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Age-Adjusted Chronic Liver Disease and Cirrhosis Death Rates
by Race and Sex
Michigan and United States Residents, 1980- 2012
Michigan
Year All Races White Black
Total Male Female Total Male Female Total Male Female
1980 17.2 24.7 11.0 14.6 21.2 9.2 36.6 52.4 23.5
1981 15.8 22.4 10.2 13.7 19.8 8.5 32.3 44.6 22.2
1982 15.9 22.5 10.3 13.6 19.9 8.5 32.3 44.7 22.1
1983 15.6 23.2 9.1 13.5 20.0 8.0 31.4 49.8 16.4
1984 14.7 21.0 9.5 12.6 18.1 8.1 30.3 43.7 19.3
1985 15.3 22.1 9.6 12.7 18.2 8.1 34.6 53.2 19.5
1986 13.6 20.5 7.9 11.7 17.4 7.0 27.6 45.0 13.5
1987 13.0 19.2 7.9 10.7 15.9 6.4 29.5 44.7 17.5
1988 12.9 18.7 7.9 10.7 15.6 6.5 28.4 42.7 16.9
1989 13.7 20.0 8.3 11.4 16.4 7.2 30.6 48.1 16.3
1990 13.1 18.2 8.7 11.1 15.3 7.5 26.9 40.6 15.9
1991 12.2 18.1 7.4 10.8 16.2 6.5 22.0 33.2 13.0
1992 10.6 15.3 6.6 9.1 13.2 5.5 20.8 29.8 13.6
1993 11.2 15.5 7.4 9.7 13.2 6.6 21.1 32.5 12.0
1994 11.4 16.2 7.2 9.9 14.5 5.9 21.5 29.7 14.7
1995 10.8 16.4 6.0 9.5 14.3 5.4 19.6 32.4 9.6
1996 10.3 14.5 6.6 9.3 12.8 6.2 17.0 27.7 8.5
1997 10.1 14.1 6.6 9.1 12.6 6.0 17.2 26.1 9.9
1998 10.2 14.4 6.3 9.5 13.6 5.8 14.7 21.6 9.0
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 (1.04), meaning that caution should be taken in drawing specific inferences from comparisons of mortality statistics over time.
1999 10.5 14.4 7.0 9.6 13.4 6.1 17.0 22.9 12.2
2000 10.4 14.2 7.0 9.6 13.1 6.5 15.7 22.9 10.1
2001 10.5 14.1 7.2 10.1 13.6 6.9 13.5 19.8 8.6
2002 9.6 12.7 6.7 9.0 11.9 6.4 13.2 19.4 8.3
2003 9.6 13.3 6.2 9.1 12.4 6.0 12.8 20.2 6.8
2004 9.2 12.8 6.1 8.9 12.4 5.7 10.1 13.7 7.3
2005 9.5 13.0 6.4 9.3 12.3 6.4 10.4 15.7 5.9
2006 9.1 13.0 5.6 8.9 12.9 5.3 8.6 12.2 5.7
2007 9.1 12.7 6.0 9.1 12.7 5.9 7.9 11.8 4.9
2008 9.7 13.2 6.4 9.7 13.1 6.5 8.7 12.1 5.9
2009 9.5 12.8 6.5 9.2 12.2 6.5 9.4 14.2 5.6
2010 9.9 13.6 6.7 9.8 13.2 6.7 9.3 13.1 6.3
2011 10.0 13.5 6.7 9.9 13.3 6.7 10.6 15.1 6.9
2012 9.8 12.8 7.0 9.9 12.8 7.3 7.9 11.1 5.4
United States
Year All Races White Black
Total Male Female Total Male Female Total Male Female
1980 15.1 21.3 9.9 13.9 19.8 8.9 25.0 35.6 16.6
1981 14.2 20.2 9.3 13.2 18.9 8.5 22.4 31.9 14.8
1982 13.2 18.8 8.5 12.5 17.9 7.9 19.3 27.3 12.8
1983 12.8 18.1 8.4 12.1 17.2 7.8 19.0 27.0 12.7
1984 12.7 18.0 8.2 11.9 17.0 7.7 18.8 27.0 12.3
1985 12.3 17.4 7.9 11.4 16.3 7.3 19.3 28.1 12.2
1986 11.8 16.7 7.6 11.1 15.9 7.2 17.3 25.3 11.1
1987 11.7 16.8 7.4 11.0 15.8 6.8 17.9 26.8 10.9
1988 11.6 16.7 7.3 10.9 15.8 6.8 17.7 25.4 11.5
1989 11.6 16.6 7.3 10.9 15.7 6.8 17.1 25.4 10.5
1990 11.1 15.9 7.1 10.5 15.0 6.6 16.5 24.2 10.6
1991 10.7 15.2 6.9 10.3 14.7 6.5 14.8 20.9 10.0
1992 10.5 15.1 6.5 10.1 14.5 6.2 14.0 21.0 8.5
1993 10.3 14.6 6.6 10.0 14.2 6.3 13.2 19.5 8.2
1994 10.2 14.6 6.5 9.9 14.1 6.1 13.1 19.4 8.2
1995 10.0 14.3 6.2 9.7 14.0 6.0 12.1 18.0 7.6
1996 9.8 13.9 6.1 9.6 13.6 6.0 11.3 16.9 7.0
1997 9.6 13.6 6.2 9.6 13.5 6.1 10.7 15.7 6.7
1998 9.5 13.4 6.0 9.4 13.3 6.0 9.9 15.1 5.9
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 lower (1.04), meaning that caution should be taken in drawing specific inferences from comparisons of mortality statistics over time.
1999 9.7 13.7 6.1 9.7 13.7 6.1 10.2 15.1 6.4
2000 9.6 13.5 6.2 9.7 13.6 6.2 9.5 13.7 6.3
2001 9.5 13.2 6.2 9.6 13.3 6.3 9.3 13.8 5.6
2002 9.4 12.9 6.3 9.6 13.2 6.3 8.5 12.0 5.7
2003 9.3 13.0 6.0 9.5 13.3 6.1 8.4 12.4 5.2
2004 9.0 12.5 5.8 9.2 12.8 6.0 7.9 11.7 4.9
2005 9.0 12.4 5.8 9.2 12.7 6.0 7.7 11.5 4.8
2006 8.8 12.1 5.8 9.1 12.5 6.0 7.0 10.2 4.4
2007 9.1 12.7 5.9 9.4 13.1 6.1 7.4 11.0 4.5
2008 9.2 12.7 6.0 9.6 13.2 6.2 7.0 10.6 4.2
2009 9.2 12.6 6.1 9.6 13.1 6.3 7.0 10.2 4.5
2010 9.4 12.9 6.2 9.9 13.6 6.5 6.7 9.8 4.3
2011 9.7 --- ---- --- --- --- --- --- ---


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 Liver Disease deaths were classified with ICD-9 codes 571. Starting in 1999, Chronic Liver Disease deaths were classified using ICD-10 codes K70,K73-K74.

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 9/2012), National Center for Health Statistics, U.S. Census Populations With Bridged Race Categories .

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