Premature Mortality Trends 2000-2007 DS 09-09000
Race/Ethnic Group Differences
For all causes of death combined, Blacks had the highest age-adjusted YPLL-75 rate among all race/ethnic groups for all study years. The 2007 YPLL-75 rates were lower than the 2000 rates for all race/ethnic groups except Two or More Races, which had a higher YPLL-75 rate in 2007 than 2000. The increase in the rate for Two or More Races might be attributed to initial underreporting. Table 1 (PDF) and Table 2 (PDF) provide detailed YPLL-75 rates and raw counts by race/ethnic groups. More information about the race/ethnic categories studied is available in the Technical Notes.
A trend analysis showed statistically significant downward trends in the White, Black, and Asian YPLL-75 rates. The Two or More Races YPLL-75 rate demonstrated a statistically significant increasing trend. Additional information about the trend analysis is in the Technical Notes.
Specific results were as follows:
For Whites, the greatest decrease in YPLL-75 rate was in cancer, which decreased by 293.6 years. The greatest increase for Whites in YPLL-75 rate was in unintentional injuries, which increased by 139.2 years. The largest percentage decrease for Whites was 47.5 percent in HIV disease, and the largest percentage increase was 52.4 percent in viral hepatitis.
The causes that showed the greatest changes in YPLL-75 rate were the same in Blacks as in Whites. The cancer-specific YPLL-75 in Blacks decreased by 365.7, and the unintentional injuries-specific YPLL-75 rate increased by 150.3 years. The HIV disease-specific YPLL-75 rate decreased by 28.7 percent in Blacks, and the viral hepatitis-specific YPLL-75 rate increased by 68.2 percent.
For Asians, the greatest decrease in YPLL-75 rate was in cancer, which decreased by 118.5 years. The greatest increase for Asians in YPLL-75 rate was in suicides, which increased by 47.9 years. The largest percentage decrease for Asians was 43.8 percent in chronic lower respiratory disease, and the largest percentage increase was 29.9 percent in suicide.
The cause with the largest decrease in the YPLL-75 rate for Hispanics was heart disease, which decreased by 125.9 years. The largest increase for Hispanics in YPLL-75 rate was in unintentional injuries, which increased by 46.0 years. The largest percentage decrease for Hispanics was 36.8 percent in HIV disease, and the largest percentage increase was 88.7 percent in viral hepatitis.
Cause-specific YPLL-75 rates for American Indians, Pacific Islanders, and Two or More Races were unreliable and not displayed.
For Whites, Asians, and Hispanics the 2007 top three causes of death contributing to YPLL-75 were cancer, unintentional injuries, and heart disease. These three causes combined represented 54.1 percent of the total YPLL-75 rate for Whites, 53.5 percent for Asians, and 46.3 percent for Hispanics. Blacks’ top three YPLL-75 causes of death were heart disease, cancer, and homicide, which combined represented 45.7 percent of the total YPLL-75 rate. Cause-specific YPLL-75 rates among American Indians, Pacific Islanders, and Two or More Races were largely unreliable and not displayed.