State-by-State Model-Based Estimates from the 2003-2004 NSDUH, SAMHSA Office of Applied Studies

2004 State Estimates of Substance Use
(from the 2003-2004 National Surveys on Drug Use & Health)

National data State level data Metropolitan and other subState area data

All States are on this page, scroll down to your State of interest.

51031

ALABAMA

Table 1. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Alabama*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	258	37	87	134
Past Year Marijuana Use	334	51	127	156
Past Month Marijuana Use	175	25	69	81
Past Month Use of Illicit Drugs Other Than Marijuana¹	135	20	42	72
Past Year Cocaine Use	80	6	28	46
Past Year Nonmedical Pain Reliever Use	193	33	69	91
Perception of Great Risk of Smoking Marijuana Once a Month	1,901	156	164	1,581
Average Annual Number of Marijuana Initiates²	37	19	16	2
ALCOHOL
Past Month Alcohol Use	1,457	60	260	1,137
Past Month Binge Alcohol³ Use	711	36	174	500
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,737	166	199	1,372
TOBACCO
Past Month Tobacco⁴ Use	1,299	67	238	994
Past Month Cigarette Use	1,030	51	200	779
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	2,621	243	333	2,046
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	68	12	24	32
Illicit Drug¹ Dependence or Abuse	109	20	38	51
Alcohol Dependence	109	7	32	70
Alcohol Dependence or Abuse	222	18	68	135
Alcohol or Illicit Drug¹ Dependence or Abuse	275	28	86	161
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	92	18	34	40
Needing But Not Receiving Treatment for Alcohol Use⁷	209	17	65	127
Serious Psychological Distress⁸	294⁸	--	65	229
Past Month Alcohol Use (for persons aged 12 to 20)	160⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	106⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

ALABAMA

Table 2. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Alabama*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	6.94	9.79	17.20	4.71
Past Year Marijuana Use	9.01	13.40	25.21	5.51
Past Month Marijuana Use	4.71	6.43	13.79	2.85
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.63	5.31	8.40	2.55
Past Year Cocaine Use	2.16	1.58	5.63	1.61
Past Year Nonmedical Pain Reliever Use	5.20	8.60	13.73	3.22
Perception of Great Risk of Smoking Marijuana Once a Month	51.08	40.79	32.60	55.77
Average Annual Rate of First Use of Marijuana²	1.51	5.71	5.84	0.13
ALCOHOL
Past Month Alcohol Use	39.17	15.68	51.70	40.10
Past Month Binge Alcohol³ Use	19.13	9.55	34.58	17.65
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	46.68	43.39	39.46	48.41
TOBACCO
Past Month Tobacco⁴ Use	34.92	17.43	47.28	35.07
Past Month Cigarette Use	27.71	13.48	39.63	27.49
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	70.45	63.65	66.01	72.16
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.82	3.08	4.73	1.14
Illicit Drug¹ Dependence or Abuse	2.94	5.20	7.52	1.81
Alcohol Dependence	2.93	1.92	6.28	2.46
Alcohol Dependence or Abuse	5.97	4.81	13.53	4.78
Alcohol or Illicit Drug¹ Dependence or Abuse	7.41	7.32	17.07	5.69
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.48	4.77	6.80	1.40
Needing But Not Receiving Treatment for Alcohol Use⁷	5.63	4.54	12.87	4.47
Serious Psychological Distress⁸	8.81⁸	--	12.96	8.06
Past Month Alcohol Use (for persons aged 12 to 20)	25.90⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	17.16⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

ALASKA

Table 3. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Alaska*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	60	10	18	32
Past Year Marijuana Use	81	13	25	43
Past Month Marijuana Use	50	8	16	26
Past Month Use of Illicit Drugs Other Than Marijuana¹	20	4	5	11
Past Year Cocaine Use	13	1	6	5
Past Year Nonmedical Pain Reliever Use	29	6	9	14
Perception of Great Risk of Smoking Marijuana Once a Month	143	19	14	111
Average Annual Number of Marijuana Initiates²	7	4	2	0
ALCOHOL
Past Month Alcohol Use	251	11	40	200
Past Month Binge Alcohol³ Use	110	8	27	74
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	209	26	22	162
TOBACCO
Past Month Tobacco⁴ Use	150	11	33	106
Past Month Cigarette Use	130	9	30	91
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	362	47	47	268
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	11	2	4	5
Illicit Drug¹ Dependence or Abuse	17	4	6	7
Alcohol Dependence	17	2	5	11
Alcohol Dependence or Abuse	38	4	11	23
Alcohol or Illicit Drug¹ Dependence or Abuse	50	6	15	28
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	18	4	6	8
Needing But Not Receiving Treatment for Alcohol Use⁷	35	4	11	21
Serious Psychological Distress⁸	38⁸	--	9	29
Past Month Alcohol Use (for persons aged 12 to 20)	26⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	19⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

ALASKA

Table 4. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Alaska*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	11.79	14.60	25.15	8.77
Past Year Marijuana Use	15.83	18.44	36.09	11.56
Past Month Marijuana Use	9.88	12.02	23.01	7.03
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.96	5.53	7.83	2.95
Past Year Cocaine Use	2.48	2.08	8.72	1.39
Past Year Nonmedical Pain Reliever Use	5.68	8.62	12.77	3.81
Perception of Great Risk of Smoking Marijuana Once a Month	28.18	27.01	20.02	29.93
Average Annual Rate of First Use of Marijuana²	2.64	7.79	7.63	0.14
ALCOHOL
Past Month Alcohol Use	49.36	15.98	57.83	53.91
Past Month Binge Alcohol³ Use	21.54	11.36	39.16	20.13
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	41.17	37.60	31.49	43.64
TOBACCO
Past Month Tobacco⁴ Use	29.59	15.87	47.83	28.71
Past Month Cigarette Use	25.54	13.15	42.66	24.63
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	71.23	68.59	66.88	72.54
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.16	3.11	6.08	1.26
Illicit Drug¹ Dependence or Abuse	3.35	6.17	8.95	1.79
Alcohol Dependence	3.43	2.33	6.51	3.06
Alcohol Dependence or Abuse	7.47	5.69	16.31	6.15
Alcohol or Illicit Drug¹ Dependence or Abuse	9.77	9.28	21.33	7.69
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	3.48	5.61	8.49	2.15
Needing But Not Receiving Treatment for Alcohol Use⁷	6.93	5.19	15.75	5.60
Serious Psychological Distress⁸	8.75⁸	--	13.43	7.87
Past Month Alcohol Use (for persons aged 12 to 20)	26.29⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	19.04⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

ARIZONA

Table 5. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Arizona*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	377	63	112	203
Past Year Marijuana Use	478	83	163	233
Past Month Marijuana Use	268	42	93	134
Past Month Use of Illicit Drugs Other Than Marijuana¹	182	33	48	102
Past Year Cocaine Use	150	14	54	83
Past Year Nonmedical Pain Reliever Use	243	42	75	125
Perception of Great Risk of Smoking Marijuana Once a Month	1,826	175	175	1,476
Average Annual Number of Marijuana Initiates²	48	27	17	3
ALCOHOL
Past Month Alcohol Use	2,261	94	359	1,807
Past Month Binge Alcohol³ Use	1,095	62	268	765
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,900	181	197	1,522
TOBACCO
Past Month Tobacco⁴ Use	1,282	73	240	969
Past Month Cigarette Use	1,128	60	228	841
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	3,374	326	440	2,608
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	88	19	35	34
Illicit Drug¹ Dependence or Abuse	139	34	48	57
Alcohol Dependence	185	14	53	117
Alcohol Dependence or Abuse	433	37	120	276
Alcohol or Illicit Drug¹ Dependence or Abuse	497	55	139	302
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	130	33	45	53
Needing But Not Receiving Treatment for Alcohol Use⁷	423	36	118	270
Serious Psychological Distress⁸	457⁸	--	94	362
Past Month Alcohol Use (for persons aged 12 to 20)	193⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	138⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

ARIZONA

Table 6. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Arizona*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	8.29	12.57	17.99	5.91
Past Year Marijuana Use	10.52	16.56	26.17	6.81
Past Month Marijuana Use	5.90	8.33	14.93	3.91
Past Month Use of Illicit Drugs Other Than Marijuana¹	4.01	6.56	7.65	2.98
Past Year Cocaine Use	3.30	2.76	8.64	2.42
Past Year Nonmedical Pain Reliever Use	5.33	8.46	12.05	3.66
Perception of Great Risk of Smoking Marijuana Once a Month	40.19	35.12	28.21	43.09
Average Annual Rate of First Use of Marijuana²	1.69	6.63	5.64	0.13
ALCOHOL
Past Month Alcohol Use	49.74	18.94	57.72	52.77
Past Month Binge Alcohol³ Use	24.08	12.49	43.08	22.33
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	41.81	36.36	31.66	44.44
TOBACCO
Past Month Tobacco⁴ Use	28.21	14.60	38.68	28.29
Past Month Cigarette Use	24.83	11.96	36.64	24.56
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	74.23	65.32	70.71	76.16
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.93	3.74	5.57	1.00
Illicit Drug¹ Dependence or Abuse	3.06	6.88	7.74	1.66
Alcohol Dependence	4.07	2.87	8.60	3.43
Alcohol Dependence or Abuse	9.52	7.49	19.27	8.05
Alcohol or Illicit Drug¹ Dependence or Abuse	10.92	10.98	22.43	8.83
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.86	6.58	7.17	1.54
Needing But Not Receiving Treatment for Alcohol Use⁷	9.31	7.18	18.94	7.88
Serious Psychological Distress⁸	11.29⁸	--	15.19	10.58
Past Month Alcohol Use (for persons aged 12 to 20)	27.46⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	19.64⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

ARKANSAS

Table 7. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Arkansas*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	170	27	58	84
Past Year Marijuana Use	228	34	91	103
Past Month Marijuana Use	130	20	49	61
Past Month Use of Illicit Drugs Other Than Marijuana¹	85	15	28	42
Past Year Cocaine Use	43	4	17	23
Past Year Nonmedical Pain Reliever Use	124	25	44	55
Perception of Great Risk of Smoking Marijuana Once a Month	1,017	88	85	844
Average Annual Number of Marijuana Initiates²	23	12	10	1
ALCOHOL
Past Month Alcohol Use	912	41	172	699
Past Month Binge Alcohol³ Use	464	26	121	317
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	986	90	96	799
TOBACCO
Past Month Tobacco⁴ Use	814	41	162	612
Past Month Cigarette Use	674	33	143	498
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	1,595	150	196	1,250
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	48	7	17	23
Illicit Drug¹ Dependence or Abuse	71	12	27	32
Alcohol Dependence	66	4	20	41
Alcohol Dependence or Abuse	149	13	49	86
Alcohol or Illicit Drug¹ Dependence or Abuse	186	20	63	104
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	65	11	25	29
Needing But Not Receiving Treatment for Alcohol Use⁷	142	13	48	81
Serious Psychological Distress⁸	200⁸	--	43	157
Past Month Alcohol Use (for persons aged 12 to 20)	92⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	64⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

ARKANSAS

Table 8. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Arkansas*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	7.54	11.54	18.96	4.96
Past Year Marijuana Use	10.16	14.66	29.65	6.05
Past Month Marijuana Use	5.80	8.44	16.07	3.60
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.80	6.60	9.18	2.46
Past Year Cocaine Use	1.91	1.52	5.44	1.33
Past Year Nonmedical Pain Reliever Use	5.53	10.68	14.41	3.24
Perception of Great Risk of Smoking Marijuana Once a Month	45.34	37.95	27.58	49.53
Average Annual Rate of First Use of Marijuana²	1.57	5.75	6.38	0.13
ALCOHOL
Past Month Alcohol Use	40.66	17.55	56.04	41.05
Past Month Binge Alcohol³ Use	20.67	11.06	39.53	18.60
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	43.94	38.70	31.43	46.90
TOBACCO
Past Month Tobacco⁴ Use	36.29	17.40	52.78	35.90
Past Month Cigarette Use	30.02	14.21	46.46	29.22
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	71.11	64.12	63.75	73.38
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.13	3.15	5.67	1.35
Illicit Drug¹ Dependence or Abuse	3.14	5.04	8.68	1.89
Alcohol Dependence	2.93	1.92	6.57	2.41
Alcohol Dependence or Abuse	6.61	5.49	16.10	5.06
Alcohol or Illicit Drug¹ Dependence or Abuse	8.29	8.46	20.51	6.08
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.90	4.86	8.23	1.68
Needing But Not Receiving Treatment for Alcohol Use⁷	6.30	5.41	15.70	4.74
Serious Psychological Distress⁸	9.92⁸	--	13.95	9.20
Past Month Alcohol Use (for persons aged 12 to 20)	25.92⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	17.97⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

CALIFORNIA

Table 9. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *California*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	2,571	387	776	1,408
Past Year Marijuana Use	3,192	469	1,099	1,625
Past Month Marijuana Use	1,933	273	641	1,019
Past Month Use of Illicit Drugs Other Than Marijuana¹	1,079	191	305	582
Past Year Cocaine Use	735	52	267	417
Past Year Nonmedical Pain Reliever Use	1,486	247	443	796
Perception of Great Risk of Smoking Marijuana Once a Month	11,437	1,100	1,048	9,290
Average Annual Number of Marijuana Initiates²	320	169	139	13
ALCOHOL
Past Month Alcohol Use	14,594	540	2,206	11,848
Past Month Binge Alcohol³ Use	5,941	330	1,394	4,217
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	12,726	1,252	1,444	10,030
TOBACCO
Past Month Tobacco⁴ Use	5,967	349	1,380	4,238
Past Month Cigarette Use	5,141	279	1,241	3,621
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	22,250	2,147	2,864	17,240
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	609	101	247	261
Illicit Drug¹ Dependence or Abuse	904	175	331	398
Alcohol Dependence	1,001	76	256	669
Alcohol Dependence or Abuse	2,195	204	655	1,336
Alcohol or Illicit Drug¹ Dependence or Abuse	2,682	296	819	1,568
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	861	167	313	381
Needing But Not Receiving Treatment for Alcohol Use⁷	2,123	188	642	1,293
Serious Psychological Distress⁸	2,381⁸	--	509	1,871
Past Month Alcohol Use (for persons aged 12 to 20)	1,273⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	818⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

CALIFORNIA

Table 10. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *California*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	8.92	12.05	19.65	6.49
Past Year Marijuana Use	11.07	14.60	27.82	7.49
Past Month Marijuana Use	6.71	8.52	16.23	4.70
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.74	5.97	7.73	2.68
Past Year Cocaine Use	2.55	1.61	6.75	1.92
Past Year Nonmedical Pain Reliever Use	5.15	7.70	11.21	3.67
Perception of Great Risk of Smoking Marijuana Once a Month	39.64	34.28	26.52	42.84
Average Annual Rate of First Use of Marijuana²	1.83	6.10	6.67	0.11
ALCOHOL
Past Month Alcohol Use	50.59	16.81	55.85	54.63
Past Month Binge Alcohol³ Use	20.60	10.27	35.29	19.45
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	44.12	39.02	36.56	46.25
TOBACCO
Past Month Tobacco⁴ Use	20.69	10.88	34.94	19.54
Past Month Cigarette Use	17.82	8.69	31.42	16.70
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	77.13	66.88	72.50	79.50
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.11	3.15	6.25	1.20
Illicit Drug¹ Dependence or Abuse	3.14	5.46	8.37	1.84
Alcohol Dependence	3.47	2.36	6.47	3.09
Alcohol Dependence or Abuse	7.61	6.36	16.59	6.16
Alcohol or Illicit Drug¹ Dependence or Abuse	9.30	9.22	20.72	7.23
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.99	5.22	7.91	1.76
Needing But Not Receiving Treatment for Alcohol Use⁷	7.36	5.86	16.25	5.96
Serious Psychological Distress⁸	9.29⁸	--	12.90	8.63
Past Month Alcohol Use (for persons aged 12 to 20)	26.30⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	16.91⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

COLORADO

Table 11. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Colorado*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	379	52	117	210
Past Year Marijuana Use	496	71	156	269
Past Month Marijuana Use	273	38	95	140
Past Month Use of Illicit Drugs Other Than Marijuana¹	173	22	48	103
Past Year Cocaine Use	127	8	45	75
Past Year Nonmedical Pain Reliever Use	232	31	67	134
Perception of Great Risk of Smoking Marijuana Once a Month	1,158	120	105	933
Average Annual Number of Marijuana Initiates²	43	24	16	2
ALCOHOL
Past Month Alcohol Use	2,185	84	348	1,754
Past Month Binge Alcohol³ Use	919	46	230	643
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,351	130	133	1,088
TOBACCO
Past Month Tobacco⁴ Use	1,144	67	249	828
Past Month Cigarette Use	985	51	220	714
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	2,681	260	321	2,100
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	79	12	29	39
Illicit Drug¹ Dependence or Abuse	124	20	48	56
Alcohol Dependence	147	10	45	92
Alcohol Dependence or Abuse	348	26	102	220
Alcohol or Illicit Drug¹ Dependence or Abuse	409	36	123	250
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	116	19	45	52
Needing But Not Receiving Treatment for Alcohol Use⁷	334	25	100	208
Serious Psychological Distress⁸	337⁸	--	70	267
Past Month Alcohol Use (for persons aged 12 to 20)	194⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	120⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

COLORADO

Table 12. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Colorado*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	10.18	13.47	23.38	7.41
Past Year Marijuana Use	13.32	18.27	31.16	9.51
Past Month Marijuana Use	7.33	9.83	18.91	4.95
Past Month Use of Illicit Drugs Other Than Marijuana¹	4.65	5.65	9.58	3.65
Past Year Cocaine Use	3.42	1.96	9.01	2.64
Past Year Nonmedical Pain Reliever Use	6.24	8.05	13.45	4.72
Perception of Great Risk of Smoking Marijuana Once a Month	31.15	30.97	20.96	32.97
Average Annual Rate of First Use of Marijuana²	2.38	7.92	7.95	0.17
ALCOHOL
Past Month Alcohol Use	58.78	21.55	69.41	62.00
Past Month Binge Alcohol³ Use	24.71	11.86	45.85	22.74
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	36.35	33.42	26.63	38.46
TOBACCO
Past Month Tobacco⁴ Use	30.74	17.33	49.61	29.26
Past Month Cigarette Use	26.49	13.14	43.95	25.24
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	72.10	66.78	64.12	74.24
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.13	3.04	5.76	1.37
Illicit Drug¹ Dependence or Abuse	3.32	5.24	9.51	1.97
Alcohol Dependence	3.94	2.59	8.98	3.24
Alcohol Dependence or Abuse	9.36	6.80	20.30	7.78
Alcohol or Illicit Drug¹ Dependence or Abuse	10.99	9.19	24.61	8.84
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	3.10	4.94	8.96	1.82
Needing But Not Receiving Treatment for Alcohol Use⁷	8.96	6.49	19.96	7.36
Serious Psychological Distress⁸	10.13⁸	--	13.94	9.46
Past Month Alcohol Use (for persons aged 12 to 20)	33.67⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	20.85⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

CONNECTICUT

Table 13. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Connecticut*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	247	35	89	123
Past Year Marijuana Use	361	55	132	174
Past Month Marijuana Use	204	26	81	97
Past Month Use of Illicit Drugs Other Than Marijuana¹	93	15	29	49
Past Year Cocaine Use	65	5	27	32
Past Year Nonmedical Pain Reliever Use	125	18	42	66
Perception of Great Risk of Smoking Marijuana Once a Month	979	82	70	827
Average Annual Number of Marijuana Initiates²	35	21	12	2
ALCOHOL
Past Month Alcohol Use	1,750	62	248	1,440
Past Month Binge Alcohol³ Use	701	37	163	501
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,089	108	93	888
TOBACCO
Past Month Tobacco⁴ Use	781	49	155	577
Past Month Cigarette Use	683	41	139	503
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	2,115	196	230	1,689
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	56	8	21	26
Illicit Drug¹ Dependence or Abuse	87	16	35	37
Alcohol Dependence	100	6	25	69
Alcohol Dependence or Abuse	227	19	69	139
Alcohol or Illicit Drug¹ Dependence or Abuse	276	28	83	165
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	79	15	31	33
Needing But Not Receiving Treatment for Alcohol Use⁷	212	18	64	130
Serious Psychological Distress⁸	233⁸	--	45	187
Past Month Alcohol Use (for persons aged 12 to 20)	149⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	98⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

CONNECTICUT

Table 14. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Connecticut*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	8.54	11.69	26.43	5.45
Past Year Marijuana Use	12.50	18.53	39.37	7.70
Past Month Marijuana Use	7.06	8.66	24.09	4.31
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.21	5.12	8.68	2.15
Past Year Cocaine Use	2.24	1.81	8.15	1.41
Past Year Nonmedical Pain Reliever Use	4.34	5.97	12.49	2.91
Perception of Great Risk of Smoking Marijuana Once a Month	33.84	27.86	20.70	36.59
Average Annual Rate of First Use of Marijuana²	2.15	8.53	8.07	0.13
ALCOHOL
Past Month Alcohol Use	60.52	20.86	73.79	63.74
Past Month Binge Alcohol³ Use	24.26	12.42	48.56	22.18
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	37.64	36.41	27.71	39.29
TOBACCO
Past Month Tobacco⁴ Use	27.03	16.75	46.02	25.55
Past Month Cigarette Use	23.62	13.96	41.32	22.24
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	73.14	66.44	68.41	74.72
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.93	2.77	6.31	1.16
Illicit Drug¹ Dependence or Abuse	3.02	5.34	10.35	1.63
Alcohol Dependence	3.47	1.97	7.54	3.06
Alcohol Dependence or Abuse	7.87	6.44	20.65	6.14
Alcohol or Illicit Drug¹ Dependence or Abuse	9.56	9.57	24.79	7.29
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.74	4.92	9.26	1.48
Needing But Not Receiving Treatment for Alcohol Use⁷	7.33	6.09	18.92	5.76
Serious Psychological Distress⁸	8.96⁸	--	13.42	8.30
Past Month Alcohol Use (for persons aged 12 to 20)	34.72⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	22.80⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

DELAWARE

Table 15. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Delaware*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	58	8	23	27
Past Year Marijuana Use	73	10	29	34
Past Month Marijuana Use	43	5	19	18
Past Month Use of Illicit Drugs Other Than Marijuana¹	27	4	10	13
Past Year Cocaine Use	17	1	7	10
Past Year Nonmedical Pain Reliever Use	38	6	12	20
Perception of Great Risk of Smoking Marijuana Once a Month	272	23	20	229
Average Annual Number of Marijuana Initiates²	7	4	3	0
ALCOHOL
Past Month Alcohol Use	345	11	59	275
Past Month Binge Alcohol³ Use	155	7	40	108
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	268	25	27	215
TOBACCO
Past Month Tobacco⁴ Use	194	10	41	143
Past Month Cigarette Use	169	9	37	123
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	507	46	62	399
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	13	2	5	6
Illicit Drug¹ Dependence or Abuse	20	3	8	9
Alcohol Dependence	19	1	5	13
Alcohol Dependence or Abuse	48	3	16	29
Alcohol or Illicit Drug¹ Dependence or Abuse	59	5	19	35
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	18	3	7	8
Needing But Not Receiving Treatment for Alcohol Use⁷	44	3	15	26
Serious Psychological Distress⁸	60⁸	--	12	48
Past Month Alcohol Use (for persons aged 12 to 20)	32⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	21⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

DELAWARE

Table 16. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Delaware*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	8.56	12.00	25.60	5.15
Past Year Marijuana Use	10.78	15.10	31.65	6.59
Past Month Marijuana Use	6.26	7.47	20.97	3.54
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.94	5.61	10.52	2.58
Past Year Cocaine Use	2.57	1.47	7.28	1.89
Past Year Nonmedical Pain Reliever Use	5.52	8.13	13.40	3.81
Perception of Great Risk of Smoking Marijuana Once a Month	40.00	33.59	22.30	43.90
Average Annual Rate of First Use of Marijuana²	1.73	6.59	7.33	0.12
ALCOHOL
Past Month Alcohol Use	50.67	16.95	64.91	52.58
Past Month Binge Alcohol³ Use	22.78	9.93	44.60	20.66
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	39.35	37.34	29.94	41.24
TOBACCO
Past Month Tobacco⁴ Use	28.54	15.34	44.94	27.40
Past Month Cigarette Use	24.89	13.05	41.00	23.63
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	74.52	67.68	68.45	76.46
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.98	2.80	5.94	1.18
Illicit Drug¹ Dependence or Abuse	2.98	4.81	8.46	1.79
Alcohol Dependence	2.86	1.79	6.00	2.46
Alcohol Dependence or Abuse	7.03	4.87	17.32	5.52
Alcohol or Illicit Drug¹ Dependence or Abuse	8.70	7.56	21.15	6.69
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.63	4.28	7.54	1.56
Needing But Not Receiving Treatment for Alcohol Use⁷	6.47	4.60	16.39	4.99
Serious Psychological Distress⁸	9.75⁸	--	13.29	9.14
Past Month Alcohol Use (for persons aged 12 to 20)	31.00⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	20.21⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

DISTRICT OF COLUMBIA

Table 17. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *District of Columbia*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	45	3	15	26
Past Year Marijuana Use	65	4	22	39
Past Month Marijuana Use	35	2	14	19
Past Month Use of Illicit Drugs Other Than Marijuana¹	16	1	4	11
Past Year Cocaine Use	14	0	3	11
Past Year Nonmedical Pain Reliever Use	14	1	4	9
Perception of Great Risk of Smoking Marijuana Once a Month	158	10	14	135
Average Annual Number of Marijuana Initiates²	5	2	3	0
ALCOHOL
Past Month Alcohol Use	265	4	46	215
Past Month Binge Alcohol³ Use	118	2	26	90
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	210	14	25	171
TOBACCO
Past Month Tobacco⁴ Use	134	3	25	106
Past Month Cigarette Use	122	2	22	98
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	361	21	52	287
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	12	1	4	7
Illicit Drug¹ Dependence or Abuse	16	1	6	9
Alcohol Dependence	23	0	5	18
Alcohol Dependence or Abuse	45	1	11	33
Alcohol or Illicit Drug¹ Dependence or Abuse	54	2	14	38
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	13	1	6	7
Needing But Not Receiving Treatment for Alcohol Use⁷	43	1	11	31
Serious Psychological Distress⁸	43⁸	--	9	33
Past Month Alcohol Use (for persons aged 12 to 20)	17⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	9⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

DISTRICT OF COLUMBIA

Table 18. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *District of Columbia*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	9.56	9.67	21.85	7.20
Past Year Marijuana Use	13.81	13.28	30.87	10.59
Past Month Marijuana Use	7.41	5.88	19.93	5.15
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.35	3.84	5.54	2.88
Past Year Cocaine Use	2.91	0.57	4.09	2.90
Past Year Nonmedical Pain Reliever Use	3.07	4.35	6.33	2.33
Perception of Great Risk of Smoking Marijuana Once a Month	33.57	29.24	19.59	36.63
Average Annual Rate of First Use of Marijuana²	1.76	5.91	7.00	0.15
ALCOHOL
Past Month Alcohol Use	56.13	12.25	64.98	58.43
Past Month Binge Alcohol³ Use	24.93	5.55	37.20	24.34
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	44.62	43.36	35.01	46.58
TOBACCO
Past Month Tobacco⁴ Use	28.49	8.97	35.71	28.88
Past Month Cigarette Use	25.91	6.71	31.41	26.59
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	76.51	63.92	73.97	78.13
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.52	2.08	6.06	1.88
Illicit Drug¹ Dependence or Abuse	3.46	3.95	8.30	2.49
Alcohol Dependence	4.95	1.35	7.19	4.85
Alcohol Dependence or Abuse	9.62	3.47	16.19	8.92
Alcohol or Illicit Drug¹ Dependence or Abuse	11.38	5.77	19.85	10.27
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.83	3.78	7.86	1.78
Needing But Not Receiving Treatment for Alcohol Use⁷	9.20	3.17	15.90	8.46
Serious Psychological Distress⁸	9.75⁸	--	13.31	9.07
Past Month Alcohol Use (for persons aged 12 to 20)	30.18⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	16.51⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

FLORIDA

Table 19. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Florida*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	1,110	141	333	636
Past Year Marijuana Use	1,511	196	482	833
Past Month Marijuana Use	840	100	274	465
Past Month Use of Illicit Drugs Other Than Marijuana¹	502	70	137	295
Past Year Cocaine Use	360	22	120	217
Past Year Nonmedical Pain Reliever Use	687	97	208	381
Perception of Great Risk of Smoking Marijuana Once a Month	6,138	503	441	5,194
Average Annual Number of Marijuana Initiates²	130	71	49	9
ALCOHOL
Past Month Alcohol Use	7,301	236	979	6,086
Past Month Binge Alcohol³ Use	3,030	129	646	2,254
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	6,397	549	598	5,251
TOBACCO
Past Month Tobacco⁴ Use	4,032	170	688	3,174
Past Month Cigarette Use	3,436	146	590	2,700
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	10,613	921	1,195	8,496
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	254	35	83	137
Illicit Drug¹ Dependence or Abuse	395	68	129	198
Alcohol Dependence	436	25	112	299
Alcohol Dependence or Abuse	1,014	77	274	662
Alcohol or Illicit Drug¹ Dependence or Abuse	1,238	115	340	784
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	375	64	120	190
Needing But Not Receiving Treatment for Alcohol Use⁷	978	74	264	641
Serious Psychological Distress⁸	1,169⁸	--	206	963
Past Month Alcohol Use (for persons aged 12 to 20)	559⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	358⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

FLORIDA

Table 20. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Florida*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	7.77	10.27	20.08	5.64
Past Year Marijuana Use	10.57	14.26	29.07	7.39
Past Month Marijuana Use	5.88	7.29	16.52	4.13
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.51	5.10	8.27	2.61
Past Year Cocaine Use	2.52	1.63	7.25	1.93
Past Year Nonmedical Pain Reliever Use	4.80	7.08	12.55	3.38
Perception of Great Risk of Smoking Marijuana Once a Month	42.88	36.56	26.58	46.05
Average Annual Rate of First Use of Marijuana²	1.44	5.93	5.94	0.12
ALCOHOL
Past Month Alcohol Use	51.01	17.17	59.01	53.97
Past Month Binge Alcohol³ Use	21.18	9.37	38.96	19.99
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	44.69	39.86	36.06	46.56
TOBACCO
Past Month Tobacco⁴ Use	28.17	12.34	41.50	28.14
Past Month Cigarette Use	24.02	10.63	35.57	23.94
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	74.15	66.93	72.07	75.34
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.78	2.52	4.99	1.21
Illicit Drug¹ Dependence or Abuse	2.76	4.91	7.78	1.76
Alcohol Dependence	3.05	1.81	6.76	2.65
Alcohol Dependence or Abuse	7.09	5.62	16.51	5.87
Alcohol or Illicit Drug¹ Dependence or Abuse	8.66	8.32	20.49	6.95
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.62	4.68	7.26	1.69
Needing But Not Receiving Treatment for Alcohol Use⁷	6.84	5.34	15.92	5.68
Serious Psychological Distress⁸	9.04⁸	--	12.44	8.54
Past Month Alcohol Use (for persons aged 12 to 20)	27.32⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	17.48⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

GEORGIA

Table 21. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Georgia*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	560	72	171	317
Past Year Marijuana Use	684	101	222	360
Past Month Marijuana Use	383	48	127	208
Past Month Use of Illicit Drugs Other Than Marijuana¹	274	37	77	159
Past Year Cocaine Use	156	11	43	102
Past Year Nonmedical Pain Reliever Use	385	63	110	212
Perception of Great Risk of Smoking Marijuana Once a Month	3,093	297	301	2,495
Average Annual Number of Marijuana Initiates²	69	37	27	5
ALCOHOL
Past Month Alcohol Use	3,188	119	523	2,546
Past Month Binge Alcohol³ Use	1,505	67	335	1,103
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	3,220	328	371	2,521
TOBACCO
Past Month Tobacco⁴ Use	2,154	113	406	1,634
Past Month Cigarette Use	1,816	92	346	1,378
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	5,170	521	692	3,956
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	125	18	36	71
Illicit Drug¹ Dependence or Abuse	197	35	61	102
Alcohol Dependence	193	11	48	134
Alcohol Dependence or Abuse	429	32	122	275
Alcohol or Illicit Drug¹ Dependence or Abuse	565	54	165	346
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	175	34	57	84
Needing But Not Receiving Treatment for Alcohol Use⁷	410	31	122	256
Serious Psychological Distress⁸	675⁸	--	136	539
Past Month Alcohol Use (for persons aged 12 to 20)	265⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	168⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

GEORGIA

Table 22. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Georgia*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	8.00	9.47	17.72	6.00
Past Year Marijuana Use	9.76	13.29	22.97	6.82
Past Month Marijuana Use	5.47	6.34	13.17	3.93
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.91	4.90	7.99	3.02
Past Year Cocaine Use	2.22	1.43	4.41	1.94
Past Year Nonmedical Pain Reliever Use	5.49	8.21	11.35	4.02
Perception of Great Risk of Smoking Marijuana Once a Month	44.14	38.94	31.13	47.28
Average Annual Rate of First Use of Marijuana²	1.68	5.61	5.06	0.15
ALCOHOL
Past Month Alcohol Use	45.49	15.59	54.10	48.25
Past Month Binge Alcohol³ Use	21.48	8.77	34.67	20.90
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	45.96	42.94	38.41	47.78
TOBACCO
Past Month Tobacco⁴ Use	30.74	14.84	42.02	30.97
Past Month Cigarette Use	25.91	11.99	35.78	26.12
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	73.77	68.24	71.60	74.98
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.78	2.42	3.67	1.34
Illicit Drug¹ Dependence or Abuse	2.82	4.56	6.29	1.93
Alcohol Dependence	2.75	1.48	4.93	2.53
Alcohol Dependence or Abuse	6.12	4.13	12.61	5.22
Alcohol or Illicit Drug¹ Dependence or Abuse	8.06	7.01	17.07	6.56
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.50	4.40	5.92	1.60
Needing But Not Receiving Treatment for Alcohol Use⁷	5.85	4.09	12.64	4.85
Serious Psychological Distress⁸	10.81⁸	--	14.04	10.21
Past Month Alcohol Use (for persons aged 12 to 20)	24.20⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	15.38⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

HAWAII

Table 23. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Hawaii*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	81	12	23	45
Past Year Marijuana Use	110	17	36	57
Past Month Marijuana Use	66	10	20	36
Past Month Use of Illicit Drugs Other Than Marijuana¹	29	6	8	15
Past Year Cocaine Use	17	1	7	10
Past Year Nonmedical Pain Reliever Use	32	5	10	17
Perception of Great Risk of Smoking Marijuana Once a Month	393	32	35	326
Average Annual Number of Marijuana Initiates²	10	5	5	0
ALCOHOL
Past Month Alcohol Use	495	17	73	405
Past Month Binge Alcohol³ Use	232	11	54	167
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	379	39	37	303
TOBACCO
Past Month Tobacco⁴ Use	231	12	47	172
Past Month Cigarette Use	206	9	44	153
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	730	68	83	578
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	19	3	7	9
Illicit Drug¹ Dependence or Abuse	29	6	9	14
Alcohol Dependence	34	3	9	23
Alcohol Dependence or Abuse	75	7	22	46
Alcohol or Illicit Drug¹ Dependence or Abuse	90	10	27	53
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	28	6	8	14
Needing But Not Receiving Treatment for Alcohol Use⁷	71	7	21	43
Serious Psychological Distress⁸	65⁸	--	14	51
Past Month Alcohol Use (for persons aged 12 to 20)	40⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	29⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

HAWAII

Table 24. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Hawaii*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	7.96	12.27	19.10	5.71
Past Year Marijuana Use	10.80	16.99	29.39	7.19
Past Month Marijuana Use	6.52	9.71	16.62	4.58
Past Month Use of Illicit Drugs Other Than Marijuana¹	2.81	5.72	6.48	1.88
Past Year Cocaine Use	1.72	1.30	5.37	1.21
Past Year Nonmedical Pain Reliever Use	3.13	5.30	8.01	2.11
Perception of Great Risk of Smoking Marijuana Once a Month	38.82	32.02	28.83	41.21
Average Annual Rate of First Use of Marijuana²	1.80	7.45	7.69	0.06
ALCOHOL
Past Month Alcohol Use	48.85	16.44	60.31	51.18
Past Month Binge Alcohol³ Use	22.83	10.86	44.29	21.07
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	37.39	38.54	30.49	38.30
TOBACCO
Past Month Tobacco⁴ Use	22.81	12.39	38.61	21.72
Past Month Cigarette Use	20.34	8.96	35.98	19.39
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	71.98	67.50	68.44	73.08
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.84	2.65	5.61	1.16
Illicit Drug¹ Dependence or Abuse	2.83	5.88	7.18	1.78
Alcohol Dependence	3.38	2.92	7.21	2.85
Alcohol Dependence or Abuse	7.38	6.89	17.87	5.84
Alcohol or Illicit Drug¹ Dependence or Abuse	8.83	10.03	22.08	6.66
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.71	5.64	6.83	1.71
Needing But Not Receiving Treatment for Alcohol Use⁷	6.97	6.75	17.36	5.41
Serious Psychological Distress⁸	7.14⁸	--	11.89	6.42
Past Month Alcohol Use (for persons aged 12 to 20)	26.75⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	19.53⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

IDAHO

Table 25. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Idaho*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	77	13	24	40
Past Year Marijuana Use	102	18	39	45
Past Month Marijuana Use	54	9	19	25
Past Month Use of Illicit Drugs Other Than Marijuana¹	38	6	12	20
Past Year Cocaine Use	20	2	8	9
Past Year Nonmedical Pain Reliever Use	59	10	21	28
Perception of Great Risk of Smoking Marijuana Once a Month	433	47	44	342
Average Annual Number of Marijuana Initiates²	13	7	5	1
ALCOHOL
Past Month Alcohol Use	531	22	95	414
Past Month Binge Alcohol³ Use	237	15	67	155
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	433	48	51	334
TOBACCO
Past Month Tobacco⁴ Use	299	19	74	206
Past Month Cigarette Use	251	15	67	169
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	812	87	115	609
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	19	4	7	8
Illicit Drug¹ Dependence or Abuse	31	7	11	12
Alcohol Dependence	40	4	13	24
Alcohol Dependence or Abuse	89	9	28	52
Alcohol or Illicit Drug¹ Dependence or Abuse	101	13	31	57
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	28	6	10	11
Needing But Not Receiving Treatment for Alcohol Use⁷	85	9	26	49
Serious Psychological Distress⁸	105⁸	--	26	79
Past Month Alcohol Use (for persons aged 12 to 20)	56⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	40⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

IDAHO

Table 26. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Idaho*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	6.94	10.24	14.31	4.91
Past Year Marijuana Use	9.18	14.21	23.19	5.50
Past Month Marijuana Use	4.83	7.29	11.26	3.13
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.44	5.04	6.87	2.48
Past Year Cocaine Use	1.78	1.85	4.91	1.12
Past Year Nonmedical Pain Reliever Use	5.32	8.14	12.44	3.41
Perception of Great Risk of Smoking Marijuana Once a Month	38.96	36.60	26.30	41.95
Average Annual Rate of First Use of Marijuana²	2.06	6.54	5.83	0.18
ALCOHOL
Past Month Alcohol Use	47.75	17.21	56.00	50.81
Past Month Binge Alcohol³ Use	21.31	11.64	39.73	19.02
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	38.96	37.88	30.34	40.91
TOBACCO
Past Month Tobacco⁴ Use	26.88	14.51	44.04	25.27
Past Month Cigarette Use	22.56	11.82	39.90	20.67
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	73.03	68.39	68.40	74.71
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.73	3.07	4.16	1.02
Illicit Drug¹ Dependence or Abuse	2.75	5.56	6.73	1.49
Alcohol Dependence	3.59	2.75	7.44	2.93
Alcohol Dependence or Abuse	7.99	7.28	16.40	6.37
Alcohol or Illicit Drug¹ Dependence or Abuse	9.04	9.91	18.53	6.95
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.54	5.08	6.21	1.39
Needing But Not Receiving Treatment for Alcohol Use⁷	7.61	7.12	15.58	6.04
Serious Psychological Distress⁸	10.66⁸	--	15.62	9.64
Past Month Alcohol Use (for persons aged 12 to 20)	27.85⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	19.94⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

ILLINOIS

Table 27. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Illinois*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	788	99	273	417
Past Year Marijuana Use	1,084	150	393	541
Past Month Marijuana Use	594	69	233	292
Past Month Use of Illicit Drugs Other Than Marijuana¹	337	49	103	185
Past Year Cocaine Use	253	16	87	150
Past Year Nonmedical Pain Reliever Use	422	67	153	202
Perception of Great Risk of Smoking Marijuana Once a Month	3,953	376	346	3,231
Average Annual Number of Marijuana Initiates²	109	59	45	5
ALCOHOL
Past Month Alcohol Use	5,501	191	920	4,390
Past Month Binge Alcohol³ Use	2,693	118	675	1,900
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	4,012	406	444	3,161
TOBACCO
Past Month Tobacco⁴ Use	3,253	145	671	2,436
Past Month Cigarette Use	2,808	121	612	2,075
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	7,436	715	941	5,780
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	198	31	71	97
Illicit Drug¹ Dependence or Abuse	300	54	114	132
Alcohol Dependence	391	23	117	252
Alcohol Dependence or Abuse	919	66	290	563
Alcohol or Illicit Drug¹ Dependence or Abuse	1,065	94	347	624
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	271	50	106	115
Needing But Not Receiving Treatment for Alcohol Use⁷	887	63	287	538
Serious Psychological Distress⁸	827⁸	--	167	660
Past Month Alcohol Use (for persons aged 12 to 20)	498⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	355⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

ILLINOIS

Table 28. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Illinois*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	7.62	9.10	19.46	5.30
Past Year Marijuana Use	10.47	13.76	28.04	6.88
Past Month Marijuana Use	5.74	6.34	16.64	3.72
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.26	4.53	7.37	2.35
Past Year Cocaine Use	2.44	1.43	6.20	1.91
Past Year Nonmedical Pain Reliever Use	4.08	6.18	10.90	2.57
Perception of Great Risk of Smoking Marijuana Once a Month	38.18	34.52	24.74	41.08
Average Annual Rate of First Use of Marijuana²	1.74	6.16	6.53	0.12
ALCOHOL
Past Month Alcohol Use	53.12	17.55	65.68	55.83
Past Month Binge Alcohol³ Use	26.01	10.85	48.19	24.16
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	38.75	37.29	31.71	40.20
TOBACCO
Past Month Tobacco⁴ Use	31.42	13.35	47.93	30.98
Past Month Cigarette Use	27.12	11.06	43.73	26.39
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	71.82	65.62	67.19	73.51
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.91	2.80	5.07	1.23
Illicit Drug¹ Dependence or Abuse	2.90	4.95	8.16	1.67
Alcohol Dependence	3.78	2.08	8.32	3.20
Alcohol Dependence or Abuse	8.88	6.02	20.70	7.16
Alcohol or Illicit Drug¹ Dependence or Abuse	10.29	8.61	24.79	7.93
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.62	4.60	7.57	1.46
Needing But Not Receiving Treatment for Alcohol Use⁷	8.57	5.77	20.49	6.84
Serious Psychological Distress⁸	8.93⁸	--	11.90	8.39
Past Month Alcohol Use (for persons aged 12 to 20)	30.35⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	21.65⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

INDIANA

Table 29. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Indiana*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	377	56	131	190
Past Year Marijuana Use	527	74	204	249
Past Month Marijuana Use	285	42	105	139
Past Month Use of Illicit Drugs Other Than Marijuana¹	180	29	61	90
Past Year Cocaine Use	121	10	48	64
Past Year Nonmedical Pain Reliever Use	277	45	102	129
Perception of Great Risk of Smoking Marijuana Once a Month	2,090	198	171	1,721
Average Annual Number of Marijuana Initiates²	54	27	23	4
ALCOHOL
Past Month Alcohol Use	2,403	89	436	1,878
Past Month Binge Alcohol³ Use	1,102	56	309	736
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	2,057	207	214	1,636
TOBACCO
Past Month Tobacco⁴ Use	1,640	79	343	1,218
Past Month Cigarette Use	1,391	69	302	1,020
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	3,621	350	469	2,803
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	103	15	41	47
Illicit Drug¹ Dependence or Abuse	154	27	62	65
Alcohol Dependence	169	12	54	103
Alcohol Dependence or Abuse	382	31	128	223
Alcohol or Illicit Drug¹ Dependence or Abuse	460	45	158	257
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	135	25	54	55
Needing But Not Receiving Treatment for Alcohol Use⁷	355	30	121	205
Serious Psychological Distress⁸	467⁸	--	98	369
Past Month Alcohol Use (for persons aged 12 to 20)	218⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	151⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

INDIANA

Table 30. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Indiana*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	7.41	10.26	18.36	4.99
Past Year Marijuana Use	10.35	13.55	28.64	6.52
Past Month Marijuana Use	5.59	7.61	14.70	3.63
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.53	5.30	8.56	2.35
Past Year Cocaine Use	2.37	1.75	6.68	1.67
Past Year Nonmedical Pain Reliever Use	5.44	8.31	14.40	3.38
Perception of Great Risk of Smoking Marijuana Once a Month	41.23	36.31	24.06	45.09
Average Annual Rate of First Use of Marijuana²	1.80	5.76	7.33	0.16
ALCOHOL
Past Month Alcohol Use	47.37	16.20	61.28	49.22
Past Month Binge Alcohol³ Use	21.70	10.32	43.47	19.30
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	40.56	37.95	30.12	42.86
TOBACCO
Past Month Tobacco⁴ Use	32.32	14.45	48.20	31.92
Past Month Cigarette Use	27.40	12.59	42.48	26.73
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	71.39	64.07	65.86	73.44
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.02	2.77	5.75	1.23
Illicit Drug¹ Dependence or Abuse	3.02	4.85	8.74	1.71
Alcohol Dependence	3.32	2.17	7.54	2.71
Alcohol Dependence or Abuse	7.51	5.64	18.00	5.85
Alcohol or Illicit Drug¹ Dependence or Abuse	9.04	8.18	22.27	6.73
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.64	4.62	7.59	1.45
Needing But Not Receiving Treatment for Alcohol Use⁷	6.99	5.43	16.95	5.38
Serious Psychological Distress⁸	10.31⁸	--	13.75	9.68
Past Month Alcohol Use (for persons aged 12 to 20)	26.74⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	18.60⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

IOWA

Table 31. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Iowa*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	161	21	58	82
Past Year Marijuana Use	231	30	96	105
Past Month Marijuana Use	116	16	46	54
Past Month Use of Illicit Drugs Other Than Marijuana¹	77	11	26	41
Past Year Cocaine Use	54	4	22	28
Past Year Nonmedical Pain Reliever Use	90	14	35	40
Perception of Great Risk of Smoking Marijuana Once a Month	1,018	99	89	830
Average Annual Number of Marijuana Initiates²	27	12	14	1
ALCOHOL
Past Month Alcohol Use	1,328	48	252	1,028
Past Month Binge Alcohol³ Use	699	34	193	472
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	830	79	86	665
TOBACCO
Past Month Tobacco⁴ Use	778	36	179	563
Past Month Cigarette Use	668	32	156	479
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	1,680	159	225	1,296
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	41	6	15	21
Illicit Drug¹ Dependence or Abuse	67	11	26	31
Alcohol Dependence	88	6	30	52
Alcohol Dependence or Abuse	232	18	83	131
Alcohol or Illicit Drug¹ Dependence or Abuse	258	23	91	145
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	61	9	24	27
Needing But Not Receiving Treatment for Alcohol Use⁷	217	16	79	122
Serious Psychological Distress⁸	209⁸	--	49	160
Past Month Alcohol Use (for persons aged 12 to 20)	137⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	107⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

IOWA

Table 32. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Iowa*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	6.52	8.77	16.26	4.39
Past Year Marijuana Use	9.35	12.15	27.06	5.65
Past Month Marijuana Use	4.70	6.38	13.09	2.90
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.15	4.47	7.29	2.19
Past Year Cocaine Use	2.21	1.69	6.29	1.51
Past Year Nonmedical Pain Reliever Use	3.66	5.95	9.96	2.17
Perception of Great Risk of Smoking Marijuana Once a Month	41.44	40.60	25.08	44.63
Average Annual Rate of First Use of Marijuana²	1.67	5.26	7.52	0.13
ALCOHOL
Past Month Alcohol Use	54.04	19.60	71.26	55.26
Past Month Binge Alcohol³ Use	28.42	14.08	54.55	25.35
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	33.78	32.36	24.41	35.74
TOBACCO
Past Month Tobacco⁴ Use	31.64	14.70	50.64	30.25
Past Month Cigarette Use	27.14	13.21	44.09	25.75
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	68.34	65.11	63.48	69.67
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.68	2.35	4.13	1.13
Illicit Drug¹ Dependence or Abuse	2.73	4.35	7.35	1.65
Alcohol Dependence	3.57	2.40	8.56	2.78
Alcohol Dependence or Abuse	9.42	7.31	23.33	7.07
Alcohol or Illicit Drug¹ Dependence or Abuse	10.49	9.29	25.61	7.79
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.47	3.90	6.80	1.46
Needing But Not Receiving Treatment for Alcohol Use⁷	8.82	6.53	22.38	6.56
Serious Psychological Distress⁸	9.44⁸	--	13.87	8.60
Past Month Alcohol Use (for persons aged 12 to 20)	35.60⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	27.67⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

KANSAS

Table 33. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Kansas*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	148	25	52	71
Past Year Marijuana Use	203	33	78	93
Past Month Marijuana Use	111	18	44	49
Past Month Use of Illicit Drugs Other Than Marijuana¹	69	12	22	34
Past Year Cocaine Use	45	4	20	22
Past Year Nonmedical Pain Reliever Use	94	16	34	45
Perception of Great Risk of Smoking Marijuana Once a Month	965	98	83	784
Average Annual Number of Marijuana Initiates²	26	13	12	1
ALCOHOL
Past Month Alcohol Use	1,077	46	214	816
Past Month Binge Alcohol³ Use	539	32	156	352
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	888	93	87	708
TOBACCO
Past Month Tobacco⁴ Use	742	41	162	539
Past Month Cigarette Use	618	35	139	444
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	1,579	153	209	1,217
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	40	6	16	18
Illicit Drug¹ Dependence or Abuse	60	11	23	25
Alcohol Dependence	72	6	24	43
Alcohol Dependence or Abuse	181	17	67	97
Alcohol or Illicit Drug¹ Dependence or Abuse	205	22	75	108
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	52	10	22	20
Needing But Not Receiving Treatment for Alcohol Use⁷	172	16	64	91
Serious Psychological Distress⁸	192⁸	--	48	144
Past Month Alcohol Use (for persons aged 12 to 20)	119⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	89⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

KANSAS

Table 34. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Kansas*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	6.66	10.39	16.00	4.29
Past Year Marijuana Use	9.17	13.84	23.96	5.60
Past Month Marijuana Use	5.02	7.63	13.60	2.97
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.10	5.23	6.91	2.05
Past Year Cocaine Use	2.04	1.55	6.17	1.30
Past Year Nonmedical Pain Reliever Use	4.23	6.63	10.33	2.69
Perception of Great Risk of Smoking Marijuana Once a Month	43.51	41.37	25.68	47.32
Average Annual Rate of First Use of Marijuana²	1.84	6.04	7.71	0.14
ALCOHOL
Past Month Alcohol Use	48.54	19.47	66.03	49.30
Past Month Binge Alcohol³ Use	24.32	13.27	48.12	21.25
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	40.05	39.23	26.88	42.75
TOBACCO
Past Month Tobacco⁴ Use	33.44	17.34	49.89	32.53
Past Month Cigarette Use	27.87	14.89	42.90	26.79
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	71.20	64.53	64.29	73.52
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.80	2.41	5.03	1.09
Illicit Drug¹ Dependence or Abuse	2.69	4.80	7.19	1.50
Alcohol Dependence	3.27	2.41	7.46	2.57
Alcohol Dependence or Abuse	8.15	7.13	20.67	5.84
Alcohol or Illicit Drug¹ Dependence or Abuse	9.26	9.39	23.06	6.54
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.35	4.31	6.70	1.22
Needing But Not Receiving Treatment for Alcohol Use⁷	7.76	6.81	19.85	5.53
Serious Psychological Distress⁸	9.71⁸	--	14.86	8.70
Past Month Alcohol Use (for persons aged 12 to 20)	32.19⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	24.11⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

KENTUCKY

Table 35. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Kentucky*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	294	41	90	163
Past Year Marijuana Use	361	54	111	195
Past Month Marijuana Use	219	29	70	120
Past Month Use of Illicit Drugs Other Than Marijuana¹	138	22	44	72
Past Year Cocaine Use	84	6	30	48
Past Year Nonmedical Pain Reliever Use	215	37	72	107
Perception of Great Risk of Smoking Marijuana Once a Month	1,408	132	126	1,150
Average Annual Number of Marijuana Initiates²	34	20	12	2
ALCOHOL
Past Month Alcohol Use	1,380	66	260	1,054
Past Month Binge Alcohol³ Use	686	40	183	463
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,362	126	150	1,086
TOBACCO
Past Month Tobacco⁴ Use	1,328	82	254	992
Past Month Cigarette Use	1,133	63	221	849
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	2,182	216	260	1,706
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	74	10	25	39
Illicit Drug¹ Dependence or Abuse	105	16	37	52
Alcohol Dependence	98	6	27	64
Alcohol Dependence or Abuse	220	18	64	137
Alcohol or Illicit Drug¹ Dependence or Abuse	287	27	82	178
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	98	16	35	48
Needing But Not Receiving Treatment for Alcohol Use⁷	212	18	62	132
Serious Psychological Distress⁸	357⁸	--	69	288
Past Month Alcohol Use (for persons aged 12 to 20)	154⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	101⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

KENTUCKY

Table 36. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Kentucky*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	8.63	12.27	19.76	6.24
Past Year Marijuana Use	10.60	16.08	24.57	7.48
Past Month Marijuana Use	6.44	8.75	15.47	4.58
Past Month Use of Illicit Drugs Other Than Marijuana¹	4.06	6.56	9.78	2.76
Past Year Cocaine Use	2.47	1.67	6.71	1.84
Past Year Nonmedical Pain Reliever Use	6.31	10.92	15.81	4.08
Perception of Great Risk of Smoking Marijuana Once a Month	41.40	39.21	27.77	44.04
Average Annual Rate of First Use of Marijuana²	1.75	7.31	5.39	0.16
ALCOHOL
Past Month Alcohol Use	40.55	19.53	57.39	40.36
Past Month Binge Alcohol³ Use	20.15	11.77	40.39	17.73
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	40.05	37.32	33.22	41.59
TOBACCO
Past Month Tobacco⁴ Use	39.02	24.30	56.08	37.97
Past Month Cigarette Use	33.31	18.82	48.70	32.51
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	64.17	64.12	57.48	65.33
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.16	2.93	5.55	1.48
Illicit Drug¹ Dependence or Abuse	3.09	4.85	8.21	1.98
Alcohol Dependence	2.87	1.78	6.01	2.46
Alcohol Dependence or Abuse	6.45	5.43	14.10	5.26
Alcohol or Illicit Drug¹ Dependence or Abuse	8.43	8.05	18.14	6.80
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.89	4.62	7.66	1.84
Needing But Not Receiving Treatment for Alcohol Use⁷	6.24	5.37	13.70	5.06
Serious Psychological Distress⁸	11.65⁸	--	15.19	11.04
Past Month Alcohol Use (for persons aged 12 to 20)	30.02⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	19.71⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

LOUISIANA

Table 37. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Louisiana*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	278	41	100	138
Past Year Marijuana Use	325	50	128	146
Past Month Marijuana Use	191	26	81	84
Past Month Use of Illicit Drugs Other Than Marijuana¹	142	23	44	75
Past Year Cocaine Use	90	6	31	53
Past Year Nonmedical Pain Reliever Use	187	32	72	83
Perception of Great Risk of Smoking Marijuana Once a Month	1,658	149	153	1,356
Average Annual Number of Marijuana Initiates²	41	21	18	2
ALCOHOL
Past Month Alcohol Use	1,674	74	324	1,276
Past Month Binge Alcohol³ Use	892	44	214	633
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,500	155	188	1,157
TOBACCO
Past Month Tobacco⁴ Use	1,186	60	247	880
Past Month Cigarette Use	1,039	52	221	767
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	2,591	253	361	1,977
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	83	10	29	44
Illicit Drug¹ Dependence or Abuse	121	20	44	57
Alcohol Dependence	124	7	36	81
Alcohol Dependence or Abuse	287	24	86	176
Alcohol or Illicit Drug¹ Dependence or Abuse	362	35	108	219
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	113	18	41	54
Needing But Not Receiving Treatment for Alcohol Use⁷	274	22	84	168
Serious Psychological Distress⁸	318⁸	--	81	237
Past Month Alcohol Use (for persons aged 12 to 20)	190⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	118⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

LOUISIANA

Table 38. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Louisiana*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	7.66	10.08	18.38	5.13
Past Year Marijuana Use	8.93	12.36	23.58	5.45
Past Month Marijuana Use	5.25	6.45	14.91	3.12
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.90	5.71	8.08	2.78
Past Year Cocaine Use	2.47	1.37	5.74	1.98
Past Year Nonmedical Pain Reliever Use	5.16	8.00	13.18	3.11
Perception of Great Risk of Smoking Marijuana Once a Month	45.66	37.04	28.15	50.49
Average Annual Rate of First Use of Marijuana²	1.72	5.86	6.28	0.13
ALCOHOL
Past Month Alcohol Use	46.09	18.42	59.58	47.51
Past Month Binge Alcohol³ Use	24.55	10.99	39.34	23.59
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	41.31	38.52	34.57	43.09
TOBACCO
Past Month Tobacco⁴ Use	32.66	14.76	45.39	32.77
Past Month Cigarette Use	28.61	12.79	40.61	28.56
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	71.31	62.66	66.33	73.62
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.29	2.47	5.38	1.64
Illicit Drug¹ Dependence or Abuse	3.32	4.84	8.06	2.13
Alcohol Dependence	3.42	1.81	6.55	3.03
Alcohol Dependence or Abuse	7.89	5.96	15.89	6.57
Alcohol or Illicit Drug¹ Dependence or Abuse	9.97	8.65	19.91	8.16
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	3.12	4.54	7.50	2.02
Needing But Not Receiving Treatment for Alcohol Use⁷	7.54	5.51	15.39	6.25
Serious Psychological Distress⁸	9.83⁸	--	14.86	8.82
Past Month Alcohol Use (for persons aged 12 to 20)	29.97⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	18.69⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

MAINE

Table 39. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Maine*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	104	15	34	55
Past Year Marijuana Use	139	20	49	70
Past Month Marijuana Use	93	13	32	47
Past Month Use of Illicit Drugs Other Than Marijuana¹	40	6	14	20
Past Year Cocaine Use	29	2	13	14
Past Year Nonmedical Pain Reliever Use	56	10	19	27
Perception of Great Risk of Smoking Marijuana Once a Month	380	29	23	327
Average Annual Number of Marijuana Initiates²	12	6	5	1
ALCOHOL
Past Month Alcohol Use	557	19	86	452
Past Month Binge Alcohol³ Use	240	12	59	169
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	415	35	34	346
TOBACCO
Past Month Tobacco⁴ Use	358	17	69	273
Past Month Cigarette Use	298	15	61	221
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	789	70	87	632
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	21	4	8	10
Illicit Drug¹ Dependence or Abuse	35	7	14	15
Alcohol Dependence	39	3	11	25
Alcohol Dependence or Abuse	85	7	24	54
Alcohol or Illicit Drug¹ Dependence or Abuse	106	11	30	65
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	34	6	13	15
Needing But Not Receiving Treatment for Alcohol Use⁷	81	7	23	51
Serious Psychological Distress⁸	106⁸	--	22	84
Past Month Alcohol Use (for persons aged 12 to 20)	47⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	33⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

MAINE

Table 40. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Maine*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	9.31	14.09	25.35	6.25
Past Year Marijuana Use	12.45	18.32	36.86	7.96
Past Month Marijuana Use	8.27	11.69	24.00	5.42
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.59	5.54	10.37	2.31
Past Year Cocaine Use	2.57	2.03	9.61	1.56
Past Year Nonmedical Pain Reliever Use	5.02	8.80	14.20	3.14
Perception of Great Risk of Smoking Marijuana Once a Month	33.88	26.70	17.02	37.37
Average Annual Rate of First Use of Marijuana²	1.94	7.21	8.95	0.15
ALCOHOL
Past Month Alcohol Use	49.69	17.41	63.81	51.58
Past Month Binge Alcohol³ Use	21.47	11.18	43.80	19.33
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	37.02	32.05	24.99	39.48
TOBACCO
Past Month Tobacco⁴ Use	31.97	15.34	51.13	31.12
Past Month Cigarette Use	26.57	13.87	45.73	25.22
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	70.44	64.05	64.63	72.14
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.92	3.25	6.25	1.09
Illicit Drug¹ Dependence or Abuse	3.17	6.07	10.36	1.70
Alcohol Dependence	3.49	2.52	8.21	2.88
Alcohol Dependence or Abuse	7.59	6.48	17.79	6.15
Alcohol or Illicit Drug¹ Dependence or Abuse	9.48	10.26	22.02	7.45
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	3.01	5.85	9.49	1.66
Needing But Not Receiving Treatment for Alcohol Use⁷	7.22	6.32	17.12	5.81
Serious Psychological Distress⁸	10.51⁸	--	16.57	9.58
Past Month Alcohol Use (for persons aged 12 to 20)	28.78⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	20.49⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

MARYLAND

Table 41. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Maryland*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	317	47	115	156
Past Year Marijuana Use	467	73	166	228
Past Month Marijuana Use	250	36	100	113
Past Month Use of Illicit Drugs Other Than Marijuana¹	142	21	46	75
Past Year Cocaine Use	100	6	32	63
Past Year Nonmedical Pain Reliever Use	157	27	53	77
Perception of Great Risk of Smoking Marijuana Once a Month	1,801	173	144	1,484
Average Annual Number of Marijuana Initiates²	47	27	18	2
ALCOHOL
Past Month Alcohol Use	2,344	79	356	1,909
Past Month Binge Alcohol³ Use	891	45	209	636
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	2,002	199	193	1,610
TOBACCO
Past Month Tobacco⁴ Use	1,213	59	233	921
Past Month Cigarette Use	1,044	51	197	795
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	3,404	335	383	2,686
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	86	13	32	41
Illicit Drug¹ Dependence or Abuse	130	22	48	59
Alcohol Dependence	160	9	35	115
Alcohol Dependence or Abuse	334	25	94	216
Alcohol or Illicit Drug¹ Dependence or Abuse	399	37	114	248
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	117	22	45	51
Needing But Not Receiving Treatment for Alcohol Use⁷	306	24	87	195
Serious Psychological Distress⁸	351⁸	--	72	279
Past Month Alcohol Use (for persons aged 12 to 20)	189⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	113⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

MARYLAND

Table 42. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Maryland*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	7.03	9.61	20.62	4.46
Past Year Marijuana Use	10.35	15.06	29.86	6.52
Past Month Marijuana Use	5.54	7.42	18.05	3.24
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.14	4.36	8.25	2.15
Past Year Cocaine Use	2.22	1.21	5.72	1.80
Past Year Nonmedical Pain Reliever Use	3.48	5.46	9.56	2.21
Perception of Great Risk of Smoking Marijuana Once a Month	39.69	35.58	25.91	42.50
Average Annual Rate of First Use of Marijuana²	1.78	6.37	6.55	0.12
ALCOHOL
Past Month Alcohol Use	51.72	16.19	64.06	54.68
Past Month Binge Alcohol³ Use	19.68	9.26	37.64	18.22
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	44.13	40.95	34.65	46.12
TOBACCO
Past Month Tobacco⁴ Use	26.79	12.17	41.87	26.38
Past Month Cigarette Use	23.05	10.54	35.50	22.78
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	75.05	69.02	68.82	76.90
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.91	2.64	5.80	1.18
Illicit Drug¹ Dependence or Abuse	2.88	4.62	8.72	1.68
Alcohol Dependence	3.54	1.94	6.37	3.30
Alcohol Dependence or Abuse	7.40	5.10	16.82	6.19
Alcohol or Illicit Drug¹ Dependence or Abuse	8.84	7.68	20.44	7.11
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.60	4.43	8.06	1.46
Needing But Not Receiving Treatment for Alcohol Use⁷	6.77	4.89	15.72	5.58
Serious Psychological Distress⁸	8.67⁸	--	12.89	7.99
Past Month Alcohol Use (for persons aged 12 to 20)	27.07⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	16.24⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

MASSACHUSETTS

Table 43. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Massachusetts*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	547	68	199	280
Past Year Marijuana Use	763	92	258	414
Past Month Marijuana Use	468	53	177	239
Past Month Use of Illicit Drugs Other Than Marijuana¹	192	29	72	91
Past Year Cocaine Use	148	9	57	82
Past Year Nonmedical Pain Reliever Use	272	41	93	138
Perception of Great Risk of Smoking Marijuana Once a Month	1,680	143	124	1,412
Average Annual Number of Marijuana Initiates²	55	29	22	3
ALCOHOL
Past Month Alcohol Use	3,280	112	478	2,690
Past Month Binge Alcohol³ Use	1,528	73	359	1,097
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,796	161	159	1,476
TOBACCO
Past Month Tobacco⁴ Use	1,403	70	308	1,025
Past Month Cigarette Use	1,177	55	273	850
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	4,069	345	479	3,245
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	123	15	53	55
Illicit Drug¹ Dependence or Abuse	183	30	75	78
Alcohol Dependence	208	12	56	140
Alcohol Dependence or Abuse	455	34	134	287
Alcohol or Illicit Drug¹ Dependence or Abuse	552	51	166	336
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	161	29	68	64
Needing But Not Receiving Treatment for Alcohol Use⁷	436	33	130	273
Serious Psychological Distress⁸	427⁸	--	99	328
Past Month Alcohol Use (for persons aged 12 to 20)	257⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	181⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

MASSACHUSETTS

Table 44. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Massachusetts*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	10.16	13.21	29.45	6.68
Past Year Marijuana Use	14.19	17.99	38.10	9.87
Past Month Marijuana Use	8.70	10.28	26.13	5.70
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.57	5.72	10.65	2.17
Past Year Cocaine Use	2.75	1.71	8.39	1.97
Past Year Nonmedical Pain Reliever Use	5.06	8.03	13.73	3.30
Perception of Great Risk of Smoking Marijuana Once a Month	31.22	27.81	18.40	33.71
Average Annual Rate of First Use of Marijuana²	1.97	7.28	7.92	0.16
ALCOHOL
Past Month Alcohol Use	60.99	21.81	70.71	64.21
Past Month Binge Alcohol³ Use	28.40	14.18	53.01	26.17
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	33.38	31.30	23.51	35.23
TOBACCO
Past Month Tobacco⁴ Use	26.08	13.72	45.51	24.46
Past Month Cigarette Use	21.89	10.71	40.33	20.28
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	75.64	67.28	70.79	77.44
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.29	3.00	7.79	1.31
Illicit Drug¹ Dependence or Abuse	3.40	5.78	11.12	1.87
Alcohol Dependence	3.86	2.30	8.26	3.34
Alcohol Dependence or Abuse	8.45	6.58	19.83	6.84
Alcohol or Illicit Drug¹ Dependence or Abuse	10.26	9.86	24.49	8.02
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.99	5.62	10.00	1.54
Needing But Not Receiving Treatment for Alcohol Use⁷	8.11	6.46	19.25	6.51
Serious Psychological Distress⁸	8.77⁸	--	14.63	7.82
Past Month Alcohol Use (for persons aged 12 to 20)	34.51⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	24.31⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

MICHIGAN

Table 45. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Michigan*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	750	111	242	398
Past Year Marijuana Use	1,051	146	356	550
Past Month Marijuana Use	603	79	211	313
Past Month Use of Illicit Drugs Other Than Marijuana¹	286	57	90	140
Past Year Cocaine Use	209	14	70	125
Past Year Nonmedical Pain Reliever Use	431	86	139	205
Perception of Great Risk of Smoking Marijuana Once a Month	3,089	290	240	2,559
Average Annual Number of Marijuana Initiates²	94	51	38	5
ALCOHOL
Past Month Alcohol Use	4,384	164	733	3,487
Past Month Binge Alcohol³ Use	2,040	101	500	1,440
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	3,129	327	316	2,487
TOBACCO
Past Month Tobacco⁴ Use	2,688	140	539	2,009
Past Month Cigarette Use	2,321	121	490	1,710
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	5,967	603	731	4,633
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	170	29	63	78
Illicit Drug¹ Dependence or Abuse	256	55	88	113
Alcohol Dependence	268	19	79	170
Alcohol Dependence or Abuse	630	54	191	385
Alcohol or Illicit Drug¹ Dependence or Abuse	782	85	236	460
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	223	52	81	90
Needing But Not Receiving Treatment for Alcohol Use⁷	597	52	181	364
Serious Psychological Distress⁸	685⁸	--	150	535
Past Month Alcohol Use (for persons aged 12 to 20)	412⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	280⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

MICHIGAN

Table 46. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Michigan*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	9.00	12.25	21.79	6.29
Past Year Marijuana Use	12.61	16.17	32.08	8.68
Past Month Marijuana Use	7.23	8.77	18.99	4.95
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.43	6.28	8.08	2.21
Past Year Cocaine Use	2.51	1.57	6.32	1.98
Past Year Nonmedical Pain Reliever Use	5.17	9.54	12.56	3.25
Perception of Great Risk of Smoking Marijuana Once a Month	37.03	32.10	21.68	40.43
Average Annual Rate of First Use of Marijuana²	2.03	6.69	7.42	0.15
ALCOHOL
Past Month Alcohol Use	52.56	18.21	66.08	55.10
Past Month Binge Alcohol³ Use	24.46	11.17	45.08	22.74
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	37.52	36.19	28.46	39.30
TOBACCO
Past Month Tobacco⁴ Use	32.22	15.49	48.63	31.74
Past Month Cigarette Use	27.82	13.38	44.15	27.02
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	71.54	66.84	65.89	73.21
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.04	3.25	5.66	1.23
Illicit Drug¹ Dependence or Abuse	3.07	6.11	7.91	1.78
Alcohol Dependence	3.21	2.12	7.10	2.68
Alcohol Dependence or Abuse	7.56	6.02	17.24	6.08
Alcohol or Illicit Drug¹ Dependence or Abuse	9.38	9.47	21.29	7.27
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.67	5.75	7.32	1.42
Needing But Not Receiving Treatment for Alcohol Use⁷	7.16	5.79	16.34	5.75
Serious Psychological Distress⁸	9.21⁸	--	13.54	8.45
Past Month Alcohol Use (for persons aged 12 to 20)	30.17⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	20.48⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

MINNESOTA

Table 47. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Minnesota*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	313	45	107	161
Past Year Marijuana Use	472	73	169	231
Past Month Marijuana Use	258	36	95	127
Past Month Use of Illicit Drugs Other Than Marijuana¹	136	21	44	71
Past Year Cocaine Use	91	8	38	46
Past Year Nonmedical Pain Reliever Use	167	25	55	88
Perception of Great Risk of Smoking Marijuana Once a Month	1,365	140	123	1,102
Average Annual Number of Marijuana Initiates²	47	24	20	3
ALCOHOL
Past Month Alcohol Use	2,425	82	406	1,938
Past Month Binge Alcohol³ Use	1,098	56	280	762
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,535	151	151	1,233
TOBACCO
Past Month Tobacco⁴ Use	1,273	71	295	907
Past Month Cigarette Use	1,053	58	275	720
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	3,021	292	365	2,364
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	78	12	33	33
Illicit Drug¹ Dependence or Abuse	120	22	47	51
Alcohol Dependence	156	10	48	97
Alcohol Dependence or Abuse	370	30	121	220
Alcohol or Illicit Drug¹ Dependence or Abuse	435	42	143	250
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	109	21	44	45
Needing But Not Receiving Treatment for Alcohol Use⁷	343	28	113	202
Serious Psychological Distress⁸	328⁸	--	75	253
Past Month Alcohol Use (for persons aged 12 to 20)	217⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	156⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

MINNESOTA

Table 48. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Minnesota*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	7.41	10.25	18.19	5.05
Past Year Marijuana Use	11.16	16.42	28.71	7.24
Past Month Marijuana Use	6.10	8.08	16.17	3.99
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.21	4.65	7.49	2.24
Past Year Cocaine Use	2.16	1.87	6.38	1.43
Past Year Nonmedical Pain Reliever Use	3.96	5.56	9.31	2.77
Perception of Great Risk of Smoking Marijuana Once a Month	32.41	31.67	20.92	34.61
Average Annual Rate of First Use of Marijuana²	1.93	6.44	7.08	0.15
ALCOHOL
Past Month Alcohol Use	57.57	18.56	69.03	60.83
Past Month Binge Alcohol³ Use	26.03	12.71	47.59	23.93
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	36.44	34.07	25.66	38.72
TOBACCO
Past Month Tobacco⁴ Use	30.17	16.14	50.15	28.46
Past Month Cigarette Use	24.96	13.17	46.79	22.60
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	71.70	65.93	62.14	74.23
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.85	2.68	5.62	1.04
Illicit Drug¹ Dependence or Abuse	2.82	5.08	7.92	1.59
Alcohol Dependence	3.69	2.32	8.20	3.05
Alcohol Dependence or Abuse	8.76	6.71	20.57	6.90
Alcohol or Illicit Drug¹ Dependence or Abuse	10.29	9.57	24.27	7.84
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.59	4.73	7.44	1.41
Needing But Not Receiving Treatment for Alcohol Use⁷	8.12	6.31	19.21	6.35
Serious Psychological Distress⁸	8.67⁸	--	12.73	7.94
Past Month Alcohol Use (for persons aged 12 to 20)	32.57⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	23.38⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

MISSISSIPPI

Table 49. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Mississippi*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	135	24	47	64
Past Year Marijuana Use	183	26	71	86
Past Month Marijuana Use	99	14	38	46
Past Month Use of Illicit Drugs Other Than Marijuana¹	73	14	23	36
Past Year Cocaine Use	47	3	15	28
Past Year Nonmedical Pain Reliever Use	90	20	33	38
Perception of Great Risk of Smoking Marijuana Once a Month	1,194	113	127	953
Average Annual Number of Marijuana Initiates²	24	11	12	2
ALCOHOL
Past Month Alcohol Use	855	35	177	643
Past Month Binge Alcohol³ Use	464	21	118	325
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,144	116	146	882
TOBACCO
Past Month Tobacco⁴ Use	788	39	168	580
Past Month Cigarette Use	653	32	145	476
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	1,655	164	231	1,260
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	41	6	14	20
Illicit Drug¹ Dependence or Abuse	64	12	23	30
Alcohol Dependence	74	4	18	52
Alcohol Dependence or Abuse	149	10	47	92
Alcohol or Illicit Drug¹ Dependence or Abuse	181	17	59	105
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	58	11	21	26
Needing But Not Receiving Treatment for Alcohol Use⁷	142	10	46	86
Serious Psychological Distress⁸	198⁸	--	51	147
Past Month Alcohol Use (for persons aged 12 to 20)	88⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	59⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

MISSISSIPPI

Table 50. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Mississippi*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	5.79	9.30	13.34	3.75
Past Year Marijuana Use	7.83	10.28	20.18	4.97
Past Month Marijuana Use	4.23	5.61	10.95	2.67
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.14	5.61	6.60	2.07
Past Year Cocaine Use	2.01	1.22	4.41	1.64
Past Year Nonmedical Pain Reliever Use	3.88	7.61	9.39	2.21
Perception of Great Risk of Smoking Marijuana Once a Month	51.33	44.15	36.36	55.42
Average Annual Rate of First Use of Marijuana²	1.47	4.39	5.76	0.12
ALCOHOL
Past Month Alcohol Use	36.75	13.75	50.74	37.36
Past Month Binge Alcohol³ Use	19.92	8.13	33.68	18.91
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	49.16	45.13	41.82	51.24
TOBACCO
Past Month Tobacco⁴ Use	33.83	15.34	48.18	33.70
Past Month Cigarette Use	28.03	12.44	41.57	27.64
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	71.14	63.64	66.21	73.26
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.74	2.52	4.14	1.14
Illicit Drug¹ Dependence or Abuse	2.73	4.49	6.47	1.72
Alcohol Dependence	3.19	1.60	5.29	3.01
Alcohol Dependence or Abuse	6.41	4.03	13.45	5.35
Alcohol or Illicit Drug¹ Dependence or Abuse	7.75	6.59	16.95	6.08
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.49	4.26	5.94	1.52
Needing But Not Receiving Treatment for Alcohol Use⁷	6.08	3.86	13.18	4.97
Serious Psychological Distress⁸	9.56⁸	--	14.65	8.54
Past Month Alcohol Use (for persons aged 12 to 20)	23.12⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	15.67⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

MISSOURI

Table 51. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Missouri*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	384	54	121	208
Past Year Marijuana Use	563	82	193	288
Past Month Marijuana Use	301	40	106	155
Past Month Use of Illicit Drugs Other Than Marijuana¹	177	28	60	90
Past Year Cocaine Use	123	10	48	65
Past Year Nonmedical Pain Reliever Use	257	42	86	128
Perception of Great Risk of Smoking Marijuana Once a Month	1,804	168	150	1,487
Average Annual Number of Marijuana Initiates²	54	28	22	4
ALCOHOL
Past Month Alcohol Use	2,350	99	410	1,841
Past Month Binge Alcohol³ Use	1,185	67	290	828
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,796	177	173	1,445
TOBACCO
Past Month Tobacco⁴ Use	1,701	100	327	1,275
Past Month Cigarette Use	1,444	84	293	1,068
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	3,275	310	420	2,545
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	88	15	34	38
Illicit Drug¹ Dependence or Abuse	142	28	57	56
Alcohol Dependence	174	11	46	117
Alcohol Dependence or Abuse	423	35	125	264
Alcohol or Illicit Drug¹ Dependence or Abuse	499	51	155	293
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	134	26	53	54
Needing But Not Receiving Treatment for Alcohol Use⁷	405	34	121	250
Serious Psychological Distress⁸	485⁸	--	100	385
Past Month Alcohol Use (for persons aged 12 to 20)	247⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	171⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

MISSOURI

Table 52. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Missouri*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	8.13	10.99	18.87	5.81
Past Year Marijuana Use	11.93	16.74	29.97	8.04
Past Month Marijuana Use	6.38	8.17	16.47	4.33
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.75	5.60	9.31	2.50
Past Year Cocaine Use	2.60	1.99	7.39	1.83
Past Year Nonmedical Pain Reliever Use	5.44	8.55	13.39	3.59
Perception of Great Risk of Smoking Marijuana Once a Month	38.25	34.20	23.28	41.49
Average Annual Rate of First Use of Marijuana²	2.03	6.90	7.62	0.17
ALCOHOL
Past Month Alcohol Use	49.81	20.20	63.79	51.36
Past Month Binge Alcohol³ Use	25.12	13.67	45.18	23.09
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	38.06	36.05	26.96	40.33
TOBACCO
Past Month Tobacco⁴ Use	36.06	20.33	50.78	35.57
Past Month Cigarette Use	30.61	17.14	45.50	29.79
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	69.41	63.07	65.29	71.02
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.86	3.12	5.29	1.07
Illicit Drug¹ Dependence or Abuse	3.01	5.79	8.94	1.57
Alcohol Dependence	3.69	2.29	7.11	3.27
Alcohol Dependence or Abuse	8.97	7.10	19.39	7.36
Alcohol or Illicit Drug¹ Dependence or Abuse	10.58	10.48	24.04	8.18
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.83	5.29	8.28	1.52
Needing But Not Receiving Treatment for Alcohol Use⁷	8.58	6.88	18.84	6.97
Serious Psychological Distress⁸	11.46⁸	--	15.52	10.74
Past Month Alcohol Use (for persons aged 12 to 20)	33.20⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	23.02⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

MONTANA

Table 53. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Montana*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	75	11	24	41
Past Year Marijuana Use	99	16	36	47
Past Month Marijuana Use	62	8	21	32
Past Month Use of Illicit Drugs Other Than Marijuana¹	28	5	8	15
Past Year Cocaine Use	18	1	7	9
Past Year Nonmedical Pain Reliever Use	38	7	13	18
Perception of Great Risk of Smoking Marijuana Once a Month	303	26	22	254
Average Annual Number of Marijuana Initiates²	10	5	4	0
ALCOHOL
Past Month Alcohol Use	434	18	76	339
Past Month Binge Alcohol³ Use	215	14	56	145
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	275	25	26	224
TOBACCO
Past Month Tobacco⁴ Use	263	17	57	189
Past Month Cigarette Use	202	12	45	145
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	566	53	73	440
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	14	2	6	6
Illicit Drug¹ Dependence or Abuse	23	5	9	9
Alcohol Dependence	31	3	10	18
Alcohol Dependence or Abuse	76	8	24	44
Alcohol or Illicit Drug¹ Dependence or Abuse	84	11	27	47
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	21	5	9	8
Needing But Not Receiving Treatment for Alcohol Use⁷	70	7	22	41
Serious Psychological Distress⁸	63⁸	--	15	47
Past Month Alcohol Use (for persons aged 12 to 20)	48⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	36⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

MONTANA

Table 54. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Montana*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	9.70	13.51	22.27	6.90
Past Year Marijuana Use	12.80	19.84	33.70	8.05
Past Month Marijuana Use	7.95	10.00	20.16	5.45
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.68	6.24	7.91	2.56
Past Year Cocaine Use	2.27	1.87	6.65	1.53
Past Year Nonmedical Pain Reliever Use	4.96	9.01	12.50	3.04
Perception of Great Risk of Smoking Marijuana Once a Month	39.04	32.59	20.80	43.23
Average Annual Rate of First Use of Marijuana²	2.33	8.63	8.93	0.15
ALCOHOL
Past Month Alcohol Use	55.96	23.00	71.50	57.62
Past Month Binge Alcohol³ Use	27.72	17.10	52.90	24.60
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	35.46	31.44	24.02	38.08
TOBACCO
Past Month Tobacco⁴ Use	33.92	21.03	53.03	32.20
Past Month Cigarette Use	26.13	15.41	42.45	24.62
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	73.00	66.69	68.01	74.76
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.85	3.00	5.36	1.06
Illicit Drug¹ Dependence or Abuse	2.98	6.29	8.76	1.48
Alcohol Dependence	3.95	3.50	9.04	3.09
Alcohol Dependence or Abuse	9.81	10.39	22.43	7.45
Alcohol or Illicit Drug¹ Dependence or Abuse	10.90	13.60	25.12	7.96
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.73	5.68	8.09	1.36
Needing But Not Receiving Treatment for Alcohol Use⁷	9.09	9.27	20.95	6.91
Serious Psychological Distress⁸	9.04⁸	--	14.38	8.07
Past Month Alcohol Use (for persons aged 12 to 20)	38.10⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	28.98⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

NEBRASKA

Table 55. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Nebraska*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	98	15	35	47
Past Year Marijuana Use	137	21	51	66
Past Month Marijuana Use	76	11	30	34
Past Month Use of Illicit Drugs Other Than Marijuana¹	43	8	15	21
Past Year Cocaine Use	30	2	13	14
Past Year Nonmedical Pain Reliever Use	49	9	19	21
Perception of Great Risk of Smoking Marijuana Once a Month	568	48	56	463
Average Annual Number of Marijuana Initiates²	16	8	7	1
ALCOHOL
Past Month Alcohol Use	789	30	149	611
Past Month Binge Alcohol³ Use	377	21	107	250
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	501	53	47	402
TOBACCO
Past Month Tobacco⁴ Use	418	24	101	293
Past Month Cigarette Use	345	21	90	234
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	1,008	99	133	776
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	27	4	11	12
Illicit Drug¹ Dependence or Abuse	41	8	16	17
Alcohol Dependence	52	4	17	30
Alcohol Dependence or Abuse	133	12	47	74
Alcohol or Illicit Drug¹ Dependence or Abuse	145	16	51	78
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	37	7	15	15
Needing But Not Receiving Treatment for Alcohol Use⁷	127	12	44	71
Serious Psychological Distress⁸	109⁸	--	28	82
Past Month Alcohol Use (for persons aged 12 to 20)	76⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	53⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

NEBRASKA

Table 56. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Nebraska*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	6.86	10.10	16.83	4.45
Past Year Marijuana Use	9.61	13.61	24.22	6.18
Past Month Marijuana Use	5.31	7.39	14.39	3.24
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.03	5.12	7.00	1.95
Past Year Cocaine Use	2.08	1.64	6.09	1.35
Past Year Nonmedical Pain Reliever Use	3.41	5.98	9.01	1.95
Perception of Great Risk of Smoking Marijuana Once a Month	39.86	31.80	27.04	43.50
Average Annual Rate of First Use of Marijuana²	1.74	6.17	6.25	0.14
ALCOHOL
Past Month Alcohol Use	55.41	20.10	71.18	57.32
Past Month Binge Alcohol³ Use	26.47	13.89	51.18	23.42
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	35.18	34.94	22.41	37.71
TOBACCO
Past Month Tobacco⁴ Use	29.32	16.14	48.17	27.49
Past Month Cigarette Use	24.22	13.64	43.21	22.01
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	70.74	65.81	63.57	72.85
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.91	2.93	5.22	1.11
Illicit Drug¹ Dependence or Abuse	2.88	5.34	7.87	1.55
Alcohol Dependence	3.62	2.51	8.35	2.86
Alcohol Dependence or Abuse	9.30	8.18	22.29	6.92
Alcohol or Illicit Drug¹ Dependence or Abuse	10.17	10.58	24.34	7.34
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.62	4.96	6.99	1.44
Needing But Not Receiving Treatment for Alcohol Use⁷	8.88	7.84	21.03	6.65
Serious Psychological Distress⁸	8.57⁸	--	13.24	7.66
Past Month Alcohol Use (for persons aged 12 to 20)	33.98⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	23.75⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

NEVADA

Table 57. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Nevada*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	161	22	42	98
Past Year Marijuana Use	196	33	59	105
Past Month Marijuana Use	114	15	35	65
Past Month Use of Illicit Drugs Other Than Marijuana¹	75	10	18	47
Past Year Cocaine Use	36	3	14	20
Past Year Nonmedical Pain Reliever Use	103	17	28	58
Perception of Great Risk of Smoking Marijuana Once a Month	707	69	59	579
Average Annual Number of Marijuana Initiates²	18	11	6	1
ALCOHOL
Past Month Alcohol Use	873	33	129	711
Past Month Binge Alcohol³ Use	396	22	82	293
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	772	75	84	614
TOBACCO
Past Month Tobacco⁴ Use	564	26	97	441
Past Month Cigarette Use	494	21	83	390
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	1,377	129	155	1,092
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	33	5	10	17
Illicit Drug¹ Dependence or Abuse	51	10	16	25
Alcohol Dependence	66	4	18	43
Alcohol Dependence or Abuse	153	13	41	99
Alcohol or Illicit Drug¹ Dependence or Abuse	180	18	50	112
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	48	9	15	24
Needing But Not Receiving Treatment for Alcohol Use⁷	148	13	40	96
Serious Psychological Distress⁸	172⁸	--	31	141
Past Month Alcohol Use (for persons aged 12 to 20)	66⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	44⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

NEVADA

Table 58. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Nevada*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	8.68	11.27	18.18	6.82
Past Year Marijuana Use	10.56	17.11	25.68	7.27
Past Month Marijuana Use	6.16	7.82	15.24	4.49
Past Month Use of Illicit Drugs Other Than Marijuana¹	4.03	5.00	7.80	3.30
Past Year Cocaine Use	1.96	1.51	6.02	1.37
Past Year Nonmedical Pain Reliever Use	5.55	8.87	12.37	4.02
Perception of Great Risk of Smoking Marijuana Once a Month	38.04	35.88	25.68	40.30
Average Annual Rate of First Use of Marijuana²	1.69	6.83	5.32	0.14
ALCOHOL
Past Month Alcohol Use	46.95	17.41	56.26	49.44
Past Month Binge Alcohol³ Use	21.34	11.28	35.98	20.35
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	41.54	38.89	36.64	42.68
TOBACCO
Past Month Tobacco⁴ Use	30.35	13.49	42.36	30.70
Past Month Cigarette Use	26.56	11.01	36.16	27.11
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	74.08	67.30	68.07	75.95
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.78	2.74	4.56	1.20
Illicit Drug¹ Dependence or Abuse	2.75	5.19	6.84	1.77
Alcohol Dependence	3.55	2.33	7.86	3.02
Alcohol Dependence or Abuse	8.23	6.69	18.03	6.88
Alcohol or Illicit Drug¹ Dependence or Abuse	9.69	9.45	21.80	7.79
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.60	4.64	6.60	1.68
Needing But Not Receiving Treatment for Alcohol Use⁷	7.99	6.50	17.46	6.68
Serious Psychological Distress⁸	10.31⁸	--	13.66	9.78
Past Month Alcohol Use (for persons aged 12 to 20)	24.47⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	16.50⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

NEW HAMPSHIRE

Table 59. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *New Hampshire*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	108	14	37	56
Past Year Marijuana Use	159	21	53	85
Past Month Marijuana Use	95	12	32	50
Past Month Use of Illicit Drugs Other Than Marijuana¹	40	6	15	19
Past Year Cocaine Use	31	2	13	16
Past Year Nonmedical Pain Reliever Use	58	9	20	28
Perception of Great Risk of Smoking Marijuana Once a Month	307	30	20	257
Average Annual Number of Marijuana Initiates²	13	7	5	1
ALCOHOL
Past Month Alcohol Use	655	25	99	532
Past Month Binge Alcohol³ Use	277	16	67	194
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	351	33	26	292
TOBACCO
Past Month Tobacco⁴ Use	324	18	65	242
Past Month Cigarette Use	268	15	55	198
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	769	72	88	609
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	23	3	9	11
Illicit Drug¹ Dependence or Abuse	35	7	13	14
Alcohol Dependence	34	2	10	21
Alcohol Dependence or Abuse	85	7	28	50
Alcohol or Illicit Drug¹ Dependence or Abuse	107	11	34	62
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	31	7	12	12
Needing But Not Receiving Treatment for Alcohol Use⁷	81	7	26	48
Serious Psychological Distress⁸	91⁸	--	21	71
Past Month Alcohol Use (for persons aged 12 to 20)	66⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	46⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

NEW HAMPSHIRE

Table 60. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *New Hampshire*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	9.87	12.58	27.43	6.71
Past Year Marijuana Use	14.60	18.18	39.78	10.11
Past Month Marijuana Use	8.68	10.31	24.14	6.01
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.69	5.43	10.84	2.32
Past Year Cocaine Use	2.84	2.05	9.73	1.85
Past Year Nonmedical Pain Reliever Use	5.28	7.65	15.24	3.38
Perception of Great Risk of Smoking Marijuana Once a Month	28.20	25.84	14.99	30.63
Average Annual Rate of First Use of Marijuana²	2.34	7.45	9.98	0.15
ALCOHOL
Past Month Alcohol Use	60.17	21.57	73.36	63.30
Past Month Binge Alcohol³ Use	25.41	13.78	50.09	23.06
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	32.28	29.13	19.40	34.75
TOBACCO
Past Month Tobacco⁴ Use	29.78	15.58	48.21	28.78
Past Month Cigarette Use	24.62	12.73	41.04	23.62
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	70.63	62.93	65.28	72.52
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.11	2.91	6.45	1.32
Illicit Drug¹ Dependence or Abuse	3.17	6.08	9.82	1.72
Alcohol Dependence	3.10	2.05	7.57	2.53
Alcohol Dependence or Abuse	7.77	6.23	20.70	5.92
Alcohol or Illicit Drug¹ Dependence or Abuse	9.79	9.80	25.10	7.36
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.80	5.69	9.08	1.41
Needing But Not Receiving Treatment for Alcohol Use⁷	7.47	6.04	19.70	5.72
Serious Psychological Distress⁸	9.38⁸	--	15.54	8.40
Past Month Alcohol Use (for persons aged 12 to 20)	37.30⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	26.18⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

NEW JERSEY

Table 61. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *New Jersey*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	490	76	174	239
Past Year Marijuana Use	623	97	236	290
Past Month Marijuana Use	357	51	144	162
Past Month Use of Illicit Drugs Other Than Marijuana¹	225	39	70	116
Past Year Cocaine Use	144	11	48	86
Past Year Nonmedical Pain Reliever Use	283	45	91	147
Perception of Great Risk of Smoking Marijuana Once a Month	2,934	258	185	2,491
Average Annual Number of Marijuana Initiates²	71	41	27	4
ALCOHOL
Past Month Alcohol Use	3,806	138	521	3,147
Past Month Binge Alcohol³ Use	1,467	79	338	1,050
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	3,205	289	259	2,658
TOBACCO
Past Month Tobacco⁴ Use	1,789	103	346	1,340
Past Month Cigarette Use	1,622	86	310	1,226
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	5,281	479	549	4,253
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	123	21	44	59
Illicit Drug¹ Dependence or Abuse	197	40	68	89
Alcohol Dependence	193	13	48	131
Alcohol Dependence or Abuse	463	41	125	298
Alcohol or Illicit Drug¹ Dependence or Abuse	574	65	160	349
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	170	38	61	71
Needing But Not Receiving Treatment for Alcohol Use⁷	445	41	121	283
Serious Psychological Distress⁸	593⁸	--	108	484
Past Month Alcohol Use (for persons aged 12 to 20)	287⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	178⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

NEW JERSEY

Table 62. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *New Jersey*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	6.86	10.35	21.34	4.28
Past Year Marijuana Use	8.73	13.24	28.96	5.17
Past Month Marijuana Use	5.01	6.95	17.61	2.90
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.15	5.25	8.56	2.08
Past Year Cocaine Use	2.02	1.45	5.87	1.53
Past Year Nonmedical Pain Reliever Use	3.96	6.16	11.11	2.63
Perception of Great Risk of Smoking Marijuana Once a Month	41.06	35.14	22.67	44.53
Average Annual Rate of First Use of Marijuana²	1.52	6.10	5.98	0.11
ALCOHOL
Past Month Alcohol Use	53.25	18.82	63.79	56.24
Past Month Binge Alcohol³ Use	20.54	10.77	41.42	18.77
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	44.85	39.33	31.75	47.50
TOBACCO
Past Month Tobacco⁴ Use	25.04	14.01	42.42	23.95
Past Month Cigarette Use	22.70	11.70	38.02	21.90
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	73.91	65.30	67.24	76.01
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.73	2.82	5.39	1.05
Illicit Drug¹ Dependence or Abuse	2.76	5.50	8.27	1.59
Alcohol Dependence	2.70	1.83	5.92	2.34
Alcohol Dependence or Abuse	6.49	5.56	15.27	5.33
Alcohol or Illicit Drug¹ Dependence or Abuse	8.04	8.80	19.58	6.24
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.38	5.14	7.48	1.26
Needing But Not Receiving Treatment for Alcohol Use⁷	6.23	5.55	14.79	5.06
Serious Psychological Distress⁸	9.25⁸	--	13.28	8.66
Past Month Alcohol Use (for persons aged 12 to 20)	28.08⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	17.47⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

NEW MEXICO

Table 63. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *New Mexico*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	173	28	52	92
Past Year Marijuana Use	204	35	73	96
Past Month Marijuana Use	133	21	46	66
Past Month Use of Illicit Drugs Other Than Marijuana¹	70	12	22	36
Past Year Cocaine Use	48	5	21	22
Past Year Nonmedical Pain Reliever Use	85	15	26	43
Perception of Great Risk of Smoking Marijuana Once a Month	598	50	52	496
Average Annual Number of Marijuana Initiates²	18	11	6	1
ALCOHOL
Past Month Alcohol Use	726	36	130	560
Past Month Binge Alcohol³ Use	353	25	91	237
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	701	68	78	555
TOBACCO
Past Month Tobacco⁴ Use	441	29	97	315
Past Month Cigarette Use	363	23	82	258
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	1,143	112	150	881
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	36	7	16	14
Illicit Drug¹ Dependence or Abuse	57	12	23	23
Alcohol Dependence	64	5	19	40
Alcohol Dependence or Abuse	151	14	46	91
Alcohol or Illicit Drug¹ Dependence or Abuse	180	21	56	103
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	53	11	21	21
Needing But Not Receiving Treatment for Alcohol Use⁷	140	14	45	82
Serious Psychological Distress⁸	142⁸	--	30	112
Past Month Alcohol Use (for persons aged 12 to 20)	83⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	58⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

NEW MEXICO

Table 64. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *New Mexico*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	11.25	16.22	23.90	8.08
Past Year Marijuana Use	13.25	19.88	33.51	8.39
Past Month Marijuana Use	8.65	11.91	21.10	5.79
Past Month Use of Illicit Drugs Other Than Marijuana¹	4.56	7.11	9.90	3.15
Past Year Cocaine Use	3.14	2.77	9.77	1.93
Past Year Nonmedical Pain Reliever Use	5.50	8.62	12.01	3.79
Perception of Great Risk of Smoking Marijuana Once a Month	38.92	28.47	23.94	43.37
Average Annual Rate of First Use of Marijuana²	2.18	8.76	7.32	0.12
ALCOHOL
Past Month Alcohol Use	47.26	20.33	59.68	49.02
Past Month Binge Alcohol³ Use	22.98	14.16	41.66	20.78
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	45.65	38.76	35.65	48.60
TOBACCO
Past Month Tobacco⁴ Use	28.71	16.79	44.28	27.58
Past Month Cigarette Use	23.64	13.01	37.78	22.58
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	74.41	63.84	68.95	77.07
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.34	3.73	7.15	1.22
Illicit Drug¹ Dependence or Abuse	3.71	6.72	10.45	1.97
Alcohol Dependence	4.16	3.01	8.76	3.46
Alcohol Dependence or Abuse	9.81	8.04	21.09	7.94
Alcohol or Illicit Drug¹ Dependence or Abuse	11.68	12.17	25.58	8.97
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	3.43	6.24	9.47	1.86
Needing But Not Receiving Treatment for Alcohol Use⁷	9.12	7.88	20.49	7.15
Serious Psychological Distress⁸	10.46⁸	--	13.83	9.82
Past Month Alcohol Use (for persons aged 12 to 20)	31.26⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	21.73⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

NEW YORK

Table 65. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *New York*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	1,451	181	503	768
Past Year Marijuana Use	1,883	235	678	970
Past Month Marijuana Use	1,186	133	439	613
Past Month Use of Illicit Drugs Other Than Marijuana¹	495	80	164	251
Past Year Cocaine Use	403	22	156	225
Past Year Nonmedical Pain Reliever Use	656	97	229	330
Perception of Great Risk of Smoking Marijuana Once a Month	5,896	477	471	4,949
Average Annual Number of Marijuana Initiates²	173	86	77	9
ALCOHOL
Past Month Alcohol Use	8,522	299	1,313	6,910
Past Month Binge Alcohol³ Use	3,735	171	879	2,684
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	6,675	610	623	5,443
TOBACCO
Past Month Tobacco⁴ Use	4,456	196	881	3,379
Past Month Cigarette Use	3,967	174	817	2,976
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	11,859	1,032	1,436	9,390
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	313	44	116	153
Illicit Drug¹ Dependence or Abuse	467	78	171	217
Alcohol Dependence	510	29	132	349
Alcohol Dependence or Abuse	1,070	86	323	661
Alcohol or Illicit Drug¹ Dependence or Abuse	1,359	132	408	819
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	409	74	160	174
Needing But Not Receiving Treatment for Alcohol Use⁷	1,006	82	315	609
Serious Psychological Distress⁸	1,363⁸	--	295	1,068
Past Month Alcohol Use (for persons aged 12 to 20)	766⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	507⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

NEW YORK

Table 66. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *New York*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	9.10	11.49	24.55	6.22
Past Year Marijuana Use	11.80	14.95	33.10	7.86
Past Month Marijuana Use	7.43	8.46	21.46	4.97
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.10	5.08	8.02	2.03
Past Year Cocaine Use	2.53	1.39	7.60	1.83
Past Year Nonmedical Pain Reliever Use	4.11	6.15	11.20	2.68
Perception of Great Risk of Smoking Marijuana Once a Month	36.93	30.32	22.99	40.09
Average Annual Rate of First Use of Marijuana²	1.77	6.28	7.65	0.12
ALCOHOL
Past Month Alcohol Use	53.38	19.01	64.14	55.98
Past Month Binge Alcohol³ Use	23.40	10.87	42.95	21.75
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	41.81	38.78	30.40	44.10
TOBACCO
Past Month Tobacco⁴ Use	27.92	12.49	43.03	27.37
Past Month Cigarette Use	24.85	11.04	39.91	24.11
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	74.28	65.69	70.13	76.07
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.96	2.77	5.68	1.24
Illicit Drug¹ Dependence or Abuse	2.93	4.99	8.37	1.76
Alcohol Dependence	3.20	1.84	6.45	2.83
Alcohol Dependence or Abuse	6.71	5.49	15.76	5.36
Alcohol or Illicit Drug¹ Dependence or Abuse	8.52	8.39	19.90	6.64
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.56	4.73	7.82	1.41
Needing But Not Receiving Treatment for Alcohol Use⁷	6.31	5.24	15.38	4.94
Serious Psychological Distress⁸	9.47⁸	--	14.42	8.65
Past Month Alcohol Use (for persons aged 12 to 20)	31.99⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	21.16⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

NORTH CAROLINA

Table 67. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *North Carolina*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	497	78	158	262
Past Year Marijuana Use	650	102	227	321
Past Month Marijuana Use	386	52	136	198
Past Month Use of Illicit Drugs Other Than Marijuana¹	237	38	65	133
Past Year Cocaine Use	135	9	44	83
Past Year Nonmedical Pain Reliever Use	302	53	94	155
Perception of Great Risk of Smoking Marijuana Once a Month	2,888	249	247	2,392
Average Annual Number of Marijuana Initiates²	71	39	28	4
ALCOHOL
Past Month Alcohol Use	2,801	105	482	2,214
Past Month Binge Alcohol³ Use	1,319	65	319	935
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	3,102	274	289	2,539
TOBACCO
Past Month Tobacco⁴ Use	2,347	121	426	1,800
Past Month Cigarette Use	1,863	100	395	1,368
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	4,736	456	562	3,718
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	129	18	40	71
Illicit Drug¹ Dependence or Abuse	199	33	65	102
Alcohol Dependence	191	11	50	130
Alcohol Dependence or Abuse	410	32	124	255
Alcohol or Illicit Drug¹ Dependence or Abuse	535	51	154	330
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	178	31	58	89
Needing But Not Receiving Treatment for Alcohol Use⁷	385	31	119	234
Serious Psychological Distress⁸	615⁸	--	120	495
Past Month Alcohol Use (for persons aged 12 to 20)	261⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	165⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

NORTH CAROLINA

Table 68. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *North Carolina*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	7.23	11.06	17.78	4.96
Past Year Marijuana Use	9.45	14.54	25.53	6.08
Past Month Marijuana Use	5.62	7.39	15.33	3.75
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.44	5.48	7.33	2.52
Past Year Cocaine Use	1.96	1.24	4.90	1.57
Past Year Nonmedical Pain Reliever Use	4.39	7.57	10.57	2.93
Perception of Great Risk of Smoking Marijuana Once a Month	42.07	35.48	27.80	45.34
Average Annual Rate of First Use of Marijuana²	1.65	6.41	6.20	0.13
ALCOHOL
Past Month Alcohol Use	40.80	14.95	54.25	41.97
Past Month Binge Alcohol³ Use	19.21	9.26	35.92	17.72
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	45.18	39.05	32.52	48.12
TOBACCO
Past Month Tobacco⁴ Use	34.19	17.20	47.94	34.13
Past Month Cigarette Use	27.12	14.18	44.46	25.93
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	68.97	64.97	63.22	70.47
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.88	2.63	4.48	1.34
Illicit Drug¹ Dependence or Abuse	2.90	4.68	7.26	1.93
Alcohol Dependence	2.78	1.58	5.62	2.46
Alcohol Dependence or Abuse	5.97	4.50	13.94	4.83
Alcohol or Illicit Drug¹ Dependence or Abuse	7.79	7.24	17.30	6.26
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.59	4.38	6.53	1.69
Needing But Not Receiving Treatment for Alcohol Use⁷	5.60	4.40	13.43	4.44
Serious Psychological Distress⁸	9.98⁸	--	13.51	9.39
Past Month Alcohol Use (for persons aged 12 to 20)	25.07⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	15.88⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

NORTH DAKOTA

Table 69. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *North Dakota*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	39	6	14	20
Past Year Marijuana Use	53	8	24	21
Past Month Marijuana Use	30	4	12	14
Past Month Use of Illicit Drugs Other Than Marijuana¹	17	3	5	9
Past Year Cocaine Use	10	1	5	4
Past Year Nonmedical Pain Reliever Use	21	3	8	10
Perception of Great Risk of Smoking Marijuana Once a Month	213	19	20	174
Average Annual Number of Marijuana Initiates²	7	3	3	0
ALCOHOL
Past Month Alcohol Use	313	12	63	238
Past Month Binge Alcohol³ Use	168	8	47	112
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	174	18	19	137
TOBACCO
Past Month Tobacco⁴ Use	176	11	41	124
Past Month Cigarette Use	145	9	36	100
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	362	34	54	273
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	9	2	4	4
Illicit Drug¹ Dependence or Abuse	14	3	6	6
Alcohol Dependence	20	1	7	11
Alcohol Dependence or Abuse	55	5	23	28
Alcohol or Illicit Drug¹ Dependence or Abuse	62	6	24	31
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	13	3	5	5
Needing But Not Receiving Treatment for Alcohol Use⁷	53	5	22	26
Serious Psychological Distress⁸	46⁸	--	12	35
Past Month Alcohol Use (for persons aged 12 to 20)	39⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	30⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

NORTH DAKOTA

Table 70. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *North Dakota*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	7.47	10.76	16.46	5.14
Past Year Marijuana Use	10.12	16.11	28.93	5.36
Past Month Marijuana Use	5.62	7.49	14.72	3.45
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.24	5.53	6.23	2.31
Past Year Cocaine Use	1.88	1.79	5.56	1.12
Past Year Nonmedical Pain Reliever Use	4.00	6.14	9.38	2.58
Perception of Great Risk of Smoking Marijuana Once a Month	40.42	36.56	24.64	44.26
Average Annual Rate of First Use of Marijuana²	1.92	6.75	8.18	0.12
ALCOHOL
Past Month Alcohol Use	59.33	23.39	75.61	60.72
Past Month Binge Alcohol³ Use	31.77	15.91	57.01	28.59
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	32.95	33.52	22.73	35.02
TOBACCO
Past Month Tobacco⁴ Use	33.40	20.69	49.63	31.68
Past Month Cigarette Use	27.53	16.82	43.47	25.62
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	68.67	65.49	65.62	69.75
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.69	3.16	4.29	0.95
Illicit Drug¹ Dependence or Abuse	2.74	5.81	7.04	1.43
Alcohol Dependence	3.80	2.47	8.90	2.90
Alcohol Dependence or Abuse	10.48	9.15	27.29	7.13
Alcohol or Illicit Drug¹ Dependence or Abuse	11.67	12.03	28.94	7.98
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.49	5.36	6.52	1.26
Needing But Not Receiving Treatment for Alcohol Use⁷	9.99	8.86	26.44	6.68
Serious Psychological Distress⁸	9.77⁸	--	13.89	8.90
Past Month Alcohol Use (for persons aged 12 to 20)	42.68⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	32.29⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

OHIO

Table 71. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Ohio*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	745	105	247	392
Past Year Marijuana Use	957	141	348	468
Past Month Marijuana Use	577	81	208	289
Past Month Use of Illicit Drugs Other Than Marijuana¹	321	51	105	166
Past Year Cocaine Use	202	13	75	114
Past Year Nonmedical Pain Reliever Use	454	73	164	217
Perception of Great Risk of Smoking Marijuana Once a Month	3,693	341	293	3,060
Average Annual Number of Marijuana Initiates²	103	53	45	6
ALCOHOL
Past Month Alcohol Use	4,865	170	795	3,901
Past Month Binge Alcohol³ Use	2,233	110	548	1,576
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	3,621	367	363	2,891
TOBACCO
Past Month Tobacco⁴ Use	3,279	166	627	2,486
Past Month Cigarette Use	2,767	139	555	2,073
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	6,615	638	804	5,173
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	167	28	58	81
Illicit Drug¹ Dependence or Abuse	261	53	94	114
Alcohol Dependence	304	19	89	196
Alcohol Dependence or Abuse	690	55	215	420
Alcohol or Illicit Drug¹ Dependence or Abuse	838	84	257	497
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	232	50	86	97
Needing But Not Receiving Treatment for Alcohol Use⁷	657	52	206	398
Serious Psychological Distress⁸	853⁸	--	186	667
Past Month Alcohol Use (for persons aged 12 to 20)	443⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	311⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

OHIO

Table 72. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Ohio*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	7.88	10.72	19.76	5.42
Past Year Marijuana Use	10.12	14.33	27.81	6.47
Past Month Marijuana Use	6.11	8.21	16.62	3.99
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.40	5.14	8.37	2.30
Past Year Cocaine Use	2.13	1.33	5.99	1.57
Past Year Nonmedical Pain Reliever Use	4.80	7.47	13.08	3.00
Perception of Great Risk of Smoking Marijuana Once a Month	39.03	34.72	23.38	42.33
Average Annual Rate of First Use of Marijuana²	1.84	6.25	7.44	0.14
ALCOHOL
Past Month Alcohol Use	51.41	17.24	63.51	53.97
Past Month Binge Alcohol³ Use	23.60	11.16	43.76	21.80
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	38.26	37.28	29.02	40.00
TOBACCO
Past Month Tobacco⁴ Use	34.65	16.86	50.09	34.40
Past Month Cigarette Use	29.25	14.13	44.32	28.69
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	69.91	64.86	64.28	71.58
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.76	2.86	4.65	1.11
Illicit Drug¹ Dependence or Abuse	2.76	5.39	7.48	1.58
Alcohol Dependence	3.22	1.89	7.13	2.72
Alcohol Dependence or Abuse	7.30	5.61	17.20	5.81
Alcohol or Illicit Drug¹ Dependence or Abuse	8.86	8.52	20.53	6.88
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.46	5.05	6.86	1.34
Needing But Not Receiving Treatment for Alcohol Use⁷	6.94	5.29	16.49	5.51
Serious Psychological Distress⁸	10.06⁸	--	14.83	9.23
Past Month Alcohol Use (for persons aged 12 to 20)	29.75⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	20.89⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

OKLAHOMA

Table 73. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Oklahoma*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	241	35	81	125
Past Year Marijuana Use	282	48	107	126
Past Month Marijuana Use	160	23	65	72
Past Month Use of Illicit Drugs Other Than Marijuana¹	118	20	42	57
Past Year Cocaine Use	59	5	27	27
Past Year Nonmedical Pain Reliever Use	163	30	60	74
Perception of Great Risk of Smoking Marijuana Once a Month	1,264	113	115	1,036
Average Annual Number of Marijuana Initiates²	30	15	13	2
ALCOHOL
Past Month Alcohol Use	1,217	52	246	919
Past Month Binge Alcohol³ Use	591	37	168	386
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,200	114	122	963
TOBACCO
Past Month Tobacco⁴ Use	1,023	55	223	745
Past Month Cigarette Use	879	46	195	638
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	1,937	184	252	1,502
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	57	10	23	25
Illicit Drug¹ Dependence or Abuse	87	18	32	37
Alcohol Dependence	97	7	31	58
Alcohol Dependence or Abuse	212	20	72	120
Alcohol or Illicit Drug¹ Dependence or Abuse	265	32	88	145
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	82	17	30	35
Needing But Not Receiving Treatment for Alcohol Use⁷	201	19	69	112
Serious Psychological Distress⁸	279⁸	--	63	216
Past Month Alcohol Use (for persons aged 12 to 20)	138⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	99⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

OKLAHOMA

Table 74. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Oklahoma*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	8.44	11.80	19.51	5.84
Past Year Marijuana Use	9.84	16.14	25.86	5.88
Past Month Marijuana Use	5.60	7.76	15.70	3.36
Past Month Use of Illicit Drugs Other Than Marijuana¹	4.12	6.59	10.05	2.64
Past Year Cocaine Use	2.08	1.75	6.48	1.27
Past Year Nonmedical Pain Reliever Use	5.71	10.10	14.35	3.44
Perception of Great Risk of Smoking Marijuana Once a Month	44.25	38.04	27.76	48.29
Average Annual Rate of First Use of Marijuana²	1.68	5.91	6.24	0.13
ALCOHOL
Past Month Alcohol Use	42.59	17.40	59.14	42.87
Past Month Binge Alcohol³ Use	20.68	12.49	40.47	17.99
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	42.00	38.55	29.39	44.91
TOBACCO
Past Month Tobacco⁴ Use	35.81	18.50	53.68	34.74
Past Month Cigarette Use	30.77	15.65	46.88	29.75
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	67.81	61.95	60.52	70.02
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.00	3.27	5.46	1.16
Illicit Drug¹ Dependence or Abuse	3.05	6.17	7.73	1.72
Alcohol Dependence	3.38	2.41	7.49	2.72
Alcohol Dependence or Abuse	7.42	6.81	17.35	5.59
Alcohol or Illicit Drug¹ Dependence or Abuse	9.28	10.71	21.28	6.77
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.87	5.71	7.30	1.62
Needing But Not Receiving Treatment for Alcohol Use⁷	7.02	6.49	16.66	5.23
Serious Psychological Distress⁸	10.90⁸	--	15.23	10.06
Past Month Alcohol Use (for persons aged 12 to 20)	30.15⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	21.52⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

OREGON

Table 75. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Oregon*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	283	37	91	155
Past Year Marijuana Use	393	54	134	205
Past Month Marijuana Use	240	29	83	128
Past Month Use of Illicit Drugs Other Than Marijuana¹	112	16	34	62
Past Year Cocaine Use	66	5	26	35
Past Year Nonmedical Pain Reliever Use	166	29	52	85
Perception of Great Risk of Smoking Marijuana Once a Month	992	96	81	815
Average Annual Number of Marijuana Initiates²	31	17	11	2
ALCOHOL
Past Month Alcohol Use	1,631	56	262	1,313
Past Month Binge Alcohol³ Use	599	36	163	400
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,198	109	109	980
TOBACCO
Past Month Tobacco⁴ Use	863	44	179	640
Past Month Cigarette Use	730	35	154	541
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	2,240	210	280	1,750
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	64	8	25	31
Illicit Drug¹ Dependence or Abuse	89	16	33	40
Alcohol Dependence	116	7	32	76
Alcohol Dependence or Abuse	247	19	72	155
Alcohol or Illicit Drug¹ Dependence or Abuse	293	29	85	179
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	85	15	31	38
Needing But Not Receiving Treatment for Alcohol Use⁷	236	19	69	147
Serious Psychological Distress⁸	270⁸	--	58	212
Past Month Alcohol Use (for persons aged 12 to 20)	134⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	90⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

OREGON

Table 76. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Oregon*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	9.47	12.60	23.12	6.73
Past Year Marijuana Use	13.18	18.19	34.16	8.94
Past Month Marijuana Use	8.03	9.74	21.07	5.58
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.76	5.33	8.75	2.70
Past Year Cocaine Use	2.22	1.72	6.60	1.53
Past Year Nonmedical Pain Reliever Use	5.56	9.78	13.27	3.70
Perception of Great Risk of Smoking Marijuana Once a Month	33.23	32.38	20.60	35.50
Average Annual Rate of First Use of Marijuana²	1.85	6.95	6.44	0.17
ALCOHOL
Past Month Alcohol Use	54.61	18.78	66.77	57.17
Past Month Binge Alcohol³ Use	20.07	12.22	41.48	17.42
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	40.10	36.62	27.68	42.68
TOBACCO
Past Month Tobacco⁴ Use	28.89	14.74	45.57	27.87
Past Month Cigarette Use	24.44	11.63	39.30	23.55
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	75.02	70.72	71.43	76.19
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.15	2.64	6.35	1.36
Illicit Drug¹ Dependence or Abuse	2.98	5.50	8.37	1.73
Alcohol Dependence	3.89	2.46	8.27	3.33
Alcohol Dependence or Abuse	8.27	6.54	18.41	6.76
Alcohol or Illicit Drug¹ Dependence or Abuse	9.82	9.77	21.71	7.79
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.84	5.19	7.93	1.67
Needing But Not Receiving Treatment for Alcohol Use⁷	7.89	6.39	17.68	6.41
Serious Psychological Distress⁸	10.04⁸	--	14.71	9.24
Past Month Alcohol Use (for persons aged 12 to 20)	30.86⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	20.71⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

PENNSYLVANIA

Table 77. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Pennsylvania*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	808	111	279	419
Past Year Marijuana Use	1,092	149	405	539
Past Month Marijuana Use	624	80	233	310
Past Month Use of Illicit Drugs Other Than Marijuana¹	355	57	112	186
Past Year Cocaine Use	273	17	95	160
Past Year Nonmedical Pain Reliever Use	428	69	160	199
Perception of Great Risk of Smoking Marijuana Once a Month	4,252	363	288	3,601
Average Annual Number of Marijuana Initiates²	111	57	48	6
ALCOHOL
Past Month Alcohol Use	5,418	184	856	4,379
Past Month Binge Alcohol³ Use	2,558	115	621	1,822
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	3,754	380	331	3,042
TOBACCO
Past Month Tobacco⁴ Use	3,379	164	656	2,559
Past Month Cigarette Use	2,814	142	586	2,086
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	7,387	664	857	5,867
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	174	27	62	86
Illicit Drug¹ Dependence or Abuse	279	49	105	125
Alcohol Dependence	337	20	101	216
Alcohol Dependence or Abuse	784	58	251	475
Alcohol or Illicit Drug¹ Dependence or Abuse	923	85	294	544
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	246	46	95	105
Needing But Not Receiving Treatment for Alcohol Use⁷	747	55	242	449
Serious Psychological Distress⁸	792⁸	--	170	622
Past Month Alcohol Use (for persons aged 12 to 20)	486⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	342⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

PENNSYLVANIA

Table 78. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Pennsylvania*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	7.80	10.70	21.20	5.22
Past Year Marijuana Use	10.54	14.39	30.76	6.71
Past Month Marijuana Use	6.02	7.75	17.74	3.87
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.42	5.47	8.55	2.31
Past Year Cocaine Use	2.63	1.68	7.25	2.00
Past Year Nonmedical Pain Reliever Use	4.13	6.71	12.13	2.48
Perception of Great Risk of Smoking Marijuana Once a Month	40.97	35.11	21.88	44.86
Average Annual Rate of First Use of Marijuana²	1.72	6.33	7.52	0.13
ALCOHOL
Past Month Alcohol Use	52.20	17.75	65.04	54.54
Past Month Binge Alcohol³ Use	24.66	11.14	47.21	22.69
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	36.17	36.78	25.19	37.90
TOBACCO
Past Month Tobacco⁴ Use	32.56	15.85	49.88	31.87
Past Month Cigarette Use	27.12	13.73	44.53	25.99
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	71.18	64.19	65.11	73.08
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.68	2.56	4.68	1.08
Illicit Drug¹ Dependence or Abuse	2.69	4.73	7.96	1.56
Alcohol Dependence	3.25	1.91	7.71	2.69
Alcohol Dependence or Abuse	7.56	5.63	19.07	5.92
Alcohol or Illicit Drug¹ Dependence or Abuse	8.90	8.22	22.34	6.78
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.37	4.41	7.25	1.31
Needing But Not Receiving Treatment for Alcohol Use⁷	7.20	5.35	18.40	5.60
Serious Psychological Distress⁸	8.48⁸	--	12.95	7.74
Past Month Alcohol Use (for persons aged 12 to 20)	30.77⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	21.61⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

RHODE ISLAND

Table 79. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Rhode Island*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	98	12	36	51
Past Year Marijuana Use	135	16	52	66
Past Month Marijuana Use	83	10	32	41
Past Month Use of Illicit Drugs Other Than Marijuana¹	38	5	14	19
Past Year Cocaine Use	32	2	14	16
Past Year Nonmedical Pain Reliever Use	54	7	20	28
Perception of Great Risk of Smoking Marijuana Once a Month	309	26	25	258
Average Annual Number of Marijuana Initiates²	10	5	4	1
ALCOHOL
Past Month Alcohol Use	548	18	94	437
Past Month Binge Alcohol³ Use	251	11	68	172
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	327	32	35	259
TOBACCO
Past Month Tobacco⁴ Use	274	14	58	203
Past Month Cigarette Use	236	11	51	173
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	676	60	93	523
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	22	3	8	11
Illicit Drug¹ Dependence or Abuse	32	5	13	13
Alcohol Dependence	35	2	11	22
Alcohol Dependence or Abuse	87	6	28	53
Alcohol or Illicit Drug¹ Dependence or Abuse	103	9	32	62
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	28	5	12	10
Needing But Not Receiving Treatment for Alcohol Use⁷	81	6	27	48
Serious Psychological Distress⁸	100⁸	--	20	80
Past Month Alcohol Use (for persons aged 12 to 20)	51⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	36⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

RHODE ISLAND

Table 80. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Rhode Island*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	10.84	13.63	27.97	7.33
Past Year Marijuana Use	14.85	18.68	41.05	9.55
Past Month Marijuana Use	9.14	10.97	25.42	5.92
Past Month Use of Illicit Drugs Other Than Marijuana¹	4.19	5.71	11.15	2.72
Past Year Cocaine Use	3.52	1.93	10.88	2.37
Past Year Nonmedical Pain Reliever Use	5.96	7.62	15.30	4.03
Perception of Great Risk of Smoking Marijuana Once a Month	34.13	29.94	19.35	37.37
Average Annual Rate of First Use of Marijuana²	2.11	7.38	8.44	0.16
ALCOHOL
Past Month Alcohol Use	60.58	20.26	73.69	63.25
Past Month Binge Alcohol³ Use	27.71	12.94	53.15	24.90
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	36.07	36.40	27.71	37.58
TOBACCO
Past Month Tobacco⁴ Use	30.29	15.58	45.45	29.36
Past Month Cigarette Use	26.11	13.09	40.40	25.12
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	74.67	69.16	72.76	75.72
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.41	2.93	6.65	1.56
Illicit Drug¹ Dependence or Abuse	3.49	6.05	10.32	1.92
Alcohol Dependence	3.83	2.03	8.24	3.25
Alcohol Dependence or Abuse	9.59	6.89	21.83	7.68
Alcohol or Illicit Drug¹ Dependence or Abuse	11.39	10.36	25.37	8.95
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	3.06	5.82	9.73	1.48
Needing But Not Receiving Treatment for Alcohol Use⁷	8.91	6.79	21.06	6.95
Serious Psychological Distress⁸	12.18⁸	--	15.45	11.58
Past Month Alcohol Use (for persons aged 12 to 20)	36.20⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	25.78⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

SOUTH CAROLINA

Table 81. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *South Carolina*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	261	39	87	135
Past Year Marijuana Use	340	50	118	172
Past Month Marijuana Use	196	24	72	101
Past Month Use of Illicit Drugs Other Than Marijuana¹	123	19	41	64
Past Year Cocaine Use	83	7	30	46
Past Year Nonmedical Pain Reliever Use	171	29	57	85
Perception of Great Risk of Smoking Marijuana Once a Month	1,502	137	120	1,245
Average Annual Number of Marijuana Initiates²	40	20	18	2
ALCOHOL
Past Month Alcohol Use	1,493	51	273	1,168
Past Month Binge Alcohol³ Use	724	32	181	511
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,459	149	145	1,164
TOBACCO
Past Month Tobacco⁴ Use	1,079	54	224	802
Past Month Cigarette Use	919	43	197	678
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	2,412	230	291	1,891
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	59	9	20	30
Illicit Drug¹ Dependence or Abuse	100	18	35	47
Alcohol Dependence	127	7	32	88
Alcohol Dependence or Abuse	282	19	81	183
Alcohol or Illicit Drug¹ Dependence or Abuse	327	29	97	201
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	89	16	33	40
Needing But Not Receiving Treatment for Alcohol Use⁷	264	17	76	171
Serious Psychological Distress⁸	309⁸	--	61	248
Past Month Alcohol Use (for persons aged 12 to 20)	122⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	80⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

SOUTH CAROLINA

Table 82. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *South Carolina*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	7.65	10.86	18.99	5.21
Past Year Marijuana Use	9.97	13.91	25.71	6.65
Past Month Marijuana Use	5.74	6.73	15.53	3.88
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.60	5.26	8.80	2.46
Past Year Cocaine Use	2.44	1.95	6.55	1.78
Past Year Nonmedical Pain Reliever Use	5.01	8.14	12.36	3.29
Perception of Great Risk of Smoking Marijuana Once a Month	44.06	38.38	26.10	48.01
Average Annual Rate of First Use of Marijuana²	1.85	6.23	8.17	0.13
ALCOHOL
Past Month Alcohol Use	43.74	14.40	59.19	45.04
Past Month Binge Alcohol³ Use	21.22	8.94	39.39	19.70
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	42.77	41.90	31.58	44.86
TOBACCO
Past Month Tobacco⁴ Use	31.63	15.12	48.59	30.90
Past Month Cigarette Use	26.93	12.09	42.85	26.15
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	70.72	64.47	63.11	72.91
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.73	2.50	4.37	1.16
Illicit Drug¹ Dependence or Abuse	2.92	4.91	7.69	1.80
Alcohol Dependence	3.74	2.09	7.04	3.38
Alcohol Dependence or Abuse	8.26	5.20	17.51	7.05
Alcohol or Illicit Drug¹ Dependence or Abuse	9.58	8.03	21.06	7.77
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.60	4.51	7.15	1.53
Needing But Not Receiving Treatment for Alcohol Use⁷	7.73	4.68	16.58	6.58
Serious Psychological Distress⁸	10.10⁸	--	13.22	9.55
Past Month Alcohol Use (for persons aged 12 to 20)	24.13⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	15.86⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

SOUTH DAKOTA

Table 83. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *South Dakota*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	44	7	14	23
Past Year Marijuana Use	60	11	23	26
Past Month Marijuana Use	31	5	12	14
Past Month Use of Illicit Drugs Other Than Marijuana¹	19	4	6	9
Past Year Cocaine Use	12	1	5	5
Past Year Nonmedical Pain Reliever Use	22	4	7	10
Perception of Great Risk of Smoking Marijuana Once a Month	243	26	22	195
Average Annual Number of Marijuana Initiates²	8	4	4	0
ALCOHOL
Past Month Alcohol Use	359	16	67	276
Past Month Binge Alcohol³ Use	179	11	52	116
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	216	23	22	171
TOBACCO
Past Month Tobacco⁴ Use	221	15	52	154
Past Month Cigarette Use	189	12	46	131
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	420	44	56	320
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	11	2	4	5
Illicit Drug¹ Dependence or Abuse	16	4	6	7
Alcohol Dependence	29	2	8	18
Alcohol Dependence or Abuse	64	7	23	35
Alcohol or Illicit Drug¹ Dependence or Abuse	68	8	24	35
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	14	3	5	6
Needing But Not Receiving Treatment for Alcohol Use⁷	56	6	20	30
Serious Psychological Distress⁸	46⁸	--	12	34
Past Month Alcohol Use (for persons aged 12 to 20)	41⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	31⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

SOUTH DAKOTA

Table 84. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *South Dakota*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	6.96	9.83	15.39	4.86
Past Year Marijuana Use	9.51	15.63	25.02	5.52
Past Month Marijuana Use	4.89	6.90	12.93	2.99
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.03	5.51	6.34	2.01
Past Year Cocaine Use	1.87	1.82	5.53	1.14
Past Year Nonmedical Pain Reliever Use	3.45	6.45	7.83	2.14
Perception of Great Risk of Smoking Marijuana Once a Month	38.80	37.39	24.11	41.94
Average Annual Rate of First Use of Marijuana²	2.04	7.24	7.82	0.13
ALCOHOL
Past Month Alcohol Use	57.35	23.37	72.30	59.34
Past Month Binge Alcohol³ Use	28.55	15.96	55.59	25.01
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	34.48	32.99	23.82	36.82
TOBACCO
Past Month Tobacco⁴ Use	35.32	21.25	56.02	33.26
Past Month Cigarette Use	30.15	17.27	49.56	28.18
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	67.08	64.01	59.70	69.00
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.68	2.79	3.90	1.07
Illicit Drug¹ Dependence or Abuse	2.53	5.14	6.10	1.43
Alcohol Dependence	4.56	3.48	8.70	3.89
Alcohol Dependence or Abuse	10.20	9.67	24.25	7.48
Alcohol or Illicit Drug¹ Dependence or Abuse	10.84	11.86	26.16	7.64
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.23	4.61	5.39	1.25
Needing But Not Receiving Treatment for Alcohol Use⁷	9.00	9.08	21.91	6.41
Serious Psychological Distress⁸	8.31⁸	--	12.84	7.41
Past Month Alcohol Use (for persons aged 12 to 20)	39.12⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	29.49⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

TENNESSEE

Table 85. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Tennessee*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	331	44	102	186
Past Year Marijuana Use	410	61	139	211
Past Month Marijuana Use	245	29	82	134
Past Month Use of Illicit Drugs Other Than Marijuana¹	170	24	47	99
Past Year Cocaine Use	103	7	34	62
Past Year Nonmedical Pain Reliever Use	224	44	70	110
Perception of Great Risk of Smoking Marijuana Once a Month	1,955	173	161	1,621
Average Annual Number of Marijuana Initiates²	44	23	18	3
ALCOHOL
Past Month Alcohol Use	1,828	67	322	1,438
Past Month Binge Alcohol³ Use	739	39	185	516
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	2,230	205	232	1,793
TOBACCO
Past Month Tobacco⁴ Use	1,601	77	288	1,236
Past Month Cigarette Use	1,360	64	245	1,052
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	3,438	316	415	2,707
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	89	13	29	47
Illicit Drug¹ Dependence or Abuse	135	23	45	67
Alcohol Dependence	134	8	35	92
Alcohol Dependence or Abuse	307	22	86	199
Alcohol or Illicit Drug¹ Dependence or Abuse	380	36	106	238
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	125	21	43	60
Needing But Not Receiving Treatment for Alcohol Use⁷	296	23	83	190
Serious Psychological Distress⁸	449⁸	--	89	360
Past Month Alcohol Use (for persons aged 12 to 20)	158⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	93⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

TENNESSEE

Table 86. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Tennessee*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	6.80	9.15	16.00	4.96
Past Year Marijuana Use	8.42	12.77	21.77	5.62
Past Month Marijuana Use	5.03	6.14	12.81	3.58
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.48	4.97	7.41	2.64
Past Year Cocaine Use	2.12	1.56	5.42	1.64
Past Year Nonmedical Pain Reliever Use	4.60	9.34	10.98	2.94
Perception of Great Risk of Smoking Marijuana Once a Month	40.29	36.47	25.26	43.30
Average Annual Rate of First Use of Marijuana²	1.40	5.36	5.18	0.14
ALCOHOL
Past Month Alcohol Use	37.63	14.08	50.60	38.43
Past Month Binge Alcohol³ Use	15.21	8.11	29.07	13.77
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	45.94	43.07	36.45	47.90
TOBACCO
Past Month Tobacco⁴ Use	32.96	16.14	45.27	33.01
Past Month Cigarette Use	28.02	13.36	38.49	28.10
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	70.82	66.38	65.22	72.32
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.83	2.81	4.53	1.25
Illicit Drug¹ Dependence or Abuse	2.77	4.78	7.10	1.79
Alcohol Dependence	2.76	1.65	5.44	2.45
Alcohol Dependence or Abuse	6.32	4.69	13.57	5.31
Alcohol or Illicit Drug¹ Dependence or Abuse	7.81	7.49	16.69	6.35
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.56	4.50	6.74	1.61
Needing But Not Receiving Treatment for Alcohol Use⁷	6.08	4.75	13.10	5.07
Serious Psychological Distress⁸	10.25⁸	--	14.02	9.61
Past Month Alcohol Use (for persons aged 12 to 20)	22.32⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	13.12⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

TEXAS

Table 87. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Texas*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	1,226	193	421	612
Past Year Marijuana Use	1,494	272	559	664
Past Month Marijuana Use	825	122	325	379
Past Month Use of Illicit Drugs Other Than Marijuana¹	676	118	216	342
Past Year Cocaine Use	424	50	158	216
Past Year Nonmedical Pain Reliever Use	808	137	284	387
Perception of Great Risk of Smoking Marijuana Once a Month	7,927	790	775	6,362
Average Annual Number of Marijuana Initiates²	189	102	75	11
ALCOHOL
Past Month Alcohol Use	8,235	340	1,430	6,465
Past Month Binge Alcohol³ Use	4,147	194	971	2,982
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	7,784	826	912	6,046
TOBACCO
Past Month Tobacco⁴ Use	5,313	264	1,081	3,967
Past Month Cigarette Use	4,605	228	977	3,401
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	12,869	1,296	1,773	9,799
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	323	59	131	133
Illicit Drug¹ Dependence or Abuse	505	108	191	206
Alcohol Dependence	520	39	159	321
Alcohol Dependence or Abuse	1,292	113	405	774
Alcohol or Illicit Drug¹ Dependence or Abuse	1,571	177	502	892
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	461	99	180	182
Needing But Not Receiving Treatment for Alcohol Use⁷	1,247	108	400	739
Serious Psychological Distress⁸	1,519⁸	--	329	1,191
Past Month Alcohol Use (for persons aged 12 to 20)	790⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	505⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

TEXAS

Table 88. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Texas*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	6.96	9.48	16.33	4.71
Past Year Marijuana Use	8.49	13.33	21.69	5.11
Past Month Marijuana Use	4.69	5.97	12.61	2.92
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.84	5.80	8.39	2.63
Past Year Cocaine Use	2.41	2.45	6.14	1.66
Past Year Nonmedical Pain Reliever Use	4.59	6.72	11.03	2.98
Perception of Great Risk of Smoking Marijuana Once a Month	45.02	38.77	30.07	48.97
Average Annual Rate of First Use of Marijuana²	1.62	5.77	5.07	0.13
ALCOHOL
Past Month Alcohol Use	46.76	16.69	55.48	49.76
Past Month Binge Alcohol³ Use	23.55	9.53	37.69	22.95
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	44.21	40.50	35.40	46.54
TOBACCO
Past Month Tobacco⁴ Use	30.17	12.96	41.96	30.53
Past Month Cigarette Use	26.15	11.17	37.90	26.18
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	73.08	63.59	68.80	75.42
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.83	2.88	5.09	1.02
Illicit Drug¹ Dependence or Abuse	2.87	5.30	7.41	1.58
Alcohol Dependence	2.95	1.94	6.19	2.47
Alcohol Dependence or Abuse	7.34	5.54	15.71	5.96
Alcohol or Illicit Drug¹ Dependence or Abuse	8.92	8.68	19.50	6.86
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.62	4.88	6.97	1.40
Needing But Not Receiving Treatment for Alcohol Use⁷	7.08	5.31	15.53	5.69
Serious Psychological Distress⁸	9.76⁸	--	12.75	9.16
Past Month Alcohol Use (for persons aged 12 to 20)	26.10⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	16.69⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

UTAH

Table 89. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Utah*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	126	18	48	60
Past Year Marijuana Use	146	24	67	56
Past Month Marijuana Use	77	11	34	32
Past Month Use of Illicit Drugs Other Than Marijuana¹	75	11	28	35
Past Year Cocaine Use	39	3	18	18
Past Year Nonmedical Pain Reliever Use	112	16	50	45
Perception of Great Risk of Smoking Marijuana Once a Month	798	102	116	581
Average Annual Number of Marijuana Initiates²	21	9	10	1
ALCOHOL
Past Month Alcohol Use	537	26	124	387
Past Month Binge Alcohol³ Use	276	19	90	168
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	860	107	135	618
TOBACCO
Past Month Tobacco⁴ Use	369	20	92	257
Past Month Cigarette Use	324	16	91	217
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	1,380	169	260	951
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	37	6	16	15
Illicit Drug¹ Dependence or Abuse	59	11	25	23
Alcohol Dependence	59	5	18	36
Alcohol Dependence or Abuse	116	11	41	64
Alcohol or Illicit Drug¹ Dependence or Abuse	150	16	55	79
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	53	10	21	22
Needing But Not Receiving Treatment for Alcohol Use⁷	111	11	41	60
Serious Psychological Distress⁸	192⁸	--	55	137
Past Month Alcohol Use (for persons aged 12 to 20)	67⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	52⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

UTAH

Table 90. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Utah*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	6.88	7.80	13.58	4.82
Past Year Marijuana Use	7.97	10.48	18.78	4.45
Past Month Marijuana Use	4.21	4.74	9.61	2.59
Past Month Use of Illicit Drugs Other Than Marijuana¹	4.06	5.00	7.99	2.77
Past Year Cocaine Use	2.14	1.37	5.03	1.47
Past Year Nonmedical Pain Reliever Use	6.08	7.05	14.10	3.61
Perception of Great Risk of Smoking Marijuana Once a Month	43.54	44.40	32.52	46.51
Average Annual Rate of First Use of Marijuana²	1.57	4.16	4.23	0.19
ALCOHOL
Past Month Alcohol Use	29.29	11.28	34.85	31.02
Past Month Binge Alcohol³ Use	15.04	8.37	25.13	13.42
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	46.92	46.62	38.00	49.51
TOBACCO
Past Month Tobacco⁴ Use	20.11	8.69	25.96	20.56
Past Month Cigarette Use	17.63	6.81	25.47	17.41
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	75.21	73.44	73.04	76.17
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.04	2.59	4.58	1.22
Illicit Drug¹ Dependence or Abuse	3.21	4.71	7.07	1.83
Alcohol Dependence	3.20	2.04	5.14	2.86
Alcohol Dependence or Abuse	6.32	4.67	11.57	5.15
Alcohol or Illicit Drug¹ Dependence or Abuse	8.18	7.09	15.58	6.30
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.90	4.31	6.01	1.75
Needing But Not Receiving Treatment for Alcohol Use⁷	6.06	4.67	11.42	4.79
Serious Psychological Distress⁸	11.95⁸	--	15.48	10.94
Past Month Alcohol Use (for persons aged 12 to 20)	18.63⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	14.50⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

VERMONT

Table 91. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Vermont*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	56	7	20	28
Past Year Marijuana Use	79	11	31	38
Past Month Marijuana Use	48	6	19	23
Past Month Use of Illicit Drugs Other Than Marijuana¹	20	3	7	10
Past Year Cocaine Use	15	1	7	7
Past Year Nonmedical Pain Reliever Use	26	4	9	13
Perception of Great Risk of Smoking Marijuana Once a Month	148	14	11	122
Average Annual Number of Marijuana Initiates²	7	4	3	0
ALCOHOL
Past Month Alcohol Use	309	11	50	248
Past Month Binge Alcohol³ Use	126	7	34	85
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	185	16	16	153
TOBACCO
Past Month Tobacco⁴ Use	160	9	37	114
Past Month Cigarette Use	135	8	33	94
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	381	35	46	301
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	11	2	5	5
Illicit Drug¹ Dependence or Abuse	17	3	8	6
Alcohol Dependence	19	1	5	12
Alcohol Dependence or Abuse	42	3	14	25
Alcohol or Illicit Drug¹ Dependence or Abuse	53	5	18	31
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	16	3	7	6
Needing But Not Receiving Treatment for Alcohol Use⁷	41	3	14	24
Serious Psychological Distress⁸	42⁸	--	10	32
Past Month Alcohol Use (for persons aged 12 to 20)	26⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	19⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

VERMONT

Table 92. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Vermont*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	10.44	13.98	28.33	6.90
Past Year Marijuana Use	14.90	19.80	43.33	9.37
Past Month Marijuana Use	8.99	11.11	26.35	5.73
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.74	6.08	9.47	2.45
Past Year Cocaine Use	2.80	2.12	10.26	1.61
Past Year Nonmedical Pain Reliever Use	4.96	8.14	13.44	3.08
Perception of Great Risk of Smoking Marijuana Once a Month	27.75	26.96	15.38	29.98
Average Annual Rate of First Use of Marijuana²	2.49	8.82	10.47	0.15
ALCOHOL
Past Month Alcohol Use	58.08	19.95	71.11	60.81
Past Month Binge Alcohol³ Use	23.73	13.37	48.50	20.81
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	34.74	29.54	22.56	37.51
TOBACCO
Past Month Tobacco⁴ Use	30.08	17.43	52.44	27.89
Past Month Cigarette Use	25.30	14.23	46.33	23.13
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	71.60	64.71	64.89	73.65
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.14	2.92	7.10	1.18
Illicit Drug¹ Dependence or Abuse	3.24	5.98	10.89	1.57
Alcohol Dependence	3.54	2.42	7.34	3.03
Alcohol Dependence or Abuse	7.93	6.46	20.10	6.02
Alcohol or Illicit Drug¹ Dependence or Abuse	10.02	9.67	24.92	7.50
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	3.01	5.56	10.40	1.41
Needing But Not Receiving Treatment for Alcohol Use⁷	7.63	6.29	19.20	5.82
Serious Psychological Distress⁸	8.86⁸	--	14.84	7.83
Past Month Alcohol Use (for persons aged 12 to 20)	33.35⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	24.05⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

VIRGINIA

Table 93. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Virginia*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	434	59	152	223
Past Year Marijuana Use	585	79	231	275
Past Month Marijuana Use	323	42	122	159
Past Month Use of Illicit Drugs Other Than Marijuana¹	201	29	61	110
Past Year Cocaine Use	142	8	45	89
Past Year Nonmedical Pain Reliever Use	250	46	86	118
Perception of Great Risk of Smoking Marijuana Once a Month	2,402	232	179	1,991
Average Annual Number of Marijuana Initiates²	61	29	29	3
ALCOHOL
Past Month Alcohol Use	3,009	97	487	2,425
Past Month Binge Alcohol³ Use	1,327	61	342	925
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	2,567	253	232	2,082
TOBACCO
Past Month Tobacco⁴ Use	1,789	83	362	1,344
Past Month Cigarette Use	1,520	74	326	1,120
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	4,435	430	525	3,480
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	116	15	42	59
Illicit Drug¹ Dependence or Abuse	176	30	65	81
Alcohol Dependence	185	12	52	120
Alcohol Dependence or Abuse	432	33	136	263
Alcohol or Illicit Drug¹ Dependence or Abuse	519	49	168	302
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	152	28	59	65
Needing But Not Receiving Treatment for Alcohol Use⁷	411	32	131	249
Serious Psychological Distress⁸	472⁸	--	101	371
Past Month Alcohol Use (for persons aged 12 to 20)	270⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	188⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

VIRGINIA

Table 94. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Virginia*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	7.25	9.53	20.01	4.84
Past Year Marijuana Use	9.78	12.81	30.54	5.96
Past Month Marijuana Use	5.39	6.76	16.13	3.44
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.35	4.74	8.06	2.39
Past Year Cocaine Use	2.37	1.34	5.97	1.92
Past Year Nonmedical Pain Reliever Use	4.17	7.45	11.35	2.55
Perception of Great Risk of Smoking Marijuana Once a Month	40.10	37.67	23.65	43.14
Average Annual Rate of First Use of Marijuana²	1.75	5.30	8.50	0.13
ALCOHOL
Past Month Alcohol Use	50.24	15.75	64.28	52.55
Past Month Binge Alcohol³ Use	22.17	9.86	45.13	20.04
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	42.85	41.01	30.60	45.11
TOBACCO
Past Month Tobacco⁴ Use	29.87	13.37	47.85	29.13
Past Month Cigarette Use	25.38	11.99	42.99	24.28
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	74.05	69.67	69.35	75.41
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.94	2.47	5.57	1.28
Illicit Drug¹ Dependence or Abuse	2.95	4.84	8.60	1.76
Alcohol Dependence	3.09	2.01	6.89	2.61
Alcohol Dependence or Abuse	7.22	5.36	17.97	5.70
Alcohol or Illicit Drug¹ Dependence or Abuse	8.66	7.98	22.13	6.54
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.53	4.51	7.74	1.41
Needing But Not Receiving Treatment for Alcohol Use⁷	6.87	5.11	17.27	5.40
Serious Psychological Distress⁸	8.79⁸	--	13.39	8.04
Past Month Alcohol Use (for persons aged 12 to 20)	29.14⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	20.26⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

WASHINGTON

Table 95. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Washington*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	434	62	138	235
Past Year Marijuana Use	593	83	200	310
Past Month Marijuana Use	324	42	117	165
Past Month Use of Illicit Drugs Other Than Marijuana¹	201	29	60	112
Past Year Cocaine Use	115	10	52	53
Past Year Nonmedical Pain Reliever Use	309	50	96	163
Perception of Great Risk of Smoking Marijuana Once a Month	1,332	155	120	1,057
Average Annual Number of Marijuana Initiates²	52	29	21	3
ALCOHOL
Past Month Alcohol Use	2,882	95	418	2,368
Past Month Binge Alcohol³ Use	1,096	63	276	757
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,944	178	182	1,584
TOBACCO
Past Month Tobacco⁴ Use	1,396	69	297	1,029
Past Month Cigarette Use	1,211	56	273	881
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	3,769	359	464	2,946
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	111	14	45	51
Illicit Drug¹ Dependence or Abuse	158	26	62	69
Alcohol Dependence	188	12	58	118
Alcohol Dependence or Abuse	426	34	128	263
Alcohol or Illicit Drug¹ Dependence or Abuse	515	48	156	312
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	150	24	58	68
Needing But Not Receiving Treatment for Alcohol Use⁷	393	33	118	242
Serious Psychological Distress⁸	499⁸	--	102	397
Past Month Alcohol Use (for persons aged 12 to 20)	262⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	180⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

WASHINGTON

Table 96. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Washington*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	8.52	11.70	20.39	6.03
Past Year Marijuana Use	11.62	15.73	29.54	7.97
Past Month Marijuana Use	6.36	7.98	17.28	4.25
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.94	5.54	8.86	2.87
Past Year Cocaine Use	2.25	1.81	7.71	1.36
Past Year Nonmedical Pain Reliever Use	6.07	9.52	14.24	4.19
Perception of Great Risk of Smoking Marijuana Once a Month	26.15	29.43	17.73	27.16
Average Annual Rate of First Use of Marijuana²	1.86	6.47	6.82	0.14
ALCOHOL
Past Month Alcohol Use	56.60	18.07	61.90	60.87
Past Month Binge Alcohol³ Use	21.51	11.97	40.85	19.46
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	38.17	33.80	26.94	40.70
TOBACCO
Past Month Tobacco⁴ Use	27.40	13.17	43.97	26.46
Past Month Cigarette Use	23.76	10.69	40.37	22.65
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	74.00	68.14	68.57	75.73
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	2.17	2.71	6.66	1.32
Illicit Drug¹ Dependence or Abuse	3.09	4.88	9.24	1.78
Alcohol Dependence	3.68	2.31	8.53	3.03
Alcohol Dependence or Abuse	8.35	6.54	18.94	6.76
Alcohol or Illicit Drug¹ Dependence or Abuse	10.10	9.03	23.06	8.01
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.94	4.61	8.53	1.76
Needing But Not Receiving Treatment for Alcohol Use⁷	7.71	6.22	17.49	6.22
Serious Psychological Distress⁸	10.92⁸	--	15.12	10.20
Past Month Alcohol Use (for persons aged 12 to 20)	31.31⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	21.49⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

WEST VIRGINIA

Table 97. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *West Virginia*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	113	16	37	61
Past Year Marijuana Use	148	21	56	71
Past Month Marijuana Use	86	11	31	45
Past Month Use of Illicit Drugs Other Than Marijuana¹	60	8	20	32
Past Year Cocaine Use	39	3	17	19
Past Year Nonmedical Pain Reliever Use	80	12	29	40
Perception of Great Risk of Smoking Marijuana Once a Month	729	49	53	627
Average Annual Number of Marijuana Initiates²	16	8	6	1
ALCOHOL
Past Month Alcohol Use	565	22	106	437
Past Month Binge Alcohol³ Use	297	16	79	203
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	610	47	61	501
TOBACCO
Past Month Tobacco⁴ Use	608	27	111	470
Past Month Cigarette Use	493	23	98	373
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	1,033	84	116	833
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	30	4	12	14
Illicit Drug¹ Dependence or Abuse	46	7	18	20
Alcohol Dependence	48	3	15	29
Alcohol Dependence or Abuse	112	9	35	68
Alcohol or Illicit Drug¹ Dependence or Abuse	136	13	42	81
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	39	7	17	15
Needing But Not Receiving Treatment for Alcohol Use⁷	106	9	32	65
Serious Psychological Distress⁸	178⁸	--	31	147
Past Month Alcohol Use (for persons aged 12 to 20)	60⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	44⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

WEST VIRGINIA

Table 98. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *West Virginia*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	7.36	11.38	19.01	5.02
Past Year Marijuana Use	9.60	15.23	28.87	5.85
Past Month Marijuana Use	5.61	7.77	15.67	3.74
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.89	6.05	10.23	2.63
Past Year Cocaine Use	2.52	2.24	8.59	1.58
Past Year Nonmedical Pain Reliever Use	5.22	8.62	14.61	3.32
Perception of Great Risk of Smoking Marijuana Once a Month	47.39	35.20	27.28	52.02
Average Annual Rate of First Use of Marijuana²	1.55	7.02	6.91	0.13
ALCOHOL
Past Month Alcohol Use	36.68	15.78	54.53	36.21
Past Month Binge Alcohol³ Use	19.28	11.35	40.28	16.80
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	39.63	34.23	31.52	41.56
TOBACCO
Past Month Tobacco⁴ Use	39.50	19.66	56.96	38.95
Past Month Cigarette Use	32.06	16.69	50.09	30.91
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	67.09	60.99	59.29	69.04
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.93	3.05	6.09	1.13
Illicit Drug¹ Dependence or Abuse	2.95	5.33	9.42	1.64
Alcohol Dependence	3.09	2.27	7.84	2.42
Alcohol Dependence or Abuse	7.27	6.58	17.69	5.67
Alcohol or Illicit Drug¹ Dependence or Abuse	8.84	9.27	21.63	6.73
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.53	4.97	8.55	1.29
Needing But Not Receiving Treatment for Alcohol Use⁷	6.91	6.29	16.61	5.42
Serious Psychological Distress⁸	12.73⁸	--	15.92	12.21
Past Month Alcohol Use (for persons aged 12 to 20)	27.09⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	20.09⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

WISCONSIN

Table 99. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Wisconsin*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	356	55	121	180
Past Year Marijuana Use	493	82	185	226
Past Month Marijuana Use	264	40	101	123
Past Month Use of Illicit Drugs Other Than Marijuana¹	172	27	60	85
Past Year Cocaine Use	123	11	46	66
Past Year Nonmedical Pain Reliever Use	215	33	79	102
Perception of Great Risk of Smoking Marijuana Once a Month	1,551	145	134	1,272
Average Annual Number of Marijuana Initiates²	54	28	23	3
ALCOHOL
Past Month Alcohol Use	2,837	117	478	2,243
Past Month Binge Alcohol³ Use	1,416	74	343	998
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	1,524	152	144	1,228
TOBACCO
Past Month Tobacco⁴ Use	1,392	86	316	991
Past Month Cigarette Use	1,179	73	290	817
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	3,304	324	415	2,565
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	80	14	29	37
Illicit Drug¹ Dependence or Abuse	137	31	47	59
Alcohol Dependence	197	11	53	133
Alcohol Dependence or Abuse	518	42	156	321
Alcohol or Illicit Drug¹ Dependence or Abuse	560	59	169	332
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	122	30	44	48
Needing But Not Receiving Treatment for Alcohol Use⁷	494	40	149	304
Serious Psychological Distress⁸	355⁸	--	81	274
Past Month Alcohol Use (for persons aged 12 to 20)	269⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	187⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

WISCONSIN

Table 100. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Wisconsin*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	7.77	11.57	19.16	5.19
Past Year Marijuana Use	10.76	17.08	29.26	6.54
Past Month Marijuana Use	5.75	8.36	15.89	3.55
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.74	5.70	9.44	2.44
Past Year Cocaine Use	2.68	2.25	7.20	1.92
Past Year Nonmedical Pain Reliever Use	4.69	6.97	12.48	2.96
Perception of Great Risk of Smoking Marijuana Once a Month	33.95	30.27	21.22	36.76
Average Annual Rate of First Use of Marijuana²	2.02	6.98	7.91	0.14
ALCOHOL
Past Month Alcohol Use	62.08	24.44	75.46	64.82
Past Month Binge Alcohol³ Use	30.95	15.52	54.19	28.86
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	33.34	31.80	22.70	35.48
TOBACCO
Past Month Tobacco⁴ Use	30.44	17.86	49.92	28.64
Past Month Cigarette Use	25.78	15.27	45.78	23.60
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	72.29	67.70	65.50	74.15
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.74	2.99	4.55	1.07
Illicit Drug¹ Dependence or Abuse	2.98	6.53	7.35	1.71
Alcohol Dependence	4.31	2.34	8.35	3.84
Alcohol Dependence or Abuse	11.32	8.72	24.61	9.27
Alcohol or Illicit Drug¹ Dependence or Abuse	12.22	12.25	26.74	9.59
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.66	6.27	6.91	1.39
Needing But Not Receiving Treatment for Alcohol Use⁷	10.79	8.39	23.57	8.80
Serious Psychological Distress⁸	8.67⁸	--	12.87	7.91
Past Month Alcohol Use (for persons aged 12 to 20)	38.25⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	26.48⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

WYOMING

Table 101. Selected Drug Use, Perceptions of Great Risk, Average Annual Marijuana Initiates, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Wyoming*, by Age Group: Estimated Numbers (in Thousands), Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	33	4	11	17
Past Year Marijuana Use	45	6	18	21
Past Month Marijuana Use	24	3	10	11
Past Month Use of Illicit Drugs Other Than Marijuana¹	16	2	5	9
Past Year Cocaine Use	10	1	5	4
Past Year Nonmedical Pain Reliever Use	22	4	8	10
Perception of Great Risk of Smoking Marijuana Once a Month	162	16	12	134
Average Annual Number of Marijuana Initiates²	5	3	2	0
ALCOHOL
Past Month Alcohol Use	216	8	41	167
Past Month Binge Alcohol³ Use	107	6	30	71
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	146	14	13	119
TOBACCO
Past Month Tobacco⁴ Use	137	8	32	98
Past Month Cigarette Use	107	6	26	76
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	296	29	39	228
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	8	1	3	4
Illicit Drug¹ Dependence or Abuse	12	2	5	5
Alcohol Dependence	15	1	5	9
Alcohol Dependence or Abuse	39	3	13	23
Alcohol or Illicit Drug¹ Dependence or Abuse	46	5	15	26
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	11	2	5	4
Needing But Not Receiving Treatment for Alcohol Use⁷	38	3	13	22
Serious Psychological Distress⁸	42⁸	--	10	31
Past Month Alcohol Use (for persons aged 12 to 20)	23⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	17⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Number of Marijuana Initiates = Number of Marijuana Initiates in past 24 months / 2. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.

51031

WYOMING

Table 102. Selected Drug Use, Perceptions of Great Risk, Average Annual Rates of First Use of Marijuana, Past Year Substance Dependence or Abuse, Needing But Not Receiving Treatment, and Serious Psychological Distress in *Wyoming*, by Age Group: Percentages, Annual Averages Based on 2003 and 2004 NSDUHs
Measure	Total 12 or Older	AGE GROUP (Years)
Measure	Total 12 or Older	12-17	18-25	26 or Older
ILLICIT DRUGS
Past Month Illicit Drug¹ Use	7.87	10.03	18.65	5.50
Past Year Marijuana Use	10.59	14.47	28.87	6.55
Past Month Marijuana Use	5.70	6.87	16.37	3.50
Past Month Use of Illicit Drugs Other Than Marijuana¹	3.81	5.45	8.24	2.74
Past Year Cocaine Use	2.30	1.69	8.03	1.28
Past Year Nonmedical Pain Reliever Use	5.19	8.75	12.48	3.30
Perception of Great Risk of Smoking Marijuana Once a Month	38.70	35.68	20.26	42.65
Average Annual Rate of First Use of Marijuana²	2.11	6.97	7.61	0.16
ALCOHOL
Past Month Alcohol Use	51.43	18.32	67.05	53.05
Past Month Binge Alcohol³ Use	25.53	12.63	49.84	22.67
Perception of Great Risk of Drinking Five or More Drinks Once or Twice a Week	34.88	32.88	21.29	37.76
TOBACCO
Past Month Tobacco⁴ Use	32.69	17.37	51.91	31.14
Past Month Cigarette Use	25.54	13.61	42.41	23.97
Perception of Great Risk of Smoking One or More Packs of Cigarettes Per Day	70.50	65.60	63.75	72.48
PAST YEAR DEPENDENCE, ABUSE,⁵ AND TREATMENT
Illicit Drug¹ Dependence	1.88	2.88	4.96	1.15
Illicit Drug¹ Dependence or Abuse	2.86	5.33	7.95	1.55
Alcohol Dependence	3.54	2.64	7.50	2.91
Alcohol Dependence or Abuse	9.39	7.86	21.04	7.37
Alcohol or Illicit Drug¹ Dependence or Abuse	10.84	10.84	23.95	8.33
Needing But Not Receiving Treatment for Illicit Drug Use^1,6	2.63	4.85	7.46	1.40
Needing But Not Receiving Treatment for Alcohol Use⁷	9.12	7.40	21.16	7.06
Serious Psychological Distress⁸	11.10⁸	--	16.94	9.98
Past Month Alcohol Use (for persons aged 12 to 20)	32.83⁹	--	--	--
Past Month Binge Alcohol³Use (for persons aged 12 to 20)	24.15⁹	--	--	--
-- Not available. NOTE: Estimates are based on a survey-weighted hierarchical Bayes estimation approach. ¹ Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically. ² Average Annual Rate = {(Number of Marijuana Initiates in past 24 months) / [(Number of Marijuana Initiates in past 24 months * 0.5) + Number of persons who never used marijuana]} / 2. Both the computation components, Number of Marijuana Initiates in past 24 months and Number of persons who never used marijuana, are based on a survey-weighted hierarchical Bayes estimation approach. Note that the age group is based on a respondent's age at the time of the interview, not his or her age at first use. ³ Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ⁴ Tobacco products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. ⁵ Dependence or abuse is based on definitions found in the 4^th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). ⁶ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for illicit drugs, but not receiving treatment for an illicit drug problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁷ Needing But Not Receiving Treatment refers to respondents classified as needing treatment for alcohol, but not receiving treatment for an alcohol problem at a specialty facility (i.e., drug and alcohol rehabilitation facilities [inpatient or outpatient], hospitals [inpatient only], and mental health centers). ⁸ Serious Psychological Distress (SPD) was referred to as Serious Mental Illness (SMI) in prior NSDUH reports. Data for SPD are not defined for 12 to 17 year olds; therefore, the "Total" estimate reflects those aged 18 or older. ⁹ Underage drinking is defined for persons aged 12 to 20; therefore, the "Total" estimate reflects that age group and not persons 12 or older. Source: SAMHSA, Office of Applied Studies, National Survey on Drug Use and Health, 2003 and 2004.