THE VICTORIAN ALCOHOL STATISTICS SERIES

REGIONAL SUMMARIES

GRAMPIANS REGION

ALCOHOL-RELATED HARMS & USE ACROSS VICTORIAN LOCAL GOVERNMENT AREAS 1999/00 – 2006/07

Sharon Matthews, Monica J. Barratt, Belinda Lloyd

The Victorian Alcohol Statistics Series is derived from work conducted by the Population Health Research Program at Turning Point Alcohol and Drug Centre, Eastern Health. The work is commissioned by the Victorian Department of Health. The primary aim of this project is to establish key indicators of alcohol consumption and related harm within the Victorian community for the purpose of informing policy formulation, resource allocation, and service planning and monitoring. This Summary presents findings from the Alcohol Statistics Series for the Region.1 2

Key Findings

Alcohol-related hospital admission rates: Upward trend for the region, Ballarat, Golden Plains, Hepburn, Hindmarsh, Horsham, Moorabool, Northern Grampians, West . Downward trend for: Yarriambiack.

Alcohol-related assaults: Upward trend for Ballarat, Golden Plains, Northern Grampians, Yarriambiack Downward trend for: Hepburn, Hindmarsh, Horsham, Moorabool.

Alcohol related serious road injury: Upward trend for: Ballarat. Downward trend for: Golden Plains, Horsham Northern Grampians.

Alcohol related courses of treatment: Upward trend for: the region, Ararat, Ballarat, Golden Plains, Hepburn, Hindmarsh, Horsham, Moorabool, Northern Grampians, Pyrenees, Yarriambiack. Downward trend: none

Liquor Licensing: Upward trend: Hepburn, Horsham, Northern Grampians, West Wimmera. Downward trend: Ararat, Golden Plains, Hindmarsh.

1 Please notes, some of the following rates may be based on small numbers and this can produce unstable results. For instance small numbers and small populations can produce larger than expected results. For further details see the methods section of the full publication. 2 Matthews, S, Barratt, M J & Lloyd, B (2011), Victorian alcohol statistics: Alcohol-related harms and use across Victorian local government areas 1999– 2000 to 2006–07. Turning Point Alcohol & Drug Centre, Fitzroy

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Alcohol-related hospital admissions Figure 2 Alcohol-related hospital admission Figure 5 Alcohol-related death rates (per 10,000 rates (per 10,000 residents) for residents in residents) in the Ballarat LGA, Grampians selected LGAs, Grampians region & , region and Victoria, 1999 to 2006 Figures 1 to 4 show rates of alcohol- 1999-00 to 2006-07 10.0 related hospital admissions over an eight Ballarat 100.0 year period for the LGAs of the Hepburn 80.0 Grampians Grampians region. Hindmarsh 60.0 5.0 Total State of The overall Victorian rate has steadily Horsham Victoria

40.0 perRate10,000 increased from 1999-00 and the regional Grampians 20.0 rate has demonstrated an upward trend Total State 0.0 increasing from 30 in 1999-00 to 41 per 0.0 of Victoria 10,000 in 2006-07. With one exception the regional rates over time have been (Source: ABS) significantly lower than the state. (Source: DH VAED) Alcohol-related assaults Since 2001-02 the The over the eight Figures 6 and 7 show rates of alcohol- has shown rates for alcohol-related years has shown an overall upward trend related assaults (for the location of hospital admissions significantly lower in rates for alcohol-related hospital assault) over an eight year period for the than the state. Although there has been admissions increasing from 23 per LGAs in the Grampians region. The an overall decrease in rates from 1999- 10,000 in 1999-00 to 36 in 2006-07. All region rates have been relatively flat over 00 to 2006-07, over the three most years have been significantly lower than time, while the state has shown an recent years there was an upward trend the state. upward trend. The regional rate for all emerging. Figure 3 Alcohol-related hospital admission eight years was significantly higher than The over the eight years rates (per 10,000 residents) for residents in the Victorian rate but in recent years has selected LGAs, Grampians region & Victoria, has followed the regional pattern for 1999-00 to 2006-07 started to converge. rates in alcohol-related hospital 100.0 From 1999-00 to 2006-07 rates for the admissions, demonstrating an overall Moorabool Rural City of Ararat have not changed. increase. Rates for Ballarat across all 80.0 Northern However there has been variability in the years have been significantly lower than 60.0 Grampians Pyrenees intervening years. Four of the eight years the state. 40.0 Grampians have shown significantly higher rates 20.0 The Shire of Golden Plains over the eight Total State than the state. Similar to the City of years has shown rates for alcohol-related 0.0 of Victoria Ararat actual rates for Ballarat from hospital admissions significantly lower 1999-00 to 2006-07 have changed little. than the state. Rates have increased However rates have been trending from 14 per 10,000 in 1999-00 to 25 in (Source: DH VAED) upwards over the most recent four years. 2006-07. The over the eight All years shown have rates significantly higher than the state. Figure 1 Alcohol-related hospital admission years has shown rates for alcohol-related rates (per 10,000 residents) for residents in hospital admissions differed significantly Figure 6 Alcohol-related assault rates (per selected regional LGAs, Grampians region & from the state on two occasions – higher 10,000 residents) by location of assault for Victoria, 1999-00 to 2006-07 in 2002-03 and lower in 2006-07, for all selected regional LGAs, Grampians region & Victoria, 1999-00 to 2006-07 100.0 other years there were no significant Ararat 50.0 80.0 differences. Ararat Ballarat 60.0 Figure 4 Alcohol-related hospital admission 40.0 Ballarat Golden 40.0 rates (per 10,000 residents) for residents in 30.0 Plains selected LGAs, Grampians region & Victoria, Grampians 20.0 Hepburn 20.0 1999-00 to 2006-07 Total State 0.0 10.0 of Victoria Grampians 100.0 West 0.0 Wimmera 80.0 Total State of Victoria (Source: DH VAED) 60.0 Yarriambiack 40.0 (Source: Victoria Police LEAP) The over the eight Grampians 20.0 years has shown rates for alcohol-related Total State hospital admissions increased from 42 to 0.0 of Victoria 48 per 10,000, with no significant The , the Shires of difference to the state. Moorabool and the Northern Grampian (Source: DH VAED) over the eight years have changed very little. However the intervening years Alcohol-related deaths there has been substantial variability, Owing to small numbers across the years particularly in the Northern Grampians Shire. All three LGAs for the majority of only the City of Ballarat, the region and state rates are shown in Figure 5. There years have rates significantly higher than

were no significant differences between the state. the jurisdiction within the Grampians region and the state.

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Figure 7 Alcohol-related assault rates (per Figure 9 Alcohol-related serious road injury 1999-00 to 2006-07 there has been a 10,000 residents) by location of assault for rates (per 10,000 residents) (SRI) all ages by broad upward trend. selected regional LGAs, Grampians region & location of injury for selected regional LGAs, Victoria, 1999-00 to 2006-07 Grampians region and Victoria, 1999-00 to 2006- Figure 10 Alcohol-related courses of treatment 07 (COT) rates per 10,000 residents, all ages, for selected LGAs, Grampians region and Victoria, 40.0 1999-00 to 2006-07 Moorabool 30.0 120.0 Northern Grampians 100.0 Ararat Grampians 20.0 80.0 Ballarat 60.0 Total State Golden 10.0 of Victoria 40.0 Plains Grampians 20.0 0.0 Total State 0.0 of Victoria

(Source: VicRoads) (Source: Victoria Police LEAP) (Source: DH ADIS) Alcohol-related treatment services Alcohol-related serious road injury The Shire of Hepburn over the eight (SRI) Figures 10 to 13 show rates for years has shown rates for alcohol-related Figure 8 and 9 show rates of alcohol- government funded drug treatment courses of treatment significantly higher related serous road injury (for the services where alcohol was identified as than the state with one exception. Rates location of the injury) over an eight year the primary drug of concern over an eight for 2006-07 may indicate the start of an period for the LGAs of the Grampians year period for the LGAs of the upward trend. Grampians. region. Both the region and the state Rates for the only rates for alcohol-related serious road These figures show over the eight years achieved a significant difference in 2006- injury have been relatively stable. The for Victoria and the region there has 07 where the rate was lower than the regional rate differed significantly from been an upward trend in rates of alcohol- state. There has been a suggestion of the state in three of the eight years related treatment episodes. The regional downturn since 2004-05. shown. rate was significantly higher than the Victorian rate for all eight years shown. The Rural City of Horsham rates for The City of Ballarat for the first four years alcohol-related courses of treatment shown had rates significantly lower than The rate of alcohol-related courses of treatment for the region has increased have shown an upward trend since 2004- the state. Thereafter only one year was 05. Rates since this time have been significantly different from the state. from 28 per 10,000 residents to 51, while the Victorian rate increase has been from significantly higher than the state. Figure 8 Alcohol-related serious road injury 26 to 40 per 10,000 in 1999-00 and Figure 11 Alcohol-related courses of treatment rates (per 10,000 residents) (SRI) all ages by 2006-07 respectively. In the main, the (COT) rates per 10,000 residents, all ages, for location of injury for selected regional LGAs, selected LGAs, Grampians region and Victoria, Grampians region and Victoria, 1999-00 to 2006- LGAs in the region have shown a general 1999-00 to 2006-07 07 upward trend though many 120.0 40.0 demonstrating variability in the Hepburn 100.0 Ballarat intervening years. Hindmarsh 80.0 30.0 Hepburn The Rural City of Ararat over the eight 60.0 Horsham 20.0 Horsham 40.0 years has shown rates for alcohol-related Grampians 20.0 Grampians courses of treatment to be relatively 10.0 Total State stable following the sharp increase in 0.0 of Victoria 0.0 2000-01 and subsequent decrease in 2001-02. Ararat has tended to sit between the state and the region in (Source: DH ADIS)

(Source: VicRoads) terms of population rates. Since 2000-01 rates have not been significantly different Moorabool Shire over the eight years has shown rates for alcohol-related courses The Shires of Moorabool and the from the state. of treatment significantly lower and Northern Grampians have demonstrated The City of Ballarat over the eight years higher than the state. Although an overall variability over time. Moorabool for three has shown rates for alcohol-related upward trend across time, rates peaked years had rates significantly higher than courses of treatment significantly higher in 2003-04 (58 COT per 10,000 the state however there were no than the state. The patterning that residents), and thereafter declined. significant differences for the four most Ballarat has demonstrated was similar to recent years. The Northern Grampians the region. Rates have increased from 40 Northern Grampians Shire following a rates commenced an upturn though this per 10,000 residents in 1999-00 to 65 in dramatic increase in alcohol-related COT was not significant. 2006-07. rates has been steadily decreasing, dropping from 69 in 2000-01 to 33 in The Shire of Golden Plains over the eight 2006-07. Rates were significantly higher years has shown rates for alcohol-related than the state until 2005-06. courses of treatment significantly lower than the state except for 2001-02. From

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Figure 12 Alcohol-related courses of treatment Figure 14 Liquor licences (outlet density) rates (COT) rates per 10,000 residents, all ages, for (per 10,000 aged 15 years and above) for the selected LGAs, Grampians region and Victoria, selected LGAs, Grampians region & Victoria, 1999-00 to 2006-07 1999 – 2006.

Ararat 120.0 100.0 Moorabool 100.0 Ballarat 80.0 Northern 80.0 Grampians Golden Plains 60.0 60.0 Pyrenees Hepburn 40.0 40.0 Grampians Hindmarsh 20.0 20.0 Total State Horsham 0.0 of Victoria 0.0 Grampians

Total State of Victoria (Source: DH ADIS) (Source: Department of Justice Victoria)

West Wimmera for the most recent four The Shires of Hepburn and Hindmarsh years has shown rates in alcohol-related outlet density over the eight years have courses of treatment significantly lower been significantly higher than the state. than the state. There was a slight upward Hepburn has shown an increase in rates trend in rates. over time, changing from 56 in 1999-00 Figure 13 Alcohol-related courses of treatment to 69 in 2006-07. Whereas Hindmarsh (COT) rates per 10,000 residents, all ages, for has shown a downward trend, selected LGAs, Grampians region and Victoria, decreasing from 63 in 1999-00 to 52 1999-00 to 2006-07 licences per 10,000 residents 15 years 140.0 West and over in 2006-07. 120.0 Wimmera 100.0 Yarriambiack The Shires of West Wimmera, 80.0 Yarriambiack, Northern Grampians and 60.0 Grampians 40.0 the Pyrenees have consistently shown 20.0 significantly higher liquor licence outlet Total State 0.0 of Victoria density than the state over the eight years. West Wimmera and Northern Grampians have been trending up, (Source: DH ADIS) Pyrenees and Yarriambiack have experienced a downward trend in recent Liquor licences years in licensing rates. Figures 14 and 15 show rates for liquor Figure 15 Liquor licences (outlet density) rates licences over an eight year period for the (per 10,000 aged 15 years and above) for the selected LGAs, Grampians region & Victoria, LGAs in the Grampians region. These 1999 – 2006. figures show patterns over the eight years have remained quite stable with a 100.0 Moorabool small increase in rates for Victoria overall 80.0 Northern Grampians and a slight decrease in the regional 60.0 Pyrenees

West rates. The regional rate was significantly 40.0 Wimmera higher than the Victorian rate for all eight Yarriambiack 20.0 years shown. The outlet density for the Grampians 0.0 region in 1999-00 and 2006-07 were the Total State of same, while the Victorian rate has Victoria increased from 23 to 27 per 10,000 residents aged 15 years and over. (Source: Department of Justice Victoria) Licences have increased by 31% over the eight year period in Victoria, compared with eight per cent in the Grampians region. Please note not all licences are included here, specifically BYO, temporary and hotel type licences are excluded. The Rural Cities of Ararat and Horsham over the eight years had significantly higher rates than the state. Ararat showed a slight upward trend while Horsham showed a downward trend. Please note the scale may mask this trend.

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