Regional Comparisons

Section 10. Regional Comparisons

Kentucky was partitioned into three regions for sampling purposes. Regions were nested in Mental Health/Mental Retardation (MHMR) regions. Additionally Jefferson County was considered a separate and distinct region. Figure 10.1 presents the map of Kentucky by sampling region.

Figure 10.1: Sampling regions

West Region

MHMR's: Communicare, Four Rivers , Lifeskills, Penny Royal, River Valley

Counties: Allen, Ballard, Barren, Breckenridge, Butler, Caldwell, Calloway, Carlisle, Christian, Crittenden, Daviess, Edmonson, Fulton, Graves, Grayson, Hancock, Hardin, Hart, Henderson, Hickman, Hopkins, Larue, Livingston, Logan, Lyon, Marion, Marshall, McCracken, McLean, Meade, Metcalfe, Monroe, Muhlenberg, Nelson, Ohio, Simpson, Todd, Trigg, Union, Warren, Washington, Webster

East Region

MHMR's: Adanta, Comprehend, Cumberland , Kentucky River, Mountain, Pathways

Counties: Adair, Bath, Bell, Boyd, Bracken, Breathitt, Carter, Casey, Clay, Clinton, Cumberland, Elliott, Fleming, Floyd, Green, Greenup, Harlan, Jackson, Johnson, Knott, Knox, Laurel, Lawrence, Lee, Leslie, Letcher, Lewis, Magoffin, Martin, Mason, McCreary, Menifee, Montgomery, Morgan, Owsley, Perry, Pike, Pulaski, Robertson, Rockcastle, Rowan, Russell, Taylor, Wayne, Whitley, Wolfe

North-Central Region

MHMR's: Bluegrass, Seven Counties (excluding Jefferson Co.), North Key

Counties: Anderson , Boone, Bourbon, Boyle, Bullitt, Campbell , Carroll, Clark, Estill, Fayette, Franklin , Gallatin, Garrard, Grant, Harrison, Henry, Jessamine, Kenton, Lincoln , Madison , Mercer, Nicholas, Oldham, Owen, Pendleton, Powell, Scott, Shelby , Spencer, Trimble, Woodford

The East and West regions have the highest adolescent lifetime prevalence for smoking cigarettes. Jefferson County and the West region have the highest lifetime prevalence for drinking. Jefferson County has higher lifetime prevalence for all other drugs except hallucinogens and sedatives. Table 10.1 presents the lifetime prevalence rates for cigarettes, alcohol, and other drugs. Table 10.2 presents the estimated number of adolescent Kentuckians who ever used cigarettes, alcohol, and other drugs.

Table 10.1: Lifetime cigarette, alcohol, and drug use prevalence rates for adolescent Kentuckians by region

	Kentucky	West	East	North-Central	Jefferson Co.
Cigarettes	22.0%	24.5%	24.5%	19.4%	20.4%
Alcohol	28.8%	30.7%	25.0%	28.3%	30.2%
Marijuana	9.3%	8.9%	6.9%	8.9%	12.0%
Cocaine	1.1%	1.2%	0.6%	0.7%	1.9%
Other Stimulants	0.8%	0.5%	0.9%	0.6%	1.4%
Oxycodone	1.3%	1.5%	0.6%	1.1%	1.9%
Other Opiates	2.1%	1.7%	0.9%	1.8%	3.9%
Sedatives	2.2%	2.7%	1.6%	1.8%	2.4%
Hallucinogens	0.9%	0.5%	0.5%	1.3%	1.2%
Club Drugs	0.9%	0.4%	0.6%	0.2%	2.6%
Inhalants	1.7%	1.9%	1.5%	1.2%	2.3%
Other	2.0%	1.3%	1.2%	2.1%	3.3%
Any Illicit	11.1%	11.2%	7.7%	10.3%	14.6%

Table 10.2: Estimated number of adolescent Kentuckians who ever used cigarettes, alcohol, and other drugs by region

	Kentucky	West	East	North-Central	Jefferson Co.
Cigarettes	74,681	22,897	19,948	20,519	11,317
Alcohol	98,186	29,395	20,877	30,791	17,123
Marijuana	31,423	8,725	5,916	9,870	6,912
Cocaine	3,698	1,171	583	833	1,111
Other Stimulants	2,689	451	764	703	771
Oxycodone	4,476	1,460	593	1,297	1,126
Other Opiates	6,982	1,724	888	2,082	2,288
Sedatives	7,438	2,668	1,395	1,985	1,390
Hallucinogens	3,044	462	423	1,471	688
Club Drugs	2,966	499	609	331	1,527
Inhalants	5,800	1,879	1,290	1,322	1,309
Other	7,036	1,376	1,177	2,503	1,980
Any Illicit	37,547	10,997	6,628	11,516	8,406

The West region has the highest prevalence rate of alcohol abuse and alcohol dependence* for adolescent Kentuckians. Jefferson County has the highest prevalence rate of drug abuse and dependence. The West region also has the highest treatment need in the state. Table 10.3 presents the prevalence rates for abuse and dependence and current treatment need. Table 10.4 presents the estimated number of adolescent Kentuckians who meet abuse or dependence criteria in their lifetime or need treatment by region.

Table 10.3: Substance abuse and dependence* prevalence and current treatment need for adolescent Kentuckians by region

	Kentucky	West	East	North-Central	Jefferson Co.
Alcohol Abuse	3.1%	3.6%	2.4%	3.0%	3.5%
Alcohol Dependence	4.7%	6.3%	3.9%	3.6%	4.9%
Drug Abuse	1.6%	1.7%	1.6%	1.2%	1.8%
Drug Dependence	2.3%	2.4%	1.9%	1.5%	3.4%
Any Abuse or Dependence	7.3%	9.0%	6.3%	6.6%	6.9%
Treatment Need	7.6%	9.0%	6.5%	7.3%	7.1%

Table 10.4: Estimated number of adolescent Kentuckians who meet abuse or dependence* criteria and need treatment by region

	Kentucky	West	East	North-Central	Jefferson Co.
Alcohol Abuse	10,736	3,441	2,026	3,259	2,010
Alcohol Dependence	15,916	5,971	3,232	3,944	2,769
Drug Abuse	5,360	1,650	1,360	1,308	1,042
Drug Dependence	7,783	2,384	1,669	1,731	1,999
Any Abuse or Dependence	24,771	8,547	5,188	7,150	3,886
Treatment Need	25,793	8,556	5,372	7,842	4,023

* The term dependence in this report is not meant to be interpreted as a formal diagnosis. Any person who reported three or more DSM-IV-TR lifetime criteria is included as dependent.

2005 Report Section Quick Links

Executive Summary * Purpose, Objectives, & Methods * Demographics * Nicotine * Alcohol
Drugs * DSM-IV-TR Criteria * Treatment Utilization and Treatment Need *Attitudes & Beliefs
1998 Report Comparison * Regional Comparison * Concluding Remarks