Cardiovascular Disease Figures
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.1. CVD and Leading Causes of Death, N.C., 2010
Total Cardiovascular Diseases: 23,232 deaths, 29.6% of all deaths*
Cancer
18,013
23%
Heart Disease*
17,090
Stroke*
22%
4,281
5%
Other CVD*
1,861
2%
Chronic Lower
Respiratory Disease
4,490
6%
All other causes
30,107
38%
Other Unintentional
Injuries*
2,762
4%
*Unintentional injuries other than motor-vehicles injuries.
Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Leading Causes of Death in North Carolina, 2010.
SCHS Online Database, 2011. http://www.schs.state.nc.us/schs/data/lcd/lcd.cfm.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.2. Major Cardiovascular Disease Death Rates,
1979-2008
Age-adjusted Death Rate
600
500
400
300
200
100
North Carolina
United States
0
'79
'81
'83
'85
'87
'89
'91
'93
'95
'97
'99
'01
'03
'05
'07
Year
Major Cardiovascular Disease: 1999-2008: ICD-10 codes I00-I78; 1979-1998: ICD-9 codes 390-434, 436-448 multiplied by comparability
ratio of 0.9981.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and
1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.3. Cardiovascular Disease Death Rates by Age
and Gender, N.C., 2008
Death Rate per 100,000
6,000
5,000
Females
Males
Total
4,000
3,000
2,000
1,000
0
Females
Males
Total
<45
45-54
55-64
65-74
75-84
85+
11.5
19.0
15.3
78.8
165.3
120.8
162.5
387.4
269.5
430.1
814.5
604.9
1474.1
2076.8
1715.0
5531.6
5878.3
5633.0
Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99; Q20-Q28.
Rates per 100,000 population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008.
CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.4. Major Cardiovascular Disease Death Rates
by Gender, N.C., 1979-2008
Age-adjusted Death Rate
800
700
Males
Females
600
500
400
300
200
100
0
'79
'81
'83
'85
'87
'89
'91
'93
'95
'97
'99
'01
'03
'05
'07
Year
Major Cardiovascular Disease: 1999-2008: ICD-10 codes I00-I78; 1979-1998: ICD-9 codes 390-434, 436-448 multiplied by
comparability ratio of 0.9981.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.5. Major Cardiovascular Disease Death Rates
by Race, N.C., 1979-2008
Age-adjusted Death Rate
700
African Americans
Whites
600
500
400
300
200
100
0
'79
'81
'83
'85
'87
'89
'91
'93
'95
'97
'99
'01
'03
'05
'07
Year
Major Cardiovascular Disease: 1999-2008: ICD-10 codes I00-I78; 1979-1998: ICD-9 codes 390-434, 436-448 multiplied by comparability
ratio of 0.9981.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.6. Major Cardiovascular Disease Death Rates
by Race and Gender, N.C., 1979-2008
Age-adjusted Death Rate
1000
African-American Males
African-American Females
White Males
White Females
900
800
700
600
500
400
300
200
100
0
'79
'81
'83
'85
'87
'89
'91
'93
'95
'97
'99
'01
'03
'05
'07
Year
Major Cardiovascular Disease: 1999-2008: ICD-10 codes I00-I78; 1979-1998: ICD-9 codes 390-434, 436-448 multiplied by comparability
ratio of 0.9981.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.7. Percentage of Total CVD Deaths by Age
Group, Race, and Gender, N.C., 2004-2008
Percentage of CVD Deaths
<65 years
100
90
80
70
60
50
40
30
20
10
0
65+ years
43.2
25.9
24.8
10.4
AfricanAmerican Males
White Males
AfricanAmerican
Females
White Females
Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008.
CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.8. Cardiovascular Disease Death Rates by
County of Residence, N.C., 2004-2008
Death Rate
211.4 - 249.5
249.6 - 275.0
275.1 - 321.0
321.2 - 367.6
367.7- 436.6
N.C. overall: 275.0
U.S.: 265.7
Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99; Q20-Q28.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008.
CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.9. Number and Percentage of Total CVD
Hospital Discharges by Type of CVD, N.C., 2010
All Cardiovascular Diseases: 162,329
Other CVD
24,887
15.3%
Coronary Heart
Disease
39,022
24.0%
Stroke
29,429
18.1%
Congestive Heart
Failure
7,840
4.8%
Other Heart Disease
61,151
37.7%
ICD-9-CM codes: Cardiovascular Disease, excluding congenital malformations 390-459; Heart Disease 391-392.0, 393-398, 402, 404,
410-416, 420-429; Coronary Heart Disease 410-414; Congestive Heart Failure 428.0; Stroke 430-438. Principal diagnosis only; N.C.
residents only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital
Discharges, 2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.10. CVD Hospital Discharge Rates, N.C.,
1995-2010
Age-adjusted Discharge Rate
3,000
2,500
2,000
1,500
1,000
Total
Males
Females
500
0
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes 390-459; Principal diagnosis only.
Discharge rates per 100,000 population, age-adjusted to the U.S. 2000 standard population.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.11. CVD Hospital Discharge Rates by Age and
Gender, N.C., 2010
Discharge Rate per 100,000
16,000
14,000
12,000
10,000
8,000
6,000
4,000
2,000
0
<25
25-34
35-44
45-54
55-64
65-74
75-84
85+
Females
44.2
202.3
513.4
1201.5
2193.5
4564.8
8584.5
13829.8
Males
45.7
210.4
717.4
1853.6
3655.0
6745.2
10716.9
14922.3
Total
45.0
206.3
613.9
1518.4
2886.9
5568.6
9453.5
14159.7
Age Group
Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes 390-459; Principal diagnosis only.
Discharge rates per 100,000 population.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital
Discharges, 2010. Produced by: State Center for Health Statistics, 06/29/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.12. Percentage of CVD Hospitalizations by Age
Group, N.C., 2010
Percentage of Hospitalizations
<65 years
100
90
80
70
60
50
40
30
20
10
0
65+ years
46.2
40.6
Male
Total
34.5
Female
Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes 390-459; Principal diagnosis only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Provisional Hospital
Discharges, 2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.13. Cardiovascular Disease Hospital Discharge
Rates by County of Residence, N.C., 2006-2010
Hospital Discharge Rate
576.2 - 1121.1
1121.2 - 1700.0
1700.1 - 2060.4
N.C. overall: 1700.0
2060.5 - 2552.2
2552.3 - 3124.4
Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes: 390-459; Principal diagnosis only; N.C. residents only.
Discharge rates per 100,000 population age-adjusted to the U.S. 2000 standard population.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 1.14. Estimated Direct and Indirect Costs of CVD,
United States, 2008
350
Total: $297.7 billion
Billions of Dollars
300
250
Indirect Costs
Direct Costs
$118.5
200
150
100
$179.2
50
0
Total CVD
Data Source: Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Fullerton HJ,
Gillespie C, Hailpern SM, Heit JA, Howard VJ, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Makuc DM, Marcus GM,
Marelli A, Matchar DB, Moy CS, Mozaffarian D, Mussolino ME, Nichol G, Paynter NP, Soliman EZ, Sorlie PD, Sotoodehnia N, Turan TN,
Virani SS, Wong ND, Woo D, Turner MB; on behalf of the American Heart Association Statistics Committee and Stroke Statistics
Subcommittee. Heart disease and stroke statistics—2012 update: a report from the American Heart Association. Circulation.
2012;125:e2–e220.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Total Hospital Charges in 2011 Dollars
Figure 1.15. Cardiovascular Disease Hospital Charges,
N.C., 1995-2010
$6,000,000,000
$5,000,000,000
Total
Males
Females
$4,000,000,000
$3,000,000,000
$2,000,000,000
$1,000,000,000
$0
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes 390-459; Principal diagnosis only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
1995-2010. Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor
Statistics Consumer Price Index tables for Medical Care for years 1995-2012, U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Charges per Stay in 2011 Dollars
Figure 1.16. Cardiovascular Disease: Average Hospital
Charges per Stay, N.C., 1995-2010
$45,000
$40,000
$35,000
Total
Males
Females
$30,000
$25,000
$20,000
$15,000
$10,000
$5,000
$0
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Total Cardiovascular Disease, excluding congenital malformations: ICD-9-CM codes 390-459; Principal diagnosis only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years 1995-2012,
U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Stroke Figures
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.1. Stroke and Leading Causes of Death, N.C.,
2010
Cancer
18,013
23%
Heart Disease
17,090
22%
Stroke
4,281
5%
Other CVD
1,861
2%
All other causes
30,107
38%
Chronic Lower
Respiratory
Disease
4,490
6%
Other Unintentional
Injuries*
2,762
4%
*Unintentional injuries other than motor-vehicles injuries.
Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Leading Causes of Death in North Carolina, 2010.
SCHS Online Database, 2011. http://www.schs.state.nc.us/schs/data/lcd/lcd.cfm.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Age-adjusted Stroke Death Rate
Figure 2.2. Stroke Death Rates & Healthy People 2020
Target, 2009
60
50
46.6
38.9
40
30
20
10
0
N.C.
2020 Target (33.8)
U.S.
2010 Target (50.0)
Healthy People 2020 Objective 12-07. Stroke: ICD-10 codes I60-I69.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Healthy People 2020, Online Database, 2011.
http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=21, and Centers for Disease Control and Prevention,
National Center for Health Statistics. Compressed Mortality File, 1999-2009. CDC WONDER Online Database, 2011.
http://wonder.cdc.gov/mortSQL.html. Extracted by: Heart Disease and Stroke Prevention Branch, 8/28/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.3. Stroke Death Rates, 1979-2008
Age-adjusted Death Rate
140
120
100
80
60
40
20
North Carolina
United States
0
'79
'81
'83
'85
'87
'89
'91
'93
'95
'97
'99
'01
'03
'05
'07
Year
Stroke: 1999-2008: ICD-10 codes I60-I69; 1979-1998: ICD-9 codes 430-434, 436-438 multiplied by comparability ratio of 1.0588.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998 and
1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.4. Stroke Disease Deaths Rates by Age and
Gender, N.C., 2008
Death Rate per 100,000
1,400
1,200
Females
Males
Total
1,000
800
600
400
200
0
Females
Males
Total
<45
45-54
55-64
65-74
75-84
85+
1.8
2.1
2.0
16.4
19.3
17.8
27.4
45.3
35.9
96.6
129.2
111.4
361.7
388.9
372.6
1294.1
1122.0
1243.8
Age Group
Stroke: ICD-10 codes I60-I69.
Rates per 100,000 population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008.
CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Age-adjusted Death Rate
Figure 2.5. Stroke Death Rates by Gender, N.C.,
1979-2008
140
Males
Females
120
100
80
60
40
'79
'81
'83
'85
'87
'89
'91
'93
'95
'97
'99
'01
'03
'05
'07
Year
Stroke: 1999-2008: ICD-10 codes I60-I69; 1979-1998: ICD-9 codes 430-434,436-438 multiplied by comparability ratio of 1.0588.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Stroke Death Rate
2020 Target (33.8)
2010 Target (50.0)
68.1
46.6
31.2
50.7
27.0
Non-Hispanic
Hispanic
White
African
American
18.6
Asian/Pacific
Islander
100
90
80
70
60
50
40
30
20
10
0
American
Indian/Alaska
Native
Age-adjusted Stroke Death Rate
Figure 2.6. Stroke Death Rates by Race and Ethnicity &
Healthy People 2020 Target, N.C., 2008
Healthy People 2020 Objective 12-07. Stroke: ICD-10 codes I60-I69.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Healthy People 2020, Online Database, 2011.
http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=21, and Centers for Disease Control and
Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2009. CDC WONDER Online Database, 2011.
http://wonder.cdc.gov/mortSQL.html. Extracted by: Heart Disease and Stroke Prevention Branch, 8/28/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.7. Stroke Death Rates by Race, N.C.,
1979-2008
Age-adjusted Death Rate
180
African Americans
Whites
160
140
120
100
80
60
40
20
0
'79
'81
'83
'85
'87
'89
'91
'93
'95
'97
'99
'01
'03
'05
'07
Year
Stroke: 1999-2008: ICD-10 codes I60-I69; 1979-1998: ICD-9 codes 430-434, 436-438 multiplied by comparability ratio of 1.0588.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.8. Stroke Death Rates by Race and Gender, N.C.,
1979-2008
Age-adjusted Death Rate
200
African-American Males
African-American Females
White Males
White Females
175
150
125
100
75
50
25
'79
'81
'83
'85
'87
'89
'91
'93
'95
'97
'99
'01
'03
'05
'07
Year
Stroke: 1999-2008: ICD-10 codes I60-I69; 1979-1998: ICD-9 codes 430-434, 436-438 multiplied by comparability ratio of 1.0588.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percentage of Stroke Deaths
Figure 2.9. Percentage of Total Stroke Deaths by Age
Group, Race, and Gender, N.C., 2004-2008
<65 years
100
90
80
70
60
50
40
30
20
10
0
65+ years
38.8
African-American
Males
16.2
22.6
White Males
African-American
Females
7.8
White Females
Stroke: 1999-2008: ICD-10 codes I60-I69.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008.
CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.10. Stroke Death Rates by County of Residence,
N.C., 2006-2010
Death Rate
Unreliable Rate (<20 Deaths)
Unreliable Rate (<50 Deaths)
31.1 - 41.0
41.1 - 47.8
47.9 - 54.6
54.7 - 66.4
66.5 - 96.1
N.C. overall: 47.8
U.S. (2004-2008): 44.5
Stroke: ICD-10 codes I60-I69.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
N.C. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Volume 2: Leading Causes of Death in North
Carolina 2010, 2011. http://www.schs.state.nc.us/schs/deaths/lcd/2010/.
U.S. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008.
CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.11. Number and Percentage of Total CVD
Hospital Discharges that were Due to Stroke, N.C., 2010
Other CVD
24,887
15.3%
Stroke
29,429
18.1%
Heart Disease
108,013
66.5%
ICD-9-CM codes: Cardiovascular Disease, excluding congenital malformations 390-459; Heart Disease 391-392.0, 393-398, 402, 404, 410416, 420-429; Coronary Heart Disease 410-414; Congestive Heart Failure 428.0; Stroke 430-438. Principal diagnosis only; N.C. residents
only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital
Discharges, 2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.12. Stroke Hospital Discharge Rates, N.C.,
1995-2010
450
Age-adjusted Discharge Rate
430
Total
Males
Females
410
390
370
350
330
310
290
270
250
'95
'96
'97
'98
'99
'00
'01
'02
'03
'04
'05
'06
'07
'08
'09
'10
Year
Stroke: ICD-9-CM Codes 430-438; Principal diagnosis only.
Discharge rates per 100,000 population, age-adjusted to the U.S. 2000 standard population.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.13. Stroke Hospital Discharge Rates by Age and
Gender, N.C., 2010
Discharge Rate per 100,000
3,000
2,500
2,000
1,500
1,000
500
0
<25
25-34
35-44
45-54
55-64
65-74
75-84
85+
Females
4.6
24.3
83.5
235.2
433.4
902.2
1,735.80
3,028.00
Males
5.2
19
82.8
264.2
607.1
1,165.80
1,971.60
2,749.90
Total
4.9
21.7
83.2
249.3
515.8
1,023.60
1,831.90
2,945.90
Age Group
Stroke: ICD-9-CM codes 430-438; Principal diagnosis only.
Discharge rates per 100,000 population.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital
Discharges, 2010. Produced by: State Center for Health Statistics, 06/29/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.14. Percentage of Stroke Hospitalizations by
Age Group, N.C., 2010
Percentage of Hospitalizations
<65 years
100
90
80
70
60
50
40
30
20
10
0
32.4
Female
65+ years
41.7
36.8
Male
Total
Stroke: ICD-9-CM codes 430-438; Principal diagnosis only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital
Discharges, 2010. Produced by: State Center for Health Statistics, 06/29/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.15. Stroke History and Knowledge among
N.C. Adults by Age Group, 2009
82.7
88.2
91.6
88.5
89.5
88.5
83.8
80
20
0
Had History of
Stroke (2010)
18-24
17.7
19.7
25.3
25.4
25.5
16.3
11.0
40
20.0
21.7
26.5
26.0
25.1
16.2
12.5
60
0.0
0.2
1.1
2.3
4.5
7.7
13.1
Percent of Population
100
Knew All Stroke Would Call 911 for Knew Symptoms
Symptoms
Stroke
& Would Call 911
25-34
35-44
45-54
55-64
65-74
75+
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
*Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Had History of
Stroke (2010)
84.6
80.6
93.9
Knew All Stroke
Symptoms
10.4
9.3
12.8
23.4
10.8
11.6
2.6
2.7
0.2
0
3.8
20
14.3
11.2
25.5
40
9.9
60
3.0
Percent of Population
80
88.3
White
African American
Asian
American Indian
Other Race
100
88.9
Figure 2.16. Stroke History and Knowledge among N.C.
Adults by Race, 2009
Would Call 911 for Knew Symptoms &
Stroke
Would Call 911
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
*Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
High School or GED
90.7
1.8
3.3
3.1
21.0
12.9
23.3
14.5
20
8.2
40
30.0
College Grad
6.4
60
Some Post-HS
32.3
80
88.9
80.6
< High School
5.4
Percent of Population
100
88.1
Figure 2.17. Stroke History and Knowledge among
N.C. Adults by Education, 2009
0
Had History of
Stroke (2010)
Knew All Stroke
Symptoms
Would Call 911 for Knew Symptoms
Stroke
& Would Call 911
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
*Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
17.9
15.3
33.2
29.0
23.8
90.2
89.5
86.8
87.0
11.3
22.2
16.5
9.9
0.9
2.4
2.6
3.2
5.4
20
14.0
40
33.1
60
26.7
80
84.4
<$15,000
$15,000-24,999
$25,000-34,999
$35,000-49,999
$50,000-74,999
$75,000+
5.9
Percent of Population
100
87.8
Figure 2.18. Stroke History and Knowledge among N.C.
Adults by Household Income, 2009
0
Had History of
Stroke (2010)
Knew All Stroke
Symptoms
Would Call 911 for Knew Symptoms &
Stroke
Would Call 911
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
*Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.19. Stroke Hospital Discharge Rates by County
of Residence, N.C., 2006-2010
Hospital Discharge Rate
106.4 - 169.8
169.9 - 265.9
266.0 - 298.4
N.C. overall: 298.4
298.5 - 385.7
385.8 - 550.0
Stroke: ICD-9-CM codes 430-438.; Principal diagnosis only; N.C. residents only.
Discharge rates per 100,000 population age-adjusted to the U.S. 2000 standard population.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
2006-2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Billions of Dollars
Figure 2.20. Estimated Direct and Indirect Costs of CVD
and Stroke, United States, 2008
300
280
260
240
220
200
180
160
140
120
100
80
60
40
20
0
Total: $297.7 billion
Indirect Costs
Direct Costs
$118.5
$179.2
Total: $34.3 billion
$15.5
$18.8
Total CVD
Stroke
Data Source: Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Fullerton HJ,
Gillespie C, Hailpern SM, Heit JA, Howard VJ, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Makuc DM, Marcus GM,
Marelli A, Matchar DB, Moy CS, Mozaffarian D, Mussolino ME, Nichol G, Paynter NP, Soliman EZ, Sorlie PD, Sotoodehnia N, Turan TN,
Virani SS, Wong ND, Woo D, Turner MB; on behalf of the American Heart Association Statistics Committee and Stroke Statistics
Subcommittee. Heart disease and stroke statistics—2012 update: a report from the American Heart Association. Circulation.
2012;125:e2–e220.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Total Hospital Charges in 2011 Dollars
Figure 2.21. Stroke Hospital Charges, N.C., 1995-2010
$800,000,000
$700,000,000
Total
Males
Females
$600,000,000
$500,000,000
$400,000,000
$300,000,000
$200,000,000
$100,000,000
$0
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Stroke: ICD-9-CM codes 430-438; Principal diagnosis only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
1995-2010. Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor
Statistics Consumer Price Index tables for Medical Care for years 1995-2012, U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.22. Stroke Average Hospital Charges per Stay,
N.C., 1995-2010
Charges per Stay in 2011 Dollars
$30,000
$27,000
Total
Males
Females
$24,000
$21,000
$18,000
$15,000
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Stroke: ICD-9-CM codes 430-438; Principal diagnosis only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years 19952012, U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.23. Annual Medicaid Costs due to Stroke and
Other CVD, N.C., 2011
Annual Medicaid Costs
$250,000,000
$231,402,818
$189,045,580
$200,000,000
$177,403,772
$150,000,000
$100,000,000
$75,022,000
$50,000,000
$0
Heart Disease
Heart Failure
Hypertension
Stroke
Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Annual Medicaid Cost due to CVD, 2011.
Produced by: State Center for Health Statistics, 09/19/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percent of Population
Figure 2.24. Stroke Awareness, N.C. Adults, 2001-2009
100
90
80
70
60
50
40
30
20
10
0
87.7 87.4 87.6 87.3 88.2
19.8 17.2 18.8 19.5
Knew All Stroke
Symptoms
21.6
17.1 15.0 16.8 17.6 19.4
Would Call 911 for Stroke
2001
2003
2005
2007
Knew All Symptoms &
Would Call 911
2009
Adults = ages 18+ years.
Data not available in 2002, 2004, 2006, 2008.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
*Knew All Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
87.8
85.3
81.9
84.6
85.7
93.5
93.3
90.5
90.8
92.6
80
68.4
68.2
62.7
63.6
62.8
69.5
70.8
68.7
70.6
71.9
60
32.9
28.9
37.7
37.4
39.0
Percent of Population
100
90.6
86.5
85.0
87.8
89.6
Figure 2.25. Knowledge of Each Stroke Symptom, N.C.
Adults, 2001-2009
40
20
0
Confusion,
Trouble Speaking
Numbness,
Weakness
2001
Trouble Seeing
2003
2005
Trouble Walking,
Loss of Balance
2007
Severe
Headache
Chest Pain Not a
Symptom
2009
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
Data not available in 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.26. Stroke Awareness by Hypertension Status,
N.C. Adults, 2007
100
Percent of Population
87.2
87.7
80
No Diagnosed Hypertension
Diagnosed Hypertension
60
40
20
20.1
18.4
17.9
15.9
0
Knew All Stroke
Symptoms
Would Call 911 for Stroke
Knew All Symptoms &
Would Call 911
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2010. Analysis conducted by: Heart Disease and Stroke Prevention Branch, 2010.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.27. Knowledge of Each Stroke Symptom by
Hypertension Status, N.C. Adults, 2007
Percent of Population
No Diagnosed Hypertension
100
90
80
70
60
50
40
30
20
10
0
87.2
89.4
92.2 93.6
Diagnosed Hypertension
84.4 85.2
70.2
71.8
62.4
66.8
40.1
30.9
Confusion,
Trouble
Speaking
Numbness,
Weakness
Trouble
Seeing
Trouble
Walking,
Loss of
Balance
Severe
Headache
Chest Pain
Not a
Symptom
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2010. Analysis conducted by: Heart Disease and Stroke Prevention Branch, 2010.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.28. Stroke Awareness by Stroke History Status,
N.C. Adults, 2007
100
87.5
Percent of Population
90
81.8
80
No History of Stroke
History of Stroke
70
60
50
40
30
20
19.5
18.0
17.8
14.7
10
0
Knew All Stroke
Symptoms
Would Call 911 for Stroke
Knew All Symptoms &
Would Call 911
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2010. Analysis conducted by: Heart Disease and Stroke Prevention Branch, 2010.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 2.29. Knowledge of Each Stroke Symptom by
Stroke History Status, N.C. Adults, 2007
Percent of Population
No History of Stroke
100
87.7 88.7
History of Stroke
92.5 93.2
84.6 83.5
80
70.6 70.7
63.6 62.5
60
37.5 36.1
40
20
0
Confusion,
Trouble
Speaking
Numbness,
Weakness
Trouble
Seeing
Trouble
Walking,
Loss of
Balance
Severe
Headache
Chest Pain
Not a
Symptom
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2010. Analysis conducted by: Heart Disease and Stroke Prevention Branch, 2010.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Heart Disease Figures
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.1. Heart Disease and Leading Causes of Death,
N.C., 2010
Cancer
18,013
23%
Heart Disease
17,090
Stroke
22%
4,281
5%
Other CVD
1,861
2%
All other causes
30,107
38%
Chronic Lower
Respiratory
Disease
4,490
6%
Other Unintentional
Injuries*
2,762
4%
*Unintentional injuries other than motor-vehicles injuries.
Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Leading Causes of Death in North Carolina,
2010. SCHS Online Database, 2011. http://www.schs.state.nc.us/schs/data/lcd/lcd.cfm.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.2. Heart Disease Death Rates, 1979-2008
Age-adjusted Death Rate
450
400
350
300
250
200
150
100
50
North Carolina
United States
0
'79
'81
'83
'85
'87
'89
'91
'93
'95
'97
'99
'01
'03
'05
'07
Year
Heart Disease: 1999-2008: ICD-10 codes I00-I09, I11, I13, I20-I51; 1979-1998: ICD-9 codes 390-398, 402, 404, 410-429 multiplied by
comparability ratio of 0.9858.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.3. Heart Disease Death Rates by Age and
Gender, N.C., 2008
4,500
Death Rate per 100,000
4,000
3,500
Females
Males
Total
3,000
2,500
2,000
1,500
1,000
500
0
Females
Males
Total
<45
45-54
55-64
65-74
75-84
85+
7.1
13.9
10.6
55.9
137.8
95.6
122.7
318.9
216
301.3
629
450.4
997.5
1553.5
1219.7
3786.2
4413.5
3969.8
Heart Disease: ICD-10 codes I00-I09, I11, I13, I20-I51.
Rates per 100,000 population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008.
CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.4. Heart Disease Death Rates by Gender,
N.C., 1979-2008
Age-adjusted Death Rate
600
Males
Females
500
400
300
200
100
0
'79
'81
'83
'85
'87
'89
'91
'93
'95
'97
'99
'01
'03
'05
'07
Year
Heart Disease: 1999-2008: ICD-10 codes I00-I09, I11, I13, I20-I51; 1979-1998: ICD-9 codes 390-398, 402, 404, 410-429 multiplied by
comparability ratio of 0.9858.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Age-adjusted Death Rate
Figure 3.5. Heart Disease Death Rates by Race,
N.C., 1979-2008
African Americans
Whites
400
300
200
100
0
'79
'81
'83
'85
'87
'89
'91
'93
'95
'97
'99
'01
'03
'05
'07
Year
Heart Disease: 1999-2008: ICD-10 codes I00-I09, I11, I13, I20-I51; 1979-1998: ICD-9 codes 390-398, 402, 404, 410-429 multiplied by
comparability ratio of 0.9858.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Age-adjusted Death Rate
Figure 3.6. Heart Disease Death Rates by Race and
Gender, N.C., 1979-2008
600
550
500
450
400
350
300
250
200
150
100
'79
'81
'83
'85
'87
'89
'91
'93
'95
'97
'99
'01
'03
'05
'07
Year
African-American Males
White Males
African-American Females
White Females
Heart Disease: 1999-2008: ICD-10 codes I00-I09, I11, I13, I20-I51; 1979-1998: ICD-9 codes 390-398, 402, 404, 410-429 multiplied by
comparability ratio of 0.9858.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percentage of Heart Disease Deaths
Figure 3.7. Percentage of Total Heart Disease Deaths by
Age Group, Race, and Gender, N.C., 2004-2008
<65 years
100
90
80
70
60
50
40
30
20
10
0
65+ years
44.3
27.7
25.8
10.9
African-American
Males
White Males
African-American
Females
White Females
Heart Disease: 1999-2008: ICD-10 codes I00-I09, I11, I13, I20-I51.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008.
CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.8. Heart Disease Death Rates by County of
Residence, N.C., 2006-2010
Death Rate
141.5 - 172.6
172.7 - 184.9
185.0 - 206.0
N.C. overall: 184.9
206.1 - 238.0
U.S. (2004-2008): 200.8
238.1 - 346.2
Heart Disease: ICD-10 codes I00-I09, I11, I13, I20-I51.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
N.C. Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Volume 2: Leading Causes of Death in North
Carolina 2010, 2011. http://www.schs.state.nc.us/schs/deaths/lcd/2010/.
U.S. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008.
CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.9. Number and Percentage of Total CVD Hospital
Discharges that were Due to Heart Disease, N.C., 2010
All Heart Diseases: 108,013, 66.5% of CVD Hospitalizations*
Other CVD
24,887
15.3%
Stroke
29,429
18.1%
Coronary Heart
Disease*
39,022
24.0%
Congestive Heart
Failure*
7,840
4.8%
Other Heart
Disease*
61,151
37.7%
ICD-9-CM codes: Cardiovascular Disease, excluding congenital malformations 390-459; Heart Disease 391-392.0, 393-398, 402, 404, 410416, 420-429; Coronary Heart Disease 410-414; Congestive Heart Failure 428.0; Stroke 430-438. Principal diagnosis only; N.C. residents
only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital
Discharges, 2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.10. Heart Disease Hospital Discharge Rates,
N.C., 1995-2010
Age-adjusted Discharge Rate
1,950
Total
Males
Females
1,800
1,650
1,500
1,350
1,200
1,050
900
750
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Heart Disease: ICD-9-CM Codes 391-392.0, 393-398, 402, 404, 410-416, 420-429; Principal diagnosis only.
Discharge rates per 100,000 population, age-adjusted to the U.S. 2000 standard population.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Discharge Rate per 100,000
Figure 3.11. Heart Disease Hospital Discharge Rates
by Age and Gender, N.C., 2010
10,000
8,000
6,000
4,000
2,000
0
<25
25-34
35-44
45-54
55-64
65-74
75-84
85+
Females
22.9
110.7
288.6
716.7
1,391.50
3,016.80
5,738.90
9,188.50
Males
22.3
128.2
475.8
1,268.80
2,526.50
4,683.50
7,309.80
10,360.20
Total
22.6
119.4
380.9
985
1,930.00
3,784.20
6,379.10
9,540.80
Age Group
Heart Disease: ICD-9-CM codes 391-392.0, 393-398, 402, 404, 410-416, 420-429; Principal diagnosis only.
Discharge rates per 100,000 population.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital
Discharges, 2010. Produced by: State Center for Health Statistics, 06/29/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.12. Percentage of Heart Disease
Hospitalizations by Age Group, N.C., 2010
Percentage of Hospitalizations
<65 years
100
90
80
70
60
50
40
30
20
10
0
65+ years
45.8
32.5
Female
Male
39.6
Total
Heart Disease: ICD-9-CM codes 391-392.0, 393-398, 402, 404, 410-416, 420-429; Principal diagnosis only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital
Discharges, 2010. Produced by: State Center for Health Statistics, 06/29/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.13. Heart Disease Hospital Discharge Rates by
County of Residence, N.C., 2006-2010
Hospital Discharge Rate
389.5- 713.7
713.8 - 1143.9
N.C. overall: 1143.9
1144.0 - 1289.5
1289.6 - 1634.7
1634.8 - 2173.9
Heart Disease: ICD-9-CM codes: 391-392.0, 393-398, 402, 404, 410-416, 420-429; Principal diagnosis only; N.C. residents only.
Discharge rates per 100,000 population age-adjusted to the U.S. 2000 standard population.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.14. Estimated Direct and Indirect Costs of CVD
and Heart Disease, United States, 2008
300
Indirect Costs
Direct Costs
Billions of Dollars
250
$118.5
200
150
$94.8
100
$179.2
50
$95.5
0
Total CVD
Heart Disease
Data Source: Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Fullerton HJ,
Gillespie C, Hailpern SM, Heit JA, Howard VJ, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Makuc DM, Marcus GM,
Marelli A, Matchar DB, Moy CS, Mozaffarian D, Mussolino ME, Nichol G, Paynter NP, Soliman EZ, Sorlie PD, Sotoodehnia N, Turan TN,
Virani SS, Wong ND, Woo D, Turner MB; on behalf of the American Heart Association Statistics Committee and Stroke Statistics
Subcommittee. Heart disease and stroke statistics—2012 update: a report from the American Heart Association. Circulation. 2012;
125:e2–e220.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Total Hospital Charges in 2011 Dollars
Figure 3.15. Heart Disease Hospital Charges, N.C.,
1995-2010
$4,600,000,000
$4,100,000,000
Total
Males
Females
$3,600,000,000
$3,100,000,000
$2,600,000,000
$2,100,000,000
$1,600,000,000
$1,100,000,000
$600,000,000
$100,000,000
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Heart Disease: ICD-9-CM codes 391-392.0, 393-398, 402, 404, 410-416, 420-429; Principal diagnosis only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
1995-2010. Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor
Statistics Consumer Price Index tables for Medical Care for years 1995-2012, U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.16. Heart Disease: Average Hospital Charges per
Stay, N.C., 1995-2010
Charges per Stay in 2011 Dollars
$50,000
$45,000
$40,000
Total
Males
Females
$35,000
$30,000
$25,000
$20,000
$15,000
$10,000
$5,000
$0
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Heart Disease: ICD-9-CM codes 391-392.0, 393-398, 402, 404, 410-416, 420-429; Principal diagnosis only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years 1995-2012,
U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 3.17. Annual Medicaid Costs due to Heart
Disease and Other CVD, N.C., 2011
Annual Medicaid Costs
$250,000,000
$231,402,818
$189,045,580
$200,000,000
$177,403,772
$150,000,000
$100,000,000
$75,022,000
$50,000,000
$0
Heart Disease
Heart Failure
Hypertension
Stroke
Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Annual Medicaid Cost due to CVD, 2011.
Produced by: State Center for Health Statistics, 09/19/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Coronary Heart Disease Figures
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.1. Coronary Heart Disease, CVD, and Leading
Causes of Death, N.C., 2010
Cancer
18013
23%
Coronary Heart
Disease
10507
13%
Heart Failure
1659
2%
Other Heart Disease
4924
6%
Stroke
4281
5%
Other CVD
1861
2%
All other causes
30107
39%
Chronic Lower
Respiratory Disease
4490
6%
Other Unintentional
Injuries
2762
*Unintentional injuries other than motor-vehicles injuries.
7%
Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Leading Causes of Death in North Carolina, 2010.
SCHS Online Database, 2011. http://www.schs.state.nc.us/schs/deaths/dms/2010/northcarolina.pdf.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.2. Coronary Heart Disease Death Rates, 19792008
Age-adjusted Death Rate
350
300
250
200
150
100
50
United States
North Carolina
0
'79
'81
'83
'85
'87
'89
'91
'93
'95
'97
'99
'01
'03
'05
'07
Year
Coronary Heart Disease: 1999-2008: ICD-10 codes I20-I25; 1979-1998: ICD-9 codes 410-414, 429.2 multiplied by comparability ratio of
0.9990.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Age-adjusted Stroke Death Rate
Figure 4.3. Coronary Heart Disease Death Rates &
Healthy People 2020 Target, 2008
160
140
126.0
132.4
120
100
80
60
40
20
0
N.C.
2020 Target (100.8)
U.S.
2010 Target (156.0)
Healthy People 2010 Objective 12-1. Coronary Heart Disease: ICD-10 codes I11, I20-I25.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Healthy People 2020, Online Database, 2011.
http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=21, and Centers for Disease Control and
Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2009. CDC WONDER Online Database, 2011.
http://wonder.cdc.gov/mortSQL.html. Extracted by: Heart Disease and Stroke Prevention Branch, 8/28/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.4. Coronary Heart Disease Death Rates by Age
and Gender, N.C., 2008
Death Rate per 100,000
3,000
2,500
Females
Males
Total
2,000
1,500
1,000
500
0
Females
Males
Total
<45
45-54
55-64
65-74
75-84
85+
2.8
6.8
4.8
31.3
95.3
62.4
74.9
238.2
152.5
191.2
457.1
312.2
625.4
1066.5
801.7
2159.9
2816.9
2352.1
Coronary Heart Disease: ICD-10 codes I20-I25.
Rates per 100,000 population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008.
CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.5. Coronary Heart Disease Death Rates by
Gender, N.C., 1979-2008
Age-adjusted Death Rate
500
450
Males
Females
400
350
300
250
200
150
100
50
'79
'81
'83
'85
'87
'89
'91
'93
'95
'97
'99
'01
'03
'05
'07
Year
Coronary Heart Disease: 1999-2008: ICD-10 codes I20-I25; 1979-1998: ICD-9 codes 410-414, 429.2 multiplied by comparability ratio of
0.9990. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Age-adjusted Coronary Heart Disease
Death Rate
Figure 4.6. Death Rates by Race and Ethnicity &
Healthy People 2020 Target, N.C., 2008
250
Coronary Heart Disease Death Rate
2020 Target (100.8)
2010 Target (156.0)
200
150
122.9
131.7
115.6
119.7
100
50
33.4
0
American
Indian/Alaska
Native
African
American
White
Hispanic
Non-Hispanic
Healthy People 2020 Objective 12-1. Coronary Heart Disease: ICD-10 codes I11, I20-I25.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Healthy People 2020, Online Database, 2011.
http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=21, and Centers for Disease Control and
Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2009. CDC WONDER Online Database, 2011.
http://wonder.cdc.gov/mortSQL.html. Extracted by: Heart Disease and Stroke Prevention Branch, 8/28/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.7. Coronary Heart Disease Death Rates by
Race, N.C., 1979-2008
Age-adjusted Death Rate
375
African-Americans
325
Whites
275
225
175
125
75
'79
'81
'83
'85
'87
'89
'91
'93 '95
Year
'97
'99
'01
'03
'05
'07
Coronary Heart Disease: 1999-2008: ICD-10 codes I20-I25; 1979-1998: ICD-9 codes 410-414, 429.2 multiplied by comparability ratio of
0.9990.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.8. Coronary Heart Disease Death Rates by Race
and Gender, N.C., 1979-2008
Age-adjusted Death Rate
525
African-American Males
African-American Females
White Males
White Females
475
425
375
325
275
225
175
125
75
25
'79
'81
'83
'85
'87
'89
'91
'93
'95
'97
'99
'01
'03
'05
'07
Year
Coronary Heart Disease: 1999-2008: ICD-10 codes I20-I25; 1979-1998: ICD-9 codes 410-414, 429.2 multiplied by comparability ratio of
0.9990. Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.9. Percentage of Total Coronary Heart Disease
Deaths by Age Group, Race, and Gender, N.C., 20042008
Percentage of CHD Deaths
<65 years
100
90
80
70
60
50
40
30
20
10
0
65+ years
41.7
28.9
AfricanAmerican Males
White Males
22.3
AfricanAmerican
Females
10.9
White Females
Coronary Heart Disease: ICD-10 codes I20-I25.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 19992008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.10. Coronary Heart Disease Death Rates by
County of Residence, N.C., 2004-2008
Death Rate
88.1 - 108.3
108.4 - 129.6
N.C. overall: 129.6
129.7 - 149.6
U.S.: 135.3
149.7- 181.2
181.3 - 219.3
Coronary Heart Disease: ICD-10 codes I20-I25.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008.
CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.11. Number and Percentage of Total CVD
Hospital Discharges that were Due to Coronary Heart
Disease, N.C., 2010
Other CVD
24,887
15.3%
Coronary Heart
Disease
39,022
24.0%
Stroke
29,429
18.1%
Congestive Heart
Failure
7,840
4.8%
Other Heart Disease
61,151
37.7%
ICD-9-CM codes: Cardiovascular Disease, excluding congenital malformations 390-459; Heart Disease 391-392.0, 393-398, 402, 404, 410416, 420-429; Coronary Heart Disease 410-414; Congestive Heart Failure 428.0; Stroke 430-438. Principal diagnosis only; N.C. residents
only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital
Discharges, 2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.12. Coronary Heart Disease Hospital Discharge
Rates, N.C., 1995-2010
1,200
Age-adjusted Discharge Rate
1,100
Total
Males
Females
1,000
900
800
700
600
500
400
300
200
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Coronary Heart Disease: ICD-9-CM codes 410-414; Principal diagnosis only.
Discharge rates per 100,000 population, age-adjusted to the U.S. 2000 standard population.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.13. Coronary Heart Disease Hospital
Discharge Rates by Age and Gender, N.C., 2010
Discharge Rate per 100,000
3,000
2,500
2,000
1,500
1,000
500
0
Females
Males
Total
<25
25-34
35-44
45-54
55-64
65-74
75-84
85+
0.5
0.9
0.7
15.2
28.4
21.7
89.8
198.5
143.4
281.9
647.2
459.4
541.4
1242.9
874.2
998.6
1996.6
1458.1
1460.3
2485.0
1877.9
1877.8
2634.7
2105.6
Age Group
Coronary Heart Disease: ICD-9-CM codes 410-414; Principal diagnosis only.
Discharge rates per 100,000 population.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital
Discharges, 2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.14. Percentage of Coronary Heart Disease
Hospitalizations by Age Group, N.C., 2010
Percentage of Hospitalizations
<65 years
100
90
80
70
60
50
40
30
20
10
0
65+ years
52.1
47.3
Male
Total
39.6
Female
Coronary Heart Disease: ICD-9-CM codes 410-414; Principal diagnosis only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital
Discharges, 2010. Produced by: State Center for Health Statistics, 06/29/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
82.7
88.2
91.6
88.5
89.5
88.5
83.8
Had History of CHD
Knew All Heart
(2010)
Attack Symptoms
18-24
25-34
35-44
8.1
9.5
13.1
15.5
16.6
12.2
9.4
9.6
10.6
14.1
17.7
18.3
14.2
10.5
100
90
80
70
60
50
40
30
20
10
0
0.0
0.8
2.0
6.0
12.9
17.8
24.5
Percent of Population
Figure 4.15. Coronary Heart Disease History and
Knowledge among N.C. Adults by Age Group, 2009
Would Call 911 for Knew Symptoms &
Heart Attack
Would Call 911
45-54
55-64
65-74
75+
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
*Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Had History of
CHD (2010)
4
6.0
6.0
9.1
84.6
80.6
93.9
88.9
15.3
4.4
7.1
9.1
6.7
2.1
7.9
2.7
17.1
88.3
White
African American
Asian
American Indian
Other Race
7.2
100
90
80
70
60
50
40
30
20
10
0
7.6
Percent of Population
Figure 4.16. Coronary Heart Disease History and
Knowledge among N.C. Adults by Race, 2009
Knew All Heart Would Call 911 for Knew Symptoms
Attack Symptoms
Heart Attack
& Would Call 911
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
*Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.17. Coronary Heart Disease History and
Knowledge among N.C. Adults by Education, 2009
Percent of Population
100
90
< High School
80
High School or GED
70
Some Post-HS
College Grad
60
88.1
88.9
90.7
80.6
50
40
30
20
10
20.2
12.1
18.2
15.2
7.9 6.7
4.7
13.9
10.3
5.2
9.2
3.5
0
Had History of
CHD (2010)
Knew All Heart Would Call 911 for Knew Symptoms
Attack Symptoms
Heart Attack
& Would Call 911
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
*Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Had History of
CHD (2010)
17.8
12.2
17.7
7.1
5.8
10.7
90.2
89.5
86.8
87.0
87.8
84.4
19.6
14.7
18.7
11.7
8.3
6.5
10
0
3.7
30
20
5.4
50
40
6.7
70
60
7.7
<$15,000
$15,000-24,999
$25,000-34,999
$35,000-49,999
$50,000-74,999
$75,000+
12.6
100
90
80
12.8
Percent of Population
Figure 4.18. Coronary Heart Disease History and
Knowledge among N.C. Adults by Household Income,
2009
Knew All Heart Would Call 911 for Knew Symptoms
Attack Symptoms
Heart Attack
& Would Call 911
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
*Knew Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.19. Coronary Heart Disease Hospital Discharge
Rates by County of Residence, N.C., 2006-2010
Hospital Discharge Rate
95.9 - 279.9
280.0- 440.7
440.8 - 495.4
N.C. overall: 440.7
495.5 - 710.7
710.8 - 973.2
Coronary Heart Disease: ICD-9-CM codes: 410-414; Principal diagnosis only; N.C. residents only.
Discharge rates per 100,000 population age-adjusted to the U.S. 2000 standard population.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Total Hospital Charges in 2011 Dollars
Figure 4.20. Coronary Heart Disease Hospital Charges,
N.C., 1995-2010
$2,500,000,000
$2,000,000,000
Total
Males
Females
$1,500,000,000
$1,000,000,000
$500,000,000
$0
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Coronary Heart Disease: ICD-9-CM codes 410-414; Principal diagnosis only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
1995-2010. Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor
Statistics Consumer Price Index tables for Medical Care for years 1995-2012, U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 4.21. Coronary Heart Disease: Average Hospital
Charges per Stay, N.C., 1995-2010
Charges per Stay in 2011 Dollars
$60,000
$55,000
Total
Males
Females
$50,000
$45,000
$40,000
$35,000
$30,000
$25,000
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Coronary Heart Disease: ICD-9-CM codes 410-414; Principal diagnosis only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years 19952012, U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percent of Population
Figure 4.22. Heart Attack Awareness, N.C. Adults,
2001-2009
100
90
80
70
60
50
40
30
20
10
0
87.7 87.4 87.6 87.3 88.2
9.6 10.7 11.3 11.3 14.0
8.6
Would Call 911 for Heart
Attack
Knew All Heart Attack
Symptoms
2001
2003
2005
2007
9.3
10
10.5 12.5
Knew All Symptoms &
Would Call 911
2009
Adults = ages 18+ years.
Data not available in 2002, 2004, 2006, 2008.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
*Knew All Symptoms & Would Call 911 produced by State Center for Health Statistics, 06/22/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
87.4
85.7
84.0
85.4
85.4
89.9
86.7
84.4
86.0
86.5
95.6
92.2
90.3
92.7
93.2
Pain in Jaw,
Neck, Back
Pain in Arms,
Shoulder
Shortness of
Breath
33.8
32.2
40.4
39.8
39.7
67.8
69.2
60.5
63.5
65.0
100
90
80
70
60
50
40
30
20
10
0
47.8
51.4
46.3
48.0
55.6
Percent of Population
Figure 4.23. Knowledge of Each Heart Attack
Symptom, N.C. Adults, 2001-2009
Feeling Weak,
Lightheaded,
Faint
2001
Chest Pain
2003
2005
2007
Trouble
Seeing Not a
Symptom
2009
Adults = ages 18+ years.
Data not available in 2002, 2004, 2006, 2008.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percent of Population
Figure 4.24. Heart Attack Awareness by Coronary Heart
Disease History, N.C. Adults, 2007
100
90
80
70
60
50
40
30
20
10
0
87.6
11.0
84.5
15.8
Knew All Heart Attack
Symptoms
No History of CHD
History of CHD
10.2
Would Call 911 for Heart
Attack
13.9
Knew All Symptoms &
Would Call 911
Adults = ages 18+ years.
CHD= Coronary Heart Disease.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2010. Analyzed by the Heart Disease and Stroke Prevention Branch, 2010.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percent of Population
Figure 4.25. Knowledge of Each Heart Attack Symptom
by Coronary Heart Disease History, N.C. Adults, 2007
100
90
80
70
60
50
40
30
20
10
0
No History of CHD
History of CHD
61.3
63.8
92.8 91.7
85.5
85.2
86.0
86.8
61.3
47.0
46.8
39.4
Pain in Jaw,
Neck, Back
Feeling
Chest Pain Pain in Arms, Shortness of
Trouble
Weak,
Shoulder
Breath
Seeing Not a
Lightheaded,
Symptom
Faint
Adults = ages 18+ years.
CHD= Coronary Heart Disease.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2010. Analyzed by the Heart Disease and Stroke Prevention Branch, 2010.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Heart Failure Figures
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.1. Heart Failure, CVD, and Leading Causes of
Death, N.C., 2010
Cancer
18013
23%
Coronary Heart
Disease
10507
13%
Heart Failure
1659
2%
Other Heart Disease
4924
Stroke
6%
4281
5%
Other CVD
1861
2%
All other causes
30107
39%
Chronic Lower
Respiratory Disease
4490
6%
Other Unintentional
Injuries
2762
7%
*Unintentional injuries other than motor-vehicles injuries.
Total Cardiovascular Disease, including congenital malformations: ICD-10 codes I00-I99, Q20-Q28.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. Leading Causes of Death in North Carolina,
2010. SCHS Online Database, 2011. http://www.schs.state.nc.us/schs/deaths/dms/2010/northcarolina.pdf.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.2. Heart Failure Death Rates, 1979-2008
Age-Adjusted Death Rate
30
25
20
15
10
5
North Carolina
United States
0
'79
'81
'83
'85
'87
'89
'91
'93
'95
'97
'99
'01
'03
'05
'07
Year
Heart Failure: 1999-2008: ICD-10 codes I50; 1979-1998: ICD-9 codes 428 multiplied by comparability ratio of 1.0410.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.3. Heart Failure Death Rates by Age and
Gender, N.C., 2008
Death Rate per 100,000
600
500
Females
Males
Total
400
300
200
100
0
Females
Males
Total
<65
65-74
75-84
85+
1.5
2.2
1.8
22.5
40.3
30.6
97.6
140.8
114.9
580.1
568.2
576.6
Heart Failure: ICD-10 codes I50.
Rates per 100,000 population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008.
CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.4. Smoothed* Heart Failure Death Rates
by Gender, N.C., 1998-2008
Age-adjusted Death Rate
50
45
Males
Females
40
35
30
25
20
15
10
5
0
'98
'99
'00
'01
'02
'03
'04
'05
'06
'07
Year
* 3-year moving averages (i.e., smoothed rate shown for 1999 is an average of the 1998, 1999, and 2000 rates).
Heart Failure: 1999-2008: ICD-10 codes I50; 1979-1998: ICD-9 codes 428 multiplied by comparability ratio of 1.0410.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.5. Smoothed* Heart Failure Death Rates
by Race, N.C., 1998-2008
Age-adjusted Death Rate
30
African Americans
Whites
25
20
15
10
5
0
'98
'99
'00
'01
'02
'03
'04
'05
'06
'07
Year
* 3-year moving averages (i.e., smoothed rate shown for 1999 is an average of the 1998, 1999, and 2000 rates).
Heart Failure: 1999-2008: ICD-10 codes I50; 1979-1998: ICD-9 codes 428 multiplied by comparability ratio of 1.0410.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Age-adjusted Death Rate
Figure 5.6. Smoothed* Heart Failure Death Rates by
Race and Gender, N.C., 1998-2008
25
24
23
22
21
20
19
18
17
16
15
'98
'99
'00
'01
'02
'03
'04
'05
'06
'07
Year
African-American Males
African-American Females
White Males
White Females
* 3-year moving averages (i.e., smoothed rate shown for 1999 is an average of the 1998, 1999, and 2000 rates).
Heart Failure: 1999-2008: ICD-10 codes I50; 1979-1998: ICD-9 codes 428 multiplied by comparability ratio of 1.0410.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1979-1998
and 1999-2008. CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percentage of Heart Failure Deaths
Figure 5.7. Percentage of Total Heart Failure Deaths by
Age Group, Race, and Gender, N.C., 2004-2008
<65 years
100
90
80
70
60
50
40
30
20
10
0
27.1
AfricanAmerican
Males
65+ years
9.5
15.9
White Males
AfricanAmerican
Females
4.1
White Females
Heart Failure: ICD-10 codes I50.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008.
CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.8. Heart Failure Death Rates by County of
Residence, N.C., 2003-2008
Death Rate
0.0 - 12.9
13.0 - 18.5
N.C. Overall: 18.5
18.6 - 21.1
21.2 - 26.2
U.S.: 18.3
26.3 - 38.9
<20 deaths*
Heart Failure: ICD-10 codes I50.
Rates per 100,000 population, age-adjusted to the 2000 U.S. standard population.
* Rates based on fewer than 20 deaths may be unreliable, should be interpreted with caution, and are not mapped.
Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. Compressed Mortality File, 1999-2008.
CDC WONDER Online Database, 2011. http://wonder.cdc.gov/mortSQL.html.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.9. Number and Percentage of Total CVD
Hospital Discharges that were Due to Congestive
Heart Failure, N.C., 2010
Other CVD
24,887
15.3%
Coronary Heart
Disease
39,022
24.0%
Stroke
29,429
18.1%
Congestive
Heart Failure
7,840
4.8%
Other Heart Disease
61,151
37.7%
ICD-9-CM codes: Cardiovascular Disease, excluding congenital malformations 390-459; Heart Disease 391-392.0, 393-398, 402, 404, 410416, 420-429; Coronary Heart Disease 410-414; Congestive Heart Failure 428.0; Stroke 430-438. Principal diagnosis only; N.C. residents
only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital
Discharges, 2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.10. Congestive Heart Failure Hospitalization
Rates & Healthy People 2010 Targets
35
Hospitalization Rate
30
25
32.9
North Carolina
United States
2010 Target
26.5
19.7
20
13.5
15
10.7
10
5
8.5
6.5
5.2
2.6
0
65-74 years
75-84 years
85+years
Healthy People 2010 Objective 12-06. Congestive Heart Failure: ICD-9-CM codes 428.0; Principal diagnosis.
Age-specific rates per 1,000 population.
Data Source: Healthy People 2020, Online Database, 2011.
http://www.healthypeople.gov/2020/topicsobjectives2020/objectiveslist.aspx?topicId=21, and North Carolina Division of Public
Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges, 1995-2010. Produced by: State Center for
Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.11. Congestive Heart Failure Hospital Discharge
Rates, N.C., 1995-2010
Age-adjusted Discharge Rate
400
350
300
250
200
Total
Males
Females
150
100
50
0
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Congestive Heart Failure: ICD-9-CM codes 428.0; Principal diagnosis only.
Discharge rates per 100,000 population, age-adjusted to the U.S. 2000 standard population.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.12. Congestive Heart Failure Hospital
Discharge Rates by Age and Gender, N.C., 2010
Discharge Rate per 100,000
1,400
1,200
1,000
800
600
400
200
0
<25
25-34
35-44
45-54
55-64
65-74
75-84
85+
Females
1.0
9.2
19.3
46.5
92.2
219.7
471.6
1005.8
Males
1.6
6.7
20.9
62.8
132.9
308.0
591.6
1217.9
Total
1.3
7.9
20.1
54.4
111.5
260.3
520.5
1069.4
Age Group
Congestive Heart Failure: ICD-9-CM codes 428.0; Principal diagnosis only.
Discharge rates per 100,000 population.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.13. Percentage of Congestive Heart Failure
Hospitalizations by Age Group, N.C., 2010
Percentage of Hospitalizations
<65 years
100
90
80
70
60
50
40
30
20
10
0
26.8
Female
65+ years
35.2
30.9
Male
Total
Congestive Heart Failure: ICD-9-CM codes 428.0; Principal diagnosis only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Provisional Inpatient Hospital
Discharges, 1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.14. Congestive Heart Failure Hospital Discharge Rates
by County of Residence, N.C., 2006-2010
Hospital Discharge Rate
53.9 - 123.2
123.3 - 169.8
169.9 - 232.9
N.C. overall: 169.8
233.0 - 336.9
337.0 - 464.7
Congestive Heart Failure: ICD-9-CM codes: 428.0; Principal diagnosis only; N.C. residents only.
Discharge rates per 100,000 population age-adjusted to the U.S. 2000 standard population.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
2006-2010. Produced by: State Center for Health Statistics, 06/08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.15. Congestive Heart Failure Hospital Charges,
N.C., 1995-2010
Total Hospital Charges in 2011 Dollars
$700,000,000
$600,000,000
Total
Males
Females
$500,000,000
$400,000,000
$300,000,000
$200,000,000
$100,000,000
$0
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Congestive Heart Failure: ICD-9-CM codes 428.0; Principal diagnosis only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
1995-2010. Produced by: State Center for Health Statistics, 06/08/2012. Charges adjusted to 2011 dollars using the Bureau of Labor
Statistics Consumer Price Index tables for Medical Care for years 1995-2012, U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.16. Congestive Heart Failure: Average Hospital
Charges per Stay, N.C., 1995-2010
Charges per Stay in 2011 Dollars
$30,000
Total
Males
Females
$25,000
$20,000
$15,000
$10,000
'95 '96 '97 '98 '99 '00 '01 '02 '03 '04 '05 '06 '07 '08 '09 '10
Year
Congestive Heart Failure: ICD-9-CM Codes 428.0; Principal diagnosis only.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Inpatient Hospital Discharges,
1995-2010. Produced by: State Center for Health Statistics, 06/08/2012.
Charges adjusted to 2011 dollars using the Bureau of Labor Statistics Consumer Price Index tables for Medical Care for years 19952012, U.S. city average, not seasonally adjusted.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 5.17. Annual Medicaid Costs due to Congestive
Heart Failure and Other CVD, N.C., 2011
$250,000,000
$231,402,818
Annual Medicaid Costs
$189,045,580
$200,000,000
$177,403,772
$150,000,000
$100,000,000
$75,022,000
$50,000,000
$0
Heart Disease
Heart Failure
Hypertension
Stroke
Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Annual Medicaid Cost due to CVD, 2011.
Produced by: State Center for Health Statistics, 09/19/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
High Blood Pressure Figures
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percentage of Adults
Figure 6.1. Blood Pressure Checked within Past 2 Years,
1991-2009
100
95
90
85
80
75
70
65
60
55
50
North Carolina
'91
'92
'93
'95
United States
'97
'99
'01
'05
'09
Year
Adults = ages 18+ years.
NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
US Data Source: National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention.
Data not available for N.C. in 1994, 1996, 1998, 2000, 2002-2004, 2006-2008; data not available for U.S. in 1991, 1992, 1994, 1996,
1998, 2000-2009.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.2. Blood Pressure-related Measures among
N.C. Adults by Age Group, 2009
100
93.4 92.0 94.4
96.1
97.5 99.1 99.0
94.6 96.2
90.8
Percent of Population
90
81.2
80
65.7
70
60.3
62.0
60
50.4
50
41.7
40
34.4
30
22.6
20.4
20
11.4
7.0
10
0
Blood Pressure Checked within the
Past 2 Years
18-24
25-34
35-44
Have High Blood Pressure
45-54
55-64
Taking Medication for High Blood
Pressure
65-74
75+
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.3. Blood Pressure Checked within Past 2
Years, by Gender, N.C., 1991-2009
Percentage of Adults
100
95
90
85
80
75
70
65
60
Males
Females
55
50
'91
'92
'93
'95
'97
'99
'01
'05
'09
Year
Adults = ages 18+ years.
NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
Data not available for N.C. in 1994, 1996, 1998, 2000, 2002-2004, 2006-2008.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percent of Population
Figure 6.4. Blood Pressure-related Measures among
N.C. Adults by Race and Gender, 2009
100
90
80
70
60
50
40
30
20
10
0
97.4
97.0
94.5
89.6
97.8
80.4
79.1
42.3
39.4
33.0
Blood Pressure Checked
within the Past 2 Years
African American Men
29.4
Have High Blood
Pressure
White Men
85.0
Taking Medication for
High Blood Pressure*
African American Women
White Women
* Among those who have high blood pressure.
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
Blood pressure screening data is from 2005, all other data are from 2009.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percent of Population
Figure 6.5. Blood Pressure-related Measures among
N.C. Adults by Race, 2009
100
90
80
70
60
50
40
30
20
10
0
96.3 97.2 96.0
92.6
82.1
82.1
85.7
75.3
61.1
41.0
56.1
38.1
31.1
14.0
Blood Pressure Checked
within the Past 2 Years
White
African American
12.6
Have High Blood
Pressure
Asian
Taking Medication for
High Blood Pressure*
American Indian
Other Race
* Among those who have high blood pressure.
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.6. Blood Pressure Checked within Past 2
Years, by Race, N.C., 1991-2009
Percentage of Adults
100
95
90
85
African-Americans
Whites
80
'91
'92
'93
'95
'97
'99
'01
'05
'09
Year
Adults = ages 18+ years.
NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
Data not available for N.C. in 1994, 1996, 1998, 2000, 2002-2004, 2006-2008.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percent of Population
Figure 6.7. Blood Pressure-related Measures among
N.C. Adults by Education, 2009
100
95.4 95.8 97.7
89.3
85.4
80
82.2
79.0 80.7
60
38.4
40
36.2
30.5
25.1
20
0
Blood Pressure Checked
within the Past 2 Years
< High School
Have High Blood
Pressure
High School or GED
Some Post-HS
Taking Medication for
High Blood Pressure*
College Grad
* Among those who have high blood pressure.
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.8. Blood Pressure-related Measures among
N.C. Adults by Household Income, 2009
Percent of Population
100
93.9
90.2
94.9
96.9 98.1 98.0
86.8
81.4
80
83.3
79.2
75.3
78.0
60
40.7
40.5
35.6
40
31.0
29.8
24.3
20
0
Blood Pressure Checked
within the Past 2 Years
<$15,000
$35,000-49,999
Have High Blood
Pressure
$15,000-24,999
$50,000-74,999
Taking Medication for
High Blood Pressure*
$25,000-34,999
$75,000+
* Among those who have high blood pressure.
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.9. Estimated Direct and Indirect Costs of CVD
and Hypertensive Disease, United States, 2008
600
Indirect Costs
Direct Costs
Billions of Dollars
500
400
300
$118.5
200
$179.2
100
$3.3
$47.3
0
Total CVD
Hypertensive Disease
Data Source: Roger VL, Go AS, Lloyd-Jones DM, Benjamin EJ, Berry JD, Borden WB, Bravata DM, Dai S, Ford ES, Fox CS, Fullerton HJ,
Gillespie C, Hailpern SM, Heit JA, Howard VJ, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Makuc DM, Marcus GM,
Marelli A, Matchar DB, Moy CS, Mozaffarian D, Mussolino ME, Nichol G, Paynter NP, Soliman EZ, Sorlie PD, Sotoodehnia N, Turan TN,
Virani SS, Wong ND, Woo D, Turner MB; on behalf of the American Heart Association Statistics Committee and Stroke Statistics
Subcommittee. Heart disease and stroke statistics—2012 update: a report from the American Heart Association. Circulation.
2012;125:e2–e220.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percentage of Adults
Figure 6.10. Hypertension Prevalence, 1990-2009
50
45
40
35
30
25
20
15
10
5
0
North Carolina
'90
'91
'92
'93
'95
'97
United States
'99
'01
'03
'05
'07
'09
Adults = ages 18+ years.
Year
1990-2001 included women diagnosed with high blood pressure only while pregnant as hypertensive, while 2003 and later years
data do not consider them to be hypertensive.
NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
US Data Source: National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention.
Data not available for U.S. in 1990-1993; data not available for N.C. or U.S. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.11. Annual Medicaid Costs due to Hypertension
and Other CVD, N.C., 2011
Annual Medicaid Costs
$250,000,000
$231,402,818
$189,045,580
$200,000,000
$177,403,772
$150,000,000
$100,000,000
$75,022,000
$50,000,000
$0
Heart Disease
Heart Failure
Hypertension
Stroke
Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Annual Medicaid Cost due to CVD, 2011.
Produced by: State Center for Health Statistics, 09/19/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.12. Hypertension Prevalence, by Gender, N.C.,
1990-2009
Percentage of Adults
50
Males
Females
45
40
35
30
25
20
15
10
5
0
'90
'91
'92
'93
'95
'97
'99
Year
'01
'03
'05
'07
'09
Adults = ages 18+ years.
1990-2001 included women diagnosed with high blood pressure only while pregnant as hypertensive, while 2003 and later years data
do not consider them to be hypertensive.
NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percentage of Adults
Figure 6.13. Hypertension Prevalence by Age and Race,
N.C., 2009
100
80
Whites
African Americans
Total
60
40
20
0
18-24
25-34
35-44
45-54
55-64
65+
Whites
5.9
10.5
19.8
29.7
47.7
59.9
African Americans
8.6
18.1
30.4
52.6
65.4
82.6
Total
7.0
11.4
20.4
34.4
50.4
63.9
Age Group
Adults = ages 18+ years.
Race specific data combines 65-74 & 75+ categories.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 6.14. Hypertension Prevalence, by Race,
N.C., 1990-2009
Percentage of Adults
50
45
African-Americans
40
Whites
35
30
25
20
15
10
5
0
'90
'91
'92
'93
'95
'97
'99
Year
'01
'03
'05
'07
'09
Adults = ages 18+ years.
1990-2001 included women diagnosed with high blood pressure only while pregnant as hypertensive, while 2003 and later years
data do not consider them to be hypertensive.
NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
NC Overall
Men
2001
2003
Women
2005
2007
African
Americans
2009
82.1
84.1
78.8
77.5
74.8
85.7
82.1
78.9
75.5
74.6
85.7
85.4
80.6
78.0
79.7
77.3
78.8
73.8
73.7
68.9
81.6
82.3
77.4
76.0
100
90
80
70
60
50
40
30
20
10
0
74.9
Percent of People with Hypertension
Figure 6.15. Percentage of People with Diagnosed
Hypertension who are Taking Anti-Hypertensive
Medication, N.C. Adults, 2001-2009
Whites
1990-2001 included women diagnosed with high blood pressure only while pregnant as hypertensive, while 2003 and later years data
do not consider them to be hypertensive.
Adults = ages 18+ years.
NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
Data not available for N.C. in 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
NC Overall
AfricanAmerican Men
White Men
AfricanAmerican
Women
85.0
86.3
81.6
79.8
80.0
89.6
86.9
82.4
79.8
2009
78.9
79.1
81.8
2007
75.7
68.8
75.0
2005
80.4
75.8
2003
74.2
69.6
67.6
81.6
82.3
77.4
2001
76.0
100
90
80
70
60
50
40
30
20
10
0
74.9
Percent of People with Hypertension
Figure 6.16. Use of Anti-Hypertensive Medication by
Race and Gender, N.C. Adults, 2001-2009
White Women
1990-2001 included women diagnosed with high blood pressure only while pregnant as hypertensive, while 2003 and later years data
do not consider them to be hypertensive.
Adults = ages 18+ years.
NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
Data not available for N.C. in 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
High Blood Cholesterol Figures
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percentage of Adults
Figure 7.1. Cholesterol Checked within Past 5 Years,
1990-2009
100
95
90
85
80
75
70
65
60
55
50
North Carolina
'90
'91
'92
'93
'95
United States
'97
'99
'01
'03
'05
'07
'09
Year
Adults = ages 18+ years.
North Carolina Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk
Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
U.S. Data Source: National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention.
Data not available for U.S. in 1990-1992; data not available for N.C. or U.S. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percent of Population
Figure 7.2. Cholesterol-related Measures among N.C.
Adults by Age Group, 2009
100
90
80
70
60
50
40
30
20
10
0
88.2
93.1
96.3 96.0
79.5
61.7
53.5
58.0
52.4
42.9
38.1
31.4
19.0
13.2
Blood Cholesterol Checked within
the Past 5 Years
18-24
25-34
35-44
Diagnosed with High Cholesterol*
45-54
55-64
65-74
75+
* Among those who have ever had their blood cholesterol checked.
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 7.3. Cholesterol Checked within Past 5 Years, by
Gender, N.C., 1990-2009
Percentage of Adults
100
Males
Females
95
90
85
80
75
70
65
60
55
50
'90
'91
'92
'93
'95
'97
'99
'01
'03
'05
'07
'09
Year
Adults = ages 18+ years.
NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percent of Population
Figure 7.4. Cholesterol-related Measures among N.C.
Adults by Race and Gender, 2009
100
90
80
70
60
50
40
30
20
10
0
75.7
80.8
79.3
83.3
40.3
Blood Cholesterol Checked within Past
5 Years
African American Men
White Men
42.9
37.2
39.3
Diagnosed with High Cholesterol*
African American Women
White Women
* Among those who have ever had their blood cholesterol checked.
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percent of Population
Figure 7.5. Cholesterol-related Measures among N.C.
Adults by Race, 2009
100
90
80
70
60
50
40
30
20
10
0
82.1
77.7
79.3
66.2
44.6
41.0
38.5
31.9
Blood Cholesterol Checked within Past
5 Years
White
African American
Asian
35.6
32.4
Diagnosed with High Cholesterol*
American Indian
Other Race
* Among those who have ever had their blood cholesterol checked.
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 7.6. Cholesterol Checked within Past 5 Years, by
Race, N.C., 1990-2009
Percentage of Adults
100
95
African-Americans
90
Whites
85
80
75
70
65
60
55
50
'90
'91
'92
'93
'95
'97
'99
Year
'01
'03
'05
'07
'09
Adults = ages 18+ years.
NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 7.7. Cholesterol Checked within Past 5 Years, by
Race and Gender, N.C., 1990-2009
100
African-American Males
African-American Females
White Males
White Females
Percentage of Adults
95
90
85
80
75
70
65
60
55
50
45
'90
'91
'92
'93
'95
'97
'99
Year
'01
'03
'05
'07
'09
Adults = ages 18+ years.
NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percent of Population
Figure 7.8. Cholesterol-related Measures among
N.C. Adults by Education, 2009
100
90
80
70
60
50
40
30
20
10
0
89.2
74.2
79.0
60.0
49.1
45.0
38.7
Blood Cholesterol Checked within
Past 5 Years
< High School
High School or GED
34.3
Diagnosed with High Cholesterol*
Some Post-HS
College Grad
* Among those who have ever had their blood cholesterol checked.
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percent of Population
Figure 7.9. Cholesterol-related Measures among N.C.
Adults by Household Income, 2009
100
83.0
80
71.1
85.3
88.5
76.6
62.9
60
48.0
47.6
44.6
36.2
40
40.3
33.4
20
0
Blood Cholesterol Checked within
Past 5 Years
<$15,000
$35,000-49,999
Diagnosed with High Cholesterol*
$15,000-24,999
$50,000-74,999
$25,000-34,999
$75,000+
* Among those who have ever had their blood cholesterol checked.
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Percentage of Adults
Figure 7.10. High Cholesterol Prevalence, 19902009
50
45
40
35
30
25
20
15
10
5
0
North Carolina
'90
'91
'92
'93
'95
United States
'97
'99
'01
'03
'05
'07
'09
Year
Adults = ages 18+ years.
North Carolina Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk
Factor Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
U.S. Data Source: National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention.
Data not available for U.S. in 1990-1993; data not available for N.C. or U.S. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 7.11. High Cholesterol Prevalence, by Gender,
N.C., 1990-2009
Percentage of Adults
50
Males
Females
45
40
35
30
25
20
15
10
5
0
'90
'91
'92
'93
'95
'97
'99
'01
'03
'05
'07
'09
Year
Adults = ages 18+ years.
NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 7.12. High Cholesterol Prevalence, by Race, N.C.,
1990-2009
Percentage of Adults
50
45
African-Americans
40
Whites
35
30
25
20
15
10
5
0
'90
'91
'92
'93
'95
'97
'99
'01
'03
'05
'07
'09
Year
Adults = ages 18+ years.
NC Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 06/2012.
Data not available for N.C. in 1994, 1996, 1998, 2000, 2002, 2004, 2006, 2008.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Other Risk Factors Figures
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.1. Prevalence of Physical Activity-related
Measures among Adults
Percent of Population
100
North Carolina
90
United States
80
70
60
46.4
50
50.6
40
30
25.7
24.0
20
10
0
No Exercise* (2010)
Recommended Physical Activity**
(2009)
Adults = ages 18+ years.
*During the past month, did you participate in any physical activities?
** Engaging in at least 30 minutes of moderate activity per day on 5 or more days of the week, or at least 20 minutes of vigorous activity
per day on 3 or more days of the week.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor Surveillance
System, SCHS Online Database, 2011 and National Behavioral Risk Factor Surveillance System Data, Center for Disease Control &
Prevention. Extracted by: Heart Disease and Stroke Branch, 08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.2. Prevalence of Physical Activity-related
Measures among High School Students, 2011
Percent of Population
100
North Carolina
90
United States
80
70
60
50
47.6
49.5
34.7
40
32.4
30
20
10
0
Meet Recommended Levels of
Physical Activity*
Watch 3+ Hours of TV on Average
School Day
* Physically active for a total of 60 minutes or more per day on 5 or more of the past 7 days.
Data Source: Centers for Disease Control and Prevention. 2011 Youth Risk Behavior Survey. Available at: www.cdc.gov/yrbs. Accessed
on 8/17/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.3. Prevalence of Daily Consumption of 5+
Fruits and Vegetables among Adults, 2009
100
Percent of Population
90
80
70
60
50
40
30
20.6
23.5
20
10
0
North Carolina
United States
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011 and National Behavioral Risk Factor Surveillance System Data, Center for Disease
Control & Prevention. Extracted by: Heart Disease and Stroke Branch, 08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.4. Prevalence of Daily Consumption of 5+ Fruits
and Vegetables among High School Students, 2011
100
Percent of Population
90
80
70
60
50
40
30
20
19.4
21.4
North Carolina
United States (2007)
10
0
N.C. Data Source: North Carolina Department of Public Instruction. 2011 Youth Risk Behavior Survey. Available at:
http://www.nchealthyschools.org/docs/data/yrbs/2011/statewide/high-school.pdf Accessed on 8/17/2012.
U.S. Data Source: Centers for Disease Control and Prevention. 2007 Youth Risk Behavior Survey. www.cdc.gov/yrbs.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.5. Prevalence of Tobacco Use-related
Measures among Adults, 2010
100
North Carolina
Percent of Population
90
United States
80
70
60.5
60
52.4
50
40
30
20
19.8
17.3
10
0
Current Cigarette Smoking
Tried to Quit Smoking in Past Year
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011. Extracted by: Heart Disease and Stroke Prevention Branch, 08/2012 and National
Centers for Disease Control and Prevention, 2011. Quitting Smoking Among Adults--- United States, 2001--2010. MMWR 2011; 60 (No.
44): 1514.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.6. Prevalence of Tobacco Use-related
Measures among Students
100
Percent of Population
90
NC Middle School (2011)
US Middle School (2009)
NC High School (2011)
US High School (2009)
80
70
60
50
40
30
22.5
15.5
20
10
4.2
23.9
17.2
5.2
7.4
8.2
0
Current Cigarette Smoking
Any Current Tobacco Use
N.C. Data Source: 2011 North Carolina Youth Tobacco Survey. http://www.tobaccopreventionandcontrol.ncdhhs.gov/data/yts/yts11/NCYTS-SummaryTablesStatewide-2011-051512FINAL.pdf.
U.S. Data Source: Centers for Disease Control and Prevention. Tobacco Use Among Middle and High School Students --- United States,
2000--2009. MMWR 2010; 59(No. 33): 1064. http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5933a2.htm.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.7. Prevalence of Overweight and Obesity among
Adults, 2010
100
North Carolina
Percent of Population
90
United States
80
65.3
70
63.8
60
50
40
36.7
36.2
28.6
30
27.6
20
10
0
Overweight
Obese
Overweight or Obese
Overweight: BMI >= 25.0 and <30.0; Obese: BMI >= 30.0; Overweight or Obese: BMI >= 25.0.
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011 and National Behavioral Risk Factor Surveillance System Data, Center for Disease
Control & Prevention. Extracted by: Heart Disease and Stroke Prevention Branch, 08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.8. Prevalence of Overweight and Obesity
among High School Students, 2011
100
North Carolina
Percent of Population
90
United States
80
70
60
50
40
30
20
15.9
15.2
13.0
12.9
10
0
Overweight
Obese
Overweight: BMI >= 85th and <95th Percentile; Obese: BMI >= 95th Percentile.
Data Source: Centers for Disease Control and Prevention. 2011 Youth Risk Behavior Survey. Available at: www.cdc.gov/yrbs. Accessed
on 8/17/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.9. Prevalence of Overweight and Obesity among
Children seen in N.C. Public Health Clinics by Age Group
100
Percent of Population
90
Overweight
Obese
80
70
60
50
40
17.1
30
20
10
18.1
16.1
25.8
28
5-11 Years
12-18 Years
15.6
0
2-4 Years (2010)
Overweight: BMI >= 85th and <95th Percentile; Obese: BMI >= 95th Percentile; Overweight or At-risk for Overweight: BMI >= 85th
Percentile.
Data from age group 2-4 years are from 2010, all other age groups are from 2009 data.
Data Source: N.C. Nutrition and Physical Activity Surveillance System data. http://www.nutritionnc.com/nutrsurv.htm
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.10. Prevalence of Diagnosed Diabetes among
Adults, 2010
100
Percent of Population
90
80
70
60
50
40
30
20
10
9.8
8.7
North Carolina
United States
0
Adults = ages 18+ years.
Data Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, SCHS Online Database, 2011 and National Behavioral Risk Factor Surveillance System Data, Center for Disease
Control & Prevention. Extracted by: Heart Disease and Stroke Prevention Branch, 08/2012.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force
Figure 8.11. Estimated Number of Adults with Chronic
High Blood Glucose Levels, N.C., 2010
Number of Adults
3,500,000
3,000,000
2,500,000
Pre-Diabetes
Undiagnosed Diabetes
Diagnosed Diabetes
2,442,000+
2,000,000
1,500,000
1,000,000
500,000
461,000 *
223,000++
711,000 **
711,000 **
NC BRFSS
National
0
*Estimate is based on self-report of diagnosed pre-diabetes in the 2010 NC BRFSS survey.
**Estimate is based on self-report of diagnosed diabetes in the 2010 NC BRFSS survey.
+Estimate is obtained by applying the estimated national prevalence of pre-diabetes among adults 20 years or older of 35 percent
(National Diabetes fact sheet, 2011) to the 2010 NC population of the same age group.
++Estimate is obtained by applying the estimated national prevalence of undiagnosed diabetes among adults 20 years or older of 3.2
percent (National Diabetes fact sheet, 2011) to the 2010 NC population of the same age group.
N.C. Source: North Carolina Division of Public Health, State Center for Health Statistics. North Carolina Behavioral Risk Factor
Surveillance System, 2012 and National Behavioral Risk Factor Surveillance System Data, Center for Disease Control & Prevention.
Extracted by: Heart Disease and Stroke Branch: 08/2012.
U.S. Source: Center for Disease Control and Prevention. National diabetes facts sheet: national estimates and general information on
diabetes and pre-diabetes in the United States, 2011. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease
Control and Prevention, 2011.
The Burden of CVD in N.C. – September, 2012
N.C. Justus-Warren Heart Disease & Stroke Prevention Task Force