# Presentation: 102199

## Results from the2003 National Survey on Drug Use and Health (NSDUH)

**Substance Abuse and Mental Health Services Administration**

## NSDUH Design

**Representative nationally and in each State**
**Civilian, noninstitutionalized population**
**Aged 12 or older**
**Face-to-face interview**
**Computer-assisted, self-administered**
**67,784 respondents in 2003**
**2003 data comparable with 2002 data, but not with data prior to 2002**

## Tobacco Use

## Tobacco Use among Persons Aged 12 or Older: 2002 and 2003

**Fig**
**4.1**

**Percent Using in Past Month**

## Tobacco Use among Youths Aged 12 to 17: 2002 and 2003

**Fig**
**4.2**

**Percent Using in Past Month**

## Cigarette Use among Youths Aged 12 to 17, by Age: 2002 and 2003

**Fig**
**4.3**

**Percent Using in Past Month**

**Age in Years**

******, ******** = Significant change 2002 to 2003**

****

## Cigarette Use, by Age Group and Gender: 2002 and 2003

**Fig**
**4.4**

**Percent Using in Past Month**

**Age in Years**

**12-17**

**18-25**

**26 or Older**

******, ******** = Significant change 2002 to 2003**

****

## Cigarette Use among Youths Aged 12 to 17, by Race/Ethnicity: 2003

**Fig**
**4.5**

**Percent Using in Past Month**

**Note: Due to low precision, estimates for Native Hawaiians or Other Pacific Islanders are not shown.**

## Cigarette Use and Nicotine Dependence, by Age: 2003

**Fig**
**4.7**

**Age in Years**

**12-13**

**14-15**

**16-17**

**18-20**

**21-25**

**26-29**

**30-34**

**35-39**

**40-44**

**45-49**

**50-54**

**55-59**

**60-64**

**65+**

**Percent in Past Month**

**2.5**

**11.0**

**23.2**

**38.1**

**41.6**

**36.8**

**30.9**

**29.0**

**31.1**

**28.9**

**25.0**

**21.8**

**16.5**

**10.0**

**3.8**

**9.7**

**16.7**

**20.3**

**18.1**

**16.5**

**19.1**

**21.4**

**19.2**

**18.1**

**15.9**

**12.0**

**6.4**

**0.6**

## Alcohol Use in 2003

_**Any Use**_**:****	****50%****	****(119 million)**
_**Binge Use**_**:****	****23%****	****(54 million)**
_**Heavy Use**_**:****	****7%****	****(16 million)**
**No significant changes from 2002 to 2003**

## Current, Binge, and Heavy Alcohol Use, by Age: 2003

**Fig**
**3.1**

**Age in Years**

**12-13**

**14-15**

**16-17**

**18-20**

**21-25**

**26-29**

**30-34**

**35-39**

**40-44**

**45-49**

**50-54**

**55-59**

**60-64**

**65+**

**Percent Using in Past Month**

**4.5**

**17.0**

**31.8**

**51.5**

**67.8**

**61.7**

**59.2**

**59.5**

**58.6**

**57.7**

**54.0**

**52.9**

**46.2**

**34.4**

## Current, Binge, and Heavy Alcohol Use among Persons Aged 12 to 20, by Gender: 2002 and 2003

**Percent Using in Past Month**

**Total 12-20**

**Males 12-20**

**Females 12-20**

**6.2**

**6.1**

**8.1**

**4.2**

**7.9**

**4.3**

**28.8**

**29.0**

**29.6**

**28.0**

**29.9**

**28.1**

## Heavy Alcohol Use, by College Attendance and Age: 2003

**Fig**
**3.4**

**Enrolled Full Time in College**

**Not Enrolled Full Time in College**

**Graduated from College**

**Some College or Less**

**Aged 18 to 22**

**Aged 26 or Older**

**Percent Using in Past Month**

## Driving Under the Influence of Alcohol among Persons Aged 12 or Older: 2002 and 2003

**Percent Driving Under the **
**Influence of Alcohol in Past Year**

******, ******** = Significant change 2002 to 2003**

****

## Driving Under the Influence of Alcohol, by Age: 2003

**Fig**
**3.6**

**Percent Driving Under the Influence in Past Year**

**Age in Years**

**16-17**

**18-20**

**21-25**

**26-29**

**30-34**

**35-39**

**40-44**

**45-49**

**50-54**

**55-59**

**60-64**

**65+**

## Illicit Drug Use

## Types of Drugs Used by Past Month Illicit Drug Users Aged 12 or Older: 2003

**Fig**
**2.1**

**Marijuana and Some Other Drug**

**Marijuana Only**

**Only Drug Other Than Marijuana**

**19.5 Million Illicit Drug Users**

## Use of Selected Illicit Drugs among Persons Aged 12 or Older: 2002 and 2003

**Fig**
**2.2**

**Percent Using in Past Month**

**Any Drug**

**Psycho-therapeutics**

**Hallucinogens**

**Marijuana**

**Cocaine**

**Inhalants**

## Past Year Users of Selected Hallucinogens among Persons Aged 12 or Older: 2002 and 2003

**Fig**
**2.3**

**Numbers of Past Year Users (in Millions)**

******, ******** = Significant change 2002 to 2003**

****

****

****

## Lifetime Nonmedical Users of Selected Pain Relievers among Persons Aged 12 or Older: 2002 and 2003

**Fig**
**2.4**

**Numbers of Lifetime Users (in Millions)**

**Vicodin****®****,**
**Lortab****®****,**
**or Lorcet****®**

**Percocet****®****,**
**Percodan****®****,**
**or Tylox****®**

**Hydro-**
**codone**

**Tramadol**

****

******, ******** = Significant change 2002 to 2003**

****

****

****

****

****

**Any Pain Reliever**

****

**Oxy-**
** ****Contin****®**

**Methadone**

## Illicit Drug Use among Persons Aged 12 or Older, by County Type: 2002 and 2003

**Fig**
**2.10**

**Percent Using in Past Month**

******, ******** = Significant change 2002 to 2003**

****

**Metropolitan Areas**

**Nonmetropolitan Areas**

## Illicit Drug Use, by Age: 2003

**Fig**
**2.5**

**Percent Using in Past Month**

**Age in Years**

**12-13**

**14-15**

**16-17**

**18-20**

**21-25**

**26-29**

**30-34**

**35-39**

**40-44**

**45-49**

**50-54**

**55-59**

**60-64**

**65+**

## Rate of Illicit Drug Use among Adults Aged 18 or Older, by Employment Status: 2003

**Rate of Illicit Drug Use among Adults Aged 18 or Older, by Employment Status: 2003**

**Percent Using in Past Month**

**__________**
***Retired person, disabled person, homemaker, student, or other person not in the labor force.**

## Number of Illicit Drug Users among Adults Aged 18 or Older, by Employment Status: 2003

**Numbers of Persons (in Millions)**

**__________**
***Retired person, disabled person, homemaker, student, or other person not in the labor force.**

## Illicit Drug Use among Youths Aged 12 to 17

## Use of Selected Illicit Drugs among Youths, by Age: 2003

**Fig**
**2.6**

**Percent Using in Past Month**

**Marijuana**

**Psychotherapeutics**

**Hallucinogens**

**Inhalants**

**Age in Years**

## Marijuana Use among Youths Aged 12 to 17: 2002 and 2003

**Fig**
**6.3**

**Percent Using Marijuana**

******, ******** = Significant change 2002 to 2003**

****

## Daily or Almost Daily Marijuana Users among Youths Aged 12 to 17: 2002 and 2003

**Fig**
**2.11**

**Numbers of Users (in Thousands)**

**Used on 300 or More Days in Past Year**

**Used on 20 or More Days in Past Month**

******, ******** = Significant change 2002 to 2003**

****

****

## Youth Prevention-Related Measures

## Perceived Great Risk of Use of Illicit Drugs among Youths Aged 12 to 17: 2002 and 2003

**Fig**
**6.2**

**Percent Perceiving Great Risk**

**Smoke Marijuana Once a Month**

**Use Cocaine**
**Once a Month**

**Try Heroin Once or Twice**

**Try LSD **
**Once or Twice**

****

******, ******** = Significant change 2002 to 2003**

## Perceived Great Risk of Cigarette and Alcohol Use among Youths Aged 12 to 17: 2002 and 2003

**Fig**
**6.4**

**Percent Perceiving Great Risk**

**Cigarettes**

**Alcohol**

## Perceived Availability of Marijuana among Youths Aged 12 to 17, by Age: 2002 and 2003

**Fig**
**6.5**

**Percent Indicating Easy to Obtain**

******, ******** = Significant change 2002 to 2003**

****

## Rates of Protective Factors among Youths Aged 12 to 17: 2002 and 2003

**Percent**

**Discussed Tobacco, Alcohol, or Drug Use with Parents**

**Saw or Heard Drug or Alcohol Prevention Message at School**

**Saw or Heard Drug or Alcohol Prevention Message Outside School**

**Perceived Parental Disapproval of Marijuana Use **

## Rates of Delinquent Behaviors among Youths Aged 12 to 17: 2002 and 2003

**Percent**

**Sold Illegal Drugs **

**Attacked Others with Intent to Seriously Hurt Them**

**Participated in Group-Against-Group Fight**

**Participated in Fight at School/Work **

**Carried a Handgun**

****

******, ******** = Significant change 2002 to 2003**

****

****

## Trends in Initiationof Substance Use

## Annual Numbers of New Users of Marijuana: 1965-2002

**Annual Numbers of New Users of Marijuana: 1965-2002**

**Fig**
**5.1**

**Thousands of New Users**

## Annual Numbers of New Users of Ecstasy, LSD, and PCP: 1965-2002

**Fig**
**5.2**

**Ecstasy**

**LSD**

**PCP**

**Thousands of New Users**

## Annual Numbers of New Nonmedical Users of Pain Relievers: 1965-2002

**Fig**
**5.3**

**Thousands of New Users**

**All Ages**

**Aged Under 18**

**Aged 18 or Older**

## Annual Numbers of New Users of Tobacco: 1965-2002

**Fig**
**5.4**

**Cigarettes**

**Daily Cigarettes**

**Smokeless Tobacco**

**Cigars**

**Thousands of New Users**

## Substance Dependence, Abuse, and Treatment

## Substance Dependence or Abuse among Persons Aged 12 or Older: 2002 and 2003

**Substance Dependence or ****Abuse among Persons Aged 12 or Older: 2002 and 2003**

**Fig**
**7.1**

**Numbers in Millions**

**3.2**

**3.1**

**22.0**

**21.6**

## Dependence or Abuse of Specific Illicit Drugs among Persons Aged 12 or Older: 2003

**Numbers (in Thousands) of Users with Dependence or Abuse**

## Need for and Receipt of Specialty Treatment for Illicit Drugs among Persons Aged 12 or Older: 2002 and 2003

**Fig**
**7.8**

**Numbers in Millions Needing Treatment in Past Year**

**7.7**

**7.3**

******, ******** = Significant change 2002 to 2003**

****

## Need for and Receipt of Specialty Treatment for Alcohol or Illicit Drugs among Persons Aged 12 or Older: 2002 and 2003

**Fig**
**7.8**

**Numbers in Millions Needing Treatment in Past Year**

**22.8**

**22.2**

******, ******** = Significant change 2002 to 2003**

****

## Locations Where Past Year Substance Treatment Was Received among Persons Aged 12 or Older: 2002 and 2003

**Fig**
**7.6**

**Numbers (in Thousands) Receiving Treatment**

******, ******** = Significant change 2002 to 2003**

****

****

****

****

***Outpatient Rehabilitation***

***Inpatient Rehabilitation***

***Mental Health Center***

***Hospital Inpatient***

## Past Year Perceived Need for Specialty Treatment among Persons Aged 12 or Older Needing Treatment for Alcohol or Illicit Drugs: 2003

**Past Year Perceived Need for Specialty Treatment among Persons Aged 12 or Older Needing Treatment for Alcohol or Illicit Drugs: 2003**

**Fig**
**7.9**

**Treated**
**(1.9 Million)**

**Not Treated and Did Not Feel They Needed Treatment**
**(19.3 Million)**

**Not Treated and**
**Did Feel They **
**Needed Treatment**
**(1.0 Million)**
**(26% Made Effort**
**to Get Treatment)**

**22.2 Million Needing Treatment for Illicit Drugs or Alcohol**

**87%**

**5%**

**8%**

## Reasons for Not Receiving Substance Use Treatment among Persons Aged 12 or Older Who Needed But Did Not Receive Treatment and Felt They Needed Treatment: 2003

**Fig**
**7.10**

**Percent Reporting Reason**

## Prevalence and Treatment of Mental Health Problems

## Serious Mental Illness (SMI)

_**Definition**_**: DSM-IV mental disorder and impairment in past year**
_**Measurement**_**: K-6 distress scale**
_**Prevalence in 2003**_**: 19.6 million adults with SMI (9.2%)**

## Rates of SMI among Adults Aged 18 or Older, by Age: 2002 and 2003

**Fig**
**8.1**

**Percent with Past Year SMI**

****

******, ******** = Significant change 2002 to 2003**

****

**Age in Years**

## Substance Use among Adults Aged 18 or Older, by SMI: 2003

**Substance Use among Adults ****Aged 18 or Older, by SMI: 2003**

**Fig**
**8.3**

**Percent Using**

## Past Year Receipt of and Perceived Need for Treatment for Mental Health Problems among Persons Aged 18 or Older with SMI: 2003

**Past Year Receipt of and Perceived Need for Treatment for Mental Health Problems among Persons Aged 18 or Older with SMI: 2003**

**Not Treated, **
**No Perceived Unmet Need**
**(7.8 Million)**

**Treated**
**(9.2 Million)**

**Not Treated, **
**Perceived**
**Unmet Need**
**(2.5 Million)**

**19.6 Million with SMI**

**47%**

**13%**

**40%**

## Treatment for Mental Health Problems among Adults Aged 18 or Older, by Type of Treatment and Past Year SMI: 2003

**Fig**
**8.5**

**Percent Receiving Treatment in the Past Year**

**Type of Treatment**

**13.2**

**0.8**

**7.2**

**10.9**

## Reasons for Not Receiving Treatment in the Past Year among Persons Aged 18 or Older with SMI Who Did Not Receive Treatment but Perceived an Unmet Need for Treatment in the Past Year: 2003

**Percent **

**Did Not Feel Need for Treatment/**
**Could Handle the Problem without Treatment**

**Fear of Being Committed/**
**Have to Take Medicine**

**Did Not Know Where to Go for Services**

## Substance Dependence or Abuse among Adults Aged 18 or Older, by SMI: 2003

**Fig**
**8.4**

**Percent Dependent or Abusing in Past Year**

## Co-Occurrence of SMI and Substance Use Disorders among Adults Aged 18 or Older: 2003

## Past Year Treatment among Adults Aged 18 or Older with Co-Occurring SMI and a Substance Use Disorder: 2003

**Fig**
**8.7**

**Substance Use Treatment Only**

**4.2 Million Adults with Co-Occurring SMI and Substance Use Disorder**

**Treatment for Both Mental Health and Substance Use Problems**

**No Treatment**

**39.8%**

**49.0%**

**7.5%**

**3.7%**

**Treatment Only for Mental Health Problems **

## Treatment for Mental Health Problems among Youths Aged 12 to 17: 2002 and 2003

**Fig**
**8.8**

**Percent Receiving Treatment in the Past Year**

******, ******** = Significant change 2002 to 2003**

****

## Treatment for Mental Health Problems among Youths Aged 12 to 17, by Age and Gender: 2003

**Fig**
**8.9**

**Percent Receiving Treatment in the Past Year**

## Reasons for Most Recent Treatment for Mental Health Problems among Youths Aged 12 to 17: 2003

**Fig**
**8.10**

**Percent among Youths Who Received Treatment in the Past Year**

## Summary: Decreases between 2002 and 2003

**Ecstasy, LSD Use**
**Youth Marijuana Use (Lifetime and Heavy)**
**Rural Illicit Drug Use**
**Female Youth Cigarette Use**
**DUI Alcohol**
**Specialty Treatment for Substance Use**

## Summary:Increases between 2002 and 2003

**Youth Perceived Great Risk in Marijuana Use**
**Youth Violence**
**Nonmedical Pain Reliever Use (Lifetime)**
**Adult Serious Mental Illness**
**Youth Treatment for Mental Problems**

## Questions