chapter 2 trends and patterns in mortality arizona … · 2020. 3. 10. · 2a. t. otal . m....

CHAPTER 2

TRENDS AND PATTERNS IN MORTALITY, ARIZONA, 2008-2018

2A. TOTAL MORTALITY

2B. LEADING CAUSES OF DEATH

2C. AGE-SPECIFIC MORTALITY

■ INFANT MORTALITY■ CHILDHOOD MORTALITY■ ADOLESCENT MORTALITY■ YOUNG ADULT MORTALITY■ MIDDLE-AGED ADULT MORTALITY■ ELDERLY MORTALITY

2D. PATTERNS OF PREMATURE MORTALITY

Arizona Health Status and Vital Statistics 2018 91

2A.

TOTAL MORTALITY

The total number of deaths from all causes among Arizona residents increased by 3.4 percent from 2017 (57,261) to 2018 (59,206; Table 2A-1). The age-adjusted mortality rate for all causes of death also increased from 679.3 /100,000 in 2017 to 688.6/100,000 in 2018. When considering race/ethnicity, the biggest increase in age-adjusted mortality occurred among Blacks or African Americans (5.4 percent) and the lowest was recorded among White non-Hispanics (1.3 percent).

Between 2017 and 2018, the increase in mortality did not affect all leading causes of death. A reduction in the number of deaths was recorded for septicemia (17.1 percent), essential (primary) hypertension and hypertensive renal disease (8.8 percent), homicide (3.3 percent) and Alzheimer’s disease (1.3 percent).

There were some disparities by gender and race/ethnicity for most selected causes of death. Between 2017 and 2018, not all subgroups (based on gender and race/ethnicity) witnessed an increased in cerebrovascular mortality. While the highest increases in mortality due to cerebrovascular diseases was among Asian females (32.5 percent) and American Indian females (30.2 percent), a decline in mortality due to cerebrovascular diseases was recorded among both Black females (12.7 percent) and males (6.4 percent), Hispanic males (4.7 percent), and Asian males (3.7 percent) during 2017- 2018. In terms of mortality due to diabetes, the overall mortality rate for both males and females decreased from 2017 (23.8/100,000) to 2018 (23.0/100,000) following a period of stability during 2011 to 2014 (Table 2B-2). The decrease in deaths due to diabetes between 2017 and 2018 affected all race/ethnic groups, except Black or African Americans who witnessed an increase of 6.5 percent in their age adjusted diabetes mortality rates.


2A. TOTAL MORTALITY

Figure 2A-1 Age-adjusted Mortality Ratesa for all Causes by Gender and Year,

Arizona, 2008-2018

Note: a Number of deaths per 100,000 persons (adjusted to the 2000 standard U.S. population).

The age-adjusted mortality rates discussed below are based on the year 2000 population standard. All mortality rates in sections 2A and 2B are age-adjusted. A detailed explanation of the age-adjustment of mortality rates is given in the Technical Notes.

The total age-adjusted mortality rate increased by 1.4 percent, from 679.3 deaths per 100,000 population in 2017 to 688.6 deaths in 2018 (Figure 2A-1, Table 2B-2). Over this period, the age-adjusted mortality rates increased for both males and females.

The gap between male and female mortality rates increased between 2008 and 2018. The male age-adjusted mortality rate was 40.3 percent greater than the female age-adjusted mortality rate in 2008, but 41.8 percent greater in 2018.

Figure 2A-2 Age-adjusted Mortality Ratesa for all Causes by Race/Ethnicity and Year,

Arizona Residents, 2008, 2013, and 2018

Note: a Number of deaths per 100,000 persons (adjusted to the 2000 standard U.S. population).

The 2018 age-adjusted death rates for the major racial/ethnic groups were as follows: for Asian or Pacific Islander, 429.7 deaths per 100,000 population; Hispanic or Latino, 607.1; White non-Hispanic, 690.2; Black or African American, 843.2; and American Indian or Alaska Native, 1036.1 (Figure 2A-2, Table 2B-4).

In 2018, as in 2008 and 2013, American Indians and Blacks had higher total mortality rates than White non-Hispanics, Hispanics, and Asians. The total mortality rates for Asians were lower than the rates of both White non-Hispanics and Hispanics in 2008, 2013, and 2018.

94 Arizona Health Status and Vital Statistics 2018

2A. TOTAL MORTALITY

If there was no monthly variation in proportional contribution to total annual deaths, 8.3 percent (100/12) of deaths should occur monthly. However, when the monthly distribution of resident deaths is examined, January (10.5 percent), March (9.0 percent), and December (8.8 percent), were higher in 2018 from the expected value (Figure 2A-3). September was the month with the lowest proportional contributions to the total annual deaths among Arizona residents (AZR).

The majority of the 3,482 non-residents who died in Arizona during 2018 did so during the months of January, March, and February.

August was the month with the lowest percent contribution (6.8 percent) to the annual death among out-of-State residents (OSR) who died in Arizona.

Figure 2A-3 Percent of Annual Deaths by Month of Occurrence and Residence Status,

Arizona, 2018

Autopsies were reported as performed on 5,691 decedents, or 9.6 percent of the deaths that occurred among Arizona residents in 2018. From 2008 – 2018, the percentage of deaths for which autopsies were reported varied from 9.8 percent in 2008, to a low of 8.6 percent in 2011 and 2012 , a high of 10.1 percent in 2016, then 9.6 percent in 2018.

The percentage autopsied varies by the decedent’s demographic characteristics. By race/ethnicity (Figure 2A-4) the percentage autopsied was the lowest for White non-Hispanic than for other racial/ethnic groups. The prevalence of autopsies was substantially greater among American Indian, Black, and Hispanic or Latino sub-populations. A substantial portion of the differential in the use of autopsy by race/ethnicity reflects differences in the age and manner of death. For example, autopsies tend to be more common at younger ages and for deaths by homicide, suicide, accidents, and undetermined manner.

Figure 2A-4 Percentage of Deaths for which Autopsies were Reported by

Race/Ethnicity and Year, Arizona Residents, 2008-2018


20

08

20

09

20

10

20

11

20

12

a2

01

3a

20

14

a2

01

5a

20

16

a2

01

72

01

8

Tota

l45

,128

45,0

6545

,871

47,5

4748

,459

49,9

2951

,074

54,1

5256

,480

57,2

6159

,206

Mal

e23

,744

23,5

3524

,163

24,7

8525

,577

26,2

2227

,037

28,8

1430

,431

30,7

2132

,067

Fem

ale

21,3

8421

,530

21,7

0822

,762

22,8

7423

,703

24,0

3425

,334

26,0

4626

,537

27,1

36

Tota

l36

,235

35,8

2936

,066

37,2

1138

,629

39,5

4340

,391

42,7

5044

,092

44,1

9145

,194

Mal

e18

,758

18,4

7618

,693

19,3

0720

,206

20,5

5021

,207

22,5

0423

,439

23,3

7524

,150

Fem

ale

17,4

7717

,353

17,3

7317

,904

18,4

1618

,989

19,1

8120

,242

20,6

5320

,816

21,0

44

Tota

l5,

313

5,40

15,

374

5,57

55,

963

6,30

06,

444

6,83

97,

343

7,53

98,

088

Mal

e2,

996

2,97

82,

959

2,98

23,

323

3,41

23,

543

3,81

44,

154

4,19

74,

629

Fem

ale

2,31

72,

423

2,41

52,

593

2,64

02,

888

2,90

13,

025

3,18

93,

341

3,45

8

Tota

l1,

295

1,33

41,

336

1,39

91,

509

1,59

31,

578

1,74

21,

925

1,89

62,

057

Mal

e71

269

773

573

480

389

785

297

11,

108

1,07

61,

104

Fem

ale

583

637

601

665

706

696

726

771

817

820

953

Tota

l1,

722

1,87

11,

781

1,68

11,

806

1,95

52,

074

2,14

02,

346

2,35

52,

527

Mal

e98

11,

028

1,01

587

699

31,

103

1,15

21,

187

1,36

51,

334

1,44

5

Fem

ale

741

843

766

805

812

852

922

953

981

1,02

11,

081

Tota

l44

946

948

752

855

253

858

267

376

979

688

6

Mal

e23

024

125

826

925

226

028

033

436

437

741

9

Fem

ale

219

228

229

259

300

278

302

339

405

419

467

Tota

l11

416

182

71,

153

bb

10†

10†

0†48

445

4

Mal

e67

115

503

617

bb

**

*36

232

0

Fem

ale

4746

324

536

bb

**

*12

013

3

TAB

LE 2

A-1

N

UM

BE

R O

F D

EA

THS

BY

RA

CE

/E

THN

ICIT

Y,

GE

ND

ER

, A

ND

YE

AR

, A

RIZ

ON

A R

ES

IDE

NTS

, 2

00

8-2

01

8

TOTA

L

Wh

ite

non

-H

isp

anic

His

pan

ic o

r La

tin

o

Ref

use

d/

U

nkn

own

rac

e

Not

es:

* Cel

l sup

pres

sed

due

to n

on-z

ero

coun

t le

ss t

han

6; †

Sum

rou

nded

to

near

est

tens

uni

t du

e to

non

-zer

o ad

dend

less

tha

n 6;

a D

eath

s w

ith u

nkno

wn

gend

er (

Tota

l, n=

3; H

ispa

nic,

n=

1;

Am

eric

an I

ndia

n, n

=1;

Unk

now

n ra

ce/e

thni

city

, n=

1, w

ere

incl

uded

in t

otal

for

201

8); b

Bridg

ing

of r

ace/

ethn

icity

in 2

012

and

2013

diff

ered

fro

m p

revi

ous

year

s. I

ndiv

idua

ls w

ith u

nkno

wn

race

w

ere

cate

gorize

d as

Whi

te n

on-H

ispa

nic,

whi

le in

divi

dual

s w

ith u

nkno

wn

race

and

His

pani

c et

hnic

ity w

ere

code

d as

His

pani

c.

Bla

ck o

r A

fric

an

Am

eric

an

Am

eric

an I

nd

ian

or

Ala

ska

Nat

ive

Asi

an o

r P

acif

ic

Isla

nd

er


20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18

JAN

Cou

nt

4,14

93,

983

3,95

04,

321

4,21

05,

079

4,82

45,

028

5,11

95,

111

6,21

9

Per

cen

t9.

2%8.

8%8.

6%9.

1%8.

7%10

.2%

9.4%

9.3%

9.1%

8.9%

10.5

%

FEB

Cou

nt

4,05

93,

592

3,58

24,

070

4,14

74,

383

4,22

74,

267

5,13

54,

514

4,83

2

Per

cen

t9.

0%8.

0%7.

8%8.

6%8.

6%8.

8%8.

3%7.

9%9.

1%7.

9%8.

2%

MA

RC

oun

t4,

426

3,95

44,

084

4,35

84,

414

4,48

44,

333

4,81

95,

387

5,07

05,

353

Per

cen

t9.

8%8.

8%8.

9%9.

2%9.

1%9.

0%8.

5%8.

9%9.

5%8.

9%9.

0%

AP

RC

oun

t3,

949

3,94

53,

845

3,96

74,

176

4,23

14,

278

4,54

74,

689

4,85

44,

922

Per

cen

t8.

8%8.

8%8.

4%8.

3%8.

6%8.

5%8.

4%8.

4%8.

3%8.

5%8.

3%

MA

YC

oun

t3,

754

3,69

93,

811

3,89

93,

980

4,07

64,

291

4,52

74,

603

4,86

74,

768

Per

cen

t8.

3%8.

2%8.

3%8.

2%8.

2%8.

2%8.

4%8.

4%8.

1%8.

5%8.

1%

JUN

Cou

nt

3,54

23,

500

3,65

13,

823

3,86

83,

831

4,07

24,

396

4,46

44,

782

4,66

6

Per

cen

t7.

8%7.

8%8.

0%8.

0%8.

0%7.

7%8.

0%8.

1%7.

9%8.

4%7.

9%

JUL

Cou

nt

3,46

73,

741

3,84

33,

791

3,86

23,

926

4,07

14,

338

4,49

64,

739

4,76

1

Per

cen

t7.

7%8.

3%8.

4%8.

0%8.

0%7.

9%8.

0%8.

0%8.

0%8.

3%8.

0%

AU

GC

oun

t3,

512

3,61

73,

756

3,91

33,

850

3,89

34,

112

4,33

84,

432

4,53

44,

647

Per

cen

t7.

8%8.

0%8.

2%8.

2%7.

9%7.

8%8.

1%8.

0%7.

8%7.

9%7.

8%

SEP

Cou

nt

3,27

93,

604

3,63

33,

678

3,84

93,

804

3,99

44,

183

4,25

34,

423

4,50

5

Per

cen

t7.

3%8.

0%7.

9%7.

7%7.

9%7.

6%7.

8%7.

7%7.

5%7.

7%7.

6%

OC

TC

oun

t3,

636

3,73

93,

678

3,88

83,

956

3,86

84,

184

4,28

44,

501

4,54

84,

619

Per

cen

t8.

1%8.

3%8.

0%8.

2%8.

2%7.

7%8.

2%7.

9%8.

0%7.

9%7.

8%

NO

VC

oun

t3,

519

3,69

43,

806

3,75

33,

894

3,92

44,

239

4,54

34,

518

4,54

74,

706

Per

cen

t7.

8%8.

2%8.

3%7.

9%8.

0%7.

9%8.

3%8.

4%8.

0%7.

9%7.

9%

DEC

Cou

nt

3,83

63,

997

4,23

24,

086

4,25

34,

430

4,44

94,

882

4,88

35,

272

5,20

8

Per

cen

t8.

5%8.

9%9.

2%8.

6%8.

8%8.

9%8.

7%9.

0%8.

6%9.

2%8.

8%

TOTA

LC

oun

t45

,128

45,0

6545

,871

47,5

4748

,459

49,9

2951

,074

54,1

5256

,480

57,2

6159

,206

Per

cen

t 10

0.0%

100.

0%10

0.0%

100.

0%10

0.0%

100.

0%10

0.0%

100.

0%10

0.0%

100.

0%10

0.0%

TAB

LE 2

A-2

RES

IDEN

T M

OR

TALI

TY B

Y M

ON

TH O

F O

CC

UR

REN

CE

AN

D Y

EAR

, A

RIZ

ON

A,

20

08

-20

18

Mon

th o

f d

eath


JAN

FEB

MA

RA

PR

MA

YJU

NJU

LA

UG

SEP

OC

TN

OV

DEC

120

519

520

716

017

715

014

315

916

814

016

215

32,

019

221

418

917

317

216

214

915

914

814

313

915

815

41,

960

324

119

318

417

216

215

516

014

914

713

613

416

21,

995

421

016

818

218

217

015

315

916

615

014

816

916

52,

022

522

618

218

419

215

414

811

713

115

615

915

518

31,

987

622

218

616

215

917

216

217

515

615

014

115

318

22,

020

723

518

916

018

217

513

616

416

415

213

115

716

12,

006

823

818

417

615

216

016

715

614

613

914

915

015

81,

975

921

217

220

218

415

714

117

713

714

314

415

516

21,

986

10

214

181

191

168

152

149

135

143

153

148

149

158

1,94

11

120

316

819

115

416

014

114

915

215

815

415

117

91,

960

12

198

177

156

168

155

184

140

145

152

152

150

147

1,92

41

318

018

414

215

314

117

514

012

815

814

417

715

41,

876

14

192

178

173

166

131

174

130

156

156

173

167

171

1,96

71

517

719

617

317

313

615

515

914

414

416

513

715

61,

915

16

179

155

154

158

168

169

166

145

145

135

149

160

1,88

31

720

314

516

915

015

215

514

613

714

413

814

818

61,

873

18

197

183

190

175

154

143

132

167

154

157

157

166

1,97

51

919

815

719

516

213

514

415

816

615

714

215

317

31,

940

20

191

162

172

149

155

160

169

153

158

177

167

168

1,98

12

119

916

015

716

015

017

618

215

315

515

314

719

71,

989

22

197

157

159

150

161

143

146

149

133

159

149

190

1,89

32

320

314

117

515

916

513

614

516

915

314

816

416

31,

921

24

177

161

162

149

154

172

132

148

148

156

163

166

1,88

82

518

616

316

317

513

817

017

713

817

914

616

215

81,

955

26

192

154

173

177

131

160

201

146

134

156

166

175

1,96

52

717

519

013

316

813

715

914

814

816

115

914

216

61,

886

28

197

162

170

132

153

161

132

148

143

141

161

171

1,87

12

918

80

181

163

166

135

165

149

145

150

170

150

1,76

23

019

516

315

814

014

414

316

012

713

618

420

31,

753

31

175

181

145

156

147

143

171

1,11

8To

tal

6,21

94,

832

5,35

34,

922

4,76

84,

666

4,76

14,

647

4,50

54,

619

4,70

65,

208

59,2

06

TAB

LE 2

A-3

D

EATH

S B

Y D

AY

AN

D M

ON

TH O

F O

CC

UR

REN

CE,

AR

IZO

NA

RES

IDEN

TS,

20

18

Day

of

dea

thM

onth

of

dea

thTo

tal


<1

1-4

5-1

41

5-2

42

5-3

43

5-4

44

5-5

45

5-6

46

5-7

47

5-8

48

5+

Un

-kn

own

Tota

l

In-p

atie

nt

352

4649

173

339

465

1,02

02,

083

3,14

63,

225

2,26

20

13,1

60

Ou

t-p

atie

nta

5642

2316

422

824

534

353

957

253

131

40

3,05

7

Die

d o

n a

rriv

al*

00

**

**

87

86

040

†

Sta

tus

un

know

n18

1023

236

422

528

1,16

52,

723

4,20

45,

264

5,27

40

19,8

67

Su

bto

tal

430†

9895

570†

990†

1,24

0†2,

530†

5,35

37,

929

9,02

87,

856

036

,123

Nu

rsin

g h

ome

b14

710

2048

116

335

899

1,44

51,

866

1,96

90

6,72

9

Res

iden

ce0

00

*14

2190

328

757

1,31

42,

084

04,

610†

Oth

erc

*9

2526

239

633

851

586

91,

390

2,66

55,

269

*11

,740

†

Un

spec

ifie

d0

00

00

00

00

00

00

Su

bto

tal

20†

1635

280†

458

475

940

2,09

63,

592

5,84

59,

322

0†23

,083

447

114

130

858

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2B.

LEADING CAUSES OF DEATH

In 2010, the Office of Vital Records (OVR) of the Arizona Department of Health Services implemented the new (version 2003) Standard U.S. death certificate. The new certificate added several new questions: 1) whether tobacco use contributed to the death, and 2) whether, if the decedent was a female, the death was “pregnancy-associated” (defined as death from any cause during pregnancy or within one calendar year of delivery or pregnancy termination).

The death certificate now includes a new classification of the decedent’s racial/ethnic status, consistent with the revised federal standards for collecting and reporting racial and ethnic status. These standards were published in the Federal Register on October 30, 1997, as “Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity.” The revised standards are available on the OMB (the Office of Management and Budget) web-site at: https://www.whitehouse.gov/omb.

There are now 15 racial categories (including Guamanian or Chamorro; Samoan or Native Hawaiian) to choose from. It is also permitted to indicate more than one race for a decedent. To create frequency counts of race and ethnicity that were adequate to compute statistically reliable mortality rates, race was “bridged”, or essentially collapsed into 5 categories; White non-Hispanic, Hispanic or Latino, Black or African American, Native American or Alaska Native, and Asian or Pacific Islander. When an individual was identified as both Hispanic and any other race, that person was added to the racial/ethnic group with the lowest population. For example, a person identified as both White and Hispanic would be coded as Hispanic, where a person identified as American Indian and Hispanic would be coded as American Indian. Please refer to the technical appendix for further explanation of the racial bridging used in this report.


https://www.whitehouse.gov/omb.

2B. LEADING CAUSES OF DEATH

Figure 2B-1A Leading Causes of Death among Arizona Residents in 2018

BASED ON THE NUMBER OF DEATHS DUE TO THE UNDERLYING CAUSE: Based on the number of deaths (but not age-adjusted mortality rate), the leading underlying cause of death to Arizona residents in 2018 was heart disease (12,410 or 21.0 percent of all deaths), closely followed by cancer, which accounted for 12,097 or 20.4 percent of deaths (Figure 2B-1A, Table 2B-1, Table 5E-14).

The third leading cause of death, accidents (unintentional injuries), accounted for 4,211 or 7.1 percent of total deaths. Deaths due to chronic lower respiratory diseases ranked fourth in 2018, with 3,820 resident deaths reported. Deaths due to Alzheimer’s disease ranked fifth in 2018, with 3,011 resident deaths reported. Together, these five causes accounted for 60.0 percent of total deaths in 2018. The fifteen leading causes accounted for 79.9 percent of all deaths among Arizona residents.

Figure 2B-1B Leading Causes of Death among Arizona Residents in 2018

BASED ON THE NUMBER OF DEATHS DUE TO ANY MENTION OF A CAUSE:

For the purpose of mortality statistics, every death is attributed to one underlying condition or underlying cause of death. The underlying cause is defined as the disease or injury that initiated the chain of events leading directly to death. It is selected from up to 20 causes and conditions entered by the physician on the death certificate. The totality of all these conditions is known as multiple cause of death.

In addition to 12,410 deaths that had diseases of the heart assigned as the underlying cause, another 11,863 deaths had diseases of the heart assigned as a secondary cause of death. The sum of these two counts (24,273, Figure 2B-1B) is the total number of deaths that had any mention of diseases of the heart on the 2018 death certificates. The ranking based on any mention of the 15 diagnostic categories is different from ranking of the leading causes of death based on the underlying cause. In particular, Essential hypertension ranked 11th as the underlying cause but ranked 3rd when any mention of it was counted.

1. Diseases of the heart

2. Malignant neoplasms

2. Malignant Neoplasms


2B. LEADING CAUSES OF DEATH Five Leading Causes by Gender

It is important to note that (Figures 2B-2, 2B-3, 2B-4, and 2B-5) are based on the age-adjusted mortality rates and not on the number of deaths.

In 2018, diseases of the heart were the leading cause of death for White non-Hispanics and Blacks while it was the second leading cause of death for the remaining race/ethnic groups. Cancer was the second leading cause of death for White non-Hispanics, and Black or African Americans, but ranked first for Hispanics and Asians. Unintentional injury was among the third leading cause of death for White non-Hispanics, Hispanics, and Blacks, while it ranked first among American Indians and fourth among Asians. (Figure 2B-2, Table 2B-4).

In 2018, chronic lower respiratory diseases were the fourth leading cause of death specific to White non-Hispanics. In parallel, chronic liver disease and cirrhosis ranked fourth among the leading causes of death for American Indians alone. Alzheimer’s disease was the fifth leading cause of death for all subgroups, except among Hispanics (cerebrovascular diseases) and American Indians (diabetes). (Table 2B-4).

Figure 2B-2 Age-adjusted Mortality Ratesa for the Five Leading Causes of Death for

Both Genders by Race/Ethnicity, Arizona, 2018

Rank White non- Hispanic

Hispanic or Latino

Black or African

American

American Indian

or Alaska Native

Asian or Pacific Islander

1 Diseases of

heart 144.3

Cancer 118.7

Diseases of heart 166.4

Unintentional injury 144.5

Cancer 102.7

2 Cancer 140.2


Cancer 156.7



3 Unintentional

injury 56.3



Cancer 115.3

Cerebro-vascular diseases

27.9

4 Chronic lower

respiratory diseases 48.0

Diabetes 35.0

Diabetes 48.9

Chronic liver disease and

cirrhosis 88.8


5 Alzheimer's

disease 35.1


34.6

Alzheimer's disease

45.1

Diabetes 73.6

Alzheimer's disease

19.8

Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.

Based on age-adjusted mortality rates, cancer was the leading cause of death among White non-Hispanic, Hispanic, and Asian females. Diseases of the heart were the leading cause of death specific to Black and American Indian females (Figure 2B-3, Table 2B-4).

Chronic lower respiratory diseases were the third leading cause of death specific to White non-Hispanic females. Chronic liver disease and cirrhosis was unique to American Indian women and ranked third among the leading causes of death. Diabetes ranked fourth among Blacks females but fifth among Hispanic and American Indian females.

Figure 2B-3 Age-adjusted Mortality Ratesa for the Five Leading Causes of Death

by Race/Ethnicity among Females, Arizona, 2018


Hispanic or Latino

Black or African

American

American Indian

or Alaska Native


1 Cancer 118.9

Cancer 99.6



Cancer 96.7

2 Diseases of

heart 111.4


Cancer 131.2

Cancer 92.6


3 Chronic lower



32.6

Alzheimer's disease

49.9


cirrhosis 77.1


29.2

4 Alzheimer's

disease 41.3

Alzheimer's disease

32.1

Diabetes 44.5


Alzheimer's disease

26.6

5 Unintentional

injury 37.8

Diabetes 27.4


43.9

Diabetes 59.1




2B. LEADING CAUSES OF DEATH Five Leading Causes by Gender


by Race/Ethnicity among Males, Arizona, 2018


Hispanic or Latino

Black or African

American

American Indian

or Alaska Native


1 Diseases of

heart 181.1


Cancer 193.4



2 Cancer 165.7

Cancer 144.3



Cancer 112.0

3 Unintentional

injury 74.7



Cancer 149.6


4 Chronic lower


Diabetes 44.0

Diabetes 54.7


cirrhosis 101.9

Diabetes 25.9

5

Intentional Self-harm

Suicide 37.5


36.3


42.7

Diabetes 92.4


25.2


Based on age-adjusted mortality rates, diseases of the heart followed by cancer were the two leading causes of death among males for all the race/ethnic groups except Black and American Indian males (Figure 2B-4; Table 2B-4). Unintentional injury ranked third position for all race/ethnic groups, except among American Indians.

In 2018, based on the age-adjusted mortality rates, diabetes was among the fourth leading causes of death for Hispanic, Black, and Asian males, while chronic lower respiratory diseases, and chronic liver disease ranked fourth for White non-Hispanic males and American Indian males, respectively.

Ranking fifth was suicide (White males) cerebrovascular diseases (Hispanic, Black and Asian males) and diabetes (American Indian males).


by Gender in Urbanb and Rural Areas, Arizona, 2018

Rank Urban male Urban female Rural male Rural female

1 Diseases of heart 168.2

Cancer 113.1



2 Cancer 157.5


Cancer 176.9

Cancer 119.3

3 Unintentional

injury 71.3

Alzheimer's disease

39.8


Chronic lower respiratory diseases

52.7

4


41.4


38.0


57.4

Alzheimer's disease

39.3

5 Cerebrovascular

diseases 31.8


Intentional Self-harm (suicide)

51.4


Notes: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard; b Urban = Maricopa, Pima, Pinal, and Yuma counties. The remaining counties comprise Arizona’s rural areas.

In 2018, the profile of the leading causes of death differed by gender for residents of the urban (Maricopa, Pima, Pinal, and Yuma counties) and rural (all the remaining counties) areas of the state (Figure 2B-5, Table 2B-5). Diseases of the heart exceeded cancer as the leading causes of death among urban males and rural males and females. Unintentional injury placed third among the leading cause for males but fifth for females, regardless of area of residence.

Alzheimer’s disease was the third leading cause of death among urban females but the fourth among rural females. Chronic lower respiratory diseases were the fourth leading cause of death in urban areas and among rural males, while it was the third among rural females. Among the fifth leading cause of death, cerebrovascular diseases were specific to urban males while suicide was specific to rural males.


2B. LEADING CAUSES OF DEATH Diseases of heart and malignant neoplasm (cancer)

The age-adjusted mortality rate for diseases of the heart decreased by 35.8 percent from 219.0 deaths per 100,000 population in 1998 to 140.5/100,000 in 2018 (Figure 2B-6). The age-adjusted mortality rate for cancer declined less, by 22.1 percent, from 1998-2018. In Arizona, the relative risk of death from heart disease versus cancer changed from 25.5 percent greater in 1998 to 3.4 percent less in 2018.

In 2008, 350 more Arizonans died from diseases of the heart than cancer (Table 2B-1). In 2018, the number of deaths due to diseases of the heart exceeded by 313 cases (Table 2B-4).

Figure 2B-6 Comparison of Age-adjusted Mortality Ratesa for Heart Disease and Cancer

(Malignant Neoplasm), Arizona, 1998, 2008, and 2018


For the past several years, cancer has been the number one cause of death among Arizonans aged 0-84 years (Figure 2B-7). Beginning in 1996, the annual number of cancer deaths exceeded the number of deaths from heart disease. In 2018, 2,382 more Arizonans 0-84 years old died from cancer (10,014) than heart disease (7,632).

Figure 2B-7 Number of Deaths from Heart Disease and Cancer among

Arizonans 0-84 Years, 2008-2018

Note: 2008 counts for cancer and heart disease were updated due to misclassification of 2008 death records.


2B. LEADING CAUSES OF DEATH Diseases of heart and malignant neoplasm (cancer)

Figure 2B-8 Deaths from Heart Disease and Cancer among Arizonans 85+, 2008-2018

Among Arizonans age 85 and over, heart disease is the number one leading cause of death by a wide margin. In 2018, adults aged 85 and over accounted for 17.2 percent of all deaths from cancer but 38.5 percent of all deaths from heart disease. In 2018, the median age at death for heart disease was 80 years (Table 2D-3); and a minority of deaths (44.8 percent, Table 2D-4) were premature, i.e., before reaching the expected years of life at birth for all U.S. residents (78.8 years).

However, from 2008 to 2018, the number of deaths from cancer increased by 37.3 percent among Arizonans 85 years or older, more than the increase observed in diseases of the heart (28.4 percent increase).

Figure 2B-9 Age-adjusted Mortality Ratesa for Heart Disease and Cancer by

Race/Ethnicity, Arizona, 2018


In Arizona, Black or African Americans were 1.9 times more likely to die from diseases of the heart and 1.5 times more likely to die from malignant neoplasms in 2018 than Asians, the group with the lowest risk of each respective cause of death (Figure 2B-9, Table 2B-4). Compared to Asians, White non-Hispanic Arizonans were 1.7 times more likely to die of heart disease and 1.4 times more likely to die of cancer.

In 2018, the relative risk of death from heart disease exceeded cancer mortality risk (Table 2B-3) for all the racial/ethnic groups, except for Hispanics and Asians.


2B. LEADING CAUSES OF DEATH Accidents (unintentional injury)

The number of deaths from unintentional injuries increased by 3.1 percent from 4,085 in 2017 to 4,211 in 2018 (Table 2B-1). In 2018, based on age-adjusted mortality rates, accidents ranked third as a leading cause of death for males and fifth for females (Table 2B-4). From 2017 to 2018, the age-adjusted mortality rate for accidents increased 3.7 percent for males while it decreased 3.8 percent for females (Figure 2B-10).

In 2018, 1,032 deaths were caused by motor vehicle accidents, an increase of 5.4 percent from 2017. Heat induced mortality has seen a reduction of 13.0 percent between 2017 and 2018. Deaths due to accidental drowning and submersion decreased by 13.2 percent from 2017 (n=106) to 2018 (n=92). Additionally, Arizonans experienced a 12.3 percent increase in the number of accidental poisonings due to drugs and/or medicaments from 1,269 deaths in 2017 to 1,425 fatalities in 2018; Table 2B-9).

Figure 2B-10 Age-adjusted Mortality Ratesa for Accidents (Unintentional Injuries) by

Gender and Year, Arizona, 2008-2018


The American Indian death rate for unintentional injuries (144.5/100,000) was 5.8 times greater than the rate for Asians 24.9/100,000), the group with the lowest risk of unintentional injury death among racial/ethnic groups in the state (Figure 2B-11, Table 2B-4).

In 2018, Apache (134.1/100,000) and La Paz (123.6/100,000) counties had the two highest age-adjusted mortality rates for unintentional injuries (Table 5E-11).

Figure 2B-11 Age-adjusted Mortality Ratesa for Accidents (Unintentional Injuries) by




2B. LEADING CAUSES OF DEATH Chronic lower respiratory diseases

Figure 2B-12 Age-adjusted Mortality Ratesa for Chronic Lower Respiratory Diseasesb by


Notes: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard; b This ICD-10 title corresponds to Chronic Obstructive Pulmonary Disease (ICD-9 title).

In 2018, chronic lower respiratory diseases (bronchitis, emphysema, asthma) were the 4th leading cause of death among Arizona residents (Table 2B-1). From 2017 to 2018, the mortality rate for chronic lower respiratory diseases decreased for both genders, but more so among males (1.3 percent) than females (0.7 percent; Figure 2B-12, Table 2B-2).

Urban females had the lowest mortality rate for chronic lower respiratory diseases (38.0/100,000) among the genders and by regional group (Table 2B-5). Rural males were the group with the highest mortality risk for chronic lower respiratory diseases 57.4/100,000), followed by rural females (52.7/100,000) and urban males (41.4 deaths per 100,000).

Figure 2B-13 Age-adjusted Mortality Ratesa for Chronic Lower Respiratory Diseases by



Mortality rates for emphysema, chronic bronchitis, asthma, and other lower respiratory disorders were substantially higher among White non-Hispanics (48.0 deaths per 100,000) than any other race/ethnic groups. Asians recorded the lowest rate at 17.2 deaths per 100,000 population (Figure 2B-13, Table 2B-4).


2B. LEADING CAUSES OF DEATH Cerebrovascular diseases

Cerebrovascular disease and diseases of the heart are two of the leading causes of death that share many risk factors such as hypertension, smoking, obesity, and high levels of cholesterol. The age-adjusted mortality rate for cerebrovascular diseases increased by 4.6 percent from 30.7 deaths per 100,000 population in 2017 to 32.1/100,000 in 2018 (Table 2B-3).

With some exceptions, the risk of dying from cerebrovascular diseases was generally higher among females than males for the period 2008-2018. In 2012, the age-adjusted mortality rate for stroke was greater among males than females, with male risk being slightly higher than female risk (Figure 2B-14). In 2018 as in 2015 and 2017, males experienced a higher risk of dying from cerebrovascular diseases than females. (Figure 2B-14, Table 2B-2).

Figure 2B-14 Age-adjusted Mortality Ratesa for Cerebrovascular Disease by



Compared to Arizona's overall rate, Black or African Americans were 1.4 times more likely to die from cerebrovascular disease in 2018 (Figure 2B-15, Table 2B-4). The 2018 mortality rate for cerebrovascular disease among Asians (27.9/100,000) was the lowest among racial/ethnic groups.

Figure 2B-15 Age-adjusted Mortality Ratesa for Cerebrovascular Disease by




2B. LEADING CAUSES OF DEATH Alzheimer’s disease

Figure 2B-16 Age-adjusted Mortality Ratesa for Alzheimer’s Disease by



Based on the number of deaths in 2018, Alzheimer’s disease was the 3rd leading cause of death for females and 8th leading cause for males (Table 2B-4)

From 2017 to 2018, the age-adjusted mortality rate for Alzheimer’s disease decreased by 8.6 percent for males while it increased by 0.5 percent for females (Figure 2B-16).

Figure 2B-17 Age-adjusted Mortality Ratesa for Alzheimer’s Disease by



The age-adjusted mortality rates for Alzheimer’s disease in 2018 were higher among Black or African Americans (45.1/100,000), White non-Hispanics (35.1/100,000) than the other racial/ethnic groups. Rates lower than the state average were recorded among Asians(19.8/100,000), American Indians (21.0/100,000), and Hispanics (30.5/100,000; Figure 2B-17, Table 2B-4).

White non-Hispanic residents of Arizona disproportionatelycontributed to mortality from Alzheimer’s disease. In 2018, White non-Hispanics accounted for 55.8 percent (Table 10C-1) of the state’s population, but 84.6 percent of all deaths from Alzheimer’s disease (2,548 out of 3,011; Table 2B-4).

In 2018, the overall median age at death from Alzheimer’s disease was 87, specifically 85 years for males and 88 years for females (Table 2D-3).


2B. LEADING CAUSES OF DEATH Diabetes

From 2008-2018, mortality rates for diabetes decreased among males (44.0 percent) while it declined among females (23.0 percent; Figure 2B-18).

In addition to 2,041 deaths that had diabetes assigned as the underlying cause in 2018, another 3,420 deaths had diabetes assigned as a contributing factor. The diabetes-related death rate of 61.7/100,000 (Table 6A-6) was 2.7 times greater than the rate for diabetes as an underlying cause (23.0/100,000; Table 2B-2).

The diabetes-related death rate includes all mentions of diabetes on the death certificate as the underlying or other than underlying cause.

Figure 2B-18 Age-adjusted Mortality Ratesa for Diabetes by Gender and Year,

Arizona, 2008-2018


In 2018, compared to Arizona’s rate, American Indians were 3.2 times more likely to die from diabetes (73.6 deaths per 100,000; Figure 2B-19, Table 2B-4). The rate of 17.0 deaths per 100,000 among Asians was the lowest rate among all racial/ethnic groups in the state.

Among the 15 Arizona counties, Graham (55.0/100,000) and Navajo (45.3/100,000) counties had the highest mortality rates for diabetes recorded in 2018 (Table 5E-11).

Figure 2B-19 Age-adjusted Mortality Ratesa for Diabetes by Race/Ethnicity,

Arizona, 2018



2B. LEADING CAUSES OF DEATH Influenza and pneumonia

Figure 2B-20 Age-adjusted Mortality Ratesa for Influenza and Pneumonia by


Note: a Number of deaths per 100,000 population age-adjusted 2000 U.S. standard.

The number of deaths from influenza and pneumonia increased by 3.5 percent from 1,075 in 2008 to 1,113 in 2018. (Table 2B-1). Among the 1,113 deaths, influenza was identified as the underlying cause for 213 of them, while pneumonia was listed as the underlying cause on 900 death certificates (Table 2B-6).

The mortality rate for influenza and pneumonia increased for females from 8.9 deaths in 2017 to 10.8 deaths per 100,000 in 2018 (Figure 2B-20, Table 2B-2). The mortality rate for influenza and pneumonia also increased for males from 11.1/100,000 in 2017 to 15.0 deaths per 100,000 in 2018.

In 2018, the age-adjusted mortality rate for Arizona males was 38.9 percent greater than that of Arizona females.

Figure 2B-21 Age-adjusted Mortality Ratesa for Influenza and Pneumonia by



In 2018, American Indian residents of Arizona had the highest mortality rate for influenza and pneumonia (30.1 deaths per 100,000) among the racial/ethnic groups. The age-adjusted mortality of 11.7/100,000 among Blacks was the lowest rate in the state (Figure 2B-21, Table 2B-4).

County comparisons show that in 2018 influenza and pneumonia mortality rates were lower in Coconino, Pinal, Santa Cruz, Cochise and Maricopa Counties than in the remaining counties (Table 5E-11).


2B. LEADING CAUSES OF DEATH Suicide

In 2018, based on age-adjusted mortality rates, suicide was the 6th leading cause of death among males. It ranked as the 11th cause of mortality for females. The overall age-adjusted suicide rate increased from 18.0 suicides per 100,000 in 2017 to 19.5 in 2018 (Table 2B-4).

From 2017 to 2018, suicide mortality increased by 12.1 percent among males, while it decreased 7.1 percent among females (Figure 2B-22, Table 2B-4). In 2018, suicide posed a 4 times greater mortality risk for males (31.5/100,000) than for females (7.8/100,000).

Figure 2B-22 Age-adjusted Mortality Ratesa for Suicide by Gender and Year,

Arizona, 2008-2018


In 2018, American Indians had the highest age-adjusted suicide rate (36.5 suicides per 100,000) among racial/ethnic groups, followed by White non-Hispanics (23.7/100,000), while Asians recorded the lowest age-adjusted suicide rate (7.3/100,000; Figure 2B-23, Table 2B-4).

The 2018 age-adjusted mortality rates for suicide varied across the state, from a low rate of 9.7 suicides per 100,000 residents in Graham County to a high of 50.0 suicides per 100,000 residents in La Paz County (Table 5E-11).

Figure 2B-23 Age-adjusted Mortality Ratesa for Suicide by Race/Ethnicity,

Arizona, 2018



2B. LEADING CAUSES OF DEATH Chronic liver disease and cirrhosis

Figure 2B-24 Age-adjusted Mortality Ratesa for Chronic Liver Disease and Cirrhosis

by Gender and Year, Arizona, 2008-2018


Chronic liver disease and cirrhosis was the 9th leading cause of death in Arizona in 2018 (Figure 2B-1, Table 2B-1). Among the 1,159 deaths due to chronic liver disease and cirrhosis, 712 (61.4 percent) were males (Table 2B-4).

Among females, the age-adjusted mortality rate for chronic liver disease and cirrhosis increased 1.9 percent from 2017 to 2018. Among males, the mortality rate decreased 0.6 percent from 18.0/100,000 in 2017 to 17.9/100,000 in 2018 (Figure 2B-24, Table 2B-3).

In 2018, La Paz, Navajo, Apache, and Gila counties had the highest mortality rates for chronic liver disease and cirrhosis (Table 5E-11).

Figure 2B-25 Age-adjusted Mortality Ratesa for Chronic Liver Disease and Cirrhosis

by Race/Ethnicity, Arizona, 2018


In 2018, chronic liver disease and cirrhosis morality rate was exceedingly high among American Indians (88.8 deaths per 100,000 population) than any racial/ethnic groups in the state (Figure 2B-25, Table 2B-4). Death rate for chronic liver disease and cirrhosis among Asians, Blacks and White non-Hispanics were all below the state average (14.2 deaths per 100,000 population).

Compared to the median age at death from all causes (76 years), those who died from chronic liver disease and cirrhosis were on average 16 years younger (60 years, Table 2D-3). In 2018, the median age at death of American Indians who died from chronic liver disease and cirrhosis was 49.5 years, which was 10.5 years younger than all the other race/ethnic groups (Table 2D-3).


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01

8C

ause

of

dea

th2

00

8

Not

es:

The

cau

se-o

f-de

ath

title

s ar

e ac

cord

ing

to t

he T

enth

Rev

isio

n of

the

Int

erna

tiona

l Cla

ssifi

catio

n of

Dis

ease

s (I

CD

-10)

. T

he c

ause

s of

dea

th for

200

8-20

18 a

re c

lass

ified

by

ICD

-10

, re

plac

ing

the

Nin

th R

evis

ion

(IC

D-9

) us

ed d

urin

g 19

79-1

999.

Th

e gr

oup

title

s, s

uch

as c

ardi

ovas

cula

r di

seas

es,

infe

ctio

us a

nd p

aras

itic

dise

ases

, or

oth

er c

ardi

ovas

cula

r di

seas

es

are

not

rank

ed t

o de

term

ine

the

lead

ing

caus

es o

f de

ath.

Th

e IC

D-1

0 co

de for

the

und

erly

ing

caus

e of

dea

th w

as m

issi

ng for

as

man

y as

140

in 2

008.

20

15

20

16

20

17

20

18

ALL

CA

US

ES

20

09

20

10

20

11

20

12

20

13

20

14


20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18

TOTA

L, A

LL C

AU

SES

Tota

l65

9.6

653.

267

9.9

699.

668

7.2

687.

867

6.0

691.

369

6.6

679.

368

8.6

Mal

e77

7.6

763.

980

2.0

817.

181

1.0

805.

879

1.2

811.

582

4.8

800.

081

3.4

Fem

ale

554.

355

5.1

572.

659

5.3

579.

258

3.8

572.

858

3.3

581.

156

8.7

573.

5C

AR

DIO

VA

SC

ULA

R D

ISEA

SE

Tota

l19

4.1

188.

818

8.6

201.

019

3.3

187.

717

1.6

189.

019

0.8

189.

918

8.4

Mal

e23

5.8

228.

122

5.1

239.

223

3.6

229.

020

6.9

226.

723

0.7

228.

622

5.2

Fem

ale

158.

115

4.9

156.

716

8.0

159.

115

2.4

140.

715

6.1

155.

915

5.5

155.

6--

---D

ISEA

SES

OF

HEA

RT

Tota

l14

9.3

145.

914

3.3

152.

714

5.8

143.

012

9.9

141.

314

2.5

141.

914

0.5

Mal

e18

9.3

183.

117

9.8

192.

818

4.4

183.

616

4.1

177.

118

0.5

179.

417

6.3

Fem

ale

115.

111

4.1

112.

211

9.0

113.

710

9.2

100.

511

0.5

109.

810

9.3

109.

1--

---C

EREB

RO

VA

SC

ULA

R D

ISEA

SE

Tota

l30

.328

.930

.730

.629

.928

.226

.231

.130

.730

.732

.1M

ale

29.6

28.2

28.9

28.0

30.0

27.2

24.8

31.3

29.9

30.7

31.6

Fem

ale

30.5

29.1

31.3

32.3

29.4

28.5

26.8

30.7

30.9

30.2

32.0

MA

LIG

NA

NT

NEO

PLA

SM

STo

tal

145.

514

7.2

150.

515

1.3

149.

814

9.6

136.

314

4.0

140.

713

6.6

135.

9M

ale

173.

817

4.9

180.

617

9.3

180.

317

5.0

160.

816

9.0

166.

316

1.0

161.

8Fe

mal

e12

3.0

125.

812

7.1

129.

512

5.9

129.

911

6.8

123.

812

0.0

116.

611

4.7

Tota

l42

.140

.542

.645

.944

.244

.541

.145

.145

.043

.042

.6M

ale

46.5

44.7

48.1

49.7

50.5

48.1

45.8

48.9

47.6

45.3

44.7

Fem

ale

38.9

37.1

38.6

42.8

39.5

41.8

37.5

41.7

42.9

41.0

40.7

Tota

l44

.743

.143

.845

.542

.446

.343

.348

.153

.755

.355

.9M

ale

59.0

56.6

56.6

58.3

54.0

60.1

56.7

62.7

73.1

73.7

76.4

Fem

ale

30.6

29.8

31.6

32.6

31.0

32.8

30.1

34.1

34.9

37.0

35.6

----

-MO

TOR

VEH

ICLE

AC

CID

ENTS

Tota

l13

.611

.611

.112

.111

.411

.410

.312

.613

.913

.814

.1M

ale

19.5

16.8

15.9

17.6

16.8

16.3

14.5

18.0

20.1

19.5

20.0

Fem

ale

7.9

6.5

6.4

6.9

6.3

6.6

6.0

7.2

7.8

8.2

8.3

INFL

UEN

ZA A

ND

PN

EUM

ON

IATo

tal

15.6

14.6

10.9

9.7

9.1

10.0

8.9

9.4

10.4

9.9

12.7

Mal

e17

.715

.612

.811

.57.

411

.610

.410

.911

.811

.115

.0Fe

mal

e14

.113

.79.

38.

25.

68.

87.

78.

29.

48.

910

.8

CH

RO

NIC

LO

WER

RES

PIR

ATO

RY

D

ISEA

SE

AC

CID

ENTS

(U

NIN

TEN

TIO

NA

L IN

JUR

IES

)

TAB

LE 2

B-2

AG

E-A

DJU

STE

D M

OR

TALI

TY R

ATE

Sa

BY

GEN

DER

AN

D Y

EAR

FO

R S

ELEC

TED

LEA

DIN

G C

AU

SES

OF

DEA

TH,

AR

IZO

NA

, 2

00

8-2

01

8


20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18

ALZ

HEI

MER

'S D

ISEA

SE

Tota

l29

.829

.535

.135

.229

.933

.230

.937

.337

.335

.234

.3M

ale

23.9

24.5

28.5

28.9

41.5

27.2

25.7

31.1

31.1

29.2

26.7

Fem

ale

33.6

32.8

39.3

39.0

52.8

37.2

34.4

41.5

41.5

39.5

39.7

DIA

BET

ESTo

tal

17.0

15.7

20.1

24.8

23.5

23.6

23.0

25.7

24.5

23.8

23.0

Mal

e20

.718

.224

.930

.329

.229

.128

.931

.831

.530

.129

.8Fe

mal

e13

.913

.516

.020

.218

.618

.817

.820

.418

.418

.317

.1C

HR

ON

IC L

IVE

R D

ISE

AS

E A

ND

CIRRHOSIS

Tota

l11

.712

.212

.313

.413

.614

.513

.214

.915

.114

.214

.2M

ale

15.3

15.4

16.1

18.0

18.7

18.2

16.5

19.2

19.8

18.0

17.9

Fem

ale

8.4

9.1

8.8

9.2

9.0

11.1

10.1

11.0

10.8

10.7

10.9

Tota

l7.

17.

77.

66.

06.

25.

34.

66.

35.

86.

27.

7M

ale

8.6

9.2

9.0

7.2

8.9

6.1

5.2

7.7

6.9

7.7

9.0

Fem

ale

5.9

6.5

6.4

5.1

6.7

4.8

4.2

5.2

4.9

4.9

6.7

INTE

NTI

ON

AL

SEL

F-H

AR

M (

SU

ICID

E)To

tal

14.8

16.1

16.7

17.2

16.2

17.0

16.5

17.8

17.7

18.0

19.5

Mal

e23

.024

.627

.127

.425

.926

.625

.627

.528

.028

.131

.5Fe

mal

e7.

08.

16.

77.

57.

07.

77.

78.

47.

98.

47.

8A

SS

AU

LT (

HO

MIC

IDE)

Tota

l7.

15.

56.

56.

15.

95.

94.

65.

66.

36.

46.

1M

ale

11.2

8.0

10.5

9.6

8.6

9.2

7.1

8.6

9.9

10.0

9.8

Fem

ale

2.7

2.9

2.4

2.6

3.1

2.5

2.1

2.5

2.5

2.8

2.4

SEP

TIC

EMIA

Tota

l7.

97.

77.

44.

74.

54.

84.

45.

46.

25.

54.

4M

ale

9.4

8.2

10.8

5.4

6.1

5.6

5.0

6.4

7.1

5.9

5.0

Fem

ale

6.7

7.3

5.1

4.0

4.8

4.3

4.0

4.6

5.5

5.1

3.9

Not

es:

a The

num

ber

of d

eath

s pe

r 10

0,00

0 po

pula

tion

adju

sted

to

the

2000

U.S

. st

anda

rd.

The

cau

se-o

f-de

ath

title

s ar

e ac

cord

ing

to t

he T

enth

Rev

isio

n of

the

Int

erna

tiona

l C

lass

ifica

tion

of D

isea

ses

(IC

D-1

0).

Beg

inni

ng in

200

0, t

he c

ause

s of

dea

th a

re c

lass

ified

by

ICD

-10.

NEP

HR

ITIS

, N

EPH

RO

TIC

SY

ND

RO

ME,

A

ND

NEP

HR

OS

IS

TAB

LE 2

B-2

(co

nti

nu

ed)

AG

E-A

DJU

STE

D M

OR

TALI

TY R

ATE

Sa

BY

GEN

DER

AN

D Y

EAR

FO

R S

ELEC

TED

LEA

DIN

G C

AU

SES

OF

DEA

TH,

AR

IZO

NA

, 2

00

8-2

01

8


T M F T M F T M F T M F T M F T M F

1990 839.9 1056.7 666.4 833.8 1048.8 663.8 736.6 906.0 591.9 1092.7 1366.7 868.4 1043.2 1371.6 763.0 528.8 589.2 446.3

1991 836.9 1046.3 668.3 826.3 1031.5 661.9 797.7 1020.2 620.0 1140.9 1374.4 926.9 1003.3 1256.1 792.1 518.3 634.6 421.4

1992 840.2 1066.9 658.4 825.8 1044.8 651.7 808.7 1053.8 614.6 1140.1 1455.5 877.4 1058.7 1345.0 815.1 550.5 674.3 450.6

1993 866.4 1081.0 691.0 852.7 1060.9 682.5 852.6 1096.9 663.2 1041.6 1295.4 828.6 1078.4 1377.8 830.6 651.9 705.1 611.6

1994 846.6 1049.8 677.9 834.7 1031.8 672.1 798.6 975.8 652.6 1133.0 1486.6 841.7 1012.7 1285.8 779.8 675.6 836.4 556.9

1995 835.5 1026.0 675.3 823.1 1008.9 668.2 823.7 1021.1 659.6 1110.4 1411.2 867.0 1010.4 1192.0 846.8 595.8 804.1 438.2

1996 829.3 1020.7 672.0 817.6 1006.4 663.6 783.7 981.1 622.8 1038.4 1224.6 890.7 1047.2 1282.1 848.7 378.7 456.6 321.3

1997 809.5 975.5 668.6 798.4 954.8 666.1 789.1 1010.8 613.5 1040.2 1252.1 859.6 972.9 1177.6 795.4 426.3 530.3 351.1

1998 807.6 978.4 665.4 794.5 959.6 657.2 804.1 990.0 654.6 1017.9 1253.7 840.8 990.7 1230.3 789.4 460.3 499.5 429.0

1999 811.0 982.6 668.7 792.3 957.4 656.1 794.6 995.4 635.5 1025.4 1254.3 842.9 1017.5 1176.1 877.9 434.8 511.7 378.4

2000 785.6 941.1 654.6 776.6 930.6 647.3 769.9 926.0 642.4 1057.5 1263.1 890.3 1011.4 1240.4 818.7 504.1 544.0 451.5

2001 791.2 952.4 656.7 778.1 936.3 647.1 787.6 958.7 644.5 1050.6 1211.7 923.5 1010.5 1213.3 836.9 560.7 592.9 517.2

2002 796.4 964.8 658.0 786.7 948.7 654.4 811.1 1007.5 651.5 951.5 1170.1 759.6 975.1 1201.3 792.3 560.4 661.8 452.6

2003 784.0 942.8 651.5 764.9 921.4 636.0 839.5 1007.3 698.7 1048.6 1201.7 901.9 900.7 1057.7 761.4 497.2 522.0 478.7

2004 757.3 909.0 632.0 734.6 885.2 612.8 834.0 1006.6 691.5 1021.7 1149.2 895.8 879.2 1040.6 741.7 557.5 446.5 715.3

2005 772.5 925.7 644.9 744.6 894.4 622.3 849.2 1062.1 679.8 1053.1 986.6 1125.9 1006.6 1215.2 835.6 629.5 670.8 593.1

2006 727.3 861.6 611.8 728.5 854.4 621.1 685.6 837.3 556.0 885.1 1109.5 693.6 744.5 933.9 593.0 393.4 478.0 340.5

2007 663.2 773.8 561.7 665.1 777.7 563.2 603.7 705.7 509.3 719.2 739.1 691.2 752.5 928.8 605.2 356.3 1008.6 342.1

2008 659.6 777.6 554.3 660.1 780.7 553.9 606.9 704.0 515.8 710.7 746.4 670.5 766.3 937.9 620.0 427.0 529.7 359.0

2009 653.2 763.9 555.1 647.3 761.9 546.8 614.9 712.3 528.4 736.8 728.4 736.1 823.5 972.5 695.0 472.8 561.7 408.7

2010 679.9 802.0 572.6 674.4 791.8 569.7 612.0 716.0 525.0 835.0 1009.6 698.5 891.8 1080.0 731.1 424.1 544.7 345.7

2011 699.6 817.1 595.3 741.5 810.1 595.9 656.4 781.9 549.7 833.6 981.9 718.5 765.5 871.4 669.5 436.7 521.8 377.8

2012 687.2 811.0 579.2 693.1 817.9 583.0 616.2 743.0 512.8 886.5 985.3 793.1 843.8 1001.0 708.3 440.1 463.6 418.3

2013 687.8 805.8 583.8 693.7 811.8 588.8 615.6 708.5 534.9 918.5 1061.5 782.1 887.0 1075.3 728.5 413.4 485.9 364.6

2014 676.0 791.2 572.8 685.7 802.3 579.5 636.9 752.5 538.1 739.9 850.5 646.5 818.5 971.5 684.9 371.8 416.1 337.6

2015 691.3 811.5 583.3 704.1 821.6 597.0 601.5 725.0 497.2 832.8 980.1 704.1 965.3 1171.5 790.6 413.8 498.8 360.5

2016 696.6 824.8 581.1 704.8 826.6 593.6 607.5 739.7 496.9 874.2 1029.9 724.6 1023.9 1314.1 783.5 433.5 485.6 392.8

2017 679.3 800.0 568.7 681.4 796.3 574.9 592.0 705.7 493.5 800.0 912.2 680.8 1001.9 1244.9 796.7 419.1 478.8 377.9

2018 688.6 813.4 573.5 690.2 808.2 579.8 607.1 736.8 493.9 843.2 945.3 746.7 1036.1 1293.0 816.9 429.7 487.7 388.2

1990 338.6 410.6 280.7 343.6 417.5 284.2 285.7 347.2 236.0 446.1 492.3 411.6 269.0 365.5 190.7 188.2 180.4 189.7

1991 328.9 397.0 271.5 331.2 401.0 272.4 306.1 370.0 252.6 467.2 495.5 432.1 248.0 308.2 200.8 217.4 259.1 181.9

1992 329.2 402.3 269.6 328.7 403.3 267.8 318.0 387.0 263.8 503.7 602.1 425.1 280.7 360.5 216.0 206.2 226.1 191.9

1993 339.9 408.5 282.4 341.1 413.4 280.0 317.3 384.2 266.5 408.2 438.8 379.2 293.3 323.2 269.4 301.2 327.6 281.1

1994 324.1 387.3 269.9 325.4 389.5 269.8 298.5 359.6 252.6 438.2 507.7 371.4 287.6 369.8 222.0 279.8 309.9 256.7

1995 318.3 380.6 266.3 318.8 384.6 264.0 319.5 356.4 286.2 407.9 477.7 352.9 269.0 298.3 243.6 236.9 349.8 152.1

1996 307.1 373.1 253.1 309.6 377.4 254.0 285.3 361.6 226.2 385.6 406.2 364.3 267.9 323.4 224.1 134.8 183.0 99.3

1997 297.3 349.6 252.6 298.4 351.2 253.0 300.4 358.3 255.3 355.5 384.4 326.1 237.6 268.9 211.5 165.0 217.1 128.5

1998 296.2 356.4 246.3 295.2 356.0 244.2 297.6 358.7 252.2 420.5 512.3 348.6 259.1 336.2 198.2 173.5 175.3 177.4

1999 289.7 349.8 240.1 289.5 350.5 238.5 283.5 352.2 234.1 384.3 432.7 342.8 241.0 290.8 201.4 164.9 172.0 159.9

2000 276.1 333.1 230.0 276.0 335.8 227.7 273.6 320.8 236.1 411.5 460.3 374.6 257.5 308.3 218.7 190.6 197.0 183.2

2001 267.3 321.6 223.0 265.8 322.0 220.1 281.4 325.8 242.8 388.1 422.3 354.6 234.1 275.6 202.5 184.3 190.8 179.9

2002 265.5 321.1 221.0 266.1 323.2 220.0 276.3 321.8 240.0 329.8 402.1 269.0 216.2 257.6 184.4 218.4 280.4 173.5

2003 258.4 310.3 215.8 257.2 309.3 214.2 278.2 339.9 230.3 390.1 426.5 348.3 188.6 239.3 150.6 145.3 137.2 150.7

2004 248.5 298.4 207.8 243.1 295.7 200.6 284.1 331.4 247.0 372.5 365.2 363.2 214.6 254.7 181.0 200.3 158.8 259.2

2005 245.7 298.2 203.8 241.3 295.8 198.2 266.1 331.8 217.5 343.3 304.3 385.9 235.6 279.7 201.6 243.0 244.9 241.3

2006 216.4 258.3 181.0 218.2 258.9 183.3 203.2 243.8 170.2 310.3 443.9 208.0 167.0 213.0 131.3 136.2 159.0 122.9

2007 194.4 227.5 164.3 196.9 234.0 163.5 179.8 201.8 159.1 225.9 210.0 239.7 155.0 181.8 132.4 108.9 265.9 108.3

2008 194.1 235.8 158.1 196.3 240.6 158.3 184.8 218.8 153.8 219.6 235.0 205.2 150.4 172.8 133.7 121.4 132.3 114.1

2009 188.8 228.1 154.9 188.3 229.4 152.9 179.8 211.3 151.9 245.7 228.8 252.2 164.2 209.1 130.0 150.8 182.3 127.9

2010 188.6 225.1 156.7 188.8 224.9 156.6 172.4 201.5 148.9 258.5 305.4 215.1 183.2 216.9 154.8 130.0 175.8 98.9

2011 201.0 239.2 168.0 212.6 239.9 167.1 193.4 223.9 168.0 266.1 329.3 219.6 149.2 160.8 136.3 122.4 148.6 103.7

2012 193.3 233.6 159.1 195.1 238.4 157.9 176.2 204.3 153.1 284.0 290.7 269.6 168.3 204.1 139.8 134.7 159.3 116.7

2013 187.7 229.0 152.4 190.9 233.3 154.0 161.9 194.2 135.3 280.2 354.0 218.5 164.2 199.8 137.4 133.6 154.8 119.2

2014 171.6 206.9 140.7 174.9 210.4 143.0 156.2 191.6 127.3 212.3 256.3 176.8 147.7 196.6 111.3 100.8 112.7 90.4

2015 189.0 226.7 156.1 192.4 231.6 157.8 165.1 191.3 141.7 266.8 306.2 232.1 167.0 205.0 136.2 119.1 153.6 97.6

2016 190.8 230.7 155.9 194.4 235.2 158.0 168.3 202.3 140.4 275.8 314.3 233.8 189.6 238.8 152.7 120.9 135.9 111.0

2017 189.9 228.6 155.5 191.4 228.9 157.3 166.2 204.8 134.8 258.3 297.4 220.1 204.2 268.3 157.4 125.2 150.3 110.3

2018 188.4 225.2 155.6 189.8 227.1 155.9 167.5 203.0 137.4 241.1 254.7 227.4 186.0 216.7 160.8 128.2 148.9 113.7

TABLE 2B-3AGE-ADJUSTEDa MORTALITY RATES FOR SELECTED CAUSES OF DEATH BY RACE/ETHNICITY

AND GENDER, ARIZONA, 1990-2018

All groups White non-Hispanic Hispanic or Latino Black or African American

American Indian or Alaska Native


Total, all causes

Cardiovascular diseases


(continued)







1990 263.8 330.7 210.3 268.3 336.8 213.2 222.0 285.2 172.9 343.0 381.9 311.5 207.1 289.3 140.3 135.0 143.5 130.8

1991 254.3 319.1 201.0 257.8 324.2 203.2 229.2 295.6 175.8 362.5 388.4 328.1 179.5 234.2 135.5 128.3 149.0 111.4

1992 257.2 324.0 202.9 257.3 325.7 201.7 245.2 306.5 196.7 386.5 473.1 317.6 224.7 295.5 167.2 167.3 187.6 154.4

1993 265.1 332.8 209.6 266.5 337.5 207.8 246.3 301.5 203.6 317.3 386.4 262.9 228.7 273.1 194.1 203.2 203.2 206.6

1994 248.3 307.6 198.5 250.4 310.7 199.2 225.5 273.0 189.5 325.1 403.8 255.3 215.5 290.3 155.6 184.5 241.8 141.9

1995 243.3 302.9 194.1 244.5 307.8 192.5 241.6 279.8 207.7 316.0 373.6 268.8 201.5 221.6 182.1 155.3 215.5 109.9

1996 230.7 292.8 180.8 233.4 298.0 181.3 210.7 279.0 158.1 282.6 305.7 263.7 191.9 236.9 156.6 103.1 124.4 87.1

1997 221.6 272.1 179.2 223.3 275.9 179.2 214.6 253.2 182.8 271.4 290.1 249.7 185.9 213.7 162.1 119.3 173.2 80.1

1998 219.0 275.2 172.5 218.5 275.6 170.6 223.2 281.5 180.4 317.4 375.4 271.6 192.4 273.2 129.0 81.2 52.6 106.8

1999 213.9 269.4 168.5 215.1 271.5 168.3 204.4 259.8 163.3 281.1 323.0 246.0 177.0 237.1 131.3 95.4 95.1 95.8

2000 206.1 259.3 163.6 207.2 263.2 162.5 204.7 247.2 171.4 289.5 312.8 267.0 183.8 229.5 148.5 132.3 146.1 118.8

2001 201.7 251.3 161.5 202.1 252.9 160.9 206.1 255.8 165.4 273.6 300.5 248.5 177.7 218.4 146.8 116.1 116.8 116.0

2002 201.0 253.6 158.9 203.0 257.8 159.0 201.2 239.2 170.5 237.0 311.6 178.6 164.0 201.2 134.3 145.6 177.8 122.0

2003 197.1 246.6 157.1 197.9 248.4 157.2 198.5 252.7 155.9 299.4 335.2 259.2 141.9 181.6 111.0 97.6 88.8 103.5

2004 186.7 234.2 148.5 184.9 235.0 144.8 197.6 239.1 165.0 258.5 241.3 258.5 166.9 215.3 128.2 135.3 112.8 167.4

2005 186.9 237.4 147.3 185.2 237.7 144.5 189.6 242.2 149.9 250.3 235.7 266.2 179.1 231.7 139.9 159.8 177.7 143.9

2006 166.1 207.3 131.8 168.8 210.6 133.9 149.8 181.1 124.0 231.9 328.6 153.5 129.4 169.5 98.1 94.7 118.5 80.2

2007 149.5 184.0 119.4 153.2 191.3 120.0 131.5 158.9 107.7 171.3 160.4 182.5 115.2 140.5 94.7 58.6 152.9 56.4

2008 149.3 189.3 115.1 153.1 195.7 116.8 132.0 165.2 102.4 161.7 175.2 146.9 114.6 129.0 103.8 71.8 92.0 57.8

2009 145.9 183.1 114.1 147.5 186.5 114.2 130.5 159.6 105.4 171.3 176.1 160.4 125.8 156.1 100.5 96.7 118.1 80.9

2010 143.3 179.8 112.2 145.4 181.9 113.7 121.3 149.0 99.5 177.7 233.6 133.9 135.9 169.5 108.1 86.8 128.1 60.0

2011 152.7 192.8 119.0 164.3 196.2 120.4 137.4 167.1 113.2 174.0 252.9 119.3 111.1 131.1 92.7 77.0 105.3 57.3

2012 145.8 184.4 113.7 150.0 190.9 115.3 123.4 149.8 101.8 190.5 216.9 168.5 122.7 160.6 93.9 87.9 116.9 68.3

2013 143.0 183.6 109.2 147.6 190.0 111.5 116.1 144.4 93.0 200.5 269.1 144.8 122.9 159.8 97.1 82.5 98.8 70.9

2014 129.9 164.1 100.5 134.4 168.9 104.1 114.0 147.8 87.0 140.9 175.3 113.3 107.5 159.3 70.3 60.3 73.8 49.9

2015 141.3 177.1 110.5 146.0 183.7 112.9 117.6 140.7 97.5 184.4 216.8 155.9 119.9 158.9 89.1 75.0 99.0 59.6

2016 142.5 180.5 109.8 147.7 186.9 113.5 116.3 147.1 91.5 188.3 224.0 151.5 139.9 191.2 102.3 76.6 86.8 69.9

2017 141.9 179.4 109.3 146.1 183.4 112.8 112.5 144.9 86.6 169.6 210.0 134.3 150.9 217.2 103.9 87.2 105.3 76.4

2018 140.5 176.3 109.1 144.3 181.1 111.4 116.0 147.4 90.1 166.4 185.8 149.5 129.9 156.0 108.6 86.0 112.9 68.5

1990 54.6 54.6 54.1 55.0 54.7 54.8 45.2 40.7 46.9 76.6 84.7 73.2 48.8 63.0 37.5 44.7 23.5 54.5

1991 53.9 54.1 52.4 53.3 53.3 51.9 47.3 42.6 49.0 71.6 74.4 68.0 59.9 66.2 56.1 66.9 83.7 53.6

1992 51.7 55.0 49.3 51.2 53.6 49.3 51.5 63.4 43.5 77.6 86.1 70.4 43.1 49.3 38.2 30.6 38.5 22.0

1993 55.0 51.9 56.0 54.8 51.8 55.6 52.4 59.3 48.1 51.8 29.9 66.0 52.8 36.6 65.1 68.0 70.9 64.0

1994 54.7 55.5 53.1 54.3 54.9 52.7 54.2 61.7 48.6 63.6 62.3 64.1 47.7 48.5 46.8 75.6 46.1 96.6

1995 53.9 52.8 54.0 53.1 51.2 53.7 57.3 58.5 56.6 64.6 73.8 58.4 54.3 64.7 47.3 54.2 79.5 35.4

1996 54.8 55.9 53.0 54.4 54.7 53.2 53.8 61.4 48.7 77.9 71.2 78.0 59.7 68.2 52.6 31.1 57.2 12.2

1997 54.9 52.5 55.8 54.1 50.2 56.0 64.6 77.6 55.3 64.3 72.7 58.7 37.2 37.3 37.8 33.9 20.2 45.5

1998 52.2 52.3 51.9 51.8 51.5 52.0 49.8 50.6 48.7 58.8 69.1 50.6 49.5 44.8 52.8 75.7 112.1 49.0

1999 48.5 50.2 46.9 47.6 49.0 46.0 52.5 60.8 47.2 63.8 70.8 56.3 39.7 32.2 44.5 36.7 35.0 37.5

2000 51.7 50.8 51.8 50.8 49.3 51.4 51.2 54.4 48.3 82.4 101.5 71.6 55.3 60.2 51.9 46.1 45.0 47.8

2001 47.7 48.3 46.8 46.2 47.1 45.0 55.4 50.8 57.7 79.6 80.0 76.2 44.3 46.6 42.9 51.1 49.2 52.1

2002 47.0 47.3 46.7 45.9 45.3 46.2 53.9 62.6 47.8 69.6 57.9 72.9 39.4 46.5 34.7 57.6 72.6 46.9

2003 43.9 42.9 43.8 41.7 40.1 42.1 61.9 65.7 59.2 69.0 60.6 73.5 36.4 45.8 29.9 35.9 42.5 31.1

2004 43.6 42.7 43.6 41.4 40.6 41.3 61.3 62.4 60.1 71.5 69.0 69.1 27.5 20.1 31.8 45.1 31.6 64.4

2005 40.6 40.0 40.5 38.8 38.1 38.8 51.0 59.8 44.3 66.0 40.3 94.1 32.3 29.9 33.7 64.6 49.0 78.3

2006 34.8 33.4 35.2 34.1 31.3 35.5 37.3 43.9 32.1 58.2 86.0 41.1 27.0 32.8 23.0 18.4 6.8 25.9

2007 30.6 27.7 32.2 29.7 26.9 31.2 34.9 30.0 37.8 34.1 30.9 36.5 22.0 23.9 20.3 37.7 85.6 40.0

2008 30.3 29.6 30.5 29.2 28.0 29.9 33.6 34.6 32.0 40.0 42.9 38.9 23.5 26.2 21.8 36.2 32.8 38.9

2009 28.9 28.2 29.1 27.5 26.6 27.9 33.8 34.3 32.7 42.8 31.4 54.5 24.7 33.5 20.0 39.2 43.6 35.9

2010 30.7 28.9 31.3 29.4 27.2 30.5 35.1 34.8 34.6 53.5 41.4 58.1 29.8 30.0 29.5 26.0 30.7 21.7

2011 30.6 28.0 32.3 30.4 26.2 30.7 34.9 33.3 35.6 56.5 43.3 64.3 29.7 24.8 33.1 29.1 34.2 26.2

2012 29.9 30.0 29.4 28.1 28.0 27.6 35.5 37.8 33.6 56.0 50.9 57.7 27.1 30.3 24.5 30.9 26.4 33.3

2013 28.2 27.2 28.5 27.1 25.7 27.7 29.7 30.8 28.5 54.4 51.4 54.6 23.4 18.6 25.3 30.7 30.0 31.2

2014 26.2 24.8 26.8 25.3 25.2 26.1 27.4 26.6 27.5 40.8 41.7 39.2 24.5 24.2 24.0 28.7 33.1 25.8

2015 31.1 31.3 30.7 30.1 29.6 30.1 32.4 34.0 30.6 51.8 59.6 45.5 31.6 31.7 31.1 30.4 36.7 27.0

2016 30.7 29.9 30.9 30.0 28.7 30.6 31.5 31.4 31.2 48.1 49.7 45.8 30.1 27.8 30.9 31.1 41.5 24.8

2017 30.7 30.7 30.2 29.2 28.5 29.3 34.5 38.1 31.3 49.2 45.6 50.3 31.7 30.7 31.1 23.6 26.2 22.0

2018 32.1 31.6 32.0 30.6 29.9 30.8 34.6 36.3 32.6 44.1 42.7 43.9 39.2 37.4 40.5 27.9 25.2 29.2

-----Diseases of heart

-----Cerebrovascular diseases



TABLE 2B-3 (continued)AGE-ADJUSTEDa MORTALITY RATES FOR SELECTED CAUSES OF DEATH BY RACE/ETHNICITY





1990 190.4 238.8 156.2 195.1 245.9 160.0 162.6 185.3 143.4 244.2 360.7 155.6 122.1 123.1 121.0 109.3 132.4 86.1

1991 197.7 246.5 163.2 203.7 253.3 169.1 162.4 204.1 132.3 252.6 333.9 187.6 130.9 158.1 109.7 135.2 149.6 128.0

1992 194.0 244.5 157.7 198.8 250.0 161.9 170.7 210.8 142.6 258.2 378.8 168.9 116.1 126.7 108.4 118.6 155.9 86.1

1993 193.2 240.6 159.8 198.0 245.5 164.4 180.9 242.4 140.2 196.3 241.0 160.3 129.8 143.3 120.0 131.4 154.5 113.3

1994 190.9 238.2 157.5 196.9 246.3 161.8 156.3 184.7 137.7 224.1 310.8 164.6 108.5 121.2 98.9 170.5 254.3 109.9

1995 183.2 224.8 153.4 187.2 228.1 157.9 160.9 220.2 120.3 247.1 330.0 187.8 133.5 151.9 119.2 171.1 181.2 165.3

1996 183.6 228.5 151.2 188.8 234.7 155.7 160.6 206.7 129.1 228.5 304.6 175.2 139.8 146.3 135.6 77.0 102.1 59.2

1997 178.8 217.2 150.8 184.5 221.2 157.8 146.4 199.7 108.1 241.9 343.2 175.5 116.0 146.2 92.8 88.5 84.5 93.0

1998 174.5 211.2 147.8 179.2 216.0 152.4 150.8 184.9 124.8 222.4 293.1 183.4 117.0 134.2 104.1 114.0 110.0 115.2

1999 176.7 212.6 150.5 182.2 218.0 155.6 145.9 179.9 122.6 214.4 302.2 156.7 114.1 128.1 104.0 95.5 120.2 79.3

2000 170.4 204.0 145.8 174.8 208.1 150.0 156.9 201.5 126.0 216.1 274.7 178.0 123.0 142.7 107.2 103.4 103.6 103.1

2001 169.2 199.8 147.5 173.1 203.7 151.4 155.6 196.8 126.9 213.0 247.6 195.0 121.7 128.8 115.4 147.0 175.5 127.1

2002 168.6 209.1 139.1 172.4 213.2 142.5 156.3 211.2 118.0 222.7 290.3 176.0 117.6 125.8 112.5 116.5 126.5 108.5

2003 169.4 208.3 141.3 171.2 212.4 141.2 168.5 209.2 140.1 218.5 245.6 200.8 120.7 112.6 126.7 132.9 132.8 132.6

2004 164.7 201.2 138.6 165.4 202.9 138.1 161.6 218.1 123.6 227.7 274.2 200.5 139.3 150.9 131.8 111.0 72.9 165.2

2005 161.8 197.1 136.1 162.4 197.6 136.8 165.9 217.1 130.8 217.9 216.7 219.3 122.2 159.7 97.5 112.7 122.5 104.0

2006 154.7 187.0 131.0 162.8 195.5 138.4 124.7 160.9 98.7 163.5 216.0 127.7 83.1 93.9 79.5 82.0 113.2 64.1

2007 148.0 176.7 125.6 154.6 184.4 131.1 118.6 144.3 99.0 153.4 178.3 135.2 113.9 135.0 100.1 84.2 248.1 81.6

2008 145.5 173.8 123.0 150.4 179.7 127.0 123.8 151.9 101.5 149.2 150.1 146.3 106.7 126.4 93.2 104.4 149.4 74.0

2009 147.2 174.9 125.8 151.1 179.8 128.7 128.4 157.1 105.9 153.1 160.3 154.2 113.3 127.5 103.5 108.1 122.0 98.7

2010 150.5 180.6 127.1 155.6 185.8 131.6 126.2 148.8 110.6 182.6 231.0 144.8 106.4 137.8 86.6 96.2 130.7 74.2

2011 151.3 179.3 129.5 170.3 182.2 132.4 136.3 176.0 107.3 167.1 170.6 169.0 100.8 116.3 90.9 116.6 126.2 110.2

2012 149.8 180.3 125.9 155.6 185.9 131.5 127.2 161.8 102.4 180.1 220.1 147.1 100.8 114.5 90.4 100.5 113.1 94.6

2013 149.6 175.0 129.9 154.3 180.9 133.3 129.8 147.2 117.0 190.4 209.3 176.5 118.2 126.0 114.5 100.1 131.4 81.4

2014 136.3 160.8 116.8 141.8 166.5 121.8 124.9 153.6 103.4 145.0 154.7 140.9 97.1 124.6 77.3 83.2 82.1 83.5

2015 144.0 169.0 123.8 149.8 173.9 129.9 120.4 152.9 96.2 154.7 181.5 135.0 124.4 142.1 112.4 104.8 133.4 88.2

2016 140.7 166.3 120.0 146.7 171.3 126.5 115.9 147.3 92.3 171.6 214.4 138.9 101.2 110.7 94.6 102.6 106.6 98.4

2017 136.6 161.0 116.6 141.4 167.7 119.1 110.9 130.9 95.9 158.5 164.8 151.2 117.1 114.6 118.2 99.4 121.4 85.6

2018 135.9 161.8 114.7 140.2 165.7 118.9 118.7 144.3 99.6 156.7 193.4 131.2 115.3 149.6 92.6 102.7 112.0 96.7

1990 51.7 71.9 36.5 55.1 75.9 39.6 31.5 41.9 22.7 66.2 123.1 19.9 8.7 12.7 5.4 30.5 53.6 8.8

1991 54.5 76.4 37.7 58.7 80.4 42.0 30.2 53.2 14.2 71.3 129.4 25.5 11.3 23.0 1.8 28.5 45.2 16.9

1992 54.5 76.4 37.8 58.5 81.1 41.3 33.6 52.4 19.7 67.0 102.0 36.8 7.1 10.2 4.7 26.3 18.5 32.2

1993 53.4 75.4 36.5 58.0 80.6 40.6 31.5 50.1 17.6 49.4 91.4 14.6 12.6 13.7 11.7 16.9 22.5 13.9

1994 52.2 71.5 37.2 56.3 76.3 40.8 28.9 40.1 20.3 64.9 107.1 34.0 8.8 15.3 3.6 28.5 65.4 0.0

1995 50.8 68.3 37.3 54.1 71.3 40.7 29.3 48.7 15.3 78.3 127.9 41.4 14.0 23.8 6.2 35.9 39.3 34.1

1996 51.4 69.3 37.2 55.3 73.4 40.8 29.1 50.9 14.1 62.7 92.7 39.2 11.2 16.4 6.7 14.5 16.3 13.6

1997 50.2 66.4 37.9 54.0 69.3 42.2 26.3 48.3 10.8 75.1 127.4 37.4 12.4 19.8 6.7 17.1 29.7 8.0

1998 48.4 62.4 37.6 52.0 65.8 41.2 29.2 45.4 17.5 58.3 81.2 43.6 11.3 12.2 10.4 33.2 48.9 20.0

1999 51.0 65.8 39.6 55.4 70.2 43.8 28.0 43.1 17.5 45.0 76.2 23.5 11.6 12.6 10.9 24.1 46.0 8.8

2000 46.1 59.2 35.8 49.1 61.9 39.1 31.6 49.6 18.1 65.8 79.8 52.1 8.9 13.1 5.5 29.6 29.0 29.8

2001 44.5 54.8 36.4 47.6 57.0 40.2 29.2 49.4 14.4 55.7 78.9 39.5 9.8 11.9 8.1 41.7 62.8 27.1

2002 46.6 58.6 37.1 50.1 62.4 40.4 27.7 40.0 18.3 61.2 74.7 49.5 13.1 13.4 13.0 24.7 24.5 24.6

2003 47.4 61.0 37.1 50.6 64.0 40.3 33.5 49.6 21.5 59.4 80.8 45.6 13.2 17.2 10.3 21.9 26.3 18.5

2004 45.4 57.3 36.3 48.2 59.6 39.3 29.4 49.4 14.7 61.4 74.4 53.0 17.3 21.5 14.2 21.5 15.7 30.3

2005 43.0 54.1 34.4 45.9 56.8 37.4 29.0 45.0 17.3 53.0 58.6 46.8 6.5 9.0 4.7 19.7 18.8 20.4

2006 42.7 53.5 34.2 47.4 58.6 38.5 21.4 31.6 13.8 45.9 65.9 33.9 4.7 4.3 4.9 18.4 32.5 9.2

2007 38.2 47.2 30.9 42.4 51.7 34.8 20.5 30.4 12.4 39.6 46.3 35.7 9.9 14.2 6.8 21.5 48.0 23.1

2008 38.5 47.7 31.2 42.3 51.7 34.8 20.0 27.7 13.7 37.1 45.4 27.8 11.2 10.1 11.7 32.7 49.1 21.8

2009 39.0 47.4 32.2 42.7 51.5 35.5 23.7 33.9 15.8 38.7 38.3 39.8 10.0 7.1 12.6 26.6 37.0 19.1

2010 38.1 46.1 31.5 41.7 49.5 35.3 20.6 28.5 14.6 36.6 41.7 31.4 7.5 12.5 3.6 22.1 36.9 12.8

2011 37.8 46.1 31.1 46.7 49.2 34.9 22.9 35.9 13.3 36.6 40.4 33.3 7.9 13.8 3.9 20.8 33.9 13.4

2012 37.7 45.2 31.6 41.5 49.0 35.3 22.0 30.6 15.6 43.0 50.7 36.7 9.3 7.9 9.8 20.9 33.6 13.5

2013 36.4 42.9 31.0 40.2 46.7 34.8 22.1 27.6 17.3 40.5 57.3 29.4 10.0 11.6 9.5 22.9 31.6 17.6

2014 32.2 38.1 27.3 35.3 41.0 30.5 21.6 30.4 15.2 29.5 37.5 22.7 10.2 12.0 8.7 26.7 27.8 25.4

2015 35.1 40.5 30.7 39.1 44.2 34.8 18.8 24.9 14.5 38.4 58.6 22.5 8.1 10.3 6.9 30.6 38.0 25.8

2016 31.4 36.6 26.9 34.8 40.0 30.5 17.8 22.0 14.3 37.8 48.7 31.5 7.4 10.7 4.7 19.5 20.1 18.4

2017 30.8 36.0 26.5 34.3 39.6 29.7 15.2 19.6 11.7 27.9 35.6 20.6 8.5 3.9 11.6 29.2 30.5 28.1

2018 28.9 33.8 24.6 31.5 36.4 27.3 17.6 20.7 15.0 35.6 47.7 26.2 9.0 17.9 2.8 22.8 26.3 20.4

Malignant neoplasms

-----Lung cancer


(continued)







1990 19.4 22.1 17.1 19.9 23.3 17.1 17.4 14.7 18.3 24.8 20.1 29.9 1.1 2.4 0.0 6.8 9.3 4.9

1991 19.1 23.0 16.2 19.4 23.5 16.4 20.2 21.2 19.1 18.1 12.7 22.0 9.2 16.4 3.4 13.3 15.6 13.0

1992 17.1 21.6 13.7 17.5 21.8 14.1 16.0 38.7 10.6 27.9 38.7 22.9 6.4 5.5 7.0 7.5 14.9 2.0

1993 18.3 22.4 15.1 18.7 23.0 15.4 16.9 20.7 13.7 23.5 33.9 16.2 5.8 1.5 9.1 14.0 4.0 21.5

1994 18.7 21.7 16.3 19.4 22.4 17.0 16.4 17.3 15.8 18.1 30.9 7.7 8.2 6.7 9.3 14.1 20.0 10.4

1995 18.8 20.7 17.1 19.3 21.4 17.5 13.7 15.5 11.7 26.4 25.1 27.5 13.2 7.8 17.4 15.2 32.4 2.7

1996 19.6 24.6 15.9 19.8 25.0 15.8 19.7 23.7 16.8 36.2 36.9 37.9 11.3 18.5 6.0 0.0 0.0 0.0

1997 18.3 22.0 15.4 18.8 22.4 16.0 14.5 19.8 10.3 27.2 27.1 26.4 6.9 9.1 5.1 20.3 7.5 30.7

1998 20.3 25.7 16.0 20.2 25.6 16.1 20.4 27.0 14.9 41.8 39.8 20.7 10.5 9.8 10.3 16.4 6.4 23.2

1999 19.1 23.5 15.6 19.2 23.7 15.8 17.3 20.3 14.4 31.2 38.1 24.3 6.8 4.3 8.5 3.6 5.0 2.6

2000 17.0 20.5 14.1 17.4 20.7 14.6 16.4 20.5 13.5 16.3 26.3 9.7 8.2 15.1 2.7 6.6 12.9 2.2

2001 16.7 19.0 14.8 16.9 19.0 15.2 16.6 22.1 12.9 27.4 26.2 25.2 7.2 7.8 6.3 10.6 15.3 7.2

2002 16.5 20.6 13.4 16.9 21.0 13.6 16.2 23.4 11.7 26.4 36.4 19.8 9.1 7.9 9.3 9.7 13.9 7.0

2003 17.9 21.8 14.7 17.9 22.0 14.4 21.2 25.5 17.9 26.3 22.3 28.2 6.3 10.2 3.7 3.0 4.8 1.8

2004 15.3 18.9 12.6 15.5 19.2 12.8 13.1 15.8 11.5 27.3 41.2 16.9 9.3 14.1 5.6 11.0 7.7 15.9

2005 15.4 18.9 12.8 15.2 18.8 12.5 17.6 21.5 14.8 27.0 23.7 30.6 7.5 10.0 6.0 12.5 18.7 7.1

2006 14.6 18.1 12.0 15.1 18.9 12.0 14.2 15.8 13.1 14.9 21.1 10.1 4.7 3.5 5.5 6.5 11.4 3.9

2007 14.4 17.7 11.5 15.0 18.1 12.3 12.0 16.5 8.6 15.7 19.3 11.8 8.0 10.6 5.3 9.4 28.7 9.8

2008 13.1 15.1 11.3 13.2 15.0 11.4 13.2 15.5 11.2 16.4 20.3 13.0 11.1 11.9 10.9 8.6 14.9 4.2

2009 12.9 14.9 11.2 12.9 15.1 11.0 13.8 16.7 11.5 14.1 14.0 14.9 8.5 7.4 9.1 13.8 16.4 12.5

2010 13.8 16.6 11.4 13.9 16.0 12.1 13.5 19.0 9.2 21.9 28.9 16.0 12.4 19.9 8.0 10.3 22.2 2.6

2011 13.4 15.4 11.6 14.4 15.3 11.4 13.6 16.5 11.2 20.2 12.6 25.6 9.9 12.0 7.4 14.3 16.2 12.7

2012 13.1 15.8 10.7 13.4 16.0 11.2 12.2 17.0 8.3 20.5 23.9 17.4 7.1 7.8 6.3 9.8 8.0 11.4

2013 13.6 15.3 12.3 13.7 15.5 12.2 12.5 14.3 10.9 21.7 19.6 23.0 11.3 7.3 14.0 12.1 13.0 11.7

2014 12.4 14.6 10.5 13.2 15.0 11.5 10.8 15.1 7.4 15.8 18.4 14.3 7.0 9.5 4.7 7.2 8.3 6.3

2015 12.9 15.6 10.5 12.9 15.1 10.9 11.8 16.6 8.0 19.5 25.1 15.0 13.3 18.8 9.6 9.4 17.1 4.9

2016 12.9 15.4 10.6 13.2 15.6 11.2 11.1 14.7 7.8 17.4 17.9 16.1 8.0 7.7 8.3 13.1 10.6 13.8

2017 13.0 16.0 10.2 13.2 16.4 10.3 12.7 16.6 9.5 15.1 13.8 16.1 11.1 14.1 8.4 6.0 11.3 2.4

2018 12.9 15.8 10.3 12.7 14.9 10.7 13.8 20.0 9.0 17.2 26.2 10.8 10.8 16.3 6.9 12.5 18.3 9.0

1990 NA NA 29.5 NA NA 31.3 NA NA 27.5 NA NA 16.3 NA NA 3.2 NA NA 0.0





























-----Colorectal cancer

-----Female breast cancer








1990 NA 34.0 NA NA 34.1 NA NA 28.3 NA NA 94.9 NA NA 20.4 NA NA 13.9 NA





























1990 44.4 58.2 35.0 47.7 62.5 37.9 19.9 26.7 15.3 29.7 48.6 15.6 16.4 18.9 14.6 32.6 27.9 32.6

1991 46.4 63.6 35.0 49.4 67.2 37.8 25.6 38.8 16.4 55.1 89.9 27.9 18.3 16.9 19.2 9.1 19.9 0.0

1992 43.9 57.6 34.6 47.3 61.8 37.4 19.0 29.0 12.9 34.6 61.5 15.3 13.6 8.2 17.7 19.6 25.2 15.5

1993 48.5 63.4 38.0 51.3 66.4 40.8 28.4 43.3 17.7 44.9 75.3 21.9 21.4 25.2 18.8 30.3 29.4 31.4

1994 44.6 58.6 35.7 47.5 61.6 38.6 24.0 36.6 16.2 44.1 76.1 24.1 18.4 22.9 14.9 12.7 28.6 0.0

1995 46.9 57.2 39.7 49.4 59.6 42.2 29.6 42.4 20.4 39.6 72.4 20.4 22.9 21.1 24.5 25.7 55.4 2.7

1996 47.1 56.4 40.9 50.9 60.0 44.9 23.2 31.7 17.5 26.3 38.9 15.3 17.3 24.7 11.7 11.6 22.3 3.1

1997 50.1 61.5 42.2 53.9 65.4 46.1 23.2 40.4 12.2 41.8 40.3 42.2 16.7 24.3 10.6 25.7 27.6 24.0

1998 49.2 60.5 41.8 52.6 63.7 45.4 28.1 36.4 22.3 39.7 60.3 26.0 15.2 27.0 6.0 23.0 24.7 21.6

1999 50.1 59.8 43.8 53.6 63.0 47.6 23.1 33.5 16.4 44.9 76.8 26.4 19.2 15.2 22.1 15.5 23.4 9.7

2000 47.4 56.2 41.3 51.1 59.8 44.8 24.4 38.2 15.9 30.4 38.4 26.3 21.9 28.9 17.9 12.7 7.8 16.5

2001 46.9 53.9 42.2 51.0 58.1 46.2 17.7 25.4 12.5 37.9 48.9 32.2 26.8 30.0 24.3 21.4 19.2 23.0

2002 47.0 57.1 40.3 50.4 59.4 44.5 25.2 46.6 11.2 38.3 59.0 21.9 22.3 30.1 17.0 24.5 45.8 9.0

2003 45.4 53.8 40.0 48.3 56.5 42.9 28.7 39.9 22.1 30.3 39.7 23.1 19.4 20.8 18.4 15.5 34.4 2.1

2004 41.9 48.1 37.7 45.1 51.3 41.0 22.7 29.5 17.8 24.9 38.8 14.8 10.8 4.7 15.1 21.6 27.1 14.2

2005 46.8 51.3 43.5 49.6 53.6 46.7 31.6 42.7 24.0 43.9 49.4 37.9 12.0 12.9 11.4 17.9 22.6 13.8

2006 44.3 50.2 40.1 49.2 55.5 44.7 18.3 20.9 16.2 27.3 28.8 25.6 8.4 6.2 10.4 9.9 26.2 0.0

2007 39.2 43.5 36.0 43.7 47.9 40.7 18.8 26.4 13.4 18.7 10.1 26.7 13.0 20.1 8.4 7.5 19.9 6.1

2008 42.1 46.5 38.9 46.7 50.8 43.7 20.5 24.3 18.0 26.0 33.9 19.1 15.8 23.9 9.5 13.7 22.4 8.5

2009 40.5 44.7 37.1 45.0 48.7 42.1 16.4 20.2 13.4 26.8 34.1 20.8 19.2 29.5 12.3 18.0 33.4 8.1

2010 42.6 48.1 38.6 47.1 52.2 43.4 18.6 25.4 14.3 27.4 32.2 23.8 21.7 24.1 20.0 12.0 29.5 1.7

2011 45.9 49.7 42.8 55.3 53.3 48.5 19.5 26.5 14.7 34.8 48.5 24.7 14.4 14.7 14.4 17.2 26.4 11.9

2012 44.2 50.5 39.5 49.4 55.5 44.8 20.3 27.1 16.1 35.0 43.4 30.9 18.0 27.4 12.1 14.7 14.3 14.2

2013 44.5 48.1 41.8 49.3 52.5 47.0 20.9 24.6 18.2 46.7 56.4 37.5 15.5 11.7 18.4 19.4 32.0 12.4

2014 41.1 45.8 37.5 45.9 49.7 43.0 21.1 28.7 15.9 34.0 47.4 26.1 12.4 13.7 11.7 17.3 33.8 7.6

2015 45.1 48.9 41.7 50.8 53.7 48.0 21.5 27.9 16.8 34.0 51.8 20.6 14.8 16.5 13.0 18.1 17.5 18.4

2016 45.0 47.6 42.9 50.9 52.7 49.4 20.0 23.2 17.7 43.8 51.5 39.2 19.5 27.2 15.1 11.3 19.4 5.9

2017 43.0 45.3 41.0 48.0 49.7 46.5 19.9 23.7 17.1 28.8 21.3 34.3 22.9 27.4 19.9 20.1 29.6 14.3

2018 42.6 44.7 40.7 48.0 49.2 46.8 18.3 22.7 14.8 38.2 41.4 35.9 20.8 22.2 20.2 17.2 17.2 17.3

-----Prostate cancer

Chronic lower respiratory diseasesb


(continued)







1990 12.4 17.3 8.3 10.3 14.1 7.1 15.4 23.2 8.4 17.4 25.3 9.0 48.6 60.2 38.1 10.8 16.4 7.1

1991 13.6 18.3 9.4 10.6 14.3 7.3 18.4 27.1 10.1 10.0 15.5 3.7 64.0 74.5 55.3 0.0 0.0 0.0

1992 12.2 16.5 8.5 9.8 13.2 7.1 15.2 22.7 7.9 13.0 17.3 7.7 52.5 61.2 44.7 12.7 23.4 3.6

1993 13.5 18.5 9.0 10.8 14.6 7.4 22.1 34.4 10.7 11.0 13.7 6.2 48.0 54.6 41.4 0.0 0.0 0.0

1994 13.9 19.1 9.0 11.1 15.0 7.6 21.3 33.4 10.2 5.8 10.4 1.1 50.3 60.5 40.8 5.8 6.8 5.1

1995 13.5 18.1 9.3 10.5 14.2 7.1 21.0 29.9 12.8 17.1 23.2 10.5 54.9 63.0 47.4 10.4 2.4 16.4

1996 12.4 16.3 8.9 10.3 14.5 6.4 18.0 20.2 15.3 9.7 13.2 6.9 46.7 44.4 47.7 1.9 4.7 0.0

1997 13.4 18.6 8.7 11.2 16.0 6.8 20.4 29.8 12.2 9.8 9.6 10.3 46.3 54.9 39.1 2.8 0.0 4.7

1998 12.4 17.7 7.6 10.2 14.4 6.5 16.5 25.9 8.0 7.9 7.7 7.4 53.5 75.4 34.5 2.6 6.3 0.0

1999 12.0 16.8 7.5 9.7 13.9 6.0 21.7 31.3 13.0 7.5 12.7 1.8 38.5 46.2 31.7 3.8 5.6 2.5

2000 12.8 17.7 8.3 10.4 14.9 6.4 15.8 20.5 11.0 6.6 7.1 5.9 61.7 80.2 45.3 4.1 6.9 2.2

2001 12.3 17.7 7.5 10.6 15.0 6.6 17.4 27.0 8.7 11.7 24.1 2.0 39.1 51.1 28.4 4.0 3.8 4.2

2002 12.1 15.6 8.9 9.9 11.9 8.0 21.6 31.9 12.3 9.8 14.6 5.5 40.5 55.6 27.5 5.3 2.9 7.0

2003 11.5 16.2 7.1 9.7 13.8 5.8 17.6 25.1 10.6 3.5 6.3 1.0 38.8 49.6 29.8 3.3 0.0 5.8

2004 11.1 15.6 6.9 8.4 11.7 5.4 18.6 26.6 10.6 6.7 7.3 6.5 51.0 68.9 36.1 3.8 7.0 2.4

2005 12.7 17.7 8.1 10.7 15.1 6.6 19.4 28.6 11.4 12.8 14.7 10.7 51.2 60.3 42.8 4.9 10.4 0.0

2006 11.4 14.3 8.5 9.6 11.8 7.6 15.5 19.9 11.1 7.2 11.6 4.2 43.6 54.3 32.7 3.1 3.8 2.5

2007 11.3 15.4 7.6 9.6 13.0 6.6 16.3 23.5 9.4 5.9 9.9 2.3 36.8 46.9 28.3 3.2 5.5 4.2

2008 11.7 15.3 8.4 10.0 13.2 7.1 15.4 19.9 11.2 7.5 9.2 5.6 40.7 52.8 30.5 1.8 2.6 1.1

2009 12.2 15.4 9.1 9.5 12.8 6.4 18.7 21.4 15.7 3.1 3.4 2.7 54.0 57.9 49.9 3.1 6.4 1.1

2010 12.3 16.1 8.8 9.7 13.6 6.1 15.5 20.9 10.3 8.0 9.5 7.0 64.6 63.9 64.9 0.5 1.2 0.0

2011 13.4 18.0 9.2 12.0 14.7 8.1 18.9 29.2 9.8 6.6 5.5 7.6 43.6 46.7 40.4 4.2 9.0 0.9

2012 13.6 18.7 9.0 11.4 15.9 7.2 16.9 25.7 9.2 10.9 14.8 8.5 59.2 63.3 55.5 2.6 6.1 0.0

2013 14.5 18.2 11.1 12.6 15.5 10.0 16.7 23.0 10.8 6.8 9.9 3.9 62.0 70.1 55.0 3.9 4.3 3.4

2014 13.2 16.5 10.1 10.9 14.1 7.9 18.0 22.4 13.6 8.3 10.7 5.5 52.7 48.0 55.5 3.8 4.0 3.6

2015 14.9 19.2 11.0 13.1 16.1 10.3 14.0 22.0 7.0 8.4 12.3 4.6 77.6 91.8 66.1 4.0 8.3 0.8

2016 15.1 19.8 10.8 12.5 16.0 9.2 16.8 24.2 10.3 7.7 12.7 2.9 85.9 107.3 67.2 2.0 5.2 0.0

2017 14.2 18.0 10.7 11.9 14.6 9.3 15.8 23.1 9.6 4.6 7.2 2.1 74.0 85.4 63.7 4.8 8.8 2.0

2018 14.2 17.9 10.9 11.3 13.7 9.1 15.1 22.9 8.3 6.8 8.5 5.5 88.8 101.9 77.1 3.4 5.7 1.8

1990 15.6 16.9 14.2 12.0 13.2 10.8 31.5 32.2 30.0 26.0 20.2 29.0 77.4 86.1 70.2 5.5 7.2 4.4

1991 16.4 18.8 14.7 13.5 16.4 11.3 31.3 32.1 30.5 37.0 27.3 44.4 60.4 55.3 64.5 20.8 48.1 13.9

1992 17.6 18.9 16.4 13.4 14.7 12.3 41.5 46.4 37.6 34.5 26.4 41.3 74.1 77.2 71.6 2.2 5.8 0.0

1993 16.6 16.5 16.5 13.3 13.5 12.9 33.3 28.7 36.5 40.5 55.1 30.0 61.4 60.7 61.5 21.4 6.3 34.4

1994 18.7 19.5 17.7 14.9 16.5 13.5 35.2 31.6 38.1 36.1 32.3 35.3 79.3 73.7 82.6 9.3 4.2 13.5

1995 18.8 19.4 18.4 15.0 16.0 14.2 38.8 39.4 38.3 50.0 38.3 56.6 65.2 52.2 74.8 11.0 21.8 2.7

1996 20.1 21.6 19.1 15.8 18.4 13.9 38.6 39.8 38.6 60.6 48.6 72.2 68.3 58.7 75.8 9.4 3.7 13.6

1997 20.4 21.5 19.4 15.3 17.0 13.9 46.7 48.4 45.5 45.3 31.5 53.1 80.2 69.0 88.9 30.4 39.7 24.5

1998 20.8 24.2 18.1 16.4 20.5 13.2 45.3 45.4 45.0 34.1 20.3 41.4 78.4 79.4 76.6 13.5 13.3 12.9

1999 21.1 25.0 18.3 15.9 20.7 12.4 48.2 48.7 46.9 44.4 43.4 47.0 88.3 70.5 101.9 12.3 15.3 10.1

2000 19.0 21.0 17.2 14.9 17.4 12.6 41.1 41.9 40.6 46.0 40.9 47.4 74.6 74.1 74.2 19.5 10.9 26.1

2001 19.9 22.9 17.5 15.4 19.2 12.2 42.9 43.5 42.3 55.7 42.2 64.1 72.8 71.2 73.9 14.8 3.0 23.3

2002 22.3 25.6 19.7 18.0 21.8 15.1 45.6 49.1 42.6 41.0 46.4 37.2 80.8 69.2 88.6 21.9 15.7 26.3

2003 20.3 23.6 17.5 16.5 20.6 13.1 39.1 35.9 40.9 53.6 55.0 49.8 55.8 48.2 60.3 15.7 22.2 11.6

2004 20.7 23.4 18.4 16.8 19.7 14.4 43.5 44.2 42.0 44.8 47.7 42.6 59.0 58.4 58.8 30.0 29.1 31.6

2005 20.1 24.7 16.7 15.5 20.2 12.1 46.0 49.9 42.4 55.2 56.2 54.0 69.9 73.5 68.2 17.8 17.7 18.0

2006 18.9 22.5 15.9 15.2 18.4 12.5 40.4 46.1 35.3 43.9 49.7 42.3 43.9 49.3 39.5 10.9 9.7 11.4

2007 17.0 20.5 13.9 13.7 17.4 10.4 30.8 32.6 28.9 30.3 32.0 30.0 51.1 61.1 42.1 5.1 12.8 4.4

2008 17.0 20.7 13.9 13.8 17.9 10.5 29.1 29.7 27.7 30.8 35.4 29.2 50.8 47.9 52.5 16.1 22.9 12.3

2009 15.7 18.2 13.5 12.2 15.5 9.4 28.1 29.2 27.2 31.1 28.6 34.9 54.2 46.6 59.9 16.2 18.5 14.4

2010 20.1 24.9 16.0 15.2 20.1 11.0 37.3 45.0 31.4 50.0 56.8 45.5 79.3 80.6 76.9 11.7 9.3 13.1

2011 24.8 30.3 20.2 21.6 25.1 15.7 41.7 48.4 35.9 57.8 71.9 44.4 61.3 50.7 68.8 23.3 32.4 17.4

2012 23.5 29.2 18.6 18.3 23.9 13.5 40.8 47.4 35.4 49.4 59.0 40.6 80.2 94.1 69.7 27.6 27.8 26.6

2013 23.6 29.1 18.8 18.6 24.0 14.0 40.7 45.8 36.3 60.2 68.0 55.8 65.7 79.7 55.0 17.9 18.5 17.9

2014 23.0 28.9 17.8 18.8 24.6 13.6 39.1 46.8 32.6 39.7 41.8 37.1 63.2 74.7 54.5 18.3 30.1 10.9

2015 25.7 31.8 20.4 20.1 25.8 15.1 45.3 53.2 38.7 53.0 67.5 42.6 73.9 85.6 65.3 22.7 29.3 18.4

2016 24.5 31.5 18.4 19.3 25.8 13.5 40.5 51.4 32.1 50.1 55.9 44.9 79.9 100.4 63.5 20.8 14.9 24.0

2017 23.8 30.1 18.3 18.1 23.5 13.3 39.4 48.7 31.7 45.9 49.5 42.3 81.6 101.9 64.8 21.3 22.6 20.3

2018 23.0 29.8 17.1 18.0 24.0 12.6 35.0 44.0 27.4 48.9 54.7 44.5 73.6 92.4 59.1 17.0 25.9 11.4

Chronic liver disease and cirrhosis

Diabetes








1990 42.6 61.4 24.5 37.7 53.4 22.4 39.4 60.8 19.2 48.1 65.4 34.4 139.4 225.5 62.4 29.6 43.0 16.6

1991 38.5 53.5 24.3 32.5 44.2 21.3 48.4 69.6 29.3 36.1 53.4 20.2 123.3 204.1 52.9 19.1 22.1 16.4

1992 40.6 59.7 23.1 34.6 49.7 20.9 40.9 63.9 19.3 37.6 59.9 14.0 146.3 229.5 71.8 37.9 32.2 42.8

1993 42.6 61.8 24.4 36.5 52.0 21.9 46.8 75.7 20.5 41.3 52.9 29.3 143.4 234.9 64.9 26.4 7.7 40.3

1994 44.9 64.6 26.2 39.8 55.4 25.1 46.7 70.5 23.0 46.4 73.5 19.8 131.5 200.2 69.5 30.6 33.4 29.1

1995 45.1 64.4 26.2 41.3 56.8 26.2 44.1 66.0 22.7 52.9 80.9 28.4 113.2 181.8 50.2 20.6 32.3 10.5

1996 46.1 66.4 26.8 39.4 56.8 23.1 45.8 69.4 22.9 44.0 61.6 27.2 150.5 219.6 88.9 24.5 16.1 31.6

1997 44.9 63.8 26.5 39.9 56.5 24.0 43.7 64.8 23.7 50.3 63.5 36.9 146.4 219.1 80.1 14.9 14.8 13.6

1998 45.2 62.8 27.7 40.6 56.2 25.3 42.5 62.0 22.8 48.1 74.1 25.8 126.8 171.5 85.5 23.3 35.8 13.0

1999 44.4 62.5 27.0 38.0 52.8 23.9 46.8 68.6 24.9 39.7 52.6 24.5 127.0 181.0 77.7 27.2 42.2 15.3

2000 41.1 58.0 24.9 36.9 51.5 23.3 41.6 60.8 22.5 49.7 75.8 22.7 113.1 165.2 67.4 24.1 24.4 21.4

2001 46.6 66.5 27.7 42.5 59.5 26.8 45.6 63.9 25.9 52.6 83.2 22.4 112.7 177.5 53.9 29.9 41.3 46.6

2002 45.2 62.8 28.8 41.5 56.8 27.8 45.5 64.6 26.2 44.0 58.5 28.5 111.0 168.4 60.4 15.5 13.8 15.6

2003 44.8 61.6 28.8 40.9 55.2 27.6 44.7 63.3 26.3 52.4 69.8 35.0 108.6 153.5 66.3 25.3 35.2 17.8

2004 46.0 61.1 31.7 43.3 56.8 30.7 48.9 66.1 31.8 45.9 66.9 26.0 103.9 137.5 73.7 21.2 21.7 30.0

2005 51.1 68.7 34.4 46.2 62.4 31.4 54.8 71.5 37.2 64.3 80.3 46.9 117.8 174.1 67.4 34.2 41.2 28.1

2006 51.2 68.5 34.3 48.7 64.5 33.5 52.4 72.9 32.2 54.8 73.0 34.5 97.2 139.8 58.6 19.8 17.0 20.8

2007 46.6 60.6 32.3 44.9 57.7 32.2 40.6 53.5 27.5 48.1 62.8 29.6 95.0 143.9 50.3 20.3 72.6 20.3

2008 44.7 59.0 30.6 45.4 59.8 31.4 34.2 46.9 22.0 43.1 50.6 33.8 92.6 142.6 47.9 23.7 31.1 17.9

2009 43.1 56.6 29.8 43.3 56.6 30.4 35.3 48.2 23.3 36.5 42.1 30.0 92.6 144.4 46.4 24.5 27.6 21.1

2010 43.8 56.6 31.6 45.5 58.0 33.3 33.7 45.3 22.8 36.0 42.3 30.7 99.2 148.9 55.4 24.6 24.9 23.9

2011 45.5 58.3 32.6 46.9 57.3 33.9 38.9 51.9 26.4 41.6 50.3 34.4 100.6 146.7 58.0 19.7 28.4 14.0

2012 42.4 54.0 31.0 43.3 54.0 32.7 33.9 45.4 22.8 38.2 50.3 25.2 94.8 136.9 56.5 21.0 20.0 20.3

2013 46.3 60.1 32.8 47.9 61.2 34.7 38.5 51.4 26.3 43.3 68.7 23.5 104.5 150.5 62.9 13.4 12.7 13.2

2014 43.3 56.7 30.1 43.7 57.7 29.9 35.9 47.3 24.9 37.6 44.1 32.2 85.4 128.2 47.4 18.3 15.5 19.3

2015 48.1 62.7 34.1 49.3 62.4 36.7 36.7 48.4 24.9 50.5 59.5 40.6 139.0 203.9 82.7 21.7 23.7 20.2

2016 53.7 73.1 34.9 55.2 73.8 36.9 41.6 58.2 25.9 52.2 66.0 35.8 139.1 219.5 67.9 25.9 33.4 20.1

2017 55.3 73.7 37.0 54.5 71.5 37.3 45.9 61.4 30.4 60.3 89.3 31.1 142.0 206.1 88.1 24.3 31.2 19.3

2018 55.9 76.4 35.6 56.3 74.7 37.8 44.5 63.5 26.0 57.6 80.4 34.1 144.5 224.0 74.5 24.9 31.5 18.7

1990 23.6 33.1 14.3 20.1 27.9 12.6 21.1 31.7 10.9 27.4 34.7 20.9 82.2 130.6 38.8 18.2 26.3 11.7

1991 20.6 27.8 13.4 16.2 22.3 10.1 27.9 36.2 20.2 9.4 13.9 4.0 73.8 112.7 38.5 6.1 0.0 10.8

1992 20.3 29.1 12.2 16.8 24.4 10.0 21.9 31.4 12.9 16.0 26.0 5.5 74.9 104.8 47.3 21.3 9.3 31.2

1993 20.1 27.8 12.6 15.8 21.7 10.1 22.3 35.2 10.0 15.0 19.2 9.2 80.4 115.8 49.3 15.8 5.8 22.7

1994 21.1 30.0 12.5 18.1 25.0 11.7 21.4 31.3 11.1 15.4 25.7 5.2 69.4 102.8 39.0 10.1 17.7 4.4

1995 23.1 32.0 14.4 19.9 25.8 14.2 21.8 30.5 12.4 28.1 41.1 16.5 69.0 114.1 27.7 15.4 23.1 8.2

1996 22.9 32.1 13.9 17.8 25.3 10.7 23.3 34.1 12.7 13.2 14.5 10.2 94.1 129.3 61.6 16.3 14.8 17.9

1997 20.5 28.2 12.7 16.9 23.6 10.3 20.9 29.0 12.9 23.9 36.7 13.7 79.4 109.8 50.6 7.9 8.3 6.7

1998 20.4 27.3 13.6 16.9 23.1 10.9 19.0 25.8 12.1 23.0 30.6 16.4 75.9 93.3 58.8 14.6 26.3 5.6

1999 19.6 27.5 11.8 14.6 20.4 9.2 24.4 34.9 13.8 16.3 23.8 8.2 68.4 100.4 39.1 15.3 20.7 11.1

2000 17.5 24.4 10.6 13.8 18.5 9.2 18.2 28.5 7.5 19.3 33.1 6.8 74.2 106.4 46.3 15.3 11.6 12.8

2001 17.2 24.2 10.1 13.5 18.5 8.5 18.2 26.3 9.4 19.1 28.8 7.2 63.2 88.8 38.3 8.6 7.7 9.9

2002 18.5 25.5 11.6 14.7 20.3 9.3 21.1 27.4 14.0 11.9 15.9 7.5 65.9 100.2 35.3 10.1 8.2 11.1

2003 18.0 24.9 11.2 14.6 20.3 9.0 21.3 29.1 13.6 15.2 23.3 8.1 59.0 78.0 40.4 11.8 14.1 9.9

2004 18.1 23.9 12.5 15.3 20.3 10.6 23.2 30.0 16.0 14.8 18.2 10.8 54.1 63.9 44.1 11.3 13.7 13.9

2005 18.9 27.0 11.1 15.0 21.9 8.4 22.7 33.1 12.6 24.9 31.4 17.8 62.6 91.3 36.4 10.2 14.5 6.3

2006 19.6 26.8 12.4 16.6 22.8 10.7 21.9 29.9 13.3 15.3 22.9 7.7 56.9 76.5 38.5 5.9 5.3 6.1

2007 16.2 22.2 10.1 13.1 18.3 8.0 17.6 22.6 12.2 13.6 18.2 7.6 49.0 72.8 27.2 9.9 37.6 10.6

2008 13.6 19.5 7.9 12.0 17.7 6.5 13.1 18.5 7.7 11.5 16.8 5.6 41.9 55.0 29.3 4.4 6.9 2.0

2009 11.6 16.8 6.5 10.1 15.2 5.1 10.6 14.4 6.7 12.4 14.2 10.3 36.9 51.0 23.3 6.5 11.2 3.0

2010 11.1 15.9 6.4 9.2 13.6 4.8 11.1 15.6 6.9 10.8 14.2 7.2 41.7 60.2 24.0 5.5 4.3 6.3

2011 12.1 17.6 6.9 10.4 14.5 5.6 11.7 17.6 6.2 11.7 16.6 7.5 44.2 66.8 23.7 6.8 6.3 7.3

2012 11.4 16.8 6.3 10.0 14.8 5.3 10.6 16.3 5.4 10.1 15.2 5.1 37.8 53.1 22.8 4.9 5.4 4.5

2013 11.4 16.3 6.6 10.2 15.1 5.3 11.4 15.5 7.3 12.0 18.1 4.8 31.7 40.3 23.5 5.8 8.6 3.8

2014 10.3 14.5 6.0 8.3 12.5 4.1 10.3 14.2 6.5 7.9 11.1 4.4 35.6 49.2 23.1 2.5 2.8 2.2

2015 12.6 18.0 7.2 10.7 15.5 5.9 9.9 15.2 4.8 14.1 19.1 8.2 54.3 74.1 36.5 8.2 7.9 8.3

2016 13.9 20.1 7.8 11.5 17.3 5.9 13.3 19.9 7.2 19.1 22.6 14.7 52.2 77.6 29.5 7.2 9.0 6.2

2017 13.8 19.5 8.2 12.0 17.8 6.1 12.7 17.7 8.1 17.1 26.0 8.6 54.0 70.0 39.7 7.5 10.1 5.2

2018 14.1 20.0 8.3 12.3 17.3 7.4 12.1 18.7 6.0 13.9 17.0 10.7 60.7 91.1 33.1 6.2 7.9 4.8

Accidents (unintentional injuries)

-----Motor vehicle accidents


(continued)







1990 8.1 12.2 4.0 5.7 7.8 3.6 10.4 18.6 2.2 31.3 48.1 12.1 17.7 27.8 8.7 4.8 4.1 6.01991 8.6 12.7 4.5 5.4 7.5 3.2 13.0 20.0 5.8 22.3 38.3 4.3 24.2 34.7 14.3 24.8 32.9 19.11992 8.8 13.2 4.2 5.7 7.2 4.1 13.9 23.7 3.5 22.5 33.7 9.4 15.6 26.8 4.5 5.9 10.7 2.51993 9.2 13.5 4.9 5.9 7.7 4.1 15.1 24.8 5.3 30.8 50.4 10.6 16.5 25.8 7.4 3.7 2.0 4.71994 10.9 17.2 4.5 6.3 9.1 3.4 16.4 27.9 4.6 55.2 83.6 23.0 19.2 32.3 7.0 1.8 3.5 0.01995 11.6 18.0 5.0 7.3 10.2 4.3 17.5 28.6 5.3 36.0 54.8 13.6 19.6 33.3 6.7 1.7 3.3 0.01996 9.9 15.6 3.9 5.1 7.0 3.1 17.7 30.1 4.2 30.5 49.4 12.0 25.4 41.5 10.2 0.0 0.0 0.01997 9.2 14.3 3.8 5.0 6.9 3.2 16.2 29.1 3.1 23.4 39.7 4.2 17.4 23.8 11.3 5.4 5.1 5.91998 9.0 13.7 4.0 5.5 7.5 3.5 13.2 21.1 4.6 25.1 40.0 7.7 18.9 32.4 6.3 3.3 4.7 1.71999 8.5 12.1 4.7 4.4 5.4 3.5 14.0 22.9 4.3 23.2 31.9 14.2 19.9 26.9 13.6 4.2 3.3 5.12000 7.6 11.1 3.8 3.9 5.4 2.3 13.0 19.2 6.1 22.7 32.3 11.0 14.9 22.1 7.5 7.6 5.1 9.72001 8.7 13.7 3.6 4.3 6.1 2.6 15.5 24.8 5.0 22.2 35.7 6.8 17.2 24.8 10.0 4.9 9.7 1.22002 8.6 13.9 3.0 4.4 6.8 2.0 15.1 25.8 3.4 21.3 32.5 7.1 20.3 29.0 11.8 3.3 0.0 5.82003 8.3 12.8 3.6 3.7 5.1 2.2 14.7 23.7 4.8 24.9 38.7 9.0 18.8 31.5 6.9 5.4 2.5 5.82004 8.2 13.3 2.9 4.8 7.0 2.6 13.6 23.2 3.0 22.3 35.5 7.4 14.7 25.9 4.5 1.4 2.3 0.02005 8.2 13.5 2.6 3.5 5.6 1.3 14.6 24.2 3.9 27.4 45.7 7.5 14.0 22.4 5.8 5.1 8.0 2.52006 8.5 13.5 3.1 4.6 6.8 2.4 13.0 21.6 3.3 19.6 30.5 7.5 13.2 23.7 3.2 2.4 1.5 3.52007 7.7 11.8 3.2 3.9 5.5 2.2 12.0 19.5 3.7 23.4 32.3 12.7 13.1 21.7 4.8 2.6 16.0 1.62008 7.1 11.2 2.7 3.7 5.6 1.7 10.6 16.9 3.7 20.7 32.7 6.4 12.8 20.6 5.2 3.2 4.3 2.12009 5.5 8.0 2.9 3.2 4.9 1.5 8.1 12.1 4.0 14.2 18.5 9.1 13.2 18.0 8.5 0.9 0.0 1.52010 6.5 10.5 2.4 3.8 5.5 2.2 8.0 13.5 2.3 15.4 25.6 3.4 18.0 31.4 5.0 4.1 4.2 4.02011 6.1 9.6 2.6 3.5 5.1 1.8 7.9 14.0 2.0 16.5 23.8 7.9 11.9 18.9 4.8 3.9 5.5 2.72012 5.9 8.6 3.1 4.3 6.0 2.4 6.1 9.7 2.5 14.5 20.2 8.2 17.3 26.3 8.8 2.0 3.0 0.92013 5.9 9.2 2.5 4.0 6.2 1.7 5.8 9.0 2.4 15.4 25.4 3.6 17.7 29.6 6.2 1.9 2.1 1.72014 4.6 7.1 2.1 3.0 4.2 1.8 6.0 9.8 2.1 11.1 17.5 4.0 7.3 12.0 2.6 0.4 0.8 0.02015 5.6 8.6 2.5 4.0 5.7 2.3 5.3 8.3 2.2 15.5 25.7 3.6 15.7 25.7 5.8 2.4 3.0 1.72016 6.3 9.9 2.5 3.7 5.3 2.1 6.8 11.7 1.8 20.4 33.4 5.6 17.6 25.7 9.9 4.0 7.1 1.62017 6.4 10.0 2.8 4.1 5.5 2.7 6.8 11.1 2.5 17.9 30.0 4.1 17.9 30.7 5.5 0.7 0.8 0.62018 6.1 9.8 2.4 3.6 4.9 2.3 6.6 11.4 1.6 19.3 30.0 6.9 17.9 29.1 6.9 2.6 3.9 1.4

1990 19.0 32.6 6.5 20.9 36.1 7.2 9.4 16.6 2.8 12.5 17.2 7.7 20.1 39.1 2.6 7.9 4.6 10.11991 18.0 30.8 6.4 19.1 32.8 6.7 12.1 20.3 4.6 17.8 23.6 12.3 18.9 35.1 4.0 2.5 5.5 0.01992 17.3 29.0 6.5 18.8 31.1 7.5 10.4 19.2 2.6 10.3 17.8 2.4 19.6 34.7 5.6 4.8 10.5 0.01993 18.9 32.2 6.9 21.2 35.7 8.2 8.8 14.9 2.4 8.0 12.4 3.0 21.7 39.1 5.5 5.2 7.7 3.21994 19.4 32.2 7.4 21.2 34.9 8.3 11.1 19.6 2.2 8.7 13.9 2.9 20.8 33.0 8.8 16.7 18.9 15.41995 19.5 31.1 8.6 22.2 35.1 10.2 9.7 15.8 3.4 14.4 24.6 5.8 16.3 30.0 3.5 4.1 5.0 4.01996 16.9 28.4 6.2 19.1 31.8 7.5 9.0 16.2 1.8 7.3 11.7 2.2 15.9 25.6 6.8 4.7 9.9 0.01997 17.2 28.7 6.3 19.4 31.8 7.7 8.8 16.3 1.3 12.3 21.5 3.5 18.7 30.5 7.4 11.0 18.2 5.71998 17.5 28.7 7.1 20.1 32.2 8.9 9.5 18.4 0.8 6.5 8.7 3.9 16.1 28.1 5.0 6.8 9.1 3.91999 15.7 25.5 6.5 16.7 27.1 7.0 10.5 17.8 3.7 12.8 26.1 0.0 16.6 27.6 6.4 6.4 10.3 3.42000 14.6 24.7 5.2 16.7 27.6 6.8 7.2 12.7 1.4 6.5 12.2 0.0 16.2 29.7 3.7 5.7 12.3 0.02001 14.9 24.6 5.6 12.8 21.0 5.1 5.9 9.9 1.6 9.2 15.2 2.4 15.4 26.4 5.2 9.4 15.4 4.72002 15.9 26.4 6.0 18.3 30.0 7.4 8.3 14.2 2.5 6.2 11.4 0.0 17.9 31.7 4.9 4.1 9.1 0.02003 14.6 24.0 5.8 16.4 27.1 6.4 8.2 11.8 4.2 11.3 16.6 4.8 15.2 27.4 3.6 6.0 7.0 5.92004 14.9 24.1 6.3 16.6 26.4 7.5 9.8 17.5 2.2 12.1 17.3 5.1 17.0 28.5 6.5 4.0 7.0 2.72005 15.4 24.9 6.5 16.6 26.7 7.3 10.5 17.8 3.0 3.3 4.7 1.8 17.5 28.7 6.8 11.7 8.9 14.12006 15.4 24.7 6.6 17.8 27.9 8.5 8.2 14.2 2.0 8.3 13.9 2.3 13.7 23.4 4.5 8.4 13.2 4.32007 15.4 24.4 6.7 18.7 29.4 8.3 9.2 14.7 3.6 6.2 10.1 1.7 9.8 16.3 3.6 6.1 9.2 2.42008 14.8 23.0 7.0 17.6 27.3 8.5 6.5 10.8 1.9 7.5 10.3 4.2 13.5 21.2 5.9 9.9 10.7 8.82009 16.1 24.6 8.1 18.4 28.0 9.5 9.0 14.0 3.9 10.5 12.7 7.7 15.9 22.9 9.3 9.9 19.9 2.32010 16.7 27.1 6.7 20.6 32.8 8.7 7.4 12.5 2.6 6.4 9.9 2.2 18.7 32.3 5.7 6.8 11.0 3.22011 17.2 27.4 7.5 22.0 33.1 10.1 8.1 14.8 1.8 9.1 13.7 4.3 14.9 24.0 5.8 5.3 6.9 3.52012 16.2 25.9 7.0 20.2 32.2 8.7 6.8 11.1 2.9 10.0 15.5 4.0 17.9 27.9 8.1 5.7 10.2 1.82013 17.0 26.6 7.7 20.8 32.4 9.6 8.4 12.8 4.2 6.7 9.7 3.1 21.9 36.1 8.1 7.0 14.5 1.12014 16.5 25.6 7.7 21.0 31.9 10.4 8.3 13.4 3.4 9.0 13.6 4.2 13.9 24.3 3.7 7.0 12.0 2.72015 17.8 27.5 8.4 23.6 36.4 11.1 6.7 10.4 3.2 6.6 9.2 3.7 19.0 28.4 10.0 7.0 9.9 4.52016 17.7 28.0 7.9 21.7 33.6 10.2 8.8 15.0 2.9 9.0 13.1 5.2 24.2 36.7 11.9 9.3 14.0 4.72017 18.0 28.1 8.4 22.1 33.8 10.8 8.5 14.1 3.0 10.5 19.1 2.3 26.2 40.4 12.7 9.3 10.6 7.82018 19.5 31.5 7.8 23.7 37.5 10.2 8.7 15.2 2.4 16.0 24.6 6.6 36.5 61.8 12.3 7.3 11.0 4.1

http://pub.azdhs.gov/health-stats/

Notes: a Adjusted to the 2000 standard U.S. population; b Chronic obstructive pulmonary diseases in 1990; beginning in 2000, when the new standard for the age-adjustment of mortality rates was implemented, all previously published rates for 1979-1999 became obsolete. With the 2008 edition of this report we have added the recomputed age-adjusted mortality rates for 1991-1999. In order to compute these rates, we have used the population denominators consistent with both the 1990 and 2000 census. The mortality rates for 1989-1999 in Table 2B-2 also were revised for consistency; The denominators are available at:

Assault (homicide)

Intentional self-harm (suicide)


http://pub.azdhs.gov/health-stats/

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Mal

ign

ant

neo

pla

sms

135.

916

1.8

114.

714

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165.

711

8.9

118.

714

4.3

99.6

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719

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211

5.3

149.

692

.610

2.7

112.

096

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M

alig

nan

t n

eop

lasm

of

trac

hea

, b

ron

chu

s an

d l

un

g28

.933

.824

.631

.536

.427

.317

.620

.715

.035

.647

.726

.29.

017

.9**

22.8

26.3

20.4

Mal

ign

ant

neo

pla

sm o

f co

lon

, re

ctu

m,

and

an

us

12.9

15.8

10.3

12.7

14.9

10.7

13.8

20.0

9.0

17.2

26.2

10.8

10.8

16.3

6.9

12.5

18.3

9.0

Mal

ign

ant

neo

pla

sm o

f b

reas

t9.

50.

317

.69.

90.

218

.77.

7**

13.8

13.8

**24

.95.

10.

09.

110

.40.

017

.6 M

alig

nan

t n

eop

lasm

of

pro

stat

e7.

717

.40.

07.

717

.10.

06.

715

.80.

012

.730

.50.

09.

623

.70.

04.

712

.10.

0 M

alig

nan

t m

elan

om

a o

f sk

in2.

43.

71.

43.

24.

71.

90.

4**

****

**0.

00.

00.

00.

0**

****

Mal

ign

ant

neo

pla

sm o

f ce

rvix

ute

ri1.

00.

02.

00.

90.

01.

71.

20.

02.

2**

0.0

****

0.0

****

0.0

**A

ccid

ents

(u

nin

ten

tio

nal

in

jury

)55

.976

.435

.656

.374

.737

.844

.563

.526

.057

.680

.434

.114

4.5

224.

074

.524

.931

.518

.7 A

ccid

enta

l p

ois

on

ing

22.5

32.3

12.5

24.6

33.9

15.0

17.3

25.9

8.6

25.8

39.4

11.3

45.1

69.6

22.4

3.5

6.7

** F

alls

12.4

13.2

11.5

12.6

13.3

11.9

10.3

11.0

9.5

7.9

11.0

5.6

17.2

24.1

12.4

10.6

**12

.3 M

oto

r ve

hic

le a

ccid

ents

14.1

20.0

8.3

12.3

17.3

7.4

12.1

18.7

6.0

13.9

17.0

10.7

60.7

91.1

33.1

6.2

7.9

4.8

Acc

iden

tal

dro

wn

ing

an

d

sub

mer

sio

n1.

32.

00.

71.

52.

20.

70.

71.

1**

2.5

3.7

**2.

7**

****

****

Ch

ron

ic l

ow

er r

esp

irat

ory

dis

ease

s42

.644

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.748

.049

.246

.818

.322

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.838

.241

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.920

.822

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.217

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.217

.3A

lzh

eim

er's

dis

ease

34.3

26.7

39.7

35.1

26.6

41.3

30.5

28.2

32.1

45.1

38.8

49.9

21.0

21.1

20.6

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8.8

26.6

Cer

ebro

vasc

ula

r d

isea

ses

32.1

31.6

32.0

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29.9

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Dia

bet

es23

.029

.817

.118

.024

.012

.635

.044

.027

.448

.954

.744

.573

.692

.459

.117

.025

.911

.4In

ten

tio

nal

sel

f-h

arm

(su

icid

e)19

.531

.57.

823

.737

.510

.28.

715

.22.

416

.024

.66.

636

.561

.812

.37.

311

.04.

1C

hro

nic

liv

er d

isea

se a

nd

cir

rho

sis

14.2

17.9

10.9

11.3

13.7

9.1

15.1

22.9

8.3

6.8

8.5

5.5

88.8

101.

977

.13.

45.

7**

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uen

za a

nd

pn

eum

on

ia12

.715

.010

.812

.314

.410

.612

.714

.911

.011

.712

.99.

930

.140

.122

.68.

29.

47.

3E

ssen

tial

(p

rim

ary)

hyp

erte

nsi

on

an

d

hyp

erte

nsi

ve r

enal

dis

ease

10.5

10.7

10.2

9.3

9.3

9.3

12.9

14.1

11.7

23.6

18.9

27.2

13.4

19.3

9.0

11.6

8.1

13.5

Par

kin

son

's d

isea

se9.

013

.75.

39.

213

.85.

57.

811

.25.

36.

315

.40.

09.

118

.0**

8.4

13.7

4.8

Nep

hri

tis,

nep

hro

tic

syn

dro

me

and

n

eph

rosi

s7.

79.

06.

76.

37.

75.

110

.511

.59.

621

.524

.818

.723

.013

.629

.06.

511

.3**

Ass

ault

(h

om

icid

e)6.

19.

82.

43.

64.

92.

36.

611

.41.

619

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6.9

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****

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epti

cem

ia4.

45.

03.

93.

94.

53.

45.

75.

45.

75.

63.

87.

613

.414

.212

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3**

**

Hu

man

im

mu

no

def

icie

ncy

vir

us

(HIV

) d

isea

se1.

11.

90.

30.

91.

50.

31.

01.

6**

1.9

3.7

0.0

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****

****

0.0

Inju

ry b

y fi

rear

ms

15.5

27.1

4.2

16.6

28.4

5.1

9.9

18.2

1.6

24.8

40.2

7.5

18.2

33.3

4.3

3.7

4.7

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rug

-in

du

ced

dea

ths

25.4

34.6

16.1

29.3

38.0

20.4

18.4

27.4

9.3

30.9

45.9

14.9

31.2

43.7

18.9

4.6

8.3

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pio

id-i

nd

uce

d d

eath

s16

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.16.

014

.819

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oh

ol-

ind

uce

d d

eath

s15

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110

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**

TAB

LE 2

B-4

(co

nti

nu

ed)

NU

MB

ER

OF

DE

ATH

S A

ND

AG

E-A

DJU

STE

D M

OR

TALI

TY R

ATE

Sa

FOR

SE

LEC

TED

CA

US

ES

OF

DE

ATH

BY

RA

CE

/E

THN

ICIT

Y A

ND

G

EN

DE

R,

AR

IZO

NA

, 2

01

8

AG

E-A

DJU

STE

D M

OR

TALI

TY R

ATE

Sa

Am

eric

an I

nd

ian

or

Ala

ska

Nat

ive

Asi

an o

r P

acif

ic

Isla

nd

er

Not

es:

* Cel

l sup

pres

sed

due

to c

ount

less

tha

n 6;

**

Cel

l sup

pres

sed

due

to r

ate/

ratio

/per

cent

bas

ed o

n no

n-ze

ro c

ount

less

tha

n 6;

† S

um r

ound

ed t

o ne

ares

t te

ns u

nit

due

to a

dden

d le

ss

than

6;

a Th

e nu

mbe

r of

dea

ths

per

100,

000

resi

dent

pop

ulat

ion

age-

adju

sted

to

the

2000

U.S

. st

anda

rd;

The

rate

s fo

r ce

rvic

al c

ance

r ar

e pe

r 10

0,00

0 fe

mal

es;

The

rate

for

pro

stat

e ca

ncer

is

per

100,

000

mal

es;

b In

clud

es r

ecor

ds w

ith u

nkno

wn

gend

er a

nd r

ace/

ethn

icity

.

All

gro

up

sW

hit

e n

on

-His

pan

icH

isp

anic

or

Lati

no

Bla

ck o

r A

fric

an

Am

eric

an


To

tal

Mal

eFe

mal

eT

ota

lM

ale

Fem

ale

To

tal

Mal

eFe

mal

e

To

tal,

all

cau

ses

688.

681

3.4

573.

566

8.2

786.

056

1.3

781.

393

7.0

629.

8

Maj

or

card

iova

scu

lar

dis

ease

s18

8.4

225.

215

5.6

182.

821

7.6

152.

321

0.0

254.

616

8.0

D

isea

ses

of

hea

rt14

0.5

176.

310

9.1

135.

016

8.2

106.

416

2.0

208.

011

9.4

C

oro

nar

y h

eart

dis

ease

100.

813

4.3

71.9

95.2

125.

269

.712

2.4

168.

979

.8

Mal

ign

ant

neo

pla

sms

135.

916

1.8

114.

713

2.8

157.

511

3.1

146.

717

6.9

119.

3

M

alig

nan

t n

eop

lasm

of

trac

hea

, b

ron

chu

s an

d l

un

g28

.933

.824

.627

.832

.523

.932

.738

.427

.4

M

alig

nan

t n

eop

lasm

of

colo

n,

rect

um

, an

d a

nu

s12

.915

.810

.312

.715

.210

.613

.318

.38.

6

M

alig

nan

t n

eop

lasm

of

bre

ast

9.5

0.3

17.6

9.4

0.3

17.3

9.7

0.0

18.5

M

alig

nan

t n

eop

lasm

of

pro

stat

e7.

717

.40.

07.

416

.90.

09.

019

.20.

0

M

alig

nan

t m

elan

om

a o

f sk

in2.

43.

71.

42.

43.

71.

32.

53.

51.

5

M

alig

nan

t n

eop

lasm

of

cerv

ix u

teri

1.0

0.0

2.0

1.0

0.0

1.9

1.2

0.0

2.4

Acc

iden

ts (

un

inte

nti

on

al i

nju

ry)

55.9

76.4

35.6

53.3

71.3

35.3

69.5

102.

636

.0

A

ccid

enta

l p

ois

on

ing

22.5

32.3

12.5

22.1

31.5

12.7

23.4

35.0

11.3

M

oto

r ve

hic

le a

ccid

ents

14.1

20.0

8.3

12.1

16.8

7.5

24.8

37.8

11.8

F

alls

12.4

13.2

11.5

12.8

13.4

12.0

10.8

12.6

9.1

A

ccid

enta

l d

row

nin

g a

nd

su

bm

ersi

on

1.3

2.0

0.7

1.2

1.8

0.6

2.2

3.1

1.3

Ch

ron

ic l

ow

er r

esp

irat

ory

dis

ease

s42

.644

.740

.739

.641

.438

.055

.057

.452

.7

Alz

hei

mer

's d

isea

se34

.326

.739

.734

.827

.639

.831

.922

.539

.3

Cer

ebro

vasc

ula

r d

isea

ses

32.1

31.6

32.0

31.7

31.8

31.1

33.5

30.8

35.4

Dia

bet

es23

.029

.817

.123

.130

.217

.022

.627

.817

.8

Inte

nti

on

al s

elf-

har

m (

suic

ide)

19.5

31.5

7.8

17.2

27.8

6.9

32.2

51.4

12.7

Ch

ron

ic l

iver

dis

ease

an

d c

irrh

osi

s14

.217

.910

.912

.516

.09.

224

.428

.220

.9

Infl

uen

za a

nd

pn

eum

on

ia12

.715

.010

.812

.114

.610

.115

.417

.313

.6E

ssen

tial

(p

rim

ary)

hyp

erte

nsi

on

an

d h

yper

ten

sive

re

nal

dis

ease

10.5

10.7

10.2

10.9

10.9

10.8

8.9

10.0

7.9

Par

kin

son

's d

isea

se9.

013

.75.

39.

314

.25.

57.

811

.84.

3

Nep

hri

tis,

nep

hro

tic

syn

dro

me

and

nep

hro

sis

7.7

9.0

6.7

7.4

8.8

6.2

9.6

10.4

8.7

Ass

ault

(h

om

icid

e)6.

19.

82.

46.

19.

92.

16.

28.

53.

9

Sep

tice

mia

4.4

5.0

3.9

4.2

4.9

3.6

5.4

5.6

5.2

(HIV

) d

isea

se1.

11.

90.

31.

22.

10.

30.

40.

60.

3

Inju

ry b

y fi

rear

ms

15.5

27.1

4.2

14.5

25.7

3.5

19.9

31.6

8.4

Dru

g-i

nd

uce

d d

eath

s25

.434

.616

.125

.534

.816

.123

.631

.515

.1

Op

ioid

-in

du

ced

dea

ths

16.1

22.0

10.0

16.7

22.8

10.5

11.8

17.0

6.2

Alc

oh

ol-

ind

uce

d d

eath

s15

.221

.19.

712

.417

.77.

531

.840

.723

.4

Not

es:

a The

num

ber

of d

eath

s pe

r 10

0,00

0 po

pula

tion

in s

peci

fied

grou

p ag

e-ad

just

ed t

o th

e 20

00 s

tand

ard

U.S

.; T

he c

ause

s of

dea

th for

200

8 ar

e cl

assi

fied

by t

he T

enth

Rev

isio

n of

the

Int

erna

tiona

l Cla

ssifi

catio

n of

Dis

ease

s (I

CD

-10)

; T

he r

ates

for

cer

vica

l can

cer

are

per

100,

000

fem

ales

; th

e ra

tes

for

pros

tate

can

cer are

per

100,

000

mal

es.

TAB

LE 2

B-5

AG

E-A

DJU

STE

D M

OR

TALI

TY R

ATE

Sa

FOR

SEL

ECTE

D C

AU

SES

OF

DEA

TH B

Y U

RB

AN

/R

UR

AL

AR

EA A

ND

GEN

DER

,A

RIZ

ON

A,

20

18

Ari

zon

aU

rban

Ru

ral


Total Male Female Total Male Female

Total, all causesa 59,206 32,067 27,136 836.7 911.3 762.8

Salmonella infections 0† * 0 ** ** 0.0Shigellosis and amebiasis 0 0 0 0.0 0.0 0.0Certain other intestinal infections 184 76 108 2.6 2.2 3.0 Enterocolitis due to Clostridium difficile 119 47 72 1.7 1.3 2.0Tuberculosis 10† * * 0.1 ** ** Respiratory tuberculosis 0† 0 * ** 0.0 ** Other tuberculosis 10† * * 0.1 ** **Whooping cough 0 0 0 0.0 0.0 0.0Scarlet fever and erysipelas 0 0 0 0.0 0.0 0.0Meningococcal infection 0 0 0 0.0 0.0 0.0Septicemia 382 199 183 5.4 5.7 5.1Syphilis 0† * * ** ** **Acute poliomyelitis 0 0 0 0.0 0.0 0.0Arthropod-borne encephalitis 0 0 0 0.0 0.0 0.0Measles 0 0 0 0.0 0.0 0.0Viral hepatitis 141 100 41 2.0 2.8 1.2Human immunodeficiency virus (HIV) disease 79 66 13 1.1 1.9 0.4Malaria 0 0 0 0.0 0.0 0.0Other and unspecified infectious and parasitic diseases 262 152 110 3.7 4.3 3.1Malignant neoplasms 12,097 6,675 5,422 171.0 189.7 152.4 Malignant neoplasm of lip, oral cavity and pharynx 165 127 38 2.3 3.6 1.1 Malignant neoplasm of esophagus 332 271 61 4.7 7.7 1.7 Malignant neoplasm of stomach 236 134 102 3.3 3.8 2.9 Malignant neoplasm of colon, rectum, and anus 1,126 641 485 15.9 18.2 13.6 Malignant neoplasm of liver and intrahepatic bile ducts 559 378 181 7.9 10.7 5.1 Malignant neoplasm of pancreas 952 513 439 13.5 14.6 12.3 Malignant neoplasm of larynx 64 48 16 0.9 1.4 0.4 Malignant neoplasm of trachea, bronchus and lung 2,640 1,436 1,204 37.3 40.8 33.8 Malignant melanoma of skin 209 150 59 3.0 4.3 1.7 Malignant neoplasm of breast 815 10 805 11.5 0.3 22.6 Malignant neoplasm of cervix uteri 78 0 78 1.1 0.0 2.2 Malignant neoplasm of corpus uteri and uterus, part unspecified 180 0 180 2.5 0.0 5.1 Malignant neoplasm of ovary 291 0 291 4.1 0.0 8.2 Malignant neoplasm of prostate 695 695 0 9.8 19.8 0.0 Malignant neoplasm of kidney and renal pelvis 351 250 101 5.0 7.1 2.8 Malignant neoplasm of bladder 358 276 82 5.1 7.8 2.3 Malignant neoplasm of meninges, brain and other parts of central nervous sys 366 206 160 5.2 5.9 4.5 Malignant neoplasm of lymphoid, hematopoietic and related tissue 1,198 719 479 16.9 20.4 13.5 Hodgkin's disease 22 12 10 0.3 0.3 0.3 Non-Hodgkin's lymphoma 398 235 163 5.6 6.7 4.6 Leukemia 476 288 188 6.7 8.2 5.3 Multiple myeloma and immunoproliferative neoplasms 297 181 116 4.2 5.1 3.3 Other and unspecified malignant neoplasms of lymphoid tissue 10† * * ** ** ** All other and unspecified malignant neoplasm 1,482 821 661 20.9 23.3 18.6In situ neoplasms 401 221 180 5.7 6.3 5.1Anemias 69 34 35 1.0 1.0 1.0Diabetes 2,041 1,227 814 28.8 34.9 22.9

Crude death rate per 100,000 persons

TABLE 2B-6DEATHS AND DEATH RATES BY GENDER FOR SELECTED CAUSES,

ARIZONA RESIDENTS, 2018

Cause of death (Tenth Revision, International Statistical Classification of Diseases)

Number of deaths


Total Male Female Total Male FemaleNutritional deficiencies 351 159 192 5.0 4.5 5.4

Malnutrition 331 151 180 4.7 4.3 5.1

Other nutritional deficiencies 20 8 12 0.3 0.2 0.3

Obesity 206 125 81 2.9 3.6 2.3

Meningitis 10† * * 0.1 ** **

Parkinson's disease 790 531 259 11.2 15.1 7.3

Alzheimer's disease 3,011 1,010 2,001 42.6 28.7 56.2

Major cardiovascular diseases 16,645 8,986 7,659 235.2 255.4 215.3

Diseases of heart 12,410 7,030 5,380 175.4 199.8 151.2

Acute rheumatic fever and chronic rheumatic heart disease 98 41 57 1.4 1.2 1.6

Hypertensive heart disease 1,400 711 689 19.8 20.2 19.4

Hypertensive heart and renal disease 153 81 72 2.2 2.3 2.0

Ischemic heart disease 7,540 4,670 2,870 106.6 132.7 80.7

Acute myocardial infarction 1,562 930 632 22.1 26.4 17.8

Other acute ischemic heart disease 38 23 15 0.5 0.7 0.4

Other forms of chronic ischemic heart disease 5,940 3,717 2,223 83.9 105.6 62.5

Atherosclerotic cardiovascular disease 1,716 1,134 582 24.3 32.2 16.4

All other forms of chronic ischemic heart disease 4,224 2,583 1,641 59.7 73.4 46.1

Other heart diseases 3,219 1,527 1,692 45.5 43.4 47.6

Acute and subacute endocarditis 29 14 15 0.4 0.4 0.4

Diseases of pericardium and acute myocarditis 19 11 8 0.3 0.3 0.2

Heart failure 777 390 387 11.0 11.1 10.9

All other forms of heart disease 2,394 1,112 1,282 33.8 31.6 36.0

Essential (primary) hypertension and hypertensive renal disease 928 426 502 13.1 12.1 14.1

Cerebrovascular diseases 2,829 1,258 1,571 40.0 35.8 44.2

Atherosclerosis 110 52 58 1.6 1.5 1.6

Other diseases of circulatory system 368 220 148 5.2 6.3 4.2

Aortic aneurysm and dissection 193 128 65 2.7 3.6 1.8

Other disease of arteries, arterioles and capillaries 175 92 83 2.5 2.6 2.3

Other disorders of circulatory system 114 63 51 1.6 1.8 1.4

Influenza and pneumonia 1,113 591 522 15.7 16.8 14.7

Influenza 213 95 118 3.0 2.7 3.3

Pneumonia 900 496 404 12.7 14.1 11.4

Other acute lower respiratory infections 10† * 6 0.2 ** 0.2

Acute bronchiolitis 10† * 6 0.1 ** 0.2

Unspecified acute lower respiratory infection 0† * 0 ** ** 0.0

Chronic lower respiratory diseases 3,820 1,834 1,986 54.0 52.1 55.8

Bronchitis, chronic and unspecified 10† * * 0.1 ** **

Emphysema 187 99 88 2.6 2.8 2.5

Asthma 91 40 51 1.3 1.1 1.4

Other chronic lower respiratory diseases 3,534 1,691 1,843 49.9 48.1 51.8

Pneumoconioses and chemical effects 10† 9 * 0.2 0.3 **

Pneumonitis due to solids and liquids 235 145 90 3.3 4.1 2.5

Other disease of respiratory system 910 498 412 12.9 14.2 11.6

Peptic ulcer 71 38 33 1.0 1.1 0.9

Diseases of appendix 10† * * 0.1 ** **

Hernia 37 12 25 0.5 0.3 0.7

Crude death rate per 100,000 persons

TABLE 2B-6 (continued)DEATHS AND DEATH RATES BY GENDER FOR SELECTED CAUSES,



Number of deaths


Total Male Female Total Male FemaleChronic liver disease and cirrhosis 1,159 712 447 16.4 20.2 12.6 Alcoholic liver disease 724 478 246 10.2 13.6 6.9 Other chronic liver disease and cirrhosis 435 234 201 6.1 6.7 5.6Cholelithiasis and other disorders of gallbladder 73 36 37 1.0 1.0 1.0Nephritis, nephrotic syndrome and nephrosis 680 363 317 9.6 10.3 8.9 Acute and rapidly progressive nephritic and nephrotic syndrome 10† * * 0.1 ** ** Chronic glomerulonephritis 0† * * ** ** ** Renal failure 670 357 313 9.5 10.1 8.8 Others disorders of kidney 0 0 0 0.0 0.0 0.0Infections of kidney 20 9 11 0.3 0.3 0.3Hyperplasia of prostate 9 9 0 0.1 0.3 0.0Inflammatory diseases of female pelvic organs 0† 0 * ** 0.0 **Pregnancy, childbirth and the puerperium 33 0 33 0.5 0.0 0.9 Pregnancy with abortive outcome 0 0 0 0.0 0.0 0.0 Other complications of pregnancy, childbirth and the puerperium 33 0 33 0.5 0.0 0.9Perinatal conditions 220 130 90 3.1 3.7 2.5Congenital malformations 232 126 106 3.3 3.6 3.0

Symptoms, signs, abnormal findingsa 1,188 564 624 16.8 16.0 17.5Total accidents 4,211 2,768 1,443 59.5 78.7 40.6 Transport accidents 1,105 789 316 15.6 22.4 8.9 Motor vehicle accidents 1,032 729 303 14.6 20.7 8.5 Other land transport accidents 30† 22 * 0.4 0.6 ** Water, air, space 47 38 9 0.7 1.1 0.3 Nontransport accidents 3,106 1,979 1,127 43.9 56.2 31.7 Falls 1,090 519 571 15.4 14.7 16.1 Accidental discharge of firearms 10† 9 * 0.1 0.3 ** Accidental drowning and submersion 92 67 25 1.3 1.9 0.7 Accidental exposure to smoke, fire and flames 23 14 9 0.3 0.4 0.3 Accidental poisoning 1,545 1,114 431 21.8 31.7 12.1 Other and unspecified non-transport accidents 346 256 90 4.9 7.3 2.5Intentional self-harm (suicide) 1,432 1,146 286 20.2 32.6 8.0 By discharge of firearms 800 701 99 11.3 19.9 2.8 By other means 632 445 187 8.9 12.6 5.3Assault (homicide) 416 336 80 5.9 9.5 2.2 By discharge of firearms 291 247 44 4.1 7.0 1.2 By other means 125 89 36 1.8 2.5 1.0Legal intervention 20† 22 * 0.3 0.6 **Events of undetermined intent 150 101 49 2.1 2.9 1.4 Discharge of firearms 20† 12 * 0.2 0.3 ** Other and unspecified events of undetermined intent 135 89 46 1.9 2.5 1.3Operations of war 0 0 0 0.0 0.0 0.0Complications of medical and surgical care 114 62 52 1.6 1.8 1.5

Injury by firearms 1,140 991 149 16.1 28.2 4.2Drug-induced deaths 1,766 1,199 567 25.0 34.1 15.9

Opioid-induced deaths 1,104 759 345 15.6 21.6 9.7Alcohol-induced deaths 1,185 815 370 16.7 23.2 10.4

TABLE 2B-6 (continued)DEATHS AND DEATH RATES BY GENDER FOR SELECTED CAUSES,


Notes: * Cell suppressed due to count less than 6; ** Cell suppressed due to rate/ratio/percent based on non-zero count less than 6; † Sum rounded to nearest tens unit due to addend less than 6; a Includes records with unknown gender; The list of Causes of Death was developed for the general analysis of ICD-10 mortality statistics and for ranking of leading causes of death. It is similar in structure and content and replaces the list of 72 Selected Causes of Death used for ICD-9 mortality statistics.


Number of deaths Crude death rate per 100,000 persons


20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18

TOTA

L10

,299

10,1

519,

719

10,4

2310

,366

10,4

979,

953

11,2

7411

,820

12,2

8512

,410

Mal

e5,

701

5,55

85,

351

5,74

85,

731

5,91

05,

575

6,28

66,

702

6,97

37,

030

Fem

ale

4,59

84,

593

4,36

84,

675

4,63

54,

587

4,37

84,

988

5,11

85,

312

5,38

0

TOTA

L57

5142

6951

6474

5277

7998

Mal

e24

1615

2219

1726

2033

2741

Fem

ale

3335

2747

3247

4832

4452

57

TOTA

L48

3536

4951

4965

7111

114

715

3

Mal

e22

1816

2228

2731

3656

7381

Fem

ale

2617

2027

2322

3435

5574

72

TOTA

L7,

487

7,37

27,

043

7,49

87,

294

7,15

96,

650

7,26

47,

734

7,81

47,

540

Mal

e4,

337

4,23

34,

076

4,40

94,

279

4,25

93,

957

4,39

14,

703

4,82

94,

670

Fem

ale

3,15

03,

139

2,96

73,

089

3,01

52,

900

2,69

32,

873

3,03

12,

985

2,87

0

TOTA

L67

569

864

473

976

194

399

11,

118

1,11

41,

122

1,40

0

Mal

e34

834

030

234

837

546

249

151

755

452

671

1

Fem

ale

327

358

342

391

386

481

500

601

560

596

689

TOTA

L2,

032

1,99

51,

954

2,06

92,

209

2,28

22,

173

2,76

92,

784

3,12

33,

219

Mal

e97

095

194

294

71,

030

1,14

51,

070

1,32

21,

356

1,51

81,

527

Fem

ale

1,06

21,

044

1,01

21,

121

1,17

91,

137

1,10

31,

447

1,42

81,

605

1,69

2

TAB

LE 2

B-7

NU

MB

ER O

F D

EATH

S F

RO

M D

ISEA

SES

OF

THE

HEA

RT

BY

CA

TEG

OR

Y,

GEN

DER

, A

ND

YEA

R,

AR

IZO

NA

, 2

00

8-2

01

8

ALL

FO

RM

S O

F H

EAR

T D

ISEA

SE

Hyp

erte

nsi

ve h

eart

dis

ease

Oth

er h

eart

dis

ease

s

Acu

te r

heu

mat

ic f

ever

an

d c

hro

nic

rh

eum

atic

hea

rt d

isea

se

Hyp

erte

nsi

ve h

eart

an

d r

enal

dis

ease

Isch

emic

hea

rt d

isea

se


20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18

TOTA

Lb9,

949

10,1

4710

,423

10,5

4310

,871

11,1

9310

,600

11,6

2411

,801

11,9

1712

,097

Mal

e5,

367

5,43

25,

639

5,63

95,

932

5,95

05,

731

6,26

36,

429

6,49

36,

675

Fem

ale

4,58

24,

715

4,78

44,

903

4,93

95,

243

4,86

95,

361

5,37

25,

424

5,42

2

TOTA

L15

112

513

413

214

415

013

716

020

518

016

5

Mal

e10

189

9810

510

610

198

109

157

128

127

Fem

ale

5036

3627

3849

3951

4852

38

TOTA

L26

226

627

328

832

532

028

630

331

033

333

2

Mal

e21

221

422

023

226

025

723

024

924

627

327

1

Fem

ale

5052

5356

6563

5654

6460

61

TOTA

L20

017

919

921

120

420

218

621

122

620

323

6

Mal

e12

110

512

313

111

812

210

912

112

812

413

4

Fem

ale

7974

7680

8680

7790

9879

102

TOTA

L89

788

795

292

794

699

795

31,

022

1,06

91,

118

1,12

6

Mal

e46

746

352

048

252

351

051

056

859

163

964

1

Fem

ale

430

424

432

445

423

487

443

454

478

479

485

TOTA

L63

662

270

770

881

375

576

985

290

191

495

2

Mal

e34

030

437

335

545

039

240

046

149

448

451

3

Fem

ale

296

318

334

353

363

363

369

391

407

430

439

TOTA

L2,

636

2,69

12,

655

2,65

42,

772

2,76

32,

543

2,88

52,

689

2,75

42,

640

Mal

e1,

478

1,48

01,

465

1,47

41,

512

1,48

51,

385

1,53

31,

452

1,48

71,

436

Fem

ale

1,15

81,

211

1,19

01,

180

1,26

01,

278

1,15

81,

352

1,23

71,

267

1,20

4

TOTA

L16

822

619

118

721

622

221

521

319

119

020

9

Mal

e11

516

013

312

514

713

714

714

213

112

915

0

Fem

ale

5366

5862

6985

6871

6061

59

TOTA

L73

471

673

274

774

0†83

672

981

0†85

383

481

5

Mal

e9

812

6*

96

*9

810

Fem

ale

725

708

720

741

740

827

723

809

844

826

805

TAB

LE 2

B-8

NU

MB

ER O

F D

EATH

S F

OR

SEL

ECTE

D S

UB

CA

TEG

OR

IES

OF

MA

LIG

NA

NT

NEO

PLA

SM

S B

Y G

END

ER A

ND

YEA

R,

AR

IZO

NA

, 2

00

8-2

01

8

ALL

CA

NC

ERS

a

ICD

-9 1

40

-14

9/I

CD

-10

C0

0-C

14

-

Mal

ign

ant

neo

pla

sm o

f lip

, or

al c

avit

y an

d

ph

aryn

x (o

rop

har

yng

eal c

ance

r)

ICD

-9 1

50

/IC

D-1

0 C

15

- M

alig

nan

t n

eop

lasm

of

esop

hag

us

ICD

-9 1

51

/IC

D-1

0 C

16

- M

alig

nan

t n

eop

lasm

of

stom

ach

ICD

-9 1

53

, 1

54

/IC

D-1

0 C

18

-C2

1 -

M

alig

nan

t n

eop

lasm

of

colo

n,

rect

um

, re

ctos

igm

oid

ju

nct

ion

an

d a

nu

s

ICD

-9 1

57

/IC

D-1

0 C

25

- M

alig

nan

t n

eop

lasm

of

pan

crea

s

ICD

-9 1

62

/IC

D-1

0 C

33

-C3

4 -

Mal

ign

ant

neo

pla

sm o

f tr

ach

ea,

bro

nch

us

and

lun

g

ICD

-9 1

72

/IC

D-1

0 C

43

- M

alig

nan

t m

elan

oma

of s

kin

ICD

-9 1

74

,17

5/I

CD

-10

C5

0 -

Mal

ign

ant

neo

pla

sm o

f b

reas

t


20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18

TOTA

L60

6468

7273

8675

8482

7878

Fem

ale

6064

6872

7386

7584

8278

78

TOTA

L11

510

813

815

913

114

017

618

016

820

018

0

Fem

ale

115

108

138

159

131

140

176

180

168

200

180

TOTA

L56

855

154

957

458

157

057

263

369

765

969

5

Mal

e56

855

154

957

458

157

057

263

369

765

969

5

TOTA

L25

826

424

735

531

629

330

535

536

736

235

8

Mal

e19

220

618

324

524

422

124

125

526

727

927

6

Fem

ale

6658

6410

972

7264

100

100

8382

TOTA

L24

724

028

626

725

227

425

430

930

832

335

1

Mal

e15

416

118

917

817

117

917

722

420

520

825

0

Fem

ale

9379

9789

8195

7785

103

115

101

TOTA

L26

827

526

827

533

732

533

932

334

033

936

6

Mal

e15

215

115

314

519

617

219

419

019

519

420

6

Fem

ale

116

124

115

130

141

153

145

133

145

145

160

TOTA

L17

1622

1917

2610

†30

2229

22

Mal

e10

912

98

1610

2110

1512

Fem

ale

77

1010

910

*9

1214

10

TOTA

L43

338

837

939

237

241

637

139

739

938

839

8

Mal

e23

021

221

921

221

425

119

621

622

124

023

5

Fem

ale

203

176

160

180

158

165

175

181

178

148

163

TOTA

L20

318

920

621

922

124

722

124

024

327

029

7

Mal

e12

310

711

713

312

812

913

313

914

916

218

1

Fem

ale

8082

8986

9311

888

101

9410

811

6

TOTA

L2,

096

2,34

02,

417

2,35

72,

409

2,57

12,

455

2,61

32,

731

2,74

32,

877

Mal

e1,

095

1,21

21,

273

1,23

41,

273

1,40

01,

323

1,39

71,

477

1,46

41,

538

Fem

ale

1,00

11,

128

1,14

41,

123

1,13

61,

171

1,13

21,

216

1,25

41,

279

1,33

9

TAB

LE 2

B-8

(co

nti

nu

ed)

NU

MB

ER O

F D

EATH

S F

OR

SEL

ECTE

D S

UB

CA

TEG

OR

IES

OF

MA

LIG

NA

NT

NEO

PLA

SM

S B

Y G

END

ER A

ND

YEA

R,

AR

IZO

NA

, 2

00

8-2

01

8

ICD

-9 1

80

/IC

D-1

0 C

53

- M

alig

nan

t n

eop

lasm

of

cerv

ix u

teri

ICD

-9 1

79

, 1

82

/ IC

D-1

0 C

54

-C5

5 -

M

alig

nan

t n

eop

lasm

of

bod

y of

ute

rus

and

of

ute

rus,

par

t u

nsp

ecif

ied

IC

D-9

18

5/I

CD

-10

C6

1 -

Mal

ign

ant

neo

pla

sm o

f p

rost

ate

ICD

-9 1

88

/IC

D-1

0 C

67

- M

alig

nan

t n

eop

lasm

of

bla

dd

er

ICD

-9 1

89

/IC

D-1

0 C

64

-C6

5 -

Mal

ign

ant

neo

pla

sm o

f ki

dn

ey a

nd

oth

er a

nd

u

nsp

ecif

ied

uri

nar

y or

gan

s

ICD

-9 1

91

, 1

92

/IC

D-1

0 C

70

-C7

2 -

M

alig

nan

t n

eop

lasm

of

bra

in

Oth

er m

alig

nan

t n

eop

lasm

s

Not

es:

* C

ell s

uppr

esse

d du

e to

cou

nt le

ss t

han

6; †

Sum

rou

nded

to

near

est

tens

uni

t du

e to

add

end

less

tha

n 6;

a All

canc

ers

tota

l inc

lude

s ot

her

form

s of

can

cer;

b Tot

al in

clud

es

reco

rds

with

unk

now

n ge

nder

.

ICD

-9 2

01

/IC

D-1

0 8

1 -

Hod

gki

n's

dis

ease

ICD

-9 2

00

, 2

02

/IC

D-1

0 C

82

-C8

5 -

M

alig

nan

t ly

mp

hom

a ot

her

th

an H

odg

kin

's

dis

ease

ICD

-9 2

03

/IC

D-1

0 C

88

, C

90

- M

ult

iple

m

yelo

ma

and

imm

un

opro

lifer

ativ

e n

eop

lasm

s


20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18

Tota

l un

inte

nti

onal

inju

ry d

eath

s2,

951

2,88

72,

834

2,95

92,

804

3,13

73,

011

3,40

33,

899

4,08

54,

211

Rai

lway

acc

iden

t9

812

67

78

611

97

Mot

or v

ehic

le a

ccid

ent

891

771

711

787

747

767

702

855

967

979

1,03

2

Wat

er t

ran

spor

t ac

cid

ent

**

**

**

0*

*7

7

Acc

iden

t in

volv

ing

air

craf

t32

1516

2113

9*

710

1710

Poi

son

ing

by

dru

gs/

med

icam

ents

689

802

798

781

731

853

885

955

1,09

51,

269

1,42

5

Poi

son

ing

by

gas

es a

nd

vap

ors

7785

8110

286

112

9410

515

310

512

0

Falls

748

731

762

776

782

870

881

1,01

41,

103

1,07

61,

090

Fire

, fl

ames

, sm

oke

5031

2533

4368

3025

4051

23

Exce

ssiv

e n

atu

ral h

eat

3339

5157

5156

3243

9910

894

Exce

ssiv

e n

atu

ral c

old

2524

1722

928

1920

2124

15

Con

tact

wit

h v

enom

ous

snak

es a

nd

liza

rds

*0

*0

*0

00

0*

*

Con

tact

wit

h v

enom

ous

spid

ers

00

00

0*

00

0*

0

Con

tact

wit

h s

corp

ion

s0

00

00

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00

00

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tact

wit

h h

orn

ets,

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ps,

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00

00

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ten

or

stru

ck b

y d

og*

**

**

**

**

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htn

ing

0*

**

**

0*

**

0

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rms

and

flo

ods

00

*0

00

00

012

*

Acc

iden

tal d

row

nin

g a

nd

su

bm

ersi

on78

9986

8683

7278

8110

510

692

Ch

oked

on

foo

d35

4339

3438

2933

3433

3840

Ch

oked

on

oth

er o

bje

cts

5349

5744

4457

5653

3839

29

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han

ical

su

ffoc

atio

n29

2528

2523

2135

4035

4125

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iden

tal d

isch

arg

e of

fir

earm

s10

711

8*

96

*7

810

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osu

re t

o el

ectr

ic c

urr

ent

67

*6

06

**

10*

*

Ove

rexe

rtio

n0

0*

00

00

00

*0

Ad

vers

e ef

fect

s of

dru

gs

in t

her

apeu

tic

use

78

10*

610

1012

**

11

Mis

adve

ntu

res

to p

atie

nts

du

rin

g m

edic

al/s

urg

ical

car

e40

4241

4542

4632

2043

9610

3

Not

es:

* C

ell s

uppr

esse

d du

e to

cou

nt le

ss t

han

6; B

egin

ning

in 2

000,

the

dat

a ar

e cl

assi

fied

by t

he T

enth

Rev

isio

n of

the

Int

erna

tiona

l Cla

ssifi

catio

n of

Dis

ease

s (I

CD

-10)

.

TAB

LE 2

B-9

NU

MB

ER O

F D

EATH

S F

RO

M U

NIN

TEN

TIO

NA

L IN

JUR

IES

IN

AC

CID

ENTS

BY

CA

TEG

OR

Y A

ND

YEA

R A

MO

NG

A

RIZ

ON

A R

ESID

ENTS

, 2

00

8-2

01

8


20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18

TOTA

LTo

tal

891

771

711

787

747

767

702

855

967

979

1,03

2

Mal

e63

255

450

156

254

154

149

260

569

369

172

9

Fem

ale

259

217

210

225

206

226

210

250

274

288

303

Mot

orcy

clis

tTo

tal

113

100†

6911

313

011

110

012

112

613

713

0

Mal

e10

694

6196

113

9893

106

118

122

114

Fem

ale

7*

817

1713

715

815

16

Ped

estr

ian

Tota

l13

612

215

215

312

815

213

816

021

824

525

1

Mal

e10

190

115

111

8810

510

011

515

016

117

1

Fem

ale

3532

3742

4047

3845

6884

80

Ped

al c

yclis

tTo

tal

10†

20†

20†

20†

1120

†20

†20

†20

†30

†20

†

Mal

e11

1920

1611

1915

1518

2418

Fem

ale

**

**

0*

**

**

*

Oth

er p

erso

nTo

tal

630

528

469

502

478

481

445

558

601

568

630

Mal

e41

435

130

533

932

931

928

436

940

738

442

6

Fem

ale

216

177

164

163

149

162

161

189

194

184

204

Not

es:

* C

ell s

uppr

esse

d du

e to

cou

nt le

ss t

han

6; †

Sum

rou

nded

to

near

est

tens

uni

t du

e to

add

end

less

tha

n 6;

Beg

inni

ng in

200

0, t

he d

ata

are

clas

sifie

d by

the

Ten

th R

evis

ion

of

the

Inte

rnat

iona

l Cla

ssifi

catio

n of

Dis

ease

s (I

CD

-10)

.

TAB

LE 2

B-1

0N

UM

BER

OF

DEA

THS

FR

OM

MO

TOR

VEH

ICLE

-REL

ATE

D I

NJU

RIE

S B

Y P

ERS

ON

IN

JUR

ED,

GEN

DER

, A

ND

YEA

R,

AR

IZO

NA

RES

IDEN

TS,

20

08

-20

18


In-patient

Out-patienta

Died on arrival

Status Unknown

Subtotal

Nursing homeb

Residence

Otherc

Subtotal

TO

TA

L, A

LL C

AU

SE

S59

,206

13,1

603,

057

3919

,867

36,1

236,

729

4,61

011

,744

23,0

83

Dis

ease

s o

f h

eart

12,4

102,

586

988

74,

608

8,18

992

995

52,

337

4,22

1

Co

ron

ary

hea

rt d

isea

se8,

940

1,57

579

67

3,59

95,

977

616

693

1,65

42,

963

Mal

ign

ant

neo

pla

sms

12,1

00†

1,80

713

4*

5,41

57,

360†

2,42

968

01,

628

4,73

7

Mal

ign

ant

neo

pla

sm o

f tr

ach

ea,

bro

nch

us

and

lu

ng

2,64

041

932

01,

174

1,62

553

713

734

11,

015

Mal

ign

ant

neo

pla

sm o

f co

lon

, re

ctu

m,

and

an

us

1,13

0†12

312

*54

468

0†21

965

162

446

Mal

ign

ant

neo

pla

sm o

f b

reas

t81

511

113

034

747

116

847

129

344

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ign

ant

neo

pla

sm o

f p

rost

ate

700†

69*

*35

143

0†10

947

114

270

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ign

ant

neo

pla

sm o

f ce

rvix

ute

ri80

†7

*0

2740

†27

*11

40†

Acc

iden

ts (

un

inte

nti

on

al i

nju

ry)

4,21

0†92

760

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1,01

42,

550†

355

951,

214

1,66

4

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iden

tal

po

iso

nin

g1,

550†

161

243

*75

11,

160†

12*

373

390†

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s1,

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377

300

141

548

301

7117

054

2

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tor

veh

icle

acc

iden

ts1,

030†

244

248

**

500†

206

508

534

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iden

tal

dro

wn

ing

an

d s

ub

mer

sio

n90

†12

230

1651

*0

3940

†

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ron

ic l

ow

er r

esp

irat

ory

dis

ease

s3,

820†

726

112

*1,

504

2,35

0†45

236

465

91,

475

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hei

mer

's d

isea

se3,

011

4913

072

678

819

255

21,

479

2,22

3

Cer

ebro

vasc

ula

r d

isea

ses

2,83

0†67

974

*62

11,

380†

530

312

612

1,45

4

Dia

bet

es2,

040†

404

203

*83

51,

450†

178

191

225

594

Inte

nti

on

al s

elf-

har

m (

suic

ide)

1,43

0†97

112

*75

296

0†7

*46

047

0†

Ch

ron

ic l

iver

dis

ease

an

d c

irrh

osi

s1,

159

457

230

286

766

227

6610

039

3

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uen

za a

nd

pn

eum

on

ia1,

113

740

400

8386

310

266

8225

0

Ess

enti

al (

pri

mar

y) h

yper

ten

sio

n &

hyp

erte

nsi

ve r

enal

d

isea

se93

0†10

651

*38

054

0†10

410

418

138

9

Par

kin

son

's d

isea

se79

050

80

259

317

7810

928

647

3

Nep

hri

tis,

nep

hro

tic

syn

dro

me

and

nep

hro

sis

680†

262

27*

184

470†

4784

7520

6

Ass

ault

(h

om

icid

e)41

663

118

084

265

00

151

151

Sep

tice

mia

382

281

150

1931

544

1013

67

Hu

man

im

mu

no

def

icie

ncy

vir

us

(HIV

) d

isea

se80

†30

*0

2360

†11

7*

23

Inju

ry b

y fi

rear

ms

1,14

0†80

163

049

874

1*

039

840

0†

Dru

g-i

nd

uce

d d

eath

s1,

770†

235

267

*84

71,

350†

318

377

416

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ioid

-in

du

ced

dea

ths

1,10

0†10

315

90

595

857

11*

232

250†

Alc

oh

ol-

ind

uce

d d

eath

s1,

190†

323

64*

420

810†

202

4213

337

7

TAB

LE 2

B-1

1LE

AD

ING

CA

US

ES O

F D

EATH

BY

PLA

CE

OF

DEA

TH A

ND

DEC

EDEN

T S

TATU

S,

AR

IZO

NA

, 2

01

8

Cau

ses

of

dea

thT

OT

AL

Not

es:

* Cel

l sup

pres

sed

due

to c

ount

less

tha

n 6;

† S

um r

ound

ed t

o ne

ares

t te

ns u

nit

due

to a

dden

d le

ss t

han

6; a I

nclu

des

Emer

genc

y Roo

m;

b Inc

lude

s ot

her

long

-ter

m c

are

faci

litie

s; c I

nclu

des

hosp

ices

.

IN H

OS

PIT

AL

NO

T I

N H

OS

PIT

AL


2C.

AGE-SPECIFIC MORTALITY

Six age-specific profiles of mortality are given on the following pages. The six developmental periods in the life span are:

• Infants less than one year of age• Children 1 to 14 years old• Adolescents or persons 15 to 19 years old• Young adults or persons 20 to 44 years old• Middle-aged adults or persons 45 to 64 years old• Elderly or persons 65 years or older.

For each age group, cause-specific mortality is compared between urban (i.e., Maricopa, Pima, Pinal, and Yuma counties) and rural (all other counties) regions and between genders. Urban and rural regions also are compared in gender-specific total mortality.

A comparison of age-specific mortality for causes of death is provided in Table 2C-27. A comparison of age-specific mortality rates is presented in Table 2C-28.


2C.AGE-SPECIFIC MORTALITY Infant mortality

Figure 2C-1 Infant Mortality Rates by Neonatal/Postneonatal Age and Year,

Arizona, 2008-2018

Notes: Neonatal deaths are those deaths affecting infants age 0-27 days; Post-neonatal deaths are deaths to infants aged 28 days-1 year.

Infant mortality is defined as the number of deaths within the first year of life. The infant mortality rate is computed as the number of infant deaths in a calendar year per 1,000 live births recorded for the same period.

In 2018, 447 Arizona infants died before reaching their first birthday, 254 fewer than the latest peak of 701 infant deaths in 2007, and a decrease of 14 deaths in comparison to 2017 (Table 2C-2).

Even if the infant mortality rate remained the same as it was in 2007, 151 fewer infant deaths can be attributed to the absolute reduction in the number of births by 22,148 from 2007 to 2018 ((22.148 x 6.8)/1,000) = 151).

Based on the actual number of infant deaths and live births in 2018, the infant mortality remained unchanged from 2017 to 2018 (Figure 2C-1).

Figure 2C-2 Infant Mortality Ratesa by Race/Ethnicity and Year,

Arizona, 2008-2018

Note: a Number of infant deaths per 1,000 live births in specified group.

In 2018, 90.8 percent (406/447)* of all infant death records were successfully matched to their corresponding birth records.

The mortality risk for infants varies by race/ethnicity. Infants born to Asian or Pacific Islander mothers had the lowest mortality rates among the racial/ethnic groups in 2018 (Figure 2C-2, Table 2C-2).

In 2018, Black or African American and American Indian infants had the worst survival chances among the racial/ethnic groups (Figure 2C-2). __________________________ *Infant death records that were not linked totheir corresponding birth certificates includeunrecorded home births (i.e., no birthcertificates was issued) and out-of-Statebirths (i.e., the State issuing the certificate ofbirth did not send a copy to Arizona).



Newborn weight at birth is one of the most important predictors of an infant’s survival chances. In 2018, the mortality rate among babies weighing less than 500 grams at birth was 77.0 per 100 live births (Figure 2C-3).

The absolute number of low birthweight births remained lower in 2018 at 6,106 than at its peak in 2007 (7,285). The proportion of babies whose weight at birth was less than 1,000 grams increased slightly from 7.7 percent of all low birthweight births in 2017 to 7.8 percent in 2018 (Table 1B-3).

Together, infants weighing less than 1,500 grams accounted for 1.2 percent of births and 51.7 percent of all infant deaths with a matching birth record.

Figure 2C-3 Proportion of Infant Deaths by Birthweight, Arizona, 2018

Note: 37 cases in the complete 2018 birth file had missing birthweight estimates.

As with low birthweight infants, preterm and very preterm babies contribute greatly to the total infant mortality rate because of their higher risk of mortality. For example, births occurring between 20-27 weeks of gestation accounted for only 0.5 percent of all births but 37.7 percent of infant deaths with a matching death record. Births at 20-23 weeks of gestation have a very high infant mortality rate of 76.3 per 100 live births (Figure 2C-4). Overall, preterm infants (those born at less than 37 weeks of gestation) accounted for 9.5 percent of all births (Table 1B-2) and 68.7 percent of all infant deaths (only those with matching death records).

__________________________ Note: Counts of newborns listed in Figures 2C-3 and 2C-4 of the 2017 printed report have been adjusted in the online version of the report to reflect the actual numbers of resident births.

Figure 2C-4 Proportion of Infant Deaths by Gestational Age, Arizona, 2018

Note: 115 cases in the complete 2018 birth file had missing gestational age. Three of which were missing in the linked infant death file.



Figure 2C-4.2 Infant Mortality Rates for Single and Multiple Births, Arizona, 2018

Note: 0 cases in the complete 2018 birth file were missing plurality.

As already noted in Section 1B, infants born in multiple deliveries tend to be born at shorter gestations and smaller than those in singleton deliveries. In 2018, infants born in multiple deliveries were 12.4 times more likely (47.3 vs. 3.8 percent) to be born earlier than expected (at less than 37 completed weeks of gestation) and smaller (at less than 2,500 grams) than singleton births (Figure 1B-10).

The infant mortality rate for single births was 4.6/1,000 live births in 2018 (Figure 2C-4.2). The infant mortality rate for twin births or higher order multiples (19.0/1,000 live births) was 4.2 times higher than the infant mortality for singleton births.

Babies born in multiple deliveries accounted for 3.3 percent of births (Table 1B-16), but 12.3 percent of all infant deaths in Arizona in 2018 (only those with matching birth and death records).

Figure 2C-4.3 Infant Mortality Rates by Mother’s Smoking Status during Pregnancy,

Arizona, 2018

Note: 824 cases in the complete 2018 birth file were missing mothers’ smoking status.

Smoking during pregnancy has been shown to increase the risk of preterm delivery, low birth weight and infant mortality. In 2018, among the 3,626 mothers who smoked during pregnancy, the risk of infant mortality was 1.3 times higher than among nonsmoker mothers (Figure 2C-4.3).



Infant mortality rates vary with maternal age. In 2018, infant mortality decreased with increasing maternal age through 30-34, but increased somewhat for infants born to women 35 years or older. Infants born to younger mothers (less than 20 years) and older mothers (40 years or over) had the highest infant mortality rates (Figure 2C-4.4).

Figure 2C-4.4 Infant Mortality Rates by Mother’s Age Group, Arizona, 2018

Note: 4 cases in the complete 2018 birth file were missing mother’s age.

Infants born to unmarried mothers accounted for the absolute majority of infant deaths in 2018 (221 infant deaths) compared to married mothers (177 infant deaths). In 2018, more children were born to married women (43,565) than their unmarried counterparts (35,927; Table 1B-25). Infants of unmarried mothers had an infant mortality rate of 6.2 deaths per 1,000 live births, 1.5 times higher than the rate for infants of married mothers (4.1 infant deaths per 1,000 live births; Figure 2C-4.5). The effect of marital status on infant mortality suggests that marital status is a proxy measure of factors traditionally related to infant mortality such as poverty conditions, access to health care and social support. Mother’s marital status may signify the presence or absence of emotional, social, and financial resources.

Figure 2C-4.5 Infant Mortality Rates by Mother’s Marital Status, Arizona, 2018

Note: 1,047 cases in the complete 2018 birth file were missing mother’s marital status.


UN

ITED

STA

TES

20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18

Infa

nt m

orta

litya

6.7

6.4

6.1

6.0

6.0

6.0

5.8

5.9

5.8

5.8

5.7

Neo

nata

l mor

talit

ya4.

34.

24.

04.

04.

04.

03.

93.

93.

83.

83.

8

Post

neon

atal

mor

talit

ya2.

32.

22.

12.

02.

02.

01.

81.

92.

01.

91.

9

Perc

ent

post

neon

atal

mor

talit

yb34

.333

.334

.433

.333

.333

.331

.032

.234

.532

.833

.3

AR

IZO

NA

, S

TATE

WID

E TO

TAL

Infa

nt m

orta

litya

6.3

5.9

6.0

5.9

5.8

5.3

6.2

5.6

5.4

5.6

5.6

Neo

nata

l mor

talit

ya4.

23.

93.

83.

93.

93.

44.

13.

53.

63.

53.

9

Post

neon

atal

mor

talit

ya2.

12.

02.

22.

01.

91.

92.

12.

11.

82.

11.

7

Perc

ent

post

neon

atal

mor

talit

yb33

.334

.036

.734

.332

.935

.333

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.737

.730

.4

UR

BA

N C

OU

NTI

ES

Infa

nt m

orta

litya

6.3

5.9

5.7

5.8

5.7

5.2

6.1

5.3

5.2

5.4

5.5

Neo

nata

l mor

talit

ya4.

34.

03.

73.

93.

93.

34.

03.

33

.53

.43.

8

Post

neon

atal

mor

talit

ya2.

02.

02.

01.

91.

91.

82.

12.

01

.72

.01.

6

Perc

ent

post

neon

atal

mor

talit

yb31

.833

.035

.132

.632

.935

.134

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.432

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.629

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RU

RA

L C

OU

NTI

ES

Infa

nt m

orta

litya

6.2

5.5

7.4

6.6

5.9

5.8

6.6

7.3

5.6

6.9

6.2

Neo

nata

l mor

talit

ya3.

53.

94.

53.

73.

93.

74.

54.

43

.13

.74.

1

Post

neon

atal

mor

talit

ya2.

72.

02.

92.

92.

02.

22.

13.

02

.43

.22.

1

Perc

ent

post

neon

atal

mor

talit

yb43

.638

.737

.743

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.837

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.846

.733

.3

Not

es: a

Rat

es p

er 1

,000

live

birth

s; t

he U

.S.

rate

s ar

e fr

om t

he N

atio

nal C

ente

r fo

r H

ealth

Sta

tistic

s; b T

otal

infa

nt m

orta

lity

= 1

00 p

erce

nt;

Urb

an =

Mar

icop

a, P

ima,

Pin

al,

and

Yum

a C

ount

ies;

the

rem

aini

ng c

ount

ies

com

pris

e Arizo

na’s

rur

al a

reas

; re

cord

s w

ith u

nkno

wn

coun

ty o

f re

side

nce

are

incl

uded

in t

he s

tate

wid

e to

tals

, bu

t ar

e no

t di

stribu

ted

by

urba

n/ru

ral a

rea;

pro

duct

ion

erro

rs in

prior

pub

licat

ion

have

bee

n co

rrec

ted.

TAB

LE 2

C-1

INFA

NT,

NEO

NA

TAL,

AN

D P

OS

TNEO

NA

TAL

MO

RTA

LITY

RA

TES

AN

D P

ERC

ENT

OF

PO

STN

EON

ATA

L D

EATH

S,

UN

ITED

STA

TES

, A

RIZ

ON

A A

ND

UR

BA

N/

RU

RA

L C

OU

NTI

ES O

F A

RIZ

ON

A,

20

08

-20

18


20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18

Tota

l21

519

215

117

115

416

121

318

114

616

616

0M

ale

114

109

8898

8193

122

9987

9394

Fem

ale

101

8363

7373

6891

8259

7366

Tota

l25

121

523

522

923

618

521

618

920

317

318

7M

ale

142

115

144

122

138

9710

894

111

9811

0Fe

mal

e10

910

091

107

9888

108

9592

7476

Tota

l76

7548

3252

5953

4850

4943

Mal

e42

4120

1622

3035

2423

3018

Fem

ale

3434

2816

3029

1824

2719

25To

tal

5252

4743

4136

4539

4246

44M

ale

2728

2815

2219

2421

2223

20Fe

mal

e25

2419

2819

1721

1820

2323

Tota

l27

1310

†10

†10

†10

†10

†10

†13

1610

†M

ale

156

98

8*

6*

710

*Fe

mal

e12

7*

**

**

96

6*

Tota

l62

554

751

950

449

544

753

547

345

446

144

7M

ale

343

299

302

267

271

242

295

243

250

262

250

Fem

ale

282

248

217

237

224

205

240

230

204

198

195

20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18

Tota

l5.

14.

83.

94.

54.

04.

25.

34.

73.

94.

74.

6M

ale

5.3

5.4

4.4

5.0

4.1

4.7

5.9

5.0

4.5

5.1

5.2

Fem

ale

4.9

4.3

3.3

3.9

3.9

3.7

4.7

4.4

3.2

4.2

3.9

Tota

l5.

95.

66.

87.

17.

15.

66.

45.

56.

05.

25.

7M

ale

6.5

5.8

8.3

7.3

8.1

5.7

6.2

5.4

6.4

5.8

6.5

Fem

ale

5.2

5.3

5.4

6.8

6.1

5.5

6.6

5.6

5.5

4.5

4.7

Tota

l17

.717

.111

.17.

311

.012

.511

.711

.011

.410

.79.

2M

ale

18.7

18.0

9.1

7.3

9.2

12.3

14.9

10.7

10.3

12.6

7.9

Fem

ale

16.6

16.2

13.1

7.4

12.8

12.7

8.3

11.3

12.5

8.6

10.5

Tota

l8.

28.

48.

17.

47.

46.

68.

77.

88.

39.

59.

3M

ale

8.5

9.0

9.5

5.1

7.8

6.7

9.4

8.3

8.7

9.2

8.2

Fem

ale

7.9

7.8

6.6

9.7

6.9

6.4

8.1

7.3

8.0

9.8

10.2

Tota

l7.

93.

83.

92.

93.

31.

72.

54.

03.

94.

82.

8M

ale

8.5

3.4

5.4

4.4

4.2

**3.

7**

4.0

5.9

**Fe

mal

e7.

24.

3**

****

****

5.7

3.7

3.7

**To

tal

6.3

5.9

6.0

5.9

5.8

5.3

6.2

5.6

5.4

5.6

5.6

Mal

e6.

86.

36.

86.

16.

25.

56.

65.

65.

86.

36.

1Fe

mal

e5.

85.

55.

15.

75.

45.

05.

75.

54.

94.

95.

0

TAB

LE 2

C-2

NU

MB

ER A

ND

RA

TEa O

F IN

FAN

T D

EATH

S B

Y R

AC

E/ET

HN

ICIT

Y A

ND

GEN

DER

, A

RIZ

ON

A,

20

08

-20

18

NU

MB

ER O

F IN

FAN

T D

EATH

S

Wh

ite

non

-His

pan

ic

His

pan

ic o

r La

tin

o

Bla

ck o

r A

fric

an A

mer

ican

Am

eric

an I

nd

ian

or

Ala

ska

Nat

ive

Asi

an o

r P

acif

ic I

slan

der

All

gro

up

sb

INFA

NT

MO

RTA

LITY

RA

TES

All

gro

up

sb

Not

es:

* Cel

l sup

pres

sed

due

to c

ount

less

tha

n 6;

**

Cel

l sup

pres

sed

due

to r

ate/

ratio/

perc

ent

base

d on

non

-zer

o co

unt

less

tha

n 6;

† S

um r

ound

ed t

o ne

ares

t te

ns u

nit

due

to a

dden

d le

ss

than

6; a

Num

ber

of in

fant

dea

ths

per

1,00

0 liv

e bi

rths

in s

peci

fied

ethn

ic/g

ende

r gr

oup;

infa

nt d

eath

s ar

e by

the

rac

e/et

hnic

ity

of t

he d

eced

ent;

For

con

sist

ency

with

the

nation

al d

ata,

the

de

nom

inat

ors

used

to

calc

ulat

e in

fant

mor

talit

y ra

tes

wer

e ch

ange

d fr

om r

ace/

ethn

icity

of p

aren

ts t

o ra

ce/e

thni

city

of

mot

her

as s

tate

d on

the

bir

th c

ertific

ate;

The

cha

nge

in t

he b

asis

for

ca

lcul

atin

g in

fant

mor

talit

y ra

tes

resu

lts

in lo

wer

rat

es f

or w

hite

infa

nts

and

high

er r

ates

for

mos

t m

inor

ity

infa

nts

than

whe

n th

ey a

re c

ompu

ted

by t

he p

revi

ous

met

hod;

b In

clud

es r

ecor

ds w

ith

othe

r an

d un

know

n et

hnic

gro

up.

Wh

ite

non

-His

pan

ic

His

pan

ic o

r La

tin

o

Bla

ck o

r A

fric

an A

mer

ican

Am

eric

an I

nd

ian

or

Ala

ska

Nat

ive

Asi

an o

r P

acif

ic I

slan

der


20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18

Tota

l21

519

215

117

115

416

121

318

114

616

616

0N

eon

atal

138

129

9612

010

097

138

108

9210

611

6P

ostn

eon

atal

7763

5551

5464

7573

5460

44To

tal

251

215

235

229

236

185

216

189

203

173

187

Neo

nat

al17

515

015

615

217

013

114

913

014

211

513

6P

ostn

eon

atal

7665

7977

6654

6759

6158

51To

tal

7675

4832

5259

5348

5049

43N

eon

atal

5146

3220

3438

3425

3330

25P

ostn

eon

atal

2529

1612

1821

1923

1719

18To

tal

5252

4743

4136

4539

4246

44N

eon

atal

2926

2219

2120

2616

2120

25P

ostn

eon

atal

2326

2524

2016

1923

2126

19To

tal

30†

10†

10†

1010

†10

†10

†10

†13

1610

†N

eon

atal

2210

1110

7*

712

137

*P

ostn

eon

atal

**

*0

**

**

09

*To

tal

625

547

519

504

495

447

535

473

454

461

447

Neo

nat

al41

936

133

033

133

228

935

429

430

128

731

1P

ostn

eon

atal

206

186

189

173

163

158

181

179

153

174

136

20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18

Tota

l5.

14.

83.

94.

54.

04.

25.

34.

73.

94.

74.

6N

eon

atal

3.3

3.2

2.5

3.1

2.6

2.5

3.4

2.8

2.4

3.0

3.3

Pos

tneo

nat

al1.

81.

61.

41.

31.

41.

71.

91.

91.

41.

71.

3To

tal

5.9

5.6

6.8

7.1

7.1

5.6

6.4

5.5

6.0

5.2

5.7

Neo

nat

al4.

13.

94.

54.

75.

14.

04.

43.

84.

23.

54.

1P

ostn

eon

atal

1.8

1.7

2.3

2.4

2.0

1.6

2.0

1.7

1.8

1.7

1.5

Tota

l17

.717

.111

.17.

311

.012

.511

.711

.011

.410

.79.

2N

eon

atal

11.9

10.5

7.4

4.6

7.2

8.0

7.5

5.7

7.5

6.5

5.4

Pos

tneo

nat

al5.

86.

63.

72.

73.

84.

44.

25.

33.

94.

13.

9To

tal

8.2

8.4

8.1

7.4

7.4

6.6

8.7

7.8

8.3

9.5

9.3

Neo

nat

al4.

64.

23.

83.

33.

83.

75.

13.

24.

24.

15.

3P

ostn

eon

atal

3.6

4.2

4.3

4.1

3.6

2.9

3.7

4.6

4.2

5.3

4.0

Tota

l7.

93.

83.

92.

93.

31.

72.

54.

03.

94.

82.

8N

eon

atal

6.4

2.9

3.3

2.9

1.9

**2.

23.

73.

92.

1**

Pos

tneo

nat

al**

****

0.0

****

****

0.0

2.7

**To

tal

6.3

5.9

6.0

5.9

5.8

5.3

6.2

5.6

5.4

5.6

5.6

Neo

nat

al4.

23.

93.

83.

93.

93.

44.

13.

53.

63.

53.

9P

ostn

eon

atal

2.1

2.0

2.2

2.0

1.9

1.9

2.1

2.1

1.8

2.1

1.7

Wh

ite

non

-His

pan

ic

His

pan

ic o

r La

tin

o

All

gro

up

sb

Not

es:*

Cel

l sup

pres

sed

due

to c

ount

less

tha

n 6;

**

Cel

l sup

pres

sed

due

to r

ate/

ratio/

perc

ent

base

d on

non

-zer

o co

unt

less

tha

n 6;

† S

um r

ound

ed t

o ne

ares

t te

ns u

nit

due

to a

dden

d le

ss t

han

6; a

Num

ber

of in

fant

dea

ths

per

1,00

0 liv

e bi

rths

in s

peci

fied

ethn

ic/g

ende

r gr

oup;

infa

nt d

eath

s ar

e by

the

rac

e/et

hnic

ity

of t

he d

eced

ent;

for

con

sist

ency

with

the

nation

al d

ata,

the

de

nom

inat

ors

used

to

calc

ulat

e in

fant

mor

talit

y ra

tes

wer

e ch

ange

d fr

om r

ace/

ethn

icity

of p

aren

ts t

o ra

ce/e

thni

city

of

mot

her

as s

tate

d on

the

bir

th c

ertific

ate;

the

cha

nge

in t

he b

asis

for

ca

lcul

atin

g in

fant

mor

talit

y ra

tes

resu

lts

in lo

wer

rat

es f

or w

hite

infa

nts

and

high

er r

ates

for

mos

t m

inor

ity

infa

nts

than

whe

n th

ey a

re c

ompu

ted

by t

he p

revi

ous

met

hod;

b In

clud

es r

ecor

ds w

ith

othe

r an

d un

know

n et

hnic

gro

up.

Bla

ck o

r A

fric

an A

mer

ican

Am

eric

an I

nd

ian

or

Ala

ska

Nat

ive

Asi

an o

r P

acif

ic I

slan

der

Bla

ck o

r A

fric

an A

mer

ican

Am

eric

an I

nd

ian

or

Ala

ska

Nat

ive

Asi

an o

r P

acif

ic I

slan

der

All

gro

up

sb

INFA

NT

MO

RTA

LITY

RA

TES

TAB

LE 2

C-3

NU

MB

ER A

ND

RA

TEa O

F IN

FAN

T D

EATH

S B

Y R

AC

E/ET

HN

ICIT

Y A

ND

AG

E G

RO

UP

, 2

00

8-2

01

8N

UM

BER

OF

INFA

NT

DEA

THS

Wh

ite

non

-His

pan

ic

His

pan

ic o

r La

tin

o


Tota

lN

eon

atal

Pos

tneo

nat

alTo

tal

Neo

nat

alP

ostn

eon

atal

TOTA

L, A

LL G

RO

UP

S44

731

113

65.

63.

91.

7

Mal

e25

017

773

6.1

4.3

1.8

Fem

ale

195

132

635.

03.

41.

6

Wh

ite

non

-His

pan

ic16

011

644

4.6

3.3

1.3

Mal

e94

7024

5.2

3.9

1.3

Fem

ale

6646

203.

92.

71.

2

His

pan

ic o

r La

tin

o18

713

651

5.7

4.1

1.5

Mal

e11

079

316.

54.

71.

8

Fem

ale

7656

204.

73.

51.

2

Bla

ck o

r A

fric

an A

mer

ican

4325

189.

25.

43.

9

Mal

e18

108

7.9

4.4

3.5

Fem

ale

2515

1010

.56.

34.

2

Am

eric

an I

nd

ian

or

Ala

ska

Nat

ive

4425

199.

35.

34.

0

Mal

e20

119

8.2

4.5

3.7

Fem

ale

2313

1010

.25.

74.

4

Asi

an o

r P

acif

ic I

slan

der

10†

**

2.8

****

Mal

e10

†*

***

****

Fem

ale

0†*

***

****

TAB

LE 2

C-4

NEO

NA

TAL,

PO

STN

EON

ATA

L, A

ND

TO

TAL

INFA

NT

MO

RTA

LITY

BY

CH

ILD

'S G

END

ER A

ND

MO

THER

'S R

AC

E/ET

HN

ICIT

Y,

AR

IZO

NA

, 2

01

8

NU

MB

ER O

F D

EATH

S B

Y A

GE

MO

RTA

LITY

RA

TES

a

Not

es:*

Cel

l sup

pres

sed

due

to c

ount

less

tha

n 6;

**

Cel

l sup

pres

sed

due

to r

ate/

ratio

/per

cent

bas

ed o

n no

n-ze

ro c

ount

less

tha

n 6;

† S

um r

ound

ed t

o ne

ares

t te

ns u

nit

due

to

adde

nd le

ss t

han

6; a

Num

ber

of d

eath

s pe

r 1,

000

live

birt

hs in

spe

cifie

d ge

nder

gro

up b

y m

othe

r’s

race

/eth

nici

ty;

deno

min

ator

s ar

e fr

om T

able

5B-8

.


Cau

ses

of d

eath

20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18

Con

gen

ital

mal

form

atio

ns,

def

orm

atio

ns

and

ch

rom

osom

al a

bn

orm

alit

ies

145

122

114

107

118

101

121

117

105

9212

2

of

bra

in,

spin

al c

ord

or

ner

vou

s sy

stem

2415

2113

1913

2420

1418

17

of

resp

irat

ory

syst

em*

*9

*6

**

87

*13

Sh

ort

ges

tati

on a

nd

low

bir

th w

eig

ht

9110

164

6062

5663

5355

6473

Mat

ern

al c

omp

licat

ion

s53

3127

3346

2839

3928

3121

Su

dd

en in

fan

t d

eath

syn

dro

me

2142

3425

1314

1315

714

14

Acc

iden

ts (

un

inte

nti

onal

inju

ries

)19

1818

2316

1427

2916

2313

Intr

aute

rin

e h

ypox

ia o

r b

irth

asp

hyx

ia11

**

11*

69

*6

11*

Ass

ault

(h

omic

ide)

**

66

**

6*

*10

*

Res

pir

ator

y d

istr

ess

syn

dro

me

118

7*

**

**

*6

*

Infl

uen

za a

nd

pn

eum

onia

*10

**

**

**

**

*

Tota

l, a

ll ca

use

s62

554

751

950

449

544

753

547

345

446

144

7

TAB

LE 2

C-5

NU

MB

ER O

F D

EATH

S F

OR

SEL

ECTE

D L

EAD

ING

CA

US

ES O

F IN

FAN

T M

OR

TALI

TYa

BY

YEA

R,

AR

IZO

NA

, 2

00

8-2

01

8

Not

es:

* C

ell s

uppr

esse

d du

e to

cou

nt le

ss t

han

6; a L

eadi

ng c

ause

s of

infa

nt m

orta

lity

are

base

d on

the

list

of 13

0 ca

uses

of in

fant

dea

th a

ccor

ding

to

the

Tent

h Rev

isio

n,

Inte

rnat

iona

l Cla

ssifi

catio

n of

Dis

ease

s (I

CD

-10)

.


Cau

ses

of d

eath

20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18

Con

gen

ital

mal

form

atio

ns,

def

orm

atio

ns

and

ch

rom

osom

al a

bn

orm

alit

ies

1.5

1.3

1.3

1.3

1.4

1.2

1.4

1.4

1.2

1.1

1.5

of

bra

in,

spin

al c

ord

or

ner

vou

s sy

stem

0.2

0.2

0.2

0.2

0.2

0.2

0.3

0.2

0.2

0.2

0.2

of

resp

irat

ory

syst

em**

**0.

1**

0.1

****

0.1

0.1

**0.

2

Sh

ort

ges

tati

on a

nd

low

bir

th w

eig

ht

0.9

1.1

0.7

0.7

0.7

0.7

0.7

0.6

0.7

0.8

0.9

Mat

ern

al c

omp

licat

ion

s0.

50.

30.

30.

40.

50.

30.

50.

50.

30.

40.

3

Acc

iden

ts (

un

inte

nti

onal

inju

ries

)0.

20.

20.

20.

30.

20.

20.

30.

30.

20.

30.

2

Su

dd

en in

fan

t d

eath

syn

dro

me

0.2

0.4

0.4

0.3

0.2

0.2

0.2

0.2

0.1

0.2

0.2

Intr

aute

rin

e h

ypox

ia o

r b

irth

asp

hyx

ia0.

1**

**0.

1**

0.1

0.1

**0.

10.

1 *

*

Ass

ault

(h

omic

ide)

****

0.1

0.1

****

0.1

****

0.1

**

Res

pir

ator

y d

istr

ess

syn

dro

me

0.1

0.1

0.1

****

****

****

0.1

**

Infl

uen

za a

nd

pn

eum

onia

**0.

1**

****

****

****

** *

*

Tot a

l, a

ll ca

use

s6.

35.

96.

05.

95.

85.

36.

25.

65.

45.

65.

6

TAB

LE 2

C-6

INFA

NT

MO

RTA

LITY

RA

TES

a FO

R S

ELEC

TED

LEA

DIN

G C

AU

SES

OF

DEA

TH B

Y Y

EAR

, A

RIZ

ON

A,

20

08

-20

18

Not

es:

** C

ell s

uppr

esse

d du

e to

rat

e/ra

tio/p

erce

nt b

ased

on

non-

zero

cou

nt le

ss t

han

6; a

Num

ber

of in

fant

dea

ths

per

1,00

0 liv

e bi

rths

; le

adin

g ca

uses

of in

fant

mor

talit

y ar

e ba

sed

on t

he li

st o

f 13

0 ca

uses

of in

fant

dea

th a

ccor

ding

to

the

Tent

h Rev

isio

n, I

nter

natio

nal C

lass

ifica

tion

of D

isea

ses

(IC

D-1

0).


2C.AGE-SPECIFIC MORTALITY Childhood mortality (ages 1-14 years)

Figure 2C-5 Mortality Ratesa by Gender and Year among Children 1-14 Years,

Arizona, 2008-2018

Note: a Number of deaths per 100,000 persons, 1-14 years old in specified group.

In 2018, a total of 244 deaths were recorded among 1,279,440 children aged 1-14 years residing in Arizona. The 2018 childhood mortality rate was 19.1 per 100,000, representing an increase from 18.2 the rate recorded in 2017 (Table 2C-7). Between 2017 and 2018 the mortality rate for male children witnessed an increase while the rate for female children decreased (Figure 2C-5, Table 2C-7).

The five causes with the greatest mortality rates in childhood from 2008-2018 were accidents (unintentional injuries), malignant neoplasms, congenital malformations, homicide, and suicide (Table 2C-7).

Figure 2C-6 Mortality Ratesa by Race/Ethnicity among Children 1-14 Years,

Arizona, 2018


American Indian children had the highest total mortality rate (40.7 deaths per 100,000) in 2018, followed by Black or African American children (25.0/100,000; Figure 2C-6). The mortality rates of Asian and Hispanic or Latino children were lower than the average rate for all groups.

It is important to note that the mortality rate of Asians is based on a very low death count (Table 2C-10) thus not statistically reliable. In 2018, there were fewer than 6 children who died from congenital anomalies or by means of suicide among this age group (Table 2C-10).


2C.AGE-SPECIFIC MORTALITY Childhood mortality (ages 1-14 years)

From 2017 to 2018, mortality rates increased for both rural and urban children (Figure 2C-7, Table 2C-8). Between 2008 and 2018, urban childhood mortality rates have been lower than rural childhood mortality rates in each year during the 11-year period. During thesame period, urban childrenwitnessed a 4.9 percentdecrease in their mortality ratewhile rural children have seenan increase of 7.1 percent intheir death rate.

Figure 2C-7 Mortality Ratesa by Urban/Rural Areab and Year among Children 1-14 Years,

Arizona, 2008-2018

Notes: a Number of deaths per 100,000 persons, 1-14 years old in specified group; b Urban counties are Maricopa, Pima, Pinal, and Yuma Counties. Rural counties are those remaining.

From 2017 to 2018, the mortality rate for accidents decreased for urban children but increased substantially for rural children (Table 2C-8). In 2018, the mortality rate for unintentional injuries among rural children (8.5/100,000) was 57.4 percent higher than the rate among urban children (5.4/100,000; Table 2C-8). In the same year, 24 children died of accidental drowning; most of them resided in urban areas (Table 2C-10).

Rural females aged 1-14 years old had the lowest mortality risk among gender by area groups in 2018, followed by urban females, urban males, and rural males.

Figure 2C-8 Mortality Ratesa by Gender in Urban/Ruralb Areas among Children 1-14 Years,

Arizona, 2018

Notes: a Number of deaths per 100,000 persons, 1-14 years old in specified group; b Urban counties include Maricopa, Pima, Pinal, and Yuma Counties. Rural counties are those remaining.


% c

han

ge

from

20

08

MA

LEAcc

iden

ts (

unin

tent

iona

l inj

urie

s)7.

88.

08.

29.

67.

48.

66.

55.

77.

06.

88.

47.

7M

otor

veh

icle

acc

iden

ts2.

54.

23.

14.

03.

54.

52.

52.

04.

02.

93.

228

.0D

row

ning

2.9

2.6

2.5

2.6

2.2

1.8

2.2

1.9

2.3

2.3

3.2

10.3

Oth

er2.

41.

22.

63.

11.

72.

31.

91.

90.

61.

52.

0-1

6.7

Mal

igna

nt n

eopl

asm

s2.

53.

11.

91.

72.

82.

51.

71.

71.

62.

32.

3-8

.0In

tent

iona

l sel

f-ha

rm (

suic

ide)

0.9

0.4

1.2

1.1

1.1

0.6

1.1

1.1

0.8

1.7

2.0

122.

2Con

geni

tal m

alfo

rmat

ions

1.8

1.5

1.5

1.7

1.8

0.9

0.9

0.9

1.1

0.9

1.2

-33.

3Ass

ault

(hom

icid

e)1.

20.

92.

00.

90.

91.

40.

91.

20.

90.

60.

5-6

1.7

ALL

CAU

SES

22.3

21.5

22.1

21.6

22.0

22.4

18.2

17.2

21.8

19.9

23.6

5.8

(Num

ber

of a

ll de

aths

)(1

52)

(148

)(1

43)

(141

)(1

43)

(146

)(1

18)

(111

)(1

40)

(129

)(1

54)

1.3

FEM

ALE

Acc

iden

ts (

unin

tent

iona

l inj

urie

s)4.

65.

55.

13.

23.

74.

53.

74.

34.

55.

13.

3-2

8.3

Mot

or v

ehic

le a

ccid

ents

2.8

2.9

2.4

1.1

1.8

2.6

2.6

1.9

2.7

2.2

2.4

-14.

3O

ther

0.9

2.0

1.4

0.8

1.1

0.6

0.6

1.8

1.0

1.6

0.5

-46.

8D

row

ning

0.9

0.6

1.3

1.3

0.8

1.3

0.5

0.6

0.8

1.3

0.5

-46.

8M

alig

nant

neo

plas

ms

2.0

1.8

2.2

2.4

2.4

2.1

2.9

0.5

1.3

2.4

2.6

30.0

Con

geni

tal m

alfo

rmat

ions

1.5

1.4

1.6

1.0

2.3

2.4

1.3

2.1

0.6

1.1

1.3

-13.

3Ass

ault

(hom

icid

e)0.

91.

80.

31.

31.

11.

61.

31.

31.

31.

01.

344

.4In

fluen

za a

nd p

neum

onia

0.6

0.5

0.3

0.3

0.2

0.2

0.2

0.2

0.2

0.3

0.3

-50.

0ALL

CAU

SES

17.0

18.8

15.6

13.2

16.7

17.0

17.5

13.7

14.7

16.4

14.4

-15.

3(N

umbe

r of

all

deat

hs)

(110

)(1

23)

(97)

(83)

(104

)(1

06)

(109

)(8

5)(9

1)(1

02)

(90)

(-18

.2)

TOTA

LAcc

iden

ts (

unin

tent

iona

l inj

urie

s)6.

26.

86.

76.

55.

66.

65.

15.

05.

86.

05.

9-4

.8M

otor

veh

icle

acc

iden

ts2.

63.

62.

82.

62.

73.

52.

52.

03.

42.

62.

88.

2D

row

ning

2.0

1.6

1.9

2.0

1.5

1.6

1.3

1.3

1.6

1.8

1.9

-6.2

Oth

er1.

61.

62.

02.

01.

41.

51.

31.

80.

81.

61.

3-1

8.8

Mal

igna

nt n

eopl

asm

s2.

32.

52.

02.

02.

62.

32.

31.

11.

42.

42.

44.

3In

tent

iona

l sel

f-ha

rm (

suic

ide)

0.6

0.3

0.7

0.9

0.6

0.6

0.9

0.9

0.7

1.3

1.3

116.

7Con

geni

tal m

alfo

rmat

ions

1.7

1.4

1.6

1.3

2.0

1.6

1.1

1.5

0.9

1.0

1.3

-23.

5Ass

ault

(hom

icid

e)1.

11.

31.

21.

11.

01.

51.

11.

31.

10.

80.

9-1

8.2

ALL

CAU

SES

19.7

20.2

18.9

17.5

19.4

19.8

17.9

15.4

18.3

18.2

19.1

-3.0

(Num

ber

of a

ll de

aths

)(2

62)

(271

)(2

40)

(224

)(2

47)

(252

)(2

27)

(196

)(2

31)

(231

)(2

44)

(-6.

9)

Not

es: a

Num

ber

of d

eath

s pe

r 10

0,00

0 ch

ildre

n 1-

14 y

ears

old

; b T

he fiv

e ca

uses

with

the

gre

ates

t nu

mbe

r of

dea

ths

over

the

200

8-20

18 p

erio

d; t

he c

ause

-of-

deat

h tit

les

are

acco

rdin

g to

the

Ten

th R

evis

ion

of t

he I

nter

natio

nal C

lass

ifica

tion

of D

isea

ses

(IC

D-1

0);

the

caus

es o

f de

ath

for

2008

-201

8 ar

e cl

assi

fied

by I

CD

-10,

rep

laci

ng t

he N

inth

Rev

isio

n (I

CD

-9)

; m

easu

res

of c

ompa

riso

n be

twee

n IC

D-9

and

IC

D-1

0 –

the

“com

para

bilit

y ra

tios”

– for

the

cau

ses

of d

eath

sho

wn

in t

his

repo

rt a

re p

rovi

ded

in t

he T

ech

nic

al N

ote

s.

20

14

20

15

20

16

20

17

20

18

TAB

LE 2

C-7

MO

RTA

LITY

RA

TES

a FO

R T

HE

SEL

ECTE

D F

IVE

LEA

DIN

G C

AU

SES

b O

F D

EATH

AM

ON

G C

HIL

DR

EN (

1-1

4 Y

EAR

S)

BY

GEN

DER

, A

RIZ

ON

A,

20

08

-20

18

Gen

der

/Cau

se2

00

82

00

92

01

02

01

12

01

22

01

3


% c

han

ge

from

20

08

UR

BA

NAcc

iden

ts (

unin

tent

iona

l inj

urie

s)5.

46.

46.

05.

74.

75.

54.

54.

35.

05.

85.

40.

0M

otor

veh

icle

acc

iden

ts2.

03.

22.

51.

71.

92.

62.

01.

72.

62.

12.

17.

6D

row

ning

1.8

1.8

1.8

2.2

1.5

1.8

1.4

1.2

1.8

2.1

2.0

10.8

Oth

er1.

71.

51.

71.

71.

31.

11.

11.

40.

61.

61.

4-1

7.6

Mal

igna

nt n

eopl

asm

s2.

62.

62.

32.

12.

62.

42.

31.

11.

42.

52.

5-2

.9Con

geni

tal m

alfo

rmat

ions

1.7

1.3

1.8

1.3

2.1

1.8

1.0

1.5

0.9

1.0

1.4

-17.

0Ass

ault

(hom

icid

e)1.

11.

31.

31.

20.

91.

51.

01.

21.

10.

60.

7-3

4.3

Dis

ease

s of

hea

rt0.

40.

30.

30.

40.

60.

30.

30.

30.

50.

20.

525

.0ALL

CAU

SES

18.5

19.4

18.1

16.6

17.7

18.3

16.5

14.5

17.1

17.5

17.6

-5.1

(Num

ber

of a

ll de

aths

)(2

10)

(221

)(1

97)

(182

)(1

92)

(200

)(1

80)

(158

)(1

86)

(192

)(1

94)

(-7.

6)R

UR

AL

Acc

iden

ts (

unin

tent

iona

l inj

urie

s)10

.38.

810

.811

.310

.912

.68.

99.

510

.86.

88.

5-1

7.6

Mot

or v

ehic

le a

ccid

ents

6.4

5.8

4.3

7.5

7.1

8.7

5.5

3.3

8.5

5.1

7.4

15.9

Dro

wni

ng2.

51.

02.

20.

51.

60.

01.

11.

70.

00.

01.

1-5

5.2

Oth

er1.

51.

94.

33.

22.

23.

82.

24.

52.

31.

70.

0-1

00.0

Inte

ntio

nal s

elf-

harm

(su

icid

e)1.

50.

51.

10.

51.

11.

62.

22.

81.

74.

03.

413

0.8

Mal

igna

nt n

eopl

asm

s0.

51.

90.

51.

62.

21.

62.

21.

11.

71.

71.

724

6.2

Ass

ault

(hom

icid

e)1.

01.

50.

50.

51.

61.

61.

71.

71.

11.

71.

773

.1Con

geni

tal m

alfo

rmat

ions

1.5

1.9

0.5

1.6

1.6

0.5

1.7

1.7

0.6

1.1

0.0

-100

.0ALL

CAU

SES

25.5

23.8

23.2

22.6

28.9

27.9

26.0

21.2

24.9

21.6

27.3

6.9

(Num

ber

of a

ll de

aths

)(5

2)(4

9)(4

3)(4

2)(5

3)(5

1)(4

7)(3

8)(4

4)(3

8)(4

8)(-

7.7)

TOTA

LAcc

iden

ts (

unin

tent

iona

l inj

urie

s)6.

26.

86.

76.

55.

66.

65.

15.

05.

86.

05.

9-4

.8M

otor

veh

icle

acc

iden

ts2.

63.

62.

82.

62.

73.

52.

52.

03.

42.

62.

88.

2D

row

ning

2.0

1.6

1.9

2.0

1.5

1.6

1.3

1.3

1.6

1.8

1.9

-6.2

Oth

er1.

61.

62.

02.

01.

41.

51.

31.

80.

81.

61.

3-1

8.8

Mal

igna

nt n

eopl

asm

s2.

32.

52.

02.

02.

62.

32.

31.

11.

42.

42.

44.

3In

tent

iona

l sel

f-ha

rm (

suic

ide)

0.6

0.3

0.7

0.9

0.6

0.6

0.9

0.9

0.7

1.3

1.3

116.

7Con

geni

tal m

alfo

rmat

ions

1.7

1.4

1.6

1.3

2.0

1.6

1.1

1.5

0.9

1.0

1.3

-23.

5Ass

ault

(hom

icid

e)1.

11.

31.

21.

11.

01.

51.

11.

31.

10.

80.

9-1

8.2

ALL

CAU

SES

19.7

20.2

18.9

17.5

19.4

19.8

17.9

15.4

18.3

18.2

19.1

-3.0

(Num

ber

of a

ll de

aths

)(2

62)

(271

)(2

40)

(224

)(2

47)

(252

)(2

27)

(196

)(2

31)

(231

)(2

44)

(-6.

9)N

otes

: a N

umbe

r of

dea

ths

per

100,

000

child

ren

1-14

yea

rs o

ld;

b The

fiv

e ca

uses

with

the

gre

ates

t nu

mbe

r of

dea

ths

over

the

200

8-20

18 p

erio

d; c U

rban

= M

aric

opa,

Pim

a, P

inal

, an

d Yu

ma

coun

ties;

the

rem

aini

ng c

ount

ies

com

pris

e Arizo

na's

rur

al a

reas

; se

e T

ech

nic

al N

ote

s for

mor

e in

form

atio

n; r

ecor

ds w

ith u

nkno

wn

coun

ty o

f re

side

nce

are

incl

uded

in t

he

stat

ewid

e to

tals

, bu

t ar

e no

t di

stribu

ted

by u

rban

/rur

al a

rea;

the

cau

se-o

f-de

ath

title

s ar

e ac

cord

ing

to t

he T

enth

Rev

isio

n of

the

Int

erna

tiona

l Cla

ssifi

catio

n of

Dis

ease

s (I

CD

-10)

; th

e ca

uses

of de

ath

for

2008

-201

8 ar

e cl

assi

fied

by I

CD

-10;

mea

sure

s of

com

pariso

n be

twee

n IC

D-9

and

IC

D-1

0 -

the

"com

para

bilit

y ra

tios"

- for

the

cau

ses

of d

eath

sho

wn

in t

his

repo

rt

are

prov

ided

in t

he T

ech

nic

al N

ote

s.

TAB

LE 2

C-8

MO

RTA

LITY

RA

TES

a FO

R T

HE

SEL

ECTE

D F

IVE

LEA

DIN

G C

AU

SES

b O

F D

EATH

AM

ON

G C

HIL

DR

EN (

1-1

4 Y

EAR

S)

IN U

RB

AN

AN

D R

UR

AL

AR

EAS

c , A

RIZ

ON

A,

20

08

-20

18

Are

a/C

ause

20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18


% c

han

ge

from

20

08

UR

BA

N

Mal

e21

.120

.620

.020

.820

.021

.316

.216

.219

.918

.422

.25.

2

Fem

ale

15.9

18.2

16.2

12.3

15.2

15.2

16.8

12.7

14.3

16.6

12.8

-19.

5

TOTA

L18

.519

.418

.116

.617

.718

.316

.514

.517

.117

.517

.6-4

.9

RU

RA

L

Mal

e27

.925

.733

.926

.432

.129

.030

.523

.133

.527

.932

.516

.5

Fem

ale

23.0

21.8

12.1

18.7

25.5

26.6

21.3

19.3

16.1

15.0

21.9

-4.8

TOTA

L25

.523

.823

.222

.628

.927

.926

.021

.224

.921

.627

.37.

1

TOTA

L

Mal

e22

.321

.522

.121

.622

.022

.418

.217

.221

.819

.923

.65.

8

Fem

ale

17.0

18.8

15.6

13.2

16.7

17.0

17.5

13.7

14.7

16.4

14.4

-15.

3

TOTA

L19

.720

.218

.917

.519

.419

.817

.915

.418

.318

.219

.1-3

.0

TAB

LE 2

C-9

MO

RTA

LITY

RA

TES

a FO

R T

HE

SEL

ECTE

D F

IVE

LEA

DIN

G C

AU

SES

OF

DEA

TH A

MO

NG

CH

ILD

REN

(1

-14

YEA

RS

) B

Y G

END

ER I

N U

RB

AN

AN

D R

UR

AL

AR

EAS

b,

AR

IZO

NA

, 2

00

8-2

01

8

Are

a/G

end

er2

00

82

00

92

01

02

01

12

01

22

01

3

Not

es: a

Rat

es a

re p

rese

nted

per

100

,000

chi

ldre

n 1-

14 y

ears

old

; b U

rban

= M

aric

opa,

Pim

a, P

inal

, an

d Yu

ma

coun

ties;

the

rem

aini

ng c

ount

ies

com

pris

e Arizo

na's

rur

al a

reas

; re

cord

s w

ith u

nkno

wn

coun

ty o

f re

side

nce

are

incl

uded

in t

he s

tate

wid

e to

tals

, bu

t ar

e no

t di

stribu

ted

by u

rban

/rur

al a

rea.

20

14

20

15

20

16

20

17

20

18


Male

Female

Urban

Rural

Unknown

White non-Hispanic

Hispanic or Latino

Black or African American


Asian or other Pacific Islander

Acc

iden

ts (

un

inte

nti

onal

inju

ry)

7655

2160

15*

3822

79

0

Mot

or v

ehic

le a

ccid

ents

40†

2115

2313

014

10*

80

Acc

iden

tal d

row

nin

g a

nd

su

bm

ersi

on20

†21

*22

*0

158

*0

0

Mal

ign

ant

neo

pla

sms

30†

1516

28*

016

13*

*0

Leu

kem

ia10

†*

89

00

**

00

0

Inte

nti

onal

sel

f-h

arm

(su

icid

e)20

†13

*11

60

**

*6

*

Con

gen

ital

mal

form

atio

ns

20†

88

150

*9

**

**

Ass

ault

(h

omic

ide)

10†

*8

8*

07

**

*0

By

oth

er m

ean

s10

†*

6*

*0

*0

**

0

By

dis

char

ge

of f

irea

rms

0†*

**

*0

**

00

0

Infl

uen

za a

nd

pn

eum

onia

10†

**

**

0*

*0

*0

Ch

ron

ic lo

wer

res

pir

ator

y d

isea

ses

0†*

**

00

**

*0

0

Ast

hm

a0†

**

*0

0*

**

00

Tota

l, a

ll ca

use

s24

415

490

194

482

107

8419

286

TAB

LE 2

C-1

0LE

AD

ING

CA

US

ES O

F D

EATH

AM

ON

G C

HIL

DR

EN (

1-1

4 Y

EAR

S)

BY

GEN

DER

, A

REA

, A

ND

RA

CE/

ETH

NIC

ITY

, A

RIZ

ON

A,

20

18

Cau

se o

f d

eath

Total

Gen

der

Are

aaR

ace/

eth

nic

ity

Not

es:

* C

ell s

uppr

esse

d du

e to

cou

nt le

ss t

han

6; †

Sum

rou

nded

to

near

est

tens

uni

t du

e to

add

end

less

tha

n 6;

a Urb

an =

Mar

icop

a, P

ima,

Pin

al,

and

Yum

a co

untie

s; t

he r

emai

ning

co

untie

s co

mpr

ise

Arizo

na’s

rur

al a

reas

.


2C.AGE-SPECIFIC MORTALITY Adolescent mortality (ages 15-19 years)

Figure 2C-9 Mortality Ratesa by Gender and Year among Adolescents 15-19 Years,

Arizona, 2008-2018

Notes: a Number of deaths per 100,000 persons, 15 - 19 years old in specified group.

Adolescence refers to individuals between the ages of 15 and 19, an important developmental period marking the transition from childhood to adulthood. In 2018, an estimated 471,388 adolescents resided in Arizona, comprising 6.7 percent of the State’s population (Table 10A-1). The lives of 295 resident adolescents prematurely ended in 2018, resulting in a total mortality rate of 62.6 deaths per 100,000 adolescents. This mortality rate was 4.7 percent lower than the 2008 rate (Table 2C-11).

The likelihood of dying was approximately two-fold greater for adolescent boys than for adolescent girls in 2018 (Figure 2C-9, Table 2C-11).

Figure 2C-10 Mortality Ratesa by Race/Ethnicity among Adolescents 15-19 Years,

Arizona, 2018

Note: a Number of deaths per 100,000 persons, 15 - 19 years old in specified group.

The five causes with the greatest number of deaths over the 2008-2018 period were unintentional injuries in accidents, suicide, homicide, malignant neoplasms, and diseases of heart (Table 2C-14).

In 2018, adolescents who were Asian, Hispanic, or White had greater survival chances than the state average for all adolescents. American Indian had the lowest survival chances of all racial/ethnic groups (Figure 2C-10). If the 2018 mortality risk of Asian adolescents (i.e., their mortality rate) was applied to all adolescents, only 182 would have died: 113 less than the 295 who actually did.


2C.AGE-SPECIFIC MORTALITY Adolescent mortality (ages 15-19 years)

In 2018, eighty one suicide deaths were recorded among Arizonans age 15-19 years, an increase from 62 in 2017 (Table 2C-14). In 2018, as in prior years, male adolescents accounted for the absolute majority (82.7 percent) of completed suicides.

The suicide rate in 2013 was the lowest recorded since at least 1990 (Figure 2C-11, Table 2C-11). Compared to 2008, the adolescent male suicide rate (27.8) was 54.4 percent higher in 2018 while the adolescent female suicide rate (6.1) was 4.7 percent lower during the same year. The male to female ratio in suicide mortality rates increased from 2.8:1 in 2008 to 4.6:1 in 2018. In other words, male adolescents were almost 5 times more likely to kill themselves in 2018 than female adolescents, compared to 2.8 times more likely in 2008.

Figure 2C-11 Suicide Ratesa by Gender and Year among Adolescents 15-19 Years,

Arizona, 2008-2018

Note: a Number of suicide deaths per 100,000 persons, 15 - 19 years old in specified group.

From 2008 to 2018, homicide rates decreased for both adolescent males and females (Figure 2C-12, Table 2C-11). From 2008 to 2012, the homicide rate decreased by 62.4 percent for adolescent males, and by 69.5 percent for adolescent females. A shift occurred in 2013, as the adolescent homicide mortality rate increased for males while still declining for females. From 2017 to 2018, the overall rate of adolescent homicide deaths decreased by 8.8 percent. Looking at gender specific homicide mortality, there was a decrease of 16.3 percent for males but an increase of 12.9 percent for females.

Figure 2C-12 Homicide Ratesa by Gender and Year among Adolescents 15-19 Years,

Arizona, 2008-2018

Note: a Number of homicide deaths per 100,000 persons, 15 - 19 years old in specified group.


% c

han

ge

from

20

08

MA

LEAcc

iden

ts (

unin

tent

iona

l inj

urie

s)33

.034

.427

.029

.328

.828

.122

.320

.927

.933

.332

.4-1

.8O

ther

11

.119

.111

.80.

810

.412

.87.

38.

114

.817

.919

.172

.1M

otor

veh

icle

acc

iden

ts21

.915

.315

.218

.818

.315

.315

.012

.813

.115

.413

.3-3

9.3

Inte

ntio

nal s

elf-

harm

(su

icid

e)18

.016

.111

.415

.114

.210

.715

.820

.918

.220

.827

.854

.4Ass

ault

(hom

icid

e)21

.013

.612

.210

.07.

911

.24.

38.

111

.810

.48.

7-5

8.6

Mal

igna

nt n

eopl

asm

s5.

13.

42.

52.

12.

92.

52.

63.

82.

52.

12.

5-5

1.0

Dis

ease

s of

hea

rt0.

41.

32.

11.

30.

00.

41.

30.

40.

00.

81.

732

5.0

ALL

CAU

SES

89.1

81.1

69.5

67.4

62.5

66.5

63.8

67.8

72.7

79.5

85.5

-4.1

(Num

ber

of a

ll de

aths

)(2

08)

(191

)(1

65)

(161

)(1

50)

(161

)(1

49)

(159

)(1

72)

(191

)(2

06)

(-1.

0)FE

MA

LEAcc

iden

ts (

unin

tent

iona

l inj

urie

s)18

.39.

19.

49.

715

.87.

97.

79.

015

.511

.820

.813

.7M

otor

veh

icle

acc

iden

ts12

.46.

34.

55.

813

.26.

15.

06.

311

.58.

313

.04.

8O

ther

5.

92.

74.

90.

92.

61.

72.

72.

74.

03.

57.

832

.2In

tent

iona

l sel

f-ha

rm (

suic

ide)

6.4

5.0

5.3

6.2

6.2

2.6

5.5

6.3

5.8

5.2

6.1

-4.7

Ass

ault

(hom

icid

e)5.

94.

10.

92.

21.

81.

72.

72.

32.

73.

13.

5-4

0.7

Mal

igna

nt n

eopl

asm

s4.

13.

22.

74.

41.

83.

54.

12.

72.

21.

30.

9-7

8.0

Dis

ease

s of

hea

rt0.

91.

40.

90.

90.

00.

90.

90.

91.

80.

90.

90.

0ALL

CAU

SES

40.7

29.0

24.5

31.0

30.3

23.2

28.2

26.1

33.3

26.7

38.6

-5.2

(Num

ber

of a

ll de

aths

)(8

9)(6

4)(5

5)(7

0)(6

9)(5

3)(6

2)(5

8)(7

5)(6

1)(8

9)0.

0TO

TAL

Acc

iden

ts (

unin

tent

iona

l inj

urie

s)25

.922

.118

.419

.822

.518

.315

.215

.121

.922

.826

.73.

1O

ther

8.

611

.28.

40.

96.

67.

45.

15.

59.

510

.913

.658

.1M

otor

veh

icle

acc

iden

ts17

.311

.010

.012

.515

.810

.810

.19.

612

.311

.913

.2-2

3.7

Inte

ntio

nal s

elf-

harm

(su

icid

e)12

.410

.78.

410

.810

.36.

810

.813

.812

.113

.217

.238

.6Ass

ault

(hom

icid

e)13

.79.

06.

76.

24.

96.

63.

55.

37.

46.

86.

2-5

4.7

Mal

igna

nt n

eopl

asm

s4.

63.

32.

63.

22.

43.

03.

33.

32.

41.

71.

7-6

3.0

Dis

ease

s of

hea

rt0.

91.

31.

51.

10.

00.

61.

10.

70.

90.

91.

344

.4ALL

CAU

SES

65.7

55.9

47.7

49.7

47.1

45.5

46.5

47.5

53.5

53.7

62.6

-4.7

(Num

ber

of a

ll de

aths

)(2

97)

(255

)(2

20)

(231

)(2

20)

(214

)(2

11)

(217

)(2

47)

(252

)(2

95)

(-0.

7)N

otes

: a N

umbe

r of

dea

ths

per

100,

000

adol

esce

nts

15-1

9 ye

ars

old;

b The

fiv

e ca

uses

with

the

gre

ates

t nu

mbe

r of

dea

ths

over

the

200

8-20

18 p

erio

d; t

he c

ause

-of-

deat

h tit

les

are

acco

rdin

g to

the

Ten

th R

evis

ion

of t

he I

nter

natio

nal C

lass

ifica

tion

of D

isea

ses

(IC

D-1

0);

the

caus

es o

f de

ath

for

2008

-201

8 ar

e cl

assi

fied

by I

CD

-10,

rep

laci

ng t

he N

inth

Rev

isio

n (I

CD

-9);

mea

sure

s of

com

pariso

n be

twee

n IC

D-9

and

IC

D-1

0 –

the

“com

para

bilit

y ra

tios”

– for

the

cau

ses

of d

eath

sho

wn

in t

his

repo

rt a

re p

rovi

ded

in t

he T

ech

nic

al

No

tes

.

TAB

LE 2

C-1

1M

OR

TALI

TY R

ATE

Sa

FOR

TH

E S

ELEC

TED

FIV

E LE

AD

ING

CA

US

ESb O

F D

EATH

AM

ON

G A

DO

LES

CEN

TS (

15

-19

YEA

RS

) B

Y G

END

ER,

AR

IZO

NA

, 2

00

8-2

01

8

Gen

der

/Cau

se2

00

82

00

92

01

02

01

12

01

22

01

32

01

42

01

52

01

62

01

72

01

8


% c

han

ge

from

20

08

UR

BA

NAcc

iden

ts (

unin

tent

iona

l inj

urie

s)23

.718

.717

.018

.417

.015

.812

.513

.420

.419

.625

.99.

3O

ther

8.

99.

17.

71.

05.

16.

53.

74.

98.

210

.313

.753

.9M

otor

veh

icle

acc

iden

ts14

.89.

69.

310

.811

.99.

38.

98.

512

.29.

312

.2-1

7.6

Inte

ntio

nal s

elf-

harm

(su

icid

e)9.

49.

67.

28.

58.

15.

09.

612

.711

.211

.512

.431

.9Ass

ault

(hom

icid

e)15

.39.

66.

76.

44.

86.

83.

75.

97.

97.

86.

5-5

7.5

Mal

igna

nt n

eopl

asm

s4.

63.

22.

32.

82.

83.

53.

72.

82.

81.

81.

7-6

3.0

Dis

ease

s of

hea

rt1.

11.

31.

51.

30.

00.

51.

30.

50.

81.

01.

0-9

.1ALL

CAU

SES

61.4

51.5

43.6

45.3

38.8

42.4

42.5

44.2

50.7

49.9

57.2

-6.8

(Num

ber

of a

ll de

aths

)(2

30)

(194

)(1

69)

(177

)(1

53)

(169

)(1

63)

(171

)(1

99)

(199

)(2

30)

0.0

RU

RA

LAcc

iden

ts (

unin

tent

iona

l inj

urie

s)36

.036

.925

.526

.952

.131

.829

.924

.530

.339

.930

.2-1

6.1

Mot

or v

ehic

le a

ccid

ents

28.6

17.2

13.4

21.5

37.0

19.3

17.1

15.8

13.0

25.6

18.7

-34.

6O

ther

7.

419

.712

.10.

015

.112

.412

.88.

617

.314

.211

.555

.4In

tent

iona

l sel

f-ha

rm (

suic

ide)

26.1

16.0

14.8

22.9

21.9

16.6

17.1

20.2

17.3

22.8

44.5

70.5

Ass

ault

(hom

icid

e)7.

56.

16.

75.

45.

55.

52.

91.

42.

91.

44.

3-4

2.5

Dis

ease

s of

hea

rt0.

01.

21.

30.

00.

00.

00.

01.

41.

40.

02.

90.

0M

alig

nant

neo

plas

ms

6.2

3.7

4.0

5.4

0.0

0.0

1.4

5.8

0.0

1.4

1.4

-77.

4ALL

CAU

SES

83.3

75.0

68.6

72.7

90.5

62.1

68.4

66.2

66.4

74.1

91.9

10.3

(Num

ber

of a

ll de

aths

)(6

7)(6

1)(5

1)(5

4)(6

6)(4

5)(4

8)(4

6)(4

6)(5

2)(6

4)(-

4.5)

TOTA

LAcc

iden

ts (

unin

tent

iona

l inj

urie

s)25

.922

.118

.419

.822

.518

.315

.215

.121

.922

.826

.73.

1O

ther

8.

611

.28.

40.

96.

67.

45.

15.

59.

510

.913

.658

.1M

otor

veh

icle

acc

iden

ts17

.311

.010

.012

.515

.810

.810

.19.

612

.311

.913

.2-2

3.7

Inte

ntio

nal s

elf-

harm

(su

icid

e)12

.410

.78.

410

.810

.36.

810

.813

.812

.113

.217

.238

.6Ass

ault

(hom

icid

e)13

.79.

06.

76.

24.

96.

63.

55.

37.

46.

86.

2-5

4.7

Mal

igna

nt n

eopl

asm

s4.

63.

32.

63.

22.

43.

03.

33.

32.

41.

71.

7-6

3.0

Dis

ease

s of

hea

rt0.

91.

31.

51.

10.

00.

61.

10.

70.

90.

91.

344

.4ALL

CAU

SES

65.7

55.9

47.7

49.7

47.1

45.5

46.5

47.5

53.5

53.7

62.6

-4.7

(Num

ber

of a

ll de

aths

)(2

97)

(255

)(2

20)

(231

)(2

20)

(214

)(2

11)

(217

)(2

47)

(252

)(2

95)

(-0.

7)

Not

es: a

Num

ber

of d

eath

s pe

r 10

0,00

0 ad

oles

cent

s 15

-19

year

s ol

d; b T

he fiv

e ca

uses

with

the

gre

ates

t nu

mbe

r of

dea

ths

over

the

200

8-20

18 p

erio

d; c U

rban

= M

aric

opa,

Pim

a,

Pina

l, an

d Yu

ma

coun

ties;

the

rem

aini

ng c

ount

ies

com

pris

e Arizo

na's

rur

al a

reas

; se

e T

ech

nic

al N

ote

s for

mor

e in

form

atio

n; r

ecor

ds w

ith u

nkno

wn

coun

ty o

f re

side

nce

are

incl

uded

in

the

sta

tew

ide

tota

ls,

but

are

not

dist

ribu

ted

by u

rban

/rur

al a

rea;

the

cau

se-o

f-de

ath

title

s ar

e ac

cord

ing

to t

he T

enth

Rev

isio

n of

the

Int

erna

tiona

l Cla

ssifi

catio

n of

Dis

ease

s (I

CD

-10

); t

he c

ause

s of

dea

th for

200

8-20

18 a

re c

lass

ified

by

ICD

-10;

mea

sure

s of

com

pariso

n be

twee

n IC

D-9

and

IC

D-1

0 -

the

"com

para

bilit

y ra

tios"

- for

the

cau

ses

of d

eath

sho

wn

in

this

rep

ort

are

prov

ided

in t

he T

ech

nic

al N

ote

s.

TAB

LE 2

C-1

2M

OR

TALI

TY R

ATE

Sa

FOR

TH

E S

ELEC

TED

FIV

E LE

AD

ING

CA

US

ESb O

F D

EATH

AM

ON

G A

DO

LES

CEN

TS (

15

-19

YEA

RS

)IN

UR

BA

N A

ND

RU

RA

L A

REA

Sc ,

AR

IZO

NA

, 2

00

8-2

01

8

Are

a/C

ause

20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18


% c

han

ge

fro

m 2

00

8

UR

BA

N

Mal

e84

.373

.862

.862

.250

.862

.059

.860

.869

.673

.978

.3-7

.1

Fem

ale

36.8

27.6

23.4

27.4

26.1

21.7

24.2

26.6

30.9

24.7

35.2

-4.3

TOTA

L61

.451

.543

.645

.338

.842

.442

.544

.250

.749

.957

.2-6

.8

RU

RA

L

Mal

e10

9.0

112.

610

4.9

94.6

123.

391

.485

.810

6.8

84.9

111.

612

4.4

14.1

Fem

ale

56.2

35.4

30.3

49.6

53.3

31.2

50.0

23.6

47.1

34.9

58.4

3.9

TOTA

L83

.375

.068

.672

.790

.562

.168

.466

.266

.474

.191

.910

.3

TOTA

L

Mal

e89

.181

.169

.567

.462

.566

.563

.867

.872

.779

.585

.5-4

.1

Fem

ale

40.7

29.0

24.5

31.0

30.3

23.2

28.2

26.1

33.3

26.7

38.6

-5.2

TOTA

L65

.755

.947

.749

.747

.145

.546

.547

.553

.553

.762

.6-4

.7

TAB

LE 2

C-1

3M

OR

TALI

TY R

ATE

Sa

FOR

TH

E S

ELEC

TED

FIV

E LE

AD

ING

CA

US

ES O

F D

EATH

AM

ON

G A

DO

LES

CEN

TS (

15

-19

YEA

RS

)B

Y G

END

ER I

N U

RB

AN

AN

D R

UR

AL

AR

EAS

b,

AR

IZO

NA

, 2

00

8-2

01

8

Are

a/G

end

er2

00

82

00

92

01

02

01

12

01

22

01

3

Not

es: a

Rat

es a

re p

rese

nted

per

100

,000

chi

ldre

n 15

-19

year

s ol

d; b U

rban

= M

aric

opa,

Pim

a, P

inal

, an

d Yu

ma

coun

ties;

the

rem

aini

ng c

ount

ies

com

pris

e Arizo

na's

rur

al a

reas

; se

e T

ech

nic

al N

ote

s for

mor

e in

form

atio

n; r

ecor

ds w

ith u

nkno

wn

coun

ty o

f re

side

nce

are

incl

uded

in t

he s

tate

wid

e to

tals

, bu

t ar

e no

t di

stribu

ted

by u

rban

/rur

al a

rea.

20

14

20

15

20

16

20

17

20

18


Male

Female

Urban

Rural

Unknown

White non-Hispanic

Hispanic or Latino




Refused/Unknown

Acc

iden

ts (

un

inte

nti

onal

inju

ry)

130†

7848

104

21*

5649

910

*0

Mot

or v

ehic

le a

ccid

ents

60†

3230

4913

021

29*

70

0

Acc

iden

tal p

oiso

nin

g50

†39

1447

60

3117

**

*0

Acc

iden

tal d

row

nin

g a

nd

su

bm

ersi

on0†

**

**

0*

0*

0*

0

Inte

nti

onal

sel

f-h

arm

(su

icid

e)80

†67

1450

310

3423

*20

*0

By

oth

er m

ean

s50

†38

1227

230

1512

*20

*0

By

dis

char

ge

of f

irea

rms

30†

29*

238

019

11*

00

0

Ass

ault

(h

omic

ide)

30†

218

26*

0*

157

**

0

By

dis

char

ge

of f

irea

rms

20†

19*

22*

0*

127

**

0

By

oth

er m

ean

s10

†*

**

*0

**

00

00

Mal

ign

ant

neo

pla

sms

10†

6*

7*

0*

*0

*0

0

Dis

ease

s of

th

e h

eart

10†

**

**

0*

*0

00

0

Even

ts o

f u

nd

eter

min

ed in

ten

t10

†*

**

*0

**

00

00

Tota

l, a

ll ca

use

sb29

520

689

230

641

125

111

2133

41

TAB

LE 2

C-1

4LE

AD

ING

CA

US

ES O

F D

EATH

AM

ON

G A

DO

LES

CEN

TS (

15

-19

YEA

RS

) B

Y G

END

ER,

AR

EA,

AN

D R

AC

E/ET

HN

ICIT

Y,

AR

IZO

NA

, 2

01

8

Total

Gen

der

Are

aaR

ace/

eth

nic

ity

Not

es:

* C

ell s

uppr

esse

d du

e to

cou

nt le

ss t

han

6; † S

um r

ound

ed t

o ne

ares

t te

ns u

nit

due

to a

dden

d le

ss t

han

6; a M

ay in

clud

e de

ath

reco

rds

whe

re t

he c

ount

y of

res

iden

ce c

ould

no

t be

cla

ssifi

ed a

s ur

ban

or r

ural

; U

rban

= M

aric

opa,

Pim

a, P

inal

, an

d Yu

ma

coun

ties;

the

rem

aini

ng c

ount

ies

com

pris

e Arizo

na’s

rur

al a

reas

; b M

ay in

clud

e ot

her

caus

es o

f de

ath

not

show

n ab

ove.

In

2018

, th

ere

wer

e no

cas

es o

f m

orta

lity

for

Sym

ptom

s, s

igns

, ab

norm

al fin

ding

s.

Cau

se o

f d

eath


2C.AGE-SPECIFIC MORTALITY Young adult mortality (ages 20-44 years)

Figure 2C-13 Mortality Ratesa by Gender and Year among Young Adults 20-44 Years,

Arizona, 2008-2018


In 2018, 32.7 percent of Arizona residents were between 20 and 44 years of age. Among the six developmental periods examined in the life span, young adulthood, with an estimated 2.3 million individuals, easily represented the largest segment of the population. However, only 6.3 percent of all deaths occurred during young adulthood.

The number of deaths among young adults rose 31.7 percent from 2008 to 2018. Compared to 2017, the young adult mortality rate increased 4.6 percent for males and decreased 0.2 percent for females (Figure 2C-13, Table 2C-15).

Figure 2C-14 Mortality Ratesa by Race/Ethnicity among Young Adults 20-44 Years,

Arizona, 2018


The 2018 mortality among young adults shows racial/ethnic disparities. American Indians aged 20-44 years had the highest mortality rates while Asians of the same age group recorded the lowest mortality rate across all groups.

American Indian young adults had a mortality rate 2.5 times greater than Black or African American adults, the racial/ethnic group with the second highest young adult mortality rate. The American Indian young adult mortality rate was 3.3 times higher than the state average for young adults and 10.6 times greater than Asian young adults.


2C.AGE-SPECIFIC MORTALITY Young adult mortality (ages 20-44 years)

In 2018, 823 deaths of young adults were attributed to accidental poisoning (Table 2C-18), an increase of 21.2 percent from 2017. The mortality rate for accidental poisoning among young adults (35.5 /100,000) exceeded the mortality rate for motor vehicle-related injuries. In the past decade, excess of mortality due to accidental poisoning has been consistently recorded in each year since 2009 (Figure 2C-15). Among the young adults 20-44 years, 778 accidental poisoning deaths were due to drug overdose (ICD-10 X40-44) and 38 deaths were due toalcohol poisoning (ICD-10X45).

Figure 2C-15 Mortality Ratesa for Motor Vehicle-Related Injuries and Accidental Poisoning

by Year among Young Adults 20-44 Years, Arizona, 2008-2018

Note: a Number of motor vehicle and accidental poisoning deaths per 100,000 persons, 20-44 years old in specified group.

In 2018, of the 79 deaths from HIV disease about 17.7 percent occurred among Arizonans 20-44 years old (Table 2C-27), a decrease from 22.7 percent in 2017. Males accounted for all of the young adult deaths from HIV disease in 2018 (Table 2C-18).

The mortality rate for HIV disease among young male adults decreased 65.7 percent from 3.5/100,000 adults 20-44 years in 2008 to 1.2/100,000 in 2018.

Figure 2C-16 Mortality Ratesa for HIV Disease by Gender and Year among

Young Adults 20-44 Years, Arizona, 2008-2018

Note: a Number of HIV deaths per 100,000 persons, 20-44 years old in specified group.


% c

han

ge

from

20

08

MA

LEAcc

iden

ts (

unin

tent

iona

l inj

urie

s)54

.453

.752

.657

.952

.856

.754

.363

.371

.276

.786

.058

.1O

ther

30

.633

.427

.58.

731

.238

.035

.938

.646

.952

.659

.995

.8M

otor

veh

icle

acc

iden

ts23

.820

.219

.820

.621

.618

.718

.424

.724

.324

.126

.19.

7In

tent

iona

l sel

f-ha

rm (

suic

ide)

23.5

25.1

31.5

32.4

29.0

30.8

28.7

30.8

30.9

33.5

36.9

57.0

Ass

ault

(hom

icid

e)19

.213

.420

.118

.216

.116

.113

.316

.617

.819

.417

.9-6

.9D

isea

ses

of h

eart

13.3

14.0

11.7

14.7

13.5

14.2

14.0

13.6

12.0

14.7

13.3

0.0

Mal

igna

nt n

eopl

asm

s12

.612

.012

.811

.012

.313

.411

.213

.011

.312

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3.5

ALL

CAU

SES

167.

916

1.3

177.

217

6.1

173.

618

7.2

183.

019

2.0

200.

620

7.7

217.

229

.4(N

umbe

r of

all

deat

hs)

(2,0

01)

(1,9

44)

(1,9

20)

(1,9

23)

(1,9

10)

(2,0

82)

(2,0

71)

(2,1

91)

(2,3

04)

(2,4

21)

(2,5

88)

29.3

FEM

ALE

Acc

iden

ts (

unin

tent

iona

l inj

urie

s)20

.420

.822

.425

.222

.824

.521

.328

.226

.629

.330

.549

.5O

ther

12

.113

.315

.02.

115

.116

.914

.719

.117

.518

.620

.871

.9M

otor

veh

icle

acc

iden

ts8.

37.

57.

49.

77.

77.

66.

69.

19.

010

.79.

716

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alig

nant

neo

plas

ms

13.7

15.9

14.0

15.7

17.6

17.4

14.0

13.5

16.7

14.5

16.2

18.2

Inte

ntio

nal s

elf-

harm

(su

icid

e)6.

09.

46.

88.

98.

79.

69.

010

.59.

911

.29.

660

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isea

ses

of h

eart

5.8

6.7

4.6

6.4

7.0

5.6

6.6

7.2

5.1

7.0

6.3

8.6

Ass

ault

(hom

icid

e)3.

24.

03.

52.

44.

33.

42.

93.

23.

73.

83.

715

.6ALL

CAU

SES

69.5

86.5

84.4

89.2

94.5

97.7

91.9

99.0

103.

810

1.4

101.

245

.6(N

umbe

r of

all

deat

hs)

(828

)(9

73)

(876

)(9

33)

(990

)(1

,033

)(9

91)

(1,0

80)

(1,1

37)

(1,1

23)

(1,1

39)

37.6

TOTA

LAcc

iden

ts (

unin

tent

iona

l inj

urie

s)38

.037

.837

.841

.938

.241

.038

.246

.149

.453

.659

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ther

21

.723

.724

.15.

523

.327

.725

.629

.032

.636

.040

.988

.5M

otor

veh

icle

acc

iden

ts16

.314

.113

.715

.214

.913

.312

.617

.116

.817

.618

.111

.0In

tent

iona

l sel

f-ha

rm (

suic

ide)

15.0

17.5

19.4

20.9

19.1

20.5

19.1

20.9

20.6

22.6

23.6

57.3

Mal

igna

nt n

eopl

asm

s9.

713

.913

.413

.314

.915

.312

.613

.213

.913

.213

.539

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ault

(hom

icid

e)13

.18.

812

.010

.510

.39.

98.

210

.011

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6.0

Dis

ease

s of

hea

rt11

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.58.

210

.610

.310

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610

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9-1

3.9

ALL

CAU

SES

123.

012

5.2

131.

813

3.6

135.

014

3.5

138.

614

6.6

153.

315

5.9

160.

930

.8(N

umbe

r of

all

deat

hs)

(2,8

29)

(2,9

17)

(2,7

96)

(2,8

56)

(2,9

00)

(3,1

15)

(3,0

62)

(3,2

71)

(3,4

41)

(3,5

44)

(3,7

27)

31.7

TAB

LE 2

C-1

5M

OR

TALI

TY R

ATE

Sa

FOR

TH

E S

ELEC

TED

FIV

E LE

AD

ING

CA

US

ESb O

F D

EATH

AM

ON

G Y

OU

NG

AD

ULT

S (

20

-44

YEA

RS

) B

Y G

END

ER A

RIZ

ON

A,

20

08

-20

18

Gen

der

/Cau

se2

00

82

00

92

01

02

01

12

01

22

01

3

Not

es: a

Rat

es a

re p

rese

nted

per

100

,000

per

sons

20-

44 y

ears

old

; b T

he fiv

e ca

uses

with

the

gre

ates

t nu

mbe

r of

dea

ths

over

the

200

8-20

18 p

erio

d; t

he c

ause

-of-

deat

h tit

les

are

acco

rdin

g to

the

Ten

th R

evis

ion

of t

he I

nter

natio

nal C

lass

ifica

tion

of D

isea

ses

(IC

D-1

0);

the

caus

es o

f de

ath

for

2008

-201

8 ar

e cl

assi

fied

by I

CD

-10,

rep

laci

ng t

he N

inth

Rev

isio

n (I

CD

-9);

mea

sure

s of

com

pariso

n be

twee

n IC

D-9

and

IC

D-1

0 –

the

“com

para

bilit

y ra

tios”

– for

the

cau

ses

of d

eath

sho

wn

in t

his

repo

rt a

re p

rovi

ded

in t

he T

ech

nic

al

No

tes

.

20

14

20

15

20

16

20

17

20

18


% c

han

ge

from

20

08

UR

BA

NAcc

iden

ts (

unin

tent

iona

l inj

urie

s)34

.432

.733

.536

.632

.335

.433

.840

.143

.949

.055

.260

.5O

ther

20

.221

.522

.04.

320

.223

.922

.725

.428

.934

.339

.595

.5M

otor

veh

icle

acc

iden

ts14

.211

.211

.512

.412

.111

.511

.114

.715

.114

.815

.710

.6In

tent

iona

l sel

f-ha

rm (

suic

ide)

16.4

13.6

17.7

18.1

17.0

18.3

16.8

19.0

18.4

19.7

20.6

25.6

Mal

igna

nt n

eopl

asm

s14

.215

.613

.313

.514

.115

.312

.713

.113

.513

.013

.5-4

.9Ass

ault

(hom

icid

e)13

.29.

711

.010

.09.

59.

48.

19.

610

.711

.311

.1-1

5.9

Dis

ease

s of

hea

rt8.

98.

78.

09.

69.

59.

39.

710

.18.

310

.39.

23.

4ALL

CAU

SES

113.

611

3.0

119.

712

0.3

118.

813

0.1

126.

213

1.9

137.

114

0.7

148.

030

.3(N

umbe

r of

all

deat

hs)

(2,2

39)

(2,2

03)

(2,2

03)

(2,2

32)

(2,2

15)

(2,4

51)

(2,4

22)

(2,5

57)

(2,6

76)

(2,7

83)

(2,9

86)

33.4

RU

RA

LAcc

iden

ts (

unin

tent

iona

l inj

urie

s)57

.164

.763

.971

.974

.474

.961

.278

.677

.975

.381

.342

.4O

ther

29

.235

.436

.910

.342

.750

.839

.647

.951

.339

.448

.566

.1M

otor

veh

icle

acc

iden

ts28

.029

.427

.033

.031

.724

.221

.730

.826

.736

.032

.817

.1In

tent

iona

l sel

f-ha

rm (

suic

ide)

20.4

29.1

30.2

37.6

32.4

33.6

32.3

32.1

33.5

40.1

43.5

113.

2D

isea

ses

of h

eart

9.4

15.0

9.6

16.7

14.5

14.0

14.4

13.0

10.3

14.3

14.0

48.9

Mal

igna

nt n

eopl

asm

s12

.515

.913

.812

.019

.015

.411

.413

.316

.713

.612

.4-0

.8Ass

ault

(hom

icid

e)14

.67.

816

.012

.814

.813

.07.

210

.610

.610

.910

.4-2

8.8

ALL

CAU

SES

174.

219

1.6

203.

721

0.2

233.

422

6.5

207.

122

4.7

240.

923

6.6

238.

136

.7(N

umbe

r of

all

deat

hs)

(590

)(6

62)

(574

)(5

93)

(662

)(6

47)

(602

)(6

57)

(705

)(6

97)

(712

)20

.7TO

TAL

Acc

iden

ts (

unin

tent

iona

l inj

urie

s)38

.037

.837

.841

.938

.241

.038

.246

.149

.453

.659

.055

.3O

ther

21

.723

.724

.15.

523

.327

.725

.629

.032

.636

.040

.988

.5M

otor

veh

icle

acc

iden

ts16

.314

.113

.715

.214

.913

.312

.617

.116

.817

.618

.111

.0In

tent

iona

l sel

f-ha

rm (

suic

ide)

15.0

17.5

19.4

20.9

19.1

20.5

19.1

20.9

20.6

22.6

23.6

57.3

Mal

igna

nt n

eopl

asm

s9.

713

.913

.413

.314

.915

.312

.613

.213

.913

.213

.539

.2Ass

ault

(hom

icid

e)13

.110

.512

.010

.510

.39.

98.

210

.011

.011

.811

.0-1

6.0

Dis

ease

s of

hea

rt11

.58.

88.

210

.610

.310

.010

.410

.58.

610

.99.

9-1

3.9

ALL

CAU

SES

123.

012

5.2

131.

813

3.6

135.

014

3.5

138.

614

6.6

153.

315

5.9

160.

930

.8(N

umbe

r of

all

deat

hs)

(2,8

29)

(2,9

17)

(2,7

96)

(2,8

56)

(2,9

00)

(3,1

15)

(3,0

62)

(3,2

71)

(3,4

41)

(3,5

44)

(3,7

27)

31.7

Not

es: a

Rat

es a

re p

rese

nted

per

100

,000

you

ng a

dults

20-

44 y

ears

old

; b T

he fiv

e ca

uses

with

the

gre

ates

t nu

mbe

r of

dea

ths

stat

ewid

e ov

er t

he 2

008-

2018

per

iod;

c Urb

an =

M

aric

opa,

Pim

a, P

inal

, an

d Yu

ma

coun

ties;

the

rem

aini

ng c

ount

ies

com

pris

e Arizo

na's

rur

al a

reas

; se

e T

ech

nic

al N

ote

s for

mor

e in

form

atio

n; r

ecor

ds w

ith u

nkno

wn

coun

ty o

f re

side

nce

are

incl

uded

in t

he s

tate

wid

e to

tals

, bu

t ar

e no

t di

stribu

ted

by u

rban

/rur

al a

rea;

the

cau

se-o

f-de

ath

title

s ar

e ac

cord

ing

to t

he T

enth

Rev

isio

n of

the

Int

erna

tiona

l C

lass

ifica

tion

of D

isea

ses

(IC

D-1

0);

the

caus

es o

f de

ath

for

2008

-201

8 ar

e cl

assi

fied

by I

CD

-10,

rep

laci

ng t

he N

inth

Rev

isio

n (I

CD

-9);

mea

sure

s of

com

pariso

n be

twee

n IC

D-9

and

IC

D-1

0 –

the

“com

para

bilit

y ra

tios”

- for

the

cau

ses

of d

eath

sho

wn

in t

his

repo

rt a

re p

rovi

ded

in t

he T

ech

nic

al N

ote

s.

TAB

LE 2

C-1

6M

OR

TALI

TY R

ATE

Sa

FOR

TH

E S

ELEC

TED

FIV

E LE

AD

ING

CA

US

ESb O

F D

EATH

AM

ON

G Y

OU

NG

AD

ULT

S (

20

-44

YEA

RS

)IN

UR

BA

N A

ND

RU

RA

L A

REA

Sc ,

AR

IZO

NA

, 2

00

8-2

01

8

Are

a/C

ause

20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18


% c

han

ge

fro

m 2

00

8

UR

BA

N

Mal

e15

4.2

143.

915

9.4

158.

715

4.0

169.

016

5.6

171.

917

8.4

187.

719

8.0

28.4

Fem

ale

69.4

79.5

78.4

80.3

81.9

89.2

85.1

90.1

94.0

91.4

95.2

37.2

TOTA

L11

3.6

113.

011

9.7

120.

311

8.8

130.

112

6.2

131.

913

7.1

140.

714

8.0

30.3

RU

RA

L

Mal

e24

4.4

258.

928

1.0

271.

628

8.4

296.

427

8.8

294.

231

5.6

307.

733

2.7

36.1

Fem

ale

102.

912

3.5

121.

614

4.8

174.

615

1.6

130.

014

9.8

160.

115

9.3

135.

031

.2

TOTA

L17

4.2

191.

620

3.7

210.

223

3.4

226.

520

7.1

224.

724

0.9

236.

623

8.1

36.7

TOTA

L

Mal

e16

7.9

161.

317

7.2

176.

117

3.6

187.

218

3.0

192.

020

0.6

207.

721

7.2

29.4

Fem

ale

69.5

86.5

84.4

89.2

94.5

97.7

91.9

99.0

103.

810

1.4

101.

245

.6

TOTA

L12

3.0

125.

213

1.8

133.

613

5.0

143.

513

8.6

146.

615

3.3

155.

916

0.9

30.8

Not

es: a

Rat

es a

re p

rese

nted

per

100

,000

per

sons

20-

44 y

ears

old

; b U

rban

= M

aric

opa,

Pim

a, P

inal

, an

d Yu

ma

coun

ties;

the

rem

aini

ng c

ount

ies

com

pris

e Arizo

na's

rur

al a

reas

; se

e T

ech

nic

al N

ote

s for

mor

e in

form

atio

n; r

ecor

ds w

ith u

nkno

wn

coun

ty o

f re

side

nce

are

incl

uded

in t

he s

tate

wid

e to

tals

, bu

t ar

e no

t di

stribu

ted

by u

rban

/rur

al a

rea.

20

14

20

15

20

16

20

17

20

18

TAB

LE 2

C-1

7M

OR

TALI

TY R

ATE

Sa

FOR

TH

E S

ELEC

TED

FIV

E LE

AD

ING

CA

US

ES O

F D

EATH

AM

ON

G Y

OU

NG

AD

ULT

S (

20

-44

YEA

RS

) B

Y G

END

ER I

N U

RB

AN

AN

D R

UR

AL

AR

EAS

b,

AR

IZO

NA

, 2

00

8-2

01

8

Are

a/G

end

er2

00

82

00

92

01

02

01

12

01

22

01

3


Male

Female

Urban

Rural

Unknown

White non-Hispanic

Hispanic or Latino




Refused/Unknown

Acc

iden

ts (

un

inte

nti

onal

in

jury

)1,

368

1,02

534

31,

114

243

1166

540

484

196

136

A

ccid

enta

l p

oiso

nin

g82

0†61

321

070

711

1*

439

248

4679

*6

M

otor

veh

icle

acc

iden

ts42

031

110

931

698

617

312

521

956

0

Inte

nti

onal

sel

f-h

arm

(su

icid

e)55

0†43

910

841

513

0*

325

104

3573

8*

B

y ot

her

mea

ns

290†

213

7220

381

*16

249

1554

**

B

y d

isch

arg

e of

fir

earm

s26

0†22

636

212

49*

163

5520

19*

*

Mal

ign

ant

neo

pla

sms

310†

130

182

272

37*

169

8822

1813

*

M

alig

nan

t n

eop

lasm

of

bre

ast

40†

*42

40*

024

78

**

*

M

alig

nan

t n

eop

lasm

of

lym

ph

oid

, h

emat

opoi

etic

an

d r

elat

ed t

issu

e30

†21

1229

*0

1610

**

*0

M

alig

nan

t n

eop

lasm

of

men

ing

es,

bra

in a

nd

oth

er

par

ts o

f ce

ntr

al n

ervo

us

syst

em30

†13

1323

*0

167

**

*0

Ass

ault

(h

omic

ide)

260†

213

4222

431

063

104

4738

**

B

y d

isch

arg

e of

fir

earm

s19

0†16

626

178

140

4785

3821

*0

B

y ot

her

mea

ns

60†

4716

4617

016

199

17*

*

Dis

ease

s of

hea

rt23

015

971

185

42*

128

4719

297

0

Ch

ron

ic l

iver

dis

ease

an

d c

irrh

osis

155

8867

9560

052

210

820

0

Dia

bet

es70

†43

2561

70

2919

99

*0

Cer

ebro

vasc

ula

r d

isea

ses

40†

2321

38*

*15

21*

**

0

Infl

uen

za a

nd

pn

eum

onia

40†

2314

278

*15

12*

90

0

Ob

esit

y30

†20

1328

*0

1312

**

00

Hu

man

im

mu

nod

efic

ien

cy v

iru

s (H

IV)

dis

ease

10†

140

13*

0*

**

**

0

Tota

l, a

ll c

ause

s3,

727

2,58

81,

139

2,98

671

229

1,81

299

427

457

754

16

TAB

LE 2

C-1

8LE

AD

ING

CA

US

ES

OF

DE

ATH

AM

ON

G Y

OU

NG

AD

ULT

S (

20

-44

YE

AR

S)

BY

GE

ND

ER

, A

RE

A,

AN

D R

AC

E/

ETH

NIC

ITY

, A

RIZ

ON

A,

20

18

Gen

der

Are

aaR

ace/

eth

nic

ity

Not

es:

* Cel

l sup

pres

sed

due

to c

ount

less

tha

n 6;

† Sum

rou

nded

to

near

est

tens

uni

t du

e to

add

end

less

tha

n 6;

a U

rban

= M

aric

opa,

Pim

a, P

inal

, an

d Yu

ma

coun

ties;

the

rem

aini

ng c

ount

ies

com

pris

e Arizo

na’s

rur

al a

reas

.

Cau

se o

f d

eath

Total


2C.AGE-SPECIFIC MORTALITY Middle-aged adult mortality (ages 45-64 years)

Figure 2C-17 Mortality Ratesa by Gender and Year among Middle-Aged Adults 45-64 Years,

Arizona, 2008-2018


In 2018, the 1,707,764 middle-aged adult residents aged 45 to 64 experienced 10,920 deaths, or an average of 30 deaths, per day. The total number of deaths among 45–64 year old Arizona residents in 2018 (10,920) was the highest number recorded since 1980, and is likely the greatest number of deaths among this age group in Arizona’s history (Table 2C-19).

The 2018 total mortality rate among middle-age females was 3.6 percent higher, and among middle-aged males 11.1 percent higher than their respective rates in 2008 (Figure 2C-17, Table 2C-19). In 2018, the mortality rate for males age 45 - 64 was almost twofold the female mortality of the same age group.

The five causes with the greatest number of deaths in 2008-2018 were malignant neoplasms, diseases of heart, accidents, chronic liver disease and cirrhosis, and chronic lower respiratory diseases (Table 2C-19).

Figure 2C-18 Mortality Ratesa by Race/Ethnicity among Middle-Aged Adults 45-64 Years,

Arizona, 2018


American Indian, Black or African American, and White non-Hispanic middle-aged adults had the three highest mortality rates (1221.0/100,000, 816.1/100,000, and 662.0/100,000, respectively) among the racial/ethnic groups.

If the 2018 total mortality rate for Asian middle-aged adults applied to all Arizona residents 45-64 years old, 5,153 middle-aged adults would have died rather than the 10,920 who actually did.


2C.AGE-SPECIFIC MORTALITY Middle-aged adult mortality (ages 45-64 years)

The 2018 mortality rate due to accidental poisoning was 33.9 per 100,000 adults aged 45-64 years, a decrease of 2.3 percent from 2017. In 2018, about 579 deaths were attributed to accidental poisoning (Table 2C-22). Of the accidental poisoning deaths in this age group, 522 were drug overdoses (ICD-10 X40-X44) and 53 were alcohol poisoning (ICD-10 X45).

Beginning in 2007, the mortality rate for accidental poisoning exceeded the mortality rate for motor vehicle-related injuries among the middle-aged (Figure 2C-19). In 2018, accidental poisoning mortality rate of 33.9 per 100,000 middle-aged adults was 2.0 times higher than the mortality rate of 17.1 per 100,000 for motor vehicle accidents. White non-Hispanics accounted for about 66.7 percent of all accidental poisoning deaths (Table 2C-22).

Figure 2C-19 Mortality Ratesa for Accidental Poisoning and Motor Vehicle-related Injuries

by Year among Middle-Aged Adults 45-64 Years, Arizona, 2008-2018

Note: a Number of motor vehicle and accidental poisoning deaths per 100,000 persons, 45-64 years old in specified group.

In 2018, as in the past, rural middle-aged males had the worse survival chances than the remaining of the sub-groups (Figure 2C-20, Table 2C-21). The mortality rate for rural middle-aged males in 2018 was 1.5 times greater than for urban males, 1.9 fold greater than rural females, and 2.5 fold greater than urban females.

Figure 2C-20 Mortality Rates by Gender in Urbana and Rural Areas among

Middle-Aged Adults 45-64 Years, Arizona, 2018

Note: a Urban counties include Maricopa, Pima, Pinal, and Yuma counties.


% c

han

ge

from

20

08

MA

LEM

alig

nant

neo

plas

ms

184.

518

2.2

188.

318

6.3

196.

619

1.4

171.

518

6.4

184.

118

0.7

177.

8-3

.6D

isea

ses

of h

eart

175.

516

9.0

160.

716

5.3

155.

115

9.3

143.

216

6.6

170.

116

4.7

162.

5-7

.4Acc

iden

ts (

unin

tent

iona

l inj

urie

s)76

.571

.969

.268

.968

.077

.973

.576

.810

0.4

98.8

95.5

24.8

Oth

er

51.9

51.1

54.6

19.8

47.9

54.5

54.0

54.5

71.5

72.1

70.5

35.8

Mot

or v

ehic

le a

ccid

ents

24.6

20.8

19.9

21.4

20.1

23.3

19.4

22.3

28.9

26.8

25.0

1.6

Chr

onic

live

r di

seas

e an

d ci

rrho

sis

39.2

38.0

42.1

49.6

50.2

46.7

43.1

48.1

47.8

45.5

45.7

16.6

Inte

ntio

nal s

elf-

harm

(su

icid

e)35

.137

.040

.941

.341

.838

.337

.740

.341

.237

.443

.323

.4ALL

CAU

SES

741.

973

8.1

744.

175

2.2

778.

878

4.8

775.

380

9.1

841.

880

2.8

824.

411

.1(N

umbe

r of

all

deat

hs)

(5,4

50)

(5,4

72)

(5,6

59)

(5,7

60)

(5,9

99)

(6,0

88)

(6,1

11)

(6,4

44)

(6,7

81)

(6,5

70)

(6,8

39)

25.5

FEM

ALE

Mal

igna

nt n

eopl

asm

s15

1.4

154.

215

3.9

156.

915

5.1

160.

714

5.0

155.

615

0.9

143.

914

6.3

-3.4

Dis

ease

s of

hea

rt63

.459

.455

.961

.860

.554

.654

.060

.866

.758

.262

.7-1

.1Acc

iden

ts (

unin

tent

iona

l inj

urie

s)34

.236

.136

.632

.833

.038

.033

.735

.838

.442

.237

.39.

1O

ther

24

.228

.529

.07.

426

.129

.827

.427

.930

.418

.627

.714

.5M

otor

veh

icle

acc

iden

ts10

.07.

67.

77.

16.

98.

26.

27.

98.

18.

29.

7-3

.0Chr

onic

low

er r

espi

rato

ry d

isea

ses

24.3

19.2

19.3

21.6

24.2

24.8

24.8

23.0

25.8

26.4

27.6

13.6

Dia

bete

s16

.014

.217

.021

.322

.323

.622

.827

.424

.622

.622

.138

.1ALL

CAU

SES

448.

444

8.6

439.

644

7.1

445.

846

5.2

468.

948

2.3

484.

146

0.8

464.

73.

6(N

umbe

r of

all

deat

hs)

(3,4

49)

(3,4

83)

(3,5

53)

(3,6

38)

(3,6

31)

(3,8

10)

(3,9

14)

(4,0

66)

(4,1

30)

(3,9

97)

(4,0

81)

18.3

TOTA

LM

alig

nant

neo

plas

ms

167.

616

7.9

170.

617

1.2

175.

217

5.6

157.

917

0.6

167.

016

1.8

161.

6-3

.6D

isea

ses

of h

eart

118.

211

2.9

106.

711

2.0

106.

510

5.5

97.4

112.

211

6.9

109.

911

1.2

-5.9

Acc

iden

ts (

unin

tent

iona

l inj

urie

s)54

.953

.652

.450

.350

.057

.453

.055

.768

.569

.765

.619

.5O

ther

37

.739

.538

.813

.436

.741

.840

.440

.850

.352

.548

.528

.6M

otor

veh

icle

acc

iden

ts17

.214

.013

.614

.113

.315

.612

.614

.918

.217

.217

.1-0

.6Chr

onic

live

r di

seas

e an

d ci

rrho

sis

29.7

29.1

30.2

34.3

35.0

34.7

33.6

37.7

36.3

35.1

34.0

14.5

Chr

onic

low

er r

espi

rato

ry d

isea

ses

24.7

21.5

20.0

23.6

25.1

24.7

25.4

26.6

28.2

27.3

28.4

15.0

ALL

CAU

SES

591.

859

0.0

587.

259

5.0

607.

662

0.7

617.

764

1.0

657.

862

6.8

639.

48.

0(N

umbe

r of

all

deat

hs)

(8,8

99)

(8,8

55)

(9,2

12)

(9,3

98)

(9,6

30)

(9,8

98)

(10,

025)

(10,

510)

(10,

911)

(10,

567)

(10,

920)

22.7

TAB

LE 2

C-1

9M

OR

TALI

TY R

ATE

Sa

FOR

TH

E S

ELEC

TED

FIV

E LE

AD

ING

CA

US

ESb O

F D

EATH

AM

ON

G M

IDD

LE-A

GED

AD

ULT

S (

45

-64

YEA

RS

) B

Y G

END

ER,

AR

IZO

NA

, 2

00

8-2

01

8

Gen

der

/Cau

se2

00

82

00

92

01

02

01

12

01

22

01

3

Not

es: a

Rat

es a

re p

rese

nted

per

100

,000

mid

dle-

aged

adu

lts 4

5-64

yea

rs o

ld;

b The

fiv

e ca

uses

with

the

gre

ates

t nu

mbe

r of

dea

ths

over

the

200

8-20

18 p

erio

d; t

he c

ause

-of-

deat

h tit

les

are

acco

rdin

g to

the

Ten

th R

evis

ion

of t

he I

nter

natio

nal C

lass

ifica

tion

of D

isea

ses

(IC

D-1

0);

the

caus

es o

f de

ath

for

2008

-201

8 ar

e cl

assi

fied

by I

CD

-10;

mea

sure

s of

com

pariso

n be

twee

n IC

D-9

and

IC

D-1

0 –

the

“com

para

bilit

y ra

tios”

- for

the

cau

ses

of d

eath

sho

wn

in t

his

repo

rt a

re p

rovi

ded

in t

he T

ech

nic

al N

ote

s.

20

14

20

15

20

16

20

17

20

18


% c

han

ge

from

20

08

UR

BA

NM

alig

nant

neo

plas

ms

162.

816

5.4

164.

616

6.5

171.

816

9.1

153.

816

4.8

162.

115

6.3

156.

4-3

.9D

isea

ses

of h

eart

109.

810

1.3

98.6

103.

995

.996

.589

.510

0.3

106.

310

1.7

100.

2-8

.7Acc

iden

ts (

unin

tent

iona

l inj

urie

s)51

.648

.847

.545

.447

.651

.547

.350

.261

.361

.360

.016

.3O

ther

36

.837

.336

.512

.435

.738

.536

.737

.845

.346

.646

.025

.0M

otor

veh

icle

acc

iden

ts14

.811

.511

.111

.911

.913

.010

.612

.416

.014

.714

.0-5

.4Chr

onic

live

r di

seas

e an

d ci

rrho

sis

27.4

25.7

27.2

30.8

31.5

29.9

31.5

32.6

30.3

30.1

29.9

9.1

Chr

onic

low

er r

espi

rato

ry d

isea

ses

23.6

20.2

19.2

20.6

22.9

22.6

23.4

25.0

25.9

24.0

24.4

3.4

ALL

CAU

SES

559.

555

9.4

552.

456

1.5

575.

857

9.8

584.

259

6.5

613.

058

3.1

595.

16.

4(N

umbe

r of

all

deat

hs)

(6,9

18)

(6,9

79)

(7,0

98)

(7,2

74)

(7,5

13)

(7,6

31)

(7,8

55)

(8,1

28)

(8,4

85)

(8,2

23)

(8,5

27)

23.3

RU

RA

LM

alig

nant

neo

plas

ms

188.

117

6.9

193.

118

6.3

187.

820

4.7

175.

419

6.4

184.

318

2.9

186.

2-1

.0D

isea

ses

of h

eart

156.

016

4.3

137.

414

3.7

152.

514

2.2

133.

316

3.5

159.

614

0.1

162.

64.

2Acc

iden

ts (

unin

tent

iona

l inj

urie

s)68

.171

.466

.267

.655

.375

.873

.372

.683

.891

.586

.927

.6O

ther

40

.846

.642

.616

.536

.451

.752

.846

.658

.364

.255

.636

.3M

otor

veh

icle

acc

iden

ts27

.324

.823

.622

.518

.924

.120

.526

.025

.527

.231

.314

.6Chr

onic

live

r di

seas

e an

d ci

rrho

sis

39.6

43.3

41.9

49.3

47.5

57.1

41.7

59.2

61.9

56.6

53.5

35.1

Chr

onic

low

er r

espi

rato

ry d

isea

ses

29.5

27.4

22.2

36.3

33.2

32.3

34.1

33.9

37.9

41.7

49.1

66.4

ALL

CAU

SES

727.

871

3.2

708.

371

6.6

720.

278

6.8

751.

482

1.2

808.

378

1.1

842.

715

.8(N

umbe

r of

all

deat

hs)

(1,9

46)

(1,9

27)

(2,0

10)

(2,0

35)

(2,0

17)

(2,1

91)

(2,0

91)

(2,2

75)

(2,2

19)

(2,1

52)

(2,3

17)

19.1

TOTA

LM

alig

nant

neo

plas

ms

167.

616

7.9

170.

617

1.2

175.

217

5.6

157.

917

0.6

167.

016

1.8

161.

6-3

.6D

isea

ses

of h

eart

118.

211

2.9

106.

711

2.0

106.

510

5.5

97.4

112.

211

6.9

109.

911

1.2

-5.9

Acc

iden

ts (

unin

tent

iona

l inj

urie

s)54

.953

.652

.450

.350

.057

.453

.055

.768

.569

.765

.619

.5O

ther

37

.739

.538

.813

.436

.741

.840

.440

.850

.352

.548

.528

.6M

otor

veh

icle

acc

iden

ts17

.214

.013

.614

.113

.315

.612

.614

.918

.217

.217

.1-0

.6Chr

onic

live

r di

seas

e an

d ci

rrho

sis

29.7

29.1

30.2

34.3

35.0

34.7

33.6

37.7

36.3

35.1

34.0

14.5

Chr

onic

low

er r

espi

rato

ry d

isea

ses

24.7

21.5

20.0

23.6

25.1

24.7

25.4

26.6

28.2

27.3

28.4

15.0

ALL

CAU

SES

591.

859

0.0

587.

259

5.0

607.

662

0.7

617.

764

1.0

657.

862

6.8

639.

48.

0(N

umbe

r of

all

deat

hs)

(8,8

99)

(8,8

55)

(9,2

12)

(9,3

98)

(9,6

30)

(9,8

98)

(10,

025)

(10,

510)

(10,

911)

(10,

567)

(10,

920)

22.7

Not

es: a

Rat

es a

re p

rese

nted

per

100

,000

mid

dle-

aged

adu

lts 4

5-64

yea

rs o

ld;

b The

fiv

e ca

uses

with

the

gre

ates

t nu

mbe

r of

dea

ths

over

the

200

8-20

18 p

erio

d; c U

rban

= M

aric

opa,

Pi

ma,

Pin

al,

and

Yum

a co

untie

s; t

he r

emai

ning

cou

ntie

s co

mpr

ise

Arizo

na's

rur

al a

reas

; se

e T

ech

nic

al N

ote

s for

mor

e in

form

atio

n; r

ecor

ds w

ith u

nkno

wn

coun

ty o

f re

side

nce

are

incl

uded

in t

he s

tate

wid

e to

tals

, bu

t ar

e no

t di

stribu

ted

by u

rban

/rur

al a

rea;

the

cau

se-o

f-de

ath

title

s ar

e ac

cord

ing

to t

he T

enth

Rev

isio

n of

the

Int

erna

tiona

l Cla

ssifi

catio

n of

Dis

ease

s (I

CD

-10)

; th

e ca

uses

of de

ath

for

2008

-201

8 ar

e cl

assi

fied

by I

CD

-10;

mea

sure

s of

com

pariso

n be

twee

n IC

D-9

and

IC

D-1

0 –

the

“com

para

bilit

y ra

tios”

- for

the

cau

ses

of d

eath

sho

wn

in t

his

repo

rt a

re p

rovi

ded

in t

he T

ech

nic

al N

ote

s.

TAB

LE 2

C-2

0M

OR

TALI

TY R

ATE

Sa

FOR

TH

E S

ELEC

TED

FIV

E LE

AD

ING

CA

US

ESb O

F D

EATH

AM

ON

G M

IDD

LE-A

GED

AD

ULT

S (

45

-64

YEA

RS

)IN

UR

BA

N A

ND

RU

RA

L A

REA

Sc ,

AR

IZO

NA

, 2

00

8-2

01

8

Are

a/C

ause

20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18


% c

han

ge

fro

m 2

00

8

UR

BA

N

Mal

e69

3.2

697.

669

0.0

703.

572

4.9

726.

072

8.1

746.

176

9.7

736.

776

2.1

9.9

Fem

ale

431.

142

6.5

423.

042

7.8

434.

744

1.0

448.

045

4.8

464.

543

7.4

436.

61.

3

TOTA

L55

9.5

559.

455

2.4

561.

557

5.8

579.

858

4.2

596.

561

3.0

583.

159

5.1

6.4

RU

RA

L

Mal

e95

3.6

896.

892

4.9

918.

696

8.7

1018

.595

3.9

1054

.910

79.2

1025

.411

10.2

16.4

Fem

ale

518.

454

3.0

504.

052

6.1

486.

156

8.8

561.

660

3.7

557.

355

6.0

596.

915

.1

TOTA

L72

7.8

713.

270

8.3

716.

672

0.2

786.

875

1.4

821.

280

8.3

781.

184

2.7

15.8

TOTA

L

Mal

e74

1.9

738.

174

4.1

752.

277

8.8

784.

877

5.3

809.

184

1.8

802.

882

4.4

11.1

Fem

ale

448.

444

8.6

439.

644

7.1

445.

846

5.2

468.

948

2.3

484.

146

0.8

464.

73.

6

TOTA

L59

1.8

590.

058

7.2

595.

060

7.6

620.

761

7.7

641.

065

7.8

626.

863

9.4

8.0

TAB

LE 2

C-2

1M

OR

TALI

TY R

ATE

Sa

FOR

TH

E S

ELEC

ED F

IVE

LEA

DIN

G C

AU

SES

OF

DEA

TH A

MO

NG

MID

DLE

-AG

ED A

DU

LTS

(4

5-6

4 Y

EAR

S)

BY

GEN

DER

IN

UR

BA

N A

ND

RU

RA

L A

REA

Sb,

AR

IZO

NA

, 2

00

8-2

01

8

Are

a/G

end

er2

00

82

00

92

01

02

01

12

01

22

01

3

Not

es: a

Rat

es a

re p

rese

nted

per

100

,000

per

sons

45-

64 y

ears

old

; b U

rban

= M

aric

opa,

Pim

a, P

inal

, an

d Yu

ma

coun

ties;

the

rem

aini

ng c

ount

ies

com

pris

e Arizo

na's

rur

al a

reas

; se

e T

ech

nic

al N

ote

s for

mor

e in

form

atio

n.

20

14

20

15

20

16

20

17

20

18


Male

Female

Urban

Rural

Unknown

White non-Hispanic

Hispanic or Latino




Unknown

Mal

ign

ant

neo

pla

sms

2,76

01,

475

1,28

52,

241

512

71,

947

485

143

9563

27

Mal

ign

ant

neo

pla

sm o

f tr

ach

ea,

bro

nch

us

and

lun

g54

0†29

823

842

211

3*

427

5133

614

*

M

alig

nan

t n

eop

lasm

of

colo

n,

rect

um

, an

d

anu

s32

0†19

512

126

253

*22

152

2212

7*

M

alig

nan

t n

eop

lasm

of

bre

ast

250†

*25

221

538

*17

847

136

9*

M

alig

nan

t n

eop

lasm

of

pan

crea

s20

0†11

587

153

490

134

4213

9*

0D

isea

ses

of

hea

rt1,

899

1,34

855

11,

436

447

161,

317

314

120

7831

39A

ccid

ents

(u

nin

ten

tio

nal

inju

ry)

1,12

079

232

885

923

922

713

191

5412

612

24

Acc

iden

tal p

ois

on

ing

580†

403

176

473

9214

386

9932

40*

18

Mo

tor

veh

icle

acc

iden

ts29

220

785

200

866

165

5614

507

0

Falls

90†

6331

7122

*62

12*

150

*C

hro

nic

live

r d

isea

se a

nd

cir

rho

sis

580†

379

201

429

147

*31

512

116

118

**

Dia

bet

es56

336

919

445

410

5*

271

144

4680

139

Ch

ron

ic lo

wer

res

pir

ato

ry d

isea

ses

490†

243

242

350

135

042

033

139

*7

Inte

nti

on

al s

elf-

har

m (

suic

ide)

450†

359

9335

792

*37

645

138

**

B

y d

isch

arg

e o

f fi

rear

ms

260†

224

3519

364

*22

916

8*

**

B

y o

ther

mea

ns

190†

135

5816

428

*14

729

*6

**

Cer

ebro

vasc

ula

r d

isea

ses

320†

183

140

249

73*

197

7322

1611

*In

flu

enza

an

d p

neu

mo

nia

200†

114

8114

548

*13

236

1114

0*

Nep

hri

tis,

nep

hro

tic

syn

dro

me

and

nep

hro

sis

130†

8145

9828

065

3011

16*

*Es

sen

tial

(p

rim

ary)

hyp

erte

nsi

on

an

d

hyp

erte

nsi

ve r

enal

dis

ease

130†

7847

101

23*

7027

1111

**

Sep

tice

mia

100†

5839

7422

*48

25*

18*

0V

iral

hep

atit

is90

†60

2569

160

5518

*7

*0

Ass

ault

(h

om

icid

e)80

†72

1067

13*

3228

106

**

B

y d

isch

arg

e o

f fi

rear

ms

60†

50*

486

*18

238

**

*

By

oth

er m

ean

s30

†22

*19

7*

14*

**

**

Hu

man

imm

un

od

efic

ien

cy v

iru

s (H

IV)

dis

ease

50†

419

47*

028

13*

**

*To

tal,

all

cau

sesb

10,9

206,

839

4,08

18,

527

2,31

776

7,25

91,

952

590

774

186

159

TAB

LE 2

C-2

2LE

AD

ING

CA

US

ES O

F D

EATH

AM

ON

G M

IDD

LE-A

GED

AD

ULT

S (

45

-64

YEA

RS

) B

Y G

END

ER,

AR

EA,

AN

D R

AC

E/ET

HN

ICIT

Y,

AR

IZO

NA

, 2

01

8

Total

Gen

der

Are

aaR

ace/

eth

nic

ity

Not

e: *

Cel

l sup

pres

sed

due

to c

ount

less

tha

n 6;

† Sum

rou

nded

to

near

est

tens

uni

t du

e to

add

end

less

tha

n 6;

a Urb

an =

Mar

icop

a, P

ima,

Pin

al,

and

Yum

a co

untie

s; t

he r

emai

ning

cou

ntie

s co

mpr

ise

Arizo

na’s

rur

al a

reas

; b M

ay in

clud

e ot

her

caus

es o

f de

ath

not

show

n ab

ove.

Cau

se o

f d

eath


2C.AGE-SPECIFIC MORTALITY Elderly mortality (ages 65 years and older)

Figure 2C-21 Mortality Ratesa by Gender and Year among Elderly 65 Years and Older,

Arizona, 2008-2018

Note: a Number of deaths per 100,000 persons, 65+ years old in specified group.

In 2018, an estimated 1,214,261 residents age 65 years and older resided in the state (Table 10A-1). No other age group has as great of a disproportionate gender distribution as the elderly. As a result of the higher total mortality rates for males at earlier ages, more elderly women than men were alive in 2018.

The 2018 elderly mortality rate of 3588.4 per 100,000 was 5.4 percent lower than the 2008 rate of 3,791.3 (Table 2C-23).

The 2018 total mortality rate among elderly females was 7.1 percent lower than their rate in 2008. The mortality rate among elderly males decreased 4.0 percent during the same period (Figure 2C-21, Table 2C-23).

Figure 2C-22 Mortality Ratesa by Race/Ethnicity among Elderly 65 Years and Older,

Arizona, 2018

Note: a Number of deaths per 100,000 persons, 65+ years old in specified group.

In 2018 the mortality rate for Arizona’s American Indian elderly residents was 1.7 times that of the Asian elderly population. The mortality rate of 2,244.9 /100,000 among elderly Asians was the lowest rate among the racial/ethnic groups (Figure 2C-22). Hispanic or Latino elderly had the second lowest mortality rate in 2018 at 3,112.0/100,000.


2C.AGE-SPECIFIC MORTALITY Elderly mortality (ages 65 years and older)

Tables, 2C-23 and 2C-24 provide mortality rates for the five causes with the greatest number of deaths over the 2008–2018 period.

In 2018, Alzheimer’s disease (2,979 deaths; Table 2C-26) accounted for 6.8 percent of elderly mortality. From 2017 to 2018, mortality due to Alzheimer’s disease decreased for both genders (Figure 2C-23).

There were 1,987 deaths from Alzheimer’s disease among elderly females in 2018, approximately twice the number of deaths from this cause among males (992; Table 2C-26). White non-Hispanic elderly accounted for 84.8 percent of the 2018 deaths from Alzheimer’s disease (based on data in Table 2C-26).

Figure 2C-23 Trends in Mortality Rates for Alzheimer’s Diseasea by Gender and Year

among Elderly 65 Years and Older, Arizona, 2008-2018

Note: a Number of deaths due to Alzheimer’s disease per 100,000 persons, 65+ years old in specified group.

Among unintentional injury deaths unrelated to motor vehicles, Arizona’s elderly experienced high mortality from fall-related injuries (Figure 2C-24). In 2018, 976 elderly Arizonans 65 years or older died from fall-related injuries, compared to 947 in 2017, representing a 3.1 percent increase between these two years (Table 2C-26).

In 2018, Arizonans aged 85 years old or older experienced the largest number of fall-related deaths (538), followed by Arizonans 75-84 years old (290), and those aged 65-74 years old (148).

Figure 2C-24 Trends in Mortality Rates for Falls and Fall-related Injuriesa by Gender and Year among

Elderly 65 Years and Older, Arizona, 2008-2018

Note: a Number of deaths due to falls and fall-related injuries per 100,000 persons, 65+ years old in specified group.


% c

han

ge

from

20

08

MA

LE

Dis

ease

s of

hea

rt11

14.1

1073

.399

2.8

1065

.510

22.2

1007

.090

8.6

970.

010

03.2

1002

.598

4.3

-11.

7

Mal

igna

nt n

eopl

asm

s10

06.6

1017

.310

07.7

1007

.499

2.6

958.

689

9.1

931.

792

7.9

893.

590

1.1

-10.

5

Chr

onic

low

er r

espi

rato

ry d

isea

ses

316.

830

3.6

310.

931

8.4

319.

930

2.7

290.

230

8.7

298.

228

8.3

280.

8-1

1.4

Cer

ebro

vasc

ular

dis

ease

s18

8.9

182.

816

9.3

164.

416

5.5

151.

814

4.4

183.

017

6.8

178.

618

7.1

-1.0

Alz

heim

er's

dis

ease

174.

417

8.6

186.

218

8.6

171.

417

4.3

168.

120

3.2

207.

519

3.7

177.

11.

5

ALL

CAU

SES

4095

.040

25.9

3974

.940

83.3

3987

.439

04.2

3883

.339

75.4

4019

.038

92.3

3932

.5-4

.0

(Num

ber

of a

ll de

aths

)(1

5,58

9)(1

5,46

2)(1

5,96

7)(1

6,51

7)(1

7,10

1)(1

7,48

9)(1

8,29

2)(1

9,66

5)(2

0,78

1)(2

1,14

4)(2

2,03

0)41

.3

FEM

ALE

Dis

ease

s of

hea

rt86

0.8

855.

980

4.8

847.

279

4.5

763.

769

4.9

756.

274

1.0

743.

472

6.4

-15.

6

Mal

igna

nt n

eopl

asm

s69

1.1

701.

670

2.5

710.

967

8.6

697.

962

8.1

670.

564

2.2

628.

760

1.8

-12.

9

Alz

heim

er's

dis

ease

297.

929

1.2

323.

531

9.4

272.

529

4.8

274.

232

6.9

326.

230

6.0

303.

82.

0

Chr

onic

low

er r

espi

rato

ry d

isea

ses

279.

327

3.5

272.

630

1.4

268.

628

3.6

248.

328

6.8

288.

127

1.7

265.

6-4

.9

Cer

ebro

vasc

ular

dis

ease

s22

9.2

218.

522

9.9

231.

020

8.0

198.

119

1.1

210.

521

8.4

208.

021

5.3

-6.1

ALL

CAU

SES

3544

.835

15.6

3521

.736

81.4

3489

.934

68.6

3378

.334

12.6

3371

.133

12.5

3293

.6-7

.1

(Num

ber

of a

ll de

aths

)(1

6,62

5)(1

6,63

6)(1

6,90

9)(1

7,79

8)(1

7,85

5)(1

8,49

4)(1

8,71

8)(1

9,81

5)(2

0,40

8)(2

1,05

5)(2

1,54

2)29

.6

TOTA

L

Dis

ease

s of

hea

rt97

4.3

953.

389

0.4

946.

889

8.3

874.

879

3.1

854.

586

1.8

862.

884

5.4

-13.

2

Mal

igna

nt n

eopl

asm

s83

2.4

843.

084

1.5

846.

182

1.8

816.

975

2.6

790.

777

3.8

750.

773

9.9

-11.

1

Chr

onic

low

er r

espi

rato

ry d

isea

ses

296.

128

7.0

290.

130

9.1

292.

029

2.3

267.

629

6.8

292.

827

9.3

272.

6-7

.9

Alz

heim

er's

dis

ease

242.

624

0.8

260.

925

9.8

226.

423

9.8

225.

427

0.0

271.

525

4.2

245.

31.

1

Cer

ebro

vasc

ular

dis

ease

s21

1.1

202.

520

2.3

200.

718

8.6

176.

916

9.6

197.

819

9.2

194.

420

2.3

-4.2

ALL

CAU

SES

3791

.337

44.2

3728

.238

64.8

3716

.936

67.5

3610

.436

71.5

3669

.535

79.6

3588

.4-5

.4

(Num

ber

of a

ll de

aths

)(3

2,21

4)(3

2,09

8)(3

2,87

6)(3

4,31

8)+ (

34,9

58)

(35,

983)

(37,

010)

(39,

480)

(41,

189)

(42,

199)

(43,

572)

35.3

TAB

LE 2

C-2

3M

OR

TALI

TY R

ATE

Sa

FOR

TH

E S

ELEC

TED

FIV

E LE

AD

ING

CA

US

ESb O

F D

EATH

AM

ON

G E

LDER

LY (

65

YEA

RS

AN

D O

LDER

) B

Y G

END

ER,

AR

IZO

NA

, 2

00

8-2

01

8

Gen

der

/Cau

se2

00

82

00

92

01

02

01

12

01

22

01

3

Not

es: a

Rat

es a

re p

rese

nted

per

100

,000

eld

erly

per

sons

65

year

s an

d ol

der;

b The

fiv

e ca

uses

with

the

gre

ates

t nu

mbe

r of

dea

ths

over

the

200

8-20

18 p

erio

d; + T

otal

(nu

mbe

r of

all

deat

hs)

incl

udes

2 u

nkno

wn

gend

er;

the

caus

e-of

-dea

th t

itles

are

acc

ordi

ng t

o th

e Te

nth

Rev

isio

n of

the

Int

erna

tiona

l Cla

ssifi

catio

n of

Dis

ease

s (I

CD

-10)

; th

e ca

uses

of de

ath

for

2008

-20

18 a

re c

lass

ified

by

ICD

-10,

rep

laci

ng t

he N

inth

Rev

isio

n (I

CD

-9).

20

14

20

15

20

16

20

17

20

18


% c

han

ge

fro

m 2

00

8

UR

BA

N

Dis

ease

s of

hea

rt97

1.9

952.

288

8.5

932.

089

1.8

862.

378

1.0

830.

283

5.5

839.

182

9.2

-14.

7

Mal

igna

nt n

eopl

asm

s81

7.9

835.

083

4.0

846.

282

5.5

807.

674

8.7

783.

675

6.6

737.

172

4.0

-11.

5

Chr

onic

low

er r

espi

rato

ry d

isea

ses

289.

228

2.2

288.

731

1.3

288.

928

6.3

267.

829

2.0

285.

826

5.3

257.

5-1

1.0

Alzh

eim

er's

dis

ease

261.

326

3.2

284.

928

8.9

251.

527

2.0

252.

629

1.9

286.

026

2.6

253.

4-3

.0

Cer

ebro

vasc

ular

dis

ease

s20

6.4

206.

120

1.5

202.

019

2.8

180.

117

2.6

198.

119

7.5

193.

820

3.2

-1.6

ALL

CAU

SES

3765

.037

65.4

3738

.338

86.0

3740

.336

63.4

3615

.636

50.2

3624

.735

31.0

3568

.4-5

.2

(Num

ber

of a

ll de

aths

)(2

5,37

4)(2

5,59

6)(2

6,04

3)(2

7,30

2)(2

7,82

4)(2

8,44

2)(2

9,41

6)(3

1,17

9)(3

2,37

0)(3

3,14

6)(3

4,39

7)35

.6

RU

RA

L

Dis

ease

s of

hea

rt97

9.3

950.

488

9.9

990.

491

2.5

919.

183

4.0

935.

294

7.2

940.

390

0.8

-8.0

Mal

igna

nt n

eopl

asm

s88

3.7

865.

386

4.6

840.

580

2.6

847.

876

4.5

810.

882

8.2

792.

579

4.6

-10.

1

Chr

onic

low

er r

espi

rato

ry d

isea

ses

322.

130

2.5

291.

629

8.9

299.

631

4.0

264.

331

1.1

311.

232

8.6

327.

61.

7

Alzh

eim

er's

dis

ease

166.

715

2.1

169.

614

5.1

130.

211

7.2

118.

718

4.1

211.

921

8.2

211.

326

.8

Cer

ebro

vasc

ular

dis

ease

s22

8.2

187.

020

4.1

193.

117

1.9

164.

115

7.9

195.

820

4.0

193.

619

6.1

-14.

1

ALL

CAU

SES

3863

.136

28.5

3657

.537

41.1

3590

.036

65.4

3558

.137

06.3

3771

.937

08.2

3634

.9-5

.9

(Num

ber

of a

ll de

aths

)(6

,789

)(6

,441

)(6

,773

)(6

,935

)(7

,058

)(7

,505

)(7

,526

)(8

,196

)(8

,653

)(8

,905

)(9

,099

)34

.0

TOTA

L

Dis

ease

s of

hea

rt97

4.3

953.

389

0.4

946.

889

8.3

874.

879

3.1

854.

586

1.8

862.

884

5.4

-13.

2

Mal

igna

nt n

eopl

asm

s83

2.4

843.

084

1.5

846.

182

1.8

816.

975

2.6

790.

777

3.8

750.

773

9.9

-11.

1

Chr

onic

low

er r

espi

rato

ry d

isea

ses

296.

128

7.0

290.

130

9.1

292.

029

2.3

267.

629

6.8

292.

827

9.3

272.

6-7

.9

Alzh

eim

er's

dis

ease

242.

624

0.8

260.

925

9.8

226.

423

9.8

225.

427

0.0

271.

525

4.2

245.

31.

1

Cer

ebro

vasc

ular

dis

ease

s21

1.1

202.

520

2.3

200.

718

8.6

176.

916

9.6

197.

819

9.2

194.

420

2.3

-4.2

ALL

CAU

SES

3791

.337

44.2

3728

.238

64.8

3716

.936

67.5

3610

.436

71.5

3669

.535

79.6

3588

.4-5

.4

(Num

ber

of a

ll de

aths

)(3

2,21

4)(3

2,09

8)(3

2,87

6)(3

4,31

8)(3

4,95

8)(3

5,98

3)(3

7,01

0)(3

9,48

0)(4

1,18

9)(4

2,19

9)(4

3,57

2)35

.3

Not

es: a

Rat

es a

re p

rese

nted

per

100

,000

eld

erly

per

sons

65

year

s an

d ol

der;

b Th

e fiv

e ca

uses

with

the

gre

ates

t nu

mbe

r of

dea

ths

over

the

200

8-20

18 p

erio

d; c

Urb

an =

Mar

icop

a, P

ima,

Pi

nal,

and

Yum

a co

untie

s; t

he r

emai

ning

cou

ntie

s co

mpr

ise

Arizo

na's

rur

al a

reas

; se

e Te

chn

ical

Not

es for

mor

e in

form

atio

n; r

ecor

ds w

ith u

nkno

wn

coun

ty o

f re

side

nce

are

incl

uded

in t

he

stat

ewid

e to

tals

, bu

t ar

e no

t di

stribu

ted

by u

rban

/rur

al a

rea;

the

cau

se-o

f-de

ath

title

s ar

e ac

cord

ing

to t

he T

enth

Rev

isio

n of

the

Int

erna

tiona

l Cla

ssifi

catio

n of

Dis

ease

s (I

CD

-10)

; th

e ca

uses

of

dea

th for

200

8-20

18 a

re c

lass

ified

by

ICD

-10,

rep

laci

ng t

he N

inth

Rev

isio

n (I

CD

-9);

mea

sure

s of

com

pariso

n be

twee

n IC

D-9

and

ICD

-10

– th

e “c

ompa

rabi

lity

ratio

s” -

for

the

cau

ses

of

deat

h sh

own

in t

his

repo

rt a

re p

rovi

ded

in t

he T

ech

nic

al N

otes

.

TAB

LE 2

C-2

4M

OR

TALI

TY R

ATE

Sa F

OR

TH

E S

ELEC

TED

FIV

E LE

AD

ING

CA

US

ESb O

F D

EATH

AM

ON

G E

LDER

LY (

65

YEA

RS

AN

D O

LDER

)IN

UR

BA

N A

ND

RU

RA

L A

REA

Sc ,

AR

IZO

NA

, 2

00

8-2

01

8

Are

a/C

ause

20

08

20

09

20

10

20

11

20

12

20

13

20

14

20

15

20

16

20

17

20

18


% c

han

ge

fro

m 2

00

8

UR

BA

N

Mal

e40

53.2

4013

.839

76.9

4107

.639

80.1

3898

.238

88.6

3944

.339

60.2

3799

.238

91.3

-4.0

Fem

ale

3534

.935

67.5

3543

.837

05.0

3543

.834

70.8

3388

.534

05.1

3344

.333

06.7

3297

.9-6

.7

TOTA

L37

65.0

3765

.437

38.3

3886

.037

40.3

3663

.436

15.6

3650

.236

24.7

3531

.035

68.4

-5.2

RU

RA

L

Mal

e42

16.1

4021

.739

17.1

3948

.939

52.6

3895

.338

26.7

4027

.041

33.9

4142

.940

43.4

-4.1

Fem

ale

3555

.832

86.5

3418

.235

47.4

3256

.034

54.5

3309

.834

09.1

3435

.233

04.1

3253

.6-8

.5

TOTA

L38

63.1

3628

.536

57.5

3741

.135

90.0

3665

.435

58.1

3706

.337

71.9

3708

.236

34.9

-5.9

TOTA

L

Mal

e40

95.0

4025

.939

74.9

4083

.339

87.4

3904

.238

83.3

3975

.440

19.0

3892

.339

32.5

-4.0

Fem

ale

3544

.835

15.6

3521

.736

81.4

3489

.934

68.6

3378

.334

12.6

3371

.133

12.5

3293

.6-7

.1

TOTA

L37

91.3

3744

.237

28.2

3864

.837

16.9

3667

.536

10.4

3671

.536

69.5

3579

.635

88.4

-5.4

TAB

LE 2

C-2

5M

OR

TALI

TY R

ATE

Sa

FOR

TH

E FI

VE

LEA

DIN

G C

AU

SES

OF

DEA

TH A

MO

NG

ELD

ERLY

(6

5 Y

EAR

S A

ND

OLD

ER)

BY

GEN

DER

IN

UR

BA

N A

ND

RU

RA

L A

REA

Sb,

AR

IZO

NA

, 2

00

8-2

01

8

Are

a/G

end

er2

00

82

00

92

01

02

01

12

01

22

01

3

Not

es: a

Rat

es a

re p

rese

nted

per

100

,000

per

sons

65

year

s an

d ol

der;

b Urb

an =

Mar

icop

a, P

ima,

Pin

al,

and

Yum

a co

untie

s; t

he r

emai

ning

cou

ntie

s co

mpr

ise

Arizo

na's

rur

al

area

s; s

ee T

ech

nic

al N

ote

s for

mor

e in

form

atio

n.

20

14

20

15

20

16

20

17

20

18


Cau

se o

f d

eath

Total

Male

Female

Urban

Rural

Unknown

White non-Hispanic

Hispanic or Latino




Refused/Unknown

Dis

ease

s of

hea

rt10

,265

5,51

44,

751

7,99

32,

255

178,

592

1,02

524

218

713

683

Mal

ign

ant

neo

pla

sms

8,98

45,

048

3,93

66,

979

1,98

916

7,44

197

422

415

515

238

M

alig

nan

t n

eop

lasm

of

trac

hea

, b

ron

chu

s an

d lu

ng

2,08

91,

133

956

1,60

148

4*

1,81

216

155

1436

11

M

alig

nan

t n

eop

lasm

of

lym

ph

oid

, h

emat

opoi

etic

an

d r

elat

ed t

issu

e96

0†57

637

976

418

9*

780

109

2720

17*

M

alig

nan

t n

eop

lasm

of

colo

n,

rect

um

, an

d

anu

s77

0†43

134

261

116

20

608

115

1913

16*

Mal

ign

ant

neo

pla

sm o

f p

ancr

eas

740†

393

350

598

143

*61

883

1514

9*

Mal

ign

ant

neo

pla

sm o

f p

rost

ate

647

647

049

615

0*

529

6522

178

6

Mal

ign

ant

neo

pla

sm o

f b

reas

t52

0†7

511

401

117

042

955

15*

13*

Ch

ron

ic lo

wer

res

pir

ator

y d

isea

ses

3,31

01,

573

1,73

72,

482

820

82,

984

174

6533

2925

Alz

hei

mer

's d

isea

se2,

979

992

1,98

72,

443

529

72,

525

301

7735

338

Cer

ebro

vasc

ula

r d

isea

ses

2,45

61,

048

1,40

81,

959

491

61,

956

305

7260

4419

Acc

iden

ts (

un

inte

nti

onal

inju

ry)

1,50

881

169

71,

223

281

*1,

217

160

3156

2717

Fal

ls98

0†44

253

482

714

90

823

9712

2218

*

Mot

or v

ehic

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duce

d de

aths

1,77

0†0

*60

895

656

154

0O

pioi

d-in

duce

d de

aths

1,10

0†0

*50

642

338

730

Alc

ohol

-ind

uced

dea

ths

1,19

0†0

0*

238

655

290

0

Not

es:

* Cel

l sup

pres

sed

due

to c

ount

less

tha

n 6;

† Sum

rou

nded

to

near

est

tens

uni

t du

e to

add

end

less

tha

n 6;

the

cau

ses

of d

eath

in t

his

tabl

e ar

e cl

assi

fied

by t

he T

enth

Rev

isio

n of

the

In

tern

atio

nal C

lass

ifica

tion

of D

isea

ses

(ICD

-10)

.

TAB

LE 2

C-2

7 (

con

tin

ued

)C

OM

PA

RIS

ON

OF

CA

US

ES

OF

MO

RTA

LITY

BY

AG

E G

RO

UP

, A

RIZ

ON

A,

20

18


All

ages

Infa

nts

<

1C

hild

ren

1

-14

Ad

oles

-ce

nts

1

5-1

9

You

ng

ad

ult

s 2

0-4

4

Mid

dle

-ag

ed

adu

lts

45

-64

Eld

erly

6

5+

Tota

l, al

l cau

ses

836.

755

5.0

19.1

62.6

160.

963

9.4

3588

.4Sal

mon

ella

infe

ctio

ns0.

00.

00.

00.

00.

00.

0**

Shi

gello

sis

and

ameb

iasi

s0.

00.

00.

00.

00.

00.

00.

0Cer

tain

oth

er in

test

inal

infe

ctio

ns2.

6**

**0.

0**

1.7

12.0

Ent

eroc

oliti

s du

e to

Clo

stridi

um d

iffic

ile1.

70.

00.

00.

0**

0.9

8.2

Tube

rcul

osis

0.1

0.0

0.0

0.0

0.0

0.0

0.8

Res

pira

tory

tub

ercu

losi

s0.

10.

00.

00.

00.

00.

0**

Oth

er t

uber

culo

sis

0.1

0.0

0.0

0.0

0.0

0.0

0.5

Who

opin

g co

ugh

0.0

0.0

0.0

0.0

0.0

0.0

0.0

Sca

rlet

fev

er a

nd e

rysi

pela

s0.

00.

00.

00.

00.

00.

00.

0M

enin

goco

ccal

infe

ctio

n0.

00.

00.

00.

00.

00.

00.

0Sep

ticem

ia5.

4**

**0.

00.

65.

721

.8Syp

hilis

0.0

0.0

0.0

0.0

0.0

****

Acu

te p

olio

mye

litis

0.0

0.0

0.0

0.0

0.0

0.0

0.0

Art

hrop

od-b

orne

enc

epha

litis

0.0

0.0

0.0

0.0

0.0

0.0

0.0

Mea

sles

0.0

0.0

0.0

0.0

0.0

0.0

0.0

Viral

hep

atiti

s2.

00.

00.

00.

00.

35.

04.

1H

uman

imm

unod

efic

ienc

y vi

rus

(HIV

) di

seas

e1.

10.

00.

00.

00.

62.

91.

2M

alar

ia0.

00.

00.

00.

00.

00.

00.

0O

ther

and

uns

peci

fied

infe

ctio

us a

nd p

aras

itic

dise

ases

3.7

7.5

0.9

**0.

63.

613

.7M

alig

nant

neo

plas

ms

171.

0**

2.4

1.7

13.5

161.

673

9.9

Mal

igna

nt n

eopl

asm

of

lip,

oral

cav

ity a

nd p

hary

nx2.

30.

00.

00.

00.

32.

59.

6 M

alig

nant

neo

plas

m o

f es

opha

gus

4.7

0.0

0.0

0.0

**5.

619

.1 M

alig

nant

neo

plas

m o

f st

omac

h3.

30.

00.

00.

00.

83.

313

.3 M

alig

nant

neo

plas

m o

f co

lon,

rec

tum

, an

d an

us15

.90.

00.

00.

01.

618

.563

.7 M

alig

nant

neo

plas

m o

f liv

er a

nd in

trah

epat

ic b

ile d

ucts

7.9

0.0

**0.

00.

311

.129

.6 M

alig

nant

neo

plas

m o

f pa

ncre

as13

.50.

0**

0.0

0.3

11.8

61.2

Mal

igna

nt n

eopl

asm

of

lary

nx0.

90.

00.

00.

00.

01.

23.

5 M

alig

nant

neo

plas

m o

f tr

ache

a, b

ronc

hus

and

lung

37.3

0.0

0.0

0.0

0.6

31.4

172.

0 M

alig

nant

mel

anom

a of

ski

n3.

00.

00.

00.

00.

53.

311

.7 M

alig

nant

neo

plas

m o

f br

east

11.5

0.0

0.0

0.0

1.9

14.9

42.7

Mal

igna

nt n

eopl

asm

of

cerv

ix u

teri

2.2

0.0

0.0

0.0

1.3

4.3

3.8

Mal

igna

nt n

eopl

asm

of

corp

us u

teri a

nd u

teru

s, p

art

unsp

ecifi

ed5.

10.

00.

00.

00.

65.

419

.3 M

alig

nant

neo

plas

m o

f ov

ary

8.2

0.0

0.0

0.0

1.0

9.9

29.5

Mal

igna

nt n

eopl

asm

of

pros

tate

19.8

0.0

0.0

0.0

0.0

5.8

115.

5 M

alig

nant

neo

plas

m o

f ki

dney

and

ren

al p

elvi

s5.

00.

0**

0.0

0.3

6.1

19.6

Mal

igna

nt n

eopl

asm

of

blad

der

5.1

0.0

0.0

0.0

**2.

325

.9

TAB

LE 2

C-2

8C

OM

PA

RIS

ON

OF

CA

US

E-S

PEC

IFIC

MO

RTA

LITY

RA

TES

a B

Y A

GE

GR

OU

P,

AR

IZO

NA

, 2

01

8


All

ages

Infa

nts

<

1C

hild

ren

1

-14

Ad

oles

-ce

nts

1

5-1

9

You

ng

ad

ult

s 2

0-4

4

Mid

dle

-ag

ed

adu

lts

45

-64

Eld

erly

6

5+

Mal

igna

nt n

eopl

asm

of

men

inge

s, b

rain

and

oth

er p

arts

of

cent

ral n

ervo

us s

yste

m5.

2**

0.7

**1.

16.

118

.4 M

alig

nant

neo

plas

m o

f ly

mph

oid,

hem

atop

oiet

ic a

nd r

elat

ed t

issu

e16

.9**

0.7

**1.

411

.678

.6 H

odgk

in's

dis

ease

0.3

0.0

0.0

0.0

****

1.3

Non

-Hod

gkin

's ly

mph

oma

5.6

**0.

00.

00.

53.

726

.6 L

euke

mia

6.7

0.0

0.7

**0.

84.

730

.1 M

ultip

le m

yelo

ma

and

imm

unop

rolif

erat

ive

neop

lasm

s4.

20.

00.

00.

0**

2.9

20.3

Oth

er a

nd u

nspe

cifie

d m

alig

nant

neo

plas

ms

of ly

mph

oid

tissu

e0.

10.

00.

00.

00.

0**

** A

ll ot

her

and

unsp

ecifi

ed m

alig

nant

neo

plas

m20

.90.

00.

7**

2.7

18.9

89.4

In s

itu n

eopl

asm

s5.

70.

0**

0.0

0.4

2.8

28.2

Ane

mia

s1.

0**

****

0.3

0.5

4.1

Dia

bete

s28

.80.

00.

0**

2.9

33.0

116.

0N

utritio

nal d

efic

ienc

ies

5.0

0.0

0.0

0.0

0.3

1.0

26.8

Mal

nutr

ition

4.7

0.0

0.0

0.0

0.3

0.9

25.3

Oth

er n

utritio

nal d

efic

ienc

ies

0.3

0.0

0.0

0.0

0.0

**1.

6O

besi

ty2.

90.

00.

00.

01.

46.

05.

8M

enin

gitis

0.1

**0.

00.

0**

****

Park

inso

n's

dise

ase

11.2

0.0

0.0

0.0

**0.

963

.7Alz

heim

er's

dis

ease

42.6

0.0

0.0

0.0

**1.

824

5.3

Maj

or c

ardi

ovas

cula

r di

seas

es23

5.2

9.9

0.8

1.5

12.5

142.

711

44.2

Dis

ease

s of

hea

rt17

5.4

****

1.3

9.9

111.

284

5.4

Acu

te r

heum

atic

fev

er a

nd c

hron

ic r

heum

atic

hea

rt d

isea

se1.

40.

00.

00.

0**

0.8

6.8

Hyp

erte

nsiv

e he

art

dise

ase

19.8

0.0

0.0

**1.

913

.492

.6 H

yper

tens

ive

hear

t an

d re

nal d

isea

se2.

20.

00.

00.

0**

0.7

11.4

Isc

hem

ic h

eart

dis

ease

106.

60.

0**

0.0

3.8

68.9

516.

7 A

cute

myo

card

ial i

nfar

ctio

n22

.10.

00.

00.

01.

014

.610

6.1

Oth

er a

cute

isch

emic

hea

rt d

isea

se0.

50.

00.

00.

0**

0.4

2.6

Oth

er f

orm

s of

chr

onic

isch

emic

hea

rt d

isea

se83

.90.

0**

0.0

2.7

53.9

408.

1 A

ther

oscl

erot

ic c

ardi

ovas

cula

r di

seas

e24

.30.

00.

00.

01.

630

.295

.9 A

ll ot

her

form

s of

chr

onic

isch

emic

hea

rt d

isea

se59

.70.

0**

0.0

1.2

23.7

312.

2 O

ther

hea

rt d

isea

ses

45.5

****

**4.

027

.321

7.9

Acu

te a

nd s

ubac

ute

endo

card

itis

0.4

0.0

0.0

0.0

0.3

0.5

1.2

Dis

ease

s of

per

icar

dium

and

acu

te m

yoca

rditi

s0.

30.

0**

0.0

**0.

40.

7 H

eart

fai

lure

11.0

0.0

0.0

0.0

**3.

558

.6 A

ll ot

her

form

s of

hea

rt d

isea

se33

.8**

****

3.4

23.0

157.

4Es

sent

ial (

prim

ary)

hyp

erte

nsio

n an

d hy

pert

ensi

ve r

enal

dis

ease

13.1

0.0

0.0

0.0

0.4

7.3

65.3

Cer

ebro

vasc

ular

dis

ease

s40

.0**

**0.

01.

918

.920

2.3

Ath

eros

cler

osis

1.6

0.0

0.0

0.0

0.0

0.8

7.9

TAB

LE 2

C-2

8 (

con

tin

ued

)C

OM

PA

RIS

ON

OF

CA

US

E-S

PEC

IFIC

MO

RTA

LITY

RA

TES

a B

Y A

GE

GR

OU

P,

AR

IZO

NA

, 2

01

8


All

ages

Infa

nts

<

1C

hild

ren

1

-14

Ad

oles

-ce

nts

1

5-1

9

You

ng

ad

ult

s 2

0-4

4

Mid

dle

-ag

ed

adu

lts

45

-64

Eld

erly

6

5+

Oth

er d

isea

ses

of c

ircu

lato

ry s

yste

m5.

2**

****

0.3

4.5

23.3

Aor

tic a

neur

ysm

and

dis

sect

ion

2.7

0.0

0.0

****

2.6

11.9

Oth

er d

isea

se o

f ar

teries

, ar

teriol

es a

nd c

apill

arie

s2.

5**

**0.

0**

1.8

11.4

Oth

er d

isor

ders

of

circ

ulat

ory

syst

em1.

6**

0.0

0.0

0.3

2.0

5.8

Influ

enza

and

pne

umon

ia15

.7**

0.5

**1.

611

.471

.7 I

nflu

enza

3.0

0.0

**0.

00.

31.

914

.1 P

neum

onia

12.7

****

**1.

39.

557

.6O

ther

acu

te lo

wer

res

pira

tory

infe

ctio

ns0.

20.

0**

0.0

0.0

**0.

6Acu

te b

ronc

hiol

itis

0.1

0.0

**0.

00.

0**

**U

nspe

cifie

d ac

ute

low

er r

espi

rato

ry in

fect

ion

0.0

0.0

0.0

0.0

0.0

0.0

**Chr

onic

low

er r

espi

rato

ry d

isea

ses

54.0

0.0

****

0.9

28.4

272.

6 B

ronc

hitis

, ch

roni

c an

d un

spec

ified

0.1

0.0

0.0

0.0

****

** E

mph

ysem

a2.

60.

00.

00.

0**

1.6

13.0

Ast

hma

1.3

0.0

****

0.6

1.6

3.6

Oth

er c

hron

ic lo

wer

res

pira

tory

dis

ease

s49

.90.

00.

00.

0**

25.0

255.

5Pn

eum

ocon

iose

s an

d ch

emic

al e

ffec

ts0.

20.

00.

00.

00.

0**

0.8

Pneu

mon

itis

due

to s

olid

s an

d liq

uids

3.3

0.0

0.0

**0.

41.

915

.8O

ther

dis

ease

of

resp

irat

ory

syst

em12

.9**

****

0.6

7.8

62.2

Pept

ic u

lcer

1.0

0.0

0.0

0.0

**0.

84.

4D

isea

ses

of a

ppen

dix

0.1

0.0

0.0

0.0

****

0.6

Her

nia

0.5

****

0.0

****

2.5

Chr

onic

live

r di

seas

e an

d ci

rrho

sis

16.4

****

0.0

6.7

34.0

34.8

Alc

ohol

ic li

ver

dise

ase

10.2

0.0

0.0

0.0

5.4

24.0

15.6

Oth

er c

hron

ic li

ver

dise

ase

and

cirr

hosi

s6.

1**

**0.

01.

310

.019

.2Cho

lelit

hias

is a

nd o

ther

dis

orde

rs o

f ga

llbla

dder

1.0

0.0

0.0

0.0

0.0

0.6

5.2

Nep

hriti

s, n

ephr

otic

syn

drom

e an

d ne

phro

sis

9.6

0.0

**0.

00.

97.

443

.9 A

cute

and

rap

idly

pro

gres

sive

nep

hriti

c an

d ne

phro

tic s

yndr

ome

0.1

0.0

0.0

0.0

0.0

****

Chr

onic

glo

mer

ulon

ephr

itis

0.1

0.0

0.0

0.0

0.0

****

Ren

al f

ailu

re9.

50.

0**

0.0

0.9

7.1

43.5

Oth

ers

diso

rder

s of

kid

ney

0.0

0.0

0.0

0.0

0.0

0.0

0.0

Infe

ctio

ns o

f ki

dney

0.3

0.0

0.0

0.0

**0.

41.

1H

yper

plas

ia o

f pr

osta

te0.

30.

00.

00.

00.

0**

1.4

Infla

mm

ator

y di

seas

es o

f fe

mal

e pe

lvic

org

ans

0.1

0.0

0.0

0.0

0.0

****

Preg

nanc

y, c

hild

birt

h an

d th

e pu

erpe

rium

0.9

0.0

0.0

0.0

2.1

1.0

0.0

Pre

gnan

cy w

ith a

bort

ive

outc

ome

0.0

0.0

0.0

0.0

0.0

0.0

0.0

Oth

er c

ompl

icat

ions

of

preg

nanc

y, c

hild

birt

h an

d th

e pu

erpe

rium

0.9

0.0

0.0

0.0

2.1

1.0

0.0

TAB

LE 2

C-2

8 (

con

tin

ued

)C

OM

PA

RIS

ON

OF

CA

US

E-S

PEC

IFIC

MO

RTA

LITY

RA

TES

a B

Y A

GE

GR

OU

P,

AR

IZO

NA

, 2

01

8


All

ages

Infa

nts

<

1C

hild

ren

1

-14

Ad

oles

-ce

nts

1

5-1

9

You

ng

ad

ult

s 2

0-4

4

Mid

dle

-ag

ed

adu

lts

45

-64

Eld

erly

6

5+

Perina

tal c

ondi

tions

3.1

270.

7**

**0.

00.

00.

0Con

geni

tal a

nom

alie

s, d

efor

mat

ions

and

chr

omos

omal

abn

orm

aliti

es3.

315

1.5

1.3

**0.

92.

02.

9Sym

ptom

s, s

igns

, ab

norm

al f

indi

ngs

16.8

58.4

0.6

0.0

3.6

7.5

75.8

Tota

l acc

iden

ts59

.516

.15.

926

.759

.065

.612

4.2

Tra

nspo

rt a

ccid

ents

15.6

**2.

813

.419

.018

.919

.7 M

otor

veh

icle

acc

iden

ts14

.6**

2.8

13.2

18.1

17.1

18.0

Oth

er la

nd t

rans

port

acc

iden

ts0.

40.

00.

0**

0.4

0.6

** W

ater

, ai

r, s

pace

0.7

0.0

0.0

0.0

0.5

1.2

1.3

Non

tran

spor

t ac

cide

nts

43.9

12.4

3.1

13.4

40.0

46.7

104.

5 F

alls

15.4

0.0

**0.

00.

85.

580

.4 A

ccid

enta

l dis

char

ge o

f fir

earm

s0.

10.

0**

****

****

Acc

iden

tal d

row

ning

and

sub

mer

sion

1.3

0.0

1.9

**1.

31.

01.

5 A

ccid

enta

l exp

osur

e to

sm

oke,

fire

and

flam

es0.

30.

0**

****

0.6

0.8

Acc

iden

tal p

oiso

ning

21.8

0.0

**11

.235

.533

.97.

2 O

ther

and

uns

peci

fied

nont

rans

port

acc

iden

ts4.

912

.40.

8**

2.2

5.6

14.5

Inte

ntio

nal s

elf-

harm

(su

icid

e)20

.20.

01.

317

.223

.626

.527

.6 B

y di

scha

rge

of f

irea

rms

11.3

0.0

**6.

611

.315

.220

.1 B

y ot

her

mea

ns8.

90.

01.

010

.612

.311

.37.

5Ass

ault

(hom

icid

e)5.

9**

0.9

6.2

11.0

4.8

2.9

By

disc

harg

e of

firea

rms

4.1

0.0

**5.

18.

33.

21.

3 B

y ot

her

mea

ns1.

8**

0.5

**2.

71.

61.

6Le

gal i

nter

vent

ion

0.3

0.0

0.0

0.0

0.6

0.4

**Ev

ents

of

unde

term

ined

inte

nt2.

19.

90.

6**

2.1

3.2

2.1

Dis

char

ge o

f fir

earm

s0.

20.

0**

**0.

3**

** O

ther

and

uns

peci

fied

even

ts o

f un

dete

rmin

ed in

tent

1.9

9.9

0.5

**1.

93.

02.

0O

pera

tions

of

war

0.0

0.0

0.0

0.0

0.0

0.0

0.0

Com

plic

atio

ns o

f m

edic

al a

nd s

urgi

cal c

are

1.6

0.0

****

**1.

96.

0

Inju

ry b

y fir

earm

sb16

.10.

00.

912

.520

.719

.021

.9D

rug-

indu

ced

deat

hsb

25.0

0.0

**12

.738

.638

.412

.7O

pioi

d-in

duce

d de

aths

15.6

0.0

**10

.627

.719

.86.

0Alc

ohol

-ind

uced

dea

thsb

16.7

0.0

0.0

**10

.338

.423

.9

TAB

LE 2

C-2

8 (

con

tin

ued

)C

OM

PA

RIS

ON

OF

CA

US

E-S

PEC

IFIC

MO

RTA

LITY

RA

TES

a B

Y A

GE

GR

OU

P,

AR

IZO

NA

, 2

01

8

Not

es:

** C

ell s

uppr

esse

d du

e to

rat

e/ra

tio/p

erce

nt b

ased

on

non-

zero

cou

nt le

ss t

han

6; a

The

rate

s fo

r in

fant

s <

1 ye

ar o

f ag

e ar

e pe

r 10

0,00

0 bi

rths

; al

l oth

er r

ates

are

per

100

,000

po

pula

tion

in s

peci

fied

grou

p; t

he r

ates

for

mal

igna

nt n

eopl

asm

of ce

rvix

ute

ri,

corp

us u

teri,

ovar

y, in

flam

mat

ory

dise

ase

of fem

ale

pelv

ic o

rgan

s an

d co

mpl

icat

ions

of pr

egna

ncy

are

per

100,

000

fem

ales

; th

e ra

tes

for

pros

tate

can

cer

and

hype

rpla

sia

of p

rost

ate

are

per

100,

000

mal

es;

b Inc

lude

d in

sel

ecte

d ca

tego

ries

abo

ve.


2D.

PATTERNS OF PREMATURE MORTALITY

In 2018, the race /ethnic minority groups represented greater percentage of people younger than 25 years (43.3%) than White non-Hispanics (24.6%). In contrast, people aged 65 years and older accounted for 24.7 percent of White non-Hispanics, but only 7.6 percent of all ethnic minority groups combined (percentages based on race-and-age-specific population denominators in Table 10C-1).

Arizona’s population distribution by age and race/ethnicity is related to patterns of mortality among these subgroups. In 2018, of all deaths among the elderly (65 years and older), 82.0 percent were White non-Hispanics, 10.9 percent were Hispanic or Latino, with the three remaining racial/ethnic groups comprising only 6.4 percent of all deaths in this age group (Table 2C-26). Looking at younger ages, Native American children comprised only 5.4 percent of Arizona’s population age 1–14, but accounted for 11.5 percent of all childhood deaths. Native American adolescents represented only 5.0 percent of all adolescents, but accounted for 11.2 percent of all adolescent deaths. Finally, Native American young adults (ages 20–44) represented 4.7 percent of all young adults but comprised 15.5 percent of all young adult deaths. In summary, Arizona’s racial/ethnic minority groups tend to experience mortality earlier in life than Arizona’s White non-Hispanics.

Beginning with the 2005 edition of the report, information about the arithmetic mean age at death was supplemented with information about the median age, or the age in the center of the distribution when sorted by age (see Table 2D-1). The median age is higher than the arithmetic mean age in negatively skewed distributions.



Figure 2D-1 Median Age at Death by Race/Ethnicity, Arizona, 2018

The median age at death remained at 76 years from 2014 to 2018 (Table 2D-1). In other words, one of every two Arizonans who died in 2018 was older than 76 years of age. Among Arizona females, 50 percent were 80 years old when they died in 2018. Among males, the median age at death was 73 years in 2018. Table 2D-1 shows both the median age at death by race/ethnicity and gender from 2008-2018.

In 2018, compared to White non-Hispanics, on average Asians were 3 years younger at time of death, Hispanics were 8 years younger, Blacks were 11 years younger, and American Indian residents of Arizona were 18 years younger (based on the median age at death).

Figure 2D-2 Percent of Deaths before Expecteda Years of Life Reached by Race/Ethnicity,

Arizona, 2018

Note: a Expected years of life at birth for all U.S. residents (78.8 years).

In 2018, the percent of deaths before expected years of life reached (a premature death ratio) was 55.1 percent, -a level that remained unchanged from the prior year (Figure 2D-2).

As expected, based on the findings for average and median age at death, White non-Hispanics were the only group with about 50 percent of all deaths (50.8 percent) occurring before the expected years of life were reached (Figure 2D-2). On average, 68.7 percent of the deaths among racial/ethnic minority groups occurred prematurely.

Among American Indians, nearly eight out of ten deaths (78.8 percent) were premature (Table 2D-2).



Figure 2D-3 Median Age at Death for Selected Leading Causes of Death,

Arizona, 2018 In 2018, Alzheimer’s disease had the highest median age of death at 87 years (Figure 2D-3), exceeding by 11 years the median age at death for all causes (Figure 2D-3, Table 2D-3).

Among the leading causes of death, homicide had the lowest median age at death of 32 years.

From 2010-2015, cancer replaced diseases of the heart as the leading cause of death (based on the number of deaths). This epidemiologic transition in mortality risks is likely to have long lasting implications for the life expectancy of Arizonans, because the median age at death from cancer (73 years) is substantially lower than the median age at death from diseases of the heart (80 years).

Figure 2D-4 Percent of Deaths before Expected Years of Lifea Reached for

Selected Leading Causes of Death, Arizona, 2018

Note: a Expected years of life at birth for all U.S. residents (78.8 years).

Only 14.8 percent of deaths from Alzheimer’s disease occurred before the age of 78.8 years, i.e., before the expected years of life were reached. In contrast, almost all deaths from HIV disease were premature (98.7 percent; Figure 2D-4, Table 2D-4). The median age at death from HIV disease was 53 years in 2018, showing a decrease from 54 years recorded in 2017 (Figure 2D-3, Table 2D-3).

A minority of deaths from diseases of heart were premature (44.8 percent). In contrast 65.9 percent of deaths from cancer occurred before the expected years of life were reached.


Mea

nM

edia

nM

ean

Med

ian

Mea

nM

edia

nM

ean

Med

ian

Mea

nM

edia

nTo

tal

71.5

77.0

74.3

78.0

61.2

68.0

58.5

62.0

57.3

59.0

63.5

70.0

Mal

e68

.473

.071

.676

.057

.162

.055

.359

.053

.754

.061

.567

.5Fe

mal

e75

.080

.077

.281

.066

.474

.062

.567

.062

.067

.065

.673

.0To

tal

71.9

76.0

74.3

78.0

61.8

67.0

60.0

64.0

57.6

59.0

66.7

74.0

Mal

e69

.373

.071

.675

.058

.663

.056

.960

.054

.254

.063

.669

.0Fe

mal

e74

.880

.077

.281

.065

.772

.063

.468

.061

.866

.070

.177

.0To

tal

72.1

77.0

74.8

79.0

62.4

68.0

62.6

65.0

57.0

58.0

65.7

71.0

Mal

e69

.173

.072

.175

.058

.363

.060

.563

.052

.753

.064

.270

.0Fe

mal

e75

.480

.077

.782

.067

.474

.065

.369

.062

.665

.067

.474

.0To

tal

72.8

77.0

75.3

79.0

63.6

68.0

63.6

66.0

58.4

60.0

68.2

72.0

Mal

e69

.773

.072

.576

.059

.863

.061

.064

.054

.454

.065

.669

.0Fe

mal

e76

.281

.078

.382

.068

.575

.066

.669

.063

.267

.070

.875

.0To

tal

72.7

77.0

75.2

78.8

63.8

68.8

62.6

65.9

57.8

59.8

68.6

73.1

Mal

e69

.973

.772

.675

.960

.764

.359

.663

.254

.355

.564

.268

.7Fe

mal

e75

.980

.678

.182

.167

.874

.766

.069

.662

.065

.072

.378

.5To

tal

72.5

77.0

75.2

79.0

64.3

69.0

63.1

66.0

58.3

60.0

70.9

76.0

Mal

e69

.674

.072

.676

.060

.664

.059

.563

.054

.755

.068

.473

.0Fe

mal

e75

.881

.078

.082

.068

.675

.067

.773

.063

.167

.073

.378

.0To

tal

72.7

76.0

75.1

78.0

64.7

69.0

62.7

65.0

59.3

61.0

70.3

74.0

Mal

e70

.073

.072

.675

.061

.765

.060

.563

.055

.757

.066

.271

.0Fe

mal

e75

.880

.077

.981

.068

.474

.065

.367

.063

.866

.074

.179

.0To

tal

72.5

76.0

74.9

78.0

64.8

69.0

62.8

66.0

58.5

60.0

70.0

75.0

Mal

e69

.973

.072

.575

.061

.766

.060

.464

.055

.056

.067

.371

.0Fe

mal

e75

.579

.077

.581

.068

.774

.065

.969

.062

.966

.072

.677

.0To

tal

72.9

76.0

75.4

78.0

65.0

69.0

63.4

66.0

58.9

60.0

69.2

74.0

Mal

e70

.373

.073

.275

.061

.965

.060

.363

.055

.856

.065

.169

.5Fe

mal

e75

.979

.078

.081

.069

.175

.067

.671

.063

.366

.072

.978

.0To

tal

72.6

76.0

75.2

78.0

64.9

69.0

62.7

65.0

58.9

61.0

70.3

75.0

Mal

e69

.973

.072

.876

.061

.565

.058

.762

.055

.757

.067

.672

.0Fe

mal

e75

.879

.077

.981

.069

.375

.067

.869

.063

.167

.072

.777

.0To

tal

72.5

76.0

75.2

78.0

65.2

70.0

63.5

67.0

58.2

60.0

71.2

75.0

Mal

e69

.773

.072

.876

.061

.465

.060

.263

.054

.756

.068

.372

.0Fe

mal

e75

.980

.077

.981

.070

.276

.067

.370

.062

.966

.073

.878

.0

20

10

TAB

LE 2

D-1

AV

ERA

GE

AN

D M

EDIA

N A

GE

AT

DEA

TH F

RO

M A

LL C

AU

SES

BY

GEN

DER

AN

D R

AC

E/ET

HN

ICIT

Y,

AR

IZO

NA

, 2

00

8-2

01

8

Yea

rG

end

er

All

eth

nic

gro

up

sR

ace/

eth

nic

ity

Mea

nM

edia

nW

hit

e n

on-

His

pan

icH

isp

anic

or

Lati

no

Bla

ck o

r A

fric

an

Am

eric

anA

mer

ican

In

dia

n

or A

lask

a N

ativ

eA

sian

or

Pac

ific

Is

lan

der

20

08

20

09

20

17

20

18

Not

es:

Ave

rage

age

at

deat

h =

the

arith

met

ic m

ean

of t

he a

ges

of A

rizo

nans

who

die

d in

a g

iven

yea

r; M

edia

n ag

e at

dea

th =

the

mid

dle

of t

he a

ge d

istr

ibut

ion:

hal

f di

ed a

t ag

e gr

eate

r th

an t

he m

edia

n an

d ha

lf at

age

bel

ow t

he m

edia

n; T

he m

ean

is lo

wer

tha

n th

e m

edia

n in

neg

ativ

ely

skew

ed d

istr

ibut

ions

.

20

11

20

12

20

13

20

14

20

15

20

16


2008 Total 52.4 48.0 67.6 74.7 76.5 66.4

Male 60.0 55.4 75.4 81.6 82.6 68.7

Female 43.9 40.0 57.6 66.4 68.6 63.9

2009 Total 52.5 48.0 68.0 73.0 76.4 60.6

Male 59.9 55.4 74.4 79.3 81.1 66.8

Female 44.5 40.1 60.1 66.1 70.6 53.9

2010 Total 54.5 49.9 68.7 73.4 79.6 65.1

Male 62.4 57.8 76.2 78.4 85.3 69.0

Female 45.8 41.5 59.5 67.4 71.9 60.7

2011 Total 53.8 49.6 67.4 74.4 77.7 66.3

Male 61.8 57.5 75.4 80.7 84.3 71.3

Female 45.1 41.2 57.3 67.1 70.0 61.5

2012 Total 55.0 50.9 68.4 74.4 78.7 62.3

Male 62.3 58.1 75.7 81.6 83.9 74.2

Female 46.7 43.0 59.1 66.1 72.2 51.9

2013 Total 54.6 50.1 67.1 72.8 76.7 58.9

Male 62.0 57.5 75.0 80.8 82.7 65.0

Female 46.2 42.1 57.7 62.4 68.9 53.2

2014a Total 54.8 50.9 66.7 75.2 77.8 58.9

Male 62.0 58.0 74.1 79.7 84.1 68.9

Female 46.7 43.1 57.7 69.8 69.8 49.7

2015a Total 54.9 50.9 67.4 74.1 77.4 59.9Male 61.6 57.6 73.9 78.5 83.2 66.8Female 47.2 43.4 59.1 68.6 70.2 53.1

2016 Total 55.3 51.4 66.7 73.5 77.1 58.5Male 62.1 57.9 73.4 79.9 82.4 67.3

Female 47.5 44.1 57.9 64.9 69.7 50.6

2017 Total 55.1 50.6 67.0 75.1 77.9 58.7Male 61.8 57.0 74.1 82.0 84.0 63.1

Female 47.3 43.3 58.0 66.1 69.9 54.7

2018 Total 55.1 50.8 65.6 73.3 78.8 57.7Male 62.1 57.4 73.4 80.3 83.9 64.9

Female 46.9 43.2 55.1 65.2 71.9 51.2

TABLE 2D-2PERCENT OF DEATHS BEFORE EXPECTED YEARS OF LIFE REACHED

BY GENDER AND RACE/ETHNICITY, ARIZONA, 2008-2018

Year/genderAll

racial/ethnic groups

White non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

Note: a Based on updated expected years of life at birth for all U.S. residents (78.8 years in 2018).


Tota

l, a

ll c

ause

s76

.073

.080

.076

.074

.080

.075

.073

.078

.078

.070

.067

.060

.075

.0M

ajor

car

dio

vasc

ula

r d

isea

ses

81.0

77.0

84.0

81.0

78.0

84.0

79.0

76.0

83.0

82.0

77.0

71.0

71.0

77.0

Dis

ease

s of

hea

rt80

.077

.084

.081

.078

.085

.078

.076

.083

.082

.076

.070

.070

.077

.5C

oron

ary

hea

rt d

isea

se80

.077

.084

.080

.077

.085

.078

.076

.082

.081

.076

.070

.072

.077

.0M

alig

nan

t n

eop

lasm

s73

.073

.073

.073

.073

.073

.074

.074

.074

.074

.069

.067

.068

.071

.0Lu

ng

can

cer

74.0

73.0

74.0

73.0

73.0

74.0

74.0

74.0

74.0

74.0

74.0

68.0

73.0

69.5

Pro

stat

e ca

nce

r80

.080

.00.

080

.580

.50.

079

.079

.00.

081

.079

.076

.577

.582

.0B

reas

t ca

nce

r70

.066

.070

.069

.066

.069

.073

.00.

073

.072

.065

.059

.060

.065

.0C

olor

ecta

l ca

nce

r72

.071

.073

.072

.071

.073

.074

.074

.574

.073

.070

.061

.067

.065

.0M

alig

nan

t m

elan

oma

of s

kin

71.0

71.0

71.0

71.0

71.0

72.0

72.0

72.0

71.0

71.0

60.5

56.0

0.0

68.5

Cer

ebro

vasc

ula

r d

isea

ses

82.0

79.0

84.0

82.0

79.0

84.0

81.0

78.0

83.0

83.0

78.0

75.0

76.0

76.0

Ch

ron

ic l

ower

res

pir

ator

y d

isea

ses

78.0

77.0

79.0

78.0

77.0

79.0

78.0

76.0

79.0

78.0

77.0

74.5

77.0

82.0

Acc

iden

ts (

un

inte

nti

onal

in

juri

es)

54.0

51.0

62.0

54.0

50.0

64.0

55.0

53.0

60.0

61.0

38.0

41.0

42.0

64.0

Mot

or v

ehic

le a

ccid

ents

44.0

44.0

44.0

44.0

43.0

44.0

46.5

48.0

34.0

54.0

33.0

32.0

36.5

55.0

Fall

s84

.081

.087

.085

.081

.587

.080

.079

.083

.085

.081

.089

.068

.584

.5A

ccid

enta

l p

oiso

nin

g40

.039

.543

.040

.039

.042

.043

.042

.047

.043

.035

.042

.039

.030

.5A

ccid

enta

l d

row

nin

g36

.034

.049

.037

.035

.051

.035

.033

.040

.546

.022

.033

.038

.087

.0In

flu

enza

an

d p

neu

mon

ia78

.077

.080

.079

.078

.080

.076

.076

.076

.080

.075

.066

.070

.082

.0A

lzh

eim

er's

dis

ease

87.0

85.0

88.0

87.0

85.0

89.0

87.0

85.0

88.0

88.0

87.0

84.0

86.0

86.5

Dia

bet

es71

.070

.073

.071

.070

.073

.072

.070

.075

.073

.070

.067

.065

.070

.0In

ten

tion

al s

elf-

har

m (

suic

ide)

48.0

48.0

48.5

48.0

48.0

48.0

49.0

47.0

50.0

54.0

35.0

33.0

27.0

44.0

Ch

ron

ic l

iver

dis

ease

an

d c

irrh

osis

60.0

60.0

60.0

61.0

60.0

62.0

59.0

60.0

56.0

62.0

61.0

57.0

49.5

64.0

Nep

hri

tis,

nep

hro

tic

syn

dro

me

and

nep

hro

sis

76.0

75.0

78.0

76.0

75.0

77.0

78.0

75.0

81.0

79.0

73.0

75.0

68.0

72.5

Sep

tice

mia

74.0

71.0

76.0

74.5

71.0

76.0

72.5

71.0

74.0

76.5

70.0

70.0

60.5

50.0

Ass

ault

(h

omic

ide)

32.0

33.0

31.0

32.0

32.0

31.0

37.5

44.0

28.5

39.0

29.0

29.5

33.0

47.0

Par

kin

son

's d

isea

se82

.082

.082

.082

.082

.082

.082

.083

.080

.083

.080

.581

.083

.079

.5Es

sen

tial

(p

rim

ary)

hyp

erte

nsi

on a

nd

h

yper

ten

sive

ren

al d

isea

se81

.077

.083

.081

.077

.083

.080

.579

.083

.082

.080

.072

.571

.082

.0

Hu

man

im

mu

nod

efic

ien

cy v

iru

s (H

IV)

dis

ease

53.0

53.0

58.0

53.0

53.0

58.0

51.0

51.0

58.0

56.0

49.0

49.5

49.5

43.0

Inju

ry b

y fi

rear

ms

46.0

46.0

44.0

42.0

42.0

42.0

56.0

58.0

49.0

55.0

28.0

30.0

32.0

44.0

Dru

g-i

nd

uce

d d

eath

s42

.040

.046

.041

.040

.045

.045

.039

.051

.046

.035

.044

.035

.035

.0O

pio

id-i

nd

uce

d d

eath

s37

.036

.043

.037

.036

.041

.037

.035

.047

.541

.031

.533

.033

.021

.0A

lco

ho

l-in

du

ced

dea

ths

56.0

57.0

54.0

57.0

58.0

55.0

55.0

56.0

51.0

59.0

58.0

51.0

48.0

62.0

Not

es:

a U

rban

= M

aric

opa,

Pim

a, P

inal

, an

d Yu

ma

coun

ties;

med

ian

age

at d

eath

= t

he m

iddl

e of

the

age

dis

trib

utio

n: h

alf di

ed a

t ag

e gr

eate

r th

an t

he m

edia

n an

d ha

lf at

age

bel

ow t

he

med

ian.

White Non-Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

Total Urban

Urban Male

Urban Female

Total Rural

Rural Male

Rural Female

TAB

LE 2

D-3

ME

DIA

N A

GE

AT

DE

ATH

FO

R L

EA

DIN

G C

AU

SE

S O

F M

OR

TALI

TY B

Y G

EN

DE

R,

RA

CE

/E

THN

ICIT

Y,

AN

D

UR

BA

N/

RU

RA

L A

RE

AS

a , A

RIZ

ON

A,

20

18

AR

IZO

NA

Are

a/g

end

erR

ace/

eth

nic

ity

Total

Male

Female


Tota

l, a

ll c

ause

s55

.1%

62.1

%46

.9%

54.3

%61

.5%

46.1

%57

.7%

63.6

%50

.0%

50.8

%65

.6%

73.3

%78

.8%

57.7

%M

ajo

r ca

rdio

vasc

ula

r d

isea

ses

44.1

%52

.4%

34.5

%43

.0%

51.5

%33

.3%

47.8

%54

.6%

38.7

%40

.5%

53.3

%66

.4%

66.6

%51

.4%

Dis

ease

s o

f h

eart

44.8

%52

.6%

34.6

%43

.4%

51.5

%33

.2%

49.4

%55

.6%

40.1

%41

.3%

54.2

%67

.8%

69.0

%50

.6%

Co

ron

ary

hea

rt d

isea

se46

.5%

53.7

%35

.5%

44.9

%52

.6%

33.9

%51

.0%

56.3

%41

.2%

43.2

%54

.5%

68.9

%65

.9%

53.3

%M

alig

nan

t n

eop

lasm

s65

.9%

66.2

%65

.6%

65.8

%66

.1%

65.4

%66

.3%

66.6

%66

.0%

63.9

%71

.4%

76.7

%76

.4%

74.6

%Lu

ng

can

cer

68.0

%70

.6%

64.9

%67

.5%

70.2

%64

.4%

69.8

%72

.1%

66.9

%67

.6%

66.2

%75

.3%

60.0

%75

.0%

Co

lore

ctal

can

cer

65.1

%68

.5%

60.6

%64

.8%

69.3

%59

.3%

66.1

%65

.8%

66.7

%63

.1%

72.4

%75

.0%

60.0

%63

.0%

Bre

ast

can

cer

70.3

%90

.0%

70.1

%71

.0%

90.0

%70

.7%

67.1

%0.

0%67

.1%

67.5

%78

.0%

83.3

%83

.3%

79.2

%P

rost

ate

can

cer

43.5

%43

.5%

0.0%

42.9

%42

.9%

0.0%

45.0

%45

.0%

0.0%

41.8

%45

.9%

57.7

%55

.0%

44.4

%M

alig

nan

t m

elan

om

a o

f sk

in69

.9%

71.3

%66

.1%

69.8

%71

.1%

66.7

%68

.4%

71.4

%60

.0%

68.5

%10

0.0%

100.

0%0.

0%10

0.0%

Acc

iden

ts (

un

inte

nti

on

al i

nju

ries

)79

.0%

85.7

%66

.1%

77.7

%85

.2%

64.3

%83

.4%

87.0

%74

.2%

72.3

%89

.5%

94.1

%95

.2%

63.6

%A

ccid

enta

l p

ois

on

ing

99.5

%99

.6%

99.5

%99

.6%

99.7

%99

.5%

99.1

%98

.8%

100.

0%99

.5%

99.7

%10

0.0%

99.2

%10

0.0%

Fall

s32

.8%

41.8

%24

.5%

30.4

%40

.0%

22.2

%44

.1%

49.0

%38

.0%

30.7

%35

.7%

40.0

%72

.5%

11.1

% M

oto

r ve

hic

le a

ccid

ents

94.5

%95

.1%

93.1

%94

.3%

95.2

%92

.3%

94.7

%94

.6%

95.1

%90

.9%

98.4

%98

.0%

98.8

%94

.1%

Acc

iden

tal

dro

wn

ing

90.2

%92

.5%

84.0

%88

.9%

92.5

%78

.9%

95.0

%92

.9%

100.

0%87

.5%

100.

0%10

0.0%

100.

0%33

.3%

Ch

ron

ic l

ow

er r

esp

irat

ory

dis

ease

s51

.3%

55.8

%47

.2%

50.8

%55

.4%

46.7

%52

.5%

56.1

%48

.9%

50.7

%52

.3%

67.1

%53

.5%

34.4

%A

lzh

eim

er's

dis

ease

14.8

%18

.7%

12.8

%15

.0%

19.1

%12

.8%

13.8

%16

.1%

12.7

%14

.6%

14.1

%19

.5%

21.1

%17

.6%

Cer

ebro

vasc

ula

r d

isea

ses

40.2

%48

.8%

33.2

%39

.5%

48.1

%32

.5%

42.4

%51

.2%

35.5

%35

.8%

50.4

%64

.6%

56.6

%57

.1%

Dia

bet

es69

.0%

72.7

%63

.5%

68.9

%72

.3%

63.7

%69

.0%

73.8

%62

.1%

65.1

%71

.0%

77.7

%83

.6%

59.5

%In

ten

tio

nal

sel

f-h

arm

(su

icid

e)93

.0%

92.8

%93

.7%

93.3

%93

.2%

94.0

%92

.2%

92.2

%92

.5%

91.0

%97

.8%

100.

0%10

0.0%

100.

0%C

hro

nic

liv

er d

isea

se a

nd

cir

rho

sis

91.6

%93

.0%

89.5

%91

.2%

93.0

%88

.2%

92.7

%92

.8%

92.6

%89

.1%

92.4

%95

.0%

97.0

%10

0.0%

Ess

enti

al (

pri

mar

y) h

yper

ten

sio

n a

nd

h

yper

ten

sive

ren

al d

isea

se42

.5%

52.3

%34

.1%

42.0

%53

.5%

32.9

%43

.9%

46.2

%41

.4%

38.1

%47

.6%

63.5

%67

.7%

40.9

%

Infl

uen

za a

nd

pn

eum

on

ia49

.4%

52.6

%45

.8%

47.6

%51

.0%

43.6

%55

.1%

57.4

%52

.5%

46.1

%56

.7%

73.3

%65

.2%

33.3

%P

arki

nso

n's

dis

ease

32.3

%31

.6%

33.6

%33

.0%

32.8

%33

.3%

28.9

%26

.3%

35.0

%31

.7%

36.3

%36

.4%

23.5

%43

.8%

Nep

hri

tis,

nep

hro

tic

syn

dro

me

and

n

eph

rosi

s54

.6%

58.1

%50

.5%

56.1

%57

.7%

54.2

%49

.4%

59.5

%39

.0%

48.0

%64

.9%

63.0

%73

.6%

57.1

%

Sep

tice

mia

62.0

%63

.3%

60.7

%62

.9%

62.2

%63

.8%

59.3

%67

.4%

51.2

%53

.5%

78.7

%85

.7%

79.4

%66

.7%

Ass

ault

(h

om

icid

e)98

.6%

99.1

%96

.3%

98.9

%99

.3%

96.7

%96

.8%

97.7

%94

.4%

97.0

%99

.3%

100.

0%98

.1%

100.

0%

Hu

man

im

mu

no

def

icie

ncy

vir

us

(HIV

) d

isea

se98

.7%

98.5

%10

0.0%

98.6

%98

.4%

100.

0%10

0.0%

100.

0%10

0.0%

97.7

%10

0.0%

100.

0%10

0.0%

100.

0%

Inju

ry b

y fi

rear

ms

93.1

%92

.8%

94.6

%94

.4%

94.0

%97

.1%

88.6

%88

.6%

88.6

%90

.3%

98.7

%10

0.0%

100.

0%10

0.0%

Dru

g-i

nd

uce

d d

eath

s98

.4%

99.0

%97

.2%

98.2

%98

.8%

96.9

%99

.6%

100.

0%98

.8%

97.6

%10

0.0%

100.

0%98

.9%

100.

0%O

pio

id i

nd

uce

d d

eath

s99

.1%

99.1

%99

.1%

99.0

%99

.0%

99.0

%10

0.0%

100.

0%10

0.0%

98.6

%10

0.0%

100.

0%10

0.0%

100.

0%A

lco

ho

l in

du

ced

dea

ths

96.8

%96

.2%

98.1

%96

.6%

96.2

%97

.6%

97.2

%96

.3%

99.2

%96

.4%

95.1

%95

.7%

98.6

%10

0.0%

TAB

LE 2

D-4

PE

RC

EN

T D

EA

THS

BE

FOR

E E

XP

EC

TED

a Y

EA

RS

OF

LIFE

RE

AC

HE

D F

OR

TH

E L

EA

DIN

G C

AU

SE

S O

F M

OR

TALI

TY B

Y

GE

ND

ER

, R

AC

E/

ETH

NIC

ITY

, A

ND

UR

BA

N/

RU

RA

L A

RE

AS

b,

AR

IZO

NA

, 2

01

8

AR

IZO

NA

Are

a/g

end

erR

ace/

eth

nic

ity

Total

Male

Female

Not

es:

a Ex

pect

ed y

ears

of lif

e at

birth

for

all

U.S

. re

side

nts

(78

.8 y

ears

in 2

018)

; b

Urb

an =

Mar

icop

a, P

ima,

Pin

al,

and

Yum

a co

untie

s.White Non-

Hispanic

Hispanic or Latino

Black or African

American

American Indian or

Alaska Native

Asian or Pacific

Islander

Total Urban

Urban Male

Urban Female

Total Rural

Rural Male

Rural Female


chapter 2 trends and patterns in mortality arizona … · 2020. 3. 10. · 2a. t. otal . m....

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