Developing Surveillance for Alcohol Abuse, Dependence, and Related Consequences in New Mexico Sandra Woerle, MA New Mexico Department of Health Office of Epidemiology

Historical Background to Alcohol Epidemiology in New Mexico 1990 Substance Abuse Unit created within Office of Epidemiology at NM Department of Health  Primary funding through Centers for Substance Abuse Treatment (CSAT)  One State-funded Epidemiologist Spring 2002 entered into discussions with Centers for Disease Control and Prevention (CDC)  Alcohol Epidemiologist as of 12/2002

New Mexico Alcohol Epidemiology Cooperative Partners Behavioral Health Services Division Office of Medical Investigator Office of Vital Records and Health Statistics Office of Epidemiology Injury and Survey Units Family Health Bureau Health Policy Commission Alcohol Issue Consortium UNM Division of Government Research Centers for Disease Control and Prevention

Substance Abuse Indicator Assessment Mortality - Office of Vital Records and Health Statistics; Office of Medical Investigator (OMI); Fatal Accident Reporting System (FARS) Morbidity -Hospital Impatient Discharge Database (HIDD) Behaviors -Behavioral Risk Factor Surveillance System (BRFSS); Youth Risk and Resiliency Survey (YRRS); Pregnancy Risk Assessment Monitoring System (PRAMS) Services -Treatment Episode Data System (TEDS) Crime -Uniform Crime Report (UCR); Citation Tracking System (CTS); Local DWI Grant Program Screening and Tracking

Alcohol-Related Deaths Rates New Mexico, Sources: New Mexico Office of Vital Records and Health Statistics, CDC Wonder ICD9 291, 303, 305.0, 357.5, 425.5, 535.3, 790.3, , E860 Age-adjusted to US 2000 population

Alcohol-Related Deaths in the US Top State Rankings, Source: CDC Wonder

Alcohol-Involved Crash Fatalities New Mexico and US, Source: UNM Division of Government Research

Alcohol-Related Deaths and Alcohol-Involved Crash Fatalities New Mexico Source: BRFSS

Alcohol Behavior Patterns in New Mexico: Findings from BRFSS

Prevalence of Binge Drinking* New Mexico and US, Source: BRFSS * 5 or more drinks on one occasion

Prevalence of Heavy Drinking* New Mexico and US, Source: BRFSS * More than 2 drinks/day for males and more than 1 drink/day for females

Prevalence of Self-Reported Driving Under the Influence in New Mexico, 1998, 1999, 2000, and 2002 Source: BRFSS

Total Number of Self-Reported Driving While Under the Influence Episodes/Year New Mexico Source: BRFSS

Prevalence for Self-Reported Driving Under the Influence Selected States, 1999 Source:CDC BRFSS Prevalence Tables

Prevalence for Self-Reported Driving Under the Influence by Gender New Mexico 1999, 2000, 2002

Prevalence of Self-Reported Driving Under the Influence by Race/Ethnicity New Mexico Source: BRFSS P value=.03

Prevalence of Self-Reported Driving Under the Influence by Age New Mexico Source: BRFSS

Prevalence of Self-Reported Driving Under the Influence by Marital Status New Mexico Source: BRFSS

Prevalence of Self-Reported Driving Under the Influence by Employment New Mexico Source: BRFSS

Prevalence of Self-Reported Driving Under the Influence by Income New Mexico Source: BFRSS P value=.08

Prevalence of Self-Reported Driving Under the Influence by BHSD Region New Mexico Source: BRFSS

Prevalence of Alcohol Dependence New Mexico 2002 Alcohol dependence obtained by state- added questions to BRFSS. Prevalence rate for past 12 months of percent of binge drinkers are alcohol dependent National Household Survey on Drug Abuse showed alcohol dependence at % of self-reported DUI also report binge- drinking in past 30 days

Summary of Risk Behaviors Alcohol risk behavior indicators vary : -State binge drinking prevalence has remained stable; although significant changes occur within and between specific groups -Heavy drinking has increased -Self-reported DUI has declined -Significant risk factors for DUI are male, younger, never married, and student status or employed -BRFSS identified “problem” drinkers are not alcohol dependent -There is an association between self-reported DUI and binge drinking

Treatment Admissions by Primary Substance by Sex New Mexico, Source: TEDS July 2000-April 2002

Conclusions Alcohol surveillance in New Mexico is a complex picture Alcohol-related mortality rate is well above the national rate and is increasing Alcohol-related risk behaviors are stable or decreasing Patterns of alcohol use within sub-populations are crucial to understanding burden of alcohol in New Mexico Future work needs to address New Mexico specific issues

A Comparison of BRFSS to Screening & Tracking Using Santa Fe County, 2000 BRFSS 70% Male 47% Hispanic 42% Married 74% Employed 26% Earn $25,000 to $35,000/Year 36% H.S. Grad and 36% College Grad S & T 78% Male 69% Hispanic 42% Never Married 66% Employed 65% Earn <$20,000 44% H.S. Grad

Putting It All Together Multiple sources may reveal gaps in services or programming. Multiple data sources allow for comparisons to evaluate existing policies and plan for future program development BRFSS 2004 will include binge drinking module to obtain more information regarding type of alcoholic beverage and where last obtained alcohol.

Contact Information Judith Harmon, MA Management Analyst Office of Epidemiology 1190 St. Francis Drive Santa Fe, NM (505)