1

2016FLORIDA YOUTHSUBSTANCE ABUSE SURVEY

October 4, 2016

Presentation Outline

1. Methodology

2. ATOD prevalence rate comparisons

3. Three key findings from the2002-2016 FYSAS

4. ATOD trend summary

5. Special FYSAS topics2

Methodology Survey administration: February of 2016

Sampling strategy: schools were selected to generatestatistically representative state-level and county-levelestimates

Students surveyed in all 67 Florida counties

Final sample size was 65,776 across grades 6 through12

The margin of error is less than 1.0 percentage pointfor M.S. and H.S. prevalence rates

3

Survey Validation

ATOD exaggeration—1,085

Antisocial behavior exaggeration—500

Inconsistency—1,249

Fictitious drug—1,756

No response for more than 75% of the surveyquestions—1,100

3,391 respondents (4.9%) identified and eliminated byone or more of five validation tests:

4

5

ATOD Prevalence RateComparisons

Lifetime prevalence—one or moreuses in student’s lifetime Indicates percentage of students who have

tried or experimented

Past-30-day prevalence—one or moreuses in past 30 days Indicates percentage of students who are

current users

Lifetime PrevalenceMiddle School

21.814.6

8.0 7.0 6.4 3.3 3.2 2.2 1.3 1.0 0.8 0.7 0.6 0.5 0.40%

20%

40%

60%

80%

100%

6

Lifetime PrevalenceHigh School

51.4

33.9 31.7

18.5 15.9

6.5 5.8 5.3 4.9 4.8 4.7 4.6 3.0 2.5 1.0 0.8 0.8 0.5 0.40%

20%

40%

60%

80%

100%

7

Past-30-Day PrevalenceMiddle School

8.3 5.1 3.2 3.2 2.2 1.8 1.6 1.4 0.8 0.5 0.3 0.3 0.3 0.3 0.2 0.10%

20%

40%

60%

80%

100%

8 Past Two Weeks

Past-30-Day PrevalenceHigh School

25.517.0

12.8 10.94.8 2.4 2.1 2.0 1.6 1.4 1.2 1.0 0.8 0.8 0.5 0.4 0.2 0.2

0%

20%

40%

60%

80%

100%

9 Past Two Weeks

10

Key Long-Term Finding #1

Reduced alcohol use

Higher-risk alcohol use also down

Reduced cigarette use

Early initiation becoming lesscommon

11

Changes Have Been:

Dramatic Falling by nearly half or more than half for

most indicators

Continuous Reductions in the majority of survey years,

trend line continuing down

Widespread Occurring across demographic groups

AlcoholPast-30-Day Prevalence by Grade Cohort

19.7 20.3

10.1 8.3

40.8 42.0

28.425.5

0%

10%

20%

30%

40%

50%

2002 2004 2006 2008 2010 2012 2014 2016

Middle School High School

12

AlcoholPast-30-Day Prevalence for 8th, 10th and 12th Graders

34.532.1

23.3 22.2

39.4 40.2

26.623.3

10%

20%

30%

40%

50%

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

MTF FYSAS13

Early Alcohol UseInitiation by Age 13—High School

37.7

21.8

19.4

7.3

3.9 3.50%

10%

20%

30%

40%

2002 2004 2006 2008 2010 2012 2014 2016

Try Alcohol Regular Alcohol Use14

Binge DrinkingPrevalence by Grade Cohort

8.6

3.93.2

22.3 23.0

13.7

10.9

0%

10%

20%

30%

40%

2002 2004 2006 2008 2010 2012 2014 2016

Middle School High School15

Binge DrinkingPrevalence for 8th, 10th and 12th Graders

19.7 18.0

12.010.9

21.9 22.4

12.6

9.9

5%

10%

15%

20%

25%

30%

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

MTF FYSAS16

CigarettesPast-30-Day Prevalence by Grade Cohort

7.1

2.0

1.4

14.9

7.1

4.8

0%

5%

10%

15%

20%

25%

2002 2004 2006 2008 2010 2012 2014 2016

Middle School High School17

CigarettesPast-30-Day Prevalence for 8th, 10th and 12th Graders

18.4

8.37.1

14.7

6.6

4.6

0%

5%

10%

15%

20%

25%

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

MTF FYSAS18

Early Cigarette UseInitiation by Age 13—High School

31.4

11.9

9.3

0%

10%

20%

30%

40%

50%

2002 2004 2006 2008 2010 2012 2014 2016

Smoked a Cigarette, Even Just a Puff

19

20

Key Long-Term Finding #2

All illicit drugs (other than marijuana)show reductions in use over the longterm

Almost all illicit drugs (other thanmarijuana) show reductions in use since2014

Reductions not as large as alcohol andcigarettes

Use of Any Illicit Drug (Other than Marijuana)Past-30-Day Prevalence by Grade Cohort

9.6

10.9

6.25.6

10.6

8.57.7

0%

5%

10%

15%

2002 2004 2006 2008 2010 2012 2014 2016

Middle School High School21

InhalantsPast-30-Day Prevalence by Grade Cohort

5.1

6.6

3.1

2.22.3

2.8

1.31.2

0%

5%

10%

15%

2002 2004 2006 2008 2010 2012 2014 2016

Middle School High School22

InhalantsPast-30-Day Prevalence for 8th Graders

3.8

4.5

1.3 1.3

5.2

6.2

3.1

1.5

0%

2%

4%

6%

8%

10%

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

MTF FYSAS23

11.9 13.0

10.4

8.8

6.24.9

3.34.3

1.8 1.4 1.0 1.0

0%

5%

10%

15%

20%

2011 2012 2013 2014 2015 2016 2011 2012 2013 2014 2015 2016

Synthetic MarijuanaLifetime and Past-30-Day Prevalence

among High School Students

24Lifetime Prevalence Past-30-Day Prevalence

25

Key Long-Term Finding #3

Marijuana trend different than otherATODs

Short-term reduction in use, butlong-term pattern is mixed

Attitudes toward marijuana use aredifferent than other ATODs

MarijuanaPast-30-Day Prevalence by Grade Cohort

5.9 5.7

4.23.2

17.218.6 18.6

17.0

0%

5%

10%

15%

20%

25%

2002 2004 2006 2008 2010 2012 2014 2016

Middle School High School26

MarijuanaPast-30-Day Prevalence for 8th, 10th and 12th Graders

15.9 14.8 14.2

15.7 16.5

14.4

0%

5%

10%

15%

20%

25%

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

MTF FYSAS27

Early Marijuana UseInitiation by Age 13—High School

13.4

10.6 11.410.6

0%

10%

20%

30%

2002 2004 2006 2008 2010 2012 2014 2016

Smoked Marijuana28

38.542.5 42.8

63.7

69.168.4

30.032.5

25.3 24.9

20%

40%

60%

80%

2002 2004 2006 2008 2010 2012 2014 2016

Alcohol Cigarettes Try Marijuana

29

Risk of HarmPercentage Reporting “Great Risk”

77.9

88.6

91.0

66.462.8

73.2

74.7

79.9

74.0

73.8

50%

60%

70%

80%

90%

100%

2002 2004 2006 2008 2010 2012 2014 2016

Cigarettes Alcohol Marijuana30

Disapproval of ATOD Use“Wrong” or “Very Wrong”

31

Overall ATOD Use

Dramatic reductions since 2004

Rate of decline has increased since2010

Reductions occurring in both M.S.and H.S.

Use of Alcohol, Tobacco, or Any Illicit DrugPast-30-Day Prevalence Among Middle School Students

26.7 27.5

15.012.7

10%

15%

20%

25%

30%

35%

2002 2004 2006 2008 2010 2012 2014 2016

Middle School

32

Middle School 2004-2016

Percentage Point Decrease = 14.8

Use of Alcohol, Tobacco, or Any Illicit DrugPast-30-Day Prevalence Among High School Students

46.6 48.0

37.3

33.330%

35%

40%

45%

50%

55%

2002 2004 2006 2008 2010 2012 2014 2016

High School

High School 2004-2016

Percentage Point Decrease = 14.7

33

Students Reporting No ATOD Usein the Past 30 Days

73.3 72.5

85.087.3

60%

70%

80%

90%

2002 2004 2006 2008 2010 2012 2014 2016

Middle School34

Middle School 2004-2016

Percentage Point Increase = 14.8

Students Reporting No ATOD Usein the Past 30 Days

53.4

52.0

62.7

66.7

40%

50%

60%

70%

2002 2004 2006 2008 2010 2012 2014 2016

High School

35

High School 2004-2016

Percentage Point Increase = 14.7

Percentage Point Change 2014-2016Past-30-Day Prevalence

-2.2-1.8

-1.5 -1.2

-0.5 -0.4-0.3 -0.1 -0.1 -0.1 -0.1 -0.1 -0.1

0.0 0.00.3

-6%

-4%

-2%

0%

2%

36 High School Only

Percentage Point Change 2002-2016Past-30-Day Prevalence

-12.9

-8.3 -8.0

-2.0 -1.7 -1.1-0.9

-0.5 -0.4 -0.2 -0.2

-20%

-15%

-10%

-5%

0%

5%

37

Special FYSAS Topics

ATOD Use and DrivingATOD Use by Gender/Race/Ethnicity

Symptoms of DepressionATOD Use at School

38

ATODs and DrivingPast-30-Day Prevalence Among High School Students

16.4

5.4

22.7

10.3

0%

20%

40%

60%

Riding with a DUI Driver Driving Under the Influence

Alcohol Marijuana39

21.4 18.116.4

25.423.5 22.7

8.16.6 5.4

11.2 10.9 10.3

0%

20%

40%

60%

2012 2014 2016 2012 2014 2016 2012 2014 2016 2012 2014 2016

40

Riding withDrinkingDriver

ATODs and Driving TrendsPast-30-Day Prevalence Among High School Students

Riding withMarijuana

Driver

Drivingafter

Drinking

Drivingafter

Marijuana

Riding with a Drinking DriverPast-30-Day Prevalence Among Non-Drinkers and Drinkers

10.2

33.5

0%

20%

40%

60%

80%

100%

Non-Drinkers Drinkers41

Riding with a Marijuana-Using DriverPast-30-Day Prevalence Among Non-Users and Users

12.3

71.9

0%

20%

40%

60%

80%

100%

Marijuana Non-Users Marijuana Users42

ATOD Use and GenderPast-30-Day and Lifetime Prevalence

19.917.0 16.5 15.4

8.4 10.6 10.9 11.5

0%

10%

20%

30%

40%

50%

43

Alcohol Vaping/E-Cigs MarijuanaBlacking Out

ATOD Use and Race/EthnicityPast-30-Day Prevalence

12.4

18.6 21.4

5.59.6

11.89.1

10.712.3

0%

10%

20%

30%

40%

50%

44

Alcohol Vaping/E-Cigs Marijuana

ATOD Use and Race/EthnicityCigarettes: Risk of Harm and Disapproval

64.165.7 71.2

93.7 91.4 89.5 93.1 91.5 88.3

0%

20%

40%

60%

80%

100%

45

Perceived Risk Personal Disapproval Peer Disapproval

Symptoms of Depression“yes” or “YES!”

23.5

35.7

21.5

39.7

0%

20%

40%

60%

80%

Life Not Worth It I Think I Am No Good I Am a Failure Sad or DepressedMost Days

46

Symptoms of DepressionBy Gender

31.1

46.2

27.6

50.5

15.8

25.2

15.3

29.0

0%

20%

40%

60%

80%

Life Not Worth It I Think I Am No Good I Am a Failure Sad or DepressedMost Days

Female Male47

DepressionNumber of Symptoms

49.2

17.0

11.6 9.712.6

0%

20%

40%

60%

80%

No Symptoms 1 Symptom 2 Symptoms 3 Symptoms 4 Symptoms

48

15.0

28.0

7.7

16.3

8.9

16.7

4.3

15.4

0%

10%

20%

30%

0 Symptoms 1 Symptom 2 Symptoms 3 Symptoms 4 Symptoms

Alcohol Vaping/E-Cigs Marijuana Any Illicit (No Marijuana)49

Symptoms of DepressionPast-30-Day ATOD Use

3.3 3.21.4

6.5

12.2

3.9

0%

10%

20%

30%

40%

Alcohol Marijuana Another Drug

Middle School High School50

ATOD Use Before or During SchoolPast-12-Month Prevalence