Leading Causes of Death - ochealthiertogether.org

Orange County, California

Leading Causes of Death 2010-2016


September 2018

Public Health Services and Health Policy, Research & Communications


Leading Causes of Death, 2010-2016

1

Methodology Data in this document are based on information from death

certificates from the California Department of Public Health

Death Statistical Masters files for Orange County. Deaths are

ranked according to the number of deaths assigned to

rankable causes. Cause-of-death statistics are based on the

underlying cause of death.

Rates Crude rates were calculated by dividing the total number of

deaths each year by the total number of individuals in the

population. Crude rates are useful for determining the

magnitude of a problem in a population. However, many

diseases or health outcomes vary by age. For example, the

crude rate for most causes of death will be higher in

populations with a large proportion of older individuals, and

lower in populations with a large proportion of younger

individuals. As crude rates do not adjust for the age

distribution of the population, they should not be used to

compare rates of different populations.

Age-adjusted rates or additional data on a cause of death are

available on OC Dashboard at www.OCHealthierTogether.org/

OCDashboard.

Technical Notes

Population Source Crude-rates were calculated based on California Department

of Finance data sets downloaded August 2016.

Data Instability Data suppression is used when the number of cases and

population at risk suggests the statistical stability of rates is

unacceptable. Throughout this document, asterisks are used

to indicate rates that may be statistically unstable and should

be interpreted with caution. Rates were suppressed if the

number of cases was less than 10. Rates not suppressed, but

otherwise marked with an asterisk are considered unstable

because the relative standard error (RSE) of the rate or

proportion is 25% or higher.

Suggested Citation County of Orange, Health Care Agency, Public Health

Services. Leading Causes of Death, 2010-2016, Orange

County, California. September 2018. Document available at

http://www.ochealthinfo.com/pubs

Acknowledgements Special acknowledgements go to Alaka Nafday, Health Policy,

Research and Communications and Genesis Sandoval, Public

Health Services for their significant contributions to this

document.

http://www.ochealthiertogether.org/ocdashboard

http://www.ochealthiertogether.org/ocdashboard




Leading Causes of Death, 2010-2016

2

Table of Contents

Summary 3

Leading Causes of Death 2016 4

By Gender 5

By Race/Ethnicity 6

By Age Group 8


By Gender 12

By Race/Ethnicity 13

By Age Group 16


By Gender 20


By Age Group 23


By Gender 27


By Age Group 30


By Gender 34


By Age Group 37


By Gender 41


By Age Group 44


By Gender 48


By Age Group 51


Leading Causes of Death Summary

3

The figure on the right shows the top five

leading causes of death in Orange County

between 2010 and 2016. As shown, heart

disease and cancer have consistently been

the top two leading causes of death during

this period. Alzheimer’s disease has been the

third leading cause of death overall since

2011, followed by cerebrovascular disease

(stroke) and chronic lower respiratory

diseases. These top 5 leading causes of

death accounted for about two out of three

deaths in Orange County each year.

Other leading causes of death between 2010

and 2016 include accidents (unintentional

injuries); influenza and pneumonia; diabetes

mellitus; chronic liver disease and cirrhosis;

nephritis, nephrotic syndrome and nephrosis;

and intentional self-harm (suicide).

Leading causes of death differ by gender,

race/ethnicity, and age groups and are

presented in this document. Crude death

rates are shown here for reference. As

crude rates do not adjust for the age

distribution of the population, they should

not be used to compare rates of different

populations (see Technical Notes).

This document presents the 10 leading causes of death in Orange County, California from 2010 through 2016, which account for about

80% of deaths each year. Data are based on information from the Orange County Master Death Files and are ranked according to the

number of deaths assigned to rankable causes. Cause-of-death statistics are based on the underlying cause of death.


Leading Causes of Death, 2016

Rank Leading Causes of Death Number of

Deaths

Crude Rate

per 100,000

population

1. Heart disease 4,642 146.3

2. Cancer (malignant neoplasms) 4,607 145.2

3. Alzheimer’s disease 1,431 45.1

4. Cerebrovascular diseases (stroke) 1,357 42.8

5. Chronic lower respiratory diseases 917 28.9

6. Accidents (unintentional injuries) 855 26.9

7. Influenza and pneumonia 559 17.6

8. Diabetes mellitus 507 16.0

9. Chronic liver disease and cirrhosis 367 11.6

10. Nephritis, nephrotic syndrome and nephrosis 358 11.3

All other causes 3,865 121.8

Total deaths 19,465

4


Leading Causes of Death

among Men

Number

of

Deaths

Crude Rate

per 100,000

Male

Population




4. Cerebrovascular diseases (stroke) 524 33.4

5. Alzheimer’s disease 433 27.6




9. Intentional and self-harm (suicide) 237 15.1



Total deaths 9,723


among Women

Number

of

Deaths

Crude Rate

per 100,000

Female

Population









9. Nephritis, nephrotic syndrome and

nephrosis

179 11.2



Total deaths 9,742

Leading Causes of Death By Gender, 2016

5



among Whites

Number

of

Deaths

Crude Rate

per 100,000

White

Population








8. Parkinson’s disease 234 17.8



nephrosis

222 16.9


Total deaths 13,438


among Latinos/Hispanics

Number

of

Deaths

Crude Rate

per 100,000

Hispanic

Population

1. Cancer (malignant neoplasms) 731 65.8

2. Heart disease 579 52.1








nephrosis

71 6.4


All other causes 650 58.5

Total deaths 2,934

Leading Causes of Death By Race/Ethnicity, 2016

6



among Asians

Number

of

Deaths

Crude Rate

per 100,000

Asian

Population









9. Essential hypertension and hyper-

tensive renal disease

56 9.2

10. Nephritis, nephrotic syndrome

and nephrosis

54 839


Total deaths 2,565


among Pacific Islanders

Number

of

Deaths

Crude Rate

per 100,000

Pacific

Islander

Population




Total deaths 62

Leading Causes of Death By Race/Ethnicity (cont.), 2016

7

*Rates shown may be unstable due to small numbers. Estimates for the

next leading causes are unreliable and not shown.


among African Americans

Number

of

Deaths

Crude Rate

per 100,000

African

American

Population





5. Cerebrovascular diseases (stroke) 13 27.7*

6. Chronic lower respiratory diseases 12 25.6*

7. Influenza and pneumonia 10 21.3*


Total deaths 276



among Infants Under 1 Year

Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group

1. Certain conditions originating in

the perinatal period

55 146.0

2. Congenital malformations, defor-

mations and chromosomal abnormal-

ities

35 92.9


Total deaths 115


among Ages 1-17 Years

Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group



3. Intentional self-harm (suicide) 11 1.6*


mations and chromosomal abnormalities

10 1.5*


Total deaths 112

Leading Causes of Death By Age Group, 2016

8






Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group



3. Intentional self-harm (suicide) 107 9.2


5. Assault (homicide) 42 3.6






Total deaths 908



Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group











nephrosis

49 5.7


Total deaths 3,260

Leading Causes of Death By Age Group (cont.), 2016

9





among Ages 65 Years and

Older

Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group









nephrosis

304 68.6




Total deaths 15,070


10




Deaths

Crude Rate

per 100,000

population










10. Nephritis, nephrotic syndrome and nephrosis 353 11.2


Total deaths 19,175

11



among Men

Number

of

Deaths

Crude Rate

per 100,000

Male

Population












Total deaths 9,536


among Women

Number

of

Deaths

Crude Rate

per 100,000

Female

Population










nephrosis

165 10.4

10. Essential hypertension and hyperten-

sive renal disease

154 9.7


Total deaths 9,639


12



among Whites

Number

of

Deaths

Crude Rate

per 100,000

White

Population












Total deaths 13,512



Number

of

Deaths

Crude Rate

per 100,000

Hispanic

Population










nephrosis

78 7.1



Total 2,728


13



among Asians

Number

of

Deaths

Crude Rate

per 100,000

Asian

Population


2. Diseases of heart 492 82.1









59 9.8


and nephrosis

50 8.3


Total deaths 2,425



Number

of

Deaths

Crude Rate

per 100,000

Pacific

Islander

Population


2. Cancer (malignant neoplasms) 15 175.0*


Total deaths 61


14





15





Num-

ber of

Deaths

Crude Rate

per 100,000

African

American

Population





5. Accidents (unintentional injuries) 14 30.0*

6. Diabetes mellitus 11 23.6*



10 21.5*


Total deaths 296




Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group



62 165.6



ities

24 64.1*


Total deaths 114



Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group





11 1.6*


Total deaths 84


16






Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group












ities

10 0.9*


Total deaths 855



Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group










nephrosis

58 6.9



Total deaths 3,193


17

*Rates shown may be unstable due to small numbers.



among Ages 65 and Older

Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group









nephrosis

293 68.4




264 61.6


Total deaths 14,929


18




Deaths

Crude Rate

per 100,000

population












Total deaths 18,345

19



among Men

Number

of

Deaths

Crude Rate

per 100,000

Male

Population












Total deaths 9,101


among Women

Number

of

Deaths

Crude Rate

per 100,000

Female

Population










sive renal disease

193 12.2


nephrosis

146 9.2


Total deaths 9,244


20



among Whites

Number

of

Deaths

Crude Rate

per 100,000

White

Population












215 16.3


Total deaths 12,943



Number

of

Deaths

Crude Rate

per 100,000

Hispanic

Population










sive renal disease

54 5.0



Total deaths 2,632


21



among Asians

Number

of

Deaths

Crude Rate

per 100,000

Asian

Population










nephrosis

47 8.0



Total deaths 2,308



Number

of

Deaths

Crude Rate

per 100,000

Pacific

Islander

Population


2. Heart disease 12 139.9*


Total deaths 50


22





Number

of

Deaths

Crude Rate

per

100,000

African

American

Population






Total deaths 264




Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group



57 153.4



ities

42 113.0


Total deaths 125



Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group




Total deaths 94


23






Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group








8. Human immunodeficiency virus

(HIV) disease

12 1.0*




Total deaths 878



Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group









9. Viral hepatitis 38 4.6


sive renal disease

34 4.1


Total deaths 3,166


24






Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group









nephrosis

267 64.6




Total deaths 14,082


25




Deaths

Crude Rate

per 100,000

population










10. Essential hypertension and hypertensive renal

disease

322 10.4


Total deaths 18,827

26



among Men

Number

of

Deaths

Crude Rate

per 100,000

Male

Population












Total deaths 9,304


among Women

Number

of

Deaths

Crude Rate

per 100,000

Female

Population










sive renal disease

194 12.4


nephrosis

126 8.0


Total deaths 9,523


27



among Whites

Number

of

Deaths

Crude Rate

per 100,000

White

Population





5. Cerebrovascular diseases 748 56.4







234 17.6


Total deaths 13,600



Number

of

Deaths

Crude Rate

per 100,000

Hispanic

Population










10. Certain conditions originating in the

perinatal period

50 4.7


Total deaths 2,533


28



among Asians

Number

of

Deaths

Crude Rate

per 100,000

Asian

Population











42 7.4


and nephrosis

33 5.8


Total deaths 2,256



Number

of

Deaths

Crude Rate

per 100,000

Pacific

Islander

Population




Total deaths 54


29





Number

of

Deaths

Crude Rate

per 100,000

African

American

Population






Total deaths 254



among Infants under 1 Year

Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group



79 210.8



ities

26 69.4


Total deaths 123


among Ages 1-17

Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group




Total deaths 87


30






Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group










(HIV) disease

10 0.9*


Total deaths 859



Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group












Total deaths 3,115


31






Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group

1. Heart disease 4,088 1,025.4









294 73.7




Total deaths 14,643


32




Deaths

Crude Rate

per 100,000

population












Total deaths 18,827

33



among Men

Number

of

Deaths

Crude Rate

per 100,000

Male

Population












Total deaths 8,974


among Women

Number

of

Deaths

Crude Rate

per 100,000

Female

Population










sive renal disease

148 9.5


nephrosis

131 8.0


Total deaths 9,300


34



among Whites

Number

of

Deaths

Crude Rate

per 100,000

White

Population












Total deaths 13,272



Number

of

Deaths

Crude Rate

per 100,000

Hispanic

Population











nephrosis

42 4.0


Total deaths 2,435


35



among Asians

Number

of

Deaths

Crude Rate

per 100,000

Asian

Population










nephrosis

39 7.0



Total deaths 2,093



Number

of

Deaths

Crude Rate

per 100,000

Pacific

Islander

Population




Total deaths 57


36





Number

of

Deaths

Crude Rate

per 100,000

African

American

Population



3. Alzheimer’s disease 13 28.8*


5. Cerebrovascular diseases (stoke) 11 24.3*


Total deaths 241




Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group



59 156.5



ities

50 132.7


Total deaths 130


among Ages 1-17

Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group




Total deaths 88


37






Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group










Total deaths 847



Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group











nephrosis

38 4.7


Total deaths 3,109


38






Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group











211 55.2



Total deaths 14,099


39




Deaths

Crude Rate

per 100,000

population












Total deaths 17,766

40



among Men

Number

of

Deaths

Crude Rate

per 100,000

Male

Population












Total deaths 8,666


among Women

Number

of

Deaths

Crude Rate

per 100,000

Female

Population










sive renal disease

161 10.5


nephrosis

115 7.5


Total deaths 9,100


41



among Whites

Number

of

Deaths

Crude Rate

per 100,000

White

Population












189 14.2


Total deaths 12,963



Number

of

Deaths

Crude Rate

per 100,000

Hispanic

Population












43 4.2


Total deaths 2,438


42



among Asians

Number

of

Deaths

Crude Rate

per 100,000

Asian

Population











and nephrosis

38 6.9


Total deaths 1,928 351.6



Number

of

Deaths

Crude Rate

per 100,000

Pacific

Islander

Population

1. Heart disease 14 162.9*



Total deaths 52 605.0


43





Number

of

Deaths

Crude Rate

per 100,000

African

American

Population



3. Alzheimer’s disease 13 28.9*





Total deaths 248 552.0




Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group



82 215.3



ities

50 131.3


Total deaths 160


among Ages 1-17

Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group




Total deaths 82


44






Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group









(HIV) disease

13 1.1*



ities

12 1.0*



Total deaths 873



Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group












Total deaths 3,054


45






Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group










234 64.0


nephrosis

211 57.8



Total deaths 13,597


46




Deaths

Crude Rate

per 100,000

population












Total deaths 17,182

47



among Men

Number

of

Deaths

Crude Rate

per 100,000

Male

Population












Total deaths 8,517


among Women

Number

of

Deaths

Crude Rate

per 100,000

Female

Population










sive renal disease

124 8.1


nephrosis

122 8.0


Total deaths 8,665


48



among Whites

Number

of

Deaths

Crude Rate

per 100,000

White

Population












Total deaths 12,703



Number

of

Deaths

Crude Rate

per 100,000

Hispanic

Population









nephrosis

52 5.1


10. Certain conditions originating in the

perinatal period

42 4.1


Total deaths 2,230


49



among Asians

Number

of

Deaths

Crude Rate

per 100,000

Asian

Population










nephrosis

38 7.1



Total deaths 1,857



Number

of

Deaths

Crude Rate

per 100,000

Pacific

Islander

Population



Total deaths 42


50





Number

of

Deaths

Crude Rate

per 100,000

African

American

Population




4. Chronic lower respiratory diseases 12 26.9*


Total deaths 222




Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group



73 196.2



ities

41 110.2


Total deaths 147


among Ages 1-17

Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group





10 1.4*


Total deaths 94


51






Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group










Total deaths 812



Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group











nephrosis

32 4.2


Total deaths 2,928


52






Number

of

Deaths

Crude Rate

per 100,000

Population

in the Age

Group









nephrosis

237 67.2




Total deaths 13,201


53

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