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Surveillance 101: Excessive Alcohol Consumption: Michigan Perspective

Surveillance 101: Excessive Alcohol Consumption: Michigan Perspective. Katherine Gonzales, MPH Alcohol Epidemiologist Michigan Department of Community Health. CSTE Substance Abuse Preconference Workshop June 9, 2013. MDCH Alcohol Epidemiology Program.

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Surveillance 101: Excessive Alcohol Consumption: Michigan Perspective

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  1. Surveillance 101: Excessive Alcohol Consumption:Michigan Perspective Katherine Gonzales, MPH Alcohol Epidemiologist Michigan Department of Community Health CSTE Substance Abuse Preconference Workshop June 9, 2013

  2. MDCH Alcohol Epidemiology Program • Frame excessive alcohol use as a health issue • Binge drinking • Conduct surveillance • Analyze & provide statewide & local data • Evaluate new data sources for surveillance • Provide scientific foundation for informing discussion • Act as department liaison & representative • Contribute to national work

  3. Working with Partners • Responding to immediate data needs • Discussing missed opportunities • Providing data for county & regional comparisons • Placing excessive alcohol consumption burden within scientific and local context • Data-driven planning • Identifying high-risk sub-populations & behaviors • Lessons learned • Identifying allies: media, public & political support • Using personal stories and data

  4. Michigan Core Data Sources Annual: • Behavioral Risk Factor Surveillance System • Youth Risk Behavior Surveillance System (biennial) • Inpatient Discharge Data • Death Certificates • Traffic Crash Data • Fatal Analysis Reporting System

  5. 2011 Michigan Behavioral Risk Factor Survey Data

  6. Local MiBRFS Data

  7. 2009 Binge Drinking MiBRFS& MiYRBS

  8. MiBRFS Data Considerations • Timely, most reliable data available • Limited to non-institutionalized persons > 18 years • Underestimate • Improving data collection • Self-report • Account for 20-30% of sales www.michigan.gov/brfs

  9. 2011 Michigan Youth Risk Behavior Survey Data

  10. MiYRBS Data Considerations • Most reliable data available • Self-report • Difficult to add new questions • Local data are limited • Only representative of public high school students www.michigan.gov/yrbs

  11. Inpatient Discharge Data

  12. Inpatient Data Considerations • Alcohol information can vary by hospital & provider • Only hospital charges are available • Not a good measure of acute events • Counts are events, not individuals

  13. Michigan Alcohol- Attributable Death Data

  14. Mortality Data

  15. Mortality Data Considerations • Documents most severe cases of alcohol use • Can be linked to YPLLs • Underestimate • Reporting may vary by individual completing death certificate www.michigan.gov/vitalrecords‎

  16. Fatality Analysis Reporting System Data

  17. Alcohol-Involved Fatal Crashes, 2011

  18. Alcohol-Involved Fatal Crashes, 2011, cont.

  19. Alcohol-Involved Fatal Crashes, 2011, cont.

  20. FARS Data Variables • Atmospheric Condition • City • County • Crash Date (mmddyyyy), Day, Hour, Month • Drowsy Driver • Holiday Related • Latitude (Degrees) • Longitude (Degrees) • Number of Fatalities In Crash • Number of Vehicle Forms Submitted • Age • Injury Severity • Police Reported Drug Involvement • Police-Reported Alcohol Involvement • Race • Sex • BAC

  21. FARS Data Considerations • Most extreme cases of impaired driving • Data from all fatal crashes are collected • Strong political, advocacy & industry support • Website is easy to use www-fars.nhtsa.dot.gov/‎

  22. Michigan Traffic Crash Facts

  23. County Traffic Crash Data

  24. Traffic Crash Data Considerations • Released annually • Standardized reporting • Strong political & public support for collection

  25. Supplemental Data Sources Annual • Treatment Episode Data System (TEDS) • Liquor license data • Crime reports • Pregnancy Risk Assessment Monitoring System

  26. Treatment Episode Data Set Data

  27. TEDS Data, cont. • Reported annually • Only public treatment services data included • Counts are events, not individuals • Can be linked to other data sources http://wwwdasis.samhsa.gov/dasis2/teds.htm

  28. Liquor License Data

  29. Active Wayne County Liquor Licenses

  30. Active Wayne County Liquor Licenses

  31. Liquor License Considerations • Potential for geospatial analysis • Updated frequently • Types of licenses • Incomplete • Bars vs. restaurants • Special or temporary • Establish partnerships with retailers • Violation history available www.michigan.gov/lcc

  32. Uniform Crime Reports

  33. Crime Data

  34. Crime Data Considerations • Data available only for crimes identified and reported • Data collection on alcohol use very limited • Sensitive to enforcement & available resources • Tailor data to fit your needs • Potential for geospatial analysis http://www.michigan.gov/msp/0,4643,7-123-1645_3501_4621-281784--,00.html

  35. Other “Data” • Monitoring new policy & legislation • Informing agencies & coalitions • BAC • Farmer’s markets • Providing requested data when possible

  36. “New” Data Sources • Youth Tobacco Survey • National EMS Information System (NEMSIS) • Syndromic Surveillance • Future Data Sources? • Violent Death Reporting System • Maternal Mortality Review • Great Lakes Health Information Exchange

  37. Acknowledgements • Michigan Department of Community Health • Sarah Lyon-Callo • Corinne Miller • Centers for Disease Control and Prevention • Alcohol Program

  38. Contact Information Katy Gonzales, MPH 517-373-8352 gonzalesk2@michigan.gov www.michigan.gov/substanceabuseepi

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