MMWR Morb Mortal Wkly Rep. 2008 Aug 29;57(34):938-41.
Excessive alcohol consumption is a leading preventable cause of death in the United States and has substantial public health impact on American Indian and Alaska Native (AI/AN) populations. To estimate the average annual number of alcohol-attributable deaths (AADs) and years of potential life lost (YPLLs) among AI/ANs in the United States, CDC analyzed 2001-2005 data (the most recent data available), using death certificate data and CDC Alcohol-Related Disease Impact (ARDI) software. This report summarizes the results of that analysis, which indicated that AADs accounted for 11.7% of all AI/AN deaths, that the age-adjusted AAD rate for AI/ANs was approximately twice that of the U.S. general population, and that AI/ANs lose 6.4 more years of potential life per AAD compared with persons in the U.S. general population (36.3 versus 29.9 years). These findings underscore the importance of implementing effective population-based interventions to prevent excessive alcohol consumption and to reduce alcohol-attributable morbidity and mortality among AI/ANs.
在美国，过量饮酒是可预防的主要死因，对美国印第安人和阿拉斯加原住民（AI/AN）群体具有重大的公共卫生影响。为了估算美国AI/AN群体中酒精所致死亡（AAD）的年均数量以及潜在寿命损失年数（YPLL），美国疾病控制与预防中心（CDC）利用死亡证明数据和CDC酒精相关疾病影响（ARDI）软件，对2001 - 2005年的数据（可获取的最新数据）进行了分析。本报告总结了该分析结果，结果表明，AAD占AI/AN群体所有死亡人数的11.7%，AI/AN群体的年龄调整后AAD率约为美国总体人群的两倍，而且与美国总体人群相比，AI/AN群体每例AAD导致的潜在寿命损失多6.4年（分别为36.3年和29.9年）。这些发现强调了实施有效的基于人群的干预措施以预防过量饮酒并降低AI/AN群体中酒精所致发病率和死亡率的重要性。
