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DIFFERENCES IN THE HEALTH STATUS AMONG RACIAL/ETHNIC GROUPS ARIZONA, 2011 Public Health Services Bureau of Public Health Statistics Population Health and Vital Statistics Section

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Page 1: DIFFERENCES IN THE HEALTH STATUS AMONG RACIAL/ETHNIC GROUPS · Compared with the White non-Hispanics, racial/ethnic minority groups have had greater percentages of people younger

DIFFERENCES IN THE HEALTH STATUS

AMONG RACIAL/ETHNIC

GROUPS

ARIZONA, 2011

Public Health Services Bureau of Public Health Statistics Population Health and Vital Statistics Section

Page 2: DIFFERENCES IN THE HEALTH STATUS AMONG RACIAL/ETHNIC GROUPS · Compared with the White non-Hispanics, racial/ethnic minority groups have had greater percentages of people younger

~ Leadership for a Healthy Arizona ~

Janice K. Brewer, Governor State of Arizona

Will Humble, Director Arizona Department of Health Services

POPULATION HEALTH 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.

Page 3: DIFFERENCES IN THE HEALTH STATUS AMONG RACIAL/ETHNIC GROUPS · Compared with the White non-Hispanics, racial/ethnic minority groups have had greater percentages of people younger

Differences in Health Status among Racial/Ethnic Groups,

Arizona, 2011 __________________

BY

NICHOLAS J. BISHOP, PH.D., ARIZONA VITAL STATISTICIAN

SANHITA GUPTA, VITAL STATISTICS HEALTH MANAGEMENT ANALYST

CLARE TORRES, SENIOR HEALTH DATA ANALYST

February 2014

Page 4: DIFFERENCES IN THE HEALTH STATUS AMONG RACIAL/ETHNIC GROUPS · Compared with the White non-Hispanics, racial/ethnic minority groups have had greater percentages of people younger

Acknowledgment

Grateful acknowledgement is made to Dr. Khaleel S. Hussaini for reviewing the typescript.

Page 5: DIFFERENCES IN THE HEALTH STATUS AMONG RACIAL/ETHNIC GROUPS · Compared with the White non-Hispanics, racial/ethnic minority groups have had greater percentages of people younger

Differences in Health Status among Racial/Ethnic Groups,

Arizona, 2011

Table of Contents Purpose ................................................................................................................................ 1 Demographic Profile of Arizona’s Racial/Ethnic Diversity ............................................................... 1 Methods ................................................................................................................................ 4 Key Findings .......................................................................................................................... 5 Comparison of Scores by Race/Ethnicity in 1997, 1999, 2001, 2003, 2005, 2007, 2009,

and 2011 .......................................................................................................................... 5 Number of Times Each Group Ranked Better Than Average, Average, And Worse Than Average on 70 Indicators, Arizona, 2011 ................................................. 5 Average Scores in 2011 ....................................................................................................... 6 Comparative Age-Adjusted Mortality Rates for the Five Leading Causes of Death By Race/Ethnicity in 2011 ........................................................................................... 8 Risk Profiles ........................................................................................................................... 8

Risk Profile of Asian or Pacific Islander ................................................................................ 9 Risk Profile of White non-Hispanic .................................................................................... 10 Risk Profile of Hispanic or Latino ...................................................................................... 11 Risk Profile of American Indian or Alaska Native ................................................................. 12 Risk Profile of Black or African American ............................................................................ 13

COMPARATIVE MEASURES OF HEALTH STATUS BY RACE/ETHNICITY IN 2011 .................... 15

1. Teen Pregnancies .................................................................................................... 17 2. Maternal Lifestyle and Health Characteristics .............................................................. 23 3. Utilization of Prenatal Care Services .......................................................................... 35 4. Newborn's Health ................................................................................................... 41 5. Mortality from Natural Causes................................................................................... 55 6. Mortality from Injuries ............................................................................................. 77 7. Age-Specific Mortality .............................................................................................. 89 8. Patterns of Premature Mortality ................................................................................ 95 9. The Incidence of Reportable Diseases ...................................................................... 101

COMPARATIVE RATES AND RATIOS FOR 2001 – 2011 ...................................................... 109 SCORES IN 2011 .............................................................................................................. 127 RANK ORDER IN 2011 ...................................................................................................... 133 DATA SOURCES AND DEFINITIONS .................................................................................. 139

Sources of Data ........................................................................................................... 141 Definitions .................................................................................................................. 141 Terms Related to Mortality ............................................................................................ 146

POPULATION DENOMINATORS ........................................................................................ 147

Page 6: DIFFERENCES IN THE HEALTH STATUS AMONG RACIAL/ETHNIC GROUPS · Compared with the White non-Hispanics, racial/ethnic minority groups have had greater percentages of people younger
Page 7: DIFFERENCES IN THE HEALTH STATUS AMONG RACIAL/ETHNIC GROUPS · Compared with the White non-Hispanics, racial/ethnic minority groups have had greater percentages of people younger

PURPOSE The report Differences in Health Status among Racial/Ethnic Groups, Arizona, 2011 is the update of population-level

data about differences in the relative health of five racial/ethnic groups residing in Arizona: White non-Hispanics, Hispanics

or Latinos, Blacks or African-Americans, American Indians or Alaska Natives, and Asians or Pacific Islanders including

Hawaiians.

The report compares the relative standing of racial/ethnic groups on 70 indicators or measures of health status. The

indicators are presented in a series of simple, self-explanatory bar charts and 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 AND INFECTIOUS DISEASES), (6) MORTALITY FROM INJURIES, (7)

AGE-SPECIFIC MORTALITY, (8) PATTERNS OF PREMATURE MORTALITY and (9) THE INCIDENCE OF REPORTABLE DISEASES.

Each bar chart visually describes how the racial/ethnic group compares to other groups and the overall State level for each

indicator. These graphic representations are found in Comparative Measures of Health Status by Race/Ethnicity in

2011 while the tabulated values also are available in the Rates and Ratios in 2011 and Comparative Rates and Ratios

for 2001-2011 sections of the report.

The report also provides comparative risk profiles, as well as scores and rankings of racial/ethnic groups on each of the 70

health status measures. The comparisons of rates and ratios, as well as scores and rankings, are intended to give some

sense of the inequalities in health status among racial/ethnic groups in our State and to stimulate viable initiatives to

improve the health of all Arizonans.

DEMOGRAPHIC PROFILE OF ARIZONA'S RACIAL/ETHNIC DIVERSITY The racial and ethnic composition of the population has important consequences for the State’s health status because many

measures of disease and disability differ significantly by race and ethnicity. Among the estimated 6,438,178 Arizona

residents in 2011, approximately 3,779,432 (58.7 percent) were White non-Hispanic, 1,827,753 (28.4 percent) were

Hispanic or Latino, and 360,414 (5.6 percent) were American Indian or Alaska Natives. Blacks or African Americans

accounted for 270,944 or (4.2 percent) of the State’s population. Asians or Pacific Islanders, the smallest racial/ethnic

group, represented 3.1 percent of the total population (199,635 people).

It is important to note that the population denominators for 2011 are not exact enumerations of the State’s residents in

different racial/ethnic, gender, or age group categories. These denominators are extrapolations, which use past experience,

and are not adjusted for the impact of economic and legal factors, which were previously absent. The most severe economic

recession in 80 years obviously is one of these factors. The high rate of foreclosures, many built but vacant houses, high

unemployment, the collapse of the home construction business, etc. have impacted not only vital events (such as the

number of resident births) but also in-and-out migration. Implementation of the employer-sanction law on January 1st, 2008

(a penalty on employers hiring illegal immigrants), and a widespread practice of e-verify (checking the legal-residence

status of those seeking employment) affected Hispanics or Latinos, the second largest group of Arizona’s residents. These

recent events have shaped the racial/ethnic distribution of Arizona’s population, meaning projections used to estimate the

State’s population that were not able to take these factors into account contain some bias, generally reflecting larger

populations, especially of Hispanics or Latinos, than those actually residing in Arizona.

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 1

Page 8: DIFFERENCES IN THE HEALTH STATUS AMONG RACIAL/ETHNIC GROUPS · Compared with the White non-Hispanics, racial/ethnic minority groups have had greater percentages of people younger

Compared with the White non-Hispanics, racial/ethnic minority groups have had greater percentages of people younger than

25 years (27.1 vs. 47.1 percent). In contrast, people aged 65 years and older accounted for 19.5 percent of White non-

Hispanics, but only 5.6 percent of all racial/ethnic minority groups combined. Among Arizonans less than 25 years old in

2011, more than one out of two (55.0 percent) was a race/ethnicity other than White non-Hispanic. Among Arizona’s adults

65 years old or older, eight out of ten (83.2 percent) were White non-Hispanic (Table A).

Table A. POPULATION BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2011

Other than White non-Hispanic*

POPULATION BY AGE

GROUP IN 2011

All groups

White

non-Hispanic

Total Hispanic or

Latino

Black or

African American

American

Indian or

Alaska

Native

Asian or

Pacific Islander

< 25 years 2,278,658 1,025,087 1,253,572 895,583 117,674 171,722 68,593

Percent 35.4% 27.1% 47.1% 49.0% 43.4% 47.6% 34.4%

25-64 years 3,271,567 2,015,913 1,255,655 837,815 135,531 166,386 115,923

Percent 50.8% 53.3% 47.2% 45.8% 50.0% 46.2% 58.1%

65+ years 887,953 738,433 149,520 94,356 17,739 22,306 15,119

Percent 13.8% 19.5% 5.6% 5.2% 6.5% 6.2% 7.6%

Total, all ages** 6,438,178 3,779,432 2,658,746 1,827,753 270,944 360,414 199,635

Percent 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

Similar to differences in the age composition of Arizona’s population by race/ethnicity is the contrasting pattern of

proportional mortality by age group. In 2011, the elderly (65 years and older) comprised 77.0 percent of the total mortality

among White non-Hispanics, compared to 43.5 percent among American Indians, 52.5 percent among Blacks, 56.0 percent

among Hispanics, and 61.4 percent among Asians. In 2011, only 1.5 percent of White non-Hispanics who died were less

than 25 years old. In comparison, 8.6 percent of individuals who were of a racial/ethnic group other than White non-

Hispanic died before reaching 25 years of age.

Table B. MORTALITY BY AGE GROUP AND RACE/ETHNICITY, ARIZONA, 2011

Other than White non-Hispanica

MORTALITY BY AGE

GROUP IN 2011

All

groups

White non-

Hispanic

Total Hispanic or

Latino

Black or African

American

American

Indian or

Alaska

Native

Asian or Pacific

Islander

< 25 years 1,399 567 800 520 91 167 22

Percent 2.9% 1.5% 8.6% 9.1% 6.7% 9.8% 4.3%

25-64 years 11,814 8,124 3,523 1,994 559 795 175

Percent 24.8% 21.5% 37.9% 34.9% 40.9% 46.7% 34.2%

65+ years 34,318 29,085 4,970 3,199 717 740 314

Percent 72.2% 77.0% 53.5% 56.0% 52.5% 43.5% 61.4%

Total, all agesb 47,547 37,779 9,295 5,714 1,367 1,703 511

Percent 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%

Note:

a Includes groups other than Hispanic, Black, American Indian, and Asian;

b Includes unknown age; Source: The 2011 death certificate file for Arizona residents.

In 2011, the absolute majority of deaths of American Indian (56.5 percent) and Black (47.6 percent) residents of Arizona

occurred before the age of 65 years, compared to 23.0 percent among White non-Hispanics.

2 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

Page 9: DIFFERENCES IN THE HEALTH STATUS AMONG RACIAL/ETHNIC GROUPS · Compared with the White non-Hispanics, racial/ethnic minority groups have had greater percentages of people younger

Graphic representations of the contrasting patterns in age-specific mortality and in the age composition of the population are provided below:

Percent distribution of population by age group and race/ethnicity, Arizona, 2011

27.1%

53.3%

19.5%

47.1%

47.2%

5.6%

<25

25-64

65+

0.0%20.0%40.0%60.0%80.0%100.0% 0.0% 20.0% 40.0% 60.0% 80.0% 100.0%

White non-Hispanic Other than White non-Hispanic

Ag

e g

ro

up

Percent distribution of deaths by age group and race/ethnicity,

Arizona, 2011

1.5%

21.5%

77.0%

8.6%

37.9%

53.5%

<25

25-64

65+

0.0%25.0%50.0%75.0%100.0% 0.0% 25.0% 50.0% 75.0% 100.0%

White non-Hispanic Other than White non-Hispanic

Ag

e g

rou

p

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 3

Page 10: DIFFERENCES IN THE HEALTH STATUS AMONG RACIAL/ETHNIC GROUPS · Compared with the White non-Hispanics, racial/ethnic minority groups have had greater percentages of people younger

METHODS

The 70 indicators presented in this report are individual measures of the various dimensions or facets of health status. By

calculating overall scores and rankings it is possible to provide a summary measure representing a relative standing of each

racial/ethnic group on a broad range of health status issues.

Scores indicate the percentage a racial/ethnic group is above or below the statewide average. Each score is calculated as

follows:

THE VALUE OF A RATE OR RATIO IN A SPECIFIED GROUP

SCORE = - 1.0 X 100 THE AVERAGE VALUE OF A RATE OR RATIO FOR THE STATE

Scores may have positive (+) or negative (-) values. The above formula produces a score of 0.0 for a group with the same

value as the statewide average. A negative score indicates better than average standing on an indicator. A positive score

indicates worse than average standing on an indicator.*

It is important to note that the unit of analysis in this report is the racial/ethnic group. The aggregate measures of health

status (such as teen pregnancy rate, infant mortality rate, mortality rate for drug-induced deaths, the incidence of low-

birthweight, etc.) apply to groups and not individuals. In addition, this is a study of the relative, not absolute, healthiness of

racial/ethnic groups. The highest ranking group is not problem-free, it is comparatively better.

The rates and ratios presented in sections 1-4 and 7-9 of Comparative Measures of Health Status by Race/Ethnicity

and Rates and Ratios for 2001-2011 are directly comparable to the previously published rates and ratios for 1995, 1997,

and 1999. However, the cause-specific mortality rates in section 5 and section 6 CANNOT BE compared to cause-specific

mortality rates published in editions of this report prior to 2001. This is because beginning with the 2000 data year in

Arizona (1999 nationally) two major changes have occurred that affect the computation of mortality rates and analyses of

mortality data over time. First, a new revision of the International Classification of Diseases (ICD) used to classify causes of

death was implemented. The Tenth Revision (ICD-10) has replaced the Ninth Revision (ICD-9), which was in effect since

1979. Second, 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 set of age-adjustment weights uses the projected year 2000 U.S. population

as a standard. Both changes have profound effects on the comparability of mortality data and continuity in statistical trends.

Age-adjusted rates can only be compared to other age-adjusted rates that use the same population standard. In this report,

ALL age-adjusted mortality rates are based on the (new) 2000 standard, and they CANNOT BE compared to rates using the

1940 standard population.

Beginning with the 2005 edition of the report, the median age at death replaced the arithmetic mean age at death as one of

the measures of premature mortality (indicators 8-1, 8-2, and 8-3). The median age is higher than the arithmetic mean age

in negatively skewed distributions.**

Prior editions of this report were published biennially from 1995 to 2009. This report uses the same methodology as the

1997 through 2009 editions, so that average scores and average ranks (but not mortality rates published before 2000) are

directly comparable.

________________________________ *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 higher-than-average median age at death would indicate worse than average standing on this indicator. ** A comparison of the median with the mean age at death in Arizona by race/ethnicity, gender, and year for 1999-2011 is available in Table 2D-1 of “Arizona Health

Status and Vital Statistics 2011” report at http://www.azdhs.gov/plan/report/ahs/ahs2011/pdf/2d1.pdf

4 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

Page 11: DIFFERENCES IN THE HEALTH STATUS AMONG RACIAL/ETHNIC GROUPS · Compared with the White non-Hispanics, racial/ethnic minority groups have had greater percentages of people younger

KEY FINDINGS The overall inequity between the groups, as measured by the range of score values from the lowest (the most favorable

standing among the groups, for 2011 Asian or Pacific Islander at -33.1) to the highest (the least favorable standing, for

2011 American Indians at 48.6), decreased from 87.4 in 2009 to 81.7 points in 2011 (Figure A). From 2009 to 2011, all

racial/ethnic groups excluding White non-Hispanics experienced favorable change, meaning that the average score for

Blacks, American Indians, Hispanics, and Asians decreased (Figure A). The shift in average score for White non-Hispanics

was trivial.

Figure A Comparison of Average Scores by Race/Ethnicity in

1997, 1999, 2001, 2003, 2005, 2007, 2009, and 2011

1997 1999 2001 2003 2005 2007 2009 2011

0.0

15.0

30.0

45.0

60.0

75.0

90.0

-15.0

-30.0

-45.0

-60.0

-75.0

-90.0

American Indian 54.7 61.0 69.9 56.0 59.8 46.4 57.1 48.6Asian -42.8 -46.3 -30.2 -29.6 -21.9 -37.4 -29.2 -33.1Black 71.9 60.5 87.0 64.3 59.8 48.0 58.2 47.8

Hispanic 4.8 7.1 8.2 8.2 14.8 1.4 3.9 3.1White non-Hispanic -7.4 -9.2 -9.8 -10.5 -11.7 -9.5 -12.0 -10.4

Average for all Arizonans

BETTER

TH

AN

AV

ER

AG

EW

OR

SE T

HA

N A

VER

AG

E

Asian

White non-Hispanic

Hispanic

American Indian

Black

In 2011, as in prior years, Arizona's Asian residents ranked highest among racial/ethnic groups in overall health status,

followed by White non-Hispanics, Hispanics, American Indians, and Blacks (Figure B).

Figure B Number of Times Each Group Ranked Better Than Average, Average, and Worse

than Average on 70 Indicators, Arizona 2011

62

35

19

18

9

5

17

34

6

13

3

18

17

46

48

Asian

Whitenon-Hispanic

Hispanic

AmericanIndian

Black

Better than average(ranks 1 or 2)

Average(rank 3)

Worse than average(ranks 4 or 5)

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 5

Page 12: DIFFERENCES IN THE HEALTH STATUS AMONG RACIAL/ETHNIC GROUPS · Compared with the White non-Hispanics, racial/ethnic minority groups have had greater percentages of people younger

Figure C

Average Scores in 2011

(A score is the percent above or below the average for all Arizona residents.

A negative score reflects better than average standing on an indicator.)

0.0 20.0 40.0-20.0-40.0

Asian-33.1

Whitenon-Hispanic

-10.4

Hispanic3.1

Black47.8

American Indian48.6

AVERAGE FORALL ARIZONANS

BETTER THAN AVERAGE WORSE THAN AVERAGE

ASIANS or PACIFIC ISLANDERS

Average rank: 1.6* Total score: -2,319.5 Average score: -33.1**

In 2011, Asian residents of Arizona ranked best or second best among all racial/ethnic groups on 60 of 70 indicators,

including low incidence of drug or alcohol induced deaths, low postneonatal mortality, and low mortality from reportable

diseases, chronic diseases, and injuries. The total mortality rate of 436.7 deaths per 100,000 Asian or Pacific Islander

residents of the State was the lowest rate among all racial/ethnic groups. Asians’ median age at death was the second

highest among the racial/ethnic groups in Arizona in 2011. The 2011 average score of -33.1 for Asian residents was slightly

better than their average score of -29.2 in 2009 and indicates Asians’ health status remained stable in relation to the health

of other racial/ethnic groups.

__________ *The average rank based on all 70 measurements (the sum of the ranks divided by 70 measurements. Ranks range between 1 = the highest rank of health indicators and 5 = the lowest rank of health indicators). **The average score based on all 70 measurements (the sum of all scores divided by 70 measurements). See section SCORES IN 2011.

6 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

Page 13: DIFFERENCES IN THE HEALTH STATUS AMONG RACIAL/ETHNIC GROUPS · Compared with the White non-Hispanics, racial/ethnic minority groups have had greater percentages of people younger

WHITE NON-HISPANICS

Average rank: 2.6 Total score: -727.5 Average score: -10.4 White non-Hispanics ranked second best in relative healthiness among racial/ethnic groups in Arizona. They ranked 1st or

2nd on 35 of 70 measures of health, including low teen pregnancy rates, high utilization of prenatal care, and low premature

mortality. However, White non-Hispanics ranked worse than all other racial/ethnic groups in mortality due to chronic lower

respiratory diseases, malignant neoplasms, injury by firearms, drug-induced deaths, and suicide. The White non-Hispanic

overall score of -10.4 in 2011 was similar to their overall score of -12.0 in 2009. The total mortality rate of 741.5 deaths per

100,000 in 2011 was somewhat higher than the total mortality rate for Whites in recent years (2006 – 2010).

HISPANICS or LATINOS

Average rank: 3.1 Total score: 217.1 Average score: 3.1 In 2011 Hispanics achieved a 3rd place health ranking. The average score of Hispanics decreased from a recent peak of

14.8 in 2005 to 3.1 in 2011. Hispanics ranked best or second best on 19 indicators in 2011, a decrease from 25 indicators in

2009. They ranked worse than average with diabetes, high teen pregnancy rates, low utilization of prenatal care, and

cervical cancer. They ranked better than average with low alcohol and tobacco use among women giving birth, low

incidence of death due to chronic lower respiratory diseases, and a low suicide mortality rate. Comparative Rates and

Ratios for 2001-2011 provides a detailed picture of changes over time for all of the 70 measures.

AMERICAN INDIANS or ALASKA NATIVES

Average rank: 3.7 Total score: 3,404.3 Average score: 48.6 In 2011, American Indians in Arizona had the highest average score among all groups and second poorest rank of overall

health status. They ranked 4th or 5th on 46 of the 70 health indicators (Figure B) and they exceeded the statewide averages

by a wider margin than any other group except Blacks (Figure C). American Indians had relatively poor values on a number

of health indicators including incidence of alcohol use during pregnancy, infant mortality, chronic liver disease and cirrhosis,

diabetes, motor vehicle accidents, and mortality from unintentional injuries, contributing to a high premature death rate.

American Indians also ranked poorly on measures of maternal lifestyle and health as well as in utilization of prenatal care.

In 2011, compared to White non-Hispanics, American Indian residents of Arizona were on-average 19 years younger at time

of death.

BLACKS or AFRICAN AMERICANS

Average rank: 4.0 Total score: 3,345.3 Average score: 47.8 Compared to the average score of 87.0 for Arizona Black or African American residents in 2001, their scores from 2003 -

2011 were substantially lower. Despite this improvement, Blacks or African Americans had the lowest rank of overall health

status because they ranked 4th or 5th among the five racial/ethnic groups on 48 of 70 measures (see Figure B). High

mortality among children and middle-aged adults, high ratios of low birthweight and preterm births, high incidence of many

reportable diseases, high mortality rates for almost all of the leading causes of death, and a high rate of premature death all

lowered the ranking for this population group. However, Blacks or African Americans ranked better than average with low

mortality rates from influenza and pneumonia, fall-related injuries, and low rates of dysfunctional labor and diabetes during

pregnancy.

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 7

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COMPARATIVE CAUSE-SPECIFIC MORTALITY

In 2011, diseases of the heart were the leading cause of death for three of the five racial/ethnic groups in Arizona:

American Indians, Blacks or African Americans, and Hispanics or Latinos (Figure D). Cancer was the number one cause

among Asians or Pacific Islanders and White non-Hispanics. Unintentional injury was the third leading cause of death only

for American Indians. For Asians, stroke was the 3rd leading cause of death in 2011. Diabetes was among the top five

causes of death among Blacks, Hispanics, Asians, and American Indians. Alzheimer’s disease was the fifth leading cause of

death among Asians, Blacks, and White non-Hispanics. Chronic liver disease and cirrhosis was the fifth leading cause of

death specific to American Indians. Chronic lower respiratory diseases were the third leading cause of death specific to

White non-Hispanics.

Figure D Comparative Age-Adjusted Mortality Rates for the Five Leading Causes of Death

by Race/Ethnicity in Arizona in 2011

Rank Asian or Pacific Islander

American Indian or

Alaska Native

Black or African American

Hispanic or Latino

White non-Hispanic

1 Cancer116.6

Diseases of heart111.1

Diseases of heart174.0

Diseases of heart137.4

Cancer170.3

2Diseases of

heart77.0

Cancer100.8

Cancer167.1

Cancer136.3

Diseases of heart164.3

3 Stroke29.1

Unintentional injury100.6

Diabetes57.8

Diabetes41.7

Chronic lower respiratory

diseases 55.3

4 Diabetes23.3

Diabetes61.3

Stroke56.5

Unintentional injury38.9

Unintentional injury46.9

5Alzheimer's

disease21.0

Chronic liver disease and

cirrhosis43.6

Alzheimer's disease

54.7

Stroke34.9

Alzheimer's disease

36.3

COMPARATIVE RATES AND RATIOS FOR 2001 and 2011 The 140 bar charts provide both a snapshot of differences between the racial/ethnic groups in Arizona in 2011, as well as a

measure of change since 2001. More detailed comparisons over time are available in a special section of the report

(Comparative Rates and Ratios for 2001 – 2011) that documents specific changes by year from 2001 through 2011 on

the 70 health status measures by racial/ethnic group.

RISK PROFILES Risk profiles presented on the following pages summarize how each racial/ethnic group compares to the State average for

the entire set of measures of health status. These profiles use scores developed to describe the level of each of the 70

measures for each racial/ethnic group relative to the average level for all groups. The profiles visually describe the better-

than-average and worse-than-average clusters of health status characteristics for each racial/ethnic group.

8 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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Risk Profile of Asians or Pacific Islanders (percent above or below the State mean)

-100.0-100.0

-89.3-86.7-83.7-75.7-75.0-74.7-72.1-71.0-69.4-69.2-68.7-67.4-66.7-65.5-65.1-62.5-60.9-60.4-57.6-56.7-50.8-49.6-49.3-46.3-45.0-44.8-43.8-40.3-39.4-39.1-37.6-37.5-36.1-34.0-31.9-28.6-27.8-27.3-26.2-26.2-25.6-25.0-25.0-22.9-20.8-20.0-20.0-14.8-14.3-13.0

-9.3-8.3-6.2-6.0-4.9-3.7-3.2

5.56.56.77.412.518.623.2

42.943.353.863.0

0.0250.0

500.0-250.0

-500.0

BETTER THAN AVERAGE

WORSETHAN AVERAGE

AVERAGE FOR ALL

RESIDENTS

4-8 Sudden Infant Death Syndrome (SIDS) 4-11 Postneonatal mortality 6-6 Drug-induced deaths 6-7 Alcohol-induced deaths 6-5 Injury by firearms 9-4 Incidence of genital herpes 9-1 Incidence of early syphilis 5-11 Prostate cancer 9-2 Incidence of gonorrhea 9-3 Incidence of chlamydia 7-2 Mortality of adolescents and young adults 15-19 years old 6-8 Intentional self-harm (suicide) 5-14 Chronic liver disease and cirrhosis 1-3 Pregnancies among females 15-17 years old 4-1 Hyaline membrane disease 7-3 Mortality among adults 20-44 years old 2-2 Tobacco use during pregnancy 5-5 Chronic lower respiratory diseases 2-1 Unmarried mothers 1-1 Pregnancies among females 19 and younger 1-4 Pregnancies among females 18-19 years old 6-1 Unintentional injuries 4-7 Infant mortality 5-2 Diseases of the heart 5-3 Coronary heart disease 7-4 Mortality among adults 45-65 years old 5-7 Lung cancer 6-3 Fall-related injuries 6-2 Motor vehicle-related injuries 5-17 Alzheimer's disease 7-1 Mortality of children 1-14 years old 5-1 Cardiovascular diseases 5-20 Total mortality from all causes 3-3 No prenatal care 6-9 Assault (homicide) 3-2 Fewer than five prenatal visits 5-16 Septicemia 1-2 Pregnancies among females 14 and younger 2-6 Anemia during pregnancy 4-6 Incidence of congenital anomalies (birth defects) 2-8 Pregnancy associated hypertension 3-1 No care in the 1st trimester 4-10 Neonatal mortality 2-4 Chronic hypertension 5-15 HIV disease 5-6 Malignant neoplasms (cancer) 5-8 Breast cancer 2-3 Alcohol use during pregnancy 2-9 Genital herpes during pregnancy 2-10 Weight gain of less than 21 pounds 4-9 Mortality of infants from low birthweight/short gestation 9-5 Incidence of HIV/AIDS 5-19 Essential (primary) hypertension 4-5 Born too small: very low-birthweight (<1,500 grams) 5-12 Influenza and pneumonia 5-13 Diabetes 5-4 Cerebrovascular disease 4-2 Newborn intensive care 4-3 Born too early (preterm or < 37 weeks) 8-2 Median age at death from all causes among males 8-1 Median age at death from all causes 5-10 Colorectal cancer 8-3 Median age at death from all causes among females 2-5 Dysfunctional labor 4-4 Born too small: low-birthweight (<2,500 grams) 8-4 Percent of total deaths before expected years of life reached 5-9 Cervical cancer 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 6-4 Drowning mortality 2-7 Diabetes during pregnancy

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 9

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Risk Profile of White non-Hispanics (percent above or below the State mean)

-71.4-62.5-59.5-59.2-56.6-54.0-48.7-47.2-42.6-35.0-34.4-33.4-33.3-33.3-33.2-30.4-28.6-26.1-25.0-23.9-23.8-23.7-20.5-14.0-12.9-12.6-12.0-10.6-10.4-10.0

-8.3-7.8-7.8-4.3-4.1-4.1-2.8-2.6-2.2-1.5-1.2-0.7

0.00.00.00.00.01.82.82.83.13.13.43.75.65.86.07.17.57.68.610.912.620.020.523.527.928.640.0

55.8

0.0250.0

500.0-250.0

-500.0

BETTER THAN AVERAGE

WORSETHAN AVERAGE

AVERAGE FOR ALL

RESIDENTS

1-2 Pregnancies among females 14 and younger 3-3 No prenatal care 9-2 Incidence of gonorrhea 9-3 Incidence of chlamydia 1-3 Pregnancies among females 15-17 years old 3-2 Fewer than five prenatal visits 1-1 Pregnancies among females 19 and younger 1-4 Pregnancies among females 18-19 years old 6-9 Assault (homicide) 4-11 Postneonatal mortality 3-1 No care in the 1st trimester 2-1 Unmarried mothers 4-8 Sudden Infant Death Syndrome (SIDS) 9-1 Incidence of early syphilis 9-4 Incidence of genital herpes 9-5 Incidence of HIV/AIDS 4-9 Mortality of infants from low birthweight/short gestation 2-7 Diabetes during pregnancy 5-15 HIV disease 2-10 Weight gain of less than 21 pounds 5-9 Cervical cancer 4-7 Infant mortality 4-10 Neonatal mortality 6-2 Motor vehicle-related injuries 5-13 Diabetes 6-7 Alcohol-induced deaths 7-1 Mortality of children 1-14 years old 5-16 Septicemia 5-14 Chronic liver disease and cirrhosis 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 4-5 Born too small: very low-birthweight (<1,500 grams) 7-2 Mortality of adolescents and young adults 15-19 years old 8-4 Percent of total deaths before expected years of life reached 4-4 Born too small: low-birthweight (<2,500 grams) 8-2 Median age at death from all causes among males 5-12 Influenza and pneumonia 5-19 Essential (primary) hypertension 8-1 Median age at death from all causes 4-3 Born too early (preterm or < 37 weeks) 5-11 Prostate cancer 8-3 Median age at death from all causes among females 5-4 Cerebrovascular disease 2-4 Chronic hypertension 2-5 Dysfunctional labor 4-1 Hyaline membrane disease 4-6 Incidence of congenital anomalies (birth defects) 6-4 Drowning mortality 7-3 Mortality among adults 20-44 years old 2-6 Anemia during pregnancy 7-4 Mortality among adults 45-65 years old 5-17 Alzheimer's disease 6-1 Unintentional injuries 6-3 Fall-related injuries 4-2 Newborn intensive care 5-8 Breast cancer 5-1 Cardiovascular diseases 5-20 Total mortality from all causes 2-8 Pregnancy associated hypertension 5-10 Colorectal cancer 5-2 Diseases of the heart 5-3 Coronary heart disease 6-5 Injury by firearms 5-6 Malignant neoplasms (cancer) 2-3 Alcohol use during pregnancy 5-5 Chronic lower respiratory diseases 5-7 Lung cancer 6-8 Intentional self-harm (suicide) 6-6 Drug-induced deaths 2-9 Genital herpes during pregnancy 2-2 Tobacco use during pregnancy

10 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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Risk Profile of Hispanics or Latinos (percent above or below the State mean)

-62.8-60.0-57.5-52.9

-40.0-39.4-38.1-35.1-26.5-23.4-23.1-22.2-20.4-18.8-16.7-14.5-12.5-12.2-11.9-11.3-11.0-10.0-9.9-9.5-8.6-8.3-6.3-6.2-6.0-3.8-3.7-3.3-2.2

0.00.00.00.01.54.06.27.410.911.713.714.114.316.519.420.020.320.522.023.723.925.327.828.428.629.531.334.736.238.041.043.143.946.756.3

68.176.2

0.0250.0

500.0-250.0

-500.0

BETTER THAN AVERAGE

WORSETHAN AVERAGE

AVERAGE FOR ALL

RESIDENTS

2-2 Tobacco use during pregnancy 2-3 Alcohol use during pregnancy 5-5 Chronic lower respiratory diseases 6-8 Intentional self-harm (suic ide) 2-9 Genita l herpes during pregnancy 5-7 Lung cancer 5-8 Breast cancer 6-6 Drug-induced deaths 6-5 Injury by firearms 7-3 Mortality among adults 20-44 years o ld 6-4 Drowning mortality 2-6 Anem ia during pregnancy 7-4 Mortality among adults 45-65 years o ld 2-5 Dysfunctional labor 2-8 Pregnancy associated hypertension 6-1 Unintentional injuries 2-4 Chronic hypertension 5-17 Alzheimer's disease 5-3 Coronary heart disease 7-2 Mortality of adolescents and young adults 15-19 years old 9-4 Incidence of genital herpes 5-2 Diseases of the heart 5-6 Malignant neoplasms (cancer) 6-3 Fall-related injuries 4-4 Born too small: low-birthweight (<2,500 grams) 4-5 Born too small: very low-birthweight (<1,500 grams) 7-1 Mortality of children 1-14 years old 5-20 Total mortality from all causes 9-2 Incidence of gonorrhea 5-1 Card iovascu lar diseases 4-2 Newborn intensive care 6-2 Motor vehicle-re lated injuries 4-3 Born too early (preterm or < 37 weeks) 4-1 Hyaline membrane disease 4-6 Incidence of congenital anomalies (birth defects) 4-8 Sudden Infant Death Syndrome (SIDS) 6-7 Alcohol-induced deaths 5-10 Colorectal cancer 5-11 Prostate cancer 5-15 HIV disease 8-3 Median age at death from all causes among females 2-7 Diabetes during pregnancy 8-1 Median age at death from all causes 8-2 Median age at death from all causes among males 5-4 Cerebrovascu lar disease 4-9 Mortality of infants from low birthweight/short gestation 9-3 Incidence of chlamydia 5-19 Essential (primary) hypertension 4-11 Postneonatal mortality 4-7 Infant mortality 4-10 Neonatal mortality 2-10 Weight gain of less than 21 pounds 5-12 Influenza and pneumonia 9-5 Incidence of HIV/AIDS 8-4 Percent of total deaths before expected years of life reached 2-1 Unmarried mothers 3-1 No care in the 1st trimester 1-2 Pregnancies among females 14 and younger 6-9 Assau lt (hom icide) 1-1 Pregnancies among females 19 and younger 1-4 Pregnancies among females 18-19 years old 5-16 Septicem ia 3-2 Fewer than five prenatal vis its 5-14 Chronic liver disease and cirrhosis 9-1 Incidence of early syphilis 1-3 Pregnancies among females 15-17 years old 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 3-3 No prenatal care 5-13 Diabetes 5-9 Cervical cancer

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 11

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Risk Profile of American Indians or Alaska Natives

(percent above or below the State mean)

-79.1-68.6-61.9

-48.6-44.2-42.9-37.4-36.1-33.8-33.4-33.3-30.0-27.3-26.1-25.8-20.4-15.4-13.6-13.4

-3.2-2.9-1.4

0.08.39.414.317.322.022.122.223.925.025.125.426.027.027.330.334.836.244.445.847.650.050.056.366.769.271.471.674.0

95.1102.2103.0105.0106.3107.0

121.1128.0129.8130.0

146.9147.2155.0

192.8200.0

225.4251.1

265.3348.3

0.0250.0

500.0-250.0

-500.0

BETTER THAN AVERAGE

WORSETHAN AVERAGE

AVERAGE FOR ALL

RESIDENTS

5-7 Lung cancer 5-5 Chron ic low er resp iratory d iseases 5-8 Breast cancer 5-17 A lzheim er's d isease 2-2 Tobacco use during pregnancy 6-6 D rug-induced deaths 6-5 In jury by firearm s 5-19 Essentia l (p rim ary) hypertension 5-3 Coronary heart d isease 5-6 M alignant neop lasm s (cancer) 4-1 Hyaline m em brane d isease 2-9 Gen ita l herpes during pregnancy 5-2 D iseases of the heart 5-10 Colorecta l cancer 5-1 Card iovascu lar d iseases 4-2 New born in tensive care 4-10 Neonata l m orta lity 5-11 P rostate cancer 6-8 Intentional self-harm (su ic ide) 4-3 Born too early (p reterm or < 37 weeks) 5-4 Cerebrovascu lar d isease 4-4 Born too sm all: low -b irthweight (<2,500 gram s) 4-8 Sudden In fant Death Syndrom e (SIDS) 4-5 Born too sm all: very low -b irthweigh t (<1,500 gram s) 5-20 Total m orta lity from all causes 1-2 P regnancies am ong fem ales 14 and younger 8-3 M ed ian age at death from all causes am ong fem ales 1-4 P regnancies am ong fem ales 18-19 years o ld 8-1 M ed ian age at death from all causes 7-4 M orta lity am ong adu lts 45-65 years o ld 9-5 Incidence of H IV/AIDS 5-15 H IV d isease 7-1 M orta lity of ch ild ren 1-14 years o ld 4-7 In fant m orta lity 8-2 M ed ian age at death from all causes am ong m ales 1-1 P regnancies am ong fem ales 19 and younger 4-6 Incidence of congen ita l anom alies (b irth defects) 1-3 P regnancies am ong fem ales 15-17 years o ld 2-10 W e ight gain of less than 21 pounds 6-3 Fall-re lated in juries 8-4 Percent of tota l deaths before expected years of life reached 9-1 Incidence of early syph ilis 5-9 Cerv ica l cancer 2-4 Chron ic hypertension 2-8 P regnancy associated hypertension 3-3 No prenata l care 2-6 Anem ia during pregnancy 6-4 D rowning m orta lity 4-9 M orta lity of in fants from low b irthweight/short gestation 3-1 No care in the 1st trim ester 2-1 Unm arried m others 6-9 Assau lt (hom icide) 2-7 D iabetes during pregnancy 9-4 Incidence of gen ita l herpes 4-11 Postneonata l m orta lity 2-5 Dysfunctional labor 7-3 M orta lity am ong adu lts 20-44 years o ld 6-1 Un intentional in juries 9-2 Incidence of gonorrhea 7-2 M orta lity of adolescents and young adu lts 15-19 years o ld 3-2 Fewer than five p renata l v is its 9-3 Incidence of ch lam yd ia 5-13 D iabetes 5-18 Nephritis, nephrotic syndrom e and nephrosis (k idney d isease) 5-12 In fluenza and pneum onia 2-3 A lcohol use during pregnancy 5-14 Chron ic liver d isease and cirrhosis 5-16 Septicem ia 6-2 M otor veh ic le-re lated in juries 6-7 A lcohol-induced deaths

12 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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Risk Profile of Blacks or African Americans (percent above or below the State mean)

-58.0-50.7-47.1

-25.0-24.2-23.3-19.9-17.4-16.5

-9.1-8.6-6.3-3.3-3.2

0.00.97.18.38.810.210.412.012.313.614.014.114.314.314.817.918.619.220.021.722.323.723.827.628.632.433.335.036.236.638.338.943.650.050.755.455.857.163.966.766.778.684.685.1

100.0108.3112.5

133.1148.1150.5

170.5172.2

225.0230.6237.5

482.2

0.0300.0

600.0-300.0

-600.0

BETTER THAN AVERAGE

WORSETHAN AVERAGE

AVERAGE FOR ALL

RESIDENTS

6-7 Alcohol-induced deaths 5-14 Chronic liver disease and cirrhosis 6-8 Intentional self-harm (suicide) 6-6 Drug-induced deaths 5-5 Chronic lower respiratory diseases 6-3 Fall-related injuries 7-2 Mortality of adolescents and young adults 15-19 years old 2-7 Diabetes during pregnancy 5-12 Influenza and pneumonia 4-6 Incidence of congenital anomalies (birth defects) 6-1 Unintentional injuries 2-5 Dysfunctional labor 6-2 Motor vehicle-related injuries 5-7 Lung cancer 3-3 No prenatal care 1-3 Pregnancies among females 15-17 years old 3-1 No care in the 1st trimester 1-1 Pregnancies among females 19 and younger 1-4 Pregnancies among females 18-19 years old 6-5 Injury by firearms 5-6 Malignant neoplasms (cancer) 3-2 Fewer than five prenatal visits 8-2 Median age at death from all causes among males 2-10 Weight gain of less than 21 pounds 5-2 Diseases of the heart 7-3 Mortality among adults 20-44 years old 8-1 Median age at death from all causes 5-9 Cervical cancer 8-3 Median age at death from all causes among females 4-10 Neonatal mortality 5-3 Coronary heart disease 5-20 Total mortality from all causes 2-3 Alcohol use during pregnancy 5-11 Prostate cancer 5-8 Breast cancer 4-7 Infant mortality 2-8 Pregnancy associated hypertension 7-4 Mortality among adults 45-65 years old 1-2 Pregnancies among females 14 and younger 5-1 Cardiovascular diseases 4-1 Hyaline membrane disease 4-11 Postneonatal mortality 5-16 Septicemia 4-3 Born too early (preterm or < 37 weeks) 8-4 Percent of total deaths before expected years of life reached 4-2 Newborn intensive care 2-1 Unmarried mothers 2-9 Genital herpes during pregnancy 5-10 Colorectal cancer 5-17 Alzheimer's disease 2-2 Tobacco use during pregnancy 4-9 Mortality of infants from low birthweight/short gestation 2-6 Anemia during pregnancy 4-8 Sudden Infant Death Syndrome (SIDS) 5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 4-4 Born too small: low-birthweight (<2,500 grams) 5-4 Cerebrovascular disease 7-1 Mortality of children 1-14 years old 6-4 Drowning mortality 4-5 Born too small: very low-birthweight (<1,500 grams) 2-4 Chronic hypertension 5-13 Diabetes 9-4 Incidence of genital herpes 9-3 Incidence of chlamydia 6-9 Assault (homicide) 5-19 Essential (primary) hypertension 9-5 Incidence of HIV/AIDS 9-1 Incidence of early syphilis 5-15 HIV disease 9-2 Incidence of gonorrhea

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 13

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COMPARATIVE MEASURES

OF HEALTH STATUS BY RACE/ETHNICITY

IN 2011

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 15

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1 Teen Pregnancies

1-1 Pregnancies Among Females 19 or Younger

1-2 Pregnancies Among Females 14 or Younger 1-3 Pregnancies Among Females 15-17 Years Old

1-4 Pregnancies Among Females 18-19 Years Old

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 17

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1-1 PREGNANCIES AMONG FEMALES 19 OR YOUNGER

2011

30.2

29.2

24.9

23.0

11.8

9.1

Hispanic

AmericanIndian

Black

ALL GROUPS

White non-Hispanic

Asian

0.0 15.0 30.0 45.0 60.0

Note: Number of pregnancies per 1,000 females 10-19 years old in specified group.

2001

59.1

45.1

36.7

36.0

21.1

20.3

Hispanic

Black

AmericanIndian

ALL GROUPS

White non-Hispanic

Asian

0.0 15.0 30.0 45.0 60.0

Note: Number of pregnancies per 1,000 females 10-19 years old in specified group.

COMPARATIVE RATES FOR 2001 AND 2011

Rate per 1,000 females by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 36.0 21.1 59.1 45.1 36.7 20.3 2011 23.0 11.8 30.2 24.9 29.2 9.1 % change from 2001

-36.1 -44.1 -48.9 -44.8 -20.4 -55.2

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 19

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1-2 PREGNANCIES AMONG FEMALES 14 OR YOUNGER

2011

0.9

0.9

0.8

0.7

0.5

0.3

Black

Hispanic

AmericanIndian

ALL GROUPS

Asian

White non-Hispanic

0.0 0.7 1.4 2.1 2.8

Note: Number of pregnancies per 1,000 females 10-14 years old in specified group.

2001

2.5

2.2

1.4

1.3

0.5

0.0

Hispanic

Black

AmericanIndian

ALL GROUPS

Asian

White non-Hispanic

0.0 0.7 1.4 2.1 2.8

Note: Number of pregnancies per 1,000 females 10-14 years old in specified group.

COMPARATIVE RATES FOR 2001 AND 2011

Rate per 1,000 females by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 1.3 0.5 2.5 2.2 1.4 0.0 2011 0.7 0.2 0.9 0.9 0.8 0.5 % change from 2001

-46.2 -60.0 -64.0 -59.1 -42.9 NA

20 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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1-3 PREGNANCIES AMONG FEMALES 15-17 YEARS OLD

2011

31.8

28.8

22.3

22.1

9.6

7.2

Hispanic

AmericanIndian

Black

ALL GROUPS

White non-Hispanic

Asian

0.0 20.0 40.0 60.0 80.0

Note: Number of pregnancies per 1,000 females 15-17 years old in specified group.

2001

79.7

57.5

43.5

43.2

22.8

20.8

Hispanic

Black

American Indian

ALL GROUPS

Asian

White non-Hispanic

0.0 20.0 40.0 60.0 80.0

Note: Number of pregnancies per 1,000 females 15-17 years old in specified group.

COMPARATIVE RATES FOR 2001 AND 2011

Rate per 1,000 females by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 43.2 20.8 79.7 57.5 43.5 22.8 2011 22.1 9.6 31.8 22.3 28.8 7.2 % change from 2001

-48.8 -53.8 -60.1 -61.2 -33.8 -68.4

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 21

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1-4 PREGNANCIES AMONG FEMALES 18-19 YEARS OLD

2011

104.0

94.2

84.0

77.2

40.8

32.7

Hispanic

AmericanIndian

Black

ALL GROUPS

White non-Hispanic

Asian

0.0 20.0 40.0 60.0 80.0 100.0 120.0 140.0 160.0 180.0

Note: Number of pregnancies per 1,000 females 18-19 years old in specified group.

2001

176.0

146.4

133.4

113.2

71.7

57.1

Hispanic

Black

AmericanIndian

ALL GROUPS

White non-Hispanic

Asian

0.0 20.0 40.0 60.0 80.0 100.0 120.0 140.0 160.0 180.0

Note: Number of pregnancies per 1,000 females 18-19 years old in specified group.

COMPARATIVE RATES FOR 2001 AND 2011

Rate per 1,000 females by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 113.2 71.7 176.0 146.4 133.4 57.1 2011 77.2 40.8 104.0 84.0 94.2 32.7 % change from 2001

-31.8 -43.1 -40.9 -42.6 -29.4 -42.7

22 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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2 Maternal Lifestyle and Health

Characteristics

2-1 Unmarried Mothers

2-2 Tobacco Use During Pregnancy

2-3 Alcohol Use During Pregnancy

2-4 The Incidence of Chronic Hypertension

2-5 Dysfunctional Labor

2-6 The Incidence of Anemia During Pregnancy

2-7 The Incidence of Diabetes

2-8 The Incidence of Pregnancy-Associated Hypertension

2-9 The Incidence of Genital Herpes

2-10 Maternal Weight Gain of Less Than 21 Pounds

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 23

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2-1 UNMARRIED MOTHERS

2011

77.1

63.6

56.6

44.3

29.5

17.3

AmericanIndian

Black

Hispanic

ALL GROUPS

White non-Hispanic

Asian

0.0 20.0 40.0 60.0 80.0 100.0

Note: Per 100 live births.

2001

70.1

64.2

51.0

39.4

24.5

17.0

AmericanIndian

Black

Hispanic

ALL GROUPS

White non-Hispanic

Asian

0.0 20.0 40.0 60.0 80.0 100.0

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 39.4 24.5 51.0 64.2 70.1 17.0 2011 44.3 59.5 56.6 63.6 77.1 17.3 % change from 2001

12.4 20.4 11.0 -0.9 10.0 1.8

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 25

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2-2 TOBACCO USE DURING PREGNANCY

2011

6.7

6.7

4.3

2.4

1.6

1.5

Black

White non-Hispanic

ALL GROUPS

AmericanIndian

Hispanic

Asian

0.0 3.0 6.0 9.0 12.0

Note: Per 100 live births.

2001

11.0

10.7

6.8

4.0

2.7

2.4

White non-Hispanic

Black

ALL GROUPS

AmericanIndian

Asian

Hispanic

0.0 3.0 6.0 9.0 12.0

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 6.8 11.0 2.4 10.7 4.0 2.7 2011 4.3 6.7 1.6 6.7 2.4 1.5 % change from 2001

-36.8 -39.1 -33.3 -37.4 -40.0 -44.4

26 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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2-3 ALCOHOL USE DURING PREGNANCY

2011

1.5

0.6

0.6

0.5

0.4

0.2

AmericanIndian

Black

White non-Hispanic

ALL GROUPS

Asian

Hispanic

0.0 0.6 1.2 1.8 2.4 3.0

Note: Per 100 live births.

2001

2.6

1.6

1.0

0.9

0.5

0.4

AmericanIndian

Black

White non-Hispanic

ALL GROUPS

Hispanic

Asian

0.0 0.6 1.2 1.8 2.4 3.0

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 0.9 1.0 0.5 1.6 2.6 0.4 2011 0.5 0.6 0.2 0.6 1.5 0.4 % change from 2001

-44.4 -40.0 -60.0 -62.5 -42.3 0.0

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 27

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2-4 CHRONIC HYPERTENSION

2011

1.7

1.2

0.8

0.8

0.7

0.6

Black

AmericanIndian

ALL GROUPS

White non-Hispanic

Hispanic

Asian

0.0 0.3 0.6 0.9 1.2 1.5 1.8

Note: Per 100 live births.

2001

1.3

0.7

0.4

0.4

0.2

0.2

AmericanIndian

Black

ALL GROUPS

White non-Hispanic

Asian

Hispanic

0.0 0.3 0.6 0.9 1.2 1.5 1.8

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 0.4 0.4 0.2 0.7 1.3 0.2 2011 0.8 0.8 0.7 1.7 1.2 0.6 % change from 2001

100.0 100.0 250.0 142.9 -7.7 200.0

28 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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2-5 DYSFUNCTIONAL LABOR

2011

3.3

1.8

1.6

1.6

1.5

1.3

AmericanIndian

Asian

ALL GROUPS

White non-Hispanic

Black

Hispanic

0.0 0.7 1.4 2.1 2.8 3.5

Note: Per 100 live births.

2001

3.0

1.7

1.4

1.2

1.2

0.6

AmericanIndian

Asian

White non-Hispanic

ALL GROUPS

Black

Hispanic

0.0 0.7 1.4 2.1 2.8 3.5

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 1.2 1.4 0.6 1.2 3.0 1.7 2011 1.6 1.6 1.3 1.5 3.3 1.8 % change from 2001

33.3 14.3 116.7 25.0 10.0 5.9

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 29

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2-6 ANEMIA DURING PREGNANCY

2011

6.0

5.9

3.7

3.6

2.8

2.6

AmericanIndian

Black

White non-Hispanic

ALL GROUPS

Hispanic

Asian

0.0 1.3 2.6 3.9 5.2 6.5

Note: Per 100 live births.

2001

6.0

1.7

1.6

1.6

1.5

1.0

AmericanIndian

Black

ALL GROUPS

Asian

White non-Hispanic

Hispanic

0.0 1.3 2.6 3.9 5.2 6.5

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 1.6 1.5 1.0 1.7 6.0 1.6 2011 3.6 3.7 2.8 5.9 6.0 2.6 % change from 2001

125.0 146.7 180.0 247.1 0.0 62.5

30 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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2-7 DIABETES DURING PREGNANCY

2011

9.3

7.5

5.1

4.6

3.8

3.4

AmericanIndian

Asian

Hispanic

ALL GROUPS

Black

White non-Hispanic

0.0 2.0 4.0 6.0 8.0 10.0

Note: Per 100 live births.

2001

6.2

3.9

2.2

2.0

1.8

1.8

AmericanIndian

Asian

ALL GROUPS

Hispanic

Black

White non-Hispanic

0.0 2.0 4.0 6.0 8.0 10.0

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 2.2 1.8 2.0 1.8 6.2 3.9 2011 4.6 3.4 5.1 3.8 9.3 7.5 % change from 2001

109.1 88.9 155.0 111.1 50.0 92.3

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 31

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2-8 PREGNANCY-ASSOCIATED HYPERTENSION

2011

6.3

5.2

4.5

4.2

3.5

3.1

AmericanIndian

Black

White non-Hispanic

ALL GROUPS

Hispanic

Asian

0.0 1.3 2.6 3.9 5.2 6.5

Note: Per 100 live births.

2001

5.7

3.1

2.6

2.4

1.8

1.7

AmericanIndian

White non-Hispanic

ALL GROUPS

Black

Asian

Hispanic

0.0 1.3 2.6 3.9 5.2 6.5

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 2.6 3.1 1.7 2.4 5.7 1.8 2011 4.2 4.5 3.5 5.2 6.3 3.1 % change from 2001

61.5 45.2 105.9 116.7 10.5 72.2

32 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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2-9 GENITAL HERPES DURING PREGNANCY

2011

1.5

1.4

1.0

0.8

0.7

0.6

Black

White non-Hispanic

ALL GROUPS

Asian

AmericanIndian

Hispanic

0.0 0.3 0.6 0.9 1.2 1.5

Note: Per 100 live births.

2001

1.3

1.2

0.8

0.7

0.3

0.3

White non-Hispanic

Black

ALL GROUPS

Asian

AmericanIndian

Hispanic

0.0 0.3 0.6 0.9 1.2 1.5

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 0.8 1.3 0.3 1.2 0.3 0.7 2011 1.0 1.4 0.6 1.5 0.7 0.8 % change from 2001

25.0 7.7 100.0 25.0 133.3 14.3

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 33

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2-10 WEIGHT GAIN OF LESS THAN 21 POUNDS

2011

35.6

32.2

30.0

26.4

22.5

20.1

AmericanIndian

Hispanic

Black

ALL GROUPS

Asian

White non-Hispanic

0.0 7.0 14.0 21.0 28.0 35.0 42.0

Note: Per 100 live births.

2001

28.8

21.3

20.9

18.5

16.0

14.9

AmericanIndian

Black

Hispanic

ALL GROUPS

Asian

White non-Hispanic

0.0 7.0 14.0 21.0 28.0 35.0 42.0

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 18.5 14.9 20.9 21.3 28.8 16.0 2011 26.4 20.1 32.2 30.0 35.6 22.5 % change from 2001

42.7 34.9 54.1 40.8 23.6 40.6

34 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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3 Utilization of

Prenatal Care Services

3-1 No Care in the 1st Trimester

3-2 Fewer Than Five Prenatal Visits

3-3 No Prenatal Care

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 35

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3-1 NO CARE IN THE 1ST TRIMESTER

2011

31.4

23.5

19.6

18.3

13.5

12.0

AmericanIndian

Hispanic

Black

ALL GROUPS

Asian

White non-Hispanic

0.0 8.0 16.0 24.0 32.0 40.0

Note: Per 100 live births.

2001

35.4

34.7

26.2

24.5

17.3

13.8

AmericanIndian

Hispanic

Black

ALL GROUPS

Asian

White non-Hispanic

0.0 8.0 16.0 24.0 32.0 40.0

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 24.5 13.8 34.7 26.2 35.4 17.3 2011 18.3 12.0 23.5 19.6 31.4 13.5 % change from 2001

-25.3 -13.0 -32.2 -25.1 -11.3 -22.0

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 37

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3-2 FEWER THAN 5 PRENATAL VISITS

2011

11.5

6.9

5.6

5.0

3.3

2.3

AmericanIndian

Hispanic

Black

ALL GROUPS

Asian

White non-Hispanic

0.0 4.0 8.0 12.0 16.0

Note: Per 100 live births.

2001

14.5

13.2

11.8

9.4

5.4

5.1

AmericanIndian

Hispanic

Black

ALL GROUPS

Asian

White non-Hispanic

0.0 4.0 8.0 12.0 16.0

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 9.4 5.1 13.2 11.8 14.5 5.4 2011 5.0 2.3 6.9 5.6 11.5 3.3 % change from 2001

-46.8 -54.9 -47.7 -52.5 -20.7 -38.9

38 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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3-3 NO PRENATAL CARE

2011

2.5

2.5

1.6

1.6

1.0

0.6

AmericanIndian

Hispanic

ALL GROUPS

Black

Asian

White non-Hispanic

0.0 0.7 1.4 2.1 2.8 3.5

Note: Per 100 live births.

2001

3.2

1.9

1.9

1.6

1.1

0.6

Hispanic

ALL GROUPS

AmericanIndian

Black

Asian

White non-Hispanic

0.0 0.7 1.4 2.1 2.8 3.5

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 1.9 0.6 3.2 1.6 1.9 1.1 2011 1.6 0.6 2.5 1.6 2.5 1.0 % change from 2001

-15.8 0.0 -21.9 0.0 31.6 -9.1

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 39

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4 Newborn’s Health

4-1 The Incidence of Hyaline Membrane Disease

4-2 Newborn Intensive Care

4-3 Born Too Early (Preterm or <37 Weeks)

4-4 The Incidence of Low-Birthweight Births

4-5 The Incidence of Very Low-Birthweight Births

4-6 The Incidence of Congenital Anomalies (Birth Defects)

4-7 Infant Mortality

4-8 Sudden Infant Death Syndrome

4-9 Mortality of Infants from Low-Birthweight/ Short Gestation

4-10 Neonatal Mortality

4-11 Postneonatal Mortality

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 41

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4-1 INCIDENCE OF HYALINE MEMBRANE DISEASE

2011

0.4

0.3

0.3

0.3

0.2

0.1

Black

ALL GROUPS

Hispanic

White non-Hispanic

AmericanIndian

Asian

0.0 0.1 0.2 0.3 0.4 0.5

Note: Per 100 live births.

2001

0.5

0.4

0.4

0.3

0.3

0.2

Black

AmericanIndian

White non-Hispanic

ALL GROUPS

Asian

Hispanic

0.0 0.1 0.2 0.3 0.4 0.5

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 0.3 0.4 0.2 0.5 0.4 0.3 2011 0.3 0.3 0.3 0.4 0.2 0.1 % change from 2001

0.0 -25.0 50.0 -20.0 -50.0 -66.7

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 43

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4-2 INCIDENCE OF NEWBORN INTENSIVE CARE

2011

7.5

5.6

5.4

5.2

5.2

4.3

Black

White non-Hispanic

ALL GROUPS

Asian

Hispanic

AmericanIndian

0.0 2.0 4.0 6.0 8.0 10.0

Note: Per 100 live births.

2001

9.0

5.9

5.7

5.6

5.4

4.6

Black

White non-Hispanic

ALL GROUPS

Asian

Hispanic

AmericanIndian

0.0 2.0 4.0 6.0 8.0 10.0

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 5.7 5.9 5.4 9.0 4.6 5.6 2011 5.4 5.6 5.2 7.5 4.3 5.2 % change from 2001

-5.3 -5.1 -3.7 -16.7 -6.5 -7.1

44 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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4-3 BORN TOO EARLY (PRETERM OF <37 WEEKS)

2011

12.7

9.3

9.1

9.1

9.0

9.0

Black

ALL GROUPS

Hispanic

White non-Hispanic

AmericanIndian

Asian

0.0 3.0 6.0 9.0 12.0 15.0

Note: Per 100 live births.

2001

14.8

10.1

10.1

9.9

9.8

9.4

Black

AmericanIndian

White non-Hispanic

ALL GROUPS

Asian

Hispanic

0.0 3.0 6.0 9.0 12.0 15.0

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 9.9 10.1 9.4 14.8 10.1 9.8 2011 9.3 9.1 9.1 12.7 9.0 9.0 % change from 2001

-6.1 -9.9 -3.2 -14.2 -10.9 -8.2

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 45

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4-4 BORN TOO SMALL: LOW BIRTHWEIGHT (<2,500 GRAMS)

2011

12.5

8.3

7.0

6.9

6.7

6.4

Black

Asian

ALL GROUPS

AmericanIndian

White non-Hispanic

Hispanic

0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0

Note: Per 100 live births.

2001

13.7

7.7

7.3

7.0

6.7

6.7

Black

Asian

AmericanIndian

ALL GROUPS

Hispanic

White non-Hispanic

0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 7.0 6.7 6.7 13.7 7.3 7.7 2011 7.0 6.7 6.4 12.5 6.9 8.3 % change from 2001

0.0 0.0 -4.5 -8.8 -5.5 7.8

46 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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4-5 BORN TOO SMALL: VERY LOW BIRTHWEIGHT (<1,500 GRAMS)

2011

2.5

1.3

1.2

1.1

1.1

1.1

Black

AmericanIndian

ALL GROUPS

Asian

Hispanic

White non-Hispanic

0.0 0.5 1.0 1.5 2.0 2.5 3.0

Note: Per 100 live births.

2001

2.7

1.1

1.0

1.0

1.0

0.9

Black

ALL GROUPS

AmericanIndian

Hispanic

White non-Hispanic

Asian

0.0 0.5 1.0 1.5 2.0 2.5 3.0

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 1.1 1.0 1.0 2.7 1.0 0.9 2011 1.2 1.1 1.1 2.5 1.3 1.1 % change from 2001

9.1 10.0 10.0 -7.4 30.0 22.2

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 47

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4-6 INCIDENCE OF CONGENITAL ANOMALIES (BIRTH DEFECTS)

2011

1.4

1.1

1.1

1.1

1.0

0.8

AmericanIndian

ALL GROUPS

Hispanic

White non-Hispanic

Black

Asian

0.0 0.5 1.0 1.5 2.0

Note: Per 100 live births.

2001

1.9

1.4

1.4

1.3

1.3

1.1

AmericanIndian

Black

White non-Hispanic

ALL GROUPS

Asian

Hispanic

0.0 0.5 1.0 1.5 2.0

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 100 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 1.3 1.4 1.1 1.4 1.9 1.3 2011 1.1 1.1 1.1 1.0 1.4 0.8 % change from 2001

-15.4 -21.4 0.0 -28.6 -26.3 -38.5

48 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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4-7 INFANT MORTALITY

2011

7.4

7.3

7.1

5.9

4.5

2.9

AmericanIndian

Black

Hispanic

ALL GROUPS

White non-Hispanic

Asian

0.0 5.0 10.0 15.0 20.0 25.0

Note: Per 100 live births.

2001

22.7

10.7

6.9

6.7

5.7

3.8

Black

AmericanIndian

ALL GROUPS

Hispanic

White non-Hispanic

Asian

0.0 5.0 10.0 15.0 20.0 25.0

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 1,000 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 6.9 5.7 6.7 22.7 10.7 3.8 2011 5.9 4.5 7.1 7.3 7.4 2.9 % change from 2001

-14.5 -21.1 6.0 -67.8 -30.8 -23.7

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 49

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4-8 SUDDEN INFANT DEATH SYNDROME (SIDS)

2011

0.5

0.3

0.3

0.3

0.2

0.0

Black

ALL GROUPS

AmericanIndian

Hispanic

White non-Hispanic

Asian

0.0 0.6 1.2 1.8 2.4 3.0

Note: Per 100 live births.

2001

2.9

0.4

0.4

0.4

0.2

0.0

Black

ALL GROUPS

AmericanIndian

White non-Hispanic

Hispanic

Asian

0.0 0.6 1.2 1.8 2.4 3.0

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 1,000 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 0.4 0.4 0.2 2.9 0.4 0.0 2011 0.3 0.2 0.3 0.5 0.3 0.0 % change from 2001

-25.0 -50.0 50.0 -82.8 -25.0 NA

50 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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4-9 MORTALITY OF INFANTS FROM LOW BIRTHWEIGHT/SHORT GESTATION

2011

1.2

1.1

0.8

0.7

0.6

0.5

AmericanIndian

Black

Hispanic

ALL GROUPS

Asian

White non-Hispanic

0.0 1.0 2.0 3.0 4.0 5.0

Note: Per 100 live births.

2001

4.0

1.1

0.9

0.6

0.4

0.0

Black

Hispanic

ALL GROUPS

White non-Hispanic

AmericanIndian

Asian

0.0 1.0 2.0 3.0 4.0 5.0

Note: Per 100 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 1,000 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 0.9 0.6 1.1 4.0 0.4 0.0 2011 0.7 0.5 0.8 1.1 1.2 0.6 % change from 2001

-22.2 -16.7 -27.3 -72.5 200.0 NA

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4-10 NEONATAL MORTALITY

2011

4.7

4.6

3.9

3.3

3.1

2.9

Hispanic

Black

ALL GROUPS

AmericanIndian

White non-Hispanic

Asian

0.0 3.0 6.0 9.0 12.0 15.0

Note: Number of deaths per 1,000 live births.

2001

15.0

4.5

4.5

4.1

4.0

2.4

Black

ALL GROUPS

Hispanic

AmericanIndian

White non-Hispanic

Asian

0.0 3.0 6.0 9.0 12.0 15.0

Note: Number of deaths per 1,000 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 1,000 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 4.5 4.0 4.5 15.0 4.1 2.4 2011 3.9 3.1 4.7 4.6 3.3 2.9 % change from 2001

-13.3 -22.5 4.4 -69.3 -19.5 20.8

52 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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4-11 POSTNEONATAL MORTALITY

2011

4.1

2.7

2.4

2.0

1.3

0.0

AmericanIndian

Black

Hispanic

ALL GROUPS

White non-Hispanic

Asian

0.0 2.0 4.0 6.0 8.0

Note: Number of deaths per 1,000 live births.

2001

7.7

6.6

2.4

2.2

1.7

1.4

Black

AmericanIndian

ALL GROUPS

Hispanic

White non-Hispanic

Asian

0.0 2.0 4.0 6.0 8.0

Note: Number of deaths per 1,000 live births.

COMPARATIVE RATES FOR 2001 AND 2011

Per 1,000 births by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 2.4 1.7 2.2 7.7 6.6 1.4 2011 2.0 1.3 2.4 2.7 4.1 0.0 % change from 2001

-16.7 -23.5 9.1 -64.9 -37.9 -100.0

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 53

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5 Mortality

from Natural Causes

5-1 Cardiovascular Disease 5-2 Diseases of the Heart 5-3 Coronary Heart Disease 5-4 Cerebrovascular Disease 5-5 Chronic Lower Respiratory Disease 5-6 Malignant Neoplasms 5-7 Lung Cancer 5-8 Breast Cancer 5-9 Cervical Cancer 5-10 Colorectal Cancer 5-11 Prostate Cancer 5-12 Influenza and Pneumonia 5-13 Diabetes 5-14 Chronic Liver Disease and Cirrhosis 5-15 HIV Disease 5-16 Septicemia 5-17 Alzheimer's Disease 5-18 Nephritis, Nephrotic Syndrome, & Nephrosis

(kidney disease) 5-19 Essential (primary) Hypertension 5-20 Mortality from All Causes

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 55

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5-1 CARDIOVASCULAR DISEASE

2011

266.1

212.6

201.0

193.4

149.2

122.4

Black

White non-Hispanic

ALL GROUPS

Hispanic

AmericanIndian

Asian

0.0 100.0 200.0 300.0 400.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

388.1

281.4

267.3

265.8

234.1

184.3

Black

Hispanic

ALL GROUPS

White non-Hispanic

AmericanIndian

Asian

0.0 100.0 200.0 300.0 400.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 267.3 265.8 281.4 388.1 234.1 184.3 2011 201.0 212.6 193.4 266.1 149.2 122.4 % change from 2001

-24.8 -20.0 -31.3 -31.4 -36.3 -33.6

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5-2 DISEASES OF THE HEART

2011

174.0

164.3

152.7

137.4

111.1

77.0

Black

White non-Hispanic

ALL GROUPS

Hispanic

AmericanIndian

Asian

0.0 40.0 80.0 120.0 160.0 200.0 240.0 280.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

273.6

206.1

202.1

201.7

177.7

116.1

Black

Hispanic

White non-Hispanic

ALL GROUPS

AmericanIndian

Asian

0.0 40.0 80.0 120.0 160.0 200.0 240.0 280.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 201.7 202.1 206.1 273.6 177.7 116.1 2011 152.7 164.3 137.4 174.0 111.1 77.0 % change from 2001

-24.3 -18.7 -33.3 -36.4 -37.5 -33.7

58 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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5-3 CORONARY HEART DISEASE

2011

142.7

130.6

120.3

106.0

79.6

61.0

Black

White non-Hispanic

ALL GROUPS

Hispanic

AmericanIndian

Asian

0.0 50.0 100.0 150.0 200.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

196.9

159.7

149.8

149.3

116.4

80.7

Black

Hispanic

White non-Hispanic

ALL GROUPS

AmericanIndian

Asian

0.0 50.0 100.0 150.0 200.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 149.3 149.8 159.7 196.9 116.4 80.7 2011 120.3 130.6 106.0 142.7 79.6 61.0 % change from 2001

-19.4 -12.8 -33.6 -27.5 -31.6 -24.4

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 59

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5-4 CEREBROVASCULAR DISEASE

2011

56.5

34.9

30.6

30.4

29.7

29.1

Black

Hispanic

ALL GROUPS

White non-Hispanic

AmericanIndian

Asian

0.0 20.0 40.0 60.0 80.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

79.6

55.4

51.1

47.7

46.2

44.3

Black

Hispanic

Asian

ALL GROUPS

White non-Hispanic

AmericanIndian

0.0 20.0 40.0 60.0 80.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 47.7 46.2 55.4 79.6 44.3 51.1 2011 30.6 30.4 34.9 56.5 29.7 29.1 % change from 2001

-35.8 -34.2 -37.0 -29.0 -33.0 -43.1

60 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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5-5 CHRONIC LOWER RESPIRATORY DISEASE

2011

55.3

45.9

34.8

19.5

17.2

14.4

White non-Hispanic

ALL GROUPS

Black

Hispanic

Asian

AmericanIndian

0.0 12.0 24.0 36.0 48.0 60.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

51.0

46.9

37.9

26.8

21.4

17.7

White non-Hispanic

ALL GROUPS

Black

AmericanIndian

Asian

Hispanic

0.0 12.0 24.0 36.0 48.0 60.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 46.9 51.0 17.7 37.9 26.8 21.4 2011 45.9 55.3 19.5 34.8 14.4 17.2 % change from 2001 -2.1 8.4 10.2 -8.2 -46.3 -19.6

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5-6 MALIGNANT NEOPLASM (CANCER)

2011

170.3

167.1

151.3

136.3

116.6

100.8

White non-Hispanic

Black

ALL GROUPS

Hispanic

Asian

AmericanIndian

0.0 25.0 50.0 75.0 100.0 125.0 150.0 175.0 200.0 225.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

213.0

173.1

169.2

155.6

147.0

121.7

Black

White non-Hispanic

ALL GROUPS

Hispanic

Asian

AmericanIndian

0.0 25.0 50.0 75.0 100.0 125.0 150.0 175.0 200.0 225.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 169.2 173.1 155.6 213.0 121.7 147.0 2011 151.3 170.3 136.3 167.1 100.8 116.6 % change from 2001

-10.6 -1.6 -12.4 -21.5 -17.2 -20.7

62 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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5-7 LUNG CANCER

2011

46.7

37.8

36.6

22.9

20.8

7.9

White non-Hispanic

ALL GROUPS

Black

Hispanic

Asian

AmericanIndian

0.0 15.0 30.0 45.0 60.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

55.7

47.6

44.5

41.7

29.2

9.8

Black

White non-Hispanic

ALL GROUPS

Asian

Hispanic

AmericanIndian

0.0 15.0 30.0 45.0 60.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 44.5 47.6 29.2 55.7 9.8 41.7 2011 37.8 46.7 22.9 36.6 7.9 20.8 % change from 2001

-15.1 -1.9 -21.6 -34.3 -19.4 -50.1

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5-8 BREAST CANCER

2011

24.1

20.8

19.7

15.6

12.2

7.5

Black

White non-Hispanic

ALL GROUPS

Asian

Hispanic

AmericanIndian

0.0 10.0 20.0 30.0 40.0 50.0 60.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

55.8

24.7

23.6

17.5

12.7

11.7

Black

White non-Hispanic

ALL GROUPS

Hispanic

Asian

AmericanIndian

0.0 10.0 20.0 30.0 40.0 50.0 60.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 females by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 23.6 24.7 17.5 55.8 11.7 12.7 2011 19.7 20.8 12.2 24.1 7.5 15.6 % change from 2001

-16.5 -15.8 -30.3 -56.8 -35.9 22.8

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5-9 CERVICAL CANCER

2011

3.7

3.1

3.0

2.4

2.1

1.6

Hispanic

AmericanIndian

Asian

Black

ALL GROUPS

White non-Hispanic

0.0 1.5 3.0 4.5 6.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

5.4

3.9

3.5

2.8

2.5

0.0

AmericanIndian

Hispanic

Black

ALL GROUPS

White non-Hispanic

Asian

0.0 1.5 3.0 4.5 6.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 females by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 2.8 2.5 3.9 3.5 5.4 0.0 2011 2.1 1.6 3.7 2.4 3.1 3.0 % change from 2001

-25.0 -36.0 -5.1 -31.4 -42.6 NA

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5-10 COLORECTAL CANCER

2011

20.2

14.4

14.3

13.6

13.4

9.9

Black

White non-Hispanic

Asian

Hispanic

ALL GROUPS

AmericanIndian

0.0 4.0 8.0 12.0 16.0 20.0 24.0 28.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

27.4

16.9

16.7

16.6

10.6

7.2

Black

White non-Hispanic

ALL GROUPS

Hispanic

Asian

AmericanIndian

0.0 4.0 8.0 12.0 16.0 20.0 24.0 28.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 16.7 16.9 16.6 27.4 7.2 10.6 2011 13.4 14.4 13.6 20.2 9.9 14.3 % change from 2001

-19.8 -14.8 -18.1 -26.3 37.5 34.9

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5-11 PROSTATE CANCER

2011

24.1

20.6

19.8

19.5

17.1

5.0

Black

Hispanic

ALL GROUPS

White non-Hispanic

AmericanIndian

Asian

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

45.0

26.3

24.3

24.2

24.1

14.0

Black

Hispanic

ALL GROUPS

Asian

White non-Hispanic

AmericanIndian

0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 40.0 45.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 males by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 24.3 24.1 26.3 45.0 14.0 24.2 2011 19.8 19.5 20.6 24.1 17.1 5.0 % change from 2001

-18.5 -19.1 -21.7 -46.4 22.1 -79.3

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 67

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5-12 INFLUENZA AND PNEUMONIA

2011

28.4

12.0

9.7

9.3

9.1

8.1

AmericanIndian

Hispanic

ALL GROUPS

White non-Hispanic

Asian

Black

0.0 15.0 30.0 45.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

43.0

26.1

21.9

21.3

15.0

14.8

AmericanIndian

Hispanic

ALL GROUPS

White non-Hispanic

Asian

Black

0.0 15.0 30.0 45.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 21.9 21.3 26.1 14.8 43.0 15.0 2011 9.7 9.3 12.0 8.1 28.4 9.1 % change from 2001

-55.7 -56.3 -54.0 -45.3 -34.0 -39.3

68 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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5-13 DIABETES

2011

61.3

57.8

41.7

24.8

23.3

21.6

AmericanIndian

Black

Hispanic

ALL GROUPS

Asian

White non-Hispanic

0.0 15.0 30.0 45.0 60.0 75.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

72.8

55.7

42.9

19.9

15.4

14.8

AmericanIndian

Black

Hispanic

ALL GROUPS

White non-Hispanic

Asian

0.0 15.0 30.0 45.0 60.0 75.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 19.9 15.4 42.9 55.7 72.8 14.8 2011 24.8 21.6 41.7 57.8 61.3 23.3 % change from 2001

24.6 40.3 -2.8 3.8 -15.8 57.4

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5-14 CHRONIC LIVER DISEASE AND CIRRHOSIS

2011

43.6

18.9

13.4

12.0

6.6

4.2

AmericanIndian

Hispanic

ALL GROUPS

White non-Hispanic

Black

Asian

0.0 15.0 30.0 45.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

39.1

17.4

12.3

11.7

10.6

4.0

AmericanIndian

Hispanic

ALL GROUPS

Black

White non-Hispanic

Asian

0.0 15.0 30.0 45.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 12.3 10.6 17.4 11.7 39.1 4.0 2011 13.4 12.0 18.9 6.6 43.6 4.2 % change from 2001

8.9 13.2 8.6 -43.6 11.5 5.0

70 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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5-15 HIV DISEASE

2011

5.4

2.0

1.7

1.6

1.2

1.2

Black

AmericanIndian

Hispanic

ALL GROUPS

Asian

White non-Hispanic

0.0 3.0 6.0 9.0 12.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

11.2

5.5

3.2

3.1

2.6

1.1

Black

AmericanIndian

Hispanic

ALL GROUPS

White non-Hispanic

Asian

0.0 3.0 6.0 9.0 12.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 3.1 2.6 3.2 11.2 5.5 1.1 2011 1.6 1.2 1.7 5.4 2.0 1.2 % change from 2001

-48.4 -53.8 -46.9 -51.8 -63.6 9.1

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 71

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5-16 SEPTICEMIA

2011

16.5

6.4

6.4

4.7

4.2

3.2

AmericanIndian

Black

Hispanic

ALL GROUPS

White non-Hispanic

Asian

0.0 4.0 8.0 12.0 16.0 20.0 24.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

21.8

13.6

10.7

7.2

6.0

3.2

AmericanIndian

Black

Hispanic

ALL GROUPS

White non-Hispanic

Asian

0.0 4.0 8.0 12.0 16.0 20.0 24.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 7.2 6.0 10.7 13.6 21.8 3.2 2011 4.7 4.2 6.4 6.4 16.5 3.2 % change from 2001 -34.7 -30.0 -40.2 -52.9 -24.3 0.0

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5-17 ALZHEIMER’S DISEASE

2011

54.7

36.3

35.2

30.9

21.0

18.1

Black

White non-Hispanic

ALL GROUPS

Hispanic

Asian

AmericanIndian

0.0 10.0 20.0 30.0 40.0 50.0 60.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

23.5

22.5

21.5

14.7

14.6

12.7

White non-Hispanic

ALL GROUPS

Black

Hispanic

Asian

AmericanIndian

0.0 10.0 20.0 30.0 40.0 50.0 60.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 22.5 23.5 14.7 21.5 12.7 14.6 2011 35.2 36.3 30.9 54.7 18.1 21.0 % change from 2001

56.4 54.5 110.2 154.4 42.5 43.8

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5-18 NEPHRITIS, NEPHROTIC SYNDROME, AND NEPHROSIS

2011

15.3

10.0

8.8

8.6

6.0

5.4

AmericanIndian

Black

Hispanic

Asian

ALL GROUPS

White non-Hispanic

0.0 7.0 14.0 21.0 28.0 35.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

33.5

23.5

22.6

12.0

9.9

8.4

AmericanIndian

Black

Hispanic

ALL GROUPS

White non-Hispanic

Asian

0.0 7.0 14.0 21.0 28.0 35.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 12.0 9.9 22.6 23.5 33.5 8.4 2011 6.0 5.4 8.8 10.0 15.3 8.6 % change from 2001

-50.0 -45.5 -61.1 -57.4 -54.3 2.4

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5-19 ESSENTIAL (PRIMARY) HYPERTENSION

2011

29.4

12.9

10.8

10.5

9.8

6.9

Black

Hispanic

ALL GROUPS

White non-Hispanic

Asian

AmericanIndian

0.0 5.0 10.0 15.0 20.0 25.0 30.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

13.8

11.8

8.7

5.9

5.5

3.4

Black

Asian

Hispanic

ALL GROUPS

White non-Hispanic

AmericanIndian

0.0 5.0 10.0 15.0 20.0 25.0 30.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 5.9 5.5 8.7 13.8 3.4 11.8 2011 10.8 10.5 12.9 29.4 6.9 9.8 % change from 2001

83.1 90.9 48.3 113.0 102.9 -16.9

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5-20 TOTAL MORTALITY FROM ALL CAUSES

2011

833.6

765.5

741.5

699.6

656.4

436.7

Black

AmericanIndian

White non-Hispanic

ALL GROUPS

Hispanic

Asian

0.0 300.0 600.0 900.0 1200.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

1050.6

1010.5

791.2

787.6

778.1

560.7

Black

AmericanIndian

ALL GROUPS

Hispanic

White non-Hispanic

Asian

0.0 300.0 600.0 900.0 1200.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 791.2 778.1 787.6 1050.6 1010.5 560.7 2011 699.6 741.5 656.4 833.6 765.5 436.7 % change from 2001

-11.6 -4.7 -16.7 -20.7 -24.2 -22.1

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6 Mortality from Injuries

6-1 Unintentional Injuries

6-2 Motor Vehicle-Related Injuries

6-3 Fall-Related Injuries

6-4 Drowning

6-5 Injury by Firearms

6-6 Drug-Induced

6-7 Alcohol-Induced

6-8 Intentional Self-Harm (suicide)

6-9 Assault (homicide)

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6-1 UNINTENTIONAL INJURIES

2011

100.6

46.9

45.5

41.6

38.9

19.7

AmericanIndian

White non-Hispanic

ALL GROUPS

Black

Hispanic

Asian

0.0 23.0 46.0 69.0 92.0 115.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

112.7

52.6

46.6

45.6

42.5

29.9

AmericanIndian

Black

ALL GROUPS

Hispanic

White non-Hispanic

Asian

0.0 23.0 46.0 69.0 92.0 115.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 46.6 42.5 45.6 52.6 112.7 29.9 2011 45.5 46.9 38.9 41.6 100.6 19.7 % change from 2001

-2.4 10.4 -14.7 -20.9 -10.7 -34.1

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6-2 MOTOR VEHICLE-RELATED INJURIES

2011

44.2

12.1

11.7

11.7

10.4

6.8

AmericanIndian

ALL GROUPS

Black

Hispanic

White non-Hispanic

Asian

0.0 14.0 28.0 42.0 56.0 70.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

63.2

19.1

18.2

17.2

13.5

8.6

AmericanIndian

Black

Hispanic

ALL GROUPS

White non-Hispanic

Asian

0.0 14.0 28.0 42.0 56.0 70.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 17.2 13.5 18.2 19.1 63.2 8.6 2011 12.1 10.4 11.7 11.7 44.2 6.8 % change from 2001

-29.7 -23.0 -35.7 -38.7 -30.1 -20.9

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6-3 FALL-RELATED INJURIES

2011

15.8

12.0

11.6

10.5

8.9

6.4

AmericanIndian

White non-Hispanic

ALL GROUPS

Hispanic

Black

Asian

0.0 4.0 8.0 12.0 16.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

11.3

8.9

8.9

8.8

8.3

7.8

AmericanIndian

ALL GROUPS

White non-Hispanic

Black

Asian

Hispanic

0.0 4.0 8.0 12.0 16.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 8.9 8.9 7.8 8.8 11.3 8.3 2011 11.6 12.0 10.5 8.9 15.8 6.4 % change from 2001

30.3 34.8 34.6 1.1 39.8 -22.9

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6-4 DROWNING

2011

2.6

2.2

2.0

1.3

1.3

1.0

Black

AmericanIndian

Asian

ALL GROUPS

White non-Hispanic

Hispanic

0.0 1.0 2.0 3.0 4.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

4.0

1.8

1.6

1.5

1.3

1.2

Asian

White non-Hispanic

ALL GROUPS

Black

Hispanic

AmericanIndian

0.0 1.0 2.0 3.0 4.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 1.6 1.8 1.3 1.5 1.2 4.0 2011 1.3 1.3 1.0 2.6 2.2 2.0 % change from 2001

-18.8 -27.8 -23.1 73.3 83.3 -50.0

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6-5 FIREARM-RELATED

2011

16.3

16.2

14.7

10.8

9.2

2.4

White non-Hispanic

Black

ALL GROUPS

Hispanic

AmericanIndian

Asian

0.0 7.0 14.0 21.0 28.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

25.3

15.8

15.5

13.9

11.8

9.0

Black

Hispanic

ALL GROUPS

White non-Hispanic

AmericanIndian

Asian

0.0 7.0 14.0 21.0 28.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 15.5 13.9 15.8 25.3 11.8 9.0 2011 14.7 16.3 10.8 16.2 9.2 2.4 % change from 2001

-5.2 17.3 -31.6 -36.0 -22.0 -73.3

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6-6 DRUG-INDUCED

2011

21.6

16.8

12.6

10.9

9.6

1.8

White non-Hispanic

ALL GROUPS

Black

Hispanic

AmericanIndian

Asian

0.0 5.0 10.0 15.0 20.0 25.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

13.8

12.4

11.3

9.4

9.3

0.9

Black

White non-Hispanic

ALL GROUPS

Hispanic

AmericanIndian

Asian

0.0 5.0 10.0 15.0 20.0 25.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 11.3 12.4 9.4 13.8 9.3 0.9 2011 16.8 21.6 10.9 12.6 9.6 1.8 % change from 2001

48.7 74.2 16.0 -8.7 3.2 100.0

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6-7 ALCOHOL-INDUCED

2011

64.1

14.3

14.3

12.5

6.0

1.9

AmericanIndian

ALL GROUPS

Hispanic

White non-Hispanic

Black

Asian

0.0 13.0 26.0 39.0 52.0 65.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 8.4 6.8 9.1 7.9 41.5 1.1 2011 14.3 12.5 14.3 6.0 64.1 1.9 % change from 2001

70.2 83.8 57.1 -24.1 54.5 72.7

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6-8 INTENTIONAL SELF-HARM (SUICIDE)

2011

22.0

17.2

14.9

9.1

8.1

5.3

White non-Hispanic

ALL GROUPS

AmericanIndian

Black

Hispanic

Asian

0.0 4.0 8.0 12.0 16.0 20.0 24.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

15.4

12.8

11.5

9.4

9.2

5.9

AmericanIndian

White non-Hispanic

ALL GROUPS

Asian

Black

Hispanic

0.0 4.0 8.0 12.0 16.0 20.0 24.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 11.5 12.8 5.9 9.2 15.4 9.4 2011 17.2 22.0 8.1 9.1 14.9 5.3 % change from 2001

49.6 71.9 37.3 -1.1 -3.2 -43.6

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6-9 ASSAULT (HOMICIDE)

2011

16.5

11.9

7.9

6.1

3.9

3.5

Black

AmericanIndian

Hispanic

ALL GROUPS

Asian

White non-Hispanic

0.0 6.0 12.0 18.0 24.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

2001

22.2

17.2

15.5

8.7

4.9

4.3

Black

AmericanIndian

Hispanic

ALL GROUPS

Asian

White non-Hispanic

0.0 6.0 12.0 18.0 24.0

Note: Number of deaths per 100,000 population (age-adjusted to the 2000 standard).

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 8.7 4.3 15.5 22.2 17.2 4.9 2011 6.1 3.5 7.9 16.5 11.9 3.9 % change from 2001

-29.9 -18.6 -49.0 -25.7 -30.8 -20.4

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7 Age-Specific Mortality

7-1 Children 1-14 Years Old

7-2 Adolescents 15-19 Years Old

7-3 Young Adults 20-44 Years Old

7-4 Middle-Age Adults 45-64 Years Old

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7-1 CHILDREN 1-14 YEARS OLD

2011

32.4

21.9

17.5

16.4

15.4

10.6

Black

AmericanIndian

ALL GROUPS

Hispanic

White non-Hispanic

Asian

0.0 12.0 24.0 36.0 48.0 60.0 72.0

Note: Number of deaths per 100,000 children 1-14 years.

2001

71.0

43.2

31.9

28.8

26.3

23.9

AmericanIndian

Black

Asian

ALL GROUPS

Hispanic

White non-Hispanic

0.0 12.0 24.0 36.0 48.0 60.0 72.0

Note: Number of deaths per 100,000 children 1-14 years.

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 children 1-14 years old by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 28.8 23.9 26.3 43.2 71.0 31.9 2011 17.5 15.4 16.4 32.4 21.9 10.6 % change from 2001

-39.2 -35.6 -37.6 -25.0 -69.2 -66.8

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7-2 ADOLESCENTS 15-19 YEARS OLD

2011

114.2

49.7

45.8

44.1

39.8

15.2

AmericanIndian

ALL GROUPS

White non-Hispanic

Hispanic

Black

Asian

0.0 40.0 80.0 120.0 160.0 200.0 240.0 280.0

Note: Number of deaths per 100,000 adolescents 15-19 years.

2001

265.2

86.6

82.7

73.2

70.2

61.9

AmericanIndian

ALL GROUPS

Hispanic

Black

White non-Hispanic

Asian

0.0 40.0 80.0 120.0 160.0 200.0 240.0 280.0

Note: Number of deaths per 100,000 adolescents 15-19 years.

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 adolescents 15-19 years old by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 86.6 70.2 82.7 73.2 265.2 61.9 2011 49.7 45.8 44.1 39.8 114.2 15.2 % change from 2001

-42.6 -34.8 -46.7 -45.6 -56.9 -75.4

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7-3 YOUNG ADULTS 20-44 YEARS OLD

2011

276.5

152.4

136.0

133.6

102.4

46.1

AmericanIndian

Black

White non-Hispanic

ALL GROUPS

Hispanic

Asian

0.0 75.0 150.0 225.0 300.0 375.0

Note: Number of deaths per 100,000 young adults 20-44 years.

2001

373.2

250.1

158.2

147.5

145.2

60.6

AmericanIndian

Black

ALL GROUPS

Hispanic

White non-Hispanic

Asian

0.0 75.0 150.0 225.0 300.0 375.0

Note: Number of deaths per 100,000 young adults 20-44 years.

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 young adults 20-44 years old by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 158.2 145.2 147.5 250.1 373.2 60.6 2011 133.6 136.0 102.4 152.4 276.5 46.1 % change from 2001

-15.5 -6.3 -30.6 -39.1 -25.9 -23.9

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7-4 MIDDLE-AGE ADULTS 45-64 YEARS OLD

2011

759.3

726.8

611.6

595.0

473.9

319.3

Black

AmericanIndian

White non-Hispanic

ALL GROUPS

Hispanic

Asian

0.0 200.0 400.0 600.0 800.0 1000.0

Note: Number of deaths per 100,000 middle-age adults 45-64 years.

2001

996.1

981.4

632.1

631.9

545.9

312.2

Black

AmericanIndian

ALL GROUPS

White non-Hispanic

Hispanic

Asian

0.0 200.0 400.0 600.0 800.0 1000.0

Note: Number of deaths per 100,000 middle-age adults 45-64 years.

COMPARATIVE RATES FOR 2001 AND 2011

Number of deaths per 100,000 middle-age adults 45-64 years old by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 632.1 631.9 545.9 996.1 981.4 312.2 2011 595.0 611.6 473.9 759.3 726.8 319.3 % change from 2001

-5.9 -3.2 -13.2 -23.8 -25.9 2.3

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8 Patterns of

Premature Mortality

8-1 Median Age At Death From All Causes Among Arizona Residents

8-2 Median Age At Death From All Causes Among

Arizona Males

8-3 Median Age At Death From All Causes Among Arizona Females

8-4 Percent of Total Deaths Before Expected

Years of Life Reached

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8-1 MEDIAN AGE AT DEATH FROM ALL CAUSES

2011

79.0

77.0

72.0

68.0

66.0

60.0

White non-Hispanic

ALL GROUPS

Asian

Hispanic

Black

American Indian

0.0 15.0 30.0 45.0 60.0 75.0 90.0

2001

78.0

76.0

68.5

65.0

63.0

56.0

White non-Hispanic

ALL GROUPS

Asian

Hispanic

Black

AmericanIndian

0.0 15.0 30.0 45.0 60.0 75.0 90.0

MEDIAN AGE AT DEATH IN 2001 AND 2011

By race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 76.0 78.0 65.0 63.0 56.0 68.5 2011 77.0 79.0 68.0 66.0 60.0 72.0 % change from 2001

1.3 1.3 4.6 4.8 7.1 5.1

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8-2 MEDIAN AGE AT DEATH FROM ALL CAUSES AMONG MALES

2011

76.0

73.0

69.0

64.0

63.0

54.0

White non-Hispanic

ALL GROUPS

Asian

Black

Hispanic

AmericanIndian

0.0 20.0 40.0 60.0 80.0

2001

75.0

73.0

68.0

59.0

58.0

49.0

White non-Hispanic

ALL GROUPS

Asian

Hispanic

Black

AmericanIndian

0.0 20.0 40.0 60.0 80.0

MEDIAN AGE AT DEATH AMONG MALES IN 2001 AND 2011

By race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 73.0 75.0 59.0 58.0 49.0 68.0 2011 73.0 76.0 63.0 64.0 54.0 69.0 % change from 2001

0.0 1.3 6.8 10.3 10.2 1.5

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8-3 MEDIAN AGE AT DEATH FROM ALL CAUSES AMONG FEMALES

2011

82.0

81.0

75.0

75.0

69.0

67.0

White non-Hispanic

ALL GROUPS

Asian

Hispanic

Black

AmericanIndian

0.0 15.0 30.0 45.0 60.0 75.0 90.0

2001

80.0

79.0

71.0

69.0

69.0

65.0

White non-Hispanic

ALL GROUPS

Hispanic

Asian

Black

AmericanIndian

0.0 15.0 30.0 45.0 60.0 75.0 90.0

MEDIAN AGE AT DEATH AMONG FEMALES IN 2001 AND 2011

By race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 79.0 80.0 71.0 69.0 65.0 69.0 2011 81.0 82.0 75.0 69.0 67.0 75.0 % change from 2001

2.5 2.5 5.6 0.0 3.1 8.7

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8-4 PERCENT OF TOTAL DEATHS BEFORE EXPECTED YEARS OF LIFE REACHED

2011

77.7

74.4

67.4

66.3

53.8

49.6

AmericanIndian

Black

Hispanic

Asian

ALL GROUPS

White non-Hispanic

0.0 20.0 40.0 60.0 80.0

2001

79.1

73.0

71.2

69.9

51.0

46.2

AmericanIndian

Black

Hispanic

Asian

ALL GROUPS

White non-Hispanic

0.0 20.0 40.0 60.0 80.0

DEATHS BEFORE EXPECTED YEARS OF LIFE REACHED IN 2001 AND 2011

By race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 51.0 46.2 71.2 73.0 79.1 69.9 2011 53.8 49.6 67.4 74.4 77.7 66.3 % change from 2001

5.5 7.4 -5.3 1.9 -1.8 -5.2

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9

The Incidence of Reportable Diseases

9-1 Rates of Early Syphilis

9-2 Rates of Gonorrhea

9-3 Rates of Chlamydia

9-4 Rates of Genital Herpes

9-5 Rates of HIV/AIDS

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9-1 RATES OF EARLY SYPHILIS

2011

23.8

10.5

10.3

7.2

4.8

1.8

Black

AmericanIndian

Hispanic

ALL GROUPS

White non-Hispanic

Asian

0.0 11.0 22.0 33.0 44.0 55.0

2001

52.4

16.6

15.1

8.4

2.6

0.0

Black

Hispanic

AmericanIndian

ALL GROUPS

White non-Hispanic

Asian

0.0 11.0 22.0 33.0 44.0 55.0

COMPARATIVE RATES FOR 2001 AND 2011

Number of reported cases per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 8.4 2.6 16.6 52.4 15.1 0.0 2011 7.2 4.8 10.3 23.8 10.5 1.8 % change from 2001

-14.3 84.6 -38.0 -54.6 -30.5 NA

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9-2 RATES OF GONORRHEA

2011

2001

Black

AmericanIndian

Hispanic

ALL GROUPS

White non-Hispanic

Asian

0.0 100.0 200.0 300.0 400.0 500.0 600.0

558.5

115.5

99.7

73.9

32.4

10.8

COMPARATIVE RATES FOR 2001 AND 2011

Number of reported cases per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 73.9 32.4 99.7 558.5 115.5 10.8 2011 71.4 28.9 67.1 415.7 162.8 19.9 % change from 2001

-3.4 -10.8 -32.7 -25.6 41.0 84.3

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9-3 RATES OF CHLAMYDIA

2011

1146.4

1129.6

533.0

457.6

186.8

132.5

Black

AmericanIndian

Hispanic

ALL GROUPS

White non-Hispanic

Asian

0.0 300.0 600.0 900.0 1200.0

2001

756.7

738.9

466.4

270.4

116.5

113.7

Black

AmericanIndian

Hispanic

ALL GROUPS

White non-Hispanic

Asian

0.0 300.0 600.0 900.0 1200.0

COMPARATIVE RATES FOR 2001 AND 2011

Number of reported cases per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 270.4 116.5 466.4 756.7 738.9 113.7 2011 457.6 186.8 533.0 1146.4 1129.6 132.5 % change from 2001

69.2 60.3 14.3 51.5 52.9 16.5

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9-4 RATES OF GENITAL HERPES

2011

83.6

68.4

33.7

30.0

22.5

8.2

Black

AmericanIndian

ALL GROUPS

Hispanic

White non-Hispanic

Asian

0.0 15.0 30.0 45.0 60.0 75.0 90.0

2001

43.3

27.9

23.8

22.1

17.7

13.7

Black

AmericanIndian

Hispanic

ALL GROUPS

White non-Hispanic

Asian

0.0 15.0 30.0 45.0 60.0 75.0 90.0

COMPARATIVE RATES FOR 2001 AND 2011

Number of reported cases per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 22.1 17.7 23.8 43.3 27.9 13.7 2011 33.7 22.5 30.0 83.6 68.4 8.2 % change from 2001

52.5 27.1 26.1 93.1 145.2 -40.1

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9-5 RATES OF HIV/AIDS

2011

29.9

11.4

11.4

9.2

8.0

6.4

Black

AmericanIndian

Hispanic

ALL GROUPS

Asian

White non-Hispanic

0.0 5.0 10.0 15.0 20.0 25.0 30.0

2001

29.4

7.0

6.8

6.4

6.3

3.9

Black

ALL GROUPS

AmericanIndian

White non-Hispanic

Hispanic

Asian

0.0 5.0 10.0 15.0 20.0 25.0 30.0

COMPARATIVE RATES FOR 2001 AND 2011

Number of reported HIV/AIDS cases per 100,000 population by race/ethnicity

Year All

groups

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2001 7.0 6.4 6.3 29.4 6.8 3.9 2011 9.2 6.4 11.4 29.9 11.4 8.0 % change from 2001

31.4 0.0 81.0 1.7 67.6 105.1

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COMPARATIVE RATES AND RATIOS

FOR 2001-2011

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1. TEEN PREGNANCIES

IndicatorALL ARIZONA RESIDENTS

White non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2011 23.0 11.8 30.2 24.9 29.2 9.1

2010 24.7 15.9 33.8 29.5 37.0 9.9

2009 28.0 15.6 43.5 33.3 34.7 11.6

2008 31.6 17.5 49.4 37.7 35.5 13.5

2007 34.4 19.0 55.3 36.1 39.1 15.3

2006 34.1 18.9 56.0 32.6 36.2 12.9

2005 32.7 15.8 55.5 43.5 40.8 16.2

2004 34.6 17.7 59.2 44.2 39.7 19.3

2003 34.5 18.2 57.5 45.4 39.9 19.2

2002 35.2 20.1 57.6 42.5 36.6 19.1

2001 36.0 21.1 59.1 45.1 36.7 20.3

2011 0.7 0.2 0.9 0.9 0.8 0.5

2010 0.7 0.3 0.9 1.1 1.2 0.2

2009 0.7 0.3 1.1 0.8 1.0 0.5

2008 1.0 0.3 1.7 1.6 1.4 0.5

2007 1.5 0.9 1.9 2.3 2.0 0.7

2006 1.1 0.4 1.9 1.4 1.1 0.8

2005 1.1 0.3 2.2 1.6 1.5 0.3

2004 1.1 0.3 2.3 1.6 1.4 0.6

2003 1.4 0.4 2.6 1.2 2.5 0.6

2002 1.3 0.4 2.5 2.4 1.3 0.3

2001 1.3 0.5 2.5 2.2 1.4 0.0

2011 22.1 9.6 31.8 22.3 28.8 7.2

2010 25.5 12.9 38.9 27.3 40.5 8.3

2009 28.5 12.3 51.3 31.6 36.9 8.2

2008 34.6 14.9 62.7 37.2 38.1 11.6

2007 36.9 15.6 68.5 36.9 42.4 12.0

2006 39.0 17.2 72.7 36.1 41.5 13.0

2005 39.1 14.9 72.9 51.6 55.0 16.2

2004 42.0 16.9 79.7 53.0 53.2 20.2

2003 41.6 17.5 76.5 59.8 52.0 22.0

2002 42.2 20.2 77.0 47.0 45.1 14.6

2001 43.2 20.8 79.7 57.5 43.5 22.8

2011 77.2 40.8 104.0 84.0 94.2 32.7

2010 80.8 53.9 112.6 97.0 111.0 35.5

2009 102.5 59.6 164.2 141.7 114.0 48.7

2008 111.3 65.3 177.2 155.7 115.2 53.5

2007 121.4 70.3 201.2 144.1 124.9 62.2

2006 115.6 68.6 188.1 118.1 119.8 45.0

2005 103.6 55.1 168.9 144.8 137.0 47.6

2004 108.7 61.2 177.4 149.8 134.2 55.0

2003 108.2 62.9 172.7 147.5 134.2 52.1

2002 111.2 67.9 172.8 148.0 130.1 61.6

2001 113.2 71.7 176.0 146.4 133.4 57.1

Figure 1-4 - Pregnancies among females 18-19 years old

COMPARATIVE RATES AND RATIOS FOR 2001 – 2011

(Number of pregnancies per 1,000 females in specified age group)

Figure 1-1 - Pregnancies among females 19 and younger

Figure 1-2 - Pregnancies among females 14 and younger

Figure 1-3 - Pregnancies among females 15-17 years old

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2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS

IndicatorALL ARIZONA RESIDENTS

White non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2011 44.3 29.5 56.6 63.6 77.1 17.32010 44.7 29.9 56.2 63.1 77.7 17.42009 45.2 29.7 56.9 62.7 76.9 15.82008 45.1 29.5 56.5 62.6 75.8 17.42007 45.0 28.4 56.7 61.9 75.9 17.62006 43.9 27.7 55.4 62.3 74.8 16.22005 42.8 26.1 54.3 61.9 72.9 17.02004 41.9 24.8 53.9 62.0 73.1 15.82003 41.2 25.1 52.7 62.7 72.4 16.32002 40.2 25.0 52.2 61.8 69.7 15.52001 39.4 24.5 51.0 64.2 70.1 17.0

2011 4.3 6.7 1.6 6.7 2.4 1.52010 4.7 7.5 1.7 6.9 2.5 1.72009 4.8 8.0 1.8 7.0 2.6 1.72008 4.9 8.4 1.6 7.3 2.8 1.62007 4.7 8.3 1.6 6.8 3.1 1.92006 5.1 8.8 1.8 7.2 3.6 1.82005 5.4 9.3 1.9 7.7 3.4 2.22004 5.8 9.4 2.1 9.0 3.7 2.42003 5.8 9.4 2.1 8.7 3.2 2.82002 6.3 10.7 2.1 9.7 3.3 2.32001 6.8 11.0 2.4 10.7 4.0 2.7

2011 0.5 0.6 0.2 0.6 1.5 0.42010 0.5 0.5 0.2 0.8 1.9 0.42009 0.5 0.6 0.4 0.6 1.4 0.22008 0.5 0.7 0.4 0.5 1.3 0.42007 0.6 0.7 0.2 0.6 1.8 0.22006 0.6 0.8 0.3 0.6 1.9 0.42005 0.8 1.1 0.3 0.7 2.2 0.42004 0.5 0.6 0.2 0.4 1.4 0.32003 0.9 1.1 0.4 1.3 2.4 0.52002 0.9 1.0 0.4 1.2 2.6 0.22001 0.9 1.0 0.5 1.6 2.6 0.4

2011 0.8 0.8 0.7 1.7 1.2 0.62010 0.9 0.9 0.6 1.8 1.5 0.62009 0.8 0.8 0.6 1.6 1.6 0.92008 0.8 0.8 0.6 1.7 1.4 0.42007 0.6 0.6 0.5 1.1 1.5 0.52006 0.6 0.6 0.4 1.0 1.4 0.52005 0.4 0.5 0.3 1.0 1.0 0.52004 0.4 0.4 0.2 0.4 0.8 0.42003 0.3 0.4 0.2 0.5 0.7 0.32002 0.4 0.4 0.2 0.7 0.8 0.22001 0.4 0.4 0.2 0.7 1.3 0.2

2011 1.6 1.6 1.3 1.5 3.3 1.82010 1.9 2.1 1.4 2.1 2.6 2.32009 1.6 1.8 1.2 1.5 2.5 2.52008 1.4 1.4 1.1 1.8 3.3 1.42007 1.1 1.2 0.8 1.1 2.9 1.32006 1.0 1.1 0.6 1.0 2.5 1.42005 1.2 1.4 0.8 1.0 3.0 1.52004 0.9 1.0 0.6 0.8 2.9 1.02003 0.8 0.9 0.5 0.8 2.4 0.62002 1.0 1.1 0.7 1.2 2.7 1.32001 1.2 1.4 0.6 1.2 3.0 1.7

Figure 2-5 - Dysfunctional labor

(All ratios are per 100 live births)

Figure 2-1 - Unmarried mothers

Figure 2-2 - Tobacco use during pregnancy

Figure 2-3 - Alcohol use during pregnancy

Figure 2-4 - Chronic hypertension

112 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS (continued)

IndicatorALL ARIZONA RESIDENTS

White non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2011 3.6 3.7 2.8 5.9 6.0 2.62010 3.8 4.0 3.0 6.2 6.0 3.52009 3.6 3.7 2.6 6.0 7.2 3.02008 3.9 4.3 2.9 6.3 7.2 3.42007 3.0 3.3 2.0 4.3 6.8 2.42006 2.0 1.7 1.6 2.3 6.6 1.52005 2.0 2.0 1.5 3.5 5.6 1.62004 2.2 2.4 1.5 2.5 5.5 1.52003 2.0 2.3 1.2 2.8 5.5 1.72002 1.8 1.9 1.1 2.7 5.1 1.12001 1.6 1.5 1.0 1.7 6.0 1.6

2011 4.6 3.4 5.1 3.8 9.3 7.52010 4.2 3.2 4.5 3.4 7.8 6.82009 3.9 3.0 4.0 2.9 8.2 6.12008 3.9 2.9 4.1 2.9 8.2 6.82007 3.4 2.7 3.3 3.0 8.0 5.92006 3.2 2.5 3.2 2.7 7.2 4.52005 3.0 2.2 2.9 2.3 8.2 4.72004 2.5 2.0 2.1 1.9 7.6 3.92003 2.1 1.8 1.8 2.2 6.0 3.02002 2.3 1.9 2.2 2.0 6.5 2.92001 2.2 1.8 2.0 1.8 6.2 3.9

2011 4.2 4.5 3.5 5.2 6.3 3.12010 3.9 4.1 3.3 4.6 6.1 3.22009 3.6 4.2 2.7 4.3 5.5 2.52008 3.5 4.0 2.7 4.5 5.9 3.02007 3.1 3.7 2.2 3.5 5.8 2.42006 2.9 3.3 2.1 3.5 5.9 1.82005 3.1 3.8 2.1 3.0 5.8 2.42004 2.9 3.6 1.9 2.8 5.4 2.32003 2.8 3.4 1.9 2.7 5.7 1.92002 2.5 3.0 1.7 2.5 4.6 1.52001 2.6 3.1 1.7 2.4 5.7 1.8

2011 1.0 1.4 0.6 1.5 0.7 0.82010 1.0 1.4 0.6 1.7 0.7 0.72009 1.0 1.5 0.6 1.2 0.6 0.62008 1.0 1.5 0.5 1.3 0.9 0.62007 0.7 1.2 0.3 0.8 0.5 0.52006 0.7 1.1 0.3 1.0 0.4 0.42005 0.7 1.2 0.3 1.1 0.5 0.72004 0.7 1.2 0.3 0.8 0.4 0.42003 0.6 1.0 0.2 1.0 0.5 0.52002 0.7 1.1 0.2 1.2 0.3 0.42001 0.8 1.3 0.3 1.2 0.3 0.7

2011 26.4 20.1 32.2 30.0 35.6 22.52010 26.8 20.0 32.7 31.3 35.2 23.12009 26.9 19.7 33.1 31.0 34.6 21.82008 25.9 18.6 32.3 27.2 32.9 20.32007 25.3 18.1 31.2 27.5 31.9 19.42006 25.5 18.5 31.3 28.2 33.4 21.02005 24.4 16.9 30.1 27.9 32.4 18.72004 20.6 15.1 24.3 23.4 28.5 18.42003 19.7 14.5 22.9 23.3 31.9 16.02002 19.3 15.4 22.1 19.3 28.2 16.32001 18.5 14.9 20.9 21.3 28.8 16.0

Figure 2-10 - Weight gain of less than 21 pounds

(All ratios are per 100 live births)

Figure 2-6 - Anemia during pregnancy

Figure 2-7 - Diabetes during pregnancy

Figure 2-8 - Pregnancy-associated hypertension

Figure 2-9 - Genital herpes during pregnancy

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 113

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3. UTILIZATION OF PRENATAL CARE SERVICES

IndicatorALL ARIZONA RESIDENTS

White non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2011 18.3 12.0 23.5 19.6 31.4 13.52010 18.1 11.8 23.4 18.4 30.6 11.92009 19.7 12.1 25.9 19.7 34.0 11.92008 20.6 12.7 26.6 22.4 34.9 13.62007 22.4 13.5 29.5 23.2 34.1 13.52006 22.3 13.1 29.9 22.6 34.1 13.92005 22.3 12.3 30.5 24.4 32.1 13.72004 23.7 12.7 33.0 24.2 31.0 15.32003 24.4 13.2 34.2 24.3 31.2 15.82002 24.3 13.5 34.4 24.8 35.6 15.72001 24.5 13.8 34.7 26.2 35.4 17.3

2011 5.0 2.3 6.9 5.6 11.5 3.32010 4.9 2.3 6.8 5.8 11.0 3.12009 5.3 2.5 7.4 5.3 10.7 3.42008 5.4 2.7 6.9 5.8 12.4 3.72007 6.0 3.0 8.1 7.1 12.0 3.32006 6.4 2.9 8.8 6.4 13.2 3.22005 6.5 2.8 19.2 13.4 12.6 3.52004 7.4 2.8 11.0 7.9 12.1 4.42003 7.2 2.9 10.4 7.6 11.8 4.52002 6.6 2.9 9.9 6.0 12.4 3.32001 9.4 5.1 13.2 11.8 14.5 5.4

2011 1.6 0.6 2.5 1.6 2.5 1.02010 1.6 0.6 2.6 1.7 2.3 1.22009 1.8 0.7 2.9 1.6 2.1 1.32008 1.8 0.7 2.5 2.1 3.1 1.32007 2.2 0.9 3.2 2.7 3.2 1.52006 2.4 0.9 3.6 2.3 3.5 1.22005 2.3 0.8 6.7 4.4 3.0 1.02004 2.8 0.7 4.5 3.3 3.0 1.52003 2.9 0.6 4.8 3.5 2.4 1.62002 2.2 0.7 3.8 1.7 2.6 1.12001 1.9 0.6 3.2 1.6 1.9 1.1

4. NEWBORN'S HEALTH

IndicatorALL ARIZONA RESIDENTS

White non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2011 0.3 0.3 0.3 0.4 0.2 0.1

2010 0.4 0.5 0.4 0.8 0.2 0.3

2009 0.5 0.6 0.4 0.7 0.2 0.3

2008 0.5 0.7 0.4 0.4 0.3 0.6

2007 0.4 0.5 0.2 0.6 0.2 0.4

2006 0.2 0.3 0.2 0.4 0.3 0.2

2005 0.3 0.4 0.1 0.5 0.3 0.2

2004 0.3 0.4 0.2 0.3 0.4 0.3

2003 0.3 0.5 0.2 0.2 0.3 0.3

2002 0.5 0.7 0.3 0.5 0.4 0.8

2001 0.3 0.4 0.2 0.5 0.4 0.3

Figure 4-1 - Hyaline membrane disease

(Per 100 live births)

Figure 3-1 - No care in the 1st trimester

Figure 3-2 - Fewer than five prenatal visits

Figure 3-3 - No prenatal care

(Infant, neonatal and postneonatal rates are per 1,000 live births. All other indicators are expressed per 100 live births).

114 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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4. NEWBORN'S HEALTH (continued)

IndicatorALL ARIZONA RESIDENTS

White non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2011 5.4 5.6 5.2 7.5 4.3 5.22010 6.2 6.3 5.8 8.1 5.6 6.02009 6.2 6.5 5.8 9.2 4.7 6.22008 6.0 6.5 5.4 7.6 4.9 6.72007 5.1 5.7 4.5 7.3 4.5 4.92006 5.1 5.7 4.4 7.0 4.8 4.92005 5.7 6.5 5.1 7.4 5.1 5.42004 5.7 6.4 5.2 7.2 4.4 5.82003 5.4 6.2 4.7 7.0 4.2 5.62002 5.6 6.3 5.0 7.2 4.8 5.72001 5.7 5.9 5.4 9.0 4.6 5.6

2011 9.3 9.1 9.1 12.7 9.0 9.02010 9.7 9.3 9.5 12.3 10.7 10.02009 10.0 9.9 9.7 14.4 9.6 10.02008 10.2 10.1 9.9 14.0 9.8 10.02007 10.3 10.4 9.8 14.9 10.4 9.62006 10.6 10.5 10.1 14.5 11.7 10.42005 10.7 10.9 10.1 16.4 10.6 10.22004 11.0 11.4 10.3 14.4 10.9 11.02003 10.5 11.0 9.8 14.4 9.8 10.82002 10.0 10.5 9.4 14.0 9.6 11.02001 9.9 10.1 9.4 14.8 10.1 9.8

2011 7.0 6.7 6.4 12.5 6.9 8.32010 7.1 6.7 6.8 11.4 7.0 8.52009 7.1 6.9 6.6 12.8 6.4 8.82008 7.1 6.9 6.7 11.7 6.7 9.12007 7.1 7.1 6.6 12.8 6.6 8.02006 7.1 6.7 6.9 12.7 7.4 8.52005 6.9 6.9 6.4 12.6 7.3 8.02004 7.2 7.2 6.8 11.6 7.2 8.02003 7.1 6.9 6.9 11.7 6.8 8.52002 6.8 6.7 6.4 11.9 6.5 8.62001 7.0 6.7 6.7 13.7 7.3 7.7

2011 1.2 1.1 1.1 2.5 1.3 1.12010 1.1 0.9 1.1 2.6 1.2 1.42009 1.2 1.1 1.1 2.8 0.9 1.52008 1.2 1.1 1.1 2.6 1.1 1.52007 1.2 1.1 1.2 2.6 1.0 1.02006 1.2 1.1 1.2 2.3 1.1 1.12005 1.2 1.1 1.2 2.5 1.1 1.22004 1.2 1.1 1.2 2.5 0.9 1.12003 1.1 1.1 1.1 2.2 0.9 1.52002 1.1 1.2 1.0 2.5 0.9 1.22001 1.1 1.0 1.0 2.7 1.0 0.9

2011 1.1 1.1 1.1 1.0 1.4 0.82010 0.6 0.6 0.7 0.6 0.6 0.52009 0.6 0.7 0.6 0.7 0.8 0.42008 0.9 0.9 0.9 0.8 0.9 0.72007 0.8 0.9 0.7 0.7 1.4 0.82006 0.9 0.9 0.8 0.8 1.2 0.52005 1.0 1.0 0.9 0.9 1.5 1.22004 1.0 1.0 1.0 0.6 1.6 0.72003 1.0 1.0 1.0 1.0 1.3 1.02002 1.3 1.4 1.1 1.2 2.2 0.92001 1.3 1.4 1.1 1.4 1.9 1.3

Figure 4-6 - Incidence of congenital anomalies (birth defects)

(Infant, neonatal and postneonatal rates are per 1,000 live births. All other indicators are expressed per 100 live births).

Figure 4-2 - Newborn intensive care

Figure 4-3 - Born too early (preterm or <37 weeks)

Figure 4-4 - Born too small: low-birthweight (<2,500 grams)

Figure 4-5 - Born too small: very low-birthweight (<1,500 grams)

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 115

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4. NEWBORN'S HEALTH (continued)

IndicatorALL ARIZONA RESIDENTS

White non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2011 5.9 4.5 7.1 7.3 7.4 2.92010 6.0 3.9 6.8 11.1 8.1 3.92009 5.9 4.8 5.6 17.1 8.4 3.82008 6.3 5.1 5.9 17.7 8.2 7.92007 6.8 5.6 7.4 15.1 8.1 3.22006 6.3 5.4 6.6 16.8 6.4 2.22005 6.8 6.2 7.0 12.8 8.3 5.32004 6.7 5.4 7.7 12.1 7.2 3.82003 6.5 5.4 7.0 15.9 7.5 4.42002 6.3 5.9 6.6 13.1 7.0 4.02001 6.9 5.7 6.7 22.7 10.7 3.8

2011 0.3 0.2 0.3 0.5 0.3 0.02010 0.4 0.3 0.3 0.5 0.9 0.32009 0.5 0.3 0.4 1.8 0.8 0.32008 0.2 0.1 0.1 0.9 0.6 0.32007 0.4 0.5 0.3 1.0 0.6 0.02006 0.4 0.5 0.2 0.8 0.3 0.32005 0.3 0.3 0.3 0.6 0.6 0.72004 0.3 0.3 0.3 0.6 0.0 0.02003 0.3 0.3 0.3 0.7 0.3 0.02002 0.4 0.4 0.3 2.2 0.4 0.02001 0.4 0.4 0.2 2.9 0.4 0.0

2011 0.7 0.5 0.8 1.1 1.2 0.62010 0.7 0.3 1.0 2.5 1.0 0.02009 1.1 0.8 1.3 3.0 0.5 0.62008 0.9 0.6 0.8 3.5 0.6 2.02007 0.9 0.5 1.2 2.4 0.8 0.92006 0.9 0.6 1.1 2.6 1.1 0.62005 0.8 0.5 1.2 1.2 0.5 0.02004 0.9 0.7 1.1 2.2 0.5 0.02003 0.9 0.6 1.1 3.6 0.9 0.42002 1.1 0.9 1.3 2.6 0.7 0.02001 0.9 0.6 1.1 4.0 0.4 0.0

2011 3.9 3.1 4.7 4.6 3.3 2.92010 3.8 2.5 4.5 7.4 3.8 3.32009 3.9 3.2 3.9 10.5 4.2 2.92008 4.2 3.3 4.1 11.9 4.6 6.42007 4.7 3.8 5.2 10.3 4.2 2.62006 4.3 3.7 4.7 9.6 4.0 1.02005 4.4 4.1 4.9 5.5 4.3 3.22004 4.5 3.9 5.1 7.8 3.4 2.72003 4.3 3.7 4.9 10.3 3.1 2.02002 4.1 3.9 4.6 5.8 3.6 3.12001 4.5 4.0 4.5 15.0 4.1 2.4

2011 2.0 1.3 2.4 2.7 4.1 0.02010 2.2 1.4 2.3 3.7 4.3 0.62009 2.0 1.6 1.7 6.6 4.2 0.92008 2.1 1.8 1.8 5.8 3.6 1.52007 2.2 1.8 2.2 4.8 3.9 0.62006 2.0 1.7 1.9 7.2 2.4 1.22005 2.4 2.1 2.1 7.3 4.0 2.12004 2.2 1.4 2.6 4.4 3.8 1.12003 2.2 1.7 2.1 5.6 4.4 2.42002 2.2 2.0 2.0 7.3 3.4 0.92001 2.4 1.7 2.2 7.7 6.6 1.4

Figure 4-11 - Postneonatal mortality

(Infant, neonatal and postneonatal rates are per 1,000 live births. All other indicators are expressed per 100 live births).

Figure 4-7 - Infant mortality

Figure 4-8 - Sudden Infant Death Syndrome (SIDS)

Figure 4-9 - Mortality of infants from low birthweight/short gestation

Figure 4-10 - Neonatal mortality

116 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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5. MORTALITY FROM NATURAL CAUSES - Chronic or infectious diseases

IndicatorALL ARIZONA RESIDENTS

White non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2011 201.0 212.6 193.4 266.1 149.2 122.42010 188.6 188.8 172.4 258.5 183.2 130.02009 188.8 188.3 179.8 245.7 164.2 150.82008 194.1 196.3 184.8 219.6 150.4 121.42007 194.4 196.9 179.8 225.9 155.0 108.92006 216.4 218.2 203.2 310.3 167.0 136.22005 245.7 241.3 266.1 343.3 235.6 243.02004 248.5 243.1 284.1 372.5 214.6 200.32003 258.4 257.2 278.2 390.1 188.6 145.32002 265.5 266.1 276.3 329.8 216.2 218.42001 267.3 265.8 281.4 388.1 234.1 184.3

2011 152.7 164.3 137.4 174.0 111.1 77.0

2010 143.3 145.4 121.3 177.7 135.9 86.8

2009 145.9 147.5 130.5 171.3 125.8 96.72008 149.3 153.1 132.0 161.7 114.6 71.82007 149.5 153.2 131.5 171.3 115.2 58.62006 166.1 168.8 149.8 231.9 129.4 94.72005 186.9 185.2 189.6 250.3 179.1 159.82004 186.7 184.9 197.6 258.5 166.9 135.32003 197.1 197.7 198.5 299.4 141.9 97.62002 201.0 203.0 201.2 237.0 164.0 145.62001 201.7 202.1 206.1 273.6 177.7 116.1

2011 120.3 130.6 106.0 142.7 79.6 61.0

2010 112.9 114.5 96.3 159.3 98.6 75.6

2009 115.9 117.3 103.7 137.3 94.6 81.02008 118.3 121.8 103.3 131.9 83.2 61.52007 115.0 118.0 101.7 136.6 84.6 47.92006 130.2 132.3 117.3 190.1 97.6 86.22005 147.9 147.3 147.1 211.4 133.7 113.72004 148.7 147.3 158.2 207.5 137.5 120.62003 156.6 157.8 154.4 245.7 100.7 75.52002 159.5 161.7 159.4 181.2 119.5 104.42001 149.3 149.8 159.7 196.9 116.4 80.7

2011 30.6 30.4 34.9 56.5 29.7 29.1

2010 30.7 29.4 35.1 53.5 29.8 26.0

2009 28.9 27.5 33.8 42.8 24.7 39.22008 30.3 29.2 33.6 40.0 23.5 36.22007 30.6 29.7 34.9 34.1 22.0 37.72006 34.8 34.1 37.3 58.2 27.0 18.42005 40.6 38.8 51.0 66.0 32.3 64.62004 43.6 41.4 61.3 71.5 27.5 45.12003 43.9 41.7 61.9 69.0 36.4 35.92002 47.0 45.9 53.9 69.6 39.4 57.62001 47.7 46.2 55.4 79.6 44.3 51.1

2011 45.9 55.3 19.5 34.8 14.4 17.2

2010 42.6 47.1 18.6 27.4 21.7 12.0

2009 40.5 45.0 16.4 26.8 19.2 18.02008 42.2 46.9 20.5 26.0 15.8 13.72007 39.2 43.7 18.8 18.7 13.0 7.52006 44.3 49.2 18.3 27.3 8.4 9.92005 46.8 49.6 31.6 43.9 12.0 17.92004 41.9 45.1 22.7 24.9 10.8 21.62003 45.4 48.3 28.7 30.3 19.4 15.52002 47.0 50.4 25.2 38.3 22.3 24.52001 46.9 51.0 17.7 37.9 26.8 21.4

Figure 5-5 - Chronic lower respiratory diseases

(Number of deaths per 100,000 population age-adjusted to 2000 standard)

Figure 5-1 - Cardiovascular diseases

Figure 5-2 - Diseases of the heart

Figure 5-3 - Coronary heart disease

Figure 5-4 - Cerebrovascular disease

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 117

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5. MORTALITY FROM NATURAL CAUSES - Chronic or infectious diseases (continued)

IndicatorALL ARIZONA RESIDENTS

White non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2011 151.3 170.3 136.3 167.1 100.8 116.6

2010 150.5 155.6 126.2 182.6 106.4 96.2

2009 147.2 151.1 128.4 153.1 113.3 108.12008 145.5 150.4 123.8 149.2 106.7 104.42007 148.0 154.6 118.6 153.4 113.9 84.22006 154.7 162.8 124.7 163.5 83.1 82.02005 161.8 162.4 165.9 217.9 122.2 112.72004 164.7 165.4 161.6 227.7 139.3 111.02003 169.4 171.2 168.5 218.5 120.7 132.92002 168.6 172.4 156.3 222.7 117.6 116.52001 169.2 173.1 155.6 213.0 121.7 147.0

2011 37.8 46.7 22.9 36.6 7.9 20.8

2010 38.1 41.7 20.6 36.6 7.5 22,.1

2009 39.0 42.7 23.7 38.7 10.0 26.62008 38.5 42.3 20.0 37.1 11.2 32.72007 38.2 42.4 20.5 39.6 9.9 21.52006 42.7 47.4 21.4 45.9 4.7 18.42005 43.0 45.9 29.0 53.0 6.5 19.72004 45.4 48.2 29.4 61.4 17.3 21.52003 47.4 50.6 33.5 59.4 13.2 21.92002 46.6 50.1 27.7 61.2 13.1 24.72001 44.5 47.6 29.2 55.7 9.8 41.7

2011 19.7 20.8 12.2 24.1 7.5 15.6

2010 19.2 19.9 18.5 25.8 8.2 12.9

2009 19.2 19.8 16.4 30.7 11.6 5.92008 19.8 20.6 15.1 38.0 11.6 7.12007 20.1 20.5 16.9 23.9 16.2 11.32006 21.6 23.2 14.0 25.7 6.9 7.52005 20.7 20.5 19.8 35.7 14.9 17.32004 21.4 21.4 18.0 32.2 18.4 35.22003 22.1 22.3 18.9 41.2 16.4 19.62002 22.2 22.5 18.7 42.3 9.6 17.72001 23.6 24.7 17.5 55.8 11.7 12.7

2011 2.1 1.6 3.7 2.4 3.1 3.0

2010 2.0 1.6 2.8 1.8 5.0 3.5

2009 1.8 1.5 2.1 2.2 4.1 2.92008 1.8 1.3 3.3 3.3 4.8 0.02007 1.9 1.6 3.2 2.3 2.3 1.22006 1.7 1.4 2.4 2.7 5.8 1.22005 2.1 1.8 4.1 1.4 3.4 4.62004 2.2 1.6 5.0 2.8 2.0 3.62003 2.2 1.0 1.8 6.8 4.2 10.52002 2.2 1.9 3.7 2.0 4.7 2.02001 2.8 2.5 3.9 3.5 5.4 0.0

2011 13.4 14.4 13.6 20.2 9.9 14.3

2010 13.8 13.9 13.5 21.9 12.4 10.3

2009 12.9 12.9 13.8 14.1 8.5 13.82008 13.1 13.2 13.2 16.4 11.1 8.62007 14.4 15.0 12.0 15.7 8.0 9.42006 14.6 15.1 14.2 14.9 4.7 6.52005 15.4 15.2 17.6 27.0 7.5 12.52004 15.3 15.5 13.1 27.3 9.3 11.02003 17.9 17.9 21.2 26.3 6.3 3.02002 16.5 16.9 16.2 26.4 9.1 9.72001 16.7 16.9 16.6 27.4 7.2 10.6

Figure 5-10 - Colorectal cancer

(Number of deaths per 100,000 population age-adjusted to 2000 standard)

Figure 5-6 - Malignant neoplasms (cancer)

Figure 5-7 - Lung cancer

Figure 5-8 - Breast cancer (female)

Figure 5-9 - Cervical cancer

118 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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5. MORTALITY FROM NATURAL CAUSES - Chronic or Infectious Diseases (continued)

IndicatorALL ARIZONA RESIDENTS

White non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2011 19.8 19.5 20.6 24.1 17.1 5.0

2010 19.1 18.4 23.9 35.2 21.6 12.6

2009 18.4 18.2 20.0 28.9 16.4 2.12008 19.1 18.9 20.3 20.5 14.7 25.52007 18.9 19.5 15.8 23.6 16.6 19.42006 20.1 19.2 25.9 34.9 16.9 24.02005 23.8 23.5 30.6 20.4 23.5 5.12004 24.0 22.6 35.0 54.6 31.2 6.12003 25.1 25.2 22.4 41.2 21.0 7.62002 24.8 24.1 35.3 48.6 12.5 8.42001 24.3 24.1 26.3 45.0 14.0 24.2

2011 9.7 9.3 12.0 8.1 28.4 9.1

2010 10.9 10.3 9.8 9.2 33.2 8.0

2009 14.6 13.0 15.5 14.3 42.7 16.32008 15.6 14.6 18.3 12.4 36.3 13.52007 12.9 12.3 14.4 13.0 34.3 7.42006 18.4 17.7 20.0 18.1 32.8 21.72005 22.3 20.5 26.5 21.6 72.0 17.52004 20.1 19.4 20.7 12.0 32.7 10.52003 23.4 21.8 27.9 30.4 58.9 16.42002 25.0 24.3 26.1 29.2 51.7 13.22001 21.9 21.3 26.1 14.8 43.0 15.0

2011 24.8 21.6 41.7 57.8 61.3 23.3

2010 20.1 15.2 37.3 50.0 79.3 11.7

2009 15.7 12.2 28.1 31.1 54.2 16.22008 17.0 13.8 29.1 30.8 50.8 16.12007 17.0 13.7 30.8 30.3 51.1 5.12006 18.9 15.2 40.4 43.9 43.9 10.92005 20.1 15.5 46.0 55.2 69.9 17.82004 20.7 16.8 43.5 44.8 59.0 30.02003 20.3 16.5 39.1 53.6 55.8 15.72002 22.3 18.0 45.6 41.0 80.8 21.92001 19.9 15.4 42.9 55.7 72.8 14.8

2011 13.4 12.0 18.9 6.6 43.6 4.2

2010 12.3 9.7 15.5 8.0 64.6 0.5

2009 12.2 9.5 18.7 3.1 54.0 3.12008 11.7 10.0 15.4 7.5 40.7 1.82007 11.3 9.6 16.3 5.9 36.8 3.22006 11.4 9.6 15.5 7.2 43.6 3.12005 12.7 10.7 19.4 12.8 51.2 4.92004 11.1 8.4 18.6 6.7 51.0 3.82003 11.5 9.7 17.6 3.5 38.8 3.32002 12.1 9.9 21.6 9.8 40.5 5.32001 12.3 10.6 17.4 11.7 39.1 4.0

2011 1.6 1.2 1.7 5.4 2.0 1.2

2010 1.6 1.3 1.7 5.7 1.9 0.5

2009 1.6 1.0 2.1 8.9 3.7 0.02008 1.8 1.5 1.9 4.9 2.2 0.62007 1.7 1.3 1.7 6.0 3.6 0.42006 2.3 2.1 2.3 7.2 1.8 0.62005 2.4 2.0 2.5 9.2 3.1 0.52004 2.8 2.3 3.1 14.6 3.5 0.82003 3.2 2.8 4.3 8.1 3.6 1.72002 3.1 2.5 3.2 14.3 5.5 0.02001 3.1 2.6 3.2 11.2 5.5 1.1

Figure 5-15 - HIV disease

(Number of deaths per 100,000 population age-adjusted to 2000 standard)

Figure 5-11 - Prostate cancer

Figure 5-12 - Influenza and pneumonia

Figure 5-13 - Diabetes

Figure 5-14 - Chronic liver disease and cirrhosis

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 119

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5. MORTALITY FROM NATURAL CAUSES - Chronic or Infectious Diseases (continued)

IndicatorALL ARIZONA RESIDENTS

White non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2011 4.7 4.2 6.4 6.4 16.5 3.2

2010 7.4 7.5 7.8 4.4 8.1 1.4

2009 7.7 6.5 8.0 13.2 31.4 9.22008 7.9 6.7 11.0 10.9 20.6 7.12007 8.1 7.0 10.4 14.7 17.8 10.92006 8.6 7.7 11.0 14.6 17.3 5.52005 8.4 7.3 13.0 18.2 18.2 6.22004 8.0 6.6 14.4 16.0 21.5 4.62003 8.4 7.1 12.6 11.3 25.8 6.82002 8.3 7.3 10.5 14.8 23.4 0.02001 7.2 6.0 10.7 13.6 21.8 3.2

2011 35.2 36.3 30.9 54.7 18.1 21.0

2010 35.1 35.5 32.6 46.7 14.9 32.2

2009 29.5 30.4 26.9 29.6 10.9 18.12008 29.8 30.6 26.3 42.5 8.5 18.42007 29.6 30.9 24.1 29.8 10.3 12.92006 33.4 34.7 28.0 28.8 15.3 8.32005 32.7 33.0 31.3 42.7 16.2 30.22004 31.3 32.0 26.6 42.8 8.0 17.12003 32.5 33.4 28.2 43.3 5.6 11.42002 28.0 28.9 24.7 25.1 8.8 17.42001 22.5 23.5 14.7 21.5 12.7 14.6

2011 6.0 5.4 8.8 10.0 15.3 8.6

2010 7.6 6.3 10.7 16.5 19.9 3.8

2009 7.7 6.2 14.1 16.2 19.6 1.52008 7.1 5.6 13.2 9.8 23.5 5.32007 7.6 6.0 13.1 19.1 20.6 5.02006 8.8 7.4 14.2 9.8 23.3 5.22005 10.4 8.5 22.5 19.8 31.4 9.22004 11.0 8.9 21.5 26.6 30.2 16.02003 10.1 8.4 18.4 20.9 24.7 16.02002 11.3 9.7 21.6 20.8 25.8 4.72001 12.0 9.9 22.6 23.5 33.5 8.4

2011 10.8 10.5 12.9 29.4 6.9 9.8

2010 6.3 5.4 6.3 17.6 16.3 3.8

2009 6.8 6.1 9.0 22.0 7.0 10.62008 6.9 6.4 9.5 12.3 6.7 5.02007 5.7 5.3 5.6 12.7 11.2 7.32006 6.7 6.1 8.3 12.9 8.5 14.12005 6.8 5.9 13.2 15.6 15.8 6.82004 7.3 6.2 11.9 27.0 13.2 6.02003 6.3 6.0 7.9 14.5 5.4 9.42002 5.6 5.4 7.3 12.5 4.9 5.12001 5.9 5.5 8.7 13.8 3.4 11.8

2011 699.6 741.5 656.4 833.6 765.5 436.7

2010 679.9 674.4 612.0 835.0 891.8 424.1

2009 653.2 647.3 614.9 736.8 823.5 472.82008 659.6 660.1 606.9 710.7 766.3 427.02007 663.2 665.1 603.7 719.2 752.5 356.32006 727.3 728.5 685.6 885.1 744.5 393.42005 772.5 744.6 849.2 1053.1 1006.6 629.52004 757.3 734.6 834.0 1021.7 879.2 557.52003 784.0 764.9 839.5 1048.6 900.7 497.22002 796.4 786.7 811.1 951.5 975.1 560.42001 791.2 778.1 787.6 1050.6 1010.5 560.7

Figure 5-20 - Total mortality from all causes

(Number of deaths per 100,000 population age-adjusted to 2000 standard)

Figure 5-16 - Septicemia

Figure 5-17 - Alzheimer's disease

Figure 5-18 - Nephritis, nephrotic syndrome and nephrosis (kidney disease)

Figure 5-19 - Essential (primary) hypertension

120 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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6. MORTALITY FROM INJURIES

IndicatorALL ARIZONA RESIDENTS

White non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2011 45.5 46.9 38.9 41.6 100.6 19.7

2010 43.8 45.5 33.7 36.0 99.2 24.6

2009 43.1 43.3 35.3 36.5 92.6 24.52008 44.7 45.4 34.2 43.1 92.6 23.72007 46.6 44.9 40.6 48.1 95.0 20.32006 51.2 48.7 52.4 54.8 97.2 19.82005 51.1 46.2 54.8 64.3 117.8 34.22004 46.0 43.3 48.9 45.9 103.9 21.22003 44.8 40.9 44.7 52.4 108.6 25.32002 45.2 41.5 45.5 44.0 111.0 15.52001 46.6 42.5 45.6 52.6 112.7 29.9

2011 12.1 10.4 11.7 11.7 44.2 6.8

2010 11.1 9.2 11.1 10.8 41.7 5.5

2009 11.6 10.1 10.6 12.4 36.9 6.52008 13.6 12.0 13.1 11.5 41.9 4.42007 16.2 13.1 17.6 13.6 49.0 9.92006 19.6 16.6 21.9 15.3 56.9 5.92005 18.9 15.0 22.7 24.9 62.6 10.22004 18.1 15.3 23.2 14.8 54.1 11.32003 18.0 14.6 21.3 15.2 59.0 11.82002 18.5 14.7 21.1 11.9 65.9 10.12001 17.2 13.5 18.2 19.1 63.2 8.6

2011 11.6 12.0 10.5 8.9 15.8 6.4

2010 11.5 11.9 8.0 2.3 17.5 8.8

2009 10.4 10.5 9.9 3.8 15.3 10.82008 10.8 11.0 8.6 7.1 13.4 8.72007 10.6 10.9 7.5 7.0 9.7 5.62006 11.3 11.3 12.0 7.1 9.9 7.42005 12.0 11.9 12.1 6.5 10.4 15.02004 9.6 9.5 8.7 8.8 14.9 3.32003 8.8 9.0 5.5 6.3 12.7 7.52002 8.6 8.7 6.6 4.9 12.9 2.72001 8.9 8.9 7.8 8.8 11.3 8.3

2011 1.3 1.3 1.0 2.6 2.2 2.0

2010 1.3 1.5 0.7 0.4 3.0 2.5

2009 1.5 1.3 1.4 2.0 3.7 1.62008 1.2 1.0 1.1 2.4 1.9 2.02007 1.3 1.3 1.2 2.7 2.5 0.62006 1.5 1.0 1.9 2.3 1.5 2.52005 1.4 1.1 1.3 2.9 3.4 3.22004 1.8 1.6 1.6 4.1 3.0 1.72003 1.5 1.3 1.5 2.7 2.5 0.52002 1.2 1.3 1.2 0.5 1.3 1.92001 1.6 1.8 1.3 1.5 1.2 4.0

2011 14.7 16.3 10.8 16.2 9.2 2.4

2010 14.2 15.3 9.9 15.5 11.7 6.9

2009 12.8 13.0 10.4 16.0 8.3 4.42008 13.5 12.6 12.1 22.4 7.6 4.62007 14.4 13.3 14.9 25.1 7.6 3.12006 15.4 13.9 15.6 21.5 8.0 2.92005 15.2 12.0 18.4 23.4 15.6 7.52004 15.0 13.2 16.8 23.7 12.6 1.42003 14.8 12.7 15.7 23.2 15.6 1.82002 17.3 16.2 17.0 19.1 14.6 5.82001 15.5 13.9 15.8 25.3 11.8 9.0

Figure 6-5 - Injury by firearms

(Number of deaths per 100,000 population age-adjusted to 2000 standard)

Figure 6-1 - Unintentional injuries

Figure 6-2 - Motor vehicle-related injuries

Figure 6-3 - Fall-related injuries

Figure 6-4 - Drowning mortality

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 121

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6. MORTALITY FROM INJURIES (continued)

IndicatorALL ARIZONA RESIDENTS

White non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2011 16.8 21.6 10.9 12.6 9.6 1.8

2010 17.6 22.2 10.2 14.6 12.5 2.2

2009 16.8 20.6 9.9 14.8 13.2 1.8

2008 14.9 18.7 6.8 17.9 10.9 3.3

2007 15.1 18.5 8.7 19.7 8.7 2.9

2006 15.1 17.5 10.4 24.6 10.6 5.1

2005 13.8 14.8 10.6 28.4 12.4 2.1

2004 13.3 14.7 9.4 14.7 14.5 0.8

2003 12.0 12.8 10.5 23.5 8.5 0.0

2002 12.2 13.1 9.8 19.8 13.1 0.0

2001 11.3 12.4 9.4 13.8 9.3 0.9

2011 14.3 12.5 14.3 6.0 64.1 1.9

2010 14.1 12.0 11.0 7.3 84.8 0.0

2009 12.0 10.0 10.1 7.0 62.1 2.8

2008 11.8 10.6 9.2 7.3 54.3 1.8

2007 11.1 9.4 11.8 6.9 49.3 2.5

2006 10.3 8.7 10.2 5.8 48.1 0.7

2005 11.2 9.9 11.0 6.7 51.1 7.2

2004 10.0 8.0 9.8 7.3 55.4 3.8

2003 10.1 8.3 10.2 6.8 49.3 0.0

2002 9.3 8.2 9.9 10.3 39.4 0.9

2001 8.4 6.8 9.1 7.9 41.5 1.1

2011 17.2 22.0 8.1 9.1 14.9 5.3

2010 16.7 20.6 7.4 6.4 18.7 6.8

2009 16.1 18.4 9.0 10.5 15.9 9.9

2008 14.8 17.6 6.5 7.5 13.5 9.9

2007 15.4 18.7 9.2 6.2 9.8 6.1

2006 15.4 17.8 8.2 8.3 13.7 8.4

2005 15.4 16.6 10.5 3.3 17.5 11.7

2004 14.9 16.6 9.8 12.1 17.0 4.0

2003 14.6 16.4 8.2 11.3 15.2 6.0

2002 15.9 18.3 8.3 6.2 17.9 4.1

2001 11.5 12.8 5.9 9.2 15.4 9.4

2011 6.1 3.5 7.9 16.5 11.9 3.9

2010 6.5 3.8 8.0 15.4 18.0 4.1

2009 5.5 3.2 8.1 14.2 13.2 0.9

2008 7.1 3.7 10.6 20.7 12.8 3.2

2007 7.7 3.9 12.0 23.4 13.1 2.6

2006 8.5 4.6 13.0 19.6 13.2 2.4

2005 8.2 3.5 14.6 27.4 14.0 5.1

2004 8.2 4.8 13.6 22.3 14.7 1.4

2003 8.3 3.7 14.7 24.9 18.8 5.4

2002 8.6 4.4 15.1 21.3 20.3 3.3

2001 8.7 4.3 15.5 22.2 17.2 4.9

(Number of deaths per 100,000 population age-adjusted to 2000 standard)

Figure 6-6 - Drug-induced deaths

Figure 6-7 - Alcohol-induced deaths

Figure 6-8 - Intentional self-harm (suicide)

Figure 6-9 - Assault (homicide)

122 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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7. AGE-SPECIFIC MORTALITY

IndicatorALL ARIZONA RESIDENTS

White non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2011 17.5 15.4 16.4 32.4 21.9 10.62010 18.9 18.3 17.2 18.8 30.5 32.62009 20.2 15.0 21.9 28.5 35.6 22.92008 19.7 14.6 21.0 39.3 29.4 17.22007 19.5 14.2 22.1 29.1 34.3 17.52006 21.5 18.2 23.5 20.2 33.3 22.02005 22.7 17.4 26.3 35.7 33.4 18.72004 20.4 17.2 21.0 39.2 32.1 9.72003 24.3 21.8 22.1 42.5 45.3 9.22002 23.7 18.3 25.0 32.6 55.8 15.52001 28.8 23.9 26.3 43.2 71.0 31.9

2011 49.7 45.8 44.1 39.8 114.2 15.2

2010 47.7 39.7 43.1 59.4 115.3 32.7

2009 55.9 44.7 62.2 49.2 102.6 44.4

2008 65.7 47.7 80.0 85.6 111.8 35.8

2007 76.9 66.1 83.9 91.5 124.4 18.1

2006 93.8 72.4 103.0 127.1 188.6 29.1

2005 80.1 68.6 89.2 88.7 137.0 24.6

2004 80.8 64.9 91.1 150.9 134.5 25.4

2003 75.4 51.6 87.5 89.5 196.2 36.2

2002 83.2 64.8 93.8 107.5 195.8 24.3

2001 86.6 70.2 82.7 73.2 265.2 61.9

2011 133.6 136.0 102.4 152.4 276.5 46.1

2010 131.8 133.4 96.9 142.1 358.1 55.5

2009 123.0 120.4 95.7 185.6 332.1 50.5

2008 123.0 119.4 98.2 190.9 287.0 52.2

2007 138.2 132.3 123.3 193.9 291.3 50.3

2006 147.5 142.7 132.9 177.3 305.1 64.1

2005 140.9 122.1 140.7 227.3 348.3 61.3

2004 141.0 130.8 134.0 209.0 293.3 59.7

2003 151.1 139.6 139.1 220.4 345.8 56.8

2002 154.7 143.4 148.5 212.3 350.3 48.6

2001 158.2 145.2 147.5 250.1 373.2 60.6

2011 595.0 611.6 473.9 759.3 726.8 319.3

2010 587.2 594.6 448.9 772.0 978.8 282.1

2009 590.0 593.9 488.5 808.8 846.9 302.0

2008 591.8 609.7 445.9 843.0 832.3 301.5

2007 582.8 593.4 494.0 833.6 737.5 272.9

2006 614.6 638.3 477.3 872.5 775.4 194.3

2005 673.1 654.2 631.6 1103.8 1077.0 313.1

2004 649.1 633.9 592.2 1032.2 1019.2 375.8

2003 653.7 651.1 593.5 909.7 914.9 292.2

2002 654.8 656.7 588.5 878.8 1025.6 258.9

2001 632.1 631.9 545.9 996.1 981.4 312.2

(Number of deaths per 100,000 persons in specified group)

Figure 7-1 - Mortality of children 1-14 years old

Figure 7-2 - Mortality of adolescents and young adults 15-19 years old

Figure 7-3 - Mortality among adults 20-44 years old

Figure 7-4 - Mortality among adults 45-64 years old

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 123

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8. PREMATURE MORTALITY

IndicatorALL ARIZONA RESIDENTS

White non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2011 77.0 79.0 68.0 66.0 60.0 72.0

2010 77.0 79.0 68.0 65.0 58.0 71.0

2009 76.0 78.0 67.0 64.0 59.0 74.0

2008 77.0 78.0 68.0 62.0 59.0 70.0

2007 76.0 78.0 64.0 62.0 59.0 70.0

2006 76.0 78.0 65.0 63.0 57.0 73.0

2005 77.0 79.0 65.0 64.0 59.0 72.0

2004 76.0 78.0 65.0 64.0 58.0 69.0

2003 76.0 78.0 66.0 66.0 56.0 70.0

2002 76.0 78.0 65.0 65.0 57.0 74.0

2001 76.0 78.0 65.0 63.0 56.0 68.5

2011 73.0 76.0 63.0 64.0 54.0 69.0

2010 73.0 75.0 63.0 63.0 53.0 70.0

2009 73.0 75.0 63.0 60.0 54.0 69.0

2008 73.0 76.0 62.0 59.0 54.0 67.5

2007 73.0 75.0 59.0 57.0 54.0 64.0

2006 73.0 75.0 59.0 59.0 52.0 71.5

2005 74.0 76.0 61.0 58.0 54.0 71.0

2004 73.0 75.0 60.0 59.0 53.0 68.0

2003 73.0 75.0 60.0 60.0 51.0 70.0

2002 73.0 75.0 59.0 60.0 52.0 72.0

2001 73.0 75.0 59.0 58.0 49.0 68.0

2011 81.0 82.0 75.0 69.0 67.0 75.0

2010 80.0 82.0 74.0 69.0 65.0 74.0

2009 80.0 81.0 72.0 68.0 66.0 77.0

2008 80.0 81.0 74.0 67.0 67.0 73.0

2007 80.0 81.0 71.0 70.0 67.0 73.0

2006 80.0 81.0 73.0 70.0 65.0 73.0

2005 80.0 81.0 71.0 71.0 66.0 73.0

2004 80.0 81.0 72.0 70.0 64.0 70.0

2003 80.0 81.0 72.0 71.0 65.0 71.0

2002 79.0 80.0 72.0 72.0 64.0 75.0

2001 79.0 80.0 71.0 69.0 65.0 69.0

2011 53.8 49.6 67.4 74.4 77.7 66.3

2010 54.5 49.9 68.7 73.4 79.6 65.1

2009 52.5 48.0 68.0 73.0 76.4 60.6

2008 52.4 48.0 67.6 74.7 76.5 66.4

2007 52.6 47.7 71.6 73.3 75.8 64.9

2006 52.7 48.2 70.8 73.9 77.4 61.0

2005 52.7 47.9 71.3 75.1 78.4 65.1

2004 53.0 48.3 71.5 74.3 80.3 64.3

2003 50.8 46.1 70.0 70.6 78.4 65.7

2002 50.2 45.6 70.3 71.7 78.3 59.8

2001 51.0 46.2 71.2 73.0 79.1 69.9

Figure 8-2 - Median age at death from all causes among males

Figure 8-3 - Median age at death from all causes among females

Figure 8-4 - Percent of total deaths before expected years of life reached

Figure 8-1 - Median age at death from all causes

124 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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9. REPORTABLE DISEASES

(Number of cases per 100,000 persons in specified group)

IndicatorALL ARIZONA RESIDENTS

White non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2011 7.2 4.8 10.3 23.8 10.5 1.82010 6.2 3.8 7.4 15.1 12.4 2.32009 6.5 4.4 9.3 11.1 11.6 1.72008 8.8 5.8 11.1 19.8 16.1 4.12007 8.8 4.2 7.8 17.0 30.5 3.52006 6.2 3.5 7.6 14.9 8.4 1.22005 5.1 2.9 8.6 16.5 10.6 2.62004 6.5 3.1 9.6 16.6 14.9 0.92003 7.4 4.2 9.7 18.2 20.1 0.92002 7.3 2.5 12.6 40.2 16.1 0.92001 8.4 2.6 16.6 52.4 15.1 0.0

2011 71.4 28.9 67.1 415.7 162.8 19.92010 50.8 21.5 52.0 305.7 85.1 11.12009 49.3 19.0 46.4 316.0 50.0 11.52008 52.8 21.0 49.5 256.8 73.3 9.92007 78.7 33.1 60.4 345.6 94.4 13.52006 95.3 44.0 81.6 382.4 125.7 13.62005 81.9 31.5 95.0 395.7 142.6 14.62004 70.1 32.5 84.6 376.8 142.7 12.32003 63.5 33.4 71.4 359.7 103.1 15.32002 68.9 30.5 98.6 432.0 107.7 11.32001 73.9 32.4 99.7 558.5 115.5 10.8

2011 457.6 186.8 533.0 1146.4 1129.6 132.52010 420.2 174.8 494.2 1148.5 1042.2 157.82009 394.2 156.3 471.5 926.9 679.3 150.62008 379.0 130.9 413.3 778.6 739.8 100.32007 386.6 142.5 346.1 722.7 641.6 91.32006 386.0 150.1 406.9 634.2 676.8 95.72005 352.0 121.9 468.5 778.1 827.6 99.72004 289.2 115.7 413.6 676.8 872.7 110.62003 227.1 100.7 329.1 537.6 623.9 86.42002 272.2 113.2 453.3 700.0 716.9 104.72001 270.4 116.5 466.4 756.7 738.9 113.7

2011 33.7 22.5 30.0 83.6 68.4 8.22010 29.0 18.5 22.7 72.4 76.1 10.02009 11.7 5.7 7.9 13.1 31.5 2.92008 28.4 15.5 19.9 41.2 53.2 4.12007 31.1 17.8 21.7 51.3 35.2 10.62006 27.9 18.1 20.3 38.7 36.8 4.32005 19.7 13.0 18.7 30.9 29.5 5.22004 20.5 13.3 18.4 29.8 36.2 8.92003 16.2 11.8 14.3 23.1 30.4 7.62002 21.0 16.2 19.7 45.0 35.9 7.72001 22.1 17.7 23.8 43.3 27.9 13.7

2011 9.2 6.4 11.4 29.9 11.4 8.02010 9.8 8.4 10.9 21.6 12.8 5.82009 10.2 7.4 13.2 28.0 11.0 5.72008 11.4 9.6 12.9 31.1 10.2 6.42007 12.7 9.8 15.8 35.5 8.3 8.82006 12.5 9.3 15.5 48.8 8.1 6.22005 12.8 10.1 16.0 41.6 15.1 6.92004 10.9 8.2 13.9 45.3 10.3 7.12003 11.3 11.4 7.4 42.5 11.3 4.22002 8.1 6.7 8.5 33.0 10.9 2.82001 7.0 6.4 6.3 29.4 6.8 3.9

Figure 9-4 - Incidence of genital herpes

Figure 9-5 - Incidence of HIV/HIV/AIDS

Figure 9-1 - Incidence of early syphilis

Figure 9-2 - Incidence of gonorrhea

Figure 9-3 - Incidence of chlamydia

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 125

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SCORES IN 2011

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1. TEEN PREGNANCIES

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

1-1 Pregnancies among females 19 and younger -48.7 31.3 8.3 27.0 -60.4

1-2 Pregnancies among females 14 and younger -71.4 28.6 28.6 14.3 -28.6

1-3 Pregnancies among females 15-17 years old -56.6 43.9 0.9 30.3 -67.4

1-4 Pregnancies among females 18-19 years old -47.2 34.7 8.8 22.0 -57.6

TOTAL SCORE -223.9 138.5 46.6 93.6 -214.0

AVERAGE SCORE -56.0 34.6 11.7 23.4 -53.5

2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2-1 Unmarried mothers -33.4 27.8 43.6 74.0 -60.9

2-2 Tobacco use during pregnancy 55.8 -62.8 55.8 -44.2 -65.1

2-3 Alcohol use during pregnancy 20.0 -60.0 20.0 200.0 -20.0

2-4 Chronic hypertension 0.0 -12.5 112.5 50.0 -25.0

2-5 Dysfunctional labor 0.0 -18.8 -6.3 106.3 12.5

2-6 Anemia during pregnancy 2.8 -22.2 63.9 66.7 -27.8

2-7 Diabetes during pregnancy -26.1 10.9 -17.4 102.2 63.0

2-8 Pregnancy associated hypertension 7.1 -16.7 23.8 50.0 -26.2

2-9 Genital herpes during pregnancy 40.0 -40.0 50.0 -30.0 -20.0

2-10 Weight gain of less than 21 pounds -23.9 22.0 13.6 34.8 -14.8

TOTAL SCORE 42.3 -172.3 359.5 609.8 -184.3

AVERAGE SCORE 4.2 -17.2 36.0 61.0 -18.4

3. UTILIZATION OF PRENATAL CARE SERVICES

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

3-1 No care in the 1st trimester -34.4 28.4 7.1 71.6 -26.2

3-2 Fewer than five prenatal visits -54.0 38.0 12.0 130.0 -34.0

3-3 No prenatal care -62.5 56.3 0.0 56.3 -37.5

TOTAL SCORE -150.9 122.7 19.1 257.9 -97.7

AVERAGE SCORE -50.3 40.9 6.4 86.0 -32.6

4. NEWBORN'S HEALTH

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

4-1 Hyaline membrane disease 0.0 0.0 33.3 -33.3 -66.7

4-2 Newborn intensive care 3.7 -3.7 38.9 -20.4 -3.7

4-3 Born too early (preterm or < 37 weeks) -2.2 -2.2 36.6 -3.2 -3.2

4-4 Born too small: low-birthweight (<2,500 grams) -4.3 -8.6 78.6 -1.4 18.6

4-5 Born too small: very low-birthweight (<1,500 grams) -8.3 -8.3 108.3 8.3 -8.3

4-6 Incidence of congenital anomalies (birth defects) 0.0 0.0 -9.1 27.3 -27.3

4-7 Infant mortality -23.7 20.3 23.7 25.4 -50.8

4-8 Sudden Infant Death Syndrome (SIDS) -33.3 0.0 66.7 0.0 -100.0

4-9 Mortality of infants from low birthweight/short gestation -28.6 14.3 57.1 71.4 -14.3

4-10 Neonatal mortality -20.5 20.5 17.9 -15.4 -25.6

4-11 Postneonatal mortality -35.0 20.0 35.0 105.0 -100.0

TOTAL SCORE -152.2 52.3 487.0 163.7 -381.3

AVERAGE SCORE -13.8 4.8 44.3 14.9 -34.7

SCORES IN 2011(A score is the percent above or below the average rate or ratio for all Arizona residents.

A negative score indicates better than average standing on an indicator).

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 129

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5. MORTALITY FROM NATURAL CAUSES - Chronic or infectious diseases

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

5-1 Cardiovascular diseases 5.8 -3.8 32.4 -25.8 -39.1

5-2 Diseases of the heart 7.6 -10.0 14.0 -27.3 -49.6

5-3 Coronary heart disease 8.6 -11.9 18.6 -33.8 -49.3

5-4 Cerebrovascular disease -0.7 14.1 84.6 -2.9 -4.9

5-5 Chronic lower respiratory diseases 20.5 -57.5 -24.2 -68.6 -62.5

5-6 Malignant neoplasms (cancer) 12.6 -9.9 10.4 -33.4 -22.9

5-7 Lung cancer 23.5 -39.4 -3.2 -79.1 -45.0

5-8 Breast cancer 5.6 -38.1 22.3 -61.9 -20.8

5-9 Cervical cancer -23.8 76.2 14.3 47.6 42.9

5-10 Colorectal cancer 7.5 1.5 50.7 -26.1 6.7

5-11 Prostate cancer -1.5 4.0 21.7 -13.6 -74.7

5-12 Influenza and pneumonia -4.1 23.7 -16.5 192.8 -6.2

5-13 Diabetes -12.9 68.1 133.1 147.2 -6.0

5-14 Chronic liver disease and cirrhosis -10.4 41.0 -50.7 225.4 -68.7

5-15 HIV disease -25.0 6.2 237.5 25.0 -25.0

5-16 Septicemia -10.6 36.2 36.2 251.1 -31.9

5-17 Alzheimer's disease 3.1 -12.2 55.4 -48.6 -40.3

5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) -10.0 46.7 66.7 155.0 43.3

5-19 Essential (primary) hypertension -2.8 19.4 172.2 -36.1 -9.3

5-20 Total mortality from all causes 6.0 -6.2 19.2 9.4 -37.6

TOTAL SCORE -1.0 148.1 894.7 596.3 -500.9

AVERAGE SCORE 0.0 7.4 44.7 29.8 -25.0

6. MORTALITY FROM INJURIES

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

6-1 Unintentional injuries 3.1 -14.5 -8.6 121.1 -56.7

6-2 Motor vehicle-related injuries -14.0 -3.3 -3.3 265.3 -43.8

6-3 Fall-related injuries 3.4 -9.5 -23.3 36.2 -44.8

6-4 Drowning mortality 0.0 -23.1 100.0 69.2 53.8

6-5 Injury by firearms 10.9 -26.5 10.2 -37.4 -83.7

6-6 Drug-induced deaths 28.6 -35.1 -25.0 -42.9 -89.3

6-7 Alcohol-induced deaths -12.6 0.0 -58.0 348.3 -86.7

6-8 Intentional self-harm (suicide) 27.9 -52.9 -47.1 -13.4 -69.2

6-9 Assault (homicide) -42.6 29.5 170.5 95.1 -36.1

TOTAL SCORE 4.7 -135.4 115.4 841.5 -456.5

AVERAGE SCORE 0.5 -15.0 12.8 93.5 -50.7

7. AGE-SPECIFIC MORTALITY

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

7-1 Mortality of children 1-14 years old -12.0 -6.3 85.1 25.1 -39.4

7-2 Mortality of adolescents and young adults 15-19 years old -7.8 -11.3 -19.9 129.8 -69.4

7-3 Mortality among adults 20-44 years old 1.8 -23.4 14.1 107.0 -65.5

7-4 Mortality among adults 45-65 years old 2.8 -20.4 27.6 22.2 -46.3

TOTAL SCORE -15.2 -61.4 106.9 284.1 -220.6

AVERAGE SCORE -3.8 -15.4 26.7 71.0 -55.2

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8. PREMATURE MORTALITY

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

8-1 Median age at death from all causes -2.6 11.7 14.3 22.1 6.5

8-2 Median age at death from all causes among males -4.1 13.7 12.3 26.0 5.5

8-3 Median age at death from all causes among females -1.2 7.4 14.8 17.3 7.4

8-4 Percent of total deaths before expected years of life reached -7.8 25.3 38.3 44.4 23.2

TOTAL SCORE -15.7 58.1 79.7 109.8 42.6

AVERAGE SCORE -3.9 14.5 19.9 27.5 10.7

9. REPORTABLE DISEASES - (Number of cases per 100,000 [persons in specified group)

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

9-1 Incidence of early syphilis -33.3 43.1 230.6 45.8 -75.0

9-2 Incidence of gonorrhea -59.5 -6.0 482.2 128.0 -72.1

9-3 Incidence of chlamydia -59.2 16.5 150.5 146.9 -71.0

9-4 Incidence of genital herpes -33.2 -11.0 148.1 103.0 -75.7

9-5 Incidence of HIV/HIV/AIDS -30.4 23.9 225.0 23.9 -13.0

TOTAL SCORE -215.6 66.5 1236.4 447.6 -306.8

AVERAGE SCORE -43.1 13.3 247.3 89.5 -61.4

OVERALL HEALTH STATUS (ALL 70 INDICATORS)

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

TOTAL SCORE -727.5 217.1 3345.3 3404.3 -2319.5

AVERAGE SCORE -10.4 3.1 47.8 48.6 -33.1

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 131

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RANK ORDER

IN 2011

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1. TEEN PREGNANCIES

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

1-1 Pregnancies among females 19 and younger 2.0 5.0 3.0 4.0 1.01-2 Pregnancies among females 14 and younger 1.0 4.5 4.5 3.0 2.01-3 Pregnancies among females 15-17 years old 2.0 5.0 3.0 4.0 1.01-4 Pregnancies among females 18-19 years old 2.0 5.0 3.0 4.0 1.0

SUM OF RANKS 7.0 19.5 13.5 15.0 5.0AVERAGE RANK 1.8 4.9 3.4 3.8 1.3

2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

2-1 Unmarried mothers 2.0 3.0 4.0 5.0 1.02-2 Tobacco use during pregnancy 4.5 2.0 4.5 3.0 1.02-3 Alcohol use during pregnancy 3.5 1.0 3.5 5.0 2.02-4 Chronic hypertension 3.0 2.0 5.0 4.0 1.02-5 Dysfunctional labor 3.0 1.0 2.0 5.0 4.02-6 Anemia during pregnancy 3.0 2.0 4.0 5.0 1.02-7 Diabetes during pregnancy 1.0 3.0 2.0 5.0 4.02-8 Pregnancy associated hypertension 3.0 2.0 4.0 5.0 1.02-9 Genital herpes during pregnancy 4.0 1.0 5.0 2.0 3.02-10 Weight gain of less than 21 pounds 1.0 4.0 3.0 5.0 2.0

SUM OF RANKS 28.0 21.0 37.0 44.0 20.0AVERAGE RANK 2.8 2.1 3.7 4.4 2.0

3. UTILIZATION OF PRENATAL CARE SERVICES

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

3-1 No care in the 1st trimester 1.0 4.0 3.0 5.0 2.03-2 Fewer than five prenatal visits 1.0 4.0 3.0 5.0 2.03-3 No prenatal care 1.0 4.5 3.0 4.5 2.0

SUM OF RANKS 3.0 12.5 9.0 14.5 6.0AVERAGE RANK 1.0 4.2 3.0 4.8 2.0

4. NEWBORN'S HEALTH

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

4-1 Hyaline membrane disease 3.5 3.5 5.0 2.0 1.04-2 Newborn intensive care 4.0 2.5 5.0 1.0 2.54-3 Born too early (preterm or < 37 weeks) 3.5 3.5 5.0 1.5 1.54-4 Born too small: low-birthweight (<2,500 grams) 2.0 1.0 5.0 3.0 4.04-5 Born too small: very low-birthweight (<1,500 grams) 2.0 2.0 5.0 4.0 2.04-6 Incidence of congenital anomalies (birth defects) 3.5 3.5 2.0 5.0 1.04-7 Infant mortality 2.0 5.0 4.0 3.0 1.04-8 Sudden Infant Death Syndrome (SIDS) 2.0 3.5 5.0 3.5 1.04-9 Mortality of infants from low birthweight/short gestation 1.0 3.0 4.0 5.0 2.04-10 Neonatal mortality 2.0 5.0 4.0 3.0 1.04-11 Postneonatal mortality 2.0 3.0 4.0 5.0 1.0

SUM OF RANKS 27.5 35.5 48.0 36.0 18.0AVERAGE RANK 2.5 3.2 4.4 3.3 1.6

RANK ORDER IN 2011(A rank is the ordering of each race/ethnic group according to score).

1 = RANKS BEST AMONG RACE/ETHNIC GROUPS 5 = RANKS WORST AMONG RACE/ETHNIC GROUPS

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5. MORTALITY FROM NATURAL CAUSES - Chronic or infectious diseases

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

5-1 Cardiovascular diseases 4.0 3.0 5.0 2.0 1.0

5-2 Diseases of the heart 4.0 3.0 5.0 2.0 1.0

5-3 Coronary heart disease 4.0 3.0 5.0 2.0 1.0

5-4 Cerebrovascular disease 3.0 4.0 5.0 2.0 1.0

5-5 Chronic lower respiratory diseases 5.0 3.0 4.0 1.0 2.0

5-6 Malignant neoplasms (cancer) 5.0 3.0 4.0 1.0 2.0

5-7 Lung cancer 5.0 3.0 4.0 1.0 2.0

5-8 Breast cancer 4.0 2.0 5.0 1.0 3.0

5-9 Cervical cancer 1.0 5.0 2.0 4.0 3.0

5-10 Colorectal cancer 4.0 2.0 5.0 1.0 3.0

5-11 Prostate cancer 3.0 4.0 5.0 2.0 1.0

5-12 Influenza and pneumonia 3.0 4.0 1.0 5.0 2.0

5-13 Diabetes 1.0 3.0 4.0 5.0 2.0

5-14 Chronic liver disease and cirrhosis 3.0 4.0 2.0 5.0 1.0

5-15 HIV disease 1.5 3.0 5.0 4.0 1.5

5-16 Septicemia 2.0 3.5 3.5 5.0 1.0

5-17 Alzheimer's disease 4.0 3.0 5.0 1.0 2.0

5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease) 1.0 3.0 4.0 5.0 2.0

5-19 Essential (primary) hypertension 3.0 4.0 5.0 1.0 2.0

5-20 Total mortality from all causes 3.0 2.0 5.0 4.0 1.0

SUM OF RANKS 63.5 64.5 83.5 54.0 34.5

AVERAGE RANK 3.2 3.2 4.2 2.7 1.7

6. MORTALITY FROM INJURIES

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

6-1 Unintentional injuries 4.0 2.0 3.0 5.0 1.0

6-2 Motor vehicle-related injuries 2.0 3.5 3.5 5.0 1.0

6-3 Fall-related injuries 4.0 3.0 2.0 5.0 1.0

6-4 Drowning mortality 2.0 1.0 5.0 4.0 3.0

6-5 Injury by firearms 5.0 3.0 4.0 2.0 1.0

6-6 Drug-induced deaths 5.0 3.0 4.0 2.0 1.0

6-7 Alcohol-induced deaths 3.0 4.0 2.0 5.0 1.0

6-8 Intentional self-harm (suicide) 5.0 2.0 3.0 4.0 1.0

6-9 Assault (homicide) 1.0 3.0 5.0 4.0 2.0

SUM OF RANKS 31.0 24.5 31.5 36.0 12.0

AVERAGE RANK 3.4 2.7 3.5 4.0 1.3

7. AGE-SPECIFIC MORTALITY

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

7-1 Mortality of children 1-14 years old 2.0 3.0 5.0 4.0 1.0

7-2 Mortality of adolescents and young adults 15-19 years old 4.0 3.0 2.0 5.0 1.0

7-3 Mortality among adults 20-44 years old 3.0 2.0 4.0 5.0 1.0

7-4 Mortality among adults 45-65 years old 3.0 2.0 5.0 4.0 1.0

SUM OF RANKS 12.0 10.0 16.0 18.0 4.0

AVERAGE RANK 3.0 2.5 4.0 4.5 1.0

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8. PREMATURE MORTALITY

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

8-1 Median age at death from all causes 1.0 3.0 4.0 5.0 2.0

8-2 Median age at death from all causes among males 1.0 4.0 3.0 5.0 2.0

8-3 Median age at death from all causes among females 1.0 2.5 4.0 5.0 2.5

8-4 Percent of total deaths before expected years of life reached 1.0 3.0 4.0 5.0 2.0

SUM OF RANKS 4.0 12.5 15.0 20.0 8.5

AVERAGE RANK 1.0 3.1 3.8 5.0 2.1

9. REPORTABLE DISEASES - (Number of cases per 100,000 persons in specified group)

Figure No.

IndicatorWhite non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

9-1 Incidence of early syphilis 2.0 3.0 5.0 4.0 1.0

9-2 Incidence of gonorrhea 2.0 3.0 5.0 4.0 1.0

9-3 Incidence of chlamydia 2.0 3.0 5.0 4.0 1.0

9-4 Incidence of genital herpes 2.0 3.0 5.0 4.0 1.0

9-5 Incidence of HIV/AIDS 1.0 3.5 5.0 3.5 2.0

SUM OF RANKS 9.0 15.5 25.0 19.5 6.0

AVERAGE RANK 1.8 3.1 5.0 3.9 1.2

OVERALL HEALTH STATUS (ALL 70 INDICATORS)

White non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

SUM OF ALL RANKS FOR 70 MEASUREMENTS 185.0 215.5 278.5 257.0 114.0

AVERAGE RANKS BASED ON 70 MEASUREMENTS 2.6 3.1 4.0 3.7 1.6

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 137

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DATA SOURCES AND

DEFINITIONS

Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011 139

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SOURCES OF DATA Information on births and deaths is compiled from the original documents (i.e., certificates of live births and certificates of death) filed with the Arizona Department of Health Services. Information on induced terminations of pregnancy (abortions) performed on Arizona women is compiled from reports sent to the Arizona Department of Health Services by facilities within but not outside the state. Pregnancies are the sum of live births, spontaneous terminations of pregnancy (fetal deaths or stillbirths), and induced terminations of pregnancy (abortions). Data on morbidity and levels of disease and disability in the population are obtained for certain infectious diseases that must be reported by law. The ADHS Epidemiology and Disease Control Services conduct surveillance and monitoring of these reportable diseases and provided data for section 9 in this report. Population denominators for Arizona residents, used to calculate rates for 2011 and other intercensal years, utilize the best available data sources. They are described in detail at http://www.azdhs.gov/plan/menu/info/pd.htm . Almost all figures are based on rates and ratios published in the 2011 Arizona Health Status and Vital Statistics report and available online at http://www.azdhs.gov/plan/report/ahs/ahs2011/toc11.htm

DEFINITIONS 1. TEEN PREGNANCIES

Fig

ure

n

um

ber

Indicator

Definitions

1-1 Pregnancies among females 19 and younger

The sum of live births, fetal deaths, and abortions per 1,000 females aged 19 or younger.

1-2 Pregnancies among females 14 and younger

The sum of live births, fetal deaths, and abortions per 1,000 females aged 14 or younger.

1-3 Pregnancies among females 15-17 years old

The sum of live births, fetal deaths, and abortions per 1,000 females aged 15-17 years.

1-4 Pregnancies among females 18-19 years old

The sum of live births, fetal deaths, and abortions per 1,000 females aged 18-19 years.

2. MATERNAL LIFESTYLE AND HEALTH CHARACTERISTICS

Fig

ure

n

um

ber

Indicator Definitions

2-1 Unmarried mothers The number of births to unmarried mothers per 100 births.

2-2 Tobacco use during pregnancy

The number of mothers giving birth who self-reported tobacco use during pregnancy per 100 births.

2-3 Alcohol use during pregnancy

The number of mothers giving birth who self-reported alcohol use during pregnancy per 100 births.

2-4 Chronic hypertension 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).

2-5 Dysfunctional labor Failure to progress in a normal pattern of labor (the number of cases per 100 births).

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2-6 Anemia during pregnancy

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).

2-7 Diabetes during pregnancy

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).

2-8 Pregnancy-associated hypertension

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).

2-9 Genital herpes during pregnancy

Infection of the skin of the genital area by herpes simplex virus (the number of cases per 100 births).

2-10 Weight gain of less than 21 pounds

The number of women giving birth who gained less than 21 pounds per 100 births.

3. UTILIZATION OF PRENATAL CARE SERVICES

Fig

ure

n

um

ber

Indicator

Definition

3-1 No care in the 1st trimester

The number of mothers giving birth who received no prenatal care in the 1st trimester of pregnancy per 100 births.

3-2 Fewer than five prenatal visits

The number of mothers giving birth who had fewer than five prenatal visits during pregnancy per 100 births.

3-3 No prenatal care The number of mothers giving birth who received no prenatal care during pregnancy per 100 births.

4. NEWBORN'S HEALTH

Fig

ure

n

um

ber

Indicator

Definition

4-1 Incidence of hyaline membrane disease

The number of cases of hyaline membrane disease per 100 births. Hyaline membrane disease is a disorder primarily of prematurity, manifested clinically by respiratory distress and pathologically by pulmonary hyaline membranes and incomplete expansion of the lungs at birth.

4-2 Incidence of newborn intensive care

The number of babies admitted to Newborn Intensive Care units per 100 births.

4-3 Born too early (preterm or < 37 weeks)

The number of births before 37 weeks of gestation per 100 births. Preterm is 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.

4-4 Born too small: low-birthweight (<2,500 grams)

The number of newborns weighing less than 2,500 grams per 100 births. Low-birthweight is any neonate weighing less than 2,500 grams at birth (less than 5 pounds 8 ounces).

4-5 Born too small: very low-birthweight (<1,500 grams)

The number of newborns weighing less than 1,500 grams per 100 births. Very low-birthweight is any neonate whose weight at birth is 1,500 grams or less (less than 3 pounds 5 ounces).

4-6 Incidence of congenital anomalies (birth defects)

The numbers of babies born with birth defects per 100 births.

4-7 Infant mortality The number of infant deaths per 1,000 live births. Infant death is 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).

4-8 Sudden Infant Death Syndrome (SIDS)

The number of infant deaths from Sudden Infant Death Syndrome (ICD-10 code R95) per 1,000 live births.

4-9 Mortality of infants from low birthweight/short gestation

The number of infant deaths from low- birthweight/short gestation (ICD-10 code P07) per 1,000 live births.

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4-10 Neonatal mortality The number of neonatal deaths per 1,000 live births. Neonatal death is death of a live born neonate before the neonate becomes 28 days old (up to and including 27 days, 23 hours, 59 minutes from the moment of birth).

4-11 Postneonatal mortality The number of postneonatal deaths per 1,000 live births. Postneonatal death is any death of a live born infant at least 28 days of age but less than one year of age.

5. MORTALITY FROM NATURAL CAUSES (chronic or infectious diseases)

Fig

ure

n

um

ber

Indicator

Definition

5-1 Cardiovascular disease The number of deaths from cardiovascular diseases (ICD-10 codes I00-I78) per 100,000 age-adjusted population.

5-2 Diseases of the heart The number of deaths from disease of the heart (ICD-10 codes I00–I09, I11, I13, I20–I51) per 100,000 age-adjusted population.

5-3 Coronary heart disease The number of deaths from coronary heart disease (ICD-10 codes I200-I259 and I110 – I119) per 100,000 age-adjusted population.

5-4 Cerebrovascular disease The number of deaths from cerebrovascular disease (ICD-10 codes I60–I69) per 100,000 age-adjusted population.

5-5 Chronic lower respiratory diseases

The number of deaths from chronic lower respiratory diseases (ICD-10 codes J40–J47) per 100,000 age-adjusted population.

5-6 Malignant neoplasm (cancer)

The number of deaths from cancer (ICD-10 codes C00–C97) per 100,000 age-adjusted population.

5-7 Lung cancer The number of deaths from lung cancer (ICD-10 codes C33–C34) per 100,000 age-adjusted population.

5-8 Breast cancer The number of deaths from breast cancer (ICD-10 code C50) per 100,000 age-adjusted female population.

5-9 Cervical cancer The number of deaths from cervical cancer (ICD-10 code C53) per 100,000 age-adjusted female population.

5-10 Colorectal cancer The number of deaths from colorectal cancer (ICD-10 codes C18–C21) per 100,000 age-adjusted population.

5-11 Prostate cancer The number of deaths from prostate cancer (ICD-10 code C61) per 100,000 age-adjusted male population.

5-12 Influenza and pneumonia The number of deaths from influenza and pneumonia (ICD-10 codes J10–J18) per 100,000 age-adjusted population.

5-13 Diabetes The number of deaths from diabetes (ICD-10 codes E10–E14) per 100,000 age-adjusted population.

5-14 Chronic liver disease and cirrhosis

The number of deaths from chronic liver disease and cirrhosis (ICD-10 codes K70, K73–K74) per 100,000 age-adjusted population.

5-15 HIV disease The number of deaths from HIV disease (ICD-10 codes B20-B24) per 100,000 age-adjusted population.

5-16 Septicemia The number of deaths from septicemia (ICD-10 codes A40-A41) per 100,000 age-adjusted population.

5-17 Alzheimer's disease The number of deaths from Alzheimer’s disease (ICD-10 code G30) per 100,000 age-adjusted population.

5-18 Nephritis, nephrotic syndrome and nephrosis (kidney disease)

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.

5-19 Essential (primary) hypertension

The number of deaths from essential (primary) hypertension (ICD-10 codes I10, I12) per 100,000 age-adjusted population.

5-20 Total mortality from all causes

Total number of deaths from all causes per 100,000 age-adjusted population.

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6. MORTALITY FROM INJURIES

Fig

ure

n

um

ber

Indicator

Definition

6-1 Unintentional injuries The number of deaths from unintentional injuries in accidents (ICD-10 codes V01–X59, Y85–Y86) per 100,000 age-adjusted population.

6-2 Motor vehicle-related injuries

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.

6-3 Fall-related injuries The number of deaths from fall-related injuries (ICD-10 codes W00-W19) per 100,000 age-adjusted population.

6-4 Drowning mortality The number of deaths due to accidental drowning and submersion (ICD-10 codes W65-W74) per 100,000 age-adjusted population.

6-5 Injury by firearms

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.

6-6 Drug-induced deaths

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 ICD-10 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.

6-7 Alcohol-induced deaths

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.

6-8 Intentional self-harm (suicide)

The number of deaths due to intentional self-harm (ICD-10 codes X60-X84, Y87.0) per 100,000 age-adjusted population.

6-9 Assault (homicide) The number of homicides (ICD-10 codes X85-X09, Y87.1) per 100,000 age-adjusted population.

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7. AGE-SPECIFIC MORTALITY

Fig

ure

n

um

ber

Indicators

Definition

7-1 Mortality of children 1-14 years old

The number of deaths per 100,000 children 1-14 years old.

7-2 Mortality of adolescents 15-19 years old

The number of deaths per 100,000 adolescents 15-19 years old.

7-3 Mortality of young adults 20-44 years old

The number of deaths per 100,000 young adults 20-44 years old.

7-4 Mortality of middle-aged adults 45-64 years old

The number of deaths per 100,000 middle-aged adults 45-64 years old.

8. PREMATURE MORTALITY

Fig

ure

n

um

ber

Indicators

8-1 Median age at death from all causes

The median age (the age in the middle) of death for Arizonans.

8-2 Median age at death from all causes among males

The median age (the age in the middle) of death for Arizona males.

8-3 Median age at death from all causes among females

The median age (the age in the middle) of death for Arizona females.

8-4 Percent of total deaths before expected years of life reached

The number of deaths before reaching the life expectancy of all U.S. residents per 100 deaths.

9. REPORTABLE DISEASES

Fig

ure

n

um

ber

Indicators

9-1 Incidence of early syphilis

Number of reported cases of early syphilis per 100,000 population.

9-2 Incidence of gonorrhea Number of reported cases of gonorrhea per 100,000 population.

9-3 Incidence of chlamydia Number of reported cases of chlamydia per 100,000 population.

9-4 Incidence of genital herpes

Number of reported cases of genital herpes per 100,000 population.

9-5 Incidence of HIV/AIDS

Number of reported new cases of HIV/AIDS per 100,000 population. The estimated incidence of HIV/AIDS includes the sum of new HIV cases and new AIDS cases which were not diagnosed as HIV positive in any prior calendar year. The cases of persons who were diagnosed with both HIV and AIDS in the same calendar year are counted only as AIDS to avoid double counting.

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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 "age-adjustment" removes the effect of the age differences among sub-populations (or in the same population over time) by placing them all in a population with a standard age distribution. All age-adjusted mortality rates in this report were computed by the direct method, that is by weighting the age-specific rates for a given year by the age distribution of a standard population. The weighted age-specific rates are then added to produce the summary rate for all ages combined. 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

2011 population

2011 deaths

Age-specific ratesin 2011

2000 standardAge-adjusted rate for 2011

A B C D E F (C/B)*100000 D*E

<1 88,211 504 571.4 .013818 7.9

1-4 370,926 106 28.6 .055317 1.6

5-14 909,069 118 13.0 .145565 1.9

15-24 910,452 671 73.7 .138646 10.2

25-34 863,216 950 110.1 .135573 14.9

35-44 828,783 1,466 176.9 .162613 28.8

45-54 848,406 3,368 397.0 .134834 53.5

55-64 731,162 6,030 824.7 .087247 72.0

65-74 501,370 8,170 1629.5 .066037 107.6

75-84 282,492 11,986 4243.0 .044842 190.3

85+ 104,091 14,162 13605.4 .015508 211.0

All ages 6,438,178 47,547 TOTAL ∑ = 699.6

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.

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POPULATION

DENOMINATORS

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Racial/ethnic group 1991 2001 2011Percent

increase from 1991 to 2011

All Groups 3,788,576 5,307,331 6,438,178 69.9

White Non-Hispanic 2,685,338 3,387,025 3,779,432 40.7

Hispanic or Latino 695,103 1,340,240 1,827,753 162.9

Black or African American 121,994 164,344 270,944 122.1

American Indian or Alaska Native 222,457 264,690 360,414 62.0

Asian or Pacific Islander 63,684 102,377 199,635 213.5

Note: Two data sources were utilized to produce the 2011 population denominators. First, "July 2011 Population Estimates for Arizona Counties", released by the Office of the State Demographer provided population estiamtes at the county-level. It is important to note that the data tabulated above match the July 2011 estimates. Second, the information about the population breakdowns by age, gender, and race/ethnicity is based on "April 1, 2010 Bridged-Race Population Estimates" available online on the National Vital Statistics website.

POPULATION BY RACE/ETHNICITY: ARIZONA RESIDENTS, 1991, 2001, AND 2011

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150 Differences in the Health Status Among Racial/Ethnic Groups, Arizona 2011

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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, Marital Status, and Health, Heart Disease vs. Cancer: An Epidemiologic Transition in Mortality Risks.

Population Health and Vital Statistics Section Bureau of Public Health Statistics

ARIZONA DEPARTMENT OF HEALTH SERVICES