TABLE 1.
Population, All-Cause Deaths, Standardized Mortality Rates, and Mortality Rate Ratios By Demographic and Clinical Characteristics
| Characteristic | 2019 | 2020 | Mortality Rate Ratio (95% CI) 2020 vs 2019 | P value | 2021 | Mortality Rate Ratio (95% CI) 2021 vs 2019 | P value | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Populationa | All-cause deaths | Mortality rate per 100,000 person-years (95% CI) | Populationb | All-cause deaths | Mortality rate per 100,000 person-years (95% CI) | Populationc | All-cause deaths | Mortality rate per 100,000 person-years (95% CI) | |||||
| Total | 245414 | 2885 | 905 (871–939) | 264448 | 3233 | 992 (957–1026) | 1.10 (1.04–1.15) | <0.001 | 271959 | 3151 | 945 (911–978) | 1.04 (0.99–1.1) | 0.096 |
| Sex | |||||||||||||
| Males | 113350 | 1461 | 1084 (1028–1140) | 126224 | 1617 | 1148 (1091–1204) | 1.06 (0.99–1.14) | 0.114 | 130111 | 1627 | 1128 (1073–1184) | 1.04 (0.97–1.12) | 0.270 |
| Females | 132064 | 1424 | 763 (722–804) | 138224 | 1616 | 865 (822–909) | 1.13 (1.10–1.22) | 0.001 | 141848 | 1524 | 803 (762–844) | 1.05 (1–1.13) | 0.163 |
| Age (January 1st of the year) | |||||||||||||
| 18–39 | 93109 | 81 | 91 (71–111) | 103202 | 112 | 111 (90–132) | 1.22 (0.92–1.62) | 0.174 | 106254 | 130 | 124 (103–146) | 1.36 (1.03–1.80) | 0.028 |
| 40–49 | 35007 | 72 | 208 (160–256) | 38972 | 85 | 219 (172–265) | 1.05 (0.77–1.44) | 0.752 | 40193 | 82 | 204 (160–249) | 0.98 (0.72–1.35) | 0.913 |
| 50–59 | 40244 | 191 | 479 (411–547) | 41653 | 204 | 490 (423–557) | 1.02 (0.84–1.25) | 0.825 | 41782 | 207 | 496 (428–563) | 1.03 (0.85–1.26) | 0.739 |
| 60–69 | 37592 | 373 | 991 (890–1091) | 39949 | 420 | 1046 (946–1146) | 1.06 (0.92–1.21) | 0.446 | 41660 | 446 | 1065 (967–1164) | 1.08 (0.94–1.23) | 0.299 |
| 70–79 | 23432 | 561 | 2377 (2180–2573) | 24494 | 664 | 2697 (2492–2903) | 1.13 (1.01–1.27) | 0.027 | 25699 | 650 | 2514 (2321–2708) | 1.06 (0.94–1.18) | 0.329 |
| 80+ | 16030 | 1607 | 9981 (9491–10471) | 16178 | 1748 | 10757 (10250–11263) | 1.08 (1.01–1.15) | 0.030 | 16371 | 1636 | 9910 (9427–10392) | 0.99 (0.93–1.06) | 0.839 |
| Age groups | |||||||||||||
| 18–64 | 188770 | 516 | 279 (254–303) | 205571 | 599 | 294 (270–317) | 1.05 (0.94–1.19) | 0.385 | 210807 | 627 | 299 (276–323) | 1.07 (0.96–1.21) | 0.228 |
| 65+ | 56644 | 2369 | 4171 (4003–4339) | 58877 | 2634 | 4466 (4295–4637) | 1.07 (1.01–1.13) | 0.016 | 61152 | 2524 | 4111 (3950–4272) | 0.99 (0.93–1.04) | 0.610 |
| Race | |||||||||||||
| White | 212305 | 2721 | 905 (870–940) | 228005 | 3022 | 979 (943–1015) | 1.08 (1.03–1.14) | 0.003 | 232660 | 2942 | 935 (901–970) | 1.03 (0.98–1.09) | 0.209 |
| African American | 9267 | 49 | 937 (620–1253) | 10826 | 66 | 1201 (854–1548) | 1.28 (0.89–1.86) | 0.187 | 11641 | 63 | 1034 (734–1334) | 1.10 (0.76–1.60) | 0.605 |
| Other/Unknown | 23842 | 115 | 753 (611–896) | 25617 | 145 | 1021 (840–1202) | 1.36 (1.06–1.73) | 0.015 | 27658 | 146 | 941 (772–1111) | 1.25 (0.98–1.59) | 0.074 |
| Ethnicity | |||||||||||||
| Hispanic | 15229 | 82 | 966 (742–1191) | 17998 | 88 | 909 (700–1118) | 0.94 (0.70–1.27) | 0.691 | 19271 | 103 | 1004 (788–1220) | 1.04 (0.78–1.39) | 0.796 |
| Non-Hispanic/Unknown | 230185 | 2803 | 904 (870–939) | 246450 | 3145 | 993 (958–1029) | 1.10 (1.04–1.16) | <0.001 | 252688 | 3048 | 942 (908–976) | 1.04 (0.99–1.10) | 0.117 |
| Residence | |||||||||||||
| Urban | 133426 | 1254 | 820 (774–866) | 144677 | 1486 | 931 (883–979) | 1.13 (1.05–1.22) | 0.001 | 149765 | 1459 | 878 (832–923) | 1.07 (0.99–1.15) | 0.078 |
| Rural | 111969 | 1631 | 990 (940–1039) | 119752 | 1747 | 1059 (1008–1111) | 1.07 (1.00–1.15) | 0.048 | 122162 | 1689 | 1014 (964–1064) | 1.02 (0.96–1.1) | 0.489 |
| Unknown | 19 | 0 | 19 | 0 | 32 | 3 | |||||||
| Body Mass Index (BMI) | |||||||||||||
| Underweight (< 18.5) | 2657 | 62 | 2767 (1652–3882) | 2917 | 79 | 2983 (1943–4024) | 1.08 (0.77–1.5) | 0.657 | 3083 | 90 | 3698 (2663–4733) | 1.34 (0.97–1.85) | 0.079 |
| Normal (18.5 – 24.9) | 58348 | 812 | 1137 (1049–1225) | 60996 | 886 | 1251 (1160–1343) | 1.1 (1–1.21) | 0.048 | 61159 | 830 | 1178 (1088–1268) | 1.04 (0.94–1.14) | 0.474 |
| Overweight (25 – 29.9) | 69965 | 919 | 788 (733–842) | 73435 | 1039 | 882 (825–938) | 1.12 (1.02–1.22) | 0.013 | 73887 | 966 | 815 (760–870) | 1.03 (0.95–1.13) | 0.458 |
| Obese (≥ 30) | 86322 | 909 | 818 (763–873) | 92787 | 1034 | 918 (860–977) | 1.12 (1.03–1.23) | 0.011 | 94910 | 1047 | 885 (829–941) | 1.08 (0.99–1.18) | 0.083 |
| Missing | 28122 | 183 | 1079 (914–1243) | 34313 | 195 | 1166 (988–1344) | 1.08 (0.88–1.32) | 0.448 | 38920 | 218 | 1064 (910–1218) | 0.99 (0.81–1.2) | 0.889 |
| Number of chronic conditions | |||||||||||||
| 0–1 | 74824 | 154 | 572 (460–684) | 88385 | 188 | 671 (547–795) | 1.17 (0.95–1.45) | 0.142 | 95797 | 247 | 731 (615–847) | 1.28 (1.05–1.56) | 0.017 |
| 2–3 | 52237 | 119 | 481 (378–584) | 54544 | 135 | 479 (381–576) | 1 (0.78–1.27) | 0.971 | 55873 | 154 | 517 (422–612) | 1.08 (0.85–1.37) | 0.553 |
| 4–6 | 53398 | 282 | 526 (461–591) | 54559 | 307 | 585 (516–654) | 1.11 (0.95–1.31) | 0.194 | 54825 | 305 | 521 (459–583) | 0.99 (0.84–1.17) | 0.919 |
| 7+ | 64955 | 2330 | 1546 (1417–1674) | 66960 | 2603 | 1663 (1544–1782) | 1.08 (1.02–1.14) | 0.010 | 65464 | 2445 | 1680 (1547–1813) | 1.09 (1.03–1.15) | 0.004 |
a
Research-consented adult residents of the 9-county region on Jan 01 of 2019.
b
Research-consented adult residents of the 9-county region on Jan 01 of 2020.
c
Research-consented adult residents of the 9-county region on Jan 01 of 2021.