Table Of Content

Tennessee Epidemiological Profile of Alcohol and Drug Misuse and Abuse Tennessee Department of Mental Health and Substance Abuse Services 2016 CONTENTS EXECUTIVE SUMMARY .................................................................................... 16 Key Findings ........................................................................................................................... 16 Healthy People 2020 Comparisons ........................................................................................ 22 Data Gaps and Limitations...................................................................................................... 23 INTRODUCTION ............................................................................................... 25 History of Strategic Prevention Framework (SPF) in Tennessee ........................................... 25 Tennessee State Epidemiological Outcomes Workgroup (SEOW) ........................................ 25 Purpose of the Epi Profile ....................................................................................................... 26 How Indicators Were Selected ............................................................................................... 26 How Indicators Are Presented ................................................................................................ 27 Structure of the Report ............................................................................................................ 27 Data Gaps and Limitations...................................................................................................... 28 TENNESSEE STATE POPULATION .................................................................. 30 Geography .............................................................................................................................. 30 Population ............................................................................................................................... 31 Education ................................................................................................................................ 31 Health ...................................................................................................................................... 31 Income and Unemployment .................................................................................................... 31 Populations of Focus .............................................................................................................. 32 CONSUMPTION PATTERNS ............................................................................. 35 CONSUMPTION – TOBACCO USE .......................................................................................... 35 Lifetime Cigarette Use among Youth ...................................................................................... 36 Current Cigarette Use among Youth ...................................................................................... 38 Frequent Cigarette Use among Youth .................................................................................... 41 Daily Cigarette Use among Youth .......................................................................................... 43 Current Tobacco Product Use among Youth .......................................................................... 45 Lifetime Electronic Vapor Product Use among Youth ............................................................ 48 Current Electronic Vapor Product Use among Youth ............................................................. 49 Current Cigarette Use among Adults ...................................................................................... 50 Current Tobacco Product Use among Adults ......................................................................... 54 CONSUMPTION – ALCOHOL USE ........................................................................................... 59 Alcohol Sales .......................................................................................................................... 60 Lifetime Alcohol Use among Youth ......................................................................................... 61 Current Alcohol Use among Youth ......................................................................................... 63 Binge Drinking and Heavy Alcohol Use among Youth ........................................................... 66 Alcohol Dependence among Youth ........................................................................................ 69 Current Alcohol Use among Adults ......................................................................................... 71 Binge Drinking among Adults ................................................................................................. 74 Heavy Alcohol Use among Adults .......................................................................................... 77 Alcohol Dependence among Adults ........................................................................................ 79 CONSUMPTION – PRESCRIPTION DRUG MISUSE ............................................................... 83 Lifetime Prescription Drug Misuse among Youth ................................................................... 84 Past Year Prescription Drug Misuse among Youth ................................................................ 86 Past Year Prescription Drug Misuse among Adults ................................................................ 88 CONSUMPTION – OTHER ILLICIT DRUG USE ....................................................................... 91 Lifetime Marijuana Use among Youth ..................................................................................... 92 Past Year Marijuana Use among Youth ................................................................................. 94 Current Marijuana Use among Youth ..................................................................................... 96 3 Tennessee Epidemiological Profile of Alcohol and Drug Misuse Page Lifetime Cocaine Use among Youth ....................................................................................... 99 Past Year Cocaine Use among Youth .................................................................................. 101 Lifetime Ecstasy Use among Youth ...................................................................................... 102 Lifetime Heroin Use among Youth ........................................................................................ 104 Lifetime Methamphetamine Use among Youth .................................................................... 106 Lifetime Inhalant Use among Youth ..................................................................................... 108 Injection Drug Use among Youth .......................................................................................... 110 Any Current Illicit Drug Use among Youth ............................................................................ 112 Past Year Marijuana Use among Adults ............................................................................... 114 Current Marijuana Use among Adults .................................................................................. 116 Past Year Cocaine Use among Adults ................................................................................. 118 Any Current Illicit Drug Use among Adults ........................................................................... 120 CONSEQUENCES ........................................................................................... 123 CONSEQUENCES – TOBACCO USE..................................................................................... 123 Tobacco-Related Juvenile Court Referrals ........................................................................... 124 CONSEQUENCES – ALCOHOL USE ..................................................................................... 127 Youth Riding with a Drunk Driver.......................................................................................... 128 Youth Drinking and Driving ................................................................................................... 130 Alcohol-Involved Crashes ..................................................................................................... 131 Alcohol-Involved Fatal Crashes ............................................................................................ 132 Offenders Suspected of Using Alcohol ................................................................................. 134 Arrests for Alcohol Violations ................................................................................................ 136 Alcohol-Related Juvenile Court Referrals ............................................................................. 140 Alcohol-Induced Deaths ........................................................................................................ 141 CONSEQUENCES – PRESCRIPTION DRUG MISUSE ......................................................... 145 Hospitalizations for Opioids and Heroin ............................................................................... 146 Prescription Drug-Related Fatal Crashes ............................................................................. 148 Opioid-Related Arrests ......................................................................................................... 150 Treatment Admissions for Opioid Abuse .............................................................................. 151 Opioid-Related Drug Seizures .............................................................................................. 153 Neonatal Abstinence Syndrome ........................................................................................... 154 Opioid and Prescription Drug-Related Deaths ..................................................................... 156 CONSEQUENCES – OTHER ILLICIT DRUG USE ................................................................. 159 Illicit Drug-Related Fatal Crashes ......................................................................................... 160 Offenders Suspected of Using Drugs/Narcotics ................................................................... 162 Drug-Related Arrests ............................................................................................................ 164 Drug-Related Juvenile Court Referrals ................................................................................. 166 Drug-Induced Deaths ............................................................................................................ 167 CONTRIBUTING FACTORS ............................................................................ 171 CONTRIBUTING FACTORS – TOBACCO USE ..................................................................... 171 Cigarette Availability ............................................................................................................. 172 Risk Perception for Smoking Cigarettes ............................................................................... 174 Age of Cigarette Initiation ..................................................................................................... 177 Smoking Cessation ............................................................................................................... 179 CONTRIBUTING FACTORS – ALCOHOL USE ...................................................................... 183 Alcohol Availability ................................................................................................................ 184 Risk Perception for Binge Drinking ....................................................................................... 186 Age of Alcohol Initiation ........................................................................................................ 189 Access to Treatment for Alcohol Abuse ............................................................................... 191 CONTRIBUTING FACTORS – PRESCRIPTION DRUG MISUSE .......................................... 195 Availability of Prescription Drugs .......................................................................................... 196 4 Page Tennessee Epidemiological Profile of Alcohol and Drug Misuse CONTRIBUTING FACTORS – OTHER ILLICIT DRUG USE .................................................. 199 Access to Drugs on School Property .................................................................................... 200 Risk Perception for Marijuana ............................................................................................... 202 Age of Marijuana Use Initiation ............................................................................................. 205 Access to Treatment for Drug Abuse .................................................................................... 207 APPENDIX ...................................................................................................... 211 Data Sources ........................................................................................................................ 211 List of Indicators .................................................................................................................... 214 ICD – 9 / ICD – 10 Codes ..................................................................................................... 217 5 Tennessee Epidemiological Profile of Alcohol and Drug Misuse Page LIST OF TABLES AND CHARTS Exhibit 1. Past month substance use prevalence by substance type among 12-17 year olds .......... 17 Exhibit 2. Past month substance use prevalence by substance type among adults 18 years and older .................................................................................................................................. 17 Exhibit 3. Current Tennessee data compared to Healthy People 2020 national objectives .............. 22 Exhibit 4. United States Census Bureau, American FactFinder 2015 population estimates by county ............................................................................................................................... 30 Exhibit 5. TDMHSAS Behavioral Health Planning Regions .............................................................. 30 Exhibit 6. Regional and state population demographics ................................................................... 32 Exhibit 7. Percentage of reported lifetime cigarette use among high school students ...................... 36 Exhibit 8. Percentage of reported lifetime cigarette use among high school students, Tennessee and U.S. ............................................................................................................................ 36 Exhibit 9. Percentage of reported lifetime cigarette use among high school students, by demographic group ........................................................................................................... 37 Exhibit 10. Percentage of reported current cigarette use among youth age 12–17 ............................ 38 Exhibit 11. Percentage of reported current cigarette use among youth age 12–17, Tennessee and U.S. ............................................................................................................................ 38 Exhibit 12. Percentage of reported current cigarette use among youth age 12–17 by region ............. 39 Exhibit 13. Regional map of percentage of reported current cigarette use among youth age 12– 17: 2012–2014 .................................................................................................................. 39 Exhibit 14. Percentage of reported current cigarette use among high school students ...................... 40 Exhibit 15. Percentage of reported current cigarette use among high school students, Tennessee and U.S. ............................................................................................................................ 40 Exhibit 16. Percentage of reported current cigarette use among high school students, by demographic group ........................................................................................................... 40 Exhibit 17. Percentage of reported frequent* cigarette use among high school students ................... 41 Exhibit 18. Percentage of reported frequent* cigarette use among high school students, Tennessee and U.S. ......................................................................................................... 41 Exhibit 19. Percentage of reported frequent* cigarette use among high school students, by demographic group ........................................................................................................... 42 Exhibit 20. Percentage of reported daily cigarette use among high school students .......................... 43 Exhibit 21. Percentage of reported daily cigarette use among high school students, Tennessee and U.S. ............................................................................................................................ 43 Exhibit 22. Percentage of reported daily cigarette use among high school students, by demographic group ........................................................................................................... 44 Exhibit 23. Percentage of reported current tobacco product use among youth age 12–17 ................. 45 Exhibit 24. Percentage of reported current tobacco product use among youth age 12–17, Tennessee and U.S. ......................................................................................................... 45 Exhibit 25. Percentage of reported current tobacco product use among youth age 12–17 by region ................................................................................................................................ 46 Exhibit 26. Regional map of percentage of reported current tobacco product use among youth age 12–17: 2012–2014 ..................................................................................................... 46 Exhibit 27. Percentage of reported current smokeless tobacco use among high school students ...... 47 Exhibit 28. Percentage of reported current smokeless tobacco use among high school students, Tennessee and U.S. ......................................................................................................... 47 Exhibit 29. Percentage of reported current smokeless tobacco use among high school students, by demographic group ...................................................................................................... 47 Exhibit 30. Percentage of reported lifetime electronic vapor product* use among high school students, Tennessee and U.S. .......................................................................................... 48 Exhibit 31. Percentage of reported lifetime electronic vapor product* use among high school students, by demographic group ....................................................................................... 48 Exhibit 32. Percentage of reported current electronic vapor product* use among high school students, Tennessee and U.S. .......................................................................................... 49 Exhibit 33. Percentage of reported current electronic vapor product* use among high school students, by demographic group ....................................................................................... 49 Exhibit 34. Percentage of reported current cigarette use among adults by age group........................ 50 Exhibit 35. Percentage of reported current cigarette use among adults age 18+, Tennessee and U.S. ................................................................................................................................... 50 Exhibit 36. Percentage of reported current cigarette use among adults age 18+ by region ................ 51 Exhibit 37. Regional map of percentage of reported current cigarette use among adults age 18+: 2012–2014 ........................................................................................................................ 51 6 Page Tennessee Epidemiological Profile of Alcohol and Drug Misuse Exhibit 38. Percentage of reported current cigarette use among adults age 18+ ............................... 52 Exhibit 39. Percentage of reported current cigarette use among adults age 18+, Tennessee and U.S. ................................................................................................................................... 52 Exhibit 40. Trends in percentage of current cigarette use among adults age 18+, by demographic group ................................................................................................................................. 53 Exhibit 41. Percentage of reported current tobacco product use among adults by age group ............ 54 Exhibit 42. Percentage of reported current tobacco product use among adults age 18+, Tennessee and U.S. ......................................................................................................... 54 Exhibit 43. Percentage of reported current tobacco product use among adults age 18+ by region .... 55 Exhibit 44. Regional map of percentage of reported current tobacco use among adults age 18+: 2012–2014 ........................................................................................................................ 55 Exhibit 45. Percentage of reported current smokeless tobacco use among adults age 18+ ............... 55 Exhibit 46. Percentage of reported current smokeless tobacco use among adults age 18+, Tennessee and U.S. ......................................................................................................... 56 Exhibit 47. Percentage of reported any current smokeless tobacco use among adults age 18+, by demographic group ........................................................................................................... 56 Exhibit 48. Per capita ethanol consumption in gallons by sales type among persons 14 years and older .................................................................................................................................. 60 Exhibit 49. Total per capita ethanol consumption in gallons among persons 14 years and older ....... 60 Exhibit 50. Percentage of reported lifetime alcohol use among high school students ........................ 61 Exhibit 51. Percentage of reported lifetime alcohol use among high school students, Tennessee and U.S. ............................................................................................................................ 61 Exhibit 52. Percentage of reported lifetime alcohol use among high school students, by demographic group ........................................................................................................... 62 Exhibit 53. Percentage of reported current alcohol use among youth age 12–17............................... 63 Exhibit 54. Percentage of reported current alcohol use among youth age 12–17, Tennessee and U.S. ................................................................................................................................... 63 Exhibit 55. Percentage of reported current alcohol use among youth age 12–17 by region ............... 64 Exhibit 56. Regional map of percentage of reported current alcohol use among youth age 12–17: 2012–2014 ........................................................................................................................ 64 Exhibit 57. Percentage of reported current alcohol use among high school students ......................... 65 Exhibit 58. Percentage of reported current alcohol use among high school students, Tennessee and U.S. ............................................................................................................................ 65 Exhibit 59. Percentage of reported current alcohol use among high school students, by demographic group ........................................................................................................... 65 Exhibit 60. Percentage of reported current binge drinking among youth age 12–17 .......................... 66 Exhibit 61. Percentage of reported current binge drinking among youth age 12–17, Tennessee and U.S. ............................................................................................................................ 66 Exhibit 62. Percentage of reported current binge drinking among youth age 12–17 by region ........... 67 Exhibit 63. Regional map of percentage of reported current binge drinking among youth age 12– 17: 2012–2014 .................................................................................................................. 67 Exhibit 64. Percentage of reported current binge drinking among high school students .................... 68 Exhibit 65. Percentage of reported current binge drinking among high school students, Tennessee and U.S. ......................................................................................................... 68 Exhibit 66. Percentage of reported current binge drinking among high school students, by demographic group ........................................................................................................... 68 Exhibit 67. Percentage of reported current heavy alcohol use among high school students, Tennessee and U.S. ......................................................................................................... 68 Exhibit 68. Percentage of reported current heavy alcohol use among high school students, demographic groups ......................................................................................................... 68 Exhibit 69. Percentage of reported alcohol dependence or abuse among youth age 12–17 .............. 69 Exhibit 70. Percentage of reported alcohol dependence or abuse among youth age 12–17, Tennessee and U.S. ......................................................................................................... 69 Exhibit 71. Percentage of reported alcohol dependence or abuse among youth age 12–17 by region ................................................................................................................................ 70 Exhibit 72. Regional map of percentage of reported alcohol dependence or abuse among youth age 12–17: 2012–2014 ..................................................................................................... 70 Exhibit 73. Percentage of reported current alcohol use among adults, by age group ......................... 71 Exhibit 74. Percentage of reported current alcohol use among adults age 18+, Tennessee and U.S. ................................................................................................................................... 71 Exhibit 75. Percentage of reported current alcohol use among adults age 18+ by region .................. 72 7 Tennessee Epidemiological Profile of Alcohol and Drug Misuse Page Exhibit 76. Regional map of percentage of reported current alcohol use among adults age 18+: 2012–2014 ........................................................................................................................ 72 Exhibit 77. Percentage of reported current alcohol use among adults age 18+ .................................. 73 Exhibit 78. Percentage of reported current alcohol use among adults age 18+, Tennessee and U.S. ................................................................................................................................... 73 Exhibit 79. Percentage of reported current alcohol use among adults age 18+, by demographic group ................................................................................................................................. 73 Exhibit 80. Percentage of reported current binge drinking among adults, by age group ..................... 74 Exhibit 81. Percentage of reported current binge drinking among adults age 18+, Tennessee and U.S. ................................................................................................................................... 74 Exhibit 82. Percentage of reported current binge drinking among adults age 18+ by region .............. 75 Exhibit 83. Regional map of percentage of reported current binge drinking among adults age 18+: 2012–2014 ................................................................................................................ 75 Exhibit 84. Percentage of reported current binge drinking among adults age 18+ .............................. 76 Exhibit 85. Percentage of reported current binge drinking among adults age 18+, Tennessee and U.S. ................................................................................................................................... 76 Exhibit 86. Percentage of reported current binge drinking among adults age 18+, by demographic group ................................................................................................................................. 76 Exhibit 87. Percentage of reported heavy alcohol use among adults age 18+ ................................... 77 Exhibit 88. Percentage of reported heavy alcohol use among adults age 18+, Tennessee and U.S. ................................................................................................................................... 77 Exhibit 89. Percentage of reported heavy alcohol use among adults age 18+, by demographic group ................................................................................................................................. 78 Exhibit 90. Percentage of reported alcohol dependence or abuse among adults, by age group ........ 79 Exhibit 91. Percentage of reported alcohol dependence or abuse among adults age 18+, Tennessee and U.S. ......................................................................................................... 79 Exhibit 92. Percentage of reported alcohol dependence or abuse among adults age 18+ by region ................................................................................................................................ 80 Exhibit 93. Regional map of percentage of reported alcohol dependence or abuse among adults age 18+: 2012–2014 ......................................................................................................... 80 Exhibit 94. Percentage of reported lifetime prescription drug misuse among high school students .... 84 Exhibit 95. Percentage of reported lifetime prescription drug misuse among high school students, Tennessee and U.S. ......................................................................................................... 84 Exhibit 96. Percentage of reported lifetime prescription drug misuse among high school students, by demographic group ...................................................................................................... 85 Exhibit 97. Percentage of reported past year nonmedical use of pain relievers among youth age 12–17 ................................................................................................................................ 86 Exhibit 98. Percentage of reported past year nonmedical use of pain relievers among youth age 12–17, Tennessee and U.S. ............................................................................................. 86 Exhibit 99. Percentage of reported past year nonmedical use of pain relievers among youth age 12–17 by region ................................................................................................................ 87 Exhibit 100. Regional map of percentage of reported past year nonmedical use of pain relievers among youth age 12–17: 2012–2014................................................................................ 87 Exhibit 101. Percentage of reported past year nonmedical use of pain relievers among adults, by age group .......................................................................................................................... 88 Exhibit 102. Percentage of reported past year nonmedical use of pain relievers among adults age 18+, Tennessee and U.S. ................................................................................................. 88 Exhibit 103. Percentage of reported past year nonmedical use of pain relievers among adults age 18+ by region .................................................................................................................... 89 Exhibit 104. Regional map of percentage of reported past year nonmedical use of pain relievers among adults age 18+: 2012–2014 ................................................................................... 89 Exhibit 105. Percentage of reported lifetime marijuana use among high school students .................... 92 Exhibit 106. Percentage of reported lifetime marijuana use among high school students, Tennessee and U.S. ......................................................................................................... 92 Exhibit 107. Percentage of reported lifetime marijuana use among high school students, by demographic group ........................................................................................................... 93 Exhibit 108. Percentage of reported marijuana use in the past year among youth age 12–17 ............. 94 Exhibit 109. Percentage of reported marijuana use in the past year among youth age 12–17, Tennessee and U.S. ......................................................................................................... 94 Exhibit 110. Percentage of reported marijuana use in the past year among youth 12–17 by region .... 95 Exhibit 111. Regional map of percentage of reported marijuana use in the past year among youth age 12–17: 2012–2014 ..................................................................................................... 95 Exhibit 112. Percentage of reported current marijuana use among youth age 12–17 .......................... 96 8 Page Tennessee Epidemiological Profile of Alcohol and Drug Misuse Exhibit 113. Percentage of reported current marijuana use among youth age 12–17, Tennessee and U.S. ............................................................................................................................ 96 Exhibit 114. Percentage of reported current marijuana use among youth age 12–17 by region........... 97 Exhibit 115. Regional map of percentage of reported current marijuana use among youth age 12– 17: 2012–2014 .................................................................................................................. 97 Exhibit 116. Percentage of reported current marijuana use among high school students .................... 98 Exhibit 117. Percentage of reported current marijuana use among high school students, Tennessee and U.S. ......................................................................................................... 98 Exhibit 118. Percentage of reported current marijuana use among high school students, by demographic group ........................................................................................................... 98 Exhibit 119. Percentage of reported lifetime cocaine use among high school students ....................... 99 Exhibit 120. Percentage of reported lifetime cocaine use among high school students, Tennessee and U.S. ............................................................................................................................ 99 Exhibit 121. Percentage of reported lifetime cocaine use among high school students, by demographic group ......................................................................................................... 100 Exhibit 122. Percentage of reported cocaine use in the past year among youth age 12–17 .............. 101 Exhibit 123. Percentage of reported cocaine use in the past year among youth age 12–17, Tennessee and U.S. ....................................................................................................... 101 Exhibit 124. Percentage of reported cocaine use in the past year among youth age 12–17 by region .............................................................................................................................. 101 Exhibit 125. Percentage of reported lifetime ecstasy use among high school students ...................... 102 Exhibit 126. Percentage of reported lifetime ecstasy use among high school students, Tennessee and U.S. .......................................................................................................................... 102 Exhibit 127. Percentage of reported lifetime ecstasy use among high school students, by demographic group ......................................................................................................... 103 Exhibit 128. Percentage of reported lifetime heroin use among high school students ........................ 104 Exhibit 129. Percentage of reported lifetime heroin use among high school students, Tennessee and U.S. .......................................................................................................................... 104 Exhibit 130. Percentage of reported lifetime heroin use among high school students, by demographic group ......................................................................................................... 105 Exhibit 131. Percentage of reported lifetime methamphetamine use among high school students .... 106 Exhibit 132. Percentage of reported lifetime methamphetamine use among high school students, Tennessee and U.S. ....................................................................................................... 106 Exhibit 133. Percentage of reported lifetime methamphetamine use among high school students, by demographic group .................................................................................................... 107 Exhibit 134. Percentage of reported lifetime inhalant use among high school students ..................... 108 Exhibit 135. Percentage of reported lifetime inhalant use among high school students, Tennessee and U.S. .......................................................................................................................... 108 Exhibit 136. Percentage of reported lifetime inhalant use among high school students, by demographic group ......................................................................................................... 109 Exhibit 137. Percentage of reported lifetime injection drug use among high school students ............ 110 Exhibit 138. Percentage of reported lifetime injection drug use among high school students, Tennessee and U.S. ....................................................................................................... 110 Exhibit 139. Percentage of reported lifetime injection drug use among high school students, by demographic group ......................................................................................................... 111 Exhibit 140. Percentage of reported current illicit drug use among youth age 12–17 ......................... 112 Exhibit 141. Percentage of reported current illicit drug use among youth age 12–17, Tennessee and U.S. .......................................................................................................................... 112 Exhibit 142. Percentage of reported current illicit drug use among youth age 12–17 by region ......... 113 Exhibit 143. Regional map of percentage of reported current illicit drug use among youth age 12– 17: 2012–2014 ................................................................................................................ 113 Exhibit 144. Percentage of reported marijuana use in the past year among adults, by age group ..... 114 Exhibit 145. Percentage of reported marijuana use in the past year among adults age 18+, Tennessee and U.S. ....................................................................................................... 114 Exhibit 146. Percentage of reported marijuana use in the past year among adults age 18+ by region .............................................................................................................................. 115 Exhibit 147. Regional map of percentage of reported marijuana use in the past year among adults age 18+: 2012–2014 ....................................................................................................... 115 Exhibit 148. Percentage of reported current marijuana use among adults, by age group .................. 116 Exhibit 149. Percentage of reported current marijuana use among adults age 18+, Tennessee and U.S. ................................................................................................................................. 116 Exhibit 150. Percentage of reported current marijuana use among adults age 18+ by region ............ 117 9 Tennessee Epidemiological Profile of Alcohol and Drug Misuse Page Exhibit 151. Regional map of percentage of reported current marijuana use among adults age 18+: 2012–2014 .............................................................................................................. 117 Exhibit 152. Percentage of reported cocaine use in the past year among adults, by age group ......... 118 Exhibit 153. Percentage of reported cocaine use in the past year among adults age 18+, Tennessee and U.S. ....................................................................................................... 118 Exhibit 154. Percentage of reported cocaine use in the past year among adults age 18+ by region .. 119 Exhibit 155. Regional map of percentage of reported cocaine use in the past year among adults age 18+: 2012–2014 ....................................................................................................... 119 Exhibit 156. Percentage of reported current illicit drug use among adults, by age group ................... 120 Exhibit 157. Percentage of reported current illicit drug use among adults age 18+, Tennessee and U.S. ................................................................................................................................. 120 Exhibit 158. Percentage of reported current illicit drug use among adults age 18+ by region............. 121 Exhibit 159. Regional map of percentage of reported current illicit drug use among adults age 18+: 2012–2014 ...................................................................................................................... 121 Exhibit 161. Juvenile court referrals for possession of tobacco, rate per 1,000 youth age 10–17 ...... 124 Exhibit 162. Juvenile court referrals for possession of tobacco products rate per 1,000 by selected demographic groups ....................................................................................................... 125 Exhibit 163. Juvenile court referrals for possession of tobacco products rate per 1,000 by selected demographic groups ....................................................................................................... 125 Exhibit 164. Percentage of reported riding with a drunk driver during the past 30 days among high school students ............................................................................................................... 128 Exhibit 165. Percentage of reported riding with a drunk driver during the past 30 days among high school students, Tennessee and U.S. ............................................................................. 128 Exhibit 166. Percentage of reported riding with a drunk driver during the past 30 days among high school students, by demographic group .......................................................................... 129 Exhibit 167. Percentage of reported driving while drunk during the past 30 days among high school students ............................................................................................................... 130 Exhibit 168. Percentage of reported driving while drunk during the past 30 days among high school students, Tennessee and U.S. ............................................................................. 130 Exhibit 169. Percentage of reported driving while drunk during the past 30 days among high school students, by demographic group .......................................................................... 130 Exhibit 170. Number of alcohol-involved crashes and alcohol-involved crashes as a percent of all motor vehicle crashes ..................................................................................................... 131 Exhibit 171. Alcohol-involved crashes as a percent of all motor vehicle crashes ................................ 131 Exhibit 172. Number of fatal alcohol-involved crashes and fatal alcohol-involved crashes as a percent of all fatal motor vehicle crashes ........................................................................ 132 Exhibit 173. Fatal alcohol-involved crashes as a percent of all fatal motor vehicle crashes ............... 132 Exhibit 174. Characteristics of alcohol-impaired drivers involved in fatal crashes .............................. 133 Exhibit 175. Offenders suspected of using alcohol and offender rate per 1,000 population ............... 134 Exhibit 176. Offenders suspected of using alcohol, rate per 1,000 population ................................... 134 Exhibit 177. Offenders suspected of using alcohol, rate per 1,000 population by demographic group ............................................................................................................................... 135 Exhibit 178. County map of offenders suspected of using alcohol, rate per 1,000 population: 2015 .. 135 Exhibit 179. Total arrests for alcohol violations and arrest rate per 1,000 population ......................... 136 Exhibit 180. Arrest rate for alcohol violations by specific offense category per 1,000 population ....... 136 Exhibit 181. County map of arrest rate for alcohol violations per 1,000 population: 2015 ................... 137 Exhibit 182. Arrest rate for driving under the influence per 1,000 population by demographic group . 137 Exhibit 183. County map of arrest rate for driving-under-the-influence per 1,000 population: 2015 ... 137 Exhibit 184. Arrest rate for public intoxication per 1,000 population by demographic group ............... 138 Exhibit 185. County map of arrest rate for public intoxication per 1,000 population: 2015 .................. 138 Exhibit 186. Arrest rate for liquor law violations per 1,000 population by demographic group ............ 139 Exhibit 187. County map of arrest rate for liquor law violations per 1,000 population: 2015 ............... 139 Exhibit 188. Juvenile court referrals for alcohol-related offenses and rate per 1,000 youth age 10– 17 .................................................................................................................................... 140 Exhibit 189. Juvenile court referrals for alcohol-related offenses, rate per 1,000 youth age 10–17 .... 140 Exhibit 190. Juvenile court referrals for alcohol-related offenses by specific offense type and rate per 1,000 youth age 10–17 ............................................................................................. 140 Exhibit 191. Number of alcohol-induced deaths and age-adjusted death rate per 100,000 population ....................................................................................................................... 141 Exhibit 192. Alcohol-induced age-adjusted death rate per 100,000 population, Tennessee and U.S. ................................................................................................................................. 141 Exhibit 193. Crude alcohol-induced death rate per 100,000 by sub-population .................................. 142 10 Page Tennessee Epidemiological Profile of Alcohol and Drug Misuse

Description:

Tennessee Epidemiological Profile of Alcohol and Drug Misuse United States Census Bureau, American FactFinder 2015 population estimates by.

Tennessee Epidemiological Profile of Alcohol and Drug Misuse and Abuse PDF

217 Pages·2017·3.79 MB·English

by Elizabeth Mower

Checking for file health...

Save to my drive

Quick download

Download

Download Tennessee Epidemiological Profile of Alcohol and Drug Misuse and Abuse PDF Free - Full Version

by Elizabeth Mower| 2017| 217 pages| 3.79| English

Download Tennessee Epidemiological Profile of Alcohol and Drug Misuse and Abuse by Elizabeth Mower in PDF format completely FREE. No registration required, no payment needed. Get instant access to this valuable resource on PDFdrive.to!

Free Download PDF

About Tennessee Epidemiological Profile of Alcohol and Drug Misuse and Abuse

Tennessee Epidemiological Profile of Alcohol and Drug Misuse United States Census Bureau, American FactFinder 2015 population estimates by.

Detailed Information

Author:	Elizabeth Mower
Publication Year:	2017
Pages:	217
Language:	English
File Size:	3.79
Format:	PDF
Price:	FREE

Download Free PDF

Safe & Secure Download - No registration required

Why Choose PDFdrive for Your Free Tennessee Epidemiological Profile of Alcohol and Drug Misuse and Abuse Download?

100% Free: No hidden fees or subscriptions required for one book every day.
No Registration: Immediate access is available without creating accounts for one book every day.
Safe and Secure: Clean downloads without malware or viruses
Multiple Formats: PDF, MOBI, Mpub,... optimized for all devices
Educational Resource: Supporting knowledge sharing and learning

Frequently Asked Questions

Is it really free to download Tennessee Epidemiological Profile of Alcohol and Drug Misuse and Abuse PDF?

Yes, on https://PDFdrive.to you can download Tennessee Epidemiological Profile of Alcohol and Drug Misuse and Abuse by Elizabeth Mower completely free. We don't require any payment, subscription, or registration to access this PDF file. For 3 books every day.

How can I read Tennessee Epidemiological Profile of Alcohol and Drug Misuse and Abuse on my mobile device?

After downloading Tennessee Epidemiological Profile of Alcohol and Drug Misuse and Abuse PDF, you can open it with any PDF reader app on your phone or tablet. We recommend using Adobe Acrobat Reader, Apple Books, or Google Play Books for the best reading experience.

Is this the full version of Tennessee Epidemiological Profile of Alcohol and Drug Misuse and Abuse?

Yes, this is the complete PDF version of Tennessee Epidemiological Profile of Alcohol and Drug Misuse and Abuse by Elizabeth Mower. You will be able to read the entire content as in the printed version without missing any pages.

Is it legal to download Tennessee Epidemiological Profile of Alcohol and Drug Misuse and Abuse PDF for free?

https://PDFdrive.to provides links to free educational resources available online. We do not store any files on our servers. Please be aware of copyright laws in your country before downloading.

The materials shared are intended for research, educational, and personal use in accordance with fair use principles.