Maryland Epidemiological Profiles on Alcohol
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1 Maryland Epidemiological Profiles on Alcohol Jurisdiction Rankings 15 August 2016 The Maryland Statewide Epidemiological Outcomes Workgroup Department of Pharmaceutical Health Services Research University of Maryland Baltimore School of Pharmacy Saratoga Building, 12 th Floor 220 Arch Street Baltimore, Maryland Maryland Jurisdiction Epidemiological Profiles on Alcohol 1
2 CONTRIBUTORS This report was compiled by the following faculty, staff, and students of the Department of Pharmaceutical Health Services Research in the University Of Maryland School Of Pharmacy: Linda Simoni-Wastila, BSPharm, PhD Professor and Director, SEOW Patience Moyo, MS, PhD Candidate Graduate Research Assistant Aida Kuzucan, PharmD, PhD Student Graduate Research Assistant Abree Johnson, MS Project Analyst, Pharmaceutical Research Computing Sarah Tom, PhD, MPH Assistant Professor Jeanne Yang, MCP SAS Programmer, Pharmaceutical Research Computing Maryland Jurisdiction Epidemiological Profiles on Alcohol 2
3 Table of Contents Data Sources and Considerations for Use Jurisdiction Rankings Self-reports of Alcohol Use and Perceptions Past-Month Alcohol use Among 12 to 20 year olds... 6 Binge Drinking Perceptions and Behavior in Those over 12 Years of Age... 7 Past-Month Binge Drinking Among Those Over 12 Years of Age... 8 Past-Month Binge Drinking Among Those 12 to 20 years of Age... 8 High School Student Reports Alcohol-Impaired Driving Overall and by Gender Alcohol-Impaired Riding Overall and by Gender Past Month Drinking Overall and by Gender Binge Drinking Overall and by Gender Binge Drinking Risk Perspective Overall and by Gender Binge Drinking Overall and by Gender Alcohol-Related Hospitalizations and Emergency Department Visits Age 12 to 25 as Percentage of State Total...21 Adolescents (12 to 17 years old) in 2013 and Young Adults (18 to 25 years old) in 2013 and Underage Adults (18 to 20 years old) in 2013 and Alcohol-Impaired Crashes All Ages...28 Resulting in Injury...29 Resulting in Death...30 Youth Age 16 to Past-Year Alcohol Abuse and Dependence Past-Year Alcohol Abuse and Dependence Treatment Maryland Jurisdiction Epidemiological Profiles on Alcohol 3
4 Data Sources & Considerations for Use Health Services Cost Review Commission (HSCRC): In Maryland, the HSCRC is an independent agency charged with regulating hospital rates for all payers and maintaining both inpatient and outpatient facility data sets. The HSCRC inpatient dataset contains discharge medical record, abstracts and billing data on each of the state's approximately 800,000 yearly admissions. Hospitals submit data to the HSCRC on a quarterly basis and the agency generates research-ready datasets for public use. Access to the research level version of the inpatient or outpatient data requires the submission of an application to the HSCRC. Data is available through Important considerations regarding HSCRC data: The county indicated in the charts refers to the location of the patient s place of residence and may not be the jurisdiction in which the hospital providing service is situated. The data are available at the event level rather than individual level. This means that one individual can contribute multiple observations in the data. For more information visit: Automated Crash Reporting System (ACRS): ACRS is the Maryland crash reporting system developed and maintained by the Maryland State Police (MSP). All crash reports are submitted through this system from across the state, ranging from non-injury crashes through traffic fatality cases. All law enforcement officers responding to and investigating a traffic crash collect the same standard set of variables and submit those data to MSP. For those crashes not resulting in a fatality or serious traumatic injury, reports are typically submitted within 48 hours. The data are maintained by and access is granted through the MSP Central Records Division. After 30 days, the data are shared with the Maryland State Highway Administration for use in engineering-based planning and evaluation purposes on state and local levels. The ACRS data is also posted to the Maryland Open Data Portal website on a quarterly basis and made accessible to government entities upon approval and implementation of a data use agreement. ACRS data are electronically shared with the National Highway Traffic Safety Administration through the Electronic Data Transfer program. Additionally, the Fatality Analysis Reporting System (FARS) state analyst resides at MSP and collects detailed information from each fatal crash for inclusion in the FARS database. Important considerations regarding ACRS data: Impaired crashes are those with at least one driver reported to be under the influence of alcohol. Crashes with unknown/unspecified age or gender were excluded, as well as those involving drugs or drugs and alcohol. National Survey on Drug Use and Health (NSDUH): The NSDUH provides national and state level data on mental health, tobacco use, alcohol use and illicit drug use (including non-medical use of prescription drugs) in the United States. NSDUH is sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA), an agency of the U.S. Public Health Service within the U.S. Department of Health and Human Services. Surveys are administered to vetted individuals from a random sample of households across the United States. Professional field interviewers make a personal visit to each Maryland Jurisdiction Epidemiological Profiles on Alcohol 4
5 selected household and after answering a few general questions, residents of the household may be asked to participate. Participants answer most of the interview questions in private by entering their responses directly into a computer. The survey is conducted annually, with state level data available from , substate level data available every 2 years from and national data available from Important considerations regarding NSDUH data: With the exception of six Maryland jurisdictions (Anne Arundel County, Baltimore City, Baltimore County, Charles County, Montgomery County and Queen Anne s County), NSUDH results are reported as aggregate data with several jurisdiction grouped into substate regions. The substate regions are as follows: o North Central is comprised of Carroll County and Howard County; o North East is comprised of Caroline County, Cecil County, Harford County, Kent County, Queen Anne s County and Talbot County; o South is comprised of Calvert County, Charles County, Dorchester County, St. Mary s County, Somerset County, Wicomico County and Worcester County; o West is comprised of Allegany County, Frederick County, Garrett County and Washington County. For more information visit: Maryland Youth Risk Behavior Surveillance System (YRBS): The YRBS provides state and county level data on behaviors and perceptions linked to disease and death among middle and high school students in the United States. YRBS, a part of the Centers for Disease Control and Prevention s Youth Risk Behavior Surveillance System (CDC YRBSS), is facilitated by The Maryland Department of Health and Mental Hygiene. Maryland s participation in the CDC YRBSS has been mandated since 2005 with survey data available for 2007, 2009, 2011, 2013 and The 2014 YRBS was administered in the fall of 2014 to a representative sample of students in grades 6-8 and From 175 and 183, public middle schools and high schools respectively, over 80,000 students completed the survey. Important considerations regarding YRBS data: All YRBS data are self-reported and the extent of under reporting or over reporting behaviors has not been determined. Out-of-school, home schooled and privately educated youth are not represented in the survey. For more information visit: Maryland Jurisdiction Epidemiological Profiles on Alcohol 5
6 Self-Reports of Alcohol Use and Perceptions Data Source: National Survey on Drug Use and Health (NSDUH) Past-month alcohol use (%) among persons aged PRICE GEORGE'S SOUTH WEST NORTHEAST NORTH CENTRAL Maryland Jurisdiction Epidemiological Profiles on Alcohol 6
7 Perceptions of risk from binge drinking vs. past-month binge drinking, aged 12+ years: Perception of risk from binge drinking Past-month binge drinking PRINCE GEORGE'S SOUTH NORTH CENTRAL WEST NORTHEAST Perceptions of great risk from binge drinking among persons aged 12+ NORTHEAST WEST NORTH CENTRAL SOUTH PRINCE GEORGE'S Maryland Jurisdiction Epidemiological Profiles on Alcohol 7
8 Past-month binge drinking among persons aged PRINCE GEORGE'S NORTHEAST SOUTH NORTH CENTRAL WEST Past-month binge drinking among persons aged PRINCE GEORGE'S NORTHEAST SOUTH NORTH CENTRAL WEST Maryland Jurisdiction Epidemiological Profiles on Alcohol 8
9 High School Student Reports of Alcohol-Impaired Driving Data Source: Youth Risk Behavior Survey (YRBS) Overall Percentage of high school students who drove when drinking alcohol, among those who had driven a car within 30 days of survey (2014) QUEEN ANNE S SAINT MARY S PRINCE GEORGE S Maryland Jurisdiction Epidemiological Profiles on Alcohol 9
10 By Gender Percentage of high school students who drove when drinking alcohol, among those who had driven a car within 30 days of survey (2014) QUEEN ANNE S SAINT MARY S PRINCE GEORGE S MALE FEMALE Maryland Jurisdiction Epidemiological Profiles on Alcohol 10
11 High School Student Reports of Riding with Alcohol-Impaired Drivers Data Source: Youth Risk Behavior Survey (YRBS) Overall Percentage of students who rode with a driver who had been drinking alcohol (2014) QUEEN ANNE S SAINT MARY S PRINCE GEORGE S Maryland Jurisdiction Epidemiological Profiles on Alcohol 11
12 By Gender Percentage of students who rode with a driver who had been drinking alcohol (2014) QUEEN ANNE S SAINT MARY S PRINCE GEORGE S MALE FEMALE Maryland Jurisdiction Epidemiological Profiles on Alcohol 12
13 High School Student Reports of Drinking Once in the Past Month Data Source: Youth Risk Behavior Survey (YRBS) Overall Percentage of students who report drinking alcohol at least once in prior 30 days (2014) 41.0 QUEEN ANNE S SAINT MARY S PRINCE GEORGE S Maryland Jurisdiction Epidemiological Profiles on Alcohol 13
14 By Gender Percentage of students who report drinking alcohol at least once in prior 30 days (2014) QUEEN ANNE S SAINT MARY S PRINCE GEORGE S MALE FEMALE Maryland Jurisdiction Epidemiological Profiles on Alcohol 14
15 High School Student Reports of Binge Drinking in the Past Month Data Source: Youth Risk Behavior Survey (YRBS) Overall Percentage of students who report drinking more than 5 drinks in a row at least once in prior 30 days (2014) 26.9 QUEEN ANNE S SAINT MARY S PRINCE GEORGE S Maryland Jurisdiction Epidemiological Profiles on Alcohol 15
16 By Gender Percentage of students who report drinking more than 5 drinks in a row at least once in prior 30 days (2014) QUEEN ANNE S SAINT MARY S PRINCE GEORGE S MALE FEMALE Maryland Jurisdiction Epidemiological Profiles on Alcohol 16
17 High School Student Reports of Drinking Disapproval Data Source: Youth Risk Behavior Survey (YRBS) Overall Percentage of students who disapprove of someone their age having 1-2 drinks nearly every day (2014) PRINCE GEORGE S SAINT MARY S QUEEN ANNE S Maryland Jurisdiction Epidemiological Profiles on Alcohol 17
18 By Gender Percentage of students who disapprove of someone their age having 1-2 drinks nearly every day (2014) PRINCE GEORGE S SAINT MARY S QUEEN ANNE S MALE FEMALE Maryland Jurisdiction Epidemiological Profiles on Alcohol 18
19 High School Student Reports of Binge Drinking Risk Data Source: Youth Risk Behavior Survey (YRBS) Overall Percentage of students who think people are at moderate or great risk of harming themselves if they have 5+ drinks 1-2 times per week (2014) PRINCE GEORGE S SAINT MARY S BALTIMORE QUEEN ANNE S Maryland Jurisdiction Epidemiological Profiles on Alcohol 19
20 By Gender Percentage of students who think people are at moderate or great risk of harming themselves if they have 5+ drinks 1-2 times per week (2014) PRINCE GEORGE S SAINT MARY S QUEEN ANNE S MALE FEMALE Maryland Jurisdiction Epidemiological Profiles on Alcohol 20
21 Alcohol-Related Hospitalizations and Emergency Department Visits Data Source: Health Services Cost Review and Commission (HSCRC) 20% Alcohol Involved Cases, Ages Jurisdictional ranking as a percentage of state total % 10% 5% 0% Maryland Jurisdiction Epidemiological Profiles on Alcohol 21
22 Adolescents (12 to 17 year olds) 2013 Alcohol Involved Cases- Percentage of those aged within Jurisdiction as compared to Percentage Statewide (2013) QUEEN ANNE'S ST. MARY'S STATEWIDE PRINCE GEORGE'S BALTIMORE Maryland Jurisdiction Epidemiological Profiles on Alcohol 22
23 2014 Alcohol Involved Cases- Percentage of those aged within Jurisdiction as compared to Percentage Statewide (2014) QUEEN ANNE'S STATEWIDE ST. MARY'S PRINCE GEORGE'S BALTIMORE Maryland Jurisdiction Epidemiological Profiles on Alcohol 23
24 Young Adults (18 to 25 year olds) 2013 Alcohol Involved Cases- Percentage of those aged within Jurisdiction as compared to Percentage Statewide (2013) ST. MARY'S PRINCE GEORGE'S QUEEN ANNE'S STATEWIDE BALTIMORE Maryland Jurisdiction Epidemiological Profiles on Alcohol 24
25 2014 Alcohol Involved Cases- Percentage of those aged within Jurisdiction as compared to Percentage Statewide (2014) PRINCE GEORGE'S ST. MARY'S STATEWIDE QUEEN ANNE'S BALTIMORE Maryland Jurisdiction Epidemiological Profiles on Alcohol 25
26 Underage Young Adults (18 to 20 year olds) 2013 Alcohol Involved Cases- Percentage of those aged within Jurisdiction as compared to Percentage Statewide (2013) QUEEN ANNE'S PRINCE GEORGE'S ST. MARY'S STATEWIDE BALTIMORE DORCESTER Maryland Jurisdiction Epidemiological Profiles on Alcohol 26
27 2014 Alcohol Involved Cases- Percentage of those aged within Jurisdiction as compared to Percentage Statewide (2013) (2014) QUEEN ANNE'S PRINCE GEORGE'S PRINCE GEORGE'S BALTIMORE CITY ANNE ARUNDEL STATEWIDE ST. MARY'S STATEWIDE BALTIMORE ST. MARY'S CITY QUEEN ANNE'S BALTIMORE BALTIMORE Maryland Jurisdiction Epidemiological Profiles on Alcohol 27
28 Alcohol-Impaired Crashes Data Source: Automated Crash Reporting System (ACRS) All Ages Within jurisdiction percentage of all motor vehicle crashes associated with alcohol impairment as compared to percentage statewide (2015) 9.6 QUEEN ANNE'S ST. MARY'S PRICE GEORGE'S STATEWIDE Maryland Jurisdiction Epidemiological Profiles on Alcohol 28
29 All Ages- Injuries Percentage of alcohol impaired crashes resulting in injury within jurisdiction as compared to percentage statewide(2015) ST. MARY'S QUEEN ANNE'S STATEWIDE PRICE GEORGE'S Maryland Jurisdiction Epidemiological Profiles on Alcohol 29
30 All Ages- Deaths Percentage of alcohol impaired crashes resulting in death within jurisdiction as compared to percentage statewide(2015) QUEEN ANNE'S STATEWIDE PRICE GEORGE'S ST. MARY'S none reported none reported none reported none reported none reported Maryland Jurisdiction Epidemiological Profiles on Alcohol 30
31 Youth Ages 16 to 25 Within jurisdiction percentage of all alcohol involved motor vehicel crashes involving at least one driver aged 16 to 25 as compared to percentage statewide (2015) PRICE GEORGE'S ST. MARY'S STATEWIDE QUEEN ANNE'S Maryland Jurisdiction Epidemiological Profiles on Alcohol 31
32 Self-Reports of Alcohol Abuse and Treatment Data Source: National Survey on drug Use and Health (NSDUH) Past-year alcohol abuse/dependence among persons aged 12+ NORTH CENTRAL PRINCE GEORGE'S WEST NORTHEAST SOUTH Needing but not receiving treatment for alcohol use in past year vs. past-year alcohol dependence or abuse, aged 12+ years: % With Need alcohol treatment (but not receiving) % With past-year alcohol abuse/ dependence BALITMORE CITY SOUTH WEST NORTHEAST PRINCE GEORGE'S NORTH CENTRAL Maryland Jurisdiction Epidemiological Profiles on Alcohol 32
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