Wyomings State Epidemiological Workgroup

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Wyomings State Epidemiological Workgroup

• Rodney A. Wambeam, Ph.D.
• Wyoming Survey Analysis Center
• University of Wyoming
• February 28, 2007

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Wyoming in Context

• Welcome to the frontier!
• Road kill as an outcome
• Stoplights, we dont need no stinkin stoplights
• Whats an escalator?
• An epidemi-what?
• 2 Billion Surplus

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SEW Development

• 15 Members
• 2 Qualifications
• 1 Chair
• 1 State Evaluator
• 1 Set of Operational Guidelines
• 4 Meetings

• Goal
• Complete a Statewide Needs Assessment to Identify
  a Target for the SPF SIG Project in Wyoming

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Funneling Process
PNA
FARS
UCR
NSDUH
State Cancer Report
Wyoming Vital Statistics
Kids Count
TEDS
DCI
BRFSS
ATS
YRBS
86 Data Sources
269 Indicators
14 Consumption and 11 Consequence Indicators
8 Profiles
TARGET
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Initial Narrowing Criteria

• Percentage within the population
• Number of people in Wyoming impacted
• National Rank
• National/State Ratio
• Trend
• Availability at a community level
• Healthy People 2010 indicator

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Second Narrowing Criteria

• Number of people in Wyoming impacted
• Seriousness of the Problem
• Ability to Change the problem

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You Need an Equation to Make it Scientific!

• Indicator Score size seriousness(2) x
  changeability
• For Example Suicide Death Rate
• 1 3(2)x2 14

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Consumption Areas Highlights

• Past month cigarette use top 10 in the nation
  since 1995
• Smoking among pregnant women ranked 3rd in the
  nation since 2000
• Binge drinking affects over 100,000 people in
  Wyoming annually
• Illicit drug use 11.6 of 9th to 12th graders
  report using methamphetamine in their lifetime

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Consequence Areas Highlights

• Alcohol Dependence and Abuse affects 38,000
  people in Wyoming
• Suicide ranked 1st in the nation in 2003
• Alcohol and Crime in 2004 over 32 of arrests
  in Wyoming were alcohol-related
• Alcohol and Motor Vehicles ranked 2nd in the
  nation for alcohol-related motor vehicle
  fatalities in 2004

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Consumption Areas
Consequences Areas
Illicit Drug Use
Suicide
Past Month Cigarette Use
Alcohol Dependence
Binge Drinking
Alcohol Related Crime
Smoking During Pregnancy
Alcohol Related Car Crashes
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Recommendation

• The State of Wyoming Should Target its SPF SIG
  efforts on the Misuse of Alcohol

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This Means That

• The primary target for SPF SIG prevention efforts
  should be underage drinking and adult binge
  drinking.
• The secondary target for SPF SIG prevention
  efforts should be the most significant
  consequences of the misuse of alcohol in Wyoming
  alcohol dependence and abuse, alcohol-related
  motor vehicle crashes, and alcohol-related crime.

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Lessons Learned

• Bureaucracy is inevitable
• The data already exists
• Someone needs to do the work
• Politics will enter the process
• Transparency, transparency, transparency
• All decisions are data-driven

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Contacts

• Rodney A. Wambeam, Ph.D.
• Associate Research Scientist and Manager of the
  Center for Justice Research at the Wyoming Survey
  Analysis Center
• Adjunct Professor, Department of Political
  Science
• University of Wyoming
• [phone]
• rodney_at_uwyo.edu
• See the Report
• http//wdh.state.wy.us/SAD/SPFSIG.asp