2010 epidemiological profile

50
LOCAL EPIDEMIOLOGY AND OUTCOMES WORKGROUP SPF-SIG EPIDEMIOLOGICAL PROFILE PORTER COUNTY 2010 Prepared by The Community Research and Service Center

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Page 1: 2010 epidemiological profile

LOCAL EPIDEMIOLOGY AND OUTCOMES WORKGROUP

SPF-SIG

EPIDEMIOLOGICAL PROFILEPORTER COUNTY

2010

Prepared by The Community Research and Service Center

Page 2: 2010 epidemiological profile

General Overview

2009 Data supports/confirms 2008 conclusions

If anything indicates some increase

Difficulty comparing ATOD data 2008 v 2009

Some Data not available this year

New Data:

College Age survey

Porter County Arrests

Future Data:

More university involvement

Improvements in probation data

Page 3: 2010 epidemiological profile

Data Sources

Alcohol, Tobacco, and Other Drug Use by Indiana Children and Adolescents (ATOD) Survey, 2008, 2009 Hospital Discharge Data Porter-Starke Services Treatments Treatment Episode Data Set (TEDS) Fatality Analysis Reporting System (FARS) Data and Automated Reporting Information Exchange System (ARIES)/Vehicle Crash Record System (VCRS) Drug Abuse Warning Network (DAWN) Data Adult Probation Juvenile Probation Arrest Data College Age Survey Porter County Coroner’s Reports State Epidemiological Study, 2008, 2009

Page 4: 2010 epidemiological profile

Overall Look at All Drugs

2008 and 2009 Comparisons

Comparisons to State

Page 5: 2010 epidemiological profile

12th Graders Monthly UseATOD 2008, 2009

27

45.3

22

26.6

43.7

22.6

0

5

10

15

20

25

30

35

40

45

50

Cigarettes Alcohol Marijuana

Drug

% U

sin

g

2009 2008

Page 6: 2010 epidemiological profile

12 Graders Monthly UseATOD 2008, 2009

2.42.2

3.1

0.5

2.92.7

4.1

1.7

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

Cocaine Inhalants Amphetamines Methamphetamines

Drug

% U

sin

g

2009

2008

Page 7: 2010 epidemiological profile

12th Graders Monthly Use

4.6

5.7

0.8

3.3

5.46

6.9

1.9

3.9

6.7

0

1

2

3

4

5

6

7

8

Ritalin Tranquillizers Heroin Ecstasy OCDs

Drug

% U

sin

g

2009

2008

Page 8: 2010 epidemiological profile

12th Graders Annual Use

40.3

65.3

33.738.8

65.2

36.7

0

10

20

30

40

50

60

70

Cigarettes Alcohol Marijuana

Drug

% U

sing

2008 2009

Page 9: 2010 epidemiological profile

12th Graders Annual Use

6.15.5

7.6

1.2

6 6

8.2

2.4

0

1

2

3

4

5

6

7

8

9

Cocaine Inhalants Amphetamines Methamphetamines

Drug

% U

sing

2008 2009

Page 10: 2010 epidemiological profile

12th Graders Annual Use

9.810.7

1.4

7.1

10.6

12.912.2

3.1

9.19.9

0

2

4

6

8

10

12

14

Ritalin Tranquillizers Heroin Ecstasy OCDs

Drug

% U

sing

2008

2009

Page 11: 2010 epidemiological profile

12th Graders Lifetime Use, ATOD 2009

51.5

74

43.149.4

76

47

0

10

20

30

40

50

60

70

80

Cigarettes Alcohol Marijuana

Drug

% U

sing

2009

2008

Page 12: 2010 epidemiological profile

12th Graders Liftime Use

9.110.2

11.6

1.9

8.7

11.7

13

2.6

0

2

4

6

8

10

12

14

Cocaine Inhalants Amphetamines Methamphetamines

Drug

% U

sing

2009 2008

Page 13: 2010 epidemiological profile

12th Graders Lifetime Use ATOD, 2009

15.416.3

2.5

11.4

16.4

18.4 18

3.8

13.6

17.3

0

2

4

6

8

10

12

14

16

18

20

Ritalin Tranquillizers Heroin Ecstasy OCDs

Drug

% U

sing

2008

2009

Page 14: 2010 epidemiological profile

Porter County & State Differences Monthly UseATOD 2008, 2009

0.0

6.9

5.8

0.0 0.0 0.0 0.0

1.31.7

0.0

1.7

0.00.0

8.0

0.0 0.0 0.0

1.31.8

0.0

2.9

0.0

2.4 2.7

0.0

1.0

2.0

3.0

4.0

5.0

6.0

7.0

8.0

9.0

ATO D

Diff

eren

ces

2008

2009

Page 15: 2010 epidemiological profile

Porter County & State 12th Graders Annual ATOD Use Differences ATOD , 2008, 2009

4.55.5

6.6

1.5 1.32

0

2.6 2.8

0

3.64.5

0

8.9 9.2

0

2.53.4

0

5.9

4.8

0

5.6

00123456789

10

Cigar

ettes

Alcohol

Marij

uana

Cocain

e

Inhala

nts

Amphet

amin

es

Met

hamphet

amin

es

Ritalin

Tranquill

izers

Her

oin

Ecsta

sy

OCDs

ATOD

% D

iffe

rere

nces

2009

2008

Page 16: 2010 epidemiological profile

Porter & State Differences in Lifetime ATOD Use ATOD, 2008,2009

3.3

5.56.6

1.7

0

2.3

0

3.6 3.9

0

5.9

3.3

0

9.510.2

0 0

4.5

0

6.96

0

7.7

4.8

0

2

4

6

8

10

12

Cigar

ettes

Alcohol

Marij

uana

Cocain

e

Inhala

nts

Amphet

amin

es

Met

hamphet

amin

es

Ritalin

Tranquill

izers

Her

oin

Ecsta

sy

OCDs

ATOD

% D

iffe

renc

e

2008

2009

Page 17: 2010 epidemiological profile

Overall Comparison to State Averages

Daily prevalence rates were higher than the state rates for binge drinking (7th, 8th, 9th, 10th, and 11th)marijuana (8th)

Monthly prevalence rates were higher than the state rates for cigars (8th and 10th)pipes (8th, 11th, and 12th)alcohol (7th, 8th, 10th, 11th and 12th)marijuana (8th, 9th, 10th, and 11th) methamphetamines (8th, 10th, 11th, and 12th) Ritalin (7th, 8th, 9th, 10th, 11th, 12th)MDMA (8th, 10th, 11th, and 12th) Over the Counter Drugs (7th, 8th, 9th, 10th, 11th, and 12th)

Page 18: 2010 epidemiological profile

Annual prevalence rates were higher than the state rates for

Cigarettes (8th, 9th, 10th, and 11th)pipes (8th, 11th, and 12th)alcohol (7th, 8th, 9th, 10th, 11th and 12th)marijuana (8th, 9th, 10th, 11th, and 12th)amphetamines (7th, 8th, 9th, 10th, 11th, and 12th) Ritalin (8th, 9th, 10th, 11th, 12th)Tranquilizers (7th, 8th, 9th, 10th, 11th, and 12th)MDMA (8th, 9th, 10th, 11th, and 12th) Over the Counter Drugs (7th, 8th, 9th, 10th, and

11th)

Page 19: 2010 epidemiological profile

Lifetime prevalence rates were higher than the state rates for

Cigarettes (8th and 11th)pipes (8th, 10th. 11th, and 12th )alcohol (7th, 8th, 9th, 10th, 11th and 12th)marijuana (8th, 9th, 11th, and 12th)amphetamines (7th, 8th, 10th, 11th, and 12th) Ritalin (8th, 9th, 10th, 11th, 12th)Tranquilizers (8th, 9th, 10th, 11th, and 12th)MDMA (8th, 9th, 10th, 11th, and 12th) Overt the Counter Drugs (7th, 8th, 9th, 10th, 11th, and 12th)

Lifetime prevalence rates were lower than the state rates for smokeless tobacco (7th, 8th, and 12th)

Page 20: 2010 epidemiological profile

Monthly ATOD Use by Grade, 2009ATOD, 2009

2.5

6.6

12.4

16

24.5

27.6 26.6

6.2

13.4

21.7

27

34.6

40.6

43.7

1.7

4.8

11.3

16.6

21.2

25.322.6

0.3 12.7

5.97.1

8.66

1.63.1

5.6 5.7 5.77.7 6.9

0

5

10

15

20

25

30

35

40

45

50

6 7 8 9 10 11 12

Grade

% R

epor

ting

Use

C igaretes Alcohol Marijuana Ritalin Tranquilizers

Page 21: 2010 epidemiological profile
Page 22: 2010 epidemiological profile
Page 23: 2010 epidemiological profile

Monthly Alcohol use by Grade 2008 2009

6.1

11

22.5

28.431.7

38

45.4

6.2

13.4

21.8

27.2

34.6

40.543.8

0

5

10

15

20

25

30

35

40

45

50

6 7 8 9 10 11 12

Grade

% D

rink

ing

2009

2008

Page 24: 2010 epidemiological profile

Binge Drinking Past Two Weeks 2008 & 2009

3.5

6.7

14.2

18.5

26.3 26.3

31.5

5.3

9.9

15

19

25

29.6 30.5

0

5

10

15

20

25

30

35

6 7 8 9 10 11 12

Grade

% D

rink

ing

2009

2008

Page 25: 2010 epidemiological profile

Porter Students v State Alcohol Use ATOD 2009

0

2.6

4.24.9

2.3

11.2

8

0

3.7 4

6.3 6.2

8.6 8.9

0

3.8

5.7 5.8 6

8

9.5

0

2

4

6

8

10

12

6 7 8 9 10 11 12

Grade

% P

oint

s D

iffe

renc

e

Monthly Annual Lifetime

Page 26: 2010 epidemiological profile

Porter v. State on Binge Drinking, ATOD 2008, 2009

0 0

1.92.4

3.8

4.6

0

2.22.5

3.5

5.8

8.2

00

1

2

3

4

5

6

7

8

9

6 7 8 9 10 11 12

Grade

Perc

enta

ge P

oint

Diff

eren

ce

2009 2008

Page 27: 2010 epidemiological profile

College Age Students Alcohol Consumption Past Month 2009

27.2

72.8

42.4

23

5.12.3

0

10

20

30

40

50

60

70

80

None Yes 1-5 Times 6-19 Times 20-40 Times 40+ Times

Number of Times

% U

se

Total

Page 28: 2010 epidemiological profile

College Age Student Binge Drinking Past Two Weeks 2009

60.3

39.6

17.9

10.9 8.9

1.9

0

10

20

30

40

50

60

70

None Yes Once Twice 3-5 Times 6-9 Times

Number of Times

% U

se

Total

Page 29: 2010 epidemiological profile

Perception of Risk and Peer Approval 2008 2009

61.958.9

69.773.4 74.4 76.3

78.8

7.911.4

24.9

36.141

47.1

53.9

0

10

20

30

40

50

60

70

80

90

6 7 8 9 10 11 12

Grade

Per

cent

age

2008

2008

None or slight Risk Occasional Drinking

Peer Approval Occasional Drinking

2009

2009

Page 30: 2010 epidemiological profile

Perception of None or Slight Risk Binge Drinking ATOD 2008, 2009

19.317.6

22.8

27.3

24.326.7

31.8

20.322.4

24.1

29.130.9

32.1

29.2

0

5

10

15

20

25

30

35

6 7 8 9 10 11 12

Grade

Per

cent

age 2008

2009

Page 31: 2010 epidemiological profile

Perception of Peer Approval Binge Drinking ATOD 2008, 2009

4

6.6

12.4

18.7

24.8

27.9 28.8

0

5

10

15

20

25

30

35

6 7 8 9 10 11 12

Grade

Per

cent

age 2008

2009

Page 32: 2010 epidemiological profile

Porter County Arrests for Public Intoxication by Age, 2003-2009 Porter County Sheriff's Report, 2009

144

201

220236

169

144159

100108

134 130 126

107 108118 113

133

99

127

96106

62 6473 72 68

88

61

716 12 10

24 18 150

50

100

150

200

250

2003 2004 2005 2006 2007 2008 2009

Year

Num

ber

of A

rres

ts

18-25

26-34

35-44

45-54

55+

Page 33: 2010 epidemiological profile

Figure Porter County Arrests for Driving Under the Influence by age 2003-2009 Porter County Sheriff's Reports, 2009

291

382

284

316342

312288

249

294275 281

323

291

262245

259

217

290272

252

198

159 152171 170

213 212

147

45 5161 64 68

7956

0

50

100

150

200

250

300

350

400

450

2003 2004 2005 2006 2007 2008 2009

Year

Num

ber

of A

rres

ts

18-25

26-34

35-44

45-54

55+

Page 34: 2010 epidemiological profile

Porter-Starke Services Treatments for Substance Abuse by Age, 2008

8

70

143

160166

72

9

86

63

34

20

70

510

2115

00

35

86

19

4 00

20

40

60

80

100

120

140

160

180

<-17 18-25 26-34 35-44 45-54 55-64

Age

Nu

mb

er o

f T

reat

men

ts

Alcohol

Marijuana

Heroin

Cocaine

Page 35: 2010 epidemiological profile

Porter Emergency Room Treatments for specific Substances by Age, 2008

47

53

43 44

29

5

31

39

18

10

3 22

40

65

15

6

0

5

17

39

1410

10

10

20

30

40

50

60

70

<17 18-24 25-34 35-44 45-54 55+

Age

Nu

mb

er o

f T

reat

men

ts Alcohol

Marijuana

Heroin

Cocaine

Page 36: 2010 epidemiological profile

Students Driving Under or With Someone under the Influence: Porter v. State

ATOD, 2009; Indiana Survey, 2009

7.1

15.5

24.7

30.6

39.9

44.2 45.4

7.4

13.1

21.3

25.4

31.633.6

36.4

0

5

10

15

20

25

30

35

40

45

50

6 7 8 9 10 11 12

Grade

Per

cent

age

Dri

ving

Und

er t

he

Infl

uenc

e

PC

State

Page 37: 2010 epidemiological profile

Other Factors:

High per household Expenditure on Alcohol $657 per household

42% Failure rate selling alcohol to minors 2009

48% Valpo 41% Portage 41% Chesterton

231 Emergency Room Treatments for Alcohol 2008

High Alcohol Related accident rate

Page 38: 2010 epidemiological profile
Page 39: 2010 epidemiological profile

Daily Use of Marijuana ATOD 2008, 2009

0.2 0.4

2

4.5

5.8 5.9

6.9

0.20.7

2.7

5.4

6.5

8.4

7.5

0

1

2

3

4

5

6

7

8

9

6 7 8 9 10 11 12

Grade

Per

cent

age

Use

2008

2009

Page 40: 2010 epidemiological profile

Monthly Use of Marijuana ATOD 2008, 2009

1.1

3.4

8.2

14.4

19 19

21.9

1.7

4.8

11.3

16.6

21.2

25.3

22.6

0

5

10

15

20

25

30

6 7 8 9 10 11 12

Grades

Per

cent

age

Usi

ng

2008

2009

Page 41: 2010 epidemiological profile

Annual Use of Marijuana ATOD 2008, 2009

2

4.9

15

21.9

29.230.9

33.7

2.6

7.7

17.8

25.7

30.2

37.5 36.7

0

5

10

15

20

25

30

35

40

6 7 8 9 10 11 12

Grade

Per

cent

age

Usi

ng

2008

2009

Page 42: 2010 epidemiological profile

Porter v. State Averages Marijuan Use ATOD, 2009

0 00.9

0 0 0 00 0

3.5

6.16.6

10

00 0

5.2

8.7

6.7

12.1

9.2

0 0

5

10

0

12.7

10.2

0

2

4

6

8

10

12

14

6 7 8 9 10 11 12

Grade

% P

oint

s D

iffe

renc

e

Daily Monthly Annual Lifetime

Page 43: 2010 epidemiological profile

College Age Students Monthy Use of Marijuana

88.7

10.9 7.83.1

0

10

20

30

40

50

60

70

80

90

100

Never Yes 1-5 Times 6-19 Times

Number of Times

Per

cent

age

Usi

ng

Total

Page 44: 2010 epidemiological profile

Perception of None and Slight Risk for Occasional and Regular Use Of Marijuana ATOD 2008, 2009

21.925.1

35

46.1

51.5

59 57.7

13.7 14.719

25.4

30.734.9

30

0

10

20

30

40

50

60

70

6 7 8 9 10 11 12

Grade

% P

erce

ptio

n

Regular Use

Occasional Use

2008

2009

Page 45: 2010 epidemiological profile

Perception of Peer Approval for Occasional and Regular Use of Marijuana ATOD 2008, 2009

3.5

6.5

14.5

21.2

26.3

32.5

28.1

3.65.4

10.4

15.818.1

20.519

0

5

10

15

20

25

30

35

6 7 8 9 10 11 12

Grade

Per

cent

age

Occasional Use

Regular Use

2009

2008

Page 46: 2010 epidemiological profile

12th Grade and College Comparisons ofRisk and Peer Approval Marijuana Use

Use and Conditions 12th Graders College Age

Monthly Use 22.6% 10.9%

Low Risk Occasional Use 57.7% 54.9%

Low Risk Regular Use 30% 20.9%

Peer Approval Occasional 28.1% 19.0%

Peer Approval Regular 16.8% 7.2%

Page 47: 2010 epidemiological profile

Treatments for Marijuana at Porter-Starke 2004 -2008

140 134

112125

219

0

50

100

150

200

250

2004 2005 2006 2007 2008

Year

Num

ber

of T

reat

men

ts

Page 48: 2010 epidemiological profile

Marijuana Arrests by Age and Year Porter County Sheriff, 2009

263

331

305 305

245

210

259

71

10590 96 89 96 95

60 61 6171

50 44 44

2135

2129 36

20 27

0

50

100

150

200

250

300

350

2003 2004 2005 2006 2007 2008 2009

Year

Nu

mb

er

of

Arr

ests

0-17

18-25

26-34

35-44

45-54

55+

Page 49: 2010 epidemiological profile

Substance Related Problems

Alcohol/drug related deaths

High Illegal Activity

High Demand for Treatment

High Rates of Hospitalization

High Rates of Accidents

Substance Use

Extremely High Prevalence Rates for Youth

“Culture of Consumption”

Contributing Factors

Low Perception of Risk

Perceived Peer Approval

“Weak” Perceived Parental Disapproval

Community Acceptance

Availability

Unsupervised Activities

Low Program Participation

Page 50: 2010 epidemiological profile