Complete Indicator Profile of Alcohol-related Injury Deaths
Definition
Alcohol-related injury death is defined as the number of injury deaths attributed to alcohol per 100,000 population.Numerator
The total number of alcohol-related injury deaths per year.Denominator
The estimated mid-year population for annual rates.Data Interpretation Issues
According to the CDC's Alcohol-Related Disease Impact (ARDI) website (http://apps.nccd.cdc.gov/ardi/Homepage.aspx), there are 54 causes of death considered to be at least partially attributable to alcohol. These include 35 alcohol-related chronic diseases (e.g., liver cirrhosis, alcohol dependence); and 19 alcohol-related injuries (e.g., motor vehicle crashes, poisonings, falls, homicide, suicide).Alcohol-related deaths are estimated by multiplying the total number of deaths in a cause-of-death category by the percent of deaths in that category that are considered to be caused by alcohol. This percent, the so-called alcohol attributable fraction (AAF), can vary from 100% for causes of death that are completely related to alcohol use (e.g., alcoholic liver disease, alcohol poisoning); to less than 100% for causes that are only sometimes related to alcohol use. For example, per CDC ARDI, the AAF for portal hypertension is 40%. This means that 40% of deaths from portal hypertension are considered to be caused by alcohol use. The AAF for homicide is 47% and for suicide is 23%. The AAF for alcohol-related motor vehicle crashes is age- and gender-specific, ranging from 49% for males ages 25-34 to 8% for females ages 65 and over. For more information on the AAFs used here see the CDC ARDI Methods webpage (http://apps.nccd.cdc.gov/ardi/AboutARDIMethods.htm).
Why Is This Important?
Alcohol-related death, injury, and disease are a serious public health problem in the United States and in New Mexico. In the United States, alcohol is the third leading actual cause of death (after tobacco and poor diet/physical inactivity), responsible for more than 75,000 deaths per year.Excessive alcohol consumption contributes to many different poor health outcomes. Episodic heavy (or binge) drinking (defined as drinking five or more drinks on a single occasion for men and four or more drinks on a single occasion for women) contributes to a variety of alcohol-related injuries, including motor vehicle crashes, poisonings, falls, homicides, and suicides. In the most recent three-year period for which death data is available (2007-2009) the five leading causes of alcohol-related injury death in New Mexico (and the corresponding death rate per 100,000 population) were: falls injuries (7.3 deaths per 100,000); motor vehicle traffic crashes (5.3 deaths per 100,000); non-alcohol poisoning (5.1 deaths per 100,000); suicide (4.2 deaths per 100,000); and homicide (3.4 deaths per 100,000). While alcohol-related motor vehicle traffic crash death rates have declined dramatically in the past 30 years, other alcohol-related injury death rates have remained stable or increased.
How Are We Doing?
Alcohol-related injury death rates declined in the United States during the 1980s and 1990s, but they have been increasing in the 2000s as a result of increasing rates of alcohol-related falls injury and non-alcohol poisoning deaths.How Do We Compare With U.S.?
While the overall U.S. alcohol-related injury death rate declined 2% from 1990 through 2007 (despite increases in falls and non-alcohol poisoning death rates in the 2000s), New Mexico's alcohol-related injury death rate increased 24% during this period. As a result, New Mexico's rate went from being 1.5 times the US rate in the early 1990s, to being 1.8 times the U.S. rate in the early 2000s. Throughout the 24-year period 1981-2004, New Mexico's alcohol-related injury death rate was among the highest (first, second, or third) in the U.S. This comparison of New Mexico rates to other states is unavailable for more recent years due to the removal of the state indicator from national death datasets, beginning in 2005.Evidence-based Practices
There is a large body of evidence on effective strategies to prevent excessive alcohol use and alcohol-related harm. The following list summarizes the evidence-based prevention strategies that are well-recommended by experts; and that could be more widely or completely implemented in New Mexico to reduce our alcohol-related problems:http://ibis.health.state.nm.us/docs/Evidence/EvidenceBasedExcessiveAlcoholUsePrevention.pdf
To access this list, please copy and paste the URL into your browser.
For more information on this topic, see the "Evidence-based Practices" section of the Alcohol-Related Deaths indicator report (http://ibis.health.state.nm.us/indicator/important_facts/AlcoholRelatedDth.html).
Graphical Data Views
Alcohol-Related Injury Death Rates by Year, New Mexico vs. U.S. 1990-2009
| New Mexico vs. U.S. | Year | Deaths per 100,000 Population | Lower Limit | Upper Limit | Numerator |
|---|---|---|---|---|---|
| New Mexico | 1990 | 23.7 | 21.2 | 26.4 | 350 |
| New Mexico | 1991 | 26.1 | 23.5 | 28.9 | 390 |
| New Mexico | 1992 | 24.8 | 22.3 | 27.5 | 380 |
| New Mexico | 1993 | 24.3 | 21.9 | 26.9 | 385 |
| New Mexico | 1994 | 24.4 | 22.1 | 27 | 395 |
| New Mexico | 1995 | 23.3 | 21 | 25.8 | 385 |
| New Mexico | 1996 | 24 | 21.7 | 26.5 | 406 |
| New Mexico | 1997 | 23.8 | 21.6 | 26.3 | 408 |
| New Mexico | 1998 | 22.9 | 20.7 | 25.3 | 395 |
| New Mexico | 1999 | 23.2 | 21 | 25.6 | 405 |
| New Mexico | 2000 | 24 | 21.8 | 26.5 | 426 |
| New Mexico | 2001 | 23.9 | 21.6 | 26.2 | 428 |
| New Mexico | 2002 | 25.4 | 23.2 | 27.9 | 464 |
| New Mexico | 2003 | 26.7 | 24.4 | 29.2 | 495 |
| New Mexico | 2004 | 27 | 24.7 | 29.4 | 509 |
| New Mexico | 2005 | 26.1 | 23.8 | 28.5 | 507 |
| New Mexico | 2006 | 26.6 | 24.3 | 29 | 525 |
| New Mexico | 2007 | 29.3 | 26.8 | 32 | 557 |
| New Mexico | 2008 | 30 | 27.5 | 32.7 | 567 |
| New Mexico | 2009 | 27.8 | 25.4 | 30.4 | 539 |
| U.S. | 1990 | 17 | 16.8 | 17.2 | 42,912 |
| U.S. | 1991 | 16.7 | 16.6 | 16.9 | 42,587 |
| U.S. | 1992 | 16 | 15.8 | 16.1 | 41,068 |
| U.S. | 1993 | 16.2 | 16.1 | 16.4 | 42,244 |
| U.S. | 1994 | 16 | 15.8 | 16.1 | 41,954 |
| U.S. | 1995 | 15.6 | 15.5 | 15.8 | 41,595 |
| U.S. | 1996 | 15.3 | 15.1 | 15.4 | 41,033 |
| U.S. | 1997 | 14.9 | 14.7 | 15 | 40,505 |
| U.S. | 1998 | 14.6 | 14.4 | 14.7 | 40,177 |
| U.S. | 1999 | 13.8 | 13.7 | 14 | 38,576 |
| U.S. | 2000 | 13.9 | 13.8 | 14 | 39,279 |
| U.S. | 2001 | 14.3 | 14.2 | 14.5 | 40,933 |
| U.S. | 2002 | 14.9 | 14.8 | 15.1 | 43,172 |
| U.S. | 2003 | 15.1 | 14.9 | 15.2 | 43,962 |
| U.S. | 2004 | 15.2 | 15.1 | 15.4 | 44,938 |
| U.S. | 2005 | 15.8 | 15.6 | 15.9 | 47,042 |
| U.S. | 2006 | 16.2 | 16 | 16.3 | 48,925 |
| U.S. | 2007 | 16.6 | 16.4 | 16.7 | 50,747 |
Record Count: 38
Data Notes
The alcohol-related death rates reported here are based on definitions and alcohol-attributable fractions from the CDC's Alcohol-Related Disease Impact (ARDI) website (http://apps.nccd.cdc.gov/ardi/Homepage.aspx). Alcohol-related deaths for 1990-1998 were defined by underlying cause of death based on International Classification of Disease version 9 (ICD-9) codes; and alcohol-related deaths for 1999 and later were defined by underlying cause of death based on International Classification of Disease version 10 (ICD-10) codes. The alcohol-related death rates reported here were age-adjusted to the US 2000 standard population.Data Sources
Population Source: Bureau of Business and Economic Research (BBER) Population Estimates, University of New Mexico. http://www.unm.edu/~bber/.New Mexico Death Data: Bureau of Vital Records and Health Statistics (BVRHS), New Mexico Department of Health.U.S. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. http://www.cdc.gov/nchs/.Alcohol-Related Injury Death Rates by County, New Mexico 2007-2009, and United States, 2005-2007
| County | Deaths per 100,000 Population | Lower Limit | Upper Limit | Numerator |
|---|---|---|---|---|
| Bernalillo | 27.9 | 25.4 | 30.5 | 520 |
| Catron | 36.5 | 7.3 | 130.7 | 4 |
| Chaves | 32.1 | 24.2 | 42 | 58 |
| Cibola | 36.4 | 23.3 | 56.8 | 29 |
| Colfax | 25.3 | 12.5 | 47.9 | 12 |
| Curry | 18.3 | 11.5 | 28.5 | 24 |
| De Baca | 23.6 | 0.4 | 167 | 1 |
| Dona Ana | 20.1 | 16.1 | 24.9 | 103 |
| Eddy | 32.5 | 23.6 | 43.8 | 47 |
| Grant | 35.8 | 24.4 | 51.1 | 34 |
| Guadalupe | 32.2 | 5.9 | 141 | 4 |
| Harding | 29.1 | 0 | 394 | 1 |
| Hidalgo | 31.8 | 9.6 | 81.1 | 5 |
| Lea | 22.3 | 15.6 | 31.7 | 38 |
| Lincoln | 22.9 | 11.8 | 41.4 | 14 |
| Los Alamos | 16.7 | 7.5 | 35.2 | 10 |
| Luna | 20.9 | 11.8 | 34.8 | 17 |
| McKinley | 51.1 | 40.1 | 66.3 | 99 |
| Mora | 23.2 | 5.6 | 77.9 | 4 |
| Otero | 23 | 16.1 | 32.8 | 40 |
| Quay | 35.7 | 16.8 | 70.8 | 11 |
| Rio Arriba | 50.7 | 38 | 67.8 | 62 |
| Roosevelt | 18 | 8.3 | 35.7 | 10 |
| Sandoval | 25 | 19.3 | 32.3 | 79 |
| San Juan | 36.5 | 30.4 | 43.9 | 134 |
| San Miguel | 34.5 | 22.8 | 51.6 | 30 |
| Santa Fe | 30.3 | 24.4 | 37.5 | 113 |
| Sierra | 25 | 12.4 | 46.5 | 12 |
| Socorro | 38.2 | 22.3 | 65.3 | 20 |
| Taos | 40.7 | 27.8 | 58.7 | 36 |
| Torrance | 45.3 | 24.3 | 81.7 | 18 |
| Union | 20.3 | 3.2 | 78.8 | 3 |
| Valencia | 34.9 | 26.7 | 45.5 | 70 |
| NM | 29 | 27.6 | 30.5 | 1,662 |
| US | 16.2 |
Record Count: 35
The counties are shaded according to whether the county rate is lower, higher, or the same as the New Mexico statewide overall rate. A county rate is considered statistically higher than the state overall if the lower limit of the county rate 95% confidence interval was higher than the state rate. A county rate is considered statistically lower than the state overall if the upper limit of the county rate 95% confidence interval was lower than the state rate.
Data Notes
The alcohol-related death rates reported here are based on definitions and alcohol-attributable fractions from the CDC's Alcohol-Related Disease Impact (ARDI) website (http://apps.nccd.cdc.gov/ardi/Homepage.aspx). Alcohol-related deaths for 1990-1998 were defined by underlying cause of death based on International Classification of Disease version 9 (ICD-9) codes; and alcohol-related deaths for 1999 and later were defined by underlying cause of death based on International Classification of Disease version 10 (ICD-10) codes. The alcohol-related death rates reported here were age-adjusted to the US 2000 standard population. NOTE: The U.S. rate reported here is for 2005-2007, the most recent comparable period for which U.S. death data is available.Data Sources
Population Source: Bureau of Business and Economic Research (BBER) Population Estimates, University of New Mexico. http://www.unm.edu/~bber/.New Mexico Death Data: Bureau of Vital Records and Health Statistics (BVRHS), New Mexico Department of Health.U.S. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics. http://www.cdc.gov/nchs/.
Page Content Updated On 12/22/2010,
Published on 06/23/2011
