needs assessment of englewoodccenglewood.com/.../needs_assessment_of_englewood.pdf · county, tool...
TRANSCRIPT
Needs Assessment of the Englewood Community in Florida –
Alcohol and Other Drug Use 2015
A comprehensive look at alcohol and other drug issues in the Englewood Community; with a focus on youth substance use.
http://ccenglewood.com
2
Coordinator: Lori Armen Email: [email protected] Mentor: Susan Carrigan Email: [email protected] Report prepared by www.prevsi.com
Englewood Community Coalition The Englewood Community Coalition is a newly formed non-profit organization that works to promote a drug free, safe, and healthy Englewood. Mission: To serve as the collective voice of the Englewood community, promoting health and wellness, with a focus on reducing and preventing youth substance abuse. Vision: A healthy, safe, drug free Englewood. 2015 Agenda This year, the Englewood Community Coalition (ECC) is working to identify the issues surrounding youth substance use and access to substances using the steps of SAMHSA’s Strategic Prevention Framework. Starting October 1, 2014 the Safe Climate Coalition of Lake County, Florida was awarded a SAMHSA Drug Free Communities Mentoring Program to guide the ECC in becoming an effective community health and wellness coalition that makes community-level change through data collection and thoughtful planning of strategy implementation. The ECC will use the data collected in this report to develop a logic model, a comprehensive community action plan, and an evaluation plan that works to reduce the number of teens using alcohol and other drugs and the negative consequences associated with use. To get involved or to learn more about the Englewood Community Coalition, please contact: Lori Armen at [email protected] Check us out online! http://ccenglewood.com/ https://www.facebook.com/Englewoodcommunitycoalition
3
Surveys/Tools for Data Collection Teens Social Norms Survey (TeeNS)- In 2013 and 2014 the TeeNS Survey, a survey on youth alcohol and other drug use, behaviors, and perceptions, evaluated by Dr. Greg Barker of Northern Illinois University, was given in the Englewood Community. Both Middle and High School schools were surveyed. Florida Youth Substance Abuse Survey (FYSAS)- The FYSAS is the statewide survey, broken out by County, tool used to collect information on youth substance use and delinquent behaviors. The survey is a collaborative effort between the Florida departments of Health, Education, Children and Families, Juvenile Justice, and the Governor's Office of Drug Control. Data was last released in 2014. Location online: http://myflfamilies.com/service-programs/substance-abuse/fysas The Florida Youth Tobacco Survey (FYTS)- The FYTS tracks indicators of tobacco use and exposure to secondhand smoke among Florida public middle and high school students and provides data for monitoring and evaluating tobacco use among youth for the Florida Department of Health’s Bureau of Tobacco Prevention and Control. Location Online: http://www.doh.state.fl.us/disease_ctrl/epi/Chronic_Disease/FYTS/intro.htm Behavioral Risk Factor Surveillance System Data (BRFSS)- The BRFSS is the world’s largest, on-going telephone health survey system, tracking health conditions and risk behaviors in the United States yearly since 1984. The survey is conducted by the Center for Disease Control and Prevention. Location online: http://www.cdc.gov/brfss/ Traffic Crash Statistics Report- A report compiled from long form traffic reports submitted by state and local law enforcement agencies to the Florida Department of Highway Safety and Motor Vehicles. Location online: http://www.flhsmv.gov/html/safety.html Uniform Crime Report (UCR)- Department of Law Enforcement's UCR system allows standardized reports on crime statistics based on data gathered from across the state. Reports that provide both summary and detail information are issued semi-annually and annually. Location online: http://www.fdle.state.fl.us/Content/getdoc/a324add7-5dd6-4201-9696-93bfd76bc36c/UCR-Home.aspx Environmental Scans- Drug Free Charlotte County has been implementing Environmental Scans in the area of alcohol and tobacco retailers to gauge promotion and signage practices. Medical Examiners Commissioners Report- The Medical Examiners Commission is a joint initiative to identify unidentified deceased cases in Florida. The Florida Department of Law Enforcement and the 24 medical examiner districts work together to provide accurate data on deaths in Florida. Location online: http://www.fdle.state.fl.us/Content/getdoc/0f1f79c0-d251-4904-97c0-2c6fd4cb3c9f/MEC-Publications-and-Forms.aspx Alcohol and Tobacco Licensing- The Division of Alcoholic Beverages and Tobacco licenses the alcoholic beverage and tobacco industries, collects and audits taxes and fees paid by the licensees, and enforces the laws and regulation of the alcoholic beverage and tobacco industries, pursuant to Chapter 210, Chapters 561-565 and Chapters 567-569 of Florida Statutes. Florida has approximately 75,000 active alcoholic beverage and tobacco license holders. The division generates over $1.9 billion in license fees, taxes, fines, etc. Location Online: http://www.myfloridalicense.com/dbpr/abt/licenses.html
4
TABLE OF CONTENTS
SURVEYS/TOOLS FOR DATA COLLECTION .................................................................. 3
AREA DESCRIPTION ....................................................................................................... 7
CONSEQUENCES OF SUBSTANCE USE ....................................................................... 8
DECREASED SCHOOL PERFORMACE ................................................................................................... 8
CRIME ..................................................................................................................................................... 11
HEALTH RISKS ....................................................................................................................................... 14
STRAINED RELATIONSHIPS .................................................................................................................. 15
MOTOR VEHICLE CRASHES ................................................................................................................. 16
ACCIDENTAL/INTENTIONAL DEATHS .................................................................................................. 16
ECONOMIC COSTS- STATE OF FLORIDA ............................................................................................ 18
YOUTH SUBSTANCE USE DATA .................................................................................. 19
ADULT SUBSTANCE USE DATA ................................................................................... 22
CONTRIBUTING FACTORS- ACCESS .......................................................................... 23
CONTRIBUTING FACTORS- SOCIAL NORMS ............................................................. 25
CONTRIBUTING FACTORS- LACK OF RESOURCES FOR LAW ENFORCEMENT ...... 27
CONTRIBUTING FACTORS- PERCEIVED RISK ............................................................ 28
CONTRIBUTING FACTORS- PROMOTION/PRICE ....................................................... 29
5
List of Tables Table 1. Demographics, 2010 ....................................................................................................... 7 Table 2. Charlotte and Sarasota County Middle School Performance by Alcohol Use Level,
2012 ...................................................................................................................................... 8 Table 3. Charlotte and Sarasota County High School Performance by Alcohol Use Level, 2012 9 Table 4. Charlotte and Sarasota County Middle School Performance by Marijuana Use Level,
2012 ...................................................................................................................................... 9 Table 5. Charlotte and Sarasota County High School Performance by Alcohol Use Level, 2012 9 Table 6. Charlotte and Sarasota County Middle School Performance by Illicit Drug Use Level
(other than marijuana), 2012 ............................................................................................... 10 Table 7. Charlotte and Sarasota County High School Performance by Alcohol Use Level, 2012
............................................................................................................................................ 10 Table 8. Charlotte and Sarasota County Middle School Delinquent Behaviors by Alcohol Use
Level, 2012 .......................................................................................................................... 12 Table 9. Charlotte and Sarasota County High School Delinquent Behaviors by Alcohol Use
Level, 2012 .......................................................................................................................... 12 Table 10. Charlotte and Sarasota County Middle School Delinquent Behaviors by Marijuana
Use Level, 2012 .................................................................................................................. 13 Table 11. Charlotte and Sarasota County High School Delinquent Behaviors by Marijuana Use
Level, 2012 .......................................................................................................................... 13 Table 12. Englewood Alcohol-Related Motor Vehicle Crashes, 2013 ........................................ 16 Table 13. Age Breakdown of Tracked Opioids found in Toxicology Reports at Time of Death in
Districts 12 and 22 in 2013 ................................................................................................. 16 Table 14. Age Breakdown of Tracked Opioids found in Toxicology Reports at Time of Death in
Districts 12 and 22 in 2013 ................................................................................................. 16 Table 15. Age Breakdown of Tracked Benzodiazepines found in Toxicology Reports at Time of
Death in District 12 and 22 in 2013 ..................................................................................... 17 Table 16. Age Breakdown of Tracked Street Drugs found in Toxicology Reports at Time of
Death in District 12 and 22 in 2013 ..................................................................................... 17 Table 17. Cost of Underage Drinking in Florida, 2010 ............................................................... 18 Table 18. State of Florida Economic Costs of Adverse Events of Alcohol Use, 2010 ............... 18 Table 19. State of Florida Economic Costs of Adverse Events of Drug Use, 2010 .................... 18 Table 20. Englewood Middle School Students Perceptions of Parental Attitudes Toward
Substance Use, 2014 .......................................................................................................... 26 Table 21. Englewood High School Students Perceptions of Parental Attitudes Toward
Substance Use, 2014 .......................................................................................................... 26 Table 22. Englewood Middle School Students Perception of Great Risk or Harm of Substances,
2014 .................................................................................................................................... 28 Table 23. Type of Establishment Scanned ................................................................................. 29 Table 24. Preventative Signage .................................................................................................. 29 Table 25. Location of Alcohol and Tobacco Products ............................................................... 30
6
List of Figures Figure 1. Consequences of Alcohol Use on School Performance among Englewood High
School Students, 2014 ......................................................................................................... 8 Figure 2. Alcohol Use Affecting Criminal Behaviors among Englewood Teens, 2014 ............... 11 Figure 3. Charlotte and Sarasota Alcohol and Other Drug Arrests, 2013 .................................. 11 Figure 4. Consequences of Alcohol Use Affecting Health among Englewood High School
Students, 2014 .................................................................................................................... 14 Figure 5. Charlotte and Sarasota County Teens vs. Teens Statewide Exposed to Second Hand
Smoke in the Past 7-Days, 2014 ........................................................................................ 14 Figure 6. Charlotte and Sarasota County Teens vs. Teens Statewide who Report Having
Asthma, 2014 ...................................................................................................................... 15 Figure 7. Consequence of Alcohol Use on Relationships among Englewood High School
Students, 2014 .................................................................................................................... 15 Figure 8. Englewood Middle School Students Past- 30 Day Use of Alcohol and Other Drugs,
2014 .................................................................................................................................... 19 Figure 9. Englewood High School Students Past- 30 Day Use of Alcohol and Other Drugs,
2014 .................................................................................................................................... 19 Figure 10. Charlotte and Sarasota County Middle and High School Students Tobacco Use,
2014 .................................................................................................................................... 20 Figure 11. Charlotte and Sarasota County Adult Prevalence of Alcohol and Tobacco, 2013 .... 22 Figure 12. Englewood Middle School Students Reported Ease of Access to Alcohol, 2014 .... 24 Figure 13. Charlotte and Sarasota County Student Rates of Smoking Allowed in the Home,
2014 .................................................................................................................................... 24 Figure 14. Englewood Middle School Student Reports of What They Typically Drink When
Hanging Out or Socializing with Friends, 2014 ................................................................... 25 Figure 15. Englewood High School Student Reports of What They Typically Drink When
Hanging Out or Socializing with Friends, 2014 ................................................................... 25 Figure 16. Past 30-Days Englewood High School Drinking and Driving Behaviors, 2014 ......... 27 Figure 17. Percentages of Charlotte and Sarasota County Youth who Reported Drinking
Alcohol, Smoking Marijuana, or Using Another Drug to Get High Before or During School in the Past 12 months, 2014 ............................................................................................... 27
Figure 18. Parent or Guardian has Talked About the Dangers of Tobacco in the Past Year ..... 28
7
Area Description The Englewood community is a Census Designated Place, a concentration of population identified by the US Census Bureau that lack their own municipal government, but otherwise resemble incorporated places, nestled in two counties in Florida, Sarasota and Charlotte. Englewood is a 13.1 square mile area of which 9.8 square miles are land and in 2010 had a population of 14,863 residents. Due to the 2 county inclusions in Englewood, the community faces a unique set of challenges, such as having two systems of government, school districts, etc. Alcohol and other drug use by youth is high in the area. Englewood is located at the far end of both counties, separated from the rest of Charlotte County by a bridge and from Sarasota by undeveloped land and the Myakka State Park. There is no regular bus route on the Charlotte side of Englewood and limited bus access on the Sarasota side. These restrictions to county access lead to a range of issues including a low rate of access to healthcare.
Table 1. Demographics, 2010 Englewood Florida Total Population 14,863 18,801,310 Age Distribution Persons Under 18 Years 8.5% 21.3% Persons 65 Years and over 47.3% 17.3% Race/Ethnicity White 97.1% 75.0% Black 0.3% 16.0% Asian 0.7% 2.4% American Indian and Alaska Native 0.2% 0.4% Two or more races 1.0% 2.5% Hispanic or Latino 2.5% 22.5% Gender Female 52.4% 51.1% Male 47.6% 48.9% Household Median Household Income $40,678 $44,755 Status Per Capita Income $27,865 $26,503 Individuals in Poverty 11.0% 15.0% Bachelors Degree or higher 23% 26.4% Foreign Born Persons 4.8% 19.4% Language Other than English Spoken in the Home 4.3% 27.4%
https://www.facebook.com/pages/ Englewood-D-FY/306798979489656
8
Consequences of Substance Use Alcohol (especially among youth) and other drug use, has a series of adverse effects (consequences) that can negatively affect a community. Issues range from reduced academic performance, violence, crime, motor vehicle crashes, overdoses, high-risk sex, health risks, suicides, accidental deaths, increased chance of addiction the earlier the age of onset, economic impacts and so on. DECREASED SCHOOL PERFORMACE
Figure 1. Consequences of Alcohol Use on School Performance among
Englewood High School Students, 2014
Source: 2014 TeeNS Social Norming Survey • Alcohol use among Englewood high school students was responsible for 5% of students
performing poorly in school on at least one occasion and responsible for 4% of students missing at least one day of school.
Table 2. Charlotte and Sarasota County Middle School Performance by Alcohol
Use Level, 2012 Never Drank
Alcohol Drank, But Not in
Past Month Drank in Past Month, Not Binge
Binge Drank in Past 2 Weeks
Grades Last Year Mostly Ds and Fs 4.3% 5.6% 9.5% 9.7% Mostly Cs 14.0% 19.0% 19.0% 38.7% Mostly As and Bs 81.6% 75.4% 71.4% 51.6% Days Skipped Last Year None 78.8% 71.5% 52.4% 45.2% At least one 21.2% 28.5% 47.6% 48.8% Source: Florida Youth Substance Abuse Survey • Middle School students who report alcohol use report lower rates of A’s and B’s, as well
higher rates of skipping school then middle school students who have never used alcohol.
5%
4%
0%
1%
2%
3%
4%
5%
6%
Late papers, missed exams, failure to study
School Absences
9
Table 3. Charlotte and Sarasota County High School Performance by Alcohol Use Level, 2012
Never Drank Alcohol
Drank, But Not in Past Month
Drank in Past Month, Not Binge
Binge Drank in Past 2 Weeks
Grades Last Year Mostly Ds and Fs 3.3% 5.3% 6.3% 9.4% Mostly Cs 16.3% 22.4% 22.5% 26.7% Mostly As and Bs 80.1% 72.2% 71.7% 63.9% Days Skipped Last Year None 84.4% 67.7% 55.0% 50.0% At least one 15.6% 32.3% 45.0% 50.0% Source: Florida Youth Substance Abuse Survey • High School students who report alcohol use report lower rates of A’s and B’s, as well
higher rates of skipping school then high school students who have never used alcohol.
Table 4. Charlotte and Sarasota County Middle School Performance by Marijuana Use Level, 2012
Never Used Marijuana
Used, But Not in Past Month
Used in Past Month
Grades Last Year Mostly Ds and Fs 3.7% 7.0% 22.4% Mostly Cs 14.7% 23.3% 20.7% Mostly As and Bs 81.5% 72.1% 56.9% Days Skipped Last Year None 76.5% 62.8% 56.9% At least one 23.5% 37.2% 43.1% Source: Florida Youth Substance Abuse Survey • Middle School students who report marijuana use report higher rates of skipping school
then middle school students who have never used marijuana. Students who report they have used marijuana, but not in the past month report lower rates of A’s and B’s then students who have never used and those that have used in the past month.
Table 5. Charlotte and Sarasota County High School Performance by Alcohol Use
Level, 2012 Never Used
Marijuana Used, But Not in
Past Month Used in Past
Month Grades Last Year Mostly Ds and Fs 3.1% 7.9% 9.2% Mostly Cs 15.6% 29.0% 28.0% Mostly As and Bs 81.5% 63.1% 62.8% Days Skipped Last Year None 80.1% 57.5% 40.2% At least one 19.9% 42.5% 59.8% Source: Florida Youth Substance Abuse Survey • High School students who report marijuana use report lower rates of A’s and B’s, as well
higher rates of skipping school then high school students who have never used alcohol.
10
Table 6. Charlotte and Sarasota County Middle School Performance by Illicit Drug Use Level (other than marijuana), 2012
Never Used Illicit Drugs (Other then Marijuana)
Used, But Not in Past Month
Used in Past Month
Grades Last Year Mostly Ds and Fs 4.9% 4.3% 11.3% Mostly Cs 15.3% 15.2% 18.8% Mostly As and Bs 79.9% 80.4% 70.0% Days Skipped Last Year None 77.3% 69.6% 56.3% At least one 22.7% 30.4% 43.7% Source: Florida Youth Substance Abuse Survey • Middle School students who report illicit drug use other than marijuana report lower rates
of A’s and B’s, along with higher rates of C’s, D’s and F’s, as well higher rates of skipping school then middle school students who have never used illicit drugs.
Table 7. Charlotte and Sarasota County High School Performance by Alcohol Use
Level, 2012 Never Used Illicit Drugs
(Other then Marijuana) Used, But Not in
Past Month Used in Past
Month Grades Last Year Mostly Ds and Fs 4.2% 7.6% 11.1% Mostly Cs 19.3% 30.6% 21.1% Mostly As and Bs 76.5% 61.8% 66.7% Days Skipped Last Year None 73.8% 52.8% 45.6% At least one 26.2% 47.2% 54.4% Source: Florida Youth Substance Abuse Survey • High School students who report illicit drug use (other then marijuana) report lower rates of
A’s & B’s, along with higher rates of C’s, D’s and F’s, as well as higher rates of skipping school then high school students who have never used illicit drugs (other then marijuana).
What is Synthetic (man-made) Marijuana or Herbal Incense?
“Spice” or “K-2” are just two most common names for the products. Other product names are Genie, Yucatan Fire, King Krypto, Mr. Nice Guy, K-3, Red Magic, Blueberry Medication and Super Skunk. How is it used: Instead of burning the incense as a fragrance, some people smoke it as a drug. How common is it: Poison Information Centers receive calls from people who become ill on Spice. In 2010, there were 2,906 cases in the USA and 252 in Florida. In 2011, there were 6,995 cases in the USA and 498 in Florida. This is an increase of people who became ill in Florida from the products of 98% in one year. The Dangers:
• Agitation (extreme nervousness) • Fast heartbeat • Increased blood pressure • Tremors (shaking) • Vomiting • Hallucinations • Seizures (in rare cases)
11
CRIME
Figure 2. Alcohol Use Affecting Criminal Behaviors among Englewood Teens, 2014
Source: 2014 TeeNS Social Norming Survey • Alcohol use among Englewood high school students was responsible for 6% of teens
damaging property, 6% of teens were in trouble with law enforcement and 6% of teens reported driving impaired- meaning that alcohol affected their ability to drive, not necessarily that they drove under the influence (that rate is higher).
Figure 3. Charlotte and Sarasota Alcohol and Other Drug Arrests, 2013
Source: Florida Department of Law Enforcement
6% 6% 6%
0%
1%
2%
3%
4%
5%
6%
7%
Damage to property Trouble with police Impaired driving
381
1584
3
994
2232
315
0
500
1000
1500
2000
2500
DUI Arrest Drug / Narcotic Arrest Liquor Law Violations
Charlotte
Sarasota
12
Table 8. Charlotte and Sarasota County Middle School Delinquent Behaviors by Alcohol Use Level, 2012
Never Drank Alcohol
Drank, But Not in Past
Month
Drank in Past Month, Not Binge
Binge Drank in Past 2 Weeks
Ever Belonged to a Gang? No 98.5% 92.2% 89.3% 80.6% Yes 1.5% 7.8% 10.7% 19.4% Carried a Handgun (Past 12 Months) No 100.0% 92.2% 83.3% 83.9% Yes 0.0% 7.8% 16.7% 16.1% Attacked Someone to Hurt Them (Past 12 Months) No 96.9% 83.8% 76.2% 64.5% Yes 3.1% 16.2% 23.8% 35.5% Sold Illegal Drugs (Past 12 Months) No 99.5% 94.4% 95.2% 71.0% Yes 0.5% 5.6% 4.8% 29.0% Attempted to Steal a Vehicle (Past 12 Months) No 99.6% 96.1% 97.6% 97.3% Yes 0.4% 3.9% 2.4% 2.7% Been Arrested (Past 12 Months) No 99.5% 96.1% 94.0% 96.8% Yes 0.5% 3.9% 6.0% 3.2% Source: Florida Youth Substance Abuse Survey • Most often, middle school students in Charlotte and Sarasota that report alcohol use have
higher rates of criminal behaviors than their peers who have never drank alcohol.
Table 9. Charlotte and Sarasota County High School Delinquent Behaviors by Alcohol Use Level, 2012
Never Drank Alcohol
Drank, But Not in Past
Month
Drank in Past Month, Not Binge
Binge Drank in Past 2 Weeks
Ever Belonged to a Gang? No 98.1% 95.4% 95.8% 89.6% Yes 1.9% 4.6% 4.2% 10.4% Carried a Handgun (Past 12 Months) No 97.6% 97.3% 96.3% 84.7% Yes 2.4% 2.7% 3.7% 15.3% Attacked Someone to Hurt Them (Past 12 Months) No 97.1% 92.4% 93.7% 78.7% Yes 2.9% 7.6% 6.3% 21.3% Sold Illegal Drugs (Past 12 Months) No 98.3% 95.4% 92.7% 73.8% Yes 1.7% 4.6% 7.3% 26.2% Attempted to Steal a Vehicle (Past 12 Months) No 97.8% 99.6% 99.0% 86.6% Yes 2.2% 0.4% 1.0% 13.4% Been Arrested (Past 12 Months) No 97.6% 97.0% 96.9% 88.1% Yes 2.4% 3.0% 3.1% 11.9% Source: Florida Youth Substance Abuse Survey • Most often, high school students in Charlotte and Sarasota County that report alcohol use
have higher rates of criminal behaviors than their peers who have never drank alcohol.
13
Table 10. Charlotte and Sarasota County Middle School Delinquent Behaviors by Marijuana Use Level, 2012
Never Used Marijuana
Used, But Not in Past Month
Used in Past Month
Ever Belonged to a Gang? No 97.9% 93.9% 77.6% Yes 2.1% 6.1% 22.4% Carried a Handgun (Past 12 Months) No 96.6% 97.7% 82.8% Yes 3.4% 2.3% 17.2% Attacked Someone to Hurt Them (Past 12 Months) No 93.9% 90.7% 65.5% Yes 6.1% 9.3% 34.5% Sold Illegal Drugs (Past 12 Months) No 97.7% 93.0% 79.3% Yes 2.3% 7.0% 20.7% Attempted to Steal a Vehicle (Past 12 Months) No 99.5% 97.7% 89.7% Yes 0.5% 2.3% 10.3% Been Arrested (Past 12 Months) No 99.1% 95.3% 89.7% Yes 0.9% 4.7% 10.3% Source: Florida Youth Substance Abuse Survey • More often, middle school students in Charlotte and Sarasota County that report marijuana
use have higher rates of criminal behaviors than their peers who have never used.
Table 11. Charlotte and Sarasota County High School Delinquent Behaviors by Marijuana Use Level, 2012
Never Used Marijuana
Used, But Not in Past Month
Used in Past Month
Ever Belonged to a Gang? No 97.4% 95.8% 90.8% Yes 2.6% 4.2% 9.2% Carried a Handgun (Past 12 Months) No 96.9% 95.8% 87.2% Yes 3.1% 4.2% 12.8% Attacked Someone to Hurt Them (Past 12 Months) No 95.8% 91.1% 82.8% Yes 4.2% 8.9% 17.2% Sold Illegal Drugs (Past 12 Months) No 98.7% 94.9% 72.5% Yes 1.3% 5.1% 27.5% Attempted to Steal a Vehicle (Past 12 Months) No 98.7% 97.7% 90.8% Yes 1.3% 2.3% 9.2% Been Arrested (Past 12 Months) No 97.2% 96.3% 94.4% Yes 2.8% 3.7% 5.6% Source: Florida Youth Substance Abuse Survey • More often, high school students in Charlotte and Sarasota County that report marijuana
use have higher rates of criminal behaviors than their peers who have never used.
14
HEALTH RISKS
Figure 4. Consequences of Alcohol Use Affecting Health among Englewood High School Students, 2014
Source: 2014 TeeNS Social Norming Survey • Alcohol use among Englewood high school students was responsible for 6% of teens
causing physical injury to themselves and 5% of teens causing physical injuries to others. Additionally, 13% of Englewood high school students reported that alcohol use has made them feel sick on at least one occasion.
Figure 5. Charlotte and Sarasota County Teens vs. Teens Statewide Exposed to
Second Hand Smoke in the Past 7-Days, 2014
Source: 2014 Florida Youth Tobacco Survey • Youth are reporting higher rates of exposure to second-hand smoke in both Charlotte and
Sarasota County than Florida State wide averages. This correlates to a much higher smoking rate in the County compared to the statewide averages.
6% 5%
13%
0%
2%
4%
6%
8%
10%
12%
14%
Physical injury to yourself Physical injury to others Sickness (hangover, nausea, illness)
41.4% 45.0%
35.9% 43.4%
50.7%
39.7%
0.0%
10.0%
20.0%
30.0%
40.0%
50.0%
60.0%
Charlotte Middle
Sarasota Middle
Florida Middle Charlotte High Sarasota High Florida High
Exposed to second hand smoke during the past 7 days
15
Figure 6. Charlotte and Sarasota County Teens vs. Teens Statewide who Report Having Asthma, 2014
Source: 2014 Florida Youth Tobacco Survey • Youth in Charlotte and Sarasota County report lower rates of current asthma than Florida
statewide averages. STRAINED RELATIONSHIPS
Figure 7. Consequence of Alcohol Use on Relationships among Englewood High
School Students, 2014
Source: 2014 TeeNS Social Norming Survey • Alcohol use among Englewood high school students has caused strains in peer
relationships among 7% of students and strained family relationships among 6% of teens.
16.9% 17.8% 20.2% 19.8% 19.2%
21.2%
10.2% 11.1% 12.1% 10.4% 9.9% 10.8%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
Charlotte Middle
Sarasota Middle
Florida Middle Charlotte High Sarasota High Florida High
Lifetime Asthma Current Asthma
7%
6%
5% 6% 6% 6% 6% 6% 7% 7% 7% 7%
Damaged friendships or relationships Punishment by parent or guardian
16
MOTOR VEHICLE CRASHES
Table 12. Englewood Alcohol-Related Motor Vehicle Crashes, 2013 Amount of
Crashes Amount Alcohol
Related Percent Alcohol
Related Englewood- Charlotte 314 15 4.78% Englewood- Sarasota 55 4 7.27% Source: Florida Department of Highway Safety and Motor Vehicles • There was a total of 369 motor vehicle crashed in the Englewood community in 2013. Of
those crashes, 5.1% were alcohol-related.
ACCIDENTAL/INTENTIONAL DEATHS
Table 13. Age Breakdown of Tracked Opioids found in Toxicology Reports at Time of Death in Districts 12 and 22 in 2013
Oxycodone Cause Oxycodone Present Hydrocodone Cause Hydrocodone Present District
12 District
22 District
12 District
22 District
12 District
22 District
12 District 22
18 and under 0 0 0 0 0 0 0 0 18-25 3 0 1 0 1 0 0 0 26-34 4 0 2 0 0 0 2 0 35-50 10 2 4 2 5 1 7 5
Over 50 15 2 9 9 6 3 12 6 District 12 includes: Desoto, Manatee, Sarasota District 22 includes: Charlotte
Table 14. Age Breakdown of Tracked Opioids found in Toxicology Reports at Time of Death in Districts 12 and 22 in 2013
Methadone Cause Methadone Present Morphine Cause Morphine Present
District 12
District 22
District 12
District 22
District 12
District 22
District 12
District 22
18 and under 0 0 0 0 0 0 0 0 18-25 2 1 0 0 5 0 0 1 26-34 5 1 0 0 3 1 0 0 35-50 10 0 8 2 11 2 4 3
Over 50 7 0 4 3 13 1 7 21 District 12 includes: Desoto, Manatee, Sarasota District 22 includes: Charlotte Source: Florida Medical Examiners Commissioners Reports • There were a combined 36 cases where Oxycodone was the cause of death, 16 where
Hydrocodone was the cause of death, 26 where Methadone was the cause of death, and 36 where Morphine was the cause of death among District 12 and 22 residents in 2013.
17
Table 15. Age Breakdown of Tracked Benzodiazepines found in Toxicology Reports at Time of Death in District 12 and 22 in 2013
Alprazolam Cause Alprazolam Present Diazepam Cause Diazepam Present
District 12
District 22
District 12
District 22
District 12
District 22
District 12
District 22
18 and under 0 0 1 0 0 0 1 0 18-25 2 0 1 2 0 1 0 0 26-34 2 1 6 0 3 0 1 0 35-50 12 1 11 7 8 0 11 0
Over 50 13 2 16 4 8 0 15 5 District 12 includes: Desoto, Manatee, Sarasota District 22 includes: Charlotte Source: Florida Medical Examiners Commissioners Reports • There were 33 cases where Alprazolam was the cause of death and 20 where Diazepam
was the cause of death among District 12 and 22 residents in 2013. Table 16. Age Breakdown of Tracked Street Drugs found in Toxicology Reports at
Time of Death in District 12 and 22 in 2013 Cocaine Cause Cocaine Present Heroin Cause Heroin Present
District 12
District 22
District 12
District 22
District 12
District 22
District 12
District 22
18 and under 0 0 1 0 0 0 0 0 18-25 6 0 4 0 4 0 0 0 26-34 4 0 5 0 4 0 0 0 35-50 13 1 10 0 6 1 0 0
Over 50 8 1 9 0 5 0 0 0 District 12 includes: Desoto, Manatee, Sarasota District 22 includes: Charlotte Source: Florida Medical Examiners Commissioners Reports • There were a combined 33 cases where Cocaine was the cause of death and 20 where
Heroin was the cause of death among District 12 and 22 residents in 2013.
18
ECONOMIC COSTS- STATE OF FLORIDA In 2010, underage drinking cost the State of Florida $3,496 million dollars. The table below breaks down by category the adverse affects associated with underage drinking, (Economic Cost of Underage Drinking).
Table 17. Cost of Underage Drinking in Florida, 2010
Category Cost in Millions Youth Violence $2,121.5
Youth Traffic Crashes $458.1 High Risk Sex (ages 14-20) $263.5
Youth Property Crime $386.6 Youth Injury $108.8
Poisonings and Psychoses $31.1 FAS Among Mothers Age 15-20 $54.6
Youth Alcohol Treatment $71.9 Total $3,496 million
Note: Data obtained from the Economic Cost of Underage Drinking study According to the Annual Economic Impact of Alcohol in Florida and the Annual Economic Impact of Drugs in Florida (studies which analyzed the economic costs caused by alcohol and drug use in Florida), consequences from alcohol and other drugs impact individuals, their families, and entire communities (Florida Alcohol and Drug Abuse Association and the Florida Substance Abuse and Mental Health Corporation).
Table 18. State of Florida Economic Costs of Adverse Events of Alcohol Use,
2010 Areas of Adverse Events of Alcohol Costs
Direct Illnesses from Alcohol $572,683,320 Illnesses Attributed to Alcohol $452,784,647
Alcohol Related Neurological Disorders/ Fetal Alcohol Syndrome $432,045,575 Work Loss $9,017,786
Injuries $8,905,099,639 Traffic Collisions- Injuries $2,358,340,024
Traffic Collisions- Fatalities $1,257,179,959 Quality of Life $3,658,397,626
Crime- Incarceration $415,192,465 Crime- Victim $3,013,793,984
Total $21,074,535,025 Note: Data obtained from the Florida Alcohol and Drug Abuse Association and the Florida Substance Abuse and Mental Health Corporation.
Table 19. State of Florida Economic Costs of Adverse Events of Drug Use, 2010 Areas of Adverse Events of Drugs Costs
Direct Illnesses from Drugs $97,102,980 Work Loss $6,770,627
Deaths $20,429,346,232 Crime- Incarceration $1,077,450,638
Crime- Victim $1,257,173,304 Total $22,867,843,781
Note: Data obtained from the Florida Alcohol and Drug Abuse Association and the Florida Substance Abuse and Mental Health Corporation
19
Youth Substance Use Data
Figure 8. Englewood Middle School Students Past- 30 Day Use of Alcohol and Other Drugs, 2014
Source: 2013 and 2014 TeeNS Social Norming Survey • Englewood middle school students rates of alcohol, cigarette, marijuana, synthetic drugs
use, and prescription drug use substantially decreased from 2013 to 2014, with 50% less of alcohol and marijuana users.
Figure 9. Englewood High School Students Past- 30 Day Use of Alcohol and Other Drugs, 2014
Source: 2013 and 2014 TeeNS Social Norming Survey • Englewood high school students reported slight increases in alcohol and marijuana use
from 2013 to 2014.
8%
3%
14%
7%
10%
5% 5%
1%
7%
3%
0% 2% 4% 6% 8%
10% 12% 14% 16%
2013 2014
Cigarettes
Alcohol
Marijuana
Synthetics
Prescription Drugs
19%
16%
32% 33%
28% 30%
10% 7%
11% 10%
0%
5%
10%
15%
20%
25%
30%
35%
2013 2014
Cigarettes
Alcohol
Marijuana
Synthetics
Prescription Drugs
20
Figure 10. Charlotte and Sarasota County Middle and High School Students Tobacco Use, 2014
Source: 2014 Florida Youth Tobacco Survey • Charlotte and Sarasota middle and high school students report significantly higher rate of
cigarette use that Florida statewide averages. Electronic cigarette use is also higher than statewide averages.
Smoked cigarettes on one or more of the past 30 days
Smoked cigars on
one or more of the past 30 days
Used smokeless tobacco one or
more of the past 30 days
Used electronic cigarettes on one or more of the past 30 days
Used hookah on
one or more of the past 30 days
Used any form of tobacco
on one or more of
the of the past 30
days Charlotte Middle 3.0% 1.7% 1.7% 3.7% 1.2% 4.3% Sarasota Middle 4.7% 4.1% 1.3% 6.7% 2.6% 7.2% Florida Middle 2.3% 2.9% 2.1% 4.0% 3.5% 5.1% Charlotte High 13.6% 13.8% 7.5% 17.1% 9.4% 21.4% Sarasota High 16.0% 13.6% 6.5% 23.1% 15.0% 22.2% Florida High 7.5% 9.1% 5.4% 10.8% 11.6% 14.8%
0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
21
MARIJUANA USE & EDUCATIONAL OUTCOMES!Studies show that marijuana interferes with attention, motivation, memory, and learning. Students who use marijuana regularly tend to get lower grades and are more likely to drop out of high school than those who don’t use. Those who use it regularly may be functioning at a reduced intellectual level most or all of the time.
M!
MOST MARIJUANA USE BEGINS IN
A D O L E S C E N C E
of the 2.4 million people who began using in the last year
were aged 12 to 20.1
78%
EVERY DAY, 3,287 TEENS USE MARIJUANA
FOR THE FIRST TIME1
teen$$marijuana$
$use$increases.2$
As$percep1on$of$harm$decreases…$
Regular heavy marijuana use by teens can lead to
an IQ drop of up to 8 points3
MARIJUANA MAY HURT THE DEVELOPING TEEN BRAIN
The teen brain is still
developing and it is
especially vulnerable to
drug use.
IQ TEEN$
ADULT$CHILD$
HEAVY MARIJUANA USE BY TEENS IS LINKED TO4:
less likely to enroll in
college
less likely to graduate from HS or
college
lower grades and
exam scores
Educa1onal$Outcomes$$ Life$Outcomes$
more likely to be
unemployed
lower satisfaction
with life
more likely to
earn a lower income $$
1.!NSDUH,!SAMSHA,!2014;!2.!!MTF!Survey;!3.!Meier!et!al!2012;!4.!MTF!Survey;!Cobb?Clark!et!al,!2013;!Silins!et!al!2014;!Tucker!et!al!2005;!Homel!et!al,!2014;!Volkow!et!al!2014;!Fergusson!and!Boden!2008;!Brooks!et!al!2013!
22
Adult Substance Use Data
Figure 11. Charlotte and Sarasota County Adult Prevalence of Alcohol and Tobacco, 2013
Source: Behavioral Risk Factor Surveillance System Data • 2013 Charlotte and Sarasota County adult rates of engaging in heavy or binge drinking are
and current smokers are both above the statewide averages.
National Survey on Drug Use and Health (NSDUH) Prevalence Data for Persons Aged 12 and Older, 2008 – 2012
Florida Statewide 2008, 2009, 2010 2010, 2011, 2012 Alcohol
Use, Past Month 51.0% 51.2% Binge Use, Past Month 21.3% 21.2% Perceptions of Great Risk of Having ≥5 Drinks Once or Twice a Week 45.9% 46.5% Persons Aged 12 to 20
Use among Persons Aged 12 to 20, Past Month 26.0% 23.9% Binge Use among Persons Aged 12 to 20, Past Month 15.7% 14.4%
Cigarettes Use, Past Month 22.6% 21.0% Any Tobacco Product Use, Past Month 26.9% 24.6% Perceived Great Risk of Smoking ≥1 Packs/ Day 75.3% 75.8%
Marijuana Use, Past Year 10.6% 11.1% Use, Past Month 6.1% 6.7% Perceptions of Great Risk of Smoking Marijuana Once a Month 41.7% 35.1%
Illicit Drugs Use, Past Month 8.4% 8.3% Illicit Use Other Than Marijuana, Past Month 3.5% 2.9% Cocaine Use, Past Year 1.8% 1.7% Nonmedical Use of Pain Relievers, Past Year 4.2% 3.9%
Substance Use Disorders Alcohol Dependence, Past Year 3.5% 2.8% Alcohol Dependence or Abuse, Past Year 6.8% 5.9% Illicit Drug Dependence, Past Year 1.7% 1.9% Illicit Drug Dependence or Abuse, Past Year 2.7% 2.6% Abuse or Dependence of Alcohol or Drugs 8.4% 7.6%
Treatment Needs Needing but not Receiving Treatment for Alcohol Use, Past Year 6.5% 5.6%
Needing but not Receiving Treatment for Illicit Drug Use Past Year 2.4% 2.3%
21.3% 18.0% 18.4%
21.9%
16.8% 17.6%
0.0% 5.0%
10.0% 15.0% 20.0% 25.0%
Current Smokers Engaged in heavy or binge drinking
Charlotte Sarasota Florida
23
Contributing Factors- Access
Amount of Alcohol Retailers in Charlotte and Sarasota Counties County, 2014 On-Premise
License Off-
Premise License
On and/or Off Premise License
Other Total
Charlotte 120 148 104 7 379 Sarasota 439 339 294 22 1,094 Source: Florida Department of Alcohol, Beverage, and Tobacco
Amount of Tobacco Retailers in Charlotte and Sarasota Counties, 2014 With Alcohol
License Without Alcohol
License Total
Charlotte 40 172 212 Sarasota 84 406 490 Source: Florida Department of Alcohol, Beverage, and Tobacco
Englewood Middle and High School Students Reported Source of Alcohol in the Past 30- Days- “From Whom Did You Get It”, 2014
Source Middle School
High School
Not applicable/I didn't drink alcohol 91% 63% My mother or father 4% 9% A friend's mother or father 1% 4% A brother, sister, or other relative who is 21 years of age or older 1% 4% A brother, sister, or other relative who is under 21 years of age 0% 1% A friend who is 21 years of age or older 0% 7% A friend who is under 21 years of age 1% 9% I asked a stranger to buy it for me 0% 1% I bought it myself using a fake ID 0% 1% I bought it myself without using a fake ID 0% 3% Source: 2014 TeeNS Social Norming Survey • The most common sources of alcohol reported by high school students in Englewood by
high school students were from their “mother or father” and “A friend who is under 21 years of age”.
24
Figure 12. Englewood Middle School Students Reported Ease of Access to Alcohol, 2014
Source: 2014 TeeNS Social Norming Survey • Among Englewood middle school students who reported alcohol use, the majority
reported alcohol is “easy” to get.
Figure 13. Charlotte and Sarasota County Student Rates of Smoking Allowed in the Home, 2014
Source: Florida Youth Tobacco Survey • Charlotte middle and Charlotte and Sarasota high school students report a higher rate of
smoking allowed in the home then Florida Statewide averages.
92%
3%
4%
1% 0%
Not Applicable/I didn't drink alcohol
Very Easy
Easy
Difficult
Very Difficult
10.5%
8.5% 8.8%
12.1%
8.9% 8.8%
0.0%
2.0%
4.0%
6.0%
8.0%
10.0%
12.0%
14.0%
Charlotte Middle Sarasota Middle Florida Middle Charlotte High Sarasota High Florida High
Smoking Allowed in the Home
25
Contributing Factors- Social Norms
Figure 14. Englewood Middle School Student Reports of What They Typically Drink When Hanging Out or Socializing with Friends, 2014
Source: 2014 TeeNS Social Norming Survey • 1% of Englewood middle school students report that they “typically” drink alcohol when
hanging out and socializing with friends. Additionally, they perceived that 2% of their friends “typically” drink alcohol when hanging out with friends.
Figure 15. Englewood High School Student Reports of What They Typically Drink When Hanging Out or Socializing with Friends, 2014
Source: 2014 TeeNS Social Norming Survey • 6% of Englewood high school students report that they “typically” drink alcohol when
hanging out and socializing with friends. Additionally, they perceived that 14% of their friends “typically” drink alcohol when hanging out with friends.
28%
12%
43%
6% 2% 4% 1% 1% 2%
23%
10%
55%
2% 2% 2% 3%
2% 2% 0%
10% 20% 30% 40% 50% 60%
bottled water
sports drink
pop/soda tea coffee juice milk alcohol other
Self-Reported Actual Perceived Typical Student
34%
10%
33%
8% 3% 2% 2% 6% 3%
15% 8%
53%
2% 3% 1% 1%
14% 3%
0% 10% 20% 30% 40% 50% 60%
bottled water
sports drink
pop/soda tea coffee juice milk alcohol other
Self-Reported Actual Perceived Typical Student
26
Table 20. Englewood Middle School Students Perceptions of Parental Attitudes Toward Substance Use, 2014
How wrong do you think your parents feel it would be for you to…
Not wrong at all
A little bit wrong
Wrong Very Wrong
drink beer, wine, or hard liquor regularly? 2% 7% 13% 79% smoke cigarettes? 2% 2% 7% 90% smoke marijuana? 2% 4% 5% 88% Source: 2014 TeeNS Social Norming Survey
Table 21. Englewood High School Students Perceptions of Parental Attitudes Toward Substance Use, 2014
How wrong do you think your parents feel it would be for you to…
Not wrong at all
A little bit wrong
Wrong Very Wrong
drink beer, wine, or hard liquor regularly? 11% 14% 21% 54% smoke cigarettes? 7% 5% 15% 72% smoke marijuana? 13% 13% 15% 59% Source: 2014 TeeNS Social Norming Survey
What is D-Fy? • Drug-Free Youth (D-Fy) is an initiative for
area youth in 6th through 12th grade. • D-Fy helps create a movement of peers who
share a commitment to make positive choices and live a healthy, drug-free life.
• D-Fy also helps to grow a community culture to support these youth.
• D-Fy members are eligible to receive local discounts and attend special DFy events.
To become a member: • Youth complete a membership application
confirming their commitment to be drug, alcohol, and tobacco free.
• All potential members validate this commitment through a confidential drug screening when they join, and agree to be screened randomly throughout their membership year.
• Once the application is validated, members receive a photo ID membership card that entitles them to discounts at participating businesses and entrance to member-only events. Voluntary membership is renewable on a yearly basis.
27
Contributing Factors- Lack of Resources for Law Enforcement Figure 16. Past 30-Days Englewood High School Drinking and Driving Behaviors,
2014
Source: 2014 TeeNS Social Norming Survey
Figure 17. Percentages of Charlotte and Sarasota County Youth who Reported Drinking Alcohol, Smoking Marijuana, or Using Another Drug to Get High
Before or During School in the Past 12 months, 2014
Source: 2014 Florida Youth Substance Abuse Survey • There are high rates of teens using alcohol and other drugs before or during school.
13% 17%
30%
0% 5%
10% 15% 20% 25% 30% 35%
Driving a car after drinking Riding in car with another student who was drinking
Riding in a car wih a family member who was drinking
2.1%
6.8% 5.3%
9.1%
5.5%
13.4%
4.7%
17.8%
1.6% 4.0%
1.8% 3.9%
0.0% 2.0% 4.0% 6.0% 8.0%
10.0% 12.0% 14.0% 16.0% 18.0% 20.0%
Charlotte Middle School
Charlotte High School
Sarasota Middle School
Sarasota High School
Drinking Alcohol Smoking Marijuana Used Another Drug to Get High
28
Contributing Factors- Perceived Risk Table 22. Englewood Middle School Students Perception of Great Risk or Harm of
Substances, 2014 How much do you think people risk harming themselves if they… No
Risk Slight Risk
Moderate Risk
Great Risk
Take one or two drinks of an alcoholic beverage nearly every day? 5% 22% 33% 40% Smoke one or more packs of cigarettes per day? 3% 7% 20% 70% Smoke marijuana regularly? 9% 13% 19% 59% Source: 2014 TeeNS Social Norming Survey
Figure 18. Parent or Guardian has Talked About the Dangers of Tobacco in the
Past Year
Source: 2014 Florida Youth Tobacco Survey • Over half of Charlotte and Sarasota County parents have talked to their teen about the
dangers of tobacco use.
66.9% 68.4% 67.5%
52.7% 56.5% 56.7%
0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% 80.0%
Charlotte Middle
Sarasota Middle
Florida Middle Charlotte High Sarasota High Florida High
Parents or guardians have talked about the danger of tobacco in the past year
What are e-cigarettes? • Electronic cigarettes, also known as e-cigarettes, are battery operated nicotine delivery devices that heat liquid nicotine and
other chemicals, releasing a vapor, which users inhale. • On April 25, 2011, the FDA announced that it would regulate e-cigarettes as tobacco products and not as a drug or device, a
decision that reflects our current understanding of e-cigarette use. • To date, the FDA has not asserted its authority over e-cigarettes and they remain unregulated. Are e-cigarettes a safe alternative to smoking? • There is currently no peer-reviewed independent research in any credible medical or scientific journal to support industry
claims about the safety of e-cigarettes or the potential of e-cigarettes to help smokers quit. • Preliminary research from the Food and Drug Administration (FDA) has revealed that some e-cigarettes do contain toxic
substances and carcinogens, which are known to cause cancer. What are the concerns about e-cigarettes and youth? • The rapid increase of e-cigarette use by teens is alarming. • The number of middle school and high school students in the U.S. who have tried e-cigarettes doubled in 2012 compared to
just one year earlier. Tobacco Free Florida.com
29
Contributing Factors- Promotion/Price Environmental Scan of Englewood Vendors- 2014 Report Drug Free Charlotte County conducted an environmental scan of local establishments that sell alcohol and tobacco to identify the signage and sales practices in the community. It is important that the community do their part to not send youth the wrong message. It is the goal of the Englewood Community Coalition to use the environmental scan results to work with local key leaders and businesses to help promote the message to teens that we are not supportive of their use of alcohol and other drugs in the Englewood Community.
Table 23. Type of Establishment Scanned 2014 Gas Station/Convenience Store 8 Grocery Store/Retail Store 7 Liquor Store 6 TOTAL 21
Table 24. Preventative Signage
Gas Station/Convenience Store, Grocery Store/Retail Store, Liquor Store
2014 # 2014%
Stores with Age Restrictions Signs Outside- Alcohol 5 23.8% Stores with Age Restrictions Signs Outside- Tobacco 11 50.0%
Stores with Illegal to Purchase For Minors Outside - Alcohol 1 4.8% Stores with Illegal to Purchase For Minors Outside -
Tobacco 10 47.6%
Stores with Age Restrictions Signs Inside- Alcohol 7 33.3% Stores with Age Restrictions Signs Inside- Tobacco 15 68.2%
Stores with Illegal to Purchase For Minors Inside - Alcohol 2 9.5% Stores with Illegal to Purchase For Minors Inside - Tobacco 9 42.8%
Store with Negative Health Effects Signs- Alcohol 0 0.0% Store with Negative Health Effects Signs- Tobacco 0 0.0%
IMPACT: Some, but not the majority, of Englewood retailers are doing a good job warning persons underage that it is illegal for them to purchase alcohol or tobacco products at their store. Having this reminder placed right at the source is important as it deters youth from attempting to purchase the products. Also, some, but not all the majority, of Englewood retailers are posting signs reminding persons that it is illegal to purchase alcohol for minors. All retailers in the community should be promoting both of these important messages. Warning signage on the negative health effects of alcohol use and tobacco products are lacking in the community. Although legal to purchase and consume these products by persons of age, it is important to remind people of the negative effects associated with their use at the source. It also informs youth that although adults can use them, that does not make their use “safe” and without consequence.
30
Table 25. Location of Alcohol and Tobacco Products
Gas Station/Convenience Store, Grocery Store/Retail Store, Liquor Store
2014 # 2014 %
Behind the Counter - Alcohol 5 23.8% Behind the Counter - Tobacco 20 95.2%
In the Front - Alcohol 7 33.3% In the Front - Tobacco 1 4.8%
In the Back - Alcohol 20 95.2% In the Back - Tobacco 0 0.0% In the Aisles - Alcohol 19 90.5%
In the Aisles - Tobacco 1 4.8% IMPACT: Alcohol and tobacco are displayed in all parts of the store and are available for youth to walk past and through while shopping for other products. The prevalence of these products to the youth of the community, although illegal for their purchase, sends a mixed message to the youth of the community. CANDY FLAVORED TOBACCO Out of the 21 stores scanned, 10 or 47.6% sold candy-flavored tobacco products. All of the stores that provided candy-flavored tobacco products, all of them provided a variety of different flavors that included the following flavors that are familiar to youth; cherry, peach, grape, and apple. IMPACT: Candy-flavored tobacco products are targeted at youth as a ploy by Big Tobacco to gain a new generation of tobacco-addicted consumers. When youth see the products, the flavors and packaging appeals to them.