results from the 2005 national survey on drug use and health (nsduh)
DESCRIPTION
Results from the 2005 National Survey on Drug Use and Health (NSDUH). Briefing for DHHS September 5, 2006 Joe Gfroerer, OAS, SAMHSA. Average Annual Percent Changes in Youth Substance Use, by Survey. - PowerPoint PPT PresentationTRANSCRIPT
Results from the2005 National Survey
on Drug Use and Health (NSDUH)
Briefing for DHHS
September 5, 2006
Joe Gfroerer, OAS, SAMHSA
2
Average Annual Percent Changes in Youth Substance Use, by Survey
NSDUH
(12-17)
2002-2005
MTF
(8th, 10th, 12th)
2001-2005
YRBS
(9th – 12th)
2001-2005Any Illicit (PM) -5.2% -5.1% N.A.
Marijuana (PM) -6.1% -5.2% -4.2%
Cocaine (LT) -5.3% -1.8% -5.2%Methamph. (LT) -7.5% -9.8% -10.8%Alcohol (PM) -2.1% -3.0% -2.1%
Cigarettes (PM) -5.9% -6.9% -5.2%
Note: Numbers reflect the percent change occurring each year that would result in the overall change in prevalence from the base year to 2005.
PM=Past Month; LT=Lifetime.
3
NSDUH Design• Representative nationally and in each State
• Civilian, noninstitutional population, Age 12+
• Face-to-face interview
• Computer-assisted, self-administered
• 68,308 respondents in 2005
• Data comparable with 2002, 2003, and 2004, but not with data prior to 2002
4
Illicit Drug Use
5
Illicit Drug Use, Ages 12+: 2002-2005
Fig2.2
Percent Using in Past Month
2.6
0.9
6.2
0.2
2.5
0.80.4 0.30.5
6.2
0.4
2.7
1.0
0.3
6.1
0.30.4
6.0
2.6
1.0
0
1
2
3
4
5
6
7
Marijuana Psycho-therapeutics
Cocaine Hallucinogens Inhalants
2002200320042005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
6
Illicit Drug Use, by Age: 2002-2005
Fig2.6
Percent Using in Past Month
8.3
5.8
8.2
20.3
5.6
7.9
19.4
5.5
8.1
5.8
20.2
11.6+11.2+
10.6 9.9
20.1
0
3
6
9
12
15
18
21
12 or Older 12 to 17 18 to 25 26 or Older
2002200320042005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
Age in Years
7
Use of Selected Illicit Drugs, Youths Aged 12 to 17: 2002-2005
Fig2.5
Percent Using in Past Month
0.61.2
0.6 0.81.2
0.6 0.81.21.0+
4.0+
8.2+
1.31.0+
4.0+
7.9+
3.6
0.5
7.6+
6.8
3.3
0123456789
Marijuana Psycho-therapeutics
Cocaine Hallucinogens Inhalants
2002200320042005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
8
Marijuana Use, Ages 12 to 17: 2002-2005
Fig6.5
Percent Using Marijuana
13.3
6.88.2+
15.8+
20.6+
7.9+
15.0+
19.6+
7.6+
14.5+
19.0+
17.4
0
5
10
15
20
25
Lifetime Past Year Past Month
2002200320042005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
9
Marijuana Use by Gender, among Youths Aged 12 to 17: 2002-2005
Fig2.9
Percent Using in Past Month
7.5
6.27.2+
9.1+
7.2+
8.6+
7.1+8.1
0
2
4
6
8
10
12
Male Female
2002200320042005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
10
Marijuana Use by Geographic Region, Youths Aged 12 to 17: 2002-2005
Fig2.10
Percent Using in Past Month
8.08.7
6.8
8.67.3
6.0
7.96.9
6.26.8
7.7+8.1+
9.5+
8.7+
8.0+9.3+
0
2
4
6
8
10
12
14
Northeast Midwest South West
2002200320042005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
11
Use of Selected Illicit Drugs among Young Adults Aged 18 to 25: 2002-2005
Fig2.7
Percent Using in Past Month
6.0
0.4 0.42.0+
5.4+
0.51.9+
17.3
1.72.2
17.0
2.1+
16.1
1.5
6.1
0.51.52.6
6.3
16.6
02468
101214161820
Marijuana Psycho-therapeutics
Cocaine Hallucinogens Inhalants
2002200320042005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
12
Illicit Drug Use among Adults aged 50 to 59, by Type of Drug: 2002-2005
1.72.1
2.8 3.1
1.01.0
1.01.3
0.0
1.0
2.0
3.0
4.0
5.0
2002 2003 2004 2005
Other, no marijuanaMarijuana
Percent Using in Past Month
2.7+3.1
4.4
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level. Difference between 2002 and 2005 for marijuana is statistically significant at .05 level.
3.8
13
Past Month Methamphetamine Use and Past Year Illicit Drug or Stimulant Dependence or
Abuse, Ages 12+: 2002-2005
Fig2.3
Numbers in Thousands
597
63
607
250
92
583
346
130
512
257
103164+
0
100
200
300
400
500
600
700
Past MonthMethamphetamine Use
Past MonthMethamphetamine Use
and Illicit DrugDependence or Abuse
Past MonthMethamphetamine Use
and StimulantDependence or Abuse
2002200320042005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
14
Nonmedical Use of Prescription Drugs
15
Nonmedical Use of Prescription Drugs, Ages 12+: 2002-2005
Percent Using in Past Month
1.9
0.5
2.7
0.8
1.8
0.5
0.1
0.8
0.2+
2.6
0.1
2.0
0.50.7
2.5
0.7
0.1
2.6
1.9
0.4
0
1
1
2
2
3
3
Any Psycho-therapeutics
Pain Relievers Stimulants Sedatives Tranquilizers
2002200320042005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
16
Nonmedical Use of Prescription Drugs, Youths Aged 12 to 17: 2002-2005
Percent Using in Past Month
0.8 0.8
3.6
3.0
0.7
0.1
0.6
3.3
2.7
0.7
0.1
0.60.2+
3.2+
4.0+
0.2
0.9+0.9+
3.2+
4.0+
0.00.51.01.52.02.53.03.54.04.5
Any Psycho-therapeutics
Pain Relievers Stimulants Sedatives Tranquilizers
2002200320042005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
17
Nonmedical Use of Prescription Drugs, Young Adults Aged 18 to 25: 2002-2005
Percent Using in Past Month
1.2
0.2
1.6
6.0
4.7
1.3
0.2
1.7
6.1
4.7
1.4
0.2
1.8
6.3
4.7
1.3
0.2
1.9
4.1+
5.4+
0
1
2
3
4
5
6
7
Any Psycho-therapeutics
Pain Relievers Stimulants Sedatives Tranquilizers
2002200320042005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
18
Source Where Psychotherapeutics Were Obtained for Most Recent Nonmedical Use among Past Year
Users Aged 12 or Older: 2005Percent of Past Year Users
0
20
40
60
80
100
Pain Relievers Tranquilizers Methamphetamine Stimulants
OtherBought on InternetDrug Dealer/ Stranger1 or More DoctorsBought/Took from Friend/ RelativeFree from Friend/Relative
8
19
Nonmedical Use of Pain Relievers in Past Year among Persons Aged 12 or Older, by Substate Region: Percentages,
Annual Averages Based on 2002-2004
20
Past Month Alcohol Use
• Any Use: 52% (126 million)
• Binge Use: 23% (55 million)
• Heavy Use: 7% (16 million)
(Binge and Heavy Use estimates are similar to those in 2002, 2003, and 2004; Past month use increased
from 50% in 2004)
21
Current Alcohol Use among Persons Aged 12 to 20, by Age: 2002-2005
Percent Using in Past Month
28.8
51.0
29.0
51.5
28.7
51.1
28.2
16.5
51.1
17.6+ 17.7+17.6+
0
10
20
30
40
50
60
Overall 12 to 17 18 to 20
2002 2003 2004 2005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
22
Binge Drinking in the Past Month among Persons Aged 12 to 20, by Age: 2002-2005 Percent Using in Past Month
19.3
36.4
19.2
36.2
19.6
36.8
18.8
9.9
36.1
10.7+ 10.6 11.1+
0
10
20
30
40
Overall 12 to 17 18 to 20
2002 2003 2004 2005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level. 19
23
Driving Under the Influence of Alcohol, Ages 12+: 2002-2005
Fig3.5
Percent Driving Under the Influence in Past Year
13.6 13.5 13.014.2+
0
5
10
15
20
2002 2003 2004 2005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
24
Driving Under the Influence of Alcohol by Age: 2005
Fig3.6
8.3
19.8
27.9
22.6
17.4 16.7 16.913.8 12.8
8.6
4.92.9
0
5
10
15
20
25
30
35
16-17 18-20 21-25 26-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65+
Percent Driving Under the Influence in Past Year
Age in Years
25
Tobacco Use
26
Tobacco Use, Ages 12+: 2002-2005
Fig4.1
Percent Using in Past Month
5.43.3
0.83.3
5.4
26.0+
30.4+
0.7+
25.4
29.8
0.83.0
5.7
24.9
29.2
0.93.2
5.6
24.9
29.4
0
5
10
15
20
25
30
35
TobaccoProducts
Cigarettes Cigars SmokelessTobacco
Pipe Tobacco
2002200320042005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
27
Tobacco Use, Youths Aged 12 to 17: 2002-2005
Fig4.2
Percent Using in Past Month
2.00.6
2.00.6 0.7
4.2
2.10.6
4.5
13.0+
15.2+
4.5
12.2+
14.4+
2.3
4.8+
11.9+
14.4+
10.8
13.1
02468
1012141618
TobaccoProducts
Cigarettes Cigars SmokelessTobacco
Pipe Tobacco
2002200320042005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
28
Cigarette Use by Gender, Youths Aged 12 to 17: 2002-2005
Fig4.4
Percent Using in Past Month
11.3 10.7 10.8
13.6+
12.3+ 12.5+
11.9+ 12.5+
0
2
4
6
8
10
12
14
16
18
Male Female
2002200320042005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
29
Cigarette Use among Women Aged 15 to 44, by Age and
Pregnancy Status: 2004-2005 Combined
Fig4.5
Percent Using in Past Month
22.3
26.4
10.4
18.5
35.8
28.8
0
5
10
15
20
25
30
35
40
15 to 17 18 to 25 26 to 44
PregnantNot Pregnant
Age in Years
30
Substance Use among Pregnant Women, by Age: 2004-2005 Combined
Percent Using in Past Month
10.4
13.9
9.7
13.510.7
4.9
1.2
26.4
22.3
0
5
10
15
20
25
30
15 to 17 18 to 25 26 to 44
CigarettesAlcoholMarijuana
31
Initiation of Substance Use
32
Past Year Initiates for Specific Illicit Drugs, Ages 12+: 2005
Fig5.1
Numbers in Thousands
2,193 2,114
1,286
877 872647 615
247 243108 77
0
500
1,000
1,500
2,000
2,500
Marijuana Heroin
Pain Relievers
Inhalants
LSDTranquilizers PCPEcstasyCocaine
Stimulants Sedatives
33
Mean Age at First Use for Specific Illicit Drugs among Past Year Initiates
Aged 12 to 49: 2005
Fig5.2
Age in Years
16.1 16.5 17.4 18.319.7 20.1 20.7 21.2 22.2 22.9
25.7
0
5
10
15
20
25
30
PCP
HeroinEcstasy
Stimulants
Marijuana
SedativesLSD
CocaineInhalants
PainRelievers
Tranquilizers
34
Past Year Marijuana Initiates among Persons Aged 12 or Older and Mean Age at First Use of Marijuana among Past Year Marijuana
Initiates Aged 12 to 49: 2002-2005
Fig5.3
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
Numbers in Millions
2.22.0 2.1 2.1
0.0
0.5
1.0
1.5
2.0
2.5
3.0
2002 2003 2004 2005Past Year Initiates
Age in Years
17.0 17.1 17.416.8+
0
3
6
9
12
15
18
21
2002 2003 2004 2005
Mean Age at First Use1
1 Mean age at first use estimates are among recent initiates aged 12 to 49.
35
Past Year Methamphetamine Initiates among Persons Aged 12 or Older and Mean Age at First Use of
Methamphetamine among Past Year Methamphetamine Initiates Aged 12 to 49: 2002-2005
Fig5.4
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
Numbers in Thousands
260
192
318+
299+
0
50
100
150
200
250
300
350
2002 2003 2004 2005Past Year Initiates
Age in Years
18.920.4 20.6
18.6
0369
1215182124
2002 2003 2004 2005
Mean Age at First Use1
1 Mean age at first use estimates are among recent initiates aged 12 to 49.
36
Past Year Cigarette Initiates among Persons Aged 12 or Older,
by Age at First Use: 2002-2005
1.32 1.35 1.44 1.45
0.62 0.630.68 0.83
0.0
0.5
1.0
1.5
2.0
2.5
3.0
2002 2003 2004 2005
Initiated at Age 18 or OlderInitiated Prior to Age 18
Numbers in Millions
1.94+ 1.98+
2.28
Fig5.5
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
2.12
37
Youth Prevention-Related Measures:
Perceived Risk
38
Perceived Great Risk of Cigarette and Alcohol Use, Ages 12 to 17: 2002-2005
Fig6.2
Percent Perceiving Great Risk
38.2 38.5 38.1 38.4
62.2+63.1+61.6+64.2+ 67.5
61.8+ 63.868.3
0
10
20
30
40
50
60
70
80
Smoke 1 or More Packsof Cigarettes Per Day
Have 4 or 5 DrinksNearly Every Day
Have 5 or More DrinksOnce or Twice a Week
2002200320042005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
39
Perceived Great Risk of Use of Selected Illicit Drugs, Ages 12 to 17: 2002-2005
Fig6.4
Percent Perceiving Great Risk
34.9
54.4 57.0
34.032.4+
51.5+50.5+
58.5+
51.4+58.8+
49.654.7
35.0
56.5
48.8
55.0
0
10
20
30
40
50
60
70 2002200320042005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
Smoke Marijuana
Once a Month
Smoke Marijuana
Once or Twice a Week
Use Cocaine Once a Month
Try Heroin Once or Twice
40
Substance Dependence, Abuse, and Treatment
41
Substance Dependence or Abuse in the Past Year, Ages 12+: 2002-2005
Fig7.1
14.9 14.8 15.2 15.4
3.9 3.8 3.9 3.6
0
5
10
15
20
25
2002 2003 2004 2005
Alcohol Only Illicit Drug Only Both Alcohol and Illicit Drug
Numbers in Millions
22.0 21.6 22.2
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
22.5
3.2 3.1 3.33.4
42
Dependence on or Abuse of Illicit Drugs in the Past Year, Ages 12+: 2005
Fig7.2
Numbers in Thousands
97
221
227
371
409
419
1,546
1,549
4,090
0 1,000 2,000 3,000 4,000 5,000
Sedatives
Inhalants
Heroin
Hallucinogens
Stimulants
Tranquilizers
Pain Relievers
Cocaine
Marijuana
43
Substance Dependence or Abuse in the Past Year, by Age and Gender: 2005
Fig7.4
Percent Dependent or Abusing in Past Year
12.0
7.8
12.6
6.4
8.3
6.2
0
2
4
6
8
10
12
14
Aged 12 or Older Aged 12 to 17 Aged 18 or Older
MaleFemale
44
Need for and Receipt of Specialty Treatment in the Past Year for Illicit Drug or Alcohol
Use, Ages 12+: 2005
1.3 1.6 2.3
6.3
17.8
20.9
0
5
10
15
20
25
Illicit Drugs Alcohol Illicit Drugs or Alcohol
Did Not Receive SpecialtyTreatment
Received SpecialtyTreatment
Numbers in Millions Needing Treatment in Past Year
7.6
19.4
23.2
(17%) (8%) (10%)
Note: Percentages in parentheses represent the percentage of persons who received specialty treatment among those who needed treatment.
45
4.1%
Felt They Needed Treatment and Did
Make an Effort(296,000)
Did Not Feel They Needed
Treatment
Felt They Needed Treatment and Did Not
Make an Effort(865,000)
20.9 Million Needing But Not Receiving Treatment for Illicit Drug or Alcohol Use
1.4%94.4%
Past Year Perceived Need for and Effort Made to Receive Specialty Treatment among Persons Aged
12+ Needing But Not Receiving Treatment for Illicit Drug or Alcohol Use: 2005
Fig7.7
Note: Due to rounding, these percentages do not add to 100 percent.
46
Reasons for Not Receiving Substance Use Treatment among Persons Aged 12 or Older Who Needed and Made
an Effort to Get Treatment But Did Not Receive Treatment and Felt They Needed Treatment: 2004-2005 Combined
Fig7.8
Percent Reporting Reason
0.4
3.8
9.4
18.5
21.1
21.2
44.4
0 10 20 30 40 50
Other Access Barriers
Did Not Have Time
Cost/Insurance Barriers
Stigma
Did Not Know Where to Gofor Treatment
Treatment Would Not Help
Not Ready to Stop Using
47
Prevalence and Treatment of Mental Health Problems
48
SPD and MDE Measures • SPD measure is changed form last year’s report. We
now use the shorter version of the mental health module, used in half of 2004 sample. Thus, we have comparable 2004 (revised) and 2005 estimates, but we can’t compare with 2003 and earlier estimates.
• MDE youth and adult estimates should be kept separate due to questionnaire differences.
• Mental health treatment estimates for youth and adult should also be kept separate due to questionnaire differences.
49
Major Depressive Episode Among Adults, by Age: 2004-2005
Percent with MDE in Past Year
5.0
7.3
9.7
8.4
5.1
9.8+10.1
8.0+
0
2
4
6
8
10
12
18 or Older 18-25 26-49 50 or Older
20042005
Age in Years+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
50
Serious Psychological Distress Among Adults Aged 18+, by Age: 2004-2005
Fig8.1
Percent with SPD in Past Year
6.9
11.3
18.6
12.5
7.1
14.0+
20.2+
12.2+
0
5
10
15
20
25
18 or Older 18-25 26-49 50 or Older
20042005
Age in Years+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
51
Co-Occurrence of SPD and Substance Use Disorder in the Past Year among
Adults Aged 18 or Older: 2005
14.9 Million
19.4Million
Co-OccurringSUD and SPD
Substance Use Disorder (SUD) Only
Serious Psychological
Distress (SPD) Only
5.2 Million
52
Past Year Treatment among Adults Aged 18 or Older with Both Serious Psychological Distress and a Substance Use Disorder: 2005
Fig8.2
Substance Use Treatment Only
5.2 Million Adults with Co-Occurring SPD and Substance Use Disorder
Treatment for Both Mental Health and Substance Use Problems
No Treatment
34.3%
53.0%
8.5%
4.1%
Treatment Only for Mental Health Problems
Note: Due to rounding, these percentages do not add to 100 percent.
53
Past Year Treatment for Mental Health Problems by Type of Treatment,
Adults Aged 18 or Older: 2002-2005
Fig8.5
Percent Receiving Treatment in the Past Year
0.8
7.1
0.9
7.1
10.5
1.0
6.8
10.5
13.0
7.4+
0.7+
10.9
13.212.8
10.7
13.0
0
3
6
9
12
15
Any Treatment Inpatient Outpatient PrescriptionMedication
2002200320042005
+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
54
Reasons for Not Receiving Treatment in the Past Year among Adults Aged 18 or Older with an Unmet Need for Treatment for a Mental
Health Problem: 2005
Fig8.6
Percent among Adults Who Did Not Receive Treatment and Had Unmet Need
3.3
8.1
8.8
14.4
18.5
23.4
36.7
46.8
0 10 20 30 40 50
Did Not Feel Need for Treatment/Could Handle the Problem Without Treatment
Fear of Being Committed/ Have to Take Medicine
Cost/Insurance Issues
Treatment Would Not Help
Did Not Know Where to Go for Services
Stigma
Other Access Barriers
Did Not Have Time
55
Major Depressive Episode among Youths Aged 12 to 17, by Age:
2004-2005
Percent with MDE in Past Year
12.3
8.8
5.2
9.5
11.5
9.2
5.4
9.0
02468
10121416
12 to 17 12 to 13 14 to 15 16 to 17
2004 2005
Age in Years+ Difference between estimate and the 2005 estimate is statistically significant at the .05 level.
56
Substance Use among Youths Aged 12 to 17, by Major Depressive
Episode in the Past Year: 2005
Fig8.8
Percent Using Substance
38.0
25.2
19.3
5.3 3.8
18.0
12.1
7.2
2.5 2.2
0
5
10
15
20
25
30
35
40 Had Major DepressiveEpisode in the Past Year
Did Not Have MajorDepressive Episode in thePast Year
Past Year Illicit Drug
Use
Daily Cigarette Use in Past
Month
Past Month Heavy Alcohol
Use
Past Year Marijuana
Use
Past Year Psycho-
therapeutics Use
57
Next from NSDUH
• Short reports using 2005 data
• Analytic report on prescription drug misuse (Late September) (2002-2004 data)
• Analytic report on workplace issues (Fall 2006) (2002-2004 data)
• 2005 public use data file (Fall 2006)
• 2005 State report (early 2007)
58
Questions