Child Health USA 2002

Text: Maternal and Child Health
HEALTH STATUS - Adolescent

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SUBSTANCE ABUSE

Prevalence and Incidence

Results of the Substance Abuse and Mental Health Services Administration's 2000 National Household Survey on Drug Abuse (NHSDA) show that the percentage of adolescents ages 12-17 who reported using illicit drugs in the month prior to the survey continued to decline. Since 1997, the rate of adolescent use of any illicit drugs has declined 15 percent, from 11.4 percent in 1997 to 9.7 percent in 2000.

There was no statistically significant change in the reported use of alcohol, marijuana, cocaine, hallucinogens, or inhalants from 1999 to 2000. However, the proportion of adolescents reporting using heroin in the past month decreased from 0.2 percent in 1999 to 0.1 percent in 2000. Sixteen percent of adolescents age 12-17 are current drinkers. Of these, 10.4 percent reported binge drinking, and 2.6 percent reported heavy alcohol use.

Nearly 1.4 million Americans under the age of 18 were estimated to be first-time users of marijuana in 1999, a 15 percent decline from 1998. However, the youth rates of marijuana initiation have increased considerably since 1990. Also, about a third of those who reported smoking, sniffing, or snorting heroin for the first time in 1999 were persons under the age of 18, representing approximately 34,000 youth.

Perception of Risk and Access to Drugs

In 2000, 38 percent of adolescents perceived smoking marijuana to be risky, which is a slight increase from 1999, though not a statistically significant change. The percent of adolescents who perceived cocaine use to be risky also slightly increased from 55.3 percent in 1999 to 55.4 percent in 2000 (though this was also not a statistically significant change).

Fifty-four percent of the adolescents surveyed in 2000 reported that marijuana was easy to obtain, and approximately 16 percent of respondents reported being approached by someone selling drugs in the month prior to the survey.

Graph: "Thirty-Day Prevalence of Drug Use Among Adolescents Ages 12-17: 1990-2000"[d]


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