Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Behavioral Health Statistics and Quality Acknowledgments This report was prepared by the Center for Behavioral Health Statistics and Quality (CBHSQ), Substance Abuse and Mental Health Services Administration (SAMHSA), U.S. Department of Health and Human Services (HHS), and by RTI International (a trade name of Research Triangle Institute), Research Triangle Park, North Carolina. Work by RTI was performed under Contract No. HHSS283201000003C. Public Domain Notice All material appearing in this report is in the public domain and may be reproduced or copied without permission from SAMHSA. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, U.S. Department of Health and Human Services. When using estimates and quotations from this report, citation of the source is appreciated. Recommended Citation Substance Abuse and Mental Health Services Administration, Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-48, HHS Publication No. (SMA) 14-4863. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014. Electronic Access and Copies of Publication This publication may be downloaded from http://store.samhsa.gov/home. Hard copies may be obtained from SAMHSA at 1-877-SAMHSA-7 (1-877-726-4727) (English and Español). Originating Office Substance Abuse and Mental Health Services Administration Center for Behavioral Health Statistics and Quality 1 Choke Cherry Road, Room 2-1067 Rockville, MD 20857 September 2014 ii Table of Contents Chapter Page List of Tables .................................................................................................................... vii List of Figures .................................................................................................................... ix Highlights .........................................................................................................................................1 1. Introduction ..........................................................................................................................9 Summary of NSDUH .......................................................................................................... 9 Limitations on Trend Measurement .................................................................................. 10 Format of Report and Data Presentation ........................................................................... 11 Other NSDUH Reports and Data ...................................................................................... 12 2. Illicit Drug Use ..................................................................................................................15 Age .................................................................................................................................... 19 Youths Aged 12 to 17 ....................................................................................................... 21 Young Adults Aged 18 to 25 ............................................................................................ 21 Adults Aged 26 or Older ................................................................................................... 24 Gender ............................................................................................................................... 25 Pregnant Women ............................................................................................................... 26 Race/Ethnicity ................................................................................................................... 26 Education .......................................................................................................................... 26 College Students ............................................................................................................... 27 Employment ...................................................................................................................... 28 Geographic Area ............................................................................................................... 29 Criminal Justice Populations............................................................................................. 29 Frequency of Marijuana Use ............................................................................................. 30 Association with Cigarette and Alcohol Use .................................................................... 31 Driving Under the Influence of Illicit Drugs .................................................................... 31 Source of Prescription Drugs ............................................................................................ 31 3. Alcohol Use .......................................................................................................................35 3.1. Alcohol Use among Persons Aged 12 or Older ....................................................... 35 Age ........................................................................................................................ 36 Gender ................................................................................................................... 37 Pregnant Women ................................................................................................... 37 Race/Ethnicity ....................................................................................................... 38 Education .............................................................................................................. 39 College Students ................................................................................................... 40 Employment .......................................................................................................... 41 Geographic Area ................................................................................................... 41 Association with Illicit Drug and Tobacco Use .................................................... 41 Driving Under the Influence of Alcohol ............................................................... 42 3.2. Underage Alcohol Use ............................................................................................. 44 iii Table of Contents (continued) Chapter Page 4. Tobacco Use.......................................................................................................................47 Age .................................................................................................................................... 48 Gender ............................................................................................................................... 48 Pregnant Women ............................................................................................................... 51 Race/Ethnicity ................................................................................................................... 52 Education .......................................................................................................................... 52 College Students ............................................................................................................... 53 Employment ...................................................................................................................... 53 Geographic Area ............................................................................................................... 53 Association with Illicit Drug and Alcohol Use ................................................................. 54 Frequency of Cigarette Use .............................................................................................. 54 5. Initiation of Substance Use ................................................................................................57 Initiation of Illicit Drug Use ............................................................................................. 58 Comparison, by Drug ........................................................................................................ 59 Marijuana .......................................................................................................................... 61 Cocaine ............................................................................................................................. 62 Heroin ............................................................................................................................... 62 Hallucinogens ................................................................................................................... 63 Inhalants ............................................................................................................................ 64 Psychotherapeutics ............................................................................................................ 64 Alcohol .............................................................................................................................. 67 Tobacco ............................................................................................................................