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 January Contreras, Acting Director Arizona Department of Health Services HEALTH STATUS AND VITAL STATISTICS SECTION BUREAU OF PUBLIC HEALTH STATISTICS ARIZONA DEPARTMENT OF HEALTH SERVICES 150 North 18th Avenue, Suite 550 Phoenix, Arizona 85007 Phone: 602/542-7333; FAX: 602/542-2940 www.azdhs.gov/plan This publication can be made available in alternative format. Please contact the 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: 2007 DATA BOOK by Christopher K. Mrela, Ph.D., Arizona Vital Statistician, Clare Torres, Senior Health Data Analyst December 2008 Acknowledgment Grateful acknowledgement is made to Richard S. Porter for reviewing the typescript. HEALTH STATUS PROFILE OF AMERICAN INDIANS IN ARIZONA 2007 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 2007 ...................................................................................................... 3 2007 Risk Profile of American Indians............................................................................................................................................. 7 American Indians’ Standing in Arizona in 2007 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, 1997-2007 ........ 25 Median Age At Death From All Causes, 1997-2007 ......................................................................................................................... Births to Unmarried Mothers, 1997-2007 ...................................................................................................................................... The Incidence of Gonorrhea, 1997-2007 ....................................................................................................................................... The Incidence of Low-Birthweight Births, 1997-2007 ...................................................................................................................... The Incidence of Fetal Alcohol Syndrome, 1997-2007 ..................................................................................................................... Births to Teenage Mothers, 1997-2007 ......................................................................................................................................... The Incidence of Birth Defects (Congenital Anomalies), 1997-2007................................................................................................... The Incidence of Pregnancy Associated Hypertension, 1997-2007..................................................................................................... The Incidence of Anemia During Pregnancy, 1997-2007 .................................................................................................................. The Incidence of Diabetes During Pregnancy, 1997-2007 ................................................................................................................ Health Status Profile of American Indians in Arizona, 2007 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 2007.................. 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...................................................................................................................................................................... 4.16 4.17 4.18 4.19 4.20 4.21 NEWBORN’S HEALTH Gestational Age......................................................................................................................................................................... Weight At Birth ......................................................................................................................................................................... Abnormal Conditions of the Newborn............................................................................................................................................ Congenital Anomalies (Birth Defects) ........................................................................................................................................... Causes of Infant Death among American Indian Residents, Arizona, 2007.......................................................................................... Comparison of Selected Characteristics of American Indian Newborns and Women Giving Birth By County of Residence, Arizona, 2007......................................................................................................................................... 55 56 57 58 59 60 63 64 65 66 67 68 Health Status Profile of American Indians in Arizona, 2007 Data Book V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2007 ..................................................... 73 AGE-SPECIFIC MORTALITY 5.1 5.2 5.3 Age-Specific Mortality among American Indians in 2007 .................................................................................................................. 77 Age-Specific Mortality among American Indian Males in 2007........................................................................................................... 78 Age-Specific Mortality among American Indian Females in 2007 ....................................................................................................... 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 2007 ................................................................................... 83 Deaths by Age Group for Selected 113 Causes among American Indians in 2007............................................................................... 87 Deaths by Residence for Selected 113 Causes among American Indians in 2007 ............................................................................... 91 Deaths by County of Residence for Selected 113 Causes among American Indians in 2007 ................................................................. 95 Deaths from Motor Vehicle-Related Injuries among American Indians by Place of Residence, Gender and Age Group, Arizona, 2007.......................................................................................................................................... 99 Intentional Self-Harm (Suicide) among American Indians by Place of Residence, Gender and Age Group, Arizona, 2007.........................................................................................................................................100 Assault (Homicide) among American Indians by Place of Residence, Gender and Age Group. Arizona, 2007 ..........................................................................................................................................................................101 Diabetes-Related Deaths among American Indians by Place of Residence, Gender and Age Group, Arizona, 2007 ..........................................................................................................................................................................102 Alcohol-Induced Deaths among American Indians by Place of Residence, Gender and Age Group, Arizona, 2007 ..........................................................................................................................................................................103 COMPARATIVE CAUSE-SPECIFIC MORTALITY Five Leading Causes of Death by Gender among American Indian Residents of Arizona in 2007 ...........................................................107 Five Leading Causes of Death among American Indians by Gender and Residence On or Off Reservation, Arizona, 2007..........................108 Proportional Mortality by Type of Cancer and Gender among American Indians and All Residents of Arizona, 2000-2007 .........................109 Proportional Mortality by Mechanism of Unintentional Injury and Gender among American Indians and All Residents of Arizona, 1997-2007 ............................................................................................................................................110 Comparison of Mortality by Specific Type of Cancer by Gender among American Indians and All residents of Arizona, 2000-2007 .............111 Unintentional Injury Deaths by mechanism and Gender among American Indians and All Residents of Arizona, 1997-2007 ......................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 ................................................................................................................................................. 116 Complications of labor and delivery ............................................................................................................................................... 116 Abnormal conditions of the newborn.............................................................................................................................................. 116 Congenital anomalies of child ....................................................................................................................................................... 116 Terms Related to Mortality........................................................................................................................................................................... 116 Cause-of-Death Categories and Comparability Ratios for Selected 113 Causes of Death ............................................................................. 117 Appendix A. Tribal Communities of American Indians in Arizona................................................................................................................................... 121 Health Status Profile of American Indians in Arizona, 2007 Data Book iii INTRODUCTION The report Health Status Profile of American Indians in Arizona: 2007 Data Book is the twelfth 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 2007. American Indian births are determined by mother's race as indicated on a birth certificate, that is, these are the births to American Indian mothers. American Indian deaths are determined by decedent's race as stated on the death certificate. The charts and tables comprising the 2007 Health Status Profile of American Indians in Arizona are grouped into five major sections: 1) a summary risk profile of American Indian residents of Arizona in 2007 on 70 indicators or measures of health status, 2) a comparison of American Indians’ standing in Arizona with respect to selected health objectives for the year 2010, 3) a section presenting trend data for 1997-2007 for selected health problems and health risks among American Indian and all residents of Arizona, 4) a four-part section concerned with the characteristics of American Indian newborns and mothers giving birth, 5) a three-part section focused on patterns of cause-specific mortality among American Indians by age group, gender and place of residence in Arizona in 2007. Beginning with the 2006 report, it also includes 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 the Technical Notes, which provide information about the sources of data and definitions of terms used in the report, as well as a comparison of cause-of-death categories classified by the Ninth (ICD-9) and the Tenth Revisions (ICD-10) of the International Classification of Diseases. The causes of death for 2000 - 2007 are classified by ICD-10. Health Status Profile of American Indians in Arizona, 2007 Data Book 1 Beginning with the first edition of this report published in 1996, specific Indian reservations have been identified by tribal communities comprising them. However, this approach does not work very well for the tribes residing within the limits of an incorporated city (such as Yavapai Prescott Indian Tribe) or inside a metropolitan area (such as Salt River Pima-Maricopa Community, Fort McDowell Yavapai Nation, Gila River Indian Community or Fort Yuma Quechan Tribe). In this edition of the report, tribal affiliation combined with a specific place of residence was used in order to distinguish between American Indian residents of specified tribal communities and/or on reservations, and those who resided off reservation in Arizona in 2007. For example, Pascua Yaquis are defined here as the American Indian residents of Guadalupe, South Tucson, Marana or Tucson whose tribal affiliation was Pascua Yaqui. Vital events to Pascua Yaqui Indians who resided in Glendale or Scottsdale are included among events occurring outside their tribal communities or “off reservation”. Similarly, the only American Indian residents of Prescott who are included in the counts of events for Yavapai-Prescott Indian Tribe are those affiliated with the Yavapai-Prescott Indian Tribe. Tribal affiliation is being used in this report only in its supplementary role and the tabulations of births and deaths in this publication are not by tribal membership but by place of residence in Arizona, as originally intended. A detailed classification of tribal communities in Arizona is available in the Appendix A. It no longer identifies the numeric codes associated with community names because they are not used in the mortality database and the extent to which they appear in the birth database is quite limited. Generally, the information about the usual place (or tribal community) of residence is quite poorly recorded in the electronic databases of births and deaths. Certain communities are altogether absent and many are underrepresented. Therefore, the tribe-or-reservation-specific counts of vital events in this report are not exact enumerations. Health Status Profile of American Indians in Arizona was intended as a data book: a basic reference for some of the most frequently requested vital event statistics. The five sections of the report were computer-generated and contain information with little or no accompanying narrative. In addition to bound form, the online versions of the report for 1995–2007 are available at http://www.azdhs.gov/plan/report/hspam/index.htm 2 Health Status Profile of American Indians in Arizona, 2007 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 2007 Health Status Profile of American Indians in Arizona, 2007 Data Book 3 The risk profile presented on the following page summarizes how American Indians as a group compared in 2007 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 2007, 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 17 years younger at time of death compared to White non-Hispanics; • had high infant mortality, high mortality from alcohol-induced causes, diabetes, influenza and pneumonia, motor vehicle accidents and mortality from other unintentional injuries: all contributing to the premature death rate; • • 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; experienced an unprecedented decline in their suicide rate from 17.5 suicides per 100,000 in 2005 to 13.7/100,000 in 2006, and 9.8/100,000 in 2007 * 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, 2007 Data Book 5 2007 RISK PROFILE OF AMERICAN INDIANS (Percent above or below the average rate or ratio of all Arizona residents in 2007) BETTER THAN AVERAGE -74.1 -66.8 -65.2 -50.0 -47.2 -44.4 -42.4 -36.4 -34.6 -34.0 -28.6 -28.1 -26.4 -23.0 -22.9 -20.3 -19.4 -16.7 -12.2 -11.8 -11.1 -10.6 -8.5 -7.0 5-7.Lung cancer 5-5.Chronic lower respiratory diseases 5-17.Alzheimer's disease 4-1.Incidence of hyaline membrane 6-5.Injury by firearms 5-10.Colorectal cancer 6-6.Drug-induced deaths 6-8.Intentional self-harm (suicide) 9-5.Incidence of HIV/AIDS 2-2.Tobacco use during pregnancy 2-9.Genital herpes during pregnancy 5-4.Cerebrovascular disease 5-3.Coronary heart disease 5-6.Malignant neoplasm (cancer) 5-2.Diseases of the heart 5-1.Cardiovascular disease 5-8.Breast cancer 4-5.Born too small: <1,500 grams 5-11.Prostate cancer 4-2.Incidence of newborn intensive care 4-9.Mortality of infants from low birthweight 4-10.Neonatal mortality 6-3.Fall-related injuries 4-4.Born too small: <2,500 grams 4-3.Born too early (preterm or < 37 weeks) 1-4.Pregnancies among females 18-19 years 9-4.Incidence of genital herpes 5-20.Total mortality from all causes 1-1.Pregnancies among females 19 and younger 1-3.Pregnancies among females 15-17 years 8-3.Median age at death among females 4-7.Infant mortality 9-2.Incidence of gonorrhea 5-9.Cervical cancer 8-1.Median age at death from all causes 8-2.Median age at death among males 2-10.Weight gain of less than 21 pounds 7-4.Mortality of middle-aged adults 45-64 years 1-2.Pregnancies among females 14 and younger 8-4.Deaths before expected years of life reached 3-3.No prenatal care 4-8.Sudden Infant Death Syndrome (SIDS) 3-1.No care in the 1st trimester 7-2.Mortality of adolescents 15-19 years 9-3.Incidence of chlamydia 2-1.Unmarried mothers 4-11.Postneonatal mortality 6-9.Assault (homicide) 4-6.Incidence of congenital anomalies 7-1.Mortality of children 1-14 years 2-8.Pregnancy-associated hypertension 6-4.Drowning mortality 5-19.Essential (primary) hypertension 3-2.Fewer than five prenatal visits 6-1.Unintentional injuries 7-3.Mortality of young adults 20-44 years 5-15.HIV disease 5-16.Septicemia 2-6.Anemia during pregnancy 2-7.Diabetes during pregnancy 2-4.Chronic hypertension 2-5.Dysfunctional labor 5-12.Influenza and pneumonia 5-18.Nephritis, nephrotic syndrome and nephrosis 2-3.Alcohol use during pregnancy 5-13.Diabetes 6-2.Motor vehicle-related injuries 5-14.Chronic liver disease and cirrhosis 9-1.Incidence of early syphilis 6-7.Alcohol-induced deaths -500.0 1.0 2.9 13.2 13.5 13.7 14.9 16.3 19.1 19.9 21.1 22.4 26.0 26.1 26.5 33.3 44.1 45.5 50.0 52.2 61.8 66.0 68.7 69.6 70.1 75.0 75.9 87.1 92.3 96.5 100.0 103.9 110.8 111.8 119.8 126.7 135.3 150.0 163.6 165.9 171.1 200.0 200.6 202.5 225.7 246.6 0.0 -250.0 Health Status Profile of American Indians in Arizona, 2007 Data Book WORSE THAN AVERAGE AVERAGE FOR ALL RESIDENTS 344.1 500.0 250.0 7 AMERICAN INDIANS’ STANDING IN ARIZONA IN 2007 ON 70 INDICATORS OF HEALTH STATUS Figure number 1. TEEN PREGNANCIES (Number of pregnancies per 1,000 females in specified age group) Indicator 2007 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2007 1-1 Pregnancies among females 19 and younger 39.1 13.7 34.4 1-2 Pregnancies among females 14 and younger 2.0 33.3 1.5 1-3 Pregnancies among females 15-17 years old 42.4 14.9 36.9 1-4 Pregnancies among females 18-19 years old 124.9 2.9 121.4 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 2007 ratio for American Indians Percent above or below the average ratio for all groups Average ratio for all groups in 2007 75.9 68.7 45.0 Tobacco use during pregnancy 3.1 -34.0 4.7 2-3 Alcohol use during pregnancy 1.8 200.0 .6 2-4 Chronic hypertension 1.5 150.0 .6 2-5 Dysfunctional labor 2.9 163.6 1.1 2-6 Anemia during pregnancy 6.8 126.7 3.0 2-7 Diabetes during pregnancy 8.0 135.3 3.4 2-8 Pregnancy-associated hypertension 5.8 87.1 3.1 2-9 Genital herpes during pregnancy .5 -28.6 .7 2-10 Weight gain of less than 21 pounds 31.9 26.1 25.3 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, 2007 Data Book Figure number 3. UTILIZATION OF PRENATAL CARE SERVICES (Per 100 live births) Indicator 2007 ratio for American Indians Percent above or below the average ratio for all groups Average ratio for all groups in 2007 3-1 No care in the 1st trimester 34.1 52.2 22.4 3-2 Fewer than five prenatal visits 12.0 100.0 6.0 3-3 No prenatal care 3.2 45.5 2.2 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 2007 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 2007 .2 -50.0 .4 4.5 -11.8 5.1 10.4 1.0 10.3 4-1 Incidence of hyaline membrane disease 4-2 Incidence of newborn intensive care 4-3 Born too early (preterm or < 37 weeks) 4-4 Born too small: low-birthweight (<2,500 grams) 6.6 -7.0 7.1 4-5 Born too small: very low-birthweight (<1,500 grams) 1.0 -16.7 1.2 4-6 Incidence of congenital anomalies (birth defects) 1.4 75.0 .8 4-7 Infant mortality 8.1 19.1 6.8 4-8 Sudden Infant Death Syndrome (SIDS) .6 50.0 .4 4-9 Mortality of infants from low birthweight/short gestation .8 -11.1 .9 4-10 Neonatal mortality 4.2 -10.6 4.7 4-11 Postneonatal mortality 3.9 69.6 2.3 Health Status Profile of American Indians in Arizona, 2007 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 2007 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2007 5-1 Cardiovascular disease 155.0 -20.3 194.4 5-2 Diseases of the heart 115.2 -22.9 149.5 5-3 Coronary heart disease 84.6 -26.4 115.0 5-4 Cerebrovascular disease 22.0 -28.1 30.6 5-5 Chronic lower respiratory diseases 13.0 -66.8 39.2 5-6 Malignant neoplasm (cancer) 113.9 -23.0 148.0 5-7 Lung cancer 9.9 -74.1 38.2 5-8 Breast cancer 16.2 -19.4 20.1 5-9 Cervical cancer 2.3 21.1 1.9 5-10 Colorectal cancer 8.0 -44.4 14.4 5-11 Prostate cancer 16.6 -12.2 18.9 5-12 Influenza and pneumonia 34.3 165.9 12.9 5-13 Diabetes 51.1 200.6 17.0 5-14 Chronic liver disease and cirrhosis 36.8 225.7 11.3 5-15 HIV disease 3.6 111.8 1.7 5-16 Septicemia 17.8 119.8 8.1 5-17 Alzheimer's disease 10.3 -65.2 29.6 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 20.6 171.1 7.6 5-19 Essential (primary) hypertension 11.2 96.5 5.7 5-20 Total mortality from all causes 752.5 13.5 663.2 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 100,000 age-adjusted 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, 2007 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 2007 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2007 6-1 Unintentional injuries 95.0 103.9 46.6 6-2 Motor vehicle-related injuries 49.0 202.5 16.2 6-3 Fall-related injuries 9.7 -8.5 10.6 6-4 Drowning mortality 2.5 92.3 1.3 6-5 Injury by firearms 7.6 -47.2 14.4 6-6 Drug-induced deaths 8.7 -42.4 15.1 6-7 Alcohol-induced deaths 49.3 344.1 11.1 6.8 Intentional self-harm (suicide) 9.8 -36.4 15.4 6-9 Assault (homicide) 13.1 70.1 7.7 Health Status Profile of American Indians in Arizona, 2007 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 2007 rate for American Indians Percent above or below the average rate for all groups 34.3 75.9 19.5 The number of deaths per 100,000 children 1-14 years old in 2007 The number of deaths per 100,000 adolescents 15-19 years old in 2007 Average value for all groups in 2007 Definition 7-1 Mortality of children 1-14 years old 7-2 Mortality of adolescents 15-19 years old 124.4 61.8 76.9 7-3 Mortality of young adults 20-44 years old 291.3 110.8 138.2 The number of deaths per 100,000 young adults 20-44 years old in 2007 7-4 Mortality of middle-aged adults 45-64 years old 737.5 26.5 582.8 The number of deaths per 100,000 middle-aged adults 45-64 years old in 2007 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 2007 value for American Indians Percent above or below the average value for all groups Average value for all groups in 2007 Definitions 59.0 22.4 76.0 The median age (the age in the middle) of Arizonans who died in 2007 54.0 26.0 73.0 The median age (the age in the middle) of Arizona males who died in 2007 67.0 16.3 80.0 The median age (the age in the middle) of Arizona females who died in 2007 44.1 52.6 The number of deaths before reaching 77.9 years (the life expectancy of all U.S. residents in 2004) per 100 deaths 2007 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2007 75.8 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 30.5 133.0 8.8 9-2 Incidence of gonorrhea 94.4 19.9 78.7 Number of reported cases of gonorrhea per 100,000 population 9-3 Incidence of chlamydia 641.6 66.0 386.6 Number of reported cases of chlamydia per 100,000 population 9-4 Incidence of genital herpes 35.2 13.2 31.1 Number of reported cases of genital herpes per 100,000 population 9-5 Incidence of HIV/AIDS 8.3 -34.6 12.7 Number of reported cases of HIV/AIDS per 100,000 population 12 Health Status Profile of American Indians in Arizona, 2007 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, 2007 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 American Indian women giving birth who received early prenatal care. 100.0 OBJECTIVE 90.0 75.0 60.0 61.2 1997 1998 64.1 65.8 64.6 64.4 2000 2001 2002 68.8 69.0 67.9 2003 2004 2005 65.9 65.9 2006 2007 50.0 25.0 0.0 1999 Source: Table 1B-2 and Table 1B-12 in Arizona Health Status and Vital Statistics 2007. Health Status Profile of American Indians in Arizona, 2007 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 9.3 9.0 9.6 8.3 8.3 7.0 7.5 8.1 7.2 6.4 6.0 O B J E C T I V E 3.0 OBJECTIVE 0.0 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Source: Table 2C-2 in Arizona Health Status and Vital Statistics 2007. 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, 2007 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 6.2 6.0 4.9 4.4 3.8 4.0 3.8 4.0 3.9 3.4 3.2 2.4 2.0 OBJECTIVE 0.0 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 Source: Table 2C-3 or Table 2C-4 in Arizona Health Status and Vital Statistics 2007. 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, 2007 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). 140.0 113.1 112.7 111.0 108.6 105.0 117.8 103.9 97.2 95.0 70.0 35.0 17.5 OBJECTIVE 0.0 2000 2001 2002 2003 2004 2005 2006 2007 2010 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2007. 18 Health Status Profile of American Indians in Arizona, 2007 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 49.0 32.0 16.0 OBJECTIVE 0.0 2000 2001 2002 2003 2004 2005 2006 2007 2010 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2007. Health Status Profile of American Indians in Arizona, 2007 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 the year 2000 standard). 25.0 20.0 17.9 16.2 15.4 17.0 17.5 15.2 15.0 13.7 10.0 9.8 10.0 2007 2010 OBJECTIVE 5.0 0.0 2000 2001 2002 2003 2004 2005 2006 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2007. 20 Health Status Profile of American Indians in Arizona, 2007 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 13.1 10.0 5.0 5.0 OBJECTIVE 0.0 2000 2001 2002 2003 2004 2005 2006 2007 2010 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2007. Health Status Profile of American Indians in Arizona, 2007 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). 180.0 155.7 129.3 138.9 134.4 118.7 120.0 125.4 100.2 107.2 60.0 45.0 45.0 OBJECTIVE 0.0 2000 Note: 22 2001 2002 2003 2004 2005 2006 2007 2010 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. Health Status Profile of American Indians in Arizona, 2007 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 39.7 40.5 43.6 38.8 36.8 25.0 3.0 OBJECTIVE 0.0 2000 2001 2002 2003 2004 2005 2006 2007 2010 *Chronic liver disease and cirrhosis (ICD-10 codes K70, K73-K74). Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2007. Health Status Profile of American Indians in Arizona, 2007 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 2.3 2.0 2.0 2.0 OBJECTIVE 0.0 2000 2001 2002 2003 2004 2005 2006 2007 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 2007. 24 Health Status Profile of American Indians in Arizona, 2007 Data Book III. TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS IN ARIZONA Health Status Profile of American Indians in Arizona, 2007 Data Book 25 3.1 Median Age at Death from all Causes, 1997-2007 Median age at deat h: 100.0 75.0 55.0 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 76.0 59.0 50.0 0.0 1997 2006 2007 A merican Indians A ll A rizonans Source: Table 2D-1 in Arizona Health Status and Vital Statistics 2007. Health Status Profile of American Indians in Arizona, 2007 Data Book 27 3.2 Births to Unmarried Mothers, 1997-2007 Per 100 births: 100.0 80.0 60.0 68.4 69.2 68.2 70.1 68.5 73.1 72.4 69.7 75.9 74.8 72.9 40.0 37.7 38.4 38.8 39.3 39.4 40.2 41.2 41.9 42.8 43.9 45.0 20.0 1997 1998 1999 2000 2001 All Arizonans 2002 2003 2004 2005 2006 2007 American Indians Source: Table 1B-2 and Table 1B-13 in Arizona Health Status and Vital Statistics 2007. 28 Health Status Profile of American Indians in Arizona, 2007 Data Book 3.3 The Incidence of Gonorrhea, 1997-2007 200.0 The number of reported cases of gonorrhea per 100,000 population. 160.0 120.0 80.0 40.0 0.0 All Arizonans American Indians Source: 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 2007 78.7 55.8 91.8 81.5 105.1 115.5 107.7 103.1 142.7 142.6 125.7 94.4 Table 3B-5 in Arizona Health Status and Vital Statistics 2007. 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, 2007 Data Book 29 3.4 The Incidence of Low-Birthweight Births, 1997-2007 Per 100 births: 8.0 The number of newborns weighing less than 2,500 grams per 100 births. 7.5 7.0 6.5 6.0 5.5 5.0 American Indians All Arizonans 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 2007 6.6 6.9 6.8 6.9 7.0 7.0 6.8 7.1 7.2 6.9 7.1 7.1 Source: Table 1B-2 and Table 1B-12 in Arizona Health Status and Vital Statistics 2007. 30 Health Status Profile of American Indians in Arizona, 2007 Data Book 3.5 The Incidence of Fetal Alcohol Syndrome, 1997-2007 2.00 Per 1,000 live births: 1.50 1.00 0.50 0.00 American Indians All Arizonans 1997 1.70 1998 0.60 1999 0.60 2000 0.36 2001 0.19 2002 0.36 2003 0.00 2004 0.49 2005 0.16 2006 0.60 2007 0.16 0.20 0.10 0.10 0.05 0.05 0.03 0.00 0.04 0.02 0.04 0.02 Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2007. 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, 2007 Data Book 31 3.6 Births to Teenage Mothers,* 1997-2007 Per 100 live births: 25.0 20.3 19.8 18.4 19.4 19.0 18.7 19.4 19.0 18.7 19.4 18.7 19.1 19.1 19.1 19.1 20.1 12.5 18.4 14.7 20.3 15.0 19.8 14.9 19.4 18.7 20.1 14.3 13.8 13.1 12.9 12.7 12.5 12.7 12.6 2000 2001 2002 2003 2004 2005 2006 2007 0.0 1997 1998 1999 All Arizonans American Indians * 19 or younger. Source: Table 1B-2 and Table 1B-14 in Arizona Health Status and Vital Statistics 2007. 32 Health Status Profile of American Indians in Arizona, 2007 Data Book 3.7 The Incidence of Birth Defects (Congenital Anomalies), 1997-2007 Per 100 births: 4.0 2.9 3.2 2.5 2.6 2.2 2.4 1.9 1.9 1.8 1.6 1.6 1.5 1.3 1.3 1.3 1.3 1.5 1.4 1.3 1.2 1.0 1.0 1.0 0.9 0.8 0.8 0.0 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 All Arizonans American Indians Source: Table 1B-35 in Arizona Health Status and Vital Statistics 2007. Health Status Profile of American Indians in Arizona, 2007 Data Book 33 3.8 The Incidence of Pregnancy Associated Hypertension, 1997-2007 Per 1,000 birt hs 75.0 53.3 56.0 55.7 56.1 57.1 58.2 57.1 58.8 57.9 54.4 46.0 50.0 25.0 26.0 27.7 28.5 30.4 26.3 25.2 28.0 30.9 28.8 28.8 31.0 0.0 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 A ll A rizona mot hers A merican Indian mot hers Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2007. 34 Health Status Profile of American Indians in Arizona, 2007 Data Book 3.9 The Incidence of Anemia during Pregnancy, 1997-2007 Per 1,000 births: 75.0 60.0 45.0 50.6 44.0 30.0 54.8 51.0 48.4 43.2 67.6 66.2 59.7 56.1 54.6 29.8 15.0 14.4 18.6 20.7 16.8 16.0 18.1 20.2 21.7 20.4 19.5 0.0 1997 1998 1999 2000 2001 2002 All Arizona mothers 2003 2004 2005 2006 2007 American Indian mothers Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2007. Health Status Profile of American Indians in Arizona, 2007 Data Book 35 3.10 The Incidence of Diabetes during Pregnancy, 1997-2007 Per 1,000 births: 100.0 80.0 60.0 75.3 67.6 40.0 20.0 25.2 23.5 75.7 66.3 21.8 63.7 22.8 61.8 22.2 65.5 23.4 82.5 72.0 80.4 60.0 21.4 24.5 29.7 31.6 34.3 0.0 1997 1998 1999 2000 2001 2002 All Arizona mothers 2003 2004 2005 2006 2007 American Indian mothers Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2007. 36 Health Status Profile of American Indians in Arizona, 2007 Data Book IV. CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND MOTHERS GIVING BIRTH BY PLACE OF RESIDENCE IN ARIZONA IN 2007 Health Status Profile of American Indians in Arizona, 2007 Data Book 37 SOCIODEMOGRAPHIC CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2007 Data Book 39 4.1 MATERNAL AGE (2007 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 45+ 40-44 35-39 30-34 25-29 20-24 18-19 6,408 26 445 814 2,083 1,500 952 468 112 8 1 0 0 1 0 0 0 0 0 0 Cocopah Tribe 19 0 1 3 6 7 1 1 0 0 Colorado River Indian Tribe 37 0 3 6 15 8 4 1 0 0 Fort McDowell Yavapai Nation 10 0 0 4 0 4 1 1 0 0 Fort Mojave Indian Tribe 15 0 1 2 4 5 2 0 1 0 Fort Yuma Quechan Tribe 22 0 2 6 9 2 2 0 1 0 254 1 29 42 84 56 28 13 1 0 Ak-Chin Indian Community Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation 12 0 1 2 4 2 2 1 0 0 122 1 11 12 30 35 22 11 0 0 31 0 2 4 9 8 6 1 1 0 2,229 9 127 265 698 519 348 197 62 4 Pascua Yaqui Tribe 200 2 26 36 65 35 29 7 0 0 Salt River Pima-Maricopa Community 102 1 9 14 34 26 16 2 0 0 San Carlos Apache Tribe 231 4 24 33 71 58 25 12 4 0 Tohono O'Odham Tribe 438 3 32 58 156 87 68 25 9 0 White Mountain Apache 419 0 53 65 139 74 51 28 7 2 Yavapai-Apache Nation 19 0 2 3 4 5 5 0 0 0 Navajo Nation Yavapai-Prescott Indian Tribe Resided off reservation <15 TOTAL BIRTHS 15-17 Mother's age group 3 0 0 1 0 1 0 0 1 0 TOTAL 4,164 21 323 557 1,328 932 610 300 87 6 ---in Maricopa County 1,704 4 85 192 580 443 261 119 19 1 143 0 9 11 44 34 29 13 2 1 55 0 4 10 12 16 7 5 1 0 342 1 24 44 119 75 45 31 3 0 2,244 5 122 257 755 568 342 168 25 2 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2007 Data Book 41 4.2 EDUCATIONAL ATTAINMENT OF MOTHER (2007 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community 8 9-11 12 13-16 Unknown 17+ 6,408 43 148 1,799 2,413 1,786 168 51 1 0 0 0 0 1 0 0 19 0 1 7 8 3 0 0 Colorado River Indian Tribe 37 0 0 15 13 5 2 2 Fort McDowell Yavapai Nation 10 0 0 5 3 2 0 0 Fort Mojave Indian Tribe 15 0 0 9 3 3 0 0 Fort Yuma Quechan Tribe 22 1 0 6 15 0 0 0 254 1 14 112 80 39 4 4 12 0 0 5 6 1 0 0 122 1 1 23 45 48 4 0 31 0 0 8 16 7 0 0 2,229 12 23 507 938 686 49 14 Pascua Yaqui Tribe 200 5 7 87 63 36 2 0 Salt River Pima-Maricopa Community 102 3 2 58 23 14 1 1 San Carlos Apache Tribe 231 0 11 79 100 41 0 0 Tohono O'Odham Tribe 438 6 23 172 150 79 6 2 White Mountain Apache 419 2 8 165 162 77 5 0 Yavapai-Apache Nation 19 0 0 10 6 3 0 0 Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Prescott Indian Tribe 3 0 0 1 1 1 0 0 TOTAL 4,164 31 90 1,269 1,632 1,046 73 23 ---in Maricopa County 1,704 8 42 380 594 585 74 21 143 2 2 35 39 51 14 0 55 0 0 14 18 22 0 1 342 2 14 101 130 82 7 6 2,244 12 58 530 781 740 95 28 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 42 <8 Cocopah Tribe Gila River Indian Community Resided off reservation Mother's education Health Status Profile of American Indians in Arizona, 2007 Data Book 4.3 MARITAL STATUS OF MOTHER (2007 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Married Unmarried Other 6,408 1,475 4,861 72 1 0 1 0 Cocopah Tribe 19 2 17 0 Colorado River Indian Tribe 37 5 32 0 Fort McDowell Yavapai Nation 10 1 9 0 Fort Mojave Indian Tribe 15 2 13 0 Fort Yuma Quechan Tribe 22 4 18 0 254 50 203 1 12 0 12 0 122 14 106 2 Ak-Chin Indian Community Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation 31 7 24 0 2,229 523 1,687 19 Pascua Yaqui Tribe 200 33 165 2 Salt River Pima-Maricopa Community 102 12 88 2 San Carlos Apache Tribe 231 46 184 1 Tohono O'Odham Tribe 438 56 375 7 White Mountain Apache 419 92 324 3 Yavapai-Apache Nation 19 2 17 0 3 1 2 0 TOTAL 4,164 850 3,277 37 ---in Maricopa County 1,704 474 1,209 21 143 46 92 5 55 13 41 1 342 92 242 8 2,244 625 1,584 35 Navajo Nation 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, 2007 Data Book 43 4.4 RACE/ETHNICITY OF FATHER (2007 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 341 625 127 3,594 40 1,681 1 0 0 0 1 0 0 Cocopah Tribe 19 2 4 0 7 0 6 Colorado River Indian Tribe 37 5 3 1 19 0 9 Fort McDowell Yavapai Nation 10 1 2 0 4 0 3 Fort Mojave Indian Tribe 15 1 2 0 5 0 7 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation 22 0 5 2 10 0 5 254 7 27 3 132 2 83 12 0 0 0 8 0 4 122 2 4 0 85 0 31 31 0 0 1 17 1 12 2,229 42 47 12 1,647 4 477 Pascua Yaqui Tribe 200 6 46 0 75 0 73 Salt River Pima-Maricopa Community 102 1 9 1 53 0 38 San Carlos Apache Tribe 231 0 4 1 163 0 63 Tohono O'Odham Tribe 438 11 57 6 194 1 169 White Mountain Apache 419 2 5 4 329 0 79 Yavapai-Apache Nation 19 1 5 0 8 0 5 3 1 0 0 0 0 2 Yavapai-Prescott Indian Tribe TOTAL 4,164 82 220 31 2,757 8 1,066 ---in Maricopa County 1,704 172 314 83 656 22 457 143 27 26 6 41 3 40 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 44 Black or African American Hispanic or Latino 6,408 Ak-Chin Indian Community Fort Yuma Quechan Tribe Resided off reservation White nonHispanic 55 8 2 0 32 2 11 342 52 63 7 108 5 107 2,244 259 405 96 837 32 615 Health Status Profile of American Indians in Arizona, 2007 Data Book 4.5 AGE OF FATHER (2007 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Unknown 55+ 50-54 45-49 40-44 2 173 876 484 225 96 37 1 0 0 0 1 0 0 0 0 0 0 0 0 Cocopah Tribe 19 0 0 2 3 6 1 1 0 0 0 0 6 Colorado River Indian Tribe 37 0 3 2 6 8 4 1 1 2 1 0 9 Fort McDowell Yavapai Nation 10 0 1 1 4 0 0 0 1 0 0 0 3 Fort Mojave Indian Tribe 15 0 0 0 5 1 3 0 1 0 0 1 4 Fort Yuma Quechan Tribe 22 0 0 3 6 3 1 3 1 0 0 0 5 254 0 13 20 59 37 21 14 6 2 1 0 81 Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation 385 1,339 1,218 35-39 30-34 25-29 20-24 18-19 6,408 Ak-Chin Indian Community Gila River Indian Community 13 1,560 12 0 0 2 3 0 2 0 0 0 1 0 4 122 0 7 5 23 22 15 11 6 0 2 0 31 31 0 1 1 8 3 4 0 2 2 0 0 10 2,229 1 51 123 463 434 348 196 99 45 16 4 449 Pascua Yaqui Tribe 200 0 13 14 40 25 19 15 3 0 0 0 71 Salt River Pima-Maricopa Community 102 0 10 9 13 15 14 3 0 1 0 0 37 San Carlos Apache Tribe 231 0 9 17 52 38 22 13 7 9 0 1 63 Tohono O'Odham Tribe 438 0 12 20 95 71 44 23 8 4 1 1 159 White Mountain Apache 419 1 25 45 104 72 47 26 14 6 3 2 74 Yavapai-Apache Nation 19 0 1 2 2 7 2 0 0 0 0 0 5 3 0 0 0 0 0 0 0 0 1 0 0 2 TOTAL 4,164 2 146 266 887 742 547 306 149 72 25 ---in Maricopa County 1,704 0 19 90 343 372 255 140 55 17 7 1 405 143 0 1 7 32 20 25 9 8 3 1 1 36 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, 2007 Data Book 9 1,013 55 0 0 3 12 19 8 4 1 0 0 0 8 342 0 7 19 65 65 41 25 12 4 4 2 98 2,244 0 27 119 452 476 329 178 76 24 12 4 547 45 4.6 SOURCE OF PAYMENT FOR LABOR AND DELIVERY (2007 STATUS) Payee for births TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Private insurance IHS Self Unknown 6,408 3,456 1,869 893 51 139 1 0 0 1 0 0 Cocopah Tribe 19 12 1 6 0 0 Colorado River Indian Tribe 37 13 19 5 0 0 Fort McDowell Yavapai Nation 10 1 0 7 1 1 Fort Mojave Indian Tribe 15 10 1 4 0 0 Fort Yuma Quechan Tribe 22 10 2 7 2 1 254 150 25 73 5 1 12 11 0 1 0 0 122 43 70 6 0 3 31 26 0 3 2 0 2,229 1,200 872 78 4 75 Pascua Yaqui Tribe 200 149 29 20 1 1 Salt River Pima-Maricopa Community 102 60 28 13 1 0 San Carlos Apache Tribe 231 54 161 16 0 0 Tohono O'Odham Tribe 438 244 127 58 6 3 White Mountain Apache 419 168 227 16 3 5 Yavapai-Apache Nation 19 12 2 5 0 0 Ak-Chin Indian Community Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Prescott Indian Tribe Resided off reservation AHCCCS 3 1 0 2 0 0 TOTAL 4,164 2,164 1,564 321 25 90 ---in Maricopa County 1,704 1,014 223 447 16 4 143 70 24 41 5 3 55 36 3 9 0 7 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 342 172 55 75 5 35 2,244 1,292 305 572 26 49 *The Arizona Health Care Cost Containment System (AHCCCS) is the State's Medicaid program. 46 Health Status Profile of American Indians in Arizona, 2007 Data Book MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2007 Data Book 47 4.7 MATERNAL WEIGHT GAIN DURING PREGNANCY (2007 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 6,408 122 1,098 824 497 1,573 2,181 113 1 0 0 1 0 0 0 0 Cocopah Tribe 19 0 1 1 1 10 6 0 Colorado River Indian Tribe 37 0 17 3 2 7 8 0 Fort McDowell Yavapai Nation 10 0 0 0 1 3 6 0 Fort Mojave Indian Tribe 15 0 1 4 0 2 8 0 Fort Yuma Quechan Tribe 22 0 0 2 1 8 11 0 254 3 23 22 7 142 54 3 12 0 0 2 2 2 6 0 122 1 26 27 8 27 24 9 31 0 6 4 2 8 10 1 2,229 24 475 276 216 528 635 75 Pascua Yaqui Tribe 200 4 33 24 21 49 68 1 Salt River Pima-Maricopa Community 102 4 13 13 7 27 37 1 San Carlos Apache Tribe 231 5 38 40 9 60 77 2 Tohono O'Odham Tribe 438 6 75 51 33 106 161 6 White Mountain Apache 419 16 82 58 28 69 164 2 Yavapai-Apache Nation 19 0 0 2 1 6 10 0 Ak-Chin Indian Community Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Prescott Indian Tribe Resided off reservation Weight gain 1-15 pounds 3 0 1 0 0 1 1 0 TOTAL 4,164 63 791 530 339 1,055 1,286 100 ---in Maricopa County 1,704 32 231 226 131 389 688 7 143 4 22 15 12 28 60 2 55 1 6 6 3 12 24 3 342 22 48 47 12 89 123 1 2,244 59 307 294 158 518 895 13 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2007 Data Book 49 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 96 371 Other Incompetent cervix Uterine bleeding RH sensitization Renal disease Previous SGA infant Previous infant 4000+g 0 0 0 0 0 0 0 0 0 0 0 0 0 Cocopah Tribe 19 3 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribe 37 4 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 Fort McDowell Yavapai Nation 10 1 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 Fort Mojave Indian Tribe 15 5 0 0 1 0 1 1 0 0 1 0 0 1 0 0 0 0 1 Fort Yuma Quechan Tribe 22 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 254 53 9 2 2 11 1 3 0 0 7 3 0 0 1 0 2 0 37 12 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 2 122 47 7 0 0 9 0 4 0 2 13 1 1 2 0 0 2 0 22 31 4 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 4 886 134 5 3 54 0 14 39 25 9 1 14 0 438 200 113 11 0 2 16 1 9 0 1 21 10 0 0 0 0 2 0 87 Salt River Pima-Maricopa Community 102 62 17 0 2 10 0 3 0 1 9 0 1 1 0 0 0 0 50 San Carlos Apache Tribe 231 121 31 0 2 21 0 3 0 6 10 1 1 0 0 1 0 0 82 Tohono O'Odham Tribe 438 267 16 1 0 49 2 20 0 6 26 12 1 1 1 0 1 0 224 White Mountain Apache 419 197 17 4 10 30 4 6 0 7 43 4 20 15 15 0 13 0 148 Yavapai-Apache Nation 19 8 0 1 0 2 1 0 0 0 2 0 1 0 0 0 0 0 5 3 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 TOTAL 4,164 1,778 243 13 34 332 13 104 0 58 272 45 64 45 26 2 34 ---in Maricopa County 1,704 3 15 152 14 52 0 28 77 11 12 6 0 2 4 1 572 1 4 0 0 9 6 0 0 0 0 0 0 75 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 143 813 167 86 4 1 1 6 34 139 1 1,853 Pascua Yaqui Tribe Yavapai-Prescott Indian Tribe 15 180 0 Eclampsia 39 0 2,229 32 167 Pregnancy associated hypertension Chronic hypertension Hemoglobinopathy 4 0 Navajo Nation 58 515 Hydramnios Genital herpes 26 0 Hualapai Nation 19 Diabetes 52 0 Hopi Tribe 6,408 2,819 433 Lung disease 76 0 Havasupai Tribe 50 Cardiac disease 62 1 Ak-Chin Indian Community 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 (2007 STATUS) 0 1,110 55 23 1 0 3 2 1 0 0 4 1 0 0 0 0 0 0 0 16 342 119 18 2 5 23 3 7 0 6 12 0 0 1 0 0 1 0 80 2,244 1,041 190 6 24 183 19 63 0 38 99 17 12 7 0 2 5 1 743 Health Status Profile of American Indians in Arizona, 2007 Data Book 4.9 SUBSTANCE USE DURING PREGNANCY (2007 STATUS) Substance use TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Smoker, nondrinker Smoker and drinker Nonsmoker and nondrinker 6,408 65 151 48 6,144 1 0 0 0 1 Cocopah Tribe 19 0 1 0 18 Colorado River Indian Tribe 37 0 0 0 37 Fort McDowell Yavapai Nation 10 0 0 0 10 Fort Mojave Indian Tribe 15 0 0 0 15 Fort Yuma Quechan Tribe 22 0 1 0 21 254 1 6 2 245 12 1 0 0 11 122 2 1 0 119 31 1 1 1 28 2,229 18 26 16 2,169 Pascua Yaqui Tribe 200 1 1 0 198 Salt River Pima-Maricopa Community 102 2 4 2 94 San Carlos Apache Tribe 231 3 9 2 217 Tohono O'Odham Tribe 438 7 11 8 412 White Mountain Apache 419 15 4 2 398 Yavapai-Apache Nation 19 0 1 0 18 Ak-Chin Indian Community Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Prescott Indian Tribe Resided off reservation Drinker, nonsmoker 3 0 0 1 2 TOTAL 4,164 51 66 34 4,013 ---in Maricopa County 1,704 8 50 11 1,635 143 5 11 0 127 55 0 3 0 52 342 1 21 3 317 2,244 14 85 14 2,131 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2007 Data Book 51 Utilization of Medical Services Health Status Profile of American Indians in Arizona, 2007 Data Book 53 4.10 TRIMESTER OF PREGNANCY PRENATAL CARE BEGAN (2007 STATUS) Prenatal care TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation No care 2nd trimester 3rd trimester Unknown 6,408 206 4,225 1,534 426 17 1 0 0 1 0 0 Cocopah Tribe 19 1 5 8 5 0 Colorado River Indian Tribe 37 0 23 12 2 0 Fort McDowell Yavapai Nation 10 1 3 2 4 0 Fort Mojave Indian Tribe 15 0 11 2 2 0 Fort Yuma Quechan Tribe 22 2 12 5 3 0 254 10 207 27 8 2 12 0 9 2 1 0 122 7 73 36 5 1 31 0 27 1 3 0 2,229 42 1,483 562 132 10 Pascua Yaqui Tribe 200 8 136 49 7 0 Salt River Pima-Maricopa Community 102 8 56 25 13 0 San Carlos Apache Tribe 231 16 126 73 16 0 Tohono O'Odham Tribe 438 13 278 113 34 0 White Mountain Apache 419 23 212 116 66 2 Yavapai-Apache Nation 19 0 11 3 5 0 Ak-Chin Indian Community Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Prescott Indian Tribe Resided off reservation 1st trimester 3 0 2 1 0 0 TOTAL 4,164 131 2,674 1,038 306 15 ---in Maricopa County 1,704 51 1,184 385 84 0 143 6 93 31 12 1 55 1 41 11 2 0 342 17 233 69 22 1 2,244 75 1,551 496 120 2 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2007 Data Book 55 4.11 NUMBER OF PRENATAL VISITS (2007 STATUS) Prenatal visits TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 5-8 visits 9-12 visits 13+ visits Unknown 206 561 1,701 2,680 1,240 20 1 0 0 1 0 0 0 Cocopah Tribe 19 1 1 10 4 3 0 Colorado River Indian Tribe 37 0 4 12 9 12 0 Fort McDowell Yavapai Nation 10 1 1 2 6 0 0 Fort Mojave Indian Tribe 15 0 1 5 8 1 0 Fort Yuma Quechan Tribe 22 2 2 5 8 5 0 254 10 13 27 133 69 2 12 0 2 4 5 1 0 122 7 9 34 53 18 1 31 0 3 5 18 5 0 2,229 42 219 616 895 447 10 Pascua Yaqui Tribe 200 8 10 41 72 69 0 Salt River Pima-Maricopa Community 102 8 16 29 43 6 0 San Carlos Apache Tribe 231 16 29 66 94 26 0 Tohono O'Odham Tribe 438 13 37 103 182 101 2 White Mountain Apache 419 23 74 170 125 25 2 Yavapai-Apache Nation 19 0 3 6 9 1 0 Ak-Chin Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Prescott Indian Tribe 3 0 1 1 0 1 0 TOTAL 4,164 131 425 1,137 1,664 790 17 ---in Maricopa County 1,704 51 106 424 782 340 1 143 6 9 28 67 32 1 55 1 2 14 30 8 0 342 17 19 98 137 70 1 2,244 75 136 564 1,016 450 3 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 56 1-4 visits 6,408 Gila River Indian Community Resided off reservation No visits Health Status Profile of American Indians in Arizona, 2007 Data Book 4.12 OBSTETRIC PROCEDURES (2007 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Other Ultrasound Tocolysis Stimulation of labor 6,408 53 5,940 1,133 1,095 67 3,600 511 1 0 1 0 1 0 0 0 Cocopah Tribe 19 0 18 0 0 0 19 0 Colorado River Indian Tribe 37 0 37 2 4 0 23 0 Fort McDowell Yavapai Nation 10 0 8 1 2 0 9 0 Fort Mojave Indian Tribe 15 0 10 8 1 0 9 0 Ak-Chin Indian Community Fort Yuma Quechan Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation 22 0 22 1 1 0 22 0 254 0 247 18 13 1 225 10 12 1 11 2 5 1 1 0 122 1 100 30 16 3 30 3 31 0 30 4 3 0 1 1 2,229 11 2,084 432 369 19 1,036 64 Pascua Yaqui Tribe 200 1 199 6 12 0 169 11 Salt River Pima-Maricopa Community 102 1 100 20 35 1 49 19 San Carlos Apache Tribe 231 4 178 43 25 1 119 45 Tohono O'Odham Tribe 438 2 423 39 31 0 351 23 White Mountain Apache 419 6 299 77 103 21 332 28 Yavapai-Apache Nation 19 0 19 6 1 0 18 0 3 0 3 0 0 0 2 1 TOTAL 4,164 27 3,789 689 622 47 2,415 205 ---in Maricopa County 1,704 23 1,659 368 399 16 804 274 143 0 136 23 20 1 125 10 55 1 53 14 17 0 14 0 342 2 303 39 37 3 242 22 2,244 26 2,151 444 473 20 1,185 306 Navajo Nation Yavapai-Prescott Indian Tribe Resided off reservation Induction of labor Amniocentesis TOTAL BIRTHS Resided on reservation Electronic Fetal Monitor Obstetric procedures ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2007 Data Book 57 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community 37 12 87 7 94 99 186 192 Other Fetal distress Anesthetic complic. Cord prolapse Cephalopelvic disp. Breech malpresentation Dysfunctional labor Prolonged labor Precipitous labor Seizures Other bleeding Placenta previa Abruptio placenta Rupture of membrane Meconium 1 237 985 133 264 245 38 7 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 19 7 0 1 5 1 1 0 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribe 37 3 0 0 1 0 1 0 0 0 0 0 0 0 1 1 0 0 Fort McDowell Yavapai Nation 10 2 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 Fort Mojave Indian Tribe 15 2 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 22 6 0 1 2 0 4 0 1 0 0 0 0 0 0 1 0 0 254 60 0 12 35 7 3 6 1 0 1 0 2 1 0 5 0 1 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 38 0 4 12 2 3 7 1 0 5 0 3 9 6 4 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 90 110 16 4 35 4 42 39 95 54 11 5 0 2 2 0 1 1 0 4 0 0 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation 31 2 0 0 0 2,229 588 0 87 153 48 Pascua Yaqui Tribe 200 59 0 11 Salt River Pima-Maricopa Community 102 44 1 3 24 4 9 4 1 0 1 0 4 1 2 5 1 0 San Carlos Apache Tribe 231 82 0 7 51 2 10 2 2 0 4 0 8 1 0 7 6 0 Tohono O'Odham Tribe 438 132 0 12 68 4 23 21 3 0 4 0 4 3 3 8 1 0 White Mountain Apache 419 147 0 31 112 5 14 22 3 1 11 0 2 12 35 28 10 0 Yavapai-Apache Nation 19 8 0 0 4 0 0 0 0 0 0 0 1 1 1 3 0 0 3 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 TOTAL 4,164 1,182 1 170 500 73 172 179 28 7 64 4 67 68 143 121 30 6 ---in Maricopa County 1,704 618 0 58 6 3 22 3 18 30 8 0 143 52 0 3 39 0 8 4 1 1 0 0 3 0 1 3 0 1 55 7 0 0 4 0 1 0 0 0 0 0 3 1 1 2 0 0 342 71 0 13 39 2 6 8 2 1 1 0 3 0 3 10 0 0 2,244 748 0 67 485 60 92 66 9 5 23 3 27 31 43 71 8 1 Navajo Nation Yavapai-Prescott Indian Tribe ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 58 1,930 Cocopah Tribe Fort Yuma Quechan Tribe Resided off reservation 6,408 Complications of labor and/or delivery Febrile TOTAL BIRTHS Births with complications of labor and or delivery 4.13 COMPLICATIONS OF LABOR AND DELIVERY (2007 STATUS) 30 51 403 0 14 77 5 54 38 56 Health Status Profile of American Indians in Arizona, 2007 Data Book 4.14 METHOD OF DELIVERY (2007 STATUS) Method of delivery TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community 6,408 4,830 111 808 659 Forceps 37 Vacuum 90 1 1 0 0 0 0 0 Cocopah Tribe 19 9 0 5 5 0 1 Colorado River Indian Tribe 37 25 0 5 7 0 0 Fort McDowell Yavapai Nation 10 6 0 1 3 1 0 Fort Mojave Indian Tribe 15 9 0 3 3 0 0 Fort Yuma Quechan Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe 22 14 1 2 5 0 0 254 181 0 36 37 0 1 12 10 0 2 0 0 0 122 97 4 13 8 2 0 31 24 0 5 2 0 0 2,229 1,780 63 211 175 10 21 Pascua Yaqui Tribe 200 160 2 20 18 0 1 Salt River Pima-Maricopa Community 102 66 2 20 14 1 0 San Carlos Apache Tribe 231 162 1 35 33 0 15 Tohono O'Odham Tribe 438 334 11 44 49 0 6 White Mountain Apache 419 305 1 51 62 12 11 Yavapai-Apache Nation 19 13 0 3 3 1 0 3 3 0 0 0 0 0 TOTAL 4,164 3,199 85 456 424 27 56 ---in Maricopa County 1,704 1,234 21 270 179 8 29 143 108 0 22 13 0 0 55 40 0 11 4 0 0 Hualapai Nation Navajo Nation 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, 2007 Data Book 342 249 5 49 39 2 5 2,244 1,631 26 352 235 10 34 59 4.15 ATTENDANT AT BIRTH (2007 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Midwife D.O. Unknown Other 3,981 1,825 0 53 532 13 4 1 0 1 0 0 0 0 0 Cocopah Tribe 19 17 2 0 0 0 0 0 Colorado River Indian Tribe 37 12 0 0 0 25 0 0 Fort McDowell Yavapai Nation 10 9 0 0 0 1 0 0 Fort Mojave Indian Tribe 15 12 0 0 0 3 0 0 Fort Yuma Quechan Tribe 22 16 6 0 0 0 0 0 254 179 4 0 0 69 2 0 12 10 0 0 0 2 0 0 122 68 52 0 0 2 0 0 31 20 1 0 0 10 0 0 2,229 933 1,167 0 32 89 6 2 Pascua Yaqui Tribe 200 133 67 0 0 0 0 0 Salt River Pima-Maricopa Community 102 72 29 0 0 1 0 0 San Carlos Apache Tribe 231 212 6 0 0 13 0 0 Tohono O'Odham Tribe 438 387 40 0 0 10 1 0 White Mountain Apache 419 276 7 0 0 135 1 0 Yavapai-Apache Nation 19 19 0 0 0 0 0 0 3 3 0 0 0 0 0 0 TOTAL 4,164 2,378 1,382 0 32 360 10 2 ---in Maricopa County 1,704 1,166 422 0 2 113 0 1 143 128 9 0 1 5 0 0 55 50 2 0 1 2 0 0 342 259 10 0 17 52 3 1 2,244 1,603 443 0 21 172 3 2 Ak-Chin Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Prescott Indian Tribe ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 60 Hospital Admin. C.N.M 6,408 Gila River Indian Community Resided off reservation M.D. Health Status Profile of American Indians in Arizona, 2007 Data Book Newborn’s Health Health Status Profile of American Indians in Arizona, 2007 Data Book 61 4.16 GESTATIONAL AGE (2007 STATUS) Length of gestation TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 37-41 weeks 42+ weeks Unknown 6,408 667 5,671 64 6 1 0 1 0 0 Cocopah Tribe 19 3 16 0 0 Colorado River Indian Tribe 37 4 33 0 0 Fort McDowell Yavapai Nation 10 3 7 0 0 Fort Mojave Indian Tribe 15 0 15 0 0 Fort Yuma Quechan Tribe 22 1 20 1 0 254 16 235 2 1 12 0 12 0 0 122 12 107 3 0 31 3 27 1 0 2,229 191 1,997 37 4 Pascua Yaqui Tribe 200 26 174 0 0 Salt River Pima-Maricopa Community 102 14 88 0 0 San Carlos Apache Tribe 231 35 196 0 0 Tohono O'Odham Tribe 438 48 386 3 1 White Mountain Apache 419 53 360 6 0 Yavapai-Apache Nation 19 2 17 0 0 3 1 2 0 0 TOTAL 4,164 412 3,693 53 6 ---in Maricopa County 1,704 195 1,500 9 0 143 16 127 0 0 55 7 48 0 0 342 37 303 2 0 2,244 255 1,978 11 0 Ak-Chin Indian Community Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation 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, 2007 Data Book 63 4.17 WEIGHT AT BIRTH (2007 STATUS) Weight at birth TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 1,5002,499 2,5003,999 Unknown 4000+ 32 33 361 5,408 569 5 1 0 0 0 1 0 0 Cocopah Tribe 19 0 0 0 15 4 0 Colorado River Indian Tribe 37 0 0 3 28 6 0 Fort McDowell Yavapai Nation 10 1 0 0 8 1 0 Fort Mojave Indian Tribe 15 0 0 1 13 1 0 Fort Yuma Quechan Tribe 22 0 0 0 20 2 0 254 5 0 10 214 25 0 12 0 0 0 12 0 0 122 1 3 9 106 3 0 31 0 0 1 28 2 0 2,229 4 2 120 1,936 164 3 Pascua Yaqui Tribe 200 1 2 12 171 14 0 Salt River Pima-Maricopa Community 102 1 0 5 83 13 0 San Carlos Apache Tribe 231 4 2 13 198 14 0 Tohono O'Odham Tribe 438 0 1 25 361 51 0 White Mountain Apache 419 2 6 32 352 27 0 Yavapai-Apache Nation 19 0 0 1 16 2 0 3 0 0 1 2 0 0 TOTAL 4,164 19 16 233 3,564 329 3 ---in Maricopa County 1,704 7 14 93 1,402 188 0 143 2 0 7 122 11 1 55 0 0 9 43 3 0 342 4 3 19 277 38 1 2,244 13 17 128 1,844 240 2 Ak-Chin Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Prescott Indian Tribe ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 64 1,0001,499 6,408 Gila River Indian Community Resided off reservation <1,000 grams Health Status Profile of American Indians in Arizona, 2007 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 6,408 334 8 28 1 13 5 44 32 7 1 0 0 0 0 0 0 0 0 0 0 Cocopah Tribe 19 4 0 0 0 1 0 0 4 0 4 Colorado River Indian Tribe 37 8 0 0 0 0 0 5 0 0 3 Fort McDowell Yavapai Nation 10 0 0 0 0 0 0 0 0 0 0 Fort Mojave Indian Tribe 15 0 0 0 0 0 0 0 0 0 0 Fort Yuma Quechan Tribe 22 1 0 0 0 0 0 0 1 0 1 254 10 0 0 0 0 0 0 0 0 10 12 0 0 0 0 0 0 0 0 0 0 122 3 0 0 0 0 0 0 0 0 3 31 0 0 0 0 0 0 0 0 0 0 Ak-Chin Indian Community Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation 263 2,229 78 5 5 0 2 3 18 8 2 44 Pascua Yaqui Tribe 200 5 0 0 0 0 0 0 0 0 5 Salt River Pima-Maricopa Community 102 3 0 0 0 1 0 0 0 0 3 San Carlos Apache Tribe 231 29 0 0 0 0 1 0 1 0 27 Tohono O'Odham Tribe 438 17 0 0 0 0 0 2 0 0 17 White Mountain Apache 419 62 0 20 1 3 0 5 13 2 49 Yavapai-Apache Nation 19 5 0 0 0 0 0 0 0 0 5 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 (2007 STATUS) 3 0 0 0 0 0 0 0 0 0 0 TOTAL 4,164 225 5 25 1 7 4 30 27 4 171 ---in Maricopa County 1,704 46 3 0 0 2 1 4 1 0 39 143 25 0 1 0 1 0 7 0 3 22 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2007 Data Book 55 0 0 0 0 0 0 0 0 0 0 342 38 0 2 0 3 0 3 4 0 31 2,244 109 3 3 0 6 1 14 5 3 92 65 4.19 CONGENITAL ANOMALIES / BIRTH DEFECTS (2007 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on Ak-Chin Indian Community reservation Cocopah Tribe Other Other chromosomal Down's syndrome Other muscosceletal Diaphragmatic hernia Club foot Polydactyly/ syndactyly/ adactyly Cleft lip/palate Other urogenital Renal agenesis Malformed genitalia Other gastrointestinal Omphalocele/ gastroschisis Tracheo-esophageal fistula/esophageal atresia Rectal atresia/ stenosis Other respiratory/ circulatory Heart malformations Other CNS anomaly Microcephalus Hydrocephalus Spina bifida/ meningocele Anencephalus TOTAL BIRTHS Births with congenital anomalies Congenital anomalies 6,408 88 0 0 1 0 2 2 15 0 1 1 2 3 1 13 8 2 2 0 7 2 2 37 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribe 37 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 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 Mojave Indian Tribe 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Fort Yuma Quechan Tribe 22 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 254 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 122 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,229 23 0 0 0 0 0 1 3 0 0 1 0 2 0 1 3 1 1 0 3 1 0 9 Pascua Yaqui Tribe 200 2 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 Salt River Pima-Maricopa Community 102 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 San Carlos Apache Tribe 231 6 0 0 0 0 0 0 4 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 Tohono O'Odham Tribe 438 6 0 0 0 0 0 0 2 0 0 0 0 0 1 1 1 0 0 0 0 1 0 1 White Mountain Apache 419 28 0 0 0 0 0 0 3 0 0 0 0 1 0 9 1 0 0 0 0 0 2 17 Yavapai-Apache Nation 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Hualapai Nation Navajo Nation Yavapai-Prescott Indian Tribe TOTAL 4,164 67 0 0 0 0 0 1 13 0 0 1 0 3 1 11 6 1 1 0 4 2 2 30 Resided off ---in Maricopa County reservation ---in Pima County 1,704 10 0 0 1 0 2 1 1 0 0 0 0 0 0 1 2 1 0 0 1 0 0 4 143 3 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 0 0 0 ---in Coconino County 55 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ---elsewhere in Arizona TOTAL 66 342 8 0 0 0 0 0 0 1 0 0 0 2 0 0 0 0 0 1 0 1 0 0 3 2,244 21 0 0 1 0 2 1 2 0 1 0 2 0 0 2 2 1 1 0 3 0 0 7 Health Status Profile of American Indians in Arizona, 2007 Data Book 4.20 CAUSES OF INFANT DEATHS AMONG AMERICAN INDIAN RESIDENTS, ARIZONA, 2007 ---in Coconino County 1 12 1 1 4 9 18 7 1 3 7 Certain conditions originating in the perinatal period 19 15 0 2 0 6 1 1 1 4 4 2 1 0 1 Maternal complications 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 Short gestation and low birth weight 5 4 0 2 0 1 0 0 1 0 1 0 1 0 0 Bacterial sepsis of newborn 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 11 5 0 1 0 2 0 0 0 2 6 2 0 1 3 of heart 2 2 0 0 0 1 0 0 0 1 0 0 0 0 0 of brain, spinal cord or nervous system 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 of respiratory system 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 Sudden infant death syndrome 4 3 1 0 0 1 0 0 0 1 1 0 0 1 0 Accidents (unintentional injury) 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 Influenza and pneumonia 2 1 0 0 0 1 0 0 0 0 1 1 0 0 0 Other diseases of the respiratory system 2 0 0 0 0 0 0 0 0 0 2 1 0 1 0 Diseases of the circulatory system 2 2 0 0 0 1 0 0 0 1 0 0 0 0 0 Diseases of the nervous system 2 2 0 1 0 0 0 0 0 1 0 0 0 0 0 Assault (homicide) 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 Septicemia 2 2 0 0 1 0 0 0 1 0 0 0 0 0 0 Other ill-defined and unspecified causes of mortality 5 3 0 1 0 0 0 0 2 0 2 0 0 0 2 Congenital malformations Motor vehicle Health Status Profile of American Indians in Arizona, 2007 Data Book Hopi Tribe Cocopah Tribe Total ---elsewhere in Arizona 5 ---in Pima County White Mountain Apache Tribe 1 Total Tohono O'Odham Tribe 34 Navajo Nation 52 Gila River Indian Community Total, all causes TOTAL STATE San Carlos Apache Tribe ---in Maricopa County Resided off reservation Salt River PimaMaricopa Community Resided on reservation 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 54 1 1,977 78 1,146 637 384 2 41 67 39 1 2 2 0 5 0 2 5 2 0 0 0 0 0 0 58 0 55 17 7 0 112 7 88 53 37 0 3 5 3 2 112 34 5 0 229 10 143 89 64 0 7 9 6 0 20-24 2,083 276 2 275 75 19 0 668 25 349 215 127 0 10 25 17 0 25-29 1,500 224 2 176 58 11 1 509 18 258 122 87 2 9 15 8 0 30-34 952 146 3 113 29 6 0 301 12 173 105 44 0 7 8 4 1 35-39 468 85 0 61 15 3 0 130 3 102 39 21 0 4 4 1 0 40-44 112 29 0 16 3 1 0 22 3 26 8 2 0 1 1 0 0 8 0 0 1 0 0 0 1 0 5 1 0 0 0 0 0 0 AHCCCS 3,456 446 3 413 63 14 0 1,173 59 613 371 221 2 29 36 13 0 IHS 1,869 379 0 334 155 35 0 283 1 453 150 53 0 2 4 20 0 893 14 5 55 14 5 1 495 15 48 100 103 0 9 23 6 0 51 1 1 1 0 0 0 20 2 6 10 6 0 1 3 0 0 139 86 0 10 1 0 0 6 1 26 6 1 0 0 1 0 1 43 2 0 6 0 0 0 15 0 7 9 3 0 0 1 0 0 <8 148 8 1 7 8 3 0 56 0 17 20 26 0 0 2 0 0 9-11 1,799 217 0 183 71 16 0 511 28 326 235 163 1 15 17 16 0 12 2,413 372 5 343 106 28 0 663 32 472 214 113 1 16 33 14 1 13-16 1,786 289 3 253 46 7 1 631 17 305 139 69 0 9 12 5 0 168 23 0 19 1 0 0 77 0 17 20 6 0 1 2 2 0 51 15 0 2 1 0 0 24 1 2 0 4 0 0 0 2 0 Married 1,475 196 6 206 46 14 0 518 16 253 111 78 1 6 17 6 1 Unmarried 4,861 723 3 599 185 39 1 1,435 61 881 513 304 1 34 49 33 0 72 7 0 8 2 1 0 24 1 12 13 2 0 1 1 0 0 17+ Unknown Other* None 122 19 0 5 5 2 0 38 0 27 12 12 0 0 2 0 0 1,098 213 1 127 45 2 1 265 11 255 110 42 0 5 2 18 1 16-20 pounds 824 128 1 94 45 4 0 264 12 155 66 44 0 5 3 3 0 21-24 pounds 497 115 0 59 12 3 0 151 3 83 54 11 0 1 3 2 0 25-30 pounds 1,573 162 5 256 51 20 0 468 16 231 147 172 1 11 25 8 0 31+ pounds 2,181 254 2 247 72 23 0 783 35 366 239 100 1 19 32 8 0 113 35 0 25 3 0 0 8 1 29 9 3 0 0 0 0 0 Drinker, nonsmoker 65 11 0 5 4 1 0 12 1 19 11 1 0 0 0 0 0 Smoker, nondrinker 151 12 1 11 9 2 1 56 5 13 22 13 0 1 5 0 0 Smoker and drinker 48 9 1 4 1 1 0 13 1 5 8 4 0 1 0 0 0 6,144 894 7 793 219 50 0 1,896 71 1,109 596 366 2 39 62 39 1 1-15 pounds Unknown Nonsmoker and nondrinker 68 233 4 104 8 Substance use 813 0 814 Unknown Weight gain 9 4 445 Self Marital status 926 26 18-19 Private insurance Mother's education 6,408 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, 2007 Health Status Profile of American Indians in Arizona, 2007 Data Book Length of gestation <37 weeks Unknown La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa 7 0 233 6 113 70 25 0 7 6 4 0 47 1 1,733 71 1,010 565 355 2 34 60 35 1 64 15 0 10 1 0 0 11 1 21 1 3 0 0 1 0 0 6 1 0 1 0 0 0 0 0 2 1 1 0 0 0 0 0 <1,000 grams 32 0 0 1 4 0 0 9 0 6 3 6 0 1 2 0 0 1,000-1,499 33 1 0 3 3 0 0 16 0 7 1 2 0 0 0 0 0 1,500-2,499 361 50 1 48 20 2 0 104 3 73 40 12 1 4 0 3 0 2,500-3,999 5,408 801 8 708 191 47 1 1,633 68 984 528 322 1 33 53 30 0 569 71 0 53 15 5 0 215 7 75 64 42 0 3 12 6 1 5 3 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 206 28 1 9 16 3 0 68 0 40 20 18 0 0 3 0 0 1st trimester 4,225 556 8 606 129 34 1 1,342 61 680 419 300 2 30 33 24 0 2nd trimester 1,534 269 0 168 70 13 0 453 10 305 156 52 0 5 19 13 1 3rd trimester 426 72 0 25 17 4 0 114 7 114 41 12 0 6 12 2 0 17 1 0 5 1 0 0 0 0 7 1 2 0 0 0 0 0 No visits 206 28 1 9 16 3 0 68 0 40 20 18 0 0 3 0 0 1-4 visits 561 95 0 54 18 13 0 133 6 162 48 15 0 6 6 5 0 5-8 visits 1,701 262 0 201 55 25 0 495 14 392 132 76 0 13 23 13 0 9-12 visits 2,680 346 3 372 111 12 1 902 41 405 261 176 2 16 22 9 1 13+ visits 1,240 193 5 173 32 1 0 378 17 140 173 97 0 6 13 12 0 No care Unknown Unknown 20 2 0 4 1 0 0 1 0 7 3 2 0 0 0 0 0 287 17 2 29 22 1 0 109 2 52 25 12 0 4 12 0 0 6,115 905 7 782 211 53 1 1,868 76 1,094 612 372 2 37 55 39 1 6 4 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Yes No Unknown Amniocentesis 53 3 0 7 7 0 0 27 0 9 0 0 0 0 0 0 Electronic Fetal Monitoring 5,940 838 2 779 204 20 1 1,926 69 962 616 376 1 40 66 39 1 Induction of labor 1,133 140 1 222 49 1 0 414 17 202 45 25 0 10 4 2 1 Stimulation of labor 1,095 107 1 189 34 2 0 468 6 217 31 31 0 3 2 4 0 67 10 0 5 2 0 0 17 0 31 1 1 0 0 0 0 0 3,600 527 7 297 105 48 1 929 24 595 593 345 2 35 67 25 0 511 32 0 14 13 41 1 317 2 53 21 14 0 3 0 0 0 Tocolysis Ultrasound Other Method of delivery Greenlee 39 193 Unknown Obstetric procedures Graham 84 718 4000+ Newborn intensive care Gila 2 7 Unknown Prenatal visits Coconino 71 839 42+ weeks Prenatal care Cochise 667 5,671 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, 2007 Vaginal 4,830 759 7 645 168 35 0 1,412 57 866 509 277 1 28 38 27 1 Vaginal after C-Section 111 30 0 14 1 0 0 26 0 27 10 1 0 0 2 0 0 Primary C-Section 808 76 0 87 31 9 1 317 15 131 62 52 1 9 12 5 0 Repeat C-Section 659 61 2 67 33 10 0 222 6 122 56 54 0 4 15 7 0 Forceps 37 2 0 7 0 1 0 10 0 16 0 0 0 1 0 0 0 Vacuum 90 14 0 5 15 4 0 29 0 14 7 1 0 0 1 0 0 Health Status Profile of American Indians in Arizona, 2007 Data Book 69 20 1 965 12 465 382 95 1 18 13 5 0 35 0 0 202 0 62 15 11 0 0 0 1 0 Cardiac disease 19 2 0 2 0 0 0 4 0 7 2 1 0 1 0 0 0 Lung disease 58 9 0 6 3 0 0 19 1 16 1 2 0 1 0 0 0 515 74 0 62 22 5 1 178 0 89 58 20 0 3 3 0 0 32 2 0 2 2 0 0 14 1 4 4 2 0 1 0 0 0 167 31 0 18 4 0 0 62 2 16 26 6 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Genital herpes Hydramnios Hemoglobinopathy Chronic hypertension Yuma Pinal Pima Navajo Mohave Greenlee Graham Apache 96 14 0 23 8 2 0 33 0 10 4 2 0 0 0 0 371 60 1 47 11 2 0 95 1 91 49 8 0 5 1 0 0 Eclampsia 62 1 0 8 1 0 0 12 0 10 28 2 0 0 0 0 0 Previous infant 4000+g 76 23 0 9 1 0 0 14 0 28 0 0 0 1 0 0 0 Previous SGA infant 52 10 0 11 1 0 0 8 1 21 0 0 0 0 0 0 0 Renal disease 26 1 0 2 0 0 0 1 0 21 1 0 0 0 0 0 0 RH sensitization 4 0 0 0 1 0 0 2 0 1 0 0 0 0 0 0 0 Uterine bleeding 39 6 0 4 0 0 0 4 0 20 3 2 0 0 0 0 0 0 Pregnancy associated hypertension Incompetent cervix Other Total Anemia Birth injury Fetal Alcohol Syndrome 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1,853 155 2 197 85 17 1 697 8 278 316 70 1 12 9 5 0 334 33 1 24 23 12 0 55 5 90 41 26 0 7 9 8 0 8 4 0 0 0 0 0 3 0 1 0 0 0 0 0 0 0 28 5 0 1 2 0 0 0 0 19 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 13 2 0 1 0 0 0 3 0 4 1 0 0 1 1 0 0 5 3 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 Assissted vent.<30 min 44 5 0 8 1 0 0 4 2 10 9 0 0 0 0 5 0 Assisted vent.>30 min. 32 6 0 0 1 0 0 1 0 17 0 1 0 0 6 0 0 7 1 0 1 0 0 0 0 0 2 3 0 0 0 0 0 0 263 15 1 16 20 12 0 48 4 66 38 25 0 6 9 3 0 88 11 1 9 6 2 0 13 0 32 9 5 0 0 0 0 0 Membrane disease Meconium aspiration Newborn seizures Other Births with congenital Total anomalies Anencephalus 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 2 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 Heart malformations 2 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 15 1 0 0 4 0 0 2 0 5 2 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 Unknown 132 33 La Paz 338 0 Yavapai 3 74 Diabetes Abnormal conditions of the newborn Santa Cruz 369 433 Anemia Maricopa 2,819 Total Cochise Gila Births with medical risk factors Coconino Total State 4.21 COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2007 Health Status Profile of American Indians in Arizona, 2007 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 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Other gastrointestinal 2 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Malformed genitalia 3 0 0 2 0 0 0 0 0 1 0 0 0 0 0 0 0 Renal agenesis 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 13 0 0 0 1 0 0 1 0 9 2 0 0 0 0 0 0 Cleft lip/palate 8 2 0 1 1 0 0 2 0 1 1 0 0 0 0 0 0 Polydactyly/syndactyly/adactyly 2 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 Club foot 2 1 0 0 0 1 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 7 1 0 0 0 0 0 1 0 3 2 0 0 0 0 0 0 Down's syndrome 2 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 Other chromosomal 2 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 37 7 0 4 0 1 0 5 0 16 1 3 0 0 0 0 0 Other Total 1,930 278 3 173 75 25 1 728 7 340 184 72 1 19 21 3 0 Febrile 133 25 0 16 2 0 0 68 0 15 0 6 0 0 1 0 0 Meconium 264 48 0 21 11 0 0 92 0 41 39 4 0 2 5 1 0 Rupture of membrane 245 54 0 32 3 1 0 62 1 55 27 6 0 1 3 0 0 Abruptio placenta 37 10 0 4 4 0 0 8 0 6 3 1 0 0 1 0 0 Placenta previa 12 3 0 2 0 0 0 4 0 1 2 0 0 0 0 0 0 Other bleeding 87 9 0 16 6 0 0 30 0 24 0 2 0 0 0 0 0 7 2 0 1 0 0 0 3 0 1 0 0 0 0 0 0 0 Seizures Precipitous labor 94 24 1 14 10 0 0 24 0 12 6 2 0 1 0 0 0 Prolonged labor 99 13 0 20 2 0 0 31 0 27 4 1 0 1 0 0 0 Dysfunctional labor 186 40 0 36 2 0 0 42 1 61 2 0 0 1 0 1 0 Breech malpresentation 192 24 0 17 9 0 0 63 2 50 13 6 0 5 2 1 0 38 3 0 5 6 2 0 11 0 11 0 0 0 0 0 0 0 Cephalopelvic disproportion. Infant mortality Cochise 1 Other urogenital 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, 2007 Cord prolapse 7 3 0 2 0 0 0 0 0 0 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 Fetal distress 237 41 0 21 7 4 1 62 1 59 19 14 0 2 6 0 0 Other 985 65 2 46 38 21 1 466 2 177 101 43 1 12 9 1 0 Total 52 5 0 9 1 0 0 8 0 16 5 6 0 1 1 0 0 Neonatal 27 2 0 5 1 0 0 4 0 8 2 4 0 1 0 0 0 Postneonatal 25 3 0 4 0 0 0 4 0 8 3 2 0 0 1 0 0 *'Refused', 'Yes, divorced', 'Unknown' Health Status Profile of American Indians in Arizona, 2007 Data Book 71 V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2007 Health Status Profile of American Indians in Arizona, 2007 Data Book 73 AGE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2007 Data Book 75 5.1 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIANS IN 2007 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe 85+ 75-84 65-74 55-64 45-54 35-44 25-34 5-14 1-4 1,661 52 13 17 111 104 196 224 221 245 268 210 1 0 0 0 0 0 0 0 0 1 0 0 8 1 0 0 0 0 1 3 1 2 0 0 Colorado River Indian Tribe 23 0 0 0 2 2 2 3 6 2 3 3 Fort McDowell Yavapai Nation 14 0 0 0 1 2 3 2 2 4 0 0 Fort Mojave Indian Tribe 1 0 0 0 1 0 0 0 0 0 0 0 Fort Yuma Quechan Tribe 4 0 0 0 0 1 1 0 1 0 1 0 97 5 1 0 6 3 13 21 23 11 11 3 4 0 0 0 0 0 2 2 0 0 0 0 Hopi Tribe 76 1 0 1 2 7 10 7 9 12 15 12 Hualapai Nation 14 0 0 0 1 0 5 4 2 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 571 12 6 5 40 38 59 57 53 87 110 104 Pascua Yaqui Tribe 56 0 0 0 3 3 6 8 9 6 17 4 Salt River Pima-Maricopa Community 25 1 0 0 0 2 4 5 3 2 4 4 San Carlos Apache Tribe 56 1 0 0 3 3 6 7 9 7 15 5 Tohono O'Odham Tribe 116 4 1 1 11 7 17 19 17 18 13 8 White Mountain Apache Tribe 108 9 0 0 12 5 10 14 17 13 19 9 Gila River Indian Community Havasupai Tribe Kaibab-Paiute Tribe Navajo Nation Yavapai-Apache Nation 4 0 1 0 0 0 0 0 1 2 0 0 1,179 34 9 7 82 73 139 152 154 167 209 153 214 7 3 6 13 15 30 43 27 38 20 12 ---in Pima County 35 1 0 1 2 2 4 4 7 3 10 1 ---in Coconino County 34 3 0 1 4 1 4 6 4 3 3 5 ---elsewhere in Arizona 199 7 1 2 10 13 19 19 29 34 26 39 TOTAL 482 18 4 10 29 31 57 72 67 78 59 57 TOTAL Resided off reservation <1 TOTAL 15-24 Age group ---in Maricopa County Health Status Profile of American Indians in Arizona, 2007 Data Book 77 5.2 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN MALES IN 2007 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 85+ 75-84 65-74 55-64 45-54 35-44 25-34 5-14 29 7 11 81 73 127 148 126 137 132 79 3 0 0 0 0 0 1 2 0 0 0 0 14 0 0 0 1 2 1 3 5 1 1 0 Fort McDowell Yavapai Nation 8 0 0 0 0 2 1 2 1 2 0 0 Fort Yuma Quechan Tribe 1 0 0 0 0 0 0 0 1 0 0 0 56 3 1 0 5 1 8 14 10 8 4 2 2 0 0 0 0 0 1 1 0 0 0 0 43 0 0 0 1 6 8 6 4 7 6 5 Hualapai Nation 8 0 0 0 1 0 3 2 1 0 1 0 Kaibab-Paiute Tribe 1 0 0 0 0 0 0 0 1 0 0 0 352 8 2 4 31 32 45 40 35 53 63 39 Pascua Yaqui Tribe 30 0 0 0 1 2 4 8 3 4 7 1 Salt River Pima-Maricopa Community 11 1 0 0 0 1 3 2 1 0 1 2 San Carlos Apache Tribe 25 1 0 0 2 0 3 3 6 4 5 1 Tohono O'Odham Tribe 66 3 1 0 9 5 8 10 9 12 6 3 White Mountain Apache Tribe 58 4 0 0 9 2 7 9 9 8 10 0 3 0 1 0 0 0 0 0 1 1 0 0 TOTAL 681 20 5 4 60 53 93 102 87 100 104 53 ---in Maricopa County 117 3 2 4 9 8 16 26 18 15 11 5 ---in Pima County 18 1 0 0 1 1 2 4 3 1 5 0 ---in Coconino County 23 2 0 1 4 1 3 5 2 1 1 3 ---elsewhere in Arizona 111 3 0 2 7 10 13 11 16 20 11 18 TOTAL 269 9 2 7 21 20 34 46 39 37 28 26 Cocopah Tribe Colorado River Indian Tribe Havasupai Tribe Hopi Tribe Navajo Nation Yavapai-Apache Nation 78 1-4 950 Gila River Indian Community Resided off reservation <1 TOTAL 15-24 Age group Health Status Profile of American Indians in Arizona, 2007 Data Book 5.3 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN FEMALES IN 2007 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 85+ 75-84 65-74 55-64 45-54 35-44 25-34 5-14 1-4 711 23 6 6 30 31 69 76 95 108 136 131 Ak-Chin Indian Community 1 0 0 0 0 0 0 0 0 1 0 0 Cocopah Tribe 5 1 0 0 0 0 0 1 1 2 0 0 Colorado River Indian Tribe 9 0 0 0 1 0 1 0 1 1 2 3 Fort McDowell Yavapai Nation 6 0 0 0 1 0 2 0 1 2 0 0 Fort Mojave Indian Tribe 1 0 0 0 1 0 0 0 0 0 0 0 Fort Yuma Quechan Tribe 3 0 0 0 0 1 1 0 0 0 1 0 41 2 0 0 1 2 5 7 13 3 7 1 2 0 0 0 0 0 1 1 0 0 0 0 33 1 0 1 1 1 2 1 5 5 9 7 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation 6 0 0 0 0 0 2 2 1 0 0 1 219 4 4 1 9 6 14 17 18 34 47 65 Pascua Yaqui Tribe 26 0 0 0 2 1 2 0 6 2 10 3 Salt River Pima-Maricopa Community 14 0 0 0 0 1 1 3 2 2 3 2 San Carlos Apache Tribe 31 0 0 0 1 3 3 4 3 3 10 4 Tohono O'Odham Tribe 50 1 0 1 2 2 9 9 8 6 7 5 White Mountain Apache Tribe 50 5 0 0 3 3 3 5 8 5 9 9 1 0 0 0 0 0 0 0 0 1 0 0 Navajo Nation Yavapai-Apache Nation TOTAL Resided off reservation <1 TOTAL 15-24 Age group 498 14 4 3 22 20 46 50 67 67 105 100 ---in Maricopa County 97 4 1 2 4 7 14 17 9 23 9 7 ---in Pima County 17 0 0 1 1 1 2 0 4 2 5 1 ---in Coconino County 11 1 0 0 0 0 1 1 2 2 2 2 ---elsewhere in Arizona 88 4 1 0 3 3 6 8 13 14 15 21 213 9 2 3 8 11 23 26 28 41 31 31 TOTAL Health Status Profile of American Indians in Arizona, 2007 Data Book 79 CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2007 Data Book 81 5.4 DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2007 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Total, all causes TOTAL MALE FEMALE 1,661 950 711 Salmonella infections 0 0 0 Shigellosis and amebiasis 0 0 0 Certain other intestinal infections 6 3 3 Tuberculosis 2 2 0 Respiratory tuberculosis 2 2 0 Other tuberculosis 0 0 0 Whooping cough 0 0 0 Scarlet fever and erysipelas 0 0 0 Meningococcal infection 0 0 0 39 14 25 Syphilis 0 0 0 Acute poliomyelitis 0 0 0 Arthropod-borne encephalitis 0 0 0 Measles 0 0 0 Viral hepatitis 6 4 2 10 7 3 0 0 0 11 5 6 Septicemia Human immunodeficiency virus (HIV) disease Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms 221 109 112 Malignant neoplasm of lip, oral cavity and pharynx 4 2 2 Malignant neoplasm of esophagus 8 7 1 Malignant neoplasm of stomach 15 5 10 Malignant neoplasm of colon, rectum and anus 16 11 5 Malignant neoplasm of liver and intrahepatic bile ducts 20 12 8 Malignant neoplasm of pancreas 16 11 5 0 0 0 19 12 7 0 0 0 20 0 20 Malignant neoplasm of cervix uteri 3 0 3 Malignant neoplasm of corpus uteri and uterus, part unspecified 2 0 2 Malignant neoplasm of ovary 11 0 11 Malignant neoplasm of prostate 11 11 0 Malignant neoplasm of kidney and renal pelvis 12 6 6 1 1 0 Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin Malignant neoplasm of breast Malignant neoplasm of bladder Health Status Profile of American Indians in Arizona, 2007 Data Book 83 5.4 (continued) DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2007 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Malignant neoplasm of meninges, brain and other parts of CNS MALE FEMALE 4 1 3 23 12 11 Hodgkin's disease 0 0 0 Non-Hodgkin's lymphoma 8 2 6 Leukemia 9 5 4 Multiple myeloma and immunoproliferative neoplasms 6 5 1 Other and unspecified malignant neoplasms of lymphoid tissue 0 0 0 36 18 18 In situ neoplasms 5 1 4 Anemias 0 0 0 Diabetes 103 58 45 3 3 0 3 3 0 0 0 0 Meningitis 1 1 0 Parkinson's disease 5 2 3 Malignant neoplasm of lymphoid, hematopoietic and related tissue All other and unspecified malignant neoplasm Nutritional deficiencies Malnutrition Other nutritional deficiencies Alzheimer's disease Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease Hypertensive heart and renal disease 16 4 12 294 153 141 220 118 102 0 0 0 21 10 11 0 0 0 137 76 61 43 24 19 2 0 2 92 52 40 Atherosclerotic cardiovascular disease 33 21 12 All other forms of chronic ischemic heart disease 59 31 28 62 32 30 Acute and subacute endocarditis 0 0 0 Diseases of pericardium and acute myocarditis 1 1 0 Heart failure 16 9 7 All other forms of heart disease 23 Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Other heart diseases 84 TOTAL 45 22 Essential (primary) hypertension and hypertensive renal disease 20 7 13 Cerebrovascular diseases 40 19 21 Health Status Profile of American Indians in Arizona, 2007 Data Book 5.4 (continued) DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2007 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL MALE FEMALE Atherosclerosis 5 1 4 Other diseases of circulatory system 9 8 1 Aortic aneurysm and dissection 7 7 0 Other disease of arteries, arterioles and capillaries 2 1 1 1 0 1 61 29 32 2 1 1 59 28 31 Other acute lower respiratory infections 1 1 0 Acute bronchiolitis 1 1 0 Unspecified acute lower respiratory infection 0 0 0 23 14 9 Bronchitis, chronic and unspecified 0 0 0 Emphysema 1 1 0 Asthma 4 2 2 18 11 7 Pneumoconioses and chemical effects 0 0 0 Pneumonitis due to solids and liquids 9 3 6 33 15 18 Peptic ulcer 0 0 0 Diseases of appendix 1 1 0 Hernia 2 2 0 98 57 41 Alcoholic liver disease 80 45 35 Other chronic liver disease and cirrhosis 18 12 6 3 3 0 39 15 24 Acute and rapidly progressive nephritic and nephrotic syndrome 0 0 0 Chronic glomerulonephritis 1 1 0 38 14 24 Other disorders of circulatory system Influenza and pneumonia Influenza 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 Renal failure Others disorders of kidney 0 0 0 Infections of kidney 3 1 2 Hyperplasia of prostate 1 1 0 Inflammatory diseases of female pelvic organs 0 0 0 Pregnancy, childbirth and the puerperium 1 0 1 Health Status Profile of American Indians in Arizona, 2007 Data Book 85 5.4 (continued) DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2007 Cause of death (Tenth Revision, International Statistical Classification of Diseases) MALE FEMALE Pregnancy with abortive outcome 0 0 Other complications of pregnancy, childbirth and the puerperium 1 0 1 Perinatal conditions 20 10 10 Congenital anomalies, deformations and chromosomal abnormalities 14 7 7 Symptoms, signs, abnormal findings 37 26 11 281 206 75 174 127 47 159 114 45 10 9 1 5 4 1 107 79 28 Total accidents Transport accidents Motor vehicle accidents Other land transport accidents Water, air, space Nontransport accidents Falls 0 21 13 8 Accidental discharge of firearms 1 1 0 Accidental drowning and submersion 8 6 2 Accidental exposure to smoke, fire and flames 3 2 1 Accidental poisoning 32 24 8 Other and unspecified nontransport accidents 43 33 10 35 28 7 By discharge of firearms 11 10 1 By other means 24 18 6 44 36 8 By discharge of firearms 16 15 1 By other means 28 21 7 Legal intervention 0 0 0 Events of undetermined intent 8 5 3 Discharge of firearms 0 0 0 Other and unspecified events of undetermined intent 8 5 3 Operations of war 0 0 0 Complications of medical and surgical care 5 3 2 INJURY BY FIREARMS 28 26 2 DRUG-INDUCED DEATHS 23 14 9 133 88 45 Intentional self-harm (suicide) Assault (homicide) ALCOHOL-INDUCED DEATHS 86 TOTAL Health Status Profile of American Indians in Arizona, 2007 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, 2007 1,661 52 13 17 111 104 196 224 221 245 268 210 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 1 0 0 0 0 0 3 1 1 Tuberculosis 2 0 0 0 0 0 1 0 0 0 1 0 Respiratory tuberculosis 2 0 0 0 0 0 1 0 0 0 1 0 Other tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 Whooping cough 0 0 0 0 0 0 0 0 0 0 0 0 Scarlet fever and erysipelas 0 0 0 0 0 0 0 0 0 0 0 0 Meningococcal infection 0 0 0 0 0 0 0 0 0 0 0 0 39 2 0 1 0 0 3 12 4 8 6 3 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 6 0 0 0 0 0 2 1 2 1 0 0 10 0 0 0 0 1 3 4 2 0 0 0 Septicemia Human immunodeficiency virus (HIV) disease Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms 0 0 0 0 0 0 0 0 0 0 0 0 11 0 1 0 1 0 3 0 3 1 2 0 221 0 0 0 5 1 11 23 43 57 51 30 Malignant neoplasm of lip, oral cavity and pharynx 4 0 0 0 0 0 0 0 1 2 1 0 Malignant neoplasm of esophagus 8 0 0 0 0 0 0 0 2 3 2 1 Malignant neoplasm of stomach 15 0 0 0 0 0 2 3 2 2 5 1 Malignant neoplasm of colon, rectum and anus 16 0 0 0 1 0 1 2 1 7 2 2 Malignant neoplasm of liver and intrahepatic bile ducts 20 0 0 0 0 0 2 3 2 3 8 2 Malignant neoplasm of pancreas 16 0 0 0 0 0 1 1 2 5 5 2 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 0 0 0 1 0 4 9 4 1 Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin 0 0 0 0 0 0 0 0 0 0 0 0 20 0 0 0 0 0 3 3 6 5 1 2 Malignant neoplasm of cervix uteri 3 0 0 0 0 0 0 0 2 1 0 0 Malignant neoplasm of corpus uteri and uterus, part unspecified 2 0 0 0 0 0 0 1 0 1 0 0 Malignant neoplasm of ovary 11 0 0 0 0 0 0 3 1 3 3 1 Malignant neoplasm of prostate 11 0 0 0 0 0 0 0 2 2 2 5 Malignant neoplasm of breast Health Status Profile of American Indians in Arizona, 2007 Data Book 87 Malignant neoplasm of kidney and renal pelvis Malignant neoplasm of bladder Malignant neoplasm of meninges, brain and other parts of CNS 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 12 0 0 0 0 0 0 3 4 2 3 0 1 0 0 0 0 0 0 0 0 0 0 1 4 0 0 0 1 1 0 0 0 0 2 0 23 0 0 0 2 0 1 1 6 4 7 2 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 0 0 0 3 3 2 Leukemia 9 0 0 0 2 0 1 0 3 1 2 0 Multiple myeloma and immunoproliferative neoplasms 6 0 0 0 0 0 0 1 3 0 2 0 Other and unspecified malignant neoplasms of lymphoid tissue 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 1 0 0 3 8 8 6 10 In situ neoplasms 5 0 0 1 0 0 0 0 1 1 0 2 Anemias 0 0 0 0 0 0 0 0 0 0 0 0 Diabetes 103 0 0 0 0 2 4 16 24 27 21 9 3 0 0 0 0 0 0 0 0 1 0 2 3 0 0 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 Meningitis 1 1 0 0 0 0 0 0 0 0 0 0 Parkinson's disease 5 0 0 0 0 0 0 0 0 0 4 1 Alzheimer's disease 16 0 0 0 0 0 0 0 0 3 7 6 294 2 0 0 6 8 23 28 42 47 74 64 220 2 0 0 3 7 18 19 36 35 57 43 0 0 0 0 0 0 0 0 0 0 0 0 21 0 0 0 0 0 7 4 3 4 1 2 0 0 0 0 0 0 0 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 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 137 0 0 0 0 2 7 11 21 27 41 28 43 0 0 0 0 2 2 2 6 5 14 12 2 0 0 0 0 0 0 0 0 0 0 2 92 0 0 0 0 0 5 9 15 22 27 14 Atherosclerotic cardiovascular disease 33 0 0 0 0 0 1 4 7 7 8 6 All other forms of chronic ischemic heart disease 59 0 0 0 0 0 4 5 8 15 19 8 62 2 0 0 3 5 4 4 12 4 15 13 Acute and subacute endocarditis 0 0 0 0 0 0 0 0 0 0 0 0 Diseases of pericardium and acute myocarditis 1 0 0 0 0 0 0 1 0 0 0 0 Heart failure 16 0 0 0 0 0 1 0 2 2 3 8 All other forms of heart disease 45 2 0 0 3 5 3 3 10 2 12 5 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, 2007 Health Status Profile of American Indians in Arizona, 2007 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, 2007 Essential (primary) hypertension and hypertensive renal disease 20 0 0 0 0 0 0 3 2 4 5 6 Cerebrovascular diseases 40 0 0 0 0 1 4 5 2 6 9 13 Atherosclerosis 5 0 0 0 0 0 0 0 1 1 2 1 Other diseases of circulatory system 9 0 0 0 3 0 1 1 1 1 1 1 Aortic aneurysm and dissection 7 0 0 0 3 0 1 1 1 0 1 0 Other disease of arteries, arterioles and capillaries 2 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 61 2 0 0 1 1 0 6 6 6 13 26 Other disorders of circulatory system Influenza and pneumonia Influenza 2 0 0 0 0 0 0 0 0 1 0 1 59 2 0 0 1 1 0 6 6 5 13 25 Other acute lower respiratory infections 1 1 0 0 0 0 0 0 0 0 0 0 Acute bronchiolitis 1 1 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 Pneumonia Chronic lower respiratory diseases 23 0 0 1 0 1 0 1 1 7 8 4 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 0 1 0 Asthma 4 0 0 1 0 1 0 0 1 1 0 0 18 0 0 0 0 0 0 1 0 6 7 4 Pneumoconioses and chemical effects 0 0 0 0 0 0 0 0 0 0 0 0 Pneumonitis due to solids and liquids 9 0 0 0 0 0 1 0 2 1 0 5 33 1 0 1 0 0 1 1 2 9 14 4 Peptic ulcer 0 0 0 0 0 0 0 0 0 0 0 0 Diseases of appendix 1 0 0 0 0 0 0 0 0 0 1 0 Hernia 2 0 0 0 0 0 0 1 0 0 1 0 Other chronic lower respiratory diseases Other disease of respiratory system Chronic liver disease and cirrhosis 98 0 0 0 0 8 32 33 15 9 1 0 Alcoholic liver disease 80 0 0 0 0 6 28 29 9 7 1 0 Other chronic liver disease and cirrhosis 18 0 0 0 0 2 4 4 6 2 0 0 3 0 0 0 0 0 0 0 0 0 2 1 39 0 1 1 0 0 3 4 4 9 9 8 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 1 0 0 0 0 0 0 0 0 38 0 1 0 0 0 3 4 4 9 9 8 Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis Renal failure Others disorders of kidney 0 0 0 0 0 0 0 0 0 0 0 0 Infections of kidney 3 0 0 0 0 0 0 1 0 0 2 0 Hyperplasia of prostate 1 0 0 0 0 0 0 0 0 0 0 1 Health Status Profile of American Indians in Arizona, 2007 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 1 0 0 0 1 0 0 0 0 0 0 0 Pregnancy with abortive outcome 0 0 0 0 0 0 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 Perinatal conditions 20 19 0 0 0 0 0 0 0 0 1 0 Congenital anomalies, deformations and chromosomal abnormalities 14 11 1 0 0 1 0 1 0 0 0 0 Symptoms, signs, abnormal findings 37 9 1 0 3 3 6 5 3 1 4 2 281 1 7 5 60 50 59 41 22 19 13 4 174 1 5 1 49 42 33 20 10 7 5 1 159 1 5 1 46 37 30 18 9 7 5 0 10 0 0 0 2 3 3 1 0 0 0 1 Total accidents Transport accidents Motor vehicle accidents Other land transport accidents Water, air, space Nontransport accidents Falls 5 0 0 0 1 2 0 1 1 0 0 0 107 0 2 4 11 8 26 21 12 12 8 3 21 0 1 0 1 0 3 6 0 5 3 2 Accidental discharge of firearms 1 0 0 1 0 0 0 0 0 0 0 0 Accidental drowning and submersion 8 0 0 0 1 4 0 1 1 1 0 0 Accidental exposure to smoke, fire and flames 3 0 0 0 1 0 0 0 1 1 0 0 Accidental poisoning 32 0 0 0 5 4 12 5 3 1 2 0 Other and unspecified nontransport accidents 43 0 1 3 3 1 11 9 7 4 3 1 35 0 0 1 13 10 5 4 1 1 0 0 By discharge of firearms 11 0 0 0 6 1 1 2 0 1 0 0 By other means 24 0 0 1 7 9 4 2 1 0 0 0 Intentional self-harm (suicide) Assault (homicide) 44 1 0 1 15 7 12 4 2 2 0 0 By discharge of firearms 16 0 0 1 8 2 3 2 0 0 0 0 By other means 28 1 0 0 7 5 9 2 2 2 0 0 Legal intervention 0 0 0 0 0 0 0 0 0 0 0 0 Events of undetermined intent 8 0 0 0 0 1 3 1 1 1 1 0 Discharge of firearms 0 0 0 0 0 0 0 0 0 0 0 0 Other and unspecified events of undetermined intent 8 0 0 0 0 1 3 1 1 1 1 0 Operations of war 0 0 0 0 0 0 0 0 0 0 0 0 Complications of medical and surgical care 5 0 0 0 0 0 0 0 2 0 2 1 INJURY BY FIREARMS 28 0 0 2 14 3 4 4 0 1 0 0 DRUG-INDUCED DEATHS 23 0 0 0 0 4 9 5 3 0 2 0 133 0 0 0 4 9 42 50 16 10 2 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, 2007 Health Status Profile of American Indians in Arizona, 2007 Data Book Total, all causes Total 23 14 1 4 97 4 76 14 56 25 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 0 Certain other intestinal infections 6 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 3 1 0 0 2 3 Tuberculosis 2 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 0 0 0 Respiratory tuberculosis 2 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 0 0 0 Other tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Whooping cough 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Scarlet fever and erysipelas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningococcal infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 0 1 0 1 0 0 5 0 3 0 0 12 3 1 0 3 3 0 32 5 0 1 1 7 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Arthropod-borne encephalitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis 6 0 0 0 1 0 0 1 0 0 0 0 1 1 0 0 0 1 0 5 0 0 0 1 1 10 0 0 0 1 0 0 0 0 1 0 0 2 0 1 0 0 0 0 5 3 0 0 2 5 Other and unspecified infectious and parasitic diseases Malignant neoplasms 35 elsewhere in Arizona 8 0 Malaria 4 1,179 214 in Coconino County in Maricopa County 1 0 Human immunodeficiency virus (HIV) disease 56 116 108 Total Salt River Pima Maricopa San Carlos Apache Tribe Tohono O'OdhamTribe White Mountain Apache Tribe Yavapai-Apache Nation Pascua Yaqui Tribe Navajo Nation Kaibab-Paiute Tribe Hualapai Nation Hopi Tribe Havasupai Tribe Cocopah Tribe Colorado River Indian Tribe Fort McDowell Yavapai Nation Fort Mohave Indian Tribe Fort Yuma Quechan Tribe Gila River Indian Community 1,661 Salmonella infections Septicemia 1 571 in Pima County Resided off reservation Resided on reservation Ak-Chin Indian Community Cause of death (Tenth Revision, International Statistical Classification of Diseases) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 5.6 DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2007 34 199 482 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 11 0 0 0 0 0 0 1 0 0 0 0 5 0 0 0 1 1 0 8 2 0 0 1 3 221 0 0 3 1 0 0 13 0 13 2 0 72 11 5 5 12 13 1 151 23 6 5 36 70 Malignant neoplasm of lip, oral cavity and pharynx 4 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 3 0 0 0 1 1 Malignant neoplasm of esophagus 8 0 0 0 0 0 0 2 0 0 0 0 3 2 0 0 1 0 0 8 0 0 0 0 0 15 0 0 0 0 0 0 0 0 3 1 0 6 1 0 0 0 3 0 14 0 0 1 0 1 Malignant neoplasm of colon, rectum and anus 16 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 3 0 0 10 2 0 1 3 6 Malignant neoplasm of liver and intrahepatic bile ducts 20 0 0 0 0 0 0 2 0 2 0 0 5 2 0 1 2 0 0 14 3 1 1 1 6 Malignant neoplasm of pancreas 16 0 0 0 0 0 0 2 0 2 0 0 4 0 0 1 1 1 0 11 2 1 0 2 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 0 0 1 0 0 0 0 0 1 0 0 2 1 0 1 1 1 0 8 3 2 0 6 11 Malignant neoplasm of stomach Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin 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 20 0 0 0 0 0 0 0 0 2 0 0 7 2 0 0 1 2 0 14 2 0 0 4 6 Malignant neoplasm of cervix uteri 3 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 2 2 Malignant neoplasm of corpus uteri and uterus, part unspecified 2 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 Malignant neoplasm of ovary 11 0 0 0 0 0 0 2 0 0 0 0 3 0 1 0 1 1 0 8 1 0 0 2 3 Malignant neoplasm of prostate 11 0 0 0 0 0 0 0 0 0 1 0 4 1 0 0 1 0 0 7 0 1 1 2 4 Malignant neoplasm of kidney and renal pelvis 12 0 0 1 0 0 0 2 0 0 0 0 3 0 0 0 0 1 0 7 3 0 0 2 5 Malignant neoplasm of breast Health Status Profile of American Indians in Arizona, 2007 Data Book 91 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 Pascua Yaqui Tribe Navajo Nation Kaibab-Paiute Tribe Hualapai Nation Hopi Tribe Havasupai Tribe Cocopah Tribe Colorado River Indian Tribe Fort McDowell Yavapai Nation Fort Mohave Indian Tribe Fort Yuma Quechan Tribe Gila River Indian Community in Pima County Resided off reservation Resided on reservation Ak-Chin 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, 2007 Malignant neoplasm of bladder 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 Malignant neoplasm of meninges, brain and other parts of CNS 4 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 1 1 0 0 2 23 0 0 1 0 0 0 0 0 0 0 0 9 0 1 2 0 2 1 16 3 0 0 4 7 Hodgkin's disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Non-Hodgkin's lymphoma 8 0 0 0 0 0 0 0 0 0 0 0 4 0 0 1 0 1 0 6 0 0 0 2 2 Leukemia 9 0 0 0 0 0 0 0 0 0 0 0 4 0 1 0 0 0 1 6 1 0 0 2 3 Multiple myeloma and immunoproliferative neoplasms 6 0 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 4 2 0 0 0 2 Other and unspecified malignant neoplasms of lymphoid tissue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 36 0 0 0 1 0 0 1 0 3 0 0 15 1 2 0 1 2 0 26 2 0 1 7 10 In situ neoplasms 5 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 2 1 0 0 2 3 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 0 Diabetes 103 0 1 3 2 0 1 7 0 3 4 0 27 5 2 3 10 7 0 75 17 1 1 9 28 3 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningitis 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 Parkinson's disease 5 0 0 0 0 0 0 0 0 1 0 0 2 0 0 0 0 0 0 3 0 0 0 2 2 Alzheimer's disease 16 0 0 1 0 0 0 0 0 0 0 0 3 1 1 0 1 0 0 7 7 0 0 2 9 294 0 0 6 2 0 1 17 2 9 1 0 99 6 2 15 18 12 1 191 50 9 8 36 103 220 0 0 5 2 0 1 11 2 7 1 0 74 5 2 10 16 9 0 145 39 7 6 23 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 21 0 0 0 0 0 0 1 0 0 0 0 2 1 0 1 6 0 0 11 7 0 0 3 10 Malignant neoplasm of lymphoid, hematopoietic and related tissue All other and unspecified malignant neoplasm Nutritional deficiencies Malnutrition Other nutritional deficiencies Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease Hypertensive heart and renal disease 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 137 0 0 0 2 0 1 7 2 4 0 0 53 1 1 7 7 3 0 88 23 6 4 16 49 43 0 0 0 0 0 0 1 1 1 0 0 23 0 0 3 2 0 0 31 4 1 0 7 12 2 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 0 0 0 92 0 0 0 2 0 1 6 1 3 0 0 28 1 1 4 5 3 0 55 19 5 4 9 37 Atherosclerotic cardiovascular disease 33 0 0 0 1 0 0 2 1 0 0 0 12 1 0 0 2 3 0 22 6 0 2 3 11 All other forms of chronic ischemic heart disease 59 0 0 0 1 0 1 4 0 3 0 0 16 0 1 4 3 0 0 33 13 5 2 6 26 Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Other heart diseases 92 75 62 0 0 5 0 0 0 3 0 3 1 0 19 3 1 2 3 6 0 46 9 1 2 4 16 Acute and subacute endocarditis 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 Diseases of pericardium and acute myocarditis 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 Heart failure 16 0 0 1 0 0 0 1 0 1 1 0 6 1 1 0 0 1 0 13 1 0 1 1 3 All other forms of heart disease 45 0 0 4 0 0 0 2 0 2 0 0 13 2 0 2 3 5 0 33 7 1 1 3 12 Health Status Profile of American Indians in Arizona, 2007 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 Pascua Yaqui Tribe Navajo Nation Kaibab-Paiute Tribe Hualapai Nation Hopi Tribe Havasupai Tribe Cocopah Tribe Colorado River Indian Tribe Fort McDowell Yavapai Nation Fort Mohave Indian Tribe Fort Yuma Quechan Tribe Gila River Indian Community in Pima County Resided off reservation Resided on reservation Ak-Chin 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, 2007 Essential (primary) hypertension and hypertensive renal disease 20 0 0 0 0 0 0 2 0 0 0 0 7 0 0 2 0 0 0 11 4 2 0 3 9 Cerebrovascular diseases 40 0 0 1 0 0 0 4 0 2 0 0 12 1 0 2 2 2 1 27 3 0 2 8 13 Atherosclerosis 5 0 0 0 0 0 0 0 0 0 0 0 3 0 0 1 0 0 0 4 1 0 0 0 1 Other diseases of circulatory system 9 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 1 0 4 3 0 0 2 5 Aortic aneurysm and dissection 7 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 2 3 0 0 2 5 Other disease of arteries, arterioles and capillaries 2 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 61 0 0 1 0 0 0 4 0 5 0 0 29 3 0 3 0 3 0 48 7 0 2 4 13 Other disorders of circulatory system Influenza and pneumonia Influenza 2 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 0 0 0 59 0 0 1 0 0 0 4 0 5 0 0 27 3 0 3 0 3 0 46 7 0 2 4 13 Other acute lower respiratory infections 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 Acute bronchiolitis 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 Unspecified acute lower respiratory infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23 1 0 0 0 0 0 0 0 0 0 0 7 2 0 0 0 4 0 14 3 1 0 5 9 Bronchitis, chronic and unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Emphysema 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 Asthma 4 0 0 0 0 0 0 0 0 0 0 0 2 1 0 0 0 0 0 3 1 0 0 0 1 18 1 0 0 0 0 0 0 0 0 0 0 5 1 0 0 0 4 0 11 2 0 0 5 7 Pneumoconioses and chemical effects 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pneumonitis due to solids and liquids 9 0 0 0 0 0 0 0 0 0 0 0 5 1 1 0 0 1 0 8 0 0 0 1 1 33 0 0 0 0 0 0 3 0 2 0 0 14 1 0 0 1 1 0 22 3 3 0 5 11 Peptic ulcer 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 Diseases of appendix 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 Hernia 2 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 98 0 2 1 2 0 1 6 0 4 2 1 18 5 3 8 12 11 1 77 15 2 1 3 21 Alcoholic liver disease 80 0 2 1 2 0 1 6 0 3 2 0 14 4 2 6 11 8 1 63 14 1 0 2 17 Other chronic liver disease and cirrhosis 18 0 0 0 0 0 0 0 0 1 0 1 4 1 1 2 1 3 0 14 1 1 1 1 4 3 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 3 0 0 0 0 0 39 0 0 1 0 0 0 5 1 1 0 0 12 0 0 3 4 3 0 30 3 0 2 4 9 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 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 0 1 1 38 0 0 1 0 0 0 5 1 1 0 0 12 0 0 3 4 3 0 30 3 0 2 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 0 0 3 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 1 0 3 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 Renal failure Others disorders of kidney Infections of kidney Health Status Profile of American Indians in Arizona, 2007 Data Book 93 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 Pascua Yaqui Tribe Navajo Nation Kaibab-Paiute Tribe Hualapai Nation Hopi Tribe Havasupai Tribe Cocopah Tribe Colorado River Indian Tribe Fort McDowell Yavapai Nation Fort Mohave Indian Tribe Fort Yuma Quechan Tribe Gila River Indian Community in Pima County Resided off reservation Resided on reservation Ak-Chin 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, 2007 Hyperplasia of prostate 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 Inflammatory diseases of female pelvic organs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 1 Pregnancy with abortive outcome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 1 0 0 0 1 Perinatal conditions 20 0 0 0 0 0 0 2 0 0 0 0 6 0 1 1 1 5 0 16 2 1 0 1 4 Congenital anomalies, deformations and chromosomal abnormalities 14 0 0 0 0 0 0 1 0 0 0 0 3 0 0 0 0 2 1 7 3 0 1 3 7 Symptoms, signs, abnormal findings Total accidents Transport accidents Motor vehicle accidents Other land transport accidents Water, air, space Nontransport accidents Falls 37 0 1 1 0 0 0 2 0 2 0 0 9 0 0 2 8 4 0 29 3 1 2 2 8 281 0 0 3 3 1 0 12 0 14 4 0 121 7 4 7 10 18 0 204 31 3 4 39 77 174 0 0 3 1 1 0 10 0 6 2 0 78 1 3 5 9 12 0 131 13 2 3 25 43 159 0 0 2 1 1 0 10 0 6 2 0 73 1 3 3 7 12 0 121 10 2 3 23 38 10 0 0 1 0 0 0 0 0 0 0 0 4 0 0 0 2 0 0 7 1 0 0 2 3 5 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 0 0 0 3 2 0 0 0 2 107 0 0 0 2 0 0 2 0 8 2 0 43 6 1 2 1 6 0 73 18 1 1 14 34 21 0 0 0 0 0 0 0 0 3 0 0 8 4 0 0 1 0 0 16 4 0 0 1 5 Accidental discharge of firearms 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 Accidental drowning and submersion 8 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 0 1 0 4 0 0 0 4 4 Accidental exposure to smoke, fire and flames 3 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 2 0 1 0 0 1 32 0 0 0 1 0 0 1 0 1 0 0 13 1 1 2 0 0 0 20 9 0 0 3 12 Accidental poisoning Other and unspecified nontransport accidents 43 0 0 0 0 0 0 1 0 4 2 0 20 1 0 0 0 4 0 32 4 0 1 6 11 35 0 0 0 0 0 0 0 0 1 0 0 12 2 0 3 5 1 0 24 5 1 1 4 11 By discharge of firearms 11 0 0 0 0 0 0 0 0 0 0 0 3 0 0 1 1 0 0 5 3 1 1 1 6 By other means 24 0 0 0 0 0 0 0 0 1 0 0 9 2 0 2 4 1 0 19 2 0 0 3 5 44 0 0 0 0 0 0 2 0 2 0 0 13 3 0 0 6 5 0 31 6 2 1 4 13 Intentional self-harm (suicide) Assault (homicide) By discharge of firearms 16 0 0 0 0 0 0 2 0 1 0 0 3 1 0 0 4 0 0 11 3 0 1 1 5 By other means 28 0 0 0 0 0 0 0 0 1 0 0 10 2 0 0 2 5 0 20 3 2 0 3 8 Legal intervention 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 Events of undetermined intent 8 0 0 0 0 0 0 0 1 2 0 0 2 0 0 1 0 0 0 6 0 0 1 1 2 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 0 Other and unspecified events of undetermined intent 8 0 0 0 0 0 0 0 1 2 0 0 2 0 0 1 0 0 0 6 0 0 1 1 2 Operations of war 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Complications of medical and surgical care 5 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 1 0 0 3 1 1 0 0 2 INJURY BY FIREARMS 28 0 0 0 0 0 0 2 0 1 0 0 6 1 0 1 5 0 0 16 7 1 2 2 12 DRUG-INDUCED DEATHS 23 0 0 0 0 0 0 1 0 2 0 0 5 1 1 2 0 0 0 12 9 0 0 2 11 133 0 2 2 3 0 1 7 0 7 3 0 44 4 2 6 12 9 1 103 19 2 0 9 30 ALCOHOL-INDUCED DEATHS 94 Health Status Profile of American Indians in Arizona, 2007 Data Book Total, all causes Unknown La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Coconino Cochise Cause of death (Tenth Revision, International Statistical Classification of Diseases) Apache ARIZONA 5.7 DEATHS BY COUNTY OF RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2007 1,661 360 2 188 54 13 0 291 24 372 175 126 0 12 16 25 3 Salmonella infections 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Shigellosis and amebiasis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Certain other intestinal infections 6 1 0 0 0 0 0 1 0 1 1 0 0 0 0 2 0 Tuberculosis 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Respiratory tuberculosis 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Other tuberculosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Whooping cough 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Scarlet fever and erysipelas 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Meningococcal infection 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 39 9 0 4 0 0 0 11 0 7 4 3 0 0 1 0 0 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Septicemia Arthropod-borne encephalitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis 6 0 0 1 0 0 0 1 0 2 1 1 0 0 0 0 0 0 Human immunodeficiency virus (HIV) disease Malaria Other and unspecified infectious and parasitic diseases Malignant neoplasms Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of esophagus 10 2 1 0 0 0 0 5 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 11 3 0 3 0 0 0 2 0 1 1 1 0 0 0 0 0 221 37 0 24 7 0 0 32 3 61 24 24 0 4 2 3 0 4 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 8 1 0 2 0 0 0 1 0 0 2 2 0 0 0 0 0 Malignant neoplasm of stomach 15 2 0 4 1 0 0 0 1 6 1 0 0 0 0 0 0 Malignant neoplasm of colon, rectum and anus 16 3 0 2 0 0 0 2 0 4 2 2 0 0 1 0 0 Malignant neoplasm of liver and intrahepatic bile ducts 20 3 0 2 1 0 0 3 0 4 5 2 0 0 0 0 0 Malignant neoplasm of pancreas 16 3 0 0 1 0 0 2 0 5 2 2 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 19 1 0 0 1 0 0 4 1 5 3 0 0 3 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20 4 0 0 0 0 0 2 0 8 3 3 0 0 0 0 0 Malignant neoplasm of cervix uteri 3 1 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 Malignant neoplasm of corpus uteri and uterus, part unspecified 2 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 Malignant neoplasm of ovary 11 2 0 1 0 0 0 3 0 3 0 2 0 0 0 0 0 Malignant neoplasm of prostate 11 0 0 1 0 0 0 0 1 6 3 0 0 0 0 0 0 Malignant neoplasm of kidney and renal pelvis 12 2 0 1 0 0 0 3 0 1 0 4 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin Malignant neoplasm of breast Malignant neoplasm of bladder Health Status Profile of American Indians in Arizona, 2007 Data Book 95 Malignant neoplasm of meninges, brain and other parts of CNS Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin's disease Unknown 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, 2007 4 1 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 23 5 0 3 3 0 0 4 0 6 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Non-Hodgkin's lymphoma 8 2 0 1 1 0 0 0 0 4 0 0 0 0 0 0 0 Leukemia 9 3 0 1 1 0 0 2 0 1 0 0 0 1 0 0 0 Multiple myeloma and immunoproliferative neoplasms 6 0 0 1 1 0 0 2 0 1 0 0 0 0 0 1 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 0 36 8 0 7 0 0 0 5 0 12 1 3 0 0 0 0 0 5 1 0 0 0 0 0 1 0 2 0 0 0 0 1 0 0 All other and unspecified malignant neoplasm In situ neoplasms Anemias 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Diabetes 103 17 0 7 2 1 0 28 4 19 10 8 0 2 2 3 0 3 1 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 3 1 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 Meningitis 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 Parkinson's disease 5 1 0 2 0 0 0 0 0 2 0 0 0 0 0 0 0 Nutritional deficiencies Malnutrition Other nutritional deficiencies Alzheimer's disease Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease Hypertensive heart and renal disease Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Atherosclerotic cardiovascular disease All other forms of chronic ischemic heart disease 16 3 0 1 0 0 0 9 0 1 1 0 0 0 0 1 0 294 66 1 31 15 6 0 57 1 52 30 25 0 2 1 7 0 220 47 1 25 10 4 0 45 1 39 25 15 0 1 1 6 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 21 3 1 0 2 0 0 7 0 0 5 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 137 35 0 17 6 4 0 27 0 23 14 8 0 1 1 1 0 43 16 0 6 2 1 0 4 0 9 3 1 0 0 0 1 0 0 2 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 92 19 0 9 4 3 0 23 0 14 11 7 0 1 1 0 0 33 8 0 7 1 0 0 7 0 4 3 3 0 0 0 0 0 59 11 0 2 3 3 0 16 0 10 8 4 0 1 1 0 0 62 9 0 8 2 0 0 11 1 16 6 4 0 0 0 5 0 Acute and subacute endocarditis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Diseases of pericardium and acute myocarditis 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 Heart failure 16 3 0 4 0 0 0 2 1 3 1 1 0 0 0 1 0 All other forms of heart disease 45 6 0 4 2 0 0 8 0 13 5 3 0 0 0 4 0 Essential (primary) hypertension and hypertensive renal disease 20 2 0 0 2 0 0 4 0 7 2 3 0 0 0 0 0 Cerebrovascular diseases 40 12 0 4 1 2 0 4 0 6 3 6 0 1 0 1 0 Other heart diseases 96 Health Status Profile of American Indians in Arizona, 2007 Data Book Unknown 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, 2007 Atherosclerosis 5 1 0 2 1 0 0 1 0 0 0 0 0 0 0 0 0 Other diseases of circulatory system 9 4 0 0 1 0 0 3 0 0 0 1 0 0 0 0 0 Aortic aneurysm and dissection 7 2 0 0 1 0 0 3 0 0 0 1 0 0 0 0 0 Other disease of arteries, arterioles and capillaries 2 2 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 1 0 0 61 16 0 12 3 0 0 9 0 15 1 4 0 0 0 1 0 2 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Other disorders of circulatory system Influenza and pneumonia Influenza 59 15 0 11 3 0 0 9 0 15 1 4 0 0 0 1 0 Other acute lower respiratory infections Pneumonia 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute bronchiolitis 1 0 0 1 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 23 6 0 0 0 0 0 3 2 8 3 1 0 0 0 0 0 Bronchitis, chronic and unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Emphysema 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Asthma 4 0 0 0 0 0 0 1 0 2 1 0 0 0 0 0 0 18 6 0 0 0 0 0 2 2 6 1 1 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 0 Pneumonitis due to solids and liquids 9 1 0 0 0 0 0 1 0 6 1 0 0 0 0 0 0 33 12 0 4 0 0 0 3 0 6 5 3 0 0 0 0 0 Peptic ulcer 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Diseases of appendix 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 Hernia 2 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 98 16 0 5 8 1 0 24 3 15 17 4 0 1 3 1 0 Alcoholic liver disease 80 13 0 3 5 1 0 22 2 11 14 4 0 1 3 1 0 Other chronic liver disease and cirrhosis 18 3 0 2 3 0 0 2 1 4 3 0 0 0 0 0 0 0 Other disease of respiratory system Chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis Acute and rapidly progressive nephritic and nephrotic syndrome Chronic glomerulonephritis Renal failure Others disorders of kidney 3 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 39 4 0 6 3 0 0 4 0 11 3 7 0 0 0 1 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 1 0 0 0 0 0 0 38 4 0 6 3 0 0 4 0 10 3 7 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Infections of kidney 3 2 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 Hyperplasia of prostate 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Inflammatory diseases of female pelvic organs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pregnancy, childbirth and the puerperium 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pregnancy with abortive outcome Health Status Profile of American Indians in Arizona, 2007 Data Book 97 Other complications of pregnancy, childbirth and the puerperium Perinatal conditions Congenital anomalies, deformations and chromosomal abnormalities Symptoms, signs, abnormal findings Total accidents Transport accidents Motor vehicle accidents Other land transport accidents Water, air, space Nontransport accidents Falls Unknown 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, 2007 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 20 3 0 3 1 0 0 3 0 5 2 3 0 0 0 0 0 14 1 0 3 0 0 0 3 0 4 0 1 0 2 0 0 0 37 5 0 4 3 0 0 4 0 9 8 2 0 0 1 1 0 281 80 0 34 5 2 0 40 6 70 18 19 0 0 1 3 3 174 50 0 22 4 1 0 18 3 46 11 15 0 0 0 3 1 159 47 0 22 2 1 0 15 3 44 10 12 0 0 0 2 1 10 2 0 0 0 0 0 1 0 2 1 3 0 0 0 1 0 0 5 1 0 0 2 0 0 2 0 0 0 0 0 0 0 0 107 30 0 12 1 1 0 22 3 24 7 4 0 0 1 0 2 21 3 0 2 0 0 0 5 0 7 4 0 0 0 0 0 0 Accidental discharge of firearms 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 Accidental drowning and submersion 8 1 0 0 1 0 0 1 1 2 0 1 0 0 0 0 1 Accidental exposure to smoke, fire and flames 3 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 Accidental poisoning 32 8 0 3 1 1 0 11 0 5 1 1 0 0 0 0 1 Other and unspecified nontransport accidents 43 18 0 6 0 0 0 4 2 9 1 2 0 0 1 0 0 Intentional self-harm (suicide) 35 6 0 6 2 1 0 6 1 5 7 1 0 0 0 0 0 By discharge of firearms 11 2 0 2 1 0 0 3 0 0 2 1 0 0 0 0 0 By other means 24 4 0 4 1 1 0 3 1 5 5 0 0 0 0 0 0 44 6 0 5 0 0 0 7 2 11 11 2 0 0 0 0 0 By discharge of firearms 16 1 0 2 0 0 0 4 0 2 5 2 0 0 0 0 0 Assault (homicide) By other means 28 5 0 3 0 0 0 3 2 9 6 0 0 0 0 0 0 Legal intervention 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Events of undetermined intent 8 2 0 3 1 0 0 0 0 2 0 0 0 0 0 0 0 Discharge of firearms 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other and unspecified events of undetermined intent 8 2 0 3 1 0 0 0 0 2 0 0 0 0 0 0 0 Operations of war 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Complications of medical and surgical care 5 1 0 0 0 0 0 1 0 1 2 0 0 0 0 0 0 INJURY BY FIREARMS 28 3 0 4 1 0 0 8 0 2 7 3 0 0 0 0 0 DRUG-INDUCED DEATHS 23 2 0 2 1 1 0 10 1 3 1 1 0 0 0 0 1 133 31 0 14 5 1 0 29 3 23 16 5 0 1 3 2 0 ALCOHOL-INDUCED DEATHS 98 Health Status Profile of American Indians in Arizona, 2007 Data Book 5.8 DEATHS FROM MOTOR VEHICLE-RELATED INJURIES AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2007 TOTAL ALL AGES <1 M F 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 ALL AGES 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 ALL AGES <1 1-4 15-24 25-34 35-44 45-54 55-64 65-74 75-84 159 1 5 1 46 37 30 18 9 7 5 114 2 1 36 25 20 15 7 5 3 45 1 3 10 12 10 3 2 2 2 2 0 0 0 1 0 0 1 0 0 0 2 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 10 0 0 0 5 1 1 3 0 0 0 7 0 0 4 0 1 2 0 0 0 3 0 0 1 1 0 1 0 0 0 Health Status Profile of American Indians in Arizona, 2007 Data Book 6 0 0 0 0 2 4 0 0 0 0 4 0 0 0 1 3 0 0 0 0 2 0 0 0 1 1 0 0 0 0 2 0 0 0 1 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 73 1 4 1 20 18 10 7 5 4 3 59 2 1 16 15 9 6 4 4 2 14 1 2 4 3 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 2 1 0 0 0 0 2 0 0 0 1 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 3 0 0 0 1 0 2 0 0 0 0 1 0 0 0 0 1 0 0 0 0 2 0 0 1 0 1 0 0 0 0 7 0 0 0 1 2 2 2 0 0 0 4 0 0 1 0 1 2 0 0 0 3 0 0 0 2 1 0 0 0 0 12 0 0 0 7 1 1 1 1 0 1 8 0 0 5 1 0 1 1 0 0 4 0 0 2 0 1 0 0 0 1 121 1 4 1 37 27 22 14 6 4 5 90 2 1 28 19 16 12 5 4 3 31 1 2 9 8 6 2 1 0 2 10 0 0 0 1 3 4 0 0 2 0 5 0 0 1 1 3 0 0 0 0 5 0 0 0 2 1 0 0 2 0 2 0 0 0 1 1 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 3 0 0 0 2 0 0 0 1 0 0 2 0 0 2 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 23 0 1 0 5 6 4 4 2 1 0 16 0 0 4 5 1 3 2 1 0 7 0 1 1 1 3 1 0 0 0 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 Resided off reservation Salt River PimaMaricopa Community Pascua Yaqui Tribe Navajo Nation Hualapai Nation Hopi Tribe Gila River Indian Community Fort Mohave Indian Tribe Fort McDowell Yavapai Nation Colorado River Indian Tribe TOTAL Resided on reservation 38 0 1 0 9 10 8 4 3 3 0 24 0 0 8 6 4 3 2 1 0 14 0 1 1 4 4 1 1 2 0 99 5.9 INTENTIONAL SELF-HARM (SUICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2007 F 100 TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL White Mountain Apache Tribe San Carlos Apache Tribe Tohono O'Odham Tribe Resided off reservation 35 1 12 2 3 5 1 24 5 1 1 4 11 1 0 0 0 0 1 0 1 0 0 0 0 0 15-24 13 0 4 0 1 2 1 8 3 0 1 1 5 25-34 10 1 3 1 0 2 0 7 1 1 0 1 3 35-44 5 0 2 1 1 0 0 4 0 0 0 1 1 45-54 4 0 3 0 0 0 0 3 1 0 0 0 1 55-64 1 0 0 0 0 0 0 0 0 0 0 1 1 65-74 1 0 0 0 1 0 0 1 0 0 0 0 0 ALL AGES 28 1 10 1 3 3 1 19 5 1 1 2 9 15-24 10 0 3 0 1 1 1 6 3 0 1 0 4 25-34 9 1 3 0 0 2 0 6 1 1 0 1 3 35-44 5 0 2 1 1 0 0 4 0 0 0 1 1 45-54 3 0 2 0 0 0 0 2 1 0 0 0 1 65-74 1 0 0 0 1 0 0 1 0 0 0 0 0 ALL AGES 7 0 2 1 0 2 0 5 0 0 0 2 2 5-14 1 0 0 0 0 1 0 1 0 0 0 0 0 15-24 3 0 1 0 0 1 0 2 0 0 0 1 1 25-34 1 0 0 1 0 0 0 1 0 0 0 0 0 45-54 1 0 1 0 0 0 0 1 0 0 0 0 0 55-64 1 0 0 0 0 0 0 0 0 0 0 1 1 5-14 M Pascua Yaqui Tribe Hopi Tribe TOTAL TOTAL ALL AGES Navajo Nation Resided on reservation Health Status Profile of American Indians in Arizona, 2007 Data Book 5.10 ASSAULT (HOMICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2007 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 Pascua Yaqui Tribe 44 2 2 13 3 6 5 31 6 2 1 4 13 1 0 0 0 0 0 0 0 1 0 0 0 1 5-14 1 0 0 1 0 0 0 1 0 0 0 0 0 15-24 15 1 1 5 1 2 2 12 3 0 0 0 3 25-34 7 0 1 1 2 2 0 6 0 0 0 1 1 35-44 12 1 0 4 0 2 2 9 0 1 1 1 3 45-54 4 0 0 1 0 0 0 1 1 1 0 1 3 55-64 2 0 0 0 0 0 1 1 1 0 0 0 1 2 0 0 1 0 0 0 1 0 0 0 1 1 36 2 2 11 3 5 5 28 3 2 1 2 8 1 0 0 1 0 0 0 1 0 0 0 0 0 15-24 13 1 1 4 1 2 2 11 2 0 0 0 2 25-34 6 0 1 1 2 2 0 6 0 0 0 0 0 35-44 10 1 0 3 0 1 2 7 0 1 1 1 3 45-54 3 0 0 1 0 0 0 1 0 1 0 1 2 55-64 2 0 0 0 0 0 1 1 1 0 0 0 1 65-74 1 0 0 1 0 0 0 1 0 0 0 0 0 ALL AGES 8 0 0 2 0 1 0 3 3 0 0 2 5 <1 1 0 0 0 0 0 0 0 1 0 0 0 1 15-24 2 0 0 1 0 0 0 1 1 0 0 0 1 25-34 1 0 0 0 0 0 0 0 0 0 0 1 1 35-44 2 0 0 1 0 1 0 2 0 0 0 0 0 45-54 1 0 0 0 0 0 0 0 1 0 0 0 1 65-74 1 0 0 0 0 0 0 0 0 0 0 1 1 ALL AGES 5-14 F Resided off reservation <1 65-74 M Navajo Nation TOTAL Hopi Tribe Gila River Indian Community Resided on reservation Health Status Profile of American Indians in Arizona, 2007 Data Book 101 5.11 DIABETES-RELATED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2007 ---elsewhere in Arizona Yavapai-Apache Nation White Mountain Apache Tribe 6 59 11 2 7 22 18 1 155 36 2 6 18 0 0 2 0 0 1 0 0 0 3 1 0 0 0 1 35-44 19 1 1 1 1 1 1 1 1 3 1 0 0 1 0 0 13 4 0 2 0 6 45-54 33 0 1 0 0 4 0 0 3 4 0 0 1 7 3 0 23 8 0 1 1 10 55-64 40 1 1 1 0 3 0 2 1 8 3 0 0 6 3 0 29 3 1 1 6 11 65-74 60 0 0 1 0 2 0 1 0 17 2 0 3 6 7 1 40 13 1 0 6 20 75-84 41 0 0 0 0 0 0 4 0 19 5 1 1 1 3 0 34 4 0 1 2 7 85+ 20 0 0 0 0 1 0 0 1 6 0 1 1 1 2 0 13 3 0 1 3 7 113 1 3 2 0 6 0 3 4 34 1 0 3 11 10 0 78 21 1 3 10 35 25-34 3 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 1 0 0 0 1 35-44 10 1 1 1 0 0 0 0 1 2 0 0 0 1 0 0 7 2 0 1 0 3 45-54 20 0 1 0 0 4 0 0 2 4 0 0 0 2 2 0 15 4 0 1 0 5 55-64 23 0 1 1 0 1 0 1 1 5 0 0 0 4 0 0 14 3 1 1 4 9 65-74 35 0 0 0 0 0 0 1 0 12 0 0 2 3 5 0 23 8 0 0 4 12 75-84 16 0 0 0 0 0 0 1 0 8 1 0 0 1 3 0 14 2 0 0 0 2 6 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 3 1 0 0 2 3 104 1 0 1 1 5 1 5 2 25 10 2 4 11 8 1 77 15 1 3 8 27 25-34 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 35-44 9 0 0 0 1 1 1 1 0 1 1 0 0 0 0 0 6 2 0 1 0 3 45-54 13 0 0 0 0 0 0 0 1 0 0 0 1 5 1 0 8 4 0 0 1 5 55-64 17 1 0 0 0 2 0 1 0 3 3 0 0 2 3 0 15 0 0 0 2 2 65-74 25 0 0 1 0 2 0 0 0 5 2 0 1 3 2 1 17 5 1 0 2 8 75-84 25 0 0 0 0 0 0 3 0 11 4 1 1 0 0 0 20 2 0 1 2 5 85+ 14 0 0 0 0 0 0 0 1 5 0 1 0 1 2 0 10 2 0 1 1 4 ALL AGES ---in Pima County TOTAL Pascua Yaqui Tribe Navajo Nation Hopi Tribe TOTAL ALL AGES TOTAL 8 0 ---in Coconino County 1 0 ---in Maricopa County 11 0 85+ F Tohono O'Odham Tribe Gila River Indian Community 1 0 Salt River PimaMaricopa Community Fort Yuma QuechanTribe 3 0 Hualapai Nation Fort McDowell Yavapai Nation 3 0 Havasupai Tribe Colorado River Indian Tribe 2 4 Cocopah Tribe 217 25-34 TOTAL ALL AGES M Resided off reservation San Carlos Apache Tribe Resided on reservation 62 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 2007) is shown in Tables 5.4 - 5.7. 102 Health Status Profile of American Indians in Arizona, 2007 Data Book 5.12 ALCOHOL-INDUCED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2007 TOTAL ---elsewhere in Arizona ---in Pima County ---in Maricopa County TOTAL Yavapai-Apache Nation 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 Quechan Tribe 2 2 3 1 7 7 3 44 4 2 6 12 9 1 103 19 2 9 30 15-24 4 0 0 0 0 0 0 0 4 0 0 0 0 0 0 4 0 0 0 0 25-34 9 0 0 0 1 1 1 0 2 0 0 2 0 0 0 7 2 0 0 2 35-44 42 1 0 1 0 2 3 2 11 1 1 0 7 2 0 31 6 1 4 11 45-54 50 0 1 1 0 3 2 1 17 2 1 3 1 5 0 37 9 0 4 13 55-64 16 0 1 1 0 0 1 0 7 1 0 1 2 1 0 15 1 0 0 1 65-74 10 1 0 0 0 1 0 0 3 0 0 0 2 0 1 8 1 0 1 2 ALL AGES 15-24 F Resided off reservation 133 75-84 M Fort McDowell Yavapai Nation Cocopah Tribe TOTAL TOTAL ALL AGES Colorado River Indian Tribe Resided on reservation 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1 88 1 2 1 0 4 6 2 32 4 2 1 7 5 0 67 13 1 7 21 3 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 0 0 0 0 25-34 5 0 0 0 0 1 1 0 2 0 0 0 0 0 0 4 1 0 0 1 35-44 27 1 0 0 0 0 3 1 8 1 1 0 3 2 0 20 3 0 4 7 45-54 36 0 1 1 0 2 2 1 13 2 1 1 0 2 0 26 8 0 2 10 55-64 8 0 1 0 0 0 0 0 3 1 0 0 2 0 0 7 1 0 0 1 65-74 7 0 0 0 0 1 0 0 3 0 0 0 2 0 0 6 0 0 1 1 75-84 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 1 ALL AGES 45 1 0 2 1 3 1 1 12 0 0 5 5 4 1 36 6 1 2 9 15-24 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 25-34 4 0 0 0 1 0 0 0 0 0 0 2 0 0 0 3 1 0 0 1 35-44 15 0 0 1 0 2 0 1 3 0 0 0 4 0 0 11 3 1 0 4 45-54 14 0 0 0 0 1 0 0 4 0 0 2 1 3 0 11 1 0 2 3 55-64 8 0 0 1 0 0 1 0 4 0 0 1 0 1 0 8 0 0 0 0 65-74 3 1 0 0 0 0 0 0 0 0 0 0 0 0 1 2 1 0 0 1 Health Status Profile of American Indians in Arizona, 2007 Data Book 103 COMPARATIVE CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2007 Data Book 105 5-13 Five Leading Causes of Death* by Gender among American Indian Residents of Arizona in 2007 Rank Female Both 1 Cancer 100.1 Diseases of heart 115.2 Unintentional injury 143.9 2 Diseases of heart 94.7 Cancer 113.9 Diseases of heart 140.5 3 Unintentional injury 50.3 4 Diabetes 42.1 5 Influenza and pneumonia 31.7 Unintentional injury 95.0 Diabetes 51.1 Chronic liver disease and cirrhosis 36.8 Male Cancer 135.0 Diabetes 61.1 Chronic liver disease and cirrhosis 46.9 * Based on age-adjusted mortality rates: Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard. See Table 2B-4 in the “Arizona Health Status and Vital Statistics 2007” report. Health Status Profile of American Indians in Arizona, 2007 Data Book 107 5-14 Five Leading Causes of Death among American Indians by Gender and Residence On or Off Reservation, Arizona, 2007 Rank 1 2 Female, resided on reservation Cancer 15.5% Female, resided off reservation Cancer 16.4% Male, resided on reservation Male, resided off reservation Unintentional injury 22.9% Unintentional injury 18.6% Diseases of heart Diseases of heart Diseases of heart Diseases of heart 13.5% 16.4% 11.5% 14.9% 3 Unintentional injury 9.6% Unintentional injury 12.7% Cancer 10.9% Cancer 13.0% 4 Diabetes 7.0% Diabetes 4.7% Chronic liver disease and cirrhosis 6.3% Diabetes 6.7% 5 Chronic liver disease and cirrhosis 6.8 Chronic liver disease and cirrhosis 3.3% Diabetes 5.9% Chronic liver disease and cirrhosis 5.2% * Percent of total deaths in specified group. 108 Health Status Profile of American Indians in Arizona, 2007 Data Book 5-15 Proportional Mortality* by Type of Cancer and Gender among American Indians and all Residents of Arizona, 2000-2007 Rank 1 2 3 4 Arizona male** Trachea, bronchus, lung 28.8% Prostate 10.8% Lymphoma*** 10.7% Colon, rectum, anus 9.7% American Indian male Prostate 12.3% Lymphoma 11.3% Trachea, bronchus, lung 9.9% Arizona female** Trachea, bronchus, lung 25.8% Breast 15.6% Colon, rectum, anus 9.7% American Indian female Breast 13.6% Lymphoma 11.7% Ovary 7.9% Liver 9.5% Lymphoma 9.5% Trachea, bronchus, lung 7.1% Kidney 8.9% Ovary 6.0% Liver 6.7% Pancreas 5.7% Stomach 6.5% Pancreas 5.5% 5 Pancreas 5.6 6 Esophagus 3.7% 7 Liver 3.5% Stomach 7.8% Brain 2.4% 8 Bladder 3.3% Pancreas 6.9% Liver 2.2% 9 Kidney 2.8% Esophagus 3.9% Uterus 2.0% Cervix uteri 4.8% 10 Brain 2.5% Lip 2.1% Kidney 1.9% Kidney 4.5% Colon, rectum, anus 8.3% Colon, rectum, anus 4.9% . *Percent of cancer deaths in specified group. *All race/ethnic groups combined. ***Malignant neoplasm of lymphoid, hematopoietic and related tissue. Note: Percentages based on frequency counts in table 5-17. Health Status Profile of American Indians in Arizona, 2007 Data Book 109 5-16 Proportional Mortality* by Mechanism of Unintentional Injury and Gender among American Indians and all Residents of Arizona, 1997-2007 Rank Arizona male** American Indian male Arizona female** American Indian female 1 Motor vehicle-related 19.6% Motor vehicle-related 58.9% Motor vehicle-related 37.3% Motor vehicle-related 66.9% 2 Poisoning by drugs 18.8% Poisoning by drugs 7.2% Falls 5.8% Falls 29.5% Falls 8.6% 3 Falls 14.7% Poisoning by drugs 14.4% Poisoning by drugs 6.8% 4 Drowning 3.1% Excessive cold 5.1% Choked on objects other than food 2.3% Excessive cold 2.0% 5 Excessive heat 1.7% Drowning 2.8% Misadventure during medical care 2.3% Fire, flames, smoke 1.7% 6 Fire, flames, smoke 1.6% 7 Choked on object other than food 1.4% Fire, flames, smoke 1.9% Fire, flames, smoke 1.9% Choked on objects other than food 1.3% 8 Mechanical suffocation 1.3% Mechanical suffocation 1.7% Choked on food 1.4% Choked on food 1.2% 9 Accidental discharge of firearms 1.2% Railway accident 1.5% Excessive heat 1.1% Misadventure during medical care 1.0% 10 Poisoning by gases/vapors 1.2% Poisoning by gases/vapors 2.5% Choked on objects other than food 1.4% Drowning 2.1% Poisoning by gases/vapors 0.8% Poisoning by gases/vapors 1.5% Mechanical suffocation 1.0% . *Percent of unintentional injury deaths in specified group. **All race/ethnic groups combined. Note: 110 Percentages based on frequency counts in table 5-18. Health Status Profile of American Indians in Arizona, 2007 Data Book 5.17 COMPARISON OF MORTALITY BY SPECIFIC TYPE OF CANCER BY GENDER AMONG AMERICAN INDIANS AND ALL RESIDENTS* OF ARIZONA, 2000-2007 ALL RESIDENTS OF ARIZONA TOTAL Malignant neoplasms, total MALE AMERICAN INDIANS OR ALASKA NATIVES FEMALE TOTAL MALE FEMALE 75,409 40,342 35,067 1,413 664 749 975 674 301 19 14 5 Malignant neoplasm of esophagus 1,847 1,476 371 28 26 2 Malignant neoplasm of stomach 1,502 905 597 101 52 49 Malignant neoplasm of colon, rectum and anus 7,309 3,908 3,401 92 55 37 Malignant neoplasm of liver and intrahepatic bile ducts 2,189 1,421 768 113 63 50 Malignant neoplasm of pancreas 4,276 2,260 2,016 87 46 41 442 351 91 3 2 1 Malignant neoplasm of lip, oral cavity and pharynx Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung 20,671 11,631 9,040 119 66 53 Malignant melanoma of skin 1,265 883 382 9 6 3 Malignant neoplasm of breast 5,537 56 5,481 102 0 102 Malignant neoplasm of cervix uteri 525 0 525 36 0 36 Malignant neoplasm of corpus uteri and uterus, part unspecified 709 0 709 20 0 20 Malignant neoplasm of ovary 2,113 1 2,112 59 0 59 Malignant neoplasm of prostate 4,358 4,355 3 82 82 0 Malignant neoplasm of kidney and renal pelvis 1,788 1,139 649 93 59 34 Malignant neoplasm of bladder 1,865 1,349 516 16 8 8 Malignant neoplasm of meninges, brain and other parts of central nervous system 1,853 1,025 828 25 12 13 Malignant neoplasm of lymphoid, hematopoietic and related tissue 7,632 4,308 3,324 163 75 88 Hodgkin's disease 165 103 62 1 1 0 Non-Hodgkin's lymphoma 3,031 1,653 1,378 55 25 30 Leukemia 2,942 1,709 1,233 58 26 32 Multiple myeloma and immunoproliferative neoplasms 1,488 839 649 49 23 26 6 4 2 0 0 0 8,553 4,600 3,953 246 98 148 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, 2007 Data Book 111 5.18 UNINTENTIONAL INJURY DEATHS BY MECHANISM AND GENDER AMONG AMERICAN INDIANS AND ALL RESIDENTS* OF ARIZONA, 1997-2007 ALL RESIDENTS OF ARIZONA TOTAL Unintentional injury, total Railway accidents Motor vehicle -related Water transport accident Accident involving aircraft Poisoning by drugs/medicaments Poisoning by gases and vapors Falls MALE 27,694 AMERICAN INDIANS OR ALASKA NATIVES FEMALE 18,203 TOTAL 9,491 MALE 2,956 FEMALE 2,094 862 123 109 14 39 32 7 11,217 7,673 3,544 1,811 1,234 577 50 37 13 0 0 0 210 182 28 2 2 0 4,942 3,571 1,371 209 150 59 284 212 72 65 52 13 5,484 2,683 2,801 195 121 74 Fire, flames, smoke 462 284 178 54 39 15 Excessive natural heat 423 315 108 33 25 8 Excessive natural cold 203 170 33 123 106 17 Contact with venomous snakes and lizards 3 3 0 0 0 0 Contact with venomous spiders 4 1 3 0 0 0 Contact with scorpions 3 1 2 0 0 0 Contact with hornets, wasps, bees 1 1 0 1 1 0 Bitten or struck by dog 11 5 6 1 0 1 Lightning 18 14 4 4 3 1 Storms and floods 12 11 1 4 4 0 Accidental drowning and submersion 765 562 203 69 58 11 Choked on food 327 197 130 30 20 10 Choked on other objects 480 262 218 40 29 11 Mechanical suffocation 313 241 72 45 36 9 Accidental discharge of firearms 254 213 41 24 22 2 81 79 2 5 4 1 2 2 0 1 1 0 55 26 29 0 0 0 412 195 217 18 9 9 Exposure to electric current Overexertion Adverse effects of drugs in therapetic use Misadventures to patients during medical/surgical care * All race/ethnic groups combined. 112 Health Status Profile of American Indians in Arizona, 2007 Data Book TECHNICAL NOTES Health Status Profile of American Indians in Arizona, 2007 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, 2007 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, 2007 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, 2007 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+ 2007 population of American Indians 2007 deaths among American Indians Age-specific rates for American Indians in 2007 B C D (C/B)*100000 800.0 54.8 26.7 165.5 206.9 440.9 602.5 954.2 1910.6 4115.5 8812.4 6,500 23,702 63,698 67,089 50,267 44,454 37,176 23,160 12,823 6,512 2,383 337,764 52 13 17 111 104 196 224 221 245 268 210 1,661 .013818 .055317 .145565 .138646 .135573 .162613 .134834 .087247 .066037 .044842 .015508 Ageadjusted rate for American Indians In 2007 F D*E 11.1 3.0 3.9 22.9 28.0 71.7 81.2 83.3 126.2 184.5 136.7 TOTAL 752.5 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, 2007 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, 2007 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, 2007 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, 2007 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, 2007 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 TRIBE La Paz Parker Parker Valley Poston FORT MCDOWELL YAVAPAI NATION Maricopa Fort McDowell FORT MOJAVE INDIAN TRIBE Mohave Fort Mojave Reservation FORT YUMA-QUECHAN TRIBE Yuma Fort Yuma Reservation GILA RIVER INDIAN COMMUNITY Maricopa Chandler Heights Firebird Lake Gila Crossing Komatke Lone Butte Maricopa Village St. Johns Bapchule Blackwater Casa Blanca 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, 2007 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, 2007 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, 2007 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, 2007 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, 2007 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, 2007 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, 2007 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 the Health Status Among Race/Ethnic Groups, 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, falls among Arizonans 65 years or older), hospital inpatient and emergency room statistics for mental disorders, asthma, diabetes, influenza and pneumonia and substance abuse, 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, Deaths from Exposure to Excessive Natural Heat Occurring in Arizona, Obesity in Arizona: Prevalence, Hospital Care Utilization, Mortality, and Marital Status and Health. Health Status and Vital Statistics Section Bureau of Public Health Statistics PUBLIC HEALTH SERVICES ARIZONA DEPARTMENT OF HEALTH SERVICES