DefinitionAlcohol-related chronic liver disease (AR-CLD) is a progressive chronic disease caused by chronic alcohol abuse.
NumeratorNumber of alcohol-related chronic liver 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?Alcohol-related chronic liver disease (AR-CLD) is a progressive disease caused by alcohol abuse. It imposes a heavy burden of morbidity and mortality in New Mexico, and it is the principal driver of New Mexico's consistently high alcohol-related chronic disease death rate. Over the past 30 years, New Mexico's AR-CLD rate has trended upward, while the national rate has decreased 20%. In 1993, AR-CLD surpassed alcohol-related motor vehicle crash death as the leading cause of alcohol-related death in New Mexico. Since 1997, New Mexico's death rate from AR-CLD has consistently been substantially higher than the death rate from alcohol-related motor vehicle crashes.
Other ObjectivesSubstance Abuse Epidemiology Report Indicator