Performance Improvement 2007. What Are the Prevalence Rates of Substance Use, Abuse and Dependence, and Mental Health Problems by State?



An analysis was carried out on combined 2003 and 2004 survey data. The annual survey collects information about substance use, abuse and dependence and mental health from samples representative at national, state and local levels of the civilian, non-institutionalized population of the United States aged 12 and older. This analysis estimates the prevalence of substance use and mental health problems in the 50 States and District of Columbia. Twenty-two measures of substance use, abuse and dependence, and mental health problems were estimated for each State based on approximately 135,500 respondents. Estimates for four age groups (12 to 17, 18 to 25, 26 or older, and all persons 12 or older) were produced for each measure.

Use, in the month before the survey, of any illicit drug in 2003 and 2004 ranged from a low of 5.8 percent in Mississippi to a high of 11.8 percent in Alaska for persons aged 12 or older. Among youths aged 12 to 17, the percentage of past month drug use decreased from 11.4 percent in 2002-2003 to 10.9 percent in 2003-2004. While the national rate did not change, four States showed decreases from 2002-2003 to 2003-2004 in the percentage of persons 12 or older that used an illicit drug in the past month: the District of Columbia, Florida, Nevada, and Washington. Six States showed decreases in past month illicit drug use among youths 12 to 17: Illinois, Nebraska, North Carolina, South Dakota, Vermont, and Virginia. There were no increases among States in any of the age groups. In 2003-2004, the rate of previous month alcohol use in States among persons aged 12 or older ranged from a low of 29.3 percent in Utah to a high of 62.1 percent in Wisconsin. Although national alcohol use rates remained unchanged, four States experienced changes in alcohol use among persons 12 or older. Missouri, Nevada, and New Jersey had decreases. Wisconsin had the only increase in alcohol use for those 12 or older. In 2003-2004, West Virginia had the highest rate of serious psychological distress in the last year (12.7 percent), while Hawaii had the lowest (7.1 percent). Ten states showed increases between 2002-2003 and 2003-2004.

Report Title: State Estimates of Substance Use from the 2003-2004 National Surveys on Drug Use and Health
Agency Sponsor: SAMHSA, Substance Abuse and Mental Health Services Administration
Federal Contact: Wright, Douglas, 240-276-1259
Performer: RTI International; Research Triangle Park, NC
PIC ID: 8310

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