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2018 Population Health Dashboards Orange County, NC 1- SUMH18 Substance Use and Mental Health Sources: BRFSS (2011), CHCCS YRBS (2015, 2017), OCS YRBS (2016), SCHS Mortality statistics (2015-16) and records (2012-2016), DHHS/Highway Research Center (2015-16), Rates are per 100,000 unless otherwise noted. Data Notes: *Due to changes in survey methodology and overlapping confidence intervals, BRFSS data cannot be compared to previous years, **Confidence intervals for YRBS trend data are unavailable to assess significance of trends over time ***Sample size for OCS YRBS was small due to an active consent process and may not represent general population rates See the Public Health Dashboard FAQ Document for more on data methodology. Alcohol ScoreIcon Current Proposed OC Target Previous Progress Peer NC US 2020 Target % Adults who Drink Excessively (Binge Drinking)*-NA NA 23%-NA 15%17%NA % High schoolers using alcohol products (CHCCS)**23%NA 29%↓NA 29%33%NA % High schoolers using alcohol products (OCS)***-16%NA NA -NA 29%33%NA % Crashes that are Alcohol Related 4%5%5%↓4%4%5%5% Opioids and Drug Overdose ScoreIcon Current Proposed OC Target Previous Progress Peer NC US 2020 Target % High schoolers who have used marijuana in past 30 days (CHCCS)**29%22%34%↓NA 22%22%NA % Providers registered in CSRS 79%NA 22%↑77%NA NA NA Drug Overdose Mortality Rate 13 10 7 ↑32 19 20 NA Opioid Overdose Mortality Rate 6 5 4 ↑16 15 13 NA Tobacco ScoreIcon Current Proposed OC Target Previous Progress Peer NC US 2020 Target % Adult Smokers*-NA 13%17%-NA 18%16%13% % High schoolers who smoked in past 30 days (CHCCS)**17%16%21%↓NA NA 31%16% % High schoolers who have ever used an e-cigarette (CHCCS)**29%25%37%↓NA 49%45%NA % High schoolers who have ever used an e-cigarette (OCS)***-21%25%NA -NA 49%45%NA % High schoolers who believe vape is low harm (CHCCS)**-56%NA 65%↓NA NA NA NA Older Adult Mental Health ScoreIcon Current Proposed OC Target Previous Progress Peer NC US 2020 Target % Older Adults with Depression 19%16%16%↑14%18%17%NA Alzheimer's Age-Adj Mortality Rate 27 25 27 SAME 18 32 25 NA Suicide ScoreIcon Current Proposed OC Target Previous Progress Peer NC US 2020 Target Suicide Mortality Rate 9 8 9 SAME 14 13 14 8 Progress Orange County Trend Progress Orange County Trend Compare to Compare to Progress Orange County Trend Progress Orange County Trend Compare to Compare to Progress Orange County Trend Compare to Summary: Orange County saw significant increases in both Drug Overdose and Opioid Overdose mortality rates in 2016. However, it is important to remember that as a county with a small population, sizable fluctuation in rates from year to year is not unusual. It appears on several measures (alcohol, marijuana, and smoking cigarettes or e-cigarettes), High School substance use decreased from 2015 to 2017 (CHCCS). Additionally, fewer students reported that they believed vaping is low in harm. However, more Orange County students report current marijuana use than NC or the US. Depression continues to be a common condition that close to 1 in 5 residents face, young and old. Significant change from previous that is positive, negative, or indeterminable (grey) No trend Trend cannot be assessed Performing better than Previous, Peer, NC, and US Performing better than two or three benchmarks Performing better than one or no benchmarks (Target value adds additional benchmark, if present) ↑↓Positive trend ↑↓Negative trend ↑↓Neutral trend 2015 Population Health Dashboards Disparity Present Negligible Disparity Performing better than four or more benchmarks Performing better than two or three benchmarks Performing better than one or no benchmarks Benchmarks include Previous, Peer, NC, US, and 2020 Target OC Targets represent proposed local goals