Skip directly to searchSkip directly to the site navigationSkip directly to the page's main content
Skip directly to searchSkip directly to the site navigationSkip directly to this page's context menuSkip directly to the page's main content
State of Alaska

Health Indicator Report of Drug use - Prescription Drug Misuse - Adults (18+) (NSDUH)

Prescription drug abuse has dramatically increased in the U.S. and continues to be a major public health concern. In 2014 alone, almost 4 million Americans reported current nonmedical use of prescription pain relievers.^2^ Prescription drugs are the third most commonly abused category of drugs, behind alcohol and marijuana.^2^ Some prescription drugs can become addictive, especially when used in a manner inconsistent with their labeling by someone other than the patient for whom they were prescribed, or when taken in a manner or dosage other than prescribed.^3^ One in four patients receiving prescription drug therapy through a primary care provider experience prescription drug abuse.^4^[[br]] [[br]] ---- {{class .SmallerFont 2. Substance Abuse and Mental Health Services Administration. Behavioral health trends in the United States: Results from the 2014 National Survey on Drug Use and Health. [https://www.samhsa.gov/data/sites/default/files/NSDUH-FRR1-2014/NSDUH-FRR1-2014.pdf]. Published September 2015. Accessed November 10, 2017. 3. Yang Z, Wilsey B, Bohm M, et al. Defining risk of prescription opioid overdose: Pharmacy shopping and overlapping prescriptions among long-term opioid users in Medicaid. J Pain 2015;16(5):445-453. 4. Boscarino JA, Rukstalis M, Hoffman SN, et al. Risk factors for drug dependence among out-patients on opioid therapy in a large US health-care system. Addiction 2010;105(10):1776-1782. }}

Notes

Data are from the [http://pdas.samhsa.gov/saes/state Interactive NSDUH State Estimates] for 2002-2003 through 2013-2014.

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, and 26+ years of age) who responded "Yes" on the [https://nsduhweb.rti.org/respweb/project_description.html National Survey of Drug Use and Health (NSDUH)] to the question: "Have you ever, even once, used any other prescription pain reliever when it was not prescribed for you or that you took only for the experience or feeling it caused?"

Numerator

Weighted number of adults (18+, 18-25, and 26+ years of age) who responded "Yes" on the NSDUH to the question: "Have you ever, even once, used any other prescription pain reliever when it was not prescribed for you or that you took only for the experience or feeling it caused?"

Denominator

Weighted number of adults (18+, 18-25, and 26+) with complete and valid responses on the NSDUH to the question of ever using prescription pain relievers that were not prescribed for you or that you took only for the experience or feeling it caused.

Healthy People Objective: Reduce the past-year nonmedical use of prescription drugs: Pain relievers

U.S. Target: Not applicable

How Are We Doing?

Significantly more Alaskans between the ages of 18 and 25 reported misuse of prescription drugs than Alaskans over 18 years of age or Alaskans over 26 years of age (9.0% of 18-25 year olds in 2013-2014 compared to 4.4% of adults over 18 and 3.6% of adults over 26). However, the percentage of adults aged 18-25 in Alaska who misused prescription drug decreased significantly during 2002-2003 to 2013-2014, from 12.7% to 9.0%. The difference in prescription drug abuse across this time period was not significant for either of the other age groupings.

How Do We Compare With the U.S.?

There was no significant difference between Alaska and the U.S. in the percentage of adults reporting misuse of prescription drugs for any of the three age groupings (18+, 18-25, and 26+ years of age).

What Is Being Done?

In February 2017, Governor Bill Walker declared a public health crisis in response to the dramatic increase in heroin and opioid abuse in Alaska.^5^ 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, including those caused by prescription opioids.^5^ The disaster declaration was accompanied by the signing of Administrative Order 283, which 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, assistance with a prescription drug monitoring program, and the development of resources to provide medical treatment to drug users.^5^ These will help to combat the problem of heroin and opioid abuse in Alaska through a three pronged approach: 1) Prevent dependence on opioid drugs, 2) Reduce addiction by recognition and treatment, and 3) Reverse the life-threatening effects of overdose.^6^ [[br]][[br]] ---- {{class .SmallerFont 5. 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. 6. State of Alaska, Division of Public Health. Heroin and opioids in the Last Frontier. [http://dhss.alaska.gov/dph/Director/Pages/heroin-opioids/default.aspx]. Accessed May 18, 2017. }}

Evidence-based Practices

[http://www.samhsa.gov/ The Substance Abuse and Mental Health Services Administration (SAMHSA)] maintains a website geared towards prescription drug misuse prevention and treatment. The latest in evidence-bases practices focused on prescription drug abuse can be found at: [http://www.samhsa.gov/prescription-drug-misuse-abuse/samhsas-efforts]. 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 seeking treatment for substance abuse, contact a medical provider or locate a treatment center nearest you at https://findtreatment.samhsa.gov/ To learn more about Naloxone, including how it can reverse the effects of opioids and where it is being distributed, visit http://dhss.alaska.gov/dph/Director/Pages/heroin-opioids/narcan.aspx For more information on how to get help, visit http://dhss.alaska.gov/dph/Director/Pages/heroin-opioids/help.aspx

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: [http://dhss.alaska.gov/dph/Director/Pages/heroin-opioids/default.aspx].
Page Content Updated On 05/22/2018, Published on 05/22/2018
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 Tue, 18 September 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: Tue, 22 May 2018 16:25:29 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 Tue, 18 September 2018 5:10:55 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: Tue, 22 May 2018 16:25:29 AKDT