Massachusetts Deaths 2004

1
Massachusetts Deaths 2004
July 2006

• Massachusetts Department of Public Health
• Center for Health Information, Statistics,
  Research, and Evaluation
• Division of Research and Epidemiology

2
Massachusetts Deaths 2004
Infectious Disease
Heart Disease
Cancer
Injuries
Source Massachusetts Department of Public
Health, Center for Health Information,
Statistics, Research, and Evaluation
3
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

4
New Population Estimates Massachusetts 2000-2004

• Estimates are from the U.S. Census Bureaus
  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

5
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
6
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
7
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
8
Highlights

• Trends
• U.S. Comparisons
• Gender/Age
• Race/Ethnicity
• Education

9
Daily Number of Deaths for Selected Causes
On an average day in Massachusetts, there were
149 deaths
10
Life Expectancy at BirthMassachusetts vs. U.S.
1900-2004
Massachusetts
2004 MA 79.6 years US 77.9
years
United States
Source Massachusetts Department of Public
Health, Center for Health Information,
Statistics, Research, and Evaluation
11
Life Expectancy by Gender and AgeMassachusetts
2004
Source Massachusetts Department of Public
Health, Center for Health Information,
Statistics, Research, and Evaluation
12
Trend AnalysisJoinpoint 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

13
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
14
Percentage Difference in Death Rates
Massachusetts vs. U.S.t 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.
t 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
15
Leading Causes of Death Massachusetts 2004
Heart Disease 25.3
Other 28.7
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
16
Leading Causes of Death Massachusetts 2000 and
2004
Rate CAUSE
2000 2004 Change
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 Alzheimers
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
17
Leading Causes of Death by Age Massachusetts
2004
of Total in Total Age
Leading Cause Age Group Deaths
1-14 Injuries 40 137 15-24
Injuries 72 516 25-44 Injuries 36
2,247 45-64 Cancer 37
8,346 65-74 Cancer 39
8,126 75-84 Cancer 26 16,342
85 Heart Disease 31 18,327
Source Massachusetts Department of Public
Health, Center for Health Information,
Statistics, Research, and Evaluation
18
Rankings of Selected Causes of Death by Race and
EthnicityMassachusetts 2004

• CAUSE Whitet Blackt
  Asiant Hispanic
• 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
• Alzheimers Disease 6 15
  11 18
• Diabetes 8 5 4 6
• HIV/AIDS 27 8 - 4
• Perinatal Conditions 23 9
  15 7

t 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
19
Mortality Rates by Race and EthnicityMassachusett
s 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
20
Mortality Rates by Education Adults 25-64 Yearst
- Massachusetts 2004
Rates are per 100,000 population. Age-adjusted
to the 2000 US standard population tUses
2000 Population Estimates
Source Massachusetts Department of Public
Health, Center for Health Information,
Statistics, Research, and Evaluation
21
Mortality Rates by Education and by
Race/Ethnicity, Adults 25-64 YearstMassachusetts
2004
Rates are per 100,000 population. Age-adjusted
to the 2000 US standard population tUses
2000 Population Estimates
Source Massachusetts Department of Public
Health, Center for Health Information,
Statistics, Research, and Evaluation
22
Selected Causes

• Heart Disease
• Cancer
• Diabetes
• Injury
• HIV/AIDS

23
Heart Disease Mortality Rates Massachusetts and
U.S. 1994-2004
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
24
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
25
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
26
Type of Cancer Deaths by Age Massachusetts 2004
of Total in Total
Age Most Frequent Age Group
Cancer Deaths 1-14 Brain
Nervous System 22
23 15-24 Leukemia 28 29 25-44
Lung Cancer 18 413 45-64 Lung
Cancer 30 3,171 65-74 Lung
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
27
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
28
Diabetes DeathsMassachusetts 1999-2004
Source Massachusetts Department of Public
Health, Center for Health Information,
Statistics, Research, and Evaluation
29
Diabetes Deaths by Age Group Massachusetts
1999-2004
Source Massachusetts Department of Public
Health, Center for Health Information,
Statistics, Research, and Evaluation
30
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
31
Injury Deaths by Intent Massachusetts 2004
( Total 2,615 )
23
23
52
Source Massachusetts Department of Public
Health, Center for Health Information,
Statistics, Research, and Evaluation
32
Leading Causes of Injury DeathsMassachusetts
2000 and 2004
Rate CAUSE
2000 2004 Change
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
33
Homicide Mortality Rates Massachusetts and US
1994-2004
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
34
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
35
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
36
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
37
HIV/AIDS Deaths by Age GroupMassachusetts
1994-2004
Source Massachusetts Department of Public
Health, Center for Health Information,
Statistics, Research, and Evaluation
38
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.

39
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

40
How Can YOU Access This Information?

• Hard Copies [phone]
• TDD/TTY [phone]
• MDPH Website
• http//www.mass.gov/dph/resep

41
Massachusetts Deaths 2004 Data on MassCHIP

• MassCHIP
• (The Massachusetts Department of Public Healths
  Internet-based public health information service)
• Website http//masschip.state.ma.us
• Telephone 1-888-MASCHIP (Mass only)
  [phone]
• Fall Release (New Version)
• - Massachusetts Deaths 2004
• - Updated Data Sets

42
Thank You