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Massachusetts Deaths 2004. July 2006. Massachusetts Department of Public Health Center for Health Information, Statistics, Research, and Evaluation Division of Research and Epidemiology. Massachusetts Deaths 2004. Infectious Disease. Heart Disease. Cancer. Injuries.
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Massachusetts Deaths 2004 July 2006 Massachusetts Department of Public Health Center for Health Information, Statistics, Research, and Evaluation Division of Research and Epidemiology
Massachusetts Deaths 2004 Infectious Disease Heart Disease Cancer Injuries Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
Outline • Changes since the 2003 Deaths Report • Added diabetes deaths using multiple causes of death • Increased data on drug overdose deaths • Used most recent population estimates • Highlights • Selected Causes • Summary
New Population EstimatesMassachusetts: 2000-2004 • Estimates are from the U.S. Census Bureau’s Population Estimation Program and the National Center for Health Statistics (NCHS) • All death rates for 2000-2003 have been re-calculated using new population estimates • 2000-2003 death rate data in previous reports can not be compared to data in this publication • These changes affect death rates only
Impact : Age-Adjusted Death RatesMassachusetts: 2000-2004 Reflects Prior Reports Using Year 2000 Census 6% Reflects New Estimates for 2000-2004 Using Revised Population Data Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
Impact : Age-Adjusted Death Rates by Race and EthnicityMassachusetts 2000-2004 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
Impact : A Comparison of White and Black Age-Adjusted Death RatesMassachusetts: 2000-2004 16% Using NEW 2000-2004 Population Estimates Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
Highlights • Trends • U.S. Comparisons • Gender/Age • Race/Ethnicity • Education
Daily Number of Deaths for Selected Causes 38 Heart Disease Deaths 1 Infant Death 149 deaths (54,419 total in 2004) 36 Cancer Deaths 1 HIV/AIDS Death 16 Respiratory Deaths 5 Alzheimer’s Deaths 7 Injury Deaths 9 Stroke Deaths 4 Diabetes Deaths 5 Other Intentional & Unintentional Injury Deaths 1 Motor Vehicle Death 1 Suicide Death Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation On an average day in Massachusetts, there were 149 deaths:
Life Expectancy at BirthMassachusetts vs. U.S.: 1900-2004 Massachusetts 2004MA: 79.6 yearsUS: 77.9 years United States Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
Life Expectancy by Gender and AgeMassachusetts: 2004 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
Trend Analysis:“Joinpoint Regression” • Joinpoint Regression is a trend analysis method developed by the National Cancer Institute • Every point where the trend changes is called a “joinpoint” • Every joinpoint marks a statistically significant change in trend • Shows whether trends are significant
Mortality Rates Massachusetts and U.S.: 1994-2004 801.1 United States Massachusetts 1.4%* per year 739.3 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
Percentage Difference in Death Rates Massachusetts vs. U.S.ŧ: 2004 MA rates that are higher than the U.S. Influenza/ Pneumonia* Cancer Overall* % difference Heart Disease* Diabetes* Infant Mortality* Suicide* Homicide* MA rates that are lower than the U.S. ŧ Preliminary data 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
Leading Causes of Death Massachusetts: 2004 Other 28.7% Heart Disease 25.3% Diabetes 2.4% Pneumonia & Influenza 3.6% Cancer 24.5% Chronic Lower Respiratory Disease 4.7% Injury 4.8% Stroke 6.0% Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
Leading Causes of Death Massachusetts: 2000 and 2004 Rate % CAUSE20002004Change Heart Disease 216.7 182.8 19%* Cancer 206.1 188.4 9%* Stroke 50.9 42.5 20%* Injuries 35.9 38.6 7% Chronic Lower Respiratory Disease 41.8 35.2 19%* Alzheimer’s Disease 19.5 20.8 6% 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
Leading Causes of Death by Age Massachusetts: 2004 % of Total in Total AgeLeading CauseAge GroupDeaths 1-14Injuries 40% 137 15-24Injuries 72% 516 25-44Injuries 36% 2,247 45-64Cancer 37% 8,346 65-74Cancer 39% 8,126 75-84Cancer 26% 16,342 85+Heart Disease 31% 18,327 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
Rankings of Selected Causes of Death by Race and EthnicityMassachusetts: 2004 CAUSEWhiteŧBlackŧAsianŧHispanic Heart Disease 1 2 2 2 Cancer 2 1 1 1 Stroke 3 3 3 3 CLRD† 4 10 6 11 Homicide 30 6 - 9 Alzheimer’s Disease 6 15 11 18 Diabetes 8 5 4 6 HIV/AIDS 27 8 - 4 Perinatal Conditions 23 9 15 7 ŧ Non-Hispanic, †Chronic 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
Mortality Rates by Race and EthnicityMassachusetts: 2004 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
Mortality Rates by Education Adults 25-64 Yearsŧ - Massachusetts: 2004 Rates are per 100,000 population. Age-adjusted to the 2000 US standard population ŧUses 2000 Population Estimates Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
Mortality Rates by Education and by Race/Ethnicity, Adults 25-64 YearsŧMassachusetts: 2004 Rates are per 100,000 population. Age-adjusted to the 2000 US standard population ŧUses 2000 Population Estimates Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
Selected Causes • Heart Disease • Cancer • Diabetes • Injury • HIV/AIDS
Heart Disease Mortality Rates Massachusetts and U.S.: 1994-2004 3.6%* per year 300.2 United States 217.5 Massachusetts 261.5 182.8 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
Number of Heart Disease Deaths by Age and Gender - Massachusetts: 2004 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
1.8%* per year Cancer Mortality Rates Massachusetts and U.S. : 1994-2004 226.3 188.4 Massachusetts United States 212.4 184.6 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
Type of Cancer Deaths by Age Massachusetts: 2004 % of Total in Total AgeMost Frequent Age Group Cancer Deaths 1-14Brain & Nervous System 22% 23 15-24Leukemia 28% 29 25-44Lung Cancer 18% 413 45-64Lung Cancer 30% 3,171 65-74Lung Cancer 35% 3,256 75-84 Lung Cancer 27% 4,370 85+ Lung Cancer 17% 2,259 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
Cancer Mortality Rates by Gender Massachusetts: 2004 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
Diabetes DeathsMassachusetts: 1999-2004 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
Diabetes Deaths by Age Group Massachusetts: 1999-2004 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
Poisonings 28% 21% Occupant/Driver 17% Pedestrian 13% Motorcyclist 49% Other/Unspecified Motor Vehicle-related 20% Causes of Injury Deaths Massachusetts: 2004 ( Total = 2,615 ) 62% Narcotics & Hallucinogens 38% Other Other 21% Firearm 8% Falls 11% Suffocation, Hanging, or Strangulation 11% Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
Injury Deaths by Intent Massachusetts: 2004 Undetermined Intent SUICIDE 71% HOMICIDE 29% Intentional Unintentional “Accidental” ( Total= 2,615 ) 23% 23% 52% Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
Leading Causes of Injury DeathsMassachusetts: 2000 and 2004 Rate % CAUSE20002004Change Poisonings 9.0 11.2 24% * Narcotics & hallucinogens 5.7 7.0 22%* Motor vehicle-related 7.6 8.0 5% Motorcycle 0.5 1.1 120%* Hanging/Suffocation 4.0 4.4 10% Falls 3.2 4.0 25% Firearm Deaths 2.7 3.2 19% 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
Homicide Mortality Rates Massachusetts and US: 1994-2004 16.7%* per year 1998 5.8% per year 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
Homicide Mortality Rates by Race and Ethnicity Massachusetts: 1994-2004 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
Motorcycle Deaths by AgeMassachusetts: 1999-2004 45+ Years 25-44 Years Under 25 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
19.1%* per year 41.1%* per year 1995 1998 0.24% per year Number of HIV/AIDS Deaths Massachusetts: 1987-2004 * Statistically Significant (p=.05) Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
HIV/AIDS Deaths by Age GroupMassachusetts: 1994-2004 Source: Massachusetts Department of Public Health, Center for Health Information, Statistics, Research, and Evaluation
Summary: Massachusetts Deaths 2004 • The Massachusetts death rate fell to a record low • Life expectancy reached a record high • Death rates from many leading causes continued to decline • Massachusetts compared favorably to the U.S.
Summary(cont.) • Disparities persist • by gender • by race • by education • The number of homicides continues to increase • Dramatic rise in motorcycle deaths • The proportion of HIV/AIDS deaths to persons ages 45+ continues to increase
How Can YOU Access This Information? • Hard Copies: (617) 740-2670 • TDD/TTY: (617) 624-6001 • MDPH Website: • http://www.mass.gov/dph/resep
Massachusetts Deaths 2004 Data on MassCHIP • MassCHIP: • (The Massachusetts Department of Public Health’s Internet-based public health information service) • Website: http://masschip.state.ma.us • Telephone: 1-888-MASCHIP (Mass only) (617) 624-5629 • Fall Release: (New Version) • - Massachusetts Deaths 2004 • - Updated Data Sets