Transcript NM Community Survey 2013 Results

NM COMMUNITY SURVEY AND
STRATEGIES FOR SUCCESS:
PRELIMINARY 2013 RESULTS
NM OSAP RECIPIENT MEETING
AUGUST 27, 2013
WHO IMPLEMENTED THE NMCS?
Groups
County
Total N
Eligible N
400
399
Taos
414
411
Laguna
208
206
N. Rio Arriba
246
230
Albuquerque/Bernalillo
352
339
Catron
300
300
Hidalgo
325
315
Zia
106
101
Chaves
517
457
2868
2758
Current OSAP Sites San Juan
Past SPF SIG
Comparison sites
Grand total
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
DEMOGRAPHICS
Characteristics
Age (n=2758)
Ages 18-20
Ages 21-25
Ages 26-30
Ages 31-40
Ages 41-50
Ages 51-60
Ages 61-70
Ages 71 +
Biological Sex
Male
Female
Race/Ethnicity
White
Hispanic
Native American
Other
n
%
234
354
375
551
536
385
238
85
8.5
12.8
13.6
20.0
19.4
14.0
8.6
3.1
984
1737
36.2
63.8
926
1199
540
93
33.6
43.5
19.6
3.4
40.0
37.4
Overall Prevalence of Risk Behavior and Need
Among the Whole Sample
35.0
Percent
30.0
25.0
20.0
21.6
18.9
18.1
15.4
15.0
10.0
12.3
6.3
5.9
5.0
0.0
Risk Behavior
6.5
5.0
TOBACCO
PAST 30-DAY CIGARETTE AND
TOBACCO USE
25.0%
Cigarette use
20.6%
Tobacco use
20.0%
15.0%
15.2%
15.0%
11.8%
10.0%
5.0%
11.6%
8.2%
7.8%
9.3%
4.4%
3.5%
1.9%
0.9%
0.0%
Whole
sample
Male
Every day
Female
Whole
sample
Male
Some days
Female
ALCOHOL
AND RELATED QUESTIONS
PAST 30 DAY ALCOHOL USE BY
BIOLOGICAL SEX
Whole Sample
45.0%
40.0%
35.0%
20.0%
15.0%
10.0%
5.0%
Female
42.6%
37.4%
34.6%
30.0%
25.0%
Male
25.4%
18.9%
15.4%
6.3%
8.0%
5.5%
5.9%
7.2%
5.3%
0.0%
30-day alcohol use Five or more drinks
Driven under
Driven in past 30
on one occasion in influence in past 30 days after having
past 30 days
days
had 5 or more
drinks
PAST 30 DAY ALCOHOL USE BY
RACE/ETHNICITY
White (n=783)
Hispanic (n=1135)
Native American (n=350)
Other (n=72)
45.0%
40.0%
39.9%
39.7% 38.9%
35.0%
30.0%
25.0%
24.3%
21.6%
18.5% 19.4%
15.2%
20.0%
15.0%
10.0%
13.9%
5.6%
5.0%
6.8%
4.8%
5.9% 6.4%
8.5%
3.7%
0.0%
30-day alcohol use
Five or more drinks on Driven under influence Driven in past 30 days
one occasion in past
in past 30 days
after having had 5 or
30 days
more drinks
PAST 30-DAY ALCOHOL USE BY AGE
50.0%
44.7% 44.5%
45.0%
39.8%
40.0%
35.0%
30.0%
35.7%
31.3%
Ages 18-20
33.3%
26.8%
25.0%
Ages 21-25
26.0% 25.9%
24.7%
Ages 26-30
22.4%
20.0%
Ages 31-40
Ages 41-50
15.6%
15.0%
12.2%
10.0%
4.1%
5.0%
0.0%
30-day alcohol use
Five or more drinks on one
occasion in past 30 days
Ages 51-60
Ages 61 +
PAST 30-DAY DRIVING WHILE
INTOXICATED BY AGE
16.0%
14.0%
12.0%
Ages 18-20
10.0%
Ages 21-25
8.0%
Ages 26-30
Ages 31-40
6.0%
Ages 41-50
4.0%
Ages 51-60
2.0%
Ages 61 +
0.0%
Driven under influence in Driven in past 30 days after
past 30 days
having had 5 or more
drinks
PAST 30-DAY BINGE DRINKING AMONG
VETERANS
25.0%
20.0%
20.3%
17.1%
15.0%
10.0%
5.0%
0.0%
Veteran/Active Duty
Non-Veteran
ACCESS TO ALCOHOL (N=202)
1.0%
Got it some other way
12.9%
Got it at a party
2.5%
Got it in Mexico
Took it from store without paying
0.5%
4.0%
Took it from home
5.0%
Someone underage gave or bought it
17.3%
Unrelated adult gave or bought it
7.4%
Adult family member gave or bought it
7.9%
Parent/guardian gave or bought it
Bought it at a restaurant/bar/public place
Bought it at a store
0.0%
1.8%
1.0%
5.0%
10.0%
15.0%
20.0%
PRESCRIPTION PAIN KILLERS
AND RELATED QUESTIONS
PRESCRIPTION PAIN KILLER USE BY
BIOLOGICAL SEX
Whole Sample
Male
Female
30.0%
25.0%
20.0%
23.8%
21.6%
18.0%
15.0%
12.3%
12.5%
12.2%
10.0%
5.0%
0.0%
Past Year Rx Pain Killer Prescribed
Past 30-Day Rx Pain Killer Use
PAST 30-DAY PRESCRIPTION PAIN
KILLER USE BY RACE/ETHNICITY
30.0%
24.4%
25.0%
20.0%
15.0%
14.3%
12.8%
10.1%
10.0%
5.0%
0.0%
White (n=837)
Hispanic
(n=1004)
Native American
(n=392)
Other (n=78)
PAST 30-DAY PRESCRIPTION PAIN
KILLER USE BY AGE
20.0%
18.0%
18.1%
16.0%
14.1%
14.0%
12.0%
10.0%
13.1%
11.5%
9.1%
12.0%
9.9%
8.0%
6.0%
4.0%
2.0%
0.0%
Ages 18-20 Ages 21-25 Ages 26-30 Ages 31-40 Ages 41-50 Ages 51-60 Ages 61 +
PAST 30-DAY PRESCRIPTION PAIN
KILLER USE BY ARMED SERVICE STATUS
15.0%
13.6%
14.7%
10.0%
5.0%
0.0%
Veteran/Active Duty
Civilian
PAST 30-DAY PRESCRIPTION DRUG USE
BY BINGE DRINKING STATUS
20.0%
18.6%
18.0%
16.0%
14.0%
12.0%
10.0%
9.8%
8.0%
6.0%
4.0%
2.0%
0.0%
Non-Binge Drinker (n= 1566)
Current Binge Drinker (n=381)
REASONS OF PRESCRIPTION DRUG USE
(N=283)
Another reason
3.9%
To avoid the bad feelings of withdrawal
3.5%
To cope with social pressure
3.5%
To affect the impact other drugs
1.4%
3.9%
To substitute for other drugs or medications
To cope with anxiety or stress
8.8%
To get high, messed up or stoned
8.1%
To help me sleep
To have fun with a friend or friend(s) socially
For pain not identified by my physician
To treat pain that my doctor or dentist
identified
10.6%
3.9%
25.1%
60.1%
0.0%
10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0%
SOURCES OF PRESCRIPTION DRUGS
(N=283)
Other places
Bought in Mexico
Bought on the internet
Taken from a friend/relative
Bought from a dealer/stranger
2.1%
3.9%
0.4%
1.4%
3.2%
15.9%
Friend shared
14.5%
Family member shared
Different doctors prescribed for different pain
problems
Different doctors prescribed for one pain
problem
One doctor prescribed for one pain problem
3.5%
4.2%
62.5%
0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0%
MENTAL HEALTH
AND RELATED QUESTIONS
MENTAL HEALTH CONCERNS BY
BIOLOGICAL SEX
Whole Sample
20.0%
Male
Female
18.1%
18.1%
18.5%
18.0%
15.4%
16.0%
14.0%
16.4%
14.1%
12.0%
10.0%
8.0%
6.0%
4.0%
7.1%
6.5%
5.0%
5.8%
7.4%
3.8%
2.0%
0.0%
Past 30-day feeling
depressed
Past year
mental/drug/alcohol
problem
Past year suicidal
thoughts
Past year received
professional help for
mental/drug/alchol
problems
MENTAL HEALTH CONCERNS BY
RACE/ETHNICITY
White
Hispanic
Native American
Other
25.0%
21.0%
20.8%
19.3%
20.0%
15.8%
16.4%
16.3%
15.9%
14.0%
13.1%
15.0%
10.0%
7.4%
7.0%
6.1%
5.0%
4.1%
7.3%
4.1%3.8%
0.0%
Past 30-day feeling
depressed
Past year
mental/drug/alcohol
problem
Past year suicidal
thoughts
Past year received
professional help for
mental/drug/alchol
problems
MENTAL HEALTH CONCERNS BY AGE
25.0%
20.0%
Ages 18-20
15.0%
Ages 21-25
Ages 26-30
10.0%
Ages 31-40
Ages 41-50
5.0%
Ages 51-60
Ages 61 +
0.0%
Past 30-day feeling
depressed
Past year
mental/drug/alcohol
problem
MENTAL HEALTH CONCERNS BY AGE
25.0%
20.0%
Ages 18-20
15.0%
Ages 21-25
Ages 26-30
10.0%
Ages 31-40
Ages 41-50
5.0%
Ages 51-60
Ages 61 +
0.0%
Past year suicidal thoughts
Past year received
professional help for
mental/drug/alchol
problems
MENTAL HEALTH CONCERNS BY
ARMED SERVICE STATUS
Veteran/Active Duty
20.0%
Civilian
18.5%
18.0%
16.0%
13.5%
14.0%
12.0%
10.0%
8.2%
8.0%
6.0%
5.6%
6.5%
6.0%
4.9%
4.8%
4.0%
2.0%
0.0%
Past 30-dayfeeling
depressed
Past year
mental/drug/alcohol
problem
Past year suicidal
thoughts
Past year received
professional help for
mental/drug/alchol
problems
MENTAL HEALTH CONCERNS BY
BINGE DRINKING
30.0%
No (n=1566)
25.0%
Yes (n=381)
26.5%
20.0%
15.0%
15.8%
15.4% 15.0%
10.0%
5.0%
6.4%
7.3%
4.7%
1.2%
0.0%
Past 30-day feeling
depressed
Past year
mental/drug/alcohol
problem
Past year suicidal
thoughts
Past year received
professional help for
mental/drug/alchol
problems
SOURCES OF PROFESSIONAL HELP
(N=180)
7.2%
Other health practitioner
3.9%
While in jail or prison
5.0%
Inpatient behavioral health services or detox
7.8%
Emergency room
3.3%
Spiritual healer
Faith-based services
10.0%
Other healers like herbalist etc.
10.0%
Psychiatrist
Community mental or behavioral health center
Private therapist or counselor
Primary care provider
10.6%
30.6%
36.1%
35.6%
0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0%
TYPES OF PROFESSIONAL HELP (N=120)
8.3%
Something else
10.8%
Herbs, acupuncture or homeopathy
23.3%
Medication
4.2%
Detox
Emergency care
0.8%
3.3%
Inpatient (overnight)
7.5%
Minister, priest or other spiritual guide/healer
Self-help groups like 12- step, AA
14.2%
Group therapy
14.2%
60.8%
One on one therapy
0.0%
10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0%
ACCESS TO ALCOHOL AND
PERCEPTION OF RISK
ACCESS TO ALCOHOL
Mean (SD) Range
Very Somewhat Somewhat Very
difficult difficult
easy
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
likely
Somewhat
likely
Not very Not at
likely all likely
Don'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 SUCCESS
PRELIMINARY ANALYSES
DEMOGRAPHICS
Demographic
% SFS Program
Participants Male
(n=344)
% SFS Program
Participants Female
(n=346)
0.58
47.97
33.14
18.31
1.45
49.71
35.26
13.58
12.79
65.12
18.31
3.78
10.69
64.74
21.97
2.60
51.16
55.49
Grade
5th grade
6th grade
7th grade
8th grade
Race/Ethnicity
White
Hispanic
Native American
Other
Language Other than English
Spoken Most Oftenb,c
Yes
TOTAL MATCHED PAIRS
• Total Matched Pairs: N= 625
PREVALENCE OF ATOD USE AMONG
FEMALES AT PRE- AND POST-TEST
Female Pretest
7.0
Female Posttest
6.5
6.0
5.6
Percent
5.0
4.0
3.6
3.3
3.0
2.0
1.0
4.6
4.3
3.6
3.6
2.3
2.0
1.0
0.7
0.0
Cigarettes Chewing
Tobacco
Alcohol
Binge
Drinking
Marijuana
Inhalant
ever use
PREVALENCE OF ATOD USE AMONG
MALES AT PRE- AND POST-TEST
Male Pretest
9.0
8.2
8.0
Male Posttest
8.5
Percent
7.0
5.7
6.0
5.0
4.0
3.0
4.5
3.5
2.5
1.0
3.8
2.5 2.5
1.9
2.0
5.1
0.6
0.0
Cigarettes Chewing
Tobacco
Alcohol
Binge
Drinking
Marijuana
Inhalant
ever use
CHANGE IN THE PREVALENCE OF FEMALE
RESPONDENTS WHO REPORTED ATOD USE PRETEST COMPARED TO POST-TEST (N= 32)
Percentage at pre-test
Percentage at post-test
60.0%
52.9% Decrease
50.0%
Percent
40.0%
18.2% Decrease
45.5% Decrease
30.0%
20.0%
42.9% Decrease
16.6% Decrease
100.0% Decrease
10.0%
0.0%
Cigarettes
Chewing
Tobacco
Alcohol
Binge
Drinking
Marijuana
Inhalant
Ever Use
CHANGE IN THE PREVALENCE OF MALE
RESPONDENTS WHO REPORTED ATOD USE PRETEST COMPARED TO POST-TEST (N=46)
Percentage at pre-test
Percentage at post-test
70.0%
35.6% Decrease
60.0%
Percent
50.0%
40.0%
30.0%
21.6% Decrease
3.5% Decrease
44.2% Decrease
34.7% Decrease
20.0%
104.4% Increase
10.0%
0.0%
Cigarettes
Chewing
Tobacco
Alcohol
Binge
Drinking
Marijuana
Inhalant
Ever Use
CHANGE IN THE PREVALENCE OF HISPANIC
FEMALE RESPONDENTS WHO REPORTED ATOD
USE PRE-TEST COMPARED TO POST-TEST
Percentage at pre-test
Percentage at post-test
70.0%
22.0% Decrease
28.7% Decrease
60.0%
Percent
50.0%
40.0%
30.0%
22.3% Increase
92.7% Increase
12.8% Decrease
20.0%
10.0%
0.0%
Cigarettes
Chewing
Tobacco
Alcohol
Binge
Drinking
Marijuana
Inhalant
Ever Use
CHANGE IN THE PREVALENCE OF HISPANIC
MALE RESPONDENTS WHO REPORTED ATOD
USE PRE-TEST COMPARED TO POST-TEST
Percentage at pre-test
Percentage at post-test
60.0%
16.4% Decrease
50.0%
23.2% Decrease
Percent
40.0%
18.4% Decrease
19.7% Increase
30.0%
30.7% Decrease
20.0%
27.5% Decrease
10.0%
0.0%
Cigarettes
Chewing
Tobacco
Alcohol
Binge
Drinking
Marijuana
Inhalant
Ever Use
CHANGE IN THE PREVALENCE OF NATIVE
AMERICAN FEMALE RESPONDENTS WHO REPORTED
ATOD USE PRE-TEST COMPARED TO POST-TEST
Percentage at pre-test
Percentage at post-test
50.0%
45.0%
16.2% Decrease
30.2% Decrease
58.1% Decrease
40.0%
Percent
35.0%
30.0%
10.6% decrease
25.0%
20.0%
62.8% Decrease
15.0%
10.0%
5.0%
0.0%
Cigarettes
Chewing
Tobacco
Alcohol
Binge
Drinking
Marijuana
Inhalant
Ever Use
CHANGE IN THE PREVALENCE OF NATIVE
AMERICAN MALE RESPONDENTS WHO REPORTED
ATOD USE PRE-TEST COMPARED TO POST-TEST
Percentage at pre-test
60.0%
Percentage at post-test
52.8% Decrease
50.0%
13.7% Decrease
Percent
40.0%
32.4% Decrease
36.2% Decrease
30.0%
64.6% Decrease
20.0%
57.5% Decrease
10.0%
0.0%
Cigarettes
Chewing
Tobacco
Alcohol
Binge
Drinking
Marijuana
Inhalant
Ever Use
PERCENT OF ALL RESPONDENTS WHO REPORTED
ANY Rx DRUG MISUSE PRE- AND POST-TEST
5.7%
6.0%
5.0%
4.9%
4.9%
Pre
Post
Percent
4.0%
3.0%
2.0%
1.3%
1.0%
0.0%
Pre
Post
Male
Female
PERCENT WHO PERCEIVED MODERATE
OR GREAT RISK OF HARM
Baseline
Posttest
80.0%
70.0%
Percent
60.0%
50.0%
40.0%
30.0%
20.0%
10.0%
0.0%
Smoke one or
Smoke
Smoke
Have one or
Have 5 or
more packs of marijuana one marijuana one two drinks of more drinks of
cigarettes per a month or
or twice a
an alcoholic an alcoholic
day
more
week
beverage
beverage
every day once or twice
a week
PERCENT WHO PERCEIVED ATTITUDES
TOWARDS ALCOHOL AS
WRONG OR VERY WRONG
Baseline
96.5%
95.3%
94.7%
93.7%
Percent
100.0%
90.0%
80.0%
70.0%
60.0%
50.0%
40.0%
30.0%
20.0%
10.0%
0.0%
Posttest
How wrong parents feel for you
to drink alcohol
How wrong you feel for
someone your age to drink
alcohol
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 Waller
[email protected]
919-265-2631
Liz Lilliott
[email protected]
505-765-2330
Lei Zhang
[email protected]
919-265-2624