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State of Health Indicator Report for Alcohol - Alcohol-related Injury Deaths

Definition

Alcohol-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).

Numerator

Number of alcohol-related injury deaths in New Mexico.

Denominator

New Mexico Population

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?

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 alcohol

U.S. Target: 71,681 deaths

Other Objectives

Substance Abuse Epidemiology Report Indicator, New Mexico Community Health Status Indicator (CHSI)

Available Services

Doctors, 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

More Information

The New Mexico Department of Health Substance Abuse Epidemiology Section has New Mexico-specific reports, resources and publications, available at: nmhealth.org/about/erd/ibeb/sap. CDC Alcohol Program has fact sheets, online tool kits, data and recently published literature, available at: www.cdc.gov/alcohol. The CDC also publishes the Prevention Status Reports (PSR), which highlight, for all 50 states and the District of Columbia, the status of public health policies and practices designed to address important public health problems and concerns. The 2013 PSR for excessive alcohol use can be found at: www.cdc.gov/psr/alcohol. The Community Preventive Services Task Force reviews research and makes recommendations to help communities answer the question "what works?" Community Guide recommendations for preventing excessive alcohol consumption can be found at: www.thecommunityguide.org/alcohol.
Page Content Updated On 11/05/2018, Published on 01/18/2019
The information provided above is from the New Mexico Department of Health's NM-IBIS web site (http://ibis.health.state.nm.us). The information published on this website may be reproduced without permission. Please use the following citation: "Retrieved Fri, 06 December 2019 from New Mexico Department of Health, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.nm.us".

Content updated: Fri, 18 Jan 2019 17:36:51 MST