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

    Access Status
    Fulltext not available
    Authors
    Miller, Ted
    Nygaard, P.
    Gaidus, A.
    Grube, J.
    Ponicki, W.
    Lawrence, B.
    Gruenewald, P.
    Date
    2017
    Type
    Journal Article
    
    Metadata
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    Citation
    Miller, T. and Nygaard, P. and Gaidus, A. and Grube, J. and Ponicki, W. and Lawrence, B. and Gruenewald, P. 2017. Heterogeneous Costs of Alcohol and Drug Problems Across Cities and Counties in California. Alcoholism: Clinical and Experimental Research. 41 (4): pp. 758-768.
    Source Title
    Alcoholism: Clinical and Experimental Research
    DOI
    10.1111/acer.13337
    ISSN
    0145-6008
    School
    Centre for Population Health Research
    URI
    http://hdl.handle.net/20.500.11937/63215
    Collection
    • Curtin Research Publications
    Abstract

    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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