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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 1 Maryland Epidemiological Profiles on Alcohol Jurisdiction Rankings 15 August 2016 The Maryland Statewide Epidemiological Outcomes Workgroup Department of Pharmaceutical Health Services Research University of Maryland Baltimore School of Pharmacy Saratoga Building, 12 th Floor 220 Arch Street Baltimore, Maryland 21201 www.pharmacy.umaryland.edu/programs/seow

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Page 1: Maryland Epidemiological Profiles on Alcohol...Maryland Youth Risk Behavior Surveillance System (YRBS): The YRBS provides state and county level data on behaviors and perceptions linked

Maryland Jurisdiction Epidemiological Profiles on Alcohol | 1

Maryland Epidemiological Profiles on Alcohol

Jurisdiction Rankings 15 August 2016

The Maryland Statewide Epidemiological Outcomes Workgroup

Department of Pharmaceutical Health Services Research

University of Maryland Baltimore School of Pharmacy

Saratoga Building, 12th Floor

220 Arch Street

Baltimore, Maryland 21201

www.pharmacy.umaryland.edu/programs/seow

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 2

CONTRIBUTORS This report was compiled by the following faculty, staff, and students of the Department of Pharmaceutical Health Services Research in the University Of Maryland School Of Pharmacy: Linda Simoni-Wastila, BSPharm, PhD Professor and Director, SEOW 410.706.4352 [email protected] Patience Moyo, MS, PhD Candidate Graduate Research Assistant Aida Kuzucan, PharmD, PhD Student Graduate Research Assistant Abree Johnson, MS Project Analyst, Pharmaceutical Research Computing Sarah Tom, PhD, MPH Assistant Professor Jeanne Yang, MCP SAS Programmer, Pharmaceutical Research Computing

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 3

Table of Contents

Data Sources and Considerations for Use .................................................................................. 4-5

Jurisdiction Rankings

Self-reports of Alcohol Use and Perceptions ................................................................................... 6-8

Past-Month Alcohol use Among 12 to 20 year olds ............................................................................. 6

Binge Drinking Perceptions and Behavior in Those over 12 Years of Age ............................... 7

Past-Month Binge Drinking Among Those Over 12 Years of Age .................................................. 8

Past-Month Binge Drinking Among Those 12 to 20 years of Age .................................................. 8

High School Student Reports ..................................................................................................... 9-20

Alcohol-Impaired Driving Overall and by Gender ........................................................................ 9-10

Alcohol-Impaired Riding Overall and by Gender ........................................................................ 11-12

Past Month Drinking Overall and by Gender ................................................................................ 13-14

Binge Drinking Overall and by Gender ............................................................................................ 15-16

Binge Drinking Risk Perspective Overall and by Gender ......................................................... 17-18

Binge Drinking Overall and by Gender ............................................................................................ 19-20

Alcohol-Related Hospitalizations and Emergency Department Visits ..................... 21-27

Age 12 to 25 as Percentage of State Total .............................................................................................21

Adolescents (12 to 17 years old) in 2013 and 2014 .................................................................. 22-23

Young Adults (18 to 25 years old) in 2013 and 2014 .............................................................. 24-25

Underage Adults (18 to 20 years old) in 2013 and 2014 ......................................................... 26-27

Alcohol-Impaired Crashes ....................................................................................................... 28-31

All Ages ...............................................................................................................................................................28

Resulting in Injury ..........................................................................................................................................29

Resulting in Death ..........................................................................................................................................30

Youth Age 16 to 25 .........................................................................................................................................31

Past-Year Alcohol Abuse and Dependence ................................................................................. 32

Past-Year Alcohol Abuse and Dependence Treatment .......................................................... 32

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 4

Data Sources & Considerations for Use Health Services Cost Review Commission (HSCRC): In Maryland, the HSCRC is an independent agency charged with regulating hospital rates for all payers and maintaining both inpatient and outpatient facility data sets. The HSCRC inpatient dataset contains discharge medical record, abstracts and billing data on each of the state's approximately 800,000 yearly admissions. Hospitals submit data to the HSCRC on a quarterly basis and the agency generates research-ready datasets for public use. Access to the research level version of the inpatient or outpatient data requires the submission of an application to the HSCRC. Data is available through 2014. Important considerations regarding HSCRC data:

The county indicated in the charts refers to the location of the patient’s place of residence and may not be the jurisdiction in which the hospital providing service is situated.

The data are available at the event level rather than individual level. This means that one individual can contribute multiple observations in the data.

For more information visit: http://www.hscrc.state.md.us/ Automated Crash Reporting System (ACRS): ACRS is the Maryland crash reporting system developed and maintained by the Maryland State Police (MSP). All crash reports are submitted through this system from across the state, ranging from non-injury crashes through traffic fatality cases. All law enforcement officers responding to and investigating a traffic crash collect the same standard set of variables and submit those data to MSP. For those crashes not resulting in a fatality or serious traumatic injury, reports are typically submitted within 48 hours. The data are maintained by and access is granted through the MSP Central Records Division. After 30 days, the data are shared with the Maryland State Highway Administration for use in engineering-based planning and evaluation purposes on state and local levels. The ACRS data is also posted to the Maryland Open Data Portal website on a quarterly basis and made accessible to government entities upon approval and implementation of a data use agreement. ACRS data are electronically shared with the National Highway Traffic Safety Administration through the Electronic Data Transfer program. Additionally, the Fatality Analysis Reporting System (FARS) state analyst resides at MSP and collects detailed information from each fatal crash for inclusion in the FARS database. Important considerations regarding ACRS data:

Impaired crashes are those with at least one driver reported to be under the influence of alcohol.

Crashes with unknown/unspecified age or gender were excluded, as well as those involving ‘drugs’ or ‘drugs and alcohol’.

National Survey on Drug Use and Health (NSDUH): The NSDUH provides national and state level data on mental health, tobacco use, alcohol use and illicit drug use (including non-medical use of prescription drugs) in the United States. NSDUH is sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA), an agency of the U.S. Public Health Service within the U.S. Department of Health and Human Services. Surveys are administered to vetted individuals from a random sample of households across the United States. Professional field interviewers make a personal visit to each

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 5

selected household and after answering a few general questions, residents of the household may be asked to participate. Participants answer most of the interview questions in private by entering their responses directly into a computer. The survey is conducted annually, with state level data available from 1999-2014, substate level data available every 2 years from 1999-2012 and national data available from 1999-2014. Important considerations regarding NSDUH data:

With the exception of six Maryland jurisdictions (Anne Arundel County, Baltimore City, Baltimore County, Charles County, Montgomery County and Queen Anne’s County), NSUDH results are reported as aggregate data with several jurisdiction grouped into substate regions. The substate regions are as follows:

o North Central is comprised of Carroll County and Howard County; o North East is comprised of Caroline County, Cecil County, Harford County, Kent County,

Queen Anne’s County and Talbot County; o South is comprised of Calvert County, Charles County, Dorchester County, St. Mary’s

County, Somerset County, Wicomico County and Worcester County; o West is comprised of Allegany County, Frederick County, Garrett County and

Washington County. For more information visit: http://www.samhsa.gov/data/NSDUH.aspx Maryland Youth Risk Behavior Surveillance System (YRBS): The YRBS provides state and county level data on behaviors and perceptions linked to disease and death among middle and high school students in the United States. YRBS, a part of the Centers for Disease Control and Prevention’s Youth Risk Behavior Surveillance System (CDC YRBSS), is facilitated by The Maryland Department of Health and Mental Hygiene. Maryland’s participation in the CDC YRBSS has been mandated since 2005 with survey data available for 2007, 2009, 2011, 2013 and 2014. The 2014 YRBS was administered in the fall of 2014 to a representative sample of students in grades 6-8 and 9-12. From 175 and 183, public middle schools and high schools respectively, over 80,000 students completed the survey. Important considerations regarding YRBS data:

All YRBS data are self-reported and the extent of under reporting or over reporting behaviors has not been determined.

Out-of-school, home schooled and privately educated youth are not represented in the survey. For more information visit: http://phpa.dhmh.maryland.gov/ccdpc/Reports/Pages/yrbs.aspx

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Self-Reports of Alcohol Use and Perceptions Data Source: National Survey on Drug Use and Health (NSDUH)

23.3

28.1

22.9

23.4

24.0

26.2

24.5

27.8

23.7

21.5

27.1

29.3

22.5

26.5

28.6

27.9

25.9

26.6

23.9

24.6

NORTH CENTRAL

ANNE ARUNDEL

MONTGOMERY

NORTHEAST

WEST

BALTIMORE COUNTY

MARYLAND

SOUTH

PRICE GEORGE'S

BALTIMORE CITY

Past-month alcohol use (%) among persons aged 12-20

2008-2010 2010-2012

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 7

46.7

46.9

44.9

43.4

44.1

43.7

41.2

41.0

38.6

38.8

21.80

24.20

20.30

21.80

21.50

21.00

24.50

21.30

22.10

20.40

PRINCE GEORGE'S

BALTIMORE CITY

MONTGOMERY

MARYLAND

SOUTH

BALTIMORE COUNTY

ANNE ARUNDEL

NORTH CENTRAL

WEST

NORTHEAST

Perceptions of risk from binge drinking vs. past-month binge drinking , aged 12+ years: 2010-2012

Perception of risk from binge drinking Past-month binge drinking

46.7

46.9

44.9

43.4

44.1

43.7

41.2

41.0

38.6

38.8

49.5

48.1

43.8

43.5

42.8

41.7

41.3

41.2

39.4

39.3

PRINCE GEORGE'S

BALTIMORE CITY

MONTGOMERY

MARYLAND

SOUTH

BALTIMORE COUNTY

ANNE ARUNDEL

NORTH CENTRAL

WEST

NORTHEAST

Perceptions of great risk from binge drinking among persons aged 12+

2008-2010 2010-2012

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 8

24.5

22.1

21.3

21.5

24.2

21.8

21.0

20.4

20.3

21.8

23.4

21.7

21.4

21.4

20.9

20.9

20.6

20.6

20.4

19.0

ANNE ARUNDEL

WEST

NORTH CENTRAL

SOUTH

BALTIMORE CITY

MARYLAND

BALTIMORE COUNTY

NORTHEAST

MONTGOMERY

PRINCE GEORGE'S

Past-month binge drinking among persons aged 12+

2008-2010 2010-2012

16.4

16.6

14.3

15.4

12.5

14.2

15.9

14.7

12.1

12.5

19.7

17.9

17.9

16.9

13.8

16.3

17.5

16.8

15.2

14.3

ANNE ARUNDEL

WEST

NORTH CENTRAL

SOUTH

BALTIMORE CITY

MARYLAND

BALTIMORE COUNTY

NORTHEAST

MONTGOMERY

PRINCE GEORGE'S

Past-month binge drinking among persons aged 12-20

2008-2010 2010-2012

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 9

High School Student Reports of Alcohol-Impaired Driving Data Source: Youth Risk Behavior Survey (YRBS)

Overall

17.2

15.0

12.9

12.0

11.0

11.0

10.4

10.3

9.8

9.7

9.3

8.6

8.5

8.4

7.8

7.5

7.1

6.9

6.3

6.0

5.8

5.4

5.4

5.4

5.2

GARRETT

CAROLINE

QUEEN ANNE’S

TALBOT

ALLEGANY

DORCHESTER

WORCESTER

ANNE ARUNDEL

CECIL

WICOMICO

SOMERSET

CALVERT

FREDERICK

HARFORD

WASHINGTON

SAINT MARY’S

MARYLAND

KENT

CHARLES

MONTGOMERY

HOWARD

BALTIMORE COUNTY

CARROLL

PRINCE GEORGE’S

BALTIMORE CITY

Percentage of high school students who drove when drinking alcohol, among those who had driven a car within 30 days of

survey (2014)

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 10

By Gender

20.0

17.5

14.7

13.0

13.7

14.5

12.0

13.0

13.1

12.1

11.4

10.9

10.9

9.7

9.9

7.8

8.6

8.7

8.2

7.2

6.5

6.5

6.2

7.1

5.3

13.1

12.3

9.9

10.5

7.3

7.3

8.2

7.4

5.7

6.3

6.3

5.8

5.5

6.6

4.9

6.2

5

4.9

3.1

3.8

4.9

4.1

4.5

3.1

4.7

GARRETT

CAROLINE

QUEEN ANNE’S

TALBOT

ALLEGANY

DORCHESTER

WORCESTER

ANNE ARUNDEL

CECIL

WICOMICO

SOMERSET

CALVERT

FREDERICK

HARFORD

WASHINGTON

SAINT MARY’S

MARYLAND

KENT

CHARLES

MONTGOMERY

HOWARD

BALTIMORE COUNTY

CARROLL

PRINCE GEORGE’S

BALTIMORE CITY

Percentage of high school students who drove when drinking alcohol, among those who had driven a car within 30 days of

survey (2014)

MALE

FEMALE

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 11

25.8

24.2

23.8

23.3

23.0

22.7

21.6

21.6

21.3

20.4

20.2

20.2

20.1

19.5

19.2

19.0

18.7

18.2

18.1

18.0

18.0

18.0

17.8

15.7

15.6

GARRETT

QUEEN ANNE’S

WORCESTER

CECIL

DORCHESTER

CAROLINE

KENT

SOMERSET

TALBOT

WICOMICO

ANNE ARUNDEL

SAINT MARY’S

CHARLES

FREDERICK

CALVERT

HARFORD

ALLEGANY

MARYLAND

PRINCE GEORGE’S

BALTIMORE CITY

CARROLL

WASHINGTON

BALTIMORE COUNTY

HOWARD

MONTGOMERY

Percentage of students who rode with a driver who had been drinking alcohol (2014)

High School Student Reports of Riding with Alcohol-Impaired Drivers Data Source: Youth Risk Behavior Survey (YRBS)

Overall

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 12

18.4

26.6

23.2

24.3

23.5

18.5

17.2

24.6

18.3

19.4

18.7

22.4

24.7

20.9

16.3

18.3

21.5

17.1

18.7

16.3

17.6

16.8

18.6

15.3

16

25.2

25.1

24.3

23.2

23.1

21.6

21.1

20.8

20.7

20.6

20.6

20.1

20.0

19.4

19.4

19.3

19.1

19.1

18.9

18.9

18.6

18.6

17.0

16.0

15.1

KENT

GARRETT

WORCESTER

QUEEN ANNE’S

CECIL

SAINT MARY’S

CALVERT

DORCHESTER

FREDERICK

ANNE ARUNDEL

CHARLES

TALBOT

CAROLINE

WICOMICO

PRINCE GEORGE’S

HARFORD

SOMERSET

CARROLL

ALLEGANY

BALTIMORE COUNTY

MARYLAND

WASHINGTON

BALTIMORE CITY

HOWARD

MONTGOMERY

Percentage of students who rode with a driver who had been drinking alcohol (2014)

MALE

FEMALE

By Gender

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 13

41.0

36.0

35.3

34.7

34.4

33.7

33.1

31.9

31.7

31.3

31.3

30.2

29.3

29.3

28.1

27.7

27.0

26.2

26.1

25.0

24.7

22.8

20.1

19.2

19.0

GARRETT

KENT

CECIL

QUEEN ANNE’S

CALVERT

HARFORD

ALLEGANY

SAINT MARY’S

WASHINGTON

CAROLINE

FREDERICK

ANNE ARUNDEL

CARROLL

SOMERSET

DORCHESTER

TALBOT

WICOMICO

CHARLES

MARYLAND

BALTIMORE COUNTY

MONTGOMERY

HOWARD

WORCESTER

BALTIMORE CITY

PRINCE GEORGE’S

Percentage of students who report drinking alcohol at least once in prior 30 days (2014)

High School Student Reports of Drinking Once in the Past Month Data Source: Youth Risk Behavior Survey (YRBS)

Overall

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 14

By Gender

40.3

30.0

32.8

32.2

31.2

29.3

32.4

27.0

28.6

29.5

28.4

26.3

25.4

25.1

29.3

25.3

27.0

23.2

23.0

21.2

21.8

19.2

22.8

17.7

15.5

41.7

42.4

37.8

36.7

37.6

38.1

33.8

36.4

34.5

32.9

34.5

33.9

33.2

32.5

26.8

29.8

26.7

28.8

29.1

28.7

27.7

26.6

17.2

20.1

22.1

GARRETT

KENT

CECIL

QUEEN ANNE’S

CALVERT

HARFORD

ALLEGANY

SAINT MARY’S

WASHINGTON

CAROLINE

FREDERICK

ANNE ARUNDEL

CARROLL

SOMERSET

DORCHESTER

TALBOT

WICOMICO

CHARLES

MARYLAND

BALTIMORE COUNTY

MONTGOMERY

HOWARD

WORCESTER

BALTIMORE CITY

PRINCE GEORGE’S

Percentage of students who report drinking alcohol at least once in prior 30 days (2014)

MALE

FEMALE

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 15

26.9

22.1

21.8

21.6

21.2

20.1

20.0

20.0

18.8

17.7

17.6

17.5

17.3

17

16.3

16

15.8

14.1

13.1

12.6

11.8

11.5

10.8

7.7

7.2

GARRETT

QUEEN ANNE’S

KENT

CECIL

ALLEGANY

CAROLINE

CALVERT

WORCESTER

HARFORD

SAINT MARY’S

DORCHESTER

WASHINGTON

TALBOT

ANNE ARUNDEL

SOMERSET

FREDERICK

CARROLL

WICOMICO

MARYLAND

CHARLES

BALTIMORE COUNTY

MONTGOMERY

HOWARD

BALTIMORE CITY

PRINCE GEORGE’S

Percentage of students who report drinking more than 5 drinks in a row at least once in prior 30 days (2014)

High School Student Reports of Binge Drinking in the Past Month Data Source: Youth Risk Behavior Survey (YRBS)

Overall

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 16

By Gender

29.6

22.6

20.9

21.4

21.5

20.9

20.3

21

17.9

15.6

20.6

17.6

16.6

16.4

15.1

15.7

15.3

14.4

12.8

11.9

11.3

11.2

10

8.2

6.8

24.0

21.0

23.1

21.8

20.8

18.9

19.8

19.1

19.5

19.3

14.7

17.1

17.7

17.4

16.0

16.5

16.4

13.3

13.1

12.9

12.1

11.8

11.5

6.8

6.9

GARRETT

QUEEN ANNE’S

KENT

CECIL

ALLEGANY

CAROLINE

CALVERT

WORCESTER

HARFORD

SAINT MARY’S

DORCHESTER

WASHINGTON

TALBOT

ANNE ARUNDEL

SOMERSET

FREDERICK

CARROLL

WICOMICO

MARYLAND

CHARLES

BALTIMORE COUNTY

MONTGOMERY

HOWARD

BALTIMORE CITY

PRINCE GEORGE’S

Percentage of students who report drinking more than 5 drinks in a row at least once in prior 30 days (2014)

MALE

FEMALE

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 17

High School Student Reports of Drinking Disapproval Data Source: Youth Risk Behavior Survey (YRBS)

Overall

71.8

69.4

68.3

63.2

62.8

62.6

62.2

62.0

60.1

60.1

59.4

58.3

57.8

57.6

57.5

56.8

56.3

56.3

55.5

55.2

53.4

53.3

52.7

48.9

45.0

HOWARD

CARROLL

MONTGOMERY

FREDERICK

CALVERT

HARFORD

MARYLAND

BALTIMORE COUNTY

ALLEGANY

PRINCE GEORGE’S

ANNE ARUNDEL

CHARLES

WICOMICO

SAINT MARY’S

WORCESTER

CECIL

CAROLINE

QUEEN ANNE’S

WASHINGTON

BALTIMORE CITY

KENT

TALBOT

DORCHESTER

SOMERSET

GARRETT

Percentage of students who disapprove of someone their age having 1-2 drinks nearly every day (2014)

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 18

By Gender

66.9

66.5

65.4

58.9

59.3

58.2

57.7

56.1

55.3

54.6

54.9

54.8

53

56.8

51.5

51.8

51.4

48.6

50.8

48.4

50.6

47.1

48

43.6

36.9

77.0

73.0

71.6

68.1

66.4

67.2

67.1

68.4

65.2

65.9

64.2

62.1

62.6

58.4

64.2

62.3

61.6

64.5

60.4

61.1

56.6

60.5

58.2

55.0

53.9

HOWARD

CARROLL

MONTGOMERY

FREDERICK

CALVERT

HARFORD

MARYLAND

BALTIMORE COUNTY

ALLEGANY

PRINCE GEORGE’S

ANNE ARUNDEL

CHARLES

WICOMICO

SAINT MARY’S

WORCESTER

CECIL

CAROLINE

QUEEN ANNE’S

WASHINGTON

BALTIMORE CITY

KENT

TALBOT

DORCHESTER

SOMERSET

GARRETT

Percentage of students who disapprove of someone their age having 1-2 drinks nearly every day (2014)

MALE

FEMALE

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High School Student Reports of Binge Drinking Risk Data Source: Youth Risk Behavior Survey (YRBS)

Overall

82.0

82.0

81.7

78.4

78.1

77.3

76.9

76.1

75.7

75.5

75.0

74.6

74.6

73.7

73.1

72.6

72.4

70.5

70.1

70.0

68.6

67.8

67.8

67.8

62.0

HOWARD

MONTGOMERY

CARROLL

FREDERICK

PRINCE GEORGE’S

HARFORD

MARYLAND

SAINT MARY’S

CALVERT

BALTIMORE…

CECIL

CHARLES

WICOMICO

ANNE ARUNDEL

WORCESTER

WASHINGTON

ALLEGANY

CAROLINE

TALBOT

BALTIMORE CITY

KENT

DORCHESTER

QUEEN ANNE’S

SOMERSET

GARRETT

Percentage of students who think people are at moderate or great risk of harming themselves if they have 5+ drinks 1-2

times per week (2014)

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 20

By Gender

78.5

79.4

78.2

74

73.5

72.5

72.8

73.5

71.6

71.3

69.5

70.9

69.9

69.2

67.1

67.1

65.3

61

64.5

65.2

62.3

61

60

60.5

54.2

85.9

84.9

85.6

83.3

83.1

82.3

81.3

79

79.8

80

80.8

78.5

79.6

78.3

79.7

78.7

79.9

80.2

76.6

74.6

74.6

75.2

76

75.3

70.7

HOWARD

MONTGOMERY

CARROLL

FREDERICK

PRINCE GEORGE’S

HARFORD

MARYLAND

SAINT MARY’S

CALVERT

BALTIMORE COUNTY

CECIL

CHARLES

WICOMICO

ANNE ARUNDEL

WORCESTER

WASHINGTON

ALLEGANY

CAROLINE

TALBOT

BALTIMORE CITY

KENT

DORCHESTER

QUEEN ANNE’S

SOMERSET

GARRETT

Percentage of students who think people are at moderate or great risk of harming themselves if they have 5+ drinks 1-2

times per week (2014)

MALE

FEMALE

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 21

0%

5%

10%

15%

20%

Alcohol Involved Cases, Ages 12-25- Jurisdictional ranking as a percentage of state total

2013 2014

Alcohol-Related Hospitalizations and Emergency Department Visits Data Source: Health Services Cost Review and Commission (HSCRC)

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 22

Adolescents (12 to 17 year olds) 2013

0.32

0.38

0.50

0.51

0.57

0.70

0.78

0.79

0.89

0.98

0.98

1.03

1.05

1.08

1.14

1.20

1.24

1.50

1.55

1.60

1.68

1.69

2.21

2.44

2.74

SOMERSET

BALTIMORE

CAROLINE

WICOMICO

ALLEGANY

GARRETT

KENT

CECIL

PRINCE GEORGE'S

CHARLES

TALBOT

DORCHESTER

STATEWIDE

BALTIMORE CITY

WORCESTER

CARROLL

ST. MARY'S

QUEEN ANNE'S

HARFORD

FREDERICK

ANNE ARUNDEL

WASHINGTON

MONTGOMERY

CALVERT

HOWARD

Alcohol Involved Cases- Percentage of those aged 12-17 within Jurisdiction as compared to Percentage Statewide (2013)

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 23

2014

0.3

0.3

0.3

0.6

0.7

0.7

0.7

0.8

0.8

0.9

0.9

1.0

1.0

1.1

1.2

1.2

1.3

1.4

1.5

1.5

1.6

1.7

2.1

2.2

2.2

KENT

BALTIMORE

GARRETT

WORCESTER

SOMERSET

PRINCE GEORGE'S

WICOMICO

BALTIMORE CITY

ST. MARY'S

TALBOT

DORCHESTER

STATEWIDE

CECIL

HARFORD

FREDERICK

CHARLES

WASHINGTON

CAROLINE

CARROLL

CALVERT

ANNE ARUNDEL

ALLEGANY

QUEEN ANNE'S

HOWARD

MONTGOMERY

Alcohol Involved Cases- Percentage of those aged 12-17 within Jurisdiction as compared to Percentage Statewide (2014)

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 24

5.1

5.3

5.6

5.8

7.0

7.0

7.8

8.3

8.4

8.5

8.5

8.9

9.0

9.5

9.6

9.6

9.8

10.0

10.2

10.5

11.0

11.6

11.8

12.1

15.9

BALTIMORE

TALBOT

WORCESTER

DORCHESTER

CAROLINE

SOMERSET

KENT

STATEWIDE

CECIL

WICOMICO

BALTIMORE CITY

ANNE ARUNDEL

WASHINGTON

GARRETT

QUEEN ANNE'S

CHARLES

HARFORD

ALLEGANY

PRINCE GEORGE'S

CALVERT

ST. MARY'S

FREDERICK

CARROLL

MONTGOMERY

HOWARD

Alcohol Involved Cases- Percentage of those aged 18-25 within Jurisdiction as compared to Percentage Statewide (2013)

Young Adults (18 to 25 year olds) 2013

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 25

3.7

4.0

4.8

4.8

5.0

6.3

7.1

7.5

7.7

7.7

8.1

8.5

8.6

8.8

9.0

9.0

9.1

9.4

9.6

9.8

10.1

10.2

10.3

10.9

13.5

GARRETT

SOMERSET

BALTIMORE

WORCESTER

KENT

DORCHESTER

QUEEN ANNE'S

WICOMICO

BALTIMORE CITY

STATEWIDE

CECIL

ANNE ARUNDEL

ST. MARY'S

TALBOT

HARFORD

WASHINGTON

ALLEGANY

CHARLES

CALVERT

CARROLL

FREDERICK

PRINCE GEORGE'S

CAROLINE

MONTGOMERY

HOWARD

Alcohol Involved Cases- Percentage of those aged 18-25 within Jurisdiction as compared to Percentage Statewide (2014)

2014

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Underage Young Adults (18 to 20 year olds) 2013

0.6

1.0

1.1

1.5

1.6

1.9

2.0

2.1

2.2

2.2

2.2

2.2

2.6

2.6

2.7

3.2

3.2

3.3

3.3

3.4

3.5

3.5

4.0

5.0

5.3

DORCESTER

TALBOT

BALTIMORE CITY

WORCESTER

KENT

CECIL

WICOMICO

WASHINGTON

BALTIMORE

STATEWIDE

SOMERSET

ST. MARY'S

ANNE ARUNDEL

CHARLES

PRINCE GEORGE'S

HARFORD

GARRETT

CAROLINE

CALVERT

FREDERICK

MONTGOMERY

ALLEGANY

CARROLL

HOWARD

QUEEN ANNE'S

Alcohol Involved Cases- Percentage of those aged 18-20 within Jurisdiction as compared to Percentage Statewide (2013)

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Maryland Jurisdiction Epidemiological Profiles on Alcohol | 27

2014

0.6

1.0

1.1

1.5

1.6

1.9

2.0

2.1

2.2

2.2

2.2

2.2

2.6

2.6

2.7

3.2

3.2

3.3

3.3

3.4

3.5

3.5

4.0

5.0

5.3

DORCHESTER

TALBOT

BALTIMORE

WORCESTER

KENT

CECIL

WICOMICO

WASHINGTON

BALTIMORE CITY

STATEWIDE

SOMERSET

ST. MARY'S

ANNE ARUNDEL

CHARLES

PRINCE GEORGE'S

HARFORD

GARRETT

CAROLINE

CALVERT

FREDERICK

MONTGOMERY

ALLEGANY

CARROLL

HOWARD

QUEEN ANNE'S

Alcohol Involved Cases- Percentage of those aged 18-20 within Jurisdiction as compared to Percentage Statewide (2013)

1.0

1.0

1.4

1.4

1.4

1.5

1.7

1.7

1.8

1.8

1.8

2.0

2.0

2.0

2.2

2.3

2.4

2.4

2.5

2.5

2.8

2.9

3.5

3.5

4.2

BALTIMORE

GARRETT

KENT

CAROLINE

TALBOT

DORCHESTER

QUEEN ANNE'S

WORCESTER

ST. MARY'S

WICOMICO

WASHINGTON

STATEWIDE

SOMERSET

BALTIMORE CITY

CECIL

PRINCE GEORGE'S

FREDERICK

CARROLL

ANNE ARUNDEL

HARFORD

CHARLES

ALLEGANY

CALVERT

MONTGOMERY

HOWARD

Alcohol Involved Cases- Percentage of those aged 18-20 within Jurisdiction as compared to Percentage Statewide (2014)

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1.4

4.1

4.5

4.9

5.1

5.7

5.8

5.9

6.0

6.0

6.1

6.2

6.3

6.3

6.4

7.1

7.1

7.1

7.2

7.2

7.7

7.8

8.5

8.8

9.6

BALTIMORE CITY

BALTIMORE COUNTY

SOMERSET

STATEWIDE

HOWARD

ANNE ARUNDEL

HARFORD

MONTGOMERY

PRICE GEORGE'S

GARRETT

WICOMICO

ALLEGANY

TALBOT

KENT

CARROLL

WASHINGTON

FREDERICK

CHARLES

CALVERT

ST. MARY'S

CECIL

CAROLINE

QUEEN ANNE'S

DORCHESTER

WORCESTER

Within jurisdiction percentage of all motor vehicle crashes associated with alcohol impairment as compared to

percentage statewide (2015)

Alcohol-Impaired Crashes Data Source: Automated Crash Reporting System (ACRS)

All Ages

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All Ages- Injuries

21.6

24.7

26.1

26.5

27.0

28.0

29.2

29.8

30.0

30.1

30.3

30.7

30.9

31.1

31.7

34.6

36.5

38.1

38.6

41.5

42.9

50.0

51.5

52.8

57.1

HARFORD

BALTIMORE CITY

PRICE GEORGE'S

TALBOT

ANNE ARUNDEL

WORCESTER

FREDERICK

STATEWIDE

WASHINGTON

MONTGOMERY

BALTIMORE COUNTY

CARROLL

QUEEN ANNE'S

WICOMICO

HOWARD

CHARLES

CALVERT

DORCHESTER

CECIL

ST. MARY'S

SOMERSET

GARRETT

CAROLINE

ALLEGANY

KENT

Percentage of alcohol impaired crashes resulting in injury within jurisdiction as compared to percentage statewide(2015)

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All Ages- Deaths

none reported

none reported

none reported

none reported

none reported

0.5

0.8

1.0

1.1

1.1

1.1

1.1

1.2

1.3

1.3

1.3

1.6

2.0

2.9

3.2

4.1

4.7

5.6

6.1

7.1

DORCHESTER

KENT

ST. MARY'S

SOMERSET

WICOMICO

MONTGOMERY

CECIL

CHARLES

HOWARD

ANNE ARUNDEL

PRICE GEORGE'S

HARFORD

BALTIMORE COUNTY

WASHINGTON

FREDERICK

STATEWIDE

CARROLL

BALTIMORE CITY

QUEEN ANNE'S

WORCESTER

TALBOT

CALVERT

ALLEGANY

CAROLINE

GARRETT

Percentage of alcohol impaired crashes resulting in death within jurisdiction as compared to percentage statewide(2015)

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Youth Ages 16 to 25

0.0

1.0

3.1

3.7

3.7

4.0

4.0

4.1

4.4

4.5

4.5

4.5

4.7

4.8

5.2

5.3

5.3

5.4

6.2

6.3

6.7

6.9

7.8

8.1

8.2

SOMERSET

WORCESTER

WASHINGTON

QUEEN ANNE'S

BALTIMORE CITY

ANNE ARUNDEL

STATEWIDE

MONTGOMERY

GARRETT

CECIL

CAROLINE

HARFORD

TALBOT

DORCHESTER

BALTIMORE COUNTY

KENT

ST. MARY'S

ALLEGANY

HOWARD

CHARLES

PRICE GEORGE'S

FREDERICK

CARROLL

WICOMICO

CALVERT

Within jurisdiction percentage of all alcohol involved motor vehicel crashes involving at least one driver aged 16 to 25 as

compared to percentage statewide (2015)

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5.7

5.6

5.1

5.4

5.0

5.0

5.8

5.3

5.3

4.9

5.8

6.0

5.5

5.8

5.1

5.2

6.1

5.6

5.6

5.4

ANNE ARUNDEL

BALITMORE CITY

SOUTH

WEST

NORTHEAST

PRINCE GEORGE'S

BALTIMORE COUNTY

MARYLAND

NORTH CENTRAL

MONTGOMERY

Needing but not receiving treatment for alcohol use in past year vs. past-year alcohol dependence or abuse, aged 12+ years: 2010-2012

% With Need alcohol treatment (but not receiving) % With past-year alcohol abuse/ dependence

Self-Reports of Alcohol Abuse and Treatment Data Source: National Survey on drug Use and Health (NSDUH)

6.9

6.8

6.7

6.6

6.5

6.4

6.4

6.3

6.2

5.6

6.0

5.8

5.5

5.1

5.8

5.6

6.1

5.2

5.6

5.4

BALTIMORE CITY

ANNE ARUNDEL

SOUTH

NORTHEAST

WEST

MARYLAND

BALTIMORE COUNTY

PRINCE GEORGE'S

NORTH CENTRAL

MONTGOMERY

Past-year alcohol abuse/dependence among persons aged 12+

2008-2010 2010-2012