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Trends in drug-related hospitalisations in New South Wales, 1999-2021

Author: Agata Chrzanowska , Nicola Man , Jane Akhurst , Rachel Sutherland , Louisa Degenhardt , Amy Peacock

Last updated: 02 Nov 2022
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image - Trends in drug-related hospitalisations in New South Wales, 1999-2021

There were 18,957 hospitalisations with a drug-related principal diagnosis in New South Wales in 2020-21, equivalent to 0.57% of all hospitalisations in New South Wales.

This is equivalent to 246 hospitalisations per 100,000 people, which is similar to the rate in 2019-20 (250 hospitalisations per 100,000 people; p=0.172), but an increase from 223 hospitalisations per 100,000 people in 1999-00.

Sex

In 2020-21, the rate of hospitalisations was higher among males than females (273 versus 220 hospitalisations per 100,000 people, respectively).

Age

In 2020-21, the rate of hospitalisations was highest among the 20-29 age group, followed by the 30-39 and 40-49 age groups (469, 414, and 355 hospitalisations per 100,000 people, respectively). Among males, the rate of drug-related hospitalisations was highest in the 30-39 and 20-29 age groups, and among females in the 20-29 age group.

Remoteness Area of Usual Residence

The highest rate of hospitalisations in 2020-21 was observed in remote and very remote New South Wales (81  hospitalisations, 279 per 100,000 people), while the number of hospitalisations was highest in major city areas (14,945 hospitalisations, 250 per 100,000 people).

External Cause of Drug Poisoning

In 2020-21, 34% of drug-related hospitalisations in New South Wales were due to drug poisoning. Furthermore, 69% of drug poisoning related hospitalisations were intentional (59 hospitalisations per 100,000 people) and 23% were unintentional (18 hospitalisations per 100,000 people).

Drug Type

In 2020-21, the rate of hospitalisations was highest where there was a principal diagnosis indicating amphetamine-type stimulants (58 hospitalisations per 100,000 people).

Compared to 2019-20, there were significant decreases in 2020-21 in the rates of hospitalisations related to amphetamine-type stimulants; antiepileptic, sedative-hypnotic and antiparkinsonism drugs; and opioids (p<0.050).

In contrast, there were significant increases in the rates of hospitalisations related to multiple drug use; cannabinoids; non-opioid analgesics; and cocaine (p<0.050).

Age-standardised rate per 100,000 people of drug-related hospitalisations, by sex, New South Wales, 1999-00 to 2020-21.

image - Trends in drug-related hospitalisations in New South Wales, 1999-2021

Age-standardised rate per 100,000 people of drug-related hospitalisations, by remoteness, New South Wales, 2012-13 to 2020-21.

image - Trends in drug-related hospitalisations in New South Wales, 1999-2021

Note: The size (area) of the bubble is proportional to the number of hospitalisations. Data on remoteness are only available from 2012-13.

Age-standardised rate per 100,000 people of drug-related hospitalisations, by principal diagnosis of mental and behavioural disorder due to substance use (A) and external cause of poisoning (B), New South Wales, 1999-00 to 2020-21.

image - Trends in drug-related hospitalisations in New South Wales, 1999-2021

Age-standardised rate per 100,000 people of drug-related hospitalisations, by drug identified in the principal diagnosis, New South Wales, 1999-00 to 2020-21.

image - Trends in drug-related hospitalisations in New South Wales, 1999-2021

Note: Age-standardised rates were not calculated if the number of hospitalisations was less than or equal to 10 (please refer to our  methods  document for details). Suppressed data are visible as gaps in the data series.

For complete report on trends in drug-related hospitalisations in Australia please go to the national report

Acknowledgements

Funding

The Drug Trends program is funded by the Australian Government Department of Health and Aged Care under the Drug and Alcohol Program.

Data source

We would like to acknowledge the Australian Institute of Health and Welfare for data from the National Hospital Morbidity Database.

Acknowledgements

We would like to acknowledge the contribution of those who have been involved in past reporting on drug-related hospitalisations by Drug Trends, specifically: A/Prof Timothy Dobbins, Dr Amanda Roxburgh, and A/Prof Lucinda Burns.

We thank Dr Louise Tierney and her team from the Tobacco, Alcohol and Other Drugs Unit at the Australian Institute of Health and Welfare for reviewing the report.

We acknowledge the traditional custodians of the land on which the work for this report was undertaken. We pay our respects to Elders past, present, and emerging.

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ISBN 978-0-7334-4058-8 ©NDARC, UNSW SYDNEY 2022

This report was prepared by researchers from the National Drug and Alcohol Research Centre for the Drug Trends program. The Drug Trends program is coordinated by the National Drug and Alcohol Research Centre, UNSW Sydney and undertaken in partnership with the Burnet Institute, National Drug Research Institute, University of Queensland, and University of Tasmania.

This work is copyright. You may download, display, print and reproduce this material in unaltered form only (retaining this notice) for your personal, non-commercial use or use within your organisation. All other rights are reserved. Requests and enquiries concerning reproduction and rights should be addressed to NDARC, UNSW Sydney, NSW 2052, Australia.

Recommended citation: Chrzanowska, A., Man, N., Akhurst, J., Sutherland, R., Degenhardt, L. & Peacock, A. (2022). Trends in drug-related hospitalisations in Australia, 1999-2021. Sydney: National Drug and Alcohol Research Centre, UNSW Sydney. DOI: 10.26190/wrsv-3b78

Please note that as with all statistical reports there is the potential for minor revisions to data in this report. Please refer to the online version at Drug Trends.

Please contact the Drug Trends team with any queries regarding this publication: drugtrends@unsw.edu.au.