Heart Disease Mortality Data Trends for 2000-2008 DS 10-10002
Race/Ethnic Group Differences
Heart disease was the leading cause of death for all race/ethnic groups in all years from 2000 through 2008 with the following exceptions:
• For Asians, heart disease was second to cancer in all years except 2002.
• For Hispanics, heart disease was the leading cause from 2000 through 2006 and was second to cancer in 2007 and 2008.
• For Two or More Races, heart disease was second to cancer in 2006 and 2007.
The chart below presents 2000 through 2008 age-adjusted death rates for California residents by race/ethnicity.
Blacks had the highest age-adjusted heart disease death rates throughout the study period. All race/ethnic groups experienced statistically significant rate decreases except Two or More Races, which had a statistically significant increase, possibly due to improved race reporting on the death certificate. Rate changes between 2000 and 2008 varied among race/ethnic groups:
• The age-adjusted death heart disease rate for Blacks decreased by 25.3 percent.
• The rate for Whites decreased by 25.6 percent.
• The rate for Asians decreased by 30.8 percent.
• The Pacific Islander rate decreased by 31.0 percent.
• The Hispanic rate decreased by 31.1 percent.
• The American Indian rate decreased by 51.3 percent.
• The Two or More Races rate increased by 93.0 percent.
Annual heart disease age-adjusted death rates and 95 percent confidence intervals are shown in Table 3(PDF).
The average age of death due to heart disease during the study period varied among the race/ethnic groups. Pacific Islanders had the lowest average age of 65.3 years and Whites had the highest average of 79.8 years. This means on the average Pacific Islanders died more than 14 years earlier from heart disease when compared to Whites. The average age of death from heart disease between 2000 and 2008 was:
• 65.3 years for Pacific Islanders.
• 70.7 years for American Indians and Two or More Races.
• 71.3 years for Blacks.
• 73.4 years for Hispanics.
• 77.6 years for Asians.
• 79.8 years for Whites.
While the majority of all heart disease deaths occurred to people over age 75, the proportions that occurred to people under age 75 varied considerably among race/ethnic groups. Specifically, the proportion of heart disease deaths before age 75 was:
• More than 60 percent among Pacific Islanders.
• Between 50 and 60 percent for American Indians and Blacks.
• Between 40 and 50 percent for Hispanics and Two or More Races.
• Less than 40 percent among Whites and Asians.
The chart below shows the age distribution of heart disease deaths by race/ethnicity.
Age-specific death rates for all race/ethnic groups were generally higher in older age groups. Annual age-specific heart disease death rates are displayed in Table 2a (PDF).
During the study period, the actual risk of dying per 100,000 population, or crude death rate, for race/ethnic groups ranged as follows:
• American Indian, 88.6 to 113.4
• Asian, 93.7 to 103.8
• Black, 207.2 to 241.5
• Hispanic, 56.7 to 63.1
• Pacific Islander, 130.4 to 154.6
• Two or More Races, 10.6 to 38.3
• White, 261.7 to 323.8
Annual heart disease crude death rates by race/ethnic group are displayed in Table 2a (PDF) under the “All Ages” column.
See the Technical Notes for information about rate calculation and trend analysis.