Nationally collected data can be found here:
- Tobacco (Opens in a New Window)
- Alcohol (Opens in a New Window)
- Illegal drugs (Opens in a New Window)
- Sexual health (Opens in a New Window)
Many people enjoy drinking alcohol and are free to do so. But a balance needs to be struck with avoiding harm and improving health outcomes.
According to the World Health Organisation (WHO), alcohol is the world’s third largest risk factor for premature mortality, disability and loss of health. The conditions most strongly related to health inequalities, such as cancer and cardiovascular disease, are strongly associated with alcohol.
Nationally, the total cost of alcohol related crime is £8.75-£14.78bn for alcohol. However, the alcohol related health costs (£3bn) are much higher than those caused by Class A drugs (£0.5bn). Furthermore, around £7bn is lost in productivity to alcohol. It has been estimated that, for every £1 spent on drug & alcohol interventions for young people, there are between £5-£8 worth of benefit.
While male alcohol-related hospital admissions are unchanged, female admissions may be increasing. Except for Males in Bournemouth and Weymouth and Portland, alcohol mortality is low compared to England. However, female mortality may be increasing in Bournemouth. In most areas the months of life lost due to alcohol has increased since 2006/08. This could indicate that, whilst few people have alcohol related deaths, those that do, are dying younger. Bournemouth and Weymouth and Portland have a specific problem with mortality from chronic liver disease.
There are significant issues around alcohol related violent crime in Bournemouth and Weymouth and Portland. The crime rates in Bournemouth could be explained by the high rates of binge drinking found there (the proportion of binge drinkers here is significantly higher than found in England). However, this is not the case for Weymouth and Portland and so another explanation must be found. One possibility is that there are a high proportion of people employed in bars in Weymouth and Portland, indicating a high concentration of sizable drinking establishments. This would make it a popular destination for drinkers from within and without of Weymouth and Portland, which may cause the crime rates to spike.
Alcohol treatment services generally preform well compared to England. However there are potentially some issues with service use for those who are in treatment and living with children. This could be the result of increased time pressures (leading to poorer engagement of services out side of school hours) and increased mental stress (leading to a relapse). Additionally unemployment may also be issue: Bournemouth has the highest proportion of adults unemployed at the start of treatment.
Nationally, the total cost of drug related crime is £13.32bn, however, the alcohol related health costs (£3bn) are much higher than those caused by Class A drugs (£0.5bn). It has been estimated that, for every £1 spent on drug & alcohol interventions for young people, there are between £5-£8 worth of benefit.
Whilst drug treatment engagement and outcomes are generally good, there are some issues with Bournemouth treatment services comparatively under performing. Possible explanations are around higher numbers of complex cases in Bournemouth, including issues with unemployment, familial stress and young people with multiple risk factors.
This issue of people in (drug or alcohol) treatment living with children is not only one relating to successful treatment, but also one of child safe guarding. The lack of referrals from education services in Bournemouth suggests that there may potentially be issues around identifying young people at risk of developing substance abuse problems.
More information on Drug and alcohol services can be found here for
Sexual health is an important area of public health. Vulnerable groups include young people, men who have sex with men and some BME groups. There is emerging evidence of STIs increasing among older adults. Patterns of sexual behaviour are changing, with people exposed to sexual relationships earlier, with different partners and sometimes concurrent relationships. This can make safer sex negotiations even more complicated, resulting in increasing risky behaviour, often accompanied with low perceptions of risk, transmission of infections and knowledge of the consequences.