Epidemiology of alcohol-related burden of disease among Indigenous Australians

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 alcoholrelated 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 alcoholrelated harm experienced by Indigenous Australians, targeted interventions should include the impact on families and communities and not just the individual.