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Uinta County

Prescription Drug Misuse by Youth

Prescription drug misuse by youth was lower in Uinta County than the state in 2018.

Percent of students responding "yes" to "During the past 30 days, have you used prescription drugs not prescribed to you?"

Uinta County was 11th in the state for youth prescription drug misuse rates.

Percent of students responding "yes" to "During the past 30 days, have you used prescription drugs not prescribed to you?"

Source

The Wyoming Prevention Needs Assessment is a survey conducted every other year in middle and high school across the state. Its purpose is to monitor indicators of health and well-being of students, including substance abuse behaviors and attitudes. Data can be broken down by county, gender, and grade level.

Limitations

  • Not every school district in Wyoming participated in the PNA every year, and some districts had low response rates. Full information about participation by school district can be found on the PNA website.
  • Uinta County School District #6 did not participate in the 2018 PNA.
  • The question “During the past 30 days have you used prescription drugs not prescribed to you?” began to be asked in 2018, preventing an analysis of trends over time. As the survey continues to be administered, we expect to be able to show year-to-year changes.

Interpretation

Past 30-day prescription drug misuse by youth ranges from 0% in Niobrara County to 4.9% in Crook County. Uinta County has the 11th lowest rate in the state.

Naloxone Use

Naloxone use in Uinta County is usually lower than the state average, but spiked in 2019.

Naloxone administration rate per 100,000 people

Uinta County was 9th in the state for naloxone administration rates from 2016-2019.

Average annual naloxone administration rate per 100,000 people

Source

The Wyoming Ambulance Trip Reporting System (WATRS) is available to all Wyoming emergency medical services (EMS) agencies at no charge. It is an electronic medical records system for transporting, non-transporting and air ambulances used for prehospital care. The use of naloxone (the opioid overdose reversal agent commonly known as Narcan®), which is an opioid overdose reversal agent, is highlighted here. The rates of naloxone administration are based on county of the incident.

Limitations

  • Naloxone administration rates include only those delivered by EMS personnel. Administrations by law enforcement or bystanders are not included.
  • One individual may receive several doses of naloxone, which can inflate administration numbers. Patient counts were additionally reviewed and they follow similar trends.
  • Reports by non-transporting first response agencies may have resulted in some duplicate counts in Laramie, Natrona, and Sweetwater counties.
  • Counties with a smaller population are particularly susceptible to year-to-year fluctuations.

Interpretation

Naloxone administration rates range from 0 in Niobrara, Johnson, and Hot Springs counties to 188.6 in Fremont County. Uinta County is usually below the state average, but saw a spike in 2019. Uinta County is 9th in the state for naloxone administration rates.

Opioid Prescriptions

Opioid prescription fill rates in Uinta County are higher than the state and nation.

Retail opioid prescriptions dispensed per 100 persons per year

Uinta County was 21st in the state for opioid prescription fill rates in 2018.

Retail opioid prescriptions dispensed per 100 persons per year

Source

The CDC releases U.S. prescribing rate maps and data tables, showing annual opioid prescribing rates from 2006 to 2018 by state and county. IQVIA Xponent 2006-2018 is the source of the prescribing data, based on a sample of approximately 50,000 retail (non-hospital) pharmacies, which dispense nearly 90% of all retail prescriptions in the U.S.

Interpretation

Wyoming counties show a wide variability in opioid prescription fill rates, from none in Niobrara County (0.0 fills per 100 people) to 97.1 in Hot Springs County in 2018. A rate of 97.1 would mean that there are enough opioid prescriptions filled in Hot Springs County to have almost one for every person. Further, the trends in fill rates over time are quite different for each county. This could mean that prescribers have changed their practices, pharmacists have changed their practices, or might reflect a change in the number of prescribers or pharmacists available within a county. Particularly in counties with low populations, a loss or gain of a single prescriber/pharmacist may result in a notable difference in prescribing rates.

Opioid prescription fill rates in Uinta County are higher than state and national rates. They rose noticeably from 84.1 fills per 100 persons on 2011 to 112.4 fills per 100 person in 2017, and have since begun to decline. Uinta County is 2nd highest in the state for opioid prescription fill rates.

County Efforts

6

Buprenorphine Prescribers

The number of buprenorphine prescribers include only those publicly listed.

4

Medication Disposal Sites