NM Community Survey and Strategies for Success: Preliminary 2013 Results
Post on 24-Feb-2016
46 Views
Preview:
DESCRIPTION
Transcript
N M O S A P R E C I P I E N T M E E T I N GA U G U S T 2 7 , 2 0 1 3
NM COMMUNITY SURVEY AND STRATEGIES FOR SUCCESS: PRELIMINARY 2013 RESULTS
WHO IMPLEMENTED THE NMCS?
Groups County Total NEligible
NCurrent OSAP Sites San Juan 400 399
Taos 414 411 Laguna 208 206 N. Rio Arriba 246 230
Albuquerque/Bernalillo 352 339
Past SPF SIG Catron 300 300 Hidalgo 325 315Comparison sites Zia 106 101 Chaves 517 457
Grand total 2868 2758
WHO ASKED WHAT?
• No sites used the entire survey • Almost all sites included alcohol use and access
items• Many included prescription drug use questions• Only a few included mental health questions
DEMOGRAPHICSCharacteristics n %
Age (n=2758)Ages 18-20 234 8.5Ages 21-25 354 12.8Ages 26-30 375 13.6Ages 31-40 551 20.0Ages 41-50 536 19.4Ages 51-60 385 14.0Ages 61-70 238 8.6Ages 71 + 85 3.1
Biological Sex Male 984 36.2 Female 1737 63.8Race/Ethnicity White 926 33.6 Hispanic 1199 43.5 Native American 540 19.6 Other 93 3.4
0.0
5.0
10.0
15.0
20.0
25.0
30.0
35.0
40.0 37.4
18.9
6.3 5.9
21.6
12.3
6.5
18.1
5.0
15.4
Overall Prevalence of Risk Behavior and Need Among the Whole Sample
Risk Behavior
Perc
ent
TOBACCO
PAST 30-DAY CIGARETTE AND TOBACCO USE
Whole sample
Male Female Whole sample
Male Female
Every day Some days
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
15.2%
20.6%
11.8% 11.6%
15.0%
9.3%
3.5%
7.8%
0.9%
4.4%
8.2%
1.9%
Cigarette use Tobacco use
ALCOHOLAND RELATED QUESTIONS
PAST 30 DAY ALCOHOL USE BY BIOLOGICAL SEX
0.0%10.0%20.0%30.0%40.0% 37.4%
18.9%
6.3% 5.9%
42.6%
25.4%
8.0% 7.2%
34.6%
15.4%5.5% 5.3%
Whole Sample Male Female
PAST 30 DAY ALCOHOL USE BY RACE/ETHNICITY
0.0%10.0%20.0%30.0%40.0% 39.9%
15.2%5.6% 5.9%
39.7%
21.6%
6.8% 6.4%
24.3%18.5%
4.8% 3.7%
38.9%
19.4% 13.9%8.5%
White (n=783) Hispanic (n=1135) Native American (n=350) Other (n=72)
PAST 30-DAY ALCOHOL USE BY AGE
30-day alcohol use Five or more drinks on one occasion in past 30
days
0.0%5.0%
10.0%15.0%20.0%25.0%30.0%35.0%40.0%45.0%50.0%
31.3%
22.4%
39.8%
26.0%
44.7%
25.9%
44.5%
24.7%
35.7%
15.6%
33.3%
12.2%
26.8%
4.1%
Ages 18-20 Ages 21-25Ages 26-30Ages 31-40Ages 41-50 Ages 51-60Ages 61 +
PAST 30-DAY DRIVING WHILE INTOXICATED BY AGE
Driven under influence in past 30 days
Driven in past 30 days after having had 5 or
more drinks
0.0%2.0%4.0%6.0%8.0%
10.0%12.0%14.0%16.0%
Ages 18-20 Ages 21-25Ages 26-30Ages 31-40Ages 41-50 Ages 51-60Ages 61 +
PAST 30-DAY BINGE DRINKING AMONG VETERANS
Veteran/Active Duty Non-Veteran0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
20.3%17.1%
ACCESS TO ALCOHOL (N=202)
Bought it at a store
Bought it at a restaurant/bar/public place
Parent/guardian gave or bought it
Adult family member gave or bought it
Unrelated adult gave or bought it
Someone underage gave or bought it
Took it from home
Took it from store without paying
Got it in Mexico
Got it at a party
Got it some other way
0.0% 5.0% 10.0% 15.0% 20.0%1.0%
1.8%7.9%
7.4%17.3%
5.0%4.0%
0.5%2.5%
12.9%1.0%
PRESCRIPTION PAIN KILLERSAND RELATED QUESTIONS
PRESCRIPTION PAIN KILLER USE BY BIOLOGICAL SEX
Past Year Rx Pain Killer Prescribed
Past 30-Day Rx Pain Killer Use0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
21.6%
12.3%
18.0%
12.5%
23.8%
12.2%
Whole Sample Male Female
PAST 30-DAY PRESCRIPTION PAIN KILLER USE BY RACE/ETHNICITY
-5.0%0.0%5.0%
10.0%15.0%20.0%25.0%30.0%
12.8%10.1%
14.3%
24.4%
PAST 30-DAY PRESCRIPTION PAIN KILLER USE BY AGE
Ages 18-20
Ages 21-25
Ages 26-30
Ages 31-40
Ages 41-50
Ages 51-60
Ages 61 +0.0%2.0%4.0%6.0%8.0%
10.0%12.0%14.0%16.0%18.0%20.0%
18.1%
11.5%
9.1%
14.1%
9.9%
13.1%12.0%
PAST 30-DAY PRESCRIPTION PAIN KILLER USE BY ARMED SERVICE STATUS
Veteran/Active Duty Civilian0.0%
5.0%
10.0%
15.0%13.6%
14.7%
PAST 30-DAY PRESCRIPTION DRUG USE BY BINGE DRINKING STATUS
Non-Binge Drinker (n= 1566) Current Binge Drinker (n=381)0.0%2.0%4.0%6.0%8.0%
10.0%12.0%14.0%16.0%18.0%20.0%
9.8%
18.6%
REASONS OF PRESCRIPTION DRUG USE (N=283)
To treat pain that my doctor or dentist identified
For pain not identified by my physician
To have fun with a friend or friend(s) socially
To help me sleep
To get high, messed up or stoned
To cope with anxiety or stress
To substitute for other drugs or medications
To affect the impact other drugs
To cope with social pressure
To avoid the bad feelings of withdrawal
Another reason
0.0% 20.0% 40.0% 60.0% 80.0%
60.1%25.1%
3.9%10.6%
8.1%8.8%
3.9%1.4%3.5%3.5%3.9%
SOURCES OF PRESCRIPTION DRUGS (N=283)
One doctor prescribed for one pain problem
Different doctors prescribed for one pain problem
Different doctors prescribed for different pain problems
Family member shared
Friend shared
Bought from a dealer/stranger
Taken from a friend/relative
Bought on the internet
Bought in Mexico
Other places
0.0% 20.0% 40.0% 60.0% 80.0%
62.5%4.2%3.5%
14.5%15.9%
3.2%1.4%0.4%3.9%2.1%
MENTAL HEALTHAND RELATED QUESTIONS
MENTAL HEALTH CONCERNS BY BIOLOGICAL SEX
0.0%4.0%8.0%
12.0%16.0%20.0%
6.5%
18.1%
5.0%
15.4%
5.8%
18.5%
7.4%
14.1%7.1%
18.1%
3.8%
16.4%Whole Sample Male Female
MENTAL HEALTH CONCERNS BY RACE/ETHNICITY
0.0%5.0%
10.0%15.0%20.0%25.0%
6.1%
21.0%
7.4%
20.8%
7.0%
16.4%
4.1%
13.1%
4.1%
19.3%
3.8%
14.0%15.8% 15.9%
7.3%
16.3%
White Hispanic Native American Other
MENTAL HEALTH CONCERNS BY AGE
0.0%5.0%
10.0%15.0%20.0%25.0%
Ages 18-20 Ages 21-25Ages 26-30Ages 31-40Ages 41-50 Ages 51-60Ages 61 +
MENTAL HEALTH CONCERNS BY AGE
0.0%5.0%
10.0%15.0%20.0%25.0%
Ages 18-20 Ages 21-25Ages 26-30Ages 31-40Ages 41-50 Ages 51-60Ages 61 +
MENTAL HEALTH CONCERNS BY ARMED SERVICE STATUS
0.0%4.0%8.0%
12.0%16.0%20.0%
5.6%8.2%
4.9% 6.5%6.0%
18.5%
4.8%
13.5%
Veteran/Active Duty Civilian
MENTAL HEALTH CONCERNS BY BINGE DRINKING
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
6.4%
15.8%
4.7%
15.4%
7.3%
26.5%
1.2%
15.0%
No (n=1566) Yes (n=381)
SOURCES OF PROFESSIONAL HELP (N=180)
Primary care provider
Private therapist or counselor
Community mental or behavioral health center
Psychiatrist
Other healers like herbalist etc.
Faith-based services
Spiritual healer
Emergency room
Inpatient behavioral health services or detox
While in jail or prison
Other health practitioner
0.0% 10.0% 20.0% 30.0% 40.0%
35.6%36.1%
30.6%10.6%10.0%10.0%
3.3%7.8%
5.0%3.9%
7.2%
TYPES OF PROFESSIONAL HELP (N=120)
One on one therapy
Group therapy
Self-help groups like 12- step, AA
Minister, priest or other spiritual guide/healer
Inpatient (overnight)
Emergency care
Detox
Medication
Herbs, acupuncture or homeopathy
Something else
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%
60.8%14.2%14.2%
7.5%3.3%
0.8%4.2%
23.3%10.8%
8.3%
ACCESS TO ALCOHOL AND PERCEPTION OF RISK
ACCESS TO ALCOHOL
Mean (SD) Range
Very difficul
tSomewhat difficult
Somewhat easy
Very easy
Don't know
Teens in the community to get alcohol (n=1225)
1.73 (0.87) 1-4 4.6% 10.1% 29.4% 42.7
% 13.2%
Teens in the community to get alcohol from stores and restaurants (n=1636)
2.72 (1.01) 1-4 23.4% 27.7% 22.7% 12.3
% 13.9%
PERCEPTION OF RISK OF LEGAL CONSEQUENCES
Mean (SD) Range Very
likelySomewhat
likelyNot very likely
Not at all
likelyDon't know
Likelihood of police breaking up parties where teens are drinking (n=1864)
2.67 (0.92) 1-4 16.5% 35.9% 23.7% 10.9
% 13.0%
Likelihood of police arresting an adult for giving alcohol to someone under 21 (n=2037)
2.78 (1.00) 1-4 25.4% 27.6% 22.4% 11.1
% 13.4%
Likelihood of someone being arrested if caught selling alcohol to a drunk or intoxicated person (n=2115)
2.62 (1.00) 1-4 20.8% 27.6% 28.2% 13.4
% 10.0%
Likelihood of being stopped by police if driving after drinking too much (n=2117)
2.93 (0.90) 1-4 27.1% 39.1% 19.4% 7.1% 7.4%
Likelihood of being convicted if stopped and charged with DWI (n=2081)
3.36 (0.83) 1-4 47.7% 29.3% 7.4% 4.3% 11.4%
2013 NMCS SUMMARY OF RESULTS
• Over 20% of males reported smoking cigarettes every day
• Over 25% of males reported binge drinking in the past 30 days
• 18-20 year olds report the highest prevalence of driving under the influence and after 5 or more drinks compared to all other age groups; but they are not reporting the most drinking or binge drinking
• Rx pain killer use is most prevalent among 18-20 year olds and 31 to 40 year olds.
• Current binge drinkers are almost twice as likely to report using Rx pain killers.
2013 NMCS SUMMARY OF RESULTS• In the past year, males were almost twice as likely as
females to report having suicidal thoughts• 18 to 20 year olds were far less likely to have received
professional help for a mental health or substance abuse problem despite reporting some of the highest reported prevalences of past 30-day & past year mental health problems and suicidal ideation
• 31-40 year olds also experience a higher prevalence of mental health problems than other ages but they also are most likely to receive treatment.
• Binge drinkers are far more likely to report having had a mental health/drug/alcohol problem in the past year but only equally likely to get professional help for it
• Over 72% of respondents thought it was very easy or somewhat easy for teens to get alcohol in their communities
STRATEGIES FOR SUCCESSPRELIMINARY ANALYSES
DEMOGRAPHICS
Demographic% SFS Program
Participants Male (n=344)
% SFS Program Participants Female
(n=346)Grade
5th grade 0.58 1.456th grade 47.97 49.717th grade 33.14 35.268th grade 18.31 13.58
Race/Ethnicity White 12.79 10.69Hispanic 65.12 64.74Native American 18.31 21.97Other 3.78 2.60
Language Other than English Spoken Most Oftenb,c
Yes 51.16 55.49
TOTAL MATCHED PAIRS
•Total Matched Pairs: N= 625
PREVALENCE OF ATOD USE AMONG FEMALES AT PRE- AND POST-TEST
Ciga-rettes
Chewing Tobacco
Alcohol Binge Drinking
Marijuana Inhalant ever use
0.0
1.0
2.0
3.0
4.0
5.0
6.0
7.0
2.0
1.0
5.6
2.3
3.6 3.63.3
0.7
6.5
3.64.3 4.6
Female Pretest Female Posttest
Perc
ent
PREVALENCE OF ATOD USE AMONG MALES AT PRE- AND POST-TEST
Cigarettes Chewing Tobacco
Alcohol Binge Drinking
Marijuana Inhalant ever use
0.01.02.03.04.05.06.07.08.09.0
3.5
0.6
8.2
2.5
4.53.8
2.51.9
8.5
2.5
5.75.1
Male Pretest Male Posttest
Perc
ent
CHANGE IN THE PREVALENCE OF FEMALE RESPONDENTS WHO REPORTED ATOD USE PRE-TEST COMPARED TO POST-
TEST (N= 32)
Cigarettes Chewing Tobacco
Alcohol Binge Drinking
Marijuana Inhalant Ever Use
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%Percentage at pre-test Percentage at post-test
Perc
ent
16.6% Decrease
52.9% Decrease
42.9% Decrease
45.5% Decrease18.2% Decrease
100.0% Decrease
CHANGE IN THE PREVALENCE OF MALE RESPONDENTS WHO REPORTED ATOD USE PRE-TEST COMPARED TO POST-TEST
(N=46)
Cigarettes Chewing Tobacco
Alcohol Binge Drinking
Marijuana Inhalant Ever Use
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%Percentage at pre-test Percentage at post-test
Perc
ent
44.2% Decrease
104.4% Increase
35.6% Decrease
34.7% Decrease
21.6% Decrease3.5% Decrease
CHANGE IN THE PREVALENCE OF HISPANIC FEMALE RESPONDENTS WHO REPORTED ATOD USE PRE-TEST
COMPARED TO POST-TEST
Cigarettes Chewing Tobacco
Alcohol Binge Drinking
Marijuana Inhalant Ever Use
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
70.0%Percentage at pre-test Percentage at post-test
Perc
ent
92.7% Increase
28.7% Decrease
12.8% Decrease
22.3% Increase
22.0% Decrease
CHANGE IN THE PREVALENCE OF HISPANIC MALE RESPONDENTS WHO REPORTED ATOD
USE PRE-TEST COMPARED TO POST-TEST
Cigarettes Chewing Tobacco
Alcohol Binge Drinking
Marijuana Inhalant Ever Use
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%Percentage at pre-test Percentage at post-test
Perc
ent 19.7% Increase
27.5% Decrease
23.2% Decrease
18.4% Decrease
16.4% Decrease
30.7% Decrease
CHANGE IN THE PREVALENCE OF NATIVE AMERICAN FEMALE RESPONDENTS WHO REPORTED ATOD USE
PRE-TEST COMPARED TO POST-TEST
Cigarettes Chewing Tobacco
Alcohol Binge Drinking
Marijuana Inhalant Ever Use
0.0%5.0%
10.0%15.0%20.0%25.0%30.0%35.0%40.0%45.0%50.0%
Percentage at pre-test Percentage at post-test
Perc
ent
16.2% Decrease 30.2% Decrease
62.8% Decrease
10.6% decrease
58.1% Decrease
CHANGE IN THE PREVALENCE OF NATIVE AMERICAN MALE RESPONDENTS WHO REPORTED ATOD USE PRE-TEST
COMPARED TO POST-TEST
Cigarettes Chewing Tobacco
Alcohol Binge Drinking
Marijuana Inhalant Ever Use
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%Percentage at pre-test Percentage at post-test
Perc
ent
52.8% Decrease
64.6% Decrease
36.2% Decrease
57.5% Decrease
13.7% Decrease
32.4% Decrease
PERCENT OF ALL RESPONDENTS WHO REPORTED ANY Rx DRUG MISUSE PRE- AND POST-TEST
Pre Post Pre PostMale Female
0.0%
1.0%
2.0%
3.0%
4.0%
5.0%
6.0%
1.3%
5.7%4.9% 4.9%
Perc
ent
PERCENT WHO PERCEIVED MODERATE OR GREAT RISK OF HARM
0.0%20.0%40.0%60.0%80.0%
Baseline Posttest
Perc
ent
PERCENT WHO PERCEIVED ATTITUDES TOWARDS ALCOHOL AS
WRONG OR VERY WRONG
How wrong parents feel for you to drink alcohol
How wrong you feel for someone your age to drink
alcohol
0.0%10.0%20.0%30.0%40.0%50.0%60.0%70.0%80.0%90.0%
100.0% 96.5% 94.7%95.3% 93.7%Baseline Posttest
Perc
ent
SUMMARY OF SFS FINDINGS
• Alcohol remains the substance used most widely for both males and females.• ATOD use increased only slightly, if at all, and is likely
attributable to maturation• Among those youth already using any substance at
pre-test, there were dramatic decreases in prevalence at post-test for almost everyone with some notable exceptions.• Hispanic females -cigarettes and marijuana • Hispanic males – cigarettes• Prevalence at post-test among Native American
males and females who reported using any substance at pre-test decreased across the board.
SUMMARY OF SFS FINDINGS
• Males increased their prescription drug use from pre- to post-test however, females started higher than males and did not change.• Perceived risk of harm increased modestly but is
still lower than ideal.• Perceived attitudes did not change but were
already quite high.
THOUGHTS, QUESTIONS, CONCERNS
Martha Wallermwaller@pire.org919-265-2631
Liz Lilliott Lilliott@pire.org 505-765-2330
Lei Zhang
lzhang@pire.org919-265-2624
top related