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Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: 2000-2010 Michigan Resident Death Files,

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Presentation on theme: "Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: 2000-2010 Michigan Resident Death Files,"— Presentation transcript:

1 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Mortality Rates by Race and Ethnicity Michigan,

2 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Causes of Death Ranked in Order from Highest to Lowest for Each Population Michigan, (based on crude mortality rates) African American, NH American Indian, NH Arab/ ChaldeanAsian, NHHispanic/ Latino White, NHAll-State 1 CVD All-Cancer CVD 2 All-Cancer CVD All-Cancer 3 StrokeChronic Lower Respiratory Stroke Unintentional Injury Chronic Lower Respiratory 4 Unintentional Injury DiabetesStroke 5 HomicideDiabetes StrokeUnintentional Injury 6 DiabetesStrokeChronic Lower Respiratory SuicideChronic LiverAlzheimer'sDiabetes 7 Chronic Lower Respiratory Chronic LiverKidney DiseaseChronic Lower Respiratory Kidney DiseaseDiabetesAlzheimer's 8 Kidney Disease Pneumonia and Influenza Kidney DiseaseChronic Lower Respiratory Pneumonia and Influenza Kidney Disease 9 SepticemiaSuicideSepticemiaPneumonia and Influenza HomicideKidney DiseasePneumonia and Influenza 10 Pneumonia and Influenza Alzheimer's Chronic LiverSuicide 11 Alzheimer'sPneumonia and Influenza Homicide Pneumonia and Influenza Chronic Liver 12 Chronic Liver SuicideSepticemiaAlzheimer'sSepticemia 13 AIDS Chronic LiverAIDSSepticemiaHomicide 14 Suicide AIDSAlzheimer'sAIDS

3 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Causes of Death Ranked in Order from Highest to Lowest for Each Population Michigan, (based on age-adjusted mortality rates) African American, NH American Indian, NH Arab/ ChaldeanAsian, NHHispanic/ Latino White, NHAll-State 1 CVD 2 All-Cancer 3 DiabetesChronic Lower Respiratory Stroke Chronic Lower Respiratory 4 HomicideDiabetesChronic Lower Respiratory Unintentional Injury DiabetesStroke 5 Chronic Lower Respiratory Unintentional Injury Diabetes Unintentional Injury 6 Pneumonia and Influenza StrokeKidney DiseaseChronic Lower Respiratory Kidney DiseaseAlzheimer'sDiabetes 7 StrokeAlzheimer'sUnintentional Injury Kidney DiseaseChronic Lower Respiratory DiabetesAlzheimer's 8 SuicideKidney DiseaseAlzheimer'sPneumonia and Influenza Chronic LiverPneumonia and Influenza Kidney Disease 9 Unintentional Injury Chronic LiverPneumonia and Influenza SuicideAlzheimer'sKidney DiseasePneumonia and Influenza 10 Chronic LiverPneumonia and Influenza SepticemiaChronic LiverPneumonia and Influenza Suicide 11 SepticemiaSuicideChronic Liver SepticemiaChronic Liver 12 AIDS Homicide SuicideSepticemia 13 Alzheimer's Suicide Homicide 14 Kidney Disease AIDS

4 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics All-Cause Mortality

5 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

6 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics 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

7 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries Note: mortality rates are age-adjusted

8 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

9 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

10 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics AIDS Mortality

11 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

12 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted (Data suppressed due to small sample size)

13 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics 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)

14 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted (Data suppressed due to small sample size)

15 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

16 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Alzheimer’s Disease Mortality

17 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

18 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics 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

19 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries Note: mortality rates are age-adjusted

20 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted (Data suppressed due to small sample size)

21 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

22 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics All-Cancer Mortality

23 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

24 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics 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

25 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries Note: mortality rates are age-adjusted

26 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

27 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

28 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Chronic Liver Disease Mortality

29 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

30 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics 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

31 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries Note: mortality rates are age-adjusted

32 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted (Data suppressed due to small sample size)

33 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

34 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Cardiovascular Disease Mortality

35 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

36 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics 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

37 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries Note: mortality rates are age-adjusted

38 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

39 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

40 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Diabetes Mortality

41 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

42 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics 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

43 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries Note: mortality rates are age-adjusted

44 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

45 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

46 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Homicide

47 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

48 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics 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

49 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries Note: mortality rates are age-adjusted

50 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

51 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

52 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Kidney Disease Mortality

53 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

54 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics 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

55 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries Note: mortality rates are age-adjusted

56 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

57 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

58 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Chronic Lower Respiratory Disease Mortality

59 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

60 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics 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

61 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries Note: mortality rates are age-adjusted

62 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

63 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

64 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Pneumonia and Influenza Mortality

65 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

66 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics 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

67 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries Note: mortality rates are age-adjusted

68 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

69 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

70 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Septicemia Mortality

71 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

72 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics 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)

73 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries Note: mortality rates are age-adjusted

74 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted ( Data suppressed due to small sample size)

75 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

76 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Stroke Mortality

77 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

78 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics 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

79 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries Note: mortality rates are age-adjusted

80 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

81 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

82 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Suicide

83 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

84 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics 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

85 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries Note: mortality rates are age-adjusted

86 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

87 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

88 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Unintentional Injury Mortality

89 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

90 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics 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

91 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: Here, “Arab/Chaldean” includes individuals from Arab and Middle Eastern countries Note: mortality rates are age-adjusted

92 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

93 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Note: mortality rates are age-adjusted

94 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Numerator Data Source 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 classification

95 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Denominator Data Sources All Populations Except Arab and Chaldean All population estimates as of July 1 for the specified year : 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: 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, : 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: 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.

96 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics Denominator Data Sources Arab and Chaldean : U.S. Census Bureau, 2000 Census : U.S. Census Bureau, 2005 American Community Survey : U.S. Census Bureau, American Community Survey : U.S. Census Bureau, American Community Survey Used totals of two categories: Arab ( , , , , ) and Assyrian/Chaldean/Syriac ( )

97 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics 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 Margin of Error used to calculate confidence intervals around crude mortality rates: 1.96* (rate / √ #deaths) 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 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.

98 Health Disparities Reduction and Minority Health Section, Michigan Department of Community Health Data Source: Michigan Resident Death Files, Division for Vital Records & Health Statistics, MDCH and National Center for Health Statistics 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 K, 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) – Johnson JC et al Tribal linkage and race data quality for American Indians in a state cancer registry. American Journal of Preventive Medicine 36(6):


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