Prevalence of Alcohol, Drug Abuse, and Mental Health Disorders in Franklin County: 1991

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No local studies have been conducted within the last decade that provide an estimate of the prevalence of alcohol, drug abuse, or mental health disorders (ADM) in Franklin County. Therefore, it is reasonable to use the results of the National Comorbidity Survey (1991) conducted by the U.S. Substance Abuse and Mental Health Services Administration to estimate local prevalence for ADM disorders. This study describes the prevalence of ADM disorders in the general population aged 15 to 54. According to the 1990 census, there were 594,014 people living in Franklin County between the ages of 15 and 54. This number is used below when applying the percentages established by the National Comorbidity Survey.

It is estimated that 285,000 people in Franklin County between the ages of 15 and 54 have had an ADM disorder over the course of their lifetime. For 127,000 people, this disorder was solely a mental disorder such as affective, anxiety, or antisocial disorders. Another 77,000 people had a substance abuse/dependence disorder. Finally, 81,000 Franklin County residents had both a substance abuse and a mental health disorder over the course of their lifetime.

Another way to measure prevalence of ADM disorders is to estimate how many people have any of these disorders over the course of one year. During 1990, an estimated 175,000 Franklin County residents, age 15 - 54, had some form of ADM disorder. Substance abuse/dependence affected an estimated 67,000 people. Anxiety disorders affected an estimated102,000 people, while an estimated 67,000 people were affected by Affective disorders such as depression, dysthymia and mania.

It is important to note that the National Comorbidity Survey (1991) reports significant differences in the prevalence of ADM disorders between the sexes. According to the survey report, "...men are more likely than women to have substance abuse disorders which include alcohol and other drug abuse and dependence. Men also are more likely to have antisocial personality disorder. Women, in contrast, are more likely to have affective disorders (such as depression) and anxiety disorders (such as panic attacks and phobias)".


Number of People with an Alcohol, Drug Abuse, and Mental Health Disorders in Franklin County, Age 15 - 54: 1991

               
                               Lifetime                 Past Year
                           Number    Percent         Number    Percent
Any ADM Disorder          285,000     48.0          175,000     29.5
 Only Mental Disorder     127,000     21.4          108,000     18.2
 Only Sub Abuse/Dep        77,000     12.9           39,000      6.6
 Both Substance Abuse
  and Mental Disorder      81,000     13.7           28,000      4.7



Number of People in Franklin County with a Mental Disorder by Type of Disorder, Age 15 to 54: 1991

                                    Life Time               Past Year
                                Number    Percent        Number    Percent
Any Affective Disorders        115,000     19.3          67,000     11.3
  Major Depressive Episode     102,000     17.1          61,000     10.3
  Manic Episode                 10,000      1.6           8,000      1.3
  Dysthymia                     38,000      6.4          15,000      2.5
Any Anxiety Disorders          148,000     24.9         102,000     17.2
  Panic Disorder                21,000      3.5          14,000      2.3
  Agoraphobia without Panic 
    Disorder                    31,000      5.3          17,000      2.8
  Social Phobia                 79,000     13.3          47,000      7.9
  Simple Phobia                 67,000     11.3          52,000      8.8
  Generalized Anxiety Disorder  30,000      5.1          18,000      3.1
Antisocial Personality          21,000      3.5            NA         NA
Non Affective Psychosis          4,000      0.7           3,000      0.5

NA: Data are not available 

Note: Local figures are based on national estimates found in the National Comorbidity Survey (1991). Affective disorders include major depressive episode, manic episode and, dysthymia. Anxiety disorders include panic disorder, agoraphobia, social phobia, simple phobia, and generalized anxiety disorder. Non-affective psychoses include schizophrenias, delusional disorder, and atypical psychoses. Substance abuse disorder includes both abuse and dependence on alcohol and other drugs.

Source:Substance Abuse and Mental Health Statistical Sourcebook, Substance Abuse and Mental Health Services Administration, Public Health Service, U.S. Department of Health and Human Services

Filename: PS-033

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