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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.
Arizona Health Status and Vital Statistics 2018 93
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
Arizona Health Status and Vital Statistics 2018 95
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
96 Arizona Health Status and Vital Statistics 2018
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
Arizona Health Status and Vital Statistics 2018 97
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
98 Arizona Health Status and Vital Statistics 2018
<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
1,44
81,
716
3,47
17,
449
11,5
2114
,873
17,1
781
59,2
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Arizona Health Status and Vital Statistics 2018 99
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.
Arizona Health Status and Vital Statistics 2018 101
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
102 Arizona Health Status and Vital Statistics 2018
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
Diseases of heart 116.0
Cancer 156.7
Diseases of heart 129.9
Diseases of heart 86.0
3 Unintentional
injury 56.3
Unintentional injury 44.5
Unintentional injury 57.6
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
Unintentional injury 24.9
5 Alzheimer's
disease 35.1
Cerebro-vascular diseases
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
Rank White non- Hispanic
Hispanic or Latino
Black or African
American
American Indian
or Alaska Native
Asian or Pacific Islander
1 Cancer 118.9
Cancer 99.6
Diseases of heart 149.5
Diseases of heart 108.6
Cancer 96.7
2 Diseases of
heart 111.4
Diseases of heart 90.1
Cancer 131.2
Cancer 92.6
Diseases of heart 68.5
3 Chronic lower
respiratory diseases 46.8
Cerebro-vascular diseases
32.6
Alzheimer's disease
49.9
Chronic liver disease and
cirrhosis 77.1
Cerebro-vascular diseases
29.2
4 Alzheimer's
disease 41.3
Alzheimer's disease
32.1
Diabetes 44.5
Unintentional injury 74.5
Alzheimer's disease
26.6
5 Unintentional
injury 37.8
Diabetes 27.4
Cerebro-vascular diseases
43.9
Diabetes 59.1
Unintentional injury 18.7
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
Arizona Health Status and Vital Statistics 2018 103
2B. LEADING CAUSES OF DEATH Five Leading Causes by Gender
Figure 2B-4 Age-adjusted Mortality Ratesa for the Five Leading Causes of Death
by Race/Ethnicity among Males, 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 181.1
Diseases of heart 147.4
Cancer 193.4
Unintentional injury 224.0
Diseases of heart 112.9
2 Cancer 165.7
Cancer 144.3
Diseases of heart 185.8
Diseases of heart 156.0
Cancer 112.0
3 Unintentional
injury 74.7
Unintentional injury 63.5
Unintentional injury 80.4
Cancer 149.6
Unintentional injury 31.5
4 Chronic lower
respiratory diseases 49.2
Diabetes 44.0
Diabetes 54.7
Chronic liver disease and
cirrhosis 101.9
Diabetes 25.9
5
Intentional Self-harm
Suicide 37.5
Cerebro-vascular diseases
36.3
Cerebro-vascular diseases
42.7
Diabetes 92.4
Cerebro-vascular diseases
25.2
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
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).
Figure 2B-5 Age-adjusted Mortality Ratesa for the Five Leading Causes of Death
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
Diseases of heart 208.0
Diseases of heart 119.4
2 Cancer 157.5
Diseases of heart 106.4
Cancer 176.9
Cancer 119.3
3 Unintentional
injury 71.3
Alzheimer's disease
39.8
Unintentional injury 102.6
Chronic lower respiratory diseases
52.7
4
Chronic lower respiratory diseases
41.4
Chronic lower respiratory diseases
38.0
Chronic lower respiratory diseases
57.4
Alzheimer's disease
39.3
5 Cerebrovascular
diseases 31.8
Unintentional injury 35.3
Intentional Self-harm (suicide)
51.4
Unintentional injury 36.0
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.
104 Arizona Health Status and Vital Statistics 2018
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
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
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.
Arizona Health Status and Vital Statistics 2018 105
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
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
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.
106 Arizona Health Status and Vital Statistics 2018
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
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
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
Race/Ethnicity, Arizona, 2018
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
Arizona Health Status and Vital Statistics 2018 107
2B. LEADING CAUSES OF DEATH Chronic lower respiratory diseases
Figure 2B-12 Age-adjusted Mortality Ratesa for Chronic Lower Respiratory Diseasesb by
Gender and Year, Arizona, 2008-2018
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
Race/Ethnicity, Arizona, 2018
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
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).
108 Arizona Health Status and Vital Statistics 2018
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
Gender and Year, Arizona, 2008-2018
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
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
Race/Ethnicity, Arizona, 2018
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
Arizona Health Status and Vital Statistics 2018 109
2B. LEADING CAUSES OF DEATH Alzheimer’s disease
Figure 2B-16 Age-adjusted Mortality Ratesa for Alzheimer’s Disease by
Gender and Year, Arizona, 2008-2018
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
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
Race/Ethnicity, Arizona, 2018
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
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).
110 Arizona Health Status and Vital Statistics 2018
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
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
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
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
Arizona Health Status and Vital Statistics 2018 111
2B. LEADING CAUSES OF DEATH Influenza and pneumonia
Figure 2B-20 Age-adjusted Mortality Ratesa for Influenza and Pneumonia by
Gender and Year, Arizona, 2008-2018
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
Race/Ethnicity, Arizona, 2018
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
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).
112 Arizona Health Status and Vital Statistics 2018
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
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
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
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
Arizona Health Status and Vital Statistics 2018 113
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
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
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
Note: a Number of deaths per 100,000 population age-adjusted to the 2000 U.S. standard.
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).
114 Arizona Health Status and Vital Statistics 2018
11
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wer
res
pir
ator
y d
isea
ses
2,89
62,
808
2,89
23,
143
3,16
73,
295
3,18
53,
648
3,78
83,
779
3,82
0
65
Alz
hei
mer
's d
isea
se2,
086
2,08
62,
314
2,33
62,
154
2,38
42,
345
2,94
23,
081
3,05
03,
011
56
Cer
ebro
vasc
ula
r d
isea
ses
2,08
92,
010
2,05
12,
067
2,09
62,
047
1,99
52,
463
2,53
62,
647
2,82
9
77
Dia
bet
es1,
162
1,07
81,
372
1,72
11,
698
1,74
41,
776
2,05
02,
013
2,03
72,
041
98
Inte
nti
onal
sel
f-h
arm
(su
icid
e)96
81,
060
1,07
01,
113
1,07
01,
116
1,12
41,
233
1,25
61,
304
1,43
2
10
9C
hro
nic
live
r d
isea
se a
nd
cir
rhos
is77
881
884
393
397
11,
040
984
1,12
01,
169
1,12
21,
159
81
0In
flu
enza
an
d p
neu
mon
ia1,
075
1,00
772
964
963
572
466
973
985
985
21,
113
14
11
Esse
nti
al p
rim
ary
hyp
erte
nsi
on a
nd
h
yper
ten
sive
ren
al d
isea
se47
547
549
872
573
971
175
889
61,
010
1,01
892
8
13
12
Par
kin
son
’s d
isea
se48
744
648
854
557
957
856
971
971
274
979
0
12
13
Nep
hri
tis,
nep
hro
tic
syn
dro
me
and
n
eph
rosi
s48
853
251
640
944
039
135
349
848
553
568
0
15
14
Ass
ault
(h
omic
ide)
461
360
404
387
376
383
294
364
416
430
416
11
15
Sep
tice
mia
539
528
425
321
319
354
336
436
505
461
382
45,1
2845
,065
45,8
7147
,547
48,4
5949
,929
51,0
7454
,152
56,4
8057
,261
59,2
06
TAB
LE 2
B-1
NU
MB
ER O
F D
EATH
S F
OR
TH
E LE
AD
ING
CA
US
ES O
F M
OR
TALI
TY B
Y Y
EAR
, A
RIZ
ON
A,
20
08
-20
18
Ran
k in
2
00
8
Ran
k in
2
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
Arizona Health Status and Vital Statistics 2018 115
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
116 Arizona Health Status and Vital Statistics 2018
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
Arizona Health Status and Vital Statistics 2018 117
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
Asian or Pacific Islander
Total, all causes
Cardiovascular diseases
118 Arizona Health Status and Vital Statistics 2018
(continued)
T M F T M F T M F T M F T M F T M F
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
Asian or Pacific Islander
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
Arizona Health Status and Vital Statistics 2018 119
T M F T M F T M F T M F T M F T M F
TABLE 2B-3 (continued)AGE-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
Asian or Pacific Islander
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
120 Arizona Health Status and Vital Statistics 2018
(continued)
T M F T M F T M F T M F T M F T M F
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
Asian or Pacific Islander
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
1991 NA NA 28.3 NA NA 30.3 NA NA 14.5 NA NA 25.7 NA NA 15.5 NA NA 24.6
1992 NA NA 28.0 NA NA 30.3 NA NA 16.6 NA NA 22.9 NA NA 8.8 NA NA 3.9
1993 NA NA 29.2 NA NA 30.6 NA NA 19.3 NA NA 42.7 NA NA 16.6 NA NA 8.7
1994 NA NA 28.6 NA NA 29.2 NA NA 23.1 NA NA 41.3 NA NA 9.2 NA NA 25.5
1995 NA NA 23.7 NA NA 24.5 NA NA 16.7 NA NA 31.2 NA NA 9.9 NA NA 49.0
1996 NA NA 24.1 NA NA 24.8 NA NA 19.9 NA NA 39.0 NA NA 18.2 NA NA 4.8
1997 NA NA 26.5 NA NA 27.8 NA NA 22.3 NA NA 38.4 NA NA 9.6 NA NA 2.1
1998 NA NA 24.8 NA NA 26.3 NA NA 20.1 NA NA 28.9 NA NA 7.7 NA NA 7.0
1999 NA NA 24.4 NA NA 25.9 NA NA 15.7 NA NA 32.8 NA NA 9.9 NA NA 13.5
2000 NA NA 25.4 NA NA 26.2 NA NA 20.7 NA NA 29.5 NA NA 12.1 NA NA 12.8
2001 NA NA 23.6 NA NA 24.7 NA NA 17.5 NA NA 55.8 NA NA 11.7 NA NA 12.7
2002 NA NA 22.2 NA NA 22.5 NA NA 18.7 NA NA 42.3 NA NA 9.6 NA NA 17.7
2003 NA NA 22.1 NA NA 22.3 NA NA 18.9 NA NA 41.2 NA NA 16.4 NA NA 19.6
2004 NA NA 21.4 NA NA 21.4 NA NA 18.0 NA NA 32.2 NA NA 18.4 NA NA 35.2
2005 NA NA 20.7 NA NA 20.5 NA NA 19.8 NA NA 35.7 NA NA 14.9 NA NA 17.3
2006 NA NA 21.6 NA NA 23.2 NA NA 14.0 NA NA 25.7 NA NA 6.9 NA NA 7.5
2007 NA NA 20.1 NA NA 20.5 NA NA 16.9 NA NA 23.9 NA NA 16.2 NA NA 11.3
2008 NA NA 19.8 NA NA 20.6 NA NA 15.1 NA NA 38.0 NA NA 11.6 NA NA 7.1
2009 NA NA 19.2 NA NA 19.8 NA NA 16.4 NA NA 30.7 NA NA 11.6 NA NA 5.9
2010 NA NA 19.2 NA NA 19.9 NA NA 18.5 NA NA 25.8 NA NA 8.2 NA NA 12.9
2011 NA NA 19.7 NA NA 20.8 NA NA 12.2 NA NA 24.1 NA NA 7.5 NA NA 15.6
2012 NA NA 19.2 NA NA 20.0 NA NA 14.8 NA NA 30.3 NA NA 8.6 NA NA 15.3
2013 NA NA 20.7 NA NA 21.3 NA NA 19.7 NA NA 23.3 NA NA 13.1 NA NA 11.4
2014 NA NA 17.9 NA NA 18.5 NA NA 16.5 NA NA 29.4 NA NA 9.2 NA NA 6.3
2015 NA NA 19.2 NA NA 20.7 NA NA 12.9 NA NA 23.1 NA NA 12.8 NA NA 13.3
2016 NA NA 19.4 NA NA 20.8 NA NA 13.9 NA NA 23.0 NA NA 11.8 NA NA 13.4
2017 NA NA 18.2 NA NA 18.7 NA NA 13.3 NA NA 36.7 NA NA 13.0 NA NA 14.5
2018 NA NA 17.6 NA NA 18.7 NA NA 13.8 NA NA 24.9 NA NA 9.1 NA NA 17.6
-----Colorectal cancer
-----Female breast cancer
Arizona Health Status and Vital Statistics 2018 121
T M F T M F T M F T M F T M F T M F
TABLE 2B-3 (continued)AGE-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
Asian or Pacific Islander
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
1991 NA 36.1 NA NA 36.9 NA NA 24.8 NA NA 77.0 NA NA 21.3 NA NA 27.7 NA
1992 NA 33.0 NA NA 32.7 NA NA 32.5 NA NA 89.0 NA NA 20.2 NA NA 12.7 NA
1993 NA 34.2 NA NA 34.0 NA NA 40.9 NA NA 29.1 NA NA 27.6 NA NA 29.0 NA
1994 NA 32.4 NA NA 32.9 NA NA 29.3 NA NA 45.0 NA NA 14.9 NA NA 17.2 NA
1995 NA 34.8 NA NA 34.4 NA NA 39.9 NA NA 58.6 NA NA 26.8 NA NA 25.2 NA
1996 NA 31.0 NA NA 31.4 NA NA 30.7 NA NA 57.8 NA NA 10.3 NA NA 22.9 NA
1997 NA 29.7 NA NA 30.0 NA NA 24.8 NA NA 76.9 NA NA 11.0 NA NA 19.2 NA
1998 NA 26.5 NA NA 25.4 NA NA 28.9 NA NA 82.6 NA NA 20.4 NA NA 20.2 NA
1999 NA 23.7 NA NA 23.8 NA NA 23.0 NA NA 46.9 NA NA 11.3 NA NA 16.6 NA
2000 NA 28.4 NA NA 28.0 NA NA 30.0 NA NA 74.8 NA NA 27.1 NA NA 8.9 NA
2001 NA 24.3 NA NA 24.1 NA NA 26.3 NA NA 45.0 NA NA 14.0 NA NA 24.2 NA
2002 NA 24.8 NA NA 24.1 NA NA 35.3 NA NA 48.6 NA NA 12.5 NA NA 8.4 NA
2003 NA 25.1 NA NA 25.2 NA NA 22.4 NA NA 41.2 NA NA 21.0 NA NA 7.6 NA
2004 NA 24.0 NA NA 22.6 NA NA 35.0 NA NA 54.6 NA NA 31.2 NA NA 6.1 NA
2005 NA 23.8 NA NA 23.5 NA NA 30.6 NA NA 20.4 NA NA 23.5 NA NA 5.1 NA
2006 NA 20.1 NA NA 19.2 NA NA 25.9 NA NA 34.9 NA NA 16.9 NA NA 24.0 NA
2007 NA 18.9 NA NA 19.5 NA NA 15.8 NA NA 23.6 NA NA 16.6 NA NA 19.4 NA
2008 NA 19.1 NA NA 18.9 NA NA 20.3 NA NA 20.5 NA NA 14.7 NA NA 25.5 NA
2009 NA 18.4 NA NA 18.2 NA NA 20.0 NA NA 28.9 NA NA 16.4 NA NA 2.1 NA
2010 NA 19.1 NA NA 18.4 NA NA 23.9 NA NA 35.2 NA NA 21.6 NA NA 12.6 NA
2011 NA 19.8 NA NA 19.5 NA NA 20.6 NA NA 24.1 NA NA 17.1 NA NA 5.0 NA
2012 NA 18.9 NA NA 18.8 NA NA 22.0 NA NA 26.7 NA NA 12.4 NA NA 9.8 NA
2013 NA 18.2 NA NA 18.0 NA NA 17.0 NA NA 26.7 NA NA 19.9 NA NA 18.5 NA
2014 NA 17.0 NA NA 17.0 NA NA 15.5 NA NA 24.0 NA NA 23.0 NA NA 7.4 NA
2015 NA 17.6 NA NA 17.3 NA NA 17.6 NA NA 29.6 NA NA 26.0 NA NA 10.7 NA
2016 NA 18.8 NA NA 18.6 NA NA 19.4 NA NA 39.5 NA NA 15.9 NA NA 6.4 NA
2017 NA 16.8 NA NA 16.5 NA NA 16.3 NA NA 26.3 NA NA 19.9 NA NA 9.7 NA
2018 NA 17.4 NA NA 17.1 NA NA 15.8 NA NA 30.5 NA NA 23.7 NA NA 12.1 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
122 Arizona Health Status and Vital Statistics 2018
(continued)
T M F T M F T M F T M F T M F T M F
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
Asian or Pacific Islander
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
Arizona Health Status and Vital Statistics 2018 123
T M F T M F T M F T M F T M F T M F
TABLE 2B-3 (continued)AGE-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
Asian or Pacific Islander
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
124 Arizona Health Status and Vital Statistics 2018
(continued)
T M F T M F T M F T M F T M F T M F
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
Asian or Pacific Islander
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)
Arizona Health Status and Vital Statistics 2018 125
TM
FT
MF
TM
FT
MF
TM
FT
MF
Tota
l, a
ll c
ause
sb59
,206
32,0
6727
,136
45,1
9424
,150
21,0
448,
088
4,62
93,
458
2,05
71,
104
953
2,52
71,
445
1,08
188
641
946
7M
ajo
r ca
rdio
vasc
ula
r d
isea
ses
16,6
458,
986
7,65
913
,272
7,16
26,
110
1,99
61,
105
891
545
269
276
416
213
203
257
126
131
Dis
ease
s o
f h
eart
12,4
107,
030
5,38
010
,044
5,68
24,
362
1,39
480
858
638
219
718
529
415
713
717
496
78 C
oro
nar
y h
eart
dis
ease
8,94
05,
381
3,55
97,
199
4,32
82,
871
1,02
962
940
027
315
212
120
512
184
137
8057
Mal
ign
ant
neo
pla
sms
12,0
976,
675
5,42
29,
577
5,33
94,
238
1,56
483
572
939
021
018
027
114
412
722
810
012
8
M
alig
nan
t n
eop
lasm
of
trac
hea
, b
ron
chu
s an
d l
un
g2,
640†
1,43
61,
200†
2,25
01,
216
1,03
421
311
210
189
5237
20†
16*
5226
26
Mal
ign
ant
neo
pla
sm o
f co
lon
, re
ctu
m,
and
an
us
1,12
664
148
584
546
637
918
111
368
4428
1625
169
2715
12
Mal
ign
ant
neo
pla
sm o
f b
reas
t82
0†10
†80
563
16
625
110†
*10
740
†*
3412
012
240
24 M
alig
nan
t n
eop
lasm
of
pro
stat
e69
569
50
560
560
074
740
2626
020
200
99
0 M
alig
nan
t m
elan
om
a o
f sk
in21
0†15
0†60
†20
014
456
10†
**
0†*
00
00
0†*
* M
alig
nan
t n
eop
lasm
of
cerv
ix u
teri
780
80†
470
4720
020
30
*3
0*
20
*A
ccid
ents
(u
nin
ten
tio
nal
in
jury
)4,
211
2,76
81,
443
2,69
31,
674
1,01
983
259
823
418
613
254
398
291
107
5533
22 A
ccid
enta
l p
ois
on
ing
1,55
0†1,
114
430†
915
630
285
375
285
9089
7019
128
9533
10†
9*
Fal
ls1,
090†
520†
571
896
422
474
115
5659
159
640
2416
20†
*13
Mo
tor
veh
icle
acc
iden
ts1,
032
729
303
539
378
161
254
186
6849
3118
172
123
4917
107
A
ccid
enta
l d
row
nin
g a
nd
su
bm
ersi
on
90†
70†
30†
5640
1620
†13
*10
†7
*10
†*
*0†
**
Ch
ron
ic l
ow
er r
esp
irat
ory
dis
ease
s3,
820
1,83
41,
986
3,41
71,
623
1,79
421
411
896
8238
4443
1825
3212
20A
lzh
eim
er's
dis
ease
3,01
11,
010
2,00
12,
548
845
1,70
330
511
319
277
2651
3815
2334
628
Cer
ebro
vasc
ula
r d
isea
ses
2,82
91,
258
1,57
12,
168
958
1,21
040
319
121
296
4551
8332
5156
2135
Dia
bet
es2,
041
1,22
781
41,
222
762
460
455
266
189
121
6358
183
100
8337
2215
Inte
nti
on
al s
elf-
har
m (
suic
ide)
1,43
21,
146
286
1,04
982
522
418
515
926
5544
1111
394
1919
136
Ch
ron
ic l
iver
dis
ease
an
d c
irrh
osi
s1,
160†
712
450†
649
387
262
236
171
6520
128
236
129
107
10†
6*
Infl
uen
za a
nd
pn
eum
on
ia1,
113
591
522
837
446
391
157
8275
3017
1369
3930
156
9E
ssen
tial
(p
rim
ary)
hyp
erte
nsi
on
an
d
hyp
erte
nsi
ve r
enal
dis
ease
928
426
502
667
301
366
147
7473
5220
3231
1912
227
15
Par
kin
son
's d
isea
se79
0†53
126
0†66
344
621
780
4931
1111
020
†13
*16
106
Nep
hri
tis,
nep
hro
tic
syn
dro
me
and
n
eph
rosi
s68
0†36
332
0†43
524
519
013
167
6446
2422
5317
3610
†9
*
Ass
ault
(h
om
icid
e)42
0†34
0†80
†13
294
3815
213
319
6857
1153
4310
10†
**
Sep
tice
mia
380†
200†
180†
256
139
117
7537
3810
†*
1034
1816
0†*
*
Hu
man
im
mu
no
def
icie
ncy
vir
us
(HIV
) d
isea
se80
†70
†10
†44
377
20†
15*
66
010
†*
*0†
*0
Inju
ry b
y fi
rear
ms
1,14
0†99
115
0†75
164
410
722
520
619
8876
1255
487
10†
6*
Dru
g-i
nd
uce
d d
eath
s1,
770†
1,19
957
0†1,
130
717
413
398
300
9810
581
2490
6327
10†
11*
Op
ioid
-in
du
ced
dea
ths
1,10
0†76
0†35
0†70
845
924
928
021
664
5336
1748
3414
10†
**
Alc
oh
ol-
ind
uce
d d
eath
s1,
190†
820†
370†
676
466
210
184
148
3623
149
284
173
111
10†
**
TAB
LE 2
B-4
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
Asi
an o
r P
acif
ic
Isla
nd
er
NU
MB
ER
OF
DE
ATH
S
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
anA
mer
ican
In
dia
n o
r A
lask
a N
ativ
e
126 Arizona Health Status and Vital Statistics 2018
TM
FT
MF
TM
FT
MF
TM
FT
MF
Tota
l, a
ll c
ause
s68
8.6
813.
457
3.5
690.
280
8.2
579.
860
7.1
736.
849
3.9
843.
294
5.3
746.
710
36.1
1293
.081
6.9
429.
748
7.7
388.
2M
ajo
r ca
rdio
vasc
ula
r d
isea
ses
188.
422
5.2
155.
618
9.8
227.
115
5.9
167.
520
3.0
137.
424
1.1
254.
722
7.4
186.
021
6.7
160.
812
8.2
148.
911
3.7
Dis
ease
s o
f h
eart
140.
517
6.3
109.
114
4.3
181.
111
1.4
116.
014
7.4
90.1
166.
418
5.8
149.
512
9.9
156.
010
8.6
86.0
112.
968
.5 C
oro
nar
y h
eart
dis
ease
100.
813
4.3
71.9
102.
913
7.1
72.7
86.2
115.
962
.111
7.5
143.
196
.692
.812
5.1
68.5
67.1
93.6
49.8
Mal
ign
ant
neo
pla
sms
135.
916
1.8
114.
714
0.2
165.
711
8.9
118.
714
4.3
99.6
156.
719
3.4
131.
211
5.3
149.
692
.610
2.7
112.
096
.7
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
.740
.748
.049
.246
.818
.322
.714
.838
.241
.435
.920
.822
.220
.217
.217
.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
19.8
8.8
26.6
Cer
ebro
vasc
ula
r d
isea
ses
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
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**
Infl
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
.3**
6.9
17.9
29.1
6.9
****
**S
epti
cem
ia4.
45.
03.
93.
94.
53.
45.
75.
45.
75.
63.
87.
613
.414
.212
.11.
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
2.1
****
****
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
**D
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
**O
pio
id-i
nd
uce
d d
eath
s16
.122
.010
.019
.125
.212
.812
.619
.16.
014
.819
.310
.116
.222
.99.
6**
****
Alc
oh
ol-
ind
uce
d d
eath
s15
.221
.19.
712
.918
.08.
110
.718
.53.
98.
19.
26.
810
5.5
137.
578
.83.
0**
**
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
Arizona Health Status and Vital Statistics 2018 127
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
128 Arizona Health Status and Vital Statistics 2018
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
Arizona Health Status and Vital Statistics 2018 129
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,
ARIZONA RESIDENTS, 2018
Cause of death (Tenth Revision, International Statistical Classification of Diseases)
Number of deaths
130 Arizona Health Status and Vital Statistics 2018
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,
ARIZONA RESIDENTS, 2018
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.
Cause of death (Tenth Revision, International Statistical Classification of Diseases)
Number of deaths Crude death rate per 100,000 persons
Arizona Health Status and Vital Statistics 2018 131
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
132 Arizona Health Status and Vital Statistics 2018
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
Arizona Health Status and Vital Statistics 2018 133
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
134 Arizona Health Status and Vital Statistics 2018
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
*0
00
00
Con
tact
wit
h h
orn
ets,
was
ps,
bee
s0
00
00
*0
**
**
Bit
ten
or
stru
ck b
y d
og*
**
**
**
**
*0
Lig
htn
ing
0*
**
**
0*
**
0
Sto
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
Mec
han
ical
su
ffoc
atio
n29
2528
2523
2135
4035
4125
Acc
iden
tal d
isch
arg
e of
fir
earm
s10
711
8*
96
*7
810
Exp
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
Arizona Health Status and Vital Statistics 2018 135
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
136 Arizona Health Status and Vital Statistics 2018
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
Mal
ign
ant
neo
pla
sm o
f p
rost
ate
700†
69*
*35
143
0†10
947
114
270
Mal
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
2*
1,01
42,
550†
355
951,
214
1,66
4
Acc
iden
tal
po
iso
nin
g1,
550†
161
243
*75
11,
160†
12*
373
390†
Fall
s1,
090
377
300
141
548
301
7117
054
2
Mo
tor
veh
icle
acc
iden
ts1,
030†
244
248
**
500†
206
508
534
Acc
iden
tal
dro
wn
ing
an
d s
ub
mer
sio
n90
†12
230
1651
*0
3940
†
Ch
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
Alz
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
Infl
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
Op
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
Arizona Health Status and Vital Statistics 2018 137
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.
Arizona Health Status and Vital Statistics 2018 139
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).
140 Arizona Health Status and Vital Statistics 2018
2C.AGE-SPECIFIC MORTALITY Infant mortality
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.
Arizona Health Status and Vital Statistics 2018 141
2C.AGE-SPECIFIC MORTALITY Infant mortality
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).
142 Arizona Health Status and Vital Statistics 2018
2C.AGE-SPECIFIC MORTALITY Infant mortality
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.
Arizona Health Status and Vital Statistics 2018 143
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
.437
.833
.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
.137
.432
.536
.629
.9
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
.833
.837
.331
.640
.543
.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
144 Arizona Health Status and Vital Statistics 2018
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
Arizona Health Status and Vital Statistics 2018 145
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
146 Arizona Health Status and Vital Statistics 2018
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
.
Arizona Health Status and Vital Statistics 2018 147
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)
.
148 Arizona Health Status and Vital Statistics 2018
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).
Arizona Health Status and Vital Statistics 2018 149
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
Note: a Number of deaths per 100,000 persons, 1-14 years old in specified group.
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).
150 Arizona Health Status and Vital Statistics 2018
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.
Arizona Health Status and Vital Statistics 2018 151
% 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
152 Arizona Health Status and Vital Statistics 2018
% 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
Arizona Health Status and Vital Statistics 2018 153
% 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
154 Arizona Health Status and Vital Statistics 2018
Male
Female
Urban
Rural
Unknown
White non-Hispanic
Hispanic or Latino
Black or African American
American Indian or Alaska Native
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
.
Arizona Health Status and Vital Statistics 2018 155
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.
156 Arizona Health Status and Vital Statistics 2018
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.
Arizona Health Status and Vital Statistics 2018 157
% 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
158 Arizona Health Status and Vital Statistics 2018
% 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
Arizona Health Status and Vital Statistics 2018 159
% 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
160 Arizona Health Status and Vital Statistics 2018
Male
Female
Urban
Rural
Unknown
White non-Hispanic
Hispanic or Latino
Black or African American
American Indian or Alaska Native
Asian or Pacific Islander
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
Arizona Health Status and Vital Statistics 2018 161
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
Note: a Number of deaths per 100,000 persons, 20-44 years old in specified group.
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
Note: a Number of deaths per 100,000 persons, 20-44 years old in specified group.
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.
162 Arizona Health Status and Vital Statistics 2018
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.
Arizona Health Status and Vital Statistics 2018 163
% 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
.010
.9-1
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
.9M
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
.0D
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
.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
.18.
812
.010
.510
.39.
98.
210
.011
.011
.811
.0-1
6.0
Dis
ease
s of
hea
rt11
.510
.58.
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
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
164 Arizona Health Status and Vital Statistics 2018
% 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
Arizona Health Status and Vital Statistics 2018 165
% 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
166 Arizona Health Status and Vital Statistics 2018
Male
Female
Urban
Rural
Unknown
White non-Hispanic
Hispanic or Latino
Black or African American
American Indian or Alaska Native
Asian or Pacific Islander
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
Arizona Health Status and Vital Statistics 2018 167
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
Note: a Number of deaths per 100,000 persons, 45-64 years old in specified group.
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
Note: a Number of deaths per 100,000 persons, 45-64 years old in specified group.
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.
168 Arizona Health Status and Vital Statistics 2018
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.
Arizona Health Status and Vital Statistics 2018 169
% 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
170 Arizona Health Status and Vital Statistics 2018
% 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
Arizona Health Status and Vital Statistics 2018 171
% 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
172 Arizona Health Status and Vital Statistics 2018
Male
Female
Urban
Rural
Unknown
White non-Hispanic
Hispanic or Latino
Black or African American
American Indian or Alaska Native
Asian or Pacific Islander
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
Arizona Health Status and Vital Statistics 2018 173
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.
174 Arizona Health Status and Vital Statistics 2018
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.
Arizona Health Status and Vital Statistics 2018 175
% 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
176 Arizona Health Status and Vital Statistics 2018
% 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
Arizona Health Status and Vital Statistics 2018 177
% 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
178 Arizona Health Status and Vital Statistics 2018
Cau
se o
f d
eath
Total
Male
Female
Urban
Rural
Unknown
White non-Hispanic
Hispanic or Latino
Black or African American
American Indian or Alaska Native
Asian or Pacific Islander
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
le a
ccid
ents
220†
157
6216
356
016
532
*12
**
Dia
bet
es1,
408
814
594
1,14
026
6*
921
291
6694
2214
Infl
uen
za a
nd
pn
eum
onia
870†
446
425
682
187
*68
610
716
4415
*Es
sen
tial
(p
rim
ary)
hyp
erte
nsi
on a
nd
h
yper
ten
sive
dis
ease
790†
341
452
667
125
*59
611
935
2018
*
Par
kin
son
's d
isea
se77
0†51
725
664
013
30
653
7611
1515
*
Nep
hri
tis,
nep
hro
tic
syn
dro
me
and
nep
hro
sis
533
270
263
408
125
036
592
3431
110
Sep
tice
mia
270†
131
134
206
58*
197
479
11*
0
Tota
l, a
ll ca
use
sb43
,572
22,0
3021
,542
34,3
979,
099
7635
,731
4,76
01,
110
1,07
162
727
3
TAB
LE 2
C-2
6LE
AD
ING
CA
US
ES O
F D
EATH
AM
ON
G E
LDER
LY (
65
YEA
RS
AN
D O
LDER
) B
Y G
END
ER,
AR
EA,
AN
D R
AC
E/ET
HN
ICIT
Y,
AR
IZO
NA
, 2
01
8
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 Urb
an =
Mar
icop
a, P
ima,
Pin
al,
and
Yum
a co
untie
s; t
he
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.
Gen
der
Are
aaR
ace/
eth
nic
ity
Arizona Health Status and Vital Statistics 2018 179
COMPARATIVE CAUSE-SPECIFIC MORTALITY BY AGE GROUP
Arizona Health Status and Vital Statistics 2018 181
All
ag
esIn
fan
ts
<1
Ch
ild
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+
Un
-kn
own
Tota
l, al
l cau
ses
59,2
0644
724
429
53,
727
10,9
2043
,572
1Sal
mon
ella
infe
ctio
ns0†
00
00
0*
0Shi
gello
sis
and
ameb
iasi
s0
00
00
00
0Cer
tain
oth
er in
test
inal
infe
ctio
ns18
0†*
*0
*29
146
0 E
nter
ocol
itis
due
to
Clo
stri
dium
diff
icile
120†
00
0*
1510
00
Tube
rcul
osis
100
00
00
100
Res
pira
tory
tub
ercu
losi
s0†
00
00
0*
0 O
ther
tub
ercu
losi
s6
00
00
06
0W
hoop
ing
coug
h0
00
00
00
0Sca
rlet
fev
er a
nd e
rysi
pela
s0
00
00
00
0M
enin
goco
ccal
infe
ctio
n0
00
00
00
0Sep
tice
mia
380†
**
015
9726
50
Syp
hilis
0†0
00
0*
*0
Acu
te p
olio
mye
litis
00
00
00
00
Art
hrop
od-b
orne
enc
epha
litis
00
00
00
00
Mea
sles
00
00
00
00
Vir
al h
epat
itis
141
00
06
8550
0H
uman
imm
unod
efic
ienc
y vi
rus
(HIV
) di
seas
e79
00
014
5015
0M
alar
ia0
00
00
00
0O
ther
and
uns
peci
fied
infe
ctio
us a
nd p
aras
itic
dis
ease
s26
0†6
11*
1462
166
0M
alig
nant
neo
plas
ms
12,1
00†
*31
831
22,
760
8,98
40
Mal
igna
nt n
eopl
asm
of lip
, or
al c
avity
and
phar
ynx
165
00
06
4311
60
Mal
igna
nt n
eopl
asm
of es
opha
gus
330†
00
0*
9523
20
Mal
igna
nt n
eopl
asm
of st
omac
h23
60
00
1857
161
0 M
alig
nant
neo
plas
m o
f co
lon,
rec
tum
, an
d an
us1,
126
00
037
316
773
0 M
alig
nant
neo
plas
m o
f liv
er a
nd in
trah
epat
ic b
ile d
ucts
560†
0*
08
190
360
0 M
alig
nant
neo
plas
m o
f pa
ncre
as95
0†0
*0
620
274
30
Mal
igna
nt n
eopl
asm
of la
rynx
640
00
021
430
Mal
igna
nt n
eopl
asm
of tr
ache
a, b
ronc
hus
and
lung
2,64
00
00
1553
62,
089
0 M
alig
nant
mel
anom
a of
ski
n20
90
00
1156
142
0 M
alig
nant
neo
plas
m o
f br
east
815
00
043
254
518
0 M
alig
nant
neo
plas
m o
f ce
rvix
ute
ri78
00
015
3825
0 M
alig
nant
neo
plas
m o
f co
rpus
ute
ri a
nd u
teru
s, p
art
unsp
ecifi
ed18
00
00
747
126
0 M
alig
nant
neo
plas
m o
f ov
ary
291
00
011
8719
30
Mal
igna
nt n
eopl
asm
of pr
osta
te69
50
00
048
647
0 M
alig
nant
neo
plas
m o
f ki
dney
and
ren
al p
elvi
s35
0†0
*0
610
523
80
Mal
igna
nt n
eopl
asm
of bl
adde
r36
0†0
00
*40
315
0
TAB
LE 2
C-2
7C
OM
PA
RIS
ON
OF
CA
US
ES
OF
MO
RTA
LITY
BY
AG
E G
RO
UP
, A
RIZ
ON
A,
20
18
182 Arizona Health Status and Vital Statistics 2018
All
ag
esIn
fan
ts
<1
Ch
ild
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+
Un
-kn
own
Mal
igna
nt n
eopl
asm
of m
enin
ges,
bra
in a
nd o
ther
par
ts o
f ce
ntra
l ner
vous
sys
tem
370†
*9
*26
104
223
0 M
alig
nant
neo
plas
m o
f ly
mph
oid,
hem
atop
oiet
ic a
nd r
elat
ed t
issu
e1,
200†
*9
*33
198
955
0 H
odgk
in's
dis
ease
20†
00
0*
*16
0 N
on-H
odgk
in's
lym
phom
a40
0†*
00
1163
323
0 L
euke
mia
480†
09
*19
8036
60
Mul
tipl
e m
yelo
ma
and
imm
unop
rolif
erat
ive
neop
lasm
s30
0†0
00
*50
246
0 O
ther
and
uns
peci
fied
mal
igna
nt n
eopl
asm
s of
lym
phoi
d tiss
ue10
†0
00
0*
*0
All
othe
r an
d un
spec
ified
mal
igna
nt n
eopl
asm
1,48
0†0
9*
6232
31,
085
0In
situ
neop
lasm
s40
0†0
*0
948
342
0Ane
mia
s70
†*
**
69
500
Dia
bete
s2,
040†
00
*68
563
1,40
80
Nut
rition
al d
efic
ienc
ies
351
00
08
1732
60
Mal
nutr
itio
n33
10
00
816
307
0 O
ther
nut
rition
al d
efic
ienc
ies
20†
00
00
*19
0O
besi
ty20
60
00
3310
271
0M
enin
gitis
10†
*0
0*
**
0Pa
rkin
son'
s di
seas
e79
0†0
00
*16
773
0Alz
heim
er's
dis
ease
3,01
0†0
00
*31
2,97
90
Maj
or c
ardi
ovas
cula
r di
seas
es16
,645
810
729
02,
437
13,8
930
Dis
ease
s of
hea
rt12
,410
†*
*6
230
1,89
910
,265
0 A
cute
rhe
umat
ic fev
er a
nd c
hron
ic r
heum
atic
hea
rt d
isea
se10
0†0
00
*14
820
Hyp
erte
nsiv
e he
art
dise
ase
1,40
0†0
0*
4522
91,
125
0 H
yper
tens
ive
hear
t an
d re
nal d
isea
se15
0†0
00
*12
138
0 I
sche
mic
hea
rt d
isea
se7,
540†
0*
088
1,17
76,
274
0 A
cute
myo
card
ial i
nfar
ctio
n1,
562
00
024
250
1,28
80
Oth
er a
cute
isch
emic
hea
rt d
isea
se40
†0
00
*6
310
Oth
er for
ms
of c
hron
ic is
chem
ic h
eart
dis
ease
5,94
0†0
*0
6392
14,
955
0 A
ther
oscl
erot
ic c
ardi
ovas
cula
r di
seas
e1,
716
00
036
516
1,16
40
All
othe
r fo
rms
of c
hron
ic is
chem
ic h
eart
dis
ease
4,22
0†0
*0
2740
53,
791
0 O
ther
hea
rt d
isea
ses
3,22
0†*
**
9246
72,
646
0 A
cute
and
sub
acut
e en
doca
rditis
290
00
78
140
Dis
ease
s of
per
icar
dium
and
acu
te m
yoca
rditis
20†
0*
0*
69
0 H
eart
fai
lure
780†
00
0*
6071
20
All
othe
r fo
rms
of h
eart
dis
ease
2,39
0†*
**
7839
31,
911
0Es
sent
ial (
prim
ary)
hyp
erte
nsio
n an
d hy
pert
ensi
ve r
enal
dis
ease
928
00
010
125
793
0Cer
ebro
vasc
ular
dis
ease
s2,
830†
**
044
323
2,45
60
Ath
eros
cler
osis
110
00
00
1496
0
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
Arizona Health Status and Vital Statistics 2018 183
All
ag
esIn
fan
ts
<1
Ch
ild
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+
Un
-kn
own
Oth
er d
isea
ses
of c
ircu
lato
ry s
yste
m37
0†*
**
676
283
0 A
ortic
aneu
rysm
and
dis
sect
ion
190†
00
**
4514
40
Oth
er d
isea
se o
f ar
teri
es,
arte
riol
es a
nd c
apill
arie
s18
0†*
*0
*31
139
0O
ther
dis
orde
rs o
f ci
rcul
ator
y sy
stem
110†
*0
07
3571
0In
fluen
za a
nd p
neum
onia
1,11
0†*
7*
3719
587
10
Inf
luen
za21
0†0
*0
732
171
0 P
neum
onia
900†
**
*30
163
700
0O
ther
acu
te lo
wer
res
pira
tory
infe
ctio
ns10
†0
*0
0*
70
Acu
te b
ronc
hiol
itis
10†
0*
00
**
0U
nspe
cifie
d ac
ute
low
er r
espi
rato
ry in
fect
ion
0†0
00
00
*0
Chr
onic
low
er r
espi
rato
ry d
isea
ses
3,82
0†0
**
2148
53,
310
0 B
ronc
hitis,
chr
onic
and
uns
peci
fied
10†
00
0*
**
0 E
mph
ysem
a19
0†0
00
*28
158
0 A
sthm
a90
†0
**
1528
440
Oth
er c
hron
ic lo
wer
res
pira
tory
dis
ease
s3,
530†
00
0*
427
3,10
30
Pneu
moc
onio
ses
and
chem
ical
effec
ts10
†0
00
0*
100
Pneu
mon
itis
due
to
solid
s an
d liq
uids
240†
00
*9
3319
20
Oth
er d
isea
se o
f re
spir
ator
y sy
stem
910†
**
*13
134
755
0Pe
ptic
ulc
er70
†0
00
*14
530
Dis
ease
s of
app
endi
x10
†0
00
**
70
Her
nia
40†
**
0*
*30
0Chr
onic
live
r di
seas
e an
d ci
rrho
sis
1,16
0†*
*0
155
580
422
0 A
lcoh
olic
live
r di
seas
e72
40
00
125
410
189
0 O
ther
chr
onic
live
r di
seas
e an
d ci
rrho
sis
440†
**
030
170
233
0Cho
lelit
hias
is a
nd o
ther
dis
orde
rs o
f ga
llbla
dder
730
00
010
630
Nep
hritis
, ne
phro
tic
synd
rom
e an
d ne
phro
sis
680†
0*
020
126
533
0 A
cute
and
rap
idly
pro
gres
sive
nep
hritic
and
nep
hrot
ic s
yndr
ome
10†
00
00
**
0 C
hron
ic g
lom
erul
onep
hritis
0†0
00
0*
*0
Ren
al fai
lure
670†
0*
020
121
528
0 O
ther
s di
sord
ers
of k
idne
y0
00
00
00
0In
fect
ions
of ki
dney
20†
00
0*
613
0H
yper
plas
ia o
f pr
osta
te10
†0
00
0*
80
Infla
mm
ator
y di
seas
es o
f fe
mal
e pe
lvic
org
ans
0†0
00
0*
*0
Preg
nanc
y, c
hild
birt
h an
d th
e pu
erpe
rium
330
00
249
00
Pre
gnan
cy w
ith
abor
tive
out
com
e0
00
00
00
0 O
ther
com
plic
atio
ns o
f pr
egna
ncy,
chi
ldbi
rth
and
the
puer
peri
um33
00
024
90
0
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
184 Arizona Health Status and Vital Statistics 2018
All
ag
esIn
fan
ts
<1
Ch
ild
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+
Un
-kn
own
Peri
nata
l con
dition
s22
0†21
8*
*0
00
0Con
geni
tal a
nom
alie
s, d
efor
mat
ions
and
chr
omos
omal
abn
orm
alitie
s23
0†12
216
*22
3535
0Sym
ptom
s, s
igns
, ab
norm
al fin
ding
s1,
189
478
084
128
921
*To
tal a
ccid
ents
4,21
113
7612
61,
368
1,12
01,
508
0 T
rans
port
acc
iden
ts1,
030†
*36
6242
029
221
90
Mot
or v
ehic
le a
ccid
ents
1,11
0†*
3663
441
323
239
0 O
ther
land
tra
nspo
rt a
ccid
ents
30†
00
*10
11*
0 W
ater
, ai
r, s
pace
470
00
1120
160
Non
tran
spor
t ac
cide
nts
3,10
610
4063
927
797
1,26
90
Fal
ls1,
090†
0*
019
9497
60
Acc
iden
tal d
isch
arge
of fir
earm
s10
†0
**
**
*0
Acc
iden
tal d
row
ning
and
sub
mer
sion
90†
024
*30
1718
0 A
ccid
enta
l exp
osur
e to
sm
oke,
fir
e an
d fla
mes
20†
0*
**
1010
0 A
ccid
enta
l poi
soni
ng1,
550†
0*
5382
357
987
0 O
ther
and
uns
peci
fied
nont
rans
port
acc
iden
ts35
0†10
10*
5096
176
0In
tent
iona
l sel
f-ha
rm (
suic
ide)
1,43
20
1781
547
452
335
0 B
y di
scha
rge
of fir
earm
s80
0†0
*31
262
259
244
0 B
y ot
her
mea
ns63
20
1350
285
193
910
Ass
ault (
hom
icid
e)42
0†*
1129
255
8235
0 B
y di
scha
rge
of fir
earm
s29
0†0
*24
192
5516
0 B
y ot
her
mea
ns13
0†*
7*
6327
190
Lega
l int
erve
ntio
n20
†0
00
157
*0
Even
ts o
f un
dete
rmin
ed in
tent
150†
88
*49
5426
0 D
isch
arge
of fir
earm
s20
†0
**
6*
*0
Oth
er a
nd u
nspe
cifie
d ev
ents
of un
dete
rmin
ed in
tent
140†
86
*43
5124
0O
pera
tion
s of
war
00
00
00
00
Com
plic
atio
ns o
f m
edic
al a
nd s
urgi
cal c
are
110†
0*
**
3273
0
Inju
ry b
y fir
earm
s1,
140
011
5947
932
526
60
Dru
g-in
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
Arizona Health Status and Vital Statistics 2018 185
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
186 Arizona Health Status and Vital Statistics 2018
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
Arizona Health Status and Vital Statistics 2018 187
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
188 Arizona Health Status and Vital Statistics 2018
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.
Arizona Health Status and Vital Statistics 2018 189
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.
Arizona Health Status and Vital Statistics 2018 191
2D. PATTERNS OF PREMATURE MORTALITY
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).
192 Arizona Health Status and Vital Statistics 2018
2D. PATTERNS OF PREMATURE MORTALITY
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.
Arizona Health Status and Vital Statistics 2018 193
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
194 Arizona Health Status and Vital Statistics 2018
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).
Arizona Health Status and Vital Statistics 2018 195
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
196 Arizona Health Status and Vital Statistics 2018
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
Arizona Health Status and Vital Statistics 2018 197