Michigan Health Equity Data Project Update 2018

The Michigan Health Equity Data Project 2018 Update focuses on reducing health disparities and improving minority health in Michigan. The Michigan Department of Health and Human Services presents recommendations through the Michigan Health Equity Roadmap to address key issues related to health inequities, population demographics, and social determinants of health in the state. The data highlights racial and ethnic disparities, population breakdowns, and the proportion of uni- or multi-racial reported individuals in Michigan between 2011-2015.

• Health Equity
• Michigan
• Health Disparities
• Minority Health
• Social Determinants

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1. Michigan Health Equity Data Michigan Health Equity Data Project Project 2018 Update Health Disparities Reduction and Minority Health Section, Michigan Department of Health and Human Services 1

2. Michigan Health Equity Roadmap Recommendations 1 Michigan Health Equity Roadmap Recommendations 1- -5 5 2 Michigan Health Equity Roadmap, MDHHS

3. Michigan Health Equity Roadmap Recommendation #1 Michigan Health Equity Roadmap Recommendation #1 3 Michigan Health Equity Roadmap, MDHHS

4. American Community Survey American Community Survey Racial/Ethnic and Ancestry Key Racial/Ethnic and Ancestry Key White alone, not Hispanic or Latino Black alone, not Hispanic or Latino Asian alone, not Hispanic or Latino American Indian and Alaska Native alone or in combination with one or more other races* Arab (all groups)* Hispanic or Latino (of any race) Some other race alone, not Hispanic or Latino *Includes both Hispanic and non-Hispanic Hispanic is an ethnicity, not a race. Persons of Hispanic ethnicity can be of any race. Persons with the same ethnicity share a common cultural and/or geographic background. American Community Survey, U.S. Census Bureau 4

5. Michigan Population Michigan Population 1.8% 0.1% 2.3%4.7% 2.7% White alone, not Hispanic 0.5% Black alone, not Hispanic 98.2% American Indian and Alaska/ Native alone, not Hispanic 13.8% Arab American Other Asian alone, not Hispanic 1.5% Some other race alone, not Hispanic Two or more races, not Hispanic 98.5 % 75.9% Hispanic or Latino, of any race American Indian or Alaska Native alone or in combination with one or more other races Other 5 2011-2015 American Community Survey

6. Proportion of Uni- or Multi- Racial Reported, by Race, Michigan 2011-2015 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% White Black American Indian and Alaska Native Asian Some Other Race One race Two races Three races Four or more races 6 2011-2015 American Community Survey

7. Social Determinants of Health 7

8. Median Annual Household Income, Michigan 2011 Median Annual Household Income, Michigan 2011- -2015 2015 $80,000 $74,655 $70,000 $60,000 $46,396 $40,017 $50,000 All Race/ Ethnicities = $49,576 $39,571 $40,000 $36,157 $29,731 $30,000 $20,000 $10,000 $0 Black, non- Hispanic Asian, non- Hispanic American Indian/ Alaska Native Arab Hispanic/ Latino Other, non- Hispanic 2011-2015 American Community Survey, U.S. Census Bureau 8

9. Percent of Female Percent of Female- -Headed Households, Headed Households, Michigan 2011 Michigan 2011- -2015 2015 35.0% 30.7% 30.0% 25.0% 22.2% 19.4% 14.6% 20.0% 15.0% 10.2% All Race/ Ethnicities = 12.7% 9.4% 10.0% 5.8% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian, non- Hispanic American Indian/ Alaska Native Arab Hispanic/ Latino Other, non- Hispanic 2011-2015 American Community Survey, U.S. Census Bureau 9

10. Percent of Population Living Below Federal Poverty Level, Percent of Population Living Below Federal Poverty Level, Michigan 2011 Michigan 2011- -2015 2015 40.0% 35.3% 34.6% 35.0% 27.0% 27.1% 30.0% 22.2% 25.0% 20.0% 14.5% All Race/ Ethnicities = 16.7% 15.0% 12.6% 10.0% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian, non- Hispanic American Indian/ Alaska Native Arab Hispanic/ Latino Other, non- Hispanic 2011-2015 American Community Survey, U.S. Census Bureau 10

11. Percent of Population <18 Years Living Below Federal Percent of Population <18 Years Living Below Federal Poverty Level, Michigan 2011 Poverty Level, Michigan 2011- -2015 2015 60.0% 48.4% 50.0% 44.1% 40.0% 33.5% 33.7% 24.7% 30.0% All Races/ Ethnicities = 23.1% 20.0% 15.9% 12.7% 10.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian, non- Hispanic American Indian/ Alaska Native Arab Hispanic/ Latino Other, non- Hispanic 11 2011-2015 American Community Survey, U.S. Census Bureau

12. Percent of Population <5 Years Living Below Federal Percent of Population <5 Years Living Below Federal Poverty Level, Michigan 2011 Poverty Level, Michigan 2011- -2015 2015 60.0% 55.0% 50.0% 43.6% 39.4% 37.2% 40.0% 23.8% 30.0% All Race/ Ethnicities = 27.1% 18.6% 20.0% 13.5% 10.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian, non- Hispanic American Indian/ Alaska Native Arab Hispanic/ Latino Other, non- Hispanic 2011-2015 American Community Survey, U.S. Census Bureau 12

13. Percent of Civilian Labor Force that is Unemployed, Percent of Civilian Labor Force that is Unemployed, Michigan 2011 Michigan 2011- -2015 2015 14.0% 11.8% 12.0% 9.1% 10.0% 8.4% 5.9% 8.0% 6.3% All Race/ Ethnicities =6.0% 6.0% 4.9% 3.9% 4.0% 2.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian, non- Hispanic American Indian/ Alaska Native Arab Hispanic/ Latino Other, non- Hispanic 2011-2015 American Community Survey, U.S. Census Bureau 13

14. Percent of Population 25 Years with Less than a High Percent of Population 25 Years with Less than a High School Diploma, Michigan 2011 School Diploma, Michigan 2011- -2015 2015 35.0% 30.2% 30.0% 23.0% 25.0% 20.0% 15.8% 10.9% 13.8% 15.0% 11.4% All Race/ Ethnicities = 10.4% 10.0% 8.6% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian, non- Hispanic American Indian/ Alaska Native Arab Hispanic/ Latino Other, non- Hispanic 2011-2015 American Community Survey, U.S. Census Bureau 14

15. Percent of Population >25 Years with Less than a Percent of Population >25 Years with Less than a Bachelor s Degree, Michigan 2011 Bachelor s Degree, Michigan 2011- -2015 2015 100.0% 90.0% 83.6% 83.4% 83.2% 80.0% 69.0% 61.4% 72.0% All Race/ Ethnicities = 73.0% 70.0% 60.0% 50.0% 37.1% 40.0% 30.0% 20.0% 10.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian, non- Hispanic American Indian/ Alaska Native Arab Hispanic/ Latino Other, non- Hispanic 15 2011-2015 American Community Survey, U.S. Census Bureau

16. Percent of Renters Paying >30% of Income on Rent, Percent of Renters Paying >30% of Income on Rent, Michigan 2011 Michigan 2011- -2015 2015 70.0% 60.5% 57.7% 60.0% 52.3% 48.0% 42.6% 45.4% 50.0% All Race/ Ethnicities = 48.5% 40.0% 32.7% 30.0% 20.0% 10.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian, non- Hispanic American Indian/ Alaska Native Arab Hispanic/ Latino Other, non- Hispanic 2011-2015 American Community Survey, U.S. Census Bureau 16

17. Percent of Population Speaking English Less than Very Percent of Population Speaking English Less than Very Well , Michigan 2011 Well , Michigan 2011- -2015 2015 40.0% 35.0% 32.7% 28.4% 30.0% 25.0% 19.6% 20.0% 11.9% 15.0% 10.0% 5.0% 1.8% All Race/ Ethnicities = 3.3% 2.1% 0.7% 0.0% White, non- Hispanic Black, non- Hispanic Asian, non- Hispanic American Indian/ Alaska Native Arab Hispanic/ Latino Other, non- Hispanic 2011-2015 American Community Survey, U.S. Census Bureau 17

18. Percent Not Living in Owner Percent Not Living in Owner- -Occupied Housing, Michigan 2011 Michigan 2011- -2015 Occupied Housing, 2015 60.0% 54.9% 50.0% 42.2% 40.0% 36.6% 40.0% 35.1% 33.5% 30.0% All Race/ Ethnicities = 26.8% 20.3% 20.0% 10.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian, non- Hispanic American Indian/ Alaska Native Arab Hispanic/ Latino Other, non- Hispanic 2011-2015 American Community Survey, U.S. Census Bureau 18

19. Percent Households With No Vehicle Available for Use, Percent Households With No Vehicle Available for Use, Michigan 2011 Michigan 2011- -2015 2015 25.0% 20.8% 20.0% 15.0% 12.2% 8.8% 10.0% 9.0% 6.9% 7.3% All Race/ Ethnicities = 8.0% 5.8% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian, non- Hispanic American Indian/ Alaska Native Arab Hispanic/ Latino Other, non- Hispanic 2011-2015 American Community Survey, U.S. Census Bureau 19

20. Percent Living in Different House than Last Year, Percent Living in Different House than Last Year, Michigan 2011 Michigan 2011- -2015 2015 30.0% 20.5% 25.0% 20.0% 20.3% 19.6% 18.7% 20.0% 16.5% 13.1% 15.0% All Race/ Ethnicities = 14.7% 10.0% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian, non- Hispanic American Indian/ Alaska Native Arab Hispanic/ Latino Other, non- Hispanic 2011-2015 American Community Survey, U.S. Census Bureau 20

21. Health Status 21

22. Michigan Behavioral Risk Factor Survey Michigan Behavioral Risk Factor Survey Racial/Ethnic and Ancestry Key Racial/Ethnic and Ancestry Key White, non-Hispanic Black, non-Hispanic Asian/Pacific Islander, non-Hispanic American Indian/Alaska Native, non-Hispanic Arab, non-Hispanic Hispanic Other, non-Hispanic Michigan Behavioral Risk Factor Survey, MDHHS 22

23. Self Self- -Reported Health Status is Fair or Poor, age Reported Health Status is Fair or Poor, age- -adjusted, Michigan 2014 Michigan 2014- -2016 adjusted, 2016 35.0% 27.0% 30.0% 24.4% 21.4% 16.9% 24.5% 25.0% 20.0% All Race/ Ethnicities = 16.7% 15.2% 15.0% 6.6% 10.0% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanic Other, non- Hispanic 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS 23

24. Percent with Percent with 14 Unhealthy Physical Days in Past Month, 14 Unhealthy Physical Days in Past Month, age age- -adjusted, Michigan 2014 adjusted, Michigan 2014- -2016 2016 40.0% 26.5% 35.0% 30.0% 23.7% 19.8% 25.0% 16.8% 18.4% 20.0% 12.7% 16.5% All Race/ Ethnicities = 16.9% 15.0% 10.0% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanic Other, non- Hispanic 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS 24

25. Percent with 14 Unhealthy Mental Days in Past Month, Percent with 14 Unhealthy Mental Days in Past Month, age age- -adjusted, Michigan 2014 adjusted, Michigan 2014- -2016 2016 40.0% 26.6% 35.0% 30.0% 22.8% 19.7% 25.0% 16.9% 19.0% 17.4% 20.0% 13.7% All Race/ Ethnicities = 17.7% 15.0% 10.0% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanic Other, non- Hispanic 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS 25

26. Obesity Prevalence, age Obesity Prevalence, age- -adjusted, Michigan 2014 Michigan 2014- -2016 adjusted, 2016 50.0% 40.4% 45.0% 34.4% 37.8% 35.7% 40.0% 35.0% 30.5% 22.8% All Race/ Ethnicities = 31.5% 30.0% 25.0% 20.0% 12.0% 15.0% 10.0% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanic Other, non- Hispanic 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS 26

27. Health Behaviors 27

28. No Leisure Time Physical Activity, age No Leisure Time Physical Activity, age- -adjusted, Michigan 2014 Michigan 2014- -2016 adjusted, 2016 60.0% 39.3% 50.0% 40.0% 29.3% 29.9% 31.6% 24.5% 30.0% 22.4% 18.1% All Race/ Ethnicities = 24.4% 20.0% 10.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanic Other, non- Hispanic 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS 28

29. Prevalence of Current Smoking, age Prevalence of Current Smoking, age- -adjusted, Michigan 2014 Michigan 2014- -2016 adjusted, 2016 70.0% 60.0% 48.6% 50.0% 40.0% 30.9% 24.8% 22.4% 30.0% 20.5% 21.4% All Race/ Ethnicities = 21.9% 20.0% 8.1% 10.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanic Other, non- Hispanic 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS 29

30. Prevalence of Binge Drinking, age Prevalence of Binge Drinking, age- -adjusted, Michigan 2014 Michigan 2014- -2016 adjusted, 2016 30.0% 21.2% 25.0% 22.1% 15.9% 18.1% 13.5% All Race/ Ethnicities = 20.2% 20.0% 14.8% 15.0% 10.0% 2.0% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanic Other, non- Hispanic 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS 30

31. Health Care 31

32. No Health Care Coverage Among 18 No Health Care Coverage Among 18- -64 Year Olds, age age- -adjusted, Michigan 2014 adjusted, Michigan 2014- -2016 64 Year Olds, 2016 35.0% 30.0% 25.0% 20.0% 15.0% All Race/ Ethnicities = 13.3% 10.0% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanics Other, non- Hispanic 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS 32

33. No Health Care Access in Past 12 Months due to Cost, No Health Care Access in Past 12 Months due to Cost, age age- -adjusted, Michigan 2014 adjusted, Michigan 2014- -2016 2016 30.0% 20.4% 19.9% 25.0% 18.1% 17.3% 17.2% 20.0% 12.8% 12.9% 15.0% All Race/ Ethnicities = 14.1% 10.0% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanic Other, non- Hispanic 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS 33

34. No Routine Check No Routine Check- -Up in Past Year, age Up in Past Year, age- -adjusted, Michigan 2014 Michigan 2014- -2016 adjusted, 2016 40.0% 28.9% 30.9% 35.0% 27.1% 28.3% 31.5% 24.7% 30.0% All Race/ Ethnicities = 29.5% 25.0% 20.6% 20.0% 15.0% 10.0% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanic Other, non- Hispanic 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS 34

35. No Dental Visit in Past Year, age No Dental Visit in Past Year, age- -adjusted, Michigan 2014 Michigan 2014- -2016 adjusted, 2016 50.0% 40.7% 40.7% 41.1% 45.0% 34.7% 32.3% 40.0% 35.0% All Race/ Ethnicities = 31.3% 29.3% 30.0% 21.9% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanic Other, non- Hispanic 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS 35

36. Chronic Disease 36

37. tolda a Asthma, age Asthma, age- -adjusted, Michigan 2014 adjusted, Michigan 2014- -2016 Ever Ever told 2016 35.0% 30.0% 24.1% 24.1% 25.0% 18.7% 15.1% 20.0% 15.8% 11.8% 15.0% All Race/ Ethnicities = 16.0% 5.7% 10.0% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanic Other, non- Hispanic a ever told refers to having ever been told by a doctor or other health professional 37 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS

38. tolda a Diabetes, age Diabetes, age- -adjusted, Michigan 2014 adjusted, Michigan 2014- -2016 Ever Ever told 2016 20.0% 12.2% 12.3% 18.0% 12.4% 13.0% 12.3% 16.0% 12.6% 14.0% 12.0% 8.6% 10.0% All Race/ Ethnicities = 9.4% 8.0% 6.0% 4.0% 2.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanic Other, non- Hispanic a ever told refers to having ever been told by a doctor or other health professional 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS 38

39. tolda a Cancer, age Cancer, age- -adjusted, Michigan 2014 adjusted, Michigan 2014- -2016 Ever Ever told 2016 20.0% 18.0% 11.5% 16.0% 11.6% 14.0% 9.0% 11.5% 12.0% All Race/ Ethnicities = 10.7% 10.0% 4.7% 6.6% 5.4% 8.0% 6.0% 4.0% 2.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanic Other, non- Hispanic a ever told refers to having ever been told by a doctor or other health professional 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS 39

40. tolda a Chronic Obstructive Pulmonary Disease, Chronic Obstructive Pulmonary Disease, age age- -adjusted, Michigan 2014 adjusted, Michigan 2014- -2016 Ever Ever told 2016 25.0% 14.4% 15.7% 20.0% 15.0% 10.2% 10.0% 4.9% 4.3% 7.2% All Race/ Ethnicities =7.7% Data Not Available 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non-Hispanic Hispanic Other, non- Hispanic a ever told refers to having ever been told by a doctor or other health professional 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS 40

41. tolda a Arthritis, age Arthritis, age- -adjusted, Michigan 2014 adjusted, Michigan 2014- -2016 Ever Ever told 2016 45.0% 34.2% 35.9% 40.0% 35.0% 27.9% 28.6% 28.4% 23.9% 30.0% All Race/ Ethnicities = 28.2% 25.0% 15.8% 20.0% 15.0% 10.0% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanic Other, non- Hispanic a ever told refers to having ever been told by a doctor or other health professional 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS 41

42. tolda a Cardiovascular Disease, age Cardiovascular Disease, age- -adjusted, Michigan 2014 Michigan 2014- -2016 Ever Ever told adjusted, 2016 25.0% 15.6% 20.0% 12.4% 15.0% 10.1% 9.2% 9.3% 10.0% 8.2% All Race/ Ethnicities = 8.4% 4.4% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanic Other, non- Hispanic a ever told refers to having ever been told by a doctor or other health professional 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS 42

43. tolda a Depression, age Depression, age- -adjusted, Michigan 2014 adjusted, Michigan 2014- -2016 Ever Ever told 2016 40.0% 28.0% 30.0% 35.0% 30.0% 20.9% 25.0% 21.7% 16.0% 18.8% All Race/ Ethnicities = 21.0% 20.0% 15.0% 9.7% 10.0% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanic Other, non- Hispanic a ever told refers to having ever been told by a doctor or other health professional 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS 43

44. Disability Disabilitya a, age , age- -adjusted, Michigan 2014 adjusted, Michigan 2014- -2016 2016 50.0% 37.3% 45.0% 35.3% 40.0% 35.0% 30.0% 22.9% 22.6% 25.7% 23.8% 25.0% All Race/ Ethnicities = 24.0% 20.0% 12.6% 15.0% 10.0% 5.0% 0.0% White, non- Hispanic Black, non- Hispanic Asian/Pacific Islander, non- Hispanic American Indian/Alaska Native, non- Hispanic Arab, non- Hispanic Hispanic Other, non- Hispanic a Proportion reported being limited in any activities because of physical, mental, or emotion problems, or reported that they required use of special equipment due to a health problem. 44 2014-2016 Michigan Behavioral Risk Factor Survey, MDHHS

45. All All- -Cancer Incidence Rate (per 100,000), Cancer Incidence Rate (per 100,000), age age- -adjusted, Michigan 2013 adjusted, Michigan 2013- -2015 2015 500 467.7 462.5 441.5 All Race/ Ethnicities = 446.5 450 400 350 300 245.3 250 200 150 100 50 Data Not Available Data Not Available 0 White, non-Hispanic Black, non-Hispanic Asian, non-Hispanic American Indian Arab, non-Hispanic Hispanic 2013-2015 Michigan Resident Cancer Incidence File, MDHHS 45

46. HIV Prevalence, Michigan 2016 HIV Prevalence, Michigan 2016 Reported number of cases per 100,000 people. 700 641.8 600 500 400 300 203.3 200 173.2 All Race/ Ethnicities = 157.4 100 71.4 58.3 47.5 Data Not Available 0 White, non- Hispanic Black, non- Hispanic Asian/NH/PI, non- Hispanic American Indian/ Alaska Native Arab Hispanic/ Latino Multi/Other, non- Hispanic 2016 Epidemiologic Profile of HIV in Michigan, MDHHS 46

47. Mortality 47

48. Michigan Resident Death and Birth File Racial/Ethnic and Michigan Resident Death and Birth File Racial/Ethnic and Ancestry Key Ancestry Key White* Black* Asian/Pacific Islander* American Indian/Alaska Native* Arab* Hispanic *Includes both Hispanic and non-Hispanic 48 Michigan Resident Death Files, MDHHS

49. All All- -Cause Mortality Rate (per 100,000), Cause Mortality Rate (per 100,000), age age- -adjusted, Michigan 2012 adjusted, Michigan 2012- -2016 2016 1200 974.3 962.8 1000 877.4 All Race/ Ethnicities = 782.0 756.5 800 597.9 600 400 338.1 200 0 White Black Asian/PI American Indian Arab Hispanic 2012-2016 Michigan Resident Death Files, MDHHS 49

50. Heart Disease Mortality Rate (per 100,000), Heart Disease Mortality Rate (per 100,000), age age- -adjusted, Michigan 2012 adjusted, Michigan 2012- -2016 2016 300 275.4 267.3 250 205.3 All Race/ Ethnicities = 199.3 189.6 200 150 135.5 100 77.5 50 0 White Black Asian/PI American Indian Arab Hispanic 50 2012-2016 Michigan Resident Death Files, MDHHS

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