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James N. Hall, Director Center for the Study and Prevention of
Substance Abuse Nova Southeastern University
The United Way of Broward County Commission On Substance Abuse Florida Department of Law Enforcement Hollywood Police Department
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 1
Nova Southeastern University Florida Department of Children & Families, District Ten
Alcohol Use and Abuse in Broward County, Florida James N. Hall1
1 Mr. Hall is affiliated with the United Way of Broward County Commission on Substance Abuse’s Center for the Study and Prevention of Substance Abuse at Nova Southeastern University.
ABSTRACT Alcohol dominates the number of drug abuse consequences in Broward County and throughout the nation. Measures and trends of alcohol abuse tend to be more stable over the years than patterns of other abused substances. Adult, White males are most frequently observed in alcohol related consequences. INTRODUCTION This report addresses alcohol use and abuse in Broward County, Florida during the first half of 2004. It includes data on prevalence of use, alcohol-related deaths, medical emergencies, addiction treatment admissions, and law enforcement arrests. Report Highlights Ø One in five of Broward high school students had 5 or more drinks of alcohol in a row at least
once during the last 30 days. Ø One in four of Broward high school students has ridden within the last 30 days with a driver
who has been drinking. Ø Nine percent of Broward high school students report having driven a car or motorcycle after
drinking during the past 30 days. Ø There were 324 alcohol-related deaths in Broward County during 2003 and 165 in the first half
of 2004. Ø Among those coming to Broward County emergency rooms for an alcohol-related problem in
2004, 21 percent were seeking detox.
EPIDEMIOLOGICAL TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 2
Ø Among alcohol-related emergency department patients, 22 percent were admitted to detox or treatment, a psychiatric unit, or other inpatient care, another 30 percent were referred to detox or treatment.
Ø There were 2,533 arrests for driving under the influence in Broward County during the first half
of 2004.
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 3
Special Populations Youth A summary of the data on alcohol abuse consequences impacting those below the age of 18 is provided in the table below. Youth
# (%) All Ages #
Alcohol Deaths 1-18 years 0 165 ED cases <18 72 (4 %) 1,749 Treatment mentions <18
116 (5 %)
2,448
High School 30-day current use 2003 survey
42 %
High School 30-day current use 2001 survey
43.9 %
Older Populations The table below summarizes the report’s data on those 55 years of age and older involved in Broward alcohol-related deaths and among emergency department patients. Rates for alcohol addiction treatment clients are for those over the age of 50 years. Older People
# (%) All Ages #
Alcohol Deaths 55 + 37 (22 %) 165 ED cases 55+
77 (4 %) 1,749
Treatment mentions 50+
380 (16 %)
2,448
Co-occurring Disorders of a Serious Mental Illness and Alcohol Use Disorder The report does not track dual diagnosis of alcohol addiction and other mental health disorders locally. However, a study based on the SAMHSA 2002 National Survey on Drug Use and Health addresses co-occurring serious mental illness and a substance use disorders. It identifies 4 million adults aged 18 or older with a serious mental illness who also have a co-occurring substance use disorder. These 4 million represent 23 percent of the 17.5 million adults with a serious mental illness and 20 percent of the 19.7 million adults with a substance use disorder. Among the 4 million with co-occurring disorders, 2,377,000 were dependent on or abused only alcohol, 893,000 were dependent on or abused only illicit drugs, and 779,000 were dependent on or abused both alcohol and illicit drugs.
EPIDEMIOLOGICAL TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 4
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 5
Area Description Broward County is composed of Ft. Lauderdale plus 28 other municipalities, and an unincorporated area. The county covers 1,197 square miles, including 25 miles of coastline. As of 2003, the population was 1,698,425. The population is roughly 63 percent White non-Hispanic, 21 percent Black non-Hispanic, and 17 percent Hispanic. Broward County is the second most populated county in Florida and accounts for approximately 10 percent of Florida’s population. Broward was the top growth county in Florida in the 1990s, adding 367,000 more people. Data Sources This report describes current alcohol trends in Broward County, using the data sources summarized below: • Alcohol-related mortality data were provided by the Broward County Medical Examiner
Department for 2003 and the first half of 2004.
• Emergency Department (ED) data for the first half of 2004 are reported from two Broward County hospital emergency departments as part of the Federal Drug Abuse Warning Network (DAWN) conducted by the Office of Applied Studies (OAS), of the Substance Abuse and Mental Health Services Administration (SAMHSA). Cases from the second half of 2004 are from 5 Broward County hospital emergency departments. Future reports will include more Broward County hospitals as the DAWN system expands.
• Alcohol addiction treatment data for the first half of 2004 were provided by the Broward Addiction
Recovery Centers (BARC) of the Broward County Department of Human Services and Spectrum Programs, Inc.
• Alcohol-related crime data is provided by the Florida Department of Law Enforcement Uniform
Crime Reports county-level arrest data from 2000 through the first half of 2004. • Survey data on prevalence of alcohol use are from (1) the Centers for Disease Control and
Prevention’s (CDC&P) 2003 Youth Risk Behavior Survey and (2) the Florida Youth Substance Abuse Survey 2002 and 2004 and (3) the National Institute on Drug Abuse’s (NIDA) 2004 Monitoring the Future Survey of students in grades 8–12 nationally and (4) the Substance Abuse and Mental Health Services Administration’s 2002 and 2003 National Survey on Drug Use and Health.
EPIDEMIOLOGICAL TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 6
ALCOHOL ABUSE PATTERNS AND TRENDS Prevalence Prevalence of alcohol use and abuse is the measure of what proportion (or percentage) of a selected population consumes and what proportion experiences or causes negative consequences. Prevalence is most frequently measured by surveys. Prevalence of alcohol in Broward County is tracked by two surveys among youth. Two additional surveys tracking alcohol use among the general population are not Broward County specific but do provide rates of alcohol-related behavior among residences of the State of Florida and the nation. High School Students Youth alcohol prevalence rates are derived for high school students (grades 9-12) from the US Centers for Disease Control and Prevention’s (CDC&P) national Youth Behavior Risk Survey (YRBS). It is over-sampled in 18 metropolitan areas, including Broward County, to provide local prevalence rates for these communities. The survey has been conducted in odd-number years since 1993. The most current local results are from 2003. The 2005 results are anticipated in the summer of 2006. The Florida Youth Substance Abuse Survey (FYS) has been conducted annually since 2000 for middle and high school students across the State of Florida. In even-numbered years, the survey has been over-sampled to provide prevalence rates for the counties of Florida. The most current state-level information is from 2004. The most current Broward County information is from 2002. The 2004 results for Broward County are anticipated by March of 2005. Exhibits 1-3 compare the findings of the two surveys of alcohol use among Broward County High School Students. YRBS is the CDC&P’s Youth Risk Behavior Survey and FYS is the Florida Youth Substance Abuse Survey.
Survey Year
(Sample Size)
YRBS 1993
(1,648)
YRBS 1995
(1,656)
YRBS 1997
(1,628)
YRBS 1999
(1,809)
FYS 2000
(2,601)
YRBS 2001
(2,112)
FYS 2002
(1,981)
YRBS 2003
(2,210)
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 7
EPIDEMIOLOGICAL TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 8
Exhibit 1
Percent of Broward High School Students Reporting Any Lifetme Use of Alcohol
0
10
20
30
40
50
60
70
80
90
100
% o
f 9-
12 G
rad
ers
Rep
ort
ing
CDCPAny Lifetime use
FL-YS Any Lifetime use
CDCPAny Lifetime use 77 77.3 73.8 74.8 73.9 72.9
FL-YS Any Lifetime use 69.9 69.3
2000 2002
1993 1995 1997 1999 2001 2003
Sources: Center for Disease Control and Prevention Youth Risk behavior Survey 1993-2003 and Florida Youth Substance Abuse Survey 2000 to 2002 Exhibit 2
Percent of Broward High School Students Reporting Any Alcohol Use in Past 30 Days
0
10
20
30
40
50
60
70
80
90
100
% o
f 9-
12 G
rad
ers
Rep
ort
ing
CDCP Past 30-day use
FL-YS Past 30-day use
CDCP Past 30-day use 43.9 40.1 44 44.1 43.9 42
FL-YS Past 30-day use 44 39.9
2000 2002
1993 1995 1997 1999 2001 2003
Sources: Center for Disease Control and Prevention Youth Risk behavior Survey 1993-2003 and Florida Youth Substance Abuse Survey 2000 to 2002
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 9
Exhibit 3
Percent of Broward High Shoool Students 5 or more drinks in row Past 30 Days
0
1020
30
40
5060
70
80
90100
% o
f 9-1
2 G
rad
ers
Rep
ort
ing
CDCP 5+ drinks in row Past 30-days
FL-YS 5+ drinks in row Past 30-days
CDCP 5+ drinks in row Past30-days
20.3 17.4 22.6 20.1 21.1 20.3
FL-YS 5+ drinks in row Past30-days
22.8 20.3
2000 2002
1993 1995 1997 1999 2001 2003
Sources: Center for Disease Control and Prevention Youth Risk behavior Survey 1993-2003 and Florida Youth Substance Abuse Survey 2000 to 2002 The three indicators of (1) Lifetime prevalence, (2) Past 30-Day prevalence, and (3) Binge-drinking of 5 or more drinks in a row are included in both surveys of Broward High School Students. Both surveys validated one another with very similar findings for these three questions between 2000 and 2001. The findings may be generalized to report that approximately 70 percent of high school students in Broward County reported at least one lifetime experience of consuming alcohol, approximately 40 percent report used within the past 30 days of taking the survey, and 20 percent report binge drinking within the past 30 days. Comparison of findings for the 2003 Youth Risk Behavior Survey from Broward County with neighboring counties, the State of Florida, and national rates are provided in Exhibits 4 and 5. Broward County students report lower rates of alcohol lifetime, current, and binge drinking and drinking on school property as well as driving after dinking or riding with someone who has than national, Florida and Palm Beach students. The only question where Broward students report higher rates than the national average or Palm Beach students was in having had a drink of alcohol before the age of 13 years.
EPIDEMIOLOGICAL TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 10
Exhibit 4
Percent of High School Students Reporting Alcohol Use 2003
0.00%10.00%20.00%30.00%40.00%50.00%60.00%70.00%80.00%
Any lifetimeuse
Use in past30 days
Bingedrinking last
30 days
United States
State of Florida
Broward County
Miami- Dade County
Palm Beach County
Source: Center for Disease Control and Prevention Youth Risk Behavior Survey 2003 Exhibit 5
Percent of High School Students Reporting Alcohol Use and Behavior 2003
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
35.00%
1st drink before 13yrs Drank at school last30 days
Rode with drinkingdriver last 30 days
Drove after drinkingcar last 30 days
United States
State of Florida
Broward County
Miami-Dade County
Palm Beach County
Source: Center for Disease Control and Prevention Youth Risk Behavior Survey 2003
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 11
EPIDEMIOLOGICAL TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 12
Middle School Students Prevalence rates of alcohol use for middle school students in Broward County are available from the 2000 and 2002 Florida Youth Substance Abuse Survey. The 2004 results for Broward County are anticipated by March of 2005. In 2002, 20.1 percent of Broward County middle school students reported current or use of alcohol within the past 30 days, a rate that is slightly higher than the statewide prevalence of 19.7 percent and just above the Broward rate of 19.8 percent in 2000. Lifetime use of alcohol was reported by 42.3 percent of Broward middle school students in 2002, up from 38.4 percent in 2000. Binge drinking rates (defined as having 5 or more drinks in a row) within the past two weeks declined from 8.9 percent of Broward middle school students in 2000 to 6.9 percent in 2002. General Population While no local rates of alcohol prevalence are available for adults in Broward County, estimates for residents of Florida are made by the Substance Abuse and Mental Health Services Administration in its 2002 National Survey on Drug Use and Health (NSDUH). It reports that among Floridians aged 18 to 25 years, 60.32 percent were current (past 30-days) users of alcohol compared to 60.47 percent for the nation. Among those aged 26 years or older the NSDUH found that 54.97 percent of Floridians and 53.91 percent of national residents in that age group reported current use of alcohol. The similarity of these rates indicates the endemic rather than epidemic nature of alcohol abuse in the United States. Thus, there are not necessarily dramatic differences in the patterns of alcohol use and abuse across communities in the United States. The NSDUH reported that 39.28 percent of Floridians aged 18-25 years had 5 or more drinks in a row at least once in the past 30 days compared to 40.93 percent of national residents. Likewise, it found that 21.76 percent of Floridians aged 26 years or older had 5 or more drinks in a row at least once in the past 30 days compared to 21.44 percent of national residents. Alcohol-Related Consequences Deaths There were 324 alcohol-related deaths in Broward County in 2003. There have been 165 such deaths in the first six months of 2004. A review of the 2004 alcohol deaths from January through June is presented in exhibits 6-10. Males accounted for 75 percent of the 165 decedents and 83 percent were White, 14 percent were Black, and 1 percent were Asian. Two of the deaths involved infants, 3 were aged 18-20 years, 37 percent were aged 44 to 54 years of age followed by 22 percent aged 35 to 44 years. Other age distributions are shown in exhibit 8.
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 13
EPIDEMIOLOGICAL TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 14
Exhibit 6
Broward Alcohol Deaths Jan-Jun 2004 by Gender n=165
Male 75%
Female25%
Source: Broward County Medical Examiner’s Department Exhibit 7
Broward Alcohol Deaths Jan-Jun 2004 By Race/Ethnicity n=165
Black14%
Hispanic 2%
White83%
Asian 1%
Source: Broward County Medical Examiner’s Department
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 15
Exhibit 8
Broward Alcohol Deaths Jan-Jun 2004 By Age n=165
61
35
10
8
3
0
0
2
18
19
9
0 10 20 30 40 50 60 70
65 years & older
55-64 years
45-54 years
35-44 years
30-34 years
25-29 years
21-24 years
18-20 years
12-17 years
6-11 years
5years & younger
# of Alcohol Deaths
Source: Broward County Medical Examiner’s Department Exhibit 9 classifies the alcohol deaths from the first half of 2004 by manner of death and whether alcohol was considered the cause of death. Accidental death was the manner for 46 percent of the cases and alcohol was considered the cause of death for 12 percent of those cases. Suicide was attributed to 34 percent of the alcohol cases and it was the cause of death in 9 percent of those cases. Natural causes accounted for 14 percent of the alcohol deaths with 1 of those cases reporting alcohol as the cause of death. It was also detected in 6 homicide cases and was the cause of death in one of those. Four of the cases remain undetermined as to the manner of death. Exhibit 10 shows that cocaine was detected in 24 percent of the alcohol deaths, benzodiazepines were detected in 22 percent, and narcotic pain medications were reported in 14 percent of the deaths, while heroin was found in 4 percent. Two other alcohol death cases were listed as multiple drug overdoses.
EPIDEMIOLOGICAL TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 16
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 17
Exhibit 9
B r o w a r d A l c o h o l D e a t h s J a n - J u n 2 0 0 4 B y M a n n e r o f D e a t h
95
1 1
6 7
5 1
5
2 2
4
0
1 0
2 0
3 0
4 0
5 0
6 0
7 0
8 0
ACCID
ENT
SUICID
E
HOMICIDE
NATU
RAL
Unde
termine
d
# o
f A
lco
ho
l Dea
ths
A l c o h o l C a u s e d
A l c o h o l P r e s e n t
Source: Broward County Medical Examiner’s Department Exhibit 10
Broward Alcohol-Related Deaths Jan-Jun 2004 Other Drugs Detected
4037
23
6
2
0
5
10
15
20
25
30
35
40
45
Cocaine Benzo's Narcotic Analgesic Heroin Multiple
Source: Broward County Medical Examiner’s Department
EPIDEMIOLOGICAL TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 18
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 19
Medical Emergencies The new Drug Abuse Warning Network (DAWN) recorded selected information on alcohol-related emergency department cases from 2 Broward hospitals in the first half of 2004. The network has expanded to 5 emergency departments in Broward County by the last quarter of 2004. Thus, the alcohol cases tracked by DAWN are not a total or estimate of all the cases in the County, but do provide a sample of such cases from which a profile of patients and problems may be reviewed. DAWN tracks alcohol cases for adults only when alcohol is reported in combination with other drugs of abuse. None-the-less, the category of alcohol-in-combination usually ranks slightly above cocaine as the highest number of drug-related hospital emergency department cases nationwide. DAWN also tracks alcohol-only ED cases for anyone under 21 years of age. Exhibits 11-13 reveal the demographics of the 1,749 patients who came into a Broward emergency room in 2004 for an alcohol–related case. Males accounted for 66 percent and Whites for 68 percent, while Blacks represented 23 percent of the ED cases, and Hispanics accounted for 9 percent. Teens below the age of 18 accounted for 29 percent of the 246 underage alcohol ED cases. Yet, those of legal drinking age, 21 years and older, represented 86 percent of the alcohol-related ED cases, with those aged 35-44 representing 32 percent of all the alcohol ED cases, the next largest group was those aged 45 to 54 years who accounted for 18 percent. Exhibit 11
Source: US Dept. HHS, SAMHSA-Office of Applied Studies DAWN Live!
Broward Alcohol Emergency Department Cases 2004 By Gender n=1,749
Female34%
Male66%
EPIDEMIOLOGICAL TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 20
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 21
Exhibit 12
Broward Alcohol Emergency Department Cases 2004 By Race/Ethnicity n=1,749
White68%
Black23%
Hispanic9%
Source: US Dept. HHS, SAMHSA-Office of Applied Studies DAWN Live! Exhibit 13
Broward Alcohol Emergency Department Cases 2004 By Age
00
72174
149192198
31559
18
567
0 100 200 300 400 500 600
5 yr & younger
6-11 years
12-17 years
18-20 years
21-24 years
25-29 years
30-34 years
35-44 years
45-54 years
55-64 years
65 years & older
EPIDEMIOLOGICAL TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 22
Source: US Dept. HHS, SAMHSA-Office of Applied Studies DAWN Live! Exhibits 14-16 classify the alcohol-related emergency department episodes by type of case, chief complaints, and patient disposition. Among the 1,749 cases in 2004, 60 percent were charted as substance abuse cases and an additional 16 percent were listed as seeking detox. Overmedication, often in combination with prescription medication, was listed in 8 percent of the cases; another 8 percent were among those below the age of 21 years involving alcohol only. Suicide was the case type for 5 percent of the alcohol-related cases (exhibit 14). The 1,749 alcohol-related ED patients reported 2,412 chief complaints including 22 percent of the patients with psychiatric conditions, and 21 percent being intoxicated. Seeking detox was requested by 16 percent of the alcohol-related ED patients. Other complaints are enumerated in exhibit 15. Among alcohol-related emergency department patients, 30 percent were referred to detox or treatment, 28 percent were discharged to home, another 22 percent were admitted to detox or treatment, a psychiatric unit, or other inpatient care, and 4 percent were releases to the police or jail (exhibit 16). Exhibit 14
Broward Alcohol Emergency Department Cases 2004 By Case Type n=1,749
92
287
138
22
148
4
01058
0 200 400 600 800 1000 1200
Suicide attempt
Seeking detox
Under 21 Alcohol Only
Adverse reaction
Overmedication
Malicious poisoning
Accidental ingestion
Alcohol Abuse
Source: US Dept. HHS, SAMHSA-Office of Applied Studies DAWN Live!
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 23
EPIDEMIOLOGICAL TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 24
Exhibit 15
Broward Alcohol Emergency Department Cases 2004 By Chief Complaints
274
368
68
238
391
31
285
86
23
93
43
88
424
0 50 100 150 200 250 300 350 400 450
Overdose
Intoxication
Seizures
Altered mental status
Psychiatrric condition
Withdrawal
Seeking detox
Accident/injury/assault
Abscess/skin/tissue
Chest pain
Respiratory problem
Digestive problem
Other
Source: US Dept. HHS, SAMHSA-Office of Applied Studies DAWN Live! Exhibit 16
Broward Alcohol Emergency Department Cases 2004 by Patient Disposition n=1,749
492
62
520
35
87
118
175
83
39
1
40
97
0 100 200 300 400 500 600
Discharged Home
Released to police/jail
Referred to detox/treatment
Admitted to critical care/ICU
Admitted to detox/ treatment
Admitted to psychiatric unit
Admited to other inpatient
Transferred
Left against medical advice
Died
Other
Not Documented
Source: US Dept. HHS, SAMHSA-Office of Applied Studies DAWN Live!
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 25
Alcoholism Treatment Among the 4,057 patients admitted to the Broward Addiction Recovery Center (BARC) and Spectrum Programs in Broward County, 60 percent cited alcohol as either a primary, secondary, or tertiary drug of abuse. Of theses 2,448 alcohol mentions, 61 percent were as the primary substance, 32 percent listed alcohol as their secondary drug, and 7 percent of the alcohol mentions were as the tertiary drug of abuse (exhibit 17). Those aged 40-49 years accounted for 41 percent of all primary alcohol treatment admissions, 32 percent of the secondary cases, and 24 percent of the tertiary mentions. Youth were most likely to cite alcohol as a secondary drug of abuse (exhibit 18). Whites accounted for 60 percent of all the alcohol treatment mentions and 68 percent of the primary alcohol cases. Blacks accounted for 28 percent of all the alcohol treatment cases. Hispanics accounted for 10 percent of the cases (exhibit 19). Information on the gender of BARC treatment clients was not available. Among the 310 alcohol treatment cases in the Spectrum program, 71 percent were males (exhibit 20). Exhibit 17
Broward Alcohol Treatment Admissions by Primary, Secondary, or Tertiary
Drug of Choice JAN-JUN 2004 n= 2,448
Tertiary7%
Primary61%
Secondary32%
Source: BARC and Spectrum Programs
EPIDEMIOLOGICAL TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 26
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 27
Exhibit 18
Broward Primary, Secondary, Tertiary Alcohol Treatment Admissions by Age Jan-Jun 2004 n=2,448
0
100
200
300
400
500
600
700
800
900
1000
# A
lco
ho
l Ad
mis
sio
ns
Tertiary
Secondary
Primary
Tertiary 18 28 24 49 43 16 2
Secondary 86 104 82 201 249 49 5
Primary 12 81 112 364 615 271 37
>18 18-24 25-29 30-39 40-49 50-59 60 +
Source: BARC and Spectrum Programs Exhibit 19
Broward Primary, Secondary, Tertiary Alcohol Treatment Admissions By Race/Ethnicity JAN-JUN 2004 n=2,448
0
200
400
600
800
1,000
1,200
1,400
1,600
White Black Hispanic Other
# A
lco
ho
l Ad
mis
sio
ns
Tertiary
Secondary
Primary
Source: BARC and Spectrum Programs
EPIDEMIOLOGICAL TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 28
Exhibit 20
Broward Spectrum Program Alcohol Treatment Admissions By Gender JAN-JUN 2004 n=310
0
50
100
150
200
250
# o
f A
lch
ol A
dm
isss
ion
s
Tertiary
Secondary
Primary
Tertiary 18 4
Secondary 136 34
Primary 65 53
Male Female
Source: BARC and Spectrum Programs Alcohol-Related Crime Exhibit 21 tracks the number of Driving-Under-the-Influence (DUI) and liquor law violation arrests in Broward County from 2000 through the first half of 2004. DUI arrests totaled 5,104 in 2000 and declined to 4,530 in 2001 and to 4,283 in 2002 before rising to 4,617 in 2003. There were 2,533 DUI arrests in the first 6 months of 2004. Liquor law violation arrests totaled 3,578 in 2000 and remain fairly stable with 3,242 arrests in 2001, 3,630 in 2002 and 3,574 in 2003. During the first half of 2004, there were 1,611 liquor law violation arrests in Broward County. The gender and age of DUI and liquor law violation arrests are available on a statewide basis but not at the county level. Exhibits 22 and 23 show the similar patterns in the gender and age groups of alcohol-related arrestees from 2000 through the first half of 2004. Both DUI and liquor law violations are dominated by adult males. Likewise, among juveniles most arrestees for alcohol violations are males. Exhibit 24 on the last page of this report identifies the number of DUI arrests by the various police departments in Broward County in the first half of 2004. The Broward Sheriff Office made 25 percent of these arrests.
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 29
Exhibit 21
5,104
3,578
4,530
3,242
4,283
3,630
4,617
3,574
2,533
1,611
0
1,000
2,000
3,000
4,000
5,000
6,000
# of Arrests
2000 2001 2002 2003 Jan-Jun 04
Broward Alcohol Crimes 2000-1H2004
DUI Liiquor LawViolations
Source: Florida Department of Law Enforcement, Uniform Crime Reports Part 2A Exhibit 22
Florida DUI Arrests 2000 to Jan-Jun 2004
0
10000
20000
30000
40000
50000
60000
70000
# D
UI A
rres
ts
Female Adult
Male Adult
Female Juvenile
Male Juvenile
Female Adult 11,124 11,461 11,862 11,460 5,773
Male Adult 48,745 48,329 48,166 45,068 22,829
Female Juvenile 96 98 145 97 54
Male Juvenile 372 450 401 351 182
2000 2001 2002 2003 1h2004
Source: Florida Department of Law Enforcement, Uniform Crime Reports Part 2A
EPIDEMIOLOGICAL TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 30
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 31
Exhibit 23
Florida Liquor Law Violation Arrests 2000 to Jan-Jun 2004
0
5,000
10,000
15,000
20,000
25,000
30,000
35,000
40,000
45,000
# L
iqu
or
Vio
lati
on
Arr
ests
Female Adult
Male Adult
Female Juvenile
Male Juvenile
Female Adult 4,800 4,607 4,635 4,929 2,723
Male Adult 31,855 34,372 29,025 27,617 15,217
Female Juvenile 599 637 492 462 228
Male Juvenile 1,777 1,870 1,356 1,215 632
2000 2001 2002 2003 1h2004
Source: Florida Department of Law Enforcement, Uniform Crime Reports Part 2A For inquiries regarding this report, please contact: James N. Hall, Center for the Study and Prevention of Substance Abuse, Nova Southeastern University Phones: (954) 262-3446 or (786) 242-8222, E-mail: [email protected]
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 1
Exhibit 24
Broward County DUI Arrests Jan-Jun 2004 By Police Department
33
88
35 28
193
93
235
77
322
72
136
327 25
9 238
5524
188
0
162
26 1551
0 9 17 160 0 0
16
189
4
642
0
100
200
300
400
500
600
700
Broward
County
Sherif
f's Offic
e
Dania
Police
Depar
tment
Deerfie
ld Bea
ch Po
lice Dep
t.
Ft. Lau
derdal
e Polic
e Dept
.
Halland
ale Po
lice Dep
t.
Hollywoo
d Polic
e Dep
t.
Planta
tion Po
lice Dep
t.
Pompa
no Be
ach Po
lice Dep
t.
Pembro
ke Pin
es Po
lice De
pt.
Wilton M
anors
Police
Dept.
Cooper C
ity Polic
e Dept
.
Coconu
t Cree
k Polic
e Dep
t.
Davie
Police
Depar
tment
Hillsboro
Beac
h Polic
e Dep
t.
Lauder
dale-B
y-The-
Sea P
D
Laud
erdale
Lakes
Police
Dept.
Laud
erhill P
olice D
ept.
Lighth
ouse
Point
Police
Dept.
Margate
Police
Departm
ent
Miramar
Police
Departm
ent
North La
uderd
ale Po
lice Dep
t.
Oakland
Park P
olice D
ept.
Sea R
anch
Lakes
Police
Dept.
Sunris
e Polic
e Depa
rtment
Coral S
prings
Police
Dept.
Pembro
ke Pa
rk Polic
e Dept
.
Tamara
c Polic
e Dep
artmen
t
Ft. Lau
derdal
e Intl. A
irport P
D
Parkla
nd Po
lice Dep
artmen
t
Semino
le Ind
ian Rese
rvation
Town
of So
uthwe
st Ranc
hes
Broward
-DEP Div o
f Law En
force
Broward
-Division
of Ins
urance
Frau
d
Broward
-Florida
Gam
e Com
mission
Weston
Police
Departm
ent
FHP -
Ft.La
uderd
ale
Port E
vergla
des Po
lice De
partment
# o
f D
UI A
rres
ts
Source: Florida Department of Law Enforcement, Uniform Crime Reports Part 2A
EPIDEMIOLOGIC TRENDS IN ALCOHOL USE AND ABUSE—Broward County, Florida
United Way of Broward County Commission on Substance Abuse Alcohol Epidemiology Report, Fall 2004 1