Among white individuals, rates of alcohol-induced deaths tended to be higher in states in the western United States, such as Oregon (2013-2016: men, 32.4 deaths per 100 000 residents; women, 12.9 deaths per 100 000 residents) and Wyoming (2013-2016: men, 28.8 deaths per 100 000 residents; women, 13.9 deaths per 100 000 residents). However, increases occurred in states throughout the country between 2000 to 2003 and 2013 to 2016 (eg, Iowa: men, rate ratio, 1.87; women, rate ratio, 2.37; Rhode Island: men, rate ratio, 1.56; women, rate ratio, 2.46) (Figure 4). Increases among white men and women occurred throughout urban, rural, wealthier, and poorer counties, as indicated by APCs greater than 1% (eFigure 5 in the Supplement).
