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PREFACE This publication entitled Older Pennsylvanians 2007 is focused on Pennsylvania residents 65 years of age and older and was prepared by the Bureau of Health Statistics and Research of the Pennsylvania Department of Health. Staff are available to answer questions regarding this report, including utilization and limitations of the data. Electronic files of the data tables and graphs that appear in this report are available in .XLS (Microsoft Excel) or .PDF (Portable Document File) format upon request. This report, as well as additional reports and statistics, can be accessed on the Bureau’s web pages at www.health.state.pa.us/stats (select Vital Statistics). In addition, the Bureau’s web pages also include an interactive web tool, EpiQMS (Epidemiologic Query and Mapping System), that can be used to create customized data tables, graphs, maps and county assessments/profiles of death, cancer incidence, behavioral risk and population statistics. Please address all comments, questions, requests for data, etc. to:

BUREAU of HEALTH STATISTICS and RESEARCH PENNSYLVANIA DEPARTMENT of HEALTH

555 WALNUT STREET, 6th FLOOR HARRISBURG, PA 17101-1914

Telephone 717-783-2548 FAX 717-772-3258

IMPORTANT MESSAGE FOR THE USERS OF THIS REPORT:

Any narrative found in the highlights sections of this report pertain only to Pennsylvania residents 65 years of age or older, unless otherwise specified.

The Pennsylvania Department of Health is an equal opportunity provider of grants, contracts, services, and employment.

If you use any of the data in this report, please include the following statement with any release of the data: "These data were provided by the Bureau of Health Statistics and Research, Pennsylvania Department of Health.

The Department specifically disclaims responsibility for any analyses, interpretations or conclusions."

Pennsylvania Department of Health – Older Pennsylvanians 2007 – Page 1

TABLE OF CONTENTS

POPULATION STATISTICS

Highlights ..……………………………………………………………………... Data Tables and Illustrations ...……………………………………………….

36

MORTALITY STATISTICS


1114

BEHAVIORAL RISK FACTOR AND HEALTHY PEOPLE 2010 STATISTICS


2831

CANCER INCIDENCE STATISTICS


3739

TECHNICAL NOTES

A. Sources of Data ………………………………………............................ B. Definitions of Terms ...……………………………………………………. C. Age-Adjusted Rates …………………………..………………………….. References ………… ………………………………………………………… Links ………………….…………………………………………………………

464748

5051

OOO LLL DDD EEE RRR PPP EEE NNN NNN SSS YYY LLL VVV AAA NNN III AAA NNN SSS 222 000 000 777

Population


65+ POPULATION STATISTICS PENNSYLVANIA HIGHLIGHTS Total Population:

• According to the 2000 Census, Pennsylvania had the second highest percentage of residents aged 65+ (15.6 compared to 17.6 for Florida) and the fifth highest number of residents 65+ among all states.

• In 2005, there were approximately 1.9 million residents aged 65+ in

Pennsylvania. • Although the total population for Pennsylvania increased slightly between

2000 and 2005 (1.2 percent), Pennsylvania’s 65 and older population decreased slightly by 0.8 percent (or 15,558 residents).

• Among Pennsylvania residents age 65 and older, residents within the 65-

74 age group accounted for just over 50 percent of all 65+ residents in Pennsylvania.

• When comparing 2005 to 2000, both the 65-74 and 75-84 age groups

decreased (1.4 and 4.6 percent, respectively). On the other hand, the 85 and older age group saw an increase of 12.8 percent (or 30,463 residents).

Population by Sex:

• In 2000 and 2005, males made up nearly half (approximately 48 percent) of the total population in Pennsylvania. When examining the 65 and older community, males only accounted for approximately 40 percent of this population.

• Females accounted for almost 56 percent of residents ages 65-74; 61

percent of those 75-84; and, almost 71 percent of Pennsylvania’s oldest residents (85+).

• Both males and females saw an increase in the 85 and older age group

between 2000 and 2005 (18.9 and 10.5 percent, respectively).


65+ POPULATION STATISTICS… PENNSYLVANIA HIGHLIGHTS (Continued)

• The 65-74 age group accounted for roughly 55 percent of the 65 and older population for males, while females attributed approximately 47 percent to this age group in 2005.

• In 2005, the 75-84 age group represented about 35 percent of the 65+

population for both males and females. However, for the 85+ age group, these percentages were somewhat different between the sexes (10 percent for males and 17 percent for females).

Population by Race/Ethnicity:

• In 2005, Asian/Pacific Islander males had the highest percentage of 65-74 year old residents (63.6 percent), when compared to Whites and Blacks (54.9 and 59.0 percent, respectively).

• Females, regardless of race or ethnicity, had a greater proportion of

residents age 85 and older than males in 2005. The race with the largest proportion of females in this age group was Whites (16.8 percent). This was also true for the age group 75-84. However, males 65-74 had higher percentages than females for all races and Hispanics.

• Asians/Pacific Islanders and Hispanics tended to have lower percentages

of population ages 75-84, compared to Whites and Blacks. COUNTY HIGHLIGHTS Population Comparison:

• In 2000, 39 counties had a higher percentage of residents 65 and older than the state’s percentage of 15.6. In 2005, the number of counties with a higher percentage than the state’s rose to 40, while the state percentage of residents 65 and older dropped to 15.3.


65+ POPULATION STATISTICS… COUNTY HIGHLIGHTS (Continued)

• The county with the greatest proportion of 65 and older residents in 2000 was Sullivan with 21.9 percent. Sullivan County saw a similar percentage in 2005 with 22.3 percent. Although Sullivan County had the highest percentage of all 67 counties, its total 65 and older population accounted for less than one-tenth of a percent of Pennsylvania’s total 65+ population.

• The county with the lowest proportion of 65 and older residents for both

2000 and 2005 was Centre County (10.4 and 10.3 percent, respectively). This is misleading though, since approximately 40,000 college-age students are attending Penn State’s main campus in this rural county. With a total 65+ population of about 14,000, Centre County accounted for less than one percent of Pennsylvania’s total 65 and older population.

• Seven counties made up almost 44 percent of Pennsylvania’s total 65 and

older population during 2005 (Allegheny, Bucks, Delaware, Lancaster, Montgomery, Philadelphia, and Westmoreland). Of the seven, only two had population percentages for residents 65 and older greater than the state’s 15.3 percent. They were Allegheny (17.9 percent) and Westmoreland (18.3 percent).

2005 2000 Percent 2005 2000 Percent 2005 2000 Percent Estimated Enumerated Change Estimated Enumerated Change Estimated Enumerated ChangePopulation Population 2000-2005 Population Population 2000-2005 Population Population 2000-2005

All Ages 12,429,616 12,281,054 1.2 6,018,923 5,929,663 1.5 6,410,693 6,351,391 0.9

65+ 1,903,607 1,919,165 -0.8 765,184 767,547 -0.3 1,138,423 1,151,618 -1.1

65-74 956,180 969,272 -1.4 422,656 429,514 -1.6 533,524 539,758 -1.2

75-84 679,397 712,326 -4.6 264,476 272,383 -2.9 414,921 439,943 -5.7

85+ 268,030 237,567 12.8 78,052 65,650 18.9 189,978 171,917 10.5

Source: 2000 population enumerated by the U.S. Bureau of the Census. 2005 population are estimates prepared by the State Data Center of the Pennsylvania State University at Harrisburg.

Note: Percents may not sum to 100 due to rounding.

Figure A-1Percent Population Distribution by Age Group (Age 65+) and Sex

Pennsylvania Residents, 2000 and 2005

Pennsylvania Department of Health -- Older Pennsylvanians 2007 -- Page 6

Both Sexes Males Females

Table A-1Population by Age Group (Age 65+) and Sex: Pennsylvania Residents, 2000 and 2005

0%

20%

40%

60%

80%

100%

65-74 75-84 85+

Total2005

Total2000

Male2000

Male2005

Female2000

Female2005

Note: Percents may not sum to 100 due to rounding.

Figure A-2Percent Population Distribution by Age Group (Age 65+) and Race/Ethnicity

Male Pennsylvania Residents, 2000 and 2005

Female Pennsylvania Residents, 2000 and 2005

Figure A-3Percent Population Distribution by Age Group (Age 65+) and Race/Ethnicity


0%

20%

40%

60%

80%

100%

65-74 75-84 85+

White2005

White2000

Black2005

Black2000

Asian/PI2005

Asian/PI2000

Hispanic*2005

Hispanic*2000

0%

20%

40%

60%

80%

100%

65-74 75-84 85+

White2005

White2000

Black2005

Black2000

Asian/PI2005

Asian/PI2000

Hispanic*2005

Hispanic*2000

* Hispanic can be of any race.

County All Ages 65+ % 65-74 % 75-84 % 85+ %Pennsylvania 12,281,054 1,919,165 15.6 969,272 7.9 712,326 5.8 237,567 1.9Adams 91,292 12,656 13.9 6,631 7.3 4,469 4.9 1,556 1.7Allegheny 1,281,666 228,416 17.8 112,549 8.8 87,724 6.8 28,143 2.2Armstrong 72,392 13,053 18.0 6,582 9.1 4,941 6.8 1,530 2.1Beaver 181,412 33,424 18.4 17,422 9.6 12,503 6.9 3,499 1.9Bedford 49,984 8,243 16.5 4,529 9.1 2,874 5.7 840 1.7Berks 373,638 56,190 15.0 28,766 7.7 20,164 5.4 7,260 1.9Blair 129,144 22,456 17.4 11,127 8.6 8,479 6.6 2,850 2.2Bradford 62,761 9,865 15.7 5,109 8.1 3,551 5.7 1,205 1.9Bucks 597,635 74,094 12.4 39,983 6.7 25,888 4.3 8,223 1.4Butler 174,083 24,821 14.3 12,044 6.9 9,271 5.3 3,506 2.0Cambria 152,598 30,087 19.7 14,670 9.6 11,811 7.7 3,606 2.4Cameron 5,974 1,180 19.8 568 9.5 450 7.5 162 2.7Carbon 58,802 10,866 18.5 5,631 9.6 4,041 6.9 1,194 2.0Centre 135,758 14,077 10.4 7,571 5.6 4,867 3.6 1,639 1.2Chester 433,501 50,677 11.7 27,128 6.3 17,782 4.1 5,767 1.3Clarion 41,765 6,336 15.2 3,348 8.0 2,244 5.4 744 1.8Clearfield 83,382 14,094 16.9 7,114 8.5 5,244 6.3 1,736 2.1Clinton 37,914 6,363 16.8 3,348 8.8 2,327 6.1 688 1.8Columbia 64,151 10,202 15.9 5,123 8.0 3,896 6.1 1,183 1.8Crawford 90,366 14,052 15.6 7,170 7.9 5,097 5.6 1,785 2.0Cumberland 213,674 31,754 14.9 16,326 7.6 11,508 5.4 3,920 1.8Dauphin 251,798 35,844 14.2 18,667 7.4 12,934 5.1 4,243 1.7Delaware 550,864 85,669 15.6 42,053 7.6 32,748 5.9 10,868 2.0Elk 35,112 6,073 17.3 3,201 9.1 2,147 6.1 725 2.1Erie 280,843 40,256 14.3 19,968 7.1 15,396 5.5 4,892 1.7Fayette 148,644 26,930 18.1 13,441 9.0 10,292 6.9 3,197 2.2Forest 4,946 985 19.9 545 11.0 357 7.2 83 1.7Franklin 129,313 20,751 16.0 10,760 8.3 7,539 5.8 2,452 1.9Fulton 14,261 2,068 14.5 1,192 8.4 669 4.7 207 1.5Greene 40,672 6,193 15.2 3,045 7.5 2,337 5.7 811 2.0Huntingdon 45,586 6,748 14.8 3,764 8.3 2,226 4.9 758 1.7Indiana 89,605 13,323 14.9 6,611 7.4 5,085 5.7 1,627 1.8Jefferson 45,932 8,226 17.9 4,073 8.9 3,079 6.7 1,074 2.3Juniata 22,821 3,471 15.2 1,872 8.2 1,149 5.0 450 2.0Lackawanna 213,295 41,542 19.5 19,747 9.3 16,097 7.5 5,698 2.7Lancaster 470,658 66,060 14.0 32,706 6.9 24,389 5.2 8,965 1.9Lawrence 94,643 18,223 19.3 8,829 9.3 7,166 7.6 2,228 2.4Lebanon 120,327 19,696 16.4 9,960 8.3 7,044 5.9 2,692 2.2Lehigh 312,090 49,434 15.8 24,447 7.8 18,253 5.8 6,734 2.2Luzerne 319,250 62,740 19.7 30,166 9.4 24,093 7.5 8,481 2.7Lycoming 120,044 19,251 16.0 9,882 8.2 6,976 5.8 2,393 2.0McKean 45,936 7,663 16.7 3,873 8.4 2,749 6.0 1,041 2.3Mercer 120,293 21,740 18.1 10,904 9.1 8,198 6.8 2,638 2.2Mifflin 46,486 7,907 17.0 4,106 8.8 2,823 6.1 978 2.1Monroe 138,687 17,036 12.3 9,916 7.1 5,549 4.0 1,571 1.1Montgomery 750,097 111,797 14.9 55,562 7.4 41,518 5.5 14,717 2.0Montour 18,236 3,120 17.1 1,504 8.2 1,134 6.2 482 2.6Northampton 267,066 42,030 15.7 20,825 7.8 15,975 6.0 5,230 2.0Northumberland 94,556 18,002 19.0 8,817 9.3 6,860 7.3 2,325 2.5Perry 43,602 5,345 12.3 3,016 6.9 1,787 4.1 542 1.2Philadelphia 1,517,550 213,722 14.1 107,048 7.1 79,335 5.2 27,339 1.8Pike 46,302 7,017 15.2 4,430 9.6 2,046 4.4 541 1.2Potter 18,080 3,014 16.7 1,546 8.6 1,101 6.1 367 2.0Schuylkill 150,336 29,866 19.9 14,552 9.7 11,438 7.6 3,876 2.6Snyder 37,546 5,275 14.0 2,873 7.7 1,819 4.8 583 1.6Somerset 80,023 14,436 18.0 7,156 8.9 5,483 6.9 1,797 2.2Sullivan 6,556 1,434 21.9 739 11.3 507 7.7 188 2.9Susquehanna 42,238 6,546 15.5 3,443 8.2 2,327 5.5 776 1.8Tioga 41,373 6,608 16.0 3,490 8.4 2,338 5.7 780 1.9Union 41,624 5,584 13.4 2,756 6.6 1,999 4.8 829 2.0Venango 57,565 9,657 16.8 5,269 9.2 3,321 5.8 1,067 1.9Warren 43,863 7,312 16.7 3,872 8.8 2,591 5.9 849 1.9Washington 202,897 36,323 17.9 17,960 8.9 14,112 7.0 4,251 2.1Wayne 47,722 8,352 17.5 4,547 9.5 2,792 5.9 1,013 2.1Westmoreland 369,993 67,781 18.3 34,453 9.3 25,691 6.9 7,637 2.1Wyoming 28,080 3,717 13.2 1,975 7.0 1,313 4.7 429 1.5York 381,751 51,492 13.5 26,972 7.1 18,413 4.8 6,107 1.6

Source: 2000 population as enumerated by the U.S. Bureau of the Census.

Table A-2


Pennsylvania Residents, 2000A g e G r o u p ( I n Y e a r s )

Population by Age Group (Age 65+) and County, Number and Percent

County All Ages 65+ % 65-74 % 75-84 % 85+ %Pennsylvania 12,429,616 1,903,607 15.3 956,180 7.7 679,397 5.5 268,030 2.2Adams 99,749 13,112 13.1 6,797 6.8 4,473 4.5 1,842 1.8Allegheny 1,235,841 220,882 17.9 106,176 8.6 81,699 6.6 33,007 2.7Armstrong 70,586 12,876 18.2 6,500 9.2 4,597 6.5 1,779 2.5Beaver 177,377 32,854 18.5 16,231 9.2 12,231 6.9 4,392 2.5Bedford 50,091 8,333 16.6 4,374 8.7 2,900 5.8 1,059 2.1Berks 396,314 55,806 14.1 28,035 7.1 20,000 5.0 7,771 2.0Blair 126,795 22,074 17.4 11,059 8.7 8,146 6.4 2,869 2.3Bradford 62,537 9,909 15.8 5,200 8.3 3,428 5.5 1,281 2.0Bucks 621,342 77,059 12.4 41,505 6.7 26,808 4.3 8,746 1.4Butler 182,087 25,285 13.9 12,625 6.9 8,658 4.8 4,002 2.2Cambria 148,073 29,113 19.7 13,994 9.5 10,826 7.3 4,293 2.9Cameron 5,639 1,145 20.3 553 9.8 413 7.3 179 3.2Carbon 61,959 10,716 17.3 5,636 9.1 3,662 5.9 1,418 2.3Centre 140,561 14,462 10.3 7,708 5.5 4,989 3.5 1,765 1.3Chester 474,027 53,179 11.2 28,328 6.0 17,996 3.8 6,855 1.4Clarion 40,589 6,371 15.7 3,292 8.1 2,185 5.4 894 2.2Clearfield 82,783 14,159 17.1 7,232 8.7 4,989 6.0 1,938 2.3Clinton 37,439 6,274 16.8 3,273 8.7 2,232 6.0 769 2.1Columbia 64,939 10,358 16.0 5,344 8.2 3,574 5.5 1,440 2.2Crawford 89,442 13,923 15.6 7,185 8.0 4,806 5.4 1,932 2.2Cumberland 223,089 32,445 14.5 16,834 7.5 11,583 5.2 4,028 1.8Dauphin 253,995 35,845 14.1 18,318 7.2 12,519 4.9 5,008 2.0Delaware 555,648 83,495 15.0 40,684 7.3 30,907 5.6 11,904 2.1Elk 33,577 6,101 18.2 3,084 9.2 2,199 6.5 818 2.4Erie 280,446 40,194 14.3 19,951 7.1 14,552 5.2 5,691 2.0Fayette 146,142 26,353 18.0 12,867 8.8 9,664 6.6 3,822 2.6Forest 5,739 1,061 18.5 585 10.2 349 6.1 127 2.2Franklin 137,409 21,507 15.7 11,056 8.0 7,626 5.5 2,825 2.1Fulton 14,673 2,128 14.5 1,200 8.2 661 4.5 267 1.8Greene 39,808 6,089 15.3 3,081 7.7 2,153 5.4 855 2.1Huntingdon 45,947 6,830 14.9 3,694 8.0 2,284 5.0 852 1.9Indiana 88,703 13,301 15.0 6,431 7.3 4,668 5.3 2,202 2.5Jefferson 45,759 8,184 17.9 4,163 9.1 2,927 6.4 1,094 2.4Juniata 23,507 3,574 15.2 1,893 8.1 1,210 5.1 471 2.0Lackawanna 209,525 40,171 19.2 19,523 9.3 14,632 7.0 6,016 2.9Lancaster 490,562 67,631 13.8 34,797 7.1 23,853 4.9 8,981 1.8Lawrence 92,809 17,733 19.1 8,706 9.4 6,474 7.0 2,553 2.8Lebanon 125,578 20,024 15.9 10,101 8.0 7,240 5.8 2,683 2.1Lehigh 330,433 49,372 14.9 25,182 7.6 17,159 5.2 7,031 2.1Luzerne 312,861 60,424 19.3 29,519 9.4 21,964 7.0 8,941 2.9Lycoming 118,395 19,123 16.2 9,752 8.2 6,854 5.8 2,517 2.1McKean 44,370 7,564 17.0 3,856 8.7 2,670 6.0 1,038 2.3Mercer 119,598 21,367 17.9 10,505 8.8 7,924 6.6 2,938 2.5Mifflin 46,235 8,075 17.5 4,243 9.2 2,785 6.0 1,047 2.3Monroe 163,234 17,809 10.9 10,296 6.3 5,635 3.5 1,878 1.2Montgomery 775,883 113,294 14.6 56,540 7.3 41,665 5.4 15,089 1.9Montour 18,032 3,139 17.4 1,630 9.0 1,117 6.2 392 2.2Northampton 287,767 41,975 14.6 20,853 7.2 14,875 5.2 6,247 2.2Northumberland 92,610 17,503 18.9 8,594 9.3 6,324 6.8 2,585 2.8Perry 44,728 5,392 12.1 2,951 6.6 1,688 3.8 753 1.7Philadelphia 1,463,281 203,817 13.9 99,294 6.8 70,335 4.8 34,188 2.3Pike 56,337 7,403 13.1 4,141 7.4 2,555 4.5 707 1.3Potter 17,834 2,989 16.8 1,553 8.7 1,012 5.7 424 2.4Schuylkill 147,447 28,769 19.5 14,084 9.6 10,534 7.1 4,151 2.8Snyder 38,207 5,320 13.9 2,770 7.2 1,830 4.8 720 1.9Somerset 78,907 14,398 18.2 7,049 8.9 5,380 6.8 1,969 2.5Sullivan 6,391 1,428 22.3 756 11.8 473 7.4 199 3.1Susquehanna 42,124 6,552 15.6 3,398 8.1 2,182 5.2 972 2.3Tioga 41,649 6,727 16.2 3,457 8.3 2,257 5.4 1,013 2.4Union 43,131 5,724 13.3 2,891 6.7 2,038 4.7 795 1.8Venango 55,928 9,599 17.2 5,030 9.0 3,383 6.0 1,186 2.1Warren 42,033 7,321 17.4 3,831 9.1 2,566 6.1 924 2.2Washington 206,406 35,605 17.2 17,804 8.6 12,940 6.3 4,861 2.4Wayne 50,113 8,555 17.1 4,598 9.2 2,991 6.0 966 1.9Westmoreland 367,635 67,104 18.3 33,555 9.1 24,719 6.7 8,830 2.4Wyoming 28,160 3,851 13.7 2,128 7.6 1,288 4.6 435 1.5York 408,801 52,852 12.9 27,905 6.8 18,141 4.4 6,806 1.7

Source: 2005 population are estimates prepared by the State Data Center of the Pennsylvania State University at Harrisburg.

Table A-3


Pennsylvania Residents, 2005A g e G r o u p ( I n Y e a r s )

Population by Age Group (Age 65+) and County, Number and Percent


Mortality


65+ MORTALITY STATISTICS PENNSYLVANIA HIGHLIGHTS Deaths by Cause:

• During 2003-05, almost one-third of all deaths to Pennsylvania residents 65 and older were due to diseases of the heart (31.3 percent). The next largest percentage was cancer (21.6). Together, these causes represent over half (52.9 percent) of all deaths to residents 65 or older.

• Five causes of death (CLRD, Alzheimer’s, Influenza/Pneumonia,

Nephritis/Nephrosis, and Accidents) had higher numbers and rates in 2003-05 compared to 2000-02.

• Alzheimer’s disease experienced the largest increase in the number of

deaths over time (2000-02 compared to 2003-05). There were 1,466 more deaths in 2003-05, 18.2 percent higher than 2000-02.

Deaths by Sex:

• During 2003-05, Alzheimer’s disease was ranked consistently higher as a leading cause of death for females than males for the age groups 65+, 75+ and 85+.

• The total number of resident male deaths for age 65 and older during

2003-05 (130,763) represents 71.6 percent of all male deaths (of all ages) in Pennsylvania, compared to 84.4 percent for female residents during the same time period.

Deaths by Race:

• During 2003-05, the percentages of deaths among residents 65 and older for both White males and White females were 74.2 and 86.1 percent, respectively. These percentages were similar to the state. Percentages for Black residents, however, varied greatly, with only 49.3 percent of males and 67.5 percent of females dying at 65 years of age or older.


65+ MORTALITY STATISTICS… PENNSYLVANIA HIGHLIGHTS (Continued)

• The percentage of Nephritis/Nephrosis deaths for Black residents was approximately 4.0 percent for each of the three age groups, 65+, 75+ and 85+. In comparison, this cause was responsible for approximately 2.5 percent of deaths among Whites for each of the age groups.

• When examining the leading causes of death for 2003-05, Alzheimer’s

disease was ranked consistently higher for Whites than for Blacks in each of the three age groups (65+, 75+ and 85+).

COUNTY HIGHLIGHTS Total Deaths:

• In Pennsylvania during 2003-05, 43.5 percent of deaths to residents 65 and older were to males and 56.5 percent were to females. Only two counties had more deaths to males than females – Forest and Pike Counties.

• Among residents 65 and older, Allegheny County led all counties in total

number of deaths in 2003-05 with 35,464 and was followed closely by Philadelphia with 32,634 deaths. The next largest county total was Montgomery County with 17,266.

Age-Adjusted Rates:

• Thirteen counties (mostly in the northeast and northwestern areas of the state) had an average annual age-adjusted death rate significantly higher during 2003-05 than the state’s rate of 514.7 per 10,000. Seventeen counties had a rate significantly lower.

• During 2003-05, Bucks, Cambria and Fayette Counties were the only

counties to have an average annual age-adjusted rate significantly lower than the state for one sex, while the other sex had an age-adjusted rate significantly higher. Males in Bucks County had a significantly lower rate (561.8 per 10,000), while significantly higher in Cambria and Fayette


65+ MORTALITY STATISTICS… COUNTY HIGHLIGHTS (Continued)

Counties (622.5 and 631.2 per 10,000, respectively). Females in Bucks County had a significantly higher rate (497.1 per 10,000), while significantly lower in Cambria and Fayette Counties (432.9 and 445.8 per 10,000, respectively).

• Four counties had both male and female average annual age-adjusted rates significantly higher during 2003-05 than the state (Lackawanna, Luzerne, Schuylkill, and Venango). Four counties had both rates by sex significantly lower than the state (Berks, Northampton, Pike, and York).

2003-2005 % 2002-2004 % 2001-2003 % 2000-2002 %All Causes of Death 300,539 100.0 302,439 100.0 305,831 100.0 307,741 100.0Diseases of Heart 94,030 31.3 96,516 31.9 99,604 32.6 102,036 33.2Cancer 64,800 21.6 65,289 21.6 66,058 21.6 66,532 21.6Stroke 21,147 7.0 22,022 7.3 22,936 7.5 23,569 7.7C.L.R.D.** 16,029 5.3 15,875 5.2 15,859 5.2 15,942 5.2Alzheimer's Disease 9,517 3.2 8,965 3.0 8,456 2.8 8,051 2.6Diabetes Mellitus 8,418 2.8 8,546 2.8 8,774 2.9 8,879 2.9Influenza/Pneumonia 8,105 2.7 7,934 2.6 7,794 2.5 7,858 2.6Nephritis/Nephrosis 7,993 2.7 7,876 2.6 7,694 2.5 7,427 2.4Septicemia 6,051 2.0 6,125 2.0 6,311 2.1 6,449 2.1Accidents 5,513 1.8 5,354 1.8 5,276 1.7 5,176 1.7All Other Causes 58,936 19.6 57,937 19.2 57,069 18.7 55,822 18.1

** Chronic Lower Repiratory Disease

2003-2005 2002-2004 2001-2003 2000-2002All Causes of Death 514.7 518.4 521.5 523.7Diseases of Heart 160.5 165.0 169.3 173.1Cancer 112.1 113.0 114.0 114.5Stroke 36.0 37.5 38.8 39.8C.L.R.D.** 27.5 27.3 27.1 27.2Alzheimer's Disease 16.1 15.2 14.2 13.5Diabetes Mellitus 14.5 14.7 15.1 15.2Influenza/Pneumonia 13.8 13.5 13.2 13.2Nephritis/Nephrosis 13.7 13.5 13.1 12.6Septicemia 10.4 10.5 10.8 11.0Accidents 9.5 9.2 9.0 8.8

* Age-adjusted rate per 10,000 residents** Chronic Lower Repiratory DiseaseNote: See Technical Notes for more information on age-adjusted rates for 65+ population.

Table B-1

Table B-2


Average Annual Age-Adjusted Death Rates* for Selected Leading Causes of DeathPennsylvania Residents Age 65+

Selected Leading Causes of Death, Number and PercentPennsylvania Residents Age 65+

Note: See Technical Notes for more information on age-adjusted rates for 65+ population.

Figure B-1Percent for Selected Leading Causes of DeathPennsylvania Residents, Age 65+, 2003-2005


Average Annual Age-Adjusted Death Rates* for Selected Leading Causes of DeathPennsylvania Residents, Age 65+2001-2003, 2002-2004, 2003-2005

Figure B-2

Alzheimer's Disease3.2%

C.L.R.D.**5.3%

Cancer21.6%Stroke

7.0%

Diseases of Heart31.3%

All Other31.6%

16.1

27.5

36.0

112.1

160.5

15.2

27.3

37.5

113.0

165.0

14.2

27.1

38.8

114.0

169.3

0.0 50.0 100.0 150.0 200.0

Alzheimer's Disease

C.L.R.D.**

Stroke

Cancer

Diseases of Heart

2001-2003

2002-2004

2003-2005

* Age-adjusted rate per 10,000 residents** Chronic Lower Respiratory Disease

Total Male Female Total Male Female Total Male Female

All Causes of Death 300,539 130,763 169,776 278,649 121,325 157,324 20,672 8,824 11,848Diseases of Heart 94,030 40,864 53,166 87,683 38,107 49,576 6,046 2,606 3,440Cancer 64,800 32,675 32,125 59,714 30,160 29,554 4,809 2,356 2,453Stroke 21,147 7,558 13,589 19,497 6,974 12,523 1,530 533 997C.L.R.D.* 16,029 7,421 8,608 15,223 7,026 8,197 774 375 399Alzheimer's Disease 9,517 2,541 6,976 9,138 2,449 6,689 360 87 273Diabetes Mellitus 8,418 3,663 4,755 7,620 3,343 4,277 759 303 456Influenza/Pneumonia 8,105 3,424 4,681 7,635 3,230 4,405 444 186 258Nephritis/Nephrosis 7,993 3,712 4,281 7,092 3,330 3,762 867 366 501Septicemia 6,051 2,500 3,551 5,243 2,149 3,094 773 332 441Accidents 5,513 2,626 2,887 5,166 2,447 2,719 314 161 153Ess. Hyper./H.R.D** 2,537 857 1,680 2,231 746 1,485 291 104 187All Other Causes 56,399 22,922 33,477 52,407 21,364 31,043 3,705 1,415 2,290

* Chronic Lower Respiratory Disease** Essential Hypertension and Hypertensive Renal Disease

75+ Residents 85+ Residents1 1 12 2 23 3 34 4 45 5 56 6 67 7 78 8 89 9 910 10 10

* Chronic Lower Respiratory Disease

SepticemiaAccidents

Diseases of HeartCancerStrokeC.L.R.D.*

Alzheimer's Disease

Influenza/PneumoniaDiabetes Mellitus

Nephritis/Nephrosis

Diseases of HeartCancerStrokeC.L.R.D.*

Table B-3Selected Leading Causes of Death by Sex and Race

Pennsylvania Residents, Age 65+, 2003-2005

65+ Residents

All Races White Black

Figure B-3

Diabetes Mellitus

Alzheimer's DiseaseInfluenza/PneumoniaNephritis/NephrosisDiabetes Mellitus

Alzheimer's DiseaseC.L.R.D.*Influenza/PneumoniaNephritis/Nephrosis


SepticemiaAccidents

Leading Causes of Death, Rank for Ages 65+, 75+, 85+Pennsylvania Residents, 2003-2005

SepticemiaAccidents

Diseases of HeartCancerStroke

75+ Residents 85+ Residents1 1 12 2 23 3 34 4 45 5 5 Influenza/Pneumonia6 6 67 7 78 8 89 9 910 10 10 Septicemia




Figure B-4Leading Causes of Death, Rank for Ages 65+, 75+, 85+

Pennsylvania Residents, Males, 2003-2005

65+ ResidentsDiseases of Heart Diseases of Heart Diseases of HeartCancer Cancer CancerStroke Stroke StrokeC.L.R.D.* C.L.R.D.*

Diabetes MellitusAlzheimer's Disease

C.L.R.D.*

Diabetes Mellitus Influenza/PneumoniaAlzheimer's DiseaseAccidents

Influenza/Pneumonia

Nephritis/NephrosisNephritis/Nephrosis

Nephritis/Nephrosis

Diabetes MellitusAccidents

AccidentsAlzheimer's DiseaseSepticemia Septicemia



Pennsylvania Residents, Females, 2003-2005

65+ ResidentsDiseases of Heart Diseases of Heart Diseases of Heart

Influenza/Pneumonia

Cancer Cancer CancerStroke Stroke Stroke

SepticemiaNephritis/Nephrosis

Nephritis/Nephrosis

C.L.R.D.* C.L.R.D.* Alzheimer's DiseaseAlzheimer's Disease Alzheimer's Disease C.L.R.D.*Diabetes Mellitus

Septicemia

Influenza/PneumoniaInfluenza/Pneumonia

Accidents Accidents Accidents

Nephritis/NephrosisDiabetes Mellitus

Diabetes MellitusSepticemia

Figure B-6Percent for Selected Leading Causes of Death

Pennsylvania Residents, Males Age 65+, 2003-2005



Pennsylvania Residents, Females Age 65+, 2003-2005

Nephritis/Nephrosis

2.8%

Chronic Lower Respiratory Dis.

5.7% Cancer25.0%

Stroke5.8%


All Other29.5%


Chronic Lower Respiratory Dis.

5.1%

Cancer18.9%

Stroke8.0%


All Other32.6%


Figure B-9


Average Annual Age-Adjusted Death Rates* for Selected Leading Causes of DeathPennsylvania Residents, Females Age 65+

2001-2003, 2002-2004, 2003-2005

Figure B-8Average Annual Age-Adjusted Death Rates* for Selected Leading Causes of Death

Pennsylvania Residents, Males Age 65+2001-2003, 2002-2004, 2003-2005

18.6

23.9

36.7

91.0

144.2

17.5

23.5

38.5

91.9

148.9

16.3

23.0

39.9

92.2

152.3

0.0 50.0 100.0 150.0 200.0

Alzheimer's Disease

C.L.R.D.**

Stroke

Cancer

Diseases of the Heart

2001-2003

2002-2004

2003-2005

* Age-adjusted rate per 10,000 residents** Chronic Lower Respiratory Disease

16.9

33.5

34.4

145.7

185.0

16.9

33.5

35.5

146.6

188.8

16.3

33.9

36.6

148.6

194.5

0.0 50.0 100.0 150.0 200.0 250.0

Nephritis/Nephrosis

C.L.R.D.**

Stroke

Cancer

Diseases of Heart

2001-2003

2002-2004

2003-2005

Females

Males

75+ Residents 85+ Residents1 1 12 2 23 3 34 4 45 5 56 6 67 7 78 Nephritis/Nephrosis 8 89 9 910 10 10



Accidents

* Chronic Lower Respiratory Disease** Essential Hypertension and Hypertensive Renal Disease


Pennsylvania Residents, White Race, 2003-2005

65+ ResidentsDiseases of Heart Diseases of Heart Diseases of HeartCancer Cancer CancerStroke Stroke StrokeC.L.R.D.* C.L.R.D.* Alzheimer's DiseaseAlzheimer's Disease Alzheimer's DiseaseInfluenza/Pneumonia Influenza/Pneumonia Influenza/PneumoniaDiabetes Mellitus Nephritis/Nephrosis Nephritis/Nephrosis

SepticemiaDiabetes Mellitus Diabetes MellitusSepticemia Accidents

Accidents Accidents


Septicemia

Pennsylvania Residents, Black Race, 2003-2005

65+ ResidentsDiseases of Heart Diseases of Heart Diseases of HeartCancer Cancer CancerStroke Stroke StrokeNephritis/Nephrosis Nephritis/Nephrosis SepticemiaC.L.R.D.* Septicemia Nephritis/Nephrosis


Influenza/Pneumonia Influenza/Pneumonia C.L.R.D.*Alzheimer's Disease Alzheimer's Disease

Ess. Hyper./H.R.D**

C.L.R.D.*

Diabetes MellitusAccidents Ess. Hyper./H.R.D**

Septicemia C.L.R.D.* Alzheimer's DiseaseDiabetes Mellitus Diabetes Mellitus Influenza/Pneumonia




Pennsylvania Residents, White Race Age 65+, 2003-2005



Pennsylvania Residents, Black Race Age 65+, 2003-2005


C.L.R.D.*5.5%

Cancer21.4%Stroke

7.0%


All Other31.4%

C.L.R.D.*3.7%

Nephritis/Nephrosis4.2%

Cancer23.3%

Stroke7.4%


All Other32.1%

Total* Male FemaleCounty Number Rate CI (95%) Number Rate CI (95%) Number Rate CI (95%)All Counties 300,539 514.7 512.9-516.5 130,763 590.2 587.0-593.4 169,776 465.3 463.1-467.6Adams 2,146 538.5 515.7-561.3 961 589.5 552.2-626.8 1,185 498.6 470.2-526.9Allegheny 35,464 514.3 509.0-519.7 14,957 587.1 577.7-596.5 20,507 468.8 462.4-475.2Armstrong 1,990 506.1 483.9-528.3 915 588.2 550.1-626.3 1,075 449.5 422.7-476.4Beaver 5,053 499.4 485.6-513.2 2,278 577.3 553.6-601.0 2,775 446.2 429.6-462.8Bedford 1,153 462.1 435.4-488.8 559 548.4 503.0-593.9 594 399.4 367.3-431.5Berks 8,452 495.7 485.1-506.3 3,763 560.4 542.5-578.3 4,689 451.4 438.5-464.4Blair 3,768 555.8 538.1-573.6 1,659 669.5 637.3-701.7 2,109 485.9 465.1-506.6Bradford 1,598 538.4 512.0-564.8 729 618.7 573.8-663.6 869 485.3 453.0-517.6Bucks 11,976 524.1 514.7-533.5 5,079 561.8 546.4-577.3 6,897 497.1 485.4-508.8Butler 4,312 546.7 530.4-563.0 1,866 613.8 585.9-641.6 2,446 498.4 478.6-518.1Cambria 4,582 504.1 489.5-518.7 2,049 622.5 595.5-649.4 2,533 432.9 416.0-449.7Cameron 192 548.3 470.7-625.9 83 618.8 485.7-751.9 109 506.5 411.4-601.6Carbon 1,764 547.9 522.3-573.5 804 651.0 606.0-696.0 960 482.2 451.7-512.7Centre 2,103 488.4 467.5-509.3 942 531.8 497.8-565.7 1,161 455.4 429.2-481.6Chester 7,836 494.3 483.4-505.2 3,405 531.0 513.1-548.8 4,431 466.9 453.2-480.7Clarion 1,026 531.3 498.8-563.8 470 602.6 548.1-657.1 556 480.7 440.7-520.7Clearfield 2,165 503.4 482.2-524.6 985 596.9 559.6-634.2 1,180 442.8 417.5-468.0Clinton 994 531.3 498.3-564.3 460 619.7 563.1-676.4 534 468.3 428.5-508.0Columbia 1,679 536.6 510.9-562.3 719 602.2 558.2-646.2 960 488.6 457.7-519.6Crawford 2,211 523.8 502.0-545.6 1,013 598.2 561.4-635.0 1,198 470.3 443.7-496.9Cumberland 5,017 507.5 493.5-521.5 2,184 583.9 559.4-608.4 2,833 458.0 441.2-474.9Dauphin 5,614 516.3 502.8-529.8 2,438 596.8 573.1-620.5 3,176 464.7 448.6-480.9Delaware 13,288 512.4 503.7-521.1 5,606 585.1 569.8-600.4 7,682 467.0 456.6-477.5Elk 895 482.4 450.8-514.0 420 582.2 526.6-637.9 475 418.9 381.2-456.6Erie 6,343 508.5 496.0-521.0 2,819 594.2 572.3-616.2 3,524 452.6 437.6-467.5Fayette 4,207 516.6 501.0-532.2 1,908 631.2 602.9-659.5 2,299 445.8 427.6-464.1Forest 174 549.4 467.8-631.0 88 596.6 471.9-721.2 86 506.1 399.2-613.1Franklin 3,201 488.6 471.7-505.5 1,489 569.6 540.7-598.6 1,712 431.8 411.4-452.3Fulton 294 474.6 420.4-528.9 145 545.4 456.6-634.2 149 417.4 350.3-484.4Greene 982 531.1 497.9-564.3 435 621.4 563.0-679.8 547 472.7 433.1-512.3Huntingdon 1,029 514.5 483.1-545.9 451 582.6 528.9-636.4 578 467.7 429.6-505.9Indiana 2,107 503.4 481.9-524.9 947 584.8 547.5-622.0 1,160 448.6 422.8-474.4Jefferson 1,357 539.7 511.0-568.4 576 583.4 535.7-631.0 781 510.0 474.2-545.8Juniata 487 456.0 415.5-496.5 222 529.9 460.2-599.6 265 406.2 357.3-455.1Lackawanna 6,919 553.7 540.7-566.8 2,864 671.2 646.6-695.7 4,055 489.1 474.0-504.1Lancaster 10,658 514.0 504.2-523.8 4,698 572.2 555.8-588.5 5,960 473.2 461.2-485.2Lawrence 2,852 517.0 498.0-536.0 1,264 623.3 588.9-657.6 1,588 452.7 430.5-475.0Lebanon 3,295 533.5 515.3-551.7 1,456 612.9 581.4-644.4 1,839 479.5 457.6-501.4Lehigh 7,499 494.2 483.0-505.4 3,260 575.0 555.3-594.7 4,239 442.6 429.2-455.9Luzerne 10,464 558.9 548.2-569.6 4,417 674.0 654.2-693.9 6,047 490.6 478.3-503.0Lycoming 3,032 518.3 499.9-536.8 1,369 602.3 570.4-634.3 1,663 461.9 439.8-484.2McKean 1,223 533.7 503.8-563.6 519 566.5 517.7-615.2 704 508.0 470.5-545.6Mercer 3,307 494.7 477.8-511.6 1,460 558.3 529.7-586.9 1,847 449.2 428.7-469.7Mifflin 1,299 534.6 505.5-563.7 562 609.6 559.2-660.0 737 485.6 450.5-520.6Monroe 2,460 486.9 467.7-506.1 1,155 543.5 512.2-574.9 1,305 446.4 422.2-470.6Montgomery 17,266 492.4 485.1-499.7 7,301 538.8 526.5-551.2 9,965 460.3 451.3-469.4Montour 553 576.3 528.3-624.3 225 637.9 554.5-721.2 328 532.5 474.9-590.2Northampton 6,315 485.8 473.8-497.8 2,823 567.1 546.2-588.0 3,492 432.0 417.7-446.4Northumberland 2,869 530.0 510.6-549.4 1,237 635.2 599.8-670.6 1,632 467.2 444.6-489.9Perry 866 545.5 509.2-581.8 418 634.7 573.8-695.5 448 479.1 434.7-523.4Philadelphia 32,634 525.5 519.8-531.2 13,810 629.3 618.8-639.8 18,824 464.7 458.1-471.4Pike 784 368.8 343.0-394.6 407 410.0 370.2-449.9 377 331.5 298.1-365.0Potter 483 531.3 483.9-578.7 211 555.8 480.8-630.8 272 509.5 449.0-570.1Schuylkill 5,023 565.3 549.7-580.9 2,184 666.1 638.1-694.0 2,839 501.4 483.0-519.9Snyder 768 477.7 443.9-511.5 375 588.1 528.6-647.6 393 401.9 362.2-441.6Somerset 2,259 505.9 485.0-526.8 1,006 575.1 539.6-610.6 1,253 456.3 431.1-481.6Sullivan 246 577.1 505.0-649.2 120 637.0 523.0-751.0 126 524.9 433.3-616.6Susquehanna 1,047 530.5 498.4-562.6 479 582.3 530.2-634.5 568 490.3 450.0-530.7Tioga 980 477.5 447.6-507.4 469 536.2 487.7-584.7 511 431.5 394.1-468.9Union 917 518.2 484.7-551.7 379 568.0 510.8-625.2 538 486.2 445.1-527.3Venango 1,610 563.1 535.6-590.6 712 639.6 592.6-686.6 898 512.8 479.2-546.3Warren 1,193 545.9 514.9-576.9 519 587.8 537.3-638.4 674 516.5 477.5-555.5Washington 5,790 527.3 513.7-540.9 2,490 594.2 570.8-617.5 3,300 482.4 465.9-498.8Wayne 1,410 554.6 525.7-583.6 678 625.6 578.5-672.7 732 496.6 460.6-532.6Westmoreland 10,694 516.3 506.5-526.1 4,683 589.6 572.7-606.5 6,011 469.0 457.2-480.9Wyoming 605 536.3 493.6-579.0 253 586.9 514.6-659.2 352 497.4 445.4-549.3York 7,760 487.6 476.8-498.5 3,536 561.1 542.6-579.6 4,224 437.4 424.2-450.6*Total includes unknown sex.Notes: Age-adjusted rates are computed by the direct method using the 2000 U.S. standard million population. Rates are per 10,000. Unknowns excluded from calculations. CI = 95% confidence interval based on a formula for estimating the standard error or SE. See Technical Notes.

Table B-4Number of Deaths, Average Annual Age-Adjusted Death Rates and 95% Confidence Intervals

By Sex and County, Pennsylvania Residents, Age 65+, 2003-2005


State rate = 514.7


Figure B-14Average Annual Age-Adjusted Death Rates by County


Note: See table B-4 for county rates and Technical Notes for more information on age-adjusted rates for 65+ population.

368.8 - 470.0 470.1 - 506.1 506.2 - 539.7 539.8 - 577.1





Significantly lower than the state Not significantly higher or lower than the state

Significantly higher than the state

State rate = 590.2

State rate = 465.3

Average Annual Age-Adjusted Death Rates by CountyPennsylvania Residents, Females Age 65+, 2003-2005




Figure B-17


410.0 - 548.4 548.5 - 589.6 589.7 - 625.6 625.7 - 674.0

331.5 - 418.9 419.0 - 460.3 460.4 - 490.6 490.7 - 532.5

Average Annual Age-Adjusted Death Rates by CountyPennsylvania Residents, Females Age 65+, 2003-2005




Figure B-19







Behavioral Risk Factors &

Healthy People 2010 Goals Important: The behavioral risk factor data presented in this section are based on the Pennsylvania Behavioral Risk Factor Surveillance Survey (BRFSS). The BRFSS is an annual random sample survey of non-institutionalized adults (age 18+). Sample data are prone to error and bias, and should be considered as estimates. Therefore, 95% confidence intervals are included to demonstrate the variability of these sample estimates. See Technical Notes for more information.


65+ BEHAVIORIAL RISK FACTOR AND HEALTHY PEOPLE 2010 STATISTICS PENNSYLVANIA HIGHLIGHTS Behavioral Risks:

• Among Pennsylvania adults who responded during 2003-05, twenty-eight percent of adults age 65+ answered “fair” or “poor” to the question, “How would you say your general health is?” This was significantly higher than the percentages for all other age groups.

• Forty-four percent of Pennsylvania adults 75+ responded that they had not

engaged in any leisure time physical activity during 2003-05. That is significantly higher compared to the 29 percent of adults age 65-74 or the 26 percent for adults age 45-64.

• Among Pennsylvania adults with diabetes who responded during 2003-

2005, twenty-three percent of adults age 65+ said they were taking insulin, 78 percent said they were taking diabetes pills, but only 56 percent said they checked their blood sugar daily.

• Almost two-thirds, or 66%, of Pennsylvania’s 65+ community were

considered to be overweight in 2003-05, significantly higher than the 61% for residents 30-44 and 42% for residents 18-29.

• Only nine percent of residents 65+ were smoking during 2003-05 – a

significantly lower percentage than for any other younger age group. Immunization:

• During 2005, fifty-nine percent of Pennsylvanians age 65+ in 2005 reported that they had a flu shot in the past year. Sixty-six percent answered “yes” to ever having had a pneumonia vaccination.


65+ BEHAVIORIAL RISK FACTOR AND HEALTHY PEOPLE 2010 STATISTICS

PENNSYLVANIA HIGHLIGHTS (Continued)

• Persons 65+ did not meet the national goal of 90 percent for receiving a flu shot or ever having had a pneumonia vaccination in 2005.

Hospitalization: Congestive Heart Failure

• The rates for all persons ages 65-74, males and females ages 65-74, and Whites ages 65-74 were approximately double the national 2010 goal of 6.5 per 1,000 age 65-74. By comparison, rates for Blacks and Hispanics ages 65-74 were 3-4 times higher than the national goal.

• For the age groups 75-84 and 85+, the disparities between sex and race

for congestive heart failure observed in the 65-74 age group faded during 2004. Even though the rates appeared similar at these older age groups, all of the rates were still much higher than their corresponding national goals.

Hospitalization: Hip Fractures

• The hospitalization rate for hip fractures to females age 65+, White females age 65+, and Hispanic females age 65+ was more than two times the national goal of 416 per 100,000 in 2004. Only Black females age 65+ met the goal, with a rate of 353.1 per 100,000.

• Males age 65+ saw a similar scenario as females for hip fracture

hospitalizations during 2004. Although the rates for all males age 65+, White males age 65+, and Hispanic males age 65+ did exceed the national goal of 474 per 100,000, their rates did not surpass the goal as much as females did. Only Black males age 65+ met the national goal, with a rate of 322.0 per 100,000.


65+ BEHAVIORIAL RISK FACTOR AND HEALTHY PEOPLE 2010 STATISTICS PENNSYLVANIA HIGHLIGHTS (Continued)

• Hispanics consistently had higher hospitalization rates than Whites or Blacks, whether it was for congestive heart failure, vertebral fractures, asthma, or hip fractures.

Hospitalization: Vertebral Fractures

• During the years 2000-04, the hospitalization rate for vertebral fractures steadily increased for all persons age 65+ in Pennsylvania. The rate went from 16.9 per 10,000 age 65+ in 2000 to 20.5 in 2004, an increase of 21.3 percent.

• Blacks age 65+ were the only group to meet the national goal of 14.0 per

10,000 age 65+. Their rate of 7.6 was almost one-third the rate for Whites (21.0) and approximately one-sixth the rate for Hispanics (48.6 per 10,000 age 65+) for vertebral fractures.

Asthma Deaths and Hospitalizations:

• During 2004, females age 65+ had an asthma hospitalization rate almost double the rate of males age 65+ (32.2 compared to 17.6 per 10,000, respectively). Blacks and Hispanics had a hospitalization rate over twice as high as the rate for Whites (53.2 and 63.7 compared to 23.6, respectively).

• The national goal of 60.0 per 1,000,000 age 65+ for asthma death rate

was met by all persons age 65+, males, females, and Whites during the years 2002-04. Blacks age 65+ exceeded the goal, with a rate of 77.5 per 1,000,000.

Behavioral Risk Factor % CI (95%) % CI (95%) % CI (95%) % CI (95%) % CI (95%)

15 14-16 7 6-9 9 8-10 17 16-19 28 26-29

Former Smoker 25 24-26 11 9-12 19 18-21 31 30-33 40 38-42

24 23-25 33 30-36 27 26-29 23 21-25 9 8-11

8 8-9 10 9-12 8 7-9 9 8-10 7 6-8

8 7-8 1 1-1 3 2-4 10 9-11 18 17-19

Overweight 61 60-62 42 39-45 61 60-63 69 67-70 66 64-67

Obese 24 23-25 14 13-16 25 24-27 30 28-31 23 22-25

11 10-11 21 19-24 12 11-13 7 7-8 3 3-4

23 23-24 15 14-17 20 19-22 25 23-26 34 32-36

Behavioral Risk Factor % CI (95%) % CI (95%) % CI (95%) % CI (95%)

Now Taking Insulin 28 25-31 36 27-45 32 26-37 23 19-27

Now Taking Diabetes Pills 70 67-73 47 37-56 68 63-74 78 74-82

Check Their Blood Sugar Daily 59 56-62 64 54-72 61 55-66 56 52-61

22 19-25 16 10-24 24 19-30 22 18-26

71 67-74 70 60-78 70 65-75 71 67-75

13 10-15 16 10-25 15 11-21 10 7-12

77 75-80 78 70-85 77 73-82 77 73-81

52 49-56 51 41-61 52 46-58 52 48-57

32 28-35 34 23-46 29 25-35 33 28-38

68 65-72 58 48-67 66 60-71 74 70-78

49 46-53 52 42-62 50 44-55 48 44-53


Table C-1

Years65 Years& Over

Table C-2Percentages for Selected Behavioral Risk Factors Among Diabetic Adults

by Age Group, Pennsylvania Residents, 2003-2005

Does Not Have a Personal Health Care Provider

No Leisure Time Physical Activity in the Past Month

Check Their Feet Daily

18-44Years

45-64

Percentages for Selected Behavioral Risk Factors by Age GroupPennsylvania Residents, 2003-2005

Years Years Years & Over18-29

All Ages30-44

Ever Told They Have Diabetes

Currently Has Asthma

45-64 65 Years

Fair or Poor General Health

Current Smoker

Taken Class on How to Self-Manage Diabetes

Had Sores on Feet That Took 4+ Weeks to Heal

Doctor Said Diabetes Affected Their Eyes

All Ages

Had Their Feet Checked by Dr Past Year

Saw Dr 4+ Times Past Year for Diabetes

Had an A1C Test 4+ Times Past Year

Had a Dilated Eye Exam in the Past Year

PA PA PA PA PAGoal 2005 2004 2003 2002 2001

Adults 18-24* NA 17± 5 17± 5 13± 5 17± 3 19± 6Adults 25-44* NA 22± 2 20± 2 18± 2 21± 2 20± 3Adults 45-64* NA 26± 2 24± 2 25± 3 24± 2 24± 3Adults 65-74* NA 29± 3 28± 3 28± 4 31± 3 27± 4Adults 75+* NA 44± 3 45± 4 38± 5 42± 3 49± 6*not age-adjustedNOTE: ± denotes 95% confidence interval. NA = not available

Percent of Adults by Age Group Who Engage in Vigorous or Moderate Physical Activity*

PA PA PA PA PAGoal 2005 2004 2003 2002 2001

Adults 18-24** NA 60± 6 DNC 65± 7 NA 59± 7Adults 25-44** NA 52± 2 DNC 56± 3 NA 51± 3Adults 45-64** NA 47± 2 DNC 44± 3 NA 43± 3Adults 65-74** NA 45± 3 DNC 38± 5 NA 38± 5Adults 75+** NA 32± 4 DNC 34± 6 NA 27± 6*Vigorous is defined as large increases in breathing/heart rate for 20+ min. 3+ times per week. **not age-adjusted NOTES: ± denotes 95% confidence interval. NA = not available DNC = data not collected

PA PA PA PA PAGoal 2005 2004 2003 2002 2001

Adults 20-39* NA 43± 3 47± 3 44± 3 46± 2 45± 3Adults 40-59* NA 32± 2 30± 2 33± 3 33± 2 31± 3Adults 60+* NA 30± 2 32± 2 34± 3 32± 2 33± 3Males 20-39* NA 32± 4 39± 5 31± 5 37± 3 37± 5Males 40-59* NA 24± 3 22± 3 22± 4 25± 2 24± 4Males 60+* NA 26± 3 26± 4 29± 5 26± 3 28± 5Females 20-39* NA 43± 3 55± 4 57± 5 55± 3 55± 5Females 40-59* NA 32± 2 39± 3 44± 4 42± 2 39± 4Females 60+* NA 30± 2 36± 3 38± 4 36± 2 36± 4*not age-adjustedNOTE: ± denotes 95% confidence interval. NA = not available

PA PA PA PA PAGoal 2005 2004 2003 2002 2001

Adults 20-39* NA 22± 2 21± 2 21± 3 20± 2 17± 3Adults 40-59* NA 30± 2 29± 2 28± 3 28± 2 28± 3Adults 60+* NA 26± 2 24± 2 24± 3 26± 2 23± 3Males 20-39* NA 26± 4 22± 4 23± 5 23± 3 16± 4Males 40-59* NA 30± 3 29± 3 31± 4 29± 3 28± 4Males 60+* NA 25± 3 22± 4 23± 5 26± 3 23± 5Females 20-39* NA 22± 2 20± 3 18± 4 18± 2 18± 4Females 40-59* NA 30± 2 28± 3 25± 4 27± 2 28± 4Females 60+* NA 26± 2 27± 3 25± 4 25± 2 23± 4*not age-adjustedNOTE: ± denotes 95% confidence interval. NA = not available

Table C-3

Table C-4


Percent of Adults by Age Group Who Engage in No Leisure-Time Physical Activity

Table C-5Percent of Healthy Weight Adults by Age and Sex

Table C-6Percent of Obese Adults by Age and Sex

National 2010

National 2010

National 2010

National 2010

PA PA PA PA PAGoal 2004 2003 2002 2001 2000

Persons 65-74 6.5 12.8 13.6 13.9 15.4 15.0Males 65-74 6.5 14.8 15.8 16.0 17.4 16.9Females 65-74 6.5 11.1 11.9 12.3 13.7 13.6Whites 65-74 6.5 11.4 12.2 12.6 12.8 12.4Blacks 65-74 6.5 27.9 28.5 27.2 28.2 27.1Hispanics* 65-74 6.5 20.6 23.1 23.2 27.6 19.5*Hispanics can be of any race

PA PA PA PA PAGoal 2004 2003 2002 2001 2000

Persons 75-84 13.5 31.9 30.7 30.8 32.1 32.1Males 75-84 13.5 37.8 35.6 34.9 36.3 36.0Females 75-84 13.5 28.2 27.7 28.2 29.4 29.7Whites 75-84 13.5 31.1 29.9 29.8 28.6 27.9Blacks 75-84 13.5 41.7 40.5 41.5 41.5 42.3Hispanics* 75-84 13.5 42.4 40.0 45.9 51.2 38.9*Hispanics can be of any race

PA PA PA PA PAGoal 2004 2003 2002 2001 2000

Persons 85+ 26.5 55.1 58.3 59.7 54.0 57.4Males 85+ 26.5 62.3 69.4 67.9 58.8 61.1Females 85+ 26.5 52.2 54.0 56.5 52.1 56.0Whites 85+ 26.5 55.2 58.2 59.4 49.0 50.8Blacks 85+ 26.5 49.6 55.6 57.2 54.0 56.3Hispanics* 85+ 26.5 53.7 70.2 72.4 61.2 59.8*Hispanics can be of any race

as the Principal Diagnosis (ages 75-84) by Sex and Race/Hispanic Ethnicity

Table C-7

as the Principal Diagnosis (ages 85+) by Sex and Race/Hispanic Ethnicity

National 2010

Table C-9Hospitalization Rate for Congestive Heart Failure

Hospitalization Rate for Congestive Heart Failure

(per 1,000 ages 65-74)as the Principal Diagnosis (ages 65-74) by Sex and Race/Hispanic Ethnicity

(per 1,000 ages 75-84)

National 2010

Hospitalization Rate for Congestive Heart Failure Table C-8


National 2010

(per 1,000 age 85+)

PA PA PA PA PAGoal 2004 2003 2002 2001 2000

Females 65+ 416 935.1 972.5 974.4 969.8 983.9White Females 65+ 416 969.9 1009.5 1011.6 924.2 924.4Black Females 65+ 416 353.1 360.3 339.6 358.8 378.1Hispanic* Females 65+ 416 1008.7 1435.6 1120.8 1489.9 1068.4*Hispanics can be of any raceNOTE: Age-adjusted to 2000 standard population.

PA PA PA PA PAGoal 2004 2003 2002 2001 2000

Males 65+ 474 517.4 524.8 518.2 504.0 505.6White Males 65+ 474 525.5 535.2 523.7 475.0 472.9Black Males 65+ 474 322.0 303.2 345.3 263.3 265.0Hispanic* Males 65+ 474 544.8 429.0 737.2 557.4 498.8*Hispanics can be of any raceNOTE: Age-adjusted to 2000 standard population.

PA PA PA PA PAGoal 2004 2003 2002 2001 2000

Persons 65+ 14.0 20.5 19.2 18.0 17.4 16.9Males 65+ 14.0 15.7 14.2 14.0 14.2 12.5Females 65+ 14.0 23.3 22.2 20.3 19.3 19.5Whites 65+ 14.0 21.0 19.9 18.6 16.8 16.0Blacks 65+ 14.0 7.6 5.2 6.5 6.2 5.0Hispanics 65+** 14.0 48.6 51.4 45.0 22.4 26.0*associated with osteoporosis**Hispanics can be of any raceNOTE: Age-adjusted to 2000 standard population.

PA PA PA PA PAGoal 2004 2003 2002 2001 2000

Persons 65+ 11 26.3 25.8 21.6 19.6 18.4Males 65+ 11 17.6 16.8 13.8 12.3 9.7Females 65+ 11 32.2 31.8 26.7 24.5 23.1Whites 65+ 11 23.6 23.0 19.3 15.8 15.3Blacks 65+ 11 53.2 53.2 43.7 40.8 32.6Hispanics* 65+ 11 63.7 89.8 74.9 61.8 58.4*Hispanics can be of any raceNOTE: Age-adjusted to 2000 standard population.


National 2010

National 2010

Hospitalization Rate for Asthma by Age, Sex and Race/Hispanic Ethnicity

National 2010

National 2010

Hospitalization Rate for Hip Fracture Among Males 65+ by Age, Sex and Race/Hispanic Ethnicity (per 100,000)

Table C-10Hospitalization Rate for Hip Fracture Among Females 65+

by Age, Sex and Race/Hispanic Ethnicity (per 100,000)

Table C-11

(per 10,000 65+)

Table C-13

Hospitalization Rate for Vertebral Fractures* by Age, Sex and Race/Hispanic Ethnicity (per 10,000 ages 65+)

Table C-12

PA PA PA PA PAGoal 2002-04 2001-03 2000-02 1999-01 1998-00

Persons 65+ 60.0 41.7 42.8 45.7 45.8 55.6Males 65+ 60.0 27.9 26.1 25.7 25.0 34.7Females 65+ 60.0 51.0 54.0 59.0 59.5 69.3Whites 65+ 60.0 39.5 40.5 42.8 44.3 52.8Blacks 65+ 60.0 77.5 81.5 87.7 63.9 86.4

PA PA PA PA PAGoal 2005 2004 2003 2002 2001

Persons 65+ 90 59± 2 64± 3 70± 3 71± 2 64± 4Males 65+ 90 60± 4 68± 4 77± 5 73± 3 66± 6Females 65+ 90 58± 3 60± 3 65± 4 70± 3 63± 5Non-Hispanic Whites 65+ 90 59± 2 64± 3 71± 3 72± 2 65± 4Non-Hispanic Blacks 65+ 90 50± 11 DSU DSU 69±11 DSUNOTES: ± denotes 95% confidence interval. Data excludes institutionalized persons. Age-adjusted to 2000 standard population. DSU = data statistically unreliable (small numbers)

PA PA PA PA PAGoal 2005 2004 2003 2002 2001

Persons 65+ 90 66± 2 63± 3 67± 4 64± 2 60± 4Males 65+ 90 63± 4 62± 4 66± 6 64± 4 61± 7Females 65+ 90 69± 3 64± 3 68± 4 65± 3 60± 5Non-Hispanic Whites 65+ 90 69± 2 64± 3 69± 4 65± 2 61± 4Non-Hispanic Blacks 65+ 90 44± 11 DSU DSU 61±11 DSUNOTES: ± denotes 95% confidence interval. Data excludes institutionalized persons. Age-adjusted to 2000 standard population. DSU = data statistically unreliable (small numbers)

Table C-14

Table C-15

National 2010

Table C-16

(per 1,000,000 ages 65+)Asthma Death Rate by Age, Sex and Race

National 2010


by Age, Sex and Race/Hispanic EthnicityPercent of Adults 65+ with Flu Shot in Past Year

Against Pneumococcal Disease by Age and SexPercent of Adults 65+ Ever Vaccinated

National 2010


Cancer Incidence


65+ CANCER INCIDENCE STATISTICS PENNSYLVANIA HIGHLIGHTS Cancer Incidence:

• Bronchus & lung, prostate, colorectal and female breast cancer incidence cases accounted for over 56 percent of all cancer incidence cases for all of the three-year summary figures during the years 1999-04.

• For all residents age 65+, bronchus & lung made up the largest

percentage (16.6) of all invasive cancer incidence cases for major primary sites during 2002-2004. Among males, prostate cancer was the highest with 28.3 percent and female breast was the highest for females with 22.7 percent.

• For all three-year periods during 1999-2004, bronchus & lung had roughly

the same average annual age-adjusted invasive cancer incidence rate (about 37 per 10,000 residents), while prostate, colorectal and female breast all experienced declines.

• The average annual age-adjusted incidence rate for prostate cancer has

been steadily decreasing, from 94.1 per 10,000 residents during 1999-2001 to 83.4 per 10,000 during 2002-2004.

• When examining average annual age-adjusted cancer incidence rates for

all residents, prostate cancer rates decreased 11.3 percent between 1999-01 and 2002-04. The decrease of 11.3 percent was the largest percent change of any of the top primary major sites. However, colorectal cancer rates decreased by 9.0 percent and female breast by 8.9 percent during the same time frame.

Cancer Incidence by Sex:

• During 2002-04 for the age groups 65+, 75+ and 85+, prostate cancer was the top-ranked major primary site for males, followed by bronchus & lung for age groups 65+ and 75+. Among females, breast cancer was top-ranked for the age groups 65+ and 75+ and second for the 85+ age group.


65+ CANCER STATISTICS… PENNSYLVANIA HIGHLIGHTS (Continued)

• Urinary bladder cancer incidence had almost three times as many male cases as female cases for the 2002-2004 time period (6,094 and 2,170, respectively).

• During 2002-04, the male average annual age-adjusted cancer incidence

rate for prostate had a much higher rate (83.4 per 10,000 residents) compared to the next highest rate for a primary site, bronchus & lung (51.7 per 10,000). Females experienced the same differences during 2002-2004, with female breast having a rate (40.0 per 10,000) that was much higher than the next highest primary site, bronchus & lung (27.9 per 10,000 residents).

Cancer Incidence by Race:

• The same four major primary sites (bronchus & lung, prostate, colorectal, and female breast) appeared in the top four among both Whites and Blacks, but in different order for all three age groups (65+, 75+, and 85+) during 2002-04. The fifth-ranked major primary site differed though, with urinary bladder ranking fifth highest for Whites and pancreas ranking fifth highest for Blacks.

• Among the top four major primary sites during 2002-04, Blacks had higher

average annual age-adjusted cancer incidence rates than Whites for both bronchus & lung and prostate cancers. However, the rates for colorectal and female breast cancers were similar between Blacks and Whites.

Primary Site** 2002-2004 % 2001-2003 % 2000-2002 % 1999-2001 %All Sites 128,354 100.0 131,298 100.0 130,921 100.0 130,452 100.0Bronchus and Lung 21,337 16.6 21,423 16.3 21,218 16.2 20,844 16.0Prostate 19,223 15.0 20,739 15.8 21,499 16.4 21,594 16.6Colorectal 18,031 14.0 19,013 14.5 19,368 14.8 19,861 15.2Female Breast 13,695 10.7 14,152 10.8 14,609 11.2 15,131 11.6Urinary Bladder 8,264 6.4 8,235 6.3 8,055 6.2 8,020 6.1Non-Hodgkin Lymphomas 5,367 4.2 5,298 4.0 5,182 4.0 5,108 3.9Pancreas 3,749 2.9 3,608 2.7 3,531 2.7 3,485 2.7Corpus/Uterus, NOS 3,207 2.5 3,327 2.5 3,312 2.5 3,373 2.6All Other Sites 35,481 27.6 35,503 27.0 34,147 26.1 33,036 25.3** With the exception of urinary bladder, all in situ cases are excluded.

Primary Site** 2002-2004 2001-2003 2000-2002 1999-2001All Sites 223.8 228.4 227.3 227.1Prostate 83.4 90.1 93.3 94.1Female Breast 40.0 41.1 42.3 43.9Bronchus and Lung 37.3 37.4 36.9 36.4Colorectal 31.2 32.8 33.4 34.3Urinary Bladder 14.4 14.3 13.9 13.9Corpus/Uterus, NOS 9.5 9.8 9.7 9.9Non-Hodgkin Lymphomas 9.3 9.2 9.0 8.9Pancreas 6.5 6.2 6.1 6.0

* Rates are per 10,000 residents. Rates are based on 2000 U.S. standard million population.** With the exception of urinary bladder, all in situ cases are excluded.Note: See Technical Notes for more information on age-adjusted rates for 65+ population.


Table D-1Number of Invasive Cancer Incidence Cases for Primary Major Sites

Pennsylvania Residents, Age 65+, Three Year Summaries

Table D-2Average Annual Age-Adjusted Incidence Rates* of Invasive Cancer Cases for Primary Major Sites

Pennsylvania Residents 65+

Primary Site** Total Male Female Total Male Female Total Male Female

All Sites 128,354 67,920 60,434 117,579 62,161 55,418 8,554 4,461 4,093Bronchus and Lung 21,337 11,762 9,575 19,492 10,782 8,710 1,617 855 762Prostate 19,223 19,223 - 16,953 16,953 - 1,727 1,727 -Colorectal 18,031 8,464 9,567 16,711 7,853 8,858 1,114 512 602Female Breast 13,695 - 13,695 12,588 - 12,588 925 - 925Urinary Bladder 8,264 6,094 2,170 7,891 5,866 2,025 279 157 122Non-Hodgkin Lymphomas 5,367 2,555 2,812 5,094 2,437 2,657 179 76 103Pancreas 3,749 1,659 2,090 3,393 1,525 1,868 296 110 186Corpus/Uterus, NOS 3,207 - 3,207 2,972 - 2,972 198 - 198All Other Sites 35,481 18,163 17,318 32,485 16,745 15,740 2,219 1,024 1,195** With the exception of urinary bladder, all in situ cases are excluded.

Residents 75+ Residents 85+1 1 12 2 23 3 34 4 45 5 5

** With the exception of urinary bladder, all in situ cases are excluded.

Males 75+ Males 85+1 1 12 2 23 3 34 4 45 Non-Hodgkin Lymphomas 5 Non-Hodgkin Lymphomas 5 Non-Hodgkin Lymphomas


Invasive Cancer Incidence Cases: Males

Urinary Bladder** Urinary Bladder**Female BreastFemale Breast Prostate

Pennsylvania Residents, 2002-2004Ranking for Top Five Major Primary Sites for Selected Age Groups

Colorectal Female BreastBronchus and LungBronchus and Lung

Prostate

Residents 65+

ProstateColorectal

Figure D-1Invasive Cancer Incidence Cases

Ranking for Top Five Major Primary Sites for Selected Age GroupsPennsylvania Residents, 2002-2004

ProstateColorectalColorectalBronchus and Lung

Males 65+

Urinary Bladder**

Figure D-2

Urinary Bladder**

Bronchus and LungProstate Prostate

Colorectal Colorectal Bronchus and Lung


Table D-3Number of Invasive Cancer Cases for Major Primary Sites by Sex and Race

Pennsylvania Residents, Age 65+, 2002-2004All Races White Black

Bronchus and Lung

Urinary Bladder**Urinary Bladder**

Females 75+ Females 85+1 1 12 2 23 3 34 4 Non-Hodgkin Lymphomas 4 Non-Hodgkin Lymphomas5 Non-Hodgkin Lymphomas 5 5

Whites 75+ Whites 85+1 1 12 2 23 3 34 4 45 5 5


Blacks 75+ Blacks 85+1 1 12 2 23 3 34 4 45 5 5

Bronchus and LungProstate Bronchus and Lung

Female Breast Female BreastProstate Female Breast

Corpus/Uterus, NOS

Figure D-4

Pennsylvania Residents, 2002-2004

Pancreas

Invasive Cancer Incidence Cases: WhitesRanking for Top Five Major Primary Sites for Selected Age Groups

Prostate Bronchus and Lung

Whites 65+Colorectal

Bronchus and Lung Colorectal

ColorectalBronchus and Lung

Invasive Cancer Incidence Cases: BlacksRanking for Top Five Major Primary Sites for Selected Age Groups


Urinary Bladder** Urinary Bladder** Urinary Bladder**

Figure D-5

Pennsylvania Residents, 2002-2004

ProstateBlacks 65+

Female Breast Female BreastPancreas

Colorectal Bronchus and Lung Bronchus and LungCorpus/Uterus, NOS

Pancreas Pancreas

Bronchus and Lung

ProstateColorectal

Figure D-3

Ranking for Top Five Major Primary Sites for Selected Age GroupsPennsylvania Residents, 2002-2004

Females 65+

Invasive Cancer Incidence Cases: Females

Female Breast Female Breast ColorectalBronchus and Lung Colorectal Female Breast

ProstateFemale BreastColorectal Colorectal


Figure D-6Percent Cancer Incidence Cases for Major Primary Sites by Sex


Figure D-7

BOTH SEXES

MALES FEMALES


Average Annual Age-Adjusted Invasive Cancer Incidence Rates* for Major Primary SitesPennsylvania Residents, Age 65+2000-2002, 2001-2003, 2002-2004

31.2

37.3

40.0

83.4

32.8

37.4

41.1

90.1

33.4

36.9

42.3

93.3

0.0 20.0 40.0 60.0 80.0 100.0

Colorectal

Bronchusand Lung

Female Breast

Prostate

2000-2002

2001-2003

2002-2004

* Age-adjusted rates are per 10,000 residents.

All Other Sites

43.7%

Female Breast10.7%

Colorectal14.0%

Prostate15.0%

Bronchus and Lung

16.6%

All Other Sites

32.9%

Bronchus and Lung

17.3%

Urinary Bladder

9.0%

Colorectal12.5%

Prostate28.3%

All Other Sites

40.4%

Corpus/Uterus, NOS5.3%

Colorectal15.8%

Bronchus and Lung

15.8%

Female Breast22.7%

** With the exception of urinary bladder, all in situ cases are excluded.Note: See Technical Notes for more information on age-adjusted rates for 65+ population.


Figure D-8


Average Annual Age-Adjusted Invasive Cancer Incidence Rates* for Major Primary SitesPennsylvania Male Residents, Age 65+

2000-2002, 2001-2003, 2002-2004

Average Annual Age-Adjusted Invasive Cancer Incidence Rates* for Major Primary SitesPennsylvania Female Residents, Age 65+

2000-2002, 2001-2003, 2002-2004

Figure D-9

27.0

37.6

51.7

83.4

26.5

39.7

52.7

90.1

25.7

40.8

52.2

93.3

0.0 20.0 40.0 60.0 80.0 100.0

Urinary Bladder**

Colorectal

Bronchusand Lung

Prostate

2000-2002

2001-2003

2002-2004


9.5

27.1

27.9

40.0

9.8

28.3

27.4

41.1

9.7

28.5

27.0

42.3

0.0 10.0 20.0 30.0 40.0 50.0

Corpus/Uterus, NOS

Colorectal

Bronchusand Lung

Female Breast

2000-2002

2001-2003

2002-2004


Males

Females



Figure D-8


Average Annual Age-Adjusted Invasive Cancer Incidence Rates*for Major Primary Sites, Pennsylvania White Residents, Age 65+

2000-2002, 2001-2003, 2002-2004

Average Annual Age-Adjusted Invasive Cancer Incidence Rates*for Major Primary Sites, Pennsylvania Black Residents, Age 65+

2000-2002, 2001-2003, 2002-2004

Figure D-9

31.3

36.9

39.9

79.4

32.9

36.9

41.2

85.1

33.4

36.4

42.5

88.9

0.0 20.0 40.0 60.0 80.0 100.0

Colorectal

Bronchusand Lung

Female Breast

Prostate

2000-2002

2001-2003

2002-2004


30.2

39.2

43.5

123.4

31.7

37.9

44.5

131.3

33.3

36.8

44.0

133.3

0.0 30.0 60.0 90.0 120.0 150.0

Colorectal

Female Breast

Bronchusand Lung

Prostate

2000-2002

2001-2003

2002-2004


Whites

Blacks


Technical Notes


TECHNICAL NOTES A. SOURCES OF DATA 1. Population: State or county population estimates (by sex, race and Hispanic origin) as of July 1 for the intercensal years of 1999 and 2001-2004 presented and/or used in this report to compute rates were produced jointly by the United States Bureau of the Census and the State Data Center of the Pennsylvania State University at Harrisburg under the Federal-State Cooperative Program for Local Population Estimates. These estimates are published by the Bureau of the Census in Current Population Reports, Series P-26. All population data for Census years (2000) presented and/or used in this report are U.S. Bureau of Census enumerated population figures as of April 1 of the Census year.

Respondents to the 2000 Census were able to select multiple races for racial designation. However, state population data by race do not include figures for multiple-race categories. Therefore, population estimates were calculated as single-race categories and were used to calculate all rates by race that appear in this report.

Among Pennsylvania residents, only 1.2 percent selected multiple races on the 2000 Census form. The National Center for Health Statistics (NCHS) that is responsible for releasing national vital statistics has produced, in collaboration with the U.S. Bureau of the Census, revised population estimates (starting with 2000) by race that "bridged" multiple-race data into single-race categories. We have included those revised U.S. figures in this report. Please note that, unless otherwise noted, the original population estimates for non-census years were used for the computation of multiple-year average annual rates. 2. Mortality: Death certificates are the source documents for Pennsylvania death data published in this report. Deaths to Pennsylvania residents that occurred in another state are included in this report if the certificates were received by March 1 of the following year. There is an agreement among all registration areas in the United State for resident exchange of copies of certificates. 3. Behavioral Risk Factors: Pennsylvania annually conducts a sample telephone survey of Pennsylvania adults regarding various health risk behaviors, such as smoking, drinking, seat belt usage, health status, etc. This Behavioral Risk Factor Surveillance System (BRFSS) survey is implemented under a grant from the Centers for Disease Control and Prevention (CDC) and is conducted in all fifty states, three U.S. territories and the District of Columbia. The CDC develops the core questionnaire and provides training, technical assistance, standardized data analyses and funding. The Pennsylvania Department of Health develops supplemental questions (or modules), facilitates the Pennsylvania BRFSS Local Sampling Program, performs analyses, and responds to requests for data. Sampling and interviewing in 2005 were done by Clearwater Research, Incorporated which was selected by competitive bid.

Please remember that sample data were used to compile the BRFSS data in this report so it was necessary to use weighted data for calculating percentages. This was done to adjust for under-representation of certain subgroups in the sample. Numbers shown in the tables are actual numbers of respondents. Confidence intervals (at the 95% level) were also calculated and shown


for percentages to provide a basis for quality analysis and comparability. Please review Section B of the Technical Notes for more thorough discussion of these and other data concerns. 4. Healthy People 2010:

Healthy People 2010 (HP2010) is a set of public health objectives for the nation to achieve over the first decade of the new century. There are 467 objectives for 28 focus areas as well as a set of Leading Health Indicators (various selected HP2010 objectives). The Department's Bureau of Health Statistics and Research has compiled state and county-level statistics (when available) to assist in tracking state and local progress in meeting some of these objectives. The latest available statistics as well as trend data are shown (when available).

NOTES: Age-adjusted rates/percentages were calculated using the U.S. 2000 standard million population distribution. Therefore, these figures are comparable only to age-adjusted rates/percentages that were calculated using the same standard. Rates/percentages were not calculated and shown for small numbers of events due to unreliability for comparison/analysis. Age-adjusted death rates were not calculated and shown if less than 20 events occurred. All other types of rates were not calculated and shown if less then 10 events occurred. Percentages were not calculated and shown for BRFSS sample data if there were less than 50 total respondents.

5. Cancer Incidence:

Cancer incidence data that appear in this report were collected by the Pennsylvania Cancer Registry (PCR) located in the Bureau of Health Statistics and Research. The PCR is a full participant in the National Program of Cancer Registries (NPCR) of the Centers for Disease Control and Prevention (CDC). The PCR began collecting statewide cancer incidence data in 1985. This report only includes invasive cancer cases (and in situ cases for bladder cancers) and cancer deaths among Pennsylvania residents.

B. DEFINITIONS OF TERMS 1. Mortality:

Deaths by cause, are classified according to the International Classification of Diseases (ICD) of the World Health Organization. In this report, the underlying cause of death is used to classify the cause. The underlying cause of death is either the disease or injury which initiated the train of events leading directly to death or the circumstances of the accident or violence which produced the fatal injury. The first ICD was issued in 1900. It has been revised about every ten years since then, except for the twenty-year interval between ICD-9 (1979) and ICD-10 (1999).

2. Behavioral Risk Factors:

Tables included in the Behavioral Risk section of this report show the 95% confidence intervals associated with all reported percentages. They appear in the table columns labeled (CI). Confidence intervals are a way to measure sampling error and define the range of values where percentages estimated by multiple samples of the same population would be found (95% of the time). The size of the confidence interval is directly related to the sample size taken or the probability of selection and characteristics of the people surveyed within the universe being sampled. In addition, percentages for two different subgroups of the population can be determined to be significantly different if their confidence intervals or ranges do not overlap.


C. AGE-ADJUSTED RATES 1. Definition: AGE-SPECIFIC RATE: Total Events for a Specified Age Group x 10,000 Total Population for the Same Age Group AGE-ADJUSTED RATE FOR 65+ (Direct Method): ((Age-specific rate for 65-74 x 10,000 x standard population for 65-74) + (Age-specific rate for 75 and older x 10,000 x standard population for 75 and older)) Sum of Standard Population for 65+

2000 UNITED STATES STANDARD MILLION POPULATION: An example of age-adjusted rate for 65+ (Direct Method) would be the average annual age-adjusted cancer incidence rate for all sites for the years 2002-2004. The total number of cancer incidence cases to residents 65-74 was 56,182. The total population for residents 65-74 in Pennsylvania was 2,876,656. Dividing 56,182 by 2,876,656 and multiplying it by 10,000 yields 195.3. Multiplying 195.3 times the 2000 U.S. standard population for ages 65-74 (66,037) gives a result of 12,897,234.6. The same calculations must be applied to residents 75 and older for the same time period. The total number of cancer incidence cases to residents 75+ was 72,172 and the total population for residents 75+ in Pennsylvania was 2,830,579. Dividing the two and multiplying it by 10,000 yields 255.0. By multiplying 255.0 times the total 2000 U.S. standard population for ages 75 and older (44,842 + 15,508 = 60,350) gives a result of 15,387,594.6. Summing 12,897,234.6 and 15,387,594.6 yields a result of 28,284,829.2. Summing the 2000 U.S. Standard Population for ages 65 and older (66,037 + 44,842 + 15,508) gives a total of 126,387. By dividing 28,284,829.2 by 126,387 yields a result (i.e. the age-adjusted rate) of 223.8 per 10,000.

All Ages ……………………. Under 1 …………………….. 1-4 …………………………... 5-14 …………………………. 15-24 ………………………... 25-34 ………………………... 35-44 ………………………... 45-54 ………………………... 55-64 ………………………... 65-74 ………………………... 75-84 ………………………... 85+ …………………………..

1,000,000

13,818 55,317

145,565 138,646 135,573 162,613 134,834 87,247 66,037 44,842 15,508


2. Variability of Rates Standard Errors and Confidence Intervals All rates are subject to random variation. This variation is directly related to the number of events used to calculate the rate. The smaller the number of events used in the calculation of a rate, the higher will be the variability of the rate.

It is common practice among statisticians and data users familiar with health statistics to calculate a standard error (SE) of a rate when studying or comparing rates. This statistic defines a rate's variability and can be used to calculate a confidence interval (CI) to determine the actual variance of a rate 95 percent of the time.

The standard error (SE) for an age-specific or adjusted rate per 10,000 population can be estimated* by dividing that rate by the square root of the number of events (N) upon which the rate was based:

RATE / √ N

This standard error estimate assumes the rate to be a binomial proportion. It was used to calculate the standard errors for the 95% confidence intervals that appear in this report.

This estimated S.E. can then be used to compute a 95% CI for the rate. The standard formula for determining the 95% CI of a rate is:

RATE ± (1.96 x S.E.)

The above formulas were used for calculating the confidence intervals that appear in this report. There are various statistical formulas for comparing rates, depending on the types of rates or populations being studied and the number of events involved. If you are not familiar with the use of these statistical applications, we recommend review of publications addressing these issues and/or consultation with a statistician or other professional familiar with analyzing/comparing health statistics before pursuing any further study of the rates that appear in this report.

In addition, we recommend that users disregard age-adjusted rates based on less than 20 events and any other rates based on less then ten events. The standard errors and confidence intervals for these rates are usually "very large" and, therefore, not reliable, especially for any comparative analysis.

NOTE: For more detailed information and assistance on computing and using reliable rates/statistics for analysis, please go to the Bureau of Health Statistics and Research's web pages at www.health.state.pa.us/stats and select Technical Assistance. *Keyfitz N. Sampling Variance of Standardized Mortality Rates, Human Biology, 38: 309-317, 1996.


REFERENCES: 1. Pennsylvania State Data Center, Pennsylvania Population Estimates (1991-1999 and 2001- 2004), The Pennsylvania State University at Harrisburg, Middletown, Pa. 2. Pennsylvania State Data Center, Selected Pennsylvania Data from U.S. Bureau of the Census Enumerated 2000 Population, The Pennsylvania State University at Harrisburg, Middletown, Pa. 3. World Health Organization. International Statistical Classification of Diseases and Related Health Problems: Tenth Revision. Geneva: World Health Organization. 1992. 4. Keyfitz N. Sampling Variance of Standardized Mortality Rates. Human Biology, 38:309-317, 1966. 5. Pennsylvania Department of Health, Pennsylvania Cancer Incidence and Mortality (1999-2004). Division/Bureau of Health Statistics and Research, Harrisburg, Pa. 6. Pennsylvania Department of Health, Pennsylvania Vital Statistics (1999-2004); Division/Bureau of Health Statistics and Research, Harrisburg, Pa. 7. Pennsylvania Department of Health, Behavioral Health Risks of Pennsylvania Adults (2005); Division/Bureau of Health Statistics and Research, Harrisburg, Pa. 8. Pennsylvania Department of Health, Healthy People 2010; Division/Bureau of Health Statistics and Research, Harrisburg, Pa.


LINKS: http://www.agingstats.gov : Web Site of the Federal Interagency Forum on Aging-Related Statistics (Forum), National Level Data. http://www.health.state.pa.us/stats : The Pennsylvania Department of Health's Bureau of Health Statistics and Research, Pennsylvania Data. http://www.cdc.gov/nchs/agingact.htm : Centers for Disease Control and Prevention’s Trends in Health and Aging, National Level Data. http://www.cdc.gov/nchs/products/pubs/pubd/hus/state.htm : National Center for Health Statistics, State Level Data. http://datawarehouse.hrsa.gov/ : Health Resources and Services Administraction, State and County Level Data. http://www.cdc.gov/aging/ : Centers for Disease Control and Prevention’s Healthy Aging for Older Adults, National Level Data.

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