San Francisco Burden of Disease & Injury Study:
Determinants of Health
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Contribution of Alcohol to SF Burden of Disease by Zip

An analysis of alcohol-attributable premature mortality by Zip code will be ready by Spring 2008. This page is a preliminary analysis based only on the leading causes of premature mortality during 2001-2 that was undertaken in 2005. It is a preliminary estimate...its primary value is to show the need for a more complete analysis.

As a rough indicator of where alcohol problems are distributed in San Francisco*, these alcohol attributable fractions were applied to the top 10 causes of death for each zip code in San Francisco (as reported in the Health Outcomes pages of this website). These are conservative estimates (they are limited to the top ten causes for each zip code), rounded to the nearest percentage point, but they reveal great disparities in the way that the burden of alcohol-related harm is distributed in San Francisco. As might be expected, neighborhoods that are disproportionately affected by homicide, drug overdose, and other alcohol-related causes are disporportionately affected:

Neighborhood Zip Code Alcohol-attributable mortality from the ten leading causes of death in that Zip
City as a whole All Zips
4 %
Hayes Valley/Tenderloin/North of Market 94102
16 %
South of Market 94103
14 %
Potrero Hill 94107
8 %
Chinatown 94108
8 %
Polk/Russian Hill (Nob Hill) 94109
4 %
Inner Mission/Bernal Heights 94110
10 %
Ingelside-Excelsior/Crocker-Amazon 94112
6 %
Castro/Noe Valley 94114
6 %
Western Addition/Japantown 94115
7 %
Parkside/Forest Hill 94116
3 %
Haight-Ashbury 94117
4 %
Inner Richmond 94118
2 %
Outer Richmond 94121
4 %
Sunset 94122
4 %
Marina 94123
less than 1 %
Bayview-Hunters Point 94124
11 %
St. Francis Wood/Miraloma/West Portal 94127
5 %
Twin Peaks-Glen Park 94131
2 %
Lake Merced 94132
3 %
North Beach/Chinatown 94133
3 %
Visitacion Valley/Sunnydale 94134
8 %

*Note: This is preliminary information...need to determine variability among zips in how the YLL for the top ten causes contribute to the overall YLL for each zip.

A zip code map of San Francisco can be found on the bottom of the Health Outcomes page of this website. Note that the poorest neighborhoods (e.g., Tenderloin, Bayview) bear the greatest burden of alcohol-related problems. The neighborhood with the highest per capita income in the City, 94123, has the lowest rate of alcohol attributable mortality. Per capita income by zip is reported in Building a Healthier San Francisco: 2004 Community Health Assessment.

Alcohol

Overview

Contribution to overall disease burden in SF

Zip code estmates of alcohol-attributable mortality

Downstream (health consequences)

Upstream causes

What can be done?

Web resources

MEDLINE strategies

Updated October 3, 2005 • Please send feedback: brian[replace with @-sign]healthysf.org

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