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2017-2022 SPE Strategic Planning:Data Needs Assessment
Washington State Strategic Prevention Enhancement Policy Consortium
March 13, 2017
3/27/2017 2
Organization of PresentationLogic Model
• Section 1: Long-Term Outcomes 23 Slides
• Section 2: Intermediate Outcomes 40 Slides
• Section 3: Short-term Outcomes 29 Slides
• Section 4: Survey Information, Adults, Summary 31 Slides
3/27/2017 3
Section 1
• Substance-abuse Related Injuries and Deaths
• Crime
• Suicide and Suicide Attempts
• Fatal and Serious Injury Crashes, and Drinking and Driving
• Low Graduation Rates
3/27/2017 4
Long-term Outcomes: ConsequencesWhat are the problems we are trying to address?
3/27/2017 5
Long-term Outcomes: Consequences Substance-abuse Related Injuries and
Deaths
Alcohol-Related Injuries by Age Group2010-2015
3/27/2017 6
Source: Washington Department of Social and Health Services, Research and Data Analysis. CORE data, February 2017.
12.5 12.04
18.6813.42
9.38 9.73
69.2 71.269.0 71.0
57.5
63.6
0
20
40
60
80
100
2010 2011 2012 2013 2014 2015
Age Group= 10-17
Age Group= 18-25
Per
10
0,0
00
Po
pu
lati
on
Drug Related Injuries by Age Group2010-2015
3/27/2017 7
Source: Washington Department of Social and Health Services, Research and Data Analysis. CORE data, February 2017.
28.1 30.31 32.2225.42 28.27 31.44
96.43
115.05118.68 117.65 117.88
142.91
0
25
50
75
100
125
150
2010 2011 2012 2013 2014 2015
Age Group= 10-17
Age Group= 18-25
Per
10
0,0
00
Po
pu
lati
on
Opioid Related Hospitalizations All Ages: 1999-2015
3/27/2017 8
8.3
21.3
6.2
15.8
2.25.7
0
5
10
15
20
25
30
199
9
200
0
200
1
200
2
200
3
200
4
200
5
200
6
200
7
200
8
200
9
201
0
201
1
201
2
201
3
201
4
201
5
Age
-ad
just
ed r
ate
per
10
0,0
00
All opioids Prescription (Non-heroin) Opioid Heroin
Source: Washington Department of Health, February 2017.
3/27/2017 9
Alcohol-Related Deaths by Age Group2011-2015
Source: Washington Department of Social and Health Services, Research and Data Analysis. CORE data, Program 100 Report, February 2017.
3.72.9 2.3 2.7
4.1
16.5
18.1
15.9
18.9
17.2
0
5
10
15
20
25
2011 2012 2013 2014 2015
10-17
18-25
Per
10
0,0
00
Pop
ula
tio
n
3/27/2017 10
Drug-Related Deaths by Age Group2011-2015
Source: Washington Department of Social and Health Services, Research and Data Analysis. CORE data, Program 100 Report, February 2017.
0.4 0.4 0.6 0.4 0.7
12.3
14.7
8.3
13.113.5
0
5
10
15
20
2011 2012 2013 2014 2015
10-17
18-25
Per
10
0,0
00
Pop
ula
tio
n
3/27/2017 11
Opioid-Related Deaths All Ages1999-2015
Source: Washington Department of Health, February 2017.
5.9
9.7
2.7
5.5
0.9
4.4
0
2
4
6
8
10
12
19
99
20
00
20
01
20
02
20
03
20
04
20
05
20
06
20
07
20
08
20
09
20
10
20
11
20
12
20
13
20
14
20
15
Age
-ad
just
ed r
ate
per
10
0,0
00
All opioids Prescription Opioid Heroin
3/27/2017 12
Long-term Outcomes: ConsequencesCrime
3/27/2017 13
Alcohol-Related Arrests by Age Group2011-2015
Source: Washington Department of Social and Health Services, Research and Data Analysis. CORE data, Program 100 Report, February 2017.
3.92.7 2.4 2.0 1.8
25.0
18.016.4
14.612.9
0
5
10
15
20
25
30
2011 2012 2013 2014 2015
10-17 18-24
Pe
r 1
00
,00
0 P
op
ula
tio
n
3/27/2017 14
Drug-Related Arrests by Age Group2011-2015
Source: Washington Department of Social and Health Services, Research and Data Analysis. CORE data, Program 100 Report, February 2017.
5.2
3.3 3.2 2.92.3
14.6
6.8
5.4 5.1 4.8
0
5
10
15
20
2011 2012 2013 2014 2015
10-17
18-24
Per
10
0,0
00
Pop
ula
tio
n
3/27/2017 15
Long-term Outcomes: ConsequencesGraduation Rates
3/27/2017 16
Graduation Rates: 2010-2015
Source: Office of Superintendent of Public Instruction http://www.k12.wa.us/DataAdmin/PerformanceIndicators/DataAnalytics.aspx
76% 77% 77% 76% 77% 78%83%
78% 79% 79% 80% 81%
0%
20%
40%
60%
80%
100%
2010 2011 2012 2013 2014 2015
On-Time Graduation
Extended Graduation
Perc
ent
ofP
op
ula
tio
n
3/27/2017 17
Long-term Outcomes: ConsequencesSuicide and Self-Inflicted Injuries
3/27/2017 18Source: Washington Department of Health, Center for Health Statistics, March 2015, Accessed: February 2017
Suicide Rates All: 2007-2015
12.9 13.0 13.313.8 14.0
14.614.0
15.4 15.6
0.0
4.0
8.0
12.0
16.0
20.0
2007 2008 2009 2010 2011 2012 2013 2014 2015
Age
Ad
just
ed p
er 1
00
,00
0
3/27/2017 19
Suicide and Suicide Attempts: 10-17 Age Group, 2011-2015
Source: Washington Department of Social and Health Services, Research and Data Analysis. CORE data, February 2017.
50.42
62.7366.69
82.83
75.72
0
25
50
75
100
2011 2012 2013 2014 2015
Age Group= 10-17
Per
10
0,0
00
Po
pu
lati
on
3/27/2017 20
Any Suicide Attempt, Past 12 Months,8th, 10th, 12th Grades
8%8%
9%10%
6%
9%
0%
5%
10%
15%
2002 2004 2008 2010 2012 2014 2016
8th Grade
10th Grade
12th Grade
Source: Washington Healthy Youth Survey - 2002, 2004, 2008, 2010, 2012, 2014, 2016.
3/27/2017 21
Reported Suicide Attempts Past 12 months among 10th Graders: Race and Ethnicity
10%
16%
10%
12%
16%
11%12%
9%
Hispanic AI/AN Asian Black Multi-Race NativeHawaiian/OtherPacific Islander
Other Race White0%
5%
10%
15%
20%
Source: Washington State Healthy Youth Survey – 2016.
3/27/2017 22
Long-term Outcomes: ConsequencesFatalities and Serious Injuries
from Traffic Crashes
3/27/2017 23
Source: Washington State Strategic Highway Safety Plan 2016: Target Zero.
Traffic Fatalities: WSDOT – Target Zero
Fatal Crashes All Ages: 2008-2015
3/27/2017 24Sources: Washington Traffic Safety Commission: Quarterly Target Zero Data http://wtsc.wa.gov/research-data/quarterly-target-zero-data; Accessed: 2/2017
31%
19%
28%
36%
15%18%
0%
10%
20%
30%
40%
50%2
00
8
20
09
20
10
20
11
20
12
20
13
20
14
20
15
Alcohol Impaired Driver-Involved
Drug Positive Driver-Involved
Marijuana Positive Driver-Involved
Perc
ent
of
Tota
lCra
shes
Serious Injury Crashes All Ages: 2008-2015
3/27/2017 25
19%
19%17%
21% 21%19%
17% 16%
0%
20%
40%
60%
2008 2009 2010 2011 2012 2013 2014 2015
Perc
ent
of
Seri
ou
sIn
jury
Cra
shes
Sources: Washington Traffic Safety Commission: Quarterly Target Zero Data http://wtsc.wa.gov/research-data/quarterly-target-zero-data; Accessed: 2/2017
Section 1
Questions
3/27/2017 26
Long-term Outcomes: ConsequencesWhat are the problems we are trying to address?
Section 2
• Substance Use Disorders• Mental Health
Data Sources: HYS, YAHS
3/27/2017 27
Intermediate Outcomes: Behavioral Health ProblemsWhat are the problems areas?
3/27/2017 28
The Healthy Youth Survey is a statewide school survey administered every 2 years since 1988. The current version has been implemented since 2002.
The HYS collects data on health risk behaviors that contribute to morbidity, mortality, and social problems among youth.
Respondents: 6th, 8th, 10th, and 12th grade students.
Schools: 1,000 public schoolsParticipants: 230,000 studentsState Sample: 38,000 studentsState Sample 10th Grade: 11,000 students
Healthy Youth Survey
3/27/2017 29
The Washington State Young Adult Health Survey (YAHS) is an annual online survey that measures marijuana and other substance use, risk factors, and perceptions of risk and consequences among young adults aged 18 to 25 residing in Washington State.
Participation 2015: 1,700Non-Random SampleOn-line survey strategy
Young Adult Health Survey
3/27/2017 30
Note: Figures where the Target was met or exceeded as of the 2016 Healthy Youth Survey are highlighted in bold.
Intermediate Outcomes among 10th Graders
Source: Washington Healthy Youth Survey - 2012, 2014, 2016.
Intermediate Outcomes:
Behavioral Health Problems -
HYS - 10th graders
2012 2014 2016Current Target
2017Future Targets
Underage Drinking % % % % %
Drank alcohol in last 30 days 23.3% 20.6% 20.3% 19.0%
Experimental use of alcohol 8.5% 9.2% 8.7% 9.9%
Heavy use of alcohol 7.1% 5.8% 6.2% 7.2%
Problem drinking 9.4% 6.9% 6.8% 9.0%
Binge drinking 14.3% 10.6% 10.9% 14.6%
Marijuana Misuse/Abuse % % % % %
Used marijuana in the last 30 days 19.3% 18.1% 17.2% 18.0%
Used marijuana 6 or more days 8.6% 7.8% 7.7% 7.6%
Prescription drug misuse/abuse % % % % %
Used pain killer in past 30 days 6.0% 4.6% 4.4% 7.5%
Tobacco Misuse/Abuse % % % % %
Smoked cigarettes in the past 30 days 9.5% 7.9% 6.3% 11.4%
Depression % % % % %
Sad/hopeless in past 12 months 30.9% 34.9% 34.5% 26.8%
Suicide Ideation % % % % %
Suicide Ideation 18.8% 20.5% 20.6% 15.8%
3/27/2017 31
Alcohol Use: Youth, Past 30 Days
4%2%
18%
8%
29%
20%
43%
32%
0%
10%
20%
30%
40%
50%
60%
2002 2004 2006 2008 2010 2012 2014 2016
6th Grade
8th Grade
10th Grade
12th Grade
Source: Washington Healthy Youth Survey - 2002, 2004, 2006, 2008, 2010, 2012, 2014, 2016.
3/27/2017 32
Alcohol Use, Past 30 Days10th Graders by Race and Ethnicity
Source: Washington State Healthy Youth Survey – 2016.
22%
25%
12%
20%
23% 24% 23%
20%
Hispanic AI/AN Asian Black Multi-Race NativeHawaiian/OtherPacific Islander
Other Race White
0%
5%
10%
15%
20%
25%
30%
3/27/2017 33
Binge Drinking, Past 2 Weeks: 6th, 8th, 10th, 12th GradesHad 5 or more drinks in a row during the past 2 weeks?
3%1%
10%
4%
19%
11%
27%
18%
0%
10%
20%
30%
40%
50%
2002 2004 2006 2008 2010 2012 2014 2016
6th Grade
8th Grade
10th Grade
12th Grade
Source: Washington Healthy Youth Survey - 2002, 2004, 2006, 2008, 2010, 2012, 2014, 2016.
3/27/2017 34
Binge Drinking , Past 2 Weeks10th Graders by Race and Ethnicity
Source: Washington State Healthy Youth Survey – 2016.
13%
16%
5%
15%
13%
15%
13%
10%
Hispanic AI/AN Asian Black Mult-Race NativeHawaiian/OtherPacific Islander
Other Race White
0%
5%
10%
15%
20%
3/27/2017 35
Level of Alcohol Use: 10th Graders - 2016
Among 10th graders who drank alcohol in the past 30 days, nearly 1 in 3 are problem drinkers
*LEVEL OF ALCOHOL USE
None: no drinking in the past 30 days and no binge drinking in the past 2 weeks
Experimental: 1-2 days drinking, and no binge drinking
Heavy: 3-5 days of drinking, and/or one binge
Problem: 6+ days drinking, and/or 2+ binges
No Drinking78.3%
Experimental
8.7%
Problem
6.8%Heavy
6.2%
Source: Washington State Healthy Youth Survey – 2016.
3/27/2017 36
Level of Alcohol Use, Past 30 Days10th Graders
Source: Washington Healthy Youth Survey - 2010, 2012, 2014, 2016.
11%
8%
10%
9%
7%
9%9%
6%7%
9%
6%7%
0%
5%
10%
15%
20%
Experimental Heavy Problem
2010
2012
2014
2016
3/27/2017 37
Used marijuana/hashish during the past 30 days?
Marijuana Use: Youth, Past 30 Days
Source: Washington Healthy Youth Survey - 2002, 2004, 2006, 2008, 2010, 2012, 2014, 2016.
1% 1%
10%
6%
18%17%
25%26%
0%
10%
20%
30%
40%
2002 2004 2006 2008 2010 2012 2014 2016
6th Grade
8th Grade
10th Grade
12th Grade
3/27/2017 38
Marijuana Use, Past 30 Days 10th Graders by Race and Ethnicity
Source: Washington State Healthy Youth Survey – 2016.
20%
26%
9%
21%19%
21% 22%
16%
Hispanic AI/AN Asian Black Multi-Race NativeHawaiian/OtherPacific Islander
Other Race White
0%
10%
20%
30%
3/27/2017 39
Level of Marijuana Use: 10th Graders - 2016
No Marijuana Use
82.8%
Source: Washington State Healthy Youth Survey – 2016.
Among 10th graders who used marijuana in the past 30 days,
nearly 1 in 3 used for10 or more days
3/27/2017 40
Pain Killer Use: Youth, Past 30 Days
Q. Use a pain killer to get high, like Vicodin, OxyContin (sometimes called Oxy or OC) or Percocet (sometimes called Percs)?
4%
2%
10%
4%
12%
5%
0%
10%
20%
2006 2008 2010 2012 2014 2016
8th Grade
10th Grade
12th Grade
Source: Washington Healthy Youth Survey - 2006, 2008, 2010, 2012, 2014, 2016.
3/27/2017 41
Prescription Drug Misuse: Youth, Past 30 Days
Source: Washington Healthy Youth Survey - 2014, 2016.
4%
8%9%
5%
8%9%
0%
5%
10%
15%
20%
8th Grade 10th Grade 12th Grade
2014
2016
3/27/2017 42
Prescription Drug Misuse among10th Graders: Race and Ethnicity
Source: Washington State Healthy Youth Survey – 2016.
10%
8%
3%
12%
7%
10%11%
7%
Hispanic AI/AN Asian Black Multi-Race NativeHawaiian/OtherPacific Islander
Other Race White
0%
5%
10%
15%
20%
3/27/2017 43
Cigarette Use: Youth, Past 30 Days
Source: Washington Healthy Youth Survey - 2004, 2006, 2008, 2010, 2012, 2014, 2016.
2% 1%
8%
3%
13%
6%
20%
11%
0%
10%
20%
30%
2004 2006 2008 2010 2012 2014 2016
6th Grade
8th Grade
10th Grade
12th Grade
3/27/2017 44
Cigarette Use among10th Graders: Race and Ethnicity
Source: Washington State Healthy Youth Survey – 2016.
6%
13%
3%
8%9%
8%
10%
6%
Hispanic AI/AN Asian Black Multi-Race NativeHawaiian/OtherPacific Islander
Other Race White
0%
5%
10%
15%
20%
3/27/2017 45
E-Cigarette Use: Youth, Past 30 Days
Source: Washington Healthy Youth Survey - 2014, 2016.
8%
18%
23%
1%
6%
13%
20%
0%
5%
10%
15%
20%
25%
30%
6th Grade 8th Grade 10th Grade 12th Grade
2014
2016
3/27/2017 46
E-Cigarette Use by Race and Ethnicity10th Graders
Source: Washington State Healthy Youth Survey – 2016.
12%
23%
6%
13%14%
12%
17%
13%
Hispanic AI/AN Asian Black Multi-Race NativeHawaiian/OtherPacific Islander
Other Race White
0%
5%
10%
15%
20%
25%
30%
3/27/2017 47
Summary 30-Day Substance Use10th Graders, 2002-2016
Source: Washington State Healthy Youth Survey – 2016.
2002 2004 2006 2008 2010 2012 2014 2016
Alcohol 29% 33% 33% 32% 28% 23% 21% 20%
Marijuana 18% 17% 18% 19% 20% 19% 18% 17%
Cigarettes 15% 13% 15% 14% 13% 10% 8% 6%
Pain Killer Use 10% 10% 8% 6% 5% 4%
E-Cigarettes 18% 13%
Rx Drug Misuse 8% 8%
0%
10%
20%
30%
40%
3/27/2017 48
Tobacco Use by Type, Past 30 Days10th Graders
10%
7%
5%
9% 9%
4%
1%
8%
5%4%
9%10%
18%
6%
4%3%
5%
13%
0%
5%
10%
15%
20%
25%
Cigarettes Cigars SmokelessTobacco
Candy-flavoredTobacco
Hookah E-Cigarettes orVape Pens*
Dissolvables
2012
2014
2016
Source: Washington Healthy Youth Survey - 2012, 2014, 2016.
3/27/2017 49
E-Cigarette Use among Youth: Type of UseAmong 8th, 10th, 12th Grades Who Use Tobacco
Source: Washington Healthy Youth Survey - 2016.
24% 24%
43%
15%
37%
26%
39%
10%
53%
21%
30%
8%
0%
10%
20%
30%
40%
50%
60%
70%
80%
Nicotine THC Flavor Only Don't Know
8th Grade
10th Grade
12th Grade
Young Adults by Age Group: 30-Day Drug Use
3/27/2017 50
53%
29%
17% 16%
80%
31%
17%
8%
0%
20%
40%
60%
80%
100%
Alcohol Use Marijuana Use Current Smoker E-Cigarettes
18-20
21-25
Source: Young Adult Health Survey - 2015
3/27/2017 51
Behavior Associated with Youth Substance Use (Skipped School in Past 4 Weeks)
Source: Washington Healthy Youth Survey - 2010, 2012, 2014, 2016.
17%19%
22%
28%
17%
15%
19%
24%
17%15%
18%
28%
19% 18%
21%
30%
0%
10%
20%
30%
40%
6th Grade 8th Grade 10th Grade 12th Grade
2010
2012
2014
2016
3/27/2017 52
Behavior Associated with Youth Substance Use(Drunk or High at School in Past 12 Months)
Source: Washington Healthy Youth Survey - 2010, 2012, 2014, 2016.
8%
17%
19%
7%
15%
19%
6%
14%
18%
6%
13%
18%
0%
5%
10%
15%
20%
25%
30%
8th Grade 10th Grade 12th Grade
2010
2012
2014
2016
3/27/2017 53
Drinking and Driving in the Past 30 Daysamong 10th and 12th graders
Source: Washington Healthy Youth Survey - 2016.
*Regular drinking: Drinking on 10 or more days in the past 30 days.
94.6 90.5
5.4 9.5
0%
20%
40%
60%
80%
100%
10th GradeAlcohol
12th GradeAlcohol
No Yes
3/27/2017 54
Frequency of Drinking and Driving in the Past 30 Days among 10th and 12th Graders Who Responded “Yes”
Source: Washington Healthy Youth Survey - 2016.
44%
55%
27%
27%
15%
9%
14%10%
0%
25%
50%
75%
100%
5.4% of 10th Grade 9.5% of 12th Grade
once 2-3 4-5 6 +
3/27/2017 55
10th Grade Trends: Drinking and Driving, and Riding with a Driver who had been Drinking
Source: Washington State Healthy Youth Survey – 2004, 2006, 2008, 2010, 2012, 2014, 2016.
6.4%7.4%
6.3% 7.2%5.4% 4.9% 5.4%
23.9% 24.5% 24.4%
21.8%
19.4%17.7% 17.5%
0%
5%
10%
15%
20%
25%
30%
35%
2004 2006 2008 2010 2012 2014 2016
Drinking and Driving Rode with Drinking Driver
3/27/2017 56
Driving within 3 Hours of Marijuana Use in the Past 30 Days: 10th and 12th Grades
Source: Washington Healthy Youth Survey - 2016.
90.783.5
9.316.5
0%
20%
40%
60%
80%
100%
10th Grade 12th Grade
No Yes
3/27/2017 57
Frequency of Driving within 3 Hours of Marijuana Use in the Past 30 Days among 10th and 12th Graders who responded “Yes.”
Source: Washington Healthy Youth Survey - 2016.
42%33%
25%
24%
10%
14%
23%29%
0%
25%
50%
75%
100%
9.3% of 10th Grade 16.5% of 12th Grade
once 2-3 4-5 6 +
3/27/2017 58
Young Adults Driving within 3 Hours of Marijuana Use
46.959.6
18.7
10.3
15.1 10.9
6.2 3.4
13.1 15.8
0%
20%
40%
60%
80%
100%
18-20 21-25
0 1 2 to 3 4 to 5 6+
Age 18-20Yes:53.1%No: 46.9%
Source: Young Adult Health Survey -2015
Age 21-25Yes:40.4%No: 59.6%
3/27/2017 59
Intermediate Outcomes: Mental Health
3/27/2017 60
Mental Health Status, 10th Graders
Source: Washington Healthy Youth Survey - 2012, 2014, 2016.
31%
19%
10%
35%
20%
9%
34%
21%
9%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
Depressive feelings Suicidal Ideation Suicide Attempts
2012
2014
2016
3/27/2017 61
Reported Making a Suicide Plan:Youth, Past 12 Months
Source: Washington Healthy Youth Survey – 2014, 2016.
14%
16%
14%13%
17% 16%
0%
5%
10%
15%
20%
25%
30%
8th Grade 10th Grade 12th Grade
2014 2016
3/27/2017 62
Depression: Youth, Past 12 Months
Source: Washington Healthy Youth Survey - 2012, 2014, 2016.
26%
31% 30%
27%
35% 34%
28%
34%37%
0%
10%
20%
30%
40%
50%
8th Grade 10th Grade 12th Grade
2012
2014
2016
3/27/2017 63
Depression: Youth, Past 12 Months2002-2016
Source: Washington Healthy Youth Survey - 2002, 2004, 2006, 2008, 2010, 2012, 2014, 2016.
26%
28%
29%34%
29%
37%
0%
10%
20%
30%
40%
50%
2002 2004 2006 2008 2010 2012 2014 2016
8th Grade
10th Grade
12th Grade
3/27/2017 64
Anxiety On-Edge/Anxiety - Out of Control:10th Graders
Source: Washington Healthy Youth Survey – 2014, 2016.
30%31%
0%
10%
20%
30%
40%
10th Grade
2014
2016
3/27/2017 65
Suicidal Ideation: Past 12 Months
17%18%
21%
14%
20%
0%
10%
20%
30%
2004 2006 2008 2010 2012 2014 2016
8th Grade
10th Grade
12th Grade
Source: Washington Healthy Youth Survey - 2004, 2006, 2008, 2010, 2012, 2014, 2016.
Section 2
Questions
3/27/2017 66
Intermediate Outcomes: Behavioral Health ProblemsWhat are the problems areas?
Section 3
• Access
• Availability
• Norms
• Enforcement
• Perceptions of Harm
3/27/2017 67
Short-term Outcomes: Intervening VariablesWhy are these problems present in our state?
Liquor Licenses
3/27/2017 68
Source: Liquor Cannabis Board, Annual Report 2016
Marijuana Licenses 2014-2016 :
3/27/2017 69
Source: Liquor Cannabis Board, Presented to the Washington State Legislature December 2016
Alcohol Retail Compliance Checks 2014-2015
3/27/2017 70
Comparisons between Responsible Vendor Program (VP) and Non Responsible Vendor Program participants.
Source: Liquor Cannabis Board, Annual Report 2016
Marijuana Retail Underage Compliance ChecksJanuary 2016 – October 2016
3/27/2017 71
Source: Liquor Cannabis Board, Presented to the Washington State Legislature December 2016
Marijuana Prices 2014-2016
3/27/2017 72
Source: Liquor Cannabis Board, Presented to the Washington State Legislature December 2016
3/27/2017 73
37%
26%
22%
16% 15% 14%
9%8% 7%
Source of AlcoholFriends Party Home w/o permission
Home with permission Gave money to someone Some Other Way
Stolen from store Older Sibling Bought from Store
(Percent of 10th graders who reported getting alcohol during the past 30 days)
Youth Alcohol AccessWhere did you get alcohol in the past 30 days?
Source: Washington Healthy Youth Survey - 2016.
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“During the past 30 days, how did you usually get your own electronic vapor products?“
10th
Grade
Source: Washington Healthy Youth Survey - 2016.
Store 10.1%
Internet 9.9%
Paid Someone16.1%
Bummed26.8%
From Someone >18 11.8%
Took from Store or Family
4.5%
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“During the past 30 days, what type of alcohol did you usually drink?”
10th
Grade
Source: Washington Healthy Youth Survey - 2016.
Liquor41.2%
Beer18.4%
Flavored Malt Beverages
12.1%
Wine 5.5%
Wine Coolers 3.2%
No "Usual" Type
14.5%
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“During the past 30 days, if you used marijuana, how did you usually use it?”
10th
Grade
Source: Washington Healthy Youth Survey - 2016.
Ate it13.5%
Drank it3.6%
Vaporizedit
5.1%
Other 4.4%
Smoked it73.4%
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Short-term Outcomes:Intervening Variables - Availability
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Youth Perceptions on Ease of Availability: 10th Graders (Very or Sort of Easy)
Source: Washington Healthy Youth Survey - 2010, 2016.
56% 54% 53%47% 48%
35%
0%
20%
40%
60%
80%
Alcohol Access – how easy(very + sort of)
Marijuana – how easy(very + sort of)
Cigarettes – how easy(very + sort of)
2010
2016
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Short-term Outcomes:Intervening Variables – Norms
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Risk Factor: Community Laws and Norms
Source: Washington Healthy Youth Survey - 2010, 2012, 2014, 2016.
36%
28%
34% 33%34%
26%
31% 32%34%
23%
32%30%
34%
24%
28%
31%
0%
10%
20%
30%
40%
50%
6th Grade 8th Grade 10th Grade 12th Grade
2010
2012
2014
2016
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Community Protection and Prevention
Source: Washington Healthy Youth Survey - 2010, 2012, 2014, 2016.
76%80%
82%
70%
55%
79%84% 83%
54% 54%
80%84%
80%
60% 61%
80%
88%
81%
61% 62%
0%
20%
40%
60%
80%
100%
Adults Think It'sWrong to Drink
Alcohol
Adults Think It'sWrong to Smoke
Cigarettes
Adults Think It'sWrong to Use
Marijuana
Students Saw Anti-Alcohol Ads
Parents TalkedAbout Not Using
Alcohol
Parents TalkedAbout Not Using
Marijuana
2010 2012
2014 2016
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2016 Parent Perceptions on Drug UseUse by youth is “wrong” or “very wrong.”
Source: Washington Healthy Youth Survey - 2016.
94% 95% 98% 96%
88% 90%
97% 95%
76%
83%
94% 94%
0%
25%
50%
75%
100%
To Drink Alcohol To Use Marijuana To Smoke Cigarettes To Misuse Prescription Drugs
8th Grade 10th Grade 12th Grade
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Short-term Outcomes:Intervening Variables – Enforcement
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Youth Attitudes about Substance Useand Enforcement: 10th Graders
Note: Percentages account for responses of ‘yes’ and ‘YES!’Source: Washington Healthy Youth Survey - 2010, 2014,2016.
26%
31%28%
32%
0%
10%
20%
30%
40%
50%
Enforcement – drinking Enforcement - marijuana
20102016
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Short-term Outcomes:Intervening Variables –
Perceptions of Harm
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Risk of Harm from Alcohol UseDrinking once or twice a day has “no risk” or “slight risk”.
39%
24%
37%
23%
41%
26%
0%
20%
40%
60%
2002 2004 2006 2008 2010 2012 2014 2016
8th Grade
10th Grade
12th Grade
Note: Includes responses where using alcohol regularly has no risk or only a slight risk.
Source: Washington Healthy Youth Survey - 2002, 2004, 2006, 2008, 2010, 2012, 2014, 2016.
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Risk of Harm from Marijuana UseRegular use has “no risk” or “slight risk”.
13%
21%17%
33%
22%
45%
0%
20%
40%
60%
2002 2004 2006 2008 2010 2012 2014 2016
8th Grade
10th Grade
12th Grade
Note: Includes responses where using marijuana regularly has no risk or only a slight risk.
Source: Washington Healthy Youth Survey - 2002, 2004, 2006, 2008, 2010, 2012, 2014, 2016.
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Source: Washington Healthy Youth Survey – 2016.
2016 Risk of Harm from E-Cigarette UseRegular use has “no risk” or “slight risk”.
24%
29%
36%
0%
10%
20%
30%
40%
8th Grade 10th Grade 12th Grade
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Perceived “Great Risk of Harm” from Alcohol, Tobacco, and Marijuana Use: 10th Graders
Source: Washington Healthy Youth Survey - 2002, 2004, 2006, 2008, 2010, 2012, 2014, 2016.
29%
43%
82%78%
60%
35%
0%
20%
40%
60%
80%
100%
2002 2004 2006 2008 2010 2012 2014 2016
Alcohol
Cigarettes
Marijuana
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37.5%
31.6%
37.5%
28.4%
0%
10%
20%
30%
40%
50%
Psychological Harm Physical Harm
18-20
21-25
Risk of Harm fromBinge Drinking by Age Group: Young Adults
Source: Young Adult Health Survey 2015
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Risk of Harm fromMarijuana/Cannabis Use: Young Adults
22%
36%
19%
31%
0%
10%
20%
30%
40%
Psychological Harm Physical Harm
Perc
enta
ge
Marijuana Use
18-20
21-25
Source: Young Adult Health Survey 2015
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Youth Attitudes about Alcohol Use: Access – Very or Sort of Easy
Source: Washington Healthy Youth Survey - 2010, 2016.
15%
34%
56%
67%
13%
26%
47%
61%
0%
10%
20%
30%
40%
50%
60%
70%
80%
6th Grade 8th Grade 10th Grade 12th Grade
2010
2016
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Youth Attitudes about Marijuana Use: Access – Very or Sort of Easy
Source: Washington Healthy Youth Survey - 2010, 2016.
9%
23%
54%
67%
5%
20%
48%
64%
0%
10%
20%
30%
40%
50%
60%
70%
80%
6th Grade 8th Grade 10th Grade 12th Grade
2010
2016
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Youth Attitudes about Cigarette Use:Access – Very or Sort of Easy
Source: Washington Healthy Youth Survey - 2010, 2016.
15%
31%
53%
74%
10%
19%
35%
59%
0%
20%
40%
60%
80%
100%
6th Grade 8th Grade 10th Grade 12th Grade
2010
2016
Section 3
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Short-term Outcomes: Intervening VariablesWhy are these problems present in our state?
Questions
Section 4
• NSDUH – National Data Results, Adults
• BRFSS – Washington State Data Results, Adults
• PRAMS – Pregnant Women
• HIDTA – Drug Seizures
• 2012 Indicators Not Included in 2018-2013 NA
• New Indicators included current assessment
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Survey Information and Additional Data
3/27/2017 97
NSDUH
The NSDUH is a nationwide annual survey conducted through computerized interviews.
The NSDUH collects data on the use of tobacco, alcohol, illicit drugs (including non-medical use of prescription drugs), and mental health indicators.
Respondents (2016): Individuals 12 years and older.
Sample size (2016): 70,000 randomly selected participants
National Survey on Drug Use and Health
Source: National Survey on Drug Use and Health (NSDUH), 2016.
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Alcohol Use: Adults, Past MonthWashington State 2004-2014
NSDUH
63%66% 65%
63%61% 62% 63% 63% 61% 59%60%
57% 57%61% 60% 61% 61% 60%
57% 58%
0%
20%
40%
60%
80%
20
04
-20
05
20
05
-20
06
20
06
-20
07
20
07
-20
08
20
08
-20
09
20
09
-20
10
20
10
-20
11
20
11
-20
12
20
12
-20
13
20
13
-20
14
18-25
26+
Source: National Survey on Drug Use and Health (NSDUH), 2004-2014.
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NSDUH
19%18% 17%
18%
16%15%
17% 17%
15%
13%
7% 6% 6% 7%6% 5%
6%7% 7%
6%
0%
10%
20%
30%
20
04
-20
05
20
05
-20
06
20
06
-20
07
20
07
-20
08
20
08
-20
09
20
09
-20
10
20
10
-20
11
20
11
-20
12
20
12
-20
13
20
13
-20
14
18-25
26+
Alcohol Dependence or Abuse: Past YearWashington State 2004-2014
Source: National Survey on Drug Use and Health (NSDUH), 2004-2014.
Note: Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
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Marijuana Use: Adults, Past Month Washington State 2004-2014
NSDUH
Source: National Survey on Drug Use and Health (NSDUH), 2004-2014.
18%20% 19%
17% 17%
23%26%
23%26% 24%
5% 6% 6% 6% 6% 6% 6%8%
10% 11%
0%
10%
20%
30%
40%
50%
20
04
-05
20
05
-06
20
06
-07
20
07
-08
20
08
-09
20
09
-10
20
10
-11
20
11
-12
20
12
-13
20
13
-14
18-25
26+
3/27/2017 101
Non-Medical Pain Killer Use: Adults, Past YearWashington State 2004-2014
NSDUH
Source: National Survey on Drug Use and Health (NSDUH), 2004-2014.
15%16%
15% 15% 14% 14%13%
10% 10%8%
4% 4%5% 5% 5% 5% 4% 4% 4% 4%
0%
10%
20%
30%
40%
20
04
-20
05
20
05
-20
06
20
06
-20
07
20
07
-20
08
20
08
-20
09
20
09
-20
10
20
10
-20
11
20
11
-20
12
20
12
-20
13
20
13
-20
14
18-25
26+
3/27/2017 102
NSDUH
11%
9%9% 9% 9%
8% 8%
9%9%
8% 8%
7%
2% 2% 2% 2% 2% 1% 1% 2% 1% 2%2% 2%
0%
2%
4%
6%
8%
10%
12%18-25
26+
Source: National Survey on Drug Use and Health (NSDUH), 2002-2014.
Illicit Drug Dependence or Abuse: Adults, Past YearWashington State, 2004-2014
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Major Depressive Episode: Adults, Past YearWashington State 2004-2014
Source: National Survey on Drug Use and Health (NSDUH), 2004-2014.
10%
12%12%
11%
7%6.6%
0%
5%
10%
15%
20%
2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2012 2012-2013 2013-2014
12-17
18-25
26+
NSDUH
Serious Mental Illness, Serious Suicidal Ideation: Adults, Past Year Washington State 2012 - 2014
3/27/2017 104
NSDUH
Source: National Survey on Drug Use and Health (NSDUH), 2012-2014
5%5%
7%8%
5%4%
4% 4%
0%
2%
4%
6%
8%
10%
2012 2013 2013-2014 2012 2013 2013-2014
Serious Mental Illness Serious Suicidal Ideation
18-25
26+
Tobacco Use: Adults, Past Year2004-2014
3/27/2017 105
NSDUH
43% 43% 41% 41% 42%44% 44%
40% 38%35%
27% 27% 26% 27% 26% 26% 27%24% 24% 24%
0%
20%
40%
60%
80%
100%
20
04
-20
05
20
05
-20
06
20
06
-20
07
20
07
-20
08
20
08
-20
09
20
09
-20
10
20
10
-20
11
20
11
-20
12
20
12
-20
13
20
13
-20
14
18-25
26+
Source: National Survey on Drug Use and Health (NSDUH), 2004-2014
3/27/2017 106
Behavioral Risk Factor Surveillance System
The Behavioral Risk Factor Surveillance System is the largest, continuously conducted, telephone health survey in the world.
The BRFSS collects information on health behaviors and preventive practices.
Respondents: Adults 18 years and older.
Sample size (2015): Approximately 16,000 in Washington State.
3/27/2017 107
28%
71%
60%
0%
20%
40%
60%
80%18-2021-2525+
Source: Behavioral Risk Factor Surveillance System (BRFSS), 2015
Alcohol Use by Age Group, Past 30 Days
3/27/2017 108
Marijuana Use by Age Group, Past 30 Days
Source: Behavioral Risk Factor Surveillance System (BRFSS), 2015.
17%
26%
11%
0%
10%
20%
30%
40%18-20
21-25
25+
Cigarette Use by Age Group, Past 30 Days
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15%
19%
16%
0%
10%
20%
30%
40%18-2021-2525+
Source: Behavioral Risk Factor Surveillance System (BRFSS), 2015.
3/27/2017 110
E-Cigarette Use by Age Group, Past 30 Days
Source: Behavioral Risk Factor Surveillance System (BRFSS), 2015.
13%
11%
5%
0%
10%
20%
30%
40%
18-20 21-25 25+
18-2021-2525+
Serious Mental Illness by Race and Ethnicity
3/27/2017 111
Source: Behavioral Risk Factor Surveillance System (BRFSS), 2015.
3%
5%
1%
4%
6%5% 4%
2%
Hispanic AI/AN Asian Black Multi-Race NativeHawaiian/OtherPacific Islander
Other Race White
0%
5%
10%
15%
20%
3/27/2017 112
PRAMS, the Pregnancy Risk Assessment Monitoring System, is a surveillance project of the Centers for Disease Control and Prevention (CDC) and state health departments.
Developed in 1987, PRAMS collects state-specific, population-based data on maternal attitudes and experiences before, during, and shortly after pregnancy.
PRAMSPRAMS
Alcohol Use: Pregnant Women2009-2011
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PRAMS
Sources: 2009-2011 Pregnancy Risk Assessment Monitoring System (PRAMS). MCH Data Report, Washington Department of Health (160-015), June 2014.NOTE: Percent to of pregnant women surveyed.
Drinking Before/During Pregnancy
by Maternal Age: 2009-2011
3/27/2017 114
PRAMS
Sources: 2009-2011 Pregnancy Risk Assessment Monitoring System (PRAMS). MCH Data Report, Washington Department of Health (160-015), June 2014.
Drinking Before/During Pregnancy by Race and Ethnicity: 2009-2011
3/27/2017 115
PRAMS
Sources: 2009-2011 Pregnancy Risk Assessment Monitoring System (PRAMS). MCH Data Report, Washington Department of Health (160-015), June 2014.
3/27/2017 116
PRAMS Drinking Before/During Pregnancy2009-2011
Smoking Before, During and After Pregnancy2009-2013
3/27/2017 117
PRAMS
23
17
97
1211
0
5
10
15
20
25
30
35
2009 2010 2011 2012 2013
Smoking Before Pregnancy
Smoking During Pregnancy
Postpartum Smoking
Sources: Perinatal Indicators Report for Washington State, 2014 Data (DOH 950-15 published Nov. 2016.) NOTE: Data represent women who completed the PRAMS survey.
3/27/2017 118
The High Intensity Drug Trafficking Areas (HIDTA) program, created by Congress with the Anti-Drug Abuse Act of 1998, provides assistance to Federal, state, local, and tribal law enforcement agencies operating in areas determined to be critical drug-trafficking regions of the United States.
The goals of the Northwest HIDTA are to:Disrupt the market for illegal drugs by dismantling or disrupting drug trafficking and/or money laundering organizations.
The most recent publication from NW HIDTA is the 2016 Marijuana Impact Report
HIDTA
Source: https://www.ncjrs.gov/ondcppubbs/publications/enforce/hidta2001/nw-fs.html
Drug Seizures: HIDTA (2008 v. 2010)
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10,433
2,027
175
14
2,142
6,076
558
974
255
122
9,143
0 2,000 4,000 6,000 8,000 10,000 12,000
Marijuana
Cocaine/Crack
Methamphetamine
Heroin
MDMA *
Prescription Drugs **
Kilograms/Dosage Units*
Drug Seizures by Northwest High Intensity Drug Trafficking Area-Funded Enforcement Initiatives (2008 v. 2010)
2008
2010
Source: U.S. Department of Justice, National Drug Intelligence Center, Northwest High Intensity Drug Trafficking Area Drug Market Analysis, 2001-R0813-023, September 2011
Marijuana Seizures (2010 - 2014)
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Source: NW HIDTA Marijuana Impact Report 2016
2012 Data Assessment: Summary of findings
3/27/2017 121
2012 Indicators Not in Current Data Needs Assessment
• School policy enforcement (HYS)
• Harassed due to health/Disability (HYS)
• Pain killer Source (HYS)
• Ritalin 30-day use (HYS)
• Ever drank alcohol (HYS
• Adverse Childhood Experiences (BRFSS)
• Alcohol Use During Pregnancy (BRFSS)
• Economic Impact (Research Publication)
3/27/2017 122
2017 New Indicators• Prescription Drugs (HYS)• E-Cigarettes (HYS)• General Anxiety Disorder Questions (HYS)• Parental Perceptions: Youth Drug Use (HYS)• Young Adult 30-day Use (YAHS)• Young Adults Perception of Harm (YAHS)• Marijuana Licenses (LCB)• Retail Compliance Checks (LCB)• Race/Ethnicity Charts
3/27/2017 123
Next 5-Year Strategic Plan
3/27/2017 124
Acknowledgement & Thank You• DOH Department of Health
• LCB Liquor Cannabis Board
• OSPI Office of Superintendent of Public Instruction
• WSTC Washington State Transportation Commission
• WSDOT Washington State Department of Transportation
• SEOW Members
3/27/2017 125
Section 4
3/27/2017 126
Survey Information, Adults, Summary
Questions
