Butynski W, Canova D M
NASADAD, Washington, DC 20001.
Public Health Rep. 1988 Nov-Dec;103(6):611-20.
During fiscal year 1987, expenditures for alcohol and drug abuse services in facilities receiving at least some funds from State alcohol and drug agencies totaled $1,809,749,013. Of this total, approximately 51.1 percent was contributed by State governments, 17.9 percent by the Federal Government, 9.1 percent by county or local agencies, and 21.9 percent by other sources (for example, private health insurance). Approximately 76.5 percent of the funds was expended for treatment services, 12.6 percent for prevention services, and 10.9 percent for other services (for example, administration, research, training). Between fiscal years 1985 and 1987, total expenditures increased 31.2 percent, although great variability existed among States, with some undergoing significant cuts. The total number of alcohol and drug treatment units that received State funds was 6,632. During fiscal year 1987, admissions for alcoholism treatment in these State-supported facilities totaled 1,317,473. Most admissions were to a nonhospital environment (84.6 percent) and were for outpatient care (44.9 percent). Of the total number of admissions, 76.2 percent were men and 19.8 percent women; the sex of 4.0 percent was not reported. With regard to age, 27.4 percent were 25-34, 21.7 percent were 35-44, 10.7 percent were 21-24, and 4.1 percent were under 18. In terms of race or ethnicity, 69.7 percent of those admitted were white, 15.6 percent black, 5.5 percent Hispanic, 3.6 percent Native American, 0.2 percent Asian or Pacific Islander, 0.3 percent others, and 5.2 percent not reported. Compared with the 1,317,473 admissions for alcoholism, the combined total of all other drug admissions was only 450,553. The highest numbers of other drug admissions were 98,549 for heroin,84,707 for cocaine, and 63,740 for marijuana!hashish. Also, compared with drug treatment admissions,those admitted for alcoholism are more likely to be male, white, and older.
在1987财政年度,从州酒精和毒品机构获得至少部分资金的机构用于酒精和药物滥用服务的支出总计18.09749013亿美元。在这笔总计中,约51.1%由州政府提供,17.9%由联邦政府提供,9.1%由县或地方机构提供,21.9%由其他来源(如私人医疗保险)提供。约76.5%的资金用于治疗服务,12.6%用于预防服务,10.9%用于其他服务(如行政管理、研究、培训)。在1985年至1987年财政年度期间,总支出增长了31.2%,尽管各州之间存在很大差异,有些州支出大幅削减。获得州资金的酒精和药物治疗单位总数为6632个。在1987财政年度,这些由州支持的机构中酒精中毒治疗的入院人数总计1317473人。大多数入院患者处于非医院环境(84.6%)且接受门诊治疗(44.9%)。在入院总人数中,76.2%为男性,19.8%为女性;4.0%的性别未报告。在年龄方面,27.4%为25 - 34岁,21.7%为35 - 44岁,10.7%为21 - 24岁,4.1%为18岁以下。在种族或族裔方面,入院者中69.7%为白人,15.6%为黑人,5.5%为西班牙裔,3.6%为美洲原住民,0.2%为亚裔或太平洋岛民,0.3%为其他,5.2%未报告。与1317473例酒精中毒入院人数相比,所有其他药物入院人数总计仅450553人。其他药物入院人数最多的是海洛因98549例、可卡因84707例、大麻/哈希什63740例!此外,与药物治疗入院者相比,酒精中毒入院者更可能是男性、白人且年龄较大。