Epidemiology of alcohol-related burden of disease among Indigenous Australians
Article first published online: 8 JUL 2010
© 2010 The Authors. Journal Compilation © 2010 Public Health Association of Australia
Australian and New Zealand Journal of Public Health
Volume 34, Issue Supplement s1, pages S47–S51, July 2010
How to Cite
Calabria, B., Doran, C. M., Vos, T., Shakeshaft, A. P. and Hall, W. (2010), Epidemiology of alcohol-related burden of disease among Indigenous Australians. Australian and New Zealand Journal of Public Health, 34: S47–S51. doi: 10.1111/j.1753-6405.2010.00553.x
- Issue published online: 8 JUL 2010
- Article first published online: 8 JUL 2010
- Submitted: May 2010 Revision requested: May 2010 Accepted: May 2010
- disability adjusted life year;
Objective: To compare the burden of alcohol-related harm and underlying factors of this harm, by age and sex, for Indigenous and general population Australians.
Methods: Population attributable fractions are used to estimate the disability adjusted life years (DALYs) for alcohol-related disease and injury. The DALYs were converted to rates per 1,000 by age and sex for the Indigenous and general populations.
Results: Homicide and violence rates were much higher for Indigenous males: greatest population difference was for 30–44 years, Indigenous rate 8.9 times higher. Rates of suicide were also greater: the largest population difference was for 15–29 years, Indigenous rate 3.9 times higher. Similarly, for Indigenous females, homicide and violence rates were much higher: greatest population difference was for 30–44 years, Indigenous rate 18.1 times higher. Rates of suicide were also greater: the largest population difference was for 15–29 years, Indigenous rate 5.0 times higher.
Conclusions: Alcohol consumption and associated harms are of great concern for Indigenous Australians across all ages. Violent alcohol-related harms have been highlighted as a major concern.
Implications: To reduce the disproportionate burden of alcohol-related harm experienced by Indigenous Australians, targeted interventions should include the impact on families and communities and not just the individual.