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Burden of Chronic Disease

• By Disease and Risk Factor
• By State



The Burden of Chronic Diseases and Their Risk Factors: National and State Perspectives 2002

Section II
The Burden of Heart Disease, Stroke, Cancer, and Diabetes, United States

  




Diseases of the Heart

Heart disease is the nation’s leading cause of death. Three health-related behaviors—tobacco use, lack of physical activity, and poor nutrition—contribute markedly to heart disease. Modifying these behaviors is critical for both preventing and controlling heart disease. Modest changes in one or more of these risk factors among the population can have a large public health impact. Heart disease can also be prevented or controlled by changing governmental policies (such as restricting access to tobacco) and by changing environmental factors (such as providing better access to healthy foods and opportunities for physical activity).

  • Heart disease, which killed more than 725,000 Americans in 1999, accounted for more than 30% of all deaths in the United States.
  • In 1999, rates of death from heart disease were 29% higher among blacks than whites.
  • In 1999, rates of death from heart disease were 49% higher among men than women.
  • An estimated 101 million Americans have total blood cholesterol levels of 200 milligrams per deciliter (mg/dL) or higher, which puts them at increased risk for heart disease.

Diseases of the Heart: 1999 Death Rate*

Diseases of the Heart: 1999 Death Rate. Data in tabular format follows.

*Deaths per 100,000, age adjusted to 2000 total U.S. population. ICD-10 codes: I00–I09, I11, I13, I20-I51.

  



 

Adjusted Rates of Death Due to Diseases of the Heart,* by State Rank, 1999

Rank State Rate†
1 Mississippi 354.9
2 West Virginia 325.4
3 Oklahoma 317.3
4 Kentucky 313.4
5 Louisiana 308.2
6 Alabama 306.8
7 New York 305.6
8 Tennessee 305.5
9 Missouri 302.9
10 Arkansas 296.5
11 District of Columbia 289.9
12 Michigan 289.1
13 Georgia 288.1
14 Ohio 285.1
15 Pennsylvania 284.8
16 Indiana 284.2
17 Nevada 281.8
18 South Carolina 280.1
19 Illinois 277.8
20 Delaware 275.9
21 Texas 271.5
22 New Jersey 271.0
23 North Carolina 262.7
24 Maryland 259.9
25 Virginia 255.5
26 Florida 253.0
27 California 252.8
28 Maine 247.5
29 Wisconsin 245.4
30 Rhode Island 243.6
31 Iowa 242.9
32 New Hampshire 241.5
33 Connecticut 240.6
34 Kansas 237.5
35 Nebraska 236.9
36 North Dakota 235.6
37 South Dakota 231.6
38 Wyoming 231.1
39 Arizona 230.8
40 Massachusetts 228.8
41 New Mexico 226.7
42 Vermont 225.6
43 Idaho 220.0
44 Washington 215.6
45 Montana 215.2
46 Oregon 205.7
47 Hawaii 198.8
48 Alaska 196.1
49 Colorado 195.3
50 Minnesota 194.1
51 Utah 190.5
  United States 267.8

*ICD-10 codes: I00–I09, I11, I13, I20-I51. 
† Deaths per 100,000, age adjusted to 2000 total U.S. population.

 

Deaths Due to Diseases of the Heart,* by Sex, 1999 

  Total Male Female
State Number Rate* Number Rate* Number Rate*
Alabama 13,419 306.8 6,501 380.3 6,918 252.0
Alaska 563 196.1 328 224.6 235 166.9
Arizona 10,799 230.8 5,782 287.0 5,017 183.6
Arkansas 8,314 296.5 4,087 369.5 4,227 241.0
California 71,925 252.8 35,102 298.2 36,823 214.8
Colorado 6,420 195.3 3,236 237.9 3,184 160.1
Connecticut 9,127 240.6 4,261 298.6 4,866 197.7
Delaware 2,011 275.9 968 331.6 1,043 233.3
District of Columbia 1,651 289.9 767 358.8 884 243.3
Florida 51,426 253.0 25,708 307.1 25,718 207.9
Georgia 17,597 288.1 8,576 357.5 9,021 237.3
Hawaii 2,410 198.8 1,437 259.3 973 147.1
Idaho 2,532 220.0 1,388 287.9 1,144 167.8
Illinois 33,386 277.8 16,167 348.7 17,219 224.9
Indiana 16,661 284.2 7,985 352.6 8,676 233.7
Iowa 8,699 242.9 4,033 303.4 4,666 197.6
Kansas 6,975 237.5 3,321 296.6 3,654 193.2
Kentucky 12,097 313.4 5,867 385.9 6,230 258.4
Louisiana 12,007 308.2 5,847 374.8 6,160 257.2
Maine 3,418 247.5 1,618 302.9 1,800 204.8
Maryland 12,067 259.9 5,770 312.4 6,297 218.1
Massachusetts 15,871 228.8 7,416 289.7 8,455 184.5
Michigan 27,692 289.1 13,509 355.3 14,183 238.1
Minnesota 9,533 194.1 4,793 254.5 4,740 149.3
Mississippi 9,336 354.9 4,413 434.4 4,923 295.6
Missouri 17,974 302.9 8,531 376.6 9,443 246.9
Montana 2,049 215.2 1,078 271.6 971 168.6
Nebraska 4,497 236.9 2,107 293.7 2,390 192.5
Nevada 4,231 281.8 2,387 336.8 1,844 227.8
New Hampshire 2,751 241.5 1,323 298.3 1,428 196.7
New Jersey 23,492 271.0 11,021 330.3 12,471 226.1
New Mexico 3,451 226.7 1,768 271.5 1,683 188.6
New York 58,983 305.6 26,588 360.7 32,395 262.7
North Carolina 19,191 262.7 9,434 334.4 9,757 211.1
North Dakota 1,833 235.6 951 311.0 882 179.3
Ohio 33,191 285.1 15,890 354.2 17,301 234.5
Oklahoma 11,262 317.3 5,393 389.1 5,869 261.6
Oregon 7,263 205.7 3,709 255.6 3,554 165.2
Pennsylvania 41,705 284.8 19,484 352.6 22,221 234.4
Rhode Island 3,008 243.6 1,404 316.9 1,604 191.6
South Carolina 9,981 280.1 5,065 352.5 4,916 225.3
South Dakota 2,024 231.6 1,010 298.4 1,014 179.3
Tennessee 16,279 305.5 7,984 384.3 8,295 247.1
Texas 43,416 271.5 21,391 330.9 22,025 224.9
Utah 2,786 190.5 1,446 236.7 1,340 154.7
Vermont 1,342 225.6 649 277.3 693 182.3
Virginia 15,328 255.5 7,612 320.6 7,716 207.5
Washington 11,514 215.6 5,856 266.2 5,658 174.9
West Virginia 6,822 325.4 3,223 397.5 3,599 270.9
Wisconsin 13,827 245.4 6,866 314.6 6,961 192.4
Wyoming 1,009 231.1 530 290.4 479 183.7
United States 725,145† 267.8 351,580 328.1 373,565 220.9

* Deaths per 100,000, age adjusted to 2000 total U.S. population.
† Total is slightly less than that in table, Deaths Due to Five Leading Chronic Disease Killers as a Percentage of All Deaths, United States, 1999, because it does not include decedents with unknown age.

  


 

Deaths Due to Diseases of the Heart, by Race and Ethnicity, 1999

  White Black Asian/Pacific Islander American Indian/ Alaska Native Hispanic
State Number Rate* Number Rate* Number Rate* Number Rate* Number Rate*
Alabama 10,351 300.2 3,030 344.3 - - - - - -
Alaska 432 193.6 - - - - 86 222.7 - -
Arizona 9,441 234.0 244 309.3 35 109.3 236 218.8 843 198.1
Arkansas 7,138 290.9 1,150 371.6 - - - - - -
California 55,314 270.1 5,512 371.0 4,004 171.0 188 116.4 6,907 168.0
Colorado 5,699 200.6 210 230.6 39 101.8 - - 455 143.8
Connecticut 8,372 239.8 508 294.3 42 133.8 - - 200 159.6
Delaware 1,706 273.8 278 307.2 - - - - - -
District of Columbia 386 218.2 1,245 338.3 - - - - - -
Florida 42,611 249.7 4,377 360.6 141 115.7 30 84.9 4,267 223.3
Georgia 13,104 283.3 4,349 330.2 66 125.0 - - 67 69.8
Hawaii 557 171.1 - - 1,720 210.4 - - 116 238.3
Idaho 2,473 223.3 - - - - - - 28 99.6
Illinois 27,812 272.8 4,670 381.6 231 116.2 22 134.7 651 124.3
Indiana 15,323 281.8 1,182 351.5 21 105.5 - - 122 172.1
Iowa 8,554 243.2 92 288.4 - - - - 32 128.5
Kansas 6,598 238.9 255 259.1 - - 33 244.1 70 115.7
Kentucky 11,249 311.5 796 366.6 - - - - 42 285.3
Louisiana 8,569 303.3 3,304 344.5 28 112.4 - - 93 106.7
Maine 3,378 246.9 - - - - - - - -
Maryland 9,165 253.1 2,746 316.2 108 103.9 - - 29 31.8
Massachusetts 15,122 231.0 480 270.8 95 110.0 - - 167 109.9
Michigan 23,572 281.2 3,739 366.9 72 125.5 109 407.7 200 152.1
Minnesota 9,260 193.6 135 244.0 38 98.8 52 252.4 48 138.3
Mississippi 6,357 337.2 2,948 413.5 - - - - - -
Missouri 16,133 296.4 1,674 392.2 26 124.2 27 161.1 114 245.7
Montana 1,945 211.3 - - - - 82 342.7 - -
Nebraska 4,320 236.7 112 318.8 - - 27 435.8 32 99.3
Nevada 3,728 299.0 234 289.4 91 213.5 30 155.2 148 124.4
New Hampshire 2,734 243.9 - - - - - - - -
New Jersey 20,347 280.8 2,250 309.9 210 94.6 - - 673 122.0
New Mexico 2,365 239.0 76 310.1 - - 137 190.9 863 196.9
New York 48,096 310.8 6,997 356.7 878 180.5 66 148.6 2,946 195.6
North Carolina 15,082 253.6 3,868 313.9 33 99.8 164 306.8 44 67.3
North Dakota 1,786 233.0 - - - - 45 444.3 - -
Ohio 29,860 282.7 3,133 328.5 58 106.7 - - 127 132.8
Oklahoma 10,067 324.7 685 396.1 22 146.9 413 200.8 75 151.7
Oregon 6,993 208.1 90 285.4 65 138.8 41 162.2 74 102.0
Pennsylvania 38,117 281.6 3,205 344.5 101 103.8 - - 266 181.7
Rhode Island 2,889 244.9 77 390.5 - - - - 27 79.5
South Carolina 7,291 269.8 2,646 323.3 - - - - - -
South Dakota 1,934 226.8 - - - - 84 408.8 - -
Tennessee 13,742 295.0 2,487 403.2 - - - - 30 104.9
Texas 32,073 279.8 5,396 367.3 270 135.6 23 43.2 5,654 198.3
Utah 2,665 193.8 - - 25 122.6 - - 66 118.1
Vermont 1,337 227.4 - - - - - - - -
Virginia 12,039 248.9 3,078 322.3 111 101.2 - - 81 77.5
Washington 10,806 219.4 242 250.7 234 137.3 114 217.9 118 104.7
West Virginia 6,589 326.8 217 349.2 - - - - - -
Wisconsin 13,308 244.5 372 299.7 35 140.8 61 350.6 51 85.0
Wyoming 971 234.8 - - - - - - - -
United States 609,760 267.8 78,169 346.4 8,998 158.6 2,358 185.1 25,860 176.1

*Deaths per 100,000, age adjusted to 2000 total U.S. population. Dashes indicate too few deaths (20 or fewer) to calculate a stable estimate.

 

  



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This page last reviewed August 10, 2004

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