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Heterogeneous Costs of Alcohol and Drug Problems Across Cities and Counties in California.
- Source :
- Alcoholism: Clinical & Experimental Research; Apr2017, Vol. 41 Issue 4, p758-768, 11p
- Publication Year :
- 2017
-
Abstract
- Background Estimates of economic and social costs related to alcohol and other drug ( AOD) use and abuse are usually made at state and national levels. Ecological analyses demonstrate, however, that substantial variations exist in the incidence and prevalence of AOD use and problems including impaired driving, violence, and chronic disease between smaller geopolitical units like counties and cities. This study examines the ranges of these costs across counties and cities in California. Methods We used estimates of the incidence and prevalence of AOD use, abuse, and related problems to calculate costs in 2010 dollars for all 58 counties and an ecological sample of 50 cities with populations between 50,000 and 500,000 persons in California. The estimates were built from archival and public-use survey data collected at state, county, and city levels over the years from 2009 to 2010. Results Costs related to alcohol use and related problems exceeded those related to illegal drugs across all counties and most cities in the study. Substantial heterogeneities in costs were observed between cities within counties. Conclusions AOD costs are heterogeneously distributed across counties and cities, reflecting the degree to which different populations are engaged in use and abuse across the state. These findings provide a strong argument for the distribution of treatment and prevention resources proportional to need. [ABSTRACT FROM AUTHOR]
- Subjects :
- DRUGS of abuse
DRUNK driving
ECOLOGY
MORTALITY
POPULATION geography
PROBABILITY theory
QUALITY of life
RESEARCH funding
RISK-taking behavior
TRAFFIC accidents
SUBSTANCE abuse
VIOLENCE
WOUNDS & injuries
DRUGGED driving
DISEASE incidence
DISEASE prevalence
QUALITY-adjusted life years
DATA analysis software
DESCRIPTIVE statistics
ALCOHOL-induced disorders
DISEASE complications
PREVENTION
ECONOMICS
THERAPEUTICS
Subjects
Details
- Language :
- English
- Volume :
- 41
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Alcoholism: Clinical & Experimental Research
- Publication Type :
- Academic Journal
- Accession number :
- 122274446
- Full Text :
- https://doi.org/10.1111/acer.13337