MMWR Morb Mortal Wkly Rep. 2020 Oct 2;69(39):1428-1433. doi: 10.15585/mmwr.mm6939a6.
Excessive alcohol use is a leading cause of preventable death in the United States (1) and costs associated with it, such as those from losses in workplace productivity, health care expenditures, and criminal justice, were $249 billion in 2010 (2). CDC used the Alcohol-Related Disease Impact (ARDI) application* to estimate national and state average annual alcohol-attributable deaths and years of potential life lost (YPLL) during 2011-2015, including deaths from one's own excessive drinking (e.g., liver disease) and from others' drinking (e.g., passengers killed in alcohol-related motor vehicle crashes). This study found an average of 95,158 alcohol-attributable deaths (261 deaths per day) and 2.8 million YPLL (29 years of life lost per death, on average) in the United States each year. Of all alcohol-attributable deaths, 51,078 (53.7%) were caused by chronic conditions, and 52,921 (55.6%) involved adults aged 35-64 years. Age-adjusted alcohol-attributable deaths per 100,000 population ranged from 20.8 in New York to 53.1 in New Mexico. YPLL per 100,000 population ranged from 631.9 in New York to 1,683.5 in New Mexico. Implementation of effective strategies for preventing excessive drinking, including those recommended by the Community Preventive Services Task Force (e.g., increasing alcohol taxes and regulating the number and concentration of alcohol outlets), could reduce alcohol-attributable deaths and YPLL..
过量饮酒是美国可预防死亡的主要原因之一(1),与之相关的成本,如工作场所生产力损失、医疗保健支出和刑事司法成本,在 2010 年达到 2490 亿美元(2)。疾病控制与预防中心使用酒精相关疾病影响(ARDI)应用程序*来估计 2011-2015 年全国和各州的平均年度酒精归因死亡人数和潜在生命损失年数(YPLL),包括因自身过度饮酒(例如,肝病)和他人饮酒(例如,在与酒精相关的机动车碰撞中丧生的乘客)而导致的死亡。这项研究发现,美国每年平均有 95158 例酒精归因死亡(每天 261 例)和 280 万 YPLL(平均每例死亡损失 29 年)。在所有酒精归因死亡中,51078 例(53.7%)是由慢性疾病引起的,52921 例(55.6%)涉及 35-64 岁的成年人。每 10 万人中年龄调整后的酒精归因死亡人数从纽约的 20.8 人到新墨西哥州的 53.1 人不等。每 10 万人中 YPLL 从纽约的 631.9 人到新墨西哥州的 1683.5 人不等。实施有效的预防过度饮酒策略,包括社区预防服务工作组建议的策略(例如,提高酒精税和监管酒精销售点的数量和浓度),可以减少酒精归因死亡人数和 YPLL。