DefinitionAlcohol-related injury death is defined as the number of injury deaths attributed to alcohol per 100,000 population. 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).
NumeratorNumber of alcohol-related injury deaths in New Mexico.
DenominatorNew Mexico Population
Data Interpretation IssuesAccording 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?Binge drinking (defined as having five drinks or more on an occasion for men, and four drinks or more on an occasion for women) is a high-risk behavior associated with numerous injury outcomes, including motor vehicle fatalities, homicide, and suicide. Since 1990, New Mexico's death rate for alcohol-related (AR) injury has consistently been among the highest in the nation, ranging from 1.4 to 1.8 times the national rate. While NM's alcohol-impaired motor vehicle crash fatality rates have declined almost 60% during this period, death rates from other AR injuries have increased. Data show a substantial increase in AR fall injury and AR poisoning death rates since the early 90s; the AR fall death rate peaked in 2007-09 and has declined since, while AR poisoning has continued to rise. These increases have more than offset the decline in AR motor vehicle crash deaths, as well as a slight increase in AR suicide death rate, to drive an overall 29% increase in New Mexico's AR injury death during the period 1990-2015. During the period 2008-2015, AR poisoning deaths replaced AR motor vehicle crash deaths as the leading cause of alcohol-related injury death in New Mexico.
Healthy People Objective: SA-20, Decrease the number of deaths attributable to alcoholU.S. Target: 71,681 deaths
Other ObjectivesSubstance Abuse Epidemiology Report Indicator, New Mexico Community Health Status Indicator (CHSI)
Evidence-based PracticesThere 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:
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).