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 ~ Janice K. Brewer, Governor State of Arizona Will Humble, Interim 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: 2008 DATA BOOK by Christopher K. Mrela, Ph.D., Arizona Vital Statistician, Clare Torres, Senior Health Data Analyst October 2009 Acknowledgment Grateful acknowledgement is made to Wes Kortuem, the GIS Coordinator, for spatially joining the American Indian birth and death data. Our appreciation to Richard S. Porter, Chief of the Bureau of Public Health Statistics, for reviewing the typescript. HEALTH STATUS PROFILE OF AMERICAN INDIANS IN ARIZONA 2008 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 2008 ...................................................................................................... 3 2008 Risk Profile of American Indians............................................................................................................................................. 7 American Indians’ Standing in Arizona in 2008 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, 1998-2008 ........ 25 Median Age At Death From All Causes, 1998-2008 ......................................................................................................................... Births to Unmarried Mothers, 1998-2008 ...................................................................................................................................... The Incidence of Gonorrhea, 1998-2008 ....................................................................................................................................... The Incidence of Low-Birthweight Births, 1998-2008 ...................................................................................................................... The Incidence of Fetal Alcohol Syndrome, 1998-2008 ..................................................................................................................... Births to Teenage Mothers, 1998-2008 ......................................................................................................................................... The Incidence of Birth Defects (Congenital Anomalies), 1998-2008................................................................................................... The Incidence of Pregnancy Associated Hypertension, 1998-2008..................................................................................................... The Incidence of Anemia During Pregnancy, 1998-2008 .................................................................................................................. The Incidence of Diabetes During Pregnancy, 1998-2008 ................................................................................................................ Health Status Profile of American Indians in Arizona, 2008 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 2008.................. 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, 2008.......................................................................................... Comparison of Selected Characteristics of American Indian Newborns and Women Giving Birth By County of Residence, Arizona, 2008......................................................................................................................................... 55 56 57 58 59 60 63 64 65 66 67 68 Health Status Profile of American Indians in Arizona, 2008 Data Book V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2008 ......................................................73 AGE-SPECIFIC MORTALITY 5.1 5.2 5.3 Age-Specific Mortality among American Indians in 2008 ............................................................................................................................. 77 Age-Specific Mortality among American Indian Males in 2008 ...................................................................................................................... 78 Age-Specific Mortality among American Indian Females in 2008................................................................................................................... 79 CAUSE-SPECIFIC MORTALITY 5.4 5.5 5.6 5.7 5.8 5.9 5.10 5.11 5.12 Deaths by Gender for Selected 113 Causes among American Indians in 2008............................................................................................... 83 Deaths by Age Group for Selected 113 Causes among American Indians in 2008 .......................................................................................... 87 Deaths by Residence for Selected 113 Causes among American Indians in 2008 ........................................................................................... 91 Deaths by County of Residence for Selected 113 Causes among American Indians in 2008............................................................................. 95 Deaths from Motor Vehicle-Related Injuries among American Indians by Place of Residence, Gender and Age Group, Arizona, 2008 ..................................................................................................................................................... 99 Intentional Self-Harm (Suicide) among American Indians by Place of Residence, Gender and Age Group, Arizona, 2008 ................................................................................................................................................... 100 Assault (Homicide) among American Indians by Place of Residence, Gender and Age Group. Arizona, 2008..................................................................................................................................................................................... 101 Diabetes-Related Deaths among American Indians by Place of Residence, Gender and Age Group, Arizona, 2008..................................................................................................................................................................................... 102 Alcohol-Induced Deaths among American Indians by Place of Residence, Gender and Age Group, Arizona, 2008..................................................................................................................................................................................... 103 COMPARATIVE CAUSE-SPECIFIC MORTALITY 5.13 5.14 5.15 5.16 5.17 5.18 5.19 Temporal Changes in the Selected Leading Causes of Death among American Indian Residents Of Arizona, 1990-2008 ........................................................................................................................................................................ Five Leading Causes of Death by Gender among American Indian Residents of Arizona in 2008 ...................................................................... Five Leading Causes of Death among American Indians by Gender and Residence On or Off Reservation, Arizona, 2008 .................................... Proportional Mortality by Type of Cancer and Gender among American Indians and All Residents of Arizona, 1998-2008 .................................... Proportional Mortality by Mechanism of Unintentional Injury and Gender among American Indians and All Residents of Arizona, 1998-2008 ...................................................................................................................................................... Comparison of Mortality by Specific Type of Cancer by Gender among American Indians and All residents of Arizona, 2000-2008........................ Unintentional Injury Deaths by mechanism and Gender among American Indians and All Residents of Arizona, 1998-2008 ................................ 107 108 109 110 111 112 113 TECHNICAL NOTES ............................................................................................................................................................................................................. 115 Sources of Data ................................................................................................................................................................................................... 117 Definitions ....................................................................................................................................................................................................... 117 Rates ....................................................................................................................................................................................................... 117 Terms Related to Reproductive Health........................................................................................................................................................... 117 Medical Terms Used on the Birth Certificate .......................................................................................................................................... 117 Medical risk factors for pregnancy ................................................................................................................................................. 117 Complications of labor and delivery ............................................................................................................................................... 118 Abnormal conditions of the newborn.............................................................................................................................................. 118 Congenital anomalies of child ....................................................................................................................................................... 118 Terms Related to Mortality........................................................................................................................................................................... 119 Cause-of-Death Categories and Comparability Ratios for Selected 113 Causes of Death................................................................................................ 120 Appendix A. Tribal Communities of American Indians in Arizona................................................................................................................................... 125 Health Status Profile of American Indians in Arizona, 2008 Data Book iii INTRODUCTION The report Health Status Profile of American Indians in Arizona: 2008 Data Book is the 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 2008. 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 2008 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 2008 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 1998-2008 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 2008. 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. The causes of death for 1998-1999 are classified by the Ninth Revision of the International Classification of Diseases (ICD-9). The causes of death for 2000-2008 are classified by the Tenth Revision (ICD-10). Health Status Profile of American Indians in Arizona, 2008 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). Since 2002, 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 2008. 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. The 2008 birth and death data for American Indian residents of Arizona also were spatially joined using ArcGIS in order to refine the geographic allocation of these vital events. A detailed classification of tribal communities in Arizona is available in the Appendix A. 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 1995–2008 are available at http://www.azdhs.gov/plan/report/hspam/index.htm 2 Health Status Profile of American Indians in Arizona, 2008 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 2008 Health Status Profile of American Indians in Arizona, 2008 Data Book 3 The risk profile presented on the following page summarizes how American Indians as a group compared in 2008 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 2008, AMERICAN INDIAN RESIDENTS OF ARIZONA: • ranked worse than the statewide average on 46 of 70 health indicators; • ranked poorly on measures of maternal lifestyle and health, as well as in utilization of prenatal care; • on average were 19 years younger at time of death compared to White non-Hispanics; • had 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 of 76.5 percent; • ranked better than average on (1) mortality rates for several chronic diseases (Alzheimer’s disease, lung cancer, breast cancer, prostate cancer, colorectal cancer, chronic lower respiratory diseases and coronary heart disease), (2) tobacco use and (3) incidence of genital herpes among women giving birth; • experienced a 50.4 percent decline in the age-adjusted mortality rate for heart disease from a recent peak of 228.7/100,000 American Indian population in 1993 to 113.5/100,000 in 2008. * 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. For consistency, the signs + and – for scores indicating the median age at death as higher or lower than the statewide average were reversed (indicators 8-1, 8-2, 8-3). Otherwise, a lowerthan-average median age at death would signify a better than average standing on this indicators. A lower-than-average median age at death obviously reflects a worse off life expectancy. Health Status Profile of American Indians in Arizona, 2008 Data Book 5 2008 RISK PROFILE OF AMERICAN INDIANS (Percent above or below the average rate or ratio of all Arizona residents in 2008) BETTER THAN AVERAGE -71.4 -70.9 -62.4 -43.7 -42.9 -41.4 -40.0 -33.3 -28.1 -26.6 -23.0 -22.0 -21.9 -21.4 -18.3 -15.3 -13.4 -10.5 -10.0 -8.3 -5.6 -3.9 -2.9 5-17 Alzheimer's dis ease 5-7 Lung cancer 5-5 Chron ic lower respiratory diseases 6-5 Injury by firearms 2-2 Tobacco use during pregnancy 5-8 Breast cancer 4-1 Incidence of hyaline membrane disease 4-9 Mortality of infants from low birthweight 5-4 Coronary h eart dis ease 5-6 Malign ant neoplasm (cancer) 5-11 Pros tate cancer 5-2 Diseases of the h eart 5-4 Cerebrovascular disease 5-1 Cardiovascular diseas e 4-2 Incidence of newborn in tensive care 5-10 Colorectal cancer 6-6 Dru g- induced deaths 9-5 Incidence of HIV/AIDS 2-9 Genital herpes during pregnancy 4-5 Born too small: <1,500 grams 4-4 Born too small: <2,500 grams) 4-3 Born too early < 37 weeks) 5-19 Essential (primary) hypertension 4-6 Incidence of con genital anomalies 6-8 Suicide 1-4 Pregnancies among females 18- 19 years 8-3 Median age at death among females 4-10 Neonatal mortality 1-3 Pregnancies among females 15- 17 years 1-1 Pregnancies among females 19 and younger 5-20 Total mortality from all causes 5-15 HIV disease 8-1 Median age at death from all causes 6-3 Fall-related injuries 8-2 Median age at death among males 2-10 Weight gain of less than 21 pounds 4-7 Infant mortality 9-2 Incidence of gon orrhea 1-2 Pregnancies among females 14 and younger 7-4 Mortality of middle-aged adu lts 45 -64 years 8-4 Deaths before expected years of life reached 7-1 Mortality of children 1-1 4 years old 2-1 Unmarried mothers 2-8 Pregnancy-associated h ypertension 3-1 No care in the 1s t trimester 7-2 Mortality of adolescents 15-19 years 4-11 Postneonatal mortality 3-3 No prenatal care 2-4 Chron ic hypertension 6-9 Assau lt (homicide) 9-1 Incidence of early syphilis 2-6 Anemia during pregnancy 9-4 Incidence of genital h erpes 6-4 Drown in g mortality 9-3 Incidence of chlamydia 2-7 Diabetes during pregnancy 6-1 Unintentional in juries 3-2 Fewer than five prenatal visits 7-3 Mortality of young adults 20- 44 years old 2-5 Dysfunctional labor 5-12 Influenza and pneumonia 2-3 Alcohol use during pregnancy 5-16 Septicemia 5-9 Cervical cancer 5-13 Diabetes 4-8 Sudden Infan t Death Syndrome (SIDS) 6-2 Motor vehicle-related injuries 5-18 Nephritis, nephrotic syndrome, nephrosis 5-14 Chronic liver disease and cirrhosis 6-7 Alcohol-induced deaths -500.0 WORSE THAN AVERAGE 0.0 0.8 3.5 6.2 9.5 10.1 12.3 16.2 22.2 23.3 25.2 26.0 27.0 30.2 38.8 40.0 40.6 46.0 49.2 68.1 68.6 69.4 70.2 71.4 72.2 75.0 81.2 82.9 84.6 87.3 90.0 95.2 110.2 124.0 129.6 133.3 135.7 135.7 160.0 164.1 166.7 197.0 200.0 203.0 231.0 250.4 375.5 -250.0 0.0 250.0 500.0 AVERAGE FOR ALL RESIDENTS Health Status Profile of American Indians in Arizona, 2008 Data Book 7 AMERICAN INDIANS’ STANDING IN ARIZONA IN 2008 ON 70 INDICATORS OF HEALTH STATUS Figure number 1. TEEN PREGNANCIES (Number of pregnancies per 1,000 females in specified age group) Indicator 2008 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2008 1-1 Pregnancies among females 19 and younger 35.5 12.3 31.6 1-2 Pregnancies among females 14 and younger 1.4 40.0 1.0 1-3 Pregnancies among females 15-17 years old 38.1 10.1 34.6 1-4 Pregnancies among females 18-19 years old 115.2 3.5 111.3 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 2008 ratio for American Indians Percent above or below the average ratio for all groups Average ratio for all groups in 2008 75.8 68.1 45.1 Tobacco use during pregnancy 2.8 -42.9 4.9 2-3 Alcohol use during pregnancy 1.3 160.0 0.5 2-4 Chronic hypertension 1.4 75.0 0.8 2-5 Dysfunctional labor 3.3 135.7 1.4 2-6 Anemia during pregnancy 7.2 84.6 3.9 2-7 Diabetes during pregnancy 8.2 110.2 3.9 2-8 Pregnancy-associated hypertension 5.9 68.6 3.5 2-9 Genital herpes during pregnancy 0.9 -10.0 1.0 2-10 Weight gain of less than 21 pounds 32.9 27.0 25.9 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, 2008 Data Book Figure number 3. UTILIZATION OF PRENATAL CARE SERVICES (Per 100 live births) Indicator 2008 ratio for American Indians Percent above or below the average ratio for all groups Average ratio for all groups in 2008 3-1 No care in the 1st trimester 34.9 69.4 20.6 3-2 Fewer than five prenatal visits 12.4 129.6 5.4 3-3 No prenatal care 3.1 72.2 1.8 Definition The number of mothers giving birth who received no prenatal care in the 1st trimester of pregnancy per 100 births. The number of mothers giving birth who had fewer than five prenatal visits during pregnancy per 100 births. The number of mothers giving birth who received no prenatal care during pregnancy per 100 births. Figure number 4. NEWBORN'S HEALTH (Infant, neonatal and postneonatal rates are per 1,000 live births. All other indicators are expressed per 100 live births). Indicator 2008 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 2008 4-1 Incidence of hyaline membrane disease 0.3 -40.0 0.5 4-2 Incidence of newborn intensive care 4.9 -18.3 6.0 4-3 Born too early (preterm or < 37 weeks) 9.8 -3.9 10.2 4-4 Born too small: low-birthweight (<2,500 grams) 6.7 -5.6 7.1 4-5 Born too small: very low-birthweight (<1,500 grams) 1.1 -8.3 1.2 4-6 Incidence of congenital anomalies (birth defects) 0.9 0.0 0.9 4-7 Infant mortality 8.2 30.2 6.3 4-8 Sudden Infant Death Syndrome (SIDS) 0.6 200.0 0.2 4-9 Mortality of infants from low birthweight/short gestation 0.6 -33.3 0.9 4-10 Neonatal mortality 4.6 9.5 4.2 4-11 Postneonatal mortality 3.6 71.4 2.1 Health Status Profile of American Indians in Arizona, 2008 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 2008 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2008 5-1 Cardiovascular disease 149.3 -21.4 190.1 5-2 Diseases of the heart 113.5 -22.0 145.5 5-3 Coronary heart disease 82.8 -28.1 115.2 5-4 Cerebrovascular disease 23.5 -21.9 30.1 5-5 Chronic lower respiratory diseases 15.8 -62.4 42.1 5-6 Malignant neoplasm (cancer) 106.7 -26.6 145.4 5-7 Lung cancer 11.2 -70.9 38.5 5-8 Breast cancer 11.6 -41.4 19.8 5-9 Cervical cancer 4.8 166.7 1.8 5-10 Colorectal cancer 11.1 -15.3 13.1 5-11 Prostate cancer 14.7 -23.0 19.1 5-12 Influenza and pneumonia 36.3 135.7 15.4 5-13 Diabetes 49.9 197.0 16.8 5-14 Chronic liver disease and cirrhosis 40.3 250.4 11.5 5-15 HIV disease 2.2 22.2 1.8 5-16 Septicemia 20.6 164.1 7.8 5-17 Alzheimer's disease 8.5 -71.4 29.7 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 23.5 231.0 7.1 5-19 Essential (primary) hypertension 6.7 -2.9 6.9 5-20 Total mortality from all causes 766.3 16.2 659.6 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, 2008 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 2008 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2008 6-1 Unintentional injuries 86.0 124.0 38.4 6-2 Motor vehicle-related injuries 40.6 203.0 13.4 6-3 Fall-related injuries 13.4 25.2 10.7 6-4 Drowning mortality 1.9 90.0 1.0 6-5 Injury by firearms 7.6 -43.7 13.5 6-6 Drug-induced deaths 7.1 -13.4 8.2 6-7 Alcohol-induced deaths 52.3 375.5 11.0 6.8 Intentional self-harm (suicide) 13.5 0.8 13.4 6-9 Assault (homicide) 12.5 81.2 6.9 Health Status Profile of American Indians in Arizona, 2008 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 2008 rate for American Indians Percent above or below the average rate for all groups 29.4 49.2 19.7 The number of deaths per 100,000 children 1-14 years old in 2008 The number of deaths per 100,000 adolescents 15-19 years old in 2008 Average value for all groups in 2008 Definition 7-1 Mortality of children 1-14 years old 7-2 Mortality of adolescents 15-19 years old 111.8 70.2 65.7 7-3 Mortality of young adults 20-44 years old 287.0 133.3 123.0 The number of deaths per 100,000 young adults 20-44 years old in 2008 7-4 Mortality of middle-aged adults 45-64 years old 832.3 40.6 591.8 The number of deaths per 100,000 middle-aged adults 45-64 years old in 2008 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 2008 value for American Indians Percent above or below the average value for all groups Average value for all groups in 2008 Definitions 59.0 -23.3 77.0 The median age (the age in the middle) of Arizonans who died in 2008 54.0 -26.0 73.0 The median age (the age in the middle) of Arizona males who died in 2008 67.0 -16.2 80.0 The median age (the age in the middle) of Arizona females who died in 2008 46.0 52.4 The number of deaths before reaching 77.9 years (the life expectancy of all U.S. residents in 2004) per 100 deaths 2008 rate for American Indians Percent above or below the average rate for all groups Average rate for all groups in 2008 76.5 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 16.1 82.9 8.8 9-2 Incidence of gonorrhea 73.3 38.8 52.8 Number of reported cases of gonorrhea per 100,000 population 9-3 Incidence of chlamydia 739.8 95.2 379.0 Number of reported cases of chlamydia per 100,000 population 9-4 Incidence of genital herpes 53.2 87.3 28.4 Number of reported cases of genital herpes per 100,000 population 9-5 Incidence of HIV/AIDS 10.2 -10.5 11.4 Number of reported cases of HIV/AIDS per 100,000 population 12 Health Status Profile of American Indians in Arizona, 2008 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, 2008 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 61.2 64.1 65.8 64.6 64.4 2000 2001 2002 68.8 69.0 67.9 2003 2004 2005 65.9 65.9 65.1 2006 2007 2008 50.0 25.0 0.0 1998 1999 Source: Table 1B-2 and Table 1B-12 in Arizona Health Status and Vital Statistics 2008. Health Status Profile of American Indians in Arizona, 2008 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 9.6 9.0 8.3 7.0 7.5 8.1 8.2 7.2 6.4 6.0 O B J E C T I V E 3.0 OBJECTIVE 0.0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Source: Table 2C-2 in Arizona Health Status and Vital Statistics 2008. 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, 2008 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 4.4 3.8 4.0 3.8 3.4 3.2 4.0 3.9 3.6 2.4 2.0 OBJECTIVE 0.0 1998 Source: 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 Table 2C-3 or Table 2C-4 in Arizona Health Status and Vital Statistics 2008. 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, 2008 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). 140.0 126.8 127.0 113.1 112.7 111.0 105.0 117.8 108.6 103.9 97.2 95.0 86.0 70.0 35.0 17.5 OBJECTIVE 0.0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2010 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2008. 18 Health Status Profile of American Indians in Arizona, 2008 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 75.9 74.2 68.4 64.0 63.2 65.9 62.6 59.0 54.1 56.9 49.0 40.6 32.0 16.0 OBJECTIVE 0.0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2010 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2008. Health Status Profile of American Indians in Arizona, 2008 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 16.1 15.0 10.0 16.6 16.2 15.4 17.0 17.5 15.2 13.7 13.5 10.0 9.8 OBJECTIVE 5.0 0.0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2010 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2008. 20 Health Status Profile of American Indians in Arizona, 2008 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 20.0 20.3 19.9 18.9 18.8 17.2 15.0 14.9 14.7 14.0 13.2 13.1 12.5 10.0 5.0 5.0 OBJECTIVE 0.0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2010 Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2008. Health Status Profile of American Indians in Arizona, 2008 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). 180.0 155.7 129.3 138.9 134.4 118.7 120.0 125.4 100.2 107.2 108.1 60.0 45.0 45.0 OBJECTIVE 0.0 2000 Note: 22 2001 2002 2003 2004 2005 2006 2007 2008 2010 In 2008, in addition to 98 deaths that had diabetes assigned as the underlying cause of death, another 118 had diabetes assigned as other than underlying cause. The sum of these two counts (216) is the total number of deaths that had any mention of diabetes on the 2008 death certificates. The rate of 108.1/100,000 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, 2008 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 53.5 51.0 51.2 50.0 43.6 38.5 39.7 40.5 38.8 40.3 36.8 25.0 3.0 OBJECTIVE 0.0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2010 *Chronic liver disease and cirrhosis (ICD-10 codes K70, K73-K74). Source: Table 2B-3 in Arizona Health Status and Vital Statistics 2008. Health Status Profile of American Indians in Arizona, 2008 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 4.8 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 2008 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 2008. 24 Health Status Profile of American Indians in Arizona, 2008 Data Book III. TRENDS IN SELECTED HEALTH PROBLEMS AND HEALTH RISKS AMONG AMERICAN INDIANS IN ARIZONA Health Status Profile of American Indians in Arizona, 2008 Data Book 25 3.1 Median Age at Death from all Causes, 1998-2008 Median age at deat h: 100.0 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 77.0 76.0 58.0 59.0 2004 2005 76.0 57.0 76.0 77.0 59.0 59.0 2007 2008 50.0 0.0 2006 A merican Indians A ll A rizonans Source: Table 2D-1 in Arizona Health Status and Vital Statistics 2008. Health Status Profile of American Indians in Arizona, 2008 Data Book 27 3.2 Births to Unmarried Mothers, 1998-2008 Per 100 birt hs: 100.0 80.0 60.0 40.0 20.0 0.0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 All Arizonans 38.4 38.8 39.3 39.4 40.2 41.2 41.9 42.8 43.9 45.0 45.1 American Indians 68.2 69.2 68.5 70.1 69.7 72.4 73.1 72.9 74.8 75.9 75.8 Source: Table 1B-2 and Table 1B-13 in Arizona Health Status and Vital Statistics 2008. 28 Health Status Profile of American Indians in Arizona, 2008 Data Book 3.3 The Incidence of Gonorrhea, 1998-2008 200.0 The number of reported cases of gonorrhea per 100,000. l i 160.0 120.0 80.0 40.0 0.0 All Arizonans American Indians 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 2008 52.8 91.8 81.5 105.1 115.5 107.7 103.1 142.7 142.6 125.7 94.4 73.3 The rates were provided by the Office of HIV, HEP C, STD in ADHS. Beginning in 2005, the rates are all positive Laboratory results with or without communicable disease report. Source: Table 3B-5 in Arizona Health Status and Vital Statistics 2008. Health Status Profile of American Indians in Arizona, 2008 Data Book 29 3.4 The Incidence of Low-Birthweight Births, 1998-2008 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 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 2008 6.7 6.8 6.9 7.0 7.0 6.8 7.1 7.2 6.9 7.1 7.1 7.1 Source: Table 1B-2 and Table 1B-12 in Arizona Health Status and Vital Statistics 2008. 30 Health Status Profile of American Indians in Arizona, 2008 Data Book 3.5 The Incidence of Fetal Alcohol Syndrome, 1998-2008 P er 1,000 live birt hs 0.70 0.60 0.50 0.40 0.30 0.20 0.10 0.00 A m e ric a n I ndia ns A ll A rizo na ns 1998 0 .6 0 1999 0 .6 0 2000 0 .3 6 2001 0 .1 9 2002 0 .3 6 2003 0 .0 0 2004 0 .4 9 2005 0 .1 6 2006 0 .6 0 2007 0 .1 6 2008 0 .0 0 0 .1 0 0 .1 0 0 .0 5 0 .0 5 0 .0 3 0 .0 0 0 .0 4 0 .0 2 0 .0 4 0 .0 2 0 .0 1 Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2008. 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, 2008 Data Book 31 3.6 Births to Teenage Mothers,* 1998-2008 Per 100 live birt hs 25.0 12.5 0.0 A ll A rizonans A merican Indians 1998 15.0 1999 14.9 2000 14.3 2001 13.8 2002 13.1 2003 12.9 2004 12.7 2005 12.5 2006 12.7 2007 12.6 2008 12.3 20.3 19.8 19.4 19.0 18.7 19.4 18.7 19.1 19.1 20.1 18.6 * 19 or younger. Source: Table 1B-2 and Table 1B-14 in Arizona Health Status and Vital Statistics 2008. 32 Health Status Profile of American Indians in Arizona, 2008 Data Book 3.7 The Incidence of Birth Defects (Congenital Anomalies), 1998-2008 Per 100 birt hs 4.0 3.2 2.4 1.6 0.8 0.0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 All Ariz o n a n s 1 .8 1 .3 1 .3 1 .3 1 .3 1 .0 1 .0 1 .0 0 .9 0 .8 0 .9 Am e rica n I n d ia n s 2 .6 2 .9 1 .9 1 .9 2 .2 1 .3 1 .6 1 .5 1 .2 1 .4 0 .9 Source: Table 1B-35 in Arizona Health Status and Vital Statistics 2008. Health Status Profile of American Indians in Arizona, 2008 Data Book 33 3.8 The Incidence of Pregnancy Associated Hypertension, 1998-2008 Per 1,000 birt hs 75.0 50.0 25.0 0.0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 All Arizona mothers 27.7 28.5 30.4 26.3 25.2 28.0 28.8 30.9 28.8 31.0 35.3 American Indian mothers 56.0 55.7 56.1 57.1 46.0 57.1 54.4 58.2 58.8 57.9 58.9 Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2008. 34 Health Status Profile of American Indians in Arizona, 2008 Data Book 3.9 The Incidence of Anemia during Pregnancy, 1998-2008 P er 1,000 birt hs 80.0 70.0 60.0 50.0 40.0 30.0 20.0 10.0 0.0 All Arizona mothers American Indian mothers 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 18.6 20.7 16.8 16.0 18.1 20.2 21.7 20.4 19.5 29.8 39.5 43.2 50.6 48.4 59.7 51.0 54.8 54.6 56.1 66.2 67.6 72.5 Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2008. Health Status Profile of American Indians in Arizona, 2008 Data Book 35 3.10 The Incidence of Diabetes during Pregnancy, 1998-2008 P er 1,000 birt hs 1 0 0 .0 8 0 .0 6 0 .0 4 0 .0 2 0 .0 0 .0 All Arizona mothers American Indian mothers 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 23.5 21.8 22.8 22.2 23.4 21.4 24.5 29.7 31.6 34.3 38.9 67.6 66.3 63.7 61.8 65.5 60.0 75.7 82.5 72.0 80.4 82.0 Source: Table 1B-26 in Arizona Health Status and Vital Statistics 2008. 36 Health Status Profile of American Indians in Arizona, 2008 Data Book IV. CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND MOTHERS GIVING BIRTH BY PLACE OF RESIDENCE IN ARIZONA IN 2008 Health Status Profile of American Indians in Arizona, 2008 Data Book 37 SOCIODEMOGRAPHIC CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2008 Data Book 39 4.1 MATERNAL AGE (2008 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe 45+ 40-44 35-39 30-34 25-29 20-24 18-19 6,362 22 408 755 2,064 1,583 974 437 113 6 29 0 2 3 10 8 6 0 0 0 7 0 1 0 3 2 1 0 0 0 Colorado River Indian Tribe 23 0 1 4 7 6 5 0 0 0 Fort McDowell Yavapai Nation 20 0 1 1 11 5 2 0 0 0 Fort Mojave Indian Tribe 12 0 0 0 4 4 4 0 0 0 Fort Yuma Quechan Tribe 19 0 0 2 8 6 2 0 1 0 277 2 27 43 93 60 34 17 1 0 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation 17 0 0 3 6 6 1 0 1 0 110 1 11 19 36 16 14 8 5 0 37 0 3 3 12 13 5 0 1 0 1 0 0 0 1 0 0 0 0 0 2,262 3 128 248 714 548 369 187 61 4 Pascua Yaqui Tribe 106 0 9 12 36 26 17 6 0 0 Salt River Pima-Maricopa Community 133 0 11 15 43 37 19 7 1 0 San Carlos Apache Tribe 283 4 32 39 105 53 36 12 2 0 Tohono O'Odham Tribe 338 3 30 46 103 85 52 16 3 0 White Mountain Apache 403 5 49 69 127 91 37 18 6 1 Yavapai-Apache Nation 15 0 0 3 6 5 0 1 0 0 3 0 0 2 1 0 0 0 0 0 TOTAL 4,095 18 305 512 1,326 971 604 272 82 5 ---in Maricopa County 1,633 3 81 157 519 457 281 112 23 0 212 0 4 27 77 51 34 19 0 0 44 0 3 4 14 10 6 5 1 1 378 1 15 55 128 94 49 29 7 0 2,267 4 103 243 738 612 370 165 31 1 Yavapai-Prescott Indian Tribe Resided off reservation <15 TOTAL BIRTHS 15-17 Mother's age group ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2008 Data Book 41 4.2 EDUCATIONAL ATTAINMENT OF MOTHER (2008 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe 8 9-11 12 13-16 Unknown 17+ 6,362 50 154 1,724 2,425 1,784 175 50 29 0 1 13 10 5 0 0 7 0 0 3 3 1 0 0 23 0 0 5 11 4 0 3 Fort McDowell Yavapai Nation 20 0 0 5 12 3 0 0 Fort Mojave Indian Tribe 12 1 0 1 8 2 0 0 Fort Yuma Quechan Tribe 19 0 1 3 13 2 0 0 277 4 28 141 68 35 0 1 17 0 0 8 7 1 0 1 110 0 3 25 52 28 2 0 37 0 1 17 12 7 0 0 1 0 0 0 1 0 0 0 2,262 8 19 483 973 692 67 20 Pascua Yaqui Tribe 106 0 7 39 39 19 2 0 Salt River Pima-Maricopa Community 133 0 2 64 35 26 4 2 San Carlos Apache Tribe 283 7 11 104 108 51 1 1 Tohono O'Odham Tribe 338 8 11 137 116 59 5 2 White Mountain Apache 403 1 12 174 148 61 6 1 Yavapai-Apache Nation 15 0 1 9 4 1 0 0 3 0 0 2 1 0 0 0 TOTAL 4,095 29 97 1,233 1,621 997 87 31 ---in Maricopa County 1,633 16 39 348 560 591 66 13 212 0 6 35 88 70 12 1 Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Yavapai-Prescott Indian Tribe ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 42 <8 Colorado River Indian Tribe Gila River Indian Community Resided off reservation Mother's education 44 0 1 12 14 14 2 1 378 5 11 96 142 112 8 4 2,267 21 57 491 804 787 88 19 Health Status Profile of American Indians in Arizona, 2008 Data Book 4.3 MARITAL STATUS OF MOTHER (2008 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Married Unmarried Other 6,362 1,460 4,820 82 29 12 17 0 7 1 6 0 Colorado River Indian Tribe 23 7 16 0 Fort McDowell Yavapai Nation 20 3 17 0 Fort Mojave Indian Tribe 12 2 10 0 Fort Yuma Quechan Tribe 19 3 16 0 277 27 246 4 17 0 16 1 110 9 100 1 37 6 30 1 1 0 1 0 2,262 511 1,723 28 Pascua Yaqui Tribe 106 20 86 0 Salt River Pima-Maricopa Community 133 17 113 3 San Carlos Apache Tribe 283 56 226 1 Tohono O'Odham Tribe 338 34 300 4 White Mountain Apache 403 89 313 1 Yavapai-Apache Nation 15 4 11 0 3 0 3 0 TOTAL 4,095 801 3,250 44 ---in Maricopa County 1,633 460 1,146 27 212 62 145 5 44 11 33 0 378 126 246 6 2,267 659 1,570 38 Ak-Chin Indian Community Cocopah Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe 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, 2008 Data Book 43 4.4 RACE/ETHNICITY OF FATHER (2008 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 337 667 151 3,626 40 1,541 29 0 4 1 12 1 11 7 1 2 0 3 0 1 Colorado River Indian Tribe 23 3 6 0 8 0 6 Fort McDowell Yavapai Nation 20 0 2 1 11 0 6 Fort Mojave Indian Tribe 12 1 0 1 8 0 2 Cocopah Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe 19 1 6 0 8 0 4 277 6 14 5 153 0 99 17 1 0 0 7 0 9 110 1 4 0 76 1 28 37 1 1 0 23 0 12 1 0 0 0 1 0 0 2,262 37 57 13 1,733 6 416 Pascua Yaqui Tribe 106 1 19 1 55 2 28 Salt River Pima-Maricopa Community 133 4 9 3 69 1 47 San Carlos Apache Tribe 283 1 6 3 193 0 80 Tohono O'Odham Tribe 338 5 29 6 167 1 130 White Mountain Apache 403 5 2 1 315 0 80 Yavapai-Apache Nation 15 2 3 0 6 0 4 Navajo Nation Yavapai-Prescott Indian Tribe 3 0 1 0 0 0 2 TOTAL 4,095 70 165 35 2,848 12 965 ---in Maricopa County 1,633 168 362 98 567 22 416 212 33 44 11 74 2 48 44 4 8 1 24 0 7 378 62 88 6 113 4 105 2,267 267 502 116 778 28 576 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 44 Black or African American Hispanic or Latino 6,362 Ak-Chin Indian Community Fort Yuma Quechan Tribe Resided off reservation White nonHispanic Health Status Profile of American Indians in Arizona, 2008 Data Book 4.5 AGE OF FATHER (2008 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Unknown 55+ 50-54 45-49 40-44 3 144 856 502 211 89 24 29 0 0 1 6 4 3 4 0 0 0 0 11 7 0 0 0 3 1 2 0 0 0 0 0 1 Colorado River Indian Tribe 23 0 0 0 4 6 2 4 0 0 0 0 7 Fort McDowell Yavapai Nation 20 0 1 0 8 3 2 1 0 0 0 0 5 Fort Mojave Indian Tribe 12 0 0 0 3 2 3 2 0 0 0 0 2 Fort Yuma Quechan Tribe 19 0 0 0 3 8 2 1 0 0 1 0 4 277 0 12 31 48 38 30 14 3 2 1 0 98 Cocopah Tribe Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe 410 1,447 1,262 35-39 30-34 25-29 20-24 18-19 6,362 Ak-Chin Indian Community Gila River Indian Community 8 1,406 17 0 0 1 1 3 1 2 0 0 0 0 9 110 0 2 12 28 15 13 8 2 0 3 0 27 37 0 1 0 9 2 7 3 2 0 0 1 12 1 0 0 0 0 1 0 0 0 0 0 0 0 2,262 0 45 136 540 460 333 192 104 50 6 5 391 Pascua Yaqui Tribe 106 1 1 7 30 18 15 7 1 0 0 0 26 Salt River Pima-Maricopa Community 133 0 7 10 25 22 12 7 3 2 0 0 45 San Carlos Apache Tribe 283 1 14 17 66 52 29 11 10 2 0 0 81 Tohono O'Odham Tribe 338 0 8 17 73 58 30 12 8 4 1 0 127 White Mountain Apache 403 0 23 50 98 78 39 25 9 6 2 0 73 Yavapai-Apache Nation 15 0 0 2 4 3 1 0 1 0 0 0 4 Navajo Nation Yavapai-Prescott Indian Tribe Resided off reservation <15 TOTAL BIRTHS 15-17 Father's age group 3 0 0 0 1 0 0 0 0 0 0 0 2 TOTAL 4,095 2 114 284 950 774 524 293 143 66 14 6 925 ---in Maricopa County 1,633 1 20 82 359 366 242 144 53 18 5 1 342 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2008 Data Book 212 0 4 14 53 39 30 27 3 1 1 1 39 44 0 0 4 14 11 2 3 1 2 0 0 7 378 0 6 26 71 72 58 35 11 2 4 0 93 2,267 1 30 126 497 488 332 209 68 23 10 2 481 45 4.6 SOURCE OF PAYMENT FOR LABOR AND DELIVERY (2008 STATUS) Payee for births TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe Private insurance IHS Self Unknown 6,362 3,553 1,768 839 48 154 29 17 6 5 0 1 7 5 2 0 0 0 Colorado River Indian Tribe 23 3 14 6 0 0 Fort McDowell Yavapai Nation 20 7 1 12 0 0 Fort Mojave Indian Tribe 12 7 0 5 0 0 Fort Yuma Quechan Tribe 19 16 0 2 1 0 277 191 29 55 2 0 17 17 0 0 0 0 110 41 64 5 0 0 37 31 1 5 0 0 1 0 0 1 0 0 2,262 1,226 833 105 5 93 Pascua Yaqui Tribe 106 74 16 13 1 2 Salt River Pima-Maricopa Community 133 93 17 22 1 0 San Carlos Apache Tribe 283 66 197 15 2 3 Tohono O'Odham Tribe 338 170 113 47 5 3 White Mountain Apache 403 181 199 16 3 4 Yavapai-Apache Nation 15 9 2 2 2 0 3 2 0 1 0 0 TOTAL 4,095 2,156 1,494 317 22 106 ---in Maricopa County 1,633 1,036 182 387 15 13 212 128 30 47 5 2 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Yavapai-Prescott Indian Tribe Resided off reservation AHCCCS ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 44 35 2 5 1 1 378 198 60 83 5 32 2,267 1,397 274 522 26 48 *The Arizona Health Care Cost Containment System (AHCCCS) is the State's Medicaid program. 46 Health Status Profile of American Indians in Arizona, 2008 Data Book MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS Health Status Profile of American Indians in Arizona, 2008 Data Book 47 4.7 MATERNAL WEIGHT GAIN DURING PREGNANCY (2008 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe None 16-20 pounds 21-24 pounds 25-30 pounds 31+ pounds Unknown 6,362 123 1,116 854 435 1,577 2,161 96 29 1 5 1 1 18 3 0 7 0 1 0 0 4 2 0 Colorado River Indian Tribe 23 1 9 4 2 2 4 1 Fort McDowell Yavapai Nation 20 0 0 2 2 3 12 1 Fort Mojave Indian Tribe 12 0 3 2 1 3 3 0 Fort Yuma Quechan Tribe 19 0 3 1 0 9 6 0 277 5 26 33 5 138 67 3 17 0 3 1 0 5 8 0 110 0 26 17 9 24 30 4 37 0 9 6 1 10 11 0 1 0 0 1 0 0 0 0 2,262 23 464 309 164 561 674 67 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe 106 4 23 17 8 21 33 0 Salt River Pima-Maricopa Community 133 5 21 11 11 24 61 0 San Carlos Apache Tribe 283 5 49 56 7 69 90 7 Tohono O'Odham Tribe 338 20 65 40 32 63 116 2 White Mountain Apache 403 8 73 63 31 74 150 4 Yavapai-Apache Nation 15 0 2 0 0 9 4 0 3 0 0 1 0 1 1 0 TOTAL 4,095 72 782 565 274 1,038 1,275 89 ---in Maricopa County 1,633 30 234 220 132 381 631 5 212 7 35 13 10 40 107 0 Yavapai-Prescott Indian Tribe Resided off reservation Weight gain 1-15 pounds ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2008 Data Book 44 0 6 6 2 8 22 0 378 14 59 50 17 110 126 2 2,267 51 334 289 161 539 886 7 49 4.8 MEDICAL RISK FACTORS OF PREGNANCY (2008 STATUS) Resided on reservation Other Incompetent cervix Uterine bleeding RH sensitization Renal disease Previous SGA infant Previous infant 4000+g Eclampsia Pregnancy associated hypertension Chronic hypertension Hemoglobinopathy Hydramnios Genital herpes Diabetes Lung disease 2,695 461 18 87 522 56 141 1 91 375 72 71 78 35 3 30 7 29 6 3 0 0 3 0 0 0 0 0 0 0 0 0 0 0 0 1 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribe 23 4 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 3 Fort McDowell Yavapai Nation 20 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 Fort Mojave Indian Tribe 12 5 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 5 Fort Yuma Quechan Tribe 19 4 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 2 277 85 20 0 1 22 0 3 0 3 11 1 0 0 0 0 1 1 45 Cocopah Tribe Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe 1,641 17 2 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 110 38 1 0 2 9 0 3 0 3 8 1 2 1 0 0 0 0 18 37 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,262 783 122 9 47 175 13 41 1 27 126 18 27 31 6 0 8 2 313 Pascua Yaqui Tribe 106 63 10 0 0 10 1 3 0 0 6 0 0 0 0 0 0 0 51 Salt River Pima-Maricopa Community 133 75 21 0 2 17 2 4 0 4 14 4 0 2 0 0 3 0 53 San Carlos Apache Tribe 283 131 25 0 0 17 1 9 0 8 20 3 0 1 0 0 1 0 91 Tohono O'Odham Tribe 338 217 12 2 0 38 2 17 0 6 23 19 0 0 0 0 1 0 189 White Mountain Apache 403 208 30 3 17 31 5 7 0 5 39 1 14 24 25 0 8 1 117 Yavapai-Apache Nation 15 4 0 0 0 2 1 0 0 0 0 1 1 1 0 0 0 0 3 Navajo Nation Yavapai-Prescott Indian Tribe 3 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 TOTAL 4,095 1,630 245 14 69 330 26 87 1 58 247 48 44 60 31 0 22 4 895 ---in Maricopa County 1,633 839 193 4 13 160 23 42 0 24 100 18 22 15 1 3 5 2 596 212 102 8 0 0 13 1 7 0 1 9 5 0 0 0 0 0 0 84 44 10 0 0 4 0 0 0 0 1 3 0 0 0 0 0 0 0 2 378 114 15 0 1 19 6 5 0 7 16 1 5 3 3 0 3 1 64 2,267 1,065 216 4 18 192 30 54 0 33 128 24 27 18 4 3 8 3 746 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 50 Cardiac disease 6,362 Ak-Chin Indian Community Gila River Indian Community Resided off reservation Anemia Births with medical risk factors TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Medical risk factors Health Status Profile of American Indians in Arizona, 2008 Data Book 4.9 SUBSTANCE USE DURING PREGNANCY (2008 STATUS) Substance use TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe Smoker, nondrinker Smoker and drinker Nonsmoker and nondrinker 6,362 52 150 31 6,129 29 0 0 1 28 7 0 0 0 7 Colorado River Indian Tribe 23 0 0 0 23 Fort McDowell Yavapai Nation 20 1 0 0 19 Fort Mojave Indian Tribe 12 0 0 0 12 Fort Yuma Quechan Tribe 19 0 0 0 19 277 1 7 0 269 17 1 0 0 16 110 3 1 1 105 37 1 0 2 34 1 0 0 0 1 2,262 7 24 9 2,222 Pascua Yaqui Tribe 106 1 1 1 103 Salt River Pima-Maricopa Community 133 1 7 4 121 San Carlos Apache Tribe 283 2 10 3 268 Tohono O'Odham Tribe 338 7 9 0 322 White Mountain Apache 403 14 7 2 380 Yavapai-Apache Nation 15 1 2 0 12 3 0 0 0 3 TOTAL 4,095 40 68 23 3,964 ---in Maricopa County 1,633 7 52 7 1,567 212 1 9 0 202 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Yavapai-Prescott Indian Tribe Resided off reservation Drinker, nonsmoker ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2008 Data Book 44 0 0 0 44 378 4 21 1 352 2,267 12 82 8 2,165 51 Utilization of Medical Services Health Status Profile of American Indians in Arizona, 2008 Data Book 53 4.10 TRIMESTER OF PREGNANCY PRENATAL CARE BEGAN (2008 STATUS) Prenatal care TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe No care 2nd trimester 3rd trimester Unknown 6,362 199 4,141 1,510 495 17 29 1 26 2 0 0 7 0 3 2 2 0 Colorado River Indian Tribe 23 1 14 8 0 0 Fort McDowell Yavapai Nation 20 1 16 3 0 0 Fort Mojave Indian Tribe 12 0 9 2 1 0 Fort Yuma Quechan Tribe 19 0 13 4 2 0 277 6 218 42 10 1 17 2 12 3 0 0 110 5 60 33 12 0 37 3 28 4 2 0 1 0 1 0 0 0 2,262 51 1,399 601 202 9 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Pascua Yaqui Tribe 106 5 74 20 7 0 Salt River Pima-Maricopa Community 133 7 71 40 15 0 San Carlos Apache Tribe 283 14 135 99 30 5 Tohono O'Odham Tribe 338 11 193 96 38 0 White Mountain Apache 403 18 231 109 45 0 Yavapai-Apache Nation 15 1 7 4 3 0 3 0 1 1 1 0 TOTAL 4,095 126 2,511 1,073 370 15 ---in Maricopa County 1,633 45 1,213 303 71 1 212 8 135 58 11 0 Yavapai-Prescott Indian Tribe Resided off reservation 1st trimester ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2008 Data Book 44 0 34 9 1 0 378 20 248 67 42 1 2,267 73 1,630 437 125 2 55 4.11 NUMBER OF PRENATAL VISITS (2008 STATUS) Prenatal visits TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe 5-8 visits 9-12 visits 13+ visits Unknown 6,362 199 589 1,745 2,626 1,187 16 29 1 0 5 15 8 0 7 0 2 2 2 1 0 23 1 1 10 5 6 0 Fort McDowell Yavapai Nation 20 1 0 6 9 4 0 Fort Mojave Indian Tribe 12 0 2 2 4 4 0 Fort Yuma Quechan Tribe 19 0 3 6 6 4 0 277 6 11 47 142 70 1 17 2 1 5 6 3 0 110 5 12 33 43 16 1 37 3 4 5 11 14 0 1 0 0 0 1 0 0 2,262 51 229 630 881 463 8 Pascua Yaqui Tribe 106 5 4 31 41 25 0 Salt River Pima-Maricopa Community 133 7 19 45 39 23 0 San Carlos Apache Tribe 283 14 49 103 83 30 4 Tohono O'Odham Tribe 338 11 41 105 138 43 0 White Mountain Apache 403 18 61 150 149 25 0 Yavapai-Apache Nation 15 1 2 4 8 0 0 3 0 0 2 0 1 0 TOTAL 4,095 126 441 1,191 1,583 740 14 ---in Maricopa County 1,633 45 115 389 772 311 1 212 8 12 48 97 47 0 Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Yavapai-Prescott Indian Tribe ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 56 1-4 visits Colorado River Indian Tribe Gila River Indian Community Resided off reservation No visits 44 0 2 14 21 7 0 378 20 19 103 153 82 1 2,267 73 148 554 1,043 447 2 Health Status Profile of American Indians in Arizona, 2008 Data Book 4.12 OBSTETRIC PROCEDURES (2008 STATUS) ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Other Ultrasound Tocolysis Stimulation of labor 6,362 45 5,793 1,182 1,257 48 3,978 29 0 29 0 4 0 27 1 7 0 7 0 0 0 7 0 Colorado River Indian Tribe 23 0 21 2 1 0 18 1 Fort McDowell Yavapai Nation 20 0 20 5 2 0 16 0 Fort Mojave Indian Tribe 12 0 12 11 1 0 12 0 Ak-Chin Indian Community Cocopah Tribe Fort Yuma Quechan Tribe Gila River Indian Community Havasupai Tribe 486 19 0 19 0 0 0 19 0 277 2 275 21 38 1 249 18 17 0 17 6 3 0 7 0 110 1 93 24 19 0 31 5 37 0 37 3 1 1 3 0 1 0 1 0 0 0 0 0 2,262 15 2,007 399 388 22 1,185 60 Pascua Yaqui Tribe 106 0 105 17 15 1 76 10 Salt River Pima-Maricopa Community 133 2 132 33 45 0 90 21 San Carlos Apache Tribe 283 3 215 63 39 0 196 57 Tohono O'Odham Tribe 338 2 331 55 20 1 320 15 White Mountain Apache 403 2 279 76 98 14 310 27 Yavapai-Apache Nation 15 0 13 7 1 0 13 0 3 0 3 1 0 0 3 0 TOTAL 4,095 27 3,616 723 675 40 2,582 215 ---in Maricopa County 1,633 18 1,607 371 475 3 879 227 212 0 206 24 31 2 201 23 44 0 39 14 17 0 29 0 378 0 325 50 59 3 287 21 2,267 18 2,177 459 582 8 1,396 271 Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe 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, 2008 Data Book 57 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community 14 107 7 92 99 210 190 30 13 Other Fetal distress Anesthetic complic. Cord prolapse Cephalopelvic disp. Breech malpresentation Dysfunctional labor Prolonged labor Precipitous labor Seizures Other bleeding Placenta previa Rupture of membrane Meconium Abruptio placenta 27 1 236 881 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 7 3 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 Colorado River Indian Tribe 23 3 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 1 Fort McDowell Yavapai Nation 20 3 0 2 0 0 0 1 0 0 0 0 0 0 0 0 0 2 Fort Mojave Indian Tribe 12 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 19 6 0 2 0 0 0 0 0 0 0 0 1 0 0 0 2 2 277 55 1 9 1 0 0 0 0 2 2 7 9 0 0 0 13 27 Gila River Indian Community Havasupai Tribe 1 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 29 2 5 3 0 0 1 0 4 3 5 4 0 0 0 3 11 37 2 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,262 565 59 76 106 10 8 54 3 33 43 94 61 7 5 0 Pascua Yaqui Tribe 106 35 2 11 2 1 0 2 0 1 0 0 3 0 0 0 4 17 Salt River Pima-Maricopa Community 133 55 6 10 4 1 0 4 3 6 4 8 2 2 0 1 8 23 San Carlos Apache Tribe 283 99 3 10 7 1 0 2 0 10 3 1 9 0 0 0 5 60 Tohono O'Odham Tribe 338 94 1 35 9 3 1 2 0 1 3 1 2 2 0 0 8 51 White Mountain Apache 403 144 2 13 29 2 1 11 0 5 7 44 20 8 0 0 32 72 Yavapai-Apache Nation 15 6 0 1 0 0 0 0 0 1 0 0 1 0 0 0 1 2 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 76 175 161 19 10 77 6 65 65 161 113 19 5 1 134 407 Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Yavapai-Prescott Indian Tribe 55 135 3 1 TOTAL 4,095 1,103 ---in Maricopa County 1,633 634 50 80 76 5 3 25 0 22 30 40 69 7 8 0 212 69 1 14 3 0 1 1 0 1 2 1 1 1 0 0 9 49 44 4 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 2 16 42 ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 58 1,888 130 274 244 29 Cocopah Tribe Fort Yuma Quechan Tribe Resided off reservation 6,362 Complications of labor and/or delivery Febrile TOTAL BIRTHS Births with complications of labor and or delivery 4.13 COMPLICATIONS OF LABOR AND DELIVERY (2008 STATUS) 77 381 378 78 3 5 4 3 0 4 1 3 1 7 7 3 0 0 2,267 785 54 99 83 8 4 30 1 27 34 49 77 11 8 0 102 474 Health Status Profile of American Indians in Arizona, 2008 Data Book 4.14 METHOD OF DELIVERY (2008 STATUS) Method of delivery TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 29 19 0 2 8 0 0 7 5 0 2 0 0 0 Colorado River Indian Tribe 23 20 0 1 2 0 1 Fort McDowell Yavapai Nation 20 14 0 4 2 0 0 Fort Mojave Indian Tribe 12 9 0 2 1 0 0 Cocopah Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation 812 656 24 Vacuum 4,780 Ak-Chin Indian Community 114 Forceps 6,362 Fort Yuma Quechan Tribe 101 19 14 0 3 2 0 0 277 200 1 43 33 0 1 17 13 0 1 3 0 0 110 86 3 9 12 0 1 37 23 0 6 8 1 0 1 1 0 0 0 0 0 2,262 1,805 56 228 173 10 29 Pascua Yaqui Tribe 106 76 2 16 12 1 3 Salt River Pima-Maricopa Community 133 95 2 23 13 0 4 San Carlos Apache Tribe 283 204 7 39 33 0 11 Tohono O'Odham Tribe 338 260 4 39 35 0 8 White Mountain Apache 403 286 3 61 53 2 11 Yavapai-Apache Nation 15 10 0 2 3 1 0 3 2 0 1 0 0 0 TOTAL 4,095 3,142 78 482 393 15 69 ---in Maricopa County 1,633 1,178 31 241 183 6 20 212 157 2 27 26 0 6 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, 2008 Data Book 44 38 0 2 4 1 0 378 265 3 60 50 2 6 2,267 1,638 36 330 263 9 32 59 4.15 ATTENDANT AT BIRTH (2008 STATUS) TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Midwife D.O. Unknown Other 4,109 1,730 0 54 421 27 21 29 22 1 0 0 6 0 0 7 5 2 0 0 0 0 0 Colorado River Indian Tribe 23 8 0 0 0 15 0 0 Fort McDowell Yavapai Nation 20 14 4 0 0 2 0 0 Fort Mojave Indian Tribe 12 12 0 0 0 0 0 0 Fort Yuma Quechan Tribe 19 14 5 0 0 0 0 0 277 208 10 0 0 59 0 0 17 15 0 0 0 2 0 0 110 61 47 0 1 1 0 0 37 23 0 0 0 14 0 0 1 0 0 0 0 1 0 0 2,262 1,023 1,128 0 31 49 11 20 Pascua Yaqui Tribe 106 73 30 0 0 2 1 0 Salt River Pima-Maricopa Community 133 104 28 0 0 0 1 0 San Carlos Apache Tribe 283 260 4 0 0 15 4 0 Tohono O'Odham Tribe 338 321 12 0 0 5 0 0 White Mountain Apache 403 313 3 0 0 84 3 0 Yavapai-Apache Nation 15 15 0 0 0 0 0 0 3 3 0 0 0 0 0 0 TOTAL 4,095 2,494 1,274 0 32 255 20 20 ---in Maricopa County 1,633 1,104 414 0 4 107 3 1 212 179 22 0 0 9 2 0 44 42 1 0 1 0 0 0 378 290 19 0 17 50 2 0 2,267 1,615 456 0 22 166 7 1 Ak-Chin Indian Community Cocopah Tribe Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Yavapai-Prescott Indian Tribe ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 60 Hospital Admin. C.N.M 6,362 Gila River Indian Community Resided off reservation M.D. Health Status Profile of American Indians in Arizona, 2008 Data Book Newborn’s Health Health Status Profile of American Indians in Arizona, 2008 Data Book 61 4.16 GESTATIONAL AGE (2008 STATUS) Length of gestation TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 37-41 weeks 42+ weeks Unknown 6,362 621 5,688 46 7 29 4 25 0 0 7 0 5 2 0 Colorado River Indian Tribe 23 3 20 0 0 Fort McDowell Yavapai Nation 20 1 19 0 0 Fort Mojave Indian Tribe 12 0 12 0 0 Fort Yuma Quechan Tribe 19 2 16 1 0 277 21 254 1 1 17 2 15 0 0 110 9 100 1 0 37 7 30 0 0 1 0 1 0 0 2,262 188 2,045 25 4 Pascua Yaqui Tribe 106 14 92 0 0 Salt River Pima-Maricopa Community 133 14 119 0 0 San Carlos Apache Tribe 283 36 244 1 2 Tohono O'Odham Tribe 338 29 308 1 0 White Mountain Apache 403 57 338 8 0 Yavapai-Apache Nation 15 3 12 0 0 3 0 3 0 0 TOTAL 4,095 390 3,658 40 7 ---in Maricopa County 1,633 183 1,447 3 0 212 16 195 1 0 44 5 39 0 0 378 27 349 2 0 2,267 231 2,030 6 0 Ak-Chin Indian Community Cocopah Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe 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, 2008 Data Book 63 4.17 WEIGHT AT BIRTH (2008 STATUS) Weight at birth TOTAL BIRTHS ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 1,5002,499 2,5003,999 Unknown 4000+ 34 38 356 5,370 559 5 29 0 0 1 28 0 0 7 0 0 0 7 0 0 Colorado River Indian Tribe 23 1 0 0 19 3 0 Fort McDowell Yavapai Nation 20 0 0 0 19 1 0 Fort Mojave Indian Tribe 12 0 0 0 11 1 0 Fort Yuma Quechan Tribe 19 0 0 1 16 2 0 277 1 2 12 234 28 0 17 1 0 0 16 0 0 110 0 0 9 97 4 0 37 0 1 0 33 3 0 1 0 0 0 1 0 0 2,262 7 12 128 1,937 175 3 Pascua Yaqui Tribe 106 0 1 9 89 7 0 Salt River Pima-Maricopa Community 133 2 2 7 106 16 0 San Carlos Apache Tribe 283 2 1 24 238 18 0 Tohono O'Odham Tribe 338 2 2 17 284 33 0 White Mountain Apache 403 5 6 29 334 29 0 Yavapai-Apache Nation 15 0 0 1 14 0 0 3 0 0 0 2 1 0 TOTAL 4,095 21 27 238 3,485 321 3 ---in Maricopa County 1,633 10 9 89 1,345 178 2 212 0 2 12 181 17 0 44 0 0 2 39 3 0 378 3 0 15 320 40 0 2,267 13 11 118 1,885 238 2 Ak-Chin Indian Community Cocopah Tribe Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Yavapai-Prescott Indian Tribe ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL 64 1,0001,499 6,362 Gila River Indian Community Resided off reservation <1,000 grams Health Status Profile of American Indians in Arizona, 2008 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 6,362 366 9 33 0 22 5 40 21 14 288 29 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribe 23 4 0 0 0 0 0 2 0 1 2 Fort McDowell Yavapai Nation 20 0 0 0 0 0 0 0 0 0 0 Fort Mojave Indian Tribe 12 0 0 0 0 0 0 0 0 0 0 Fort Yuma Quechan Tribe 19 1 0 0 0 0 0 0 1 0 1 277 13 0 0 0 1 0 0 0 2 10 17 0 0 0 0 0 0 0 0 0 0 110 4 0 1 0 0 0 0 1 0 3 37 0 0 0 0 0 0 0 0 0 0 Ak-Chin Indian Community Cocopah Tribe Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe 1 0 0 0 0 0 0 0 0 0 0 2,262 87 8 5 0 4 2 17 7 6 53 Pascua Yaqui Tribe 106 6 0 0 0 0 0 1 0 1 5 Salt River Pima-Maricopa Community 133 4 0 0 0 0 0 0 0 0 4 San Carlos Apache Tribe 283 40 0 0 0 2 1 1 1 0 37 Tohono O'Odham Tribe 338 18 0 0 0 0 1 5 0 0 16 White Mountain Apache 403 62 0 25 0 5 0 5 9 0 49 Yavapai-Apache Nation 15 3 0 0 0 0 0 0 0 0 3 3 0 0 0 0 0 0 0 0 0 0 TOTAL 4,095 242 8 31 0 12 4 31 19 10 183 ---in Maricopa County 1,633 71 1 0 0 8 1 1 2 3 59 212 19 0 0 0 0 0 5 0 1 16 44 0 0 0 0 0 0 0 0 0 0 378 34 0 2 0 2 0 3 0 0 30 2,267 124 1 2 0 10 1 9 2 4 105 Navajo Nation 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 (2008 STATUS) ---in Pima County ---in Coconino County ---elsewhere in Arizona TOTAL Health Status Profile of American Indians in Arizona, 2008 Data Book 65 4.19 CONGENITAL ANOMALIES / BIRTH DEFECTS (2008 STATUS) Other muscosceletal Diaphragmatic hernia 7 0 0 3 1 1 1 1 9 4 3 0 3 2 1 22 29 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Colorado River Indian Tribe 23 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Fort McDowell Yavapai Nation 20 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Fort Mojave Indian Tribe 12 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Fort Yuma Quechan Tribe 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 277 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 Other Down's syndrome Polydactyly/ syndactyly/ Cleft lip/palate Renal agenesis Microcephalus Spina bifida/ meningocele Other chromosomal 5 Club foot 2 Other urogenital 0 Malformed genitalia Omphalocele/ gastroschisis Other gastrointestinal Tracheo-esophageal fistula/esophageal Rectal atresia/ stenosis 1 Other respiratory/ circulatory 2 Other CNS anomaly 0 Hydrocephalus 58 Resided on Ak-Chin Indian Community reservation Cocopah Tribe Anencephalus 6,362 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA 17 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 37 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2,262 20 0 1 0 0 0 1 1 0 0 1 0 0 0 0 5 4 2 0 0 2 1 3 Pascua Yaqui Tribe 106 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Salt River Pima-Maricopa Community 133 2 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 San Carlos Apache Tribe 283 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 Tohono O'Odham Tribe 338 6 0 0 0 0 2 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 3 White Mountain Apache 403 8 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 0 0 2 0 0 4 Yavapai-Apache Nation 15 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 Hopi Tribe Hualapai Nation Kaibab-Paiute Tribe Navajo Nation Yavapai-Prescott Indian Tribe TOTAL 4,095 41 0 1 0 0 2 3 3 0 0 1 1 0 0 1 7 4 2 0 2 2 1 15 Resided off ---in Maricopa County reservation ---in Pima County 1,633 8 0 1 0 0 0 1 1 0 0 0 0 1 1 0 1 0 0 0 1 0 0 2 212 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 ---in Coconino County 44 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 378 8 0 0 1 0 0 1 3 0 0 2 0 0 0 0 1 0 1 0 0 0 0 4 2,267 17 0 1 1 0 0 2 4 0 0 2 0 1 1 0 2 0 1 0 1 0 0 7 ---elsewhere in Arizona TOTAL 66 Heart malformations TOTAL BIRTHS Births with congenital anomalies Congenital anomalies Health Status Profile of American Indians in Arizona, 2008 Data Book 4.20 CAUSES OF INFANT DEATHS AMONG AMERICAN INDIAN RESIDENTS, ARIZONA, 2008 15 1 1 4 2 5 18 0 10 5 3 Certain conditions originating in the perinatal period 22 14 2 0 0 5 1 1 1 2 2 8 0 5 2 1 Maternal complications 2 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 Complications of placenta, cord and membrane 3 0 0 0 0 0 0 0 0 0 0 3 0 2 0 1 Short gestation and low birth weight 4 3 0 0 0 2 1 0 0 0 0 1 0 1 0 0 Bacterial sepsis of newborn 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 10 8 1 0 1 3 0 0 1 0 2 2 0 1 0 1 of circulatory system 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 of brain, spinal cord or nervous system 3 2 0 0 0 0 0 0 0 0 2 1 0 0 0 1 other malformation 6 5 0 0 1 3 0 0 1 0 0 1 0 1 0 0 Sudden infant death syndrome 4 2 0 0 0 2 0 0 0 0 0 2 0 0 2 0 Accidents (unintentional injury) 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 Influenza and pneumonia 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 Other diseases of the respiratory system 2 1 0 0 0 1 0 0 0 0 0 1 0 1 0 0 Diseases of the digestive system 2 2 0 0 0 1 0 0 0 0 1 0 0 0 0 0 Infectious and parasitic diseases 3 3 0 0 0 2 0 0 1 0 0 0 0 0 0 0 Diseases of the nervous system 2 2 0 1 0 0 0 0 1 0 0 0 0 0 0 0 Other ill-defined and unspecified causes of mortality 4 1 1 0 0 0 0 0 0 0 0 3 0 2 0 1 Motor vehicle Health Status Profile of American Indians in Arizona, 2008 Data Book Navajo Nation Hopi Tribe TOTAL STATE Congenital malformations Total 1 ---elsewhere in Arizona White Mountain Apache Tribe 1 ---in Pima County Tohono O'Odham Tribe 4 Total San Carlos Apache Tribe 34 Pascua Yaqui Tribe 52 Hualapai Nation Total, all causes Gila River Indian Community Salt River PimaMaricopa Community ---in Coconino County Resided off reservation ---in Maricopa County Resided on reservation 67 Total births Mother's age group 88 1,105 La Paz Yuma Yavapai Santa Cruz Pinal Pima 584 387 0 51 51 2 0 4 0 7 3 1 0 0 0 0 408 46 0 57 27 9 0 104 3 90 36 32 0 2 1 1 18-19 755 105 4 96 37 11 0 197 8 146 76 55 0 7 7 6 20-24 2,064 302 5 253 87 27 2 617 29 355 194 136 0 21 21 15 25-29 1,583 237 5 200 48 18 1 538 29 240 143 85 0 12 14 13 30-34 974 150 2 133 30 11 1 328 14 149 91 46 0 6 6 7 35-39 437 75 1 58 9 4 0 128 4 87 38 27 0 2 1 3 40-44 113 29 1 16 0 2 0 24 1 30 3 5 0 1 1 0 6 4 0 1 0 0 0 0 0 1 0 0 0 0 0 0 AHCCCS 3,553 422 9 436 70 17 1 1,233 69 654 330 238 0 32 36 6 IHS 1,768 401 1 304 156 57 0 222 2 387 143 58 0 6 3 28 839 16 8 64 11 8 3 452 15 50 96 86 0 11 11 8 48 3 0 4 2 0 0 19 1 3 9 3 0 2 1 1 154 108 0 7 1 2 0 14 1 11 6 2 0 0 0 2 50 3 0 2 6 1 0 16 1 4 8 9 0 0 0 0 <8 4 1,940 Navajo Mohave Maricopa 84 2 8 45 154 6 0 4 11 1 0 59 1 28 19 20 0 2 3 0 9-11 1,724 180 3 186 94 22 0 483 26 343 186 161 0 17 11 12 12 2,425 412 6 323 79 46 3 653 39 476 219 99 0 20 29 21 13-16 1,784 300 8 266 48 13 1 640 20 236 134 92 0 12 6 8 175 33 1 29 1 0 0 72 0 15 17 5 0 0 2 0 50 16 0 5 1 1 0 17 1 3 1 1 0 0 0 4 Married 1,460 198 11 189 47 24 3 502 19 241 101 80 0 18 15 12 Unmarried 4,820 748 7 616 192 60 1 1,407 66 846 474 304 0 31 35 33 82 4 0 10 1 0 0 31 3 18 9 3 0 2 1 0 123 9 0 11 3 2 0 39 1 14 28 15 0 0 0 1 23 17+ Unknown Other* None 1-15 pounds 1,116 217 2 130 44 13 0 280 15 235 110 36 0 5 6 16-20 pounds 854 135 0 107 43 17 0 260 14 159 52 52 0 6 2 7 21-24 pounds 435 92 3 29 9 0 1 151 5 87 46 9 0 1 0 2 25-30 pounds 1,577 189 5 252 60 20 1 461 22 236 105 177 0 21 25 3 31+ pounds 2,161 261 7 283 73 32 2 742 30 350 241 96 0 18 18 8 96 47 1 3 8 0 0 7 1 24 2 2 0 0 0 1 0 Unknown Drinker, nonsmoker 52 2 0 5 3 0 0 10 2 18 9 0 0 3 0 Smoker, nondrinker 150 13 3 7 12 1 0 63 4 15 18 9 0 5 0 0 Smoker and drinker 31 1 0 6 3 1 0 11 2 5 1 1 0 0 0 0 6,129 934 15 797 222 82 80 1,067 556 377 0 43 51 45 Nonsmoker and nondrinker 68 Greenlee 240 1 Unknown Substance use Graham 815 0 Self Weight gain Gila 18 2 Private insurance Marital status Coconino 950 22 45+ Mother's education Cochise 6,362 <15 15-17 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, 2008 4 1,856 Health Status Profile of American Indians in Arizona, 2008 Data Book Length of gestation <37 weeks 37-41 weeks La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa 13 1 218 11 114 46 28 0 8 4 4 70 3 1,719 77 971 536 356 0 42 44 41 46 4 0 9 2 0 0 3 0 20 2 2 0 1 3 0 7 3 0 1 1 1 0 0 0 0 0 1 0 0 0 0 <1,000 grams 34 3 0 4 1 1 0 13 0 6 2 1 0 1 0 2 1,000-1,499 38 4 0 5 1 0 0 13 1 9 4 1 0 0 0 0 1,500-2,499 356 58 1 49 18 6 0 109 2 63 30 14 0 3 2 1 2,500-3,999 5,370 797 15 708 204 70 3 1,595 76 946 496 337 0 41 44 38 559 86 2 49 16 7 1 208 9 80 52 34 0 6 5 4 5 2 0 0 0 0 0 2 0 1 0 0 0 0 0 0 199 31 0 16 12 2 0 57 5 34 20 17 0 2 1 2 1st trimester 4,141 539 17 572 115 44 4 1,411 65 630 352 301 0 32 33 26 2nd trimester 1,510 261 1 177 83 30 0 378 11 317 161 55 0 9 13 14 3rd trimester 495 115 0 47 26 7 0 93 6 122 51 13 0 8 4 3 17 4 0 3 4 1 0 1 1 2 0 1 0 0 0 0 No care No visits 199 31 0 16 12 2 0 57 5 34 20 17 0 2 1 2 1-4 visits 589 92 0 64 35 18 1 145 7 156 52 8 0 4 5 2 5-8 visits 1,745 278 3 191 75 37 1 473 16 371 160 90 0 16 17 17 9-12 visits 2,626 358 7 345 83 18 2 887 31 408 250 190 0 21 18 8 13+ visits 1,187 186 8 197 32 8 0 377 28 134 102 81 0 8 10 16 Unknown 16 5 0 2 3 1 0 1 1 2 0 1 0 0 0 0 309 37 1 23 14 3 0 115 3 60 23 13 0 7 7 3 6,049 912 17 790 226 81 85 1,044 561 374 0 44 44 42 4 1 0 2 0 0 0 0 0 1 0 0 0 0 0 0 45 7 0 6 3 0 0 21 0 5 2 1 0 0 0 0 Electronic Fetal Monitoring 5,793 804 5 720 215 37 1 1,912 87 916 570 384 0 48 51 43 Induction of labor 1,182 158 4 183 66 9 0 438 24 179 81 20 0 15 1 4 Stimulation of labor 1,257 132 0 190 46 1 0 563 5 207 44 60 0 5 0 4 0 Yes No Unknown Amniocentesis Tocolysis Ultrasound Vaginal 4 1,825 48 8 0 6 1 0 4 2 23 3 1 0 0 0 0 3,978 518 16 465 152 81 4 1,091 33 580 556 359 0 40 50 33 Other Method of delivery Greenlee 23 214 Unknown Obstetric procedures Graham 75 730 Unknown Newborn intensive care Gila 1 17 4000+ Prenatal visits Coconino 75 868 Unknown Prenatal care Cochise 621 5,688 42+ 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, 2008 486 34 1 8 12 52 4 270 1 52 39 10 0 2 0 1 4,780 780 10 640 171 61 3 1,403 60 840 435 274 0 32 33 38 Vaginal after C-Section 114 31 0 13 7 1 0 35 0 17 6 3 0 1 0 0 Primary C-Section 812 84 5 85 37 10 1 289 10 133 77 56 0 11 12 2 Repeat C-Section 656 55 3 77 25 12 0 213 18 115 66 54 0 7 6 5 Forceps 24 4 0 4 0 0 0 7 1 5 0 1 0 2 0 0 Vacuum 101 12 1 11 8 5 0 27 1 18 14 2 0 1 0 1 Health Status Profile of American Indians in Arizona, 2008 Data Book 69 Births with medical risk factors Total La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Coconino 358 4 234 121 29 0 994 12 454 336 109 0 27 5 12 461 61 0 30 25 2 0 231 0 64 19 25 0 1 0 3 Cardiac disease 18 4 0 2 0 0 0 4 0 6 2 0 0 0 0 0 Lung disease 87 8 0 36 0 0 0 16 0 27 0 0 0 0 0 0 522 70 1 47 10 8 0 192 3 104 53 22 0 6 1 5 0 Genital herpes Hydramnios Hemoglobinopathy Chronic hypertension Pregnancy associated hypertension 56 2 1 5 1 0 0 25 0 12 4 4 0 2 0 141 28 1 10 9 0 0 50 0 13 25 3 0 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 91 8 2 20 3 7 0 31 1 8 7 2 0 0 1 1 375 66 0 38 18 4 0 123 1 73 33 14 0 3 1 1 Eclampsia 72 6 0 7 2 1 0 23 0 8 24 0 0 1 0 0 Previous infant 4000+g 71 14 0 4 4 0 0 22 1 24 0 0 0 2 0 0 Previous SGA infant 78 17 0 6 2 0 0 17 1 33 0 0 0 2 0 0 Renal disease 35 6 0 0 4 0 0 1 0 22 0 0 0 1 0 1 RH sensitization 3 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 Uterine bleeding 30 1 0 3 1 0 0 8 1 12 1 3 0 0 0 0 7 1 0 0 0 0 0 2 0 2 0 2 0 0 0 0 1,641 138 4 85 83 17 0 704 8 232 287 56 0 18 2 7 366 34 2 32 23 21 1 85 2 85 36 28 0 7 2 8 9 4 0 3 0 0 0 1 0 1 0 0 0 0 0 0 Incompetent cervix Other Total Anemia Birth injury Fetal Alcohol Syndrome Membrane disease 33 5 0 0 3 0 0 0 0 24 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 2 1 1 0 8 0 7 0 1 0 1 0 1 5 1 0 1 1 0 0 1 0 0 1 0 0 0 0 0 Assissted vent.<30 min 40 6 0 8 1 0 0 1 0 9 11 1 0 0 0 3 Assisted vent.>30 min. 21 3 0 2 1 0 0 2 0 12 0 0 0 0 1 0 1 Meconium aspiration Newborn seizures Other Births with congenital Total anomalies Anencephalus 70 Cochise 2,695 Anemia Diabetes Abnormal conditions of the newborn Apache Total State 4.21 COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2008 14 0 0 5 0 0 0 5 0 1 1 1 0 0 0 288 20 2 16 20 21 1 71 2 66 31 25 0 6 2 5 58 6 1 8 3 2 0 10 0 15 8 4 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Spina bifida/meningocele 2 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 Hydrocephalus 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 Microcephalus 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other CNS anomaly 2 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 Heart malformations 5 0 0 1 1 0 0 2 0 1 0 0 0 0 0 0 Other respiratory/circulatory 7 1 1 0 0 1 0 1 0 2 0 1 0 0 0 0 Rectal atresia/stenosis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Health Status Profile of American Indians in Arizona, 2008 Data Book Tracheo-esophageal fistula/esophageal atresia Omphalocele/gastroschisis La Paz Yuma Yavapai Santa Cruz Pinal Pima Navajo Mohave Maricopa Greenlee Graham Gila Coconino 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 Other gastrointestinal 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 Malformed genitalia 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 Renal agenesis 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 Other urogenital 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Cleft lip/palate 9 1 0 2 0 1 0 1 0 3 1 0 0 0 0 0 Polydactyly/syndactyly/adactyly 4 2 0 1 0 0 0 0 0 1 0 0 0 0 0 0 Club foot 3 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 Diaphragmatic hernia 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other muscosceletal 3 0 0 0 0 0 0 1 0 2 0 0 0 0 0 0 Down's syndrome 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Other chromosomal 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 1 1 2 0 3 0 6 5 3 0 0 0 1 1,888 275 6 162 91 22 1 747 6 307 171 55 0 25 16 4 Febrile 130 28 0 16 4 0 0 60 1 19 1 1 0 0 0 0 Meconium 274 41 0 26 10 0 0 105 1 27 53 4 0 3 3 1 Rupture of membrane 244 66 0 22 6 1 0 82 0 54 12 1 0 0 0 0 27 6 0 2 1 1 0 7 0 4 3 2 0 0 1 0 0 Total Abruptio placenta Placenta previa 14 0 0 4 0 0 0 3 0 5 2 0 0 0 0 107 24 0 20 3 0 0 32 1 23 3 1 0 0 0 0 7 3 0 0 0 0 0 3 0 0 0 1 0 0 0 0 Precipitous labor 92 25 0 6 12 0 0 30 1 12 2 1 0 2 0 1 Prolonged labor 99 17 0 17 3 0 0 35 0 21 5 1 0 0 0 0 Dysfunctional labor 210 32 0 42 4 0 0 51 0 71 2 4 0 3 0 1 Breech malpresentation 190 23 0 15 8 1 0 77 1 47 5 6 0 3 4 0 Cephalopelvic disproportion. 30 2 2 3 0 0 0 9 0 11 3 0 0 0 0 0 Cord prolapse 13 1 0 2 0 0 0 8 0 2 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 Fetal distress 236 21 0 22 5 3 0 94 0 47 17 19 0 3 3 2 Other 881 64 4 33 49 18 1 437 3 121 102 25 0 16 7 1 Total 51 12 0 6 3 1 0 13 1 8 2 4 0 0 1 0 Neonatal 28 6 0 3 2 0 0 9 1 3 1 2 0 0 1 0 Postneonatal 23 6 0 3 1 1 0 4 0 5 1 2 0 0 0 0 Other bleeding Seizures Anesthetic complications Infant mortality Cochise 0 Other Births with complications Apache Total State 4.21 COMPARISON OF SELECTED CHARACTERISTICS OF AMERICAN INDIAN NEWBORNS AND WOMEN GIVING BIRTH BY COUNTY OF RESIDENCE, ARIZONA, 2008 *'Refused', 'Yes, divorced', 'Unknown' Health Status Profile of American Indians in Arizona, 2008 Data Book 71 V. PATTERNS OF MORTALITY AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE IN ARIZONA IN 2008 Health Status Profile of American Indians in Arizona, 2008 Data Book 73 AGE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2008 Data Book 75 5.1 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIANS IN 2008 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation Ak-Chin Indian Community Cocopah Tribe Colorado River Indian Tribe Fort McDowell Yavapai Nation Fort Mojave Indian Tribe Gila River Indian Community Havasupai Tribe 85+ 75-84 65-74 55-64 45-54 35-44 25-34 5-14 1-4 1,722 52 15 11 105 112 190 266 243 252 262 214 6 0 1 0 0 0 1 1 3 0 0 0 4 0 1 0 0 0 0 0 1 0 1 1 18 0 0 0 0 1 2 5 4 3 1 2 8 0 0 0 1 0 2 2 0 1 2 0 1 0 0 0 0 0 0 1 0 0 0 0 77 4 1 1 3 2 10 14 11 12 13 6 4 0 0 1 0 1 2 0 0 0 0 0 Hopi Tribe 91 1 0 0 7 6 7 11 10 15 21 13 Hualapai Nation 12 1 0 0 0 2 2 5 1 0 1 0 Navajo Nation 583 15 5 6 33 37 61 68 67 76 108 107 Pascua Yaqui Tribe 32 1 0 0 0 0 5 9 6 3 5 3 Salt River Pima-Maricopa Community 43 1 1 1 4 2 9 7 9 5 2 2 San Carlos Apache Tribe 101 4 2 1 6 8 13 16 15 21 10 5 Tohono O'Odham Tribe 102 2 0 0 7 2 12 30 11 19 11 8 78 5 0 0 10 5 12 10 7 14 8 7 White Mountain Apache Tribe Yavapai-Apache Nation TOTAL Resided off reservation <1 TOTAL 15-24 Age group ---in Maricopa County 3 0 0 0 0 0 0 1 1 1 0 0 1,163 34 11 10 71 66 138 180 146 170 183 154 222 10 2 0 16 15 23 36 39 30 30 21 ---in Pima County 90 0 1 0 6 9 12 14 15 12 13 8 ---in Coconino County 42 5 1 0 3 2 4 6 8 4 2 7 ---elsewhere in Arizona 205 3 0 1 9 20 13 30 35 36 34 24 TOTAL 559 18 4 1 34 46 52 86 97 82 79 60 Health Status Profile of American Indians in Arizona, 2008 Data Book 77 5.2 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN MALES IN 2008 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 85+ 75-84 65-74 55-64 45-54 35-44 25-34 5-14 27 7 6 73 85 127 180 136 128 134 78 Ak-Chin Indian Community 4 0 1 0 0 0 0 1 2 0 0 0 Cocopah Tribe 1 0 0 0 0 0 0 0 1 0 0 0 10 0 0 0 0 1 2 4 1 1 1 0 Fort McDowell Yavapai Nation 6 0 0 0 0 0 2 1 0 1 2 0 Fort Mojave Indian Tribe 1 0 0 0 0 0 0 1 0 0 0 0 41 0 1 1 2 1 6 8 6 6 7 3 1 0 0 0 0 1 0 0 0 0 0 0 48 1 0 0 3 6 4 7 7 7 9 4 9 0 0 0 0 2 2 3 1 0 1 0 349 9 3 4 25 27 41 52 42 45 61 40 Pascua Yaqui Tribe 17 1 0 0 0 0 3 6 2 1 3 1 Salt River Pima-Maricopa Community 29 1 0 1 4 2 7 4 7 2 0 1 San Carlos Apache Tribe 61 1 1 0 6 8 10 8 9 10 5 3 Tohono O'Odham Tribe 55 1 0 0 4 1 8 18 6 8 5 4 White Mountain Apache Tribe 40 4 0 0 5 4 4 7 5 6 4 1 2 0 0 0 0 0 0 1 1 0 0 0 TOTAL 674 18 6 6 49 53 89 121 90 87 98 57 ---in Maricopa County 120 4 0 0 12 12 18 26 14 13 14 7 ---in Pima County 52 0 1 0 4 6 8 7 8 10 5 3 ---in Coconino County 25 3 0 0 2 2 2 6 5 2 1 2 ---elsewhere in Arizona 110 2 0 0 6 12 10 20 19 16 16 9 TOTAL 307 9 1 0 24 32 38 59 46 41 36 21 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Apache Nation 78 1-4 981 Colorado River Indian Tribe Resided off reservation <1 TOTAL 15-24 Age group Health Status Profile of American Indians in Arizona, 2008 Data Book 5.3 AGE-SPECIFIC MORTALITY AMONG AMERICAN INDIAN FEMALES IN 2008 ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Resided on reservation 85+ 75-84 65-74 55-64 45-54 35-44 25-34 5-14 1-4 741 25 8 5 32 27 63 86 107 124 128 136 Ak-Chin Indian Community 2 0 0 0 0 0 1 0 1 0 0 0 Cocopah Tribe 3 0 1 0 0 0 0 0 0 0 1 1 Colorado River Indian Tribe 8 0 0 0 0 0 0 1 3 2 0 2 Fort McDowell Yavapai Nation 2 0 0 0 1 0 0 1 0 0 0 0 36 4 0 0 1 1 4 6 5 6 6 3 3 0 0 1 0 0 2 0 0 0 0 0 43 0 0 0 4 0 3 4 3 8 12 9 3 1 0 0 0 0 0 2 0 0 0 0 234 6 2 2 8 10 20 16 25 31 47 67 Pascua Yaqui Tribe 15 0 0 0 0 0 2 3 4 2 2 2 Salt River Pima-Maricopa Community 14 0 1 0 0 0 2 3 2 3 2 1 San Carlos Apache Tribe 40 3 1 1 0 0 3 8 6 11 5 2 Tohono O'Odham Tribe 47 1 0 0 3 1 4 12 5 11 6 4 White Mountain Apache Tribe 38 1 0 0 5 1 8 3 2 8 4 6 1 0 0 0 0 0 0 0 0 1 0 0 TOTAL 489 16 5 4 22 13 49 59 56 83 85 97 ---in Maricopa County 102 6 2 0 4 3 5 10 25 17 16 14 ---in Pima County 38 0 0 0 2 3 4 7 7 2 8 5 ---in Coconino County 17 2 1 0 1 0 2 0 3 2 1 5 ---elsewhere in Arizona 95 1 0 1 3 8 3 10 16 20 18 15 252 9 3 1 10 14 14 27 51 41 43 39 Gila River Indian Community Havasupai Tribe Hopi Tribe Hualapai Nation Navajo Nation Yavapai-Apache Nation Resided off reservation <1 TOTAL 15-24 Age group TOTAL Health Status Profile of American Indians in Arizona, 2008 Data Book 79 CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2008 Data Book 81 5.4 DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2008 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Total, all causes TOTAL MALE FEMALE 1,722 981 741 Salmonella infections 0 0 0 Shigellosis and amebiasis 0 0 0 Certain other intestinal infections 6 5 1 Tuberculosis 4 3 1 Respiratory tuberculosis 3 2 1 Other tuberculosis 1 1 0 Whooping cough 1 1 0 Scarlet fever and erysipelas 0 0 0 Meningococcal infection 0 0 0 45 25 20 Syphilis 0 0 0 Acute poliomyelitis 0 0 0 Arthropod-borne encephalitis 0 0 0 Measles 0 0 0 Viral hepatitis 5 4 1 Human immunodeficiency virus (HIV) disease 6 5 1 Malaria 0 0 0 17 8 9 218 110 108 Septicemia Other and unspecified infectious and parasitic diseases Malignant neoplasms Malignant neoplasm of lip, oral cavity and pharynx 1 1 0 Malignant neoplasm of esophagus 4 3 1 Malignant neoplasm of stomach 17 15 2 Malignant neoplasm of colon, rectum and anus 20 9 11 Malignant neoplasm of liver and intrahepatic bile ducts 14 13 1 Malignant neoplasm of pancreas 12 6 6 Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin 0 0 0 22 9 13 1 1 0 16 2 14 Malignant neoplasm of cervix uteri 6 0 6 Malignant neoplasm of corpus uteri and uterus, part unspecified 2 0 2 Malignant neoplasm of ovary 7 0 7 Malignant neoplasm of prostate 10 10 0 Malignant neoplasm of kidney and renal pelvis 14 8 6 2 1 1 Malignant neoplasm of breast Malignant neoplasm of bladder Health Status Profile of American Indians in Arizona, 2008 Data Book 83 5.4 (continued) DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2008 Cause of death (Tenth Revision, International Statistical Classification of Diseases) Malignant neoplasm of meninges, brain and other parts of CNS Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin's disease MALE FEMALE 4 2 2 31 18 13 1 1 0 Non-Hodgkin's lymphoma 11 5 6 Leukemia 10 6 4 Multiple myeloma and immunoproliferative neoplasms 9 6 3 Other and unspecified malignant neoplasms of lymphoid tissue 0 0 0 35 12 23 In situ neoplasms 4 2 2 Anemias 2 0 2 Diabetes 98 42 56 4 2 2 4 2 2 0 0 0 3 2 1 Parkinson's disease 15 12 3 Alzheimer's disease 14 4 10 289 148 141 225 114 111 3 2 1 16 9 7 All other and unspecified malignant neoplasm Nutritional deficiencies Malnutrition Other nutritional deficiencies Meningitis Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease Hypertensive heart and renal disease 4 1 3 144 75 69 45 22 23 2 0 2 97 53 44 Atherosclerotic cardiovascular disease 38 25 13 All other forms of chronic ischemic heart disease 59 28 31 58 27 31 Acute and subacute endocarditis 2 0 2 Diseases of pericardium and acute myocarditis 1 0 1 Heart failure 15 5 10 All other forms of heart disease 18 Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Other heart diseases 84 TOTAL 40 22 Essential (primary) hypertension and hypertensive renal disease 12 7 5 Cerebrovascular diseases 42 20 22 Health Status Profile of American Indians in Arizona, 2008 Data Book 5.4 (continued) DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2008 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL MALE FEMALE Atherosclerosis 3 1 2 Other diseases of circulatory system 7 6 1 Aortic aneurysm and dissection 2 1 1 Other disease of arteries, arterioles and capillaries 5 5 0 Other disorders of circulatory system Influenza and pneumonia Influenza 1 1 0 73 35 38 2 1 1 71 34 37 Other acute lower respiratory infections 1 0 1 Acute bronchiolitis 1 0 1 Unspecified acute lower respiratory infection 0 0 0 30 20 10 Bronchitis, chronic and unspecified 0 0 0 Emphysema 4 2 2 Asthma 0 0 0 26 18 8 2 2 0 Pneumonia Chronic lower respiratory diseases Other chronic lower respiratory diseases Pneumoconioses and chemical effects Pneumonitis due to solids and liquids 16 9 7 Other disease of respiratory system 25 14 11 Peptic ulcer 3 3 0 Diseases of appendix 0 0 0 Hernia 2 1 1 106 63 43 Alcoholic liver disease 86 52 34 Other chronic liver disease and cirrhosis 20 11 9 3 2 1 24 Chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis 47 23 Acute and rapidly progressive nephritic and nephrotic syndrome 0 0 0 Chronic glomerulonephritis 1 1 0 46 22 24 0 0 0 Infections of kidney 1 0 1 Hyperplasia of prostate 0 0 0 Inflammatory diseases of female pelvic organs 0 0 0 Pregnancy, childbirth and the puerperium 2 0 2 Renal failure Others disorders of kidney Health Status Profile of American Indians in Arizona, 2008 Data Book 85 5.4 (continued) DEATHS BY GENDER FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2008 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 2 0 2 Perinatal conditions 22 14 8 Congenital anomalies, deformations and chromosomal abnormalities 14 7 7 Symptoms, signs, abnormal findings 0 63 37 26 243 177 66 137 91 46 129 84 45 Other land transport accidents 7 7 0 Water, air, space 1 0 1 106 86 20 Total accidents Transport accidents Motor vehicle accidents Nontransport accidents Falls 26 19 7 Accidental discharge of firearms 0 0 0 Accidental drowning and submersion 7 6 1 Accidental exposure to smoke, fire and flames 2 2 0 Accidental poisoning 34 29 5 Other and unspecified nontransport accidents 38 31 7 53 41 12 By discharge of firearms 13 12 1 By other means 40 29 11 Intentional self-harm (suicide) Assault (homicide) 44 36 8 By discharge of firearms 15 11 4 By other means 29 25 4 Legal intervention 0 0 0 Events of undetermined intent 8 8 0 0 0 0 Discharge of firearms Other and unspecified events of undetermined intent 8 8 0 Operations of war 0 0 0 Complications of medical and surgical care 5 2 3 INJURY BY FIREARMS 28 23 5 DRUG-INDUCED DEATHS 22 17 5 141 97 44 ALCOHOL-INDUCED DEATHS 86 TOTAL Health Status Profile of American Indians in Arizona, 2008 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, 2008 1,722 52 15 11 105 112 190 266 243 252 262 214 Salmonella infections 0 0 0 0 0 0 0 0 0 0 0 0 Shigellosis and amebiasis 0 0 0 0 0 0 0 0 0 0 0 0 Certain other intestinal infections 6 0 0 0 0 0 0 0 1 1 2 2 Tuberculosis 4 0 0 0 0 1 0 1 1 0 0 1 Respiratory tuberculosis 3 0 0 0 0 1 0 0 1 0 0 1 Other tuberculosis 1 0 0 0 0 0 0 1 0 0 0 0 Whooping cough 1 1 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 45 1 0 0 0 4 1 8 10 11 9 1 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 Arthropod-borne encephalitis 0 0 0 0 0 0 0 0 0 0 0 0 Measles 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis 5 0 0 0 0 0 2 3 0 0 0 0 Human immunodeficiency virus (HIV) disease 6 0 0 0 0 0 3 3 0 0 0 0 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 17 1 0 0 0 2 0 2 2 3 5 2 Septicemia Other and unspecified infectious and parasitic diseases Malignant neoplasms 218 0 2 0 3 3 14 30 49 46 48 23 Malignant neoplasm of lip, oral cavity and pharynx 1 0 0 0 0 0 0 1 0 0 0 0 Malignant neoplasm of esophagus 4 0 0 0 0 0 0 1 1 0 1 1 17 0 0 0 0 0 3 0 5 3 4 2 Malignant neoplasm of colon, rectum and anus 20 0 0 0 0 0 2 2 2 3 8 3 Malignant neoplasm of liver and intrahepatic bile ducts 14 0 0 0 0 0 1 1 4 5 2 1 Malignant neoplasm of pancreas 12 0 0 0 0 0 0 2 1 3 5 1 0 0 0 0 0 0 0 0 0 0 0 0 22 0 0 0 0 0 0 1 7 7 5 2 Malignant neoplasm of stomach Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung Malignant melanoma of skin 1 0 0 0 0 0 0 0 0 0 1 0 16 0 0 0 0 0 0 2 7 4 2 1 Malignant neoplasm of cervix uteri 6 0 0 0 0 0 2 2 0 1 1 0 Malignant neoplasm of corpus uteri and uterus, part unspecified 2 0 0 0 0 0 0 0 1 1 0 0 Malignant neoplasm of ovary 7 0 0 0 0 0 0 1 2 3 1 0 10 0 0 0 0 0 0 2 0 1 4 3 Malignant neoplasm of breast Malignant neoplasm of prostate Health Status Profile of American Indians in Arizona, 2008 Data Book 87 Malignant neoplasm of kidney and renal pelvis 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 14 0 1 0 1 0 1 3 3 2 3 0 Malignant neoplasm of bladder 2 0 0 0 0 0 0 2 0 0 0 0 Malignant neoplasm of meninges, brain and other parts of CNS 4 0 0 0 0 1 2 1 0 0 0 0 31 0 1 0 2 1 1 4 11 4 5 2 Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin's disease 1 0 0 0 0 0 0 0 1 0 0 0 Non-Hodgkin's lymphoma 11 0 0 0 0 0 0 2 4 1 3 1 Leukemia 10 0 1 0 2 1 1 0 2 1 1 1 Multiple myeloma and immunoproliferative neoplasms 9 0 0 0 0 0 0 2 4 2 1 0 Other and unspecified malignant neoplasms of lymphoid tissue 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 1 2 5 5 9 6 7 In situ neoplasms 4 0 0 0 0 0 0 0 2 1 1 0 Anemias 2 0 0 0 0 0 0 0 0 0 0 2 Diabetes 98 0 0 0 1 0 3 13 24 19 25 13 4 0 0 0 0 0 0 0 0 0 1 3 4 0 0 0 0 0 0 0 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 3 1 0 0 0 0 1 0 0 0 1 0 15 0 0 0 0 0 0 0 0 1 11 3 All other and unspecified malignant neoplasm Nutritional deficiencies Malnutrition Other nutritional deficiencies Meningitis Parkinson's disease Alzheimer's disease Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease Hypertensive heart and renal disease 14 0 0 0 0 0 0 0 0 4 2 8 289 0 0 0 1 4 11 35 57 62 62 57 225 0 0 0 1 3 7 29 49 55 38 43 3 0 0 0 0 0 1 0 1 0 1 0 16 0 0 0 0 1 0 3 5 3 2 2 4 0 0 0 0 0 0 1 2 0 1 0 144 0 0 0 0 0 3 16 28 38 28 31 45 0 0 0 0 0 1 8 8 18 3 7 2 0 0 0 0 0 0 1 0 0 0 1 97 0 0 0 0 0 2 7 20 20 25 23 Atherosclerotic cardiovascular disease 38 0 0 0 0 0 0 4 8 8 9 9 All other forms of chronic ischemic heart disease 59 0 0 0 0 0 2 3 12 12 16 14 Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Other heart diseases 88 <1 Cause of death (Tenth Revision, International Statistical Classification of Diseases) TOTAL 5.5 (continued) DEATHS BY AGE GROUP FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS, ARIZONA, 2008 58 0 0 0 1 2 3 9 13 14 6 10 Acute and subacute endocarditis 2 0 0 0 0 0 0 0 1 1 0 0 Diseases of pericardium and acute myocarditis 1 0 0 0 0 0 1 0 0 0 0 0 Heart failure 15 0 0 0 0 0 0 0 2 2 5 6 All other forms of heart disease 40 0 0 0 1 2 2 9 10 11 1 4 Health Status Profile of American Indians in Arizona, 2008 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, 2008 Essential (primary) hypertension and hypertensive renal disease 12 0 0 0 0 0 1 0 3 1 5 2 Cerebrovascular diseases 42 0 0 0 0 1 2 6 3 5 16 9 Atherosclerosis 3 0 0 0 0 0 0 0 1 0 1 1 Other diseases of circulatory system 7 0 0 0 0 0 1 0 1 1 2 2 Aortic aneurysm and dissection 2 0 0 0 0 0 1 0 0 0 0 1 Other disease of arteries, arterioles and capillaries 5 0 0 0 0 0 0 0 1 1 2 1 1 0 0 0 0 0 0 0 0 0 0 1 73 1 1 0 1 6 5 11 6 11 14 17 Other disorders of circulatory system Influenza and pneumonia Influenza 2 0 0 0 0 0 0 1 0 0 0 1 71 1 1 0 1 6 5 10 6 11 14 16 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 Pneumonia Unspecified acute lower respiratory infection 0 0 0 0 0 0 0 0 0 0 0 0 30 0 0 0 0 0 0 3 5 11 6 5 Bronchitis, chronic and unspecified 0 0 0 0 0 0 0 0 0 0 0 0 Emphysema 4 0 0 0 0 0 0 1 0 3 0 0 Asthma 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 0 0 0 0 2 5 8 6 5 Chronic lower respiratory diseases Other chronic lower respiratory diseases Pneumoconioses and chemical effects 2 0 0 0 0 0 0 0 0 0 1 1 Pneumonitis due to solids and liquids 16 0 0 0 0 0 1 0 0 3 8 4 Other disease of respiratory system 25 1 0 0 0 0 3 5 1 4 5 6 Peptic ulcer 3 0 0 0 0 0 0 0 1 0 2 0 Diseases of appendix 0 0 0 0 0 0 0 0 0 0 0 0 Hernia 2 0 0 0 0 0 0 0 0 0 0 2 106 0 0 0 0 4 33 33 25 7 4 0 Alcoholic liver disease 86 0 0 0 0 3 29 27 22 3 2 0 Other chronic liver disease and cirrhosis 20 0 0 0 0 1 4 6 3 4 2 0 3 0 0 0 0 0 0 0 0 0 1 2 47 0 0 0 0 2 1 8 9 11 13 3 Acute and rapidly progressive nephritic and nephrotic syndrome 0 0 0 0 0 0 0 0 0 0 0 0 Chronic glomerulonephritis 1 0 0 0 0 0 0 0 0 0 1 0 46 0 0 0 0 2 1 8 9 11 12 3 Chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder Nephritis, nephrotic syndrome and nephrosis Renal failure 0 0 0 0 0 0 0 0 0 0 0 0 Infections of kidney Others disorders of kidney 1 0 0 0 0 0 0 0 0 1 0 0 Hyperplasia of prostate 0 0 0 0 0 0 0 0 0 0 0 0 Health Status Profile of American Indians in Arizona, 2008 Data Book 89 85+ 75-84 65-74 55-64 45-54 35-44 25-34 15-24 5-14 1-4 Inflammatory diseases of female pelvic organs 0 0 0 0 0 0 0 0 0 0 0 0 Pregnancy, childbirth and the puerperium 2 0 0 0 1 1 0 0 0 0 0 0 Pregnancy with abortive outcome 0 0 0 0 0 0 0 0 0 0 0 0 Other complications of pregnancy, childbirth and the puerperium 2 0 0 0 1 1 0 0 0 0 0 0 22 22 0 0 0 0 0 0 0 0 0 0 Congenital anomalies, deformations and chromosomal abnormalities 14 10 1 1 2 0 0 0 0 0 0 0 Symptoms, signs, abnormal findings 63 8 3 1 8 7 11 11 5 1 2 6 243 1 5 3 38 40 41 52 19 26 11 7 137 1 2 3 34 27 22 23 11 11 2 1 129 1 2 3 34 25 19 20 11 11 2 1 Other land transport accidents 7 0 0 0 0 2 3 2 0 0 0 0 Water, air, space 1 0 0 0 0 0 0 1 0 0 0 0 106 0 3 0 4 13 19 29 8 15 9 6 Perinatal conditions Total accidents Transport accidents Motor vehicle accidents Nontransport accidents Falls 26 0 0 0 1 0 2 7 1 3 8 4 Accidental discharge of firearms 0 0 0 0 0 0 0 0 0 0 0 0 Accidental drowning and submersion 7 0 3 0 1 1 0 0 2 0 0 0 Accidental exposure to smoke, fire and flames 2 0 0 0 1 0 0 1 0 0 0 0 34 0 0 0 2 4 7 14 3 3 0 1 Accidental poisoning Other and unspecified nontransport accidents Intentional self-harm (suicide) By discharge of firearms By other means 38 0 0 0 0 8 10 7 2 9 1 1 53 0 0 2 30 7 8 6 0 0 0 0 13 0 0 0 7 2 1 3 0 0 0 0 40 0 0 2 23 5 7 3 0 0 0 0 44 0 1 0 13 15 6 7 0 2 0 0 By discharge of firearms 15 0 0 0 5 6 3 0 0 1 0 0 By other means 29 0 1 0 8 9 3 7 0 1 0 0 Legal intervention 0 0 0 0 0 0 0 0 0 0 0 0 Events of undetermined intent 8 0 0 1 2 0 4 1 0 0 0 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 1 2 0 4 1 0 0 0 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 2 1 0 1 0 1 0 Assault (homicide) INJURY BY FIREARMS 28 0 0 0 12 8 4 3 0 1 0 DRUG-INDUCED DEATHS 22 0 0 0 3 4 4 9 2 0 0 0 141 0 0 0 1 9 46 40 34 7 3 1 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, 2008 Health Status Profile of American Indians in Arizona, 2008 Data Book Total deaths, all causes 90 Total 8 1 77 4 91 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 Certain other intestinal infections 6 0 0 0 0 0 1 0 0 0 2 0 0 0 0 1 0 4 1 0 1 0 2 Tuberculosis 4 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 1 3 Respiratory tuberculosis 3 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 1 2 Other tuberculosis 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 Whooping cough 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 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 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 45 0 0 1 0 0 1 0 3 0 18 1 1 1 1 2 0 29 6 3 1 6 16 Syphilis 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 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 Measles 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Viral hepatitis 5 0 0 0 0 0 1 0 0 0 0 2 0 0 0 0 0 3 1 0 0 1 2 Human immunodeficiency virus (HIV) disease 6 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 2 4 0 0 0 4 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 0 0 0 0 0 1 0 0 0 7 0 0 3 1 1 0 13 1 1 0 2 4 218 0 0 2 1 0 11 0 16 1 73 5 2 11 8 7 1 138 31 16 6 27 80 Malignant neoplasm of lip, oral cavity and pharynx 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 Malignant neoplasm of esophagus 4 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 2 1 1 0 0 2 Malignant neoplasm of stomach 17 0 0 0 0 0 1 0 0 0 10 1 0 0 1 0 1 14 0 1 0 2 3 Malignant neoplasm of colon, rectum and anus 20 0 0 0 0 0 1 0 0 0 9 0 0 0 0 0 0 10 2 3 2 3 10 Malignant neoplasm of liver and intrahepatic bile ducts 14 0 0 0 0 0 1 0 1 0 2 0 0 1 2 1 0 8 2 1 1 2 6 Malignant neoplasm of pancreas 12 0 0 0 0 0 0 0 1 0 7 0 0 0 0 0 0 8 4 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Malignant neoplasm of trachea, bronchus and lung 3 ## 222 ---in Coconino County ---elsewhere in Arizona 18 0 Malignant neoplasm of larynx 78 ---in Pima County 4 0 Malignant neoplasms 43 101 102 Total 6 0 Other and unspecified infectious and parasitic diseases 32 ---in Maricopa County 1,722 Salmonella infections Septicemia 12 583 Pascua Yaqui Tribe Salt River PimaMaricopa San Carlos Apache Tribe Tohono O'Odham Tribe White Mountain Apache Tribe Yavapai-Apache Nation Navajo Nation Hualapai Nation Hopi Tribe Havasupai Tribe Cocopah Tribe (Tenth Revision, International Classification of Diseases) Resided off reservation Resided on reservation Colorado River Indian Tribes Fort McDowell Yavapai Nation Fort Mojave Indian Tribe Gila River Indian Community Cause of death ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Ak-Chin Indian Community 5.6 DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2008 42 205 559 22 0 0 1 0 0 0 0 1 0 4 2 0 2 1 0 0 11 3 2 1 5 11 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 16 0 0 0 0 0 0 0 0 0 9 1 0 1 0 0 0 11 3 0 0 2 5 Malignant neoplasm of cervix uteri 6 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 3 1 0 0 2 3 Malignant neoplasm of corpus uteri and uterus, part 2 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 Malignant neoplasm of ovary 7 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 4 1 1 0 1 3 Malignant neoplasm of prostate 10 0 0 0 1 0 0 0 0 0 6 0 0 1 1 1 0 10 0 0 0 0 0 Malignant neoplasm of kidney and renal pelvis 14 0 0 0 0 0 4 0 3 0 0 0 0 0 0 0 0 7 3 2 0 2 7 Malignant melanoma of skin Malignant neoplasm of breast Health Status Profile of American Indians in Arizona: 2008 Data Book 91 Malignant neoplasm of bladder Malignant neoplasm of meninges, brain and other parts of CNS Malignant neoplasm of lymphoid, hematopoietic and related tissue Hodgkin's disease Total ---in Coconino County ---elsewhere in Arizona Total ---in Maricopa County Pascua Yaqui Tribe Salt River PimaMaricopa San Carlos Apache Tribe Tohono O'Odham Tribe White Mountain Apache Tribe Yavapai-Apache Nation Navajo Nation Hualapai Nation Hopi Tribe Havasupai Tribe Cocopah Tribe ---in Pima County Resided off reservation Resided on reservation Colorado River Indian Tribes Fort McDowell Yavapai Nation Fort Mojave Indian Tribe Gila River Indian Community ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Ak-Chin Indian Community 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2008 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 2 4 0 0 0 0 0 0 0 1 0 1 0 0 0 0 1 0 3 0 0 0 1 1 31 0 0 1 0 0 3 0 4 1 9 1 0 3 0 0 0 22 5 1 1 2 9 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 Non-Hodgkin's lymphoma 11 0 0 0 0 0 2 0 2 0 4 0 0 1 0 0 0 9 2 0 0 0 2 Leukemia 10 0 0 1 0 0 0 0 2 0 1 1 0 2 0 0 0 7 2 1 0 0 3 9 0 0 0 0 0 1 0 0 1 4 0 0 0 0 0 0 6 0 0 1 2 3 Multiple myeloma and immunoproliferative neoplasms Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasm 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 0 0 0 0 0 0 0 5 0 13 0 0 1 1 4 0 24 4 2 1 4 11 In situ neoplasms 4 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 2 0 0 0 2 Anemias 2 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 Diabetes 98 1 1 0 1 0 9 0 4 0 28 2 6 11 8 0 0 71 11 5 1 10 27 4 0 0 0 0 0 0 0 0 0 3 0 0 0 1 0 0 4 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 3 0 0 0 1 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 0 2 0 0 1 0 0 0 3 0 0 0 0 0 15 0 0 1 0 0 0 0 0 0 8 0 0 2 0 0 0 11 1 1 0 2 4 0 Nutritional deficiencies Malnutrition Other nutritional deficiencies Meningitis Parkinson's disease Alzheimer's disease 14 0 0 0 0 0 1 0 0 0 5 0 0 1 1 0 Major cardiovascular diseases 289 2 2 3 1 1 12 0 15 2 97 3 4 13 18 19 Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease 225 0 1 2 1 1 11 0 12 2 82 2 3 9 9 14 3 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 3 16 0 0 0 0 0 1 0 0 0 5 0 0 0 1 1 0 8 Hypertensive heart and renal disease 2 2 0 2 6 42 12 4 39 97 0 149 32 10 2 32 76 0 0 0 0 0 1 1 0 6 8 4 0 0 0 0 0 0 0 0 0 2 0 0 1 0 0 0 3 0 0 0 1 1 144 0 1 2 1 1 7 0 7 1 50 1 2 4 4 11 0 92 23 7 2 20 52 45 0 0 1 1 0 2 0 4 0 19 0 0 0 2 3 0 32 5 1 1 6 13 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 97 0 0 1 0 1 5 0 3 1 31 1 2 4 2 8 0 59 18 6 1 13 38 Atherosclerotic cardiovascular disease 38 0 0 0 0 1 2 0 1 1 15 0 1 2 0 2 0 25 4 3 1 5 13 All other forms of chronic ischemic heart disease 59 0 0 1 0 0 3 0 2 0 16 1 1 2 2 6 0 34 14 3 0 8 25 58 0 0 0 0 0 3 0 5 1 22 1 1 4 4 2 0 43 8 2 0 5 15 Acute and subacute endocarditis 2 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 1 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 1 0 0 1 Heart failure 15 0 0 0 0 0 0 0 1 0 7 1 0 0 1 1 0 11 2 0 0 2 4 All other forms of heart disease 40 0 0 0 0 0 3 0 4 1 15 0 1 3 3 1 0 31 6 1 0 2 9 Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Other heart diseases 92 8 0 192 Health Status Profile of American Indians in Arizona: 2008 Data Book Essential (primary) hypertension and hypertensive renal disease Cerebrovascular diseases Total ---in Coconino County ---elsewhere in Arizona Total ---in Maricopa County Pascua Yaqui Tribe Salt River PimaMaricopa San Carlos Apache Tribe Tohono O'Odham Tribe White Mountain Apache Tribe Yavapai-Apache Nation Navajo Nation Hualapai Nation Hopi Tribe Havasupai Tribe Cocopah Tribe ---in Pima County Resided off reservation Resided on reservation Colorado River Indian Tribes Fort McDowell Yavapai Nation Fort Mojave Indian Tribe Gila River Indian Community ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Ak-Chin Indian Community 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2008 12 1 0 1 0 0 0 0 0 0 2 0 0 1 4 0 0 9 0 1 0 2 3 42 0 1 0 0 0 1 0 3 0 9 1 1 2 4 5 0 27 9 0 2 4 15 Atherosclerosis 3 0 0 0 0 0 0 0 0 0 2 0 0 1 0 0 0 3 0 0 0 0 0 Other diseases of circulatory system 7 1 0 0 0 0 0 0 0 0 2 0 0 0 1 0 0 4 1 1 0 1 3 Aortic aneurysm and dissection 2 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 0 0 0 Other disease of arteries, arterioles and capillaries 5 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 2 1 1 0 1 3 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 73 0 0 0 1 0 4 0 5 0 24 0 1 6 1 7 1 50 10 1 2 10 23 Other disorders of circulatory system Influenza and pneumonia Influenza 2 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 0 0 0 71 0 0 0 1 0 4 0 5 0 22 0 1 6 1 7 1 48 10 1 2 10 23 Other acute lower respiratory infections 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 Acute bronchiolitis 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 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 30 0 0 1 0 0 1 0 1 0 7 0 1 2 2 1 0 16 5 1 0 8 14 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 Emphysema 4 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 2 0 0 0 2 2 Asthma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 0 0 1 0 0 1 0 1 0 7 0 1 1 1 1 0 14 5 1 0 6 12 Pneumonia Chronic lower respiratory diseases Other chronic lower respiratory diseases Pneumoconioses and chemical effects 2 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 0 0 0 Pneumonitis due to solids and liquids 16 0 0 0 0 0 0 0 2 0 9 0 0 0 1 1 0 13 2 0 0 1 3 Other disease of respiratory system 25 0 0 0 0 0 2 0 1 0 15 0 0 0 2 0 0 20 2 1 2 0 5 Peptic ulcer 3 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 2 0 0 0 1 1 Diseases of appendix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Hernia 2 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 2 0 0 0 0 0 106 0 0 0 1 0 4 1 2 1 17 5 5 12 8 3 1 60 19 10 4 13 46 Alcoholic liver disease 86 0 0 0 1 0 4 1 2 1 14 4 5 9 6 2 1 50 16 7 2 11 36 Other chronic liver disease and cirrhosis 20 0 0 0 0 0 0 0 0 0 3 1 0 3 2 1 0 10 3 3 2 2 10 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 Infections of kidney 3 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 2 0 0 0 1 1 47 0 0 2 0 0 4 0 3 0 8 1 0 6 6 1 0 31 4 2 1 9 16 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 46 0 0 2 0 0 4 0 3 0 8 1 0 6 6 1 0 31 3 2 1 9 15 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 Health Status Profile of American Indians in Arizona: 2008 Data Book 93 Total ---in Coconino County ---elsewhere in Arizona Total ---in Maricopa County Pascua Yaqui Tribe Salt River PimaMaricopa San Carlos Apache Tribe Tohono O'Odham Tribe White Mountain Apache Tribe Yavapai-Apache Nation Navajo Nation Hualapai Nation Hopi Tribe Havasupai Tribe Cocopah Tribe ---in Pima County Resided off reservation Resided on reservation Colorado River Indian Tribes Fort McDowell Yavapai Nation Fort Mojave Indian Tribe Gila River Indian Community ALL AMERICAN INDIAN RESIDENTS OF ARIZONA Ak-Chin Indian Community 5.6 (continued) DEATHS BY RESIDENCE FOR SELECTED 113 CAUSES AMONG AMERICAN INDIANS IN 2008 Hyperplasia of prostate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 Pregnancy, childbirth and the puerperium 2 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 2 0 0 0 0 0 Pregnancy with abortive outcome Other complications of pregnancy, childbirth and the puerperium Perinatal conditions 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 2 0 0 0 0 0 22 0 0 0 0 0 2 0 0 0 5 1 1 1 2 2 0 14 5 0 2 1 8 14 0 0 0 0 0 1 0 0 1 6 0 0 1 0 2 0 11 2 0 0 1 3 0 0 32 Congenital anomalies, deformations and chromosomal abnormalities Symptoms, signs, abnormal findings Total accidents Transport accidents Motor vehicle accidents 63 1 0 0 1 0 2 0 3 243 1 1 4 0 0 8 2 16 11 4 6 0 2 1 31 15 6 6 5 3 104 1 4 14 15 15 0 188 19 9 5 22 137 0 0 2 0 0 6 2 55 9 2 49 0 4 9 11 9 0 103 11 6 3 14 34 129 0 0 1 0 0 5 2 9 2 47 0 4 9 8 9 0 96 10 6 3 14 33 Other land transport accidents 7 0 0 1 0 0 0 0 0 0 2 0 0 0 3 0 0 6 1 0 0 0 1 Water, air, space 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 106 1 1 2 0 0 2 0 7 1 55 1 0 5 4 6 0 85 8 3 2 8 21 Nontransport accidents Falls 26 0 0 1 0 0 0 0 2 1 12 0 0 2 1 2 0 21 2 1 1 1 5 Accidental discharge of firearms 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Accidental drowning and submersion 7 1 1 0 0 0 0 0 0 0 4 0 0 1 0 0 0 7 0 0 0 0 0 Accidental exposure to smoke, fire and flames 2 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 2 0 0 0 0 0 34 0 0 1 0 0 0 0 3 0 14 1 0 0 1 2 0 22 4 2 1 5 12 Accidental poisoning Other and unspecified nontransport accidents 38 0 0 0 0 0 1 0 2 0 25 0 0 2 2 2 0 34 2 0 0 2 4 53 0 0 0 0 0 2 1 2 1 20 0 2 2 6 3 0 39 6 2 0 6 14 By discharge of firearms 13 0 0 0 0 0 1 0 1 0 4 0 1 0 0 0 0 7 3 2 0 1 6 By other means 40 0 0 0 0 0 1 1 1 1 16 0 1 2 6 3 0 32 3 0 0 5 8 44 1 0 1 0 0 2 0 3 1 11 0 0 1 3 1 0 24 10 5 1 4 20 By discharge of firearms 15 0 0 0 0 0 1 0 1 0 2 0 0 0 0 0 0 4 6 4 0 1 11 By other means 29 1 0 1 0 0 1 0 2 1 9 0 0 1 3 1 0 20 4 1 1 3 9 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 Events of undetermined intent 8 0 0 0 0 0 0 0 0 0 4 0 1 1 0 1 0 7 1 0 0 0 1 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 Other and unspecified events of undetermined intent 8 0 0 0 0 0 0 0 0 0 4 0 1 1 0 1 0 7 1 0 0 0 1 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 Complications of medical and surgical care 5 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 3 1 1 0 0 2 INJURY BY FIREARMS 28 0 0 0 0 0 2 0 2 0 6 0 1 0 0 0 0 11 9 6 0 2 17 DRUG-INDUCED DEATHS 22 0 0 1 0 0 0 0 0 0 3 1 2 0 2 1 0 10 4 2 1 5 12 141 0 0 0 1 0 4 1 6 1 43 4 7 13 8 5 1 94 21 8 3 15 47 Intentional self-harm (suicide) Assault (homicide) ALCOHOL-INDUCED DEATHS 94 Health Status Profile of American Indians in Arizona: 2008 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, 2008 1,722 362 9 189 89 23 1 310 38 304 195 100 0 26 18 27 31 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 1 0 0 0 1 0 2 0 1 0 0 0 0 0 Tuberculosis 4 0 0 0 0 0 0 1 0 0 2 1 0 0 0 0 0 Respiratory tuberculosis 3 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 Other tuberculosis 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Whooping cough 1 0 0 0 1 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 45 13 0 6 1 0 0 7 0 9 5 1 0 0 2 1 0 Syphilis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Acute poliomyelitis 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 5 0 0 0 0 0 0 1 0 0 2 1 0 0 0 0 1 0 Human immunodeficiency virus (HIV) disease 6 0 0 0 0 0 0 4 0 1 1 0 0 0 0 0 Malaria 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 17 4 0 2 1 2 0 1 0 2 1 2 0 0 0 1 1 Other and unspecified infectious and parasitic diseases Malignant neoplasms 218 46 2 22 9 2 0 36 7 42 28 14 0 6 1 3 0 Malignant neoplasm of lip, oral cavity and pharynx 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Malignant neoplasm of esophagus 4 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 Malignant neoplasm of stomach 17 3 0 1 0 0 0 0 0 7 3 1 0 2 0 0 0 Malignant neoplasm of colon, rectum and anus 20 10 0 3 0 0 0 2 1 0 3 1 0 0 0 0 0 Malignant neoplasm of liver and intrahepatic bile ducts 14 2 0 1 1 0 0 2 1 3 3 1 0 0 0 0 0 Malignant neoplasm of pancreas 12 4 0 1 0 0 0 4 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 22 1 0 2 2 0 0 3 2 4 5 0 0 2 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 16 7 1 2 1 0 0 3 0 1 1 0 0 0 0 0 0 Malignant neoplasm of cervix uteri 6 0 0 0 1 0 0 2 1 1 0 0 0 1 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 7 1 1 0 1 0 0 2 0 0 2 0 0 0 0 0 0 Malignant neoplasm of prostate 10 2 0 2 1 0 0 1 0 3 1 0 0 0 0 0 0 Malignant neoplasm of kidney and renal pelvis 14 0 0 0 0 0 0 5 0 3 2 3 0 0 0 1 0 2 0 0 0 0 0 0 1 0 0 1 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, 2008 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, 2008 4 0 0 1 0 0 0 0 1 2 0 0 0 0 0 0 0 31 5 0 5 2 1 0 5 1 4 2 5 0 0 0 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 Non-Hodgkin's lymphoma 11 2 0 1 1 0 0 2 0 3 0 2 0 0 0 0 0 Leukemia 10 0 0 2 1 1 0 2 0 1 2 0 0 0 0 1 0 Multiple myeloma and immunoproliferative neoplasms 9 3 0 2 0 0 0 0 1 0 0 3 0 0 0 0 0 Other and unspecified malignant neoplasms of lymphoid tissue 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 35 10 0 4 0 1 0 4 0 11 3 1 0 1 0 0 0 4 1 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 All other and unspecified malignant neoplasm In situ neoplasms Anemias 2 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 Diabetes 98 17 1 10 9 2 1 25 1 9 10 8 0 0 2 0 3 4 3 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 4 3 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 2 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 15 7 0 2 1 1 0 1 0 1 1 0 0 0 0 1 0 Nutritional deficiencies Malnutrition Other nutritional deficiencies Meningitis Parkinson's disease Alzheimer's disease Major cardiovascular diseases Diseases of heart Acute rheumatic fever and chronic rheumatic heart disease Hypertensive heart disease Hypertensive heart and renal disease Ischemic heart disease Acute myocardial infarction Other acute ischemic heart disease Other forms of chronic ischemic heart disease Atherosclerotic cardiovascular disease All other forms of chronic ischemic heart disease Other heart diseases Acute and subacute endocarditis Diseases of pericardium and acute myocarditis 14 4 0 0 0 1 0 3 0 2 2 0 0 0 1 0 1 289 56 4 25 11 3 0 54 11 62 29 17 0 5 4 4 4 225 49 2 19 8 2 0 41 11 50 20 14 0 4 1 3 1 3 2 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 16 2 1 2 0 0 0 1 1 3 2 3 0 0 0 1 0 4 1 0 0 1 0 0 0 0 2 0 0 0 0 0 0 0 144 27 1 14 5 0 0 29 9 32 12 8 0 3 1 2 1 45 9 0 9 0 0 0 7 2 11 3 1 0 1 0 1 1 0 2 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 97 17 1 5 5 0 0 22 7 21 9 7 0 2 0 1 0 38 10 1 2 2 0 0 6 3 8 3 3 0 0 0 0 0 0 59 7 0 3 3 0 0 16 4 13 6 4 0 2 0 1 58 17 0 3 2 2 0 11 1 12 6 3 0 1 0 0 0 2 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Heart failure 15 7 0 0 0 0 0 2 0 3 2 0 0 1 0 0 0 All other forms of heart disease 40 10 0 3 2 1 0 9 1 9 3 2 0 0 0 0 0 Essential (primary) hypertension and hypertensive renal disease 12 0 1 2 0 1 0 0 0 0 3 1 0 0 1 1 2 Cerebrovascular diseases 42 5 1 4 2 0 0 12 0 9 4 1 0 1 2 0 1 96 Health Status Profile of American Indians in Arizona, 2008 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, 2008 Atherosclerosis 3 1 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 Other diseases of circulatory system 7 1 0 0 0 0 0 1 0 2 2 1 0 0 0 0 0 Aortic aneurysm and dissection 2 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 Other disease of arteries, arterioles and capillaries 5 1 0 0 0 0 0 1 0 0 2 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 73 15 1 11 5 1 0 12 1 14 2 5 0 3 2 0 1 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71 13 1 11 5 1 0 12 1 14 2 5 0 3 2 0 1 Other disorders of circulatory system Influenza and pneumonia Influenza Pneumonia Other acute lower respiratory infections 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 Acute bronchiolitis 1 0 0 0 0 0 0 1 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 30 4 0 2 3 0 0 6 4 4 3 2 0 0 1 1 0 Bronchitis, chronic and unspecified 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Emphysema 4 0 0 0 1 0 0 0 2 0 1 0 0 0 0 0 0 Asthma 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 26 4 0 2 2 0 0 6 2 4 2 2 0 0 1 1 0 Chronic lower respiratory diseases Other chronic lower respiratory diseases Pneumoconioses and chemical effects 2 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pneumonitis due to solids and liquids 16 3 0 3 0 0 0 2 1 6 1 0 0 0 0 0 0 Other disease of respiratory system 25 6 0 6 0 0 0 3 0 6 1 1 0 0 0 0 2 Peptic ulcer 3 0 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 Diseases of appendix 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Hernia 2 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 106 10 0 9 10 2 0 28 2 12 21 6 0 3 1 1 1 Alcoholic liver disease 86 8 0 6 7 2 0 25 1 11 15 6 0 2 1 1 1 Other chronic liver disease and cirrhosis 20 2 0 3 3 0 0 3 1 1 6 0 0 1 0 0 0 Chronic liver disease and cirrhosis Cholelithiasis and other disorders of gallbladder 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 47 6 0 5 7 0 0 6 0 7 7 7 0 0 0 2 0 Acute and rapidly progressive nephritic and nephrotic syndrome 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Chronic glomerulonephritis 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 46 6 0 5 7 0 0 5 0 7 7 7 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Infections of kidney 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 Hyperplasia of prostate 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Inflammatory diseases of female pelvic organs 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Pregnancy, childbirth and the puerperium 2 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Nephritis, nephrotic syndrome and nephrosis Renal failure Others disorders of kidney Pregnancy with abortive outcome Health Status Profile of American Indians in Arizona, 2008 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, 2008 2 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 22 4 0 2 1 0 0 8 0 3 2 1 0 0 0 0 1 14 5 0 1 1 0 0 2 1 2 0 1 0 0 1 0 0 63 5 0 11 0 0 0 23 0 7 11 5 0 0 0 1 0 243 63 0 34 15 3 0 29 4 52 20 10 0 1 1 5 6 137 30 0 19 9 2 0 17 2 25 14 9 0 1 0 3 6 129 29 0 18 9 2 0 16 2 25 11 8 0 1 0 2 6 7 1 0 1 0 0 0 1 0 0 3 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 106 33 0 15 6 1 0 12 2 27 6 1 0 0 1 2 0 26 6 0 5 2 0 0 3 1 7 1 0 0 0 0 1 0 Accidental discharge of firearms 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Accidental drowning and submersion 7 1 0 0 1 0 0 0 0 3 0 1 0 0 1 0 0 Accidental exposure to smoke, fire and flames 2 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 Accidental poisoning 34 10 0 7 2 0 0 5 1 5 3 0 0 0 0 1 0 Other and unspecified nontransport accidents 38 16 0 3 1 1 0 3 0 12 2 0 0 0 0 0 0 53 18 1 3 1 1 0 8 2 7 8 2 0 2 0 0 0 Intentional self-harm (suicide) By discharge of firearms 13 3 0 1 0 0 0 4 1 1 2 1 0 0 0 0 0 By other means 40 15 1 2 1 1 0 4 1 6 6 1 0 2 0 0 0 44 8 0 4 0 1 0 10 1 5 8 4 0 1 0 2 0 By discharge of firearms 15 2 0 1 0 0 0 6 0 1 4 1 0 0 0 0 0 Assault (homicide) By other means 29 6 0 3 0 1 0 4 1 4 4 3 0 1 0 2 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 1 0 1 0 2 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 1 0 1 0 2 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 0 0 0 0 0 0 2 0 1 2 0 0 0 0 0 0 INJURY BY FIREARMS 28 5 0 2 0 0 0 10 1 2 6 2 0 0 0 0 0 DRUG-INDUCED DEATHS 22 3 0 2 2 0 0 7 1 1 4 0 0 1 0 1 0 141 26 0 19 9 4 0 32 1 21 18 6 0 2 1 1 1 ALCOHOL-INDUCED DEATHS 98 Health Status Profile of American Indians in Arizona, 2008 Data Book 5.8 DEATHS FROM MOTOR VEHICLE-RELATED INJURIES AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2008 TOTAL ALL AGES <1 M F 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ ALL AGES 1-4 5-14 15-24 25-34 35-44 45-54 55-64 65-74 ALL AGES <1 5-14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ 129 1 2 3 34 25 19 20 11 11 2 1 84 2 2 21 18 13 13 9 6 45 1 1 13 7 6 7 2 5 2 1 1 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 0 1 1 1 1 0 1 0 0 0 4 0 1 0 1 1 0 1 0 1 0 0 1 0 0 0 0 0 0 0 2 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 1 0 0 0 0 0 9 0 0 0 1 2 1 2 1 2 0 0 8 0 0 1 2 1 2 1 1 1 0 0 0 0 0 0 0 1 0 0 Health Status Profile of American Indians in Arizona, 2008 Data Book 2 0 0 0 0 1 0 1 0 0 0 0 2 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 47 1 1 1 8 10 7 8 2 6 2 1 28 1 1 5 6 6 5 2 2 19 1 0 3 4 1 3 0 4 2 1 4 0 0 0 2 0 0 1 1 0 0 0 3 0 0 2 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 0 9 0 0 0 3 1 1 2 1 1 0 0 7 0 0 3 1 0 1 1 1 2 0 0 0 0 1 1 0 0 0 0 8 0 0 0 2 0 4 1 1 0 0 0 4 0 0 1 0 2 1 0 0 4 0 0 1 0 2 0 1 0 0 0 9 0 0 0 4 1 2 1 1 0 0 0 3 0 0 1 1 1 0 0 0 6 0 0 3 0 1 1 1 0 0 0 96 1 1 3 21 16 18 16 8 9 2 1 60 1 2 13 12 12 10 6 4 36 1 1 8 4 6 6 2 5 2 1 10 0 0 0 3 3 1 1 0 2 0 0 9 0 0 2 3 1 1 0 2 1 0 0 1 0 0 0 0 0 0 0 6 0 1 0 2 2 0 0 1 0 0 0 4 1 0 1 1 0 0 1 0 2 0 0 1 1 0 0 0 0 0 0 3 0 0 0 3 0 0 0 0 0 0 0 2 0 0 2 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 14 0 0 0 5 4 0 3 2 0 0 0 9 0 0 3 2 0 2 2 0 5 0 0 2 2 0 1 0 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 Resided off reservation San Carlos Apache Tribe Salt River PimaMaricopa Community Navajo Nation Hualapai Nation Hopi Tribe Havasupai Tribe Gila River Indian Community Colorado River Indian Tribe TOTAL Resided on reservation 33 0 1 0 13 9 1 4 3 2 0 0 24 1 0 8 6 1 3 3 2 9 0 0 5 3 0 1 0 0 0 0 99 5.9 INTENTIONAL SELF-HARM (SUICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2008 TOTAL ALL AGES 100 TOTAL ---elsewhere in Arizona ---in Pima County ---in Maricopa County TOTAL White Mountain Apache Tribe Tohono O'Odham Tribe San Carlos Apache Tribe Salt River PimaMaricopa Community Navajo Nation Hualapai Nation Hopi Tribe 2 1 2 1 20 2 2 6 3 39 6 2 6 14 2 0 0 0 0 1 0 0 0 0 1 0 0 1 1 15-24 30 1 0 2 0 11 1 2 3 2 22 6 0 2 8 25-34 7 0 1 0 0 3 0 0 2 0 6 0 1 0 1 35-44 8 1 0 0 1 2 0 0 1 0 5 0 1 2 3 45-54 6 0 0 0 0 3 1 0 0 1 5 0 0 1 1 41 2 1 1 1 16 1 2 3 2 29 5 2 5 12 1 0 0 0 0 1 0 0 0 0 1 0 0 0 0 15-24 23 1 0 1 0 8 1 2 1 2 16 5 0 2 7 25-34 6 0 1 0 0 3 0 0 1 0 5 0 1 0 1 35-44 8 1 0 0 1 2 0 0 1 0 5 0 1 2 3 45-54 3 0 0 0 0 2 0 0 0 0 2 0 0 1 1 12 0 0 1 0 4 1 0 3 1 10 1 0 1 2 5-14 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 15-24 7 0 0 1 0 3 0 0 2 0 6 1 0 0 1 25-34 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 45-54 3 0 0 0 0 1 1 0 0 1 3 0 0 0 0 ALL AGES 5-14 F Resided off reservation 53 5-14 M Havasupai Tribe TOTAL Gila River Indian Community Resided on reservation ALL AGES Health Status Profile of American Indians in Arizona, 2008 Data Book 5.10 ASSAULT (HOMICIDE) AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2008 TOTAL ALL AGES F 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 Navajo Nation Hualapai Nation Hopi Tribe Gila River Indian Community Resided off reservation 44 1 1 2 3 1 11 1 3 1 24 10 5 1 4 20 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 15-24 13 0 0 1 0 0 4 0 2 1 8 2 3 0 0 5 25-34 15 0 0 0 2 0 4 1 0 0 7 4 1 0 3 8 35-44 6 0 1 1 0 0 1 0 0 0 3 1 1 0 1 3 45-54 7 1 0 0 1 1 2 0 1 0 6 1 0 0 0 1 65-74 2 0 0 0 0 0 0 0 0 0 0 1 0 1 0 2 ALL AGES 36 1 1 2 3 1 10 1 2 0 21 7 5 1 2 15 15-24 11 0 0 1 0 0 4 0 2 0 7 1 3 0 0 4 25-34 14 0 0 0 2 0 4 1 0 0 7 4 1 0 2 7 35-44 4 0 1 1 0 0 0 0 0 0 2 1 1 0 0 2 45-54 6 1 0 0 1 1 2 0 0 0 5 1 0 0 0 1 65-74 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 ALL AGES 8 0 0 0 0 0 1 0 1 1 3 3 0 0 2 5 1-4 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 15-24 2 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 25-34 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 35-44 2 0 0 0 0 0 1 0 0 0 1 0 0 0 1 1 45-54 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 65-74 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1-4 M Colorado River Indian Tribe TOTAL Ak-Chin Indian Community Resided on reservation Health Status Profile of American Indians in Arizona, 2008 Data Book 101 5.11 DIABETES-RELATED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2008 TOTAL ALL AGES 15-24 M TOTAL ---elsewhere in Arizona ---in Coconino County ---in Pima County ---in Maricopa County TOTAL White Mountain Apache Tribe Tohono O'Odham Tribe San Carlos Apache Tribe Salt River PimaMaricopa Community Pascua Yaqui Tribe Navajo Nation Hualapai Nation Hopi Tribe Gila River Indian Community Fort Mojavel Indian Tribe Fort McDowell Yavapai Nation Resided off reservation 216 2 2 2 1 17 9 1 67 5 9 19 13 6 153 27 9 1 26 63 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 25-34 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 35-44 11 1 0 1 0 0 0 0 2 0 1 1 1 2 9 1 1 0 0 2 45-54 32 0 0 1 1 7 0 0 4 1 0 3 3 0 20 5 1 0 6 12 55-64 49 1 1 0 0 2 1 1 15 2 5 4 0 1 33 5 4 1 6 16 65-74 47 0 0 0 0 4 1 0 14 1 2 6 6 2 36 7 0 0 4 11 75-84 51 0 1 0 0 3 7 0 21 1 0 3 3 1 40 4 1 0 6 11 85+ 24 0 0 0 0 1 0 0 10 0 1 2 0 0 14 4 2 0 4 10 ALL AGES 15-24 94 0 1 1 1 9 2 1 27 2 5 8 5 2 64 12 4 1 13 30 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 35-44 7 0 0 1 0 0 0 0 0 0 1 1 1 1 5 1 1 0 0 2 45-54 18 0 0 0 1 3 0 0 3 1 0 0 2 0 10 2 1 0 5 8 55-64 23 0 1 0 0 2 0 1 8 0 3 2 0 1 18 1 1 1 2 5 65-74 20 0 0 0 0 2 0 0 5 0 1 4 1 0 13 5 0 0 2 7 75-84 18 0 0 0 0 2 2 0 7 1 0 0 1 0 13 2 1 0 2 5 7 0 0 0 0 0 0 0 3 0 0 1 0 0 4 1 0 0 2 3 85+ F Cocopah Tribe TOTAL Ak-Chin Indian Community Resided on reservation ALL AGES 122 2 1 1 0 8 7 0 40 3 4 11 8 4 89 15 5 0 13 33 25-34 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 35-44 4 1 0 0 0 0 0 0 2 0 0 0 0 1 4 0 0 0 0 0 45-54 14 0 0 1 0 4 0 0 1 0 0 3 1 0 10 3 0 0 1 4 55-64 26 1 0 0 0 0 1 0 7 2 2 2 0 0 15 4 3 0 4 11 65-74 27 0 0 0 0 2 1 0 9 1 1 2 5 2 23 2 0 0 2 4 75-84 33 0 1 0 0 1 5 0 14 0 0 3 2 1 27 2 0 0 4 6 85+ 17 0 0 0 0 1 0 0 7 0 1 1 0 0 10 3 2 0 2 7 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 (98 in 2008) is shown in Tables 5.4 - 5.7. 102 Health Status Profile of American Indians in Arizona, 2008 Data Book 5.12 ALCOHOL-INDUCED DEATHS AMONG AMERICAN INDIANS BY PLACE OF RESIDENCE, GENDER AND AGE GROUP, ARIZONA, 2008 TOTAL ALL AGES M TOTAL ---elsewhere in Arizona ---in Coconino County ---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 Havasupai Tribe Resided off reservation 141 1 4 1 6 1 43 4 7 13 8 5 1 94 21 8 3 15 47 15-24 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 25-34 9 0 0 0 0 0 2 0 0 2 0 0 0 4 1 1 0 3 5 35-44 46 0 1 1 1 1 13 2 2 5 3 4 0 33 5 3 0 5 13 45-54 40 0 2 0 1 0 14 1 3 2 2 0 1 26 6 2 0 6 14 55-64 34 0 1 0 2 0 9 1 2 4 3 0 0 22 6 2 3 1 12 65-74 7 0 0 0 2 0 3 0 0 0 0 0 0 5 2 0 0 0 2 75-84 3 1 0 0 0 0 1 0 0 0 0 0 0 2 1 0 0 0 1 85+ 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 97 1 4 0 4 1 36 3 6 10 5 1 1 72 10 3 2 10 25 25-34 6 0 0 0 0 0 2 0 0 2 0 0 0 4 0 0 0 2 2 35-44 30 0 1 0 1 1 9 2 2 4 1 1 0 22 4 1 0 3 8 45-54 31 0 2 0 0 0 13 1 2 2 2 0 1 23 3 1 0 4 8 55-64 20 0 1 0 1 0 7 0 2 2 2 0 0 15 1 1 2 1 5 65-74 6 0 0 0 2 0 3 0 0 0 0 0 0 5 1 0 0 0 1 75-84 3 1 0 0 0 0 1 0 0 0 0 0 0 2 1 0 0 0 1 ALL AGES 85+ F Gila River Indian Community TOTAL Fort McDowell Yavapai Nation Resided on reservation 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 44 0 0 1 2 0 7 1 1 3 3 4 0 22 11 5 1 5 22 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 25-34 3 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 3 35-44 16 0 0 1 0 0 4 0 0 1 2 3 0 11 1 2 0 2 5 45-54 9 0 0 0 1 0 1 0 1 0 0 0 0 3 3 1 0 2 6 55-64 14 0 0 0 1 0 2 1 0 2 1 0 0 7 5 1 1 0 7 65-74 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 ALL AGES 15-24 Health Status Profile of American Indians in Arizona, 2008 Data Book 103 COMPARATIVE CAUSE-SPECIFIC MORTALITY Health Status Profile of American Indians in Arizona, 2008 Data Book 105 5.13 Temporal Changes* in the Selected Leading Causes of Death among American Indian Residents of Arizona, 1990-2008 250.0 Heart disease 200.0 Unintentional injury 150.0 Cancer 100.0 Diabetes Chronic liver disease and cirrhosis 50.0 Chronic lower pulmonary diseases Suicide 0.0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 * Based on age-adjusted mortality rates: Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard. See Table 2B-3 in the “Arizona Health Status and Vital Statistics 2008” report. Health Status Profile of American Indians in Arizona, 2008 Data Book 107 5.14 Five Leading Causes of Death* by Gender among American Indian Residents of Arizona in 2008 Rank Fem ale Both 1 D iseases o f heart 103.1 Diseases o f heart 113.5 U nintentio nal injury 132.6 2 Cancer 93.2 Cancer 106.7 D iseases o f heart 127.5 3 D iabetes 52.1 4 U nintentio nal injury 44.4 5 Influenza and pneumo nia 33.3 U nintentio nal injury 86.0 Diabetes 49.9 Chro nic liver disease and cirrho sis 40.3 Male Cancer 126.4 Chro nic liver disease and cirrho sis 52.1 D iabetes 46.4 * 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 2008” report. 108 Health Status Profile of American Indians in Arizona, 2008 Data Book 5.15 Five Leading Causes of Death among American Indians by Gender and Residence On or Off Reservation, Arizona, 2008 Rank Female, resided on reservat ion Female, resided of f reservat ion Male, resided on reservat ion Male, resided of f reservat ion 1 Cancer 14.3% Diseases of heart 17.5% Unint ent ional injury 20.0% Unint ent ional injury 13.9% 2 Diseases of heart 13.7% Cancer 15.1% Diseases of heart 12.2% Cancer 13.7% 3 Unint ent ional injury 10.8% Chronic liver disease and cirrhosis 9.9% Cancer 10.1% Diseases of heart 10.4% 4 Diabet es 8.8% Diabet es 5.2% Chronic liver disease and cirrhosis 6.2% Chronic liver disease and cirrhosis 6.8% 5 Inf luenza & pneumonia 6.1% Unint ent ional injury 5.2% Suicide 4.3% A ssault 4.9% * Percent of total deaths in specified group. Health Status Profile of American Indians in Arizona, 2008 Data Book 109 5.16 Proportional Mortality* by Type of Cancer and Gender among American Indians and all Residents of Arizona, 1998-2008 Ran k A riz ona male** A meric an Indian male A riz ona f emale** A meric an Indian f emale 1 Trac hea, bronc hus , lung 29.1% Pros tate 11.4% Trac hea, bronc hus , lung 25.8% B reas t 13.1% 2 Pros tate 10.8% Lymphioma 10.0% B reas t 15.7% Lymphoma 10.0 3 Colon, rec tum, anus 9.6 Trac hea, bronc hus , lung 9.7% Colon, rec tum, anus 9.6% Trac hea, bronc hus , lung 8.0% 4 Lymphoma 8.9% Liver 8.2% Lymphoma 7.9% Ovary 6.5% 5 Panc reas 4.7% Colon, rec tum, anus 8.1% Ovary 4.9% Colon, rec tum, anus 5.8% 6 Es ophagus 3.1% K idney 7.2% Panc reas 4.8% Liver 5.0% 7 Liver 3.0% Stomac h 7.2% B rain 2.0% Stomac h 5.0% 8 B ladder 2.8% Panc reas 5.6% Liver 1.8% Panc reas 4.6% 9 K idney 2.4% Es ophagus 3.1% Uterus 1.7% Cervix uteri 4.2% 10 B rain 2.1% Lip/oral c avity 1.6% K idney 1.6% K idney 3.9% *Percent of cancer deaths in specified group in 1998-2008. *All race/ethnic groups combined. ***Malignant neoplasm of lymphoid, hematopoietic and related tissue. Note: percentages based on frequency counts in table 5-17. 110 Health Status Profile of American Indians in Arizona, 2008 Data Book 5.17 Proportional Mortality* by Mechanism of Unintentional Injury and Gender among American Indians and all Residents of Arizona, 1998-2008 Ran k Arizo na male** American Indian male Arizo na female** American Indian female 1 M otor vehic le-related 41.5% M otor vehic le-related 58.2% M otor vehic le-related 35.7% M otor vehic le-related 66.8% 2 Pois oning by drugs 19.5% Pois oning by drugs 7.3% Fall 30.9 Fall 9.1% 3 Fall 15.5 Fall 6.1% Pois oning by drugs 14.8% Pois oning by drugs 7.3% 4 Drowning 3.7% Expos ure to c old 5.0% Drowning 2.4% Expos ure to c old 2.1% 5 Expos ure to heat 1.7% Drowning 3.1% Choked on objec ts other than f ood 2.4% Drowning 2.0% 6 Fire, f lames , s moke 1.5% Pois oning by gas es 2.9% M is adventures during medic al c are 2.4% Pois oning by gas es 1.8% 7 Choked on objec t other than f ood 1.5% Fire, f lames , s moke 1.9% Fire, f lames , s moke 1.9% Fire, f lames , s moke 1.7% 8 M ec hanic al s uf oc ation 1.3% M ec hanic al s uf f oc ation 1.8% Choked on f ood 1.4% M is adventures during medic al c are 1.4% 9 Pois oning by gas es 1.3% R ailway ac c ident 1.5% Expos ure to heat 1.1% M ec hanic al s uf f oc ation 1.3% 10 Firearm dis c harge 1.1% Choked on objec ts other than f ood 1.3% M ec hanic al s uf f oc ation 0.8% Choked on objec ts other than f ood 1.3% *Percent of unintentional injury deaths in specified group in 1998-2008. **All race/ethnic groups combined. Note: Percentages based on frequency counts in table 5-18. Health Status Profile of American Indians in Arizona, 2008 Data Book 111 5.18 COMPARISON OF MORTALITY BY SPECIFIC TYPE OF CANCER BY GENDER AMONG AMERICAN INDIANS AND ALL RESIDENTS* OF ARIZONA, 2000-2008 ALL RESIDENTS OF ARIZONA TOTAL Malignant neoplasms, total MALE AMERICAN INDIANS OR ALASKA NATIVES FEMALE TOTAL MALE FEMALE 102,704 54,948 47,756 1,942 928 1,014 Malignant neoplasm of lip, oral cavity and pharynx 1,126 775 351 20 15 5 Malignant neoplasm of esophagus 2,109 1,688 421 32 29 3 Malignant neoplasm of stomach 1,702 1,026 676 118 67 51 Malignant neoplasm of colon, rectum and anus 9,883 5,284 4,599 134 75 59 Malignant neoplasm of liver and intrahepatic bile ducts 2,536 1,665 871 127 76 51 Malignant neoplasm of pancreas 4,912 2,600 2,312 99 52 47 484 384 100 3 2 1 Malignant neoplasm of larynx Malignant neoplasm of trachea, bronchus and lung 28,294 15,974 12,320 171 90 81 Malignant melanoma of skin 1,638 1,129 509 11 8 3 Malignant neoplasm of breast 7,574 67 7,507 135 2 133 Malignant neoplasm of cervix uteri 682 0 682 43 0 43 Malignant neoplasm of corpus uteri and uterus, part unspecified 824 0 824 22 0 22 Malignant neoplasm of ovary 2,354 0 2,354 66 0 66 Malignant neoplasm of prostate 5,932 5,932 0 106 106 0 Malignant neoplasm of kidney and renal pelvis 2,035 1,293 742 107 67 40 Malignant neoplasm of bladder 2,123 1,541 582 18 9 9 Malignant neoplasm of meninges, brain and other parts of central nervous system 2,121 1,177 944 29 14 15 Malignant neoplasm of lymphoid, hematopoietic and related tissue 8,660 4,887 3,773 194 93 101 Hodgkin's disease 182 113 69 2 2 0 Non-Hodgkin's lymphoma 3,465 1,883 1,582 66 30 36 Leukemia 3,316 1,925 1,391 68 32 36 Multiple myeloma and immunoproliferative neoplasms 1,691 962 729 58 29 29 6 4 2 0 0 0 9,641 5,199 4,442 281 110 171 Other and unspecified malignant neoplasms of lymphoid tissue All other and unspecified malignant neoplasms * All race/ethnic groups combined. 112 Health Status Profile of American Indians in Arizona, 2008 Data Book 5.19 UNINTENTIONAL INJURY DEATHS BY MECHANISM AND GENDER AMONG AMERICAN INDIANS AND ALL RESIDENTS* OF ARIZONA, 1998-2008 ALL RESIDENTS OF ARIZONA TOTAL Unintentional injury, total Railway accidents Motor vehicle -related Water transport accident MALE AMERICAN INDIANS OR ALASKA NATIVES FEMALE TOTAL MALE FEMALE 28,138 18,361 9,777 2,884 2,038 846 114 101 13 36 30 6 11,119 7,628 3,491 1,752 1,187 565 47 35 12 0 0 0 215 190 25 1 1 0 5,029 3,580 1,449 206 149 57 312 236 76 74 59 15 5,865 2,841 3,024 202 125 77 Fire, flames, smoke 465 283 182 52 38 14 Excessive natural heat 427 319 108 31 25 6 Excessive natural cold 204 170 34 120 102 18 Contact with venomous snakes and lizards 4 4 0 0 0 0 Contact with venomous spiders 4 1 3 0 0 0 Contact with scorpions 3 1 2 0 0 0 Accident involving aircraft Poisoning by drugs/medicaments Poisoning by gases and vapors Falls Contact with hornets, wasps, bees 0 0 0 0 0 0 Bitten or struck by dog 11 5 6 1 0 1 Lightning 18 14 4 4 3 1 Storms and floods 11 10 1 4 4 0 Accidental drowning and submersion 917 684 233 81 64 17 Choked on food 332 200 132 28 20 8 Choked on other objects 505 272 233 38 27 11 Mechanical suffocation 312 237 75 47 36 11 Accidental discharge of firearms 246 206 40 22 20 2 78 76 2 5 4 1 Exposure to electric current Overexertion Adverse effects of drugs in therapetic use Misadventures to patients during medical/surgical care 1 1 0 1 1 0 52 23 29 0 0 0 430 198 232 22 10 12 * All race/ethnic groups combined. Health Status Profile of American Indians in Arizona, 2008 Data Book 113 TECHNICAL NOTES Health Status Profile of American Indians in Arizona, 2008 Data Book 115 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, 2008 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. 117 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). 118 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, 2008 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, 2008 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+ 2008 population of American Indians 2008 deaths among American Indians Age-specific rates for American Indians in 2008 B C D (C/B)*100000 816.8 62.5 17.0 154.5 219.3 420.8 706.0 1035.2 1922.6 3992.1 8898.1 6366 24008 64566 67971 51082 45151 37679 23474 13107 6563 2405 342372 52 15 11 105 112 190 266 243 252 262 214 1722 .013818 .055317 .145565 .138646 .135573 .162613 .134834 .087247 .066037 .044842 .015508 Ageadjusted rate for American Indians In 2008 F D*E 11.3 3.5 2.5 21.4 29.7 68.4 95.2 90.3 127.0 179.0 138.0 TOTAL 766.3 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 online table provides comparable cause-of-death categories in ICD-9 and ICD10 and shows comparability ratios for approximately 113 causes of death. 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) 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. 120 Health Status Profile of American Indians in Arizona, 2008 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, 2008 Data Book 121 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. 122 Health Status Profile of American Indians in Arizona, 2008 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 Injury by firearms1 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, 2008 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 123 APPENDIX A TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA Health Status Profile of American Indians in Arizona, 2008 Data Book 125 TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA Reservation/Tribe AK-CHIN INDIAN COMMUNITY County Pinal Community name Ak Chin Maricopa COCOPAH TRIBE Yuma Cocopah Reservation COLORADO RIVER INDIAN TRIBES La Paz Parker Parker Valley Poston FORT MCDOWELL YAVAPAI NATION Maricopa Fort McDowell FORT MOJAVE INDIAN TRIBE Mohave Fort Mojave Reservation FORT YUMA-QUECHAN TRIBE Yuma Fort Yuma Reservation GILA RIVER INDIAN COMMUNITY Maricopa Chandler Heights Firebird Lake Gila Crossing Komatke Lone Butte Maricopa Village St. Johns Bapchule Blackwater Casa Blanca 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, 2008 Data Book 127 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 128 Health Status Profile of American Indians in Arizona, 2008 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, 2008 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 129 TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA (continued) Reservation/Tribe NAVAJO NATION (continued) County Coconino Navajo 130 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, 2008 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, 2008 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 131 TRIBAL COMMUNITIES OF AMERICAN INDIANS IN ARIZONA (continued) Reservation/Tribe TOHONO O’ODHAM (continued) 132 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, 2008 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, 2008 Data Book 133 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