Health Indicator Report of Ischemic Heart Disease Deaths

For years 2018-2020, death rates were dramatically higher for Utahns aged 75 and older. Males in Utah have higher death rates from ischemic heart disease than females among all age groups.

Notes

This indicator uses ICD-10 codes for ischemic heart disease, ICD-10 code I20-I25. Note that this indicator was formerly called coronary heart disease deaths. After a review by the HEAL Program, it was determined ischemic heart disease was a better term and matches the CDC coding. The name of the indicator has been changed to "Ischemic Heart Disease Deaths" (see https://www.ncbi.nlm.nih.gov/books/NBK209964/).   [[br]] [[br]] *Use caution in interpreting; the estimate has a coefficient of variation > 30% and is unreliable.

Data Interpretation Issues

Please note that for some data views, 11 age categories are used for age adjusting, and in some cases (race, ethnicity), 3 age categories are used. Some views may have a different "overall" rate than the rate shown on the U.S./Utah graph. Some data views use combined years to obtain more reliable estimates, also affecting the value for the overall rate.

Definition

The rate of coronary heart disease-related deaths per 100,000 population.

Numerator

The number of deaths with ICD-10 codes I20-I25 listed as primary cause.

Denominator

Total midyear resident population for the same calendar year.

Healthy People Objective HDS-2:

Reduce coronary heart disease deaths
U.S. target: 103.4 deaths per 100,000 population
State target: 54.0 deaths per 100,000 population

Other Objectives

[https://www.cste.org/group/CDIndicators Council of State and Territorial Epidemiologists - Chronic Disease Indicators]

How Are We Doing?

In 2020, the age-adjusted mortality rate for ischemic heart disease in Utah was 66.9 deaths per 100,000 population. In 1999 (the year ICD-10 codes began to be used for death records), the age-adjusted rate was 118.3 per 100,000. This shows a decline in mortality rates as a result of ischemic heart disease in Utah between 1999 and 2020.

How Do We Compare With the U.S.?

The Utah age-adjusted mortality rate for ischemic heart disease for 2020 was 66.9 per 100,000 population. In contrast, the rate for the U.S. for 2019 (the latest available data at this time) was 88.0 per 100,000 population.

What Is Being Done?

HEAL aims to reduce the incidence of diabetes, heart disease, and stroke by targeting risk factors including reducing obesity, increasing physical activity and nutritious food consumption, and improving diabetes and hypertension control. HEAL is part of the Utah Million Hearts Coalition. [https://millionhearts.hhs.gov/index.html Million Hearts 2027] is an initiative co-led by the Centers for Disease Control and Prevention and the Centers for Medicare and Medicaid Services. Million Hearts aimed to reduce the number of heart attacks and strokes in the U.S. by 1 million by 2027. The Utah Million Hearts Coalition has initiated efforts to educate staff in primary care clinics on the proper techniques for measuring high blood pressure. HEAL is also working on the following things to address issues related to high blood cholesterol: *Increasing healthy nutrition and physical activity environments in K-12 schools *Increasing healthy nutrition and physical activity environments in early care and education (childcare/preschool) *Increasing healthy nutrition and physical activity environments and programs in worksites *Improving awareness of prediabetes, hypertension, and high blood cholesterol for Utahns *Improving the quality of medical care for people with diabetes, hypertension, and high blood cholesterol *Improving the linkages between health care providers and supporting community programs for Utahns with prediabetes, diabetes, hypertension, and high blood cholesterol *Improving access and availability to community health programs for Utahns with prediabetes, diabetes, hypertension, and high blood cholesterol *Improving care and management of students with chronic conditions in Utah schools

Available Services

[https://dhhs.utah.gov/ The Utah Department of Health and Human Services] has a Health Resource hotline: 1-888- 222-2542. Please call this number or 211 for information about self-management programs in Utah. [https://www.heart.org/ American Heart Association] 1937 S. 300 W. #120 Salt Lake City, UT 84115 (801) 484-3838 or 1-800-242-8721

Health Program Information

The Utah Department of Health and Human Services, Healthy Environments Active Living program plays a key role in improving the health of residents in the state of Utah. The program was formed in July 2013 (as EPICC), through a new funding opportunity from the Centers of Disease Control and Prevention (CDC) that allowed for the merging of three previously existing programs: the Heart Disease and Stroke Prevention Program, the Diabetes Prevention and Control Program, and the Physical Activity, Nutrition and Obesity Program, as well as the addition of a school health program. The Healthy Environments Active Living Program (HEAL) was recently restructured as part of this strategic planning process and the new program model focuses on working together with staff and partners to address the social determinants of health while advancing health equity and increasing policy, systems and environment changes. HEAL champions public health initiatives and addresses the challenges of making health awareness and access truly universal and equitable in eight key areas: nutrition, heart health, diabetes, physical activity, schools, child care, community health workers, and worksites. Visit [https://heal.utah.gov/ HEAL's website] for more information.