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Complete Health Indicator Report of Alcohol Consumption - Heavy Drinking

Definition

'''Heavy drinking''' is defined as consuming 8 or more alcoholic beverages per week for women or 15 or more alcoholic beverages per week for men. It is listed as the percentage of adults aged 18 years and older who reported heavy drinking during the 30 days prior to the survey. [[img src ="https://www.cdc.gov/vitalsigns/alcohol-screening-counseling/images/problem1_970px.jpg" width = "652" height= "455"]]

Numerator

Number of survey respondents who reported heavy drinking during the 30 days prior to the survey.

Denominator

Number of survey respondents excluding those with missing, "Don't know/Not sure" or "Refused" responses.

Data Interpretation Issues

To reduce bias and more accurately represent population data, the BRFSS survey methodology changed. In 2009, the survey began including surveys on cellular phones in addition to landline phones. And a new weighting methodology, known as "iterative proportional fitting" (raking) was implemented. More details about these changes can be found [https://ibis.health.utah.gov/pdf/opha/resource/brfss/RakingImpact2011.pdf here]. As with all surveys, some error results from nonresponse (e.g., refusal to participate in the survey or to answer specific questions), and measurement (e.g., social desirability or recall bias). Error was minimized by use of strict calling protocols, good questionnaire design, standardization of interviewer behavior, interviewer training, and frequent, on-site interviewer monitoring and supervision. The CDC defines heavy drinking as 8 or more alcoholic beverages per week for women or 15 or more alcoholic beverages per week for men. However, because this is a calculated variable and there is the need to incorporate a continuous range or responses, the definition used in the calculation is, "more than 14 drinks for men" and "more than 7 drinks for women".

Why Is This Important?

'''Heavy drinking''' is a type of excessive alcohol use. It exceeds the Dietary Guidelines for Americans definition of moderate drinking which is up to 1 drink per day for women and up to 2 drinks per day for men. Most heavy drinkers are also binge drinkers. According to the latest estimates from the Centers for Disease Control and Prevention, excessive alcohol use is responsible for '''88,000 deaths in the United States''' each year, including 1 in 10 deaths among working-age adults aged 20-64 years.^1^ Estimates also suggest that over '''700 Utahns''' die from alcohol-attributable causes each year and Utah is ranked seventh in the nation for alcohol poisoning deaths.^2^ Excessive alcohol use is also associated with many health and social harms, including '''liver cirrhosis, certain cancers, unintentional injuries, violence and fetal alcohol spectrum disorder'''. Excessive drinking cost the United States $249 billion in 2010.^3^ In 2014, the cost of excessive alcohol use in Utah was estimated to be $1.2 billion.^4^[[br]] [[br]] ---- #Preventing Chronic Disease, 2014, Contribution of excessive alcohol consumption to deaths and years of potential life lost in the United States #Centers for Disease Control and Prevention. Alcohol Related Disease Impact (ARDI) application, 2013. Available at [http://www.cdc.gov/ARDI] #American Journal of Preventative Medicine, 2010, National and State Costs of Excessive Alcohol Consumption #Utah Department of Public Safety, Alcohol Abuse Tracking Committee, 2016 Report

Healthy People Objective SA-15:

Reduce the proportion of adults who drank excessively in the previous 30 days
U.S. Target: 25.4 percent

Other Objectives

Healthy People Objective SA-15, Reduce the proportion of adults who drank excessively in the previous 30 days, includes adults who reported heavy drinking and/or binge drinking.

How Are We Doing?

Using data from both landline and cell phones in 2016, it was estimated that '''4.8%''' (crude rate) of Utah adults reported heavy drinking in the 30 days before for the survey. There was a '''significant increase''' in heavy drinking in Utah from 2015 rates '''(3.6%)'''.

How Do We Compare With the U.S.?

Estimates for 2016 show that '''6.4%''' of U.S. adults reported heavy drinking in the past 30 days whereas '''4.8%''' (2016) of Utah adults reported heavy drinking (crude rates).

What Is Being Done?

The Utah Department of Health [http://health.utah.gov/vipp/ Violence and Injury Prevention Program] receives funding from the [https://www.cdc.gov/alcohol/index.htm Alcohol Program at the Centers for Disease Control (CDC)] for a full-time alcohol epidemiologist. With this additional capacity at the UDOH, it is now possible to conduct more monitoring and surveillance of excessive alcohol use and related harms. The [https://dsamh.utah.gov/ Utah Division of Substance Abuse and Mental Health] is the agency responsible for ensuring that substance abuse and mental health prevention and treatment services are available statewide. The Division also acts as a resource by providing general information, research, and statistics to the public regarding substances of abuse and mental health services.

Evidence-based Practices

The Community Preventive Services Task Force recommends evidence based strategies to reduce excessive alcohol consumption in [http://www.thecommunityguide.org/alcohol/index.html The Community Guide]. These strategies include: # Increasing alcoholic beverage costs # Limiting the number of retail alcohol outlets that sell alcoholic beverages in a given area # Holding alcohol retailers responsible for the harms caused by their underage or intoxicated patrons (dram shop liability) # Restricting access to alcohol by maintaining limits on the days and hours of alcohol retail sales # Consistent enforcement of laws against underage drinking and alcohol-impaired driving # Screening and counseling for alcohol misuse. [[br]] [[br]] ''The Community Preventive Services task force is an independent body of prevention and public health experts.''

Available Services

^ ^ ====Alcohol Screening and Brief Intervention==== Alcohol Screening and Brief Intervention (A-SBI) is a preventive service like hypertension or cholesterol screening that can occur as part of a patient's wellness visit. It identifies and helps individuals who are drinking too much. A-SBI is recommended by the U.S. Preventive Services Task Force (USPSTF), the Community Preventive Services Task Force (Community Guide), the Centers for Disease Control and Prevention (CDC), the National Institute on Alcohol Abuse and Alcoholism (NIAAA), Substance Abuse and Mental Health Services Administration (SAMHSA), and the World Health Organization (WHO). For more information on A-SBI, please visit the CDC vital signs [http://www.cdc.gov/vitalsigns/alcohol-screening-counseling/index.html website].[[br]] [[br]] ====Substance Abuse Helplines==== '''National''': The U.S. Department of Health and Human Services (HHS) Substance Abuse and Mental Health Services Administration (SAMHSA) has a toll-free referral helpline. The number is: 1-800-662-HELP (4357). '''Utah''': Dial 2-1-1 for state and community service information. Code 2-1-1 can now be accessed from anywhere in the state of Utah. 211 Info Bank, a program of Community Services Council, is a free information and referral line for health, human and community services. 211 provides information and referral on many topics.

Health Program Information

A drink of alcohol is equivalent to a '''12-ounce beer, a 5-ounce glass of wine, or a drink with one shot of liquor'''.[[br]] [[br]] ====A Standard Drink ==== [[img src="https://www.niaaa.nih.gov/sites/default/files/introduction-standard-drink-sidebar.png"]] Knowing standard drink sizes and the number of drinks per container can help you make informed decisions about your drinking. Find a '''standard drink size calculator tool''' from the National Institute of Alcohol Abuse and Alcoholism [https://www.rethinkingdrinking.niaaa.nih.gov/tools/Calculators/drink-size-calculator.aspx here].


Related Indicators

Relevant Population Characteristics

Similar rates of heavy drinking are seen across gender and age groups, with only the 65+ age group seeing significantly lower rates.

Related Relevant Population Characteristics Indicators:


Health Care System Factors

Excessive alcohol use is strongly associated with unintentional injury. At least 6,685 emergency department (ED) visits and 3,164 hospitalizations occurred in 2014 because of direct alcohol-attributable causes.

Related Health Care System Factors Indicators:


Risk Factors

People experiencing poor mental health are more likely to drink excessively.

Related Risk Factors Indicators:


Health Status Outcomes

Excessive alcohol use is associated with many health and social harms, including liver cirrhosis, certain cancers, unintentional injuries, violence, and fetal alcohol spectrum disorder.

Related Health Status Outcomes Indicators:




Graphical Data Views

Heavy Drinking in the Past 30 Days, Utah and U.S., 2009-2016

::chart - missing::
confidence limits

BRFSS Utah vs. U.S.YearCrude Percentage of AdultsLower LimitUpper Limit
Record Count: 14
UT New Methodology20093.3%2.8%3.8%
UT New Methodology20103.4%3.0%3.9%
UT New Methodology20114.1%3.6%4.7%
UT New Methodology20123.5%3.1%4.0%
UT New Methodology20134.5%4.1%5.1%
UT New Methodology20143.3%3.0%3.7%
UT New Methodology20153.6%3.2%4.1%
UT New Methodology20164.8%4.2%5.4%
US New Methodology20116.6%6.4%6.8%
US New Methodology20125.9%5.7%6.0%
US New Methodology20136.0%5.8%6.1%
US New Methodology20145.8%5.7%6.0%
US New Methodology20155.8%5.6%5.9%
US New Methodology20166.4%6.2%6.5%

Data Notes

The calculated variable for heavy drinking uses the definition "more than 14 drinks for men" and "more than 7 drinks for women". See Data Interpretation Issues for further information.   [[br]] These rates are crude rates, not age-adjusted, given that the Healthy People 2020 Objective is based on crude rates.

Data Sources

  • Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health
  • U.S. Data: Behavioral Risk Factor Surveillance System (BRFSS), Division of Behavioral Surveillance, CDC Office of Surveillance, Epidemiology, and Laboratory Services


Heavy Drinking in the Past 30 Days by Age and Sex, Utah, 2015-2016

::chart - missing::
confidence limits

Males vs. FemalesAge GroupCrude Percentage of AdultsLower LimitUpper Limit
Record Count: 8
Male18-345.2%4.2%6.4%
Male35-495.7%4.5%7.1%
Male50-645.4%4.3%6.6%
Male65+2.3%1.5%3.5%
Female18-343.6%2.8%4.6%
Female35-493.8%3.0%4.8%
Female50-644.4%3.5%5.4%
Female65+2.0%1.5%2.7%

Data Notes

The calculated variable for heavy drinking uses the definition "more than 14 drinks for men" and "more than 7 drinks for women". See Data Interpretation Issues for further information.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Heavy Drinking in the Past 30 Days by Education, Utah Adults Aged 25+, 2016

::chart - missing::
confidence limits

Education LevelCrude Percentage of Adults 25+Lower LimitUpper Limit
Record Count: 4
Less Than High School5.8%3.3%9.9%
H.S. Grad or G.E.D.5.9%4.6%7.5%
Some Post High School4.6%3.7%5.8%
College Graduate3.8%3.0%4.8%

Data Notes

The calculated variable for heavy drinking uses the definition "more than 14 drinks for men" and "more than 7 drinks for women". See Data Interpretation Issues for further information.   [[br]]These rates are crude rates, not age-adjusted, given that the Healthy People 2020 Objective is based on crude rates.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Heavy Drinking in the Past 30 Days by Ethnicity, Utah, 2016

::chart - missing::
confidence limits

Hispanic EthnicityCrude Percentage of AdultsLower LimitUpper Limit
Record Count: 2
Hispanic4.4%2.7%7.1%
Non-Hispanic4.8%4.2%5.5%

Data Notes

The calculated variable for heavy drinking uses the definition "more than 14 drinks for men" and "more than 7 drinks for women". See Data Interpretation Issues for further information.   [[br]]These rates are crude rates, not age-adjusted, given that the Healthy People 2020 Objective is based on crude rates.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Heavy Drinking in the Past 30 Days by Race, Utah, 2014-2016

::chart - missing::
confidence limits

RaceCrude Percentage of AdultsLower LimitUpper LimitNote
Record Count: 5
American Indian/Native Alaskan4.0%2.1%7.4%*
Asian1.3%0.6%2.8%*
Black6.2%3.5%10.6%
Pacific Islander3.9%1.5%9.4%*
White4.0%3.7%4.3%

Data Notes

The calculated variable for heavy drinking uses the definition "more than 14 drinks for men" and "more than 7 drinks for women". See Data Interpretation Issues for further information.   [[br]] [[br]]Notes regarding race data: *Use caution when interpreting estimates marked with an asterisk (*) in the data table. They have a coefficient of variation >30% and are therefore deemed unreliable by Utah Department of Health standards. *These rates are crude rates, not age-adjusted, given that the Healthy People 2020 Objective is based on crude rates.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Heavy Drinking in the Past 30 Days by Local Health District, Utah, 2014-2016

::chart - missing::
confidence limits

Local Health DistrictCrude Percentage of AdultsLower LimitUpper LimitNote
Record Count: 14
Bear River2.9%2.1%3.8%
Central2.8%1.9%4.1%
Davis County2.9%2.2%3.7%
Salt Lake County4.9%4.4%5.5%
San Juan3.7%1.8%7.3%*
Southeast5.2%3.4%7.9%
Southwest3.2%2.4%4.2%
Summit6.9%5.2%9.1%
Tooele4.7%3.2%7.0%
TriCounty5.0%3.6%6.9%
Utah County2.2%1.7%2.9%
Wasatch6.4%4.0%10.2%
Weber-Morgan5.0%4.1%6.1%
State of Utah3.9%3.7%4.2%

Data Notes

The calculated variable for heavy drinking uses the definition "more than 14 drinks for men" and "more than 7 drinks for women". See Data Interpretation Issues for further information.   [[br]][[br]]Notes regarding LHD data: *Use caution when interpreting estimates marked with an asterisk (*) in the data table. They have a coefficient of variation >30% and are therefore deemed unreliable by Utah Department of Health standards. *These rates are crude rates, not age-adjusted, given that the Healthy People 2020 Objective is based on crude rates. *Prior to 2015 San Juan County was part of the Southeast Local Health District. In 2015 the San Juan County Local Health District was formed. Data reported are for all years using the current boundaries.

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health


Heavy Drinking in the Past 30 Days by Utah Small Area, 2014-2016

::chart - missing::
confidence limits

Utah Small AreasCrude Percentage of AdultsLower LimitUpper LimitNote
Record Count: 66
Brigham City5.6%3.2%9.8%
Box Elder Co (Other)2.8%1.2%6.7%*
Logan2.9%1.9%4.6%
Cache Co (Oth)/Rich Co (All)1.8%1.0%3.2%*
Ben Lomond5.9%4.0%8.8%
Morgan Co (All)/Weber Co (E)4.0%2.4%6.7%
Ogden (Downtown)5.0%3.0%8.1%
South Ogden6.3%4.0%9.8%
Roy/Hooper5.0%3.0%8.1%
Riverdale2.2%0.9%5.0%*
Clearfield/Hill AFB4.5%2.7%7.4%
Layton2.0%1.2%3.4%
Syracuse/Kaysville2.0%1.0%3.8%*
Farmington/Centerville3.8%2.0%7.1%*
Woods Cross/North Salt Lake2.9%1.3%6.5%*
Bountiful2.8%1.5%5.2%*
SLC (Rose Park)5.8%3.0%10.9%*
SLC (Avenues)10.7%6.9%16.2%
SLC (Foothill/U of U)3.9%2.0%7.6%*
Magna****
SLC (Glendale)11.8%6.8%19.7%
West Valley (West)4.0%2.6%6.0%
West Valley (East) V24.0%2.0%7.8%*
SLC (Downtown)10.0%7.3%13.6%
South Salt Lake7.0%3.8%12.5%*
Millcreek5.6%3.7%8.3%
Holladay5.2%3.2%8.5%
Cottonwood5.6%3.7%8.5%
Kearns V22.6%1.2%5.5%*
Taylorsville (E)/Murray (W)4.1%2.2%7.4%*
Taylorsville (West)3.6%2.0%6.4%*
Murray6.9%4.2%11.3%
Midvale4.5%2.1%9.3%*
West Jordan (NE) V23.2%1.7%5.9%*
West Jordan (SE)6.4%4.0%10.3%
West Jordan (W)/Copperton4.9%2.6%9.0%*
South Jordan3.1%1.8%5.4%
Sandy (Center)4.5%2.8%7.3%
Sandy (NE)6.6%3.9%10.9%
Sandy (SE)5.7%2.9%11.1%*
Riverton/Draper2.5%1.5%4.3%
Tooele Co4.7%3.2%7.0%
Lehi/Cedar Valley2.7%1.4%5.1%*
American Fork/Alpine1.7%0.8%3.8%*
Pleasant Grove/Lindon2.2%1.0%4.4%*
Orem (North)1.4%0.6%3.6%*
Orem (West)2.4%1.0%5.4%*
Orem (East)****
Provo (North)/BYU****
Provo (South)2.1%1.1%4.2%*
Springville/Spanish Fork2.8%1.7%4.7%
Utah Co (South)4.5%2.0%9.5%*
Summit Co6.9%5.2%9.1%
Wasatch Co6.4%4.0%10.2%
TriCounty LHD5.0%3.6%6.9%
Juab/Millard/Sanpete Co2.8%1.7%4.4%
Sevier/Piute/Wayne Co3.0%1.6%5.5%*
Carbon/Emery Co3.4%1.7%6.7%*
Grand County12.0%7.2%19.3%
San Juan County3.7%1.8%7.3%*
St George3.3%2.0%5.4%
Washington Co (Other)3.0%1.8%4.7%
Cedar City3.1%1.6%6.1%*
Southwest LHD (Other)3.1%1.8%5.3%
State3.9%3.7%4.2%

Data Notes

The calculated variable for heavy drinking uses the definition "more than 14 drinks for men" and "more than 7 drinks for women". See Data Interpretation Issues for further information.   [[br]][[br]]Notes regarding Utah Small Area data: *These rates are crude rates, not age-adjusted, given that the Healthy People 2020 Objective is based on crude rates. *Use caution when interpreting estimates marked with an asterisk (*) in the data table. They have a coefficient of variation >30% and are therefore deemed unreliable by Utah Department of Health standards. *Estimates marked with the symbol ** have been suppressed because the relative standard error is greater than 50%. *A description of the Utah Small Areas may be found on [http://ibis.health.utah.gov/resource/Help.html IBIS].

Data Source

Utah Data: Behavioral Risk Factor Surveillance System, Office of Public Health Assessment, Utah Department of Health

References and Community Resources

'''National:''' [[br]] *The U.S. Department of Health and Human Services (HHS) Substance Abuse and Mental Health Services Administration (SAMSA) Substance Abuse Treatment Facility Locator: [http://findtreatment.samhsa.gov/] *[http://www.niaaa.nih.gov National Institutes of Health: National Institute on Alcohol Abuse and Alcoholism] *[http://www.cdc.gov/alcohol/ Centers for Disease Control and Prevention, Alcohol and Public Health] This site includes fact sheets, online tool kits, data and recently published literature. *The CDC also publishes the Prevention Status Reports (PSR), which highlight, for all 50 states and the District of Columbia, the status of public health policies and practices designed to address important public health problems and concerns. The 2015 PSR for excessive alcohol use can be found [https://wwwn.cdc.gov/psr/?state=Utah here]. *More information on the Behavioral Risk Factor Surveillance System may be found on the website of the [http://www.cdc.gov/brfss/ Centers for Disease Control and Prevention][[br]] [[br]] '''Utah:'''[[br]] Utah Department of Human Services[[br]] Division of Substance Abuse and Mental Health[[br]] 195 North 1950 West[[br]] Salt Lake City, Utah 84116[[br]] Phone: (801) 538- 3939[[br]] Fax: (801) 538-9892[[br]] [https://dsamh.utah.gov/]

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 10/24/2017, Published on 11/16/2017
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Sun, 21 January 2018 15:08:39 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Thu, 16 Nov 2017 17:56:59 MST