Upload
others
View
4
Download
0
Embed Size (px)
Citation preview
ARIZONA AMERICAN INDIAN HEALTH STATUS SUMMARY REPORT FOR DATA YEAR 2015
JUNE 2017
American Indian Health Status Summary, 2015
Page 1 of 24
Table of Contents Page Acknowledgments/Contributions ................................................................................................................. 2
Background ................................................................................................................................................... 3
Executive Summary ....................................................................................................................................... 4
Demographics ............................................................................................................................................... 5
American Indian Health Status Compared to the Rest of Arizona ................................................................ 7
Leading Causes of Death ............................................................................................................................. 23
American Indian Health Status Summary, 2015
Page 2 of 24
Acknowledgments/Contributions
Arizona Department of Health Services Native American Liaison Michael Allison
Arizona Department of Health Services Public Health Statistics
Marguerite L. Sagna, Ph.D Sanhita Gupta Clare Torres
Arizona Department of Health Services Health Disparities Center
Alexandria Drake Michelle Sandoval-Rosario Teresa Aseret-Manygoats
American Indian Health Status Summary, 2015
Page 3 of 24
Background Arizona Tribal Lands and Reservations The state of Arizona is home to 22 sovereign American Indian Tribes. The American Indian/Alaska Native (AI/AN) community represents a vital and significant part of Arizona’s population. In 2015, 5.3% of residents in Arizona identified as AI/AN, representing nearly 362,000 persons1. This is the 3rd largest AI/AN population in the United States with only California and Oklahoma having a larger population of AI/AN individuals2. Tribal lands comprise 28% of Arizona’s land base. The map below illustrates tribal lands across the state.
1 United States Census Bureau Quick Facts,2015 2 United States Census, Census Brief, 2010
American Indian Health Status Summary, 2015
Page 4 of 24
Executive Summary Compared to other race and ethnicity, AI/AN have a lower life expectancy and are disproportionally impacted by many chronic diseases such as diabetes and chronic liver disease. AI/AN are more likely to live in poverty, suffer from tobacco-related deaths, have a greater risk for developing alcohol disorders, and a high prevalence of obesity. This health status summary report highlights some of the health disparities and major causes of death faced by the AI/AN community in Arizona. The purpose of this report is to inform tribal leaders and organizations on health disparities impacting AI/AN, identify health priorities, and serve as a guide to develop programs and interventions aimed at improving the health of AI/AN in Arizona. This report includes tables and graphs, with information on chronic diseases, causes of death, and behavioral risk factors, comparing AI/AN to all groups in Arizona. Data from the Arizona Department of Health Services Health Status Profile of American Indians in Arizona 2015 Data Book and United States Census Bureau was utilized to compile the information presented in this summary report. IN 2015, AMERICAN INDIAN RESIDENTS OF ARIZONA:
• Ranked worse than the statewide average on 49 of 65 health indicators; • Had high mortality from alcohol-induced causes, chronic liver disease and cirrhosis, motor
vehicle accidents, nephritis, unintentional injuries, diabetes, assault, septicemia, incidence of congenital anomalies, influenza and pneumonia, and sudden infant death syndrome: all contributing to the premature death rate of 77.4 percent;
• Ranked poorly on measures of maternal lifestyle and health, as well as in utilization of prenatal care;
• On average, age of deaths was 16 years younger compared to all racial/ethnic groups; • Ranked better than average on a number of health indicators including mortality rates for
several chronic diseases (lung cancer, chronic lower respiratory diseases, Alzheimer’s disease, breast cancer, coronary heart disease, cervical cancer, heart disease, all malignant neoplasms, and cardiovascular disease), tobacco use during pregnancy, drug induced deaths, and injury by firearms.
American Indian Health Status Summary, 2015
Page 5 of 24
17.4%
9.6%
18.5%
23.3%
9.0% 7.3%
0.0
5.0
10.0
15.0
20.0
25.0
30.0
Arizona White Non-Hispanic
Hispanic AmericanIndian/Alaska
Native
Black Asian/PacificIslander
Pere
nt o
f Pop
ulat
ion
Race/Ethnicity
Demographics
Figure 1. Race/Ethnicity Population Distribution, 20153
Figure 2. Percentage of Arizona Adults in Poverty, 20154
3 Arizona Quick Facts, United States Census Bureau, 2015 4 American Community Survey, United States Census Bureau 2015
55.8%
30.7%
5.3% 4.8% 3.1% 0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
White Non-Hispanic
Hispanic AmericanIndian/Alaska
Native
Black Asian/PacificIslander
Pere
nt o
f Pop
ulat
ion
Race/Ethnicity
American Indian Health Status Summary, 2015
Page 6 of 24
15.0% 13.6%
24.5% 26.1%
14.1% 12.5%
0.0
5.0
10.0
15.0
20.0
25.0
30.0
Arizona White Non-Hispanic
Hispanic AmericanIndian/Alaska
Native
Black Asian/PacificIslander
Pere
nt o
f Pop
ulat
ion
Race/Ethnicity
14.0%
33.5%
23.3%
12.3.% 11.8% 11.5%
58.5% 55.2%
23.3% 33.5%
59.1% 65.6%
27.5%
11.2%
26.1%
54.2%
29.1%
22.9%
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
Arizona Hispanic AmericanIndian/Alaska
Native
Asian White Non-Hispanic
Black
Axis
Titl
e
Race/Ethnicity
Less Than High School High School Diploma/Some College Bachelor's Degree or Higher
Figure 3. Percentage of Arizona Adults Uninsured, 20155
Figure 4. Education Attainment by Race and Ethnicity, 20155
American Indian Health Status Summary, 2015
Page 7 of 24
American Indian Health Status Compared to the Rest of Arizona
Figure 5. Teen Pregnancy Rate among American Indians Compared to all Groups in Arizona, 2015
Figure 6. Maternal Lifestyle and Health Characteristics among American Indians
Compared to all Groups in Arizona, 2015
0.9
27.3
90.8
0.3
14.1
58.4
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
≤14 years old 15-17 years old 18-19 years old
Rate
per
1,0
00 F
emal
es
Age
American Indians
Average Rate for All Groups
79.6
3.4 1.4
14.5 10.3
23.3
46.7 45.3
5.2 1.1
7.5 6.0
22.2
46.1
0.010.020.030.040.050.060.070.080.090.0
100.0
Unmarriedmothers
Tobacco useduring
pregnancy
Pre-existinghypertension
Gestationaldiabetes
Gestationalhypertension
Gestationalweight gain -Inadequate
Gestationalweight gain -
Excessive
Per 1
00 Li
ve B
irths
Health Characteristics
American Indians Average Rate for all Groups
American Indian Health Status Summary, 2015
Page 8 of 24
Figure 7. Utilization of Prenatal Care Services among American Indians
Compared to all Groups in Arizona, 2015
Figure 8. Newborn’s Birth Characteristics among American Indians Compared to all Groups in Arizona, 2015
9.6
7.3
1.3
9.0
7.2
1.1
0.0
2.0
4.0
6.0
8.0
10.0
12.0
Born too early (pretermor < 37 weeks)
Born too small: low-birthweight (<2,500
grams)
Born too small: very low-birthweight (<1,500
grams)
Per 1
,000
Live
Birt
hs
Newborns
AmericanIndians
Average Rate forall Groups
41.5
14.6
4.3
32.1
6.6 2.2
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
100.0
No care in the 1st trimester Fewer than five prenatalvisits
No prenatal care
Per 1
00 Li
ve B
irths
Prenatal Care
AmericanIndians
Average Ratefor all Groups
American Indian Health Status Summary, 2015
Page 9 of 24
6.0
0.9
7.8
0.4
3.2 4.6
6.9
0.4
5.6
0.2
3.5 2.1
0.0
2.0
4.0
6.0
8.0
10.0
12.0
Newbornrequiring
intensive care
Birth Defects Infantmortality
Sudden InfantDeath
Syndrome
Neonatalmortality
Postneonatalmortality
Per 1
,000
Live
Birt
hs
Newborns
AmericanIndians
Average Ratefor all Groups
167.0
119.9
83.3
31.6 13.0
189.0
141.3
104.6
31.1 11.1
0.020.040.060.080.0
100.0120.0140.0160.0180.0200.0
Cardiovasculardisease
Diseases of theheart
Coronary heartdisease
Cerebrovasculardisease
Hypertension
Per 1
00,0
00 P
opul
atio
n
Condition
AmericanIndians
Average Ratefor all Groups
Figure 9. Newborn’s Health among American Indians Compared to all Groups in Arizona, 2015
Figure 10. Age-Adjusted Mortality Rate from Heart Disease and Stroke Related Causes among
American Indians Compared to all Groups in Arizona, 2015
American Indian Health Status Summary, 2015
Page 10 of 24
124.4
8.1 12.8
1.9 13.3 26.0
144.0
35.1 19.2
2.3 12.9 17.6
0.020.040.060.080.0
100.0120.0140.0160.0180.0200.0
All cancers Lung cancer Breast cancer Cervicalcancer
Colorectalcancer
Prostatecancer
Per 1
00,0
00 P
opul
atio
n
Condition
American Indians
Average Rate forall Groups
23.8
73.9 77.6
2.1 14.0 21.3 18.3 9.4 25.7 14.9
1.6 5.4
37.3
6.3 0.0
20.040.060.080.0
100.0120.0140.0160.0180.0200.0
Influenza andpneumonia
Diabetes Chronic liverdisease and
cirrhosis
HIV disease Septicemia Alzheimer'sdisease
Kidneydisease
Per 1
00,0
00 P
opul
atio
n
Condition
AmericanIndiansAverage Ratefor all Groups
Figure 11. Age-Adjusted Mortality Rate from Cancer Related Causes among American Indians Compared to all Groups in Arizona, 2015
Figure 12. Age-Adjusted Mortality Rate from Other Chronic and Infectious Related Causes among American Indians Compared to all Groups in Arizona, 2015
American Indian Health Status Summary, 2015
Page 11 of 24
139.0
54.3
15.6 1.4
11.4 15.8
111.5
19.0 15.7
48.1
12.6 12.6 1.2
13.7 19.8 17.5 17.8 5.6
0.0
20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
180.0
200.0
Unintentionalinjuries
Motor vehicle Falls Drowning Firearms Drugs Alcohol Sucide Assault
Per 1
00,0
00 P
opul
atio
n
Condition
AmericanIndians
AverageRate for allGroups
50.3 97.1
423.9
1108.3
15.4 47.5 146.6
641.0
0.0
200.0
400.0
600.0
800.0
1000.0
1200.0
1-14 15-19 20-44 45-64
Per 1
00,0
00 P
erso
ns
Age Group
American Indians
Average Rate forall Groups
Figure 13. Age-Adjusted Mortality Rate from Injury Related Causes among American Indians Compared to all Groups in Arizona, 2015
Figure 14. Premature Age-Adjusted Mortality Rate among American Indians
Compared to all Groups in Arizona, 2015
American Indian Health Status Summary, 2015
Page 12 of 24
60.0 56.0 66.0
77.4 76.0 73.0
79.0
54.9
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
Median age at deathfrom all causes
Median age at deathfrom all causes among
males
Median age at deathfrom all causes among
females
Total deaths beforeexpected years of life
reached
Per 1
00,0
00 P
erso
ns
Characteristic
AmericanIndians
Average Rate forall Groups
14.6
183.3
846.7
18.5 14.1
122.4
481.1
10.9 0.0
100.0
200.0
300.0
400.0
500.0
600.0
700.0
800.0
900.0
Early syphilis Gonorrhea Clamydia HIV/AIDS
Per 1
00,0
00 P
erso
ns
Condition
American Indians
Average Rate forall Groups
Figure 15. Age-Adjusted Median Age Mortality Rate From all Causes among American Indians Compared to all Groups in Arizona, 2015
Figure 16. Sexually Transmitted Diseases and HIV/AIDS Rate among American Indians Compared to all Groups in Arizona, 2015
*Median age refers to the age in the middle
American Indian Health Status Summary, 2015
Page 13 of 24
67.9
65.9
65.9
65.1 66.0
69.4 68.6 68.2
68.7
58.4 58.5
0.0
20.0
40.0
60.0
80.0
100.0
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Perc
ent
Year
8.3
6.4
8.1
8.2
8.4
8.1
7.4
7.4
6.6
8.7
7.8
0.01.02.03.04.05.06.07.08.09.0
10.0
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Per 1
,000
Live
Birt
hs
Year
Figure 17. Percentage of American Indian Women Giving Birth Who Received Prenatal Care (2005-2015)
Figure 18. Infant Death Rates among American Indians (2005-2015)
American Indian Health Status Summary, 2015
Page 14 of 24
4.0
2.4
3.9
3.6
4.2
4.3 4.1 3.6
2.9 3.7
4.6
0.01.02.03.04.05.06.07.08.09.0
10.0
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Per 1
,000
LIve
Birt
hs
Year
117.8
97.2 95.0
92.6 92.6
99.2 100.6
94.8 104.5
85.4
139.0
0.0
20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Per 1
00,0
00 P
erso
ns
Year
Figure 19. Postneonatal Death Rates among American Indians (2005-2015)
Figure 20. Age-Adjusted Mortality Rate due to Unintentional Injuries among American Indians (2005-2015)
Postneonatal: at least 28 days of age But less than one year of age
American Indian Health Status Summary, 2015
Page 15 of 24
Figure 21. Age-Adjusted Mortality Rate due to Motor Vehicle Crashes among American Indians (2005-2015)
Figure 22. Age-Adjusted Mortality Rate due to Suicides among American Indians (2005-2015)
62.6 56.9
49.0
41.9 36.9 41.7
44.2 37.8
31.7 35.6
54.3
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Per 1
00,0
00 P
erso
ns
Year
17.5
13.7 9.8
13.5
15.9
18.7
14.9
17.9
21.9
13.9
19.0
0.0
5.0
10.0
15.0
20.0
25.0
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Per 1
00,0
00 P
erso
ns
Year
American Indian Health Status Summary, 2015
Page 16 of 24
14.0
13.2 9.8
12.8 13.2
18.0
11.9
17.3 17.7
7.3
19.0
0.0
2.0
4.0
6.0
8.0
10.0
12.0
14.0
16.0
18.0
20.0
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Per 1
00,0
00 P
erso
ns
Year
138.9
100.2
107.2 108.1
111.4
130.4
105.3
155.7
146.4
129.5
171.0
0.0
20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
180.0
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Per 1
00,0
00 P
erso
ns
Year
Figure 23. Age-Adjusted Mortality Rate due to Homicides among American Indians (2005-2015)
Figure 24. Age-Adjusted Mortality Rates due to Diabetes among American Indians (2005-2015)
*Diabetes reported as underlying or multiple cause of death
American Indian Health Status Summary, 2015
Page 17 of 24
51.2
43.6
36.8 40.7
54.0
64.6
43.6
59.2 62.0
52.7
77.6
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Per 1
00,0
00 P
erso
ns
Year
Figure 25. Age-Adjusted Mortality Rate due to Chronic Liver Disease or Cirrhosis among American Indians (2005-2015)
Figure 26. Age-Adjusted Morality Rate due to Cancer of the Uterine Cervix
among American Indians (2005-2015)
3.4
5.8
2.3
4.8
4.1
3.0 3.1
2.8
2.0
0.0
1.1
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015
Per 1
00,0
00 P
erso
ns
Year
*Chronic Liver Disease or Cirrhosis reported as underlying or multiple cause of death
*Cancer of the Uterine Cervix reported as underlying or multiple cause of death
American Indian Health Status Summary, 2015
Page 18 of 24
Figure 27. Median Age at Death from all Causes among American Indians
Compared to the Rest of Arizona (2005-2015)
Figure 28. Birth Rates to Unmarried Mothers among American Indians Compared to the rest of Arizona (2005-2015)
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015American Indian 59 57 59 59 59 58 60 59 60 61 60Arizona 77 76 76 77 76 77 77 77 76 76 76
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0M
edia
n Ag
e at
Dea
th
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015American Indian 72.9 74.8 75.9 75.8 76.9 77.7 77.1 78.5 79.2 78.9 79.6Arizona 42.8 43.9 45.0 45.1 45.2 44.7 44.3 45.2 45.1 44.7 45.3
0.0
10.0
20.0
30.0
40.0
50.0
60.0
70.0
80.0
90.0
Per 1
00 L
ive
Birt
hs
American Indian Health Status Summary, 2015
Page 19 of 24
Figure 29. Incidence of Gonorrhea among American Indians Compared to the rest of Arizona (2005-2015)
Figure 30. Low-Birthweight Rate among American Indians Compared to the rest of Arizona (2005-2015)
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015American Indian 142.6 125.7 94.4 73.3 50.0 85.1 162.8 185.7 224.6 206.5 183.3Arizona 81.9 95.3 78.7 52.8 49.3 50.8 71.4 89.4 98.2 112.2 122.4
0.0
50.0
100.0
150.0
200.0
250.0
IPer
100
,000
Per
sons
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015American Indian 7.3 7.4 6.6 6.7 6.4 7.0 6.9 6.7 7.2 6.1 7.3Arizona 6.9 7.1 7.1 7.1 7.1 7.1 7.0 6.9 6.9 7.0 7.2
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
Per 1
00 L
ive
Birt
hs
American Indian Health Status Summary, 2015
Page 20 of 24
Figure 31. Births Rate to Teenage Mothers among American Indians Compared to the Rest of Arizona (2005-2015)
Figure 32. Congenital Anomalies (Birth Defects) Rate among American Indians Compared to all of Arizona (2005-2015)
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015American Indian 19.1 19.1 20.1 18.6 19.0 17.0 16.9 16.0 14.2 11.7 11.4Arizona 12.5 12.7 12.6 12.3 11.8 10.8 9.9 9.5 8.5 7.6 6.9
0.0
5.0
10.0
15.0
20.0
25.0
Rate
per
100
Liv
e Bi
rths
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015American Indian 1.5 1.2 1.4 0.9 0.8 0.6 1.4 0.9 0.8 0.8 0.9All Arizonans 1.0 0.9 0.8 0.9 0.6 0.6 1.1 0.8 0.7 0.5 0.4
0.0
0.2
0.4
0.6
0.8
1.0
1.2
1.4
1.6
Per 1
00 L
ive
Birt
hs
American Indian Health Status Summary, 2015
Page 21 of 24
Figure 33. Gestational Hypertension Rate among American Indians Compared to the Rest of Arizona (2005-2015)
Figure 34. Gestational Diabetes Rate among American Indians
Compared to the Rest of Arizona (2005-2015)
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015American Indian 58.2 58.8 57.9 58.9 55.4 61.2 62.8 64.6 74.1 85.9 102.7Arizona 30.9 28.8 31 35.3 36.1 39.1 41.9 45.2 55.8 52.4 59.9
0.0
20.0
40.0
60.0
80.0
100.0
120.0
per 1
,000
Birt
hs
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015American Indian 82.5 72 80.4 82 82.2 77.9 93.3 99.3 111.4 121.5 144.7Arizona 29.7 31.6 34.3 38.9 38.7 41.8 46.4 51.2 57.2 61.3 75.5
0.0
20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
Per 1
,000
Birt
hs
American Indian Health Status Summary, 2015
Page 22 of 24
Figure 35. Age-Adjusted Mortality Rate for Selected Causes of Death among American Indians (2005-2015)
2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015Heart Disease 179.1 129.4 115.2 114.6 125.8 135.9 111.1 122.7 122.9 107.5 119.9Cancer 122.2 83.1 113.9 106.7 113.3 106.4 100.8 100.8 118.2 97.1 124.4Accidents (Unintentional Injury) 117.8 97.2 95.0 92.6 92.6 99.2 100.6 94.8 104.5 85.4 139.0Diabetes 69.9 43.9 51.1 50.8 54.2 79.3 61.3 80.2 65.7 63.2 73.9Chronic Liver Disease 51.2 43.6 36.8 40.7 54.0 64.6 43.6 59.2 62.0 52.7 77.6Suicide 17.5 13.7 9.8 13.5 14.9 18.7 14.9 17.9 21.9 13.9 19.0Chronic Lower Respiratory Disease 12.0 8.4 13.0 15.8 19.2 21.7 14.4 18.0 15.5 12.4 14.8
0.0
20.0
40.0
60.0
80.0
100.0
120.0
140.0
160.0
180.0
200.0
Per 1
00,0
00 P
opul
atio
n
American Indian Health Status Summary, 2015
Page 23 of 24
Leading Causes of Death
Table 1. Five Leading Causes of Death by Gender among American Indians (2015)
Rank Female Male Both
1 Cancer 112.4
Accidents (unintentional injury)
203.9
Accidents (unintentional injury)
139.0
2 Diseases of heart 89.1
Diseases of heart 158.9
Cancer 124.4
3 Accidents
(unintentional injury) 82.7
Cancer 142.1
Diseases of heart 119.9
4 Chronic liver disease and
cirrhosis 66.1
Chronic liver disease and cirrhosis
91.8
Chronic liver disease and cirrhosis
77.6
5 Diabetes 65.3
Diabetes 85.6
Diabetes 73.9
Notes: * Based on age-adjusted mortality rates: Number of deaths per 100,000 population, age-adjusted to the 2000 U.S. standard.
Table 2. Five Leading Causes of Death among American Indians by Gender and Residence On or Off Reservation (2015)
Rank Female, resided
on reservation Female, resided off reservation
Male, resided on reservation
Male, resided off reservation
1 Alzheimer's
disease 12.7
Cancer 16.0
Accidents (unintentional
injury) 20.4
Accidents (unintentional
injury) 20.3
2 Cancer 12.2
Accidents (unintentional
injury) 11.4
Diseases of heart 13.0
Cancer 11.6
3
Accidents (unintentional
injury) 9.8
Diseases of heart 10.6
Cancer 9.9
Diseases of heart 10.7
4 Diabetes 5.8
Chronic liver disease and
cirrhosis 7.9
Chronic liver disease and
cirrhosis 9.2
Chronic liver disease and
cirrhosis 8.7
5
Chronic lower respiratory
diseases 2.1
Diabetes 7.3
Diabetes 7.4
Diabetes 6.8
Note: * Percent of total deaths in specified group
American Indian Health Status Summary, 2015
Page 24 of 24
Table 3. Mortality Percent by Type of Cancer and Gender among American Indians Compared to the rest of Arizona (2005-2015)
Rank Arizona maleb American Indian
male Arizona femaleb American Indian female
1 Trachea, bronchus,
lung 26.3
Liver 12.1
Trachea, bronchus, lung 25.0
Breast 12.2
2 Lymphoma 10.8
Prostate 11.3
Breast 15.3
Lymphoma 11.0
3 Prostate 10.1
Lymphoma 10.0
Lymphoma 9.2
Colon, rectum, anus 8.1
4 Colon, rectum,
anus 9.0
Colon, rectum, anus 9.4
Colon, rectum, anus 9.1
Ovary 7.8
5 Pancreas 6.6
Trachea, bronchus, lung 8.1
Pancreas 6.8
Trachea, bronchus, lung 7.7
6 Liver 4.8
Kidney 7.8
Ovary 5.8
Liver 7.6
Notes: a. Percent of cancer deaths in specified group in 2005-2015 b. All race/ethnic groups combined
Table 4. Mortality Percent by Mechanism of Unintentional Injury and Gender among American Indians Compared to the rest of Arizona (2005-2015)
Rank Arizona maleb American Indian male Arizona femaleb American Indian
female
1 Motor vehicle
accidents 32.8
Motor vehicle-related
46.8
Falls 36.6
Motor vehicle-related
53.6
2 Poisoning by drugs 25.5
Poisoning by gases 12.8
Poisoning by drugs 24.5
Falls 12.7
3 Falls 19.8
Poisoning by drugs 9.9
Motor vehicle-related
22.9
Poisoning by drugs 11.4
4
Accidental discharge of
firearms 7.4
Falls 6.8
Accidental discharge of
firearms 2.4
Poisoning by gases 6.6
5 Accidental drowning
3.3
Exposure to cold 5.0
Choked on other objects
2.0
Exposure to cold 2.2
6 Poisoning by gases 3.1
Accidental drowning
3.1
Accidental drowning
1.9
Choked on other objects
1.5 Notes: a. Percent of unintentional injury deaths in specified group in 2005-2015 b. All race/ethnic groups combined