ASAM Slides for compendium

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ASAM Slides for compendium
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National Survey on Drug Use and Health

• Samples from all 50 states are carefully
  structured
• Utilizes personal interviews of subjects
• Computer assisted for sensitive information
• Assures confidentiality
• Asks about drug and alcohol use
• Last 30 days and lifetime use
• Quantifies new users in each category of drug

http//oas.samhsa.gov/NSDUH
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How many are new users in each drug category?
Past year new initiates for all illicit drug
categories. NHSDUH 2004
National Survey on Drug Use and Health, 2004
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Mean age for past year initiates, illicit drugs
by categories
National Survey on Drug Use and Health, 2004
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Alcohol Use

• Recent frequency of drinking excludes sips
• Current (past month) use - At least one drink in
  the past 30 days (includes binge and heavy
  use).Binge use - Five or more drinks on the
  same occasion (i.e., at the same time or within a
  couple of hours of each other) at least once in
  the past 30 days (includes heavy use).Heavy use
  - Five or more drinks on the same occasion on at
  least 5 different days in the past 30 days.

National Survey on Drug Use and Health, 2004
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Alcohol drinking patterns
Americans, age 12 years or older in 30 days
prior to the survey

• All results are similar to 2002 and 2003
• Current Drinkers About half (50.3 percent) or
  121 million people
• Binge Drinkers More than one fifth (22.8
  percent) or 55 million people
• Heavy Drinking 6.9 percent or 16.7 million
  people.

National Survey on Drug Use and Health, 2004
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Underage Drinking Past Month Alcohol Use among
Persons Aged 12 to 20, by Geographic Region 2003
and 2004
National Survey on Drug Use and Health, 2004
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Current, Binge, and Heavy Alcohol Use among
Persons Aged 12 or Older, by Age 2004
National Survey on Drug Use and Health, 2004
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Current, Binge, and Heavy Alcohol Use among
Persons Aged 12 or Older, by Race/Ethnicity
2004
National Survey on Drug Use and Health, 2004
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Education and Alcohol UseAdults 18 years and
older

• ?Education ? Rates of current drinking in past
  month
• Less than a high school education 36.4 percent
  were current drinkers
• College graduates 67.6 percent were current
  drinkers.
• ?Education ? Rates of heavy drinking in past
  month
• College graduates increased from 2003 (5.3) to
  2004 (6.4)
• Less than high school education decreased from
  2003 (7.9) to 2004 (6.25)
• Binge drinking
• Increased among college graduates, from 20.2
  percent in 2003 to 21.9 percent in 2004.

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Heavy Alcohol Use among Adults Aged 18 or Older,
by College Attendance and Age 2004
National Survey on Drug Use and Health, 2004
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Association with Illicit Drug use and Tobacco

• Among the 16.7 million heavy drinkers aged 12 or
  older,
• 32.2 percent were current illicit drug users.
• Persons who did not use alcohol in the past month
  were less likely to have used illicit drugs in
  the past month
• Drinking levels also were associated with tobacco
  use.
• 61.2 of heavy drinkers smoked cigarettes in the
  past month
• 21.1of non-binge current drinkers were current
  smokers
• 16.3 who did not drink alcohol in the past
  month were current smokers.
• Smokeless tobacco and cigar use also were more
  prevalent among heavy drinkers than among
  non-binge drinkers and nondrinkers.

National Survey on Drug Use and Health, 2004
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Driving Under the Influence of Alcohol in the
Past Year among Persons Aged 16 or Older, by Age
2004
National Survey on Drug Use and Health, 2004
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Prescription Drug Abuse

• NSDUH the use of a drug that was not prescribed
  for user or a drug taken only for the experience
  of feeling that it caused.
• Does not include over the counter medications or
  medications that were prescribed
• Other definitions include taking more than
  prescribed, more often than prescribed, use by a
  modality other than oral ie IV or intranasal,
  doctor shopping (Clinics, ER), diversion.

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NDUH 2004 Illicit drug use in last 30 days
before interview

• In the US, 8.2 million people used illicit drugs
  other than marijuana (3.4 population)
• 6 million used psychotherapeutic drugs non
  medically
• Four categories of prescription-type drugs
• Pain relievers (4.4 million)
• Tranquilizers (1.6 million)
• Stimulants (1.2 million)
• Sedatives (.3 million)

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Percent of Population Past Month Use of
Selected Illicit Drugs among Persons Aged 12 or
Older 2002-2004
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Percent of Population Lifetime Nonmedical Use
of Selected Pain Relievers among Young Adults
Aged 18 to 25 2002-2004