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State of Alaska

Complete Health Indicator Report of Alcohol-Induced Mortality Rate (HA2020 Leading Health Indicator: 14)

Definition

Alcohol-induced mortality rate is defined as the number of deaths attributed to alcohol per 100,000 population. The list of codes included in alcohol-induced causes was expanded in data years 2003 and 2006 to be more comprehensive. The following ICD-10 codes comprise the list of alcohol-induced codes: E24.4, F10, G31.2, G62.1, G72.1, I42.6, K29.2, K70, K85.2, K86.0, R78.0, X45, X65, and Y15. Certain causes of death are, by definition due to alcohol consumption. These deaths are classified as being 100% alcohol-attributable and are reported in Alcohol-Related Disease Impact (ARDI) as having an alcohol-attributable fraction (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. Alcohol-induced deaths include fatalities from causes such as degeneration of the nervous system due to alcohol, alcoholic liver disease, gastritis, myopathy, pancreatitis, poisoning, and more . It does not include accidents, homicides, and other causes indirectly related to alcohol use.

Numerator

Number of deaths induced by alcohol in the resident population over the time period.

Denominator

Mid-year resident population for the same period, expressed as a rate per 100,000.

Data Interpretation Issues

Causes of death attributable to alcohol-induced mortality include ICD-10 codes E24.4, Alcohol-induced pseudo-Cushing's syndrome; F10, Mental and behavioral disorders due to alcohol use; G31.2, Degeneration of nervous system due to alcohol; G62.1, Alcoholic polyneuropathy; G72.1, Alcoholic myopathy; I42.6, Alcoholic cardiomyopathy; K29.2, Alcoholic gastritis; K70, Alcoholic liver disease; K86.0, Alcohol-induced chronic pancreatitis; R78.0, Finding of alcohol in blood; X45, Accidental poisoning by and exposure to alcohol; X65, Intentional self-poisoning by and exposure to alcohol; and Y15, Poisoning by and exposure to alcohol, undetermined intent. Alcohol-induced causes exclude accidents, homicides, and other causes indirectly related to alcohol use. This category also excludes newborn deaths associated with maternal alcohol use.^1^[[br]] [[br]] {{class .SmallerFont 1. National Vital Statistics Reports, [http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_10.pdf Deaths: Final Data 2005]. Volume 56, Number 10, p. 109. }}

Why Is This Important?

Alcohol and substance abuse have a devastating impact on individuals, families and entire communities across Alaska. The effects of alcohol and other drug abuse include unintentional and intentional injuries, violence, high-risk sexual behaviors, cirrhosis, and alcohol poisoning. Alaska experiences a disparately high rate of alcohol induced mortality compared to the U.S. Alcohol and other drug use is common among adolescents and is a strong predictor of dependence in later life.

Healthy People Objective: Decrease the number of deaths attributable to alcohol

U.S. Target: 71,681 deaths

Other Objectives

Healthy Alaskans 2020 Indicator 14: Reduce the alcohol‐induced mortality rate to 15.3 per 100,000 by 2020.

Evidence-based Practices

As part of the Healthy Alaskans 2020 health improvement process, groups of Alaska subject matter experts met over a period of months in a rigorous review process to identify and prioritize strategies to address the 25 health priorities. Public health partners around the state are aligning work around these approaches adapted to Alaska's unique needs. '''Strategy 1:''' [[br]]Ensure there is access to a complete continuum of care throughout Alaska for substance abuse treatment, including for people with both mental health and substance abuse disorders. '''Evidence Base:''' [[br]]SAMHSA recommends a modern addictions and mental health service system that includes prevention, treatment and recovery supports. This continuum of care comprises nine domains, including: -Health Homes -Prevention and Wellness Services -Engagement Services -Outpatient and Medication Assisted Treatment -Community Supports and Recovery Services -Intensive Support Services -Other Living Supports -Out of Home Residential Services -Acute Intensive Services '''Source:''' [[br]][http://beta.samhsa.gov/sites/default/files/good_and_modern_4_18_2011_508.pdf Description of a Good and Modern Addictions and Mental Health Service System] '''Strategy 2:''' [[br]]Promote environmental strategies to reduce alcohol consumption. Environmental strategies focus on creating an environment that makes it easier for people to act in healthy ways. Environmental strategies incorporate prevention efforts aimed at changing or influencing community conditions, standards, institutions, structures, systems and policies. Strategies that lead to long-term outcomes should be selected. '''Evidence Base:''' [[br]]There is substantial evidence that environmental strategies are effective in preventing and reducing substance abuse. Increasing fines for underage drinking, not selling cold, single-serving containers of beer in convenience stores and increasing access to treatment services by providing counselors who speak the local language are all examples of environmental strategies. '''Sources:''' [[br]][http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=9 Community Trials Intervention to Reduce High-Risk Drinking] [http://www.cadca.org/category/coalition-resourcestools/environmental-strategies Environmental Strategies] [http://captus.samhsa.gov/access-resources/environmental-strategies-selection-guidereference-list-and-examples-implementation-guidelines Environmental Strategies Selection Guide, Reference List, and Examples of Implementation Guidelines] A listing of strategies, actions, and key partners on this measure can be found at: [http://hss.state.ak.us/ha2020/assets/Actions-Partners_14_Alcohol.pdf].


Related Indicators

Related Relevant Population Characteristics Indicators:


Related Health Care System Factors Indicators:


Related Risk Factors Indicators:




Graphical Data Views

Alcohol-induced mortality rate per 100,000 population, all Alaskans, Alaska Natives, and U.S., 2001-2020

::chart - missing::

Alaska ComparisonsYearAlcohol-induced mortality rate per 100,000 (Age-adjusted)
Record Count: 50
All Alaskans200018.7
All Alaskans200120.7
All Alaskans200219.7
All Alaskans200321.1
All Alaskans200415.5
All Alaskans200519.3
All Alaskans200621.1
All Alaskans200720.6
All Alaskans200821.7
All Alaskans200921.8
All Alaskans201016.3
All Alaskans201117.2
All Alaskans201215.7
All Alaskans201316.4
Alaska Natives200058.5
Alaska Natives200168.1
Alaska Natives200272.7
Alaska Natives200367.2
Alaska Natives200457.2
Alaska Natives200563.1
Alaska Natives200652.5
Alaska Natives200772.8
Alaska Natives200868.7
Alaska Natives200963.5
Alaska Natives201061.2
Alaska Natives201158.0
Alaska Natives201261.6
Alaska Natives201352.8
U.S.20007.0
U.S.20017.0
U.S.20026.9
U.S.20037.0
U.S.20047.0
U.S.20057.0
U.S.20067.0
U.S.20077.2
U.S.20087.4
U.S.20097.4
U.S.20107.6
U.S.20117.7
U.S.20128.0
U.S.20138.2
Healthy Alaskans Goal201315.3
Healthy Alaskans Goal201415.3
Healthy Alaskans Goal201515.3
Healthy Alaskans Goal201615.3
Healthy Alaskans Goal201715.3
Healthy Alaskans Goal201815.3
Healthy Alaskans Goal201915.3
Healthy Alaskans Goal202015.3

Data Sources

  • Alaska Bureau of Vital Statistics, Division of Public Health, Department of Health and Social Services
  • National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention


Alcohol-induced mortality rate per 100,000 population, Alaska and U.S., 2000-2013

::chart - missing::
confidence limits

Geog: Alaska vs. U.S.YearAlcohol-induced mortality rate per 100,000 (Age-adjusted)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 28
All Alaskans200018.715.422.1102626,932
All Alaskans200120.717.224.3120632,716
All Alaskans200219.716.223.3124641,729
All Alaskans200321.117.524.6121649,466
All Alaskans200415.512.618.5102659,653
All Alaskans200519.316.022.7119667,146
All Alaskans200621.117.524.6141674,583
All Alaskans200720.617.324.0144680,169
All Alaskans200821.718.225.2147686,818
All Alaskans200921.818.325.4148697,828
All Alaskans201016.313.419.3122710,231
All Alaskans201117.214.320.2130723,424
All Alaskans201215.712.818.7122731,827
All Alaskans201316.413.419.3126736,399
U.S.20007.016,760233,069,912
U.S.20017.117,231235,289,999
U.S.20027.117,585236,923,006
U.S.20037.218,101238,437,083
U.S.20047.318,520240,099,486
U.S.20057.319,087241,741,451
U.S.20067.419,634243,492,954
U.S.20077.720,695245,220,726
U.S.20087.921,636246,950,308
U.S.20097.921,896248,530,048
U.S.20108.223,098249,686,878
U.S.20118.423,886251,441,744
U.S.20128.725,006252,622,989
U.S.20139.026,099253,802,432

Data Source

Alaska Bureau of Vital Statistics, Division of Public Health, Department of Health and Social Services


Alcohol-induced mortality rate per 100,000 population, by public health region, 2009-2013 (5-year average)

::chart - missing::
confidence limits

Alaska Public Health RegionsAlcohol-induced mortality rate per 100,000 (Age-adjusted)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 7
Anchorage - Mat-Su16.514.718.23281,933,707
Gulf Coast14.610.918.363397,970
Interior15.512.218.986564,565
Northern27.418.436.434131,927
Southeast18.914.423.481365,305
Southwest26.319.233.452206,235
Statewide17.816.519.26483,538,948

Alcohol-Induced Death Rates By Region

supplemental image
Rates are age-adjusted to U.S. 2000 standard million population.


Data Source

Alaska Bureau of Vital Statistics, Division of Public Health, Department of Health and Social Services


Alcohol-induced mortality rate per 100,000 population, by race 2000-2013

::chart - missing::
confidence limits

Race: AK Native, White, AlaskaYearAlcohol-induced mortality rate per 100,000 (Age-adjusted)Lower LimitUpper LimitNumer- atorDenom- inator
Record Count: 42
Alaska Native200058.544.073.046107,929
Alaska Native200168.152.683.656108,430
Alaska Native200272.756.888.564109,873
Alaska Native200367.251.982.557111,314
Alaska Native200457.243.371.153112,356
Alaska Native200563.148.677.654113,773
Alaska Native200652.539.165.851114,977
Alaska Native200772.857.388.369115,421
Alaska Native200868.753.683.866115,969
Alaska Native200963.549.277.862117,974
Alaska Native201061.247.375.162120,433
Alaska Native201158.044.571.561122,603
Alaska Native201261.647.675.563122,817
Alaska Native201352.840.165.658123,154
White200012.79.915.454460,021
White200113.911.016.963463,075
White200211.89.014.557468,097
White200313.911.016.962472,059
White20049.26.911.647478,660
White200513.510.816.363482,786
White200617.414.220.587487,277
White200713.110.415.972490,232
White200814.511.617.575493,820
White200916.113.219.083499,690
White20109.67.312.058507,457
White201111.48.914.067514,503
White20129.27.011.356518,807
White201311.49.013.767520,501
All Alaskans200018.714.822.7102626,932
All Alaskans200120.716.624.9120632,716
All Alaskans200219.715.623.8124641,729
All Alaskans200321.117.025.2121649,466
All Alaskans200415.512.019.1102659,653
All Alaskans200519.315.423.2119667,146
All Alaskans200621.117.025.2141674,583
All Alaskans200720.616.524.7144680,169
All Alaskans200821.717.625.8147686,818
All Alaskans200921.817.725.9148697,828
All Alaskans201016.312.819.8122710,231
All Alaskans201117.213.720.8130723,424
All Alaskans201215.712.419.1122731,827
All Alaskans201316.412.819.9126736,399

Data Source

Alaska Bureau of Vital Statistics, Division of Public Health, Department of Health and Social Services


Alcohol-induced mortality rate per 100,000 population, age-specific rates, Alaska, 2000-2013 (14-year average)

::chart - missing::
confidence limits

Age GroupLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 10
0-40.1-0.10.31713,138
5-140.00.00.001,459,025
15-243.02.04.0431,436,934
25-3410.38.612.11381,336,354
35-4424.922.427.53521,411,881
45-5439.936.843.05981,498,974
55-6441.837.746.0415991,702
65-7438.232.444.1162423,595
75-8424.717.631.747190,512
85+21.19.233.11256,806

Data Source

Alaska Bureau of Vital Statistics, Division of Public Health, Department of Health and Social Services

References and Community Resources

'''References:''' 1. National Vital Statistics Reports, [http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_10.pdf Deaths: Final Data 2005]. Volume 56, Number 10, p. 109.

More Resources and Links

Alaska and national goals may be found at the following sites:

Alaska health promotion resources may be found at the following site:

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Maps of health indicators for various subdivisions of Alaska may be found at the following site:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

AK-IBIS Web Citation

Use and reproduction of the information published on this website are encouraged and may be done without permission. The following citation should accompany information from this website whenever it is used, reproduced, or published:

AK-IBIS Indicator Citation:
"[Indicator name]. Retrieved on [insert date] from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Example:
Diabetes Prevalence. Retrieved on March 25, 2016, from Alaska Department of Health and Social Services, Indicator-Based Information System for Public Health (AK-IBIS) website: http://ibis.dhss.alaska.gov/.

Page Content Updated On 02/02/2016, Published on 02/02/2016
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Thu, 29 September 2016 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Tue, 2 Feb 2016 16:01:38 AKST
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Thu, 29 September 2016 22:34:05 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Tue, 2 Feb 2016 16:01:38 AKST