2017-2018 national survey on drug use and health: model

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2017-2018 National Survey on Drug Use and Health: Model-Based Prevalence Estimates (50 States and the District of Columbia)

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Page 1: 2017-2018 National Survey on Drug Use and Health: Model

2017-2018 National Survey on Drug Use and Health:

Model-Based Prevalence Estimates (50 States and the District of Columbia)

Page 2: 2017-2018 National Survey on Drug Use and Health: Model

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190821

Table 1 Illicit Drug Use in the Past Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 11.43 (11.14 - 11.73) 7.96 (7.59 - 8.34) 24.04 (23.38 - 24.72) 9.82 (9.49 - 10.16) 11.78 (11.47 - 12.10) Northeast 11.88 (11.35 - 12.43) 8.31 (7.64 - 9.02) 26.53 (25.14 - 27.97) 9.96 (9.34 - 10.63) 12.20 (11.64 - 12.79) Midwest 11.01 (10.58 - 11.45) 7.90 (7.35 - 8.50) 23.80 (22.59 - 25.06) 9.29 (8.77 - 9.82) 11.32 (10.86 - 11.80) South 9.60 (9.28 - 9.93) 7.24 (6.78 - 7.72) 20.94 (19.89 - 22.03) 8.08 (7.68 - 8.50) 9.84 (9.49 - 10.20) West 14.39 (13.83 - 14.97) 8.93 (8.18 - 9.73) 27.29 (25.82 - 28.81) 12.95 (12.27 - 13.66) 14.95 (14.34 - 15.58) Alabama 10.74 (9.23 - 12.45) 7.77 (6.21 - 9.68) 21.12 (17.89 - 24.76) 9.43 (7.75 - 11.43) 11.04 (9.42 - 12.89) Alaska 18.05 (16.06 - 20.22) 9.19 (7.36 - 11.43) 27.48 (23.56 - 31.78) 17.66 (15.27 - 20.33) 19.02 (16.85 - 21.41) Arizona 12.46 (10.63 - 14.56) 7.42 (5.88 - 9.32) 22.20 (18.52 - 26.38) 11.47 (9.36 - 13.99) 12.98 (11.00 - 15.26) Arkansas 10.69 (9.15 - 12.46) 6.75 (5.38 - 8.44) 18.76 (15.72 - 22.22) 9.87 (8.08 - 11.99) 11.11 (9.44 - 13.03) California 13.44 (12.63 - 14.29) 8.53 (7.51 - 9.68) 26.81 (24.69 - 29.04) 11.82 (10.85 - 12.85) 13.94 (13.06 - 14.87) Colorado 19.64 (17.57 - 21.89) 10.92 (8.76 - 13.54) 36.37 (32.22 - 40.72) 18.00 (15.59 - 20.69) 20.51 (18.28 - 22.95) Connecticut 14.34 (12.46 - 16.44) 10.45 (8.55 - 12.71) 32.64 (28.63 - 36.94) 11.83 (9.72 - 14.31) 14.71 (12.70 - 16.98) Delaware 13.13 (11.45 - 15.02) 9.90 (8.02 - 12.16) 28.48 (24.66 - 32.63) 11.25 (9.37 - 13.45) 13.43 (11.64 - 15.45) District of Columbia 19.91 (17.74 - 22.28) 10.51 (8.55 - 12.86) 35.08 (30.62 - 39.82) 17.75 (15.31 - 20.49) 20.44 (18.17 - 22.92) Florida 10.71 (9.86 - 11.62) 8.35 (7.28 - 9.56) 24.51 (22.40 - 26.74) 9.08 (8.10 - 10.18) 10.91 (10.00 - 11.90) Georgia 9.51 (8.39 - 10.75) 6.89 (5.66 - 8.37) 21.74 (19.06 - 24.68) 7.82 (6.56 - 9.29) 9.80 (8.59 - 11.15) Hawaii 10.26 (8.66 - 12.12) 6.50 (5.06 - 8.32) 18.62 (15.37 - 22.36) 9.52 (7.72 - 11.69) 10.60 (8.89 - 12.59) Idaho 9.44 (8.07 - 11.01) 7.45 (5.97 - 9.27) 17.49 (14.49 - 20.96) 8.38 (6.84 - 10.24) 9.68 (8.20 - 11.39) Illinois 11.01 (9.99 - 12.12) 8.27 (7.05 - 9.69) 24.51 (21.95 - 27.27) 9.19 (8.04 - 10.49) 11.29 (10.20 - 12.49) Indiana 11.85 (10.29 - 13.60) 7.79 (6.34 - 9.55) 24.66 (21.03 - 28.69) 10.15 (8.44 - 12.16) 12.28 (10.61 - 14.18) Iowa 9.39 (8.00 - 10.99) 7.30 (5.84 - 9.10) 20.04 (16.73 - 23.82) 7.77 (6.24 - 9.63) 9.60 (8.12 - 11.33) Kansas 8.81 (7.50 - 10.33) 6.49 (5.16 - 8.12) 17.44 (14.52 - 20.82) 7.59 (6.13 - 9.37) 9.07 (7.66 - 10.70) Kentucky 10.22 (8.72 - 11.95) 7.18 (5.75 - 8.94) 18.75 (15.55 - 22.44) 9.21 (7.52 - 11.25) 10.53 (8.92 - 12.39) Louisiana 9.64 (8.25 - 11.22) 6.59 (5.22 - 8.30) 21.53 (18.39 - 25.03) 8.10 (6.57 - 9.95) 9.96 (8.47 - 11.66) Maine 17.53 (15.44 - 19.83) 11.32 (9.29 - 13.73) 36.55 (32.44 - 40.87) 15.64 (13.31 - 18.30) 18.05 (15.83 - 20.50) Maryland 11.55 (10.02 - 13.29) 8.82 (7.15 - 10.83) 26.51 (22.79 - 30.61) 9.62 (7.93 - 11.61) 11.82 (10.19 - 13.68) Massachusetts 15.84 (13.95 - 17.94) 11.30 (9.22 - 13.78) 34.16 (30.25 - 38.30) 13.19 (11.08 - 15.64) 16.25 (14.23 - 18.48) Michigan 14.38 (13.24 - 15.60) 9.44 (8.12 - 10.95) 30.15 (27.56 - 32.87) 12.35 (11.01 - 13.83) 14.87 (13.64 - 16.19) Minnesota 10.65 (9.25 - 12.24) 7.70 (6.17 - 9.57) 23.41 (19.85 - 27.38) 9.01 (7.47 - 10.83) 10.96 (9.46 - 12.66) Mississippi 8.71 (7.40 - 10.22) 6.45 (5.08 - 8.15) 18.13 (14.90 - 21.87) 7.40 (5.98 - 9.11) 8.96 (7.56 - 10.58) Missouri 10.22 (8.87 - 11.75) 7.62 (6.12 - 9.44) 21.61 (18.38 - 25.22) 8.72 (7.21 - 10.50) 10.49 (9.05 - 12.12) Montana 15.80 (13.98 - 17.81) 10.99 (8.95 - 13.42) 29.03 (25.19 - 33.19) 14.25 (12.18 - 16.60) 16.25 (14.30 - 18.40)

See notes at end of table. (continued)

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Table 1 Illicit Drug Use in the Past Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 9.50 (8.18 - 11.01) 7.29 (5.81 - 9.11) 23.21 (19.64 - 27.20) 7.37 (5.94 - 9.11) 9.74 (8.32 - 11.37) Nevada 16.34 (14.33 - 18.58) 10.15 (8.17 - 12.54) 34.01 (29.76 - 38.53) 14.55 (12.26 - 17.18) 16.96 (14.80 - 19.37) New Hampshire 15.47 (13.54 - 17.61) 10.71 (8.80 - 12.98) 31.76 (27.62 - 36.21) 13.48 (11.31 - 15.98) 15.89 (13.84 - 18.19) New Jersey 9.20 (8.04 - 10.51) 7.07 (5.76 - 8.66) 22.66 (19.36 - 26.34) 7.47 (6.19 - 8.98) 9.41 (8.17 - 10.82) New Mexico 14.09 (12.13 - 16.31) 10.50 (8.49 - 12.92) 25.73 (21.99 - 29.85) 12.65 (10.41 - 15.29) 14.47 (12.37 - 16.86) New York 11.36 (10.42 - 12.38) 7.85 (6.78 - 9.08) 25.90 (23.64 - 28.30) 9.43 (8.35 - 10.64) 11.68 (10.67 - 12.77) North Carolina 9.25 (8.14 - 10.49) 8.02 (6.66 - 9.63) 21.15 (18.32 - 24.29) 7.53 (6.29 - 8.98) 9.37 (8.19 - 10.70) North Dakota 8.73 (7.43 - 10.22) 6.09 (4.74 - 7.79) 18.38 (15.36 - 21.85) 7.11 (5.69 - 8.84) 8.98 (7.61 - 10.57) Ohio 10.03 (9.11 - 11.04) 7.53 (6.42 - 8.83) 22.30 (19.99 - 24.79) 8.39 (7.34 - 9.59) 10.28 (9.29 - 11.37) Oklahoma 9.47 (8.10 - 11.04) 7.24 (5.68 - 9.20) 20.74 (17.33 - 24.62) 7.85 (6.39 - 9.60) 9.71 (8.25 - 11.40) Oregon 19.97 (17.93 - 22.18) 10.79 (8.77 - 13.22) 35.56 (31.60 - 39.73) 18.63 (16.28 - 21.25) 20.80 (18.62 - 23.17) Pennsylvania 9.85 (8.88 - 10.92) 6.72 (5.67 - 7.95) 21.07 (18.86 - 23.48) 8.48 (7.36 - 9.75) 10.14 (9.10 - 11.28) Rhode Island 16.71 (14.79 - 18.82) 10.54 (8.61 - 12.85) 31.46 (27.46 - 35.76) 14.75 (12.55 - 17.26) 17.24 (15.21 - 19.49) South Carolina 9.84 (8.40 - 11.51) 7.80 (6.27 - 9.67) 21.15 (18.04 - 24.64) 8.35 (6.75 - 10.29) 10.04 (8.50 - 11.82) South Dakota 8.45 (7.17 - 9.94) 6.91 (5.41 - 8.77) 19.56 (16.35 - 23.22) 6.79 (5.40 - 8.51) 8.62 (7.24 - 10.22) Tennessee 9.99 (8.56 - 11.64) 7.54 (6.10 - 9.28) 21.73 (18.29 - 25.61) 8.45 (6.89 - 10.32) 10.24 (8.70 - 12.00) Texas 7.85 (7.16 - 8.59) 6.10 (5.21 - 7.13) 16.91 (15.10 - 18.88) 6.50 (5.71 - 7.39) 8.06 (7.31 - 8.87) Utah 7.58 (6.37 - 9.00) 6.02 (4.66 - 7.74) 16.42 (13.50 - 19.83) 5.90 (4.63 - 7.50) 7.80 (6.49 - 9.35) Vermont 20.30 (18.14 - 22.64) 13.92 (11.50 - 16.74) 38.41 (33.91 - 43.12) 17.79 (15.28 - 20.61) 20.82 (18.52 - 23.33) Virginia 8.64 (7.61 - 9.79) 7.05 (5.76 - 8.62) 21.97 (19.19 - 25.02) 6.72 (5.59 - 8.05) 8.80 (7.70 - 10.03) Washington 17.89 (15.87 - 20.11) 11.31 (9.25 - 13.77) 31.44 (27.61 - 35.53) 16.59 (14.25 - 19.24) 18.51 (16.35 - 20.89) West Virginia 10.58 (9.06 - 12.33) 7.42 (5.94 - 9.23) 20.20 (16.83 - 24.04) 9.52 (7.81 - 11.56) 10.86 (9.24 - 12.73) Wisconsin 10.39 (8.84 - 12.17) 7.48 (6.01 - 9.27) 22.74 (19.37 - 26.51) 8.72 (7.00 - 10.83) 10.67 (9.02 - 12.59) Wyoming 8.96 (7.56 - 10.60) 8.05 (6.37 - 10.13) 18.38 (15.22 - 22.04) 7.62 (6.07 - 9.54) 9.06 (7.56 - 10.82)

NOTE: Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

Page 4: 2017-2018 National Survey on Drug Use and Health: Model

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Table 2 Marijuana Use in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 15.47 (15.13 - 15.81) 12.45 (11.99 - 12.92) 34.80 (34.04 - 35.57) 12.73 (12.36 - 13.11) 15.77 (15.41 - 16.14) Northeast 15.97 (15.35 - 16.60) 13.00 (12.16 - 13.89) 38.99 (37.52 - 40.49) 12.69 (11.96 - 13.44) 16.24 (15.58 - 16.92) Midwest 14.99 (14.46 - 15.54) 12.58 (11.85 - 13.36) 34.75 (33.59 - 35.93) 12.05 (11.42 - 12.71) 15.24 (14.66 - 15.83) South 12.92 (12.51 - 13.35) 11.20 (10.56 - 11.87) 30.14 (29.17 - 31.13) 10.40 (9.89 - 10.93) 13.10 (12.65 - 13.56) West 19.57 (18.92 - 20.23) 13.96 (13.05 - 14.92) 39.08 (37.64 - 40.54) 17.07 (16.28 - 17.88) 20.14 (19.43 - 20.86) Alabama 12.59 (10.99 - 14.37) 10.24 (8.29 - 12.58) 27.09 (23.68 - 30.79) 10.55 (8.81 - 12.58) 12.82 (11.13 - 14.73) Alaska 23.72 (21.48 - 26.11) 16.42 (13.82 - 19.40) 39.30 (35.15 - 43.61) 22.14 (19.52 - 24.99) 24.52 (22.10 - 27.12) Arizona 16.71 (14.64 - 19.00) 11.97 (9.70 - 14.67) 32.34 (28.37 - 36.58) 14.72 (12.44 - 17.33) 17.20 (15.00 - 19.65) Arkansas 13.40 (11.79 - 15.19) 11.38 (9.44 - 13.65) 26.85 (23.30 - 30.73) 11.46 (9.70 - 13.50) 13.61 (11.89 - 15.53) California 18.43 (17.49 - 19.40) 13.82 (12.45 - 15.32) 39.23 (37.02 - 41.48) 15.54 (14.45 - 16.70) 18.89 (17.88 - 19.95) Colorado 26.78 (24.38 - 29.33) 16.93 (13.99 - 20.33) 49.23 (45.00 - 53.48) 24.37 (21.60 - 27.37) 27.77 (25.21 - 30.49) Connecticut 18.45 (16.54 - 20.53) 16.09 (13.44 - 19.13) 46.38 (42.02 - 50.81) 14.22 (12.10 - 16.62) 18.68 (16.66 - 20.89) Delaware 17.11 (15.25 - 19.15) 14.03 (11.65 - 16.81) 41.09 (36.82 - 45.51) 13.97 (11.93 - 16.28) 17.40 (15.43 - 19.56) District of Columbia 26.47 (23.94 - 29.16) 16.41 (13.67 - 19.57) 51.93 (46.82 - 57.00) 22.44 (19.62 - 25.54) 27.03 (24.40 - 29.84) Florida 14.34 (13.30 - 15.44) 13.01 (11.59 - 14.57) 34.58 (32.29 - 36.95) 11.75 (10.58 - 13.03) 14.45 (13.35 - 15.63) Georgia 13.50 (12.20 - 14.92) 11.61 (9.77 - 13.75) 30.91 (27.82 - 34.18) 10.86 (9.40 - 12.53) 13.71 (12.32 - 15.24) Hawaii 14.29 (12.51 - 16.26) 11.20 (9.15 - 13.64) 28.28 (24.53 - 32.35) 12.73 (10.75 - 15.01) 14.56 (12.68 - 16.67) Idaho 13.78 (12.17 - 15.56) 12.29 (10.22 - 14.72) 28.29 (24.73 - 32.14) 11.58 (9.80 - 13.63) 13.96 (12.23 - 15.88) Illinois 15.27 (14.10 - 16.52) 13.94 (12.18 - 15.92) 34.93 (32.14 - 37.83) 12.31 (11.00 - 13.75) 15.41 (14.16 - 16.75) Indiana 15.61 (13.85 - 17.56) 13.01 (10.76 - 15.65) 35.80 (31.82 - 39.98) 12.46 (10.55 - 14.67) 15.89 (14.02 - 17.96) Iowa 12.41 (10.95 - 14.04) 10.42 (8.43 - 12.82) 31.69 (27.85 - 35.79) 9.25 (7.72 - 11.04) 12.61 (11.06 - 14.35) Kansas 13.71 (11.98 - 15.64) 11.68 (9.63 - 14.10) 29.44 (25.80 - 33.36) 11.19 (9.30 - 13.41) 13.93 (12.09 - 16.00) Kentucky 12.87 (11.24 - 14.70) 11.62 (9.58 - 14.04) 27.04 (23.61 - 30.76) 10.75 (8.96 - 12.84) 13.00 (11.27 - 14.94) Louisiana 12.22 (10.67 - 13.96) 9.16 (7.37 - 11.32) 28.68 (25.14 - 32.51) 9.95 (8.30 - 11.89) 12.54 (10.90 - 14.40) Maine 23.85 (21.45 - 26.43) 15.70 (13.08 - 18.73) 49.15 (44.78 - 53.54) 21.34 (18.61 - 24.35) 24.53 (21.98 - 27.27) Maryland 14.59 (12.90 - 16.47) 12.33 (10.16 - 14.88) 37.68 (33.60 - 41.93) 11.39 (9.58 - 13.48) 14.81 (13.01 - 16.82) Massachusetts 20.56 (18.56 - 22.71) 17.07 (14.34 - 20.20) 46.36 (42.03 - 50.74) 16.52 (14.31 - 19.00) 20.87 (18.75 - 23.16) Michigan 18.45 (17.18 - 19.80) 13.78 (12.10 - 15.65) 40.92 (38.24 - 43.65) 15.28 (13.80 - 16.89) 18.91 (17.55 - 20.36) Minnesota 15.58 (13.90 - 17.42) 12.46 (10.29 - 15.02) 36.96 (33.05 - 41.05) 12.61 (10.80 - 14.67) 15.90 (14.12 - 17.86) Mississippi 11.58 (10.11 - 13.24) 10.77 (8.80 - 13.13) 24.71 (21.17 - 28.62) 9.45 (7.88 - 11.29) 11.67 (10.11 - 13.43) Missouri 14.57 (12.86 - 16.46) 12.10 (9.98 - 14.59) 31.90 (28.12 - 35.92) 12.10 (10.26 - 14.22) 14.82 (13.01 - 16.83) Montana 19.61 (17.66 - 21.72) 14.69 (12.27 - 17.50) 40.15 (35.95 - 44.50) 16.92 (14.78 - 19.30) 20.07 (18.00 - 22.31)

See notes at end of table. (continued)

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Table 2 Marijuana Use in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 12.68 (11.19 - 14.33) 12.46 (10.23 - 15.10) 31.94 (28.15 - 35.98) 9.31 (7.76 - 11.13) 12.70 (11.14 - 14.45) Nevada 21.85 (19.53 - 24.36) 14.27 (11.71 - 17.27) 42.55 (38.32 - 46.89) 19.79 (17.15 - 22.72) 22.61 (20.13 - 25.30) New Hampshire 20.49 (18.38 - 22.78) 16.07 (13.52 - 18.98) 45.17 (40.50 - 49.94) 17.19 (14.93 - 19.72) 20.89 (18.65 - 23.31) New Jersey 12.30 (11.04 - 13.68) 11.07 (9.25 - 13.20) 33.96 (30.53 - 37.56) 9.27 (7.93 - 10.80) 12.42 (11.09 - 13.89) New Mexico 18.72 (16.54 - 21.11) 16.18 (13.47 - 19.31) 33.37 (29.40 - 37.59) 16.66 (14.18 - 19.47) 18.99 (16.67 - 21.55) New York 15.28 (14.24 - 16.37) 12.49 (11.03 - 14.11) 37.99 (35.51 - 40.52) 11.98 (10.80 - 13.27) 15.53 (14.43 - 16.69) North Carolina 12.81 (11.50 - 14.26) 11.40 (9.61 - 13.46) 30.50 (27.25 - 33.95) 10.21 (8.78 - 11.84) 12.96 (11.55 - 14.51) North Dakota 11.96 (10.49 - 13.61) 9.80 (7.86 - 12.15) 27.49 (23.76 - 31.57) 9.11 (7.57 - 10.93) 12.17 (10.62 - 13.90) Ohio 13.76 (12.71 - 14.88) 11.72 (10.18 - 13.46) 34.75 (32.15 - 37.44) 10.69 (9.51 - 12.00) 13.96 (12.85 - 15.16) Oklahoma 12.93 (11.32 - 14.72) 10.85 (8.76 - 13.37) 30.16 (26.28 - 34.34) 10.28 (8.57 - 12.28) 13.15 (11.45 - 15.06) Oregon 27.53 (25.23 - 29.95) 16.09 (13.49 - 19.08) 49.57 (45.26 - 53.88) 25.48 (22.85 - 28.30) 28.56 (26.10 - 31.15) Pennsylvania 14.18 (13.06 - 15.39) 11.03 (9.53 - 12.72) 34.65 (32.03 - 37.37) 11.41 (10.15 - 12.80) 14.47 (13.28 - 15.76) Rhode Island 20.74 (18.72 - 22.92) 15.36 (12.86 - 18.26) 42.90 (38.63 - 47.29) 17.39 (15.17 - 19.86) 21.21 (19.07 - 23.52) South Carolina 13.69 (11.99 - 15.57) 12.32 (10.16 - 14.87) 29.50 (25.83 - 33.44) 11.44 (9.61 - 13.55) 13.82 (12.04 - 15.81) South Dakota 12.12 (10.58 - 13.85) 10.83 (8.80 - 13.25) 28.62 (24.88 - 32.67) 9.52 (7.89 - 11.45) 12.26 (10.63 - 14.10) Tennessee 13.09 (11.52 - 14.83) 11.61 (9.62 - 13.96) 29.95 (26.27 - 33.91) 10.64 (8.97 - 12.58) 13.24 (11.58 - 15.09) Texas 11.07 (10.25 - 11.95) 9.90 (8.61 - 11.36) 26.36 (24.20 - 28.64) 8.54 (7.61 - 9.57) 11.21 (10.33 - 12.16) Utah 10.87 (9.46 - 12.46) 8.81 (6.94 - 11.13) 24.23 (20.94 - 27.85) 8.26 (6.78 - 10.03) 11.16 (9.65 - 12.88) Vermont 25.33 (22.99 - 27.83) 20.69 (17.62 - 24.13) 51.44 (46.84 - 56.00) 21.27 (18.63 - 24.17) 25.71 (23.23 - 28.36) Virginia 11.93 (10.68 - 13.30) 10.69 (8.89 - 12.81) 31.48 (28.31 - 34.84) 8.99 (7.68 - 10.49) 12.05 (10.74 - 13.51) Washington 23.48 (21.32 - 25.79) 16.11 (13.45 - 19.18) 44.50 (40.44 - 48.65) 21.16 (18.71 - 23.84) 24.18 (21.87 - 26.64) West Virginia 14.39 (12.66 - 16.31) 11.42 (9.33 - 13.91) 30.39 (26.45 - 34.63) 12.40 (10.53 - 14.55) 14.65 (12.83 - 16.68) Wisconsin 13.58 (11.93 - 15.42) 11.66 (9.64 - 14.02) 30.66 (26.91 - 34.68) 11.04 (9.27 - 13.09) 13.77 (12.02 - 15.73) Wyoming 13.08 (11.40 - 14.98) 12.53 (10.25 - 15.23) 30.40 (26.52 - 34.58) 10.49 (8.67 - 12.63) 13.14 (11.35 - 15.17)

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 3 Marijuana Use in the Past Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 9.83 (9.56 - 10.10) 6.56 (6.21 - 6.93) 22.12 (21.48 - 22.78) 8.25 (7.95 - 8.56) 10.16 (9.87 - 10.46) Northeast 10.25 (9.74 - 10.78) 6.82 (6.22 - 7.48) 24.74 (23.43 - 26.09) 8.35 (7.76 - 8.98) 10.56 (10.02 - 11.13) Midwest 9.39 (8.97 - 9.83) 6.47 (5.96 - 7.02) 21.85 (20.72 - 23.03) 7.70 (7.21 - 8.22) 9.69 (9.24 - 10.16) South 7.96 (7.64 - 8.29) 5.89 (5.45 - 6.37) 18.89 (17.96 - 19.85) 6.47 (6.09 - 6.88) 8.17 (7.82 - 8.53) West 12.89 (12.36 - 13.45) 7.55 (6.89 - 8.26) 25.51 (24.20 - 26.87) 11.48 (10.83 - 12.16) 13.44 (12.86 - 14.04) Alabama 8.31 (7.01 - 9.83) 6.18 (4.83 - 7.87) 18.67 (15.75 - 21.98) 6.91 (5.48 - 8.68) 8.53 (7.15 - 10.14) Alaska 16.56 (14.64 - 18.67) 7.88 (6.26 - 9.87) 26.27 (22.45 - 30.48) 16.10 (13.80 - 18.70) 17.51 (15.41 - 19.83) Arizona 10.93 (9.20 - 12.93) 6.28 (4.82 - 8.13) 21.07 (17.50 - 25.14) 9.83 (7.90 - 12.16) 11.41 (9.55 - 13.57) Arkansas 8.60 (7.20 - 10.23) 5.62 (4.36 - 7.22) 16.20 (13.48 - 19.34) 7.73 (6.16 - 9.65) 8.91 (7.42 - 10.67) California 11.97 (11.19 - 12.79) 7.05 (6.11 - 8.12) 25.06 (23.09 - 27.15) 10.39 (9.48 - 11.37) 12.46 (11.63 - 13.35) Colorado 17.33 (15.29 - 19.57) 9.39 (7.52 - 11.66) 33.21 (29.37 - 37.29) 15.73 (13.39 - 18.40) 18.12 (15.93 - 20.55) Connecticut 12.06 (10.41 - 13.93) 8.35 (6.74 - 10.31) 30.08 (26.20 - 34.27) 9.58 (7.76 - 11.77) 12.42 (10.66 - 14.42) Delaware 11.16 (9.54 - 13.02) 8.19 (6.56 - 10.20) 26.72 (22.99 - 30.82) 9.22 (7.46 - 11.35) 11.44 (9.71 - 13.42) District of Columbia 16.63 (14.54 - 18.95) 8.47 (6.76 - 10.56) 32.49 (28.16 - 37.15) 14.25 (11.95 - 16.91) 17.09 (14.91 - 19.51) Florida 9.28 (8.44 - 10.19) 7.06 (6.05 - 8.22) 22.88 (20.88 - 25.00) 7.67 (6.74 - 8.72) 9.47 (8.58 - 10.45) Georgia 8.23 (7.21 - 9.37) 6.05 (4.84 - 7.52) 20.18 (17.67 - 22.94) 6.53 (5.42 - 7.85) 8.47 (7.38 - 9.70) Hawaii 8.80 (7.39 - 10.45) 5.31 (4.00 - 7.03) 16.70 (13.64 - 20.29) 8.09 (6.51 - 10.01) 9.11 (7.61 - 10.87) Idaho 8.21 (6.92 - 9.73) 6.28 (4.96 - 7.93) 16.49 (13.70 - 19.73) 7.11 (5.66 - 8.90) 8.45 (7.05 - 10.08) Illinois 9.64 (8.70 - 10.68) 6.86 (5.76 - 8.16) 22.59 (20.12 - 25.28) 7.92 (6.87 - 9.11) 9.93 (8.92 - 11.05) Indiana 10.20 (8.77 - 11.85) 6.77 (5.36 - 8.53) 22.85 (19.57 - 26.49) 8.46 (6.89 - 10.35) 10.57 (9.04 - 12.33) Iowa 7.04 (5.90 - 8.37) 5.36 (4.12 - 6.96) 17.54 (14.64 - 20.87) 5.39 (4.20 - 6.89) 7.21 (6.01 - 8.62) Kansas 6.34 (5.19 - 7.74) 4.53 (3.44 - 5.93) 14.54 (11.85 - 17.73) 5.13 (3.91 - 6.71) 6.54 (5.31 - 8.04) Kentucky 8.19 (6.91 - 9.70) 5.93 (4.63 - 7.58) 17.42 (14.56 - 20.70) 6.98 (5.58 - 8.71) 8.42 (7.06 - 10.03) Louisiana 7.69 (6.43 - 9.17) 5.12 (3.92 - 6.65) 18.83 (15.83 - 22.25) 6.22 (4.87 - 7.90) 7.96 (6.62 - 9.54) Maine 16.57 (14.47 - 18.90) 10.31 (8.27 - 12.79) 35.17 (31.05 - 39.52) 14.75 (12.37 - 17.49) 17.09 (14.86 - 19.59) Maryland 9.90 (8.38 - 11.65) 6.96 (5.48 - 8.79) 24.71 (21.09 - 28.72) 8.01 (6.39 - 9.99) 10.19 (8.57 - 12.06) Massachusetts 13.60 (11.86 - 15.56) 9.33 (7.49 - 11.56) 31.39 (27.53 - 35.52) 11.02 (9.07 - 13.32) 13.98 (12.13 - 16.07) Michigan 12.61 (11.53 - 13.77) 7.87 (6.68 - 9.24) 27.50 (25.08 - 30.06) 10.70 (9.45 - 12.10) 13.08 (11.92 - 14.34) Minnesota 9.48 (8.04 - 11.15) 6.25 (4.92 - 7.91) 22.09 (18.68 - 25.92) 7.89 (6.34 - 9.79) 9.81 (8.28 - 11.60) Mississippi 6.98 (5.77 - 8.44) 4.96 (3.76 - 6.52) 15.26 (12.54 - 18.43) 5.83 (4.53 - 7.49) 7.21 (5.91 - 8.76) Missouri 8.57 (7.23 - 10.13) 6.21 (4.89 - 7.86) 19.96 (16.84 - 23.50) 7.03 (5.61 - 8.78) 8.81 (7.39 - 10.47) Montana 14.46 (12.73 - 16.38) 9.65 (7.79 - 11.89) 27.30 (23.63 - 31.30) 12.96 (11.01 - 15.20) 14.91 (13.06 - 16.96)

See notes at end of table. (continued)

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Table 3 Marijuana Use in the Past Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 8.21 (6.93 - 9.69) 6.16 (4.80 - 7.87) 20.54 (17.30 - 24.21) 6.30 (4.94 - 8.01) 8.43 (7.08 - 10.01) Nevada 15.05 (13.04 - 17.31) 9.17 (7.25 - 11.52) 32.09 (27.96 - 36.51) 13.31 (11.03 - 15.99) 15.64 (13.48 - 18.07) New Hampshire 14.24 (12.40 - 16.31) 8.84 (7.13 - 10.92) 29.95 (25.88 - 34.37) 12.41 (10.37 - 14.79) 14.72 (12.77 - 16.92) New Jersey 7.89 (6.82 - 9.10) 5.61 (4.45 - 7.04) 21.08 (18.19 - 24.30) 6.21 (5.06 - 7.60) 8.11 (6.98 - 9.41) New Mexico 12.98 (11.08 - 15.15) 9.58 (7.58 - 12.03) 23.96 (20.28 - 28.08) 11.62 (9.48 - 14.16) 13.34 (11.31 - 15.67) New York 9.77 (8.92 - 10.68) 6.62 (5.65 - 7.74) 24.22 (22.14 - 26.44) 7.81 (6.85 - 8.89) 10.05 (9.14 - 11.03) North Carolina 7.79 (6.76 - 8.97) 6.66 (5.40 - 8.20) 19.24 (16.53 - 22.28) 6.13 (5.02 - 7.47) 7.91 (6.81 - 9.16) North Dakota 7.62 (6.38 - 9.07) 4.93 (3.77 - 6.41) 17.12 (14.15 - 20.57) 6.03 (4.73 - 7.65) 7.87 (6.55 - 9.43) Ohio 8.34 (7.49 - 9.29) 6.16 (5.13 - 7.39) 20.67 (18.50 - 23.02) 6.66 (5.69 - 7.78) 8.56 (7.65 - 9.58) Oklahoma 7.51 (6.26 - 8.99) 5.31 (4.09 - 6.86) 17.57 (14.54 - 21.08) 6.09 (4.77 - 7.76) 7.75 (6.43 - 9.33) Oregon 18.83 (16.74 - 21.11) 9.71 (7.74 - 12.10) 33.11 (29.35 - 37.11) 17.68 (15.25 - 20.39) 19.65 (17.41 - 22.10) Pennsylvania 8.38 (7.48 - 9.38) 5.31 (4.38 - 6.43) 19.71 (17.56 - 22.06) 6.98 (5.97 - 8.14) 8.66 (7.70 - 9.73) Rhode Island 14.65 (12.79 - 16.72) 8.61 (6.88 - 10.72) 29.26 (25.49 - 33.35) 12.70 (10.61 - 15.13) 15.17 (13.20 - 17.38) South Carolina 8.32 (6.94 - 9.95) 6.34 (4.99 - 8.01) 19.18 (16.28 - 22.46) 6.89 (5.38 - 8.79) 8.51 (7.05 - 10.25) South Dakota 7.12 (5.97 - 8.46) 5.26 (4.07 - 6.77) 17.70 (14.87 - 20.95) 5.58 (4.35 - 7.13) 7.31 (6.09 - 8.75) Tennessee 8.55 (7.20 - 10.12) 6.11 (4.77 - 7.79) 19.88 (16.61 - 23.62) 7.07 (5.63 - 8.83) 8.79 (7.36 - 10.47) Texas 6.06 (5.44 - 6.76) 4.82 (3.99 - 5.81) 14.67 (12.98 - 16.54) 4.72 (4.03 - 5.52) 6.21 (5.55 - 6.96) Utah 6.06 (5.04 - 7.27) 4.46 (3.40 - 5.83) 13.81 (11.18 - 16.94) 4.62 (3.56 - 5.99) 6.28 (5.18 - 7.60) Vermont 19.30 (17.17 - 21.62) 12.67 (10.32 - 15.46) 37.67 (33.45 - 42.08) 16.76 (14.31 - 19.55) 19.84 (17.59 - 22.31) Virginia 7.27 (6.32 - 8.36) 5.64 (4.48 - 7.08) 19.50 (16.90 - 22.40) 5.53 (4.52 - 6.75) 7.43 (6.43 - 8.58) Washington 16.39 (14.47 - 18.52) 9.94 (7.97 - 12.33) 30.44 (26.72 - 34.44) 15.01 (12.80 - 17.53) 17.01 (14.96 - 19.27) West Virginia 9.42 (7.95 - 11.12) 6.25 (4.89 - 7.96) 18.91 (15.69 - 22.63) 8.37 (6.76 - 10.33) 9.70 (8.14 - 11.51) Wisconsin 8.89 (7.43 - 10.62) 6.09 (4.77 - 7.74) 21.24 (18.05 - 24.83) 7.22 (5.63 - 9.22) 9.17 (7.61 - 11.02) Wyoming 7.73 (6.48 - 9.21) 6.34 (4.98 - 8.02) 17.57 (14.62 - 20.95) 6.38 (5.00 - 8.11) 7.88 (6.54 - 9.46)

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 4 Perceptions of Great Risk from Smoking Marijuana Once a Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 25.54 (25.10 - 25.97) 23.61 (23.01 - 24.22) 12.14 (11.64 - 12.66) 27.92 (27.40 - 28.44) 25.73 (25.26 - 26.20) Northeast 24.58 (23.74 - 25.45) 23.23 (22.07 - 24.42) 11.42 (10.57 - 12.33) 26.80 (25.78 - 27.84) 24.71 (23.80 - 25.64) Midwest 22.45 (21.74 - 23.17) 22.42 (21.47 - 23.40) 10.17 (9.49 - 10.88) 24.47 (23.63 - 25.34) 22.45 (21.69 - 23.22) South 28.92 (28.27 - 29.58) 26.05 (25.11 - 27.02) 14.16 (13.44 - 14.92) 31.61 (30.82 - 32.41) 29.21 (28.51 - 29.93) West 23.58 (22.78 - 24.39) 20.99 (19.89 - 22.13) 11.26 (10.39 - 12.20) 25.89 (24.93 - 26.88) 23.84 (22.98 - 24.72) Alabama 27.27 (24.68 - 30.02) 27.31 (23.92 - 30.99) 13.33 (10.90 - 16.21) 29.50 (26.38 - 32.82) 27.26 (24.51 - 30.20) Alaska 16.93 (14.95 - 19.10) 18.39 (15.69 - 21.43) 9.49 (7.44 - 12.02) 17.96 (15.62 - 20.55) 16.76 (14.67 - 19.10) Arizona 25.12 (22.52 - 27.90) 21.99 (18.84 - 25.50) 14.30 (11.64 - 17.45) 27.28 (24.20 - 30.60) 25.44 (22.69 - 28.40) Arkansas 27.75 (25.41 - 30.22) 25.07 (22.03 - 28.38) 13.78 (11.45 - 16.49) 30.36 (27.53 - 33.35) 28.03 (25.53 - 30.68) California 26.22 (25.01 - 27.47) 22.11 (20.36 - 23.97) 11.97 (10.58 - 13.51) 29.07 (27.59 - 30.59) 26.63 (25.33 - 27.99) Colorado 16.77 (14.78 - 18.97) 15.92 (13.21 - 19.06) 6.71 (5.16 - 8.67) 18.48 (16.11 - 21.10) 16.85 (14.76 - 19.18) Connecticut 20.30 (17.98 - 22.83) 20.60 (17.61 - 23.95) 9.25 (7.34 - 11.59) 22.06 (19.31 - 25.08) 20.27 (17.83 - 22.95) Delaware 21.60 (19.25 - 24.16) 22.00 (18.90 - 25.46) 10.54 (8.51 - 13.00) 23.17 (20.41 - 26.19) 21.57 (19.08 - 24.27) District of Columbia 15.49 (13.54 - 17.66) 18.94 (16.10 - 22.14) 8.23 (6.28 - 10.71) 16.61 (14.36 - 19.13) 15.29 (13.29 - 17.53) Florida 30.28 (28.76 - 31.84) 25.19 (23.23 - 27.25) 13.61 (12.13 - 15.25) 33.02 (31.20 - 34.89) 30.71 (29.09 - 32.39) Georgia 29.57 (27.59 - 31.64) 28.56 (25.62 - 31.70) 14.10 (11.99 - 16.52) 32.29 (29.86 - 34.82) 29.69 (27.55 - 31.91) Hawaii 26.02 (23.55 - 28.65) 21.40 (18.36 - 24.79) 11.57 (9.32 - 14.29) 28.42 (25.53 - 31.50) 26.43 (23.83 - 29.22) Idaho 25.23 (22.87 - 27.75) 24.94 (21.70 - 28.49) 12.46 (10.10 - 15.27) 27.41 (24.56 - 30.46) 25.27 (22.74 - 27.98) Illinois 23.81 (22.21 - 25.48) 20.92 (18.70 - 23.33) 11.36 (9.69 - 13.29) 26.14 (24.20 - 28.19) 24.10 (22.39 - 25.90) Indiana 23.53 (21.19 - 26.04) 22.53 (19.51 - 25.87) 9.38 (7.39 - 11.82) 26.11 (23.29 - 29.15) 23.64 (21.15 - 26.31) Iowa 21.71 (19.57 - 24.01) 22.24 (19.24 - 25.56) 9.76 (7.76 - 12.20) 23.78 (21.21 - 26.54) 21.65 (19.40 - 24.10) Kansas 24.92 (22.53 - 27.48) 23.61 (20.51 - 27.02) 14.28 (11.70 - 17.33) 27.00 (24.11 - 30.10) 25.07 (22.51 - 27.81) Kentucky 26.17 (23.78 - 28.70) 24.85 (21.66 - 28.34) 12.14 (9.98 - 14.69) 28.58 (25.72 - 31.62) 26.30 (23.77 - 28.99) Louisiana 28.99 (26.47 - 31.64) 26.06 (22.73 - 29.69) 13.44 (11.04 - 16.27) 31.85 (28.85 - 35.02) 29.29 (26.61 - 32.12) Maine 16.30 (14.07 - 18.80) 16.40 (13.79 - 19.39) 6.27 (4.78 - 8.18) 17.60 (14.98 - 20.56) 16.29 (13.93 - 18.95) Maryland 24.94 (22.47 - 27.59) 23.30 (20.06 - 26.88) 12.27 (10.00 - 14.96) 27.04 (24.11 - 30.19) 25.10 (22.49 - 27.91) Massachusetts 18.49 (16.35 - 20.84) 18.03 (15.25 - 21.19) 8.15 (6.47 - 10.22) 20.32 (17.76 - 23.14) 18.53 (16.28 - 21.01) Michigan 20.78 (19.26 - 22.39) 22.96 (20.72 - 25.36) 8.70 (7.36 - 10.25) 22.54 (20.69 - 24.51) 20.56 (18.94 - 22.29) Minnesota 18.15 (16.10 - 20.40) 19.77 (17.04 - 22.82) 8.42 (6.67 - 10.57) 19.50 (17.08 - 22.17) 17.98 (15.83 - 20.37) Mississippi 32.92 (30.39 - 35.56) 29.44 (26.12 - 32.99) 19.70 (16.62 - 23.20) 35.64 (32.59 - 38.82) 33.30 (30.59 - 36.13) Missouri 22.68 (20.47 - 25.05) 24.29 (21.08 - 27.82) 11.80 (9.54 - 14.50) 24.24 (21.65 - 27.03) 22.52 (20.19 - 25.03) Montana 19.12 (17.09 - 21.33) 19.41 (16.63 - 22.53) 8.19 (6.43 - 10.38) 20.82 (18.41 - 23.45) 19.09 (16.95 - 21.44)

See notes at end of table. (continued)

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Table 4 Perceptions of Great Risk from Smoking Marijuana Once a Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 24.71 (22.40 - 27.18) 24.07 (20.96 - 27.48) 11.73 (9.48 - 14.42) 27.11 (24.34 - 30.06) 24.78 (22.33 - 27.41) Nevada 22.00 (19.58 - 24.62) 17.94 (15.04 - 21.27) 9.11 (7.21 - 11.45) 24.29 (21.45 - 27.39) 22.40 (19.85 - 25.18) New Hampshire 17.28 (15.18 - 19.61) 19.93 (17.16 - 23.03) 7.19 (5.50 - 9.37) 18.56 (16.09 - 21.30) 17.04 (14.84 - 19.51) New Jersey 32.14 (29.89 - 34.48) 26.93 (23.98 - 30.11) 14.94 (12.61 - 17.62) 35.27 (32.54 - 38.10) 32.66 (30.24 - 35.17) New Mexico 24.60 (22.12 - 27.26) 20.08 (17.12 - 23.41) 12.65 (10.23 - 15.55) 27.11 (24.09 - 30.36) 25.08 (22.42 - 27.94) New York 26.38 (24.85 - 27.97) 25.23 (23.18 - 27.40) 12.40 (10.88 - 14.10) 28.72 (26.87 - 30.65) 26.48 (24.85 - 28.18) North Carolina 26.83 (24.84 - 28.93) 23.15 (20.59 - 25.92) 13.44 (11.41 - 15.76) 29.38 (26.97 - 31.90) 27.20 (25.06 - 29.46) North Dakota 22.09 (19.91 - 24.44) 24.20 (21.06 - 27.65) 10.44 (8.37 - 12.95) 24.20 (21.53 - 27.08) 21.89 (19.58 - 24.38) Ohio 23.79 (22.28 - 25.37) 23.98 (21.83 - 26.27) 9.46 (8.11 - 11.02) 26.03 (24.20 - 27.95) 23.77 (22.15 - 25.47) Oklahoma 24.74 (22.35 - 27.29) 21.57 (18.53 - 24.97) 12.17 (9.89 - 14.89) 27.28 (24.45 - 30.31) 25.08 (22.56 - 27.79) Oregon 16.38 (14.45 - 18.50) 14.19 (11.81 - 16.95) 6.86 (5.32 - 8.79) 18.01 (15.75 - 20.51) 16.57 (14.55 - 18.81) Pennsylvania 23.57 (22.00 - 25.22) 22.50 (20.39 - 24.75) 11.46 (9.92 - 13.20) 25.54 (23.65 - 27.53) 23.67 (21.99 - 25.43) Rhode Island 20.54 (18.29 - 22.99) 21.12 (17.99 - 24.63) 9.91 (7.81 - 12.50) 22.37 (19.70 - 25.28) 20.49 (18.13 - 23.06) South Carolina 26.53 (24.04 - 29.17) 24.23 (21.24 - 27.50) 12.92 (10.65 - 15.59) 28.86 (25.91 - 32.01) 26.75 (24.10 - 29.57) South Dakota 25.74 (23.26 - 28.37) 26.54 (23.26 - 30.11) 11.50 (9.26 - 14.19) 28.03 (25.04 - 31.23) 25.65 (23.01 - 28.49) Tennessee 27.26 (24.83 - 29.83) 26.87 (23.60 - 30.42) 12.14 (9.97 - 14.70) 29.66 (26.77 - 32.73) 27.29 (24.72 - 30.02) Texas 33.27 (31.86 - 34.71) 28.49 (26.34 - 30.74) 17.57 (15.81 - 19.48) 36.73 (34.99 - 38.50) 33.84 (32.31 - 35.40) Utah 27.70 (25.43 - 30.10) 30.54 (26.61 - 34.78) 16.23 (13.38 - 19.54) 29.80 (26.99 - 32.77) 27.31 (24.90 - 29.85) Vermont 14.99 (13.01 - 17.22) 15.49 (12.92 - 18.47) 6.59 (5.00 - 8.64) 16.41 (14.07 - 19.06) 14.95 (12.88 - 17.28) Virginia 24.66 (22.67 - 26.76) 23.71 (20.93 - 26.73) 10.74 (8.97 - 12.82) 26.98 (24.60 - 29.50) 24.75 (22.64 - 26.99) Washington 16.57 (14.58 - 18.77) 16.65 (14.11 - 19.54) 8.12 (6.42 - 10.22) 17.83 (15.50 - 20.42) 16.56 (14.46 - 18.89) West Virginia 25.22 (22.79 - 27.81) 22.95 (19.75 - 26.49) 10.04 (8.07 - 12.43) 27.63 (24.78 - 30.67) 25.42 (22.86 - 28.17) Wisconsin 20.33 (18.07 - 22.78) 20.27 (17.53 - 23.32) 9.76 (7.87 - 12.04) 22.06 (19.36 - 25.01) 20.33 (17.94 - 22.94) Wyoming 22.73 (20.33 - 25.32) 23.60 (20.57 - 26.93) 13.00 (10.46 - 16.04) 24.13 (21.27 - 27.25) 22.64 (20.07 - 25.42)

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 5 First Use of Marijuana, by Age Group and State: Average Annual Initiation Estimates (Expressed as Percentages of the At-Risk Population) Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 2.17 (2.09 - 2.26) 5.50 (5.26 - 5.76) 8.32 (7.90 - 8.75) 0.53 (0.47 - 0.60) 1.60 (1.51 - 1.69) Northeast 2.27 (2.13 - 2.43) 5.78 (5.37 - 6.21) 9.47 (8.72 - 10.29) 0.55 (0.44 - 0.68) 1.70 (1.55 - 1.87) Midwest 2.31 (2.18 - 2.44) 5.61 (5.27 - 5.97) 8.94 (8.33 - 9.58) 0.52 (0.43 - 0.63) 1.71 (1.58 - 1.86) South 1.76 (1.66 - 1.86) 4.93 (4.65 - 5.23) 6.72 (6.26 - 7.21) 0.38 (0.31 - 0.46) 1.24 (1.14 - 1.34) West 2.71 (2.53 - 2.91) 6.17 (5.74 - 6.63) 9.76 (9.00 - 10.58) 0.83 (0.67 - 1.03) 2.08 (1.88 - 2.30) Alabama 1.59 (1.31 - 1.93) 4.06 (3.24 - 5.07) 6.06 (4.72 - 7.73) 0.37 (0.22 - 0.62) 1.19 (0.91 - 1.55) Alaska 3.39 (2.84 - 4.04) 7.80 (6.52 - 9.32) 8.50 (6.57 - 10.93) 1.14 (0.68 - 1.89) 2.35 (1.78 - 3.11) Arizona 2.38 (1.92 - 2.94) 5.11 (4.10 - 6.35) 7.78 (5.96 - 10.10) 0.87 (0.51 - 1.47) 1.88 (1.39 - 2.53) Arkansas 1.63 (1.37 - 1.95) 5.01 (4.08 - 6.13) 5.92 (4.61 - 7.57) 0.29 (0.17 - 0.48) 1.08 (0.83 - 1.40) California 2.56 (2.32 - 2.82) 6.40 (5.76 - 7.12) 9.59 (8.44 - 10.86) 0.68 (0.50 - 0.91) 1.90 (1.65 - 2.18) Colorado 3.85 (3.24 - 4.58) 7.65 (6.32 - 9.23) 13.09 (10.60 - 16.05) 1.32 (0.85 - 2.04) 3.01 (2.37 - 3.82) Connecticut 3.21 (2.70 - 3.81) 8.08 (6.76 - 9.64) 11.55 (9.14 - 14.49) 0.84 (0.51 - 1.39) 2.27 (1.77 - 2.92) Delaware 2.30 (1.94 - 2.73) 6.72 (5.57 - 8.08) 8.30 (6.49 - 10.55) 0.63 (0.39 - 1.01) 1.57 (1.20 - 2.03) District of Columbia 4.17 (3.36 - 5.17) 9.03 (7.63 - 10.65) 13.31 (10.29 - 17.04) 1.53 (0.90 - 2.58) 3.51 (2.65 - 4.64) Florida 1.72 (1.54 - 1.92) 5.51 (4.89 - 6.21) 7.75 (6.67 - 9.00) 0.38 (0.28 - 0.54) 1.20 (1.02 - 1.41) Georgia 1.84 (1.58 - 2.13) 5.30 (4.42 - 6.35) 6.31 (5.11 - 7.77) 0.35 (0.22 - 0.55) 1.22 (0.98 - 1.52) Hawaii 2.02 (1.66 - 2.46) 6.09 (4.94 - 7.49) 7.71 (5.97 - 9.91) 0.51 (0.27 - 0.95) 1.39 (1.04 - 1.86) Idaho 1.99 (1.67 - 2.37) 5.47 (4.42 - 6.74) 6.40 (4.98 - 8.20) 0.32 (0.17 - 0.59) 1.27 (0.98 - 1.66) Illinois 2.22 (1.96 - 2.52) 6.27 (5.43 - 7.21) 8.02 (6.77 - 9.49) 0.48 (0.32 - 0.72) 1.52 (1.25 - 1.83) Indiana 2.58 (2.19 - 3.03) 5.98 (4.92 - 7.25) 9.67 (7.68 - 12.10) 0.52 (0.32 - 0.84) 1.90 (1.50 - 2.39) Iowa 1.96 (1.63 - 2.34) 4.16 (3.34 - 5.17) 8.55 (6.71 - 10.84) 0.42 (0.26 - 0.68) 1.58 (1.24 - 2.02) Kansas 2.37 (2.00 - 2.81) 5.38 (4.43 - 6.52) 8.65 (6.86 - 10.85) 0.57 (0.36 - 0.90) 1.80 (1.42 - 2.28) Kentucky 1.90 (1.60 - 2.26) 5.08 (4.14 - 6.21) 7.02 (5.58 - 8.80) 0.42 (0.25 - 0.68) 1.36 (1.06 - 1.73) Louisiana 1.66 (1.39 - 1.98) 4.22 (3.36 - 5.29) 6.77 (5.36 - 8.53) 0.37 (0.23 - 0.60) 1.23 (0.96 - 1.58) Maine 3.76 (3.02 - 4.68) 6.13 (4.95 - 7.58) 15.78 (12.73 - 19.40) 1.70 (1.00 - 2.87) 3.31 (2.47 - 4.42) Maryland 2.06 (1.72 - 2.45) 5.45 (4.44 - 6.67) 8.42 (6.68 - 10.58) 0.49 (0.30 - 0.80) 1.48 (1.15 - 1.89) Massachusetts 3.72 (3.14 - 4.41) 8.05 (6.68 - 9.66) 14.86 (11.95 - 18.34) 0.90 (0.55 - 1.46) 2.93 (2.32 - 3.69) Michigan 2.85 (2.54 - 3.21) 6.43 (5.63 - 7.35) 10.44 (9.00 - 12.10) 0.73 (0.52 - 1.03) 2.18 (1.85 - 2.57) Minnesota 2.43 (2.03 - 2.91) 5.01 (4.11 - 6.11) 9.98 (7.92 - 12.50) 0.68 (0.43 - 1.06) 1.94 (1.52 - 2.47) Mississippi 1.74 (1.46 - 2.06) 4.76 (3.89 - 5.81) 6.39 (4.99 - 8.14) 0.33 (0.20 - 0.54) 1.23 (0.96 - 1.58) Missouri 2.23 (1.89 - 2.63) 5.09 (4.16 - 6.23) 8.83 (7.06 - 10.99) 0.50 (0.32 - 0.80) 1.73 (1.37 - 2.17) Montana 2.85 (2.40 - 3.39) 6.24 (5.15 - 7.53) 12.03 (9.56 - 15.03) 0.71 (0.45 - 1.12) 2.22 (1.76 - 2.81)

See notes at end of table. (continued)

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Table 5 First Use of Marijuana, by Age Group and State: Average Annual Initiation Estimates (Expressed as Percentages of the At-Risk Population) Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 2.08 (1.76 - 2.46) 5.76 (4.66 - 7.09) 7.65 (5.98 - 9.73) 0.34 (0.19 - 0.61) 1.42 (1.11 - 1.83) Nevada 2.75 (2.28 - 3.32) 5.83 (4.68 - 7.25) 11.68 (9.31 - 14.55) 0.92 (0.56 - 1.51) 2.18 (1.68 - 2.83) New Hampshire 3.19 (2.70 - 3.78) 7.34 (6.15 - 8.75) 12.73 (10.06 - 15.99) 0.73 (0.45 - 1.19) 2.37 (1.86 - 3.01) New Jersey 1.82 (1.56 - 2.12) 4.92 (4.07 - 5.93) 8.39 (6.82 - 10.27) 0.39 (0.25 - 0.61) 1.33 (1.07 - 1.65) New Mexico 2.99 (2.51 - 3.58) 7.88 (6.54 - 9.45) 9.66 (7.58 - 12.25) 0.87 (0.54 - 1.40) 2.08 (1.60 - 2.70) New York 1.97 (1.76 - 2.22) 5.24 (4.58 - 5.98) 8.36 (7.21 - 9.68) 0.49 (0.35 - 0.70) 1.49 (1.27 - 1.75) North Carolina 1.83 (1.58 - 2.12) 5.18 (4.34 - 6.18) 6.86 (5.54 - 8.46) 0.40 (0.26 - 0.61) 1.27 (1.03 - 1.58) North Dakota 1.75 (1.45 - 2.12) 4.04 (3.22 - 5.04) 6.93 (5.39 - 8.86) 0.37 (0.22 - 0.64) 1.41 (1.09 - 1.82) Ohio 2.23 (1.98 - 2.51) 5.27 (4.57 - 6.09) 9.31 (7.98 - 10.83) 0.50 (0.35 - 0.71) 1.69 (1.43 - 1.99) Oklahoma 1.94 (1.63 - 2.32) 4.87 (3.92 - 6.03) 7.14 (5.55 - 9.14) 0.47 (0.29 - 0.75) 1.41 (1.10 - 1.82) Oregon 3.72 (3.10 - 4.46) 6.75 (5.60 - 8.12) 14.44 (11.67 - 17.74) 1.43 (0.92 - 2.23) 3.13 (2.44 - 4.01) Pennsylvania 1.88 (1.65 - 2.14) 4.98 (4.31 - 5.75) 7.74 (6.51 - 9.17) 0.38 (0.24 - 0.59) 1.36 (1.13 - 1.65) Rhode Island 3.24 (2.70 - 3.87) 7.07 (5.81 - 8.57) 11.54 (9.13 - 14.48) 1.02 (0.65 - 1.59) 2.57 (2.03 - 3.27) South Carolina 1.81 (1.53 - 2.13) 5.51 (4.52 - 6.69) 6.89 (5.45 - 8.67) 0.34 (0.21 - 0.57) 1.22 (0.96 - 1.55) South Dakota 1.58 (1.30 - 1.91) 4.17 (3.30 - 5.25) 6.85 (5.30 - 8.82) 0.31 (0.18 - 0.53) 1.16 (0.89 - 1.51) Tennessee 1.60 (1.34 - 1.91) 5.07 (4.16 - 6.17) 5.53 (4.25 - 7.18) 0.27 (0.15 - 0.49) 1.02 (0.77 - 1.34) Texas 1.69 (1.51 - 1.90) 4.37 (3.81 - 5.01) 6.22 (5.35 - 7.22) 0.36 (0.25 - 0.52) 1.22 (1.04 - 1.44) Utah 1.60 (1.31 - 1.96) 2.79 (2.13 - 3.65) 5.57 (4.30 - 7.17) 0.38 (0.21 - 0.68) 1.35 (1.04 - 1.77) Vermont 4.01 (3.37 - 4.78) 9.57 (8.10 - 11.28) 14.66 (11.60 - 18.36) 0.88 (0.51 - 1.51) 2.96 (2.30 - 3.79) Virginia 1.68 (1.43 - 1.96) 4.66 (3.90 - 5.55) 6.50 (5.25 - 8.02) 0.37 (0.24 - 0.59) 1.19 (0.95 - 1.50) Washington 3.59 (2.97 - 4.34) 6.24 (5.09 - 7.63) 12.51 (10.15 - 15.34) 1.48 (0.94 - 2.34) 3.07 (2.38 - 3.95) West Virginia 1.66 (1.39 - 2.00) 5.31 (4.35 - 6.47) 6.35 (4.88 - 8.22) 0.34 (0.19 - 0.59) 1.10 (0.84 - 1.45) Wisconsin 1.95 (1.63 - 2.32) 5.46 (4.51 - 6.60) 7.56 (5.94 - 9.59) 0.39 (0.22 - 0.68) 1.35 (1.05 - 1.75) Wyoming 1.98 (1.65 - 2.37) 5.29 (4.33 - 6.45) 6.97 (5.45 - 8.88) 0.50 (0.29 - 0.85) 1.39 (1.06 - 1.82)

NOTE: Average annual initiation of marijuana (%) = 100 * {[X1 ÷ (0.5 * X1 + X2)] ÷ 2}, where X1 is the number of marijuana initiates in the past 24 months and X2 is the number of individuals who never used marijuana (with the at-risk population defined as 0.5 * X1 + X2). Both of the computation components, X1 and X2, are based on a survey-weighted hierarchical Bayes estimation approach. The age group shown is based on a respondent's age at the time of the interview, not his or her age at first use. For details, see Section B of the "2017-2018 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.

NOTE: The state and census region Bayesian confidence (credible) intervals presented above use a simultaneous solution for the First Use of Marijuana and Never Used Marijuana outcomes, which had age group-specific random effects that were allowed to be correlated across the two outcomes. The associated Markov Chain Monte Carlo chains were used to calculate the posterior variance. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 6 Illicit Drug Use Other Than Marijuana in the Past Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 3.30 (3.16 - 3.44) 2.39 (2.20 - 2.61) 6.56 (6.20 - 6.94) 2.88 (2.73 - 3.05) 3.39 (3.24 - 3.55) Northeast 3.26 (3.00 - 3.54) 2.17 (1.88 - 2.51) 7.08 (6.42 - 7.81) 2.78 (2.49 - 3.10) 3.36 (3.09 - 3.66) Midwest 3.34 (3.12 - 3.57) 2.44 (2.16 - 2.76) 6.89 (6.33 - 7.49) 2.87 (2.62 - 3.14) 3.43 (3.19 - 3.68) South 3.16 (2.96 - 3.36) 2.38 (2.12 - 2.66) 6.15 (5.70 - 6.64) 2.77 (2.54 - 3.02) 3.24 (3.02 - 3.46) West 3.52 (3.26 - 3.81) 2.53 (2.20 - 2.92) 6.54 (5.91 - 7.24) 3.15 (2.84 - 3.50) 3.63 (3.34 - 3.94) Alabama 3.50 (2.80 - 4.38) 2.88 (2.06 - 3.99) 6.07 (4.59 - 7.97) 3.17 (2.41 - 4.16) 3.57 (2.82 - 4.50) Alaska 3.40 (2.71 - 4.25) 2.16 (1.51 - 3.08) 5.82 (4.36 - 7.73) 3.16 (2.41 - 4.15) 3.53 (2.80 - 4.46) Arizona 3.09 (2.43 - 3.92) 2.12 (1.49 - 3.01) 5.24 (3.79 - 7.19) 2.86 (2.14 - 3.80) 3.19 (2.48 - 4.09) Arkansas 3.61 (2.91 - 4.49) 2.56 (1.88 - 3.48) 6.43 (4.86 - 8.46) 3.29 (2.51 - 4.29) 3.72 (2.97 - 4.67) California 3.52 (3.11 - 3.98) 2.47 (1.98 - 3.07) 6.21 (5.24 - 7.35) 3.20 (2.72 - 3.75) 3.62 (3.18 - 4.13) Colorado 4.65 (3.84 - 5.61) 2.92 (2.07 - 4.10) 10.02 (7.94 - 12.58) 4.00 (3.13 - 5.09) 4.82 (3.96 - 5.86) Connecticut 3.65 (2.92 - 4.54) 2.28 (1.63 - 3.16) 7.89 (6.10 - 10.14) 3.12 (2.35 - 4.13) 3.78 (3.01 - 4.74) Delaware 3.46 (2.75 - 4.34) 2.15 (1.49 - 3.10) 6.19 (4.68 - 8.14) 3.20 (2.42 - 4.22) 3.58 (2.82 - 4.52) District of Columbia 5.36 (4.29 - 6.68) 2.75 (1.88 - 4.01) 8.37 (6.27 - 11.08) 4.98 (3.81 - 6.47) 5.50 (4.38 - 6.89) Florida 3.16 (2.72 - 3.66) 2.49 (1.95 - 3.17) 6.00 (5.01 - 7.16) 2.84 (2.35 - 3.42) 3.21 (2.75 - 3.75) Georgia 3.06 (2.54 - 3.68) 2.07 (1.53 - 2.80) 5.55 (4.38 - 7.00) 2.77 (2.20 - 3.49) 3.17 (2.61 - 3.84) Hawaii 2.82 (2.22 - 3.57) 2.24 (1.56 - 3.20) 6.23 (4.59 - 8.40) 2.42 (1.80 - 3.25) 2.87 (2.23 - 3.68) Idaho 2.64 (2.08 - 3.33) 2.41 (1.69 - 3.43) 4.86 (3.53 - 6.66) 2.30 (1.71 - 3.09) 2.67 (2.07 - 3.42) Illinois 3.25 (2.76 - 3.81) 2.39 (1.85 - 3.10) 7.28 (5.98 - 8.84) 2.71 (2.20 - 3.33) 3.33 (2.82 - 3.94) Indiana 3.76 (3.08 - 4.59) 2.59 (1.88 - 3.55) 7.79 (6.04 - 9.98) 3.22 (2.50 - 4.13) 3.89 (3.16 - 4.78) Iowa 3.46 (2.82 - 4.25) 2.48 (1.79 - 3.43) 6.95 (5.30 - 9.06) 2.97 (2.29 - 3.84) 3.57 (2.88 - 4.41) Kansas 3.22 (2.60 - 3.97) 2.42 (1.74 - 3.35) 6.17 (4.65 - 8.13) 2.80 (2.15 - 3.64) 3.30 (2.65 - 4.12) Kentucky 3.21 (2.56 - 4.02) 2.33 (1.67 - 3.25) 5.54 (4.15 - 7.36) 2.94 (2.22 - 3.87) 3.30 (2.61 - 4.17) Louisiana 3.37 (2.69 - 4.23) 2.48 (1.81 - 3.39) 5.96 (4.49 - 7.88) 3.07 (2.33 - 4.03) 3.47 (2.73 - 4.39) Maine 3.07 (2.49 - 3.78) 2.28 (1.64 - 3.16) 7.21 (5.58 - 9.26) 2.61 (2.00 - 3.40) 3.14 (2.52 - 3.90) Maryland 3.24 (2.61 - 4.02) 2.28 (1.65 - 3.15) 6.79 (5.19 - 8.84) 2.82 (2.15 - 3.69) 3.34 (2.66 - 4.18) Massachusetts 4.04 (3.29 - 4.94) 2.52 (1.84 - 3.44) 8.41 (6.52 - 10.79) 3.45 (2.67 - 4.45) 4.17 (3.38 - 5.14) Michigan 3.62 (3.13 - 4.18) 2.58 (2.01 - 3.32) 7.65 (6.40 - 9.11) 3.07 (2.54 - 3.71) 3.72 (3.20 - 4.32) Minnesota 3.45 (2.80 - 4.24) 2.59 (1.90 - 3.50) 7.50 (5.72 - 9.77) 2.92 (2.24 - 3.78) 3.54 (2.84 - 4.39) Mississippi 3.18 (2.55 - 3.94) 2.43 (1.75 - 3.37) 5.79 (4.29 - 7.76) 2.83 (2.17 - 3.67) 3.26 (2.59 - 4.08) Missouri 2.94 (2.31 - 3.72) 2.38 (1.66 - 3.40) 5.25 (3.89 - 7.05) 2.63 (1.96 - 3.53) 2.99 (2.33 - 3.83) Montana 3.60 (2.95 - 4.39) 2.98 (2.17 - 4.07) 8.01 (6.18 - 10.33) 2.98 (2.31 - 3.84) 3.66 (2.97 - 4.50)

See notes at end of table. (continued)

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Table 6 Illicit Drug Use Other Than Marijuana in the Past Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 2.94 (2.34 - 3.68) 2.31 (1.64 - 3.24) 6.97 (5.23 - 9.22) 2.31 (1.71 - 3.10) 3.00 (2.37 - 3.80) Nevada 3.50 (2.80 - 4.38) 2.58 (1.86 - 3.58) 6.54 (4.90 - 8.68) 3.18 (2.42 - 4.17) 3.60 (2.85 - 4.53) New Hampshire 3.46 (2.79 - 4.28) 2.89 (2.09 - 3.97) 8.84 (6.80 - 11.42) 2.70 (2.04 - 3.57) 3.51 (2.81 - 4.38) New Jersey 2.62 (2.09 - 3.27) 1.91 (1.35 - 2.68) 5.26 (3.94 - 6.98) 2.31 (1.76 - 3.04) 2.69 (2.13 - 3.39) New Mexico 3.06 (2.44 - 3.82) 2.54 (1.81 - 3.55) 6.21 (4.61 - 8.32) 2.61 (1.96 - 3.46) 3.11 (2.46 - 3.93) New York 3.31 (2.86 - 3.83) 2.09 (1.65 - 2.65) 6.90 (5.79 - 8.20) 2.87 (2.38 - 3.47) 3.42 (2.94 - 3.98) North Carolina 2.99 (2.46 - 3.63) 2.48 (1.87 - 3.29) 6.41 (5.05 - 8.10) 2.51 (1.95 - 3.24) 3.04 (2.47 - 3.73) North Dakota 2.95 (2.34 - 3.72) 1.99 (1.39 - 2.84) 5.63 (4.19 - 7.53) 2.53 (1.90 - 3.36) 3.05 (2.40 - 3.86) Ohio 3.15 (2.70 - 3.68) 2.31 (1.80 - 2.97) 6.19 (5.11 - 7.49) 2.77 (2.27 - 3.39) 3.24 (2.75 - 3.81) Oklahoma 3.52 (2.83 - 4.37) 2.66 (1.92 - 3.69) 7.93 (6.04 - 10.36) 2.88 (2.19 - 3.79) 3.61 (2.88 - 4.52) Oregon 4.19 (3.42 - 5.13) 3.04 (2.21 - 4.16) 9.01 (7.08 - 11.39) 3.61 (2.79 - 4.64) 4.30 (3.48 - 5.30) Pennsylvania 2.98 (2.51 - 3.53) 2.12 (1.62 - 2.77) 7.06 (5.85 - 8.49) 2.45 (1.94 - 3.08) 3.05 (2.56 - 3.65) Rhode Island 4.07 (3.30 - 5.02) 2.55 (1.80 - 3.60) 8.32 (6.43 - 10.70) 3.48 (2.66 - 4.55) 4.21 (3.38 - 5.22) South Carolina 3.61 (2.92 - 4.44) 2.71 (1.97 - 3.72) 7.11 (5.47 - 9.19) 3.18 (2.44 - 4.12) 3.69 (2.97 - 4.59) South Dakota 2.88 (2.28 - 3.64) 2.55 (1.80 - 3.60) 5.96 (4.43 - 7.98) 2.41 (1.78 - 3.26) 2.92 (2.27 - 3.74) Tennessee 3.20 (2.58 - 3.98) 2.41 (1.73 - 3.33) 6.35 (4.78 - 8.38) 2.81 (2.16 - 3.65) 3.28 (2.62 - 4.11) Texas 2.95 (2.55 - 3.40) 2.25 (1.76 - 2.88) 5.79 (4.87 - 6.87) 2.55 (2.10 - 3.08) 3.03 (2.61 - 3.53) Utah 2.91 (2.35 - 3.60) 2.55 (1.80 - 3.61) 5.72 (4.29 - 7.59) 2.35 (1.76 - 3.12) 2.96 (2.35 - 3.72) Vermont 4.30 (3.52 - 5.24) 3.13 (2.26 - 4.32) 10.39 (8.07 - 13.28) 3.36 (2.59 - 4.35) 4.40 (3.58 - 5.39) Virginia 2.91 (2.40 - 3.52) 2.19 (1.60 - 2.99) 6.49 (5.12 - 8.19) 2.42 (1.89 - 3.10) 2.98 (2.44 - 3.63) Washington 3.53 (2.84 - 4.37) 2.82 (2.04 - 3.88) 6.56 (5.04 - 8.50) 3.16 (2.42 - 4.10) 3.60 (2.87 - 4.50) West Virginia 3.04 (2.46 - 3.75) 2.34 (1.69 - 3.23) 6.35 (4.81 - 8.34) 2.64 (2.03 - 3.42) 3.10 (2.49 - 3.86) Wisconsin 3.51 (2.81 - 4.36) 2.39 (1.73 - 3.29) 6.75 (5.14 - 8.81) 3.11 (2.37 - 4.08) 3.62 (2.87 - 4.54) Wyoming 2.58 (2.02 - 3.28) 2.23 (1.56 - 3.17) 5.18 (3.80 - 7.02) 2.22 (1.64 - 3.00) 2.61 (2.02 - 3.37)

NOTE: Illicit Drug Use Other Than Marijuana Use includes the misuse of prescription psychotherapeutics or the use of cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 7 Cocaine Use in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 2.10 (2.00 - 2.21) 0.48 (0.40 - 0.58) 5.99 (5.63 - 6.37) 1.67 (1.56 - 1.79) 2.26 (2.15 - 2.39) Northeast 2.32 (2.11 - 2.56) 0.46 (0.35 - 0.60) 6.84 (6.14 - 7.61) 1.82 (1.59 - 2.08) 2.50 (2.26 - 2.75) Midwest 1.93 (1.77 - 2.09) 0.50 (0.39 - 0.64) 5.72 (5.15 - 6.33) 1.48 (1.32 - 1.66) 2.07 (1.90 - 2.25) South 1.77 (1.63 - 1.91) 0.42 (0.33 - 0.55) 4.88 (4.44 - 5.37) 1.43 (1.29 - 1.59) 1.90 (1.76 - 2.06) West 2.63 (2.40 - 2.87) 0.56 (0.41 - 0.77) 7.35 (6.60 - 8.17) 2.11 (1.86 - 2.38) 2.84 (2.59 - 3.11) Alabama 1.69 (1.24 - 2.30) 0.38 (0.22 - 0.66) 4.49 (3.18 - 6.31) 1.40 (0.97 - 2.03) 1.83 (1.34 - 2.49) Alaska 2.19 (1.65 - 2.91) 0.45 (0.26 - 0.77) 5.09 (3.60 - 7.16) 1.95 (1.40 - 2.71) 2.38 (1.78 - 3.18) Arizona 1.97 (1.45 - 2.68) 0.55 (0.34 - 0.90) 5.51 (3.86 - 7.81) 1.56 (1.09 - 2.24) 2.12 (1.55 - 2.89) Arkansas 1.40 (1.02 - 1.92) 0.48 (0.29 - 0.78) 3.73 (2.57 - 5.38) 1.13 (0.78 - 1.65) 1.49 (1.08 - 2.06) California 2.80 (2.46 - 3.20) 0.51 (0.33 - 0.77) 7.68 (6.55 - 8.99) 2.27 (1.90 - 2.71) 3.04 (2.66 - 3.47) Colorado 3.82 (3.08 - 4.74) 0.78 (0.44 - 1.36) 11.64 (9.18 - 14.64) 2.94 (2.20 - 3.92) 4.13 (3.32 - 5.13) Connecticut 2.05 (1.57 - 2.69) 0.41 (0.25 - 0.67) 6.17 (4.54 - 8.33) 1.58 (1.11 - 2.23) 2.21 (1.68 - 2.90) Delaware 2.20 (1.66 - 2.92) 0.37 (0.22 - 0.63) 6.88 (5.09 - 9.25) 1.72 (1.21 - 2.44) 2.37 (1.79 - 3.15) District of Columbia 4.51 (3.54 - 5.72) 0.26 (0.13 - 0.55) 7.40 (5.39 - 10.09) 4.26 (3.21 - 5.63) 4.75 (3.73 - 6.03) Florida 2.00 (1.70 - 2.36) 0.48 (0.32 - 0.73) 6.08 (5.03 - 7.35) 1.60 (1.30 - 1.98) 2.13 (1.81 - 2.52) Georgia 1.82 (1.41 - 2.34) 0.34 (0.21 - 0.57) 4.64 (3.47 - 6.17) 1.54 (1.14 - 2.09) 1.98 (1.54 - 2.56) Hawaii 2.10 (1.56 - 2.81) 0.35 (0.17 - 0.71) 6.02 (4.36 - 8.26) 1.75 (1.22 - 2.51) 2.25 (1.67 - 3.03) Idaho 1.37 (0.97 - 1.91) 0.55 (0.31 - 0.97) 3.96 (2.74 - 5.69) 1.05 (0.69 - 1.60) 1.46 (1.04 - 2.07) Illinois 2.23 (1.84 - 2.70) 0.50 (0.34 - 0.75) 6.07 (4.88 - 7.52) 1.83 (1.44 - 2.33) 2.41 (1.99 - 2.92) Indiana 2.14 (1.63 - 2.80) 0.63 (0.39 - 1.00) 6.53 (4.83 - 8.78) 1.57 (1.12 - 2.19) 2.30 (1.75 - 3.02) Iowa 1.47 (1.08 - 2.00) 0.49 (0.29 - 0.83) 4.69 (3.33 - 6.58) 1.02 (0.69 - 1.51) 1.57 (1.15 - 2.14) Kansas 1.63 (1.22 - 2.19) 0.55 (0.35 - 0.88) 4.87 (3.44 - 6.86) 1.20 (0.84 - 1.72) 1.75 (1.30 - 2.36) Kentucky 1.72 (1.29 - 2.30) 0.51 (0.31 - 0.83) 4.92 (3.47 - 6.93) 1.35 (0.95 - 1.91) 1.85 (1.38 - 2.47) Louisiana 1.50 (1.08 - 2.08) 0.31 (0.17 - 0.54) 3.97 (2.72 - 5.75) 1.25 (0.85 - 1.83) 1.62 (1.16 - 2.26) Maine 2.04 (1.55 - 2.69) 0.63 (0.39 - 1.01) 7.54 (5.68 - 9.94) 1.46 (1.02 - 2.09) 2.16 (1.63 - 2.85) Maryland 1.92 (1.42 - 2.58) 0.30 (0.17 - 0.53) 5.32 (3.82 - 7.37) 1.59 (1.12 - 2.26) 2.08 (1.54 - 2.80) Massachusetts 2.91 (2.27 - 3.71) 0.54 (0.33 - 0.88) 9.03 (6.90 - 11.74) 2.11 (1.53 - 2.90) 3.12 (2.43 - 3.99) Michigan 1.94 (1.59 - 2.36) 0.46 (0.30 - 0.69) 6.02 (4.85 - 7.45) 1.44 (1.10 - 1.87) 2.08 (1.71 - 2.54) Minnesota 2.40 (1.84 - 3.13) 0.52 (0.32 - 0.82) 6.65 (4.89 - 8.97) 1.96 (1.42 - 2.70) 2.59 (1.98 - 3.39) Mississippi 1.47 (1.04 - 2.08) 0.32 (0.18 - 0.57) 3.25 (2.19 - 4.80) 1.32 (0.87 - 1.97) 1.60 (1.12 - 2.27) Missouri 1.45 (1.07 - 1.95) 0.42 (0.25 - 0.70) 4.14 (2.89 - 5.89) 1.14 (0.79 - 1.64) 1.55 (1.14 - 2.10) Montana 1.91 (1.46 - 2.50) 0.65 (0.39 - 1.08) 6.12 (4.50 - 8.29) 1.38 (0.98 - 1.95) 2.03 (1.54 - 2.67)

See notes at end of table. (continued)

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Table 7 Cocaine Use in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 1.83 (1.38 - 2.44) 0.54 (0.33 - 0.88) 6.20 (4.51 - 8.46) 1.23 (0.86 - 1.77) 1.98 (1.48 - 2.63) Nevada 2.27 (1.70 - 3.03) 0.54 (0.33 - 0.88) 5.84 (4.20 - 8.06) 1.96 (1.40 - 2.74) 2.44 (1.82 - 3.27) New Hampshire 2.72 (2.12 - 3.47) 0.80 (0.48 - 1.34) 10.65 (8.13 - 13.83) 1.70 (1.22 - 2.37) 2.89 (2.25 - 3.70) New Jersey 1.47 (1.09 - 1.98) 0.34 (0.19 - 0.61) 4.27 (2.99 - 6.05) 1.19 (0.83 - 1.69) 1.58 (1.17 - 2.13) New Mexico 2.09 (1.55 - 2.82) 0.67 (0.39 - 1.14) 5.86 (4.17 - 8.17) 1.66 (1.15 - 2.39) 2.24 (1.65 - 3.04) New York 2.62 (2.20 - 3.12) 0.39 (0.26 - 0.60) 6.88 (5.73 - 8.24) 2.18 (1.74 - 2.74) 2.82 (2.37 - 3.36) North Carolina 1.85 (1.44 - 2.37) 0.43 (0.27 - 0.68) 4.86 (3.67 - 6.42) 1.54 (1.14 - 2.09) 1.99 (1.55 - 2.56) North Dakota 1.48 (1.08 - 2.04) 0.45 (0.25 - 0.83) 4.52 (3.14 - 6.48) 1.00 (0.66 - 1.49) 1.58 (1.14 - 2.18) Ohio 1.59 (1.29 - 1.96) 0.44 (0.28 - 0.69) 4.99 (3.96 - 6.27) 1.19 (0.89 - 1.58) 1.70 (1.38 - 2.11) Oklahoma 1.94 (1.45 - 2.60) 0.51 (0.31 - 0.83) 5.88 (4.24 - 8.11) 1.46 (1.01 - 2.11) 2.10 (1.56 - 2.82) Oregon 3.09 (2.45 - 3.90) 0.80 (0.48 - 1.34) 9.72 (7.52 - 12.47) 2.36 (1.74 - 3.18) 3.30 (2.61 - 4.17) Pennsylvania 2.12 (1.77 - 2.55) 0.53 (0.37 - 0.77) 6.60 (5.42 - 8.01) 1.61 (1.26 - 2.06) 2.27 (1.89 - 2.73) Rhode Island 2.61 (2.01 - 3.37) 0.56 (0.34 - 0.92) 7.34 (5.49 - 9.76) 1.99 (1.43 - 2.75) 2.79 (2.15 - 3.61) South Carolina 2.07 (1.56 - 2.74) 0.46 (0.26 - 0.80) 6.24 (4.60 - 8.40) 1.62 (1.13 - 2.30) 2.23 (1.68 - 2.95) South Dakota 1.14 (0.79 - 1.64) 0.43 (0.22 - 0.81) 3.60 (2.42 - 5.34) 0.82 (0.52 - 1.29) 1.22 (0.84 - 1.76) Tennessee 1.88 (1.41 - 2.50) 0.47 (0.30 - 0.74) 5.02 (3.60 - 6.96) 1.55 (1.09 - 2.19) 2.02 (1.51 - 2.69) Texas 1.42 (1.16 - 1.73) 0.44 (0.29 - 0.67) 3.99 (3.17 - 5.00) 1.10 (0.85 - 1.44) 1.54 (1.25 - 1.88) Utah 1.61 (1.19 - 2.17) 0.52 (0.30 - 0.90) 4.52 (3.15 - 6.43) 1.16 (0.79 - 1.69) 1.76 (1.30 - 2.39) Vermont 3.42 (2.70 - 4.31) 0.81 (0.49 - 1.36) 11.06 (8.55 - 14.20) 2.35 (1.70 - 3.22) 3.63 (2.86 - 4.59) Virginia 1.82 (1.43 - 2.32) 0.37 (0.23 - 0.60) 5.19 (3.92 - 6.85) 1.45 (1.08 - 1.94) 1.96 (1.54 - 2.50) Washington 2.46 (1.90 - 3.19) 0.63 (0.39 - 1.02) 6.85 (5.15 - 9.06) 2.01 (1.46 - 2.77) 2.64 (2.03 - 3.43) West Virginia 1.82 (1.36 - 2.44) 0.61 (0.37 - 1.01) 5.27 (3.77 - 7.32) 1.45 (1.02 - 2.07) 1.93 (1.43 - 2.59) Wisconsin 2.30 (1.77 - 2.98) 0.60 (0.38 - 0.94) 6.98 (5.20 - 9.32) 1.74 (1.25 - 2.41) 2.47 (1.89 - 3.21) Wyoming 1.31 (0.94 - 1.83) 0.54 (0.30 - 0.96) 4.23 (2.89 - 6.13) 0.95 (0.63 - 1.44) 1.39 (0.99 - 1.95)

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 8 Perceptions of Great Risk from Using Cocaine Once a Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 71.27 (70.85 - 71.68) 54.92 (54.18 - 55.66) 62.82 (62.06 - 63.58) 74.50 (74.00 - 75.00) 72.89 (72.43 - 73.33) Northeast 69.04 (68.19 - 69.89) 54.91 (53.58 - 56.23) 58.69 (57.14 - 60.23) 72.14 (71.10 - 73.16) 70.32 (69.39 - 71.23) Midwest 70.55 (69.90 - 71.20) 53.32 (52.14 - 54.50) 61.52 (60.18 - 62.84) 74.06 (73.26 - 74.84) 72.29 (71.58 - 72.99) South 75.59 (75.05 - 76.12) 56.63 (55.58 - 57.68) 67.87 (66.66 - 69.05) 79.05 (78.40 - 79.69) 77.52 (76.93 - 78.10) West 66.65 (65.85 - 67.45) 53.60 (52.21 - 54.98) 59.11 (57.52 - 60.68) 69.40 (68.43 - 70.35) 67.96 (67.09 - 68.82) Alabama 76.00 (73.68 - 78.18) 56.39 (52.52 - 60.19) 70.04 (66.29 - 73.54) 79.22 (76.43 - 81.75) 77.95 (75.42 - 80.28) Alaska 64.75 (62.22 - 67.19) 54.49 (50.69 - 58.23) 60.11 (56.01 - 64.08) 66.79 (63.71 - 69.72) 65.85 (63.10 - 68.50) Arizona 70.57 (67.90 - 73.11) 56.54 (52.51 - 60.48) 64.18 (59.83 - 68.31) 73.29 (70.09 - 76.27) 72.00 (69.10 - 74.73) Arkansas 77.64 (75.61 - 79.54) 56.51 (52.73 - 60.21) 71.41 (67.71 - 74.85) 81.21 (78.80 - 83.40) 79.84 (77.63 - 81.87) California 66.63 (65.39 - 67.86) 53.54 (51.36 - 55.71) 59.60 (57.22 - 61.92) 69.31 (67.80 - 70.78) 67.93 (66.58 - 69.25) Colorado 62.84 (60.22 - 65.39) 52.47 (48.12 - 56.78) 52.99 (48.75 - 57.19) 65.59 (62.42 - 68.63) 63.86 (61.02 - 66.60) Connecticut 68.42 (65.67 - 71.05) 57.63 (53.78 - 61.38) 57.46 (53.30 - 61.51) 71.39 (68.11 - 74.46) 69.45 (66.48 - 72.28) Delaware 71.15 (68.69 - 73.49) 56.12 (51.97 - 60.19) 63.81 (59.64 - 67.78) 73.80 (70.91 - 76.50) 72.53 (69.90 - 75.01) District of Columbia 58.90 (56.04 - 61.70) 57.93 (53.94 - 61.83) 53.44 (48.83 - 58.01) 59.94 (56.62 - 63.18) 58.93 (55.92 - 61.88) Florida 76.53 (75.24 - 77.78) 55.75 (53.48 - 57.99) 66.73 (64.31 - 69.06) 79.87 (78.35 - 81.31) 78.30 (76.91 - 79.63) Georgia 77.30 (75.52 - 78.98) 62.35 (58.72 - 65.85) 67.64 (64.29 - 70.81) 80.83 (78.70 - 82.79) 78.95 (77.03 - 80.74) Hawaii 68.63 (66.08 - 71.08) 55.47 (51.24 - 59.61) 63.84 (59.52 - 67.96) 70.60 (67.55 - 73.47) 69.79 (67.00 - 72.44) Idaho 71.22 (68.82 - 73.50) 54.21 (50.29 - 58.08) 65.09 (61.19 - 68.81) 74.60 (71.70 - 77.30) 73.24 (70.61 - 75.72) Illinois 68.95 (67.26 - 70.60) 53.16 (50.25 - 56.04) 62.22 (59.28 - 65.06) 71.88 (69.82 - 73.85) 70.55 (68.70 - 72.33) Indiana 72.27 (70.17 - 74.28) 51.84 (47.91 - 55.75) 62.82 (58.81 - 66.67) 76.45 (73.97 - 78.76) 74.44 (72.16 - 76.59) Iowa 68.45 (66.07 - 70.73) 48.98 (45.02 - 52.96) 57.87 (53.74 - 61.88) 72.65 (69.82 - 75.31) 70.43 (67.87 - 72.87) Kansas 70.87 (68.45 - 73.19) 53.70 (49.71 - 57.65) 64.79 (60.79 - 68.60) 74.16 (71.25 - 76.88) 72.75 (70.12 - 75.23) Kentucky 75.60 (73.43 - 77.65) 56.35 (52.25 - 60.37) 65.65 (61.70 - 69.40) 79.43 (76.88 - 81.76) 77.52 (75.18 - 79.70) Louisiana 75.35 (73.16 - 77.42) 54.23 (50.41 - 58.00) 70.23 (66.41 - 73.78) 78.71 (76.08 - 81.13) 77.53 (75.14 - 79.76) Maine 67.71 (64.97 - 70.34) 53.12 (49.33 - 56.87) 56.86 (52.97 - 60.67) 70.48 (67.27 - 73.49) 68.91 (65.97 - 71.70) Maryland 72.33 (69.94 - 74.61) 52.92 (49.02 - 56.79) 63.21 (59.22 - 67.03) 75.87 (73.03 - 78.50) 74.22 (71.63 - 76.65) Massachusetts 63.74 (60.99 - 66.40) 51.16 (47.32 - 54.98) 51.72 (47.38 - 56.03) 67.07 (63.81 - 70.17) 64.83 (61.90 - 67.65) Michigan 72.86 (71.30 - 74.36) 54.26 (51.60 - 56.91) 62.94 (60.14 - 65.66) 76.62 (74.74 - 78.40) 74.68 (73.00 - 76.28) Minnesota 65.72 (63.17 - 68.18) 50.84 (46.96 - 54.72) 55.33 (50.86 - 59.73) 69.09 (66.10 - 71.92) 67.22 (64.46 - 69.87) Mississippi 80.15 (78.17 - 81.99) 56.71 (52.89 - 60.45) 73.25 (69.35 - 76.81) 84.31 (81.99 - 86.37) 82.69 (80.54 - 84.65) Missouri 71.87 (69.67 - 73.97) 57.97 (54.05 - 61.79) 62.01 (58.00 - 65.86) 75.04 (72.44 - 77.48) 73.25 (70.87 - 75.50) Montana 67.53 (65.08 - 69.88) 50.79 (46.94 - 54.64) 57.49 (53.37 - 61.50) 70.88 (67.97 - 73.63) 69.06 (66.42 - 71.58)

See notes at end of table. (continued)

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Table 8 Perceptions of Great Risk from Using Cocaine Once a Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 70.75 (68.51 - 72.89) 51.04 (47.08 - 54.98) 58.97 (54.80 - 63.02) 75.35 (72.65 - 77.86) 72.89 (70.46 - 75.20) Nevada 69.99 (67.23 - 72.62) 53.57 (49.26 - 57.83) 62.98 (58.78 - 67.00) 72.84 (69.54 - 75.91) 71.61 (68.59 - 74.46) New Hampshire 67.04 (64.52 - 69.46) 51.63 (47.72 - 55.52) 51.20 (46.77 - 55.61) 71.01 (68.08 - 73.77) 68.38 (65.67 - 70.98) New Jersey 72.95 (70.88 - 74.93) 56.85 (53.32 - 60.31) 64.24 (60.53 - 67.79) 76.04 (73.57 - 78.35) 74.53 (72.28 - 76.65) New Mexico 71.12 (68.65 - 73.47) 55.41 (51.31 - 59.43) 65.51 (61.42 - 69.37) 73.93 (70.97 - 76.69) 72.75 (70.08 - 75.28) New York 68.70 (67.18 - 70.19) 56.35 (53.90 - 58.77) 59.66 (57.07 - 62.19) 71.40 (69.54 - 73.18) 69.79 (68.14 - 71.39) North Carolina 74.24 (72.36 - 76.05) 53.22 (50.09 - 56.33) 65.88 (62.52 - 69.09) 78.00 (75.74 - 80.10) 76.35 (74.30 - 78.28) North Dakota 70.94 (68.61 - 73.17) 52.67 (48.84 - 56.48) 59.85 (55.59 - 63.96) 75.20 (72.41 - 77.80) 72.65 (70.11 - 75.04) Ohio 72.20 (70.66 - 73.69) 55.54 (52.87 - 58.17) 62.45 (59.71 - 65.11) 75.66 (73.79 - 77.43) 73.86 (72.18 - 75.47) Oklahoma 73.66 (71.33 - 75.86) 54.98 (50.83 - 59.07) 67.58 (63.43 - 71.47) 77.05 (74.29 - 79.60) 75.68 (73.14 - 78.05) Oregon 62.54 (59.98 - 65.03) 51.04 (47.07 - 54.99) 52.49 (48.40 - 56.55) 65.19 (62.15 - 68.10) 63.55 (60.80 - 66.22) Pennsylvania 70.52 (68.91 - 72.07) 53.13 (50.35 - 55.89) 59.48 (56.68 - 62.21) 74.02 (72.07 - 75.87) 72.09 (70.36 - 73.76) Rhode Island 68.24 (65.71 - 70.68) 53.13 (49.04 - 57.19) 56.51 (52.27 - 60.65) 71.84 (68.77 - 74.72) 69.54 (66.81 - 72.15) South Carolina 75.10 (72.81 - 77.25) 54.20 (50.35 - 58.00) 66.03 (62.18 - 69.68) 78.79 (76.09 - 81.26) 77.10 (74.64 - 79.39) South Dakota 70.86 (68.41 - 73.19) 52.49 (48.67 - 56.27) 61.68 (57.47 - 65.72) 74.65 (71.77 - 77.33) 72.78 (70.13 - 75.29) Tennessee 75.51 (73.26 - 77.64) 54.73 (50.97 - 58.44) 68.16 (64.18 - 71.88) 79.03 (76.36 - 81.47) 77.56 (75.12 - 79.83) Texas 76.68 (75.45 - 77.87) 58.42 (55.89 - 60.91) 70.62 (68.29 - 72.85) 80.29 (78.78 - 81.72) 78.84 (77.49 - 80.13) Utah 71.76 (69.52 - 73.90) 58.37 (54.34 - 62.30) 63.70 (59.55 - 67.66) 75.82 (73.05 - 78.39) 73.62 (71.14 - 75.97) Vermont 65.59 (62.90 - 68.18) 54.43 (50.56 - 58.25) 53.83 (49.45 - 58.15) 68.68 (65.52 - 71.67) 66.49 (63.62 - 69.23) Virginia 72.34 (70.41 - 74.18) 56.59 (53.22 - 59.91) 64.82 (61.53 - 67.96) 75.29 (72.98 - 77.46) 73.86 (71.77 - 75.84) Washington 62.01 (59.29 - 64.65) 49.62 (45.40 - 53.83) 51.61 (47.22 - 55.98) 64.88 (61.68 - 67.96) 63.16 (60.23 - 66.00) West Virginia 75.18 (72.89 - 77.33) 54.97 (50.93 - 58.94) 67.66 (63.70 - 71.38) 78.28 (75.58 - 80.77) 76.95 (74.48 - 79.24) Wisconsin 68.88 (66.35 - 71.31) 50.13 (46.35 - 53.89) 60.87 (56.91 - 64.69) 72.32 (69.28 - 75.18) 70.72 (67.98 - 73.32) Wyoming 70.57 (68.08 - 72.95) 54.94 (51.21 - 58.63) 60.94 (56.83 - 64.90) 73.88 (70.90 - 76.65) 72.15 (69.44 - 74.70)

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 9 Heroin Use in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 0.31 (0.27 - 0.36) 0.05 (0.03 - 0.08) 0.54 (0.44 - 0.66) 0.30 (0.25 - 0.36) 0.34 (0.29 - 0.39) Northeast 0.46 (0.35 - 0.59) 0.05 (0.02 - 0.10) 0.68 (0.52 - 0.89) 0.47 (0.35 - 0.63) 0.50 (0.38 - 0.64) Midwest 0.33 (0.25 - 0.43) 0.05 (0.02 - 0.11) 0.58 (0.45 - 0.75) 0.32 (0.24 - 0.44) 0.36 (0.28 - 0.47) South 0.27 (0.21 - 0.35) 0.05 (0.02 - 0.10) 0.52 (0.41 - 0.66) 0.26 (0.19 - 0.35) 0.29 (0.23 - 0.38) West 0.25 (0.18 - 0.34) 0.05 (0.02 - 0.11) 0.45 (0.33 - 0.61) 0.24 (0.16 - 0.35) 0.27 (0.19 - 0.37) Alabama 0.33 (0.16 - 0.67) 0.05 (0.01 - 0.18) 0.52 (0.26 - 1.02) 0.33 (0.15 - 0.75) 0.36 (0.17 - 0.73) Alaska 0.52 (0.27 - 1.01) 0.07 (0.02 - 0.31) 0.65 (0.32 - 1.31) 0.56 (0.27 - 1.17) 0.57 (0.29 - 1.11) Arizona 0.25 (0.12 - 0.52) 0.05 (0.02 - 0.13) 0.63 (0.32 - 1.23) 0.22 (0.08 - 0.55) 0.27 (0.13 - 0.57) Arkansas 0.24 (0.12 - 0.49) 0.06 (0.02 - 0.16) 0.58 (0.29 - 1.16) 0.21 (0.08 - 0.52) 0.26 (0.12 - 0.53) California 0.18 (0.11 - 0.32) 0.03 (0.01 - 0.14) 0.31 (0.17 - 0.57) 0.18 (0.10 - 0.35) 0.20 (0.11 - 0.35) Colorado 0.35 (0.18 - 0.67) 0.05 (0.02 - 0.15) 0.75 (0.39 - 1.44) 0.32 (0.14 - 0.72) 0.38 (0.19 - 0.73) Connecticut 0.39 (0.20 - 0.79) 0.04 (0.01 - 0.11) 0.61 (0.33 - 1.13) 0.40 (0.18 - 0.91) 0.43 (0.21 - 0.86) Delaware 0.84 (0.47 - 1.50) 0.07 (0.02 - 0.20) 1.12 (0.56 - 2.25) 0.88 (0.46 - 1.69) 0.91 (0.51 - 1.63) District of Columbia 0.41 (0.19 - 0.87) 0.02 (0.00 - 0.08) 0.36 (0.17 - 0.75) 0.45 (0.19 - 1.02) 0.43 (0.20 - 0.92) Florida 0.29 (0.17 - 0.47) 0.06 (0.03 - 0.14) 0.56 (0.35 - 0.91) 0.27 (0.15 - 0.48) 0.30 (0.19 - 0.50) Georgia 0.17 (0.08 - 0.35) 0.03 (0.01 - 0.10) 0.35 (0.17 - 0.69) 0.15 (0.06 - 0.38) 0.18 (0.09 - 0.38) Hawaii 0.27 (0.12 - 0.59) 0.06 (0.01 - 0.28) 0.38 (0.18 - 0.82) 0.27 (0.11 - 0.68) 0.29 (0.13 - 0.64) Idaho 0.32 (0.16 - 0.63) 0.06 (0.02 - 0.14) 0.51 (0.25 - 1.03) 0.32 (0.14 - 0.73) 0.35 (0.17 - 0.71) Illinois 0.24 (0.13 - 0.44) 0.03 (0.01 - 0.09) 0.45 (0.25 - 0.81) 0.23 (0.11 - 0.48) 0.26 (0.14 - 0.49) Indiana 0.49 (0.28 - 0.88) 0.07 (0.03 - 0.16) 0.86 (0.47 - 1.55) 0.48 (0.24 - 0.95) 0.54 (0.30 - 0.96) Iowa 0.26 (0.13 - 0.54) 0.05 (0.02 - 0.12) 0.54 (0.27 - 1.07) 0.24 (0.10 - 0.58) 0.29 (0.14 - 0.59) Kansas 0.23 (0.11 - 0.50) 0.05 (0.02 - 0.14) 0.49 (0.24 - 1.00) 0.21 (0.08 - 0.55) 0.25 (0.11 - 0.55) Kentucky 0.40 (0.21 - 0.77) 0.08 (0.03 - 0.18) 0.66 (0.35 - 1.24) 0.40 (0.19 - 0.86) 0.44 (0.23 - 0.84) Louisiana 0.21 (0.09 - 0.46) 0.04 (0.01 - 0.12) 0.40 (0.19 - 0.84) 0.20 (0.07 - 0.51) 0.22 (0.10 - 0.50) Maine 0.65 (0.35 - 1.21) 0.08 (0.03 - 0.21) 1.10 (0.61 - 1.97) 0.65 (0.32 - 1.31) 0.70 (0.38 - 1.30) Maryland 0.34 (0.17 - 0.68) 0.04 (0.01 - 0.10) 0.57 (0.29 - 1.10) 0.34 (0.15 - 0.76) 0.37 (0.18 - 0.75) Massachusetts 0.52 (0.28 - 0.99) 0.04 (0.01 - 0.16) 0.64 (0.34 - 1.20) 0.55 (0.27 - 1.13) 0.57 (0.30 - 1.07) Michigan 0.22 (0.11 - 0.43) 0.05 (0.02 - 0.15) 0.39 (0.19 - 0.76) 0.21 (0.10 - 0.46) 0.24 (0.12 - 0.46) Minnesota 0.33 (0.17 - 0.67) 0.04 (0.01 - 0.11) 0.62 (0.32 - 1.21) 0.32 (0.14 - 0.74) 0.36 (0.18 - 0.74) Mississippi 0.21 (0.09 - 0.45) 0.04 (0.01 - 0.14) 0.41 (0.20 - 0.86) 0.19 (0.07 - 0.50) 0.22 (0.10 - 0.50) Missouri 0.26 (0.13 - 0.51) 0.06 (0.02 - 0.14) 0.54 (0.28 - 1.04) 0.24 (0.10 - 0.55) 0.28 (0.14 - 0.56) Montana 0.30 (0.15 - 0.59) 0.08 (0.03 - 0.21) 0.59 (0.31 - 1.14) 0.28 (0.12 - 0.63) 0.32 (0.16 - 0.64)

See notes at end of table. (continued)

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Table 9 Heroin Use in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 0.22 (0.10 - 0.48) 0.04 (0.01 - 0.13) 0.48 (0.23 - 0.99) 0.20 (0.08 - 0.53) 0.24 (0.11 - 0.53) Nevada 0.34 (0.16 - 0.68) 0.07 (0.03 - 0.19) 0.80 (0.41 - 1.57) 0.30 (0.13 - 0.71) 0.36 (0.18 - 0.74) New Hampshire 0.41 (0.22 - 0.79) 0.07 (0.03 - 0.19) 0.72 (0.37 - 1.38) 0.40 (0.19 - 0.86) 0.44 (0.23 - 0.85) New Jersey 0.61 (0.34 - 1.09) 0.04 (0.01 - 0.12) 0.60 (0.32 - 1.12) 0.67 (0.35 - 1.28) 0.66 (0.37 - 1.20) New Mexico 0.30 (0.15 - 0.59) 0.07 (0.03 - 0.19) 0.58 (0.29 - 1.13) 0.28 (0.12 - 0.64) 0.32 (0.16 - 0.65) New York 0.28 (0.16 - 0.48) 0.04 (0.01 - 0.10) 0.50 (0.29 - 0.85) 0.27 (0.14 - 0.52) 0.30 (0.17 - 0.52) North Carolina 0.27 (0.14 - 0.52) 0.04 (0.01 - 0.13) 0.61 (0.33 - 1.11) 0.24 (0.11 - 0.55) 0.29 (0.15 - 0.57) North Dakota 0.36 (0.19 - 0.68) 0.05 (0.02 - 0.15) 0.79 (0.42 - 1.50) 0.31 (0.14 - 0.71) 0.39 (0.21 - 0.74) Ohio 0.49 (0.32 - 0.75) 0.07 (0.03 - 0.17) 0.73 (0.46 - 1.16) 0.50 (0.30 - 0.83) 0.53 (0.34 - 0.82) Oklahoma 0.34 (0.17 - 0.66) 0.08 (0.03 - 0.20) 0.78 (0.41 - 1.49) 0.29 (0.12 - 0.71) 0.37 (0.18 - 0.73) Oregon 0.38 (0.19 - 0.76) 0.07 (0.03 - 0.18) 0.53 (0.27 - 1.04) 0.39 (0.18 - 0.86) 0.41 (0.20 - 0.82) Pennsylvania 0.59 (0.39 - 0.88) 0.05 (0.02 - 0.14) 1.03 (0.63 - 1.67) 0.58 (0.36 - 0.93) 0.64 (0.42 - 0.96) Rhode Island 0.41 (0.20 - 0.81) 0.06 (0.02 - 0.17) 0.55 (0.28 - 1.10) 0.42 (0.19 - 0.93) 0.44 (0.22 - 0.88) South Carolina 0.19 (0.08 - 0.42) 0.05 (0.02 - 0.13) 0.40 (0.19 - 0.84) 0.17 (0.06 - 0.46) 0.20 (0.09 - 0.46) South Dakota 0.22 (0.10 - 0.48) 0.05 (0.02 - 0.16) 0.49 (0.23 - 1.03) 0.20 (0.07 - 0.53) 0.24 (0.11 - 0.53) Tennessee 0.32 (0.16 - 0.64) 0.05 (0.02 - 0.14) 0.63 (0.33 - 1.18) 0.31 (0.14 - 0.69) 0.35 (0.18 - 0.70) Texas 0.21 (0.12 - 0.36) 0.04 (0.02 - 0.11) 0.45 (0.26 - 0.77) 0.19 (0.09 - 0.38) 0.23 (0.13 - 0.40) Utah 0.27 (0.14 - 0.54) 0.03 (0.01 - 0.10) 0.45 (0.21 - 0.98) 0.27 (0.12 - 0.62) 0.31 (0.15 - 0.61) Vermont 0.65 (0.36 - 1.19) 0.09 (0.03 - 0.26) 0.85 (0.44 - 1.64) 0.67 (0.34 - 1.34) 0.70 (0.38 - 1.28) Virginia 0.34 (0.19 - 0.63) 0.04 (0.01 - 0.16) 0.50 (0.27 - 0.93) 0.35 (0.18 - 0.71) 0.37 (0.20 - 0.69) Washington 0.30 (0.15 - 0.62) 0.06 (0.02 - 0.15) 0.54 (0.28 - 1.04) 0.29 (0.12 - 0.69) 0.33 (0.16 - 0.67) West Virginia 0.50 (0.28 - 0.92) 0.07 (0.02 - 0.23) 0.89 (0.49 - 1.62) 0.49 (0.25 - 0.98) 0.54 (0.30 - 0.99) Wisconsin 0.41 (0.21 - 0.80) 0.05 (0.02 - 0.13) 0.69 (0.37 - 1.26) 0.41 (0.19 - 0.89) 0.45 (0.23 - 0.88) Wyoming 0.23 (0.11 - 0.50) 0.07 (0.03 - 0.20) 0.51 (0.24 - 1.06) 0.21 (0.08 - 0.54) 0.25 (0.11 - 0.55)

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 10 Perceptions of Great Risk from Trying Heroin Once or Twice, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 86.29 (86.00 - 86.57) 65.41 (64.70 - 66.11) 82.54 (82.01 - 83.07) 89.28 (88.95 - 89.60) 88.35 (88.06 - 88.64) Northeast 86.46 (85.87 - 87.03) 66.88 (65.62 - 68.12) 82.80 (81.71 - 83.83) 89.07 (88.40 - 89.71) 88.22 (87.60 - 88.82) Midwest 86.32 (85.83 - 86.79) 64.74 (63.64 - 65.82) 82.56 (81.67 - 83.43) 89.46 (88.91 - 89.98) 88.49 (87.98 - 88.97) South 87.78 (87.37 - 88.18) 66.09 (65.09 - 67.07) 83.78 (83.03 - 84.50) 90.96 (90.49 - 91.40) 89.97 (89.56 - 90.37) West 83.76 (83.15 - 84.35) 63.91 (62.56 - 65.24) 80.42 (79.29 - 81.51) 86.61 (85.89 - 87.29) 85.74 (85.10 - 86.36) Alabama 88.45 (86.77 - 89.93) 67.59 (63.96 - 71.02) 85.17 (82.39 - 87.57) 91.36 (89.45 - 92.95) 90.51 (88.74 - 92.02) Alaska 82.02 (79.94 - 83.93) 63.73 (60.20 - 67.12) 80.10 (76.68 - 83.14) 84.63 (82.15 - 86.82) 84.00 (81.73 - 86.03) Arizona 87.29 (85.48 - 88.91) 67.26 (63.54 - 70.77) 84.55 (81.29 - 87.33) 90.13 (88.05 - 91.88) 89.34 (87.43 - 90.99) Arkansas 87.54 (85.96 - 88.96) 64.83 (61.30 - 68.21) 82.58 (79.42 - 85.35) 91.08 (89.33 - 92.56) 89.89 (88.23 - 91.33) California 83.46 (82.48 - 84.39) 63.44 (61.26 - 65.57) 80.65 (78.85 - 82.34) 86.23 (85.07 - 87.32) 85.44 (84.39 - 86.43) Colorado 83.98 (82.10 - 85.71) 63.36 (59.52 - 67.05) 80.97 (77.83 - 83.75) 86.82 (84.58 - 88.78) 86.02 (83.98 - 87.83) Connecticut 87.67 (85.89 - 89.25) 68.82 (65.11 - 72.30) 84.79 (81.84 - 87.34) 90.23 (88.17 - 91.96) 89.47 (87.58 - 91.10) Delaware 87.47 (85.73 - 89.01) 66.23 (62.61 - 69.67) 83.96 (80.94 - 86.59) 90.20 (88.22 - 91.87) 89.41 (87.57 - 91.00) District of Columbia 80.07 (77.60 - 82.33) 65.32 (61.63 - 68.83) 77.60 (73.57 - 81.16) 81.47 (78.63 - 84.01) 80.86 (78.28 - 83.21) Florida 89.41 (88.49 - 90.26) 66.03 (63.72 - 68.26) 83.96 (82.07 - 85.68) 92.39 (91.34 - 93.32) 91.39 (90.43 - 92.26) Georgia 88.87 (87.60 - 90.02) 69.15 (65.93 - 72.19) 84.17 (81.61 - 86.44) 92.17 (90.74 - 93.40) 91.03 (89.70 - 92.20) Hawaii 82.74 (80.57 - 84.71) 62.99 (59.25 - 66.58) 80.47 (76.96 - 83.57) 85.01 (82.48 - 87.23) 84.47 (82.13 - 86.56) Idaho 85.82 (84.05 - 87.42) 65.91 (62.25 - 69.39) 81.73 (78.40 - 84.65) 89.26 (87.22 - 91.00) 88.18 (86.28 - 89.85) Illinois 86.37 (85.20 - 87.46) 65.04 (62.35 - 67.63) 82.60 (80.30 - 84.68) 89.46 (88.10 - 90.68) 88.52 (87.27 - 89.66) Indiana 87.79 (86.24 - 89.19) 63.83 (60.13 - 67.36) 84.79 (81.68 - 87.45) 91.29 (89.54 - 92.76) 90.33 (88.67 - 91.77) Iowa 82.98 (81.17 - 84.65) 59.75 (55.81 - 63.56) 77.93 (74.25 - 81.21) 86.64 (84.53 - 88.51) 85.33 (83.39 - 87.09) Kansas 83.45 (81.51 - 85.22) 61.46 (57.72 - 65.07) 81.76 (78.51 - 84.62) 86.57 (84.25 - 88.60) 85.85 (83.75 - 87.71) Kentucky 88.58 (87.02 - 89.98) 66.70 (63.06 - 70.15) 84.90 (81.91 - 87.48) 91.69 (89.94 - 93.16) 90.75 (89.10 - 92.18) Louisiana 87.95 (86.30 - 89.42) 65.86 (62.23 - 69.31) 85.67 (82.81 - 88.13) 90.95 (89.08 - 92.53) 90.22 (88.47 - 91.73) Maine 86.94 (85.12 - 88.56) 64.65 (61.12 - 68.03) 83.96 (80.95 - 86.57) 89.39 (87.31 - 91.17) 88.77 (86.82 - 90.46) Maryland 86.58 (84.88 - 88.12) 65.73 (62.17 - 69.12) 81.86 (78.75 - 84.61) 89.60 (87.64 - 91.28) 88.59 (86.77 - 90.19) Massachusetts 85.18 (83.27 - 86.91) 66.07 (62.36 - 69.58) 81.03 (77.68 - 83.97) 87.83 (85.65 - 89.73) 86.84 (84.81 - 88.63) Michigan 87.02 (85.88 - 88.08) 65.15 (62.47 - 67.73) 83.34 (81.22 - 85.26) 90.11 (88.79 - 91.29) 89.14 (87.95 - 90.23) Minnesota 83.16 (81.13 - 85.02) 61.11 (57.34 - 64.75) 79.03 (75.38 - 82.27) 86.38 (84.01 - 88.45) 85.39 (83.21 - 87.33) Mississippi 88.50 (86.96 - 89.88) 65.59 (61.84 - 69.15) 85.63 (82.68 - 88.14) 91.88 (90.16 - 93.33) 90.97 (89.34 - 92.37) Missouri 86.16 (84.41 - 87.73) 67.42 (63.85 - 70.79) 80.18 (76.87 - 83.13) 89.25 (87.27 - 90.96) 88.01 (86.15 - 89.64) Montana 83.94 (82.11 - 85.61) 62.96 (59.37 - 66.42) 79.87 (76.40 - 82.93) 86.79 (84.72 - 88.62) 85.85 (83.92 - 87.58)

See notes at end of table. (continued)

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Table 10 Perceptions of Great Risk from Trying Heroin Once or Twice, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 83.76 (81.79 - 85.56) 62.77 (59.10 - 66.31) 79.75 (76.26 - 82.84) 87.15 (84.85 - 89.14) 86.03 (83.91 - 87.92) Nevada 83.92 (81.73 - 85.90) 64.69 (60.77 - 68.42) 81.50 (78.15 - 84.44) 86.42 (83.86 - 88.63) 85.81 (83.45 - 87.88) New Hampshire 87.88 (86.21 - 89.37) 67.14 (63.67 - 70.43) 83.73 (80.58 - 86.45) 90.60 (88.70 - 92.20) 89.69 (87.90 - 91.23) New Jersey 87.73 (86.28 - 89.05) 68.32 (65.11 - 71.35) 85.34 (82.68 - 87.64) 90.26 (88.60 - 91.70) 89.63 (88.08 - 91.00) New Mexico 85.82 (83.87 - 87.58) 66.96 (63.13 - 70.57) 82.76 (79.53 - 85.58) 88.60 (86.30 - 90.55) 87.78 (85.67 - 89.62) New York 85.22 (84.06 - 86.31) 66.87 (64.61 - 69.06) 81.37 (79.34 - 83.25) 87.69 (86.34 - 88.93) 86.83 (85.60 - 87.97) North Carolina 87.24 (85.85 - 88.52) 62.83 (59.50 - 66.05) 83.05 (80.47 - 85.34) 90.72 (89.13 - 92.10) 89.68 (88.20 - 90.99) North Dakota 83.42 (81.51 - 85.16) 61.54 (57.94 - 65.02) 79.33 (75.86 - 82.41) 86.68 (84.48 - 88.61) 85.45 (83.43 - 87.26) Ohio 88.61 (87.60 - 89.56) 68.59 (66.06 - 71.02) 86.00 (84.13 - 87.68) 91.32 (90.13 - 92.37) 90.59 (89.52 - 91.57) Oklahoma 84.81 (82.97 - 86.49) 64.40 (60.68 - 67.96) 81.89 (78.41 - 84.91) 87.88 (85.77 - 89.71) 87.01 (85.06 - 88.74) Oregon 82.29 (80.26 - 84.16) 61.94 (58.32 - 65.43) 76.77 (73.26 - 79.95) 85.18 (82.82 - 87.26) 84.10 (81.92 - 86.06) Pennsylvania 87.76 (86.69 - 88.75) 66.36 (63.84 - 68.78) 83.86 (81.86 - 85.68) 90.59 (89.33 - 91.70) 89.70 (88.57 - 90.72) Rhode Island 85.47 (83.66 - 87.11) 62.99 (59.05 - 66.77) 81.27 (77.92 - 84.21) 88.48 (86.39 - 90.28) 87.40 (85.48 - 89.09) South Carolina 88.19 (86.62 - 89.60) 66.11 (62.50 - 69.55) 83.79 (80.85 - 86.36) 91.29 (89.52 - 92.78) 90.30 (88.63 - 91.75) South Dakota 83.77 (81.87 - 85.50) 60.75 (57.13 - 64.26) 79.85 (76.40 - 82.90) 87.24 (85.05 - 89.14) 86.17 (84.15 - 87.98) Tennessee 87.12 (85.41 - 88.65) 64.85 (61.29 - 68.25) 82.77 (79.64 - 85.50) 90.32 (88.39 - 91.96) 89.30 (87.48 - 90.89) Texas 87.47 (86.59 - 88.31) 66.84 (64.56 - 69.04) 84.38 (82.65 - 85.97) 90.87 (89.85 - 91.81) 89.90 (88.97 - 90.76) Utah 83.46 (81.71 - 85.07) 66.15 (62.32 - 69.78) 78.87 (75.36 - 81.99) 87.41 (85.37 - 89.20) 85.85 (83.96 - 87.55) Vermont 85.61 (83.67 - 87.36) 62.92 (59.28 - 66.43) 81.52 (78.22 - 84.43) 88.47 (86.23 - 90.39) 87.45 (85.39 - 89.25) Virginia 85.59 (84.17 - 86.89) 64.88 (61.65 - 67.98) 81.82 (79.24 - 84.15) 88.49 (86.84 - 89.97) 87.58 (86.08 - 88.95) Washington 81.84 (79.82 - 83.70) 61.74 (57.81 - 65.52) 75.97 (72.45 - 79.17) 84.87 (82.50 - 86.96) 83.72 (81.57 - 85.66) West Virginia 89.77 (88.28 - 91.09) 66.01 (62.20 - 69.62) 87.19 (84.31 - 89.60) 92.51 (90.82 - 93.90) 91.84 (90.25 - 93.18) Wisconsin 86.64 (84.89 - 88.22) 63.62 (59.97 - 67.12) 82.41 (79.28 - 85.16) 89.94 (87.91 - 91.66) 88.89 (87.03 - 90.51) Wyoming 86.18 (84.42 - 87.78) 64.67 (60.96 - 68.22) 81.03 (77.83 - 83.87) 89.48 (87.46 - 91.21) 88.35 (86.47 - 90.00)

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 11 Methamphetamine Use in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 0.64 (0.58 - 0.70) 0.18 (0.14 - 0.24) 0.95 (0.82 - 1.09) 0.65 (0.58 - 0.72) 0.69 (0.63 - 0.76) Northeast 0.36 (0.27 - 0.48) 0.15 (0.09 - 0.25) 0.48 (0.33 - 0.68) 0.36 (0.26 - 0.51) 0.38 (0.28 - 0.51) Midwest 0.62 (0.52 - 0.74) 0.21 (0.15 - 0.31) 1.04 (0.83 - 1.30) 0.60 (0.49 - 0.74) 0.66 (0.55 - 0.79) South 0.60 (0.51 - 0.71) 0.19 (0.12 - 0.29) 0.91 (0.74 - 1.12) 0.60 (0.50 - 0.72) 0.64 (0.54 - 0.76) West 0.93 (0.78 - 1.11) 0.17 (0.10 - 0.28) 1.27 (0.98 - 1.64) 0.97 (0.79 - 1.18) 1.01 (0.84 - 1.21) Alabama 1.11 (0.70 - 1.77) 0.33 (0.16 - 0.67) 1.59 (0.93 - 2.70) 1.13 (0.67 - 1.91) 1.19 (0.74 - 1.91) Alaska 0.96 (0.60 - 1.54) 0.24 (0.11 - 0.50) 1.03 (0.55 - 1.92) 1.04 (0.62 - 1.74) 1.04 (0.64 - 1.68) Arizona 1.27 (0.78 - 2.06) 0.20 (0.09 - 0.42) 1.87 (1.06 - 3.28) 1.30 (0.75 - 2.23) 1.38 (0.84 - 2.25) Arkansas 0.89 (0.55 - 1.45) 0.31 (0.17 - 0.58) 1.55 (0.93 - 2.58) 0.86 (0.49 - 1.50) 0.96 (0.58 - 1.57) California 0.89 (0.67 - 1.16) 0.14 (0.07 - 0.27) 1.01 (0.66 - 1.55) 0.95 (0.70 - 1.29) 0.96 (0.73 - 1.27) Colorado 0.98 (0.61 - 1.57) 0.18 (0.09 - 0.36) 1.57 (0.93 - 2.64) 0.98 (0.57 - 1.67) 1.06 (0.66 - 1.71) Connecticut 0.32 (0.16 - 0.64) 0.13 (0.06 - 0.27) 0.34 (0.16 - 0.76) 0.34 (0.16 - 0.72) 0.34 (0.17 - 0.69) Delaware 0.70 (0.40 - 1.21) 0.19 (0.09 - 0.40) 0.85 (0.43 - 1.66) 0.73 (0.40 - 1.32) 0.74 (0.42 - 1.30) District of Columbia 0.38 (0.19 - 0.76) 0.06 (0.02 - 0.21) 0.27 (0.11 - 0.66) 0.42 (0.20 - 0.87) 0.39 (0.19 - 0.80) Florida 0.46 (0.30 - 0.70) 0.15 (0.08 - 0.27) 0.59 (0.35 - 0.98) 0.48 (0.30 - 0.75) 0.49 (0.32 - 0.75) Georgia 0.50 (0.30 - 0.84) 0.19 (0.09 - 0.37) 0.60 (0.34 - 1.08) 0.53 (0.30 - 0.93) 0.54 (0.32 - 0.92) Hawaii 0.96 (0.57 - 1.61) 0.18 (0.07 - 0.50) 0.91 (0.46 - 1.77) 1.05 (0.61 - 1.81) 1.03 (0.61 - 1.74) Idaho 0.79 (0.47 - 1.32) 0.24 (0.12 - 0.46) 1.26 (0.69 - 2.30) 0.79 (0.44 - 1.41) 0.86 (0.50 - 1.45) Illinois 0.36 (0.21 - 0.60) 0.13 (0.07 - 0.25) 0.33 (0.17 - 0.65) 0.39 (0.22 - 0.68) 0.38 (0.22 - 0.65) Indiana 0.86 (0.54 - 1.37) 0.29 (0.16 - 0.54) 1.77 (1.04 - 3.00) 0.77 (0.45 - 1.34) 0.92 (0.57 - 1.48) Iowa 0.86 (0.52 - 1.42) 0.22 (0.11 - 0.43) 1.39 (0.79 - 2.43) 0.84 (0.47 - 1.49) 0.92 (0.55 - 1.54) Kansas 1.04 (0.65 - 1.66) 0.24 (0.13 - 0.45) 1.69 (0.99 - 2.85) 1.03 (0.60 - 1.75) 1.13 (0.69 - 1.82) Kentucky 1.04 (0.67 - 1.61) 0.33 (0.19 - 0.60) 2.02 (1.21 - 3.36) 0.97 (0.58 - 1.61) 1.11 (0.71 - 1.74) Louisiana 0.57 (0.33 - 0.97) 0.21 (0.10 - 0.44) 0.77 (0.40 - 1.45) 0.58 (0.32 - 1.05) 0.61 (0.35 - 1.05) Maine 0.49 (0.27 - 0.87) 0.21 (0.10 - 0.45) 0.95 (0.48 - 1.90) 0.45 (0.24 - 0.87) 0.51 (0.28 - 0.92) Maryland 0.28 (0.14 - 0.55) 0.11 (0.05 - 0.25) 0.32 (0.14 - 0.71) 0.30 (0.14 - 0.62) 0.30 (0.15 - 0.60) Massachusetts 0.33 (0.16 - 0.65) 0.14 (0.07 - 0.30) 0.29 (0.13 - 0.66) 0.35 (0.17 - 0.74) 0.34 (0.17 - 0.70) Michigan 0.39 (0.25 - 0.61) 0.19 (0.10 - 0.34) 0.59 (0.34 - 1.02) 0.38 (0.23 - 0.64) 0.41 (0.26 - 0.65) Minnesota 0.91 (0.57 - 1.46) 0.24 (0.12 - 0.47) 1.49 (0.84 - 2.65) 0.90 (0.53 - 1.51) 0.98 (0.61 - 1.58) Mississippi 0.79 (0.48 - 1.29) 0.23 (0.11 - 0.49) 1.13 (0.63 - 2.05) 0.80 (0.46 - 1.38) 0.85 (0.51 - 1.40) Missouri 0.88 (0.56 - 1.37) 0.30 (0.17 - 0.53) 1.57 (0.94 - 2.62) 0.83 (0.50 - 1.40) 0.94 (0.59 - 1.47) Montana 0.97 (0.63 - 1.49) 0.26 (0.14 - 0.48) 2.13 (1.29 - 3.48) 0.86 (0.51 - 1.44) 1.03 (0.66 - 1.60)

See notes at end of table. (continued)

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Table 11 Methamphetamine Use in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 0.67 (0.39 - 1.14) 0.18 (0.09 - 0.34) 1.44 (0.79 - 2.60) 0.60 (0.31 - 1.13) 0.72 (0.42 - 1.25) Nevada 1.29 (0.81 - 2.04) 0.20 (0.09 - 0.43) 2.36 (1.37 - 4.02) 1.26 (0.74 - 2.14) 1.40 (0.88 - 2.22) New Hampshire 0.55 (0.31 - 0.99) 0.25 (0.13 - 0.48) 0.97 (0.50 - 1.88) 0.52 (0.27 - 1.01) 0.58 (0.32 - 1.06) New Jersey 0.29 (0.14 - 0.57) 0.11 (0.05 - 0.25) 0.22 (0.10 - 0.52) 0.32 (0.15 - 0.66) 0.31 (0.15 - 0.62) New Mexico 0.92 (0.56 - 1.51) 0.16 (0.07 - 0.36) 1.62 (0.90 - 2.89) 0.90 (0.51 - 1.59) 1.00 (0.61 - 1.65) New York 0.26 (0.15 - 0.46) 0.13 (0.06 - 0.28) 0.27 (0.13 - 0.56) 0.28 (0.15 - 0.51) 0.28 (0.16 - 0.49) North Carolina 0.57 (0.35 - 0.93) 0.19 (0.10 - 0.35) 0.79 (0.44 - 1.42) 0.58 (0.34 - 1.00) 0.61 (0.37 - 1.01) North Dakota 1.03 (0.66 - 1.59) 0.29 (0.15 - 0.57) 2.07 (1.25 - 3.43) 0.90 (0.53 - 1.53) 1.10 (0.70 - 1.71) Ohio 0.46 (0.29 - 0.72) 0.22 (0.13 - 0.38) 0.71 (0.42 - 1.19) 0.45 (0.27 - 0.75) 0.48 (0.31 - 0.76) Oklahoma 1.06 (0.67 - 1.66) 0.30 (0.16 - 0.57) 1.92 (1.15 - 3.17) 1.01 (0.60 - 1.69) 1.14 (0.72 - 1.80) Oregon 1.00 (0.64 - 1.58) 0.24 (0.13 - 0.43) 1.65 (0.99 - 2.75) 0.99 (0.59 - 1.65) 1.07 (0.68 - 1.70) Pennsylvania 0.53 (0.35 - 0.79) 0.19 (0.11 - 0.34) 0.98 (0.62 - 1.56) 0.49 (0.30 - 0.79) 0.56 (0.37 - 0.85) Rhode Island 0.49 (0.25 - 0.93) 0.20 (0.11 - 0.39) 0.51 (0.24 - 1.08) 0.51 (0.25 - 1.04) 0.51 (0.26 - 1.00) South Carolina 0.63 (0.38 - 1.05) 0.22 (0.11 - 0.43) 1.15 (0.65 - 2.03) 0.60 (0.33 - 1.07) 0.67 (0.40 - 1.13) South Dakota 0.64 (0.38 - 1.09) 0.25 (0.13 - 0.48) 1.22 (0.66 - 2.23) 0.59 (0.32 - 1.11) 0.68 (0.39 - 1.18) Tennessee 0.77 (0.47 - 1.25) 0.24 (0.13 - 0.44) 1.38 (0.79 - 2.41) 0.73 (0.42 - 1.27) 0.82 (0.50 - 1.35) Texas 0.55 (0.38 - 0.79) 0.13 (0.07 - 0.25) 0.82 (0.52 - 1.30) 0.56 (0.37 - 0.85) 0.60 (0.41 - 0.87) Utah 0.65 (0.38 - 1.10) 0.19 (0.10 - 0.38) 1.09 (0.56 - 2.11) 0.63 (0.35 - 1.13) 0.71 (0.42 - 1.22) Vermont 0.60 (0.34 - 1.05) 0.25 (0.12 - 0.50) 1.00 (0.52 - 1.90) 0.56 (0.30 - 1.07) 0.63 (0.35 - 1.11) Virginia 0.37 (0.21 - 0.64) 0.15 (0.07 - 0.29) 0.49 (0.25 - 0.94) 0.37 (0.20 - 0.70) 0.39 (0.22 - 0.69) Washington 0.80 (0.49 - 1.31) 0.20 (0.11 - 0.36) 1.22 (0.71 - 2.09) 0.80 (0.46 - 1.39) 0.86 (0.52 - 1.41) West Virginia 1.16 (0.75 - 1.78) 0.42 (0.21 - 0.83) 2.34 (1.45 - 3.77) 1.06 (0.64 - 1.76) 1.22 (0.79 - 1.90) Wisconsin 0.71 (0.42 - 1.18) 0.21 (0.11 - 0.39) 1.28 (0.73 - 2.24) 0.67 (0.37 - 1.21) 0.76 (0.45 - 1.27) Wyoming 0.59 (0.34 - 1.02) 0.22 (0.12 - 0.43) 1.17 (0.63 - 2.16) 0.54 (0.28 - 1.03) 0.62 (0.35 - 1.10)

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 12 Pain Reliever Misuse in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 3.85 (3.72 - 3.99) 2.93 (2.71 - 3.17) 6.32 (6.00 - 6.65) 3.56 (3.40 - 3.73) 3.94 (3.80 - 4.10) Northeast 3.42 (3.13 - 3.72) 2.27 (1.90 - 2.71) 5.88 (5.31 - 6.49) 3.15 (2.82 - 3.53) 3.52 (3.22 - 3.85) Midwest 3.92 (3.69 - 4.16) 2.87 (2.55 - 3.23) 6.49 (6.01 - 7.02) 3.62 (3.35 - 3.92) 4.03 (3.78 - 4.28) South 3.92 (3.71 - 4.14) 3.10 (2.79 - 3.44) 6.51 (6.07 - 6.98) 3.61 (3.35 - 3.88) 4.00 (3.78 - 4.24) West 4.01 (3.73 - 4.31) 3.17 (2.74 - 3.67) 6.19 (5.61 - 6.82) 3.75 (3.42 - 4.12) 4.09 (3.79 - 4.42) Alabama 4.70 (3.85 - 5.72) 4.19 (3.05 - 5.73) 7.54 (5.95 - 9.51) 4.30 (3.31 - 5.57) 4.75 (3.85 - 5.83) Alaska 4.64 (3.84 - 5.61) 2.83 (2.02 - 3.95) 6.34 (4.90 - 8.17) 4.60 (3.63 - 5.82) 4.84 (3.98 - 5.88) Arizona 4.08 (3.36 - 4.95) 3.02 (2.13 - 4.27) 6.64 (5.15 - 8.52) 3.79 (2.94 - 4.87) 4.19 (3.42 - 5.12) Arkansas 4.64 (3.85 - 5.58) 4.15 (3.03 - 5.67) 7.51 (5.95 - 9.45) 4.24 (3.29 - 5.43) 4.69 (3.85 - 5.71) California 3.81 (3.38 - 4.30) 3.27 (2.62 - 4.07) 5.63 (4.77 - 6.64) 3.58 (3.06 - 4.18) 3.87 (3.40 - 4.39) Colorado 4.59 (3.80 - 5.55) 3.02 (2.10 - 4.32) 7.46 (5.89 - 9.40) 4.32 (3.39 - 5.51) 4.75 (3.90 - 5.77) Connecticut 3.73 (3.03 - 4.57) 2.34 (1.61 - 3.39) 7.04 (5.48 - 9.01) 3.35 (2.54 - 4.40) 3.86 (3.12 - 4.76) Delaware 3.77 (3.12 - 4.56) 2.79 (1.94 - 4.00) 6.85 (5.35 - 8.72) 3.43 (2.68 - 4.39) 3.87 (3.17 - 4.70) District of Columbia 4.20 (3.44 - 5.12) 3.78 (2.61 - 5.44) 5.30 (3.96 - 7.06) 4.02 (3.14 - 5.13) 4.22 (3.43 - 5.18) Florida 4.28 (3.71 - 4.93) 3.03 (2.40 - 3.82) 5.81 (4.86 - 6.92) 4.19 (3.52 - 4.99) 4.39 (3.78 - 5.08) Georgia 3.67 (3.12 - 4.31) 2.82 (2.02 - 3.91) 6.99 (5.63 - 8.65) 3.22 (2.60 - 4.00) 3.76 (3.18 - 4.44) Hawaii 3.13 (2.54 - 3.86) 2.28 (1.54 - 3.35) 5.93 (4.56 - 7.67) 2.85 (2.17 - 3.73) 3.21 (2.59 - 3.98) Idaho 4.47 (3.63 - 5.48) 3.51 (2.46 - 4.98) 5.64 (4.27 - 7.42) 4.41 (3.40 - 5.69) 4.58 (3.69 - 5.68) Illinois 3.14 (2.66 - 3.70) 2.44 (1.79 - 3.32) 5.78 (4.71 - 7.07) 2.80 (2.25 - 3.48) 3.21 (2.70 - 3.81) Indiana 4.49 (3.71 - 5.41) 2.94 (2.11 - 4.08) 6.86 (5.40 - 8.68) 4.27 (3.34 - 5.44) 4.65 (3.82 - 5.65) Iowa 4.13 (3.42 - 4.99) 3.46 (2.48 - 4.79) 7.44 (5.84 - 9.45) 3.63 (2.81 - 4.69) 4.20 (3.45 - 5.12) Kansas 3.93 (3.27 - 4.72) 2.87 (2.01 - 4.07) 7.25 (5.75 - 9.09) 3.49 (2.71 - 4.47) 4.05 (3.35 - 4.89) Kentucky 4.29 (3.53 - 5.22) 3.32 (2.37 - 4.64) 6.32 (4.98 - 7.99) 4.08 (3.17 - 5.24) 4.39 (3.58 - 5.38) Louisiana 4.27 (3.51 - 5.19) 3.05 (2.19 - 4.25) 6.01 (4.66 - 7.72) 4.14 (3.23 - 5.30) 4.40 (3.59 - 5.39) Maine 3.63 (2.94 - 4.49) 2.19 (1.49 - 3.21) 6.94 (5.47 - 8.76) 3.34 (2.55 - 4.37) 3.75 (3.02 - 4.65) Maryland 3.61 (2.93 - 4.45) 2.53 (1.76 - 3.63) 6.09 (4.78 - 7.72) 3.36 (2.57 - 4.39) 3.72 (2.99 - 4.61) Massachusetts 3.62 (2.90 - 4.51) 2.60 (1.81 - 3.73) 5.16 (3.98 - 6.66) 3.46 (2.61 - 4.58) 3.71 (2.95 - 4.66) Michigan 3.94 (3.42 - 4.52) 3.02 (2.33 - 3.90) 6.30 (5.27 - 7.51) 3.65 (3.04 - 4.38) 4.03 (3.48 - 4.65) Minnesota 3.76 (3.08 - 4.57) 2.36 (1.64 - 3.37) 6.34 (4.93 - 8.14) 3.52 (2.73 - 4.54) 3.90 (3.18 - 4.78) Mississippi 4.06 (3.35 - 4.90) 3.33 (2.42 - 4.55) 6.79 (5.32 - 8.63) 3.68 (2.86 - 4.72) 4.14 (3.39 - 5.04) Missouri 4.20 (3.51 - 5.03) 3.05 (2.17 - 4.27) 6.47 (5.09 - 8.20) 3.97 (3.15 - 5.00) 4.32 (3.58 - 5.20) Montana 4.03 (3.32 - 4.89) 2.77 (1.96 - 3.89) 7.32 (5.77 - 9.24) 3.65 (2.81 - 4.72) 4.15 (3.39 - 5.06)

See notes at end of table. (continued)

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Table 12 Pain Reliever Misuse in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 3.68 (3.03 - 4.45) 3.26 (2.32 - 4.58) 6.86 (5.39 - 8.70) 3.17 (2.42 - 4.14) 3.72 (3.04 - 4.55) Nevada 4.65 (3.79 - 5.69) 3.30 (2.30 - 4.72) 6.85 (5.30 - 8.80) 4.49 (3.49 - 5.77) 4.79 (3.88 - 5.89) New Hampshire 3.87 (3.15 - 4.73) 2.58 (1.80 - 3.68) 5.83 (4.49 - 7.54) 3.70 (2.86 - 4.77) 3.98 (3.22 - 4.90) New Jersey 3.32 (2.73 - 4.02) 2.26 (1.58 - 3.21) 5.04 (3.89 - 6.50) 3.18 (2.49 - 4.06) 3.42 (2.80 - 4.17) New Mexico 3.78 (3.12 - 4.57) 3.21 (2.25 - 4.57) 7.13 (5.57 - 9.10) 3.30 (2.55 - 4.28) 3.84 (3.14 - 4.68) New York 3.05 (2.60 - 3.57) 2.04 (1.47 - 2.82) 5.68 (4.72 - 6.82) 2.74 (2.22 - 3.38) 3.14 (2.66 - 3.70) North Carolina 3.63 (3.06 - 4.30) 3.25 (2.39 - 4.40) 6.48 (5.24 - 7.98) 3.23 (2.56 - 4.06) 3.67 (3.07 - 4.38) North Dakota 3.70 (3.06 - 4.47) 2.51 (1.76 - 3.58) 6.60 (5.18 - 8.36) 3.25 (2.51 - 4.21) 3.81 (3.13 - 4.63) Ohio 4.20 (3.65 - 4.85) 2.87 (2.22 - 3.71) 6.66 (5.56 - 7.96) 3.97 (3.31 - 4.76) 4.34 (3.74 - 5.03) Oklahoma 4.05 (3.37 - 4.85) 3.10 (2.14 - 4.48) 8.45 (6.65 - 10.69) 3.42 (2.65 - 4.41) 4.15 (3.43 - 5.01) Oregon 4.53 (3.74 - 5.49) 3.35 (2.38 - 4.71) 7.79 (6.10 - 9.89) 4.18 (3.25 - 5.36) 4.64 (3.80 - 5.66) Pennsylvania 3.72 (3.20 - 4.32) 2.38 (1.77 - 3.18) 6.62 (5.54 - 7.89) 3.42 (2.81 - 4.16) 3.84 (3.29 - 4.48) Rhode Island 3.94 (3.24 - 4.78) 2.38 (1.59 - 3.53) 6.53 (5.07 - 8.39) 3.64 (2.82 - 4.68) 4.07 (3.34 - 4.97) South Carolina 3.95 (3.25 - 4.79) 3.47 (2.44 - 4.91) 7.56 (6.02 - 9.45) 3.45 (2.64 - 4.50) 3.99 (3.26 - 4.88) South Dakota 4.07 (3.33 - 4.96) 3.63 (2.57 - 5.11) 6.64 (5.26 - 8.35) 3.70 (2.82 - 4.83) 4.12 (3.33 - 5.08) Tennessee 3.75 (3.09 - 4.54) 2.57 (1.80 - 3.65) 6.84 (5.45 - 8.56) 3.40 (2.63 - 4.38) 3.86 (3.16 - 4.71) Texas 3.72 (3.29 - 4.21) 3.25 (2.57 - 4.09) 6.16 (5.24 - 7.23) 3.36 (2.85 - 3.96) 3.78 (3.32 - 4.30) Utah 3.77 (3.16 - 4.51) 2.60 (1.81 - 3.72) 6.48 (5.14 - 8.14) 3.37 (2.63 - 4.33) 3.94 (3.28 - 4.73) Vermont 3.80 (3.10 - 4.65) 2.61 (1.83 - 3.73) 7.07 (5.53 - 9.00) 3.35 (2.52 - 4.44) 3.90 (3.16 - 4.80) Virginia 3.46 (2.91 - 4.11) 2.33 (1.66 - 3.26) 6.65 (5.39 - 8.18) 3.09 (2.45 - 3.88) 3.57 (2.99 - 4.26) Washington 4.13 (3.40 - 5.02) 3.20 (2.27 - 4.50) 6.21 (4.83 - 7.96) 3.93 (3.07 - 5.02) 4.22 (3.44 - 5.17) West Virginia 3.82 (3.15 - 4.63) 2.89 (2.02 - 4.12) 6.35 (4.99 - 8.06) 3.55 (2.78 - 4.54) 3.90 (3.19 - 4.76) Wisconsin 4.21 (3.47 - 5.09) 3.22 (2.35 - 4.39) 6.69 (5.30 - 8.40) 3.92 (3.05 - 5.02) 4.30 (3.52 - 5.25) Wyoming 3.85 (3.16 - 4.68) 3.10 (2.19 - 4.38) 7.32 (5.78 - 9.23) 3.41 (2.61 - 4.44) 3.93 (3.20 - 4.82)

NOTE: Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 13 Alcohol Use in the Past Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 51.37 (50.84 - 51.91) 9.43 (9.02 - 9.85) 55.73 (54.84 - 56.61) 55.57 (54.94 - 56.19) 55.59 (55.01 - 56.16) Northeast 55.62 (54.67 - 56.56) 10.37 (9.61 - 11.19) 61.60 (59.64 - 63.52) 59.48 (58.37 - 60.58) 59.77 (58.74 - 60.79) Midwest 54.10 (53.28 - 54.91) 9.94 (9.31 - 10.60) 59.96 (58.15 - 61.74) 58.39 (57.44 - 59.33) 58.61 (57.71 - 59.50) South 47.65 (46.94 - 48.35) 9.15 (8.60 - 9.73) 51.31 (49.61 - 53.00) 51.65 (50.85 - 52.46) 51.61 (50.83 - 52.38) West 51.76 (50.86 - 52.66) 8.78 (8.12 - 9.49) 54.62 (52.67 - 56.55) 56.38 (55.33 - 57.42) 56.13 (55.14 - 57.12) Alabama 44.36 (41.48 - 47.28) 9.25 (7.54 - 11.30) 49.01 (44.92 - 53.12) 47.71 (44.19 - 51.27) 47.89 (44.73 - 51.08) Alaska 51.83 (49.09 - 54.56) 8.96 (7.25 - 11.02) 53.85 (49.46 - 58.18) 56.99 (53.68 - 60.24) 56.56 (53.53 - 59.54) Arizona 49.96 (47.06 - 52.86) 8.48 (6.73 - 10.64) 49.43 (44.83 - 54.04) 55.07 (51.59 - 58.50) 54.27 (51.09 - 57.43) Arkansas 40.63 (37.90 - 43.41) 8.68 (7.01 - 10.71) 47.80 (43.61 - 52.02) 43.37 (40.09 - 46.71) 43.99 (40.99 - 47.02) California 51.77 (50.42 - 53.13) 8.33 (7.28 - 9.52) 55.18 (52.55 - 57.77) 56.32 (54.68 - 57.94) 56.15 (54.66 - 57.63) Colorado 61.45 (58.79 - 64.05) 10.54 (8.50 - 12.99) 64.98 (60.90 - 68.86) 66.81 (63.58 - 69.88) 66.56 (63.63 - 69.36) Connecticut 62.10 (59.11 - 64.99) 12.60 (10.37 - 15.22) 68.43 (64.13 - 72.45) 66.68 (63.11 - 70.07) 66.92 (63.66 - 70.03) Delaware 52.91 (49.99 - 55.81) 9.43 (7.59 - 11.66) 56.41 (52.07 - 60.65) 57.02 (53.52 - 60.46) 56.95 (53.76 - 60.09) District of Columbia 66.67 (64.00 - 69.23) 8.74 (7.02 - 10.83) 70.80 (66.20 - 75.01) 69.78 (66.65 - 72.75) 69.93 (67.11 - 72.61) Florida 50.74 (49.12 - 52.36) 10.12 (8.92 - 11.47) 52.42 (49.65 - 55.18) 54.48 (52.55 - 56.39) 54.24 (52.48 - 56.00) Georgia 47.03 (44.87 - 49.20) 8.34 (6.84 - 10.13) 47.78 (44.16 - 51.42) 51.94 (49.32 - 54.55) 51.35 (48.96 - 53.73) Hawaii 47.23 (44.24 - 50.25) 7.18 (5.64 - 9.09) 55.53 (51.24 - 59.73) 50.19 (46.66 - 53.73) 50.83 (47.57 - 54.08) Idaho 45.23 (42.48 - 48.01) 7.84 (6.16 - 9.93) 47.11 (42.91 - 51.36) 50.17 (46.80 - 53.54) 49.73 (46.67 - 52.80) Illinois 55.97 (54.14 - 57.77) 9.86 (8.41 - 11.53) 57.80 (54.60 - 60.95) 61.15 (58.95 - 63.31) 60.69 (58.69 - 62.66) Indiana 50.30 (47.71 - 52.88) 9.25 (7.50 - 11.36) 59.99 (55.72 - 64.12) 53.79 (50.65 - 56.91) 54.70 (51.85 - 57.52) Iowa 58.31 (55.67 - 60.89) 10.68 (8.64 - 13.12) 66.36 (62.20 - 70.28) 62.66 (59.46 - 65.75) 63.20 (60.31 - 66.01) Kansas 54.93 (52.15 - 57.67) 10.40 (8.49 - 12.69) 59.61 (55.42 - 63.67) 59.90 (56.50 - 63.22) 59.85 (56.77 - 62.86) Kentucky 39.97 (37.28 - 42.72) 9.93 (8.02 - 12.24) 45.76 (41.58 - 50.01) 42.56 (39.33 - 45.85) 43.00 (40.05 - 46.00) Louisiana 50.01 (47.12 - 52.90) 10.97 (8.84 - 13.54) 56.37 (52.17 - 60.48) 53.71 (50.24 - 57.15) 54.08 (50.92 - 57.21) Maine 55.77 (52.81 - 58.68) 11.15 (9.08 - 13.62) 63.36 (59.16 - 67.38) 58.99 (55.52 - 62.37) 59.50 (56.30 - 62.62) Maryland 57.20 (54.28 - 60.08) 9.62 (7.85 - 11.75) 59.70 (55.44 - 63.81) 62.20 (58.68 - 65.59) 61.88 (58.67 - 64.98) Massachusetts 61.68 (58.98 - 64.30) 12.64 (10.40 - 15.29) 68.42 (64.27 - 72.29) 65.62 (62.35 - 68.74) 66.02 (63.09 - 68.83) Michigan 53.53 (51.69 - 55.35) 10.21 (8.83 - 11.78) 59.82 (56.81 - 62.75) 57.48 (55.25 - 59.69) 57.81 (55.81 - 59.79) Minnesota 57.05 (54.32 - 59.74) 9.27 (7.44 - 11.49) 65.51 (61.02 - 69.75) 61.40 (58.11 - 64.58) 61.96 (58.94 - 64.88) Mississippi 39.95 (37.21 - 42.75) 8.71 (6.99 - 10.80) 41.93 (37.56 - 46.43) 43.61 (40.29 - 46.99) 43.36 (40.34 - 46.43) Missouri 49.02 (46.31 - 51.75) 10.68 (8.74 - 12.99) 53.29 (49.07 - 57.47) 52.82 (49.55 - 56.06) 52.88 (49.90 - 55.84) Montana 57.94 (55.23 - 60.60) 13.33 (10.95 - 16.15) 62.04 (57.74 - 66.16) 62.09 (58.87 - 65.20) 62.08 (59.14 - 64.93)

See notes at end of table. (continued)

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Table 13 Alcohol Use in the Past Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 56.79 (54.14 - 59.40) 9.53 (7.63 - 11.83) 62.51 (58.26 - 66.56) 61.90 (58.62 - 65.07) 61.98 (59.04 - 64.84) Nevada 49.23 (46.30 - 52.17) 8.06 (6.42 - 10.08) 52.10 (47.56 - 56.62) 53.52 (50.04 - 56.96) 53.35 (50.14 - 56.53) New Hampshire 63.26 (60.40 - 66.03) 11.66 (9.55 - 14.16) 69.03 (64.64 - 73.11) 67.66 (64.29 - 70.85) 67.84 (64.74 - 70.80) New Jersey 52.53 (50.03 - 55.02) 11.01 (9.13 - 13.22) 58.89 (54.91 - 62.75) 56.32 (53.33 - 59.27) 56.66 (53.92 - 59.35) New Mexico 46.29 (43.37 - 49.25) 9.79 (7.88 - 12.11) 50.23 (45.62 - 54.83) 50.14 (46.63 - 53.64) 50.15 (46.93 - 53.36) New York 52.71 (51.07 - 54.35) 9.23 (8.00 - 10.63) 59.09 (56.26 - 61.86) 56.22 (54.25 - 58.18) 56.61 (54.82 - 58.38) North Carolina 46.89 (44.64 - 49.15) 9.87 (8.23 - 11.79) 51.15 (47.49 - 54.80) 50.56 (47.86 - 53.25) 50.64 (48.17 - 53.10) North Dakota 57.47 (54.81 - 60.09) 10.07 (8.19 - 12.33) 68.92 (64.80 - 72.75) 60.58 (57.31 - 63.76) 61.96 (59.04 - 64.78) Ohio 50.92 (49.07 - 52.77) 9.60 (8.29 - 11.09) 56.79 (53.79 - 59.74) 54.81 (52.56 - 57.04) 55.08 (53.05 - 57.09) Oklahoma 47.31 (44.59 - 50.04) 8.91 (7.14 - 11.05) 52.81 (48.40 - 57.18) 51.29 (47.98 - 54.58) 51.50 (48.49 - 54.50) Oregon 57.30 (54.61 - 59.95) 10.59 (8.66 - 12.88) 60.80 (56.51 - 64.92) 61.62 (58.44 - 64.71) 61.52 (58.59 - 64.37) Pennsylvania 55.70 (53.89 - 57.50) 9.31 (7.94 - 10.90) 59.48 (56.43 - 62.45) 60.04 (57.86 - 62.18) 59.97 (57.99 - 61.91) Rhode Island 58.21 (55.35 - 61.02) 10.39 (8.39 - 12.81) 65.04 (60.68 - 69.17) 61.93 (58.49 - 65.26) 62.39 (59.29 - 65.39) South Carolina 49.03 (46.10 - 51.97) 9.20 (7.44 - 11.32) 50.95 (46.71 - 55.17) 53.19 (49.68 - 56.66) 52.89 (49.68 - 56.08) South Dakota 58.06 (55.24 - 60.82) 9.99 (8.05 - 12.33) 64.91 (60.62 - 68.97) 62.87 (59.47 - 66.14) 63.16 (60.05 - 66.16) Tennessee 43.55 (40.76 - 46.39) 9.35 (7.58 - 11.49) 48.84 (44.59 - 53.11) 46.67 (43.33 - 50.03) 46.96 (43.91 - 50.04) Texas 46.30 (44.80 - 47.81) 8.20 (7.06 - 9.50) 50.25 (47.51 - 52.99) 50.96 (49.12 - 52.79) 50.84 (49.18 - 52.50) Utah 27.93 (25.58 - 30.41) 5.09 (3.56 - 7.23) 31.99 (27.68 - 36.63) 30.98 (27.96 - 34.16) 31.14 (28.48 - 33.92) Vermont 62.44 (59.50 - 65.30) 15.21 (12.65 - 18.18) 70.49 (66.24 - 74.40) 65.64 (62.13 - 68.98) 66.34 (63.16 - 69.38) Virginia 51.02 (48.68 - 53.36) 9.13 (7.60 - 10.93) 56.81 (53.16 - 60.39) 54.87 (52.06 - 57.64) 55.13 (52.56 - 57.67) Washington 56.64 (53.83 - 59.41) 11.13 (9.08 - 13.57) 60.08 (55.97 - 64.05) 61.08 (57.72 - 64.35) 60.96 (57.89 - 63.95) West Virginia 39.23 (36.30 - 42.23) 9.72 (7.86 - 11.97) 50.35 (45.88 - 54.82) 40.62 (37.19 - 44.14) 41.84 (38.67 - 45.08) Wisconsin 59.56 (56.65 - 62.42) 10.46 (8.53 - 12.77) 66.17 (62.13 - 69.99) 64.16 (60.63 - 67.55) 64.44 (61.23 - 67.53) Wyoming 48.90 (45.94 - 51.87) 10.36 (8.35 - 12.79) 54.70 (50.29 - 59.03) 52.56 (49.00 - 56.10) 52.85 (49.60 - 56.08)

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 14 Binge Alcohol Use in the Past Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 24.49 (24.11 - 24.88) 4.97 (4.68 - 5.29) 35.89 (35.10 - 36.68) 24.95 (24.49 - 25.41) 26.45 (26.04 - 26.87) Northeast 26.04 (25.25 - 26.84) 5.45 (4.92 - 6.03) 41.66 (39.98 - 43.36) 25.78 (24.85 - 26.73) 27.92 (27.07 - 28.80) Midwest 26.57 (25.91 - 27.24) 5.38 (4.94 - 5.86) 39.74 (38.21 - 41.28) 26.94 (26.14 - 27.75) 28.73 (28.00 - 29.48) South 22.96 (22.42 - 23.51) 4.73 (4.35 - 5.15) 31.97 (30.62 - 33.35) 23.71 (23.05 - 24.37) 24.83 (24.24 - 25.44) West 23.96 (23.25 - 24.68) 4.68 (4.20 - 5.21) 34.40 (32.80 - 36.04) 24.55 (23.69 - 25.42) 25.92 (25.14 - 26.72) Alabama 22.94 (20.63 - 25.42) 4.76 (3.64 - 6.20) 29.59 (25.91 - 33.56) 24.00 (21.27 - 26.96) 24.77 (22.24 - 27.48) Alaska 23.18 (21.00 - 25.52) 4.85 (3.81 - 6.16) 33.54 (29.63 - 37.69) 23.86 (21.27 - 26.65) 25.20 (22.78 - 27.79) Arizona 23.01 (20.69 - 25.50) 4.74 (3.62 - 6.18) 31.62 (27.70 - 35.81) 23.81 (21.07 - 26.78) 24.91 (22.36 - 27.64) Arkansas 19.95 (17.95 - 22.12) 4.84 (3.77 - 6.20) 30.30 (26.80 - 34.05) 20.12 (17.75 - 22.71) 21.54 (19.34 - 23.91) California 24.46 (23.36 - 25.60) 4.33 (3.64 - 5.16) 34.71 (32.44 - 37.05) 25.14 (23.81 - 26.51) 26.49 (25.28 - 27.74) Colorado 30.04 (27.53 - 32.69) 5.84 (4.53 - 7.51) 41.79 (37.72 - 45.98) 30.99 (28.00 - 34.15) 32.47 (29.71 - 35.35) Connecticut 29.17 (26.52 - 31.97) 6.20 (4.86 - 7.87) 46.97 (42.68 - 51.30) 28.90 (25.74 - 32.29) 31.41 (28.52 - 34.46) Delaware 23.48 (21.27 - 25.84) 4.87 (3.78 - 6.26) 37.25 (33.03 - 41.67) 23.46 (20.89 - 26.24) 25.21 (22.81 - 27.77) District of Columbia 36.83 (34.05 - 39.69) 4.34 (3.28 - 5.73) 53.39 (48.51 - 58.21) 35.95 (32.77 - 39.25) 38.66 (35.73 - 41.67) Florida 22.89 (21.59 - 24.25) 5.17 (4.31 - 6.18) 32.30 (29.94 - 34.77) 23.35 (21.82 - 24.95) 24.42 (23.01 - 25.89) Georgia 21.59 (19.86 - 23.43) 4.28 (3.36 - 5.43) 28.63 (25.63 - 31.83) 22.68 (20.59 - 24.91) 23.53 (21.61 - 25.55) Hawaii 22.79 (20.47 - 25.29) 3.95 (2.95 - 5.26) 35.76 (31.67 - 40.07) 22.97 (20.32 - 25.86) 24.48 (21.96 - 27.19) Idaho 21.67 (19.50 - 24.00) 4.83 (3.69 - 6.32) 30.19 (26.38 - 34.28) 22.62 (20.05 - 25.42) 23.69 (21.29 - 26.28) Illinois 27.92 (26.30 - 29.59) 5.36 (4.41 - 6.50) 39.05 (36.11 - 42.07) 28.83 (26.86 - 30.88) 30.23 (28.45 - 32.07) Indiana 24.43 (22.25 - 26.76) 5.06 (3.95 - 6.46) 37.01 (32.95 - 41.26) 24.70 (22.12 - 27.49) 26.51 (24.09 - 29.08) Iowa 28.53 (26.18 - 31.01) 5.69 (4.41 - 7.30) 45.18 (41.05 - 49.38) 28.36 (25.53 - 31.37) 30.88 (28.29 - 33.60) Kansas 26.75 (24.31 - 29.33) 5.95 (4.67 - 7.56) 38.77 (34.79 - 42.91) 27.33 (24.44 - 30.43) 29.05 (26.36 - 31.89) Kentucky 20.47 (18.43 - 22.68) 5.59 (4.31 - 7.22) 30.01 (26.37 - 33.93) 20.69 (18.27 - 23.32) 21.97 (19.73 - 24.39) Louisiana 26.15 (23.81 - 28.65) 5.32 (4.14 - 6.80) 35.19 (31.41 - 39.18) 27.23 (24.45 - 30.20) 28.33 (25.74 - 31.07) Maine 22.33 (20.04 - 24.80) 5.83 (4.51 - 7.50) 38.54 (34.70 - 42.51) 21.79 (19.17 - 24.66) 23.71 (21.25 - 26.37) Maryland 24.68 (22.36 - 27.16) 4.47 (3.42 - 5.82) 36.64 (32.67 - 40.80) 25.17 (22.47 - 28.07) 26.67 (24.13 - 29.37) Massachusetts 30.64 (28.20 - 33.20) 6.54 (5.10 - 8.36) 47.49 (43.31 - 51.71) 30.27 (27.38 - 33.32) 32.77 (30.13 - 35.53) Michigan 26.15 (24.66 - 27.70) 5.11 (4.25 - 6.13) 39.34 (36.59 - 42.16) 26.40 (24.61 - 28.27) 28.23 (26.59 - 29.93) Minnesota 26.16 (23.88 - 28.58) 5.05 (3.93 - 6.47) 43.16 (38.84 - 47.58) 26.01 (23.34 - 28.86) 28.33 (25.82 - 30.97) Mississippi 21.43 (19.18 - 23.86) 4.41 (3.42 - 5.66) 25.25 (21.83 - 28.99) 22.96 (20.25 - 25.91) 23.29 (20.81 - 25.97) Missouri 24.14 (21.88 - 26.55) 5.64 (4.38 - 7.23) 34.12 (30.26 - 38.21) 24.71 (22.09 - 27.53) 26.00 (23.53 - 28.63) Montana 27.23 (24.91 - 29.68) 6.89 (5.43 - 8.71) 41.64 (37.35 - 46.07) 27.16 (24.48 - 30.02) 29.12 (26.60 - 31.78)

See notes at end of table. (continued)

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Table 14 Binge Alcohol Use in the Past Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 29.24 (26.88 - 31.71) 5.63 (4.37 - 7.23) 42.38 (38.33 - 46.54) 29.98 (27.17 - 32.94) 31.83 (29.23 - 34.55) Nevada 22.98 (20.59 - 25.55) 4.26 (3.24 - 5.58) 31.32 (27.50 - 35.41) 23.93 (21.13 - 26.97) 24.85 (22.24 - 27.66) New Hampshire 29.52 (26.87 - 32.30) 5.92 (4.64 - 7.53) 48.40 (43.87 - 52.96) 29.05 (25.99 - 32.32) 31.61 (28.74 - 34.63) New Jersey 25.72 (23.73 - 27.83) 5.77 (4.62 - 7.20) 41.72 (38.04 - 45.50) 25.65 (23.30 - 28.15) 27.71 (25.52 - 30.01) New Mexico 23.01 (20.71 - 25.49) 4.96 (3.84 - 6.40) 31.45 (27.60 - 35.56) 23.86 (21.14 - 26.82) 24.92 (22.38 - 27.64) New York 23.79 (22.42 - 25.20) 4.93 (4.13 - 5.86) 38.51 (35.94 - 41.15) 23.42 (21.81 - 25.10) 25.48 (24.00 - 27.02) North Carolina 21.61 (19.86 - 23.48) 5.59 (4.44 - 7.01) 31.34 (28.17 - 34.69) 21.97 (19.89 - 24.20) 23.24 (21.31 - 25.29) North Dakota 31.62 (29.25 - 34.08) 5.66 (4.43 - 7.22) 48.54 (44.25 - 52.85) 31.19 (28.37 - 34.16) 34.07 (31.48 - 36.75) Ohio 24.89 (23.44 - 26.41) 5.22 (4.34 - 6.26) 38.53 (35.86 - 41.27) 25.04 (23.29 - 26.88) 26.87 (25.27 - 28.54) Oklahoma 23.42 (21.09 - 25.93) 5.08 (3.97 - 6.48) 34.79 (30.68 - 39.13) 23.85 (21.12 - 26.81) 25.43 (22.85 - 28.19) Oregon 24.77 (22.54 - 27.14) 5.21 (4.07 - 6.64) 38.58 (34.66 - 42.65) 24.77 (22.20 - 27.52) 26.54 (24.12 - 29.10) Pennsylvania 26.14 (24.61 - 27.73) 5.04 (4.16 - 6.08) 40.64 (37.81 - 43.54) 26.17 (24.36 - 28.06) 28.08 (26.41 - 29.81) Rhode Island 27.55 (25.07 - 30.18) 5.22 (4.01 - 6.77) 43.06 (38.89 - 47.33) 27.12 (24.23 - 30.21) 29.50 (26.81 - 32.34) South Carolina 26.72 (24.26 - 29.33) 4.91 (3.80 - 6.32) 34.57 (30.73 - 38.62) 27.96 (25.05 - 31.06) 28.83 (26.15 - 31.67) South Dakota 29.63 (27.26 - 32.12) 6.17 (4.87 - 7.78) 44.89 (40.77 - 49.08) 29.99 (27.17 - 32.97) 32.12 (29.51 - 34.85) Tennessee 19.91 (17.75 - 22.25) 5.14 (4.00 - 6.58) 27.07 (23.46 - 31.01) 20.49 (17.98 - 23.25) 21.38 (19.02 - 23.94) Texas 23.86 (22.65 - 25.11) 4.02 (3.30 - 4.89) 31.35 (29.06 - 33.72) 25.32 (23.83 - 26.88) 26.22 (24.88 - 27.61) Utah 15.02 (13.30 - 16.92) 3.84 (2.74 - 5.35) 23.01 (19.47 - 26.97) 15.19 (13.13 - 17.51) 16.60 (14.66 - 18.73) Vermont 27.59 (25.07 - 30.25) 7.42 (5.83 - 9.40) 47.92 (43.35 - 52.53) 26.03 (23.16 - 29.11) 29.25 (26.54 - 32.12) Virginia 22.80 (21.06 - 24.63) 4.77 (3.78 - 6.02) 36.84 (33.57 - 40.23) 22.63 (20.57 - 24.82) 24.56 (22.67 - 26.56) Washington 21.74 (19.65 - 23.98) 5.57 (4.34 - 7.14) 35.07 (31.26 - 39.08) 21.51 (19.08 - 24.17) 23.27 (20.99 - 25.71) West Virginia 20.28 (18.17 - 22.57) 5.38 (4.13 - 6.99) 33.93 (30.03 - 38.07) 19.83 (17.42 - 22.48) 21.60 (19.31 - 24.08) Wisconsin 29.96 (27.34 - 32.72) 5.95 (4.71 - 7.49) 44.44 (40.32 - 48.64) 30.38 (27.29 - 33.67) 32.34 (29.47 - 35.35) Wyoming 23.84 (21.49 - 26.36) 5.49 (4.30 - 6.99) 36.54 (32.58 - 40.69) 24.06 (21.30 - 27.05) 25.72 (23.14 - 28.48)

NOTE: Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 15 Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic Beverage Once or Twice a Week, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 44.78 (44.36 - 45.21) 43.39 (42.68 - 44.11) 37.69 (36.98 - 38.41) 46.08 (45.56 - 46.60) 44.92 (44.46 - 45.39) Northeast 43.45 (42.55 - 44.35) 42.43 (41.10 - 43.77) 34.70 (33.37 - 36.04) 44.93 (43.84 - 46.02) 43.54 (42.58 - 44.51) Midwest 40.24 (39.48 - 41.01) 40.30 (39.16 - 41.46) 33.26 (32.13 - 34.40) 41.38 (40.45 - 42.32) 40.24 (39.42 - 41.06) South 47.06 (46.38 - 47.75) 45.55 (44.48 - 46.61) 40.81 (39.80 - 41.83) 48.23 (47.40 - 49.07) 47.22 (46.48 - 47.96) West 46.14 (45.30 - 46.99) 43.32 (42.01 - 44.63) 38.95 (37.59 - 40.33) 47.64 (46.62 - 48.67) 46.43 (45.52 - 47.34) Alabama 43.79 (41.15 - 46.47) 41.41 (37.77 - 45.15) 37.77 (34.37 - 41.30) 45.03 (41.88 - 48.21) 44.03 (41.20 - 46.90) Alaska 42.61 (40.14 - 45.12) 41.25 (37.70 - 44.90) 35.95 (32.36 - 39.70) 43.86 (40.88 - 46.89) 42.76 (40.09 - 45.47) Arizona 45.08 (42.33 - 47.86) 42.92 (39.10 - 46.83) 40.66 (36.78 - 44.67) 46.07 (42.76 - 49.40) 45.30 (42.36 - 48.28) Arkansas 44.35 (41.76 - 46.98) 43.28 (39.58 - 47.05) 35.84 (32.58 - 39.24) 45.86 (42.75 - 49.01) 44.46 (41.69 - 47.27) California 48.53 (47.20 - 49.86) 45.25 (43.15 - 47.36) 40.72 (38.55 - 42.93) 50.20 (48.58 - 51.83) 48.86 (47.41 - 50.30) Colorado 43.31 (40.74 - 45.93) 41.98 (38.28 - 45.78) 35.34 (31.83 - 39.01) 44.73 (41.66 - 47.85) 43.45 (40.68 - 46.25) Connecticut 43.12 (40.35 - 45.94) 43.58 (39.82 - 47.41) 33.35 (29.94 - 36.94) 44.65 (41.35 - 47.99) 43.08 (40.12 - 46.09) Delaware 42.31 (39.70 - 44.96) 43.34 (39.59 - 47.17) 38.30 (34.65 - 42.09) 42.78 (39.72 - 45.89) 42.21 (39.44 - 45.04) District of Columbia 43.23 (40.60 - 45.91) 49.35 (45.50 - 53.22) 36.90 (33.11 - 40.87) 44.00 (40.94 - 47.10) 42.89 (40.15 - 45.67) Florida 48.58 (46.98 - 50.18) 45.69 (43.24 - 48.17) 42.06 (39.74 - 44.42) 49.73 (47.82 - 51.64) 48.82 (47.11 - 50.54) Georgia 49.94 (47.78 - 52.10) 51.35 (47.97 - 54.72) 42.00 (38.93 - 45.12) 51.08 (48.44 - 53.70) 49.78 (47.45 - 52.11) Hawaii 44.24 (41.48 - 47.02) 43.70 (39.73 - 47.75) 40.82 (36.99 - 44.76) 44.74 (41.53 - 48.00) 44.28 (41.35 - 47.25) Idaho 43.76 (41.13 - 46.43) 40.91 (37.07 - 44.86) 34.82 (31.28 - 38.54) 45.64 (42.44 - 48.88) 44.10 (41.27 - 46.98) Illinois 41.84 (40.04 - 43.66) 42.87 (40.16 - 45.62) 35.06 (32.42 - 37.79) 42.79 (40.60 - 45.01) 41.73 (39.78 - 43.71) Indiana 40.16 (37.67 - 42.69) 38.52 (34.94 - 42.24) 33.68 (30.18 - 37.37) 41.48 (38.50 - 44.52) 40.33 (37.67 - 43.04) Iowa 35.26 (32.89 - 37.70) 36.67 (33.02 - 40.48) 30.60 (27.19 - 34.24) 35.91 (33.07 - 38.86) 35.11 (32.59 - 37.72) Kansas 39.95 (37.39 - 42.58) 40.97 (37.18 - 44.88) 34.21 (30.74 - 37.87) 40.84 (37.69 - 44.07) 39.84 (37.06 - 42.69) Kentucky 45.27 (42.66 - 47.91) 41.67 (37.80 - 45.65) 36.00 (32.38 - 39.78) 47.18 (44.05 - 50.33) 45.63 (42.84 - 48.45) Louisiana 44.94 (42.44 - 47.47) 42.84 (38.95 - 46.82) 40.46 (36.80 - 44.23) 45.91 (42.94 - 48.92) 45.16 (42.48 - 47.86) Maine 39.47 (36.71 - 42.30) 37.96 (34.36 - 41.70) 28.56 (25.31 - 32.06) 41.02 (37.77 - 44.35) 39.59 (36.66 - 42.60) Maryland 45.82 (43.09 - 48.58) 44.30 (40.43 - 48.24) 42.27 (38.64 - 45.99) 46.53 (43.28 - 49.80) 45.97 (43.05 - 48.92) Massachusetts 40.37 (37.77 - 43.01) 39.50 (35.79 - 43.34) 32.62 (29.29 - 36.13) 41.78 (38.67 - 44.95) 40.44 (37.70 - 43.24) Michigan 41.16 (39.44 - 42.90) 41.78 (39.17 - 44.43) 35.03 (32.51 - 37.65) 42.10 (39.99 - 44.23) 41.09 (39.23 - 42.98) Minnesota 36.68 (34.12 - 39.32) 37.99 (34.33 - 41.79) 30.52 (26.98 - 34.30) 37.49 (34.43 - 40.66) 36.55 (33.80 - 39.39) Mississippi 48.02 (45.33 - 50.73) 45.00 (41.30 - 48.77) 45.20 (41.49 - 48.96) 48.89 (45.62 - 52.17) 48.35 (45.43 - 51.29) Missouri 40.97 (38.50 - 43.49) 40.24 (36.57 - 44.03) 34.53 (31.04 - 38.20) 42.08 (39.12 - 45.10) 41.04 (38.40 - 43.74) Montana 38.10 (35.64 - 40.63) 36.86 (33.21 - 40.68) 33.53 (30.08 - 37.16) 38.95 (36.03 - 41.96) 38.22 (35.60 - 40.90)

See notes at end of table. (continued)

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Table 15 Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic Beverage Once or Twice a Week, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 39.04 (36.59 - 41.54) 39.32 (35.52 - 43.27) 31.21 (27.89 - 34.74) 40.39 (37.45 - 43.39) 39.01 (36.40 - 41.67) Nevada 45.64 (42.71 - 48.59) 45.26 (41.09 - 49.50) 42.08 (38.14 - 46.13) 46.18 (42.75 - 49.66) 45.67 (42.55 - 48.83) New Hampshire 37.53 (34.92 - 40.21) 36.09 (32.62 - 39.72) 29.29 (25.90 - 32.92) 38.93 (35.86 - 42.09) 37.66 (34.89 - 40.51) New Jersey 47.45 (45.14 - 49.77) 45.30 (41.88 - 48.77) 39.19 (35.89 - 42.59) 48.90 (46.16 - 51.65) 47.66 (45.19 - 50.14) New Mexico 49.56 (46.85 - 52.28) 43.24 (39.27 - 47.30) 42.77 (38.86 - 46.77) 51.44 (48.18 - 54.68) 50.23 (47.32 - 53.13) New York 45.59 (43.95 - 47.25) 46.36 (43.85 - 48.90) 35.54 (33.27 - 37.87) 47.10 (45.10 - 49.11) 45.52 (43.75 - 47.30) North Carolina 45.77 (43.53 - 48.02) 44.34 (41.18 - 47.55) 39.62 (36.51 - 42.82) 46.89 (44.23 - 49.58) 45.91 (43.51 - 48.32) North Dakota 36.79 (34.37 - 39.28) 37.31 (33.74 - 41.03) 30.04 (26.67 - 33.64) 38.09 (35.17 - 41.10) 36.74 (34.17 - 39.39) Ohio 41.89 (40.14 - 43.67) 41.83 (39.23 - 44.48) 32.50 (30.16 - 34.93) 43.37 (41.27 - 45.51) 41.89 (40.02 - 43.79) Oklahoma 43.60 (41.03 - 46.21) 40.03 (36.15 - 44.05) 37.06 (33.32 - 40.97) 45.17 (42.05 - 48.32) 43.99 (41.22 - 46.80) Oregon 41.38 (38.87 - 43.93) 36.43 (32.77 - 40.25) 30.15 (26.76 - 33.78) 43.53 (40.54 - 46.57) 41.82 (39.15 - 44.54) Pennsylvania 40.48 (38.69 - 42.29) 36.82 (34.23 - 39.50) 33.34 (30.89 - 35.88) 41.95 (39.79 - 44.14) 40.81 (38.90 - 42.75) Rhode Island 42.47 (39.84 - 45.16) 42.95 (39.16 - 46.83) 35.10 (31.35 - 39.05) 43.72 (40.58 - 46.92) 42.43 (39.64 - 45.28) South Carolina 43.73 (41.05 - 46.44) 43.63 (39.93 - 47.41) 37.89 (34.36 - 41.55) 44.63 (41.44 - 47.86) 43.74 (40.88 - 46.63) South Dakota 38.84 (36.36 - 41.37) 37.41 (33.88 - 41.09) 31.75 (28.40 - 35.29) 40.20 (37.22 - 43.25) 38.99 (36.33 - 41.71) Tennessee 45.65 (42.98 - 48.35) 44.37 (40.67 - 48.13) 37.07 (33.57 - 40.70) 47.14 (43.96 - 50.34) 45.78 (42.93 - 48.66) Texas 49.58 (48.11 - 51.05) 47.62 (45.14 - 50.12) 44.29 (41.91 - 46.69) 50.79 (49.02 - 52.57) 49.81 (48.23 - 51.40) Utah 46.75 (44.29 - 49.24) 45.28 (41.10 - 49.53) 39.84 (35.97 - 43.84) 48.56 (45.54 - 51.58) 46.96 (44.32 - 49.62) Vermont 39.63 (37.01 - 42.31) 38.38 (34.68 - 42.21) 30.75 (27.27 - 34.47) 41.29 (38.16 - 44.49) 39.73 (36.96 - 42.57) Virginia 44.98 (42.82 - 47.15) 45.01 (41.76 - 48.31) 37.66 (34.62 - 40.81) 46.13 (43.54 - 48.73) 44.97 (42.67 - 47.30) Washington 41.14 (38.54 - 43.79) 37.75 (34.02 - 41.63) 34.23 (30.75 - 37.88) 42.53 (39.47 - 45.65) 41.46 (38.69 - 44.28) West Virginia 43.06 (40.39 - 45.77) 38.50 (34.73 - 42.40) 34.92 (31.35 - 38.66) 44.68 (41.55 - 47.86) 43.46 (40.63 - 46.34) Wisconsin 38.47 (35.80 - 41.22) 36.21 (32.72 - 39.85) 30.91 (27.49 - 34.54) 39.96 (36.74 - 43.26) 38.69 (35.84 - 41.63) Wyoming 41.19 (38.52 - 43.91) 40.84 (37.26 - 44.52) 33.48 (29.99 - 37.16) 42.41 (39.23 - 45.66) 41.22 (38.35 - 44.15)

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 16 Alcohol Use and Binge Alcohol Use in the Past Month among Individuals Aged 12 to 20, by State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State Alcohol Use in

Past Month (Estimate) Alcohol Use in Past Month (95% Confidence Interval)

Binge Alcohol Use in Past Month (Estimate)

Binge Alcohol Use in Past Month (95% Confidence Interval)

Total U.S. 19.25 (18.60 - 19.91) 11.66 (11.16 - 12.18) Northeast 22.01 (21.08 - 22.97) 13.93 (13.06 - 14.86) Midwest 21.20 (20.41 - 22.01) 13.48 (12.72 - 14.28) South 17.54 (16.90 - 18.20) 10.13 (9.46 - 10.83) West 18.35 (17.51 - 19.21) 10.94 (10.13 - 11.80) Alabama 18.85 (16.54 - 21.41) 10.91 (9.18 - 12.92) Alaska 17.67 (15.17 - 20.47) 10.63 (8.91 - 12.63) Arizona 17.19 (14.75 - 19.93) 10.30 (8.58 - 12.33) Arkansas 16.84 (14.57 - 19.37) 10.09 (8.41 - 12.08) California 18.09 (16.78 - 19.47) 10.81 (9.67 - 12.06) Colorado 21.70 (19.12 - 24.53) 13.59 (11.65 - 15.80) Connecticut 26.18 (23.35 - 29.21) 16.62 (14.37 - 19.14) Delaware 17.72 (15.29 - 20.43) 10.20 (8.51 - 12.18) District of Columbia 23.27 (20.06 - 26.81) 15.75 (13.17 - 18.72) Florida 19.24 (17.69 - 20.88) 10.80 (9.60 - 12.14) Georgia 15.95 (14.11 - 17.98) 9.05 (7.69 - 10.62) Hawaii 15.88 (13.64 - 18.41) 9.98 (8.27 - 11.99) Idaho 14.27 (12.05 - 16.82) 9.09 (7.47 - 11.02) Illinois 19.84 (18.01 - 21.81) 12.97 (11.50 - 14.60) Indiana 18.90 (16.55 - 21.49) 11.41 (9.61 - 13.49) Iowa 24.26 (21.63 - 27.09) 15.56 (13.42 - 17.97) Kansas 20.91 (18.45 - 23.61) 12.67 (10.78 - 14.83) Kentucky 18.14 (15.78 - 20.76) 11.15 (9.33 - 13.27) Louisiana 20.74 (18.09 - 23.66) 11.48 (9.63 - 13.63) Maine 23.27 (20.75 - 25.99) 14.08 (12.12 - 16.29) Maryland 19.01 (16.50 - 21.80) 10.20 (8.49 - 12.21) Massachusetts 29.84 (26.88 - 32.99) 19.63 (17.16 - 22.35) Michigan 22.66 (20.88 - 24.55) 13.99 (12.54 - 15.57) Minnesota 21.90 (19.34 - 24.69) 14.05 (11.99 - 16.40) Mississippi 14.48 (12.37 - 16.88) 8.31 (6.86 - 10.05) Missouri 20.29 (17.80 - 23.03) 12.53 (10.59 - 14.76) Montana 25.57 (22.71 - 28.66) 15.59 (13.41 - 18.04)

See notes at end of table. (continued)

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Table 16 Alcohol Use and Binge Alcohol Use in the Past Month among Individuals Aged 12 to 20, by State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State Alcohol Use in

Past Month (Estimate) Alcohol Use in Past Month (95% Confidence Interval)

Binge Alcohol Use in Past Month (Estimate)

Binge Alcohol Use in Past Month (95% Confidence Interval)

Nebraska 21.26 (18.75 - 24.01) 14.64 (12.65 - 16.88) Nevada 16.76 (14.44 - 19.38) 9.07 (7.45 - 10.99) New Hampshire 23.47 (20.72 - 26.48) 15.28 (13.00 - 17.86) New Jersey 22.04 (19.73 - 24.53) 13.94 (12.14 - 15.96) New Mexico 18.11 (15.74 - 20.76) 10.06 (8.28 - 12.17) New York 19.37 (17.76 - 21.08) 11.97 (10.65 - 13.43) North Carolina 18.36 (16.28 - 20.65) 11.03 (9.43 - 12.88) North Dakota 26.47 (23.62 - 29.53) 18.43 (15.94 - 21.20) Ohio 20.38 (18.69 - 22.18) 13.25 (11.88 - 14.77) Oklahoma 16.26 (13.98 - 18.83) 9.76 (8.13 - 11.67) Oregon 21.73 (19.24 - 24.44) 13.42 (11.54 - 15.55) Pennsylvania 18.67 (16.92 - 20.56) 11.77 (10.35 - 13.34) Rhode Island 27.40 (24.39 - 30.62) 17.65 (15.30 - 20.28) South Carolina 17.69 (15.46 - 20.16) 11.94 (10.15 - 14.00) South Dakota 22.27 (19.74 - 25.03) 14.82 (12.76 - 17.15) Tennessee 16.20 (13.97 - 18.71) 9.08 (7.51 - 10.93) Texas 16.43 (15.05 - 17.92) 9.12 (7.98 - 10.41) Utah 10.51 (8.40 - 13.09) 7.12 (5.52 - 9.13) Vermont 31.51 (28.43 - 34.76) 20.75 (18.06 - 23.73) Virginia 17.35 (15.27 - 19.65) 10.78 (9.26 - 12.52) Washington 21.86 (19.24 - 24.73) 11.92 (10.04 - 14.11) West Virginia 19.24 (16.64 - 22.13) 11.92 (9.98 - 14.17) Wisconsin 23.65 (21.05 - 26.46) 14.96 (12.79 - 17.41) Wyoming 21.10 (18.48 - 23.99) 12.67 (10.79 - 14.83)

NOTE: Binge Alcohol Use is defined as drinking five or more drinks (for males) or four or more drinks (for females) on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days.

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 17 Tobacco Product Use in the Past Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 21.96 (21.57 - 22.34) 4.55 (4.27 - 4.85) 27.46 (26.82 - 28.10) 23.11 (22.65 - 23.57) 23.70 (23.29 - 24.12) Northeast 20.30 (19.56 - 21.05) 4.18 (3.74 - 4.68) 27.70 (26.49 - 28.95) 20.85 (19.96 - 21.76) 21.77 (20.98 - 22.59) Midwest 24.22 (23.54 - 24.91) 5.00 (4.54 - 5.49) 30.05 (28.97 - 31.15) 25.55 (24.73 - 26.38) 26.18 (25.45 - 26.93) South 23.86 (23.29 - 24.44) 5.03 (4.62 - 5.47) 28.95 (28.05 - 29.87) 25.30 (24.60 - 26.02) 25.80 (25.18 - 26.43) West 18.16 (17.50 - 18.83) 3.63 (3.21 - 4.11) 22.64 (21.53 - 23.79) 19.15 (18.34 - 19.98) 19.63 (18.91 - 20.37) Alabama 29.78 (27.36 - 32.31) 7.34 (5.62 - 9.54) 33.79 (30.05 - 37.74) 31.75 (28.84 - 34.82) 32.03 (29.40 - 34.78) Alaska 24.12 (22.01 - 26.37) 7.45 (5.71 - 9.66) 29.83 (26.05 - 33.90) 25.34 (22.84 - 28.01) 25.96 (23.65 - 28.42) Arizona 20.96 (18.77 - 23.33) 3.29 (2.33 - 4.63) 25.73 (22.13 - 29.70) 22.31 (19.73 - 25.14) 22.80 (20.40 - 25.38) Arkansas 30.72 (28.27 - 33.29) 7.53 (5.77 - 9.77) 32.52 (28.69 - 36.60) 33.26 (30.31 - 36.35) 33.16 (30.48 - 35.95) California 15.12 (14.19 - 16.10) 2.73 (2.17 - 3.42) 18.76 (17.12 - 20.51) 15.97 (14.84 - 17.18) 16.37 (15.35 - 17.44) Colorado 21.42 (19.42 - 23.57) 4.86 (3.53 - 6.66) 29.83 (26.25 - 33.68) 22.01 (19.64 - 24.58) 23.08 (20.91 - 25.41) Connecticut 19.72 (17.70 - 21.92) 3.45 (2.49 - 4.75) 27.33 (23.83 - 31.13) 20.34 (17.95 - 22.96) 21.31 (19.11 - 23.69) Delaware 23.59 (21.25 - 26.10) 4.94 (3.61 - 6.72) 27.40 (23.71 - 31.42) 25.02 (22.28 - 27.97) 25.32 (22.80 - 28.02) District of Columbia 22.57 (20.36 - 24.95) 4.64 (3.41 - 6.30) 26.82 (22.98 - 31.03) 22.98 (20.48 - 25.69) 23.58 (21.25 - 26.07) Florida 20.13 (18.87 - 21.46) 4.55 (3.73 - 5.54) 23.61 (21.65 - 25.68) 21.18 (19.68 - 22.77) 21.47 (20.11 - 22.90) Georgia 23.27 (21.57 - 25.06) 4.36 (3.31 - 5.71) 29.03 (25.96 - 32.30) 24.78 (22.72 - 26.96) 25.38 (23.51 - 27.35) Hawaii 16.12 (14.27 - 18.15) 2.76 (1.92 - 3.95) 22.25 (18.95 - 25.94) 16.65 (14.50 - 19.05) 17.31 (15.31 - 19.52) Idaho 21.68 (19.60 - 23.92) 5.02 (3.69 - 6.80) 28.20 (24.65 - 32.03) 22.95 (20.44 - 25.66) 23.69 (21.40 - 26.15) Illinois 20.55 (19.14 - 22.04) 3.86 (3.04 - 4.90) 24.83 (22.33 - 27.51) 21.85 (20.17 - 23.64) 22.26 (20.71 - 23.89) Indiana 27.01 (24.79 - 29.35) 4.85 (3.60 - 6.51) 31.61 (27.86 - 35.61) 29.00 (26.32 - 31.84) 29.38 (26.96 - 31.94) Iowa 25.51 (23.29 - 27.87) 4.45 (3.30 - 5.98) 32.17 (28.36 - 36.22) 26.89 (24.25 - 29.71) 27.68 (25.26 - 30.25) Kansas 24.65 (22.38 - 27.07) 4.32 (3.19 - 5.84) 28.96 (25.30 - 32.92) 26.53 (23.82 - 29.44) 26.90 (24.40 - 29.55) Kentucky 32.10 (29.67 - 34.63) 9.12 (7.02 - 11.78) 35.06 (31.28 - 39.03) 34.31 (31.39 - 37.36) 34.41 (31.77 - 37.15) Louisiana 29.29 (26.88 - 31.81) 5.76 (4.27 - 7.73) 33.61 (29.79 - 37.65) 31.44 (28.54 - 34.50) 31.74 (29.12 - 34.49) Maine 22.90 (20.65 - 25.32) 6.51 (4.95 - 8.53) 34.32 (30.64 - 38.20) 22.97 (20.36 - 25.80) 24.27 (21.85 - 26.86) Maryland 18.84 (16.87 - 20.99) 4.26 (3.13 - 5.79) 24.51 (21.14 - 28.21) 19.64 (17.33 - 22.17) 20.27 (18.13 - 22.60) Massachusetts 19.74 (17.63 - 22.04) 5.07 (3.74 - 6.85) 25.05 (21.71 - 28.72) 20.35 (17.89 - 23.06) 21.04 (18.76 - 23.51) Michigan 24.30 (22.81 - 25.84) 5.00 (4.04 - 6.18) 28.74 (26.31 - 31.30) 25.79 (23.99 - 27.67) 26.20 (24.59 - 27.88) Minnesota 21.71 (19.73 - 23.83) 4.73 (3.51 - 6.36) 31.83 (27.92 - 36.01) 22.15 (19.83 - 24.65) 23.46 (21.31 - 25.75) Mississippi 31.45 (28.93 - 34.07) 7.40 (5.65 - 9.65) 33.18 (29.35 - 37.26) 34.23 (31.16 - 37.43) 34.07 (31.32 - 36.93) Missouri 25.52 (23.25 - 27.94) 6.10 (4.70 - 7.89) 27.49 (24.06 - 31.20) 27.47 (24.76 - 30.36) 27.48 (25.00 - 30.10) Montana 25.65 (23.45 - 27.99) 7.10 (5.42 - 9.24) 40.84 (36.70 - 45.11) 25.27 (22.73 - 27.98) 27.38 (25.00 - 29.88)

See notes at end of table. (continued)

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Table 17 Tobacco Product Use in the Past Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 24.37 (22.32 - 26.55) 3.89 (2.83 - 5.32) 33.48 (29.77 - 37.42) 25.42 (22.96 - 28.05) 26.63 (24.37 - 29.01) Nevada 24.82 (22.41 - 27.40) 4.22 (3.03 - 5.84) 28.06 (24.43 - 31.99) 26.72 (23.86 - 29.78) 26.89 (24.25 - 29.69) New Hampshire 20.71 (18.61 - 22.97) 5.49 (4.18 - 7.19) 32.11 (28.06 - 36.45) 20.52 (18.12 - 23.16) 22.05 (19.80 - 24.49) New Jersey 19.03 (17.26 - 20.93) 3.59 (2.64 - 4.87) 28.32 (25.08 - 31.80) 19.42 (17.33 - 21.70) 20.56 (18.63 - 22.63) New Mexico 24.42 (22.07 - 26.94) 5.47 (3.91 - 7.59) 30.48 (26.66 - 34.60) 25.76 (22.96 - 28.79) 26.42 (23.85 - 29.16) New York 17.96 (16.79 - 19.20) 3.53 (2.84 - 4.38) 25.06 (23.02 - 27.22) 18.34 (16.92 - 19.84) 19.25 (17.98 - 20.59) North Carolina 24.38 (22.52 - 26.35) 5.31 (4.15 - 6.77) 31.56 (28.46 - 34.83) 25.49 (23.27 - 27.85) 26.31 (24.28 - 28.46) North Dakota 26.40 (24.20 - 28.72) 6.24 (4.73 - 8.18) 33.23 (29.42 - 37.27) 27.33 (24.69 - 30.14) 28.31 (25.92 - 30.83) Ohio 26.74 (25.22 - 28.31) 6.39 (5.30 - 7.69) 34.65 (32.10 - 37.30) 27.86 (26.04 - 29.76) 28.78 (27.13 - 30.50) Oklahoma 28.66 (26.31 - 31.13) 5.40 (4.01 - 7.24) 35.98 (31.94 - 40.23) 30.40 (27.60 - 33.35) 31.20 (28.63 - 33.91) Oregon 21.03 (19.04 - 23.16) 4.60 (3.49 - 6.05) 29.97 (26.56 - 33.62) 21.41 (19.10 - 23.92) 22.51 (20.36 - 24.81) Pennsylvania 24.73 (23.26 - 26.27) 4.89 (3.91 - 6.10) 31.67 (29.17 - 34.27) 25.78 (24.01 - 27.64) 26.56 (24.96 - 28.22) Rhode Island 20.18 (18.08 - 22.46) 3.79 (2.75 - 5.21) 26.84 (23.28 - 30.72) 20.69 (18.24 - 23.37) 21.61 (19.34 - 24.06) South Carolina 26.62 (24.35 - 29.01) 7.19 (5.49 - 9.38) 31.16 (27.49 - 35.09) 28.09 (25.40 - 30.96) 28.50 (26.05 - 31.08) South Dakota 26.55 (24.41 - 28.79) 7.17 (5.52 - 9.27) 35.71 (31.85 - 39.77) 27.42 (24.87 - 30.12) 28.60 (26.28 - 31.04) Tennessee 28.28 (25.92 - 30.77) 6.52 (4.99 - 8.49) 35.78 (31.83 - 39.93) 29.62 (26.81 - 32.59) 30.45 (27.88 - 33.15) Texas 21.27 (20.11 - 22.49) 3.43 (2.73 - 4.30) 24.94 (23.03 - 26.95) 23.14 (21.69 - 24.65) 23.40 (22.11 - 24.75) Utah 14.88 (13.16 - 16.79) 3.08 (2.06 - 4.59) 16.51 (13.48 - 20.06) 16.57 (14.44 - 18.95) 16.55 (14.61 - 18.69) Vermont 24.20 (22.00 - 26.55) 7.27 (5.54 - 9.48) 37.16 (32.94 - 41.59) 23.60 (21.03 - 26.37) 25.60 (23.24 - 28.10) Virginia 20.13 (18.57 - 21.79) 4.39 (3.34 - 5.75) 30.92 (27.91 - 34.10) 20.22 (18.38 - 22.19) 21.68 (19.98 - 23.48) Washington 21.60 (19.45 - 23.92) 5.66 (4.15 - 7.67) 24.95 (21.72 - 28.49) 22.84 (20.30 - 25.59) 23.11 (20.79 - 25.61) West Virginia 34.95 (32.33 - 37.66) 8.06 (6.16 - 10.47) 43.23 (39.00 - 47.55) 36.48 (33.38 - 39.70) 37.33 (34.49 - 40.25) Wisconsin 23.36 (21.13 - 25.74) 4.55 (3.39 - 6.09) 30.53 (26.89 - 34.43) 24.37 (21.75 - 27.19) 25.22 (22.80 - 27.81) Wyoming 27.13 (24.73 - 29.69) 6.77 (5.14 - 8.87) 38.50 (34.55 - 42.61) 27.79 (24.90 - 30.89) 29.22 (26.59 - 32.00)

NOTE: Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco. NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and

generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 18 Cigarette Use in the Past Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 17.52 (17.18 - 17.88) 2.93 (2.70 - 3.17) 20.73 (20.16 - 21.31) 18.71 (18.29 - 19.14) 18.99 (18.61 - 19.37) Northeast 16.22 (15.54 - 16.93) 2.60 (2.26 - 2.98) 20.28 (19.13 - 21.48) 17.03 (16.20 - 17.91) 17.47 (16.73 - 18.24) Midwest 19.43 (18.82 - 20.05) 3.35 (3.00 - 3.74) 22.67 (21.64 - 23.72) 20.81 (20.05 - 21.59) 21.07 (20.41 - 21.75) South 18.95 (18.42 - 19.49) 3.22 (2.90 - 3.58) 21.72 (20.86 - 22.62) 20.39 (19.71 - 21.08) 20.57 (19.99 - 21.16) West 14.53 (13.93 - 15.15) 2.30 (1.98 - 2.66) 17.79 (16.71 - 18.92) 15.45 (14.69 - 16.24) 15.77 (15.11 - 16.46) Alabama 24.16 (21.89 - 26.59) 4.91 (3.60 - 6.65) 25.60 (22.06 - 29.49) 26.18 (23.43 - 29.13) 26.10 (23.64 - 28.71) Alaska 17.24 (15.45 - 19.19) 4.32 (3.12 - 5.95) 22.21 (18.78 - 26.08) 18.09 (15.97 - 20.42) 18.66 (16.71 - 20.78) Arizona 17.03 (15.06 - 19.19) 2.22 (1.51 - 3.25) 20.34 (16.93 - 24.22) 18.28 (15.97 - 20.84) 18.57 (16.43 - 20.92) Arkansas 24.22 (22.06 - 26.52) 5.02 (3.72 - 6.74) 24.79 (21.39 - 28.52) 26.48 (23.87 - 29.26) 26.24 (23.89 - 28.73) California 12.07 (11.20 - 13.00) 1.54 (1.16 - 2.06) 14.52 (12.97 - 16.22) 12.91 (11.84 - 14.05) 13.13 (12.19 - 14.14) Colorado 17.10 (15.24 - 19.13) 3.61 (2.54 - 5.12) 24.00 (20.64 - 27.71) 17.57 (15.40 - 19.98) 18.45 (16.44 - 20.64) Connecticut 15.06 (13.21 - 17.11) 1.83 (1.24 - 2.69) 19.67 (16.46 - 23.33) 15.81 (13.64 - 18.26) 16.35 (14.34 - 18.57) Delaware 18.99 (16.92 - 21.25) 2.81 (1.99 - 3.98) 20.65 (17.42 - 24.32) 20.47 (18.03 - 23.14) 20.50 (18.26 - 22.93) District of Columbia 19.01 (16.95 - 21.26) 2.43 (1.62 - 3.63) 21.48 (17.82 - 25.66) 19.66 (17.33 - 22.22) 19.94 (17.77 - 22.30) Florida 16.34 (15.20 - 17.54) 2.85 (2.21 - 3.65) 16.87 (15.10 - 18.81) 17.58 (16.21 - 19.03) 17.50 (16.28 - 18.80) Georgia 17.77 (16.23 - 19.41) 2.72 (1.99 - 3.71) 20.28 (17.63 - 23.21) 19.31 (17.45 - 21.31) 19.44 (17.76 - 21.24) Hawaii 13.11 (11.41 - 15.01) 2.18 (1.45 - 3.28) 19.77 (16.68 - 23.27) 13.32 (11.37 - 15.55) 14.08 (12.26 - 16.13) Idaho 17.18 (15.37 - 19.15) 3.75 (2.70 - 5.20) 22.99 (19.62 - 26.75) 18.11 (15.95 - 20.49) 18.80 (16.82 - 20.95) Illinois 16.68 (15.35 - 18.09) 2.27 (1.71 - 3.02) 19.30 (17.06 - 21.76) 17.97 (16.37 - 19.69) 18.15 (16.71 - 19.69) Indiana 22.01 (19.99 - 24.18) 3.47 (2.50 - 4.80) 24.96 (21.47 - 28.81) 23.84 (21.41 - 26.45) 24.00 (21.80 - 26.36) Iowa 20.15 (18.16 - 22.30) 3.41 (2.48 - 4.66) 23.37 (20.01 - 27.10) 21.61 (19.25 - 24.18) 21.87 (19.71 - 24.20) Kansas 19.03 (17.07 - 21.16) 2.84 (2.03 - 3.96) 20.96 (17.71 - 24.63) 20.80 (18.44 - 23.39) 20.82 (18.68 - 23.15) Kentucky 25.83 (23.66 - 28.12) 5.80 (4.29 - 7.79) 27.74 (24.13 - 31.67) 27.86 (25.26 - 30.63) 27.85 (25.51 - 30.31) Louisiana 22.24 (20.14 - 24.49) 3.47 (2.51 - 4.78) 25.07 (21.62 - 28.88) 24.06 (21.52 - 26.79) 24.20 (21.91 - 26.65) Maine 19.30 (17.30 - 21.47) 5.20 (3.87 - 6.95) 26.68 (23.19 - 30.50) 19.67 (17.36 - 22.20) 20.48 (18.33 - 22.80) Maryland 14.88 (13.08 - 16.88) 2.42 (1.69 - 3.45) 16.64 (13.80 - 19.93) 16.02 (13.88 - 18.42) 16.10 (14.15 - 18.26) Massachusetts 15.92 (14.14 - 17.88) 2.91 (2.06 - 4.09) 18.70 (15.68 - 22.15) 16.80 (14.67 - 19.16) 17.07 (15.15 - 19.18) Michigan 19.51 (18.16 - 20.93) 3.02 (2.32 - 3.92) 20.93 (18.76 - 23.29) 21.18 (19.54 - 22.91) 21.14 (19.68 - 22.68) Minnesota 17.10 (15.31 - 19.04) 3.27 (2.33 - 4.58) 25.50 (21.72 - 29.69) 17.42 (15.34 - 19.72) 18.52 (16.58 - 20.62) Mississippi 24.99 (22.65 - 27.47) 4.51 (3.28 - 6.16) 25.58 (21.89 - 29.65) 27.51 (24.66 - 30.55) 27.23 (24.68 - 29.93) Missouri 21.01 (19.02 - 23.15) 4.37 (3.24 - 5.87) 21.47 (18.26 - 25.08) 22.88 (20.50 - 25.45) 22.69 (20.53 - 25.01) Montana 19.42 (17.54 - 21.45) 5.12 (3.75 - 6.96) 31.04 (26.93 - 35.46) 19.13 (16.97 - 21.50) 20.75 (18.73 - 22.92)

See notes at end of table. (continued)

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Table 18 Cigarette Use in the Past Month, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 18.98 (17.11 - 20.99) 2.84 (2.02 - 3.96) 23.59 (20.19 - 27.36) 20.26 (18.00 - 22.72) 20.75 (18.71 - 22.95) Nevada 20.02 (17.80 - 22.44) 2.79 (1.92 - 4.03) 21.95 (18.46 - 25.89) 21.71 (19.08 - 24.59) 21.74 (19.33 - 24.37) New Hampshire 15.55 (13.85 - 17.42) 3.84 (2.75 - 5.34) 24.26 (20.57 - 28.37) 15.42 (13.50 - 17.56) 16.59 (14.78 - 18.58) New Jersey 15.36 (13.76 - 17.11) 2.17 (1.54 - 3.04) 21.06 (18.21 - 24.21) 16.03 (14.15 - 18.10) 16.67 (14.93 - 18.57) New Mexico 19.87 (17.76 - 22.16) 3.02 (2.04 - 4.46) 24.40 (20.74 - 28.48) 21.20 (18.67 - 23.98) 21.65 (19.35 - 24.14) New York 14.65 (13.55 - 15.81) 2.13 (1.63 - 2.78) 18.10 (16.23 - 20.13) 15.40 (14.08 - 16.81) 15.77 (14.58 - 17.03) North Carolina 19.45 (17.81 - 21.20) 3.10 (2.32 - 4.13) 23.68 (20.80 - 26.82) 20.70 (18.74 - 22.82) 21.11 (19.32 - 23.01) North Dakota 20.26 (18.26 - 22.42) 4.56 (3.32 - 6.22) 25.49 (21.89 - 29.46) 21.01 (18.62 - 23.60) 21.75 (19.59 - 24.07) Ohio 21.47 (20.09 - 22.92) 4.43 (3.53 - 5.57) 25.24 (22.99 - 27.62) 22.87 (21.18 - 24.64) 23.19 (21.69 - 24.76) Oklahoma 22.91 (20.83 - 25.14) 4.27 (3.10 - 5.87) 29.03 (25.09 - 33.32) 24.26 (21.76 - 26.96) 24.95 (22.67 - 27.38) Oregon 16.54 (14.75 - 18.50) 3.25 (2.34 - 4.50) 23.66 (20.20 - 27.50) 16.87 (14.79 - 19.19) 17.74 (15.82 - 19.85) Pennsylvania 19.31 (17.96 - 20.72) 3.17 (2.45 - 4.09) 22.79 (20.53 - 25.21) 20.48 (18.88 - 22.19) 20.79 (19.34 - 22.32) Rhode Island 16.65 (14.76 - 18.73) 2.55 (1.81 - 3.60) 20.76 (17.50 - 24.45) 17.38 (15.14 - 19.86) 17.88 (15.84 - 20.12) South Carolina 21.64 (19.54 - 23.90) 4.92 (3.61 - 6.66) 24.65 (21.31 - 28.33) 23.04 (20.54 - 25.75) 23.26 (20.99 - 25.69) South Dakota 19.50 (17.54 - 21.62) 4.88 (3.67 - 6.48) 24.22 (20.76 - 28.06) 20.52 (18.19 - 23.06) 21.05 (18.92 - 23.34) Tennessee 21.35 (19.27 - 23.59) 4.34 (3.22 - 5.82) 25.19 (21.59 - 29.15) 22.71 (20.24 - 25.38) 23.04 (20.79 - 25.46) Texas 17.19 (16.09 - 18.35) 2.24 (1.71 - 2.94) 19.66 (17.75 - 21.72) 18.86 (17.49 - 20.31) 18.98 (17.76 - 20.25) Utah 12.24 (10.66 - 14.00) 1.98 (1.27 - 3.08) 13.51 (10.76 - 16.83) 13.74 (11.82 - 15.91) 13.68 (11.92 - 15.66) Vermont 19.18 (17.15 - 21.38) 5.49 (4.02 - 7.45) 29.32 (25.32 - 33.67) 18.75 (16.42 - 21.32) 20.31 (18.15 - 22.65) Virginia 15.51 (14.05 - 17.08) 2.78 (2.03 - 3.81) 23.13 (20.29 - 26.24) 15.75 (14.03 - 17.64) 16.76 (15.18 - 18.46) Washington 17.58 (15.66 - 19.68) 3.57 (2.55 - 4.97) 19.55 (16.44 - 23.09) 18.81 (16.54 - 21.32) 18.91 (16.84 - 21.17) West Virginia 27.73 (25.27 - 30.34) 5.82 (4.34 - 7.77) 32.17 (28.05 - 36.59) 29.31 (26.41 - 32.39) 29.67 (27.02 - 32.47) Wisconsin 18.68 (16.60 - 20.95) 3.09 (2.24 - 4.27) 23.31 (19.91 - 27.09) 19.73 (17.27 - 22.44) 20.23 (17.97 - 22.69) Wyoming 20.02 (17.95 - 22.26) 4.72 (3.45 - 6.43) 30.07 (26.17 - 34.27) 20.28 (17.81 - 22.99) 21.58 (19.34 - 24.01)

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 19 Perceptions of Great Risk from Smoking One or More Packs of Cigarettes per Day, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 71.73 (71.35 - 72.11) 66.27 (65.58 - 66.96) 67.04 (66.32 - 67.74) 73.11 (72.64 - 73.57) 72.27 (71.86 - 72.68) Northeast 74.17 (73.34 - 74.97) 68.78 (67.48 - 70.04) 69.14 (67.88 - 70.38) 75.51 (74.54 - 76.47) 74.65 (73.78 - 75.51) Midwest 68.28 (67.55 - 69.00) 64.08 (62.93 - 65.22) 63.36 (62.21 - 64.50) 69.57 (68.69 - 70.44) 68.70 (67.92 - 69.47) South 71.32 (70.74 - 71.90) 65.87 (64.88 - 66.85) 66.46 (65.52 - 67.39) 72.73 (72.05 - 73.41) 71.87 (71.26 - 72.48) West 73.62 (72.85 - 74.38) 67.17 (65.94 - 68.38) 69.68 (68.44 - 70.89) 75.02 (74.09 - 75.92) 74.27 (73.45 - 75.08) Alabama 68.61 (66.12 - 70.99) 63.60 (59.96 - 67.09) 64.92 (61.29 - 68.38) 69.77 (66.77 - 72.61) 69.10 (66.43 - 71.66) Alaska 68.75 (66.47 - 70.95) 64.26 (60.55 - 67.81) 61.10 (57.01 - 65.05) 70.56 (67.77 - 73.20) 69.24 (66.76 - 71.62) Arizona 70.63 (67.94 - 73.18) 65.75 (61.93 - 69.38) 68.28 (64.46 - 71.86) 71.60 (68.35 - 74.64) 71.13 (68.24 - 73.86) Arkansas 67.25 (64.94 - 69.49) 61.04 (57.11 - 64.83) 63.58 (59.85 - 67.15) 68.60 (65.83 - 71.25) 67.90 (65.39 - 70.31) California 75.54 (74.37 - 76.67) 68.43 (66.44 - 70.36) 72.39 (70.39 - 74.29) 76.88 (75.48 - 78.23) 76.25 (74.99 - 77.45) Colorado 73.55 (71.30 - 75.69) 65.62 (61.75 - 69.29) 68.31 (64.73 - 71.69) 75.30 (72.64 - 77.78) 74.34 (71.94 - 76.61) Connecticut 75.13 (72.70 - 77.42) 68.78 (65.11 - 72.23) 71.55 (68.19 - 74.68) 76.42 (73.47 - 79.14) 75.75 (73.14 - 78.17) Delaware 71.54 (69.08 - 73.89) 67.52 (63.63 - 71.19) 70.30 (66.82 - 73.57) 72.14 (69.22 - 74.89) 71.91 (69.29 - 74.39) District of Columbia 75.83 (73.55 - 77.97) 65.31 (61.65 - 68.80) 71.83 (68.07 - 75.31) 77.26 (74.64 - 79.69) 76.42 (74.05 - 78.63) Florida 75.97 (74.58 - 77.32) 69.76 (67.60 - 71.84) 71.85 (69.71 - 73.90) 77.13 (75.48 - 78.70) 76.50 (75.02 - 77.92) Georgia 71.19 (69.27 - 73.04) 66.57 (63.38 - 69.62) 66.11 (62.99 - 69.09) 72.63 (70.28 - 74.87) 71.71 (69.62 - 73.70) Hawaii 71.62 (69.09 - 74.02) 64.70 (60.92 - 68.31) 67.19 (63.34 - 70.83) 72.90 (69.93 - 75.69) 72.23 (69.53 - 74.78) Idaho 70.74 (68.33 - 73.04) 67.28 (63.57 - 70.77) 61.90 (58.11 - 65.55) 72.69 (69.73 - 75.46) 71.15 (68.52 - 73.65) Illinois 72.72 (71.10 - 74.28) 65.62 (62.86 - 68.28) 67.42 (64.74 - 69.99) 74.40 (72.46 - 76.25) 73.44 (71.70 - 75.12) Indiana 67.02 (64.60 - 69.36) 63.98 (60.39 - 67.43) 63.76 (60.08 - 67.29) 67.96 (65.04 - 70.75) 67.34 (64.74 - 69.85) Iowa 64.58 (62.13 - 66.95) 62.50 (58.63 - 66.22) 59.55 (55.53 - 63.45) 65.71 (62.78 - 68.53) 64.79 (62.17 - 67.32) Kansas 67.97 (65.53 - 70.31) 65.52 (61.83 - 69.04) 63.67 (59.87 - 67.31) 69.04 (66.07 - 71.86) 68.23 (65.60 - 70.75) Kentucky 64.11 (61.63 - 66.53) 59.77 (55.69 - 63.71) 57.80 (53.95 - 61.55) 65.63 (62.62 - 68.51) 64.55 (61.89 - 67.11) Louisiana 68.01 (65.59 - 70.34) 61.70 (57.87 - 65.38) 63.56 (59.86 - 67.11) 69.49 (66.59 - 72.24) 68.67 (66.07 - 71.16) Maine 69.76 (67.21 - 72.19) 65.29 (61.64 - 68.78) 64.11 (60.49 - 67.58) 70.90 (67.92 - 73.71) 70.12 (67.41 - 72.71) Maryland 75.02 (72.64 - 77.26) 68.48 (64.78 - 71.96) 72.80 (69.37 - 75.98) 76.09 (73.29 - 78.67) 75.66 (73.12 - 78.03) Massachusetts 73.55 (71.17 - 75.81) 69.13 (65.46 - 72.58) 68.43 (64.89 - 71.76) 74.88 (72.03 - 77.53) 73.94 (71.41 - 76.32) Michigan 69.21 (67.53 - 70.83) 67.02 (64.45 - 69.49) 65.50 (62.84 - 68.06) 70.07 (68.04 - 72.02) 69.42 (67.63 - 71.15) Minnesota 67.99 (65.54 - 70.34) 61.82 (58.04 - 65.47) 62.54 (58.37 - 66.54) 69.56 (66.65 - 72.33) 68.62 (65.99 - 71.13) Mississippi 69.27 (66.80 - 71.63) 61.19 (57.49 - 64.76) 64.45 (60.56 - 68.15) 71.12 (68.12 - 73.95) 70.15 (67.47 - 72.69) Missouri 65.92 (63.49 - 68.26) 63.10 (59.55 - 66.51) 61.03 (57.33 - 64.62) 67.02 (64.09 - 69.82) 66.19 (63.59 - 68.71) Montana 69.75 (67.42 - 71.98) 62.72 (58.89 - 66.39) 62.30 (58.40 - 66.05) 71.66 (68.87 - 74.29) 70.39 (67.91 - 72.76)

See notes at end of table. (continued)

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Table 19 Perceptions of Great Risk from Smoking One or More Packs of Cigarettes per Day, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 66.30 (63.87 - 68.64) 61.04 (57.12 - 64.83) 61.82 (58.19 - 65.33) 67.76 (64.77 - 70.61) 66.87 (64.25 - 69.38) Nevada 70.44 (67.76 - 72.99) 66.55 (62.65 - 70.24) 67.10 (63.21 - 70.76) 71.35 (68.18 - 74.33) 70.83 (67.96 - 73.54) New Hampshire 72.12 (69.75 - 74.37) 67.65 (64.11 - 70.99) 66.34 (62.40 - 70.06) 73.45 (70.66 - 76.07) 72.51 (69.99 - 74.90) New Jersey 76.98 (75.03 - 78.82) 71.79 (68.61 - 74.76) 70.02 (66.76 - 73.08) 78.59 (76.27 - 80.73) 77.49 (75.39 - 79.46) New Mexico 72.68 (70.30 - 74.94) 62.23 (58.46 - 65.85) 66.46 (62.69 - 70.04) 74.97 (72.10 - 77.63) 73.78 (71.22 - 76.18) New York 76.24 (74.80 - 77.62) 70.75 (68.51 - 72.90) 71.15 (68.94 - 73.27) 77.60 (75.87 - 79.24) 76.72 (75.19 - 78.19) North Carolina 67.72 (65.61 - 69.77) 62.52 (59.32 - 65.62) 64.11 (60.92 - 67.17) 68.89 (66.34 - 71.33) 68.24 (65.97 - 70.44) North Dakota 63.66 (61.11 - 66.14) 61.44 (57.50 - 65.23) 58.38 (54.45 - 62.21) 64.96 (61.80 - 67.99) 63.86 (61.12 - 66.52) Ohio 67.19 (65.51 - 68.84) 62.26 (59.65 - 64.79) 60.88 (58.33 - 63.37) 68.76 (66.71 - 70.73) 67.68 (65.86 - 69.45) Oklahoma 68.13 (65.74 - 70.44) 60.46 (56.42 - 64.37) 61.79 (57.97 - 65.46) 70.18 (67.33 - 72.89) 68.97 (66.42 - 71.40) Oregon 72.80 (70.51 - 74.97) 65.54 (62.04 - 68.88) 68.43 (64.86 - 71.79) 74.18 (71.46 - 76.73) 73.45 (70.99 - 75.76) Pennsylvania 69.87 (68.22 - 71.47) 64.20 (61.64 - 66.68) 65.99 (63.41 - 68.49) 71.05 (69.06 - 72.96) 70.39 (68.60 - 72.11) Rhode Island 74.22 (71.86 - 76.45) 65.80 (61.80 - 69.58) 69.08 (65.43 - 72.51) 75.98 (73.13 - 78.63) 74.95 (72.44 - 77.30) South Carolina 69.32 (66.86 - 71.68) 65.16 (61.48 - 68.67) 62.97 (59.35 - 66.44) 70.74 (67.78 - 73.54) 69.72 (67.08 - 72.23) South Dakota 66.57 (64.10 - 68.95) 64.12 (60.31 - 67.76) 61.22 (57.37 - 64.93) 67.76 (64.79 - 70.60) 66.83 (64.18 - 69.37) Tennessee 68.01 (65.66 - 70.27) 62.87 (59.30 - 66.29) 62.69 (58.86 - 66.36) 69.42 (66.63 - 72.08) 68.52 (66.00 - 70.93) Texas 72.18 (70.87 - 73.46) 67.23 (64.97 - 69.42) 66.79 (64.51 - 69.00) 73.82 (72.23 - 75.35) 72.77 (71.35 - 74.14) Utah 74.10 (71.97 - 76.13) 71.25 (67.32 - 74.88) 69.03 (65.17 - 72.64) 75.72 (73.10 - 78.16) 74.50 (72.20 - 76.68) Vermont 72.00 (69.49 - 74.37) 66.03 (62.36 - 69.53) 66.63 (62.70 - 70.35) 73.50 (70.54 - 76.26) 72.49 (69.83 - 74.99) Virginia 74.12 (72.19 - 75.96) 69.50 (66.47 - 72.38) 68.60 (65.47 - 71.57) 75.50 (73.20 - 77.67) 74.56 (72.49 - 76.53) Washington 70.77 (68.41 - 73.01) 65.00 (61.12 - 68.69) 64.72 (61.07 - 68.20) 72.28 (69.56 - 74.85) 71.31 (68.82 - 73.67) West Virginia 64.82 (62.23 - 67.34) 64.35 (60.56 - 67.97) 60.26 (56.22 - 64.16) 65.52 (62.44 - 68.47) 64.86 (62.08 - 67.54) Wisconsin 66.87 (64.17 - 69.46) 64.14 (60.57 - 67.57) 62.08 (58.26 - 65.75) 67.95 (64.72 - 71.01) 67.13 (64.24 - 69.90) Wyoming 66.97 (64.38 - 69.46) 61.19 (57.32 - 64.93) 58.61 (54.67 - 62.45) 68.93 (65.84 - 71.86) 67.55 (64.78 - 70.22)

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 20 Illicit Drug Use Disorder in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 2.86 (2.75 - 2.99) 2.85 (2.65 - 3.07) 7.48 (7.11 - 7.86) 2.13 (2.00 - 2.27) 2.87 (2.74 - 3.00) Northeast 2.87 (2.64 - 3.13) 2.66 (2.32 - 3.05) 7.83 (7.13 - 8.58) 2.12 (1.88 - 2.39) 2.89 (2.64 - 3.16) Midwest 2.84 (2.64 - 3.06) 2.85 (2.54 - 3.19) 7.45 (6.86 - 8.08) 2.09 (1.88 - 2.33) 2.84 (2.63 - 3.07) South 2.70 (2.52 - 2.88) 2.72 (2.44 - 3.03) 6.98 (6.49 - 7.50) 2.01 (1.83 - 2.21) 2.69 (2.51 - 2.89) West 3.15 (2.90 - 3.41) 3.21 (2.81 - 3.67) 8.02 (7.31 - 8.81) 2.35 (2.09 - 2.64) 3.14 (2.88 - 3.43) Alabama 3.14 (2.50 - 3.94) 2.73 (1.99 - 3.73) 8.20 (6.40 - 10.45) 2.38 (1.76 - 3.22) 3.18 (2.51 - 4.03) Alaska 3.44 (2.76 - 4.29) 3.49 (2.59 - 4.69) 7.95 (6.13 - 10.27) 2.71 (2.03 - 3.61) 3.44 (2.72 - 4.34) Arizona 2.76 (2.12 - 3.58) 2.69 (1.95 - 3.72) 7.15 (5.30 - 9.58) 2.04 (1.45 - 2.87) 2.76 (2.10 - 3.63) Arkansas 3.06 (2.45 - 3.81) 3.09 (2.31 - 4.13) 7.61 (5.93 - 9.72) 2.32 (1.72 - 3.11) 3.06 (2.42 - 3.86) California 2.96 (2.61 - 3.35) 3.10 (2.53 - 3.78) 7.45 (6.39 - 8.68) 2.20 (1.84 - 2.62) 2.94 (2.57 - 3.36) Colorado 4.71 (3.81 - 5.81) 4.00 (2.93 - 5.44) 12.63 (9.99 - 15.85) 3.54 (2.63 - 4.75) 4.78 (3.83 - 5.96) Connecticut 3.21 (2.58 - 3.98) 2.83 (2.06 - 3.86) 9.66 (7.56 - 12.28) 2.21 (1.63 - 3.00) 3.25 (2.59 - 4.07) Delaware 3.38 (2.68 - 4.25) 3.32 (2.46 - 4.47) 8.42 (6.51 - 10.82) 2.65 (1.97 - 3.55) 3.38 (2.65 - 4.30) District of Columbia 4.83 (3.88 - 5.99) 4.22 (3.12 - 5.68) 9.83 (7.53 - 12.74) 3.95 (3.00 - 5.18) 4.86 (3.89 - 6.07) Florida 2.89 (2.51 - 3.33) 3.40 (2.77 - 4.18) 7.59 (6.48 - 8.88) 2.21 (1.81 - 2.70) 2.85 (2.45 - 3.31) Georgia 2.77 (2.28 - 3.35) 2.47 (1.85 - 3.30) 7.37 (5.96 - 9.08) 2.04 (1.57 - 2.66) 2.80 (2.29 - 3.42) Hawaii 2.49 (1.93 - 3.21) 2.89 (2.08 - 4.01) 6.60 (4.94 - 8.78) 1.91 (1.36 - 2.67) 2.46 (1.88 - 3.21) Idaho 2.45 (1.90 - 3.15) 2.82 (2.05 - 3.87) 5.33 (3.89 - 7.27) 1.92 (1.38 - 2.67) 2.41 (1.84 - 3.15) Illinois 2.83 (2.40 - 3.35) 2.84 (2.23 - 3.61) 8.00 (6.56 - 9.71) 2.01 (1.59 - 2.55) 2.83 (2.37 - 3.38) Indiana 2.96 (2.38 - 3.69) 2.67 (1.98 - 3.59) 7.72 (6.00 - 9.87) 2.18 (1.62 - 2.94) 3.00 (2.38 - 3.77) Iowa 2.68 (2.10 - 3.41) 2.69 (1.95 - 3.70) 6.76 (5.10 - 8.92) 1.95 (1.42 - 2.68) 2.68 (2.07 - 3.44) Kansas 2.35 (1.83 - 3.01) 2.38 (1.70 - 3.32) 5.97 (4.48 - 7.91) 1.70 (1.21 - 2.38) 2.34 (1.80 - 3.04) Kentucky 3.01 (2.39 - 3.77) 3.10 (2.30 - 4.16) 6.80 (5.19 - 8.87) 2.39 (1.78 - 3.19) 3.00 (2.36 - 3.80) Louisiana 2.85 (2.24 - 3.62) 2.45 (1.77 - 3.38) 6.80 (5.18 - 8.87) 2.27 (1.67 - 3.08) 2.89 (2.25 - 3.71) Maine 3.51 (2.82 - 4.38) 3.48 (2.60 - 4.64) 9.83 (7.76 - 12.37) 2.70 (2.00 - 3.64) 3.52 (2.79 - 4.43) Maryland 2.63 (2.07 - 3.34) 2.58 (1.87 - 3.56) 7.74 (5.97 - 9.99) 1.87 (1.34 - 2.60) 2.63 (2.05 - 3.39) Massachusetts 3.43 (2.75 - 4.27) 2.92 (2.16 - 3.93) 8.65 (6.73 - 11.06) 2.59 (1.93 - 3.47) 3.47 (2.76 - 4.37) Michigan 2.84 (2.42 - 3.34) 2.79 (2.21 - 3.52) 7.58 (6.35 - 9.02) 2.07 (1.64 - 2.60) 2.85 (2.40 - 3.37) Minnesota 2.75 (2.17 - 3.48) 3.15 (2.32 - 4.25) 6.99 (5.33 - 9.12) 2.05 (1.50 - 2.79) 2.71 (2.11 - 3.48) Mississippi 2.70 (2.11 - 3.46) 2.53 (1.82 - 3.50) 6.12 (4.56 - 8.18) 2.14 (1.56 - 2.94) 2.72 (2.10 - 3.53) Missouri 2.60 (2.05 - 3.30) 2.70 (1.98 - 3.67) 6.63 (5.02 - 8.72) 1.95 (1.43 - 2.64) 2.59 (2.02 - 3.32) Montana 3.26 (2.63 - 4.05) 3.56 (2.64 - 4.78) 8.58 (6.70 - 10.91) 2.40 (1.78 - 3.22) 3.24 (2.57 - 4.07)

See notes at end of table. (continued)

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Table 20 Illicit Drug Use Disorder in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 2.63 (2.06 - 3.34) 2.51 (1.82 - 3.44) 7.28 (5.51 - 9.56) 1.82 (1.30 - 2.53) 2.64 (2.04 - 3.40) Nevada 4.00 (3.19 - 5.01) 3.92 (2.86 - 5.35) 10.93 (8.45 - 14.02) 3.03 (2.23 - 4.10) 4.01 (3.16 - 5.07) New Hampshire 3.00 (2.37 - 3.79) 3.28 (2.44 - 4.39) 7.88 (6.05 - 10.21) 2.23 (1.63 - 3.04) 2.97 (2.32 - 3.80) New Jersey 2.53 (2.06 - 3.11) 2.53 (1.90 - 3.37) 6.89 (5.40 - 8.75) 1.89 (1.43 - 2.49) 2.53 (2.04 - 3.14) New Mexico 3.02 (2.37 - 3.84) 3.70 (2.74 - 4.99) 7.79 (5.97 - 10.12) 2.17 (1.54 - 3.04) 2.95 (2.28 - 3.82) New York 2.78 (2.38 - 3.25) 2.50 (1.96 - 3.17) 7.95 (6.74 - 9.35) 1.99 (1.59 - 2.50) 2.81 (2.38 - 3.30) North Carolina 2.88 (2.35 - 3.51) 2.86 (2.19 - 3.73) 7.54 (5.99 - 9.44) 2.15 (1.64 - 2.81) 2.88 (2.33 - 3.56) North Dakota 2.76 (2.17 - 3.52) 2.72 (1.97 - 3.74) 6.92 (5.26 - 9.05) 1.94 (1.37 - 2.73) 2.77 (2.15 - 3.56) Ohio 3.26 (2.80 - 3.79) 3.21 (2.55 - 4.02) 8.27 (6.93 - 9.83) 2.48 (2.01 - 3.04) 3.26 (2.79 - 3.82) Oklahoma 2.94 (2.31 - 3.73) 2.98 (2.17 - 4.08) 7.67 (5.83 - 10.01) 2.13 (1.53 - 2.97) 2.93 (2.27 - 3.77) Oregon 3.40 (2.75 - 4.20) 3.42 (2.57 - 4.55) 9.03 (7.16 - 11.33) 2.58 (1.95 - 3.40) 3.40 (2.72 - 4.24) Pennsylvania 2.69 (2.27 - 3.19) 2.57 (2.02 - 3.27) 6.80 (5.60 - 8.23) 2.08 (1.65 - 2.62) 2.70 (2.26 - 3.23) Rhode Island 3.10 (2.48 - 3.86) 2.99 (2.19 - 4.07) 8.56 (6.56 - 11.11) 2.14 (1.59 - 2.89) 3.11 (2.46 - 3.91) South Carolina 2.72 (2.15 - 3.43) 2.82 (2.08 - 3.82) 7.16 (5.53 - 9.23) 2.03 (1.48 - 2.77) 2.71 (2.12 - 3.45) South Dakota 3.03 (2.39 - 3.83) 3.11 (2.28 - 4.23) 7.95 (6.14 - 10.23) 2.19 (1.57 - 3.05) 3.02 (2.35 - 3.87) Tennessee 2.78 (2.20 - 3.50) 2.96 (2.22 - 3.94) 6.82 (5.23 - 8.85) 2.13 (1.56 - 2.90) 2.76 (2.16 - 3.52) Texas 2.17 (1.84 - 2.54) 2.24 (1.75 - 2.86) 5.79 (4.82 - 6.95) 1.51 (1.19 - 1.93) 2.16 (1.82 - 2.56) Utah 2.49 (1.95 - 3.19) 2.29 (1.64 - 3.20) 5.70 (4.21 - 7.66) 1.81 (1.30 - 2.52) 2.52 (1.94 - 3.26) Vermont 4.06 (3.28 - 5.02) 4.38 (3.23 - 5.91) 10.54 (8.22 - 13.40) 2.91 (2.17 - 3.88) 4.03 (3.23 - 5.03) Virginia 2.54 (2.07 - 3.13) 2.53 (1.90 - 3.37) 6.88 (5.45 - 8.65) 1.86 (1.40 - 2.46) 2.54 (2.04 - 3.16) Washington 3.46 (2.79 - 4.30) 3.83 (2.84 - 5.15) 9.14 (7.18 - 11.57) 2.58 (1.93 - 3.45) 3.43 (2.72 - 4.30) West Virginia 2.88 (2.27 - 3.65) 3.18 (2.33 - 4.33) 7.37 (5.64 - 9.58) 2.21 (1.61 - 3.01) 2.85 (2.22 - 3.66) Wisconsin 2.63 (2.05 - 3.36) 2.75 (2.01 - 3.74) 6.64 (5.05 - 8.67) 1.96 (1.41 - 2.74) 2.61 (2.01 - 3.39) Wyoming 2.42 (1.88 - 3.10) 2.97 (2.12 - 4.14) 6.35 (4.73 - 8.48) 1.75 (1.26 - 2.42) 2.36 (1.81 - 3.08)

NOTE: Illicit Drug Use Disorder is defined as meeting criteria for illicit drug dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).

NOTE: Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 21 Pain Reliever Use Disorder in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 0.62 (0.56 - 0.68) 0.41 (0.33 - 0.50) 0.86 (0.75 - 0.99) 0.60 (0.53 - 0.68) 0.64 (0.58 - 0.71) Northeast 0.59 (0.49 - 0.71) 0.38 (0.28 - 0.51) 0.81 (0.66 - 0.99) 0.58 (0.46 - 0.73) 0.61 (0.50 - 0.74) Midwest 0.65 (0.57 - 0.76) 0.42 (0.32 - 0.54) 0.91 (0.75 - 1.10) 0.64 (0.54 - 0.76) 0.68 (0.58 - 0.79) South 0.63 (0.55 - 0.72) 0.38 (0.29 - 0.49) 0.92 (0.77 - 1.09) 0.61 (0.52 - 0.72) 0.65 (0.57 - 0.75) West 0.59 (0.50 - 0.70) 0.46 (0.34 - 0.62) 0.76 (0.61 - 0.94) 0.58 (0.48 - 0.71) 0.60 (0.51 - 0.72) Alabama 0.77 (0.51 - 1.14) 0.44 (0.25 - 0.76) 1.12 (0.73 - 1.71) 0.75 (0.46 - 1.23) 0.80 (0.53 - 1.21) Alaska 0.58 (0.39 - 0.84) 0.48 (0.27 - 0.82) 0.76 (0.48 - 1.19) 0.56 (0.35 - 0.90) 0.59 (0.39 - 0.88) Arizona 0.64 (0.42 - 0.96) 0.44 (0.26 - 0.73) 0.87 (0.57 - 1.34) 0.62 (0.37 - 1.04) 0.66 (0.43 - 1.01) Arkansas 0.71 (0.48 - 1.05) 0.41 (0.26 - 0.67) 1.08 (0.72 - 1.62) 0.69 (0.42 - 1.12) 0.74 (0.49 - 1.12) California 0.52 (0.39 - 0.69) 0.47 (0.31 - 0.70) 0.61 (0.43 - 0.86) 0.51 (0.36 - 0.73) 0.53 (0.39 - 0.71) Colorado 0.68 (0.46 - 0.98) 0.38 (0.21 - 0.67) 1.14 (0.76 - 1.70) 0.64 (0.39 - 1.03) 0.71 (0.48 - 1.04) Connecticut 0.58 (0.38 - 0.88) 0.37 (0.21 - 0.65) 0.88 (0.57 - 1.35) 0.56 (0.33 - 0.94) 0.60 (0.39 - 0.92) Delaware 0.72 (0.48 - 1.10) 0.41 (0.24 - 0.68) 0.88 (0.57 - 1.35) 0.74 (0.45 - 1.21) 0.75 (0.49 - 1.16) District of Columbia 0.73 (0.45 - 1.18) 0.47 (0.24 - 0.92) 0.62 (0.37 - 1.05) 0.77 (0.44 - 1.33) 0.75 (0.46 - 1.21) Florida 0.80 (0.59 - 1.09) 0.43 (0.27 - 0.67) 0.94 (0.68 - 1.32) 0.81 (0.57 - 1.17) 0.83 (0.60 - 1.14) Georgia 0.55 (0.38 - 0.80) 0.33 (0.20 - 0.54) 0.93 (0.63 - 1.39) 0.52 (0.32 - 0.84) 0.58 (0.39 - 0.85) Hawaii 0.49 (0.30 - 0.79) 0.52 (0.28 - 0.98) 0.52 (0.31 - 0.88) 0.48 (0.27 - 0.86) 0.48 (0.29 - 0.80) Idaho 0.81 (0.54 - 1.22) 0.50 (0.29 - 0.87) 0.96 (0.62 - 1.48) 0.83 (0.51 - 1.36) 0.85 (0.56 - 1.30) Illinois 0.47 (0.33 - 0.68) 0.39 (0.24 - 0.63) 0.74 (0.50 - 1.10) 0.44 (0.27 - 0.71) 0.48 (0.33 - 0.71) Indiana 0.73 (0.50 - 1.06) 0.42 (0.26 - 0.68) 1.07 (0.72 - 1.59) 0.71 (0.44 - 1.13) 0.76 (0.51 - 1.12) Iowa 0.69 (0.47 - 1.00) 0.44 (0.27 - 0.71) 0.94 (0.62 - 1.42) 0.67 (0.42 - 1.07) 0.71 (0.48 - 1.05) Kansas 0.64 (0.43 - 0.94) 0.41 (0.25 - 0.66) 0.96 (0.64 - 1.45) 0.61 (0.37 - 1.00) 0.66 (0.44 - 0.99) Kentucky 0.87 (0.59 - 1.27) 0.49 (0.29 - 0.83) 1.12 (0.74 - 1.72) 0.87 (0.55 - 1.38) 0.90 (0.61 - 1.34) Louisiana 0.62 (0.42 - 0.91) 0.34 (0.20 - 0.57) 1.01 (0.67 - 1.52) 0.59 (0.37 - 0.96) 0.65 (0.44 - 0.96) Maine 0.82 (0.55 - 1.22) 0.43 (0.25 - 0.74) 1.31 (0.87 - 1.99) 0.79 (0.49 - 1.28) 0.85 (0.56 - 1.28) Maryland 0.54 (0.36 - 0.82) 0.38 (0.22 - 0.64) 0.71 (0.46 - 1.10) 0.53 (0.32 - 0.88) 0.56 (0.36 - 0.86) Massachusetts 0.71 (0.47 - 1.08) 0.43 (0.26 - 0.71) 0.80 (0.52 - 1.22) 0.72 (0.44 - 1.19) 0.73 (0.48 - 1.13) Michigan 0.63 (0.45 - 0.86) 0.42 (0.27 - 0.65) 0.83 (0.57 - 1.20) 0.62 (0.41 - 0.92) 0.65 (0.46 - 0.90) Minnesota 0.52 (0.34 - 0.80) 0.39 (0.23 - 0.66) 0.77 (0.50 - 1.19) 0.50 (0.29 - 0.86) 0.54 (0.34 - 0.84) Mississippi 0.66 (0.45 - 0.98) 0.34 (0.20 - 0.57) 1.08 (0.71 - 1.64) 0.63 (0.38 - 1.04) 0.70 (0.46 - 1.05) Missouri 0.70 (0.47 - 1.04) 0.39 (0.23 - 0.66) 0.96 (0.63 - 1.46) 0.70 (0.44 - 1.13) 0.74 (0.49 - 1.10) Montana 0.73 (0.49 - 1.07) 0.42 (0.25 - 0.69) 1.14 (0.76 - 1.70) 0.69 (0.43 - 1.12) 0.75 (0.51 - 1.12)

See notes at end of table. (continued)

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Table 21 Pain Reliever Use Disorder in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 0.61 (0.42 - 0.89) 0.38 (0.23 - 0.63) 1.00 (0.67 - 1.49) 0.58 (0.36 - 0.93) 0.64 (0.44 - 0.94) Nevada 0.73 (0.48 - 1.11) 0.50 (0.29 - 0.85) 0.91 (0.58 - 1.43) 0.73 (0.44 - 1.21) 0.75 (0.48 - 1.16) New Hampshire 0.68 (0.45 - 1.03) 0.42 (0.26 - 0.69) 1.04 (0.68 - 1.60) 0.66 (0.39 - 1.09) 0.71 (0.46 - 1.08) New Jersey 0.56 (0.37 - 0.82) 0.40 (0.24 - 0.65) 0.68 (0.45 - 1.03) 0.56 (0.35 - 0.89) 0.57 (0.38 - 0.86) New Mexico 0.54 (0.36 - 0.81) 0.44 (0.25 - 0.77) 0.85 (0.55 - 1.32) 0.50 (0.29 - 0.84) 0.55 (0.36 - 0.84) New York 0.52 (0.37 - 0.72) 0.37 (0.23 - 0.59) 0.70 (0.49 - 1.00) 0.51 (0.34 - 0.76) 0.53 (0.38 - 0.75) North Carolina 0.59 (0.41 - 0.83) 0.39 (0.24 - 0.62) 0.88 (0.60 - 1.28) 0.56 (0.36 - 0.87) 0.61 (0.42 - 0.87) North Dakota 0.61 (0.42 - 0.89) 0.38 (0.22 - 0.65) 1.00 (0.66 - 1.52) 0.56 (0.34 - 0.92) 0.64 (0.43 - 0.93) Ohio 0.90 (0.65 - 1.23) 0.46 (0.29 - 0.74) 1.07 (0.75 - 1.55) 0.92 (0.63 - 1.33) 0.94 (0.68 - 1.30) Oklahoma 0.70 (0.47 - 1.03) 0.43 (0.25 - 0.72) 0.93 (0.60 - 1.46) 0.69 (0.43 - 1.12) 0.73 (0.48 - 1.09) Oregon 0.75 (0.50 - 1.11) 0.50 (0.30 - 0.83) 0.90 (0.59 - 1.36) 0.75 (0.46 - 1.21) 0.77 (0.51 - 1.16) Pennsylvania 0.61 (0.44 - 0.86) 0.35 (0.22 - 0.56) 0.97 (0.69 - 1.37) 0.59 (0.38 - 0.89) 0.64 (0.45 - 0.90) Rhode Island 0.60 (0.40 - 0.89) 0.40 (0.23 - 0.67) 0.85 (0.56 - 1.28) 0.57 (0.34 - 0.95) 0.61 (0.41 - 0.93) South Carolina 0.65 (0.43 - 0.96) 0.35 (0.20 - 0.59) 1.11 (0.74 - 1.68) 0.61 (0.37 - 1.01) 0.67 (0.45 - 1.02) South Dakota 0.73 (0.49 - 1.10) 0.51 (0.30 - 0.85) 0.96 (0.63 - 1.47) 0.72 (0.44 - 1.18) 0.75 (0.49 - 1.15) Tennessee 0.74 (0.51 - 1.09) 0.40 (0.24 - 0.66) 1.15 (0.77 - 1.72) 0.72 (0.45 - 1.15) 0.78 (0.52 - 1.15) Texas 0.43 (0.30 - 0.61) 0.34 (0.20 - 0.58) 0.76 (0.52 - 1.11) 0.38 (0.24 - 0.62) 0.44 (0.30 - 0.64) Utah 0.64 (0.44 - 0.94) 0.39 (0.23 - 0.67) 1.00 (0.67 - 1.49) 0.61 (0.37 - 1.00) 0.68 (0.46 - 1.00) Vermont 0.85 (0.56 - 1.30) 0.48 (0.29 - 0.82) 1.02 (0.66 - 1.59) 0.86 (0.52 - 1.43) 0.88 (0.57 - 1.36) Virginia 0.61 (0.42 - 0.87) 0.37 (0.22 - 0.60) 0.84 (0.57 - 1.23) 0.60 (0.38 - 0.93) 0.63 (0.43 - 0.92) Washington 0.66 (0.45 - 0.96) 0.47 (0.28 - 0.79) 0.82 (0.54 - 1.24) 0.66 (0.42 - 1.03) 0.68 (0.46 - 1.00) West Virginia 0.75 (0.51 - 1.11) 0.45 (0.27 - 0.75) 1.11 (0.73 - 1.69) 0.73 (0.46 - 1.17) 0.78 (0.53 - 1.16) Wisconsin 0.61 (0.40 - 0.93) 0.42 (0.25 - 0.69) 0.90 (0.58 - 1.39) 0.58 (0.34 - 1.00) 0.63 (0.40 - 0.98) Wyoming 0.65 (0.45 - 0.94) 0.39 (0.23 - 0.64) 1.08 (0.73 - 1.60) 0.61 (0.38 - 0.99) 0.68 (0.46 - 0.99)

NOTE: Pain Reliever Use Disorder is defined as meeting criteria for pain reliever dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).

NOTE: Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 22 Alcohol Use Disorder in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 5.37 (5.20 - 5.55) 1.69 (1.52 - 1.88) 10.05 (9.63 - 10.49) 5.05 (4.85 - 5.26) 5.74 (5.55 - 5.94) Northeast 5.50 (5.12 - 5.90) 1.66 (1.39 - 1.97) 10.76 (9.94 - 11.63) 5.08 (4.66 - 5.55) 5.85 (5.45 - 6.28) Midwest 5.56 (5.26 - 5.88) 1.76 (1.53 - 2.03) 10.99 (10.26 - 11.77) 5.13 (4.79 - 5.49) 5.95 (5.63 - 6.29) South 4.81 (4.55 - 5.07) 1.50 (1.29 - 1.73) 8.73 (8.19 - 9.30) 4.58 (4.29 - 4.89) 5.15 (4.87 - 5.44) West 6.01 (5.65 - 6.40) 1.97 (1.66 - 2.34) 10.76 (9.97 - 11.61) 5.72 (5.30 - 6.18) 6.42 (6.03 - 6.85) Alabama 4.69 (3.78 - 5.79) 1.58 (1.06 - 2.36) 7.91 (6.20 - 10.05) 4.53 (3.53 - 5.80) 5.00 (4.02 - 6.19) Alaska 6.88 (5.72 - 8.26) 2.07 (1.43 - 3.00) 12.73 (10.30 - 15.63) 6.56 (5.27 - 8.14) 7.41 (6.15 - 8.92) Arizona 5.34 (4.33 - 6.57) 1.83 (1.23 - 2.72) 9.87 (7.77 - 12.46) 5.02 (3.93 - 6.39) 5.70 (4.62 - 7.03) Arkansas 5.31 (4.35 - 6.46) 2.04 (1.40 - 2.98) 9.27 (7.36 - 11.62) 5.06 (4.01 - 6.37) 5.65 (4.62 - 6.90) California 5.89 (5.33 - 6.51) 1.85 (1.41 - 2.41) 10.28 (9.06 - 11.65) 5.65 (5.00 - 6.37) 6.30 (5.69 - 6.98) Colorado 8.34 (7.01 - 9.88) 2.27 (1.50 - 3.41) 15.10 (12.34 - 18.35) 7.97 (6.49 - 9.75) 8.94 (7.51 - 10.63) Connecticut 5.99 (4.95 - 7.24) 1.93 (1.33 - 2.78) 12.13 (9.86 - 14.83) 5.46 (4.32 - 6.89) 6.39 (5.26 - 7.74) Delaware 6.19 (5.05 - 7.56) 1.56 (1.03 - 2.36) 10.38 (8.28 - 12.93) 6.07 (4.81 - 7.64) 6.62 (5.39 - 8.10) District of Columbia 10.10 (8.51 - 11.96) 1.89 (1.21 - 2.94) 13.67 (10.99 - 16.88) 9.99 (8.21 - 12.12) 10.57 (8.90 - 12.51) Florida 4.52 (3.94 - 5.19) 1.55 (1.15 - 2.08) 8.28 (7.08 - 9.67) 4.31 (3.66 - 5.07) 4.78 (4.15 - 5.50) Georgia 4.50 (3.80 - 5.33) 1.33 (0.93 - 1.91) 8.03 (6.52 - 9.84) 4.33 (3.54 - 5.28) 4.86 (4.09 - 5.76) Hawaii 5.27 (4.33 - 6.40) 2.19 (1.44 - 3.31) 11.60 (9.33 - 14.34) 4.74 (3.75 - 5.98) 5.55 (4.55 - 6.75) Idaho 5.46 (4.50 - 6.62) 1.75 (1.15 - 2.65) 9.92 (7.87 - 12.43) 5.24 (4.18 - 6.56) 5.91 (4.85 - 7.18) Illinois 6.01 (5.28 - 6.84) 1.95 (1.43 - 2.64) 11.40 (9.71 - 13.35) 5.64 (4.82 - 6.59) 6.43 (5.64 - 7.32) Indiana 4.79 (3.92 - 5.85) 1.43 (0.94 - 2.17) 10.11 (8.04 - 12.63) 4.30 (3.37 - 5.46) 5.15 (4.20 - 6.30) Iowa 6.71 (5.66 - 7.94) 2.15 (1.46 - 3.15) 14.25 (11.63 - 17.35) 5.93 (4.81 - 7.29) 7.18 (6.04 - 8.51) Kansas 5.14 (4.21 - 6.26) 1.91 (1.31 - 2.77) 10.23 (8.24 - 12.63) 4.66 (3.66 - 5.91) 5.50 (4.49 - 6.71) Kentucky 4.65 (3.76 - 5.74) 1.61 (1.06 - 2.44) 8.10 (6.32 - 10.31) 4.46 (3.49 - 5.68) 4.96 (4.00 - 6.14) Louisiana 6.42 (5.34 - 7.70) 1.86 (1.27 - 2.72) 10.60 (8.52 - 13.11) 6.30 (5.10 - 7.77) 6.90 (5.72 - 8.29) Maine 6.14 (5.06 - 7.42) 2.37 (1.64 - 3.41) 11.64 (9.47 - 14.25) 5.78 (4.61 - 7.22) 6.45 (5.31 - 7.82) Maryland 4.76 (3.85 - 5.88) 1.29 (0.85 - 1.97) 8.53 (6.73 - 10.76) 4.59 (3.60 - 5.84) 5.10 (4.12 - 6.31) Massachusetts 6.69 (5.58 - 7.99) 1.99 (1.33 - 2.96) 13.83 (11.33 - 16.77) 5.96 (4.76 - 7.42) 7.10 (5.92 - 8.50) Michigan 5.31 (4.64 - 6.06) 1.57 (1.14 - 2.17) 9.60 (8.17 - 11.25) 5.03 (4.29 - 5.89) 5.68 (4.96 - 6.49) Minnesota 5.20 (4.29 - 6.29) 1.55 (1.03 - 2.32) 10.80 (8.66 - 13.39) 4.76 (3.78 - 5.97) 5.57 (4.59 - 6.75) Mississippi 4.37 (3.48 - 5.47) 1.21 (0.78 - 1.89) 7.36 (5.65 - 9.52) 4.26 (3.28 - 5.52) 4.71 (3.74 - 5.92) Missouri 5.02 (4.06 - 6.18) 1.65 (1.10 - 2.45) 8.59 (6.75 - 10.87) 4.84 (3.79 - 6.16) 5.36 (4.33 - 6.61) Montana 7.47 (6.32 - 8.81) 3.14 (2.14 - 4.58) 14.06 (11.40 - 17.22) 6.91 (5.64 - 8.42) 7.87 (6.65 - 9.31)

See notes at end of table. (continued)

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Table 22 Alcohol Use Disorder in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 5.82 (4.84 - 6.99) 1.86 (1.27 - 2.72) 12.35 (10.02 - 15.15) 5.18 (4.12 - 6.48) 6.25 (5.19 - 7.52) Nevada 5.50 (4.49 - 6.73) 1.80 (1.21 - 2.67) 10.28 (8.13 - 12.93) 5.25 (4.16 - 6.62) 5.88 (4.78 - 7.20) New Hampshire 6.67 (5.56 - 7.98) 2.00 (1.36 - 2.95) 14.62 (11.82 - 17.94) 5.94 (4.75 - 7.40) 7.08 (5.89 - 8.50) New Jersey 4.75 (3.94 - 5.71) 1.50 (1.02 - 2.20) 9.86 (8.02 - 12.06) 4.37 (3.50 - 5.43) 5.07 (4.20 - 6.11) New Mexico 5.21 (4.20 - 6.44) 1.83 (1.21 - 2.76) 9.68 (7.57 - 12.30) 4.90 (3.80 - 6.29) 5.56 (4.47 - 6.90) New York 5.31 (4.65 - 6.05) 1.46 (1.07 - 1.99) 8.97 (7.67 - 10.46) 5.13 (4.39 - 5.98) 5.65 (4.95 - 6.45) North Carolina 4.78 (3.99 - 5.71) 1.53 (1.07 - 2.18) 8.28 (6.66 - 10.25) 4.61 (3.74 - 5.66) 5.10 (4.25 - 6.12) North Dakota 6.54 (5.50 - 7.76) 2.30 (1.58 - 3.32) 13.07 (10.64 - 15.94) 5.71 (4.62 - 7.05) 6.94 (5.82 - 8.25) Ohio 5.15 (4.49 - 5.91) 1.66 (1.22 - 2.26) 10.44 (8.93 - 12.16) 4.73 (3.99 - 5.59) 5.50 (4.78 - 6.32) Oklahoma 5.94 (4.89 - 7.19) 1.71 (1.16 - 2.52) 10.83 (8.59 - 13.56) 5.65 (4.51 - 7.07) 6.40 (5.26 - 7.76) Oregon 7.29 (6.10 - 8.69) 2.42 (1.67 - 3.48) 12.75 (10.47 - 15.44) 6.99 (5.68 - 8.58) 7.73 (6.46 - 9.22) Pennsylvania 5.14 (4.47 - 5.90) 1.63 (1.18 - 2.25) 11.13 (9.58 - 12.91) 4.60 (3.87 - 5.45) 5.46 (4.75 - 6.28) Rhode Island 6.63 (5.50 - 7.98) 1.92 (1.30 - 2.81) 12.01 (9.63 - 14.88) 6.17 (4.95 - 7.68) 7.05 (5.83 - 8.49) South Carolina 5.57 (4.57 - 6.78) 1.58 (1.05 - 2.37) 11.49 (9.34 - 14.06) 5.12 (4.02 - 6.50) 5.96 (4.88 - 7.26) South Dakota 6.79 (5.67 - 8.11) 2.60 (1.77 - 3.81) 13.87 (11.39 - 16.77) 6.13 (4.90 - 7.64) 7.24 (6.03 - 8.67) Tennessee 4.57 (3.68 - 5.67) 1.74 (1.16 - 2.58) 8.16 (6.38 - 10.39) 4.34 (3.38 - 5.57) 4.86 (3.90 - 6.04) Texas 4.43 (3.90 - 5.02) 1.31 (0.93 - 1.83) 8.30 (7.13 - 9.65) 4.18 (3.59 - 4.87) 4.80 (4.22 - 5.45) Utah 4.38 (3.55 - 5.40) 1.51 (0.97 - 2.36) 8.09 (6.25 - 10.42) 4.05 (3.16 - 5.18) 4.79 (3.87 - 5.91) Vermont 7.42 (6.22 - 8.84) 2.91 (1.97 - 4.26) 14.34 (11.70 - 17.47) 6.67 (5.36 - 8.26) 7.80 (6.52 - 9.30) Virginia 5.17 (4.37 - 6.11) 1.63 (1.14 - 2.31) 10.15 (8.42 - 12.20) 4.78 (3.90 - 5.85) 5.52 (4.65 - 6.53) Washington 5.89 (4.85 - 7.12) 2.49 (1.68 - 3.66) 11.13 (8.94 - 13.78) 5.48 (4.36 - 6.86) 6.21 (5.09 - 7.54) West Virginia 4.29 (3.42 - 5.38) 1.57 (1.02 - 2.43) 8.41 (6.57 - 10.71) 3.98 (3.04 - 5.19) 4.53 (3.60 - 5.70) Wisconsin 6.84 (5.71 - 8.17) 2.11 (1.44 - 3.08) 14.58 (11.95 - 17.68) 6.13 (4.92 - 7.63) 7.31 (6.09 - 8.75) Wyoming 5.61 (4.60 - 6.82) 2.67 (1.81 - 3.94) 11.14 (8.88 - 13.87) 5.10 (4.01 - 6.47) 5.91 (4.82 - 7.22)

NOTE: Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 23 Substance Use Disorder in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 7.32 (7.13 - 7.52) 3.83 (3.58 - 4.09) 14.92 (14.41 - 15.44) 6.51 (6.29 - 6.75) 7.67 (7.46 - 7.89) Northeast 7.50 (7.07 - 7.95) 3.59 (3.19 - 4.04) 16.09 (15.12 - 17.12) 6.57 (6.08 - 7.09) 7.86 (7.39 - 8.34) Midwest 7.47 (7.11 - 7.84) 3.85 (3.48 - 4.27) 15.34 (14.50 - 16.23) 6.61 (6.20 - 7.04) 7.83 (7.45 - 8.24) South 6.71 (6.41 - 7.02) 3.64 (3.30 - 4.00) 13.55 (12.87 - 14.27) 5.99 (5.64 - 6.36) 7.02 (6.70 - 7.36) West 8.04 (7.61 - 8.48) 4.27 (3.77 - 4.84) 15.81 (14.83 - 16.85) 7.22 (6.73 - 7.76) 8.42 (7.96 - 8.91) Alabama 7.11 (6.00 - 8.42) 3.63 (2.74 - 4.80) 12.97 (10.67 - 15.67) 6.58 (5.35 - 8.08) 7.46 (6.26 - 8.88) Alaska 9.22 (7.89 - 10.75) 4.37 (3.27 - 5.83) 17.91 (15.06 - 21.17) 8.44 (6.96 - 10.20) 9.76 (8.32 - 11.42) Arizona 7.05 (5.88 - 8.43) 4.08 (3.08 - 5.38) 14.33 (11.72 - 17.42) 6.22 (4.97 - 7.75) 7.36 (6.10 - 8.85) Arkansas 7.65 (6.51 - 8.96) 4.11 (3.17 - 5.32) 14.33 (11.93 - 17.12) 6.99 (5.74 - 8.50) 8.02 (6.79 - 9.44) California 7.74 (7.11 - 8.43) 4.04 (3.35 - 4.85) 14.99 (13.52 - 16.59) 6.98 (6.25 - 7.80) 8.12 (7.43 - 8.86) Colorado 11.28 (9.75 - 13.02) 5.12 (3.79 - 6.88) 23.18 (19.85 - 26.88) 10.11 (8.40 - 12.13) 11.90 (10.25 - 13.78) Connecticut 8.38 (7.11 - 9.86) 3.86 (2.93 - 5.08) 19.82 (16.74 - 23.31) 7.05 (5.69 - 8.71) 8.82 (7.45 - 10.41) Delaware 8.37 (7.07 - 9.88) 4.15 (3.17 - 5.43) 16.02 (13.25 - 19.24) 7.71 (6.28 - 9.42) 8.76 (7.37 - 10.39) District of Columbia 12.60 (10.86 - 14.58) 5.42 (4.10 - 7.15) 18.80 (15.67 - 22.37) 11.94 (10.02 - 14.18) 13.01 (11.18 - 15.08) Florida 6.49 (5.83 - 7.22) 4.34 (3.60 - 5.22) 13.66 (12.11 - 15.38) 5.74 (5.01 - 6.57) 6.68 (5.97 - 7.46) Georgia 6.41 (5.52 - 7.43) 3.20 (2.47 - 4.12) 12.84 (10.80 - 15.20) 5.77 (4.78 - 6.94) 6.77 (5.81 - 7.88) Hawaii 6.88 (5.74 - 8.22) 4.04 (3.02 - 5.37) 15.46 (12.70 - 18.69) 6.02 (4.81 - 7.51) 7.13 (5.92 - 8.58) Idaho 7.35 (6.19 - 8.71) 3.97 (2.98 - 5.27) 12.86 (10.45 - 15.72) 6.91 (5.61 - 8.49) 7.76 (6.49 - 9.25) Illinois 7.78 (6.93 - 8.72) 4.04 (3.16 - 5.17) 16.08 (14.06 - 18.32) 6.90 (5.96 - 7.98) 8.16 (7.25 - 9.18) Indiana 7.00 (5.95 - 8.21) 3.37 (2.57 - 4.41) 14.96 (12.38 - 17.96) 6.08 (4.97 - 7.43) 7.39 (6.26 - 8.70) Iowa 8.67 (7.49 - 10.02) 4.21 (3.25 - 5.43) 17.76 (14.97 - 20.93) 7.61 (6.34 - 9.11) 9.13 (7.86 - 10.59) Kansas 6.91 (5.77 - 8.26) 3.63 (2.76 - 4.76) 13.75 (11.29 - 16.64) 6.13 (4.90 - 7.63) 7.27 (6.04 - 8.73) Kentucky 7.12 (6.00 - 8.42) 3.77 (2.87 - 4.94) 12.56 (10.26 - 15.28) 6.64 (5.40 - 8.14) 7.46 (6.26 - 8.86) Louisiana 8.21 (6.96 - 9.66) 3.58 (2.73 - 4.68) 14.81 (12.35 - 17.66) 7.71 (6.32 - 9.38) 8.69 (7.34 - 10.27) Maine 8.91 (7.58 - 10.45) 4.59 (3.51 - 5.98) 18.79 (15.96 - 21.98) 8.04 (6.59 - 9.78) 9.27 (7.85 - 10.92) Maryland 6.57 (5.49 - 7.84) 3.26 (2.49 - 4.25) 14.37 (11.90 - 17.25) 5.77 (4.60 - 7.21) 6.89 (5.73 - 8.26) Massachusetts 8.90 (7.65 - 10.33) 3.92 (3.00 - 5.10) 18.81 (15.99 - 21.99) 7.73 (6.38 - 9.34) 9.34 (8.00 - 10.88) Michigan 7.13 (6.34 - 8.01) 3.64 (2.95 - 4.48) 14.53 (12.78 - 16.47) 6.31 (5.43 - 7.32) 7.47 (6.63 - 8.42) Minnesota 6.93 (5.86 - 8.17) 3.86 (2.95 - 5.03) 14.30 (11.81 - 17.20) 6.14 (4.98 - 7.54) 7.24 (6.10 - 8.58) Mississippi 6.43 (5.31 - 7.78) 3.30 (2.49 - 4.36) 11.69 (9.34 - 14.53) 5.94 (4.71 - 7.45) 6.77 (5.55 - 8.24) Missouri 7.21 (6.05 - 8.57) 3.69 (2.86 - 4.74) 12.95 (10.55 - 15.80) 6.71 (5.44 - 8.25) 7.57 (6.32 - 9.04) Montana 9.05 (7.80 - 10.47) 5.18 (4.01 - 6.67) 17.83 (15.09 - 20.96) 8.09 (6.72 - 9.69) 9.41 (8.07 - 10.93)

See notes at end of table. (continued)

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Table 23 Substance Use Disorder in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 7.58 (6.48 - 8.86) 3.69 (2.84 - 4.79) 16.43 (13.75 - 19.53) 6.53 (5.32 - 7.98) 8.01 (6.82 - 9.39) Nevada 8.64 (7.31 - 10.20) 5.09 (3.86 - 6.67) 18.39 (15.39 - 21.83) 7.67 (6.23 - 9.42) 9.00 (7.57 - 10.68) New Hampshire 8.71 (7.40 - 10.23) 4.41 (3.40 - 5.71) 19.30 (16.21 - 22.83) 7.54 (6.15 - 9.22) 9.09 (7.69 - 10.72) New Jersey 6.69 (5.76 - 7.74) 3.42 (2.67 - 4.37) 15.01 (12.68 - 17.67) 5.84 (4.85 - 7.02) 7.01 (6.02 - 8.15) New Mexico 7.27 (6.19 - 8.53) 4.80 (3.62 - 6.35) 15.49 (12.86 - 18.55) 6.24 (5.07 - 7.66) 7.53 (6.37 - 8.89) New York 7.23 (6.48 - 8.05) 3.41 (2.79 - 4.16) 14.50 (12.90 - 16.26) 6.47 (5.63 - 7.43) 7.57 (6.77 - 8.45) North Carolina 6.64 (5.74 - 7.67) 3.57 (2.81 - 4.52) 13.21 (11.15 - 15.58) 5.97 (4.99 - 7.13) 6.95 (5.99 - 8.06) North Dakota 8.41 (7.26 - 9.73) 4.38 (3.34 - 5.74) 16.80 (14.09 - 19.92) 7.20 (5.97 - 8.65) 8.79 (7.56 - 10.21) Ohio 7.30 (6.54 - 8.15) 3.97 (3.25 - 4.85) 15.33 (13.55 - 17.30) 6.43 (5.57 - 7.42) 7.64 (6.82 - 8.55) Oklahoma 8.11 (6.90 - 9.53) 4.19 (3.21 - 5.46) 15.43 (12.81 - 18.48) 7.38 (6.05 - 8.98) 8.54 (7.23 - 10.07) Oregon 9.50 (8.17 - 11.02) 4.65 (3.56 - 6.06) 18.38 (15.49 - 21.67) 8.70 (7.24 - 10.41) 9.94 (8.51 - 11.57) Pennsylvania 6.97 (6.19 - 7.85) 3.42 (2.73 - 4.27) 15.63 (13.86 - 17.59) 6.03 (5.16 - 7.05) 7.30 (6.46 - 8.25) Rhode Island 8.42 (7.19 - 9.83) 4.05 (3.05 - 5.35) 17.27 (14.42 - 20.55) 7.31 (6.01 - 8.87) 8.80 (7.49 - 10.30) South Carolina 7.28 (6.19 - 8.55) 3.95 (3.04 - 5.10) 16.10 (13.52 - 19.05) 6.31 (5.13 - 7.75) 7.60 (6.43 - 8.97) South Dakota 8.75 (7.46 - 10.24) 4.78 (3.65 - 6.24) 18.26 (15.33 - 21.61) 7.65 (6.25 - 9.35) 9.17 (7.78 - 10.78) Tennessee 6.68 (5.59 - 7.96) 3.91 (3.01 - 5.06) 13.08 (10.64 - 15.98) 6.00 (4.83 - 7.43) 6.95 (5.79 - 8.33) Texas 6.01 (5.41 - 6.67) 3.24 (2.62 - 4.00) 12.66 (11.19 - 14.28) 5.22 (4.53 - 6.01) 6.34 (5.68 - 7.06) Utah 6.02 (5.02 - 7.20) 3.16 (2.31 - 4.31) 11.16 (8.93 - 13.86) 5.37 (4.29 - 6.70) 6.42 (5.32 - 7.73) Vermont 10.14 (8.74 - 11.73) 5.61 (4.27 - 7.34) 20.98 (17.78 - 24.60) 8.70 (7.21 - 10.48) 10.51 (9.03 - 12.21) Virginia 6.99 (6.09 - 8.00) 3.56 (2.80 - 4.52) 15.01 (12.89 - 17.42) 6.11 (5.12 - 7.28) 7.32 (6.36 - 8.42) Washington 8.22 (7.03 - 9.59) 5.01 (3.84 - 6.51) 16.78 (14.16 - 19.78) 7.30 (6.00 - 8.86) 8.53 (7.26 - 10.00) West Virginia 6.54 (5.48 - 7.78) 4.08 (3.08 - 5.39) 13.75 (11.25 - 16.69) 5.75 (4.62 - 7.14) 6.76 (5.63 - 8.09) Wisconsin 8.26 (7.08 - 9.62) 4.07 (3.12 - 5.31) 17.49 (14.72 - 20.64) 7.26 (5.98 - 8.78) 8.68 (7.41 - 10.14) Wyoming 7.00 (5.86 - 8.35) 4.63 (3.53 - 6.06) 14.11 (11.60 - 17.06) 6.19 (4.95 - 7.73) 7.25 (6.02 - 8.70)

NOTE: Substance Use Disorder is defined as meeting criteria for illicit drug or alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).

NOTE: Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 24 Needing But Not Receiving Treatment at a Specialty Facility for Illicit Drug Use in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 2.55 (2.44 - 2.67) 2.69 (2.49 - 2.91) 6.92 (6.56 - 7.30) 1.83 (1.71 - 1.97) 2.54 (2.42 - 2.66) Northeast 2.59 (2.38 - 2.82) 2.46 (2.15 - 2.81) 6.96 (6.31 - 7.67) 1.92 (1.70 - 2.18) 2.60 (2.38 - 2.85) Midwest 2.54 (2.36 - 2.73) 2.62 (2.33 - 2.94) 6.85 (6.28 - 7.46) 1.83 (1.64 - 2.03) 2.53 (2.34 - 2.74) South 2.35 (2.20 - 2.51) 2.56 (2.30 - 2.85) 6.55 (6.07 - 7.06) 1.66 (1.51 - 1.83) 2.33 (2.17 - 2.49) West 2.84 (2.62 - 3.09) 3.12 (2.71 - 3.58) 7.54 (6.84 - 8.32) 2.05 (1.82 - 2.32) 2.82 (2.58 - 3.08) Alabama 2.62 (2.12 - 3.24) 2.46 (1.82 - 3.31) 7.73 (5.95 - 9.98) 1.83 (1.38 - 2.42) 2.64 (2.11 - 3.30) Alaska 3.01 (2.41 - 3.75) 3.22 (2.32 - 4.44) 7.68 (5.77 - 10.16) 2.23 (1.67 - 2.97) 2.99 (2.35 - 3.78) Arizona 2.37 (1.86 - 3.01) 2.69 (1.94 - 3.70) 6.63 (4.86 - 8.97) 1.63 (1.19 - 2.23) 2.34 (1.81 - 3.01) Arkansas 2.57 (2.05 - 3.22) 2.68 (1.98 - 3.64) 6.99 (5.27 - 9.23) 1.84 (1.35 - 2.48) 2.56 (2.01 - 3.25) California 2.74 (2.42 - 3.11) 3.10 (2.52 - 3.79) 7.00 (5.97 - 8.18) 2.00 (1.67 - 2.40) 2.71 (2.37 - 3.10) Colorado 4.23 (3.45 - 5.17) 3.71 (2.64 - 5.17) 12.28 (9.76 - 15.33) 3.01 (2.26 - 4.01) 4.28 (3.46 - 5.29) Connecticut 2.95 (2.36 - 3.67) 2.58 (1.87 - 3.55) 8.72 (6.68 - 11.32) 2.06 (1.52 - 2.77) 2.98 (2.36 - 3.76) Delaware 2.85 (2.28 - 3.55) 3.06 (2.28 - 4.10) 7.56 (5.79 - 9.82) 2.15 (1.60 - 2.87) 2.83 (2.24 - 3.57) District of Columbia 4.17 (3.31 - 5.25) 3.71 (2.73 - 5.04) 8.71 (6.57 - 11.48) 3.36 (2.50 - 4.51) 4.20 (3.30 - 5.32) Florida 2.51 (2.17 - 2.90) 3.21 (2.63 - 3.92) 7.04 (5.94 - 8.32) 1.83 (1.49 - 2.25) 2.45 (2.10 - 2.86) Georgia 2.49 (2.06 - 3.00) 2.39 (1.78 - 3.19) 7.16 (5.70 - 8.96) 1.73 (1.34 - 2.22) 2.50 (2.05 - 3.04) Hawaii 2.19 (1.70 - 2.83) 2.80 (2.00 - 3.89) 5.81 (4.23 - 7.94) 1.65 (1.18 - 2.30) 2.14 (1.63 - 2.81) Idaho 1.99 (1.55 - 2.54) 2.58 (1.86 - 3.58) 4.89 (3.43 - 6.91) 1.42 (1.02 - 1.97) 1.91 (1.46 - 2.51) Illinois 2.55 (2.15 - 3.03) 2.65 (2.06 - 3.41) 7.10 (5.76 - 8.71) 1.82 (1.44 - 2.30) 2.54 (2.12 - 3.05) Indiana 2.65 (2.13 - 3.30) 2.47 (1.83 - 3.32) 7.27 (5.51 - 9.52) 1.88 (1.42 - 2.49) 2.67 (2.12 - 3.36) Iowa 2.48 (1.97 - 3.11) 2.43 (1.76 - 3.36) 6.35 (4.73 - 8.47) 1.79 (1.34 - 2.40) 2.48 (1.95 - 3.15) Kansas 2.11 (1.65 - 2.70) 2.25 (1.62 - 3.12) 5.44 (4.00 - 7.37) 1.50 (1.09 - 2.07) 2.10 (1.62 - 2.71) Kentucky 2.38 (1.89 - 3.00) 2.66 (1.97 - 3.57) 5.96 (4.41 - 8.00) 1.77 (1.32 - 2.37) 2.35 (1.84 - 3.00) Louisiana 2.48 (1.96 - 3.13) 2.13 (1.54 - 2.94) 6.42 (4.81 - 8.52) 1.88 (1.40 - 2.53) 2.51 (1.96 - 3.21) Maine 3.00 (2.42 - 3.72) 2.98 (2.18 - 4.05) 9.43 (7.38 - 11.97) 2.17 (1.62 - 2.91) 3.00 (2.39 - 3.76) Maryland 2.42 (1.93 - 3.04) 2.54 (1.87 - 3.44) 7.24 (5.46 - 9.53) 1.69 (1.25 - 2.28) 2.41 (1.90 - 3.07) Massachusetts 3.05 (2.46 - 3.78) 2.63 (1.94 - 3.55) 7.31 (5.58 - 9.53) 2.37 (1.79 - 3.13) 3.09 (2.46 - 3.87) Michigan 2.46 (2.10 - 2.87) 2.52 (1.98 - 3.20) 6.93 (5.74 - 8.33) 1.71 (1.36 - 2.15) 2.45 (2.08 - 2.90) Minnesota 2.61 (2.08 - 3.26) 2.92 (2.17 - 3.91) 6.57 (4.91 - 8.75) 1.95 (1.46 - 2.61) 2.58 (2.03 - 3.27) Mississippi 2.27 (1.80 - 2.87) 2.28 (1.66 - 3.12) 5.79 (4.25 - 7.84) 1.67 (1.23 - 2.26) 2.27 (1.77 - 2.91) Missouri 2.39 (1.90 - 2.99) 2.48 (1.83 - 3.34) 6.27 (4.67 - 8.38) 1.76 (1.32 - 2.35) 2.38 (1.87 - 3.02) Montana 2.89 (2.34 - 3.56) 3.27 (2.42 - 4.40) 8.34 (6.40 - 10.81) 2.00 (1.51 - 2.64) 2.86 (2.29 - 3.57)

See notes at end of table. (continued)

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Table 24 Needing But Not Receiving Treatment at a Specialty Facility for Illicit Drug Use in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 2.50 (1.99 - 3.14) 2.42 (1.76 - 3.32) 7.01 (5.25 - 9.29) 1.72 (1.29 - 2.30) 2.51 (1.98 - 3.18) Nevada 3.44 (2.75 - 4.30) 3.53 (2.56 - 4.85) 10.82 (8.36 - 13.90) 2.39 (1.75 - 3.26) 3.43 (2.71 - 4.35) New Hampshire 2.50 (1.99 - 3.13) 2.90 (2.14 - 3.91) 6.99 (5.23 - 9.29) 1.77 (1.32 - 2.38) 2.46 (1.93 - 3.13) New Jersey 2.27 (1.84 - 2.80) 2.45 (1.85 - 3.24) 6.28 (4.85 - 8.11) 1.66 (1.25 - 2.21) 2.25 (1.80 - 2.82) New Mexico 2.69 (2.14 - 3.36) 3.66 (2.67 - 4.98) 7.38 (5.53 - 9.80) 1.81 (1.32 - 2.47) 2.59 (2.02 - 3.30) New York 2.64 (2.26 - 3.09) 2.39 (1.88 - 3.04) 7.23 (6.06 - 8.61) 1.94 (1.55 - 2.43) 2.67 (2.26 - 3.15) North Carolina 2.55 (2.11 - 3.07) 2.76 (2.13 - 3.56) 7.06 (5.54 - 8.95) 1.81 (1.41 - 2.33) 2.52 (2.07 - 3.08) North Dakota 2.47 (1.96 - 3.11) 2.55 (1.83 - 3.53) 6.44 (4.81 - 8.58) 1.66 (1.23 - 2.26) 2.46 (1.93 - 3.14) Ohio 2.76 (2.36 - 3.24) 2.88 (2.28 - 3.64) 7.48 (6.17 - 9.04) 2.01 (1.61 - 2.51) 2.75 (2.32 - 3.26) Oklahoma 2.44 (1.95 - 3.03) 2.86 (2.10 - 3.90) 7.00 (5.21 - 9.35) 1.61 (1.20 - 2.15) 2.39 (1.88 - 3.02) Oregon 3.02 (2.44 - 3.72) 3.25 (2.40 - 4.38) 8.36 (6.47 - 10.74) 2.21 (1.68 - 2.90) 3.00 (2.40 - 3.73) Pennsylvania 2.28 (1.92 - 2.72) 2.26 (1.77 - 2.89) 5.78 (4.71 - 7.07) 1.75 (1.38 - 2.23) 2.29 (1.90 - 2.75) Rhode Island 2.90 (2.31 - 3.64) 2.89 (2.14 - 3.89) 7.85 (5.93 - 10.32) 2.03 (1.50 - 2.74) 2.90 (2.28 - 3.68) South Carolina 2.32 (1.85 - 2.90) 2.68 (1.96 - 3.65) 6.48 (4.89 - 8.53) 1.64 (1.22 - 2.21) 2.28 (1.80 - 2.89) South Dakota 2.60 (2.07 - 3.27) 2.81 (2.06 - 3.83) 7.40 (5.60 - 9.72) 1.78 (1.31 - 2.40) 2.58 (2.03 - 3.29) Tennessee 2.38 (1.87 - 3.01) 2.69 (2.00 - 3.61) 6.06 (4.47 - 8.18) 1.77 (1.30 - 2.39) 2.34 (1.82 - 3.02) Texas 1.97 (1.68 - 2.31) 2.20 (1.71 - 2.82) 5.64 (4.66 - 6.82) 1.29 (1.02 - 1.63) 1.94 (1.64 - 2.31) Utah 2.20 (1.73 - 2.78) 2.24 (1.61 - 3.11) 5.20 (3.74 - 7.19) 1.52 (1.11 - 2.08) 2.19 (1.69 - 2.82) Vermont 3.44 (2.77 - 4.26) 3.76 (2.76 - 5.11) 9.39 (7.21 - 12.15) 2.37 (1.75 - 3.21) 3.41 (2.71 - 4.28) Virginia 2.20 (1.82 - 2.66) 2.40 (1.81 - 3.18) 6.56 (5.16 - 8.32) 1.49 (1.14 - 1.93) 2.18 (1.78 - 2.66) Washington 3.09 (2.50 - 3.81) 3.50 (2.60 - 4.71) 8.42 (6.49 - 10.86) 2.25 (1.69 - 2.99) 3.05 (2.43 - 3.82) West Virginia 2.30 (1.83 - 2.90) 2.72 (1.98 - 3.74) 6.13 (4.55 - 8.21) 1.71 (1.28 - 2.30) 2.27 (1.77 - 2.89) Wisconsin 2.41 (1.92 - 3.04) 2.56 (1.89 - 3.48) 6.22 (4.68 - 8.23) 1.78 (1.32 - 2.41) 2.40 (1.88 - 3.06) Wyoming 2.10 (1.66 - 2.65) 2.81 (2.05 - 3.85) 5.80 (4.24 - 7.90) 1.44 (1.06 - 1.96) 2.02 (1.57 - 2.60)

NOTE: Respondents were classified as needing illicit drug treatment if they met the criteria for an illicit drug use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Illicit Drug Treatment refers to respondents who are classified as needing illicit drug treatment, but who did not receive illicit drug treatment at a specialty facility. Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 25 Needing But Not Receiving Treatment at a Specialty Facility for Alcohol Use in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 5.13 (4.97 - 5.31) 1.66 (1.49 - 1.85) 9.70 (9.29 - 10.13) 4.81 (4.61 - 5.01) 5.48 (5.30 - 5.67) Northeast 5.20 (4.84 - 5.58) 1.62 (1.38 - 1.90) 10.40 (9.62 - 11.23) 4.77 (4.36 - 5.20) 5.53 (5.14 - 5.93) Midwest 5.30 (5.00 - 5.61) 1.72 (1.50 - 1.97) 10.48 (9.81 - 11.20) 4.88 (4.53 - 5.25) 5.67 (5.34 - 6.01) South 4.61 (4.37 - 4.85) 1.50 (1.30 - 1.72) 8.49 (7.94 - 9.08) 4.36 (4.09 - 4.65) 4.93 (4.67 - 5.19) West 5.78 (5.42 - 6.16) 1.89 (1.60 - 2.23) 10.39 (9.57 - 11.26) 5.49 (5.08 - 5.94) 6.18 (5.79 - 6.59) Alabama 4.58 (3.69 - 5.67) 1.63 (1.12 - 2.37) 7.73 (6.04 - 9.83) 4.42 (3.44 - 5.67) 4.88 (3.92 - 6.06) Alaska 6.27 (5.23 - 7.50) 1.94 (1.34 - 2.79) 11.65 (9.38 - 14.38) 5.95 (4.80 - 7.36) 6.74 (5.61 - 8.09) Arizona 5.12 (4.15 - 6.30) 1.80 (1.24 - 2.60) 9.84 (7.73 - 12.46) 4.74 (3.70 - 6.06) 5.46 (4.42 - 6.74) Arkansas 5.00 (4.13 - 6.05) 1.96 (1.36 - 2.83) 9.06 (7.24 - 11.26) 4.72 (3.76 - 5.91) 5.32 (4.38 - 6.46) California 5.71 (5.18 - 6.31) 1.78 (1.38 - 2.31) 9.86 (8.63 - 11.24) 5.49 (4.87 - 6.19) 6.11 (5.53 - 6.75) Colorado 7.86 (6.61 - 9.32) 2.11 (1.42 - 3.13) 14.30 (11.87 - 17.12) 7.50 (6.09 - 9.21) 8.43 (7.08 - 10.02) Connecticut 5.53 (4.56 - 6.68) 1.80 (1.26 - 2.57) 11.29 (9.20 - 13.78) 5.02 (3.98 - 6.32) 5.89 (4.85 - 7.14) Delaware 5.89 (4.82 - 7.17) 1.50 (1.03 - 2.19) 10.17 (8.17 - 12.59) 5.73 (4.54 - 7.22) 6.29 (5.15 - 7.68) District of Columbia 9.05 (7.57 - 10.77) 1.75 (1.10 - 2.77) 13.00 (10.33 - 16.23) 8.81 (7.16 - 10.78) 9.46 (7.91 - 11.27) Florida 4.37 (3.84 - 4.97) 1.57 (1.19 - 2.06) 8.06 (6.90 - 9.39) 4.15 (3.55 - 4.84) 4.61 (4.04 - 5.26) Georgia 4.25 (3.55 - 5.09) 1.35 (0.95 - 1.92) 7.50 (6.09 - 9.21) 4.09 (3.29 - 5.07) 4.58 (3.81 - 5.49) Hawaii 5.21 (4.22 - 6.41) 2.10 (1.38 - 3.19) 11.37 (9.02 - 14.22) 4.70 (3.65 - 6.05) 5.49 (4.43 - 6.78) Idaho 5.27 (4.31 - 6.42) 1.70 (1.16 - 2.50) 9.64 (7.74 - 11.95) 5.04 (3.97 - 6.39) 5.70 (4.65 - 6.96) Illinois 5.77 (5.04 - 6.59) 1.87 (1.39 - 2.51) 10.87 (9.24 - 12.74) 5.42 (4.60 - 6.37) 6.17 (5.38 - 7.06) Indiana 4.62 (3.79 - 5.62) 1.46 (0.99 - 2.17) 9.58 (7.64 - 11.95) 4.16 (3.26 - 5.30) 4.96 (4.05 - 6.05) Iowa 6.49 (5.44 - 7.72) 2.05 (1.41 - 2.98) 13.96 (11.40 - 16.99) 5.71 (4.58 - 7.08) 6.95 (5.82 - 8.27) Kansas 5.22 (4.29 - 6.33) 1.90 (1.31 - 2.75) 10.58 (8.50 - 13.09) 4.70 (3.70 - 5.95) 5.59 (4.58 - 6.80) Kentucky 4.58 (3.73 - 5.62) 1.63 (1.12 - 2.36) 8.18 (6.40 - 10.41) 4.35 (3.42 - 5.52) 4.88 (3.96 - 6.00) Louisiana 5.92 (4.90 - 7.14) 1.72 (1.16 - 2.54) 9.78 (7.80 - 12.20) 5.81 (4.66 - 7.22) 6.36 (5.25 - 7.69) Maine 5.89 (4.83 - 7.16) 2.27 (1.59 - 3.23) 11.40 (9.33 - 13.87) 5.51 (4.35 - 6.96) 6.19 (5.06 - 7.55) Maryland 4.52 (3.63 - 5.63) 1.28 (0.87 - 1.88) 8.59 (6.74 - 10.89) 4.28 (3.30 - 5.54) 4.84 (3.87 - 6.05) Massachusetts 6.03 (5.01 - 7.24) 1.86 (1.29 - 2.68) 12.79 (10.43 - 15.60) 5.31 (4.22 - 6.65) 6.40 (5.31 - 7.69) Michigan 5.00 (4.35 - 5.75) 1.56 (1.15 - 2.12) 9.07 (7.72 - 10.62) 4.73 (3.98 - 5.60) 5.34 (4.63 - 6.15) Minnesota 4.94 (4.04 - 6.02) 1.51 (1.03 - 2.22) 10.52 (8.43 - 13.05) 4.47 (3.50 - 5.70) 5.29 (4.32 - 6.46) Mississippi 4.10 (3.29 - 5.09) 1.26 (0.82 - 1.91) 6.87 (5.29 - 8.88) 3.99 (3.10 - 5.13) 4.41 (3.53 - 5.49) Missouri 4.79 (3.92 - 5.84) 1.63 (1.11 - 2.39) 8.28 (6.51 - 10.47) 4.60 (3.64 - 5.81) 5.11 (4.17 - 6.25) Montana 7.13 (6.00 - 8.45) 2.91 (1.97 - 4.27) 12.96 (10.51 - 15.86) 6.66 (5.42 - 8.17) 7.52 (6.31 - 8.94)

See notes at end of table. (continued)

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Table 25 Needing But Not Receiving Treatment at a Specialty Facility for Alcohol Use in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 5.63 (4.68 - 6.76) 1.80 (1.24 - 2.60) 12.26 (9.94 - 15.03) 4.96 (3.94 - 6.22) 6.05 (5.02 - 7.29) Nevada 5.17 (4.20 - 6.36) 1.71 (1.16 - 2.53) 9.84 (7.80 - 12.34) 4.91 (3.84 - 6.24) 5.52 (4.46 - 6.80) New Hampshire 6.45 (5.33 - 7.78) 1.96 (1.36 - 2.81) 14.26 (11.49 - 17.56) 5.72 (4.51 - 7.22) 6.85 (5.65 - 8.28) New Jersey 4.70 (3.90 - 5.66) 1.52 (1.06 - 2.18) 10.15 (8.28 - 12.38) 4.26 (3.39 - 5.35) 5.01 (4.15 - 6.05) New Mexico 4.81 (3.90 - 5.92) 1.74 (1.20 - 2.51) 9.11 (7.20 - 11.48) 4.49 (3.48 - 5.77) 5.13 (4.15 - 6.34) New York 5.07 (4.44 - 5.79) 1.48 (1.11 - 1.96) 8.70 (7.45 - 10.14) 4.87 (4.16 - 5.69) 5.39 (4.71 - 6.17) North Carolina 4.49 (3.74 - 5.37) 1.56 (1.10 - 2.21) 8.00 (6.50 - 9.81) 4.28 (3.44 - 5.31) 4.78 (3.98 - 5.75) North Dakota 6.44 (5.43 - 7.62) 2.14 (1.49 - 3.08) 12.95 (10.67 - 15.64) 5.63 (4.53 - 6.98) 6.85 (5.76 - 8.12) Ohio 4.78 (4.15 - 5.50) 1.63 (1.21 - 2.19) 9.54 (8.21 - 11.06) 4.39 (3.68 - 5.24) 5.09 (4.41 - 5.87) Oklahoma 5.52 (4.52 - 6.73) 1.72 (1.18 - 2.50) 10.00 (7.95 - 12.49) 5.25 (4.15 - 6.62) 5.94 (4.85 - 7.25) Oregon 7.12 (6.00 - 8.45) 2.31 (1.60 - 3.33) 12.49 (10.25 - 15.14) 6.84 (5.58 - 8.35) 7.56 (6.35 - 8.98) Pennsylvania 4.84 (4.19 - 5.57) 1.55 (1.14 - 2.11) 10.71 (9.20 - 12.43) 4.29 (3.59 - 5.13) 5.14 (4.45 - 5.93) Rhode Island 5.99 (4.95 - 7.23) 1.78 (1.24 - 2.55) 11.82 (9.51 - 14.62) 5.39 (4.28 - 6.77) 6.35 (5.24 - 7.68) South Carolina 5.21 (4.23 - 6.39) 1.57 (1.08 - 2.27) 10.51 (8.44 - 13.03) 4.81 (3.74 - 6.16) 5.56 (4.50 - 6.84) South Dakota 6.52 (5.46 - 7.77) 2.34 (1.59 - 3.44) 13.75 (11.29 - 16.65) 5.83 (4.68 - 7.24) 6.96 (5.82 - 8.31) Tennessee 4.46 (3.61 - 5.51) 1.70 (1.17 - 2.46) 8.22 (6.38 - 10.53) 4.20 (3.28 - 5.36) 4.74 (3.82 - 5.87) Texas 4.30 (3.80 - 4.85) 1.32 (0.96 - 1.80) 8.20 (7.02 - 9.55) 4.03 (3.47 - 4.67) 4.65 (4.11 - 5.27) Utah 4.27 (3.46 - 5.26) 1.52 (1.00 - 2.31) 8.13 (6.32 - 10.42) 3.89 (3.02 - 4.99) 4.66 (3.77 - 5.75) Vermont 6.90 (5.76 - 8.25) 2.65 (1.83 - 3.83) 13.80 (11.25 - 16.81) 6.12 (4.88 - 7.65) 7.25 (6.03 - 8.70) Virginia 5.12 (4.39 - 5.97) 1.62 (1.16 - 2.24) 10.31 (8.62 - 12.27) 4.70 (3.89 - 5.68) 5.47 (4.67 - 6.39) Washington 5.56 (4.57 - 6.75) 2.30 (1.55 - 3.41) 11.00 (8.83 - 13.63) 5.11 (4.05 - 6.41) 5.87 (4.81 - 7.14) West Virginia 4.15 (3.35 - 5.13) 1.61 (1.07 - 2.42) 8.31 (6.52 - 10.53) 3.81 (2.94 - 4.92) 4.37 (3.51 - 5.43) Wisconsin 6.44 (5.39 - 7.69) 1.98 (1.37 - 2.84) 13.75 (11.30 - 16.64) 5.78 (4.61 - 7.21) 6.89 (5.74 - 8.24) Wyoming 5.32 (4.33 - 6.52) 2.32 (1.59 - 3.36) 10.29 (8.18 - 12.86) 4.91 (3.82 - 6.28) 5.63 (4.55 - 6.93)

NOTE: Respondents were classified as needing alcohol treatment if they met the criteria for an alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Alcohol Treatment refers to respondents who are classified as needing alcohol treatment, but who did not receive alcohol treatment at a specialty facility.

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 26 Needing But Not Receiving Treatment at a Specialty Facility for Substance Use in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Total U.S. 6.79 (6.60 - 6.98) 3.62 (3.38 - 3.88) 14.07 (13.58 - 14.57) 6.00 (5.78 - 6.22) 7.11 (6.90 - 7.32) Northeast 6.88 (6.50 - 7.29) 3.45 (3.07 - 3.87) 15.08 (14.10 - 16.12) 5.97 (5.53 - 6.43) 7.20 (6.78 - 7.64) Midwest 6.85 (6.53 - 7.19) 3.66 (3.33 - 4.03) 14.49 (13.66 - 15.36) 5.98 (5.62 - 6.37) 7.18 (6.83 - 7.54) South 6.21 (5.93 - 6.50) 3.41 (3.09 - 3.76) 12.82 (12.12 - 13.55) 5.49 (5.17 - 5.84) 6.50 (6.19 - 6.81) West 7.59 (7.19 - 8.02) 4.05 (3.61 - 4.54) 14.91 (13.89 - 15.98) 6.83 (6.35 - 7.33) 7.95 (7.51 - 8.42) Alabama 6.47 (5.47 - 7.64) 3.35 (2.57 - 4.37) 13.09 (10.68 - 15.95) 5.78 (4.72 - 7.06) 6.78 (5.70 - 8.05) Alaska 8.36 (7.14 - 9.77) 4.33 (3.30 - 5.65) 15.60 (12.78 - 18.90) 7.71 (6.36 - 9.30) 8.80 (7.47 - 10.35) Arizona 6.65 (5.57 - 7.94) 3.76 (2.89 - 4.89) 13.50 (10.83 - 16.70) 5.88 (4.72 - 7.31) 6.96 (5.78 - 8.35) Arkansas 6.79 (5.76 - 7.99) 3.74 (2.89 - 4.82) 13.84 (11.39 - 16.71) 6.02 (4.91 - 7.36) 7.11 (6.00 - 8.41) California 7.44 (6.81 - 8.12) 3.92 (3.29 - 4.65) 14.10 (12.54 - 15.83) 6.75 (6.03 - 7.55) 7.79 (7.11 - 8.54) Colorado 10.66 (9.18 - 12.36) 4.69 (3.52 - 6.24) 22.20 (18.82 - 26.00) 9.53 (7.88 - 11.48) 11.26 (9.65 - 13.10) Connecticut 7.52 (6.44 - 8.77) 3.52 (2.68 - 4.60) 18.27 (15.30 - 21.66) 6.25 (5.09 - 7.64) 7.92 (6.75 - 9.27) Delaware 7.41 (6.25 - 8.78) 3.74 (2.85 - 4.89) 14.69 (12.01 - 17.84) 6.75 (5.50 - 8.27) 7.76 (6.51 - 9.22) District of Columbia 11.00 (9.41 - 12.83) 5.41 (4.12 - 7.06) 17.51 (14.39 - 21.13) 10.18 (8.46 - 12.20) 11.32 (9.65 - 13.23) Florida 6.09 (5.46 - 6.79) 4.06 (3.39 - 4.87) 12.87 (11.31 - 14.60) 5.38 (4.68 - 6.17) 6.26 (5.59 - 7.01) Georgia 6.02 (5.20 - 6.98) 3.00 (2.32 - 3.86) 12.32 (10.35 - 14.61) 5.38 (4.47 - 6.45) 6.36 (5.46 - 7.40) Hawaii 6.47 (5.44 - 7.68) 4.04 (3.05 - 5.32) 14.59 (11.96 - 17.68) 5.64 (4.54 - 6.98) 6.69 (5.59 - 7.99) Idaho 6.65 (5.60 - 7.87) 3.79 (2.90 - 4.93) 12.09 (9.70 - 14.98) 6.15 (4.99 - 7.56) 6.99 (5.85 - 8.34) Illinois 7.26 (6.47 - 8.14) 3.82 (3.10 - 4.69) 14.97 (13.00 - 17.18) 6.45 (5.58 - 7.44) 7.62 (6.76 - 8.57) Indiana 6.43 (5.47 - 7.56) 3.23 (2.46 - 4.21) 14.10 (11.56 - 17.09) 5.52 (4.51 - 6.72) 6.78 (5.73 - 8.00) Iowa 7.85 (6.75 - 9.11) 3.96 (3.07 - 5.11) 17.17 (14.31 - 20.46) 6.67 (5.53 - 8.03) 8.25 (7.06 - 9.62) Kansas 6.48 (5.48 - 7.65) 3.56 (2.74 - 4.62) 13.38 (10.97 - 16.23) 5.64 (4.58 - 6.93) 6.81 (5.72 - 8.08) Kentucky 6.20 (5.22 - 7.34) 3.64 (2.80 - 4.72) 11.96 (9.64 - 14.75) 5.57 (4.52 - 6.84) 6.45 (5.40 - 7.69) Louisiana 7.43 (6.29 - 8.74) 3.16 (2.39 - 4.18) 14.53 (12.01 - 17.47) 6.80 (5.58 - 8.27) 7.87 (6.65 - 9.30) Maine 8.22 (7.01 - 9.61) 4.42 (3.44 - 5.65) 18.25 (15.30 - 21.62) 7.28 (5.98 - 8.84) 8.54 (7.25 - 10.03) Maryland 6.04 (5.04 - 7.22) 3.18 (2.44 - 4.14) 12.91 (10.45 - 15.84) 5.33 (4.28 - 6.64) 6.32 (5.24 - 7.60) Massachusetts 7.96 (6.82 - 9.27) 3.70 (2.83 - 4.83) 17.69 (14.81 - 20.98) 6.74 (5.54 - 8.17) 8.34 (7.12 - 9.74) Michigan 6.58 (5.88 - 7.35) 3.43 (2.78 - 4.23) 13.51 (11.78 - 15.46) 5.80 (5.02 - 6.68) 6.89 (6.14 - 7.73) Minnesota 6.47 (5.48 - 7.63) 3.76 (2.88 - 4.89) 13.75 (11.17 - 16.81) 5.66 (4.61 - 6.92) 6.75 (5.68 - 8.00) Mississippi 5.76 (4.79 - 6.90) 3.13 (2.36 - 4.15) 10.90 (8.65 - 13.64) 5.21 (4.19 - 6.48) 6.04 (5.00 - 7.28) Missouri 6.50 (5.48 - 7.69) 3.47 (2.67 - 4.51) 12.66 (10.23 - 15.56) 5.87 (4.77 - 7.20) 6.80 (5.70 - 8.09) Montana 8.44 (7.22 - 9.83) 4.75 (3.67 - 6.13) 17.01 (14.13 - 20.32) 7.49 (6.19 - 9.03) 8.78 (7.48 - 10.28)

See notes at end of table. (continued)

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Table 26 Needing But Not Receiving Treatment at a Specialty Facility for Substance Use in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 12+

(Estimate)

12+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) 18+

(Estimate)

18+ (95% Confidence

Interval) Nebraska 7.05 (6.03 - 8.22) 3.58 (2.76 - 4.64) 16.40 (13.68 - 19.54) 5.85 (4.77 - 7.15) 7.43 (6.33 - 8.70) Nevada 7.94 (6.70 - 9.39) 4.44 (3.41 - 5.77) 17.13 (14.09 - 20.68) 7.04 (5.72 - 8.64) 8.29 (6.95 - 9.86) New Hampshire 8.22 (7.02 - 9.60) 4.18 (3.25 - 5.35) 18.34 (15.27 - 21.86) 7.09 (5.82 - 8.61) 8.58 (7.30 - 10.06) New Jersey 6.46 (5.53 - 7.52) 3.37 (2.61 - 4.34) 14.34 (12.00 - 17.04) 5.65 (4.66 - 6.83) 6.76 (5.76 - 7.92) New Mexico 6.60 (5.57 - 7.81) 4.50 (3.42 - 5.90) 14.25 (11.55 - 17.47) 5.62 (4.54 - 6.93) 6.82 (5.71 - 8.13) New York 6.71 (6.04 - 7.45) 3.35 (2.75 - 4.07) 13.74 (12.10 - 15.55) 5.95 (5.20 - 6.79) 7.01 (6.29 - 7.81) North Carolina 6.16 (5.34 - 7.10) 3.45 (2.70 - 4.42) 12.49 (10.45 - 14.86) 5.49 (4.61 - 6.53) 6.44 (5.55 - 7.45) North Dakota 7.76 (6.67 - 9.01) 4.12 (3.22 - 5.25) 16.33 (13.64 - 19.42) 6.46 (5.30 - 7.85) 8.10 (6.93 - 9.46) Ohio 6.59 (5.89 - 7.36) 3.75 (3.05 - 4.60) 13.94 (12.28 - 15.78) 5.76 (4.98 - 6.66) 6.87 (6.12 - 7.71) Oklahoma 7.28 (6.13 - 8.62) 3.92 (2.96 - 5.17) 14.62 (11.98 - 17.72) 6.47 (5.23 - 7.96) 7.65 (6.40 - 9.10) Oregon 8.82 (7.59 - 10.23) 4.34 (3.37 - 5.56) 17.56 (14.75 - 20.78) 8.01 (6.66 - 9.60) 9.23 (7.90 - 10.75) Pennsylvania 6.22 (5.51 - 7.01) 3.23 (2.62 - 3.99) 14.14 (12.34 - 16.16) 5.33 (4.56 - 6.22) 6.49 (5.73 - 7.35) Rhode Island 7.71 (6.54 - 9.06) 3.85 (2.92 - 5.05) 16.63 (13.60 - 20.17) 6.53 (5.33 - 7.99) 8.04 (6.80 - 9.49) South Carolina 6.70 (5.67 - 7.90) 3.64 (2.81 - 4.71) 15.40 (12.74 - 18.50) 5.72 (4.64 - 7.04) 7.00 (5.89 - 8.29) South Dakota 7.91 (6.75 - 9.26) 4.58 (3.54 - 5.91) 18.03 (15.07 - 21.43) 6.63 (5.40 - 8.12) 8.26 (7.01 - 9.72) Tennessee 6.09 (5.10 - 7.25) 3.64 (2.80 - 4.73) 12.17 (9.83 - 14.98) 5.43 (4.38 - 6.71) 6.33 (5.27 - 7.59) Texas 5.67 (5.11 - 6.29) 2.99 (2.42 - 3.68) 11.87 (10.46 - 13.43) 4.96 (4.31 - 5.69) 5.99 (5.37 - 6.68) Utah 5.55 (4.62 - 6.65) 2.98 (2.20 - 4.02) 10.83 (8.47 - 13.74) 4.83 (3.85 - 6.03) 5.91 (4.88 - 7.15) Vermont 9.09 (7.81 - 10.56) 4.92 (3.84 - 6.29) 19.87 (16.74 - 23.42) 7.64 (6.28 - 9.25) 9.44 (8.08 - 11.00) Virginia 6.63 (5.73 - 7.66) 3.45 (2.73 - 4.34) 14.33 (12.14 - 16.83) 5.78 (4.81 - 6.93) 6.94 (5.97 - 8.06) Washington 7.57 (6.44 - 8.87) 4.67 (3.60 - 6.04) 15.73 (13.13 - 18.72) 6.67 (5.46 - 8.12) 7.84 (6.64 - 9.24) West Virginia 5.95 (4.98 - 7.09) 3.93 (2.98 - 5.16) 12.40 (10.07 - 15.17) 5.23 (4.19 - 6.50) 6.13 (5.09 - 7.36) Wisconsin 7.47 (6.34 - 8.79) 3.90 (3.02 - 5.00) 16.86 (14.01 - 20.16) 6.37 (5.18 - 7.81) 7.83 (6.61 - 9.25) Wyoming 6.27 (5.25 - 7.48) 4.23 (3.22 - 5.53) 12.64 (10.23 - 15.51) 5.53 (4.45 - 6.87) 6.48 (5.38 - 7.79)

NOTE: Respondents were classified as needing substance use treatment if they met the criteria for an illicit drug or alcohol use disorder as defined in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) or received treatment for illicit drug or alcohol use at a specialty facility (i.e., drug and alcohol rehabilitation facility [inpatient or outpatient], hospital [inpatient only], or mental health center). Needing But Not Receiving Substance Use Treatment refers to respondents who are classified as needing illicit drug or alcohol treatment, but who did not receive illicit drug or alcohol treatment at a specialty facility. Illicit Drug Use includes the misuse of prescription psychotherapeutics or the use of marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, or methamphetamine. Misuse of prescription psychotherapeutics is defined as use in any way not directed by a doctor, including use without a prescription of one's own; use in greater amounts, more often, or longer than told; or use in any other way not directed by a doctor. Prescription psychotherapeutics do not include over-the-counter drugs.

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 27 Serious Mental Illness in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 18+

(Estimate)

18+ (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) Total U.S. 4.55 (4.38 - 4.73) 7.59 (7.24 - 7.95) 4.06 (3.88 - 4.26) Northeast 4.22 (3.90 - 4.56) 7.46 (6.85 - 8.12) 3.71 (3.37 - 4.09) Midwest 4.91 (4.62 - 5.21) 8.16 (7.60 - 8.76) 4.38 (4.06 - 4.71) South 4.44 (4.20 - 4.68) 7.07 (6.60 - 7.56) 4.02 (3.77 - 4.29) West 4.66 (4.34 - 5.00) 7.98 (7.33 - 8.68) 4.12 (3.78 - 4.49) Alabama 5.75 (4.73 - 6.99) 7.17 (5.74 - 8.92) 5.53 (4.40 - 6.92) Alaska 5.40 (4.49 - 6.48) 8.96 (7.21 - 11.07) 4.83 (3.86 - 6.02) Arizona 4.80 (3.87 - 5.93) 8.05 (6.42 - 10.04) 4.27 (3.29 - 5.51) Arkansas 5.55 (4.59 - 6.69) 7.47 (5.98 - 9.29) 5.24 (4.19 - 6.53) California 4.14 (3.68 - 4.65) 7.39 (6.43 - 8.48) 3.60 (3.11 - 4.17) Colorado 5.64 (4.62 - 6.88) 9.89 (7.95 - 12.23) 4.97 (3.89 - 6.33) Connecticut 4.34 (3.52 - 5.34) 8.31 (6.70 - 10.26) 3.70 (2.85 - 4.80) Delaware 5.65 (4.59 - 6.93) 7.72 (6.16 - 9.64) 5.35 (4.21 - 6.77) District of Columbia 4.82 (3.93 - 5.89) 6.85 (5.43 - 8.62) 4.44 (3.48 - 5.65) Florida 3.90 (3.38 - 4.49) 7.09 (6.06 - 8.27) 3.47 (2.92 - 4.12) Georgia 4.33 (3.64 - 5.13) 6.64 (5.45 - 8.08) 3.94 (3.21 - 4.84) Hawaii 3.89 (3.14 - 4.82) 8.07 (6.43 - 10.09) 3.34 (2.56 - 4.35) Idaho 5.61 (4.62 - 6.79) 8.93 (7.19 - 11.05) 5.06 (4.00 - 6.37) Illinois 4.15 (3.57 - 4.83) 7.79 (6.55 - 9.25) 3.58 (2.96 - 4.32) Indiana 5.26 (4.39 - 6.30) 8.27 (6.66 - 10.22) 4.75 (3.81 - 5.89) Iowa 5.38 (4.46 - 6.47) 8.66 (6.99 - 10.68) 4.79 (3.83 - 5.99) Kansas 5.18 (4.26 - 6.28) 8.64 (6.99 - 10.63) 4.56 (3.59 - 5.79) Kentucky 5.62 (4.63 - 6.81) 7.89 (6.36 - 9.75) 5.26 (4.19 - 6.59) Louisiana 5.17 (4.22 - 6.32) 6.85 (5.46 - 8.56) 4.90 (3.88 - 6.18) Maine 5.67 (4.68 - 6.86) 10.59 (8.65 - 12.89) 5.04 (3.99 - 6.35) Maryland 3.94 (3.21 - 4.82) 7.71 (6.18 - 9.59) 3.37 (2.61 - 4.34) Massachusetts 4.77 (3.91 - 5.81) 8.04 (6.54 - 9.85) 4.21 (3.29 - 5.38) Michigan 4.61 (3.98 - 5.33) 7.56 (6.40 - 8.90) 4.12 (3.45 - 4.92) Minnesota 4.35 (3.57 - 5.29) 8.77 (6.98 - 10.96) 3.66 (2.86 - 4.67) Mississippi 5.41 (4.48 - 6.53) 6.93 (5.49 - 8.71) 5.15 (4.14 - 6.41) Missouri 5.51 (4.57 - 6.62) 7.87 (6.32 - 9.75) 5.13 (4.13 - 6.36) Montana 5.36 (4.44 - 6.46) 9.09 (7.38 - 11.15) 4.78 (3.80 - 5.98)

See notes at end of table. (continued)

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Table 27 Serious Mental Illness in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 18+

(Estimate)

18+ (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) Nebraska 4.39 (3.63 - 5.30) 7.84 (6.34 - 9.65) 3.78 (2.96 - 4.81) Nevada 4.76 (3.82 - 5.91) 7.61 (6.07 - 9.50) 4.36 (3.37 - 5.62) New Hampshire 5.34 (4.33 - 6.55) 9.05 (7.25 - 11.25) 4.77 (3.71 - 6.11) New Jersey 3.60 (2.95 - 4.38) 7.21 (5.85 - 8.84) 3.07 (2.40 - 3.92) New Mexico 4.51 (3.67 - 5.54) 7.73 (6.19 - 9.61) 3.99 (3.09 - 5.15) New York 3.85 (3.33 - 4.45) 6.82 (5.79 - 8.03) 3.38 (2.83 - 4.03) North Carolina 4.56 (3.82 - 5.43) 7.17 (5.85 - 8.76) 4.15 (3.35 - 5.12) North Dakota 4.92 (4.11 - 5.87) 8.15 (6.58 - 10.04) 4.27 (3.42 - 5.33) Ohio 5.37 (4.68 - 6.15) 8.39 (7.20 - 9.76) 4.89 (4.15 - 5.75) Oklahoma 5.23 (4.32 - 6.31) 8.48 (6.88 - 10.41) 4.68 (3.71 - 5.89) Oregon 5.27 (4.37 - 6.34) 8.76 (7.11 - 10.76) 4.76 (3.80 - 5.94) Pennsylvania 4.49 (3.88 - 5.19) 7.42 (6.28 - 8.74) 4.04 (3.38 - 4.82) Rhode Island 4.93 (4.05 - 6.01) 7.77 (6.20 - 9.69) 4.44 (3.48 - 5.64) South Carolina 4.76 (3.89 - 5.81) 7.53 (6.04 - 9.35) 4.34 (3.41 - 5.51) South Dakota 4.60 (3.81 - 5.55) 9.39 (7.58 - 11.57) 3.80 (2.97 - 4.86) Tennessee 4.91 (4.03 - 5.98) 7.71 (6.17 - 9.60) 4.48 (3.53 - 5.66) Texas 3.86 (3.37 - 4.41) 6.45 (5.50 - 7.55) 3.40 (2.88 - 4.01) Utah 6.37 (5.37 - 7.55) 10.05 (8.13 - 12.37) 5.55 (4.49 - 6.86) Vermont 5.45 (4.50 - 6.57) 9.71 (7.87 - 11.92) 4.71 (3.71 - 5.96) Virginia 4.12 (3.46 - 4.90) 6.89 (5.66 - 8.36) 3.68 (2.98 - 4.55) Washington 5.26 (4.35 - 6.35) 7.85 (6.31 - 9.73) 4.88 (3.88 - 6.11) West Virginia 5.78 (4.78 - 6.96) 8.49 (6.89 - 10.41) 5.39 (4.31 - 6.71) Wisconsin 5.48 (4.50 - 6.67) 8.57 (6.89 - 10.61) 4.99 (3.93 - 6.31) Wyoming 4.84 (3.97 - 5.89) 9.03 (7.33 - 11.07) 4.20 (3.29 - 5.35)

NOTE: Serious mental illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). SMI includes individuals with diagnoses resulting in serious functional impairment. For details, see Section B of the "2017-2018 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 28 Any Mental Illness in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 18+

(Estimate)

18+ (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) Total U.S. 19.00 (18.63 - 19.38) 26.04 (25.41 - 26.67) 17.88 (17.47 - 18.30) Northeast 18.53 (17.83 - 19.26) 26.47 (25.33 - 27.64) 17.30 (16.50 - 18.12) Midwest 19.88 (19.26 - 20.51) 27.47 (26.46 - 28.51) 18.63 (17.94 - 19.35) South 18.18 (17.63 - 18.74) 24.11 (23.26 - 24.99) 17.24 (16.62 - 17.87) West 19.90 (19.16 - 20.67) 27.44 (26.23 - 28.68) 18.68 (17.86 - 19.54) Alabama 21.39 (19.15 - 23.81) 24.24 (21.37 - 27.36) 20.93 (18.43 - 23.68) Alaska 20.50 (18.51 - 22.65) 28.47 (25.19 - 31.99) 19.22 (17.00 - 21.65) Arizona 19.24 (17.00 - 21.71) 24.56 (21.42 - 27.99) 18.37 (15.88 - 21.17) Arkansas 20.27 (18.26 - 22.45) 25.64 (22.66 - 28.86) 19.40 (17.15 - 21.86) California 18.54 (17.44 - 19.69) 26.53 (24.66 - 28.48) 17.22 (16.00 - 18.52) Colorado 21.50 (19.33 - 23.83) 31.44 (28.13 - 34.94) 19.92 (17.55 - 22.53) Connecticut 19.03 (16.94 - 21.31) 28.12 (24.86 - 31.63) 17.56 (15.26 - 20.13) Delaware 20.03 (17.89 - 22.36) 28.10 (24.80 - 31.64) 18.86 (16.53 - 21.45) District of Columbia 22.21 (19.99 - 24.60) 27.02 (23.80 - 30.51) 21.32 (18.83 - 24.04) Florida 17.39 (16.16 - 18.69) 24.38 (22.47 - 26.41) 16.45 (15.10 - 17.89) Georgia 18.09 (16.36 - 19.95) 24.46 (21.87 - 27.24) 17.03 (15.12 - 19.13) Hawaii 17.58 (15.57 - 19.79) 25.02 (21.87 - 28.46) 16.59 (14.40 - 19.04) Idaho 24.46 (22.10 - 26.99) 30.54 (27.07 - 34.24) 23.46 (20.84 - 26.29) Illinois 18.06 (16.66 - 19.55) 26.42 (24.08 - 28.90) 16.73 (15.17 - 18.42) Indiana 22.51 (20.41 - 24.77) 29.43 (26.03 - 33.09) 21.32 (18.97 - 23.87) Iowa 19.89 (17.89 - 22.05) 25.59 (22.48 - 28.98) 18.88 (16.64 - 21.34) Kansas 19.59 (17.51 - 21.85) 27.09 (23.95 - 30.48) 18.26 (15.94 - 20.84) Kentucky 22.14 (19.97 - 24.49) 24.71 (21.75 - 27.92) 21.73 (19.30 - 24.39) Louisiana 20.63 (18.48 - 22.96) 24.87 (21.90 - 28.08) 19.95 (17.55 - 22.58) Maine 20.82 (18.51 - 23.34) 31.23 (27.99 - 34.68) 19.47 (16.98 - 22.23) Maryland 16.96 (15.06 - 19.03) 25.32 (22.31 - 28.59) 15.70 (13.63 - 18.03) Massachusetts 21.22 (19.08 - 23.54) 28.22 (25.07 - 31.60) 20.03 (17.63 - 22.67) Michigan 19.07 (17.61 - 20.62) 25.88 (23.64 - 28.26) 17.95 (16.32 - 19.69) Minnesota 19.32 (17.34 - 21.48) 30.77 (27.21 - 34.58) 17.53 (15.38 - 19.91) Mississippi 19.49 (17.48 - 21.68) 23.40 (20.47 - 26.61) 18.83 (16.57 - 21.31) Missouri 21.44 (19.32 - 23.71) 27.61 (24.51 - 30.94) 20.45 (18.12 - 23.00) Montana 20.00 (18.06 - 22.09) 27.96 (24.72 - 31.45) 18.75 (16.63 - 21.07)

See notes at end of table. (continued)

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Table 28 Any Mental Illness in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 18+

(Estimate)

18+ (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) Nebraska 18.08 (16.19 - 20.14) 26.49 (23.30 - 29.94) 16.60 (14.50 - 18.93) Nevada 20.67 (18.40 - 23.13) 27.17 (23.85 - 30.77) 19.75 (17.25 - 22.51) New Hampshire 20.56 (18.36 - 22.96) 28.85 (25.25 - 32.73) 19.30 (16.90 - 21.95) New Jersey 16.14 (14.47 - 17.96) 23.25 (20.56 - 26.17) 15.09 (13.27 - 17.11) New Mexico 19.10 (16.97 - 21.43) 25.43 (22.39 - 28.73) 18.07 (15.72 - 20.69) New York 18.25 (17.01 - 19.56) 25.96 (23.95 - 28.08) 17.03 (15.64 - 18.51) North Carolina 18.77 (17.11 - 20.56) 25.52 (22.80 - 28.44) 17.72 (15.87 - 19.72) North Dakota 19.13 (17.22 - 21.19) 27.22 (23.98 - 30.71) 17.51 (15.38 - 19.87) Ohio 21.40 (19.94 - 22.93) 27.99 (25.73 - 30.37) 20.36 (18.74 - 22.08) Oklahoma 20.43 (18.39 - 22.62) 27.50 (24.09 - 31.19) 19.23 (16.97 - 21.71) Oregon 22.45 (20.26 - 24.80) 29.56 (26.37 - 32.97) 21.40 (19.00 - 24.02) Pennsylvania 18.23 (16.90 - 19.63) 27.16 (24.92 - 29.51) 16.87 (15.39 - 18.45) Rhode Island 21.32 (19.12 - 23.70) 24.97 (21.87 - 28.34) 20.68 (18.20 - 23.40) South Carolina 18.31 (16.31 - 20.51) 23.53 (20.81 - 26.49) 17.52 (15.29 - 20.00) South Dakota 17.49 (15.56 - 19.60) 28.51 (25.25 - 32.01) 15.65 (13.53 - 18.02) Tennessee 18.26 (16.31 - 20.39) 25.39 (22.26 - 28.78) 17.16 (14.99 - 19.57) Texas 16.21 (15.05 - 17.44) 21.42 (19.61 - 23.35) 15.29 (13.99 - 16.69) Utah 25.25 (23.12 - 27.50) 30.79 (27.48 - 34.31) 24.02 (21.61 - 26.60) Vermont 20.65 (18.56 - 22.91) 29.59 (26.21 - 33.20) 19.10 (16.79 - 21.66) Virginia 17.38 (15.75 - 19.14) 25.57 (23.04 - 28.27) 16.08 (14.28 - 18.06) Washington 22.23 (20.11 - 24.51) 29.52 (26.27 - 32.99) 21.15 (18.81 - 23.69) West Virginia 23.80 (21.47 - 26.29) 26.28 (23.01 - 29.84) 23.44 (20.86 - 26.24) Wisconsin 19.26 (17.28 - 21.42) 27.49 (24.41 - 30.79) 17.94 (15.74 - 20.36) Wyoming 20.34 (18.22 - 22.63) 28.46 (25.19 - 31.97) 19.09 (16.75 - 21.67)

NOTE: Any mental illness (AMI) is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). For details, see Section B of the "2017-2018 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 29 Received Mental Health Services in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 18+

(Estimate)

18+ (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) Total U.S. 14.91 (14.57 - 15.26) 15.03 (14.51 - 15.58) 14.89 (14.51 - 15.27) Northeast 16.05 (15.35 - 16.78) 16.98 (16.00 - 18.00) 15.91 (15.13 - 16.72) Midwest 16.81 (16.21 - 17.43) 17.40 (16.56 - 18.27) 16.72 (16.04 - 17.42) South 13.84 (13.37 - 14.32) 13.53 (12.86 - 14.22) 13.89 (13.36 - 14.43) West 14.08 (13.49 - 14.69) 13.88 (13.00 - 14.81) 14.11 (13.45 - 14.80) Alabama 15.97 (13.94 - 18.23) 13.39 (11.19 - 15.95) 16.38 (14.09 - 18.95) Alaska 14.01 (12.31 - 15.90) 13.75 (11.46 - 16.42) 14.05 (12.17 - 16.16) Arizona 14.86 (12.79 - 17.20) 11.95 (9.74 - 14.58) 15.34 (13.02 - 17.98) Arkansas 17.06 (15.06 - 19.27) 15.29 (12.93 - 18.00) 17.35 (15.10 - 19.86) California 11.99 (11.10 - 12.94) 11.99 (10.74 - 13.37) 11.99 (11.00 - 13.06) Colorado 17.27 (15.23 - 19.53) 19.18 (16.45 - 22.25) 16.97 (14.72 - 19.49) Connecticut 17.19 (15.09 - 19.51) 17.96 (15.32 - 20.93) 17.06 (14.73 - 19.68) Delaware 17.44 (15.39 - 19.69) 17.46 (14.85 - 20.41) 17.44 (15.16 - 19.98) District of Columbia 17.65 (15.67 - 19.83) 15.63 (13.10 - 18.54) 18.03 (15.79 - 20.51) Florida 12.39 (11.27 - 13.59) 13.51 (12.03 - 15.14) 12.23 (11.01 - 13.56) Georgia 12.99 (11.58 - 14.55) 12.64 (10.79 - 14.75) 13.05 (11.47 - 14.81) Hawaii 11.43 (9.82 - 13.25) 12.36 (10.25 - 14.84) 11.30 (9.55 - 13.32) Idaho 19.72 (17.55 - 22.08) 18.84 (16.04 - 22.00) 19.86 (17.44 - 22.54) Illinois 14.99 (13.71 - 16.36) 17.05 (15.08 - 19.22) 14.66 (13.25 - 16.20) Indiana 16.99 (15.16 - 18.99) 18.25 (15.61 - 21.22) 16.77 (14.71 - 19.05) Iowa 18.21 (16.16 - 20.45) 20.00 (17.11 - 23.24) 17.89 (15.62 - 20.41) Kansas 16.61 (14.65 - 18.78) 15.62 (13.20 - 18.39) 16.79 (14.59 - 19.24) Kentucky 19.05 (16.94 - 21.35) 17.92 (15.32 - 20.85) 19.23 (16.88 - 21.82) Louisiana 14.69 (12.81 - 16.78) 13.51 (11.38 - 15.96) 14.87 (12.78 - 17.24) Maine 19.37 (17.17 - 21.78) 22.90 (19.94 - 26.17) 18.91 (16.51 - 21.57) Maryland 13.24 (11.49 - 15.21) 15.82 (13.31 - 18.71) 12.85 (10.94 - 15.05) Massachusetts 20.91 (18.57 - 23.45) 19.08 (16.19 - 22.36) 21.22 (18.58 - 24.12) Michigan 16.44 (15.05 - 17.92) 15.62 (13.88 - 17.54) 16.57 (15.02 - 18.25) Minnesota 17.31 (15.34 - 19.46) 19.46 (16.56 - 22.74) 16.97 (14.81 - 19.37) Mississippi 13.66 (11.88 - 15.66) 12.09 (9.97 - 14.57) 13.93 (11.94 - 16.20) Missouri 17.04 (15.06 - 19.21) 17.38 (14.79 - 20.31) 16.98 (14.79 - 19.43) Montana 15.98 (14.14 - 18.00) 17.23 (14.62 - 20.19) 15.78 (13.76 - 18.04)

See notes at end of table. (continued)

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Table 29 Received Mental Health Services in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 18+

(Estimate)

18+ (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) Nebraska 15.01 (13.20 - 17.02) 16.43 (13.87 - 19.35) 14.76 (12.75 - 17.02) Nevada 14.16 (12.16 - 16.42) 12.06 (9.87 - 14.66) 14.45 (12.25 - 16.96) New Hampshire 18.51 (16.41 - 20.82) 18.28 (15.43 - 21.52) 18.55 (16.23 - 21.11) New Jersey 12.78 (11.25 - 14.48) 13.84 (11.76 - 16.22) 12.62 (10.94 - 14.52) New Mexico 14.08 (12.27 - 16.12) 13.66 (11.38 - 16.33) 14.15 (12.14 - 16.44) New York 14.55 (13.34 - 15.85) 15.87 (14.24 - 17.65) 14.34 (12.99 - 15.80) North Carolina 15.09 (13.47 - 16.86) 13.96 (12.01 - 16.16) 15.26 (13.46 - 17.26) North Dakota 15.71 (13.84 - 17.79) 16.92 (14.26 - 19.97) 15.47 (13.37 - 17.84) Ohio 18.32 (16.88 - 19.87) 17.80 (15.94 - 19.83) 18.41 (16.78 - 20.15) Oklahoma 14.65 (12.83 - 16.68) 14.73 (12.35 - 17.47) 14.64 (12.62 - 16.92) Oregon 17.13 (15.16 - 19.30) 16.58 (14.08 - 19.42) 17.21 (15.03 - 19.64) Pennsylvania 16.35 (14.98 - 17.83) 18.27 (16.32 - 20.38) 16.06 (14.55 - 17.71) Rhode Island 20.15 (17.91 - 22.60) 17.39 (14.68 - 20.49) 20.64 (18.10 - 23.42) South Carolina 15.61 (13.69 - 17.76) 14.29 (12.12 - 16.79) 15.81 (13.66 - 18.23) South Dakota 15.14 (13.24 - 17.25) 19.07 (16.13 - 22.41) 14.48 (12.39 - 16.85) Tennessee 14.92 (13.07 - 16.97) 14.20 (11.87 - 16.90) 15.03 (12.97 - 17.35) Texas 11.74 (10.76 - 12.80) 11.54 (10.18 - 13.05) 11.78 (10.68 - 12.97) Utah 19.46 (17.46 - 21.63) 18.94 (16.12 - 22.12) 19.59 (17.31 - 22.08) Vermont 22.78 (20.33 - 25.42) 21.74 (18.48 - 25.40) 22.96 (20.21 - 25.96) Virginia 14.66 (13.07 - 16.40) 14.30 (12.34 - 16.51) 14.72 (12.93 - 16.70) Washington 17.03 (15.00 - 19.27) 17.25 (14.72 - 20.12) 17.00 (14.76 - 19.50) West Virginia 18.56 (16.42 - 20.92) 17.43 (14.79 - 20.42) 18.72 (16.33 - 21.37) Wisconsin 17.81 (15.70 - 20.15) 17.13 (14.52 - 20.10) 17.93 (15.57 - 20.55) Wyoming 14.87 (13.00 - 16.97) 17.88 (15.18 - 20.94) 14.41 (12.34 - 16.77)

NOTE: Mental Health Services are defined as having received inpatient treatment/counseling or outpatient treatment/counseling or having used prescription medication for problems with emotions, nerves, or mental health. Respondents were not to include treatment for drug or alcohol use.

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 30 Had Serious Thoughts of Suicide in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 18+

(Estimate)

18+ (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) Total U.S. 4.34 (4.18 - 4.51) 10.73 (10.32 - 11.16) 3.32 (3.15 - 3.50) Northeast 4.04 (3.73 - 4.38) 10.35 (9.61 - 11.14) 3.06 (2.74 - 3.42) Midwest 4.65 (4.37 - 4.94) 11.52 (10.85 - 12.23) 3.53 (3.24 - 3.84) South 4.14 (3.90 - 4.39) 10.20 (9.64 - 10.78) 3.18 (2.94 - 3.45) West 4.61 (4.28 - 4.96) 11.15 (10.36 - 12.00) 3.55 (3.22 - 3.92) Alabama 4.45 (3.63 - 5.45) 10.90 (9.00 - 13.14) 3.43 (2.61 - 4.49) Alaska 5.85 (4.84 - 7.06) 13.92 (11.49 - 16.76) 4.55 (3.55 - 5.82) Arizona 4.43 (3.56 - 5.51) 10.87 (8.78 - 13.37) 3.38 (2.53 - 4.50) Arkansas 4.71 (3.84 - 5.76) 10.80 (8.96 - 12.97) 3.72 (2.85 - 4.86) California 4.10 (3.64 - 4.62) 10.23 (9.04 - 11.57) 3.09 (2.63 - 3.63) Colorado 5.51 (4.50 - 6.73) 13.33 (11.13 - 15.89) 4.28 (3.27 - 5.57) Connecticut 4.48 (3.64 - 5.50) 11.73 (9.62 - 14.23) 3.32 (2.49 - 4.40) Delaware 5.06 (4.07 - 6.27) 10.84 (8.85 - 13.22) 4.22 (3.22 - 5.52) District of Columbia 4.17 (3.37 - 5.15) 9.01 (7.23 - 11.18) 3.28 (2.49 - 4.31) Florida 3.67 (3.18 - 4.24) 10.16 (8.93 - 11.54) 2.80 (2.31 - 3.40) Georgia 4.03 (3.36 - 4.84) 9.49 (7.93 - 11.31) 3.13 (2.46 - 3.99) Hawaii 4.59 (3.70 - 5.69) 12.09 (9.90 - 14.69) 3.60 (2.71 - 4.76) Idaho 5.45 (4.50 - 6.59) 12.49 (10.35 - 15.00) 4.29 (3.34 - 5.50) Illinois 3.87 (3.30 - 4.52) 10.29 (8.82 - 11.96) 2.85 (2.31 - 3.51) Indiana 5.23 (4.34 - 6.28) 12.41 (10.32 - 14.87) 3.99 (3.12 - 5.10) Iowa 5.40 (4.42 - 6.59) 11.72 (9.60 - 14.23) 4.29 (3.31 - 5.55) Kansas 4.82 (3.98 - 5.83) 11.75 (9.70 - 14.16) 3.60 (2.77 - 4.65) Kentucky 4.65 (3.82 - 5.63) 11.00 (9.03 - 13.34) 3.63 (2.82 - 4.66) Louisiana 4.57 (3.68 - 5.66) 10.05 (8.16 - 12.31) 3.70 (2.81 - 4.85) Maine 4.81 (3.93 - 5.87) 12.93 (10.83 - 15.35) 3.76 (2.87 - 4.91) Maryland 4.07 (3.30 - 5.02) 10.78 (8.85 - 13.06) 3.07 (2.32 - 4.06) Massachusetts 4.92 (4.03 - 6.00) 11.46 (9.50 - 13.76) 3.81 (2.92 - 4.96) Michigan 4.13 (3.55 - 4.80) 10.75 (9.30 - 12.40) 3.04 (2.47 - 3.75) Minnesota 4.59 (3.77 - 5.57) 12.44 (10.17 - 15.13) 3.36 (2.60 - 4.34) Mississippi 4.82 (3.96 - 5.85) 11.21 (9.24 - 13.55) 3.73 (2.87 - 4.83) Missouri 4.72 (3.92 - 5.68) 11.91 (9.84 - 14.36) 3.58 (2.79 - 4.59) Montana 5.21 (4.31 - 6.29) 12.74 (10.51 - 15.36) 4.03 (3.14 - 5.17)

See notes at end of table. (continued)

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Table 30 Had Serious Thoughts of Suicide in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 18+

(Estimate)

18+ (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) Nebraska 4.29 (3.51 - 5.23) 10.72 (8.76 - 13.04) 3.16 (2.42 - 4.12) Nevada 4.65 (3.78 - 5.71) 12.05 (9.83 - 14.68) 3.61 (2.76 - 4.72) New Hampshire 4.91 (4.01 - 6.00) 12.23 (10.02 - 14.86) 3.80 (2.91 - 4.95) New Jersey 3.47 (2.84 - 4.24) 9.83 (8.11 - 11.86) 2.54 (1.93 - 3.35) New Mexico 4.25 (3.42 - 5.26) 10.74 (8.73 - 13.15) 3.20 (2.39 - 4.26) New York 3.63 (3.12 - 4.22) 9.52 (8.26 - 10.95) 2.70 (2.20 - 3.32) North Carolina 4.57 (3.84 - 5.42) 11.02 (9.30 - 13.00) 3.56 (2.84 - 4.45) North Dakota 5.11 (4.26 - 6.12) 12.06 (10.01 - 14.47) 3.72 (2.90 - 4.76) Ohio 5.18 (4.51 - 5.94) 11.99 (10.53 - 13.62) 4.11 (3.42 - 4.93) Oklahoma 4.53 (3.73 - 5.50) 11.21 (9.18 - 13.62) 3.41 (2.64 - 4.38) Oregon 5.36 (4.38 - 6.54) 12.50 (10.34 - 15.03) 4.32 (3.35 - 5.56) Pennsylvania 4.17 (3.58 - 4.86) 10.32 (8.89 - 11.95) 3.24 (2.64 - 3.97) Rhode Island 4.66 (3.82 - 5.67) 11.11 (9.09 - 13.51) 3.53 (2.71 - 4.59) South Carolina 4.90 (3.97 - 6.02) 11.68 (9.66 - 14.05) 3.87 (2.95 - 5.06) South Dakota 4.21 (3.47 - 5.12) 12.35 (10.26 - 14.78) 2.86 (2.15 - 3.79) Tennessee 4.48 (3.63 - 5.52) 10.69 (8.77 - 12.97) 3.52 (2.68 - 4.61) Texas 3.66 (3.20 - 4.18) 9.10 (7.92 - 10.44) 2.70 (2.24 - 3.25) Utah 6.47 (5.41 - 7.71) 13.74 (11.36 - 16.51) 4.85 (3.83 - 6.13) Vermont 5.22 (4.23 - 6.41) 12.12 (9.95 - 14.68) 4.03 (3.05 - 5.30) Virginia 4.16 (3.48 - 4.97) 10.33 (8.60 - 12.36) 3.19 (2.53 - 4.02) Washington 5.30 (4.31 - 6.50) 11.48 (9.48 - 13.85) 4.39 (3.38 - 5.68) West Virginia 5.26 (4.27 - 6.46) 11.60 (9.57 - 13.99) 4.35 (3.34 - 5.67) Wisconsin 5.17 (4.20 - 6.35) 12.16 (10.12 - 14.54) 4.05 (3.07 - 5.31) Wyoming 5.04 (4.14 - 6.11) 12.84 (10.56 - 15.53) 3.84 (2.97 - 4.96)

NOTE: Respondents were asked, "At any time in the past 12 months, did you seriously think about trying to kill yourself?" If they answered "Yes," they were categorized as having serious thoughts of suicide in the past year.

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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Table 31 Major Depressive Episode in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs

State 18+

(Estimate)

18+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) Total U.S. 7.14 (6.92 - 7.36) 13.84 (13.35 - 14.35) 13.40 (12.94 - 13.88) 6.14 (5.91 - 6.38) Northeast 6.76 (6.35 - 7.20) 12.34 (11.55 - 13.17) 12.84 (11.96 - 13.78) 5.82 (5.36 - 6.31) Midwest 7.76 (7.38 - 8.15) 14.75 (13.98 - 15.55) 14.26 (13.48 - 15.07) 6.70 (6.29 - 7.14) South 6.80 (6.49 - 7.13) 13.44 (12.77 - 14.14) 12.51 (11.87 - 13.19) 5.91 (5.56 - 6.27) West 7.39 (6.98 - 7.84) 14.71 (13.83 - 15.62) 14.44 (13.48 - 15.45) 6.26 (5.81 - 6.74) Alabama 8.37 (6.98 - 10.01) 13.13 (10.99 - 15.62) 11.59 (9.48 - 14.10) 7.86 (6.32 - 9.74) Alaska 8.05 (6.84 - 9.44) 15.21 (12.93 - 17.82) 14.25 (11.93 - 16.93) 7.05 (5.76 - 8.61) Arizona 7.16 (5.97 - 8.56) 15.93 (13.51 - 18.70) 13.22 (10.86 - 15.99) 6.17 (4.89 - 7.76) Arkansas 8.24 (6.99 - 9.69) 14.74 (12.51 - 17.29) 13.94 (11.73 - 16.49) 7.32 (5.96 - 8.96) California 6.72 (6.10 - 7.41) 13.71 (12.35 - 15.18) 13.91 (12.42 - 15.54) 5.54 (4.87 - 6.30) Colorado 8.56 (7.29 - 10.03) 13.99 (11.65 - 16.72) 17.61 (14.98 - 20.59) 7.13 (5.76 - 8.79) Connecticut 7.02 (5.85 - 8.40) 14.24 (12.01 - 16.80) 13.69 (11.43 - 16.31) 5.94 (4.67 - 7.54) Delaware 8.03 (6.76 - 9.52) 13.05 (10.98 - 15.44) 13.49 (11.27 - 16.07) 7.25 (5.86 - 8.93) District of Columbia 8.25 (7.03 - 9.67) 10.53 (8.73 - 12.65) 13.17 (10.75 - 16.03) 7.35 (6.03 - 8.94) Florida 6.14 (5.45 - 6.91) 13.17 (11.73 - 14.76) 12.33 (10.92 - 13.90) 5.31 (4.57 - 6.17) Georgia 7.09 (6.16 - 8.16) 12.52 (10.61 - 14.71) 13.65 (11.67 - 15.90) 6.01 (4.99 - 7.23) Hawaii 6.22 (5.17 - 7.47) 12.93 (10.67 - 15.59) 11.82 (9.63 - 14.43) 5.48 (4.36 - 6.87) Idaho 8.43 (7.21 - 9.84) 16.70 (14.23 - 19.50) 16.79 (14.26 - 19.67) 7.05 (5.73 - 8.65) Illinois 6.80 (6.00 - 7.70) 14.86 (13.06 - 16.87) 13.39 (11.65 - 15.35) 5.76 (4.89 - 6.76) Indiana 8.65 (7.44 - 10.05) 15.71 (13.39 - 18.34) 14.68 (12.21 - 17.54) 7.62 (6.28 - 9.21) Iowa 8.27 (7.01 - 9.72) 15.09 (12.69 - 17.85) 13.52 (11.26 - 16.16) 7.34 (5.95 - 9.03) Kansas 7.51 (6.35 - 8.87) 14.95 (12.64 - 17.60) 13.05 (10.83 - 15.65) 6.54 (5.26 - 8.10) Kentucky 8.42 (7.11 - 9.94) 13.61 (11.43 - 16.12) 12.88 (10.62 - 15.55) 7.71 (6.26 - 9.46) Louisiana 8.24 (6.93 - 9.77) 12.84 (10.77 - 15.23) 12.46 (10.39 - 14.87) 7.57 (6.14 - 9.29) Maine 8.26 (6.99 - 9.73) 15.45 (13.14 - 18.09) 17.09 (14.52 - 20.02) 7.12 (5.77 - 8.76) Maryland 6.37 (5.32 - 7.60) 13.02 (10.94 - 15.42) 13.72 (11.40 - 16.42) 5.27 (4.15 - 6.67) Massachusetts 7.21 (6.10 - 8.51) 13.86 (11.70 - 16.35) 14.30 (11.92 - 17.07) 6.01 (4.81 - 7.49) Michigan 7.44 (6.59 - 8.38) 15.36 (13.61 - 17.29) 13.46 (11.77 - 15.35) 6.45 (5.53 - 7.50) Minnesota 7.42 (6.34 - 8.67) 14.04 (11.81 - 16.60) 17.21 (14.46 - 20.35) 5.89 (4.73 - 7.32) Mississippi 7.75 (6.52 - 9.19) 12.15 (10.17 - 14.45) 11.74 (9.60 - 14.28) 7.08 (5.72 - 8.73) Missouri 9.07 (7.71 - 10.64) 14.78 (12.50 - 17.39) 13.35 (10.98 - 16.13) 8.39 (6.88 - 10.20) Montana 7.81 (6.67 - 9.11) 14.40 (12.13 - 17.02) 15.39 (12.93 - 18.24) 6.62 (5.41 - 8.07)

See notes at end of table. (continued)

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Table 31 Major Depressive Episode in the Past Year, by Age Group and State: Percentages, Annual Averages Based on 2017 and 2018 NSDUHs (continued)

State 18+

(Estimate)

18+ (95% Confidence

Interval) 12-17

(Estimate)

12-17 (95% Confidence

Interval) 18-25

(Estimate)

18-25 (95% Confidence

Interval) 26+

(Estimate)

26+ (95% Confidence

Interval) Nebraska 6.82 (5.77 - 8.04) 14.20 (11.99 - 16.74) 13.55 (11.18 - 16.32) 5.64 (4.54 - 6.99) Nevada 7.05 (5.89 - 8.42) 15.11 (12.58 - 18.06) 15.00 (12.40 - 18.03) 5.93 (4.71 - 7.46) New Hampshire 8.17 (6.90 - 9.64) 15.08 (12.80 - 17.68) 15.07 (12.50 - 18.06) 7.12 (5.77 - 8.76) New Jersey 5.58 (4.70 - 6.62) 11.95 (10.07 - 14.12) 11.65 (9.71 - 13.91) 4.70 (3.78 - 5.83) New Mexico 7.25 (6.06 - 8.66) 17.43 (14.78 - 20.44) 14.19 (11.69 - 17.12) 6.13 (4.86 - 7.70) New York 6.43 (5.70 - 7.23) 11.40 (10.07 - 12.89) 11.71 (10.23 - 13.37) 5.60 (4.81 - 6.50) North Carolina 7.00 (6.02 - 8.12) 15.05 (13.03 - 17.33) 12.83 (10.89 - 15.06) 6.09 (5.04 - 7.35) North Dakota 8.40 (7.21 - 9.77) 13.75 (11.60 - 16.23) 14.05 (11.71 - 16.76) 7.28 (5.98 - 8.84) Ohio 8.00 (7.14 - 8.95) 13.73 (12.19 - 15.43) 14.83 (13.14 - 16.69) 6.93 (6.00 - 8.00) Oklahoma 8.17 (6.93 - 9.61) 16.48 (13.97 - 19.34) 14.65 (12.20 - 17.49) 7.08 (5.73 - 8.72) Oregon 8.86 (7.57 - 10.35) 17.57 (15.00 - 20.48) 15.32 (12.85 - 18.16) 7.92 (6.51 - 9.60) Pennsylvania 7.27 (6.44 - 8.21) 11.88 (10.36 - 13.59) 13.54 (11.87 - 15.41) 6.32 (5.40 - 7.39) Rhode Island 8.06 (6.77 - 9.57) 13.40 (11.13 - 16.05) 12.56 (10.27 - 15.27) 7.27 (5.86 - 8.99) South Carolina 6.99 (5.88 - 8.29) 13.56 (11.39 - 16.07) 12.34 (10.32 - 14.69) 6.18 (4.98 - 7.66) South Dakota 6.41 (5.37 - 7.63) 12.53 (10.37 - 15.06) 15.11 (12.60 - 18.03) 4.96 (3.86 - 6.36) Tennessee 6.94 (5.84 - 8.22) 12.27 (10.28 - 14.59) 12.59 (10.38 - 15.17) 6.06 (4.90 - 7.48) Texas 5.89 (5.28 - 6.58) 13.20 (11.75 - 14.80) 11.41 (10.03 - 12.95) 4.93 (4.26 - 5.69) Utah 9.97 (8.68 - 11.42) 16.64 (14.09 - 19.54) 16.09 (13.48 - 19.09) 8.61 (7.18 - 10.30) Vermont 8.52 (7.26 - 9.99) 14.65 (12.43 - 17.18) 15.96 (13.32 - 19.02) 7.24 (5.87 - 8.91) Virginia 6.26 (5.32 - 7.35) 14.28 (12.25 - 16.57) 12.74 (10.85 - 14.90) 5.24 (4.24 - 6.46) Washington 8.53 (7.25 - 10.02) 15.66 (13.31 - 18.33) 14.42 (12.08 - 17.13) 7.66 (6.27 - 9.33) West Virginia 8.81 (7.43 - 10.43) 14.66 (12.32 - 17.35) 14.69 (12.30 - 17.45) 7.98 (6.47 - 9.81) Wisconsin 8.14 (6.96 - 9.49) 15.31 (13.07 - 17.87) 15.30 (12.90 - 18.06) 6.99 (5.71 - 8.53) Wyoming 6.98 (5.83 - 8.34) 14.91 (12.58 - 17.58) 14.14 (11.80 - 16.87) 5.89 (4.66 - 7.41)

NOTE: Major depressive episode (MDE) is defined as in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which specifies a period of at least 2 weeks when an individual experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. For details, see Section B of the "2017-2018 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.

NOTE: There are minor wording differences in the questions in the adult and adolescent MDE modules. Therefore, data from youths aged 12 to 17 were not combined with data from adults aged 18 or older to produce an estimate for those aged 12 or older.

NOTE: State and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. For the "Total U.S." row, design-based (direct) estimates and corresponding 95 percent confidence intervals are given.

Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2017 and 2018.

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