The available data are for State-licensed
hospitals includingpsychiatric facilities. Federal,
military, and the Department of Veteran Affairs
hospitals are not included. All discharges are for
the residents of Arizona. Discharges of out-of-
state residents are not included in this report.
Diagnostic groupings and code numbers are
based on the International Classification of
Diseases, Ninth Revision, Clinical Modification
(ICD-9-CM).
Beginning in 2008, up to twenty-five diagnoses
are coded for eachdischarge. In sections4Aand
7A, discharges are presented by first-listed (or
principal) diagnosis, which is the first listed on
the discharge summary of the medical record.
Thenumber of first-listeddiagnoses is the same
as the number of discharges.
The data on the number of procedures in
sections 4B and 7B are for inpatients only.
Procedures include surgical and non-surgical
operations, diagnostic procedures, and special
treatments reported on the medical record. Up
to six procedures were included for each
discharge. Theseall-listedprocedures includeall
occurrences of the procedure regardless of the
order on themedical record.
Preceding the tabulated data in the first four
chapters is a narrative description of the
findings. This description is not meant to be
exhaustive but rather is a presentation of the
major highlights to be gleaned from the data.
Part II and Part III contain information with no
accompanying narrative.
Part II,
T
HE
C
OUNTIES
, presents the tabulated
data on 1) trends and patterns in health status
and vital statistics by county of residence in
Chapter 5, and 2) county profiles and statewide
trends on indicators for assessing health status
and monitoring Arizona?s progress toward
Healthy People 2020 objectives in Chapter 6.
The health indicators are organized around ten
subject areas:
maternal, infant, andchildhealth
,
responsible sexual behavior
,
vaccinepreventable
diseases
,
injury and violence
,
cancer
,
diabetes
,
heart disease and stroke
,
respiratory diseases
,
human immunodeficiency virus (HIV) disease
,
and s
ubstance abuse
; 3) hospital inpatient and
emergency room statistics by disease category,
diagnosis group, and all-listed procedures by
patient?s county of residence inChapter 7and;
4) selected historical vital events including
births, deaths, infant deaths, marriages, and
dissolutions of marriage by year and county in
the State for 1960-2002 in Chapter 8.
Part III,
T
HE
C
OMMUNITIES
, provides readerswith
selected community-level dataon livebirthsand
deaths in Arizona in 2013 (Chapter 9). In
addition to the community-level data provided
herein, a wealth of health and health-related
information is now available at the Arizona
Department of Health Services Bureau of Public
HealthStatisticsCommunityProfilesDashboard:
Chapter 10 presents population denominators
for Arizona by gender, age groups, county of
residence, and race/ethnicity.
To use
Arizona Health Status and Vital
Statistics 2013
effectively, the reader should
become familiar with the
Technical Notes
at the
end of the report. They provide definitions of
terms used in the report, aswell as information
about the sources of data.
Technical Notes
also
provide a link to detailed comparability ratios
used to make comparisons between cause-of-
death data classified by the Ninth and Tenth
Revisions of the International Classification of
Diseases.
In addition to the bound form, the
Arizona
Health Status and Vital Statistics 2013
report, as well as previously published reports
for 2000-2012, are available online at:
FEATURESOF2013REPORT
C
ELL
S
UPPRESSION
The 2013
Arizona Health Status and Vital
Statistics
report is the second report in this
series to include cell suppression. Using
suppression rules similar to those used by the
National Center forHealthStatistics (NCHS), this
report now attempts tomaintain the anonymity
of the individuals whose vital records are
summarized herein.
Cell suppression is a method of removing
potentially identifiable information from tables.
In cell suppression, the first tasks is
primary
suppression
, or removingnon-zero counts in the
body of a table that fall belowa certainnumber.
Primary cells that were less than six but greater
thanzerowere suppressedand identifiedwithan
asterisk (*).Next,
secondarysuppression
isused
to obfuscate the totals or sums with
components, or
addends
, that fall below the
threshold for primary suppression. These totals
are typically reported in the margins of table
rows and columns. Column or row totals that
contained a non-zero addend less than 6 were
rounded to the nearest tens-unit and identified
withadagger (?).Rates, ratios,andpercentages
that were based on a non-zero numerator less
than six were suppressed and identified with a
double asterisk (**). In certain cases where
these ruleswould have dictated the rounding of
a row or column total, or suppression of an
viii
Arizona Health Status and Vital Statistics 2013
