{"doi":"10.22158/rhs.v5n4p46","title":"Twenty-Year Observational Study Shows Rising Alcohol-Attributable Death Profiles in the U.S. and Delaware","abstract":"The U.S. alcohol-attributable mortality burden makes it the third-leading cause of preventable deaths. This 1999-2018 observational study used the Tenth Revision of the International Classification of Diseases codes and the alcohol-related disease impact (ARDI) causes of death records to track alcohol's mortality burden. The Centers for Disease Control and Prevention keeps Wide-Ranging Online Data for Epidemiologic Research (WONDER) death certificates for the U.S. community. Evidence indicates that the U.S. ARDI mortality rates progressively trended upward (53.73%). Men were three times as likely as women to die, but female mortality rate changes (90.03%) advanced more rapidly than males. The study also revealed that the changes in alcohol-related death rate percentages for middle-age groups increased faster. In contrast, the African American/Black (AA/B) community's age-adjusted mortality rate change patterns first declined and then increased. The alcohol-attributable mortality rate (1999 to 2018) difference for AA/B was -6.35%. Delaware's population is around one million, and about 23% is African American/Black. The subgroup analysis for Delaware's population was robust and showed alcohol-attributable mortality rates above national averages. This trend was apparent for both gender and race. In conclusion, for both the U.S. and Delaware, alcohol use disorder is a risk factor for mortality, especially for males.","journal":"Research in Health Science","year":2020,"id":117018,"datarank":0.1529474530613722,"base_score":0.6931471805599453,"endowment":0.6931471805599453,"self_citation_contribution":0.10397207708399181,"citation_network_contribution":0.04897537597738039,"self_endowment_contribution":0.10397207708399181,"citer_contribution":0.04897537597738039,"corpus_percentile":29.759418271834146,"corpus_rank":9081,"citation_count":1,"citer_count":1,"citers_with_citation_signal":1,"citers_with_endowment":1,"datacite_reuse_total":0,"is_dataset":true,"is_dataset_confidence":0.7313,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2020-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":546504,"name":"Riza C. Li","orcid":null,"position":1,"is_corresponding":false},{"id":546505,"name":"Derald E. Wentzien","orcid":null,"position":2,"is_corresponding":false},{"id":545621,"name":"Malcolm J. D’Souza","orcid":"0000-0002-9368-790X","position":0,"is_corresponding":true}],"reference_count":24,"raw_metadata":null,"created_at":"2026-07-18T23:13:47.803267Z","pmid":"33163825","pmcid":"PMC7643878","fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}