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Age-Adjusted Heart Disease Death Rates by Race and Sex,
Michigan and United States Residents, 1980- 2009
Michigan
Year All Races White Black
Total Male Female Total Male Female Total Male Female
1980 435.4 569.2 338.2 431.6 567.9 332.7 467.6 583.9 383.3
1981 432.8 571.6 332.2 428.6 572.8 324.8 469.2 563.5 395.4
1982 425.6 562.1 329.0 421.5 562.7 322.0 459.8 558.4 386.2
1983 423.0 543.2 335.5 418.4 542.7 328.1 463.9 553.2 398.4
1984 413.4 533.3 328.6 407.1 530.2 320.8 470.3 566.8 396.3
1985 414.0 537.5 326.0 408.3 534.1 319.5 466.7 578.9 382.2
1986 418.8 531.9 338.1 411.3 526.2 329.8 487.9 592.7 410.8
1987 400.8 513.4 321.1 392.9 506.8 312.9 472.1 581.0 390.5
1988 390.9 496.1 316.0 382.1 490.8 305.1 470.6 555.4 407.3
1989 355.9 452.6 285.7 344.9 442.1 274.5 443.1 541.6 371.2
1990 344.7 435.9 278.9 334.0 425.1 268.4 431.5 531.9 358.8
1991 338.1 426.9 273.9 328.9 418.4 264.5 410.8 502.0 344.4
1992 322.5 412.3 259.7 312.6 402.8 249.8 398.6 490.5 333.6
1993 335.3 424.8 271.5 323.4 414.2 258.9 429.1 518.1 364.7
1994 324.9 410.9 263.0 313.4 397.6 252.5 415.6 524.4 340.5
1995 316.7 400.7 256.4 304.8 388.8 244.8 413.0 505.9 345.4
1996 309.3 391.2 250.5 299.7 381.9 240.8 380.3 471.1 314.9
1997 294.4 369.1 240.6 285.1 359.5 231.4 368.4 451.9 309.7
1998 296.5 373.9 241.0 288.4 366.5 232.3 358.9 440.8 301.2
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 high (0.99), meaning that the change should have little or no impact on the comparisons of mortality statistics over time.
1999 288.1 365.6 233.0 278.0 355.3 223.4 369.4 459.4 304.9
2000 285.3 347.2 238.4 275.7 338.1 228.4 366.5 426.9 320.1
2001 272.5 333.9 226.0 261.0 322.3 214.3 369.6 442.7 315.9
2002 263.9 322.5 219.4 252.2 311.2 207.8 365.8 430.6 315.3
2003 252.4 309.2 209.2 240.9 297.8 197.7 350.1 417.5 299.9
2004 234.2 288.6 192.4 222.0 276.2 180.1 331.2 396.4 283.9
2005 231.1 282.9 190.2 219.0 268.9 179.3 322.7 397.2 268.0
2006 226.7 278.2 186.8 214.4 264.1 175.7 320.0 396.4 264.8
2007 222.6 276.8 180.3 210.2 262.3 169.4 314.2 397.4 254.5
2008 220.5 269.8 181.5 208.5 256.6 170.4 317.0 388.4 264.2
2009 206.5 262.7 164.7 195.1 250.1 154.0 295.9 371.7 242.3
United States
Year All Races White Black
Total Male Female Total Male Female Total Male Female
1980 412.1 538.9 320.8 409.4 539.6 315.9 455.3 561.4 378.6
1981 397.0 520.9 308.1 395.1 522.8 303.8 434.7 536.1 360.2
1982 389.0 509.6 302.8 387.4 511.6 298.8 423.7 524.7 351.3
1983 388.9 507.9 304.1 386.1 508.7 299.0 435.6 536.2 363.3
1984 378.8 493.5 297.2 376.0 494.1 292.2 426.4 526.8 355.3
1985 375.0 488.0 294.5 371.4 487.3 289.1 430.6 533.9 357.7
1986 365.1 470.7 289.3 360.9 468.8 283.4 430.1 530.8 359.2
1987 355.9 456.9 283.4 351.5 454.4 277.6 422.5 522.9 352.3
1988 352.5 451.8 281.5 347.6 448.7 275.2 424.9 526.2 354.8
1989 332.0 424.4 265.5 326.6 420.6 258.9 407.1 502.3 341.3
1990 321.8 412.4 257.0 317.0 409.2 250.9 391.5 485.4 327.5
1991 313.8 400.7 251.1 308.8 397.2 245.0 386.5 477.5 323.6
1992 306.1 389.9 245.4 301.1 386.3 239.1 377.7 465.2 317.5
1993 309.9 393.4 249.4 304.6 389.3 242.9 384.3 469.2 325.0
1994 299.7 379.1 241.6 295.0 375.6 235.7 366.1 446.2 310.1
1995 296.3 372.7 239.7 291.2 368.4 233.6 367.2 449.2 309.3
1996 288.3 360.7 234.1 284.2 358.2 228.6 354.0 426.3 302.4
1997 280.4 349.6 228.1 276.4 346.9 222.9 345.0 414.0 294.7
1998 272.4 336.6 223.1 268.1 333.2 217.6 340.6 407.8 291.9
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 high (0.99), meaning that the change should have little or no impact on the comparisons of mortality statistics over time.
1999 267.8 328.1 220.9 263.4 324.7 215.5 336.7 398.9 290.5
2000 257.9 315.0 213.0 253.6 311.9 207.5 326.5 382.7 284.1
2001 247.8 305.4 203.9 243.5 301.8 198.7 316.9 384.5 269.8
2002 240.8 297.4 197.2 236.7 294.1 192.1 308.4 371.0 263.2
2003 232.3 286.6 190.3 228.2 282.9 185.4 300.2 364.3 253.8
2004 217.0 267.9 177.3 213.3 264.6 172.9 280.6 342.1 236.5
2005 211.1 260.9 172.3 207.8 258.0 168.2 271.3 329.8 228.3
2006 200.2 248.5 162.2 197.0 245.2 158.6 257.7 320.6 212.5
2007 190.9 237.7 154.0 187.8 234.8 150.5 247.3 305.9 204.5
2008 186.7 --- --- --- --- --- --- --- ---
2009 --- --- --- --- --- --- --- --- ---


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. Before 1999, Heart Disease deaths were classified with ICD-9 codes 390-398, 402, 404-429. Starting in 1999, Heart Disease deaths were classified using ICD-10 codes I00-I09,I11,I13,I20-I51.

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 Community Health;
Population Estimate (latest update 9/2009), National Center for Health Statistics, U.S. Census Populations With Bridged Race Categories.

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