Alcohol Consumption Among Young People

This topic area covers statistics and information relating to alcohol consumption among young people in Hull including local strategic need and service provision. Further information relating to Alcohol Consumption Among Adults is given under Lifestyle Factors within Adults. Alcohol consumption information has been collected within Hull’s Health and Wellbeing Surveys and full reports are available under Surveys within Tools and Resources.

This page contains information from the Office for Health Improvement & Disparities’ Fingertips. Information is taken ‘live’ from the site so uses the latest available data from Fingertips and displays it on this page. As a result, some comments on this page may relate to an earlier period of time until this page is next updated (see review dates at the end of this page).

The Office for National Statistics ‘back-date’ their recent estimates of the resident population once more accurate Census data becomes available. Their revised estimates were released for each local authority on the 23 November 2023. The Office for Health Improvement & Disparities updated the majority of their indicators that relied on population estimates in February, but not all indicators were updated including those relating to alcohol-specific admissions among under 18s. This means that the trend data is currently missing from Fingertips until this indicator has been updated for the the back-revised populations.

Headlines

• As well as alcoholic liver disease, alcohol consumption is a causal factor in 60 types of diseases and injuries, with a component cause in 200 others. The cost to society was estimated to be £21 billion in 2013/14.  As well as individual health risks, excessive alcohol consumption has significant effects on family, the community and the economy. Around 40% of all violent crimes are alcohol-related.
• Whilst more young people and adults are never drinking alcohol, and the majority of those who are drinking are drinking less alcohol, there are harmful levels of alcohol consumption across Hull resulting in high levels of health-related harm and hospital admissions.
• In 2016, the percentage of Year 11 (aged 15-16 years) pupils drinking alcohol at least once a week was 11% for boys and 8.5% for girls, having fallen from 36% for boys and 22% of girls since 2008-09.
• In 2016, very few younger pupils exceeded the maximum recommended weekly alcohol limits for adults (14 units), but 7.7% of boys and 5.0% of girls did so in Year 11, but this was a fall from 2008-09 when 26% of boys and 10% of girls had exceeded 14 units the previous week.
• In 2008-09, over one-third of boys and almost four in ten girls in Year 11 reported they got drunk at least once a month, but this fell to 16% of boys and 33% of girls in 2016.
• Whilst admissions from alcohol-specific conditions among under 18s was twice as high in Hull compared to England for the three year period 2016/17-2018/19 and 2017/18-2019/20, the rates have reduced sharply in Hull. The admission rates are marginally lower in Hull compared to England for males aged under 18 years, but much lower for females aged under 18 years. The admission rates for the most recent three year period 2020/21-2022/23 in Hull are half that of England and are also statistically significantly lower than England. Over the last three years, there has been an average of five male and five female admissions for alcohol-specific conditions among under 18s in Hull.

The Population Affected – Why Is It Important?

Alcohol consumption is the world’s third largest risk factor for disease and disability.  Alcohol is a causal factor in 60 types of diseases and injuries, and a component cause in 200 others. Liver problems, reduced fertility, high blood pressure, increased risk of various cancers and heart attack are some of the numerous harmful effects of regularly drinking more than the recommended levels. Excessive alcohol consumption can also lead to fatigue, depression, weight gain, poor sleep and sexual problems.

Modelled estimates suggest that over one million admissions attributable to alcohol occurred in England during 2012/13.  In 2013/14, the total annual cost to society of alcohol-related harm was estimated to be £21 billion (£3.5 billion for NHS). There are also significant effects on families and communities, with an increased risk of vandalism, violent crime, domestic abuse, road casualties and sickness absence from work. It is estimated that around 40% of all violent crimes are alcohol-related.

The Hull Picture

From the local Young People Health and Lifestyle Survey 2016, 17% of Year 7 pupils (aged 11-12 years) had ever had a whole alcoholic drink but this increased to 83% among Year 11 pupils (aged 15-16 years). Children in Hull were more likely to have had a whole alcoholic drink compared to England (46% in Hull and 38% in England across all ages).  In 2008-09 and 2012, over 60% of pupils in Hull had had a whole alcoholic drink but this fell to 50% in 2016.

Over time, the percentage of children drinking alcohol at least once a week has at least halved over time with some of the greatest differences in the older ages (36% of boys and 22% of girls in Year 11 reported weekly drinking in 2008-09 but this fell to 11% of boys and 8.5% of girls in 2016). Whilst the percentages drinking alcohol weekly were small among pupils aged 11-14 years they were slightly higher than England, but pupils aged 15 years were less likely to drink alcohol weekly in Hull (6.4% versus 10% in boys and 5.5% versus 10% in girls).

Very few younger pupils exceeded the maximum recommended alcohol limits for adults (14 units), but 7.7% of boys and 5.0% of girls did so in Year 11. This was a considerable reduction over time though across all school years. Among Year 11 pupils, in 2008-09, 26% of boys and 10% of girls had exceeded 14 units the previous week, and in 2012, 11% of boys and 7.4% of girls had done so. Across all school years, there was a clear trend in the percentage exceeding 14 units the previous week by deprivation among boys (4.2% in most deprived fifth compared to 1.5% in least deprived fifth of areas of Hull), although there was less of an association among girls with the highest prevalence for the least deprived fifth of areas of Hull (between 1.5% to 1.7% for most deprived four-fifths of areas compared to 2.3% for least deprived fifth of areas of Hull).

In 2008-09, over one-third of boys and almost four in ten girls in Year 11 reported that they got drunk at least once a month, but this fell to 16% of boys and 33% of girls in 2016.

The Office for Health Improvement & Disparities’ Fingertips provide information on a number of indicators relating to alcohol. This includes the number of hospital admissions among under 18s which are wholly or specifically due to alcohol such as alcohol poisoning, and the number is given as a rate per 100,000 population (the rates are not age-standardised).

A full list of diseases and conditions which are included in the alcohol-specific / wholly attributable to alcohol measure is given under Alcohol Specific Admissions and Deaths.

The admission rate for alcohol-specific conditions among the under 18s for both males and females in Hull for the three year period 2020/21 to 2022/23 is lower than England.

For adults, the admission rates for alcohol-specific conditions are significantly higher for men compared to women generally around twice as high among men. However, the pattern is the reverse for under 18s with more women admitted to hospital for alcohol-specific conditions. This is not unique to Hull as the admission rates are higher among women compared to men for all local authorities across the region for 2020/21-2022/23, although for Hull the difference in the admission rates for men and women is small compared to some local authorities within the region.

For males and females, the rate in Hull was high in 2006/07-2008/09 and was significantly higher than England, but the admission rate fell quite dramatically between 2006/07-2008/09 and 2013/14-2015/16. The fall in Hull was at a faster rate than England thus decreasing the inequalities gap. Indeed, in 2013/14-2015/16, the alcohol-specific rate in Hull was slightly lower than the rate in England. Since then, the rate in Hull increased for three years to a peak of 60.6 admissions per 100,000 population (89% higher than England) and increased by 70% over a three year period. The rate in Hull was statistically significantly higher than England for the four year period 2015/16-2017/18 to 2018/19-2020/21. However, since that peak, the rate in Hull has fallen sharply such that the rate for 2019/20-2021/22 was similar to England and the latest rate for 2020/21-2022/23 is 33% lower than England. The rate for the latest three year period 2020/21-2022/23 is one-third what it was at its peak in 2016/17-2018/19.

Over the three year period, there were approximately 35 alcohol-specific admissions in Hull so an average of just over 11 per year (numbers rounded to nearest five).

Among males, for the three year period 2020/21 to 2022/23, the rate of alcohol-specific admissions among the under 18s in Hull similar to England.

Among males aged under 18 years, admissions for alcohol-specific conditions increased from 34.6 to a peak of 67.2 admissions per 100,000 population in Hull between 2013/14-2015/16 and 2016/17-2018/19. However, the rate has decreased relatively sharply in Hull since then to reach a new low of 16.4 admissions per 100,000 population for 2020/21-2022/23.

Over the three year period 2020/21-2022/23, there were an average of five admissions among males aged under 18 years in Hull for alcohol-specific conditions.

Among females, the alcohol-specific admission rate in Hull was statistically significantly lower than to England for 2020/21-2022/23, and among the lowest in the region.

Whilst the pattern for females followed a similar pattern with an increase between 2013/14-2015/16 and 2016/17-2018/19 the increase was slightly smaller than for males (75% increase) and the subsequent decrease was also – whilst dramatic – was smaller than the decrease observed for males with the rate for women falling to one-third in 2020/21-2022/23 to what it was for 2016/17-2018/19. Furthermore, among men the admission rate was statistically significantly higher than England for four of the periods whereas for women the admission rate was statistically significantly higher than England for only one period.

For females aged under 18 years over the three year period, there were approximately 15 alcohol-specific admissions in Hull so an average of around five per year (numbers rounded to nearest five).

Strategic Need and Service Provision

Hull’s Alcohol and Drugs Partnership Strategy 2022-25 provides key priorities and recommendations for preventing alcohol related harm. The Strategy has six priorities:

1. Developing a Prevention and Early Intervention approach across the partnership;
2. Implement a more targeted approach to support at-risk groups;
3. Improving services to effectively support young people and adults with co-existing mental illness and substance use, and/or with multiple and complex needs;
4. Tackling alcohol/drug related stigma to ensure people have equitable access to services and resources.;
5. Developing community assets to achieve and sustain recovery; and
6. Reducing the risks associated with alcohol/drug use by utilising a harm reduction approach.

It is necessary that public health, health providers, schools and those working with young people and families, community workers, and communities work together to maximise opportunities to prevent and identify alcohol/drug use among children, young people and families, and offer more wrap-around support to prevent rapid escalation of problems associated with alcohol use.

It is recognised that more work needs to be done around increasing local awareness and understanding of alcohol and drug related harm, managing availability of alcohol, providing age appropriate and accurate information to children and young people, and commissioning universal, targeted and specialist substance treatment services that meet the needs of children and young people, especially of groups at risk.

Further information is available in the Hull Alcohol and Drugs Partnership Strategy.

Social return on investment tools for drugs and alcohol make the case of investing in treatment programs to reduce overall crime and anti-social behaviour to reduce costs to society and the economy. It is estimated that over 4,421 crimes (90% shoplifting) were committed by alcohol treatment clients before their entry to treatment, and with an estimated 39% reduction in the number of crimes, around 1,726 crimes were prevented after treatment. The gross benefit of alcohol treatment in 2017/18 in Hull was estimated to be over £3,280,176.

ReFresh is a young people’s drug and alcohol service providing confidential support for young people up to the age of 18 who live, study or work in Hull. ReFresh can help with family relationships, secure somewhere stable to live, get support with school, college or work, and help young people make positive use of their time. They offer a space for:

• young people to talk with someone to listen to them;
• providing advice and information on reducing consumption of alcohol and substances and using safely;
• providing health checks including sexual health, safer injecting, and testing and treatment for blood borne viruses;
• helping to deal with cravings, controlling tension and reducing anxiety;
• helping with emotional and mental health; and
• helping improve family relationships.

Young people can contact ReFresh through email and phone as well as visiting in person. Parents and carers can also seek advice and support if they are concerned about a young person.

Young people can contact ReFresh through email and phone as well as visiting in person. Parents and carers can also seek advice and support if they are concerned about a young person.

Resources

Local Young People Health and Wellbeing Surveys

The Office for Health Improvement & Disparities’ Fingertips. https://fingertips.phe.org.uk/

Hull City Council. Drug and Alcohol Support. https://www.hull.gov.uk/health-and-wellbeing/public-health/drug-and-alcohol-support

Hull City Council. Hull Alcohol and Drugs Strategy 2022-25. https://www.hull.gov.uk/sites/hull/files/media/Editor%20-%20Public%20health/Hull%20Alcohol%20and%20Drugs%20Strategy%202022-2025.pdf

Hull ReFresh. Hull’s young people drug and alcohol service. https://www.refreshhull.org.uk/

Updates

This page was last updated / checked on 19 June 2024.

This page is due to be updated / checked in November 2024.