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Focus Area 26: Substance Abuse Progress Review

Focus Area 26: Substance Abuse Progress Review. October 13, 2004. The Burden of Substance Abuse. 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 .

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Focus Area 26: Substance Abuse Progress Review

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  1. Focus Area 26:Substance AbuseProgress Review October 13, 2004

  2. The Burden of Substance Abuse • 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. Source: Excerpt from SAMHSA & NIH/NIDA congressional appropriations testimonies, 2004.

  3. M M Substance Abuse Objectives 26-9 Substance-free youth 26-1 Motor vehicle crash deaths and injuries Average age 1st use - Alcohol Average age 1st use - Marijuana HS Sr. never using - Alcohol HS Sr. never using – Illicit drugs TBD TBD Alcohol-related deaths Alcohol-related injuries Drug-related deaths Drug-related injuries 26-10 Adolescent and adult use of illicit substances 26-2 Cirrhosis deaths No alcohol/ illicit drugs in 30+ days - Adolescents No marijuana in 30+ days - Adolescents No illicit drugs in 30+ days - Adults 26-3 Drug induced deaths TBD 26-4 Drug-related hospital ER visits TBD 26-5 Alcohol-related hospital ER visits TBD TBD 26-6 Adolescents riding with a driver who has been drinking 26-11 Binge drinking In past 2 weeks - HS seniors In past 2 weeks - College students In past month - Adults In past month - Adolescents 26-7 Alcohol- and drug-related violence TBD TBD 26-8 Lost productivity TBD Target met Improving No change Getting worse Cannot assess Target to be determined

  4. M M M Substance Abuse Objectives (cont.) 26-17 Perception of risk 26-12 Average annual alcohol consumption Consuming 5+ alcoholic drinks Smoking marijuana once per month Using cocaine once per month TBD TBD 26-13 Low-risk drinking among adults Females Males TBD 26-18 Treatment gap for illicit drugs 26-19 Treatment in correctional institutions 26-14 Steroid use among adolescents 8th graders 10th graders 12th graders 26-20 Treatment for injection drug use TBD 26-21 Treatment gap for problem alcohol use 26-15 Inhalant use among adolescents TBD 26-22 Hospital emergency department referrals 26-16 Disapproval – substance abuse 1-2 drinks every day - 8th graders 1-2 drinks every day - 10th graders 1-2 drinks every day - 12th graders Marijuana once/twice - 8th graders Marijuana once/twice - 10th graders Marijuana once/twice - 12th graders 26-23 Community partnerships/coalitions 26-24 Administrative license revocation laws 26-25 BAC levels for motor vehicle drivers TBD Target met Improving No change Getting worse Cannot assess Target to be determined

  5. Highlighted Objectives Adolescents 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

  6. 90 60 30 0 Use of Drugs & Marijuana and Disapproval of Marijuana: 12th Grade Percent 2010 Target: Disapproval of Marijuana Disapproval of trying marijuana once or twice Objs. 26-9d & 26-16f Source: Monitoring the Future Study (MTF), NIH, NIDA.

  7. 90 60 30 0 Use of Drugs & Marijuana and Disapproval of Marijuana: 12th Grade Percent 2010 Target: Disapproval of Marijuana Disapproval of trying marijuana once or twice Ever used marijuana Objs. 26-9d & 26-16f Source: Monitoring the Future Study (MTF), NIH, NIDA.

  8. 90 60 30 0 Use of Drugs & Marijuana and Disapproval of Marijuana: 12th Grade Percent 2010 Target: Disapproval of Marijuana Ever used illicit drugs 2010 Target: Illicit drug use Disapproval of trying marijuana once or twice Ever used marijuana Note: Use of illicit drugs is the converse of Obj. 26-9d which tracks never using any illicit drugs. Objs. 26-9d & 26-16f Source: Monitoring the Future Study (MTF), NIH, NIDA.

  9. 20 15 10 5 0 Marijuana Use, 2002 & 2003:Ages 12-17 Years Percent 2002 Male Female American Indian Asian Black White Hispanic Total Note: Adolescents reporting marijuana use in the past 30 days. Obj. 26-10b SOURCE: National Survey on Drug Use & Health (NSDUH), SAMHSA.

  10. 20 15 10 5 0 Marijuana Use, 2002 & 2003:Ages 12-17 Years Percent 2002 2003 Male Female American Indian Asian Black White Hispanic Total Note: Adolescents reporting marijuana use in the past 30 days. Obj. 26-10b SOURCE: National Survey on Drug Use & Health (NSDUH), SAMHSA.

  11. Illicit Steroid Use in the Past Year:8th, 10th, and 12th Graders Percent 3.0 2.5 2.0 1.5 1.0 8th Grade .5 2010 Target 0 Objs. 26-14a, b, and c Source: Monitoring the Future Study (MTF), NIH, NIDA.

  12. Illicit Steroid Use in the Past Year:8th, 10th, and 12th Graders Percent 3.0 2.5 2.0 10th Grade 1.5 1.0 8th Grade .5 2010 Target 0 Objs. 26-14a, b, and c Source: Monitoring the Future Study (MTF), NIH, NIDA.

  13. Illicit Steroid Use in the Past Year:8th, 10th, and 12th Graders Percent 3.0 2.5 2.0 10th Grade 12th Grade 1.5 1.0 8th Grade .5 2010 Target 0 Objs. 26-14a, b, and c Source: Monitoring the Future Study (MTF), NIH, NIDA.

  14. Binge Drinking and Disapproval of Regular Drinking: 12th Grade Percent 90 2010 Target: Disapproval of regular drinking Disapproval of 1-2 drinks/day 60 30 0 Objs. 26-11a & 26-16c Source: Monitoring the Future Study (MTF), NIH, NIDA.

  15. Binge Drinking and Disapproval of Regular Drinking: 12th Grade Percent 90 2010 Target: Disapproval of regular drinking Disapproval of 1-2 drinks/day 60 Binge Drinking 30 2010 Target: Binge drinking 0 Note: Binge drinking is defined as having 5+ alcoholic drinks in a row during the past 2 weeks. Objs. 26-11a & 26-16c Source: Monitoring the Future Study (MTF), NIH, NIDA.

  16. Highlighted Objectives Adults 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

  17. Annual Per Capita Alcohol Consumption: Ages 14 Years and Over Gallons of Ethanol 2010 Target 2.5 2.4 2.3 2.2 2.18 2.16 2.1 2.14 2.14 2.0 1.9 1.8 1.7 1.6 1.5 1997 1998 1999 2000 Obj. 26-12 SOURCE: Alcohol Epidemiologic Data System (AEDS), NIH, NIAAA.

  18. 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).

  19. Drinkers Exceeding Guidelines for Low-Risk Drinking, 2002: Ages 18 Years and Over Percent 2010 Targets Male Female College HS grad > HS Hispanic White Black Hawaiian Asian American Indian Total Note: Data are for current (in the past year) drinkers. Objs. 26-13a & b SOURCE: National Epidemiologic Survey on Alcohol and Related Conditions, NIAAA, NIH.

  20. Alcohol-Related Motor Vehicle Fatalities by BAC Level Per 100,000 population 12 BAC = 0.00 (no alcohol) 10 8 6 4 2 0 Note: BAC is the Blood Alcohol Concentration. Obj. 26-1a Source: Fatality Analysis Reporting System (FARS), Department of Transportation (DOT), National Highway Traffic Safety Administration (NHTSA).

  21. Alcohol-Related Motor Vehicle Fatalities by BAC Level Per 100,000 population 12 BAC = 0.00 10 8 BAC = 0.01+ 6 2010 Target: BAC 0.01+ 4 2 0 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. Obj. 26-1a Source: Fatality Analysis Reporting System (FARS), Department of Transportation (DOT), National Highway Traffic Safety Administration (NHTSA).

  22. Alcohol-Related Motor Vehicle Fatalities by BAC Level Per 100,000 population 12 BAC = 0.00 10 8 BAC = 0.01+ BAC = 0.08+ 6 2010 Target: BAC 0.01+ 4 2 0 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. Obj. 26-1a Source: Fatality Analysis Reporting System (FARS), Department of Transportation (DOT), National Highway Traffic Safety Administration (NHTSA).

  23. Alcohol-Related Motor Vehicle Fatalities by BAC Level Per 100,000 population 12 BAC = 0.00 10 8 BAC = 0.01+ BAC = 0.08+ 6 2010 Target: BAC 0.01+ 4 Change Since 1998 BAC 0.00: -4% BAC 0.01+: -2% BAC 0.08+: -1% Change Since 1982 BAC 0.00: +15% BAC 0.01+: -47% BAC 0.08+: -48% 2 0 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. Obj. 26-1a Source: Fatality Analysis Reporting System (FARS), Department of Transportation (DOT), National Highway Traffic Safety Administration (NHTSA).

  24. Enactment of ALR and BAC Laws by States With laws Without laws States 51 51 2010 Target 2010 Target 51 45 41 41 41 41 41 41 34 28 18 17 16 0 0 1998 1999 2000 2001 2001 2002 1998 1999 2000 2001 2002 2003 2004 .08 BAC Per Se Laws ALR Laws Obj. 26-24 & 26-25 Source: Department of Transportation (DOT), National Highway Traffic Safety Administration (NHTSA).

  25. 20 15 10 5 0 Illicit Drug Use in the Past 30 Days,2002 & 2003: Ages 18 Years and Over Percent 2002 Male Female American Indian Asian Hawaiian Black White Hispanic Total Obj. 26-10c SOURCE: National Survey on Drug Use & Health (NSDUH), SAMHSA.

  26. 20 15 10 5 0 Illicit Drug Use in the Past 30 Days,2002 & 2003: Ages 18 Years and Over Percent 2002 2003 Male Female American Indian Asian Hawaiian Black White Hispanic Total Obj. 26-10c SOURCE: National Survey on Drug Use & Health (NSDUH), SAMHSA.

  27. Primary Substance of Abuse at Treatment Admission, 2001: Ages Under 55 Years and55 Years and Over Percent 100 6 5 Primary Substance 15 14 75 13 18 74 50 44 25 0 Ages 55+ Ages <55 Note: Admissions reported to TEDS from substance abuse treatment facilities receiving State alcohol and/or drug agency funds (including Federal Block Grant funds). SOURCE: Treatment Episode Data Set (TEDS) , SAMHSA.

  28. Progress review data and slides can be found on the web at: http://www.cdc.gov/nchs/hphome.htm

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