surveillance 101: excessive alcohol consumption: michigan perspective
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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. - PowerPoint PPT PresentationTRANSCRIPT
Surveillance 101: Excessive Alcohol Consumption:Michigan Perspective
Katherine Gonzales, MPHAlcohol Epidemiologist
Michigan Department of Community Health
CSTE Substance Abuse Preconference WorkshopJune 9, 2013
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
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
Michigan Core Data SourcesAnnual: – Behavioral Risk Factor Surveillance System– Youth Risk Behavior Surveillance System
(biennial)– Inpatient Discharge Data– Death Certificates– Traffic Crash Data – Fatal Analysis Reporting System
2011 Michigan Behavioral Risk Factor Survey Data
Local MiBRFS Data
2009 Binge Drinking MiBRFS & MiYRBS
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
2011 Michigan Youth Risk Behavior Survey Data
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
Inpatient Discharge Data
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
Michigan Alcohol- Attributable Death Data
Mortality Data
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
Fatality Analysis Reporting System Data
Alcohol-Involved Fatal Crashes, 2011
Alcohol-Involved Fatal Crashes, 2011, cont.
Alcohol-Involved Fatal Crashes, 2011, cont.
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
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/
Michigan Traffic Crash Facts
County Traffic Crash Data
Traffic Crash Data Considerations
• Released annually
• Standardized reporting
• Strong political & public support for collection
Annual– Treatment Episode Data System (TEDS)– Liquor license data– Crime reports– Pregnancy Risk Assessment Monitoring
System
Supplemental Data Sources
Treatment Episode Data Set Data
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
Liquor License Data
Active Wayne County Liquor Licenses
Active Wayne County Liquor Licenses
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
Uniform Crime Reports
Crime Data
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
Other “Data” • Monitoring new policy & legislation
• Informing agencies & coalitions– BAC – Farmer’s markets
• Providing requested data when possible
“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
Acknowledgements• Michigan Department of Community
Health– Sarah Lyon-Callo– Corinne Miller
• Centers for Disease Control and Prevention – Alcohol Program