Trends in Cause-Specific Mortality by Race and Hispanic Origin, 1999–2019

by Javier Meseguer
Social Security Bulletin, Vol. 84 No. 2, 2024

Given the length of this special article, it is divided into multiple web pages to ease navigation.

Article contents:

Introduction
U.S. Population by RE Group
An Overview of Mortality Cause Categories
Geographic Variation in All-Cause Mortality
Diseases of the Circulatory System
Neoplasms
Diseases of the Respiratory System
External Causes of Mortality
Diseases of the Nervous System
Endocrine, Nutritional, and Metabolic Diseases
Mental and Behavioral Disorders
Diseases of the Digestive System
Diseases of the Genitourinary System (this section)
Infectious and Parasitic Diseases
Other Causes of Death
Summary
Notes and References

Notes on the Mortality Charts

The charts that follow depict mortality experiences by cause in the period 1999–2019 and compare the patterns across various groups.

RE groups

WNH
Black (may be Hispanic)
Hispanic (any race)
Asian (may be Hispanic)

Age groups

Younger ages (0–24)
Midlife ages (25–64)
Aged (65 or older)
All ages combined

Sex

Males/men
Females/women

An RE/sex group is one of the eight possible combinations of RE group and sex.

An RE/age group is one of the 16 possible combinations of RE group and age group.

A population group is one of the 32 possible combinations of RE group, age group, and sex.

Because the population sizes of the groups and subgroups vary widely, so do their respective death counts. Charts showing death counts often use different vertical axis scales for each RE group to provide proportional comparisons. Likewise, charts showing mortality rates by cause may use different vertical axis scales for age groups with widely varying rates.

All mortality rates are age-adjusted and are shown per 100,000 population.

The text that accompanies the charts sometimes cites figures that are not shown, or are difficult to discern, in the charts.

Diseases of the Genitourinary System

Across RE groups, mortality caused by diseases of the genitourinary system ranged in 2019 from 2.4 percent of all deaths among WNH people to 3.5 percent of those among Black people. This section examines the three genitourinary system disease subcategories listed in Box 10.

Box 10.Genitourinary system disease cause-of-death subcategories

Formal title	Brief title	ICD code(s)
Renal failure	Renal failure	N17–N19
Other disorders of the urinary system	Other urinary system disorders	N30–N39
All other diseases of the genitourinary system	Other genitourinary system diseases	. . .
Glomerular diseases	. . .	N00–N07
Renal tubulo-interstitial diseases	. . .	N10–N15
Urolithiasis	. . .	N20–N23
Other disorders of the kidney and ureter	. . .	N25–N28
Diseases of male genital organs	. . .	N40–N50
Disorders of the breast	. . .	N60–N64
Inflammatory diseases of the female pelvic organs	. . .	N70–N76
Noninflammatory disorders of the female genital tract	. . .	N80–N98
SOURCE: ICD-10.
NOTE: . . . = not applicable.

Chart 35 shows the number and percentage distribution of genitourinary system disease deaths by subcategory for 1999 and 2019, with detail by RE group and age. Renal failure is the most common of these causes of death, ranging in 2019 from 66.2 percent of all genitourinary system–related deaths among WNH individuals to 78.3 percent of such deaths in the Black population. The share of genitourinary system–related deaths caused by renal failure increased slightly over the observation period and was lower for the WNH populations than in the other RE groups, regardless of sex. For instance, in 2019, renal failure accounted for 79.5 percent and 77.2 percent of all-ages genitourinary system–related deaths among Black males and females, respectively, but for only 70.0 percent of those deaths among WNH males and 62.5 percent of those among WNH females. The percentage of genitourinary system–related deaths caused by renal failure rises with age until about midlife then declines at older ages.

Notes on the Mortality Charts Chart 35. Four panels, each with four area charts. Consolidated tabular version below.

Show as table

Table equivalent for Chart 35. Genitourinary system diseases: Number and percentage distribution of deaths by cause-of-death subcategory, by RE group and age, 1999 and 2019
Age	Renal failure	Other urinary system disorders	Other genitourinary system diseases
	1999
	WNH
0	79	(X)	12
1	(X)	(X)	(X)
2	(X)	0	(X)
3	(X)	0	(X)
4	0	(X)	0
5	(X)	0	(X)
6	(X)	(X)	(X)
7	(X)	(X)	0
8	(X)	0	(X)
9	0	0	0
10	(X)	0	0
11	(X)	(X)	0
12	(X)	0	(X)
13	(X)	(X)	(X)
14	(X)	0	0
15	(X)	0	(X)
16	(X)	(X)	0
17	(X)	0	(X)
18	(X)	0	(X)
19	(X)	(X)	0
20	(X)	0	(X)
21	(X)	(X)	0
22	(X)	0	0
23	(X)	(X)	(X)
24	(X)	(X)	(X)
25	(X)	(X)	(X)
26	(X)	0	0
27	(X)	(X)	(X)
28	10	(X)	(X)
29	(X)	(X)	(X)
30	(X)	(X)	(X)
31	(X)	(X)	(X)
32	14	(X)	(X)
33	18	(X)	(X)
34	20	(X)	(X)
35	17	(X)	(X)
36	25	(X)	(X)
37	21	(X)	(X)
38	20	(X)	(X)
39	29	(X)	(X)
40	29	(X)	(X)
41	42	(X)	(X)
42	40	(X)	(X)
43	37	(X)	(X)
44	42	(X)	10
45	47	13	16
46	49	(X)	(X)
47	45	12	(X)
48	55	11	13
49	61	17	(X)
50	77	13	14
51	80	(X)	15
52	97	15	26
53	83	15	17
54	85	14	17
55	106	18	24
56	111	22	17
57	123	24	22
58	145	34	21
59	142	28	23
60	173	22	31
61	164	29	20
62	189	48	27
63	174	51	23
64	265	51	23
65	284	45	26
66	290	50	22
67	358	63	40
68	351	99	28
69	424	98	45
70	455	116	42
71	526	115	54
72	560	178	52
73	629	178	59
74	737	211	66
75	746	242	71
76	833	295	87
77	807	310	95
78	956	355	103
79	975	375	93
80	939	456	92
81	948	439	112
82	1,041	521	121
83	1,034	544	104
84	1,000	553	127
85	1,023	571	136
86	979	592	104
87	983	573	118
88	919	607	103
89	817	596	102
90	764	549	79
91	724	544	80
92	629	472	77
93	538	408	58
94	436	349	51
95	368	276	39
96	272	231	33
97	220	191	28
98	148	124	19
99	119	108	16
100	193	192	22
	Hispanic
0	19	(X)	(X)
1	0	0	0
2	(X)	0	0
3	0	0	(X)
4	(X)	0	(X)
5	0	0	0
6	(X)	0	(X)
7	0	0	0
8	(X)	(X)	(X)
9	0	0	0
10	(X)	0	(X)
11	0	0	0
12	0	0	0
13	0	0	(X)
14	(X)	0	(X)
15	0	0	0
16	0	0	0
17	0	0	0
18	0	0	0
19	(X)	(X)	0
20	(X)	(X)	0
21	0	0	0
22	0	0	0
23	(X)	0	0
24	(X)	0	(X)
25	(X)	0	(X)
26	(X)	(X)	0
27	(X)	0	(X)
28	(X)	(X)	0
29	(X)	(X)	(X)
30	0	0	(X)
31	(X)	0	0
32	(X)	0	0
33	(X)	0	0
34	(X)	0	0
35	(X)	(X)	0
36	(X)	0	0
37	(X)	0	(X)
38	(X)	0	(X)
39	(X)	0	(X)
40	(X)	(X)	(X)
41	(X)	(X)	(X)
42	(X)	(X)	(X)
43	(X)	(X)	0
44	14	(X)	(X)
45	13	(X)	(X)
46	(X)	(X)	(X)
47	(X)	0	(X)
48	(X)	(X)	(X)
49	12	(X)	(X)
50	12	(X)	(X)
51	14	0	(X)
52	(X)	(X)	(X)
53	12	(X)	0
54	13	(X)	(X)
55	14	(X)	(X)
56	16	(X)	(X)
57	24	(X)	0
58	11	(X)	(X)
59	28	(X)	(X)
60	21	(X)	(X)
61	30	(X)	(X)
62	22	(X)	(X)
63	27	0	(X)
64	29	(X)	(X)
65	28	(X)	(X)
66	29	(X)	(X)
67	32	(X)	(X)
68	31	(X)	(X)
69	43	(X)	(X)
70	39	(X)	(X)
71	39	10	(X)
72	44	14	(X)
73	29	15	(X)
74	42	11	(X)
75	51	(X)	(X)
76	51	16	(X)
77	47	(X)	(X)
78	38	20	(X)
79	47	14	(X)
80	30	13	(X)
81	31	20	(X)
82	38	15	(X)
83	38	23	(X)
84	46	10	(X)
85	42	12	(X)
86	26	22	(X)
87	37	20	(X)
88	25	11	(X)
89	34	18	(X)
90	21	17	(X)
91	20	10	(X)
92	32	13	(X)
93	14	12	(X)
94	22	11	0
95	18	(X)	(X)
96	(X)	11	(X)
97	(X)	(X)	0
98	(X)	(X)	(X)
99	(X)	0	0
100	(X)	(X)	(X)
	Black
0	58	(X)	(X)
1	0	0	(X)
2	0	0	(X)
3	0	0	0
4	(X)	0	(X)
5	0	0	(X)
6	(X)	0	0
7	0	0	0
8	0	0	0
9	(X)	0	0
10	0	0	0
11	(X)	0	(X)
12	0	0	0
13	(X)	(X)	(X)
14	(X)	0	0
15	(X)	0	0
16	(X)	0	0
17	(X)	(X)	(X)
18	(X)	0	(X)
19	(X)	0	(X)
20	(X)	0	0
21	(X)	(X)	(X)
22	(X)	0	(X)
23	(X)	0	0
24	(X)	(X)	(X)
25	(X)	0	(X)
26	(X)	0	(X)
27	10	(X)	(X)
28	(X)	(X)	(X)
29	(X)	(X)	(X)
30	10	(X)	(X)
31	12	(X)	0
32	12	0	0
33	14	0	(X)
34	13	(X)	(X)
35	19	(X)	(X)
36	29	(X)	(X)
37	27	(X)	(X)
38	16	(X)	0
39	21	(X)	(X)
40	28	(X)	(X)
41	34	(X)	(X)
42	25	(X)	(X)
43	49	(X)	(X)
44	49	(X)	(X)
45	39	(X)	0
46	45	(X)	(X)
47	65	(X)	(X)
48	50	(X)	(X)
49	68	(X)	(X)
50	69	(X)	(X)
51	58	(X)	(X)
52	63	(X)	10
53	71	(X)	(X)
54	74	(X)	10
55	61	(X)	(X)
56	84	(X)	(X)
57	72	(X)	(X)
58	83	(X)	(X)
59	74	(X)	11
60	93	11	(X)
61	99	10	10
62	111	15	(X)
63	93	14	(X)
64	98	18	10
65	110	18	12
66	129	29	(X)
67	148	21	13
68	138	17	(X)
69	167	27	12
70	177	23	17
71	154	26	(X)
72	169	35	11
73	170	41	16
74	185	42	14
75	171	42	(X)
76	183	53	12
77	188	58	15
78	175	53	17
79	185	59	12
80	192	54	10
81	195	58	23
82	143	47	(X)
83	142	60	10
84	164	52	(X)
85	157	60	14
86	153	69	22
87	157	56	10
88	130	56	11
89	119	62	(X)
90	102	49	(X)
91	87	51	(X)
92	70	52	11
93	77	45	(X)
94	56	38	(X)
95	55	30	(X)
96	44	26	(X)
97	27	19	0
98	21	21	(X)
99	25	18	(X)
100	54	32	(X)
	API
0	(X)	0	(X)
1	(X)	0	0
2	0	0	0
3	0	0	0
4	0	0	0
5	0	0	0
6	0	0	0
7	0	0	0
8	0	0	0
9	0	0	0
10	(X)	0	0
11	0	0	0
12	0	0	0
13	0	0	0
14	0	0	0
15	0	0	0
16	0	0	0
17	0	0	0
18	0	(X)	0
19	0	0	0
20	0	0	0
21	0	0	0
22	0	0	0
23	0	0	0
24	0	0	0
25	0	0	0
26	0	0	(X)
27	(X)	0	0
28	(X)	0	0
29	(X)	0	0
30	(X)	0	0
31	(X)	0	0
32	(X)	0	0
33	0	0	(X)
34	0	(X)	0
35	(X)	0	(X)
36	0	0	(X)
37	0	0	(X)
38	0	0	0
39	(X)	(X)	0
40	(X)	0	0
41	(X)	0	0
42	(X)	0	0
43	(X)	0	0
44	0	0	0
45	(X)	(X)	0
46	(X)	0	0
47	(X)	0	0
48	(X)	0	(X)
49	(X)	0	(X)
50	(X)	0	(X)
51	(X)	0	(X)
52	(X)	0	0
53	(X)	0	0
54	(X)	0	(X)
55	(X)	(X)	0
56	(X)	0	(X)
57	(X)	0	0
58	(X)	(X)	(X)
59	(X)	0	(X)
60	10	0	(X)
61	(X)	(X)	0
62	(X)	(X)	(X)
63	10	(X)	0
64	(X)	0	(X)
65	10	0	(X)
66	(X)	(X)	(X)
67	14	(X)	(X)
68	(X)	(X)	(X)
69	(X)	(X)	(X)
70	16	(X)	(X)
71	10	(X)	(X)
72	16	(X)	0
73	20	(X)	(X)
74	13	(X)	(X)
75	20	(X)	(X)
76	18	(X)	(X)
77	17	(X)	(X)
78	16	(X)	(X)
79	11	(X)	(X)
80	18	(X)	(X)
81	22	(X)	(X)
82	18	(X)	(X)
83	12	10	(X)
84	20	(X)	(X)
85	18	(X)	(X)
86	19	(X)	0
87	19	(X)	0
88	14	10	(X)
89	13	10	0
90	14	(X)	0
91	(X)	(X)	0
92	10	(X)	(X)
93	(X)	(X)	(X)
94	(X)	(X)	(X)
95	(X)	(X)	(X)
96	(X)	(X)	0
97	(X)	(X)	0
98	(X)	0	0
99	(X)	(X)	0
100	0	0	0
	2019
	WNH
0	21	(X)	(X)
1	0	(X)	(X)
2	(X)	0	0
3	0	0	(X)
4	0	0	(X)
5	0	0	(X)
6	0	0	0
7	0	0	0
8	(X)	0	0
9	(X)	0	0
10	0	0	(X)
11	(X)	0	(X)
12	(X)	0	0
13	0	0	(X)
14	0	(X)	0
15	0	0	(X)
16	(X)	(X)	0
17	(X)	0	0
18	(X)	(X)	0
19	(X)	(X)	0
20	(X)	(X)	(X)
21	(X)	0	0
22	(X)	0	(X)
23	(X)	0	0
24	(X)	(X)	(X)
25	(X)	(X)	(X)
26	(X)	0	(X)
27	(X)	(X)	(X)
28	(X)	(X)	(X)
29	16	0	(X)
30	17	(X)	(X)
31	11	(X)	(X)
32	14	(X)	(X)
33	19	(X)	(X)
34	11	(X)	(X)
35	26	(X)	11
36	17	(X)	(X)
37	27	(X)	(X)
38	22	(X)	14
39	25	(X)	(X)
40	30	(X)	(X)
41	30	(X)	(X)
42	26	(X)	20
43	28	(X)	11
44	55	(X)	14
45	56	(X)	10
46	66	(X)	16
47	74	(X)	15
48	89	(X)	17
49	100	13	27
50	104	11	31
51	120	30	29
52	119	25	28
53	139	20	30
54	173	30	33
55	158	35	51
56	235	26	62
57	241	42	71
58	269	44	78
59	285	70	71
60	331	56	82
61	384	69	91
62	386	74	100
63	424	78	92
64	460	108	110
65	519	92	117
66	546	106	113
67	536	100	131
68	567	127	129
69	598	136	137
70	678	157	144
71	832	192	170
72	945	226	184
73	777	199	184
74	765	212	173
75	880	224	168
76	956	259	199
77	924	241	201
78	997	242	226
79	907	270	213
80	1,023	292	200
81	1,071	330	271
82	1,114	290	236
83	1,149	307	258
84	1,200	346	257
85	1,047	350	228
86	1,147	360	253
87	1,145	376	254
88	1,116	387	284
89	1,184	376	229
90	1,102	373	272
91	1,014	379	228
92	1,006	354	233
93	836	302	194
94	761	299	198
95	614	253	123
96	508	222	115
97	392	177	88
98	294	123	59
99	205	82	45
100	358	157	72
	Hispanic
0	12	(X)	(X)
1	(X)	0	0
2	(X)	0	0
3	(X)	0	0
4	0	0	(X)
5	0	0	0
6	(X)	0	(X)
7	0	0	0
8	0	0	0
9	(X)	0	0
10	0	0	(X)
11	0	0	0
12	0	0	0
13	0	0	0
14	(X)	0	0
15	(X)	0	(X)
16	0	0	0
17	0	(X)	0
18	(X)	0	0
19	(X)	0	0
20	0	0	(X)
21	(X)	0	0
22	(X)	(X)	(X)
23	(X)	(X)	(X)
24	0	0	(X)
25	(X)	0	0
26	(X)	0	0
27	(X)	0	(X)
28	(X)	(X)	0
29	(X)	0	0
30	(X)	0	(X)
31	(X)	0	(X)
32	(X)	0	(X)
33	(X)	0	(X)
34	(X)	(X)	(X)
35	(X)	0	(X)
36	10	0	(X)
37	10	(X)	(X)
38	12	(X)	(X)
39	10	(X)	(X)
40	15	0	(X)
41	12	(X)	(X)
42	12	0	0
43	13	(X)	0
44	19	(X)	(X)
45	24	0	(X)
46	15	(X)	10
47	26	(X)	(X)
48	27	(X)	(X)
49	25	(X)	11
50	35	(X)	(X)
51	49	(X)	(X)
52	37	(X)	(X)
53	39	(X)	(X)
54	47	(X)	(X)
55	46	(X)	(X)
56	49	(X)	(X)
57	57	(X)	(X)
58	65	(X)	14
59	71	11	(X)
60	63	(X)	11
61	76	10	18
62	89	12	10
63	77	(X)	12
64	86	(X)	(X)
65	97	13	11
66	95	15	19
67	88	10	10
68	100	(X)	(X)
69	106	(X)	(X)
70	113	10	16
71	112	13	19
72	119	11	14
73	125	14	16
74	120	20	14
75	105	13	16
76	112	16	17
77	109	21	13
78	122	19	12
79	105	21	14
80	118	17	16
81	105	20	20
82	128	32	22
83	123	22	17
84	122	28	12
85	113	22	12
86	108	23	17
87	103	23	12
88	93	34	13
89	93	19	15
90	102	21	20
91	74	30	15
92	68	14	(X)
93	53	19	(X)
94	52	14	11
95	27	11	(X)
96	34	(X)	(X)
97	21	11	(X)
98	(X)	(X)	(X)
99	12	(X)	(X)
100	21	(X)	(X)
	Black
0	21	(X)	(X)
1	0	(X)	(X)
2	0	0	0
3	0	0	0
4	0	0	0
5	0	(X)	0
6	(X)	(X)	0
7	0	0	0
8	0	0	0
9	0	0	0
10	0	0	(X)
11	0	0	0
12	(X)	0	0
13	0	0	0
14	0	0	(X)
15	(X)	0	0
16	(X)	(X)	0
17	0	0	(X)
18	(X)	(X)	(X)
19	(X)	0	(X)
20	0	(X)	0
21	(X)	(X)	(X)
22	0	0	(X)
23	(X)	0	(X)
24	(X)	0	0
25	(X)	0	(X)
26	(X)	0	(X)
27	10	0	0
28	14	0	(X)
29	(X)	0	(X)
30	(X)	0	(X)
31	14	0	0
32	17	0	(X)
33	16	(X)	(X)
34	17	(X)	(X)
35	19	0	(X)
36	25	(X)	(X)
37	16	0	(X)
38	23	0	(X)
39	33	(X)	(X)
40	27	0	(X)
41	27	(X)	(X)
42	35	(X)	(X)
43	40	(X)	(X)
44	53	(X)	(X)
45	47	0	(X)
46	57	(X)	13
47	57	(X)	12
48	73	0	13
49	64	(X)	(X)
50	74	(X)	13
51	69	(X)	15
52	109	(X)	15
53	100	(X)	(X)
54	118	(X)	22
55	124	12	18
56	119	(X)	18
57	147	11	19
58	140	20	22
59	143	16	24
60	161	13	20
61	191	22	30
62	205	17	26
63	250	24	32
64	210	13	33
65	240	25	31
66	238	16	35
67	217	35	36
68	237	22	23
69	262	26	21
70	276	31	36
71	257	41	35
72	273	26	33
73	235	32	29
74	232	31	29
75	266	31	28
76	238	33	46
77	261	35	42
78	240	29	33
79	239	45	35
80	238	31	33
81	234	29	37
82	225	52	36
83	271	38	22
84	253	38	42
85	225	42	33
86	220	42	28
87	208	31	33
88	192	35	29
89	196	37	26
90	152	34	24
91	146	31	22
92	138	27	27
93	92	20	21
94	70	32	16
95	70	18	(X)
96	49	16	17
97	48	14	10
98	36	10	(X)
99	20	(X)	(X)
100	54	20	(X)
	API
0	(X)	0	(X)
1	0	0	0
2	0	0	0
3	0	0	0
4	0	0	0
5	0	0	0
6	0	0	0
7	0	0	0
8	0	0	0
9	0	0	(X)
10	0	0	0
11	0	0	0
12	0	0	0
13	0	0	0
14	0	0	0
15	(X)	0	0
16	0	0	0
17	0	0	0
18	0	0	0
19	0	0	0
20	(X)	0	0
21	0	0	0
22	0	0	0
23	0	0	0
24	0	0	0
25	0	0	0
26	(X)	0	0
27	0	0	0
28	0	0	(X)
29	(X)	0	0
30	0	0	0
31	0	(X)	0
32	(X)	0	0
33	(X)	(X)	0
34	0	0	(X)
35	(X)	0	0
36	(X)	0	0
37	(X)	0	(X)
38	(X)	0	0
39	(X)	0	(X)
40	(X)	0	(X)
41	(X)	0	(X)
42	(X)	(X)	0
43	(X)	0	(X)
44	(X)	(X)	(X)
45	(X)	0	0
46	(X)	0	(X)
47	(X)	0	(X)
48	(X)	0	(X)
49	(X)	(X)	(X)
50	(X)	(X)	(X)
51	(X)	(X)	(X)
52	(X)	(X)	0
53	10	(X)	0
54	(X)	0	0
55	(X)	0	(X)
56	13	(X)	(X)
57	(X)	0	(X)
58	13	(X)	(X)
59	(X)	0	(X)
60	17	(X)	(X)
61	(X)	(X)	(X)
62	20	(X)	(X)
63	29	(X)	(X)
64	21	(X)	(X)
65	21	(X)	(X)
66	24	(X)	(X)
67	24	(X)	(X)
68	32	(X)	(X)
69	29	(X)	(X)
70	46	(X)	(X)
71	54	(X)	(X)
72	32	(X)	(X)
73	43	(X)	(X)
74	48	(X)	0
75	47	(X)	(X)
76	54	(X)	(X)
77	29	(X)	(X)
78	50	11	(X)
79	59	(X)	(X)
80	40	(X)	10
81	54	(X)	(X)
82	58	11	(X)
83	79	12	(X)
84	50	12	(X)
85	54	(X)	10
86	48	11	(X)
87	48	18	(X)
88	55	11	(X)
89	51	15	(X)
90	51	(X)	11
91	47	11	(X)
92	31	16	(X)
93	25	10	(X)
94	33	(X)	(X)
95	21	(X)	0
96	23	(X)	(X)
97	16	(X)	(X)
98	(X)	(X)	(X)
99	(X)	(X)	(X)
100	21	(X)	(X)
SOURCE: Author's calculations based on CDC WONDER.
NOTES: This table equivalent omits the percentage distributions displayed in the chart. (X) = suppressed to avoid disclosing information about particular individuals.

Chart 36 shows age-adjusted death rates for 1999–2019 by RE group, sex, and age group. Panel A shows the rates for genitourinary system diseases overall.

Notes on the Mortality Charts Chart 36. Four panels, each with four line charts. Consolidated tabular version below.

Show as table

Table equivalent for Chart 36. Genitourinary system diseases: Age-adjusted mortality rates, by cause-of-death subcategory, RE group, sex, and age group, 1999–2019
Year	All ages								Ages 65 or older								Ages 25–64								Ages 0–24
	Males				Females				Males				Females				Males				Females				Males				Females
	WNH	Hispanic	Black	API	WNH	Hispanic	Black	API	WNH	Hispanic	Black	API	WNH	Hispanic	Black	API	WNH	Hispanic	Black	API	WNH	Hispanic	Black	API	WNH	Hispanic	Black	API	WNH	Hispanic	Black	API
	Panel A: All genitourinary system diseases
1999	20.7	20.0	44.6	15.8	16.0	15.5	34.2	12.1	148.3	134.4	284.1	112.9	113.0	105.6	215.6	86.0	3.6	5.5	16.2	2.8	3.1	4.0	12.7	2.3	0.3	0.3	0.7	0.2	0.3	0.2	0.9	0.3
2000	21.4	18.5	42.6	13.3	16.2	15.9	34.8	11.6	152.3	126.0	263.5	93.6	114.1	108.4	220.7	83.2	3.9	4.8	17.3	2.7	3.2	4.2	12.7	2.0	0.3	0.4	0.7	0.2	0.3	0.2	0.8	0.2
2001	21.8	18.9	43.5	13.6	16.7	16.6	36.3	11.4	155.6	128.4	273.3	95.1	117.6	112.9	228.6	78.5	4.0	4.9	16.7	2.9	3.4	4.2	13.7	2.7	0.2	0.3	0.6	0.1	0.3	0.2	0.6	0.1
2002	22.1	18.3	45.7	13.2	16.9	15.4	35.1	11.1	158.3	123.8	287.6	92.8	119.3	103.8	221.4	77.7	3.9	4.9	17.4	2.7	3.4	4.2	13.2	2.3	0.3	0.3	0.7	0.2	0.2	0.3	0.7	0.2
2003	22.3	20.2	45.6	11.5	17.1	16.1	35.8	10.3	158.2	136.6	281.6	80.7	119.9	108.0	224.8	73.6	4.2	5.4	18.7	2.3	3.5	4.5	13.7	1.9	0.3	0.3	0.9	0.2	0.3	0.3	0.8	0.0
2004	22.0	20.1	44.6	14.3	17.0	15.8	35.5	10.2	155.5	134.6	276.5	100.4	119.3	107.5	221.5	73.8	4.3	5.6	17.9	2.8	3.5	4.1	14.0	1.7	0.3	0.4	0.9	0.3	0.2	0.3	0.6	0.1
2005	22.5	20.2	44.0	13.9	17.4	15.8	35.8	11.1	158.9	136.2	271.4	98.4	122.8	107.8	229.6	79.1	4.5	5.5	18.1	2.7	3.4	3.9	12.6	2.0	0.3	0.3	0.7	0.0	0.3	0.3	0.6	0.1
2006	22.3	20.9	44.3	14.0	17.1	16.7	35.3	11.4	156.1	141.2	276.6	100.1	120.1	113.4	225.1	80.7	4.6	5.7	17.6	2.4	3.6	4.3	12.9	2.3	0.4	0.3	0.5	0.3	0.2	0.3	0.5	0.2
2007	22.3	20.4	42.7	15.0	17.3	16.4	34.9	10.9	157.3	138.5	268.1	104.4	120.6	111.7	220.4	79.3	4.4	5.5	16.5	3.3	3.7	4.2	13.2	1.5	0.3	0.3	0.7	0.1	0.3	0.3	0.6	0.2
2008	21.7	19.9	41.8	12.8	16.0	15.9	32.9	10.6	151.9	133.0	260.8	89.1	112.0	105.9	207.3	75.1	4.6	5.7	16.7	2.8	3.5	4.6	12.5	2.1	0.2	0.2	0.6	0.2	0.2	0.3	0.6	0.1
2009	21.2	20.2	40.6	13.3	15.9	15.6	32.7	11.4	148.6	134.1	255.2	93.9	110.2	105.4	207.0	82.4	4.5	6.1	15.7	2.7	3.7	4.2	12.3	1.8	0.2	0.2	0.6	0.1	0.2	0.2	0.6	0.2
2010	21.8	20.6	40.3	13.4	16.2	15.7	32.3	10.4	153.8	139.7	253.2	94.7	112.2	106.0	203.3	73.4	4.5	5.5	15.7	2.5	3.7	4.2	12.3	2.1	0.2	0.3	0.4	0.4	0.2	0.2	0.5	0.2
2011	20.0	16.6	36.7	12.3	14.9	13.4	28.6	9.0	140.5	110.8	229.3	87.6	103.5	91.6	181.8	63.9	4.2	4.9	14.5	2.2	3.4	3.5	10.5	1.8	0.2	0.2	0.5	0.1	0.2	0.2	0.5	0.0
2012	19.5	17.4	36.3	11.4	14.7	12.9	28.1	9.8	136.1	115.6	226.6	80.0	101.7	86.9	175.5	70.0	4.2	5.2	14.6	2.4	3.5	3.7	11.1	1.8	0.2	0.2	0.3	0.1	0.2	0.1	0.4	0.1
2013	19.7	17.0	36.4	12.1	15.0	13.0	27.6	9.8	136.8	115.2	225.6	84.4	103.1	86.6	174.7	69.1	4.4	4.6	14.9	2.6	3.7	3.8	10.4	2.0	0.2	0.2	0.4	0.2	0.2	0.1	0.3	0.0
2014	20.0	17.0	35.4	12.8	15.1	12.9	27.8	9.4	138.7	114.1	219.5	90.5	103.9	86.6	175.7	67.4	4.7	4.9	14.4	2.5	3.6	3.6	10.5	1.6	0.2	0.2	0.4	0.1	0.2	0.1	0.4	0.1
2015	20.5	16.9	37.6	12.1	15.4	13.3	28.3	10.1	141.4	111.3	233.2	83.3	105.2	90.2	176.8	71.7	4.9	5.3	15.4	2.8	3.9	3.5	11.0	2.0	0.2	0.2	0.4	0.2	0.2	0.1	0.5	0.0
2016	20.2	17.0	36.8	12.2	15.3	13.3	28.6	9.8	138.9	111.5	227.4	85.0	104.0	88.3	178.1	70.0	5.1	5.4	15.4	2.7	4.0	4.0	11.4	1.8	0.1	0.1	0.3	0.1	0.2	0.2	0.4	0.1
2017	20.1	16.8	37.0	12.8	15.2	13.3	28.0	9.7	137.6	110.7	227.8	87.9	103.2	88.6	172.4	68.5	5.0	5.4	15.6	3.2	4.0	4.0	11.8	1.8	0.2	0.2	0.4	0.2	0.2	0.2	0.3	0.1
2018	20.0	17.6	37.8	12.5	14.9	13.3	27.3	9.2	135.8	113.6	233.1	84.3	100.8	88.8	168.8	64.9	5.3	6.2	15.8	3.5	4.1	3.9	11.3	1.8	0.2	0.2	0.4	0.1	0.2	0.2	0.3	0.2
2019	19.5	17.5	36.9	12.5	14.8	13.5	26.7	9.6	131.8	113.2	225.4	85.3	98.9	89.8	164.0	68.7	5.3	6.1	16.0	3.2	4.3	4.0	11.1	1.8	0.2	0.2	0.3	0.1	0.2	0.2	0.4	0.1
	Panel B: Renal failure
1999	14.5	14.9	33.0	11.4	9.3	9.7	24.9	8.0	102.8	99.1	203.2	79.7	64.3	63.9	151.9	56.0	2.8	4.4	13.8	2.3	2.1	2.9	10.5	1.6	0.2	0.2	0.5	0.2	0.2	0.1	0.7	0.2
2000	15.2	13.6	32.6	8.9	9.7	10.2	25.6	7.3	107.2	91.0	194.3	61.0	67.2	67.7	156.2	51.8	3.1	3.9	14.9	2.2	2.3	3.1	10.8	1.3	0.2	0.3	0.7	0.1	0.1	0.2	0.5	0.1
2001	15.9	14.3	33.6	10.8	10.2	10.9	26.9	7.4	112.2	96.5	204.9	75.4	70.3	72.8	163.1	50.1	3.2	3.9	14.4	2.5	2.4	3.2	11.7	1.9	0.2	0.2	0.5	0.0	0.2	0.2	0.5	0.1
2002	16.2	14.1	35.7	10.4	10.5	10.3	26.2	7.5	115.1	93.4	217.3	72.3	72.7	66.8	161.3	51.4	3.0	4.2	15.4	2.2	2.5	3.4	10.8	1.8	0.2	0.3	0.6	0.2	0.2	0.2	0.5	0.2
2003	16.4	15.5	36.5	8.9	10.7	11.3	26.9	6.8	115.0	102.7	218.9	62.9	74.0	73.8	165.0	48.2	3.4	4.6	16.5	1.9	2.5	3.6	11.1	1.4	0.3	0.3	0.6	0.0	0.2	0.2	0.6	0.0
2004	16.0	14.7	34.8	10.4	10.7	10.7	26.7	7.0	112.2	96.1	209.5	71.5	73.7	70.6	161.9	50.0	3.3	4.6	15.5	2.4	2.5	3.3	11.7	1.3	0.2	0.3	0.8	0.3	0.1	0.2	0.5	0.0
2005	16.2	15.3	34.4	10.4	10.7	10.5	26.8	7.2	113.5	101.2	206.0	74.0	74.5	70.4	167.5	50.7	3.5	4.6	15.7	2.0	2.3	3.0	10.5	1.5	0.2	0.2	0.6	0.0	0.2	0.2	0.4	0.1
2006	16.0	15.3	34.3	10.5	10.5	11.3	26.5	7.4	110.7	101.3	208.2	74.8	72.6	75.1	164.7	51.6	3.7	4.6	15.0	1.9	2.4	3.3	10.7	1.7	0.3	0.2	0.4	0.1	0.1	0.2	0.4	0.1
2007	15.6	14.7	32.2	10.4	10.5	10.7	25.3	6.8	109.5	97.4	196.2	71.8	72.2	71.1	154.8	49.5	3.4	4.4	14.0	2.5	2.4	3.1	10.7	1.1	0.2	0.2	0.5	0.1	0.2	0.2	0.4	0.0
2008	15.6	14.8	31.6	9.6	10.4	10.9	24.6	6.8	107.9	98.0	192.2	66.4	71.6	71.1	151.2	48.4	3.5	4.6	13.8	2.3	2.4	3.5	10.2	1.4	0.2	0.2	0.4	0.2	0.2	0.2	0.5	0.0
2009	15.2	14.7	30.8	9.9	10.1	10.7	24.5	7.6	104.9	95.3	189.0	68.6	69.4	71.0	151.3	54.6	3.5	5.1	13.1	2.4	2.5	3.2	10.0	1.2	0.2	0.2	0.4	0.1	0.1	0.2	0.4	0.1
2010	15.3	15.5	29.8	9.8	10.1	10.6	23.4	7.2	106.3	103.4	183.0	68.5	68.9	70.6	144.5	50.0	3.4	4.5	12.7	2.0	2.5	3.1	9.7	1.6	0.1	0.2	0.3	0.3	0.1	0.2	0.4	0.1
2011	15.2	12.8	29.9	9.5	10.0	9.8	22.7	6.3	105.8	84.2	183.4	67.4	68.9	66.9	142.8	44.8	3.4	4.1	12.7	1.8	2.3	2.6	8.8	1.2	0.1	0.1	0.4	0.0	0.1	0.1	0.3	0.0
2012	14.6	13.5	29.3	9.0	9.8	9.3	22.2	7.1	101.8	88.9	179.8	63.7	67.5	62.4	136.9	50.8	3.4	4.3	12.5	1.8	2.3	2.7	9.1	1.3	0.1	0.1	0.2	0.1	0.1	0.1	0.4	0.1
2013	14.7	13.3	29.4	9.6	10.0	9.2	21.8	6.8	101.9	88.8	179.1	67.0	68.5	61.1	138.2	48.1	3.3	3.8	12.9	2.1	2.5	2.8	8.2	1.4	0.1	0.2	0.3	0.1	0.1	0.1	0.2	0.0
2014	14.9	13.2	28.5	10.2	9.8	9.3	21.6	6.6	102.5	87.2	173.9	71.4	67.4	62.5	135.6	47.4	3.6	4.0	12.4	2.2	2.3	2.7	8.4	1.1	0.1	0.2	0.4	0.1	0.1	0.1	0.2	0.0
2015	14.9	13.2	30.0	9.5	9.9	9.7	21.9	7.1	102.4	86.6	183.1	65.5	67.4	65.4	136.4	50.5	3.7	4.3	13.0	2.3	2.5	2.7	8.8	1.4	0.1	0.1	0.2	0.2	0.1	0.1	0.3	0.0
2016	14.5	13.3	28.9	9.2	9.7	9.7	21.9	6.9	98.9	86.2	175.0	63.7	65.9	64.1	135.2	48.9	3.8	4.5	12.9	2.1	2.6	3.0	9.1	1.3	0.1	0.1	0.2	0.1	0.1	0.1	0.3	0.1
2017	14.1	13.0	29.1	10.1	9.6	9.7	21.6	7.0	96.3	84.6	177.2	68.3	65.2	64.5	131.0	50.0	3.7	4.3	12.8	2.7	2.6	2.9	9.6	1.3	0.1	0.1	0.3	0.1	0.1	0.1	0.2	0.1
2018	14.1	13.8	29.9	9.8	9.3	9.7	20.8	6.8	95.3	87.9	181.8	65.3	63.0	63.7	128.5	48.6	3.9	5.1	13.2	3.0	2.5	3.0	8.7	1.3	0.1	0.1	0.3	0.1	0.1	0.1	0.2	0.1
2019	13.6	13.7	28.8	9.9	9.3	9.9	20.6	6.8	91.0	88.1	172.9	67.0	61.9	65.2	125.7	49.2	4.0	4.9	13.3	2.7	2.7	3.1	8.8	1.2	0.1	0.1	0.2	0.1	0.1	0.1	0.3	0.1
	Panel C: Other urinary system disorders
1999	4.4	3.5	8.5	3.3	5.6	4.5	7.3	3.3	33.1	26.1	62.3	25.5	42.3	33.5	53.3	25.3	0.4	0.4	1.1	0.2	0.5	0.6	1.1	0.2	0.0	0.0	0.0	0.0	0.0	0.1	0.0	0.0
2000	4.5	3.2	7.3	2.9	5.4	4.6	7.3	3.1	33.7	23.7	53.2	22.5	40.1	34.0	54.0	23.3	0.4	0.3	1.2	0.1	0.5	0.6	0.9	0.2	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.1
2001	4.3	3.1	7.4	1.9	5.4	4.5	7.7	3.1	31.9	22.3	54.3	14.7	40.8	33.4	56.6	23.7	0.4	0.6	1.0	0.1	0.6	0.6	1.0	0.3	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
2002	4.2	2.6	7.4	1.7	5.3	4.2	7.2	2.8	31.8	18.8	54.2	12.7	39.9	31.1	51.8	21.9	0.4	0.3	0.9	0.2	0.5	0.5	1.2	0.1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
2003	4.2	3.0	6.5	1.6	5.2	3.8	7.3	2.5	31.7	22.7	47.3	11.6	39.0	28.6	52.2	19.0	0.5	0.3	1.0	0.1	0.6	0.4	1.4	0.2	0.0	0.0	0.1	0.0	0.0	0.0	0.0	0.0
2004	4.2	3.8	7.1	2.4	5.2	4.2	6.9	2.7	31.3	28.5	51.0	18.5	38.8	31.5	49.8	20.5	0.4	0.4	1.2	0.2	0.6	0.4	1.2	0.1	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
2005	4.4	3.3	6.7	2.2	5.6	4.3	7.0	3.2	32.7	24.6	48.9	16.4	41.3	31.6	51.7	23.8	0.6	0.4	1.0	0.3	0.6	0.5	0.9	0.3	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
2006	4.1	3.6	6.4	1.8	5.3	4.2	6.5	2.9	30.8	25.8	45.6	13.5	38.9	30.7	46.8	22.0	0.5	0.5	1.1	0.1	0.6	0.5	1.0	0.3	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
2007	4.1	3.3	6.0	2.4	5.2	4.1	6.5	2.8	30.3	24.7	43.3	17.5	38.2	30.8	47.0	21.0	0.4	0.4	1.1	0.4	0.7	0.4	1.1	0.2	0.0	0.0	0.0	0.0	0.0	0.0	0.1	0.0
2008	3.2	2.3	5.2	1.4	3.8	3.2	4.8	2.4	24.0	16.2	37.4	10.5	27.7	23.7	34.1	17.4	0.4	0.4	0.8	0.2	0.5	0.4	0.8	0.4	0.0	0.0	0.0	0.0	0.0	0.1	0.0	0.0
2009	3.0	2.7	4.3	1.5	3.7	3.0	4.5	2.3	21.7	19.5	30.8	10.9	27.0	22.1	31.5	17.2	0.4	0.3	0.7	0.1	0.6	0.5	0.9	0.2	0.0	0.0	0.1	0.0	0.0	0.0	0.0	0.0
2010	3.0	2.1	4.2	1.7	3.8	2.9	4.3	1.5	22.3	15.0	29.9	12.7	27.0	21.0	30.3	11.0	0.4	0.4	0.9	0.1	0.7	0.5	1.0	0.1	0.0	0.0	0.1	0.0	0.0	0.0	0.0	0.0
2011	3.0	2.4	4.1	1.7	3.7	2.7	4.2	2.0	22.4	17.4	29.6	13.1	27.0	19.3	29.7	14.2	0.4	0.3	0.7	0.1	0.6	0.5	0.8	0.3	0.0	0.0	0.0	0.0	0.0	0.0	0.1	0.0
2012	3.0	2.4	4.2	1.3	3.7	2.8	4.0	2.0	21.7	17.1	29.6	9.4	26.3	19.7	28.2	14.8	0.4	0.4	0.8	0.3	0.6	0.5	0.8	0.2	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
2013	2.9	2.2	3.6	1.4	3.6	2.7	3.8	2.2	21.4	16.1	25.6	10.3	26.3	19.1	25.7	16.5	0.5	0.4	0.7	0.2	0.6	0.5	1.1	0.2	0.0	0.0	0.1	0.0	0.0	0.0	0.0	0.0
2014	2.9	2.2	3.6	1.4	3.7	2.5	4.0	2.1	21.5	16.0	26.1	11.1	27.0	17.6	27.4	15.7	0.4	0.4	0.6	0.1	0.6	0.4	1.0	0.3	0.0	0.0	0.0	0.0	0.0	0.0	0.1	0.0
2015	3.1	1.9	4.0	1.4	3.8	2.6	4.0	2.1	22.5	13.5	28.7	10.2	27.2	18.6	26.8	15.6	0.5	0.4	0.7	0.1	0.7	0.5	1.1	0.3	0.0	0.0	0.1	0.0	0.0	0.0	0.0	0.0
2016	3.0	2.0	4.1	1.3	3.8	2.4	3.9	2.0	22.1	14.0	28.8	9.2	26.7	17.5	26.9	14.8	0.4	0.3	0.8	0.3	0.7	0.4	1.0	0.2	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
2017	3.1	1.9	3.5	1.2	3.6	2.3	3.7	1.7	22.0	13.7	24.9	9.1	25.5	16.2	24.8	12.4	0.5	0.4	0.7	0.1	0.7	0.4	1.0	0.3	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
2018	3.0	1.9	3.6	1.1	3.5	2.4	3.4	1.3	21.4	13.2	25.2	8.0	24.8	16.8	23.1	9.6	0.4	0.3	0.7	0.1	0.8	0.4	1.0	0.2	0.0	0.0	0.0	0.0	0.0	0.0	0.0	0.0
2019	2.8	1.8	3.7	1.2	3.3	2.1	3.1	1.7	20.6	13.2	25.8	8.5	23.3	15.1	21.2	12.7	0.4	0.3	0.7	0.2	0.7	0.4	0.8	0.2	0.0	0.0	0.0	0.0	0.0	0.0	0.1	0.0
	Panel D: Other genitourinary system diseases
1999	1.8	1.5	3.0	1.1	1.1	1.3	1.9	0.9	12.5	9.1	18.6	7.7	6.4	8.2	10.4	4.6	0.4	0.7	1.2	0.2	0.5	0.5	1.0	0.5	0.0	0.1	0.1	0.0	0.1	0.1	0.2	0.0
2000	1.7	1.7	2.7	1.5	1.1	1.1	1.9	1.3	11.4	11.3	16.0	10.2	6.8	6.6	10.5	8.1	0.4	0.6	1.2	0.4	0.4	0.5	1.0	0.4	0.0	0.1	0.1	0.0	0.1	0.0	0.2	0.0
2001	1.7	1.4	2.5	0.8	1.1	1.1	1.7	0.9	11.4	9.5	14.1	5.1	6.5	6.8	9.0	4.7	0.4	0.4	1.3	0.3	0.4	0.5	1.0	0.5	0.1	0.1	0.0	0.1	0.1	0.1	0.1	0.0
2002	1.7	1.7	2.6	1.1	1.1	1.0	1.7	0.8	11.4	11.6	16.1	7.8	6.6	5.9	8.3	4.4	0.4	0.4	1.1	0.2	0.4	0.4	1.2	0.4	0.0	0.0	0.1	0.0	0.0	0.1	0.1	0.1
2003	1.7	1.7	2.6	1.0	1.1	1.0	1.7	1.0	11.6	11.2	15.4	6.1	6.9	5.6	7.6	6.4	0.4	0.4	1.2	0.3	0.5	0.5	1.2	0.3	0.1	0.0	0.2	0.2	0.1	0.1	0.2	0.0
2004	1.8	1.6	2.7	1.5	1.1	1.0	1.8	0.6	12.0	10.0	16.0	10.4	6.8	5.4	9.8	3.3	0.5	0.6	1.2	0.3	0.4	0.5	1.0	0.3	0.1	0.1	0.1	0.0	0.1	0.1	0.1	0.0
2005	1.9	1.6	2.8	1.2	1.1	1.0	2.0	0.7	12.7	10.4	16.5	8.0	7.0	5.8	10.3	4.7	0.5	0.4	1.4	0.4	0.4	0.5	1.2	0.2	0.1	0.1	0.1	0.0	0.1	0.1	0.2	0.0
2006	2.1	2.1	3.7	1.7	1.4	1.2	2.3	1.1	14.6	14.1	22.7	11.8	8.5	7.7	13.6	7.2	0.5	0.6	1.5	0.4	0.5	0.4	1.2	0.3	0.1	0.0	0.1	0.1	0.0	0.1	0.0	0.1
2007	2.5	2.4	4.4	2.1	1.6	1.6	3.1	1.2	17.5	16.4	28.7	15.1	10.2	9.7	18.6	8.8	0.6	0.7	1.5	0.4	0.5	0.6	1.3	0.2	0.0	0.0	0.1	0.0	0.1	0.1	0.2	0.1
2008	2.9	2.8	5.0	1.7	1.9	1.8	3.6	1.4	20.0	18.8	31.2	12.2	12.7	11.1	21.9	9.3	0.6	0.7	2.0	0.4	0.5	0.7	1.4	0.4	0.0	0.0	0.1	0.0	0.1	0.1	0.1	0.1
2009	3.1	2.8	5.5	1.9	2.1	1.9	3.8	1.5	22.0	19.2	35.4	14.4	13.8	12.3	24.3	10.6	0.5	0.7	1.9	0.2	0.6	0.6	1.3	0.4	0.0	0.0	0.1	0.0	0.1	0.0	0.1	0.0
2010	3.5	3.1	6.3	2.0	2.4	2.2	4.5	1.8	25.2	21.2	40.4	13.6	16.3	14.4	28.5	12.5	0.6	0.7	2.2	0.4	0.5	0.7	1.6	0.4	0.0	0.1	0.1	0.1	0.1	0.0	0.1	0.0
2011	1.8	1.4	2.7	1.1	1.2	0.9	1.7	0.8	12.3	9.2	16.3	7.0	7.6	5.4	9.3	4.9	0.5	0.5	1.1	0.3	0.5	0.4	0.9	0.3	0.1	0.0	0.1	0.0	0.0	0.1	0.1	0.0
2012	1.9	1.5	2.9	1.1	1.3	0.9	1.9	0.7	12.7	9.7	17.2	6.8	7.9	4.8	10.3	4.4	0.5	0.5	1.3	0.3	0.5	0.5	1.1	0.2	0.1	0.0	0.0	0.0	0.0	0.0	0.1	0.0
2013	2.0	1.5	3.3	1.1	1.3	1.0	1.9	0.8	13.6	10.4	21.0	7.1	8.3	6.3	10.8	4.6	0.6	0.4	1.3	0.3	0.5	0.5	1.1	0.3	0.0	0.0	0.1	0.1	0.0	0.0	0.1	0.0
2014	2.2	1.7	3.2	1.1	1.5	1.1	2.2	0.6	14.7	10.9	19.5	7.9	9.5	6.5	12.8	4.3	0.6	0.5	1.4	0.3	0.6	0.6	1.1	0.2	0.0	0.0	0.1	0.0	0.0	0.1	0.1	0.0
2015	2.5	1.7	3.6	1.2	1.7	1.0	2.4	0.9	16.5	11.2	21.4	7.6	10.6	6.2	13.6	5.6	0.8	0.6	1.7	0.4	0.6	0.4	1.2	0.3	0.0	0.0	0.1	0.0	0.0	0.0	0.1	0.0
2016	2.7	1.7	3.9	1.7	1.8	1.2	2.7	1.0	17.9	11.3	23.6	12.1	11.4	6.6	16.0	6.2	0.8	0.6	1.7	0.3	0.7	0.6	1.3	0.4	0.0	0.0	0.1	0.1	0.1	0.0	0.1	0.0
2017	2.9	1.9	4.4	1.6	2.0	1.3	2.8	0.9	19.3	12.4	25.8	10.5	12.6	7.9	16.6	6.1	0.8	0.7	2.1	0.4	0.7	0.6	1.2	0.3	0.0	0.0	0.1	0.0	0.1	0.0	0.0	0.0
2018	2.9	2.0	4.3	1.6	2.1	1.3	3.1	1.1	19.0	12.5	26.1	11.0	13.0	8.3	17.2	6.8	0.9	0.7	1.9	0.4	0.8	0.4	1.7	0.4	0.1	0.0	0.1	0.0	0.0	0.0	0.1	0.1
2019	3.1	2.0	4.4	1.4	2.2	1.5	3.0	1.1	20.2	11.9	26.6	9.7	13.7	9.5	17.1	6.7	1.0	0.8	1.9	0.4	0.8	0.6	1.6	0.4	0.0	0.1	0.1	0.0	0.1	0.0	0.0	0.0
SOURCE: Author's calculations based on CDC WONDER.
NOTE: Rates are per 100,000 population.

Chart 36, Panel B shows that renal failure mortality rates among adults are higher for men than women. Black people have substantially higher mortality rates than the other RE groups, regardless of sex. For instance, in 2019, the all-ages renal failure death rate for Black males (28.8) was more than twice that of WNH males (13.6). Likewise, the all-ages mortality rate for Black females more than doubled that of their WNH counterparts (20.6 versus 9.3). For most of the 1999–2019 period, Hispanic males had slightly lower all-ages renal failure mortality rates than WNH males. All-ages renal failure mortality rates in 2019 were similar for API males and Hispanic and WNH females (all lower than 10), while API females were the RE/sex group with the lowest death rate (6.8). From 1999 to 2019, all-ages renal failure mortality rates declined for most RE/sex groups, particularly in the Black and API populations. In the midlife ages, however, renal failure mortality rates rose 43 percent among WNH men, from 2.8 to 4.0, and by 29 percent for WNH women, from 2.1 to 2.7.

The subcategory labeled “other disorders of the urinary system” consists primarily of urinary tract infections of an unspecified site. The share of genitourinary system–related deaths associated with this cause increased at older ages and declined significantly over the observation period. In 2019, the shares of all-ages genitourinary system–related deaths that were caused by other urinary system disorders ranged from 10.3 percent for the Black population to 18.8 percent for the WNH group. The percentage was higher for WNH people than for the other RE groups and was higher among females than males in all RE groups. For instance, in 2019, this subcategory accounted for 14.4 percent of genitourinary system–related deaths at all ages for WNH males, but for 23.1 percent of such deaths among WNH females.

Chart 36, Panel C shows that Black males and Black females had the two highest all-ages other urinary system disorder mortality rates for most of the observation period (not always in that order). WNH females had the third highest rate from 1999 to 2012 and the second highest rate in 5 of the 7 years from 2013 to 2019. Females generally had higher mortality rates from other urinary system disorders than men in the WNH, Hispanic, and API populations, while the rates for Black males and females were similar. Hispanic males and females had lower other urinary system disorder mortality rates than their WNH counterparts at older ages and all ages combined, and API people had the lowest mortality rates from this cause. Over the 1999–2019 period, all-ages other urinary system disorder mortality rates declined in every RE/sex group, especially among the non-WNH groups. For instance, the all-ages other urinary system disorder death rate dropped by more than half among Black males (from 8.5 to 3.7) and Black females (from 7.3 to 3.1).

The third subcategory of genitourinary system–related deaths encompasses all other diseases of the genitourinary system. It includes glomerular diseases (which accounted for an unusually large spike in deaths from 2006 to 2010, peaking at 6,058 total deaths in 2010), renal tubulo-interstitial diseases, urolithiasis, and other disorders of the kidney and ureter. After 2010, deaths caused by other disorders of the kidney and ureter rose sharply, such that in 2019 they represented more than half of all deaths in this subcategory. The shares of genitourinary system–related deaths caused by all other diseases of the genitourinary system ranged in 2019 from 11.4 percent among the Hispanic, Black, and API communities to 15.0 percent for WNH individuals.

Chart 36, Panel D shows that the all-ages death rates from causes attributed to all other genitourinary system diseases peaked in 2010, driven by the spike in deaths from glomerular diseases mentioned above. From 2011 to 2019, mortality rates for this subcategory rose significantly among all RE/sex groups in the midlife and older age groups, driven by increasing mortality from other disorders of the kidney and ureter. Black males and females had the highest all-ages mortality rates in 2019, followed by WNH males and females.

Chart 37 presents the all-ages genitourinary system disease mortality rates by subcategory for 1999 and 2019, with detail by RE group and sex. In both years, the mortality rates associated with renal failure among Black males and females exceeded the death rates from all diseases of the genitourinary system combined for people of the same sex in the other RE groups. From 1999 to 2019, all-ages mortality rates declined for all RE/sex groups, modestly in the WNH population and substantially for the other groups. Mortality caused by renal failure and by other disorders of the urinary system (primarily urinary tract infections of unspecified site) declined, while mortality caused by all other diseases of the genitourinary system rose.

Notes on the Mortality Charts Chart 37. Four panels, each with one stacked bar chart. Consolidated tabular version below.

Show as table

Table equivalent for Chart 37. Genitourinary system diseases: Age-adjusted mortality rates, by cause-of-death subcategory, RE group, and sex, 1999 and 2019 (all ages combined)
Cause of death	1999				2019
Cause of death	WNH	Hispanic	Black	API	WNH	Hispanic	Black	API
	Males
Renal failure	14.5	14.9	33.0	11.4	13.6	13.7	28.8	9.9
Other urinary system disorders	4.4	3.5	8.5	3.3	2.8	1.8	3.7	1.2
Other genitourinary system diseases	1.8	1.5	3.0	1.1	3.1	2.0	4.4	1.4
	Females
Renal failure	9.3	9.7	24.9	8.0	9.3	9.9	20.6	6.8
Other urinary system disorders	5.6	4.5	7.3	3.3	3.3	2.1	3.1	1.7
Other genitourinary system diseases	1.1	1.3	1.9	0.9	2.2	1.5	3.0	1.1
SOURCE: Author's calculations based on CDC WONDER.
NOTE: Rates are per 100,000 population.

Continue to another section of this special article:

Introduction
U.S. Population by RE Group
An Overview of Mortality Cause Categories
Geographic Variation in All-Cause Mortality
Diseases of the Circulatory System
Neoplasms
Diseases of the Respiratory System
External Causes of Mortality
Diseases of the Nervous System
Endocrine, Nutritional, and Metabolic Diseases
Mental and Behavioral Disorders
Diseases of the Digestive System
Diseases of the Genitourinary System (this section)
Infectious and Parasitic Diseases (next section)
Other Causes of Death
Summary
Notes and References