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Massachusetts Deaths 2006

Massachusetts Deaths 2006. Isabel A. Cáceres, Epidemiologist Massachusetts Department of Public Health Bureau of Health Information, Statistics, Research, and Evaluation Division of Research and Epidemiology. April 2008. Causes of Death Massachusetts: 1842-2006. Outline. Highlights

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Massachusetts Deaths 2006

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  1. Massachusetts Deaths 2006 Isabel A. Cáceres, Epidemiologist Massachusetts Department of Public Health Bureau of Health Information, Statistics, Research, and Evaluation Division of Research and Epidemiology April 2008 Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  2. Causes of Death Massachusetts: 1842-2006 Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  3. Outline • Highlights • Selected Causes of Death • Cancer • Heart Disease • Diabetes • Injury: Poisonings and Falls • Disparities in Mortality • Single Mortality Measures • Summary Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  4. Highlights • Trends • Comparisons with U.S. • Leading Causes of death Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  5. On An Average Day, in Massachusetts, in 2006 53,293 Total deaths in 2006 37 Cancer <1 HIV/AIDS (15 per month) 1 Infant Death 35 Heart Disease On an average day 146 deaths 3 Diabetes 8 Injury 8 Stroke 4 Alzheimer’s 7 CL Respiratory Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  6. Life Expectancy at BirthMassachusetts vs. U.S.: 1900-20061 Massachusetts United States 1 2006 U.S. data was not available at the time of this release, 2005 US data used. Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  7. Overall Mortality Rates Massachusetts and U.S.: 1994-20061  1.3%* APC United States Massachusetts  1.2%* APC  2.6%* APC Rates are per 100,000 population. Age-adjusted to the 2000 US standard population * Statistically significant (p<0.05) APC= Annual Percent Change Rates are per 100,000 population. Age-adjusted to the 2000 US standard population. 1 2005 Data. 2006 U.S. Data was not available at the time of this release Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  8. Leading Causes of Death Massachusetts: 2006 Cancer 25% Other 22.5% Septicemia 1.7% Diabetes 2.1% Nephritis 2.6% Alzheimer’s 2.9% Heart Disease 24% Pneumonia & Influenza 3.3% Chronic Lower Respiratory Disease 4.7% • In 2006: • 13,375 cancer deaths • 12,891 heart disease deaths Stroke 5.4% Injury 5.5% Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  9. Ranking of Leading Causes of Death by Race and EthnicityMassachusetts: 2006 1 Non-Hispanic, 2Chronic Lower Respiratory Disease Note: The lower the number the higher the rank Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  10. Leading Causes of Death by Age Massachusetts: 2006 % of Total in Total AgeLeading CauseAge GroupDeaths 1-14Injuries 33% 124 15-24Injuries 69% 471 25-44Injuries 44% 1,953 45-64Cancer 38% 8,660 65-74Cancer 40% 7,572 75-84Cancer 27% 15,333 85+Heart Disease 31% 18,811 Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  11. Changes in Mortality RatesMassachusetts: 2000 and 2006 * Statistically higher than 2000 rate (p<0.05) ** Statistically lower than 2000 rate (p<0.05) Rates are per 100,000 population. Age-adjusted to the 2000 US standard population. Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  12. Selected Causes of Death • Cancer • Heart Disease • Diabetes • Injury Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  13. Cancer Mortality Rates Massachusetts and U.S. : 1994-20061  1.8%* APC Massachusetts United States  1.0%* APC  1.7%* APC Rates are per 100,000 population. Age-adjusted to the 2000 US standard population * Statistically significant (p<0.05) APC= Annual Percent Change 1 2005 Data. 2006 U.S. Data was not available at the time of this release Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  14. Mortality Rates of Most Common Types of Cancer Death by Gender Massachusetts: 2006 * * * * * Statistically higher than female rates (p<0.05) Rates are per 100,000 population. Age-adjusted to the 2000 US standard population Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  15. Heart Disease Mortality Rates Massachusetts and U.S.: 1994-20061  2.5%* APC United States  4.1%* APC Massachusetts  3.7%* APC Rates are per 100,000 population. Age-adjusted to the 2000 US standard population * Statistically significant (p<0.05) APC= Annual Percent Change 1 2005 Data. 2006 U.S. Data was not available at the time of this release Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  16. Number of Heart Disease Deathsby Age and GenderMassachusetts: 2006 Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  17. Diabetes-Related DeathsMassachusetts: 1999-2006  7.5%* APC * Statistically significant (p<0.05) APC= Annual Percent Change Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  18. Injury Deaths Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  19. Poisonings 34% Causes of Injury Deaths Massachusetts: 2006 Total Injuries = 2,910 Other 18% Firearm 7% Hanging,Suffocation,, or Strangulation 10% Motor Vehicle-related 16% Falls 15% Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  20. Leading Causes of Injury DeathsMassachusetts: 2000 and 2006 Rate% CAUSE20002006Change Poisonings 9.0 14.9*66% Motor vehicle-related 7.6 7.17% Falls 3.2 5.7*78% Hanging/Suffocation 4.0 4.2 5% Firearm Deaths 2.7 3.219% * Statistically higher than 2000 rate (p<0.05) Rates are per 100,000 population. Age-adjusted to the 2000 US standard population. Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  21. Poisoning Deaths Where Opioids Are MentionedMassachusetts: 2000-2006  6.7%* APC Total Poisoning Deaths Opioid-mentioned Agent  7.3%* APC * Statistically significant (p<0.05) APC= Annual Percent Change Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  22. Fall Related Mortality RatesMassachusetts: 1999-2006 * Statistically higher than 2005 rate (p<0.05) Rates are per 100,000 population. Age-adjusted to the 2000 US standard population Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  23. Fall Related Mortality RatesAges 15-64 and 65+ Massachusetts: 1994-2006  6.3%* APC  0.7% APC * Statistically significant (p<0.05) APC= Annual Percent Change Rates are per 100,000 population ages 65+ and 15-64 respectively. Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  24. Suicide and Homicide Rates Massachusetts: 1994-2006  1.9%* APC  5.7%* APC  16.4%* APC * Statistically significant (p<0.05) APC= Annual Percent Change Rates are per 100,000 population. Age-adjusted to the 2000 US standard population. Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  25. Disparities in Mortality Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  26. Diabetes Mortality Rates by Race and EthnicityMassachusetts: 2006 * * ** N=1,127 N=969 N=91 N=13 N=51 * Statistically higher than state rate (p<0.05) ** Statistically lower than state rate (p<0.05) Rates are per 100,000 population. Age-adjusted to the 2000 US standard population Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  27. Mortality Rates by Education and Race/Ethnicity, Adults 25-64 Years1Massachusetts: 2006 * * * * Statistically higher than those with 13+ yrs of education (p<0..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, Bureau of Health Information, Statistics, Research, and Evaluation

  28. Homicide Rates by Race and Ethnicity Massachusetts: 1994-2006 Rates are per 100,000 population. Age-adjusted to the 2000 US standard population Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  29. Single Mortality Measures for Improving Health • Premature Mortality • Mortality Amenable to Health Care Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  30. Premature Mortality Rates by Race and Hispanic EthnicityMassachusetts: 2006 * ** * Statistically higher than state rate (p<0.05) ** Statistically lower than state rate (p<0.05) Rates are per 100,000 population. Age-adjusted to the 2000 US standard population persons ages 0-74 Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  31. Premature Mortality Rates (PMR) by Community Health Network Area Massachusetts: 2006 Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  32. Mortality Amenable to Health Care • Definition: deaths for persons ages 0-74 from certain causes that should not occur in the presence of timely and effective health care1,2 • Potentially useful tool to assess • Performance of health care systems and • Track changes over time1 • Originally developed in U.S. in 1970’s; adopted and updated by many researchers especially in Europe2 1 Nolte E and McKee CM. Measuring The Health of Nations: Updating An Earlier Analysis. Health Affairs 2008; Vol 27, Number 1: 58-71; Jan/Feb 2008. 2 Nolte E and McKee CM . Does Health Care Save Lives? Avoidable Mortality Revisited. The Nullfield Trust. 2004. London, England Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  33. Mortality Causes Amenable to Health Care Causes considered as amenable to health care: • Amenable to secondary prevention • where screening and treatment are effective; • for example colorectal, breast, cervical, and skin cancer • Amenable to improved treatment and medical care: • that require direct medical and/or surgical intervention • for example appendicitis and hypertension • that rely on efficient medical care delivery • accurate and timely diagnosis, transport, and treatment • that respond to antibiotic treatments and immunizations • infectious diseases Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  34. Percent Deaths Amenable to Health Care Massachusetts: 2006 All Deaths Deaths to Persons Ages 0-74 Deaths Amenable to Health Care 10% Deaths Amenable to Health Care 28% Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  35. Mortality Rates for Causes Amenable to Health Care by GenderMassachusetts: 2000 and 2006 ** ** ** ** Statistically lower than 2000 rate (p<0.05) Rates are per 100,000 population. Age-adjusted to the 2000 US standard population persons ages 0-74 Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  36. Mortality Rates for Causes Amenable to Health Care by Race and EthnicityMassachusetts: 2000 and 2006 ** ** ** Statistically lower than 2000 rate (p<0.05) Rates are per 100,000 population. Age-adjusted to the 2000 US standard population persons ages 0-74 Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  37. Summary Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  38. Summary Massachusetts Deaths 2006 • The Massachusetts death rate was the lowest on record • Massachusetts compared favorably to the U.S. • Life expectancy reached a record high • Cancer is the leading cause of mortality in MA • Cancer and heart disease death rates continued to decline Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  39. Summary (continued) • Increase in poisonings and fall deaths in 2006 • Two out of 3 poisoning deaths are related to opioids • Increasing trend in homicide rates • Disparities persist by: • gender • race and ethnicity • education • geography Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

  40. How Can You Access This Information? • Hard Copies: (617) 740-2670 • TDD/TTY: (617) 624-6001 • MDPH Website: http://www.mass.gov/dph/resep • MassCHIP Website: http://masschip.state.ma.us(DPH’s Internet-based public health information service) Source: Massachusetts Department of Public Health, Bureau of Health Information, Statistics, Research, and Evaluation

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