Age-Adjusted Chronic Lower Respiratory Disease Death Rates
by Race and Sex,
Michigan and United States Residents, 1980- 2015
Michigan
Year All Races White Black
Total Male Female Total Male Female Total Male Female
1980 28.5 49.9 14.9 29.1 51.0 15.4 21.8 38.8 9.3
1981 30.1 53.4 15.8 30.7 54.4 16.1 24.3 44.2 11.4
1982 29.8 51.2 16.8 30.4 52.2 17.3 22.5 40.1 10.6
1983 32.6 55.2 19.4 33.0 55.8 19.9 28.0 48.3 14.3
1984 32.4 55.0 18.8 33.1 56.2 19.4 24.5 43.3 12.1
1985 35.5 59.1 21.4 35.9 59.9 21.9 31.7 53.6 17.4
1986 36.5 60.0 22.8 37.3 61.2 23.6 27.5 47.1 14.6
1987 36.0 56.6 24.3 36.7 57.0 25.2 29.7 52.3 16.2
1988 35.7 56.0 23.7 36.8 57.4 24.8 26.5 44.9 14.5
1989 34.7 52.7 24.5 35.3 53.4 25.1 28.0 46.5 16.7
1990 35.9 52.9 26.1 36.8 54.0 27.0 26.8 42.1 16.8
1991 36.8 53.8 27.2 37.7 55.1 28.1 27.7 43.2 18.0
1992 35.5 52.7 25.7 36.2 53.9 26.3 27.7 42.1 18.6
1993 39.2 55.7 29.8 39.5 55.7 30.5 33.7 52.0 22.2
1994 38.6 53.7 30.6 39.3 54.2 31.4 31.8 48.5 21.9
1995 39.7 54.9 31.4 40.5 56.1 32.2 29.6 42.2 22.1
1996 39.9 53.6 32.3 40.9 54.7 33.4 29.3 43.1 21.0
1997 38.9 54.1 30.4 40.5 55.8 31.8 24.7 37.9 17.3
1998 40.3 52.4 33.3 41.2 53.3 34.4 30.1 42.9 22.0
Note: The manner in which underlying cause of death is coded and classified was revised in 1999 to reflect changing medical opinion and practice. The comparability between classification schemes for this particular cause of death is lower (1.05), meaning that caution should be taken in drawing specific inferences from comparisons of mortality statistics over time.
1999 45.0 58.0 37.8 45.8 58.4 38.9 36.5 52.3 27.6
2000 45.0 55.5 39.4 46.4 56.8 41.0 31.7 42.4 25.2
2001 42.4 53.4 35.9 43.6 54.4 37.4 30.6 43.0 23.4
2002 44.4 55.1 38.6 45.6 56.0 40.2 32.7 46.7 24.5
2003 44.1 54.3 38.2 45.8 55.4 40.3 29.2 43.1 20.8
2004 41.7 50.6 36.5 43.1 51.2 38.4 27.2 40.3 19.3
2005 43.4 51.0 39.1 44.9 52.5 40.9 29.3 37.0 24.8
2006 42.8 51.0 37.9 44.5 52.3 40.0 27.8 39.0 21.3
2007 43.3 52.3 37.9 44.5 52.9 39.4 33.1 46.1 24.7
2008 47.6 55.5 42.9 49.3 57.0 44.7 34.0 42.8 28.7
2009 44.8 52.2 40.2 46.7 53.8 42.1 28.9 36.7 24.5
2010 45.5 53.3 40.5 46.8 54.1 42.2 33.4 45.6 26.0
2011 46.0 53.6 41.4 47.3 54.1 43.2 34.7 47.4 27.4
2012 45.2 51.5 41.2 47.1 52.8 43.6 30.5 39.6 24.5
2013 46.9 52.5 43.1 48.7 53.6 45.5 31.9 44.4 24.0
2014 44.2 49.1 41.3 45.9 50.6 43.1 31.3 37.8 27.8
2015 46.7 51.5 43.6 48.0 52.5 45.1 36.2 43.7 31.8
United States
Year All Races White Black
Total Male Female Total Male Female Total Male Female
1980 28.3 49.9 14.9 29.3 51.6 15.5 19.2 34.0 9.1
1981 29.0 50.4 15.9 30.0 52.1 16.6 19.6 35.2 9.2
1982 29.1 49.6 16.5 30.0 51.5 17.1 19.7 33.6 10.5
1983 31.6 53.3 18.5 32.6 55.0 19.2 22.0 38.1 11.5
1984 32.4 53.7 19.7 33.4 55.3 20.5 23.0 39.5 12.3
1985 34.5 56.2 21.7 35.6 57.9 22.6 24.6 42.3 13.3
1986 34.8 55.7 22.4 35.8 57.2 23.4 25.2 43.9 13.4
1987 35.0 54.8 23.4 36.1 56.2 24.3 25.9 43.8 14.8
1988 36.5 56.2 24.9 37.5 57.5 25.9 27.6 47.7 15.3
1989 36.6 54.6 26.2 37.5 55.7 27.2 28.4 47.1 17.2
1990 37.2 55.5 26.6 38.3 56.6 27.8 28.1 47.6 16.6
1991 38.0 55.3 28.1 39.2 56.7 29.3 28.1 45.9 17.5
1992 37.9 54.2 28.5 39.2 55.5 29.8 28.1 45.4 18.0
1993 41.0 57.3 31.5 42.3 58.6 33.0 30.2 48.9 19.4
1994 40.6 55.7 31.9 41.9 56.9 33.4 30.0 46.9 20.1
1995 40.5 55.0 32.2 41.8 56.1 33.6 30.3 47.0 20.5
1996 41.0 54.2 33.4 42.4 55.5 34.9 30.8 46.1 21.8
1997 41.5 54.6 33.9 43.0 55.9 35.5 30.3 45.8 21.1
1998 42.0 54.0 34.8 43.6 55.4 36.5 30.8 45.2 22.3
Note: The manner in which underlying cause of death is coded and classified was revised in 1999 to reflect changing medical opinion and practice. The comparability between classification schemes for this particular cause of death is lower (1.05), meaning that caution should be taken in drawing specific inferences from comparisons of mortality statistics over time.
1999 45.8 58.1 38.2 47.5 59.6 40.2 33.7 50.1 23.9
2000 44.3 54.9 37.9 46.1 56.3 40.0 31.7 46.0 23.1
2001 43.7 54.0 37.6 45.6 55.5 39.8 30.9 46.3 22.4
2002 43.5 53.5 37.4 45.4 54.9 39.7 31.2 46.3 22.6
2003 43.3 52.3 37.8 45.4 53.8 40.3 30.1 44.4 22.0
2004 41.1 49.5 36.0 43.2 51.1 38.4 28.2 40.9 20.9
2005 43.2 51.2 38.1 45.4 52.8 40.7 30.6 44.1 22.8
2006 40.5 47.6 35.9 42.6 49.2 38.4 28.1 39.5 21.3
2007 40.8 48.0 36.0 43.0 49.8 38.5 28.1 39.6 21.4
2008 44.0 51.4 39.1 46.4 53.5 41.9 30.4 41.5 23.9
2009 42.3 49.4 37.8 44.7 51.3 40.6 29.2 41.3 22.4
2010 42.2 48.7 38.0 44.6 50.6 40.8 29.0 39.8 22.8
2011 42.5 48.6 38.5 45.1 50.6 41.5 29.2 39.5 23.2
2012 41.5 47.2 37.8 44.1 49.1 40.9 29.0 39.3 22.9
2013 42.1 47.5 38.5 44.8 49.5 41.6 29.5 39.1 23.8
2014 40.5 45.4 37.1 43.1 47.5 40.1 28.4 36.9 23.3
2015 41.6 46.0 38.6 44.5 48.2 41.8 28.9 37.6 23.7


Note: Age-adjusted death rates are based on age-specific death rates per 100,000 population in specified group. Age-adjusted death rates are computed by the direct method, using as the standard population the age distribution of the total population of the United States for the year 2000.

The underlying cause of death is the condition giving rise to the chain of events leading to death. Between January 1, 1979 and December 31, 1998, the underlying causes of death were classified in accordance with the Ninth Revision of the International Classification of Diseases (ICD-9), a coding structure developed by the World Health Organization. Starting January 1, 1999, causes of death were classified using the Tenth Revision of the International Classification of Diseases (ICD-10). With each revision there are differences in classifying the underlying cause of death. Therefore, health statistics based on one revision are not directly comparable to the other revision without the use of comparability ratios.
(See "Comparability of cause of death between ICD-9 and ICD-10: Preliminary estimates." National vital statistics reports; vol 49 no. 2. Hyattsville, Maryland: National Center for Health Statistics. 2001. )
Before 1999, Chronic Lower Respiratory Diseases deaths were classified with ICD-9 codes 490-496. Starting in 1999, Chronic Lower Respiratory Diseases deaths were classified using ICD-10 codes J40-J47.

Prior to rate calculations, death records with race not stated were randomly allocated to the white and black groups based on the proportion of Michigan Resident deaths in each of the racial categories for that year. Records with sex not stated were randomly assigned to male and female (50 percent each). Records with age not stated were allocated to the age group 85 and over.
Source: Division for Vital Records & Health Statistics, Michigan Department of Health & Human Services; Population Estimate (latest update 9/2014), National Center for Health Statistics, U.S. Census Populations With Bridged Race Categories .