June 24, 2010 |
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Combined 2004 to 2008 NSDUH data indicate that American Indian or Alaska Native adults were somewhat younger than the national average for adults, a pattern that was more pronounced for women than men (data not shown). For example, 17.8 percent of American Indian or Alaska Native adult females were aged 18 to 25 compared with the national average of 14.2 percent for adult females. Among adult males, the percentage aged 18 to 25 was 16.0 percent for American Indians or Alaska Natives and 15.5 percent overall. Compared with the national average, American Indian or Alaska Native adults were more likely to live in non-metropolitan counties (47.9 vs. 16.8 percent). Nearly one sixth of American Indian or Alaska Native adults (15.8 percent) were without health insurance, a percentage similar to the national average of 15.0 percent for adults.4
Combined 2005 to 2008 data indicate that, compared with the national average, American Indian or Alaska Native adults were more likely to be living in poverty (27.6 vs. 11.5 percent).5
Among American Indian or Alaska Native adults, rates of past month alcohol use, binge alcohol use, and illicit drug use in combined 2007 and 2008 were not significantly different from rates in combined 2004 and 2005 (Figure 1).6,7
Trend | 2004-2005 | 2007-2008 |
---|---|---|
Alcohol Use | 42.8% | 47.5% |
Binge Alcohol Use | 31.7% | 28.0% |
Illicit Drug Use | 11.1% | 10.3% |
Source: 2004, 2005, 2007, and 2008 SAMHSA National Surveys on Drug Use and Health (NSDUHs). |
Combined 2004 to 2008 data indicate that, in the past month, 43.9 percent of American Indian or Alaska Native adults used alcohol, 30.6 percent reported binge alcohol use, and 11.2 percent used an illicit drug (Figure 2).
Trend | American Indians or Alaska Natives |
National Average |
---|---|---|
Alcohol Use* | 43.9% | 55.2% |
Binge Alcohol Use* | 30.6% | 24.5% |
Illicit Drug Use* | 11.2% | 7.9% |
* The difference between American Indians or Alaska Natives and the national average is statistically significant at the .05 level. Source: 2004 to 2008 SAMHSA National Surveys on Drug Use and Health (NSDUHs). |
The rate of past month alcohol use was lower among American Indian or Alaska Native adults than the national average. The rates of past month binge alcohol use and illicit drug use among American Indian or Alaska Native adults, however, were higher than the national averages.
The rate of past month alcohol use was lower among American Indian or Alaska Native adults than among adults in the general population in each of the three age groups presented in Table 1. Past month binge alcohol use among American Indians or Alaska Natives aged 26 to 49 was higher than the national average for this age group (39.4 vs. 28.9 percent). Past month illicit drug use among American Indians or Alaska Natives aged 18 to 25 was higher than the national average for this age group (25.4 vs. 19.7 percent).
Age Group | Alcohol Use | Binge Alcohol Use | Illicit Drug Use | |||
---|---|---|---|---|---|---|
American Indians or Alaska Natives |
National Average |
American Indians or Alaska Natives |
National Average |
American Indians or Alaska Natives |
National Average |
|
Aged 18 to 25 | 52.0%* | 61.1% | 41.2% | 41.6% | 25.4%* | 19.7% |
Aged 26 to 49 | 51.3%* | 60.5% | 39.4%* | 28.9% | 11.7% | 8.7% |
Aged 50 or Older | 31.0%* | 46.9% | 14.9% | 13.0% | 4.1% | 2.5% |
* The difference between American Indians or Alaska Natives and the national average is statistically significant at the .05 level. Source: 2004 to 2008 SAMHSA National Surveys on Drug Use and Health (NSDUHs). |
Compared with the national averages for adult women, adult American Indian or Alaska Native females had a lower rate of past month alcohol use but higher rates of past month binge alcohol use and illicit drug use (Figure 3).
Gender | Substance Use | American Indians or Alaska Natives |
National Average |
---|---|---|---|
Female | Alcohol Use* | 38.6% | 48.5% |
Female | Binge Alcohol Use* | 24.2% | 15.9% |
Female | Illicit Drug Use* | 8.5% | 5.7% |
Male | Alcohol Use* | 49.5% | 62.3% |
Male | Binge Alcohol Use | 37.6% | 33.8% |
Male | Illicit Drug Use* | 14.1% | 10.2% |
* The difference between American Indians or Alaska Natives and the national average is statistically significant at the .05 level. Source: 2004 to 2008 SAMHSA National Surveys on Drug Use and Health (NSDUHs). |
Compared with the national averages for adult men, adult American Indian or Alaska Native males had a lower rate of past month alcohol use but a higher rate of past month illicit drug use (Figure 3).
Uninsured American Indian or Alaska Native adults were more likely than uninsured adults in the general population to have binged on alcohol in the past month (44.4 vs. 33.1 percent); differences between these two groups for past month alcohol use or illicit drug use were not statistically significant (Figure 4).
Trend | American Indians or Alaska Natives |
National Average |
---|---|---|
Alcohol Use | 61.1% | 52.3% |
Binge Alcohol Use* | 44.4% | 33.1% |
Illicit Drug Use | 21.9% | 15.1% |
* The difference between American Indians or Alaska Natives and the national average is statistically significant at the .05 level. Source: 2004 to 2008 SAMHSA National Surveys on Drug Use and Health (NSDUHs). |
The rate of past month binge alcohol use among American Indian or Alaska Native adults living in poverty was higher than among adults in the general population living in poverty (36.1 vs. 25.2 percent); the rates of past month alcohol use and illicit drug use, however, did not differ significantly from the national averages for adults living in poverty (Figure 5).
Trend | American Indians or Alaska Natives |
National Average |
---|---|---|
Alcohol Use | 42.2% | 39.8% |
Binge Alcohol Use* | 36.1% | 25.2% |
Illicit Drug Use | 15.1% | 11.7% |
* The difference between American Indians or Alaska Natives and the national average is statistically significant at the .05 level. Source: 2005 to 2008 SAMHSA National Surveys on Drug Use and Health (NSDUHs). |
Combined 2004 to 2008 data indicate that 18.0 percent of American Indian or Alaska Native adults (194,000 people) were classified as being in need of treatment for a substance use problem in the past year, with 14.8 percent in need of treatment for an alcohol problem and 6.0 percent in need of treatment for an illicit drug use problem.8 These rates were higher than the national averages of 9.6, 8.1, and 2.9 percent, respectively.
About one in eight (12.6 percent) American Indian or Alaska Native adults in need of substance use treatment in the past year (24,000 persons) received it at a specialty facility.9 This rate is not significantly different from the national average (10.4 percent).
As the Federal Government and States move forward with the interrelated tasks of reducing disparities and reforming health care, it will be important to monitor data on substance use and treatment need among racial/ethnic minorities. The findings in this report highlight variations in substance use and treatment need between American Indian or Alaska Native adults and adults in the Nation as a whole and suggest subgroups that may benefit from increased attention from the prevention and treatment systems.
The National Survey on Drug Use and Health (NSDUH) is an annual survey sponsored by the Substance Abuse and Mental Health Services Administration (SAMHSA). The 2004 to 2008 data used in this report are based on information obtained from 227,791 persons aged 18 or older, including 2,879 American Indians or Alaska Natives. The survey collects data by administering questionnaires to a representative sample of the population through face-to-face interviews at their place of residence. The NSDUH Report is prepared by the Office of Applied Studies (OAS), SAMHSA, and by RTI International in Research Triangle Park, North Carolina. (RTI International is a trade name of Research Triangle Institute.) Information on the most recent NSDUH is available in the following publication: Office of Applied Studies. (2009). Results from the 2008 National Survey on Drug Use and Health: National findings (DHHS Publication No. SMA 09-4434, NSDUH Series H-36). Rockville, MD: Substance Abuse and Mental Health Services Administration. Also available online: http://oas.samhsa.gov. |
The NSDUH Report is published periodically by the Office of Applied Studies, Substance Abuse and Mental Health Services Administration (SAMHSA). All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. Additional copies of this report or other reports from the Office of Applied Studies are available online: http://oas.samhsa.gov. Citation of the source is appreciated. For questions about this report, please e-mail: shortreports@samhsa.hhs.gov.
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This page was last updated on May 28, 2010. |
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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