State/Substate Region  Illicit Drug Use in Past Month 
Illicit Drug Use Other Than Marijuana in Past Month 


Estimate  95% Confidence Interval 
Estimate  95% Confidence Interval 

NOTE: For substate region definitions, see the "20062008 National Survey on Drug Use and Health Substate Region Definitions" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. NOTE: Estimates along with the 95 percent Bayesian confidence (credible) intervals are based on a surveyweighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. NOTE: The 20062008 estimates may differ from previously published estimates due to updates in the region definitions (using the 20082010 substate region definitions) and updates to the data. For details, see "20062008 National Survey on Drug Use and Health: Overview and Summary of Substate Region Estimation Methodology" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. NOTE: Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescriptiontype psychotherapeutics used nonmedically. Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescriptiontype psychotherapeutics used nonmedically. These estimates include data from original methamphetamine questions but not including new methamphetamine items added in 2005 and 2006. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006, 2007, and 2008 (Revised March 2012).  
Nevada  9.41  (8.04  10.99)  4.32  (3.47  5.36) 
Clark  9.13  (7.58  10.96)  4.34  (3.38  5.57) 
Rural  9.81  (7.45  12.82)  4.32  (3.07  6.04) 
Washoe  10.33  (7.95  13.31)  4.21  (3.03  5.82) 
State/Substate Region  Marijuana Use in Past Month 
Average Annual Rate of First Use of Marijuana^{1} 
Perceptions of Great Risk of Smoking Marijuana Once a Month 


Estimate  95% Confidence Interval 
Estimate  95% Confidence Interval 
Estimate  95% Confidence Interval 

NOTE: For substate region definitions, see the "20062008 National Survey on Drug Use and Health Substate Region Definitions" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. NOTE: Estimates along with the 95 percent Bayesian confidence (credible) intervals are based on a surveyweighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. NOTE: The 20062008 estimates may differ from previously published estimates due to updates in the region definitions (using the 20082010 substate region definitions) and updates to the data. For details, see "20062008 National Survey on Drug Use and Health: Overview and Summary of Substate Region Estimation Methodology" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. ^{1} Average annual marijuana initiation rate = 100 × {[X_{1} ÷ (0.5 × X_{1} + X_{2})] ÷ 2}, where X_{1} is the number of marijuana initiates in the past 24 months and X_{2} is the number of persons who never used marijuana. Both of the computation components, X_{1} and X_{2}, are based on a surveyweighted 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. The confidence intervals for Average Annual Rate of First Use of Marijuana use a simultaneous solution for First Use of Marijuana and Never Used Marijuana outcomes, which had age groupspecific random effects that were allowed to be correlated across the two outcomes. The associated Markov Chain Monte Carlo chains were used to calculate the posterior variance. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006, 2007, and 2008 (Revised March 2012).  
Nevada  6.41  (5.32  7.69)  1.68  (1.45  1.94)  36.53  (33.80  39.35) 
Clark  5.92  (4.75  7.35)  1.56  (1.31  1.86)  37.98  (34.69  41.39) 
Rural  7.36  (5.23  10.25)  1.93  (1.48  2.51)  34.32  (29.64  39.33) 
Washoe  7.80  (5.77  10.47)  2.04  (1.61  2.59)  31.89  (27.51  36.62) 
State/Substate Region  Marijuana Use in Past Year 
Cocaine Use in Past Year 
Nonmedical Use of Pain Relievers in Past Year 


Estimate  95% Confidence Interval 
Estimate  95% Confidence Interval 
Estimate  95% Confidence Interval 

NOTE: For substate region definitions, see the "20062008 National Survey on Drug Use and Health Substate Region Definitions" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. NOTE: Estimates along with the 95 percent Bayesian confidence (credible) intervals are based on a surveyweighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. NOTE: The 20062008 estimates may differ from previously published estimates due to updates in the region definitions (using the 20082010 substate region definitions) and updates to the data. For details, see "20062008 National Survey on Drug Use and Health: Overview and Summary of Substate Region Estimation Methodology" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006, 2007, and 2008 (Revised March 2012).  
Nevada  10.67  (9.18  12.37)  2.49  (1.85  3.34)  6.32  (5.26  7.57) 
Clark  9.90  (8.25  11.83)  2.50  (1.78  3.48)  6.31  (5.13  7.74) 
Rural  12.21  (9.55  15.49)  2.31  (1.55  3.43)  6.85  (5.17  9.01) 
Washoe  12.80  (10.09  16.10)  2.61  (1.78  3.81)  5.90  (4.53  7.64) 
State/Substate Region  Alcohol Use in Past Month 
Binge Alcohol Use in Past Month^{1} 
Perceptions of Great Risk of Having Five or More Drinks of an Alcoholic Beverage Once or Twice a Week 


Estimate  95% Confidence Interval 
Estimate  95% Confidence Interval 
Estimate  95% Confidence Interval 

NOTE: For substate region definitions, see the "20062008 National Survey on Drug Use and Health Substate Region Definitions" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. NOTE: Estimates along with the 95 percent Bayesian confidence (credible) intervals are based on a surveyweighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. NOTE: The 20062008 estimates may differ from previously published estimates due to updates in the region definitions (using the 20082010 substate region definitions) and updates to the data. For details, see "20062008 National Survey on Drug Use and Health: Overview and Summary of Substate Region Estimation Methodology" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. ^{1} 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. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006, 2007, and 2008 (Revised March 2012).  
Nevada  52.35  (49.39  55.30)  24.67  (22.45  27.04)  44.28  (41.38  47.21) 
Clark  51.29  (47.76  54.80)  24.14  (21.63  26.85)  45.00  (41.73  48.31) 
Rural  55.54  (49.72  61.20)  26.12  (22.08  30.61)  41.99  (37.58  46.53) 
Washoe  54.44  (49.08  59.71)  25.81  (22.19  29.80)  42.96  (38.87  47.15) 
State/Substate Region  Alcohol Use in Past Month among Persons Aged 12 to 20 
Binge Alcohol Use in Past Month among Persons Aged 12 to 20^{1} 


Estimate  95% Confidence Interval 
Estimate  95% Confidence Interval 

NOTE: For substate region definitions, see the "20062008 National Survey on Drug Use and Health Substate Region Definitions" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. NOTE: Estimates along with the 95 percent Bayesian confidence (credible) intervals are based on a surveyweighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. NOTE: The 20062008 estimates may differ from previously published estimates due to updates in the region definitions (using the 20082010 substate region definitions) and updates to the data. For details, see "20062008 National Survey on Drug Use and Health: Overview and Summary of Substate Region Estimation Methodology" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. ^{1} 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. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006, 2007, and 2008 (Revised March 2012).  
Nevada  25.24  (22.89  27.75)  17.34  (15.25  19.65) 
Clark  23.72  (21.04  26.63)  15.66  (13.32  18.32) 
Rural  29.64  (25.32  34.36)  21.71  (17.70  26.35) 
Washoe  28.18  (24.08  32.68)  21.04  (17.21  25.44) 
State/Substate Region  Cigarette Use in Past Month 
Tobacco Product Use in Past Month^{1} 
Perceptions of Great Risk of Smoking One or More Packs of Cigarettes Per Day 


Estimate  95% Confidence Interval 
Estimate  95% Confidence Interval 
Estimate  95% Confidence Interval 

NOTE: For substate region definitions, see the "20062008 National Survey on Drug Use and Health Substate Region Definitions" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. NOTE: Estimates along with the 95 percent Bayesian confidence (credible) intervals are based on a surveyweighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. NOTE: The 20062008 estimates may differ from previously published estimates due to updates in the region definitions (using the 20082010 substate region definitions) and updates to the data. For details, see "20062008 National Survey on Drug Use and Health: Overview and Summary of Substate Region Estimation Methodology" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. ^{1} Tobacco Products include cigarettes, smokeless tobacco (i.e., chewing tobacco or snuff), cigars, or pipe tobacco. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006, 2007, and 2008 (Revised March 2012).  
Nevada  26.28  (23.92  28.78)  29.33  (26.87  31.93)  72.50  (69.96  74.91) 
Clark  26.17  (23.44  29.08)  29.30  (26.42  32.35)  72.34  (69.36  75.14) 
Rural  27.02  (22.95  31.50)  30.28  (26.19  34.71)  70.47  (66.44  74.20) 
Washoe  26.14  (22.60  30.03)  28.71  (25.00  32.73)  74.92  (71.28  78.24) 
State/Substate Region  Alcohol Dependence in Past Year 
Illicit Drug Dependence in Past Year^{1} 


Estimate  95% Confidence Interval 
Estimate  95% Confidence Interval 

NOTE: For substate region definitions, see the "20062008 National Survey on Drug Use and Health Substate Region Definitions" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. NOTE: Estimates along with the 95 percent Bayesian confidence (credible) intervals are based on a surveyweighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. NOTE: The 20062008 estimates may differ from previously published estimates due to updates in the region definitions (using the 20082010 substate region definitions) and updates to the data. For details, see "20062008 National Survey on Drug Use and Health: Overview and Summary of Substate Region Estimation Methodology" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. NOTE: Dependence is based on the definition found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSMIV). ^{1} Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescriptiontype psychotherapeutics used nonmedically, including data from original methamphetamine questions but not including new methamphetamine items added in 2005 and 2006. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006, 2007, and 2008 (Revised March 2012).  
Nevada  3.45  (2.77  4.30)  1.91  (1.46  2.49) 
Clark  3.42  (2.62  4.45)  1.95  (1.42  2.66) 
Rural  3.15  (2.31  4.27)  1.88  (1.24  2.84) 
Washoe  3.86  (2.88  5.17)  1.76  (1.20  2.58) 
State/Substate Region  Alcohol Dependence or Abuse in Past Year 
Illicit Drug Dependence or Abuse in Past Year^{1} 
Dependence or Abuse of Illicit Drugs or Alcohol in Past Year^{1} 


Estimate  95% Confidence Interval 
Estimate  95% Confidence Interval 
Estimate  95% Confidence Interval 

NOTE: For substate region definitions, see the "20062008 National Survey on Drug Use and Health Substate Region Definitions" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. NOTE: Estimates along with the 95 percent Bayesian confidence (credible) intervals are based on a surveyweighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. NOTE: The 20062008 estimates may differ from previously published estimates due to updates in the region definitions (using the 20082010 substate region definitions) and updates to the data. For details, see "20062008 National Survey on Drug Use and Health: Overview and Summary of Substate Region Estimation Methodology" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. NOTE: Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSMIV). ^{1} Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescriptiontype psychotherapeutics used nonmedically, including data from original methamphetamine questions but not including new methamphetamine items added in 2005 and 2006. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006, 2007, and 2008 (Revised March 2012).  
Nevada  8.07  (6.92  9.41)  3.12  (2.50  3.88)  9.55  (8.27  11.02) 
Clark  7.99  (6.65  9.58)  3.13  (2.40  4.07)  9.46  (7.96  11.22) 
Rural  7.94  (6.23  10.07)  3.13  (2.15  4.54)  9.44  (7.43  11.94) 
Washoe  8.56  (6.82  10.69)  3.03  (2.14  4.29)  10.03  (8.04  12.46) 
State/Substate Region  Needing But Not Receiving Treatment for Alcohol Use in Past Year^{1} 
Needing But Not Receiving Treatment for Illicit Drug Use in Past Year^{2} 


Estimate  95% Confidence Interval 
Estimate  95% Confidence Interval 

NOTE: For substate region definitions, see the "20062008 National Survey on Drug Use and Health Substate Region Definitions" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. NOTE: Estimates along with the 95 percent Bayesian confidence (credible) intervals are based on a surveyweighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. NOTE: The 20062008 estimates may differ from previously published estimates due to updates in the region definitions (using the 20082010 substate region definitions) and updates to the data. For details, see "20062008 National Survey on Drug Use and Health: Overview and Summary of Substate Region Estimation Methodology" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. ^{1} 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], or mental health centers). ^{2} 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], or mental health centers). Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescriptiontype psychotherapeutics used nonmedically, including data from original methamphetamine questions but not including new methamphetamine items added in 2005 and 2006. See Section B.4.8 in the Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006, 2007, and 2008 (Revised March 2012).  
Nevada  7.78  (6.65  9.09)  2.87  (2.28  3.61) 
Clark  7.77  (6.47  9.29)  2.90  (2.20  3.81) 
Rural  7.23  (5.59  9.31)  2.69  (1.86  3.89) 
Washoe  8.30  (6.58  10.42)  2.90  (2.05  4.07) 
State/Substate Region  Had at Least One Major Depressive Episode in Past Year  

Estimate  95% Confidence Interval 

NOTE: For substate region definitions, see the "20062008 National Survey on Drug Use and Health Substate Region Definitions" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. NOTE: Estimates along with the 95 percent Bayesian confidence (credible) intervals are based on a surveyweighted hierarchical Bayes estimation approach and generated by Markov Chain Monte Carlo techniques. NOTE: The 20062008 estimates may differ from previously published estimates due to updates in the region definitions (using the 20082010 substate region definitions) and updates to the data. For details, see "20062008 National Survey on Drug Use and Health: Overview and Summary of Substate Region Estimation Methodology" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. NOTE: Major depressive episode (MDE) is defined as in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSMIV), which specifies a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had a majority of specified depression symptoms. For more details, see the "20062008 Overview and Summary of Substate Region Estimation Methodology" at http://www.samhsa.gov/data/NSDUH/substate2k08/toc.aspx. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2006, 2007, and 2008 (Revised March 2012).  
Nevada  7.74  (6.45  9.26) 
Clark  7.74  (6.29  9.48) 
Rural  7.46  (5.76  9.61) 
Washoe  8.00  (6.28  10.13) 
