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Indiana Prevention Resource Center (IPRC)

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  • 6.6a Alcohol Spending
  • 6.6b Alcohol Consequences
  • 6.7a Tobacco Spending
  • 6.7b Tobacco Consequences
  • 6.8a Alcohol (SAC) Non-Compliance Rates
  • 6.8b SAC: Intensity of Inspection
  • 6.9 Intensity of Inspection (TRIP/FDA)
  • 6.11 Hoosier Lottery Sales
  • 6.12 Crime Indices
  • 6.13 FBI Uniform Crime Report (All Arrests and Juvenile Arrest)
  • 6.14 Alcohol Related Crash
  • 6.14b INSPECT Data for Rx Drugs
  • 6.14c HIV, HCV, STD, and Opioid Profiles
  • Home > Prev-Stat > County Profiles Data > Introduction

    Community Risk Factors: Laws and Norms

    6.6b Alcohol Consequences
    According to the CDC, there are approximately 79,000 deaths attributable to excessive alcohol use each year in the United States. This makes excessive alcohol use the 3rd leading lifestyle-related cause of death for the nation. Additionally, excessive alcohol use is responsible for 2.3 million years of potential life lost (YPLL) annually, or an average of about 30 years of potential life lost for each death.  In the single year 2005, there were more than 1.6 million hospitalizations and more than 4 million emergency room visits for alcohol-related conditions (CDC, 2011).  Alcohol causes an economic burden as well.  For the year 2000, the annual cost of alcohol-related crashes totals more than $51 billion (CDC, 2011).  For the year 2006, the estimated economic cost of excessive drinking was $223.5 billion in 2006 (72.2% from lost productivity, 11.0% from healthcare costs, 9.4% from criminal justice costs, and 7.5% from other effects). Binge drinking resulted in costs of $170.7 billion (76.4% of the total); underage drinking $27.0 billion; and drinking during pregnancy $5.2 billion. The cost of alcohol-attributable crime was $73.3 billion (Bouchery et al. 2011). 

    This section highlights national data on binge drinking by several key demographics, and is derived from the CDC.  According to the CDC, in 2009, the overall prevalence of binge drinking among adults in the 50 states and DC was 15.2%. Binge drinking prevalence among men (20.8%) was two times higher than among women (10.0%). Binge drinking prevalence decreased with increasing age, from 25.6% among respondents aged 18–24 years to 3.8% among respondents aged ≥65 years. However, binge drinkers aged ≥65 years reported the highest average number of binge drinking episodes during the preceding 30 days (5.4).  The age- and sex-adjusted prevalence of binge drinking among non-Hispanic whites (17.5%) was similar to the prevalence among American Indians/Alaska Natives (15.4%), but significantly higher than the prevalence for Hispanics (14.4%) non-Hispanic blacks (10.4%), and Asians/Native Hawaiians/Pacific Islanders (7.8%) (CDC, 2011).    

    According to Healthy People 2020, the top two substance abuse leading health indicators are: adolescents using alcohol or any illicit drugs during the past 30 days and adults engaging in binge drinking during the past 30 days. The indicators of the consequences of alcohol abuse are reflected in the goals and objectives of the Healthy People 2020 plan for the nation, which calls for strategic actions targeting policy and prevention, screening and treatment, and epidemiology and surveillance.  Here is the complete  list of indicators from Healthy People 2020.


    An outline of the more comprehensive list is shown here below:

    Policy and Prevention
    1.  Reduce the proportion of adolescents who report that they rode, during the previous 30 days, with a driver who had been drinking alcohol
    2. Increase the proportion of adolescents never using substances
    3. Increase the proportion of adolescents who disapprove of substance abuse
    4. Increase the proportion of adolescents who perceive great risk associated with substance abuse
    5. (Developmental) Increase the number of drug, driving while impaired (DWI), and other specialty courts in the United States
    6. Increase the number of States with mandatory ignition interlock laws for first and repeat impaired driving offenders in the United States
    Screening and Treatment
    7. Increase the number of admissions to substance abuse treatment for injection drug use
    8. Increase the proportion of persons who need alcohol and/or illicit drug treatment and received specialty treatment for abuse or dependence in the past year
    9. (Developmental) Increase the proportion of persons who are referred for follow-up care for alcohol problems, drug problems after diagnosis, or treatment for one of these conditions in a hospital emergency department
    10.Increase the number of Level I and Level II trauma centers and primary care settings that implement evidence-based alcohol Screening and Brief Intervention (SBI)
    Epidemiology and Surveillance
    11. Reduce cirrhosis deaths
    12. Reduce drug-induced deaths
    13. Reduce past-month use of illicit substances
    14. Reduce the proportion of persons engaging in binge drinking of alcoholic beverages
    15.  Reduce the proportion of adults who drank excessively in the previous 30 days
    16. Reduce the average annual alcohol consumption
    17. Decrease the rate of alcohol-impaired driving (.08+ blood alcohol content [BAC]) fatalities
    18. Reduce steroid use among adolescents
    19. Reduce the past-year nonmedical use of prescription drugs
    20. Decrease the number of deaths attributable to alcohol
    21. Reduce the proportion of adolescents who use inhalants

    Additional Government Sponsored Resources:

    Prevalence, trends, and consequences of underage drinking https://www.stopalcoholabuse.gov/Statistics.aspx

    National Institute on Alcohol Abuse and Alcoholism
    Information Q&A about Alcoholism

    Links to research findings related to alcohol abuse

    Alcohol abuse/alcoholism preventionhttp://pubs.niaaa.nih.gov/publications/AA83/AA83.htm

    Alcohol’s effects on women’s health http://pubs.niaaa.nih.gov/publications/arh26-4/toc26-4.htm

    Per Capita alcohol consumption national, state, and regional trends 1977-2009 http://pubs.niaaa.nih.gov/publications/Surveillance92/CONS09.htm

    Alcohol Policy Information System
    Information links on alcohol policy and its effectshttp://www.alcoholpolicy.niaaa.nih.gov/

    Centers for Disease Control and Prevention
    Health Effects of Alcohol http://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htm

    Alcohol effects on Men’s health http://www.cdc.gov/alcohol/fact-sheets/mens-health.htm

    Alcohol effects on Women’s health http://www.cdc.gov/alcohol/fact-sheets/womens-health.htm

    Underage Drinking, statistics, and consequences

    National Institute on Drug Abuse
    General and school age drinking statistics http://www.drugabuse.gov/drugs-abuse/alcohol

    Select Bibliography

    Centers for Disease Control and Prevention. Alcohol Related Disease Impact (ARDI) application, 2008. Available at http://apps.nccd.cdc.gov/DACH_ARDI/Default.aspx.

    Centers for Disease Control and Prevention. 2011.  http://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htm

    Bouchery, E.E., Harwood, H.J., Sacks, J.J., Simon, C.J., Brewer, R.D. Economic Costs of Excessive Alcohol Consumption in the U.S., 2006. (November, 2011). American Journal of Preventive Medicine Volume 41, Issue 5 , Pages 516-524. Retrieved May 25, 2012 from http://www.ajpmonline.org/article/S0749-3797%2811%2900538-1/fulltext

    Centers for Disease Control and Prevention. 2011. CDC Health Disparities and Inequalities Report — United States, 2011.  Morbidity and Mortality Weekly Report January 14, 2011.  Retrieved May 25, 2012 from http://www.cdc.gov/mmwr/pdf/other/su6001.pdf