Marissa B Esser1, Adam Sherk2, Meenakshi Sabina Subbaraman3, Priscilla Martinez3, Katherine J Karriker-Jaffe3,4, Jeffrey J Sacks5, Timothy S Naimi2. 1. Division of Population Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia. 2. Canadian Institute for Substance Use Research, University of Victoria, Victoria, British Columbia, Canada. 3. Alcohol Research Group, Public Health Institute, Emeryville, California. 4. RTI International--Berkeley Office, Berkeley, California. 5. Sue Binder Consulting, Inc., Decatur, Georgia.
Abstract
OBJECTIVE: Self-reported alcohol consumption in U.S. public health surveys covers only 30%-60% of per capita alcohol sales, based on tax and shipment data. To estimate alcohol-attributable harms using alcohol-attributable fractions, accurate measures of total population consumption and the distribution of this drinking are needed. This study compared methodological approaches of adjusting self-reported survey data on alcohol consumption to better reflect sales and assessed the impact of these adjustments on the distribution of average daily consumption (ADC) levels and the number of alcohol-attributable deaths. METHOD: Prevalence estimates of ADC levels (i.e., low, medium, and high) among U.S. adults who responded to the 2011-2015 Behavioral Risk Factor Surveillance System (BRFSS; N = 2,198,089) were estimated using six methods. BRFSS ADC estimates were adjusted using the National Alcohol Survey, per capita alcohol sales data (from the Alcohol Epidemiologic Data System), or both. Prevalence estimates for the six methods were used to estimate average annual alcohol-attributable deaths, using a population-attributable fraction approach. RESULTS: Self-reported ADC in the BRFSS accounted for 31.3% coverage of per capita alcohol sales without adjustments, 36.1% using indexed-BRFSS data, and 44.3% with National Alcohol Survey adjustments. Per capita sales adjustments decreased low ADC prevalence estimates and increased medium and high ADC prevalence estimates. Estimated alcohol-attributable deaths ranged from approximately 91,200 per year (BRFSS unadjusted; Method 1) to 125,200 per year (100% of per capita sales adjustment; Method 6). CONCLUSIONS: Adjusting ADC to reflect total U.S. alcohol consumption (e.g., adjusting to 73% of per capita sales) has implications for assessing the impact of excessive drinking on health outcomes, including alcohol-attributable death estimates.
OBJECTIVE: Self-reported alcohol consumption in U.S. public health surveys covers only 30%-60% of per capita alcohol sales, based on tax and shipment data. To estimate alcohol-attributable harms using alcohol-attributable fractions, accurate measures of total population consumption and the distribution of this drinking are needed. This study compared methodological approaches of adjusting self-reported survey data on alcohol consumption to better reflect sales and assessed the impact of these adjustments on the distribution of average daily consumption (ADC) levels and the number of alcohol-attributable deaths. METHOD: Prevalence estimates of ADC levels (i.e., low, medium, and high) among U.S. adults who responded to the 2011-2015 Behavioral Risk Factor Surveillance System (BRFSS; N = 2,198,089) were estimated using six methods. BRFSS ADC estimates were adjusted using the National Alcohol Survey, per capita alcohol sales data (from the Alcohol Epidemiologic Data System), or both. Prevalence estimates for the six methods were used to estimate average annual alcohol-attributable deaths, using a population-attributable fraction approach. RESULTS: Self-reported ADC in the BRFSS accounted for 31.3% coverage of per capita alcohol sales without adjustments, 36.1% using indexed-BRFSS data, and 44.3% with National Alcohol Survey adjustments. Per capita sales adjustments decreased low ADC prevalence estimates and increased medium and high ADC prevalence estimates. Estimated alcohol-attributable deaths ranged from approximately 91,200 per year (BRFSS unadjusted; Method 1) to 125,200 per year (100% of per capita sales adjustment; Method 6). CONCLUSIONS: Adjusting ADC to reflect total U.S. alcohol consumption (e.g., adjusting to 73% of per capita sales) has implications for assessing the impact of excessive drinking on health outcomes, including alcohol-attributable death estimates.
Authors: Priscilla Martinez; William C Kerr; Meenakshi S Subbaraman; Sarah C M Roberts Journal: Alcohol Clin Exp Res Date: 2019-02-11 Impact factor: 3.455
Authors: Randy W Elder; Briana Lawrence; Aneeqah Ferguson; Timothy S Naimi; Robert D Brewer; Sajal K Chattopadhyay; Traci L Toomey; Jonathan E Fielding Journal: Am J Prev Med Date: 2010-02 Impact factor: 5.043
Authors: Kevin Shield; Jakob Manthey; Margaret Rylett; Charlotte Probst; Ashley Wettlaufer; Charles D H Parry; Jürgen Rehm Journal: Lancet Public Health Date: 2020-01
Authors: William J Parish; Arnie Aldridge; Benjamin Allaire; Donatus U Ekwueme; Diana Poehler; Gery P Guy; Cheryll C Thomas; Justin G Trogdon Journal: Addiction Date: 2017-06-23 Impact factor: 6.526
Authors: Hanna Tolonen; Miika Honkala; Jaakko Reinikainen; Tommi Härkänen; Pia Mäkelä Journal: Scand J Public Health Date: 2019-04-11 Impact factor: 3.021