Heterogeneous Costs of Alcohol and Drug Problems Across Cities and Counties in California

Copyright © 2017 by the Research Society on AlcoholismBackground: 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 a...

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Main Authors: Miller, Ted, Nygaard, P., Gaidus, A., Grube, J., Ponicki, W., Lawrence, B., Gruenewald, P.
Format: Journal Article
Published: Wiley-Blackwell Publishing, Inc. 2017
Online Access:http://hdl.handle.net/20.500.11937/63215
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author Miller, Ted
Nygaard, P.
Gaidus, A.
Grube, J.
Ponicki, W.
Lawrence, B.
Gruenewald, P.
author_facet Miller, Ted
Nygaard, P.
Gaidus, A.
Grube, J.
Ponicki, W.
Lawrence, B.
Gruenewald, P.
author_sort Miller, Ted
building Curtin Institutional Repository
collection Online Access
description Copyright © 2017 by the Research Society on AlcoholismBackground: 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.
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spelling curtin-20.500.11937-632152018-02-06T06:23:09Z Heterogeneous Costs of Alcohol and Drug Problems Across Cities and Counties in California Miller, Ted Nygaard, P. Gaidus, A. Grube, J. Ponicki, W. Lawrence, B. Gruenewald, P. Copyright © 2017 by the Research Society on AlcoholismBackground: 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. 2017 Journal Article http://hdl.handle.net/20.500.11937/63215 10.1111/acer.13337 Wiley-Blackwell Publishing, Inc. restricted
spellingShingle Miller, Ted
Nygaard, P.
Gaidus, A.
Grube, J.
Ponicki, W.
Lawrence, B.
Gruenewald, P.
Heterogeneous Costs of Alcohol and Drug Problems Across Cities and Counties in California
title Heterogeneous Costs of Alcohol and Drug Problems Across Cities and Counties in California
title_full Heterogeneous Costs of Alcohol and Drug Problems Across Cities and Counties in California
title_fullStr Heterogeneous Costs of Alcohol and Drug Problems Across Cities and Counties in California
title_full_unstemmed Heterogeneous Costs of Alcohol and Drug Problems Across Cities and Counties in California
title_short Heterogeneous Costs of Alcohol and Drug Problems Across Cities and Counties in California
title_sort heterogeneous costs of alcohol and drug problems across cities and counties in california
url http://hdl.handle.net/20.500.11937/63215