Clay County Youth Alcohol Summit

Clay County Youth Alcohol Summit17 September 2010Courtyard by Marriott, Moorhead8:30 a.m. - noonIntroduction Stories about Alcohol Use in NorwayLynn & DawnChannel Setting Instructions for ResponseCard RF

1. "GO"

2. 4-1

3. "GOWill the Vikings win the Super Bowl?

YesNoData Binge drinkingBinge drinking how much is it?Current: 5 or more drinks in a row on at least 1 occasion in the previous 2 weeks

Recent literature recommends defining binge drinking as:3 or more drinks for children ages 9 13 AND girls ages 14 174 or more drinks for boys ages 14 155 or more drinks for boys ages 16 or 17

*Some surveys use 4 or more drinks in a row for women

How much is one drink? Beer

12 ounces16 ounces8 ouncesHow much is one drink? Wine

4 ounces5 ounces8 ouncesHow much is one drink? 80-proof liquor

1 ounce2 ounces2 ouncesAccording to the 2007 MSS, in the past two weeks, what percentage of Clay 12th grade boys had more than five alcoholic drinks on at least one occasion?

28%14%34%42%How do these results compare with the state average? Clay data is _____.

About the sameLowerHigherState average is 35%11How do these results compare with the national average? Clay data is _____

About the sameLowerHigherAt one Clay County school, this percentage of 12th grade girls who reported using alcohol said they had more than five alcoholic drinks on one occasion:

27%10%55%31%State average for girls was 25%13Approximately 42% of students at MSUM and M State reported binge drinking in the past two weeks. (2007 Boynton Health Survey)

TrueFalseA higher percentage of young men at these institutions reported engaging in high-risk drinking than young women did.

TrueFalseAccording to MN Survey of Adult Substance Use 2005, this percentage of adults age 21 24 in northwest Minnesota reported binge-drinking in the past 30 days.

49%27%64%How does this percentage compare with the Minnesota average?

About the sameHigherLowerAlcohol use in the past 30 daysPast 30-day alcohol useMonitoring the Future national survey 2009Prevalence of alcohol use for all students in the previous 30 days down 1/3 since 1996.Minnesota Student SurveyFrom 1998 to 2007, past 30-day use rate for MN 12th graders has fallen by 11% (54 to 48)

From 1998 to 2007, the past 30-day alcohol use rate for Clay 12th graders has fallen by:

Has not fallen33%25%10%63 to 4820In all Clay County schools, the percentage of senior boys reporting alcohol use in the past 30 days fell by at least 15-20 percentage points from 2001 to 2007.

TrueFalseNational trend 30-day use has declined by more than 1/3 among grades 8, 10, 12 since last peak in 1996 with a lesser decline among older students.21During the same period, the percentage of senior boys reporting that they engaged in binge drinking rose.

TrueFalseNationally, binge drinking rates have remained stable.22What range of college students (at MSUM & M State) ages 18 20 reported using alcohol in the past 30-days?

60 70%25 35%50 60%Among older students (ages 21 24) at MSUM & M State past 30-day alcohol use jumps from a range of 80-94%, depending on age.How many young adults (ages 21 24) living in Northwest MN reported using alcohol in the past 30 days?

71%66%85%State average is 66%; nationally, past 30-day use among college students is higher than their counterparts who do not attend college. This appears to be true in Clay County.25Why do we care?Underage drinking is expensiveAverage cost/youth - $199335th in the country

From Underage Drinking Enforcement Training Center (http://www.udetc.org/)27

How does North Dakota compare?

Significantly higherHigherAbout the sameLowerSignificantly lowerAlaska #1, Colorado #5, Texas #1529Impact on brain developmentFrontal lobes (response inhibition, emotional regulation, planning, organization) Pre-frontal cortex (decision-making)Hippocampus (emotional aspects of survival behavior) memory impairments; fewer strategies to learn new informationFrontal lobes continue to develop through adolescenceIf pre-frontal cortex is already immature, continued alcohol use can further affect decision-making ability.30Implications for the futureAge of first use matters!Study cited in American Academy of Pediatrics Policy Statement Alcohol Use by Youth and Adolescents: A Pediatric Concern (April 2010)age of first use lifetime prevalence of alcohol dependence lifetime prevalence of alcohol abuse12 or younger 40.68.3 age 18 16.67.8age 21 10.64.8What percentage of Clay 12th graders said they had their first drink (more than a few sips) of alcohol at age 13 or younger? (2007 MSS)

33%17%12%How does this number compare with the state average?

About the sameHigherLowerMN Average is 19%33At what age did YOU first drink (more than a few sips) alcohol?

12 or younger13 - 1818 2121 or aboveOther behavior related to early alcohol initiationIn mid- to late-adolescence:Greater sexual risk-takingAcademic problemsOther substance useDelinquent behaviorIn young adulthood:Employment problemsOther substance abuseCriminal and violent behaviorsUnderlying factors maskedCo-occuring mental disordersTraumaAbuseGrief/loss

What is Prevention?Gina NolteDirector of Health PromotionsClay County Public HealthChair, Substance Abuse Work Group, Clay County Collaborative

What is Prevention?Primary Prevention:

The act of moving upstream and taking action before a problem arises in order to avoid it entirely, rather than treating or alleviating its consequences.Spectrum of PreventionInfluencing policy Changing organizational practicesFostering coalitions and networksEducating providersPromoting community educationStrengthening individual knowledge and skills

McLeroy 1988; Livewell Colorado 2007

Universal Strategies - target the general population (national, local, school, neighborhood), with strategies aimed at preventing or delaying the abuse of alcohol, tobacco and other drugs. All members of the population share the same general risk of substance abuse.

Selective Strategies - target subgroups of the total population that are deemed to be at high-risk for substance abuse. Selective prevention strategies target the entire subgroup because as a whole is at higher risk for substance abuse than the general population.

Indicated Strategies - identify individuals who are exhibiting early signs of substance abuse and other problem behaviors associated to substance abuse and target them with special programs.