COUNTY PROFILE: Denali Borough, Alaska

US COUNTY PERFORMANCE The Institute for Health Metrics and Evaluation (IHME) at the University of Washington analyzed the performance of all 3,142 US counties or county-equivalents in terms of life expectancy at birth, mortality rates for select causes, alcohol use, smoking prevalence, obesity prevalence, and recommended physical activity using novel small area estimation techniques and the most up-to-date county-level information. Explore more results using the interactive US Health Map data visualization (http://vizhub.healthdata.org/subnational/usa).

FINDINGS: LIFE EXPECTANCY Sex Denali Borough Alaska National National rank % change 1980-2014 Female 78.8 80.8 81.5 2330 +7.3 Male 71.3 76.3 76.7 2902 +12.7

life expectancy at birth (years), 2014

Fig. 1: Female life expectancy, 2014 Fig. 2: Male life expectancy, 2014

FINDINGS: ALL-CAUSE MORTALITY Sex Denali Borough Alaska National National rank % change 1980-2014 Female 777.8 667.5 667.8 2013 -28.4 Male 1110.5 907.6 930.1 2153 -34.2

rate per 100,000 population, age-standardized, 2014

Fig. 3: Female all-cause mortality, 2014 Fig. 4: Male all-cause mortality, 2014

http://www.healthdata.org Denali Borough, Alaska | page 1 FINDINGS: ISCHEMIC HEART DISEASE Sex Denali Borough Alaska National National rank % change 1980-2014 Female 81.1 84.1 124.9 158 -59.5 Male 175.7 150.3 191.5 816 -55.7

rate per 100,000 population, age-standardized, 2014

Fig. 5: Female ischemic heart disease, 2014 Fig. 6: Male ischemic heart disease, 2014

FINDINGS: CEREBROVASCULAR DISEASE (STROKE) Sex Denali Borough Alaska National National rank % change 1980-2014 Female 60.1 47.4 47.4 2426 -37.3 Male 47.3 48.2 48.8 1033 -44.4

rate per 100,000 population, age-standardized, 2014

Fig. 7: Female cerebrovascular disease (stroke), 2014 Fig. 8: Male cerebrovascular disease (stroke), 2014

http://www.healthdata.org Denali Borough, Alaska | page 2 FINDINGS: TRACHEAL, BRONCHUS, AND LUNG CANCER Sex Denali Borough Alaska National National rank % change 1980-2014 Female 55.3 48.5 43.8 2314 -7.0 Male 79.6 64.5 67.6 1690 -32.8

rate per 100,000 population, age-standardized, 2014

Fig. 9: Female tracheal, bronchus, and lung cancer, 2014 Fig. 10: Male tracheal, bronchus, and lung cancer, 2014

FINDINGS: BREAST CANCER Sex Denali Borough Alaska National National rank % change 1980-2014 Female 25.9 25.8 25.9 1617 -22.5 Male 0.1 0.2 0.3 21 -14.5

rate per 100,000 population, age-standardized, 2014

Fig. 11: Female breast cancer, 2014 Fig. 12: Male breast cancer, 2014

http://www.healthdata.org Denali Borough, Alaska | page 3 FINDINGS: MALIGNANT SKIN MELANOMA Sex Denali Borough Alaska National National rank % change 1980-2014 Female 1.6 1.9 1.9 312 -18.4 Male 2.2 3.2 4.5 24 +21.2

rate per 100,000 population, age-standardized, 2014

Fig. 13: Female malignant skin melanoma, 2014 Fig. 14: Male malignant skin melanoma, 2014

FINDINGS: DIABETES, UROGENITAL, BLOOD, AND ENDOCRINE DISEASES MORTALITY Sex Denali Borough Alaska National National rank % change 1980-2014 Female 40.6 42.8 49.6 453 -10.7 Male 49.7 56.2 63.8 368 +31.1

rate per 100,000 population, age-standardized, 2014

Fig. 15: Female diabetes, urogenital, blood, and endocrine diseases Fig. 16: Male diabetes, urogenital, blood, and endocrine diseases mortality, 2014 mortality, 2014

http://www.healthdata.org Denali Borough, Alaska | page 4 FINDINGS: SELF-HARM AND INTERPERSONAL VIOLENCE MORTALITY Sex Denali Borough Alaska National National rank % change 1980-2014 Female 24.3 15.0 9.0 3126 +38.4 Male 127.3 46.6 30.9 3136 +56.6

rate per 100,000 population, age-standardized, 2014

Fig. 17: Female self-harm and interpersonal violence mortality, 2014 Fig. 18: Male self-harm and interpersonal violence mortality, 2014

FINDINGS: TRANSPORT INJURIES MORTALITY Sex Denali Borough Alaska National National rank % change 1980-2014 Female 17.4 8.4 8.1 2339 -57.6 Male 57.1 22.8 19.8 3005 -59.8

rate per 100,000 population, age-standardized, 2014

Fig. 19: Female transport injuries mortality, 2014 Fig. 20: Male transport injuries mortality, 2014

http://www.healthdata.org Denali Borough, Alaska | page 5 FINDINGS: MENTAL AND SUBSTANCE USE DISORDERS MORTALITY Sex Denali Borough Alaska National National rank % change 1980-2014 Female 27.2 16.5 8.2 3107 +28.3 Male 54.1 27.0 18.7 3113 +42.5

rate per 100,000 population, age-standardized, 2014

Fig. 21: Female mental and substance use disorders mortality, 2014 Fig. 22: Male mental and substance use disorders mortality, 2014

FINDINGS: CIRRHOSIS AND OTHER CHRONIC LIVER DISEASES MORTALITY Sex Denali Borough Alaska National National rank % change 1980-2014 Female 17.2 18.1 11.8 2730 -26.2 Male 19.2 22.3 22.2 1065 -30.2

rate per 100,000 population, age-standardized, 2014

Fig. 23: Female cirrhosis and other chronic liver diseases mortality, 2014 Fig. 24: Male cirrhosis and other chronic liver diseases mortality, 2014

http://www.healthdata.org Denali Borough, Alaska | page 6 FINDINGS: HEAVY DRINKING Sex Denali Borough Alaska National National rank % change 2005-2012 Female 8.2 8.1 6.7 2634 +17.1 Male 10.9 10.3 9.9 1838 +9.1

prevalence (%), age-standardized, 2012

Fig. 25: Female heavy drinking, 2012 Fig. 26: Male heavy drinking, 2012

FINDINGS: BINGE DRINKING Sex Denali Borough Alaska National National rank % change 2002-2012 Female 15.9 13.9 12.4 2665 -21.1 Male 24.7 23.3 24.5 1658 -7.4

prevalence (%), age-standardized, 2012

Fig. 27: Female binge drinking, 2012 Fig. 28: Male binge drinking, 2012

http://www.healthdata.org Denali Borough, Alaska | page 7 FINDINGS: SMOKING Sex Denali Borough Alaska National National rank % change 1996-2012 Female 30.9 20.3 17.9 3090 +3.7 Male 32.8 23.4 22.2 3029 -9.2

prevalence (%), age-standardized, 2012

Fig. 29: Female smoking, 2012 Fig. 30: Male smoking, 2012

FINDINGS: OBESITY Sex Denali Borough Alaska National National rank % change 2001-2011 Female 41.9 37.6 36.1 2332 +8.8 Male 39.0 33.8 33.8 2226 +50.8

prevalence (%), age-standardized, 2011

Fig. 31: Female obesity, 2011 Fig. 32: Male obesity, 2011

http://www.healthdata.org Denali Borough, Alaska | page 8 FINDINGS: RECOMMENDED PHYSICAL ACTIVITY Sex Denali Borough Alaska National National rank % change 2001-2011 Female 51.4 57.6 52.6 1363 +9.6 Male 55.8 59.8 56.3 1090 -4.4

prevalence (%), age-standardized, 2011

Fig. 33: Female recommended physical activity, 2011 Fig. 34: Male recommended physical activity, 2011

CITATION: Institute for Health Metrics and Evaluation (IHME), US County Profile: Denali Borough, Alaska. Seattle, WA: IHME, 2016.

Institute for Health Metrics and Evaluation Telephone: +1-206-897-2800 2301 Fifth Ave., Suite 600 E-mail: [email protected] Seattle, WA 98121 USA www.healthdata.org http://www.healthdata.org Denali Borough, Alaska | page 9