# Presentation: 660629

## Healthy People 2010:Substance Abuse Objectives

- Substance Abuse and Mental Health Services Administration

## Goal

- Reduce substance abuse to protect the health, safety, and quality of life for all, especially children.

## Overview

- About 100,000 deaths in the United States are related to** **alcohol consumption.
- Illicit drug abuse and related acquired immunodeficiency syndrome (AIDS) deaths account for at least another 12,000 deaths.
- In 1995, the economic cost of alcohol and drug abuse was $276 billion. This represents more than $1,000 for every man, woman, and child in the United States

## 26-1a.	Reduce deaths caused by alcohol- related motor vehicle crashes.

**Data source:** Fatality Analysis Reporting System (FARS), DOT, National Highway Traffic Safety Administration (NHTSA); General Estimates System (GES), DOT, NHTSA.

- Per 100,000 population
**1997 Baseline****6.1**
**2010 Target****4.0**

**34%****Improvement**

## 26-1b.	Reduce injuries caused by alcohol- related motor vehicle crashes.

**Data source:** Fatality Analysis Reporting System (FARS), DOT, National Highway Traffic Safety Administration (NHTSA); General Estimates System (GES), DOT, NHTSA.

- Per 100,000 population
**1997 Baseline****122**
**2010 Target****65**

**47%****Improvement**

## 26-2.	Reduce cirrhosis deaths. 

**Data source:** National Vital Statistics System (NVSS), CDC, NCHS.

- Per 100,000 population
**1998 Baseline****9.4**
**2010 Target****3.0**

**68%****Improvement**

## 26-3.	Reduce drug-induced deaths. 

- Per 100,000 population
**1998 Baseline**
**5.1**
**2010 Target**
**1.0**

**Data source: **National Vital Statistics System (NVSS), CDC, NCHS.

**80%****Improvement**

## 26-4.	Reduce drug-related hospital emergency department visits. 

- Annual drug-related hospital emergency department visits
**1997 Baseline**
**527,058 **
**2010 Target**
**350,000 **

**Data source: **Drug Abuse Warning Network (DAWN), HHS, SAMHSA.

**34%****Improvement**

## 26-5.	Reduce alcohol-related hospital emergency department visits. 

- Annual alcohol-related hospital emergency department visits
**1996 Baseline**
**2.2 million  **
**2010 Target**
**1.8 million  **

**Data source: **National Hospital Ambulatory Medical Care Survey (NHAMCS), CDC, NCHS.

**18%****Improvement**

## 26-6.	Reduce the proportion of adolescents who report that they rode, during the previous 30 days, with a driver who had been drinking alcohol. 

- % of students in grades 9-12
**1997 Baseline**
**36.6 %**
**2010 Target**
**30**** .0 %**

**Data source: **Youth Risk Behavior Survey (YRBS), CDC, NCHS.

**18%****Improvement**

## 26-9a.	Increase the proportion of adolescents who remain alcohol free. 

- Age at first alcohol use
**1996 Baseline**
**13.1 years**
**2010 Target**
**16.1 years**

**Data source: **National Household Survey on Drug Abuse (NHSDA), SAMHSA.

**23%****Improvement**

## 26-9b.	Increase the proportion of adolescents who remain drug free. 

- Age at first drug use
**1996 Baseline**
**14.4  years**
**2010 Target**
**17.4 years**

**Data source: **National Household Survey on Drug Abuse (NHSDA), SAMHSA.

**21%****Improvement**

## 26-9c.	Increase in high school seniors never using alcoholic beverages 

- % of high school seniors
**1998 Baseline**
**18.6  %**
**2010 Target**
**29.0**** %**

**Data source: **Monitoring the Future Study, NIH, NIDA.

**56%****Improvement**

## 26-9d.	Increase in high school seniors never using illicit drugs

- % of high school seniors
**1998 Baseline**
**45.9 %**
**2010 Target**
**55.0**** %**

**Data source: **Monitoring the Future Study, NIH, NIDA.

**20%****Improvement**

## 26-10a.	Increase the proportion of adolescents not using alcohol or any illicit drugs during the past 30 days. 

- % of 12-17 year-olds
**1997 Baseline**
**76.9 %**
**2010 Target**
**89.0**** %**

**Data source: **National Household Survey on Drug Abuse (NHSDA), HHS, SAMHSA. .

**16%****Improvement**

## 26-10b.	Reduce the proportion of adolescents reporting use of marijuana during the past 30 days.  

- % of 12-17 year-olds
**1997 Baseline**
**9.4 %**
**2010 Target**
**5.7 ****%**

**Data source: **National Household Survey on Drug Abuse (NHSDA), HHS, SAMHSA. .

**39%****Improvement**

## 26-10c.	Reduce the proportion of adults using any illicit drug during the past 30 days. 

- % of adults (18+)
**1997 Baseline**
**5.8 %**
**2010 Target**
**3.0**** %**

**Data source: **National Household Survey on Drug Abuse (NHSDA), HHS, SAMHSA. .

**48%****Improvement**

## 26-11a.	Reduce the proportion of high school seniors engaging in binge drinking of alcoholic beverages. 

- % of high school seniors in past 2 week
**1998 Baseline**
**31.5 %**
**2010 Target**
**11 .0**** %**

**Data source: **Monitoring the Future Study, NIH, NIDA . .

**62%****Improvement**

## 26-11b.	Reduce the proportion of college students engaging in binge drinking of alcoholic beverages. 

- % of college students in past 2 week
**1998 Baseline**
**38.9 %**
**2010 Target**
**20.0**** %**

**Data source: **Monitoring the Future Study, NIH, NIDA . .

**50%****Improvement**

## 26-11c.	Reduce the proportion of adults engaging in binge drinking of alcoholic beverages. 

- % of adults (18+)past month
**1997 Baseline**
**16.1 %**
**2010 Target**
**15.0**** %**

**Data source: **National Household Survey on Drug Abuse (NHSDA), HHS, SAMHSA.

**5%****Improvement**

## 26-11d.	Reduce the proportion of adolescents engaging in binge drinking of alcoholic beverages. 

- % of adolescents (12-17)(past month)
**1997 Baseline**
**38.9 %**
**2010 Target**
**20.0**** %**

**Data source: **National Household Survey on Drug Abuse (NHSDA), HHS, SAMHSA.

**49%****Improvement**

## 26-12.	Reduce average annual alcohol consumption. 

- Per person annual consumption
**1996 Baseline**
**2.16 gallons **
**2010 Target**
**2.00 gallons **

**Data source: **Alcohol Epidemiologic Data System (AEDS), NIH, NIAAA.

**7%****Improvement**

## 26-13a.	Reduce the proportion of female adults who exceed guidelines for low-risk drinking. 

- Percentage of female adult (21+) current drinkersexceeding guidelines for low-risk drinking
**1992 Baseline**
**72**** %**
**2010 Target**
**50 %**

**Data source: **National Longitudinal Alcohol Epidemiologic Survey, NIH, NIAAA.

**31%****Improvement**

## 26-13b.	Reduce the proportion of male adults who exceed guidelines for low-risk drinking. 

- Percentage of male adult (21+) current drinkersexceeding guidelines for low-risk drinking
**1992 Baseline**
**74**** %**
**2010 Target**
**50 %**

**Data source: **National Longitudinal Alcohol Epidemiologic Survey, NIH, NIAAA.

**32%****Improvement**

## 26-14a.	Reduce steroid use among 8th graders 

- % of 8th graders using steroids in past year
**1998 Baseline**
**1.2 %**
**2010 Target**
**0.4 ****%**

**Data source: **Monitoring the Future Study, NIH, NIDA.

**67%****Improvement**

## 26-14b.	Reduce steroid use among 10th graders 

- % of 10th graders using steroids in past year
**1998 Baseline**
**1.2 %**
**2010 Target**
**0.4 ****%**

**Data source: **Monitoring the Future Study, NIH, NIDA.

**67%****Improvement**

## 26-14c.	Reduce steroid use among 12th graders 

- % of 12th graders using steroids in past year
**1998 Baseline**
**1.7 %**
**2010 Target**
**0.4 ****%**

**Data source: **Monitoring the Future Study, NIH, NIDA.

**76%****Improvement**

## 26-15.	Reduce the proportion of adolescents who use inhalants. 

- % of adolescents (12-17)(past year)
**1997 Baseline**
**4.4 %**
**2010 Target**
**0.7 ****%**

**Data source: **National Household Survey on Drug Abuse (NHSDA), HHS, SAMHSA.

**84%****Improvement**

## 26-16a.	Increase in 8th graders perceiving disapproval of having one or two alcoholic drinks nearly every day 

- % of 8th graders
**1998 Baseline**
**76.9 %**
**2010 Target**
**83.0**** %**

**Data source: **Monitoring the Future Study, NIH, NIDA.

**8 %****Improvement**

## 26-16b.	Increase in 10th graders perceiving disapproval of having one or two alcoholic drinks nearly every day 

- % of 10th graders
**1998 Baseline**
**74.6 %**
**2010 Target**
**83.0**** %**

**Data source: **Monitoring the Future Study, NIH, NIDA.

**13 %****Improvement**

## 26-16c.	Increase in 12th graders perceiving disapproval of having one or two alcoholic drinks nearly every day 

- % of 12th graders
**1998 Baseline**
**69.4 %**
**2010 Target**
**83.0**** %**

**Data source: **Monitoring the Future Study, NIH, NIDA.

**20 %****Improvement**

## 26-16d.	Increase in 8th graders perceiving peer disapproval of trying marijuana once or twice 

- % of 8th graders
**1998 Baseline**
**69 %**
**2010 Target**
**72**** %**

**Data source: **Monitoring the Future Study, NIH, NIDA.

**4 %****Improvement**

## 26-16e.	Increase in 10th graders perceiving peer disapproval of trying marijuana once or twice 

- % of 10th graders
**1998 Baseline**
**56 %**
**2010 Target**
**72 ****%**

**Data source: **Monitoring the Future Study, NIH, NIDA.

**29 %****Improvement**

## 26-16f.	Increase in 12th graders perceiving peer disapproval of trying marijuana once or twice 

- % of 12th graders
**1998 Baseline**
**51.6 %**
**2010 Target**
**72.0 ****%**

**Data source: **Monitoring the Future Study, NIH, NIDA.

**40 %****Improvement**

## 26-17a.	Increase the proportion of adolescents who perceive great risk associated with consuming five or more alcoholic drinks at a single occasion once or twice a week 

- % of adolescents (12-17)
**1997 Baseline**
**46.5 %**
**2010 Target**
**80.0 ****%**

**Data source: **National Household Survey on Drug Abuse (NHSDA), HHS, SAMHSA.

**72%****Improvement**

## 26-17b.	Increase the proportion of adolescents who perceive great risk associated with smoking marijuana once per month 

- % of adolescents (12-17)
**1997 Baseline**
**30.9 %**
**2010 Target**
**80.0 ****%**

**Data source: **National Household Survey on Drug Abuse (NHSDA), HHS, SAMHSA.

**159 %****Improvement**

## 26-17c.	Increase the proportion of adolescents who perceive great risk associated with using cocaine once per month 

- % of adolescents (12-17)
**1997 Baseline**
**54.4 %**
**2010 Target**
**80.0 ****%**

**Data source: **National Household Survey on Drug Abuse (NHSDA), HHS, SAMHSA.

**47 %****Improvement**

## 26-23. 	Extend administrative license revocation laws, or programs of equal effectiveness, for persons who drive under the influence of intoxicants. 

- % of States + DC
**1998 Baseline**
**80 %**
**2010 Target**
**100 ****%**

**Data source: **DOT, NHTSA .

**25 %****Improvement**

## 26-24. 	Extend legal requirements for maximum blood alcohol concentration levels of 0.08 percent for motor vehicle drivers aged 21 years and older. 	

- % of States + DC
**1998 Baseline**
**31 %**
**2010 Target**
**100 %**

**Data source: **DOT, NHTSA .

**225 %****Improvement**

## Developmental Objectives

- 26-1c.	Reduce deaths caused by drug-related motor vehicle crashes.
- 26-1d.	Reduce injuries caused by drug-related motor vehicle crashes.
- 26-7.	Reduce intentional injuries resulting from alcohol- and illicit drug-related violence.
- 26-8.	Reduce the cost of lost productivity in the workplace due to alcohol and drug use.

## Developmental Objectives (continued)

- 26-17d. 	Increase in adolescents aged 12 to 17 years perceiving great risk associated with acquiring human immunodeficiency virus (HIV) by sharing injection drug use equipment
- 26-18a.	Reduce the treatment gap for illicit drugs in the general population.
- 26-18b.	Reduce the treatment gap for identified drug-using offenders.

## Developmental Objectives (continued 2)

- 26-19.	Increase the proportion of persons who engaged in injection drug use during the past year who are enrolled in drug abuse treatment programs.
- 26-20. 	Reduce the treatment gap for alcohol problems.
- 26-21. 	Increase the proportion of persons who are referred for followup care for alcohol problems, drug problems, or suicide attempts after diagnosis or treatment for one of these conditions in a hospital emergency department.

## Developmental Objectives (continued 3)

- 26-22. 	Increase the number of communities using partnerships or coalition models to conduct comprehensive substance abuse prevention efforts.

## Copies of this PowerPoint presentation & full text of HP 2010 Substance Abuse Objectives:www.health.org/hp2010800 729-6686

**Full text of HP 2010 for all areas**www.health.gov/healthypeople/document/default.htm