A Closer Look at Leading Causes of Death in Guilford County

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1 2015 GCDHHS Division of Public Health Data Brief A Closer Look at Leading Causes of Death in Guilford County Highlights Heart disease mortality rates declined 43% from deaths per 100,000 in 1995 to in After decades in which heart disease was the leading killer, cancer became the leading cause of death in About two-thirds of all deaths in the county are due to chronic diseases, including cancer, heart disease, stroke, Alzheimer s disease, chronic lower respiratory disease and diabetes. In 2013, the leading causes of death among children and young adults were motor vehicle accidents and other unintentional injuries. African-Americans had higher age-adjusted mortality rates than Whites for heart disease, cancer, stroke, diabetes, septicemia, kidney disease, homicide and HIV infection. Whites had higher age-adjusted mortality rates than African-Americans for chronic lower respiratory disease, unintentional injuries and suicide. Men had higher mortality rates than women for many conditions, including heart disease, cancer, diabetes, motor vehicle and other unintentional injuries and HIV infection. Women had higher mortality rates than men for Alzheimer s disease. Inside this Data Brief Leading Causes of Death, All Residents 2 Leading Causes of Death by Race 2-3 Leading Causes of Death by Sex 4 Leading Causes of Death Trends 5 Leading Causes of Death by Age 5-7 Leading Cancer Mortality Types 8 Trends in leading Cancer Types 8 Cancer Mortality Types by Sex 9 Guilford County Race/Ethnicity- Specific and Sex-Specific Age-Adjusted Death Rates 10 1 GCDHHS Division of Public Health Leading Causes of Death Data Brief 2015

2 Leading Causes of Death, All Residents Cancer Diseases of the Heart Cerebrovascular Disease (Stroke) Chronic Lower Respiratory Disease Unintentional Injuries Motor Vehicle Injuries All Other Injuries Alzheimer s Disease Diabetes Mellitus Nephritis, other Kidney Diseases Pneumonia and Influenza Septicemia Suicide Chronic Liver Disease and Cirrhosis Homicide HIV Infection Source: NC Mortality File, NC Center for Health Statistics Total Number of Deaths in Guilford County 3,976 Guilford County Population in ,610 Overall Mortality Rate (Not Age Adjusted) per 100,000 Leading Causes of Death, Guilford County, HIV Infection Homicide Respiratory Disease Motor Vehicle Injuries Suicide Septicemia Flu & Pneumonia Kidney Disease Diabetes Unintentional Injuries Alzheimer's Disease Chronic Lower Respiratory Disease Stroke Heart Disease Cancer Rate per 100,000 Source: NC State Center for Health Statistics Chart prepared by the GCDHHS, Division of Public Health. 2 GCDHHS Division of Public Health Leading Causes of Death Data Brief 2015

3 Leading Causes of Death, Black/African-American Race Cancer Diseases of the Heart Cerebrovascular Disease Unintentional Injuries Motor Vehicle Injuries Other Injuries Diabetes Mellitus Nephritis, other Chronic Kidney Disease Alzheimer s Disease Chronic Lower Respiratory Disease Septicemia Homicide HIV Infection Pneumonia and Influenza Suicide Chronic Liver Disease and Cirrhosis Total Number of Deaths among Blacks 1,080 Black Guilford County Population in ,260 Black Mortality Rate (Not Age Adjusted) per 100,000 Leading Causes of Death, White Race Cancer Diseases of the Heart Chronic Lower Respiratory Disease Cerebrovascular Disease Unintentional Injuries Motor Vehicle Injuries Other Injuries Alzheimer s Disease Pneumonia and Influenza Diabetes Mellitus Nephritis, other Chronic Kidney Diseases Septicemia Suicide Homicide Source: NC Mortality File, NC Center for Health Statistics. Total Number of Deaths among Whites 2,839 White Guilford County Population in ,914 White Mortality Rate (Not Age Adjusted) 1,216.1 per 100,000 3 GCDHHS Division of Public Health Leading Causes of Death Data Brief 2015

4 Leading Causes of Death for Men Cancer Diseases of the Heart Unintentional Injuries Motor Vehicle Injuries All Other Injuries Chronic Lower Respiratory Disease Cerebrovascular Disease (Stroke) Diabetes Mellitus Alzheimer s Disease Nephritis, other Kidney Diseases Pneumonia and Influenza Chronic Liver Disease and Cirrhosis Suicide Septicemia Homicide HIV Infection Source: NC Mortality File, Center for Health Statistics Total Number of Deaths for Men 1,929 Male Guilford County Population in ,126 Male Mortality Rate (Not age-adjusted) per 100,000 Leading Causes of Death for Women Cancer Diseases of the Heart Cerebrovascular Disease (Stroke) Alzheimer s Disease Chronic Lower Respiratory Disease Unintentional Injuries Motor Vehicle Injuries All Other Injuries Nephritis, other Kidney Diseases Diabetes Mellitus Pneumonia and Influenza Septicemia Homicide Chronic Liver Disease and Cirrhosis Suicide HIV Infection Total Number of Deaths for Women 2,047 Female Guilford County Population in ,293 Female Mortality Rate (Not age-adjusted) per 100,000 4 GCDHHS Division of Public Health Leading Causes of Death Data Brief 2015

5 Leading Causes of Death: Chronic Diseases Guilford County, Rate per 100, Heart Disease Cancer Stroke Diabetes COPD Note: COPD is Chronic Obstructive Pulmonary Disease, also known as Chronic Lower Respiratory Disease Source: Data provided by the NC State Center for Health Statistics Chart prepared by the Guilford County Department of Public Health Leading Causes of Death, Ages 1-19 Unintentional Injuries/Accidents Motor Vehicle Injuries All Other Injuries Suicide Diseases of the Heart Homicide Cancer Chronic Lower Respiratory Disease Pneumonia and Influenza Total Number of Deaths ages Age 1-19 Guilford County Population in ,622 Age 1-19 Mortality Rate (Not age-adjusted) 23.7 per 100,000 5 GCDHHS Division of Public Health Leading Causes of Death Data Brief 2015

6 Leading Causes of Death, Ages Unintentional Injuries/Accidents Motor Vehicle Injuries All Other Injuries Diseases of the Heart Cancer Suicide Homicide Diabetes Mellitus Septicemia Cerebrovascular Disease (Stroke) Chronic Liver Disease and Cirrhosis Chronic Lower Respiratory Disease HIV Disease Pneumonia and Influenza Nephritis, other Kidney Diseases Total Number of Deaths ages Age Guilford County Population in ,853 Age Mortality Rate (Not Age Adjusted) per 100,000 Leading Causes of Death, Ages Cancer Diseases of the Heart Unintentional Injuries/Accidents Motor Vehicle Injuries All Other Injuries Diabetes Mellitus Chronic Lower Respiratory Disease Chronic Liver Disease and Cirrhosis Cerebrovascular Disease (Stroke) Suicide HIV Disease Nephritis, other Kidney Diseases Septicemia Homicide Pneumonia and Influenza Total Number of Deaths ages Age Guilford County Population in ,810 Age Mortality Rate (Not Age Adjusted) per 100,000 6 GCDHHS Division of Public Health Leading Causes of Death Data Brief 2015

7 Leading Causes of Death, Ages Cancer Diseases of the Heart Chronic Lower Respiratory Disease Cerebrovascular Disease (Stroke) Alzheimer s Disease Unintentional Injuries/Accidents Motor Vehicle Injuries All Other Injuries Diabetes Mellitus Nephritis, other Kidney Diseases Pneumonia and Influenza Septicemia Chronic Liver Disease and Cirrhosis Suicide Total Number of Deaths ages ,623 Age Guilford County Population in ,796 Age Mortality Rate (Not Age Adjusted) 2,760.4 per 100,000 Leading Causes of Death, Ages 85 and Older Diseases of the Heart 263 2,862.7 Cancer 153 1,665.4 Alzheimer s Disease 130 1,415.0 Cerebrovascular Disease (Stroke) 102 1,110.3 Chronic Lower Respiratory Disease Unintentional Injuries/Accidents Motor Vehicle Injuries All Other Injuries Nephritis, other Kidney Diseases Pneumonia and Influenza Diabetes Mellitus Septicemia Total Number of Deaths ages 85+ 1,300 Age 85+ Guilford County Population in ,187 Age 85+ Mortality Rate (Not Age Adjusted) 14,150.4 per 100,000 7 GCDHHS Division of Public Health Leading Causes of Death Data Brief 2015

8 Leading Causes of Death from Cancer by Type All Residents Cancer Types Lung Pancreatic Breast Colorectal Leukemia Prostate Liver Brain Ovarian Source: NC Mortality File, Center for Health Statistics; NC Demographers Office *Mortality Rates for breast and ovarian cancers are calculated using the female and population size, respectively. Total Number of Cancer Deaths in Guilford County 665 Guilford County Population in ,610 Overall Cause Specific Mortality Rate (Not Age Adjusted) per 100,000 Leading Types of Cancer Mortality, Rate per 100, Lung Breast Prostate Pancreatic Colon Leukemia Source: NC State Center for Health Statistics Chart prepared by the GCDHHS, Division of Public Health. 8 GCDHHS Division of Public Health Leading Causes of Death Data Brief 2015

9 Leading Causes of Death from Cancer by Type White Race Cancer Types Lung Pancreatic Breast Colorectal Leukemia Liver Brain Prostate Ovarian Source: NC Mortality File, Center for Health Statistics; NC Demographers Office. *Mortality Rates for breast and ovarian cancers are calculated using the female and male population size respectively. Total Number of Cancer Deaths among Whites 366 White Guilford County Population in ,914 White Cause Specific Mortality Rate (Not Age Adjusted) per 100,000 Leading Causes of Death from Cancer by Type Black/African-American Race Cancer Types Lung Breast Pancreatic Colorectal Prostate Leukemia Brain Liver Ovarian Source: NC Mortality File, Center for Health Statistics; NC Demographers Office *Mortality Rates for breast and ovarian cancers are calculated using the female and male population size respectively. Total Number of Cancer Deaths among Blacks 160 Black Guilford County Population in ,260 Black Cause Specific Mortality Rate (Not Age Adjusted) 94.0 per 100,000 This report was prepared by Health Surveillance & Analysis Unit of the Division of Public Health: Mark H. Smith, Ph.D., Epidemiologist Laura Mrosla, MPH, MSW, Community Health Educator Terrance J. Earle, MS Healthcare Informatics Candidate, University of Central Florida For more information about Guilford County health statistics, visit 9 GCDHHS Division of Public Health Leading Causes of Death Data Brief 2015

10 Guilford County Race/Ethnicity-Specific and Sex-Specific Age-Adjusted* Death Rates** *Standard = Year 2000 U.S. Population; **Rates Per 100,000 Population White, non- Hispanic African American, non-hispanic American Indian, non-hispanic Other Races, non-hispanic Hispanic Male Female Overall Cause of Death: Deaths Rate Deaths Rate Deaths Rate Deaths Rate Deaths Rate Deaths Rate Deaths Rate Deaths Rate All Causes 13, , , , , Diseases of Heart 2, , N/A , , , Acute Myocardial Infarction N/A 3 N/A 3 N/A Other Ischemic Heart Disease 1, N/A 12 N/A 12 N/A , Cerebrovascular Disease N/A 18 N/A 18 N/A , Cancer 2, , N/A , , , Colon, Rectum, and Anus N/A 4 N/A 4 N/A Pancreas N/A 2 N/A 2 N/A Trachea, Bronchus, and Lung N/A 16 N/A 16 N/A , Breast N/A 5 N/A 5 N/A 0 N/A Prostate N/A 1 N/A 1 N/A N/A Diabetes Mellitus N/A 1 N/A 1 N/A Pneumonia and Influenza N/A 1 N/A 1 N/A Chronic Lower Respiratory Diseases N/A 2 N/A 2 N/A Chronic Liver Disease and Cirrhosis N/A 6 N/A 6 N/A Septicemia N/A 1 N/A 1 N/A Nephritis, Nephrotic Syndrome, and Nephrosis N/A 3 N/A 3 N/A Unintentional Motor Vehicle Injuries N/A 7 N/A 7 N/A All Other Unintentional Injuries N/A 9 N/A 9 N/A Suicide N/A 4 N/A 4 N/A Homicide N/A 2 N/A 2 N/A Alzheimer's disease N/A 1 N/A 1 N/A Acquired Immune Deficiency Syndrome 18 N/A N/A 0 N/A 0 N/A Source: NC State Center for Health Statistics, County Health Databook. Technical Note: Rates based on fewer than 20 cases (indicated by N/A ) are unreliable and have been suppressed. Rates for Breast and Prostate Cancers have sex-specific denominators (female and male, respectively). 10 GCDHHS Division of Public Health Leading Causes of Death Data Brief 2015