ARDI Alcohol Attributable Deaths due to Alcohol Use

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This dataset provides national and state estimates of alcohol related health impacts, including deaths and years of potential life lost (YPLL). These estimates are calculated for 54 acute and chronic causes using alcohol attributable fractions, and are reported by age and sex for 2006-2010. This estimates the total number of deaths attributable to alcohol.

Complexity

The US Centers for Disease Control and Prevention (CDC) convened a scientific workgroup comprised of experts on alcohol and health to guide the development of the ARDI application. One of the group’s tasks was to select alcohol-related causes of death based on ones that were previously examined in meta-analyses. Some causes (e.g., tuberculosis, pneumonia, and hepatitis C) were not included in this version of ARDI because suitable pooled relative risk estimates or alcohol-attributable fractions (AAF) were not available for them at the time the work group convened.

Excessive alcohol consumption, the fourth leading preventable cause of death in the United States, resulted in approximately 88,000 deaths and 2.5 million years of potential life lost (YPLL) annually during 2006–2010 and cost an estimated $223.5 billion in 2006. To estimate state-specific average annual rates of alcohol attributable deaths (AAD) and YPLL caused by excessive alcohol use, different states analyzed 2006–2010 data (the most recent data available) using the CDC Alcohol Related Disease Impact (ARDI) application.

Certain causes of death are, by definition due to alcohol consumption. These deaths are classified as being 100% alcohol attributable and are reported in ARDI as having an AAF of 1.00. The following chronic causes of death are listed as 100% alcohol attributable in ARDI: alcoholic psychosis, alcohol abuse, alcohol dependence syndrome, alcohol polyneuropathy, degeneration of the nervous system due to alcohol use, alcoholic myopathy, alcohol cardiomyopathy, alcoholic gastritis, alcoholic liver disease, fetal alcohol syndrome, fetus and newborn affected by maternal use of alcohol, alcohol-induced chronic pancreatitis. Three acute causes of death are 100% alcohol attributable: alcohol poisoning, excessive blood alcohol level, and suicide by and exposure to alcohol.

The findings for this dataset are subject to the following seven limitations:
– ARDI exclusively uses the underlying cause of death and does not consider contributing causes that might be alcohol-related.
– ARDI does not include AAD estimates for several causes (e.g., tuberculosis) for which excessive alcohol use is believed to be an important risk factor.
– The alcohol data used to calculate AAF estimates were based on self-reports and might underestimate the actual prevalence of excessive alcohol use.
– State estimates calculated in this study might be different than those available in the ARDI application.
– National AAF data were used, even though studies suggest that there are important state differences in AAF for some causes of alcohol attributable deaths.
– AAD and YPLL rates could not be calculated for some age and race/ethnicity categories because of the small number of AAD in some of these groups.

The Community Preventive Services Task Force has recommended several population-level, evidence-based strategies to reduce excessive drinking and related harms, including:
– Increasing the price of alcohol
– Limiting alcohol outlet density
– Holding alcohol retailers liable for harms related to the sale of alcoholic beverages to minors and intoxicated patrons.

Routine monitoring of alcohol attributable health outcomes, including deaths and YPLL, in states could support the planning and implementation of evidence-based prevention strategies to reduce excessive drinking and related harms.

Date Created

2017-06-28

Last Modified

2017-09-20

Version

2017-09-20

Update Frequency

Annual

Temporal Coverage

2006-2010

Spatial Coverage

United States

Source

John Snow Labs => Centers for Disease Control and Prevention

Source License URL

John Snow Labs Standard License

Source License Requirements

N/A

Source Citation

N/A

Keywords

Alcohol Use, Alcohol Attributable Deaths, Years of Potential Life Lost, Alcohol Related Disease Impact, Causes of Death, Alcohol Related Health Impacts, Alcohol Attributable Fractions

Other Titles

National and State Estimates for Deaths in US due to Alcohol Use, Number of Alcohol Attributable Deaths due to Alcohol Use

Name Description Type Constraints
State_AbbrevitionTwo-character postal abbreviation for state name.stringrequired : 1
StateIt represents the full name of different US States.stringrequired : 1
Consumption_Pattern_of_AlcoholRefers to the consumption pattern according to which alcohol is used by the individuals.stringrequired : 1 enum : Array
Effects_CategoryIt refers to the category of effects over health.stringrequired : 1 enum : Array
Condition_TypeIt identifies the cause type of disease condition.stringrequired : 1 enum : Array
Disease_ConditionIt refers to the disease contition over health.stringrequired : 1
GenderIt identifies the gender of the patients.stringrequired : 1 enum : Array
Age_CategoryIt refers to the age category of the patients.stringrequired : 1 enum : Array
Age_GroupIt refers to the range for age of the patient.stringrequired : 1
Data_ValueIdentifies the actual value of the data.string-
Location_IDRefers to the location identity.integerlevel : Nominal
Class_IDRefers to the class identitystringrequired : 1
Effect_IDRefers to the effect identity.stringrequired : 1
Condition_IDRefers to the condition identity.stringrequired : 1
Stratification1_IDRefers to the stratification identity.stringrequired : 1
Age_Category_IDIdentifies the sampling identity of the population.stringrequired : 1
Stratification2_IDIdentifies the sampling sub identity of the population.stringrequired : 1
State_AbbrevitionStateConsumption_Pattern_of_AlcoholEffects_CategoryCondition_TypeDisease_ConditionGenderAge_CategoryAge_GroupData_ValueLocation_IDClass_IDEffect_IDCondition_IDStratification1_IDAge_Category_IDStratification2_ID
UTUtahAny UseHarmful EffectsAcute SuicideMaleOther65+851ACUTEHARMEFFSUICIDGENMAGECAT1AGEGRP5
AKAlaskaAny UseHarmful EffectsAcute SuicideMaleOther65+22ACUTEHARMEFFSUICIDGENMAGECAT1AGEGRP5
IDIdahoAny UseHarmful EffectsAcute HomicideMaleOther65+16ACUTEHARMEFFHOMICIGENMAGECAT1AGEGRP5
IDIdahoAny UseHarmful EffectsAcute SuicideMaleOther65+916ACUTEHARMEFFSUICIDGENMAGECAT1AGEGRP5
IAIowaAny UseHarmful EffectsAcute DrowningMaleOther65+119ACUTEHARMEFFDROWNIGENMAGECAT1AGEGRP5
IAIowaAny UseHarmful EffectsAcute SuicideMaleOther0-19519ACUTEHARMEFFSUICIDGENMAGECAT1AGEGRP1
IAIowaAny UseHarmful EffectsAcute SuicideMaleOther65+1119ACUTEHARMEFFSUICIDGENMAGECAT1AGEGRP5
IAIowaAny UseBeneficial EffectsAcute SuicideMaleOther65+19ACUTEBENEFFSUICIDGENMAGECAT1AGEGRP5
MEMaineAny UseHarmful EffectsAcute HomicideMaleOther65+23ACUTEHARMEFFHOMICIGENMAGECAT1AGEGRP5
MEMaineAny UseHarmful EffectsAcute SuicideMaleOther65+623ACUTEHARMEFFSUICIDGENMAGECAT1AGEGRP5