VITAL S

TATI

STICS

ANALYSIS

RESULT

S

FENGQING (ZOE) ZHANG

COMMUNITY HEALTH INTERN 2012

MOTIVATIONAnalyze the vital records database

Identify trends related to causes of death

Compare Evanston data to other similarly

communities and national figures

Assist with addressing the health needs of the community

OBJECTIVES

Represents City of Evanston Vital Records data: •on deaths, •death rates, •age-adjusted rates, and •leading causes of death for calendar years 2008 and 2009 •characteristics (age, sex, race, and Hispanic origin)

NUMBERS VERSUS RATES

Numbers: determine the burden of a health problem in a community; takes the population size into account

Death rates: number of vital events/ number of people at risk of these events; accounts for differences in population characteristics

Age-adjusted rates: death rates increase with increasing age; allow comparisons between different areas and over various periods of time;

TRENDS IN NUMBERS AND RATES FOR EVANSTON

Number of Deaths for 2009: 947

Number of Deaths for 2008: 960

Evanston death rate of 1216.15, (5.6 percent lower than the rate of 1288.09 in 2008)

Age-adjusted death rate of 1064.08, 18.8 percent lower than the 2008 rate of 1309.94

SIGNIFICANT CHANGES IN AGE-RELATED DEATH RATESThe relative magnitudes of significant changes in age-adjusted death rates

by sex and race are:

Males (18.9 percent decrease); Females (15.8 percent decrease)

White males (39.3 percent decrease); White females ( 38.9 percent decrease)

Black males (21.1 percent decrease); Black females (19.8 percent increase)

The magnitude of the significant changes in mortality for

Evanston by age group is:

Under 5 year (49.9 percent decrease)5-14 years (180 percent increase)15-24 years (1.9 percent decrease)25-34 years (2.5 percent increase)35-44 years (4.7 percent decrease)45-54 years (3.8 percent decrease)55-64 years (6.7 percent decrease)65-74 years (4.2 percent decrease)75-84 years (13.4 percent increase)85 years and over (55.9 percent decrease)

the causes of death, ICD-9, by the World Health Organization

group ICD codes into more general categories

the National Center for Health Statistics provides one of the most commonly used classification systems, grouped into 73 separate groups for ICD-9

Causes of death

CAUSES OF DEATH

The leading causes of death for Evanston in 2009 remained the same as in 2008 for the 12 leading causes although several causes exchanged ranks1 Diseases of the heart 2 Malignant neoplasms3 Pneumonia and Influenza 4 Nephritis, nephrotic syndrome and nephrosis 5 Symptoms, signs and ill-defined conditions 6 Accidents and adverse effects 7 Diabetes mellitus8 Chronic obstructive pulmonary diseases and allied conditions 9 Cerebrovascular diseases 10 Congenital anomalies 11 Suicide 12 Alzheimer disease

From 2008 to 2009, the death rate for Evanston declined significantly for 4 of the 12 leading causes of death: Accidents and adverse effects (21.5 percent) Chronic obstructive pulmonary diseases and allied conditions ( 60 percent)Congenital anomalies ( 33.7 percent) Alzheimer disease ( 36.2 percent)

Causes of death

The death rate for Evanston increased significantly from 2008 to 2009 for six leading causes: Diseases of the heart ( 8.8 percent)Malignant neoplasms ( 2.1 percent)Nephritis, nephrotic syndrome and nephrosis ( 47.4 percent), Symptoms, signs and ill-defined conditions ( 19.8 percent), Cerebrovascular diseases ( 101 percent), and Suicide ( 67.5 percent). The observed changes in the death rates for Evanston from 2008 to 2009 were not significant for Pneumonia and Influenza, and Diabetes mellitus.

Look at immediate death cause 428 (Heart Failure) at different age, education level, race and gender for Evanston

(Heart Failure)

(Heart Failure)

1 Not applicable2 8th grade or less3 9th – 12th grade, no diploma4 High school graduate or GED completed5 Some college credit but no degree6 Associate degree (eg AA, AS)7 Bachelor’s degree (eg BA, AB, BS)8 Master’s degree (eg MA, MS, M Eng, Med, MSW, MBA)9 Doctorate degree (eg PHD, EdD) or Professional degree (eg MD, DDS, DVM, LLB, JD)99 Unknown

(Heart Failure)

Missing Values: 991 White/Caucasian2 Black/ African American3 American Indian or Alaska native4 Asian Indian5 Japanese6 Native Hawaiian7 Chinese8 Korean9 Guamanian or Chamorro10 Filipino11 Vietnamese12 Samoan13 Other Asian (Hmong, Pakistani,

Laotian, Thai, Cambodian etc)14 Other Pacific Islander (Fijian,

Togan etc)15 Some other race99 Unknown

(Heart Failure)

SUMMARY

present Evanston vital records data on deaths, death rates, age-adjusted rates, and leading causes of death for calendar years 2008 and 2009 by selected characteristics such as age, sex, race, and Hispanic origin