733 229 140 1 136 15 20 0 126 8 40 0 39 11 12 0 5 0 Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Yavapai-Prescott Indian Tribe Resided off reservation Induction of labor Amniocentesis TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Electronic Fetal Monitor Obstetric procedures ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2006 Data Book 367 2 339 43 27 2 276 29 2,256 20 2,176 362 492 9 1,140 266 57 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Other Fetal distress Anesthetic complic. Cord prolapse 45 9 1 220 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Colorado River Indian Tribes 48 4 0 1 0 0 0 0 0 0 0 0 2 0 0 0 0 1 Fort McDowell Yavapai Nation 25 9 1 2 0 0 0 0 0 0 0 0 1 0 0 0 0 7 Fort Mojave Indian Tribe 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Fort Yuma Quechan Tribe 15 7 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 6 244 50 5 8 1 1 0 1 0 4 0 1 9 0 0 0 4 24 8 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 143 31 1 12 2 0 0 2 1 0 5 5 2 2 0 0 3 11 Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community 75 100 157 201 Cephalopelvic disp. Breech malpresentation Dysfunctional labor Prolonged labor Precipitous labor Seizures Other bleeding Placenta previa 3 4 Hopi Tribe 1,954 107 284 234 Abruptio placenta 80 0 Havasupai Tribe 1,015 31 0 0 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 1 0 0 0 0 0 0 2,263 693 47 99 104 9 2 37 0 38 49 77 71 17 6 0 102 237 205 51 1 12 1 3 2 0 0 2 1 3 1 1 0 7 6 29 89 41 3 10 4 0 0 1 0 1 2 4 3 0 0 0 3 17 San Carlos Apache Tribe 214 74 0 7 4 0 0 5 0 7 3 2 4 2 0 0 11 49 Tohono O'Odham Tribe 392 113 1 28 12 4 0 3 1 3 3 3 4 1 1 0 13 62 White Mountain Apache 355 134 7 15 25 3 1 4 0 3 5 28 18 5 0 0 23 98 Yavapai-Apache Nation 11 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 66 198 159 18 6 55 2 56 69 122 118 28 8 0 166 550 Yavapai-Prescott Indian Tribe 2 1 TOTAL 4,063 1,220 ---in Maricopa County 1,736 591 34 71 63 8 3 23 1 16 27 33 65 12 0 1 40 367 140 49 3 6 5 2 0 0 0 0 2 0 0 0 0 0 3 38 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 58 Rupture of membrane 9 4 Gila River Indian Community Resided off reservation Meconium 32 7 Cocopah Tribe 6,364 Complications of labor and/or delivery Febrile TOTAL BIRTHS Births with complications of labor and or delivery 4.13 COMPLICATIONS OF LABOR AND DELIVERY (2006 STATUS) 40 10 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 7 385 84 4 9 7 4 0 2 0 3 2 2 14 5 1 0 11 53 2,301 734 41 86 75 14 3 25 1 19 31 35 83 17 1 1 54 465 Health Status Profile of American Indians in Arizona, 2006 Data Book 4.14 METHOD OF DELIVERY (2006 STATUS) Method of delivery TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Cocopah Tribe 6,364 Forceps Vacuum 4,847 94 794 629 33 106 7 5 0 1 1 0 0 Colorado River Indian Tribes 48 38 0 8 2 0 0 Fort McDowell Yavapai Nation 25 18 0 6 1 2 1 Fort Mojave Indian Tribe 10 7 0 1 2 0 0 Fort Yuma Quechan Tribe 15 5 0 7 3 0 0 244 175 3 33 33 0 1 8 6 0 1 1 0 0 143 115 2 14 12 0 3 31 23 0 4 4 0 2 1 0 0 1 0 0 0 2,263 1,792 55 240 176 13 20 205 158 4 19 24 1 0 89 67 0 11 11 1 5 San Carlos Apache Tribe 214 154 3 29 28 1 20 Tohono O'Odham Tribe 392 324 5 29 34 1 3 White Mountain Apache 355 270 3 42 40 7 13 Yavapai-Apache Nation 11 4 0 4 3 0 0 2 2 0 0 0 0 0 TOTAL 4,063 3,163 75 450 375 26 68 ---in Maricopa County 1,736 1,274 17 259 186 5 28 140 109 0 15 16 1 5 40 31 0 5 4 0 1 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Yavapai-Prescott Indian Tribe Resided off reservation Vaginal after C-Primary C- Repeat CSection Section Section Vaginal ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2006 Data Book 385 270 2 65 48 1 4 2,301 1,684 19 344 254 7 38 59 4.15 ATTENDANT AT BIRTH (2006 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Midwife D.O. Unknown Other 3,959 1,819 1 13 563 7 2 7 5 2 0 0 0 0 0 Colorado River Indian Tribes 48 23 0 0 0 25 0 0 Fort McDowell Yavapai Nation 25 20 5 0 0 0 0 0 Fort Mojave Indian Tribe 10 10 0 0 0 0 0 0 Fort Yuma Quechan Tribe 15 11 4 0 0 0 0 0 244 179 7 0 2 56 0 0 8 7 0 0 0 1 0 0 143 79 55 0 0 9 0 0 31 16 0 0 0 15 0 0 1 1 0 0 0 0 0 0 2,263 1,007 1,134 0 1 116 4 1 205 146 57 0 0 2 0 0 89 58 31 0 0 0 0 0 San Carlos Apache Tribe 214 211 2 0 0 1 0 0 Tohono O'Odham Tribe 392 335 50 0 0 6 1 0 White Mountain Apache 355 179 4 1 0 171 0 0 Yavapai-Apache Nation 11 11 0 0 0 0 0 0 2 2 0 0 0 0 0 0 TOTAL 4,063 2,300 1,351 1 3 402 5 1 ---in Maricopa County 1,736 1,182 430 0 8 116 0 0 140 125 13 0 0 1 1 0 40 38 2 0 0 0 0 0 385 314 23 0 2 44 1 1 2,301 1,659 468 0 10 161 2 1 Cocopah Tribe Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Yavapai-Prescott Indian Tribe ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 60 Hospital Admin. C.N.M 6,364 Gila River Indian Community Resided off reservation M.D. Health Status Profile of American Indians in Arizona, 2006 Data Book Newborn’s Health Health Status Profile of American Indians in Arizona, 2006 Data Book 61 4.16 GESTATIONAL AGE (2006 STATUS) Length of gestation TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 37-41 weeks 42+ weeks Unknown 6,364 745 5,541 72 6 7 0 7 0 0 Colorado River Indian Tribes 48 8 39 0 1 Fort McDowell Yavapai Nation 25 1 24 0 0 Fort Mojave Indian Tribe 10 1 9 0 0 Fort Yuma Quechan Tribe 15 2 13 0 0 244 42 200 2 0 8 1 7 0 0 143 10 129 4 0 31 1 29 1 0 1 0 1 0 0 2,263 209 2,011 40 3 205 38 166 1 0 89 6 82 1 0 San Carlos Apache Tribe 214 36 177 1 0 Tohono O'Odham Tribe 392 49 341 1 1 White Mountain Apache 355 43 309 3 0 Yavapai-Apache Nation 11 0 10 1 0 2 0 2 0 0 TOTAL 4,063 447 3,556 55 5 ---in Maricopa County 1,736 222 1,499 14 1 140 12 128 0 0 40 9 31 0 0 385 55 327 3 0 2,301 298 1,985 17 1 Cocopah Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Yavapai-Prescott Indian Tribe Resided off reservation <37 weeks ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2006 Data Book 63 4.17 WEIGHT AT BIRTH (2006 STATUS) Weight at birth TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 1,5002,499 2,5003,999 Unknown 4000+ 26 47 400 5,335 554 2 7 0 0 0 5 2 0 Colorado River Indian Tribes 48 0 0 3 40 5 0 Fort McDowell Yavapai Nation 25 0 0 0 20 5 0 Fort Mojave Indian Tribe 10 0 0 0 10 0 0 Fort Yuma Quechan Tribe 15 0 0 0 11 4 0 244 0 1 21 201 21 0 8 0 1 0 5 2 0 143 0 1 12 120 10 0 31 0 0 0 28 3 0 1 0 0 0 1 0 0 2,263 6 19 116 1,975 146 1 205 4 2 18 167 14 0 89 0 0 4 76 9 0 San Carlos Apache Tribe 214 2 1 16 175 20 0 Tohono O'Odham Tribe 392 2 3 26 317 44 0 White Mountain Apache 355 0 3 27 298 27 0 Yavapai-Apache Nation 11 0 0 0 11 0 0 2 0 0 0 2 0 0 TOTAL 4,063 14 31 243 3,462 312 1 ---in Maricopa County 1,736 9 11 121 1,411 184 0 140 0 0 6 118 16 0 40 0 0 7 28 4 1 385 3 5 23 316 38 0 2,301 12 16 157 1,873 242 1 Cocopah Tribe Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Yavapai-Prescott Indian Tribe ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 64 1,0001,499 6,364 Gila River Indian Community Resided off reservation <1,000 grams Health Status Profile of American Indians in Arizona, 2006 Data Book ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Other Newborn seizures Assisted vent. >30 min. Assissted vent.<30 min Meconium aspiration Membrane disease Fetal Alcohol Syndrome 6,364 381 4 20 4 16 15 50 47 10 291 7 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribes 48 8 0 0 0 0 0 5 0 0 5 Fort McDowell Yavapai Nation 25 1 0 0 0 0 0 0 0 0 1 Fort Mojave Indian Tribe 10 0 0 0 0 0 0 0 0 0 0 Fort Yuma Quechan Tribe 15 0 0 0 0 0 0 0 0 0 0 244 11 0 0 0 0 0 1 0 2 8 0 Cocopah Tribe Gila River Indian Community Havasupai Tribe 8 0 0 0 0 0 0 0 0 0 143 4 1 0 0 0 0 0 0 1 2 31 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 2,263 111 1 5 2 5 10 25 23 2 61 205 8 0 0 0 0 0 1 0 1 7 89 2 0 0 0 0 0 0 0 0 2 San Carlos Apache Tribe 214 33 1 0 1 0 0 0 2 0 31 Tohono O'Odham Tribe 392 15 0 0 0 1 2 2 0 0 13 White Mountain Apache 355 51 1 14 1 1 0 2 10 0 44 Yavapai-Apache Nation 11 1 0 0 0 0 0 0 0 0 1 Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Yavapai-Prescott Indian Tribe Resided off reservation Birth injury TOTAL BIRTHS Abnormal conditions Anemia Births with abnornal conditions of the newborn 4.18 ABNORMAL CONDITIONS OF THE NEWBORN (2006 STATUS) 2 0 0 0 0 0 0 0 0 0 0 TOTAL 4,063 245 4 19 4 7 12 36 35 6 175 ---in Maricopa County 1,736 63 0 0 0 8 3 4 5 0 53 140 16 0 0 0 0 0 5 0 2 14 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2006 Data Book 40 1 0 0 0 0 0 0 0 0 1 385 56 0 1 0 1 0 5 7 2 48 2,301 136 0 1 0 9 3 14 12 4 116 65 4.19 CONGENITAL ANOMALIES (BIRTH DEFECTS) (2006 STATUS) Resided on Cocopah Tribe reservation Colorado River Indian Tribes Other muscosceletal Diaphragmatic hernia Other gastrointestinal 11 0 0 3 0 3 0 4 7 2 2 0 4 1 6 45 Other Down's syndrome Polydactyly/ syndactyly/ Cleft lip/palate Renal agenesis Microcephalus Spina bifida/ meningocele Other chromosomal 2 Club foot 0 Other urogenital 0 Malformed genitalia Omphalocele/ gastroschisis Rectal atresia/ stenosis 1 Other respiratory/ circulatory 0 Other CNS anomaly 0 Hydrocephalus 79 Anencephalus 6,364 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 48 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 25 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Fort Mojave Indian Tribe 10 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 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe 244 4 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 3 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 143 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,263 31 0 0 0 0 0 2 1 0 0 2 0 2 0 1 0 0 2 0 3 1 2 20 205 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 89 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 San Carlos Apache Tribe 214 9 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 Tohono O'Odham Tribe 392 3 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 White Mountain Apache 355 13 0 0 0 0 0 0 4 0 0 0 0 0 0 3 2 1 0 0 1 0 2 2 Yavapai-Apache Nation 11 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Navajo Nation Pascua Yaqui Tribe Salt River Pima-Maricopa Community Yavapai-Prescott Indian Tribe TOTAL 4,063 65 0 0 0 0 0 2 9 0 0 2 0 3 0 4 3 1 2 0 4 1 6 38 Resided off ---in Maricopa County reservation ---in Pima County 1,736 12 0 0 1 0 0 0 2 0 0 1 0 0 0 0 4 1 0 0 0 0 0 5 140 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 40 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 385 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2,301 14 0 0 1 0 0 0 2 0 0 1 0 0 0 0 4 1 0 0 0 0 0 7 ---elsewhere in Arizona TOTAL 66 Tracheo-esophageal fistula/esophageal ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Heart malformations TOTAL BIRTHS Births with congenital anomalies Congenital anomalies Health Status Profile of American Indians in Arizona, 2006 Data Book 4.20 CAUSES OF INFANT DEATHS AMONG AMERICAN INDIAN RESIDENTS, ARIZONA, 2006 Total ---elsewhere in Arizona ---in Coconino County ---in Pima County Total ---in Maricopa County Resided off reservation White Mountain Apache Tribe Tohono O'Odham Tribe San Carlos Apache Tribe Pascua Yaqui Tribe Navajo Nation TOTAL STATE Gila River Indian Community Resided on reservation Total, all causes 41 1 8 4 3 2 4 22 10 2 3 4 19 Certain conditions originating in the perinatal period 20 0 2 3 3 1 1 10 5 0 2 3 10 Maternal complications 2 0 0 0 1 0 0 1 1 0 0 0 1 Complications of placenta, cord and membrane 1 0 0 1 0 0 0 1 0 0 0 0 0 Short gestation and low birth weight 7 0 1 0 0 0 0 1 3 0 1 2 6 Bacterial sepsis of newborn 4 0 0 1 1 0 1 3 0 0 1 0 1 9 0 3 0 0 0 2 5 2 1 1 0 4 of heart 1 0 0 0 0 0 1 1 0 0 0 0 0 of brain, spinal cord or nervous system 2 0 0 0 0 0 0 0 1 1 0 0 2 of respiratory system 1 0 0 0 0 0 0 0 0 0 1 0 1 Sudden infant death syndrome 2 0 0 0 0 1 0 1 1 0 0 0 1 Accident (unintentional injury) 1 0 0 0 0 0 0 0 0 0 0 1 1 Diseases of the circulatory system 1 0 1 0 0 0 0 1 0 0 0 0 0 Diseases of the nervous system 1 0 0 0 0 0 0 0 1 0 0 0 1 Assault (homicide) 1 0 1 0 0 0 0 1 0 0 0 0 0 Septicemia 1 0 1 0 0 0 0 1 0 0 0 0 0 Other ill-defined and unspecified causes of mortality 4 1 0 1 0 0 0 2 1 1 0 0 2 Congenital malformations Health Status Profile of American Indians in Arizona, 2006 Data Book 67 Total births Mother's age group <15 Unknown LA PAZ YUMA YAVAPAI SANTA CRUZ PINAL PIMA NAVAJO MOHAVE MARICOPA GREENLEE GRAHAM GILA COCONINO COCHISE 65 1 1,990 76 1,071 600 421 1 41 41 48 2 2 1 0 6 0 2 3 2 0 0 0 0 0 1 50 0 51 24 3 0 117 7 82 57 30 0 3 1 4 0 101 33 9 0 231 9 124 79 55 1 6 5 3 0 20-24 2,075 287 4 255 65 22 0 640 26 359 210 159 0 13 16 19 0 25-29 1,569 216 4 219 37 19 1 566 25 231 127 88 0 10 13 13 0 30-34 922 153 2 141 20 7 0 286 6 155 86 48 0 7 6 4 1 35-39 456 100 1 68 10 3 0 115 3 89 30 32 0 1 0 4 0 40-44 124 32 0 13 4 1 0 28 0 29 8 7 0 1 0 1 0 2 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 AHCCCS 3,528 420 5 435 52 6 1 1,235 52 591 389 259 1 30 26 26 0 IHS 1,717 409 1 347 136 50 0 224 4 399 98 41 0 2 2 4 0 905 14 5 63 7 6 0 501 15 46 100 111 0 8 12 17 0 60 5 0 0 0 0 0 23 3 6 11 10 0 1 1 0 0 154 102 0 6 0 3 0 7 2 29 2 0 0 0 0 1 2 51 6 0 5 3 1 0 19 0 3 7 7 0 0 0 0 0 169 8 0 8 9 1 0 65 4 21 24 27 0 0 1 1 0 9-11 1,793 219 2 201 74 18 0 509 24 326 206 178 0 14 10 11 1 12 2,366 355 5 349 71 37 1 650 37 441 221 141 1 15 20 22 0 13-16 1,745 313 4 253 33 8 0 651 8 257 126 63 0 11 8 9 1 167 41 0 28 2 0 0 60 1 17 12 4 0 0 2 0 0 73 8 0 7 3 0 0 36 2 6 4 1 0 1 0 5 0 Married 1,542 207 6 233 40 17 0 542 17 246 120 77 0 14 15 8 0 Unmarried 4,760 738 5 612 154 48 1 1,420 58 813 474 343 1 26 25 40 2 62 5 0 6 1 0 0 28 1 12 6 1 0 1 1 0 0 <8 17+ Unknown Other* None 108 11 1 8 3 1 0 43 0 16 13 12 0 0 0 0 0 1,096 212 0 146 38 9 0 248 7 251 96 72 0 3 1 12 1 16-20 pounds 923 134 1 108 39 8 1 296 9 168 91 56 1 4 0 7 0 21-24 pounds 513 121 0 64 9 4 0 173 4 83 35 15 0 2 2 1 0 25-30 pounds 1,414 169 3 188 40 17 0 451 16 215 137 139 0 7 25 7 0 31+ pounds 2,193 265 6 323 62 26 0 761 40 306 226 123 0 24 13 17 1 117 38 0 14 4 0 0 18 0 32 2 4 0 1 0 4 0 0 1-15 pounds Unknown Drinker, nonsmoker 57 8 0 8 4 0 0 10 0 18 7 2 0 0 0 0 Smoker, nondrinker 165 10 2 11 6 0 0 63 13 21 19 15 0 2 2 1 0 Smoker and drinker 61 7 0 6 5 1 0 18 0 11 4 8 0 1 0 0 0 6,081 925 9 826 180 64 1 1,899 63 1,021 570 396 1 38 39 47 2 Nonsmoker and nondrinker 68 195 2 111 8 Substance use 851 0 767 Unknown Weight gain 11 1 430 Self Marital status 950 19 18-19 Private insurance Mother's education 6,364 15-17 45+ Payee for births APACHE TOTAL STATE 4.21 COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2006 Health Status Profile of American Indians in Arizona, 2006 Data Book Length of gestation <37 weeks Unknown LA PAZ YUMA YAVAPAI SANTA CRUZ PINAL PIMA NAVAJO MOHAVE MARICOPA 11 0 251 12 115 77 63 0 3 4 8 0 54 1 1,722 63 938 521 355 1 36 37 39 2 72 15 0 17 1 0 0 16 1 16 1 3 0 2 0 0 0 6 1 0 0 0 0 0 1 0 2 1 0 0 0 0 1 0 <1,000 grams 26 2 0 2 0 2 0 11 0 3 4 1 0 1 0 0 0 1,000-1,499 47 9 0 6 2 0 0 14 0 11 2 2 0 0 1 0 0 0 1,500-2,499 400 49 2 42 15 4 0 131 4 77 44 26 0 2 1 3 2,500-3,999 5,335 819 7 744 161 52 1 1,618 64 913 493 354 0 36 31 40 2 554 70 2 56 17 7 0 216 8 67 57 38 1 2 8 5 0 0 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 223 25 1 13 11 4 0 75 3 33 22 32 0 1 1 2 0 1st trimester 4,196 552 8 593 113 40 1 1,423 54 622 409 303 1 24 19 34 0 2nd trimester 1,489 277 2 204 52 19 0 379 13 319 129 58 0 10 17 9 1 3rd trimester 445 93 0 37 19 2 0 111 6 96 39 28 0 6 4 3 1 0 No care Unknown 11 3 0 4 0 0 0 2 0 1 1 0 0 0 0 0 No visits 223 25 1 13 11 4 0 75 3 33 22 32 0 1 1 2 0 1-4 visits 619 118 0 70 30 19 0 158 4 136 44 28 0 4 2 6 0 5-8 visits 1,658 256 4 202 56 26 1 451 15 388 142 75 1 10 11 19 1 9-12 visits 2,685 371 2 375 75 14 0 949 42 385 243 180 0 16 19 13 1 13+ visits 1,165 179 4 188 23 2 0 352 11 127 148 106 0 9 8 8 0 Unknown 14 1 0 3 0 0 0 5 1 2 1 0 0 1 0 0 0 308 30 1 54 13 4 0 105 1 58 16 18 0 3 5 0 0 5,987 877 10 790 182 61 1 1,884 73 1,000 583 403 1 38 36 48 0 69 43 0 7 0 0 0 1 2 13 1 0 0 0 0 0 2 Yes No Unknown Amniocentesis Electronic Fetal Monitoring 43 6 0 6 0 1 0 19 0 6 1 3 0 1 0 0 0 5,899 856 7 824 172 16 0 1,907 65 920 589 414 1 40 41 45 2 961 139 2 186 48 0 0 336 15 169 24 30 0 6 5 1 0 1,158 140 0 195 38 1 0 508 8 191 40 26 0 5 0 5 1 Induction of labor Stimulation of labor Tocolysis Ultrasound 43 9 0 7 0 0 0 8 1 16 0 2 0 0 0 0 0 3,469 529 10 310 62 54 1 824 21 624 565 373 1 32 41 22 0 564 37 1 21 8 45 1 269 2 155 15 8 0 1 0 1 0 4,847 743 9 670 140 44 0 1,460 50 849 493 302 1 25 21 38 2 Other Method of delivery GREENLEE 31 163 Unknown Obstetric procedures GRAHAM 78 756 4000+ Newborn intensive care GILA 3 8 Unknown Prenatal visits COCONINO 89 845 42+ weeks Prenatal care COCHISE 745 5,541 37-41 weeks Weight at birth APACHE TOTAL STATE 4.21 COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2006 Vaginal Vaginal after C-Section 94 33 0 15 0 3 0 19 0 14 7 3 0 0 0 0 0 Primary C-Section 794 108 1 93 26 12 1 294 14 108 45 61 0 10 13 8 0 Repeat C-Section 629 66 1 73 29 6 0 217 12 100 55 55 0 6 7 2 0 Forceps 33 5 0 8 2 0 0 9 0 7 2 0 0 0 0 0 0 Vacuum 106 7 0 9 16 5 0 34 3 21 8 2 0 0 1 0 0 Health Status Profile of American Indians in Arizona, 2006 Data Book 69 101 26 1 908 7 433 287 122 1 11 7 12 1 38 31 3 0 207 2 34 11 8 0 1 0 2 1 Cardiac disease 14 4 0 1 0 0 0 2 0 5 0 2 0 0 0 0 0 Lung disease 29 7 0 0 2 0 0 3 1 14 0 2 0 0 0 0 0 458 70 0 51 18 4 0 142 2 79 54 35 0 1 1 1 0 24 5 0 1 0 3 0 7 0 4 2 1 0 0 0 1 0 127 30 1 10 6 0 0 38 2 15 23 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 89 8 0 30 6 6 0 17 1 8 6 6 0 1 0 0 0 374 83 2 42 13 2 0 82 1 96 35 12 0 1 4 1 0 Diabetes Genital herpes Hydramnios Hemoglobinopathy Chronic hypertension Pregnancy associated hypertension LA PAZ YUMA NAVAJO MOHAVE GREENLEE GRAHAM 57 4 0 12 1 4 0 12 1 6 12 3 0 2 0 0 0 Previous infant 4000+g 63 18 0 5 3 0 0 11 0 24 0 2 0 0 0 0 0 Previous SGA infant 68 17 0 10 3 0 0 7 0 29 0 2 0 0 0 0 0 Renal disease 27 2 0 0 1 0 0 0 0 24 0 0 0 0 0 0 0 RH sensitization 3 2 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 Uterine bleeding 31 4 0 3 1 0 0 9 0 14 0 0 0 0 0 0 0 Incompetent cervix Total Anemia Birth injury 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1,759 144 2 301 69 17 1 654 2 252 222 76 1 8 2 8 0 381 54 1 32 16 24 1 75 4 91 30 34 0 9 2 8 0 4 0 0 1 1 0 0 0 0 2 0 0 0 0 0 0 0 20 2 0 1 0 0 0 0 0 17 0 0 0 0 0 0 0 4 0 0 2 1 0 0 0 0 1 0 0 0 0 0 0 0 Membrane disease 16 3 0 1 0 0 0 9 0 3 0 0 0 0 0 0 0 Meconium aspiration 15 5 0 1 0 0 0 5 0 4 0 0 0 0 0 0 0 Assissted vent.<30 min 50 15 0 9 0 0 0 4 2 6 8 1 0 0 0 5 0 Assisted vent.>30 min. 47 13 0 1 2 0 0 5 2 20 0 1 0 1 2 0 0 0 Fetal Alcohol Syndrome Newborn seizures Other Births with congenital Total anomalies Anencephalus 10 0 0 0 0 0 0 1 0 3 2 3 0 1 0 0 291 25 1 20 14 24 1 62 2 70 28 29 0 8 2 5 0 79 12 0 15 4 5 0 13 0 21 4 4 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Spina bifida/meningocele 0 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 0 Microcephalus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other CNS anomaly 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Heart malformations 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 1 1 0 3 0 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other respiratory/circulatory Rectal atresia/stenosis 70 APACHE Eclampsia Other Abnormal conditions of the newborn Unknown 422 0 YAVAPAI PINAL 3 83 Anemia SANTA CRUZ PIMA 375 421 Total MARICOPA GILA Births with medical risk factors COCHISE 2,717 TOTAL STATE COCONINO 4.21 COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2006 Health Status Profile of American Indians in Arizona, 2006 Data Book Tracheo-esophageal fistula/esophageal atresia Omphalocele/gastroschisis Unknown LA PAZ YUMA YAVAPAI SANTA CRUZ PINAL PIMA NAVAJO MOHAVE MARICOPA GREENLEE GRAHAM GILA COCONINO 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 Other gastrointestinal 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Malformed genitalia 3 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 Renal agenesis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other urogenital 4 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 Cleft lip/palate 7 0 0 0 0 0 0 4 0 2 0 1 0 0 0 0 0 Polydactyly/syndactyly/adactyly 2 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 Club foot 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Diaphragmatic hernia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other muscosceletal 4 2 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 Down's syndrome 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 Other chromosomal 6 1 0 0 0 0 0 0 0 3 1 1 0 0 0 0 0 45 6 0 13 3 4 0 6 0 7 2 3 0 1 0 0 0 1,954 301 1 231 60 29 1 698 5 350 157 80 0 18 19 4 0 Febrile 107 25 0 10 0 0 0 40 0 20 3 9 0 0 0 0 0 Meconium 284 50 0 24 9 0 0 93 0 51 37 13 0 1 5 1 0 Rupture of membrane 234 60 0 21 3 1 0 72 0 51 19 4 0 1 2 0 0 32 3 0 2 1 0 0 9 1 7 6 2 0 1 0 0 0 0 Total Abruptio placenta Placenta previa Other bleeding Seizures Precipitous labor 9 0 0 2 0 0 0 4 0 1 2 0 0 0 0 0 80 16 0 11 5 1 0 29 0 16 0 2 0 0 0 0 0 3 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 75 19 0 14 8 1 0 19 0 9 1 4 0 0 0 0 0 Prolonged labor 100 21 0 17 3 1 0 30 0 21 6 1 0 0 0 0 0 Dysfunctional labor 157 32 0 33 2 0 0 39 1 46 2 2 0 0 0 0 0 Breech malpresentation 201 25 0 30 5 1 0 71 2 43 5 14 0 2 1 2 0 Cephalopelvic disproportion. 45 6 0 3 1 3 1 13 1 16 1 0 0 0 0 0 0 Cord prolapse 9 2 0 3 0 0 0 1 0 1 1 1 0 0 0 0 0 Anesthetic complications 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 220 46 0 19 9 3 0 44 1 65 21 8 0 2 2 0 0 1,015 82 1 103 34 25 0 436 3 178 84 40 0 16 12 1 0 Total 41 4 0 4 1 2 0 13 0 9 5 3 0 0 0 0 0 Neonatal 26 3 0 3 1 2 0 9 0 4 2 2 0 0 0 0 0 Postneonatal 15 1 0 1 0 0 0 4 0 5 3 1 0 0 0 0 0 Fetal distress Other Infant mortality COCHISE 0 Other Births with complications APACHE TOTAL STATE 4.21 COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2006 *'Refused', 'Yes, divorced', 'Unknown' Health Status Profile of American Indians in Arizona, 2006 Data Book 71 V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2006 Health Status Profile of American Indians in Arizona, 2006 Data Book 73 AGE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2006 Data Book 75 5.1 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIANS IN 2006 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Cocopah Tribe Colorado River Indian Tribes 85+ 75-84 65-74 55-64 45-54 35-44 25-34 5-14 1-4 1,543 41 19 12 121 123 188 216 217 200 215 191 4 0 0 0 0 1 0 0 2 0 1 0 13 0 0 0 0 1 2 3 2 2 1 2 Fort McDowell Yavapai Nation 6 0 0 0 1 0 1 1 0 2 0 1 Fort Yuma Quechan Tribe 1 0 0 0 0 0 0 1 0 0 0 0 Gila River Indian Community 106 1 1 3 14 5 16 12 19 13 10 12 1 0 0 0 0 0 0 0 0 0 0 1 Hopi Tribe 80 0 2 1 5 11 10 9 13 11 9 9 Hualapai Nation 10 0 0 0 2 1 0 3 2 1 1 0 1 0 0 0 1 0 0 0 0 0 0 0 Havasupai Tribe Kaibab-Paiute Tribe Navajo Nation 432 8 5 3 25 30 46 55 47 52 72 89 Pascua Yaqui Tribe 61 4 0 0 3 5 9 9 11 9 6 5 Salt River Pima-Maricopa Community 26 0 0 1 3 3 7 4 5 3 0 0 San Carlos Apache Tribe 50 3 0 0 2 4 8 6 6 9 7 5 127 2 0 0 8 10 16 20 20 24 18 9 98 4 2 1 22 8 10 10 14 12 7 8 Yavapai-Apache Nation 3 0 0 1 0 0 0 1 1 0 0 0 Yavapai-Prescott Indian Tribe 2 0 0 0 0 0 1 0 0 0 1 0 1,021 22 10 10 86 79 126 134 142 138 133 141 243 10 7 1 13 22 30 42 36 31 30 21 70 2 0 0 7 8 11 8 13 6 10 5 Tohono O'Odham Tribe White Mountain Apache Tribe TOTAL Resided off reservation <1 TOTAL 15-24 Age group ---in Maricopa County ---in Pima County ---in Coconino County 73 3 1 1 8 4 7 8 12 7 13 9 ---elsewhere in Arizona 136 4 1 0 7 10 14 24 14 18 29 15 TOTAL 522 19 9 2 35 44 62 82 75 62 82 50 Health Status Profile of American Indians in Arizona, 2006 Data Book 77 5.2 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN MALES IN 2006 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 85+ 75-84 65-74 55-64 45-54 35-44 25-34 5-14 28 11 4 87 89 135 136 133 92 104 82 Cocopah Tribe 1 0 0 0 0 0 0 0 0 0 1 0 Colorado River Indian Tribes 7 0 0 0 0 1 1 1 2 2 0 0 Fort Yuma Quechan Tribe 1 0 0 0 0 0 0 1 0 0 0 0 Gila River Indian Community 56 0 1 0 9 4 10 9 10 5 2 6 Hopi Tribe 42 0 2 0 5 5 6 5 8 5 3 3 Hualapai Nation 6 0 0 0 2 0 0 3 1 0 0 0 Kaibab-Paiute Tribe 1 0 0 0 1 0 0 0 0 0 0 0 263 6 4 1 17 21 33 39 33 25 39 45 Pascua Yaqui Tribe 37 1 0 0 3 5 8 4 5 4 4 3 Salt River Pima-Maricopa Community 15 0 0 0 2 3 4 2 4 0 0 0 San Carlos Apache Tribe 26 1 0 0 1 4 6 2 3 3 2 4 Tohono O'Odham Tribe 80 2 0 0 5 9 12 8 15 13 12 4 White Mountain Apache Tribe 56 3 2 1 15 6 6 6 6 6 3 2 2 0 0 1 0 0 0 0 1 0 0 0 TOTAL 593 13 9 3 60 58 86 80 88 63 66 67 ---in Maricopa County 143 8 2 0 10 18 23 29 20 14 11 8 ---in Pima County 46 2 0 0 5 3 10 6 9 4 6 1 ---in Coconino County 44 3 0 1 7 3 5 3 9 3 7 3 ---elsewhere in Arizona 75 2 0 0 5 7 11 18 7 8 14 3 308 15 2 1 27 31 49 56 45 29 38 15 Yavapai-Apache Nation TOTAL 78 1-4 901 Navajo Nation Resided off reservation <1 TOTAL 15-24 Age group Health Status Profile of American Indians in Arizona, 2006 Data Book 5.3 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN FEMALES IN 2006 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 85+ 75-84 65-74 55-64 45-54 35-44 25-34 5-14 1-4 642 13 8 8 34 34 53 80 84 108 111 109 Cocopah Tribe 3 0 0 0 0 1 0 0 2 0 0 0 Colorado River Indian Tribes 6 0 0 0 0 0 1 2 0 0 1 2 Fort McDowell Yavapai Nation 6 0 0 0 1 0 1 1 0 2 0 1 50 1 0 3 5 1 6 3 9 8 8 6 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation 1 0 0 0 0 0 0 0 0 0 0 1 38 0 0 1 0 6 4 4 5 6 6 6 4 0 0 0 0 1 0 0 1 1 1 0 169 2 1 2 8 9 13 16 14 27 33 44 Pascua Yaqui Tribe 24 3 0 0 0 0 1 5 6 5 2 2 Salt River Pima-Maricopa Community 11 0 0 1 1 0 3 2 1 3 0 0 San Carlos Apache Tribe 24 2 0 0 1 0 2 4 3 6 5 1 Tohono O'Odham Tribe 47 0 0 0 3 1 4 12 5 11 6 5 White Mountain Apache Tribe Navajo Nation Resided off reservation <1 TOTAL 15-24 Age group 42 1 0 0 7 2 4 4 8 6 4 6 Yavapai-Apache Nation 1 0 0 0 0 0 0 1 0 0 0 0 Yavapai-Prescott Indian Tribe 2 0 0 0 0 0 1 0 0 0 1 0 TOTAL 428 9 1 7 26 21 40 54 54 75 67 74 ---in Maricopa County 100 2 5 1 3 4 7 13 16 17 19 13 ---in Pima County 24 0 0 0 2 5 1 2 4 2 4 4 ---in Coconino County 29 0 1 0 1 1 2 5 3 4 6 6 ---elsewhere in Arizona 61 2 1 0 2 3 3 6 7 10 15 12 214 4 7 1 8 13 13 26 30 33 44 35 TOTAL Health Status Profile of American Indians in Arizona, 2006 Data Book 79 CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2006 Data Book 81 5.4 DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2006 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Total, all causes TOTAL MALE FEMALE 1543 901 642 Salmonella infections 0 0 0 Shigellosis and amebiasis 0 0 0 Certain other intestinal infections 6 5 1 Tuberculosis 4 0 4 Respiratory tuberculosis 1 0 1 Other tuberculosis 3 0 3 Whooping cough 0 0 0 Scarlet fever and erysipelas 0 0 0 Meningococcal infection 0 0 0 32 14 18 Syphilis 0 0 0 Acute poliomyelitis 0 0 0 Arthropod-borne encephalitis 0 0 0 Measles 0 0 0 Viral hepatitis 5 5 0 Human immunodeficiency virus (HIV) disease 5 5 0 Malaria 0 0 0 Other and unspecified infectious and parasitic diseases 7 4 3 149 65 84 Septicemia Malignant neoplasms Malignant neoplasm of lip, oral cavity and pharynx 3 2 1 Malignant neoplasm of esophagus 4 3 1 3 Malignant neoplasm of stomach 15 12 Malignant neoplasm of colon, rectum and anus 9 3 6 Malignant neoplasm of liver and intrahepatic bile ducts 9 5 4 12 5 7 Malignant neoplasm of larynx 1 1 0 Malignant neoplasm of trachea, bronchus and lung 8 3 5 Malignant melanoma of skin 1 1 0 Malignant neoplasm of breast 8 0 8 Malignant neoplasm of cervix uteri 8 0 8 Malignant neoplasm of corpus uteri and uterus, part unspecified 2 0 2 Malignant neoplasm of ovary 1 0 1 0 Malignant neoplasm of pancreas Malignant neoplasm of prostate 10 10 Malignant neoplasm of kidney and renal pelvis 4 2 2 Malignant neoplasm of bladder 1 0 1 Health Status Profile of American Indians in Arizona, 2006 Data Book 83 5.4 (continued) DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2006 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Malignant neoplasm of meninges, brain and other parts of CNS MALE FEMALE 2 2 0 20 7 13 Hodgkin's disease 0 0 0 Non-Hodgkin's lymphoma 8 2 6 Leukemia 5 2 3 Multiple myeloma and immunoproliferative neoplasms 7 3 4 Other and unspecified malignant neoplasms of lymphoid tissue 0 0 0 31 9 22 In situ neoplasms 8 4 4 Anemias 0 0 0 Diabetes 84 43 41 2 1 1 2 1 1 0 0 0 0 0 0 Parkinson's disease 10 2 8 Alzheimer's disease 20 8 12 285 165 120 221 133 88 1 0 1 14 9 5 Malignant neoplasm of lymphoid, hematopoietic and related tissue All other and unspecified malignant neoplasm Nutritional deficiencies Malnutrition Other nutritional deficiencies Meningitis Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease Hypertensive heart and renal disease 0 0 0 149 90 59 56 35 21 1 1 0 92 54 38 Atherosclerotic cardiovascular disease 36 25 11 All other forms of chronic ischemic heart disease 56 29 27 57 34 23 Acute and subacute endocarditis 1 1 0 Diseases of pericardium and acute myocarditis 0 0 0 Heart failure 17 7 10 All other forms of heart disease 13 Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Other heart diseases 84 TOTAL 39 26 Essential (primary) hypertension and hypertensive renal disease 16 8 8 Cerebrovascular diseases 44 23 21 Health Status Profile of American Indians in Arizona, 2006 Data Book 5.4 (continued) DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2006 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL MALE FEMALE Atherosclerosis 1 0 1 Other diseases of circulatory system 3 1 2 Aortic aneurysm and dissection 0 0 0 Other disease of arteries, arterioles and capillaries 3 1 2 Other disorders of circulatory system Influenza and pneumonia Influenza 2 0 2 56 31 25 2 1 1 54 30 24 Other acute lower respiratory infections 0 0 0 Acute bronchiolitis 0 0 0 Unspecified acute lower respiratory infection 0 0 0 16 5 11 Bronchitis, chronic and unspecified 0 0 0 Emphysema 1 0 1 Asthma 4 1 3 Pneumonia Chronic lower respiratory diseases Other chronic lower respiratory diseases Pneumoconioses and chemical effects Pneumonitis due to solids and liquids 11 4 7 0 0 0 7 5 2 25 14 11 Peptic ulcer 2 2 0 Diseases of appendix 1 1 0 Hernia 0 0 0 104 64 40 Alcoholic liver disease 73 50 23 Other chronic liver disease and cirrhosis 31 14 17 6 5 1 22 Other disease of respiratory system Chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis 45 23 Acute and rapidly progressive nephritic and nephrotic syndrome 0 0 0 Chronic glomerulonephritis 1 0 1 44 23 21 0 0 0 Infections of kidney 0 0 0 Hyperplasia of prostate 0 0 0 Inflammatory diseases of female pelvic organs 0 0 0 Pregnancy, childbirth and the puerperium 2 0 2 Renal failure Others disorders of kidney Health Status Profile of American Indians in Arizona, 2006 Data Book 85 5.4 (continued) DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2006 Cause of death (Tenth Revision, International Statistical Classification of Diseases) FEMALE MALE Pregnancy with abortive outcome 1 0 Other complications of pregnancy, childbirth and the puerperium 1 0 1 Perinatal conditions 20 10 10 Congenital anomalies, deformations and chromosomal abnormalities 16 13 3 Symptoms, signs, abnormal findings 1 29 20 9 273 189 84 187 124 63 172 113 59 10 8 2 5 3 2 86 65 21 20 11 9 Accidental discharge of firearms 0 0 0 Accidental drowning and submersion 5 4 1 Accidental exposure to smoke, fire and flames 3 3 0 Accidental poisoning 22 17 5 Other and unspecified nontransport accidents 36 30 6 49 40 9 By discharge of firearms 14 13 1 By other means 35 27 8 48 42 6 By discharge of firearms 15 15 0 By other means 33 27 6 Legal intervention 2 2 0 16 13 3 2 2 0 Total accidents Transport accidents Motor vehicle accidents Other land transport accidents Water, air, space Nontransport accidents Falls Intentional self-harm (suicide) Assault (homicide) Events of undetermined intent Discharge of firearms Other and unspecified events of undetermined intent 14 11 3 Operations of war 0 0 0 Complications of medical and surgical care 1 0 1 INJURY BY FIREARMS 33 32 1 DRUG-INDUCED DEATHS 30 19 11 123 91 32 ALCOHOL-INDUCED DEATHS 86 TOTAL Health Status Profile of American Indians in Arizona, 2006 Data Book Total, all causes 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 <1 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL 5.5 DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2006 1,543 41 19 12 121 123 188 216 217 200 215 191 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 6 0 0 0 0 0 0 1 1 2 1 1 Tuberculosis 4 0 0 0 0 0 0 1 1 0 1 1 Respiratory tuberculosis 1 0 0 0 0 0 0 0 0 0 1 0 Other tuberculosis 3 0 0 0 0 0 0 1 1 0 0 1 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 32 1 1 0 1 1 2 4 4 6 8 4 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 Arthropod-borne encephalitis 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 5 0 0 0 0 0 3 1 1 0 0 0 Human immunodeficiency virus (HIV) disease 5 0 0 0 0 1 2 2 0 0 0 0 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 Other and unspecified infectious and parasitic diseases 7 0 0 0 0 0 2 0 2 2 0 1 149 0 0 0 3 5 10 15 25 38 34 19 Malignant neoplasm of lip, oral cavity and pharynx 3 0 0 0 0 0 1 0 0 1 0 1 Malignant neoplasm of esophagus 4 0 0 0 0 0 0 0 2 2 0 0 15 0 0 0 0 0 1 1 2 3 4 4 Malignant neoplasm of colon, rectum and anus 9 0 0 0 1 0 0 0 4 1 2 1 Malignant neoplasm of liver and intrahepatic bile ducts 9 0 0 0 0 0 1 1 1 2 3 1 12 0 0 0 0 0 0 0 1 4 5 2 Malignant neoplasm of larynx 1 0 0 0 0 0 0 0 1 0 0 0 Malignant neoplasm of trachea, bronchus and lung 8 0 0 0 0 0 0 1 3 0 3 1 Malignant melanoma of skin 1 0 0 0 0 0 0 0 1 0 0 0 Malignant neoplasm of breast 8 0 0 0 0 0 2 2 1 2 1 0 Malignant neoplasm of cervix uteri 8 0 0 0 0 2 2 2 1 1 0 0 Malignant neoplasm of corpus uteri and uterus, part unspecified 2 0 0 0 0 0 1 0 0 1 0 0 Malignant neoplasm of ovary 1 0 0 0 0 0 0 0 0 0 0 1 10 0 0 0 0 0 0 1 1 3 1 4 Septicemia Malignant neoplasms Malignant neoplasm of stomach Malignant neoplasm of pancreas Malignant neoplasm of prostate Health Status Profile of American Indians in Arizona, 2006 Data Book 87 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 Malignant neoplasm of kidney and renal pelvis 4 0 0 0 0 0 0 0 1 2 1 0 Malignant neoplasm of bladder 1 0 0 0 0 0 0 0 0 0 0 1 Malignant neoplasm of meninges, brain and other parts of CNS 2 0 0 0 0 0 0 0 0 1 1 0 20 0 0 0 0 1 2 3 2 8 3 1 Hodgkin's disease 0 0 0 0 0 0 0 0 0 0 0 0 Non-Hodgkin's lymphoma 8 0 0 0 0 0 1 0 1 4 1 1 Leukemia 5 0 0 0 0 1 1 2 0 0 1 0 Multiple myeloma and immunoproliferative neoplasms 7 0 0 0 0 0 0 1 1 4 1 0 Other and unspecified malignant neoplasms of lymphoid tissue 0 0 0 0 0 0 0 0 0 0 0 0 31 0 0 0 2 2 0 4 4 7 10 2 In situ neoplasms 8 0 0 0 0 0 1 0 1 2 2 2 Anemias 0 0 0 0 0 0 0 0 0 0 0 0 Diabetes 84 0 0 0 0 1 3 13 25 22 12 8 2 0 0 0 0 0 0 0 0 0 0 2 2 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 1 0 1 4 4 Malignant neoplasm of lymphoid, hematopoietic and related tissue All other and unspecified malignant neoplasm Nutritional deficiencies Malnutrition Other nutritional deficiencies Meningitis Parkinson's disease 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 20 0 0 0 0 0 0 0 0 2 9 9 285 1 1 1 3 5 24 27 48 47 74 54 221 1 0 0 2 4 17 20 42 36 61 38 1 0 0 0 0 0 0 0 0 1 0 0 14 0 0 0 0 0 0 5 3 4 2 0 0 0 0 0 0 0 0 0 0 0 0 0 149 0 0 0 0 2 9 10 29 24 47 28 56 0 0 0 0 2 3 5 9 9 19 9 1 0 0 0 0 0 0 0 0 0 1 0 92 0 0 0 0 0 6 5 20 15 27 19 Atherosclerotic cardiovascular disease 36 0 0 0 0 0 3 3 9 7 10 4 All other forms of chronic ischemic heart disease 56 0 0 0 0 0 3 2 11 8 17 15 Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Other heart diseases 88 <1 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL 5.5 (continued) DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2006 57 1 0 0 2 2 8 5 10 7 12 10 Acute and subacute endocarditis 1 0 0 0 0 0 1 0 0 0 0 0 Diseases of pericardium and acute myocarditis 0 0 0 0 0 0 0 0 0 0 0 0 Heart failure 17 0 0 0 0 0 0 0 1 5 7 4 All other forms of heart disease 39 1 0 0 2 2 7 5 9 2 5 6 Health Status Profile of American Indians in Arizona, 2006 Data Book 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 <1 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL 5.5 (continued) DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2006 Essential (primary) hypertension and hypertensive renal disease 16 0 0 0 1 0 3 1 2 5 0 4 Cerebrovascular diseases 44 0 1 1 0 1 4 4 4 5 12 12 Atherosclerosis 1 0 0 0 0 0 0 1 0 0 0 0 Other diseases of circulatory system 3 0 0 0 0 0 0 1 0 1 1 0 Aortic aneurysm and dissection 0 0 0 0 0 0 0 0 0 0 0 0 Other disease of arteries, arterioles and capillaries 3 0 0 0 0 0 0 1 0 1 1 0 2 0 0 0 0 0 1 0 0 1 0 0 56 0 1 2 1 1 5 4 8 8 11 15 Other disorders of circulatory system Influenza and pneumonia Influenza 2 0 0 1 0 0 1 0 0 0 0 0 54 0 1 1 1 1 4 4 8 8 11 15 Other acute lower respiratory infections 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 Pneumonia Unspecified acute lower respiratory infection 0 0 0 0 0 0 0 0 0 0 0 0 16 1 0 2 0 0 0 0 3 5 3 2 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 0 1 0 0 Asthma 4 0 0 2 0 0 0 0 0 1 0 1 11 1 0 0 0 0 0 0 3 3 3 1 Pneumoconioses and chemical effects 0 0 0 0 0 0 0 0 0 0 0 0 Pneumonitis due to solids and liquids 7 0 0 0 0 0 0 0 1 0 2 4 25 0 1 1 0 0 4 1 0 7 8 3 Peptic ulcer 2 0 0 0 0 0 1 0 1 0 0 0 Diseases of appendix 1 0 0 0 0 0 0 1 0 0 0 0 0 Chronic lower respiratory diseases Other chronic lower respiratory diseases Other disease of respiratory system Hernia 0 0 0 0 0 0 0 0 0 0 0 104 0 0 0 1 5 23 35 25 10 1 4 Alcoholic liver disease 73 0 0 0 1 5 15 29 18 5 0 0 Other chronic liver disease and cirrhosis 31 0 0 0 0 0 8 6 7 5 1 4 6 0 0 0 0 0 0 0 2 3 1 0 45 0 0 0 2 3 4 5 8 12 2 9 Acute and rapidly progressive nephritic and nephrotic syndrome 0 0 0 0 0 0 0 0 0 0 0 0 Chronic glomerulonephritis 1 0 0 0 0 0 0 0 0 0 1 0 44 0 0 0 2 3 4 5 8 12 1 9 Chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis Renal failure 0 0 0 0 0 0 0 0 0 0 0 0 Infections of kidney Others disorders of kidney 0 0 0 0 0 0 0 0 0 0 0 0 Hyperplasia of prostate 0 0 0 0 0 0 0 0 0 0 0 0 Health Status Profile of American Indians in Arizona, 2006 Data Book 89 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 Inflammatory diseases of female pelvic organs 0 0 0 0 0 0 0 0 0 0 0 0 Pregnancy, childbirth and the puerperium 2 0 0 0 1 1 0 0 0 0 0 0 Pregnancy with abortive outcome 1 0 0 0 0 1 0 0 0 0 0 0 Other complications of pregnancy, childbirth and the puerperium 1 0 0 0 1 0 0 0 0 0 0 0 20 20 0 0 0 0 0 0 0 0 0 0 Congenital anomalies, deformations and chromosomal abnormalities 16 9 3 0 1 1 1 0 0 1 0 0 Symptoms, signs, abnormal findings 29 6 2 0 3 3 3 5 1 0 2 4 273 1 7 2 49 58 53 52 27 8 11 5 187 0 7 2 43 47 31 30 18 3 6 0 172 0 5 1 40 44 29 29 16 2 6 0 10 0 2 1 2 1 1 1 1 1 0 0 5 0 0 0 1 2 1 0 1 0 0 0 86 1 0 0 6 11 22 22 9 5 5 5 20 0 0 0 0 3 2 5 2 3 2 3 Accidental discharge of firearms 0 0 0 0 0 0 0 0 0 0 0 0 Accidental drowning and submersion 5 0 0 0 2 1 0 2 0 0 0 0 Accidental exposure to smoke, fire and flames 3 1 0 0 1 0 0 1 0 0 0 0 22 0 0 0 1 5 12 4 0 0 0 0 Perinatal conditions Total accidents Transport accidents Motor vehicle accidents Other land transport accidents Water, air, space Nontransport accidents Falls Accidental poisoning Other and unspecified nontransport accidents Intentional self-harm (suicide) By discharge of firearms By other means 36 0 0 0 2 2 8 10 7 2 3 2 49 0 0 3 22 13 6 4 0 0 1 0 14 0 0 0 9 3 1 1 0 0 0 0 35 0 0 3 13 10 5 3 0 0 1 0 48 1 2 0 23 8 7 6 1 0 0 0 By discharge of firearms 15 0 0 0 12 3 0 0 0 0 0 0 By other means 33 1 2 0 11 5 7 6 1 0 0 0 Legal intervention 2 0 0 0 0 2 0 0 0 0 0 0 16 0 0 1 5 3 3 2 2 0 0 0 Assault (homicide) Events of undetermined intent Discharge of firearms 2 0 0 0 1 1 0 0 0 0 0 0 14 0 0 1 4 2 3 2 2 0 0 0 Operations of war 0 0 0 0 0 0 0 0 0 0 0 0 Complications of medical and surgical care 1 0 0 0 0 0 1 0 0 0 0 0 Other and unspecified events of undetermined intent INJURY BY FIREARMS 33 0 0 22 9 1 1 0 0 0 0 0 DRUG-INDUCED DEATHS 30 0 0 2 10 13 4 0 0 0 1 0 123 0 0 3 12 28 43 26 10 1 0 0 ALCOHOL-INDUCED DEATHS 90 <1 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL 5.5 (continued) DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2006 Health Status Profile of American Indians in Arizona, 2006 Data Book Total, all causes Total elsewhere in Arizona 13 6 1 106 1 80 10 61 26 98 3 2 1,021 243 0 0 0 0 0 0 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 0 0 0 0 0 0 0 Certain other intestinal infections 6 0 0 0 0 0 0 0 0 0 1 0 0 1 3 1 0 0 6 0 0 0 0 0 Tuberculosis 4 0 0 0 0 1 0 0 0 0 2 0 0 0 0 0 0 0 3 1 0 0 0 1 Respiratory tuberculosis 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 Other tuberculosis 3 0 0 0 0 1 0 0 0 0 2 0 0 0 0 0 0 0 3 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 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 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 32 0 0 1 0 0 0 1 0 0 14 2 0 0 3 2 0 0 23 2 0 1 6 9 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 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 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 Viral hepatitis 5 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 3 1 0 0 4 Human immunodeficiency virus (HIV) disease 5 0 0 0 0 0 0 0 0 0 3 1 0 0 0 0 0 0 4 1 0 0 0 1 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 Other and unspecified infectious and parasitic diseases 7 0 0 0 0 0 0 0 0 0 2 0 0 0 2 0 0 0 4 0 0 0 3 3 149 1 1 1 0 13 0 10 0 0 46 7 3 3 11 8 0 1 105 18 8 5 13 44 Malignant neoplasm of lip, oral cavity and pharynx 3 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 2 1 0 0 0 1 Malignant neoplasm of esophagus 4 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 2 1 1 0 0 2 15 0 0 0 0 2 0 1 0 0 4 0 0 1 3 1 0 0 12 1 1 0 1 3 9 0 0 0 0 0 0 0 0 0 3 0 0 0 1 1 0 0 5 1 1 0 2 4 Malignant neoplasm of stomach Malignant neoplasm of colon, rectum and anus Malignant neoplasm of liver and intrahepatic bile ducts 70 in Coconino County in Pima County in Maricopa County 4 0 Malignant neoplasms 50 127 Total Salt River Pima Maricopa San Carlos Apache Tribe Tohono O'OdhamTribe White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe 1,543 Salmonella infections Septicemia 1 432 Pascua Yaqui Tribe Navajo Nation Kaibab-Paiute Tribe Hualapai Nation Hopi Tribe Havasupai Tribe Cocopah Tribe Cause of death (Tenth Revision, International Statistical Classification of Diseases) Resided off reservation Resided on reservation Colorado River Indian Tribes Fort McDowell Yavapai Nation Fort Yuma Quechan Tribe Gila River Indian Community ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 5.6 DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2006 73 136 522 9 0 0 1 0 1 0 1 0 0 1 1 0 0 1 0 0 0 6 3 0 0 0 3 12 0 0 0 0 1 0 1 0 0 3 0 1 0 0 1 0 0 7 3 0 2 0 5 Malignant neoplasm of larynx 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Malignant neoplasm of trachea, bronchus and lung 8 0 0 0 0 1 0 1 0 0 3 0 0 0 0 0 0 0 5 1 0 0 2 3 Malignant melanoma of skin 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 Malignant neoplasm of breast 8 0 0 0 0 1 0 1 0 0 2 0 0 0 1 3 0 0 8 0 0 0 0 0 Malignant neoplasm of cervix uteri 8 0 0 0 0 0 0 1 0 0 3 1 0 0 0 0 0 1 6 1 1 0 0 2 Malignant neoplasm of corpus uteri and uterus, part unspecified 2 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 2 0 0 0 0 0 Malignant neoplasm of ovary 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 10 0 1 0 0 0 0 0 0 0 4 2 0 1 1 0 0 0 9 0 0 1 0 1 4 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 2 0 1 0 1 2 Malignant neoplasm of pancreas Malignant neoplasm of prostate Malignant neoplasm of kidney and renal pelvis Health Status Profile of American Indians in Arizona, 2006 Data Book 91 Total elsewhere in Arizona in Coconino County in Pima County in Maricopa County Total Salt River Pima Maricopa San Carlos Apache Tribe Tohono O'OdhamTribe White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Pascua Yaqui Tribe Navajo Nation Kaibab-Paiute Tribe Hualapai Nation Hopi Tribe Havasupai Tribe Cocopah Tribe Malignant neoplasm of bladder 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 Malignant neoplasm of meninges, brain and other parts of CNS 2 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 1 20 1 0 0 0 2 0 0 0 0 6 1 2 0 2 2 0 0 16 1 1 0 2 4 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 Non-Hodgkin's lymphoma 8 0 0 0 0 1 0 0 0 0 2 1 1 0 0 1 0 0 6 0 1 0 1 2 Leukemia 5 1 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 4 0 0 0 1 1 Multiple myeloma and immunoproliferative neoplasms 7 0 0 0 0 0 0 0 0 0 3 0 1 0 1 1 0 0 6 1 0 0 0 1 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 31 0 0 0 0 2 0 3 0 0 11 0 0 1 2 0 0 0 19 4 1 2 5 12 In situ neoplasms 8 0 1 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 4 4 0 0 0 4 Anemias 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Diabetes 84 0 5 1 1 5 0 3 0 0 16 8 1 7 13 2 0 0 62 10 5 4 3 22 2 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 2 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 0 0 0 0 1 0 0 4 0 0 0 2 0 0 0 7 3 0 0 0 3 4 11 Malignant neoplasm of lymphoid, hematopoietic and related tissue All other and unspecified malignant neoplasm Nutritional deficiencies Malnutrition Other nutritional deficiencies Meningitis Parkinson's disease 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 20 0 0 0 0 1 0 1 0 0 3 0 0 1 0 2 0 1 9 4 2 1 285 2 1 1 0 21 1 10 0 0 78 7 4 12 15 17 0 0 169 61 17 11 221 1 1 0 0 14 0 8 0 0 63 5 4 9 10 15 0 0 130 51 15 7 18 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 14 0 0 0 0 1 0 0 0 0 3 0 0 0 2 0 0 0 6 8 0 0 0 8 27 116 91 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 1 0 0 0 8 0 7 0 0 37 5 2 8 3 10 0 0 81 38 9 5 16 68 56 1 0 0 0 0 0 4 0 0 16 1 0 2 1 4 0 0 29 14 3 1 9 27 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 92 0 0 0 0 8 0 3 0 0 20 4 2 6 2 6 0 0 51 24 6 4 7 41 Atherosclerotic cardiovascular disease 36 0 0 0 0 3 0 0 0 0 9 2 1 2 1 1 0 0 19 10 2 1 4 17 All other forms of chronic ischemic heart disease 56 0 0 0 0 5 0 3 0 0 11 2 1 4 1 5 0 0 32 14 4 3 3 24 57 0 1 0 0 5 0 1 0 0 23 0 2 1 5 5 0 0 43 5 6 2 1 14 Acute and subacute endocarditis 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 Diseases of pericardium and acute myocarditis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Heart failure 17 0 0 0 0 2 0 1 0 0 7 0 0 0 2 0 0 0 12 1 2 1 1 5 All other forms of heart disease 39 0 1 0 0 3 0 0 0 0 16 0 2 1 2 5 0 0 30 4 4 1 0 9 Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Other heart diseases 92 Resided off reservation Resided on reservation Colorado River Indian Tribes Fort McDowell Yavapai Nation Fort Yuma Quechan Tribe Gila River Indian Community Cause of death (Tenth Revision, International Statistical Classification of Diseases) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2006 Health Status Profile of American Indians in Arizona, 2006 Data Book Total elsewhere in Arizona in Coconino County in Maricopa County Total Salt River Pima Maricopa San Carlos Apache Tribe Tohono O'OdhamTribe White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Pascua Yaqui Tribe Navajo Nation Kaibab-Paiute Tribe Hualapai Nation Hopi Tribe Havasupai Tribe Cocopah Tribe in Pima County Resided off reservation Resided on reservation Colorado River Indian Tribes Fort McDowell Yavapai Nation Fort Yuma Quechan Tribe Gila River Indian Community Cause of death (Tenth Revision, International Statistical Classification of Diseases) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2006 Essential (primary) hypertension and hypertensive renal disease 16 0 0 0 0 2 1 0 0 0 3 0 0 1 2 2 0 0 11 3 0 2 0 5 Cerebrovascular diseases 44 1 0 1 0 5 0 2 0 0 11 2 0 1 3 0 0 0 26 6 2 1 9 18 Atherosclerosis 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 Other diseases of circulatory system 3 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 2 0 0 1 0 1 Aortic aneurysm and dissection 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 disease of arteries, arterioles and capillaries 3 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 2 0 0 1 0 1 2 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 0 1 56 0 0 0 0 6 0 4 0 0 24 1 0 0 4 5 0 0 44 5 2 2 3 12 Other disorders of circulatory system Influenza and pneumonia Influenza 2 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 54 0 0 0 0 6 0 4 0 0 23 1 0 0 4 5 0 0 43 4 2 2 3 11 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 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 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 16 0 0 0 0 0 0 0 2 0 1 0 1 1 2 2 1 0 10 3 2 0 1 6 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 Emphysema 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 Asthma 4 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 3 0 0 0 1 1 11 0 0 0 0 0 0 0 2 0 1 0 0 0 1 2 0 0 6 3 2 0 0 5 Pneumoconioses and chemical effects 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pneumonitis due to solids and liquids 7 0 0 0 0 1 0 1 0 0 4 0 0 0 0 0 0 0 6 0 0 1 0 1 25 0 1 0 0 1 0 3 0 0 7 1 0 0 2 3 0 0 18 2 0 2 3 7 Peptic ulcer 2 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 Diseases of appendix 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 Hernia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 1 1 0 0 5 0 8 2 0 18 10 6 0 16 4 0 0 71 20 4 6 3 33 Alcoholic liver disease 73 0 1 0 0 3 0 7 0 0 9 4 6 0 14 4 0 0 48 19 1 3 2 25 Other chronic liver disease and cirrhosis 31 1 0 0 0 2 0 1 2 0 9 6 0 0 2 0 0 0 23 1 3 3 1 8 6 0 0 0 0 0 0 1 0 0 3 1 0 0 1 0 0 0 6 0 0 0 0 0 Pneumonia Chronic lower respiratory diseases Other chronic lower respiratory diseases Other disease of respiratory system Chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis 45 0 0 0 0 5 0 2 1 0 13 4 1 1 3 4 0 0 34 2 1 2 6 11 Acute and rapidly progressive nephritic and nephrotic syndrome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Chronic glomerulonephritis 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 44 0 0 0 0 5 0 2 1 0 13 4 1 1 3 4 0 0 34 2 1 2 5 10 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 Renal failure Others disorders of kidney Infections of kidney Health Status Profile of American Indians in Arizona, 2006 Data Book 93 Total elsewhere in Arizona in Coconino County in Pima County in Maricopa County Total Salt River Pima Maricopa San Carlos Apache Tribe Tohono O'OdhamTribe White Mountain Apache Tribe Yavapai-Apache Nation Yavapai-Prescott Indian Tribe Pascua Yaqui Tribe Navajo Nation Kaibab-Paiute Tribe Hualapai Nation Hopi Tribe Havasupai Tribe Cocopah Tribe 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 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 Pregnancy, childbirth and the puerperium 2 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 0 1 Pregnancy with abortive outcome 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 Other complications of pregnancy, childbirth and the puerperium 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 20 0 0 0 0 0 0 0 0 0 2 3 0 3 1 1 0 0 10 5 0 2 3 10 Congenital anomalies, deformations and chromosomal abnormalities 16 0 0 0 0 0 0 0 0 0 4 0 0 0 0 2 0 0 6 5 3 2 0 10 Symptoms, signs, abnormal findings 29 0 0 0 0 2 0 0 0 0 6 1 0 0 4 2 1 0 16 6 1 0 6 13 273 0 1 1 0 23 0 17 5 0 90 4 4 8 21 9 0 0 183 38 10 15 27 90 187 0 1 1 0 22 0 12 5 0 59 1 3 5 18 5 0 0 132 21 6 13 15 55 172 0 1 1 0 22 0 10 5 0 54 1 3 5 18 4 0 0 124 20 6 12 10 48 10 0 0 0 0 0 0 1 0 0 2 0 0 0 0 1 0 0 4 0 0 1 5 6 5 0 0 0 0 0 0 1 0 0 3 0 0 0 0 0 0 0 4 1 0 0 0 1 86 0 0 0 0 1 0 5 0 0 31 3 1 3 3 4 0 0 51 17 4 2 12 35 Perinatal conditions Total accidents Transport accidents Motor vehicle accidents Other land transport accidents Water, air, space Nontransport accidents Falls 20 0 0 0 0 0 0 3 0 0 6 1 0 2 0 1 0 0 13 2 1 1 3 7 Accidental discharge of firearms 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Accidental drowning and submersion 5 0 0 0 0 0 0 0 0 0 2 0 0 0 1 0 0 0 3 1 0 1 0 2 Accidental exposure to smoke, fire and flames 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 22 0 0 0 0 1 0 0 0 0 3 1 0 0 2 2 0 0 9 10 3 0 0 13 Accidental poisoning Other and unspecified nontransport accidents 36 0 0 0 0 0 0 2 0 0 20 1 1 1 0 1 0 0 26 4 0 0 6 10 49 0 0 0 0 5 0 2 0 1 12 2 1 1 0 8 0 0 32 6 2 3 6 17 By discharge of firearms 14 0 0 0 0 0 0 0 0 1 2 2 1 0 0 1 0 0 7 2 2 0 3 7 By other means 35 0 0 0 0 5 0 2 0 0 10 0 0 1 0 7 0 0 25 4 0 3 3 10 Intentional self-harm (suicide) Assault (homicide) 48 0 1 0 0 4 0 1 0 0 10 2 1 3 3 9 0 0 34 13 1 0 0 14 By discharge of firearms 15 0 0 0 0 1 0 0 0 0 1 2 0 0 2 0 0 0 6 8 1 0 0 9 By other means 33 0 1 0 0 3 0 1 0 0 9 0 1 3 1 9 0 0 28 5 0 0 0 5 Legal intervention 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 2 16 0 0 0 0 1 0 0 0 0 5 0 0 0 1 4 0 0 11 2 2 0 1 5 2 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 2 0 0 0 0 0 Events of undetermined intent Discharge of firearms Other and unspecified events of undetermined intent 14 0 0 0 0 1 0 0 0 0 4 0 0 0 0 4 0 0 9 2 2 0 1 5 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 Complications of medical and surgical care 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 INJURY BY FIREARMS 33 0 0 0 0 1 0 0 0 1 4 4 1 0 3 1 0 0 15 12 3 0 3 18 DRUG-INDUCED DEATHS 30 0 0 0 0 2 0 1 0 0 1 2 0 0 3 5 0 0 14 11 5 0 0 16 123 0 1 0 0 3 0 12 0 0 25 5 6 2 18 7 0 0 79 25 3 7 9 44 ALCOHOL-INDUCED DEATHS 94 Resided off reservation Resided on reservation Colorado River Indian Tribes Fort McDowell Yavapai Nation Fort Yuma Quechan Tribe Gila River Indian Community Cause of death (Tenth Revision, International Statistical Classification of Diseases) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2006 Health Status Profile of American Indians in Arizona, 2006 Data Book Total, all causes La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Coconino Cochise Apache Cause of death (Tenth Revision, International Statistical Classification of Diseases) ARIZONA 5.7 DEATHS BY COUNTY OF RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2006 1,543 257 4 174 42 16 0 310 15 339 225 132 0 8 7 14 Salmonella infections 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 Certain other intestinal infections 6 0 0 0 1 0 0 0 0 2 3 0 0 0 0 0 Tuberculosis 4 1 0 0 0 0 0 1 0 1 0 1 0 0 0 0 Respiratory tuberculosis 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 Other tuberculosis 3 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 Whooping cough 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 Meningococcal infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 32 6 0 4 1 0 0 4 0 12 4 0 0 1 0 0 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Septicemia Arthropod-borne encephalitis 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 Viral hepatitis 5 0 0 0 0 0 0 4 0 0 1 0 0 0 0 0 0 Human immunodeficiency virus (HIV) disease 5 2 0 0 0 0 0 1 0 1 1 0 0 0 0 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other and unspecified infectious and parasitic diseases 7 1 0 0 1 0 0 0 0 2 2 1 0 0 0 0 149 28 0 16 3 0 0 26 1 33 20 18 0 1 2 1 3 1 0 0 0 0 0 2 0 0 0 0 0 0 0 0 Malignant neoplasms Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of esophagus 4 1 0 0 0 0 0 1 0 0 2 0 0 0 0 0 15 3 0 1 1 0 0 1 0 3 3 3 0 0 0 0 Malignant neoplasm of colon, rectum and anus 9 2 0 0 0 0 0 1 0 4 1 1 0 0 0 0 Malignant neoplasm of liver and intrahepatic bile ducts 9 0 0 1 0 0 0 4 0 1 2 1 0 0 0 0 12 3 0 3 0 0 0 4 0 1 0 1 0 0 0 0 Malignant neoplasm of larynx 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 Malignant neoplasm of trachea, bronchus and lung 8 1 0 2 0 0 0 1 0 1 0 2 0 0 1 0 Malignant melanoma of skin 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 Malignant neoplasm of breast 8 1 0 2 0 0 0 0 0 3 1 1 0 0 0 0 Malignant neoplasm of cervix uteri 8 0 0 1 0 0 0 2 0 3 1 0 0 1 0 0 Malignant neoplasm of corpus uteri and uterus, part unspecified 2 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 Malignant neoplasm of ovary 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 10 1 0 1 1 0 0 0 0 3 3 0 0 0 0 1 Malignant neoplasm of kidney and renal pelvis 4 0 0 0 0 0 0 0 0 2 1 1 0 0 0 0 Malignant neoplasm of bladder 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 Malignant neoplasm of stomach Malignant neoplasm of pancreas Malignant neoplasm of prostate Health Status Profile of American Indians in Arizona, 2006 Data Book 95 Malignant neoplasm of meninges, brain and other parts of CNS La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Coconino Cochise 2 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 20 4 0 0 0 0 0 4 1 4 2 4 0 0 1 0 Hodgkin's disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Non-Hodgkin's lymphoma 8 0 0 0 0 0 0 2 1 3 1 1 0 0 0 0 Leukemia 5 1 0 0 0 0 0 0 0 0 1 2 0 0 1 0 Multiple myeloma and immunoproliferative neoplasms 7 3 0 0 0 0 0 2 0 1 0 1 0 0 0 0 Other and unspecified malignant neoplasms of lymphoid tissue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 31 9 0 3 1 0 0 5 0 8 3 2 0 0 0 0 In situ neoplasms 8 0 0 0 0 0 0 5 0 1 1 0 0 0 0 1 Anemias 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Diabetes 84 10 0 8 7 0 0 17 0 8 21 7 0 0 1 5 2 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10 0 0 3 0 0 0 3 0 2 2 0 0 0 0 0 Malignant neoplasm of lymphoid, hematopoietic and related tissue All other and unspecified malignant neoplasm Nutritional deficiencies Malnutrition Other nutritional deficiencies Meningitis Parkinson's disease 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 Other forms of chronic ischemic heart disease Atherosclerotic cardiovascular disease All other forms of chronic ischemic heart disease 20 3 0 1 2 0 0 4 0 6 2 1 0 1 0 0 285 51 3 26 7 6 0 71 1 55 34 28 0 0 2 1 221 41 1 16 5 4 0 58 0 48 28 18 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 14 3 0 0 0 0 0 8 0 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 149 26 1 10 5 3 0 42 0 34 15 12 0 0 1 0 56 14 1 2 1 1 0 15 0 15 4 2 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 92 12 0 7 4 2 0 27 0 19 11 10 0 0 0 0 36 4 0 1 1 1 0 12 0 8 4 5 0 0 0 0 56 8 0 6 3 1 0 15 0 11 7 5 0 0 0 0 57 11 0 6 0 1 0 8 0 14 11 5 0 0 0 1 Acute and subacute endocarditis 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Diseases of pericardium and acute myocarditis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Heart failure 17 2 0 4 0 0 0 2 0 3 4 2 0 0 0 0 All other forms of heart disease 39 9 0 2 0 1 0 6 0 11 6 3 0 0 0 1 Essential (primary) hypertension and hypertensive renal disease 16 1 0 5 1 1 0 3 0 1 2 2 0 0 0 0 Cerebrovascular diseases 44 8 2 4 0 1 0 9 1 6 4 8 0 0 1 0 Other heart diseases 96 Apache Cause of death (Tenth Revision, International Statistical Classification of Diseases) ARIZONA 5.7 (continued) DEATHS BY COUNTY OF RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2006 Health Status Profile of American Indians in Arizona, 2006 Data Book La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Coconino Cochise Apache Cause of death (Tenth Revision, International Statistical Classification of Diseases) ARIZONA 5.7 (continued) DEATHS BY COUNTY OF RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2006 Atherosclerosis 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 Other diseases of circulatory system 3 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 Aortic aneurysm and dissection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other disease of arteries, arterioles and capillaries 3 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 2 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 56 12 0 8 0 0 0 6 0 17 6 6 0 0 1 0 2 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 54 12 0 7 0 0 0 5 0 17 6 6 0 0 1 0 Other disorders of circulatory system Influenza and pneumonia Influenza Pneumonia Other acute lower respiratory infections 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 Unspecified acute lower respiratory infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 16 2 0 0 0 1 0 4 2 2 4 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 Emphysema 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Asthma 4 1 0 0 0 1 0 1 0 0 0 0 0 1 0 0 11 1 0 0 0 0 0 3 2 2 3 0 0 0 0 0 Chronic lower respiratory diseases Other chronic lower respiratory diseases Pneumoconioses and chemical effects 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pneumonitis due to solids and liquids 7 1 0 1 0 0 0 0 0 4 0 1 0 0 0 0 25 7 0 3 0 0 0 4 0 7 2 1 0 0 0 1 Peptic ulcer 2 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 Diseases of appendix 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 Other disease of respiratory system Hernia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 104 9 0 12 1 0 0 29 2 14 27 7 0 0 1 2 Alcoholic liver disease 73 4 0 7 1 0 0 28 0 11 16 4 0 0 0 2 Other chronic liver disease and cirrhosis 31 5 0 5 0 0 0 1 2 3 11 3 0 0 1 0 6 2 0 0 0 0 0 0 0 2 2 0 0 0 0 0 45 12 0 3 0 1 0 5 1 11 6 5 0 1 0 0 Acute and rapidly progressive nephritic and nephrotic syndrome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Chronic glomerulonephritis 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44 11 0 3 0 1 0 5 1 11 6 5 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Infections of kidney 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Hyperplasia of prostate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Inflammatory diseases of female pelvic organs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pregnancy, childbirth and the puerperium 2 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis Renal failure Others disorders of kidney Pregnancy with abortive outcome Health Status Profile of American Indians in Arizona, 2006 Data Book 97 Other complications of pregnancy, childbirth and the puerperium La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Coconino Cochise 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 Perinatal conditions 20 1 0 2 1 2 0 8 0 3 1 2 0 0 0 0 Congenital anomalies, deformations and chromosomal abnormalities 16 2 0 2 0 0 0 5 0 4 3 0 0 0 0 0 Symptoms, signs, abnormal findings 29 4 0 2 0 0 0 6 1 7 6 2 0 1 0 0 273 49 0 42 8 2 0 45 5 60 34 27 0 0 0 1 187 29 0 34 5 1 0 27 5 36 24 25 0 0 0 1 172 23 0 33 5 1 0 26 5 31 24 23 0 0 0 1 10 3 0 1 0 0 0 0 0 4 0 2 0 0 0 0 Total accidents Transport accidents Motor vehicle accidents Other land transport accidents Water, air, space 5 3 0 0 0 0 0 1 0 1 0 0 0 0 0 0 86 20 0 8 3 1 0 18 0 24 10 2 0 0 0 0 20 4 0 3 2 0 0 2 0 6 2 1 0 0 0 0 Accidental discharge of firearms 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Accidental drowning and submersion 5 2 0 1 0 0 0 1 0 0 1 0 0 0 0 0 Accidental exposure to smoke, fire and flames 3 1 0 0 0 0 0 0 0 2 0 0 0 0 0 0 Accidental poisoning 22 0 0 1 0 0 0 10 0 4 6 1 0 0 0 0 Other and unspecified nontransport accidents 36 13 0 3 1 1 0 5 0 12 1 0 0 0 0 0 49 5 1 8 1 0 0 7 1 16 4 6 0 0 0 0 By discharge of firearms 14 1 0 0 0 0 0 3 1 5 4 0 0 0 0 0 By other means 35 4 1 8 1 0 0 4 0 11 0 6 0 0 0 0 48 7 0 1 2 1 0 17 0 12 4 3 0 0 0 1 By discharge of firearms 15 1 0 0 0 0 0 11 0 0 3 0 0 0 0 0 By other means 33 6 0 1 2 1 0 6 0 12 1 3 0 0 0 1 Legal intervention 2 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 16 3 0 2 0 0 0 2 0 5 3 1 0 0 0 0 2 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 14 3 0 1 0 0 0 2 0 5 2 1 0 0 0 0 Operations of war 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 1 0 0 0 0 0 0 0 0 Nontransport accidents Falls Intentional self-harm (suicide) Assault (homicide) Events of undetermined intent Discharge of firearms Other and unspecified events of undetermined intent INJURY BY FIREARMS 33 2 0 1 0 0 0 16 1 5 8 0 0 0 0 0 DRUG-INDUCED DEATHS 30 0 0 1 0 0 0 12 0 6 9 2 0 0 0 0 123 12 0 16 3 0 0 34 0 27 23 6 0 0 0 2 ALCOHOL-INDUCED DEATHS 98 Apache Cause of death (Tenth Revision, International Statistical Classification of Diseases) ARIZONA 5.7 (continued) DEATHS BY COUNTY OF RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2006 Health Status Profile of American Indians in Arizona, 2006 Data Book 5.8 DEATHS FROM MOTOR VEHICLE-RELATED INJURIES AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2006 TOTAL 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 172 1 1 22 10 5 54 1 3 5 18 4 124 20 6 12 10 48 5 0 0 0 0 0 3 0 0 0 0 0 3 1 0 1 0 2 5-14 1 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 15-24 40 0 1 8 4 2 9 0 1 1 3 3 32 1 2 3 2 8 25-34 44 0 0 3 4 1 14 0 0 3 6 1 32 5 3 2 2 12 35-44 29 1 0 8 0 0 9 1 1 1 2 0 23 2 0 2 2 6 45-54 29 0 0 2 0 2 10 0 1 0 4 0 19 6 1 1 2 10 55-64 16 0 0 0 1 0 5 0 0 0 2 0 8 4 0 3 1 8 65-74 2 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 ALL AGES 1-4 6 0 0 1 0 0 4 0 0 0 0 0 5 1 0 0 0 1 113 1 0 13 6 4 37 1 1 5 14 1 83 12 3 8 7 30 2 0 0 0 0 0 2 0 0 0 0 0 2 0 0 0 0 0 15-24 26 0 0 4 4 2 7 0 0 1 1 1 20 0 1 3 2 6 25-34 31 0 0 2 2 0 10 0 0 3 6 0 23 4 1 2 1 8 35-44 19 1 0 5 0 0 6 1 0 1 2 0 16 1 0 0 2 3 45-54 22 0 0 2 0 2 7 0 1 0 2 0 14 5 1 1 1 8 55-64 10 0 0 0 0 0 3 0 0 0 2 0 5 2 0 2 1 5 65-74 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 75-84 F Resided off reservation 1-4 75-84 M Fort McDowell Yavapai Nation TOTAL Colorado River Indian Tribes Resided on reservation 2 0 0 0 0 0 2 0 0 0 0 0 2 0 0 0 0 0 59 0 1 9 4 1 17 0 2 0 4 3 41 8 3 4 3 18 1-4 3 0 0 0 0 0 1 0 0 0 0 0 1 1 0 1 0 2 5-14 1 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 15-24 14 0 1 4 0 0 2 0 1 0 2 2 12 1 1 0 0 2 25-34 13 0 0 1 2 1 4 0 0 0 0 1 9 1 2 0 1 4 35-44 10 0 0 3 0 0 3 0 1 0 0 0 7 1 0 2 0 3 45-54 7 0 0 0 0 0 3 0 0 0 2 0 5 1 0 0 1 2 55-64 6 0 0 0 1 0 2 0 0 0 0 0 3 2 0 1 0 3 65-74 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 75-84 4 0 0 1 0 0 2 0 0 0 0 0 3 1 0 0 0 1 ALL AGES Health Status Profile of American Indians in Arizona, 2006 Data Book 99 5.9 INTENTIONAL SELF-HARM (SUICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2006 TOTAL ALL AGES 100 TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL White Mountain Apache Tribe San Carlos Apache Tribe Salt River PimaMaricopa Community Pascua Yaqui Tribe Navajo Nation Kaibab-Paiute Tribe 5 2 1 12 2 1 1 8 32 6 2 3 6 17 3 2 0 0 1 0 0 0 0 3 0 0 0 0 0 15-24 22 1 1 1 3 1 1 1 6 15 2 1 2 2 7 25-34 13 1 0 0 2 1 0 0 2 6 4 1 0 2 7 35-44 6 0 1 0 4 0 0 0 0 5 0 0 1 0 1 45-54 4 1 0 0 1 0 0 0 0 2 0 0 0 2 2 75-84 1 0 0 0 1 0 0 0 0 1 0 0 0 0 0 40 2 1 1 11 2 1 0 7 25 4 2 3 6 15 1 0 0 0 1 0 0 0 0 1 0 0 0 0 0 15-24 18 0 1 1 2 1 1 0 6 12 1 1 2 2 6 25-34 11 1 0 0 2 1 0 0 1 5 3 1 0 2 6 35-44 5 0 0 0 4 0 0 0 0 4 0 0 1 0 1 45-54 4 1 0 0 1 0 0 0 0 2 0 0 0 2 2 75-84 1 0 0 0 1 0 0 0 0 1 0 0 0 0 0 ALL AGES 9 3 1 0 1 0 0 1 1 7 2 0 0 0 2 5-14 2 2 0 0 0 0 0 0 0 2 0 0 0 0 0 15-24 4 1 0 0 1 0 0 1 0 3 1 0 0 0 1 25-34 2 0 0 0 0 0 0 0 1 1 1 0 0 0 1 35-44 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 ALL AGES 5-14 F Resided off reservation 49 5-14 M Hopi Tribe TOTAL Gila River Indian Community Resided on reservation Health Status Profile of American Indians in Arizona, 2006 Data Book 5.10 ASSAULT (HOMICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2006 M F ALL AGES TOTAL ---in Pima County ---in Maricopa County TOTAL White Mountain Apache Tribe Tohono O'Odham Tribe Resided off reservation San Carlos Apache Tribe Salt River PimaMaricopa Community Pascua Yaqui Tribe Navajo Nation Hopi Tribe Colorado River Indian Tribes TOTAL TOTAL Gila River Indian Community Resided on reservation 48 1 4 1 10 2 1 3 3 9 34 13 1 14 <1 1 0 0 0 1 0 0 0 0 0 1 0 0 0 1-4 2 0 0 1 0 0 0 0 0 0 1 1 0 1 15-24 23 0 3 0 4 1 0 0 2 5 15 7 1 8 25-34 8 1 0 0 2 1 1 1 0 0 6 2 0 2 35-44 7 0 0 0 2 0 0 1 0 2 5 2 0 2 45-54 6 0 1 0 1 0 0 1 1 2 6 0 0 0 55-64 1 0 0 0 0 0 0 0 0 0 0 1 0 1 42 1 4 1 9 2 1 3 2 6 29 12 1 13 <1 1 0 0 0 1 0 0 0 0 0 1 0 0 0 1-4 2 0 0 1 0 0 0 0 0 0 1 1 0 1 ALL AGES 15-24 19 0 3 0 3 1 0 0 2 2 11 7 1 8 25-34 8 1 0 0 2 1 1 1 0 0 6 2 0 2 35-44 6 0 0 0 2 0 0 1 0 2 5 1 0 1 45-54 5 0 1 0 1 0 0 1 0 2 5 0 0 0 55-64 1 0 0 0 0 0 0 0 0 0 0 1 0 1 ALL AGES 6 0 0 0 1 0 0 0 1 3 5 1 0 1 15-24 4 0 0 0 1 0 0 0 0 3 4 0 0 0 35-44 1 0 0 0 0 0 0 0 0 0 0 1 0 1 45-54 1 0 0 0 0 0 0 0 1 0 1 0 0 0 Health Status Profile of American Indians in Arizona, 2006 Data Book 101 5.11 DIABETES-RELATED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2006 TOTAL ALL AGES 15-24 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 Fort Yuma QuechanTribe Fort McDowell Yavapai Nation 1 5 1 1 15 10 1 39 16 5 12 21 8 135 22 11 11 12 56 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 25-34 2 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 1 35-44 18 0 0 0 0 2 2 0 4 1 1 2 0 0 12 2 2 1 1 6 45-54 26 0 1 1 1 4 1 0 3 3 2 1 2 2 21 1 1 1 2 5 55-64 49 0 2 0 0 5 4 0 10 3 1 2 4 3 34 6 5 3 1 15 65-74 45 0 1 0 0 1 2 0 10 4 1 3 9 2 33 7 1 1 3 12 75-84 34 1 1 0 0 0 0 1 8 2 0 3 5 1 22 4 0 3 5 12 ALL AGES 15-24 16 0 0 0 0 2 1 0 4 2 0 1 1 0 11 2 1 2 0 5 107 1 3 0 1 9 7 0 25 4 2 8 12 4 76 9 8 8 6 31 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 25-34 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 35-44 15 0 0 0 0 2 2 0 3 0 1 2 0 0 10 2 2 1 0 5 45-54 17 0 0 0 1 4 1 0 3 2 0 0 0 1 12 1 1 1 2 5 55-64 32 0 2 0 0 2 2 0 7 0 1 2 4 2 22 2 4 3 1 10 65-74 19 0 1 0 0 0 1 0 6 0 0 1 4 1 14 3 1 1 0 5 75-84 19 1 0 0 0 0 0 0 6 1 0 2 3 0 13 1 0 2 3 6 3 0 0 0 0 0 1 0 0 0 0 1 1 0 3 0 0 0 0 0 85+ F Resided off reservation 191 85+ M Cocopah Tribe TOTAL Colorado River Indian Tribes Resided on reservation ALL AGES 84 0 2 1 0 6 3 1 14 12 3 4 9 4 59 13 3 3 6 25 25-34 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 35-44 3 0 0 0 0 0 0 0 1 1 0 0 0 0 2 0 0 0 1 1 45-54 9 0 1 1 0 0 0 0 0 1 2 1 2 1 9 0 0 0 0 0 55-64 17 0 0 0 0 3 2 0 3 3 0 0 0 1 12 4 1 0 0 5 65-74 26 0 0 0 0 1 1 0 4 4 1 2 5 1 19 4 0 0 3 7 75-84 15 0 1 0 0 0 0 1 2 1 0 1 2 1 9 3 0 1 2 6 85+ 13 0 0 0 0 2 0 0 4 2 0 0 0 0 8 2 1 2 0 5 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 cause of death (84 in 2006) is shown in Tables 5.4 - 5.7. 102 Health Status Profile of American Indians in Arizona, 2006 Data Book 5.12 ALCOHOL-INDUCED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2006 TOTAL ALL AGES M 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 Hopi Tribe Resided off reservation 123 1 3 12 25 5 6 2 18 7 15-24 3 0 0 0 1 0 1 0 0 25-34 12 0 0 4 2 0 1 0 3 35-44 28 0 1 2 8 0 2 2 45-54 43 1 1 3 8 2 1 55-64 26 0 0 3 5 3 1 65-74 10 0 1 0 1 0 0 0 2 1 5 3 0 0 2 5 75-84 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 ALL AGES 79 25 3 7 9 44 0 2 0 0 1 0 1 0 10 1 0 0 1 2 4 2 21 3 1 1 2 7 0 4 2 22 14 2 2 3 21 0 5 2 19 4 0 2 1 7 91 1 3 8 20 3 5 1 13 4 58 18 3 7 5 33 3 0 0 0 1 0 1 0 0 0 2 0 0 1 0 1 25-34 8 0 0 2 2 0 1 0 2 0 7 1 0 0 0 1 35-44 21 0 1 1 6 0 2 1 3 2 16 2 1 1 1 5 45-54 29 1 1 2 5 0 1 0 2 1 13 10 2 2 2 16 55-64 20 0 0 3 5 3 0 0 4 0 15 3 0 2 0 5 65-74 9 0 1 0 1 0 0 0 2 1 5 2 0 0 2 4 15-24 75-84 F Colorado River Indian Tribes TOTAL Gila River Indian Community Resided on reservation 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 32 0 0 4 5 2 1 1 5 3 21 7 0 0 4 11 25-34 4 0 0 2 0 0 0 0 1 0 3 0 0 0 1 1 35-44 7 0 0 1 2 0 0 1 1 0 5 1 0 0 1 2 45-54 14 0 0 1 3 2 0 0 2 1 9 4 0 0 1 5 55-64 6 0 0 0 0 0 1 0 1 2 4 1 0 0 1 2 65-74 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 ALL AGES Health Status Profile of American Indians in Arizona, 2006 Data Book 103 COMPARATIVE CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2006 Data Book 105 5.13 Five Leading Causes of Death by Gender Among American Indian Residents of Arizona in 2006 Rank Female Both Male 1 Diseases of heart 98.1 Diseases of heart 129.4 Diseases of heart 165.1 2 Cancer 79.5 Unintentional injury 97.2 Unintentional injury 139.8 3 4 5 Unintentional injury 58.6 Diabetes 39.5 Chronic liver disease and cirrhosis 32.7 Cancer 83.1 Diabetes 43.9 Chronic liver disease and cirrhosis 43.6 Cancer 93.9 Chronic liver disease and cirrhosis 54.3 Diabetes 49.3 *Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard. Health Status Profile of American Indians in Arizona, 2006 Data Book 107 5.14 Five Leading Causes of Death Among American Indians by Gender and Residence On or Off Reservation, Arizona, 2006 Rank Female, resided on reservat ion Female, resided of f reservat ion Male, resided on reservat ion Male, resided of f reservat ion 1 Unint ent ional injury 13.6% Diseases of heart 18.2% Unint ent ional injury 21.1% Unint ent ional injury 20.8% 2 Cancer 13.6% Unint ent ional injury 12.1% Diseases of heart 13.7% Diseases of heart 16.9% 3 Diseases of heart 11.4% Cancer 12.1% Cancer 7.9% Chronic liver disease and cirrhosis 7.5% 4 Chronic liver disease and cirrhosis 7.0% Diabet es 5.1% Chronic liver disease and cirrhosis 6.9% Cancer 5.8% 5 Diabet es 7.0% Chronic liver disease and cirrhosis 4.7% Diabet es 5.4% Diabet es 4.9% *Percent of total deaths in specified group. 108 Health Status Profile of American Indians in Arizona, 2006 Data Book 5.15 Proportional Mortality* by Type of Cancer and Gender Among American Indians and All Residents of Arizona, 2000-2006 Rank Arizona male** American Indian male Arizona female** American Indian female 1 Trachea, bronchus, lung 29.1% Prostate 12.8% Trachea, bronchus, lung 26.0% B reast 12.9% 2 Prostate 10.9% Lymphoma 11.4% B reast 15.6% Lymphoma 12.1% 3 Lymphoma 10.7% Trachea, bronchus, lung 9.7% Colon, rectum, anus 9.7% Ovary 7.5% 4 Colon, rectum. anus 9.6% Kidney 9.5% Lymphoma 9.4% Trachea, bronchus, lung 7.2% 5 Pancreas 5.4% Liver 9.2% Ovary 5.9% Liver 6.6% 6 Leukemia 4.2% Stomach 8.5% Pancreas 5.7% Stomach 6.1% 7 Non-Hodgkin's lymphoma 4.2% Colon, rectum, anus 7.9% Non-Hodgkin's lymphoma 4.0% Pancreas 5.7% 8 Esophagus 3.6% Pancreas 6.3% Leukemia 3.5% Cervix uteri 5.2% 9 Liver 3.4% Non-Hodgkin's lymphoma 4.1% Brain 2.4% Colon, rectum, anus 5.0% 10 Bladder 3.3% Leukemia 3.8% Liver 2.2% Kidney 4.4% *Percent of cancer deaths in specified group. **All race/ethnic groups combined. Note: percentages based on frequency counts in table 5-17. Health Status Profile of American Indians in Arizona, 2006 Data Book 109 5.16 Proportional Mortality* by Mechanism of Unintentional Injury and Gender Among American Indians and All Residents of Arizona, 1996-2006 Ran k Arizona male** American Indian male Arizona female** American Indian female 1 Motor vehicle-related 43.3% Motor vehicle-related 60.1 Motor vehic le-related 39.3% Motor vehicle-related 68.5% 2 Poisoning by drugs 18.8% Poisoning by drugs 6.7% Falls 28.4 Falls 7.9% 3 Falls 14.1% Falls 5.7% Poisoning by drugs 13.4% Poisoning by drugs 6.1% 4 Drowning 4.0% Excessive cold 4.9% Drowning 2.8% Fire, flames, smoke 2.1% 5 Excessive heat 1.8% Drowning 3.4% Misadventure during medical care 2.3% Drowning 2.1% 6 Fire, flames, smoke 1.6% Poisoning by gases/vapors 2.2% Choked on objects other than food 2.2% Excessive cold 1.7% 7 Choked on object other than food 1.4% Fire, flames, smoke 1.8% Fire, flames, smoke 2.0% Choked on objects other than food 1.4% 8 Mechanical suffocation 1.3% Mechanical suffocation 1.5% Choked on food 1.4% Choked on food 1.1% 9 Accidental discharge of firearms 1.2% Railway accident 1.4% Excessive heat 1.2% Excessive heat 1.1% 10 Choked on food 1.1% Choked on objects other than food 1.4% Mechanical suffocation 0.7% Mechanical suffocation 0.9% *Percent of unintentional injury deaths in specified group. **All race/ethnic groups combined. Note: percentages based on frequency counts in table 5-18. 110 Health Status Profile of American Indians in Arizona, 2006 Data Book 5.17 Comparison of Mortality by Specific Type of Cancer by Gender Among American Indians and All Residents* of Arizona, 2000-2006 ALL RESIDENTS OF ARIZONA TOTAL Malignant neoplasms, total MALE AMERICAN INDIANS OR ALASKA NATIVES FEMALE TOTAL MALE FEMALE 65,454 34,978 30,476 1,192 555 637 842 583 259 15 12 3 Malignant neoplasm of esophagus 1,595 1,270 325 20 19 1 Malignant neoplasm of stomach 1,316 799 517 86 47 39 Malignant neoplasm of colon, rectum and anus 6,343 3,373 2,970 76 44 32 Malignant neoplasm of liver and intrahepatic bile ducts 1,853 1,205 648 93 51 42 Malignant neoplasm of pancreas 3,647 1,898 1,749 71 35 36 378 303 75 3 2 1 Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung 18,098 10,188 7,910 100 54 46 Malignant melanoma of skin 1,077 759 318 9 6 3 Malignant neoplasm of breast 4,813 50 4,763 82 0 82 Malignant neoplasm of cervix uteri 463 0 463 33 0 33 Malignant neoplasm of corpus uteri and uterus, part unspecified 612 0 612 18 0 18 Malignant neoplasm of ovary 1,802 0 1,802 48 0 48 Malignant neoplasm of prostate 3,808 3,808 0 71 71 0 Malignant neoplasm of kidney and renal pelvis 1,557 992 565 81 53 28 Malignant neoplasm of bladder 1,595 1,143 452 15 7 8 Malignant neoplasm of meninges, brain and other parts of central nervous system 1,605 884 721 21 11 10 Malignant neoplasm of lymphoid, hematopoietic and related tissue 6,616 3,739 2,877 140 63 77 Hodgkin's disease 135 84 51 1 1 0 Non-Hodgkin's lymphoma 2,669 1,453 1,216 47 23 24 Leukemia 2,531 1,477 1,054 49 21 28 Multiple myeloma and immunoproliferative neoplasms 1,275 721 554 43 18 25 6 4 2 0 0 0 7,434 3,984 3,450 210 80 130 Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasms * All race/ethnic groups combined. Health Status Profile of American Indians in Arizona, 2006 Data Book 111 5.18 Unintentional Injury Deaths by Mechanism and Gender Among American Indians and All Residents* of Arizona, 1996-2006 ALL RESIDENTS OF ARIZONA TOTAL Unintentional injury, total Railway accidents Motor vehicle -related Water transport accident MALE AMERICAN INDIANS OR ALASKA NATIVES FEMALE TOTAL MALE FEMALE 26,771 17,766 9,005 3,010 2,122 888 132 116 16 38 30 8 11,233 7,692 3,541 1,884 1,276 608 54 39 15 0 0 0 219 188 31 3 2 1 4,541 3,337 1,204 197 143 54 260 201 59 60 47 13 5,050 2,497 2,553 190 120 70 Fire, flames, smoke 473 290 183 58 39 19 Excessive natural heat 433 328 105 36 28 8 Excessive natural cold 196 166 30 119 104 15 Contact with venomous snakes and lizards 3 3 0 0 0 0 Contact with venomous spiders 4 2 2 0 0 0 Contact with hornets, wasps, bees 1 1 0 1 1 0 Accident involving aircraft Poisoning by drugs/medicaments Poisoning by gases and vapors Falls Bitten or struck by dog 10 4 6 1 0 1 Lightning 19 15 4 4 3 1 Storms and floods 11 10 1 4 4 0 Accidental drowning and submersion 952 704 248 91 72 19 Choked on food 332 202 130 32 22 10 Choked on other objects 442 244 198 41 29 12 Mechanical suffocation 287 223 64 40 32 8 Accidental discharge of firearms 253 213 40 23 21 2 81 78 3 5 4 1 3 2 1 2 1 1 Exposure to electric current Overexertion Adverse effects of drugs in therapetic use Misadventures to patients during medical/surgical care 59 29 30 2 1 1 392 184 208 13 6 7 * All race/ethnic groups combined. 112 Health Status Profile of American Indians in Arizona, 2006 Data Book TECHNICAL NOTES Health Status Profile of American Indians in Arizona, 2006 Data Book 113 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, 2006 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. 115 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. Anemia - Hemoglobin level of less than 13.0 g/dL, or a hematocrit of less than 39 percent. 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. Birth injury - Impairment of the infant's body function or structure due to adverse influences that occurred at birth. Fetal alcohol syndrome - A syndrome of altered prenatal growth and development occurring in infants born of women who consumed excessive amounts of alcohol during pregnancy. Hyaline membrane disease/RDS - A disorder primarily of prematurity, manifested clinically by respiratory distress and pathologically by pulmonary hyaline membranes and incomplete expansion of the lungs at birth. Meconium aspiration syndrome - Aspiration of meconium by the fetus or newborn, affecting the lower respiratory system. Assisted ventilation (less than 30 minutes) - A mechanical method of assisting respiration for newborns with respiratory failure. Assisted ventilation (30 minutes or more) - Newborn placed on assisted ventilation for 30 minutes or longer. Seizures - A seizure of any etiology. Congenital anomalies of child 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. 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. 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. Hydrocephalus – Excessive accumulation of cerebrospinal fluid within the ventricles of the brain with consequent enlargement of cranium. Cord prolapse - Premature expulsion of the umbilical cord in labor before the fetus is delivered. Other central nervous system anomalies – Other specified anomalies of the brain, spinal cord, and nervous system. 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). 116 Microcephalus – A significantly small head. 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, 2006 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 agespecific rates are then added to produce the summary rate for all ages combined. Health Status Profile of American Indians in Arizona, 2006 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+ 2006 population of American Indians B 2006 deaths among American Indians C 7275 26728 66287 65326 46990 42845 34749 21090 12720 5975 1865 331850 41 19 12 121 123 188 216 217 200 215 191 Age-specific rates for American Indians in 2006 D (C/B)*100000 563.6 71.1 18.1 185.2 261.8 438.8 621.6 1028.9 1572.3 3598.3 10241.3 .013818 .055317 .145565 .138646 .135573 .162613 .134834 .087247 .066037 .044842 .015508 Age-adjusted rate for American Indians In 2006 F D*E 7.8 3.9 2.6 25.7 35.5 71.4 83.8 89.8 103.8 161.4 158.8 TOTAL 744.5 2000 standard E 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. 117 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 Category codes according to the Tenth Revision (ICD–10) Category codes according to the Ninth Revision (ICD–9) 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 002–003 004,006 007–009 010–018 010–012 013–018 033 034.1–035 036 038 090–097 045 062–064 055 070 *042–*044 084 001,005,020–032,037,039–041,046–054, 056–061,065–066,071–083,085–088, 098–134,136–139,771.3 140–208 140–149 150 151 153–154 155 157 161 162 172 174–175 180 C54–C55 C56 C61 C64–C65 C67 Number of deaths allocated according to Tenth Revision Ninth Revision Estimated comparability ratio Standard error Relative standard error 95-percent confidence limits Lower Upper 30 * * 653 518 135 * * 221 21,258 21 * * * 1,123 12,765 * 37 * * 764 572 192 * * 222 17,791 33 * * * 1,346 11,150 * 0.8108 * * 0.8547 0.9056 0.7031 * * 0.9955 1.1949 0.6364 * * * 0.8343 1.1448 * 0.0644 * * 0.0172 0.0201 0.0407 * * 0.0149 0.0042 0.1184 * * * 0.0120 0.0045 * 7.9 * * 2.0 2.2 5.8 * * 1.5 0.3 18.6 * * * 1.4 0.4 * 0.6846 * * 0.8209 0.8662 0.6233 * * 0.9663 1.1867 0.4043 * * * 0.8109 1.1360 * 0.9370 * * 0.8885 0.9450 0.7830 * * 1.0247 1.2030 0.8685 * * * 0.8578 1.1536 * 464,688 5,927 9,596 11,480 48,583 9,732 24,313 3,209 131,750 5,941 38,102 3,753 461,544 6,172 9,630 11,408 48,619 10,102 24,361 3,194 133,936 6,139 37,891 3,802 1.0068 0.9603 0.9965 1.0063 0.9993 0.9634 0.9980 1.0047 0.9837 0.9677 1.0056 0.9871 0.0002 0.0040 0.0020 0.0019 0.0009 0.0023 0.0009 0.0053 0.0005 0.0032 0.0010 0.0034 0.0 0.4 0.2 0.2 0.1 0.2 0.1 0.5 0.1 0.3 0.1 0.3 1.0064 0.9525 0.9926 1.0025 0.9975 0.9588 0.9963 0.9943 0.9827 0.9614 1.0036 0.9805 1.0072 0.9681 1.0003 1.0101 1.0010 0.9679 0.9997 1.0150 0.9846 0.9741 1.0075 0.9938 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 1.0019 0.9680 0.9745 1.0083 1.0064 1.0030 0.9817 1.0155 See footnotes at end of table. 118 Health Status Profile of American Indians in Arizona, 2006 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) Multiple myeloma and immunoproliferative neoplasms Other and unspecified malignant neoplasms of lymphoid, hematopoietic and related tissue All other and unspecified malignant neoplasms In situ neoplasms, benign neoplasms and neoplasms of uncertain or unknown behavior Anemias Diabetes mellitus Nutritional deficiencies Malnutrition Other nutritional deficiencies Meningitis Parkinson’s disease Alzheimer’s disease Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart diseases Hypertensive heart disease Hypertensive heart and renal disease Ischemic heart diseases Acute myocardial infarction Other acute ischemic heart diseases Other forms of chronic ischemic heart disease Atherosclerotic cardiovascular disease, so described All other forms of chronic ischemic heart disease Other heart diseases Acute and subacute endocarditis Diseases of pericardium and acute myocarditis Heart failure All other forms of heart disease Essential (primary) hypertension and hypertensive renal disease Cerebrovascular diseases Atherosclerosis Other diseases of circulatory system Aortic aneurysm and dissection Other diseases of arteries, arterioles and capillaries Other disorders of circulatory system Influenza and pneumonia Influenza Pneumonia Other acute lower respiratory infections Acute bronchitis and bronchiolitis Category codes according to the Tenth Revision (ICD–10) Category codes according to the Ninth Revision (ICD–9) C88,C90 203 C96 C17,C23–C24,C26–C31,C37–C41, C44–C49,C51–C52,C57–C60, C66,C68–C69,C73–C80,C97 --152,156,158–160,163–171,173,181, 183.2–184,186–187,189.2–190, 193–199 D00–D48 D50–D64 E10–E14 E40–E64 E40–E46 E50–E64 G00,G03 G20–G21 G30 I00–I78 I00–I09,I11,I13,I20–I51 Number of deaths allocated according to Tenth Revision Estimated comparability ratio Ninth Revision 95-percent confidence limits Relative standard error Standard error Lower Upper 9,099 8,763 1.0383 0.0030 0.3 1.0324 1.0443 * * * * * * * 51,182 45,492 1.1251 0.0021 0.2 1.1210 1.1292 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 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 I00–I09 I11 I13 I20–I25 I21–I22 I24 I20,I25 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 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 I25.0 I20,I25.1–I25.9 I26–I51 I33 I30–I31,I40 I50 I26–I28,I34–I38,I42–I49,151 429.2 412–414 415–429.1,429.3–429.9 421 420,422–423 428 415–417,424–427,429.0–429.1,429.3–429.9 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 I10,I12 I60–I69 I70 I71–I78 I71 I72–I78 I80–I99 J10–J18 J10–J11 J12–J18 J20–J22 J20–J21 401,403 430–434,436–438 440 441–448 441 442–448 451–459 480–487 487 480–486 466 466 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 See footnotes at end of table. Health Status Profile of American Indians in Arizona, 2006 Data Book 119 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 Number of deaths allocated according to Tenth Revision Ninth Revision Estimated comparability ratio Standard error Relative standard error 95-percent confidence limits Lower Upper * 94,326 913 14,369 4,217 74,827 860 10,183 16,656 3,574 209 658 21,688 10,147 11,541 1,725 24,939 * 90,022 2,320 14,774 4,718 68,210 845 9,104 14,269 3,686 202 633 20,920 9,965 10,955 1,803 20,242 * 1.0478 0.3935 0.9726 0.8938 1.0970 1.0178 1.1185 1.1673 0.9696 1.0347 1.0395 1.0367 1.0183 1.0535 0.9567 1.2320 * 0.0009 0.0107 0.0031 0.0061 0.0014 0.0099 0.0048 0.0052 0.0045 0.0242 0.0154 0.0027 0.0050 0.0041 0.0060 0.0044 * 0.1 2.7 0.3 0.7 0.1 1.0 0.4 0.4 0.5 2.3 1.5 0.3 0.5 0.4 0.6 0.4 * 1.0460 0.3726 0.9666 0.8819 1.0943 0.9983 1.1092 1.1572 0.9608 0.9873 1.0094 1.0314 1.0085 1.0454 0.9450 1.2234 * 1.0496 0.4145 0.9786 0.9057 1.0998 1.0372 1.1279 1.1774 0.9784 1.0820 1.0696 1.0420 1.0281 1.0615 0.9685 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–V82.1, 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. 120 Health Status Profile of American Indians in Arizona, 2006 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 substance 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 Alcohol-induced deaths1 Category codes according to the Tenth Revision (ICD–10) Number of deaths allocated according to Category codes according to the 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–V81.9, V82.2–V82.9,V87.8,V88.9,V89.1,V89.3, V89.9 E800–E807,E826–E829 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 X60–X71,X75–X84,Y87.0 X85–Y09,Y87.1 X93–X95 Tenth Revision Estimated comparability ratio Ninth Revision 95-percent confidence limits Relative standard error Standard error Lower Upper * * * * * * * 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 0.0 0.1 1.3947 0.9952 0.9968 1.4428 0.9972 0.9996 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 0.1 0.1 0.9850 0.9972 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, *U01.4 D52.1,D59.0,D61.1,D64.2. E06.4, E16.0,E23.1, E24.2, E27.3, E66.1, 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,G21.1,G24.0, G25.1, G25.4,G25.6,G44.4,G62.0,G72.0, I95.2, J70.2,J70.3,J70.4,L10.5,L27.1,M10.2, M32.0,M80.4,M81.4, M83.5, M87.1, R78.1,R78.3,R78.4,R78.5,X40–X44, X60–X64,X85,Y10–Y14 E24.4, F10,G31.2,G62.1, G72.1, 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 0.0006 0.1 0.9961 0.9985 Health Status Profile of American Indians in Arizona, 2006 Data Book *Figure does not meet standards of reliability or precision. ---Category not applicable 0.0 Quantity more than zero but less than 0.05 1 Included in selected categories. The list of codes included in drug-andalcohol induced causes was expanded in the 2003 data year. Source National vital statistics reports vol 49 no 8 and vol 54 no 13. 291,303,305.0,357.5,425.5,535.3, 571.0–571.3,790.3,E860 1,158 969 1.1950 0.0225 1.9 1.1509 1.2391 14,783 15,269 0.9682 0.0025 0.3 0.9633 0.9731 121 APPENDIX A TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA Health Status Profile of American Indians in Arizona, 2006 Data Book 123 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 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 Coclkleburr 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, 2006 Data Book 125 TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA (continued) Reservation/Tribe HAVASUPAI NATION County Coconino Community name Supai HOPI TRIBE Coconino 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 126 Health Status Profile of American Indians in Arizona, 2006 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, 2006 Data Book Community name Del Muerto Dinnehotso Fort Defiance Ganado Greasewood Houck Hunters Point Kin-li-chee Klagetoh Lukachukai Lupton Many Farms Mexican Water Navajo Navajo Station Nazlini Oak Springs Pine Springs Pinta Road Red Mesa Red Rock Rock Point Rough Rock Round Rock Salina Springs Sawmill St Michaels Steamboat Sunrise Springs Teec Nos Pos Toyei Tsaile Valley Store Wide Ruin Window Rock Bitter Springs Big Mountain Cameron Canyon Diablo Cedar Ridge Copper Mine Cow Springs Gray Mountain 127 TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA (continued) Reservation/Tribe NAVAJO NATION (continued) County Coconino Navajo 128 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, 2006 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, 2006 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 129 TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA (continued) Reservation/Tribe TOHONO O’ODHAM (continued) 130 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 Health Status Profile of American Indians in Arizona, 2006 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 Warrior Canyon Chino Springs Castle Butte Cibecue Deer Springs Diamond Creek Fort Apache Grasshopper Hondah Indian Pine North Fork Rainbow City Seven Mile Whiteriver YAVAPAI-APACHE NATION Yavapai Camp Verde Reservation Middle Verde YAVAPAI-PRESCOTT INDIAN TRIBE Yavapai Prescott Health Status Profile of American Indians in Arizona, 2006 Data Book 131 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 Race/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 ARIZONA DEPARTMENT OF HEALTH SERVICES