Sampson

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Sampson Laub (2004). Criminology, 41 (3)
555-592.
2
Drug Abuse Epidemiology Datasets

• Wilson M. Compton, M.D., M.P.E.
• Director, Division of Epidemiology, Services and
  Prevention Research
• National Institute on Drug Abuse

16 May 2007
3
Primary Concepts

• Do the major datasets provide good secondary
  analysis scientific opportunities?
• How can NIDA promote use of these resources?

Ultimate Goal is to Enhance the Process of
Scientific Discovery
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1. Cross-Sectional
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Changes in Current Smoking Among US Students
Before/After Launch of the "truth" Campaign in
2000

Farrelly et al, AJPH 200595425-431
6
Aggression, Delinquency, and Opportunity to Buy
Drugs NHSDA


Odd Ratio for Reporting Chance to Buy Drugs
P lt .01 Compared to Low/Low Reference Group
Delinquency Aggression
High High
Low Low
Low High
High Low
Rosenberg Anthony, Drug Alc Dependence
200163245-252
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Lifetime Prevalence of Use Among Whites and
African Americans 12 Years Old (NSDUH 2004)


Percentage of Lifetime Use



Denise Kandel, NIDA Trajectories Conference
11/13/2006
8
Current Smoking by Age Among White and African
American Lifetime Smokers in 2004 and in the
1973-1978 Birth Cohorts in 1990, 1996 and 2004
(NHSDA/NSDUH )
Percentage of Last Month Use
Age Category
Denise Kandel, NIDA Trajectories Conference
11/13/2006
9
Current Smoking by Age Among White and African
American Lifetime Smokers in 2004 and in the
1973-1978 Birth Cohorts in 1990, 1996 and 2004
(NHSDA/NSDUH )
1996
2004
1996
2004
Percentage of Last Month Use
2004
1990
2004
1990
Age Category
Denise Kandel, NIDA Trajectories Conference
11/13/2006
10
Current Smoking by Age Among White and African
American Lifetime Smokers in 2004 and in the
1973-1978 Birth Cohorts in 1990, 1996 and 2004
(NHSDA/NSDUH )
2004
1996
2004
2004
2004
1996
2004
Percentage of Last Month Use
2004
1990
2004
2004
1990
Age Category
Denise Kandel, NIDA Trajectories Conference
11/13/2006
11
Mean Ages of Onset of Substances Among Whites and
African Americans 18-49 Years Old (NSDUH 2004)



Mean Age of Onset


Denise Kandel, NIDA Trajectories Conference
11/13/2006
12
Last Year Dependence Among Lifetime Users Age 12
Among Whites and African Americans (NSDUH 2004)
Denise Kandel, NIDA Trajectories Conference
11/13/2006
13
Last Year Dependence Among Lifetime MJ Users by
Age Among Whites African Americans (NSDUH 2004)
30
White
Afr-Am
25
20
Percentage of Last Year Dependence
15
10
5
12-17
18-25
26-34
35-49
Age Category
Denise Kandel, NIDA Trajectories Conference
11/13/2006
14
Last Year Dependence Among Lifetime Cocaine Users
by Age Among Whites and African Americans (NSDUH
2004)
White
Afr-Am
Percentage of Last Year Dependence
Age Category
Denise Kandel, NIDA Trajectories Conference
11/13/2006
15
Prescription Drug Misuse and Disorders in
1991-1992 (NLAES) and 2001-2002 (NESARC)


P lt 0.01
Blanco C et al., in press
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1. Examples of National U.S. Cross-Sectional
Data

• Monitoring the Future (MTF)
• National Survey on Drug Use and Health (NSDUH)
• National Epidemiologic Survey on Alcohol and
  Related Conditions (NESARC)
• National Comorbidity Survey (NCS) and related
• Youth Risk Behavior Survey (YRBS)
• Treatment Episode Data Set (TEDS)
• Drug Abuse Warning Network (DAWN)

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Select Examples of Other Large Data Sets

• Adolescent Treatment Studies
• SPF-SIG data
• Criminal Justice Datasets
• Medicaid and Medicare Administrative Data
• V.A. Health Care Data
• Large Managed Care Systems (e.g. Group Health
  Plan, Kaiser)
• NIDAs Clinical Trials Network (CTN) Database
  www.ctndatashare.org

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2. Longitudinal
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Smoking Intensity Decreasing Across Birth Cohorts
But Stable Across Time (MTF Data)
Jackson et al. J Abnormal Psychology
2005114612-626
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(No Transcript)
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NSPY Study Distinguishing Vulnerable/Resolute
Non-Using Adolescents
Sample with complete data at all rounds, Ages
12-18 (N 2111)
Predictors Demographic Social Academic Parental P
eer Other substances
Marijuana Use
Crano WD, NSPY Users Group Meeting May 2007
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Benefit Cost Markedly Greater for Life Course
View of Heroin Addiction (DATOS)
Zarkin et al. Health Economics 005141133-1150
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(No Transcript)
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2. Examples of National U.S. Longitudinal Data

• Monitoring the Future (MTF)
• National Survey of Parents and Youth (NSPY)
• Drug Abuse Treatment Outcomes Study (DATOS)
• Adolescent Health (AddHealth)
• National Longitudinal Survey of Youth (NLSY)
• National Epidemiologic Survey on Alcohol and
  Related Conditions (NESARC)

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Select Examples of Other Large Data Sets

• Adolescent Treatment Studies
• Multi-wave locally representative data
• Great Smoky Mountain Study
• and more than 50 others.

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3. Using Data Systems Advantages and Problems
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Access to Data

• SAMHDA Website http//www.icpsr.umich.edu/SAMHDA/

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Access to Data

• SAMHDA Website http//www.icpsr.umich.edu/SAMHDA/
• UCLA Data Program Project (Bentler, PI) and Penn
  State Prevention Methods Center (Collins, PI)
• Confidentiality concerns

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Knowledge of data sets

• Common problem in using data collected by someone
  else
• Solutions Seminars, publications, user-groups
• NSPY User Group
• NESARC User Group

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3. Improving Use of Data

• Support for secondary work
• Gene Environment Development Initiative (GEDI)
• Support for release and access to data?
• Developing common metrics for newly proposed
  studies that are not primarily concerned with
  drug abuse/addiction?

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Conclusions

• Multiple rich sources of data exist and provide
  opportunities for developing and testing
  important hypotheses.
• Promoting the effective and efficient use of
  these data requires management and strategic
  planning.

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(No Transcript)