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State of Alaska

Health Indicator Report of Drug Use - Cocaine - Adolescents (Grades 9-12)

Cocaine is a highly addictive illegal drug and a major public health concern for the youth who engage in its use.^1^ Both long-term and short-term cocaine use put adolescents at risk for seizures, stroke, neurological damage, and overdose death.^2^ Additionally, illicit substance use contributes to an increased risk of injuries, violence, HIV infection, STDs, and other infections.^3^[[br]] [[br]] ---- {{class .SmallerFont 1. Sinha R. The clinical neurobiology of drug craving. Curr Opin Neurobiol. 2013;23(4):649-654. 2. Riezzo I, Fiore C, DeCarlo D, et al. Side effects of cocaine abuse: multiorgan toxicity and pathological consequences. Curr Med Chem. 2012;19(33):5624-5646. 3. Goldstein RA, DesLauriers C, Burda AM. Cocaine: history, social implications, and toxicity--a review. Dis--Mon DM. 2009;55(1):6-38.}}

Notes

** = Data not available.

Data Sources

  • [http://dhss.alaska.gov/dph/Chronic/Pages/yrbs/yrbs.aspx Alaska Youth Risk Behavior Surveillance System], Alaska Department of Health and Social Services, Division of Public Health, Section of Chronic Disease Prevention and Health Promotion
  • [https://www.cdc.gov/healthyyouth/data/yrbs/index.htm Youth Risk Behavior Surveillance System (YRBSS)], Division of Adolescent and School Health, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC

Definition

Percentage of adolescents (grades 9-12) who responded "1 or more" on the [http://dhss.alaska.gov/dph/chronic/pages/yrbs/yrbs.aspx Youth Risk Behavior Survey (YRBS)] to the question: "During your life, how many times have you used any form of cocaine, including powder, crack, or freebase?" Responses of 0 were not considered as having a positive response for using cocaine.

Numerator

Weighted number of adolescents (grades 9-12) who responded "1 or more" on the YRBS to the question: "During your life, how many times have you used any form of cocaine, including powder, crack, or freebase?" Responses of 0 were not considered as having a positive response for using cocaine.

Denominator

Weighted number of adolescents (grades 9-12) with complete and valid responses on the YRBS to the lifetime cocaine use question, excluding those with missing, "Don't know/Not sure," or "Refused" responses.

Healthy People Objective: Increase the proportion of high school seniors never using substances--Illicit drugs

U.S. Target: 58.6 percent

How Are We Doing?

In 2015, 4.6% of Alaska adolescents reported using cocaine. Alaska male adolescents reported a higher percentage of cocaine use (6.0%) than did Alaska female adolescents (2.5%). Those who achieved mostly As and Bs reported using cocaine at a lower rate (2.7%) than those who did not achieve mostly As and Bs (8.7%). Additionally, those who reported tobacco use, binge drinking, or marijuana use also reported higher rates of cocaine use when compared to those who did not report tobacco use, binge drinking, or marijuana use, respectively. The Other Interior Region had the highest prevalence for both all Alaskans (11.2%) and Alaska Native adolescents (11.4%).

How Do We Compare With the U.S.?

For the 2015 YRBS, Alaska adolescents had rate of cocaine use at 4.6%, not statistically different from the national average of 5.2%. Alaska adolescent cocaine use continues to show a declining trend similar to the decline in the U.S. trend. Lifetime cocaine use is only higher than lifetime use ecstacy, methamphetamines, and heroin (in descending order) for adolescents in both Alaska and the United States.

What Is Being Done?

The State of Alaska Epidemiologic Profile on Substance Use, Abuse, and Dependency is available at [http://dhss.alaska.gov/dbh/Documents/Prevention/EPI2013.pdf]. This profile provides a more detailed report on the state of substance use and abuse in Alaska.

Evidence-based Practices

There are multiple sources for research on interventions to prevent and reduce the use of illicit drugs in the adolescent population. Alaska is partnering with other states, the [http://www.cdc.gov/ Centers for Disease Control and Prevention (CDC)], and the [http://www.samhsa.gov/ Substance Abuse and Mental Health Services Administration (SAMHSA)] to develop a series of public health strategies gleaned from the evidence base. 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].
Page Content Updated On 05/11/2017, Published on 05/11/2017
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 Sun, 15 July 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: Thu, 11 May 2017 07:49:13 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 Sun, 15 July 2018 13:18:09 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: Thu, 11 May 2017 07:49:13 AKDT