Skip directly to searchSkip directly to the site navigationSkip directly to the page's main content
Skip directly to searchSkip directly to the site navigationSkip directly to this page's context menuSkip directly to the page's main content
State of Alaska

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

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.^2^ 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.^2^[[br]] [[br]] ---- {{class .SmallerFont 2. Hull-Jilly DMC, Casto LD. State epidemiologic profile on substance use, abuse and dependency-2007-2011. [http://dhss.alaska.gov/dbh/Documents/Prevention/EPI2013.pdf]. Published 2013. Accessed October 5, 2016. }}

Notes

** Data not available

Data Sources

  • [http://dhss.alaska.gov/dph/VitalStats/Pages/default.aspx Alaska Health Analytics and Vital Records], Division of Public Health, Alaska Department of Health and Social Services
  • National Vital Statistics System, National Center for Health Statistics, U.S. Centers for Disease Control and Prevention

Data Interpretation Issues

Alaska populations are from the [http://live.laborstats.alaska.gov/pop/index.cfm Alaska Department of Labor and Workforce Development, Research and Analysis]. 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. Kochanek KD, Murphy SL, Xu JQ, Tejada-Vera B. Deaths: final data for 2014. [http://www.cdc.gov/nchs/data/nvsr/nvsr65/nvsr65_04.pdf]. Published 2016. Accessed October 5, 2016. }}

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.^1^[[br]] [[br]] ---- {{class .SmallerFont 1. Kochanek KD, Murphy SL, Xu JQ, Tejada-Vera B. Deaths: final data for 2014. [http://www.cdc.gov/nchs/data/nvsr/nvsr65/nvsr65_04.pdf]. Published 2016. Accessed October 5, 2016. }}

Numerator

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

Denominator

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

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.

How Are We Doing?

In 2016, there were 182 deaths attributed to alcohol-induced mortality among all Alaskans, an age-adjusted rate of 22.9 per 100,000. Alaska Native people had 91 deaths during the same period for a rate of 80.2 per 100,000.^3^ The rates of alcohol-induced mortality for both all Alaskans and Alaska Native people have increased significantly from the beginning of the reporting period in 2000 to 2016, from 18.7 to 22.9 per 100,000 for all Alaskans and 58.5 to 80.2 per 100,000 for Alaska Native people.^3^ In 2015, there were 3,740 years of potential life lost due to alcohol-induced deaths, with 23.4 years lost prematurely for each death, on average.^4^ Alcohol-induced mortality is typically higher in males than females.^3^ For the 15-year period from 2002-2016, the highest rates of alcohol-induced mortality occurred in the 55-64 age group at 44.6 per 100,000.^3^ Alaska Native people at 80.2 per 100,000 had rates of alcohol-induced mortality that were 6 times higher than those experienced by non-Hispanic whites at 13.3 per 100,000 in 2016.^3^ The highest rates of alcohol-induced mortality in the 5-year period from 2012-2016 were confined to the northern and southwest regions, with rates of 31.6 per 100,000 and 30.0 per 100,000, respectively.^3^ The remaining regions hovered around the statewide rate of 18.6 per 100,000 for the period.^3^ [[br]][[br]] ---- {{class .SmallerFont 3. Source: Alaska Health Analytics and Vital Records Updated: 08/11/2017. 4. Alaska Department of Health and Social Services, Division of Public Health, Health Analytics and Vital Records Section. Alaska Vital Statistics 2015 Annual Report. [http://dhss.alaska.gov/dph/VitalStats/Documents/PDFs/VitalStatistics_Annualreport_2015.pdf]. Accessed February 7, 2017. }}

How Do We Compare With the U.S.?

In 2014 (the most recent year for which national data are available), the rate of alcohol-induced mortality was 8.5 per 100,000 for the U.S. In comparison, the rate for all Alaskans was more than doubled at 17.7 per 100,000 and over 6 times higher for Alaska Native people at 60.8 per 100,000.

What Is Being Done?

Alcohol & Drug Information School (ADIS) Programs provide education to first-time Driving While Intoxicated (DWI) and Minor Consuming offenders, as well as those convicted of other alcohol/drug related offenses, if that person would not be diagnosed as a substance abuser. The goal of the ADIS program is to reduce the subsequent alcohol and/or other drug related offenses and the associated high risk behaviors. ADIS programs cover the effects of alcohol and other drugs on driving and social behaviors as well as health and legal consequences. Each ADIS program conforms to the same standards and are approved and monitored by Division of Behavioral Health. These programs are designed to be available to all Alaskans involved in alcohol and/or other drug related offenses.^5^ The Alaska Alcohol Safety Action Program (ASAP) provides substance abuse screening, case management and accountability for DWI and other alcohol/drug related misdemeanor cases. This involves screening cases referred from the district court into drinker classification categories, as well as thoroughly monitoring cases throughout education and/or treatment requirements.^6^[[br]] [[br]] ---- {{class .SmallerFont 5. Alaska Department of Health and Social Services. Alcohol & Drug Information School. [http://dhss.alaska.gov/dbh/Pages/Prevention/programs/adis/default.aspx]. Accessed October 5, 2016. 6. Alaska Department of Health and Social Services. Alcohol Safety Action Program. [http://dhss.alaska.gov/dbh/pages/prevention/programs/asap/default.aspx]. Accessed October 5, 2016. }}

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]] Description of a Good and Modern Addictions and Mental Health Service System [http://beta.samhsa.gov/sites/default/files/good_and_modern_4_18_2011_508.pdf] '''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]]Community Trials Intervention to Reduce High-Risk Drinking [http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=9] Prevention Topics: Environmental Strategies [http://captus.samhsa.gov/access-resources/environmental-strategies-selection-guidereference-list-and-examples-implementation-guidelines] Birckmayer JD, Holder HD, Yacoubian, Jr. GS, Friend KB. A general causal model to guide alcohol, tobacco, and illicit drug prevention: assessing the research evidence. J DRUG EDUCATION 2004;34(2):121-53. Holder HD, Gruenewald PJ, Ponicki WR, Treno AJ, et al. Effects of community-based interventions on high risk drinking and alcohol-related injuries. JAMA 2000;284(18):2341-7. 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].
Page Content Updated On 04/02/2018, Published on 04/02/2018
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 Sun, 18 November 2018 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: Mon, 2 Apr 2018 12:06:27 AKDT
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics 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 Sun, 18 November 2018 20:34:39 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Mon, 2 Apr 2018 12:06:27 AKDT