Health Indicator Report of Alcohol - Alcohol-related Injury Deaths
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.
NotesRates are age-adjusted to the 2000 US standard population. 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.
- New Mexico Death Data: Bureau of Vital Records and Health Statistics (BVRHS), New Mexico Department of Health.
- Population Estimates: University of New Mexico, Geospatial and Population Studies (GPS) Program, http://gps.unm.edu/.
- U.S. Data Source: Centers for Disease Control and Prevention, National Center for Health Statistics, ]http://www.cdc.gov/nchs/]
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).
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
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: 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).
Available ServicesDoctors, nurses and other health professionals should screen all adult patients and counsel those who drink too much to drink less. This is called alcohol screening and brief intervention (A-SBI). A-SBI can reduce how much alcohol a person drinks on an occasion by 25%. A-SBI is recommended by the U.S. Preventive Services Task Force (USPSTF), the Community Preventive Services Task Force (Community Guide), the Centers for Disease Control and Prevention (CDC), the National Institute on Alcohol Abuse and Alcoholism (NIAAA), Substance Abuse and Mental Health Services Administration (SAMHSA), and the World Health Organization (WHO). For more information on A-SBI, please the CDC vital signs website: www.cdc.gov/vitalsigns/alcohol-screening-counseling/index.html
Page Content Updated On 11/05/2018, Published on 01/18/2019