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Complete Health Indicator Report of Cardiovascular Disease - Stroke Deaths

Definition

Stroke Deaths per 100,000 population in New Mexico

Numerator

Number of stroke deaths

Denominator

New Mexico population

Why Is This Important?

In 2016, stroke was the fifth leading cause of death in New Mexico.

Healthy People Objective: HDS-3, Reduce stroke deaths

U.S. Target: 34.8 deaths per 100,000 population

Other Objectives

New Mexico Community Health Status Indicator (CHSI)

How Are We Doing?

US and NM: In general, stroke death rates have decreased in the last 15 years in the US. In New Mexico, stroke mortality rates declined beginning in 2004 and remained relatively stable through 2011, with another slight decline in 2012 and 2013. Though the rate in most recent years, 2015 through 2017, was statistically significantly higher than that of 2012, the NM rate has essentially remained stable since 2013. Age and Sex, 2015-2017 combined: There was no statistically significant difference in stroke mortality rates by sex. Stroke mortality is strongly associated with age for both sexes. The stroke mortality rates were significantly higher for older age groups. For both sexes, from the age group 35-44, the stroke mortality rate for each age group was statistically significantly higher than that of the next younger age group. Race/Ethnicity, 2014-2017 combined: The stroke mortality rates for Black or African American and American Indian or Alaska Native populations were statistically significantly higher than that of the white population. The rate for the Black or African American population was statistically significantly higher than that of the Hispanic population, as well. Race/Ethnicity and Sex, 2014-2017 combined: Among males, the stroke mortality rate of White males was lower than that of American Indian and Hispanic males. There were no significant differences by Race/Ethnicity among females. Among American Indian/Alaska Natives, the stroke mortality rate for males was statistically significantly higher than that of females. There were no differences between the male and female rates of the other Race/Ethnic populations. County, 2015-2017: During the period 2015-2017, stroke mortality rate varied by county. The six counties with the highest rates were De Baca, Socorro, Luna, Eddy, Sandoval, and Lea. The six counties with the lowest rates that were sufficiently stable to report were Chaves, Cibola, Grant, Los Alamos, Sierra, and Catron. Urban and Rural, 2015-2017: The rate of Metropolitan counties, as a group, was statistically significantly higher than the rate of Rural counties. There was no statistically significant difference in stroke mortality rates between any other geographic urban/rural categories.

How Do We Compare With the U.S.?

2017 U.S. estimate of stroke mortality was not available at the time of publication. In 2016, the New Mexico age-adjusted stroke mortality rate was lower than that of the U.S. Of note, the New Mexico stroke mortality rate has been at or below the HP 2020 target for the U.S. of 34.8 deaths per 100,000 since 2009, with the exception of 2016 (35.0/100,000). However, US and NM rates are getting closer, since the US rates are decreasing faster than the NM rates.

What Is Being Done?

The NM Department of Health Heart Disease and Stroke Prevention (HDSP) Program works with health systems, health care providers, community partners, agencies and coalitions to provide awareness of and education about heart disease and stroke prevention strategies. Program strategies are focused on providing professional education to members of the health care team about the importance of reporting standardized hypertension and diabetes quality measures to reporting bodies using electronic health record (EHR) data; partnering with EHR data experts to provide technical assistance to health systems on how to extract necessary data from the EHR to be able to report quality measures; working with health systems to identify potential errors in entering EHR data that may affect quality reporting; using EHR data to identify patients with undiagnosed hypertension commonly referred to as those ?hiding in plain sight;? partnering with the NM Department of Health Diabetes Prevention and Control Program (DPCP) to provide resources and programs for patients to manage their hypertension and diabetes; promoting the value of community health workers as members of the healthcare team; promoting and educating about the importance of using a team-based healthcare model; partnering with NM Medicaid to extract and analyze prescription fill data for diabetes and hypertensive medications; use Million Hearts and American Heart Association resources to promote and educate about self-measured blood pressure monitoring tied with clinical support. The HDSP program's partners support build environment improvements so people at risk for or with cardiovascular disease and stroke can be physically active and initiatives that increase access to healthy foods. The HDSP program consults with populations that are disproportionately affected by cardiovascular disease and stroke and/or those that serve them to develop education and services that are culturally appropriate to these populations.

Evidence-based Practices

Evidence-based community health improvement ideas and interventions may be found at the following sites: - The Guide to Community Preventive Services - Health Indicators Warehouse - County Health Rankings - Healthy People 2020 Website Heart Disease and its complications can be prevented and managed through these strategies: * Clinical decision-support systems designed to assist healthcare providers in implementing clinical guidelines at the point of care. * Reducing out-of-pocket costs (ROPC) for patients with high blood pressure and high cholesterol. * Team-Based Care to Improve Blood Pressure Control. * Interventions engaging community health workers/community health representatives/promotoras * Implementing self-measured blood pressure monitoring interventions * Interactive digital interventions for blood pressure self-management * Mobile Health (mHealth) interventions for treatment adherence among newly diagnosed patients CDC recommends specific major activities to implement these seven effective strategies: 1) Clinical decision-support systems (CDSS) designed to assist healthcare providers in implementing clinical guidelines at the point of care. * Implementation of CDSS at clinics and sites that provide healthcare services along with providing technical assistance on proper use of these systems. * CDSS for cardiovascular disease prevention (CVD) include one or more of the following: * Reminders for overdue CVD preventive services including screening for risk factors such as high blood pressure, diabetes, and high cholesterol * Assessments of patients' risk for developing CVD based on their medical history, symptoms, and clinical test results * Recommendations for evidence-based treatments to prevent CVD, including intensification of treatment * Recommendations for health behavior changes to discuss with patients such as quitting smoking, increasing physical activity, and reducing excessive salt intake * Alerts when indicators for CVD risk factors are not at goal[[br]] 2) Reducing out-of-pocket costs (ROPC) for patients with high blood pressure and high cholesterol: * Reducing out-of-pocket costs involves program and policy changes that make cardiovascular disease preventive services more affordable. These services include: * Medications * Behavioral counseling (e.g. nutrition counseling) * Behavioral support (e.g. community-based weight management programs, gym membership) * Encouraging the delivery of preventive services in clinical and non-clinical settings (e.g. worksite, community). * Promoting interventions that enhance patient-provider interaction such as team-based care, medication counseling, and patient education. * Increasing awareness of covered services to providers and to patients with high blood pressure and high cholesterol using targeted messages. * Work with diabetes management and tobacco cessation programs to coordinate coverage for blood pressure and cholesterol management. [[br]] 3) Team-Based Care to Improve Blood Pressure Control: * Team-based care to improve blood pressure control is a health systems-level, organizational intervention that incorporates a multidisciplinary team to improve the quality of hypertension care for patients. * Provide technical assistance to facilitate communication and coordination of care support among various team members including the patient, the patient?s primary care provider, nurses, pharmacists, dietitians, social workers, and community health workers. * Enhance the use of evidence-based guidelines by team members. * Actively engage patients and populations at risk in their own care by providing educational materials, medication adherence support, and tools and resources for self-management (including health behavior change). 4) Interventions engaging community health workers/community health representatives/promotoras: * Screening and health education. CHWs screen for high blood pressure, cholesterol, and behavioral risk factors recommended by the United States Preventive Services Task Force (USPSTF); deliver individual or group education on CVD risk factors; provide adherence support for medications; and offer self-management support for health behavior changes, such as increasing physical activity and smoking cessation. * Outreach, enrollment, and information. CHWs reach out to individuals and families who are eligible for medical services, help them apply for these services, and provide proactive client follow-up and monitoring, such as appointment reminders and home visits. * Team-based care. As care team members, CHWs partner with clients and licensed providers, such as physicians and nurses, to improve coordination of care and support for clients. * Patient navigation. CHWs help individuals and families navigate complex medical service systems and processes to increase their access to care. * Community organizers. CHWs facilitate self-directed change and community development by serving as liaisons between the community and healthcare systems. 5) Implementing self-measured blood pressure monitoring interventions: * One-on-one patient counseling on medications and health behavior changes (e.g., diet and exercise) * Educational sessions on high blood pressure and blood pressure self-management * Access to electronic or web-based tools (e.g., electronic requests for medication refills, text or email reminders to measure blood pressure or attend appointments, direct communications with healthcare providers via secure messaging) 6) Interactive digital interventions for blood pressure self-management: In these interventions, patients who have high blood pressure use digital devices to receive personalized, automated guidance on blood pressure self-management. Devices include mobile phones, web-based programs, or telephones. Interactive content does not require direct input from a health professional. 7) Mobile Health (mHealth) interventions for treatment adherence among newly diagnosed patients: mHealth interventions for treatment adherence use mobile devices to deliver self-management guidance to patients who have been recently diagnosed with cardiovascular disease. Content must be accessible through mobile-phones, smartphones, or other hand-held devices. Interventions must include one or more of the following: * Text-messages that provide information or encouragement for treatment adherence * Text-message reminders for medications, appointments, or treatment goals * Web-based content that can be viewed on mobile devices * Applications (apps) developed or selected for the intervention with goal-setting, reminder functions, or both * An interactive component (i.e., patients enter personal data or make choices) that gives patients personally relevant, tailored information and feedback * Mobile communication or direct contact with a healthcare provider * Web-based content to supplement text-message interventions


Related Indicators

Related Relevant Population Characteristics Indicators:


Risk Factors

Risk factors for stroke include: high blood pressure, abnormal cholesterol, prediabetes, diabetes, tobacco use, secondhand smoke exposure, air pollution, physical inactivity, poor nutrition and excess weight. Controlling and preventing these risk factors is crucial in reducing risk of developing cerebrovascular disease as well as death from stroke.

Related Risk Factors Indicators:




Graphical Data Views

Stroke Deaths per 100,000 Population by Year, New Mexico and U.S., 1999-2017

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confidence limits

In New Mexico, stroke mortality rates declined sharply between 1999 and 2004, and have remained relatively stable since then.
NM vs. U.S.YearDeaths per 100,000 Population, Age-adjustedLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 39
New Mexico199952.048.455.58281,798,161
New Mexico200047.944.651.27911,828,596
New Mexico200148.645.352.08191,851,525
New Mexico200239.436.542.46861,874,593
New Mexico200340.737.743.67241,897,658
New Mexico200433.530.836.16091,920,756
New Mexico200533.430.736.06251,943,827
New Mexico200633.030.435.56321,966,890
New Mexico200733.030.435.56491,989,996
New Mexico200835.833.238.47142,013,064
New Mexico200934.732.137.27142,036,124
New Mexico201037.735.140.37982,065,194
New Mexico201132.630.235.17042,081,550
New Mexico201229.727.432.06652,092,246
New Mexico201329.627.431.96792,096,134
New Mexico201434.432.136.88182,099,510
New Mexico201532.530.234.87872,102,646
New Mexico201635.032.737.48752,103,586
New Mexico201734.532.236.88782,102,521
United States199961.6
United States200060.9
United States200158.4
United States200257.2
United States200354.6
United States200451.2
United States200548.0
United States200644.8
United States200743.5
United States200842.1
United States200939.6
United States201039.1
United States201137.9
United States201236.9
United States201336.2
United States201436.5
United States201537.6
United States201637.3

Data Notes

Stroke deaths include deaths with underlying cause of cerebrovascular disease, include ICD-10 codes I60-I69. Most estimates are based on a 3-year period, 2015-2017, unless otherwise indicated. Most estimates have been age-adjusted to the year 2000 U.S. census. Estimates by age group have not been age-adjusted. Some rows in data tables may include a note of Unstable or Very Unstable. Those rates labeled Unstable were statistically unstable (RSE greater than or equal to 0.30 and less than 0.50), and may fluctuate widely across time periods due to random variation (chance). Those rates labeled Very Unstable were extremely unstable (RSE greater than or equal to 0.50). These values should not be used to infer population risk. Some Very Unstable rates may have been suppressed.   Data have been directly age-adjusted to the U.S. 2000 standard population.

Data Sources

  • New Mexico Death Data: Bureau of Vital Records and Health Statistics (BVRHS), New Mexico Department of Health.
  • Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.
  • U.S. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics, ]http://www.cdc.gov/nchs/]


Average Annual Stroke Deaths per 100,000 Population by Sex, New Mexico, 2017

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confidence limits

In 2017, there was no statistically significant difference in stroke mortality rates by gender.
Sex, M/FDeaths per 100,000 Population, Age-adjustedLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 3
Total34.532.236.88782,102,521
Male33.830.337.33731,041,347
Female34.531.437.55051,061,174

Data Notes

Stroke deaths include deaths with underlying cause of cerebrovascular disease, include ICD-10 codes I60-I69. Most estimates are based on a 3-year period, 2015-2017, unless otherwise indicated. Most estimates have been age-adjusted to the year 2000 U.S. census. Estimates by age group have not been age-adjusted. Some rows in data tables may include a note of Unstable or Very Unstable. Those rates labeled Unstable were statistically unstable (RSE greater than or equal to 0.30 and less than 0.50), and may fluctuate widely across time periods due to random variation (chance). Those rates labeled Very Unstable were extremely unstable (RSE greater than or equal to 0.50). These values should not be used to infer population risk. Some Very Unstable rates may have been suppressed.   Data have been directly age-adjusted to the U.S. 2000 standard population.

Data Sources

  • New Mexico Death Data: Bureau of Vital Records and Health Statistics (BVRHS), New Mexico Department of Health.
  • Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.


Average Annual Stroke Deaths per 100,000 Population by Age Group, New Mexico, 2015-2017

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confidence limits

Stroke mortality is strongly associated with age. The stroke mortality rates were significantly higher for older age groups. From the age group 35-44, the stroke mortality rate for each age group was significantly higher than that of the next younger age group.
Age GroupDeaths per 100,000 PopulationLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 10
15-240.70.11.2Unstable6865,837
25-341.80.92.7Unstable15848,065
35-444.22.75.731739,203
45-5411.79.314.189761,658
55-6423.620.326.9195826,768
65-7463.657.369.9390613,390
75-84245.2227.5262.9733298,959
85+910.0855.9964.11,077118,347
New Mexico40.338.741.82,5406,308,753
U.S.37.32016 rate

Data Notes

Stroke deaths include deaths with underlying cause of cerebrovascular disease, include ICD-10 codes I60-I69. Most estimates are based on a 3-year period, 2015-2017, unless otherwise indicated. Most estimates have been age-adjusted to the year 2000 U.S. census. Estimates by age group have not been age-adjusted. Some rows in data tables may include a note of Unstable or Very Unstable. Those rates labeled Unstable were statistically unstable (RSE greater than or equal to 0.30 and less than 0.50), and may fluctuate widely across time periods due to random variation (chance). Those rates labeled Very Unstable were extremely unstable (RSE greater than or equal to 0.50). These values should not be used to infer population risk. Some Very Unstable rates may have been suppressed.   3-year estimates.

Data Sources

  • New Mexico Death Data: Bureau of Vital Records and Health Statistics (BVRHS), New Mexico Department of Health.
  • Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.


Stroke Deaths per 100,000 Population by Age Group and Sex, New Mexico, 2015-2017

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confidence limits

Stroke mortality is strongly associated with age for both sexes. The stroke mortality rates were significantly higher for older age groups. For both sexes, from the age group 35-44, the stroke mortality rate for each age group was significantly higher than that of the next younger age group.
Sex: Males vs. FemalesAge GroupDeaths per 100,000 PopulationLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 14
Male25-341.80.63.1Unstable8437,193
Male35-445.43.07.820370,825
Male45-5415.511.519.558373,646
Male55-6427.422.232.6108394,075
Male65-7470.260.679.8204290,682
Male75-84254.7227.8281.6344135,044
Male85+787.3705.8868.735645,220
Female25-341.70.43.0Unstable7410,873
Female35-443.01.24.811368,378
Female45-548.05.210.831388,013
Female55-6420.115.924.387432,693
Female65-7457.649.465.9186322,708
Female75-84237.3213.8260.9389163,914
Female85+986.0914.31,057.672173,127

Data Notes

Stroke deaths include deaths with underlying cause of cerebrovascular disease, include ICD-10 codes I60-I69. Most estimates are based on a 3-year period, 2015-2017, unless otherwise indicated. Most estimates have been age-adjusted to the year 2000 U.S. census. Estimates by age group have not been age-adjusted. Some rows in data tables may include a note of Unstable or Very Unstable. Those rates labeled Unstable were statistically unstable (RSE greater than or equal to 0.30 and less than 0.50), and may fluctuate widely across time periods due to random variation (chance). Those rates labeled Very Unstable were extremely unstable (RSE greater than or equal to 0.50). These values should not be used to infer population risk. Some Very Unstable rates may have been suppressed.   3-year estimates.

Data Sources

  • New Mexico Death Data: Bureau of Vital Records and Health Statistics (BVRHS), New Mexico Department of Health.
  • Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.


Average Annual Stroke Deaths per 100,000 Population by Race/Ethnicity, New Mexico, 2015-2017

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confidence limits

There was no statistically significant difference in stroke mortality rates by Race/Ethnicity.
Race/EthnicityDeaths per 100,000 Population, Age-adjustedLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 7
American Indian/Alaska Native38.532.544.6162572,063
Asian/Pacific Islander30.418.442.525106,080
Black/African American45.232.458.050135,655
Hispanic35.433.037.78983,059,504
White32.330.634.01,4022,435,451
New Mexico34.032.735.42,5406,308,753
United States37.32016

Data Notes

Stroke deaths include deaths with underlying cause of cerebrovascular disease, include ICD-10 codes I60-I69. Most estimates are based on a 3-year period, 2015-2017, unless otherwise indicated. Most estimates have been age-adjusted to the year 2000 U.S. census. Estimates by age group have not been age-adjusted. Some rows in data tables may include a note of Unstable or Very Unstable. Those rates labeled Unstable were statistically unstable (RSE greater than or equal to 0.30 and less than 0.50), and may fluctuate widely across time periods due to random variation (chance). Those rates labeled Very Unstable were extremely unstable (RSE greater than or equal to 0.50). These values should not be used to infer population risk. Some Very Unstable rates may have been suppressed.   3-year period 2015-2017. Data have been directly age-adjusted to the U.S. 2000 standard population. Some rows in data tables may include a note of Unstable or Very Unstable. Those rates labeled Unstable were statistically unstable (RSE >0.30 and <0.50), and may fluctuate widely across time periods due to random variation (chance). Those rates labeled Very Unstable were extremely unstable (RSE >0.50). These values should not be used to infer population risk. Some Very Unstable rates have been suppressed.

Data Sources

  • New Mexico Death Data: Bureau of Vital Records and Health Statistics (BVRHS), New Mexico Department of Health.
  • Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.
  • U.S. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics, ]http://www.cdc.gov/nchs/]


Stroke Deaths per 100,000 Population by Race/Ethnicity and Sex, New Mexico, 2014-2017

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confidence limits

The stroke mortality rate of White males was statistically significantly lower than that of American Indian and Hispanic males. There were no statistically significant differences by Race/Ethnicity among females.
Sex: Males vs. FemalesRace/EthnicityDeaths per 100,000 Population, Age-adjustedLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 19
MaleAmerican Indian/Alaska Native49.839.959.6107365,645
MaleAsian/Pacific Islander31.713.849.61363,556
MaleBlack/African American48.430.866.133100,612
MaleHispanic36.333.239.55272,018,223
MaleWhite31.028.833.37801,615,297
MaleNew Mexico34.332.636.11,4634,163,333
FemaleAmerican Indian/Alaska Native33.026.739.2109395,538
FemaleAsian/Pacific Islander29.616.242.91976,542
FemaleBlack/African American49.933.866.03879,316
FemaleHispanic33.330.735.96302,045,175
FemaleWhite33.431.335.41,0971,648,359
FemaleNew Mexico33.431.934.91,8954,244,930
AllAmerican Indian/Alaska Native39.634.245.0216761,183
AllAsian/Pacific Islander30.519.841.132140,098
AllBlack/African American48.737.260.371179,928
AllHispanic34.932.936.91,1574,063,398
AllWhite32.631.134.11,8773,263,656
AllNew Mexico34.133.035.33,3588,408,263
AllUnited States37.32016

Data Notes

Stroke deaths include deaths with underlying cause of cerebrovascular disease, include ICD-10 codes I60-I69. Most estimates are based on a 3-year period, 2015-2017, unless otherwise indicated. Most estimates have been age-adjusted to the year 2000 U.S. census. Estimates by age group have not been age-adjusted. Some rows in data tables may include a note of Unstable or Very Unstable. Those rates labeled Unstable were statistically unstable (RSE greater than or equal to 0.30 and less than 0.50), and may fluctuate widely across time periods due to random variation (chance). Those rates labeled Very Unstable were extremely unstable (RSE greater than or equal to 0.50). These values should not be used to infer population risk. Some Very Unstable rates may have been suppressed.   Four-year period 2014-2017 was used to provide stable rates for all gender and Race/Ethnicity groups. Data have been directly age-adjusted to the U.S. 2000 standard population. Some rows in data tables may include a note of Unstable or Very Unstable. Those rates labeled Unstable were statistically unstable (RSE >0.30 and <0.50), and may fluctuate widely across time periods due to random variation (chance). Those rates labeled Very Unstable were extremely unstable (RSE >0.50). These values should not be used to infer population risk. Some Very Unstable rates have been suppressed.

Data Sources

  • New Mexico Death Data: Bureau of Vital Records and Health Statistics (BVRHS), New Mexico Department of Health.
  • Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.
  • U.S. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics, ]http://www.cdc.gov/nchs/]


Stroke Deaths per 100,00 Population by County, New Mexico, 2015-2017

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confidence limits

During the period 2015-2017, stroke mortality rate varied by county. The six counties with the highest rates were De Baca, Socorro, Luna, Eddy, Sandoval, and Lea. The six counties with the lowest rates that were sufficiently stable to report were Chaves, Cibola, Grant, Los Alamos, Sierra, and Catron.
CountyDeaths per 100,000 Population, Age-adjustedLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 36
Bernalillo36.834.339.3-8562,038,559
Catron20.63.737.4Warning, value is unstable610,821
Chaves24.818.431.2-59197,816
Cibola23.714.033.5-2382,162
Colfax28.115.840.4-2038,039
Curry34.825.044.6-49151,004
De Baca53.713.893.7Warning, value is unstable75,616
Dona Ana33.429.037.7-235649,518
Eddy42.332.851.7-79172,579
Grant23.215.830.6-3886,329
Guadalupe35.07.962.0Warning, value very unstable713,406
Harding**Warning, value is Very Unstable2,071
Hidalgo**Warning, value very unstable13,440
Lea40.030.749.3-72210,827
Lincoln27.216.637.8-2859,430
Los Alamos23.212.134.4-1754,939
Luna45.332.658.1-5074,006
McKinley33.224.941.6-62220,906
Mora31.29.552.8Warning, value is unstable813,926
Otero33.325.940.7-80196,675
Quay26.311.441.2-1225,506
Rio Arriba37.227.347.2-56118,846
Roosevelt29.615.943.4-1858,666
Sandoval40.134.245.9-184422,825
San Juan34.428.640.2-136386,010
San Miguel38.726.850.6-4284,349
Santa Fe30.526.035.0-185446,484
Sierra22.112.032.2-1934,089
Socorro49.131.267.0-3152,106
Taos28.820.637.0-4899,587
Torrance29.816.043.7-1947,081
Union**Warning, value is Very Unstable12,953
Valencia32.625.739.6-87228,182
New Mexico34.032.735.42,5406,308,753
U.S.37.32016 rate

Data Notes

Stroke deaths include deaths with underlying cause of cerebrovascular disease, include ICD-10 codes I60-I69. Most estimates are based on a 3-year period, 2015-2017, unless otherwise indicated. Most estimates have been age-adjusted to the year 2000 U.S. census. Estimates by age group have not been age-adjusted. Some rows in data tables may include a note of Unstable or Very Unstable. Those rates labeled Unstable were statistically unstable (RSE greater than or equal to 0.30 and less than 0.50), and may fluctuate widely across time periods due to random variation (chance). Those rates labeled Very Unstable were extremely unstable (RSE greater than or equal to 0.50). These values should not be used to infer population risk. Some Very Unstable rates may have been suppressed.   3-year estimates. Data have been directly age-adjusted to the U.S. 2000 standard population.

Data Sources

  • New Mexico Death Data: Bureau of Vital Records and Health Statistics (BVRHS), New Mexico Department of Health.
  • Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.
  • U.S. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics, ]http://www.cdc.gov/nchs/]


Stroke Deaths per 100,000 Population by Urban and Rural Counties, New Mexico, 2015-2017

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confidence limits

The rate of Metropolitan counties, as a group, was statistically significantly higher than the rate of Rural counties. There was no statistically significant difference in stroke mortality rates between any other geographic urban/rural categories.
Urban Versus Rural CountiesDeaths per 100,000 Population, Age-adjustedLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 6
Metropolitan Counties36.734.638.91,1462,736,647
Small Metro Counties32.329.635.05561,482,011
Mixed Urban-Rural32.930.435.46931,808,691
Rural Counties29.124.234.1145281,404
New Mexico34.032.735.42,5406,308,753
U.S.37.32016 rate

Data Notes

Stroke deaths include deaths with underlying cause of cerebrovascular disease, include ICD-10 codes I60-I69. Most estimates are based on a 3-year period, 2015-2017, unless otherwise indicated. Most estimates have been age-adjusted to the year 2000 U.S. census. Estimates by age group have not been age-adjusted. Some rows in data tables may include a note of Unstable or Very Unstable. Those rates labeled Unstable were statistically unstable (RSE greater than or equal to 0.30 and less than 0.50), and may fluctuate widely across time periods due to random variation (chance). Those rates labeled Very Unstable were extremely unstable (RSE greater than or equal to 0.50). These values should not be used to infer population risk. Some Very Unstable rates may have been suppressed.   3-year combined. Data have been directly age-adjusted to the U.S. 2000 standard population.

Data Sources

  • New Mexico Death Data: Bureau of Vital Records and Health Statistics (BVRHS), New Mexico Department of Health.
  • Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.
  • U.S. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics, ]http://www.cdc.gov/nchs/]


Stroke Deaths per 100,000 Population by Health Region, New Mexico, 2015-2017

::chart - missing::
confidence limits

The stroke mortality rate of the Metro region was statistically significantly higher than that of the Northeast region. There were no statistically significant difference in stroke mortality rate between any other regions.
New Mexico Health RegionDeaths per 100,000 Population, Age-adjustedLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 7
Northwest32.728.437.1221689,078
Northeast30.927.734.0386884,600
Metro36.734.638.91,1462,736,647
Southeast33.229.536.8324881,445
Southwest32.929.936.04631,116,983
New Mexico34.032.735.42,5406,308,753
US37.32016 rate

Data Notes

Stroke deaths include deaths with underlying cause of cerebrovascular disease, include ICD-10 codes I60-I69. Most estimates are based on a 3-year period, 2015-2017, unless otherwise indicated. Most estimates have been age-adjusted to the year 2000 U.S. census. Estimates by age group have not been age-adjusted. Some rows in data tables may include a note of Unstable or Very Unstable. Those rates labeled Unstable were statistically unstable (RSE greater than or equal to 0.30 and less than 0.50), and may fluctuate widely across time periods due to random variation (chance). Those rates labeled Very Unstable were extremely unstable (RSE greater than or equal to 0.50). These values should not be used to infer population risk. Some Very Unstable rates may have been suppressed.   3-year estimates. Data have been directly age-adjusted to the U.S. 2000 standard population.

Data Sources

  • New Mexico Death Data: Bureau of Vital Records and Health Statistics (BVRHS), New Mexico Department of Health.
  • Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.
  • U.S. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics, ]http://www.cdc.gov/nchs/]


Stroke Deaths per 100,000 Population by 108 Small Areas, New Mexico, 2012-2016

::chart - missing::
confidence limits

Small AreaDeaths per 100,000 Population, Age-adjustedLower LimitUpper LimitNoteNumer- atorDenom- inator
Record Count: 110
1-Bernalillo County, Central Penn52.939.666.262139,434
2-Bernalillo County, Central Tabo39.229.349.160157,420
3-Bernalillo County, East Gateway29.320.338.34198,426
4-Bernalillo County, Lomas San Mateo42.531.953.172103,045
5-Bernalillo County, Lomas Girard39.826.353.23775,436
6-Bernalillo County, Gibson University37.619.955.31865,552
7-Bernalillo County, Rio Bravo Second25.29.241.2Warning: value unstable1048,707
8-Bernalillo County, Lomas Broadway29.919.740.034103,091
9-Military Bases**Warning, value very unstable57,532
10-Bernalillo County, Isleta Gun Club36.120.252.02169,201
11-Bernalillo County, Arenal Unser54.621.487.7Warning, value unstable1685,684
12-Bernalillo County, Chavez OneEighteenth65.438.692.130125,867
13-Bernalillo County, Southwest46.019.272.81263,719
14-Bernalillo County, Arenal Tapia31.520.842.33498,747
15-Bernalillo County, Central Coors46.133.558.852113,985
16-Bernalillo County, So. Ninetyeight25.311.439.214145,185
17-Bernalillo County, No. Ninetyeight45.330.160.536128,966
18-Bernalillo County, Montano Rio Grande27.616.738.42762,250
19-Bernalillo County, Candelaria Second32.321.443.23487,146
20-Bernalillo County, Comanche Carlysle33.321.744.93288,725
21-Bernalillo County, Indian School Pennsylvania31.124.238.086130,516
22-Bernalillo County, Indian School Juan Tabo42.331.353.457100,507
23-Bernalillo County, Montgomery Louisiana20.313.627.036109,741
24-Bernalillo County, Montgomery Moon32.620.444.72965,145
25-Bernalillo County, Comanche Juan Tabo35.125.045.34691,294
26-Bernalillo County, Paseo Louisiana23.215.630.836101,735
27-Bernalillo County, Paseo Ventura26.018.833.251141,441
28-Bernalillo County, East Mountain21.911.831.92396,709
29-Bernalillo County, Del Norte39.424.054.72697,940
30-Bernalillo County, Montano Coors33.918.249.51866,571
31-Bernalillo County, Alameda Coors53.235.470.936119,651
32-Bernalillo County, Alameda Edith36.426.046.848102,169
33-Bernalillo County, Academy Tramway34.327.141.695141,324
34-Bernalillo County, Irving Unser25.115.234.926141,374
35-Chaves County, Roswell N.W.25.619.232.064160,391
36-Chaves County, Roswell S.E.28.517.040.02481,675
37-Chaves County, Other26.814.738.92088,343
38-Cibola County31.422.340.546137,215
39-Colfax/Union Counties26.218.034.43987,769
40-Curry County, Clovis West34.120.747.62581,289
41-Curry County, Clovis East26.416.935.830108,039
42-Dona Ana County, Anthony Berino Chaparral29.818.041.626119,457
43-Dona Ana County, Central Las Cruces31.921.642.33993,169
44-Dona Ana County, Dona Ana Fort Selden39.528.150.947120,723
45-Dona Ana County, Hatch and Surrounding Area33.420.246.72560,687
46-Dona Ana County, Las Alturas Talavera33.421.545.43865,017
47-Dona Ana County, Mesilla Picacho Mesilla Park25.413.437.51760,523
48-Dona Ana County, Northwest Las Cruces32.623.042.145130,278
49-Dona Ana County, Sonoma Butterfield Moongate34.825.244.352143,434
50-Dona Ana County, South Valley16.27.425.11373,830
51-Dona Ana County, Sunland Park36.522.950.12895,788
52-Dona Ana County, South Las Cruces33.821.246.528106,758
53-Eddy County, Carlsbad31.623.439.760149,166
54-Eddy County, Other41.229.852.751132,529
55-Grant County, Silver City18.811.825.82884,011
56-Hidalgo County/Grant County, Other34.024.044.05085,176
57-Lea County, Hobbs No.28.818.139.528106,084
58-Lea County, Hobbs So.53.632.874.42672,358
59-Lea County, Other31.022.040.046165,214
60-Lincoln County33.023.642.454101,056
61-Los Alamos County21.012.629.32590,096
62-Luna County45.935.856.082124,128
63-McKinley County, Gallup33.723.144.339124,396
64-McKinley County, NW35.320.250.42182,217
65-McKinley County, SW27.614.640.51899,108
66-McKinley County, Other45.025.964.12264,223
67-San Miguel County, Las Vegas27.317.337.32978,078
68-San Miguel County, Pecos/Villanueva30.213.646.71343,256
69-Mora/Guadalupe/San Miguel East25.915.936.02667,745
70-Otero County, Alamogordo N.E.30.921.440.34490,734
71-Otero County, Alamogordo S.W.28.317.639.12778,832
72-Otero County, Other36.326.146.551141,024
73-Quay/DeBaca/Harding Counties33.521.345.83256,339
74-Rio Arriba, Espanola and Pueblos37.628.246.963140,177
75-Rio Arriba, North28.415.441.51959,412
76-Roosevelt County/Curry County, Other21.713.929.530150,168
77-San Juan County, Farmington North19.810.928.62083,679
78-San Juan County, Farmington Southeast19.59.629.41576,400
79-San Juan County, Farmington West/Kirtland/La Plata31.321.141.537120,206
80-San Juan County, North/Aztec31.621.741.640126,882
81-San Juan County, Northeast/Bloomfield29.917.642.22379,628
82-San Juan County, South31.717.645.82078,672
83-San Juan County, West44.628.360.83083,438
84-Sandoval County, Rio Rancho Blvd, No.30.119.241.032150,213
85-Sandoval County, Rio Rancho Blvd, So.26.417.635.24974,540
86-Sandoval County, Rio Rancho West41.522.960.121129,404
87-Sandoval County, Rio Rancho So.37.425.549.239118,741
88-Sandoval County, Bernalillo/Placitas27.216.338.12675,966
89-Sandoval County, Corrales29.814.645.01643,429
90-Sandoval County Other East15.93.028.9Warning, value is unstable648,194
91-Sandoval County Other West32.316.248.41650,430
92-Santa Fe County, East Foothills + Eldorado27.719.036.442117,864
93-Santa Fe County, Opera Vicinity23.213.632.82571,240
94-Santa Fe County, Pueblos Plus26.617.036.23199,725
95-Santa Fe Co., Agua Fria Neighborhood + Downtown33.125.840.590119,631
96-Santa Fe County, Agua Fria Village25.010.339.7Warning, value is unstable1269,847
97-Santa Fe, Bellamah/Stamm35.825.446.24691,112
98-Santa Fe County, Airport Road66.933.5100.41690,877
99-Santa Fe County, South28.014.141.91877,409
101-Sierra/Catron Counties26.018.833.35076,051
102-Socorro County46.532.960.24687,846
103-Torrance County36.523.849.23479,065
104-Taos County, Northwest14.95.424.5Warning, value is unstable1047,097
105-Taos County, Downtown and High Road29.421.537.354119,428
106-Valencia County, Los Lunas41.026.655.43281,129
107-Valencia County, NE31.519.943.12980,367
108-Valencia County, SE44.332.156.652115,047
109-Valencia County, West and Belen36.926.147.746106,422
New Mexico31.930.932.93,77010,494,122
United States37.3U.S. value is from 2016.

Data Notes

Stroke deaths include deaths with underlying cause of cerebrovascular disease, include ICD-10 codes I60-I69. Most estimates are based on a 3-year period, 2015-2017, unless otherwise indicated. Most estimates have been age-adjusted to the year 2000 U.S. census. Estimates by age group have not been age-adjusted. Some rows in data tables may include a note of Unstable or Very Unstable. Those rates labeled Unstable were statistically unstable (RSE greater than or equal to 0.30 and less than 0.50), and may fluctuate widely across time periods due to random variation (chance). Those rates labeled Very Unstable were extremely unstable (RSE greater than or equal to 0.50). These values should not be used to infer population risk. Some Very Unstable rates may have been suppressed.   Data have been directly age-adjusted to the U.S. 2000 standard population.

Data Sources

  • New Mexico Death Data: Bureau of Vital Records and Health Statistics (BVRHS), New Mexico Department of Health.
  • Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.
  • U.S. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics, ]http://www.cdc.gov/nchs/]


Stroke Deaths per 100,000 Population by U.S. States, 2016

::chart - missing::
confidence limits

Age-adjusted stroke mortality rates for each state were only available through 2016 at the time of publication. The New Mexico rate was similar to that of the U.S., as a whole, and was statistically significantly lower than that of 17 other states. Stroke Mortality rates varied widely by state, from a high of 51.6 per 100,000 to a low of 25.5 per 100,000.
StateDeaths per 100,000 Population, Age-adjustedLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 52
Alabama51.649.753.52,9674,863,300
Alaska39.033.344.7196741,894
Arizona29.828.630.92,5566,931,071
Arkansas45.643.447.91,6432,988,248
California36.936.337.515,68039,250,017
Colorado35.233.636.81,9275,540,545
Connecticut26.324.827.81,2693,576,452
Delaware41.638.045.3506952,065
District of Columbia38.433.643.3252681,170
Florida37.336.638.011,85420,612,439
Georgia44.343.045.74,34910,310,371
Hawaii34.331.637.06751,428,557
Idaho37.234.440.06821,683,140
Illinois37.836.838.85,65812,801,539
Indiana39.538.141.03,0406,633,053
Iowa32.330.634.01,3883,134,693
Kansas38.636.540.71,3632,907,289
Kentucky40.438.742.22,0574,436,974
Louisiana46.044.147.92,3224,681,666
Maine34.431.737.16631,331,479
Maryland39.738.241.22,7096,016,447
Massachucetts27.926.829.12,4686,811,779
Michigan39.037.940.14,8749,928,300
Minnesota32.531.133.92,1975,519,952
Mississippi50.648.153.01,7052,988,726
Missouri40.439.041.93,0696,093,000
Montana32.529.435.64401,042,520
Nebraska33.230.835.57871,907,116
Nevada35.933.838.11,0962,940,058
New Hampshire28.025.530.54901,334,795
New Jersey30.429.331.43,4018,944,469
New Mexico35.533.237.98852,081,015
New York25.524.926.26,25819,745,289
North Carolina43.041.844.24,94010,146,788
North Dakota32.728.936.4311757,952
Ohio40.639.641.75,98711,614,373
Oklahoma41.839.943.81,8593,923,561
Oregon37.836.139.51,9434,093,465
Pennsylvania37.036.137.96,73012,784,227
Rhode Island26.824.129.53991,056,426
South Carolina45.543.747.22,6274,961,119
South Dakota35.832.339.3420865,454
Tennessee46.044.447.53,5086,651,194
Texas42.041.242.810,67327,862,596
Utah38.836.341.39323,051,217
Vermont29.225.532.9247624,594
Virginia38.236.939.43,5028,411,808
Washington35.834.537.12,9107,288,000
West Virginia41.739.144.31,0391,831,102
Wisconsin33.332.034.62,4815,778,708
Wyoming31.727.336.1208585,501
United States37.337.137.5142,142323,127,513

Data Notes

Stroke deaths include deaths with underlying cause of cerebrovascular disease, include ICD-10 codes I60-I69. Most estimates are based on a 3-year period, 2015-2017, unless otherwise indicated. Most estimates have been age-adjusted to the year 2000 U.S. census. Estimates by age group have not been age-adjusted. Some rows in data tables may include a note of Unstable or Very Unstable. Those rates labeled Unstable were statistically unstable (RSE greater than or equal to 0.30 and less than 0.50), and may fluctuate widely across time periods due to random variation (chance). Those rates labeled Very Unstable were extremely unstable (RSE greater than or equal to 0.50). These values should not be used to infer population risk. Some Very Unstable rates may have been suppressed.   Data have been directly age-adjusted to the U.S. 2000 standard population.

Data Source

Centers for Disease Control and Prevention, National Center for Health Statistics, CDC WONDER Online Database (http://wonder.cdc.gov).

References and Community Resources

1. Chronic Disease Prevention Council (http://www.chronicdiseasenm.org) 2. American Heart Association (www.heart.org) 3. Centers for Disease Control and Prevention, Division for Heart Disease and Stroke Prevention (http://www.cdc.gov/dhdsp) 4. New Mexico Death Certificate Database, Bureau of Vital Records and Health Statistics, New Mexico Department of Health. Accessed via NM IBIS on 11/05/2018. 5. CDC Wonder, https://wonder.cdc.gov/controller/datarequest/D76;jsessionid=3465CD37C8748EEA5EFF750D862FC942

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

Page Content Updated On 10/31/2018, Published on 11/28/2018
The information provided above is from the New Mexico Department of Health's NM-IBIS web site (http://ibis.health.state.nm.us). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Wed, 13 November 2019 from New Mexico Department of Health, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.nm.us".

Content updated: Wed, 28 Nov 2018 14:02:59 MST