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Complete Health Indicator Report of Coronary Heart Disease (CHD) Deaths

Definition

The rate of coronary heart disease-related deaths per 100,000 population.

Numerator

The number of deaths with ICD-10 codes I20-I25 listed as primary cause.

Denominator

Total midyear resident population for the same calendar year.

Why Is This Important?

Coronary heart disease (CHD) is a condition in which blood flow to the heart is reduced. When the coronary arteries become narrowed or clogged, an inadequate amount of blood oxygen reaches the heart tissue. The part of the heart not receiving oxygen begins to die, and some of the heart muscle may be permanently damaged. Prevention of CHD is key to reducing mortality from heart disease.

Healthy People Objective HDS-2:

Reduce coronary heart disease deaths
U.S. Target: 103.4 deaths per 100,000 population
State Target: 54.0 deaths per 100,000 population

Other Objectives

Utah's 42 Community Health Indicators[[br]] CSTE Chronic Disease Indicators

How Are We Doing?

The death rate from coronary heart disease has declined significantly over the past 30 years for both Utah and the U.S. In 2015, Utah experienced 68.3 deaths per 100,000 population (age-adjusted rate).

How Do We Compare With the U.S.?

For 2015, the age-adjusted rate for Utah was 68.3 deaths per 100,000 population. In 2014, the age-adjusted rate for Utah (68.9 per 100,000) was significantly lower than the 2014 U.S. rate (98.8 per 100,000).

What Is Being Done?

The Healthy Living through Environment, Policy, and Improved Clinical Care Program (EPICC) was formed in 2013, consolidating three Utah Department of Health programs (Diabetes Prevention and Control Program, Heart Disease and Stroke Prevention Program, and the Physical Activity, Nutrition and Obesity Program). The purpose of the consolidation was to ensure a productive, collaborative, and efficient program focused on health outcomes. EPICC aims to reduce the incidence of diabetes, heart disease, and stroke by targeting risk factors including reducing obesity, increasing physical activity and nutritious food consumption, and improving diabetes and hypertension control. The program is organized around four domains: *Domain 1: Epidemiology and Surveillance--gather, analyze, and disseminate data and information and conduct evaluation to inform, prioritize, deliver, and monitor programs and population health. *Domain 2: Policy and Environment--environmental approaches the promote health and support and reinforce healthful behaviors (statewide in schools and childcare, worksites, and communities). *Domain 3: Health Systems--Health system interventions to improve the effective delivery and use of clinical and other preventive services in order to prevent disease, detect diseases early, and reduce or eliminate risk factors and manage complications. *Domain 4: Community Clinical Linkages--Strategies to improve community-clinical linkages ensuring that communities support and clinics refer patients to programs that improve management of chronic conditions.[[br]] [[br]] The primary program strategies include: *Increasing healthy nutrition and physical activity environments in K-12 schools *Increasing healthy nutrition and physical activity environments in early care and education (childcare/preschool) *Increasing healthy nutrition and physical activity environments in worksites *Improving awareness of prediabetes and hypertension for Utahns *Improving the quality of medical care for people with diabetes and hypertension *Improving the linkages between health care providers and supporting community programs for Utahns with diabetes and hypertension *Improving access and availability to community health programs for Utahns with diabetes, hypertension, and obesity. *Improving care and management of students with chronic conditions in Utah schools

Health Program Information

In 2012, the Utah Department of Health published a statistical report titled The Impact of Heart Disease and Stroke in Utah. This report describes overall patterns in cardiovascular disease and risk factors at the state and national levels and among Utah sub-populations (age group, sex, race, ethnicity, and Utah Small Area). To download the full report, please visit [http://www.choosehealth.utah.gov/documents/pdfs/reports/HD_Stroke_Burden_Report2012.pdf]


Related Indicators

Relevant Population Characteristics

Age, gender, and socioeconomic risk factors are related to coronary heart disease (CHD) deaths. Advanced age is the major risk factor for CHD deaths. Although CHD is the leading cause of death in women, men have a higher CHD death rate than women in all age groups. Rates tend to be lowest for Utahns who are Asian.

Related Relevant Population Characteristics Indicators:


Health Care System Factors

Advances in medical technology and clinical care have contributed significantly to the decline in CHD mortality in the U.S. since 1980. Further decline could be achieved through improved treatment of high blood pressure and diabetes in primary care.

Related Health Care System Factors Indicators:


Risk Factors

Individuals who smoke cigarettes, have high blood pressure, elevated cholesterol, diabetes, poor nutrition, a family history of heart disease, or who are overweight, obese, or physically inactive are at greater risk of developing coronary heart disease than individuals without these risk factors.

Related Risk Factors Indicators:


Health Status Outcomes

Coronary heart disease (CHD) is a chronic condition in which atherosclerosis develops in the coronary arteries that supply blood to the heart muscle.

Related Health Status Outcomes Indicators:




Graphical Data Views

Coronary Heart Disease Deaths, Utah and U.S., 1999-2015

::chart - missing::
confidence limits

For 2015, the age-adjusted rate for Utah was 68.3 deaths per 100,000 population. The age-adjusted rate for U.S. 2015 is not available. In 2014, the age-adjusted rate for Utah (68.9 per 100,000) was significantly lower than the 2014 U.S. rate (98.8 per 100,000).
Utah vs. U.S.YearAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 33
Utah1999118.3112.7124.0
Utah2000112.0106.8117.5
Utah2001108.3103.2113.7
Utah2002100.395.4105.3
Utah2003100.596.0105.5
Utah200492.387.797.0
Utah200584.480.188.9
Utah200680.476.384.7
Utah200777.173.281.2
Utah200873.569.777.5
Utah200969.065.472.8
Utah201069.866.273.6
Utah201171.968.375.7
Utah201267.864.471.4
Utah201367.864.471.3
Utah201468.965.572.4
Utah201568.364.971.7
U.S.1999194.6194.1195.1
U.S.2000186.8186.2187.3
U.S.2001179.0178.5179.5
U.S.2002173.5173.0174.0
U.S.2003165.6165.1166.0
U.S.2004153.2152.8153.7
U.S.2005148.2147.7148.6
U.S.2006138.3137.9138.7
U.S.2007129.2128.8129.6
U.S.2008126.1125.7126.5
U.S.2009117.7117.3118.1
U.S.2010113.6113.3114.0
U.S.2011109.2108.8109.5
U.S.2012105.4105.1105.8
U.S.2013102.6102.3103.0
U.S.201498.898.599.1

Data Notes

Data reflects deaths with ICD-10 codes I20-I25 listed as primary cause. Utah rates are age-adjusted to 2000 U.S. standard population using 11 age categories and drawn from IBIS-Q. U.S. rates are drawn from CDC WONDER and may use different age-adjustment categories. Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File 1999-2010. CDC WONDER On-line Database, compiled from Compressed Mortality File. Accessed at [http://wonder.cdc.gov/cmf-icd10.html].

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015
  • U.S. Centers for Disease Control and Prevention, on-line data - CDC WONDER
  • National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention


Coronary Heart Disease Deaths by Age and Sex, Utah, 2015

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confidence limits

Across most age groups where data were sufficient for comparison, males had higher rates of coronary heart disease death than females.
Males vs. FemalesAge GroupRate per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 34
Male0-340.60.21.4Unreliable estimate
Male35-444.92.49.0Unreliable estimate
Male45-5433.424.943.7
Male55-64105.388.9123.7
Male65-74229.7199.0263.9
Male75+994.7913.41,081.2
Female0-34**Suppressed
Female35-442.00.65.2Unreliable estimate
Female45-546.53.111.9Unreliable estimate
Female55-6435.226.246.3
Female65-7486.869.0107.7
Female75+713.2652.3778.2
Total0-340.40.10.8Unreliable estimate
Total35-443.51.95.9
Total45-5420.015.325.6
Total55-6469.660.280.0
Total65-74155.3137.7174.6
Total75+836.9787.2888.9

Data Notes

The coronary heart disease mortality rates for Females 0-34 was suppressed due to relative standard error greater than 50% or that could not be determined.[[br]] Unreliable estimate: Should be interpreted with caution. These estimates have a relative standard error greater than 30% and does not meet UDOH standards for reliability.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015


Coronary Heart Disease Deaths by Ethnicity, Utah, 2015

::chart - missing::
confidence limits

In 2015, the CHD death rate among Hispanic Utahns (36.7 per 100,000) was significantly lower than the rate among the general Utah population (65.3 per 100,000).
Hispanic EthnicityAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 3
Hispanic36.727.548.0
Non-Hispanic66.963.670.3
All Utahns65.362.268.6

Data Notes

Rates are age-adjusted to the 2000 U.S. standard population using 3 groups, 0-44, 45-64, and 65+.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2015


Coronary Heart Disease Deaths by Race, Utah, 2014-2015

::chart - missing::
confidence limits

For combined years 2014-2015, the age-adjusted CHD death rate was lowest among the Asian population (31.4 per 100,000) compared to all races (65.4 per 100,000).
RaceAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 6
American Indian/Native Alaskan62.340.990.9
Asian31.421.045.0
Black56.431.792.7
Pacific Islander81.450.0124.9
White66.063.768.4
All Races65.663.367.9

Data Notes

Rates are age-adjusted to the 2000 U.S. standard population using 3 groups, 0-44, 45-64, and 65+.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates by Age, Sex, Race, and Hispanic Origin for Counties in Utah, U.S. Bureau of the Census, IBIS Version 2015


Coronary Heart Disease Deaths by Local Health District, Utah, 2013-2015

::chart - missing::
confidence limits

The local health district (LHD) with the highest CHD death rate was Southeast (113.6 per 100,000). The LHD with the lowest CHD death rate was Summit (43.3 per 100,000) Prior to 2015 San Juan County was part of the Southeast Local Health District. In 2015 the San Juan County Local Health District was formed. To reflect these changes, data prior to 2015 is included and presented applying the current boundaries.
Local Health DistrictAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 14
Bear River67.960.076.4
Central86.775.699.0
Davis County71.765.778.1
Salt Lake County64.561.567.7
San Juan50.031.375.6
Southeast113.696.9132.3
Southwest53.148.358.4
Summit43.331.258.7
Tooele55.944.070.1
TriCounty56.344.570.1
Utah County60.155.365.2
Wasatch48.132.768.4
Weber-Morgan80.173.587.2
State of Utah65.663.867.5

Data Notes

Rates are age-adjusted to the 2000 U.S. standard population using 3 groups, 0-44, 45-64, and 65+. Prior to 2015 San Juan County was part of the Southeast Local Health District. In 2015 the San Juan County Local Health District was formed. Data reported are for all years using the current boundaries.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015


Coronary Heart Disease Deaths by County, 2013-2015

::chart - missing::
confidence limits

For years 2013-2015, the county with the highest CHD death rate was Carbon (140.4 per 100,000). The county with the lowest reliable CHD death rate was Summit (43.3 per 100,000).
CountyAge-adjusted Rate per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 30
Beaver53.826.996.4Unreliable estimate
Box Elder103.187.4120.7
Cache47.138.956.5
Carbon140.4114.6170.3
Daggett**Suppressed
Davis71.765.778.1
Duchesne64.044.389.5
Emery113.481.4153.9
Garfield22.87.353.3Unreliable estimate
Grand59.036.590.2
Iron71.157.387.3
Juab103.870.0148.2
Kane53.731.286.2
Millard84.259.4115.8
Morgan62.136.898.2
Piute98.341.4196.6Unreliable estimate
Rich58.818.9138.2Unreliable estimate
Salt Lake64.561.567.7
San Juan50.031.375.6
Sanpete75.357.996.1
Sevier91.871.2116.5
Summit43.331.258.6
Tooele55.943.970.1
Uintah52.437.970.6
Utah60.155.365.2
Wasatch48.132.768.4
Washington50.445.056.4
Wayne101.152.1176.8
Weber80.974.188.2
State65.663.867.5

Data Notes

Rates are age-adjusted to the 2000 U.S. standard population using 3 groups, 0-44, 45-64, and 65+.[[br]] [[br]] ^ ^**The coronary heart disease death rate for Daggett County does not meet UDOH standards for reliability and was suppressed. Unreliable estimates: The rates for Beaver, Garfield, Piute, and Rich Counties have relative standard errors greater than 0.3 and should be interpreted with caution.

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2015


Coronary Heart Disease Deaths by Utah Small Area, 2013-2015

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confidence limits

The area with the highest CHD death rate was Brigham City (151.8 per 100,000). The area with the lowest CHD death rate was SLC (Avenues) (37.3 per 100,000).
Utah Small AreasAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 64
Brigham City151.8124.2183.8
Box Elder Co (Other)69.951.692.4
Logan51.240.064.6
Cache Co (Oth)/Rich Co (All)49.036.264.8
Ben Lomond83.869.5100.3
Morgan Co (All)/Weber Co (E)44.233.756.9
Ogden (Downtown)114.491.8141.0
South Ogden90.973.9110.7
Roy/Hooper85.568.8105.0
Riverdale99.278.3124.0
Clearfield/Hill AFB90.173.3109.5
Layton77.064.191.8
Syracuse/Kaysville67.653.284.6
Farmington/Centerville47.834.864.0
Woods Cross/North Salt Lake66.747.990.5
Bountiful79.166.393.7
SLC (Rose Park)71.252.694.3
SLC (Avenues)37.325.253.3
SLC (Foothill/U of U)58.942.978.8
Magna74.450.7105.3
SLC (Glendale)103.479.4132.5
West Valley (West)58.547.171.8
West Valley (East)69.955.187.4
West Valley (East) V274.560.191.4
SLC (Downtown)119.193.0150.2
South Salt Lake68.657.381.5
Millcreek70.559.383.1
Holladay59.048.171.8
Kearns V296.673.0125.4
Taylorsville (E)/Murray (W)71.355.490.2
Taylorsville (West)42.530.457.8
Murray71.455.990.0
Midvale72.755.194.3
West Jordan (NE) V264.145.887.2
West Jordan (SE)59.742.481.6
West Jordan (W)/Copperton50.830.479.6
South Jordan55.442.770.7
Sandy (Center)62.250.176.2
Sandy (NE)61.045.579.9
Sandy (SE)45.832.462.7
Riverton/Draper50.840.862.6
Tooele Co57.745.372.4
Lehi/Cedar Valley56.042.872.1
American Fork/Alpine62.648.879.2
Pleasant Grove/Lindon47.634.863.5
Orem (North)53.137.073.9
Orem (West)67.548.691.2
Orem (East)57.040.079.0
Provo (North)/BYU69.654.887.2
Provo (South)79.960.3103.7
Springville/Spanish Fork65.153.478.6
Utah Co (South)69.951.992.3
Summit Co44.432.060.2
Wasatch Co47.732.467.8
TriCounty LHD54.943.568.5
Juab/Millard/Sanpete Co87.673.3103.9
Sevier/Piute/Wayne Co98.178.6120.9
Carbon/Emery Co137.9116.3162.3
Grand/San Juan Co55.440.074.6
St George53.345.562.1
Washington Co (Other)54.946.264.8
Cedar City77.561.296.9
Southwest LHD (Other)53.539.471.2
State68.066.170.0

Data Notes

Data are age adjusted to U.S. 2000 standard population using 3 age groups (0-44, 45-64, 65+). A description of the Utah Small Areas may be found on IBIS at the following URL: [http://ibis.health.utah.gov/resource/Help.html].

Data Sources

  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health
  • Population estimates produced by the UDOH Center for Health Data and Informatics. Linear interpolation of U.S. Census Bureau and ESRI ZIP Code data provided annual population estimates for ZIP Code areas by sex and age groups, IBIS Version 2015

References and Community Resources

Heart disease and stroke are the first and fourth leading causes of death in the United States. Heart disease is responsible for 1 of every 3 deaths in the country. Million Hearts is a national initiative that has set an ambitious goal to prevention 1 million heart attacks and strokes by 2017. The impact will be even greater over time. Million Hearts aims to prevent heart disease and stroke by: *Improving access to effective care. *Improving the quality of care for the ABCS (appropriate aspirin prescription, blood pressure control, cholesterol control, and smoking cessation) *Focusing clinical attention on the prevention of heart attack and stroke. *Activating the public to lead a heart-healthy lifestyle. *Improving the prescription and adherence to appropriate medications for the ABCS.[[br]] [[br]] See what you can do to be part of the solution. Visit [http://millionhearts.hhs.gov/be_one_mh.html] for more information. To see a report on the burden of heart disease and stroke in Utah, please see [http://www.choosehealth.utah.gov/documents/pdfs/reports/HD_Stroke_Burden_Report2012.pdf]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 12/28/2016, Published on 12/28/2016
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Tue, 21 August 2018 16:05:14 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Fri, 26 May 2017 10:19:44 MDT