The Economic Costs of Alcohol and Drug Abuse in the United States - 1992
Table 5.5
Economic Cost of Mortalities Due to Alcohol Abuse, for Various Discount Rates, 1992
| Causes of Death, by ICD-9 Code |
Total Deaths |
Attributed to Alcohol Abuse |
Discounted Economic Effects
(millions of dollars) |
| Cause |
ICD-9 Code |
Percent |
Age |
Number |
3% |
4% |
6% |
| Direct Primary Causes |
| Alcoholic psychoses |
291 |
384 |
100 |
> 0 |
384 |
113.9 |
103.8 |
88.3 |
| Alcohol dependence syndrome |
303 |
5,217 |
100 |
> 0 |
5,217 |
2,215.9 |
2,012.3 |
1,701.1 |
| Nondependent abuse of alcohol |
305.0 |
788 |
100 |
> 0 |
788 |
504.4 |
445.8 |
360.7 |
| Alcoholic polyneuropathy |
357.5 |
4 |
100 |
> 0 |
4 |
1.0 |
1.0 |
0.9 |
| Alcoholic cardiomyopathy |
425.5 |
878 |
100 |
> 0 |
878 |
329.0 |
299.7 |
254.7 |
| Alcoholic gastritis |
535.3 |
90 |
100 |
> 0 |
90 |
42.1 |
38.0 |
31.9 |
| Alcoholic cirrhosis |
571.0-571.3 |
11,868 |
100 |
> 0 |
11,868 |
4,664.2 |
4,246.7 |
3,604.9 |
| Excessive blood level of alcohol |
790.3 |
34 |
100 |
> 0 |
34 |
31.2 |
27.0 |
21.2 |
| Accidental poisoning by alcohol |
E860.0, E860.1 |
179 |
100 |
> 0 |
179 |
128.1 |
113.0 |
91.1 |
| Direct Secondary Causes |
| Tuberculosis |
011-012 |
1,315 |
25 |
> 35 |
329 |
905.8 |
811.0 |
670.1 |
| Malignant neoplasm of lip, oral cavity, and pharynx |
140-149 |
8,107 |
50 (men)
40 (women) |
> 35 |
3,741 |
632.6 |
589.1 |
519.1 |
| Malignant neoplasm of esophagus |
150 |
10,239 |
75 |
> 35 |
7,665 |
1,073.3 |
1,005.0 |
893.8 |
| Malignant neoplasm of stomach |
151 |
13,630 |
20 |
> 35 |
2,700 |
316.6 |
294.6 |
259.3 |
| Malignant neoplasm of liver and interhepatic bile ducts |
155 |
9,555 |
15 |
> 35 |
1,411 |
178.8 |
166.4 |
146.5 |
| Malignant neoplasm of larynx |
161 |
3,114 |
50 (men)
40 (women) |
> 35 |
1,894 |
284.8 |
266.5 |
236.7 |
| Diabetes mellitus |
250 |
50,067 |
5 |
> 35 |
2,423 |
255.3 |
237.3 |
208.6 |
| Essential hypertension |
401 |
5,232 |
8 |
> 35 |
416 |
33.7 |
31.5 |
27.8 |
| Cerebrovascular disease |
430-438 |
143,769 |
7 |
> 35 |
9,985 |
586.3 |
546.4 |
482.5 |
| Pneumonia and influenza |
480-487 |
75,719 |
5 |
> 35 |
3,693 |
181.8 |
168.9 |
148.5 |
| Diseases of esophagus, stomach, and duodenum |
530-537
(excl. 535.3) |
9,088 |
10 |
> 35 |
892 |
67.6 |
62.8 |
55.2 |
| Chronic hepatitis |
571.4 |
729 |
50 |
> 35 |
349 |
65.9 |
60.8 |
52.6 |
| Cirrhosis of liver without mention of alcohol |
571.5 |
11,506 |
50 |
> 35 |
5,654 |
1,145.2 |
1,058.0 |
920.0 |
| Other chronic nonalcoholic liver damage |
571.8 |
482 |
50 |
> 35 |
199 |
94.8 |
86.2 |
73.0 |
| Unspecified chronic liver disease without mention of alcohol |
571.9 |
244 |
50 |
> 35 |
118 |
23.4 |
21.5 |
18.6 |
| Portal hypertension |
572.3 |
144 |
50 |
> 35 |
67 |
12.0 |
11.2 |
9.9 |
| Acute pancreatitis |
577.0 |
2,317 |
42 |
> 35 |
907 |
170.5 |
156.6 |
134.8 |
| Chronic pancreatitis |
577.1 |
222 |
60 |
> 35 |
126 |
33.9 |
31.0 |
26.6 |
| Injuries and adverse effects indirectly attributable to alcohol |
| Motor vehicle traffic and nontraffic accidents |
E810-E825 |
40,982 |
42 |
> 0 |
17,196 |
12,685.1 |
10,692.3 |
8,023.1 |
| Pedal cycle and other road vehicle accidents |
E826, E829 |
223 |
20 |
> 0 |
45 |
28.6 |
24.1 |
18.2 |
| Water transport accidents |
E830-E838 |
837 |
20 |
> 0 |
167 |
133.1 |
113.9 |
87.6 |
| Air and space transport accidents |
E840-E845 |
1,094 |
16 |
> 0 |
175 |
129.9 |
113.6 |
90.3 |
| Accidental falls |
E880-E888 |
12,646 |
35 |
>
15 |
4,372 |
664.8 |
591.6 |
485.1 |
| Accidents caused by fires and flames |
E890-E899 |
3,958 |
45 |
> 0 |
1,831 |
994.5 |
806.1 |
572.4 |
| Accidental drowning and submersion |
E910 |
3,524 |
38 |
> 0 |
1,339 |
1,068.2 |
869.0 |
617.1 |
| Suicide and self-inflicted injury |
E950-E959 |
30,484 |
28 |
> 15 |
8,476 |
5,533.4 |
4,801.1 |
3,771.6 |
| Homicide and injury purposely inflicted by other persons |
E960-E969 |
25,144 |
46 |
> 15 |
11,609 |
10,342.2 |
8,746.8 |
6,589.3 |
| Other injuries and adverse effects |
E901, E911,
E917, E918,
E919, E920,
E922, E980 |
558 |
25 |
> 15 |
139 |
45.8 |
40.8 |
33.5 |
| Total |
483,490 |
|
107,360 |
45,717.7 |
39,691.5 |
31,326.6 |
Sources: Alcohol attributable factors: National Institute on Alcohol Abuse and Alcoholism (1993) and Stinson et al. (1993); number of deaths: National Center for Health Statistics (1996b); NCHS Public Use ICD-9 Data Tape (age and gender distribution for deaths by ICD code for 1991); economic costs: Rice (1997), personal communication. Present discounted values for the 3-percent discount rate were estimated by interpolation of values for 2- and 4-percent discount rates.
Note: Components may not sum to totals because of rounding.
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