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Complete PHOM Indicator Profile 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: 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 2017, the age-adjusted rate for Utah was 66.5 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 2017, the age-adjusted rate for Utah was 66.5 deaths per 100,000 population. This rate was significantly lower than the 2017 U.S. rate (92.9 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

More Information

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]] 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].

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]


Graphical Data Views

Coronary Heart Disease Deaths, Utah and U.S., 1999-2017

::chart - missing::
confidence limits

For 2017, the age-adjusted rate for Utah was 66.5 deaths per 100,000 population. The age-adjusted rate for U.S. for 2017 was much higher than the rate for Utah (92.9 vs. 66.6 per 100,000).
Utah vs. U.S.YearAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 38
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
Utah201172.068.475.8
Utah201268.064.571.5
Utah201368.064.671.6
Utah201469.065.672.6
Utah201568.865.472.2
Utah201666.663.469.9
Utah201766.563.469.8
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 2017
  • 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, 2015-2017

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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
Male0-340.60.30.9
Male35-447.45.49.8
Male45-5437.432.143.3
Male55-64116.6106.6127.3
Male65-74225.1207.7243.5
Male75+987.1940.71,035.2
Female0-34****
Female35-441.70.83.0*
Female45-5410.57.813.9
Female55-6435.029.741.0
Female65-7490.580.1102.0
Female75+645.6612.2680.3
Total0-340.40.20.6
Total35-444.63.45.9
Total45-5424.121.027.4
Total55-6475.169.481.0
Total65-74154.9144.9165.4
Total75+796.4768.7825.0

Data Notes

^ ^*Use caution in interpreting; the estimate has a coefficient of variation > 30% and is unreliable. ** The coronary heart disease mortality rates for Females 0-34 was suppressed due to relative standard error greater than 50%.

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 2017


Coronary Heart Disease Deaths by Ethnicity, Utah, 2017

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confidence limits

In 2017, the CHD death rate among Hispanic Utahns (49.3 per 100,000) was lower than the rate among the general Utah population (66.5 per 100,000). The rate for non-Hispanics was 67.6.
Hispanic EthnicityAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 3
Hispanic49.338.362.5
Non-Hispanic67.664.471.1
All Utahns66.563.469.8

Data Notes

Rates are age-adjusted to the 2000 U.S. standard population using 10 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 2017


Coronary Heart Disease Deaths by Race, Utah, 2016-2017

::chart - missing::
confidence limits

For combined years 2016-2017, the age-adjusted CHD death rate was lowest among the Asian population (37.1 per 100,000) compared to all races (66.5 per 100,000). The highest rate was for Native Hawaiian/Pacific Islanders, with a rate of 84.5 per 100,000.
RaceAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 6
American Indian/Native Alaskan40.122.765.5
Asian37.126.051.4
Black72.143.0113.4
Pacific Islander84.551.4130.7
White66.263.968.6
All Races66.564.368.9

Data Notes

Rates are age-adjusted to the 2000 U.S. standard population using 10 age categories. Note that age-adjusting for race uses slightly different 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 2017


Coronary Heart Disease Deaths by Local Health District, Utah, 2016-2017

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confidence limits

The local health district (LHD) with the highest CHD death rate was Southeast (129.1 per 100,000). The LHD with the lowest CHD death rate was San Juan (46.6 per 100,000).
Local Health DistrictAge-adjusted Rate per 100,000 PopulationLower LimitUpper Limit
Record Count: 14
Bear River71.261.781.7
Central66.454.779.9
Davis County69.162.076.8
Salt Lake County63.860.167.6
San Juan46.625.977.3
Southeast129.1107.7153.5
Southwest54.448.760.7
Summit70.147.899.2
Tooele61.646.480.1
TriCounty91.372.9112.9
Utah County60.354.666.5
Wasatch82.055.6116.6
Weber-Morgan81.473.290.2
State of Utah66.564.368.9

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 2017


Coronary Heart Disease Deaths by County, Utah, 2015-2017

::chart - missing::
confidence limits

For years 2015-2017, the county with the highest CHD death rate was Carbon (158.0 per 100,000).
CountyAge-adjusted Rate per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 30
Beaver30.410.767.8Unreliable estimate
Box Elder112.396.0130.5
Cache46.838.856.0
Carbon158.0131.2188.8
Daggett66.817.4175.2Unreliable estimate
Davis72.466.478.8
Duchesne77.355.3105.3
Emery142.7105.0189.4
Garfield52.726.593.8
Grand50.930.479.9
Iron62.549.378.0
Juab66.639.2105.8
Kane51.529.683.2
Millard55.035.381.8
Morgan81.249.5125.6
Piute63.020.4147.1Unreliable estimate
Rich60.319.3142.1Unreliable estimate
Salt Lake64.861.768.0
San Juan57.337.284.3
Sanpete76.858.998.4
Sevier76.758.099.6
Summit66.147.689.4
Tooele57.345.171.9
Uintah94.974.7118.9
Utah62.657.767.7
Wasatch73.953.0100.3
Washington51.346.157.0
Wayne115.560.1200.9
Weber80.173.387.4
State67.365.469.2

Data Notes

Unreliable estimates: The rates for Beaver, 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 2017


Coronary Heart Disease Deaths by Utah Small Area, 2014-2017

::chart - missing::
confidence limits

Rates for Small Areas Daybreak and Saratoga Springs should be interpreted with caution, as they do not meet UDOH standards for reliability. The areas with the highest CHD death rates were Carbon County and Emery County with each having 154.0 deaths per 100,000 population. Summit County (East) (151.6) had one of the highest rates.
Utah Small AreasAge-adjusted Rate per 100,000 PopulationLower LimitUpper LimitNote
Record Count: 101
Brigham City147.4124.1173.8
Box Elder Co (Other) V292.764.2129.7
Tremonton78.356.3106.1
Logan V247.536.760.3
North Logan37.423.756.1
Cache (Other)/Rich (All) V244.229.963.0
Hyrum73.937.1131.9
Smithfield52.731.482.9
Ben Lomond92.879.6107.6
Weber County (East)55.543.270.4
Morgan County95.263.9136.4
Ogden (Downtown)109.990.4132.3
South Ogden63.651.977.2
Roy/Hooper86.772.1103.5
Riverdale86.870.4105.7
Clearfield Area/Hooper115.998.2135.8
Layton/South Weber79.267.492.5
Kaysville/Fruit Heights77.460.996.8
Syracuse65.341.597.7
Centerville56.740.078.2
Farmington53.836.077.3
North Salt Lake56.035.484.0
Woods Cross/West Bountiful88.953.9138.0
Bountiful63.654.274.2
SLC (Rose Park)81.463.6102.5
SLC (Avenues)39.028.452.4
SLC (Foothill/East Bench)47.335.961.1
Magna85.862.0115.5
SLC (Glendale) V2106.981.7137.5
West Valley (Center)68.654.385.5
West Valley (West) V273.848.4107.8
West Valley (East) V281.366.298.9
SLC (Downtown) V294.778.6113.2
SLC (Southeast Liberty)47.432.467.0
South Salt Lake104.983.8129.6
SLC (Sugar House)56.244.769.8
Millcreek (South)49.438.262.9
Millcreek (East)47.436.560.5
Holladay V252.142.263.7
Cottonwood61.651.772.9
Kearns V2101.079.5126.5
Taylorsville (E)/Murray (W)79.664.497.4
Taylorsville (West)60.946.378.7
Murray75.662.191.0
Midvale73.558.191.9
West Jordan (Northeast) V257.240.778.2
West Jordan (Southeast)69.551.691.7
West Jordan (W)/Copperton82.653.7121.4
South Jordan V255.143.369.2
Daybreak65.827.4132.8Unreliable estimate
Sandy (West)67.152.085.1
Sandy (Center) V258.143.076.6
Sandy (Northeast)76.058.796.7
Sandy (Southeast)51.936.970.9
Draper70.952.294.2
Riverton/Bluffdale75.256.697.8
Herriman61.937.696.1
Tooele County (Other)70.746.1103.7
Tooele Valley58.646.073.5
Eagle Mountain/Cedar Valley77.137.0141.9
Lehi50.636.967.6
Saratoga Springs60.725.9120.3Unreliable estimate
American Fork63.649.580.3
Alpine57.834.690.6
Pleasant Grove/Lindon58.045.473.1
Orem (North)65.949.885.6
Orem (West)64.448.683.7
Orem (East)56.741.875.1
Provo/BYU48.438.460.3
Provo (West City Center)84.162.4110.9
Provo (East City Center)73.246.7109.3
Salem City55.431.390.7
Spanish Fork80.862.1103.4
Springville61.645.980.9
Mapleton87.853.4136.2
Utah County (South) V2115.475.1169.6
Payson85.163.5111.7
Park City29.814.255.1
Summit County (East)151.6112.4200.0
Wasatch County70.652.692.7
Daggett and Uintah County79.763.998.1
Duchesne County87.666.4113.5
Nephi/Mona59.934.696.5
Delta/Fillmore50.631.377.4
Sanpete Valley74.655.897.6
Central (Other)95.377.3116.2
Richfield/Monroe/Salina92.471.0118.4
Carbon County154.0130.6180.5
Emery County154.0117.1198.8
Grand County56.036.083.2
Blanding/Monticello48.526.980.6
San Juan County (Other)57.631.097.8
St. George51.845.458.7
Washington Co (Other) V253.135.276.9
Washington City59.645.077.3
Hurricane/La Verkin63.849.081.7
Ivins/Santa Clara76.957.3101.0
Cedar City75.060.492.2
Southwest LHD (Other)55.142.270.7
State of Utah69.667.971.4

Data Notes

Unreliable estimates: The rates for Daybreak and Saratoga Springs have relative standard errors greater than 30% and should be interpreted with caution. These estimates do not meet UDOH standards for reliability. Four 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 2017


Page Content Updated On 12/12/2018, Published on 12/12/2018
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 Sun, 15 September 2019 6:12:49 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Thu, 20 Jun 2019 13:03:28 MDT