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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.

Data Interpretation Issues

Please note that for some data views, 11 age categories are used for age adjusting, and in some cases (race, ethnicity), 3 age categories are used. Some views may have a different "overall" rate than the rate shown on the U.S./Utah graph. Some data views use combined years to obtain more reliable estimates, also affecting the value for the overall rate.

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. 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 for both Utah and the U.S. In 2018, the age-adjusted rate for Utah was 62.8 deaths per 100,000 population. In 1999 (the year ICD-10 codes began to be used for death records), the age-adjusted rate was 118.3 per 100,000.

How Do We Compare With the U.S.?

For 2018, the age-adjusted rate for Utah was 62.8 deaths per 100,000 population. The Utah rate for 2017 was 66.8 per 100,000 population. In contrast, the rate for the U.S. for 2017 (the latest available at this time) was 92.9 per 100,000 population.

What Is Being Done?

The Healthy Living through Environment, Policy, and Improved Clinical Care (EPICC) Program 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. The EPICC Program 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. [[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., 1999-2018

::chart - missing::
confidence limits

In 2018, the age-adjusted rate for Utah was 62.8 deaths per 100,000 population. In 2017, the age-adjusted rate for U.S. (92.9 per 100,000) was much higher than the rate for Utah (66.8 per 100,000).
Utah vs. U.S.YearAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 39
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
Utah201172.168.575.8
Utah201268.064.571.6
Utah201368.064.671.6
Utah201469.165.772.6
Utah201568.865.572.3
Utah201666.963.670.2
Utah201766.863.770.2
Utah201862.859.766.0
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
U.S.201597.296.997.6
U.S.201694.394.094.6
U.S.201792.992.693.2

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 2018
  • 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, 2016-2018

::chart - missing::
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
Male0-340.60.30.9
Male35-449.27.011.8
Male45-5439.534.145.6
Male55-64109.199.5119.3
Male65-74216.6199.9234.3
Male75+970.2925.01,016.9
Female0-340.20.10.5* Interpret with caution
Female35-442.41.44.0
Female45-5413.410.317.1
Female55-6435.530.241.4
Female65-7484.874.995.6
Female75+597.5565.9630.3
Total0-340.40.20.6
Total35-445.94.67.3
Total45-5426.623.430.1
Total55-6471.666.177.4
Total65-74148.0138.4158.1
Total75+762.7736.0790.2

Data Notes

^ ^*Use caution in interpreting; the estimate has a coefficient of variation > 30% and is unreliable.

Data Sources

  • Population Estimates: National Center for Health Statistics (NCHS) through a collaborative agreement with the U.S. Census Bureau, IBIS Version 2018
  • Utah Death Certificate Database, Office of Vital Records and Statistics, Utah Department of Health


Coronary Heart Disease Deaths by Ethnicity, Utah, 2018

::chart - missing::
confidence limits

In 2018, the CHD death rate among Hispanic Utahns (30.1 per 100,000) was lower than the rate among the general Utah population (58.2 per 100,000). The rate for non-Hispanics was 60.1.
Hispanic EthnicityAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 3
Hispanic30.122.838.9
Non-Hispanic60.157.263.2
All Utahns58.255.461.1

Data Notes

Rates are age-adjusted to the 2000 U.S. standard population using three age categories.

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 2018


Coronary Heart Disease Deaths by Race, Utah, 2017-2018

::chart - missing::
confidence limits

For combined years 2017-2018 the age-adjusted CHD death rate was lowest among the Asian population (39.0 per 100,000) compared to all races (60.7 per 100,000). The highest rates were seen for Black/African Americans, with a rate of 63.9 per 100,000 population and for Native Hawaiians/Pacific Islanders, with a rate of 63.6 per 100,000 population.
RaceAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 6
American Indian/Native Alaskan50.933.274.7
Asian39.028.552.1
Black63.940.396.3
Pacific Islander63.640.096.0
White60.958.863.0
All Races60.758.662.8

Data Notes

Rates are age-adjusted to the 2000 U.S. standard population using three age categories. Two years of data are used to increase the reliability of the estimates.

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 2018


Coronary Heart Disease Deaths by Local Health District, Utah, 2017-2018

::chart - missing::
confidence limits

The local health district (LHD) with the highest CHD death rate was Southeast (113.3 per 100,000 population). The LHD with the lowest CHD death rate was San Juan (44.1 per 100,000 population).
Local Health DistrictAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 14
Bear River69.259.979.5
Central64.653.078.1
Davis County67.160.274.6
Salt Lake County62.558.966.2
San Juan44.124.573.1
Southeast113.393.0136.7
Southwest58.652.665.0
Summit50.531.876.3
Tooele66.651.185.4
TriCounty75.259.094.6
Utah County63.557.769.7
Wasatch74.750.5106.6
Weber-Morgan74.166.482.5
State of Utah64.862.667.1

Data Notes

Rates are age-adjusted to the 2000 U.S. standard population using 11 age categories.

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 2018


Coronary Heart Disease Deaths by County, Utah, 2015-2018

::chart - missing::
confidence limits

For years 2015-2018, the county with the highest CHD death rate was Carbon (149.1 per 100,000).
CountyAge-adjusted Rate per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 30
Beaver52.227.390.5
Box Elder108.694.8124.0
Cache46.539.654.2
Carbon149.1126.1175.0
Daggett63.419.8151.0*Unreliable estimate
Davis71.266.176.7
Duchesne78.759.2102.5
Emery126.395.7163.5
Garfield74.546.6112.8
Grand54.735.780.2
Iron64.052.577.3
Juab63.439.995.6
Kane70.046.0102.3
Millard52.735.775.0
Morgan87.158.0125.8
Piute106.147.5204.4*Unreliable estimate
Rich61.024.2126.5*Unreliable estimate
Salt Lake64.061.466.7
San Juan54.737.776.8
Sanpete76.761.295.0
Sevier73.657.493.0
Summit55.340.873.3
Tooele57.947.370.2
Uintah82.966.6102.0
Utah63.359.167.7
Wasatch71.854.193.3
Washington51.546.956.4
Wayne91.749.0156.4
Weber77.671.883.8
State66.364.667.9

Data Notes

Unreliable estimates: The rates for Daggett, Piute, and Rich Counties have relative standard errors greater than 30% and should be interpreted with caution. These estimates do not meet UDOH standards for reliability. Rates are age-adjusted to the 2000 U.S. standard population using 11 age categories.

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 2018


Coronary Heart Disease Deaths by Utah Small Area, 2014-2018

::chart - missing::
confidence limits

The Utah Small Areas with the highest CHD death rates were Carbon County and Emery County, 145.9 and 143.3, respectively. The lowest rate, 24.4, was seen for Park City.
Utah Small AreasAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 101
Brigham City141.0120.7163.7
Box Elder Co (Other) V293.868.1126.1
Tremonton75.656.199.6
Logan V244.034.854.9
North Logan40.527.757.2
Cache (Other)/Rich (All) V245.832.662.6
Hyrum78.643.9129.9
Smithfield53.534.379.6
Ben Lomond88.777.2101.5
Weber County (East)50.640.162.9
Morgan County94.566.8129.8
Ogden (Downtown)102.485.7121.4
South Ogden62.752.474.5
Roy/Hooper85.672.5100.3
Riverdale80.566.596.6
Clearfield Area/Hooper111.395.8128.5
Layton/South Weber79.468.891.1
Kaysville/Fruit Heights72.958.789.6
Syracuse63.842.791.6
Centerville50.036.067.6
Farmington57.140.677.9
North Salt Lake59.940.685.2
Woods Cross/West Bountiful77.048.0117.0
Bountiful61.853.570.9
SLC (Rose Park)84.167.9103.0
SLC (Avenues)35.026.046.0
SLC (Foothill/East Bench)45.235.357.1
Magna83.362.9108.4
SLC (Glendale) V2100.278.4126.2
West Valley (Center)71.558.786.4
West Valley (West) V275.252.1105.1
West Valley (East) V269.857.384.1
SLC (Downtown) V284.971.3100.3
SLC (Southeast Liberty)47.834.065.3
South Salt Lake97.779.5118.7
SLC (Sugar House)58.648.170.6
Millcreek (South)49.939.761.9
Millcreek (East)46.136.657.3
Holladay V251.842.862.0
Cottonwood61.652.771.5
Kearns V2104.384.6127.1
Taylorsville (E)/Murray (W)81.667.897.4
Taylorsville (West)59.746.975.1
Murray76.564.490.3
Midvale76.962.693.4
West Jordan (Northeast) V262.747.181.8
West Jordan (Southeast)68.452.388.0
West Jordan (W)/Copperton80.655.8112.6
South Jordan V253.543.065.7
Daybreak56.528.0101.5
Sandy (West)67.353.983.2
Sandy (Center) V258.945.375.2
Sandy (Northeast)67.152.684.4
Sandy (Southeast)52.138.668.7
Draper73.556.893.5
Riverton/Bluffdale62.948.080.9
Herriman53.133.480.3
Tooele County (Other)67.646.395.2
Tooele Valley59.147.972.1
Eagle Mountain/Cedar Valley65.834.5113.6
Lehi52.740.267.8
Saratoga Springs68.136.9114.9
American Fork68.655.683.8
Alpine50.030.876.8
Pleasant Grove/Lindon62.350.576.0
Orem (North)69.755.087.2
Orem (West)62.648.879.0
Orem (East)58.344.974.5
Provo/BYU49.940.660.8
Provo (West City Center)79.760.9102.6
Provo (East City Center)69.545.9100.8
Salem City56.334.586.7
Spanish Fork78.962.498.5
Springville61.447.378.3
Mapleton83.553.7123.8
Utah County (South) V2118.281.9165.1
Payson75.557.497.6
Park City24.412.144.0
Summit County (East)133.9101.2173.7
Wasatch County69.954.088.9
Daggett and Uintah County73.760.189.4
Duchesne County88.669.4111.5
Nephi/Mona56.734.488.2
Delta/Fillmore53.635.477.8
Sanpete Valley72.255.792.1
Central (Other)94.978.9113.2
Richfield/Monroe/Salina84.565.8106.8
Carbon County145.9125.4168.8
Emery County143.3111.3181.6
Grand County57.939.681.9
Blanding/Monticello53.633.082.4
San Juan County (Other)46.024.778.2
St. George50.945.357.0
Washington Co (Other) V258.040.979.7
Washington City58.545.773.7
Hurricane/La Verkin65.151.780.8
Ivins/Santa Clara69.653.189.7
Cedar City73.760.888.5
Southwest LHD (Other)66.754.081.5
State of Utah68.667.170.1

Data Notes

Five years of data were combined to increase the reliability of the estimates. Rates are age-adjusted to the 2000 U.S. standard population using 11 age categories. A description of the Utah Small Areas may be found on the Methodology and Guidelines page: [https://ibis.health.utah.gov/resource/Guidelines.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 2018

References and Community Resources

Heart disease and stroke are the first and fifth 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 prevent 1 million heart attacks and strokes by 2022. 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]] Visit [https://millionhearts.hhs.gov/] 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.

Page Content Updated On 11/18/2019, Published on 11/19/2019
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 Mon, 23 November 2020 17:39:03 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Tue, 19 Nov 2019 13:27:48 MST