HEALTH AND WELLNESS STUDENT ALCOHOL USE DEFINITION Student Alcohol Use and Binge Drinking This indicator reports the percentage students in grades 9 through 12 who said they had one or more drinks of alcohol on one or more of the past thirty days (alcohol use) and the percentage who said they had five or more drinks in a row within a couple of hours on one or more of the past thirty days. The latter definition is consistent with the National Institute on Alcohol Abuse and Alcoholism’s definition of binge drinking, which states that a blood alcohol concentration of 0.08 percent or higher usually occurs after four or more drinks within two hours for women and five or more for men (NIAAA, 2012). The students participated in the 2011 New Hampshire Community Surveys, which included these indicators from the Centers for Disease Control and Prevention Youth Risk Behavior Survey. by High School1, 2011 SURVEY PARTICIPANTS HAD 1 DRINK* HAD 5+** 35,040 37.9% 24.3% Berlin H.S. 365 46.3% 31.2% Stevens H.S. 409 34.8% 22.3% Concord Concord H.S. 1,121 32.0% 19.1% Conway Kennett H.S. 599 41.5% 28.5% Dover Dover H.S. 1,240 36.8% 23.4% CONTEXT Keene Keene H.S. 1,291 41.3% 28.4% Consumption of alcohol by persons under age 21 is illegal but widespread, with more young people using and abusing alcohol than tobacco and illicit drugs. People aged 12 to 20 years old drink 11 percent of all alcohol consumed in the United States, and 90 percent of that is by binge drinking. Motor vehicle accidents, physical and sexual assault, risky sexual behavior, and legal and academic problems are among the numerous negative impacts of underage drinking on young people. Youth who start drinking before age 14 are five times more likely to become dependent on or abuse alcohol as adults than those who start drinking at age 21 or later (CDC, 2012). Long-term binge drinking can cause damage to the liver and other organs (NIAAA, 2012). Alcohol contributes to the death of approximately 4,700 youth each year in the United States (CDC, 2012). Lebanon Lebanon H.S. 436 26.9% 17.0% Manchester Central H.S. 1,578 35.7% 23.0% Manchester Memorial H.S. 1,373 37.3% 22.9% Manchester West H.S. 886 30.3% 18.7% Merrimack Merrimack H.S. 1,227 37.4% 24.8% Nashua Nashua H.S. North 1,434 42.2% 26.9% Nashua Nashua H.S. South 1,533 42.0% 27.2% Spaulding H.S. 1,023 31.1% 18.7% Underage drinking is estimated to cost the United States $62.0 billion in medical care, work loss, and pain and suffering. Over one-half (58 percent) of these costs are due to the violence of alcohol-related homicides, suicides, and aggravated assaults, and another 16 percent are due to traffic crashes. In New Hampshire, these costs are estimated to be $209 million, or $1,572 per youth per year or $2.32 per drink consumed underage (PIRE, 2012). In 2010, seventy-two youth under age 18 were arrested in New Hampshire for driving under the influence, 799 were arrested for violations of liquor laws, and 208 for drunkenness (Century Council, 2012). The 2009–2010 National Survey on Drug Use and Health (NSDUH) found that New Hampshire ranked sixth among all states in the percentage of youth aged 38 New Hampshire KIDS COUNT Data Book 2012 SCHOOL STATE TOTAL Berlin Claremont Rochester * Percent of students who had at least one drink of alcohol on one or more days during the past 30 days ** Percent of students who had five or more drinks of alcohol in a row on one or more of the past 30 days 12 to 17 reporting binge drinking in the past month (10.3 percent) and ninth in the percentage of youth aged 18 to 25 (48.3 percent), in both cases percentages higher than the national average (8.4 and 41.2 percent) (RTI, 2012). Nationally, binge drinking among 12- to 17-year-olds has been declining, but neither the CDC Youth Risk Behavior Survey, which includes only high school students, nor the NSDUH find similar declines in New Hampshire (NH DHHS, 2012). Children’s Alliance of New Hampshire www.ChildrenNH.org STUDENT ALCOHOL USE SOURCE OF DATA FOR ILLUSTRATION/METHODOLOGY by High School1, 2011 Data were obtained from the New Hampshire Department of Health and Human Services Bureau of Drug and Alcohol Services and describe findings from the 2011 Community Surveys, which included items from the Centers for Disease Control and Prevention Youth Risk Behavior Survey. STATE TOTAL Berlin REFERENCES Centers for Disease Control and Prevention (2012). Fact Sheet: Underage Drinking. > www.cdc.gov/alcohol/fact-sheets/underage-drinking.htm Claremont | Stevens Concord The Century Council. Arrest data obtained from the 2010 FBI Uniform Crime Report. > www.centurycouncil.org/state-facts/new-hampshire Conway | Kennett National Institute on Alcohol Abuse and Alcoholism (2012). > www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/moderate-binge-drinking Dover Keene New Hampshire Department of Health and Human Services (2012). New Hampshire State Epidemiological Profile of Mental, Emotional and Behavioral Health. > www.nhcenterforexcellence.org/pdfs/State_Epi_Profile_4.23.12.pdf Lebanon Manchester | Central Pacific Institute for Research and Evaluation (PIRE), Underage Drinking Enforcement Training Center (2012). Underage Drinking Costs. > www.udetc.org/UnderageDrinkingCosts.asp and http://www.udetc.org/factsheets/NH.pdf Manchester | Memorial Manchester | West Research Triangle Institute, National Survey on Drug Use and Health (2012). State Estimates of Substance Use. > https://nsduhweb.rti.org/RespWeb/State_Estimates.html Merrimack Nashua | North U.S Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (2011). Report to Congress on the Prevention and Reduction of Underage Drinking. > http://store.samhsa.gov/shin/content//SMA11-4645/SMA11-4645.pdf Nashua | South Rochester | Spaulding 0% 10% 20% 30% 40% 50% NOTES Alcohol Use Binge Drinking NEW HAMPSHIRE FINDINGS In the 2011 Community Survey/Youth Risk Behavior Survey, over one-third (38 percent) of New Hampshire high school students reported using alcohol in the previous month. One-fourth (24 percent) of the students said they binge drink. www.ChildrenNH.org Children’s Alliance of New Hampshire 1 Participation in the Community Surveys is voluntary and not all schools participate every year. In 2011, data were not available for the high schools in our profiled cities of Derry, Laconia, and Salem. High schools in four cities or towns reported higher percentages of students drinking than the state average: Berlin, Conway, Keene, and both Nashua high schools. Those same schools plus Merrimack also reported higher percentages of students binge drinking. Lebanon had the lowest rates for both indicators, followed by Manchester West and Rochester. New Hampshire KIDS COUNT Data Book 2012 39 HEALTH AND WELLNESS Student Alcohol Use and Binge Drinking