University of Idaho Introduction to Chemical Addictions
Lesson 1: Lecture 2 Transcript
 
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Transcript of Audio Lecture
Hello everyone, and welcome back. In this section we begin a discussion the epidemiology of substance abuse. You will notice right off the bat that there are not a lot of slides in this section. The reason is that the statistics continue to change very rapidly. However, I wanted to provide you with a few things that will give you a little bit of an overview. But understand that these will change over time.

So, let's go to slide two. First of all, as you can see here, there are a lot of different estimates out there on all sorts of different variables. As we can see in slide two, we spend approximately 102 billion dollars a year on alcohol. We spend 59.9 billion dollars on taxed tobacco-related products. We spend another 5.7 billion dollars on Xanthene-related products such as coffee, tea, colas. We also spend approximately 430 billion dollars on prescription medications. And, we also spend another 16 billion dollars on over-the-counter medications. As you can see, we use and spend a lot of money on different types of drugs and compounds. Let's throw some other statistics out there as well since I like statistics.

As we can see on slide three, a classic example of survey methodology that we use is we go out and we look at youth. Basically, what we have youth do is take a risk behavior survey or what is called "YRBS." As we can see, there are some general statistics here. A quarter of these students, usually 2-400,000 students, have reported using alcohol before the age of thirteen. Eighteen percent had also smoked an entire cigarette and 10% had tried marijuana. Also, as we commonly know out there in substance abuse treatment land, males were more likely than females to try all of the substances.

What about some life-type statistics? Well, as we can see in slide four, 58.4% of all of these students had tried cigarettes, and had at least one or two puffs. Fifteen percent had smoked one or more cigarettes during the day within the previous thirty days and, 3.1% had also smoked more and 10.6 percent had also used smokeless tobacco.

Well, so what about alcohol use? As we can see here, 75% of these students had consumed one or more drinks on more than one day during their lifetime. That is, they drank two days consecutively. Forty-five percent had one or more drinks in the previous thirty days, and 28% had more than five drinks in a row, which is typically called binge drinking, in a couple of hours during the previous thirty days. That means that these people for the most part were drunk.

In addition, these students had done a lot of other types of things. As we can see here on slide six, 40% had used marijuana, 22% had used marijuana once or more during the previous thirty days, 8% had used cocaine, 4% had used cocaine once or more during the past thirty days, and of course inhalants, glue, etc, 12% had used them, and 3.9% had used them in the last thirty days.

Well, what about steroids? As we can see in all these other statistics on slide seven, 6.1% had used them, 3% had used heroin, 7.6% had used methamphetamine, and 11% had used ecstasy.

Again, as we look, in general, on slide eight, of all statistics, not just youth, males have higher than female rates for most drugs. But, white females have the highest rate for cigarette smokers All you have to do is look in your major magazines and see who smokes? It's not males anymore, it's females. Hispanic males also have the greatest lifetime alcohol use. And why do Hispanic females have the highest rates for current and episodic alcohol use? Black male’s have the highest current rate for marijuana use. White male’s are highest for inhalants and steroid use.

One may ask, "what about Idaho?" Well, what I have done here in slide nine is provide you with a major website where you can use to go and look at Idaho statistics. And, here you have all sorts of types of statistics that relate to substance abuse in the state of Idaho. It is at a site called the SASI (Substance Abuse Social Indicator) site. I encourage you to go look at this site because what it does is it gives you all sorts of information by county, by region, by whatever that is relevant to Idaho. You can also go to the Centers for Disease Control and Prevention, the National Institute for Substance Abuse, NOMH and all sorts of other places as well. But for Idaho, this is the place to go.

Well, as I told you, this section was going to be very brief. What I want you to get out of this section is that statistics change, and that we have a problem out there with our youth in relation to substance abuse. We are making lots of progress, but we have a long, long, way to go.

So that concludes this section. In our next section we're going to talk a little but about an overview of substance abuse, what it is, and all the different fads, factors, and some other things that we use in discussing the issue. Until then, we hope you have yourself a good day and we look forward to talking to you again soon.
 

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