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NJ Health Statistics
1997

Mortality
By Sex And Race

Overview

Crude, cause-specific death rates differ by sex, although the three leading causes were ranked the same in male and females in 1997 (Table M12). Diseases of the heart, cancer, and stroke ranked first, second, and third, respectively, as leading causes of death in both males and females. Unintentional injuries was the fourth leading cause of death in males, but ranked eighth as a cause of death in females. Other causes which had a relatively varying impact on males and females were pneumonia/influenza (a rank of seven in males and five in females); HIV infection (a rank of eight in males and eleven in females); septicemia (a rank of ten in males and seven in females); and artery, arterioles, and capillary disease (a rank of thirteen in males and ten in females).

TABLE M12. LEADING CAUSES OF DEATH BY SEX
NEW JERSEY, 1997
CAUSE GROUP(ICD-9 CODES) MALES FEMALES
DEATHS RATE* RANK DEATHS RATE* RANK
DISEASES OF THE HEART(390-398, 402, 404-429) 10,973 280.8 1 12,184 293.9 1
MALIGNANT NEOPLASMS(140-208) 8,799 225.2 2 9,111 219.8 2
CEREBROVASCULARDISEASES (430-438) 1,667 42.7 3 2,543 61.3 3
UNINTENTIONAL INJURIES(E800-E949) 1,500 38.4 4 659 15.9 8
CHRONIC OBSTRUCTIVEPULMONARY DISEASES(490-496) 1,316 33.7 5 1,459 35.2 4
DIABETES MELLITUS (250) 1,106 28.3 6 1,294 31.2 6
PNEUMONIA/INFLUENZA(480-487) 1,097 28.1 7 1,346 32.5 5
HIV INFECTION (042-044) 688 17.6 8 335 8.1 11
NEPHRITIS/NEPHROSIS(580-589) 528 13.5 9 563 13.6 9
SEPTICEMIA (038) 519 13.3 10 792 19.1 7
ARTERY, ARTERIOLES, AND CAPILLARY DISEASE (444-448) 410 10.5 13 408 9.8 10
RESIDUAL 6,128 156.8 N/A 6,612 159.5 N/A
TOTAL 34,731 888.8 N/A 37,306 900.0 N/A
*DEATH RATES ARE COMPUTED PER 100,000 SEX-SPECIFIC POPULATION

Crude death rates and rankings of various cause groups also differed between black and white races (Table M13). The two leading causes of death within each group were the same: heart disease and cancer, in that order. HIV infection was the third leading cause of death among blacks, but ranked fourteenth among whites. Other conditions with major differences in death rates and ranking between the races were homicide and legal intervention (tenth among blacks and tied with anemias for 20th among whites); COPD (fourth among whites and eighth among blacks); and artery, arterioles, and capillary disease (tenth among whites and fourteenth among blacks).

TABLE M13. LEADING CAUSES OF DEATH BY RACE, IN BLACK AND WHITE RACES
NEW JERSEY, 1997
CAUSE GROUP(ICD-9 CODES) WHITE BLACK
DEATHS RATE* RANK DEATHS RATE* RANK
DISEASES OF THE HEART(390-398, 402, 404-429) 20,821 323.4 1 2,146 183.4 1
MALIGNANT NEOPLASMS (140-208) 15,667 243.4 2 2,031 173.6 2
CEREBROVASCULAR DISEASES(430-438) 3,650 56.7 3 498 42.6 4
CHRONIC OBSTRUCTIVEPULMONARY DISEASES (490-496) 2,539 39.4 4 222 19.0 8
PNEUMONIA/INFLUENZA (480-487) 2,197 34.1 5 228 19.5 7
DIABETES MELLITUS (250) 1,908 29.6 6 461 39.4 5
UNINTENTIONAL INJURIES(E800-E949) 1,669 25.9 7 441 37.7 6
SEPTICEMIA (038) 1,094 17.0 8 205 17.5 9
NEPHRITIS/NEPHROSIS (580-589) 897 13.9 9 185 15.8 11
ARTERY, ARTERIOLES, AND CAPILLARY DISEASE (444-448) 736 11.4 10 79 6.8 14
HIV INFECTION (042-044) 356 5.5 14 664 56.8 3
HOMICIDE & LEGAL INTERVENTION (E960-E978) 151 2.3 20.5 201 17.2 10
RESIDUAL 9,819 152.5 N/A 1,645 140.6 N/A
TOTAL 61,504 955.4 N/A 9,006 769.7 N/A
*DEATH RATES ARE COMPUTED PER 100,000 RACE-SPECIFIC POPULATION
NOTE:THERE WERE 720 DEATHS TO PERSONS OF RACES OTHER THAN WHITE OR BLACK AND 809 DEATH CERTIFICATES ON WHICH THE RACE OF THE DECEDENT WAS NOT STATED.

Age-Adjusted Death Rates

Differences in the age distribution of populations affect crude, cause-specific death rates. Age-adjusted rates eliminate the effects of age upon death rates between different populations. Death rates for 1997 for the total population, for males and females, and for whites and blacks were age-adjusted (Table M14). When adjusted for the age distribution of the population, cancer becomes the leading cause of death, heart disease the second leading cause, and unintentional injuries the third in the state=s total population. Cause-specific death rates among blacks were consistently higher than the respective rates for whites in each of the total population=s ten leading causes of death. Cause groups with high ratios of black to white age-adjusted death rates were HIV infection (10.6), diabetes (2.5), nephritis/nephrosis (2.5), and septicemia (2.3). Age-adjusted death rates for males were higher than comparable rates in females for each of the ten leading causes of death in the total population. Cause groups with high ratios of male to female age-adjusted death rates were unintentional injuries (2.9), HIV infection (2.1), and heart disease (1.8).

TABLE M14. CRUDE AND AGE-ADJUSTED DEATH RATES
LEADING CAUSES OF DEATH IN THE TOTAL POPULATION, BY RACE AND SEX
NEW JERSEY, 1997
CAUSE GROUP
(ICD-9 CODES)
TOTAL POPULATION AGE-ADJUSTED RACE- AND SEX-SPECIFIC DEATH RATES
CRUDE RATE RANK AGE- ADJUSTED RATE RACE SEX
WHITE BLACK MALE FEMALE
DISEASES OF THE HEART(390-398, 402, 404-429)

287.6

1

123.0

121.4

150.2

163.5

90.5

MALIGNANT NEOPLASMS(140-208)

222.4

2

127.9

127.1

156.9

146.4

115.4

CEREBROVASCULAR DISEASES (430-438)

52.3

3

21.5

19.9

34.9

23.5

20.0

CHRONIC OBSTRUCTIVE PULMONARY DISEASES (490-496)

34.5

4

16.0

16.2

16.4

19.0

14.1

PNEUMONIA/INFLUENZA(480-487)

30.3

5

11.3

10.8

15.4

14.4

9.1

DIABETES MELLITUS (250) 29.8 6 16.1 13.9 35.2 18.5 14.1
UNINTENTIONAL INJURIES(E800-E949)

26.8

7

23.4

22.1

36.1

35.1

12.3

SEPTICEMIA (038) 16.3 8 7.2 6.3 14.8 7.7 6.8
NEPHRITIS/NEPHROSIS (580-589) 13.5 9 6.0 5.3 13.1 7.4 5.1
HIV INFECTION (042-044) 12.7 10 11.6 5.1 54.0 15.7 7.6


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