Risk Factors Associated with Substance Use by Youth
Highlights
The
NSDUH Report: Marijuana Use and Perceived Risk of Use among
Adolescents: 2002 to 2007
Based
on SAMHSA's annual National Surveys on Drug Use and Health from 2002
to 2007, past month marijuana use among adolescents (i.e., youths aged
12 to 17) generally decreased from 2002 (8.2%) to 2005 (6.8%), and then
remained constant between 2005 and 2007.
The
percentage of adolescents who perceived great risk from smoking marijuana
once a month increased between 2002 (32.4%) and 2003 (34.9%),
and then remained relatively stable between 2003 and 2007.
Adolescents
who perceived great risk from smoking marijuana once a month were much
less likely to have used marijuana in the past month than those
who perceived moderate to no risk (1.4% vs. 9.5%).
The
NSDUH Report: Underage Alcohol Use: Where Do Young People
Drink?
SAMHSA's
2006 National Survey on Drug Use & Health indicated that more than
a fourth of the persons under the legal age for drinking actually drank
in the past month; that is, there were 10.8 million current underage drinkers.
Over
a half (53.4%) of the current underage alcohol users drank at someone
else's home the last time they used alcohol and another 30.3% drank in
their own home. Younger
female underage drinkers were more likely than older ones to have had
their most recent drink in a car or other vehicle. For example, female
underage drinkers aged 16 were eight times more likely to have had their
last drank in a car than those aged 20 (12.8% vs. 1.6%).
Among
current underage drinkers aged 20, females were almost twice as likely
as males to have had their most recent drink in a restaurant, bar, or
club (20.0% vs. 10.2%).
The
NSDUH Report: Depression and the Initiation of Alcohol and Other
Drug Use among Youths Aged 12 to 17
Data from SAMHSA's 2005 National Survey on Drug Use and Health
were used to examine the following in the past year: major depressive
episode, initiation of alcohol or illicit drug use, and the association
between such new alcohol and/or illicit drug use and major depressive
episode. In 2005, 8.8% of youth (about 2.2 million youth) had experienced
at least one major depressive episode during the past year.
Rates of major depressive episode varied by gender and age. About 2.7
million youth (15.4% of the youth who had not used alcohol previously)
used alcohol for the first time in the past year. About 1.5
million youth (7.6% of the youth who had not used an illicit drug previously)
used at least one illicit drug in the past year. Among youth who had not
used alcohol or an illicit drug previously, those with a major depressive
episode were about twice as likely to start using alcohol or an illicit
drug as youth who had not experienced a major depressive episode in the
past year. Among youth who had not used alcohol previously,
29.2% of those with a major depressive episode initiated alcohol use compared
with 14.5% youth who had not experienced a major depressive episode in
the past year. Among youth who had not used an illicit drug previously,
16.1% of those with a major depressive episode initiated illicit drug
use compared with 6.9% youth who had not experienced a major depressive
episode in the past year.
The
NSDUH Report: Youth Activities, Substance Use, and Family Income
Based on SAMHSA's 2005 National Survey on Drug Use
and Health, 92.4% of youths aged 12 to 17 participated in one or more
school-based, community-based, church or faith-based, or other such activities
during the past year: 27.1% participated in one to three activities, 31.4%
participated in four to six activities, and 33.9% participated in seven
or more activities in the past year. Youth
in families of lower income were more likely not to participate in any
school-based, community-based, church or faith-based or related activities;
however, regardless of family income those youth who did participate had
lower rates of cigarette, alcohol, or illicit drug use than those who
did not participate in such activities. The greater
the number of activities, the lower the rates of past year use of cigarettes,
alcohol, or illicit drugs among youth. For example, the rates of illicit
drug use were 18.3% for youth who participated in no such activities,
11.9% for those with 1-3 activities, 9.4% for 4-6 activities, and 6.8%
for 7 or more youth activities in the past year.
The
NSDUH Report: Substance Use and Employment among Youths Aged 15
to 17 Based
on SAMHSA's National Survey on Drug Use and Health, an estimated 33.7%
of youths aged 15 to 17 were employed either part or fulltime during the
past week. Employed youths were more likely than youths who were not employed
to have used alcohol (35.9% vs. 24.4%), to have engaged in binge alcohol
use (24.6% vs. 15.2%), and to have used an illicit drug (19.4% vs. 15.6%)
during the past month. Youths working 20 or more hours per week were more
likely than those working 19 or fewer hours per week to have drunk alcohol
(41.1% vs. 33.8%), to have binged on alcohol (29.0% vs. 23.1%), and to
have used any illicit drug (22.3% vs. 18.5%) during the past month.
The
NSDUH Report: Youth Violence and Illicit Drug Use
Based on SAMHSA's
National Survey on Drug Use & Health, youths aged 12 to 17 who used
an illicit drug in the past year were almost twice as likely to have engaged
in a violent behavior as those who did not use an illicit drug (49.8%
vs. 26.6%). Rates of past year violent behavior were higher among youths
aged 13, 14, and 15 than those either younger or older. The likelihood
of having engaged in violent behavior increased with the number of drugs
used in the past year: 45.6% of youths who used one illicit drug engaged
in violent behavior compared to 61.9% of youths who used three or more
illicit drugs.
The
NSDUH Report: Youths' Exposure to Substance Use Prevention Messages,
2003 Based
on SAMHSA's National Survey on Drug Use and Health in 2003, most youths
have been exposed to some kind of substance abuse prevention message -
- whether having seen or heard an alcohol or drug prevention message or
talked with a parent about the dangers of tobacco, alcohol, or drug use.
About 84% of youths aged 12 to 17 (20.8 million) in 2003 reported having
seen or heard an alcohol or drug prevention message from sources such
as posters, pamphlets, radio, or TV in the past 12 months. About 59% of
the youths (14.6 million) reported having talked with at least one of
their parents during the past year about the dangers of tobacco, alcohol
or drug use. Youth who had talked with a parent about the dangers of tobacco,
alcohol, or drug use in the past year were less likely to report past
month alcohol use, binge alcohol use, or illicit drug use than youths
who had not talked with a parent.
The
NSDUH Report: Mother's Serious Mental Illness and Substance Use
among Youths Based
on SAMHSA's National Survey on Drug Use and Health in 2002 and 2003, an
annual average of 18 million women aged 18 or older lived with a biological,
foster, step, or adoptive child aged 12 to 17. About 11.9% of mothers
(2.1 million) living with youths aged 12 to 17 had serious mental illness
during the past year. About 3.2% of the mothers had both a serious mental
illness and also reported illicit drug use, binge alcohol use, or heavy
alcohol use during the past month. Youths living with a mother who had
serious mental illness (SMI) were more likely to have used alcohol or
an illicit drug during the past month (26.7%) than youths living with
a mother who did not have SMI (18.8%).
The
NSDUH Report: Alcohol
Use and Delinquent Behaviors among Youths
Youths
who reported heavy alcohol use in the past month were the most likely
to have participated in any of the six delinquent behaviors assessed in
SAMHSA's National Survey on Drug Use and Health. Heavy drinking was defined
as drinking five or more alcoholic beverages on the same occasion on each
of 5 or more days in the past 30 days. All heavy alcohol users are also
binge alcohol users, i.e., drank five or more drinks on the same occasion
on at least one day in the past 30 days. In 2003, an estimated 9 million
(36.1%) youths aged 12 to 17 had engaged in at least one delinquent behavior
in the past year. Almost 6 million (23.8%) took part in a serious fight
at school or work; 4.5 million (18.1%) took part in a group-against-group
fight; 2.1 million (8.3%) attacked someone with the intent to seriously
hurt them; 1.1 million (4.5%) stole or tried to steal something worth
more than $50; over 900,000 (3.6%) sold illegal drugs; and over 900,000
(3.6%) carried a handgun during the past year.
The
NSDUH Report: Inhalant Use and Delinquent Behaviors among Young
Adolescents SAMHSA's
National Survey on Drug Use & Health found that in 2002 and 2003,
an annual average of 718,000 (8.6%) youths aged 12 or 13 had used an inhalant
in their lifetime. Youths aged 12 or 13 who used inhalants in their lifetime
were more than twice as likely to have been in a serious fight at school
or work during the past year than youths their age who had never used
inhalants. About 35% of youths aged 12 or 13 who used inhalants in their
lifetime also used another illicit drug compared with 7.5% of youths aged
12 or 13 who had never used inhalants in their lifetime.
The
NSDUH Report: Female Youths and Delinquent Behaviors
Based on SAMHSA's National Survey on Drug Use & Health, in 2003, about
2.4 million girls, aged 12 to 17 reported taking part in one or more serious
fights at school or work during the past year. Between 2002 and 2003,
the proportion of girls increased who participated in serious fights at
school or work (from 16.2% to 20%) and who participated in a group-against-group
fight in the past year (from 13.5% to 16.8%). Past year substance use
was the most prevalent delinquent behavior among girls aged 12 to 17,
with 36.5% (4.5 million) reporting past year alcohol use and 21.9% (2.7
million) reporting past year illicit drug use.
The
NSDUH Report:
Risk & Protective Factors for Substance Use Among American Indian
or Alaska Native Youths 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.
The
NSDUH Report: Underage Drinking in Rural Areas
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.
The
NSDUH Report: Participation in Youth Activities and Substance Use Among
Youths
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.
The
NSDUH Report: Graduated
Driver Licensing and Drinking Among Young Drivers
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.
The
NSDUH Report: Religious Beliefs and Substance Use Among Youths
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.
The
NSDUH Report: Availability of Illicit Drugs 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.
The
NSDUH Report: Marijuana Use and Delinquent Behaviors 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.
The NHSDA
Report: School Experiences and Substance Use 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.
The
NHSDA Report: Children Living with Substance Abusing or Substance
Dependent Parents 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.
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.
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