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Women and Substance Use

bulletList of all reports on women

bullet Pregnancy:  Detailed Tables (PDF format, Go to tables 7.54 - 7.61)

bulletHighlights of Reports on Women, Pregnancy, & Related Issues:

 

Full Reports & Chapters on Women

The DASIS Report:  Characteristics of Homeless Female Admissions to Substance Abuse Treatment, 2002

 

Highlights of Short Reports on Prevalence

 
  • Based on SAMHSA's 2002 National Survey on Drug Use and Health, among women aged 21 to 49, married women were less likely to have used tobacco, engaged in binge alcohol use, or used an illicit drug in the past month compared with women who were divorced or separated, never married, or living with an unmarried partner. Among married women, those with children younger than 18 living in the home were less likely to have used tobacco, engaged in binge alcohol use, or used any illicit drug in the past month than those with no child living in the home. Past month tobacco and illicit drug use were higher among women living with an unmarried partner than among women from other marital status groups. See The NSDUH Report:  Marital Status and Substance Use Among Women
  • In 2002, 3 percent of pregnant women aged 15 to 44 used illicit drugs in the past month, 3 percent reported binge alcohol use, and 17 percent reported smoking cigarettes in the past month.  Among pregnant women aged 15 to 44, whites were more likely to have smoked cigarettes in the past month than blacks or Hispanics.   See  The NSDUH Report:  Pregnancy and Substance Use.
  • 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.  Hispanic female youths born in the United States were at higher risk than Hispanic female youths born outside the United States.  But rates of suicide risk were similar among Hispanic female youths across regions and ethnic subgroups (e.g., Mexican, Puerto Rican, Central or South American and Cuban).  See The NHSDA Report:  Risk of Suicide Among Hispanic Females Aged 12 to 17.
  • In 1999, about four percent of the pregnant women and eight percent of women who were not pregnant used an illicit drug in the past month.  Illicit drug-using women, regardless of pregnancy status, were more likely to use marijuana than any other drug.  See The NHSDA Report:    Pregnancy and Illicit Drug Use.
   

Highlights of Short Reports on Pregnant Women

 
  • In 2002, of the 363,000 treatment admissions of women of usual childbearing age (aged 15 to 44 years) for which pregnancy status was recorded in SAMHSA's Treatment Episode Data Set (TEDS), 4% were known to be pregnant when admitted. Compared to nonpregnant admissions, pregnant women aged 15 to 44 entering treatment were more likely to report cocaine/crack (22% vs. 17%), amphetamine/methamphetamine (21% vs. 13%), or marijuana (17% vs. 13%) as their primary substance of abuse and less likely to report alcohol (18% vs. 31%). See The DASIS Report: Pregnant Women in Substance Abuse Treatment: 2002
  • In 2002, 3 percent of pregnant women aged 15 to 44 used illicit drugs in the past month, 3 percent reported binge alcohol use, and 17 percent reported smoking cigarettes in the past month.  Among pregnant women aged 15 to 44, whites were more likely to have smoked cigarettes in the past month than blacks or Hispanics.   See  The NSDUH Report:  Pregnancy and Substance Use.
  • In 1999, about four percent of the pregnant women and eight percent of women who were not pregnant used an illicit drug in the past month.  Illicit drug-using women, regardless of pregnancy status, were more likely to use marijuana than any other drug.  See The NHSDA Report:    Pregnancy and Illicit Drug Use.
  • In 1999, pregnant women aged 15 to 44 were more likely to enter treatment for cocaine abuse  than nonpregnant women of the same age group.  Between 1995 and 1999, the source of referral to substance abuse treatment changed for pregnant women:  Criminal Justice Referrals increased and referrals by Self/Individual or Health Care Providers decreased.  See The DASIS Report: Pregnant Women in Substance Abuse Treatment.
   

Highlights of Short Reports on Treatment and Women

 
  • Of the admissions for whom living arrangement were recorded in SAMHSA's Treatment Episode Data Set (TEDS) in 2002, 13% (171,400) were homeless at the time of admission. Females comprised 20% of the homeless admissions. Compared with all female admissions, the service setting for women who were homeless at time of substance abuse treatment admission was more likely to be detoxification (42% vs. 19%) or residential/rehabilitation (26% vs. 18%) and less likely to be ambulatory settings (32% vs. 63%). Homeless female admissions were more likely than all female admissions to report cocaine/crack (24% vs. 17%) or heroin (21% vs. 16%) as their primary substance of abuse. See The DASIS Report:  Characteristics of Homeless Female Admissions to Substance Abuse Treatment, 2002

     

  • In 2002, of the 363,000 treatment admissions of women of usual childbearing age (aged 15 to 44 years) for which pregnancy status was recorded in SAMHSA's Treatment Episode Data Set (TEDS), 4% were known to be pregnant when admitted. Compared to nonpregnant admissions, pregnant women aged 15 to 44 entering treatment were more likely to report cocaine/crack (22% vs. 17%), amphetamine/methamphetamine (21% vs. 13%), or marijuana (17% vs. 13%) as their primary substance of abuse and less likely to report alcohol (18% vs. 31%). See The DASIS Report: Pregnant Women in Substance Abuse Treatment: 2002
  •  In 2002, the proportion of female admissions between the ages of 25 and 44 to SAMHSA's Treatment Episode Data Set (TEDS) who were currently married was less than in the general population. About 40% of the female admissions were self and individual referrals to treatment and about 25% were referred by the criminal justice system. Cocaine and opiates were reported as the primary substance of abuse more frequently by female admissions who had never been married and alcohol was reported more frequently by those who had ever been married. See The DASIS Report:  Marital Status of Women Aged 25-44: 2002 in substance abuse treatment
  • Based on SAMHSA's Treatment Episode Data Set (TEDS), the number of adult women admissions (age 18 and older) to substance abuse treatment for primary use of smoked cocaine (crack) peaked in 1994.  Between 1994 and 2000, both the total number of such admissions and the number of first-time admissions declined.   In 2000, 14 percent of all adult female admissions to substance abuse treatment were for the primary use of crack cocaine.  The average length of crack use was 12 years prior to admission.  The DASIS Report:  Women in Treatment for Smoked Cocaine: 2000.
  • Of the substance abuse treatment facilities providing programs or services for women, 63 percent reported providing programs for women only, 56 percent reported services addressing domestic violence, 34 percent provided programs for pregnant or postpartum women, and 16 percent offered on-site child care services.  See The DASIS Report: Facilities Offering Special Programs or Services for Women.
  • In 1999, pregnant women aged 15 to 44 were more likely to enter treatment for cocaine abuse  than nonpregnant women of the same age group.  Between 1995 and 1999, the source of referral to substance abuse treatment changed for pregnant women:  Criminal Justice Referrals increased and referrals by Self/Individual or Health Care Providers decreased.  See The DASIS Report: Pregnant Women in Substance Abuse Treatment.
  • Women entered the substance abuse treatment system through different avenues than men.  Women were less likely than men to be referred by the criminal justice system and more likely to be referred by community, religious, or governmental organizations/agencies providing social services or by self-help groups.  See The DASIS Report:  How Men and Women Enter Substance Abuse Treatment.
  • In 1998, there were 23 men admitted to treatment for every 10 women.  Women in substance abuse treatment were more likely to be in treatment for "hard" drugs such as heroin and cocaine and less likely to be in treatment for alcohol abuse or marijuana use.  See The DASIS Report:  Women in Substance Treatment.
  • In 1998, the average adult woman entering treatment for crack cocaine was 34 years old and had first used crack when she was 24.  Over one-third of the adult women entering treatment for crack cocaine abuse were white, five percent were Hispanic, and 61 percent were black.  See The DASIS Report:  Women in Treatment for Smoked Cocaine.
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This page was last updated on October 05, 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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