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State of Alaska

Health Indicator Report of Drug Use - Illicit Drugs - Adults (Ages 18+) (NSDUH)

The prevalence of illicit drug use among adults in Alaska is high and poses a major public health concern. Illicit drug use contributes to increases in injuries, interpersonal violence, suicide attempts, depression, crime, and many other social and emotional problems.^2^ Of people 12 years of age and older, 27 million (10.1%) used illicit drugs in 2014.^3^ Young adults (18 to 25) reported the highest prevalence of illicit drug use at 22% or 1 in 5 persons, while adults 26 and older reported a prevalence of 8.3%.^4^ Both young adults (18 to 25) and adults (26+) showed an increase in the prevalence of illicit drug use in 2013-2014 from the 2002-2003 estimates.^5^[[br]] [[br]] ---- {{class .SmallerFont 2. Consequences of Illegal Drug Use. 1999 National Drug Control Strategy. Office of the National Drug Control Profile. Executive Office of the President of the United States. [https://www.ncjrs.gov/ondcppubs/publications/policy/99ndcs/ii-b.html]. Accessed May 3, 2017. 3. Substance Abuse and Mental Health Services Administration (SAMHSA). Behavioral health barometer: United States, 2015. HHS Publication No. SMA-16-Baro-2015. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2015. [http://store.samhsa.gov/shin/content//SMA16-BARO-2015/SMA16-BARO-2015.pdf]. Accessed November 4, 2016. 4. Center for Behavioral Health Statistics and Quality. Behavioral health trends in the United States: Results from the 2014 National Survey on Drug Use and Health. [http://www.samhsa.gov/ data/]. [http://www.samhsa.gov/data/sites/default/files/NSDUH-FRR1-2014/NSDUH-FRR1-2014.pdf]. Published September 2015. Accessed November 4, 2016. 5. DrugFacts: Nationwide Trends. National Institute on Drug Abuse (NIDA). [https://www.drugabuse.gov/publications/drugfacts/nationwide-trends]. Accessed November 4, 2016. }}

Notes

Current use is within the past month. 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 with previous years.

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 [https://nsduhweb.rti.org/respweb/project_description.html 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, noninstitutionalized population aged 12 or 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 [http://www.samhsa.gov/ The Substance Abuse and Mental Health Services Administration (SAMHSA)], can be found at [http://www.samhsa.gov/]. 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, and 26+ years of age) who reported having used an illicit drug (marijuana, cocaine (including crack), heroin, hallucinogens, inhalants, and methamphetamine, as well as the misuse of prescription pain relievers, tranquilizers, stimulants, and sedatives) in the past month (current use) on the [https://nsduhweb.rti.org/respweb/project_description.html National Survey of Drug Use and Health (NSDUH)]. Adults reporting only alcohol use are not considered a positive response.

Numerator

Weighted number of adults (18+, 18-25, and 26+) on the NSDUH who reported having ever used an illicit drug in their lifetime. Responses of having used alcohol only are not considered positive responses for illicit drug use.

Denominator

Weighted number of adults (18+, 18-25, and 26+) with complete and valid responses for the questions on the NSDUH.

Healthy People Objective: Reduce the proportion of adults reporting use of any illicit drug during the past 30 days

U.S. Target: 7.1 percent

How Are We Doing?

Alaska adults (ages 18+) reported an illicit drug use prevalence of 13.6% on the 2013-2014 NSDUH. Young adults (ages 18-25) in Alaska reported an illicit drug use prevalence of 24.4%, and adults aged 26 and older reported an illicit drug use prevalence of 11.6% for the same time period. The current use of illicit drugs other than marijuana was 3.6% for all adults (18+) in 2013-2014, with past month use of marijuana at 12.2% for the same period.^6^ The current use of illicit drugs other than marijuana was highest for adults 18-25 years of age at 7.4% in 2013-2014, with past month use of marijuana at 21.3% for the same period.^6^[[br]][[br]] {{class .SmallerFont 6. SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2013 and 2014. [https://www.samhsa.gov/data/sites/default/files/NSDUHsaePercents2014.pdf] Accessed May 3, 2017. }}

How Do We Compare With the U.S.?

Alaska's reported adult current illicit drug use was significantly higher than the U.S. average in 2014 for both overall adults (18+) and those adults 26 years of age and older, but not among adults 18-25 years. Alaska's prevalence of adult illicit drug use has historically been higher than the U.S. average in each adult age category. Both Alaska and the U.S. have increasing trends in adult illicit drug use. There are no significant differences in the prevalences of illicit drugs other than marijuana between Alaska and the U.S. in any of the 3 age groups.

What Is Being Done?

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 status of substance use and abuse in Alaska. The State of Alaska also provides websites on both marijuana and opioid use through Health and Social Services. Please use the following link to access more information about the use of those specific illicit drugs: [http://dhss.alaska.gov/dph/Director/Pages/heroin-opioids/default.aspx].

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 at: [http://www.samhsa.gov/ebp-web-guide/substance-abuse-prevention].
Page Content Updated On 08/14/2017, Published on 08/14/2017
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, 24 September 2017 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: Mon, 14 Aug 2017 15:18:02 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, 24 September 2017 2:13:02 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: Mon, 14 Aug 2017 15:18:02 AKDT