Substance use continues to be a major public health concern, negatively impacting a variety of health, legal, and social outcomes. Nearly one-fourth of Hoosiers ages 12 and older engaged in binge drinking in the past month and one-tenth used an illicit substance. Furthermore, 7% of Indiana residents met criteria for substance use disorder (SUD) in the past year and 6.5% needed but did not receive treatment for their SUD.
Of particular concern is polysubstance use, or the use of two or more substances over a defined period, simultaneously or at differing times, for recreational purposes. In over 70% of admissions to substance use treatment in Indiana, the use of multiple substances was indicated, with 30% reporting the use of two drugs and nearly 41% reporting the use of three drugs.
During state fiscal year 2018, a total of 10,483 children were removed from their parents by the Department of Child Services in Indiana; almost two-thirds (64%) of these removals were due to parental alcohol and/or drug use.
This graph illustrates the opioid overdose death rate (age-adjusted per 100,000 population) in Marion County versus similar nearby cities during the period 2012-2016. (DR3473).
During 2016, overdose deaths per 100,000 population in Marion County fell below the rate found in Franklin and Hamilton Counties in Ohio and were similar to the rate in Jefferson County, KY. Marion County rates were significantly higher than those in other similar, midwest counties, Indiana overall, and the U.S. (DR3871).
County health rankings provides the number of drug poisoning deaths per 100,000 population, by Indiana county. Counties can be compared and contrasted with easy data export.
County health rankings provides the ratio of population to dentists, by Indiana county. Counties can be compared and contrasted with easy data and map export.
County health rankings provides the ratio of population to primary care physicians, by Indiana county. Counties can be compared and contrasted with easy data and map export.
County health rankings provides the percentage of the adult population (age 20 and older) that reports a body mass index (BMI) greater than or equal to 30 kg/m2, by county. Counties can be compared and contrasted with easy data and map export.
County health rankings provides the percentage of live births with low birthweight (< 2,500 grams), by county. Counties can be compared and contrasted with easy data and map export.
County health rankings provides years of potential life lost before age 75, per 100,000 population (age-adjusted), by county. Counties can be compared and contrasted with easy data and map export.
Marion County prevalence increased over 60 percent from 2000-2008, to 10.0% of adults (over 62,000 cases) but is not statistically different than national or state rates. Marion County’s 2008 prevalence is four times the Health People 2010 target for diabetes prevalence of 2.5% among adults. Marion County Black residents have a 60% higher prevalence rate than White residents and 33% higher rate than Hispanic residents.
County health rankings provides diabetes prevalence among Indiana adults, by county. Counties can be compared and contrasted with easy data export.
In 2013, an estimated 32% of Marion County adults reported that they had been diagnosed with hypertension which was similar to the national rate of 31.4%. A 32% hypertension prevalence translates to almost 219,000 Marion County adults that have been diagnosed with hypertension. The prevalence of hypertension in Marion County among Behavioral Risk Factor Surveillance System (BRFSS) sample years between 2003 and 2013 did not vary significantly. Hypertension is not evenly distributed spatially throughout Marion County. The prevalence of hypertension ranged from 25% to 43.4% among Marion County Public Health Department planning areas in 2012. (DR2647).
Diabetes prevalence among Marion County adults increased 9.8% between 2003 and 2014 but is similar to prevalence in Indiana and the U.S. Prevalence among African Americans was found to be 69% higher than among White residents and four times higher than among Hispanic residents during 2014. Diabetes hospitalizations and diabetes-related limb amputations also increased. Despite a trend of declining diabetes mortality rates, diabetes remained the 8th leading cause of death in Marion County during 2014 and the 7th leading cause nationally (2013). (DR2851).
Violent crimes consist of murder, rape, robbery, assault, property crime, burglary, larceny, and motor theft. These crimes often influence the safety and wellbeing of a community. The rate of violent crime in Marion County is three times that of Indiana or the U.S. and has been trending higher since at least 2012 (DR3774).
In 2018, at least 26% of Marion County adults (1 out of 4) have been diagnosed with depression by a health care provider at some point in their lives; whereas, at least 14% of adults experienced mental distress (mentally unhealthy days at least for 10 days a month).
The USDA Food Access Research Atlas:
Food security describes when people have access to safe and healthy food. Food insecurity may lead to an increased risk of cancer, cardiovascular disease, diabetes, and overweight/obesity. Marion County has higher rates of food insecurity than Indiana and the U.S. as a whole. There was an increase in Marion County SNAP benefits from 2012-2015, and a slight decrease in 2016. About 21% of Marion County residents live in a food desert, DR3792.
In 2016, the Marion County homicide rate was approximately twice as high as the Indiana state homicide rate. Additionally, the Marion County homicide rate was higher than the United States' homicide rate, yet lower than Milwaukee's homicide rate (DR3774).
The prevalence of homelessness in Marion County is estimated to be 179 per 100,000 as has been relatively steady since 2014. African Americans bear the greatest burden of homelessness in Indianapolis, followed by white residents, DR3794.
The percentage of Marion County (Indiana) residents living with HIV and a suppressed viral load (HIV RNA <200 copies/mL) has increased steadily in recent years. During the period 2013-2017, viral suppression increased from 79.1% to 85.2% (Pearson R=0.91; P<.05).
HIV infection rates were relatively steady in Marion County during the period 2012-2016 with African Americans being more than twice as likely to have been diagnosed than their white peers, DR3506.
