# Presentation: 520478

## Results from the2006 National Survey onDrug Use and Health(NSDUH)

**Briefing for DHHS, September 5, 2007**
**Joe Gfroerer**
**Office of Applied Studies**
**Substance Abuse and Mental Health Services Administration**

## NSDUH Design

**Representative nationally and in each State**
**Civilian, noninstitutional population, age 12+**
**Face-to-face interview**
**Computer-assisted, self-administered**
**67,802 respondents in 2006**
**Data comparable with 2002, 2003,  2004, and 2005, but not with data prior to 2002**

## Illicit Drug Use

## Past Month Use of Specific Illicit Drugs among Persons Aged 12 or Older: 2006

## Past Month Use of Selected Illicit Drugs among Persons Aged 12 or Older: 2002-2006

**Fig**
**2.2**

**Percent Using in Past Month**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

## Past Month Nonmedical Use of Prescription Drugs (Psychotherapeutics) among Persons 12+:2002-2006

**Percent Using in Past Month**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

## Source Where Pain Relievers Were Obtained for Most Recent Nonmedical Use among Past Year Users Aged 12 or Older: 2006

**Source Where Pain Relievers Were Obtained for Most Recent Nonmedical Use among Past Year Users Aged 12 or Older: 2006**

**Note: Totals may not sum to 100% because of rounding or because suppressed estimates are not shown.**
**1**** The Other category includes the sources: “Wrote Fake Prescription,” “Stole from Doctor’s Office/Clinic/Hospital/Pharmacy,” and “Some Other Way.”**

**Bought/Took  ****from Friend/Relative****14.8%**

**Drug Dealer/****Stranger****3.9%**

**Bought on ****Internet****0.1%**

**Other**** 1****4.9%**

**Free from ****Friend/Relative****7.3%**

**Bought/Took from****Friend/Relative****4.9%**

**One****Doctor**
**80.7%**

**Drug Dealer/****Stranger****1.6%**

**Other**** 1****2.2%**

**Source Where Respondent Obtained**

**Source Where Friend/Relative Obtained**

**One Doctor**
**19.1%**

**More than One Doctor**
**1.6%**

**Free from ****Friend/Relative****55.7%**

**More than One Doctor****3.3%**

## Past Month Illicit Drug Use among Persons Aged 12+, by Age: 2002-2006

**Percent Using in Past Month**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

## Past Month Use of Selected Illicit Drugs among Youths Aged 12 to 17:2002-2006

**Fig**
**2.5**

**Percent Using in Past Month**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

## Past Month Marijuana Use among Youths Aged 12 to 17, by Gender:2002-2006

**Fig**
**2.9**

**Percent Using in Past Month**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

## Past Month Use of Selected Illicit Drugs among Young Adults Aged 18 to 25:2002-2006

**Fig**
**2.6**

**Percent Using in Past Month**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

## Past Month Nonmedical Use of Prescription Drugs among Young Adults Aged 18 to 25: 2002-2006

**Percent Using in Past Month**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

## Illicit Drug Use among Adults Aged 50 to 54, by Type of Drug: 2002-2006

**Percent Using in Past Month**

**3.4****+**

**3.9****+**

**5.2**

**4.8**

**6.0**

**+****	****Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

## New Estimates of Methamphetamine Use

**New questions added to 2005 and 2006 NSDUH outside core stimulants module to  capture meth use among those who may have failed to report it in core **
**Resulted in 15-25% increase in prevalence of meth use**
**However, estimates for meth incidence, and composite prevalences (e.g., any stimulant, any psychotherapeutic, any illicit) do not incorporate data from the new meth questions.**
**Estimates of meth use for 2002-2005 are statistically adjusted for comparability with new 2006 meth estimates**

**Issue: Respondents may underreport use of methamphetamine because questions are embedded in core prescription stimulant module.**

## Past Year Methamphetamine Use among Persons Aged 12+, by Age: 2002-2006 

**Percent Using in Past Year**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

**Note: Estimates are based on new 2006 questions. 2002-2005 estimates are adjusted for comparability.**

## Past Year Methamphetamine Use among Persons Aged 12+, by Region: 2002 and 2006

**Percent Using in Past Year**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

**Note: Estimates are based on new 2006 questions. 2002 estimates are adjusted for comparability.**

## Past Month Alcohol Use

_**Any Use**_**:****	****	**** ****	****51%****	****(125 million)**
_**Binge Use**_**:****	****	****23%****	****(57 million)**
_**Heavy Use**_**:****	****	****  7%****	****(17 million)**

**(Current, Binge, and Heavy Use estimates are similar to those in 2002, 2003, 2004, and 2005)**

## Past Month Alcohol Use among Persons Aged 12 to 20, by Age: 2002-2006

**Percent Using in Past Month**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

## Heavy Alcohol Use among Adults Aged 18 to 22, by College Enrollment: 2002-2006

**Fig**
**3.4**

**Percent Using in Past Month**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

## Driving Under the Influence of Alcohol in the Past Year among Persons Aged 12 or Older: 2002-2006

**Fig**
**3.5**

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

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

## Tobacco Use

## Past Month Use of Tobacco Products among Youths Aged 12-17: 2002-2006

**Percent Using in Past Month**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

- +

- +

- +

- +

## Past Month Cigarette Use among Persons Aged 12 or Older, by Age: 2006

**Percent Using in Past Month**

**Fig**
**4.3**

## Past Month Cigarette Use among Women Aged 15 to 44, by Age and Pregnancy Status: 2005-2006 Combined

**Fig**
**4.5**

**Percent Using in Past Month**

## Initiation of Substance Use

## Past Year Initiates for Specific Illicit Drugs among Persons Aged 12 or Older: 2006

**Fig**
**5.1**

**Numbers in Thousands**

## Mean Age at First Use for Specific Illicit Drugs among Past Year Initiates Aged 12 to 49: 2006

**Fig**
**5.2**

**Age in Years**

## 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: 2002-2006

**Fig**
**5.3**

**Numbers in Millions**

**Age in Years**

**1 ****Mean-age-at-first-use estimates are for recent initiates aged 12 to 49.**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

## Past Year Ecstasy Initiates among Persons Aged 12 or Older and Mean Age at First Use of Ecstasy among Past Year Ecstasy Initiates Aged 12 to 49: 2002-2006

**Fig**
**5.4**

**Numbers in Thousands**

**Age in Years**

**1 ****Mean-age-at-first-use estimates are for recent initiates aged 12 to 49.**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

## 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: 2002-2006

**Fig**
**5.5**

**Numbers in Thousands**

**Age in Years**

**1 ****Mean-age-at-first-use estimates are for recent initiates aged 12 to 49.**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

## Past Year Cigarette Initiates among Persons Aged 12 or Older, by Age at First Use: 2002-2006

**Numbers in Millions**

**1.9****+**

**2.0****+**

**2.3**

**Fig**
**5.6**

**2.1****+**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

**2.4**

## Youth Prevention-Related Measures: Perceived Risk of Harm (“physically and in other ways”)and Perceived Availability(“fairly or very easy to get”)

## Perceived Great Risk of Using Substances Once or Twice A Week Among Youths Aged 12 to 17: 2002 and 2006

**Percent Perceiving Great Risk**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

- +

- +

- +

## Perceived Availability of Substances Among Youths Aged 12-17: 2002 and 2006

**Percent Perceiving Fairly or Very Easy to Obtain**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

- +

- +

- +

## Substance Dependence and Abuse (DSM-IV) and Treatment

## Substance Dependence or Abuse in the Past Year among Persons Aged 12+: 2002-2006

**Fig**
**7.1**

**Numbers in Millions**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

**Note: Due to rounding, the percentages may not add to the total.**

## Dependence on or Abuse of Specific Illicit Drugs in the Past Year among Persons Aged 12 or Older: 2006

**Fig**
**7.2**

## Need for and Receipt of Specialty Treatment in the Past Year for Illicit Drug or Alcohol Use among Persons Aged 12 or Older: 2006

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

**Note: Percentages in parentheses represent the percentage of persons who received specialty treatment among those who needed treatment.**
**Note: Due to rounding, the estimates may not add to the total.**

## Past Year Perceived Need for and Effort Made to Receive Treatment among Persons Aged 12+ Needing But Not Receiving Specialty Treatment for Illicit Drug or Alcohol Use: 2006

**Past Year Perceived Need for and Effort Made ****to Receive Treatment among Persons ****Aged 12+ Needing But Not Receiving Specialty Treatment for Illicit Drug or Alcohol Use: 2006**

**Fig**
**7.7**

## Reasons for Not Receiving Substance Use Treatment among Persons Aged 12+ Who Needed and Made Effort to Get Treatment But Did Not Receive Specialty Treatment and Felt They Needed Treatment: 2004-2006 Combined

**Fig**
**7.8**

## Locations Where Past Year Substance Use Treatment Was Received among Persons Aged 12 or Older: 2006

**Fig**
**7.5**

*** Specialty Substance Use Treatment.**

## Substances for Which Most Recent Treatment Was Received in the Past Year among Persons Aged 12 or Older: 2006

**Fig**
**7.6**

## Substances for Which Most Recent Treatment Was Received in the Past Year among Youths Aged 12 to 17: 2006

**Numbers in Thousands**

## Prevalence and Treatment of Mental Health Problems

## Major Depressive Episode in the Past Year among Youths Aged 12 to 17, by Year, Gender, and Age: 2004-2006

**Percent with MDE in Past Year**

**2004**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

**2005**

**2006**

**Male**

**Female**

**2006**

**12-13**

**14-15**

**16-17**

## Major Depressive Episode in the Past Year among Adults Aged 18 or Older, by Year, Gender, and Age: 2004-2006

**Percent with MDE in Past Year**

**2004**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

**2005**

**2006**

**Male**

**Female**

**18-25**

**26-49**

**50+**

**2006**

## Serious Psychological Distress in the Past Year among Adults Aged 18 or Older, by Year, Gender, and Age: 2004-2006

**Percent with SPD in Past Year**

**2004**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

**2005**

**2006**

**Male**

**Female**

**18-25**

**26-49**

**50+**

**2006**

## Co-Occurrence of Serious Psychological Distress and Substance Use Disorder in the Past Year among Adults Aged 18 or Older: 2006

**15.0 Million**

**19.3**
**Million**

**Co-Occurring**
**SUD and SPD**

**Substance Use Disorder (SUD) Only**

**Serious Psychological Distress (SPD) Only**

**5.6 Million**

## Past Year Treatment among Adults Aged 18 or Older with Both Serious Psychological Distress and a Substance Use Disorder: 2006

**Fig**
**8.2**

**5.6 Million Adults with Co-Occurring SPD and Substance Use Disorder**

## Past Year Treatment for Mental Health Problems among Adults Aged 18 or Older, by Type of Treatment: 2002-2006

**Fig**
**8.6**

**Percent Receiving Treatment in the Past Year**

**+**** Difference between this estimate and the 2006 estimate is statistically significant at the .05 level.**

## Reasons for Not Receiving Mental Health Treatment in the Past Year among Adults Aged 18 or Older with an Unmet Need for Treatment Who Did Not Receive Treatment: 2006

**Fig**
**8.7**

## Trends: Comparisons with Other Surveys

## Average Annual Percent Changes in Youth Substance Use, by Survey

|  | NSDUH(Aged 12-17)2002-2006 | MTF(8th, 10th, 12th)2001-2006 | YRBS(9th – 12th)2001-2005 |
| --- | --- | --- | --- |
| Illicit Drugs (PM) | 	-4.1% | 	-6.3% | N.A. |
| Marijuana (PM) | 	-4.9% | 	-6.7% | 	-4.2% |
| Cocaine (LT) | 	-5.0% | 	-2.1% | 	-5.2% |
| Methamph. (LT) | 	-6.4% | 	-12.7% | 	-10.8% |
| Alcohol (PM) | 	-1.4% | 	-3.3% | 	-2.1% |
| Cigarettes (PM) | 	-5.4% | 	-8.2% | 	-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 2006.**
**PM=Past Month; LT=Lifetime.**

## Marijuana and Cocaine Use among Young Adults: NSDUH and MTF, 2002-2006 

**Percent Using in Past Year**

**Marijuana**

**Cocaine**

## Ecstasy and LSD Use among Young Adults: NSDUH and MTF,  2002-2006

**Percent Using in Past Year**

**Ecstasy**

**LSD**

## Next from NSDUH

**Short reports using 2006 data**
**Report on impact of Katrina and Rita on Gulf region (Fall 2007) (2004-2006 data)**
**Report on underage alcohol use (Spring 2008) (2002-2006 data)**
**2006 State report (Spring 2008)**
**2006 Substate Report (Summer 2008)**
**2006 public use data file (Fall 2007)**