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State of Alaska

Complete Health Indicator Report of Heart Disease Mortality Rate

Definition

The age-adjusted heart disease mortality rate is defined as the number of heart disease-related deaths per 100,000 population. The following is the list of ICD-10 codes for heart disease related deaths: I00-I09, I11, I13, and I20-I51.

Numerator

Number of deaths due to heart disease in the resident population for a specified time period.

Denominator

Mid-year resident population for a specified time period.

Data Interpretation Issues

[http://live.laborstats.alaska.gov/pop/index.cfm Alaska population estimates] provided by the State Demographer in the [http://laborstats.alaska.gov/ Research and Analysis Section] of the [http://labor.alaska.gov/ Alaska Department of Labor and Workforce Development].

Why Is This Important?

Heart disease was the leading cause of death in the United States in 2016, killing 635,260 and accounting for nearly 1 in 4 deaths.^1^ In the United States someone has a heart attack every 40 seconds.^2^ Each minute, someone in the United States dies from a heart disease-related event.^3^ Heart disease costs the United States about $207 billion each year.^4^ This total includes the cost of health care services, medications, and lost productivity. Heart disease is not a single disease, but rather multiple diseases with different causes, risks, and potential interventions. Heart diseases include coronary heart disease, rheumatic heart disease, ischemic heart disease, hypertension, pulmonary heart diseases, heart failure, heart valve disease, cardiomyopathy, and other heart conditions. The most common form of heart disease is coronary heart disease (CHD), also known as coronary artery disease. CHD is the largest contributor to death from heart disease. Because certain types of heart disease have a long latency period, years might pass before changes in behavior or clinical practice affect heart disease mortality. Certain types of heart disease (e.g., heart valve disease) are not amenable to primary prevention or screening, but most heart diseases can be affected by lifestyle behaviors and health status.^5^ Modifiable risk factors for CHD include behaviors (e.g., tobacco use, physical inactivity, and improper nutrition), health status (e.g., hypertension, hyperlipidemia, overweight, or diabetes), and policies (e.g., smoking policies in restaurants and worksites).^6^ Substantial differences in CHD death rates and preventive measures exist by race, age, sex, place of residence, and other demographic factors.^3^[[br]] [[br]] ---- {{class .SmallerFont 1. Xu JQ, Murphy SL, Kochanek KD, Bastian B, Arias E. Deaths: Final data for 2016. National Vital Statistics Reports; vol 67 no 5. [https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_05.pdf]. Accessed January 2, 2019. 2. Heron M. National Vital Statistics Reports. Deaths: leading causes for 2014. June 30, 2016. 65(5):1-96. 3. Mozaffarian D, Benjamin EJ, Go AS, Arnett, DK, et al. Heart disease and stroke statistics-2015 update: a report from the American Heart Association. Circulation 2015;131:e29-e322. 4. Mozaffarian D, Benjamin EJ, Go AS, Arnett, DK, et al. Heart disease and stroke statistics-2016 update: a report from the American Heart Association. Circulation 2016;133:e38-e360. 5. U.S. Centers for Disease Control and Prevention (CDC). Chronic Disease Indicators. [http://www.cdc.gov/cdi/]. Updated January 15, 2015. Accessed October 6, 2016. 6. Fryar CD, Chen T, Li X. Prevalence of uncontrolled risk factors for cardiovascular disease: United States, 1999-2010. NCHS Data Brief 2012;103:1-8. }}

Healthy People Objective: Reduce coronary heart disease deaths

U.S. Target: 103.4 deaths per 100,000 population

How Are We Doing?

Heart disease is the second leading cause of death in Alaska. In 2017, heart disease claimed the lives of 799 Alaskans (507 males and 292 females). Among the leading causes of death in Alaska, heart disease ranked fourth in total years of potential life lost with 6,650 years lost. On average, 8.3 years of life were lost prematurely for each heart disease death.^7^ In Alaska, there has been a decline in heart disease mortality from 239.5 deaths per 100,000 people in 1990 to 133.4 deaths per 100,000 people in 2017. Males have a significantly high rate of heart disease mortality, being 172.0 per 100,000 for males relative to 97.6 per 100,000 for females in 2017. Heart disease mortality rate was highest in the Northern (227.3 per 100,000) and Southwest (183.9 per 100,000) regions and lowest in the Anchorage (127.9 per 100,000) and Matanuska-Susitna (120.6 per 100,000) in the 5-year period of 2013-2017. Alaska Native people had significantly higher rates of heart disease mortality (218.6 per 100,000) than white individuals (119.1) in Alaska in 2017.[[br]][[br]] ---- {{class .SmallerFont 7. Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2017 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2017.pdf]. Accessed January 2, 2019. }}

How Do We Compare With the U.S.?

Deaths due to heart disease have been declining in the U.S. Alaska's 2016 age-adjusted heart disease death rate of 136.7 per 100,000 was lower than the 2016 U.S. age-adjusted rate of 165.6 per 100,000. In 2016, national rates of heart disease mortality were higher in males (209.1 per 100,000) than females (130.4 per 100,000).^7^ There were also major differences in rates per 100,000 of heart disease mortality across races in 2016: Whites - 168.7, Black - 210.7, Asian/Pacific Islanders - 85.5, and American Indian/Alaska Native - 150.9.^7^[[br]] [[br]] ---- {{class .SmallerFont 1. Xu JQ, Murphy SL, Kochanek KD, Bastian B, Arias E. Deaths: Final data for 2016. National Vital Statistics Reports; vol 67 no 5. [https://www.cdc.gov/nchs/data/nvsr/nvsr67/nvsr67_05.pdf]. Accessed January 2, 2019. }}

What Is Being Done?

The Alaska Heart Disease and Stroke Prevention Program (HDSPP) educates and encourages partner organizations to utilize information from the American Heart Association (AHA) "[http://www.heart.org/HEARTORG/Conditions/My-Life-Check---Lifes-Simple-7_UCM_471453_Article.jsp#W1YY8jaWyHt 7 simple steps]", and the Centers for Medicare and Medicaid Services (CMS) and Centers for Disease Control and Prevention (CDC) "[https://millionhearts.hhs.gov/about-million-hearts/index.html Million Hearts]" initiative in program activities. The AHA defines and promotes 7 simple steps to a healthier heart to help individuals improve health behaviors. These steps include managing blood pressure, controlling blood cholesterol, reducing blood sugar, getting active, eating better, losing weight and smoking cessation. In 2012, CMS and CDC launched the Million Hearts initiative to prevent 1 million heart attacks and strokes by 2017. To meet this goal, the many Million Hearts public and private partners focus, coordinate, and enhance cardiovascular disease prevention activities. Significant progress was made towards the goal, however challenges faced include an aging population and increasing rates of obesity and diabetes. Million Hearts has developed a year 2020 framework based on optimizing health care and an evidence-based process to improve ABCS (Aspirin when appropriate, Blood pressure control, Cholesterol management and Smoking cessation), keeping people healthy and improving outcomes for priority populations (reducing heart disease disparity in racial/ethnic groups). In Alaska, the Southeast Alaska Regional Health Consortium (SEARHC) and Southcentral Foundation (SCF) operate the [https://www.cdc.gov/wisewoman/about.htm WISEWOMAN] program to help Alaska Native women understand and reduce their risk for heart disease and stroke and promote lasting heart-healthy lifestyles. The program serves low-income uninsured and underinsured women aged 40 to 64 years with free screenings and counseling about their risk for heart disease and stroke as they participate in evidenced-based lifestyle programs, individual health coaching or are referred to other community resources.

Available Services

Information about heart disease can be found at the Alaska Heart Disease and Stroke Prevention Program (HDSPP) website: [http://dhss.alaska.gov/dph/Chronic/Pages/Cardiovascular/default.aspx]


Related Indicators

Relevant Population Characteristics

Heart disease is the leading cause of death for mean and women in the U.S.^7^ Risk of heart attacks increase with age.^7^ Average age of the first heart attack for males is 65.6 years and for females is 72.0 years.^8^[[br]] [[br]] {{class.SmallerFont 7. Murphy SL, Xu J, Kochanek KD, Curtin SC. Final data for 2015: supplemental tables. National Vital Statistics Report. 2017;66(6). [https://www.cdc.gov/nchs/data/nvsr/nvsr66/nvsr66_06_tables.pdf]. Accessed July 23, 2018. 8. Benjamin EJ, Virani SS, Callaway CW, et al. American Heart Association/American Stroke Association Council on Epidemiology and Prevention Statistics Committee and Stroke Statistics Subcommittee 2017:At-A-Glance. January 31, 2018. [https://healthmetrics.heart.org/wp-content/uploads/2018/02/At-A-Glance-Heart-Disease-and-Stroke-Statistics-2018.pdf]. Accessed July 23, 2018.}}

Health Care System Factors

Health care system factors that can continue to decrease heart disease mortality include:^9^ [[br]] [[br]]1. the identification and management of high blood pressure [[br]]2. the establishment of STEMI (ST segment elevation myocardial infarction) protocols for emergency medical services (EMS) agencies [[br]]3. the implementation of STEMI treatment guidelines in hospitals throughout Alaska [[br]]4. the implementation of hypertension treatment protocols, such as the American Heart Association and American College of Cardiology [[br]]5. improving access to effective care [[br]]6. improving the quality of care for the ABCS (Aspirin when appropriate, Blood pressure control, Cholesterol management, Smoking cessation) [[br]]7. focusing clinical attention on the prevention of heart attack and stroke [[br]]8. activating the public to lead a heart-healthy lifestyle [[br]]9. improving the prescription and adherence to appropriate medications for the ABCS [[br]] [[br]] ---- {{class.SmallerFont 9. U.S. Department of Health and Human Services. Healthy People 2020: Heart disease and stroke, interventions and resources. [http://www.healthypeople.gov/2020/topics-objectives/topic/heart-disease-and-stroke/ebrs]. Accessed October 6, 2016. }}

Related Health Care System Factors Indicators:


Risk Factors

The U.S. Centers for Disease Control and Prevention (CDC) list risk factors under three main categories: conditions, behavioral and family history. Conditions affecting risk for heart disease include high blood pressure, high blood cholesterol and diabetes. Behavioral aspects include an unhealthy diet, inadequate physical activity (sedentary lifestyle), obesity, consumption of too much alcohol and tobacco use. Family history notes risks related to traits passed through genes to the individual.^10^[[br]] [[br]] Substantial differences in coronary heart disease death rates and preventive measures exist by race, age, sex, place of residence, and other demographic factors.[[br]] [[br]] {{class.SmallerFont 10. Fryar CD, Chen T, Li X. Prevalence of uncontrolled risk factors for cardiovascular disease: United States, 1999-2010. NCHS Data Brief. No. 103, Hyattsville, MD: National Center for Health Statistics. 2012. 3. Mozaffarian D., Benjamin EJ, Go AS, Arnett Dk, et al. Heart disease and stroke statistics-2016 update: a report from the American Heart Association. Circulation 2016;133:e38-e360.}}

Related Risk Factors Indicators:


Related Health Status Outcomes Indicators:




Graphical Data Views

Heart disease mortality rate per 100,000 (Age-adjusted), all Alaskans, Alaska Native people, and U.S., 1990-2017

::chart - missing::
confidence limits

Alaska ComparisonsYearRate per 100,000 population (Age-adjusted)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 73
All Alaskans1990239.5234.4244.6438550,043
All Alaskans1991245.1240.1250.1471569,054
All Alaskans1992254.1249.1259.0518586,722
All Alaskans1993241.4236.8246.0495596,906
All Alaskans1994247.9243.3252.5534600,622
All Alaskans1995244.3239.9248.7548601,581
All Alaskans1996226.9222.8231.0525605,212
All Alaskans1997236.4232.4240.5548609,655
All Alaskans1998219.9216.1223.8559617,082
All Alaskans1999206.2202.5209.9560622,000
All Alaskans2000213.1209.5216.7609626,932
All Alaskans2001208.2204.7211.7660632,716
All Alaskans2002174.2171.0177.3586641,729
All Alaskans2003197.6194.3200.8674649,466
All Alaskans2004157.9155.0160.8581659,653
All Alaskans2005164.7161.8167.5615667,146
All Alaskans2006169.0166.1171.8631674,583
All Alaskans2007153.6150.9156.2609680,169
All Alaskans2008149.4146.8151.9626686,818
All Alaskans2009159.2156.6161.9710697,828
All Alaskans2010151.3148.9153.8707710,231
All Alaskans2011147.8145.4150.3735722,818
All Alaskans2012134.2132.0136.6706731,191
All Alaskans2013132.2130.2134.6705735,662
All Alaskans2014142.9140.6145.2779735,601
All Alaskans2015149.6147.3151.9835737,625
All Alaskans2016136.7134.5138.9816739,709
All Alaskans2017133.4131.3135.5799737,080
Alaska Native people1990238.6226.8250.48286,252
Alaska Native people1991303.3290.6316.110289,286
Alaska Native people1992272.6260.3285.09791,933
Alaska Native people1993237.8226.8248.78394,176
Alaska Native people1994299.2286.7311.811296,182
Alaska Native people1995241.5230.6252.49798,058
Alaska Native people1996273.0261.7284.311199,678
Alaska Native people1997239.9229.4250.3101101,751
Alaska Native people1998192.6183.4201.888103,361
Alaska Native people1999193.8184.8202.985104,745
Alaska Native people2000217.8208.6227.099107,929
Alaska Native people2001247.8238.0257.5123108,430
Alaska Native people2002186.9178.4195.497109,873
Alaska Native people2003226.4217.4235.4115111,314
Alaska Native people2004203.2194.8211.7107112,356
Alaska Native people2005203.3194.9211.8109113,773
Alaska Native people2006194.9186.7203.1111114,977
Alaska Native people2007191.9183.8199.9106115,421
Alaska Native people2008171.2163.4179.0114115,969
Alaska Native people2009219.3210.9227.7144117,974
Alaska Native people2010223.8215.2232.3155120,428
Alaska Native people2011201.5193.7209.3146122,441
Alaska Native people2012175.4168.1182.6131123,605
Alaska Native people2013209.6201.6217.6156124,911
Alaska Native people2014201.5193.8209.1159126,090
Alaska Native people2015222.2214.1230.2175127,155
Alaska Native people2016243.2235.0251.3186127,545
Alaska Native people2017218.6211.0226.3169127,656
U.S.2000257.6710,760
U.S.2001249.5700,142
U.S.2002244.6696,947
U.S.2003236.3685,089
U.S.2004216.8652,486
U.S.2005221.6652,091
U.S.2006205.5631,636
U.S.2007196.1616,067
U.S.2008192.1616,828
U.S.2009182.8599,413
U.S.2010179.1597,689
U.S.2011173.7596,577
U.S.2012170.5599,711
U.S.2013169.8611,105
U.S.2014167.0614,348
U.S.2015168.5632,625
U.S.2016165.6633,885

Data Notes

Data are age adjusted to U.S. 2000 standard population. ICD-10 codes I00-I09, I11, I13, I20-I51.   ** = Data not available Alaska Native people refers to any mention of American Indian or Alaska Native heritage when enumerating racial and ethnic background. Individuals of multiple races incorporating American Indian/Alaska Native are moved into the Alaska Native group. When race and ethnicity are consider concurrently, Hispanic individuals with American Indian/Alaska Native heritage are combined into the Alaska Native (any mention) group and removed from the Hispanic class. The definition of the Alaska Native group is intended to conform to the eligibility requirements for access to Alaska Native Tribal Health Consortium.

Data Sources

  • [http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Health Analytics and Vital Records Section (HAVRS)], Division of Public Health, Alaska Department of Health and Social Services
  • National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention


Heart disease mortality rate per 100,000 (Age-adjusted), by sex, all Alaskans, 1990-2017

::chart - missing::
confidence limits

HA: Males vs. FemalesYearRate per 100,000 population (Age-adjusted)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 56
Males1990325.9317.1334.7295289,868
Males1991344.2335.4353.1326299,731
Males1992341.8333.2350.4346309,079
Males1993305.1297.3312.9323313,311
Males1994312.9305.1320.7336314,263
Males1995324.7317.0332.4359314,314
Males1996266.3259.5273.1314315,621
Males1997264.0257.5270.6331317,358
Males1998278.1271.5284.7367321,184
Males1999232.3226.5238.1326323,686
Males2000253.3247.4259.2351324,111
Males2001272.4266.4278.4408327,207
Males2002230.4224.9235.8379331,873
Males2003250.5245.0256.0406335,905
Males2004198.4193.6203.3359341,164
Males2005212.4207.5217.2385345,077
Males2006205.7201.0210.3370349,145
Males2007179.8175.5184.2360352,090
Males2008185.1180.8189.4371355,560
Males2009200.9196.5205.2438361,200
Males2010197.2192.9201.4441369,628
Males2011197.5193.5201.5477375,633
Males2012172.2168.4175.9444378,915
Males2013174.3170.6178.0451380,362
Males2014183.4179.7187.2488380,864
Males2015186.9183.1190.7513381,888
Males2016175.7172.1179.3521382,086
Males2017172.0168.6175.5507379,423
Females1990164.7159.0170.3143260,175
Females1991160.1154.7165.6145269,323
Females1992177.3171.8182.8172277,643
Females1993182.8177.5188.1172283,595
Females1994189.2184.0194.5198286,359
Females1995175.4170.5180.3189287,267
Females1996187.9183.0192.8211289,591
Females1997201.8196.9206.6217292,297
Females1998163.8159.5168.2192295,898
Females1999178.2173.7182.8234298,314
Females2000177.7173.3182.0258302,821
Females2001156.3152.2160.4252305,509
Females2002123.9120.4127.4207309,856
Females2003154.5150.6158.4268313,561
Females2004120.3117.0123.7222318,489
Females2005122.0118.7125.2230322,069
Females2006135.6132.2138.9261325,438
Females2007125.3122.2128.5249328,079
Females2008116.9113.8119.9255331,258
Females2009122.1119.0125.2271336,628
Females2010111.9109.1114.7265340,603
Females2011105.4102.6108.3257347,185
Females2012100.297.5102.8261352,276
Females201394.992.397.4254355,300
Females2014106.8104.1109.4292354,737
Females2015115.0112.3117.8322355,295
Females2016100.698.1103.1295357,623
Females201797.695.2100.1292357,657

Data Notes

Data are age adjusted to U.S. 2000 standard population. ICD-10 codes I00-I09, I11, I13, I20-I51.


Heart disease mortality rate per 100,000 (Age-adjusted), by race, all Alaskans, 1990-2017

::chart - missing::
confidence limits

Race: Alaska Native, White, TotalYearRate per 100,000 population (Age-adjusted)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 84
Alaska Native1990238.6226.8250.48286,252
Alaska Native1991303.3290.6316.110289,286
Alaska Native1992272.6260.3285.09791,933
Alaska Native1993237.8226.8248.78394,176
Alaska Native1994299.2286.7311.811296,182
Alaska Native1995241.5230.6252.49798,058
Alaska Native1996273.0261.7284.311199,678
Alaska Native1997239.9229.4250.3101101,751
Alaska Native1998192.6183.4201.888103,361
Alaska Native1999193.8184.8202.985104,745
Alaska Native2000217.8208.6227.099107,929
Alaska Native2001247.8238.0257.5123108,430
Alaska Native2002186.9178.4195.497109,873
Alaska Native2003226.4217.4235.4115111,314
Alaska Native2004203.2194.8211.7107112,356
Alaska Native2005203.3194.9211.8109113,773
Alaska Native2006194.9186.7203.1111114,977
Alaska Native2007191.9183.8199.9106115,421
Alaska Native2008171.2163.4179.0114115,969
Alaska Native2009219.3210.9227.7144117,974
Alaska Native2010223.8215.2232.3155120,428
Alaska Native2011201.5193.7209.3146122,441
Alaska Native2012175.4168.1182.6131123,605
Alaska Native2013209.6201.6217.6156124,911
Alaska Native2014201.5193.8209.1159126,090
Alaska Native2015222.2214.1230.2175127,155
Alaska Native2016243.2235.0251.3186127,545
Alaska Native2017218.6211.0226.3169127,656
White1990244.7238.7250.7338420,745
White1991235.5229.7241.3347434,926
White1992258.8253.1264.6398447,502
White1993245.9240.5251.2386452,836
White1994244.5239.3249.6393453,015
White1995256.0250.8261.1424451,245
White1996224.8220.1229.5388451,549
White1997249.4244.6254.3421452,547
White1998237.5232.9242.2442456,271
White1999212.9208.6217.2436458,662
White2000212.9208.8216.9469460,021
White2001207.2203.2211.2502463,075
White2002176.9173.3180.5454468,097
White2003191.5187.8195.1503472,059
White2004153.1149.9156.4433478,660
White2005160.6157.4163.8465482,786
White2006168.2165.1171.4478487,277
White2007151.3148.3154.3467490,232
White2008148.5145.6151.3470493,820
White2009148.4145.5151.2501499,690
White2010141.1138.4143.7501507,467
White2011143.2140.5145.9540513,794
White2012131.6129.1134.2528517,796
White2013122.6120.2124.9494518,821
White2014137.7135.2140.2565517,447
White2015138.6136.1141.0589515,431
White2016123.7121.4126.1570514,814
White2017119.1116.9121.3553510,364
Total1990239.5234.4244.6438550,043
Total1991245.1240.1250.1471569,054
Total1992254.1249.1259.0518586,722
Total1993241.4236.8246.0495596,906
Total1994247.9243.3252.5534600,622
Total1995244.3239.9248.7548601,581
Total1996226.9222.8231.0525605,212
Total1997236.4232.4240.5548609,655
Total1998219.9216.1223.8559617,082
Total1999206.2202.5209.9560622,000
Total2000213.1209.5216.7609626,932
Total2001208.2204.7211.7660632,716
Total2002174.2171.0177.3586641,729
Total2003197.6194.3200.8674649,466
Total2004157.9155.0160.8581659,653
Total2005164.7161.8167.5615667,146
Total2006169.0166.1171.8631674,583
Total2007153.6150.9156.2609680,169
Total2008149.4146.8151.9626686,818
Total2009159.2156.6161.9710697,828
Total2010151.3148.9153.8707710,231
Total2011147.8145.4150.3735722,818
Total2012134.2132.0136.6706731,191
Total2013132.2130.2134.6705735,662
Total2014142.7140.6145.2779735,601
Total2015149.6147.3151.9835737,625
Total2016136.7134.5138.9816739,709
Total2017133.4131.3135.5799737,080

Data Notes

Data are age adjusted to U.S. 2000 standard population. ICD-10 codes I00-I09, I11, I13, I20-I51.   ICD-10 codes I00-I09, I11, I13, I20-I51. Rates are age-adjusted to the 2000 U.S. standard population. Alaska Native people refers to any mention of American Indian or Alaska Native heritage when enumerating racial and ethnic background. Individuals of multiple races incorporating American Indian/Alaska Native are moved into the Alaska Native group. When race and ethnicity are consider concurrently, Hispanic individuals with American Indian/Alaska Native heritage are combined into the Alaska Native (any mention) group and removed from the Hispanic class. The definition of the Alaska Native group is intended to conform to the eligibility requirements for access to Alaska Native Tribal Health Consortium.

Data Source

[http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Health Analytics and Vital Records Section (HAVRS)], Division of Public Health, Alaska Department of Health and Social Services


Heart disease mortality rate per 100,000 (Age-adjusted), by Alaska economic regions, all Alaskans, 2013-2017 (5-year average)

::chart - missing::
confidence limits

Rate per 100,000 population (Age-adjusted)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 8
Anchorage127.9126.4129.51,4461,496,296
Gulf Coast143.5140.8146.1549404,186
Interior140.4137.8143.0569565,600
Mat-Su120.6118.1123.1470500,652
Northern227.3219.3235.3164138,410
Southeast152.0149.1155.0519369,928
Southwest183.9178.2189.7206211,866
Statewide139.1138.1140.13,9363,686,938

Data Notes

Data are age adjusted to U.S. 2000 standard population. ICD-10 codes I00-I09, I11, I13, I20-I51.

Data Source

[http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Health Analytics and Vital Records Section (HAVRS)], Division of Public Health, Alaska Department of Health and Social Services


Heart disease mortality rate per 100,000 (Age-adjusted), by boroughs and census areas, all Alaskans, 2008-2017 (10-year average)

::chart - missing::
confidence limits

Rate per 100,000 population (Age-adjusted)Lower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 26
Aleutians East Borough62.553.871.11130,331
Aleutians West CA112.6100.7124.42653,876
Anchorage Municipality132.3131.1133.42,7402,954,276
Bethel CA181174.9187.1159175,759
Bristol Bay Borough141120.3161.7129,577
Denali Borough145.9128.3163.41818,132
Dillingham CA215202.6227.36449,190
Fairbanks North Star Borough141.9139.8144878983,716
Haines Borough124.3116.2132.44325,144
Juneau Borough144.2140.9147.6350321,864
Kenai Peninsula Borough152.5150.1154.8828564,925
Kusilvak CA189.9179.2200.67178,225
Lake and Peninsula Borough233.8212.2255.42816,602
Matanuska-Susitna Borough128.5126.6130.4873944,744
Nome CA272261.6282.414597,997
North Slope Borough191.6181.1202.28391,230
Northwest Arctic Borough200.6191.32108777,049
Prince of Wales-Hyder CA162157.7166.3290199,322
Sitka Borough136.8131.1142.412689,117
Skagway Municipality138.5129.4147.63531,594
Southeast Fairbanks CA156.5149.1163.98869,626
Valdez-Cordova CA146.2139.6152.89996,446
Wrangell-Petersburg CA191.1182.9199.311857,586
Yakutat Borough9073.110766,360
Yukon-Koyukuk CA188.6179.21989555,604

Data Notes

Data are age adjusted to U.S. 2000 standard population. ICD-10 codes I00-I09, I11, I13, I20-I51.   Age-adjusted to the 2000 U.S. Standard Population. ** = data not available

References and Community Resources

'''References:''' 1. Mozaffarian D, Benjamin EJ, Go AS, Arnett, DK, et al. Heart disease and stroke statistics-2016 update: a report from the American Heart Association. Circulation 2016;133:e38-e360. 2. Mozaffarian D, Benjamin EJ, Go AS, Arnett, DK, et al. Heart disease and stroke statistics-2015 update: a report from the American Heart Association. Circulation 2015;131:e29-e322. 3. U.S. Centers for Disease Control and Prevention (CDC). Chronic Disease Indicators. [http://www.cdc.gov/cdi/]. Updated January 15, 2015. Accessed October 6, 2016. 4. Fryar CD, Chen T, Li X. Prevalence of uncontrolled risk factors for cardiovascular disease: United States, 1999-2010. NCHS Data Brief 2012;103:1-8. 5. Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2015 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2015.pdf]. Accessed February 7, 2017. 6. Xu J, Murphy SL, Kochanek KD, Bastian BA. Deaths: Final Data for 2013. National Vital Statistics Report 2016;64(2):1-119. 7. U.S. Department of Health and Human Services. Healthy People 2020: Heart disease and stroke, interventions and resources. [http://www.healthypeople.gov/2020/topics-objectives/topic/heart-disease-and-stroke/ebrs]. Accessed October 6, 2016. '''Resources:''' Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2015 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2015.pdf]. Alaska Heart Disease and Stroke Prevention Program: [http://dhss.alaska.gov/dph/Chronic/Pages/Cardiovascular/default.aspx] American Heart Association:[http:// www.americanheart.org] CDC's Cardiovascular Health Branch: [http://www.cdc.gov/DHDSP/index.htm] CDC's Blood Pressure website: [http://www.cdc.gov/bloodpressure/] CDC's Cholesterol website: [http://www.cdc.gov/cholesterol/] Healthy People 2020: [http://www.health.gov/healthypeople] Million Hearts(r) Initiative: [http://millionhearts.hhs.gov/]

More Resources and Links

Alaska and national goals may be found at the following sites:

Alaska health promotion resources may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

AK-IBIS Web Citation

Use and reproduction of the information published on this website are encouraged and may be done without permission. The following citation should accompany information from this website whenever it is used, reproduced, or published:

AK-IBIS Indicator Citation:
"[Indicator name]. Retrieved on [insert date] from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Example:
Diabetes Prevalence. Retrieved on March 25, 2016, from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Page Content Updated On 02/13/2019, Published on 02/13/2019
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 19 April 2019 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Wed, 20 Feb 2019 14:50:55 AKST
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 19 April 2019 19:09:07 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Wed, 20 Feb 2019 14:50:55 AKST