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Results from the 2013 National Survey on Drug Use …

Results from the 2013 National Survey on drug Use and health : Summary of National Findings DEPARTMENT OF health AND HUMAN services substance abuse and mental health services administration Center for Behavioral health Statistics and Quality ii Acknowledgments This report was prepared by the Center for Behavioral health Statistics and Quality (CBHSQ), substance abuse and mental health services administration (SAMHSA), Department of health and Human services (HHS), and by RTI International (a trade name of Research Triangle Institute), Research Triangle Park, North Carolina. Work by RTI was performed under Contract No. HHSS283201000003C. Public Domain Notice All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, Department of health and Human services .

Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration

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Transcription of Results from the 2013 National Survey on Drug Use …

1 Results from the 2013 National Survey on drug Use and health : Summary of National Findings DEPARTMENT OF health AND HUMAN services substance abuse and mental health services administration Center for Behavioral health Statistics and Quality ii Acknowledgments This report was prepared by the Center for Behavioral health Statistics and Quality (CBHSQ), substance abuse and mental health services administration (SAMHSA), Department of health and Human services (HHS), and by RTI International (a trade name of Research Triangle Institute), Research Triangle Park, North Carolina. Work by RTI was performed under Contract No. HHSS283201000003C. Public Domain Notice All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, Department of health and Human services .

2 When using estimates and quotations from this report, citation of the source is appreciated. Recommended Citation substance abuse and mental health services administration , Results from the 2013 National Survey on drug Use and health : Summary of National Findings, NSDUH Series H-48, HHS Publication No. (SMA) 14-4863. Rockville, MD: substance abuse and mental health services administration , 2014. Electronic Access and Copies of Publication This publication may be downloaded from Hard copies may be obtained from SAMHSA at 1-877-SAMHSA-7 (1-877-726-4727) (English and Espa ol). Originating Office substance abuse and mental health services administration Center for Behavioral health Statistics and Quality 1 Choke Cherry Road, Room 2-1067 Rockville, MD 20857 September 2014iii Table of Contents Chapter Page List of Tables .. vii List of Figures .. ix Highlights ..1 1. Introduction ..9 Summary of NSDUH .. 9 Limitations on Trend Measurement.

3 10 Format of Report and Data Presentation .. 11 Other NSDUH Reports and Data .. 12 2. Illicit drug Use ..15 Age .. 19 Youths Aged 12 to 17 .. 21 Young Adults Aged 18 to 25 .. 21 Adults Aged 26 or Older .. 24 Gender .. 25 Pregnant Women .. 26 Race/Ethnicity .. 26 Education .. 26 College Students .. 27 Employment .. 28 Geographic Area .. 29 Criminal Justice 29 Frequency of Marijuana Use .. 30 Association with Cigarette and Alcohol Use .. 31 Driving Under the Influence of Illicit Drugs .. 31 Source of Prescription Drugs .. 31 3. Alcohol Use ..35 Alcohol Use among Persons Aged 12 or Older .. 35 Age .. 36 Gender .. 37 Pregnant Women .. 37 Race/Ethnicity .. 38 Education .. 39 College Students .. 40 Employment .. 41 Geographic Area .. 41 Association with Illicit drug and Tobacco Use .. 41 Driving Under the Influence of Alcohol .. 42 Underage Alcohol Use .. 44 iv Table of Contents (continued) Chapter Page 4. Tobacco Age.

4 48 Gender .. 48 Pregnant Women .. 51 Race/Ethnicity .. 52 Education .. 52 College Students .. 53 Employment .. 53 Geographic Area .. 53 Association with Illicit drug and Alcohol Use .. 54 Frequency of Cigarette Use .. 54 5. Initiation of substance Use ..57 Initiation of Illicit drug Use .. 58 Comparison, by drug .. 59 Marijuana .. 61 Cocaine .. 62 Heroin .. 62 Hallucinogens .. 63 Inhalants .. 64 Psychotherapeutics .. 64 Alcohol .. 67 Tobacco .. 67 6. Youth Prevention-Related Measures ..71 Perceived Risk of substance Use .. 71 Perceived Availability .. 75 Perceived Parental Disapproval of substance Use .. 77 Attitudes toward Peer substance Use .. 77 Fighting and Delinquent Behavior .. 78 Religious Involvement and Beliefs .. 78 Exposure to substance Use Prevention Messages and Programs .. 79 Parental Involvement .. 80 7. substance Dependence, abuse , and Treatment ..81 substance Dependence or abuse .. 81 Age at First Use.

5 85 Age .. 86 Gender .. 87 Race/Ethnicity .. 88 Education .. 88 Employment .. 88 v Table of Contents (continued) Chapter Page Criminal Justice 89 Geographic Area .. 89 Past Year Treatment for a substance Use Problem .. 89 Need for and Receipt of Specialty Treatment .. 92 Illicit drug or Alcohol Use Treatment and Treatment Need .. 93 Illicit drug Use Treatment and Treatment Need .. 96 Alcohol Use Treatment and Treatment Need .. 97 8. Comparison of Trends in substance Use among Youths and Young Adults ..99 Description of NSDUH and Other Data Sources .. 99 Comparison of NSDUH, MTF, and YRBS Trends for Youths .. 100 Comparison of NSDUH and MTF Trends for Young 105 Appendix A Description of the Survey ..113 Sample Design .. 113 Data Collection Methodology .. 115 Data Processing .. 117 B Statistical Methods and Measurement ..123 Target Population .. 123 Sampling Error and Statistical Significance .. 123 Other Information on Data Accuracy.

6 129 Measurement Issues .. 133 C Other Sources of Data ..147 Other National Surveys of substance Use .. 147 substance abuse Treatment Data Sources .. 155 Surveys of Populations Not Covered by NSDUH .. 157 D References ..163 E List of Contributors ..169 vi vii List of Tables Table Page Comparison of NSDUH, MTF, and YRBS Lifetime Prevalence Estimates among Youths: Percentages, 2002-2013 .. 107 Comparison of NSDUH, MTF, and YRBS Past Year Prevalence Estimates among Youths: Percentages, 2002-2013 .. 108 Comparison of NSDUH, MTF, and YRBS Past Month Prevalence Estimates among Youths: Percentages, 2002-2013 .. 109 Comparison of NSDUH and MTF Lifetime Prevalence Estimates among Young Adults: Percentages, 2002-2013 .. 110 Comparison of NSDUH and MTF Past Year Prevalence Estimates among Young Adults: Percentages, 2002-2013 .. 111 Comparison of NSDUH and MTF Past Month Prevalence Estimates among Young Adults: Percentages, 2002-2013.

7 112 Weighted Statistical Imputation Rates (Percentages) for the 2013 NSDUH, by Interview Section .. 122 Demographic and Geographic Domains Forced to Match Their Respective Census Bureau Population Estimates through the Weight Calibration Process, 140 Summary of 2013 NSDUH Suppression Rules .. 141 Weighted Percentages and Sample Sizes for 2012 and 2013 NSDUHs, by Final Screening Result Code .. 142 Weighted Percentages and Sample Sizes for 2012 and 2013 NSDUHs, by Final Interview Code .. 143 Response Rates and Sample Sizes for 2012 and 2013 NSDUHs, by Demographic Characteristics .. 144 Past Year Initiates of Marijuana and Any Illicit drug among Persons Aged 12 or Older, Aged 26 or Older, or Aged 26 to 49: Numbers in Thousands, 2002-2013 .. 145 Mean Age at First Use of Marijuana and Any Illicit drug among Past Year Initiates Aged 26 to 49, 145 Use of Specific Substances in Lifetime, Past Year, and Past Month among 8th, 10th, and 12th Graders in MTF and NSDUH: Percentages, 2012 and 2013.

8 160 viii List of Tables (continued) Table Page Lifetime and Past Month substance Use among Students in Grades 9 to 12 in YRBS and NSDUH: Percentages, 2005, 2007, 2009, 2011, and 2013 .. 161 ix List of Figures Figure Page Census Bureau Regions .. 13 Past Month Illicit drug Use among Persons Aged 12 or Older: 2013 .. 16 Past Month Use of Selected Illicit Drugs among Persons Aged 12 or Older: 17 Past Month Nonmedical Use of Types of Psychotherapeutic Drugs among Persons Aged 12 or Older: 2002-2013 .. 18 Past Month and Past Year Heroin Use among Persons Aged 12 or Older: 19 Past Month Illicit drug Use among Persons Aged 12 or Older, by Age: 2012 and 20 Past Month Illicit drug Use among Persons Aged 12 or Older, by Age: 2002-2013 .. 20 Past Month Use of Selected Illicit Drugs among Youths Aged 12 to 17: 22 Past Month Use of Selected Illicit Drugs among Youths Aged 12 to 17: 2013 .. 22 Past Month Use of Selected Illicit Drugs among Young Adults Aged 18 to 25: 2002-2013.

9 23 Past Month Illicit drug Use among Adults Aged 50 to 64: 2002-2013 .. 24 Past Month Marijuana Use among Youths Aged 12 to 17, by Gender: 2002-2013 .. 25 Past Month Illicit drug Use among Persons Aged 12 or Older, by Race/Ethnicity: 2002-2013 .. 27 Past Month Illicit drug Use among Persons Aged 18 or Older, by Employment Status: 2012 and 2013 .. 28 Past Month Illicit drug Use among Persons Aged 12 or Older, by County Type: 29 Daily or Almost Daily Marijuana Use in the Past Year and Past Month among Persons Aged 12 or Older: 2002-2013 .. 30 Source Where Pain Relievers Were Obtained for Most Recent Nonmedical Use among Past Year Users Aged 12 or Older: 32 x List of Figures (continued) Figure Page Current, Binge, and Heavy Alcohol Use among Persons Aged 12 or Older, by Age: 2013 .. 36 Binge Alcohol Use among Adults Aged 18 to 25, by Gender: 2002-2013 .. 38 Current, Binge, and Heavy Alcohol Use among Persons Aged 12 or Older, by Race/Ethnicity: 2013.

10 39 Binge Alcohol Use among Adults Aged 18 to 22, by College Enrollment: 40 Driving Under the Influence of Alcohol in the Past Year among Persons Aged 12 or Older: 2002-2013 .. 42 Driving Under the Influence of Alcohol in the Past Year among Persons Aged 16 or Older, by Age: 2013 .. 43 Current Alcohol Use among Persons Aged 12 to 20, by Age: 2002-2013 .. 44 Current, Binge, and Heavy Alcohol Use among Persons Aged 12 to 20, by Gender: 2013 .. 45 Past Month Tobacco Use among Persons Aged 12 or Older: 2002-2013 .. 47 Past Month Tobacco Use among Youths Aged 12 to 17: 2002-2013 .. 49 Past Month Cigarette Use among Persons Aged 12 or Older, by Age: 2013 .. 49 Past Month Cigarette Use among Youths Aged 12 to 17, by Gender: 2002-2013 .. 50 Past Month Cigarette Use among Women Aged 15 to 44, by Pregnancy Status: Combined Years 2002-2003 to 2012-2013 .. 51 Past Month Smokers of One or More Packs of Cigarettes per Day among Daily Smokers, by Age Group: 2002-2013.


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