ALD Mortality by Race Before and During the COVID-19 Pandemic

The highest AAMR in 2019 was 95.3 per 100 000 people in South Dakota and in 2020 was 199.4 per 100 000 people in Wyoming, both among American Indian or Alaska Native people. Among states with available data, the mean AAMR in this population was nearly 6-fold higher than in White people, the group with the second highest rates . In these states, American Indian or Alaska Native populations accounted for 9.6% of all ALD deaths, yet represented only 3.

2% of the 2020 total population.Prevalence of ALD increased during the COVID-19 pandemic in the US, particularly among American Indian or Alaska Native populations. States with the highest general ALD AAMRs corresponded to states with the highest ALD AAMRs for American Indian or Alaska Native people. Although alcohol consumption is less likely among this group than other racial and ethnic groups, those who do drink are more likely to engage in excessive drinking, a factor in ALD.

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