Alcohol Profile

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					Alcohol Profile

Angus




ISD Scotland 2006
Alcohol Profile - Angus



Contents
ISD Substance Misuse Contacts                                        2
List of figures included in report                                   3
List of tables included in report                                    3
List of tables included in Appendix E                                4
Conventions                                                          6
Introduction                                                          7
1       Alcohol Consumption                                           8
1.1     Context                                                       8
1.2     Sources of evidence                                           8
1.3     Adult consumption of alcohol                                  9
1.4     Children’s consumption of alcohol                            11
2       Purchasing Alcohol                                           16
2.1     Context                                                      16
2.2     Sources of evidence                                          16
2.3     Liquor licences in force                                     16
2.4     Applications for liquor licences                             17
2.5     Children’s sources of alcohol                                17
3       Health Harm                                                  18
3.1     Context                                                      18
3.2     Contact with health services                                 18
3.2.1   Sources of evidence                                          18
3.2.2   Discharges from general hospitals                            18
3.2.3   Mental illness hospitals and psychiatric unit discharges     23
3.2.4   Alcohol misuse general practice consultations                24
3.3     Contact with addiction services                              24
3.3.1   Sources of evidence                                          24
3.3.2   Drug treatment services                                      25
3.3.3   Local councils on alcohol                                    25
3.4     Alcohol related deaths                                       25
4       Social Harm                                                  28
4.1     Context                                                      28
4.2     Sources of evidence                                          28
4.3     Drunk driving                                                29
4.4     Road traffic accidents                                       29
4.5     Drunkenness offences                                         30
4.6     Drinking in a designated place                               30
4.7     Neighbourhood problems                                       30
4.8     Probation orders requiring alcohol treatment/education       31
4.9     Children referred for misuse of alcohol and drugs            31
Appendices                                                           32
Appendix A – Data sources                                            32
Appendix B – Glossary                                                38
Appendix C – ICD10 Codes used for analysing alcohol related deaths   42
Appendix D – ICD10 Codes used for analysing hospital discharges      43
Appendix E – Data tables                                             44


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Alcohol Profile - Angus



ISD Substance Misuse Contacts
For further information or queries about this profile please contact:

Laura Blackwood
Information Analyst/Researcher
  0131 275 6482
  laura.blackwood@isd.csa.scot.nhs.uk

Nadiya Choudhry
Senior Information Analyst
 0131 275 6140
 nadiya.choudhry@isd.csa.scot.nhs.uk

Margaret Davies
Senior Information & Research Officer
 0131 275 6198
 margaret.davies@isd.csa.scot.nhs.uk

Clare Duffy
Senior Information & Research Officer
 0131 275 6228
  clare.duffy@isd.csa.scot.nhs.uk

Sita Smith
Senior Information Analyst
 0131 275 6794
  sita.smith@isd.csa.scot.nhs.uk



ISD Substance Misuse Team
Open Plan Area Number 159A, 1st Floor
Gyle Square
1 South Gyle Crescent
Edinburgh EH12 9EB



Further information on alcohol can be found at our website:

www.alcoholinformation.isdscotland.org




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Alcohol Profile - Angus


List of Figures included in profile

Figure 1.1 Percentage of adults (aged 16+) who drank over the recommended daily
           limits; 2003
Figure 1.2 Percentage of adults (aged 16+) who drank more than the recommended
           weekly limit of 21 units for men and 14 units for women; 2003
Figure 1.3 Percentage of children who have drunk alcohol in the last week; 2002
Figure 1.4 Percentage of children reporting drinking once a week or more; 2002
Figure 1.5 Percentage of children aged 13 years old reporting consuming 5 or more
           drinks in last 30 days; 2002
Figure 1.6 Percentage of children aged 15 years old reporting consuming 5 or more
           drinks in last 30 days; 2002
Figure 1.7 Percentage of children aged 13 years old reporting having ever been
           drunk; 2002
Figure 1.8 Percentage of children aged 15 years old reporting having ever been
           drunk; 2002
Figure 2.1 Liquor licence rates per 10,000 population: 1998-2004
Figure 3.1 Numbers of alcohol related acute hospital discharges by age and sex:
           2004/05
Figure 3.2 Comparison of age-standardised rates per 10,000 of alcohol related
           acute hospital discharges, with confidence limits: 1999/00-2004/05
Figure 3.3 Comparison of age standardised rates per 10,000 of alcohol related
           hospital discharges, by sex, with confidence limits 1999/00-2004/05
Figure 3.4 Rates per 10,000 of acute hospital discharges with an alcohol related
           diagnosis by deprivation quintiles: 2004/05
Figure 3.5 Alcohol related discharges as a percentage of total hospital discharges:
           1999/00-2004/05
Figure 3.6 Number of alcohol related deaths by sex, 2000-2004
Figure 3.7 Alcohol related deaths by age group: 2000-2004
Figure 3.8 Age standardised mortality ratio with confidence limits 2000-2004
Figure 4.1 Drunk Driving Rates per 10,000 Population: 1996-2004
Figure 4.2 Drunkenness Offences per 10,000 population


List of Tables included in profile

Table 3.1 Number of alcohol related hospital discharges, by sex: 1999/00 - 2004/05
Table 3.2 Number of mental illness hospital and psychiatric unit discharges with an
          alcohol related diagnosis, main and secondary diagnoses
Table 3.3 People attending drug treatment services reporting alcohol as a problem
          drug; 2001/02-2004/05




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Alcohol Profile - Angus


List of Tables included in Appendix E

Table A1:     Percentage of population consuming over recommended daily units on
              heaviest drinking day in past week, by sex
Table A2:     Units consumed on heaviest drinking day in past week, by sex
Table A3:     Percentage of population consuming over recommended weekly alcohol
              consumption level, by sex
Table A4:     Estimated usual weekly alcohol consumption level, by sex
Table A5a:    Last occasion of drinking alcohol, by gender: Age 13, Scotland 2002
Table A5b:    Last occasion of drinking alcohol, by gender: Age 15, Scotland 2002
Table A6a:    Usual frequency of drinking alcohol, by gender: Age 13, Scotland 2002
Table A6b:    Usual frequency of drinking alcohol, by gender: Age 15, Scotland 2002
Table A7a:    Consumed five or more drinks on the same occasion, in the last 30
              days, by gender: Age 13, Scotland 2002
Table A7b:    Consumed five or more drinks on the same occasion, in the last 30
              days, by gender: Age 15, Scotland 2002
Table A8a:    Ever been drunk, by gender: Age 13, Scotland 2002
Table A8b:    Ever been drunk, by gender: Age 15, Scotland 2002
Table A9a:    Number of Liquor licences in force at 31 December; 1995 and 2000-
              2004
Table A9b:    Number of Liquor licences per 10,000 population aged 18 and over in
              force at 31 December; 1995 and 2000 -2004
Table A10a:   Number of Liquor licences in force by type of premises; 31 December
              2004
Table A10b:   All licences in force per 10,000 population aged 18 and over; 31
              December 2004
Table A11:    Applications for liquor licences by licence type; 2004
Table A12a:   Sources for purchasing alcohol, by gender: Age 13, Scotland 2002
Table A12b:   Sources for purchasing alcohol, by gender: Age 15, Scotland 2002
Table A13:    Number of alcohol related acute hospital discharges, by sex: 1999/00 -
              2004/05
Table A14:    Non-psychiatric hospital discharges with an alcohol related diagnosis,
              selected diagnosis by sex and age group: 2004/05
Table A15:    Non-psychiatric hospital discharges with an alcohol related diagnosis,
              selected diagnosis by age group: 1999/00-2004/05
Table A16:    Age standardised rates of alcohol related acute hospital discharges:
              1999/00 - 2004/05
Table A17:    Age standardised rates of alcohol related acute hospital discharges, by
              age group: 2004/05
Table A18:    Age standardised rates of alcohol related acute hospital discharges,
              people aged 0-24: 1999/00-2004/05
Table A19:    Acute hospital discharges with an alcohol related diagnosis by
              deprivation quintiles (rates per 10,000): 2004/05
Table A20:    Alcohol related conditions as a percentage of all non-psychiatric hospital
              discharges, by sex; 1999/00 to 2004/05
Table A21:    Number of mental illness hospital and psychiatric unit discharges with
              an alcohol related diagnosis, main and secondary diagnoses by sex:
              1997/98-2001/02
Table A22:    GP and practice nurse (PN) contact rates per 1,000 population and
              estimated number of GP and PN consultations
Table A23:    People attending drug treatment services reporting alcohol as a problem
              drug: 2001/02-2004/05
Table A24:    Referrals to Local Council on alcohol; 2004/05
Table A25:    Number of alcohol related deaths by sex: 2000-2004



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Alcohol Profile - Angus


Table A26: Percentage of alcohol related deaths in comparison to all deaths by
            year and sex: 2000-2004
Table A27: Alcohol related deaths by age: 2000-2004
Table A28: Age standardised mortality ratio: 2000-2004
Table A29a: Number of drunk driving offences; 1996-2004
Table A29b: Drunk driving offences shown as rate per 10,000 population; 1996-2004
Table A30a: Number of motorists involved in accidents, number breathalysed and
            number of positive/refused tests; 2000 - 2004
Table A30b: Percentage of breath tests requested, percentage of positive/refused
            tests and percentage of positive/refused where test was requested
Table A31a: Number of drunkenness offences; 1996-2004
Table A31b: Drunkenness offences shown as rate per 10,000 population; 1996-2004
Table A32: Number of recorded offences of consumption of alcohol in a designated
            place: 1996-2004
Table A33: Experience of neighbourhood problems (percentage reporting each as
            very or fairly common); 2003/04
Table A34: Probation orders by types of condition; aggregated figures for period
            1999/00 to 2004/05
Table A35: Number of children referred and number of grounds recorded, by
            grounds for referral; 2003/04 and 2004/05




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Alcohol Profile - Angus



Conventions
* an asterix after the name of a data source indicates that there is an entry with
information on this in Appendix A: Data Sources.
p
    A small ‘p’ indicates the data for that year is currently provisional.




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Alcohol Profile - Angus



Introduction

These statistics update the information provided in the 2004 local alcohol profile.

The information is provided in four sections: Alcohol Consumption; Purchasing
Alcohol; Health Harm; and Social Harm.

The information is limited to those aspects of alcohol use and resulting harms for
which data is collected nationally and for which a breakdown of local figures is
available. It may be possible to supplement these statistics with other local data, the
Substance Misuse Information Team at ISD would be pleased to offer advice.

The alcohol profiles are intended to support local alcohol policy, planning and service
delivery and to identify and monitor trends.

The data included in the profiles have been obtained from a number of sources and
we thank all those who supplied data and offered advice on its use. Information on
interpretation of the data is provided in “Data Sources” Appendix A and “Glossary”
Appendix B. There is also information about the use of the data in each section
under ‘Sources of evidence’.

Different data sources are reported at different geographical levels. Wherever
possible we have provided data at ADAT level. NHS Board and local authority data
is provided in Appendix E “Data tables”.

Feedback from the previous set of local profiles was welcomed and where it has
been feasible it has been used in preparing the 2006 profiles. Further feedback will
be sought on the future provision of local statistics.




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Alcohol Profile - Angus



1 Alcohol Consumption
1.1 Context

The majority of people in Scotland drink alcohol. Alcohol may have a beneficial
effect for certain people. However, drinking excessively can lead to a range of health
and social problems. In recognition of this, UK governments have produced sensible
drinking guidelines based on units of alcohol. Concern about certain patterns of
drinking, such as ‘binge drinking’, led to a change in focus from weekly limits to daily
benchmarks in 19951. Current daily benchmarks are 3-4 units for men and 2-3 units
for women. The Plan for action on alcohol problems identified worrying aspects of
the cultures surrounding drinking in Scotland including binge drinking as an accepted
norm particularly among young people. Official surveys, including the Scottish
Health Survey, look at consumption of alcohol at more than double the daily
recommendations (6 or more units for women and 8 or more units for men) as an
indicator of 'binge drinking'. It should be noted that 6/8 units is a minimum threshold
and that many people will drink far in excess of this threshold.

1.2 Sources of evidence

The information on adult consumption in this profile is based on the Scottish Health
Survey 2003. The 1995 and 1998 reports included analysis by seven health regions
based on amalgamations of the 15 Scottish Health Boards. Due to the introduction
of new analysis based on household income and area deprivation space constraints
meant that regional tables were not included in the 2003 report. Instead, a series of
Health Board tables were produced in recognition of the demand for Health Board
level data, even though the sample was not designed to be representative at this
level (with the exception of Greater Glasgow) 2.

The data from these tables is being reported in the profile as the most recent
available data on consumption at a local level, however care should be taken in
using these figures. A detailed commentary about the representativeness of Health
Board level analysis, and potential problems associated with it, was produced as an
accompaniment to the Health Board tables and this has been used in providing
details of the confidence limits for the mean daily and weekly consumption figures in
Table A2 and Table A4 of the profile.

The 2004 profile information on adult consumption was based on data from the
Performance Assessment Indicators, calculated from the 1998 Scottish Health
Survey. Due to the difference in methods for calculating local estimates, and
changes in the age range of the survey, which sampled ages 16 to 74 in 1998 and all
aged 16 and over in 2003, it is not possible to make comparisons between the 1998
and 2003 local figures.

The information on children’s consumption in this profile is based on the Scottish
Schools Adolescent Lifestyle and Substance Use Survey 2002 (SALSUS). The data
was previously included in the 2004 profiles, analysed by age. In response to a
number of requests the survey findings are reported here by age and sex. It should
be noted that at this level of analysis the sample sizes are smaller and therefore
differences between the local area and Scotland may not be statistically significant.
The local sample size was designed to provide local results for each age group as a

1
  Sensible drinking; the report of an inter-departmental working group; 1995 Department of
Health
2
  Scottish Health Survey 2003; Scottish Executive


                                                                                             8
Alcohol Profile - Angus


whole or each gender as a whole, e.g. all 15 year olds (boys and girls) or all boys (15
year olds and 13 year olds) and at this level comparison can be made with Scotland.

Further details on these data sources are available in Appendix A.


1.3 Adult consumption of alcohol

The main focus of sensible drinking guidance is on daily drinking levels. The
recommendation is that men and women should consume no more than 4 units and
3 units per day respectively.

The findings of the Scottish Health Survey* estimate that in Tayside in 2003:

•      45% of men consumed 4 or more units on the heaviest drinking day, the same as
       the Scottish figure of 45%.

•      25% of men consumed 8 or more units on the heaviest drinking day, fewer than
       the Scottish figure of 26%.

•      33% of women consumed 3 or more units on the heaviest drinking day, a slightly
       greater percentage than the 32% of women across Scotland.

•      14% of women consumed 6 or more units on the heaviest drinking day, fewer
       than the 16% of women across Scotland.
                                                          (Figure 1.1 and Table A1)

Figure 1.1: Percentage of adults (aged 16+) who drank over the recommended
daily limits; Tayside 2003
                                                                    Men 4 or more units
                                           50
                                                                    Men 8 or more units
                                           45

                                           40                       Women 3 or more units
                                                                    Women 6 or more units
                Percentage of population




                                           35

                                           30

                                           25

                                           20

                                           15

                                           10

                                           5

                                           0
                                                Tayside           Scotland


                                                           Source: Scottish Health Survey 2003*




*
    See Appendix A for further information on this data source.


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Alcohol Profile - Angus


The government defined sensible weekly drinking limits based on units of alcohol are
set at 21 units a week for men and 14 units a week for women.

Estimates from the Scottish Health Survey* suggest that in Tayside in 2003:

•      25% of men drank alcohol over consumed over 21 units, fewer than the Scottish
       figure of 27%.

•      13% of women consumed over 14 units, fewer than the 14% of women across
       Scotland.
                                                           (Figure 1.2 and Table A3)

Figure 1.2: Percentage of adults (aged 16+) who drank more than the
recommended weekly limit of 21 units for men and 14 units for women: Tayside
2003

                                          30
                                                                         Men
                                          25                             Women
               Percentage of population




                                          20


                                          15


                                          10


                                          5


                                          0
                                               Tayside      Scotland


                                                           Source: Scottish Health Survey 2003*

Figures are also available from the Scottish Health Survey* for 2003 estimating
the mean number of units of alcohol consumed on both the heaviest drinking
day and over a week.

•      The mean units consumed on the heaviest drinking day in the last week were 5
       for men in both Tayside and Scotland (Table A2).

•      The mean units consumed per week by men in both Tayside and Scotland was
       17 units (Table A4).

•      The mean units consumed on the heaviest drinking day in the last week were 2
       for women in Tayside compared to 3 for Scotland (Table A2).

•      The mean units consumed per week by women in Tayside was 6 units compared
       to 7 for Scotland (Table A4).



*
    See Appendix A for further information on this data source.


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Alcohol Profile - Angus


1.4 Children’s consumption of alcohol

The Scottish Schools Adolescent Lifestyle and Substance Use Survey 2002*
(SALSUS) asked children a number of questions about their consumption of alcohol.

The results of questions on when children had last drunk alcohol show that in
Angus in 2002:

•      27% of 13 year old boys reported drinking alcohol in the last week.

•      48% of 15 year old boys reported drinking alcohol in the last week.

•      27% of 13 year old girls reported drinking alcohol in the last week.

•      46% of 15 year old girls reported drinking alcohol in the last week.
                                                       (Figure 1.3 and Tables A5a, A5b)

Figure 1.3: Percentage of children who have drunk alcohol in the last week;
Angus 2002

               50%


               40%


               30%                                                    Boys Angus


               20%                                                    Girls Angus


               10%


                0%
                              Age 13                  Age 15


                                                                          Base: All children
                                                                     Source: SALSUS 2002*

SALSUS also reports on children’s usual frequency of drinking alcohol. This
shows that in Angus in 2002:

•      14% of 13 year old boys reported drinking once a week or more.

•      35% of 15 year old boys reported drinking once a week or more.

•      15% of 13 year old girls reported drinking once a week or more.

•      38% of 15 year old girls reported drinking once a week or more
                                                       (Figure 1.4 and Tables A6a, A6b)




*
    See Appendix A for further information about this data source.


                                                                                         11
Alcohol Profile - Angus


Figure 1.4: Percentage of children reporting drinking once a week or more:
Angus 2002

                   50%


                   40%


                   30%                                               Boys Angus


                   20%                                               Girls Angus


                   10%


                    0%
                                Age 13              Age 15


                                                                             Base: All children
                                                                        Source: SALSUS 2002*

SALSUS 2002 also reports for those children who had drunk alcohol, whether
they had drunk 5 or more drinks in the last 30 days, and if so how often. In
Angus in 2002:

•      35% of 13 year old boys and 39% of 13 year old girls reported having had 5 or
       more drinks at least once in the last 30 days (Figure 1.5 and Table A7a)

•      55% of 15 year old boys and 57% of 15 year old girls reported having had 5 or
       more drinks at least once in the last 30 days (Figure 1.6 and Table A7b).

•      5% of 13 year old boys and 7% of 13 year old girls reported having consumed 5
       or more drinks at least 4 times or more in the last 30 days (Figure 1.5 and Table
       A7a).

•      17% of 15 year old boys and 9% of 15 year old girls reported having consumed 5
       or more drinks at least 4 times or more in the last 30 days (Figure 1.6 and Table
       A7b).




*
    See Appendix A for further information about this data source.


                                                                                            12
Alcohol Profile - Angus


Figure 1.5: Percentage of children aged 13 years old reporting consuming 5 or
more drinks in last 30 days; Angus 2002

          100%
           90%
           80%
                                                                           4 or more times
           70%
                                                                           3 times
           60%
                                                                           Tw ice
           50%
                                                                           Once
           40%
                                                                           Not in last 30 days
           30%
                                                                           Never
           20%
           10%
            0%
                         Boys Angus                  Girls Angus
                                         Age 13


                                                  Base: All children who had ever drunk alcohol
                                                                        Source: SALSUS 2002*

Figure 1.6: Percentage of children aged 15 years old reporting consuming 5 or
more drinks in last 30 days; Angus 2002

         100%
           90%
           80%
                                                                           4 or more times
           70%
                                                                           3 times
           60%
                                                                           Tw ice
           50%
                                                                           Once
           40%
                                                                           Not in last 30 days
           30%
                                                                           Never
           20%
           10%
            0%
                         Boys Angus                  Girls Angus
                                         Age 15


                                                  Base: All children who had ever drunk alcohol
                                                                        Source: SALSUS 2002*




*
    See Appendix A for further information about this data source.



                                                                                                 13
Alcohol Profile - Angus


SALSUS 2002 also reported on whether children had ever been drunk. In
Angus in 2002, of those children who reported having drunk alcohol:

•      50% of 13 year old boys and 53% of 13 year old girls report having been drunk at
       least once (Figure 1.7 and Table A8a).

•      71% of 15 year old boys and 77% of 15 year old girls reported having been drunk
       at least once (Figure 1.8 and Table A8b).

•      6% of 13 year old boys and 7% of 13 year old girls reported having been drunk
       ‘more than 10 times’ (Figure 1.7 and Table A8a).

•      20% of 15 year old boys and 18% of 15 year old girls reported having been drunk
       ‘more than 10 times’ (Figure 1.8 and Table A8b).


Figure 1.7: Percentage of children aged 13 years old reporting having ever
been drunk; Angus 2002

          100%
           90%
           80%
           70%                                                            More than 10 times
           60%                                                            4-10 times
           50%                                                            2-3 times
           40%                                                            Once
           30%                                                            Never

           20%
           10%
            0%
                         Boys Angus                  Girls Angus
                                         Age 13


                                                  Base: All children who had ever drunk alcohol
                                                                        Source: SALSUS 2002*




*
    See Appendix A for further information about this data source.



                                                                                               14
Alcohol Profile - Angus


Figure 1.8: Percentage of children aged 15 years old reporting having ever
been drunk; Angus 2002

          100%
           90%
           80%
           70%                                                            More than 10 times
           60%                                                            4-10 times
           50%                                                            2-3 times
           40%                                                            Once
           30%                                                            Never
           20%
           10%
            0%
                         Boys Angus                  Girls Angus
                                         Age 15


                                                  Base: All children who had ever drunk alcohol
                                                                        Source: SALSUS 2002*




*
    See Appendix A for further information about this data source.



                                                                                               15
Alcohol Profile - Angus



2 Purchasing Alcohol

2.1 Context

Evidence suggests that there is a relationship between availability of alcohol and
alcohol consumption, such as a relationship between density of outlets and alcohol
consumption, though the exact effect of availability on consumption is complex. 3

In the 2003 review of licensing law and practice in Scotland, the Nicholson committee
report4 paid reference to the implications of the licensing law for both health problems
and the commission of crimes, in particular crimes of violence. Research3 to support
this review argued that both the volume of alcohol consumed and the drinking
environment can contribute to the likelihood of alcohol-related crime and disorder.

In 2004 the Scottish Executive review of Off-licences5 also highlighted these
implications.

2.2 Sources of Evidence

This section consists of data from two sources:

•   Data on liquor licences* which is collated by the Scottish Executive from local
    authority returns, and published annually.

•   Data from SALSUS 2002* on children’s sources of alcohol.

Local authority areas with more rural and dispersed populations generally have
higher numbers of licences per head of population. Some urban areas may have
relatively low rates of liquor licences but this may disguise concentrations of licensed
premises in certain areas and size of licensed premises.

Data on registered clubs has not been reported. Registered clubs include golf,
bowling and social clubs and they register with the Sheriff Court. In 2002 registered
clubs in Scotland accounted for 19% of on-sale premises and had a rate of 6 per
10,000 population.

2.3 Liquor Licences in Force

•   At the end of 2004 there were a total of 402 liquor licences in force in Angus.
    (Table A9a). The rate of licences per 10,000 was 47, this was higher than the
    Scottish rate (43) (Figure 2.1).

•   Between 2000 and 2004, the number of licences has been increasing (361 in
    2000) (Table A9b).



3
  Reid Howie Associates (2003) Liquor Licensing and Public Disorder: Review of Literature
on the Impact of Licensing and Other Controls / Audit of Local Initiatives. Scottish Executive
4
  The Nicholson Committee (2003) Review of Liquor Licensing in Scotland. Scottish
Executive.
5
  Off-sales in the Community: The Report of the Working Group on Off-sales in the
Community. Scottish Executive 2004.
*
  See Appendix A for further information about this data source.



                                                                                             16
Alcohol Profile - Angus


Figure 2.1: Liquor licence rates per 10,000 population: 1998-2004


                                                         48

         Rate of liquor licences per 10,000 population   47

                                                         46

                                                         45

                                                         44

                                                         43

                                                         42                                       Scotland
                                                                                                  Angus
                                                         41

                                                         40

                                                         39
                                                              2000   2001    2002        2003        2004
                                                                             Year

                                                                            Source: Scottish Executive Liquor Licensing Data*

•   At the end of 2004, the biggest proportion of licences were for off-sales (31%)
    and public houses (33%) (Table A10).

2.4 Applications for liquor licences

•   In 2004, there were 7 new applications for liquor licences in Angus, 4 were for
    off-sale and 3 for on-sale. All (100%) of applications were granted (Table A11).

2.5 Children’s sources of alcohol

•   SALSUS 2002* reported that in Angus among those children who reported
    having drunk alcohol, the main sources of commercially bought alcohol for 15
    year olds were: off-licences (21% of boys and 18% of girls), shops (16% of boys
    and 14% of girls), pubs (12% of boys and 11% of girls) and supermarkets (9% of
    boys and 7% of girls) (Table A12b).

•   Thirteen year olds were less likely to buy their alcohol from commercial
    premises, though 10% of boys compared to 3% of girls reported buying alcohol
    from an off-licence and 7% of boys and 10% of girls reported purchasing alcohol
    from a shop (Table A12a).




                                                                                                                          17
Alcohol Profile - Angus



3 Health Harm
3.1 Context

Excessive alcohol consumption can result in a wide range of health problems. It can
cause short-term problems such as acute intoxication and poisoning. Over the
longer term, excessive consumption can cause serious damage to parts of the body
such as the liver and brain. Alcohol misuse can also lead to mental health problems
such as alcohol dependency. There are many other conditions where alcohol is
known to be a contributory factor such as cancer of the mouth; pancreatitis and
stroke. There is currently no agreed standard approach to quantifying this burden.
Consequently, this profile will only describe health problems that are directly caused
by alcohol.

3.2 Contact with health services

3.2.1 Sources of evidence

The main source of information on alcohol related health problems arising from
contacts with health services is from data recorded on general hospital discharges.
Data from mental illness hospitals and psychiatric units is included in this profile but
the most recent data is up to 2001/02 only, due to the current development of data
collection systems the data is not available nationally for all areas. Some data is
available from health services and addiction services in the community, including
information from General Practice, some Local Councils on Alcohol and drug and
alcohol agencies.

3.2.2 Discharges from General Hospitals

The most recent figures are for 2004/05. The figures shown here may relate to more
than one discharge for the same patient and therefore do not provide an indication of
the number of individual patients.

In 2004/05 there were 420 alcohol related discharges of Angus residents.

•     There was a 3% increase in the number of alcohol related hospital discharges of
      Angus residents between 1999/00 and 2004/05, compared with an increase of
      21% for Scotland overall (Table 3.1 and Table A13) 6.

The majority of alcohol related discharges in Angus and Scotland were of male
residents.

•     In 2004/05 there were 284 discharges of male residents in Angus, an increase of
      3% between 1999/00 and 2004/05 compared with an increase of 21% for
      Scotland.

•     In 2004/05 there were 136 discharges of female residents in Angus, an increase
      of 4% between 1999/00 and 2004/05 compared with an increase of 20% for
      Scotland (Table 3.1 and Table A13).




6
    The table includes data for NHS Tayside, this is not commented on in the text


                                                                                       18
Alcohol Profile - Angus




Table 3.1: Number of alcohol related hospital discharges, by sex: 1999/00 -
2004/05


                          1999/00    2000/01    2001/02    2002/03     2003/04   2004/05P Percent
                                                                                           change
                                                                                          1999/00-
                                                                                           2004/05
                                                                                                   %
Scotland
Both Sexes                  33,580    33,413     35,449     37,490      37,553     40,534         21
Male                        24,220    23,974     25,208     26,851      26,965     29,316         21
Female                       9,360     9,439     10,241     10,639      10,588     11,218         20
Tayside
Both Sexes                   2,128      2,155     2,112      2,114       2,239      2,033          -4
Male                         1,458      1,467     1,403      1,473       1,528      1,442          -1
Female                         670        688       709        641         711        591         -12
Angus
Both Sexes                     408       419        414          392      374         420          3
Male                           277       263        262          271      251         284          3
Female                         131       156        152          121      123         136          4

                                                                                 Source: SMR01*

In 2004/05, of the 420 alcohol related discharges of residents in Angus

•     28% (117 discharges) were for alcoholic liver disease.

•     21% (90 discharges) were for acute intoxication.

•     18% (76 discharges) were for harmful use.

•     In Scotland of 40,534 discharges in 2004/05, 30% (12,087 discharges) were for
      harmful use, 19% (7,677discharges) were for acute intoxication and 15% (6,051
      discharges) were for alcoholic liver disease.
                                                                    (Table A15)

The age and sex profile of alcohol related discharges for residents in Angus in
2004/05 is shown in Figure 3.1.

•     27% of male, 12% of female (78 and 16 discharges) were aged 65+.

•     20% of male, 21% of female (57 and 28 discharges) were aged 55-64.

•     20% of male, 22% of female (56 and 30 discharges) were aged 45-54.

•     12% of male, 24% of female (41 and 39 discharges) were aged 35-44.

•     8% of male, 11% of female (22 and 15 discharges) were aged 25-34.

•     11% of male, 9% of female (30 and 8 discharges) were aged 0-24.
*
    See Appendix A for further information on this data source


                                                                                            19
Alcohol Profile - Angus




•     Almost half (48%) of alcohol related discharges of male residents were aged 55
      and over, compared with almost a third (32%) of female residents. The highest
      number of alcohol related discharges of male residents were aged 65 and over.

•     29% of alcohol related discharges of female residents were aged 35-44
      compared with 14% of alcohol related discharges for male residents in this age
      group
                                                      (Figure 3.1 and Table A14)

Figure 3.1: Numbers of alcohol related general hospital discharges by age and
sex: Angus 2004/05

                                                                                                         Males
                              90
                                                                                               78        Females
                              80

                              70
         Number of episodes




                              60                                           56        57

                              50
                                                                41 39
                              40
                                                                                30        28
                              30           27
                                                    22
                              20                         15                                         16

                              10   3   4        4

                              0
                                   0-15    16-24    25-34       35-44      45-54     55-64      65+
                                                              Age groups


                                                                                                         Source: SMR01*

In 2004/05, comparing local and national alcohol related hospital discharge
rates, standardised for age differences, the rate per 10,000 population for
Angus was lower than the rate for Scotland.


•     The rate for Angus was 36 compared with a rate of 75 for Scotland. There was
      no overall change in the rate of alcohol related discharges in Angus between
      1999/00 and 2004/05. The Angus rate was consistently lower than the Scotland
      rate (Figure 3.2 and Table A16).




*
    See Appendix A for further information on this data source


                                                                                                                    20
Alcohol Profile - Angus


Figure 3.2: Comparison of age-standardised rates per 10,000 of alcohol related
acute hospital discharges, with confidence limits: 1999/00-2004/05

                                               80

                                               70
                  Rate per 10,000 population
                                               60

                                               50

                                               40

                                               30                                                                     Scotland
                                                                                                                      Angus
                                               20

                                               10

                                                0
                                                     1999/00   2000/01   2001/02     2002/03    2003/04    2004/05
                                                                               Year

                                                                                                                        Source: SMR01*

In 2004/05 the age standardised rates for both male and female residents were
also below the Scottish rates.

•     The alcohol related discharge rate for male Angus residents was 50 compared
      with a rate of 112 for Scotland. The rate for female Angus residents was 23
      compared with 41 for Scotland. The male and female Angus rates did not
      change overall between 1999/00 and 2004/05, while the rates for Scotland
      increased (Table A16, Figure 3.3).

Figure 3.3 : Comparison of age standardised rates per 10,000 of alcohol
related hospital discharges, by sex, with confidence limits 1999/00-2004/05

                                               120
                                                                                                                                 Male
                                                                                                                                 Scotland
                                               100
            Rate per 10,000 population




                                                                                                                                 Female
                                                                                                                                 Scotland
                                               80
                                                                                                                                 Male
                                               60                                                                                Angus

                                                                                                                                 Female
                                               40                                                                                Angus


                                               20


                                                0
                                                     1999/00   2000/01    2001/02     2002/03    2003/04    2004/05
                                                                                   Year

                                                                                                                        Source: SMR01*



*
    See Appendix A for further information on this data source


                                                                                                                                            21
Alcohol Profile - Angus


•      In 2004/05 the rate for Angus was lower than the Scottish rate for all age groups
       (Table A17).

•      The age standardised rate of alcohol related discharges for the youngest
       residents aged 0-24 decreased from 20 in 1999/00 to 14 in 2003/04, and 13 in
       2004/05, lower than the Scottish rate, which was 21 per 10,000 (Table A18).

There is an association between the rate of alcohol related discharges and
deprivation among Angus residents.

•     There were 31 alcohol related discharges per 10,000 in the first quintile of
      deprivationφ and 94 per 10,000 in the fifth quintile (Figure 3.4 and Table A19).

Figure 3.4: Rates per 10,000 of acute hospital discharges with an alcohol
related diagnosis by deprivation quintiles: Angus 2004/05


                                        100
                                        90
                                        80
           Rate per 10,000 population




                                        70
                                        60
                                        50
                                        40
                                        30
                                        20
                                        10
                                         0
                                                   1           2            3             4        5
                                              Least deprived                                  Most deprived
                                                                   Deprivation Category


    Source: SMR01, GRO 2001 Census population, ISD Scottish Indices of Multiple Deprivation*

As a proportion of all general hospital discharges, alcohol related discharges
remained at the level of previous years for both male and female residents in
2004/05

•     In 2004/05 the proportion of alcohol related discharges remained at 2% overall,
      3% of male and 1% of female Angus residents (Figure 3.5 and Table A20).




φ
    See Appendix B Glossary for information on this term
*
    See Appendix A for further information on this data source


                                                                                                              22
Alcohol Profile - Angus


Figure 3.5: Alcohol related discharges as a percentage of total hospital
discharges: Angus 1999/00- 2004/05

                                                     7%


             Percentage of all hospital discharges   6%

                                                     5%                                                      Male Scotland

                                                     4%                                                      Male Angus

                                                     3%                                                      Scotland Female

                                                                                                             Female Angus
                                                     2%

                                                     1%

                                                     0%
                                                          1999/00 2000/01 2001/02 2002/03 2003/04 2004/05
                                                                                Year

                                                                                                                    Source: SMR01*

3.2.3 Mental illness hospitals and psychiatric unit discharges

In 2001/02, the most recent year for which data is nationally available, there
were 110 discharges of Angus residents from mental illness hospitals and
psychiatric units.

•     This was an increase from 91 discharges in 1997/98.

•      In Scotland there were 4,079 discharges in 2001/02 compared with 5,291 in
       1997/98 (Table 3.2 and Table A21).

Table 3.2: Number of mental illness hospital and psychiatric unit discharges
with an alcohol related diagnosis, main and secondary diagnoses

                                                                                  1997/98    1998/99   1999/00     2000/01 2001/02p



Scotland
Both Sexes                                                                           5291       4997        5126      4672      4079
Male                                                                                 3652       3456        3597      3188      2764
Female                                                                               1639       1541        1529      1483      1315
Angus
Both Sexes                                                                              91        69          85          111    110
Male                                                                                    61        44          60           69     72
Female                                                                                  30        25          25           42     38
p Provisional
                                                                                                                    Source: SMR04*




*
    See Appendix A for further information on this data source


                                                                                                                                 23
Alcohol Profile - Angus


3.2.4 Alcohol General Practice Consultations

The figures show the estimated number alcohol misuse related consultations that
would be expected, given the age, gender and deprivation of the Angus population.
It should be noted that these figures are based only on these factors and cannot take
into account specific local factors that may account for differences in alcohol misuse
consultation rates. The estimates are based on Practice Team Information* (PTI)
data collected from a sample of practices representative of the Scottish population.
Further information on the PTI sample is available in Appendix A.

The figures provide estimates of the number of consultations with General
Practitioners and practice nurses related to alcohol misuse, for 2004.

•      It is estimated that around 1,850 consultations took place for alcohol misuse with
       GPs and practice nurses.

•      It is estimated that 1,200 of these consultations were by men and 650 by
       women7.

•      The contact rate per 1,000 population for Angus was 17.0 compared to 24.3 in
       Scotland. This suggests that based on the age, gender and deprivation of the
       Angus population a lower number of contacts for alcohol abuse could be
       expected compared to the Scottish population.

•      The contact rate per 1,000 population for men in Angus was 23.3 compared to
       34.2 in Scotland. This suggests that based on the age and deprivation of the
       Angus male population fewer consultations could be expected compared to the
       Scottish male population.

•      The contact rate per 1,000 population for women in Angus was 11.2 compared to
       14.7 in Scotland. This suggests that based on the age and deprivation of the
       Angus female population fewer consultations could be expected compared to the
       Scottish female population.
                                                                           (Table A22)

3.3 Contact with Addiction Services

3.3.1 Sources of evidence

The Scottish Drug Misuse Database collects a set of data from new clients entering
specialist drug (and drug and alcohol) treatment services for assessment/treatment
of a drug problem. New clients are defined as any person who is attending the
service for (a) the first time ever or (b) it has been at least six months since the last
attendance at the service. As such, statistics do not reflect the total number of drug
users seen by services during any period. The SMR24 allows the recording of
alcohol only when reported with another problem drug. Since 2000 it has been
possible to record alcohol as the main problem drug. Local Councils on Alcohol
provide counselling services to those affected by their own or another’s drinking.
Due to the development of new reporting systems data is not currently available for
all Councils on Alcohol.



7
    Figures may not add up to total due to rounding.


                                                                                        24
Alcohol Profile - Angus


3.3.2 Drug Treatment Services

In 2004/05 99 new individuals resident in Angus, attended drug treatment
services reporting illicit drug use.

•     Of these new individuals 11 reported alcohol as a problem drug.

•     The percentage reporting alcohol as a problem drug was 11.1% compared with
      10.3% reporting alcohol as a problem drug nationally.
                                                     (Table 3.3 and Table A23)

Table 3.3: People attending drug treatment services reporting alcohol as a
problem drug; Angus 2001/02-2004/05

                                             2001/02     2002/03    2003/04     2004/05
New individuals reporting illicit drug       48          53         104         99
use

Reporting alcohol as problem drug            7           3          20          11

Percent reporting alcohol locally            14.6        5.7.       19.2        11.1

Percent reporting alcohol nationally         7.7         9.0        9.9         10.3

                                                       Source: Scottish Drug Misuse Database*

3.3.3 Local Councils on Alcohol

There is no information currently available.


3.4 Alcohol related deaths

3.4.1 Sources of evidence

Information on deaths is drawn from the registration of deaths administered by the
General Register Office for Scotland. The figures reported here are based on a
narrow range of causes of death where alcohol is explicitly involved. Appendix C
lists the ICD10 codes used for analysis. The figures include where alcohol is
recorded as either a known underlying or contributing cause of death.

This narrow definition will almost certainly underestimate the total number of alcohol
related deaths. Involvement of alcohol can be under-reported by certifying doctors,
alcohol is also known to be involved in deaths from as many as seventy other
conditions. Nevertheless, this narrow definition is useful for monitoring trends.

To provide a means of comparing the death rate in the ADAT area to the Scottish
death rate, the standardised mortality ratio (SMR) was calculated for the ADAT area,
using Scottish mortality rates. An SMR of 100 indicates that the mortality rate is the
same as Scotland as a whole, allowing for differences in the age structure. An SMR
below 100 means that the mortality rate is lower in the ADAT area than the rate for
Scotland as a whole. Similarly, an SMR above 100 means that the mortality rate is
higher in the ADAT area than Scotland as a whole. Due to the relatively small

*
    See Appendix A for further information on this data source


                                                                                          25
Alcohol Profile - Angus


numbers of deaths per year in ADAT areas, the figures for the years 2000-2004 were
aggregated. Confidence limits were also calculated, giving a likely range of values for
the true underlying value of the SMR. If the value 100 is not included within the
confidence limits, this indicates that the mortality rate in the ADAT area is different
from Scotland as a whole.

In 2004 there were 34 deaths registered in Angus where alcohol was a known
underlying or contributing cause of death.

•     Numbers of alcohol related deaths have risen from 29 in 2000 (Table A25).

•     Deaths where alcohol was a known underlying or contributing cause of death
      accounted for 2.6% of all deaths for Angus residents in 2004 compared with 2.1%
      in 2000 and compared with a figure of 3.7% in Scotland in 2004 and 2.9% in
      2000 (Table A26).

The majority of deaths where alcohol was a known underlying or contributing
cause of death in Angus in 2004 were of male residents.

•     There were 19 deaths of male residents in 2004 compared with 15 deaths of
      female residents.

•     The number of deaths of male residents in Angus had increased each year
      between 2000 and 2003 from 18 to 25 deaths. The number of deaths of female
      residents had decreased to 3 in 2001 but increased to 10 deaths in 2002 (Figure
      3.6 and Table A25).

•     As a proportion of all deaths of Angus residents, alcohol related deaths
      accounted for 3.1% of deaths for male residents in 2004 compared with 2.1% of
      deaths for female residents (Table A26).

Figure 3.6: Number of alcohol related deaths by sex: Angus 2000-2004



                                                 30
              Number of alcohol related deaths




                                                                                    25
                                                 25
                                                                         22
                                                                20
                                                                                              19
                                                 20   18
                                                                                                   15     Male
                                                 15
                                                           11                                             Female
                                                                              10
                                                 10                                      8

                                                 5                   3

                                                 0
                                                      2000      2001     2002        2003      2004
                                                                         Year


                                                                              Source: ISD, based on data supplied by GROS*


*
    See Appendix A for further information on this data source


                                                                                                                       26
Alcohol Profile - Angus


Between 2000 and 2004 the highest proportion of deaths of Angus residents
where alcohol was a known underlying or contributing cause of death were
aged between 55-64.

•     13% were aged between 0-44, 15% in Scotland

•     26% were aged between 45-54, 26% in Scotland

•     32% were aged between 55-64, 31% in Scotland

•     28% were aged 65 and over, 27% in Scotland
                                                                 (Figure 3.7 and Table A27)

Figure 3.7: Alcohol related deaths by age group: Angus 2000-2004
                                                       0-44
                                                       13%
                      65 & over
                        28%




                                                                 45-54
                                                                 26%




                                       55-64
                                       33%

                                                Source: ISD, based on data supplied by GROS*

Alcohol related death rates in Angus were lower than the Scottish average over
the period 2000-2004:

•     For Angus the standard mortality ratio for the period 2000-2004 was 69 which
      means that the observed number of deaths is less than that expected based on
      the Scottish national average, allowing for any differences in age structure
      (Figure 3.8 and Table A28).

Figure 3.8: Age standardised mortality ratio with confidence limits, Angus
2000-2004

                                 100
                         Ratio




                                                69



                                   0
                                                 1




                                                Source: ISD, based on data supplied by GROS*

*
    See Appendix A for further information on this data source


                                                                                         27
Alcohol Profile - Angus



4 Social Harm
4.1 Context

Excess consumption of alcohol either in a single session or over a period of time can
result in a variety of social problems not only for those that drink, but also for others,
such as their family. These problems include anti-social behaviour due to drinking
and drinking that results in a specific alcohol criminal offence, such as drunkenness
or drunk driving. Crimes such as assault and burglary, which may have been
committed in the context of alcohol use and form some part of the social harm arising
from its use cannot be included in this profile at present because data is not routinely
recorded or collected to identify the involvement of alcohol. The profile focuses on
specific alcohol offences and provides some limited information on the impact of
alcohol related harm from other sources.

4.2 Sources of Evidence

The sources of evidence in this profile include drunk driving offences, drunkenness
offences and drinking in a designated place offences as recorded in the Scottish
Executive Recorded Offences Data*. Information is also given on alcohol related
Road Traffic Accidents from the Scottish Executive Transport Statistics* It should be
noted that changes in some of figures concerning alcohol specific offences could be
as a result of changes in police practice in dealing with and charging people with
offences.

Information is also provided on people reporting experiencing neighbourhood
problems due to misuse of drugs and/or alcohol as reported in the Scottish
Household Survey*.

Aggregated information for the period 1999/00 to 2004/05 has been provided on
probation orders involving alcohol treatment from the Scottish Executive Criminal
Justice Social Work Statistics*. In order to maintain confidentiality it is not possible to
present figures for each year due to the small numbers which would result for some
areas.

Information is shown on the number of children referred to the Children’s Reporter for
misuse of alcohol and/or drugs. The Scottish Children’s Reporter Administration*
collects statistics on children, under 16, who are registered by the reporter under the
Children (Scotland Act) 1995 Section 52.2(j) where, ‘a child has allegedly misused
alcohol or any drug’. This is known as j grounds. It is not possible to report the
figures for drugs and alcohol separately. Data has been presented in the tables
showing the number of children referred for misusing alcohol and drugs and, in order
to provide context for these figures, for the other possible grounds for referral.




*
    See Appendix A for further information on this data source


                                                                                         28
Alcohol Profile - Angus


4.3 Drunk Driving

The figures for drunk driving offences in Angus in 2004 show that:

•      There were 248 offences in Angus, contributing to a total of 11,211 offences in
       Scotland.

•      This equated to a rate of 23 per 10,000 population, slightly greater than the
       Scottish rate of 22.

•      The rate of drunk driving in Angus was generally lower than the Scottish rates
       over the period 1996-2000. From 2001-2004 it has been more similar to Scottish
       rates.
                                                            (Figure 4.1 and Table A29).

Figure 4.1 Drunk Driving Rates per 10,000 Population: 1996-2004

                                           25
              Rate per 10,000 population




                                           20


                                           15

                                                                                                        Scotland
                                           10
                                                                                                        Angus

                                           5


                                           0
                                                1996   1997   1998   1999   2000   2001   2002   2003    2004
                                                                            Year

                                                                      Source: Scottish Executive Recorded Offences Data*

4.4 Road Traffic Accidents

Scottish Executive Transport statistics* show that for Angus in 2004:

•      1.6% of breath tests requested from motorists involved in an accident were failed
       or refused, fewer than the Scottish figure of 3.5% (Table A30).




*
    See Appendix A for further information on this data source


                                                                                                                     29
Alcohol Profile - Angus


4.5 Drunkenness Offences

Scottish Executive Recorded Offences Statistics* show that in 2004 in Angus:

•      47 drunkenness offences were recorded in Angus, contributing to a Scottish total
       of 7,333.

•      This equates to 4 offences per 10,000 population, fewer than the 14 per 10,000
       population for Scotland.

•      The rate of offences in Angus has been lower than the Scottish rates throughout
       the period 1996-2004.
                                                           (Figure 4.2 and Table A31).

Figure 4.2 Drunkenness Offences per 10,000 population

                                           25                                                           Scotland

                                                                                                        Angus
              Rate per 10,000 population




                                           20


                                           15


                                           10


                                           5


                                           0
                                                1996   1997   1998   1999   2000   2001   2002   2003     2004
                                                                            Year

                                                                     Source: Scottish Executive Recorded Offences Data *

4.6 Drinking in a Designated Place

Scottish Executive Recorded Offences Data* show that in 2004:

•      38 offences of consumption of alcohol in a designated place were recorded,
       contributing to a total of 21,564 offences for Scotland (Table A32).

4.7 Neighbourhood Problems

The Scottish Household Survey* reported that for Angus in 2003/04 that when
questioned about their experience of neighbourhood problems as a result of
consumption of alcohol or drug use:

•      13% of respondents thought this was ‘very’ or ‘fairly’ common

•      This figure is fewer than the Scottish figure of 23%.
                                                                                                                   (Table A33).



*
    See Appendix A for further information on this data source


                                                                                                                            30
Alcohol Profile - Angus


4.8 Probation Orders Requiring Alcohol Treatment/Education

Scottish Executive Criminal Justice Social Work* figures aggregated for the
years 1999/00 to 2004/05 show that in Angus:

•      258 probation orders in Angus required alcohol treatment or education as a
       condition of probation, contributing to a Scottish total of 3,767 with this
       requirement (Table A34).

4.9 Children referred for misuse of alcohol and drugs

Information from the Scottish Children’s Reporter Administration* (SCRA)
shows that in Angus in 2004/05:

•      Fewer than 5 children1 were referred to the SCRA for alleged misuse of alcohol
       and/or drugs, contributing to a Scottish total of 1,369 children referred for this
       reason (Table A35).




*
    See Appendix A for further information on this data source
1
    An exact number has not been given due to the small number of children involved.


                                                                                        31
Alcohol Profile - Angus



Appendix A: Data Sources
Introduction

This appendix includes information on the data sources used in the profile. It
provides information on the source and collection of data and highlights technical
issues to consider when interpreting the data.

Criminal Justice Social Work data
Data on Probation Orders is submitted annually by each Local Authority. Probation
Orders provide one of the opportunities for criminal justice social work services to
focus on offending behaviour. Prior consent of the offender is required, and the order
should be informed by an Action Plan in which the offender agrees to address their
offending behaviour and its underlying causes. Probation Orders can be used very
flexibly by the courts and additional conditions can be attached regarding the
offender undertaking unpaid work, their place of residence, curfew (including
electronic monitoring), financial recompense to the victim or attendance at a
specialist programme such as alcohol or drug treatment. The minimum length of a
Probation Order is 6 months and the maximum is 3 years.

Criminal Justice Social Work statistics publication for 2004/05 is available at
http://www.scotland.gov.uk/Publications/2006/01/31101934/0

General Acute Inpatient / Day Case Record (SMR01)
SMR01 information is returned returned to ISD by all acute hospitals in Scotland.
Patient based data is collected on inpatient and day case episodes in general and
acute wards. It should be borne in mind that numbers refer to episodes rather than
patients and an individual patient can be responsible for a number of episodes.
Diagnoses are based on ICD10 coding. Appendix D lists codes used for analysis.
The main diagnostic position plus up to five secondary positions were searched for
alcohol related diagnoses but each episode counted only once. Data for 2004/05 is
currently provisional. There may be a degree of under recording of alcohol problems
which may vary from hospital to hospital. In SMR01 records, F10 (Mental and
behavioural disorders due to use of alcohol) is one of most commonly omitted ICD10
codes. An audit of coding, published in 2004, found it to be under-recorded by about
16%8. At present there is no routine data collected from Accident and Emergency
departments.

Further information on SMR01 definitions and data recording is available at
http://www.datadictionary.scot.nhs.uk/

Information on Data Quality Assurance for SMR01 is available at
www.isdscotland.org/managing_data_quality/




8
 NHS Scotland Data Quality Assurance Report On Acute Inpatient / Day Case Data 2000 –
2002. Available from www.isdscotland.org/isd/files/SMR01%20National%20Report.pdf



                                                                                     32
Alcohol Profile - Angus


General Register Office for Scotland (GROS) Death data
All deaths in Scotland are reported to the General Register Office for Scotland which
produces a death dataset. This has been used for these analyses. Analysis includes
underlying (main) and contributory (secondary) causes of death. Both types of cause
were searched but each death only counted once. From 1 January 2000, deaths in
Scotland have been coded using ICD10. Appendix C lists codes used for analysis.
Classification of underlying cause of death is based on information collected on the
medical certificate of cause of death together with any additional information
provided subsequently by the certifying doctor. Changes notified to GROS by
Procurators Fiscal are also taken into account. Additionally the Crown Office advises
GROS of deaths that were judged to have been suicides.

The GROS website is at www.gro-scotland.gov.uk/

Liquor Licensing data
Statistics on liquor licenses are recorded by local authorities and forwarded to the
Scottish Executive. Information on registered clubs is provided by Sheriff Courts and
supplied to the Scottish Executive. This data has not been included in this profile.
Licensing data in published annually by the Scottish Executive. It is usually reported
by local authority area, however information on registered clubs is collated by court
area. The most recent licensing data: Liquor Licensing in Scotland 2000-2004,
Scottish Executive Statistical Bulletin, Criminal Justice Series, June 2005 is available
at http://www.scotland.gov.uk/Publications/2005/06/09105249/53265.

Local Councils on Alcohol
Local Councils on Alcohol (LCAs) provide counselling services to those affected by
their own drinking (primary referrals) or another’s drinking (secondary referrals).
Information is collated nationally, by Alcohol Focus Scotland, on new referrals to
LCAs. Boundaries of LCAs are not always the same as those of Alcohol Action
Teams. Information about LCAs can be found on the Alcohol Focus Scotland website
at:
www.alcohol-focus-
scotland.org.uk/services/additionalservcat.asp?groupid=1&servicegroup=Councils%2
0on%20Alcohol#

Mental Illness Hospital and Psychiatric Unit Inpatient Record (SMR04)
SMR04 information is returned to ISD by all mental illness hospitals and psychiatric
units in Scotland. Patient based data is collected on day cases and inpatient
episodes. The SMR04 record provides a source of diagnostic information with details
recorded both on admission to hospital and on discharge. A main diagnosis is
reported, together with provision for up to three further diagnoses on admission, and
five further diagnoses on discharge. Information reported on diagnosis in this profile
is based on diagnosis at the time of discharge from hospital. The main diagnostic
position plus up to five secondary positions were searched for alcohol related
diagnoses but each episode counted only once. Diagnoses are based on ICD10
coding. The codes used for analysis are listed in Appendix D. Data refer to episodes
rather than patients and an individual patient could be responsible for a number of
episodes. Data from SMR04 is currently only available at national level up to
2001/02.
Further details on SMR04 data quality and completeness are available at
www.isdscotland.org/managing_data_quality/

Further information on SMR04 definitions and data recording is available at
http://www.datadictionary.scot.nhs.uk/


                                                                                      33
Alcohol Profile - Angus


Practice Team Information
Practice Team Information (PTI) is information collected from a sample of Scottish
general practices regarding face-to-face consultations (in a surgery or the patient's
home) between patients and any member of the Practice Team (general
practitioners, practice nurses, district nurses and health visitors). It has evolved from
a previously established data collection method called Continuous Morbidity
Recording (CMR) that collected data on General medical Practitioner (GP) contacts
only.

Currently 44 practices contribute full Practice Team Information to PTI, covering
around 5 per cent of the Scottish population. The population in the sample is a good
reflection of the Scottish population with regard to age, gender and deprivation, and
small imbalances due to these factors are addressed through a process
of direct standardisation.

The local area estimates are derived by applying age-gender-deprivation national
rates to the relevant area, thus taking into account the specific make-up of the
population in that area with regard to age, gender and deprivation only. Although
these are important factors that account for a major variation in consultation rates at
a national level, there may be other characteristics that are of particular importance
at local level.

These figures give an indication of whether an area could be expected to have higher
or lower consultation rates than Scotland, based on the age, gender and deprivation
of the population, and can give an estimate of the number of consultations that would
be expected given the population of the area.

Further background information on Practice Team Information can be found on it’s
website: www.isdscotland.org/general_practice_info.


Recorded Offences data
The statistical return from which the figures in this bulletin are taken is a count of the
numbers of crimes and offences recorded by Scotland’s 8 police forces. It does not
include offences recorded by the British Transport Police, Ministry of Defence and
UK Atomic Energy Authority. These statistics do not reveal the incidence of all crime
committed. Not all crime incidents are reported to the police. In addition a number of
offences have no victim other than perhaps the perpetrator and are discovered and
recorded as a result of police activity rather than by being reported to the police by
the public. Hence the strength and deployment of the police forces mainly determine
the numbers of such offences recorded. Variations in police recording practice can
also occur between areas over time. Data used in this profile was supplied by
Scottish Executive Criminal Justice Statistics Team.

The latest Recorded Crime in Scotland publication is available from:
http://www.scotland.gov.uk/Publications/2005/10/19155942/59429




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SALSUS - Scottish Schools Adolescent Lifestyle and Substance Use
Survey 2002
SALSUS 2002 was the latest in a series of national school surveys of smoking,
drinking and drug use to provide local level information. In 2002, the survey
collected substance use and lifestyle information at ADAT level (local authority and
Health Board) for the first time. The survey collected data from pupils in years S2 and
S4. For the purpose of reporting, S2 pupils are referred to as ‘13 year olds’ and S4
pupils referred as ‘15 year olds’. The survey fieldwork was carried out in the 2002
Spring term. Two local authorities did not participate. 1135 classes and 314 schools
participated. A total of 23,090 questionnaires were completed nationally. The national
response rate for SALSUS 2002 was 65%. Information in this profile is taken from the
local SALSUS 2002 reports and the final national report. A national level survey was
undertaken in 2004. The next survey which will provide local data will take place in
2006.

The SALSUS reports and background information on the survey are available at
www.drugmisuse.isdscotland.org/publications/abstracts/salsus.htm.

Scottish Children’s Reporter Administration (SCRA)
SCRA is the non-departmental public body which employs children's reporters. It is
also responsible for providing and maintaining the accommodation in which children's
hearings take place. Reporters are salaried professionals, usually from a social work
or legal background, they receive referrals on children about whom there are welfare
concerns (they have either committed offences, they have been abused, etc.) The
reporter conducts an investigation to decide whether or not the child requires
compulsory measures of supervision. If compulsory measures are thought to be
necessary then the child is referred to a children's hearing. The hearing takes the
ultimate decision about whether the child requires compulsory measures, if they find
that they are necessary, they issue a supervision requirement.

The Children (Scotland) Act 1995 is the statutory framework which amongst other
things governs the children's hearing system and the work of reporters. Section 52
contains the twelve criteria for deciding whether compulsory measures are necessary
and therefore referral to a children's hearing. These criteria are commonly known as
the grounds for referral and one of them has to be fulfilled before a child can be
referred to a hearing. Reporters categorise referrals according to these twelve
criteria. NB A child can be referred on more than one ground at any one time, and
can be referred multiple times on the same ground over a period of time. Section 52
sub-section (j) is defined as a child has allegedly misused alcohol or any drug,
whether or not a controlled drug within the meaning of the Misuse of Drugs Act
1971. It is this ground of referral that is counted in the table reported in this profile.

Details of children referred, the investigative and administrative process undertaken
for each referral is recorded by reporters and support staff on SCRA's Referrals
Administration Database (RAD). All teams in Scotland were rolled-out in November
2002. The RAD is essentially a case-processing tool that is interrogated to provide
information on the work of reporters and the referrals they receive. It is from this
database that the figures given have been derived.

Further information on the role of reporters is available at
http://www.scra.gov.uk/home.html




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Scottish Drugs Misuse Database (SDMD) (SMR24)
The SDMD collects a set of data from new clients entering specialist drug treatment
services. As such, statistics do not reflect the total number of drug users seen by
services during any period. The SMR24 allows the recording of alcohol only when
reported with another problem drug. Alcohol can be recorded as the main problem
drug. Data used in this profile was supplied by the Drug Misuse Information Strategy
Team (DMIST) at ISD Scotland. The SMR24 was replaced in April 2006 with an
enhanced dataset, SMR25.

Further Information about the database and its output is available at
http://www.drugmisuse.isdscotland.org/sdmd/sdmd.htm

Scottish Health Survey
The Scottish Health Survey is commissioned by the Scottish Executive Health
Department. In 2003 the survey sampled over 8,000 adults across Scotland. Within
the survey there are a number of questions about alcohol consumption. Tables were
published as part of the report giving these figures at Health Board level. These
were produced in recognition of the demand for Health Board level analysis, even
though the sample was not designed to be representative at this level (with the
exception of Greater Glasgow). Tables were also produced to show the confidence
limits around the Health Board data.

The Scottish Health Survey 2003 publication and information on the methodology
and health board data is available at
http://www.scotland.gov.uk/Publications/2005/11/25145024/50251

Scottish Household Survey
The Scottish Household Survey is a continuous survey interviewing over 15,000
Scottish households each year, commissioned by the Scottish Executive. Data is
available by local authority area and the survey is designed to provide accurate, up-
to-date information about the characteristics, attitudes and behaviour of Scottish
households and individuals on a range of issues, including the neighbourhood
problems reported in the profile. The data reported in the profile is taken from the
Annual Report for 2003/2004.

The Scottish Household Survey website which includes background information
about the survey is available at www.scotland.gov.uk/about/SR/CRU-
SocInc/00016002/SHShome.aspx.

The Scottish Household Survey 2003/04 publication is                    available   at
http://www.scotland.gov.uk/Publications/2005/08/03155211/52120

SMR01
see General Acute Inpatient / Day Case Record

SMR04
see Mental Illness Hospital and Psychiatric Unit Inpatient Record




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Alcohol Profile - Angus


Transport Statistics
Road Accident statistics are compiled from returns made by police forces. For each
injury road accident (that is, road accidents in which one or more people are injured
or killed) known to have occurred in their area, the police authorities complete a
statistical return which provides details of the accident circumstances, separate
information for each vehicle which was involved in the accident and separate
information for each person who was injured in the accident. The data covers all
motorists who were known to be involved in injury road accidents (the figures do not
include, for example, those involved in "hit and run" accidents who were not traced).
Data used in this profile was supplied by Scottish Executive Transport Statistics
Team.

The latest Road Accidents Scotland publication is available from:
http://www.scotland.gov.uk/Publications/2006/01/23140138/0




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Alcohol Profile - Angus



Appendix B: Glossary
The Glossary provides information about some of the terms used in the profile.

Age standardised rate
See entry for Rates.

Alcohol related acute hospital discharge
This term refers to discharge data with an alcohol related diagnosis extracted from
General Acute Inpatient / Day Case Record (SMR01)* data. The alcohol codes used
for analysis are listed in Appendix D.

Acute intoxication
Acute Intoxication is defined as: “A condition that follows the administration of a
psychoactive substance, resulting in disturbances in level of consciousness,
cognition, perception, affect or behaviour, or other psychophysiological functions and
responses.” (ICD 10, Volume 1)

Cause of death
The 'underlying cause of death' is defined by the World Health Organisation
(WHO) as: “the disease or injury which initiated the train of events directly leading to
death or the circumstances of the accident or violence which produced the fatal
injury.” The underlying cause of death is the principal cause of death and is that
usually used in mortality statistics. Death certificates can also include contributory
causes of death in addition to the underlying cause of death. A contributory cause of
death is a significant condition that contributes to the fatal outcome.

Confidence Limits
Confidence limits are calculated to provide an upper and lower limit within which
there is a degree of certainly that the true value lies, and therefore to assess if there
is a significant difference between values. The degree of certainty used in calculation
in this profile is 95% i.e. if there is a difference, we can be 95% sure that this is a real
difference.

Contact rate
Number of contacts (consultations) with general practitioners and practice nurses
over the time period per 10,000 population. See Appendix A for information on
collection and analysis of Practice Team Information (PTI) data.

Contributory cause of death see Cause of death entry

Drinking in a designated place offence
This is a relatively recent offence, which relies on the implementation of local
byelaws to prohibit drinking in specific public places. Local authorities have since
1993 been able to submit proposals for byelaws under powers contained in the Local
Government (Scotland) Act 1973. Drinking alcohol in public in these designated
places is an offence. Over recent years more localities have obtained byelaws to
prohibit consumption of alcohol in specified areas. This may also be a factor in the
rise in the number of offences.




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Alcohol Profile - Angus


Deprivation Quintiles
Quintiles divide the population into five equal categories so that 20% of the
population falls into each quintile (population weighted). Quintiles have been
calculated at Scotland level and also within individual health boards. Quintile 1 is the
least deprived, quintile 5 the most deprived.

The deprivation quintiles used in analysis for this profile are based on the Scottish
Index of Multiple Deprivation (SIMD). SIMD has six domains (income, employment,
education, housing, health, and geographical access) at datazone level, which have
been combined into an overall index

Further information on deprivation analysis by ISD and SIMD is available at:
http://www.isdscotland.org/isd/info3.jsp?pContentID=3207&p_applic=CCC&p_service
=Content.show&

Drunk Driving
A number of specific offences are aggregated under the term Drunk Driving
Offences. These include: driving or in charge of motor vehicle while unfit through
drink or drugs, blood alcohol content above limit and failing to provide breath, blood
or urine specimens.

Drunkenness Offences
A number of specific offences are aggregated under the term Drunkenness Offences.
These include: drunk and incapable, drunk in charge of a child.

Hospital Admission
An admission marks the start of an inpatient episode or day case episode.

Hospital Discharge
A discharge marks the end of an episode of care.

ICD10
The International Statistical Classification of Diseases and Related Health Problems
(ICD) 10th revision is used to classify hospital admissions and deaths. Appendix C
and D list ICD10 codes used for analysis.

Injury road accidents
These are road accidents in which one or more people are injured or killed.

Plan for action on alcohol problems
The Plan for action on alcohol problems was published in January 2002 by the
Scottish Executive. The key priorities in the Plan are to reduce binge drinking,
because of the harmful social and individual consequences and to reduce harmful
drinking by children and young people because of the particular health and social
risks.

Provisional data
An indication that the data is provisional means that returns from hospitals are not
yet complete and the final figure may be different to that recorded when all returns
are in.

Rates
A rate gives the number of occurrences of an event for a given number of people in
the population for a specified time period. Rates are useful in that they allow
comparisons to be made between different populations.


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Alcohol Profile - Angus




Crude rate
A crude rate is one that applies to the population as a whole. It is calculated as:
Crude Rate=Number of Events(Numerator)/Total Population(Denominator)

This is then multiplied by a number such as 1000 to give the number of events for a given
number of people in the population e.g. 10 deaths per 1000 people.

Standardised Rates
Rates may vary between areas due to factors such as differences in the age or sex
structure of the population. For example, if Area A has a higher crude death rate than
area B this could be because Area A has a higher proportion of elderly people
compared with Area B. One way of taking such differences into account is to
calculate standardised rates.

Direct standardised rate
Directly standardised rates give an indication of the number of events that would
occur in a standard population if that standard population had the same variable (e.g.
age) specific rates as the local area. The standard population used in this profile is
the European Standard Population. Standardised rates allow comparison of rates
across different areas. An example of direct standardisation can be found in Figure
3.2 which shows the age standardised rate for acute hospital discharges for the AAT
and for Scotland per 10,000 population.

Indirect standardised rate
Indirect standardisation applies rates occurring in a standard population to that of a
local area. This determines the number of events that would have occurred in the
local population had the rates (for a given variable, e.g. age) been the same as that
of the standard population. The observed number is then compared to the calculated
‘expected’ number. This is usually expressed as

                observed rate
                expected rate x 100

This method is often used to look at differences in mortality rates, and is often
referred to as the standardised mortality ratios (SMRs). The SMR is a ratio of
observed to expected number of deaths. It can also be used to look at other events
such as hospital activity. The observed figure comes from the local area, and the
expected from applying the death rate in the reference population to the local
population. A population with an SMR under 100 has fewer deaths than expected;
whereas a population with over 100 has more deaths than expected. Figure 3.8
shows the standardised mortality ratio for the AAT area compared to Scotland.




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Alcohol Profile - Angus


Sensible drinking limits
In 1995, the UK Government set up a Working Group to review the medical and
scientific evidence on the long-term effects of drinking alcohol and to consider
whether the sensible drinking message should be altered. The report1 recommended
that the sensible drinking message should be based on daily benchmarks rather than
weekly limits, and the Government adopted these recommendations in December
1995. The daily benchmark for men is 3-4 units and for women 2-3 units. Up until
1995 sensible drinking guidelines had been based on weekly consumption, with up to
21 units for men and up to 14 units for women being considered low risk weekly
consumption limits.

Significant difference
Where one figure is noted as being significantly different from another this means
that the difference is statistically significant.

Standardised mortality ratio see entry for Rates

Underlying cause of death see entry for Cause of death

Unit of alcohol
A unit of alcohol is 8 gms (10mls) of ethanol. In the past it was reasonably safe to
say that this was equivalent to half a pint of beer or lager, a measure of spirits or a
glass of wine. However, increasing strengths of alcoholic drinks and in some cases
standard measures mean that it is now more difficult to calculate how much a drink is
in terms of units of alcohol. Here are 3 examples:
· Wine is now served in many establishments in 175ml glasses and 13% abv is
     common. This would be close to 2.5 units;
· Spirits are now often served in 35ml measures which makes a measure of 40%
     abv spirits about 1.5 units;
· Beer and lager was commonly 3.5% abv in the past, now it is often 5% abv,
     making a half pint of beer or lager almost 1.5 units.




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Alcohol Profile - Angus



Appendix C: ICD10 Codes used for analysing alcohol related
deaths
F10     Mental and behavioural disorders due to the use of alcohol,
G312    Degeneration of nervous system due to alcohol,
G621    Alcoholic polyneuropathy,
I426    Alcoholic cardiomyopathy,
K292    Alcoholic gastritis,
K70     Alcoholic liver disease,
K860   Alcohol-induced chronic pancreatitis




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Alcohol Profile - Angus



Appendix D: ICD10 Codes used for analysing hospital
discharges
E52     Niacin deficiency [pellagra],
F10     Mental and behavioural disorders due to the use of alcohol,
G312    Degeneration of nervous system due to alcohol,
G621    Alcoholic polyneuropathy,
G721    Alcoholic myopathy,
I426    Alcoholic cardiomyopathy,
K292    Alcoholic gastritis,
K70     Alcoholic liver disease,
K860    Alcohol-induced chronic pancreatitis,
O354    Maternal care for (suspected) damage to foetus from alcohol,
P043    Fetus and newborn affected by maternal use of alcohol,
Q860    Fetal alcohol syndrome (dysmorphic),
R780    Finding of alcohol in blood,
T506    Antidotes and chelating agents, not elsewhere classified,
T510    Toxic effect of ethanol,
T519    Toxic effect of alcohol, unspecified,
X45     Accidental poisoning by and exposure to alcohol,
X65     Intentional self-poisoning by and exposure to alcohol,
Y15     Poisoning by and exposure to alcohol undetermined intent,
Y573    Alcohol deterrents,
Y90     Evidence of alcohol involuntary determined by blood alcohol level,
Y91     Evidence of alcohol involvement determined by level intoxication,
Z133    Special screening exam for mental and behavioural disorders,
Z502    Alcohol rehabilitation,
Z637    Other stressful life events affecting family and household,
Z714    Alcohol abuse counselling and surveillance,
Z721    Alcohol use,
Z811    Family history of alcohol abuse
Z864    Personal history of psychoactive substance abuse.




                                                                             43
Table A1: Percentage of population consuming over recommended daily units on heaviest drinking day in past week, by sex
All aged 16+

                                                                         Tayside                  Scotland1

                Men
                Consumed 4 or more units                                        45                         45
                Consumed 8 or more units                                        25                         26

                Women
                Consumed 3 or more units                                        33                         32
                Consumed 6 or more units                                        14                         16

                All adults
                Consumed 3/4 or more units                                      39                         38
                Consumed 6/8 or more units                                      19                         21

                Bases (weighted):
                Men                                                           296                       3857
                Women                                                         344                       4291
                All adults                                                    641                       8148
                Bases (unweighted):
                Men                                                           199                       3610
                Women                                                         269                       4538
                All adults                                                    468                       8148

Source: Scottish Heatlh Survey 2003

1
    The figures in this table are for ages 16 upwards. Other national figures quoted in the Scottish Health Survey may refer to ages 16 to 64 or 16 to 74 to allow comparisons
to surveys in previous years.
Table A2: Units consumed on heaviest drinking day in past week, by sex
All aged 16+

                                                                            Tayside                  Scotland1

                Men
                Mean units                                                        5.3                         5.3
                95% Confidence interval (lower)                                   4.2                         5.0
                95% Confidence interval (upper)                                   6.4                         5.6

                Women
                Mean units                                                        2.3                         2.5
                95% Confidence interval (lower)                                   2.0                         2.3
                95% Confidence interval (upper)                                   2.6                         2.6

                All adults
                Mean units                                                        3.7                         3.8
                95% Confidence interval (lower)                                   3.0                         3.6
                95% Confidence interval (upper)                                   4.3                         4.0

                Bases (weighted):
                Men                                                              296                       3857
                Women                                                            344                       4291
                All adults                                                       641                       8148
                Bases (unweighted):
                Men                                                              199                       3610
                Women                                                            269                       4538
                All adults                                                       468                       8148

Source: Scottish Heatlh Survey 2003

1
    The figures in this table are for ages 16 upwards. Other national figures quoted in the Scottish Health Survey may refer to ages 16 to 64 or 16 to 74 to allow comparisons
to surveys in previous years.
Table A3: Percentage of population consuming over recommended weekly alcohol consumption level, by sex
All aged 16+


                                                             Tayside                  Scotland1

                Men
                Over 21 units                                       25                          27
                Over 50 units                                        4                           6

                Women
                Over 14 units                                       13                          14
                Over 35 units                                        1                           2

                All adults
                Over 14/21 units                                    18                          20
                Over 35/50 units                                     2                           4

                Bases (weighted):
                Men                                               291                       3780
                Women                                             337                       4209
                All adults                                        628                       7988
                Bases (unweighted):
                Men                                               196                       3551
                Women                                             266                       4476
                All adults                                        462                       8027

Source: Scottish Heatlh Survey 2003

1
    The figures in this table are for ages 16 upwards. Other national figures quoted in the Scottish Health Survey may refer to ages 16 to 64 or 16 to 74 to allow comparisons
to surveys in previous years.
Table A4: Estimated usual weekly alcohol consumption level, by sex
All aged 16+


                                                                             Tayside                  Scotland1

                Men
                Mean units per week                                              16.7                        17.2
                95% Confidence interval (lower)                                  11.9                        16.1
                95% Confidence interval (upper)                                  21.5                        18.2

                Women
                Mean units per week                                                5.9                         6.5
                95% Confidence interval (lower)                                    4.9                         6.1
                95% Confidence interval (upper)                                    7.0                         7.0

                All adults
                Mean units per week                                              10.9                        11.6
                95% Confidence interval (lower)                                   8.5                        11.0
                95% Confidence interval (upper)                                  13.3                        12.1

                Bases (weighted):
                Men                                                               291                       3780
                Women                                                             337                       4209
                All adults                                                        628                       7988
                Bases (unweighted):
                Men                                                               196                       3551
                Women                                                             266                       4476
                All adults                                                        462                       8027

Source: Scottish Heatlh Survey 2003

1
    The figures in this table are for ages 16 upwards. Other national figures quoted in the Scottish Health Survey may refer to ages 16 to 64 or 16 to 74 to allow comparisons
to surveys in previous years.
Table A5a: Last occasion of drinking alcohol, by gender: Age 13, Scotland 2002

Boys                           Scotland       Angus
                                  %             %
During the last week             23%           27%
One to four weeks ago            12%           17%
One to six months ago            18%           28%
More than six months ago         13%           7%
Never                            33%           22%
Bases                           5943           194
Base= all 13 year old boys



Girls                          Scotland       Angus
                                  %             %
During the last week             23%           27%
One to four weeks ago            13%           9%
One to six months ago            20%           20%
More than six months ago         12%           19%
Never                            31%           26%
Bases                           6202           193
Base= all 13 year old girls
Source: SALSUS 2002
Table A5b: Last occasion of drinking alcohol, by gender: Age 15, Scotland 2002

Boys                           Scotland       Angus
                                  %             %
During the last week             47%           48%
One to four weeks ago            17%           20%
One to six months ago            15%           15%
More than six months ago         7%            6%
Never                            13%           9%
Bases                           5229           195
Base= all 15 year old boys



Girls                          Scotland       Angus
                                  %             %
During the last week             46%           46%
One to four weeks ago            21%           22%
One to six months ago            17%           18%
More than six months ago         7%            6%
Never                            10%           7%
Bases                           5243           172
Base= all 15 year old girls
Source: SALSUS 2002
Table A6a: Usual frequency of drinking alcohol, by gender: Age 13, Scotland 2002

Boys                           Scotland       Angus
                                  %             %
Once a week or more              17%           14%
About once a fortnight           8%            10%
About once a month               10%           15%
Only a few times a year          32%           39%
Never                            32%           22%
Bases                           5996           194
Base= all 13 year old boys



Girls                          Scotland       Angus
                                  %             %
Once a week or more              16%           15%
About once a fortnight           9%            10%
About once a month               12%           10%
Only a few times a year          32%           40%
Never                            30%           26%
Bases                           6245           193
Base= all 13 year old girls
Source: SALSUS 2002
Table A6b:Usual frequency of drinking alcohol, by gender: Age 15, Scotland 2002

Boys                           Scotland       Angus
                                  %             %
Once a week or more              40%           35%
About once a fortnight           14%           12%
About once a month               12%           22%
Only a few times a year          22%           21%
Never                            13%           9%
Bases                           5253           196
Base= all 15 year old boys



Girls                          Scotland       Angus
                                  %             %
Once a week or more              37%           38%
About once a fortnight           16%           19%
About once a month               15%           14%
Only a few times a year          22%           22%
Never                            10%           7%
Bases                           5260           172
Base= all 15 year old girls
Source: SALSUS 2002
Table A7a: Consumed five or more drinks on the same occasion, in the last 30 days, by gender: Age 13, Scotland 2002

Boys                                      Scotland       Angus
                                             %             %
4 or more times                             8%            5%
3 times                                     6%            6%
Twice                                       9%            10%
Once                                        13%           14%
Not in last 30 days                         22%           24%
Never                                       42%           41%
Bases                                      3969           147
Base= all 13 year old boys who had ever drunk alcohol



Girls                                     Scotland       Angus
                                             %             %
4 or more times                             8%            7%
3 times                                     6%            6%
Twice                                       10%           10%
Once                                        12%           16%
Not in last 30 days                         24%           19%
Never                                       40%           41%
Bases                                      4313           139
Base= all 13 year old girls who had ever drunk alcohol
Source: SALSUS 2002
Table A7b: Consumed five or more drinks on the same occasion, in the last 30 days, by gender: Age 15, Scotland 2002

Boys                                      Scotland       Angus
                                             %             %
4 or more times                             16%           17%
3 times                                     10%           5%
Twice                                       15%           15%
Once                                        15%           18%
Not in last 30 days                         23%           25%
Never                                       20%           20%
Bases                                      4516           177
Base= all 15 year old boys who had ever drunk alcohol



Girls                                     Scotland       Angus
                                             %             %
4 or more times                             17%           9%
3 times                                     11%           11%
Twice                                       15%           19%
Once                                        16%           18%
Not in last 30 days                         24%           27%
Never                                       17%           17%
Bases                                       4704          160
Base= all 15 year old girls who had ever drunk alcohol
Source: SALSUS 2002
Table A8a: Ever been drunk, by gender: Age 13, Scotland 2002

Boys                                      Scotland       Angus
                                             %             %
Never                                       43%           49%
Once                                        22%           18%
2-3 times                                   17%           17%
4-10 times                                  8%            9%
More than 10 times                          8%            6%
Bases                                      4043           148
Base= all 13 year old boys who had ever drunk alcohol



Girls                                     Scotland       Angus
                                             %             %
Never                                       45%           47%
Once                                        22%           18%
2-3 times                                   17%           20%
4-10 times                                  9%            8%
More than 10 times                          6%            7%
Bases                                      4340           142
Base= all 13 year old girls who had ever drunk alcohol
Source: SALSUS 2002
Table A8b: Ever been drunk, by gender: Age 15, Scotland 2002

Boys                                      Scotland      Angus
                                             %            %
Never                                       24%          29%
Once                                        15%          16%
2-3 times                                   24%          22%
4-10 times                                  16%          13%
More than 10 times                          21%          20%
Bases                                      4514          175
Base= all 15 year old boyswho had ever drunk alcohol



Girls                                     Scotland      Angus
                                             %            %
Never                                       21%          23%
Once                                        16%          13%
2-3 times                                   25%          27%
4-10 times                                  18%          19%
More than 10 times                          19%          18%
Bases                                      4701          160
Base= all 15 year old girlswho had ever drunk alcohol
Source: SALSUS 2002
Table A9a: Number of Liquor licences in force at 31 December; 1995 and 2000-2004

        Year         Scotland           Angus

        1995             16,983             364

        2000             17,244             361
        2001             17,162             366
        2002             17,059             365
        2003             17,048             384
        2004             16,914             402

Table A9b: Number of Liquor licences per 10,000 population aged 18 and over1 in force at 31 December; 1995 and 2000 -2004

        Year         Scotland           Angus

        1995                  43              42

        2000                  44              42
        2001                  43              43
        2002                  43              43
        2003                  43              45
        2004                  43              47

1 Based on the estimated population aged 18 and over, as at 30 June of the particular year.


Source: Scottish Executive Liquor Licensing Data
Table A10a: Number of Liquor licences in force by type of premises; 31 December 2004

Type of premises                Scotland           Angus

Hotel                                2,329            61
Restricted Hotel                       453             6
Public House                         5,178           132
Restaurant                           1,489            40
Entertainment                          871            22
Refreshment                            600            16
Off-sale                             6,103           125

Total                              17,023            402

Hotel                                 14%            15%
Restricted Hotel                       3%             1%
Public House                          30%            33%
Restaurant                             9%            10%
Entertainment                          5%             5%
Refreshment                            4%             4%
Off-sale                              36%            31%

Table A10b: All licences in force per 10,000 population aged 18 and over1; 31 December 2004

Type of sale                    Scotland           Angus

On-sale                                  27            33
Off-sale                                 15            15

Total                                    43            47

1 Based on the estimated population aged 18 and over, as at 30 June 2004.


Source: Scottish Executive Liquor Licensing Data
Table A11: Applications for liquor licences by licence type; 2004

                                                                    Scotland   Angus

Number of new applications (granted + refused)

On-Sale                                                                 358       3
Off-Sale                                                                423       4

Total                                                                   781       7


Percentage of applications granted

On-Sale                                                                  97     100
Off-Sale                                                                 91     100

Total                                                                    94     100


Number of applications withdrawn before reaching the board

On-Sale                                                                  57       2
Off-Sale                                                                 33       -

Total                                                                    90       2

Source: Scottish Executive Liquor Licensing Data
Table A12a: Sources for purchasing alcohol, by gender: Age 13, Scotland 2002


Boys                                            Scotland       Angus
                                                   %             %
Never buy alcohol                                 54%           58%
Buy alcohol from shop                             12%           7%
Buy alcohol from friend/ relative                 11%           8%
Buy alcohol from someone else                     11%           9%
Buy alcohol in off licence                        8%            10%
Buy alcohol in club                               2%            0%
Buy alcohol from supermarket                      2%            2%
Buy alcohol in pub                                1%            1%
Bases                                            4156           153
Base= all 13 year old boys who had ever drunk alcohol



Girls                                           Scotland       Angus
                                                   %             %
Never buy alcohol                                 53%           52%
Buy alcohol from shop                             12%           10%
Buy alcohol from friend/ relative                 15%           18%
Buy alcohol from someone else                     14%           13%
Buy alcohol in off licence                        7%            3%
Buy alcohol in club                               2%            2%
Buy alcohol from supermarket                      2%            5%
Buy alcohol in pub                                1%            2%
Bases                                            4406           143
Base= all 13 year old girls who had ever drunk alcohol
Source: SALSUS 2002
note: columns may add up to more than 100 as more than one answer may be given
Table A12b: Sources for purchasing alcohol, by gender: Age 15, Scotland 2002


Boys                                            Scotland       Angus
                                                   %             %
Never buy alcohol                                 32%           37%
Buy alcohol from shop                             25%           16%
Buy alcohol from friend/ relative                 16%           21%
Buy alcohol from someone else                     11%           16%
Buy alcohol in off licence                        23%           21%
Buy alcohol in club                               5%            3%
Buy alcohol from supermarket                      7%            9%
Buy alcohol in pub                                10%           12%
Bases                                            4607           180
Base= all 15 year old boys who had ever drunk alcohol



Girls                                           Scotland       Angus
                                                   %             %
Never buy alcohol                                 29%           37%
Buy alcohol from shop                             23%           14%
Buy alcohol from friend/ relative                 22%           30%
Buy alcohol from someone else                     13%           14%
Buy alcohol in off licence                        22%           18%
Buy alcohol in club                               10%           7%
Buy alcohol from supermarket                      6%            7%
Buy alcohol in pub                                11%           11%
Bases                                            4758           161
Base= all 15 year old girls who had ever drunk alcohol
Source: SALSUS 2002
note: columns may add up to more than 100 as more than one answer may be given
Table A13: Number of alcohol related acute hospital discharges, by sex: 1999/00 - 2004/05p

                                                                                                    Percent
                                                                                                    change
                                                                                                   1999/00-
Area                     1999/00     2000/01      2001/02     2002/03      2003/04    2004/05P      2004/05
                                                                                                         %
Scotland
Both Sexes                33,580      33,413       35,449      37,490       37,553      40,534          21
Male                      24,220      23,974       25,208      26,851       26,965      29,316          21
Female                     9,360       9,439       10,241      10,639       10,588      11,218          20

Tayside
Both Sexes                 2,128        2,155       2,112        2,114       2,239       2,033          -4
Male                       1,458        1,467       1,403        1,473       1,528       1,442          -1
Female                       670          688         709          641         711         591         -12

Angus
Both Sexes                   408         419          414         392          374           420         3
Male                         277         263          262         271          251           284         3
Female                       131         156          152         121          123           136         4

Source: SMR01*
Table A14: Non-psychiatric hospital1 discharges2,3 with an alcohol related diagnosis4,5,6, selected diagnosis by sex and age group: 2004/05p

                                     Males                                                      Females
                                     All Ages   0-15 16-24 25-34 35-44 45-54 55-64        65+   All Ages   0-15 16-24 25-34 35-44 45-54 55-64        65+

Scotland
All Alcohol Related Conditions        29,316    293 1,922 2,914 5,468 6,920 6,045 5,754          11,218    292    995 1,290 2,434 2,518 1,981 1,708

Mental & Behavioural Disorders Due    20,129    225 1,391 1,980 3,897 4,770 4,095 3,771           6,449    202    556    644 1,467 1,495 1,137       948
to the Use of Alcohol7of which
    Acute Intoxication                 5,569    197   871    756   966 1,000   885   894          2,108    183    374    254    472     378    226   221
    Harmful Use                        9,250     26   431    817 1,705 2,252 1,998 2,021          2,837     17    153    280    640     703    576   468
    Alcohol Dependence                 3,320      0    74    275   738   930   774   529          1,019      1     32     77    248     294    193   174
    Alcohol Psychoses                  3,095      3    39    245   754   919   671   464            842      1      6     62    202     243    196   132

Alcoholic Liver Disease                4,341      4    14    163    655 1,386 1,261       858     1,710       0      0     96   294     538    507   275

Toxic Effect of Alcohol                1,270     40   248    304    371    204      74     29     1,571     69    325    325    455     274     94    29


Tayside
All Alcohol Related Conditions         1,442     14   104    130    245    353     297    299       591     17     48      61   127     133    111    94

Mental & Behavioural Disorders Due       933     12    76     76    172    214     194    189       351     13     31      37     61     79     65    65
to the Use of Alcohol7of which
    Acute Intoxication                   363     11    53     40      61     64     59     75       169     13     28      16     32     38     22    20
    Harmful Use                          331      1    18     25      59     80     77     71       100      0      1      12     16     19     27    25
    Alcohol Dependence                   178      0     2      8      41     52     40     35        65      0      2       5     10     18     10    20
    Alcohol Psychoses                    105      0     3      5      19     29     32     17        33      0      0       5      5      8     12     3

Alcoholic Liver Disease                  281      0      2      4     38   115      56     66       111       0      0      7     24     32     34    14

Toxic Effect of Alcohol                   69      2    12     27      18      5      4      1        63       1    12      12     25     11      2     0
Table A14: Non-psychiatric hospital1 discharges2,3 with an alcohol related diagnosis4,5,6, selected diagnosis by sex and age group: 2004/05p

                                                    Males                                                                        Females
                                                    All Ages      0-15 16-24 25-34 35-44 45-54 55-64                    65+      All Ages    0-15 16-24 25-34 35-44 45-54 55-64   65+

Angus
All Alcohol Related Conditions                           284          3        27     22      41       56       57        78         136         4    4   15    39    30    28     16

Mental & Behavioural Disorders Due                       161          2        24     16      20       32       31        36          71         3    2    8    17    19    11     11
to the Use of Alcohol7of which
    Acute Intoxication                                     59         2        15      8       3       13        5        13          31         3    2    3     9    10      3     1
    Harmful Use                                            55         0         6      4       6        7       16        16          21         0    0    3     5     2      4     7
    Alcohol Dependence                                     32         0         1      3       9        9        5         5          14         0    0    0     3     5      3     3
    Alcohol Psychoses                                      21         0         2      2       2        6        6         3           7         0    0    2     1     2      2     0

Alcoholic Liver Disease                                    76         0         0      0       9       23       13        31          41         0    0    4    14     8    15      0

Toxic Effect of Alcohol                                      5        1         2      2       0         0        0        0            6        0    0    0     4     2      0     0


1     Excludes mental illness hospitals, psychiatric units and maternity hospitals.
2     Transfer cases have been excluded.
3     Includes Scottish residents only.
4     Discharges where alcohol-related problems are recorded as either primary or secondary reasons for admission to hospital.
5     See appendix D for ICD 10 codes used.
6 Caution is necessary when interpreting these figures. The recording of alcohol misuse may vary from hospital to hospital. Where alcohol misuse is
     suspected but unconfirmed it may not be recorded by the hospital.
7 The sum of the rows may exceed the total because the same patient may appear in more than one diagnostic group.
P
    Provisional

Source: SMR01*
Table A15: Non-psychiatric hospital1 discharges2,3 with an alcohol related diagnosis4,5,6, selected diagnosis: 1999/00-2004/05p

Area                                                         1999/00         2000/01        2001/02        2002/03        2003/04       2004/05p

Scotland
All Alcohol Related Conditions                                 33,580         33,413         35,449         37,490          37,553       40,534

Mental & Behavioural Disorders Due to the Use of Alcohol7      23,653         22,729         24,103         25,841          25,486       26,578
 of which
  Acute Intoxication                                           10,269          8,986          9,604          9,265           8,177        7,677
  Harmful Use                                                   7,200          7,444          8,607         10,481          11,230       12,087
  Alcohol Dependence                                            4,393          4,330          3,907          3,940           3,730        4,339
  Alcohol Psychoses                                             2,644          2,842          2,908          3,282           3,492        3,937

Alcoholic Liver Disease                                         3,970          4,305          4,959           5,132          5,547         6,051

Toxic Effect of Alcohol                                         2,913          2,969          3,044           3,063          2,712         2,841


Tayside
All Alcohol Related Conditions                                  2,128          2,155          2,112           2,114          2,239         2,033

Mental & Behavioural Disorders Due to the Use of Alcohol7       1,476          1,374          1,378           1,339          1,415         1,284
 of which
  Acute Intoxication                                             941             808            810            750                654       532
  Harmful Use                                                    275             284            260            305                476       431
  Alcohol Dependence                                             194             236            270            238                261       243
  Alcohol Psychoses                                              124              98            108            128                106       138

Alcoholic Liver Disease                                          285             273            309            338                426       392

Toxic Effect of Alcohol                                          256             328            285            275                201       132
Table A15: Non-psychiatric hospital1 discharges2,3 with an alcohol related diagnosis4,5,6, selected diagnosis: 1999/00-2004/05p

Area                                                                                  1999/00         2000/01             2001/02            2002/03       2003/04   2004/05p

Angus
All Alcohol Related Conditions                                                           408                419                  414              392         374        420

Mental & Behavioural Disorders Due to the Use of Alcohol7                                307                289                  290              252         234        232
 of which
  Acute Intoxication                                                                     210                157                  162              128         103         90
  Harmful Use                                                                             42                 55                   49               50          66         76
  Alcohol Dependence                                                                      37                 72                   62               63          54         46
  Alcohol Psychoses                                                                       24                 15                   27               23          14         28

Alcoholic Liver Disease                                                                   54                 66                   63                  54       73        117

Toxic Effect of Alcohol                                                                   21                 33                   36                  39       25         11


1     Excludes mental illness hospitals, psychiatric units and maternity hospitals.
2     Transfer cases have been excluded.
3     Includes Scottish residents only.
4     Discharges where alcohol-related problems are recorded as either primary or secondary reasons for admission to hospital.
5     See appendix D for ICD 10 codes used.
6 Caution is necessary when interpreting these figures. The recording of alcohol misuse may vary from hospital to hospital. Where alcohol misuse is
     suspected but unconfirmed it may not be recorded by the hospital.
7 The sum of the rows may exceed the total because the same patient may appear in more than one diagnostic group.
P
    Provisional

Source: SMR01*
Table A16: Age standardised rates of alcohol related acute hospital discharges: 1999/00 - 2004/05p

                           Scotland                                         Angus
                                                Lower      Upper                                 Lower      Upper
                           Standardised       Confidence Confidence         Standardised       Confidence Confidence
                               rate              Limit     Limit                rate              Limit     Limit
Both Sexes       1999/00            64.4             63.7       65.1                 36.4             32.8       40.0
                 2000/01            63.9             63.2       64.5                 37.5             33.9       41.2
                 2001/02            67.4             66.7       68.1                 37.4             33.7       41.0
                 2002/03            71.0             70.3       71.7                 35.6             32.0       39.3
                 2003/04            70.4             69.7       71.1                 32.9             29.5       36.4
                 2004/05            74.9             74.2       75.7                 35.7             32.1       39.2

Male             1999/00           96.4              95.2        97.6                50.5            44.5        56.5
                 2000/01           95.0              93.8        96.2                48.0            42.1        53.8
                 2001/02           99.4              98.1       100.6                48.0            42.1        53.8
                 2002/03          105.2             103.9       106.4                50.0            44.0        56.1
                 2003/04          104.7             103.5       106.0                45.6            39.8        51.4
                 2004/05          112.4             111.1       113.7                49.5            43.6        55.4

Female           1999/00           35.1              34.4        35.8                23.0            19.0        27.0
                 2000/01           35.3              34.5        36.0                28.0            23.6        32.5
                 2001/02           38.2              37.4        38.9                27.3            22.9        31.8
                 2002/03           39.7              38.9        40.5                21.9            17.9        25.9
                 2003/04           39.0              38.2        39.7                20.9            17.1        24.7
                 2004/05           40.8              40.0        41.5                22.9            18.9        26.9

Source: Smr01*
p
 Provisional
Table A17: Age standardised rates of alcohol related acute hospital discharges, by age group: 2004/05p

                          Scotland                                         Angus
                                               Lower      Upper                                 Lower      Upper
                          Standardised       Confidence Confidence          Standardised      Confidence Confidence
                              rate              Limit     Limit                 rate             Limit     Limit
Both Sexes       0-24              21.0             20.3       21.7                  13.0              8.8      17.1
                 25-34             65.7             63.7       67.6                  32.6            22.0       43.2
                 35-44             99.2             97.0      101.4                  48.9            38.2       59.6
                 45-54           136.6             133.8      139.3                  56.0            44.2       67.7
                 55-64           133.2             130.3      136.1                  56.9            44.8       68.9
                 65+               95.8             93.6       98.0                  49.9            39.7       60.1

Male             0-24             26.1              25.0         27.2               19.7             12.6       26.8
                 25-34            93.1              89.7         96.5               40.6             23.5       57.7
                 35-44           142.2             138.4        145.9               54.1             37.6       70.6
                 45-54           204.2             199.4        209.0               74.2             54.8       93.6
                 55-64           206.5             201.4        211.7               78.4             58.1       98.6
                 65+             170.1             165.7        174.5               92.4             71.9      112.9

Female           0-24              15.7             14.9         16.6                5.5              1.7        9.4
                 25-34             39.5             37.4         41.7               24.8             12.1       37.6
                 35-44             59.1             56.8         61.4               44.9             30.8       58.9
                 45-54             71.4             68.6         74.2               38.5             24.7       52.2
                 55-64             63.9             61.1         66.7               36.7             23.1       50.2
                 65+               38.7             36.8         40.6               15.7              7.8       23.5

Source: Smr01*
p
 Provisional
Table A18: Age standardised rates of alcohol related acute hospital discharges, people aged 0-24: 1999/00-2004/05p.

                           Scotland                                        Angus
                                               Lower      Upper                                 Lower      Upper
                           Standardised      Confidence Confidence          Standardised      Confidence Confidence
                               rate             Limit     Limit                 rate             Limit     Limit
Both Sexes       1999/00            23.8            23.1       24.6                  20.4            15.4       25.4
                 2000/01            22.7            21.9       23.4                  18.1            13.4       22.8
                 2001/02            24.4            23.7       25.2                  20.7            15.6       25.9
                 2002/03            24.6            23.8       25.3                  20.6            15.3       25.8
                 2003/04            21.5            20.8       22.2                  14.3              9.9      18.6
                 2004/05            21.0            20.3       21.7                  13.0              8.8      17.1

Male             1999/00           31.0             29.8         32.2               25.5             17.7        33.3
                 2000/01           28.8             27.6         29.9               20.2             13.3        27.1
                 2001/02           31.1             29.9         32.3               22.7             15.3        30.1
                 2002/03           30.1             29.0         31.3               28.1             19.7        36.6
                 2003/04           26.1             25.0         27.2               22.2             14.7        29.7
                 2004/05           26.1             25.0         27.2               19.7             12.6        26.8

Female           1999/00           16.7             15.8         17.6               14.6              8.6        20.6
                 2000/01           16.6             15.7         17.5               15.6              9.3        21.8
                 2001/02           17.7             16.8         18.6               18.4             11.4        25.4
                 2002/03           18.9             17.9         19.8               12.2              6.4        18.1
                 2003/04           16.7             15.8         17.6                5.6              1.7         9.5
                 2004/05           15.7             14.9         16.6                5.5              1.7         9.4

Source: Smr01*
p
 Provisional
Table A19: Acute hospital discharges with an alcohol related diagnosis by deprivation quintiles (rates per 10,000): 2004/05p.

Deprivation category                      1             2             3          4         5

Scotland
Both Sexes                               27            42           68         99         164
Male                                     38            61          100        150         260
Female                                   17            25           39         52          78

Angus
Both Sexes                               31            27            42        55          94
Male                                     45            40            54        79         132
Female                                   17            16            31        32          59

Source: SMR01, GRO 2001 Census population, ISD Scottish Indices of Multiple Deprivation
p Provisional data
Note: 1 represents least deprived through to 5 representing most deprived.
A20: Alcohol related conditions as a percentage of all non-psychiatric hospital discharges, by sex; 1999/00 to 2004/05p

                                 Males                                                             Females
                                 1999/00    2000/01    2001/02    2002/03    2003/04    2004/05    1999/00 2000/01      2001/02    2002/03    2003/04    2004/05

Scotland

All SMR01 Discharges              509,426    516,032    503,736    487,888    486,985    486,956    560,131   560,550 549,979       536,805    539,843 542,172
All Alcohol Related conditions     24,220     23,974     25,208     26,851     26,965     29,316      9,360     9,439  10,241        10,639     10,588  11,218

Alcohol related conditions as         5%         5%         5%         6%         6%         6%         2%        2%         2%         2%         2%         2%
percentage of all conditions

Angus

All SMR01 Discharges               11,036     10,930     10,371      9,079      9,506      9,511     11,553    11,092     10,658      9,948      9,944     10,329
All Alcohol Related Conditions        277        263        262        271        251        284        131       156        152        121        123        136

Alcohol related conditions as         3%         2%         3%         3%         3%         3%         1%        1%         1%         1%         1%         1%
percentage of all conditions

Source: SMR01
p
 Provisional
Table A21: Number of mental illness hospital and psychiatric unit discharges with an
alcohol related diagnosis, main and secondary diagnoses: 1997/98 -2001/02p

Area              1997/98      1998/99    1999/00    2000/01    2001/02p

Scotland
Both Sexes              5291       4997       5126       4672       4079
Male                    3652       3456       3597       3188       2764
Female                  1639       1541       1529       1483       1315

Tayside
Both Sexes               574        550        506        488         486
Male                     358        349        344        331         344
Female                   216        201        162        157         142

Angus
Both Sexes                91         69         85        111         110
Male                      61         44         60         69          72
Female                    30         25         25         42          38

Source: SMR04*
p Provisional
Table A22: GP and practice nurse (PN) contact rates1 per 1,000 population2 and estimated number of GP and PN
contacts for Alcohol abuse, by sex and age group3; year ending 31 December 2004

                                                                           Angus                                                                 Scotland
                                                                                 Estimated GP and PN                                                     Estimated GP and PN
   Sex                  Age group                      Contact rate                         contacts4                          Contact rate                         contacts3


   Male                 0-14                                       0.0                                     0                               0.0                            20
                        15-24                                     10.8                                    50                              13.2                         4,650
                        25-34                                     29.0                                   150                              43.2                        16,250
                        35-44                                     42.5                                   350                              64.6                        28,600
                        45-54                                     41.1                                   300                              61.3                        22,750
                        55-64                                     33.3                                   250                              42.2                        13,000
                        65+                                       13.0                                   100                              15.3                         5,250
                        All ages5                                 23.3                                 1,200                              34.2                        90,500

   Female               0-14                                       0.3                                     0                               0.2                           100
                        15-24                                      3.1                                    20                               4.3                         1,500
                        25-34                                     15.5                                   100                              18.8                         6,650
                        35-44                                     22.3                                   200                              30.7                        13,000
                        45-54                                     21.2                                   150                              28.7                        10,250
                        55-64                                     15.3                                   100                              20.1                         6,300
                        65+                                        3.8                                    40                               4.1                         2,000
                        All ages5                                 11.2                                   650                              14.7                        39,750

   Both Sexes           All ages5                                 17.0                                 1,850                              24.3                       130,250

1 Based on 44 PTI practices which collected and submitted complete GP and practice nurse data for the year ending December 2004.
2 Source: Community Health Index (CHI), ISD Scotland (as at 30 September 2004).
3 The estimates are derived by applying age-gender-deprivation specific national rates (based on GP and PN data collected from a sample of practices across
   Scotland) to the relevant area thus taking into account the specific make-up of the population in that area with regard to age, gender and deprivation only.
   Although these are important factors that account for a major part of the variation in general practice consultation rates at national level, there may be many
    other factors that are of particular importance at local level. Therefore estimates for large areas are likely more accurate than these for small areas.
4 Estimates are rounded to the nearest 50, to the nearest 10 if less than 50.
5 Figures are derived from the all ages rate and population, and may not equal the sum of the estimated numbers for each age group due to rounding.


Source: Practice Team Information (PTI)
Table A23: People attending drug treatment services reporting alcohol as a problem drug: Angus 2001/02-2004/05

                                             2001/02   2002/03   2003/04   2004/05

New individuals reporting illicit drug use       48        53       104        99
Reporting alcohol as problem drug                 7         3        20        11

Percent reporting alcohol locally               14.6       5.7      19.2      11.1
Percent reporting alcohol nationally             7.7       9.0       9.9      10.3

Source: Scottish Drug Misuse Database*
Table A24: Number of new referrals to Local Alcohol Council, by gender; 2004/05

2004/05 data not available for this area at this time.
Table A25: Number of alcohol related deaths by sex: 2000-2004

           Angus                               Tayside                   Scotland
            Both                                Both                      Both
            sexes       Male     Female         sexes    Male   Female    sexes   Male    Female

Underlying Cause of Death
2000        16       11             5             63     42       21      1,144   804      340
2001        17       14             3             83     60       23      1,228   869      359
2002        23       14             9             89     62       27      1,333   934      399
2003        24       20             4            112     78       34      1,353   956      397
2004        26       16             10           120     79       41      1,329   943      386

Underlying & Contributing Causes of Death
2000        29       18       11                 111      76      35      1,694   1,236    458
2001        23       20        3                 121      90      31      1,771   1,311    460
2002        32       22       10                 140     104      36      1,957   1,426    531
2003        33       25        8                 158     112      46      1,980   1,448    532
2004        34       19       15                 170     115      55      2,052   1,515    537

Source: ISD, based on data supplied by GROS*
Table A26: Percentage of alcohol related deaths in comparison to all deaths by year and sex: 2000-2004

            Angus                           Tayside                     Scotland
             Both                            Both                        Both
             sexes     Male   Female         sexes    Male    Female     sexes   Male      Female

Underlying & Contributing Causes of Death
2000           2.1%      3.0%    1.4%          2.4%    3.4%     1.4%       2.9%     4.5%     1.5%
2001           1.7%      3.2%    0.4%          2.5%    4.1%     1.2%       3.1%     4.8%     1.5%
2002           2.4%      3.6%    1.4%          2.9%    4.7%     1.4%       3.4%     5.1%     1.7%
2003           2.5%      4.3%    1.1%          3.3%    5.0%     1.8%       3.4%     5.2%     1.7%
2004           2.6%      3.1%    2.1%          3.6%    5.2%     2.2%       3.7%     5.7%     1.8%

Source: ISD, based on data supplied by GROS*
Table A27: Alcohol related deaths by age: 2000-2004


Age group                     Scotland                   Tayside             Angus
                              Number           Percent   Number    Percent   Number   Percent


0-44                          1,460            15%       104       15%       20       13%
45-54                         2,465            26%       185       26%       39       26%
55-64                         2,954            31%       216       31%       49       32%
65 & over                     2,575            27%       195       28%       43       28%


Source: ISD, based on data supplied by GROS*
Table A28: Standardised mortality ratio: Angus 2000-2004

Standardised Mortality Ratio                       69
Lower Confidence Limit                             58
Upper Confidence Limit                             80

                                                              Lower         Upper    Scottish
                                       Indicator Value   Confidence    Confidence      Crude
                                           Per 100,000         Limit         Limit     Rates

Both Sexes                                         26            22            30         37
Male                                               37            30            44         57
Female                                             16            11            20         19

Source: ISD, based on data supplied by GROS*
Table A29a: Number of drunk driving offences; 1996-2004

                  Scotland             Angus

      1996           11,796               236
      1997           11,208               230
      1998           10,563               204
      1999           10,821               193
      2000           10,712               200
      2001           11,403               247
      2002           11,782               225
      2003           11,566               255
      2004           11,211               248

Source: Scottish Executive Recorded Offences Data


Table A29b: Drunk driving offences shown as rate per 10,000 population; 1996-2004

                  Scotland             Angus

      1996              23.2              21.3
      1997              22.0              20.9
      1998              20.8              18.6
      1999              21.3              17.6
      2000              21.2              18.4
      2001              22.5              22.8
      2002              23.3              20.8
      2003              22.9              23.7
      2004              22.1              22.8

Source: Scottish Executive Recorded Offences Data
Table A30a: Number of motorists involved in accidents, number breathalysed and number of positive/refused tests; 2000 - 2004

                                                                      Year            Scotland               Angus

Motorists involved in accidents                                       2000              24,621                 513
                                                                      2001              23,906                 492
                                                                      2002              23,265                 550
                                                                      2003              22,571                 433
                                                                      2004              22,470                 506

Motorists involved in accidents and breathalysed                      2000              15,981                 453
                                                                      2001              15,203                 423
                                                                      2002              14,655                 460
                                                                      2003              13,903                 359
                                                                      2004              13,581                 432

Motorists involved in accidents : positive/refused breath test        2000                 529                   10
                                                                      2001                 508                   13
                                                                      2002                 507                   25
                                                                      2003                 503                   11
                                                                      2004                 478                    7

Source: Scottish Executive Transport Statistics Branch
Table A30b: Percentage of breath tests requested, percentage of positive/refused tests and percentage of positive/refused where test was requested

                                                                       Year            Scotland               Angus

Breath test requested as a percentage of motorists involved            2000                 64.9                88.3
                                                                       2001                 63.6                86.0
                                                                       2002                 63.0                83.6
                                                                       2003                 61.6                82.9
                                                                       2004                 60.4                85.4

Positive/refused as a percentage of motorists involved                 2000                  2.1                 1.9
                                                                       2001                  2.1                 2.6
                                                                       2002                  2.2                 4.5
                                                                       2003                  2.2                 2.5
                                                                       2004                  2.1                 1.4

Positive/refused as a percentage of those where breath test            2000                  3.3                 2.2
requested                                                              2001                  3.3                 3.1
                                                                       2002                  3.5                 5.4
                                                                       2003                  3.6                 3.1
                                                                       2004                  3.5                 1.6

Source: Scottish Executive Transport Statistics Branch
Table A31a: Number of drunkenness offences; 1996-2004

                  Scotland             Angus

      1996             9,608              123
      1997             9,697               93
      1998             8,518               75
      1999             7,785               70
      2000             7,810               55
      2001             7,920               44
      2002             7,083               60
      2003             7,532               52
      2004             7,333               47

Source: Scottish Executive Recorded Offences Data


Table A31b: Drunkenness offences shown as rate per 10,000 population; 1996-2004

                  Scotland             Angus

      1996              18.9              11.1
      1997              19.1               8.5
      1998              16.8               6.8
      1999              15.3               6.4
      2000              15.4               5.1
      2001              15.6               4.1
      2002              14.0               5.5
      2003              14.9               4.8
      2004              14.4               4.3

Source: Scottish Executive Recorded Offences Data
Table A32: Number of recorded offences of consumption of alcohol in a designated place: 1996-2004

                                     1996          1997           1998           1999       2000           2001          2002           2003     2004

Scotland                            5,003          9,467          9,637          8,061    10,590        14,656         17,247        20,907     21,564

Angus                                     -              -              -            -          12            26              4            18      38

Note: Changes in figures could be the result of the introduction of new designated places in the area, or the removal of a designated place,
as well as as a result of changes in police practice in dealing with this offence.


Source: Scottish Executive Recorded Offences Data
Table A33: Experience of neighbourhood problems (percentage reporting each as very or fairly common); 2003/04

                                                                             Groups of young
                                    Noisy neighbours/ Vandalism/ graffiti/    people hanging    People drinking or   Rubbish or litter
                                          loud parties damage to property               about         using drugs       lying around

Scotland                                            8                  18                 31                   23                  29

Angus                                               8                  11                 22                   13                  25

Source: Scottish Household Survey
Table A34: Probation orders by types of condition; aggregated figures for period 1999/00 to 2004/05

Type of Conditions                                                                       Scotland   Angus

Standard conditions                                                                        18,831     305
Requirement for unpaid work                                                                12,635     325
Condition of Compensation                                                                   1,055      77
Condition of Residence                                                                        317      87
Medical/Psychiatric/Psychological Treatment                                                 1,146     111
Alcohol Treatment/Education                                                                 3,767     258
Drug Treatment/Education                                                                    3,293     121
Other1                                                                                      5,851     211

Total                                                                                      46,895   1,495

1
    Other (including Groupwork, Fairbridge, Other Intensive and Electronic Monitoring)


Source: Scottish Executive Criminal Justice Social Work Statistics
Table A35: Number of children referred, by grounds for referral1; 2003/04 and 2004/05

                                                                                                                                        Number of children
Area                            Grounds for referral1                                                                                   2003/04       2004/05

Scotland                        a      Beyond control of any relevant person                                                              4,183          4,558
                                b      Bad associations/ moral danger                                                                     2,590          3,083
                                c      Lack of parental care                                                                             16,266         16,781
                                d      Victim of a Schedule 1 offence                                                                    12,929         16,270
                                e      Member of same household as child victim of a Schedule 1 offence                                   1,788          1,684
                                f      Member of same household as Schedule 1 offender                                                    1,022            816
                                g      Member of same household as victim of incest                                                          23             15
                                h      Failure to attend school                                                                           3,407          3,137
                                i      Committed an offence                                                                              16,470         17,494
                                j      Alcohol/ Drug Misuse                                                                               1,611          1,369
                                k      Solvent misuse                                                                                        44             29
                                l      Special Measures                                                                                      77             50

Angus                           a      Beyond control of any relevant person                                                                   20             24
                                b      Bad associations/ moral danger                                                                          13             35
                                c      Lack of parental care                                                                                  132            121
                                d      Victim of a Schedule 1 offence                                                                          72             48
                                e      Member of same household as child victim of a Schedule 1 offence                                         8             13
                                f      Member of same household as Schedule 1 offender                                                         <5              7
                                g      Member of same household as victim of incest                                                             -              -
                                h      Failure to attend school                                                                                46             29
                                i      Committed an offence                                                                                     -              -
                                j      Alcohol/ Drug Misuse                                                                                    <5             <5
                                k      Solvent misuse                                                                                           -              -
                                l      Special Measures                                                                                        <5              -

1
    As described in The Children (Scotland) Act 1995 section 52(2)
Note: Where the number of children referred is less than 5 the exact figure has not been given in order to maintain confidentiality; - is 0