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

Anderson Tennessee USA Alcohol Anderson County Tennessee United States Year Information Year Information Year Information Citations Adults who have had at least one drink in the past 30 days 2014 10.70% 2013: 37.5% 2013: 54.4% 10 1 2 2012 19% 2012: 38.6% 2012: 55.1% 10 1 2 2011: 37.5% 2011: 57.0% 10 1 2 Persons identified as Binge Drinkers 2012 6.7% (female) 2013 9.60% 2013 16.80% 9 1 2 2012 16.3% (male) 2012 11.30% 2012 16.90% 9 1 2 2011 10.00% 2011 18.30% 1 2 Persons identified as Heavy Drinkers Female 2012: 3.3% 2013 3.30% 2013 6.20% 9 1 2 Male 2012: 6.8% 2012 3.60% 2012 6.10% 9 1 2 2011 3.40% 2011 6.20% 1 2 2014: 19.6% 2013 60.60% 2013 66.20% 10 3 3 High School Students Who Have Ever Drank Alcohol 2012: 30.5% 2011 70.80% 10 3 2003 74.90% 3 1993 80.90% 3 High School Students who have Drank Alcohol Before Age 13 2013 18.80% 2013 18.60% 3 4 2011 20.50% 4 2003 27.80% 4 1993 32.90% 4 High School Students Who Currently Drink Alcohol 2013 28.40% 2013 34.90% 3 4 2011 38.87% 4 2003 44.90% 4 1993 48.00% 4 High School Students who Drank Five or More Drinks in a Row 2013 16.10% 2013 20.80% 3 4 2011 21.90% 4 2003 28.30% 4 1993 30.00% 4 High School Students who Reported # of Drinks was 10 or More 2013 4.30% 2013 6.10% 3 3 Perception of harm, 1-2 Drinks per Day "Moderate or Greak Risk" Perception of Parent Disapproval was "Very Wrong" 2014 66.90% 10 2012 70.80% 10 2014 75.50% 10 2012 78.20% 10 Perception of Peer Disapproval was "Very Wrong" 2012 46.20% 10 "What are the chances you would seem cool is you behan drinking alcoholic beverage regularly in HS 2012?" 2012 Very good: 7.5% 10 2012 Pretty good: 8.2% 10 2012 Some chance: 16.5% 10 2012 Little chance: 14.2% 10 Access was "Very Hard" 2012 Very Hard: 45.1% 10 Access was "Very Easy" 2012 Very Easy: 27.6% 10 2012 Very Easy: 41.6% 10 Excessive Alchohol Consumption Costs 2010 4.1 Billion 2010 223.5 Billion 7 6 6 Alcohol Related Deaths 20% 28% 2006-2010 88,000 Deaths 9 9 5 Excise tax per gallon of beer fo 5% alcohol: Distilled spirits tax per gallon for 40% alcohol: 2003-2013 $0.14 8 2014-2015 $1.29 8 2015 $4.40 8 Wine tax per gallon for 12% alcohol: 2015 $1.21 8 BAC Limits: Adult operators of noncommercial motor vehicles: 1998-2003 0.10% 8 2003-2015 0.08% 8 1 BRFSS Prevalence & Trends Data. Centers for Disease Control and Prevention. 2013. Available: http://nccd.cdc.gov/brfssprevalence/rdpage.aspx?rdreport=dph_brfss.explorebylocation&rdprocessaction=&savefilegenerated=1&rdcsrfkey=67ed4a47-f1cd-45ff-aedc-cacdd181eb96&isllocation=98&islclass=class01&isltopic=topic03&islyear=2013&hidlocation=98&hidclass=class01&hidtopic=topic03&hidtopicname=alcohol+consumption&hidyear=2013&irbshowfootnotes=show&iclindicators_rde 2 Prevention Status Report. 2013. Centers for Disease Control and Prevention. http://www.cdc.gov/psr/alcohol/2013/tn-alcohol.pdf 3 Youth Risk Behavior Surveillance- United States, 2014. Centers for Disease Controll and Prevention. Morbidity and Mortality Weekly Report. Available: http://www.cdc.gov/mmwr/pdf/ss/ss6304.pdf 4 Trends in the Prevalence of Alcohol Use National YRBS: 1991-2013. 2014. Centers for Disease Control and Prevention. Division of Adolescent and School Health. Available: http://www.cdc.gov/healthyyouth/data/yrbs/pdf/trends/us_alcohol_trend_yrbs.pdf 5 CDC. Alcohol and Public Health: Alcohol-Related Disease Impact (ARDI) [database]. Accessed Dec 13, 2013. 6 Bouchery EE, Harwood HJ, Sacks JJ, et al. Economic costs of excessive alcohol consumption in the United States, 2006. American Journal of Preventive Medicine 2011;41:516 24; and correction, American Journal of Preventive Medicine 2013;44:198. 7 Sacks JJ, Roeber J, Bouchery EE, et al. State costs of excessive alcohol consumption, 2006. American Journal of Preventive Medicine 2013;45:474 85. 8 Community Preventive Services Task Force. Preventing excessive alcohol consumption: increasing alcohol taxes. In: Guide to Community Preventive Services. Updated Jun 2007. 9 County Profile: Anderson County, Tennessee. Instritude of Health Metric and Evaluation. (IHME), US County Profile: Anderson County, Tennessee. Seattle, WA: IHME: 2015. 10 Anderson County Pride Data

Total Overall Drug Overdose Deaths Prescription Drugs Anderson County Tennessee United States Year Information Year Information Year Information Anderson Tennessee USA 2014 18.00 2014 1,269, Increase 7.7% 2014 47,055 (increased 6.5%) 9 10 1 Citations: 2013 1,187 2013 43,982 10 1 2000-2014 Nearly 500,000 total deaths 1 Age-Adjusted Death Rates 2014 >20 per 100,000 2014 19.5 per 100,000 2014 14.68 per 100,000 9 9 9 2012 >20 per 100,000 2012 17.6 per 100,000 2012 13.14 per 100,000 9 9 9 2010 >20 per 100,000 2010 16.9 per 100,000 2010 12.30 per 100,000 9 9 9 2008 18.1-20 per 100,000 2008 14.8 per 100,000 2008 11.89 per 100,000 9 9 9 2006 16.1-18 per 100,000 2006 16.0 per 100,000 2006 11.29 per 100,000 9 9 9 2004 16.1-18 per 100,000 2004 12.8 per 100,000 2004 9.38 per 100,000 9 9 9 2002 14.1-15 per 100,000 2002 8.5 per 100,000 2002 8.20 per 100,000 9 9 9 SpecificTypes of Prescription Drug Deaths Opioid: 2014: 286,471 1 Has increased 14% since 2013 1 Synthetic Opioids, others than Methadone: Increased 1.0 per 100,000 to 1.8 per 100,000 1 Has doubled from 2013 to 2014 1 Heroin: 3.4 per 100,000 1 2013: Increased 26% 1 2010: Tripled, 1 per 100,000 1 Natural and Semisynthetic Opioid: 2014: 3.8 per 100,000 (+9.0%) 1 2013: 3.5 per 100,000 1 Past 30 Day Use 2014 4.20% 15 2012 4.20% 15 Synthetic Drug Use Past 30 Days 2012 2.40% 15 Perception of Harm Perception of Parent Disapproval 2014 78.50% 15 2012 88.70% 15 2014 84.40% 15 2012 81.30% 15 Perception of Peer Disapproval 2014 63.80% 15 2012 57.50% 15

Emergency Room Visits 2011 18,407 2011: 2.5 Million 3 3 Prescriptions Written 2012 96-143 per 100 people 259 Million 4 4 Courts Number of adult drug courts: 386 Number of adut drug courts: 14855 6 5 Number of juvenile drug courts: 66% Number of juvenile drug courts: 4475 6 5 Number of people served: 27,706 Number of people served: 1.2 million 6 5 Tax Dollars Spent 2014 20.3 Million 7 Neonatal Alcohol Syndrome Third highest incidence in East Tennessee after Hamblen and Campbell 2013 921 8 13 2011 672 8 14 2010 525 14 2008 307 14 2006 177 14 2004 166 14 2002 113 14 Opiod Prescription Rate Per Capita 194.16% 158.1 8 8 Ranks 19th of 95 counties 8 Number of Pain Clinics 3 319 12 12 Number of Drug Take Back Boxes 4 135 11 11 1 2 3 4 5 6 7 8

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Tobacco County, State, and National Data Anderson County Tennessee United States Year Information Year Information Year Information Citations Anderson Tennessee USA Currenty Adult (18+) Cigarette Smokers 2014 21% 2014 24.20% 2014 18% 6 7 1 Ranks 11 out of 92 counties Approximately 1,100,000 total smokers 2010 19.30% 6 7 1 2004 20.90% 6 1 1995 24.70% 6 1 Cigarette Smoking Mortalities Per Year 325/100,000 20,000/100,000 7 1 Ranks 46th worst among the states 480,000 total Persons Living with a Smoking-Related 16 million Americans 1 High School Student Smokers 3-Jul 21.60% 2013 15.70% 7 3 Ranked 38 among 44 states. 2009 19.50% 7 3 2001 28.50% 3 1991 27.50% 3 Students who have used Tobacco in the 2014 10.70% 2014 24.60% 11 8 2012 19% 11 8 Adolescent Cigarette Use in the Past 30 Days 2014 11.10% 2004 8.90% 2012-2013 6.08% 11 9 10 2012 14.30% 11 9 Age of First Use 2014 12.4% 2004 47.6% (smokeless tobacco) 11 9 2012 12.40% 2004 44.2% (cigarette) 11 9 2004 40.9% (cigar) 9 9 Perception of Harm, 1 or more packs with "Moderate or Great Risk" 2014 76.30% 2012-2013 64.96% 11 10 2012 70.40% Perception of Parent Disapproval was "Very Wrong" 2014 71.30% 11 2012 78.20% 11 Parents Discussion 2004 49.1% Rarely or Never 9 2004 25.2% Sometimes 9 2004 25.2% Often 9 Access is "Very Hard" 2012 41.20% 11 Students not asked for ID when purchasing 67.70% 9 2002 64.20% 9 Gender Male 26.6% Male 20.5% Female 22.6% Female 15.3% 2 2 Age 18-24 years 24.30% 18-24 years 18.70% 2 2 25-44 years 29.90% 25-44 years 20.10% 2 2 45-64 years 25.30% 45-64 years 19.90% 2 2 65+ years 12.70% 65+ years 8.80% 2 2

Education Education <12th grade 44% Education <12th grade 24.20% 2 2 Education 12th grade 28.30% Education 12th grade 41.40% 2 2 Education > 12th grade 16.30% 2 2 Some college, no diploma 20.80% 2 2 Associate's degree 17.80% 2 2 Undergraduate college degree 9.10% 2 2 Graduate degree 5.60% 2 2 Ever Smokers Trying to Quit 49.80% 58.10% 2 2 Average Cost per Pack 2013 $4.45 1970 $0.38 7 5 2013 $5.75 5 Smoke Cost per Year $300 Billions 5 1 Current Cigarette Smoking Among Adults in the United States. 2015. Centers for Disease Control and Prevention. Available: http://www.cdc.gov/tobacco/data_statistics/fact_sheets/adult_data/cig_smoking/index.htm#2013 2 State Tobacco Activities Tracking and Evaluation (STATE) System. 2015. Centers for Disease Control and Prevention. Available: http://nccd.cdc.gov/statesystem/rdpage.aspx?rdreport=osh_state.highlights&rdrequestforwarding=form&rddashboardtabs=hlr_tob_adult 3 Trends in Current Cigarette Smoking Among High School Students and Adults, United States, 1965-2011. 2014. Centers for Disease Control and Prevention. Available: http://www.cdc.gov/tobacco/data_statistics/tables/trends/cig_smoking/ 4 Tobacco-Related Mortality. 2015. Centers for Disease Control and Prevention. Available: http://www.cdc.gov/tobacco/data_statistics/fact_sheets/health_effects/tobacco_related_mortality/ 5 Trends Infographic. 2015. Centers for Disease Control and Prevention. Available: http://www.cdc.gov/tobacco/data_statistics/tables/trends/infographics/index.htm#state-laws 6 2015 Community Assessment of Anderson County, TN. 2016. A collaboration between the Anderson County Preschool Program & Oak Ridge Schools' Preschool Program. Available: http://www.acs.ac/common/pages/displayfile.aspx?itemid=6446237 7 Tennessee State Highlights. 2011. Centers for Disease Control and Prevention. Available: http://www.cdc.gov/tobacco/data_statistics/state_data/state_highlights/2012/states/tennessee/index.htm 8 René A. Arrazola, MPH 1 1, et al. Tobacco Use Among Middle and High School Students (2011-2014). Centers for Disease Control and Prevention. Morbidity and Mortality Weekly Report. Available: http://www.cdc.gov/mmwr/preview/mmwrhtml/mm6414a3.htm?s_cid=mm6414a3_e, Tushar Singh, MD, PhD 9 Tennessee Youth Tobacco Survey Summary. 2004. Tennessee Department of Health. Office of Policy, Planning and Assessment, Surveillance, Epidemiololgy, and Evaluation. Available: https://www.tn.gov/assets/entities/health/attachments/tennessee_youth_tobacco_survey_summary.pdf 10 Lipari, R.N. and Hughes, A. State Estimates of Adolescent Cigarette Use and Perceptions of Risk of Smoking: 2012 and 2013. The CBHSQ Report: May 18, 2015. Substance Abuse and Mental Health Services Administration, Center for Behavioral Health Statistics and Quality. Rockville, MD 11 Anderson County Pride Data

Marijuana County, State, and National Data Anderson County Tennessee United States Year Information Year Information Year Information Citations Anderson Tennessee USA Adolescent Illicit Drug Use 2014 11.70% 2013.00% 41.00% 2013 40.70% 3 1 2 2012 13.80% 2009 36.80% 2003 40.20% 1993 32.80% Tired Marijuana Before Age 13 2013 10.60% 2013 8.60% 1 2 2009 7.50% 2 2003 9.90% 2 1993 6.90% 2 Age of First Use 2014 13.70% 2 2012 13.70% 2 Have Used Marijuana in the Passed 30 Days 2014 7.90% 3 2012 9.80% 3 Currently Use Marijuana 2013 21.40% 2013 23.40% 1 1 2009 20.80% 1 2003 22.40% 1 1993 17.70% 1 "Moderate or Great Risk: Perception of Parent Disapproval, "Very wrong: 2014 59% 3 2012 59.60% 3 2014 88.10% 3 2012 86.50% 3 Access is "very hard" 2012 55.80% Driving and Marijuana Use 2013-2014 12.60% 2 1 Youth Risk Behavior Surveillance- United States, 2014. Centers for Disease Controll and Prevention. Morbidity and Mortality Weekly Report. Available: http://www.cdc.gov/mmwr/pdf/ss/ss6304.pdf 2 Trends in the Prevalence of Alcohol Use National YRBS: 1991-2013. 2014. Centers for Disease Control and Prevention. Division of Adolescent and School Health. Available: http://www.cdc.gov/healthyyouth/data/yrbs/pdf/trends/us_alcohol_trend_yrbs.pdf 3 Anderson County Pride Data

TIPTXT Alcohol Prescription Drugs Tobacco Marijuana Bully 2 2