Mortality Rates by Race and Ethnicity - PowerPoint Presentation

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Mortality Rates by Race and Ethnicity - PPT Presentation

Michigan 20002010 Causes of Death Ranked in Order from Highest to Lowest for Each Population Michigan 20062010 based on crude mortality rates African American NH American Indian NH ID: 674453

note mortality age rates mortality note rates age adjusted american arab chronic michigan disease indian indians cancer rate influenza injury diabetes suicide

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Slide1

Mortality Rates by Race and Ethnicity

Michigan, 2000-2010Slide2

Causes of Death Ranked in Order from Highest to Lowest for Each Population

Michigan, 2006-2010

(based on crude mortality rates)

African American, NH

American Indian, NH

Arab/ Chaldean

Asian, NH

Hispanic/ Latino

White, NH

All-State

CVD

All-Cancer

CVD

All-Cancer

CVD

All-Cancer

Stroke

Chronic Lower Respiratory

Stroke

Unintentional Injury

Chronic Lower Respiratory

Unintentional Injury

Diabetes

Stroke

Homicide

Diabetes

Stroke

Unintentional Injury

Diabetes

Stroke

Chronic Lower Respiratory

Suicide

Chronic Liver

Alzheimer's

Diabetes

Chronic Lower Respiratory

Chronic Liver

Kidney Disease

Chronic Lower Respiratory

Kidney Disease

Diabetes

Alzheimer's

Kidney Disease

Pneumonia and Influenza

Kidney Disease

Chronic Lower Respiratory

Pneumonia and Influenza

Kidney Disease

Septicemia

Suicide

Septicemia

Pneumonia and Influenza

Homicide

Kidney Disease

Pneumonia and Influenza

Alzheimer's

Chronic Liver

Suicide

Alzheimer's

Pneumonia and Influenza

Homicide

Pneumonia and Influenza

Chronic Liver

Suicide

Septicemia

Alzheimer's

Septicemia

AIDS

Chronic Liver

AIDS

Septicemia

Homicide

Suicide

AIDS

Alzheimer's

AIDS

AIDSSlide3

Causes of Death Ranked in Order from Highest to Lowest for Each Population

Michigan, 2006-2010

(based on age-adjusted mortality rates)

African American, NH

American Indian, NH

Arab/ Chaldean

Asian, NH

Hispanic/ Latino

White, NH

All-State

CVD

All-Cancer

Diabetes

Chronic Lower Respiratory

Stroke

Chronic Lower Respiratory

Homicide

Diabetes

Chronic Lower Respiratory

Unintentional Injury

Diabetes

Stroke

Chronic Lower Respiratory

Unintentional Injury

Diabetes

Unintentional Injury

Pneumonia and Influenza

Stroke

Kidney Disease

Chronic Lower Respiratory

Kidney Disease

Alzheimer's

Diabetes

Stroke

Alzheimer's

Unintentional Injury

Kidney Disease

Chronic Lower Respiratory

Diabetes

Alzheimer's

Suicide

Kidney Disease

Alzheimer's

Pneumonia and Influenza

Chronic Liver

Pneumonia and Influenza

Kidney Disease

Unintentional Injury

Chronic Liver

Pneumonia and Influenza

Suicide

Alzheimer's

Kidney Disease

Pneumonia and Influenza

Chronic Liver

Pneumonia and Influenza

Septicemia

Chronic Liver

Pneumonia and Influenza

Suicide

Septicemia

Suicide

Chronic Liver

Septicemia

Chronic Liver

AIDS

Homicide

Suicide

Septicemia

Alzheimer's

Suicide

Homicide

Kidney Disease

AIDS

AIDSSlide4

All-Cause MortalitySlide5

Note: mortality rates are age-adjustedSlide6

Note: American Indian mortality rates reported here are likely underestimates of the true mortality rate experienced by American Indians living in Michigan.

Note: mortality rates are age-adjustedSlide7

Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries

Note: mortality rates are age-adjustedSlide8

Note: mortality rates are age-adjustedSlide9

Note: mortality rates are age-adjustedSlide10

AIDS MortalitySlide11

Note: mortality rates are age-adjustedSlide12

Note: mortality rates are age-adjusted

(Data suppressed due to small sample size)Slide13

Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries

Note: mortality rates are age-adjusted

(Data suppressed due to small sample size)Slide14

Note: mortality rates are age-adjusted

(Data suppressed due to small sample size)Slide15

Note: mortality rates are age-adjustedSlide16

Alzheimer’s Disease MortalitySlide17

Note: mortality rates are age-adjustedSlide18

Note: American Indian mortality rates reported here are likely underestimates of the true mortality rate experienced by American Indians living in Michigan.

Note: mortality rates are age-adjustedSlide19

Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries

Note: mortality rates are age-adjustedSlide20

Note: mortality rates are age-adjusted

(Data suppressed due to small sample size)Slide21

Note: mortality rates are age-adjustedSlide22

All-Cancer MortalitySlide23

Note: mortality rates are age-adjustedSlide24

Note: American Indian mortality rates reported here are likely underestimates of the true mortality rate experienced by American Indians living in Michigan.

Note: mortality rates are age-adjustedSlide25

Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries

Note: mortality rates are age-adjustedSlide26

Note: mortality rates are age-adjustedSlide27

Note: mortality rates are age-adjustedSlide28

Chronic Liver Disease MortalitySlide29

Note: mortality rates are age-adjustedSlide30

Note: American Indian mortality rates reported here are likely underestimates of the true mortality rate experienced by American Indians living in Michigan.

Note: mortality rates are age-adjustedSlide31

Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries

Note: mortality rates are age-adjustedSlide32

Note: mortality rates are age-adjusted

(Data suppressed due to small sample size)Slide33

Note: mortality rates are age-adjustedSlide34

Cardiovascular Disease MortalitySlide35

Note: mortality rates are age-adjustedSlide36

Note: American Indian mortality rates reported here are likely underestimates of the true mortality rate experienced by American Indians living in Michigan.

Note: mortality rates are age-adjustedSlide37

Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries

Note: mortality rates are age-adjustedSlide38

Note: mortality rates are age-adjustedSlide39

Note: mortality rates are age-adjustedSlide40

Diabetes MortalitySlide41

Note: mortality rates are age-adjustedSlide42

Note: American Indian mortality rates reported here are likely underestimates of the true mortality rate experienced by American Indians living in Michigan.

Note: mortality rates are age-adjustedSlide43

Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries

Note: mortality rates are age-adjustedSlide44

Note: mortality rates are age-adjustedSlide45

Note: mortality rates are age-adjustedSlide46

HomicideSlide47

Note: mortality rates are age-adjustedSlide48

Note: American Indian mortality rates reported here are likely underestimates of the true mortality rate experienced by American Indians living in Michigan.

Note: mortality rates are age-adjustedSlide49

Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries

Note: mortality rates are age-adjustedSlide50

Note: mortality rates are age-adjustedSlide51

Note: mortality rates are age-adjustedSlide52

Kidney Disease MortalitySlide53

Note: mortality rates are age-adjustedSlide54

Note: American Indian mortality rates reported here are likely underestimates of the true mortality rate experienced by American Indians living in Michigan.

Note: mortality rates are age-adjustedSlide55

Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries

Note: mortality rates are age-adjustedSlide56

Note: mortality rates are age-adjustedSlide57

Note: mortality rates are age-adjustedSlide58

Chronic Lower Respiratory Disease MortalitySlide59

Note: mortality rates are age-adjustedSlide60

Note: American Indian mortality rates reported here are likely underestimates of the true mortality rate experienced by American Indians living in Michigan.

Note: mortality rates are age-adjustedSlide61

Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries

Note: mortality rates are age-adjustedSlide62

Note: mortality rates are age-adjustedSlide63

Note: mortality rates are age-adjustedSlide64

Pneumonia and Influenza MortalitySlide65

Note: mortality rates are age-adjustedSlide66

Note: American Indian mortality rates reported here are likely underestimates of the true mortality rate experienced by American Indians living in Michigan.

Note: mortality rates are age-adjustedSlide67

Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries

Note: mortality rates are age-adjustedSlide68

Note: mortality rates are age-adjustedSlide69

Note: mortality rates are age-adjustedSlide70

Septicemia MortalitySlide71

Note: mortality rates are age-adjustedSlide72

Note: American Indian mortality rates reported here are likely underestimates of the true mortality rate experienced by American Indians living in Michigan.

Note: mortality rates are age-adjusted

(Data suppressed due to small sample size)Slide73

Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries

Note: mortality rates are age-adjustedSlide74

Note: mortality rates are age-adjusted

(2003-2010 Data suppressed due to small sample size)Slide75

Note: mortality rates are age-adjustedSlide76

Stroke MortalitySlide77

Note: mortality rates are age-adjustedSlide78

Note: American Indian mortality rates reported here are likely underestimates of the true mortality rate experienced by American Indians living in Michigan.

Note: mortality rates are age-adjustedSlide79

Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries

Note: mortality rates are age-adjustedSlide80

Note: mortality rates are age-adjustedSlide81

Note: mortality rates are age-adjustedSlide82

SuicideSlide83

Note: mortality rates are age-adjustedSlide84

Note: American Indian mortality rates reported here are likely underestimates of the true mortality rate experienced by American Indians living in Michigan.

Note: mortality rates are age-adjustedSlide85

Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries

Note: mortality rates are age-adjustedSlide86

Note: mortality rates are age-adjustedSlide87

Note: mortality rates are age-adjustedSlide88

Unintentional Injury MortalitySlide89

Note: mortality rates are age-adjustedSlide90

Note: American Indian mortality rates reported here are likely underestimates of the true mortality rate experienced by American Indians living in Michigan.

Note: mortality rates are age-adjustedSlide91

Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries

Note: mortality rates are age-adjustedSlide92

Note: mortality rates are age-adjustedSlide93

Note: mortality rates are age-adjustedSlide94

Numerator Data Source

2000-2010 Michigan Resident Death Files, Division for Vital Records & Health Statistics, Michigan Department of Community Health

ICD-10 codes to categorize cause of death

Bridged race categories, used ancestry for Arab classificationSlide95

Denominator Data Sources

All Populations Except Arab and Chaldean

All population estimates as of July 1 for the specified year.

2010-2011: National Center for Health Statistics.

Postcensal

estimates of the resident population of the United States for July 1, 2010-July 1, 2011, by year, county, single-year of age (0, 1, 2, .., 85 years and over), bridged race, Hispanic origin, and sex (Vintage 2011). Prepared under a collaborative arrangement with the U.S. Census Bureau. Available from: http://www.cdc.gov/nchs/nvss/bridged_race.htm as of July, 2012, following release by the U.S. Census Bureau of the

unbridged

Vintage 2011

postcensal

estimates by 5-year age group on May 17, 2012.

2000-2009: National Center for Health Statistics.

Intercensal

estimates of the resident population of the United States for July 1, 2000-July 1, 2009, by year, county, single-year of age (0, 1, 2, .., 85 years and over), bridged race, Hispanic origin, and sex. Prepared under a collaborative arrangement with the U.S. Census Bureau. Available from: http://www.cdc.gov/nchs/nvss/bridged_race.htm as of October 26, 2012, following release by the U.S. Census Bureau of the revised

unbridged

intercensal

estimates by 5-year age group on October 9, 2012.Slide96

Denominator Data Sources

Arab and Chaldean

2000-2003: U.S. Census Bureau, 2000 Census

2004-2005: U.S. Census Bureau, 2005 American Community Survey

2006-2008: U.S. Census Bureau, 2006-2010 American Community Survey

2009-2010: U.S. Census Bureau, 2009-2011 American Community Survey

Used totals of two categories: Arab (400-415, 417-418, 421-430, 435-481, 490-499) and Assyrian/Chaldean/

Syriac

(482-489)Slide97

Notes on Methods

Age-adjusted using direct standardization to 2000 projected US Population:

From Klein RJ,

Schoenborn

CA. Age adjustment using the 2000 projected U.S. population. Healthy People Statistical Notes No. 20. January 2001.

Margin of Error used to calculate confidence intervals around crude mortality rates:

1.96* (rate / √ #deaths)

http://www.health.ny.gov/statistics/cancer/registry/age.htm

http://www.cdph.ca.gov/data/indicators/goals/Documents/TechNotes.pdf

Margin of Error used to calculate confidence intervals around age-adjusted mortality rates:

1.96*(√(sum(w^2*((M*(1-m))/p))))

m=Michigan rate for age-specific strata

p=Michigan population size for age-specific strata

w=age-specific US population size / total US population size

From Curtin LR, Klein RJ. Direct standardization (age-adjusted death rates). Healthy People Statistical Notes No. 6 (revised). March 1995.

Data suppressed if total numerator count <25

From Curtin LR, Klein RJ. Direct standardization (age-adjusted death rates). Healthy People Statistical Notes No. 6 (revised). March 1995.Slide98

Note on American Indian Mortality Rates

Mortality rates reported in these slides are likely underestimates of the true mortality rates experienced by American Indians living in Michigan.

This is due to potential misclassification of American Indians as a different race on the death records, as documented by the following articles:

Arias E,

Schauman

WS,

Eschbach

Sorlie

PD,

Backlund

E. The validity of race and Hispanic origin reporting on death certificates in the United States. National Center for Health Statistics. Vital Health Stat 2(148). 2008.

Johnson JC et al. 2009. Tribal linkage and race data quality for American Indians in a state cancer registry. American Journal of Preventive Medicine 36(6): 549-554.

Mortality Rates by Race and Ethnicity - PowerPoint Presentation

Mortality Rates by Race and Ethnicity - PPT Presentation

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