Alcohol Anderson County Tennessee United States Year Information Year Information Year Information

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1 Anderson Tennessee USA Alcohol Anderson County Tennessee United States Year Information Year Information Year Information Citations Adults who have had at least one drink in the past 30 days % 2013: 37.5% 2013: 54.4% % 2012: 38.6% 2012: 55.1% : 37.5% 2011: 57.0% Persons identified as Binge Drinkers % (female) % % % (male) % % % % 1 2 Persons identified as Heavy Drinkers Female 2012: 3.3% % % Male 2012: 6.8% % % % % : 19.6% % % High School Students Who Have Ever Drank Alcohol 2012: 30.5% % % % 3 High School Students who have Drank Alcohol Before Age % % % % % 4 High School Students Who Currently Drink Alcohol % % % % % 4 High School Students who Drank Five or More Drinks in a Row % % % % % 4 High School Students who Reported # of Drinks was 10 or More % % 3 3 Perception of harm, 1-2 Drinks per Day "Moderate or Greak Risk" Perception of Parent Disapproval was "Very Wrong" % % % % 10 Perception of Peer Disapproval was "Very Wrong" % 10 "What are the chances you would seem cool is you behan drinking alcoholic beverage regularly in HS 2012?" 2012 Very good: 7.5% Pretty good: 8.2% Some chance: 16.5% Little chance: 14.2% 10 Access was "Very Hard" 2012 Very Hard: 45.1% 10 Access was "Very Easy" 2012 Very Easy: 27.6% Very Easy: 41.6% 10 Excessive Alchohol Consumption Costs Billion Billion Alcohol Related Deaths 20% 28% ,000 Deaths Excise tax per gallon of beer fo 5% alcohol: Distilled spirits tax per gallon for 40% alcohol: $ $ $ Wine tax per gallon for 12% alcohol: 2015 $ BAC Limits: Adult operators of noncommercial motor vehicles: % % 8 1 BRFSS Prevalence & Trends Data. Centers for Disease Control and Prevention Available: 2 Prevention Status Report Centers for Disease Control and Prevention. 3 Youth Risk Behavior Surveillance- United States, Centers for Disease Controll and Prevention. Morbidity and Mortality Weekly Report. Available: 4 Trends in the Prevalence of Alcohol Use National YRBS: Centers for Disease Control and Prevention. Division of Adolescent and School Health. Available: 5 CDC. Alcohol and Public Health: Alcohol-Related Disease Impact (ARDI) [database]. Accessed Dec 13, Bouchery EE, Harwood HJ, Sacks JJ, et al. Economic costs of excessive alcohol consumption in the United States, American Journal of Preventive Medicine 2011;41:516 24; and correction, American Journal of Preventive Medicine 2013;44: Sacks JJ, Roeber J, Bouchery EE, et al. State costs of excessive alcohol consumption, American Journal of Preventive Medicine 2013;45: Community Preventive Services Task Force. Preventing excessive alcohol consumption: increasing alcohol taxes. In: Guide to Community Preventive Services. Updated Jun County Profile: Anderson County, Tennessee. Instritude of Health Metric and Evaluation. (IHME), US County Profile: Anderson County, Tennessee. Seattle, WA: IHME: Anderson County Pride Data

2 Total Overall Drug Overdose Deaths Prescription Drugs Anderson County Tennessee United States Year Information Year Information Year Information Anderson Tennessee USA ,269, Increase 7.7% ,055 (increased 6.5%) Citations: , , Nearly 500,000 total deaths 1 Age-Adjusted Death Rates 2014 >20 per 100, per 100, per 100, >20 per 100, per 100, per 100, >20 per 100, per 100, per 100, per 100, per 100, per 100, per 100, per 100, per 100, per 100, per 100, per 100, per 100, per 100, per 100, SpecificTypes of Prescription Drug Deaths Opioid: 2014: 286,471 1 Has increased 14% since Synthetic Opioids, others than Methadone: Increased 1.0 per 100,000 to 1.8 per 100,000 1 Has doubled from 2013 to Heroin: 3.4 per 100, : Increased 26% : Tripled, 1 per 100,000 1 Natural and Semisynthetic Opioid: 2014: 3.8 per 100,000 (+9.0%) : 3.5 per 100,000 1 Past 30 Day Use % % 15 Synthetic Drug Use Past 30 Days % 15 Perception of Harm Perception of Parent Disapproval % % % % 15 Perception of Peer Disapproval % % 15

3 Emergency Room Visits , : 2.5 Million 3 3 Prescriptions Written per 100 people 259 Million 4 4 Courts Number of adult drug courts: 386 Number of adut drug courts: Number of juvenile drug courts: 66% Number of juvenile drug courts: Number of people served: 27,706 Number of people served: 1.2 million 6 5 Tax Dollars Spent Million 7 Neonatal Alcohol Syndrome Third highest incidence in East Tennessee after Hamblen and Campbell Opiod Prescription Rate Per Capita % Ranks 19th of 95 counties 8 Number of Pain Clinics Number of Drug Take Back Boxes

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5 Tobacco County, State, and National Data Anderson County Tennessee United States Year Information Year Information Year Information Citations Anderson Tennessee USA Currenty Adult (18+) Cigarette Smokers % % % Ranks 11 out of 92 counties Approximately 1,100,000 total smokers % % % 6 1 Cigarette Smoking Mortalities Per Year 325/100,000 20,000/100, Ranks 46th worst among the states 480,000 total Persons Living with a Smoking-Related 16 million Americans 1 High School Student Smokers 3-Jul 21.60% % 7 3 Ranked 38 among 44 states % % % 3 Students who have used Tobacco in the % % % 11 8 Adolescent Cigarette Use in the Past 30 Days % % % % 11 9 Age of First Use % % (smokeless tobacco) % % (cigarette) % (cigar) 9 9 Perception of Harm, 1 or more packs with "Moderate or Great Risk" % % % Perception of Parent Disapproval was "Very Wrong" % % 11 Parents Discussion % Rarely or Never % Sometimes % Often 9 Access is "Very Hard" % 11 Students not asked for ID when purchasing 67.70% % 9 Gender Male 26.6% Male 20.5% Female 22.6% Female 15.3% 2 2 Age years 24.30% years 18.70% years 29.90% years 20.10% years 25.30% years 19.90% years 12.70% 65+ years 8.80% 2 2

6 Education Education <12th grade 44% Education <12th grade 24.20% 2 2 Education 12th grade 28.30% Education 12th grade 41.40% 2 2 Education > 12th grade 16.30% 2 2 Some college, no diploma 20.80% 2 2 Associate's degree 17.80% 2 2 Undergraduate college degree 9.10% 2 2 Graduate degree 5.60% 2 2 Ever Smokers Trying to Quit 49.80% 58.10% 2 2 Average Cost per Pack 2013 $ $ $ Smoke Cost per Year $300 Billions 5 1 Current Cigarette Smoking Among Adults in the United States Centers for Disease Control and Prevention. Available: 2 State Tobacco Activities Tracking and Evaluation (STATE) System Centers for Disease Control and Prevention. Available: 3 Trends in Current Cigarette Smoking Among High School Students and Adults, United States, Centers for Disease Control and Prevention. Available: 4 Tobacco-Related Mortality Centers for Disease Control and Prevention. Available: 5 Trends Infographic Centers for Disease Control and Prevention. Available: Community Assessment of Anderson County, TN A collaboration between the Anderson County Preschool Program & Oak Ridge Schools' Preschool Program. Available: 7 Tennessee State Highlights Centers for Disease Control and Prevention. Available: 8 René A. Arrazola, MPH 1 1, et al. Tobacco Use Among Middle and High School Students ( ). Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. Available: Tushar Singh, MD, PhD 9 Tennessee Youth Tobacco Survey Summary Tennessee Department of Health. Office of Policy, Planning and Assessment, Surveillance, Epidemiololgy, and Evaluation. Available: 10 Lipari, R.N. and Hughes, A. State Estimates of Adolescent Cigarette Use and Perceptions of Risk of Smoking: 2012 and The CBHSQ Report: May 18, Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. Rockville, MD 11 Anderson County Pride Data

7 Marijuana County, State, and National Data Anderson County Tennessee United States Year Information Year Information Year Information Citations Anderson Tennessee USA Adolescent Illicit Drug Use % % 41.00% % % % % % Tired Marijuana Before Age % % % % % 2 Age of First Use % % 2 Have Used Marijuana in the Passed 30 Days % % 3 Currently Use Marijuana % % % % % 1 "Moderate or Great Risk: Perception of Parent Disapproval, "Very wrong: % % % % 3 Access is "very hard" % Driving and Marijuana Use % 2 1 Youth Risk Behavior Surveillance- United States, Centers for Disease Controll and Prevention. Morbidity and Mortality Weekly Report. Available: 2 Trends in the Prevalence of Alcohol Use National YRBS: Centers for Disease Control and Prevention. Division of Adolescent and School Health. Available: 3 Anderson County Pride Data

8 TIPTXT Alcohol Prescription Drugs Tobacco Marijuana Bully 2 2