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Youth and Substance Use 

To find a report on youth or any other report by topic, click on "Topics" on the OAS banner above and on most OAS websites. Reports are listed with the most recently released first.  Reports on youth on this web page can be found on the following topics:  

bulletWhat's New in Reports on Youth

bulletAlcohol, Tobacco, and Illegal Drug Use

bulletChildren of Alcoholic/Substance Abusing Parents

bulletUnder-age Drinking

bulletTreatment

bulletYouth and Mental Health Issues

bulletRisk Factors  (characteristics and/or consequences associated with drug use)

bulletState Data on Youth

bulletList of Reports on Youth

   

                

What's New in Reports on Youth

 

The NSDUH Report:  Risk & Protective Factors for Substance Use Among American Indian or Alaska Native Youths

2003 NSDUH:  Youth Prevention-Related Measures

The NSDUH Report:  Underage Drinking in Rural Areas

The NSDUH Report: Participation in Youth Activities and Substance Use Among Youths

The NSDUH Report:  Substance Use Among Youths Who Had Run Away From Home

The NSDUH Report:  Seasonality of Youth's First Time Use of Marijuana, Cigarettes, or Alcohol

The NSDUH Report:  Graduated Driver Licensing and Drinking Among Young Drivers

The DASIS Report: Treatment Admissions for Primary Alcohol Abuse Among Youth Aged 18-20; 2001

  

 

List of OAS Reports on Youth

The NSDUH Report:  Risk & Protective Factors for Substance Use Among American Indian or Alaska Native Youths

2003 NSDUH:  Youth Prevention-Related Measures 

Results from the 2003 National Household Survey on Drug Abuse - - National findings  with data for youth on a variety of topics relating to  alcohol, tobacco, and illicit drug use and mental health problems

The NSDUH Report:  Underage Drinking in Rural Areas

The NSDUH Report: Participation in Youth Activities and Substance Use Among Youths

The NSDUH Report:  Substance Use Among Youths Who Had Run Away From Home

The NSDUH Report:  Seasonality of Youth's First Time Use of Marijuana, Cigarettes, or Alcohol

The NSDUH Report:  Graduated Driver Licensing and Drinking Among Young Drivers

The DASIS Report: Treatment Admissions for Primary Alcohol Abuse Among Youth Aged 18-20; 2001

The NSDUH Report:  Inhalant Use Among Youths: 2002 Update

The NSDUH Report:  How Youths Obtain Marijuana 

The NSDUH Report:  Substance Use, Abuse, and Dependence Among Youth Who Have Been in a Jail or a Detention Center

The NSDUH Report:  Alcohol Dependence or Abuse Among Parents with Children Living in the Home

Results of the 2002 National Survey on Drug Use & Health (HTML format)   New national findings just released with data for youth on a variety of topics relating to alcohol, tobacco, and illicit drug use and mental health problems

Chapter on 2002 Youth Prevention-Related Measures

Chapter on Mental Health Treatment Among Youths in 2002

Adolescent mental health treatment/counseling (PDF format, Go to Tables 6.41 to 6.49)

The DASIS Report:  Substance Abuse Treatment Admissions Referred by Schools, 2000.

The NSDUH Report:  Religious Beliefs and Substance Use Among Youths.

The NSDUH Report:  Availability of Illicit Drugs Among Youths.

The NSDUH Report:  Marijuana Use and Delinquent Behaviors Among Youths.

The NSDUH Report:  Substance Use Among School Dropouts.

The DASIS Report: Facilities Primarily Serving Adolescents: 2002.

The DAWN Report:  Marijuana-related Emergency Department Visits by Youth (PDF format)

The NSDUH Report:  How Youths Obtain Marijuana.

The NHSDA Report:  Racial and Ethnic Differences in Youth Hallucinogen Use.

The NHSDA Report:  Comparison of Substance Use in Australia and the United States.

The NHSDA Report:  School Experiences and Substance Use Among Youths.

The NHSDA Report:  Alcohol Use by Persons Under the Legal Drinking Age of 21.

The NHSDA Report:  Risk of Suicide Among Hispanic Females Aged 12 to 17.

The NHSDA Report:  Youths' Choice of Consultant for Serious Problems as Related to Substance Use

The NHSDA Report:  Children Living with Substance Abusing or Substance Dependent Parents

The NHSDA Report:  How Youths Get Cigarettes

The NHSDA Report:  Youth Violence and Substance Use,  2001 Update

The NHSDA Report:   Low Rates of Alcohol Use among Asian Youths

The NHSDA Report:   Academic Performance and Youth Substance Use

The NHSDA Report:   Parental Disapproval of Youths' Substance Use

The DASIS Report: Youth Marijuana Admissions by Race and Ethnicity

The NHSDA Report:  Marijuana Use Among Youths

The NHSDA Report:  Substance Use and the Risk of Suicide Among Youths

The DASIS Report: Asian and Pacific Islander Adolescents in Substance Abuse Treatment Admissions, 1999

The DASIS Report: Drug and Alcohol Treatment in Juvenile Correctional Facilities

The NHSDA Report:  Binge Drinking Among Underage Persons

The DASIS Report: Treatment Referral Sources for Adolescent Marijuana Users

The DASIS Report: Adolescent Admissions Involving Inhalants

The NHSDA Report:  Inhalant Use Among Youths

The NHSDA Report:  Team Sports Participation and Substance Use Among Youths

The NHSDA Report: Cigarette Use Among American Indian/Alaska Native Youths

The NHSDA Report:  Illicit Drug Use Among Youths Who Used Cigarettes and Alcohol

The NHSDA Report:  Neighborhood Characteristics and Youth Marijuana Use

The NHSDA Report:  Youth Violence Linked to Substance Use

The NHSDA Report:  Availability of Illicit Drugs to Females Aged 12 to 17

The NHSDA Report:  Beliefs Among Youths About Risks from Illicit Drug Use

The NHSDA Report:  Obtaining Marijuana Easy for Youths

The NHSDA Report:  Youth Who Carry Handguns

The DASIS Report:  Coerced Treatment Among Youths:  1993 to 1998

Youth Substance Use:  State Estimates from the 1999 National Household Survey on Drug Abuse

Risk and Protective Factors for Adolescent Drug Use

Patterns of Alcohol Use Among Adolescents and Associations with Emotional and Behavioral Problems (PDF Format)

The Relationship between Mental Health and Substance Abuse Among Adolescents

Parental Influences on Adolescent Marijuana Use and the Baby Boom Generation:  Findings from the 1979-1996 National Household Surveys on Drug Abuse

Adolescent Self-Reported Behaviors and Their Association with Marijuana Use

    

                

Children of Alcoholic / Substance Abusing Parents

 

Based on SAMHSA's National Survey on Drug Use and Health, in 2002 almost 5 million adults were alcohol dependent or alcohol abusing and had at least one child younger than age 18 living in their home. Parents with past year alcohol dependence or abuse were more likely to report household turbulence than parents who were not alcohol dependent or alcohol abusing. Household turbulence included people in their household having serious arguments and often insulting or yelling at each other. See The NSDUH Report:  Alcohol Dependence or Abuse Among Parents with Children Living in the Home.

Based on SAMHSA's National Household Survey,  in 2001 more than 6 million children lived with at least one parent who abused or was dependent on alcohol or an illicit drug during the past year.  This involved about 10 percent of children aged 5 or younger, 8 percent of children aged 6 to 11, and 9 percent of youths aged 12 to 17.  See The NHSDA Report:  Children Living with Substance Abusing or Substance Dependent Parents.

Parental Influences on Adolescent Marijuana Use and the Baby Boom Generation    examined family intactness, parental problems,  as well as parental drug use & attitudes and the association with their children's drug use.  Children's characteristics including dropping out of school, emotional problems, etc. were also examined. 

Children at Risk Because of Parental Substance Abuse - estimated the number and percent of infants and children age 17 and younger living with parents who used illegal drugs, cigarettes, or cigarettes, were dependent on drugs or alcohol, or who needed substance abuse treatment.

 

Under-age Drinking

 

Based on SAMHSA's 2002 National Survey on Drug Use and Health, rates of current underage drinking among youth aged 12 to 17 was higher in rural than nonrural areas. Current underage drinking among those aged 18 to 20, however, were higher in nonrural areas. Rural youth aged 12 to 17 reported lower levels of perceived risk from alcohol use, less disapproval of alcohol use, and less perceived parental disapproval of underage drinking than those in nonrural areas. Binge drinking (defined as 5 or more drinks on the same occasion at least one day in the past month) was also higher among rural youth age 12 to 17 (4.1%) than nonrural (1.6%) but did not differ by rural status for those aged 18 to 20. See The NSDUH Report:  Underage Drinking in Rural Areas

Based on SAMHSA's 2002 National Survey on Drug Use and Health, approximately 1.6 million youth (7%) aged 12 to 17 had run away from home and slept on the street in the past 12 months. Among youths aged 12 or 13, 6% had run away and among those aged 16 or 17, 10% had run away from home in the past 12 months. Youths who had run away from home in the past 12 months were more likely to have used alcohol, marijuana, or an illicit drug other than marijuana in the past year than youths who had not run away. Alcohol was used in the past year by 50% of the runaway youths aged 12 to 17 and 33% of those who had not run away from home. Marijuana was used in the past year by 23% of the runaways aged 12 to 18 and 12% of those who had not run away from home. See The NSDUH Report:  Substance Use Among Youths Who Had Run Away From Home

Based on SAMHSA's National Survey on Drug Use and Health, 21% of young drivers aged 15 to 17 were binge drinkers and 6% were heavy drinkers during the combined years of 1999 to 2001. Rates of heavy drinking and binge drinking among young drivers varied by the States' Graduated Driver Licensing ratings, based on the extent to which they restrict driving behavior among young drivers. This report identifies the States categorized from most restrictive to least restrictive according to the 4 category rating scheme developed by the Insurance Institute for Highway Safety and the Traffic Injury Research Foundation. See The NSDUH Report:  Graduated Driver Licensing and Drinking Among Young Drivers

In 2001, 60% of the 112,000 substance abuse treatment admissions aged 18-20 reported to SAMHSA's Treatment Episode Data Set (TEDS), involved alcohol. Admissions aged 18-20 for alcohol only were more likely to have been referred by the criminal justice system (70%) than admissions for alcohol with a secondary drug (56%).  Alcohol only treatment admissions aged 18-20 were less likely to have started using alcohol prior to the age of 13 than admissions for alcohol with a secondary drug (12% vs. 23%).  See The DASIS Report: Treatment Admissions for Primary Alcohol Abuse Among Youth Aged 18-20; 2001  

Between 1998 and 2001, past year use of "any illicit drug" decreased in Australia while past year use of any illicit drug increased between 2000 and 2001 in the United States.  Among teenagers aged 14 to 19, girls in both Australia and the United States had comparable or higher rates than the boys in their country for past year use of alcohol, amphetamines, and cocaine.  The teenaged boys had higher rates than the girls for past year marijuana use.  The legal drinking age in Australia is age 18 compared to age 21 in the United States; however, the average age of first use of alcohol was earlier for U.S. drinkers (age 15.9 years) than for Australian drinkers (age 17.1 years).  See The NHSDA Report:  Comparison of Substance Use in Australia and the United States.

SAMHSA's National Household Survey on Drug Abuse estimates that in 2001, about 10.1 million persons aged 12 to 20 used alcohol in the past month.  Nearly 3 million of this age group were dependent on or abused alcohol in the past year but only about 400,000 received any type of alcohol treatment in the past year.  Furthermore, nearly 3 million persons aged 16 to 20 were estimated to have driven under the influence of alcohol at least once in the past year.  See The NHSDA Report:  Alcohol Use by Persons Under the Legal Drinking Age of 21.

In 2000, almost 7 million persons aged 12 to 20 (under the legal drinking age) was a binge drinker.  The rate of binge drinking among underage persons (19 percent) was almost as high as among adults aged 21 or older (21 percent).  Underage persons who reported binge drinking were 7 times more likely to report illicit drugs during the past month than underage persons who did not binge drink. See The NHSDA Report:  Binge Drinking Among Underage Persons.

Other reports on under-age drinking

  

              

Alcohol, Tobacco, & Illegal Drug Use

SAMHSA's 2002/2003 National Survey on Drug Use and Health provided data on three categories of risk factors for substance use among American Indian or Alaska Native youths: individual/peers, family, and school. American Indian or Alaska Native youths were more likely than other youths to perceive moderate to no risk associated with substance use, to perceive their parents as not strongly disapproving of their substance use, and to believe that all or most of the students in their school get drunk at least once a week. According to American Indian or Alaska Native youths, their parents were about as likely as those of other youths to talk to their child about dangers of substance use, to let the youth know they had done a good job, to tell their youth that they were proud of something they had done, to make their youth do chores around the house or to limit the amount of time watching TV. However, parents of American Indian or Alaska Native youths were less likely to provide help with school homework or to limit the time out with friends on school nights. See The NSDUH Report:  Risk & Protective Factors for Substance Use Among American Indian or Alaska Native Youths

Based on SAMHSA's 2002 National Survey on Drug Use and Health, rates of current underage drinking among youth aged 12 to 17 was higher in rural than nonrural areas. Current underage drinking among those aged 18 to 20, however, were higher in nonrural areas. Rural youth aged 12 to 17 reported lower levels of perceived risk from alcohol use, less disapproval of alcohol use, and less perceived parental disapproval of underage drinking than those in nonrural areas. Binge drinking (defined as 5 or more drinks on the same occasion at least one day in the past month) was also higher among rural youth age 12 to 17 (4.1%) than nonrural (1.6%) but did not differ by rural status for those aged 18 to 20. See The NSDUH Report:  Underage Drinking in Rural Areas

Based on SAMHSA's National Survey on Drug Use and Health, during 2002, approximately 91% of youths aged 12 to 17, participated in one or more school-based, community-based, church or faith-based, or other activities (e.g., karate lessons) during the past year. Rates of past year use of cigarettes, alcohol, or illicit drugs were lower among youth who participated in such activities than nonparticipants. See The NSDUH Report: Participation in Youth Activities and Substance Use Among Youths

Based on SAMHSA's 2002 National Survey on Drug Use and Health, approximately 1.6 million youth (7%) aged 12 to 17 had run away from home and slept on the street in the past 12 months. Among youths aged 12 or 13, 6% had run away and among those aged 16 or 17, 10% had run away from home in the past 12 months. Youths who had run away from home in the past 12 months were more likely to have used alcohol, marijuana, or an illicit drug other than marijuana in the past year than youths who had not run away. Alcohol was used in the past year by 50% of the runaway youths aged 12 to 17 and 33% of those who had not run away from home. Marijuana was used in the past year by 23% of the runaways aged 12 to 18 and 12% of those who had not run away from home. See The NSDUH Report:  Substance Use Among Youths Who Had Run Away From Home

Based on SAMHSA's National Survey on Drug Use and Health, 21% of young drivers aged 15 to 17 were binge drinkers and 6% were heavy drinkers during the combined years of 1999 to 2001. Rates of heavy drinking and binge drinking among young drivers varied by the States' Graduated Driver Licensing ratings, based on the extent to which they restrict driving behavior among young drivers. This report identifies the States categorized from most restrictive to least restrictive according to the 4 category rating scheme developed by the Insurance Institute for Highway Safety and the Traffic Injury Research Foundation. See The NSDUH Report:  Graduated Driver Licensing and Drinking Among Young Drivers

SAMHSA's 2002 National Survey on Drug Use and Health found that more than 2.6 million youths aged 12 to 17 reported using inhalants at least once in their lifetime. The categories of inhalants most frequently used in the youths' lifetime were glue, shoe polish or toluene (4.5%), gasoline or lighter fluid (3.5%), and spray paints (2.5%). Over half (53%) of the youths who used an inhalant, however, had used more than one type in their lifetime. Youths who had used an inhalant in the past year were about 3 times more likely to use marijuana, 4 times more likely to use prescription drugs nonmedically, and 7 times more likely to use hallucinogens than those who had not used inhalants in the past year. See The NSDUH Report:  Inhalant Use Among Youths: 2002 Update

SAMHSA's National Survey on Drug Use and Health found that, in 2002, over 60 percent of youths aged 12 to 17 who had used marijuana in the past year obtained their most recently used marijuana for free or shared someone else's marijuana. Among youths who obtained marijuana for free or shared it, blacks (18 percent) were more likely than whites (9 percent) or Hispanics (7 percent) to have obtained it from a relative or family member. Among youths who bought their most recently used marijuana, white youths (9 percent) were more likely than black youths (4 percent) to have purchased it inside a school building. See The NSDUH Report:  How Youths Obtain Marijuana 

In 2002, according to SAMHSA's National Survey on Drug Use and Health, about 8 million youths (33 percent) aged 12 to 17 attended religious services 25 times or more in the past year.  More than 78 percent of youths (19 million) reported that religious beliefs are a very important part of their lives and 69 percent (17 million) reported that religious beliefs influence how they make decisions.  Youth aged 12 to 17 with higher levels of religiosity were less likely to have used cigarettes, alcohol, or illicit drugs in the past month than youths with lower levels of religiosity.  See The NSDUH Report:  Religious Beliefs and Substance Use Among Youths.

In 2002, males and females aged 12 to 17 were equally likely (55%) to report that obtaining marijuana would be easy. However, female youths were more likely than males to report it would be easy to obtain crack (32% vs. 21%), cocaine (29% vs. 21%), LSD (23% vs. 16%) and heroin (17% vs. 13%).  About 29% of the youths who had been approached by someone selling drugs in the month before the survey had used marijuana in the past month compared with 4% of those not approached by a drug seller.  See The NSDUH Report:  Availability of Illicit Drugs Among Youths.

Based on SAMHSA's 2002 National Survey on Drug Use and Health, the percentages of youths engaging in delinquent behaviors rose with increasing frequency of marijuana use. In 2002, more than 5 million youths engaged in serious fighting at school or work and almost 4 million took part in a group-against-group fight in the past year. Over half (57%) of those who used marijuana 300 or more days in the past year reported that they also sold illegal drugs. See  The NSDUH Report:  Marijuana Use and Delinquent Behaviors Among Youths.

According to SAMHSA's Drug Abuse Warning Network (DAWN), marijuana is the most frequently reported drug in emergency department (ED) visits related to drug abuse in youth age 12 to 19.   However, marijuana-related ED visits have been increasing much faster than drug-related visits overall, with increases evident in every age group.  See The DAWN Report:  Marijuana-related Emergency Department Visits by Youth (PDF format).

Based on SAMHSA's National Household Survey on Drug Abuse, in 2001 almost 1.4 million youth aged 12 to 17 had used hallucinogens at least once in their lifetime.  Among youth, Blacks were less likely than whites, Asians, or Hispanics to have used any hallucinogen in their lifetime.  Blacks and Hispanics were more likely than whites and Asians to perceive great risk in trying LSD once or twice.  See The NHSDA Report:  Racial and Ethnic Differences in Youth Hallucinogen Use.

Students aged 12 to 17 with positive school experiences were less likely to have used alcohol or illicit drugs in the past year than students without these positive school experiences.  The youth with positive school experiences were those who enjoyed going to school, who felt that their assigned schoolwork was meaningful, or who felt that the things they learned in school were going to be important later in life.  Also, the rates of past year alcohol and illicit drug use were lower for youths who had seen or heard drug or alcohol prevention messages at school in the past year than youths who had NOT seen or heard drug or alcohol prevention messages at school.  See The NHSDA Report:  School Experiences and Substance Use Among Youths.

In 2002, approximately 3.2 million young adults aged 18 to 24 were considered to be school dropouts.  SAMHSA's 2002 National Survey on Drug Use and Health compared the rates of smoking, drinking, and illegal drug use among young adult school dropouts and non-dropouts.  See The NSDUH Report:  Substance Use Among School Dropouts.

SAMHSA's National Household Survey on Drug Abuse estimates that in 2001, about 10.1 million persons aged 12 to 20 used alcohol in the past month.  Nearly 3 million of this age group were dependent on or abused alcohol in the past year but only about 400,000 received any type of alcohol treatment in the past year.  Furthermore, nearly 3 million persons aged 16 to 20 were estimated to have driven under the influence of alcohol at least once in the past year.  See The NHSDA Report:  Alcohol Use by Persons Under the Legal Drinking Age of 21.

Youth Substance Use:  State Estimates from the 1999 National Household Survey on Drug Abuse

Asian youths were less likely to have used alcohol during the past year than Hispanic, white, or American Indian/Alaska Native youths.   Filipino youths were more likely to have used alcohol during the past year than Chinese or Asian Indian youths.  See The NHSDA Report:   Low Rates of Alcohol Use Among Asian Youths.

Youths, aged 12 to 17 living in non-metropolitan areas were more likely than youths in metropolitan areas to abuse or be dependent on alcohol or illicit drugs during the past year.   See  The NHSDA Report:  Substance Abuse or Dependence in Metropolitan and Non-Metropolitan Areas.

In 2000, over 3 million youths aged 12 to 17 used marijuana at least once during the past year.  See The NHSDA Report:  Marijuana Use Among Youths

In 2000, almost 7 million persons aged 12 to 20 (under the legal drinking age) was a binge drinker.  The rate of binge drinking among underage persons (19 percent) was almost as high as among adults aged 21 or older (21 percent).  Underage persons who reported binge drinking were 7 times more likely to report illicit drugs during the past month than underage persons who did not binge drink. See The NHSDA Report:  Binge Drinking Among Underage Persons.

In 2000, more than 2 million youths aged 12 to 17 reported using inhalants at least once in their lifetime.  See The NHSDA Report:  Inhalant Use Among Youths.

American Indian/Alaska Native youths aged 12 to 17 were more likely than youths from other racial/ethnic groups to smoke cigarettes during the past month.   See The NHSDA Report: Cigarette Use Among American Indian/Alaska Native Youths.

Youths who were past month users of both cigarettes and alcohol were more than twice as likely to have used illicit drugs than youths who used only cigarettes or only alcohol.  See The NHSDA Report:  Illicit Drug Use Among Youths Who Used Cigarettes and Alcohol.

  

      

Risk Factors

SAMHSA's 2002/2003 National Survey on Drug Use and Health provided data on three categories of risk factors for substance use among American Indian or Alaska Native youths: individual/peers, family, and school. American Indian or Alaska Native youths were more likely than other youths to perceive moderate to no risk associated with substance use, to perceive their parents as not strongly disapproving of their substance use, and to believe that all or most of the students in their school get drunk at least once a week. According to American Indian or Alaska Native youths, their parents were about as likely as those of other youths to talk to their child about dangers of substance use, to let the youth know they had done a good job, to tell their youth that they were proud of something they had done, to make their youth do chores around the house or to limit the amount of time watching TV. However, parents of American Indian or Alaska Native youths were less likely to provide help with school homework or to limit the time out with friends on school nights. See The NSDUH Report:  Risk & Protective Factors for Substance Use Among American Indian or Alaska Native Youths

Based on SAMHSA's 2002 National Survey on Drug Use and Health, rates of current underage drinking among youth aged 12 to 17 was higher in rural than nonrural areas. Current underage drinking among those aged 18 to 20, however, were higher in nonrural areas. Rural youth aged 12 to 17 reported lower levels of perceived risk from alcohol use, less disapproval of alcohol use, and less perceived parental disapproval of underage drinking than those in nonrural areas. Binge drinking (defined as 5 or more drinks on the same occasion at least one day in the past month) was also higher among rural youth age 12 to 17 (4.1%) than nonrural (1.6%) but did not differ by rural status for those aged 18 to 20. See The NSDUH Report:  Underage Drinking in Rural Areas

Based on SAMHSA's National Survey on Drug Use and Health, during 2002, approximately 91% of youths aged 12 to 17, participated in one or more school-based, community-based, church or faith-based, or other activities (e.g., karate lessons) during the past year. Rates of past year use of cigarettes, alcohol, or illicit drugs were lower among youth who participated in such activities than nonparticipants. See The NSDUH Report: Participation in Youth Activities and Substance Use Among Youths

Based on SAMHSA's National Survey on Drug Use and Health, 21% of young drivers aged 15 to 17 were binge drinkers and 6% were heavy drinkers during the combined years of 1999 to 2001. Rates of heavy drinking and binge drinking among young drivers varied by the States' Graduated Driver Licensing ratings, based on the extent to which they restrict driving behavior among young drivers. This report identifies the States categorized from most restrictive to least restrictive according to the 4 category rating scheme developed by the Insurance Institute for Highway Safety and the Traffic Injury Research Foundation. See The NSDUH Report:  Graduated Driver Licensing and Drinking Among Young Drivers

In 2002, according to SAMHSA's National Survey on Drug Use and Health, about 8 million youths (33 percent) aged 12 to 17 attended religious services 25 times or more in the past year.  More than 78 percent of youths (19 million) reported that religious beliefs are a very important part of their lives and 69 percent (17 million) reported that religious beliefs influence how they make decisions.  Youth aged 12 to 17 with higher levels of religiosity were less likely to have used cigarettes, alcohol, or illicit drugs in the past month than youths with lower levels of religiosity.  See The NSDUH Report:  Religious Beliefs and Substance Use Among Youths.

In 2002, males and females aged 12 to 17 were equally likely (55%) to report that obtaining marijuana would be easy. However, female youths were more likely than males to report it would be easy to obtain crack (32% vs. 21%), cocaine (29% vs. 21%), LSD (23% vs. 16%) and heroin (17% vs. 13%).  About 29% of the youths who had been approached by someone selling drugs in the month before the survey had used marijuana in the past month compared with 4% of those not approached by a drug seller.  See The NSDUH Report:  Availability of Illicit Drugs Among Youths.

Based on SAMHSA's 2002 National Survey on Drug Use and Health, the percentages of youths engaging in delinquent behaviors rose with increasing frequency of marijuana use. In 2002, more than 5 million youths engaged in serious fighting at school or work and almost 4 million took part in a group-against-group fight in the past year. Over half (57%) of those who used marijuana 300 or more days in the past year reported that they also sold illegal drugs. See  The NSDUH Report:  Marijuana Use and Delinquent Behaviors Among Youths.

Students aged 12 to 17 with positive school experiences were less likely to have used alcohol or illicit drugs in the past year than students without these positive school experiences.  The youth with positive school experiences were those who enjoyed going to school, who felt that their assigned schoolwork was meaningful, or who felt that the things they learned in school were going to be important later in life.  Also, the rates of past year alcohol and illicit drug use were lower for youths who had seen or heard drug or alcohol prevention messages at school in the past year than youths who had NOT seen or heard drug or alcohol prevention messages at school.  See The NHSDA Report:  School Experiences and Substance Use Among Youths.

Based on SAMHSA's National Household Survey on Drug Abuse, in 2001 more than 6 million children lived with at least one parent who abused or was dependent on alcohol or an illicit drug during the past year.  This involved about 10 percent of children aged 5 or younger, 8 percent of children aged 6 to 11, and 9 percent of youths aged 12 to 17.  See The NHSDA Report:  Children Living with Substance Abusing or Substance Dependent Parents.

According to the 2002 National Survey on Drug Use & Health, almost 4 million youths aged 12 to 17 had used marijuana at least once in the past year.  For information on how they obtained marijuana the last time they used, from whom and where, see The NSDUH Report:  How Youths Obtain Marijuana.

SAMHSA's National Household Survey on Drug Abuse in 1999 asked youths whom they would talk to about a serious problem.  Of the estimated 23 million youths aged 12 to 17,  about 16 million youths reported that they would turn to a friend or sibling, 15 million to their mother, and 1 million reported that they would turn to nobody.  See The NHSDA Report:  Youths' Choice of Consultant for Serious Problems as Related to Substance Use.

According to SAMHSA's 1999 National Household Survey on Drug Abuse, an estimated 833,000 youths between the ages of 12 and 17 had carried a handgun in the past year.  See The NHSDA Report: Youth Who Carry Handguns.

In 2001, over 3 million persons aged 12 to 17 had smoked cigarettes during the past month.  Although it is illegal in the United States to sell tobacco to under aged youths, in 2001 almost 2 million youths aged 12 to 17 who smoked cigarettes in the past month purchased them personally during the same time period.  See The NHSDA Report:  How Youths Get Cigarettes.

Among youths aged 12 to 17, those aged 14 or 15 reported higher rates than those younger or older for the following violent behaviors:  serious fighting at school or work, group-against-group fights, and attacking others with the intent of seriously hurting them. See The NHSDA Report:  Youth Violence and Substance Use,  2001 Update.

Youths who received grades of D or below last semester were more likely than those with higher grades to have used cigarettes, alcohol, or illicit drugs during the past month.  See The NHSDA Report:   Academic Performance and Youth Substance Use

Rates of past month use of marijuana/hashish, alcohol, or cigarettes were lower among youths who believed their parents would strongly disapprove of their substance use compared with those who felt their parents somewhat disapproved or those who thought their parents would neither approve nor disapprove.  See The NHSDA Report:   Parental Disapproval of Youths' Substance Use.

In 2000,  approximately 3 million youths were at risk for suicide during the past year.   Youths who reported past year alcohol or illicit drug use were more likely than youths who did not use these substances to be at risk for suicide.  See The NHSDA Report:  Substance Use and the Risk of Suicide Among Youths.

In 2000, Hispanic females aged 12 to 17 were at higher risk for suicide than other youths.  Only 32 percent of Hispanic female youths at risk for suicide during the past year, however, received mental health treatment during this same time period.  See The NHSDA Report:  Risk of Suicide Among Hispanic Females Aged 12 to 17.

In 2000, approximately 61 percent of youths aged 12 to 17, or more than 14 million, participated in team sports during the past year.   Rates of past month use of tobacco, alcohol, or illicit drugs were generally lower among team sports participants than non participants.  However, the rate of past month smokeless tobacco use was higher among team sports participants than non participants.   See The NHSDA Report:  Team Sports Participation and Substance Use Among Youths.

Marijuana use was higher among youth who perceived high rates of such neighborhood characteristics as crime, drug selling, street fights, abandoned buildings, and graffiti than youth perceiving low rates of such neighborhood characteristics.  See  The NHSDA Report:  Neighborhood Characteristics and Youth Marijuana Use.

Youth who reported participating in violence during the past year were more likely to use alcohol and illicit drugs during the past month than youths who did not report past year violence.  See The NHSDA Report:  Youth Violence Linked to Substance Use. 

Females aged 12 to 17 were more likely than their male peers to report that cocaine, crack, LSD, and heroin were fairly or very easy to obtain.  See The NHSDA Report:  Availability of Illicit Drugs to Females Aged 12 to 17.

Youths perceiving great risk from using marijuana once or twice a week were less likely to use substances than youths perceiving moderate, slight, or no risk.  See The NHSDA Report:  Beliefs Among Youths About Risks from Illicit Drug Use.

In 1999, 57 percent of youths aged 12 to 17 agreed that obtaining marijuana would be easy.  See The NHSDA Report:  Obtaining Marijuana Easy for Youths.

    

 

Treatment

 

Based on SAMHSA's 2000 Treatment Episode Data Set (TEDS), about 10 percent (15,000) of substance abuse admissions aged 18 or younger were referred by schools.   Four States had rates of at least twice the national average of school referrals:  South Carolina (32%), Hawaii (28%), New Hampshire (25%) and Virginia (22%).  In four States, school referrals made up 2% or less of youth substance abuse admissions:  Montana, Nevada, Missouri, and North Dakota.  See The DASIS Report:  Substance Abuse Treatment Admissions Referred by Schools, 2000.

In 2001, 60% of the 112,000 substance abuse treatment admissions aged 18-20 reported to SAMHSA's Treatment Episode Data Set (TEDS), involved alcohol. Admissions aged 18-20 for alcohol only were more likely to have been referred by the criminal justice system (70%) than admissions for alcohol with a secondary drug (56%).  Alcohol only treatment admissions aged 18-20 were less likely to have started using alcohol prior to the age of 13 than admissions for alcohol with a secondary drug (12% vs. 23%).  See The DASIS Report: Treatment Admissions for Primary Alcohol Abuse Among Youth Aged 18-20; 2001  

Based on SAMHSA's 2002 National Survey of Substance Abuse Treatment Services (N-SSATS), 7 percent served primarily clients younger than 18 years.  Adolescent facilities were more likely than adult facilities to offer special programs for clients with co-occurring substance abuse and psychological problems.  In adolescent facilities, the majority of clients were treated for both alcohol and drug abuse problems.  About 8 percent of the clients in adolescent facilities were treated for only alcohol abuse and not drug abuse compared with 22 percent in adult facilities.    See The DASIS Report: Facilities Primarily Serving Adolescents: 2002.

In 2000, Hispanic females aged 12 to 17 were at higher risk for suicide than other youths.  Only 32 percent of Hispanic female youths at risk for suicide during the past year, however, received mental health treatment during this same time period.  See The NHSDA Report:  Risk of Suicide Among Hispanic Females Aged 12 to 17.

Among marijuana treatment admissions for youth, 59 percent were white, 23 percent were Black, 12 percent were Hispanic, 2 percent were Asian/Pacific Islanders,  and 2 percent were American Indian and Alaska Natives.  See The DASIS Report: Youth Marijuana Admissions by Race and Ethnicity.

The number of Asian and Pacific Islander adolescent substance abuse treatment admissions increased by 52 percent between 1994 and 1999.  See The DASIS Report: Asian and Pacific Islander Adolescents in Substance Abuse Treatment Admissions, 1999.

Among juvenile correctional facilities, 37 percent provided on-site substance abuse treatment and 59 percent conducted drug testing.  See The DASIS Report: Drug and Alcohol Treatment in Juvenile Correctional Facilities.

By 1999, more than half of all  adolescent marijuana admissions were referred through the criminal justice system.  Adolescent marijuana admissions through the criminal justice system increased at a higher rate than admissions through other sources.   See The DASIS Report: Treatment Referral Sources for Adolescent Marijuana Users.

By 1998, almost half (49 percent) of all youth treatment admissions were through the criminal justice system. This represented a significant increase from the 39 percent referred through the criminal justice system in 1993.  See The DASIS Report:  Coerced Treatment Among Youths:  1993 to 1998.

More than half of 1999 adolescent admissions involving inhalant abuse also involved both alcohol and marijuana.  See The DASIS Report: Adolescent Admissions Involving Inhalants.

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This page was last updated on September 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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