Focus Area 26: Substance Abuse Progress Review October 13, 2004

Focus Area 26:Substance AbuseProgress Review

October 13, 2004

• Substance abuse, including smoking, illegal drugs, and alcohol, costs our Nation more than $484 billion per year. Illicit drug use alone accounts for about $161 billion.

• Drug abuse is inextricably linked with adverse effects such as infectious diseases, crime, accidents, and teenage pregnancies.

• Approximately half of those suffering from a chronic alcohol or drug disorder also suffer from a chronic psychiatric disorder.

The Burden of Substance Abuse

Source: Excerpt from SAMHSA & NIH/NIDA congressional appropriations testimonies, 2004.

No alcohol/ illicit drugs in 30+ days - Adolescents No marijuana in 30+ days - Adolescents No illicit drugs in 30+ days - Adults

TBD

26-10 Adolescent and adult use of illicit substances

26-9 Substance-free youth26-1 Motor vehicle crash deaths and injuries

Substance Abuse Objectives

26-7 Alcohol- and drug-related violence

26-2 Cirrhosis deaths

26-3 Drug induced deaths

26-4 Drug-related hospital ER visits26-5 Alcohol-related hospital ER visits26-6 Adolescents riding with a driver who has been drinking

26-8 Lost productivity

26-11 Binge drinking

Alcohol-related deaths Alcohol-related injuries Drug-related deaths Drug-related injuries

In past 2 weeks - HS seniors In past 2 weeks - College In past 2 weeks - College studentsstudents In past month - Adults In past month - Adolescents

Average age 1st use - Alcohol Average age 1st use - Marijuana HS Sr. never using - Alcohol HS Sr. never using – Illicit drugs

No change

Cannot assess

Target to be determined

Target met

TBDGetting worse

TBD

TBDTBDTBDTBD

TBDTBD

TBD

TBDTBD

TBD

M

ImprovingM

26-19 Treatment in correctional institutions

Consuming 5+ alcoholic drinks Smoking marijuana once per month Using cocaine once per month

TBD Females Males

26-17 Perception of risk26-12 Average annual alcohol consumption

Substance Abuse Objectives (cont.)

26-13 Low-risk drinking among adults

26-14 Steroid use among adolescents

26-15 Inhalant use among adolescents26-16 Disapproval – substance abuse

26-22 Hospital emergency department referrals

26-25 BAC levels for motor vehicle

drivers

1-2 drinks every day - 81-2 drinks every day - 8thth gradersgraders 1-2 drinks every day - 10th graders 1-2 drinks every day - 121-2 drinks every day - 12thth gradersgraders Marijuana once/twice - 8th graders Marijuana once/twice - 10th graders Marijuana once/twice - 12th graders

8th graders 10th graders 12th graders

26-18 Treatment gap for illicit drugs

26-20 Treatment for injection drug use26-21 Treatment gap for problem alcohol use

26-23 Community partnerships/coalitions26-24 Administrative license Administrative license revocationrevocation

lawslaws

TBD

TBD

TBD

TBDTBD

No change

Cannot assess

Target to be determined

Target met

Getting worse

M Improving TBD

M

M

26-9d Youth free of illicit drugs

26-10b Adolescent use of marijuana

26-11a Binge drinking – 12th grade

26-14 Steroid use – 8th, 10th, and 12th grades

26-16c Disapproval of regular drinking

26-16f Disapproval of marijuana use

Highlighted Objectives

Adolescents

0

3 0

6 0

9 0

1 9 7 5 1 9 7 9 1 9 8 3 1 9 8 7 1 9 9 1 1 9 9 5 1 9 9 9 2 0 0 3

Use of Drugs & Marijuana and Disapproval of Marijuana: 12th Grade

Objs. 26-9d & 26-16fSource: Monitoring the Future Study (MTF), NIH, NIDA.

Percent

Disapproval of trying marijuana once or

twice

2010 Target: Disapproval of Marijuana

0

90

60

30

0

3 0

6 0

9 0

1 9 7 5 1 9 7 9 1 9 8 3 1 9 8 7 1 9 9 1 1 9 9 5 1 9 9 9 2 0 0 3



Percent


twice


0

90

60

30Ever used marijuana

0

3 0

6 0

9 0

1 9 7 5 1 9 7 9 1 9 8 3 1 9 8 7 1 9 9 1 1 9 9 5 1 9 9 9 2 0 0 3

2010 Target:Illicit drug use



Ever used illicit drugs

Percent


twice


0

90

60

30Ever used marijuana

Note: Use of illicit drugs is the converse of Obj. 26-9d which tracks never using any illicit drugs.

0

5

1 0

1 5

2 0

Obj. 26-10bSOURCE: National Survey on Drug Use & Health (NSDUH), SAMHSA.

Total White FemaleAmerican

Indian

MaleHispanicBlackAsian

Percent

5

20

10

15

0

Marijuana Use, 2002 & 2003:Ages 12-17 Years

2002

Note: Adolescents reporting marijuana use in the past 30 days.

0

5

1 0

1 5

2 0

Obj. 26-10bSOURCE: National Survey on Drug Use & Health (NSDUH), SAMHSA.


Indian

MaleHispanicBlackAsian

Percent

5

20

10

15

0

Marijuana Use, 2002 & 2003:Ages 12-17 Years

2002 2003

Note: Adolescents reporting marijuana use in the past 30 days.

0

0 . 5

1

1 . 5

2

2 . 5

3

1 9 9 1 1 9 9 3 1 9 9 5 1 9 9 7 1 9 9 9 2 0 0 1 2 0 0 3

Objs. 26-14a, b, and cSource: Monitoring the Future Study (MTF), NIH, NIDA.

8th Grade

Percent

2010 Target .5

2.5

3.0

2.0

1.5

1.0

0

Illicit Steroid Use in the Past Year:8th, 10th, and 12th Graders

0

0 . 5

1

1 . 5

2

2 . 5

3

1 9 9 1 1 9 9 3 1 9 9 5 1 9 9 7 1 9 9 9 2 0 0 1 2 0 0 3


8th Grade

Percent

10th Grade

2010 Target .5

2.5


3.0

2.0

1.5

1.0

0

0

0 . 5

1

1 . 5

2

2 . 5

3

1 9 9 1 1 9 9 3 1 9 9 5 1 9 9 7 1 9 9 9 2 0 0 1 2 0 0 3


8th Grade

Percent

10th Grade

2010 Target .5

2.5

12th Grade

3.0

2.0

1.5

1.0

0


0

3 0

6 0

9 0

1 9 7 5 1 9 7 9 1 9 8 3 1 9 8 7 1 9 9 1 1 9 9 5 1 9 9 9 2 0 0 3

Binge Drinking and Disapproval of Regular Drinking: 12th Grade

Objs. 26-11a & 26-16cSource: Monitoring the Future Study (MTF), NIH, NIDA.

Disapproval of 1-2 drinks/day

Percent

2010 Target: Disapproval of regular drinking

0

90

60

30

0

3 0

6 0

9 0

1 9 7 5 1 9 7 9 1 9 8 3 1 9 8 7 1 9 9 1 1 9 9 5 1 9 9 9 2 0 0 3

Binge Drinking and Disapproval of Regular Drinking: 12th Grade

Objs. 26-11a & 26-16cSource: Monitoring the Future Study (MTF), NIH, NIDA.

Disapproval of 1-2 drinks/day

Binge Drinking

Percent

2010 Target: Disapproval of regular drinking

2010 Target: Binge drinking 0

90

60

30

Note: Binge drinking is defined as having 5+ alcoholic drinks in a row during the past 2 weeks.

26-1a Motor vehicle crash deaths – Alcohol related

26-10c Use of illicit drugs

26-12 Average annual alcohol consumption

26-13 Low-risk drinking – Females and Males

26-24 Administrative license revocation (ALR) laws

26-25 Blood alcohol concentration (BAC) levels for motor vehicle drivers

Highlighted Objectives

Adults

Annual Per Capita Alcohol Consumption: Ages 14 Years and

Over

1 . 5

1 . 6

1 . 7

1 . 8

1 . 9

2 . 0

2 . 1

2 . 2

2 . 3

2 . 4

2 . 5

Obj. 26-12

Gallons of Ethanol

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

1997 200019991998

2010 Target

1.5

2.5

2.4

2.3

2.2

2.1

2.0

1.9

1.8

1.7

1.6

2.182.14 2.14 2.16

Guidelines for low-risk drinking are as follows:

In a typical week — no more than 14 drinks (men) or no more than 7 drinks (women),

On any day — no more than 4 drinks (men) or no more than 3 drinks (women)

Source: Helping Patients With Alcohol Problems: A Health Practitioner’s Guide (NIAAA, 2004).

0 2 0 4 0 6 0 8 08 0 6 0 4 0 2 0 0

Drinkers Exceeding Guidelines for Low-Risk Drinking, 2002: Ages 18 Years and

Over

Objs. 26-13a & bSOURCE: National Epidemiologic Survey on Alcohol and Related Conditions, NIAAA, NIH.

Male Female

Total

White

American

Indian

Hispanic

BlackHawaiia

nAsian

HS grad> HS

College

2010 Targets

Percent

Note: Data are for current (in the past year) drinkers.

0

2

4

6

8

1 0

1 2

1 9 8 2 1 9 8 4 1 9 8 6 1 9 8 8 1 9 9 0 1 9 9 2 1 9 9 4 1 9 9 6 1 9 9 8 2 0 0 0 2 0 0 2

2

12

0

8

4

6

10

Alcohol-Related Motor Vehicle Fatalities by BAC Level

Source: Fatality Analysis Reporting System (FARS), Department of Transportation (DOT), National Highway Traffic Safety Administration (NHTSA).

Per 100,000 population

Obj. 26-1a

BAC = 0.00 (no alcohol)

Note: BAC is the Blood Alcohol Concentration.

0

2

4

6

8

1 0

1 2

1 9 8 2 1 9 8 4 1 9 8 6 1 9 8 8 1 9 9 0 1 9 9 2 1 9 9 4 1 9 9 6 1 9 9 8 2 0 0 0 2 0 0 2

2

12

0

8

4

6

10




BAC = 0.01+

Obj. 26-1a

2010 Target: BAC 0.01+

BAC = 0.00

Note: BAC is the Blood Alcohol Concentration. Alcohol-related motor vehicle fatal crashes relate to the death of either a driver or a nonmotorist that occurs within 30 days of the motor vehicle crash.

0

2

4

6

8

1 0

1 2

1 9 8 2 1 9 8 4 1 9 8 6 1 9 8 8 1 9 9 0 1 9 9 2 1 9 9 4 1 9 9 6 1 9 9 8 2 0 0 0 2 0 0 2

2

12

0

8

4

6

10




BAC = 0.08+

BAC = 0.01+

Obj. 26-1a


BAC = 0.00


0

2

4

6

8

1 0

1 2

1 9 8 2 1 9 8 4 1 9 8 6 1 9 8 8 1 9 9 0 1 9 9 2 1 9 9 4 1 9 9 6 1 9 9 8 2 0 0 0 2 0 0 2

2

12

0

8

4

6

10




BAC = 0.08+

BAC = 0.01+

Obj. 26-1a


BAC = 0.00

Change Since 1998BAC 0.00: -4%BAC 0.01+: -2%BAC 0.08+: -1%

Change Since 1982BAC 0.00: +15%BAC 0.01+: -47%BAC 0.08+: -48%


0

51

With laws Without laws

Enactment of ALR and BAC Laws by States

States

ALR Laws .08 BAC Per Se Laws

34

2010 Target 2010 Target

Obj. 26-24 & 26-25

41 41 41

18

28

Source: Department of Transportation (DOT), National Highway Traffic Safety Administration (NHTSA).

0

51

200319991998

4141 41

200020012002

5145

16 17

200219991998 2000 2001 2001 2004

0

5

1 0

1 5

2 0

Obj. 26-10c


Indian

MaleHispanicBlackHawaiian

Asian

Percent

SOURCE: National Survey on Drug Use & Health (NSDUH), SAMHSA.

5

20

10

15

0

2002

Illicit Drug Use in the Past 30 Days,2002 & 2003: Ages 18 Years and Over

0

5

1 0

1 5

2 0

Obj. 26-10c


Indian

MaleHispanicBlackHawaiian

Asian

Percent

SOURCE: National Survey on Drug Use & Health (NSDUH), SAMHSA.

5

20

10

15

0

2002 2003

Illicit Drug Use in the Past 30 Days,2002 & 2003: Ages 18 Years and Over

PrimarySubstance

Primary Substance of Abuse at Treatment Admission, 2001: Ages

Under 55 Years and55 Years and Over

0

2 5

5 0

7 5

1 0 0

O t h e r

S t i m u l a n t s

M a r i j u a n a

C o c a i n e

O p i a t e s

A l c o h o l

Percent

SOURCE: Treatment Episode Data Set (TEDS) , SAMHSA.

5

Ages <55

6

74

44

18

13

15

Ages 55+

14

100

25

75

0

50

Note: Admissions reported to TEDS from substance abuse treatment facilities receiving State alcohol and/or drug agency funds (including Federal Block Grant funds).

Progress review data and slides

can be found on the web at:

http://www.cdc.gov/nchs/hphome.htmhttp://www.cdc.gov/nchs/hphome.htm

Documents

Focus Area 26: Substance Abuse Progress Review October 13, 2004