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Massachusetts Deaths 2005

Massachusetts Deaths 2005. Malena Hood, Epidemiologist Massachusetts Department of Public Health Center for Health Information, Statistics, Research, and Evaluation Division of Research and Epidemiology. March 2007. Injuries. 2005. Causes of Death Massachusetts: 1842-2005.

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Massachusetts Deaths 2005

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  1. Massachusetts Deaths 2005 Malena Hood, Epidemiologist Massachusetts Department of Public Health Center for Health Information, Statistics, Research, and Evaluation Division of Research and Epidemiology March 2007

  2. Injuries 2005 Causes of Death Massachusetts: 1842-2005 Infectious Disease Heart Disease Cancer Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  3. Outline • Highlights • Selected Causes of Death • Heart Disease • Cancer • Diabetes • Injury • HIV/AIDS • Premature Mortality • Summary

  4. Highlights • Trends • Comparisons with U.S. • Gender and Age • Race and Ethnicity • Education

  5. 36 Heart Disease 1 Infant Death 147 deaths 36 Cancer 1 HIV/AIDS1 16 Respiratory 4 Alzheimer’s 7 Injury 8 Stroke 3 Diabetes 1 Motor Vehicle 1 Suicide 5 Other Intentional & Unintentional Injury Massachusetts Deaths 2005 Average Day (147 Deaths) 1 Fewer than oneHIV/AIDS deathsper day Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  6. Life Expectancy at BirthMassachusetts vs. U.S.: 1900-20051 Massachusetts MA : 79.8 yearsU.S.: 77.8 years United States 1 2004 Data. 2005 U.S. Data was not available at the time of this release Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  7. Life Expectancy by Gender and AgeMassachusetts: 2005 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  8. Joinpoint Analysis (JPA) • A trend analysis tool developed by the National Cancer Institute • Creates a “model” (graph) that best describes the trend in events • Points where the trend turns around are called “joinpoints” • Shows the Annual Percentage Change (APC) for each line segment in the model

  9. 2002  1.4%* per year  3.0%* per year Overall Mortality Rates Massachusetts and U.S.: 1994-2005 United States1 Massachusetts Rates are per 100,000 population. Age-adjusted to the 2000 US standard population Rates are per 100,000 population. Age-adjusted to the 2000 US standard population. *Statistically Significant (p ≤ .05) 1 2004 Data. 2005 U.S. Data was not available at the time of this release Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  10. Higher than US Lower than US Percentage Difference in Death Rates Massachusetts vs. U.S.1: 2005 Influenza/ Pneumonia* Diabetes* Homicide* Heart Disease* Infant Mortality* Overall* Cancer Suicide* % difference Rates are per 100,000 population. Age-adjusted to the 2000 US standard population. *Statistically Significant (p ≤ .05) 1 2004 Data. 2005 U.S. Data was not available at the time of this release Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  11. Other 29.5% Heart Disease 24.6% Diabetes 2.4% Pneumonia & Influenza 3.6% Cancer 24.5% Chronic Lower Respiratory Disease 4.9% Injury 4.9% Stroke 5.5% Leading Causes of Death Massachusetts: 2005 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  12. Leading Causes of Death Massachusetts: 2000 and 2005 Rate % CAUSE20002005Change Heart Disease 216.7 172.221%* Cancer 206.1 184.910%* Stroke 50.9 38.125%* Chronic Lower Respiratory Disease 41.8 35.715%* Injuries 35.9 39.19% Alzheimer’s Disease 19.5 19.81% Rates are per 100,000 population. Age-adjusted to the 2000 US standard population. * Statistically Significant (p ≤.05) Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  13. Leading Causes of Death by Age Massachusetts: 2005 % of Total in Total AgeLeading CauseAge GroupDeaths 1-14Injuries 33% 113 15-24Injuries 73% 489 25-44Injuries 38% 2,173 45-64Cancer 38% 8,355 65-74Cancer 39% 7,905 75-84Cancer 30% 15,632 85+Heart Disease 31% 18,718 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  14. Mortality Rates by Race and EthnicityMassachusetts: 2005 N=53,776 N=51,785 N=2,136 N=570 N=1,230 Rates are per 100,000 population. Age-adjusted to the 2000 US standard population * Statistically Significant (p ≤.05) Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  15. Rankings of Selected Causes of Death by Race and EthnicityMassachusetts: 2005 CAUSEWhite1Black1Asian1Hispanic Heart Disease 1 2 2 2 Cancer 2 1 1 1 Stroke 3 3 3 5 CLRD2 4 8 6 9 Homicide 28 7 - 8 Unintentional Injuries 6 6 4 3 Alzheimer’s Disease 7 15 10 16 Diabetes 9 4 11 4 HIV/AIDS 27 10 - 7 1 Non-Hispanic, 2Chronic Lower Respiratory Disease Note: The lower the number the higher the rank Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  16. Mortality Rates by Education Adults 25-64 YearsMassachusetts: 2005 * Statistically Significant (p ≤.05) Rates are per 100,000 population. Age-adjusted to the 2000 US standard population 12000 Population Estimates Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  17. * * * Mortality Rates by Education and Race/Ethnicity, Adults 25-64 Years1Massachusetts: 2005 * Statistically Significant (p ≤.05) Rates are per 100,000 population. Age-adjusted to the 2000 US standard population 1Uses 2000 Population Estimates Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  18. Mortality Rates by Race/EthnicityAdults 25-64 Years1 with More than a High School EducationMassachusetts: 2005 * Statistically Significant (p ≤.05) Rates are per 100,000 population. Age-adjusted to the 2000 US standard population 1Uses 2000 Population Estimates Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  19. Selected Causes of Death • Heart Disease • Cancer • Diabetes • Injury • HIV/AIDS

  20. 2003  3.3%* per year  6.3%* per year Heart Disease Mortality Rates Massachusetts and U.S.: 1994-2005 United States1 Massachusetts Rates are per 100,000 population. Age-adjusted to the 2000 US standard population * Statistically Significant (p ≤.05) 1 2004 Data. 2005 U.S. Data was not available at the time of this release Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  21. Number of Heart Disease Deathsby Age and GenderMassachusetts: 2005 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  22.  1.9%* per year Cancer Mortality Rates Massachusetts and U.S. : 1994-2005 Massachusetts United States Rates are per 100,000 population. Age-adjusted to the 2000 US standard population * Statistically Significant (p ≤.05) 1 2004 Data. 2005 U.S. Data was not available at the time of this release Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  23. Type of Cancer Deaths by Age Massachusetts: 2005 % of Total in Total AgeMost Frequent Age Group Cancer Deaths 1-14(tie)Brain & Nervous System (tie)Leukemia 24% 25 15-24Leukemia 30% 30 25-44Female breast cancer 19% 346 45-64Lung Cancer 28% 3,148 65-74Lung Cancer 36% 3,063 75-84 Lung Cancer 28% 4,210 85+ Lung Cancer 18% 2,337 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  24. Cancer Mortality Rates by Gender Massachusetts: 2005 Rates are per 100,000 population. Age-adjusted to the 2000 US standard population Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  25. Diabetes-Related DeathsMassachusetts: 1999-2005 1,271 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  26. Diabetes-Related Deaths by Age Group Massachusetts: 1999-2005 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  27. Poisonings 30% 17% Occupant/Driver 16% Pedestrian 12% Motorcyclist 55% Other/Unspecified Motor Vehicle-related 18% Causes of Injury Deaths Massachusetts: 2005 Total Injuries = 2,657 Other 20% 27% Other (alcohol, gases, vapor, NSAIDS, etc) 73% Narcotics, psychodysleptics, hallucinogens Firearm 8% Falls 11% Suffocation, Hanging, or Strangulation 12% Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  28. Leading Causes of Injury DeathsMassachusetts: 2000 and 2005 Rate% CAUSE20002005Change Poisonings 9.0 12.236%* Narcotics, psychodysleptics, hallucinogens 6.3 9.043%* Motor vehicle-related 7.6 7.25% Hanging/Suffocation 4.0 4.923% Falls 3.2 3.819% Firearm Deaths 2.7 3.426% Rates are per 100,000 population. Age-adjusted to the 2000 US standard population. * Statistically Significant (p ≤.05) Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  29.  4.6%* per year Poisonings Death Rates (including drug overdoses)Massachusetts: 1994-2005 Narcotics, psychodysleptics, hallucinogens * Statistically Significant (p ≤.05) Rates are per 100,000 population. Age-adjusted to the 2000 US standard population. An ICD coding change occurred between 1998 and 1999. Caution should be used when examining trends across this time period. Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  30. Suicide 73% Homicide 27% Undetermined Intent Poisonings 33% Motor vehicle-related 25% Falls 14% Other 27% Intentional Unintentional “Accidental” Injury Deaths by Intent Massachusetts: 2005 Total Injuries = 2,657 4% 24% 71% Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  31. Other (n=50) Other (n=32) Hanging (n=201) Poisoning (drug overdoses) (n=107) Firearm (n=107) Firearm (n=111) Stabbing (n=38) Homicide (n=177) Suicide (n=469) Intentional Injury Deaths by Cause Massachusetts: 2005 Suicide (n=469) Homicide (n=177) Intentional Injury Deaths (646 deaths) Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  32.  2.1%* per year Suicides Rates Massachusetts and U.S.: 1994-2005 United States1 Massachusetts 1 2004 Data. 2005 U.S. Data was not available at the time of this release * Statistically Significant (p ≤.05) Rates are per 100,000 population. Age-adjusted to the 2000 US standard population. Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  33.  16.7%* per year 1998  6.0%* per year Homicide Rates Massachusetts and U.S.: 1994-2005 1 2004 Data. 2005 U.S. Data was not available at the time of this release * Statistically Significant (p ≤.05) Rates are per 100,000 population. Age-adjusted to the 2000 US standard population Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  34. Homicide Rates by Race and Ethnicity Massachusetts: 1994-2005 Rates are per 100,000 population. Age-adjusted to the 2000 US standard population Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  35. Number of HIV/AIDS Deaths Massachusetts: 1987-2005 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  36.  32.9%* per year 1998  3.7% per year HIV/AIDS Death Rates Massachusetts: 1994-2005 Rates are per 100,000 population. Age-adjusted to the 2000 US standard population. *Statistically Significant (p=.05) Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  37. Percent of HIV/AIDS Deaths by Age GroupMassachusetts: 1994-2005 Less than 45 years 45+ years Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  38. Percent Female HIV/AIDS Deaths Massachusetts: 1989-2005 (Nfemale= 58, Ntotal = 180) (Nfemale= 45, Ntotal = 404) Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  39. Premature Mortality

  40. Premature Mortality Rate (PMR)1 • Definition • deaths before age 75 • Rationale • two-thirds of deaths to persons ages 75+ • Focusing on deaths to persons less than 75 years may be more preventable • Summary health statistic • excellent measure to reflect the health status of a population • used as a health status indicator that can be used to focus prevention initiatives and target programs 1 Rates are per 100,000 population. Age-adjusted to the 2000 US standard population under 75 years of age. Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  41. Communities with the Best Premature Mortality RatesMassachusetts: 2005 Massachusetts317.0 Newton 172.4* Brookline 198.8* Cambridge 237.5* Framingham 273.3 Methuen 281.4 1 Selected from among the 30 Massachusetts communities with the largest populations. Rates are per 100,000 population. Age-adjusted to the 2000 US standard population under 75 years of age. * Statistically Significant (p ≤.05) Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  42. Springfield 466.0* Revere 445.5* New Bedford 443.2* Fall River 441.3* Brockton 413.7* Communities with the Worst Premature Mortality RatesMassachusetts 2005 Massachusetts317.0 1 Selected from among the 30 Massachusetts communities with the largest populations. Rates are per 100,000 population. Age-adjusted to the 2000 US standard population under 75 years of age. * Statistically Significant (p ≤.05) Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  43. Premature Mortality Rates (PMR) by RegionMassachusetts: 2005 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation

  44. Summary Massachusetts Deaths 2005 • The Massachusetts death rate was the lowest on record • Life expectancy reached a record high • Death rates from many leading causes continued to decline • Significant declines in heart disease and stroke death rates from 2004 • Massachusetts compared favorably to the U.S.

  45. Summary (continued) • The distribution of HIV/AIDS deaths continues to change • Increasing trends that must be closely monitored: • poisonings • homicides • Disparities persist by: • gender • race and ethnicity • education • geography

  46. How Can You Access This Information? • Hard Copies: (617) 740-2670 • TDD/TTY: (617) 624-6001 • MDPH Website: • http://www.mass.gov/dph/resep

  47. Accessing Massachusetts Deaths 2005 Data on MassCHIP • MassCHIP (DPH’s Internet-based public health information service) • Website: http://masschip.state.ma.us • Telephone: 1-888-MASCHIP (Mass only) (617) 624-5629 • New Release (Version 3.0 r318) • - Massachusetts Deaths 2005 • - Updated Data Sets

  48. Thank You

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