The Maryland Center for Chronic Disease Prevention and Control (CCDPC) is applying for funding under the Promoting Population Health through Increased Capacity in Alcohol Epidemiology & the Prevention of Excessive Alcohol Use Funding Opportunity Announcement CDC-RFA-DP21-2105 grant on behalf of the Maryland Department of Health to implement a collaborative surveillance system to monitor alcohol use and to increase use of data for program decision making to prevent excessive alcohol.
Excessive alcohol use includes binge drinking (4 or more drinks on an occasion for a woman or 5 or more drinks on an occasion for a man), heavy drinking (8 or more drinks per week for a woman or 15 or more drinks per week for a man), any alcohol use by pregnant women, and any alcohol use by individuals younger than age 21. Excessive alcohol use was directly responsible for 472 deaths in Maryland in 2018, and the estimated cost of excessive alcohol use is $4,964,700,000 (4.9 billion), $2.20 per drink, and $860 per capita in 2010. According to the Maryland Behavioral Risk Factor Surveillance Survey (BRFSS), the prevalence of adult binge drinking between 2017 and 2019 was 14.2%; and heavy drinking was 5.0%. According to the 2018-2019 Youth Risk Behavior Survey, 12.0% of youth (grades 9-12) reported binge drinking, and 15.1% initiated drinking prior to age 13.
The CCDPC will establish the Alcohol Data Action Program (the Program) to build capacity to gather, analyze and monitor alcohol-related data to increase the use of this data in public health programmatic decisions through a centralized surveillance hub. Given the volume of data sources in various states of analysis, dissemination and use, in Year 1, it will be imperative to inventory the current data collected in Maryland related to alcohol use and excessive use. We have engaged multiple internal and external partners to collaboratively build a network which will prioritize, disseminate and utilize alcohol-related data. CCDPC will engage multiple subject matter experts and data collectors to provide guidance on prioritizing data analyses and interpretation, as well as best use of the data. We will leverage these partnerships to increase awareness of the importance and prevention of excessive alcohol use. The Program will develop and implement a communication plan to reach the data users in public health, behavioral health and the health care system. Over the 5-year project period, the Program will seek to make system-level changes to standardize alcohol data analysis, storage, and dissemination.
The Program will implement four objectives to reach the following measurable outcomes:
• Increase the number of Essential Public Health Services provided by Maryland partners related to excessive alcohol use.
• Increase the number of stakeholders engaging with MDH on the prevention of excessive alcohol use:
o Increase MDH and Stakeholders’ knowledge and skills related to public health impact of excessive alcohol use and related harms.
o Increase MDH and stakeholders’ knowledge and skills related to translating evidence-based population-level strategies into public health practice.
o Increase MDH and stakeholders’ knowledge and skills related to the status of policy and environmental strategies to prevent excessive drinking.
• Increase monitoring and dissemination of surveillance data on excessive alcohol use in Maryland.
• Increase the number of stakeholders working on implementing evidence-based, population-level strategies for preventing excessive alcohol use and related harms.
• Increase the implementation of evidence-based strategies to prevent excessive drinking and increase the prevention of excessive drinking and reduce excessive alcohol use and related harms.