# Presentation: 893557

## 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

|  |   NSDUH
   (12-17)
 2002-2005 |       MTF
(8th, 10th, 12th)
  2001-2005 |    YRBS
 (9th – 12th)
 2001-2005 |
| --- | --- | --- | --- |
| Any 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.**

## 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**

## Illicit Drug Use

## Illicit Drug Use, Ages 12+: 2002-2005

**Fig**
**2.2**

**Percent Using in Past Month**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Illicit Drug Use, by Age: 2002-2005

**Fig**
**2.6**

**Percent Using in Past Month**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

**Age in Years**

## Use of Selected Illicit Drugs, Youths Aged 12 to 17: 2002-2005

**Fig**
**2.5**

**Percent Using in Past Month**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Marijuana Use, Ages 12 to 17: 2002-2005

**Fig**
**6.5**

**Percent Using Marijuana**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Marijuana Use by Gender, among Youths Aged 12 to 17: 2002-2005

**Fig**
**2.9**

**Percent Using in Past Month**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Marijuana Use by Geographic Region,  Youths Aged 12 to 17: 2002-2005

**Fig**
**2.10**

**Percent Using in Past Month**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Use of Selected Illicit Drugs among Young Adults Aged 18 to 25: 2002-2005

**Fig**
**2.7**

**Percent Using in Past Month**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Illicit Drug Use among Adults aged 50 to 59, by Type of Drug: 2002-2005

**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**

## Past Month Methamphetamine Use and Past Year Illicit Drug or Stimulant Dependence or Abuse, Ages 12+: 2002-2005

**Fig**
**2.3**

**Numbers in Thousands**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Nonmedical Use of Prescription Drugs

## Nonmedical Use of Prescription Drugs, Ages 12+: 2002-2005

**Percent Using in Past Month**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Nonmedical Use of Prescription Drugs,  Youths Aged 12 to 17: 2002-2005

**Percent Using in Past Month**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Nonmedical Use of Prescription Drugs,  Young Adults Aged 18 to 25: 2002-2005

**Percent Using in Past Month**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Source Where Psychotherapeutics Were Obtained for Most Recent Nonmedical Use among Past Year Users Aged 12 or Older: 2005

**Percent of Past Year Users**

**Other**
**Bought on Internet**
**Drug Dealer/ Stranger**
**1 or More Doctors**
**Bought/Took from Friend/ Relative**
**Free from Friend/Relative**

**8**

## Nonmedical Use of Pain Relievers in Past Year among Persons Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2002-2004

## 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)**

## Current Alcohol Use among Persons Aged 12 to 20, by Age: 2002-2005

**Percent Using in Past Month**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Binge Drinking in the Past Month among Persons Aged 12 to 20, by Age: 2002-2005 

**Percent Using in Past Month**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

**19**

## Driving Under the Influence of Alcohol, Ages 12+: 2002-2005

**Fig**
**3.5**

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

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Driving Under the Influence of Alcohol  by Age: 2005

**Fig**
**3.6**

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

**Age in Years**

## Tobacco Use

## Tobacco Use, Ages 12+: 2002-2005

**Fig**
**4.1**

**Percent Using in Past Month**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Tobacco Use, Youths Aged 12 to 17: 2002-2005

**Fig**
**4.2**

**Percent Using in Past Month**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Cigarette Use by Gender, Youths Aged 12 to 17: 2002-2005

**Fig**
**4.4**

**Percent Using in Past Month**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Cigarette Use among Women Aged 15 to 44, by Age and Pregnancy Status: 2004-2005 Combined

**Fig**
**4.5**

**Percent Using in Past Month**

**Age in Years**

## Substance Use among Pregnant Women, by Age: 2004-2005 Combined

## Initiation of Substance Use

## Past Year Initiates for Specific Illicit Drugs, Ages 12+: 2005

**Fig**
**5.1**

**Numbers in Thousands**

**Marijuana**

**Heroin**

**Pain Relievers**

**Inhalants**

**LSD**

**Tranquilizers**

**PCP**

**Ecstasy**

**Cocaine**

**Stimulants**

**Sedatives**

## Mean Age at First Use for Specific Illicit Drugs among Past Year Initiates Aged 12 to 49: 2005

**Fig**
**5.2**

**Age in Years**

**PCP**

**Heroin**

**Ecstasy**

**Stimulants**

**Marijuana**

**Sedatives**

**LSD**

**Cocaine**

**Inhalants**

**Pain****Relievers**

**Tranquilizers**

## 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

**Fig**
**5.3**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

**Numbers in Millions**

**Past Year Initiates**

**Age in Years**

**Mean Age at First Use****1**

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

## 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

**Fig**
**5.4**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

**Numbers in Thousands**

**Past Year Initiates**

**Age in Years**

**Mean Age at First Use****1**

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

## Past Year Cigarette Initiates among Persons Aged 12 or Older, by Age at First Use: 2002-2005

**Numbers in Millions**

**1.94****+**

**1.98****+**

**2.28**

**Fig**
**5.5**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

**2.12**

## Youth Prevention-Related Measures:Perceived Risk

## Perceived Great Risk of Cigarette and Alcohol Use, Ages 12 to 17: 2002-2005

**Fig**
**6.2**

**Percent Perceiving Great Risk**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Perceived Great Risk of Use of Selected Illicit Drugs, Ages 12 to 17: 2002-2005

**Fig**
**6.4**

**Percent Perceiving Great Risk**

**+**** 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**

## Substance Dependence, Abuse, and Treatment

## Substance Dependence or Abuse in the Past Year, Ages 12+: 2002-2005

**Fig**
**7.1**

## Dependence on or Abuse of Illicit Drugs in the Past Year, Ages 12+: 2005

**Fig**
**7.2**

**Numbers in Thousands**

## Substance Dependence or Abuse in the Past Year, by Age and Gender: 2005

**Fig**
**7.4**

**Percent Dependent or Abusing in Past Year**

## Need for and Receipt of Specialty Treatment in the Past Year for Illicit Drug or Alcohol Use, Ages 12+: 2005

**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.**

## 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

**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**

**Fig**
**7.7**

**Note: Due to rounding, these percentages do not add to 100 percent.**

## 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

**Fig**
**7.8**

## Prevalence and Treatment of Mental Health Problems

## 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.  **

## Major Depressive Episode Among Adults, by Age: 2004-2005

**Percent with MDE in Past Year**

**Age in Years**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Serious Psychological Distress Among Adults Aged 18+, by Age: 2004-2005

**Fig**
**8.1**

**Percent with SPD in Past Year**

**Age in Years**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Co-Occurrence of SPD and Substance Use Disorder in the Past Year among Adults Aged 18 or Older: 2005

**14.9 Million**

**19.4**
**Million**

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

**Substance Use Disorder (SUD) Only**

**Serious Psychological Distress (SPD) Only**

**5.2 Million**

## Past Year Treatment among Adults Aged 18 or Older with Both Serious Psychological Distress and a Substance Use Disorder: 2005

**Fig**
**8.2**

**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.**

## Past Year Treatment for Mental Health Problems by Type of Treatment, Adults Aged 18 or Older: 2002-2005

**Fig**
**8.5**

**Percent Receiving Treatment in the Past Year**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## 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

**Fig**
**8.6**

**Percent among Adults Who Did Not Receive Treatment and Had Unmet Need**

## Major Depressive Episode among Youths Aged 12 to 17, by Age: 2004-2005

**Percent with MDE in Past Year**

**Age in Years**

**+**** Difference between estimate and the 2005 estimate is statistically significant at the .05 level.**

## Substance Use among Youths Aged 12 to 17, by Major Depressive Episode in the Past Year: 2005

**Fig**
**8.8**

**Percent Using Substance**

**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**

## 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)**

## Questions