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State of Alaska

Health Indicator Report of Heart Disease Mortality Rate

Heart disease was the leading cause of death in the United States, killing 633,885 and accounting for over 1 in 4 deaths. In the United States someone has a heart attack every 40 seconds.^1^ Each minute, someone in the United States dies from a heart disease-related event.^2^ Heart disease costs the United States about $207 billion each year.^3^ 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.^4^ 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).^5^ 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. Heron M. National Vital Statistics Reports. Deaths: leading causes for 2014. June 30, 2016. 65(5):1-96. 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. 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. 4. 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. 5. 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. }}

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

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].

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.

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 2016, heart disease claimed the lives of 814 Alaskans (520 males and 294 females). Among the leading causes of death in Alaska, heart disease ranked third in total years of potential life lost with 7,257 years lost. On average, 8.9 years of life were lost prematurely for each heart disease death.^6^ In Alaska, there has been a decline in heart disease mortality from 239.5 deaths per 100,000 people in 1990 to 136.3 deaths per 100,000 people in 2016. Males have a significantly high rate of heart disease mortality, being 175.4 per 100,000 for males relative to 100.1 per 100,000 for females in 2016. Heart disease mortality rate was highest in the Northern (213.9 per 100,000) and Southwest (181.0 per 100,000) regions and lowest in the Anchorage (126.8 per 100,000) and Matanuska-Susitna (125.1 per 100,000) in the 5-year period of 2012-2016. There is a growing disparity in heart disease mortality rates between Alaska Native and non-Native people. Alaska Native people had significantly higher rates of heart disease mortality (246.4 per 100,000) than white individuals (123.2) in Alaska in 2016.[[br]][[br]] ---- {{class .SmallerFont 6. Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2016 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2016.pdf]. Accessed June 28, 2018. }}

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 136.3 per 100,000 was lower than the 2016 U.S. age-adjusted rate of 165.6 per 100,000. In 2015, national rates of heart disease mortality were higher in males (211.8 per 100,000) than females (133.6 per 100,000).^7^ There were also major differences in rates per 100,000 of heart disease mortality across races in 2015: Whites - 167.9, Black - 205.1, Asian/Pacific Islanders - 86.5, and American Indian/Alaska Native - 118.5.^7^[[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_6_tables.pdf]. Accessed July 23, 2018. }}

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]
Page Content Updated On 09/11/2018, Published on 09/11/2018
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 Sun, 18 November 2018 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: Tue, 25 Sep 2018 13:28:30 AKDT
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 Sun, 18 November 2018 18:31:43 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: Tue, 25 Sep 2018 13:28:30 AKDT