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State of Alaska

Health Indicator Report of Drug Use - Cocaine - Adults (18+) (NSDUH)

Cocaine is a highly addictive illicit drug.^2^ In powder form, it can be snorted, rubbed on the gums, or dissolved in water and injected.^2^ Crack cocaine, which refers to cocaine that has been processed into rock crystals that are then heated to produce vapors, is often smoked.^2^ While the drug produces a short term high in the user, its long term consequences may include malnutrition, irritability, restlessness, movement disorders such as Parkinson's disease, severe paranoia, and auditory hallucinations.^2^ Despite the drug's addictive properties and adverse health impacts, it continues to be used in Alaska as well as nationwide, making it a major public health concern.^3^ [[br]][[br]] ---- {{class.SmallerFont 2. National Institute on Drug Abuse (NIDA). DrugFacts: Cocaine. [http://www.drugabuse.gov/publications/drugfacts/cocaine]. Published June 2016. Accessed May 17, 2017. 3. Hull-Jilly DMC, Casto LD. State epidemiologic profile on substance use, abuse, and dependency--2007-2011. Alaska Department of Health and Social Services. Published November 7, 2013. }}

Notes

Data are from the [http://pdas.samhsa.gov/saes/state Interactive NSDUH State Estimates] for 2005-2006 through 2014-2015 and the [https://www.samhsa.gov/data/sites/default/files/NSDUHsaeExcelTabs2016/NSDUHsaeExcelTabs2016.xlsx NSDUHsaeEscelTabs2016.xlsx] for the 2015-2016 period.

Data Source

[https://www.samhsa.gov/data/population-data-nsduh National Survey on Drug Use and Health (NSDUH)], Substance Abuse and Mental Health Administration, U.S. Department of Health and Human Services.

Data Interpretation Issues

The National Survey on Drug Use and Health (NSDUH) is a nationally standardized survey that has been performed since 1971. The NSDUH is completed annually using a sample from the U.S. civilian, non-institutionalized population 12 years of age and older. In 1999, the sample design expanded to include all 50 states and the District of Columbia. In 2002, the name of the survey was changed from the National Household Survey on Drug Abuse (NHSDA) to the NSDUH. Information on background and methodology of the NSDUH, managed by the Substance Abuse and Mental Health Services Administration (SAMHSA), can be found at: [https://nsduhweb.rti.org/respweb/project_description.html]. Recent data are predominantly from the 2-year averages of NSDUH surveys from Population Data - NSDUH at: [https://www.samhsa.gov/data/population-data-nsduh/reports?tab=33]. Historic data with maps and data downloads are available from the small area estimates website for state and national NSDUH surveys at: [http://pdas.samhsa.gov/saes/state]. NSDUH obtains information on 10 categories of illicit drugs: marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, and methamphetamine, as well as the misuse of prescription pain relievers, tranquilizers, stimulants, and sedatives. Changes in 2015 in the measurement for 7 of the 10 illicit drug categories--hallucinogens, inhalants, methamphetamine, and the misuse of prescription pain relievers, tranquilizers, stimulants, and sedatives--may have affected the comparability of the measurement of these illicit drugs.^1^ [[br]][[br]] ---- {{class .SmallerFont 1. Center for Behavioral Health Statistics and Quality. Key substance use and mental health indicators in the United States: Results from the 2015 National Survey on Drug Use and Health. [http://www.samhsa.gov/data/]. Accessed February 14, 2017. }}

Definition

Percentage of adults (18+, 18-25, 26+ years of age) who reported having used cocaine (including crack) in the past year on the [https://nsduhweb.rti.org/respweb/homepage.cfm National Survey on Drug Use and Health (NSDUH)].

Numerator

Weighted number of adults (18+, 18-25, 26+ years of age) who reported having used cocaine (including crack) in the past year on the NSDUH.

Denominator

Weighted number of adults (18+, 18-25, 26+ year of age) with complete and valid responses on the NSDUH to the question on having used cocaine (including crack) in the past year.

Healthy People Objective: Reduce past-month use of illicit substances

U.S. Target: Not applicable, see subobjectives in this category

How Are We Doing?

The percentage of adults 18-25 years of age who reported using cocaine in the past year was significantly higher than that of adults over 18 years of age and adults over 26 years of age for all years across 2002-2016. In 2015-2016, 5.8% of 18-25 year olds reported past year cocaine use, compared to 2.3% of adults over 18 and 1.6% of adults over 26. No significant difference in cocaine use was observed between 2002 and 2016 for adults over 18 and adults over 26, but the percentage of adults aged 18-25 who had used cocaine in the past year decreased from 8.4% in 2002-2003 to 5.8% in 2015-2016.

How Do We Compare With the U.S.?

There were no differences between Alaska and the U.S. in the use of cocaine during 2002-2016.

What Is Being Done?

Because many illicit drugs are of public health concern in Alaska, efforts to reduce cocaine use among Alaskans are combined with efforts to reduce misuse of other controlled substances.^3^ In February 2017, Governor Bill Walker declared a public health crisis in response to the dramatic increase in heroin and opioid abuse in Alaska.^4^ The disaster declaration established a statewide Overdose Response Program and allows for the distribution of Naloxone, a lifesaving drug that can reverse overdoses caused by opioids.^4^ Although Naloxone would not be effective against an overdose on cocaine, the disaster declaration was also accompanied by the signing of Administrative Order 283. The order instructs all state departments to apply for federal funding for drug abuse prevention and treatment options, the elimination of illegally imported drugs into the state, and the development of resources to provide medical treatment to drug users, all of which will have an impact on cocaine use in Alaska.^4^ [[br]][[br]] ---- {{class.SmallerFont 3. Hull-Jilly DMC, Casto LD. State epidemiologic profile on substance use, abuse, and dependency--2007-2011. Alaska Department of Health and Social Services. Published November 7, 2013. 4. State of Alaska, Office of the Governor. Safer Alaska: Building stronger communities. [https://gov.alaska.gov/administration-focus/safer-alaska/]. Published May 16, 2017. Accessed May 17, 2017. }}

Evidence-based Practices

SAMHSA maintains a website that collects the latest in substance abuse prevention evidence based practices. The link to the information can be found here: [http://www.samhsa.gov/ebp-web-guide/substance-abuse-prevention].

Available Services

If you are using injection drugs, use a clean needle. Injection drug use is responsible for approximately 10% of HIV cases annually, and use of injected drugs also increases your risk of other diseases like Hepatitis C.^5^ The only way to be truly safe is to always use new needles, directly out of the package from a trusted source. The following links show where you can exchange used needles for new ones in Alaska. http://www.alaskanaids.org/index.php/prevention/syringe-exchange https://www.interioraids.org/ If you are seeking treatment for substance abuse, contact a medical provider or locate a treatment center nearest you at https://findtreatment.samhsa.gov/ [[br]][[br]] ---- {{class .SmallerFont 5. State of Alaska, Division of Public Health. Heroin and opioids in the Last Frontier: How to get help. [http://dhss.alaska.gov/dph/Director/Pages/heroin-opioids/help.aspx]. Accessed May 17, 2017. }}

Health Program Information

The State of Alaska Epidemiologic Profile on Substance Use, Abuse and Dependency is available at: [http://dhss.alaska.gov/dph/Epi/injury/Documents/sa/SubstanceAbuseEpiProfile_2013.pdf]. This profile provides a more detailed report on the state of substance use and abuse in Alaska. The State of Alaska also provides websites on opioid use through Health and Social Services. Please use the following links to access more information about the misuse of opioids, much of which is applicable to other substances of abuse: [http://dhss.alaska.gov/dph/Director/Pages/heroin-opioids/default.aspx].
Page Content Updated On 05/11/2018, Published on 05/11/2018
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health (Ak-IBIS) web site (http://ibis.dhss.alaska.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Thu, 24 May 2018 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Alaska Indicator-Based Information System for Public Health web site: http://ibis.dhss.alaska.gov ".

Content updated: Fri, 11 May 2018 12:27:24 AKDT
The information provided above is from the Alaska Department of Health and Social Services' Center for Health Data and Statistics AK-IBIS web site (http://ibis.dhss.alaska.gov/). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Thu, 24 May 2018 5:37:34 from Alaska Department of Health and Social Services, Center for Health Data and Statistics, Indicator-Based Information System for Public Health Web site: http://ibis.dhss.alaska.gov/ ".

Content updated: Fri, 11 May 2018 12:27:24 AKDT