Health Reports & Data

Substance Abuse

Goal

Reduce substance abuse to protect the health, safety, and quality of life for all, especially children.

Overview:

In 2005, an estimated 22 million Americans struggled with a drug or alcohol problem. Almost 95 percent of people with substance use problems are considered unaware of their problem. Of those who recognize their problem, 273,000 have made an unsuccessful effort to obtain treatment. These estimates highlight the importance of increasing prevention efforts and improving access to treatment for substance abuse and co-occurring disorders.1

Why is Substance Abuse Important?

Substance abuse has a major impact on individuals, families, and communities. The effects of substance abuse are cumulative, significantly contributing to costly social, physical, mental, and public health problems. These problems include:

  • Teenage pregnancy
  • Human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS)
  • Other sexually transmitted diseases (STDs)
  • Domestic violence
  • Child abuse
  • Motor vehicle crashes
  • Physical fights
  • Crime
  • Homicide
  • Suicide 1

The field has made progress in addressing substance abuse, particularly among youth. According to data from the National Institute of Drug Abuse (NIDA) Monitoring the Future (MTF) survey, which is an ongoing study of the behaviors and values of America’s youth between 2004 and 2009:

A drop in past-year use of methamphetamine was reported for all grades, and lifetime use dropped significantly among 8th graders, from 2.3 to 1.6 percent.

Among 10th and 12th graders, 5-year declines were reported for past-year use of amphetamines and cocaine; among 12th graders, past-year use of cocaine decreased significantly, from 4.4 to 3.4 percent.

In addition, in 2009:

  • Past-year use of hallucinogens and LSD fell significantly, from 5.9 to 4.7 percent, and from 2.7 to 1.9 percent, respectively.
  • Past-year use of hallucinogens other than LSD decreased from 5.0 to 4.2 percent among 12th graders.
  • Marijuana use across the 3 grades showed a consistent decline starting in the mid-1990s; however, the trend in marijuana use has stalled, with prevalence rates remaining steady over the past 5 years.

Additional Resources:

HP2020’s National Objectives for Substance Abuse
HHDW Reports on Alcohol Use
HHDW Reports on Drug Use

References

  1. US Department of Health and Human Services (HHS), Office of Disease Prevention and Health Promotion. Healthy People 2010 midcourse review: Focus area 26, substance abuse [Internet]. Washington: HHS; 2006 [cited 2010 April 12]. Available from: http://www.healthypeople.gov/2010/Data/midcourse/pdf/FA26.pdf
ID
OBJECTIVES AND SUB-OBJECTIVES

State Indicator Definition:
Percentage of public school students in grades 9-12 who report having ridden at least once in a car with someone who had been drinking in the previous 30 days. The national indicator is defined in exactly the same way.

State Baseline:
37.1% (2009)

HP2020 Target:
National: 25.5%

National Data Source:
Youth Risk Behavior Surveillance System

State Data Source:
Hawaii Youth Risk Behavior Survey

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

SA-2
Increase the proportion of adolescents never using substances
State Indicator Definition:
Percentage of public school students in grade 12 who report never having tried alcohol. The national indicator is defined in exactly the same way.

State Baseline:
44.2% (2011)

Most Recent State Value:
50.6% (2015)

HP2020 Target:
National: 30.5%

National Data Source:
Monitoring the Future

State Data Source:
Hawaii Youth Risk Behavior Survey

Data Reports:
HHDW Report
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Percentage of public school students in grade 12 who report never having tried marijuana, cocaine, methamphetamines, hallucinogens, inhalants, ecstasy, or prescription drugs without a prescription. The national indicator defines illicit drugs as marijuana, cocaine, amphetamines, psychedelics, heroin, narcotics, or tranquilizers.

State Baseline:
69.9% (2013)

Most Recent State Value:
71.5% (2015)

HP2020 Target:
National: 58.6%

National Data Source:
Monitoring the Future

State Data Source:
Hawaii Youth Risk Behavior Survey

Data Reports:
HHDW Report
HHM Report
DHHS Health Indicators Warehouse

SA-8
Increase the proportion of persons who need alcohol and/or illicit drug treatment and received specialty treatment for abuse or dependence in the past year
State Indicator Definition:
Percentage of persons aged 12 years and older who needed illicit drug treatment and received it in the past 12 months. The national indicator definition is exactly the same.

State Baseline:
10.1% (2010-2011)

Most Recent State Value:
2.8% (2012-2013)

HP2020 Target:
National: 17.6%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Percentage of persons aged 12 years and older who needed illicit drug and/or alcohol treatment and received it in the past 12 months. The national indicator definition is exactly the same.

State Baseline:
7.8% (2010-2011)

Most Recent State Value:
3.5% (2012-2013)

HP2020 Target:
National: 10.9%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Percentage of persons aged 12 years and older who needed treatment for alcohol use and received it in the past 12 months. The national indicator definition is exactly the same.

State Baseline:
6.8% (2010-2011)

Most Recent State Value:
3.1% (2012-2013)

HP2020 Target:
National: 9.0%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Number of deaths caused by cirrhosis (ICD-10 codes K70, K73-K74) per 100,000 population (age-adjusted to the 2000 U.S. Standard Population). The national indicator is defined in exactly the same way.

State Baseline:
6.2 deaths per 100,000 population (2010)

Most Recent State Value:
8.0 deaths per 100,000 population (2015)

HP2020 Target:
National: 8.2 deaths per 100,000 population

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Number of deaths caused by drug-induced causes (ICD-10 codes D52.1, D59.0, D59.2, D61.1, D64.2, E06.4, E16.0, E23.1, E24.2, E27.3, E66.1, F11.0-F11.5, F11.7-F11.9, F12.0-F12.5, F12.7-F12.9, F13.0-F13.5, F13.7-F13.9, F14.0-F14.5, F14.7-F14.9, F15.0-F15.5, F15.7-F15.9, F16.0-F16.5, F16.7-F16.9, F17.0, F17.3-F17.5, F17.7-F17.9, F18.0-F18.5, F18.7-F18.9, F19. 0-F19.5, F19.7-F19.9, G21.1, G24.0, G25.1, G25.4, G25.6, G44.4, 62.0, G72.0, I95.2, J70.2-J70.4, L10.5, L27.0, L27.1, M10.2, M32.0, M80.4, M81.4, M83.5, M87.1, R78.1-R78.5, X40-X44, X60-X64, X85, Y10-Y14) per 100,000 population (age-adjusted to the 2000 U.S. Standard Population). This rate includes both legal and illegal drugs. The national indicator is defined in exactly the same way.

State Baseline:
10.8 deaths per 100,000 population (2010)

Most Recent State Value:
11.3 deaths per 100,000 population (2015)

HP2020 Target:
National: 11.3 deaths per 100,000 population

National Data Source:
National Vital Statistics System

State Data Source:
Hawaii Vital Statistics System

Data Reports:
HHDW Report
HHM Report
DHHS Health Indicators Warehouse

SA-13
Reduce past-month use of illicit substances
State Indicator Definition:
Percentage of adolescents aged 12 to 17 years who report using any alcohol or illicit drugs during the past 30 days. Illicit drugs include marijuana, cocaine, inhalants, hallucinogens, heroin, or any non-medical use of analgesics, tranquilizers, stimulants, or sedatives. The national indicator is defined in exactly the same way.

State Baseline:
22.6% (2010-2011)

Most Recent State Value:
18.1% (2012-2013)

HP2020 Target:
National: 16.6%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Percentage of public school students in grades 6-12 who reported using marijuana in the previous 30 days. The state divides this indicator into two groups: grades 6-8 and grades 9-12. The national indicator is for adolescents aged 12 to 17 years.

State Baseline:
Grades 6-8, 9.3% (2011)
Grades 9-12, 21.9% (2011)

Most Recent State Value:
Grades 6-8, 7.9% (2015)
Grades 9-12, 19.4% (2015)

HP2020 Target:
National: 6.0%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
Hawaii Youth Risk Behavior Survey

Data Reports:
HHDW Report
HHM Report – Grades 6-8
HHM Report – Grades 9-12
DHHS Health Indicators Warehouse

State Indicator Definition:
Percentage of adults aged 18 years and over who report having used any illicit drugs in the past 30 days. Illicit drugs include marijuana, cocaine, crack, heroin, LSD, PCP, ecstasy, hallucinogens, inhalants, and prescription drugs without a prescription. The national indicator is defined in exactly the same way.

State Baseline:
8.9% (2010-2011)

Most Recent State Value:
10.3% (2012-2013)

HP2020 Target:
National: 7.1%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

SA-14
Reduce the proportion of persons engaging in binge drinking of alcoholic beverages
State Indicator Definition:
Percentage of adults aged 18 years and older who reported binge drinking (5 or more drinks for men, 4 or more drinks for women) on a single occasion one or more times in the previous 30 days. The national indicator is defined in exactly the same way.

State Baseline:
21.5% (2011)

Most Recent State Value:
18.9% (2015)

HP2020 Target:
National: 24.4%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
Hawaii Behavioral Risk Factor Surveillance System

Data Reports:
HHDW Report
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Percentage of public school students grades 9-12 who had 5 or more drinks (males) or 4 or more drinks (females) on one occasion one or more times in the previous 30 days. The national indicator is defined differently as it include adolescents aged 12 to 17 years and uses the 5 or more drinks definition regardless of gender.

State Baseline:
Males, 10.6% (2013)
Females, 12.9% (2013)

Most Recent State Value:
Males, 8.8% (2015)
Females, 11.2% (2015)

HP2020 Target:
National: 8.6%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
Hawaii Youth Risk Behavior Survey

Data Reports:
HHDW Report
HHM Report – Males
HHM Report – Females
DHHS Health Indicators Warehouse

State Indicator Definition:
Percentage of persons aged 18 years and older who reported having more than two drinks per day on average (for men) or more than one drink per day on average (for women) or who drank 5 or more drinks during a single occasion (for men) or 4 or more drinks during a single occasion (for women) during the past 30 days. The national indicator is defined in exactly the same way.

State Baseline:
22.8% (2011)

Most Recent State Value:
20.5% (2015)

HP2020 Target:
National: 25.4%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
Hawaii Behavioral Risk Factor Surveillance System

Data Reports:
HHDW Report
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Number of alcohol-related motor vehicle crash deaths per 100,000,000 vehicle miles traveled. The national indicator is defined in exactly the same way.

State Baseline:
0.47 per 100 million vehicle miles traveled (2010)

Most Recent State Value:
0.29 per 100 million vehicle miles traveled (2014)

HP2020 Target:
National: 0.38 deaths per 100 million vehicle miles traveled

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

SA-19
Reduce the past-year nonmedical use of prescription drugs
State Indicator Definition:
Percentage of person aged 12 years and older who report nonmedical use of prescription pain relievers in the past year. The national indicator is defined in exactly the same way.

State Baseline:
4.4% (2010-2011)

Most Recent State Value:
4.6% (2012-2013)

HP2020 Target:
National: This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Percentage of person aged 12 years and older who report nonmedical use of tranquilizers in the past year. The national indicator is defined in exactly the same way.

State Baseline:
1.6% (2010-2011)

Most Recent State Value:
1.6% (2012-2013)

HP2020 Target:
National: This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Percentage of person aged 12 years and older who report nonmedical use of stimulants in the past year. The national indicator is defined in exactly the same way.

State Baseline:
1.4% (2010-2011)

Most Recent State Value:
1.6% (2012-2013)

HP2020 Target:
National: This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Percentage of person aged 12 years and older who report nonmedical use of sedatives in the past year. The national indicator is defined in exactly the same way.

State Baseline:
0.2% (2010-2011)

Most Recent State Value:
0.3% (2012-2013)

HP2020 Target:
National: This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Percentage of persons aged 12 years and older who report non-medical use of prescription psychotherapeutic drugs (pain releivers, tranquilizers, stimulants, and sedatives) in the past 12 months.  The national indicator is defined in exactly the same way.

State Baseline:
5.9% (2010-2011)

Most Recent State Value:
5.7% (2012-2013)

HP2020 Target:
National: 5.5%

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Number of deaths attributable to alcohol, including both chronic and acute causes. The national indicator definition is exactly the same.

State Baseline:
304 deaths (2006-2010)

HP2020 Target:
National: The national indicator definition and data source are the same as for the state. The national HP2020 target (79,646 deaths) is based on a 10% improvement in the number of deaths across all states from 2001-2005. For Hawaii, we are using a target (219 deaths) based on a 10% improvement in alcohol-related deaths in the state from 2001-2005.

National Data Source:
Alcohol-Related Disease Impact

State Data Source:
Alcohol-Related Disease Impact

Data Reports:
HHM Report
DHHS Health Indicators Warehouse

State Indicator Definition:
Percentage of adolescents aged 12-17 years who report inhalant use in the past 12 months.  The national indicator is defined in exactly the same way.

State Baseline:
4.3% (2010-2011)

Most Recent State Value:
3.7% (2012-2013)

HP2020 Target:
National: This measure is being tracked for informational purposes. If warranted, a target will be set during the decade.

National Data Source:
National Survey on Drug Use and Health

State Data Source:
National Survey on Drug Use and Health

Data Reports:
HHM Report
DHHS Health Indicators Warehouse