2016 COMMUNITY PROFILE FOR DELAWARE: DATA BY SUB-STATE PLANNING AREA August 2016

Transcription

1 2016 COMMUNITY PROFILE FOR DELAWARE: DATA BY SUB-STATE PLANNING AREA August 2016 DESCRIPTION: Sub-state/Community Level Epidemiologic Profile for Substance Abuse Consumption and Consequences Data on Youth and Adults for Delaware Prepared by: The University of Delaware Center for Drug and Alcohol Studies & State Partners For The Delaware SPF-SIG Program, The Delaware Division of Substance Abuse and Mental Health, & The Delaware Drug and Alcohol Tracking Alliance Sponsored by Award SP to the Division of Substance Abuse and Mental Health, Delaware Health and Social Services, from the Center for Substance Abuse Prevention, Substance Abuse and Mental Health Services Administration 1

2 TABLE OF CONTENTS 1. Introduction Purpose of the 2013 Sub-state Epidemiological Profile 3 2. Delaware Youth Survey by Sub-State Area Self-Reported Behavior Perceptions of Family Perceptions of School Perceptions of Neighborhood Delaware Adult Survey Data by Sub-state Planning Area and Office of Highway Safety Data Department of Education (DOE) and Department of Services for Children, Youth, and Their Families (DSCYF) Data Wilmington Specific Data Full Online Sources for Data in this Profile and Additional Data Resources 84 2

3 1. INTRODUCTION 1.1 Purpose of 2016 Delaware Sub-state Epidemiological Profile The Division of Substance Abuse and Mental Health (DSAMH), the Single State Agency (SSA) for mental health/substance use conditions in Delaware is pleased to present this report from the Statewide Epidemiological Outcomes Workgroup (SEOW). This annual Profile brings together the most recent available information related to Delaware youth, families, and adults that is relevant to understanding, planning and intervening with Delawareans at risk for substance abuse, violence, and other risk factors. More importantly, it presents data, where possible, that are available for smaller areas than the state as a whole -- by county or sub-state planning area or even by community. Federal regulations have required and Delaware has established four sub-state planning areas for the state. These are: 1. The City of Wilmington; 2. The remainder of New Castle County; 3. Kent County; and 4. Sussex County Reporting of incidence, prevalence and outcome measures for each of these sub-state planning areas and surveillance of change will become an increasing requirement of federal and state programming in the future. This report focuses on data that can be provided by sub-state areas. More extensive data for substance abuse indicators for the state as a whole are available in the annual series of State Epidemiological Profiles that are also available at the DDATA website. Because of Delaware s small size, many indicators are not reliable at a sub-state or community level and can only be reported at the state level. The 2013 Sub-state Profile has two main purposes: First, the Profile continues the series of data reports begun in 2008, as part of Delaware s mandate from the Federal Substance Abuse Mental Health Services Administration (SAMHSA), to assemble, analyze and report on the best available data for state and sub-state surveillance of substance use/abuse incidence, prevalence, and related data for Delaware. Staff of the Delaware State Epidemiology Outcomes Workgroup formerly (Delaware Drug and Alcohol Tracking Alliance), are charged with producing and updating this resource. The Workgroup s responsibilities include collecting and improving upon the sources available for National Outcomes Measures (NOMS) that will meet SAMHSA and other federal reporting requirements. In addition, the Workgroup collects, collates, makes accessible and distributes alcohol, tobacco, and other drug (ATOD) data within the state for use by other Federal agencies (e.g., Office of National Drug Control Policy), other State agencies (e.g., Division of Public Health, Division of 3

4 Prevention and Behavioral Health Services, Department of Education), Foundations (e.g., Nemours, the Casey Foundation, the Robert Wood Johnson Foundation), and for informing communities and organizations statewide. Second, the Profile is meant to serve as a reference point for establishing the need for and subsequent changes in prevention or intervention programming in Delaware sub-state planning areas. Data will also be useful to communities directly applying for awards such as the federal Safe and Drug Free Communities Support Program (DFC), the Division of Public Health Tobacco Prevention and Control Programs, and other initiatives that may be issued by federal, state and foundation sources. The first section of this Profile consists of information from Delaware youth surveys by sub-state planning area and in some cases by smaller community breakdowns (Section 2 of the Profile). These data are the most rich and most timely (mostly 2015) because they include large samples and much of it comes from Delaware sources. The next section of the Profile consists of data that are available for adults (Section 3). Here the data sources, sizes of the samples, and recency of the data are more limited. Much of it comes from national sources such as the National Household Survey of Drug Use and Health (NSDUH) and the Behavioral Risk Factor Surveillance System (BRFSS). Section 4 of the Profile provides youth institutional data from the Department of Education and the Division of Prevention and Behavioral Health Services. Section 5 provides some additional data specific to Wilmington. Finally, Section 6 of the Profile provides leads and locations of additional data from the sources used here as well as other data sources that may be helpful in addressing issues of need and evidenced-based program compatibility. 4

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7 2. DELAWARE YOUTH SURVEY DATA BY SUB-STATE AREA The following section includes data from the Delaware School Survey that has been reported by sub-state planning area. The information is broken down into four categories of individual attitudes and behaviors, family data, school data, and neighborhood data. Please note that since zip code and city identifying information are not available for 5 th Grade data, there are no separate tables or charts for Wilmington 5 th graders. Wilmington-specific information is provided for 8 th and 11 th graders. More information on these surveys is available in Section 6 of this Profile. 7

8 DELAWARE YOUTH SURVEY DATA BY SUB-STATE AREA 2.1 Self-Reported Behavior The following section includes data from the Delaware School Surveys that relate to youth self-reports of their own behaviors and attitudes related to substance use, violence, and other risk and protective factors. The first pages relate to substance use and are broken down by zip code and mapped. The following charts are by sub-state planning area. Again, please note that zip code and city identifying information are not available for 5 th grade data, so there are no separate tables or charts for Wilmington 5 th graders. Wilmington-specific information is provided for 8 th and 11 th graders. 8

9 2015 DELAWARE SCHOOL SURVEY Percentage of 8 th and 11 th Public School Students Who Reported Smoking Cigarettes in the Past Month by Zip-Code 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 9

10 2015 DELAWARE SCHOOL SURVEY Percentage of 8 th and 11 th Public School Students Who Reported Drinking Alcohol in the Past Month by Zip-Code 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 10

11 2015 DELAWARE SCHOOL SURVEY Percentage of 8 th and 11 th Public School Students Who Reported Binge Drinking in the Past Month by Zip-Code Binge use is defined as three drinks at a time in the last two weeks 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 11

12 2015 DELAWARE SCHOOL SURVEY Percentage of 8 th and 11 th Public School Students Who Reported Smoking Marijuana in the Past Month by Zip-Code 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 12

13 2015 DELAWARE SCHOOL SURVEY Percentage of 8 th and 11 th Public School Students Who Reported Using Painkillers in the Past Month by Zip-Code 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 13

14 Reported Past Month Substance Use by Delaware Public School Students, % 4% 3% 2% 1% 5th Grade Cigarettes Alcohol Marijuana Other Illegal Drugs DE State 1% 2% Wilmington 1% 1% New Castle 1% 2% Kent 1% 2% Sussex 1% 2% 15% 8th Grade 1 5% Cigarettes Alcohol Marijuana Other Illegal Drugs DE State 2% 1 7% 3% Wilmington 2% 11% 14% 4% New Castle 1% 9% 6% 3% Kent 2% 1 6% 2% Sussex 3% 12% 8% 5% th Grade Cigarettes Alcohol Marijuana Other Illegal Drugs DE State 7% 3 24% 3% Wilmington 5% 31% 31% 4% New Castle 6% 29% 24% 3% Kent 7% 29% 16% 3% Sussex 1 35% 3 5% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 14

15 Reported Binge Drinking a and Heavy Substance b Use by Delaware Public School Students, % 16% 14% 12% 1 8% 6% 4% 2% Binge Drinking 8th Grade Heavy Marijuana Use DE State 4% 3% Wilmington 4% 5% New Castle 4% 3% Kent 4% 2% Sussex 5% 3% 24% 22% 2 18% 16% 14% 12% 1 8% 6% 4% 2% Binge Drinking 11th Grade Notes: a Binge use is defined as three drinks at a time in the last two weeks. b Heavy Use indicates more than six times in the past month. Heavy Marijuana Use DE State 16% 12% Wilmington 17% 18% New Castle 15% 12% Kent 16% 7% Sussex 21% 14% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 15

16 Reported Past Month Drinking and Marijuana Smoking Companions Among Delaware Public School Students, th Graders Drinking Companions Sibling(s) Adult family Friends from School Friends from neighbor- hood Coworkers Boy/ Girlfriend Drank alone DE State Wilmington New Castle Kent Sussex th Graders Drinking Companions Sibling(s) Adult family Friends from School Friends from neighbor- hood Other adults Boy/ Girlfriend 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. Drank alone DE State Wilmington New Castle Kent Sussex

17 8 th Graders Marijuana Smoking Companions Sibling(s) Adult family Friends from School Friends from neighborhood DE State Wilmington New Castle Kent Sussex Alone 11 th Graders Past Month Marijuana Smoking Companions, Sibling(s) Adult family Friends from School Friends from neighborhood DE State Wilmington New Castle Kent Sussex Alone 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 17

18 Reported Past Month Drinking Locations Among Delaware Public School Students, th Grade At home Someone' s house At a party At a sports event At school In car In public DE State Wilmington New Castle Kent Sussex th Grade At home Someone' s house At a party At a sports event At school In car In public DE State Wilmington New Castle Kent Sussex Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 18

19 Reported Perceptions of Risk in Substance Use Among Delaware Public School Students, th Graders Percpetions of "A Lot of Risk" in Substance Use Smoke one ore more packs of cigarettes per day Daily use of alcohol Try marijuana once or twice DE State 52% 42% 28% New Castle 54% 43% 28% Kent 53% 46% 32% Sussex 49% 39% 27% 8th Graders' Perceptions of "Moderate" or "Great Risk" in Substance Use, Smoke one ore more packs of cigarettes per day Daily use of alcohol Try marijuana once or twice DE State 74% 74% 63% Wilmington 67% 69% 56% New Castle 76% 76% 65% Kent 75% 74% 63% Sussex 73% 61% 39% 11th Graders' Perceptions of "Moderate" or "Great Risk" in Substance Use Smoke one ore more packs of cigarettes per day Daily use of alcohol Try marijuana once or twice DE State 84% 84% 51% Wilmington 76% 76% 39% New Castle 84% 84% 5 Kent 88% 88% 6 Sussex 76% 82% Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 19

20 Reported Self-Disapproval of Substance Use Among Delaware Public School Students, 2015 (Percentage of students responding with "wrong" or "very wrong") 8th Grade Tobacco Alcohol* Marijuana** DE State 82% 83% 84% Wilmington 81% 84% 76% New Castle 82% 83% 84% Kent 84% 83% 87% Sussex 8 82% 87% th Grade Tobacco Alcohol* Marijuana** DE State 68% 68% 57% Wilmington 71% 77% 56% New Castle 69% 68% 55% Kent 7 71% 64% Sussex 71% 62% 55% Note: *1-2 drinks of alcohol daily **Regular Use 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware.. 20

21 10 Reported Group Fight Participation Among Delaware Public School Students, th Grade Past year group ]ight DE State 1 Wilmington 18% New Castle 8% Kent 9% Sussex 9% 10 11th Grade Past year group ]ight DE State 7% Wilmington 9% New Castle 6% Kent 6% Sussex 7% Source 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 21

22 Reported Acts of Violence Among Delaware Public School Students, th Grade Hit someone with the intention of hurting them DE State 2 Wilmington 24% New Castle 2 Kent 23% Sussex 19% 5 11th Grade Hit someone with the intention of hurting them DE State 16% Wilmington 24% New Castle 16% Kent 12% Sussex 16% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 22

23 Reported Class Attendance Among Delaware Public School Students, th Grade Skip or miss classes without permission Get suspended or expelled from school DE State 8% 13% Wilmington 1 2 New Castle 7% 11% Kent 8% 12% Sussex 1 16% th Grade Skip or miss classes without permission Get suspended or expelled from school DE State 19% 18% Wilmington 2 2 New Castle 18% 18% Kent 16% 15% Sussex 25% 25% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 23

24 Reports of Selling Drugs Among Delaware Public School Students, % 8% 7% 6% 5% 4% 3% 2% 1% Alcohol 8th Grade Marijuana Prescription Pain Killers Other Illegal Drugs DE State 3% 5% 2% 1% Wilmington 4% 8% 2% 3% New Castle 2% 5% 1% 1% Kent 3% 3% 2% 1% Sussex 5% 5% 2% 1% 2 11th Grade 15% 1 5% Alcohol Marijuana Prescription Pain Killers Other Illegal Drugs DE State 8% 12% 3% 2% Wilmington 7% 16% 4% 4% New Castle 7% 11% 2% 2% Kent 8% 1 2% 1% Sussex 9% 15% 3% 2% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 24

25 DELAWARE YOUTH SURVEY DATA BY SUB-STATE AREA 2.2 Perceptions of Family The following section includes data from the Delaware School Surveys that relate to youth self-reports of their family composition and of attitudes and behaviors related to their families and perceived attitudes of their parents. The following charts are by sub-state planning area. Again, please note that Zip Code and City identifying information are not available for 5 th Grade data, so there are no separate tables or charts for Wilmington 5 th graders. Wilmington-specific information is provided for 8 th and 11 th graders. 25

26 Reported Family Structure Among Delaware Public School Students, 2015 No parent in home 5th Grade Single parent in home Foster parent or guardian Two parents in home DE State 6% 33% 1% 6 New Castle 6% 32% 1% 61% Kent 7% 35% 1% 58% Sussex 6% 33% 1% No parent in home 8th Grade Singe parent in home Foster parent or guardian Two parents in home DE State 6% 37% 1% 57% Wilmington 8% 39% 2% 51% New Castle 5% 32% 1% 62% Kent 7% 42% 1% 5 Sussex 6% 38% 1% 55% 11th Grade No parent in home Singe parent in home Foster parent or guardian Two parents in home DE State 6% 41% 1% 52% Wilmington 8% 56% 1% 35% New Castle 6% 37% 1% 56% Kent 6% 41% 1% 52% Sussex 7% 47% 1% 45% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 26

27 2 15% 1 5% Reported Violence or Threats at Home Among Delaware Public School Students, th Grade Seen or Heard Adults in Home Hurting Each other DE State 7% Wilmington 9% New Castle 7% Kent 7% Sussex 7% 2 8th Grade 15% 1 5% Heard Yelling Between People in Your Home (Past Month) Seen or Heard Violence Between People in Your Home (Past Month) DE State 12% 4% Wilmington 11% 6% New Castle 12% 4% Kent 12% 4% Sussex 12% 4% 11th Grade 2 15% 1 5% Heard Yelling Between People in Your Home (Past Month) Seen or Heard Violence Between People in Your Home (Past Month) DE State 11% 4% Wilmington 11% 5% New Castle 11% 4% Kent 11% 4% Sussex 12% 4% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 27

28 Reported Parental Smoking Among Delaware Public School Students, 2015 Mother/Stepmother 5th Grade Father/Stepfather DE State 15% 18% New Castle 14% 16% Kent 18% 2 Sussex 17% 22% Mother/Stepmother 8th Grade Father/Stepfather DE State 18% 21% Wilmington 21% 21% New Castle 15% 18% Kent 21% 25% Sussex 22% 25% Mother/Stepmother 11th Grade Father/Stepfather DE State 17% 19% Wilmington 17% 17% New Castle 15% 18% Kent 21% 19% Sussex 23% 26% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 28

29 10 Reported Parental Perceptions of Tobacco Use Among Delaware Public School Students, th Grade Tobacco DE State 82% Wilmington 81% New Castle 82% Kent 84% Sussex th Grade Tobacco DE State 68% Wilmington 71% New Castle 69% Kent 7 Sussex 62% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 29

30 Reported Parental Perceptions of Alcohol Use Among Delaware Public School Students, 2015 (Based on whether parents think daily use of Alcohol is wrong or very wrong ) 10 8th Grade Alcohol DE State 83% Wilmington 84% New Castle 84% Kent 83% Sussex 83% 10 11th Grade Alcohol DE State 68% Wilmington 77% New Castle 68% Kent 71% Sussex 62% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 30

31 Reported Parental Perceptions of Marijuana Use Among Delaware Public School Students, 2015 (Based on whether parents think daily use of Alcohol is wrong or very wrong ) 10 8th Grade Marijuana DE State 84% Wilmington 77% New Castle 84% Kent 87% Sussex 83% 10 11th Grade Marijuana DE State 56% Wilmington 56% New Castle 55% Kent 63% Sussex 55% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 31

32 Reports of Talking to Parents about the Risk of Drugs Among Delaware Public School Students, th Graders' Reports of Parents Telling Students not to do the Following: smoke cigarette drink alcohol use marijuana use other illegal drugs DE State 77% 67% 67% 72% New Castle 76% 66% 65% 7 Kent 77% 68% 69% 71% Sussex 81% 72% 7 76% th Graders' Reports of Talking with Students about the Risks of Drugs and Alcohol Risks of drinking alcohol Risks of using illegal drugs DE State 34% 36% Wilmington 28% 32% New Castle 35% 37% Kent 24% 25% Sussex 39% 43% 11th Graders' Reports of Talking with Students about the Risks of Drugs and Alcohol, Risks of drinking alcohol Risks of using illegal drugs DE State 28% 3 Wilmington 25% 26% New Castle 26% 29% Kent 33% 34% Sussex 34% 36% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 32

33 Reported Getting Along with Parents Among Delaware Public School Students, th Grade Get along with parents most of the time DE State 95% New Castle 96% Kent 95% Sussex 95% th Grade Most of the time/often Some of the time Not often/never DE State 86% 11% 3% Wilmington 87% 1 3% New Castle 86% 11% 3% Kent 84% 14% 2% Sussex 84% 12% 4% 11th Grade Most of the time/often Some of the time Not often/never DE State 82% 14% 4% Wilmington 76% 2 4% New Castle 82% 15% 4% Kent 84% 11% 4% Sussex 81% 13% 5% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 33

34 Reported Certainty of Punishment Among Delaware Public School Students, th Graders who "agree" or "strongly agree" that rules are strictly enforced Rules are strictly enforced DE State 28% New Castle 28% Kent 25% Sussex 27% 8th Graders Who Agree/Strongly Agree with the Statement, "Your Parents Rules For You Are Strictly Enforced Rules are strictly enforced DE State 71% Wilmington 67% New Castle 73% Kent 66% Sussex 71% th Graders Who Agree/Strongly Agree with the Statement, "Your Parents Rules For You Are Strictly Enforced" Rules are strictly enforced DE State 68% Wilmington 63% New Castle 68% Kent 7 Sussex Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 34

35 Reports of Parents Knowing Where Students Are When Not in School Among Delaware Public School Students, th Grade Parents know where I am DE State 95% New Castle 96% Kent 95% Sussex 95% th Grade Most of the time/often Some of the time Not often/never DE State 91% 6% 3% Wilmington 87% 8% 5% New Castle 92% 6% 2% Kent 93% 5% 2% Sussex 92% 6% 2% th Grade Most of the time/often Some of the time Not often/never DE State 87% 1 3% Wilmington 82% 13% 5% New Castle 88% 1 3% Kent 89% 8% 3% Sussex 86% 1 4% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 35

36 DELAWARE YOUTH SURVEY DATA BY SUB-STATE AREA 2.3 Perceptions of School The following section includes data from the Delaware School Surveys that relate to youth self-reports of their attitudes and behaviors related to their school and to other kids at school. Information on perceived verbal abuse and violence as well as attitude about school rules and norms are provided. The following charts are by sub-state planning area. Again, please note that Zip Code and City identifying information are not available for 5 th Grade data, so there are no separate tables or charts for Wilmington 5 th graders. Wilmington-specific information is provided for 8 th and 11 th graders. 36

37 Reported Violence and Bullying in the past month among By Delaware Public School Students, th Grade Been Bullied at School Hit Someone DE State 18% 14% Wilmington 19% 18% New Castle 17% 13% Kent 24% 15% Sussex 19% 13% 8th Grade Been Bullied at School Hit Someone DE State 12% 9% Wilmington 1 12% New Castle 12% 9% Kent 14% 9% Sussex 12% 8% 11th Grade Been Bullied at School Hit Someone DE State 6% 5% Wilmington 12% 8% New Castle 6% 5% Kent 67% 4% Sussex 16% 6% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 37

38 Reported School Violence Among Delaware Public School Students, th Grade Fighting is a Problem at School Been in a Physical Fight at School DE State 63% 89% New Castle 67% 9 Kent 48% 87% Sussex 66% 91% th Grade Student violence is a problem at this school "some of the time" or more often I took some kind of weapon to school or a school event this year DE State 46% 2% Wilmington 54% 4% New Castle 44% 2% Kent 54% 2% Sussex 41% 1% th Grade Student violence is a problem at this school "some of the time" or more often I took some kind of weapon to school or a school event this year DE State 42% 3% Wilmington 47% 4% New Castle 45% 4% Kent 34% 2% Sussex 38% 4% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 38

39 Reported Perceptions of School Safety By Delaware Public School Students, th Grade I feel safe in my school DE State 93% New Castle 94% Kent 89% Sussex 93% 8th Grade I feel safe in my school "Most of the time" or "Often" DE State 8 Wilmington 78% New Castle 8 Kent 79% Sussex 82% 11th Grade I feel safe in my school "Most of the time" or "Often" DE State 82% Wilmington 8 New Castle 82% Kent 83% Sussex 83% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 39

40 Reported Knowing Where to Buy Drugs By Delaware Public School Students, th Grade Alcohol Marijuana Prescription Painkillers Other Illegal Drugs DE State 22% % Wilmington 21% 4 14% 17% New Castle 2 28% 1 12% Kent 2 27% 9% 11% Sussex 25% 32% 1 16% Alcohol 11th Grade Marijuana Prescription Painkillers Other Illegal Drugs DE State 48% 6 24% 25% Wilmington 4 63% 27% 25% New Castle 48% 61% 24% 25% Kent 5 55% 21% 21% Sussex 5 61% 23% 29% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 40

41 Reported Certainty of School Punishment Among Delaware Public School Students, th Graders Who Agree/Strongly Agree with the Statement, "School Rules are Strictly Enforced" The school rules are strictly enforced DE State 88% New Castle 88% Kent 88% Sussex 88% 8th Graders Reports of School Rules Being Strictly Enforced Most of the time/ Often The school rules are strictly enforced DE State 68% Wilmington 67% New Castle 68% Kent 65% Sussex th Graders Who Agree/Strongly Agree with the Statement "School Rules are Strictly Enforced" The school rules are strictly enforced DE State 6 Wilmington 57% New Castle 59% Kent 61% Sussex 64% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 41

42 Reported Perception of School Rules By Delaware Public School Students, th Graders Who Strongly Agree/Agree that the School Rules are Fair If you break the school rules, you will de]initely be punished DE State 89% New Castle 88% Kent 89% Sussex 89% 8th Graders Who Strongly Agree/Agree that the School Rules are Fair If you break your school's rules, you will be punished DE State 59% Wilmington 53% New Castle 6 Kent 57% Sussex 58% 11th Graders Who Strongly Agree/Agree that the School Rules are Fair If you break your school's rules, you will be punished DE State 47% Wilmington 38% New Castle 51% Kent 46% Sussex 49% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 42

43 DELAWARE YOUTH SURVEY DATA BY SUB-STATE AREA 2.4 Perceptions of Neighborhood The following section includes data from the Delaware School Surveys that relate to youth self-reports of their attitudes and behaviors related to their neighborhood and to other kids in their neighborhood. Information on perceived verbal abuse and violence are provided. The following charts are by sub-state planning area. Again, please note that Zip Code and City identifying information are not available for 5 th Grade data, so there are no separate tables or charts for Wilmington 5 th graders. Wilmington-specific information is provided for 8 th and 11 th graders. 43

44 Reported Violence from in their Neighborhood Among Delaware Public School Students, th Grade 15% 1 5% Feel Safe in Your Neighborhood (Not Often/ Never) Bullied in your Neighborhood (PastMmonth) Got Hit by Another Teen (Past Month) DE State 5% 2% 4% Wilmington 12% 2% 4% New Castle 4% 2% 5% Kent 4% 2% 5% Sussex 4% 2% 3% 2 11th Grade 15% 1 5% Feel Safe in your neighborhood (Not Often/ Never) Bullied in your neighborhood (Past Month) Got Hit by Another Teen (Past Month) DE State 5% 1% 2% Wilmington 17% 1% 2% New Castle 4% 1% 2% Kent 3% 1% 2% Sussex 3% 1% 3% 2015 Delaware School Survey. Center for Drug and Health Studies, University of Delaware. 44

45 3. DELAWARE ADULT SURVEY DATA BY SUB-STATE PLANNING AREA AND OFFICE OF HIGHWAY SAFETY DATA The following section includes tables and charts from the National Household Survey on Drug Use and Health and one page of tables from the Behavioral Risk Factor Surveillance System for Delaware. Each of these sources reports mostly on adults and provides limited data broken down by Sub-state Planning Area for Delaware. Additional information from these sources including all data available by sub-state planning area and all data available statewide are available online (see resources listed in Section 6 of this Profile). 45

46 Illicit Drug Use in the Past Month among Persons Aged 12 or Older, by Substate a Region: Annual Averages Based on 2010, 2011, and 2012 NSDUHs (in percentages) Persons Aged 12 or Older, by Sub-state Region: % Prediction Interval U.S b Northeast U.S South U.S Delaware Delaware Sub- state: Kent County New Castle County (Excluding Wilmington) Sussex County Wilmington Notes: a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

47 Illicit Drug Use, Other than Marijuana, in the Past Month among Persons Aged 12 or Older, by Sub-state Region: Annual Averages Based on 2010, 2011, and 2012 a NSDUHs (in percentages) Persons Aged 12 or Older, by Sub-state Region: % Prediction Interval U.S b Northeast U.S b South U.S b Delaware De. Sub- state Kent County New Castle County (Excluding Wilmington) Sussex County Wilmington Notes: a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

48 Cigarette Use in Past Month, by Age Group and State: and NSDUHs a (in percentages) Persons Aged 12 or Older, by Sub-state Region: % Prediction Interval U.S Northeast U.S South Delaware De. Sub- State: Kent County New Castle County (Excluding Wilmington) Sussex County Wilmington Notes: a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

49 Marijuana Use in the Past Month among Persons Aged 12 or Older, by Substate Region: Annual Averages Based on 2010, 2011, and 2012 NSDUHs a (in percentages) Persons Aged 12 or Older in Delaware, by Sub-state Region: % Prediction Interval Past Month Marijuana Drug Use U.S b Northeast U.S b South U.S Delaware De. Sub- state: Kent County New Castle County (Excluding Wilmington) Sussex County Wilmington Notes: a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables, and Maps of Delaware

50 Cocaine Use in Past Year, by Age Group and State: Annual Averages Based on 2010, 2011, and 2012 NSDUHs a (in percentages) Persons Aged 12 or Older in Delaware, by Sub-state Region: De. Sub- state: % Prediction Interval U.S b Northeast U.S b South U.S 1.52 b Delaware 1.81 b Kent County New Castle County (Excluding Wilmington) Sussex County 1.25 b Wilmington Notes: a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

51 Nonmedical Pain Killer Use in Past Year, by Age Group and State: Annual Averages Based on 2010, 2011, and 2012 NSDUHs a (in percentages) Persons Aged 12 or Older in Delaware, by Sub-state Region: De. Sub- state: % Prediction Interval U.S b Northeast U.S c South U.S b Delaware Kent County New Castle County (Excluding Wilmington) Sussex County Wilmington Notes: a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

52 Alcohol Use in the Past Month, by Age Group and State: Annual Averages Based on 2010, 2011, and 2012 NSDUHs a (in percentages) Persons Aged 12 or Older in Delaware, by Sub-state Region: De. Sub- state: % Prediction Interval U.S Northeast U.S South U.S Delaware c Kent County New Castle County (Excluding Wilmington) b Sussex County Wilmington Notes: a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

53 Binge Drinking in the Past Month, by Age Group and State: Annual Averages Based on 2010, 2011, and 2012 NSDUHs a (in percentages) Persons Aged 12 or Older in Delaware, by Sub-state Region: De. Sub- state: % Prediction Interval U.S b Northeast U.S South U.S Delaware b Kent County b New Castle County (Excluding Wilmington) Sussex County c Wilmington Notes: Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

54 Alcohol Use in the Past Month, by Age Group (12-20 years old) and State: Annual Averages Based on 2010, 2011, and 2012 NSDUHs a (in percentages) Persons Aged in Delaware, by Substate Region: De. Sub- state: % Prediction Interval U.S b Northeast U.S b South U.S b Delaware b Kent County New Castle County (Excluding Wilmington) b Sussex County c Wilmington Notes: a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

55 Binge Drinking in the Past Month, by Age Group (12-20 years old) and State: Annual Averages Based on 2010, 2011, and 2012 NSDUHs a (in percentages) Persons Aged in Delaware, by Substate Region: De. Sub- state: % Prediction Interval U.S b Northeast U.S b South U.S b Delaware b Kent County b New Castle County (Excluding Wilmington) b Sussex County Wilmington Notes: Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

56 Alcohol Dependence or Abuse in the Past Year, by Age Group and State: Annual Averages Based on 2010, 2011, and 2012 NSDUHs a (in percentages) Persons Aged 12 or Older in Delaware, by Sub-state Region: De. Sub- state: % Prediction Interval U.S b Northeast U.S South U.S b Delaware Kent County New Castle County (Excluding Wilmington) Sussex County Wilmington Notes: Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM - IV). a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

57 Illicit Drug Dependence or Abuse in the Past Year, by Age Group and State: Annual Averages Based on 2010, 2011, and 2012 NSDUHs a (in percentages) Persons Aged 12 or Older in Delaware, by Sub-state Region: De. Sub- state: % Prediction Interval U.S c Northeast U.S b South U.S Delaware Kent County New Castle County (Excluding Wilmington) Sussex County Wilmington Notes: Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM - IV). a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

58 Alcohol Dependence in the Past Year, by Age Group and State: Annual Averages Based on 2010, 2011, and 2012 NSDUHs a (in percentages) Persons Aged 12 or Older in Delaware, by Sub-state Region: De. Sub- state: % Prediction Interval U.S b Northeast U.S b South U.S b Delaware Kent County New Castle County (Excluding Wilmington) Sussex County Wilmington Notes: Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM - IV). a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

59 Illicit Drug Dependence in the Past Year, by Age Group and State: Annual Averages Based on 2010, 2011, and 2012 NSDUHs a (in percentages) Persons Aged 12 or Older in Delaware, by Sub-state Region: % Prediction Interval U.S Northeast U.S South U.S Delaware De. Sub- state: Kent County New Castle County (Excluding Wilmington) Sussex County Wilmington Notes: Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM - IV). a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

60 Needing, but not Receiving Treatment for Alcohol In the Past Year, by Age Group and State: Annual Averages Based on 2010, 2011, and 2012 NSDUHs a (in percentages) Persons Aged 12 or Older in Delaware, by Sub-state Region: De. Sub- State: % Prediction Interval U.S b Northeast U.S South U.S b Delaware Kent County New Castle County (Excluding Wilmington) Sussex County Wilmington Notes: a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

61 Needing, but not Receiving Treatment for Illicit Drugs In the Past Year, by Age Group and State: Annual Averages Based on 2010, 2011, and 2012 NSDUHs a (in percentages) Persons Aged 12 or Older in Delaware, by Sub-state Region: De. Sub- state % Prediction Interval U.S c Northeast U.S c South U.S Delaware Kent County New Castle County (Excluding Wilmington) Sussex County Wilmington Notes: a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

62 Serious Mental Illness in the Past Year, by Age Group and State: Annual Averages Based on 2010, 2011, and 2012 NSDUHs a (in percentages) Persons Aged 18 or Older in Delaware, by Sub-state Region: De. Sub- state: % Prediction Interval U.S Northeast U.S South U.S Delaware Kent County New Castle County (Excluding Wilmington) Sussex County Wilmington Notes: a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

63 Had at Least one Major Depressive Episode In the Past Year, by Age Group and State: Annual Averages Based on 2010, 2011, and 2012 NSDUHs a (in percentages) Persons Aged 18 or Older in Delaware, by Sub-state Region: De. Sub- State % Prediction Interval U.S Northeast U.S South U.S Delaware Kent County New Castle County (Excluding Wilmington) Sussex County Wilmington Notes: a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

64 Had Serious Thoughts of Suicide in the Past Year, by Age Group and State: Annual Averages Based on 2010, 2011, and 2012 NSDUHs a (in percentages) Persons Aged 18 or Older in Delaware, by Sub-state Region: De. Sub- state: % Prediction Interval U.S Northeast U.S South U.S Delaware Kent County New Castle County (Excluding Wilmington) Sussex County Wilmington Notes: a Estimates are based on a survey-weighted hierarchical Bayes estimation approach. b Difference between the estimate and the estimate is statistically significant at the 0.05 level. c Difference between the estimate and the estimate is statistically significant at the 0.10 level. National Survey on Drug Use and Health: Comparison of the and Model- Based Sub- state Estimates. National Survey on Drug Use and Health: Sub- state Comparison, Tables and Maps of Delaware

65 Statewide and Sub-state Estimates of Smoking, Binge Drinking, and HIV Risk for Delaware Adults from the 2011 Delaware Behavior Risk Factor Surveillance System Adult Smoking Prevalence Statewide Wilmington Suburban NC Kent Sussex Smoke Every Day Smoke Some Days Former Smoker 14.7% 19.4% 15.4% 19.6% 16.3% 5.2% 4.1% 5.9% 5.5% 4.7% 24.6% 22.1% 26.5% 27.2% 33.9% Acute or "Binge" Drinking [5+ (males) or 4+ (females) Drinks at One Occasion] Statewide Wilmington Suburban N.C. Kent Sussex 20.3% 23.6% 23.3% 16.2% 17.3% Respondents < Age 65 Who Have Ever Had an AIDS Test Statewide Wilmington Suburban N.C. Kent Sussex % 49.8% 43.1% Sources: Delaware Health and Social Services, Division of Public Health, Behavioral Risk Factor Surveillance System (BRFSS), County information on Respondents < Age 65 Who Have Ever Had an AIDS Test, Wilmington information on all tables,

66 FataliQes Per 1000,000 PopulaQon Traffic Fatalities for Delaware, Kent County New Castle County Sussex Count National Highway Traffic Safety Administration. Performance Measures, Delaware. 66

67 Center for Highway Asset Management Programs (CHAMPS) Locations of Alcohol-related Motor Vehicle Accidents,

68 Center for Highway Asset Management Programs (CHAMPS) Locations of Alcohol-related Motor Vehicle Accidents, 2009, Continued 68