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  Rural / Urban Status and Metropolitan Areas

bulletState Level Data

bulletSpecific Cities/Metropolitan areas for which OAS data are available

bulletRural / Urban Status and Metropolitan Areas: 

  • In SAMHSA's Treatment Episode Data Set (TEDS), the substance abuse treatment admission rates for narcotic painkillers increased 155% between 1992 and 2002. The increase was smallest in large central metropolitan areas (58%) and greatest in the most rural areas, i.e., non-metropolitan areas without a city (269%). The proportions of narcotic painkiller treatment admissions taking the drugs orally or inhaling them increased while the proportion injecting them decreased. See The DASIS Report:  Treatment Admissions in Urban & Rural Areas Involving Abuse of Narcotic Painkillers: 2002 Update
  • In SAMHSA's Treatment Episode Data Set (TEDS), the number of substance abuse treatment admissions in which narcotic painkillers were involved increased 101 percent between 1992 and 2000. Increases in substance abuse treatment admission rates for abuse of narcotic painkillers were greatest in areas outside large central metropolitan areas. The proportion increased of narcotic painkiller treatment admissions taking the drugs orally while the proportion injecting narcotic painkillers decreased. However, only in rural areas did the proportion who inhaled the narcotic painkillers increase. See The DASIS Report: Treatment Admissions in Urban & Rural Areas Involving Abuse of Narcotic Painkillers.
  • According to the U.S. population in 2000, the 10 largest metropolitan statistical areas (MSAs) are:  Boston, Chicago, Dallas-Fort Worth, Detroit, Houston, Los Angeles, Miami, New York, Philadelphia, and Washington, D.C.   Rates of past month (i.e., current) illicit drug use, binge alcohol use, and cigarette use for each of these MSAs were compared with the national average.    See  The NHSDA Report:  Substance Use in the 10 Largest Metropolitan Statistical Areas.
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  • Regardless of level of urbanization, alcohol was the leading substance of abuse for American Indian / Alaska Native treatment admissions.  American Indian / Alaska Native treatment admissions in non-metro areas without a city were less likely than other metropolitan areas to have opiates, cocaine, or stimulants as their primary substance of abuse. Opiates were the primary substance of abuse among American Indian / Alaska Native substance abuse treatment admissions in large metropolitan areas.  See The DASIS Report:   American Indian / Alaska Native Treatment Admissions in Rural & Urban Areas:  2000.

Adults with alcohol dependence or abuse in the United States lived an average of 3.2 miles from a substance abuse treatment facility in the year 2000.  See  The DASIS Report:  Distance to Substance Abuse Treatment Facilities among Those with Alcohol Dependence or Abuse.

Cities/Metropolitan Areas

 

In 1991, the D.C. Metropolitan Area Drug Study (DC*MADS) was conducted and included special analyses of homeless and transient populations and of women delivering live births in the D.C. hospitals.  You can access reports from the study or use the public use files to conduct your own online analysis of the data.   For further information, click on DC*MADS.

The available OAS data on cities/metropolitan areas are the following:

The DAWN Report:  Highlights From Specific DAWN Metropolitan Areas:  (all are in PDF format)

According to the U.S. population in 2000, the 10 largest metropolitan statistical areas (MSAs) are:  Boston, Chicago, Dallas-Fort Worth, Detroit, Houston, Los Angeles, Miami, New York, Philadelphia, and Washington, D.C.   Rates of past month (i.e., current) illicit drug use, binge alcohol use, and cigarette use for each of these MSAs were compared with the national average.    See  The NHSDA Report:  Substance Use in the 10 Largest Metropolitan Statistical Areas.

DAWN Drug-related Emergency Department Visits (1995-2002):  Atlanta, Baltimore, Boston, Buffalo, Chicago, Dallas, Denver, Detroit, Los Angeles, Miami, Minneapolis, New Orleans, New York, Newark, Philadelphia, Phoenix, St. Louis, San Diego, San Francisco, Seattle, Washington, D.C.

DAWN Drug-related Mortality Data from Medical Examiners for 2001  (PDF format):  Atlanta, Baltimore, Birmingham, Boston, Buffalo, Chicago, Cleveland, Dallas, Denver, Detroit, Kansas City, Las Vegas, Long Island, Los Angeles, Louisville, Miami, Milwaukee, Minneapolis-St. Paul, New Orleans, New York, Newark, Norfolk, Oklahoma City, Omaha, Philadelphia, Phoenix, Portland, Providence, St. Louis, Salt Lake City, San Antonio, San Diego, San Francisco, Seattle, Washington, D.C., Wilmington.  And areas with few cases:  Boulder, Casper, Fargo, Indianapolis, Manchester-Nashua, Middlesex-Somerset, Sioux Falls.

 
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This page was last updated on August 27, 2004.

SAMHSA, an agency in the Department of Health and Human Services, is the Federal Government's lead agency for improving the quality and availability of substance abuse prevention, addiction treatment, and mental health services in the United States.

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