alcohol in coventry – some insights from the insight team tim healey, senior analyst 18 th march...

Alcohol in Coventry – some Insights from the Insight Team

Tim Healey, Senior Analyst18th March 2015

Contents

• Alcohol-related Hospital Admissions – Coventrians to UHCW• Coventry Household Surveys 2009-2013• Statistics on Alcohol: England 2014 (HSCIC) • Health Survey for England 2012 Alcohol Focus • ONS Family Food (2013)• Opinions & Lifestyle Survey, Drinking Habits Amongst Adults

(2012)• Life course trajectories of alcohol consumption in the

United Kingdom using longitudinal data from nine cohort studies - BMC Medicine (2015)

Alcohol-related Hospital Admissions – Coventrians to UHCW

• Alcohol use is the direct cause of a small number of admissions to hospital, but contributory to many more

• The following conditions are 100% or directly attributable …..


• Alcohol-induced pseudo-Cushing's syndrome• Mental and behavioural disorder due to use of alcohol • Degeneration of nervous system due to alcohol• Alcoholic polyneuropathy • Alcoholic myopathy • Alcoholic cardiomyopathy • Alcoholic gastritis • Alcoholic liver disease• Chronic pancreatitis (alcohol induced)• Ethanol poisoning• Methanol poisoning• Toxic effect of alcohol, unspecified• Accidental poisoning by and exposure to alcohol


• Other conditions are considered to have alcohol consumption as a contributory factor


• Psoriasis• Spontaneous abortion• Road traffic accidents • Pedestrian traffic accidents • Water transport accidents• Air and space transport accidents• Falls• Work/machine injuries • Firearm injuries • Drowning• Inhalation of gastric contents/Inhalation

and ingestion of food causing obstruction of the respiratory tract

• Fire injuries• Accidental excessive cold• Intentional self-harm• Assault

• Malignant neoplasms of lip, oral cavity and pharynx

• Malignant neoplasm of oesophagus• Malignant neoplasm of colon• Malignant neoplasm of rectum• Malignant neoplasm of liver and

intrahepatic bile ducts• Malignant neoplasm of larynx • Malignant neoplasm of breast • Epilepsy• Hypertensive diseases • Cardiac arrhythmias • Heart failure• Haemorrhagic stroke• Ischaemic stroke• Oesophageal varices• Unspecified liver cirrhosis• Acute and chronic pancreatitis

Alcohol-related Hospital AdmissionsCoventry Residents at UHCW 2012/13 by

Condition Fully and Partially Attributable to Alcohol

Count

Alcohol-induced pseudo-Cushing's syndrome 0Mental and behavioural disorders due to use of alcohol 24Degeneration of nervous system due to alcohol 2Alcoholic myopathy 0Alcoholic cardiomyopathy 1Alcoholic gastritis 0Alcoholic liver disease 10Chronic pancreatitis (alcohol induced) 0Ethanol poisoning 1Methanol poisoning 0Toxic effect of alcohol, unspecified 0Accidental poisoning by and exposure to alcohol 0Malignant neoplasm of lip, oral cavity and pharynx 1Malignant neoplasm of oesophagus 4Malignant neoplasm of colon 5Malignant neoplasm of rectum 7Malignant neoplasm of liver and intrahepatic bile ducts 1Malignant neoplasm of larynx 1Malignant neoplasm of breast 16Epilepsy and Status epilepticus 23Hypertensive diseases 244Cardiac arrhythmias 59Heart failure 47Haemorrhagic Stroke 1Ischaemic Stroke 6Oesophageal varices 2Gastro-oesophageal laceration-haemorrhage syndrome 0Liver cirrhosis 4Acute and chronic pancreatitis 4Psoriasis 0Spontaneous abortion 2


Alcohol Attributable Fractions (AAFs)• For those conditions where alcohol is

contributory, we can look-up what % of admissions for them are due to alcohol – AAFs

• The table following shows AAFs for conditions – AAFs are necessarily both age and gender dependent


Alcohol Attributable Fractions (AAFs)• If the group wishes, I can apply the age and

gender specific AAFs to the admissions data and bring them to you at a subsequent meeting

• Were it not for the AAFs, we could do more detailed profiling of the persons attending for these conditions – Ethnicity, where they live, MOSAIC segmentation – but we can add a bit of this kind of insight from our own and other published studies

Contents




HHS 2009 HHS 2010 HHS 2012 HHS 20130%

2%

4%

6%

8%

10%

12%

14%

Overall Drink-ing on 5+ Days (Base)

% White British Drink-ing on 5+ Days

% No Religion Drinking on 5+ Days

% Males Drink-ing on 5+ Days

% Females Drinking on 5+ Days

Alcohol Consumption from Coventry Household Surveys

Do you drink alcohol on 5+ days in a week?

HHS 2009 HHS 2010 HHS 2012 HHS 20130%

2%

4%

6%

8%

10%

12%

14%

16%Overall Drinking on 5+ Days (Base)

% 16-24 Drinking on 5+ Days







% 80+ Drinking on 5+ Days





Do you drink alcohol on 5+ days in a week?


Do you drink more than Recommended Amounts on 4+ Days a week

HHS 2009 HHS 2010 HHS 2012 HHS 20130.00%

2.00%

4.00%

6.00%

8.00%

10.00%

12.00%

14.00%

16.00%

18.00%% Drinking > recommended amounts on 4+ Days per week (base)

% White British Drinking > rec-ommended amounts on 4+ Days per week

% Black or Black British - Carib-bean Drinking > recommended amounts on 4+ Days per week

% No religion Drinking > rec-ommended amounts on 4+ Days per week

% Males Drink-ing > recom-mended amounts on 4+ days per week

% Females Drink-ing > recom-mended amounts on 4+ days per week

HHS 2009 HHS 2010 HHS 2012 HHS 20130.00%

2.00%

4.00%

6.00%

8.00%

10.00%

12.00%Overall Drinking on 5+ Days (Base)

% 16-24 Drink-ing on 5+ Days












Do you drink more than recommended amounts on 4+ days week?

Contents




Statistics on Alcohol: England 2014 (HSCIC)

Alcohol consumption - Drinking in the last week

• Nationally, between 2005 and 2012 there was a fall from 22% to 14% in the proportion of men who were frequent drinkers (those who drank alcohol on at least five days in the week before being interviewed), and from 13% to 9% in the proportion of women. In 2012 people aged 65 and over were most likely to have drunk frequently, both for men (23%) and women (14%).

• In Coventry, between 2009 and 2013 there was a fall from 12% to 6% in the proportion of men who were frequent drinkers (those who drank alcohol on at least five days in the week before being interviewed), and from 5% to 3% in the proportion of women. In 2013 people aged 65 and over were most likely to have drunk frequently – 21% overall.

Statistics on Alcohol: England 2014 (HSCIC)

Alcohol consumption - Maximum daily consumption in the last week• Nationally, 67% of men had drunk alcohol in the last week; this

included 30% of men who did not exceed 4 units on any day that they drank, 17% who drank between 4 and 8 units, and 21% who drank more than 8 units on at least one day in the last week.

• 53% of women had drunk alcohol in the last week, including 25% who drank 3 units or less on the day drank most, 16% who had drunk between 3 and 6 units and 13% who had drunk more than 6 units on at least one day.

• In Coventry, 62% of men had drunk alcohol in the last week; this included 45% of men who did not exceed 4 units on any day that they drank.

• 38% of women had drunk alcohol in the last week. 55% of Coventry women did not exceed 2-3 units on any day that they drank.

Contents

• Alcohol-related Hospital Admissions – Coventrians to UHCW

• Coventry Household Surveys 2009-2013• Statistics on Alcohol: England 2014 (HSCIC) • Health Survey for England 2012 Alcohol Focus • ONS Family Food (2013)• Opinions & Lifestyle Survey, Drinking Habits Amongst

Adults (2012)• Life course trajectories of alcohol consumption in the


Health Survey for England 2012 Alcohol Focus

Men Drink • Normal Strength Beer etc. (62%) – this drops as age increases• Wine (33%) – increases with age• Spirits (22%) – most likely in 16-34s and particularly younger ages – but increasing 75+• 14% of 16-24s drink alcopops• In the West Midlands 73% drink up to 21 units per week – but this doesn’t vary by age• 27% in West Midlands (35,700 Men in Coventry) drink over this and 7% (9,250) more

than 50 Units • Nationally and looking at those who drink 21-35 units, 18% of the highest quintile of

household incomes drink at this level – reducing to 10% of the lowest• Nationally and looking at those who drink 50+ units 6% of the highest AND the lowest

household incomes drink at this level• Nationally and looking at those who drink 21-35 units, 16% of the least deprived

quintile of IMD 2010 drink at this level – reducing to 10% of the most deprived quintile

• Nationally and looking at those who drink 50+ units 5% of the least deprived quintile of IMD 2010 AND of the most deprived quintile drink at this level

Health Survey for England 2012 Alcohol Focus

Women Drink • Wine (64%) – increases with age but levels out at 55-74 and drops past this• Sprits (26%) – most likely in 16-34s and particularly younger ages – but increasing

75+• Normal Strength Beer etc. (19%) – this drops as age increases• 10% of 16-24s drink alcopops• In the West Midlands 83% drink up to 14 units per week – but this doesn’t vary by

age• 17% (22,700 in Coventry) drink over this and 6% (8,000) more than 35 Units• Nationally and looking at those who drink 14-25 units, 9% of the highest quintile of

household incomes drink at this level – reducing to 4% of the lowest• Nationally and looking at those who drink 35+ units 5% of the highest household

incomes drink at this level and 4% of the lowest• Nationally and looking at those who drink 14-25 units, 9% of the least deprived

quintile of IMD 2010 drink at this level – reducing to 4% of the most deprived quintile

• Nationally and looking at those who drink 35+ units 6% of the highest household incomes drink at this level and 4% of the lowest

Contents




ONS Family Food (2013)The quantity of alcohol purchased for home consumption has fallen nationally since 2010.

2010 2011 2012 2013Alcoholic drinks (ml) 762 728 700 694

The quantity of alcohol purchased for home consumption varies geographically and West Midlands 2013 figures are higher at 740ml

The quantity of alcohol purchased out of the home has also fallen nationally since 2009

2009 2010 2011 2012 2013 average excluding under 14's (ml) 538 494 472 426 386

West Midlands 2013 figures are higher at 398ml

In real terms, between 2010 and 2013 household spending on food and drink fell by 3.2 per cent and eating out expenditure by 5.6 per cent. Household spending on alcoholic drinks fell by 5.7 per cent over the same period, whilst that bought for consumption outside the home fell by 13.4 per cent.

Contents

• Alcohol-related Hospital Admissions – Coventrians to UHCW• Coventry Household Surveys 2009-2013• Statistics on Alcohol: England 2014 (HSCIC) • Health Survey for England 2012 Alcohol Focus • ONS Family Food (2013)• Opinions & Lifestyle Survey, Drinking Habits Amongst

Adults (2012)• Life course trajectories of alcohol consumption in the


Opinions & Lifestyle Survey, Drinking Habits Amongst Adults (2012)

All persons aged 16 and over, Great Britain Percentages Men Women All

Drank alcohol in the last weekIn Employment 1 69 60 65ILO Unemployed 1 53 39 47Economically Inactive 1 55 42 48All 64 52 58

Drank alcohol on five or more days in the last week

In Employment 1 13 7 10ILO Unemployed 1 11 7 10Economically Inactive 1 16 10 13All 14 9 11


• Fewer of the people who drank alcohol in the last week were Unemployed (-18%) or Economically Inactive (-17%)

• Looking at Regular drinkers (5+ days) the pattern is reversed with 13% of regular drinkers being Economically Inactive people and 10% of regular drinkers being Unemployed compared to 10% in Employment.

• In Coventry, 7.9% of 16-64’s are Unemployed compared to 6.5% for Great Britain. The rate of unemployment in Coventry has been on a downward trajectory since a peak of 10% in January 2011.

• In Coventry, 31% of 16-64’s are Economically Inactive compared to 22% for Great Britain. This has risen steadily since 2004 (25%)


Drinking Habits by Ethnicity, 2012

All persons aged 16 and over, Great Britain Non-White ethnic groups

White

All Non-

White Mixed

Asian or

Asian British

Black or

Black British

Chinese or any other

ethnic group All

All Persons

Drank alcohol last week 62 27 43 19 33 34 58Drank alcohol on five or more

occasions last week 12 3 9 2 2 4 11

All persons who drank alcohol last week - units consumed on heaviest drinking day last week

Up to 4/3 units 1 47 64 50 67 72 65 48

More than 4/3 units, up to 8/6 units 1 27 22 23 23 20 22 26

More than 8/6 units, up to 12/9 units 1 12 9 17 8 6 8 12

More than 12/9 units 1 14 5 11 2 3 6 14


• Nationally, the White ethnic group drinks both more often and more regularly than all non-white groupings and 4% more of the white ethnicity drank in the previous week than the population overall.

• However, at high levels of consumption (e.g. more than More than 12/9 units per day) the differences are more nuanced – 14% for White is the same as the overall figure, but markedly higher than for the all non-white grouping (5%).

• Coventry is an ethnically diverse City and these figures are mirrored in local Household Surveys which show greater % of drinkers who drink 5+ times per week as White – although the trend is falling and the gap is closing.

Contents




Life course trajectories of alcohol consumption in the United Kingdom using longitudinal data

from nine cohort studies - BMC Medicine (2015)

• Alcohol consumption patterns change across life and for men, mean consumption rose sharply during adolescence, peaked at around 25 years at 20 units per week, and then declined and plateaued during mid-life, before declining from around 60 years.

• A similar trajectory was seen for women, but with lower overall consumption (peak of around 7 to 8 units per week).

• Frequent drinking (daily or most days of the week) became more common during mid to older age, most notably among men, reaching above 50% of men.

• Population projections for Men over 65 rises annually from 21,000 in 2012 to 33,000 in 2037.

alcohol in coventry – some insights from the insight team tim healey, senior analyst 18 th march...

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