Monthly Vital Statistics Report; Vol. 41, No. 7 Supplement ...Vol. 41, No. 7, Supplement ... Monthly Vital Statistics Report ... . 500 0 11111111111111111111111111[11111111 Ij]llll[j]ll[l

Vol. 41, No. 7, Supplement ● January 7, 1993

Monthly VitalStatisticsRe~ort—

*

Final Data From the CENTERS FOR DISEASE CONTROL AND PREVENTION/National Center for Health Statistics

Advance Report of Final Mortality Statistics, 1990

Selected contents

Highlights . . . . . . . . . . . . . . . . . . 1Deaths and death rates . . . . . 2Expectation of life . . . . . . . . . . 3Cause ofdeath . . . . . . . . . . ...4

HIVinfection . . . . . . . . . . . ...8Hispanic deaths . . . . . . . . . . . 8Drug-induced deaths . . . . . . 9Alcohol-induced deaths . . . . 9

Marital status . . . . . . . . . . . . ...9Educational attainment. . . . . . 9lnfantmortality, . . ..o . . . . ...9

Hispanic infant mortality . . . 11Maternal mortality . . . . . . . . . 11Report of autopsy . . . . . . . . . 11References . . . . . . . . . . . . . . . 11List of detailed tables . . . . . . 13Technical notes . . . . . . . . . . . 47

Highlights

In 1990, 2,148,463 deaths wereregistered in the United States, 19,536fewer than the record high number of2,167,999 deaths recorded in 198S and

2,003 fewer deaths than in 19S9. Thedeath rate for 1990 was 863.8 deathsper 100,000 population, 1 percentbelow the rate of 871.3 in 19S9 and3 percent below the rate in 1988. Pro-visional data for 1991 suggest that thedeath rate continued to decline.

The age-adjusted death rate,which eliminates the effects of theaging of the population, was at arecord low of 520.2 per 100,000 popu-lation, 1.5 percent below the 19S9 rateof 528.0 and 4 percent below the 19SSrate of 539.9. The age-adjusted ratedecreased for the white and black pop-ulations between 1989 and 1990. Formost of the 10-year age groups formales and all of the age groups forfemales, death rates declined between19S9 and 1990, but they increased formales aged 15–24 years, 35-44 years,and slightly for those aged S5 yearsand over. The cause of death contrib-uting most to the increase in deathrates for the white population and theblack population aged 15–24 years wasHomicide and legal intervention; and

for the white population aged 35-44years, Human immunodeficiency virusinfection (HIV infection).

In 1990, life expectancy at birthreached a record high of 75.4 years.The difference in life expectancy formales and females widened 0.2 yearsin 1990 after narrowing between 19S4and 19S9. Women currently areexpected to outlive men by an averageof 7.0 years. For the white and blackpopulations, life expectancy increased,narrowing the gap between the tworace groups from 7.1 in 1989 to 7.0years in 1990. Although life expectancyfor bIack males increased in 1990 forthe first time since 1984, it is still belowthe peak attained in 19S4.

As in previous years, the first fourleading causes of death accounted foralmost 70 percent of deaths-Diseasesof heart; Malignant neoplasms,including neopIasms of lymphatic andhematopoietic tissues (cancer); Cere-brovascular diseases (stroke); andAccidents and adverse effects. Age-adjusted death rates for 7 of the 15

Acknowledgments

This report was prepared in the Division of Vital Statistics. Brenda S. Gillum and Bcttic L. Hudson, Nlortality Statistics Branch, wrote the report.Kenneth Kochanek provided special analysis tables. Thomas Dunn provided statistical tabks and content review, Charles E. Royer provided

computer programming support. The Registration k4ethods Brmch and the Technical Scrviccs Branch provided consultation to State vital

statistics offices regarding collection of the death crxtificatc data on which this report is based. This report was edited by Patricia Keaton-Williamsand typeset by Jacqueline M. Davis of the Publications Branch, Division of Data Scrviccs.

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICESPublic Health Service

Centers for Disease Control and Prevention CKNational Center for Health Statistics CENTSRS FOR DISEASE CONTROL

AND PREVENTION

2~ Monthly Vital Statistics Report. Vol. 41, No. 7(S) . January 7, 1993 ~

leading causes of death declinedbetween 1989 and 1990, led by reduc-tions for Atherosclerosis. Heart dis-ease, the leading cause of death in theUnited States, and stroke, the thirdleading cause of death, continued theirlong-term declines. Mortality forMotor vehicle accidents, a componentof Accidents and adverse effects, alsodeclined between 1989 and 1990,

Increases in age-adjusted deathrates for leading causes of deathbetween 1989 and 1990 were led byHIV infection and Homicide and legalintervention. Mortality from HIVinfection, which became the 10thleading cause of death in the UnitedStates, increased by 13 percent; andfrom Homicide and legal intervention,the llth leading cause, by 9 percent,Age-adjusted death rates alsoincreased for Suicide (1.8 percent);Pneumonia and influenza (1.4 per-cent); Diabetes mellitus (0.9 percent);Chronic pulmonary diseases and alliedconditions (0.5 percent); and Malig-nant neoplasms, including neoplasmsof lymphatic and hematopoietic tissues(0.4 percent). Among other causes, theage-adjusted death rate for alcohol-induced causes decreased by 1 percentbetween 1989 and 1990, while the ratefor drug-induced causes fell by12 percent.

The age-adjusted death rate formales was about 74 percent higherthan that for females for all causes ofdeath combined. For each of the 15leading causes of death, male mortalityalso was higher. The greatest sex dif-ferential was for HIV infection, wherethe age-adjusted rate for males was 8.4times that for females. The smallestsex differential was for Diabetes mel-Iitus, with a male-to-female ratio of1.1.

Overall, the black population hadage-adjusted death rates that exceededthose of the white population by about60 percent. Rates also were higher formost of the leading causes of death.The largest race differential continuedto be for Homicide and legal interven-tion, for which the age-adjusted ratefor the black population was aboutseven times that of the white popula-tion. The two leading causes that hadlower rates for the black population

were Chronic obstructive puhnona~ dis-eases and allied conditions and Suicide.

In 1990, there were differences inthe leading causes of death betweenthe Hispanic and the non-Hispanicwhite populations in an area com-prised of 45 States, New York State(excluding New York City), and theDistrict of Columbia, Although thetwo leading causes of death – Diseasesof heart and cancer —were the samefor the two population groups, sub-stantial differences exist in the rankingof other leading causes.

The infant mortality rate (9.2infant deaths per 1,000 live births)reached a record low in 1990. Thedecline in the rate occurred for whiteand black infants. Neonatal mortali~rates declined for white infants whilepostneonatal mortality rates declinedfor white and black infants. In 1990,the infant mortality rate for blackinfants remained at more than twicethat for white infants. The ratio ofblack-to-white infant mortality rateshas increased since the early 1970’swhen the mortality rates for blackinfants was 1.8 times that for whiteinfants.

Deaths and death rates

Death rates and life table valuesfor 1990 are based on the 1990 censusenumeration. All death rates and lifetable values for 1981–89 contained inthis report have been revised, usingintercensal population estimates basedon the 1990 census of population.Therefore, they are not comparablewith the death rates and life tablevalues in previous National Center forHealth Statistics (NCHS) reports andpublications containing those data for1981-89 (see Technical notes).

In 1990, a total of 2,148,463 deathsoccurred in the United States, 19,536fewer than in 1988 and 2,003 fewerdeaths than in 1989. The 1988 total of2,167,999 deaths is the largest finalnumber ever recorded. The decreasein the number of deaths between 1989and 1990 reflects lower mortality for anumber of age groups and causes ofdeath. The death rate for 1990, 863.8per 100,000 population, was 3 percentlower than the rate of 886.7 in 1988.

Provisional data for 1991 suggest thatthe death rate continued to decline (l).

The age-adjusted death rate of520.2 deaths per 100,000 population in1990 was a record low, about 4 percentbelow the rate of 539.9 for 1988 and11 percent below the rate for 1980 (fig-ure 1). Age-adjusted death rates showwhat the level of mortality would be ifno changes occurred in the age compo-sition of the population from year toyear. Thus, they are better indicatorsthan unadjusted death rates forshowing changes in the risk of deathover a duration when the age distribu-tion of the population is changing.Also, they are better indicators of riskwhen comparisons of mortality arebeing made for sex or race subgroupsof the population that have differentage compositions. Since 1980, the age-adjusted death rate has decreasedevery year except 1985 and 1988, yearswhen major influenza outbreaksincreased mortality in the UnitedStates.

Death rates by age, sex, and race

Between 1989 and 1990, deathrates for both sexes combinecl declinedfor all of the 10-year age groups except15–24 and 35-44 years (table A). Thelargest decrease (7 percent) occurredfor the age group 5-14 years, and thelargest increase (2 percent) occurredfor those aged 15–24 years.

For the white population, deathrates declined between 1989 and 1990for all age groups except 15-24 and35-44 years. The largest decrease(6 percent) occurred for those aged5–14 years, and the largest increase(1 percent) occurred for those aged35-44 years. For the black population,death rates declined for all age groupsexcept those aged 15–24 and 25-34years. The largest decline occurred forthe age group 1–4 years (6 percent),and the largest increase occurred forthose aged 15-24 years (6 percent).

The death rate for males alsodeclined between 1989 and 1!390for allage groups except 15–24, 25–34, 35-44years, and 85 years and over, Thelargest increase was for those aged15–24 years, although the change formales aged 85 years and over was very

Monthly Vital Statistics Report ● Vol. 41, No. 7(S). January 7, 1993

1,300 r ~ 1,3001,204

&

a 700

500

● Crude death rate● *

“*,

“*=”..””*....*+. . . . ●,. . .

●..* ●. . .. ..*

Age-adjusted death rate “’-” . . . . . . . . . . ..,

1,200

1,100

1,000

900

800

700

600

500.

0 11111111111111111111111111[11111111 Ij]llll[j]ll[l o1940 1950 1960 1970 1980 1990

Figure 1. Crude and age-adjusted death rates: United States, 1940-90

Table A. Percent change in death rates between 1989 and 1990 by age, race, and sexUnited States

Age Total White Black Male Female

Alleges . . . . . . . . . . . . . . -0.9

Under lyearl . . . . . . . . . . -5.4l-4vears . . . . . . . . . . . . . -6.06-l~years . . . . . . . . . . . . -6.615-24 yeara. . . . . . . . . . . .25-34 years. . . . . . . . . . . . -H3E-44years . . . . . . . . . . . . 0.545-54 years . . . . . . . . . . . . -1.455-64 years. . . . . . . . . . . . -2.265-74 yeatti. . . . . . . . . . . . -1.775-84 years. ., . . . . . . . . . -1.385years and over . . . . . . . . -0.5

-0.6

-5.6-5.9-6.3

-H

-4::-2.1-1.5-1.1-0.5

Percent change

-1.9 -0.9

-4.1 -4.5-5.9 -4.4-5.2 -6.66.1 3.5

0.0-H 0.9-2.5 -1.9-2.6 -2.6-3.1 -1.9-2.5 -0.9-0.2 0.2

-0.8

-6.7-7.9-6.3-3.7-2.0-0.7-0.5-1.7-1.4-1.7-0.8

1Death rateSunder I year (baSedon population estimates) differ from infant mortality rateS(based OnHve~~hs); see table Efor 1990 infant mortality rates and Technical notes for further discussion of the d!fferenca.

small. The increase in death ratesbetween 1989 and 1990 for males aged35-44 years (0.9 percent) continuedthe increase begun between 1983 and1984, a reversal of the downward trendfor this age group since the late 1960’s(figure 2 and table A). The death ratefor males aged 25–34 years wasunchanged.

The largest decreases for maleswere for those aged 5–14 years (7 per-cent), under 1 year (5 percent), and1–4 years (4 percent). Death rates forthe younger population aged 1-14years are subject to substantial fluctu-ation from year to year because of therelatively small number of deathsoccurring in these age groups. Deathrates at these ages are very low com-pared with other ages.

For females, death rates declined“ :tween 1989 and 1990 for all age

groups. This pattern is consistent withthe general downward trend inage-specific rates for females observedsince 1950. The largest decreases indeath rates between 1989 and 1990occurred for females aged 1–4 years(8 percent), under 1 year (7 percent),and 5–14 years (6 percent).

Age-adjusted death rates for whitemales decreased by 1 percent between1989 and 1990 and for white femalesby 2 percent. The age-adjusted deathrate decreased by 2 percent for blackmales and females. Age-adjusteddeath rates have decreased almostevery year since 1980 for white malesand females, resulting in record lowrates in 1990. Rates increased from1985 through 1989 for black malesbefore decreasing in 1990. Rates forblack females have fluctuated since1979.

In 1990,

~3

the age-adjusted deathrate for males of all races was 1.7 timesthat for females. In 1950 the male-to-femaIe ratio was 1.5. The 1970 ratio(1.7) increased to 1.8 during the late1970’s until 1987 when the ratio againdeclined to 1.7. For 1990, the ratiobetween male and female age-adjusteddeath rates was 1.7 for the white popula-tion and 1.8 for the black population.

In 1990, the age-adjusted deathrate for the black population was 1.6times that for the white population,the same ratio that has prevailed since1987. From 1960 through 1986, theratio was 1.5.

Expectation of life at birth andat specified ages

In 1990, the average expectationof life at birth reached a record high of75.4 years. This continued the generalupward trend in life expectancy in theUnited States.

The expectation of life at birth for1990 represents the average number ofyears that a group of infants would liveif the infants were to experiencethroughout Iife the age-specific deathrates prevailing in 1990. In 1990 lifeexpectancy for females was 78.8 yearscompared with 71.8 years for males;both figures represent increases over1989. The difference in life expectancybetween the sexes was 7.0 years in1990, higher than the difference of 6.8years in 1989. Historically, the differ-ence in life expectancy between thesexes has narrowed since 1979, in con-trast to widening from 1900 to 1972(table 4). The difference was 6.8 yearsin 1989 compared with 7.1 in 1984, 7.8years in 1975, 7.7 and 7.8 yearsthroughout the period 1972–79, 6.5years in 1960, and 2.0 years in 1900.

Between 1989 and 1990, lifeexpectancy for the white populationincreased from 75.9 years to a recordhigh of 76.1, and for the black popula-tion from 68.8 years to 69.1 years.Although the difference in life expect-ancy between the white and bIack pop-ulations narrowed from 7.6 years in1970 to 5.7 years in 1982, it increasedto 7.1 years in 1989 before declining to7.0 years in 1990. Although Iifeexpectancy for bIack males increased

4~ Monthly Vital Statistics Report ● Vol. 41, No. 7(S) ● January 7, 1993 ~

Male Female

40,000 40,000

85 years and over

20,00085 years and over

20,000

75-84 yearsb

10,000 ——&---4----- 10,000

8,000 ---- 75-84 years8,000 ‘~

6,000 65-74 years6,000

-----

a+. -.-m-m~m ~--- _,

4,000 ● -4,000 65-74years

c ---— ——-—.&’ 2,000g 55-64 years

2,000 +#- a---Under 1 year!

20 +0. ~---g

55-64 years

1,000 . . . . . . . . . . . . . . . . . . ...*0

1,000

0- 8000

800

600r

600 L*.. 45-54 years

5 35–44 years “*.***o. . . . . . . . . . . . . . . .

~ 400●*..=

400 ●=..,*●*~m,m....2

25-34years

200 –*-. -_+~+:------%.*’ -J-

- 200u=-,..** --- 0

L . &*~“+.. . . . . 15-24years

“. %*--- 25-34 years100 . ’ =” ”=.....-. .. 100 -. . ...*

60 1-4 years ‘+ . . . . . . . .w—-\-

60 -% 1-4 year< ’==.... ‘~.+= W... -*-4, /<

60●- m

.~.. . . ..m 60 *.9--”**-***- 9-\---- 15-24 years

40 5-14 years ‘w- 40:\

k-\ -- --- ---

5-14 years ~~~

20 20\

-’ b-

10 II 11111111111111 111111111111111111111!1 Iodllllllllllllllllllll 111111111111111111950 1955 1960 1965 1970 1975 I 9eo 1985 1990 1950 1955 1960 1965 1970 1975 1980 1965 1990

~Death ra[es under 1 year (based on population estimates) differ from infant mortality rates (based on live births); see figure 5 for infant mortality rates and Technicalnotes ior further discussion of the dllference,

Figure 2. Death rates by age and sex: United States, 1950-90

for the first time since 1984, it is still0.8 years below the peak life expect-ancy of 65.3 years attained in 1984,

Among the four race-sex groups,white females continued to have thehighest life expectancy at birth (79,4years), followed by black females (73.6years), white males (72.7 years), andblack males (64.5) (figure 3). Between1989 and 1990, life expectancy increasedfor black males (born 64.3years in 1989to64.5 years in 1990) and for black females(from 73.3 in 1989to 73.6 in 1990).Before1990, life expectancy for black malesdeclined eve~ year from 1984 through1989. Life expectancy for black femaleshas fluctuated since 1982, showing noclear trend. Overall, the largest gain in life

expectancy behveen 1980 and 1990 was cause of deathfor white males (2,0 years), followed bywhite females (1:3 yems), ‘black female_s(1.1 years), and black males (0.7 years).

The 1990 life table may be used tocompare life expectancies at any agefrom birth onward. For example, aperson who has reached age 65 yearsmay look forward to living to an olderage, on the average, than one who hasreached 50 years. On the basis of mor-tality experienced in 1990, a personaged 50 years could expect to live anaverage of 29.0 more years for a totalof 79.0 years, and a person aged 65years could expect to live an average of17.2 more years for a total of 82.2 years.

Deaths assigned to the 15 leadingcauses accounted for 86 percent of thetotal number of deaths in 1990(table B). (For ranking procedures,see Technical notes.) The ranking ofthe first 9 of the 15 leading causes ofdeath for 1990 was unchanged fromthe list based on data for 1989. Theother six leading causes of death werethe same as for 1989; however, therankings changed for four of the six.HIV infection, the llth leading causein 1989, increased to 10th in 1990.Septicemia, the 14th leading cause in1989, increased to 13th in 1990.Nephritis,nephrotic syndrome, and nephrosis and

Monthly Vital Statistics Report. Vol. 41, No. 7(S) . January 7, 1993

Table B. Death rates and percent of total deaths for the 15 leading causes of death:United States, 1990

[Rates per 100,000 population]

Rank Cause of death (Ninth Revision internationalorderl Classification of Diseases, 1975)

Percentof total

Rate deaths

34

,..,..

5

676

1:1112131415. . .

All races, both sexes

All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 863.6 100.0

Oiseases of heart . . . . . . . . . . . . . . . . . . . . . . . . . 289.5 33.5Malignant neoplasms, including neoplasms of lymphatic

andhematopoietic tissues . . . . . . . . . . . . . . . . . . 203.2 23.5Cerebrovascular diseases. . . . . . . . . . . . . . . 57.9 6.7Accidents and adverse effects . . . . . . . . . . . 37.0 4.3

Motor vehicle accidents . . . . . . . . . . . . . . . . . . . 18.8 2.2Another accidents andadverae effects . . . . . 18.2 2.1

Chronic obstructive pulmonary diseasesand allied conditions . . . . . . . . . . . . . . . . . . . . . . 34.9

Pneumonia and influenza . . . . . . . . . . . . . . . . . . . . 32.0 UOiabetes mellitua . . . . . . . . . . . . . . . . . . . . . . . . . 19.2 2.2Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12.4 1.4Chronic liver disease and cirrhosis . . . . . . . . . . 10.4 1.2Human immunodeficiencyvirus infection . . . . . . . 10.1 1.2Homicide andlegal intervention. . . 10.0 1.2Nephritis, nephritic syndrome, andnephrosis . 8.3Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . 7.7 i::Atherosclerosis . . . .. . . . . . . . . . 7.3 0.8Captain conditions ongmatingi nthepefinatalp efiod 7,1All othercauses . . . . . . . . . . . 116,9 1k;

1Rank based on numbsr of death% see Technical nOteS.

80

79

z767574

676665

:626160

-1

F Black female -i

1....

1................................=....................* 0. -”-”

●. . ../.-*~”

-..-.—.- =..*” -4.+

..* ~.+ White male,... . . ...=.=*

------

Black male

o~1970 1972 1974 1976 1978 1960 1982 1984 1986 1988 1990

Figure 3. Life expectancy by sex United States, 1970-90

Certain conditions originating in theperinatal period retained the sameranks. Homicide and legal interventiondecreased in rank from 10th to Ilth,and Atherosclerosis decreased from13th to 14th.

Trends immortality basedon age-adjusted death rates are shown in fig-ure4 and table C for 14 of the 15leading causes. Because deaths fromCertain conditions originating in theperinatal period occur mainly among

infants under 1 year, age-adjustedrates for this cause are not discussed.

For seven of the leading causes ofdeath, the age-adjusted death ratesdecreased between 1989 and 1990(table C). These causes were Diseasesof heart; Cerebrovascular diseases;Accidents and adverse effects; Chronicliver disease and cirrhosis; Nephritis,nephrotic syndrome, and nephrosis;Septicemia; and Atherosclerosis. Thelargest decline was for Atherosclerosis

(10 percent).

~5

The declines for Dis-eases of heart, Cerebrovascular dis-eases, and Atherosclerosis areconsistent with the generally down-ward trends observed since 1950. Acci-dents and adverse effects has exhibiteda general downward trend since 1968,while Chronic liver disease and cir-rhosis has exhibited a downward trendsince 1973. Death rates for Pneumoniaand influenza increased slightly(1.4 percent) in 1990, a year of excessinfluenza-associated mortality in theelderly (2). Pneumonia and influenza,which had a general downward trendfor 1969–82, has shown an upwardtrend since the early 1980’s, marked bythe periodic effects of outbreaks thathave occurred each year (except 1987)since 1982. Septicemia decreased in1989 and 1990, in contrast to theupward trend since 1950.

Increases in the age-adjusteddeath rates between 1989 and 1990occurred for seven of the leadingcauses of death —Malignant neo-plasms, including neoplasms of lym-phatic and hematopoietic tissues;Chronic obstructive pulmona~ dis-eases and allied conditions; Pneu-monia and influenza; Diabetesmellitus; Suicide; HIV infection; andHomicide and legal intervention. Thelargest increase for 1990, 13 percent,was for HIV infection, which showed asmaller increase than in 1989 (30 per-cent) or in 1988 (22 percent). The age-adjusted death rate for Diabetesmellitus showed a much smallerincrease for 1990 (1.0 percent) com-pared to the 14 percent increase in1989. Diabetes mortality decreasedfrom the late 1960’s throughout the1970’s and remained at a plateau until1988. The age-adjusted death rate forHomicide and legal interventionincreased by 9 percent between 1989and 1990, but the rate was still 6 per-cent lower than the record high of1980. The age-adjusted death rate forChronic obstructive pulmona~ dis-eases and allied conditions increasedslightly between 1989 and 1990 (1 per-cent), continuing the long-termupward trend for this cause of death.There continued to be a large decreasein the age-adjusted death rate for Ath-erosclerosis; a decrease of 10 percent


300F200

I. . . . . . . . . . . . . . .

1001-

L90 --8070

F

60 ._

50●+.-

2.0

1.00.9 -0.60.70.6

0.5

0.4 .1”

,/0,3

0.2

0-*

0.1 L19501955

Revisions of the International Classification of Diseases

I Seventh I Eighth I Ninth 1

~

@. . . . . . . . . . . . . . . . . . . ~ 4......................‘-_ @

----~

@ ..- ::----

1 I ‘--%:4●-.-9sfl -

I ,+---”””*.* I● . I ‘~. .. .

I I

: 011

- 012

- 0

014

I I I I I I I I I I I I I [ I I I I 1 I 1 I I I I I I

1960 1965 1970 1975 1980 1985 1990

Diseases of heart

Malignantneoplasms,includingneoplaams oflymphatic andhematopoietictissues

Cerebrovaeculardiseasea

Accidents andadverse effects

Chronic obstructivepulmonarydiseasea and

‘ allied conditions

Pneumonia andinfluenza

Diabetes mellitus

Suicide

Chronic liverdisease andcirrhosis

Human immuno-deficiemcyvirus infection

Homicide and legalintewention

Nephritis,nephroticsyndrome, andnephrosis

Septicemia

Figure 4. Age-adjusted rates for 14 of the 15 leading causes of death: United States, 1950-90

Monthly Vital Statistics Report ● Vol. 41, No. 7(S) ● January 7, 1993 ~7

Table C. Age-adjusted death rates for 1990 and percent changes In age-adjusted deathrates for the 15 leading causes of death from 1989 to 1990 and 1979 to 1990:United States

[Rates per 100,000 population]

Percent

change from -

Age-a@sted 1989 1979

Rank Cause of death (Ninth Revision International death rates to to

orderl Classification of Diseases, 1975) for 1990 1990 1990

.,. All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . 520.2 -1.5 -9.8

1 Diseases of heart . . . . . . . . . . . . . . . . . . . . . . . 152.0 -3.5 -23.82 Malignant neoplasms, including neoplasms of

lymphatic and hematopoietic tissues. . . . . . . . . . 135.03

0,4Cerebrovascular diseases . . . . . . . . . . . . . . . . . 27.7 -2.1 -3::

4 Accidents and adverse effects. . . . . . . . . . . . . . . 32.5 -4.1 -24.2. . . Motor vehicle accidents . . . . . . . . . . . . . . . . . 18.5 -4.1 -20.3. . . All other accidents and adverse effects. . . . . . . . 14.0 -6.7 -28.6

5 Chronic obstructive pulmona~ diseases andallied conditions ..,,..... . . . . . . . . . . . . . . 19.7 0.5 34.9

Pneumonia and influenza. . . . . . . . . . . . . . . . . .7

14.0 1.4 25.0Oiabetes mellitus, . . . . . . . . . . . . . . . . . . . . . . 11.7 0.9 19.4

8 Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11.5 1.8 -1.79 Chronic liver disease and cirrhosis. . . . . . . . . . . .

108.6 -4.4 -28.3

Human immunodeficlency virus infection . . . . . . . . 9.8 12.6 ---11 Homicide and legal intervention. . . . . . . . . . . . ,12

10.2 8.5Nephritis, nephritic syndrome, andnephrosis. . . . .

—

134.3 -4.4

Septicemia, . . . . . . . . . . . . . . . . . . . . . . . . . .14

4.1 -2.4 76.;Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . .

152.7 -10.0 -52.6

Certain conditions originating intheperinatal period2. . . -8.5 -37.0

i Rank based on number of deaths see Technical nOteS.

‘Inesmuch as deaths from this cause occur mainly among infants, percent changaa are based on infant mortslity ratesInstsad of age.adjusted rates.

occurred between 1989 and 1990,aIthough it was not as large as thedecrease of 14percent between 1988and 1989. The very large decrease inmortality for Atherosclerosis and thevery large increase for Diabetes mel-Iitusthat occurred between 1988 and1989mayreflectin part changes intheway in which physicians report causesof death on the death certificate(3).

Mortality levels for each of the 15leading causes of death were higherformaIes than for females (table D).Ten of the leading causes of deathshowed differentials in which deathrates for males were at least 1.5 timesthose for females. The age-adjusteddeath rate for HIV infection, in whichthe death rate for males was8.4 timesthat for females, was the largest differ-ential. Other large differentials werefor Suicide (4,2); Homicide and legalintervention (3.9); Accidents andadverse effects (2.7); Chronic Iiverdis-ease and cirrhosis (2.3); Diseases ofheart and Chronic obstructive pulmo-nary diseases and aIIied conditions (1.9each); Pneumonia and influenza (1.7);Nephritis, nephrotic syndrome, andnephrosis (1,5); and Malignant neo-plasms, including neoplasms oflymphatic and hematopoietic tissues

(1,5). The smallest sex difference inmortality was for Diabetes mellitus,with a male-to-female ratio of 1.1.

For females, the age-adjusteddeath rate for all causes combineddecreased by 2 percent between 1989and 1990. Decreases in rates occurredfor six of the leading causes of death–

Atherosclerosis, Accidents and ad-verse effects, Chronic liver disease andcirrhosis, Diseases of heart, Septi-cemia, and Cerebrovascular diseases.Increases in rates occurred for fiveleading causes led by HIV infection;Homicide and legal intervention;Pneumonia and influenza; Diabetesmellitus; and Malignant neoplasms,including neopIasms of lymphatic andhematopoietic tissues. Rates for threecauses were unchanged —Chronicobstructive pulmonary diseases andallied conditions; Suicide; andNephritis, nephrotic syndrome, andnephrosis. Among the leading causesof death, HIV infection had the largestpercent increase in age-adjusted ratesbetween 1989 and 1990 for women,16.7 percent.

For males, the age-adjusted deathrate for aIl causes combined decIinedby 1 percent between 1989 and 1990.Decreases occurred in the rates for sixof the Ieading causes of death –Ath-erosclerosis; Chronic liver disease andcirrhosis; Nephritis, nephrotic syn-drome, and nephrosis; Accidents andadverse effects; Diseases of heart; andCerebrovascular diseases. Increases inthe age-adjusted death rate occurredfor HIV infection; Homicide and legalintervention; Pneumonia and influ-enza; Suicide; Chronic obstructive pul-monary diseases and allied conditions;

Table D. Ratio of age-adjusted death rates for the 15 leadhrg causes of death by sex andrace: United States, 1990

Rat/o of-

Rank Cause of death, race, and sex (Ninth Revision International Maie toorder 1

Black toClassification of Diseases, 1975) female white

. . . All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.74 1.60

1 Diseases of heart . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.902

1.45Mafignant neoplasms, including neoplasms of lymphaticandhematopoietic tissues . . . . . . . . . . . . . . . . . . . . . 1.46

31.38

Cerebrovascular diseases....,.. . . . . . . . . . . . . . . . 1.184

1.90Accidents and adverse effects. . . . , . . . . . . . . . . . . . . . 2.66 1.25

. . . Motor vehicle accidents ...,..... . . . . . . . . . . . . . 2.46 0.99

. . . All other accidents and adverse effects. . . . . . . , , . . . .5

3.01 1.61Chronic obstructive pulmonary diseasea

and allied conditions . . . . . . . . . . . . . . . . . . . . . . . . . 1.856

0.64Pneumonia and influenza . . . . . . . . . . . . . . . . . . . . . . 1.68 1.48Oiabetee mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . .

: Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1.11 2.384.22

90.57

Chronic liver disease and cirrhosis. . . . . . . . . . . . . . . . .10

2.30 1.71Human immunodeficiency virus infection . . . . . . , . . . . . .

113.21

Homicide and legal intervention . . . . . . . . . . . . . . . . . .12

;: 6.69Nephritis, nephrotic syndrome, and nephrosis. . . . . . . . . .

131.50

Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.00

141.40 2.71

Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15

1.33 1.15Certain conditions originating In the perinatal period 2 . . . . . 1.25 3.10

1Rank based on number of deaths see Technical notes.Pinasmuch as deaths from these causas occur mainly among infants, ratios ara baaed on infant r_fIOtifity ratas Instead Of a9a-

adjusted death rates.


Diabetes mellitus; and Malignant neo-plasms, including neoplasms of lym-phatic and hematopoietic tissues. Formales, the largest increase was forHIV infection (12 percent). Between1989 and 1990 the age-adjusted deathrate for Motor vehicle accidents con-tinued the decline observed between1988 and 1989. The increase in thedeath rate for males aged 15–24 yearsbetween 1989 and 1990 was principallydue to a 23-percent increase for Homi-cide and legal intervention for this agegroup (from 26.8 to 32.9 per 100,000population). For males aged 35-44years, the increase was primarily dueto a 15-percent increase in death ratesdue to HIV infection.

Mortality was higher for the blackpopulation than for the white popula-tion for most of the leading causes(table D). The largest differential wasfor Homicide and legal intervention,for which the age-adjusted death ratefor the black population was 6.7 timesthat of the white population. Othercauses for which the differential waslarge include HIV infection (3.2);Nephritis, nephrotic syndrome, andnephrosis (3.0); Septicemia (2.7); Dia-betes mellitus (2.4); Cerebrovasculardiseases (1.9); Chronic liver diseaseand cirrhosis (1,7); Pneumonia andinfluenza (1.5); and Diseases of heart(1.5). Age-adjusted rates for the blackpopulation were lower than those forthe white population for two leadingcauses of death —Chronic obstructivepulmonary diseases and allied condi-tions and Suicide.

For the white population,decreases in age-adjusted ratesoccurred for seven leading causes ofdeath. The largest decrease was forAtherosclerosis (10 percent). Of theleading causes that increased for thewhite population, the largest increaseswere for HIV infection (12.7 percent)and Homicide and legal intervention(9.3 percent). The increase in thedeath rate for the white populationaged 15–24 years between 1989 and1990 was primarily due to an increasein the rate for Homicide and legalintervention (from 8.2 to 9.9) for thisage group. For those aged 35-44 years,the increase in the death rate wasprimarily due to HIV infection.

For the black population, age-adjusted death rates were lower in1990 than in 1989 for 10 of the leadingcauses, including Accidents andadverse effects (8.5 percent); Nephri-tis, nephrotic syndrome, and nephrosis(8.5 percent); Diseases of heart(4.7 percent); Cerebrovascular dis-eases (4.3 percent); Chronic liver dis-ease and cirrhosis (4.2 percent);Septicemia (4 percent); Atheroscle-rosis (3.1 percent); Suicide (2.8 per-cent); Pneumonia and influenza(2.5 percent); and Chronic obstructivepulmonaq diseases and allied condi-tions (1,7 percent). Of the leadingcauses that increased for the blackpopulation, the largest increase wasfor HIV infection (11.7 percent).Other increases were for Homicideand legal intervention (9.7 percent);Malignant neoplasms, including neo-plasms of lymphatic and hematopoietictissues (1.4 percent); and Diabetesmellitus (1.2 percent). The increase inthe death rate for the black populationaged 15–24 years between 1989 and1990 was primarily due to an increasein the rate for Homicide and legalintervention (from 65.4 to 78.2).

HIV infection

In 1990, there were 25,188 deathsdue to HIV infection, 14 percent morethan the 22,082 deaths recorded in1989. Of these deaths, 64 percent(16,106 deaths) were for white males,24 percent (6,097 deaths) for blackmales, 6 percent (1,633 deaths) forblack females, and 5 percent (1,149deaths) for white females (table 14),The largest numbers for males andfemales were for age groups 25-34 and35-44 years. Although the numbers ofdeaths were greatest for white males,the age-adjusted death rates andalmost all age-specific death rates werehighest for black males, followed bywhite males, black females, and whitefemales.

Overall, HIV infection was rankedas the 10th leading cause of death in1990. For the black population itranked 7th, and for the white popula-tion it ranked 10th among the leadingcauses of death. For males of all racescombined, HIV infection was theeighth leading cause of death; for

females it did not rank among the 10leading causes.

By age, HIV infection rankedamong the 10 leading causes for ages1-4, 5-14, 15-24, 25-44, and ,45-64years. HIV infection ranked 8th forages 1-4 years, 10th for ages 5-14years, 6th for ages 15-24 years, 3rd forages 25-44 years, 10th for ages 45–64years. Although HIV infection was the8th leading cause for ages 1-4 years,the number of deaths due to this causewas relatively small – 123 deaths, or2 percent of deaths from all causes forthat age group.

Hispanic deaths

Leading causes of death for aII agegroups combined for the Hispanicpopulation differ from those for thenon-Hispanic white population in anarea comprised of 45 States, New YorkState (excluding New York City), andthe District of Columbia (table 17)(see Technical notes). Although thetwo leading causes of death – Diseasesof heart and Malignant neoplasms,including neoplasms of lymphatic andhematopoietic tissues – are the samefor both groups, they accounted forthree-fifths of ail deaths in 1990 for thenon-?+spanic white population but foronly two-fifths of the deaths for theHispanic population.

Major differences in leading

causes of death between the twogroups are as follows: Three of the 10leading causes of death for the His-panic population – Homicide and legalintervention (5th leading cause), HIVinfection (8th), and Certain conditionsoriginating in the perinatal period(lOth) – are not among the 10 leadingcauses for the non-Hispanic white pop-ulation. Conversely, the 3 leadingcauses for the non-Hispanic white pop-ulation not among the 10 leadingcauses for the Hispanic populationwere Chronic obstructive pulmonarydiseases and allied conditions (4thleading cause), Suicide (8th), and Ath-erosclerosis (lOth).

Differences in ranking the leadingcauses of death between the two pop-ulation groups largely reflect differ-ences in age composition between thetwo groups; within broad age groups,leading causes are similar. However,


even within age categories some differ-ences exist. Homicide and legal inter-vention consistently ranked higher forthe Hispanic population than for thenon-Hispanic white population for allage groups under 45 years. HIV infec-tion for the Hispanic population aged15-24, 25-44, and 45-64 consistentlyranked higher than for the non-Hispanic white population for thesesame age groups. Diabetes mellitusand Chronic liver disease and cirrhosisranked higher for Hispanics aged45-64 years.

Drug-induced deaths

In 1990, a total of 9,463 personsdied of drug-induced causes in theUnited States (table 18). The catego~drug-induced causes includes not onlydeaths from dependent and nondepen-dent use of drugs (legal and illegaluse), but also poisoning from medicallyprescribed and other drugs; it excludesaccidents, homicides, and other causesindirectly related to drug use (fordrug-induced causes, see Technicalnotes). The age-adjusted death ratefor drug-induced causes in 1990 was3.6 deaths per 100,000 population. Therate increased by 32 percent from 1983to 1988, then declined 2 percent in1989 and 12 percent in 1990. The age-adjusted death rate for drug-inducedcauses for males was 1.8 times the ratefor females, and the rate for the blackpopulation was 1.7 times that for thewhite population.

Alcohol-induced deaths

In 1990, a total of 19,757 personsdied of alcohol-induced causes in theUnited States (table 19). The categoryalcohol-induced causes includes notonly deaths from dependent and non-dependent use of alcohol, but alsoaccidental poisoning by alcohol; itexcludes accidents, homicides, andother causes indirectly related toalcohoI use (for alcohol-inducedcauses, see Technical notes). The age-adjusted death rate for alcohol-induced causes in 1990 was 7.2 deathsper 100,000 population, which is lowerthan the rate of 7.3 for the previousyear. The rate decreased by 20 percentfrom 1980 to 1986, increased by

9 percent from 1986 to 1989, thendecreased by 1 percent in 1990. Theage-adjusted death rate for alcohol-induced causes for males was 3.4 timesthe rate for females, and the rate forthe black population was 2.6 times therate for the white population.

Marital status

About 90 percent of the personswho died in 1990 had been married(table 20). The proportion was largerfor females (92 percent) than formales (87 percent) and for the whitepopulation (90 percent) than for theblack population (81 percent). Theproportion who were widowed at thetime of death was considerably greaterfor women (57 percent) than for men(18 percent) but about the same forboth major race groups: 38 percent ofthe white population and 33 percent ofthe black population.

Educational attainment

About 55 percent of the personswho died in 1990 had completed highschool in an area comprised of 28States and the District of Columbia(table 21), (see Technical notes). Thepercent was about the same for males(54 percent) and females (57 percent),and similar for the white population(56 percent) compared to the blackpopulation (53 percent). About thesame proportion of white females(57 percent) and white males (55 per-cent) who died in 1990 had completedhigh school. The proportion who hadcompleted 4 years of college was sim-ilar for white females (3.8 percent) andfor white males (2.4 percent). Agreater proportion of black females(60 percent) had completed highschool than black males (51 percent).Slightly more black females (2.9 per-cent) than black maIes (1 percent) hadcompleted 4 years of college at thetime of death.

Infant mortality

A change in the tabulation by raceof live births beginning with data for1989 affects infant mortali~ rates byrace, because counts of live birthscomprise the denominator of infant

mortality rates. The tabulation of racefor live births changed from race ofchild to race of mother (see Technicalnotes). As a result, infant mortalityrates by race for 1989 and 1990 are notcomparable with those of previousyears. In general, changing the basisfor tabulating birth data from race ofchild to race of mother results in morewhite births and fewer black births andbirths of other races. Therefore, infantmortality rates based on live birthstabulated by race of mother tend to belower for white infants and higher forblack infants and infants of other racesthan they are when computed on thebasis of live births tabulated by race ofchild. (For additional detail, see Tech-nical notes.)

To facilitate comparison with pre-vious years’ data and analysis of currentpatterns, key tabulations and text anal-ysis in this and other reports fromNCHS for 1989 and 1990 infant mor-tality will show data computed on thebasis of live births tabulated by race ofmother and race of child. This willmake it possible to distinguish theeffects of this change in tabulationfrom real changes in the data. Accord-ingly, rates for 1989 and 1990 are pre-sented in figure 5 and table 22 by bothmethods of tabulating race of livebirths. In this report, the discussions ofchanges in various measures among1990 and years before 1989 are basedon measures computed by race ofchiId. Text references to white andblack infant mortality for 1990 onlyrefer to rates with Iive births tabulatedaccording to race of mother (table E).

In 1990, there were 38,351 deathsof infants under 1 year of age,(table E) compared with 39,655 in theprevious year. The infant mortalityrate of 9.2 infant deaths per 1,000 livebirths was the lowest final rate everrecorded for the United States; it rep-resented a decline of 6 percent fromthe rate of 9.8 for the previous year. In1990, the mortali~ rate for whiteinfants declined 6 percent (8.1 in 1989,compared with 7.6 in 1990) and forblack infants, by 3 percent (18.6 in1989, compared with 18.0 in 1990).

In 1990, the infant mortality ratefor black infants (18.0) was 2.4 timesthe rate for white infants (7.6), slightly

lo~ Monthly Vital Statistics Report ● Vol. 41, No. 7(S) ● January 7, 1993

70

60

F

50t-1

70

. Race of mother 60

9 —

\

,T

8 — 8

I

7.1 111111111111111111111111 ]1111 [11111111i950

7

1960 1970 1960 1990

NOTE: Infant dealhsare classll,ed byraceof de.-endent. Beginning in 1989. live birlhsare classified by

race of molhec from 1950-89, by race 01 child; see Technical notes,

Figure 5. Infant mortality rates by race: United States, 1950-90

Table E. Infant, neonatal, and postneonatal deaths and mortality rates by race and sex:United States, 199o

[Rates are Infant (under 1 year), neonatal (under 28 days), and postneonatal (28 days-11 months) deatha per100,000 live births in specified group. Beginning in 1969, race for live births IS tabulated according to race ofmothep see Technical notes]

Infant Neonata/ Postneonatal

Race and sex Number Rate Number Rate Number Rate

Allraceai . . . . . . . . 38,351 922.3 24,309 584.6 14,042 337.7Male . . . . . . . . . . 21,856 1026.3 13,839 649.9 8,017 376.5Female . . . . . . . . 16,495 813.1 10,470 516.1 6,025 297,0

White . . . . . . . . . . . 24,883 756,3 15,751 478.7 9,132 277.5Male . . . . . . . . . . 14,371 851.3 9,075 537.6 5,296 313.7Female . . . . . . . . 10,512 656,1 6,676 416.7 3,836 239.4

Black, . . . . . . . . . . 12,290 1795,9 7,905 1155.1 4,385 640.6Male . . . . . . . . . . 6,611 1962,4 4,405 1269,2 2,406 693.2Female . . . . . . . . 5,479 1624,6 3,500 1037,8 1,979 566.8

1Includes races other than white and t lack

higher than the ratio of 2,3 in theprevious year, When based on livebirths by race of child, the ratio ofblack-to-white infant mortality in 1990was 2.2; the ratio has increased sincetheearIy1970’s, when it was 1.8.

Between 1989 and 1990, the neo-natal mortality rate declined by6.5 percent, from 6.2 to 5.8 deaths forinfants under 28 days per J.,000 livebirths. For white infants the ratedeclined from 5.1 to 4.8, while forblack infants, the change in the ratebetween the tsvo successive years wasnot statistically significant (11.9 in 1989compared with 11.6 in 1990), Neonatalmortality rates historically havedeclined for both races – an averageannual decrease of 4 percent per yearfor white infants compared with 3 per-cent for black infants between 1960and 1990 by race of child,

The postneonatal mortality rate–deaths to infants 28 days-n monthsper 1,000 live births– declined 5.6 per-cent for 1990 from 3,6 to 3.4 deaths.For white infants the postneonatalmortality rate declined 3 percent, from2.9 to 2.8 deaths per 1,000 live births,while for black infants the ratedeclined 4 percent, from 6.7 in 1989 to6.4 in 1990, This follows the historicaltrend, by race of child, of more rapiddeclines in postneonatal mortality forblack than for white infants. From1960 to 1990 postneonatal mortalitydeclined by an average of 3 percentper year for black infants comparedwith 2 percent for white infants.

Although the list of the 10 leadingcauses of infant death was unchangedin 1990, the rankings for 2 of theleading causes of infant death changedslightly between 1989 and 1990, New-born affected by complications of pla-centa, cord, and membranes increasedfrom the seventh leading cause in 1989to the sixth, Accidents and adverseeffects, the sixth leading cause in 1989,decreased to the seventh. Among the10 Ieading causes of infant death, thefirst 4– Congenital anomalies, Suddeninfant death syndrome, Disordersrelating to short gestation and unspec-ified low birthweight, and Respiratorydistress syndrome – accounted for justover half (54 percent) of all infantdeaths in 1990; and the remaining 6

MonthlyVital StatisticsReport● Vol. 41, No. 7(S) ● January7, 1993

causes accounted for only 15 percentof all infant deaths.

Between 1989 and 1990, the infantmortality rate decreased for 8 of the 10leading causes of infant death andincreased for the other 2 causes. Thelargest decreases were for Respiratorydistress syndrome (24 percent), Acci-dents and adverse effects (9 percent),and Sudden infant death syndrome(7 percent). The two increases werefor Newborn affected by maternalcomplications of pregnancy (5 percent)and Intrauterine hypoxia and birthasphyxia (2 percent).

Differences between infant mor-tality rates for white and black infantsby cause are reflected in differences inranking of the leading causes of infantdeath as well as in differences incause-specific infant mortality rates.Congenital anomalies was the leadingcause of death for white infants, fol-lowed by Sudden infant death syn-drome, Disorders relating to shortgestation and unspecified low birth-weight, and Respiratory distress syn-drome. Together these four causesaccounted for 56 percent of whiteinfant deaths. In contrast, for blackinfants the leading cause of death wasDisorders relating to short gestationand unspecified low birthweight, fol-lowed by Sudden infant death syn-drome, Congenital anomalies, andRespiratory distress syndrome. To-gether these four causes accounted for49 percent of all black infant deaths.

AIthough the difference betweenblack and white infant mortality ratesvaried by cause, the risk was higher forblack than for white infants for all theleading causes. Expressed as the ratioof the infant mortality rate for blackinfants to that for white infants, theleading causes ranked beginning withthe highest ratio are: Disordersrelating to short gestation and unspec-ified low birthweight (4,6); Pneumoniaand influenza (3.0); Respiratory dis-tress syndrome and Newborn affectedby maternal complications of preg-nancy (2.6 each); Infections specific tothe perinatal period (2,5); Accidentsand adverse effects (2.3); Intrauterinehypoxia and birth asphyxia (2.2); New-born affected by complications of pla-centa, cord, and membranes (2.1);

Sudden infant death syndrome (2.1);and Congenital anomalies (1.1).

Hispanic infant mortality

The infant mortality rate was 7.8deaths to Hispanic infants under 1year of age per 1,000 live births in anarea comprised of 45 States, New YorkState (excluding New York City), andthe District of Columbia. This was5 percent higher than the rate of 7.4for non-Hispanic white infants(table 26). Among specified subgroupsof the Hispanic population, the mor-tality rate for Mexican infants was 7.7deaths to infants under 1 year of ageper 1,000 live births, 10.2 for PuertoRican infants, and 7.6 for Cubaninfants. Infant mortality rates by spec-ified Hispanic origin and race for non-Hispanic origin may be somewhatunderstated (see Technical notes).

Maternal mortality

In 1990,343 women were reportedto have died of maternal causes(table F) compared with 320 in 1989.As in previous years, the number doesnot include all deaths occurring topregnant women, but only thosedeaths assigned to Complications ofpregnaney, childbirth, and the puerpe-rium (ICD-9 Nos. 630–676). Thematernal mortality rate for 1990 was8.2 deaths per 100,000 live births com-pared with a rate of 7.9 in 1989. Thedifference in the rate between the 2years was not statistically significant.

Black women have a higher risk ofmaternal death than white women. In1990, the maternal mortality rate forblack women was 22.4, 4.1 times the

Table F. Maternal deaths and maternalmortality rates by race: United States, 1990

[Maternal deaths are those assigned to Complicationsof pregnancy, childbirth, and the puerperium, cate-gory numbers 630-676 of the Ninth Revision /ntema-tional Classification of Diseases, 1975. Rates per100,000 live births in specified group. Beginning in1989, race for live births is tabulated according to raceof mother; see Technical notes]

Race Number Rate

All races, . . . . . . . . . . . . . 343 8.2

White . . . . . . . . . . . . . . . . 177All other . . . . . . . . . . . . . . 166 1??

Black . . . . . . . . . . . . . . . 153 22.4

rate of 5.4

~11

for white women. Thechange in the tabulation by race of livebirths beginning with data for 1989affects maternal mortality rates by raceas it does infant mortality rates,because counts of live births comprisethe denominator of maternal mortalityrates (see Technical notes).

Report of autopsy

For 1990, all States requestedinformation on the death certificate asto whether autopsies were performed.They were reported as performed on239,591 deaths, or 11.2 percent of thedeaths that occurred in 1990, a reduc-tion from the 11.5 percent reported forthe previous year (table 28). This con-tinues the downward trend in the per-cent of deaths autopsied. The percentautopsied for all causes of death com-bined is heavily influenced by the lowrates for the three leading causes ofdeath –Diseases of heart (8 percent);Malignant neoplasms, including neo-plasms of Iymphatic and hematopoietictissues (4 percent); and Cerebrovas-cular diseases (4 percent). Among the15 leading causes of death, the highestpercents reported were for traumaticcauses —Homicide and legal interven-tion (97 percent), Suicide (55 percent),and Accidents and adverse effects(50 percent). For nontraumatic causes,the highest percents were for Certainconditions originating in the perinatalperiod (24 percent), Chronic liver dis-ease and cirrhosis (17 percent), andHIV infection (10 percent).

References

1.

2.

3.

4.

National Center for Health Statistics.Annual summary of births, marriages,divorces, and deaths: United States,1991. Monthly vital statistics report; vol40 no 13. Hyattsville, Maryland: PublicHealth Service. 1992.Centers for Disease Control. Morbidityand mortality weekly repor~ vol 41 noSS-3.Washington: Public Health Ser-vice. 1992.National Center for Health Statistics.Advance report of final mortality sta-tistics, 1989. Monthly vital statisticsrepor~ vol 40 no 8, suppl 2. Hyattsville,Maryland: Public Health Service. 1992.Tolson GC, Barnes JM, Gay GA,Kowaleski JL. The 1989 revision of the


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U.S. standard certificates and reports.National Center for Health Statistics.Vital Health Stat 4(28). 1991.National Center for Health Statistics.Vital statistics of the United States,1989, vol II, mortality, part A. Wash-ington: Public Health Service. 1992.World Health Organization. Manual ofthe International Statistical Classifica-tion of Diseases, Injuries, and Causesof Death, based on the recommenda-tions of the Ninth Revision Confer-ence, 1975. Geneva: World HealthOrganization. 1977.Klebba AJ, Scott JH. Estimates ofselected comparability ratios based ondual coding of 1976 death certificatesby the Eighth and Ninth Revisions ofthe International Classification of Dis-eases. Monthly vital statistics report;vol 28 no 11, suppl. Hyattsville, Mary-land: Public Health Service. 1980.IUebba AJ, Dolman AB. Compara-bility of mortality statistics for the Sev-enth and Eighth Revisions of theInternational Classification of Dis-eases, United States. National Centerfor Health Statistics. Vital Health Stat2(66). 1975.National Center for Health Statistics.Comparability of mortality statistics forthe Sixth and Seventh Revisions,United States, 1958. Vital statis-tics – special reports; vol 51 no 4.Washington: Public Health Service.1965.National Center for Health Statistics.Vital statistics, instructions for

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classifying the underlying cause ofdeath. NCHS instruction manual; part2a. Hyattsville, Maryland: PublicHealth Service. Published annually.National Center for Health Statistics.Vital statistics, instructions for classi-fying multiple causes of death. NCHSinstruction manual; part 2b. Hyatts-ville, Maryland: Public Health Service.Published annually.National Center for Health Statistics.Vital statistics, nonindexed terms, stan-dard abbreviations, and State geo-graphic codes used in mortality dataclassification. NCHS instructionmanual; part 2e. Hyattsville, Maryland:Public Health Service, Published annu-ally.National Center for Health Statistics.Vital statistics, ICD-9 ACME decisiontables for classifying underlying causesof death. NCHS instruction manual;part 2c. Hyattsville, Maryland: PublicHealth Service. Published annually.National Center for Health Statistics.Vital statistics, data entry instructionsfor the mortality medical indexing,classification, and retrieval system(MICAR). NCHS instruction manual;part 2g. Hyattsville, Maryland: PublicHealth Service. Published annually.National Center for Health Statistics.Vital statistics, dictionary of validterms for the mortality medicalindexing, classification, and retrievalsystem (MICAR). NCHS instruction

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manual; part 2h. Hyattsville, Maryland:Public Health Service. Publishedannually.National Center for Health Statistics.Advance report of final mortality sta-tistics, 1984. Monthly vital statisticsreport; vol 35 no 6, suppl 2. Hyattsville,Maryland: Public Health Service. 1986.National Center for Health Statistics.Advance report of final mortality sta-tistics, 1985. Monthly vital statisticsreport; vol 36 no 5, SUPPI.Hyattsville,Maryland: Public Health Service. 1987.National Center for Health Statistics.Advance report of final mortality sta-tistics, 1986. Monthly vital statistics ~report; VOI37 no 6, SUPPI.Hyattsville,Maryland: Public Health Service. 1988.U.S. Bureau of the Census, Unpub-lished data from the 1990 census, byage, race and sex.U.S. Bureau of the Census. Unpub-lished data from the 1990 census, byState.National Center for Health. Statistics.Vital statistics of the United States,1989, vol I, natality. Washington:Public Health Service. 1992.Sirken MG. Comparison of two

methods of constructing abridged lifetables by reference to a “standard”table. National Center for Health Sta-tistics. Vital Health Stat 2(4). 1966.U.S. Bureau of the Census. Unpub-lished data from the 1990 census forpersons of Spanish origin by State.

~ Monthly Vital Statistics Report ● Vol. 41, No. 7(S) QJanuary 7,1993 ~13

List of detailed tables

1.

2,

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

Deaths, death rates, and age-adjusted death rates, by raceand sex United States, 1940,1950, 1960, 1970, and1975-90 . . . . . . . . . . . . . . . . . .

Deaths and death rates, byage, race, and sex UnitedStates, 1990 . . . . . . . . . . . . . . .

Abridged life table for thetotal population, 1990 . . . . . .

Life expectancy at birth byrace and sex: United States,1940, 1950, 1960, and1970-90 . . . . . . . . . . . . . . . . . .

Age-specific and age-adjusted death rates for the15 leading causes in 1990 andselected components: UnitedStates, 1979, 1989, and1990 . . . . . . . . . . . . . . . . . . . . .

Deaths and death rates forthe 10 leading causes ofdeath in specified race-sexgroups: United States,1990 . . . . . . . . . . . . . . . . . . . . .

Deaths and death rates forthe 10 leading causes ofdeath in specified agegroups: United States,1990 . . . . . . . . . . . . . . . . . . . . .

Deaths from 72 selectedcauses by age: United States,1990 . . . . . . . . . . . . . . . . . . . . .

Death rates for 72 selectedcauses by age: United States,1990 . . . . . . . . . . . . . . . . . . . . .

Deaths from 72 selectedcauses by race and sex:United States, 1990, .,.....

Death rates for 72 selectedcauses by race and sex:United States, 1990 . . . . . . . .

Age-adjusted death rates for72 selected causes by raceand sex: United States,1990 . . . . . . . . . . . . . . . . . . . . .

13!

14

15 14,

16

16 15.

17 16.

20

17.

21

22

18.

24

19.26

28 20.

30

Deaths and death rates from16 selected subcategories ofMalignant neoplasms, in-cluding neoplasms of lym-phaticand hematopoietic tis-sues, byrace and sex UnitedStates, 1990 . . . . . . . . . . . . . . .

Deaths and death rates bylo-year age groups and age-adjusted death rates for Humanimmunodefieiency virus infec-tion, by race and sex UnitedStates,1989-$Xl . . . . . . . . . . . . .

Deaths and death rates formajor causes of death for theUnited States, each division,and State; and by race andsex for the United States,1990 . . . . . . . . . . . . . . . . . . . . .

Deaths by age according tospecified Hispanic origin,race fornon-Hispanic origin,and sex: Total of 45 States,New York State (excludingNew York City), and the Dis-trict of Columbia, 1990 . . . . .

Deaths for the 10 leadingcauses of death for Hispanicand white non-Hispanicorigin, for specified agegroups: Total of 45 States,New York State (excludingNew York City), and the Dis-trict of Columbia, 1990 . . . . .

Deaths and age-adjusteddeath rates for drug-inducedcauses, by race and sex:United States, 1979-90 . . . . .

Deaths and age-adjusted deathrates for alcohol-inducedcauses, by race and sex UnitedStates, 197>90 . . . . . . . . . . . . .

Deaths and percent distribu-tion of deaths for ages 15years and over, by marital

21

32

22.

33

23.

34 24.

25.

35

26.

36

38

27.

38

28.

status, race, and sex: UnitedStates, 1990 . . . . . . . . . . . . . . .

Deaths and percent distribu-tion of deaths for ages 15years and over, by educa-tional attainment, race, andsex: Total of 28 States andthe District of Columbia,1990 . . . . . . . . . . . . . . . . . . . . .

Infant, neonatal, and post-neonatal mortality rates, byrace and sex. United States,1940, 1950, 1960, 1970, and1975-90 . . . . . . . . . . . . . . . . . .

Deaths under 1 year andinfant mortality rates for 61selected causes by race:United States, 1990 . . . . . . . .

Deaths under 1 year andinfant mortali~ rates for the10 leading causes of infantdeath: United States, 1990..

Total deaths and death rates,and infant and neonataldeaths and mortality ratesfor the United States, eachdivision, and State; and byrace and sex for the UnitedStates, 1990 . . . . . . . . . . . . . . .

Infant, neonatal, and post-neonatal deaths and mor-tality rates, by specifiedHispanic origin and race fornon-Hispanic origin: Total of45 States, New York State(excluding New York City),and the District of Columbia,1990 . . . . . . . . . . . . . . . . . . . . .

Maternal deaths andmaternal mortality rates forselected causes by race:United States, 1990 . . . . . . . .

Number of autopsies andpercent of deaths for whichautopsies were reported for15 leading causes of death:United States, 1990 . . . . . . . .

39

39

40

41

42

43

44

44

45


Table 1. Deaths, death rates, and age-adjusted death rates, by race and sex: United States, 1940, 1950, 1960, 1970, and 1975-90

[Rates per 100,000 population in specified group. Rates are baaed on populations enumerated as of Aoril 1 for census years and estimated as of July 1 for all other years.Beginning 1970, excludes deaths of nonresidents of the United States]

All other

A// races White Total Black

BothYear

Bothsexes Ma/e Female

BothMale

Bothsexes Female sexes Male Fema/e sexes Male Female

1990.1989.1988.1987.1986,1985,1984,1983,1982,1981.1980.1979.1978.1977.1976,1975,1970.1960.1950.1940.

1990, ,. . . . . .Is--”BUY” .,....,

3882~872 :....,,

3882.3852.3842.3832.3822.3812,)80379. .178.377,

. . . . .

. . . . . .

. . . . .,,, . ..,, . . .. . . . . .. . . . . .

,,, . . .. . . . . .. . . . . .;:

1976. . . . . . . .1975, ,. . . . . .1970, .,.....1960. ,. ..,,.1950, . . . . . . .1940. ..,..,.

1990.1989219882198721986219852198421983219822198121980,1979.1978.1977,1976.1975,1970.1980.1950.1940.

2,148,4632,150,4662,167,9992,123,3232,105,3612,086,4402,039,3692,019,2011,974,7971,977,9811,989,8411,913,8411,927,7881,899,5971,909,4401,692,8791,921,0311,711,9821,452,4541,417,269

863.8871.3886.7876.4876.7876.9864.8863.7852.4862.0878.3852.2868.0664.4877,6678.5945.3954.7963,8

1,076.4

520.2526.0539.9539.2544,8548,9548.1552,5554.7566.6585.8577.0595.0602.1618.5630.4714.3760.9841.5

1,076.1

1,113,4171,114,1901,125,5401,107,9581,104,0051,097,7581,076,5141,071,9231,056,4401,063,7721,075,0781,044,9591,055,2901,046,2431,051,9631,050,8191,076,478

975,648827,749791,003

916.4926.3945.1939.3944,7948,6938.8943.2938.4954.0976.9957.5977,5978,9993.8

1,002.01,090.31,104.51,106.11,197.4

680.2689.3706,1706.8716,2723.0721.6729.4734.2753.8777.2768.6791.4801.3820.9837.2931.6949.3

1,001.61,213.0

1,035,0461,036,2761,042,4591,015,3651,001,356

988,682962,855947,278918,357914,209914,763668,882872,498853,354857,457842,060842,553736,334624,705626,266

812.0818.9831.2816,7812,3809.1794.7788.4771,2775,0785,3752.7764.5756.0767.6761.4807.8809.2823.5954.6

390.6397.3406,1404.6407,6410.3410,5412.5411.9420.8432.6423.1437.4441,6455.0462.5532.5590.6688.4938.9

1,853,2541,853,8411,876,9061,843,0671,831,0831,819,0541,781,8971,765,5821,729,0651,731,2331,738,6071,676,1451,689,7221,664,1001,674,9691,660,3661,682,0961,505,3351,276,0651,231,223

688.0893.2910.5900,1900.1900.4887.8685.4873.1860.4892.5865.2880,2874,6887.7886.9946.3947.8945.7

1,041.5

492.8499,6512,8513,7520,1524,9525.2529.4532.3544.8559.4551.9569.5575.7591.3602.2679.6727,0800.4

1,017.2

Number

950,812 902,442 295,209950,852 902,989 296,625965,419 911,487 291,093953,362 889,685 280,258952,554 878.529 274,278

267,368950;455934,529931,779919,239925,490933.878910;137920,123912.670918;589917,804942,437860;857731,366690,901

868;599847,368833,803809,846805,743804,729766,008769;599751,430756,400742,562739,659644,478544,719540,322

Death rate

930.9 846,9936.5 851.8957,9 865.3952.7 849.8958.6 844.3963.6 840.1954.1 824.6957.7 816.4951,8 798.2965.2 799,8983.3 806.1963.3 771,8962.7 762,7983,0 771,3997,3 763,1

1,004.1 775.11,086.7 812.61,098,5 800.91,089,5 803.31,162.2 919.4

Age

644.3652.2671.3674.2684,9693,3693,6701,6706,8724.8745.3736.4761.1770.6789.3804.3693.4917.7963.1

1,155.1

257;472253,619245,712246,748251,234237,696238,066235,497234,451232;513238,935208,647176,369186,046

737,9755.2758.6747.0747.3745.0733.2737.9730.7751.6791.7771.0790.0798.6812.1823.1938.4

1,008.51,119.41,382.8

-adjusted death rate 1

369.9 686.7376.0 703.9385.3 710.1384,8 702,7388,1 706,3391,0 709.1391,7 703,3393.3 710.8393,6 708,9401.5411.1402.5416.4419.6432.5439.0501.7555.0645.0879.0

734.0774.2757.1780.0796.7818.5840.6983.4

1,046.11,225.71,634,7

162,605163,338160,121154,576151,451147,303141,985140,144137,201138,282141,200134,822135,167133,573133,394133,015136,041114,79196,383

100,102

851.5871.5875.0864.1865.8861,7849,3856,9857.8865.7936.5920.3943.2951.7969.8987.6

1,115.91,152.01,251.11,613.7

910,2932,5938,2927.8931.6931.8921.4928.6930.7984.1

1,015.1994.8

1,021.01,036.11,063.41,090.11,231.41,211.01,358.51,764.4

132,604133,287130,972125,680122,827120,083115,487113,475108,511108,468110,034102,874102,899101,924101,05799,498

102,69491,85679,98685,944

634.2649.0652.5640.2639.3638.8627.6629.6615.4630.0660.6635.7651.0659.6668.6673.1775.3872.6993.5

1,256.2

512.5525,4532.7527.4530.7535.7533.5540.1533.8551.5582.6666.9585.8601.8618.3634.5770,8893.3

1,095.71,504.7

265,498267,642264,019254,814250,326244,207235,884233,124226,513228,560233,135220,818221,340220,076219,442217,932225,647196,010169,606178,743

871.0887.9888.3868.9864.9854.8836.1836.6623.4842.4875.4839.3855.1864.0875.0882,5999.3

1,038.6. . .-..

789.2805.9809.7796,4796.8793.8783.3787.4782.1807.0842.5812.1831.8849.3870.5890.8

1,044,01,073,3

. . .

. . .

145,359146,393144,228139,551137,214133,610129,147127,911125,610127,296130,138124,433124,663123,894123,977123,770127,540107,70192,00495,517

1,008.01,026.71,026,11,006,21,002,6

989.3968.5971.2966.2992.6

1,034.1999.6

1,016.81,026.01,041.61,055.41,186.61,181.7

-..---

1,061.31,082.81,083.01,063.61,061.91,053.41,035,91,037.51,035.41,068.81,112.81,073.31,093.91,112.11,138.31,163.01,316.61,246.1

. . .

. . .

120,139121,249119,791115,263113,112110,597108,737105,213100,903101,264102,99796,38596,67796,18295,46594,16298,10786,30977,60283,226

747,9763.2764.6745.7741.5734.2717.4715.9695.5707.7733.3695.3709.5716.0724.5726,1829.2905.0

-..-..

581.6594.3601.0592.4594.1594.8590.1595.3585.9602.7631.1605.0622,7639.6654.5670.6814.4916.9

---. . .

1For method of computation, see Technical notes.

‘Rates are revised and, therefore, may differ from those published in Advance Repo,d of Fir?tIf Mortality Statistics for 1989 and earlier years; see Technical notes,


Table 2. Deaths and death rates, by age, race, and sex United States, 1990[Rates per 100,000 population in specified group]

All other

Al races White Total Black

Both Bofh BothAge Male

Bothsexes Female sexes Male Female sexes Male Female sexes Male Female

Alleges . . . . . . . . .

Under l year . . . . . .l-4years . . . . . . . .5–9years . . . . . . . .10-14 years... .15-19 years... . .20-24 years.... . .25-29 vears. . . . . . .30-34 jears. . . . . .35-39 years. . . . . . .40-44 years. . . , . .45-49 years. . . . . . .5C-54years. . . . . , ,55-59 yeara . . . . . . .60-64 years. . . . . . .65-69 years . . . . . .70-74 years . . . . . . .75-79 vears. . .80-84 jears. ..,...85 years and over . . .Notstated . . . . . . . .

Allagesl . . . . . . . . .

Under 1 yearz . . . . .l-4years . . . . . . . .5-9yeara . . . . . . . .10-14 years . . . . . . .15-19 years. . . . . . .20-24 years . . . . . . .25-29 years. . . . . . .30-34 years. . . . . . .35-39 years . . . . . , .40-44 years.... , . .45-49 years . . . . . . .50-54 years . . . . . . .55-59 years. . . . . . .60-84 years. . . . . . .65-69 years . . . . . .70-74 years... . .75-79 years . . . . . . .80-84 years . . . . . . .65 years and over . . .

2,148,483

38,3516,9313,9954,441

15,71121,02226,57933,51239,09344,46951,85666,75297,865

154,831217,333260,616301,114300,325463,105

562

863.8

971.946.822.226.087.9

109.9124.6153.5197.0252.8377.3590,0933.2

1,457.22,159.13,268.04,933.97,682.8

15,327.4

1,113,417

21,8583,9692,3632,764

11,67116,20219,79424,26327,80129,86133,09741,55760,52794,119

126,356147,711157,873137,533151,697

403

918.4

1,082.6;2.;

31.6127.2166.3184.9223.4280.7344.2491.1756.5

1,208.51,902.72,647.64,345.46,608.6

10,143.618,056.6

1,035,046

16,4952,9621,6321,6774,0404,8206,7859,249

11,49214,60818,75925,19537,33660,71286,977

112,905143,241162,792311,208

159

812.0

855.741.018.520.246.451.363.984.3

114.8163.9287.8432.9681.5

1,069.11,600.62,465.03,856.76,376.0

14,274.3

1,653,254

24,6634,6662,9493,323

11,67815,23019,01823,73727,94933,07439,76852,36479,196

129,901186,667229,536269,065272,644426,982

384

888.0

795.741.120.324.381.497.4

107.6130.5167.8220.5336.4537.4867.3

1,364.62,077.83,192.04,676.27,645.1

15,465.0

950,612

14,3712,7841,7502,0706,515

11,69314,30917,52220,05422,38025,48532,60549,45679,857

111,237130,930141,699124,811138,607

277

930.9

896.145.923.529.5

115.4146.0160.3191.6240.4299.3435.6687.3

1,122.91,811.22,746.34,251.26,544.8

10,129.318,266,3

Number

902,442

10,5122,0621,1991,2533,163385374,7096,2157,895

10,69414,30319,55929,74050,04475,43098,606

127,386147,633288,175

107

295,209

13,4682,0651,0461,1184,0335,7927,5619,775

11,14411,39512,06814,38816,66924,93030,66631,06032,02927,68136,123

178

Rate

846.9 737.9

890.0 1,645.036.1 69.317.018.845.446.454.168.795.0

142.1239.4393.4629.2

1,006.61,528.02.398.5

29.633.0

114.2165.8204.9268.3348.9440.3629.3917.2

1,376.22,003.02,834.63.940.9

3;798.8 5;478.96,333.7 8,075.5

14,400.6 13,868.8

162,605

7,4851,185

613694

3,1564,5095,4856,7417,5477,4617,6128,752

11,07114,26217,11916,78116,17412,72213,090

126

851.5

1,805.178.534.340.4

176.0260.2308.9392.5506.3623.4857.1

1,215.61,632.62,652.63,721.55,252.77,225.9

10,289.116,080.9

132,604

5,963880433424677

1,2632,0763,0343,5973,9144,4565,6367,598

10,66813,54714,29915,65514,95923,033

52

634.2

1,480.759.924.825.350.572.8

108.5157.6211.2262.0432.9664.1

1,009.61,509.02,176.53,047.74,395.06,826.5

12,663.1

265,498

12,2901,766

676

3,::5,1196,8388,965

10,17510,35610,92012,95116,85222,62127,66528,02226,66124,75632,047

166

871.0

1,925.976.832.338.8

127.7192.6246.0329.9431.3550.4772.7

1,099.91,619.02,327.63,216.04,391.65,931.58,587.4

14,394.6

145,359

6,811999512601

2,7373,9944,9496,2206,9106,8176,9317,688

10,05512,93615,35015,00014,23511,05611,236

118

1,008.0

2,112.485.637.345.2

199.7307.4374.2469.6631.5785.5

1,074.81,487.52,165.93,094.14,256.25,929.67,966.1

11,243.416,954.9

120,139

5,479769364362730

1,1251,8892,7453,2653,5393,9895,0636,7979,663

12,31513,02214,44613,69820,811

48

747.9

1,735.567.627.227.854.383.0

129.7189.6258.1349.1519.1782.3

1,170.11,749.12,467.73,381.44,738.97,212.1

13,309.5

1figura~ for agenotstated are includedin All ages but not distributed amon9 a9e 9rOUPa.

2Death rates under 1 year (based on population estimatas) differ from infant mortality rates (baaed on five bfrlhs); see tables E and 22-26 for infant mortality ratea and Technical notes for further

diacusaion of the difference.

16~ Monthly Vital Statistics Report. Vol. 41, No. 7(S) ● January 7, 1993 ~

Table 3. Abridged life table for the total population, 199o

[For explanation of the columns of the life tables, see section 6 of Vita/ Statistics of the United State:, 1988, Volume 11]

AverageProportion

Age interva/ dyingremaining

Of 100,000 born alive StationaW population lifetime

Propoflion ofpersons a/ive

at beginning ofAverage number

age inferva/ Number /iving Number dyingof years of }ife

/n this and allPeriod of /ife between two dyin~edu:ng at beginning of d::egw:~ /:;::mE’~

remaining at

exacf ages sfated in yearssubsequent age

age in/erva/begifmini~:f age

(f)infervak

(2) (3) (4) (5) (6) (7)

xfox+n q.X

0.00930.00160.00110.00130.00440.00550.00620.00770.00990.01260.01670.02900.04570.07060.10290.15190.22110.32391.0000

1. .d. .1-,! . ,4 .

TX %

98,[98,i

927183110127430539607743952

1,2031,7592,6854,1016,0448,186

10,84713,38915,27631,892

7,535,2197,436,0097,040,1466.545.9966;052;3425,560,0525.070.258

“992; 355661,509391,380193,523

13.910.98.36.1

Table 4. Life expectancy at birth by race and sex: United States, 1940, 1950, 1960, and 1970-90

Year

A// other

All races White Total Black

Bofh Both BothMale

Bothsexes Female sexes Male Female sexes Male Famale sexes Male Female

75.475.174.974,974.774.774.774.674.574.173.773.973.573.372.972.672.071.471.271.170,869.768.262.9

71.871.771.471.471.271.171.171.070.870,470.070.069.669.569.168.866.267.667.467.467.166.665.660.8

78.878.578.378.378.278.276.278.176.177.877.477.877.377.276.676.675.975.375.175.074.773,171.165.2

76.175.975.675.675,475.375.375.275.174.874.474.674.174.073.673.472,872.272.072.071,770.669.164.2

72.772.572.272.171.971.871.871.671.571.170.770.870.470.269.969.569.068.568.368.368.067.466.562.1

78.478.178.478.077.977.577.376.776.175.975.875.674.172.266.6

68.067.166,1

64.584.364.464.764.865.065.365.265.164.563.864.083.763.462.962,461.760.960.460.560.0. . .-... . .

73.673.373.273.473.473.473.673.573.673.272.572.972.472.071.671.370.389.369.168.968.3. . .. . .. . .

1l-lie table values are ravised and, therefore, may differ from those published in Advance Report of Final Mortality Statistics for 1989 and earllar yaarq aea Tachnbal notes.2Deaths basad on a 5C-parcent sample.

[Rates per 100,000 populatim in specified group. I% explanation of asterisk Precedin9 cause-of-death codes, see Technical notes]

Age

Cause of death (Ninth Revision International All Under l-t 5-14 15-24Age-

25-34 35-44 45-54 55-64Classification of Oiseases, 1975)

65–74 75-84 85 years adjustedYear ages i 1 yearz years yaars years years yaars years years years years and ovar rate3

Table 5. Age-wecific and age-adjusted death rates for’ the 15 leading causes in 1990 and selected components: United States, 1979, 1989, and 1990

All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diseases of haart. . . . . . . . . .390-398,402,404-$29

Rheumatic fever and rheumatic heari disease . .390-398

Hypertensive heart disease. . . . . . . . ., . .402

Hypertensive heart and renal disaase . . .4o4

Ischemic heart disease . . . . . . . ,410-414

Acute myocardial infarction . . ., . . .410

Other acute and subacute forms ofischemic heart disease . . . . . . . . . . . . . . . ...411

Angina pectoris . . . . . . . . . . . . . . . . . . . . . . ..4I3

Old myocardial infarction and other forms ofchronic ischemic haart disease . . , . .412,414

Other diseases of endocardium. . . . . . . . . . . . . .424

All other forms of haart disease . . . . .415+23,425-429

Malignant neoplasms, including neoplasms of lymphatic andhematopoietic tissues. . . . , . . . . . . . . . . . ,140-208

Malignant neoplasms of lip, oral cavity, andpharynx . . . . . . . . . . . . . . . . . . . . . . . . ..l4o-l4g

Malignant neoplasma of digestive organsand peritoneum . . . . . . . . . . . . . . . . . . ...150-159

Malignant neoplasms of respiratory andintrathoracic organs . . . . . . . . . . . . . . . . . .16c-165

19901989i 979199019891979199019891979199019891979199019891978199019891979199019891979

199019891979199019891979

199018891978199019891979199019891979

199019891979

199019891979

199019891979

199019891979

883.8871.3852.2289.5297.3326.5

2.42.53.58.58.59.31.01.01.6

198.7201.8245.5

96.1100.1133.8

1.31.42.10.40.40.2

88.899.9

109.45.24.92.9

75.878.763.7

203.2201.0179.6

3.43.33.8

48.648.548.6

56.957.645.9

971.91,027.91,332.9

20.120.120.2

●

***●

●

*●

*

::0.7

●

**

*●

●

**●

●

●

●

**

16.;18.619.0

2.32.83.4

***

●

**

**●

46.849.864.2

1.91.92.1

**●

*●

*●

**●

*●

*●

*

****●

*

*●

****

1.8

ro

3.53.54.6

***

0.2**

***

24.025.731.5

0.90.80.8

●

*●

●

*●

****●

*●

**

●

*●

●

●

●

*●

●

*●

*

0.80.70.7

U4.4

***

0,;0.1

***

99.297.6

114.82.52.52.60.10.10.2

***●

**

0.30.30.30.20.20.2

●

●

●

*●

*

0.10.10.10.10.10.1

$::1.9

4.95.06.1

0.10.10.1

0.30.30.3

0.10.10.1

139.2140.0133.0

7.68.08.40.20.20.40.30.30.40.0

*●

2.52.63.61.41.52.4

0.10.10.1

●

●

*

1.01.11.00.30.40.24.34.43.7

12.612.313.3

0.20.10.2

1.51.51.8

0.60.70.8

223.2222.2229.6

31.432.445.3

0.70.71.41.61.61.90.10.10.2

17.318.030.110.010.521.1

0.30.30.5

***

7.07.26.40.60.7

1::11.311.0

43.343.248.3

0.80.81.1

7.26.98.2

7.27.39.8

473.4480.1589.7120.5125.5184.6

1.5

U5.65.87.00.30.30.4

77.781.2

136.146.548.994.6

1.31.02.00.10.20.1

29.731.139.3

1.61.31.5

33.935.335.7

158,9158.9181.4

3.73.85.6

31.630.536.3

48.849.356.0

1,196.91,224.31,338.0

367.3383.0499.0

4.14.08.0

13.313.916.2

1.00.91.4

248.6259.5381.0144.3152.5258.9

2.72.74.80.30.40.3

101.3103.9117.0

4.54.34.3

95.8100.3

88.1

449.6452.5429.4

10.110.411.8

95.196.4

103.9

166.5165.0140.9

2,648.62,693.82,929.0

894.3928.1

1,199.89.09.3

16.026.326.335.7

2.62.7

62;:~650.0926.6342.1362.1577.2

4.54.68.21.31.30.9

279.0282.0340.3

13.313.011.6

215.9226.8204.8

872.3867.8800.0

14.113.616.3

203.1205.9221.9

298.1292.1231.0

6,007.26,083.36,496.62,295.72,378.92,925.2

18.719.520.660.962.778.6

8.18.7

16.61,602.51,655.22,224.6

793.6829.3

1,135,2

8.68.9

15.33.63.72.1

796.7813.2

1,072.246.043.927.5

559.5588.9555.9

1,348.51,326.01,207.6

17.015.518.1

358.6357.6388.7

344.1333.5238.1

15,327.415,409.814,962.46,739.96,868.77,310.9

29.327.925.2

173.4167.6170.322.624.650.9

4,498.14,577.25,376.11,695.51,737.81,916.3

21.224.230.211.911.0

4.6

2,769.42,804.23,424.9

140.2128.447.1

1,876.41,942.91,641.4

1,752.91,703.71,522.9

23.120.123.7

553.6550.4547.8

252.9238.0170.3

520.2528.0577.0152.0157.5199.5

1.51.52.64.84.96.00.50.50.9

102.6106.2149.7

53.756.588.2

0.90.81.50.20.20.1

47.848.759.9

2.52.41,8

40.141.938.4

135.0134.5130.8

2.42.43.0

30.230.333.1

41.440.835.2

Sea footnotesat end of Ieble.

.. . . . .. . . .. . . . .. .---., ––.––.–,–– . . ...- . .. -—- ----- .-_--Table 5. Age-specific and age-actjustedrieatrtrates lor me 15 Ieaalng causes In 1YYU ana seiecIea components: Urmea states, 1979, 1YtrY, ana 1YYU– Len.

[Rates per 100,000 population in specified group. For explanation of asterisk preceding cause-of-death codes, see Technical notes]

Age

Cause of death (Ninth Revision International All Under 1+ 5–14 15-24 25-34 3544 45-54 55-64 65-74 7s4Classification of Oiseases, 1975) Year ages 1 1 yearz years years years years years years years years years

Malignant neoplasm of breast. . . . . ..174-175

Malignant neoplasms of genital organs . ..179-187

Malignant neoplasms of urinary organs ..1 88–189

Malignant neoplasms of all other andunspecified sites .170–173,190–t99

Leukemia . . . . . . . . . . . . . . . . . . . . . . . ...204-208

Other malignant neoplasms of lymphaticand hematopoietic tissues . .200–203

Cerebrovascular diseases. . . ..430-438

Accidents and adverse effects . . . . .E800–E949

Motor vehicle accidents . . . . . . . . . . . . .E81 O-E825

All other accidents andadverse effects. . . . .E80&E807,E82&E949

Chronic obstructive pulmonary diseases and alliedconditions . . . . . . . . . . . . . . . . . . . . . . . . ..49W96

Pneumonia and influenza . . . . . . ..480-487

Oiabetes melliius . . . . . . . . . . . . . . . . . . . . . . ...250

Suicide . . . . . . . . . . . . . . . . . . . . . . . . . .. E950-E959

Chronic liver disease and cirrhosis . . . . . . . . . . . ...571

Human immunodeficiency virus infection . . . . .*042-*044

199019891979199019891979199019891979

1990t 9891979199019891979

199019891979199019891979199019891979199019891979

199019891979

199019891979199019891979199019891979199019891979199019891979199019891979

17.617.515.423.122.320.2

8.38.27.8

24.224.721.6

7.57.47.3

11.711.5

9.157.959.075.537.038.546.918.819.323.8

18.219.223.1

34.934.222.232.031.020.119.219.014.812.412.212.110.410.813.210.18.9---

●

☛

☛

●

☛

●

☛

●

☛

1.31.31.70.60.80.8

*●

●

3.83.34.6

23.625.831.5

4.95.86.5

18.620.225.0

1.41.21.9

16.116.533.0

**●

. . .

. . .

.**

1.02.73.1---

●

☛

●

☛

☛

●

0.10.20.2

1.91.82.21.11.11.3

●

0.20.30.30.30.3

17.318.926.5

6.36.99.8

11.112.116.7

0.40.40.51.21.62.0

*

0.;. . .. . .. . .

*●

●

0.80.8---

+●

●

●

●

●

0.10.10,2

1.61.61.71.11.21.5

0.20.30.40.20.20.3

10.411.816.15.96.58.3

4.55.37.7

0.30.30.20.40.40.60.10.10.10.80.70.4

●

*●

0.20.2---

●

●

☛

0.30.30.50.10.10.1

1,81.92.31.41.41.3

0.80.80.90.60.60.9

43.944.862.634.134.645.6

9.810.217.0

0.50.50.30.60.70.80.30.40.4

13.213.012.40.10.20.21.51.6---

1.51.51.61.41.41.60.30.20.2

3.63.53.71.51.61.5

2.01.81.82.22.12.6

37.038.345.723.623.828.8

13.414.616.9

0.70.70.51.82.01.51.61.61.4

15.215.216.3

2.12.33.4

19.717.9---

9.09.09.14.03.84.71.01.01.1

8.48.58.62.32.42.5

3.33.53.06.56.59.1

31.332.638.416.917.321.0

14.415.217.4

1.61.71.73.83.93.24.03.93.6

15.314.615.4

9.79.9

13.927.423.5---

23.423.325.311.311.014.55.05.05.7

21.823,124.0

4.84.65.0

8.48.38.6

18.718.626.429.430.439.415.615.718.6

13.8i 4.720.8

9.19.39.37.06.97.1

11.311.3

9.014.814.816.518.019.231.015.213.3---

41.842.541.334.334.235.615.715.715.1

52.754.649.811.611.911.7

21.72t.919.548.049.668.134.335.643.515.916.018.2

18.319.525.2

48.950.640.218.618.316.433.032.725.816.015.716.629.931.840.9

6.25.4..-

63.263.256.694.091.188.333.333.634.6

93.195.286.426.326.725.7

47.146.339.5

144.4147.3226.9

46.649.358.818.619.420.7

28.029.938.1

152.5151.5117.059.158.347.873.673.761.317.918.317.834.936.341,8

2.01.8---

92.291.777.4

193.8185.3176.0

64.363.465.6

143.7146.6130.2

51.249.950.2

83.782.663.1

499.3515.1793.8100.3104.1117.829.129.528.7

71.274.689.2

321.1310.9200.6253.5243.9184.2145.2143.8130.3

24.922.920.834.133.928.3

0.70.7---

85 yearsand over

142.6138.4114.2292.2280.9252.0101.396.697.0

203.7205.6175.8

79.275.577.3

104.198.066.0

1,633.91,671.62,264.9

257.1261.6276.0

31.229.524.4

225.9232.0251.6

433.3413.5230.2

1,140.01,110.3

694.9255.0251.7211.6

22.223.417.923.423.718.1

*●

---

Age-

adjustedrate 3

12,712,712.213.613.213.65.15.15.2

16.917.316.4

5.05.05.3

7.77.76.7

27.728.341.632.533.942.918.518.923.2

14.015.019.6

19.719.614.614.013.811.211.711.6

9.811.511.311.7

8.69.0

12.09.88.7..-

Homicide and Iegal intervention . . . . . , . . . . .E960-E978 199019891979

Nephritis, nephritic syndrome, andnephrosis. . . .580-589 199019891979

Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . ...038 199019891979

Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . ...440 199019891979

Certain conditions originating in the perinatalperiod . . . . . . . . . . . . . . . . . . . . . . . . . ...760-779 1990

19891979

10.09.3

10.08.38.67.07.77.83.67.37.8

12.8

8.4 2.6 1.5 19.9 17.7 11.8 7.8 5.0 3.88.7 2.7 1.5 16.5

4.316.5 11.0 7.7 5.1 4.1

5.0 2.5 1.1 14.54.2

18.2 14.3 10.8 7.0 5.43.8 0.2 0.1 0.2

4.80.5 1.4 2.9 8.2 23.9

5.1 “ 0.1 0.269.7

0.6 1.3 2.9 8.8 24.76.4 0.2 0.2

72.40.3 0.7 1.5 3.7 8.5 23.7 64.7

6.8 0.7 0.1 0.2 0.7 1.5 3.1 8.0 20.9 60.27.5 0.6 0.1 0.2 0.7 3.2 6.0 20.5 62.17.6 0.5 0.1 0.2 0.4 ::: 2.2 4.9

* *12.4 29.7

● * * 0.1* *

0.6 3.2 12.3 53.2● * ● 0.1 0.7

* *3.4 13.1 58.5

* * ● 0.1 0.9 4.8 24.4 125.3

7.1 443.0 0.9 0.1 * * ● ● * * *

7.6 481.2 0.9 0.1 * * ● * * ● ●

10.4 680.7 0.6 * * * * ● * * ●

4.64.45.0

199.1200.8155.2183.7190.470.3

318.0347.2649.1

***

1Ffgures for age not statedare includedin Afl ages but not distributed among age groups.2Dealhretesunderl year (based onpopulation estimates) dtierkm infant monal~rates (based ontive Mtihs): see bbles Eand22-26f0r infant mofialfiY rates and Technical notes fordiscussbn of the fiKerence.3F0r method of computation, see Technicaf notes.4f3ecause deaths from this cause occur primarity among infants, age-adjusted ratea are not shovm.

10.29.4

10.24.34.54.34.14.22.32.73.05.7

(?(’)(’)

NOTE: Rates for 1989 have been revieed; see Technical notes.

20 ~ Monthly Vital Statistics Report ● Vol. 41, No. 7(S) ● January 7, 1993 ~

Table 6. Deaths and death rates for the 10 leading causes of death in specified race-sex groups: United States, 1990

[Rates per 100,000 population in specified group, For explanation of asterisk preceding cause-of-death codes, see Technical notes]

Rank Cause of death, race, and sex (Ninth Revisionorderl International Classification of Diseases, 1975) Number Rate

Rank Cause of death, race, and sex (Ninth Revisionorderi International Classification of Diseases. 1975) Number Rate

All other, male – Con,

Human immunodeficiency virusiIIfeCtiOfl . . . . . . . . . . . . . . ... ,*042-*044

Pneumonia and influenza. . . , . .480487Chronic obstructive pulmonary diseases and

allied conditions . . . . , . . , . .490-496Certain conditions originating in the perinatal

period . . . . . . . ..760 . . . . . . . ..76O-779Diabetes mellitus . . . . . . . . . . . . . . . ...250All other causes. . . .Residual

All other, female

All causes . . . . . . . . . . . . . . . . . . . . . . . . .

Diseases of heart . . . . . .390-398,402,404-429Malignant neoplasms, including neoplasms of

Lymphatic andhematopoietic tissues . .140–208Cerabrovaacular diseases. . . . . . ,430438Diabetes mellitus . . . . . . . . . . . , . . . ...250Accidents and adverse effects . . . . .E800–E949

Motor vehicle accidents, . . . . . . .E81O-E825All other accidents and adverse

effects ..,,,.... .E800-E807,E826-E949Pneumonia and influenza. . . . , . . .480-487Certain conditions originating in the perinatal

period . . . . . . . . . . . . . . . . . . . ..76O–779Homicide and legal intervention . . . .E960-E978Chronic obstructive pulmonary diseases and

allied conditions. . . . . . . . . .490-496Nephritis, nephrotic syndrome, and

nephrosis, . . . . . . . . . . . . . . . . ..580-589All other causes, . . . . .Residual

Black, malez

All causes, . . . . . . . . . . . . . . . . .

Diseases of heart . . . . .390-398,402,404-429Malignant neoplasms, including neoplasms of

Lymphatic andhematopoietic tissues ,140–208Homicide and legal intervention . .E960–E978Accidents and adverse effects . . .E800-E949

Motor vehicle accidents. . .E81O–E825Another accidents and adverse

effects .E600-E607,E826-E949Cerebrovascular diseases. .430-438Human immunodeficiency virus

infection . . . . . . . . . . . . . . . . . .*042-*044Pneumonia and influenza. . . . . . ..480-487Certain conditions originating in the perinatal

period . . . . . . . . . . . . . . . . . . . ..76O-779Chronic obstructive pulmona~ diseases

and allied conditions . . . . . . . . . .490496Diabetes mellitus . . . . . . . . . . . . . . . ...250All other causes. . . . . . . . . . . . .Residual

Black, female2

All causes . . . . . . . . . . . . . . . . . . . . . . . . .

Diseaaes of heart . . . . .390-398,402,404429Malignant neoplasms, including neoplasmsof

Lymphatic andhematopoietic tissues. .140-208Cerebrovsacular diseases. . . . . . ...430-438Diabetes mellitus . . . . . .. . . . . . . . . ...250Accidents and adverse effects. . . . .E800–E949

Motor vehicle accidents. . . . . . . .E810-E825All other accldenta and adverse

effaces . . . . . . . . .E800-E807,E626-E949Pneumonia and influenza. . . . . . . . . .480-487Certain conditions originating in the perinatal

period . . . . . . . . . . . . . . . . . . . ..76O-779Homicide andlegal intervention . . . .E960-E97aNephritie, nephrotic syndrome, and

nephrosis . . . . . . . . . . . . . . . . ...580-589Chronic obstructive pulmonary diseases

and allied conditions . . . . . . . . . . .490-498All other causes. . . . . . . . . . . . . . . .Residual

All races, both sexes

All causes ., .,, ,,, . . . . . . . . . . . .

Dlseasesofhearf .390-398,402,404-429Malignant neoplasms, including neoplasms of

Lymphatic andhematopoietic tissues ..140-208Cerebrovascular diseases. . ,430-438Accidents and adverse effects .E800–E949

Motor vehicle accidents. . . .E81O–E825All other accidents and adverse

effects . .EaOC-E607, E826-E949Chronic obstructive pulmonary diseases

and allied conditions . . .490-496Pneumonia and influenza. .480+87Diabetes mellitus . . . . . . . . . . . . . ,, ..,250Suicide ... . . . . . . . . . . . . . . .. E95o-E95gChronic liver disease and cirrhosis ..571Human immunodeflciency virus

fflfeCtiOn . . . . . . . . . . . . . . . . . .*042–*044All other causes. . ,Residual

White, male

All causes . . . . . . . . . . . . . . . . . . . . . . .

Diseases of heart .390-398,402,404-429Malignant neoplasms, including neoplasms of

Lymphatic andhematopoietic tissues .140-208Accidenta and adverse effects .E800-E949

Motor vehicle accidents. .E81O-E825All other accidents and adverse

effects ...,,.... .E80C-E807,E826-E949Cerebrovascular diseases. . ,43&438Chronic obstructive pulmonary diseases and

allied conditions, ,490496Pneumonia and influenza. ,480-4S7Suicide, , . . . .. E950 . . . . . . .. E95O-E959Diabetes meliitus . . . . . . . . . . . . ,, . ...250Human immunodeficiency virus

infection ..,.,.,..,,,., ,,, ,’042-’044Chronic liver disease and cirrhosis ,571All other causes. .Residual

White, female

All causes..,,.....,.,.,,,, ,,, ,,, ,.

Diseases of heart . . .390-398,402,404-429Malignant neoplasms, including neoplasms of

Lymphatic andhematopoiefic tissues .140–206Cerebrovascular diseases. .430-438Pneumonia and influenza. . .480-487Chronic obstructive pulmonary diseases

and allied conditions . . .490-496Accidents and adverse effects. .E800-E949

Motor vehicle accidents. . . . .E61O–E625All other accidents and adverse

effects . . . . . . . . . .E800-E807,E828-E949Diabetes mellitus, . . . . . . . . . . .,, ..,,250Atherosclerosis . . . . . . . . . . . . . ,.. ..,44oSepticemia . . . . . . . . . . . . . . . . . . . ...038Nephritis, nephrotic syndrome,

andnephrosis . . . . . . . . .580–589All other causes. .Residual

All other, male

All causes . . . . . . . . . . . . . . . . . . . . . . .

Diseases of heart . . . .390-398,402,404-429Malignant neoplasms, including neoplasms of

Lymphatic andhematopoietlc tissues .140-208Accidents end adverse effects . .E80D-E949

Motor vehicle accidents. . . .E81O–E825All other accidents and adverse

effects . .E800--E8O7,E826-E949Homicide andlegal intervention . . .E960-E978Cerebrovascular diseases. . . .430-438

2,148,463 863.8

289.5

6

78

9

10.

. .

12

345.

67

89

10

,..

,,.

12

34

.,.

.,.

56

78

9

10. .

. .

12

345

. .

. .

67

89

10

.

12

34.

.

5

6789

10

. .

.

12

3,..

.

45

6789

10

6,2804,797

32.925.1

21.9

21.018.1

173.2

834.2

197.4

134.252.126.421.3

9.8

11.518.7

15.111.1

11.1

10.6136.2

1,006.0

256.8

221.969.260.728.1

32.753.1

42.328.9

26.1

25.221.1

202.8

747.9

237.0

156.160.731.522.8

9.4

13.421.2

16.6i 3.5

12.8

12.6161.1

720,056

505,322144,08891,98346,814

203.257.9 4,182

37.018.8 4,00’1

3,44933,07545,189 16.2

86,67979,51347,66430,90625,615

34.932.019.212.410.4

132,604

41,266

28,06210,6895,5194,4592,045

25,188391,247

10.1157.3

950,812 930.9

312.7

2,4143,910

319,362

3,1672,322

232,60851,34827,288

227.750.326.7

2,318

24,06048,024

23.647.0

2,20926,481

45,23432,10122,44816,817

44.331.422.016.5

145,359

37,038

16,10613,889

152,875

15.613.6

149.7

31,9959,9818,7564,046

902,442 84&9

296.4

4,7107,653

318,00212

345

6

6,0974,161

208,97776,50238,705

196.171.836.3

3,762

34,94525,58612,363

32.824.011.6

3,6283,049

29)239,..

769

10

13,22321,87910,315

8,670

12.420.5

9,78.1

120,139

38,073

6,550150,311

8,0141.1

25,0829,7545,0653,6631,514162,605 851.5

216,9

.12

3. . .. . .

45

41,426 2,1493,402

35,67510,5905,116

166.655.526,8

2,9622,163

5,47210,457

6,673

28.754.845.4

2,049

2,02725,879

lRsmk based on number of deaths; see Technical notes‘Slack included in Another.


Table 7. Deaths and death rates for the 10 leading causes of death in specified age group= United States, 1990

[Rates ❑er 100.000 nooulafion in sDecified wow. For explanation of asterisk preceding cause-of-death codes, see Technical notes]..––,. –

Rank Cause ofdedr and age (Ninth Revisionorderl International Classification of Diseases, 1975) Number Rate

Rank Cause of death and age (Ninth Revisionorder 1 International Classification of Diseases, 1975) Number Rate

1-4yearsAll causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Accidents and adverse effects. . . . . . . . . .E800-E949Motor vehicie accidente . . . . . . . . .E81 C-E825All other accidents and adverse

effects. . . . . . . . . . . . .E800-E807,E826-E949Congenital anomalies . . . . . . . . . . . . . ...740-759Malignant neoplasms, including neoplasms of lymphaticand hematopoietic tissues . . . . . . .140-208

Homicide and legal intervention. . . . . . .E960-E978Diseases of heart . . . . . . . . . . .390-398,402,404429Pneumonia and influenza. . . . . . . . . . . ..480-487Certain conditions originating in the perinatal

period . . . . . . . . . . . . . . . . . . . . . . . ...760-779Human immunodeficiency virus infection . . .“042-’044Septicemia . . . . . . . . . . . . . . . . . . . . . . . . ...038Meningitis, . . . . . . . . . . . . . . . . . . . . ...320-322Another ceuses . . . . . . . . . . . . . . . . . . . .. Residual

25-44 years

All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Accidents and adverse effects. . . . . . . . . .E800-E949Motor vahicle accidents . . . . . . . . . .E81C-E825All other accidents and adverse

effects. . . . . . . . . . . . . . .E800-E807,E826-E949Malignant neoplasms, including neoplasms of lymphatic

and hematopoietic tissues . . . . . . . . . . . . .140-208Human immunodeficiency virus

infection . . . . . . . . . . . . . . . . . . . . . ..*042–*044Diseases of heart . . . . . . . . . . .390-398,402,404-429Suicide . . . . . . . . . . . . . . . . . . . . . . .. E950-E959Homicide and legal intervention. . . . . . . . .E960-E978Chronic liver disease and cirrhosis. . . . . . . . . ...571Cerebrovascular diseases . . . . . . . . . . . ...430-438Diabates mellitus . . . . . . . . . . . . . . . . . . . . ...250Pneumonia and influenza. . . . . . . . . . . . ...480-487All other causes . . . . . . . . . . . . . . . . . . . .. Residual

6,931 46.8. . .1......

23

4567

:10.,.

. . .

1. . .. . .

2

345676

9

10

. . .

. . .

1.,.. . .

234

56

789

10

. . .

143,653 178.2

34.320,6

13.9

26.9

23.318.715.215,0

5.64.22.72.7

29.8

804.2

291.8233.4

32.131.615.8

15.9

27.323.421.215.412.3

11.1104.6

. . .1......

2

3

456789

10.

. . .

1

234

. . .

. . .

5

6789

10

. . .

. . .

12

34

567

. . .

. . .

8

910. . .

2,566928

17.36.3

27,66316,488

1,638896

11,16.0

11,175

21,650513378282171

3.52.61.91.2

18,74815,04512,26712,060

4,5053,3522,1642,176

24,001

13412310081

1.687

0.90.60.70.5

11.4

5-14 years

Ali causes.,.............,.. . . . . . . . . . . . .

Accidents and adverse effects. . . . . . . . .E800-E949Motor vehicle accidents . . . . . . . . . . .E81O-E825All other accidents and adverse

dfeCtS. . . . . . . . . . , . . , ,E800-E807,E626-E949Malignant neoplasms, including neoplasms of lymphaticandhematopoietic tissues . . . . . . . . . . . . .140-206

Homicide andlegal intewenfion. . . . . . . . .E960-E978Congenital anomalies. . . . . . . . . . . . . . . . .740-759Diseasas of heart r . . . . . . . . . .390-398,402,404-429Suicide . . . . . . . . . . . . . . . . . . . . . . .. E950-E959Pneumonia and influenza. . , . . . . . . . .480-467Chronic obstructive pulmonary diseases and alliedconditions . . . . . . . . . . . . . . . . .,.....490-496

Benign neoplasms, carcinoma in situ, and neoplasmsof uncertain behavior and of unspecifiednature . . . . . . . . . . . . . . . . . . . . . . . ...210-239

Human immunodeficiency virusinfection . . . . . . . . . . . . . . . . . . . . . . .*042-*044

All other causes. . . . . . . . . . . . . . . . . . . .. Residual

45-64 yearsAll causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Malignant neoplasms, including neoplasms of lymphaticand hematopoietic tissues . . . . . . . . . . . . .14C-208

Diseases ofhearl . . . . . . . . . . .390-398,402,404-429Cerebrovascular diseases . . . . . . . . . . . ...430-438Accidents andadverse effecta. . . . . . . . . .E600-E949

Motor vehicle accidents . . . . . . . . . . . .E610-E825All other accidents and adverse

effects . . . . . . . . . . . . . . .E800-E807,E828-E949Chronic obstructive pulmonary diseases

and allied conditions. . . . . . . . . . . . . . . .490-496Chronic liver disease and cirrhosis. . . . . . . . . ...571Diabetes mellitus . . . . . . . . . . . . . . . . . . . . ...250Suicide . . . . . . . . . . . . . . . . . . . . . . .. E950-E959Pneumonia and influenza. . . . . . . . . . ...480-487Human immunodeficiency virus

Infection . . . . . . . . . . . . . . . . . . . . . ..*042–*044All other causes . . . . . . . . . . . . . . . . . . . .. Residual

8,436 24.0 371,304

3,6502,059

10.45.9 134,742

107,75014,81414,6077,262

1,591 4.5

1,094512466308264134

3.11.51.30.90.80.4

7,325

12,60510,6069,6037,1015,673

115 0.3

100 0.3 5,12648,277

84 0.21,707 4.9 65 years and over

A[l causes . . . . . . . . . . . . . . . . . . . . . . . . . . . ...1.542.4934.963.2

Diseases of heart . . . . . . . . . . .390–398,402,404429 594,6561,914.0Malignant neoplasms, including neoplasms of lymphaticandhematopoietic tissues . . . . . . . . . . . . .140-208 345,387 1,111.3

Cerebrovascular diseeses . . . . . . . . . . . ...430-438 125,409 403.5Chronic obstructive pulmonary diseases

and allied conditions. . . . . . . . . . . . . . . . .490+96 72,755 234.1Pneumonia and influenza. . . . . . . . . . . . ...480-467 70,465 226.8Diabetes mellitus . . . . . . . . . . . . . . . . . . . . ...250 35,523 114.3Accidents and adverse effects. . . . . . . . . .E600-E949 26,213 64.3

Motor vehicle accidents . . . . . . . . . . . .E81O-E825 7,210 23.2All other accidents and adverse

effects. . . . . . . . . . . . . . .E800-E807,E826-E949 19,003 61.1Nephritis, nephrotic syndrome, and

nephrosis . . . . . . . . . . . . . . . . . . . . . ...580-569 17,306 55.7Atherosclerosis . . . . . . . . . . . . . . . . . . . . . ...440 17,158Septicemia . . . . . . . . . . . . . . . . . . . . . . . . ...036

55.215,351 49.4

All other causes. . . . . . . . . . . . . . . . . . . . .Residual 222,0482,045.9

15-24 yearsAll causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Accidente and adverse effects. . . . . . . . .E800–E949Motor vehicle accidents . . . . . . . . . . . .E81O-E825All other accidents and adverse

effects. . . . . . . . . . .E800-E807,E826-E949Homicide and legal intervention. . . . . . . .E960-E978Suicide . . . . . . . . . . . . . . . . . . . . . . .. E950-E959Malignant neoplasms, including neoplasms of lymphatic

andhematopoietic tissuee . . . . . . . . . . .140-208Oiseases of heart . . . . . . . . . .390-398,402,404-429Human immunodeficiency virus

infection . . . . . . . . . . . . . . ... . . . . ..*044-*O44Congenital anomalies. . . . . . . . . . . . . . ...740-759Cerebrovascular diseases . . . . . . . . . ...430-436Pneumonia and influenza. . . . . . . . . . . .480-487Chronic obstructive pulmonary diseases

and allied conditions. . . . . . .490-496All other causes . . . . . . . . . . . . . . . . . . . .. Residual

36,733 99.2

16,24112,607

43.934.1

3,6347,3544,669

9.619.913.2

1,819917

4.92.5

541491234231

1.51.30.60.6

1763,858

0.510.4

1Rank based on number of deathq see Technical nOteS.

Table 8. Deaths from 72 selected causes by age: United States, 1990 WI

[For explanation of asterisk preceding cause-of-death codes, see Technical notes]

Cause of death (Ninth Revision International All Under 1-4 5–14 15–24 25-34 35-44 45+4Classification of Diseases, 1975)

55-64 65-74 75-84 85 yearsages 1 year years years years years years years years years years and over

Notstated

All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Shigellosis andamebiasis . . . . . . . . . . . . . . .004,006Certain other intestinal infections . . . . . .007-009Tuberculosis . . . . . . . . . . . . . . . . . . . . . . ...010-018

Tuberculosis of respiratory system. . . . . . ..010-012Other tuberculosis . . . . . . . . ..013-018

Whooping Cough . . . . . . . . . . . . . . . . . . . . . . ...033Streptococcel sore throat, scarlatina,

anderysipelas . . . . . . . . . . . . . . . . . . . . ...034-035Meningococcal infection.. . . . . . . . . . . . . . . . . . ..036Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . ...038~::l$:liomyelitis . . . . . . . . . . . . . . . . . . . . . ...045

.055~ralhepa~tis::::::::::::: :: :: :::: :::: ::.070Syphili s . . . . . . . . . . . . . . . . . . . . . . . . ...090-097A[ other infectious and parasitic

diseases. . . . . . . . . . .001-003,005,020-032,037,038-041, ‘042-”044/ 046-054,056-066,071 -088,096-139

Malignant neoplasms, including neoplasms of tymphatic andhematopoietic tissues. . . . . . . . . . . . . . . . . ..140-208Maliinant neoplasms of tip, oral cavity, and

pharynx . . . . . . . . . . . . . . . . . . . . . . . . ..140–149Matignant neoplasms of digestive organs

and peritoneum . . . . . . . . . . . . . . . . . . ...150-159Ma~gnant neoplasms of respiratory and intrathoracic

organs . . . . . . . . . . . . . . . . . . . . . . . ...160-165Malignantneoplasmofbreast. . . . . . . . . . ...174-175Ma~gnant neoplasms genifel organs. . . . . . ...179-187Malignant neoplasms of urinary organs. . . . ...186-189Malignant neoplasms of all other and unspecified

sites . . . . . . . . . . . . . . . . . . . ...170-173.190-199Leukemia . . . . . . . . . . . . . . . . . . . . . . . ...204-208Other malignant neoplasms of lymphatic

andhematopoietic tiesues . . . . . . . . . . . . . .200-203Benign neoplasms, carcinoma in situ, and neoplasms of

uncertain behavior end of unmecified nature . . . .210-239Diabetes mellitus . . . . . . .. J.. . . . . . . . . . . . . ..25oNutritional deficiencies. . . . . . . . . . . . . . . ...260-269Anemias . . . . . . . . . . . . . . . . . . . . . . . . . ...280-285Meningitis . . . . . . . . . . . . . . . . . . . . . . . . ...320-322Major cardiovascular diseases. . . . . . . . . . ...390-448

Diseases of heart . . . . . . . . .390-398,402,404-429Rheumatic fever andrheumatic heart disease. .390-398Hypertensive hearldisease . . . . . . . . . . . . . . ..402Hi ertensive heart and renal diseaselsc~emic heart disease. . . . . . . . . ~ ~ .’ ~ .’ ~ ~l~$?~

Acute myocardial infarction. . . . . . . . . . . . . . .410Other acute and subacute forms of

ischemic heart disease. . . . . . . . . . . . . .411Angina pectoris . . . . . . . . . . . . . . . . . . . ...413Old mvocerdial infarction and other forms of

chro;ic ischemic heart disease. . . . . . . . .412,414Other diseases ofendocerdium . . . . . . . . . . . . .424All other forms of heart

disease . . . . . . . . . . . . . . . . . . .415-423,425-429Hypertension with orwifhout renal cfiseeee . . . ..401,403Cerebrovascular diseasee . . . . . . . . . . . . ...430-438

Intracerebral and other intracranialhemorrhage . . . . . . . . . . . . . . . . . . . ...431-432

2,148,463

15415

1,6101,378

43212

2;:19,169

1,5;:106

32,214

505,322

8,405

120,765

146,38643,66357,48720,654

80,22118,574

29,167

6,75247,664

3,0174,0921,017

916,007720,058

6,01821,072

2,377469,171239,008

3,3331,070

245,76013,004

188,4169,169

144,088

20,575

36,351

9i21

14

5;267

1;

2:

370

90

6

4

i

5224

71

1:

1:?963794

7

;2616

1017

743

14:

61

6,931

1:6151

3;100

2;41

222

513

1

25

3

2;

279170

15

7574

51

3::282

21

i5

——

47

2631

45

12

8,436

1

:

;—

Ii46

i2

192

1,094

5

15

13

i32

561382

81

10024

151

4Z308

82

;:

T

1:

265

7:

19

36,733

i231310

3;84

738

2

728

1,819

23

107

40

1:?24

675535

293

1::

12:

1,&917

3516

11:71

31

3834

712

2X

83

60,091

2

1419549

1

3::

11:8

9,107

5,427

65

627

340629583108

1,561668

646

213674

1::

4,4%3,290

102148

1,0;:607

224

430119

1,637

9%

315

83,562

1%13147

Ii557

i224

7

11,107

16,223

306

2,688

2,7033,3601,505

388

3,157672

1,222

2961,510

1:;

14,7%11,755

253608

6,4%3,745

11017

2,603224

4,140181

2,415

916

118,608

1

1i:12959

—

2

76;

16i9

4,496

39,823

826

7,930

12,2365,6552,8421,253

5,4611,207

2,111

3992,634

1$

36,2:430,204

3741,399

19,4%11,661

32022

7,454397

8,492397

4,690

1,730

252,696

220

26919176

113

1,690

24i7

2,236

94,919

2,138

20,069

35,1628,8347,2453,317

11,1342,443

4,577

7556,969

125272116

91,82077,546

8582,810

21152,48130,457

56072

21,392954

20,232895

10,124

2,653

477,949

1

3:;307

75

1:3,776

39;9

1,749

157,413

2,537

36,651

53,78911,41016,966

6,018

16,7934,754

8,497

1,52913,260

331604146

198,744161,373

1,6244,745

501113,139

61,739

811236

50,3532,396

36,9681,968

26,054

4,968

601,439

9:406335

71

2

6,01:

29:25

1,334

135,011

1,703

35,907

34,4519,226

19,3996,435

14,3855,123

8,380

2,00614,537

9081,124

128296,718229,844

1,8716,099

814160,44279,454

664357

79,7674,604

56,0143,003

49,988

6,344

463,105

110120917435

—

3

5,55?

6;13

657

52,963

697

16,732

7,8404,3108,8303,060

6,1562,393

3,145

1,2147,7061,5321,299

270, 1:;203,641

8845,239

682135,90651,228

642360

83,6764,236

56,6942,639

49,367

3,270

562

—

4

14

27

6

5

:1

<

11

12;104

z

4715

1

252

56

1:

4

Cerebral thrombosis and unspecified occlusion ofcaebral arteries . . . . . . . . . . . . . . . . .434.0,434.9

Cerebral embolism . . . . . . . . . . . . . . . . . ...434.1All other and !ateeffects ofcerebrovascular

diseases . . . . . . . . . . . . . . . . ..430.433,435-438Atheroecterosis . . . . . . . . . . . . . . . . . . . . . . ...440Other diseases of arteries, arterioles,

andcapillaries . . . . . . . . . . . . . . . . . . . ...441-448Acute bronchitis andbronchiolitis . . . . . . . . . . . . . . .466Pneumonia and influenza. . . . . . . . . . . . . . ...480-487

Pneumonia . . . . . . . . . . . . . . . . . . . . . . ...480-486Influenza . . . . . . . . . . . . . . . . . . . . . . . . . . ...487

Chronic obstructive pulmonary diseasesand alliedconditione . . . . . . . . . . . . . . . .490-496Bronchitis, chronic and unspecified . . . . . . .49&491Emphysema . . . . . . . . . . . . . . . . . . . . . . . . ...492Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493Other chronic obstructive pulmonary diseases

andallied concfitions. . . . . . . . . . . . . , . . .494-496Ulcer ofstomach and duodenum . . . . . . . . . . . .531–533Appendicitis . . . . . . . . . . . . . . . . . . . . . . . ..540–543Hernia of abdominal cavity and intestinal obstruction without

mentionofhernia . . . . . . , , . . . . . . .550-553,560Chronic liver disease and cirrhosis . . . . . . . . . . . . . .57 ICholelithiasis andother cfisorders of gallbladder. ..574-575Nephritis, nephritic syndrome, andnephrosie. . ..580-589

Acute glomerulonephritis and nephroticsyndrome . . . . . . . . . . . . . . . . . . . . . . . ..580–581

Chronic glomerulonephritis, nephritis andnephropathy, notspecified asacute or chronic,and renal sclerosis, unspecified . . , . . . . .582–583,587

Renal failure, disorders resulting from Impsired renalfunction, and small kidney of unknowncause . . . . . . . . . . . . . . . . . . ...584-586.588-589

Infectionaofkidney, .,....... . . . . . . . . . . . . ..59oHyperplaeiaofprostate . . . . . . . . . . . . . . . . . . . ...600Complications of pregnancy, childbirth, and the

puerperium . . . . . . . . . . . . . . . . . . . . . . ...630-676Pregnancywith abortiie outcome . . . . . . . . ...630-638Other complications of pregnancy, childbirth, and the

puerperium . . . . . . . . . . . . . . . . . . . . . ...640-676Congenital anomalies . . . . . . . . . . . . . . . . ...740-759Certain conditions originating in the perinatal

period . . . . . . . . . . . . . . . . . . . . . . . . . ...760-779Birth trauma, intrauterine hypoxia, birth

asphyxia, andrespiratory cfistress syndrome, . .767-769Other condition originating in the perinata[

period . . . . . . . . . . . . . . . . . . . ..760-766.770-779Symptoms, signs, andill-defined condfiions . . ...780-799Allolherdiseases . . . . . . . . . . . . . . . . . . . . ..ResidualAccidents andadveree effects . . . . . . . . . . . .E800-E949

Motorvehicle accidents. . . . . . . . . . . . . . .E81O-E825All other accidents and adverse

effects . . . . . . . . . . . . . . . . .E800-E807,E826-E949Suicide . . . . . . . . . . . . . . . . . . . . . . . . . ..E956-E959Homicide and legal intervention . . . . . . . . . . ,E960-E978Another external causes. . . . . . . . . . . . . . ..E980-E999

18,261651

104,60118,047

24,645633

79,51377.415

86,6793,600

15,7064,819

62,5546,186

438

5,63825,815

3,02220,764

296

1,521

18,9471,296

455

34357

26613,065

17,674

3,671

13,80324,137

172,89191,96346,614

45,16930,90624,932

2,390

15

721

1575

634627

7

E

12

495

87163

151

10

1

1406

,... . .

. . .8,239

17,482

3,819

6;4081,655

930195

735,..

33253

7

26

718

171161

10

5523

124

737

237

24

5

4

151

. . .

. . .

. . .896

134

26

106270864

2,566926

1,636. . .

37831

11

431

176

134122

12

1157

102

64

13

2771

20

3

6

11

—

46$

29

16

13123

1,0303,6502,059

1,591264512

53

20

1311

625

231226

5

17671

160

101111

2244

557

3

11

439

10719

88491

5

3

2711

1,74216,24112,607

3,6344,8697,354

310

476

56914

1935

762756

6

3001913

237

315712

32889

22215

7

31

1778

16026

134473

6

3

31,6933,906

15,95010,170

5,7806,5507,643

647

1614

1,33433

37617

1,4161,402

14

6083671

332

16712630

973,616

43531

11

72

44634

7311

62454

2

1

12,0156,865

11,7136,318

5,3955,7174,417

562

36418

2,578162

76911

1,7511,717

34

2,27795

417502

1,263252

32

1354,500

67724

18

74

63244

31

2364

2

1

11,3526,5967,3753,917

3,4563,7181,892

263

1,09742

6,132674

2,58149

3,9223,826

96

10,326366

2,213738

6,991576

55

3346,306

2121,736

25

134

1,5779317

. . .,..

. . .412

1

11,701

15,6437,2323,365

3,8673,3831,055

177

3,145139

17,8022,220

7,10990

10,66510,419

246

27,518698

5,6421,125

19,8531,360

92

8836,290

6304,312

59

307

3,94619958

. . .

. . .

. . .547

1

—

12,579

31,8568,4053,350

5,0553,230

682127

6,458267

36,9195,331

8,552157

25,37724,753

624

32,1451,2715,6711,074

24,1292,023

114

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. . .

. . .

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7,1242,493

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. . .

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Nw

— .-. .—.TatXe9. Death rates for72selected causes by age: United States, 1990

[Rates perlOO,OOO population in specified group. Forexplanation ofasterisk preceding causeaf-death codes, see Techniml notes]

Cause of death (Ninth Revision International All Under 14 5-14Classification of Diseases, 1975)

1%24 2534 3.%44ages 1 1 year2

45-54years

55454years

65–74years years years years years years

Allcauses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

%igellosisa ndamebiasis . . . . . .004,006Certain other intestinal infections . . . . . . .007-009Tuberculosis . . . . . . . . . . . . . . . . . . . . . . ...010-018

Tuberculosis of respiratory system . . . . . . .010J312Othertuberculosis. . . . . . . . . . . . . ..013+)18

Whoopingcough . . . . . . . . . . . . . . . . . . . . . . . ..o33Streptococcal sore throat, scarlatina,

anderysipelas . . . . . . . . . . . , . . . . . . . . . ..o3+o35Meningococcal infection. . . . . .036Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . ...038Acute poliomyelitis . . . . . . . . . . . . . . . . . . . . . . ..o45Measles . .. . . . . . . . . . . . . . . . . . . . . . . . . . ..o55Viralhepa~tis . . . . . . . . . . . . . . . . . . . . . . . . . . . .070Syphilis . . . . . . . . . . . . . . . . . . . . . . . . . ...090-097Ailother infectious and parasitic

diseases. . . . . . .001GO03,005,020-032,037,039-041 ,’042–’044,046454,056-066,071 +88,098–1 39

Mali nantneoplasms~ including neoplasmsof lymphatic3an hematopoietictlssues. . . . . . . .140–208

Malignant neoplasms of fip, oral caviiy,and pharynx . . . . . . . . . . . . . . . . . . . . ...140-149

Malignant neoplasms of digestive organs andperitoneum . . . . . . . . . . . . . . . . . . . . . ...150-159

Mafignant neoplasms of respirato~ andintrathoracic organs . . . . . . . . . . . .160-165

Malignant neoplasmofbreast. . . . . . . . . . . . .174-175Malignant neoplasms ofgenitalorgans . . . .178-167Malignant neoplasms of urinary organs. . . . .186-189Malignant neoplasms of all other and

unspecified sites . . . . . . . . . . . .170-173 .190-199Leukemia . . . . . . . . . . . . . . . . . . . . . . ...1204-208Other malianant neoolasms of lvmDhatic

andhem;topoietic ~ssues . .’. .’. . . . . . . . .200-203Benign neoplasms, carcinoma in situ, and neoplasms of

uncertain behavior andof unspecified nature. . . .210-239Diabetes mellitus . . . . . . ..J . . . . . . . . . . . . . . ..25oNutritional deficiencies. . . . . . . . . . . . . .260-269Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . ..280–285Meningitis . . . . . . . . . . . . . . . . . . . . . . . . ...320-322Majorcardiovasculardiseases.... . . . . . . . . . .3go-448

i%easesofhearr. . . . . . . . .390-398,402,404429Rheumatic fever andrheumatic heart disease. .390-398Hypertensive heart disease . . . . . . . . . . . . .402Hy extensive heart and renal disease. . . . .404

tIsc emfc heart disease. . . . . . . .410-414Acute myocardial infarcticm. . . . . . . . . . . . . . .4IOOther acute and subacute forms of

ischemic heart disease. . . . .-. -.”. . . . . . . .411Angina pectoris . . . . . . . . . . . . . . . . . . . ...413Old myocardial infarction and other formsof chronic ischemic heart disease . . . . . . .412,414

Other diseases ofendocardium . . . . . . . . . . . . ,424All other forms of heart

disease . . . . . . . . . . . . . . . . . ..4l5-423.42M29Hypertension with orwithout renal disease . . . ..401,403Cerebrovascular diseases . . . . . . . . . . . . . ..430-438

lntracerebrel and other intracranialhemorrhage. . . . . . . . . . . . .431+32

Cerebral thrombosis andunspec~fi~&” “ “ “ ‘ ‘occlusion of cerebral arteries . .434.0 .434.9

Cerebral emboliam . . . . . . . . . . . “.. . ...1434.1All other and late effacts of cerebrova&tar

dk6aSeS . . . . . . . . . . . . . . . . ..43o.483.485-438Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . ...440

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~a~dr=~p~a~fi:of arferies, arterioles,. . . . . . . . . . . . . . . . . . . . . .441-448

Acute bronchitis and bronchiolitis . . , . . . . . . . . . . . .466Pneumonia and influenza. . . . . . . . . . . . . . . . .480-487

Pneumonia . . . . . . . . . . . . . . . . . . . . . . ...480-488Influenza . . . . . . . . . . . . . . . . . . . . . . . . . . ...487

Chronic obstructive pulmonary diseases and alliedconditions . . . . . . . . . . . . . . . . . . . . . . . ...490-496Bronchitis, chronic and unspecified . . . . . . . . .490-491Emphysema . . . . . . . . . . . . . . . . . . . . . . . . ...492Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493Other chronic obstructive pulmonary diseases

and allied conditions. . . . . . . . . . . .494-496Ulcer ofstomach and duodenum . . . . . . . .531–533Appendicitis . . . . . . . . . . . . . . . . . . . . . . . ..540–543Hernia of abdominal cavity and intestinal obstruction withoutmentionofhernia . . . . . . . . . . . .550-553,560

Chronic fiverdisease and cirrhosis . . . . . . . . . . ...571Cholelithiasis andother disorders of gallbladder, . .574-575Nephritis, nephritic syndrome, andnephrosis . . . .580–589


Chronic glomerulonephritis, nephritis andnephropathy, not specified asacute or chronic,and renal sclerosis, unspecified . . .582–583,567

Renal failure, disorders resulting from impairedrenal function, and small kidney ofunknown cause . . . . . . .584–586,588–589

Infectionsofkidney . . . . . . . . . . . . . . . . . . . . . . ..59oHyperplasiaofprostete . . . . . . . . . . . . . . . . . . . ...600Complications of pregnancy, childbirth, and the

puerperium . . . . . . . . . . . . . . . . . . . . . . . ..NO-676Pregnancy with abortiieoutcome. . . . . . . . . . ,630-638Other complications of pregnancy, childbkth,

andthepuerperium . . . . . . . . . . . . . . . ...640-676Congenital anomalies . . . . . . . . . . . . . . . . .74C-759Certain conditions originating in the perinatal

period . . . . . . . . . . . . . . . . . . ., . . . . . . ..760–779Birth trauma, intrauterine hypoxia, birth

asphyxia, andrespiratory distress syndrome. . .767–769Other conditions originating in the perinatal

periOd . . . . . . ..766 .770 . . . . ..i’6O-766.77O-779

Symptoms, signs, andill-defined conditions . . . .760-799All other diseases . . . . . . . . . . . . . . . . . . . . .. ResidualAccidents andadverseeftects . . . . . . . .E800–E949

Motor vehicle accidents. . . . . . .E810-E625All other accidents and adverse

effects . . . . . . . . . . . .E800-E807,E626--E949Suicide . . . . . . . . . . . . . . . . . . . . . . . . . .. E950-E959Homicide and legal intervention , . . . . . . . . . .E960-E978Another external causes. . . . . . . . . . . . . . . .E98GE999

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lF@ures for age not stated included in All agas but not distributed am0n9 a9e 9r0uPs.2Deathrates underl year (based on population estimates) tiffer from infant mmtafitymtas (basedon We b[rlhs); see tables Eand 22-26 for infant morfafii ratea, and Technical notes for further discussion of the difference.

NUr

Table 10. Deaths from 72 selected causes by race and sex: United States, 1LWO[For explanation of asterisk preceding cause-of-death codes, see Technical notes]

A// ofher


Cause of death (Ninth Revision InternationalClassification of Diseases, 1975)

Both BothMale

Bothsexes Female sexes Male

BothFema/e sexes Male Female sexes Male Fema/e

Al[ causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Shigellosis andamebiasis. .004,006Certain other intestinal infections . ..007-009Tuberculosis . . . . . . . . . . . . . . . . . . . . . . ...010-018

Tuberculosis ofrespiratory system. ..010-012Othertuberculosis . . . . . . . . . . . . . . . ..013-018

Whoopingcough . . . . . . . . . . . . . . . . . . . . . . . ..o33Streptococcal sore throat, scarlatina,and erysipelas . . . . . . . . . . . . . . . . . . . . . ..o34-o35

Meningococcal infection. . . . . . .036Septicemia . .038Acute poliomyeii&’ ::::::::: :: :: :::: :::: :..045Measles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o55Viralhepatitis . . . . . . . . . . . . . . . . . . . . . . . . . . ..o7oSyphilis . . . . . . . . . . . . . . . . . . .,........090-097Another infectious and parasitic

dk.ea5eS. . . . . . . . . . .00I-003,005,020-032,1137,039-041 ,’042–’044,, 04G054,05G066,071 -088,096-1 39

Malignant neoplasms~ including neoplasms of lymphaticand hematopoietic tseues. .140–208Malignant neoplasms of lip, oral cavity,

and pharynx . . . . . . . . . . . . . . . . . . . . ...140-149Malignant neoplasms of digestive organs

and peritoneum . . . . . . . . . . . . . . . . . . ...150-159Malignant neoplasms of respiratory and

intrathoracicorgans . . . . . . . . .160-165Malignantneoplasm ofbreast. . . . . . . . . ..174-175Ma~gnant neoplasms ofgenital organs . . . . . ..179-187Malignant neoplasms ofurinary organs. . . . ...188-169Ma~gnant neoplasms of all other and

unspecified sites . . . . . , , . . . . . . .170–173,190-199Leukemia . . . . . . . . . . . . . . . . . . . . . . . ...204-208Other malignant neoplasms of lymphatic

and hematopoietictissues . . . . . . . . . . . .200-203Benign neoplaams, carcinoma in situ, and neoplasms of

uncertain behavior and of unspecified nature . . . .210-239fJapqtes melIitus . . . . . . . . . . . . . . . . . . . . . . ...250Nutnt[onaldefiiiencies . . . . . . . . . . . . . . . . ...260-269Anemias . . . . . . . . . . . . . . . . . . . . . . . . . ...280-285Meningitis . . . . . . . . . . . . . . . . . . . . . . . . ...320-322Majorcardiovasculardiseases. . . . . . . . . ..390-446

Diseases of heart . . . . . . . . . . .390-398,402,40&429Rheumatic fever andrheumatic heart disease. .390-398Hypertensive heart disease . . . . . . . . . . . . . ...402Hypertenaiva heart and renal disease. . . . . . . . .4o4Ischemicheartdisease. . . . . . . . . . . . . . .41o-4I4

Acute myocardial infarction. . . . . . . . . . . . . ..4IoOther achte and subacute forms of

ischemic heart disease. . . . . . . . . . . . . . . ..4I1Anginapectoris . . . . . . . . . . . . . . . . . . . ...413Old myocardial infarction and othar forms

ofchronic ischemlc heart disease . . . . . . .412.414Otherdiseasesofendocardium . . . . . . . . . . ...424All other forms of heart

disease . . . . . . . . . . .415-423,425-429Hypertension with orwitho&”re~ai &,6ase . . . ..401,403Cerebrovasculardiseaees . . . . . . . . . . . . . ..430-438

krtracerebrel and other intracranialhemorrhage . . . . . . . . . . . . . . . . . . . ...431-432

Cerebral thrombosis and unspecifiedocclusion ofcerebral arteries . . . . . . . . .434.0,484.9

2,148,463

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2,65816,817

9031,274

371389,824319,362

1,6556,077

648229,937117,850

1,667391

110,0295,023

76,0222,862

48,024

7,252

6,087

902,442

6201403294109

6

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3,527

208,977

2,403

49,015

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6,647

25,2477,533

12,410

3,25021,879

1,6431,662

334417,864318,002

3,8289,0881,000

213,92298,402

1,140568

113,8126,928

83,2364,098

76,502

9,524

9,992

295,209

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1,467

17,235

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471956312

108,31982,694

5355,907

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526111

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29,1582,209

19,562

3,799

2,182

162,605

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35,675

1,121

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15,058971

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31,995

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27248

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Cerebral embolism . . . . . . . . . . . . . . . . . ...434.1All other and late effects ofcerebrovascular

diseases . . . . . . . . . . . . . . . . . .430,433,435+38Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . ...440Other diseases of arteries, arterioles,

and capillaries . . . . . . . . . . . . . . . . . . . ...441-448Acute bronchitis and bronchiolitis . . . . . . . . . . . . . . .466Pneumonia and influenza. . . . . . . . . . . . . . . ..480-487

Pneumonia . . . . . . . . . . . . . . . . . . . . . . ...480-486Influenza. . . . . . . . . . . . . . . . . . . . . . . . . . ...487

Chronic obstructive pulmonary diseases and allied

conditions . . . . . . . . . . . . . . . . . . . . . . . ...490-496Bronchitis, chronic and unspecified . . . . ., ..490-491Emphysema . . . . . . . . . . . . . . . . . . . . . . . . ...492Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493Other chronic obstructive pulmonary diseases

and allied conditions. . . . . . . . .494-496Ulcer ofatomach and duodenum . . . . . . .531–533Appendicitis . . . . . . . . . . . . . . . . . . . . . . . ..540–543Hernia of abdominal cavity and intestinalobstruction without mention of hernia . . . . . .55&553,560

Chronic liver disease and cirrhosis . . . . . . . . . .571Cholelithiasis andother disorders of gallbladder. ..574-575Nephritis, nephritic syndrome, andnephrosis . ...580-589

Acute glomerulonephrifis and nephroticsyndrome . . . . . . . . . . . . . . . . . . . . . . . ..580–581

Chronic glomerulonephritis, nephritis andnephropathy, not specified as acute or chronic,and renal sclerosis, unspecified . . .582-583,587

Renal failure, disorders resulting from impairedrenal function, and small kidney ofunknown cause . . . . . . . .584-586,588-589

Infectionsofkidney . . . . . . . . . . . . . . . . . . . . . . ..59oHyperplasiaofprostate . . . . . . . . . . . . . . . . . . . ...600Complications of pregnancy, childbirth, and the

pUWpWiUM . . . . . . . . . . . . . . . . . . . . . . ...630-676

Pregnancy with abortive outcome. . ., . . . . . . .630+38Other complications of pregnancy, childbirth,

andthepuerperium . . . . . . . . . . . . . .640–676Congenital anomalies . . . . . . . . . . . . . . ...740-759Certain conditions originating in the perinatal period.760-779

Birth trauma, intrauterine hypoxia, birthasphyxia, andreapiratory distress syndrome. . .767-769

Othar conditions originating in the perinatalperiod . . . . . . . . . . . . . . . . . . . ..760-766.770-779

Symptoms, signs, andill-defined conditions . . ...780-799Allotherdiseases . . . . . . . . . . . . . . . . . . . . ..ResidualAccidents and adverse effects. . . . . . . . . .E800-E949

Motor vehicle accidents . . . . . . . . . . . . .E81O-E825All other accidents and adverse

dfeCtS. . . . . . . . . . . . . . .E800-E807,E826-E949Suicide . . . . . . . . . . . . . . . . . . . . . . . . . ..E950-E959Homicide andlegal intervention. . . . . . . . . . . .E960-E978Another external causea. . . . . . . . . , . . , . . .E980-E999

651

104,60118,047

24,645633

79,51377,415

2,098

86,6793,600

15,7064,819

62,5546,186

438

5,83825,815

3,02220,764

296

1,521

18,9471,296

455

34357

28613,08517,674

3,87i

13,80324,137

172,89191,98346,814

45,16930,80624,932

2,390

263

40,1756,859

14,560269

36,89836,099

799

49,4161,8789,4081,085

36,2452,973

257

2,13216,627

1,28010,005

145

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. . .

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10,056

2,311

7,74513,53379,02061,93832,406

29,53224,72419,604

1,733

388

64,42611,166

10,085364

42,61541,316

1,299

37,2631,7226,2982,934

26,3093,213

181

3,7069,1881,742

10,759

151

758

9,850892. . .

34357

2866,0357,618

1,560

6,05810,60493,87130,04514,408

15,6376,1625,328

657

604

91,06716,547

22,291559

70,80668,807

1,999

80,1793,365

14,8283,696

58,2905,517

357

5,08921,478

2,72216,571

249

1,191

15,1311,134

402

17723

15410,50210,506

2,498

8,00818,058

148,90476,93439,651

37,28328,08612,153

1,820

240

34,4456,232

13,344233

32,10131,350

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45,2341,7268,7691,358

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212

1.78713,889

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118

590

7,313339402

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4,5689,951

66,87951,34827,288

24,06022,448

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364

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36,70537,457

1,248

34,9451,6396,0592,338

24,9092,923

145

3,3027,5891,5668,550

131

601

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17723

1544,8354,451

1,011

3,4408,107

82,02525,58612,363

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99

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81

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16634

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1,21636

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3452,738

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39

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90

5,655190763986

3,716582

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2443,855

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300

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15333

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1,276

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20

5,117563

1,03633

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. . ... . . . . ..-.. . . . . . . . . . .. . - . .iarme 11. ueam ratesror {Z selecIea causes Dy race arm sex: Unitecf States, 1990

[Rates per 10O,LMOpopulation in specified group. For explanation of asterisk preceding cause-of-death codes, see Technical notes]

Atl other


Cause of death (Ninth Revision InternationalClassification of Diseasee, 1975)

Both Bothsexes Male Female sexes

All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Shigellosis andamebiasis. . . .004,006Certain other intestinal infections . . . . . . .007-009Tuberculosis . . . . . . . . . . . . . . . . . . . . . . . ..O1GO18

Tuberculosis of respiratory system. . .01&o12Othertuberculosis. . . . . . . . . ..013-018

Whooping cough . . . . . . . . . . . . . . . . . . . . . . . ..o33Streptococcal sore throat, scarlatina,

anderysipelas . . . . . . . . . . . . . . . . . . . . ...034-035Meningococcal infection. . . . . . . .036Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . ...038Acufe poliomyelitis . . . . . . . . . . . . . . . . . . . . . . ..o45Measles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o55Virelhepatitis . . . . . . . . . . . . . . . . . . . . . . . . . . ..o7osyphilis . . . . . . . . . . . . . . . . . . . . . . . . . ...080-097All other infectious and parasitic

diseases . . . . . . . . . . . .001-003,005,020-032,037,039-04 1.’042–’044.046-054.056466.071 +88.098–1 39

Malignant n60plasms, including neoplasmkofLymphaticandhematopoietic tissues . . .14&208Malignant neoplasms of iiD, oral ca.v~,

andpharynx” . . . . . ..l.. . . . ..-~ . . . . ...140-149Malirrrrant neoDlasms of diaestive araans

andperitonetim . . . . ..~ . . . . . . . . . . . ...150-159Malignant neoplasms of respiratory and

intrathoracic organs . . . . . . . . . . . . . .160-165Malignantneaplasm ofbreast. . . . . . . . . . ...174-175Malignant neaplasms afgenital organs . . . . ...179-187Malignant neoplasms ofurinaryargans. . . . ...188-189Malignant neaplasme of all other and

unspecified sites . . . . . . . . . . . .170–173,190–199Leukemia . . . . . . . . . . . . . . . . . . . . . . . ...204-208Other malignant neaplasms of lymphatic

andhematapoietictissues . . . . . . . . . . .200-203Benign neoplasms, carcinoma in situ, and neoplasmsof uncertain behavior and of unspecified nature . .210-239

Diabetesmellitus . . . . . . . . . . . . . . . . . . . . . . ...250Nufriiianal deficiencies. . . . . . . . . . . . .260–269Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . ..280–285Meningitis . . . . . . . . . . . . . . . . . . . . . . . . . ..32G322Majorcardiovasculardiseases. . . . . . . . . . ..390448

Diseases afheart ., . . . . . . . . . .390-398,402,40w29Rheumatic fever andrheumatic hearr disease. .390–398Hypertensive heart disease . . . . . . . . . . . . . . .402Hy extensive heart and renal disease. . . . . . . . .4o4lm$remic heart disease. . . . ..410-414

Acute my’ocardial infarcfion~~~ ~~ ~~~;: . . . .4toOther aci.ite and subacute forms of

ischemic heart disease. . . . . . . . . . . . . . .411An inapectoris . . . . . . . . . . . . . . . . . . . . ..4I301$ myocerdial infarction and other formsof chronic ischemic haart disease . . . . . . .412,414

Otherdiseases ofendocardium . . . . . . . . .424Allofherfarmsof heart

disease . . . . . . . . .415-423,425-429Hypertension with orwifhO&”re~ai &&ease . ...401.403Cerabrovascular diseasee . . . . . . . . . . . . . . .43rP138

Intracerebral and other intracranialhemorrhage . . . . . . . . . . . . . . . . . . . ...431.432

Cerebral thrombosis and unspecifiedocclusion ofcerebralarterles . . . . . . . . .434.0,434.9

Cerebralembolism . . . . . . . . . . . . . . . . . . ..434.I

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All other and late effects of cerebrcwasculardiseases . . . . . . . . . . . . . . . . . .430,433,435_Q8

Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . ..44oOther diseasea of arteries, arterioles,

andcapillaries . . . . . . . . . . . . . . . . . . . . ..441-44EAcute bronchitis andbronchiolitis . . . . . . . . . . . . . . .466Pneumoniaand influenza. . . . . . . . . . . . . . ...480-487

Pneumonia . . . . . . . . . . . . . . . . . . . . . . ..486O-486Influenza . . . . . . . . . . . . . . . . . . . . . . . . . . ...487

Chronic obstructive pulmonary diseasesandallled conditions . . . . . . . . . . . . . , . . . . .490=498Bronchitis, chronic and unspecified . . . . . . . . .WJ-WI

Emphysema . . . . . . . . . . . . . . . . . . . . . . . . ...492Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493Other chronic obstructive pulmonary diseases

andalliedconditions . . . . . . . . . . . . . . . ...494496Ulcerofstomachandduodenum . . . . . . . . . . . .531–533Appendicitis . . . . . . . . . . . . . . . . . . . . . . . ..540–543Hernia of abdominal cavity and intestinal

obstruction without mention of hernia . . . . .550-553,560Chronic liver disease andcinhosis . . . . . . . . . . . . . .571Cholelithiasis and other disorders of

gallbladder . . . . . . . . . . . . . . . . . . . . . . ...574-575Nephritis, nephritic syndrome, andnephrosls ., ..580-589


Chronic glomerulonephritis, nephritis andnephropathy, notspecified as acute or chronic,and renal sclerosis, unspecified . . . . . . . .582-583,587

Renal failure, dkiorders resulting from impairedrenal function, and small kidney ofunknown cause . . . . . . . . . . . . . . .584–586,588–589

infections of kidney . . . . . . . . . . . . . . . . . . . . . . ..59oHyperplasia of prostate . . . . . . . . . . . . . . . . . . . ...600Complications of pregnancy, childbirth,

andthepuerperium . . . . . . . . . . . . . . . . . ...630-676Pregnancy with abortiie outcome. . . . . . . . ...630-638Other complications of pregnancy, childbkth,

andthepuerperium . . . . . . . . . . . . . . . ...640-676Congenital anomalies . . . . . . . . . . . . . . . . ...740-759Certain conditions originating [n the perinatal

period . . . . . . . . . . . . . . . . . . . . . . . . . ...760-779Sirth trauma, intrauterine hypoxia, birth

asphyxia, andrespiratory distresaayndrome. . .767-769Other conditions originating in the perinatal

period . . . . . . . . . . . . . . . . . . . . .760-766,770-779Symptoms, signs, andill-defined conditions . . ...780-799All other diseases . . . . . . . . . . . . . . . . . . . . .. ResidualAccidents and adverse effects . . . . . . . . . . . .E800-E949

Motor vehicle accidents. . . . . . . . . . . . . . .EEIO-EE25All other accidents and adverse

dfeCtS . . . . . . . . . . . . , . . .E800-E807,E826–E949

Suicide . . . . . . . . . . . . . . . . . . . . . . . . . .. E950-Eg5gHomicide and legal intervention . . . . . . . . . . .E960-E978Another external causes. . . . . . . , . . . . . . . .E980-E999

42.17.3

9.90.3

32.031.1

0.8

34.91.46.31.9

25.22.50.2

2.310.4

1.28.3

0.1

0.6

7.60.50.2

0.10.0

0.15.3

7.1

1.6

5.59.7

69.537.018.8

18.212.410.0

1.0

33.15.7

12,00.2

30.429.8

0.7

40.61.57.81.6

29.92.50.2

1.813.7

1.18.3

0.1

0.6

7.50.30.4

. . .

. . .

. . .5.8

8.3

1.9

6.411.265.251.126.7

24.420.416.2

1.4

50.58.8

7.90.3

33.432.4

1.0

29.21.44.92.3

20.62,50.1

2.97.2

1.48.4

0.1

0.6

7.70.7. . .

0.30.0

0.24.7

6.0

1.2

4.88.3

73.623.611.3

12.34.84.20.5

43.67.9

10.70.3

33.933.0

1.0

38.41.67.11.8

27.92.60.2

2.410.3

1.37.9

0.1

0.6

7.20.50.2

0.10.0

0.15.0

5.0

1.2

3.88.7

71.336.919.0

17.913.55.80.9

33.76.1

13.10.2

31.430.7

0.7

44.31.78.61.3

32.72.50.2

1.713.6

1.17.9

0.1

0.6

7.20.30.4

. . .

. . .

. . .5.5

5.9

1.5

4.59.7

65.550.326.7

23.622.0

9.01.3

53.19.7

8.40.3

36.335.2

1.2

32.81.55.72.2

23.42.70.1

3.17.1

1.58.0

0.1

0.6

7.30.7. . .

0.20.0

0.14.5

4.2

0.9

3.27.6

77.024.011.6

12.45.32.80.5

33.83.7

5.90.2

21.821.5

0.2

16.20.62.22.8

10.71.70.2

1.910.8

0.710.5

0.1

0.8

9.50.40.1

0.40.1

0.38.5

17.9

3.4

14.515.260.037.617.9

19.77.0

31.91.4

30.03.3

6.40.2

25.124.9

0.3

21.90.83.32.8

15.02.00.2

1.814.3

0.610.4

0.1

0.9

9.30.30.3

. . ..

. . .7.2

21.0

4.3

16.618.863.655.526.8

28.711.954.8

2.2

37.34.2

5.40.2

18.718.50.2

11.10.41.12.9

6.71.40.2

1.97.6

0.810.6

0.1

0.8

9.70.5. . .

0.80.2

0.65.7

15.1

2.6

12.511.956.721.3

9.8

11.52.6

11.10.7

39.94.5

6.80.2

24.824.5

0.3

16.60.62.53.2

12.21.90.2

2.312.3

0.812.8

0.1

1.0

11.50.50.2

0.50.1

0.47.1

22.1

4.2

17.918.171.340.718.2

22.56.9

39.81.6

35.53.9

7.20.2

28.928.5

0.3

25.20.93.83.2

17.32.30.3

2.216.6

0.712.5

0.2

1.1

11.30.40.3

. . .

. . .8.1

26.1

5.3

20.822.375.660.728.1

32.712.069.2

2.5

43.95.1

6.40.2

21.220.9

0.3

12.60.41.33.3

7.61.80.2

2.48.5

0.912.8

*

0.9

11.70.5. .

1.00.2

0.76.2

16.6

3.2

15.414.367.422.8

9.4

“4

A

(9lacd

13.4 _2.3

13.50.8 1

I

N(9

Table 12. Age-adjusted death rates for72selected causes byraceand sex: United States, 1990[Rates per 100,000 population in specified group. Computed by the direct method, using as the standard population the age distribution of the total population of the United States as enumerated in IWO. For explanation

ofasterisk preceding cause-of-death codes, see Technical notes]

All other


Cause of death (Ninth Revision International Both BothClassification of Diseases, 1975) sexes Male Female sexes

BothMale Female sexes Male Female

Allcauses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Shigellosis andamebiasis . . . . . . . . . .004,006Certain other intestinal infections . . . . . . . . . . . .007-009Tuberculosis . . . . . . . . . . . . . . . . . . . . . . ...010-018

Tuberculosis of respiratory system . . . . . . . .010-012Othertuberculosis . . . . . . . . . . . . . . . . . ...013-018

Whooping cough . . . . .033Streptococcal aorethroat, scarla~rial “ “ “ “ “

and erysipelas . . . . . . . . . . . . . . . . . . . . . ..o3~o35Meningococcal infection. . . . . . . . . . . . .036Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . ...038Acute poliomyelitis . . . . . . . . . . . . . . . . . . . . . . ..o45Measles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o55Viral hepatitis . . . . . . . . . . . . . . . . . . . . . . . . . ...070Syphili s . . . . . . . . . . . . . . . . . . . . . . . . ...090-097

rA I other infectious and parasiticdiseases. .001 -O03,005,020-032,037,039-041,*042-*044,

048-054,058-066,071468,098-139Malignant neoplasms, including neoplasms of

Lymphatic andhematopoietic tissues .t40–206Malionant neoolasms of lie, oral cavitv.

an~pharynx’ . . . . . ...’... . . ..”~ . . . . . ..l4o-l49Malignant neoplasms of digestive organs

and peritoneum . . . . . . . . . . . . . . . . . . . ..150-1s9Malignant neoplasms of respiratory and

intrathoracic organs . . . . . . . . . . . . . .160-165Malignant neoplasmofbreast. . . . . . ..174-175Malignant neoplasms ofgenitalorgans . . . ...179-167Malignant neoplasms of urinary organs. , , ..188-189Malignant neoplasms of all other and

unspecified sites . . . . . . . . . .170-173,190-199Leukemia . . . . . . . . . . . . . . . . . . . . . . . ...204-208Other malignant neoplasms of lymphatic

and hematopoietictissues . . . . . .200-203Banign neoplasms, carcinoma in situ, and neoplasmsofuncertain behavior andof unspecified nature . .210-239

Diabetesmellitus . . . . . . . . . . . . . . . . . . . . . . . ..25oNutritionaldefniancies. . . . . . . . . . . . . . . . . .260–269Anemias, . . . . . . . . . . . . . . . . . . . . . . . . ...280-285Meningitis . . . . . . . . . . . . . . . . . . . . . . . . ...32&322Majorcardiovasculardiseases. . . . . . . . . . .390-448

Diseasesofheart. . . . . . . . . . . .390-396,402,404-.429Rheumatic fever andrheumatic heart disease. .390-398Hypertensive heart disease . . . . . . . . . . . . . ...402Hypertensive heart and renal disease. . . . . . . . .4o4Ischemic heart disease . . . . . . . . . . . . . . ..410-414

Acute myccardial infarction. . . . . . . . . . . . .410Other acute and subacute forms of

ischemic heart disease. . . . . . . . . . . . , . . . .411Angina pectoris . . . . . . . . . . . . . . . . . . . . ..4I3Old myocardial infarction and other forms

ofchronicischemic heart disease . . . . . . .412,414CNherdiseaseso fendocardium . . . . . . . . . . .424All other forms of heart

~sease . . . . . . . . . . . . . . . . ...415-423.425-429Hypertension wffh$rwithm!tr enaldisaasa. . ...401.403Cerebrovascular diseases . . . . . . . . . . . . . ..430-438

Intracerebral and other intracranialhemorrhage . . . . . . . . . . . . . . . . . . . ...431-432

Cerebral thrombosis and unspecifiedocclusion of cerebral arteries . . . . . . . . .434.0,434.9

Cerebral embolism . . . . . . . . . . . . . . . . . . ..434. I

520.2

o.;0.50.40.1

●

o.;4.1

0.;

:::

12.0

135.0

2.4

30.2

41.412.713.6

5.1

16.95.0

7.7

1.711.7

0.50.90.3

189.8152.0

1.54.80.5

102.653.7

0.90.2

47.82.5

40.1i.9

27.7

5.2

3.30.1

680.2

0.;0.70.60.2

●

o.;4.9

0.:0.70.0

20.4

166.3

3.8

39.3

61.00.2

17.17.8

20.96.4

9.7

1.812.30.51.00.4

250.5206.7

Q

14:;76.3

k;

66.23.0

52.6

3;:

5.8

3.60.1

390.6

o.;0.30.20.1

●

o.;3.5

*

0.00.30.0

3.8

112.7

1.3

23.2

26.223.112.3

3.0

13.63.9

6.1

1.611.1

0.40.80.3

142.1108.9

1.74.20.5

70.236.0

0.50.2

33.52.2

30.11.7

25.7

4.6

3.00.1

492.8

0.;0.30.20.1

*

0.;3.5

0.;0.40.0

9.8

131.5

2.2

28.6

40.612.512.95.1

16.95.0

7.7

1U0.40.70.3

182.1146.9

1.53.6

10::53.8

0.80.2

47.72.5

36.6

2;2

4.5

3.10.1

644.3

0.;0.40.40.1

●

0.;4.2

0.:0.60.0

17.3

160.3

3.4

37.0

59.00.2

15.78.0

20.96.5

9.7

1.811.30.40.70.3

243.0202.0

1.14.10.4

145.377.2

1.20.2

66.73.0

48.2

2:;

4.9

t?

369.9●

$;0.10.1

●

0.;3.1

0.;0.30.0

2.4

111.2

1.2

22.0

26.522.912.03.0

13.73.9

6.0

U

U0.3

133.9103.1

1.83.0

6~:;35.2

0.40.2

32.92.2

27.2

2;:

4.1

2.80.1

686.7

0.;

;::0.5

●

0.;8.1

0.:0.80.2

23.8

159.7

4.1

42.3

46.213.520.1

4.7

16.64.5

7.8

2?:0.92.20.7

242.2186.1

1.414.3

IOU52.2

1.30.2

46.92.3

55.95.1

43.1

9.8

4.60.1

910.2

0.;3.02.20.8

●

0.;9.:

●

i;

38.6

213.7

7.2

56.6

76,40.3

29.66.7

21.25.8

10.0

2$:1.02.6

30!?238.3

1U1.8

130.067.8

;:

60.22.7

8s.3

4?:

12.0

5.30.1

512.5

o.;

k;0.4

*

●

6.;●

0.;0.1

10.9

122.0

1.7

31.8

24.123.714.73.3

13.03.6

6.1

2;:0.8

E196.8146.9

1.612.5

1.578.840.6

0.80.2

37.12.0

50.5

3;:

8.0

4,10.1

Bothsexes Male Female

- I789.2

0.;2.11.60.6

*

o.;9.5

●

●

::;

30.6

182.0

4.7

46.3

54.015.823.2

5.5

18.84.9

8.8

2.224.8

;:

27%213.5

1.417.4

11$859.0

;:

52.52.6

76.86.1

48.4

10.8

5.20.1

1,061.3

0.;3.42.50.8

●

0.;11.6

●

0.:0.3

50.1

248.1

8.5

62.3

91.00.4

35.67.9

24.66.4

11.5

2.423.6

E1.1

350.1275.9

1.120.5

2.2147.1

77.1

2.10.4

67.53.0

101.96.8

56.1

13.4

6.20.2

581.6

0.;1.20.80.4

●

*

8.;●

0.:0.1

13.9

137.2

1.9

34.8

27.527.516.43.8

14.63.9

6.8

2:::0.92.2

22:;168.1

1:::1.8

86.846.0

:::

41.62.2

58.55.6

42.7

8.6

4.5*

All other and late effects of cerebrovaeculardiseases . . . . -.. . . . . . . . . ...430.433.435-438

Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . ...440Other diseases of arteries, arterioles,

andcapillaries . . . . . . . . . . . . . . . . . . . ...441-448Acute bronchitis andbmnchioliiis . . . . . . . . . . . . ...466Pneumoniaand influenza.. . . . . . . . . . . . . ...480-467

Pneumonia. . . . . . . . . . . . . . . . . . . . . . ...480-466Influenza . . . . . . . . . . . . . . . . . . . . . . . . . . ...467

Chronic obstructive pulmonary diseasesandalliedconditions . . . . . . . . . . . . . . . . ...490-496

Bronchitis, chronic and unspecified . . . . . . ...490-491Emphysema . . . . . . . . . . . . . . . . . . . . . . . . ...492Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . ...493Other chronic Obstructive pulmonary diseases

andallied conditions. . . . . . . . . . . . . . . .494-496Ulcer ofstomach and duodenum . . . . . . . . . . . .531–533Appendicitis . . . . . . . . . . . . . . . . . . . . . . . ..540–543Hernia of abdominal cavity and intestinalobstruction without mention of hernia . . . . , ,550-553,560

Chronic liver disease and cirrhosis . . . . . . . . . . . . .57ICholelithiasis and other disorders of

gallbladder . . . . . . . . . . . . . . . . . . . . . . ...574-575Nephritis, nephritic syndrome, andnephrosis . . ..580-589


Chronic glomerulonephritis, nephriiis andnephropathy, not specified as acute or chronic,and renal sclerosis, unspecified . . . . . .582–583,587

Renal failure, disorders resulting from impairedrenal function, and small kidney ofunknown cause . . . . . . . .584–586,588–589

Infectionsofkidney . . . . . . . . . . . . . . . . . . . . . . ..59oHyperplasiaofprostate . . . . . . . . . . . . . . . . . . . ...600Complications of pregnancy, childbirth,

andthepuerperium . . . . . . . . . . . . . . . . . ...630-676Pregnancywith abortiieoutcome. . . . . . . . ...630-636Other complications of pregnancy, childbirth,

andthepuerperium . . . . . . . . . . . . . . . ...640-676Congenital anomalies . . . . . . . . ., . . . . . . ...740-759Certain conditions originating in the perinatal

period . . . . . . . . . . . . . . . . . . . . . . . . . . ..7677g7gBirlh trauma} intrauterine hypoxia, birth

asphyxia, andrespiretory dietress syndrome. ..767-769Other conditions originating in the perirratal

period . . . . . . . . . . . . . . . . . . . ..760-766.770-779Symptoms, signs, and ill-defined conditions . ...780-799Allotherdiseaees. .,....... . . . . . . . . . . ..ResidualAccidente andadverseeffects . . . . . . . . . . . .E800-E949

Motorvehicle accidents. . . . . . . . . . . . . . .E610-E625All other accidents and adverse

effects . . . . . . . . , . . , . . . . .RXMJ.-E8O7,E826-E9CI9

Suicide . . . . . . . . . . . . . . . . . . . . . . . . . .. E95&E959Homicide andlegal intervention . . . . . . . . . . .E960-E978Another external causes. . . . . . . . . . . . . . . .E98f)-Egg9

19.12.7

5.40.1

14.013.70.3

19.70.83.71.4

13.71.30.1

1.18.6

0.64.3

0.1

0.3

3.90.20.1

0.10.0

0.15.0

6.9

1.5

5.4

3::32.516.5

14.011.510.20.9

20.63.2

8.20.1

18.518.10.4

27.21.05.31.3

19.61.70.2

1.112.2

0.75.4

0.1

0.4

4.80.20.2

. . .

. . .

. . .5.4

7.6

1.8

5.99.4

46.147.726.3

21.419.016.3

1.4

18.02.4

3.40.1

11.010.70.3

14.70.62.61.5

9.91.00.1

1.15.3

0.53.6

0.1

0.3

3.30.3. . .

0.30.0

0.24.6

6.1

1.2

4.85.4

32.317.910.7

7.14.54.20.5

17.82.7

5.40.1

13.413.00.3

20.10.83.91.2

14.2

:?

1.08.0

0.63.6

0.1

0.3

3.30.20.1

0.10.0

0.14.9

5.2

1.2

3.9

3::31.818.6

13.212.25.90.8

19.33.2

8.30.1

17.517.00.4

27.41.05.51.0

19.91.60.1

1.011.5

0.74.6

0.1

0.4

4.20.20.2

. . .

. . .

. . .5.3

5.8

1.4

4.48.0

42.946.426.3

20.120.1

8.91.2

16.72.4

3.3

1::10.30.3

15.20.62.81.3

10.41.00.1

1.04.8

0.53.0

0.0

0.2

2.70.3

0.20.0

0.14.5

4.5

1.0

3.54.5

30.217.611.0

6.64.82.80.4

28.62.7

5.3

1%17.70.2

15.20.52.12.9

9.7

:::

1.612,0

0.69.3

0.1

0.7

8.50.30.1

0.40.1

0.35.2

13.4

2.6

10C913.254.436.818,0

18.87.1

31.41.4

31.63.1

7.00.2

25.425.1

0.2

23.60.83.73.0

16.12.20.3

1.817.2

0.710.9

0.1

1.0

9.80.40.3

,... . .

. . .5.7

14.6

3.1

11.817.467.956.727.3

29.412.153.9

2.2

26.42.4

4.1

1;:12.4

0.1

9.60.3

;;

5.51.10.2

1.47.9

0.68.1

0.1

0.6

7.50.3. . .

0.80.2

0.64.8

12.0

2.1

10.09.6

44.019.69.7

9.8

1:;0.7

32,23.1

5.90.2

19.819.60.2

16.90.52.33.4

10.71.70.2

1.813.7

0.610.8

0.1

0.8

9.80.30.1

0.50.1

0.45.7

16.2

3.1

13.215.563.039.718.4

21.37.0

39.51.6

36.43.6

7.70.2

28.728.4

0.3

26.50.94.13.5

17.92.50.3

2.220.0

0.712.9

0.2

1.1

11.60.40.3

. . .

. . .

. . .6.2

17.9

3.6

14.320.679.762.428.9

33.612.466,7

2.5

29.32.7

4.60.1

13.713.50.1

10.70.31.13.3

6.01.20.1

1.58.7

0.69.4

*

0.6

8.60.3. . .

0.90.2

0.75,2

14.5

2.5

12.011.250.520.4

9.3

11.12.4

13.00.7

“4

cd

----- -.. . . .. . . . . . . . . . . . . . ,.I ame 13. Ueatns arm aeatn rates worn 16 selectea suDcate90rles of Mali9nant neoplasms, including neopiasms of lymphatic and hematopoietic tissues, by race and sex:United States, 199o

[Rates per f 00,000 population in specified group]

All other

A// races Whife Total Black

BothCause of death (Ninth Revision International Classification of Diseases, 1975)

BothMale

Bothsexes

BothFema/e sexes Male Female sexes Male Female sexes Male Fema/e

Malignant neoplasms, including neoplasms of lymphatic and hematopoietictissues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...140-208

Malignant neoplasm of esophagus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...150Malignant neoplasm ofstornacii . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...151Malignant neo!iasms ofcolon. rectum, rectosiamoid function. and anus .153.154Mali&ant neop[asm of pancreas.. . .’ . . . . .. . . . . .. . . . . .. . . . . . . . . . . . . . . ...157Malignant neoplasms of trachea, bronchus, and lung . . . . . . . . . . . ..162Malignant melanoma of skin.,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...172Malignant neoplasm ofcewix uteri. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...180Malignant neoplasms of body ofuterus andofuterus, pati unspecified . . . .179,182Malignant neoplasm of ovary . . . . . . . . . . . . . . . . . ...183.0Malignant neoplasm of prostate.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...185Malignant neoplasm of bladder . . . . . . . . . . . . . . . . . . . . . . ...188Malignant neoplasms ofkidney andother andunspecified utinay organs. . . ..189Malignant neoplasms afbrain andother andunspecfied pads ofnewaus system .191,192Hodgkin’sdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2o1Malignant lymphoma atherthan Hadgkin’s disease . . .200,202Multiple myeloma andother immunopraliferative neoplasms. . . . . . . . . . . .203

Malignant neop[asms, including neoplasmsof Iymohatic and hemata~aietictiss-uesl. . . .. . . . . . . . . . .. . . . .. . . . . . . .. . .. . . . . . . . . . ..’ . . . . . . . . ...14&208

Malianantneadasmo fesoohaaus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..I5oMali@antneaplasm ofetarnacfi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...151Malignant neoplasmsof colon, rectum, rectosigmoid junction, and anus . . . . . . .153,154Malignantneoplasm ofpancreas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..I57Malignantneoplasms oftrachea, bronchus,and[ung. . . . . . . . . . . . . . . ...162Mafignantmelanomaofskin. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...172Malignantneoplasm ofcervixuteri. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...180Malignant neoplasms of body ofuterus andafuterus, patiunspecifled. . . . . . ...179.182Malignantneoplasm ofovary. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...183.0Malignantneoplasm ofprostate. . . . . . . . . . . . . . . . . . . . . . . . . . . . ...185Malignant neaplasm of bladder. . . . . . . . . . . . .Mahgnant neoplasms oftidney andather andunspe&~eh"u"fina" o;ga~~: ::: :: ::

..188

7..189

MaKgnant neoplasms of brain andother andunspecified patiso netvaue system . .191,192Hodgkin’sdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..2o1Malignant lymphoma atherthan Hadgkin’s disease . . . . . . . . . . . . . . . . . . . . .200,202Multiple myeloma and other immunoproliferative neoplasms. . . . . . . . . . . . . . . . ...203

505,3229,719

14,07356,52525,082

141,2856,4204,6276,028

12,56632,37810,34110,31311,630

1,63218,6018,934

203.23.95.7

22.710.156.8

2.6

k:5.1

13.04.24.14.70.77.53.6

268,2837.2138:336

28,173t2,19991,091

3,844

.

. .32,378

6,9106,2716,339

9569,7954,561

221.35.96.9

23.210.175.1

3.2. . .. . .. . .

26.75.75.25.20.88.13.8

237,0392,5065,737

28,35212,88350,194

2,5764,6276,028

12,566

3,tii4,0425,291

6768,8064,373

441,5857,599

11,30949,85821,728

124,6506,2903.5115;066

11,46926,917

9;4309,264

10,8141,471

17,1857,377

186.0 211.62.0 3.64.5 5.4

22.2 23.910.1 10.439.4 59.7

2.0 3.03.6 1.74.7 2.49.9 5.5

. . 12.92.7 4.53.2 4.44.2 5.20.5 0.7

8.2:: 3.5

232,6085,6616,690

24,94310,58279,488

3,778

26,9i76,4035,6445,890

8539,0053,765

227.75.56.5

24.410.477.8

3.7. .

. . .26.4

6.35.55.80.88.83.7

208,9771,9384,619

24,91511,14645,162

2,5123,5115,066

11,469. . .

3,0273,6204,924

6188,1803,612

Rate

196.11.84.3

23.410.542.4

:::

1;::. .

::4.60.67.73.4

t Includes figuras for subcategories not shown.

63,7372,1202,7646,6673,354

16,635130

1,116962

1,0975,461

9111,049

816161

1,4161,557

159.35.36.9

16.78.4

41.60.32.82.42.7

13.7

:::2.0

U3.9

35,6751,5521,6463,2301,617

11,60366

5,461507627449103790796

186.88.18.6

16.98.5

60.80.3. . .. . .. . .

28.6

:::2.40.54.14.2

28,062568

1,1163,4371,7375,032

64l,t16

9621,097

.404422367

6;:761

134.22.75.3

16.48.3

24.10.35.34.65.2. . .

u1.80.3

:::

57,0771,9742,2585,9983,023

15,144106972893959

5,181847945691148

1,1721,453

31,9951,4331,3412,8631,442

10,63251

.5,181

466563372

96651745

3.2 . . .

:? :::17.0 35.92.8 3.23.1 3.92.3 2.6

0.7::: 4.54.8 5.2

25,082541917

3,1351,5814,512

9%893959

iei382319

52521708

156.13.45.7

19.5

2::0.36.15.66.0. . .2.4

::0.33.24.4


Table 14. Deaths and death rates by 10-year age groups and age-adjusted death rates for Human immunodeficiency virus infection, byrace and sex United States, 1989-90

[Human immunodeficiency virus infection deaths are those assigned to categov numbers ‘042-’044 introduced in the United States in 198Z see Technical notes]

Age,4ge-

All Under 1=$ 5-14 15-24 25-34 35-44 45-54 55-64 65–74 75-64 85 years adjusted

Year, race, and sex ages 1 1 year2 years years years years years years years years years and over rate3

1990

All races . . . . . . . . . . . . .Male. . . . . . . . . . . . . .Female . . . . . . . . . . . .

While, . . . . . . . . . . . . . .Male . . . . . . . . . . . . . .Female . . . . . . . . . . . . .

Another . . . . . . . . . . . . . .Male . . . . . . . . . . . . . . .Female . . . . . . . . . . . . .

Black . . . . . . . . . . . . . . .Male . . . . . . . . . . . . . . .Female . . . . . . . . . . . . .

1989

All races . . . . . . . . . . . . . .Male . . . . . . . . . . . . . . .Female . . . . . . . . . . . . .

White . . . . . . . . . . . . . . . .Male . . . . . . . . . . . . . . .Female . . . . . . . . . . . . .

Another . . . . . . . . . . . . . .Male, . . . . . . . . . . . . . .Female . . . . . . . . . . . . .


1990

All races . . . . . . . . . . . . . .Male . . . . . . . . . . . . . . .Female . . . . . . . . . . . . .

White. .Male.:::::;::::::::Female . . . . . . . . . . . . .

Another. . . . . . . . . . . . . .Male . . . . . . . . . . . . . . .Female . . . . . . . . . . . . .

Black . . . . . . . . . . . . . . .Male. . . . . . . . . . . . . . .Female . . . . . . . . . . . . .

1989

Allraces . . . . . . . . . . . . . .Male . . . . . . . . . . . . . . .Female . . . . . . . . . . . . .

White. ,,, . . . . . . . . . . . .Male . . . . . . . . . . . . . . .Female . . . . . . . . . . . . .

Another . . . . . . . . . . . . . .Male. . . . . . . . . . . . . . .Female . . . . . . . . . . . . .


25,18822,386

2,80217,25516,106

1,1497,9336,2801,6537,7306,0971,633

22,08219,7582,324

15,09514,114

9816,9875,6441,3436,7955,4751,320

10.118.5

2.28.3

15.61.1

19.632.9

7.925.442.310.2

6.916.4

1.87.3

13.90.9

17.630.1

6.522.536.4

8.3

1064658301612763046

763046

1205466522725682741662741

2.72.43.01.0

**

;:;11.411.99.3

14.6

3.12.73.51.71.71.78.56.7

10.410.9

8.613.3

123626146192777433476

z

1125359441331684028684026

0.80.80.60.4

*

0.52.62.82.33.33.63.0

0.60.70.80.4

*

0.52.32.72.03.03.52.5

644539261513563026542925

644123412912231211221210

0.20.30.20.1

●

0.;0.90.81.01.10.9

0.20.20.10.10.2

*

0.3●

*

0.4*●

541412129312256

56229156

2;;15373

613502111364312

5224919059

24216456

1.52.20.71.01.70.43.34.42.14.25.72.7

;::0.61.22.00.43.65.4

::;6.82.1

6,4637,4331,0505,6195,196

4232,8642,237

6272,8022,180

622

7,7596,806

9535,1374,752

3652,6222,054

5662,5591,997

562

19.734.5

4.915.728.8

3E64.016.351.084.121.4

17.931.5

lZ26,2

2.236.259.5i 4.946.677.419.4

10,2659,284

9617,0806,716

3643,1852,568

6173,1002,493

607

8,5637,840

7235,8275,572

2552,7362,268

4682,6612,201

460

Rate

27.450.2

5.222.442.5

2.355.195.420.073.1

127.126.6

23.543.6

Iti36.1

1.649.488.115.665.3

116.921.0

3,8123,565

2472,8482,742

106964823141930789141

3,2853,083

2022,4462,354

92839729110809701108

15.229.1

1.913.225.8

1.027.751.2

7.535.967.110.0

13.325,6

1.611,522.5

0.924.746.5

3!$60.6

7.7

1,3141,191

123950680

70364311

53353303

50

1,1441,054

8ti807

53284247

37272239

33

6.212.0

1.1

1?:0.7

14.027.2

3.617.534.5

4.4

5.410.50.64.69.10.5

11.021.8

lE27.1

2.9

369289

80274220

5495692690

x

327260

22197527663

E6214

:;0.81.73.10.65.18.92.4

1~62.6

:::0.71.62.60.64.26.2

5.;10.2

*

664224

::17147

1:77

70442660402010

46

1046

0.71.10.40.61,0

**●

**●

●

0.71,20.40.71.20.4

●

*****

1246617431431

128

1:

:22

Y1

**●

*●

●

●

**●

*●

************

. . .

. . .

.,,

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .

. . .,... . .. . .. . .. . .. . .. . .. . .. . .. . .. . .

1;:;2.1

1:::1.1

19.733.6

7.625.744.2

9.9

8.715.6

1.87.1

13.20.9

17.730.9

2:::40.3

8.1

i Figures for age not stated included in All ages but not distributed among age groups.‘Death rates underl year (based onpopulation estimates) tifferfrom inkntmotihty rates (based on Kve Mflhs); seetables Eand22-26for infant motiti~rates and TechniMl notes fortiflherdiscussion of the difference.%rmethodof computetion,se eTechnical nOteS.

NOTE Fiates for 1989 have been revised; see Technical notes.

34 ~ Monthly Vital Statistics Report ● Vol. 41, No. I’(S)● JanUa~ 7, 1993 ~

Table 15. Deaths and death rates for major causes of death for the United States, each division, and State; and by race and sex for theUnited States, 1990

[Rates per 100,000 population in each race-sex group and area. Numbers after cause of death are category numbers of the Ninth Revision /rrternationa/ Classification ofDiseases, Ig751

Diseases of heart

(390-398, 402,404-429)

Ma/ignantneop/asms,

inc/udingneOp/asms

of /ympfra tic andhernatopoletic

tissues(140-208)

Race, sex, and area Number Rate Number Rate

Cerebrovascular Accidents and Motor vehiclediseases adverse effects accidents Suicide

(430-438) (E800-E949) (E81O-E825) (E950-E959)

Number Rate Number Rate Number Rate Numbar Rate

United States . . . . . . . . . . .Male . . . . . . . . . . . . . . .Female ...,,....,,..

White ..,..,.,,...,,,.Male . . . . . . . . . . . . . . .Female . ., . . . . . . . . . .

Another. . . . . . . . . . . . . .Male. . . . . . . . . . . . . . .Female . . . . . . . . . . . . .

Black, . . . . . . . . . . . . . .Male. , ...,....,,,..Female . . . . . . . . . . . . .

New England . . . . . . . . . . .Maine .,,....,...,,,NewHampahire.Vermont, . . . . . . . . . . . .Massachusetts.RhodeIsland. .Connecticut . .

Middle Atlantic. . .New York..,,....,,.,New Jersey.,.,,.,,,,.Pennsylvania, .

East North Central. .Ohio. . . . . . . . . . . . . . .Indiana . . . . . . . . . . . . .Illinois ...,....,..,.,Michigan, . . . . . . . . . . .Wisconsin . . . . . . . . . . .

West North Central . . .Minnesota . . . . . . . . . . .Iowa . . . . . . . . . . . . . . .Missouri, . . . . . . . . . . . .North Dakota. ..,......South Dakota .,,.....,Nebraska . . . . . . . . . . . .Kansas . . . . . . . . . . . . .

South Atlantic. . . . .Delaware . . . . . . . . . . . .Maryland .,, ,. . . . . . . .Districtof Columbia. . .Virginia ...,,.....,,.West Virginia. , .North Carolina. . .South Carolina. . .Georgia. ,, . . . . . . . . . .Florida. . . . . . . . . . . . . .

East South Central . .Kentucky, . . . . . . . . . . .Tennessee . . . . . . . . . . .Alabama, . . . . . . . . . . .Mississippi . . . . . . . . . . .

WestSouth Central. . . .Arkansan . . . . . . . . . . . .Louisiana . . . . . . . . . . . .Oklahoma . . . . . . . . . . .Texas, . . . . . . . . . . . . .

720,058360,788359,270

637,364319,362318,002

82,69441,42641,26875,11137,03838,073

38,7023,6972,7921,426

17,7543,4379,596

130,76263,62923,65943,494

129,17134,66516,96835,30027,62614,61255,17110,7779,565

17,8241,9492,3305,0397,667

128,2591,894

11,9021,887

15,3997,099

18,5649,333

16,33945,84249,49411,88215,49812,8949,220

70,8507,991

12,42210,86239,555

289.5297.6281,8

305.4312.7298.4206,7216,9197.4246.4256.8237.0

293.0301.1251.7253.4295.1342.5291.9347,8353.7306.1366.1307.5319.6306.1308.8297.2296.7312.4246.3345.2348.3305.1334.8319.3309.5294,4284,3248,9310,9248,9395.8280,1267.7252.2354.3326.1322.4317.8319.1358.3265,3339.9294.4345.9232.9

505,322268,283237,039

441,585232,606208,977

63,73735,67528,06257,07731,99525,082

26,7402,7922,1221,136

13,4442,4276,819

86,19638,41517,93129,85088,81823,97311,66224,43918,44910,29536,645

6,1226,076

11,6081,3391,3653,2995,036

93,8311,5019,8321,547

11,6244,408

13,2296,791

11,03533,86432,901

8,42610,493

8,6575,325

49,6865,7028,6956,656

28,633

203.2221.3186.0

211.6227.7196.1159.3186,8134.2187.2221.9156.1

217.6227.4191,3201,9223,5241,9207,4229.2213.5232.0251.2211.4221.0210.3213.6198.5210.5208.6185.6218.8226.8209,6196,1209.0203,3215,4225,3205,6254.9167.9245.8199.6194.8170.3261.7216.8228.6215.1214.3206.9186.1242.6206.0211.6168.6

144,08856,69787,391

124,52648,02476,50219,562

6,67310,88917,407

7,6539,754

7,138719561301

3,301557

i ,69920,463

6,7613,9777,725

24,9846,3083,6986,7075,1083,165

12,0402,8372,0423,446

426508

1,0741,707

26,832324

2,229374

3,5201,1824,4592,4253,8218,498

10,7302,4293,5882,8971,818

15,1222,0762,3962,1968,454

57.946.868.6

59.747.071.846.945.452.157.153.160.7

54.056.650.653.554.955.551754.448,751.465.059.558,166,758.755.064.766,264.873587.366.773.068.088.961.648,646.661.656,965,967369.559.065.770765973671.770656.688.356.869.849.8

91,98361,93830,045

76,93451,34825,58615,04910,5904,459

12,4198,7563,663

3,710413326194

1,543280954

11,2605,0612,0944,125

14,5343,6782,0583,9843,1621,6526,7501,4651,0462,171

233327576932

17,525243

1,419199

2,194844

2,9141,6682,6745,1707,6321,6932,3212,3251,493

10,8271,1841,9271,3508,366

37.051.123.6

36.950.324.037.655.521.340.760.722.8

28.133.629,434,525.627.929.030.028.127.134.734.633.937.134.934.033.838.233.537.742.436.547.036.537.640.236.529.732.835.547.144.047.844,440,051,645,947,657.558.040.550.445.742.937.5

46,81432,40614,408

39,65127,28812,3637,1635,1182,0455,5604,0461,514

1,66721016490

680104419

5,1652,409

9361,6407,1571,729i ,0681,8451,687

8083,275

660492

1,082120163283475

9,384142702

711,059

4721,467

9421,6502,8794,166

8581,2101,241

8575,686

633979717

3,359

18.826.711.3

19.026.711.617.926.8

9.818.228.1

9.4

12.617.114.816.011.310.412,713.613.412.115.517.015.919.616.118.116.518.515.117.721.118.823.417.919.221.521.314.711.717.126.322.127.025,522,327.523.324.830.733.321.326.923.222.819.8

30,90624,724

6,182

26,08622,446

5,6382,8202,276

5442,1111,737

374

1,34215514984

528127299

3,5721,653

5671,4524,767f,188

7281,1581,073

6202,271

546336708

73

2:;297

5,95080

48637

799219929434880

2,0862,005

549663514269

3,449293558392

2,206

12.420.4

4.8

13.522!0

5.3

1;2.6

1::2.3

10.212.613.414.98.8

12.79.19.58.67.3

12.211.311.013.110.111.512.712.912.512.113.8fl.413.113.912,013.712.010.2

1:::12.214.012.413.616.1f3.214.913.412.711.212.912.513.212.513.0

Monthly Vital Statistics Report ● Vol. 41, No. 7(S) ● January 7, 1993 ~ 35

Table 15. Deaths and death rates for major causes of death for the United States, each division, and State; and by race and sex for theUnited States, 1990 -Con.

[Rates per 100,000 population in each race-sex group and area. Numbers affer cause of death are category numbers of the Ninth Revision /ntema’Ilona/ C/assii7cstion ofDiseases, 19751

Malignantneoplasms,

includingneop/asms oflymphatic and

Diseases of Frean’ hematopoietk Cerebrovascular Accidents and Motor vehicle

(39C-398, 402, tissues diseases adverse effects accidents Suicide

404-429) (140-208) (430-438) (E800-E949) (E810-E825) (E950-E959)

Race, sex, and area Number Rate Number Rate Number Rafe Number Rate Number Rate Number Rate

Mountain . . . . . . . . . . . . .Montana . . . . . . . . . . . .Idaho . . . . . . . . . . . . . .Wyoming . . . . . . . . . . . .Colorado . . . . . . . . . . . .New Mexico . . . . . . . . . .Arizona . . . . . . . . . . . . .Utah . . . . . . . . . . . . . . .Nevada . . . . . . . . . . . . .

Pacific . . . . . . . . . . . . . . .Washington . . . . . . . . . .Oregon . . . . . . . . . . . . .California . . . . . . . . . . . .Alaska . . . . . . . . . . . . . .Hawaii . . . . . . . . . . . . . .

28,7201,9792,212

972

210.3247.7219.7214.3

22,1401.621

162.1202.9172.6161.2149.8149.5186.5102.4187.0169,1165,0212,9164,685,4

149,3

6,054493546211

1,325554

1,735675513

44.361.754.446.540.236.647.339.2

5,708398477203

1,128796

1,628563513

13,8171,7881,143

10,172393321

41.849.847.444.834.252.744.432.742.735.336.740.234.271.429.0

3,088205250

5%455893292320

7,204912559

5,454100

22.625.724.821.817.4

2,52116719281

18.520.919.117.916.8

1:738731

4,9352,2656,8371,7652,248

66,1659,0046,050

48,986470

1,655

554283686

6,1443,0038,8072,7392,864

88,90911,2387,599

186.5198.2 30.0

24.416.926.618.418.719.718.318.2

18.718.715.324.512.913.915.8

240.3159.0238.3227.2

264294

5,029677449

42.753.056.066.252.018.747.8

20,7252,7241,863

15,485103530

230.9267.4227.0

60.7186.6

12.512.711.3

67;560

2,% 179 16.2

NOTE Caution should be used in comparing crude death rates by State.Death rates are affected by the population composition of the area.

Table 16. Deaths byageaccording tospecified Hispanic origin, race fornon-Hispanic origin, andsex: Total of45Statesj New York State(excluding New York City), and the District of Columbia, 1990

[For a listing of States, see Technical notes]

Hispanic origin, race for Under 1-4 5–14 15-24 25-34 3544 45=54 55-64 65-74 75-84 85 years Notnon-Hispanic on”gin, and sex Total 1 year years years years years years years years years years andover stated

AllorJ~es . . . . . . . . . . . . . . . 1,970,3371,021,783

Femaii:::::::::::::: 948,554

35,03019,97015,060

4,2282,3731,8552,9521,6561,296

363205156

:;

2::166129537301236

6,3543,6582,696

836464352566329237

77482919

8

;A

%985345

7,7524,7013,051

823503320550340210

7046241912

774031

1136548

33,29825,231

8,067

4,0853,377

7082,9402,477

463259195646247

3E308

53463350113

28,91521,614

7,30120,68315,2125,4717,1405,5841,556

298240

58

53,44439,21014,234

5,4184,4121,0063,3142,772

542554413141259216

5::441121729570159

47,45934,35513,10433,16724,279

8,88812,9599,1643,795

567443124

74,13750,79023,347

5,1593,9061,2532,8822,153

729588450138357298

5%364146622641181

68,22546,32521,90049,79434,11515,67916,68011,0875,593

753559194

107,41967,47439,945

5,3713,5481,8233,1182,0421,076

509341168497363134414243171633559274

101,06563,25737,80878,90249,59329,30919,89212,3147,576

983669314

231,828142,096

89,732

8,7905,4523,3385,2963,2472,051

701442259936626306464254210

1,391881510

221,162135,37385,789

183,892113,64770,24533,62119,65213,969

1,8761,271

605

441,097255,489185,608

11,9116,6935,2167,0013,9763,025

793430363

1,478901677488212276

2,1511,174

977

553,839272,737281,102

12,7726,4576,3156,9713,5643,407

804400404

2,0861,0291,057

533218315

2,3781,2461,132

425,603140,037285,566

9,1863,7215,4654,9782,0382,940

438174264

1,385514871344121223

2,041874

1,167

414,249135,544278,705383,063124,220258,843

27,5249,668

17,856

2,168772

1,396

536390146

9486

85448

!2

;2

i4

3;30

1

248160

1‘%

::97

:;

19414450

Hispanic . . . . . . . . . . . . . . . .Male . . . . . . . . . . . . . . .Female . . . . . . . . . . . . . .

Mexican . . . . . . . . . . . . . . .Male . . . . . . . . . . . . . . .

68,67341,01227,66140,62424,64215,9825,1593,1462,0137,1814,0633,1184,1222,4171,705

11,5876,7444,843

Female . . . . . . . . . . . . . .Puerto Fiicen . . . . . . . . . . . .

MaleFemale::::::::::::::

Cuban . . . . . . . . . . . . . . . .Male . . . . . . . . . . . . . . .Female . . . . . . . . . . . . . .

Central and South American . .Male . . . . . . . . . . . . . . .Female . . . . . . . . . . . . . .

Ot~heind unknown Hispanic. .

Female::::::::::::::

Non-Hispanic 1Male..,::::::::::::Female . . . . . . . . . . . . . .

White . . . . . . . . . . . . . . . .MaleFemale::::::::::::::

Black . . . . . . . . . . . . . . . . .Male . . . . . . . . . . . . . . .Female . . . . . . . . . . . . . .

1,887,983972,614915,169

1,636,015834,188801,827225,718123,446102,272

30,23117,28312,94818,74510,9087,837

10,4656,7914,674

5,4583,1432,3153,6812,1301,5511,512

848664

6,8474,1542,6934,9733,0211,9521,591

967624 21 ;645 24;286

Notstatedz . . . . .. . . . . . . . . . 13,681 571Male 7,957 314 :: %Femal~:::::::::::::: 5,724 257 29 38

2,961 3,1681,818 1,6521,143 1,516

1Includes races other than white and black.21ncludes deaths that occurred in States that did not report Hispanic origin on the death ce~fkate.


Table 17. Deaths for the 10 leading causes of death for Hlspanlc and white non-Hispanic origin, for specified age groups: Total of 45States, New York State (excluding New York City), and the District of Columbia, 199o

[For explanation of asterisk preceding cause-of-death codes, see Technical notes. For a Iistino of States. see Technical nnte~l

Hispanic

Cause of death and ageRank (Ninth Revision International Classificationorder of Diseases, 1975) Number

. . .12

3. . .. . .

456

:

910

,..1.....

2

34567

89

10

. .1

234

56

:9

10

. . .

All ages 1All causes.,.....,......,.. . . . . . . .

Diseases of heart. . . . ,390-398,402,404-429Malignant neoplasms, including neopiasms of

lymphatic and hematopoietic tissuas .140–208Accidents and adverse effects . .E800–E949

Motor vehicle accidents ,E81 O-E825All other accidents and adversedfi?CtS . . .E800–E807,E826-.E949

Cerebrovascular diseases . . . . ..430-438Homicida and legal intervention .E960-E978Diabetes mellitus, , . . . . . . . . . . . . . . . . ...250Pneumonia and influenza . . ,480-487Human immunodeficiency virus

infection ..,.......,,.....,.. .’042-’044Chronic liver disease and cirrhosis, . ,57 ICertain conditions originating in the perinatal

period, . . . . . . . . . . . . . . . . . . . . ..760-779Another causes,...,.,,,,,, . . . . .. Residual

1–14 yearsAll causes . . . . . . . . . . . . . . . . . . . . . . .

Accidents and adverse effects . ., .E600-E949Motor vehicle accidents . . . .E81O-E825All other accidents and adverse

dfeCtS. . . .E80C-E807,E826-E949Malignant neoplasms, including neoplasmsof

Lymphatic andhematopoietic tissues ,140-208Congenital anomalies. . . . . . . . . . ..740-759Homicide and legal intervention . .E960-E978Diseases of heart. .390-398,402,404-429Pneumonia and influenza ..480-487Certain conditions originating in the perinatal

period . . . . . . . . . . . . . . . . . . . . . ..760–779Suicide, . . . . . . . . . . . . . . . . . . . .. E95GE959Cerebrovascular diseases. . .430+38Septicemia, . . . . . . . . . . . . . . . ...,..,.038All other causes..,...,.,,.. ,., .,. Residual

15–24 yearsAll causes, ,, . . . . . . . . . . . . . . . . . .

Accidents and adverse effects .E800–E949Motor vehicle accidents . .E81O-E825Ail other accidents and adverse

effects, .E800-E807,E826-E949Homicide and legal intervention .E960–E978.%iCide, . . . . . . . .. E950 . . . . . . .. E95O--E959Malignant neoplasms< including neoplasms of

Lymphatic andhematopoietic tissues .140-208Diseases of heart. . . . . . .390-398,402,404-429Human immunodeficiency virus

infection ..,,..,....,,. ,., .,. .* O42–*O44Congenital anomalies. .740-759Cerebrovascular diseases. . .430-438Pneumonia and influenza ..480-487Complications of pregnancy, childbirth, and the

puerperium . ., .,, . . . . . . . . . ... ,.830+376All other causes . . . . . . . . . . . . . ,.. ,, Residual

68,673

16,903

12,7596,6344,064

2,5503,6553,2592,5012,106

2,0992,037

1,80614,912

1,659

663344

319

183156137

4427

21201716

375

4,085

1,731,315

416,225384

17071

62373119

3::

Wh/te non-Hispanic

Cause of death and ageRank (Ninth Revision International Classificationorder of Diseases, 1975) Number

,.,12

34

5. . .

6789

10,..

1.,.. .

2

345678

910

.,.

. .

1,..

. .

234

5678

1:

. . .

All ageslAll causes....,........,,.. . . . . . . . . . .

Diseases ofheati. . . ., . ,390_398,41)2,404_429Malignant neoplasms, including neoplasms of

Lymphatic and hematopoietic t!ssues . . .140-208Cerebrovascular diseases. . . . . . . . . .430-438Chronic obstructive pulmonary diseases and

allied conditions . . , . , . . . . . . . . .490-496Accidents and adverse effects . . . . . . ,E800–E94g

Motor vehicle accidents , . . . . . . .E810-E825All other accidents and adverse

effeti, . . . . . . . . .E800-E807,E826-E949Pneumonia andlnfluenza . . , . , . .480-467Diabetes meilitus, . . . . . . . . . . . . . . . . . . ..25oSuicide . . . . . . . . . . . . . . . . . . ... ,E950-E959Chronic liver disease and cirrhosis. . . . . . .571Atherosclerosis . . . . . . . . . . . . . . . . . . . . ..44oAll other causes . . . . . . . . . . . . . . . . .. Residual

1–14 years

All causes . . . . . . . . . . . . . . . . . . . . . . . . . . .

Accidents and adverse effects . . . , . .E800–E949Motor vehicle accidents . . . . . . . . . .E810-E825All other accidenta and adverse

effects. . . . . . . . . . . . .E800-E807,E826-E949Malignant neoplasms, including neoplasms of

lymphatic andhematopoletlc tissues . . . .140–208Congenital anomalies. . . . . . , . . . . . . .740–759Diseases of heart. . . . . . . .390-398,402,404-429Homicide andlegal intewention . . . . . .E960-E978Suicide . . . . . . . . . . . . . . . . . . . . .. E950-Eg59Pneumonia and influenza . . . . . . . . ,480-487Benign neoplasms, carcinoma in situ, and

neoplasmsof uncertain behavior and ofunspecified nature. . . . . . . .210–239

Septicemia . . . . . . . . . . . . . . . . . . . . . ...038Certain conditions originating in the perinatal

period, . . . . . . . . . . . . . . . . . . . ., .760-779All other causes . . . . . . . . . . . .,. .. Residualal

15-24 yearsAll causes.....,,,....,.. . . . . . . . . . . . .

Accidents and adverse effects . . . . . .E800-E949Motor vehicle accidents . . , . . . . . .E810-E825All other accidents and adverse

effects. . . . . . . . . . .E800-E807,E826-E949Suicide . . . . . . . . . . . . . . . . . . . . .. E95O-E959Homicide and legal intervention . . . . . .E960–E978Malignant neoplasms, including neoplasms of

Lymphatic andhematopoietic tiasues . . . .140-208Diseases of heart, . . . . . . ,390-398,402,404-429Congenital anomalies. . . . . . . . . . . . . ,740-759Human immunodeficiency virus infection .’042–’044Cerebrovascular diseases, . . . . . . . . . .430-438Pneumonia andinfluenzs . . . . . . . . . . .480-487Chronic obstructive pulmona~ diseases and

allied conditions . . , . . . . . . . . . . . . .49&496All other causes . . . . . . . . . . . . . .,. .. Residual

1,636,015

564,903

395,245112,610

73,44464,66832,931

31,73762,35733,52724,69517,78015,049

271,337

8,654

3,6271,797

1,830

1,038832327283186171

12181

1,97:

20,683

11,1598,923

2,2383,5281,316

1,191495310193134118

2,1:

Sse footnote at end of table.


Table 17. Deatha for the 10 leading causes ‘of death for f+spanic and white non-1 -lispanlc origin, for specified age groups: Total of 45States, New York State (excluding New York City), and the District of Columbia, 1990–Con.

[For explanation of asterisk preceding cause-of-death codes, see Technical notes. For a listing of States, see Technical notes]

Hispanic

Cause of death and age

Rank (Ninth Revision International Classification

order of Diseases, 1975) Number

. .1.....

2

34

5678

1:...

,..1

234

. . .

. . .

567

89

10. . .

. . .

;

3456

7. . .. . .

89

10. . .

25-44 yearsAll causes . . . . . . . . . . . . . . . . . . . . . . . . . . .

Accidents and adverse effects . . . . . . .E80C-E949Motor vehicle accidents . . . . . . . . . .E81 C-E825All other accidents and adverse

effects. . . . . . . . . . . . .E80C-E807,E826-E949Human immunodeficiency virus

infection . . . . . . . . . . . . . . . . . . . . .*042-*044Homicide and legal intervention . . . . . .E960-E976Malignant neoplasms, including neoplasms of

lymphatic and hematopoietic tissues . ...140-206Suicide . . . . . . . . . . . . . . . . . . . . . .E950-E959Diseases of heart. . . . . . . .390-398,402,404-429Chronic liver disease and cirrhosis. . . . . . . . .571Cerebrovascular diseases . . . . . . . . . ...430-438Pneumonia and influenza . . . . . . . . ...480-487Diabetes mellitus . . . . . . . . . . . . . . . . . . ...250All other causes . . . . . . . . . . . . . . . . .. Residual

45-64 yearsAll causes . . . . . . . . . . . . . . . . . . . . . .

Malignant neoplasms, including neoplasms oflymphatic and hematopoietic tissues f 40-208

Diseases of heart. . . . .390-398,402,404-429Chronic liver disease and cirrhosis. ..571Accidents and adverse effects .E800-E949

Motor vehicle accidents . . . .E81 O-E825All other accidents and adverse

effects . . . . . . . . . . . . .E800-E807,E826-E949Cerebrovascular diseases. . . .43 C-438Diabetes mellitus . . . . . . . . . . . . . . . . . . ...250Human immunodeficiency virus

infection . . . . . . . . . . . . . . . . . . . ..’042–’044Homicide and legal intervention . . . .E96C-E978Suicide . . . . . . . . . . . . . . . . . . . . .. E950-E959Pneumonia and influenza . . . ..480-487All other causes . . . . . . . . . . . . . . . . .. Rasidual

65 years and overAll causes . . . . . . . . . . . . . . .

Diseases of heart. . . . . .390-398,402,404-429Malignant neoplasms, including neoplasms of

lymphatic and hematopoietic tissues . . .140-208Cerebrovascular diseases . . . . . . . . . .430-438Diabetes mellitus . . . . . . . . . . . . . . . . . . ...250Pneumonia and Influenza . . .460-487Chronic obstructive pulmonary diseases andallied conditions . . . . . ,490-496

Accidents and adverse effects . .E80C-E949Motor vehicle accidents . . . . . . . . .E81 O-E825All other accidents and adverse

effects, . . . . . . . . . . . .E800-E807,E826-E949Chronic liver disease and cirrhosis. ..571Nephritis, nephrotic syndrome, and

nephrosis . . . . . . . . . . . . . . . . . . ...560-569Septicemia . . . . . . . . . . . . . . . . . ., . . ...038A\l other causes . . . . . . . . . . . . . . . . .. Residual

10,577

2,5911,591

1,000

1,6411,537

1,078648626516259118

971,464

14,161

4,0653,656

953880529

351716685

351261231223

2,140

33,889

12,419

7,2522,6221,7101,633

1,201611251

360552

471392

5,006

White non-f- fisparric

Cause of death and ageRank (Ninth Revision International Classification

order of DLseases, 1975) Number

1.

,..

2

3456789

10. . .

1

23.

. .

4

5676

1:

. . .

.

12

34

567

.,.

. . .

89

10. . .

25-44 yearsAll causes . . . . . . . . . . . . . . . . . . . . . . . . . . .

Accidents and adverse effects . . . . . . .E600–E949Motor vehicle accidents . . . . . . . . . .E81 O-E825All other accidents and adverse

effects . . . . . . . . . . . . .E600-E807,E826-E949Malignant neop!asms, including neoplasms of

lymphatic and hematopoietic tissues . ...140-208Suicide . . . . . . . . . . . . . . . . . . . . . .E950-E959Diseases of heart. . . . . . . . .390-398,402,404-429Human immunodeficiency virus infection .’042-’044Homicide and legal intervention . . . . . .E960-E978Chronic liver disease and cirrhosis. . . . . , . . .57 ICerebrovascular diseases. . . . . . . . . ...430-438Diabetes mellitus . . . . . . . . . . . . . . . . . . ...250Pneumonia andinfluenze . . . . . . . . . ...480-487All other causes . . . . . . . . . . . . . . . . .. Residual

45-64 yearsAll causes . . . . . . . . . . . . . . . . . . . . . . . . . . .

Malignant neop!asms, including neoplasms ofLymphatic andhematopoiefic tissues . ...140-206

Diseeaes of heart. . . . . . . . .390-398,402,404-429Accidents andadverse effecta . . . . . . .E800-E949

Motor vehicle accidents . . . . . . . . . .E81O-E825All other accidents and adverse

effects . . . . . . . . . . . . .E800-E807,E826-E949Chronic obstructive pulmonay diseases and allied

conditions . . . . . . . . . . . . . . . . . . ...490-496Cerebrovascular diseases. . . . . . . . . . . .43W8Chronic liver disease and cirrhosis. . . . . . . ...571Suicide . . . . . . . . . . . . . . . . . . . . .. E950-E959Diabetes melliius . . . . . . . . . . . . . . . . . . ...250Pneumonia andlnfluenza . . . . . . . . . ...480-487Human immunodeficiency virus

infection . . . . . . . . . . . . . . . . . . . . .*042-*044All other causes . . . . . . . . . . . . . . . . .. Residual

65 years and overAll causes . . . . . . . . . . . . . . . . . . . . . . . . . . .

Diseases of heart. . . . . . . . .390-398,402,404-429Malignant neoplaems, including neoplasms of

~mphatic andhematopoietic tissues . ...140-208Cerebrovascular diseases. . . . . . . . . ...430-436Chronic obstructive pulmonary diseases and

allied concfitions . . . . . . . . . . . . . . ...490-496Pneumonia and influenza . . . . . . . . . . ..480-487Diabetes mellitus . . . . . . . . . . . . . . . . . . ...250Accidents and adverse effects . . . . . . .E800-E949

Motor vehicle accidents . . . . . . . . . .E81O-E825All other accidents and adverse

effects. . . . . . . . . . .E800-E607,E826-E949Atherosclerosis . . . . . . . . . . . . . . .,, . . ...440Nephritis, nephrotic syndrome, and

nephrosis, . . . . . . . . . . . . . . . .,.,.560-589Septicemia . . . . . . . . . . . . . . . . . . . . . ...038All other causes . . . . . . . . . . . . . . . . .. Residual

82,961

18,25311,230

7,023

14,8449,5219,1908,7963,5212,4141,7041,4281,000

12,290

262,794

100,51376,66410,1655,111

5,054

10,1149,1257,0775,9865,9853,666

2,71730,782

1,242,036

477,813

277,594101,701

62,66357,14226,02920,974

5,749

15,22514,386

12,72711,214

179,793

Ilnc!udes deaths underl year of age,

38 ~ Monthly Vital Statistics Report ● Vol. 41, No. 7(S) ● January j’, 1ggs ~

Table 18. Deaths and age-adjusted death rates for drug-induced causes, by race and sex: United States, 1979-90

[Ratee per 100,000 population in specified group, For Iieting of drug-induced causes, see Technical notes]

,4// other


BothYear

BothMale

Bothsexas

BothFemale sexes Male Female sexes Male Female sexes Male Female

199019891988198719861985198419831982198119801979

Number

9,46310,71010,9179,7969,9768,6637,8927,4927,3107,1066,9007,101

3,64.14.23.84.03.53.23.13.13.13,03.1

5,897 3,5668,895 3,8157,004 3,9136,146 3.650

7,6038,3368,4097,5477,9486,9466,3096,1875,9915,8635,8146,116

3.33.73,83.43,73.33.03.02.92.92.93.1

4,6465.249

1,8602,3742.508

,. ...

. . . .

. . .

.,, . .

,, . . .,, . . .,. .,,. . .

. . .

. . .

,. .,.. .

... ,,... ,

. ...,

. .

. . .

. .,., ,.,., . .,. ...,., ,,

1,2511,8461,7701,5461,3991,1701,053

767

609728738703629547530538440450403406

2,83.43.63.53.22.92.93.0

::;2.52.6

1,7032,2362,3952,1011,9061,6001,4801,1941,2121,1521,006

897

5.77.58.37.46.95.95.54.64,74.64.13.7

1,1551,5701,7001,4651,3351,107

997724822751648540

8,411.412.911.310.58,98.26.16.96.65.84.9

548666695636571493483470390401358357

3.44.14.44.13.73.33.33.32,82.92,72.7

.,, .,.,

. . . . . .,. . . ,....,.

...,.. . . . .,. . . .

... ,., ,,

., ..., ,,,. ..,. .,., ..., .,

. . . . ,,

. . . . .

. . . .

2;2492,0281,7171,5831,3051,3191,2431.086

6,284 3;6925,342 3,3214,640 3,2524,145 3,3474,130 3,1803,835 3,2713,771 3,1293,656 3,445

. . .,. .... . . . 879

793683579

. ...,

. . . . ’985

Age

4.24.84,94.34.74.03.53.33.33.13.2

adjusted death rate 11990 .,...19892, . .19882 . . . . .19872 . . . . .19862.19852 ... .19842.19832.19822. ::::19812 .,,,.1980 ..,,.

4.6 2,65.4 2.8

2.52,62.72.52,72.52.52.52.52.72.6

4.66.06.6 1:::6.0 9.0

6.7. . . . ..,, ,.

. . .

. . ..

.

. . .

...,

,. .,.. . .. . .

. . .. . .. ....,

. ...,

. .,,, ,.,., .,,. .,.

., ..., ,.

. . . ,,... ,,.

... ,..

. . . . ,,. . . ,,. . . . . . ,.. . . . . ,.. . .,

... ,,, ,.

... ,,. ,.

5.6 2.95.0 2.75.2 2.8 5.6

4.94.64.04.1

H6.7

4.5 2.63.9 2.63,6 2.63.6 2.63.4 2.7

5.15.8

4.03.73.4

5.54.94.3

3.4 2.63,4 2,91979 ..,.. 3.2 3.0

1For method of computation, ses Technical notes.2Ratesare revised and, therefore, may differ from those published in Advance Report o/ Final Mortality Statistics for 1989 and earlier years; see Technical notes.

Table 19. Deaths and age-adjusted death rates for alcohol-induced causes, by race and sex: United States, 1979-90

[Rates per 100,000 population in specified group, For listing of alcohol-induced causes, see Technical notes]

All other


BothYear

BothMale

Bothsexes

BothFemale sexes Male Female sexes Male Female sexes Male Female

Number

3,570 4,8533,525 4,9763,354 4,8373,189 4,4583,334 4,2273,294 4,5253.398 4.222

19,75719,81018.872

4,9154,8504,6664,3584,4394,5254,6114,5884,6385,0605,3165,163

3.43.43,33.23.33,43.53.53,64,14,34.3

14,90414,63214,03513,36113,19813,21613,38413,26613,52714,19914,81514,334

6.26.25.95.85.75.65.96.06.26.66.96.6

11,33411,30710,68110,1729,8649,9229,9869,863

10,04210.441

3,5083,6533,5253,2893.122

1,3451,3251,3121,1691,1051,2311,2131,1631,1531,3021,4391,342

6.86.97.0

U7.27.3

;::8.7

10,09.7

4,3374,4004,2944,0653,8534,1143,7763,7083,6034,0004,4514,132

16.116.616.615.915.316.815.715.815.717.920.419.2

1,1651,1371,1351,027

9911,0841,0661,040i ,0301,1421,2811,179

7.77.87.97.37.1

:::

::?9.3

10.610.1

17;81917,42517,741

12;99512,81212,90313,60014,44713,788

3;425 4;1123,485 4,0143,758 4,4613,879 4,9503,821 4,617

10;93610,5131979

Age.

9.99.99.59.29.09,2

adjusted death rate 1

1990 .19892,19882.19872.::19862. . .19852.19842 . . .19832 . . .19822. . .19812.1980 : :1979

. . . . ,.,. .,,, .,. . . . .

. . . . . . . . . . .

. . .

. ...,.7.2 11.47,3 11.77.16.86,7

11.310.910.6

. . . .

. . . ....,, ... .... . ., ..,, .,

. ...,. . . . . .

. . . . . . .,

7,07.07,07.2

11.010.910,911,2

. . .

. . . . .

. . . . .

...,.

9.39.39.7

10,210.810,6

.,, . . . . . ,.. . . .. . . . .

7,88.48.2

12,013.012.6. . . . . . . . . .

1For method of computation, see Technical notes,2Ratesare revised and, therel~re, may differ from those pubhshed m Advance Report of Final Mortality .%alistics for 1989 and earfier year% See Technical nOtes


Table 20. Deaths and percent distribution of deaths for ages 15 years and over, by marital status, race, and sex United States, 1990

All other


Both Both Bothfdarifa/ status Male

Bothsexes Ferns/e sexes Male Female sexes Mate Female sexes Male Female

Numberl

Total . . . . . . . . . . . . . . . . . . . . . . . 2,094,1S3 1,082,062 1,012,121 1,816,849 929,560 887,289 277,334 152,502 124,S32 249,435 136,318 113,117

Never married . . . . . . . . . . . . . . . . . . 223,871 140,378 83,493Evermarried~ . . . . . . . . . . . . . . . . . . 1,859,521

173,341 105,092 66,249 50,530 35,286 15,244 46,838 32,342 14,296933,941

Married . . . . . . . . . . . . . . . . . . . .925,580 1,636,124 819,232 816,892 223,397 114,709 108,666 199,537 101,583 97,954

913,817 641,733 272,084Widowed. .

810,107 569,965 240,142 103,710 71,768 31,942 89,731 62,046 27,665

Divorced.’ ..:::::::::::::::: :770,161 191 ,2S3 57S,878 680,091 165,840 514,251 90,070 25,443 64,627 82,302 23,305 58,997175,543 100,925 74,618

Notatated . . . . . . . . . . . . . . . . . . . .145,926 83,427 62,499 29,617 17,498 12,119 27,504 16,232 11,272

10,791 7,743 3,048 7,384 5,236 2,148 3,407 2,507 900 3,260 2,393 867

Percent distribution 2

Total . . . . . . . . . . . . . . . . . . . . . . . 100.0 100.0 100.0 100.0 100.0 100,0 100.0 100.0 100.0 100.0Never married . . . . . . . . . . . . . . . . . . 10.7 13.1

100.0 100.011.4 18.4 23.5 12.3

Evermarried . . . . . . . . . . . . . . . . . . 89.3 86.9 9::;18.9

9:::24.1 12.7

Married88.6 9X 81.6 76.5

59.787.7 61.1

27.075.9 87.3

Widowed:::::::::::::::::::44.8 61.7 27.1

%37.9 47.8

17.825.8

57.436.5

37.646.3

Divorced . . . . . . . . . . . . . . . . . . . .

24.717.9 58.1 32.9 17.0

8.4 9.4 7.452.1 33.4 17.4

8.152.6

9.0 7.1 10.8 11.7 9.8 11.2 12.1 10.0

1Excludes figures for age not stated.2Denominators.cfpercent distribution exclude deaths of persons of unknown marital status.

Table 21. Deaths and percent distribution of deaths for ages 15 years and over, by educational attainment, race, and sex Total of 28States and the District of Columbia, 1990

AU other


\ Both Both BothYeare of schoo/ comp/eteo’ Male


Total . . . . . . . . . . . . . . . . . . . . . . 22,684

0-6years . . . . . . . . . . . . . . . . . . . . 1,8008-n years . . . . . . . . . . . . . . . . . . . 8,04712yaars . . . . . . . . . . . . . . . . . . . . 8,38513-15 years . . . . . . . . . . . . . . . . . . 3,12916years or more . . . . . . . . . . . . . . . 536Notstated ..,,.....,...,.. . . . . 787

Total . . . . . . . . . . . . . . . . . . . . . . . 100.0

0-8years . . . . . . . . . . . . . . . . . . . .S-n years . . . . . . . . . . . . . . . . . . . . 3%12years . . . . . . . . . . . . . . . . . . . . . 38.313-15years . . . . . . . . . . . . . . . . . . . 14.316years ormore. . . . . . . . . . . . . . . . 2.4

17,333 5,351 17,164

1,400 400 1,5116,250 1,797 5,8496,524 1,861 6,2402,215 914 2,521

346 190 451598 189 592

100.0 100.0 100.0

3% 3::: 3::39.0 36.1 37.713.2 17.7 15.22.1 3.7 2.7

Number 1

12,986 4,176 5,520 4,345 1,175 4,727

1,190 321 2S9 210 2254,435 1,414 2,198 1,815 3~ 1,9314,635 1,405 2,145 1,689 456 1,8841,780 741 608 435 173 457

298 153 37450 142 1:: 1XI 47 1:3

Percent distribution’2

100.0 100.0 100.0 100.0 100.0 100.0

9.5 5.4 5.035.4 3::: 41.3 43.2 31: 4;;:38.6 34.8 40.3 40.2 40.4 41.314,2 18.4 11.4 10.4 15,3 10.02.4 3.8 1.6 1.1 3.3 1.4

3,756

1651,6171,491

324

1::

100.0

41.16.91.0

971

3::3931332744

100.0

3::42.414.3

2.9

1Excludesfigures for age not stated.2De”Omi”atarsof percent distribution exclude deaths of persons of unknown educational attainment

40 ~ Monthly Vital Statistics Report. Vol. 41, No. 7(S) ● January 7, 1993 ~

Table 22. Infant, neonatal, and postneonatal mortality rates, by race and sex: United States, 1940, 1950, 1960, 1970, and 1975-90[Rates are infant (under 1 year), neonatal (under 28 days), and postneonatal (28 days-11 months) deaths per 1,000 live births in specified group. Beginning in 1989, racefor live births is tabulated according to race of mothe~ see Technical notes]

W other


Both BothYear

BothMale


Race of mother 1

1990, . . . . . . . . . . . . . . . . . . . . . .1989 . . . . . . . . . . . . . . . . . . . . .

Race of child 2

1990 . . . . . . . . . . . . . . . . . . . . . . .1969 . . . . . . . . . . . . . . . . . . . .1988, . . . . . . . . . . . . . . . . . . . . . .1987 . . . . . . . . . . . . . . . . . . . . .1986 . . . . . . . . . . . . . . . . . . . . . . .1985 . . . . . . . . . . . . . . . . . . . . . . .1984 . . . . . . . . . . . . . . . . . . . . . . .1963 . . . . . . . . . . . . . . . . . . . . . . .1982 . . . . . . . . . . . . . . . . . . . . . . .1981 . . . . . . . . . . . . . . . . . . . . . .1980, . . . . . . . . . . . . . . . . . . . . .1979, . . . . . . . . . . . . . . . . . . . . . .1978 . . . . . . . . . . . . . . . . . . . .1977 . . . . . . . . . . . . . . . . . . . ,...1978 . . . . . . . . . . . . . . . . . . . . . .1975 . . . . . . . . . . . . . . . . . . .1970 . . . . . . . . . . . . . . . . . . . . . . .1960 . . . . . . . . . . . . . . . . . . . . . .1950 . . . . . . . . . . . . . . . .. . . . . .1940 . . . . . . . . . . . . . . . . . . . . .

Race of mother 1

1990 . . . . . . . . . . . . . . . . . . . . . .1989 . . . . . . . . . . . . . . . . . . . . . . .

Race of child 2

1990 . . . . . . . . . . . . . . . . . . . .1989 . . . . . . . . . . . . . . . . . . . . . .1988 . . . . . . . . . . . . . . . . . . . . . .1987 . . . . . . . . . . . . . . . . . . . . .1986 . . . . . . . . . . . . . . . . . . .1985 . . . . . . . . . . . . . . . . . . . .1984 . . . . . . . . . . . . . . . . . . . .1983 . . . . . . . . . . . . . . . . . . . . . . .1982 . . . . . . . . . . . . . . . . . . . . . .1981 . . . . . . . . . . . . . . . . . . . . .1980 . . . . . . . . . . . . . . . . . . . . .1979 . . . . . . . . . . . . . . . . . . . .1978 . . . . . . . . . . . . . . . . . . . . .1977 . . . . . . . . . . . . . . . . . . . . . . .1976 . . . . . . . . . . . . . . . . . .;J7: . . . . . . . . . . . . . . . . . . . . . .

1960:::::::::::::::::: :::::1950 . . . . . . . . . . . . . . . . . . . . . . .1940 . . . . . . . . . . . . . . . . . . . . . .

Race of mother 1

1990 . . . . . . . . . . . . . . . . . . . . . . .1969 . . . . . . . . . . . . . . . . . . . .

Race of child 2

1990, . . . . . . . . . . . . . . . . . . . . . .1989, . . . . . . . . . . . . . . . . . . . . .1986, . . . . . . . . . . . . . . . . . . . . . .1987, . . . . . . . . . . . . . . . . . . . . . .;s86 :,, . . . . . . . . . . . . . . . . . . .

1984.:::::::::::::::::: ::::1983 . . . . . . . . . . . . . . . . . . . . . .1982 . . . . . . . . . . . . . . . . . . . . . .1981 . . . . . . . . . . . . . . . . . . . . . . .1980 . . . . . . . . . . . . . . . . . . . . .1979 . . . . . . . . . . . . . . . . . . . .7978 . . . . . . . . . . . . . . . . . . . . . . .1977 . . . . . . . . . . . . . . . . . . . . . .1976 . . . . . . . . . . . . . . . . . . . . . . .1975 . . . . . . . . . . . . . . . . . . . . . . .1970 . . . . . . . . . . . . . . . . . . . . . . .1960 . . . . . . . . . . . . . . . . . . . . ,,.1950 . . . . . . . . . . . . . . . . . . . . . . .1940 . . . . . . . . . . . . . . . . . . . . . . .

9,29.8

9.29.8

10.010.110.410.610.811,211.511.912.613.113.814.115.216.120.026.029.247.0

5,86.2

5.86.26.36.56.77.07.07.37.78.08.58.99.59.9

10.911.615.118.720.528.8

3.43.6

3,43.63.63.63.63.73.83.93.83.94.14.24.3

:::4.54.97.38,7

18,3

10.310.8

10.310.811.011.211.511.911.912.312.813.113.914.515,315,816,817,922,429,332.852.5

6.56.6

6.56.86.97.17.47.87.78.08.56.89.39.6

10,511.012,012,917,021.223.332,6

3.84.0

3.84.04.04.14.14.24.24.34.34.34.64.74.7

:::4,95.48.19.4

19.9

6.18.6

8.18.68.98.99.1

:::10.010.210.711.211.612.212.413.814.217.522.625.541.3

5.25.6

5.25.65.75.66.06.1

:::6.97.27.67.98.48.79,7

10,213,116,117,524.7

3.03.1

3.03.13.23.23.13.23.33.43.33.53.63.73.9

::;4,04,46,58.0

16.6

7.86.1

7.76.28.58.68.99.3

%10.110.511.011.412.012.313.314.217.822.926.843.2

4.65.1

4.95.25.45.55.66.1

z6,87.17.57,98.4

::;10,413.817.219.427.2

2.82.9

H3.13.13.13.23.33.33.33.43.53.53,6

::;3.84.05.77.4

16.0

6.59.0

6.79.29.59.6

10.010.610.510.811.211.712.312.8

Infant mortality rate

6.6 15.57.1 16.3

6.77.27.47.67.88.08.38.68.99.29.89.9

10.610.711.712.315.419.623.137.6

14,415,215,015,415,715.816.116.817,317.819.119.821.121,723.524,230.943,244.573.8

Neonatal mortality rate

5.4 4.2 j y.;5.7 4.6 1;;

5.5 4.3 9,2 10.05,8 4.7 9,6 10.35,9 4,6 9,7 10.56.1 4.9 10,0 11.06.4 5.1 10.1 11.16.9 5.3 10.3 11.36.8 5.5 10.2 11.07.1 5.7 10.6 11.77.5 6.0 11.3 12.47.86.38.89.39.8

10.711.715.5

6.36.66.97.47.68.59.0

11.9

11.812.512.914.014.716.316.621.4

19.7 14.7 26.9 30.022.2 16.4 27.5 30.830.9 23.3 39.7 44,9

Postneonatal mortality rate

3.1 2.4 5.7 6,23.4 2.5 6.0 6.5

3.23.43.63,63,63.73.73.73.73.64.04.04.04.14.14.24.46.38.0

17.5

2.42,52,72.72.72,72.82.92.83.03.03.03.23.13.23.33.54.96.7

14.5

N5,45>45,65.55.8

H6.06.66.97.07.0

?:

1:::16.934.1

::;5.75.96.26.06.36.86.5

;::7.67.67.7

2;10.317.818.137.3

14.015.0

13!114.013.813.914.014.414.815.215.516.317.518.118.919.621.422,227.538.539.965.2

8.99.5

8.38.96.89.09.19.4

::?10.310.911.511.812.413.314.915.316.923.624.234.5

5.15.5

:;5.04.9

%5.3

;:5.46.06.36.56.3

::

1?:15,730.7

18,018.6

17.017,717.617,918.018.218.419.219.620.021.421.623.123.625.526,232.644.343.972.9

11.611.9

10.911.311.511,711.712.111,812,413.113.414.114,315.516.117.918,322.827.827.639.9

6.46.7

::16.26.16.36.16.5

U6.67.37.57.67.6

;::

1%16.133.0

19.620.0

16.519.019.019.620.019.919.821.121.521.723.323.725.425.927.828.336.249.146.381.1

12.712.8

12.012.212.512.913.013.212;713.614.314.615.315.517.217.619.519.625.431.131.144.8

6,g7.2

6.56.86.66.87.06.77.17.47.37.17.98.28.28.38.48.5

10.818.017..236.4

16.217.2

15.316.316.116.016.016.516.917.217.718.319.419.820.821.323.224.029.039.439.464.6

10.411.0

1:::10.410.510.510.910.911.211.812.312.813.113,714.516.316.820.124.524.434.9

5.96.2

5.55.95.86.55.6

:::

Q6.06!66.77.06.8

%

1::15.029.7

‘Infant deaths based on race of decedent, and Ilva blrih$based on race of molhec see Technical notes,‘Infant daatha based on rata C4decadant, and live births based on race of child; see Technical notes.

Monthly Vital Statistics Report. Vol. 41, No. 7(S) . January 7, 1993 ~41

Table 23, Deaths under 1 year and infant mortality rates for 61 seleoted causes by race: United States, 1990

[Rates per 100,000 live births in specified group. For explanation of asterisk preceding cause-of-death codes, see Technical notes. Beginning in 1989, race for live births1stabulated according to race of mothec see Technical notes]

All AflCause of death (Ninth Revision International Classification of Diseases, 1975) races 1 White Black rsces~ White Black

All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,

Certain intesfirral infections . . . . . . . . . . . . . . . . . . . . . . . . . ...008-009Whooping cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...033Meningococcel infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...036Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...038Viraldiseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..045-079Congenitalsyphilis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..090Remainder ofinfectious and parasitic diseases. . . . . . . . . . . . . ..001.007,

010-032,034-035,037,039-041 ,’042-’044,080-088,091 -139Malignant neoplasm,, including neoplesms of lymphaticand hematopoieticbssues.. . . . . . . . . . . . . . . . . . . . . . . . . ..140–208

Benign neoplasms, carcinoma in situ, and neoplasmsof uncertain behavior andof unspecified nature . . . , . . . . . . .210–239

Diseases ofthymus gland . . . . . .. . . . . . . . . . . . . . . . . . . . . ., .,..254Cysticfibrosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...277.0D(seases ofblood and blood-forming organs. . . . . . . . . . . . . . . . .280-289Meningitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..320-322Other diseases of nervous svstem and sense

A~$?;pper”r~sp\~a{o”~ ~n~e$lOn~: : ~; ::: ; : ;;: ::::::::::..323-389

.480-465Bronchitisand bronchiolitis . . . . . . . . . . . . . .466,490-491Pneumoniaand influenza, ,... . . . . . . . . . . . . . . . . . . . . . . ..480-487

Pneumonia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,.480-486Influenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .487

Remainder of diseases of respiratorySystem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .470-478,492-519

Hernia of abdominal cavity and intestinal obstructionwithoutmentionofhernia . . . . . . . . . . . . . . . . . . . ...,,,550-553,560

Gastritis, duodenitis, and noninfective enteritis and.535,555-558Coliti s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,,,

Remainder of diseases of digestive.520-534,536-543,562-579

Cly;~eYkal"aiornatiek ".'." .".", ".".' ."."." .".', ","," .".". .740-759Anencephalus and similar anomalies, . . . . . . . . . ..740Spinabifida . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...741Congenital hydrocephalus . . . . . . , . . . . . . . . . . . . . . . . . . . ...742.3Other congenital anomalies of central nervous svstem

.?42,0-742.2,742 .4-742.9,743C~n\%al”anornalieioih ear.’ .”.’. ‘.”.”,”,”,’.”. . . . . . . . .745-746Other congenital anomalies of circulatory

C%$e%ala Aornaiieio f’res&aio~iy5iern :::: : : : : : ::::::::. .747. .748

Congenital anomalies ofdigestive system . . . . . . . . . . . . ..749-751Congenital anomalies ofgenitourina system. . . . .752–753

7Congenital anomafies of musculoake etalSystem . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...754-756

Down’ssyndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...758.0Otherchromosomalanomalies... . . . . . . . . . . . . . . . . . .758.1–758.9All other and unspecified congenital

anomalies . . . . . . . . . . . 7 . . . . . . . . . . . . . . . . . . . ...744.757.759C;w&nd conditions originating in the perinatal

Newbor; affe\ied"bv"rnater~al"condi~ons"wh~ch"rnav"be" “ “ “ “..760-779

unrelated to presehtpregnancy . . . . . . . . . . .’. . . . . . . . . . .760Newborn affected by maternal complications ofpregnancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,, ...761

Newborn affected by complications of placenta, cord,and membranes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,....762

Newborn affected by other complications of laborand delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , .,....763

SIowfetal growth andfetal malnutrition . . . .Disorders relating toshort gestation andunspeci~ed” “ “ “ “ “ “ ‘ “ “

. .764

Iowbirthweight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..765Disorders relating to long gestation and high

birthweight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..766Birthtrauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :..767lntrauterinehypoxiaand birthasphpia ,, . . . . . . . . . . . . . . . . . ...768

Fetal distress inliveborninfant. . . . , . . . . . . . . . . . . . . . ,78s.2–76&4Birthasphyxia . . . . . . . . . . . . . . . . . . . . . . . . .768.5-768.9

Respkatorydktresssyndrome... ., . . . . . . . . . . ,“...”.”.”.”. . , . . . .76gOtherrespirato conditions of newborn, . . . . . . . . . . . . . . . . . .77o

YInfections spec!lctotha petinatalpefiod . . . . . . . . . . . . . . . . . . ...771Neonatalhemorrhage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..772Hemolytic disease of newborn, due to isoimmunization,and otherperinataljaundice . . . . . . . . . . . . . . . . . . . . . . ...773-774

Syndrome of “infant of a diabetic mothefl andneonatal diabetesmellitus . . . . . . . . . . . . . . . . . , . . . .776.0-775.1

Hemorrhagic disease ofnewborn. . . . . . . . . . . . . . . . . . ...776.0All other and ill-defined conditions originating inthe perinatal period . . . . . . . . . . . . . . . . .775.2-775 .9,776.1-779

Symptoms, signs, andill-defined conditions .“. ”.”.”. . .780–799Sudden infantdeathsyndrome . . . . . . . . . . . . . . . . . . . . . .,, ..796.0Symptoms, signs, and all other ill-defined

conditions . .. . . . . . . . . . . . . . . . . . . . . . . . . . ..780–797.798.1-799

Number Rate

38,351

98

;:267157

25

232

90

712

8;197

462

1%634627

7

390

67

126

1858,239

47060

189

3572,601

5091,162

143485

544111885

703

17,482

227

1,655

975

::

4,013

20;762222540

2,8502,957

675305

44

131

2,4936,4095,417

24,883

548

1%105

3

104

69

5718

1:?

36728

3%368

7

251

59

69

1306,418

366

1::

2792,016

376913102390

420

7;:

537

10,378

127

1,044

657

5319

2,004

15;505158347

1,7981,768

569186

28

121

1,4554,1613,643

518

12,290

413

1::4122

125

17

14

i2474

913

2::235

126

26

49

1,6%79

::

4::

114215

3185

108

1%

138

6,688

98

571

291

1911

1,912

1

2::

1%984

1,115291111

15

1

9852,0141,578

436

922.3

2.4

1.;6.43.80.6

5.6

2,2

1.7●

*

::

11.10.82.7

15.215.1

*

9.4

2.1

3.0

19=11.3

E

62:

12.227.9

1%

13.1

2?:

16.9

420.4

5.5

39.8

23.4

k:

96.5

*

1%?5.3

13.068.571.121.0

7.3

1.1

**

60.0154.1130.3

23.9

756.3

1.6*

k;3.2

●

3.2

2.1

1.7●

*

:::

10.90.92.0

11.411.2

*

7.6

1.8

2.1

19:!11.12.04.3

6;::

11.427.7

17:;

12.8

2::

16.3

315.4

3.9

31.7

20.0

1.6*

60.9

*

1::

1&54.653.717.35.7

0.9

*●

44.2126.5110.7

15.7

1,796.9

6.0*

14.:6.02.5

18.3

●

●

*

3.210.8

13.3*

3::34.3

*

18.7

3.8

7.2

22;;11.5

5.;

7:::

16.731.4

1t:

15.8

1:::

20.2

977.3

14.3

83.4

42.5

**

279.4

●

3::

22?143.8162.942.516.2

*

*●

143.9294.3230.6

63.7

8ee footnote at end of table.


Table 23. Deaths under 1 year and infant mortality rates for 61 selected causes by race: United States, 1990– Con.

[Rates per 100,000 live births in specified group. For explanation of asterisk preceding cause-of-death codes, see Technical notes, Beginning In 1989, race for live birthsis tabulated according to race of motheq see Technical notes]

AllCause of death (Ninth Revision international Classification of Diseases, 1975)

Allraces 1 White Black racesi White Black

Number Rate

Accidents and adverse effects . . . . .E800-E949Inhalation and ingestion of food or other object

causing obstruction of respiratory trad or suffocation. .E91 1-E912Accidental mechanical suffocation . . . . . .E913O:~cccidental causes and adverse

.E800–E910,E91 4-E949Homicide .'.'. ".".", ".".' .`.`. ",".' .".'. ","," .".", ",", ",".", '.'.'. .E960-E969

Child battering and other maltreatment . . .E967Other homicide . . . . . . . . . . . . . .E960-E966, E96B-E969

All other causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Residual

930 609 289 22.4 18.5 42.2

1:::

21.820.6

9.411.376.9

165240

107143

5090

4.05.6

3.34,3

10,95.52.6

3:::

525332153179

1,636

359161

85

1,0::

149141

64

5; 39.3

1Includes races other than white and black.

Table 24. Deaths under 1 year and infant mortelity rates for the 10 leading causes of infant death: United States, 1990

[Rates per 100,000 live births, Beginning in 1989, race for live births is tabulated according to race of mother; see Technical notes]

Rankorder 7 Cause of death (Ninth Revision International Classification of Dk+eases, 1975) Number Rate

All races 2All causes, , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-759Sudden infant death syndrome ..798.0Dsorders reIating toshoti gestation andunspec~fie& low bi~hw&ght~ ~U~~:~~~~~ ~~~~~~~~~. .. 765Respiratorydistresssyndrome. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..76gNewborn affected bymaternal complications ofpregnancy . . . . . . . . . . . . . . , . . . . . . . . , . . ..761Newborn affected bycomplications of placenta, cord, and membranes. . . . . . . . . . . . . . . . . . .762Accidents and adverseeffects, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..EE949E949Infectionsspecifictothe perinatalperiod . . . . . . . . . . . . . . . . . . . . . . . . .,........,.....771Intrauterine hypoxiaand birthasphyxia, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...768Pneumoniaand influenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .480-487All othercauses ..,.,.,,.,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Residual

White

All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-759Sudden infant death syndrome . . ..798.0Disorders relating toshortgestation and unsp&&dlowbi~hw&ght~~ ;~;”.;~”.~’.~’.’.~~:~’.~ . ..765Respkatorydistress syndrome.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .769Newborn affected by maternal complications ofpregnancy . . . . . . . . . . . . . . . ., . ..761Newborn affected bycomplications of placenta, cord, and membranes. . . . . . . . . . . . . .762Accidentsandadverse effects. . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . ..E8OO-E949Infections specifictothe perinatal period, ,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..,771Intrauterine hypoxiaand birth asph~ia. .,, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...768Pneumoniaand influenza. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...48&487Allothercauses, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,Resldual

Black

All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Disorders relatlng toshortgeatation and unspecified lowbirthweight. . . . . . . . . . . . . . . ..765Sudden infantdeath syndrome. . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . ...798.0Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...740-759Resplratorydistresssyndrome.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .769Newborn affected by maternal complications ofpregnancy . . . . . . . . . . . , . . . . . . . . . . . .761Infectionsspecifictothe perinatal period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .771Newborn affected bycomplications ofplacenta, cord, and membranes, . . . . . . , . . . . . . .762Accidents and adverseeffects. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..E8OO-E949Pneumoniaand influenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .460-487Intrauterine hypoxiaand birthasphyxia, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...768Allothercauses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Residual

36,351 922.3

198.1130.3

96.566.539.823.422.4

. .

‘334567

8,2395,4174,0132,8501,655

975930875762634

:10

.

21.018.315.2

12,001 288.6

24,883 756.3.,.1 6,418

3,6432,0041,7961,044

657609569505375

7.261

195.1110.760.954.631.720.018.517.315.311.4

220.7. . .

12,290

1.912

1,795.9

279.4

,..

;34567

1:5781,530

984571291291289235

230.6223.6143.8

83.442.542.542.234.333.8

639.7

:10 231

4,378

1Rank based on number of deaths; sae Technical notes,21ncludesraces other than white and black.


Table 25. Total deaths and death rates, and infant and neonatal deaths and mortality rates for the United States, each division, and State;and by race and sex for the United States, 1990

Tofa/ deaths /nfant deaths (under 1 year) Neonatal deaths (under 28 days)

Race, sex, and area Number Rate 1 Number Ratez Number Rate2

United States . . . . . . . . . . . . . . . . . . . . . . . . . . . .Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

White. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Another . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Black . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

New England . . . . . . . . . . . . . . . . . . . . . . . . . . . .Maine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .NewHampshire. . . . . . . . . . . . . . . . . . . . . . . . .Vermont . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Massachusetts . . . . . . . . . . . . . . . . . . . . . . . . .Rhode island . . . . . . . . . . . . . . . . . . . . . . . . . .Connecticut . . . . . . . . . . . . . . . . . . . . . . . . . . .

Middle Atlantic . . . . . . . . . . . . . . . . . . . . . . . . . .New York . . . . . . . . . . . . . . . . . . . . . . . . . . . . .NewJersey . . . . . . . . . . . . . . . . . . . . . . . . . . .Pennsylvania . . . . . . . . . . . . . . . . . . . . . . . . . .

Eaat North Central....,,,.. . . . . . . . . . . . . . . .Ohio . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Indiana . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Illinois. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Michigan . . . . . . . . . . . . . . . . . . . . . . . . . . . . .~sconsin . . . . . . . . . . . . . . . . . . . . . . . . . . . .

WestNorth Central . . . . . . . . . . . . . . . . . . . . . . . .Minnesota, . . . . . . . . . . . . . . . . . . . . . . . . . . .Iowa, . .,, . . . . . . . . . . . . . . . . . . . . . . . . . . .Missouri, . . . . . . . . . . . . . . . . . . . . . . . . . . . .North Dakota . . . . . . . . . . . . . . . . . . . . . . . . . .South Dakota . . . . . . . . . . . . . . . . . . . . . . . . . .Nebraska, . . . . . . . . . . . . . . . . . . . . . . . . . . . .Kansas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

South Atlantic,.......,.. . . . . . . . . . . . . . . . .Delaware . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Maryland . . . . . . . . . . . . . . . . . . . . . . . . . . . . .DistrictofColumbia . . . . . . . . . . . . . . . . . . . . . .Virginia . . . . . . . . . . . . . . . . . . . . . . . . . . . . .West Virginia . . . . . . . . . . . . . . . . . . . . . . . .North Carolina . . . . . . . . . . . . . . . . . . . . . . . . .South Carolina . . . . . . . . . . . . . . . . . . . . . . .Georgia . . . . . . . . . . . . . . . . . . . . . . . . . . . .Florida . . . . . . . . . . . . . . . . . .

EastSouth Central ..,,.... . . . . . . . . . . .Kentucky . . . . . . . . . . . . . . . . . . . . . . . . .Tennessee . . . . . . . . . . . . . . . . . . . . . . . . .Alabama . . . . . . . . . . . . . . . . . . . . . . . . . .Mississippi . . . . . . . . . . . . . . . . . . . . . . . . .

WestSouth Central . . . . . . . . . . . . . . . . . . . . .Arkansas. ..,...,.....,.. . . . . . . . . . . .Louisiana, . . . . . . . . . . . . . . . . . . . . . . . . . .Oklahoma . . . . . . . . . . . . . . . . . . . . . . . . . . .Texas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Mountain . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Montana, . . . . . . . . . . . . . . . . . . . . . . . . . . .Idaho . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Wyoming . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Colorado . . . . . . . . . . . . . . . . . . . . . . . . .New Mexico . . . . . . . . . . . . . . . . . . . . .Arizona ., . .,, . . . . . . . . . . . . . . . . . . . . . . . .Utah . . . . . . . . . . . . . . . . . . . . . .Nevada . . . . . . . . . . . . . . . . . . . . . . . . . .

Pacific . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Washington, . . . . . . . . . . . . . . . . . . . . . . .Oregon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .California . . . . . . . . . . . . . . . . . . . . . . . . . .Alaska . . . . . . . . . . . . . . . . . . . . . . . . . . .Hawaii . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2,148,4631,113,4171,035,046

1,853,254950,812902,442

295,209162,805132,604265,498145,359120,139

114,55111,1068,4664,595

53,1799,576

27,607361,270166,93670,383

121,951372,674

98,62249,569

103,00678,74442,733

161,08934,77626,86450,377

5,8786,326

14,76922,279

392,1135,764

38,4137,313

48,01319,36557,31529,71551,610

134,385145,90135,07846,31539,38125,127

21 S,08024,65237,57130,378

125,47997,023

6,8617,4523,203

21,58310,62526,789

9,1929,318

265,56237,06725,136

214,3692,1866,782

863.6918.4812.0

888.0930.9846.9

737.9851.5634.2871.0

1008.0747.9

867.4904.5765.2816.5883.9954.3839.9960.8939,0910,5

1026.4867.6911.0894.1901.1847.1873.6912.2794.9968.2964.5888.9908.9935.7899.2900.0865.2803.4

1205.0776.0

1080.9864.7652.2799.6

1038.7961.4951.8949.6974.6976.5816.7

1048.7890.3965.7738,7710.3858.6740.2706.1655.1701.3785.5533.5775.3729.8762.1864.3720,3397.8612,0

38,35121,85616,495

24,68314,37110,512

13,4687,4855,983

12,2906,6115,479

1,457108125

6%123398

5,5962,8511,1021,6436,8141,640

8312,1041,641

5982,279

496319746

1:202329

7,461112766245

1,013223

1,109683

1,3921,9182,449

461771688529

4,125336799438

2,5522,088

10514360

472246610271181

6,082621354

4,844125136

9.210.38.1

7.68.56.6

15.517.014.018.019.616.2

7.26.27.16.47.08.17.9

::9.09.6

10.19.89.6

10.710.78.28.47.3

::8.010.1a.38.410.710.1

2::;10.29.910.611.712.49.610.48.510,310.812.18.79.211.19.28.16.69.08.78.68.89.08.87.58.47.97.88.37.9

10.56.7

24,30913,83910,470

15,7519,0756,676

8,5564,7643,7947,9054,4053,500

992796730

448

2%3,7681,931749

1,0884,3701,043530

1,3771,075345

1,361295185451

::120200

4,97877

502180695143764465917

1,2351.542“258490462332

2,480195484235

1,5661,193

5373

2%145377139103

3,625332180

2,9666186

5.86.55.2

4.85.44.2

1;::8.911.612.710.4

4.94.63.83.64.85.95.66.46.56.16.36.56.2

H7.04.75.04.34.75.75.55.44.95.17.16.96.315.27,06.37.37.98.16.26.54.7

H7.65.25.36.74.94.94.94,64.43.95.25.3

u4.84.7

z4.85.14.2

I Per 100,000 population In each race-sex group and area,Zper 1,000 KW ~flhs in e~ch race.sex group a“d area, Beginning in 1989, race for hve births is tabulated according !0 race of mothec Sae Technical nOteS.

I NOTE Caution should be used in comparing crude death rates by State.Oeath rates are affectad by the population composition of the area, I

44 ~ Monthly Vital Statistics Report ● Vol. 41, No. 7(S) ● January 7, 1993

Table 26. infant, neonatal, and postneonatal deaths and mortality rates, by specified Hispanic origin and race for non-Hispanic origin:Total of 45 States, New York State (excluding New York City), and the District of Columbia, 1990

[Rates per 1,000 live births in specified group. Live births based on race and Hispanic origin of mothec see Technical notes. For a listing of States, see Technical notes]

Hispanic Non-Hispar7/c

All Puerto Other NotAge origins Total Mexican Rican Cuban Hispanic 1 Totalz White Black stated3

Number

Under l year.............,.. 35,030 4,228 2,952 363 81 832 30,231 18,745 10,465 571

Under 28 days . . . . . . . . . . . . . . 22,202 2,706 1,673 249 60 524 19,044 11,792 6,69828days-ll months.....,.,,,..

45212,828 1,522 1,079 114 21 308 11,187 6,953 3,767 119

Rate

Under l year . . . . . . . . . . . . . . . 49.1 7,8 7,7 10.2 7.6 7.2 9.3 7.4 17.9 . .

Under 28 days . . . . . . . . . . . . . 45,8 5.0 4.9 7.0 5.6 4.5 5.8 4.7 11.4 ,..28days–ll months . . . . . . . . . . . . 43.3 2.8 2.8 3.2 2.0 2.6 3.4 2.8 6.4 . . .

1Includes Central and South Ametican and other and unknown Hispanic,‘Includes races other than white and black.31ncludes infant daaths that occurred in States that d!d not report Hispanic origin on the death certificate.4Figures for origin not stated included in All origins but not distributed among origin groups.

Tabie 27. Maternal deaths and maternal mortality rates for selected causes by race: United States, 1990

[Maternal deaths are those assigned to Complications of pregnancy, childbirth, and the puerperium, category numbers 630-676 of the N/nfh Revision hrternationa/Classification of Diseases, 1975. Rates per 100,000 live births in specified group. Beginning In 1969, race for live births is tabulated according to race of mothec seeTechnical notes]

All other A// otherCause of death (Ninth Revision International All

Classification of Diseases, 1975)All

races White Total Black races White Total Black

Number Rate

Complications of pregnancy, childbirth, and thepuerperium . . . . . . . . . . . . . . . . . . . . . . . . . . . ...630-676 343 177 166 f 53 8.2 5.4 19.1 22.4

Pregnancy with abortive outcome. . . . . ..630-638Ectopic pregnancy . . . . . . . . . . . . . . . . . . . . . . . . . ...633Spontaneous abortion . . . . . . . . . . . . . . . . . . . . . . . ...634Legally induced abotion, ,. . . . . . . . . . . . . . . . . . . ...635Illegally induced abortion . . . . . . . . . . . . . . . . . . . . . ...636Other pregnancy with aborWe outcome. . .63&632,637-638

Direct obstetric causes. . . . . . . . . .640-646,651-676Hemorrhage ofpregnancy andchildbitth. .640-641,666Toxemia of pregnancy . . . . . .642.4-642 .9,643Obstructed labor . . . . . . . . . . . . . . . . . . . . . . . . . . ...660Complications ofthepuerperium. ..670-676Other direct obstetric”

causes, . .6420-642.3,644-646,651 -659,661 +65,667-669Indirect obstetric causes .647-648Delive~in acompletely normal case. . . . . .650

57 2341 14

6 411 Y8 4

265 14044 2664 34

99 51

56 2921 14

3427

21

4

46

297

3326

21

4

43

267

1.4 0.7 3.91 * 3.1 ::* * * ●

● * * ** * * ** * * *

6.4 4.3 14.4 16.51.1 0.8 ● *

1:5 1 3.5 3.9* ● *

2.4 1,6 5.5 6.;

1.4 0.9 3.3 3.80.5 * * ●

* * * *

Monthly Vital Statistics Report ● Vol. 41,, No. 7(S) ● January 7, 1993 ~ 45

Table 28. Number of autopsies and percent of deaths for which autopsies were reported for 15 leading causes of death: United States,1990

[For explanation of asterisk preceding cause-of-death codes, see Technical notes]

Reported autopsyRank Total

orderl Cause of death (Ninth Revision International Classification of Diseases, 1975) deaths Number Percent

.,, All causes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,148,463 239,591 11.2

1 Diseases of heart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .390-398,402,404-429 720,056 54,542Malignant neoplasms, including neoplasms of lymphatic and hematopoletlc tissues . . . . ...140-208 505,322 17,906

:;:

Cerebrovascular diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...430-438 144,0884

5,163Accidents and adverse effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. E600-E949

3.691,983 46,353

Motor vehicle accidents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. E81O-E82550.4

. . . 46,814 24,610All other accidents and adverse effects . . . . . .

53. . . . .E800-E607,E626-E949

Chronic obstructkfe pulmonary diseases and allied conditions. ”.”. ”.”. ”.”. ”.”.”. . . . . . . . . ...49049645,169 21,543

547.7

86,6796

3,946Pneumonia and influenza . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...480-487

4.6

779,513

Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..25o5,643 7.~

47,664 2,065Suicide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..E95c-E959 30,906 17,016

:5:

Chronicllverdlseaseand cirrhosis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...571 25,815 4,37210 Human immunodeficiencyvirus infection . . . . . . . . . . . . . . . . , . . . . . .*042-*044

16.925,186

11 Homicideand legal intervention. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..E96O-E9782,625 10.4

24,93212

24,166Nephritis, nephroticsyndrome, and nephrosis . . . . . . . . . . . . . . . . . .580-589

96.9

13 Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..o3820,764 1,022 4.919,169

141,641

Atherosclerosis, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . ..44o8.6

18,04715

456Certain conditionsoriginating inthe perinatalperiod. . . . . . . . . . . . . . . . . . . . . .76C!-779

2.517,674

All othercauses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Residual4,152 23.5

. . . 290,661 46,499 16.7

lRank based on number of deaths; see Technical notes,


Symbols..- Data not available

. . . Category not applicable

Quantity zero

0.0 Quantity more than zero but lessthan 0.05

* Figure does not meet standard ofreliability or precision (estimate isbased on fewer than 20 deaths innumerator or denominator)


Technical notes

Nature and sources of data

Data shown in this report arebased on information from all deathcertificates filed in the 50 States andthe District of Columbia. The U.S.Standard Certificate of Death wasrevised in 1989; for additional detailssee the 1989 revision of the U.S. stan-dard certificates and reports, andTechnical Appendix fiotn Wal Statisticsof the United States, vol II (4,5).

Mortality statistics are based oninformation coded by the States andprovided to the National Center forHealth Statistics (NCHS) through theVital Statistics Cooperative Program(VSCP) and from copies of the orig-inal certificates received from theState registration offices. In 1990 allthe States and the District ofColumbia participated in this programand submitted part or all of the mor-tality data for 1990 on computer tapeto NCHS. The 25 States in the VSCPthat submitted preceded medical datafor all deaths on computer tapes areCalifornia, Colorado, Florida, Georgia,Indian% IovJ%Kansas, Louisiana, Maine,Maryland, Massachusetts, Michigan, Min-nesota, Mississippi, Nebraska, NewHampshire, New York State (excludingNew York City), North Carolina, Pennsyl-vania, South Carolina, Texas, Vermont,Virginia, Washington, and Wisconsin.NCHS also contracted with Colorado andKansas to precede medical data for alldeaths on computer tape for Alaska, Del-aware, Idaho, North Dakota, and Wyo-ming. Vermont subcontracted withPennsylvania to code its medical data.The remaining 20 VSCP States, NewYork Chy, and the District of Columbiasubmitted copies of the original certifi-cates from which NCHS coded the med-ical data. For 1990 all States submittedpreceded demographic data for all deaths.

Data for the entire United Statesrefer to events occurring within theUnited States. Data shown for geo-graphic areas are by place of resi-dence. Beginning with 1970, mortalitystatistics exclude deaths of nonresi-dents of the United States. All dataexclude fetal deaths.

Cause-of-death classification

The mortality statistics presentedhere were compiled in accordance withthe World Health Organization(WHO) regulations, which specify thatmember nations classify causes ofdeath by the current Manual of theInternational Statistical Classification ofDiseases, Injuries, and Causes of Death(6). Causes of death for 1979-90 wereclassified according to the manual. Forearlier years, causes of death wereclassified according to the revisionsthen in use – 1968-78, Eighth Revi-sion; 195S’-67, Seventh Revision; and1949–57, Sixth Revision. Changes inclassification of causes of death due tothese revisions may result in disconti-nuities in cause-of-death trends. Con-sequently, cause-of-death comparisonsamong revisions require cctnsiderationof comparability ratios and, whereavailable, estimates of their standarderrors. Comparability ratios betweenthe Eighth and Ninth Revisions,between the Seventh and Eighth Revi-sions, and between the Sixth and Sev-enth Revisions may be found in otherNCHS reports (7-9).

Besides specifying the classifica-tion, WHO regulations outline theform of medical certification and theprocedures to be used in coding causeof death. Cause-of-death data pre-sented in this publication were codedby procedures outlined in annualissues of the NCHS InstmctionalManual (10-15).

Before 1968, mortality medicaldata were based on manual coding ofan underlying cause of death for eachcertificate in accordance with WHOrules. Effective with data year 1968,NCHS converted to computerizedcoding of the underlying cause andmanual coding of al[ causes (multiplecauses) on the death certificate. In thissystem, called “Automated Classifica-tion of Medical Entities” (ACME)(13), the multiple cause codes serve asinputs to the computer sofhvare thatemploys WHO rules to select theunderlying cause. Since 1968, manyStates also have implemented ACME

and provide multiple cause and under-lying cause data to NCHS in electronicform.

Beginning with data year 1990,another computer system is beingimplemented. This system, called“Mortality Medical Indexing, Classifi-cation, and Retrieval” (MICAR)(14,15), automates the coding of themultiple causes of death. In addition,MICAR ultimately will provide muchmore detailed information on the dis-eases reported on death certificatesthan is available through the Interna-tional Classification of Diseases (ICD)code structure. In this first year ofimplementation, only about 5 percent(94,372) of the Nation’s death recordswere multiple cause coded usingMICAR with subsequent processingthrough ACME. This includes a por-tion of the records for Alabama, Ken-tucky, Oregon, Rhode Island, andWest Virginia. The remainder of thenational file was processed by eitherNCHS or the State using only theACME system.

In this report, tabulations ofcause-of-death statistics are basedsolely on the underlying cause ofdeath. The underlying cause is definedby WHO as the disease or injury thatinitiated the sequence of eventsleading directly to death or as thecircumstances of the accident or vio-lence that produced the fatal injury, Itis selected from the conditions enteredby the physician in the cause-of-deathsection of the death certificate. Whenmore than one cause or condition isentered by the physician, the under-lying cause is determined by thesequence of conditions on the certif-icate, provisions of the ICD, and asso-ciated selection rules. Generally, moremedica[ information is reported ondeath certificates than is directlyreflected in the underlying cause ofdeath.

Codes for HIV infection

Beginning with data for 1987,NCHS introduced category numbers

48 ~

“042-”044 for classifyingHuman immunodeficiency

Monthly Vital Statistics Report ● Vol. 41, No. 7(S) ● January 7, 1993 ~

and codingvirus (HIV).,

infection. The asterisk before the cat-egory numbers indicates that thesecodes are not part of the Ninth Revi-sion of the International Classificationof Diseases (ICD-9). Deaths classifiedto HIV infection for 1989–90 areshown in table 14. They are included,but not shown separately, in the cate-gory All other infectious and parasiticdiseases in the List of 72 SelectedCauses of Death and in the categoryRemainder of infectious and parasiticdiseases in the List of 61 SelectedCauses of Infant Deaths. Before 1987,deaths involving HIV infection wereclassified to Deficiency of cell-mediated immunity (ICD 279.1), con-tained in the category All otherdiseases; to Pneumocystosis (ICD-9No. 136.3), contained in the categoryAII other infectious and parasitic dis-eases; to Malignant neoplasms,including neoplasms of lymphatic andhematopoietic tissues; and to anumber of other causes. As a conse-quence, cause-of-death data beginningwith 1987 are not strictly comparablewith data for previous years.

For data years 1983-86, acquiredimmunodeficiency syndrome (AIDS)and HIV infection, when reported onthe death certificate, were assigned tothe category Deficiency of cell-mediated immunity (ICD-9 No. 279.1).Because the selection rules for under-lying cause of death were developedbefore the identification of AIDS,other conditions mentioned on thedeath certificate and not category No.279.1 were often selected as the under-lying cause of death during this period,Alsoj this category was not uniquelyspecific for HIV conditions. As men-tioned in more detail in previousreports for 1984-86 (16-18) thenumber of death certificates that hadmention of conditions coded to ICD-9No. 279.1 was 2,943 for 1984, 6,040 for1985, and 10,900 for 1986. It isbelieved that HIV infection wasinvolved in most of these deaths.

Drug-induced deaths

Causes of death attributable todrug-induced mortality include ICD-9No. 292, Drug psychoses; No. 304,

Drug dependence; Nos. 305.2-305.9,Nondependent use of drugs, notincluding alcohol and tobacco; Nos.E850-E858, Accidental poisoning bydrugs, medicaments, and biological;Nos. E950.0-E950.5, Suicide by drugs,medicaments, and biological; No.E962.0, Assault from poisoning bydrugs and medicaments; and NOS.

E980.O-E980.5, Poisoning by drugs,medicaments, and biological, unde-termined whether accidentally or pur-posely inflicted. Drug-induced causesexclude accidents, homicides, andother causes indirectly related to druguse.

Alcohol-induced deaths

Causes of death attributable toalcohol-induced mortality includeICD-9 No. 291, Alcoholic psychoses;No. 303, Alcohol dependence syn-drome; No. 305.0, Nondependentabuse of alcohol; No. 357.5, Alcoholicpolyneuropathy; No. 425.5, Alcoholiccardiomyopathy; No. 535.3, Alcoholicgastritis; Nos. 571 ,0–571.3, Chronicliver disease and cirrhosis, specified asalcoholic; No, 790.3, Excessive bloodlevel of alcohol; No. E860, Accidentalpoisoning by alcohol, not elsewhereclassified. Alcohol-induced causesexclude accidents, homicides, andother causes indirectly related toalcohol use.

Educational attainment

Beginning with the 1989 data year,mortality data on educational attain-ment are being tabulated from infor-mation reported on the deathcertificate. As a result of the revisionof the U.S. Standard Certificate ofDeath (4), this item was added to thecertificates of numerous States. Mor-tality data on educational attainmentfor 1990 are based on deaths to resi-dents of the 28 States and the Districtof Columbia whose data were at least90 percent complete on a place-of-occurrence basis. These 28 States areAlabama, Arizona, California, Colo-rado, Delaware, Florida, Hawaii,Idaho, Illinois, Iowa, Kansas, Massa-chusetts, Michigan,souri, Montana,Hampshire, North

Minnesota, Mis-Nebraska, New

Dakota, Ohio,

Oregon, Pennsylvania, South, Carolina,Texas, Utah, Vermont, Wisconsin, andWyoming.

Quality of reporting ofcause-of-death

One index of the quality ofreporting causes of death is the pro-portion of death certificates coded tothe Ninth Revision Chapter XVISymptoms, signs, and ill-defined condi-tions (ICD-9 Nos. 780-799). Althoughdeaths occur for which the underlyingcauses are impossible to determine,this proportion indicates the care andconsideration given to the certificationby the medical certifier. This propor-tion also may be used as a rough mea-sure of the specificity of the medicaldiagnoses made by the certifier in var-ious areas. In 1990, a record low of1.12 percent of all reported deaths inthe United States were assigned toSymptoms, signs, and ill-defined condi-tions (ICD-9 Nos. 780–799) comparedwith 1.25 percent for 1989. However,trends in the percent of deathsassigned to this category vary by age,Although the percent of deaths fromthis cause for all ages combined gener-ally has remained stable since 1980,decreases have occurred for the agegroup 55-64 years since 1983; for agegroup 65–74 years since 1982; for agegroup 75-84 years since 1986; and for10-year age groups from 15 to 54 yearssince 1988. Between 1989 and 1990,the percent decreased for all agegroups, except for those under 1 yearof age, which was unchanged.

Population bases forcomputing rates

The population used for com-puting death rates and life tablesshown in this report (furnished by theU.S. Bureau of the Census) representsthe population residing in the specifiedarea, The populations for 1990 arebased on the April 1, 1990 censusenumeration. Death rates and lifetables for 1981–89 have been recom-puted, based on revised populationsthat are consistent with the 1990census levels (19,20). They are, there-fore, not comparable with death ratesand life table values published in the


Advance Repoti of Final Mortali~ Sta-tistics, in Vital Statktics of the UnitedStates, Volume I& Mortality and inother NCHS publications for thoseyears.

Infant mortality rates shown in fig-ure5 and tabIes E and 22–26 are themost commonly used index for mea-suring the risk of dying during the firstyear of life. They are calculated bydividing the number of infant deaths ina calendar year by the number of livebirths registered for the same periodand are presented as rates per 1,000 orper 100,000 live births. Infant mortalityrates use the number of live births inthe denominator to approximate thepopulation at risk of dying before thefirst birthday.

In contrast to infant mortalityrates based on live births, infant deathrates shown in figure 2 and tables A, 2,5,9, and 14 are based on the estimatedpopulation under 1 year of age. Forintercensal years infant death ratesthat appear in tabulations of age-specific death rates are calculated bydividing the number of infant deaths ina calendar year by the midyear popu-lation of infants under 1 year of age(estimated from births occurring in the12-month period ending with June)and are presented as rates per 100,000population in this age group. Becauseof differences in the denominators,infant death rates may differ frominfant mortality rates.

Race for Infant and MaternalMortality Rates

Beginning with the 1989 data year,the method of tabulating live births byrace was changed from race of child torace of mother. This change affectsinfant and maternal mortality ratesbecause live births comprise thedenominator of these rates. In 1989and 1990, as in previous years, infantand maternal deaths continue to betabulated by the race of the decedent.

As noted in detail in TechnicalAppendix to Vital Statistics of theUnited States, Volume 1, Natality (21),beginning with 1989, live births aretabulated primarily by race of mother,as reported directly on the birth certif-icate. Before 1989 birth tabulations

were by race of child, as determinedstatistically by an algorithm based onrace as reported for the mother andfather. Briefly, in cases of mixed par-entage where only one parent waswhite, the child was assigned to theother parent’s race. When neitherparent was white, the child wasassigned the race of the father, exceptif either parent was Hawaiian, thechild was assigned to Hawaiian. If racewas not reported for one parent, thechild was assigned the race of theparent for whom race was given.

The change in tabulating livebirths by race reflects three factorsover the past two decades – the topicalcontent of the birth certificate hasbeen expanded to include considerablehealth and demographic informationrelated to the mother, the increasingincidence of interracial parentage, andthe growing proportion of births forwhich no information on the father isreported.

Quantitatively, the change in thebasis for tabulating live births by raceresults in more white births and fewerblack births and births of other races.Consequently, infant and maternalmortality rates under the new tabu-lating procedure tend to be about2 percent lower for white infants andabout 5 percent higher for blackinfants than they are when computedby the previous method of tabulatinglive births by race of child. Rates formost other minority races also arehigher when computed by race ofmother (5).

The change in tabulating race oflive births presents challenges to thoseanalyzing infant and maternal mor-tality data, particularly trend data. Tofacilitate continui~ and ease of inter-pretation, key published tables for1989 and 1990, incIuding alI trendtables, wilI show data computed on thebasis of live births tabulated by race ofmother and race of child. This willmake it possible to distinguish theeffects of this change from reaIchanges in the data. The text in thisreport focuses on live birth data tabu-lated by race of mother except wheretrends are discussed. In the latter case,the analysis is based on data tabulatedby race of child.

Cause-of-death rankings

The cause-of-death rankingsshown in figure 4 and tables B–D, 5–7,17, and 28 are based on the List of 72SeIected Causes of Death and HIVinfection (ICD-9 Nos. *042–*044). Thecause-of-death ranking for infants intable 24 is based on the List of 61Selected Causes of Infant Death andHIV infection. HIV infection wasadded to the lists of rankabIe causeseffective with data year 1987.

The group titles Major cardiovas-cular diseases and Symptoms, signs,and ill-defined conditions are notranked from the List of 72 SelectedCauses; Certain conditions originatingin the perinatal period and Symptoms,signs, and ill-defined conditions arenot ranked from the List of 61Selected Causes of Infant Death. Inaddition, category titles that begin withthe words “Other” and “All Other”are not ranked to determine theleading causes of death. When one ofthe titIes that represents a subtotal isranked (for example, Tuberculosis), itscomponent parts are not ranked (inthis case, Tuberculosis of respiratorysystem and Other tuberculosis).

Age-adjusted rates

The age-adjusted rates presentedin this report were computed by thedirect method, that is, by applying theage-specific death rates for a givencause of death to the standard popula-tion distributed by age. The total pop-ulation as enumerated in 1940 wasselected as the standard. By using thesame standard population, the ratesfor the total population and for eachrace-sex group were adjusted sepa-rately. The age-adjusted rates werebased on 10-year age groups. It isimportant not to compare age-adjusteddeath rates with crude rates.

Random variation

Although the mortality data in thisreport (except data for 1972) are notsubject to sampiing error, they maybeaffected by random variation in thenumber of deaths involved. When thenumber of events is small (perhaps lessthan 100) and the probability of such


an event is small, considerable cautionmust be observed in interpreting thedata. Such infrequent events may beassumed to follow a Poisson proba-bility distribution. For this distribu-tion, a simple approximation may beused to estimate the confidenceinterval, as follows:

If N is the number of registereddeaths in the population and R is thecorresponding rate, the chances are 19in 20 (approximate 95-percent confi-dence interval) that

1. N-2~and N +2fl

covem the “true” number ofevents.

2, R-2& and R+2&

m m

covers the “true” rate,

If the rate R, corresponding to N,events is compared with the rate R2corresponding to Nz events, the dif-ference between the two rates may beregarded as statistically significant if itexceeds

3“2%’T%Additional information on random

variation may be found in the Tech-nical Appendix of V7tal Statistics of theUnited States, Volume II (5).

Infant and maternal mortalityrates —Comparisons made in the textamong infant, neonatal, postneonatal,and maternal mortality rates, unlessotherwise specified, are statisticallysignificant at the 0.05 level of signifi-cance. Lack of comment in the textabout any two rates does not meanthat the difference was tested andfound not to be significant at this level.

Rates, proportions, and ratios

Beginning with 1989 data, anasterisk is shown in place of a rate

based on 20 or fewer deaths. Theserates have a relative standard error of23 percent or more and are, therefore,considered statistically unreliable. Forage-adjusted death rates, this criterionis applied to the sum of the age-specific deaths.

Life tables

U.S. abridged life tables are con-structed by reference to a standard lifetable (22).

Hispanic origin

For 1990 mortality data for theHispanic-origin population are basedon deaths to residents of 45 States,New York State (excluding New YorkCity), and the District of Columbiawhose data were at least 90 percentcomplete on a place-of-occurrencebasis and considered to be sufficientlycomparable to be used for analysis.The 45 States are Alabama, Alaska,Arizona, Arkansas, California, Colo-rado, Delaware, Florida, Georgia,Hawaii, Idaho, Illinois, Indiana, Iowa,Kansas, Kentucky, Maine, Maryland,Massachusetts, Michigan, Minnesota,Mississippi, Missouri, Montana,Nebraska, Nevada, New Jersey, NewMexico, North Carolina, NorthDakota, Ohio, Oregon, Pennsylvania,Rhode Island, South Carolina, SouthDakota, Tennessee, Texas, Utah, Ver-mont, Virginia, Washington, West Vir-ginia, Wisconsin, and Wyoming. Datafor New York City are excluded for1990 because more than 10 percent ofits death certificates were coded to“unknown origin. ” Because about halfof the deaths to Puerto Ricans areaccounted for by New York City, theresulting mortality data may not becomparable with that of previousyears.

Infant mortality rates for theHispanic-origin population are basedon numbers of resident infant deaths

reported to be of Hispanic-origin andnumbers of resident live births by His-panic origin of mother for 45 States,New York State (excluding New YorkCity), and the District of Columbia.The 45 States are the same as listedabove. In computing infant mortalityrates, deaths and live births ofunknown origin are not distributedamong the specified Hispanic and non-Hispanic groups. Because the percentof infant deaths of unknown origin was1,6 and the percent of live births ofunknown origin was 1,0 in thereporting area for 1990, infant mor-tality rates by specified Hispanic originand race for non-Hispanic origin maybe somewhat underestimated,

Small numbers of infant deaths forspecific Hispanic-origin groups canresult in infant mortality rates subjectto relatively large random variation(see section, “Random variation”).

In 1990 the 45 States, New YorkState (excluding New York City), andthe District of Columbia accounted forabout 89 percent of the Hispanic pop-ulation in the United States, includingabout 99 percent of the Mexican pop-ulation, 58 percent of the PuertoRican population, 92 percent of theCuban population, and 81 percent ofthe “Other Hispanic” population (23).

Computation of percentdistributions

Deaths of persons of unknownmarital status and unknown educa-tional attainment were subtractedfrom figures for total deaths used asdenominators before percent distribu-tions were computed.


52 ~ Monthly Vital Statistics Report ● Vol. 41, No. 7(S) ● January 7, 1993

This report represents summary tabulations from the final mortali~ statistics for 1990. Moredetailed tabulations for 1990 will be pubIished in J’%alStatistics of the United States, 1990Volume II – Mortality. Prior to the publication of that volume, the National Center for HealthStatistics will respond to requests for unpublished data whenever possible.

Suggested citation Copyright information National Center for Health :Statlstlcs

National Center for Health Statistics. Advance This report may be reprinted without furtherreport of final mortality statistics, 1990. permission.Monthly vital statistics report; VOI41 no 7,suppl, Hyattsville, Maryland: Public HealthService. 1993.

DirectorManning Feinleib, M.D., Dr. P.H

Acting Deputy DirectorJack R. Anderson

U.S. DEPARTMENT OF HEALTHAND HUMAN SERVICESPublic Health ServiceCenters for Diseese Control and PreventionNational Center for Health Statistics6525 Belcrest RoadHyattsville, Maryland 20782

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