Indicators of Alcohol and Other Drug Risk and Consequences for California Counties

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1 Indicators of Alcohol and Other Drug Risk and Consequences for California Counties Tulare County 21

2 Indicators of Alcohol and Other Drug Risk and Consequences for California Counties Tulare County 21

3 TABLE OF CONTENTS Introduction... 1 Key Findings... 3 Summary of Key Indicators of Community Alcohol and Drug Use... 5 Indicator 1: Prevalence of Past Year Binge Drinking Table/Figure 1.1 Estimated Number and Percent of Persons 18 Years and Older Reporting Any Binge Drinking in the Past Year with Comparison to State Rates...6 Table/Figure 1.2 Estimated Number of Persons 18 Years and Older Reporting Any Binge Drinking in the Past Year by Gender...6 Table 1.3 Estimated Number of Persons 18 Years and Older Reporting Any Binge Drinking in the Past Year by Race/Ethnicity...7 Figure 1.3 Past Year Binge Drinking in by Race/Ethnicity...7 Table 1.4 Estimated Number of Persons 18 Years and Older Reporting Any Binge Drinking in the Past Year by Age Category...8 Figure 1.4 Past Year Binge Drinking in by Age Category...8 Indicator 2: Admissions to Alcohol and Other Drug Treatment Treatment Data Clarifications... 9 Table 2.1 Number of Admissions to Alcohol and Other Drug Treatment and Rate per 1, Total Population with Comparison to Statewide Rates...9 Figure 2.1 Treatment Admission Rate per 1, Total Population with Comparison to Statewide Rates...9 Table 2.2 Admissions to Alcohol and Other Drug Treatment by Client Gender, Rate per 1, Population, and Percent of Total Admissions... 1 Figure 2.2 Treatment Admission Rate per 1, Population by Client Gender... 1 Table 2.3 Treatment Admissions by Primary Drug Type, Percent of Total Admissions, and Rate per 1, Population Figure 2.3 Treatment Admission Rate per 1, Population by Primary Drug Type Table 2.4 Admissions to Alcohol and Other Drug Treatment by Client Race/Ethnicity, Rate per 1, Population, and Percent of Total Admissions Figure 2.4 Treatment Admission Rate per 1, Population by Client Race/Ethnicity Table 2.5 Admissions to Alcohol and Other Drug Treatment by Client Age Category, Rate per 1, Population, and Percent of Total Admissions Figure 2.5 Treatment Admission Rate per 1, Population by Client Age Category Table 2.6 Characteristics of Clients Admitted to Alcohol and Other Drug Treatment and Rate per 1, Population Figure 2.6 Age of Substance Use Initiation Rate per 1, Population Table 2.7 AOD Treatment Admissions by Primary Drug Type, Percent of Total Admissions, and Rate per 1, Population to 17 Years Figure 2.7 Underage Treatment Admission Rate per 1, Population to 17 by Primary Drug Type Table 2.8 AOD Treatment Admissions among Youth Under Age 18 by Gender and Client Race/Ethnicity, Rate per 1, Population to 17, and Percent of Total Admissions Indicator 3: Arrests for Drug Related Crime Table 3.1 Number of Arrests for Felony and Misdemeanor Drug Offenses and Rate per 1, Population 1 to 69 Years with Comparison to Statewide Rates Figure 3.1 Drug Arrest Rate per 1, Population 1 to 69 with Comparison to Statewide Rates Table 3.2 Number of Arrests for Felony and Misdemeanor Drug Offenses by Offender Gender, Rate per 1, Population 1 to 69 Years, and Percent of Total Drug Arrests Indicators of Alcohol and Other Drug Abuse Table of Contents, California

4 Figure 3.2 Drug Arrest Rate per 1, Population 1 to 69 by Offender Gender Table 3.3 Number of Arrests for Felony and Misdemeanor Drug Offenses by Specific Offense, Rate per 1, Population 1 to 69 Years, and Percent of Total Drug Arrests Figure 3.3 Drug Arrest Rate per 1, Population 1 to 69 by Specific Offense Table 3.4 Number of Arrests for Felony and Misdemeanor Drug Offenses by Offender Race/Ethnicity, Rate per 1, Population 1 to 69 Years, and Percent of Total Drug Arrests Figure 3.4 Drug Arrest Rate per 1, Population 1 to 69 by Offender Race/Ethnicity Table 3.5 Number of Arrests for Felony and Misdemeanor Drug Offenses by Offender Age Category, Rate per 1, Population 1 to 69 Years, and Percent of Total Drug Arrests... 2 Figure 3.5 Drug Arrest Rate per 1, Population by Offender Age Category... 2 Table 3.6 Number of Arrests for Felony and Misdemeanor Drug Offenses by Gender and Race/Ethnicity among Underage Offenders, Rate per 1, Population 1 to 17 Years, and Percent of Total Drug Arrests Indicator 4: Arrests for Alcohol Related Crime Table 4.1 Number of Arrests for Felony and Misdemeanor Alcohol Offenses and Rate per 1, Population 1 to 69 Years with Comparison to Statewide Rates Figure 4.1 Alcohol Arrest Rate per 1, Population 1 to 69 with Comparison to Statewide Rates Table 4.2 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Offender Gender, Rate per 1, Population 1 to 69 Years, and Percent of Total Alcohol Arrests Figure 4.2 Alcohol Arrest Rate per 1, Population 1 to 69 by Offender Gender Table 4.3 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Specific Offense, Rate per 1, Population 1 to 69 Years, and Percent of Total Alcohol Arrests Figure 4.3 Alcohol Arrest Rate per 1, Population 1 to 69 by Specific Offense Table 4.4 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Offender Race/Ethnicity, Rate per 1, Population 1 to 69 Years, and Percent of Total Alcohol Arrests Figure 4.4 Alcohol Arrest Rate per 1, Population 1 to 69 by Offender Race/Ethnicity Table 4.5 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Offender Age Category, Rate per 1, Population, and Percent of Total Alcohol Arrests Figure 4.5 Alcohol Arrest Rate per 1, Population by Offender Age Category Table 4.6 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Gender and Race/Ethnicity among Underage Offenders, Rate per 1, Population 1 to 17 Years, and Percent of Total Alcohol Arrests Indicator 5: Alcohol Involved Motor Vehicle Accidents Table 5.1 Fatalities in Alcohol Involved Accidents and Rate per 1, Total Population with Comparison to Statewide Rates Figure 5.1 Alcohol Involved Accident Fatality Rate per 1, Total Population with Comparison to Statewide Rates Table 5.2 Parties in Alcohol Involved Accidents Who Had Been Drinking by Party Gender, Rate per 1, Population, and Percent of Total Figure 5.2 Had Been Drinking Driver Rate per 1, Population, by Party Gender Table 5.3 Alcohol Involved Accidents by Injury Severity, Rate per 1, Total Population, and Percent of Total Figure 5.3 Alcohol Involved Rate per 1, Total Population, by Injury Severity Table 5.4 Parties in Alcohol Involved Accidents Who Had Been Drinking by Party Race/Ethnicity, Rate per 1, Population, and Percent of Total Figure 5.4 Had Been Drinking Driver Rate per 1, Population, by Party Race/Ethnicity Table 5.5 Parties in Alcohol Involved Accidents Who Had Been Drinking by Party Age Category, Rate per 1, Population, and Percent of Total... 3 Figure 5.5 Had Been Drinking Driver Rate per 1, Population, by Party Age Category... 3 Indicators of Alcohol and Other Drug Abuse Table of Contents, California

5 Indicator 6: Hospitalization Due to Alcohol and Drug Use Table 6.1 Hospitalizations Due to Alcohol and Drug Related Causes (Combined) and Rate per 1, Total Population with Comparison to Statewide Rates Figure 6.1 Alcohol and Drug Related Hospitalization Rate per 1, Total Population with Comparison to Statewide Rates Table 6.2 Hospitalizations Due to Alcohol and Drug Related Causes (Combined) by Patient Gender, Rate per 1, Population, and Percent of Total Admissions Figure 6.2 AOD Related Hospitalization Rate per 1, Population by Patient Gender Table 6.3 Hospitalizations Due to Alcohol Related Causes and Rate per 1, Total Population with Comparison to Statewide Rates Figure 6.3 Alcohol Related Hospitalization Rate per 1, Total Population with Comparison to Statewide Rates Table 6.4 Hospitalizations Due to Drug Related Causes and Rate per 1, Total Population with Comparison to Statewide Rates Figure 6.4 Drug Related Hospitalization Rate per 1, Total Population with Comparison to Statewide Rates Table 6.5 Hospitalizations Due to Alcohol Related Causes by Specific Cause and Rate per 1, Total Population Table 6.6 Hospitalizations Due to Drug Related Causes by Specific Cause and Rate per 1, Total Population Table 6.7 Hospitalizations Due to Alcohol and Drug Related Causes (Combined) by Patient Race/Ethnicity, Rate per 1, Population, and Percent of Hospitalizations Figure 6.5 AOD Related Hospitalization Rate per 1, Population by Patient Race/Ethnicity Table 6.8 Hospitalizations Due to Alcohol and Drug Related Causes (Combined) by Patient Age Category, Rate per 1, Population, and Percent of Hospitalizations Figure 6.6 AOD Related Hospitalization Rate per 1, Population by Patient Age Category Indicator 7: Deaths Due to Alcohol and Drug Use Table 7.1 Deaths Due to Alcohol and Drug Related Causes (Combined) and Age Adjusted Rate per 1, with Comparison to Statewide Rates Figure 7.1 Mortality Age Adjusted Rate per 1, Total Population with Comparison to Statewide Rates Table 7.2 Deaths Due to Alcohol and Drug Related Causes (Combined) by Gender of Decedent, Rate per 1, Total Population, and Percent of Total AOD Related Deaths Figure 7.2 AOD Related Mortality Rate per 1, Population by Decedent Gender Table 7.3 Deaths Due to Alcohol Related Causes and Rate per 1, Total Population, with Comparison to Statewide Rates Figure 7.3 Alcohol Related Mortality Rate per 1, Population with Comparison to Statewide Rates Table 7.4 Deaths Due to Drug Related Causes and Rate per 1, Total Population, with Comparison to Statewide Rates Figure 7.4 Drug Related Mortality Rate per 1, Population with Comparison to Statewide Rates Table 7.5 Deaths Due to Alcohol Related Causes by Specific Cause, and Rate per 1, Total Population Table 7.6 Deaths Due to Drug Related Causes by Specific Cause, and Rate per 1, Total Population... 4 Table 7.7 Deaths Due to Alcohol and Drug Related Causes (Combined) by Race/Ethnicity of Decedent, Rate per 1, Total Population, and Percent of Total AOD Related Deaths Figure 7.5 AOD Related Mortality Rate per 1, Population by Decedent Race/Ethnicity Table 7.8 Deaths Due to Alcohol and Drug Related Causes (Combined) by Age Category of Decedent, Rate per 1, Total Population, and Percent of Total AOD Related Deaths Figure 7.6 AOD Related Mortality Rate per 1, Population by Decedent Age Category Sources Indicators of Alcohol and Other Drug Abuse Table of Contents, California

6 INTRODUCTION In the mid 199s, the California Department of Alcohol and Drug Programs, in collaboration with the Center for Applied Research Solutions (CARS), Inc. began to work toward improving the state s prevention information system. A key component of this information system was the continuous collection, monitoring and reporting of selected community level indicators that would serve as direct and indirect measures of alcohol and other drug use prevalence and related problems. This information system was designed to assist with state and local prevention planning and policy making by providing useful, systematic data about prevention and treatment needs and outcomes throughout the state. The present report is the most recent product of this ongoing effort. It differs from earlier versions in a few important ways. First, while previous reports typically summarized data for more than twenty five indicators of health and social conditions that are theoretically linked to problem substance use, the current version is more streamlined, focusing on seven key indicators of AOD use and abuse prevalence and their direct consequences, including impacts on the criminal justice, health and alcohol and drug treatment systems. Second, the 21 report updates information contained in earlier versions, but expands in its depth to summarize data for populations within the larger county, including age, gender, and race/ethnicity subgroups. This expanded detail allows for more precise analyses of alcohol and drug use problems within a county population and enhances the ability to effectively target prevention and intervention strategies to community needs. Similar to previous reports, the 21 version includes simple analytic tools to help users interpret the information presented. This includes use of population based rates (e.g., the number of incidents relative to the total population) to make meaningful comparisons between geographic areas that differ in population size, or comparisons between differing time points. Data is presented at both the county and state level to allow county rates to be evaluated against a relative average. The overall intent of the report is to provide a simple, easy to use resource that helps synthesize the most relevant indicator data currently available to assess substance use problems, in an effort to optimize prevention planning and outcome measurement efforts in communities through the state. Specifically, it is designed to support the work of planners, policy makers, and practitioners in the field in: Determining the incidence of alcohol and other drug use problems within county populations and subpopulations; Monitoring trends in problem incidence to identify emergent issues and detect changes in status over time; Establishing program resource levels that are appropriate to address the nature and extent of prevention and treatment needs; and, Documenting progress toward achieving targeted prevention objectives and outcomes. The report contains information on several key indicators of alcohol and drug prevalence and consequences for California populations in each of the following seven indicators: 1. Household prevalence of past year binge drinking; 2. Admissions to publicly funded and/or monitored alcohol and other drug treatment facilities; 3. Arrests for drug related criminal offenses; 4. Arrests for alcohol related criminal offenses; 5. Motor vehicle accidents involving drivers who had been drinking; 6. Hospitalizations for alcohol and drug related conditions; and, 7. Mortality attributable to acute and chronic alcohol and drug use. Indicators of Alcohol and Other Drug Abuse Introduction, California 1

7 Each report contains data compiled from several sources, including a statewide, longitudinal survey of California household populations, and state data systems housing public archival records from six central agencies, including the California Department of Justice (DOJ), the California Highway Patrol (CHP), the California Department of Public Health, Vital Statistics Section, the Office of Statewide Health Planning and Development (OSHPD), the Department of Alcohol and Drug Programs (ADP), and the University of California, Los Angeles (UCLA). This reliance on statewide data sources ensures that the information reported is drawn from reliable and valid measures that are routinely and uniformly collected across jurisdictions (i.e., all counties use the same data collection), allowing for comparisons over time, across counties, and between counties and the state. Indicators of Alcohol and Other Drug Abuse Introduction, California 2

8 KEY FINDINGS Indicator 1: Prevalence of Past Year Binge Drinking Approximately 37 percent of residents age 18 and older participated in binge drinking in 27 compared to the statewide rate of 3 percent. Males participated in binge drinking much more frequently than females (5 percent versus 26 percent) in 27. Indicator 2: Admissions to Alcohol and Other Drug Treatment Overall, admission rates to treatment facilities in have increased since 2. In 2 there were about 51 admissions per 1, compared to 1,16 admissions per 1, in 28. s AOD admission rate was higher than the state overall starting in 22. There may be differences in detoxification and non detoxification service admission trends that affect this overall trend (see Treatment Data Clarifications section on page 9 for detail). Admissions due to methamphetamine use accounted for 41 percent of all admissions in 28. Admissions due to alcohol use accounted for roughly 14 percent of admissions, marijuana for 23 percent of admissions, heroin for 14 percent of admissions, and crack/cocaine for 4 percent in 28. Admission rates were highest among Blacks and American Indians, 2,67 and 2,97 per 1, in 28, respectively. These rates were significantly higher than each other race/ethnicity group each year. The highest rate of admissions was for 35 to 44 year olds with a rate of 1,891 per 1, in 28. The next highest rate was for 25 to 34 year olds with a rate of 1,879 per 1,. Indicator 3: Arrests for Drug Related Crime Crime rates for felony and misdemeanor drug offenses decreased from 1,886 per 1, in 2 to 1,478 per 1, in 28. s drug arrest rate was higher than the state each year. Arrests due to dangerous drug offenses accounted for approximately 26 percent in 28, narcotics for roughly 7 percent of drug arrests, marijuana for 11 percent of drug arrests, and 57 percent of drug arrests in 28 were for other drug violations. Drug arrest rates were highest among Blacks at 4,273 per 1, in 28. These rates were significantly higher than each other race/ethnicity group each year. The highest rate of arrests for drug related crime was for 25 to 34 year olds with a rate of 2,295 per 1, in 28. The next highest rate was for 18 to 24 year olds with a rate of 2,28 per 1,. 35 to 44 year olds also had a high drug arrest rate at 2,27 per 1, in 28. Indicators of Alcohol and Other Drug Abuse Key Findings, California 3

9 Indicator 4: Arrests for Alcohol Related Crime Crime rates for felony and misdemeanor alcohol offenses decreased from 2,239 per 1, in 2 to 1,926 per 1, in 28. s alcohol arrest rate was higher than the state overall each year. Arrests due to driving under the influence accounted for approximately 67 percent in 28, public drunkenness for roughly 31 percent of alcohol arrests, and 2 percent of alcohol arrests in 28 were for liquor law violations. Alcohol arrest rates were highest among Blacks and Hispanics, 3,24 and 2,516 per 1, in 28, respectively. These rates were significantly higher than each other race/ethnicity group each year. The highest rate of arrests for alcohol related crime was for 18 to 24 year olds with a rate of 3,469 per 1, in 28. The next highest rate was for 25 to 34 year olds with a rate of 3,153 per 1,. Indicator 5: Alcohol Involved Motor Vehicle Accidents The rate of fatalities in alcohol involved accidents was higher in than the state overall each year. Males accounted for more than three fourths of total parties who had been drinking in alcoholinvolved accidents in 28. During this year Blacks had the rate of 283 per 1,, Hispanics had 159 per 1, and Whites had 81 per 1,. 18 to 24 year olds (337 per 1,) accounted for the highest rate of parties who had been drinking in alcohol involved accidents in 28. The next highest rate was for 25 to 34 year olds with a rate of 247 per 1,. Indicator 6: Hospitalizations Due to Alcohol and Drug Use The rate of hospitalizations due to alcohol and drug use decreased from 12 per 1, in 2 to 81 per 1, in 27. s AOD hospitalization rate was lower than the state overall each year. The rate of hospitalizations due to alcohol related causes decreased from 6 per 1, in 2 to 31 per 1, in 27. s alcohol related hospitalization rate was lower than the state overall each year. The rate of hospitalizations due to drug related causes decreased from 6 per 1, in 2 to 5 per 1, in 27. s drug related hospitalization rate was lower than the state overall each year. Indicator 7: Deaths Due to Alcohol and Drug Use The death rate due to alcohol and drug use decreased slightly between 2 and 27 from deaths per 1, to deaths per 1,. s AOD mortality rate was slightly lower than the state overall each year, except in 24 and 26. The death rate due to alcohol use increased slightly between 2 and 27 from 5.95 per 1, to 7.33 per 1,, lower than the statewide rates each year. The death rate due to drug use decreased between 2 and 27 from 9.73 per 1, to 6.41 per 1,, similar to the statewide rates each year. Indicators of Alcohol and Other Drug Abuse Key Findings, California 4

10 Key Indicators of Community Alcohol and Drug Use y Indicators of Alcohol and Other Drug Abuse Summary of Indicators, California 5 INDICATOR 1: Past Year Binge Drinking Data not available for reporting year. County Percentage of Total Respondents 36.6% State Percentage of Total Respondents 29.7% County Ranking (of 44 Counties) 4 INDICATOR 2: Admissions to Alcohol and Other Drug Treatment Three Year Average County Rate per 1, Total Population , ,7.44 1, , , ,42.74 State Rate per 1, Population 1 to 69 Years County Ranking (of 49 Counties) INDICATOR 3: Arrests for Drug Related Offenses County Rate per 1, Population 1 to 69 Years 1, , , ,69.6 1, , , , , , State Rate per 1, Population 1 to 69 Years ,23.8 1,7.18 1, County Ranking (of 58 Counties) INDICATOR 4: Arrests for Alcohol Related Offenses County Rate per 1, Population 1 to 69 Years 2, , , , , , , , , , State Rate per 1, Population 1 to 69 Years 1, , ,126. 1, , , , , , ,162.9 County Ranking (of 58 Counties) INDICATOR 5: Alcohol Involved Motor Vehicle Accident Fatalities County Rate per 1, Total Population State Rate per 1, Total Population County Ranking (of 58 Counties) INDICATOR 6: Alcohol and Drug Use Hospitalizations County Rate per 1, Total Population State Rate per 1, Total Population County Ranking (of 5 Counties) INDICATOR 7: Deaths Due to Alcohol and Drug Use County Rate per 1, Total Population State Rate per 1, Total Population County Ranking (of 58 Counties)

11 Indicator 1: Prevalence of Past Year Binge Drinking The estimated number and percent of persons 18 years and older who reported any binge drinking in the past year. Table/Figure 1.1 Estimated Number and Percent of Persons 18 Years and Older Reporting Any Binge Drinking in the Past Year with Comparison to Statewide Rates 4% 35% County California 27 State of California 3% 25% Estimated Number * 15, 7,973, Estimated Population 18 and over 288, 26,874, Percent of Total Population 36.6% 29.7% * Estimates rounded to the nearest thousand. 2% 15% 1% 5% % Table/Figure 1.2 Estimated Number of Persons 18 Years and Older Reporting Any Binge Drinking in the Past Year by Gender 27 State of California 6% County California Male Estimated Number * 68, 5,39, 5% Estimated Population 143, 13,179, 4% Percent of Population 47.7% 38.2% 3% Female Estimated Number * 37, 2,934, 2% Estimated Population 145, 13,694, Percent of Population 25.6% 21.4% * Estimates rounded to the nearest thousand. 1% % Male Female Indicators of Alcohol and Other Drug Abuse Prevalence of Binge Drinking, California 6

12 Indicator 1: Prevalence of Past Year Binge Drinking (Continued) Table 1.3 Estimated Number of Persons 18 Years and Older Reporting Any Binge Drinking in the Past Year by Race/Ethnicity 27 State of California American Indian Estimated Number * 3, 55, Estimated Population 4, 17, Percent of Population 73.2% 32.5% Asian/Pacific Islander Estimated Number * 2, 65, Estimated Population 8, 3,57, Percent of Population 18.1% 18.5% Black Estimated Number * 1, 31, Estimated Population 4, 1,531, Percent of Population 33.5% 19.6% Hispanic Estimated Number * 6, 2,745, Estimated Population 147, 8,469, Percent of Population 4.5% 32.4% White Estimated Number * 4, 4,93, Estimated Population 122, 12,797, Percent of Population 32.3% 32.% Other Estimated Number * 1, 129, Estimated Population 3, 41, Percent of Population 25.7% 32.3% * Estimates rounded to the nearest thousand. 8% County California Figure 1.3 Past Year Binge Drinking in Tulare County by Race/Ethnicity 7% 6% 5% 4% 3% 2% 1% % American Indian Asian/Pacific Islander Black Hispanic White Other Indicators of Alcohol and Other Drug Abuse Prevalence of Binge Drinking, California 7

13 Indicator 1: Prevalence of Past Year Binge Drinking (Continued) Table 1.4 Estimated Number of Persons 18 Years and Older Reporting Any Binge Drinking in the Past Year by Age Category 27 State of California 18 to 24 Estimated Number * 35, 1,62, Estimated Population 57, 3,73, Percent of Population 61.2% 43.8% 25 to 34 Estimated Number * 27, 2,147, Estimated Population 49, 4,733, Percent of Population 56.5% 45.4% 35 to 44 Estimated Number * 2, 1,795, Estimated Population 64, 5,593, Percent of Population 31.8% 32.1% 45 to 54 Estimated Number * 11, 1,39, Estimated Population 43, 5,219, Percent of Population 25.6% 26.6% 55 to 64 Estimated Number * 1, 7, Estimated Population 39, 3,724, Percent of Population 27.2% 18.8% 65 and Over Estimated Number * 1, 321, Estimated Population 37, 3,91, Percent of Population 4.% 8.2% * Estimates rounded to the nearest thousand. 7% County California Figure 1.4 Past Year Binge Drinking in Tulare County by Age Category 6% 5% 4% 3% 2% 1% % 18 to to to to to Indicators of Alcohol and Other Drug Abuse Prevalence of Binge Drinking, California 8

14 Indicator 2: Admissions to Alcohol and Other Drug Treatment The number of admissions to publicly funded alcohol and other drug treatment facilities in California and rate of admission per 1, total population. Treatment Data Clarifications Findings for Indicator 2: Admissions to Alcohol and Other Drug Treatment are based on total admissions rather than unique client counts. Clients with multiple treatment admissions during the year tend to bias the demographic and service characteristics described. These findings include admissions for both detoxification and other treatment services. Detoxification services are short term, often repeated numerous times, and used primarily for alcohol or heroin treatment. The inclusion of admissions to detoxification services biases the demographic and service characteristics described. The Substance Abuse Crime Prevention Act (SACPA) was implemented in July 21. Clients referred by the criminal justice system compete for limited treatment services resources and are often given priority over clients referred by other sources. In 2, criminal justice referrals made up only 26 percent of all admissions. By 24, criminal justice referrals made up 42% of the admissions. The influx of these clients with their specific demographic and service characteristics impact the makeup of the treatment population described in the key findings. For instance, clients referred by the criminal justice system rarely use detoxification services, and more often have a primary drug other than alcohol. Also, SACPA referred clients do not frequently use narcotic replacement treatment for heroin/opiate abuse. Consequently, the number of admissions to detoxification services has decreased as well as the number of admissions with alcohol or heroin as their primary drug problem compared with pre SACPA levels. Table 2.1 Number of Admissions to Alcohol and Other Drug Treatment and Rate per 1, Total Population with Comparison to Statewide Rates Number of Treatment Admissions 1,886 2,42 3,38 3,832 4,23 4,196 4,374 4,749 4,538 Total Population 369, ,52 384,96 395,165 46,3 416,53 426, , ,533 Rate per 1, , ,7.44 1, , ,16.27 CALIFORNIA Rate per 1, Figure 2.1 Treatment Admission Rate per 1, Total Population with Comparison to Statewide Rates 1,2 1,1 1, County California Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment, California 9

15 Indicator 2: Admissions to Alcohol and Other Drug Treatment (Continued) Table/Figure 2.2 Admissions to Alcohol and Other Drug Treatment by Client Gender, Rate per 1, Population, and Percent of Total Admissions TOTAL ADMISSIONS 1,886 2,42 3,38 3,832 4,23 4,196 4,374 4,749 4,538 Male 1,292 1,695 2,19 2,586 2,795 2,774 2,915 3,158 2,982 Population 184, , , ,888 23,47 28, ,99 219,5 224,14 Rate per 1, , ,36.8 1, , , , , Percent of Total 68.5% 7.% 69.4% 67.5% 66.1% 66.1% 66.6% 66.5% 65.7% Female ,246 1,435 1,422 1,459 1,591 1,556 Population 184, , , ,277 22,596 27, , , ,519 Rate per 1, Percent of Total 31.5% 3.% 3.6% 32.5% 33.9% 33.9% 33.4% 33.5% 34.3% Unknown Percent of Total.%.%.%.%.%.%.%.%.% 1,6 Figure 2.2 Treatment Admission Rate per 1, Population by Client Gender 1,4 1,2 1, Male Female Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment, California 1

16 Indicator 2: Admissions to Alcohol and Other Drug Treatment (Continued) Table 2.3 Treatment Admissions by Primary Drug Type, Percent of Total Admissions, and Rate per 1, Population TOTAL ADMISSIONS 1,886 2,42 3,38 3,832 4,23 4,196 4,374 4,749 4,538 Methamphetamines ,294 1,436 1,811 1,979 1,938 2,93 1,875 Percent of Total 21.2% 33.2% 42.6% 37.5% 42.8% 47.2% 44.3% 44.1% 41.3% Rate per 1, Alcohol Percent of Total 33.6% 25.2% 22.1% 19.2% 12.3% 12.1% 12.4% 14.% 14.% Rate per 1, Marijuana ,21 Percent of Total 25.7% 25.1% 21.% 18.9% 18.% 19.5% 18.7% 19.6% 22.5% Rate per 1, Heroin Percent of Total 15.1% 12.7% 9.7% 19.5% 21.5% 15.6% 19.2% 15.1% 13.7% Rate per 1, Crack/Cocaine Percent of Total 2.8% 2.3% 3.1% 3.4% 3.% 3.4% 2.5% 3.1% 4.% Rate per 1, Other Drugs Percent of Total 1.6% 1.5% 1.5% 1.6% 2.4% 2.3% 2.9% 4.% 4.5% Rate per 1, Figure 2.3 Treatment Admission Rate per 1, Population by Primary Drug Type Meth Alcohol Marijuana Heroin Crack/Cocaine Other Drugs Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment, California 11

17 Indicator 2: Admissions to Alcohol and Other Drug Treatment (Continued) Table 2.4 Admissions to Alcohol and Other Drug Treatment by Client Race/Ethnicity, Rate per 1, Population, and Percent of Total Admissions TOTAL ADMISSIONS 1,886 2,42 3,38 3,832 4,23 4,196 4,374 4,749 4,538 American Indian Population 3,136 3,183 3,272 3,43 3,536 3,652 3,786 3,895 4,5 Rate per 1, 1, , , , , , , , ,97.38 Percent of Total 1.9% 1.7% 1.9% 1.4% 2.3% 1.9% 1.9% 1.5% 1.9% Asian/Pacific Islander Population 12,22 12,4 12,736 13,14 13,572 13,981 14,547 15,5 15,567 Rate per 1, Percent of Total 1.6% 1.5%.8% 1.7% 1.7% 2.1% 1.8% 1.7% 1.5% Black Population 5,248 5,151 5,74 5,26 4,984 4,942 4,916 4,935 4,949 Rate per 1, 1,67.7 1, , ,38. 2, , , , ,66.59 Percent of Total 3.% 2.5% 3.% 3.% 2.6% 2.7% 2.4% 2.8% 2.8% Hispanic 876 1,133 1,383 1,871 2,115 2,128 2,255 2,442 2,44 Population 187, ,78 21,58 29, , , , , ,585 Rate per 1, , Percent of Total 46.4% 46.8% 45.5% 48.8% 5.% 5.7% 51.6% 51.4% 53.% White 865 1,118 1,445 1,655 1,743 1,679 1,88 1,936 1,788 Population 157, , , ,465 16, , , , ,318 Rate per 1, , , , , , ,81.55 Percent of Total 45.9% 46.2% 47.6% 43.2% 41.2% 4.% 41.3% 4.8% 39.4% Other Percent of Total 1.2% 1.3% 1.3% 1.8% 2.2% 2.5% 1.% 1.8% 1.4% Figure 2.4 Treatment Admission Rate per 1, Population by Client Race/ Ethnicity 3, 2,5 2, 1,5 1, 5 American Indian Asian/Pacific Islander Black Hispanic White Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment, California 12

18 Indicator 2: Admissions to Alcohol and Other Drug Treatment (Continued) Table 2.5 Admissions to Alcohol and Other Drug Treatment by Client Age Category, Rate per 1, Population, and Percent of Total Admissions TOTAL ADMISSIONS 1,886 2,42 3,38 3,832 4,23 4,196 4,374 4,749 4, Years and Under Population 124, ,61 126, ,241 13, ,31 134, , ,51 Rate per 1, Percent of Total 31.1% 26.6% 21.5% 17.7% 16.1% 17.6% 16.2% 13.8% 15.4% 18 to 24 Years Population 39,99 42,341 44,968 47,674 5,419 52,44 53,947 54,818 55,715 Rate per 1, , , , , , , , , Percent of Total 13.7% 18.% 2.6% 19.6% 18.7% 2.4% 18.% 17.6% 16.6% 25 to 34 Years ,13 1,125 1,172 1,348 1,249 Population 5,1 5,533 51,74 53,529 55,64 57,661 6,23 63,137 66,48 Rate per 1, , , , , , , , , Percent of Total 22.1% 23.9% 23.6% 24.6% 26.1% 26.8% 26.8% 28.4% 27.5% 35 to 44 Years ,4 1,11 1,3 Population 51,677 51,921 52,251 52,718 53,285 53,823 54,221 54,331 54,461 Rate per 1, , , , , , , , Percent of Total 22.1% 2.8% 23.9% 22.9% 22.9% 21.2% 23.8% 23.2% 22.7% 45 to 54 Years Population 41,695 43,185 44,45 45,766 47,63 48,462 49,88 51,166 52,18 Rate per 1, , , ,3.47 1, , Percent of Total 9.% 9.% 9.2% 12.9% 13.3% 11.5% 11.8% 13.7% 14.3% 55 to 64 Years Population 26,169 27,218 28,76 3,3 31,898 33,523 35,47 36,514 38,53 Rate per 1, Percent of Total 1.5% 1.6% 1.1% 1.9% 2.6% 2.2% 3.3% 3.% 3.1% 65 Years and Older Population 36,35 36,243 36,549 36,937 37,457 38,284 39,18 4,58 41,134 Rate per 1, Percent of Total.5%.1%.2%.4%.4%.3%.2%.4%.4% Figure 2.5 Treatment Admission Rate per 1, Population by Client Age Category 2,5 2, 1,5 1, 5 1 to to to to to to Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment, California 13

19 Indicator 2: Admissions to Alcohol and Other Drug Treatment (Continued) Table 2.6 Characteristics of Clients Admitted to Alcohol and Other Drug Treatment and Rate per 1, Population TOTAL COUNTY ADMISSIONS 1,886 2,42 3,38 3,832 4,23 4,196 4,374 4,749 4,538 Age Initiated Substance Use Under Age Rate Per 1, Age 11 to Rate Per 1, Age 13 to Rate Per 1, Age 15 to ,5 1,57 1,88 1,123 1,227 1,99 Rate Per 1, Age 18 to Rate Per 1, Age 21 and Older ,132 1, ,214 1,227 Rate Per 1, IV Drug Users Number , , Rate Per 1, Pregnant Number Female Population 184, , , ,277 22,596 27, , , ,519 Rate Per 1, Figure 2.6 Age of Substance Use Initiation Rate per 1, Population Under Age 1 Age 11 to 12 Age 13 to 14 Age 15 to 17 Age 18 to 2 Age 21 and Older Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment, California 14

20 Indicator 2: Admissions to Alcohol and Other Drug Treatment (Continued) Table 2.7 AOD Treatment Admissions by Primary Drug Type, Percent of Total Admissions, and Rate per 1, Population to 17 Years TOTAL ADMISSIONS UNDER AGE Methamphetamines Population to , ,61 126, ,241 13, ,31 134, , ,51 Percent of Total 13.5% 17.1% 2.7% 14.9% 15.1% 14.8% 14.6% 1.2% 5.3% Rate per 1, Alcohol Population to , ,61 126, ,241 13, ,31 134, , ,51 Percent of Total 13.6% 9.2% 8.9% 11.6% 1.% 11.4% 9.9% 1.7% 7.9% Rate per 1, Marijuana Population to , ,61 126, ,241 13, ,31 134, , ,51 Percent of Total 7.5% 72.% 68.6% 72.% 71.8% 71.1% 74.1% 76.9% 84.7% Rate per 1, Heroin Population to , ,61 126, ,241 13, ,31 134, , ,51 Percent of Total.2%.%.%.3%.%.%.3%.%.% Rate per 1, Crack/Cocaine Population to , ,61 126, ,241 13, ,31 134, , ,51 Percent of Total 1.2%.8%.8%.9% 1.9% 1.6%.7% 1.2% 1.% Rate per 1, Other Drugs Population to , ,61 126, ,241 13, ,31 134, , ,51 Percent of Total 1.%.9% 1.1%.3% 1.2% 1.1%.4%.9% 1.1% Rate per 1, Figure 2.7 Underage Treatment Admission Rate per 1, Population to 17 by Primary Drug Type Meth Alcohol Marijuana Heroin Crack/Cocaine Other Drugs Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment, California 15

21 Indicator 2: Admissions to Alcohol and Other Drug Treatment (Continued) Table 2.8 AOD Treatment Admissions among Youth Under Age 18 by Client Gender and Race/Ethnicity, Rate per 1, Population to 17 Years, and Percent of Total Admissions TOTAL ADMISSIONS UNDER AGE Male Population to 17 63,585 63,82 64,419 65,399 66,428 67,413 68,454 69,485 7,438 Rate per 1, Percent of Total 69.8% 69.5% 71.2% 72.2% 71.2% 72.5% 7.2% 74.9% 76.4% Female Population to 17 6,793 61,241 61,913 62,842 63,849 64,897 66,138 67,152 68,72 Rate per 1, Percent of Total 3.2% 3.5% 28.8% 27.8% 28.8% 27.5% 29.8% 25.1% 23.6% Unknown Percent of Total.%.%.%.%.%.%.%.%.% American Indian Population to Rate per 1, , , Percent of Total 1.4% 1.6% 1.4%.7%.7%.5% 2.%.9% 1.3% Asian/Pacific Islander Population to 17 4,247 4,12 4,7 3,926 3,826 3,737 3,85 3,966 4,117 Rate per 1, Percent of Total 2.2% 3.3% 2.% 3.1% 2.9% 3.4% 4.2% 2.8% 1.4% Black Population to 17 1,912 1,785 1,663 1,584 1,51 1,41 1,327 1,284 1,251 Rate per 1, , , , , , , Percent of Total 3.2% 3.% 3.2% 2.9% 2.1% 2.2% 3.1% 2.8% 1.1% Hispanic Population to 17 77,82 79,125 8,937 83,162 85,445 87,693 89,926 91,911 93,722 Rate per 1, Percent of Total 6.5% 64.2% 67.9% 65.7% 68.1% 7.6% 68.9% 68.7% 73.4% White Population to 17 37,712 37,276 36,895 36,62 36,42 36,276 36,322 36,324 36,29 Rate per 1, Percent of Total 31.% 26.9% 23.5% 24.9% 24.9% 22.1% 21.2% 23.5% 2.1% Other Percent of Total 1.7% 1.1% 2.% 2.7% 1.3% 1.2%.6% 1.4% 2.6% Indicators of Alcohol and Other Drug Abuse Alcohol and Drug Treatment, California 16

22 Indicator 3: Arrests for Drug Related Crime The number of felony and misdemeanor arrests for drug crimes, including dangerous drugs, narcotics, marijuana, and other drug violations and rate per 1, population 1 to 69 years. Table 3.1 Number of Arrests for Felony and Misdemeanor Drug Offenses and Rate per 1, Population 1 to 69 Years with Comparison to Statewide Rates Number of Drug Related Arrests 5,191 4,935 4,867 4,824 5,65 6,1 6,336 6,537 5,27 Population 1 to , ,862 29, ,71 39, , , ,539 34,222 Rate per 1, 1, , , ,69.6 1, , , , , CALIFORNIA Rate per 1, ,23.8 1,7.18 1, Figure 3.1 Drug Arrest Rate per 1, Population 1 to 69 with Comparison to Statewide Rates 2,2 2, 1,8 1,6 1,4 1,2 1, 8 County California Table 3.2 Number of Arrests for Felony and Misdemeanor Drug Offenses by Offender Gender, Rate per 1, Population 1 to 69 Years, and Percent of Total Drug Arrests TOTAL ARRESTS 5,191 4,935 4,867 4,824 5,65 6,1 6,336 6,537 5,27 Male 4,58 3,884 3,867 3,916 4,4 4,919 5,79 5,86 3,857 Population 1 to , , ,54 151, , , , , ,532 Rate per 1, 2,99.9 2, , , , ,48.7 3, ,6.32 2, Percent of Total 78.2% 78.7% 79.5% 81.2% 79.1% 8.6% 8.2% 77.8% 76.7% Female 1,133 1,51 1, 98 1,61 1,181 1,257 1,451 1,17 Population 1 to , ,3 143,87 147,84 152, ,96 16, , ,69 Rate per 1, Percent of Total 21.8% 21.3% 2.5% 18.8% 2.9% 19.4% 19.8% 22.2% 23.3% Figure 3.2 Drug Arrest Rate per 1, Population 1 to 69 by Offender Gender 3,5 3, 2,5 2, 1,5 1, 5 Male Female Indicators of Alcohol and Other Drug Abuse Drug Related Crime, California 17

23 Indicator 3: Arrests for Drug Related Crime (Continued) Table 3.3 Number of Arrests for Felony and Misdemeanor Drug Offenses by Specific Offense, Rate per 1, Population 1 to 69 Years, and Percent of Total Drug Arrests TOTAL ARRESTS 5,191 4,935 4,867 4,824 5,65 6,1 6,336 6,537 5,27 Dangerous Drugs 1,1 1,211 1,552 1,534 1,62 1,862 1,811 1,675 1,293 Population 1 to , ,862 29, ,71 39, , , ,539 34,222 Rate per 1, Percent of Total 21.2% 24.5% 31.9% 31.8% 32.% 3.5% 28.6% 25.6% 25.7% Narcotics Population 1 to , ,862 29, ,71 39, , , ,539 34,222 Rate per 1, Percent of Total 4.1% 3.2% 3.6% 5.2% 3.4% 3.6% 4.6% 5.2% 6.8% Marijuana Population 1 to , ,862 29, ,71 39, , , ,539 34,222 Rate per 1, Percent of Total 8.9% 7.8% 8.1% 8.% 8.% 6.% 7.5% 8.4% 11.% Other Drug Violations 3,416 3,181 2,749 2,654 2,866 3,647 3,758 3,978 2,84 Population 1 to , ,862 29, ,71 39, , , ,539 34,222 Rate per 1, 1, , , , , Percent of Total 65.8% 64.5% 56.5% 55.% 56.6% 59.8% 59.3% 6.9% 56.5% 1,4 Figure 3.3 Drug Arrest Rate per 1, Population 1 to 69 by Specific Offense 1,2 1, Dangerous Drugs Narcotics Marijuana Other Indicators of Alcohol and Other Drug Abuse Drug Related Crime, California 18

24 Indicator 3: Arrests for Drug Related Crime (Continued) Table 3.4 Number of Arrests for Felony and Misdemeanor Drug Offenses by Offender Race/Ethnicity, Rate per 1, Population 1 to 69 Years, and Percent of Total Drug Arrests TOTAL ARRESTS 5,191 4,935 4,867 4,824 5,65 6,1 6,336 6,537 5,27 American Indian Population 1 to 69 2,485 2,548 2,647 2,765 2,898 3,23 3,132 3,215 3,293 Rate per 1, 2, , , , , , , ,84.4 1,35.8 Percent of Total 1.% 1.3% 1.%.9% 1.1% 1.% 1.%.9%.9% Asian/Pacific Islander Population 1 to 69 9,361 9,642 1,3 1,474 1,898 11,256 11,585 11,833 12,54 Rate per 1, Percent of Total 1.2% 1.2% 1.3% 1.3% 1.9% 1.8% 1.5% 1.8% 1.% Black Population 1 to 69 3,944 3,939 3,949 3,968 4,4 4,11 4, 3,997 4,2 Rate per 1, 4, , , , , , ,1. 5, , Percent of Total 3.1% 2.4% 2.1% 2.8% 2.3% 2.4% 2.6% 3.4% 3.4% Hispanic 2,834 2,85 2,913 2,83 3,7 3,723 3,963 3,899 3,19 Population 1 to ,83 143, , , , , , ,63 19,868 Rate per 1, 2, , , , , , , , , Percent of Total 54.6% 56.8% 59.9% 58.7% 59.4% 61.% 62.5% 59.6% 61.8% White 2,64 1,871 1,725 1,721 1,769 2,4 2,12 2,199 1,635 Population 1 to , ,535 12,77 122,6 123, , , ,29 126,754 Rate per 1, 1, , , , , , , , ,289.9 Percent of Total 39.8% 37.9% 35.4% 35.7% 34.9% 33.4% 31.8% 33.6% 32.5% Other Percent of Total.4%.3%.3%.7%.5%.4%.6%.7%.4% 6, Figure 3.4 Drug Arrest Rate per 1, Population 1 to 69 by Offender Race/ Ethnicity 5, 4, 3, 2, 1, American Indian Asian/Pacific Islander Black Hispanic White Indicators of Alcohol and Other Drug Abuse Drug Related Crime, California 19

25 Indicator 3: Arrests for Drug Related Crime (Continued) Table 3.5 Number of Arrests for Felony and Misdemeanor Drug Offenses by Offender Age Category, Rate per 1, Population, and Percent of Total Drug Arrests TOTAL ARRESTS 5,191 4,935 4,867 4,824 5,65 6,1 6,336 6,537 5,27 17 Years and Under Population 1 to 17 55,642 56,472 57,712 59,168 6,47 61,34 61,854 61,646 6,841 Rate per 1, Percent of Total 7.1% 8.5% 8.8% 8.5% 7.7% 5.6% 5.6% 5.5% 7.5% 18 to 24 Years 1,631 1,697 1,584 1,561 1,78 2,29 1,879 1,785 1,27 Population 39,99 42,341 44,968 47,674 5,419 52,44 53,947 54,818 55,715 Rate per 1, 4,86.8 4,7.94 3, , , , , , , Percent of Total 31.4% 34.4% 32.5% 32.4% 35.1% 33.3% 29.7% 27.3% 25.3% 25 to 34 Years 1,574 1,426 1,531 1,462 1,474 1,881 1,992 2,24 1,526 Population 5,1 5,533 51,74 53,529 55,64 57,661 6,23 63,137 66,48 Rate per 1, 3, , , , , , , , , Percent of Total 3.3% 28.9% 31.5% 3.3% 29.1% 3.8% 31.4% 31.% 3.4% 35 to 44 Years 1,214 1,44 1, 1,17 1,18 1,256 1,374 1,512 1,14 Population 51,677 51,921 52,251 52,718 53,285 53,823 54,221 54,331 54,461 Rate per 1, 2, ,1.75 1, , , , , , ,27.14 Percent of Total 23.4% 21.2% 2.5% 21.1% 2.1% 2.6% 21.7% 23.1% 22.% 45 to 54 Years Population 41,695 43,185 44,45 45,766 47,63 48,462 49,88 51,166 52,18 Rate per 1, , , , , Percent of Total 6.7% 6.% 5.9% 7.% 7.1% 8.1% 9.5% 11.5% 12.3% 55 to 64 Years Population 26,169 27,218 28,76 3,3 31,898 33,523 35,47 36,514 38,53 Rate per 1, Percent of Total.9% 1.%.7%.7%.8% 1.4% 1.9% 1.6% 2.4% 65 Years and Older Population 65 to 69 1,129 1,192 1,35 1,546 1,8 11,92 11,463 11,927 12,492 Rate per 1, Percent of Total.2%.1%.1%.1%.1%.1%.2%.%.2% Figure 3.5 Drug Arrest Rate per 1, Population by Offender Age Category 5, 4, 3, 2, 1, 1 to to to to to to Indicators of Alcohol and Other Drug Abuse Drug Related Crime, California 2

26 Indicator 3: Arrests for Drug Related Crime (Continued) Table 3.6 Number of Arrests for Felony and Misdemeanor Drug Offenses by Gender and Race/Ethnicity among Underage Offenders, Rate per 1, Population 1 to 17 Years, and Percent of Total Drug Arrests ALL DRUG ARRESTS UNDER AGE Male Population 1 to 17 28,73 29,19 29,585 3,341 3,974 31,373 31,544 31,45 3,963 Rate per 1, 1,66.9 1, , , Percent of Total 82.7% 75.8% 75.2% 78.5% 75.2% 72.7% 79.3% 8.2% 79.2% Female Population 1 to 17 26,939 27,453 28,127 28,827 29,433 29,967 3,31 3,241 29,878 Rate per 1, Percent of Total 17.3% 24.2% 24.8% 21.5% 24.8% 27.3% 2.7% 19.8% 2.8% American Indian Population 1 to Rate per 1, , , Percent of Total.8% 1.4%.2% 1.2%.3%.%.%.%.5% Asian/Pacific Islander Population 1 to 17 2,335 2,32 2,278 2,269 2,24 2,114 2,35 1,927 1,82 Rate per 1, Percent of Total 1.4% 1.9% 2.1% 2.% 3.3% 3.2% 1.7% 3.1%.3% Black Population 1 to Rate per 1, , , , , , Percent of Total 1.4% 2.1% 2.1% 1.7% 2.% 1.2% 2.8% 3.1% 3.4% Hispanic Population 1 to 17 32,756 33,636 35,9 36,61 38,82 39,283 4,147 4,445 4,288 Rate per 1, Percent of Total 64.6% 58.4% 67.5% 58.7% 62.1% 67.4% 68.% 65.5% 68.3% White Population 1 to 17 18,397 18,399 18,322 18,196 18,8 17,858 17,637 17,3 16,821 Rate per 1, Percent of Total 31.6% 35.9% 27.8% 35.9% 32.% 26.5% 27.2% 28.4% 27.2% Other Percent of Total.3%.2%.2%.5%.3% 1.7%.3%.%.3% Indicators of Alcohol and Other Drug Abuse Drug Related Crime, California 21

27 Indicator 4: Arrests for Alcohol Related Crime The number of felony and misdemeanor arrests for driving under the influence, drunkenness, and, liquor law violations and rate per 1, population 1 to 69 years. Table 4.1 Number of Arrests for Felony and Misdemeanor Alcohol Offenses, Rate per 1, Population 1 to 69 Years with Comparison to Statewide Rates Number of Alcohol Related Arrests 6,162 5,434 5,595 5,367 5,73 4,313 4,731 6,25 6,551 Population 1 to , ,862 29, ,71 39, , , ,539 34,222 Rate per 1, 2, , , , , , , , , CALIFORNIA Rate per 1, 1, , ,126. 1, , , , , ,23.37 Figure 4.1 Alcohol Arrest Rate per 1, Population 1 to 69 with Comparison to Statewide Rates 2,4 2,2 2, 1,8 1,6 1,4 1,2 1, 8 County California Table 4.2 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Offender Gender, Rate per 1, Population 1 to 69 Years, and Percent of Total Alcohol Arrests TOTAL ARRESTS 6,162 5,434 5,595 5,367 5,73 4,313 4,731 6,25 6,551 Male 5,628 4,944 5,68 4,751 4,538 3,812 4,215 5,56 5,73 Population 1 to , , ,54 151, , , , , ,532 Rate per 1, 4, , , , , , , , ,35.47 Percent of Total 91.3% 91.% 9.6% 88.5% 89.5% 88.4% 89.1% 88.1% 87.1% Female Population 1 to , ,3 143,87 147,84 152, ,96 16, , ,69 Rate per 1, Percent of Total 8.7% 9.% 9.4% 11.5% 1.5% 11.6% 1.9% 11.9% 12.9% Figure 4.2 Alcohol Arrest Rate per 1, Population 1 to 69 by Offender Gender 4,5 4, 3,5 3, 2,5 2, 1,5 1, 5 Male Female Indicators of Alcohol and Other Drug Abuse Alcohol Related Crime, California 22

28 Indicator 4: Arrests for Alcohol Related Crime (Continued) Table 4.3 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Specific Offense, Rate per 1, Population 1 to 69 Years, and Percent of Total Alcohol Arrests TOTAL ARRESTS 6,162 5,434 5,595 5,367 5,73 4,313 4,731 6,25 6,551 Driving Under the Influence 3,174 3,188 3,488 3,656 3,462 3,331 3,482 4,126 4,397 Population 1 to , ,862 29, ,71 39, , , ,539 34,222 Rate per 1, 1, , , , , , ,66.9 1, , Percent of Total 51.5% 58.7% 62.3% 68.1% 68.2% 77.2% 73.6% 66.% 67.1% Drunk 2,838 2,161 2,56 1,632 1, ,164 1,973 2,7 Population 1 to , ,862 29, ,71 39, , , ,539 34,222 Rate per 1, 1, Percent of Total 46.1% 39.8% 36.7% 3.4% 29.8% 2.5% 24.6% 31.6% 3.6% Liquor Law Violations Population 1 to , ,862 29, ,71 39, , , ,539 34,222 Rate per 1, Percent of Total 2.4% 1.6%.9% 1.5% 2.% 2.3% 1.8% 2.4% 2.2% 1,4 Figure 4.3 Alcohol Arrest Rate per 1, Population 1 to 69 by Specific Offense 1,2 1, Driving Under the Influence Drunk Liquor Law Violations Indicators of Alcohol and Other Drug Abuse Alcohol Related Crime, California 23

29 Indicator 4: Arrests for Alcohol Related Crime (Continued) Table 4.4 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Offender Race/Ethnicity, Rate per 1, Population 1 to 69 Years, and Percent of Total Alcohol Arrests TOTAL ARRESTS 6,162 5,434 5,595 5,367 5,73 4,313 4,731 6,25 6,551 American Indian Population 1 to 69 2,485 2,548 2,647 2,765 2,898 3,23 3,132 3,215 3,293 Rate per 1, 2, , , , , ,69.47 Percent of Total.9%.9%.8%.9%.6%.6%.5%.5%.8% Asian/Pacific Islander Population 1 to 69 9,361 9,642 1,3 1,474 1,898 11,256 11,585 11,833 12,54 Rate per 1, Percent of Total 1.1%.9%.7%.7% 1.2% 1.% 1.% 1.1% 1.% Black Population 1 to 69 3,944 3,939 3,949 3,968 4,4 4,11 4, 3,997 4,2 Rate per 1, 3, , , ,15.2 2, , ,15. 3, ,23.49 Percent of Total 2.2% 1.9% 2.1% 2.3% 1.8% 1.9% 1.8% 2.% 1.8% Hispanic 4,435 3,957 3,969 3,712 3,633 3,87 3,382 4,588 4,83 Population 1 to ,83 143, , , , , , ,63 19,868 Rate per 1, 3, , , , , , , , ,516.4 Percent of Total 72.% 72.8% 7.9% 69.2% 71.6% 71.6% 71.5% 73.4% 73.3% White 1,45 1,253 1,398 1,413 1,214 1,39 1,156 1,393 1,457 Population 1 to , ,535 12,77 122,6 123, , , ,29 126,754 Rate per 1, 1, , , , , , Percent of Total 23.5% 23.1% 25.% 26.3% 23.9% 24.1% 24.4% 22.3% 22.2% Other Percent of Total.4%.5%.4%.7%.9%.8%.7%.7%.8% Figure 4.4 Alcohol Arrest Rate per 1, Population 1 to 69 by Offender Race/ Ethnicity 4, 3,5 3, 2,5 2, 1,5 1, 5 American Indian Asian/Pacific Islander Black Hispanic White Indicators of Alcohol and Other Drug Abuse Alcohol Related Crime, California 24

30 Indicator 4: Arrests for Alcohol Related Crime (Continued) Table 4.5 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Offender Age Category, Rate per 1, Population, and Percent of Total Alcohol Arrests TOTAL ARRESTS 6,162 5,434 5,595 5,367 5,73 4,313 4,731 6,25 6, Years and Under Population 1 to 17 55,642 56,472 57,712 59,168 6,47 61,34 61,854 61,646 6,841 Rate per 1, Percent of Total 3.3% 2.4% 2.6% 3.% 3.8% 2.9% 3.4% 3.3% 3.2% 18 to 24 Years 1,723 1,585 1,619 1,59 1,486 1,361 1,459 1,98 1,933 Population 39,99 42,341 44,968 47,674 5,419 52,44 53,947 54,818 55,715 Rate per 1, 4, , ,6.34 3, , , , , , Percent of Total 28.% 29.2% 28.9% 29.6% 29.3% 31.6% 3.8% 3.5% 29.5% 25 to 34 Years 1,924 1,733 1,74 1,614 1,568 1,319 1,396 1,95 2,96 Population 5,1 5,533 51,74 53,529 55,64 57,661 6,23 63,137 66,48 Rate per 1, 3, , , , , , , , , Percent of Total 31.2% 31.9% 31.1% 3.1% 3.9% 3.6% 29.5% 3.5% 32.% 35 to 44 Years 1,46 1,185 1,29 1,141 1, ,157 1,194 Population 51,677 51,921 52,251 52,718 53,285 53,823 54,221 54,331 54,461 Rate per 1, 2, , , , , , , , , Percent of Total 22.8% 21.8% 21.6% 21.3% 2.7% 19.8% 19.4% 18.5% 18.2% 45 to 54 Years Population 41,695 43,185 44,45 45,766 47,63 48,462 49,88 51,166 52,18 Rate per 1, 1, , , , , , , , Percent of Total 1.3% 1.3% 11.7% 1.9% 11.% 1.5% 11.9% 11.7% 11.9% 55 to 64 Years Population 26,169 27,218 28,76 3,3 31,898 33,523 35,47 36,514 38,53 Rate per 1, Percent of Total 3.2% 3.3% 3.1% 4.3% 3.5% 3.8% 4.2% 4.6% 4.1% 65 Years and Older Population 65 to 69 1,129 1,192 1,35 1,546 1,8 11,92 11,463 11,927 12,492 Rate per 1, Percent of Total 1.1% 1.1%.9%.8%.8%.8%.8%.9% 1.% Figure 4.5 Alcohol Arrest Rate per 1, Population by Offender Age Category 5, 4, 3, 2, 1, 1 to to to to to to Indicators of Alcohol and Other Drug Abuse Alcohol Related Crime, California 25

31 Indicator 4: Arrests for Alcohol Related Crime (Continued) Table 4.6 Number of Arrests for Felony and Misdemeanor Alcohol Offenses by Gender and Race/Ethnicity among Underage Offenders, Rate per 1, Population 1 to 17 Years, and Percent of Total Alcohol Arrests ALL ALCOHOL ARRESTS UNDER AGE Male Population 1 to 17 28,73 29,19 29,585 3,341 3,974 31,373 31,544 31,45 3,963 Rate per 1, Percent of Total 85.4% 9.1% 81.4% 83.2% 76.% 81.6% 84.3% 74.4% 76.4% Female Population 1 to 17 26,939 27,453 28,127 28,827 29,433 29,967 3,31 3,241 29,878 Rate per 1, Percent of Total 14.6% 9.9% 18.6% 16.8% 24.% 18.4% 15.7% 25.6% 23.6% American Indian Population 1 to Rate per 1, Percent of Total.5%.%.%.%.%.%.6% 1.%.9% Asian/Pacific Islander Population 1 to 17 2,335 2,32 2,278 2,269 2,24 2,114 2,35 1,927 1,82 Rate per 1, Percent of Total 1.% 1.5% 2.1% 1.2% 3.1% 2.4% 3.8% 3.9%.9% Black Population 1 to Rate per 1, Percent of Total.5% 1.5% 2.1% 2.5% 1.6% 1.6%.6% 1.4%.9% Hispanic Population 1 to 17 32,756 33,636 35,9 36,61 38,82 39,283 4,147 4,445 4,288 Rate per 1, Percent of Total 66.% 66.4% 72.4% 65.2% 68.2% 75.2% 76.1% 73.9% 72.2% White Population 1 to 17 18,397 18,399 18,322 18,196 18,8 17,858 17,637 17,3 16,821 Rate per 1, Percent of Total 32.% 3.5% 22.8% 3.4% 26.% 2.% 18.2% 19.8% 24.1% Other Percent of Total.%.%.7%.6% 1.%.8%.6%.%.9% Indicators of Alcohol and Other Drug Abuse Alcohol Related Crime, California 26

32 Indicator 5: Alcohol Involved Motor Vehicle Accidents The number of alcohol involved motor vehicle accidents and number of persons injured or killed and rate per 1, population Table 5.1 Fatalities in Alcohol Involved Accidents and Rate per 1, Total Population with Comparison to Statewide Rates Number of Fatalities Total Population 369, ,52 384,96 395,165 46,3 416,53 426, , ,533 Rate per 1, CALIFORNIA Rate per 1, Figure 5.1 Alcohol Involved Accident Fatality Rate per 1, Total Population with Comparison to Statewide Rates County California Table 5.2 Parties in Alcohol Involved Accidents Who Had Been Drinking by Party Gender and Rate per 1, Population, and Percent of Total TOTAL HAD BEEN DRINKING DRIVERS Male Population 184, , , ,888 23,47 28, ,99 219,5 224,14 Rate per 1, Percent of Total 85.7% 77.2% 82.7% 8.5% 79.6% 82.2% 8.9% 79.5% 76.1% Female Population 184, , , ,277 22,596 27, , , ,519 Rate per 1, Percent of Total 1.% 15.4% 11.4% 15.7% 12.8% 12.3% 1.9% 13.5% 15.5% Unknown Percent of Total 4.3% 7.4% 5.9% 3.7% 7.6% 5.6% 8.2% 7.1% 8.4% Figure 5.2 Had Been Drinking Driver Rate per 1, Population, by Party Gender Male Female Indicators of Alcohol and Other Drug Abuse Drinking and Driving, California 27

33 Indicator 5: Alcohol Involved Motor Vehicle Accidents (Continued) Table 5.3 Alcohol Involved Accidents by Injury Severity, Rate per 1, Total Population, and Percent of Total TOTAL ALCOHOL INVOLVED ACCIDENTS Property Damage Only (PDO) Total Population 46,3 416,53 426, , ,533 Rate per 1, Percent of Total 53.5% 56.2% 58.1% 59.5% 64.2% Injury Complaint of Pain Total Population 46,3 416,53 426, , ,533 Rate per 1, Percent of Total 11.4% 1.5% 1.7% 11.4% 9.% Injury Other Visible Total Population 46,3 416,53 426, , ,533 Rate per 1, Percent of Total 2.% 19.4% 2.1% 18.5% 18.9% Injury Severe Total Population 46,3 416,53 426, , ,533 Rate per 1, Percent of Total 8.5% 8.% 6.1% 6.3% 4.7% Injury Fatal Total Population 46,3 416,53 426, , ,533 Rate per 1, Percent of Total 6.6% 5.8% 4.9% 4.3% 3.2% 12 Figure 5.3 Alcohol Involved Accident Rate per 1, Total Population, by Injury Severity PDO Complaint of Pain Other Visible Injury Severe Injury Fatal Injury Indicators of Alcohol and Other Drug Abuse Drinking and Driving, California 28

34 Indicator 5: Alcohol Involved Motor Vehicle Accidents (Continued) Table 5.4 Parties in Alcohol Involved Accidents Who Had Been Drinking by Party Race/Ethnicity, Rate per 1, Population, and Percent of Total TOTAL HAD BEEN DRINKING DRIVERS Black Population 5,74 5,26 4,984 4,942 4,916 4,935 4,949 Rate per 1, Percent of Total 1.2% 1.2% 1.2% 1.1% 1.7% 1.7% 2.1% Hispanic Population 21,58 29, , , , , ,585 Rate per 1, Percent of Total 46.9% 49.2% 52.2% 58.7% 58.3% 61.6% 59.6% White Population 158, ,465 16, , , , ,318 Rate per 1, Percent of Total 2.2% 22.9% 2.6% 2.9% 21.9% 22.8% 19.9% Other/Unknown Percent of Total 31.7% 26.7% 26.% 19.2% 18.1% 13.9% 18.5% Figure 5.4 Had Been Drinking Driver Rate per 1, Population, by Party Race/ Ethnicity Black Hispanic White Indicators of Alcohol and Other Drug Abuse Drinking and Driving, California 29

35 Indicator 5: Alcohol Involved Motor Vehicle Accidents (Continued) Table 5.5 Parties in Alcohol Involved Accidents Who Had Been Drinking by Party Age Category and Rate per 1, Population, and Percent of Total TOTAL HAD BEEN DRINKING DRIVERS Years and Under Population 124, ,61 126, ,241 13, ,31 134, , ,51 Rate per 1, Percent of Total 3.% 1.1% 3.% 3.3% 3.7% 3.3% 3.5% 2.% 2.2% 18 to 24 Years Population 39,99 42,341 44,968 47,674 5,419 52,44 53,947 54,818 55,715 Rate per 1, Percent of Total 28.5% 27.7% 3.5% 28.5% 26.4% 29.1% 27.1% 29.6% 28.1% 25 to 34 Years Population 5,1 5,533 51,74 53,529 55,64 57,661 6,23 63,137 66,48 Rate per 1, Percent of Total 23.7% 25.9% 25.1% 26.4% 25.8% 27.1% 25.8% 25.2% 24.5% 35 to 44 Years Population 51,677 51,921 52,251 52,718 53,285 53,823 54,221 54,331 54,461 Rate per 1, Percent of Total 18.8% 19.8% 17.% 18.% 15.6% 16.8% 14.9% 13.9% 14.5% 45 to 54 Years Population 41,695 43,185 44,45 45,766 47,63 48,462 49,88 51,166 52,18 Rate per 1, Percent of Total 1.% 1.% 9.% 9.7% 11.1% 9.8% 9.7% 11.6% 12.5% 55 to 64 Years Population 26,169 27,218 28,76 3,3 31,898 33,523 35,47 36,514 38,53 Rate per 1, Percent of Total 3.3% 3.5% 3.5% 4.8% 4.9% 3.7% 4.4% 4.2% 3.% 65 Years and Older Population 36,35 36,243 36,549 36,937 37,457 38,284 39,18 4,58 41,134 Rate per 1, Percent of Total 3.% 1.8% 2.7% 1.5% 1.4% 1.1% 1.2% 1.6% 1.6% Other/Unknown Percent of Total 9.7% 1.3% 9.2% 7.8% 11.% 9.1% 13.2% 11.9% 13.6% Figure 5.5 Had Been Drinking Driver Rate per 1, Population, by Party Age Category to to to to to to Indicators of Alcohol and Other Drug Abuse Drinking and Driving, California 3

36 Indicator 6: Hospitalizations Due to Alcohol and Drug Use The number of hospital admissions due to alcohol and drug related causes and rate per 1, population. Table 6.1 Hospitalizations Due to Alcohol and Drug Related Causes (Combined) and Rate per 1, Total Population with Comparison to Statewide Rates Number of Hospitalizations Total Population 369, ,52 384,96 395,165 46,3 416,53 426, ,661 Rate per 1, CALIFORNIA Rate per 1, Figure 6.1 Alcohol and Drug Related Hospitalization Rate per 1, Total Population with Comparison to Statewide Rates County California Table 6.2 Hospitalizations Due to Alcohol and Drug Related Causes (Combined) by Patient Gender, Rate per 1, Population, and Percent of Total Hospitalizations AOD HOSPITALIZATIONS Male Population 184, , , ,888 23,47 28, ,99 219,5 Rate per 1, Percent of Total 44.92% 44.44% 42.36% 45.92% 46.66% 44.17% 41.57% 4.11% Female Population 184, , , ,277 22,596 27, , ,656 Rate per 1, Percent of Total 25.73% 29.9% 34.42% 37.53% 37.56% 38.85% 33.49% 37.29% Unknown Percent of Total 29.35% 26.46% 23.22% 16.56% 15.78% 16.97% 24.94% 22.6% Figure 6.2 AOD Related Hospitalization Rate per 1, Population by Patient Gender Male Female Indicators of Alcohol and Other Drug Abuse AOD Hospitalizations, California 31

37 Indicator 6: Hospitalizations Due to Alcohol and Drug Use (Continued) Table 6.3 Hospitalizations Due to Alcohol Related Causes and Rate per 1, Total Population with Comparison to Statewide Rates Number of Hospitalizations Total Population 369, ,52 384,96 395,165 46,3 416,53 426, ,661 Rate per 1, CALIFORNIA Rate per 1, Figure 6.3 Alcohol Related Hospitalization Rate per 1, Total Population with Comparison to Statewide Rates County California Table 6.4 Hospitalizations Due to Drug Related Causes and Rate per 1, Total Population with Comparison to Statewide Rates Number of Hospitalizations Total Population 369, ,52 384,96 395,165 46,3 416,53 426, ,661 Rate per 1, CALIFORNIA Rate per 1, Figure 6.4 Drug Related Hospitalization Rate per 1, Total Population with Comparison to Statewide Rates County California Indicators of Alcohol and Other Drug Abuse AOD Hospitalizations, California 32

38 Indicator 6: Hospitalizations Due to Alcohol and Drug Use (Continued) Table 6.5 Hospitalizations Due to Alcohol Related Causes by Specific Cause and Rate per 1, Total Population TOTAL ALCOHOL RELATED HOSPITALIZATIONS Alcohol Abuse Rate per 1, Alcohol Cardiomyopathy Rate per 1, Alcohol Dependence Syndrome Rate per 1, Alcohol Dependent Abuse Rate per 1, Alcohol Poisoning Rate per 1, Alcohol Polyneuropathy 1 2 Rate per 1, Alcohol Psychosis Rate per 1, Alcoholic Gastritis Rate per 1, Alcoholic Liver Disease Rate per 1, Fetal Alcohol Syndrome Rate per 1, Indicators of Alcohol and Other Drug Abuse AOD Hospitalizations, California 33

39 Indicator 6: Hospitalizations Due to Alcohol and Drug Use (Continued) Table 6.6 Hospitalizations Due to Drug Related Causes by Specific Cause and Rate per 1, Total Population TOTAL DRUG RELATED HOSPITALIZATIONS Drug Psychosis Rate per 1, Drug Polyneuropathy 1 Rate per 1, Dependence Barbituates Rate per 1, Cannabis Rate per 1, Cocaine Rate per 1, Hallucinogen Rate per 1, Inhalant 1 2 Rate per 1, Morphine Rate per 1, Stimulant Rate per 1, Combination Rate per 1, Unspecified Rate per 1, Maternal Drug Dependence Rate per 1, Abuse Amphetamine Rate per 1, Antidepressant Rate per 1, Cannabis Rate per 1, Cocaine Rate per 1, Hallucinogen 1 Rate per 1, Morphine Rate per 1, Sedative 1 Rate per 1, Other, Mixed or Unspecified Rate per 1, Accidental Drug Poisonings Rate per 1, Other Drug Poisonings Rate per 1, Self Inflicted Drug Poisonings Rate per 1, Drug Exposure in Newborns Rate per 1, Fetal Damage due to Maternal Drug Use 1 Rate per 1, Indicators of Alcohol and Other Drug Abuse AOD Hospitalizations, California 34

40 Indicator 6: Hospitalizations Due to Alcohol and Drug Use (Continued) Table 6.7 Hospitalizations Due to Alcohol and Drug Related Causes (Combined) by Patient Race/Ethnicity, Rate per 1, Population, and Percent of Total Hospitalizations TOTAL AOD RELATED HOSPITALIZATIONS American Indian Population 3,136 3,183 3,272 3,43 3,536 3,652 3,786 3,895 Rate per 1, Percent of Total.5%.4%.%.2%.%.%.2%.% Asian/Pacific Islander Population 12,22 12,4 12,736 13,14 13,572 13,981 14,547 15,5 Rate per 1, Percent of Total.%.2%.6%.%.3% 1.%.5% 1.1% Black Population 5,248 5,151 5,74 5,26 4,984 4,942 4,916 4,935 Rate per 1, Percent of Total 1.6% 1.2%.2% 1.1%.3% 1.2% 1.2%.3% Hispanic Population 187, ,78 21,58 29, , , , ,446 Rate per 1, Percent of Total 23.5% 28.7% 24.4% 3.5% 28.3% 26.8% 26.3% 28.2% White Population 157, , , ,465 16, , , ,275 Rate per 1, Percent of Total 39.3% 36.2% 46.6% 45.9% 45.8% 46.6% 41.8% 4.1% Other/Unknown Percent of Total 35.2% 33.3% 28.1% 22.3% 25.2% 24.3% 3.% 3.2% Figure 6.5 AOD Related Hospitalization Rate per 1, Population by Patient Race/ Ethnicity American Indian Asian/Pacific Islander Black Hispanic White Indicators of Alcohol and Other Drug Abuse AOD Hospitalizations, California 35

41 Indicator 6: Hospitalizations Due to Alcohol and Drug Use (Continued) Table 6.8 Hospitalizations Due to Alcohol and Drug Related Causes (Combined) by Patient Age Category, Rate per 1, Population, and Percent of Total Hospitalizations TOTAL AOD RELATED HOSPITALIZATIONS Years and Under Population 124, ,61 126, ,241 13, ,31 134, ,637 Rate per 1, Percent of Total 2.7% 1.6% 2.4% 4.% 1.9% 3.1% 4.6% 2.% 18 to 24 Years Population 39,99 42,341 44,968 47,674 5,419 52,44 53,947 54,818 Rate per 1, Percent of Total 2.7% 3.6% 4.7% 3.3% 3.4% 4.3% 3.5% 2.5% 25 to 34 Years Population 5,1 5,533 51,74 53,529 55,64 57,661 6,23 63,137 Rate per 1, Percent of Total 5.% 4.4% 5.7% 7.7% 7.5% 7.2% 5.5% 5.4% 35 to 44 Years Population 51,677 51,921 52,251 52,718 53,285 53,823 54,221 54,331 Rate per 1, Percent of Total 7.4% 7.3% 11.% 15.2% 13.2% 9.8% 11.1% 8.5% 45 to 54 Years Population 41,695 43,185 44,45 45,766 47,63 48,462 49,88 51,166 Rate per 1, Percent of Total 13.1% 14.5% 15.7% 13.2% 2.1% 16.2% 14.3% 15.3% 55 to 64 Years Population 26,169 27,218 28,76 3,3 31,898 33,523 35,47 36,514 Rate per 1, Percent of Total 6.5% 7.1% 5.3% 8.4% 7.5% 8.8% 8.8% 9.3% 65 Years and Older Population 124, ,61 126, ,241 13, ,31 134, ,637 Rate per 1, Percent of Total 9.% 8.5% 9.% 6.2% 7.% 8.8% 6.7% 1.2% Other/Unknown Percent of Total 53.5% 52.9% 46.2% 41.9% 39.3% 41.9% 45.5% 46.9% Figure 6.6 AOD Related Hospitalization Rate per 1, Population by Patient Age Category to to to to to to Indicators of Alcohol and Other Drug Abuse AOD Hospitalizations, California 36

42 Indicator 7: Deaths Due to Alcohol and Drug Use The number of deaths due to alcohol and drug related causes and age adjusted death rate per 1, population. Table 7.1 Deaths Due to Alcohol and Drug Related Causes (Combined) and Age Adjusted Rate per 1, with Comparison to Statewide Rates Number of Deaths Total Population 369, ,52 384,96 395,165 46,3 416,53 426, ,661 Rate per 1, CALIFORNIA Rate per 1, Figure 7.1 Mortality Age Adjusted Rate per 1, Total Population with Comparison to Statewide Rates County California Table 7.2 Deaths Due to Alcohol and Drug Related Causes (Combined) by Gender of Decedent, Rate per 1, Total Population, and Percent of Total AOD Related Deaths TOTAL AOD RELATED DEATHS Male Population 184, , , ,888 23,47 28, ,99 219,5 Rate per 1, Percent of Total 82.76% 74.7% 74.58% 78.13% 69.74% 8.% 72.9% 71.67% Female Population 184, , , ,277 22,596 27, , ,656 Rate per 1, Percent of Total 17.24% 25.93% 25.42% 21.88% 3.26% 2.% 27.91% 28.33% Figure 7.2 AOD Related Mortality Rate per 1, Population by Decedent Gender Male Female Indicators of Alcohol and Other Drug Abuse AOD Mortality, California 37

43 Indicator 7: Deaths Due to Alcohol and Drug Use (Continued) Table 7.3 Deaths Due to Alcohol Related Causes and Rate per 1, Total Population, with Comparison to Statewide Rates Number of Deaths Total Population 369, ,52 384,96 395,165 46,3 416,53 426, ,661 Rate per 1, CALIFORNIA Rate per 1, Figure 7.3 Alcohol Related Mortality Rate per 1, Population with Comparison to Statewide Rates County California Table 7.4 Deaths Due to Drug Related Causes and Rate per 1, Total Population, with Comparison to Statewide Rates Number of Deaths Total Population 369, ,52 384,96 395,165 46,3 416,53 426, ,661 Rate per 1, CALIFORNIA Rate per 1, Figure 7.4 Drug Related Mortality Rate per 1, Population with Comparison to Statewide Rates County California Indicators of Alcohol and Other Drug Abuse AOD Mortality, California 38

44 Indicator 7: Deaths Due to Alcohol and Drug Use (Continued) Table 7.5 Deaths Due to Alcohol Related Causes by Specific Cause, and Rate per 1, Total Population TOTAL ALCOHOL RELATED DEATHS Alcohol Psychosis Rate per 1, Alcohol Abuse Rate per 1, Alcohol Dependence Syndrome Rate per 1, Alcoholic Polyneuropathy Rate per 1, Degeneration of the Nervous System Rate per 1, Alcoholic Myopathy Rate per 1, Alcoholic Cardiomyopathy Rate per 1, Alcoholic Gastritis Rate per 1, Alcoholic Liver Disease Rate per 1, Fetal Alcohol Syndrome Rate per 1, Fetus and Newborn Affect by Maternal Use of Alcohol Rate per 1, Alcohol Poisoning Rate per 1, Intentional Self Poisoning (Alcohol) 1 Rate per 1, Excessive Blood Level of Alcohol Rate per 1, Alcohol Induced Pancreatitis 1 Rate per 1, Indicators of Alcohol and Other Drug Abuse AOD Mortality, California 39

45 Indicator 7: Deaths Due to Alcohol and Drug Use (Continued) Table 7.6 Deaths Due to Drug Related Causes by Specific Cause, and Rate per 1, Total Population TOTAL DRUG RELATED DEATHS Accidental Drug Poisoning Rate per 1, Intentional Self Poisoning (Drug) Rate per 1, Intentional Poisoning (Assault) Rate per 1, Other Drug Poisonings Rate per 1, Fetus and Newborn Affect by Maternal Use of Drugs Rate per 1, Mental and Behavioral Disorders due to Use of Cannabinoids Rate per 1, Cocaine Rate per 1, Hallucinogens Rate per 1, Opioids Rate per 1, Other Psychoactive Substances Rate per 1, Sedatives or Hypnotics Rate per 1, Solvents Rate per 1, Stimulants Rate per 1, Indicators of Alcohol and Other Drug Abuse AOD Mortality, California 4

46 Indicator 7: Deaths Due to Alcohol and Drug Use (Continued) Table 7.7 Deaths Due to Alcohol and Drug Related Causes (Combined) by Race/Ethnicity of Decedent, Rate per 1, Total Population, and Percent of Total AOD Related Deaths TOTAL AOD RELATED DEATHS American Indian Population 3,136 3,183 3,272 3,43 3,536 3,652 3,786 3,895 Rate per 1, Percent of Total.% 1.9% 6.8% 1.6%.% 1.5% 4.7% 3.3% Asian/Pacific Islander Population 12,22 12,4 12,736 13,14 13,572 13,981 14,547 15,5 Rate per 1, Percent of Total.%.% 1.7%.%.% 3.1%.% 3.3% Black Population 5,248 5,151 5,74 5,26 4,984 4,942 4,916 4,935 Rate per 1, Percent of Total 3.4% 3.7%.% 1.6% 1.3% 3.1% 2.3% 5.% Hispanic Population 187, ,78 21,58 29, , , , ,446 Rate per 1, Percent of Total 44.8% 5.% 42.4% 46.9% 32.9% 33.8% 38.4% 26.7% White Population 157, , , ,465 16, , , ,275 Rate per 1, Percent of Total 51.7% 44.4% 49.2% 5.% 65.8% 55.4% 54.7% 61.7% Other 2 Percent of Total.%.%.%.%.% 3.1%.%.% Figure 7.5 AOD Related Mortality Rate per 1, Population by Decedent Race/ Ethnicity American Indian Asian/Pacific Islander Black Hispanic White Indicators of Alcohol and Other Drug Abuse AOD Mortality, California 41

47 Indicator 7: Deaths Due to Alcohol and Drug Use (Continued) Table 7.8 Deaths Due to Alcohol and Drug Related Causes (Combined) by Age Category of Decedent, Rate per 1, Total Population, and Percent of Total AOD Related Deaths TOTAL AOD RELATED DEATHS Years and Under Population 124, ,61 126, ,241 13, ,31 134, ,637 Rate per 1, Percent of Total 1.7%.% 1.7%.%.%.% 1.2% 1.7% 18 to 24 Years Population 39,99 42,341 44,968 47,674 5,419 52,44 53,947 54,818 Rate per 1, Percent of Total 1.7%.% 1.7% 1.6% 6.6% 1.5% 2.3% 6.7% 25 to 34 Years Population 5,1 5,533 51,74 53,529 55,64 57,661 6,23 63,137 Rate per 1, Percent of Total 12.1% 9.3% 1.2% 1.9% 6.6% 15.4% 15.1% 1.% 35 to 44 Years Population 51,677 51,921 52,251 52,718 53,285 53,823 54,221 54,331 Rate per 1, Percent of Total 34.5% 24.1% 3.5% 25.% 28.9% 15.4% 19.8% 26.7% 45 to 54 Years Population 41,695 43,185 44,45 45,766 47,63 48,462 49,88 51,166 Rate per 1, Percent of Total 24.1% 35.2% 25.4% 34.4% 32.9% 36.9% 37.2% 23.3% 55 to 64 Years Population 26,169 27,218 28,76 3,3 31,898 33,523 35,47 36,514 Rate per 1, Percent of Total 13.8% 2.4% 25.4% 17.2% 18.4% 21.5% 14.% 26.7% 65 Years and Older Population 36,35 36,243 36,549 36,937 37,457 38,284 39,18 4,58 Rate per 1, Percent of Total 12.1% 11.1% 5.1% 1.9% 6.6% 9.2% 1.5% 5.% Figure 7.6 AOD Related Mortality Rate per 1, Population by Decedent Age Category to to to to to to Indicators of Alcohol and Other Drug Abuse AOD Mortality, California 42

48 SOURCES Indicator Binge Drinking in the Past Year Agency UCLA Center for Health Policy Research, California Department of Health Services, Public Health Institute Print and Electronic Data Sources California Health Interview Survey (CHIS) 28 Admissions to Alcohol and Other Drug Treatment California Department of Alcohol and Drug Programs (ADP) California Alcohol and Drug Data System (CADDS) Admissions Data 2 25 California Outcome Measurement System (CalOMS) Admissions Data Alcohol and Drug Related Crime California Department of Justice, Office of the Attorney General, Criminal Justice Statistics Center California Arrest Data 2 28 Drinking and Driving California Highway Patrol (CHP) Statewide Integrated Traffic Records System (SWITRS) 2 28 Alcohol and Drug Related Hospitalizations Office of Statewide Health Planning and Development (OSHPD) California Hospital Discharge Data Set, 2 27 Alcohol and Drug Related Mortality California Department of Public Health, Vital Statistics Section Death Statistical Masterfile 2 27 California Health Status Profiles 26 Indicators of Alcohol and Other Drug Abuse Data Sources, California 43

49 This publication was prepared by the Center for Applied Research Solutions (CARS), Inc. s Community Prevention Initiative (CPI) Technical Assistance and Training contract funded by the California Department of Alcohol and Drug Programs (ADP). Center for Applied Research Solutions (CARS), Inc. 923 College Avenue Santa Rosa, CA 9544 Phone: (77) Fax: (77) Toll Free ( CARS) rp.org

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