Special SEOW Report: Behavioral Health Among Women in Maine By Tim Diomede, MPPM 9.30.2015 State Epidemiological Outcomes Workgroup 1
Maine Data 2
Past month substance use among Maine high school students, by substance type: 2011-2013 35.0% 30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% Any alcohol use Marijuana use Binge alcohol use Cigarette Use Rx misuse 2009 32.0% 19.0% 17.2% 16.1% 7.4% 2011 27.0% 18.8% 14.5% 13.2% 5.8% 2013 25.7% 18.7% 12.7% 10.8% 4.6% Source: Maine Integrated Youth Health Survey
Substance use among Maine adults (18+), by type and gender: 2013 60.0% 54.7% 50.0% 40.0% 30.0% 20.0% 18.2% 12.4% 10.0% 4.2% 6.8% 2.1% 0.0% Any alcohol use (past month) Cigarettes (past month) Binge alcohol use (past month) Marijuana use (past month) At risk from heavy use (past month) Prescription Drug Misuse (lifetime) Source: Behavioral Risk Factor Surveillance System
Percent of Maine women reporting alcohol and/or cigarette use during last three months of pregnancy: 2008 2012 30% Alcohol 25% 20% 16% 20% Cigarettes 18% 17% 20% 20% 21% 18% 19% 21% 15% 10% 7% 7% 6% 9% 7% 7% 8% 6% 8% 8% 5% 0% Source: Pregnancy Risk Assessment Monitoring System 5
Percentage of Maine women who reported drinking alcohol during last three months of pregnancy by age group: 2006-07 to 2011-12 20% 15% 10% 5% 0% 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 <25 years old 4% 4% 5% 4% 2% 4% 25-34 years old 8% 7% 8% 8% 8% 8% 35+ years old 14% 13% 11% 10% 10% 13% Source: Pregnancy Risk Assessment Monitoring System 6
Percent of Maine women who reported drinking alcohol during last three months of pregnancy, by income: 2007 08 to 2011 12 25% 20% 15% 10% 5% 0% 2007-08 2008-09 2009-10 2010-11 2011-12 <$25,000 5% 5% 5% 4% 4% $25,000 - $49,000 6% 8% 7% 6% 6% $50,000+ 10% 10% 10% 11% 13% Source: Pregnancy Risk Assessment Monitoring System 7
Treatment in Maine 8
Total number of pregnant substance abuse treatment admissions in Maine: 2008-2014 237 253 266 286 277 298 268 146 2008 2009 2010 2011 2012 2013 2014 *2015 Source: WITS Substance Abuse Treatment System *Data collected as of September 9
Percentage of primary pregnant treatment admissions in Maine, by primary substance: 2014 3% 8% 3% 3% Alcohol Marijuana 42% 27% Crack/Cocaine Heroin/Morphine Methadone/Buprenorphine Synthetic Opioids Other 14% Source: WITS Substance Abuse Treatment System 10
Percent of pregnant treatment admissions, by primary substance: 2009-2014 60% 50% 40% 30% 20% 10% 0% 2008 2009 2010 2011 2012 2013 2014 Alcohol 13% 14% 11% 12% 9% 7% 8% Marijuana 8% 7% 6% 5% 5% 4% 3% Crack/Cocaine 10% 5% 5% 7% 3% 7% 3% Heroin/Morphine 13% 15% 10% 8% 8% 23% 27% Methadone/Buprenorphine 6% 12% 17% 11% 12% 11% 14% Synthetic Opioids 46% 45% 50% 53% 60% 46% 42% Source: WITS Substance Abuse Treatment System 11
National Rates 12
Any illicit drug use in the past month among U.S. females 15 to 44, by age group: 2011-12 and 2013-14 17.8% 17.2% 2011-12 13.9% 12.6%* 9.2%^ 2013-14 10.5% 11.9%^ 7.0% 15-17 18-25 26-44 Total Source: National Drug Use and Health Survey ^Difference between estimate and 2011-12 estimate is statistically significant at the.01 level. *Difference between estimate and 2011-12 estimate is statistically significant at the.05 level. 13
Any illicit use in the past month among U.S. females 15 to 44, by age group and pregnancy status: 2013-14 12.6% 17.8% All women 15-44 Pregnant women 15-44 11.9% 9.1% 9.2% 5.3% 2.7% 15-17* 18-25 26-44 Total Source: National Drug Use and Health Survey *Precision is too low for estimates among pregnant women 15 to 17. 14
Any illicit drug use within the past month among U.S. pregnant females 15 to 44, by trimester: 2013-13 8.90% 5.30% 1.90% First Second Third Source: National Drug Use and Health Survey 15
Cigarette use in the past month among U.S. females 15 to 44, by age group and pregnancy status: 2013-14 24.0% 24.6% 22.8% All women 15-44 Pregnant women 15-44 19.2% 13.1% 8.4% 9.5% 15-17* 18-25 26-44 Total Source: National Drug Use and Health Survey *Precision is too low for estimates among pregnant women 15 to 17. 16
Any alcohol use in the past month among U.S. females 15 to 44, by age group and pregnancy status: 2013-14 57.3% 57.9% 54.0% All women 15-44 Pregnant women 15-44 19.7% 6.1% 11.0% 9.3% 15-17* 18-25 26-44 Total Source: National Drug Use and Health Survey *Precision is too low for estimates among pregnant women 15 to 17. 17
Any alcohol use within the past month among U.S. pregnant females 15 to 44, by trimester: 2013-13 20.9% 4.9% 3.3% First Second Third Source: National Drug Use and Health Survey 18
Binge alcohol use within the past month among U.S. pregnant females 15 to 44, by trimester: 2012-13 6.7% 1.8% 0.3% First Second Third Source: National Drug Use and Health Survey Female binge drinking = four or more drinks in one sitting 19
Impact 20
Emergency Medical Services (EMS) naloxone administrations, by gender and age: 2014 99 81 1% 2% 13% 27% <18 18-24 6 39 38 41 3 13% 12% 32% 25-34 35-54 55-64 Source: Maine Emergency Medical Services 21
Number of Maine drug affected baby notifications: 2005-2014 1000 927 961 800 667 779 600 400 200 165 201 274 343 451 572 *This measure reflects the number of infants born in Maine where a healthcare provider reported to OCFS that there was reasonable cause to suspect the baby may be affected by illegal substance abuse or demonstrating withdrawal symptoms resulting from prenatal drug exposure (illicit or prescribed appropriately under a physician s care for the mother s substance abuse treatment) or who have fetal alcohol spectrum disorders. 0 Source: Office of Child and Family Services (OCFS), Maine Automated Child Welfare Information System (MACWIS). 22
Mental Health
Mental health among Maine female high school students, by indicator type and gender: 2013 35.0% 31.5% 30.0% 25.0% 24.3% 20.0% 15.0% 17.4% 14.6% 18.2% 11.1% Total Female Male 10.0% 5.0% 0.0% Sad or hopeless Suicide ideation Source: Maine Integrated Youth Health Survey
Mental heath among Maine female high students, by indicator type: 2009-2013 35.0% 31.5% 30.0% 25.0% 26.6% 28.0% 20.0% 18.2% 2009 15.0% 13.9% 13.9% 2011 2013 10.0% 5.0% 0.0% Sad or hopeless Suicide ideation Source: Maine Integrated Youth Health Survey
Depression and anxiety among Maine adults (18+), by gender: 2013 35.0% 30.0% 29.1% 25.0% 23.7% 23.3% 20.0% 17.9% 18.9% Total 15.0% 14.1% Female Male 10.0% 5.0% 0.0% Depression Anxiety Source: Behavioral Risk Factor Surveillance System
Suicide deaths in Maine, by gender: 2008-2014 250 200 179 169 193 170 150 146 153 153 100 Males Females 50 35 43 36 45 40 52 42 0 2008 2009 2010 2011 2012 2013 2014 Source: Office of Data, Research and Vital Statistics
Contact Tim Diomede, MPPM SEOW Coordinator, Prevention Data Analyst Timothy.Diomede@maine.gov www.maineseow.com 28