National Survey on Drug Use and Health:
Comparison of 2012-2014 and 2014-2016 Population Percentages (Substate Regions)

NOTE: The methodology used to conduct significance testing for substate estimates between the 2012-2014 and 2014-2016 NSDUHs and to calculate p values is provided here.

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Table 1 – Marijuana Use in the Past Year among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2012-2014 and 2014-2016 NSDUHs
State/Substate Region 2012-2014
(Estimate)
2012-2014
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 12.65a (12.40 - 12.89) 13.55 (13.32 - 13.79) 0.000
Northeast 13.74a (13.21 - 14.29) 14.86 (14.31 - 15.43) 0.000
Midwest 12.21a (11.78 - 12.65) 12.86 (12.39 - 13.35) 0.006
South 10.90a (10.51 - 11.30) 11.66 (11.24 - 12.09) 0.001
West 14.98a (14.43 - 15.54) 16.19 (15.64 - 16.76) 0.000
Alabama 9.74   (8.50 - 11.13) 9.43   (8.34 - 10.64) 0.558
Region 1 9.12   (7.21 - 11.46) 9.55   (7.92 - 11.47) 0.575
Region 2 10.56   (8.70 - 12.76) 10.39   (8.67 - 12.40) 0.831
Region 3 9.56   (7.82 - 11.64) 8.42   (6.72 - 10.51) 0.126
Region 4 9.48   (7.58 - 11.80) 8.71   (7.02 - 10.76) 0.319
Alaska 20.39a (18.47 - 22.45) 22.83 (21.09 - 24.68) 0.019
Anchorage 20.31 (17.72 - 23.16) 21.53 (19.24 - 24.01) 0.384
Northern 23.35 (19.58 - 27.60) 25.79 (22.33 - 29.58) 0.174
South Central 18.64a (15.66 - 22.03) 21.90 (18.88 - 25.26) 0.040
Southeast 18.83a (15.03 - 23.33) 24.02 (19.83 - 28.78) 0.007
Arizona1 12.76 (11.26 - 14.43) 12.53 (11.23 - 13.95) 0.749
Central 12.37 (10.63 - 14.35) 13.05 (11.51 - 14.76) 0.460
North -- (-- - --) 10.99   (8.58 - 13.97) --
South -- (-- - --) 12.08 (10.10 - 14.39) --
South A 15.09a (12.07 - 18.70) 12.76 (10.31 - 15.68) 0.047
South B -- (-- - --) 11.26   (8.79 - 14.31) --
Arkansas 10.41b   (9.12 - 11.86) 11.52 (10.29 - 12.88) 0.061
Catchment Area 1 11.25   (9.05 - 13.91) 11.82   (9.64 - 14.42) 0.557
Catchment Area 2 8.62   (6.65 - 11.12) 8.74   (6.75 - 11.25) 0.885
Catchment Area 3 9.58   (7.40 - 12.32) 10.83   (8.74 - 13.35) 0.176
Catchment Area 4 9.38   (7.08 - 12.34) 9.44   (7.37 - 12.02) 0.945
Catchment Area 5 12.17   (9.76 - 15.09) 10.94   (8.74 - 13.61) 0.191
Catchment Area 6 11.24b   (8.71 - 14.40) 13.08 (10.21 - 16.61) 0.088
Catchment Area 7 9.14   (6.84 - 12.11) 10.14   (7.67 - 13.31) 0.256
Catchment Area 8 10.71a   (8.50 - 13.41) 14.79 (12.20 - 17.82) 0.000
California 14.32a (13.51 - 15.18) 15.87 (15.10 - 16.68) 0.001
Region 1R 19.40 (15.73 - 23.70) 21.55 (18.02 - 25.55) 0.193
Region 2R 16.51 (13.53 - 19.99) 17.04 (14.30 - 20.18) 0.673
Region 3R (Sacramento) 15.70 (12.99 - 18.86) 17.39 (14.79 - 20.33) 0.165
Region 4R 17.60 (14.86 - 20.72) 17.93 (14.97 - 21.33) 0.803
Region 5R (San Francisco) 22.56 (17.94 - 27.96) 24.71 (20.51 - 29.45) 0.299
Region 6 (Santa Clara) 12.31 (10.08 - 14.96) 13.67 (11.63 - 15.99) 0.175
Region 7R (Contra Costa) 14.90 (12.12 - 18.19) 16.84 (14.04 - 20.08) 0.141
Region 8R (Alameda) 14.77a (12.19 - 17.79) 17.75 (15.09 - 20.76) 0.014
Region 9R (San Mateo) 13.61b (10.69 - 17.17) 16.05 (13.06 - 19.56) 0.063
Region 10 15.69 (12.89 - 18.97) 16.99 (14.05 - 20.41) 0.266
Region 11 (Los Angeles) 13.55a (12.40 - 14.78) 15.30 (14.13 - 16.55) 0.003
LA SPA 1 and 5 16.30 (13.17 - 20.00) 18.46 (15.25 - 22.17) 0.105
LA SPA 2 13.79 (11.56 - 16.38) 15.22 (12.91 - 17.86) 0.188
LA SPA 3 9.72   (7.83 - 12.01) 10.82   (8.82 - 13.21) 0.201
LA SPA 4 16.99b (13.92 - 20.57) 19.69 (16.18 - 23.74) 0.059
LA SPA 6 15.57 (12.65 - 19.01) 15.64 (12.90 - 18.84) 0.952
LA SPA 7 11.33   (9.23 - 13.84) 12.59 (10.30 - 15.31) 0.198
LA SPA 8 13.66a (11.36 - 16.34) 17.09 (14.53 - 20.00) 0.002
Region 12R 13.46 (10.60 - 16.94) 14.62 (11.74 - 18.06) 0.273
Regions 13 and 19R 11.93 (10.04 - 14.13) 13.30 (11.46 - 15.40) 0.124
Region 14 (Orange) 12.76 (10.83 - 14.97) 13.69 (11.70 - 15.95) 0.336
Region 15R (Fresno) 13.20 (10.69 - 16.20) 13.83 (11.32 - 16.78) 0.547
Region 16R (San Diego) 15.81b (13.65 - 18.24) 17.72 (15.61 - 20.04) 0.064
Region 17R 11.34a   (9.31 - 13.76) 13.34 (11.36 - 15.59) 0.032
Region 18R (San Bernardino) 12.45 (10.42 - 14.82) 13.78 (11.68 - 16.19) 0.186
Region 20R 13.76 (11.23 - 16.74) 13.52 (10.97 - 16.55) 0.809
Region 21R 18.31 (14.78 - 22.47) 20.55 (17.05 - 24.56) 0.140
Colorado 20.05a (18.20 - 22.04) 22.74 (20.93 - 24.65) 0.006
Region 1 -- (-- - --) 23.50 (19.96 - 27.45) --
Region 2 -- (-- - --) 19.52 (15.63 - 24.10) --
Region 3 -- (-- - --) 19.50 (16.78 - 22.55) --
Region 4 -- (-- - --) 19.23 (15.32 - 23.86) --
Region 5 -- (-- - --) 29.78 (25.20 - 34.81) --
Region 6 -- (-- - --) 26.34 (22.65 - 30.39) --
Region 7 -- (-- - --) 20.52 (17.09 - 24.43) --
Connecticut 14.38 (12.85 - 16.06) 14.95 (13.47 - 16.56) 0.431
Eastern 17.00 (14.02 - 20.46) 18.04 (14.91 - 21.66) 0.423
North Central 15.27 (12.77 - 18.15) 15.43 (13.13 - 18.05) 0.890
Northwestern 11.71a   (9.38 - 14.53) 14.02 (11.49 - 17.00) 0.030
South Central 14.22 (11.83 - 17.01) 14.35 (12.03 - 17.03) 0.905
Southwest 13.98 (11.29 - 17.19) 13.85 (11.34 - 16.80) 0.902
Delaware 14.05 (12.59 - 15.66) 13.73 (12.38 - 15.21) 0.642
Kent 13.55 (11.16 - 16.36) 13.61 (11.36 - 16.21) 0.956
New Castle (excluding Wilmington City) 14.73 (12.90 - 16.76) 13.48 (11.81 - 15.33) 0.165
Sussex 11.68   (9.42 - 14.40) 11.81   (9.56 - 14.50) 0.902
Wilmington City 17.51a (13.61 - 22.25) 21.09 (17.00 - 25.87) 0.029
District of Columbia 21.14a (19.19 - 23.24) 24.28 (22.42 - 26.25) 0.002
Ward 1 24.55a (20.43 - 29.20) 32.56 (27.79 - 37.72) 0.000
Ward 2 25.77a (21.30 - 30.83) 31.02 (26.55 - 35.89) 0.006
Ward 3 19.17 (15.73 - 23.14) 19.06 (15.83 - 22.78) 0.944
Ward 4 18.76 (15.01 - 23.18) 18.49 (15.12 - 22.41) 0.871
Ward 5 22.16 (18.56 - 26.23) 24.79 (20.86 - 29.20) 0.139
Ward 6 20.44 (16.72 - 24.74) 21.62 (18.27 - 25.40) 0.483
Ward 7 18.00a (14.39 - 22.29) 22.47 (18.65 - 26.81) 0.006
Ward 8 19.73a (16.35 - 23.63) 23.83 (20.04 - 28.09) 0.013
Florida 11.56a (10.79 - 12.39) 12.73 (11.90 - 13.60) 0.008
Broward (Circuit 17) 10.68a   (8.88 - 12.80) 13.47 (11.38 - 15.86) 0.005
Central I 12.80b (11.23 - 14.55) 14.05 (12.47 - 15.80) 0.100
Circuit 9 12.73 (10.87 - 14.86) 14.04 (12.09 - 16.24) 0.156
Circuit 18 12.90 (10.61 - 15.61) 14.07 (11.74 - 16.77) 0.264
Central II 11.60 (10.51 - 12.79) 12.04 (10.91 - 13.27) 0.424
Circuit 6 11.96   (9.98 - 14.28) 13.09 (11.04 - 15.44) 0.224
Circuit 10 9.99   (8.06 - 12.33) 10.87   (8.85 - 13.29) 0.324
Circuit 12 11.12   (8.89 - 13.84) 10.60   (8.44 - 13.22) 0.600
Circuit 13 (Hillsborough) 13.34 (11.32 - 15.64) 14.17 (12.09 - 16.53) 0.402
Circuit 20 10.66   (8.64 - 13.07) 10.22   (8.14 - 12.75) 0.619
Northeast 12.78b (11.46 - 14.24) 14.00 (12.54 - 15.59) 0.065
Circuit 4 12.66b (10.40 - 15.33) 14.66 (12.21 - 17.50) 0.055
Circuit 5 10.66b   (8.63 - 13.11) 12.39 (10.13 - 15.08) 0.094
Circuit 7 12.84 (10.57 - 15.50) 13.66 (11.19 - 16.57) 0.456
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee 17.26 (14.44 - 20.49) 16.45 (13.26 - 20.21) 0.493
Northwest 14.72 (12.89 - 16.76) 16.04 (14.18 - 18.09) 0.113
Circuit 1 13.52 (10.90 - 16.65) 13.91 (11.47 - 16.78) 0.740
Circuit 2 plus Madison and Taylor 17.88b (14.97 - 21.22) 20.09 (17.07 - 23.51) 0.091
Circuit 14 12.86b   (9.94 - 16.50) 15.08 (11.90 - 18.92) 0.053
South (Circuits 11 and 16) 7.96b (6.80 - 9.31) 9.15   (7.80 - 10.71) 0.073
Southeast 11.05b   (9.41 - 12.94) 12.41 (10.69 - 14.36) 0.081
Circuit 15 (Palm Beach) 10.55a   (8.64 - 12.83) 12.48 (10.40 - 14.91) 0.040
Circuit 19 12.14   (9.62 - 15.23) 12.24   (9.87 - 15.08) 0.929
Georgia 11.56 (10.26 - 13.01) 12.28 (11.20 - 13.44) 0.249
Region 1 10.33   (8.42 - 12.60) 10.92   (9.29 - 12.79) 0.501
Region 2 10.42   (8.30 - 13.01) 11.40   (9.41 - 13.74) 0.309
Region 3 12.38a (10.41 - 14.67) 15.28 (13.43 - 17.34) 0.007
Region 4 11.67   (9.04 - 14.95) 11.51   (9.11 - 14.45) 0.872
Region 5 12.39   (9.71 - 15.67) 10.96   (8.81 - 13.56) 0.154
Region 6 12.44a (10.06 - 15.29) 10.57   (8.59 - 12.95) 0.043
Hawaii 13.10 (11.53 - 14.86) 12.74 (11.37 - 14.24) 0.637
Hawaii Island 15.23 (11.83 - 19.40) 16.16 (12.97 - 19.96) 0.540
Honolulu 12.18 (10.51 - 14.07) 11.18   (9.73 - 12.82) 0.241
Kauai 14.68a (10.95 - 19.42) 18.29 (14.40 - 22.96) 0.033
Maui 15.65 (12.29 - 19.72) 15.99 (12.78 - 19.84) 0.820
Idaho 10.90b   (9.64 - 12.30) 11.92 (10.71 - 13.24) 0.093
Region 1 10.92b   (8.66 - 13.70) 12.80 (10.23 - 15.90) 0.078
Region 2 14.58 (11.31 - 18.60) 13.80 (10.81 - 17.45) 0.490
Region 3 10.61   (8.40 - 13.32) 9.30   (7.44 - 11.58) 0.156
Region 4 11.72a   (9.76 - 14.01) 15.48 (13.35 - 17.87) 0.001
Region 5 9.57   (7.46 - 12.20) 9.97   (7.85 - 12.58) 0.625
Region 6 11.47   (8.89 - 14.67) 11.10   (8.37 - 14.59) 0.709
Region 7 8.69   (6.79 - 11.06) 8.12   (6.37 - 10.32) 0.440
Illinois 11.86 (11.07 - 12.69) 12.29 (11.41 - 13.22) 0.324
Region 1 (Cook) 13.30 (12.00 - 14.71) 13.50 (12.23 - 14.89) 0.752
Region 1.1 (Far North Side) -- (-- - --) 13.84 (10.88 - 17.44) --
Region 1.2 (Northwest Side) -- (-- - --) 11.89   (9.09 - 15.40) --
Region 1.3 (North Central Side) -- (-- - --) 19.35 (15.26 - 24.22) --
Region 1.4 (West Side) -- (-- - --) 17.21 (13.89 - 21.12) --
Region 1.5 (South Side) -- (-- - --) 17.30 (14.02 - 21.17) --
Region 1.6 (Southwest Side) -- (-- - --) 11.48   (9.12 - 14.36) --
Region 1.7 (Suburban Cook) -- (-- - --) 11.09   (9.57 - 12.82) --
Region 2 10.50   (9.42 - 11.68) 10.98   (9.87 - 12.20) 0.360
Region 2a (DuPage) -- (-- - --) 11.78   (9.74 - 14.16) --
Region 2b -- (-- - --) 10.64   (9.18 - 12.29) --
Region 2c (Winnebago) -- (-- - --) 11.92   (9.23 - 15.26) --
Region 2d -- (-- - --) 10.58   (8.47 - 13.15) --
Region 3 11.96b (10.33 - 13.80) 13.44 (11.64 - 15.47) 0.064
Region 3a (Champaign) -- (-- - --) 19.39 (15.76 - 23.61) --
Region 3b -- (-- - --) 12.45 (10.52 - 14.68) --
Region 4 10.43   (8.67 - 12.50) 10.54   (8.85 - 12.50) 0.880
Region 4a (Sangamon) -- (-- - --) 13.35 (10.31 - 17.13) --
Region 4b -- (-- - --) 9.73   (7.87 - 11.97) --
Region 5 11.12   (9.34 - 13.18) 11.34   (9.62 - 13.33) 0.770
Region 5a -- (-- - --) 11.10   (8.81 - 13.89) --
Region 5b -- (-- - --) 11.53   (9.34 - 14.16) --
Indiana 12.40a (11.01 - 13.93) 13.78 (12.43 - 15.24) 0.035
Central 13.50 (11.19 - 16.21) 14.30 (12.23 - 16.67) 0.453
East 12.83a (10.20 - 16.01) 15.94 (12.73 - 19.77) 0.012
North Central 10.44   (8.46 - 12.82) 11.54   (9.26 - 14.30) 0.225
Northeast 11.69   (9.20 - 14.74) 12.32   (9.85 - 15.31) 0.530
Northwest 11.28a   (8.96 - 14.10) 13.31 (10.64 - 16.51) 0.045
Southeast 11.05   (8.60 - 14.08) 12.36   (9.72 - 15.60) 0.204
Southwest 10.98   (8.45 - 14.16) 12.07   (9.38 - 15.41) 0.260
West 15.97 (13.00 - 19.47) 17.96 (14.66 - 21.83) 0.102
Iowa 9.73   (8.49 - 11.14) 9.23   (8.15 - 10.44) 0.357
Central 9.88   (7.85 - 12.36) 9.38   (7.47 - 11.71) 0.556
North Central 12.57a (10.14 - 15.50) 10.05   (7.96 - 12.61) 0.006
Northeast 9.64   (7.78 - 11.88) 9.33   (7.70 - 11.28) 0.718
Northwest 8.34   (6.38 - 10.83) 8.16   (6.39 - 10.35) 0.823
Southeast 9.97   (8.02 - 12.34) 9.73   (7.94 - 11.87) 0.772
Southwest 8.14   (6.31 - 10.44) 8.40   (6.45 - 10.87) 0.716
Kansas 9.57a   (8.38 - 10.91) 11.59 (10.37 - 12.93) 0.001
Northeast -- (-- - --) 12.33 (10.76 - 14.09) --
Northwest and North Central -- (-- - --) 10.22   (7.77 - 13.34) --
South Central -- (-- - --) 11.19   (9.34 - 13.35) --
Southeast -- (-- - --) 11.26   (8.58 - 14.64) --
Southwest -- (-- - --) 9.46   (7.09 - 12.50) --
Kentucky1 10.16a   (8.95 - 11.51) 12.66 (11.33 - 14.12) 0.000
Adanta, Cumberland River, and Lifeskills 8.02a   (6.27 - 10.21) 11.04   (8.86 - 13.67) 0.000
Bluegrass, Comprehend, and North Key 10.84a   (8.99 - 13.02) 13.82 (11.67 - 16.28) 0.002
Centerstone 12.19b   (9.99 - 14.79) 14.23 (11.87 - 16.96) 0.058
Communicare and River Valley 10.09   (7.85 - 12.88) 11.46   (8.87 - 14.67) 0.161
Four Rivers and Pennyroyal 8.74a   (6.70 - 11.32) 10.47   (8.02 - 13.55) 0.037
Kentucky River, Mountain, and Pathways 8.84a   (6.84 - 11.36) 11.95   (9.28 - 15.26) 0.002
Louisiana 11.23   (9.91 - 12.70) 11.26 (10.04 - 12.59) 0.955
Regions 1 and 10 13.85 (11.31 - 16.84) 14.38 (11.99 - 17.15) 0.605
Region 1 16.09 (12.37 - 20.66) 17.19 (13.79 - 21.22) 0.460
Region 10 (Jefferson) 11.52   (8.90 - 14.78) 11.30   (8.73 - 14.51) 0.832
Regions 2 and 9 11.00   (9.14 - 13.18) 12.33 (10.46 - 14.47) 0.113
Region 3 10.02   (7.65 - 13.02) 8.93   (6.92 - 11.46) 0.194
Regions 4, 5, and 6 10.60a   (8.52 - 13.10) 8.90   (7.12 - 11.08) 0.042
Regions 7 and 8 10.31   (8.39 - 12.63) 10.80   (8.89 - 13.06) 0.548
Maine 18.31a (16.44 - 20.35) 20.37 (18.58 - 22.30) 0.042
Aroostook/Downeast 15.96a (12.94 - 19.52) 19.17 (16.05 - 22.74) 0.022
Aroostook 13.68a (10.42 - 17.76) 17.62 (14.08 - 21.83) 0.015
Downeast 17.81 (13.54 - 23.05) 20.43 (16.03 - 25.67) 0.175
Central 17.09a (13.84 - 20.91) 20.26 (16.67 - 24.40) 0.049
Cumberland 21.09 (17.48 - 25.23) 21.59 (18.50 - 25.03) 0.780
Midcoast 17.48 (13.78 - 21.92) 19.85 (16.28 - 23.98) 0.176
Penquis 20.44 (16.86 - 24.55) 20.43 (16.92 - 24.46) 0.997
Western 18.17b (14.87 - 22.01) 21.00 (17.65 - 24.80) 0.093
York 16.22a (12.98 - 20.08) 19.42 (16.02 - 23.35) 0.043
Maryland 12.52a (11.04 - 14.16) 15.17 (13.72 - 16.75) 0.000
Anne Arundel 12.44a   (9.73 - 15.77) 15.30 (12.25 - 18.93) 0.009
Baltimore City 16.83a (13.61 - 20.63) 21.00 (17.52 - 24.96) 0.005
Baltimore County 12.00a   (9.48 - 15.09) 14.46 (11.66 - 17.81) 0.021
Montgomery 10.47a   (8.22 - 13.26) 12.57 (10.29 - 15.27) 0.034
North Central 10.70   (8.21 - 13.83) 12.16   (9.61 - 15.28) 0.129
Northeast 14.13 (11.08 - 17.86) 15.66 (12.47 - 19.49) 0.179
Prince George's 13.82a (11.18 - 16.96) 18.27 (15.23 - 21.76) 0.000
South 10.78a   (8.37 - 13.78) 12.75 (10.10 - 15.98) 0.042
West 12.01a   (9.39 - 15.24) 14.09 (11.30 - 17.44) 0.047
Massachusetts 16.42a (14.77 - 18.20) 18.57 (16.95 - 20.30) 0.007
Boston 20.58 (17.03 - 24.65) 23.03 (19.25 - 27.29) 0.118
Central 15.32 (12.40 - 18.77) 17.13 (14.11 - 20.64) 0.157
Metrowest 15.10a (12.45 - 18.20) 18.70 (16.01 - 21.73) 0.005
Northeast 15.04 (12.43 - 18.10) 16.67 (14.15 - 19.54) 0.202
Southeast 17.73 (14.79 - 21.11) 17.24 (14.30 - 20.63) 0.703
Western 15.99a (13.16 - 19.29) 20.35 (16.99 - 24.19) 0.001
Michigan 15.07 (14.19 - 16.01) 15.46 (14.48 - 16.50) 0.465
Region 1 15.72 (12.88 - 19.05) 14.93 (11.97 - 18.47) 0.544
Region 2 12.27   (9.77 - 15.30) 11.76   (9.20 - 14.91) 0.640
Region 3 15.16 (13.17 - 17.40) 15.86 (13.77 - 18.20) 0.506
Region 4 15.81 (13.51 - 18.41) 14.97 (12.74 - 17.51) 0.453
Region 5 15.44 (13.73 - 17.33) 15.13 (13.31 - 17.14) 0.733
Region 6 14.34a (12.25 - 16.70) 16.49 (13.92 - 19.43) 0.049
Region 7 16.36 (14.40 - 18.53) 16.91 (14.80 - 19.26) 0.616
Region 8 13.10 (11.22 - 15.25) 14.37 (12.30 - 16.72) 0.228
Region 9 15.36 (13.08 - 17.95) 16.22 (13.73 - 19.07) 0.457
Region 10 15.69 (13.31 - 18.41) 15.39 (12.85 - 18.32) 0.804
Minnesota 12.31 (10.86 - 13.91) 12.73 (11.42 - 14.16) 0.517
Regions 1 and 2 11.07   (8.49 - 14.32) 12.45 (10.02 - 15.36) 0.157
Region 1 -- (-- - --) 10.99   (8.24 - 14.52) --
Region 2 -- (-- - --) 13.33 (10.17 - 17.29) --
Regions 3 and 4 11.76   (9.39 - 14.63) 11.57   (9.62 - 13.84) 0.834
Region 3 -- (-- - --) 11.81   (8.84 - 15.61) --
Region 4 -- (-- - --) 11.44   (9.20 - 14.13) --
Regions 5 and 6 11.05   (8.96 - 13.55) 11.18   (9.32 - 13.35) 0.877
Region 5 -- (-- - --) 10.65   (8.41 - 13.40) --
Region 6 -- (-- - --) 11.71   (9.16 - 14.86) --
Region 7 -- (-- - --) 13.67 (12.08 - 15.43) --
Region 7A (Hennepin) 14.17 (11.62 - 17.16) 15.92 (13.45 - 18.73) 0.159
Region 7B (Ramsey) 15.31 (11.96 - 19.39) 13.34 (10.60 - 16.65) 0.124
Region 7C 11.17   (9.24 - 13.45) 11.57   (9.56 - 13.93) 0.665
Mississippi 8.93   (7.79 - 10.23) 9.21   (8.11 - 10.44) 0.598
Region 1 8.84   (7.12 - 10.93) 10.10   (8.31 - 12.23) 0.129
Region 2 9.02   (6.97 - 11.59) 10.03   (7.83 - 12.76) 0.256
Region 3 8.39   (6.63 - 10.56) 7.88   (6.14 - 10.05) 0.451
Region 4 10.26   (8.16 - 12.83) 9.41   (7.51 - 11.73) 0.327
Region 5 7.25a   (5.33 - 9.79) 9.79   (7.22 - 13.14) 0.001
Region 6 8.54   (6.62 - 10.95) 8.92   (6.93 - 11.41) 0.645
Region 7 8.85   (6.85 - 11.36) 8.23   (6.37 - 10.59) 0.419
Missouri 12.10b (10.72 - 13.63) 13.27 (11.90 - 14.77) 0.065
Central 11.85   (9.68 - 14.43) 11.93   (9.66 - 14.65) 0.927
Eastern 12.57a (10.72 - 14.68) 14.46 (12.52 - 16.65) 0.033
Eastern (St. Louis City and County) 13.70b (11.33 - 16.47) 15.75 (13.19 - 18.69) 0.075
Eastern (excluding St. Louis) 10.63   (8.41 - 13.35) 12.27   (9.94 - 15.06) 0.101
Northwest 13.66 (11.39 - 16.30) 14.75 (12.62 - 17.17) 0.247
Northwest (Jackson) 15.44 (12.26 - 19.28) 17.25 (14.17 - 20.84) 0.186
Northwest (excluding Jackson) 12.16   (9.58 - 15.33) 12.64 (10.19 - 15.59) 0.643
Southeast 9.54   (7.37 - 12.27) 10.86   (8.55 - 13.71) 0.150
Southwest 10.80   (8.52 - 13.60) 11.30   (9.02 - 14.07) 0.593
Montana 14.79a (13.15 - 16.59) 16.98 (15.43 - 18.65) 0.008
Region 1 11.88   (8.89 - 15.70) 12.66   (9.83 - 16.17) 0.514
Region 2 14.16 (11.27 - 17.64) 13.79 (11.19 - 16.87) 0.773
Region 3 14.73 (12.09 - 17.84) 13.62 (11.33 - 16.29) 0.376
Region 4 14.03a (11.49 - 17.03) 18.91 (16.31 - 21.82) 0.000
Region 5 16.51a (13.94 - 19.45) 20.16 (17.55 - 23.05) 0.007
Nebraska 10.37   (9.13 - 11.76) 11.11   (9.88 - 12.48) 0.221
Regions 1 and 2 10.31   (8.11 - 13.01) 9.37   (7.38 - 11.83) 0.207
Region 1 10.41   (7.76 - 13.82) 9.76   (7.27 - 12.97) 0.467
Region 2 10.22   (7.54 - 13.70) 9.03   (6.62 - 12.21) 0.180
Region 3 8.25   (6.53 - 10.38) 9.04   (7.17 - 11.34) 0.295
Region 4 8.03   (6.10 - 10.52) 8.21   (6.33 - 10.59) 0.805
Region 5 9.86a   (8.07 - 11.98) 11.62   (9.62 - 13.97) 0.033
Region 6 11.94 (10.16 - 13.99) 12.61 (10.80 - 14.67) 0.467
Nevada 13.60 (11.99 - 15.39) 13.05 (11.62 - 14.62) 0.492
Clark - Region 1 13.37 (11.53 - 15.45) 12.60 (11.02 - 14.37) 0.401
Region 3 12.38   (9.85 - 15.45) 11.91   (9.43 - 14.94) 0.607
Capital District 13.23   (9.86 - 17.52) 12.93   (9.51 - 17.36) 0.807
Rural/Frontier 11.61   (8.78 - 15.21) 10.99   (8.28 - 14.44) 0.529
Washoe - Region 2 15.62 (12.81 - 18.92) 16.02 (13.22 - 19.27) 0.772
New Hampshire 16.31a (14.69 - 18.07) 17.98 (16.35 - 19.72) 0.047
Central 17.25 (14.99 - 19.77) 17.31 (15.08 - 19.78) 0.957
Central 1 19.92 (16.82 - 23.42) 19.36 (16.30 - 22.83) 0.687
Central 2 14.65 (11.91 - 17.88) 15.30 (12.56 - 18.51) 0.620
Northern 17.68b (14.30 - 21.67) 20.63 (17.13 - 24.62) 0.057
Southern 15.55a (13.67 - 17.62) 17.72 (15.78 - 19.83) 0.024
Southern 1 (Rockingham) 14.64 (12.15 - 17.53) 16.05 (13.43 - 19.08) 0.248
Southern 2 16.11a (13.85 - 18.67) 18.76 (16.33 - 21.45) 0.023
New Jersey 11.00b   (9.65 - 12.51) 12.16 (11.06 - 13.35) 0.070
Central 10.47   (8.53 - 12.78) 11.63   (9.80 - 13.74) 0.183
Metropolitan 9.69a   (7.85 - 11.89) 11.60   (9.75 - 13.74) 0.034
Northern 11.11   (9.03 - 13.60) 11.86 (10.30 - 13.62) 0.450
Southern 12.93 (10.60 - 15.67) 13.87 (11.89 - 16.12) 0.358
New Mexico 15.18 (13.43 - 17.12) 16.02 (14.41 - 17.78) 0.326
Region 1 14.68 (11.83 - 18.07) 14.45 (11.84 - 17.51) 0.857
Region 2 14.08a (11.01 - 17.83) 19.51 (15.80 - 23.84) 0.001
Region 3 (Bernalillo) 18.02 (15.21 - 21.22) 17.78 (15.30 - 20.56) 0.858
Region 4 12.98 (10.37 - 16.13) 12.70 (10.12 - 15.83) 0.797
Region 5 13.24 (10.66 - 16.32) 14.35 (12.08 - 16.95) 0.298
Region 5a -- (-- - --) 15.53 (12.42 - 19.25) --
Region 5b (Dona Ana) -- (-- - --) 13.27 (10.50 - 16.64) --
New York1 14.35 (13.43 - 15.32) 14.99 (14.12 - 15.90) 0.193
Region 1: Long Island 14.64 (12.80 - 16.69) 13.55 (11.84 - 15.45) 0.230
Region 2: New York City 14.53 (13.27 - 15.89) 15.45 (14.20 - 16.79) 0.169
Region 2A: Bronx 11.77   (9.78 - 14.11) 11.53   (9.56 - 13.85) 0.795
Region 2B: Kings -- (-- - --) 17.17 (14.98 - 19.60) --
Region 2C: New York 20.37 (17.44 - 23.64) 22.69 (19.81 - 25.86) 0.116
Region 2D: Queens 11.07   (9.23 - 13.22) 11.18   (9.39 - 13.27) 0.906
Region 2E: Richmond -- (-- - --) 12.20   (9.73 - 15.18) --
Region 3: Mid-Hudson -- (-- - --) 12.86 (11.07 - 14.88) --
Region 4: Capital Region -- (-- - --) 18.14 (15.42 - 21.22) --
Region 5: Mohawk Valley -- (-- - --) 13.92 (10.99 - 17.48) --
Region 6: North Country -- (-- - --) 15.54 (12.42 - 19.27) --
Region 7: Tug Hill Seaway -- (-- - --) 12.34   (9.64 - 15.66) --
Region 8: Central -- (-- - --) 15.25 (12.94 - 17.88) --
Region 9: Southern Tier -- (-- - --) 16.96 (13.93 - 20.50) --
Region 10: Finger Lakes -- (-- - --) 15.43 (13.24 - 17.90) --
Region 11: Western -- (-- - --) 15.73 (13.82 - 17.84) --
North Carolina 11.08   (9.80 - 12.50) 12.01 (10.94 - 13.17) 0.103
Alliance Behavioral Healthcare 1 11.10   (8.73 - 14.01) 12.29   (9.94 - 15.10) 0.256
Alliance Behavioral Healthcare 2 10.49   (8.15 - 13.40) 12.16   (9.83 - 14.96) 0.106
Cardinal Innovations Healthcare Solutions 1 10.85   (8.33 - 14.01) 11.13   (8.89 - 13.85) 0.772
Cardinal Innovations Healthcare Solutions 2 11.44   (9.00 - 14.44) 10.89   (8.69 - 13.56) 0.558
Cardinal Innovations Healthcare Solutions 3 12.28   (9.58 - 15.60) 14.02 (11.58 - 16.87) 0.130
CenterPoint Human Services 10.25   (7.86 - 13.26) 11.36   (8.96 - 14.30) 0.248
Eastpointe 8.41b   (6.44 - 10.91) 9.89   (7.84 - 12.41) 0.085
Partners Behavioral Health Management 10.97   (8.57 - 13.94) 11.86   (9.47 - 14.75) 0.385
Sandhills Center 1 10.24b   (7.68 - 13.53) 11.99   (9.34 - 15.26) 0.080
Sandhills Center 2 13.33 (10.50 - 16.79) 14.04 (11.15 - 17.54) 0.533
Smoky Mountain Center 1 11.02   (8.31 - 14.47) 11.58   (9.27 - 14.37) 0.573
Smoky Mountain Center 2 10.82   (8.11 - 14.29) 10.30   (7.96 - 13.23) 0.617
Trillium Health Resources 1 11.23   (8.79 - 14.25) 12.17   (9.89 - 14.89) 0.351
Trillium Health Resources 2 13.39 (10.49 - 16.94) 14.17 (11.26 - 17.68) 0.448
North Dakota 10.00   (8.90 - 11.22) 9.65   (8.59 - 10.83) 0.502
Badlands and West Central 9.00   (7.33 - 11.00) 9.16   (7.62 - 10.97) 0.817
Badlands -- (-- - --) 7.88   (5.76 - 10.71) --
West Central -- (-- - --) 9.53   (7.79 - 11.61) --
Lake Region 7.24 (5.45 - 9.56) 7.65   (5.64 - 10.31) 0.572
North Central 9.71   (7.69 - 12.19) 9.90   (7.78 - 12.52) 0.815
Northeast 13.40 (11.09 - 16.10) 12.34 (10.16 - 14.91) 0.266
Northwest 9.78   (7.34 - 12.91) 9.18   (6.71 - 12.44) 0.500
South Central 8.23b   (6.23 - 10.80) 6.96   (5.13 - 9.38) 0.068
Southeast 10.67   (8.98 - 12.64) 10.04   (8.45 - 11.88) 0.391
Ohio 12.27 (11.46 - 13.14) 12.75 (11.87 - 13.70) 0.315
Boards 2, 46, 55, and 68 10.44   (8.27 - 13.10) 10.31   (8.03 - 13.14) 0.881
Boards 3, 52, and 85 10.77   (8.56 - 13.47) 9.82   (7.48 - 12.78) 0.306
Boards 4 and 78 10.83   (8.41 - 13.85) 10.44   (8.15 - 13.28) 0.699
Boards 5 and 60 13.06 (10.52 - 16.09) 13.74 (10.98 - 17.07) 0.548
Boards 7, 15, 41, 79, and 84 9.90   (7.88 - 12.36) 10.39   (8.02 - 13.35) 0.618
Boards 8, 13, and 83 9.53   (7.57 - 11.93) 9.19   (7.06 - 11.88) 0.696
Board 9 (Butler) 12.21   (9.73 - 15.21) 13.55 (10.82 - 16.85) 0.217
Board 12 12.94 (10.36 - 16.04) 11.69   (9.18 - 14.78) 0.212
Boards 18 and 47 12.82 (11.09 - 14.78) 14.33 (12.34 - 16.57) 0.143
Boards 20, 32, 54, and 69 8.56   (6.70 - 10.88) 9.18   (7.19 - 11.65) 0.464
Boards 21, 39, 51, 70, and 80 9.01   (7.26 - 11.13) 10.02   (7.91 - 12.62) 0.255
Boards 22, 74, and 87 10.68   (8.58 - 13.23) 11.82   (9.49 - 14.63) 0.230
Boards 23 and 45 10.98   (8.80 - 13.62) 10.75   (8.52 - 13.47) 0.814
Board 25 (Franklin) 17.78 (15.36 - 20.48) 16.33 (14.04 - 18.91) 0.265
Boards 27, 71, and 73 11.58   (9.31 - 14.32) 12.27   (9.71 - 15.40) 0.519
Boards 28, 43, and 67 11.37   (9.25 - 13.89) 10.51   (8.34 - 13.17) 0.397
Board 31 (Hamilton) 14.54a (12.21 - 17.23) 17.02 (14.43 - 19.98) 0.041
Board 48 (Lucas) 13.16 (10.51 - 16.35) 14.90 (11.92 - 18.47) 0.166
Boards 50 and 76 10.11a   (8.20 - 12.41) 12.69 (10.39 - 15.41) 0.012
Board 57 (Montgomery) 11.45b   (9.23 - 14.12) 13.62 (10.93 - 16.86) 0.063
Board 77 (Summit) 14.48a (11.72 - 17.77) 11.75   (9.35 - 14.67) 0.024
Oklahoma 10.68   (9.33 - 12.21) 11.02   (9.78 - 12.40) 0.615
Central 11.72   (9.42 - 14.50) 10.90   (8.66 - 13.63) 0.410
East Central 8.59   (6.54 - 11.21) 8.11   (6.22 - 10.52) 0.567
Northeast 9.41   (7.32 - 12.02) 10.45   (8.14 - 13.33) 0.256
Northwest and Southwest 10.51   (8.23 - 13.33) 12.02   (9.59 - 14.97) 0.111
Oklahoma County 12.43 (10.08 - 15.24) 12.59 (10.26 - 15.36) 0.883
Southeast 8.08   (6.24 - 10.42) 8.97   (7.00 - 11.42) 0.299
Tulsa County 12.66 (10.02 - 15.88) 12.58 (10.23 - 15.38) 0.947
Oregon 19.00a (17.12 - 21.04) 21.41 (19.73 - 23.20) 0.014
Region 1 (Multnomah) 20.23a (16.74 - 24.22) 28.61 (25.09 - 32.42) 0.000
Region 2 19.22 (15.99 - 22.93) 18.67 (16.05 - 21.60) 0.723
Region 3 20.38 (17.46 - 23.64) 20.86 (18.27 - 23.71) 0.746
Region 4 16.53 (13.17 - 20.55) 19.18 (16.12 - 22.66) 0.112
Region 5 (Central) 16.22 (12.52 - 20.76) 18.76 (14.47 - 23.97) 0.127
Region 6 (Eastern) 15.37a (11.59 - 20.11) 18.99 (15.23 - 23.42) 0.022
Pennsylvania 11.55a (10.76 - 12.40) 12.90 (12.01 - 13.84) 0.002
Region 1 (Allegheny) 13.28a (11.31 - 15.53) 15.26 (12.95 - 17.90) 0.048
Regions 3, 8, 9, and 51 11.35   (9.39 - 13.65) 11.93   (9.80 - 14.46) 0.531
Regions 4, 11, 37, and 49 10.45a   (8.53 - 12.72) 12.54 (10.18 - 15.36) 0.020
Regions 5, 18, 23, 24, and 46 8.83   (7.24 - 10.73) 9.41   (7.58 - 11.63) 0.472
Regions 6, 12, 16, 31, 35, 45, and 47 11.50a   (9.57 - 13.76) 14.37 (11.85 - 17.32) 0.002
Regions 7, 13, 20, and 33 12.02 (10.52 - 13.71) 12.74 (11.15 - 14.53) 0.390
Regions 10, 15, 27, 32, 43, and 44 9.95   (7.94 - 12.40) 8.89   (6.83 - 11.51) 0.232
Regions 17 and 21 12.15   (9.66 - 15.16) 11.21   (8.76 - 14.24) 0.337
Regions 19, 26, 28, and 42 9.92   (8.46 - 11.60) 9.98   (8.37 - 11.86) 0.941
Regions 22, 38, 40, 41, and 48 7.60a (6.09 - 9.45) 9.82   (7.83 - 12.25) 0.005
Regions 29 and 34 11.82   (9.45 - 14.68) 11.49   (9.07 - 14.45) 0.742
Regions 30 and 50 10.93   (8.86 - 13.40) 11.29   (9.02 - 14.05) 0.706
Region 36 (Philadelphia) 15.81a (13.54 - 18.39) 20.41 (17.66 - 23.47) 0.001
Rhode Island 19.74 (17.86 - 21.75) 19.72 (17.97 - 21.59) 0.982
Region 1: Southern Providence County -- (-- - --) 17.99 (14.88 - 21.59) --
Region 2: Northern Providence County/ Blackstone Valley -- (-- - --) 18.55 (15.59 - 21.92) --
Region 3: Providence -- (-- - --) 22.06 (18.55 - 26.04) --
Region 4: Kent County -- (-- - --) 17.63 (14.57 - 21.17) --
Region 5: East Bay -- (-- - --) 23.51 (19.42 - 28.16) --
Region 6: Newport County -- (-- - --) 19.06 (15.37 - 23.39) --
Region 7: South County -- (-- - --) 21.45 (17.88 - 25.53) --
South Carolina 11.76 (10.43 - 13.24) 11.34 (10.12 - 12.69) 0.495
Region 1 11.15b   (9.21 - 13.43) 9.59   (7.92 - 11.58) 0.053
Region 2 12.51 (10.34 - 15.07) 12.52 (10.48 - 14.90) 0.992
Region 3 11.67   (9.40 - 14.39) 10.30   (8.27 - 12.77) 0.144
Region 4 11.86   (9.83 - 14.24) 12.97 (10.96 - 15.29) 0.246
South Dakota 9.41a   (8.23 - 10.74) 11.12   (9.87 - 12.50) 0.009
Region 1 10.83a   (8.89 - 13.14) 14.14 (11.84 - 16.81) 0.003
Region 2 8.95   (6.63 - 11.98) 9.88   (7.46 - 12.98) 0.372
Region 3 8.63   (6.94 - 10.68) 9.59   (7.82 - 11.71) 0.222
Region 4 9.56a   (7.54 - 12.03) 11.66   (9.45 - 14.31) 0.028
Region 5 8.91   (7.23 - 10.95) 9.90   (8.10 - 12.04) 0.263
Tennessee 9.64a   (8.43 - 11.02) 11.87 (10.60 - 13.26) 0.001
Region 1 8.83   (6.75 - 11.47) 10.36   (8.02 - 13.30) 0.104
Region 2 8.58a   (6.81 - 10.76) 10.65   (8.55 - 13.19) 0.021
Region 3 8.44b   (6.59 - 10.74) 9.97   (8.02 - 12.34) 0.074
Region 4 (Davidson) 12.03a   (9.39 - 15.29) 15.15 (12.06 - 18.85) 0.010
Region 5 10.90a   (8.84 - 13.37) 14.00 (11.70 - 16.68) 0.005
Region 6 7.73a   (5.84 - 10.17) 9.67   (7.48 - 12.42) 0.021
Region 7 (Shelby) 10.30   (8.12 - 12.97) 11.89   (9.48 - 14.80) 0.108
Texas 9.59   (8.94 - 10.27) 10.08   (9.38 - 10.83) 0.166
Region 1 10.82b   (8.82 - 13.19) 9.51   (7.48 - 12.03) 0.090
Region 2 10.75   (8.47 - 13.56) 12.15   (9.66 - 15.18) 0.118
Region 3 9.16   (8.18 - 10.23) 9.59   (8.59 - 10.71) 0.380
Region 3a 9.05   (7.87 - 10.38) 9.51   (8.30 - 10.88) 0.439
Region 3bc 9.35   (7.89 - 11.04) 9.74   (8.24 - 11.48) 0.575
Region 4 8.72   (7.04 - 10.76) 9.32   (7.51 - 11.52) 0.391
Region 5 9.99   (7.92 - 12.53) 10.53   (8.24 - 13.36) 0.529
Region 6 8.97   (7.87 - 10.21) 9.63   (8.46 - 10.95) 0.236
Region 6a 8.75   (7.58 - 10.08) 9.60   (8.36 - 11.01) 0.156
Region 6bc 10.85   (8.54 - 13.70) 9.92   (7.64 - 12.79) 0.244
Region 7 12.73a (11.18 - 14.47) 14.65 (12.95 - 16.53) 0.011
Region 7a 14.00b (11.92 - 16.37) 15.81 (13.56 - 18.35) 0.068
Region 7bcd 10.55a   (8.76 - 12.67) 12.60 (10.43 - 15.16) 0.013
Region 8 10.34   (8.80 - 12.11) 10.02   (8.46 - 11.83) 0.671
Region 9 10.05   (7.95 - 12.63) 10.79   (8.36 - 13.83) 0.334
Region 10 7.96 (6.41 - 9.84) 7.81 (6.16 - 9.85) 0.805
Region 11 7.21 (6.10 - 8.51) 6.86 (5.73 - 8.20) 0.449
Region 11abd 7.89 (6.40 - 9.70) 6.92 (5.56 - 8.60) 0.101
Region 11c (Hidalgo) 6.04 (4.79 - 7.58) 6.76 (5.21 - 8.74) 0.181
Utah 9.37   (8.19 - 10.70) 9.60   (8.53 - 10.80) 0.678
Bear River, Northeastern, Summit, Tooele, and Wasatch 8.22   (6.40 - 10.51) 9.03   (6.90 - 11.74) 0.280
Central, Four Corners, San Juan, and Southwest 9.14   (6.97 - 11.89) 8.83   (7.01 - 11.08) 0.675
Central, Four Corners, and San Juan -- (-- - --) 7.96   (5.78 - 10.87) --
Southwest -- (-- - --) 9.37   (7.06 - 12.34) --
Davis County 8.28   (6.46 - 10.56) 8.12   (6.13 - 10.68) 0.830
Salt Lake County 10.92   (9.13 - 13.02) 11.45   (9.84 - 13.30) 0.540
Utah County 8.08   (6.45 - 10.07) 8.09   (6.35 - 10.26) 0.985
Weber, Morgan 8.57   (6.50 - 11.23) 8.44   (6.50 - 10.88) 0.857
Vermont 19.82 (17.93 - 21.86) 21.19 (19.43 - 23.07) 0.177
Champlain Valley 21.47 (18.92 - 24.26) 22.78 (20.39 - 25.35) 0.339
Rural Northeast 18.73a (15.55 - 22.37) 22.07 (18.54 - 26.06) 0.043
Rural Southeast 20.41 (16.98 - 24.32) 19.15 (16.25 - 22.42) 0.423
Rural Southwest 16.49 (13.29 - 20.29) 18.49 (15.31 - 22.15) 0.185
Virginia 12.46b (11.10 - 13.96) 11.39 (10.39 - 12.48) 0.080
Region 1 13.74a (11.30 - 16.61) 11.03   (9.14 - 13.24) 0.007
Region 2 9.74   (7.89 - 11.95) 8.89   (7.49 - 10.51) 0.300
Region 3 13.71a (11.15 - 16.75) 10.84   (9.09 - 12.87) 0.005
Region 4 12.77 (10.30 - 15.73) 13.12 (11.10 - 15.45) 0.743
Region 5 13.80 (11.47 - 16.51) 13.96 (12.01 - 16.17) 0.878
Washington1 18.32 (16.63 - 20.14) 18.63 (16.93 - 20.46) 0.732
Region 1 15.43 (13.09 - 18.10) 17.08 (14.59 - 19.90) 0.110
Greater Columbia and North Central 13.60 (11.00 - 16.69) 14.54 (11.81 - 17.78) 0.390
Spokane 18.10 (14.42 - 22.47) 20.82 (16.70 - 25.64) 0.102
Region 2 20.13 (17.85 - 22.62) 18.74 (16.53 - 21.17) 0.252
King 19.34 (16.64 - 22.37) 19.03 (16.33 - 22.06) 0.829
North Sound 21.51a (18.00 - 25.49) 18.22 (15.05 - 21.89) 0.041
Region 3 17.70b (15.47 - 20.18) 19.52 (17.23 - 22.03) 0.091
Pierce 18.61 (15.23 - 22.54) 21.33 (17.90 - 25.21) 0.106
Salish 18.35 (14.34 - 23.18) 17.95 (13.87 - 22.91) 0.810
SW WA and Great Rivers 15.89b (12.72 - 19.66) 18.47 (14.86 - 22.71) 0.076
Thurston-Mason 18.71 (14.54 - 23.73) 19.12 (14.64 - 24.57) 0.798
West Virginia 10.46   (9.24 - 11.83) 11.26 (10.02 - 12.63) 0.189
Region I 9.32   (7.10 - 12.15) 10.11   (7.79 - 13.03) 0.379
Region II 12.06a   (9.48 - 15.23) 9.94   (7.81 - 12.57) 0.040
Region III 8.67a   (6.50 - 11.48) 11.08   (8.61 - 14.14) 0.015
Region IV 12.22b (10.18 - 14.59) 14.00 (11.71 - 16.67) 0.069
Region V 10.26   (8.41 - 12.45) 11.36   (9.36 - 13.71) 0.245
Region VI 8.84   (7.05 - 11.04) 9.39   (7.45 - 11.77) 0.542
Wisconsin 11.53 (10.11 - 13.13) 12.31 (11.06 - 13.68) 0.239
Milwaukee 13.91b (11.15 - 17.23) 16.06 (13.40 - 19.12) 0.100
Northeastern 9.65   (7.75 - 11.95) 9.18   (7.35 - 11.42) 0.576
Northern 8.73   (6.54 - 11.56) 9.52   (7.31 - 12.31) 0.386
Southeastern 10.89   (8.73 - 13.50) 11.48   (9.53 - 13.76) 0.527
Southern 12.84 (10.32 - 15.87) 13.64 (11.38 - 16.25) 0.476
Western 12.59 (10.03 - 15.68) 13.97 (11.44 - 16.95) 0.210
Wyoming 10.77   (9.44 - 12.26) 11.13   (9.85 - 12.56) 0.546
Judicial District 1 (Laramie) 10.49b   (8.34 - 13.11) 12.38 (10.08 - 15.11) 0.057
Judicial District 2 15.48 (12.60 - 18.87) 16.04 (13.21 - 19.33) 0.623
Judicial District 3 8.26   (6.46 - 10.50) 8.96   (6.95 - 11.49) 0.359
Judicial District 4 10.43   (7.84 - 13.75) 9.60   (7.14 - 12.80) 0.405
Judicial District 5 8.90   (6.63 - 11.86) 7.81   (5.92 - 10.25) 0.158
Judicial District 6 9.21   (7.12 - 11.85) 9.34   (7.24 - 11.96) 0.887
Judicial District 7 (Natrona) 11.64   (9.27 - 14.52) 10.89   (8.61 - 13.68) 0.442
Judicial District 8 9.27   (7.04 - 12.11) 9.74   (7.45 - 12.64) 0.602
Judicial District 9 13.09   (9.96 - 17.00) 14.00 (11.06 - 17.55) 0.504
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2012-2014 and 2014-2016); hence, the 2012-2014 estimates and p values are not available for these regions. The definitions of the substate regions listed in this table are provided in the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
NOTE: Substate, state, and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and are generated by Markov Chain Monte Carlo techniques, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2012-2014 and 2014-2016 population percentages. The "Total U.S." estimates, along with the 95 percent confidence intervals and the p values, are based on design-based (direct) estimation methods.
a Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.10 level.
1 Names of some of the substate regions for this state have changed across the two time periods (2012-2014 vs. 2014-2016). For details, see the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012-2016.
180328
Table 2 – Marijuana Use in the Past Month among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2012-2014 and 2014-2016 NSDUHs
State/Substate Region 2012-2014
(Estimate)
2012-2014
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 7.73a (7.54 - 7.92) 8.53 (8.35 - 8.71) 0.000
Northeast 8.36a (7.95 - 8.79) 9.53 (9.10 - 9.98) 0.000
Midwest 7.28a (6.97 - 7.60) 8.14 (7.80 - 8.49) 0.000
South 6.43a (6.15 - 6.73) 7.03 (6.74 - 7.34) 0.000
West 9.70a   (9.24 - 10.17) 10.48 (10.06 - 10.92) 0.002
Alabama 5.16 (4.29 - 6.20) 5.25 (4.46 - 6.18) 0.808
Region 1 4.71 (3.49 - 6.32) 5.10 (3.97 - 6.54) 0.427
Region 2 5.91 (4.58 - 7.59) 5.54 (4.37 - 7.01) 0.481
Region 3 4.83 (3.69 - 6.31) 5.09 (3.86 - 6.69) 0.558
Region 4 4.94 (3.64 - 6.66) 5.16 (3.99 - 6.66) 0.663
Alaska 12.59a (10.99 - 14.38) 15.48 (13.94 - 17.17) 0.001
Anchorage 12.37 (10.28 - 14.82) 13.51 (11.57 - 15.71) 0.309
Northern 14.93b (11.76 - 18.76) 17.95 (15.02 - 21.31) 0.051
South Central 11.49a   (9.02 - 14.54) 15.72 (13.16 - 18.67) 0.002
Southeast 11.23a   (8.40 - 14.86) 17.39 (13.67 - 21.88) 0.000
Arizona1 8.06 (6.90 - 9.39) 7.74 (6.72 - 8.90) 0.544
Central 7.64 (6.34 - 9.18) 8.01 (6.81 - 9.40) 0.567
North -- (-- - --) 7.09 (5.31 - 9.41) --
South -- (-- - --) 7.45 (6.00 - 9.23) --
South A 9.89a   (7.40 - 13.10) 7.88   (6.07 - 10.17) 0.023
South B -- (-- - --) 6.94 (5.17 - 9.26) --
Arkansas 6.24a (5.25 - 7.41) 7.10 (6.13 - 8.21) 0.042
Catchment Area 1 6.46 (4.87 - 8.53) 7.26 (5.60 - 9.37) 0.207
Catchment Area 2 5.48 (3.91 - 7.61) 6.02 (4.46 - 8.08) 0.382
Catchment Area 3 5.76b (4.21 - 7.83) 6.84 (5.24 - 8.89) 0.073
Catchment Area 4 6.10 (4.36 - 8.47) 6.96 (5.22 - 9.22) 0.175
Catchment Area 5 7.42b (5.56 - 9.84) 6.20 (4.72 - 8.11) 0.062
Catchment Area 6 6.96 (5.00 - 9.61) 8.00   (5.99 - 10.61) 0.181
Catchment Area 7 5.49b (3.91 - 7.66) 6.43 (4.62 - 8.89) 0.095
Catchment Area 8 6.07a (4.51 - 8.13) 8.47   (6.64 - 10.75) 0.000
California 9.19a (8.53 - 9.90) 10.21   (9.62 - 10.84) 0.004
Region 1R 13.97 (10.71 - 18.04) 15.29 (12.33 - 18.80) 0.362
Region 2R 11.09   (8.54 - 14.28) 11.40   (9.16 - 14.11) 0.762
Region 3R (Sacramento) 10.19   (8.04 - 12.83) 10.86   (8.91 - 13.17) 0.453
Region 4R 11.34   (9.09 - 14.07) 11.16   (9.01 - 13.75) 0.851
Region 5R (San Francisco) 15.46 (11.52 - 20.44) 15.29 (12.15 - 19.06) 0.913
Region 6 (Santa Clara) 7.78 (6.10 - 9.89) 8.76   (7.17 - 10.67) 0.166
Region 7R (Contra Costa) 9.55   (7.32 - 12.36) 10.53   (8.55 - 12.91) 0.303
Region 8R (Alameda) 10.67   (8.41 - 13.44) 12.15   (9.97 - 14.74) 0.132
Region 9R (San Mateo) 9.07   (6.72 - 12.13) 10.60   (8.27 - 13.50) 0.113
Region 10 10.23   (7.92 - 13.10) 10.40   (8.21 - 13.09) 0.835
Region 11 (Los Angeles) 8.44a (7.55 - 9.43) 9.84   (8.95 - 10.81) 0.001
LA SPA 1 and 5 9.77a   (7.52 - 12.61) 11.94   (9.46 - 14.96) 0.017
LA SPA 2 8.03a   (6.39 - 10.05) 9.57   (7.81 - 11.67) 0.034
LA SPA 3 6.18 (4.71 - 8.07) 6.68 (5.28 - 8.43) 0.430
LA SPA 4 10.50b   (8.15 - 13.42) 12.23   (9.65 - 15.39) 0.085
LA SPA 6 10.62   (8.18 - 13.68) 11.39   (9.24 - 13.98) 0.420
LA SPA 7 7.00b (5.48 - 8.92) 8.18   (6.46 - 10.30) 0.067
LA SPA 8 9.01a   (7.10 - 11.37) 10.99   (9.07 - 13.25) 0.019
Region 12R 9.28   (6.92 - 12.33) 8.67   (6.75 - 11.07) 0.450
Regions 13 and 19R 7.99 (6.44 - 9.87) 8.57   (7.12 - 10.27) 0.367
Region 14 (Orange) 8.09 (6.58 - 9.89) 8.54   (7.01 - 10.36) 0.497
Region 15R (Fresno) 8.10a   (6.17 - 10.58) 9.79   (7.72 - 12.34) 0.034
Region 16R (San Diego) 9.42a   (7.70 - 11.47) 11.10   (9.47 - 12.96) 0.032
Region 17R 7.59 (5.90 - 9.71) 8.68   (7.11 - 10.57) 0.135
Region 18R (San Bernardino) 7.62b (6.03 - 9.59) 8.89   (7.34 - 10.72) 0.056
Region 20R 8.76   (6.80 - 11.23) 9.28   (7.30 - 11.73) 0.492
Region 21R 11.20a   (8.66 - 14.36) 13.48 (10.82 - 16.66) 0.030
Colorado 14.01b (12.32 - 15.88) 15.65 (14.10 - 17.34) 0.051
Region 1 -- (-- - --) 17.16 (14.05 - 20.80) --
Region 2 -- (-- - --) 12.88   (9.86 - 16.64) --
Region 3 -- (-- - --) 14.07 (11.79 - 16.70) --
Region 4 -- (-- - --) 12.82   (9.73 - 16.72) --
Region 5 -- (-- - --) 18.63 (15.22 - 22.61) --
Region 6 -- (-- - --) 17.88 (14.78 - 21.47) --
Region 7 -- (-- - --) 14.26 (11.47 - 17.61) --
Connecticut 9.21   (7.95 - 10.65) 9.27   (8.11 - 10.58) 0.910
Eastern 10.12   (7.88 - 12.91) 10.61   (8.25 - 13.55) 0.574
North Central 9.21   (7.27 - 11.60) 9.27   (7.53 - 11.37) 0.935
Northwestern 7.66   (5.79 - 10.07) 8.61   (6.75 - 10.93) 0.184
South Central 10.12   (8.04 - 12.67) 9.72   (7.88 - 11.92) 0.622
Southwest 8.92   (6.75 - 11.72) 8.49   (6.64 - 10.80) 0.608
Delaware 8.12 (7.03 - 9.35) 8.89   (7.74 - 10.19) 0.131
Kent 7.09a (5.39 - 9.27) 8.78   (6.96 - 11.01) 0.020
New Castle (excluding Wilmington City) 8.87   (7.50 - 10.46) 8.70   (7.34 - 10.29) 0.801
Sussex 6.17 (4.60 - 8.23) 7.17 (5.49 - 9.31) 0.145
Wilmington City 11.01a   (8.07 - 14.85) 15.19 (11.56 - 19.71) 0.001
District of Columbia 11.88a (10.44 - 13.48) 13.89 (12.42 - 15.50) 0.006
Ward 1 12.60a   (9.77 - 16.10) 16.43 (13.23 - 20.22) 0.003
Ward 2 13.91a (10.72 - 17.84) 17.49 (14.11 - 21.48) 0.013
Ward 3 9.97   (7.62 - 12.94) 9.73   (7.57 - 12.42) 0.805
Ward 4 11.40   (8.67 - 14.84) 10.84   (8.43 - 13.84) 0.601
Ward 5 11.64a   (9.15 - 14.69) 14.61 (11.62 - 18.21) 0.009
Ward 6 11.71   (9.02 - 15.07) 11.44   (9.07 - 14.34) 0.816
Ward 7 10.92a   (8.20 - 14.40) 14.07 (11.13 - 17.64) 0.009
Ward 8 12.87a (10.11 - 16.26) 16.64 (13.46 - 20.39) 0.004
Florida 7.24 (6.63 - 7.91) 7.70 (7.07 - 8.38) 0.158
Broward (Circuit 17) 6.92 (5.47 - 8.72) 7.98 (6.45 - 9.83) 0.112
Central I 7.47b (6.32 - 8.82) 8.41 (7.20 - 9.79) 0.076
Circuit 9 7.42b (5.99 - 9.16) 8.63   (7.17 - 10.36) 0.070
Circuit 18 7.54 (5.92 - 9.56) 8.07   (6.37 - 10.18) 0.427
Central II 7.38 (6.46 - 8.41) 7.40 (6.53 - 8.37) 0.956
Circuit 6 7.86   (6.14 - 10.01) 8.53   (6.90 - 10.50) 0.394
Circuit 10 6.63 (5.02 - 8.71) 6.22 (4.89 - 7.89) 0.460
Circuit 12 6.61 (4.96 - 8.76) 6.39 (4.83 - 8.41) 0.735
Circuit 13 (Hillsborough) 8.37   (6.78 - 10.29) 8.66   (7.08 - 10.55) 0.691
Circuit 20 6.71 (5.12 - 8.75) 6.10 (4.66 - 7.95) 0.286
Northeast 7.99 (6.93 - 9.19) 8.41 (7.34 - 9.61) 0.357
Circuit 4 8.00   (6.34 - 10.06) 8.39   (6.64 - 10.54) 0.592
Circuit 5 6.81 (5.20 - 8.88) 7.54 (5.90 - 9.58) 0.280
Circuit 7 7.55 (5.80 - 9.78) 8.24   (6.49 - 10.41) 0.313
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee 11.08   (8.62 - 14.12) 10.51   (8.25 - 13.31) 0.512
Northwest 9.50   (8.08 - 11.15) 10.03   (8.65 - 11.61) 0.346
Circuit 1 8.63   (6.64 - 11.14) 7.83   (6.20 - 9.84) 0.264
Circuit 2 plus Madison and Taylor 11.71a   (9.37 - 14.53) 13.80 (11.18 - 16.92) 0.041
Circuit 14 8.30b   (6.13 - 11.14) 9.70   (7.31 - 12.77) 0.079
South (Circuits 11 and 16) 5.23 (4.28 - 6.38) 5.36 (4.40 - 6.52) 0.767
Southeast 6.60b (5.41 - 8.03) 7.55 (6.29 - 9.05) 0.076
Circuit 15 (Palm Beach) 6.04a (4.69 - 7.73) 7.61 (6.05 - 9.53) 0.012
Circuit 19 7.85   (5.83 - 10.48) 7.44 (5.76 - 9.54) 0.589
Georgia 7.74 (6.65 - 8.99) 7.31 (6.52 - 8.18) 0.354
Region 1 7.41a (5.77 - 9.47) 6.09 (4.97 - 7.44) 0.032
Region 2 6.45 (4.79 - 8.63) 6.88 (5.47 - 8.62) 0.517
Region 3 7.95 (6.34 - 9.93) 9.14   (7.78 - 10.71) 0.126
Region 4 7.18 (5.26 - 9.74) 6.90 (5.19 - 9.12) 0.661
Region 5 8.53a   (6.29 - 11.47) 6.80 (5.21 - 8.81) 0.020
Region 6 8.66a   (6.54 - 11.38) 6.61 (5.18 - 8.40) 0.004
Hawaii 8.26 (7.02 - 9.70) 7.75 (6.67 - 9.00) 0.397
Hawaii Island 9.66   (7.03 - 13.15) 9.25   (6.99 - 12.15) 0.722
Honolulu 7.61 (6.30 - 9.16) 6.83 (5.71 - 8.15) 0.210
Kauai 10.00   (6.90 - 14.28) 10.55   (7.73 - 14.24) 0.677
Maui 9.93   (7.34 - 13.31) 10.55   (8.04 - 13.72) 0.596
Idaho 6.02b (5.10 - 7.10) 6.79 (5.86 - 7.85) 0.077
Region 1 5.64b (4.10 - 7.71) 6.91 (5.21 - 9.10) 0.053
Region 2 8.11   (5.80 - 11.21) 7.78   (5.69 - 10.54) 0.669
Region 3 5.10 (3.76 - 6.88) 5.17 (3.91 - 6.81) 0.890
Region 4 6.80a (5.35 - 8.60) 8.40   (6.83 - 10.28) 0.033
Region 5 5.43 (3.93 - 7.44) 5.90 (4.42 - 7.82) 0.405
Region 6 6.11 (4.35 - 8.52) 6.96 (5.04 - 9.54) 0.207
Region 7 5.33 (3.93 - 7.18) 5.45 (4.08 - 7.24) 0.815
Illinois 7.26a (6.65 - 7.93) 8.02 (7.32 - 8.77) 0.022
Region 1 (Cook) 8.31 (7.32 - 9.43) 8.61 (7.66 - 9.67) 0.526
Region 1.1 (Far North Side) -- (-- - --) 8.60   (6.36 - 11.52) --
Region 1.2 (Northwest Side) -- (-- - --) 8.07   (5.99 - 10.78) --
Region 1.3 (North Central Side) -- (-- - --) 11.10   (8.42 - 14.50) --
Region 1.4 (West Side) -- (-- - --) 10.84   (8.35 - 13.96) --
Region 1.5 (South Side) -- (-- - --) 12.13   (9.53 - 15.32) --
Region 1.6 (Southwest Side) -- (-- - --) 8.48   (6.53 - 10.94) --
Region 1.7 (Suburban Cook) -- (-- - --) 6.87 (5.75 - 8.21) --
Region 2 6.08a (5.25 - 7.02) 7.26 (6.38 - 8.25) 0.003
Region 2a (DuPage) -- (-- - --) 7.12 (5.62 - 8.99) --
Region 2b -- (-- - --) 7.40 (6.21 - 8.80) --
Region 2c (Winnebago) -- (-- - --) 7.83   (5.81 - 10.48) --
Region 2d -- (-- - --) 6.73 (5.17 - 8.71) --
Region 3 7.09a (5.81 - 8.62) 8.71   (7.28 - 10.39) 0.005
Region 3a (Champaign) -- (-- - --) 13.40 (10.55 - 16.87) --
Region 3b -- (-- - --) 7.93 (6.40 - 9.79) --
Region 4 6.37a (5.07 - 7.98) 7.58 (6.15 - 9.31) 0.026
Region 4a (Sangamon) -- (-- - --) 8.05   (5.96 - 10.80) --
Region 4b -- (-- - --) 7.44 (5.80 - 9.50) --
Region 5 7.54 (6.09 - 9.29) 7.50 (6.18 - 9.06) 0.940
Region 5a -- (-- - --) 8.07   (6.19 - 10.45) --
Region 5b -- (-- - --) 7.04 (5.46 - 9.02) --
Indiana 6.97a (5.96 - 8.14) 8.87   (7.76 - 10.11) 0.000
Central 6.64b (5.17 - 8.50) 7.88 (6.38 - 9.70) 0.054
East 7.41a (5.48 - 9.96) 10.34   (7.85 - 13.50) 0.000
North Central 6.56a (4.92 - 8.69) 8.42   (6.52 - 10.80) 0.007
Northeast 6.70a (4.92 - 9.07) 8.85   (6.72 - 11.57) 0.002
Northwest 6.18a (4.60 - 8.25) 8.30   (6.31 - 10.85) 0.002
Southeast 6.98a (5.09 - 9.51) 9.05   (6.86 - 11.85) 0.008
Southwest 6.92 (5.08 - 9.36) 7.62   (5.66 - 10.19) 0.297
West 8.96a   (6.81 - 11.70) 11.90   (9.23 - 15.21) 0.001
Iowa 5.48 (4.55 - 6.57) 4.98 (4.20 - 5.90) 0.173
Central 4.76 (3.48 - 6.49) 5.42 (4.07 - 7.19) 0.214
North Central 7.19a (5.31 - 9.66) 5.39 (4.00 - 7.22) 0.003
Northeast 5.48 (4.16 - 7.17) 5.24 (4.10 - 6.68) 0.642
Northwest 4.74 (3.36 - 6.65) 4.33 (3.19 - 5.85) 0.393
Southeast 6.01a (4.47 - 8.03) 4.72 (3.53 - 6.27) 0.015
Southwest 4.84 (3.47 - 6.70) 4.64 (3.33 - 6.43) 0.678
Kansas 5.25a (4.36 - 6.30) 7.01 (6.03 - 8.14) 0.000
Northeast -- (-- - --) 7.42 (6.13 - 8.97) --
Northwest and North Central -- (-- - --) 6.38 (4.53 - 8.91) --
South Central -- (-- - --) 6.62 (5.28 - 8.28) --
Southeast -- (-- - --) 7.30   (5.29 - 10.00) --
Southwest -- (-- - --) 5.93 (4.26 - 8.18) --
Kentucky1 6.19a (5.27 - 7.26) 7.24 (6.22 - 8.42) 0.008
Adanta, Cumberland River, and Lifeskills 4.95a (3.66 - 6.66) 6.32 (4.78 - 8.30) 0.007
Bluegrass, Comprehend, and North Key 6.50b (5.11 - 8.24) 7.67 (6.15 - 9.53) 0.061
Centerstone 7.32 (5.69 - 9.38) 8.31   (6.51 - 10.55) 0.148
Communicare and River Valley 6.66 (4.78 - 9.21) 6.72 (4.94 - 9.09) 0.920
Four Rivers and Pennyroyal 5.37 (3.79 - 7.57) 5.89 (4.27 - 8.07) 0.336
Kentucky River, Mountain, and Pathways 5.23a (3.78 - 7.20) 7.02 (5.18 - 9.44) 0.003
Louisiana 5.54a (4.64 - 6.60) 6.67 (5.72 - 7.76) 0.004
Regions 1 and 10 6.70a (5.12 - 8.74) 9.03   (7.20 - 11.28) 0.001
Region 1 7.67a   (5.48 - 10.64) 11.80   (8.91 - 15.47) 0.000
Region 10 (Jefferson) 5.70 (4.07 - 7.93) 6.01 (4.45 - 8.07) 0.601
Regions 2 and 9 5.84a (4.57 - 7.43) 7.11 (5.67 - 8.89) 0.032
Region 3 5.15 (3.60 - 7.32) 5.38 (4.01 - 7.18) 0.675
Regions 4, 5, and 6 5.09 (3.82 - 6.76) 5.78 (4.40 - 7.55) 0.198
Regions 7 and 8 4.75 (3.59 - 6.25) 5.44 (4.21 - 7.00) 0.137
Maine 11.72a (10.22 - 13.41) 14.91 (13.33 - 16.64) 0.000
Aroostook/Downeast 10.74a   (8.28 - 13.82) 14.70 (11.89 - 18.03) 0.000
Aroostook 9.05a   (6.57 - 12.34) 14.01 (10.75 - 18.05) 0.000
Downeast 12.11a   (8.54 - 16.91) 15.26 (11.55 - 19.88) 0.036
Central 11.90a   (9.13 - 15.36) 14.70 (11.64 - 18.40) 0.030
Cumberland 12.88a (10.16 - 16.20) 15.67 (13.03 - 18.73) 0.022
Midcoast 11.62b   (8.74 - 15.30) 13.97 (11.03 - 17.53) 0.079
Penquis 13.25a (10.36 - 16.80) 16.20 (13.06 - 19.92) 0.020
Western 11.89a   (9.32 - 15.04) 15.25 (12.22 - 18.86) 0.008
York 9.29a   (6.95 - 12.32) 13.44 (10.64 - 16.85) 0.001
Maryland 7.76a (6.66 - 9.03) 9.89   (8.74 - 11.18) 0.000
Anne Arundel 7.67a   (5.69 - 10.27) 9.76   (7.40 - 12.77) 0.006
Baltimore City 9.99a   (7.67 - 12.91) 15.37 (12.36 - 18.96) 0.000
Baltimore County 7.80a   (5.80 - 10.43) 9.91   (7.67 - 12.71) 0.009
Montgomery 6.91 (5.06 - 9.36) 7.44 (5.86 - 9.41) 0.479
North Central 6.43a (4.65 - 8.83) 7.83   (5.87 - 10.38) 0.038
Northeast 7.81a   (5.79 - 10.45) 9.22   (6.99 - 12.06) 0.046
Prince George's 8.55a   (6.56 - 11.08) 11.32   (8.99 - 14.17) 0.002
South 6.55a (4.79 - 8.90) 8.42   (6.31 - 11.15) 0.009
West 7.95a   (5.87 - 10.67) 10.10   (7.75 - 13.07) 0.006
Massachusetts 10.77a   (9.39 - 12.32) 12.24 (10.95 - 13.65) 0.019
Boston 13.12b (10.27 - 16.61) 15.34 (12.35 - 18.91) 0.059
Central 10.70   (8.16 - 13.91) 12.47   (9.83 - 15.69) 0.101
Metrowest 10.00a   (7.81 - 12.72) 12.29 (10.13 - 14.84) 0.020
Northeast 10.04   (7.87 - 12.72) 10.53   (8.61 - 12.81) 0.586
Southeast 10.95   (8.64 - 13.79) 11.33   (9.06 - 14.09) 0.679
Western 10.77a   (8.32 - 13.82) 12.86 (10.23 - 16.04) 0.031
Michigan 9.74b   (9.00 - 10.54) 10.45   (9.63 - 11.33) 0.091
Region 1 9.58   (7.29 - 12.48) 10.07   (7.78 - 12.94) 0.582
Region 2 8.39   (6.34 - 11.01) 8.40   (6.32 - 11.10) 0.983
Region 3 9.16   (7.60 - 11.01) 9.73   (8.09 - 11.66) 0.448
Region 4 10.24   (8.29 - 12.58) 9.63   (7.95 - 11.64) 0.472
Region 5 10.08   (8.69 - 11.65) 10.71   (9.18 - 12.47) 0.378
Region 6 8.40a   (6.84 - 10.27) 10.16   (8.23 - 12.47) 0.022
Region 7 11.13   (9.46 - 13.05) 12.31 (10.45 - 14.44) 0.188
Region 8 8.14a (6.63 - 9.96) 9.64   (8.03 - 11.51) 0.046
Region 9 9.87   (8.05 - 12.04) 10.15   (8.26 - 12.42) 0.739
Region 10 11.15   (9.13 - 13.56) 11.24   (9.03 - 13.92) 0.925
Minnesota 6.84b (5.82 - 8.02) 7.63 (6.58 - 8.83) 0.066
Regions 1 and 2 6.14a (4.38 - 8.55) 7.71 (5.91 - 9.99) 0.018
Region 1 -- (-- - --) 7.37   (5.27 - 10.22) --
Region 2 -- (-- - --) 7.91   (5.68 - 10.92) --
Regions 3 and 4 6.76 (5.11 - 8.90) 6.96 (5.52 - 8.75) 0.723
Region 3 -- (-- - --) 6.96 (4.91 - 9.77) --
Region 4 -- (-- - --) 6.97 (5.33 - 9.06) --
Regions 5 and 6 6.50 (4.88 - 8.63) 6.97 (5.52 - 8.78) 0.410
Region 5 -- (-- - --) 6.75 (5.04 - 8.97) --
Region 6 -- (-- - --) 7.21 (5.29 - 9.75) --
Region 7 -- (-- - --) 8.05 (6.80 - 9.50) --
Region 7A (Hennepin) 7.40 (5.66 - 9.60) 8.56   (6.75 - 10.80) 0.136
Region 7B (Ramsey) 8.61   (6.25 - 11.75) 8.44   (6.37 - 11.10) 0.836
Region 7C 6.16b (4.81 - 7.87) 7.37 (5.76 - 9.39) 0.055
Mississippi 5.54 (4.68 - 6.55) 5.76 (4.90 - 6.76) 0.537
Region 1 5.64 (4.29 - 7.38) 6.28 (4.94 - 7.95) 0.232
Region 2 5.86 (4.38 - 7.79) 6.12 (4.56 - 8.16) 0.649
Region 3 4.80 (3.56 - 6.44) 5.21 (3.87 - 6.98) 0.376
Region 4 6.18 (4.72 - 8.05) 6.16 (4.75 - 7.96) 0.976
Region 5 4.93 (3.45 - 7.00) 5.58 (3.94 - 7.86) 0.194
Region 6 4.95 (3.61 - 6.75) 5.30 (3.98 - 7.03) 0.479
Region 7 5.69 (4.17 - 7.72) 5.13 (3.77 - 6.94) 0.282
Missouri 7.20b (6.12 - 8.45) 7.97 (6.95 - 9.13) 0.082
Central 7.15 (5.54 - 9.19) 7.32 (5.56 - 9.57) 0.788
Eastern 7.44a (6.01 - 9.19) 8.97   (7.45 - 10.77) 0.015
Eastern (St. Louis City and County) 8.30a   (6.42 - 10.67) 9.96   (7.95 - 12.42) 0.045
Eastern (excluding St. Louis) 5.97a (4.48 - 7.91) 7.29 (5.64 - 9.38) 0.031
Northwest 8.05   (6.34 - 10.19) 8.65   (7.06 - 10.55) 0.367
Northwest (Jackson) 9.27   (6.86 - 12.40) 9.83   (7.67 - 12.53) 0.549
Northwest (excluding Jackson) 7.03 (5.13 - 9.58) 7.65 (5.83 - 9.99) 0.370
Southeast 5.48 (3.93 - 7.59) 6.25 (4.65 - 8.36) 0.195
Southwest 6.66 (4.91 - 8.98) 6.57 (5.04 - 8.54) 0.885
Montana 10.46a   (9.07 - 12.03) 11.80 (10.49 - 13.25) 0.047
Region 1 7.88b   (5.59 - 11.01) 9.49   (6.98 - 12.77) 0.087
Region 2 10.69   (8.12 - 13.95) 9.68   (7.57 - 12.30) 0.336
Region 3 10.26   (7.99 - 13.07) 9.35   (7.42 - 11.72) 0.345
Region 4 10.23a   (8.15 - 12.78) 13.06 (10.83 - 15.66) 0.006
Region 5 11.34a   (9.07 - 14.08) 13.94 (11.72 - 16.50) 0.026
Nebraska 5.97a (5.04 - 7.06) 6.95 (5.95 - 8.11) 0.024
Regions 1 and 2 6.09 (4.47 - 8.25) 6.12 (4.62 - 8.06) 0.958
Region 1 6.13 (4.20 - 8.86) 6.33 (4.47 - 8.91) 0.750
Region 2 6.06 (4.13 - 8.81) 5.93 (4.17 - 8.38) 0.827
Region 3 5.33 (3.96 - 7.14) 6.04 (4.60 - 7.90) 0.176
Region 4 4.93 (3.50 - 6.90) 5.47 (4.01 - 7.42) 0.289
Region 5 5.60a (4.33 - 7.22) 6.82 (5.34 - 8.66) 0.025
Region 6 6.63b (5.32 - 8.23) 7.90 (6.44 - 9.64) 0.058
Nevada 7.94 (6.67 - 9.42) 7.94 (6.83 - 9.22) 0.996
Clark - Region 1 7.60 (6.19 - 9.30) 7.63 (6.42 - 9.04) 0.969
Region 3 7.82   (5.83 - 10.40) 7.21 (5.41 - 9.54) 0.349
Capital District 8.30   (5.68 - 11.99) 7.44   (5.12 - 10.69) 0.314
Rural/Frontier 7.37   (5.15 - 10.45) 6.99 (4.96 - 9.79) 0.611
Washoe - Region 2 9.58   (7.36 - 12.39) 9.98   (7.78 - 12.70) 0.700
New Hampshire 10.92a   (9.62 - 12.37) 12.39 (11.03 - 13.88) 0.023
Central 11.67   (9.77 - 13.88) 12.86 (10.95 - 15.05) 0.168
Central 1 13.20 (10.63 - 16.27) 14.49 (11.73 - 17.77) 0.268
Central 2 10.18 (7.87 - 13.08) 11.26 (9.09 - 13.87) 0.299
Northern 12.40a (9.47 - 16.08) 14.86 (11.93 - 18.36) 0.047
Southern 10.22b (8.73 - 11.93) 11.61 (10.04 - 13.40) 0.051
Southern 1 (Rockingham) 9.04 (7.14 - 11.37) 9.26 (7.33 - 11.63) 0.778
Southern 2 10.96a (9.01 - 13.27) 13.08 (11.05 - 15.43) 0.025
New Jersey 6.01a (5.06 - 7.12) 7.02 (6.21 - 7.93) 0.022
Central 5.32a (4.02 - 7.01) 7.01 (5.67 - 8.65) 0.006
Metropolitan 5.56a (4.23 - 7.28) 6.73 (5.44 - 8.29) 0.042
Northern 6.19 (4.74 - 8.06) 6.78 (5.66 - 8.09) 0.367
Southern 6.99 (5.43 - 8.95) 7.76 (6.34 - 9.48) 0.249
New Mexico 9.61   (8.21 - 11.23) 10.68   (9.37 - 12.14) 0.118
Region 1 8.99   (6.82 - 11.76) 9.37   (7.37 - 11.84) 0.688
Region 2 8.76a   (6.44 - 11.81) 12.82   (9.91 - 16.42) 0.000
Region 3 (Bernalillo) 12.00   (9.65 - 14.83) 11.83   (9.82 - 14.20) 0.876
Region 4 7.72a   (5.72 - 10.35) 9.49   (7.27 - 12.28) 0.027
Region 5 8.15   (6.16 - 10.70) 9.35   (7.60 - 11.45) 0.119
Region 5a -- (-- - --) 10.10   (7.62 - 13.28) --
Region 5b (Dona Ana) -- (-- - --) 8.67   (6.60 - 11.31) --
New York1 8.59a (7.90 - 9.34) 9.64   (8.92 - 10.41) 0.004
Region 1: Long Island 8.94   (7.40 - 10.76) 8.84   (7.49 - 10.40) 0.882
Region 2: New York City 8.43a (7.46 - 9.50) 9.78   (8.79 - 10.87) 0.005
Region 2A: Bronx 7.05 (5.59 - 8.85) 7.62 (6.07 - 9.53) 0.402
Region 2B: Kings -- (-- - --) 10.56   (8.91 - 12.46) --
Region 2C: New York 9.75a   (7.82 - 12.08) 14.41 (11.99 - 17.23) 0.000
Region 2D: Queens 6.74 (5.32 - 8.49) 6.93 (5.61 - 8.52) 0.768
Region 2E: Richmond -- (-- - --) 8.99   (6.85 - 11.70) --
Region 3: Mid-Hudson -- (-- - --) 8.55   (7.11 - 10.25) --
Region 4: Capital Region -- (-- - --) 11.54   (9.42 - 14.06) --
Region 5: Mohawk Valley -- (-- - --) 9.94   (7.56 - 12.96) --
Region 6: North Country -- (-- - --) 10.41   (7.91 - 13.59) --
Region 7: Tug Hill Seaway -- (-- - --) 8.32   (6.28 - 10.95) --
Region 8: Central -- (-- - --) 10.32   (8.45 - 12.54) --
Region 9: Southern Tier -- (-- - --) 9.97   (7.82 - 12.63) --
Region 10: Finger Lakes -- (-- - --) 9.51   (7.69 - 11.71) --
Region 11: Western -- (-- - --) 10.37   (8.70 - 12.32) --
North Carolina 6.51a (5.52 - 7.67) 7.76 (6.91 - 8.71) 0.004
Alliance Behavioral Healthcare 1 6.91a (5.11 - 9.29) 8.78   (6.93 - 11.07) 0.010
Alliance Behavioral Healthcare 2 5.68a (4.07 - 7.89) 7.58 (5.82 - 9.82) 0.007
Cardinal Innovations Healthcare Solutions 1 6.29 (4.50 - 8.73) 7.06 (5.32 - 9.30) 0.272
Cardinal Innovations Healthcare Solutions 2 6.59 (4.86 - 8.88) 7.06 (5.38 - 9.21) 0.475
Cardinal Innovations Healthcare Solutions 3 7.22a (5.23 - 9.89) 9.30   (7.39 - 11.65) 0.015
CenterPoint Human Services 5.98a (4.31 - 8.23) 7.78   (5.90 - 10.20) 0.005
Eastpointe 5.19 (3.72 - 7.19) 6.02 (4.58 - 7.87) 0.154
Partners Behavioral Health Management 6.64 (4.84 - 9.05) 7.29 (5.60 - 9.44) 0.351
Sandhills Center 1 6.19 (4.29 - 8.85) 6.93 (5.16 - 9.25) 0.252
Sandhills Center 2 7.27a (5.31 - 9.89) 9.13   (6.93 - 11.94) 0.011
Smoky Mountain Center 1 6.81 (4.86 - 9.47) 7.96   (6.07 - 10.38) 0.111
Smoky Mountain Center 2 6.43 (4.49 - 9.12) 6.64 (4.92 - 8.90) 0.754
Trillium Health Resources 1 6.69b (4.80 - 9.24) 8.01   (6.24 - 10.23) 0.070
Trillium Health Resources 2 7.68b   (5.51 - 10.60) 9.10   (6.94 - 11.85) 0.054
North Dakota 5.58 (4.72 - 6.59) 5.71 (4.88 - 6.67) 0.736
Badlands and West Central 4.93 (3.75 - 6.45) 5.54 (4.41 - 6.93) 0.201
Badlands -- (-- - --) 4.86 (3.48 - 6.75) --
West Central -- (-- - --) 5.73 (4.44 - 7.38) --
Lake Region 4.14 (2.85 - 5.99) 4.35 (3.03 - 6.20) 0.651
North Central 5.67 (4.16 - 7.69) 5.62 (4.20 - 7.49) 0.931
Northeast 7.27 (5.56 - 9.44) 6.89 (5.31 - 8.88) 0.565
Northwest 5.81 (3.98 - 8.39) 5.13 (3.61 - 7.25) 0.242
South Central 4.67 (3.24 - 6.70) 4.59 (3.26 - 6.42) 0.853
Southeast 5.91 (4.65 - 7.49) 6.09 (4.89 - 7.57) 0.746
Ohio 7.37a (6.74 - 8.05) 8.14 (7.42 - 8.92) 0.035
Boards 2, 46, 55, and 68 6.30 (4.65 - 8.49) 6.59 (4.94 - 8.73) 0.662
Boards 3, 52, and 85 6.06 (4.53 - 8.07) 6.95 (5.19 - 9.27) 0.134
Boards 4 and 78 7.29 (5.35 - 9.86) 6.56 (4.87 - 8.78) 0.319
Boards 5 and 60 8.83   (6.84 - 11.34) 8.66   (6.62 - 11.24) 0.826
Boards 7, 15, 41, 79, and 84 5.67 (4.23 - 7.57) 6.30 (4.60 - 8.57) 0.339
Boards 8, 13, and 83 5.57 (4.18 - 7.37) 6.36 (4.74 - 8.49) 0.164
Board 9 (Butler) 7.20a (5.43 - 9.49) 8.74   (6.79 - 11.18) 0.027
Board 12 7.28 (5.44 - 9.67) 8.06   (6.10 - 10.59) 0.250
Boards 18 and 47 7.10a (5.87 - 8.57) 8.65   (7.15 - 10.43) 0.025
Boards 20, 32, 54, and 69 5.70 (4.22 - 7.66) 6.36 (4.81 - 8.37) 0.278
Boards 21, 39, 51, 70, and 80 5.49a (4.18 - 7.19) 7.05 (5.34 - 9.24) 0.013
Boards 22, 74, and 87 6.48 (4.83 - 8.64) 7.60 (5.81 - 9.88) 0.103
Boards 23 and 45 6.95 (5.28 - 9.08) 7.10 (5.38 - 9.33) 0.812
Board 25 (Franklin) 10.61   (8.76 - 12.81) 9.95   (8.22 - 12.01) 0.462
Boards 27, 71, and 73 7.34 (5.47 - 9.77) 8.51   (6.45 - 11.13) 0.156
Boards 28, 43, and 67 6.75 (5.26 - 8.63) 6.70 (5.07 - 8.81) 0.935
Board 31 (Hamilton) 8.37b   (6.62 - 10.53) 9.81   (7.89 - 12.14) 0.092
Board 48 (Lucas) 8.12a   (6.12 - 10.69) 10.05   (7.76 - 12.92) 0.021
Boards 50 and 76 6.62a (5.12 - 8.52) 8.24   (6.47 - 10.43) 0.025
Board 57 (Montgomery) 7.20 (5.47 - 9.42) 8.20   (6.37 - 10.50) 0.168
Board 77 (Summit) 8.81   (6.79 - 11.35) 8.61   (6.67 - 11.06) 0.823
Oklahoma 6.08 (5.08 - 7.27) 5.90 (5.00 - 6.96) 0.669
Central 6.50a (4.82 - 8.71) 5.39 (4.00 - 7.21) 0.048
East Central 5.16 (3.67 - 7.21) 4.54 (3.27 - 6.28) 0.250
Northeast 5.42 (3.94 - 7.41) 5.82 (4.33 - 7.78) 0.492
Northwest and Southwest 6.07 (4.39 - 8.34) 5.69 (4.20 - 7.68) 0.522
Oklahoma County 7.02 (5.29 - 9.26) 7.02 (5.39 - 9.10) 0.997
Southeast 4.32 (3.04 - 6.10) 4.81 (3.47 - 6.62) 0.349
Tulsa County 7.32 (5.43 - 9.79) 7.11 (5.46 - 9.21) 0.780
Oregon 12.19a (10.69 - 13.87) 14.71 (13.23 - 16.32) 0.001
Region 1 (Multnomah) 13.32a (10.57 - 16.64) 19.79 (16.75 - 23.22) 0.000
Region 2 12.56 (10.02 - 15.62) 12.03   (9.96 - 14.46) 0.639
Region 3 12.03a   (9.83 - 14.64) 14.57 (12.33 - 17.14) 0.026
Region 4 11.79b   (8.83 - 15.58) 14.26 (11.47 - 17.60) 0.099
Region 5 (Central) 10.65   (7.65 - 14.64) 11.95   (8.77 - 16.07) 0.272
Region 6 (Eastern) 10.23a   (7.22 - 14.28) 12.74   (9.66 - 16.62) 0.045
Pennsylvania 6.84a (6.24 - 7.49) 8.12 (7.41 - 8.88) 0.000
Region 1 (Allegheny) 7.91a (6.43 - 9.70) 9.63   (7.77 - 11.87) 0.023
Regions 3, 8, 9, and 51 6.82b (5.42 - 8.55) 7.99   (6.30 - 10.09) 0.072
Regions 4, 11, 37, and 49 6.34 (4.95 - 8.10) 7.02 (5.40 - 9.06) 0.283
Regions 5, 18, 23, 24, and 46 5.30 (4.08 - 6.87) 5.80 (4.54 - 7.38) 0.327
Regions 6, 12, 16, 31, 35, 45, and 47 6.96a (5.57 - 8.68) 8.65   (6.88 - 10.83) 0.007
Regions 7, 13, 20, and 33 6.70b (5.58 - 8.02) 7.73 (6.53 - 9.13) 0.065
Regions 10, 15, 27, 32, 43, and 44 5.57 (4.19 - 7.37) 6.03 (4.44 - 8.13) 0.419
Regions 17 and 21 6.20b (4.67 - 8.19) 7.24 (5.41 - 9.62) 0.100
Regions 19, 26, 28, and 42 5.50b (4.48 - 6.75) 6.39 (5.19 - 7.85) 0.066
Regions 22, 38, 40, 41, and 48 4.27a (3.23 - 5.64) 5.48 (4.17 - 7.17) 0.013
Regions 29 and 34 7.41 (5.63 - 9.70) 7.19 (5.55 - 9.26) 0.730
Regions 30 and 50 6.44 (4.91 - 8.39) 7.10 (5.40 - 9.27) 0.300
Region 36 (Philadelphia) 10.44a   (8.66 - 12.53) 13.94 (11.61 - 16.65) 0.000
Rhode Island 13.47 (11.94 - 15.16) 14.38 (12.86 - 16.04) 0.228
Region 1: Southern Providence County -- (-- - --) 13.91 (11.22 - 17.11) --
Region 2: Northern Providence County/ Blackstone Valley -- (-- - --) 12.99 (10.51 - 15.94) --
Region 3: Providence -- (-- - --) 16.84 (13.59 - 20.69) --
Region 4: Kent County -- (-- - --) 12.30   (9.81 - 15.32) --
Region 5: East Bay -- (-- - --) 16.80 (13.43 - 20.80) --
Region 6: Newport County -- (-- - --) 14.01 (10.84 - 17.93) --
Region 7: South County -- (-- - --) 15.22 (12.36 - 18.60) --
South Carolina 7.02 (5.97 - 8.24) 7.05 (6.14 - 8.08) 0.952
Region 1 6.98 (5.38 - 9.01) 6.19 (4.92 - 7.75) 0.171
Region 2 7.10 (5.53 - 9.08) 8.08 (6.54 - 9.95) 0.124
Region 3 6.99 (5.24 - 9.27) 6.35 (4.85 - 8.28) 0.286
Region 4 7.01 (5.48 - 8.93) 7.55 (6.06 - 9.37) 0.387
South Dakota 5.14a (4.28 - 6.16) 7.10 (6.14 - 8.19) 0.000
Region 1 5.46a (4.08 - 7.26) 8.89   (7.14 - 11.03) 0.000
Region 2 5.29 (3.63 - 7.65) 6.35 (4.60 - 8.71) 0.118
Region 3 4.79a (3.63 - 6.29) 6.22 (4.88 - 7.91) 0.007
Region 4 5.41a (3.95 - 7.35) 7.65 (5.91 - 9.85) 0.001
Region 5 4.97a (3.79 - 6.49) 6.24 (4.91 - 7.90) 0.029
Tennessee 5.29a (4.40 - 6.35) 6.99 (5.97 - 8.16) 0.000
Region 1 4.75b (3.32 - 6.76) 5.77 (4.20 - 7.89) 0.077
Region 2 4.76a (3.49 - 6.46) 6.29 (4.80 - 8.20) 0.007
Region 3 4.77a (3.49 - 6.48) 5.91 (4.49 - 7.74) 0.034
Region 4 (Davidson) 6.00a (4.33 - 8.25) 9.61   (7.20 - 12.73) 0.000
Region 5 6.12a (4.61 - 8.09) 7.86   (6.15 - 10.00) 0.017
Region 6 4.69a (3.36 - 6.51) 6.16 (4.50 - 8.38) 0.007
Region 7 (Shelby) 5.36a (3.91 - 7.29) 6.97 (5.24 - 9.21) 0.016
Texas 5.62b (5.13 - 6.16) 6.06 (5.52 - 6.64) 0.093
Region 1 6.08 (4.64 - 7.93) 5.96 (4.51 - 7.82) 0.802
Region 2 6.40 (4.70 - 8.67) 7.30 (5.49 - 9.64) 0.143
Region 3 5.67 (4.90 - 6.55) 5.83 (5.09 - 6.68) 0.630
Region 3a 5.48 (4.55 - 6.58) 5.63 (4.73 - 6.68) 0.719
Region 3bc 6.00 (4.87 - 7.37) 6.20 (5.06 - 7.57) 0.681
Region 4 5.17 (3.88 - 6.84) 5.65 (4.37 - 7.27) 0.318
Region 5 5.98a (4.51 - 7.89) 7.06 (5.36 - 9.25) 0.044
Region 6 5.15a (4.35 - 6.09) 5.98 (5.09 - 7.02) 0.030
Region 6a 5.02a (4.17 - 6.03) 5.99 (5.04 - 7.11) 0.017
Region 6bc 6.24 (4.60 - 8.42) 5.88 (4.35 - 7.90) 0.518
Region 7 7.44b (6.25 - 8.83) 8.41 (7.12 - 9.92) 0.080
Region 7a 8.37   (6.73 - 10.35) 9.04   (7.34 - 11.08) 0.376
Region 7bcd 5.84a (4.56 - 7.44) 7.31 (5.76 - 9.25) 0.008
Region 8 5.93 (4.78 - 7.34) 5.27 (4.24 - 6.54) 0.151
Region 9 6.08 (4.50 - 8.17) 6.84 (5.09 - 9.13) 0.166
Region 10 4.23b (3.25 - 5.49) 4.98 (3.73 - 6.63) 0.051
Region 11 3.93 (3.16 - 4.87) 4.26 (3.44 - 5.28) 0.309
Region 11abd 4.18 (3.20 - 5.45) 4.22 (3.23 - 5.50) 0.910
Region 11c (Hidalgo) 3.49a (2.59 - 4.68) 4.33 (3.19 - 5.85) 0.028
Utah 5.39 (4.53 - 6.41) 5.30 (4.52 - 6.21) 0.822
Bear River, Northeastern, Summit, Tooele, and Wasatch 4.49 (3.26 - 6.16) 5.20 (3.77 - 7.14) 0.147
Central, Four Corners, San Juan, and Southwest 4.89 (3.45 - 6.89) 4.54 (3.44 - 5.96) 0.424
Central, Four Corners, and San Juan -- (-- - --) 4.38 (3.06 - 6.22) --
Southwest -- (-- - --) 4.63 (3.29 - 6.50) --
Davis County 4.72 (3.38 - 6.56) 4.63 (3.27 - 6.53) 0.853
Salt Lake County 6.61 (5.25 - 8.29) 6.50 (5.32 - 7.93) 0.863
Utah County 4.39 (3.24 - 5.92) 4.32 (3.22 - 5.77) 0.873
Weber, Morgan 4.89 (3.43 - 6.93) 4.19 (3.00 - 5.81) 0.144
Vermont 13.01a (11.46 - 14.73) 16.25 (14.63 - 18.01) 0.000
Champlain Valley 13.87a (11.82 - 16.20) 17.86 (15.58 - 20.40) 0.000
Rural Northeast 12.68a (10.03 - 15.91) 16.60 (13.63 - 20.08) 0.004
Rural Southeast 13.01 (10.21 - 16.44) 14.46 (11.81 - 17.59) 0.251
Rural Southwest 11.31a   (8.66 - 14.65) 13.92 (11.12 - 17.29) 0.032
Virginia 6.40 (5.45 - 7.50) 6.58 (5.84 - 7.40) 0.660
Region 1 7.80b   (5.97 - 10.12) 6.69 (5.32 - 8.37) 0.091
Region 2 5.04 (3.81 - 6.63) 5.16 (4.14 - 6.40) 0.830
Region 3 6.83 (5.25 - 8.84) 6.81 (5.46 - 8.47) 0.969
Region 4 6.15a (4.64 - 8.11) 7.51 (6.03 - 9.31) 0.046
Region 5 6.99 (5.42 - 8.96) 7.45 (6.10 - 9.05) 0.501
Washington1 12.74 (11.26 - 14.40) 12.22 (10.76 - 13.83) 0.473
Region 1 10.53   (8.45 - 13.04) 11.49   (9.36 - 14.04) 0.251
Greater Columbia and North Central 8.90   (6.68 - 11.77) 9.89   (7.61 - 12.76) 0.276
Spokane 12.89   (9.75 - 16.86) 13.85 (10.56 - 17.96) 0.448
Region 2 14.31a (12.29 - 16.58) 12.32 (10.51 - 14.40) 0.039
King 12.74 (10.45 - 15.44) 12.03   (9.93 - 14.51) 0.512
North Sound 17.06a (13.70 - 21.04) 12.84 (10.14 - 16.11) 0.003
Region 3 12.01 (10.06 - 14.28) 12.55 (10.62 - 14.77) 0.529
Pierce 12.23   (9.33 - 15.85) 13.67 (10.94 - 16.95) 0.255
Salish 12.91   (9.35 - 17.56) 11.99   (8.85 - 16.05) 0.475
SW WA and Great Rivers 10.74   (8.17 - 14.01) 11.66   (8.82 - 15.27) 0.388
Thurston-Mason 13.27   (9.65 - 17.99) 12.35   (8.99 - 16.73) 0.445
West Virginia 5.76a (4.84 - 6.84) 6.87 (5.91 - 7.97) 0.008
Region I 4.89b (3.37 - 7.04) 5.90 (4.16 - 8.30) 0.077
Region II 5.89 (4.29 - 8.04) 6.48 (4.88 - 8.54) 0.326
Region III 4.45a (3.03 - 6.48) 6.28 (4.55 - 8.60) 0.002
Region IV 7.17 (5.61 - 9.11) 8.05   (6.46 - 10.00) 0.175
Region V 5.77a (4.40 - 7.52) 7.66 (6.05 - 9.65) 0.005
Region VI 4.98 (3.66 - 6.73) 5.24 (3.95 - 6.93) 0.644
Wisconsin 6.63 (5.62 - 7.79) 7.33 (6.33 - 8.48) 0.105
Milwaukee 7.69   (5.78 - 10.16) 8.56   (6.63 - 10.97) 0.282
Northeastern 5.53 (4.15 - 7.32) 5.91 (4.52 - 7.70) 0.479
Northern 5.12a (3.63 - 7.18) 6.39 (4.68 - 8.68) 0.038
Southeastern 6.45 (4.86 - 8.51) 6.84 (5.28 - 8.80) 0.542
Southern 7.49 (5.72 - 9.73) 8.46   (6.70 - 10.64) 0.184
Western 7.12 (5.36 - 9.39) 7.86   (6.01 - 10.21) 0.275
Wyoming 6.26 (5.26 - 7.43) 6.46 (5.49 - 7.59) 0.638
Judicial District 1 (Laramie) 6.58 (4.84 - 8.88) 7.19 (5.51 - 9.34) 0.379
Judicial District 2 8.84   (6.69 - 11.59) 8.66   (6.69 - 11.14) 0.828
Judicial District 3 5.06 (3.68 - 6.93) 5.32 (3.90 - 7.24) 0.650
Judicial District 4 6.14 (4.26 - 8.78) 5.70 (4.00 - 8.04) 0.497
Judicial District 5 5.13 (3.59 - 7.28) 4.52 (3.19 - 6.36) 0.240
Judicial District 6 5.07 (3.65 - 7.01) 5.69 (4.18 - 7.69) 0.273
Judicial District 7 (Natrona) 6.01 (4.37 - 8.20) 6.73 (5.02 - 8.96) 0.280
Judicial District 8 5.29 (3.71 - 7.48) 5.78 (4.14 - 8.02) 0.402
Judicial District 9 7.88   (5.64 - 10.89) 7.69   (5.76 - 10.19) 0.832
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2012-2014 and 2014-2016); hence, the 2012-2014 estimates and p values are not available for these regions. The definitions of the substate regions listed in this table are provided in the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
NOTE: Substate, state, and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and are generated by Markov Chain Monte Carlo techniques, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2012-2014 and 2014-2016 population percentages. The "Total U.S." estimates, along with the 95 percent confidence intervals and the p values, are based on design-based (direct) estimation methods.
a Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.10 level.
1 Names of some of the substate regions for this state have changed across the two time periods (2012-2014 vs. 2014-2016). For details, see the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012-2016.
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Table 3 – Cocaine Use in the Past Year among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2012-2014 and 2014-2016 NSDUHs
State/Substate Region 2012-2014
(Estimate)
2012-2014
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 1.70a (1.62 - 1.79) 1.80 (1.72 - 1.88) 0.043
Northeast 1.99a (1.80 - 2.21) 2.25 (2.06 - 2.45) 0.015
Midwest 1.40 (1.28 - 1.54) 1.43 (1.30 - 1.57) 0.703
South 1.53 (1.41 - 1.66) 1.53 (1.42 - 1.65) 0.982
West 2.02a (1.82 - 2.24) 2.23 (2.05 - 2.42) 0.050
Alabama 1.22 (0.85 - 1.74) 1.19 (0.85 - 1.66) 0.819
Region 1 1.12 (0.69 - 1.83) 0.87 (0.53 - 1.42) 0.125
Region 2 1.55 (0.97 - 2.46) 1.69 (1.07 - 2.66) 0.572
Region 3 0.96 (0.56 - 1.65) 1.09 (0.62 - 1.89) 0.481
Region 4 1.08 (0.64 - 1.81) 0.95 (0.53 - 1.67) 0.477
Alaska 1.65a (1.23 - 2.22) 2.13 (1.66 - 2.74) 0.021
Anchorage 1.76a (1.22 - 2.55) 2.37 (1.73 - 3.25) 0.038
Northern 1.42 (0.88 - 2.29) 1.75 (1.12 - 2.72) 0.180
South Central 1.66b (1.05 - 2.63) 2.22 (1.46 - 3.37) 0.068
Southeast 1.66 (1.01 - 2.72) 1.81 (1.09 - 3.00) 0.602
Arizona1 2.19 (1.65 - 2.91) 2.19 (1.71 - 2.80) 0.994
Central 2.19 (1.55 - 3.07) 2.11 (1.57 - 2.84) 0.813
North -- (-- - --) 2.21 (1.35 - 3.58) --
South -- (-- - --) 2.34 (1.62 - 3.38) --
South A 2.58 (1.63 - 4.07) 2.86 (1.85 - 4.40) 0.517
South B -- (-- - --) 1.72 (1.01 - 2.89) --
Arkansas 1.26 (0.90 - 1.77) 1.13 (0.81 - 1.57) 0.313
Catchment Area 1 1.26 (0.78 - 2.04) 1.04 (0.61 - 1.78) 0.262
Catchment Area 2 1.04 (0.60 - 1.79) 0.89 (0.50 - 1.58) 0.384
Catchment Area 3 1.09 (0.63 - 1.88) 1.05 (0.60 - 1.84) 0.849
Catchment Area 4 1.19 (0.70 - 2.02) 0.93 (0.53 - 1.63) 0.167
Catchment Area 5 1.58 (0.96 - 2.58) 1.22 (0.72 - 2.08) 0.110
Catchment Area 6 1.50 (0.84 - 2.65) 1.27 (0.69 - 2.33) 0.394
Catchment Area 7 1.05 (0.59 - 1.86) 1.04 (0.56 - 1.93) 0.978
Catchment Area 8 1.32 (0.76 - 2.27) 1.41 (0.85 - 2.34) 0.684
California 2.12a (1.82 - 2.46) 2.44 (2.16 - 2.74) 0.049
Region 1R 2.26 (1.49 - 3.42) 2.49 (1.61 - 3.81) 0.543
Region 2R 2.25 (1.50 - 3.35) 2.48 (1.66 - 3.69) 0.506
Region 3R (Sacramento) 1.91 (1.27 - 2.86) 2.20 (1.47 - 3.28) 0.324
Region 4R 1.79b (1.20 - 2.67) 2.32 (1.55 - 3.48) 0.089
Region 5R (San Francisco) 3.66a (2.33 - 5.69) 5.35 (3.58 - 7.92) 0.013
Region 6 (Santa Clara) 1.37 (0.87 - 2.15) 1.69 (1.16 - 2.46) 0.193
Region 7R (Contra Costa) 1.88 (1.21 - 2.92) 2.26 (1.51 - 3.38) 0.216
Region 8R (Alameda) 2.22 (1.48 - 3.32) 2.72 (1.86 - 3.97) 0.165
Region 9R (San Mateo) 1.46a (0.90 - 2.36) 2.15 (1.38 - 3.33) 0.009
Region 10 3.00 (2.01 - 4.45) 3.48 (2.36 - 5.09) 0.263
Region 11 (Los Angeles) 2.17b (1.77 - 2.65) 2.52 (2.12 - 3.00) 0.073
LA SPA 1 and 5 2.32 (1.49 - 3.59) 2.90 (1.92 - 4.34) 0.131
LA SPA 2 2.24 (1.53 - 3.27) 2.34 (1.63 - 3.34) 0.773
LA SPA 3 1.78 (1.17 - 2.69) 1.86 (1.24 - 2.79) 0.749
LA SPA 4 3.32a (2.14 - 5.11) 4.47 (3.06 - 6.47) 0.041
LA SPA 6 1.97 (1.26 - 3.07) 2.38 (1.52 - 3.71) 0.248
LA SPA 7 1.88 (1.29 - 2.73) 1.89 (1.23 - 2.90) 0.962
LA SPA 8 1.89b (1.26 - 2.81) 2.40 (1.64 - 3.49) 0.088
Region 12R 1.89 (1.20 - 2.99) 2.06 (1.27 - 3.34) 0.574
Regions 13 and 19R 1.93 (1.32 - 2.81) 1.69 (1.18 - 2.40) 0.349
Region 14 (Orange) 2.26 (1.60 - 3.20) 2.35 (1.67 - 3.30) 0.788
Region 15R (Fresno) 1.93 (1.24 - 3.00) 2.06 (1.32 - 3.18) 0.673
Region 16R (San Diego) 2.04a (1.42 - 2.94) 2.96 (2.21 - 3.96) 0.009
Region 17R 2.26 (1.50 - 3.37) 1.91 (1.30 - 2.78) 0.279
Region 18R (San Bernardino) 1.94 (1.32 - 2.85) 1.85 (1.23 - 2.76) 0.744
Region 20R 2.13 (1.38 - 3.28) 2.12 (1.35 - 3.33) 0.970
Region 21R 2.19 (1.44 - 3.31) 2.73 (1.79 - 4.16) 0.117
Colorado 2.83 (2.19 - 3.66) 2.54 (2.02 - 3.19) 0.294
Region 1 -- (-- - --) 2.52 (1.66 - 3.80) --
Region 2 -- (-- - --) 2.17 (1.31 - 3.57) --
Region 3 -- (-- - --) 2.46 (1.69 - 3.56) --
Region 4 -- (-- - --) 1.91 (1.15 - 3.14) --
Region 5 -- (-- - --) 3.67 (2.45 - 5.46) --
Region 6 -- (-- - --) 2.79 (1.84 - 4.21) --
Region 7 -- (-- - --) 1.88 (1.15 - 3.05) --
Connecticut 1.94b (1.46 - 2.57) 2.39 (1.88 - 3.03) 0.082
Eastern 1.96 (1.25 - 3.07) 2.46 (1.56 - 3.87) 0.192
North Central 2.34 (1.56 - 3.52) 2.74 (1.88 - 3.97) 0.336
Northwestern 1.56a (0.96 - 2.51) 2.26 (1.47 - 3.46) 0.029
South Central 1.72 (1.09 - 2.69) 2.25 (1.51 - 3.34) 0.121
Southwest 1.95 (1.23 - 3.08) 2.13 (1.38 - 3.29) 0.593
Delaware 1.79 (1.33 - 2.42) 2.00 (1.55 - 2.59) 0.331
Kent 1.52 (0.92 - 2.51) 1.68 (1.03 - 2.73) 0.556
New Castle (excluding Wilmington City) 1.95 (1.36 - 2.78) 2.24 (1.66 - 3.03) 0.329
Sussex 1.48 (0.91 - 2.41) 1.62 (0.98 - 2.67) 0.567
Wilmington City 2.30 (1.29 - 4.07) 2.26 (1.27 - 3.99) 0.914
District of Columbia 3.22 (2.48 - 4.17) 3.44 (2.71 - 4.36) 0.545
Ward 1 3.87 (2.49 - 5.98) 3.74 (2.39 - 5.81) 0.839
Ward 2 4.82 (3.12 - 7.37) 5.14 (3.43 - 7.64) 0.691
Ward 3 3.25 (2.12 - 4.94) 3.13 (2.03 - 4.81) 0.827
Ward 4 2.95 (1.81 - 4.77) 2.93 (1.75 - 4.86) 0.961
Ward 5 2.81 (1.78 - 4.41) 3.54 (2.16 - 5.75) 0.187
Ward 6 2.96 (1.83 - 4.76) 2.87 (1.85 - 4.41) 0.855
Ward 7 2.35b (1.31 - 4.17) 3.37 (2.01 - 5.62) 0.075
Ward 8 2.53 (1.49 - 4.24) 2.67 (1.55 - 4.58) 0.792
Florida 2.00 (1.69 - 2.38) 1.79 (1.52 - 2.11) 0.151
Broward (Circuit 17) 1.95 (1.31 - 2.89) 1.82 (1.21 - 2.73) 0.626
Central I 2.35 (1.77 - 3.11) 2.07 (1.56 - 2.75) 0.237
Circuit 9 2.27 (1.57 - 3.27) 2.08 (1.45 - 2.98) 0.506
Circuit 18 2.47 (1.68 - 3.61) 2.06 (1.33 - 3.18) 0.185
Central II 1.98 (1.57 - 2.49) 1.72 (1.35 - 2.17) 0.147
Circuit 6 2.17 (1.45 - 3.24) 1.74 (1.15 - 2.61) 0.137
Circuit 10 1.68 (1.04 - 2.68) 1.64 (1.03 - 2.59) 0.886
Circuit 12 1.85 (1.22 - 2.80) 1.63 (1.02 - 2.62) 0.412
Circuit 13 (Hillsborough) 1.83 (1.23 - 2.72) 1.92 (1.29 - 2.83) 0.742
Circuit 20 2.17a (1.41 - 3.35) 1.58 (0.99 - 2.51) 0.037
Northeast 2.03b (1.56 - 2.64) 1.68 (1.28 - 2.21) 0.068
Circuit 4 2.19 (1.42 - 3.36) 1.68 (1.04 - 2.70) 0.104
Circuit 5 1.65 (1.06 - 2.55) 1.28 (0.78 - 2.10) 0.103
Circuit 7 2.17 (1.41 - 3.33) 2.08 (1.34 - 3.22) 0.769
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee 2.25 (1.48 - 3.40) 1.84 (1.11 - 3.03) 0.210
Northwest 2.40 (1.76 - 3.25) 2.35 (1.76 - 3.12) 0.845
Circuit 1 2.44 (1.56 - 3.81) 2.43 (1.62 - 3.62) 0.967
Circuit 2 plus Madison and Taylor 2.66 (1.72 - 4.08) 2.50 (1.63 - 3.82) 0.688
Circuit 14 1.90 (1.13 - 3.17) 1.92 (1.13 - 3.25) 0.946
South (Circuits 11 and 16) 1.55 (1.08 - 2.23) 1.35 (0.91 - 2.00) 0.332
Southeast 1.97 (1.42 - 2.73) 1.97 (1.41 - 2.73) 0.981
Circuit 15 (Palm Beach) 2.07 (1.40 - 3.05) 2.14 (1.44 - 3.17) 0.817
Circuit 19 1.76 (1.09 - 2.83) 1.60 (0.97 - 2.61) 0.532
Georgia 1.70 (1.25 - 2.31) 1.73 (1.35 - 2.21) 0.887
Region 1 1.33 (0.84 - 2.12) 1.28 (0.85 - 1.92) 0.815
Region 2 1.81 (1.10 - 2.97) 1.44 (0.89 - 2.34) 0.214
Region 3 2.15 (1.36 - 3.37) 2.70 (1.90 - 3.83) 0.200
Region 4 1.68 (0.96 - 2.92) 1.66 (0.95 - 2.90) 0.953
Region 5 1.53 (0.90 - 2.57) 1.29 (0.78 - 2.13) 0.352
Region 6 1.46 (0.86 - 2.46) 1.13 (0.68 - 1.89) 0.168
Hawaii 1.67 (1.18 - 2.34) 2.00 (1.53 - 2.60) 0.173
Hawaii Island 1.53 (0.88 - 2.67) 1.94 (1.17 - 3.19) 0.211
Honolulu 1.75 (1.19 - 2.57) 1.89 (1.39 - 2.56) 0.625
Kauai 1.49a (0.84 - 2.65) 2.47 (1.40 - 4.32) 0.004
Maui 1.39a (0.80 - 2.40) 2.55 (1.55 - 4.16) 0.001
Idaho 1.09 (0.78 - 1.51) 1.15 (0.85 - 1.57) 0.592
Region 1 0.87 (0.49 - 1.52) 1.10 (0.62 - 1.93) 0.192
Region 2 1.19 (0.70 - 2.03) 1.49 (0.86 - 2.57) 0.164
Region 3 0.99 (0.60 - 1.65) 0.79 (0.46 - 1.37) 0.213
Region 4 1.30 (0.83 - 2.02) 1.51 (1.00 - 2.28) 0.328
Region 5 0.94 (0.56 - 1.58) 0.85 (0.50 - 1.44) 0.548
Region 6 1.18 (0.68 - 2.02) 1.15 (0.65 - 2.04) 0.894
Region 7 1.00 (0.60 - 1.67) 0.98 (0.58 - 1.65) 0.915
Illinois 1.79 (1.49 - 2.15) 1.74 (1.43 - 2.12) 0.770
Region 1 (Cook) 2.05 (1.55 - 2.70) 1.92 (1.49 - 2.48) 0.583
Region 1.1 (Far North Side) -- (-- - --) 2.16 (1.31 - 3.53) --
Region 1.2 (Northwest Side) -- (-- - --) 1.65 (0.98 - 2.76) --
Region 1.3 (North Central Side) -- (-- - --) 3.29 (2.01 - 5.36) --
Region 1.4 (West Side) -- (-- - --) 2.66 (1.60 - 4.39) --
Region 1.5 (South Side) -- (-- - --) 2.51 (1.41 - 4.43) --
Region 1.6 (Southwest Side) -- (-- - --) 1.76 (0.99 - 3.10) --
Region 1.7 (Suburban Cook) -- (-- - --) 1.37 (0.92 - 2.04) --
Region 2 1.56 (1.18 - 2.08) 1.52 (1.17 - 1.98) 0.818
Region 2a (DuPage) -- (-- - --) 1.54 (1.00 - 2.37) --
Region 2b -- (-- - --) 1.52 (1.06 - 2.18) --
Region 2c (Winnebago) -- (-- - --) 1.46 (0.84 - 2.53) --
Region 2d -- (-- - --) 1.52 (0.94 - 2.44) --
Region 3 1.73 (1.19 - 2.52) 1.84 (1.32 - 2.56) 0.688
Region 3a (Champaign) -- (-- - --) 2.94 (1.87 - 4.61) --
Region 3b -- (-- - --) 1.65 (1.12 - 2.44) --
Region 4 1.83 (1.21 - 2.77) 1.48 (0.99 - 2.22) 0.199
Region 4a (Sangamon) -- (-- - --) 1.55 (0.92 - 2.61) --
Region 4b -- (-- - --) 1.46 (0.91 - 2.35) --
Region 5 1.46 (0.95 - 2.24) 1.79 (1.25 - 2.54) 0.182
Region 5a -- (-- - --) 1.92 (1.20 - 3.07) --
Region 5b -- (-- - --) 1.68 (1.06 - 2.66) --
Indiana 1.31 (0.97 - 1.78) 1.17 (0.86 - 1.60) 0.287
Central 1.41 (0.90 - 2.21) 1.19 (0.74 - 1.90) 0.289
East 1.22 (0.72 - 2.07) 1.19 (0.69 - 2.02) 0.861
North Central 1.04 (0.63 - 1.73) 1.08 (0.62 - 1.88) 0.831
Northeast 1.17 (0.70 - 1.93) 1.16 (0.67 - 2.00) 0.964
Northwest 1.41 (0.85 - 2.32) 1.21 (0.70 - 2.10) 0.388
Southeast 1.21 (0.71 - 2.03) 1.04 (0.60 - 1.81) 0.393
Southwest 1.16 (0.67 - 2.01) 0.99 (0.56 - 1.73) 0.363
West 1.73 (1.10 - 2.73) 1.48 (0.88 - 2.48) 0.315
Iowa 1.27b (0.92 - 1.75) 1.05 (0.76 - 1.46) 0.093
Central 1.07 (0.64 - 1.80) 1.13 (0.67 - 1.88) 0.781
North Central 1.74a (1.06 - 2.84) 1.06 (0.61 - 1.84) 0.005
Northeast 1.36 (0.83 - 2.22) 1.20 (0.75 - 1.92) 0.456
Northwest 1.02 (0.59 - 1.78) 0.86 (0.50 - 1.49) 0.315
Southeast 1.38b (0.85 - 2.21) 1.04 (0.61 - 1.76) 0.091
Southwest 1.02 (0.59 - 1.74) 0.87 (0.48 - 1.55) 0.384
Kansas 1.33 (0.97 - 1.82) 1.16 (0.85 - 1.59) 0.264
Northeast -- (-- - --) 1.16 (0.78 - 1.73) --
Northwest and North Central -- (-- - --) 1.38 (0.76 - 2.48) --
South Central -- (-- - --) 1.05 (0.67 - 1.64) --
Southeast -- (-- - --) 1.23 (0.69 - 2.20) --
Southwest -- (-- - --) 1.30 (0.73 - 2.30) --
Kentucky1 1.52 (1.12 - 2.07) 1.57 (1.18 - 2.08) 0.785
Adanta, Cumberland River, and Lifeskills 1.44 (0.87 - 2.39) 1.45 (0.86 - 2.43) 0.973
Bluegrass, Comprehend, and North Key 1.56 (1.01 - 2.42) 1.60 (1.07 - 2.38) 0.874
Centerstone 1.72 (1.06 - 2.76) 1.86 (1.20 - 2.87) 0.613
Communicare and River Valley 1.35 (0.81 - 2.25) 1.48 (0.83 - 2.60) 0.624
Four Rivers and Pennyroyal 1.38 (0.80 - 2.36) 1.19 (0.67 - 2.09) 0.414
Kentucky River, Mountain, and Pathways 1.43 (0.87 - 2.37) 1.47 (0.86 - 2.51) 0.880
Louisiana 1.76 (1.28 - 2.41) 1.65 (1.22 - 2.24) 0.591
Regions 1 and 10 2.17 (1.38 - 3.41) 2.27 (1.45 - 3.54) 0.766
Region 1 2.64 (1.48 - 4.64) 3.06 (1.77 - 5.27) 0.417
Region 10 (Jefferson) 1.69 (0.99 - 2.87) 1.41 (0.81 - 2.47) 0.326
Regions 2 and 9 1.80 (1.12 - 2.88) 1.54 (0.98 - 2.42) 0.328
Region 3 1.56 (0.92 - 2.66) 1.51 (0.87 - 2.60) 0.832
Regions 4, 5, and 6 1.83 (1.16 - 2.86) 1.53 (0.92 - 2.54) 0.314
Regions 7 and 8 1.29 (0.77 - 2.14) 1.41 (0.83 - 2.39) 0.599
Maine 1.55 (1.15 - 2.09) 1.80 (1.38 - 2.34) 0.158
Aroostook/Downeast 1.46 (0.94 - 2.25) 1.58 (1.02 - 2.44) 0.574
Aroostook 1.47 (0.86 - 2.47) 1.59 (0.90 - 2.79) 0.649
Downeast 1.45 (0.85 - 2.48) 1.57 (0.90 - 2.73) 0.664
Central 1.38 (0.84 - 2.24) 1.45 (0.84 - 2.50) 0.750
Cumberland 1.95 (1.25 - 3.03) 2.36 (1.58 - 3.53) 0.214
Midcoast 1.23 (0.72 - 2.08) 1.48 (0.86 - 2.54) 0.288
Penquis 1.70 (1.07 - 2.68) 1.81 (1.11 - 2.96) 0.671
Western 1.67 (1.02 - 2.73) 1.74 (1.06 - 2.87) 0.786
York 1.22a (0.73 - 2.02) 1.73 (1.08 - 2.75) 0.036
Maryland 1.35 (0.97 - 1.89) 1.49 (1.10 - 2.01) 0.394
Anne Arundel 1.36 (0.80 - 2.30) 1.36 (0.78 - 2.39) 0.981
Baltimore City 2.03 (1.18 - 3.44) 2.67 (1.57 - 4.51) 0.164
Baltimore County 1.59 (0.94 - 2.69) 1.44 (0.84 - 2.43) 0.559
Montgomery 1.05 (0.61 - 1.81) 1.25 (0.75 - 2.07) 0.351
North Central 1.24 (0.71 - 2.15) 1.33 (0.78 - 2.25) 0.696
Northeast 1.46 (0.87 - 2.42) 1.51 (0.88 - 2.56) 0.843
Prince George's 1.05 (0.59 - 1.83) 1.39 (0.78 - 2.48) 0.124
South 1.27 (0.73 - 2.19) 1.30 (0.76 - 2.23) 0.888
West 1.36 (0.81 - 2.27) 1.30 (0.76 - 2.21) 0.805
Massachusetts 2.16b (1.66 - 2.81) 2.65 (2.11 - 3.31) 0.051
Boston 2.92b (1.89 - 4.49) 3.98 (2.62 - 6.00) 0.078
Central 2.00 (1.26 - 3.17) 2.35 (1.50 - 3.65) 0.310
Metrowest 1.93b (1.23 - 3.01) 2.61 (1.76 - 3.85) 0.064
Northeast 2.21 (1.45 - 3.35) 2.22 (1.50 - 3.27) 0.994
Southeast 1.92b (1.19 - 3.07) 2.53 (1.66 - 3.82) 0.095
Western 2.29 (1.45 - 3.59) 2.54 (1.59 - 4.04) 0.545
Michigan 1.08b (0.87 - 1.35) 1.32 (1.07 - 1.63) 0.053
Region 1 1.09 (0.68 - 1.74) 1.10 (0.63 - 1.91) 0.957
Region 2 0.85 (0.53 - 1.38) 1.01 (0.59 - 1.72) 0.329
Region 3 1.02 (0.68 - 1.52) 1.22 (0.80 - 1.87) 0.274
Region 4 0.95b (0.61 - 1.47) 1.28 (0.82 - 1.99) 0.079
Region 5 1.20 (0.84 - 1.70) 1.17 (0.80 - 1.71) 0.869
Region 6 1.10a (0.74 - 1.64) 1.55 (0.99 - 2.42) 0.023
Region 7 1.19b (0.77 - 1.83) 1.58 (1.03 - 2.42) 0.097
Region 8 0.81a (0.51 - 1.29) 1.25 (0.82 - 1.89) 0.012
Region 9 1.24 (0.78 - 1.98) 1.23 (0.78 - 1.92) 0.949
Region 10 1.25 (0.79 - 1.95) 1.56 (0.96 - 2.51) 0.195
Minnesota 1.22a (0.87 - 1.72) 1.55 (1.15 - 2.07) 0.037
Regions 1 and 2 1.13 (0.65 - 1.96) 1.40 (0.87 - 2.25) 0.202
Region 1 -- (-- - --) 1.45 (0.80 - 2.61) --
Region 2 -- (-- - --) 1.37 (0.77 - 2.45) --
Regions 3 and 4 1.09 (0.64 - 1.85) 1.19 (0.78 - 1.82) 0.581
Region 3 -- (-- - --) 1.26 (0.69 - 2.28) --
Region 4 -- (-- - --) 1.16 (0.71 - 1.90) --
Regions 5 and 6 1.21 (0.73 - 2.00) 1.25 (0.81 - 1.92) 0.845
Region 5 -- (-- - --) 1.19 (0.70 - 2.01) --
Region 6 -- (-- - --) 1.30 (0.74 - 2.28) --
Region 7 -- (-- - --) 1.78 (1.28 - 2.48) --
Region 7A (Hennepin) 1.51a (0.93 - 2.45) 2.57 (1.69 - 3.87) 0.002
Region 7B (Ramsey) 1.54 (0.88 - 2.67) 1.62 (0.95 - 2.75) 0.765
Region 7C 0.95 (0.57 - 1.59) 1.07 (0.66 - 1.75) 0.516
Mississippi 1.28 (0.89 - 1.84) 1.08 (0.74 - 1.56) 0.170
Region 1 1.32 (0.79 - 2.20) 1.20 (0.71 - 2.03) 0.589
Region 2 1.30 (0.70 - 2.41) 1.15 (0.62 - 2.11) 0.530
Region 3 1.35 (0.78 - 2.33) 1.19 (0.65 - 2.15) 0.480
Region 4 1.26 (0.71 - 2.22) 1.12 (0.62 - 2.02) 0.542
Region 5 1.18 (0.63 - 2.21) 0.96 (0.47 - 1.93) 0.311
Region 6 1.19 (0.69 - 2.07) 0.95 (0.52 - 1.73) 0.232
Region 7 1.27a (0.73 - 2.20) 0.83 (0.46 - 1.50) 0.026
Missouri 1.08 (0.75 - 1.54) 1.23 (0.91 - 1.66) 0.275
Central 1.20a (0.72 - 1.98) 1.68 (1.03 - 2.72) 0.032
Eastern 1.02a (0.65 - 1.59) 1.37 (0.92 - 2.03) 0.043
Eastern (St. Louis City and County) 1.03 (0.60 - 1.77) 1.32 (0.79 - 2.18) 0.176
Eastern (excluding St. Louis) 1.00a (0.58 - 1.71) 1.46 (0.88 - 2.41) 0.022
Northwest 1.14 (0.72 - 1.80) 1.09 (0.70 - 1.69) 0.749
Northwest (Jackson) 1.25 (0.71 - 2.21) 1.21 (0.69 - 2.08) 0.840
Northwest (excluding Jackson) 1.05 (0.61 - 1.78) 0.99 (0.57 - 1.72) 0.745
Southeast 0.94 (0.54 - 1.65) 0.96 (0.56 - 1.65) 0.920
Southwest 1.11 (0.65 - 1.89) 0.93 (0.54 - 1.59) 0.310
Montana 1.48 (1.10 - 2.01) 1.64 (1.26 - 2.13) 0.365
Region 1 1.21 (0.69 - 2.09) 1.42 (0.80 - 2.51) 0.356
Region 2 1.42 (0.87 - 2.32) 1.34 (0.83 - 2.17) 0.734
Region 3 1.10b (0.68 - 1.79) 1.47 (0.95 - 2.29) 0.073
Region 4 1.50 (0.95 - 2.36) 1.72 (1.15 - 2.56) 0.400
Region 5 1.82 (1.21 - 2.73) 1.89 (1.29 - 2.76) 0.823
Nebraska 1.27 (0.92 - 1.77) 1.43 (1.07 - 1.92) 0.320
Regions 1 and 2 1.14 (0.72 - 1.81) 1.17 (0.73 - 1.87) 0.863
Region 1 1.15 (0.66 - 1.99) 1.19 (0.66 - 2.13) 0.837
Region 2 1.13 (0.64 - 1.99) 1.15 (0.64 - 2.07) 0.932
Region 3 1.19 (0.72 - 1.96) 1.44 (0.85 - 2.42) 0.251
Region 4 1.02 (0.60 - 1.75) 0.97 (0.56 - 1.68) 0.753
Region 5 1.43 (0.89 - 2.27) 1.31 (0.80 - 2.13) 0.588
Region 6 1.31 (0.85 - 1.99) 1.69 (1.16 - 2.46) 0.103
Nevada 1.31a (0.93 - 1.85) 1.78 (1.33 - 2.38) 0.021
Clark - Region 1 1.16a (0.76 - 1.76) 1.67 (1.18 - 2.36) 0.027
Region 3 1.25 (0.78 - 1.97) 1.52 (0.94 - 2.48) 0.152
Capital District 1.37 (0.78 - 2.39) 1.65 (0.90 - 2.98) 0.299
Rural/Frontier 1.13 (0.63 - 2.01) 1.42 (0.78 - 2.57) 0.197
Washoe - Region 2 2.07 (1.29 - 3.30) 2.51 (1.64 - 3.81) 0.238
New Hampshire 2.26a (1.77 - 2.88) 2.89 (2.33 - 3.57) 0.009
Central 2.18 (1.60 - 2.98) 2.62 (1.94 - 3.53) 0.113
Central 1 2.19 (1.47 - 3.26) 2.43 (1.60 - 3.69) 0.480
Central 2 2.18b (1.46 - 3.24) 2.80 (1.93 - 4.06) 0.067
Northern 2.11 (1.39 - 3.20) 2.59 (1.67 - 4.00) 0.146
Southern 2.33a (1.75 - 3.10) 3.08 (2.39 - 3.98) 0.013
Southern 1 (Rockingham) 2.11 (1.42 - 3.11) 2.30 (1.54 - 3.41) 0.543
Southern 2 2.47a (1.75 - 3.48) 3.58 (2.65 - 4.82) 0.006
New Jersey 1.57 (1.15 - 2.15) 1.82 (1.45 - 2.27) 0.232
Central 1.51 (0.94 - 2.40) 1.80 (1.20 - 2.69) 0.288
Metropolitan 1.77 (1.11 - 2.79) 1.66 (1.09 - 2.53) 0.721
Northern 1.45 (0.92 - 2.28) 1.78 (1.28 - 2.48) 0.233
Southern 1.62 (1.03 - 2.55) 2.07 (1.42 - 3.00) 0.147
New Mexico 2.20 (1.63 - 2.96) 2.01 (1.54 - 2.62) 0.429
Region 1 1.79 (1.08 - 2.97) 1.91 (1.18 - 3.09) 0.713
Region 2 1.77 (1.04 - 3.00) 1.68 (1.02 - 2.75) 0.754
Region 3 (Bernalillo) 2.85 (1.93 - 4.19) 2.25 (1.56 - 3.23) 0.125
Region 4 1.67 (1.01 - 2.76) 1.91 (1.15 - 3.14) 0.446
Region 5 2.21 (1.42 - 3.43) 2.02 (1.38 - 2.96) 0.533
Region 5a -- (-- - --) 1.95 (1.15 - 3.27) --
Region 5b (Dona Ana) -- (-- - --) 2.09 (1.30 - 3.36) --
New York1 2.35 (1.98 - 2.78) 2.54 (2.20 - 2.92) 0.316
Region 1: Long Island 1.96 (1.40 - 2.75) 2.05 (1.49 - 2.81) 0.742
Region 2: New York City 2.60b (2.08 - 3.25) 3.05 (2.52 - 3.68) 0.092
Region 2A: Bronx 2.11 (1.35 - 3.28) 2.03 (1.31 - 3.14) 0.826
Region 2B: Kings -- (-- - --) 3.26 (2.35 - 4.51) --
Region 2C: New York 4.02b (2.79 - 5.77) 5.12 (3.81 - 6.86) 0.081
Region 2D: Queens 1.79 (1.18 - 2.73) 2.02 (1.38 - 2.94) 0.464
Region 2E: Richmond -- (-- - --) 2.33 (1.48 - 3.66) --
Region 3: Mid-Hudson -- (-- - --) 1.77 (1.21 - 2.57) --
Region 4: Capital Region -- (-- - --) 2.64 (1.80 - 3.86) --
Region 5: Mohawk Valley -- (-- - --) 2.79 (1.72 - 4.50) --
Region 6: North Country -- (-- - --) 2.42 (1.50 - 3.90) --
Region 7: Tug Hill Seaway -- (-- - --) 1.89 (1.16 - 3.08) --
Region 8: Central -- (-- - --) 2.94 (2.05 - 4.21) --
Region 9: Southern Tier -- (-- - --) 3.00 (1.94 - 4.62) --
Region 10: Finger Lakes -- (-- - --) 2.10 (1.42 - 3.11) --
Region 11: Western -- (-- - --) 1.80 (1.25 - 2.58) --
North Carolina 1.53 (1.12 - 2.08) 1.74 (1.38 - 2.18) 0.242
Alliance Behavioral Healthcare 1 1.60 (0.94 - 2.72) 1.92 (1.16 - 3.16) 0.295
Alliance Behavioral Healthcare 2 1.47 (0.86 - 2.51) 1.55 (0.96 - 2.50) 0.758
Cardinal Innovations Healthcare Solutions 1 1.67 (0.98 - 2.82) 1.24 (0.73 - 2.10) 0.105
Cardinal Innovations Healthcare Solutions 2 1.36b (0.82 - 2.25) 1.88 (1.15 - 3.07) 0.072
Cardinal Innovations Healthcare Solutions 3 1.52b (0.89 - 2.58) 2.04 (1.30 - 3.20) 0.090
CenterPoint Human Services 1.52 (0.90 - 2.57) 1.84 (1.09 - 3.10) 0.236
Eastpointe 1.20 (0.68 - 2.10) 1.59 (0.94 - 2.67) 0.134
Partners Behavioral Health Management 1.62 (0.97 - 2.70) 1.28 (0.77 - 2.11) 0.157
Sandhills Center 1 1.29b (0.73 - 2.27) 1.77 (1.03 - 3.03) 0.086
Sandhills Center 2 1.62a (0.93 - 2.83) 2.34 (1.40 - 3.88) 0.045
Smoky Mountain Center 1 1.58 (0.94 - 2.62) 1.71 (1.04 - 2.78) 0.626
Smoky Mountain Center 2 1.34 (0.78 - 2.30) 1.24 (0.72 - 2.10) 0.665
Trillium Health Resources 1 1.76 (1.04 - 2.97) 2.08 (1.31 - 3.27) 0.341
Trillium Health Resources 2 1.89 (1.11 - 3.20) 2.13 (1.31 - 3.42) 0.490
North Dakota 1.25 (0.92 - 1.68) 1.17 (0.86 - 1.59) 0.602
Badlands and West Central 0.99 (0.61 - 1.60) 1.03 (0.65 - 1.62) 0.799
Badlands -- (-- - --) 1.12 (0.62 - 2.01) --
West Central -- (-- - --) 1.00 (0.60 - 1.68) --
Lake Region 1.02 (0.58 - 1.77) 0.87 (0.47 - 1.61) 0.396
North Central 1.28 (0.77 - 2.10) 1.35 (0.80 - 2.26) 0.741
Northeast 1.79a (1.12 - 2.83) 1.23 (0.73 - 2.07) 0.041
Northwest 1.22 (0.70 - 2.11) 1.15 (0.63 - 2.09) 0.766
South Central 1.18 (0.70 - 1.97) 0.92 (0.51 - 1.66) 0.165
Southeast 1.30 (0.84 - 2.02) 1.32 (0.88 - 1.98) 0.918
Ohio 1.53 (1.26 - 1.85) 1.55 (1.28 - 1.87) 0.862
Boards 2, 46, 55, and 68 1.37 (0.84 - 2.23) 1.37 (0.82 - 2.29) 0.996
Boards 3, 52, and 85 1.38 (0.84 - 2.26) 1.37 (0.81 - 2.31) 0.969
Boards 4 and 78 1.40 (0.85 - 2.29) 1.49 (0.90 - 2.45) 0.715
Boards 5 and 60 1.83 (1.20 - 2.79) 1.75 (1.06 - 2.87) 0.776
Boards 7, 15, 41, 79, and 84 1.58 (1.00 - 2.48) 1.47 (0.87 - 2.48) 0.683
Boards 8, 13, and 83 1.25 (0.77 - 2.04) 1.40 (0.83 - 2.35) 0.506
Board 9 (Butler) 1.43 (0.90 - 2.29) 1.76 (1.07 - 2.88) 0.217
Board 12 1.58 (0.97 - 2.57) 1.78 (1.08 - 2.93) 0.456
Boards 18 and 47 1.06 (0.67 - 1.66) 1.21 (0.77 - 1.89) 0.472
Boards 20, 32, 54, and 69 1.32 (0.81 - 2.12) 1.23 (0.75 - 2.01) 0.698
Boards 21, 39, 51, 70, and 80 1.20 (0.76 - 1.90) 1.40 (0.88 - 2.24) 0.359
Boards 22, 74, and 87 1.39 (0.87 - 2.21) 1.41 (0.87 - 2.28) 0.932
Boards 23 and 45 1.23 (0.77 - 1.98) 1.16 (0.70 - 1.92) 0.736
Board 25 (Franklin) 2.15 (1.47 - 3.13) 2.15 (1.50 - 3.07) 0.990
Boards 27, 71, and 73 1.78 (1.14 - 2.78) 2.03 (1.18 - 3.44) 0.433
Boards 28, 43, and 67 1.67b (1.08 - 2.59) 1.27 (0.79 - 2.03) 0.075
Board 31 (Hamilton) 1.72 (1.11 - 2.67) 1.96 (1.25 - 3.05) 0.453
Board 48 (Lucas) 1.52 (0.93 - 2.48) 1.74 (1.05 - 2.88) 0.413
Boards 50 and 76 1.64 (1.07 - 2.50) 1.48 (0.91 - 2.39) 0.533
Board 57 (Montgomery) 1.79 (1.14 - 2.81) 1.42 (0.85 - 2.39) 0.210
Board 77 (Summit) 1.62 (1.01 - 2.58) 1.33 (0.82 - 2.16) 0.283
Oklahoma 0.99 (0.68 - 1.43) 1.07 (0.76 - 1.50) 0.527
Central 0.98 (0.57 - 1.67) 0.95 (0.54 - 1.68) 0.864
East Central 0.86 (0.48 - 1.54) 0.82 (0.44 - 1.54) 0.807
Northeast 0.86 (0.49 - 1.49) 0.90 (0.50 - 1.61) 0.817
Northwest and Southwest 1.01 (0.58 - 1.74) 1.04 (0.59 - 1.81) 0.885
Oklahoma County 1.06 (0.63 - 1.76) 1.32 (0.80 - 2.17) 0.204
Southeast 0.92 (0.52 - 1.63) 0.88 (0.48 - 1.61) 0.800
Tulsa County 1.15 (0.67 - 1.97) 1.36 (0.82 - 2.26) 0.349
Oregon 1.92a (1.45 - 2.54) 2.53 (2.04 - 3.12) 0.007
Region 1 (Multnomah) 2.39a (1.51 - 3.76) 4.28 (3.10 - 5.89) 0.000
Region 2 1.64 (1.05 - 2.56) 1.99 (1.36 - 2.91) 0.176
Region 3 2.10 (1.45 - 3.02) 2.23 (1.56 - 3.17) 0.661
Region 4 1.46b (0.88 - 2.40) 1.91 (1.21 - 3.02) 0.099
Region 5 (Central) 1.68 (1.01 - 2.80) 2.02 (1.17 - 3.48) 0.280
Region 6 (Eastern) 1.87 (1.13 - 3.10) 2.26 (1.33 - 3.79) 0.256
Pennsylvania 1.66 (1.36 - 2.03) 1.75 (1.44 - 2.13) 0.560
Region 1 (Allegheny) 2.15 (1.46 - 3.17) 2.15 (1.46 - 3.15) 0.990
Regions 3, 8, 9, and 51 1.44 (0.91 - 2.27) 1.21 (0.74 - 1.96) 0.345
Regions 4, 11, 37, and 49 1.60 (1.05 - 2.44) 1.23 (0.76 - 2.00) 0.116
Regions 5, 18, 23, 24, and 46 1.13 (0.70 - 1.83) 1.14 (0.71 - 1.85) 0.962
Regions 6, 12, 16, 31, 35, 45, and 47 1.51a (1.00 - 2.28) 2.05 (1.33 - 3.14) 0.049
Regions 7, 13, 20, and 33 1.44 (1.00 - 2.05) 1.82 (1.32 - 2.52) 0.101
Regions 10, 15, 27, 32, 43, and 44 1.40 (0.87 - 2.24) 1.28 (0.75 - 2.18) 0.634
Regions 17 and 21 1.49 (0.91 - 2.42) 1.73 (1.03 - 2.88) 0.385
Regions 19, 26, 28, and 42 1.40 (0.94 - 2.08) 1.33 (0.89 - 1.99) 0.739
Regions 22, 38, 40, 41, and 48 1.33 (0.83 - 2.13) 1.41 (0.85 - 2.34) 0.754
Regions 29 and 34 1.45 (0.90 - 2.32) 1.19 (0.71 - 1.97) 0.246
Regions 30 and 50 1.51 (0.96 - 2.36) 1.19 (0.70 - 2.03) 0.196
Region 36 (Philadelphia) 2.80 (1.85 - 4.22) 3.26 (2.16 - 4.91) 0.386
Rhode Island 2.17 (1.62 - 2.91) 2.56 (2.00 - 3.27) 0.165
Region 1: Southern Providence County -- (-- - --) 2.27 (1.44 - 3.57) --
Region 2: Northern Providence County/ Blackstone Valley -- (-- - --) 2.47 (1.62 - 3.76) --
Region 3: Providence -- (-- - --) 3.29 (2.11 - 5.10) --
Region 4: Kent County -- (-- - --) 2.01 (1.30 - 3.11) --
Region 5: East Bay -- (-- - --) 2.55 (1.60 - 4.05) --
Region 6: Newport County -- (-- - --) 2.61 (1.62 - 4.16) --
Region 7: South County -- (-- - --) 2.87 (1.89 - 4.35) --
South Carolina 1.37 (0.97 - 1.92) 1.46 (1.09 - 1.95) 0.614
Region 1 1.18 (0.71 - 1.96) 0.99 (0.60 - 1.63) 0.346
Region 2 1.39 (0.86 - 2.26) 1.44 (0.90 - 2.29) 0.851
Region 3 1.38 (0.81 - 2.35) 1.46 (0.87 - 2.44) 0.756
Region 4 1.55 (0.98 - 2.46) 2.02 (1.34 - 3.03) 0.125
South Dakota 0.92 (0.63 - 1.34) 0.98 (0.70 - 1.38) 0.637
Region 1 0.94b (0.55 - 1.59) 1.31 (0.80 - 2.13) 0.064
Region 2 0.78 (0.43 - 1.41) 0.95 (0.51 - 1.75) 0.296
Region 3 0.78 (0.45 - 1.32) 0.94 (0.56 - 1.55) 0.306
Region 4 0.82 (0.47 - 1.43) 0.92 (0.53 - 1.58) 0.559
Region 5 1.12a (0.69 - 1.82) 0.77 (0.46 - 1.28) 0.042
Tennessee 1.25 (0.89 - 1.74) 1.48 (1.10 - 1.98) 0.117
Region 1 1.13 (0.64 - 1.99) 1.23 (0.73 - 2.08) 0.632
Region 2 1.33 (0.80 - 2.19) 1.14 (0.69 - 1.90) 0.404
Region 3 1.26 (0.75 - 2.11) 1.40 (0.84 - 2.34) 0.537
Region 4 (Davidson) 1.46a (0.86 - 2.48) 2.26 (1.34 - 3.79) 0.012
Region 5 1.23b (0.77 - 1.96) 1.64 (1.06 - 2.53) 0.067
Region 6 1.07 (0.62 - 1.84) 1.36 (0.78 - 2.37) 0.194
Region 7 (Shelby) 1.18 (0.67 - 2.08) 1.40 (0.79 - 2.46) 0.323
Texas 1.37 (1.15 - 1.64) 1.40 (1.18 - 1.66) 0.828
Region 1 1.67 (1.10 - 2.52) 1.57 (0.96 - 2.55) 0.683
Region 2 1.22 (0.76 - 1.96) 1.45 (0.87 - 2.38) 0.270
Region 3 1.32 (1.00 - 1.74) 1.21 (0.92 - 1.60) 0.470
Region 3a 1.25 (0.88 - 1.78) 1.18 (0.83 - 1.68) 0.687
Region 3bc 1.44 (1.01 - 2.05) 1.27 (0.84 - 1.91) 0.382
Region 4 1.16 (0.74 - 1.81) 1.27 (0.79 - 2.02) 0.556
Region 5 1.22 (0.74 - 1.98) 1.33 (0.81 - 2.18) 0.576
Region 6 1.17 (0.84 - 1.61) 1.33 (0.99 - 1.78) 0.344
Region 6a 1.16 (0.82 - 1.64) 1.31 (0.95 - 1.81) 0.411
Region 6bc 1.23 (0.76 - 1.98) 1.49 (0.89 - 2.46) 0.212
Region 7 1.98 (1.46 - 2.67) 2.13 (1.58 - 2.86) 0.540
Region 7a 2.41 (1.66 - 3.47) 2.18 (1.51 - 3.15) 0.478
Region 7bcd 1.24a (0.80 - 1.92) 2.03 (1.32 - 3.12) 0.003
Region 8 1.19 (0.79 - 1.80) 1.19 (0.79 - 1.78) 0.996
Region 9 2.18 (1.32 - 3.57) 2.19 (1.32 - 3.64) 0.952
Region 10 1.44 (0.92 - 2.26) 1.38 (0.85 - 2.25) 0.759
Region 11 1.34 (0.95 - 1.90) 1.20 (0.84 - 1.72) 0.351
Region 11abd 1.45 (0.94 - 2.21) 1.30 (0.83 - 2.03) 0.414
Region 11c (Hidalgo) 1.17 (0.74 - 1.85) 1.04 (0.65 - 1.68) 0.473
Utah 1.35a (0.98 - 1.86) 0.97 (0.68 - 1.39) 0.014
Bear River, Northeastern, Summit, Tooele, and Wasatch 1.12 (0.67 - 1.89) 0.85 (0.47 - 1.54) 0.157
Central, Four Corners, San Juan, and Southwest 1.13b (0.65 - 1.95) 0.84 (0.50 - 1.40) 0.084
Central, Four Corners, and San Juan -- (-- - --) 0.79 (0.42 - 1.49) --
Southwest -- (-- - --) 0.87 (0.47 - 1.59) --
Davis County 1.31a (0.78 - 2.19) 0.83 (0.45 - 1.51) 0.022
Salt Lake County 1.59b (1.05 - 2.42) 1.16 (0.75 - 1.79) 0.071
Utah County 1.27b (0.78 - 2.06) 0.92 (0.53 - 1.59) 0.097
Weber, Morgan 1.14b (0.65 - 1.98) 0.79 (0.44 - 1.41) 0.060
Vermont 2.07a (1.59 - 2.70) 3.05 (2.46 - 3.78) 0.000
Champlain Valley 2.38a (1.72 - 3.27) 3.79 (2.88 - 4.97) 0.000
Rural Northeast 2.19a (1.43 - 3.33) 3.11 (2.07 - 4.66) 0.020
Rural Southeast 1.67 (1.03 - 2.67) 1.97 (1.26 - 3.06) 0.302
Rural Southwest 1.66a (1.03 - 2.66) 2.50 (1.60 - 3.89) 0.009
Virginia 1.53 (1.12 - 2.07) 1.43 (1.11 - 1.84) 0.585
Region 1 1.66 (1.04 - 2.63) 1.24 (0.78 - 1.95) 0.102
Region 2 1.18 (0.73 - 1.91) 1.04 (0.68 - 1.60) 0.489
Region 3 1.55 (0.95 - 2.52) 1.69 (1.10 - 2.57) 0.619
Region 4 1.86 (1.12 - 3.06) 1.64 (1.08 - 2.51) 0.493
Region 5 1.60 (0.99 - 2.56) 1.69 (1.11 - 2.58) 0.735
Washington1 1.74 (1.30 - 2.31) 1.91 (1.46 - 2.49) 0.374
Region 1 1.53 (1.02 - 2.27) 1.61 (1.08 - 2.40) 0.668
Greater Columbia and North Central 1.50 (0.93 - 2.41) 1.53 (0.93 - 2.51) 0.922
Spokane 1.56 (0.91 - 2.65) 1.75 (1.02 - 2.97) 0.509
Region 2 1.93 (1.37 - 2.72) 2.21 (1.60 - 3.05) 0.279
King 2.04a (1.35 - 3.08) 2.71 (1.88 - 3.88) 0.050
North Sound 1.74 (1.12 - 2.68) 1.34 (0.81 - 2.21) 0.120
Region 3 1.60 (1.12 - 2.27) 1.66 (1.17 - 2.35) 0.742
Pierce 1.78 (1.11 - 2.84) 1.62 (1.00 - 2.61) 0.562
Salish 1.38 (0.80 - 2.38) 1.78 (1.03 - 3.06) 0.149
SW WA and Great Rivers 1.50 (0.89 - 2.52) 1.70 (1.02 - 2.81) 0.464
Thurston-Mason 1.61 (0.94 - 2.75) 1.58 (0.87 - 2.83) 0.905
West Virginia 1.35 (0.99 - 1.85) 1.32 (0.97 - 1.79) 0.817
Region I 1.14 (0.66 - 1.98) 1.30 (0.72 - 2.32) 0.483
Region II 1.49a (0.89 - 2.49) 1.03 (0.59 - 1.79) 0.036
Region III 1.12 (0.64 - 1.97) 1.04 (0.58 - 1.87) 0.678
Region IV 1.89 (1.25 - 2.86) 2.04 (1.35 - 3.08) 0.609
Region V 1.11 (0.67 - 1.82) 1.07 (0.65 - 1.75) 0.841
Region VI 1.18 (0.71 - 1.96) 1.21 (0.72 - 2.02) 0.907
Wisconsin 1.69 (1.24 - 2.31) 1.49 (1.13 - 1.96) 0.243
Milwaukee 2.28b (1.40 - 3.70) 1.66 (1.00 - 2.74) 0.061
Northeastern 1.23 (0.75 - 2.01) 1.17 (0.71 - 1.93) 0.799
Northern 1.31 (0.75 - 2.28) 1.32 (0.76 - 2.30) 0.942
Southeastern 2.03 (1.20 - 3.40) 1.70 (1.06 - 2.71) 0.280
Southern 1.69 (1.05 - 2.71) 1.64 (1.09 - 2.48) 0.862
Western 1.49 (0.90 - 2.44) 1.36 (0.83 - 2.21) 0.579
Wyoming 1.28 (0.93 - 1.76) 1.35 (1.01 - 1.80) 0.635
Judicial District 1 (Laramie) 1.43 (0.89 - 2.29) 1.29 (0.78 - 2.13) 0.522
Judicial District 2 1.78 (1.13 - 2.78) 1.85 (1.15 - 2.96) 0.805
Judicial District 3 1.07 (0.64 - 1.78) 1.22 (0.73 - 2.03) 0.461
Judicial District 4 0.97 (0.56 - 1.69) 1.15 (0.65 - 2.01) 0.330
Judicial District 5 1.08 (0.63 - 1.83) 1.06 (0.62 - 1.83) 0.937
Judicial District 6 1.23 (0.73 - 2.06) 1.27 (0.78 - 2.08) 0.837
Judicial District 7 (Natrona) 1.45 (0.86 - 2.42) 1.56 (0.96 - 2.51) 0.656
Judicial District 8 1.00 (0.59 - 1.71) 1.05 (0.60 - 1.83) 0.795
Judicial District 9 1.29 (0.75 - 2.21) 1.51 (0.90 - 2.52) 0.327
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2012-2014 and 2014-2016); hence, the 2012-2014 estimates and p values are not available for these regions. The definitions of the substate regions listed in this table are provided in the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
NOTE: Substate, state, and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and are generated by Markov Chain Monte Carlo techniques, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2012-2014 and 2014-2016 population percentages. The "Total U.S." estimates, along with the 95 percent confidence intervals and the p values, are based on design-based (direct) estimation methods.
a Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.10 level.
1 Names of some of the substate regions for this state have changed across the two time periods (2012-2014 vs. 2014-2016). For details, see the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012-2016.
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Table 4 – Alcohol Use in the Past Month among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2012-2014 and 2014-2016 NSDUHs
State/Substate Region 2012-2014
(Estimate)
2012-2014
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 52.32a (51.88 - 52.76) 51.70 (51.32 - 52.07) 0.012
Northeast 57.75a (56.93 - 58.55) 56.55 (55.79 - 57.31) 0.009
Midwest 55.24 (54.58 - 55.89) 54.62 (53.93 - 55.31) 0.106
South 48.57 (47.96 - 49.18) 48.09 (47.50 - 48.68) 0.160
West 51.41 (50.58 - 52.24) 51.11 (50.40 - 51.82) 0.514
Alabama 44.05 (41.43 - 46.71) 42.07 (39.79 - 44.39) 0.132
Region 1 39.10 (34.56 - 43.82) 36.95 (33.32 - 40.73) 0.288
Region 2 46.22 (42.12 - 50.38) 46.87 (43.21 - 50.57) 0.738
Region 3 43.45 (38.89 - 48.12) 42.03 (37.86 - 46.31) 0.467
Region 4 47.71a (42.88 - 52.58) 41.67 (37.60 - 45.87) 0.005
Alaska 53.93 (51.32 - 56.52) 53.42 (51.27 - 55.56) 0.707
Anchorage 57.00 (53.26 - 60.67) 55.00 (52.00 - 57.96) 0.254
Northern 49.52 (44.52 - 54.52) 49.92 (45.96 - 53.89) 0.851
South Central 51.92 (47.17 - 56.64) 52.44 (48.72 - 56.13) 0.808
Southeast 56.16 (50.84 - 61.34) 57.13 (51.94 - 62.18) 0.643
Arizona1 51.87 (49.15 - 54.58) 51.66 (49.36 - 53.95) 0.876
Central 55.74 (52.34 - 59.08) 54.52 (51.84 - 57.18) 0.450
North -- (-- - --) 42.89 (37.63 - 48.30) --
South -- (-- - --) 49.34 (45.49 - 53.20) --
South A 48.95 (43.51 - 54.41) 51.53 (46.92 - 56.12) 0.258
South B -- (-- - --) 46.70 (41.39 - 52.10) --
Arkansas 41.43 (38.98 - 43.92) 40.99 (38.66 - 43.36) 0.730
Catchment Area 1 44.62 (39.61 - 49.75) 45.95 (41.29 - 50.67) 0.532
Catchment Area 2 39.60 (34.50 - 44.94) 36.88 (32.08 - 41.96) 0.217
Catchment Area 3 34.94 (30.07 - 40.14) 33.37 (29.21 - 37.80) 0.440
Catchment Area 4 37.39 (32.12 - 42.98) 35.65 (30.98 - 40.62) 0.396
Catchment Area 5 46.11b (40.94 - 51.36) 42.38 (37.84 - 47.06) 0.074
Catchment Area 6 39.60a (33.88 - 45.62) 35.35 (30.52 - 40.49) 0.045
Catchment Area 7 36.38 (30.56 - 42.62) 34.34 (29.11 - 39.98) 0.354
Catchment Area 8 45.28a (39.98 - 50.68) 50.44 (45.91 - 54.96) 0.020
California 50.16 (48.86 - 51.46) 50.27 (49.20 - 51.34) 0.876
Region 1R 57.04 (51.53 - 62.38) 55.23 (50.41 - 59.95) 0.388
Region 2R 58.27 (52.87 - 63.48) 57.01 (52.81 - 61.11) 0.522
Region 3R (Sacramento) 47.11 (42.55 - 51.72) 48.81 (44.86 - 52.77) 0.343
Region 4R 55.92 (51.51 - 60.24) 56.69 (52.57 - 60.73) 0.678
Region 5R (San Francisco) 60.64 (54.13 - 66.79) 63.64 (58.52 - 68.46) 0.187
Region 6 (Santa Clara) 50.99 (46.34 - 55.62) 51.70 (48.00 - 55.38) 0.715
Region 7R (Contra Costa) 56.56 (51.60 - 61.39) 56.62 (52.55 - 60.61) 0.974
Region 8R (Alameda) 48.34 (43.36 - 53.36) 51.19 (47.12 - 55.23) 0.162
Region 9R (San Mateo) 55.29 (49.05 - 61.36) 55.98 (51.09 - 60.76) 0.754
Region 10 56.40 (51.31 - 61.36) 53.49 (49.00 - 57.92) 0.124
Region 11 (Los Angeles) 47.64 (45.55 - 49.73) 46.96 (45.23 - 48.69) 0.493
LA SPA 1 and 5 58.60 (53.00 - 63.99) 55.69 (51.14 - 60.15) 0.146
LA SPA 2 50.30 (46.05 - 54.54) 51.02 (47.52 - 54.51) 0.687
LA SPA 3 41.30 (36.46 - 46.32) 43.12 (39.08 - 47.26) 0.374
LA SPA 4 50.62 (45.27 - 55.95) 49.02 (44.08 - 53.98) 0.422
LA SPA 6 39.63a (34.32 - 45.20) 35.76 (31.65 - 40.09) 0.038
LA SPA 7 44.45b (39.72 - 49.28) 40.91 (36.64 - 45.31) 0.066
LA SPA 8 48.90 (44.30 - 53.52) 49.88 (45.98 - 53.78) 0.599
Region 12R 47.62 (41.79 - 53.51) 45.67 (40.78 - 50.64) 0.318
Regions 13 and 19R 45.80 (41.78 - 49.87) 46.30 (42.99 - 49.65) 0.782
Region 14 (Orange) 53.16 (49.35 - 56.93) 54.38 (50.99 - 57.73) 0.482
Region 15R (Fresno) 45.81 (40.63 - 51.09) 44.40 (39.94 - 48.96) 0.447
Region 16R (San Diego) 55.47 (51.79 - 59.09) 56.19 (53.20 - 59.14) 0.653
Region 17R 44.60b (40.23 - 49.06) 41.24 (37.67 - 44.91) 0.066
Region 18R (San Bernardino) 40.79 (36.61 - 45.10) 42.71 (39.19 - 46.30) 0.261
Region 20R 44.92 (39.74 - 50.22) 42.81 (38.32 - 47.41) 0.256
Region 21R 52.11b (46.29 - 57.86) 55.55 (50.90 - 60.10) 0.084
Colorado 60.73a (58.28 - 63.13) 58.15 (55.93 - 60.34) 0.033
Region 1 -- (-- - --) 61.78 (57.51 - 65.87) --
Region 2 -- (-- - --) 53.00 (47.49 - 58.44) --
Region 3 -- (-- - --) 59.09 (55.48 - 62.60) --
Region 4 -- (-- - --) 45.70 (40.05 - 51.47) --
Region 5 -- (-- - --) 58.63 (53.85 - 63.25) --
Region 6 -- (-- - --) 63.45 (59.35 - 67.36) --
Region 7 -- (-- - --) 53.93 (49.23 - 58.55) --
Connecticut 60.65 (58.05 - 63.19) 59.88 (57.51 - 62.21) 0.551
Eastern 60.87 (55.65 - 65.85) 58.13 (53.15 - 62.95) 0.216
North Central 60.53 (56.06 - 64.83) 60.92 (57.18 - 64.54) 0.839
Northwestern 60.31 (55.33 - 65.09) 57.47 (52.89 - 61.92) 0.189
South Central 59.62 (55.06 - 64.03) 60.74 (56.55 - 64.77) 0.579
Southwest 62.26 (56.79 - 67.42) 60.61 (56.02 - 65.02) 0.437
Delaware 55.43 (52.87 - 57.97) 53.85 (51.47 - 56.21) 0.235
Kent 54.64a (49.74 - 59.45) 50.43 (46.07 - 54.79) 0.041
New Castle (excluding Wilmington City) 56.81 (53.44 - 60.12) 56.78 (53.77 - 59.73) 0.983
Sussex 55.02b (50.01 - 59.94) 51.12 (46.66 - 55.56) 0.072
Wilmington City 49.56 (43.21 - 55.92) 50.57 (44.75 - 56.38) 0.670
District of Columbia 66.90 (64.56 - 69.16) 68.62 (66.47 - 70.69) 0.140
Ward 1 73.40a (68.89 - 77.48) 76.99 (72.70 - 80.78) 0.031
Ward 2 80.18 (75.76 - 83.96) 81.81 (78.06 - 85.04) 0.209
Ward 3 80.81 (76.41 - 84.56) 80.51 (76.62 - 83.88) 0.841
Ward 4 64.73 (59.12 - 69.96) 64.97 (60.04 - 69.60) 0.911
Ward 5 59.37 (53.96 - 64.57) 61.86 (56.97 - 66.53) 0.256
Ward 6 71.79a (66.82 - 76.28) 77.27 (73.62 - 80.56) 0.001
Ward 7 49.46 (43.29 - 55.65) 48.68 (43.47 - 53.92) 0.751
Ward 8 51.10 (45.77 - 56.41) 52.83 (48.06 - 57.55) 0.438
Florida 52.83 (51.40 - 54.26) 53.78 (52.45 - 55.11) 0.204
Broward (Circuit 17) 51.58 (47.43 - 55.72) 54.36 (50.49 - 58.17) 0.128
Central I 53.64 (50.43 - 56.82) 53.94 (51.20 - 56.66) 0.834
Circuit 9 49.48 (45.37 - 53.59) 50.82 (47.37 - 54.25) 0.472
Circuit 18 59.68 (54.90 - 64.29) 58.55 (54.35 - 62.64) 0.579
Central II 54.07 (51.73 - 56.39) 55.07 (53.00 - 57.12) 0.372
Circuit 6 54.76a (50.12 - 59.31) 59.23 (55.23 - 63.11) 0.028
Circuit 10 45.41 (40.36 - 50.56) 46.95 (42.72 - 51.23) 0.449
Circuit 12 58.79 (53.50 - 63.89) 59.29 (54.59 - 63.83) 0.815
Circuit 13 (Hillsborough) 51.80 (47.55 - 56.02) 53.99 (50.44 - 57.51) 0.234
Circuit 20 57.83a (53.06 - 62.45) 53.51 (48.97 - 57.99) 0.026
Northeast 53.18 (50.53 - 55.81) 53.02 (50.63 - 55.40) 0.889
Circuit 4 53.26 (48.72 - 57.76) 53.85 (49.74 - 57.91) 0.752
Circuit 5 52.97 (47.76 - 58.11) 52.52 (48.06 - 56.94) 0.836
Circuit 7 55.00 (49.77 - 60.13) 54.96 (50.33 - 59.51) 0.986
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee 50.44 (45.08 - 55.78) 49.08 (44.10 - 54.08) 0.486
Northwest 54.38 (51.05 - 57.67) 54.78 (51.78 - 57.75) 0.761
Circuit 1 55.28 (49.94 - 60.50) 52.95 (48.47 - 57.40) 0.260
Circuit 2 plus Madison and Taylor 57.20a (52.04 - 62.22) 61.40 (56.67 - 65.93) 0.033
Circuit 14 48.08 (41.60 - 54.63) 49.32 (43.54 - 55.13) 0.581
South (Circuits 11 and 16) 47.70 (44.38 - 51.04) 49.40 (46.32 - 52.47) 0.287
Southeast 54.72 (51.14 - 58.24) 56.11 (52.76 - 59.41) 0.359
Circuit 15 (Palm Beach) 54.16 (49.75 - 58.50) 56.72 (52.55 - 60.80) 0.174
Circuit 19 55.95 (50.24 - 61.50) 54.78 (49.83 - 59.64) 0.590
Georgia 47.92 (45.34 - 50.51) 47.37 (45.47 - 49.28) 0.656
Region 1 48.97 (44.50 - 53.46) 47.18 (44.03 - 50.35) 0.364
Region 2 45.43 (40.47 - 50.48) 47.04 (43.08 - 51.04) 0.436
Region 3 49.91 (45.72 - 54.10) 51.47 (48.22 - 54.70) 0.412
Region 4 42.58 (36.44 - 48.94) 42.64 (37.65 - 47.78) 0.978
Region 5 47.75a (41.59 - 53.97) 43.00 (38.56 - 47.55) 0.046
Region 6 46.54 (41.03 - 52.14) 44.89 (40.86 - 48.99) 0.450
Hawaii 48.95a (46.27 - 51.64) 45.21 (42.91 - 47.54) 0.008
Hawaii Island 56.43a (50.79 - 61.92) 43.21 (38.53 - 48.01) 0.000
Honolulu 46.24 (43.01 - 49.51) 45.45 (42.77 - 48.16) 0.630
Kauai 54.09a (47.35 - 60.68) 48.40 (42.77 - 54.08) 0.026
Maui 54.67a (49.03 - 60.19) 44.73 (39.64 - 49.92) 0.000
Idaho 47.09b (44.67 - 49.52) 44.65 (42.40 - 46.91) 0.051
Region 1 53.83a (48.27 - 59.29) 47.91 (42.65 - 53.21) 0.014
Region 2 53.48b (46.82 - 60.02) 48.90 (43.10 - 54.72) 0.063
Region 3 39.98 (34.96 - 45.22) 40.13 (35.97 - 44.43) 0.945
Region 4 56.21 (52.15 - 60.20) 54.24 (50.70 - 57.73) 0.295
Region 5 42.25 (36.77 - 47.94) 41.79 (37.28 - 46.45) 0.841
Region 6 41.64 (35.68 - 47.85) 41.78 (36.16 - 47.62) 0.950
Region 7 34.66a (29.97 - 39.67) 29.93 (25.84 - 34.37) 0.028
Illinois 55.47 (54.11 - 56.82) 54.36 (52.89 - 55.82) 0.150
Region 1 (Cook) 55.29 (53.06 - 57.49) 53.97 (51.86 - 56.07) 0.226
Region 1.1 (Far North Side) -- (-- - --) 58.15 (52.78 - 63.34) --
Region 1.2 (Northwest Side) -- (-- - --) 47.67 (41.78 - 53.63) --
Region 1.3 (North Central Side) -- (-- - --) 70.10 (65.22 - 74.57) --
Region 1.4 (West Side) -- (-- - --) 49.68 (44.53 - 54.84) --
Region 1.5 (South Side) -- (-- - --) 49.35 (43.94 - 54.76) --
Region 1.6 (Southwest Side) -- (-- - --) 41.36 (36.40 - 46.50) --
Region 1.7 (Suburban Cook) -- (-- - --) 54.61 (51.62 - 57.56) --
Region 2 57.18 (54.96 - 59.38) 56.86 (54.76 - 58.95) 0.772
Region 2a (DuPage) -- (-- - --) 61.36 (57.36 - 65.20) --
Region 2b -- (-- - --) 56.36 (53.48 - 59.19) --
Region 2c (Winnebago) -- (-- - --) 49.55 (44.07 - 55.03) --
Region 2d -- (-- - --) 55.34 (50.66 - 59.94) --
Region 3 55.04 (51.58 - 58.45) 54.28 (51.10 - 57.43) 0.632
Region 3a (Champaign) -- (-- - --) 59.80 (54.35 - 65.01) --
Region 3b -- (-- - --) 53.37 (49.83 - 56.86) --
Region 4 54.64b (50.70 - 58.51) 51.60 (47.89 - 55.30) 0.080
Region 4a (Sangamon) -- (-- - --) 54.75 (48.87 - 60.50) --
Region 4b -- (-- - --) 50.70 (46.33 - 55.07) --
Region 5 51.65 (47.73 - 55.56) 49.71 (46.37 - 53.06) 0.242
Region 5a -- (-- - --) 51.70 (46.70 - 56.67) --
Region 5b -- (-- - --) 48.12 (43.83 - 52.43) --
Indiana 51.02 (48.51 - 53.51) 50.01 (47.62 - 52.40) 0.421
Central 53.29 (48.68 - 57.84) 52.78 (49.14 - 56.40) 0.802
East 46.18 (40.64 - 51.81) 43.92 (38.56 - 49.43) 0.297
North Central 49.33 (44.26 - 54.41) 48.34 (43.50 - 53.22) 0.633
Northeast 53.56 (47.60 - 59.42) 52.20 (47.02 - 57.34) 0.546
Northwest 51.34 (45.69 - 56.95) 51.07 (45.79 - 56.32) 0.907
Southeast 45.90 (39.84 - 52.09) 46.43 (41.14 - 51.80) 0.824
Southwest 53.29 (47.34 - 59.14) 49.66 (43.94 - 55.39) 0.117
West 52.22 (46.53 - 57.85) 50.75 (45.49 - 55.99) 0.496
Iowa 57.67 (55.10 - 60.20) 57.41 (55.15 - 59.65) 0.839
Central 60.51 (55.46 - 65.34) 58.04 (53.74 - 62.21) 0.234
North Central 56.77 (50.72 - 62.62) 56.73 (51.67 - 61.66) 0.989
Northeast 59.30 (55.00 - 63.47) 59.28 (55.61 - 62.84) 0.987
Northwest 59.24 (53.24 - 64.99) 59.00 (54.41 - 63.44) 0.915
Southeast 54.52 (49.84 - 59.12) 54.03 (49.93 - 58.07) 0.806
Southwest 53.91 (48.05 - 59.66) 57.30 (51.88 - 62.56) 0.130
Kansas 53.67 (51.21 - 56.11) 54.65 (52.33 - 56.94) 0.432
Northeast -- (-- - --) 57.76 (54.72 - 60.74) --
Northwest and North Central -- (-- - --) 52.54 (46.51 - 58.51) --
South Central -- (-- - --) 52.72 (49.13 - 56.28) --
Southeast -- (-- - --) 50.61 (44.84 - 56.37) --
Southwest -- (-- - --) 45.39 (39.62 - 51.28) --
Kentucky1 43.88 (41.28 - 46.52) 41.82 (39.52 - 44.16) 0.130
Adanta, Cumberland River, and Lifeskills 35.08a (30.23 - 40.27) 30.81 (26.86 - 35.07) 0.034
Bluegrass, Comprehend, and North Key 50.19 (45.93 - 54.46) 48.47 (44.81 - 52.16) 0.380
Centerstone 50.16 (45.43 - 54.88) 49.22 (45.07 - 53.38) 0.652
Communicare and River Valley 43.54 (37.86 - 49.39) 41.37 (36.05 - 46.90) 0.329
Four Rivers and Pennyroyal 38.11 (32.36 - 44.21) 36.57 (31.48 - 41.99) 0.495
Kentucky River, Mountain, and Pathways 33.37 (27.97 - 39.25) 30.95 (26.31 - 36.00) 0.280
Louisiana 48.53 (46.02 - 51.04) 50.21 (47.89 - 52.53) 0.195
Regions 1 and 10 53.62b (49.09 - 58.09) 56.92 (52.87 - 60.87) 0.065
Region 1 51.90a (45.73 - 58.02) 58.62 (53.38 - 63.67) 0.002
Region 10 (Jefferson) 55.40 (49.65 - 61.01) 55.06 (49.74 - 60.27) 0.876
Regions 2 and 9 51.60 (47.26 - 55.92) 54.00 (50.39 - 57.56) 0.218
Region 3 49.62 (43.65 - 55.61) 48.62 (43.50 - 53.77) 0.658
Regions 4, 5, and 6 46.32 (41.84 - 50.86) 45.80 (41.72 - 49.94) 0.796
Regions 7 and 8 41.81 (37.23 - 46.53) 44.85 (40.70 - 49.08) 0.130
Maine 57.01 (54.33 - 59.66) 58.28 (55.89 - 60.64) 0.338
Aroostook/Downeast 51.55 (46.03 - 57.03) 52.30 (47.83 - 56.74) 0.730
Aroostook 49.41 (42.52 - 56.32) 51.37 (45.61 - 57.10) 0.459
Downeast 53.29 (45.83 - 60.61) 53.05 (46.93 - 59.08) 0.932
Central 55.46 (49.85 - 60.92) 55.15 (49.93 - 60.25) 0.894
Cumberland 65.01 (60.19 - 69.54) 65.41 (61.28 - 69.31) 0.843
Midcoast 54.20b (47.87 - 60.39) 58.51 (53.41 - 63.44) 0.077
Penquis 56.12 (50.37 - 61.72) 55.94 (50.75 - 61.02) 0.938
Western 51.80 (46.31 - 57.24) 53.05 (48.28 - 57.75) 0.594
York 59.23 (53.53 - 64.70) 62.45 (57.76 - 66.92) 0.148
Maryland 57.45 (54.81 - 60.05) 56.67 (54.34 - 58.98) 0.548
Anne Arundel 63.55 (57.93 - 68.82) 61.40 (56.33 - 66.24) 0.296
Baltimore City 50.92 (45.54 - 56.29) 53.30 (48.49 - 58.04) 0.295
Baltimore County 59.89 (54.16 - 65.35) 61.39 (56.55 - 66.02) 0.478
Montgomery 59.68 (54.17 - 64.95) 57.02 (52.67 - 61.26) 0.201
North Central 57.25 (50.71 - 63.54) 58.45 (53.13 - 63.58) 0.610
Northeast 58.40 (52.08 - 64.46) 55.48 (50.15 - 60.69) 0.202
Prince George's 53.70 (47.83 - 59.47) 55.24 (50.42 - 59.97) 0.489
South 56.58b (50.89 - 62.11) 52.71 (47.46 - 57.90) 0.082
West 57.07 (51.20 - 62.74) 53.55 (48.31 - 58.71) 0.116
Massachusetts 62.81a (60.27 - 65.28) 59.01 (56.65 - 61.32) 0.003
Boston 62.07b (56.44 - 67.39) 58.22 (53.19 - 63.09) 0.055
Central 57.61 (52.10 - 62.94) 54.30 (49.35 - 59.15) 0.139
Metrowest 67.61 (63.22 - 71.71) 64.98 (61.17 - 68.61) 0.140
Northeast 61.74b (56.99 - 66.28) 57.97 (53.88 - 61.95) 0.063
Southeast 64.99a (60.35 - 69.37) 58.50 (53.87 - 62.98) 0.002
Western 58.41 (53.36 - 63.30) 55.96 (51.01 - 60.79) 0.240
Michigan 54.52 (53.11 - 55.92) 53.83 (52.33 - 55.33) 0.395
Region 1 57.60 (52.16 - 62.86) 56.43 (51.22 - 61.50) 0.577
Region 2 55.42 (50.19 - 60.54) 54.15 (48.87 - 59.33) 0.550
Region 3 56.10 (52.79 - 59.37) 57.03 (53.81 - 60.19) 0.558
Region 4 50.93 (46.82 - 55.03) 51.79 (48.07 - 55.49) 0.647
Region 5 53.94b (50.97 - 56.90) 51.20 (48.08 - 54.30) 0.083
Region 6 58.45 (54.59 - 62.21) 56.94 (52.90 - 60.89) 0.422
Region 7 48.39 (45.23 - 51.55) 49.20 (45.97 - 52.44) 0.606
Region 8 60.50 (56.83 - 64.05) 58.54 (54.87 - 62.12) 0.267
Region 9 57.14 (53.10 - 61.08) 56.30 (52.28 - 60.23) 0.645
Region 10 52.60 (48.60 - 56.56) 52.04 (47.79 - 56.27) 0.775
Minnesota 59.26 (56.72 - 61.76) 59.29 (57.03 - 61.52) 0.980
Regions 1 and 2 54.77 (48.60 - 60.80) 54.94 (50.29 - 59.50) 0.938
Region 1 -- (-- - --) 54.20 (48.13 - 60.15) --
Region 2 -- (-- - --) 55.39 (49.35 - 61.28) --
Regions 3 and 4 57.69 (52.53 - 62.70) 56.93 (53.05 - 60.73) 0.704
Region 3 -- (-- - --) 56.55 (50.17 - 62.73) --
Region 4 -- (-- - --) 57.13 (52.58 - 61.57) --
Regions 5 and 6 58.35 (53.20 - 63.33) 56.23 (52.17 - 60.21) 0.276
Region 5 -- (-- - --) 54.76 (49.42 - 59.99) --
Region 6 -- (-- - --) 57.74 (52.43 - 62.86) --
Region 7 -- (-- - --) 61.86 (59.22 - 64.44) --
Region 7A (Hennepin) 62.87 (58.06 - 67.44) 65.69 (61.97 - 69.22) 0.152
Region 7B (Ramsey) 58.48 (52.79 - 63.96) 56.26 (51.41 - 60.98) 0.281
Region 7C 60.00 (55.73 - 64.12) 60.49 (56.55 - 64.30) 0.798
Mississippi 42.08a (39.47 - 44.75) 38.31 (36.08 - 40.59) 0.005
Region 1 41.00a (36.67 - 45.47) 36.33 (32.60 - 40.23) 0.017
Region 2 39.33 (34.06 - 44.86) 36.10 (31.51 - 40.97) 0.136
Region 3 40.64 (35.60 - 45.89) 37.32 (32.91 - 41.95) 0.134
Region 4 44.12 (38.71 - 49.66) 41.74 (37.57 - 46.04) 0.298
Region 5 39.03a (32.73 - 45.72) 34.83 (29.31 - 40.79) 0.050
Region 6 42.92 (37.75 - 48.25) 39.96 (35.40 - 44.71) 0.173
Region 7 45.30a (39.73 - 50.99) 39.90 (35.32 - 44.67) 0.014
Missouri 51.38 (48.84 - 53.92) 51.12 (48.82 - 53.42) 0.837
Central 51.00 (45.80 - 56.18) 48.27 (43.46 - 53.12) 0.202
Eastern 53.84 (50.24 - 57.40) 55.98 (52.81 - 59.09) 0.176
Eastern (St. Louis City and County) 52.40b (47.75 - 57.01) 56.00 (51.93 - 60.00) 0.065
Eastern (excluding St. Louis) 56.30 (51.21 - 61.27) 55.93 (51.36 - 60.40) 0.858
Northwest 52.93 (48.53 - 57.29) 52.82 (49.22 - 56.38) 0.948
Northwest (Jackson) 56.52 (50.74 - 62.13) 54.13 (49.45 - 58.73) 0.275
Northwest (excluding Jackson) 49.91 (44.15 - 55.67) 51.72 (46.82 - 56.58) 0.410
Southeast 43.95 (38.23 - 49.83) 41.95 (37.04 - 47.02) 0.370
Southwest 49.51 (44.07 - 54.97) 47.12 (42.40 - 51.89) 0.264
Montana 58.86 (56.37 - 61.31) 57.16 (54.78 - 59.50) 0.173
Region 1 55.38 (48.51 - 62.05) 51.99 (45.81 - 58.11) 0.189
Region 2 52.97 (47.72 - 58.16) 53.32 (48.59 - 57.98) 0.875
Region 3 56.47 (52.03 - 60.80) 54.28 (50.21 - 58.30) 0.268
Region 4 62.58 (58.07 - 66.87) 61.30 (57.31 - 65.14) 0.518
Region 5 60.85 (56.60 - 64.94) 58.61 (54.85 - 62.28) 0.222
Nebraska 56.95 (54.36 - 59.50) 58.49 (56.22 - 60.73) 0.215
Regions 1 and 2 50.44b (45.02 - 55.84) 54.30 (49.42 - 59.09) 0.058
Region 1 46.74a (39.78 - 53.83) 54.18 (47.83 - 60.40) 0.003
Region 2 53.69 (46.26 - 60.96) 54.40 (48.13 - 60.53) 0.781
Region 3 54.33 (48.88 - 59.68) 55.61 (50.64 - 60.46) 0.548
Region 4 56.00 (49.91 - 61.91) 52.89 (47.56 - 58.15) 0.184
Region 5 59.64 (55.24 - 63.90) 60.57 (56.44 - 64.55) 0.628
Region 6 57.97 (54.12 - 61.72) 60.61 (57.56 - 63.58) 0.122
Nevada 54.21 (51.51 - 56.90) 52.26 (49.72 - 54.78) 0.174
Clark - Region 1 52.78 (49.54 - 56.00) 51.07 (48.16 - 53.98) 0.314
Region 3 55.16 (49.72 - 60.49) 52.03 (47.00 - 57.01) 0.112
Capital District 57.66 (50.46 - 64.54) 55.33 (48.76 - 61.73) 0.320
Rural/Frontier 52.91 (46.10 - 59.61) 49.04 (42.75 - 55.35) 0.124
Washoe - Region 2 60.04 (55.09 - 64.79) 57.90 (53.51 - 62.17) 0.289
New Hampshire 65.16 (62.78 - 67.47) 64.18 (61.88 - 66.41) 0.423
Central 62.72 (58.93 - 66.36) 61.60 (58.19 - 64.89) 0.516
Central 1 61.85 (56.63 - 66.81) 60.03 (55.17 - 64.70) 0.410
Central 2 63.57 (58.60 - 68.27) 63.13 (58.92 - 67.15) 0.836
Northern 65.18 (59.36 - 70.58) 65.17 (60.27 - 69.76) 0.995
Southern 66.34 (63.51 - 69.06) 65.21 (62.46 - 67.86) 0.407
Southern 1 (Rockingham) 66.66 (62.45 - 70.63) 65.66 (61.63 - 69.48) 0.592
Southern 2 66.14 (62.47 - 69.63) 64.92 (61.58 - 68.13) 0.465
New Jersey 56.91 (54.41 - 59.38) 55.57 (53.58 - 57.55) 0.305
Central 58.42 (53.87 - 62.83) 57.77 (54.16 - 61.30) 0.748
Metropolitan 53.91a (49.17 - 58.58) 49.14 (45.40 - 52.89) 0.026
Northern 58.18 (54.03 - 62.22) 56.50 (53.45 - 59.50) 0.396
Southern 56.76 (52.01 - 61.38) 59.21 (55.57 - 62.75) 0.221
New Mexico 49.46 (46.96 - 51.96) 48.36 (45.97 - 50.76) 0.396
Region 1 45.68 (41.34 - 50.08) 43.13 (38.74 - 47.62) 0.208
Region 2 49.23 (43.25 - 55.24) 49.56 (44.42 - 54.71) 0.891
Region 3 (Bernalillo) 56.38 (52.27 - 60.40) 54.62 (51.04 - 58.14) 0.357
Region 4 47.19b (42.02 - 52.42) 43.62 (38.86 - 48.51) 0.097
Region 5 43.62 (38.62 - 48.75) 45.71 (41.78 - 49.69) 0.299
Region 5a -- (-- - --) 41.99 (36.80 - 47.36) --
Region 5b (Dona Ana) -- (-- - --) 49.08 (44.04 - 54.15) --
New York1 55.97 (54.57 - 57.36) 54.80 (53.47 - 56.12) 0.133
Region 1: Long Island 60.17a (56.74 - 63.51) 63.48 (60.55 - 66.32) 0.041
Region 2: New York City 53.64a (51.42 - 55.85) 50.74 (48.84 - 52.65) 0.008
Region 2A: Bronx 43.75a (39.60 - 47.99) 40.24 (36.35 - 44.26) 0.050
Region 2B: Kings -- (-- - --) 50.39 (47.03 - 53.74) --
Region 2C: New York 68.44 (64.20 - 72.39) 66.39 (62.70 - 69.89) 0.270
Region 2D: Queens 49.62a (45.41 - 53.84) 45.64 (41.93 - 49.41) 0.037
Region 2E: Richmond -- (-- - --) 51.32 (46.04 - 56.57) --
Region 3: Mid-Hudson -- (-- - --) 53.41 (50.04 - 56.75) --
Region 4: Capital Region -- (-- - --) 62.21 (58.07 - 66.18) --
Region 5: Mohawk Valley -- (-- - --) 50.09 (44.27 - 55.90) --
Region 6: North Country -- (-- - --) 51.55 (45.81 - 57.24) --
Region 7: Tug Hill Seaway -- (-- - --) 51.35 (45.90 - 56.77) --
Region 8: Central -- (-- - --) 55.49 (51.70 - 59.22) --
Region 9: Southern Tier -- (-- - --) 56.99 (52.25 - 61.61) --
Region 10: Finger Lakes -- (-- - --) 58.00 (54.20 - 61.70) --
Region 11: Western -- (-- - --) 56.70 (53.36 - 59.98) --
North Carolina 47.98a (45.36 - 50.61) 45.17 (43.29 - 47.08) 0.027
Alliance Behavioral Healthcare 1 45.02 (39.35 - 50.82) 45.55 (41.16 - 50.01) 0.816
Alliance Behavioral Healthcare 2 60.68a (54.85 - 66.22) 53.18 (48.55 - 57.76) 0.001
Cardinal Innovations Healthcare Solutions 1 49.53b (42.81 - 56.26) 45.32 (40.54 - 50.19) 0.075
Cardinal Innovations Healthcare Solutions 2 45.97 (39.92 - 52.14) 43.46 (38.65 - 48.40) 0.289
Cardinal Innovations Healthcare Solutions 3 54.25 (48.35 - 60.02) 52.04 (47.67 - 56.39) 0.332
CenterPoint Human Services 44.77 (38.73 - 50.97) 44.78 (39.85 - 49.81) 0.997
Eastpointe 32.73 (27.14 - 38.86) 33.93 (29.77 - 38.35) 0.602
Partners Behavioral Health Management 44.82 (39.34 - 50.43) 41.53 (36.67 - 46.56) 0.154
Sandhills Center 1 45.39a (38.18 - 52.79) 38.67 (33.68 - 43.90) 0.004
Sandhills Center 2 49.31 (43.16 - 55.49) 46.91 (41.83 - 52.06) 0.291
Smoky Mountain Center 1 45.98a (39.18 - 52.93) 37.15 (32.18 - 42.41) 0.000
Smoky Mountain Center 2 51.57b (44.62 - 58.46) 46.92 (41.42 - 52.49) 0.058
Trillium Health Resources 1 43.92 (37.12 - 50.95) 45.59 (40.77 - 50.50) 0.523
Trillium Health Resources 2 54.50 (47.40 - 61.43) 52.97 (47.18 - 58.67) 0.516
North Dakota 59.46 (57.00 - 61.87) 59.43 (57.28 - 61.54) 0.978
Badlands and West Central 63.38 (59.25 - 67.33) 61.48 (58.12 - 64.73) 0.286
Badlands -- (-- - --) 58.19 (52.18 - 63.97) --
West Central -- (-- - --) 62.44 (58.69 - 66.04) --
Lake Region 43.91b (37.80 - 50.21) 48.23 (42.48 - 54.03) 0.064
North Central 55.86 (50.28 - 61.30) 57.91 (52.98 - 62.69) 0.349
Northeast 62.26 (57.32 - 66.95) 63.38 (59.19 - 67.37) 0.534
Northwest 54.01 (47.07 - 60.80) 54.95 (48.39 - 61.34) 0.691
South Central 53.81b (47.39 - 60.10) 58.24 (52.55 - 63.71) 0.067
Southeast 61.99 (57.79 - 66.02) 59.88 (56.24 - 63.42) 0.240
Ohio 53.68b (52.32 - 55.04) 52.28 (50.78 - 53.77) 0.072
Boards 2, 46, 55, and 68 51.79 (46.30 - 57.25) 52.67 (47.56 - 57.73) 0.681
Boards 3, 52, and 85 56.30a (51.02 - 61.45) 52.06 (46.99 - 57.10) 0.038
Boards 4 and 78 51.23a (45.56 - 56.88) 44.59 (39.30 - 50.02) 0.003
Boards 5 and 60 50.44b (44.99 - 55.88) 46.59 (41.23 - 52.03) 0.068
Boards 7, 15, 41, 79, and 84 44.18 (38.97 - 49.52) 45.03 (39.84 - 50.34) 0.709
Boards 8, 13, and 83 52.14 (47.03 - 57.19) 53.44 (48.38 - 58.43) 0.520
Board 9 (Butler) 56.00a (50.12 - 61.72) 51.61 (46.52 - 56.67) 0.043
Board 12 52.55 (46.57 - 58.45) 52.16 (46.80 - 57.46) 0.855
Boards 18 and 47 56.48 (53.18 - 59.72) 55.76 (52.32 - 59.14) 0.643
Boards 20, 32, 54, and 69 51.17 (45.99 - 56.32) 48.86 (44.02 - 53.72) 0.255
Boards 21, 39, 51, 70, and 80 51.46a (46.69 - 56.21) 46.51 (41.64 - 51.46) 0.018
Boards 22, 74, and 87 57.11b (51.66 - 62.39) 53.32 (48.27 - 58.31) 0.068
Boards 23 and 45 52.71 (47.49 - 57.86) 51.19 (46.45 - 55.91) 0.448
Board 25 (Franklin) 56.51 (52.83 - 60.12) 54.82 (51.23 - 58.36) 0.321
Boards 27, 71, and 73 42.64 (37.56 - 47.89) 42.67 (37.76 - 47.72) 0.991
Boards 28, 43, and 67 58.96 (54.06 - 63.69) 58.49 (54.09 - 62.76) 0.809
Board 31 (Hamilton) 54.43b (50.12 - 58.67) 58.02 (53.97 - 61.97) 0.057
Board 48 (Lucas) 53.95a (48.73 - 59.09) 49.44 (44.32 - 54.57) 0.023
Boards 50 and 76 54.69a (50.00 - 59.30) 50.53 (46.19 - 54.86) 0.041
Board 57 (Montgomery) 51.31 (46.55 - 56.05) 53.59 (48.67 - 58.44) 0.272
Board 77 (Summit) 58.82 (53.76 - 63.71) 55.78 (51.10 - 60.35) 0.123
Oklahoma 47.95a (45.31 - 50.61) 44.13 (41.88 - 46.39) 0.003
Central 51.67 (46.01 - 57.30) 50.06 (45.34 - 54.77) 0.475
East Central 41.93a (36.42 - 47.65) 37.27 (32.45 - 42.36) 0.028
Northeast 50.09a (44.82 - 55.35) 44.02 (39.27 - 48.87) 0.005
Northwest and Southwest 47.55 (41.41 - 53.77) 44.29 (39.77 - 48.90) 0.148
Oklahoma County 52.77a (47.90 - 57.59) 47.60 (43.12 - 52.11) 0.012
Southeast 40.36 (35.38 - 45.56) 37.26 (32.76 - 41.99) 0.137
Tulsa County 48.69 (43.55 - 53.86) 45.84 (41.37 - 50.38) 0.174
Oregon 57.83 (55.38 - 60.25) 58.20 (55.87 - 60.50) 0.766
Region 1 (Multnomah) 60.82 (55.84 - 65.59) 62.65 (58.56 - 66.58) 0.364
Region 2 59.86 (55.37 - 64.19) 62.11 (58.33 - 65.75) 0.233
Region 3 56.77 (52.89 - 60.57) 53.93 (50.14 - 57.68) 0.138
Region 4 54.73 (49.02 - 60.32) 56.50 (51.59 - 61.29) 0.452
Region 5 (Central) 57.16 (50.13 - 63.91) 57.74 (51.37 - 63.86) 0.807
Region 6 (Eastern) 53.66 (46.90 - 60.29) 54.68 (48.87 - 60.37) 0.658
Pennsylvania 56.60 (55.18 - 58.01) 56.14 (54.66 - 57.61) 0.556
Region 1 (Allegheny) 62.07 (58.34 - 65.67) 59.74 (55.91 - 63.45) 0.182
Regions 3, 8, 9, and 51 57.48 (52.79 - 62.04) 56.99 (52.55 - 61.32) 0.805
Regions 4, 11, 37, and 49 55.51 (51.03 - 59.91) 57.44 (53.26 - 61.52) 0.308
Regions 5, 18, 23, 24, and 46 49.67 (45.16 - 54.17) 47.52 (42.97 - 52.11) 0.314
Regions 6, 12, 16, 31, 35, 45, and 47 57.35 (52.62 - 61.94) 56.21 (51.56 - 60.75) 0.559
Regions 7, 13, 20, and 33 63.31 (60.36 - 66.17) 62.02 (59.05 - 64.91) 0.391
Regions 10, 15, 27, 32, 43, and 44 45.71 (40.48 - 51.04) 46.70 (41.61 - 51.85) 0.663
Regions 17 and 21 57.83 (52.20 - 63.26) 55.61 (50.42 - 60.68) 0.290
Regions 19, 26, 28, and 42 52.78 (49.05 - 56.48) 52.65 (48.95 - 56.32) 0.941
Regions 22, 38, 40, 41, and 48 53.16 (48.34 - 57.92) 55.89 (51.29 - 60.40) 0.194
Regions 29 and 34 56.72 (51.52 - 61.77) 55.77 (50.85 - 60.59) 0.649
Regions 30 and 50 53.29 (48.23 - 58.27) 52.46 (47.88 - 57.00) 0.686
Region 36 (Philadelphia) 54.64 (50.70 - 58.53) 54.99 (51.20 - 58.71) 0.847
Rhode Island 59.34 (56.68 - 61.93) 60.28 (57.81 - 62.69) 0.470
Region 1: Southern Providence County -- (-- - --) 61.53 (57.03 - 65.83) --
Region 2: Northern Providence County/ Blackstone Valley -- (-- - --) 57.12 (52.44 - 61.67) --
Region 3: Providence -- (-- - --) 52.73 (48.05 - 57.36) --
Region 4: Kent County -- (-- - --) 62.32 (57.69 - 66.74) --
Region 5: East Bay -- (-- - --) 62.61 (57.38 - 67.56) --
Region 6: Newport County -- (-- - --) 65.18 (59.67 - 70.31) --
Region 7: South County -- (-- - --) 66.58 (61.90 - 70.97) --
South Carolina 48.48a (45.88 - 51.10) 45.71 (43.43 - 48.01) 0.035
Region 1 46.85a (42.50 - 51.25) 41.61 (37.80 - 45.51) 0.010
Region 2 49.42 (44.68 - 54.18) 47.82 (44.03 - 51.64) 0.448
Region 3 44.38 (39.46 - 49.42) 42.36 (38.13 - 46.71) 0.306
Region 4 52.21 (47.92 - 56.47) 50.73 (47.29 - 54.17) 0.435
South Dakota 57.04 (54.55 - 59.49) 58.17 (55.97 - 60.34) 0.355
Region 1 53.01a (48.64 - 57.34) 57.47 (53.85 - 61.02) 0.016
Region 2 53.14 (47.16 - 59.02) 53.57 (48.19 - 58.88) 0.841
Region 3 59.29 (54.84 - 63.60) 60.02 (56.25 - 63.67) 0.711
Region 4 57.61 (52.31 - 62.74) 58.53 (53.70 - 63.21) 0.667
Region 5 59.62 (55.48 - 63.62) 58.55 (54.85 - 62.15) 0.547
Tennessee 40.70a (38.19 - 43.25) 43.41 (41.12 - 45.73) 0.041
Region 1 37.77 (32.09 - 43.80) 36.27 (31.15 - 41.71) 0.512
Region 2 39.46 (34.71 - 44.43) 42.09 (37.75 - 46.56) 0.238
Region 3 37.92 (33.04 - 43.05) 38.57 (34.29 - 43.04) 0.760
Region 4 (Davidson) 46.46b (40.88 - 52.12) 50.90 (45.45 - 56.32) 0.052
Region 5 45.50 (40.95 - 50.12) 46.73 (42.76 - 50.75) 0.545
Region 6 32.25a (26.91 - 38.11) 40.04 (34.81 - 45.52) 0.000
Region 7 (Shelby) 40.59a (35.35 - 46.06) 45.70 (41.23 - 50.24) 0.013
Texas 47.21 (45.92 - 48.50) 47.57 (46.35 - 48.80) 0.607
Region 1 48.13 (43.47 - 52.82) 49.78 (45.23 - 54.33) 0.362
Region 2 44.96 (39.30 - 50.75) 46.19 (41.35 - 51.10) 0.522
Region 3 48.63 (46.50 - 50.77) 47.52 (45.54 - 49.52) 0.304
Region 3a 47.78 (45.04 - 50.53) 46.96 (44.44 - 49.49) 0.540
Region 3bc 50.14 (46.73 - 53.54) 48.53 (45.51 - 51.56) 0.322
Region 4 43.10 (38.36 - 47.97) 41.78 (37.68 - 45.99) 0.522
Region 5 41.91 (36.36 - 47.68) 44.96 (40.11 - 49.91) 0.153
Region 6 48.77 (46.26 - 51.29) 48.52 (46.21 - 50.83) 0.840
Region 6a 48.08 (45.35 - 50.83) 48.47 (46.01 - 50.94) 0.772
Region 6bc 54.58a (48.77 - 60.27) 48.88 (43.77 - 54.00) 0.006
Region 7 51.79 (48.67 - 54.89) 53.19 (50.51 - 55.86) 0.299
Region 7a 53.77 (49.69 - 57.80) 56.22 (52.76 - 59.61) 0.158
Region 7bcd 48.37 (43.88 - 52.89) 47.84 (43.73 - 51.99) 0.773
Region 8 46.30b (42.86 - 49.78) 49.28 (46.14 - 52.43) 0.058
Region 9 45.73b (40.34 - 51.23) 48.96 (43.49 - 54.46) 0.094
Region 10 42.04 (37.35 - 46.88) 41.94 (37.36 - 46.66) 0.957
Region 11 39.03 (35.51 - 42.66) 39.57 (36.42 - 42.81) 0.709
Region 11abd 40.90 (36.18 - 45.79) 40.36 (36.32 - 44.54) 0.779
Region 11c (Hidalgo) 35.79 (31.02 - 40.86) 38.22 (33.85 - 42.80) 0.189
Utah 31.46b (29.22 - 33.79) 29.41 (27.49 - 31.40) 0.100
Bear River, Northeastern, Summit, Tooele, and Wasatch 29.44b (24.78 - 34.58) 25.76 (21.66 - 30.33) 0.051
Central, Four Corners, San Juan, and Southwest 31.40a (26.04 - 37.32) 25.89 (22.16 - 29.99) 0.006
Central, Four Corners, and San Juan -- (-- - --) 25.04 (20.20 - 30.59) --
Southwest -- (-- - --) 26.41 (21.86 - 31.53) --
Davis County 33.57a (28.68 - 38.84) 27.75 (23.28 - 32.71) 0.005
Salt Lake County 35.44 (32.09 - 38.95) 35.81 (33.08 - 38.64) 0.830
Utah County 21.37 (17.87 - 25.35) 21.10 (17.96 - 24.62) 0.866
Weber, Morgan 35.37b (29.69 - 41.49) 31.06 (26.46 - 36.07) 0.056
Vermont 60.10 (57.48 - 62.67) 61.39 (58.89 - 63.83) 0.326
Champlain Valley 63.56 (59.99 - 67.00) 64.68 (61.27 - 67.95) 0.508
Rural Northeast 60.94 (55.82 - 65.83) 60.92 (56.21 - 65.42) 0.991
Rural Southeast 58.35 (53.12 - 63.40) 59.88 (55.48 - 64.13) 0.491
Rural Southwest 52.33 (46.67 - 57.93) 55.57 (50.62 - 60.41) 0.177
Virginia 54.26b (51.75 - 56.75) 51.92 (50.11 - 53.72) 0.054
Region 1 52.88 (47.93 - 57.76) 52.18 (48.30 - 56.04) 0.738
Region 2 57.15 (52.59 - 61.58) 55.84 (52.54 - 59.08) 0.519
Region 3 48.76a (43.73 - 53.82) 43.71 (40.05 - 47.43) 0.014
Region 4 57.50a (52.32 - 62.51) 52.61 (48.79 - 56.40) 0.022
Region 5 53.30 (49.00 - 57.54) 52.36 (49.06 - 55.64) 0.622
Washington1 54.22 (51.78 - 56.63) 56.02 (53.55 - 58.46) 0.149
Region 1 48.74 (44.58 - 52.92) 50.62 (46.65 - 54.59) 0.264
Greater Columbia and North Central 45.37 (39.88 - 50.98) 46.22 (41.32 - 51.20) 0.692
Spokane 53.63 (47.65 - 59.50) 57.10 (51.52 - 62.51) 0.127
Region 2 57.47 (54.29 - 60.58) 59.20 (56.12 - 62.22) 0.256
King 59.16 (55.22 - 62.98) 60.70 (57.07 - 64.22) 0.392
North Sound 54.50 (49.56 - 59.35) 56.56 (51.71 - 61.28) 0.341
Region 3 53.28 (49.73 - 56.80) 55.10 (51.79 - 58.37) 0.242
Pierce 54.17 (48.85 - 59.40) 54.40 (49.82 - 58.90) 0.922
Salish 55.24 (47.98 - 62.29) 56.35 (49.85 - 62.64) 0.661
SW WA and Great Rivers 50.27a (44.59 - 55.95) 54.91 (49.77 - 59.94) 0.030
Thurston-Mason 55.51 (48.31 - 62.48) 55.89 (49.43 - 62.16) 0.867
West Virginia 38.43 (35.99 - 40.94) 39.81 (37.43 - 42.25) 0.309
Region I 45.52 (38.68 - 52.53) 42.82 (36.87 - 48.99) 0.276
Region II 44.40 (38.88 - 50.06) 46.77 (41.72 - 51.89) 0.298
Region III 35.50 (29.44 - 42.05) 36.96 (31.75 - 42.49) 0.549
Region IV 43.17 (38.82 - 47.63) 44.09 (40.00 - 48.26) 0.652
Region V 34.41b (30.63 - 38.40) 37.78 (33.88 - 41.84) 0.086
Region VI 32.77 (28.56 - 37.27) 32.50 (28.52 - 36.75) 0.897
Wisconsin 62.24 (59.63 - 64.78) 61.86 (59.60 - 64.07) 0.764
Milwaukee 60.84 (55.72 - 65.73) 59.19 (54.99 - 63.27) 0.401
Northeastern 63.24 (58.80 - 67.47) 62.97 (59.04 - 66.73) 0.887
Northern 61.82 (55.28 - 67.95) 57.85 (52.47 - 63.05) 0.109
Southeastern 64.05 (59.21 - 68.61) 64.70 (60.73 - 68.47) 0.742
Southern 62.37 (57.30 - 67.19) 63.47 (59.52 - 67.24) 0.588
Western 59.68 (54.28 - 64.86) 59.26 (54.27 - 64.06) 0.843
Wyoming 54.91 (52.34 - 57.45) 53.08 (50.76 - 55.40) 0.138
Judicial District 1 (Laramie) 53.43 (48.03 - 58.75) 53.08 (48.64 - 57.47) 0.873
Judicial District 2 60.76 (55.43 - 65.84) 60.27 (55.46 - 64.89) 0.804
Judicial District 3 48.58 (43.66 - 53.53) 45.73 (40.86 - 50.67) 0.154
Judicial District 4 59.98 (53.55 - 66.08) 56.78 (50.51 - 62.83) 0.167
Judicial District 5 52.35 (45.76 - 58.86) 53.09 (47.77 - 58.34) 0.761
Judicial District 6 57.59a (52.27 - 62.75) 53.48 (48.63 - 58.26) 0.040
Judicial District 7 (Natrona) 55.61 (49.91 - 61.16) 53.54 (48.94 - 58.07) 0.342
Judicial District 8 55.10a (49.20 - 60.87) 49.55 (43.60 - 55.50) 0.019
Judicial District 9 55.61 (50.01 - 61.07) 54.96 (49.68 - 60.13) 0.753
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2012-2014 and 2014-2016); hence, the 2012-2014 estimates and p values are not available for these regions. The definitions of the substate regions listed in this table are provided in the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
NOTE: Substate, state, and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and are generated by Markov Chain Monte Carlo techniques, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2012-2014 and 2014-2016 population percentages. The "Total U.S." estimates, along with the 95 percent confidence intervals and the p values, are based on design-based (direct) estimation methods.
a Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.10 level.
1 Names of some of the substate regions for this state have changed across the two time periods (2012-2014 vs. 2014-2016). For details, see the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012-2016.
180321
Table 5 – Alcohol Use in the Past Month among Individuals Aged 12 to 20, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2012-2014 and 2014-2016 NSDUHs
State/Substate Region 2012-2014
(Estimate)
2012-2014
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 23.28a (22.77 - 23.81) 20.82 (20.28 - 21.38) 0.000
Northeast 26.87a (26.05 - 27.71) 24.91 (24.00 - 25.83) 0.000
Midwest 24.15a (23.52 - 24.79) 21.71 (21.00 - 22.43) 0.000
South 21.18a (20.59 - 21.79) 19.16 (18.57 - 19.76) 0.000
West 23.19a (22.39 - 24.00) 19.75 (18.97 - 20.55) 0.000
Alabama 19.60 (17.66 - 21.70) 18.19 (16.12 - 20.46) 0.177
Region 1 17.82 (14.80 - 21.31) 16.93 (14.10 - 20.20) 0.552
Region 2 20.63 (17.76 - 23.83) 19.98 (16.96 - 23.39) 0.687
Region 3 19.99 (16.85 - 23.55) 18.24 (15.12 - 21.85) 0.277
Region 4 19.94b (16.67 - 23.67) 17.09 (14.23 - 20.38) 0.062
Alaska 21.82 (19.63 - 24.18) 22.36 (20.05 - 24.86) 0.646
Anchorage 23.47 (20.46 - 26.77) 22.47 (19.52 - 25.73) 0.529
Northern 19.61 (16.40 - 23.27) 20.31 (17.05 - 24.02) 0.665
South Central 21.47 (18.22 - 25.13) 23.51 (20.29 - 27.06) 0.235
Southeast 21.25 (17.53 - 25.50) 24.06 (20.04 - 28.61) 0.144
Arizona1 23.40a (21.27 - 25.67) 18.76 (16.60 - 21.14) 0.000
Central 24.83a (22.18 - 27.69) 19.26 (16.72 - 22.08) 0.000
North -- (-- - --) 17.72 (14.21 - 21.88) --
South -- (-- - --) 18.10 (15.38 - 21.18) --
South A 22.87b (19.20 - 27.01) 19.68 (16.26 - 23.63) 0.058
South B -- (-- - --) 16.37 (13.20 - 20.13) --
Arkansas 19.19a (17.30 - 21.22) 16.04 (14.03 - 18.29) 0.002
Catchment Area 1 20.17 (17.05 - 23.70) 17.72 (14.62 - 21.31) 0.106
Catchment Area 2 20.13a (16.57 - 24.24) 15.62 (12.63 - 19.17) 0.004
Catchment Area 3 16.89a (13.81 - 20.50) 13.57 (10.82 - 16.89) 0.023
Catchment Area 4 18.12a (14.76 - 22.05) 14.70 (11.77 - 18.21) 0.025
Catchment Area 5 22.33a (18.57 - 26.59) 18.82 (15.38 - 22.82) 0.039
Catchment Area 6 19.39a (15.52 - 23.96) 14.58 (11.47 - 18.35) 0.003
Catchment Area 7 17.31a (13.83 - 21.46) 13.83 (10.83 - 17.50) 0.017
Catchment Area 8 18.00 (14.97 - 21.50) 16.29 (13.28 - 19.81) 0.234
California 23.46a (22.21 - 24.76) 19.75 (18.53 - 21.03) 0.000
Region 1R 27.98 (23.79 - 32.58) 25.78 (22.07 - 29.87) 0.226
Region 2R 28.61a (24.76 - 32.80) 24.36 (20.93 - 28.16) 0.013
Region 3R (Sacramento) 21.16b (17.71 - 25.09) 18.60 (15.72 - 21.87) 0.095
Region 4R 24.77a (21.26 - 28.65) 21.41 (18.07 - 25.18) 0.040
Region 5R (San Francisco) 29.16a (24.77 - 33.97) 21.78 (17.78 - 26.39) 0.000
Region 6 (Santa Clara) 21.43a (18.09 - 25.20) 17.82 (15.18 - 20.81) 0.016
Region 7R (Contra Costa) 22.96 (19.37 - 26.98) 21.36 (18.38 - 24.67) 0.295
Region 8R (Alameda) 21.94 (18.54 - 25.76) 19.89 (16.95 - 23.20) 0.186
Region 9R (San Mateo) 25.01a (21.20 - 29.25) 18.88 (15.59 - 22.68) 0.000
Region 10 28.59a (24.58 - 32.98) 23.77 (20.15 - 27.82) 0.006
Region 11 (Los Angeles) 22.44a (20.72 - 24.26) 18.22 (16.70 - 19.84) 0.000
LA SPA 1 and 5 30.00a (25.55 - 34.85) 22.13 (18.54 - 26.19) 0.000
LA SPA 2 21.75a (18.64 - 25.22) 18.82 (16.03 - 21.96) 0.040
LA SPA 3 20.61b (17.13 - 24.58) 17.84 (14.87 - 21.25) 0.089
LA SPA 4 22.55a (18.69 - 26.94) 17.19 (13.87 - 21.10) 0.001
LA SPA 6 22.09a (18.32 - 26.38) 15.83 (13.01 - 19.12) 0.000
LA SPA 7 21.19a (18.05 - 24.72) 16.85 (14.04 - 20.08) 0.002
LA SPA 8 21.97b (18.72 - 25.60) 19.18 (16.37 - 22.34) 0.063
Region 12R 22.06b (18.09 - 26.61) 19.01 (15.71 - 22.81) 0.062
Regions 13 and 19R 21.24a (18.63 - 24.12) 17.47 (15.08 - 20.15) 0.003
Region 14 (Orange) 24.27a (21.11 - 27.73) 20.84 (18.08 - 23.90) 0.019
Region 15R (Fresno) 23.09a (19.40 - 27.25) 19.79 (16.69 - 23.31) 0.044
Region 16R (San Diego) 26.48a (23.28 - 29.95) 22.92 (20.10 - 26.00) 0.023
Region 17R 22.64a (19.24 - 26.45) 17.72 (15.07 - 20.73) 0.001
Region 18R (San Bernardino) 20.06a (16.81 - 23.75) 17.04 (14.47 - 19.96) 0.040
Region 20R 21.32a (17.77 - 25.36) 18.17 (15.16 - 21.63) 0.032
Region 21R 29.13b (24.86 - 33.82) 25.67 (21.50 - 30.34) 0.076
Colorado 26.12a (24.06 - 28.30) 22.96 (20.66 - 25.44) 0.004
Region 1 -- (-- - --) 26.12 (22.09 - 30.60) --
Region 2 -- (-- - --) 22.06 (18.08 - 26.63) --
Region 3 -- (-- - --) 22.04 (19.06 - 25.35) --
Region 4 -- (-- - --) 19.23 (15.30 - 23.89) --
Region 5 -- (-- - --) 20.53 (17.06 - 24.51) --
Region 6 -- (-- - --) 25.30 (21.39 - 29.65) --
Region 7 -- (-- - --) 22.69 (18.92 - 26.98) --
Connecticut 27.86 (25.60 - 30.25) 25.96 (23.46 - 28.63) 0.136
Eastern 34.21b (29.80 - 38.92) 29.88 (25.11 - 35.12) 0.057
North Central 26.63 (23.23 - 30.34) 25.31 (21.84 - 29.13) 0.459
Northwestern 24.61 (20.75 - 28.92) 23.03 (19.48 - 27.01) 0.383
South Central 28.40 (24.96 - 32.11) 27.38 (23.50 - 31.64) 0.594
Southwest 27.41 (23.70 - 31.47) 25.08 (21.60 - 28.92) 0.189
Delaware 24.05 (21.88 - 26.36) 22.38 (20.20 - 24.72) 0.151
Kent 22.02 (18.47 - 26.04) 20.88 (17.54 - 24.67) 0.494
New Castle (excluding Wilmington City) 26.41 (23.59 - 29.43) 24.81 (22.05 - 27.79) 0.270
Sussex 21.16 (17.87 - 24.87) 19.36 (16.22 - 22.95) 0.262
Wilmington City 19.33a (15.44 - 23.93) 16.08 (12.87 - 19.91) 0.050
District of Columbia 32.24a (29.31 - 35.31) 26.95 (23.90 - 30.24) 0.003
Ward 1 38.50 (31.82 - 45.65) 33.59 (27.51 - 40.27) 0.140
Ward 2 65.51a (58.59 - 71.84) 57.30 (49.98 - 64.30) 0.031
Ward 3 45.75a (41.19 - 50.37) 35.16 (29.94 - 40.77) 0.000
Ward 4 25.41a (21.37 - 29.93) 19.72 (15.98 - 24.08) 0.004
Ward 5 27.85 (23.08 - 33.18) 23.50 (18.85 - 28.89) 0.107
Ward 6 25.77 (21.39 - 30.71) 22.73 (18.71 - 27.32) 0.141
Ward 7 21.22a (16.94 - 26.24) 16.45 (13.02 - 20.57) 0.016
Ward 8 23.26a (19.19 - 27.91) 18.04 (14.29 - 22.51) 0.013
Florida 22.70a (21.48 - 23.98) 20.79 (19.40 - 22.25) 0.008
Broward (Circuit 17) 20.48 (17.69 - 23.60) 19.61 (16.90 - 22.64) 0.541
Central I 23.77a (21.56 - 26.13) 21.19 (18.97 - 23.60) 0.028
Circuit 9 23.39 (20.62 - 26.42) 21.20 (18.44 - 24.27) 0.143
Circuit 18 24.40a (21.10 - 28.03) 21.17 (18.10 - 24.60) 0.046
Central II 22.01b (20.24 - 23.89) 20.27 (18.52 - 22.15) 0.056
Circuit 6 21.23 (18.15 - 24.69) 21.39 (18.47 - 24.63) 0.922
Circuit 10 21.08a (17.82 - 24.75) 16.92 (14.14 - 20.12) 0.007
Circuit 12 21.87 (18.44 - 25.75) 20.49 (17.31 - 24.08) 0.364
Circuit 13 (Hillsborough) 23.49 (20.38 - 26.90) 21.91 (19.14 - 24.95) 0.314
Circuit 20 21.68b (18.37 - 25.40) 19.07 (16.04 - 22.53) 0.080
Northeast 23.40b (21.42 - 25.50) 21.68 (19.64 - 23.88) 0.090
Circuit 4 20.74 (17.61 - 24.27) 20.07 (17.19 - 23.31) 0.657
Circuit 5 23.19a (19.96 - 26.77) 19.12 (16.15 - 22.50) 0.010
Circuit 7 22.91 (19.49 - 26.72) 22.72 (19.49 - 26.30) 0.909
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee 29.70 (25.33 - 34.48) 27.30 (23.02 - 32.05) 0.253
Northwest 26.69 (24.04 - 29.52) 26.15 (23.67 - 28.80) 0.676
Circuit 1 24.17 (20.53 - 28.22) 23.27 (20.14 - 26.72) 0.594
Circuit 2 plus Madison and Taylor 33.62 (29.00 - 38.58) 34.07 (29.66 - 38.77) 0.844
Circuit 14 20.56 (16.81 - 24.89) 19.29 (15.98 - 23.11) 0.417
South (Circuits 11 and 16) 21.26b (18.82 - 23.93) 18.80 (16.37 - 21.49) 0.077
Southeast 22.57a (20.11 - 25.23) 19.39 (17.15 - 21.84) 0.007
Circuit 15 (Palm Beach) 22.96a (20.02 - 26.20) 19.22 (16.46 - 22.32) 0.011
Circuit 19 21.70 (18.12 - 25.76) 19.76 (16.72 - 23.19) 0.211
Georgia 19.91a (18.00 - 21.96) 16.91 (15.18 - 18.78) 0.001
Region 1 19.72a (16.75 - 23.08) 16.03 (13.64 - 18.75) 0.007
Region 2 21.25 (17.70 - 25.31) 19.58 (16.53 - 23.04) 0.315
Region 3 18.50b (15.86 - 21.47) 16.00 (13.69 - 18.61) 0.053
Region 4 20.55 (16.49 - 25.29) 18.43 (15.03 - 22.38) 0.225
Region 5 21.25a (17.34 - 25.78) 17.97 (14.94 - 21.46) 0.046
Region 6 20.43a (16.97 - 24.39) 16.42 (13.75 - 19.48) 0.007
Hawaii 20.56 (18.32 - 23.00) 19.27 (16.92 - 21.86) 0.292
Hawaii Island 23.56a (19.77 - 27.83) 18.25 (14.80 - 22.30) 0.004
Honolulu 20.12 (17.52 - 23.00) 19.56 (16.92 - 22.51) 0.699
Kauai 19.52 (15.88 - 23.76) 19.87 (16.19 - 24.16) 0.834
Maui 20.13 (16.52 - 24.30) 18.41 (14.92 - 22.49) 0.319
Idaho 19.60a (17.73 - 21.62) 17.45 (15.47 - 19.62) 0.024
Region 1 21.07 (17.53 - 25.09) 19.31 (15.81 - 23.37) 0.310
Region 2 29.07a (24.14 - 34.55) 24.06 (19.55 - 29.23) 0.017
Region 3 18.42b (15.27 - 22.07) 15.81 (13.04 - 19.04) 0.072
Region 4 21.17 (18.12 - 24.58) 20.25 (17.28 - 23.58) 0.548
Region 5 17.55 (14.45 - 21.15) 16.24 (13.16 - 19.86) 0.389
Region 6 17.54 (14.00 - 21.74) 15.74 (12.53 - 19.59) 0.237
Region 7 16.10a (12.88 - 19.94) 12.41   (9.58 - 15.94) 0.017
Illinois 23.21a (21.93 - 24.54) 20.70 (19.15 - 22.33) 0.001
Region 1 (Cook) 22.29a (20.24 - 24.48) 18.81 (17.00 - 20.76) 0.000
Region 1.1 (Far North Side) -- (-- - --) 20.78 (17.10 - 25.01) --
Region 1.2 (Northwest Side) -- (-- - --) 17.66 (14.22 - 21.73) --
Region 1.3 (North Central Side) -- (-- - --) 26.70 (21.96 - 32.04) --
Region 1.4 (West Side) -- (-- - --) 16.22 (13.11 - 19.89) --
Region 1.5 (South Side) -- (-- - --) 17.55 (14.48 - 21.12) --
Region 1.6 (Southwest Side) -- (-- - --) 15.95 (12.98 - 19.46) --
Region 1.7 (Suburban Cook) -- (-- - --) 19.19 (16.75 - 21.90) --
Region 2 21.54 (19.64 - 23.57) 20.17 (18.27 - 22.21) 0.175
Region 2a (DuPage) -- (-- - --) 20.36 (17.37 - 23.71) --
Region 2b -- (-- - --) 19.46 (17.06 - 22.11) --
Region 2c (Winnebago) -- (-- - --) 19.23 (15.72 - 23.32) --
Region 2d -- (-- - --) 22.80 (19.44 - 26.54) --
Region 3 29.73a (26.84 - 32.80) 25.88 (23.04 - 28.95) 0.009
Region 3a (Champaign) -- (-- - --) 37.11 (31.24 - 43.39) --
Region 3b -- (-- - --) 23.43 (20.38 - 26.78) --
Region 4 25.38b (22.10 - 28.97) 22.56 (19.61 - 25.82) 0.057
Region 4a (Sangamon) -- (-- - --) 20.87 (17.41 - 24.81) --
Region 4b -- (-- - --) 23.03 (19.59 - 26.89) --
Region 5 23.47 (20.49 - 26.73) 22.64 (19.91 - 25.63) 0.556
Region 5a -- (-- - --) 20.70 (17.29 - 24.60) --
Region 5b -- (-- - --) 24.26 (20.74 - 28.17) --
Indiana 23.03 (21.09 - 25.08) 21.41 (19.15 - 23.85) 0.123
Central 19.76 (16.76 - 23.14) 18.73 (15.96 - 21.86) 0.475
East 24.89 (20.83 - 29.43) 24.15 (19.91 - 28.96) 0.704
North Central 21.94 (18.57 - 25.73) 20.52 (16.97 - 24.58) 0.401
Northeast 22.41 (18.80 - 26.48) 21.17 (17.69 - 25.13) 0.456
Northwest 21.33 (17.77 - 25.39) 18.92 (15.51 - 22.87) 0.139
Southeast 21.41 (17.99 - 25.30) 19.53 (16.22 - 23.33) 0.247
Southwest 24.10 (20.20 - 28.48) 22.48 (18.68 - 26.78) 0.354
West 32.61 (27.96 - 37.64) 29.40 (24.31 - 35.06) 0.161
Iowa 26.65a (24.51 - 28.90) 23.33 (20.96 - 25.88) 0.001
Central 23.31a (19.74 - 27.31) 19.91 (16.61 - 23.69) 0.023
North Central 32.19a (27.79 - 36.93) 28.01 (23.45 - 33.07) 0.027
Northeast 28.26a (24.75 - 32.04) 25.00 (21.65 - 28.67) 0.041
Northwest 27.44 (23.48 - 31.80) 24.92 (21.07 - 29.20) 0.158
Southeast 25.40a (21.86 - 29.29) 21.66 (18.20 - 25.58) 0.018
Southwest 23.26 (19.61 - 27.36) 21.08 (17.39 - 25.31) 0.168
Kansas 23.21 (21.24 - 25.31) 21.60 (19.28 - 24.11) 0.165
Northeast -- (-- - --) 22.44 (19.58 - 25.58) --
Northwest and North Central -- (-- - --) 22.73 (18.49 - 27.61) --
South Central -- (-- - --) 20.11 (17.15 - 23.43) --
Southeast -- (-- - --) 23.65 (19.25 - 28.71) --
Southwest -- (-- - --) 18.23 (14.52 - 22.65) --
Kentucky1 20.11 (18.23 - 22.12) 19.49 (17.28 - 21.91) 0.558
Adanta, Cumberland River, and Lifeskills 19.17 (15.94 - 22.88) 16.55 (13.30 - 20.40) 0.111
Bluegrass, Comprehend, and North Key 23.27 (20.21 - 26.65) 22.28 (19.07 - 25.87) 0.528
Centerstone 19.10 (16.23 - 22.34) 19.82 (16.74 - 23.31) 0.628
Communicare and River Valley 18.69 (15.35 - 22.56) 18.76 (15.29 - 22.81) 0.965
Four Rivers and Pennyroyal 18.09 (14.56 - 22.25) 18.07 (14.61 - 22.14) 0.991
Kentucky River, Mountain, and Pathways 17.90 (14.52 - 21.88) 17.54 (14.18 - 21.49) 0.818
Louisiana 22.64 (20.67 - 24.74) 23.08 (20.85 - 25.47) 0.670
Regions 1 and 10 23.08 (19.83 - 26.68) 23.74 (20.40 - 27.44) 0.640
Region 1 23.43 (19.05 - 28.48) 25.98 (21.60 - 30.90) 0.172
Region 10 (Jefferson) 22.68 (18.94 - 26.92) 21.12 (17.52 - 25.24) 0.355
Regions 2 and 9 24.61 (21.70 - 27.77) 25.93 (22.89 - 29.21) 0.383
Region 3 23.12 (19.08 - 27.74) 23.43 (19.52 - 27.85) 0.870
Regions 4, 5, and 6 23.16 (19.77 - 26.93) 21.17 (17.82 - 24.95) 0.246
Regions 7 and 8 18.71 (15.64 - 22.22) 20.99 (17.63 - 24.80) 0.143
Maine 24.32 (22.19 - 26.58) 25.17 (22.64 - 27.88) 0.475
Aroostook/Downeast 23.08 (19.78 - 26.75) 23.28 (19.81 - 27.14) 0.897
Aroostook 21.51 (17.60 - 26.02) 23.26 (19.20 - 27.87) 0.358
Downeast 24.47 (19.98 - 29.59) 23.29 (19.05 - 28.16) 0.523
Central 22.93 (19.23 - 27.10) 24.74 (20.84 - 29.11) 0.329
Cumberland 26.22 (22.69 - 30.09) 26.59 (22.75 - 30.83) 0.840
Midcoast 22.09 (18.33 - 26.36) 23.57 (19.66 - 27.99) 0.420
Penquis 30.13 (25.60 - 35.10) 27.55 (22.96 - 32.68) 0.248
Western 21.95 (18.24 - 26.16) 23.55 (19.69 - 27.90) 0.378
York 22.10b (18.71 - 25.90) 25.35 (21.84 - 29.21) 0.054
Maryland 23.03 (20.96 - 25.24) 21.84 (19.57 - 24.31) 0.266
Anne Arundel 25.89 (21.80 - 30.45) 23.52 (19.66 - 27.88) 0.186
Baltimore City 21.77 (17.91 - 26.19) 21.99 (17.97 - 26.61) 0.906
Baltimore County 24.67 (20.93 - 28.85) 24.00 (19.99 - 28.53) 0.709
Montgomery 20.60 (17.41 - 24.20) 18.52 (15.49 - 21.99) 0.164
North Central 21.41 (17.70 - 25.65) 21.45 (18.00 - 25.37) 0.977
Northeast 23.42 (19.44 - 27.93) 22.68 (18.79 - 27.11) 0.676
Prince George's 22.21 (18.53 - 26.39) 22.73 (19.14 - 26.77) 0.773
South 23.35 (19.49 - 27.70) 20.75 (16.98 - 25.10) 0.139
West 25.44b (21.55 - 29.77) 22.09 (18.27 - 26.46) 0.068
Massachusetts 30.36 (28.11 - 32.71) 30.29 (27.63 - 33.09) 0.957
Boston 40.16a (34.90 - 45.66) 34.39 (28.93 - 40.29) 0.011
Central 26.37 (22.49 - 30.65) 28.60 (24.44 - 33.16) 0.233
Metrowest 30.28 (26.69 - 34.12) 29.93 (26.15 - 34.02) 0.838
Northeast 27.75 (24.30 - 31.49) 27.42 (23.60 - 31.59) 0.844
Southeast 28.93 (25.36 - 32.78) 29.55 (25.61 - 33.83) 0.731
Western 31.37 (27.19 - 35.88) 33.72 (29.13 - 38.64) 0.249
Michigan 24.55a (23.25 - 25.89) 21.27 (19.76 - 22.86) 0.000
Region 1 31.06a (27.09 - 35.34) 26.91 (22.82 - 31.44) 0.028
Region 2 23.26 (19.79 - 27.13) 21.93 (18.49 - 25.80) 0.404
Region 3 23.43 (20.77 - 26.31) 22.55 (19.81 - 25.55) 0.524
Region 4 21.85 (18.90 - 25.12) 20.86 (18.03 - 24.00) 0.516
Region 5 28.49a (25.81 - 31.32) 23.41 (20.47 - 26.62) 0.001
Region 6 28.01a (24.94 - 31.30) 23.85 (20.54 - 27.50) 0.015
Region 7 22.96a (20.56 - 25.54) 17.27 (14.92 - 19.90) 0.000
Region 8 23.18b (20.43 - 26.18) 20.46 (17.85 - 23.34) 0.058
Region 9 22.26 (19.59 - 25.17) 20.39 (17.59 - 23.50) 0.218
Region 10 22.86 (19.93 - 26.07) 20.57 (17.66 - 23.81) 0.130
Minnesota 24.16 (22.11 - 26.35) 22.49 (20.23 - 24.93) 0.115
Regions 1 and 2 25.60 (21.52 - 30.16) 23.55 (20.13 - 27.35) 0.192
Region 1 -- (-- - --) 21.41 (17.43 - 26.01) --
Region 2 -- (-- - --) 25.02 (20.71 - 29.90) --
Regions 3 and 4 25.33 (21.75 - 29.28) 23.35 (20.20 - 26.84) 0.198
Region 3 -- (-- - --) 24.78 (20.16 - 30.07) --
Region 4 -- (-- - --) 22.66 (19.18 - 26.56) --
Regions 5 and 6 25.71 (22.05 - 29.75) 23.82 (20.72 - 27.22) 0.230
Region 5 -- (-- - --) 23.88 (20.20 - 28.00) --
Region 6 -- (-- - --) 23.76 (19.85 - 28.16) --
Region 7 -- (-- - --) 21.57 (19.08 - 24.28) --
Region 7A (Hennepin) 24.27 (20.80 - 28.12) 23.40 (20.05 - 27.11) 0.591
Region 7B (Ramsey) 24.94b (20.76 - 29.66) 21.99 (18.26 - 26.24) 0.074
Region 7C 21.04 (18.19 - 24.20) 19.79 (16.66 - 23.35) 0.397
Mississippi 21.14a (19.16 - 23.27) 17.29 (15.23 - 19.57) 0.000
Region 1 21.05a (17.72 - 24.82) 17.13 (14.20 - 20.52) 0.010
Region 2 19.42a (15.98 - 23.40) 14.22 (11.34 - 17.70) 0.001
Region 3 23.73a (20.08 - 27.81) 19.39 (15.98 - 23.32) 0.012
Region 4 19.33a (16.24 - 22.84) 16.00 (13.24 - 19.21) 0.015
Region 5 18.86a (14.99 - 23.44) 15.45 (12.11 - 19.52) 0.029
Region 6 22.42a (18.84 - 26.45) 19.18 (15.73 - 23.19) 0.046
Region 7 22.29a (18.62 - 26.44) 18.86 (15.51 - 22.75) 0.040
Missouri 21.91 (19.95 - 24.02) 20.56 (18.32 - 22.98) 0.192
Central 25.98 (22.15 - 30.22) 23.88 (20.00 - 28.26) 0.290
Eastern 21.27 (18.76 - 24.01) 20.49 (17.84 - 23.43) 0.529
Eastern (St. Louis City and County) 19.87 (16.91 - 23.21) 19.13 (16.05 - 22.65) 0.610
Eastern (excluding St. Louis) 23.47 (19.74 - 27.66) 22.49 (18.99 - 26.43) 0.575
Northwest 20.80 (17.94 - 23.98) 20.09 (17.26 - 23.25) 0.598
Northwest (Jackson) 21.42b (17.75 - 25.61) 18.55 (15.38 - 22.21) 0.087
Northwest (excluding Jackson) 20.31 (16.66 - 24.52) 21.26 (17.67 - 25.36) 0.571
Southeast 21.83 (18.35 - 25.76) 19.24 (15.77 - 23.26) 0.125
Southwest 21.32 (17.64 - 25.53) 19.24 (15.86 - 23.15) 0.220
Montana 25.98a (23.83 - 28.24) 21.84 (19.53 - 24.33) 0.001
Region 1 24.06a (20.05 - 28.59) 19.41 (15.71 - 23.72) 0.012
Region 2 22.88a (19.10 - 27.17) 19.17 (15.84 - 23.01) 0.031
Region 3 22.35a (19.10 - 25.98) 18.03 (14.99 - 21.52) 0.007
Region 4 29.54a (25.75 - 33.63) 24.58 (21.21 - 28.29) 0.008
Region 5 27.33b (24.23 - 30.65) 24.03 (20.78 - 27.61) 0.059
Nebraska 23.20b (21.14 - 25.40) 21.28 (19.02 - 23.72) 0.090
Regions 1 and 2 21.51 (18.33 - 25.07) 20.64 (17.27 - 24.47) 0.511
Region 1 20.47 (16.31 - 25.36) 21.42 (17.17 - 26.39) 0.584
Region 2 22.42 (18.31 - 27.15) 19.96 (16.02 - 24.57) 0.142
Region 3 22.81 (19.18 - 26.90) 20.74 (17.18 - 24.83) 0.225
Region 4 22.63 (18.51 - 27.37) 19.83 (16.34 - 23.85) 0.108
Region 5 26.83b (23.42 - 30.54) 23.60 (19.73 - 27.97) 0.092
Region 6 21.74 (18.95 - 24.81) 20.62 (18.10 - 23.40) 0.442
Nevada 23.82 (21.56 - 26.25) 22.21 (19.77 - 24.87) 0.195
Clark - Region 1 22.42 (19.86 - 25.21) 21.14 (18.54 - 24.01) 0.357
Region 3 25.33 (21.82 - 29.20) 23.38 (19.62 - 27.61) 0.204
Capital District 25.08 (20.56 - 30.22) 24.60 (20.01 - 29.85) 0.798
Rural/Frontier 25.53 (21.08 - 30.56) 22.38 (18.02 - 27.45) 0.102
Washoe - Region 2 29.14 (25.20 - 33.42) 26.32 (22.37 - 30.69) 0.148
New Hampshire 32.87a (30.65 - 35.16) 27.27 (24.88 - 29.80) 0.000
Central 34.94a (31.91 - 38.10) 29.07 (25.92 - 32.44) 0.000
Central 1 39.58a (35.68 - 43.62) 32.51 (28.20 - 37.14) 0.002
Central 2 29.76a (25.67 - 34.21) 25.27 (21.65 - 29.27) 0.022
Northern 39.86a (35.61 - 44.27) 32.78 (28.26 - 37.64) 0.001
Southern 30.30a (27.61 - 33.13) 25.19 (22.45 - 28.13) 0.001
Southern 1 (Rockingham) 27.90a (24.57 - 31.50) 23.09 (19.70 - 26.87) 0.005
Southern 2 31.70a (28.24 - 35.37) 26.41 (23.10 - 30.01) 0.006
New Jersey 25.33 (23.18 - 27.61) 23.57 (21.55 - 25.72) 0.107
Central 26.01 (22.57 - 29.78) 24.27 (21.37 - 27.42) 0.284
Metropolitan 23.23 (19.85 - 26.98) 20.73 (17.66 - 24.19) 0.108
Northern 26.11 (22.81 - 29.69) 24.45 (21.76 - 27.35) 0.308
Southern 25.96 (22.65 - 29.57) 24.93 (21.63 - 28.54) 0.543
New Mexico 20.03 (18.05 - 22.17) 19.87 (17.69 - 22.25) 0.884
Region 1 17.04 (14.07 - 20.48) 17.06 (14.22 - 20.33) 0.988
Region 2 19.06 (15.60 - 23.09) 19.34 (15.82 - 23.41) 0.871
Region 3 (Bernalillo) 22.76 (19.58 - 26.28) 21.99 (18.95 - 25.37) 0.653
Region 4 20.87 (17.45 - 24.75) 18.56 (15.13 - 22.57) 0.169
Region 5 19.23 (15.98 - 22.95) 20.93 (17.99 - 24.20) 0.241
Region 5a -- (-- - --) 17.52 (14.24 - 21.38) --
Region 5b (Dona Ana) -- (-- - --) 23.40 (19.53 - 27.78) --
New York1 25.96a (24.62 - 27.35) 23.54 (22.04 - 25.12) 0.002
Region 1: Long Island 26.88 (24.18 - 29.76) 25.32 (22.56 - 28.31) 0.319
Region 2: New York City 23.31a (21.50 - 25.22) 20.68 (18.87 - 22.61) 0.005
Region 2A: Bronx 21.93a (18.77 - 25.46) 17.52 (14.88 - 20.51) 0.004
Region 2B: Kings -- (-- - --) 20.19 (17.37 - 23.35) --
Region 2C: New York 32.07 (28.16 - 36.26) 29.63 (25.73 - 33.84) 0.219
Region 2D: Queens 20.79 (17.81 - 24.13) 18.73 (15.90 - 21.93) 0.160
Region 2E: Richmond -- (-- - --) 20.88 (17.46 - 24.76) --
Region 3: Mid-Hudson -- (-- - --) 21.15 (18.36 - 24.24) --
Region 4: Capital Region -- (-- - --) 28.61 (25.05 - 32.45) --
Region 5: Mohawk Valley -- (-- - --) 26.65 (22.29 - 31.52) --
Region 6: North Country -- (-- - --) 24.78 (20.66 - 29.41) --
Region 7: Tug Hill Seaway -- (-- - --) 27.23 (23.09 - 31.82) --
Region 8: Central -- (-- - --) 26.30 (22.79 - 30.13) --
Region 9: Southern Tier -- (-- - --) 32.87 (28.19 - 37.92) --
Region 10: Finger Lakes -- (-- - --) 26.45 (23.25 - 29.92) --
Region 11: Western -- (-- - --) 26.21 (23.20 - 29.45) --
North Carolina 18.73a (17.00 - 20.58) 16.91 (15.15 - 18.84) 0.033
Alliance Behavioral Healthcare 1 16.67 (13.44 - 20.49) 16.53 (13.59 - 19.96) 0.928
Alliance Behavioral Healthcare 2 20.48a (16.91 - 24.58) 15.30 (12.53 - 18.56) 0.001
Cardinal Innovations Healthcare Solutions 1 18.01 (14.61 - 22.01) 16.38 (13.45 - 19.79) 0.243
Cardinal Innovations Healthcare Solutions 2 19.53 (16.00 - 23.62) 17.16 (13.84 - 21.08) 0.114
Cardinal Innovations Healthcare Solutions 3 17.82 (14.54 - 21.65) 16.37 (13.61 - 19.56) 0.307
CenterPoint Human Services 17.11 (13.84 - 20.97) 18.41 (15.05 - 22.32) 0.352
Eastpointe 13.27 (10.68 - 16.37) 13.23 (10.65 - 16.31) 0.974
Partners Behavioral Health Management 18.36 (15.33 - 21.85) 16.49 (13.66 - 19.78) 0.176
Sandhills Center 1 18.10a (14.53 - 22.31) 14.48 (11.57 - 17.97) 0.011
Sandhills Center 2 19.25 (15.60 - 23.50) 18.99 (15.54 - 23.01) 0.874
Smoky Mountain Center 1 23.57a (19.29 - 28.46) 17.35 (13.89 - 21.45) 0.000
Smoky Mountain Center 2 20.39a (16.63 - 24.75) 17.07 (14.03 - 20.61) 0.032
Trillium Health Resources 1 19.88 (15.88 - 24.58) 19.11 (15.78 - 22.94) 0.639
Trillium Health Resources 2 23.10 (18.53 - 28.40) 23.70 (19.49 - 28.49) 0.750
North Dakota 30.54 (28.11 - 33.07) 30.65 (28.13 - 33.28) 0.930
Badlands and West Central 28.06 (24.40 - 32.04) 29.09 (25.65 - 32.79) 0.546
Badlands -- (-- - --) 27.29 (22.41 - 32.78) --
West Central -- (-- - --) 29.59 (25.74 - 33.74) --
Lake Region 18.78 (15.36 - 22.76) 20.78 (16.99 - 25.15) 0.228
North Central 26.79 (22.12 - 32.04) 28.24 (23.66 - 33.31) 0.499
Northeast 41.40 (36.60 - 46.37) 39.71 (34.83 - 44.81) 0.484
Northwest 24.08 (19.78 - 28.96) 25.26 (20.78 - 30.33) 0.532
South Central 26.77 (22.28 - 31.79) 28.02 (23.29 - 33.30) 0.526
Southeast 33.45 (29.66 - 37.47) 32.41 (28.78 - 36.25) 0.589
Ohio 24.28a (22.98 - 25.63) 21.44 (19.83 - 23.13) 0.000
Boards 2, 46, 55, and 68 23.79 (20.10 - 27.92) 23.30 (19.61 - 27.46) 0.772
Boards 3, 52, and 85 23.32b (19.70 - 27.38) 20.60 (17.11 - 24.58) 0.087
Boards 4 and 78 21.53 (18.01 - 25.53) 19.60 (16.22 - 23.48) 0.202
Boards 5 and 60 30.31a (26.49 - 34.42) 25.65 (21.36 - 30.45) 0.015
Boards 7, 15, 41, 79, and 84 20.09 (16.95 - 23.65) 19.77 (16.32 - 23.74) 0.834
Boards 8, 13, and 83 21.45 (18.25 - 25.05) 19.60 (16.33 - 23.34) 0.228
Board 9 (Butler) 27.13a (23.12 - 31.56) 22.52 (18.83 - 26.70) 0.008
Board 12 26.27a (22.12 - 30.90) 22.71 (18.98 - 26.94) 0.048
Boards 18 and 47 24.00a (21.29 - 26.94) 20.17 (17.49 - 23.14) 0.009
Boards 20, 32, 54, and 69 22.45 (19.00 - 26.33) 19.86 (16.60 - 23.59) 0.112
Boards 21, 39, 51, 70, and 80 20.42 (17.40 - 23.80) 18.27 (15.21 - 21.79) 0.137
Boards 22, 74, and 87 27.37 (23.48 - 31.63) 25.16 (21.50 - 29.21) 0.211
Boards 23 and 45 22.90a (19.35 - 26.89) 19.55 (16.43 - 23.11) 0.042
Board 25 (Franklin) 26.68a (23.64 - 29.94) 21.70 (18.87 - 24.83) 0.001
Boards 27, 71, and 73 20.69b (17.55 - 24.24) 18.06 (15.10 - 21.47) 0.074
Boards 28, 43, and 67 28.41b (25.08 - 31.99) 25.20 (21.70 - 29.06) 0.056
Board 31 (Hamilton) 23.87 (20.60 - 27.47) 23.08 (19.64 - 26.91) 0.629
Board 48 (Lucas) 24.90a (21.12 - 29.11) 20.02 (16.51 - 24.06) 0.003
Boards 50 and 76 23.34 (20.07 - 26.97) 21.69 (18.57 - 25.16) 0.296
Board 57 (Montgomery) 23.32 (19.80 - 27.25) 22.23 (18.69 - 26.23) 0.517
Board 77 (Summit) 26.03b (22.47 - 29.95) 22.93 (19.54 - 26.71) 0.061
Oklahoma 22.62a (20.59 - 24.78) 19.11 (16.87 - 21.56) 0.001
Central 26.95a (22.92 - 31.39) 23.18 (19.44 - 27.39) 0.040
East Central 18.54b (15.16 - 22.47) 15.74 (12.51 - 19.62) 0.074
Northeast 25.33a (21.54 - 29.54) 21.11 (17.34 - 25.45) 0.020
Northwest and Southwest 21.99 (18.21 - 26.32) 19.60 (16.30 - 23.39) 0.148
Oklahoma County 22.89a (19.32 - 26.90) 19.31 (16.15 - 22.92) 0.026
Southeast 19.58 (16.20 - 23.46) 17.25 (13.93 - 21.17) 0.154
Tulsa County 22.55a (18.91 - 26.66) 17.44 (14.36 - 21.03) 0.001
Oregon 25.61a (23.51 - 27.82) 22.44 (20.22 - 24.82) 0.003
Region 1 (Multnomah) 24.64a (20.91 - 28.78) 20.59 (17.29 - 24.34) 0.017
Region 2 24.09b (20.87 - 27.64) 21.34 (18.48 - 24.50) 0.080
Region 3 28.39a (24.99 - 32.05) 24.30 (20.98 - 27.95) 0.014
Region 4 23.76 (19.93 - 28.07) 23.02 (19.51 - 26.96) 0.657
Region 5 (Central) 23.95b (19.98 - 28.43) 20.68 (16.72 - 25.28) 0.057
Region 6 (Eastern) 24.22 (19.93 - 29.09) 22.15 (18.21 - 26.66) 0.219
Pennsylvania 26.18a (24.84 - 27.56) 23.76 (22.14 - 25.46) 0.002
Region 1 (Allegheny) 28.02a (24.71 - 31.59) 23.39 (20.21 - 26.92) 0.006
Regions 3, 8, 9, and 51 30.28 (26.57 - 34.26) 27.37 (23.67 - 31.42) 0.120
Regions 4, 11, 37, and 49 24.92 (21.73 - 28.40) 23.88 (20.50 - 27.62) 0.506
Regions 5, 18, 23, 24, and 46 21.96 (18.61 - 25.73) 20.35 (17.09 - 24.06) 0.314
Regions 6, 12, 16, 31, 35, 45, and 47 34.78 (30.62 - 39.18) 33.26 (29.03 - 37.78) 0.463
Regions 7, 13, 20, and 33 25.45b (23.08 - 27.97) 23.10 (20.51 - 25.91) 0.080
Regions 10, 15, 27, 32, 43, and 44 22.43 (19.04 - 26.23) 20.03 (16.58 - 23.99) 0.136
Regions 17 and 21 28.19 (23.97 - 32.83) 25.97 (21.86 - 30.55) 0.242
Regions 19, 26, 28, and 42 23.64a (21.12 - 26.35) 20.39 (17.63 - 23.47) 0.019
Regions 22, 38, 40, 41, and 48 23.87 (20.57 - 27.52) 23.54 (20.19 - 27.25) 0.836
Regions 29 and 34 24.51 (20.89 - 28.54) 22.67 (19.11 - 26.68) 0.260
Regions 30 and 50 26.43a (22.73 - 30.49) 22.51 (18.89 - 26.59) 0.024
Region 36 (Philadelphia) 27.38 (24.23 - 30.78) 25.10 (21.91 - 28.59) 0.169
Rhode Island 31.68a (29.14 - 34.34) 25.97 (23.23 - 28.91) 0.000
Region 1: Southern Providence County -- (-- - --) 26.45 (22.34 - 31.01) --
Region 2: Northern Providence County/ Blackstone Valley -- (-- - --) 21.32 (18.00 - 25.07) --
Region 3: Providence -- (-- - --) 26.52 (21.87 - 31.76) --
Region 4: Kent County -- (-- - --) 23.39 (19.88 - 27.32) --
Region 5: East Bay -- (-- - --) 27.02 (22.72 - 31.79) --
Region 6: Newport County -- (-- - --) 26.68 (22.16 - 31.76) --
Region 7: South County -- (-- - --) 33.03 (28.13 - 38.34) --
South Carolina 20.50 (18.58 - 22.56) 19.52 (17.36 - 21.87) 0.339
Region 1 20.87a (17.82 - 24.29) 17.87 (15.08 - 21.06) 0.042
Region 2 19.33 (16.36 - 22.71) 20.05 (17.07 - 23.40) 0.633
Region 3 18.56 (15.48 - 22.10) 17.92 (14.82 - 21.51) 0.672
Region 4 22.42 (19.27 - 25.91) 22.00 (18.76 - 25.63) 0.796
South Dakota 25.38 (23.26 - 27.63) 25.56 (23.22 - 28.06) 0.866
Region 1 22.45 (19.08 - 26.22) 24.12 (20.79 - 27.79) 0.307
Region 2 20.39 (16.99 - 24.27) 19.38 (15.93 - 23.38) 0.514
Region 3 31.28 (27.70 - 35.10) 31.04 (27.29 - 35.05) 0.888
Region 4 29.19 (25.30 - 33.42) 28.11 (24.19 - 32.39) 0.540
Region 5 22.24 (19.06 - 25.79) 22.85 (19.82 - 26.20) 0.674
Tennessee 17.57 (15.62 - 19.69) 18.31 (16.12 - 20.71) 0.461
Region 1 18.18 (14.59 - 22.42) 17.95 (14.58 - 21.89) 0.885
Region 2 18.10 (14.82 - 21.93) 19.24 (15.82 - 23.20) 0.461
Region 3 16.80 (13.69 - 20.45) 18.18 (14.80 - 22.12) 0.367
Region 4 (Davidson) 19.85 (16.10 - 24.23) 19.47 (15.65 - 23.94) 0.828
Region 5 19.61 (16.50 - 23.15) 19.36 (16.34 - 22.78) 0.870
Region 6 14.57a (11.50 - 18.28) 17.80 (14.23 - 22.03) 0.039
Region 7 (Shelby) 14.66 (11.93 - 17.89) 15.36 (12.48 - 18.77) 0.600
Texas 21.52a (20.34 - 22.75) 18.53 (17.22 - 19.92) 0.000
Region 1 25.92b (22.19 - 30.04) 22.93 (19.42 - 26.88) 0.086
Region 2 25.32 (21.17 - 29.97) 22.95 (19.20 - 27.19) 0.190
Region 3 20.52a (18.80 - 22.34) 16.23 (14.57 - 18.03) 0.000
Region 3a 19.96a (17.83 - 22.27) 15.46 (13.49 - 17.65) 0.000
Region 3bc 21.50a (18.93 - 24.30) 17.60 (15.18 - 20.30) 0.005
Region 4 20.19b (17.15 - 23.62) 17.79 (14.84 - 21.18) 0.099
Region 5 22.26 (18.48 - 26.57) 21.09 (17.71 - 24.93) 0.482
Region 6 19.83a (17.81 - 22.01) 16.88 (14.93 - 19.04) 0.005
Region 6a 19.26a (17.12 - 21.59) 16.75 (14.68 - 19.04) 0.028
Region 6bc 24.91a (20.97 - 29.30) 18.12 (15.03 - 21.69) 0.000
Region 7 25.80b (23.36 - 28.41) 23.49 (20.94 - 26.24) 0.060
Region 7a 25.20 (22.05 - 28.63) 22.86 (19.80 - 26.23) 0.125
Region 7bcd 26.73 (23.34 - 30.41) 24.50 (20.94 - 28.44) 0.184
Region 8 21.74 (18.95 - 24.82) 20.67 (18.00 - 23.62) 0.455
Region 9 23.39b (19.44 - 27.87) 20.55 (17.11 - 24.48) 0.080
Region 10 22.97a (19.53 - 26.82) 17.80 (14.76 - 21.32) 0.001
Region 11 20.00a (17.62 - 22.60) 17.55 (15.32 - 20.02) 0.038
Region 11abd 20.77a (17.74 - 24.17) 17.71 (14.91 - 20.91) 0.039
Region 11c (Hidalgo) 18.81 (15.68 - 22.39) 17.29 (14.37 - 20.65) 0.292
Utah 14.39a (12.35 - 16.70) 11.15   (9.22 - 13.43) 0.004
Bear River, Northeastern, Summit, Tooele, and Wasatch 13.72a (10.72 - 17.39) 10.50   (7.81 - 13.96) 0.028
Central, Four Corners, San Juan, and Southwest 15.81a (12.31 - 20.07) 12.00   (9.34 - 15.28) 0.013
Central, Four Corners, and San Juan -- (-- - --) 11.08   (8.15 - 14.89) --
Southwest -- (-- - --) 12.60   (9.47 - 16.58) --
Davis County 14.08a (11.09 - 17.71) 9.81   (7.40 - 12.91) 0.001
Salt Lake County 14.85b (12.29 - 17.83) 12.40   (9.96 - 15.32) 0.082
Utah County 12.92a   (9.95 - 16.62) 9.38   (6.97 - 12.52) 0.013
Weber, Morgan 15.59a (12.11 - 19.83) 11.95   (9.08 - 15.58) 0.024
Vermont 30.24 (27.94 - 32.64) 30.89 (28.17 - 33.75) 0.612
Champlain Valley 35.98 (32.83 - 39.25) 35.93 (32.20 - 39.84) 0.980
Rural Northeast 27.30 (23.51 - 31.46) 27.96 (24.13 - 32.15) 0.723
Rural Southeast 24.07 (20.43 - 28.14) 25.79 (22.08 - 29.88) 0.324
Rural Southwest 25.03 (20.98 - 29.57) 26.63 (22.30 - 31.46) 0.412
Virginia 22.70a (20.66 - 24.87) 20.47 (18.63 - 22.44) 0.023
Region 1 24.42 (20.95 - 28.26) 22.76 (19.60 - 26.26) 0.306
Region 2 18.93 (16.06 - 22.18) 17.25 (14.80 - 20.02) 0.213
Region 3 26.15b (22.20 - 30.53) 22.89 (19.70 - 26.42) 0.061
Region 4 24.76a (21.06 - 28.86) 20.17 (17.14 - 23.59) 0.006
Region 5 21.87 (18.56 - 25.59) 21.14 (18.29 - 24.30) 0.656
Washington1 24.01a (22.00 - 26.15) 20.04 (17.94 - 22.31) 0.000
Region 1 25.32a (22.15 - 28.77) 20.29 (17.38 - 23.55) 0.001
Greater Columbia and North Central 24.63a (20.79 - 28.92) 18.32 (15.02 - 22.15) 0.000
Spokane 26.50 (22.10 - 31.42) 23.72 (19.46 - 28.58) 0.157
Region 2 24.28a (21.64 - 27.14) 20.44 (17.90 - 23.25) 0.002
King 24.06a (20.87 - 27.58) 20.22 (17.17 - 23.65) 0.014
North Sound 24.62a (20.95 - 28.69) 20.81 (17.48 - 24.58) 0.023
Region 3 22.65a (20.12 - 25.40) 19.30 (16.84 - 22.02) 0.003
Pierce 22.58a (19.09 - 26.50) 17.58 (14.48 - 21.19) 0.002
Salish 22.86b (18.48 - 27.93) 19.57 (15.63 - 24.21) 0.059
SW WA and Great Rivers 22.38 (18.61 - 26.67) 20.67 (17.06 - 24.82) 0.313
Thurston-Mason 23.24b (18.86 - 28.28) 20.43 (16.50 - 25.02) 0.088
West Virginia 22.23 (20.19 - 24.40) 22.52 (20.15 - 25.09) 0.794
Region I 22.89 (18.35 - 28.15) 23.80 (19.55 - 28.66) 0.638
Region II 20.62 (16.85 - 24.98) 21.93 (18.10 - 26.30) 0.482
Region III 18.35 (14.65 - 22.73) 19.31 (15.68 - 23.54) 0.583
Region IV 30.99 (27.52 - 34.68) 29.49 (25.49 - 33.83) 0.462
Region V 19.21 (16.17 - 22.66) 20.05 (16.88 - 23.65) 0.596
Region VI 18.08 (14.93 - 21.73) 18.51 (15.39 - 22.09) 0.785
Wisconsin 27.41a (25.28 - 29.64) 23.77 (21.52 - 26.17) 0.001
Milwaukee 28.01a (24.17 - 32.20) 21.20 (18.02 - 24.77) 0.000
Northeastern 26.13 (22.66 - 29.92) 23.90 (20.44 - 27.73) 0.184
Northern 27.29a (23.14 - 31.88) 23.55 (19.85 - 27.71) 0.033
Southeastern 25.59 (22.05 - 29.49) 23.13 (19.86 - 26.76) 0.134
Southern 28.45b (24.71 - 32.51) 25.25 (21.97 - 28.85) 0.059
Western 29.96a (25.94 - 34.32) 25.91 (22.18 - 30.03) 0.024
Wyoming 24.36 (22.01 - 26.87) 22.65 (20.31 - 25.17) 0.184
Judicial District 1 (Laramie) 24.74b (20.91 - 29.02) 21.56 (18.03 - 25.56) 0.093
Judicial District 2 37.71 (32.04 - 43.73) 38.85 (33.68 - 44.29) 0.687
Judicial District 3 20.03 (16.57 - 24.00) 17.52 (14.40 - 21.16) 0.145
Judicial District 4 25.15 (21.03 - 29.78) 22.46 (18.38 - 27.14) 0.169
Judicial District 5 22.82 (18.73 - 27.51) 22.73 (18.84 - 27.15) 0.960
Judicial District 6 22.09 (18.27 - 26.45) 20.50 (17.03 - 24.46) 0.402
Judicial District 7 (Natrona) 23.46 (19.38 - 28.10) 20.67 (17.10 - 24.76) 0.146
Judicial District 8 24.58 (20.33 - 29.39) 23.33 (19.44 - 27.73) 0.531
Judicial District 9 20.17 (16.57 - 24.33) 19.84 (16.32 - 23.90) 0.843
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2012-2014 and 2014-2016); hence, the 2012-2014 estimates and p values are not available for these regions. The definitions of the substate regions listed in this table are provided in the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
NOTE: Substate, state, and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and are generated by Markov Chain Monte Carlo techniques, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2012-2014 and 2014-2016 population percentages. The "Total U.S." estimates, along with the 95 percent confidence intervals and the p values, are based on design-based (direct) estimation methods.
a Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.10 level.
1 Names of some of the substate regions for this state have changed across the two time periods (2012-2014 vs. 2014-2016). For details, see the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012-2016.
180321
Table 6 – Tobacco Product Use in the Past Month among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2012-2014 and 2014-2016 NSDUHs
State/Substate Region 2012-2014
(Estimate)
2012-2014
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 25.81a (25.45 - 26.18) 24.22 (23.90 - 24.54) 0.000
Northeast 24.32a (23.63 - 25.03) 23.18 (22.52 - 23.85) 0.004
Midwest 28.98a (28.40 - 29.56) 27.15 (26.55 - 27.76) 0.000
South 27.30a (26.76 - 27.85) 25.92 (25.40 - 26.45) 0.000
West 21.69a (21.02 - 22.38) 19.66 (19.06 - 20.28) 0.000
Alabama 31.88 (29.53 - 34.32) 29.95 (28.00 - 31.98) 0.115
Region 1 31.86 (28.03 - 35.95) 32.43 (29.19 - 35.84) 0.771
Region 2 31.84 (28.36 - 35.53) 29.79 (26.84 - 32.92) 0.263
Region 3 27.65 (24.13 - 31.47) 26.08 (22.79 - 29.66) 0.375
Region 4 35.37a (31.16 - 39.81) 30.18 (26.84 - 33.73) 0.012
Alaska 30.93 (28.66 - 33.29) 30.87 (28.93 - 32.87) 0.960
Anchorage 27.20 (24.29 - 30.31) 26.80 (24.45 - 29.30) 0.793
Northern 39.46 (35.11 - 43.98) 37.65 (33.97 - 41.47) 0.390
South Central 30.65 (26.95 - 34.62) 32.13 (28.84 - 35.61) 0.441
Southeast 28.24 (24.10 - 32.79) 29.23 (25.15 - 33.68) 0.630
Arizona1 23.22 (21.16 - 25.43) 22.17 (20.41 - 24.04) 0.321
Central 22.85 (20.38 - 25.53) 21.13 (19.10 - 23.31) 0.179
North -- (-- - --) 26.51 (22.66 - 30.74) --
South -- (-- - --) 22.53 (19.81 - 25.50) --
South A 23.20 (19.61 - 27.23) 21.09 (18.10 - 24.42) 0.210
South B -- (-- - --) 24.26 (20.43 - 28.56) --
Arkansas 33.86 (31.59 - 36.20) 33.42 (31.31 - 35.59) 0.720
Catchment Area 1 27.33 (23.55 - 31.47) 26.66 (23.46 - 30.13) 0.723
Catchment Area 2 39.41 (34.64 - 44.39) 38.01 (33.58 - 42.64) 0.548
Catchment Area 3 35.99 (31.59 - 40.64) 34.03 (30.02 - 38.27) 0.380
Catchment Area 4 34.62 (30.08 - 39.46) 34.51 (30.40 - 38.87) 0.960
Catchment Area 5 35.00 (30.63 - 39.64) 33.20 (29.40 - 37.23) 0.395
Catchment Area 6 37.73 (32.71 - 43.02) 36.77 (32.38 - 41.39) 0.678
Catchment Area 7 34.60 (29.77 - 39.76) 36.48 (31.96 - 41.26) 0.423
Catchment Area 8 31.43 (27.36 - 35.80) 33.14 (29.34 - 37.17) 0.414
California 18.73a (17.73 - 19.77) 17.37 (16.54 - 18.24) 0.012
Region 1R 26.27 (22.57 - 30.34) 25.48 (22.10 - 29.19) 0.650
Region 2R 20.23 (17.06 - 23.82) 19.33 (16.68 - 22.29) 0.538
Region 3R (Sacramento) 22.82a (19.56 - 26.45) 19.38 (17.00 - 22.00) 0.020
Region 4R 18.68 (15.96 - 21.74) 17.82 (15.35 - 20.59) 0.519
Region 5R (San Francisco) 20.11a (16.61 - 24.14) 16.34 (13.61 - 19.49) 0.013
Region 6 (Santa Clara) 14.29 (12.00 - 16.94) 12.76 (11.00 - 14.76) 0.156
Region 7R (Contra Costa) 17.16 (14.33 - 20.41) 16.01 (13.77 - 18.53) 0.371
Region 8R (Alameda) 16.78 (14.19 - 19.74) 14.90 (12.72 - 17.38) 0.125
Region 9R (San Mateo) 15.17 (12.40 - 18.42) 14.02 (11.71 - 16.70) 0.365
Region 10 17.73 (15.00 - 20.83) 17.72 (15.03 - 20.78) 0.995
Region 11 (Los Angeles) 18.30a (16.95 - 19.73) 16.04 (14.94 - 17.20) 0.001
LA SPA 1 and 5 19.42a (16.30 - 22.97) 16.35 (14.02 - 18.99) 0.024
LA SPA 2 18.96a (16.30 - 21.94) 15.59 (13.55 - 17.87) 0.006
LA SPA 3 14.39 (11.98 - 17.19) 14.03 (11.92 - 16.43) 0.757
LA SPA 4 21.12a (17.83 - 24.84) 17.68 (15.05 - 20.67) 0.019
LA SPA 6 21.70b (18.37 - 25.44) 18.99 (16.18 - 22.15) 0.074
LA SPA 7 17.13 (14.53 - 20.10) 15.28 (12.92 - 17.98) 0.154
LA SPA 8 17.82 (15.26 - 20.70) 16.35 (14.09 - 18.89) 0.236
Region 12R 21.64 (18.18 - 25.55) 20.93 (17.88 - 24.34) 0.666
Regions 13 and 19R 17.46 (15.06 - 20.16) 17.94 (15.75 - 20.35) 0.690
Region 14 (Orange) 17.11 (14.88 - 19.60) 15.27 (13.32 - 17.44) 0.105
Region 15R (Fresno) 20.12 (16.96 - 23.70) 19.33 (16.59 - 22.40) 0.584
Region 16R (San Diego) 18.78 (16.37 - 21.44) 18.17 (16.10 - 20.45) 0.626
Region 17R 21.69 (18.76 - 24.94) 21.46 (18.90 - 24.26) 0.869
Region 18R (San Bernardino) 20.23 (17.39 - 23.40) 19.86 (17.45 - 22.52) 0.791
Region 20R 20.63 (17.63 - 23.99) 20.12 (17.28 - 23.29) 0.718
Region 21R 19.14 (16.08 - 22.63) 18.78 (15.97 - 21.96) 0.801
Colorado 27.45a (25.37 - 29.63) 22.34 (20.57 - 24.23) 0.000
Region 1 -- (-- - --) 22.11 (19.21 - 25.31) --
Region 2 -- (-- - --) 23.89 (20.25 - 27.96) --
Region 3 -- (-- - --) 22.02 (19.24 - 25.07) --
Region 4 -- (-- - --) 26.96 (22.96 - 31.37) --
Region 5 -- (-- - --) 22.49 (19.17 - 26.20) --
Region 6 -- (-- - --) 19.82 (17.15 - 22.79) --
Region 7 -- (-- - --) 23.10 (19.93 - 26.61) --
Connecticut 21.58 (19.63 - 23.65) 22.19 (20.34 - 24.16) 0.566
Eastern 24.18 (20.69 - 28.05) 26.99 (23.28 - 31.05) 0.131
North Central 21.76 (18.79 - 25.06) 22.43 (19.70 - 25.41) 0.674
Northwestern 20.19 (17.07 - 23.72) 21.87 (18.83 - 25.25) 0.301
South Central 22.17 (18.91 - 25.81) 22.80 (19.75 - 26.17) 0.712
Southwest 20.15 (16.96 - 23.78) 18.36 (15.57 - 21.52) 0.275
Delaware 28.03a (25.84 - 30.32) 24.18 (22.27 - 26.18) 0.001
Kent 30.83a (26.88 - 35.09) 25.91 (22.62 - 29.49) 0.016
New Castle (excluding Wilmington City) 25.16a (22.55 - 27.97) 21.71 (19.48 - 24.12) 0.015
Sussex 30.78b (26.75 - 35.14) 26.89 (23.42 - 30.68) 0.058
Wilmington City 32.37b (27.48 - 37.68) 28.37 (24.14 - 33.02) 0.069
District of Columbia 26.22a (24.21 - 28.34) 23.69 (21.75 - 25.74) 0.023
Ward 1 27.23a (23.21 - 31.66) 22.24 (18.59 - 26.38) 0.007
Ward 2 25.31 (21.48 - 29.57) 22.85 (19.44 - 26.66) 0.164
Ward 3 19.99 (16.81 - 23.59) 19.00 (15.99 - 22.43) 0.528
Ward 4 22.58 (18.95 - 26.68) 20.94 (17.61 - 24.72) 0.355
Ward 5 28.81 (24.79 - 33.21) 25.77 (22.07 - 29.85) 0.129
Ward 6 25.81a (21.98 - 30.04) 20.73 (17.63 - 24.21) 0.007
Ward 7 27.99 (23.77 - 32.64) 27.86 (24.01 - 32.07) 0.951
Ward 8 33.08 (28.85 - 37.61) 31.20 (27.23 - 35.47) 0.383
Florida 24.13a (22.98 - 25.31) 21.70 (20.64 - 22.81) 0.000
Broward (Circuit 17) 19.84 (17.19 - 22.78) 18.75 (16.32 - 21.45) 0.432
Central I 22.69a (20.58 - 24.95) 19.83 (18.03 - 21.77) 0.009
Circuit 9 21.58a (18.86 - 24.58) 17.73 (15.65 - 20.03) 0.004
Circuit 18 24.31 (21.26 - 27.64) 22.93 (20.08 - 26.07) 0.384
Central II 24.70 (22.97 - 26.51) 23.40 (21.86 - 25.02) 0.160
Circuit 6 27.41 (24.12 - 30.97) 25.64 (22.66 - 28.86) 0.309
Circuit 10 26.73 (23.21 - 30.58) 26.35 (23.03 - 29.96) 0.831
Circuit 12 21.74 (18.53 - 25.33) 21.09 (18.15 - 24.36) 0.682
Circuit 13 (Hillsborough) 23.71 (20.79 - 26.90) 23.40 (20.72 - 26.32) 0.836
Circuit 20 23.18 (19.97 - 26.74) 20.50 (17.56 - 23.80) 0.101
Northeast 29.29a (27.20 - 31.46) 24.96 (23.06 - 26.97) 0.000
Circuit 4 27.74a (24.41 - 31.35) 24.51 (21.44 - 27.85) 0.045
Circuit 5 29.25a (25.57 - 33.23) 24.80 (21.59 - 28.32) 0.017
Circuit 7 29.43a (25.61 - 33.57) 24.58 (21.35 - 28.12) 0.013
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee 32.33a (28.25 - 36.69) 26.90 (23.11 - 31.06) 0.005
Northwest 29.98a (27.30 - 32.80) 25.36 (23.20 - 27.64) 0.000
Circuit 1 29.60a (25.48 - 34.09) 23.73 (20.67 - 27.08) 0.002
Circuit 2 plus Madison and Taylor 29.82a (25.94 - 34.01) 24.95 (21.76 - 28.45) 0.004
Circuit 14 31.10 (26.54 - 36.06) 29.84 (25.77 - 34.26) 0.530
South (Circuits 11 and 16) 18.45a (16.22 - 20.91) 15.65 (13.75 - 17.77) 0.020
Southeast 22.11 (19.70 - 24.73) 21.58 (19.38 - 23.96) 0.657
Circuit 15 (Palm Beach) 20.24 (17.39 - 23.43) 20.34 (17.66 - 23.32) 0.943
Circuit 19 26.21 (22.40 - 30.42) 24.30 (21.06 - 27.86) 0.299
Georgia 26.49 (24.49 - 28.59) 25.37 (23.87 - 26.94) 0.274
Region 1 27.09 (23.74 - 30.72) 24.54 (22.19 - 27.06) 0.127
Region 2 27.56 (23.98 - 31.45) 27.12 (24.12 - 30.35) 0.809
Region 3 21.90 (19.05 - 25.06) 21.42 (19.17 - 23.85) 0.745
Region 4 32.84 (28.17 - 37.87) 31.48 (27.50 - 35.75) 0.529
Region 5 30.29 (25.97 - 34.98) 30.02 (26.52 - 33.76) 0.897
Region 6 28.28 (24.34 - 32.58) 27.30 (24.16 - 30.69) 0.610
Hawaii 20.31 (18.33 - 22.45) 19.10 (17.36 - 20.96) 0.255
Hawaii Island 23.07 (19.28 - 27.37) 21.14 (17.91 - 24.76) 0.275
Honolulu 19.31 (17.07 - 21.76) 18.29 (16.36 - 20.39) 0.407
Kauai 22.24 (18.07 - 27.05) 21.41 (17.81 - 25.51) 0.671
Maui 22.46 (18.84 - 26.56) 20.73 (17.43 - 24.46) 0.317
Idaho 24.53a (22.58 - 26.59) 21.82 (20.14 - 23.60) 0.010
Region 1 26.87 (22.85 - 31.32) 25.20 (21.70 - 29.06) 0.393
Region 2 27.11b (22.78 - 31.92) 23.64 (19.94 - 27.79) 0.077
Region 3 24.99b (21.46 - 28.90) 21.87 (18.99 - 25.05) 0.077
Region 4 25.11a (22.06 - 28.43) 21.76 (19.26 - 24.48) 0.040
Region 5 23.19 (19.62 - 27.19) 22.76 (19.57 - 26.31) 0.803
Region 6 24.62a (20.82 - 28.87) 21.09 (17.67 - 24.97) 0.041
Region 7 20.63b (17.47 - 24.20) 17.63 (14.96 - 20.68) 0.063
Illinois 25.76a (24.63 - 26.94) 23.76 (22.56 - 25.00) 0.002
Region 1 (Cook) 23.71a (21.93 - 25.58) 21.03 (19.53 - 22.62) 0.002
Region 1.1 (Far North Side) -- (-- - --) 20.70 (17.51 - 24.30) --
Region 1.2 (Northwest Side) -- (-- - --) 21.14 (17.72 - 25.04) --
Region 1.3 (North Central Side) -- (-- - --) 20.97 (17.67 - 24.71) --
Region 1.4 (West Side) -- (-- - --) 24.47 (20.78 - 28.58) --
Region 1.5 (South Side) -- (-- - --) 24.56 (21.10 - 28.38) --
Region 1.6 (Southwest Side) -- (-- - --) 23.93 (20.52 - 27.71) --
Region 1.7 (Suburban Cook) -- (-- - --) 19.11 (17.05 - 21.34) --
Region 2 23.26a (21.51 - 25.12) 21.28 (19.71 - 22.93) 0.030
Region 2a (DuPage) -- (-- - --) 16.76 (14.41 - 19.39) --
Region 2b -- (-- - --) 20.47 (18.41 - 22.70) --
Region 2c (Winnebago) -- (-- - --) 28.71 (24.85 - 32.92) --
Region 2d -- (-- - --) 27.14 (23.82 - 30.73) --
Region 3 31.10 (28.23 - 34.12) 30.33 (27.65 - 33.16) 0.609
Region 3a (Champaign) -- (-- - --) 25.25 (21.78 - 29.07) --
Region 3b -- (-- - --) 31.18 (28.16 - 34.36) --
Region 4 33.94b (30.58 - 37.48) 30.72 (27.77 - 33.83) 0.056
Region 4a (Sangamon) -- (-- - --) 27.87 (23.94 - 32.17) --
Region 4b -- (-- - --) 31.53 (28.10 - 35.18) --
Region 5 30.50 (27.38 - 33.81) 30.91 (28.13 - 33.83) 0.798
Region 5a -- (-- - --) 27.09 (23.47 - 31.06) --
Region 5b -- (-- - --) 33.97 (30.32 - 37.82) --
Indiana 31.79b (29.61 - 34.06) 29.80 (27.85 - 31.82) 0.075
Central 28.55a (24.92 - 32.48) 23.97 (21.29 - 26.87) 0.010
East 36.31 (31.76 - 41.11) 33.56 (29.17 - 38.26) 0.219
North Central 32.55 (28.54 - 36.85) 31.61 (27.84 - 35.63) 0.648
Northeast 31.67 (27.40 - 36.27) 28.50 (24.91 - 32.39) 0.112
Northwest 28.44 (24.57 - 32.66) 30.06 (26.02 - 34.44) 0.416
Southeast 36.83 (31.92 - 42.03) 33.72 (29.46 - 38.26) 0.176
Southwest 31.60 (27.35 - 36.18) 31.66 (27.50 - 36.13) 0.978
West 33.85 (29.58 - 38.39) 34.30 (30.03 - 38.84) 0.823
Iowa 26.93 (24.79 - 29.20) 27.50 (25.60 - 29.48) 0.614
Central 26.18 (22.61 - 30.09) 25.42 (22.15 - 28.99) 0.686
North Central 28.57 (24.29 - 33.28) 26.38 (22.82 - 30.27) 0.281
Northeast 25.78 (22.49 - 29.36) 27.25 (24.26 - 30.46) 0.382
Northwest 26.72 (22.68 - 31.20) 29.18 (25.40 - 33.27) 0.236
Southeast 27.96 (24.32 - 31.91) 28.09 (24.96 - 31.44) 0.943
Southwest 27.45 (23.26 - 32.07) 29.28 (25.41 - 33.47) 0.381
Kansas 27.53a (25.44 - 29.71) 24.97 (23.13 - 26.91) 0.022
Northeast -- (-- - --) 21.77 (19.56 - 24.15) --
Northwest and North Central -- (-- - --) 29.54 (25.13 - 34.36) --
South Central -- (-- - --) 27.60 (24.70 - 30.69) --
Southeast -- (-- - --) 30.65 (26.18 - 35.52) --
Southwest -- (-- - --) 25.97 (22.02 - 30.35) --
Kentucky1 35.77 (33.46 - 38.14) 35.28 (33.21 - 37.41) 0.682
Adanta, Cumberland River, and Lifeskills 39.52 (35.01 - 44.23) 38.74 (34.83 - 42.81) 0.727
Bluegrass, Comprehend, and North Key 32.89 (29.35 - 36.63) 31.73 (28.58 - 35.05) 0.538
Centerstone 32.80 (28.87 - 36.99) 31.89 (28.60 - 35.37) 0.622
Communicare and River Valley 35.81 (31.24 - 40.65) 38.76 (34.16 - 43.58) 0.203
Four Rivers and Pennyroyal 36.35 (31.46 - 41.54) 36.24 (31.88 - 40.83) 0.961
Kentucky River, Mountain, and Pathways 42.99 (37.79 - 48.35) 41.93 (37.48 - 46.52) 0.680
Louisiana 30.92 (28.71 - 33.21) 30.67 (28.71 - 32.70) 0.836
Regions 1 and 10 28.17 (24.81 - 31.80) 26.76 (23.76 - 29.99) 0.374
Region 1 29.15 (24.63 - 34.13) 27.88 (23.91 - 32.22) 0.539
Region 10 (Jefferson) 27.15 (23.04 - 31.69) 25.54 (21.97 - 29.48) 0.416
Regions 2 and 9 29.92 (26.56 - 33.52) 29.95 (26.99 - 33.09) 0.987
Region 3 31.78 (27.28 - 36.65) 31.41 (27.55 - 35.54) 0.857
Regions 4, 5, and 6 33.83 (30.09 - 37.79) 33.93 (30.47 - 37.57) 0.961
Regions 7 and 8 30.74 (27.06 - 34.68) 30.94 (27.51 - 34.60) 0.919
Maine 26.19b (24.09 - 28.40) 24.30 (22.35 - 26.35) 0.099
Aroostook/Downeast 27.61 (24.00 - 31.54) 27.14 (24.03 - 30.50) 0.787
Aroostook 29.68 (24.98 - 34.84) 29.70 (25.53 - 34.24) 0.990
Downeast 25.93 (21.43 - 31.00) 25.07 (21.23 - 29.35) 0.688
Central 25.86 (22.13 - 29.98) 27.04 (23.35 - 31.09) 0.533
Cumberland 23.25 (19.99 - 26.87) 21.07 (18.26 - 24.18) 0.192
Midcoast 27.67a (23.36 - 32.44) 22.45 (19.13 - 26.16) 0.013
Penquis 30.05a (26.01 - 34.42) 25.67 (21.99 - 29.74) 0.037
Western 27.00 (23.25 - 31.11) 26.74 (23.23 - 30.56) 0.892
York 24.32 (20.62 - 28.44) 22.11 (18.92 - 25.66) 0.237
Maryland 22.53 (20.48 - 24.72) 22.20 (20.48 - 24.02) 0.735
Anne Arundel 23.18 (19.44 - 27.40) 22.79 (19.33 - 26.66) 0.823
Baltimore City 29.59 (25.32 - 34.24) 31.33 (27.52 - 35.41) 0.408
Baltimore County 22.30 (18.64 - 26.44) 23.08 (19.66 - 26.89) 0.654
Montgomery 16.95b (13.91 - 20.49) 14.40 (12.08 - 17.07) 0.068
North Central 20.73 (17.03 - 24.99) 19.22 (16.27 - 22.56) 0.360
Northeast 24.82 (20.75 - 29.39) 23.32 (19.68 - 27.40) 0.448
Prince George's 21.01 (17.58 - 24.91) 20.52 (17.47 - 23.95) 0.767
South 22.13 (18.53 - 26.20) 24.29 (20.86 - 28.10) 0.212
West 27.13 (23.16 - 31.51) 27.02 (23.39 - 30.98) 0.949
Massachusetts 22.78b (20.87 - 24.81) 21.15 (19.39 - 23.02) 0.094
Boston 23.38 (19.75 - 27.46) 21.64 (18.31 - 25.40) 0.313
Central 24.89 (21.21 - 28.97) 22.70 (19.63 - 26.09) 0.195
Metrowest 19.38 (16.56 - 22.56) 17.48 (14.96 - 20.33) 0.170
Northeast 22.07 (18.97 - 25.53) 19.63 (16.96 - 22.62) 0.118
Southeast 25.33 (21.82 - 29.18) 23.95 (20.80 - 27.42) 0.428
Western 23.48 (19.98 - 27.39) 24.00 (20.57 - 27.80) 0.762
Michigan 29.22a (27.98 - 30.51) 27.38 (26.11 - 28.69) 0.012
Region 1 31.94 (28.04 - 36.12) 32.24 (28.26 - 36.50) 0.883
Region 2 28.21 (24.18 - 32.61) 29.15 (25.39 - 33.21) 0.649
Region 3 27.70 (25.08 - 30.48) 25.48 (22.95 - 28.17) 0.129
Region 4 32.49 (29.19 - 35.97) 30.30 (27.19 - 33.61) 0.195
Region 5 31.02 (28.53 - 33.63) 29.59 (27.20 - 32.10) 0.295
Region 6 26.17b (23.26 - 29.30) 23.47 (20.68 - 26.52) 0.073
Region 7 29.65 (26.89 - 32.57) 27.44 (24.83 - 30.22) 0.166
Region 8 24.39a (21.77 - 27.22) 21.18 (18.69 - 23.90) 0.020
Region 9 30.94 (27.66 - 34.43) 28.61 (25.47 - 31.96) 0.176
Region 10 31.98 (28.73 - 35.40) 32.27 (28.84 - 35.90) 0.866
Minnesota 27.28a (25.07 - 29.59) 24.64 (22.79 - 26.59) 0.012
Regions 1 and 2 28.88 (24.38 - 33.84) 29.48 (25.91 - 33.31) 0.764
Region 1 -- (-- - --) 28.91 (24.58 - 33.66) --
Region 2 -- (-- - --) 29.82 (25.40 - 34.65) --
Regions 3 and 4 32.42a (28.29 - 36.84) 28.71 (25.58 - 32.07) 0.049
Region 3 -- (-- - --) 29.12 (24.62 - 34.06) --
Region 4 -- (-- - --) 28.50 (24.87 - 32.42) --
Regions 5 and 6 30.11a (26.22 - 34.30) 26.46 (23.50 - 29.66) 0.031
Region 5 -- (-- - --) 27.04 (23.17 - 31.30) --
Region 6 -- (-- - --) 25.87 (22.09 - 30.06) --
Region 7 -- (-- - --) 21.87 (19.86 - 24.04) --
Region 7A (Hennepin) 24.18a (20.63 - 28.12) 20.74 (18.08 - 23.68) 0.041
Region 7B (Ramsey) 26.77 (22.60 - 31.41) 23.70 (20.34 - 27.43) 0.103
Region 7C 23.53 (20.46 - 26.90) 22.21 (19.39 - 25.30) 0.407
Mississippi 35.41a (33.07 - 37.83) 31.42 (29.44 - 33.46) 0.001
Region 1 38.02a (34.04 - 42.18) 32.98 (29.60 - 36.54) 0.013
Region 2 33.23 (28.90 - 37.87) 30.98 (27.12 - 35.14) 0.296
Region 3 35.66 (31.29 - 40.28) 32.64 (28.87 - 36.64) 0.148
Region 4 31.88a (27.57 - 36.54) 27.21 (24.01 - 30.65) 0.016
Region 5 36.20 (30.75 - 42.03) 34.43 (29.80 - 39.38) 0.490
Region 6 37.25b (32.91 - 41.81) 33.30 (29.42 - 37.43) 0.063
Region 7 35.75a (31.21 - 40.56) 31.02 (27.29 - 35.01) 0.029
Missouri 32.38a (30.16 - 34.70) 29.89 (27.89 - 31.97) 0.036
Central 34.88a (30.71 - 39.29) 30.64 (27.02 - 34.52) 0.031
Eastern 29.11 (26.24 - 32.16) 27.99 (25.30 - 30.85) 0.459
Eastern (St. Louis City and County) 28.39 (24.84 - 32.24) 27.40 (24.08 - 30.99) 0.590
Eastern (excluding St. Louis) 30.34 (26.17 - 34.86) 28.99 (25.45 - 32.80) 0.517
Northwest 30.22 (26.98 - 33.67) 29.55 (26.65 - 32.64) 0.672
Northwest (Jackson) 30.38 (26.16 - 34.96) 28.54 (24.96 - 32.40) 0.356
Northwest (excluding Jackson) 30.08 (25.90 - 34.63) 30.41 (26.51 - 34.61) 0.874
Southeast 39.23b (34.50 - 44.17) 34.67 (30.64 - 38.93) 0.053
Southwest 35.66a (31.21 - 40.38) 30.38 (26.73 - 34.30) 0.016
Montana 29.90 (27.71 - 32.19) 28.51 (26.46 - 30.64) 0.233
Region 1 30.50 (25.74 - 35.73) 33.65 (29.08 - 38.55) 0.177
Region 2 31.21 (27.22 - 35.49) 29.72 (25.99 - 33.74) 0.469
Region 3 30.00 (26.39 - 33.88) 28.00 (24.81 - 31.43) 0.267
Region 4 28.55 (24.97 - 32.42) 27.45 (24.25 - 30.91) 0.564
Region 5 30.24 (26.77 - 33.96) 27.87 (24.87 - 31.08) 0.188
Nebraska 27.52 (25.36 - 29.79) 27.48 (25.57 - 29.47) 0.970
Regions 1 and 2 29.40 (25.62 - 33.50) 30.80 (27.18 - 34.68) 0.411
Region 1 28.78 (24.20 - 33.83) 30.34 (25.81 - 35.28) 0.453
Region 2 29.96 (25.13 - 35.28) 31.21 (26.67 - 36.14) 0.567
Region 3 27.55 (23.78 - 31.67) 28.48 (24.88 - 32.37) 0.626
Region 4 28.06 (23.91 - 32.62) 28.40 (24.45 - 32.72) 0.860
Region 5 27.61 (24.31 - 31.17) 27.83 (24.85 - 31.02) 0.892
Region 6 26.86 (23.91 - 30.03) 25.93 (23.29 - 28.75) 0.559
Nevada 27.26a (24.92 - 29.72) 24.16 (22.13 - 26.31) 0.014
Clark - Region 1 27.03a (24.38 - 29.85) 22.98 (20.71 - 25.42) 0.005
Region 3 30.42 (26.29 - 34.89) 29.54 (25.75 - 33.63) 0.642
Capital District 28.92 (23.94 - 34.46) 28.08 (23.50 - 33.16) 0.713
Rural/Frontier 31.78 (26.71 - 37.33) 30.86 (26.07 - 36.09) 0.702
Washoe - Region 2 25.82 (22.16 - 29.85) 25.36 (21.98 - 29.07) 0.803
New Hampshire 24.99 (23.02 - 27.06) 24.21 (22.35 - 26.17) 0.480
Central 26.70 (23.86 - 29.73) 26.12 (23.50 - 28.92) 0.694
Central 1 27.93 (24.16 - 32.04) 26.60 (23.16 - 30.35) 0.462
Central 2 25.49 (21.93 - 29.42) 25.65 (22.40 - 29.20) 0.933
Northern 25.72 (21.79 - 30.09) 25.89 (22.33 - 29.80) 0.931
Southern 23.99 (21.68 - 26.46) 22.91 (20.73 - 25.26) 0.397
Southern 1 (Rockingham) 24.57b (21.33 - 28.12) 21.37 (18.36 - 24.73) 0.060
Southern 2 23.63 (20.86 - 26.65) 23.88 (21.28 - 26.68) 0.872
New Jersey 20.95 (19.07 - 22.96) 20.57 (19.06 - 22.16) 0.699
Central 21.69 (18.67 - 25.04) 22.16 (19.59 - 24.96) 0.752
Metropolitan 19.56 (16.68 - 22.80) 18.65 (16.35 - 21.21) 0.520
Northern 19.13 (16.34 - 22.26) 18.54 (16.47 - 20.81) 0.682
Southern 24.55 (21.27 - 28.15) 24.18 (21.45 - 27.13) 0.825
New Mexico 26.99 (24.80 - 29.30) 25.34 (23.41 - 27.37) 0.161
Region 1 27.25 (23.68 - 31.13) 26.34 (23.06 - 29.90) 0.604
Region 2 22.85 (19.02 - 27.18) 21.91 (18.72 - 25.47) 0.614
Region 3 (Bernalillo) 27.15 (23.88 - 30.68) 25.25 (22.41 - 28.33) 0.266
Region 4 30.61 (26.77 - 34.73) 28.23 (24.52 - 32.26) 0.249
Region 5 27.20 (23.51 - 31.24) 25.12 (22.28 - 28.20) 0.238
Region 5a -- (-- - --) 27.01 (23.08 - 31.32) --
Region 5b (Dona Ana) -- (-- - --) 23.42 (20.08 - 27.12) --
New York1 23.59b (22.39 - 24.83) 22.39 (21.29 - 23.52) 0.076
Region 1: Long Island 21.34a (18.92 - 23.97) 18.81 (16.70 - 21.11) 0.038
Region 2: New York City 21.49a (19.88 - 23.19) 19.68 (18.29 - 21.16) 0.037
Region 2A: Bronx 20.83 (17.97 - 24.01) 19.85 (17.31 - 22.68) 0.507
Region 2B: Kings -- (-- - --) 20.23 (17.84 - 22.86) --
Region 2C: New York 21.24 (18.41 - 24.38) 21.05 (18.31 - 24.08) 0.903
Region 2D: Queens 19.27 (16.55 - 22.31) 17.67 (15.34 - 20.27) 0.273
Region 2E: Richmond -- (-- - --) 21.14 (18.04 - 24.62) --
Region 3: Mid-Hudson -- (-- - --) 20.37 (18.10 - 22.86) --
Region 4: Capital Region -- (-- - --) 28.37 (25.08 - 31.90) --
Region 5: Mohawk Valley -- (-- - --) 32.77 (28.53 - 37.30) --
Region 6: North Country -- (-- - --) 32.55 (28.22 - 37.20) --
Region 7: Tug Hill Seaway -- (-- - --) 31.95 (28.12 - 36.04) --
Region 8: Central -- (-- - --) 29.87 (26.61 - 33.35) --
Region 9: Southern Tier -- (-- - --) 29.08 (25.47 - 32.98) --
Region 10: Finger Lakes -- (-- - --) 24.72 (21.86 - 27.81) --
Region 11: Western -- (-- - --) 29.03 (26.34 - 31.87) --
North Carolina 26.49 (24.38 - 28.72) 25.84 (24.25 - 27.50) 0.542
Alliance Behavioral Healthcare 1 23.67 (20.02 - 27.74) 24.59 (21.39 - 28.10) 0.601
Alliance Behavioral Healthcare 2 19.56 (16.32 - 23.26) 18.00 (15.29 - 21.08) 0.291
Cardinal Innovations Healthcare Solutions 1 26.52 (22.16 - 31.40) 25.54 (22.06 - 29.35) 0.647
Cardinal Innovations Healthcare Solutions 2 26.66 (22.50 - 31.28) 25.54 (22.12 - 29.28) 0.577
Cardinal Innovations Healthcare Solutions 3 24.07 (20.10 - 28.54) 22.44 (19.44 - 25.77) 0.395
CenterPoint Human Services 26.22 (22.14 - 30.76) 26.71 (23.11 - 30.64) 0.807
Eastpointe 28.64 (24.10 - 33.66) 29.53 (25.84 - 33.50) 0.704
Partners Behavioral Health Management 29.79 (25.57 - 34.39) 28.49 (24.91 - 32.36) 0.528
Sandhills Center 1 29.79 (24.87 - 35.23) 30.12 (25.97 - 34.62) 0.886
Sandhills Center 2 24.75 (20.78 - 29.21) 24.50 (20.91 - 28.49) 0.897
Smoky Mountain Center 1 31.00 (25.98 - 36.51) 30.22 (26.32 - 34.43) 0.743
Smoky Mountain Center 2 27.15 (22.63 - 32.21) 25.21 (21.60 - 29.21) 0.364
Trillium Health Resources 1 27.87 (23.35 - 32.88) 27.64 (24.17 - 31.41) 0.921
Trillium Health Resources 2 29.01 (24.38 - 34.14) 28.19 (24.20 - 32.55) 0.690
North Dakota 30.64 (28.63 - 32.73) 29.85 (27.98 - 31.79) 0.462
Badlands and West Central 32.26b (28.87 - 35.85) 29.43 (26.71 - 32.30) 0.085
Badlands -- (-- - --) 30.07 (25.75 - 34.77) --
West Central -- (-- - --) 29.24 (26.20 - 32.49) --
Lake Region 28.49b (24.28 - 33.11) 32.57 (28.17 - 37.31) 0.052
North Central 31.82 (27.68 - 36.26) 31.72 (28.03 - 35.67) 0.962
Northeast 30.99 (27.28 - 34.96) 31.63 (28.07 - 35.41) 0.736
Northwest 33.47 (28.56 - 38.77) 32.27 (27.56 - 37.37) 0.583
South Central 29.78 (25.40 - 34.57) 30.33 (26.06 - 34.96) 0.802
Southeast 28.47 (25.37 - 31.78) 27.32 (24.53 - 30.30) 0.462
Ohio 31.47a (30.25 - 32.73) 29.86 (28.54 - 31.22) 0.031
Boards 2, 46, 55, and 68 32.21 (28.08 - 36.64) 33.26 (29.14 - 37.64) 0.628
Boards 3, 52, and 85 30.43a (26.47 - 34.71) 25.36 (21.77 - 29.31) 0.009
Boards 4 and 78 35.42 (30.98 - 40.13) 34.26 (30.05 - 38.73) 0.597
Boards 5 and 60 40.52a (35.94 - 45.28) 35.01 (30.86 - 39.39) 0.011
Boards 7, 15, 41, 79, and 84 35.78 (31.74 - 40.04) 34.35 (30.43 - 38.50) 0.507
Boards 8, 13, and 83 29.79b (26.10 - 33.77) 26.79 (23.30 - 30.58) 0.100
Board 9 (Butler) 29.95 (26.21 - 33.98) 28.89 (25.20 - 32.88) 0.569
Board 12 30.58 (26.24 - 35.30) 28.37 (24.51 - 32.58) 0.296
Boards 18 and 47 28.10 (25.33 - 31.04) 28.78 (25.97 - 31.76) 0.665
Boards 20, 32, 54, and 69 32.07 (28.18 - 36.23) 33.51 (29.68 - 37.57) 0.479
Boards 21, 39, 51, 70, and 80 30.25 (26.81 - 33.93) 29.45 (25.85 - 33.33) 0.658
Boards 22, 74, and 87 33.09 (28.94 - 37.51) 34.22 (30.30 - 38.37) 0.571
Boards 23 and 45 33.82b (29.71 - 38.20) 30.30 (26.59 - 34.28) 0.076
Board 25 (Franklin) 29.82b (26.80 - 33.03) 26.81 (24.01 - 29.81) 0.062
Boards 27, 71, and 73 41.63a (37.23 - 46.17) 35.93 (31.71 - 40.38) 0.012
Boards 28, 43, and 67 29.67 (26.00 - 33.63) 27.67 (24.27 - 31.34) 0.256
Board 31 (Hamilton) 30.02 (26.69 - 33.58) 28.24 (25.18 - 31.53) 0.300
Board 48 (Lucas) 33.63 (29.54 - 37.98) 32.22 (28.38 - 36.31) 0.490
Boards 50 and 76 30.70 (27.20 - 34.43) 31.40 (27.91 - 35.12) 0.703
Board 57 (Montgomery) 29.67 (25.98 - 33.65) 28.97 (25.34 - 32.89) 0.715
Board 77 (Summit) 29.87a (26.11 - 33.93) 25.39 (22.07 - 29.03) 0.018
Oklahoma 34.91a (32.54 - 37.37) 31.54 (29.54 - 33.61) 0.006
Central 30.70 (26.44 - 35.33) 29.45 (25.69 - 33.52) 0.560
East Central 37.32 (32.62 - 42.27) 34.93 (30.85 - 39.25) 0.285
Northeast 35.51b (31.10 - 40.18) 31.45 (27.61 - 35.55) 0.061
Northwest and Southwest 37.90 (33.17 - 42.86) 37.54 (33.55 - 41.69) 0.873
Oklahoma County 32.39a (28.36 - 36.70) 27.46 (24.18 - 31.01) 0.013
Southeast 38.05 (33.65 - 42.66) 34.81 (30.95 - 38.89) 0.136
Tulsa County 33.72a (29.41 - 38.33) 27.70 (24.28 - 31.41) 0.004
Oregon 25.66a (23.51 - 27.92) 22.66 (20.84 - 24.59) 0.006
Region 1 (Multnomah) 24.17 (20.73 - 27.99) 21.55 (18.72 - 24.67) 0.105
Region 2 23.09a (19.70 - 26.87) 18.36 (15.86 - 21.14) 0.003
Region 3 27.20 (23.97 - 30.69) 24.45 (21.63 - 27.51) 0.111
Region 4 26.91 (22.87 - 31.38) 25.75 (22.30 - 29.53) 0.574
Region 5 (Central) 26.95a (22.62 - 31.78) 21.93 (18.12 - 26.29) 0.011
Region 6 (Eastern) 28.39 (23.82 - 33.45) 27.35 (23.38 - 31.71) 0.630
Pennsylvania 28.88a (27.62 - 30.18) 27.11 (25.82 - 28.43) 0.013
Region 1 (Allegheny) 29.66b (26.52 - 33.00) 26.49 (23.48 - 29.73) 0.055
Regions 3, 8, 9, and 51 30.67 (26.92 - 34.69) 31.16 (27.74 - 34.80) 0.803
Regions 4, 11, 37, and 49 32.38a (28.83 - 36.14) 28.05 (24.64 - 31.73) 0.019
Regions 5, 18, 23, 24, and 46 30.36b (26.99 - 33.95) 27.08 (23.85 - 30.56) 0.057
Regions 6, 12, 16, 31, 35, 45, and 47 32.29 (28.81 - 35.98) 31.40 (27.86 - 35.16) 0.620
Regions 7, 13, 20, and 33 22.15b (19.97 - 24.49) 20.01 (17.99 - 22.19) 0.066
Regions 10, 15, 27, 32, 43, and 44 37.20b (32.92 - 41.68) 33.08 (29.12 - 37.29) 0.063
Regions 17 and 21 32.30 (28.41 - 36.46) 30.66 (26.58 - 35.06) 0.428
Regions 19, 26, 28, and 42 28.08 (25.27 - 31.08) 27.91 (25.10 - 30.92) 0.916
Regions 22, 38, 40, 41, and 48 32.15 (28.37 - 36.17) 30.24 (26.83 - 33.89) 0.315
Regions 29 and 34 27.95 (24.07 - 32.19) 25.39 (21.93 - 29.20) 0.178
Regions 30 and 50 32.28 (28.43 - 36.39) 31.10 (27.45 - 35.01) 0.551
Region 36 (Philadelphia) 28.34 (25.33 - 31.55) 28.60 (25.61 - 31.78) 0.870
Rhode Island 25.60 (23.41 - 27.91) 23.82 (21.86 - 25.91) 0.108
Region 1: Southern Providence County -- (-- - --) 22.88 (19.66 - 26.45) --
Region 2: Northern Providence County/ Blackstone Valley -- (-- - --) 26.07 (22.65 - 29.82) --
Region 3: Providence -- (-- - --) 23.12 (19.70 - 26.93) --
Region 4: Kent County -- (-- - --) 26.27 (22.82 - 30.04) --
Region 5: East Bay -- (-- - --) 23.98 (20.51 - 27.83) --
Region 6: Newport County -- (-- - --) 20.32 (17.16 - 23.90) --
Region 7: South County -- (-- - --) 21.20 (18.18 - 24.57) --
South Carolina 30.30 (28.07 - 32.63) 28.73 (26.86 - 30.69) 0.191
Region 1 33.07 (29.56 - 36.77) 30.67 (27.65 - 33.86) 0.193
Region 2 29.41 (25.91 - 33.17) 27.91 (24.90 - 31.12) 0.394
Region 3 29.86 (25.91 - 34.13) 28.94 (25.54 - 32.60) 0.652
Region 4 28.17 (24.81 - 31.79) 27.10 (24.30 - 30.10) 0.538
South Dakota 29.78 (27.72 - 31.92) 28.55 (26.59 - 30.59) 0.260
Region 1 32.67 (29.16 - 36.38) 30.03 (26.86 - 33.40) 0.156
Region 2 30.62 (26.25 - 35.36) 29.85 (25.91 - 34.12) 0.721
Region 3 28.01 (24.59 - 31.70) 28.31 (25.14 - 31.72) 0.860
Region 4 29.75 (25.76 - 34.08) 30.58 (26.84 - 34.60) 0.682
Region 5 28.51 (25.30 - 31.95) 26.04 (23.01 - 29.31) 0.157
Tennessee 29.70 (27.59 - 31.90) 29.41 (27.41 - 31.49) 0.799
Region 1 32.86 (28.02 - 38.09) 32.20 (28.09 - 36.62) 0.782
Region 2 32.61 (28.72 - 36.74) 31.59 (27.90 - 35.52) 0.632
Region 3 31.14 (27.15 - 35.43) 30.09 (26.56 - 33.88) 0.619
Region 4 (Davidson) 27.36 (23.30 - 31.82) 26.16 (22.29 - 30.44) 0.541
Region 5 30.61 (27.01 - 34.46) 29.56 (26.41 - 32.91) 0.551
Region 6 29.74 (25.42 - 34.46) 32.62 (28.45 - 37.08) 0.207
Region 7 (Shelby) 22.67 (19.11 - 26.67) 24.04 (20.69 - 27.75) 0.447
Texas 23.79 (22.73 - 24.88) 23.20 (22.17 - 24.25) 0.326
Region 1 28.12 (24.58 - 31.95) 27.78 (24.27 - 31.58) 0.845
Region 2 30.89 (26.74 - 35.38) 33.59 (29.61 - 37.82) 0.166
Region 3 22.69 (20.97 - 24.51) 21.49 (19.96 - 23.09) 0.176
Region 3a 21.47 (19.32 - 23.80) 20.16 (18.30 - 22.17) 0.233
Region 3bc 24.82 (22.25 - 27.58) 23.83 (21.52 - 26.30) 0.470
Region 4 30.88 (27.28 - 34.72) 32.44 (29.03 - 36.05) 0.395
Region 5 32.21 (28.17 - 36.53) 29.17 (25.44 - 33.22) 0.120
Region 6 22.68 (20.74 - 24.73) 21.04 (19.32 - 22.87) 0.112
Region 6a 22.15 (20.09 - 24.36) 20.59 (18.74 - 22.56) 0.162
Region 6bc 27.12 (23.16 - 31.47) 24.91 (21.39 - 28.80) 0.226
Region 7 24.09 (21.95 - 26.38) 24.63 (22.55 - 26.83) 0.641
Region 7a 22.06 (19.41 - 24.95) 21.96 (19.45 - 24.69) 0.943
Region 7bcd 27.61 (24.49 - 30.96) 29.34 (26.05 - 32.86) 0.289
Region 8 21.90 (19.39 - 24.64) 22.77 (20.48 - 25.24) 0.496
Region 9 29.80 (25.73 - 34.23) 28.40 (24.66 - 32.48) 0.445
Region 10 21.16 (18.06 - 24.63) 20.19 (17.37 - 23.35) 0.506
Region 11 21.41 (18.92 - 24.14) 21.79 (19.55 - 24.21) 0.764
Region 11abd 22.25 (19.04 - 25.83) 22.91 (19.97 - 26.15) 0.678
Region 11c (Hidalgo) 19.96 (16.98 - 23.31) 19.86 (16.90 - 23.21) 0.949
Utah 18.58a (16.85 - 20.45) 14.73 (13.27 - 16.32) 0.000
Bear River, Northeastern, Summit, Tooele, and Wasatch 20.76a (17.44 - 24.54) 15.75 (12.81 - 19.21) 0.003
Central, Four Corners, San Juan, and Southwest 20.98a (17.49 - 24.96) 16.58 (14.03 - 19.48) 0.002
Central, Four Corners, and San Juan -- (-- - --) 18.16 (14.84 - 22.04) --
Southwest -- (-- - --) 15.59 (12.64 - 19.08) --
Davis County 17.67a (14.74 - 21.04) 13.03 (10.58 - 15.94) 0.001
Salt Lake County 18.43a (16.02 - 21.11) 15.04 (13.23 - 17.05) 0.005
Utah County 15.67a (13.06 - 18.70) 12.13 (10.05 - 14.58) 0.005
Weber, Morgan 20.11b (16.70 - 24.01) 17.04 (14.21 - 20.31) 0.065
Vermont 26.66 (24.52 - 28.92) 27.17 (25.22 - 29.21) 0.657
Champlain Valley 26.44 (23.65 - 29.42) 25.72 (23.24 - 28.37) 0.627
Rural Northeast 28.49 (24.67 - 32.63) 31.08 (27.39 - 35.02) 0.204
Rural Southeast 24.61 (21.06 - 28.56) 24.47 (21.33 - 27.92) 0.941
Rural Southwest 27.21 (23.36 - 31.43) 28.56 (24.91 - 32.52) 0.481
Virginia 27.45a (25.45 - 29.54) 24.74 (23.29 - 26.26) 0.006
Region 1 29.18a (25.50 - 33.16) 25.16 (22.36 - 28.19) 0.022
Region 2 20.51a (17.69 - 23.66) 15.60 (13.65 - 17.78) 0.000
Region 3 34.67 (30.71 - 38.85) 35.09 (31.84 - 38.49) 0.826
Region 4 28.11 (24.27 - 32.29) 26.66 (23.88 - 29.64) 0.431
Region 5 28.96 (25.50 - 32.69) 26.89 (24.16 - 29.81) 0.244
Washington1 23.89a (22.03 - 25.86) 20.93 (19.18 - 22.80) 0.002
Region 1 25.29 (22.29 - 28.54) 23.49 (20.72 - 26.50) 0.201
Greater Columbia and North Central 23.10 (19.44 - 27.20) 21.26 (18.03 - 24.88) 0.299
Spokane 28.47 (24.27 - 33.09) 26.77 (22.88 - 31.05) 0.355
Region 2 22.32a (20.09 - 24.72) 17.06 (15.13 - 19.19) 0.000
King 20.51a (17.89 - 23.40) 15.33 (13.17 - 17.77) 0.000
North Sound 25.49a (22.06 - 29.26) 20.12 (17.13 - 23.49) 0.002
Region 3 25.19 (22.61 - 27.96) 24.74 (22.35 - 27.30) 0.722
Pierce 25.35 (21.64 - 29.46) 25.01 (21.85 - 28.45) 0.845
Salish 23.66 (19.62 - 28.24) 22.40 (18.84 - 26.43) 0.466
SW WA and Great Rivers 25.62 (21.70 - 29.99) 26.19 (22.40 - 30.36) 0.770
Thurston-Mason 25.58 (21.14 - 30.58) 23.56 (19.53 - 28.14) 0.311
West Virginia 37.43 (35.19 - 39.72) 37.61 (35.36 - 39.93) 0.884
Region I 32.80 (27.86 - 38.16) 36.51 (31.70 - 41.61) 0.132
Region II 35.04 (30.70 - 39.63) 31.54 (27.63 - 35.73) 0.111
Region III 35.87 (30.93 - 41.13) 37.42 (32.98 - 42.08) 0.509
Region IV 38.44 (34.59 - 42.44) 39.75 (36.02 - 43.60) 0.531
Region V 38.38 (34.71 - 42.18) 37.91 (34.36 - 41.60) 0.820
Region VI 39.39 (35.32 - 43.63) 39.88 (36.06 - 43.83) 0.828
Wisconsin 27.49b (25.34 - 29.75) 25.54 (23.68 - 27.50) 0.077
Milwaukee 29.51b (25.57 - 33.78) 25.68 (22.38 - 29.27) 0.056
Northeastern 27.93 (24.51 - 31.61) 25.85 (22.69 - 29.28) 0.220
Northern 27.90 (23.65 - 32.60) 28.61 (24.66 - 32.91) 0.738
Southeastern 25.23 (21.61 - 29.22) 23.61 (20.49 - 27.05) 0.391
Southern 26.10 (22.44 - 30.12) 23.76 (20.79 - 27.01) 0.190
Western 29.48 (25.39 - 33.94) 28.39 (24.64 - 32.45) 0.586
Wyoming 32.35a (30.07 - 34.72) 29.60 (27.55 - 31.73) 0.016
Judicial District 1 (Laramie) 32.54 (28.40 - 36.97) 29.96 (26.20 - 34.02) 0.231
Judicial District 2 30.85 (26.76 - 35.27) 28.22 (24.64 - 32.09) 0.165
Judicial District 3 33.44a (29.36 - 37.78) 27.48 (23.80 - 31.49) 0.003
Judicial District 4 29.61 (25.00 - 34.67) 27.36 (23.16 - 32.01) 0.294
Judicial District 5 28.28 (23.88 - 33.13) 27.53 (23.93 - 31.45) 0.713
Judicial District 6 36.19 (31.57 - 41.09) 34.15 (29.93 - 38.64) 0.354
Judicial District 7 (Natrona) 34.66 (30.35 - 39.23) 32.19 (28.40 - 36.24) 0.252
Judicial District 8 32.73 (28.32 - 37.47) 30.91 (26.58 - 35.60) 0.405
Judicial District 9 30.75 (26.39 - 35.48) 28.01 (24.22 - 32.14) 0.176
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2012-2014 and 2014-2016); hence, the 2012-2014 estimates and p values are not available for these regions. The definitions of the substate regions listed in this table are provided in the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
NOTE: Substate, state, and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and are generated by Markov Chain Monte Carlo techniques, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2012-2014 and 2014-2016 population percentages. The "Total U.S." estimates, along with the 95 percent confidence intervals and the p values, are based on design-based (direct) estimation methods.
NOTE: Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or "snus"), cigars, or pipe tobacco.
a Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.10 level.
1 Names of some of the substate regions for this state have changed across the two time periods (2012-2014 vs. 2014-2016). For details, see the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012-2016.
180321
Table 7 – Cigarette Use in the Past Month among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2012-2014 and 2014-2016 NSDUHs
State/Substate Region 2012-2014
(Estimate)
2012-2014
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 21.40a (21.05 - 21.75) 19.76 (19.45 - 20.07) 0.000
Northeast 20.11a (19.47 - 20.76) 19.04 (18.40 - 19.70) 0.003
Midwest 24.08a (23.51 - 24.66) 22.01 (21.39 - 22.64) 0.000
South 22.65a (22.13 - 23.17) 21.13 (20.58 - 21.69) 0.000
West 17.96a (17.33 - 18.61) 16.11 (15.51 - 16.74) 0.000
Alabama 25.67a (23.61 - 27.84) 23.24 (21.45 - 25.13) 0.028
Region 1 25.48 (22.14 - 29.13) 24.77 (21.67 - 28.15) 0.697
Region 2 25.97 (22.77 - 29.44) 23.87 (21.05 - 26.94) 0.215
Region 3 22.77 (19.64 - 26.23) 19.98 (16.93 - 23.42) 0.101
Region 4 27.82a (24.11 - 31.86) 23.02 (20.03 - 26.31) 0.011
Alaska 23.46 (21.55 - 25.47) 24.42 (22.59 - 26.35) 0.361
Anchorage 21.07 (18.56 - 23.82) 21.19 (18.85 - 23.74) 0.927
Northern 28.85 (25.02 - 33.01) 30.57 (27.04 - 34.35) 0.401
South Central 23.09 (19.99 - 26.52) 24.59 (21.62 - 27.82) 0.379
Southeast 22.36 (18.75 - 26.44) 23.61 (19.83 - 27.86) 0.520
Arizona1 19.45 (17.70 - 21.34) 18.48 (16.84 - 20.25) 0.314
Central 18.50 (16.36 - 20.86) 17.38 (15.46 - 19.48) 0.338
North -- (-- - --) 21.88 (18.17 - 26.11) --
South -- (-- - --) 19.36 (16.89 - 22.10) --
South A 20.11 (16.88 - 23.77) 17.59 (14.74 - 20.85) 0.109
South B -- (-- - --) 21.50 (17.94 - 25.55) --
Arkansas 27.05 (25.05 - 29.15) 27.20 (25.29 - 29.20) 0.889
Catchment Area 1 20.64 (17.42 - 24.27) 21.37 (18.26 - 24.86) 0.664
Catchment Area 2 31.37 (27.20 - 35.88) 30.85 (26.55 - 35.51) 0.807
Catchment Area 3 29.46 (25.61 - 33.64) 27.07 (23.44 - 31.03) 0.213
Catchment Area 4 27.34 (23.30 - 31.80) 27.76 (23.76 - 32.15) 0.836
Catchment Area 5 27.82 (24.08 - 31.90) 26.92 (23.37 - 30.80) 0.639
Catchment Area 6 31.02 (26.55 - 35.87) 30.69 (26.27 - 35.49) 0.879
Catchment Area 7 28.55 (24.21 - 33.32) 29.16 (24.57 - 34.21) 0.781
Catchment Area 8 25.27 (21.58 - 29.35) 27.86 (24.23 - 31.81) 0.184
California 15.72a (14.78 - 16.70) 14.34 (13.53 - 15.18) 0.006
Region 1R 21.30 (18.06 - 24.95) 19.18 (16.25 - 22.50) 0.178
Region 2R 16.59 (14.01 - 19.54) 14.53 (12.10 - 17.35) 0.110
Region 3R (Sacramento) 19.35a (16.41 - 22.68) 15.77 (13.35 - 18.54) 0.013
Region 4R 15.12 (12.80 - 17.78) 13.41 (11.13 - 16.07) 0.155
Region 5R (San Francisco) 16.98b (13.96 - 20.51) 14.35 (11.65 - 17.54) 0.068
Region 6 (Santa Clara) 11.62   (9.62 - 13.97) 10.47   (8.74 - 12.51) 0.255
Region 7R (Contra Costa) 13.98 (11.64 - 16.70) 12.42 (10.31 - 14.90) 0.184
Region 8R (Alameda) 13.84 (11.59 - 16.45) 12.93 (10.83 - 15.36) 0.419
Region 9R (San Mateo) 12.63 (10.29 - 15.40) 11.64   (9.47 - 14.22) 0.393
Region 10 14.68 (12.20 - 17.56) 13.90 (11.47 - 16.76) 0.526
Region 11 (Los Angeles) 15.29a (14.05 - 16.61) 13.90 (12.77 - 15.11) 0.032
LA SPA 1 and 5 15.94a (13.32 - 18.95) 13.45 (11.11 - 16.20) 0.043
LA SPA 2 15.53a (13.21 - 18.17) 12.85 (10.83 - 15.18) 0.023
LA SPA 3 12.43 (10.24 - 15.02) 12.23 (10.12 - 14.71) 0.861
LA SPA 4 17.50 (14.58 - 20.87) 16.87 (14.01 - 20.18) 0.675
LA SPA 6 18.24 (15.23 - 21.69) 16.56 (13.80 - 19.74) 0.247
LA SPA 7 14.69 (12.28 - 17.47) 13.49 (11.19 - 16.19) 0.342
LA SPA 8 14.77 (12.42 - 17.48) 14.07 (11.81 - 16.68) 0.563
Region 12R 18.75 (15.65 - 22.30) 16.81 (14.03 - 20.01) 0.198
Regions 13 and 19R 15.56 (13.29 - 18.14) 15.00 (12.94 - 17.31) 0.635
Region 14 (Orange) 14.40 (12.36 - 16.71) 12.96 (11.09 - 15.09) 0.204
Region 15R (Fresno) 17.82 (14.90 - 21.17) 15.70 (13.06 - 18.75) 0.141
Region 16R (San Diego) 14.70 (12.62 - 17.05) 14.17 (12.30 - 16.27) 0.628
Region 17R 19.14 (16.32 - 22.32) 17.62 (15.23 - 20.30) 0.274
Region 18R (San Bernardino) 17.90 (15.30 - 20.83) 17.09 (14.77 - 19.70) 0.555
Region 20R 18.09 (15.17 - 21.43) 16.56 (13.83 - 19.71) 0.284
Region 21R 15.95 (13.16 - 19.22) 14.74 (12.18 - 17.73) 0.344
Colorado 21.49a (19.65 - 23.44) 17.85 (16.27 - 19.54) 0.000
Region 1 -- (-- - --) 16.54 (13.86 - 19.62) --
Region 2 -- (-- - --) 20.13 (16.53 - 24.29) --
Region 3 -- (-- - --) 17.87 (15.37 - 20.68) --
Region 4 -- (-- - --) 21.04 (17.41 - 25.20) --
Region 5 -- (-- - --) 19.04 (15.89 - 22.64) --
Region 6 -- (-- - --) 15.30 (12.85 - 18.13) --
Region 7 -- (-- - --) 18.60 (15.68 - 21.92) --
Connecticut 17.62 (15.99 - 19.39) 17.61 (15.97 - 19.39) 0.991
Eastern 19.55 (16.55 - 22.94) 21.29 (17.89 - 25.13) 0.286
North Central 18.51 (15.84 - 21.52) 17.58 (15.04 - 20.44) 0.496
Northwestern 16.51 (13.83 - 19.60) 17.46 (14.73 - 20.58) 0.517
South Central 17.51 (14.86 - 20.53) 17.64 (14.99 - 20.65) 0.930
Southwest 16.23 (13.54 - 19.34) 15.45 (12.79 - 18.55) 0.565
Delaware 23.38a (21.40 - 25.48) 20.64 (18.92 - 22.48) 0.007
Kent 24.75 (21.26 - 28.62) 22.49 (19.30 - 26.04) 0.201
New Castle (excluding Wilmington City) 20.97a (18.60 - 23.55) 18.25 (16.18 - 20.51) 0.024
Sussex 26.07b (22.53 - 29.94) 22.68 (19.33 - 26.41) 0.073
Wilmington City 28.21 (23.68 - 33.23) 26.07 (21.74 - 30.92) 0.296
District of Columbia 22.04a (20.18 - 24.02) 19.42 (17.69 - 21.28) 0.009
Ward 1 22.15a (18.72 - 26.00) 18.22 (14.92 - 22.06) 0.019
Ward 2 21.55a (18.10 - 25.44) 18.26 (15.16 - 21.82) 0.033
Ward 3 17.39b (14.53 - 20.68) 14.86 (12.04 - 18.21) 0.096
Ward 4 18.55 (15.34 - 22.24) 17.81 (14.68 - 21.44) 0.659
Ward 5 23.32 (19.75 - 27.31) 21.59 (18.13 - 25.50) 0.354
Ward 6 21.09a (17.74 - 24.89) 16.22 (13.36 - 19.56) 0.004
Ward 7 24.35 (20.33 - 28.87) 22.82 (19.17 - 26.94) 0.459
Ward 8 28.97 (24.85 - 33.47) 26.68 (22.64 - 31.16) 0.277
Florida 20.57a (19.47 - 21.70) 17.81 (16.77 - 18.90) 0.000
Broward (Circuit 17) 17.61 (15.13 - 20.40) 15.93 (13.54 - 18.64) 0.201
Central I 19.59a (17.58 - 21.78) 16.56 (14.82 - 18.46) 0.002
Circuit 9 18.68a (16.23 - 21.41) 15.32 (13.24 - 17.67) 0.007
Circuit 18 20.92b (17.89 - 24.31) 18.40 (15.70 - 21.43) 0.081
Central II 21.00a (19.38 - 22.70) 18.75 (17.25 - 20.34) 0.007
Circuit 6 22.93 (19.86 - 26.32) 20.63 (17.77 - 23.80) 0.143
Circuit 10 23.70 (20.33 - 27.43) 22.77 (19.55 - 26.34) 0.603
Circuit 12 18.78 (15.80 - 22.17) 16.53 (13.73 - 19.78) 0.136
Circuit 13 (Hillsborough) 19.65 (16.99 - 22.61) 18.56 (15.98 - 21.45) 0.438
Circuit 20 19.90a (17.01 - 23.15) 15.74 (13.11 - 18.79) 0.005
Northeast 24.26a (22.33 - 26.29) 20.17 (18.33 - 22.15) 0.000
Circuit 4 23.36a (20.27 - 26.77) 19.88 (16.78 - 23.39) 0.031
Circuit 5 24.73a (21.31 - 28.49) 19.89 (16.75 - 23.45) 0.007
Circuit 7 23.62a (20.29 - 27.31) 19.74 (16.78 - 23.09) 0.018
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee 26.23a (22.71 - 30.10) 22.08 (18.58 - 26.03) 0.018
Northwest 25.12a (22.61 - 27.81) 20.79 (18.64 - 23.12) 0.000
Circuit 1 24.84a (21.23 - 28.83) 18.97 (15.99 - 22.37) 0.001
Circuit 2 plus Madison and Taylor 24.11a (20.59 - 28.02) 20.92 (17.72 - 24.52) 0.049
Circuit 14 27.27 (23.16 - 31.81) 24.93 (20.75 - 29.64) 0.243
South (Circuits 11 and 16) 16.54a (14.36 - 18.98) 13.54 (11.69 - 15.64) 0.008
Southeast 18.58 (16.37 - 21.01) 17.80 (15.65 - 20.18) 0.490
Circuit 15 (Palm Beach) 17.31 (14.68 - 20.30) 16.82 (14.30 - 19.67) 0.713
Circuit 19 21.36 (18.06 - 25.07) 19.95 (16.69 - 23.67) 0.406
Georgia 21.27 (19.52 - 23.13) 20.16 (18.73 - 21.67) 0.225
Region 1 20.38 (17.57 - 23.51) 18.79 (16.52 - 21.29) 0.303
Region 2 22.34 (19.18 - 25.85) 21.11 (18.27 - 24.25) 0.442
Region 3 18.21 (15.69 - 21.04) 17.72 (15.59 - 20.07) 0.710
Region 4 27.15 (22.93 - 31.83) 24.87 (21.22 - 28.92) 0.278
Region 5 24.81 (21.01 - 29.05) 24.92 (21.50 - 28.69) 0.954
Region 6 23.00 (19.56 - 26.84) 21.09 (18.10 - 24.42) 0.269
Hawaii 16.95 (15.17 - 18.90) 15.53 (13.96 - 17.23) 0.131
Hawaii Island 18.46 (15.23 - 22.21) 17.64 (14.64 - 21.10) 0.616
Honolulu 16.30 (14.29 - 18.53) 14.67 (12.90 - 16.64) 0.136
Kauai 18.31 (14.89 - 22.31) 17.47 (14.17 - 21.36) 0.638
Maui 18.62 (15.32 - 22.44) 17.54 (14.44 - 21.13) 0.517
Idaho 20.45a (18.66 - 22.37) 17.60 (16.03 - 19.28) 0.002
Region 1 20.69 (17.55 - 24.22) 19.10 (15.82 - 22.88) 0.336
Region 2 22.54a (18.93 - 26.62) 18.16 (14.75 - 22.15) 0.013
Region 3 22.31a (18.91 - 26.13) 17.96 (15.18 - 21.13) 0.008
Region 4 19.88a (17.11 - 22.97) 17.16 (14.84 - 19.76) 0.048
Region 5 20.85 (17.54 - 24.59) 18.59 (15.63 - 21.98) 0.191
Region 6 21.56a (18.01 - 25.59) 18.23 (14.89 - 22.11) 0.039
Region 7 17.62 (14.71 - 20.96) 15.35 (12.76 - 18.35) 0.118
Illinois 22.38a (21.28 - 23.53) 19.93 (18.75 - 21.16) 0.000
Region 1 (Cook) 21.28a (19.52 - 23.14) 18.13 (16.66 - 19.69) 0.000
Region 1.1 (Far North Side) -- (-- - --) 18.54 (15.18 - 22.45) --
Region 1.2 (Northwest Side) -- (-- - --) 19.02 (15.56 - 23.05) --
Region 1.3 (North Central Side) -- (-- - --) 18.19 (14.82 - 22.15) --
Region 1.4 (West Side) -- (-- - --) 22.88 (19.07 - 27.20) --
Region 1.5 (South Side) -- (-- - --) 21.87 (18.20 - 26.05) --
Region 1.6 (Southwest Side) -- (-- - --) 21.07 (17.43 - 25.24) --
Region 1.7 (Suburban Cook) -- (-- - --) 15.63 (13.72 - 17.76) --
Region 2 19.88a (18.22 - 21.65) 17.75 (16.26 - 19.35) 0.011
Region 2a (DuPage) -- (-- - --) 13.06 (10.94 - 15.51) --
Region 2b -- (-- - --) 17.34 (15.34 - 19.54) --
Region 2c (Winnebago) -- (-- - --) 23.00 (19.23 - 27.26) --
Region 2d -- (-- - --) 23.50 (20.14 - 27.23) --
Region 3 27.09 (24.37 - 29.98) 25.85 (23.14 - 28.75) 0.398
Region 3a (Champaign) -- (-- - --) 20.28 (16.76 - 24.31) --
Region 3b -- (-- - --) 26.77 (23.72 - 30.07) --
Region 4 28.86a (25.82 - 32.11) 24.54 (21.73 - 27.59) 0.006
Region 4a (Sangamon) -- (-- - --) 22.08 (18.42 - 26.23) --
Region 4b -- (-- - --) 25.25 (21.88 - 28.94) --
Region 5 25.03 (22.14 - 28.15) 24.58 (21.94 - 27.44) 0.759
Region 5a -- (-- - --) 21.17 (17.68 - 25.12) --
Region 5b -- (-- - --) 27.33 (23.79 - 31.18) --
Indiana 25.86 (23.86 - 27.97) 24.41 (22.54 - 26.38) 0.163
Central 23.12a (19.97 - 26.60) 18.77 (16.37 - 21.45) 0.005
East 30.52 (26.40 - 34.99) 28.14 (23.83 - 32.89) 0.275
North Central 26.02 (22.42 - 29.98) 26.65 (23.06 - 30.56) 0.727
Northeast 26.96a (22.95 - 31.39) 23.12 (19.38 - 27.34) 0.050
Northwest 23.59 (20.00 - 27.59) 25.05 (21.18 - 29.36) 0.438
Southeast 28.67 (24.38 - 33.37) 27.11 (23.25 - 31.36) 0.473
Southwest 26.39 (22.41 - 30.79) 26.17 (22.10 - 30.69) 0.915
West 26.87 (23.09 - 31.02) 28.81 (24.55 - 33.47) 0.332
Iowa 22.54 (20.66 - 24.53) 21.68 (19.92 - 23.54) 0.373
Central 21.31 (18.15 - 24.85) 20.18 (17.13 - 23.60) 0.478
North Central 23.97a (20.33 - 28.03) 20.12 (16.72 - 24.01) 0.034
Northeast 21.97 (19.01 - 25.24) 21.46 (18.61 - 24.61) 0.749
Northwest 22.92 (19.50 - 26.75) 22.44 (19.01 - 26.29) 0.775
Southeast 22.82 (19.67 - 26.30) 22.84 (19.80 - 26.19) 0.989
Southwest 23.35 (19.69 - 27.47) 23.02 (19.29 - 27.24) 0.862
Kansas 22.05a (20.17 - 24.05) 18.87 (17.20 - 20.67) 0.002
Northeast -- (-- - --) 16.17 (14.14 - 18.43) --
Northwest and North Central -- (-- - --) 21.79 (17.80 - 26.40) --
South Central -- (-- - --) 20.82 (18.26 - 23.63) --
Southeast -- (-- - --) 24.31 (20.15 - 29.02) --
Southwest -- (-- - --) 21.53 (17.64 - 26.01) --
Kentucky1 29.99 (27.81 - 32.27) 29.20 (27.09 - 31.40) 0.486
Adanta, Cumberland River, and Lifeskills 32.87 (28.74 - 37.29) 32.40 (28.36 - 36.72) 0.824
Bluegrass, Comprehend, and North Key 27.92 (24.71 - 31.36) 25.92 (22.88 - 29.22) 0.240
Centerstone 27.24 (23.68 - 31.11) 26.01 (22.79 - 29.50) 0.499
Communicare and River Valley 30.88 (26.47 - 35.67) 32.76 (27.93 - 37.99) 0.439
Four Rivers and Pennyroyal 30.38 (25.85 - 35.32) 30.69 (26.37 - 35.39) 0.886
Kentucky River, Mountain, and Pathways 35.34 (30.52 - 40.48) 34.58 (30.06 - 39.40) 0.753
Louisiana 25.63 (23.63 - 27.75) 25.93 (24.02 - 27.92) 0.788
Regions 1 and 10 23.93 (20.95 - 27.18) 22.33 (19.47 - 25.47) 0.289
Region 1 24.44 (20.44 - 28.92) 23.64 (19.73 - 28.05) 0.696
Region 10 (Jefferson) 23.40 (19.72 - 27.53) 20.89 (17.45 - 24.81) 0.167
Regions 2 and 9 24.42 (21.40 - 27.71) 25.38 (22.42 - 28.59) 0.559
Region 3 27.09 (23.04 - 31.56) 26.49 (22.61 - 30.77) 0.767
Regions 4, 5, and 6 27.65 (24.18 - 31.41) 29.29 (25.81 - 33.04) 0.383
Regions 7 and 8 25.67 (22.29 - 29.37) 25.60 (22.33 - 29.16) 0.967
Maine 22.48a (20.61 - 24.46) 20.54 (18.70 - 22.51) 0.043
Aroostook/Downeast 24.54 (21.25 - 28.16) 23.37 (20.19 - 26.87) 0.466
Aroostook 27.72 (23.10 - 32.87) 26.17 (21.98 - 30.85) 0.488
Downeast 21.96 (18.03 - 26.46) 21.10 (17.12 - 25.71) 0.662
Central 22.89 (19.40 - 26.80) 22.89 (19.22 - 27.04) 0.998
Cumberland 18.46 (15.59 - 21.72) 17.20 (14.54 - 20.24) 0.387
Midcoast 22.64a (18.97 - 26.79) 18.73 (15.55 - 22.38) 0.033
Penquis 26.66a (22.92 - 30.77) 21.89 (18.22 - 26.08) 0.013
Western 24.80 (21.28 - 28.69) 23.18 (19.72 - 27.04) 0.378
York 20.24 (17.03 - 23.87) 18.66 (15.49 - 22.31) 0.363
Maryland 18.53 (16.77 - 20.42) 18.31 (16.66 - 20.08) 0.806
Anne Arundel 18.38 (15.27 - 21.95) 17.96 (14.78 - 21.64) 0.782
Baltimore City 26.37 (22.26 - 30.93) 27.08 (23.05 - 31.53) 0.735
Baltimore County 18.67 (15.53 - 22.27) 18.88 (15.73 - 22.50) 0.891
Montgomery 13.36 (10.79 - 16.42) 11.85   (9.69 - 14.41) 0.221
North Central 15.63 (12.72 - 19.05) 14.51 (11.71 - 17.83) 0.436
Northeast 19.22 (15.92 - 23.01) 19.07 (15.57 - 23.13) 0.930
Prince George's 18.66 (15.40 - 22.44) 17.59 (14.68 - 20.95) 0.510
South 17.96 (14.96 - 21.41) 20.18 (16.73 - 24.13) 0.176
West 21.51 (18.04 - 25.43) 22.10 (18.45 - 26.24) 0.733
Massachusetts 18.29 (16.55 - 20.16) 17.09 (15.48 - 18.83) 0.173
Boston 19.24 (15.93 - 23.05) 19.42 (16.15 - 23.16) 0.911
Central 20.20 (16.84 - 24.04) 18.21 (15.27 - 21.58) 0.213
Metrowest 15.30 (12.81 - 18.17) 13.84 (11.59 - 16.45) 0.251
Northeast 17.62 (14.87 - 20.76) 15.57 (13.10 - 18.40) 0.145
Southeast 19.51 (16.50 - 22.92) 19.00 (15.96 - 22.46) 0.756
Western 20.05 (16.74 - 23.84) 19.13 (15.90 - 22.84) 0.588
Michigan 24.65a (23.53 - 25.82) 22.41 (21.23 - 23.64) 0.001
Region 1 26.95 (23.26 - 30.98) 26.03 (22.12 - 30.37) 0.644
Region 2 24.08 (20.69 - 27.83) 22.90 (19.34 - 26.90) 0.513
Region 3 23.21 (20.87 - 25.73) 21.13 (18.73 - 23.74) 0.109
Region 4 28.14 (25.11 - 31.38) 25.70 (22.80 - 28.83) 0.142
Region 5 26.41 (24.11 - 28.85) 24.62 (22.19 - 27.21) 0.184
Region 6 21.17 (18.67 - 23.90) 19.43 (16.75 - 22.42) 0.238
Region 7 25.71a (23.05 - 28.56) 22.47 (20.05 - 25.10) 0.024
Region 8 19.31a (16.98 - 21.87) 16.79 (14.66 - 19.14) 0.046
Region 9 26.08 (23.02 - 29.40) 23.59 (20.50 - 26.99) 0.135
Region 10 27.13 (24.13 - 30.34) 25.30 (22.07 - 28.83) 0.268
Minnesota 21.47a (19.63 - 23.43) 19.38 (17.72 - 21.16) 0.027
Regions 1 and 2 23.78 (20.04 - 27.97) 22.21 (19.00 - 25.79) 0.374
Region 1 -- (-- - --) 22.11 (18.08 - 26.74) --
Region 2 -- (-- - --) 22.27 (18.23 - 26.91) --
Regions 3 and 4 25.45b (21.82 - 29.47) 22.54 (19.66 - 25.71) 0.075
Region 3 -- (-- - --) 22.66 (18.36 - 27.62) --
Region 4 -- (-- - --) 22.48 (19.13 - 26.23) --
Regions 5 and 6 24.26a (20.75 - 28.16) 20.40 (17.63 - 23.49) 0.014
Region 5 -- (-- - --) 20.61 (17.04 - 24.71) --
Region 6 -- (-- - --) 20.19 (16.63 - 24.28) --
Region 7 -- (-- - --) 17.54 (15.71 - 19.53) --
Region 7A (Hennepin) 18.18 (15.38 - 21.36) 16.95 (14.50 - 19.72) 0.397
Region 7B (Ramsey) 21.60 (18.05 - 25.63) 19.76 (16.47 - 23.52) 0.293
Region 7C 18.24 (15.60 - 21.21) 17.16 (14.64 - 20.00) 0.438
Mississippi 29.17a (26.91 - 31.53) 25.00 (23.13 - 26.97) 0.000
Region 1 31.87a (28.03 - 35.98) 26.66 (23.42 - 30.18) 0.008
Region 2 27.71 (23.72 - 32.08) 25.30 (21.55 - 29.45) 0.248
Region 3 28.97 (25.04 - 33.25) 26.47 (22.70 - 30.61) 0.214
Region 4 27.19a (23.35 - 31.41) 21.27 (18.28 - 24.60) 0.001
Region 5 28.92 (24.23 - 34.11) 27.49 (22.68 - 32.88) 0.548
Region 6 29.07 (24.95 - 33.56) 25.65 (21.96 - 29.72) 0.101
Region 7 29.05a (24.84 - 33.65) 24.15 (20.59 - 28.10) 0.019
Missouri 27.03a (25.03 - 29.13) 23.67 (21.88 - 25.55) 0.001
Central 29.13a (25.36 - 33.20) 23.72 (20.18 - 27.67) 0.004
Eastern 24.04 (21.36 - 26.94) 22.79 (20.34 - 25.43) 0.367
Eastern (St. Louis City and County) 23.64 (20.34 - 27.30) 23.00 (19.93 - 26.39) 0.709
Eastern (excluding St. Louis) 24.72 (21.21 - 28.60) 22.42 (19.16 - 26.05) 0.219
Northwest 25.87b (22.95 - 29.02) 23.39 (20.80 - 26.20) 0.078
Northwest (Jackson) 27.54a (23.65 - 31.81) 23.36 (19.84 - 27.29) 0.028
Northwest (excluding Jackson) 24.46 (20.72 - 28.62) 23.42 (20.04 - 27.17) 0.571
Southeast 32.10a (27.78 - 36.74) 26.76 (22.83 - 31.08) 0.013
Southwest 29.84a (25.72 - 34.32) 23.67 (20.21 - 27.51) 0.001
Montana 23.21a (21.25 - 25.30) 20.83 (18.98 - 22.81) 0.024
Region 1 26.21 (22.02 - 30.88) 24.68 (20.38 - 29.56) 0.482
Region 2 26.11a (22.44 - 30.14) 22.12 (18.59 - 26.09) 0.036
Region 3 24.22a (21.06 - 27.70) 20.67 (17.83 - 23.82) 0.035
Region 4 20.80 (17.71 - 24.26) 19.92 (17.17 - 22.99) 0.576
Region 5 22.53 (19.63 - 25.73) 20.13 (17.42 - 23.16) 0.139
Nebraska 22.59 (20.59 - 24.73) 22.21 (20.40 - 24.13) 0.716
Regions 1 and 2 24.90 (21.53 - 28.60) 24.51 (21.05 - 28.34) 0.814
Region 1 24.05 (20.10 - 28.51) 24.94 (20.54 - 29.93) 0.661
Region 2 25.64 (21.12 - 30.75) 24.13 (19.90 - 28.95) 0.477
Region 3 22.38 (18.97 - 26.22) 22.19 (18.72 - 26.09) 0.916
Region 4 24.41 (20.46 - 28.84) 21.92 (18.24 - 26.10) 0.208
Region 5 22.68 (19.66 - 26.02) 22.67 (19.62 - 26.04) 0.994
Region 6 21.55 (18.74 - 24.64) 21.47 (18.93 - 24.25) 0.959
Nevada 24.05a (21.82 - 26.44) 20.40 (18.50 - 22.45) 0.002
Clark - Region 1 24.33a (21.70 - 27.15) 19.93 (17.78 - 22.26) 0.002
Region 3 25.65 (22.06 - 29.59) 23.08 (19.57 - 27.00) 0.132
Capital District 24.48 (20.08 - 29.50) 21.58 (17.27 - 26.61) 0.171
Rural/Frontier 26.70 (22.21 - 31.73) 24.44 (20.13 - 29.33) 0.297
Washoe - Region 2 21.55 (18.35 - 25.13) 20.52 (17.33 - 24.12) 0.537
New Hampshire 19.67 (17.94 - 21.52) 19.27 (17.56 - 21.10) 0.655
Central 21.22 (18.74 - 23.92) 21.44 (18.94 - 24.17) 0.862
Central 1 21.87 (18.68 - 25.44) 21.30 (17.94 - 25.10) 0.734
Central 2 20.58 (17.48 - 24.07) 21.57 (18.45 - 25.06) 0.554
Northern 20.67 (17.34 - 24.44) 20.62 (17.28 - 24.43) 0.980
Southern 18.70 (16.74 - 20.83) 17.92 (15.95 - 20.08) 0.454
Southern 1 (Rockingham) 18.39 (15.80 - 21.29) 16.29 (13.78 - 19.16) 0.118
Southern 2 18.89 (16.43 - 21.62) 18.94 (16.50 - 21.66) 0.969
New Jersey 17.40 (15.68 - 19.28) 16.79 (15.41 - 18.27) 0.483
Central 17.69 (15.01 - 20.73) 17.34 (15.01 - 19.95) 0.797
Metropolitan 16.70 (14.12 - 19.65) 15.83 (13.56 - 18.40) 0.507
Northern 15.55 (13.07 - 18.40) 15.22 (13.26 - 17.42) 0.795
Southern 20.75 (17.71 - 24.17) 19.72 (17.16 - 22.56) 0.497
New Mexico 22.48b (20.44 - 24.66) 20.79 (19.01 - 22.69) 0.100
Region 1 23.02 (19.59 - 26.84) 22.04 (18.84 - 25.61) 0.585
Region 2 18.86 (15.66 - 22.54) 18.58 (15.42 - 22.21) 0.868
Region 3 (Bernalillo) 22.10 (19.07 - 25.46) 20.01 (17.49 - 22.81) 0.188
Region 4 26.11 (22.51 - 30.07) 23.84 (20.28 - 27.80) 0.213
Region 5 22.90b (19.65 - 26.50) 20.42 (17.79 - 23.33) 0.094
Region 5a -- (-- - --) 21.37 (17.83 - 25.39) --
Region 5b (Dona Ana) -- (-- - --) 19.56 (16.37 - 23.19) --
New York1 20.00b (18.92 - 21.14) 18.89 (17.85 - 19.98) 0.063
Region 1: Long Island 17.22a (15.10 - 19.58) 14.78 (12.80 - 17.01) 0.029
Region 2: New York City 18.52 (17.06 - 20.08) 17.67 (16.27 - 19.17) 0.291
Region 2A: Bronx 18.48 (15.85 - 21.44) 17.55 (14.95 - 20.50) 0.486
Region 2B: Kings -- (-- - --) 18.58 (16.23 - 21.19) --
Region 2C: New York 18.39 (15.79 - 21.31) 19.27 (16.51 - 22.37) 0.540
Region 2D: Queens 17.01 (14.52 - 19.84) 15.59 (13.32 - 18.17) 0.284
Region 2E: Richmond -- (-- - --) 17.46 (14.33 - 21.10) --
Region 3: Mid-Hudson -- (-- - --) 17.30 (15.03 - 19.83) --
Region 4: Capital Region -- (-- - --) 22.21 (19.13 - 25.62) --
Region 5: Mohawk Valley -- (-- - --) 27.95 (23.57 - 32.80) --
Region 6: North Country -- (-- - --) 26.21 (22.03 - 30.86) --
Region 7: Tug Hill Seaway -- (-- - --) 25.66 (21.75 - 30.00) --
Region 8: Central -- (-- - --) 25.38 (22.25 - 28.78) --
Region 9: Southern Tier -- (-- - --) 22.70 (19.19 - 26.63) --
Region 10: Finger Lakes -- (-- - --) 19.93 (17.31 - 22.84) --
Region 11: Western -- (-- - --) 23.16 (20.61 - 25.91) --
North Carolina 22.67 (20.77 - 24.69) 21.27 (19.81 - 22.81) 0.127
Alliance Behavioral Healthcare 1 21.05 (17.58 - 25.00) 21.32 (18.06 - 24.99) 0.878
Alliance Behavioral Healthcare 2 16.11 (13.34 - 19.32) 15.12 (12.59 - 18.06) 0.463
Cardinal Innovations Healthcare Solutions 1 22.22 (18.47 - 26.48) 20.55 (17.39 - 24.12) 0.351
Cardinal Innovations Healthcare Solutions 2 23.16 (19.42 - 27.38) 21.77 (18.34 - 25.64) 0.448
Cardinal Innovations Healthcare Solutions 3 20.26 (16.76 - 24.27) 18.42 (15.54 - 21.69) 0.264
CenterPoint Human Services 22.45 (18.85 - 26.50) 22.22 (18.67 - 26.23) 0.902
Eastpointe 26.80 (22.48 - 31.60) 25.09 (21.56 - 29.00) 0.409
Partners Behavioral Health Management 25.17 (21.26 - 29.54) 22.32 (18.83 - 26.23) 0.165
Sandhills Center 1 26.29 (21.92 - 31.18) 25.54 (21.58 - 29.95) 0.722
Sandhills Center 2 21.47 (17.83 - 25.62) 19.89 (16.60 - 23.65) 0.395
Smoky Mountain Center 1 24.42 (20.32 - 29.05) 23.09 (19.43 - 27.21) 0.491
Smoky Mountain Center 2 21.94 (18.20 - 26.21) 20.86 (17.48 - 24.71) 0.550
Trillium Health Resources 1 24.04 (20.02 - 28.57) 22.94 (19.47 - 26.83) 0.579
Trillium Health Resources 2 24.73 (20.60 - 29.37) 22.52 (18.74 - 26.82) 0.270
North Dakota 24.92a (23.05 - 26.88) 22.99 (21.23 - 24.85) 0.045
Badlands and West Central 25.89a (22.88 - 29.14) 22.05 (19.59 - 24.73) 0.009
Badlands -- (-- - --) 23.42 (19.43 - 27.94) --
West Central -- (-- - --) 21.65 (18.86 - 24.74) --
Lake Region 24.26 (20.42 - 28.55) 25.59 (21.25 - 30.47) 0.512
North Central 25.42 (21.61 - 29.64) 24.19 (20.50 - 28.30) 0.500
Northeast 24.46 (21.09 - 28.19) 24.35 (20.99 - 28.04) 0.947
Northwest 28.30a (23.96 - 33.09) 24.02 (19.67 - 29.00) 0.042
South Central 25.11 (21.04 - 29.67) 23.08 (19.13 - 27.56) 0.314
Southeast 23.38 (20.52 - 26.50) 21.93 (19.20 - 24.92) 0.347
Ohio 26.21a (25.02 - 27.44) 24.27 (23.00 - 25.59) 0.005
Boards 2, 46, 55, and 68 26.96 (23.25 - 31.02) 27.59 (23.55 - 32.04) 0.754
Boards 3, 52, and 85 24.09a (20.65 - 27.91) 19.36 (16.06 - 23.15) 0.006
Boards 4 and 78 29.43 (25.33 - 33.89) 29.12 (24.92 - 33.71) 0.885
Boards 5 and 60 32.79b (28.59 - 37.28) 28.94 (24.60 - 33.70) 0.087
Boards 7, 15, 41, 79, and 84 29.27 (25.49 - 33.35) 26.45 (22.51 - 30.81) 0.159
Boards 8, 13, and 83 23.55b (20.48 - 26.93) 20.82 (17.61 - 24.45) 0.082
Board 9 (Butler) 24.66 (21.23 - 28.45) 22.42 (19.04 - 26.20) 0.179
Board 12 25.56 (21.70 - 29.84) 22.64 (19.02 - 26.72) 0.114
Boards 18 and 47 23.80 (21.27 - 26.53) 24.20 (21.56 - 27.06) 0.784
Boards 20, 32, 54, and 69 27.97 (24.26 - 32.01) 28.91 (25.05 - 33.09) 0.614
Boards 21, 39, 51, 70, and 80 24.64 (21.49 - 28.10) 23.81 (20.28 - 27.74) 0.654
Boards 22, 74, and 87 27.80 (23.88 - 32.08) 28.07 (24.08 - 32.45) 0.890
Boards 23 and 45 27.09 (23.38 - 31.15) 24.24 (20.83 - 28.01) 0.121
Board 25 (Franklin) 26.24a (23.49 - 29.18) 22.02 (19.22 - 25.10) 0.007
Boards 27, 71, and 73 34.46a (30.24 - 38.95) 29.54 (25.28 - 34.18) 0.035
Boards 28, 43, and 67 23.38 (20.14 - 26.97) 21.49 (18.31 - 25.06) 0.282
Board 31 (Hamilton) 24.78 (21.77 - 28.06) 23.42 (20.29 - 26.87) 0.409
Board 48 (Lucas) 28.76 (25.09 - 32.73) 26.55 (22.71 - 30.78) 0.258
Boards 50 and 76 25.74 (22.51 - 29.26) 24.67 (21.36 - 28.32) 0.538
Board 57 (Montgomery) 24.90 (21.45 - 28.71) 23.63 (20.04 - 27.65) 0.496
Board 77 (Summit) 24.94a (21.68 - 28.51) 19.95 (16.84 - 23.47) 0.003
Oklahoma 28.42a (26.34 - 30.59) 25.14 (23.19 - 27.19) 0.004
Central 25.12 (21.24 - 29.43) 24.36 (20.80 - 28.30) 0.704
East Central 29.20 (25.02 - 33.77) 27.28 (23.29 - 31.66) 0.365
Northeast 28.80a (24.91 - 33.04) 24.57 (21.06 - 28.45) 0.030
Northwest and Southwest 30.97 (26.46 - 35.86) 30.13 (26.15 - 34.43) 0.707
Oklahoma County 26.80a (23.34 - 30.57) 21.71 (18.45 - 25.38) 0.006
Southeast 31.12b (27.04 - 35.52) 27.66 (23.75 - 31.93) 0.093
Tulsa County 27.49a (23.70 - 31.64) 22.26 (18.97 - 25.94) 0.007
Oregon 20.21a (18.37 - 22.19) 18.13 (16.52 - 19.86) 0.026
Region 1 (Multnomah) 19.65 (16.57 - 23.14) 18.26 (15.47 - 21.43) 0.372
Region 2 18.06a (15.26 - 21.24) 14.60 (12.38 - 17.15) 0.012
Region 3 21.30 (18.56 - 24.32) 19.85 (17.23 - 22.77) 0.329
Region 4 20.55 (17.11 - 24.47) 19.33 (16.31 - 22.75) 0.480
Region 5 (Central) 20.72a (17.08 - 24.89) 16.49 (13.14 - 20.49) 0.016
Region 6 (Eastern) 23.54 (19.56 - 28.05) 21.27 (17.54 - 25.55) 0.239
Pennsylvania 23.54a (22.38 - 24.74) 21.92 (20.72 - 23.16) 0.014
Region 1 (Allegheny) 25.44a (22.52 - 28.59) 21.14 (18.41 - 24.16) 0.007
Regions 3, 8, 9, and 51 24.33 (21.07 - 27.91) 22.58 (19.37 - 26.15) 0.329
Regions 4, 11, 37, and 49 27.24a (23.89 - 30.87) 23.26 (20.09 - 26.75) 0.023
Regions 5, 18, 23, 24, and 46 23.33b (20.53 - 26.39) 20.35 (17.35 - 23.71) 0.052
Regions 6, 12, 16, 31, 35, 45, and 47 25.62 (22.52 - 29.00) 24.24 (20.91 - 27.91) 0.423
Regions 7, 13, 20, and 33 17.60 (15.70 - 19.68) 15.94 (14.00 - 18.09) 0.113
Regions 10, 15, 27, 32, 43, and 44 30.44a (26.68 - 34.47) 26.40 (22.53 - 30.67) 0.041
Regions 17 and 21 27.25 (23.64 - 31.19) 25.29 (21.55 - 29.44) 0.302
Regions 19, 26, 28, and 42 22.46 (19.92 - 25.22) 23.01 (20.32 - 25.93) 0.706
Regions 22, 38, 40, 41, and 48 24.79 (21.46 - 28.46) 24.03 (20.74 - 27.65) 0.672
Regions 29 and 34 22.89 (19.70 - 26.42) 21.64 (18.11 - 25.65) 0.488
Regions 30 and 50 26.51 (23.00 - 30.36) 26.02 (22.36 - 30.06) 0.791
Region 36 (Philadelphia) 24.39 (21.49 - 27.55) 24.89 (21.86 - 28.19) 0.766
Rhode Island 20.18 (18.29 - 22.21) 19.34 (17.52 - 21.30) 0.395
Region 1: Southern Providence County -- (-- - --) 18.21 (15.25 - 21.59) --
Region 2: Northern Providence County/ Blackstone Valley -- (-- - --) 21.86 (18.54 - 25.60) --
Region 3: Providence -- (-- - --) 20.61 (17.15 - 24.56) --
Region 4: Kent County -- (-- - --) 21.01 (17.77 - 24.66) --
Region 5: East Bay -- (-- - --) 19.58 (16.26 - 23.39) --
Region 6: Newport County -- (-- - --) 15.33 (12.41 - 18.79) --
Region 7: South County -- (-- - --) 15.07 (12.31 - 18.33) --
South Carolina 25.34a (23.37 - 27.43) 23.29 (21.52 - 25.16) 0.043
Region 1 26.43 (23.23 - 29.91) 25.06 (21.94 - 28.45) 0.438
Region 2 25.05 (21.73 - 28.68) 22.89 (19.96 - 26.10) 0.182
Region 3 25.75 (22.29 - 29.54) 23.17 (20.02 - 26.67) 0.148
Region 4 24.07 (21.04 - 27.39) 21.66 (19.09 - 24.47) 0.112
South Dakota 24.23 (22.37 - 26.20) 22.72 (20.95 - 24.59) 0.131
Region 1 26.18b (23.02 - 29.61) 22.87 (20.01 - 26.00) 0.053
Region 2 25.57 (21.60 - 29.99) 24.13 (20.32 - 28.40) 0.484
Region 3 23.14 (20.08 - 26.52) 23.06 (20.05 - 26.38) 0.960
Region 4 23.58 (20.04 - 27.53) 25.41 (21.70 - 29.51) 0.339
Region 5 23.34b (20.35 - 26.62) 20.53 (17.86 - 23.49) 0.074
Tennessee 23.87 (21.91 - 25.94) 23.52 (21.71 - 25.43) 0.743
Region 1 25.35 (21.32 - 29.86) 24.94 (21.05 - 29.28) 0.846
Region 2 24.31 (21.02 - 27.93) 24.14 (20.86 - 27.77) 0.927
Region 3 24.73 (21.16 - 28.67) 24.02 (20.57 - 27.84) 0.720
Region 4 (Davidson) 23.63 (19.86 - 27.87) 22.45 (18.61 - 26.82) 0.545
Region 5 24.61 (21.45 - 28.07) 24.10 (21.16 - 27.31) 0.757
Region 6 25.60 (21.68 - 29.96) 26.93 (22.89 - 31.40) 0.513
Region 7 (Shelby) 19.29 (16.09 - 22.95) 18.78 (15.70 - 22.30) 0.759
Texas 19.99 (18.97 - 21.05) 19.15 (18.15 - 20.19) 0.138
Region 1 23.80 (20.70 - 27.21) 22.57 (19.27 - 26.26) 0.439
Region 2 26.35 (22.69 - 30.37) 26.76 (22.81 - 31.13) 0.827
Region 3 18.63b (17.07 - 20.29) 17.12 (15.69 - 18.66) 0.081
Region 3a 17.85 (15.90 - 19.98) 16.20 (14.45 - 18.11) 0.116
Region 3bc 19.99 (17.62 - 22.59) 18.76 (16.60 - 21.14) 0.360
Region 4 25.01 (21.79 - 28.52) 25.27 (22.07 - 28.77) 0.883
Region 5 27.75a (23.74 - 32.15) 23.34 (19.78 - 27.31) 0.021
Region 6 18.71 (16.88 - 20.68) 17.46 (15.80 - 19.25) 0.197
Region 6a 18.33 (16.38 - 20.45) 17.11 (15.36 - 19.02) 0.240
Region 6bc 21.89 (18.42 - 25.81) 20.38 (16.95 - 24.29) 0.360
Region 7 20.23 (18.23 - 22.39) 20.40 (18.38 - 22.58) 0.869
Region 7a 18.57 (16.13 - 21.29) 18.00 (15.61 - 20.66) 0.650
Region 7bcd 23.09 (20.07 - 26.42) 24.64 (21.50 - 28.09) 0.315
Region 8 18.73 (16.52 - 21.16) 19.68 (17.36 - 22.23) 0.437
Region 9 26.20b (22.35 - 30.46) 23.21 (19.39 - 27.53) 0.099
Region 10 19.26 (16.28 - 22.64) 18.17 (15.19 - 21.59) 0.471
Region 11 19.27 (17.03 - 21.73) 19.51 (17.32 - 21.90) 0.833
Region 11abd 19.65 (16.75 - 22.92) 20.72 (17.77 - 24.03) 0.480
Region 11c (Hidalgo) 18.61 (15.83 - 21.75) 17.43 (14.54 - 20.75) 0.397
Utah 16.09a (14.46 - 17.86) 13.11 (11.75 - 14.60) 0.000
Bear River, Northeastern, Summit, Tooele, and Wasatch 17.52b (14.55 - 20.94) 14.60 (11.65 - 18.14) 0.056
Central, Four Corners, San Juan, and Southwest 18.73a (15.45 - 22.53) 14.73 (12.32 - 17.51) 0.003
Central, Four Corners, and San Juan -- (-- - --) 16.43 (13.13 - 20.37) --
Southwest -- (-- - --) 13.67 (10.92 - 16.99) --
Davis County 15.83a (12.93 - 19.22) 11.34   (9.06 - 14.11) 0.001
Salt Lake County 15.54b (13.40 - 17.95) 13.57 (11.76 - 15.61) 0.080
Utah County 13.48a (11.12 - 16.24) 10.35   (8.46 - 12.60) 0.006
Weber, Morgan 18.60a (15.32 - 22.39) 14.83 (12.12 - 18.01) 0.017
Vermont 21.10 (19.28 - 23.03) 22.07 (20.21 - 24.05) 0.345
Champlain Valley 21.77 (19.28 - 24.50) 21.53 (19.05 - 24.23) 0.861
Rural Northeast 21.11b (17.99 - 24.61) 24.45 (21.04 - 28.22) 0.056
Rural Southeast 19.48 (16.39 - 22.99) 18.82 (16.13 - 21.86) 0.669
Rural Southwest 21.49 (18.32 - 25.03) 24.18 (20.64 - 28.11) 0.132
Virginia 22.39a (20.54 - 24.34) 20.22 (18.83 - 21.68) 0.017
Region 1 23.08a (20.02 - 26.46) 20.05 (17.37 - 23.03) 0.041
Region 2 15.83a (13.39 - 18.60) 12.33 (10.56 - 14.36) 0.006
Region 3 29.47 (25.77 - 33.48) 28.25 (25.07 - 31.66) 0.509
Region 4 23.28 (19.73 - 27.26) 22.06 (19.34 - 25.04) 0.471
Region 5 24.07 (20.88 - 27.57) 22.96 (20.38 - 25.77) 0.497
Washington1 19.60a (17.92 - 21.40) 16.87 (15.28 - 18.59) 0.002
Region 1 20.61b (18.01 - 23.48) 18.18 (15.67 - 20.99) 0.062
Greater Columbia and North Central 18.37 (15.27 - 21.94) 16.29 (13.38 - 19.68) 0.180
Spokane 23.87 (20.05 - 28.16) 20.97 (17.23 - 25.27) 0.130
Region 2 18.17a (16.11 - 20.43) 14.18 (12.42 - 16.14) 0.000
King 16.64a (14.29 - 19.29) 12.92 (10.91 - 15.23) 0.002
North Sound 20.86a (17.68 - 24.45) 16.42 (13.61 - 19.67) 0.005
Region 3 20.95 (18.71 - 23.39) 19.84 (17.52 - 22.38) 0.346
Pierce 21.55 (18.22 - 25.30) 21.07 (17.77 - 24.81) 0.788
Salish 18.77 (15.33 - 22.77) 16.59 (13.21 - 20.63) 0.177
SW WA and Great Rivers 21.51 (18.12 - 25.35) 20.78 (17.14 - 24.97) 0.682
Thurston-Mason 20.70 (17.02 - 24.94) 18.35 (14.54 - 22.90) 0.181
West Virginia 30.21 (28.15 - 32.36) 29.92 (27.74 - 32.21) 0.806
Region I 27.29 (22.82 - 32.27) 28.06 (23.57 - 33.04) 0.746
Region II 27.94a (24.12 - 32.10) 22.85 (19.26 - 26.88) 0.011
Region III 28.43 (23.90 - 33.45) 28.93 (24.63 - 33.66) 0.827
Region IV 30.88 (27.43 - 34.57) 33.23 (29.44 - 37.24) 0.232
Region V 32.03 (28.62 - 35.65) 31.13 (27.42 - 35.10) 0.643
Region VI 30.51 (26.83 - 34.45) 30.88 (27.18 - 34.84) 0.858
Wisconsin 22.09 (20.18 - 24.13) 20.85 (19.04 - 22.79) 0.232
Milwaukee 24.11 (20.44 - 28.20) 21.96 (18.75 - 25.56) 0.254
Northeastern 22.87 (19.80 - 26.26) 21.11 (17.95 - 24.66) 0.314
Northern 22.37 (18.62 - 26.63) 23.07 (19.13 - 27.54) 0.721
Southeastern 19.91 (16.90 - 23.32) 18.93 (16.02 - 22.23) 0.542
Southern 20.91 (17.73 - 24.48) 19.05 (16.24 - 22.22) 0.253
Western 23.21 (19.85 - 26.95) 23.19 (19.56 - 27.26) 0.989
Wyoming 25.19a (23.15 - 27.34) 22.97 (21.14 - 24.92) 0.029
Judicial District 1 (Laramie) 26.32 (22.67 - 30.33) 24.39 (21.04 - 28.09) 0.306
Judicial District 2 23.44 (20.01 - 27.25) 21.53 (18.23 - 25.24) 0.251
Judicial District 3 25.74a (22.24 - 29.59) 20.70 (17.31 - 24.57) 0.005
Judicial District 4 20.77 (17.23 - 24.82) 20.15 (16.22 - 24.74) 0.739
Judicial District 5 21.09 (17.46 - 25.24) 20.16 (16.85 - 23.94) 0.609
Judicial District 6 28.24 (24.19 - 32.68) 26.51 (22.49 - 30.96) 0.387
Judicial District 7 (Natrona) 28.53 (24.47 - 32.97) 26.61 (22.86 - 30.74) 0.329
Judicial District 8 26.23 (22.25 - 30.64) 23.26 (19.34 - 27.69) 0.132
Judicial District 9 23.19 (19.43 - 27.43) 21.41 (17.97 - 25.31) 0.335
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2012-2014 and 2014-2016); hence, the 2012-2014 estimates and p values are not available for these regions. The definitions of the substate regions listed in this table are provided in the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
NOTE: Substate, state, and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and are generated by Markov Chain Monte Carlo techniques, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2012-2014 and 2014-2016 population percentages. The "Total U.S." estimates, along with the 95 percent confidence intervals and the p values, are based on design-based (direct) estimation methods.
a Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.10 level.
1 Names of some of the substate regions for this state have changed across the two time periods (2012-2014 vs. 2014-2016). For details, see the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012-2016.
180321
Table 8 – Alcohol Use Disorder in the Past Year among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2012-2014 and 2014-2016 NSDUHs
State/Substate Region 2012-2014
(Estimate)
2012-2014
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 6.60a (6.43 - 6.78) 5.96 (5.81 - 6.11) 0.000
Northeast 6.69a (6.35 - 7.04) 6.20 (5.87 - 6.54) 0.009
Midwest 6.76a (6.48 - 7.05) 6.11 (5.86 - 6.38) 0.000
South 6.23a (5.97 - 6.50) 5.53 (5.31 - 5.76) 0.000
West 6.98a (6.62 - 7.36) 6.31 (6.00 - 6.63) 0.001
Alabama 5.81a (5.00 - 6.73) 4.30 (3.60 - 5.13) 0.000
Region 1 5.82a (4.62 - 7.31) 3.96 (3.03 - 5.16) 0.001
Region 2 5.89a (4.78 - 7.24) 4.45 (3.47 - 5.68) 0.006
Region 3 5.54a (4.46 - 6.86) 3.94 (2.92 - 5.30) 0.004
Region 4 5.89b (4.72 - 7.32) 4.81 (3.66 - 6.29) 0.067
Alaska 7.40 (6.39 - 8.54) 7.13 (6.16 - 8.24) 0.632
Anchorage 7.56 (6.26 - 9.10) 7.38 (6.05 - 8.97) 0.792
Northern 7.82 (6.30 - 9.67) 7.53 (5.92 - 9.53) 0.725
South Central 6.83 (5.45 - 8.54) 6.53 (5.11 - 8.30) 0.673
Southeast 7.26 (5.63 - 9.31) 6.81 (5.09 - 9.06) 0.595
Arizona1 7.45a (6.41 - 8.63) 6.33 (5.44 - 7.35) 0.026
Central 7.61a (6.33 - 9.11) 6.38 (5.34 - 7.60) 0.037
North -- (-- - --) 6.27 (4.67 - 8.36) --
South -- (-- - --) 6.24 (5.00 - 7.77) --
South A 7.71b (6.14 - 9.63) 6.48 (4.94 - 8.45) 0.089
South B -- (-- - --) 5.96 (4.45 - 7.95) --
Arkansas 5.50 (4.71 - 6.41) 4.96 (4.17 - 5.89) 0.169
Catchment Area 1 6.08a (4.85 - 7.58) 4.80 (3.62 - 6.34) 0.020
Catchment Area 2 5.26 (4.05 - 6.80) 4.42 (3.27 - 5.96) 0.130
Catchment Area 3 5.20 (4.11 - 6.57) 5.47 (4.11 - 7.26) 0.642
Catchment Area 4 5.97 (4.61 - 7.70) 5.07 (3.74 - 6.84) 0.137
Catchment Area 5 5.68 (4.47 - 7.18) 5.18 (3.90 - 6.86) 0.395
Catchment Area 6 5.26 (4.05 - 6.80) 4.51 (3.29 - 6.14) 0.160
Catchment Area 7 4.93 (3.76 - 6.45) 4.72 (3.46 - 6.40) 0.688
Catchment Area 8 5.33 (4.19 - 6.75) 5.13 (3.88 - 6.74) 0.716
California 6.81 (6.26 - 7.40) 6.37 (5.88 - 6.90) 0.159
Region 1R 7.31 (5.91 - 9.01) 6.87 (5.35 - 8.78) 0.510
Region 2R 7.00 (5.71 - 8.55) 6.46 (5.01 - 8.29) 0.410
Region 3R (Sacramento) 6.48 (5.24 - 7.98) 6.25 (4.93 - 7.88) 0.706
Region 4R 7.17 (5.89 - 8.70) 7.04 (5.51 - 8.95) 0.853
Region 5R (San Francisco) 8.83   (7.05 - 11.01) 7.52 (5.73 - 9.83) 0.153
Region 6 (Santa Clara) 6.24 (5.09 - 7.62) 5.34 (4.27 - 6.66) 0.111
Region 7R (Contra Costa) 6.53 (5.28 - 8.06) 7.43 (5.82 - 9.43) 0.187
Region 8R (Alameda) 7.05 (5.77 - 8.58) 6.22 (4.90 - 7.87) 0.207
Region 9R (San Mateo) 6.29 (5.01 - 7.87) 5.88 (4.49 - 7.66) 0.521
Region 10 7.20 (5.85 - 8.84) 7.55 (5.88 - 9.64) 0.612
Region 11 (Los Angeles) 6.90a (6.21 - 7.67) 6.06 (5.39 - 6.81) 0.020
LA SPA 1 and 5 7.60a (6.16 - 9.34) 5.85 (4.46 - 7.66) 0.008
LA SPA 2 6.36 (5.20 - 7.76) 5.58 (4.38 - 7.09) 0.175
LA SPA 3 6.36 (5.23 - 7.71) 5.67 (4.42 - 7.25) 0.228
LA SPA 4 8.34   (6.75 - 10.26) 7.44 (5.75 - 9.58) 0.266
LA SPA 6 7.05b (5.67 - 8.75) 5.84 (4.51 - 7.54) 0.055
LA SPA 7 6.49 (5.33 - 7.90) 6.13 (4.76 - 7.87) 0.550
LA SPA 8 6.97 (5.68 - 8.53) 6.36 (5.07 - 7.96) 0.323
Region 12R 6.37 (5.10 - 7.93) 5.95 (4.56 - 7.73) 0.492
Regions 13 and 19R 6.43 (5.34 - 7.72) 6.37 (5.20 - 7.80) 0.922
Region 14 (Orange) 7.03 (5.87 - 8.40) 6.96 (5.67 - 8.51) 0.901
Region 15R (Fresno) 6.67 (5.42 - 8.18) 6.77 (5.29 - 8.63) 0.861
Region 16R (San Diego) 6.64 (5.50 - 8.01) 6.45 (5.30 - 7.83) 0.740
Region 17R 6.52 (5.37 - 7.89) 5.79 (4.66 - 7.18) 0.174
Region 18R (San Bernardino) 6.30 (5.21 - 7.60) 5.92 (4.72 - 7.40) 0.502
Region 20R 6.47 (5.24 - 7.97) 6.12 (4.73 - 7.90) 0.539
Region 21R 7.14 (5.80 - 8.77) 6.83 (5.25 - 8.82) 0.633
Colorado 7.83 (6.83 - 8.97) 7.20 (6.19 - 8.36) 0.205
Region 1 -- (-- - --) 7.27 (5.64 - 9.32) --
Region 2 -- (-- - --) 6.49 (4.82 - 8.70) --
Region 3 -- (-- - --) 7.34 (5.80 - 9.24) --
Region 4 -- (-- - --) 6.22 (4.54 - 8.47) --
Region 5 -- (-- - --) 8.68   (6.61 - 11.33) --
Region 6 -- (-- - --) 6.95 (5.35 - 8.96) --
Region 7 -- (-- - --) 6.68 (5.07 - 8.77) --
Connecticut 6.95 (5.99 - 8.05) 6.72 (5.70 - 7.90) 0.663
Eastern 7.83 (6.25 - 9.75) 6.59 (4.94 - 8.73) 0.107
North Central 6.99 (5.64 - 8.62) 7.10 (5.58 - 9.00) 0.882
Northwestern 6.42 (5.05 - 8.13) 6.15 (4.66 - 8.08) 0.710
South Central 6.93 (5.52 - 8.68) 7.20 (5.54 - 9.30) 0.739
Southwest 6.85 (5.40 - 8.67) 6.17 (4.69 - 8.07) 0.337
Delaware 6.66 (5.77 - 7.67) 5.89 (5.01 - 6.91) 0.109
Kent 6.60 (5.29 - 8.22) 5.85 (4.51 - 7.55) 0.243
New Castle (excluding Wilmington City) 6.91 (5.83 - 8.17) 6.33 (5.18 - 7.72) 0.345
Sussex 5.98b (4.72 - 7.55) 4.81 (3.57 - 6.45) 0.073
Wilmington City 7.03 (5.42 - 9.08) 6.20 (4.50 - 8.49) 0.277
District of Columbia 10.66a   (9.34 - 12.14) 8.59 (7.51 - 9.81) 0.004
Ward 1 13.58a (11.07 - 16.56) 10.43   (8.02 - 13.46) 0.016
Ward 2 13.91 (11.35 - 16.95) 12.07   (9.50 - 15.22) 0.155
Ward 3 11.41a   (9.28 - 13.96) 8.78   (6.81 - 11.25) 0.015
Ward 4 9.10a   (7.22 - 11.42) 7.10 (5.38 - 9.31) 0.036
Ward 5 9.90a   (7.96 - 12.25) 7.38 (5.57 - 9.72) 0.009
Ward 6 10.54b   (8.39 - 13.16) 8.51   (6.69 - 10.77) 0.066
Ward 7 8.05a   (6.23 - 10.33) 6.28 (4.72 - 8.30) 0.048
Ward 8 8.10   (6.38 - 10.25) 7.72   (5.82 - 10.18) 0.688
Florida 6.07 (5.51 - 6.68) 5.75 (5.19 - 6.37) 0.313
Broward (Circuit 17) 5.81 (4.70 - 7.17) 5.37 (4.22 - 6.82) 0.439
Central I 6.46a (5.54 - 7.53) 5.51 (4.64 - 6.53) 0.029
Circuit 9 6.45b (5.32 - 7.79) 5.55 (4.50 - 6.84) 0.093
Circuit 18 6.49b (5.27 - 7.96) 5.45 (4.17 - 7.08) 0.087
Central II 6.18 (5.44 - 7.02) 5.89 (5.11 - 6.78) 0.462
Circuit 6 6.10 (4.87 - 7.61) 6.01 (4.69 - 7.66) 0.892
Circuit 10 5.32 (4.22 - 6.68) 4.84 (3.68 - 6.33) 0.366
Circuit 12 6.45 (5.02 - 8.26) 5.83 (4.33 - 7.79) 0.400
Circuit 13 (Hillsborough) 6.90 (5.70 - 8.34) 6.46 (5.20 - 8.01) 0.454
Circuit 20 5.89 (4.65 - 7.43) 5.84 (4.41 - 7.69) 0.935
Northeast 6.30 (5.53 - 7.17) 6.02 (5.17 - 7.00) 0.514
Circuit 4 6.54 (5.32 - 8.00) 6.39 (4.98 - 8.16) 0.814
Circuit 5 5.27 (4.21 - 6.58) 5.29 (4.05 - 6.89) 0.969
Circuit 7 6.63 (5.30 - 8.27) 6.36 (4.89 - 8.23) 0.678
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee 7.33b (6.00 - 8.93) 6.19 (4.65 - 8.20) 0.080
Northwest 7.04 (6.04 - 8.18) 6.68 (5.63 - 7.92) 0.451
Circuit 1 6.99 (5.57 - 8.74) 6.26 (4.84 - 8.06) 0.255
Circuit 2 plus Madison and Taylor 7.48 (6.08 - 9.16) 7.89   (6.16 - 10.04) 0.547
Circuit 14 6.50 (5.13 - 8.19) 5.90 (4.41 - 7.85) 0.343
South (Circuits 11 and 16) 5.01 (4.05 - 6.18) 4.96 (3.94 - 6.22) 0.918
Southeast 5.79 (4.82 - 6.94) 5.88 (4.75 - 7.26) 0.866
Circuit 15 (Palm Beach) 5.82 (4.66 - 7.26) 6.13 (4.73 - 7.92) 0.630
Circuit 19 5.72 (4.53 - 7.21) 5.33 (4.00 - 7.07) 0.530
Georgia 5.87b (5.08 - 6.79) 5.19 (4.51 - 5.96) 0.073
Region 1 5.54 (4.47 - 6.84) 5.19 (4.14 - 6.50) 0.512
Region 2 5.81 (4.64 - 7.26) 5.45 (4.24 - 6.99) 0.480
Region 3 6.47a (5.19 - 8.04) 5.20 (4.18 - 6.46) 0.024
Region 4 5.32 (4.18 - 6.75) 5.20 (3.85 - 6.99) 0.812
Region 5 5.86 (4.61 - 7.42) 5.31 (4.06 - 6.92) 0.297
Region 6 5.53 (4.37 - 6.98) 4.80 (3.65 - 6.31) 0.173
Hawaii 6.94a (5.96 - 8.06) 5.33 (4.49 - 6.31) 0.003
Hawaii Island 6.71a (5.16 - 8.68) 4.81 (3.55 - 6.49) 0.015
Honolulu 7.00a (5.89 - 8.29) 5.36 (4.40 - 6.53) 0.008
Kauai 6.89 (5.34 - 8.86) 5.58 (4.07 - 7.62) 0.103
Maui 6.89b (5.40 - 8.77) 5.60 (4.09 - 7.63) 0.098
Idaho 6.67b (5.81 - 7.65) 5.90 (5.05 - 6.87) 0.075
Region 1 6.05 (4.76 - 7.66) 6.13 (4.60 - 8.12) 0.908
Region 2 8.00a   (6.27 - 10.16) 6.24 (4.66 - 8.31) 0.015
Region 3 5.75 (4.55 - 7.23) 4.93 (3.77 - 6.44) 0.137
Region 4 7.81 (6.37 - 9.53) 7.03 (5.59 - 8.80) 0.276
Region 5 5.63 (4.43 - 7.14) 4.92 (3.66 - 6.58) 0.224
Region 6 7.17 (5.68 - 9.01) 6.16 (4.56 - 8.27) 0.147
Region 7 6.00b (4.77 - 7.52) 5.01 (3.81 - 6.56) 0.070
Illinois 6.46 (5.91 - 7.07) 5.94 (5.32 - 6.63) 0.105
Region 1 (Cook) 6.88 (6.00 - 7.89) 6.23 (5.41 - 7.16) 0.136
Region 1.1 (Far North Side) -- (-- - --) 6.83 (5.13 - 9.04) --
Region 1.2 (Northwest Side) -- (-- - --) 6.20 (4.60 - 8.31) --
Region 1.3 (North Central Side) -- (-- - --) 8.84   (6.60 - 11.73) --
Region 1.4 (West Side) -- (-- - --) 6.80 (5.07 - 9.05) --
Region 1.5 (South Side) -- (-- - --) 5.53 (4.09 - 7.44) --
Region 1.6 (Southwest Side) -- (-- - --) 5.80 (4.31 - 7.76) --
Region 1.7 (Suburban Cook) -- (-- - --) 5.75 (4.68 - 7.05) --
Region 2 5.80 (5.02 - 6.70) 5.61 (4.83 - 6.50) 0.621
Region 2a (DuPage) -- (-- - --) 5.55 (4.33 - 7.09) --
Region 2b -- (-- - --) 5.45 (4.42 - 6.70) --
Region 2c (Winnebago) -- (-- - --) 6.27 (4.69 - 8.35) --
Region 2d -- (-- - --) 5.94 (4.56 - 7.70) --
Region 3 6.85 (5.75 - 8.13) 6.38 (5.28 - 7.69) 0.378
Region 3a (Champaign) -- (-- - --) 8.97   (6.89 - 11.60) --
Region 3b -- (-- - --) 5.95 (4.75 - 7.42) --
Region 4 6.36b (5.21 - 7.75) 5.45 (4.37 - 6.79) 0.089
Region 4a (Sangamon) -- (-- - --) 6.41 (4.73 - 8.63) --
Region 4b -- (-- - --) 5.18 (3.98 - 6.72) --
Region 5 6.48b (5.34 - 7.85) 5.63 (4.58 - 6.89) 0.083
Region 5a -- (-- - --) 5.94 (4.46 - 7.88) --
Region 5b -- (-- - --) 5.37 (4.15 - 6.93) --
Indiana 6.96a (6.08 - 7.95) 5.78 (4.98 - 6.71) 0.006
Central 7.35a (5.96 - 9.02) 5.63 (4.45 - 7.11) 0.008
East 6.52 (5.11 - 8.28) 5.86 (4.44 - 7.70) 0.280
North Central 6.72a (5.42 - 8.30) 5.31 (4.01 - 7.01) 0.026
Northeast 7.15a (5.68 - 8.97) 5.90 (4.45 - 7.78) 0.043
Northwest 6.02 (4.74 - 7.62) 5.52 (4.13 - 7.34) 0.407
Southeast 6.39 (5.05 - 8.06) 5.68 (4.25 - 7.56) 0.258
Southwest 6.72b (5.28 - 8.52) 5.48 (4.10 - 7.30) 0.052
West 8.17   (6.57 - 10.11) 7.13 (5.41 - 9.33) 0.139
Iowa 6.45 (5.54 - 7.49) 6.41 (5.53 - 7.43) 0.940
Central 6.11 (4.86 - 7.64) 6.70 (5.17 - 8.64) 0.363
North Central 6.83 (5.39 - 8.62) 6.09 (4.65 - 7.94) 0.235
Northeast 6.50 (5.24 - 8.03) 7.02 (5.56 - 8.82) 0.431
Northwest 6.45 (5.04 - 8.21) 6.55 (4.96 - 8.60) 0.893
Southeast 6.56 (5.21 - 8.23) 5.70 (4.42 - 7.33) 0.167
Southwest 6.28 (4.92 - 7.97) 6.07 (4.53 - 8.10) 0.776
Kansas 7.06a (6.10 - 8.15) 5.61 (4.80 - 6.54) 0.001
Northeast -- (-- - --) 5.59 (4.54 - 6.85) --
Northwest and North Central -- (-- - --) 5.72 (4.19 - 7.77) --
South Central -- (-- - --) 5.49 (4.38 - 6.87) --
Southeast -- (-- - --) 5.94 (4.40 - 7.98) --
Southwest -- (-- - --) 5.72 (4.22 - 7.72) --
Kentucky1 5.75 (4.97 - 6.65) 5.34 (4.51 - 6.31) 0.323
Adanta, Cumberland River, and Lifeskills 5.78b (4.58 - 7.28) 4.76 (3.55 - 6.36) 0.076
Bluegrass, Comprehend, and North Key 5.72 (4.62 - 7.07) 5.57 (4.37 - 7.06) 0.792
Centerstone 6.11 (4.87 - 7.64) 5.79 (4.44 - 7.52) 0.612
Communicare and River Valley 5.54 (4.35 - 7.05) 5.26 (3.87 - 7.10) 0.613
Four Rivers and Pennyroyal 5.60 (4.40 - 7.10) 4.99 (3.67 - 6.74) 0.298
Kentucky River, Mountain, and Pathways 5.42 (4.27 - 6.86) 5.06 (3.73 - 6.83) 0.529
Louisiana 6.36 (5.50 - 7.35) 6.75 (5.76 - 7.90) 0.431
Regions 1 and 10 6.98 (5.73 - 8.48) 7.36 (5.83 - 9.25) 0.552
Region 1 7.42 (5.79 - 9.47) 8.33   (6.26 - 11.01) 0.278
Region 10 (Jefferson) 6.52 (5.11 - 8.29) 6.30 (4.66 - 8.48) 0.762
Regions 2 and 9 6.12 (4.94 - 7.56) 6.80 (5.38 - 8.56) 0.290
Region 3 5.96 (4.61 - 7.66) 5.55 (4.07 - 7.51) 0.528
Regions 4, 5, and 6 6.78 (5.44 - 8.43) 6.99 (5.45 - 8.92) 0.765
Regions 7 and 8 5.71 (4.58 - 7.10) 6.28 (4.76 - 8.24) 0.400
Maine 5.96 (5.09 - 6.97) 5.34 (4.52 - 6.30) 0.161
Aroostook/Downeast 5.95a (4.76 - 7.43) 4.76 (3.66 - 6.18) 0.037
Aroostook 5.85a (4.47 - 7.63) 4.52 (3.31 - 6.16) 0.040
Downeast 6.03 (4.59 - 7.89) 4.95 (3.54 - 6.89) 0.121
Central 5.57 (4.32 - 7.15) 5.19 (3.82 - 7.03) 0.556
Cumberland 6.64 (5.25 - 8.37) 6.02 (4.66 - 7.75) 0.369
Midcoast 5.46 (4.19 - 7.08) 5.21 (3.88 - 6.96) 0.694
Penquis 6.41a (5.06 - 8.09) 5.15 (3.86 - 6.83) 0.043
Western 5.87 (4.62 - 7.43) 5.18 (3.93 - 6.81) 0.251
York 5.42 (4.30 - 6.81) 5.38 (4.01 - 7.19) 0.947
Maryland 6.74 (5.81 - 7.80) 6.44 (5.48 - 7.55) 0.533
Anne Arundel 6.83 (5.32 - 8.72) 5.88 (4.37 - 7.85) 0.136
Baltimore City 7.69 (6.09 - 9.67) 8.01   (6.08 - 10.48) 0.708
Baltimore County 7.22 (5.67 - 9.14) 6.62 (4.96 - 8.77) 0.419
Montgomery 6.43 (5.06 - 8.14) 5.63 (4.28 - 7.39) 0.235
North Central 6.37 (4.94 - 8.17) 5.80 (4.30 - 7.77) 0.368
Northeast 6.05 (4.70 - 7.76) 6.00 (4.42 - 8.11) 0.938
Prince George's 6.79 (5.30 - 8.66) 7.54 (5.67 - 9.95) 0.328
South 6.19 (4.82 - 7.92) 6.13 (4.55 - 8.20) 0.924
West 6.80 (5.37 - 8.58) 5.97 (4.47 - 7.93) 0.190
Massachusetts 7.07 (6.14 - 8.12) 7.23 (6.22 - 8.38) 0.766
Boston 9.15   (7.37 - 11.30) 9.32 (7.12 - 12.10) 0.856
Central 7.05 (5.56 - 8.91) 7.12 (5.49 - 9.18) 0.934
Metrowest 7.45 (5.98 - 9.24) 7.07 (5.50 - 9.05) 0.649
Northeast 6.93 (5.56 - 8.61) 6.39 (4.94 - 8.23) 0.435
Southeast 5.98 (4.73 - 7.54) 6.85 (5.26 - 8.89) 0.211
Western 6.21b (4.91 - 7.82) 7.43 (5.67 - 9.69) 0.100
Michigan 6.52a (5.94 - 7.15) 5.69 (5.09 - 6.36) 0.017
Region 1 7.77a (6.24 - 9.62) 5.35 (4.03 - 7.07) 0.000
Region 2 5.93a (4.72 - 7.42) 4.60 (3.43 - 6.15) 0.029
Region 3 6.85 (5.76 - 8.14) 6.33 (5.11 - 7.82) 0.392
Region 4 6.18 (5.07 - 7.52) 5.38 (4.25 - 6.80) 0.176
Region 5 6.96 (5.96 - 8.11) 6.31 (5.22 - 7.62) 0.235
Region 6 6.24a (5.12 - 7.57) 4.98 (3.83 - 6.45) 0.028
Region 7 6.36 (5.28 - 7.65) 6.07 (4.89 - 7.51) 0.627
Region 8 6.62a (5.45 - 8.03) 4.99 (3.90 - 6.36) 0.012
Region 9 6.21 (5.07 - 7.60) 5.34 (4.11 - 6.92) 0.155
Region 10 6.09 (5.04 - 7.35) 5.97 (4.63 - 7.67) 0.846
Minnesota 6.60a (5.72 - 7.61) 5.74 (4.91 - 6.70) 0.034
Regions 1 and 2 6.54 (5.07 - 8.39) 5.98 (4.59 - 7.76) 0.367
Region 1 -- (-- - --) 5.50 (3.97 - 7.57) --
Region 2 -- (-- - --) 6.28 (4.57 - 8.57) --
Regions 3 and 4 6.36b (5.08 - 7.93) 5.44 (4.31 - 6.86) 0.067
Region 3 -- (-- - --) 5.33 (3.85 - 7.34) --
Region 4 -- (-- - --) 5.50 (4.17 - 7.23) --
Regions 5 and 6 6.57 (5.29 - 8.13) 6.27 (5.05 - 7.77) 0.591
Region 5 -- (-- - --) 6.23 (4.74 - 8.16) --
Region 6 -- (-- - --) 6.32 (4.78 - 8.30) --
Region 7 -- (-- - --) 5.61 (4.68 - 6.71) --
Region 7A (Hennepin) 7.14a (5.71 - 8.91) 5.77 (4.47 - 7.43) 0.037
Region 7B (Ramsey) 7.35a (5.74 - 9.37) 5.87 (4.42 - 7.75) 0.029
Region 7C 5.97 (4.83 - 7.37) 5.33 (4.11 - 6.90) 0.264
Mississippi 5.92a (5.08 - 6.88) 4.97 (4.20 - 5.86) 0.015
Region 1 5.76a (4.61 - 7.19) 4.69 (3.63 - 6.03) 0.032
Region 2 5.68b (4.40 - 7.30) 4.68 (3.47 - 6.30) 0.076
Region 3 6.54a (5.15 - 8.27) 4.87 (3.64 - 6.48) 0.003
Region 4 5.67 (4.43 - 7.22) 5.16 (3.89 - 6.82) 0.389
Region 5 5.65a (4.34 - 7.33) 4.52 (3.29 - 6.18) 0.038
Region 6 6.06 (4.79 - 7.64) 5.87 (4.42 - 7.76) 0.750
Region 7 6.06b (4.81 - 7.62) 5.01 (3.77 - 6.64) 0.058
Missouri 6.58 (5.71 - 7.57) 6.03 (5.16 - 7.05) 0.215
Central 6.67 (5.32 - 8.33) 5.82 (4.50 - 7.50) 0.160
Eastern 6.67 (5.55 - 8.00) 6.23 (5.07 - 7.64) 0.410
Eastern (St. Louis City and County) 6.73 (5.39 - 8.38) 6.21 (4.78 - 8.02) 0.427
Eastern (excluding St. Louis) 6.57 (5.20 - 8.28) 6.28 (4.80 - 8.17) 0.652
Northwest 7.06 (5.86 - 8.48) 6.43 (5.17 - 7.97) 0.259
Northwest (Jackson) 7.14 (5.68 - 8.94) 6.44 (4.86 - 8.50) 0.284
Northwest (excluding Jackson) 6.99 (5.55 - 8.78) 6.42 (4.85 - 8.46) 0.408
Southeast 6.07 (4.77 - 7.69) 5.84 (4.40 - 7.72) 0.725
Southwest 5.92 (4.67 - 7.48) 5.30 (3.99 - 7.00) 0.298
Montana 7.83 (6.87 - 8.92) 7.31 (6.32 - 8.43) 0.341
Region 1 7.96a   (6.17 - 10.23) 6.08 (4.43 - 8.29) 0.035
Region 2 8.26 (6.64 - 10.23) 7.28 (5.59 - 9.43) 0.227
Region 3 7.74 (6.31 - 9.47) 7.56 (5.98 - 9.53) 0.818
Region 4 8.10 (6.62 - 9.86) 7.82 (6.32 - 9.64) 0.712
Region 5 7.44 (6.16 - 8.96) 7.01 (5.66 - 8.67) 0.550
Nebraska 7.76a (6.75 - 8.90) 6.45 (5.51 - 7.54) 0.010
Regions 1 and 2 7.05b (5.68 - 8.72) 5.93 (4.55 - 7.70) 0.072
Region 1 7.13 (5.49 - 9.22) 6.32 (4.52 - 8.76) 0.299
Region 2 6.98a (5.32 - 9.10) 5.59 (4.03 - 7.70) 0.041
Region 3 7.20 (5.73 - 9.03) 6.31 (4.80 - 8.25) 0.207
Region 4 6.98a (5.48 - 8.86) 5.52 (4.12 - 7.36) 0.026
Region 5 8.25a   (6.74 - 10.04) 6.47 (5.04 - 8.26) 0.012
Region 6 8.02b (6.66 - 9.61) 6.86 (5.55 - 8.43) 0.096
Nevada 7.56a (6.46 - 8.83) 5.97 (5.06 - 7.02) 0.004
Clark - Region 1 7.43a (6.19 - 8.89) 5.88 (4.86 - 7.09) 0.013
Region 3 7.46b (6.02 - 9.22) 6.22 (4.78 - 8.04) 0.069
Capital District 7.36b (5.64 - 9.55) 5.95 (4.22 - 8.33) 0.078
Rural/Frontier 7.55 (5.81 - 9.76) 6.46 (4.70 - 8.80) 0.184
Washoe - Region 2 8.24a   (6.63 - 10.20) 6.19 (4.73 - 8.06) 0.006
New Hampshire 7.70b (6.71 - 8.83) 6.77 (5.78 - 7.90) 0.078
Central 7.53 (6.32 - 8.94) 6.57 (5.34 - 8.06) 0.107
Central 1 7.75b (6.23 - 9.61) 6.45 (4.93 - 8.40) 0.070
Central 2 7.31 (5.88 - 9.05) 6.69 (5.15 - 8.63) 0.394
Northern 8.48a   (6.76 - 10.58) 6.72 (5.06 - 8.88) 0.026
Southern 7.61 (6.48 - 8.93) 6.87 (5.69 - 8.27) 0.216
Southern 1 (Rockingham) 6.62 (5.35 - 8.17) 6.31 (4.86 - 8.17) 0.647
Southern 2 8.23 (6.81 - 9.92) 7.22 (5.78 - 8.98) 0.159
New Jersey 6.50a (5.62 - 7.51) 5.33 (4.62 - 6.15) 0.008
Central 5.90 (4.70 - 7.38) 5.60 (4.47 - 7.00) 0.592
Metropolitan 6.33b (5.09 - 7.84) 5.30 (4.15 - 6.76) 0.096
Northern 6.90a (5.57 - 8.52) 4.83 (3.88 - 5.99) 0.001
Southern 6.76 (5.41 - 8.43) 5.85 (4.68 - 7.29) 0.156
New Mexico 7.15 (6.17 - 8.27) 7.03 (5.98 - 8.24) 0.825
Region 1 6.59 (5.26 - 8.23) 7.47 (5.74 - 9.67) 0.255
Region 2 7.02 (5.43 - 9.02) 6.31 (4.69 - 8.44) 0.351
Region 3 (Bernalillo) 7.97 (6.50 - 9.75) 7.26 (5.78 - 9.09) 0.377
Region 4 6.24 (4.97 - 7.81) 6.82 (5.14 - 8.99) 0.403
Region 5 7.05 (5.62 - 8.80) 6.84 (5.45 - 8.54) 0.753
Region 5a -- (-- - --) 7.03 (5.26 - 9.35) --
Region 5b (Dona Ana) -- (-- - --) 6.66 (4.99 - 8.83) --
New York1 6.63 (6.04 - 7.27) 6.30 (5.72 - 6.94) 0.314
Region 1: Long Island 5.60 (4.64 - 6.74) 5.30 (4.28 - 6.54) 0.540
Region 2: New York City 7.12 (6.33 - 8.01) 6.97 (6.14 - 7.90) 0.727
Region 2A: Bronx 6.25 (5.08 - 7.66) 6.63 (5.25 - 8.35) 0.528
Region 2B: Kings -- (-- - --) 6.86 (5.55 - 8.46) --
Region 2C: New York 9.23   (7.61 - 11.16) 9.90   (7.97 - 12.24) 0.461
Region 2D: Queens 6.28 (5.09 - 7.72) 5.39 (4.22 - 6.85) 0.123
Region 2E: Richmond -- (-- - --) 5.60 (4.20 - 7.43) --
Region 3: Mid-Hudson -- (-- - --) 5.39 (4.27 - 6.78) --
Region 4: Capital Region -- (-- - --) 6.52 (5.08 - 8.33) --
Region 5: Mohawk Valley -- (-- - --) 5.75 (4.26 - 7.71) --
Region 6: North Country -- (-- - --) 6.44 (4.86 - 8.49) --
Region 7: Tug Hill Seaway -- (-- - --) 5.47 (4.12 - 7.24) --
Region 8: Central -- (-- - --) 6.16 (4.85 - 7.81) --
Region 9: Southern Tier -- (-- - --) 6.89 (5.32 - 8.87) --
Region 10: Finger Lakes -- (-- - --) 6.59 (5.26 - 8.24) --
Region 11: Western -- (-- - --) 5.57 (4.50 - 6.87) --
North Carolina 5.82a (5.02 - 6.74) 4.98 (4.31 - 5.76) 0.033
Alliance Behavioral Healthcare 1 5.78 (4.56 - 7.30) 5.35 (4.07 - 7.01) 0.463
Alliance Behavioral Healthcare 2 6.36a (4.97 - 8.11) 5.02 (3.81 - 6.61) 0.026
Cardinal Innovations Healthcare Solutions 1 5.38a (4.17 - 6.91) 4.10 (3.02 - 5.53) 0.015
Cardinal Innovations Healthcare Solutions 2 5.84 (4.54 - 7.48) 4.93 (3.67 - 6.59) 0.102
Cardinal Innovations Healthcare Solutions 3 6.64 (5.18 - 8.49) 6.20 (4.75 - 8.05) 0.515
CenterPoint Human Services 5.27 (4.08 - 6.77) 4.80 (3.55 - 6.47) 0.391
Eastpointe 5.05 (3.91 - 6.51) 4.30 (3.21 - 5.75) 0.133
Partners Behavioral Health Management 5.62 (4.38 - 7.19) 4.76 (3.53 - 6.39) 0.137
Sandhills Center 1 5.30 (4.09 - 6.84) 4.49 (3.29 - 6.10) 0.128
Sandhills Center 2 6.12 (4.73 - 7.88) 5.19 (3.87 - 6.93) 0.115
Smoky Mountain Center 1 6.06a (4.71 - 7.76) 4.67 (3.47 - 6.27) 0.016
Smoky Mountain Center 2 5.66 (4.37 - 7.32) 5.08 (3.76 - 6.84) 0.337
Trillium Health Resources 1 5.91b (4.57 - 7.61) 5.02 (3.77 - 6.66) 0.096
Trillium Health Resources 2 6.15 (4.77 - 7.88) 5.49 (4.09 - 7.32) 0.249
North Dakota 7.73b (6.80 - 8.78) 6.76 (5.87 - 7.77) 0.055
Badlands and West Central 7.14 (5.88 - 8.65) 6.92 (5.64 - 8.48) 0.734
Badlands -- (-- - --) 7.51   (5.53 - 10.11) --
West Central -- (-- - --) 6.75 (5.34 - 8.52) --
Lake Region 7.12 (5.60 - 9.01) 6.06 (4.47 - 8.15) 0.157
North Central 7.82 (6.27 - 9.72) 6.79 (5.14 - 8.91) 0.179
Northeast 8.78   (7.18 - 10.70) 7.81 (6.14 - 9.90) 0.207
Northwest 7.42a (5.83 - 9.40) 5.84 (4.25 - 7.97) 0.036
South Central 6.47 (5.08 - 8.22) 6.42 (4.76 - 8.60) 0.938
Southeast 8.33a (6.95 - 9.95) 6.53 (5.24 - 8.10) 0.014
Ohio 6.58 (6.00 - 7.21) 6.30 (5.70 - 6.96) 0.398
Boards 2, 46, 55, and 68 6.37 (5.11 - 7.92) 6.24 (4.70 - 8.22) 0.827
Boards 3, 52, and 85 5.62 (4.42 - 7.12) 5.27 (3.99 - 6.93) 0.500
Boards 4 and 78 6.18b (4.90 - 7.77) 5.19 (3.93 - 6.84) 0.093
Boards 5 and 60 6.95 (5.60 - 8.59) 6.69 (5.16 - 8.64) 0.683
Boards 7, 15, 41, 79, and 84 6.04 (4.82 - 7.54) 5.54 (4.18 - 7.32) 0.417
Boards 8, 13, and 83 5.77 (4.66 - 7.12) 5.35 (4.00 - 7.13) 0.459
Board 9 (Butler) 6.17 (4.97 - 7.63) 6.53 (4.98 - 8.53) 0.535
Board 12 6.77 (5.43 - 8.40) 6.30 (4.78 - 8.26) 0.441
Boards 18 and 47 7.00 (5.84 - 8.38) 7.37 (5.95 - 9.09) 0.576
Boards 20, 32, 54, and 69 6.05 (4.86 - 7.52) 5.70 (4.36 - 7.43) 0.520
Boards 21, 39, 51, 70, and 80 6.08 (4.97 - 7.43) 5.40 (4.13 - 7.05) 0.237
Boards 22, 74, and 87 6.09 (4.85 - 7.62) 5.93 (4.55 - 7.68) 0.768
Boards 23 and 45 6.01 (4.81 - 7.47) 6.11 (4.69 - 7.93) 0.869
Board 25 (Franklin) 7.64a (6.32 - 9.20) 6.19 (4.98 - 7.66) 0.017
Boards 27, 71, and 73 6.04 (4.82 - 7.55) 5.91 (4.51 - 7.73) 0.832
Boards 28, 43, and 67 6.75 (5.43 - 8.35) 6.25 (4.79 - 8.12) 0.408
Board 31 (Hamilton) 6.76 (5.52 - 8.26) 7.47 (5.88 - 9.45) 0.283
Board 48 (Lucas) 7.16 (5.76 - 8.87) 6.51 (4.91 - 8.58) 0.324
Boards 50 and 76 6.38 (5.15 - 7.86) 5.95 (4.60 - 7.66) 0.524
Board 57 (Montgomery) 6.44 (5.20 - 7.97) 6.52 (4.97 - 8.51) 0.908
Board 77 (Summit) 6.87 (5.54 - 8.50) 6.40 (4.97 - 8.20) 0.441
Oklahoma 7.25a (6.26 - 8.38) 5.86 (4.97 - 6.88) 0.004
Central 7.67 (6.10 - 9.60) 6.66 (5.06 - 8.72) 0.146
East Central 6.49a (5.05 - 8.30) 4.65 (3.39 - 6.36) 0.007
Northeast 7.13a (5.65 - 8.97) 5.50 (4.12 - 7.30) 0.018
Northwest and Southwest 7.61a (5.96 - 9.69) 5.77 (4.38 - 7.56) 0.008
Oklahoma County 7.12 (5.65 - 8.93) 6.31 (4.81 - 8.23) 0.256
Southeast 7.00a (5.48 - 8.90) 5.32 (3.98 - 7.09) 0.016
Tulsa County 7.62b (6.05 - 9.55) 6.34 (4.76 - 8.39) 0.096
Oregon 7.07 (6.16 - 8.10) 7.11 (6.13 - 8.24) 0.931
Region 1 (Multnomah) 7.83 (6.31 - 9.68) 7.61 (5.93 - 9.71) 0.777
Region 2 6.55 (5.30 - 8.08) 6.63 (5.28 - 8.29) 0.907
Region 3 7.25 (5.94 - 8.83) 7.34 (5.89 - 9.12) 0.894
Region 4 6.60 (5.19 - 8.38) 7.06 (5.33 - 9.30) 0.574
Region 5 (Central) 6.99 (5.41 - 8.99) 6.99 (5.00 - 9.69) 0.997
Region 6 (Eastern) 6.83 (5.30 - 8.76) 6.45 (4.75 - 8.70) 0.592
Pennsylvania 6.49b (5.92 - 7.11) 5.86 (5.25 - 6.54) 0.053
Region 1 (Allegheny) 7.53a (6.22 - 9.08) 6.19 (4.85 - 7.87) 0.040
Regions 3, 8, 9, and 51 6.97 (5.64 - 8.58) 6.24 (4.83 - 8.03) 0.264
Regions 4, 11, 37, and 49 5.72 (4.65 - 7.00) 4.99 (3.84 - 6.47) 0.167
Regions 5, 18, 23, 24, and 46 5.05 (4.01 - 6.34) 4.81 (3.70 - 6.23) 0.650
Regions 6, 12, 16, 31, 35, 45, and 47 6.70 (5.56 - 8.07) 6.53 (5.16 - 8.25) 0.753
Regions 7, 13, 20, and 33 6.65 (5.64 - 7.81) 5.87 (4.79 - 7.18) 0.170
Regions 10, 15, 27, 32, 43, and 44 5.67 (4.52 - 7.10) 4.88 (3.68 - 6.45) 0.155
Regions 17 and 21 6.71 (5.41 - 8.31) 5.99 (4.55 - 7.84) 0.242
Regions 19, 26, 28, and 42 5.69 (4.74 - 6.82) 5.28 (4.18 - 6.65) 0.412
Regions 22, 38, 40, 41, and 48 5.36 (4.30 - 6.66) 5.83 (4.48 - 7.55) 0.383
Regions 29 and 34 5.93 (4.77 - 7.34) 5.45 (4.10 - 7.22) 0.408
Regions 30 and 50 6.63 (5.39 - 8.13) 5.96 (4.57 - 7.73) 0.302
Region 36 (Philadelphia) 8.01 (6.63 - 9.65) 7.15 (5.72 - 8.90) 0.220
Rhode Island 8.09b (7.04 - 9.28) 7.02 (5.96 - 8.24) 0.066
Region 1: Southern Providence County -- (-- - --) 6.26 (4.73 - 8.23) --
Region 2: Northern Providence County/ Blackstone Valley -- (-- - --) 6.02 (4.55 - 7.92) --
Region 3: Providence -- (-- - --) 7.82   (5.98 - 10.18) --
Region 4: Kent County -- (-- - --) 6.95 (5.30 - 9.07) --
Region 5: East Bay -- (-- - --) 8.20   (6.18 - 10.82) --
Region 6: Newport County -- (-- - --) 7.62   (5.60 - 10.30) --
Region 7: South County -- (-- - --) 7.52 (5.67 - 9.91) --
South Carolina 6.05 (5.17 - 7.06) 5.98 (5.12 - 6.98) 0.884
Region 1 6.23 (4.98 - 7.76) 5.64 (4.44 - 7.14) 0.333
Region 2 5.77 (4.61 - 7.19) 5.75 (4.54 - 7.26) 0.976
Region 3 5.69 (4.46 - 7.24) 5.00 (3.77 - 6.61) 0.260
Region 4 6.32 (5.07 - 7.86) 7.22 (5.70 - 9.11) 0.185
South Dakota 7.79 (6.83 - 8.87) 7.48 (6.46 - 8.63) 0.562
Region 1 8.07 (6.61 - 9.82) 7.77 (6.14 - 9.77) 0.693
Region 2 8.57   (6.62 - 11.03) 7.81   (5.79 - 10.46) 0.439
Region 3 7.73 (6.27 - 9.49) 7.22 (5.69 - 9.13) 0.513
Region 4 7.67 (6.16 - 9.53) 6.97 (5.35 - 9.04) 0.369
Region 5 7.40 (6.10 - 8.95) 7.58 (6.07 - 9.43) 0.802
Tennessee 5.47 (4.70 - 6.35) 5.13 (4.32 - 6.08) 0.392
Region 1 5.22 (3.98 - 6.82) 4.63 (3.39 - 6.29) 0.303
Region 2 5.32 (4.21 - 6.71) 4.85 (3.68 - 6.37) 0.370
Region 3 5.23 (4.12 - 6.61) 4.71 (3.53 - 6.24) 0.334
Region 4 (Davidson) 6.70 (5.25 - 8.51) 6.39 (4.75 - 8.54) 0.670
Region 5 5.60 (4.48 - 6.98) 5.15 (3.94 - 6.71) 0.410
Region 6 4.87 (3.75 - 6.28) 5.22 (3.85 - 7.02) 0.514
Region 7 (Shelby) 5.39 (4.21 - 6.88) 5.25 (3.93 - 6.97) 0.795
Texas 6.52a (5.98 - 7.10) 5.53 (5.04 - 6.06) 0.000
Region 1 7.01 (5.79 - 8.47) 6.46 (4.97 - 8.35) 0.370
Region 2 6.34 (5.06 - 7.92) 6.10 (4.66 - 7.94) 0.667
Region 3 6.54a (5.76 - 7.41) 5.15 (4.43 - 5.97) 0.000
Region 3a 6.44a (5.50 - 7.54) 5.22 (4.33 - 6.28) 0.010
Region 3bc 6.70a (5.63 - 7.96) 5.02 (4.04 - 6.22) 0.001
Region 4 5.88b (4.75 - 7.27) 4.99 (3.87 - 6.42) 0.080
Region 5 6.34 (5.06 - 7.91) 5.64 (4.33 - 7.31) 0.218
Region 6 6.67a (5.77 - 7.69) 5.20 (4.41 - 6.12) 0.000
Region 6a 6.69a (5.74 - 7.80) 5.21 (4.37 - 6.21) 0.001
Region 6bc 6.44a (5.12 - 8.07) 5.05 (3.81 - 6.67) 0.011
Region 7 7.66a (6.64 - 8.81) 6.46 (5.44 - 7.65) 0.012
Region 7a 8.19 (6.85 - 9.78) 7.22 (5.81 - 8.94) 0.137
Region 7bcd 6.74a (5.53 - 8.20) 5.11 (3.98 - 6.53) 0.003
Region 8 5.96 (4.90 - 7.22) 5.95 (4.87 - 7.26) 0.989
Region 9 6.54 (5.23 - 8.13) 6.72 (5.04 - 8.91) 0.764
Region 10 6.34 (5.17 - 7.75) 5.90 (4.46 - 7.77) 0.460
Region 11 5.40 (4.57 - 6.36) 5.10 (4.15 - 6.26) 0.490
Region 11abd 5.41 (4.37 - 6.69) 5.02 (3.88 - 6.47) 0.417
Region 11c (Hidalgo) 5.36 (4.30 - 6.68) 5.25 (3.96 - 6.92) 0.826
Utah 5.42a (4.63 - 6.32) 4.39 (3.68 - 5.23) 0.004
Bear River, Northeastern, Summit, Tooele, and Wasatch 5.48a (4.26 - 7.03) 4.30 (3.16 - 5.81) 0.016
Central, Four Corners, San Juan, and Southwest 5.25a (4.07 - 6.74) 4.28 (3.28 - 5.58) 0.024
Central, Four Corners, and San Juan -- (-- - --) 4.01 (2.85 - 5.62) --
Southwest -- (-- - --) 4.45 (3.24 - 6.09) --
Davis County 5.00a (3.93 - 6.35) 4.06 (2.97 - 5.54) 0.049
Salt Lake County 5.59a (4.52 - 6.90) 4.51 (3.59 - 5.66) 0.028
Utah County 5.38b (4.31 - 6.71) 4.48 (3.38 - 5.92) 0.060
Weber, Morgan 5.38a (4.17 - 6.90) 4.33 (3.14 - 5.95) 0.033
Vermont 6.95 (6.03 - 8.00) 7.01 (6.00 - 8.19) 0.902
Champlain Valley 6.95 (5.78 - 8.35) 7.23 (5.89 - 8.86) 0.669
Rural Northeast 7.50 (6.01 - 9.32) 7.41 (5.69 - 9.60) 0.907
Rural Southeast 6.83 (5.45 - 8.54) 6.52 (5.00 - 8.46) 0.658
Rural Southwest 6.28 (4.93 - 7.96) 6.51 (4.88 - 8.62) 0.739
Virginia 6.95a (6.05 - 7.97) 5.72 (5.00 - 6.52) 0.005
Region 1 6.85a (5.58 - 8.38) 5.56 (4.36 - 7.06) 0.036
Region 2 6.76a (5.43 - 8.39) 5.32 (4.26 - 6.63) 0.024
Region 3 7.17a (5.79 - 8.86) 5.50 (4.38 - 6.88) 0.010
Region 4 7.02b (5.66 - 8.68) 5.78 (4.55 - 7.32) 0.054
Region 5 7.02 (5.72 - 8.60) 6.43 (5.18 - 7.97) 0.359
Washington1 7.01a (6.13 - 8.02) 5.52 (4.68 - 6.50) 0.002
Region 1 6.82b (5.67 - 8.17) 5.76 (4.58 - 7.23) 0.051
Greater Columbia and North Central 6.66b (5.33 - 8.30) 5.64 (4.30 - 7.37) 0.089
Spokane 7.04 (5.55 - 8.88) 5.93 (4.35 - 8.06) 0.128
Region 2 7.21a (6.11 - 8.49) 5.37 (4.37 - 6.57) 0.001
King 7.22a (5.92 - 8.79) 5.62 (4.42 - 7.14) 0.018
North Sound 7.19a (5.79 - 8.89) 4.91 (3.67 - 6.53) 0.001
Region 3 6.87a (5.84 - 8.06) 5.58 (4.56 - 6.81) 0.015
Pierce 7.23b (5.77 - 9.01) 5.98 (4.58 - 7.78) 0.084
Salish 6.98a (5.42 - 8.93) 5.29 (3.81 - 7.31) 0.011
SW WA and Great Rivers 6.47b (5.13 - 8.14) 5.23 (3.87 - 7.02) 0.060
Thurston-Mason 6.72 (5.23 - 8.59) 5.69 (4.07 - 7.91) 0.153
West Virginia 6.21a (5.35 - 7.19) 5.02 (4.20 - 5.99) 0.007
Region I 6.64a (5.12 - 8.58) 5.15 (3.70 - 7.13) 0.026
Region II 6.75a (5.25 - 8.64) 4.72 (3.48 - 6.36) 0.001
Region III 5.94a (4.63 - 7.60) 4.58 (3.32 - 6.29) 0.021
Region IV 6.83a (5.56 - 8.37) 5.72 (4.46 - 7.31) 0.050
Region V 5.89 (4.69 - 7.38) 5.11 (3.91 - 6.66) 0.209
Region VI 5.48b (4.30 - 6.97) 4.44 (3.32 - 5.91) 0.067
Wisconsin 7.73 (6.70 - 8.91) 7.38 (6.34 - 8.56) 0.507
Milwaukee 8.50 (6.84 - 10.52) 7.81   (6.02 - 10.07) 0.405
Northeastern 7.41 (5.92 - 9.23) 6.26 (4.86 - 8.03) 0.126
Northern 7.51 (5.84 - 9.61) 6.46 (4.78 - 8.68) 0.199
Southeastern 7.14 (5.70 - 8.91) 7.94 (6.20 - 10.13) 0.312
Southern 7.91 (6.37 - 9.79) 7.79 (6.16 - 9.81) 0.872
Western 8.11   (6.51 - 10.07) 7.77   (6.00 - 10.01) 0.673
Wyoming 7.63b (6.69 - 8.70) 6.73 (5.76 - 7.85) 0.076
Judicial District 1 (Laramie) 7.60 (6.15 - 9.36) 6.57 (5.11 - 8.42) 0.135
Judicial District 2 10.33a   (8.44 - 12.58) 7.82   (5.97 - 10.19) 0.004
Judicial District 3 6.85 (5.47 - 8.56) 6.74 (5.15 - 8.78) 0.871
Judicial District 4 7.33a (5.71 - 9.37) 5.76 (4.19 - 7.86) 0.040
Judicial District 5 6.51 (5.07 - 8.32) 5.68 (4.23 - 7.57) 0.226
Judicial District 6 7.12 (5.68 - 8.90) 6.87 (5.18 - 9.05) 0.739
Judicial District 7 (Natrona) 7.63 (6.06 - 9.57) 6.99 (5.35 - 9.09) 0.408
Judicial District 8 7.29a (5.73 - 9.22) 5.73 (4.22 - 7.75) 0.037
Judicial District 9 8.11   (6.44 - 10.17) 7.56   (5.65 - 10.05) 0.522
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2012-2014 and 2014-2016); hence, the 2012-2014 estimates and p values are not available for these regions. The definitions of the substate regions listed in this table are provided in the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
NOTE: Substate, state, and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and are generated by Markov Chain Monte Carlo techniques, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2012-2014 and 2014-2016 population percentages. The "Total U.S." estimates, along with the 95 percent confidence intervals and the p values, are based on design-based (direct) estimation methods.
NOTE: Alcohol Use Disorder is defined as meeting criteria for alcohol dependence or abuse. Dependence or abuse is based on definitions found in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).
a Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.10 level.
1 Names of some of the substate regions for this state have changed across the two time periods (2012-2014 vs. 2014-2016). For details, see the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012-2016.
180321
Table 9 – Serious Mental Illness in the Past Year among Adults Aged 18 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2012-2014 and 2014-2016 NSDUHs
State/Substate Region 2012-2014
(Estimate)
2012-2014
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 4.13 (3.97 - 4.29) 4.12 (3.98 - 4.26) 0.917
Northeast 3.86 (3.55 - 4.20) 4.04 (3.75 - 4.35) 0.300
Midwest 4.32 (4.03 - 4.62) 4.38 (4.12 - 4.64) 0.685
South 4.16 (3.90 - 4.45) 4.03 (3.80 - 4.27) 0.345
West 4.09 (3.76 - 4.45) 4.08 (3.81 - 4.37) 0.934
Alabama 4.21 (3.41 - 5.18) 4.50 (3.73 - 5.42) 0.483
Region 1 4.28 (3.16 - 5.78) 4.71 (3.60 - 6.14) 0.520
Region 2 4.26 (3.20 - 5.66) 4.81 (3.67 - 6.30) 0.388
Region 3 3.95 (2.93 - 5.30) 4.11 (3.10 - 5.42) 0.787
Region 4 4.24 (3.11 - 5.76) 4.09 (3.05 - 5.46) 0.807
Alaska 4.18 (3.44 - 5.09) 4.25 (3.60 - 5.01) 0.877
Anchorage 4.35 (3.36 - 5.62) 4.20 (3.32 - 5.28) 0.795
Northern 4.14 (3.15 - 5.41) 4.50 (3.51 - 5.76) 0.554
South Central 4.02 (3.04 - 5.29) 4.04 (3.08 - 5.29) 0.971
Southeast 4.04 (2.97 - 5.47) 4.44 (3.34 - 5.90) 0.546
Arizona1 4.25 (3.46 - 5.21) 4.16 (3.47 - 4.98) 0.816
Central 4.08 (3.20 - 5.19) 4.08 (3.28 - 5.06) 0.991
North -- (-- - --) 4.17 (3.07 - 5.63) --
South -- (-- - --) 4.33 (3.42 - 5.47) --
South A 4.31 (3.20 - 5.79) 4.32 (3.25 - 5.73) 0.984
South B -- (-- - --) 4.34 (3.21 - 5.85) --
Arkansas 5.20 (4.28 - 6.30) 5.21 (4.40 - 6.16) 0.973
Catchment Area 1 4.98 (3.73 - 6.62) 5.02 (3.79 - 6.62) 0.958
Catchment Area 2 6.16 (4.52 - 8.34) 5.60 (4.21 - 7.41) 0.553
Catchment Area 3 5.12 (3.82 - 6.83) 5.08 (3.82 - 6.71) 0.952
Catchment Area 4 5.24 (3.86 - 7.08) 5.93 (4.44 - 7.86) 0.460
Catchment Area 5 5.16 (3.81 - 6.95) 5.82 (4.44 - 7.61) 0.431
Catchment Area 6 5.06 (3.65 - 6.98) 4.73 (3.48 - 6.38) 0.678
Catchment Area 7 5.44 (3.92 - 7.51) 5.19 (3.81 - 7.03) 0.782
Catchment Area 8 4.78 (3.54 - 6.42) 4.62 (3.53 - 6.03) 0.824
California 3.79 (3.31 - 4.32) 3.62 (3.25 - 4.04) 0.512
Region 1R 4.65 (3.53 - 6.09) 4.45 (3.40 - 5.81) 0.786
Region 2R 4.11 (3.15 - 5.36) 3.86 (2.97 - 5.01) 0.662
Region 3R (Sacramento) 4.08 (3.14 - 5.29) 3.58 (2.77 - 4.62) 0.363
Region 4R 3.52 (2.69 - 4.58) 3.30 (2.53 - 4.30) 0.676
Region 5R (San Francisco) 3.90 (2.98 - 5.10) 4.06 (3.08 - 5.31) 0.803
Region 6 (Santa Clara) 3.15 (2.38 - 4.15) 3.29 (2.54 - 4.25) 0.768
Region 7R (Contra Costa) 3.54 (2.68 - 4.68) 3.40 (2.61 - 4.42) 0.785
Region 8R (Alameda) 3.45 (2.66 - 4.46) 3.95 (3.02 - 5.16) 0.351
Region 9R (San Mateo) 3.12 (2.36 - 4.12) 3.08 (2.32 - 4.07) 0.924
Region 10 3.56 (2.73 - 4.63) 3.93 (3.01 - 5.11) 0.525
Region 11 (Los Angeles) 3.80 (3.23 - 4.46) 3.56 (3.08 - 4.11) 0.461
LA SPA 1 and 5 3.63 (2.81 - 4.68) 3.85 (2.94 - 5.03) 0.692
LA SPA 2 3.69 (2.85 - 4.77) 3.53 (2.70 - 4.59) 0.758
LA SPA 3 3.55 (2.68 - 4.69) 3.06 (2.32 - 4.04) 0.345
LA SPA 4 4.40 (3.34 - 5.78) 4.33 (3.29 - 5.68) 0.917
LA SPA 6 4.02 (3.03 - 5.31) 3.72 (2.85 - 4.84) 0.616
LA SPA 7 3.82 (2.88 - 5.06) 3.13 (2.36 - 4.14) 0.220
LA SPA 8 3.75 (2.86 - 4.90) 3.63 (2.78 - 4.73) 0.835
Region 12R 3.94 (3.01 - 5.16) 3.79 (2.90 - 4.95) 0.793
Regions 13 and 19R 3.69 (2.85 - 4.75) 3.57 (2.80 - 4.55) 0.834
Region 14 (Orange) 3.32 (2.59 - 4.26) 3.43 (2.71 - 4.32) 0.813
Region 15R (Fresno) 4.27 (3.28 - 5.54) 3.75 (2.89 - 4.85) 0.376
Region 16R (San Diego) 4.11 (3.22 - 5.23) 3.70 (2.91 - 4.70) 0.450
Region 17R 4.26 (3.28 - 5.51) 3.84 (3.03 - 4.86) 0.447
Region 18R (San Bernardino) 3.98 (3.07 - 5.14) 3.50 (2.74 - 4.47) 0.367
Region 20R 4.08 (3.10 - 5.36) 3.87 (2.96 - 5.05) 0.732
Region 21R 3.83 (2.96 - 4.96) 3.65 (2.81 - 4.73) 0.733
Colorado 3.90 (3.14 - 4.83) 4.44 (3.74 - 5.27) 0.183
Region 1 -- (-- - --) 4.52 (3.42 - 5.94) --
Region 2 -- (-- - --) 5.02 (3.71 - 6.75) --
Region 3 -- (-- - --) 4.13 (3.18 - 5.35) --
Region 4 -- (-- - --) 4.60 (3.35 - 6.29) --
Region 5 -- (-- - --) 4.69 (3.52 - 6.21) --
Region 6 -- (-- - --) 4.41 (3.39 - 5.72) --
Region 7 -- (-- - --) 4.34 (3.25 - 5.77) --
Connecticut 3.43 (2.81 - 4.18) 3.60 (2.97 - 4.36) 0.593
Eastern 4.02 (2.98 - 5.39) 4.20 (3.18 - 5.52) 0.761
North Central 3.42 (2.56 - 4.55) 3.62 (2.71 - 4.81) 0.707
Northwestern 3.46 (2.59 - 4.61) 3.67 (2.77 - 4.86) 0.687
South Central 3.40 (2.58 - 4.48) 3.59 (2.69 - 4.78) 0.705
Southwest 3.07 (2.27 - 4.13) 3.14 (2.31 - 4.25) 0.877
Delaware 3.99 (3.25 - 4.90) 4.08 (3.38 - 4.93) 0.823
Kent 3.87 (2.91 - 5.14) 3.89 (2.91 - 5.17) 0.981
New Castle (excluding Wilmington City) 3.99 (3.09 - 5.14) 4.30 (3.39 - 5.44) 0.572
Sussex 4.07 (3.01 - 5.47) 3.82 (2.83 - 5.13) 0.695
Wilmington City 4.09 (3.01 - 5.54) 3.90 (2.80 - 5.42) 0.781
District of Columbia 3.78 (3.16 - 4.52) 3.96 (3.33 - 4.69) 0.601
Ward 1 3.95 (3.05 - 5.11) 4.12 (3.09 - 5.46) 0.781
Ward 2 4.15 (3.23 - 5.33) 5.01 (3.81 - 6.56) 0.181
Ward 3 3.93 (3.03 - 5.08) 4.33 (3.29 - 5.67) 0.519
Ward 4 3.29 (2.44 - 4.43) 3.37 (2.48 - 4.56) 0.889
Ward 5 3.33 (2.48 - 4.47) 3.48 (2.60 - 4.64) 0.794
Ward 6 4.18 (3.21 - 5.44) 4.31 (3.30 - 5.61) 0.840
Ward 7 3.40 (2.43 - 4.74) 3.05 (2.20 - 4.22) 0.529
Ward 8 3.85 (2.83 - 5.22) 3.72 (2.71 - 5.10) 0.847
Florida 3.86 (3.37 - 4.40) 3.57 (3.13 - 4.07) 0.248
Broward (Circuit 17) 3.43 (2.60 - 4.52) 3.09 (2.34 - 4.07) 0.496
Central I 3.95 (3.24 - 4.81) 3.54 (2.89 - 4.32) 0.306
Circuit 9 3.99 (3.11 - 5.10) 3.51 (2.71 - 4.54) 0.367
Circuit 18 3.91 (2.98 - 5.11) 3.58 (2.74 - 4.66) 0.556
Central II 3.96 (3.35 - 4.68) 3.67 (3.12 - 4.31) 0.372
Circuit 6 4.10 (3.10 - 5.41) 3.93 (3.03 - 5.08) 0.778
Circuit 10 4.18 (3.15 - 5.53) 3.73 (2.81 - 4.94) 0.478
Circuit 12 3.96 (2.94 - 5.30) 3.23 (2.42 - 4.29) 0.193
Circuit 13 (Hillsborough) 3.94 (3.01 - 5.15) 4.12 (3.18 - 5.33) 0.754
Circuit 20 3.70 (2.77 - 4.93) 3.16 (2.37 - 4.18) 0.297
Northeast 4.06 (3.40 - 4.83) 3.89 (3.27 - 4.63) 0.643
Circuit 4 3.75 (2.92 - 4.81) 4.12 (3.15 - 5.38) 0.507
Circuit 5 4.21 (3.13 - 5.65) 3.38 (2.51 - 4.55) 0.179
Circuit 7 4.08 (3.04 - 5.44) 3.79 (2.87 - 4.99) 0.633
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee 4.32 (3.30 - 5.63) 4.61 (3.48 - 6.09) 0.666
Northwest 4.38 (3.57 - 5.36) 4.25 (3.51 - 5.13) 0.761
Circuit 1 4.73 (3.51 - 6.35) 4.18 (3.19 - 5.46) 0.418
Circuit 2 plus Madison and Taylor 3.83 (2.96 - 4.93) 4.11 (3.18 - 5.29) 0.615
Circuit 14 4.39 (3.26 - 5.89) 4.61 (3.42 - 6.18) 0.770
South (Circuits 11 and 16) 3.39 (2.58 - 4.44) 3.14 (2.43 - 4.04) 0.609
Southeast 3.71 (2.94 - 4.67) 3.27 (2.61 - 4.08) 0.306
Circuit 15 (Palm Beach) 3.45 (2.57 - 4.61) 3.11 (2.37 - 4.07) 0.509
Circuit 19 4.28 (3.17 - 5.77) 3.62 (2.68 - 4.87) 0.284
Georgia 3.99 (3.27 - 4.86) 4.06 (3.46 - 4.76) 0.854
Region 1 3.98 (2.98 - 5.31) 4.20 (3.28 - 5.37) 0.724
Region 2 4.67 (3.48 - 6.24) 4.67 (3.54 - 6.14) 1.000
Region 3 3.47 (2.63 - 4.56) 3.52 (2.73 - 4.53) 0.915
Region 4 4.40 (3.27 - 5.88) 4.71 (3.49 - 6.34) 0.670
Region 5 4.49 (3.34 - 6.01) 4.37 (3.28 - 5.80) 0.857
Region 6 3.91 (2.86 - 5.31) 3.85 (2.95 - 5.00) 0.917
Hawaii 3.43 (2.74 - 4.29) 3.39 (2.72 - 4.22) 0.922
Hawaii Island 4.13 (3.00 - 5.67) 3.98 (2.89 - 5.46) 0.826
Honolulu 3.20 (2.47 - 4.15) 3.18 (2.44 - 4.12) 0.950
Kauai 3.43 (2.50 - 4.70) 3.61 (2.57 - 5.06) 0.757
Maui 4.01 (2.88 - 5.56) 3.95 (2.85 - 5.45) 0.917
Idaho 4.79 (4.01 - 5.72) 4.85 (4.14 - 5.69) 0.878
Region 1 4.70 (3.52 - 6.26) 4.85 (3.66 - 6.40) 0.846
Region 2 5.34 (3.99 - 7.12) 4.76 (3.55 - 6.36) 0.454
Region 3 5.16 (3.83 - 6.92) 5.33 (4.07 - 6.96) 0.825
Region 4 4.26 (3.27 - 5.52) 4.60 (3.62 - 5.82) 0.571
Region 5 5.36 (3.95 - 7.23) 4.98 (3.76 - 6.58) 0.636
Region 6 5.06 (3.78 - 6.75) 5.01 (3.74 - 6.70) 0.952
Region 7 4.69 (3.58 - 6.12) 4.73 (3.61 - 6.17) 0.954
Illinois 3.42 (2.95 - 3.97) 3.72 (3.24 - 4.27) 0.237
Region 1 (Cook) 3.20 (2.58 - 3.98) 3.55 (3.02 - 4.18) 0.305
Region 1.1 (Far North Side) -- (-- - --) 4.25 (3.20 - 5.62) --
Region 1.2 (Northwest Side) -- (-- - --) 3.99 (2.96 - 5.35) --
Region 1.3 (North Central Side) -- (-- - --) 4.46 (3.36 - 5.91) --
Region 1.4 (West Side) -- (-- - --) 3.83 (2.85 - 5.14) --
Region 1.5 (South Side) -- (-- - --) 3.27 (2.41 - 4.43) --
Region 1.6 (Southwest Side) -- (-- - --) 3.41 (2.52 - 4.60) --
Region 1.7 (Suburban Cook) -- (-- - --) 3.22 (2.54 - 4.09) --
Region 2 3.28 (2.65 - 4.04) 3.42 (2.85 - 4.10) 0.670
Region 2a (DuPage) -- (-- - --) 3.35 (2.51 - 4.45) --
Region 2b -- (-- - --) 3.23 (2.52 - 4.12) --
Region 2c (Winnebago) -- (-- - --) 4.32 (3.22 - 5.77) --
Region 2d -- (-- - --) 3.76 (2.88 - 4.91) --
Region 3 3.74 (2.90 - 4.81) 4.39 (3.49 - 5.50) 0.228
Region 3a (Champaign) -- (-- - --) 4.43 (3.38 - 5.78) --
Region 3b -- (-- - --) 4.38 (3.40 - 5.63) --
Region 4 3.99 (3.06 - 5.18) 4.21 (3.34 - 5.30) 0.674
Region 4a (Sangamon) -- (-- - --) 4.02 (3.01 - 5.37) --
Region 4b -- (-- - --) 4.26 (3.25 - 5.58) --
Region 5 4.07 (3.16 - 5.24) 4.23 (3.40 - 5.26) 0.737
Region 5a -- (-- - --) 4.05 (3.06 - 5.34) --
Region 5b -- (-- - --) 4.38 (3.35 - 5.71) --
Indiana 4.71 (3.91 - 5.67) 4.84 (4.07 - 5.74) 0.761
Central 4.40 (3.36 - 5.74) 4.36 (3.33 - 5.68) 0.946
East 5.05 (3.71 - 6.84) 4.99 (3.68 - 6.73) 0.937
North Central 4.75 (3.56 - 6.30) 4.72 (3.53 - 6.28) 0.968
Northeast 4.65 (3.45 - 6.25) 4.93 (3.68 - 6.58) 0.710
Northwest 4.51 (3.32 - 6.10) 4.69 (3.46 - 6.33) 0.804
Southeast 5.13 (3.74 - 6.98) 5.48 (4.06 - 7.35) 0.690
Southwest 4.96 (3.68 - 6.67) 5.02 (3.75 - 6.70) 0.944
West 4.80 (3.68 - 6.25) 5.32 (4.06 - 6.94) 0.483
Iowa 4.45 (3.71 - 5.34) 4.17 (3.49 - 4.98) 0.469
Central 4.07 (3.04 - 5.41) 4.06 (3.10 - 5.30) 0.987
North Central 4.29 (3.19 - 5.73) 4.39 (3.37 - 5.69) 0.872
Northeast 4.34 (3.33 - 5.65) 4.28 (3.24 - 5.64) 0.916
Northwest 4.28 (3.17 - 5.77) 3.61 (2.67 - 4.87) 0.282
Southeast 5.23 (3.92 - 6.95) 4.50 (3.43 - 5.88) 0.315
Southwest 4.18 (3.10 - 5.63) 4.01 (2.95 - 5.43) 0.790
Kansas 4.12 (3.39 - 5.00) 4.20 (3.51 - 5.01) 0.848
Northeast -- (-- - --) 4.21 (3.34 - 5.29) --
Northwest and North Central -- (-- - --) 4.13 (3.05 - 5.57) --
South Central -- (-- - --) 4.10 (3.17 - 5.30) --
Southeast -- (-- - --) 4.78 (3.51 - 6.47) --
Southwest -- (-- - --) 3.89 (2.88 - 5.24) --
Kentucky1 4.96 (4.09 - 6.00) 5.06 (4.26 - 6.00) 0.820
Adanta, Cumberland River, and Lifeskills 5.49 (4.12 - 7.28) 5.99 (4.52 - 7.90) 0.579
Bluegrass, Comprehend, and North Key 4.79 (3.62 - 6.32) 4.66 (3.57 - 6.05) 0.838
Centerstone 4.40 (3.28 - 5.89) 4.36 (3.34 - 5.67) 0.942
Communicare and River Valley 4.79 (3.52 - 6.49) 4.81 (3.53 - 6.51) 0.979
Four Rivers and Pennyroyal 5.13 (3.76 - 6.94) 5.27 (3.90 - 7.08) 0.867
Kentucky River, Mountain, and Pathways 5.72 (4.17 - 7.79) 6.20 (4.60 - 8.30) 0.632
Louisiana 4.27 (3.53 - 5.15) 4.48 (3.75 - 5.33) 0.601
Regions 1 and 10 4.06 (3.17 - 5.20) 4.54 (3.58 - 5.74) 0.392
Region 1 4.08 (2.98 - 5.55) 4.35 (3.24 - 5.81) 0.690
Region 10 (Jefferson) 4.04 (2.99 - 5.45) 4.75 (3.51 - 6.40) 0.341
Regions 2 and 9 4.29 (3.26 - 5.64) 3.94 (3.02 - 5.11) 0.554
Region 3 4.08 (3.05 - 5.44) 4.40 (3.28 - 5.88) 0.640
Regions 4, 5, and 6 4.60 (3.51 - 6.00) 4.95 (3.75 - 6.50) 0.605
Regions 7 and 8 4.09 (3.08 - 5.42) 4.56 (3.45 - 6.01) 0.450
Maine 4.96 (4.08 - 6.03) 4.65 (3.89 - 5.54) 0.458
Aroostook/Downeast 5.47 (4.14 - 7.20) 5.27 (4.07 - 6.79) 0.786
Aroostook 5.66 (4.04 - 7.86) 5.05 (3.72 - 6.82) 0.497
Downeast 5.32 (3.76 - 7.47) 5.44 (3.91 - 7.52) 0.899
Central 5.43 (4.02 - 7.29) 5.16 (3.80 - 6.96) 0.743
Cumberland 4.46 (3.37 - 5.87) 4.14 (3.10 - 5.51) 0.605
Midcoast 4.73 (3.42 - 6.51) 4.71 (3.48 - 6.35) 0.982
Penquis 5.67 (4.21 - 7.60) 4.86 (3.63 - 6.47) 0.322
Western 5.03 (3.69 - 6.84) 4.81 (3.60 - 6.40) 0.772
York 4.37 (3.23 - 5.90) 4.05 (2.99 - 5.46) 0.625
Maryland 3.31 (2.70 - 4.06) 3.40 (2.85 - 4.05) 0.776
Anne Arundel 3.49 (2.55 - 4.74) 3.72 (2.81 - 4.90) 0.684
Baltimore City 3.62 (2.69 - 4.84) 3.49 (2.58 - 4.71) 0.818
Baltimore County 3.38 (2.50 - 4.57) 3.54 (2.65 - 4.72) 0.780
Montgomery 3.10 (2.27 - 4.21) 3.05 (2.28 - 4.07) 0.930
North Central 3.17 (2.34 - 4.29) 3.39 (2.50 - 4.59) 0.671
Northeast 3.49 (2.56 - 4.73) 3.74 (2.75 - 5.07) 0.654
Prince George's 2.82 (2.06 - 3.84) 2.75 (2.05 - 3.68) 0.874
South 3.35 (2.49 - 4.50) 3.73 (2.77 - 5.00) 0.485
West 3.81 (2.83 - 5.11) 3.82 (2.86 - 5.08) 0.980
Massachusetts 4.03 (3.33 - 4.86) 4.21 (3.54 - 5.01) 0.610
Boston 4.26 (3.30 - 5.49) 4.76 (3.62 - 6.24) 0.404
Central 4.07 (3.02 - 5.46) 4.20 (3.13 - 5.61) 0.841
Metrowest 3.69 (2.78 - 4.89) 3.83 (2.91 - 5.03) 0.818
Northeast 3.93 (2.96 - 5.20) 4.19 (3.20 - 5.46) 0.665
Southeast 4.03 (3.03 - 5.34) 4.19 (3.13 - 5.58) 0.797
Western 4.48 (3.37 - 5.95) 4.43 (3.32 - 5.89) 0.939
Michigan 4.53 (3.98 - 5.14) 4.34 (3.81 - 4.95) 0.549
Region 1 5.79 (4.39 - 7.60) 4.72 (3.53 - 6.28) 0.190
Region 2 5.24 (3.93 - 6.96) 4.55 (3.44 - 6.00) 0.351
Region 3 4.62 (3.67 - 5.80) 4.47 (3.52 - 5.65) 0.793
Region 4 4.66 (3.62 - 5.99) 5.04 (3.93 - 6.44) 0.578
Region 5 4.67 (3.77 - 5.76) 4.87 (3.92 - 6.04) 0.728
Region 6 4.14 (3.25 - 5.25) 4.11 (3.17 - 5.32) 0.962
Region 7 4.01 (3.17 - 5.05) 3.70 (2.89 - 4.74) 0.552
Region 8 4.32 (3.35 - 5.55) 3.82 (2.93 - 4.96) 0.412
Region 9 4.44 (3.43 - 5.73) 4.19 (3.22 - 5.45) 0.680
Region 10 4.93 (3.84 - 6.33) 4.69 (3.56 - 6.15) 0.716
Minnesota 4.32 (3.57 - 5.23) 4.32 (3.67 - 5.09) 0.999
Regions 1 and 2 4.83 (3.61 - 6.43) 4.58 (3.59 - 5.83) 0.696
Region 1 -- (-- - --) 4.39 (3.24 - 5.92) --
Region 2 -- (-- - --) 4.69 (3.48 - 6.30) --
Regions 3 and 4 4.57 (3.42 - 6.09) 4.52 (3.61 - 5.64) 0.925
Region 3 -- (-- - --) 4.46 (3.29 - 6.01) --
Region 4 -- (-- - --) 4.55 (3.48 - 5.93) --
Regions 5 and 6 4.57 (3.41 - 6.11) 4.44 (3.51 - 5.59) 0.819
Region 5 -- (-- - --) 4.35 (3.24 - 5.82) --
Region 6 -- (-- - --) 4.53 (3.36 - 6.07) --
Region 7 -- (-- - --) 4.18 (3.45 - 5.05) --
Region 7A (Hennepin) 4.14 (3.12 - 5.48) 4.50 (3.47 - 5.82) 0.557
Region 7B (Ramsey) 4.41 (3.27 - 5.93) 4.49 (3.37 - 5.96) 0.907
Region 7C 3.83 (2.90 - 5.04) 3.70 (2.81 - 4.88) 0.819
Mississippi 4.72 (3.86 - 5.75) 4.09 (3.38 - 4.94) 0.128
Region 1 5.26 (3.92 - 7.02) 4.51 (3.42 - 5.92) 0.297
Region 2 4.54 (3.31 - 6.18) 3.77 (2.74 - 5.16) 0.246
Region 3 5.15 (3.79 - 6.97) 4.04 (2.99 - 5.43) 0.129
Region 4 3.84 (2.85 - 5.15) 3.30 (2.41 - 4.49) 0.342
Region 5 4.90 (3.49 - 6.83) 4.37 (3.10 - 6.14) 0.529
Region 6 4.74 (3.51 - 6.36) 4.54 (3.35 - 6.13) 0.795
Region 7 4.64 (3.44 - 6.22) 4.31 (3.20 - 5.78) 0.610
Missouri 4.87 (4.04 - 5.86) 4.52 (3.81 - 5.35) 0.390
Central 5.03 (3.77 - 6.67) 4.56 (3.42 - 6.06) 0.511
Eastern 4.36 (3.44 - 5.52) 4.16 (3.36 - 5.15) 0.684
Eastern (St. Louis City and County) 4.41 (3.31 - 5.85) 4.09 (3.11 - 5.35) 0.598
Eastern (excluding St. Louis) 4.28 (3.21 - 5.69) 4.30 (3.27 - 5.63) 0.980
Northwest 4.50 (3.53 - 5.72) 4.32 (3.43 - 5.43) 0.722
Northwest (Jackson) 4.47 (3.30 - 6.03) 4.03 (3.02 - 5.37) 0.499
Northwest (excluding Jackson) 4.53 (3.38 - 6.04) 4.56 (3.43 - 6.04) 0.965
Southeast 6.13 (4.51 - 8.29) 5.73 (4.29 - 7.61) 0.672
Southwest 5.46 (4.08 - 7.27) 4.67 (3.51 - 6.20) 0.299
Montana 4.39 (3.60 - 5.34) 4.88 (4.10 - 5.78) 0.269
Region 1 4.29 (3.11 - 5.90) 4.48 (3.31 - 6.05) 0.795
Region 2 4.29 (3.23 - 5.69) 4.92 (3.68 - 6.55) 0.391
Region 3 4.50 (3.40 - 5.93) 4.45 (3.43 - 5.76) 0.941
Region 4 4.10 (3.12 - 5.38) 4.60 (3.55 - 5.95) 0.428
Region 5 4.63 (3.50 - 6.10) 5.47 (4.26 - 7.01) 0.248
Nebraska 4.44 (3.66 - 5.38) 4.36 (3.67 - 5.16) 0.828
Regions 1 and 2 4.66 (3.58 - 6.06) 4.25 (3.29 - 5.49) 0.463
Region 1 4.75 (3.46 - 6.50) 4.26 (3.10 - 5.83) 0.511
Region 2 4.58 (3.31 - 6.31) 4.25 (3.10 - 5.79) 0.620
Region 3 4.48 (3.31 - 6.03) 4.37 (3.31 - 5.76) 0.873
Region 4 4.54 (3.33 - 6.16) 4.02 (2.97 - 5.42) 0.450
Region 5 4.54 (3.46 - 5.93) 3.89 (2.93 - 5.13) 0.290
Region 6 4.30 (3.34 - 5.52) 4.75 (3.75 - 6.01) 0.450
Nevada 4.33 (3.52 - 5.32) 4.50 (3.72 - 5.44) 0.702
Clark - Region 1 4.26 (3.35 - 5.42) 4.37 (3.49 - 5.47) 0.837
Region 3 4.47 (3.43 - 5.81) 4.45 (3.47 - 5.69) 0.968
Capital District 4.54 (3.28 - 6.27) 4.27 (3.12 - 5.84) 0.719
Rural/Frontier 4.41 (3.23 - 5.99) 4.61 (3.42 - 6.19) 0.773
Washoe - Region 2 4.52 (3.45 - 5.90) 5.14 (3.91 - 6.74) 0.378
New Hampshire 4.65b (3.83 - 5.64) 5.52 (4.63 - 6.57) 0.062
Central 4.76b (3.76 - 6.00) 5.90 (4.75 - 7.31) 0.063
Central 1 4.61a (3.51 - 6.03) 6.19 (4.79 - 7.96) 0.035
Central 2 4.90 (3.61 - 6.61) 5.62 (4.26 - 7.38) 0.366
Northern 5.08 (3.72 - 6.91) 5.40 (4.06 - 7.15) 0.690
Southern 4.51 (3.60 - 5.63) 5.36 (4.37 - 6.56) 0.113
Southern 1 (Rockingham) 4.17 (3.12 - 5.54) 4.71 (3.56 - 6.22) 0.394
Southern 2 4.72 (3.65 - 6.08) 5.77 (4.54 - 7.31) 0.124
New Jersey 3.46 (2.82 - 4.25) 3.74 (3.15 - 4.43) 0.425
Central 3.59 (2.71 - 4.75) 3.79 (2.93 - 4.90) 0.704
Metropolitan 3.26 (2.42 - 4.37) 3.38 (2.57 - 4.42) 0.813
Northern 3.45 (2.60 - 4.57) 3.74 (2.92 - 4.76) 0.573
Southern 3.57 (2.69 - 4.73) 4.09 (3.14 - 5.30) 0.347
New Mexico 4.23 (3.45 - 5.17) 4.41 (3.67 - 5.30) 0.658
Region 1 4.06 (3.04 - 5.40) 4.32 (3.21 - 5.79) 0.691
Region 2 4.15 (3.02 - 5.68) 4.25 (3.09 - 5.80) 0.890
Region 3 (Bernalillo) 4.17 (3.16 - 5.49) 4.47 (3.44 - 5.79) 0.638
Region 4 4.43 (3.30 - 5.91) 4.83 (3.59 - 6.46) 0.601
Region 5 4.43 (3.27 - 5.96) 4.29 (3.36 - 5.45) 0.821
Region 5a -- (-- - --) 4.28 (3.14 - 5.79) --
Region 5b (Dona Ana) -- (-- - --) 4.29 (3.18 - 5.78) --
New York1 3.74 (3.24 - 4.31) 3.97 (3.48 - 4.52) 0.422
Region 1: Long Island 3.00 (2.34 - 3.83) 3.54 (2.77 - 4.52) 0.233
Region 2: New York City 3.75 (3.16 - 4.45) 3.84 (3.26 - 4.53) 0.788
Region 2A: Bronx 4.09 (3.11 - 5.37) 3.77 (2.85 - 4.96) 0.595
Region 2B: Kings -- (-- - --) 3.84 (2.97 - 4.94) --
Region 2C: New York 3.92 (3.06 - 5.00) 4.50 (3.48 - 5.79) 0.310
Region 2D: Queens 3.34 (2.55 - 4.36) 3.34 (2.54 - 4.37) 0.994
Region 2E: Richmond -- (-- - --) 4.12 (3.07 - 5.50) --
Region 3: Mid-Hudson -- (-- - --) 3.79 (2.95 - 4.85) --
Region 4: Capital Region -- (-- - --) 4.31 (3.28 - 5.63) --
Region 5: Mohawk Valley -- (-- - --) 5.11 (3.79 - 6.85) --
Region 6: North Country -- (-- - --) 4.34 (3.22 - 5.82) --
Region 7: Tug Hill Seaway -- (-- - --) 4.95 (3.76 - 6.48) --
Region 8: Central -- (-- - --) 4.37 (3.41 - 5.59) --
Region 9: Southern Tier -- (-- - --) 4.87 (3.69 - 6.41) --
Region 10: Finger Lakes -- (-- - --) 4.28 (3.34 - 5.46) --
Region 11: Western -- (-- - --) 4.25 (3.31 - 5.45) --
North Carolina 4.85 (4.00 - 5.87) 4.71 (4.03 - 5.49) 0.740
Alliance Behavioral Healthcare 1 4.60 (3.47 - 6.09) 4.44 (3.37 - 5.83) 0.812
Alliance Behavioral Healthcare 2 3.88 (2.93 - 5.13) 4.06 (3.05 - 5.38) 0.771
Cardinal Innovations Healthcare Solutions 1 5.06 (3.61 - 7.03) 4.83 (3.61 - 6.44) 0.791
Cardinal Innovations Healthcare Solutions 2 4.58 (3.33 - 6.28) 4.58 (3.39 - 6.17) 0.995
Cardinal Innovations Healthcare Solutions 3 4.17 (3.08 - 5.63) 4.29 (3.24 - 5.66) 0.858
CenterPoint Human Services 4.64 (3.36 - 6.39) 4.74 (3.52 - 6.36) 0.902
Eastpointe 5.48 (3.95 - 7.56) 4.58 (3.40 - 6.15) 0.327
Partners Behavioral Health Management 5.05 (3.72 - 6.83) 5.34 (4.02 - 7.07) 0.727
Sandhills Center 1 5.27 (3.78 - 7.31) 4.98 (3.67 - 6.73) 0.748
Sandhills Center 2 4.79 (3.48 - 6.55) 4.28 (3.16 - 5.77) 0.519
Smoky Mountain Center 1 5.75 (4.15 - 7.93) 5.45 (4.04 - 7.30) 0.743
Smoky Mountain Center 2 5.32 (3.81 - 7.39) 5.01 (3.72 - 6.71) 0.731
Trillium Health Resources 1 4.90 (3.58 - 6.67) 4.78 (3.56 - 6.40) 0.889
Trillium Health Resources 2 5.11 (3.72 - 6.99) 4.98 (3.71 - 6.64) 0.867
North Dakota 4.04 (3.34 - 4.88) 3.90 (3.28 - 4.64) 0.710
Badlands and West Central 3.76 (2.85 - 4.95) 3.45 (2.71 - 4.39) 0.519
Badlands -- (-- - --) 3.94 (2.91 - 5.29) --
West Central -- (-- - --) 3.31 (2.48 - 4.39) --
Lake Region 4.17 (3.02 - 5.73) 3.67 (2.67 - 5.03) 0.462
North Central 4.01 (3.03 - 5.28) 4.08 (3.08 - 5.38) 0.906
Northeast 4.28 (3.28 - 5.56) 4.55 (3.47 - 5.95) 0.669
Northwest 3.62 (2.71 - 4.84) 4.05 (2.98 - 5.48) 0.482
South Central 4.23 (3.07 - 5.81) 3.73 (2.72 - 5.10) 0.456
Southeast 4.20 (3.27 - 5.39) 4.02 (3.15 - 5.12) 0.749
Ohio 4.74 (4.18 - 5.36) 5.11 (4.52 - 5.77) 0.237
Boards 2, 46, 55, and 68 5.11 (3.87 - 6.70) 5.20 (3.93 - 6.85) 0.903
Boards 3, 52, and 85 4.90 (3.66 - 6.53) 4.84 (3.61 - 6.46) 0.940
Boards 4 and 78 5.32 (3.99 - 7.07) 5.57 (4.16 - 7.42) 0.771
Boards 5 and 60 5.25 (3.99 - 6.86) 6.16 (4.76 - 7.94) 0.275
Boards 7, 15, 41, 79, and 84 5.49 (4.15 - 7.22) 5.91 (4.47 - 7.79) 0.612
Boards 8, 13, and 83 4.88 (3.70 - 6.40) 4.80 (3.66 - 6.27) 0.913
Board 9 (Butler) 4.61 (3.53 - 6.00) 5.09 (3.86 - 6.67) 0.513
Board 12 4.52 (3.47 - 5.88) 5.03 (3.83 - 6.57) 0.473
Boards 18 and 47 4.64 (3.66 - 5.87) 4.77 (3.74 - 6.06) 0.842
Boards 20, 32, 54, and 69 4.63 (3.52 - 6.07) 5.38 (4.10 - 7.02) 0.322
Boards 21, 39, 51, 70, and 80 4.49 (3.45 - 5.82) 5.15 (3.94 - 6.70) 0.360
Boards 22, 74, and 87 4.62 (3.57 - 5.96) 5.17 (3.93 - 6.76) 0.454
Boards 23 and 45 4.89 (3.71 - 6.43) 5.39 (4.18 - 6.93) 0.503
Board 25 (Franklin) 4.42 (3.49 - 5.58) 4.64 (3.65 - 5.89) 0.701
Boards 27, 71, and 73 5.65 (4.31 - 7.37) 6.44 (4.87 - 8.46) 0.381
Boards 28, 43, and 67 4.48 (3.46 - 5.79) 4.76 (3.62 - 6.24) 0.679
Board 31 (Hamilton) 4.12 (3.16 - 5.35) 4.83 (3.72 - 6.23) 0.278
Board 48 (Lucas) 4.54 (3.47 - 5.92) 5.29 (4.00 - 6.98) 0.310
Boards 50 and 76 4.74 (3.60 - 6.23) 5.05 (3.90 - 6.51) 0.674
Board 57 (Montgomery) 4.99 (3.82 - 6.50) 5.21 (3.95 - 6.84) 0.783
Board 77 (Summit) 4.58 (3.51 - 5.96) 4.83 (3.68 - 6.32) 0.726
Oklahoma 4.59 (3.81 - 5.51) 4.37 (3.68 - 5.19) 0.601
Central 4.44 (3.36 - 5.86) 4.54 (3.45 - 5.94) 0.892
East Central 4.65 (3.45 - 6.25) 4.57 (3.38 - 6.14) 0.911
Northeast 4.48 (3.36 - 5.95) 4.21 (3.15 - 5.62) 0.692
Northwest and Southwest 4.42 (3.29 - 5.92) 4.59 (3.46 - 6.07) 0.811
Oklahoma County 4.44 (3.39 - 5.79) 4.30 (3.24 - 5.68) 0.835
Southeast 5.31 (3.94 - 7.14) 4.59 (3.45 - 6.09) 0.369
Tulsa County 4.45 (3.31 - 5.95) 3.93 (2.95 - 5.22) 0.440
Oregon 4.83 (4.02 - 5.81) 5.10 (4.30 - 6.05) 0.546
Region 1 (Multnomah) 5.03 (3.86 - 6.52) 5.56 (4.29 - 7.17) 0.476
Region 2 4.10 (3.13 - 5.36) 4.46 (3.43 - 5.78) 0.538
Region 3 5.12 (3.93 - 6.65) 5.62 (4.41 - 7.13) 0.492
Region 4 5.03 (3.69 - 6.80) 4.70 (3.52 - 6.24) 0.684
Region 5 (Central) 4.68 (3.41 - 6.41) 4.73 (3.46 - 6.43) 0.953
Region 6 (Eastern) 5.21 (3.77 - 7.15) 4.66 (3.45 - 6.28) 0.514
Pennsylvania 4.00 (3.49 - 4.57) 4.08 (3.56 - 4.66) 0.780
Region 1 (Allegheny) 3.98 (3.10 - 5.10) 4.59 (3.55 - 5.92) 0.324
Regions 3, 8, 9, and 51 4.12 (3.17 - 5.33) 4.51 (3.43 - 5.92) 0.547
Regions 4, 11, 37, and 49 3.94 (3.04 - 5.09) 4.25 (3.24 - 5.57) 0.595
Regions 5, 18, 23, 24, and 46 4.36 (3.36 - 5.64) 4.48 (3.43 - 5.85) 0.838
Regions 6, 12, 16, 31, 35, 45, and 47 4.41 (3.42 - 5.66) 4.41 (3.39 - 5.73) 0.992
Regions 7, 13, 20, and 33 3.40 (2.68 - 4.29) 3.24 (2.53 - 4.15) 0.740
Regions 10, 15, 27, 32, 43, and 44 4.67 (3.53 - 6.16) 4.18 (3.14 - 5.56) 0.474
Regions 17 and 21 4.38 (3.35 - 5.69) 4.37 (3.33 - 5.72) 0.996
Regions 19, 26, 28, and 42 3.92 (3.08 - 4.98) 4.63 (3.60 - 5.94) 0.222
Regions 22, 38, 40, 41, and 48 3.87 (2.92 - 5.11) 3.82 (2.86 - 5.09) 0.938
Regions 29 and 34 3.96 (3.00 - 5.21) 3.64 (2.70 - 4.90) 0.591
Regions 30 and 50 4.17 (3.19 - 5.45) 4.05 (3.01 - 5.42) 0.843
Region 36 (Philadelphia) 4.36 (3.47 - 5.47) 4.04 (3.13 - 5.19) 0.567
Rhode Island 4.98 (4.04 - 6.12) 4.50 (3.75 - 5.40) 0.278
Region 1: Southern Providence County -- (-- - --) 4.43 (3.32 - 5.88) --
Region 2: Northern Providence County/ Blackstone Valley -- (-- - --) 4.57 (3.39 - 6.13) --
Region 3: Providence -- (-- - --) 5.40 (4.05 - 7.16) --
Region 4: Kent County -- (-- - --) 4.08 (3.05 - 5.45) --
Region 5: East Bay -- (-- - --) 4.56 (3.38 - 6.14) --
Region 6: Newport County -- (-- - --) 4.25 (3.11 - 5.78) --
Region 7: South County -- (-- - --) 3.94 (2.92 - 5.28) --
South Carolina 4.35 (3.58 - 5.27) 4.00 (3.31 - 4.82) 0.378
Region 1 4.84 (3.66 - 6.37) 4.45 (3.40 - 5.82) 0.574
Region 2 4.22 (3.21 - 5.53) 4.00 (3.05 - 5.23) 0.722
Region 3 4.41 (3.25 - 5.96) 3.76 (2.82 - 5.01) 0.344
Region 4 3.86 (2.94 - 5.05) 3.62 (2.77 - 4.71) 0.639
South Dakota 3.70 (2.96 - 4.63) 4.07 (3.38 - 4.90) 0.342
Region 1 3.63 (2.66 - 4.92) 3.93 (2.97 - 5.17) 0.616
Region 2 3.76 (2.69 - 5.24) 3.95 (2.87 - 5.41) 0.768
Region 3 3.84 (2.84 - 5.19) 4.06 (3.10 - 5.30) 0.723
Region 4 3.69 (2.69 - 5.04) 4.21 (3.13 - 5.63) 0.396
Region 5 3.64 (2.73 - 4.82) 4.17 (3.18 - 5.46) 0.327
Tennessee 4.52 (3.74 - 5.46) 4.81 (4.07 - 5.68) 0.488
Region 1 5.02 (3.69 - 6.79) 5.25 (3.85 - 7.12) 0.782
Region 2 4.62 (3.45 - 6.18) 5.45 (4.15 - 7.13) 0.297
Region 3 5.22 (3.88 - 7.00) 4.97 (3.77 - 6.52) 0.749
Region 4 (Davidson) 4.35 (3.26 - 5.79) 4.65 (3.44 - 6.26) 0.691
Region 5 4.29 (3.26 - 5.63) 4.70 (3.62 - 6.09) 0.531
Region 6 4.61 (3.34 - 6.33) 4.90 (3.70 - 6.46) 0.698
Region 7 (Shelby) 3.79 (2.81 - 5.08) 3.78 (2.82 - 5.07) 0.999
Texas 3.84a (3.36 - 4.40) 3.32 (2.91 - 3.78) 0.042
Region 1 4.70b (3.56 - 6.19) 3.62 (2.75 - 4.75) 0.085
Region 2 4.52 (3.40 - 5.98) 3.93 (2.95 - 5.21) 0.352
Region 3 3.45 (2.84 - 4.18) 3.12 (2.58 - 3.77) 0.350
Region 3a 3.42 (2.72 - 4.30) 3.07 (2.45 - 3.85) 0.401
Region 3bc 3.49 (2.71 - 4.48) 3.21 (2.51 - 4.10) 0.560
Region 4 4.58 (3.49 - 6.00) 4.03 (3.06 - 5.28) 0.369
Region 5 4.41 (3.33 - 5.83) 3.77 (2.82 - 5.03) 0.316
Region 6 3.49 (2.81 - 4.32) 3.43 (2.80 - 4.20) 0.891
Region 6a 3.45 (2.73 - 4.35) 3.45 (2.78 - 4.28) 0.994
Region 6bc 3.78 (2.85 - 5.00) 3.27 (2.44 - 4.37) 0.347
Region 7 4.03 (3.29 - 4.92) 3.50 (2.85 - 4.28) 0.200
Region 7a 3.77 (2.93 - 4.85) 3.27 (2.53 - 4.22) 0.310
Region 7bcd 4.46 (3.43 - 5.80) 3.89 (2.99 - 5.03) 0.333
Region 8 4.14a (3.19 - 5.37) 2.98 (2.32 - 3.81) 0.027
Region 9 4.04 (3.08 - 5.29) 3.41 (2.55 - 4.55) 0.267
Region 10 4.27a (3.20 - 5.67) 3.03 (2.25 - 4.07) 0.036
Region 11 4.20a (3.32 - 5.30) 3.06 (2.40 - 3.89) 0.018
Region 11abd 4.30a (3.24 - 5.70) 3.06 (2.28 - 4.08) 0.034
Region 11c (Hidalgo) 4.01 (2.97 - 5.39) 3.06 (2.27 - 4.10) 0.109
Utah 5.17 (4.33 - 6.15) 5.00 (4.26 - 5.86) 0.714
Bear River, Northeastern, Summit, Tooele, and Wasatch 5.23 (4.02 - 6.78) 5.21 (3.90 - 6.93) 0.973
Central, Four Corners, San Juan, and Southwest 5.41 (4.10 - 7.10) 4.95 (3.92 - 6.24) 0.508
Central, Four Corners, and San Juan -- (-- - --) 5.06 (3.76 - 6.78) --
Southwest -- (-- - --) 4.88 (3.65 - 6.49) --
Davis County 5.02 (3.81 - 6.59) 4.55 (3.42 - 6.03) 0.501
Salt Lake County 4.97 (3.95 - 6.24) 4.82 (3.87 - 6.00) 0.814
Utah County 5.63 (4.36 - 7.25) 5.64 (4.35 - 7.29) 0.987
Weber, Morgan 4.82 (3.62 - 6.39) 4.82 (3.64 - 6.36) 0.997
Vermont 5.28 (4.30 - 6.47) 5.25 (4.37 - 6.29) 0.949
Champlain Valley 4.58 (3.50 - 5.97) 4.49 (3.48 - 5.77) 0.887
Rural Northeast 6.13 (4.45 - 8.38) 6.27 (4.70 - 8.31) 0.888
Rural Southeast 5.34 (3.94 - 7.19) 5.55 (4.20 - 7.29) 0.809
Rural Southwest 5.70 (4.16 - 7.77) 5.25 (3.92 - 7.02) 0.611
Virginia 3.98 (3.30 - 4.80) 4.42 (3.79 - 5.16) 0.257
Region 1 4.02 (3.02 - 5.33) 4.44 (3.42 - 5.75) 0.520
Region 2 3.25 (2.46 - 4.28) 3.89 (3.02 - 5.00) 0.217
Region 3 5.13 (3.84 - 6.82) 5.91 (4.62 - 7.53) 0.350
Region 4 3.99 (2.94 - 5.40) 4.02 (3.10 - 5.20) 0.966
Region 5 3.99 (3.05 - 5.20) 4.25 (3.31 - 5.46) 0.650
Washington1 4.72 (3.92 - 5.67) 4.79 (4.02 - 5.69) 0.866
Region 1 5.20 (4.10 - 6.57) 5.08 (4.01 - 6.40) 0.846
Greater Columbia and North Central 4.99 (3.77 - 6.56) 4.88 (3.63 - 6.52) 0.887
Spokane 5.49 (4.02 - 7.47) 5.36 (4.01 - 7.13) 0.876
Region 2 4.47 (3.58 - 5.57) 4.53 (3.66 - 5.61) 0.901
King 4.36 (3.32 - 5.69) 4.38 (3.39 - 5.66) 0.965
North Sound 4.67 (3.54 - 6.14) 4.80 (3.64 - 6.30) 0.851
Region 3 4.76 (3.85 - 5.87) 4.96 (4.06 - 6.07) 0.680
Pierce 4.58 (3.44 - 6.06) 4.91 (3.74 - 6.43) 0.644
Salish 4.69 (3.45 - 6.34) 4.87 (3.55 - 6.66) 0.814
SW WA and Great Rivers 5.01 (3.74 - 6.69) 5.13 (3.80 - 6.90) 0.874
Thurston-Mason 4.72 (3.47 - 6.38) 4.84 (3.56 - 6.55) 0.879
West Virginia 5.53 (4.59 - 6.64) 5.40 (4.53 - 6.42) 0.784
Region I 5.53 (4.00 - 7.58) 5.08 (3.73 - 6.88) 0.603
Region II 5.37 (3.93 - 7.28) 4.78 (3.59 - 6.35) 0.452
Region III 5.65 (4.10 - 7.74) 6.10 (4.53 - 8.17) 0.637
Region IV 5.07 (3.83 - 6.68) 5.45 (4.17 - 7.10) 0.641
Region V 5.51 (4.22 - 7.16) 5.30 (3.98 - 7.03) 0.789
Region VI 6.18 (4.62 - 8.22) 5.73 (4.36 - 7.50) 0.617
Wisconsin 4.15 (3.39 - 5.07) 4.11 (3.44 - 4.90) 0.904
Milwaukee 4.05 (3.05 - 5.35) 4.31 (3.28 - 5.64) 0.670
Northeastern 4.41 (3.30 - 5.87) 3.93 (2.97 - 5.18) 0.453
Northern 4.32 (3.14 - 5.92) 4.02 (2.95 - 5.45) 0.665
Southeastern 3.64 (2.71 - 4.85) 3.88 (2.92 - 5.14) 0.653
Southern 4.19 (3.12 - 5.60) 4.27 (3.24 - 5.62) 0.902
Western 4.48 (3.30 - 6.07) 4.30 (3.21 - 5.74) 0.795
Wyoming 4.30 (3.57 - 5.17) 4.52 (3.84 - 5.31) 0.565
Judicial District 1 (Laramie) 4.33 (3.26 - 5.71) 4.53 (3.46 - 5.91) 0.752
Judicial District 2 4.62 (3.58 - 5.95) 5.56 (4.32 - 7.12) 0.171
Judicial District 3 4.11 (3.08 - 5.46) 5.26 (3.96 - 6.96) 0.116
Judicial District 4 4.35 (3.16 - 5.96) 4.11 (3.04 - 5.54) 0.740
Judicial District 5 4.31 (3.15 - 5.87) 3.92 (2.90 - 5.28) 0.556
Judicial District 6 4.04 (3.04 - 5.35) 4.02 (2.99 - 5.40) 0.984
Judicial District 7 (Natrona) 4.60 (3.42 - 6.17) 4.32 (3.25 - 5.71) 0.675
Judicial District 8 4.47 (3.26 - 6.09) 4.42 (3.23 - 6.02) 0.949
Judicial District 9 3.97 (2.96 - 5.31) 4.20 (3.12 - 5.63) 0.718
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2012-2014 and 2014-2016); hence, the 2012-2014 estimates and p values are not available for these regions. The definitions of the substate regions listed in this table are provided in the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
NOTE: Substate, state, and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and are generated by Markov Chain Monte Carlo techniques, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2012-2014 and 2014-2016 population percentages. The "Total U.S." estimates, along with the 95 percent confidence intervals and the p values, are based on design-based (direct) estimation methods.
NOTE: Serious mental illness (SMI) is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder, assessed by the Mental Health Surveillance Study (MHSS) Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Disorders—Fourth Edition—Research Version—Axis I Disorders (MHSS-SCID), which is based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). SMI includes individuals with diagnoses resulting in serious functional impairment. For details, see Section B of the "2015-2016 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology" at https://www.samhsa.gov/data/.
a Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2012-2014 and 2014-2016 population percentages is statistically significant at the 0.10 level.
1 Names of some of the substate regions for this state have changed across the two time periods (2012-2014 vs. 2014-2016). For details, see the "2014-2016 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2012-2016.
180321
Table 10 – Any Mental Illness in the Past Year among Adults Aged 18 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2012-2014 and 2014-2016 NSDUHs
State/Substate Region 2012-2014
(Estimate)
2012-2014
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 18.39 (18.07 - 18.72) 18.09 (17.80 - 18.38) 0.109
Northeast 17.95 (17.28 - 18.64) 17.86 (17.27 - 18.47) 0.797
Midwest 18.54 (17.99 - 19.10) 18.21 (17.70 - 18.73) 0.259
South 18.14 (17.60 - 18.69) 17.81 (17.37 - 18.26) 0.254
West 19.00 (18.34 - 19.68) 18.61 (18.05 - 19.18) 0.279
Alabama 19.45 (17.49 - 21.58) 18.67 (17.00 - 20.47) 0.437
Region 1 20.32 (17.50 - 23.47) 18.67 (16.14 - 21.50) 0.247
Region 2 19.21 (16.60 - 22.11) 19.30 (16.71 - 22.18) 0.950
Region 3 18.17 (15.55 - 21.12) 17.70 (15.08 - 20.67) 0.735
Region 4 19.74 (16.86 - 22.97) 18.55 (15.79 - 21.68) 0.429
Alaska 18.73 (16.87 - 20.74) 19.50 (17.83 - 21.28) 0.431
Anchorage 20.15 (17.68 - 22.87) 20.85 (18.48 - 23.43) 0.596
Northern 17.53 (14.98 - 20.41) 19.15 (16.42 - 22.22) 0.252
South Central 17.70 (15.10 - 20.64) 17.61 (15.15 - 20.37) 0.951
Southeast 18.19 (15.39 - 21.37) 19.65 (16.34 - 23.45) 0.361
Arizona1 18.42 (16.52 - 20.49) 18.00 (16.31 - 19.81) 0.659
Central 17.92 (15.74 - 20.32) 17.50 (15.45 - 19.76) 0.722
North -- (-- - --) 17.74 (14.69 - 21.27) --
South -- (-- - --) 19.15 (16.72 - 21.84) --
South A 18.70 (15.92 - 21.85) 19.36 (16.31 - 22.83) 0.664
South B -- (-- - --) 18.90 (15.76 - 22.50) --
Arkansas 20.13 (18.13 - 22.29) 20.45 (18.70 - 22.32) 0.760
Catchment Area 1 18.44 (15.67 - 21.57) 20.16 (17.12 - 23.60) 0.258
Catchment Area 2 21.03 (17.91 - 24.54) 22.13 (18.58 - 26.14) 0.552
Catchment Area 3 21.06 (17.90 - 24.60) 20.69 (17.76 - 23.96) 0.825
Catchment Area 4 20.21 (17.07 - 23.75) 20.83 (17.55 - 24.55) 0.708
Catchment Area 5 20.19 (17.21 - 23.54) 20.98 (17.82 - 24.53) 0.630
Catchment Area 6 19.57 (16.56 - 22.98) 17.71 (14.66 - 21.22) 0.233
Catchment Area 7 20.71 (17.39 - 24.48) 19.38 (16.06 - 23.19) 0.459
Catchment Area 8 20.21 (17.18 - 23.62) 20.33 (17.29 - 23.74) 0.941
California 18.52a (17.51 - 19.57) 17.36 (16.55 - 18.19) 0.031
Region 1R 21.19 (18.35 - 24.34) 19.90 (17.09 - 23.04) 0.362
Region 2R 19.23 (16.65 - 22.10) 18.71 (16.04 - 21.70) 0.682
Region 3R (Sacramento) 19.40 (16.98 - 22.07) 18.00 (15.58 - 20.71) 0.252
Region 4R 18.16b (15.87 - 20.70) 15.82 (13.45 - 18.51) 0.056
Region 5R (San Francisco) 19.09 (16.53 - 21.94) 19.19 (16.19 - 22.60) 0.939
Region 6 (Santa Clara) 17.13 (14.88 - 19.65) 15.66 (13.58 - 17.99) 0.201
Region 7R (Contra Costa) 17.99 (15.63 - 20.61) 18.15 (15.59 - 21.03) 0.898
Region 8R (Alameda) 19.29 (16.77 - 22.08) 18.91 (16.28 - 21.86) 0.779
Region 9R (San Mateo) 16.26 (13.84 - 19.01) 15.81 (13.26 - 18.75) 0.727
Region 10 18.62 (16.11 - 21.41) 17.18 (14.56 - 20.16) 0.279
Region 11 (Los Angeles) 18.56a (17.29 - 19.90) 17.09 (15.92 - 18.33) 0.031
LA SPA 1 and 5 19.11 (16.58 - 21.93) 19.27 (16.28 - 22.65) 0.915
LA SPA 2 19.84 (17.35 - 22.60) 18.11 (15.64 - 20.87) 0.188
LA SPA 3 17.64a (15.35 - 20.19) 14.79 (12.59 - 17.30) 0.017
LA SPA 4 19.14 (16.67 - 21.88) 19.41 (16.47 - 22.74) 0.840
LA SPA 6 18.85a (16.35 - 21.64) 15.66 (13.39 - 18.24) 0.008
LA SPA 7 17.54a (15.29 - 20.04) 15.10 (12.82 - 17.70) 0.032
LA SPA 8 17.60 (15.37 - 20.07) 17.43 (14.95 - 20.22) 0.896
Region 12R 19.10 (16.42 - 22.09) 17.85 (15.23 - 20.82) 0.358
Regions 13 and 19R 17.81 (15.57 - 20.30) 17.21 (15.11 - 19.54) 0.616
Region 14 (Orange) 17.09 (14.95 - 19.47) 16.28 (14.14 - 18.68) 0.482
Region 15R (Fresno) 19.92 (17.27 - 22.85) 17.95 (15.33 - 20.90) 0.121
Region 16R (San Diego) 19.25 (17.11 - 21.58) 18.00 (15.94 - 20.27) 0.285
Region 17R 18.57 (16.26 - 21.12) 17.67 (15.37 - 20.24) 0.450
Region 18R (San Bernardino) 17.62 (15.28 - 20.23) 16.94 (14.77 - 19.36) 0.583
Region 20R 20.65 (17.93 - 23.65) 18.72 (16.00 - 21.77) 0.165
Region 21R 18.73b (16.31 - 21.43) 16.57 (14.10 - 19.37) 0.068
Colorado 17.67a (15.85 - 19.65) 20.16 (18.38 - 22.07) 0.011
Region 1 -- (-- - --) 20.22 (17.37 - 23.41) --
Region 2 -- (-- - --) 21.36 (17.88 - 25.32) --
Region 3 -- (-- - --) 20.35 (17.59 - 23.43) --
Region 4 -- (-- - --) 19.66 (16.19 - 23.66) --
Region 5 -- (-- - --) 20.51 (17.16 - 24.33) --
Region 6 -- (-- - --) 19.60 (16.76 - 22.78) --
Region 7 -- (-- - --) 19.65 (16.61 - 23.08) --
Connecticut 16.84 (15.11 - 18.72) 17.51 (15.86 - 19.30) 0.473
Eastern 17.62 (14.99 - 20.59) 20.08 (17.09 - 23.45) 0.107
North Central 17.52 (15.00 - 20.36) 17.68 (15.12 - 20.58) 0.907
Northwestern 16.27 (13.81 - 19.06) 16.96 (14.31 - 19.99) 0.616
South Central 16.99 (14.53 - 19.78) 17.42 (14.76 - 20.43) 0.747
Southwest 15.65 (13.23 - 18.42) 16.22 (13.49 - 19.38) 0.679
Delaware 18.90 (17.07 - 20.87) 18.62 (16.84 - 20.55) 0.778
Kent 19.73 (16.94 - 22.85) 18.71 (15.91 - 21.87) 0.489
New Castle (excluding Wilmington City) 18.59 (16.33 - 21.08) 18.86 (16.61 - 21.35) 0.829
Sussex 18.63 (15.98 - 21.62) 17.85 (14.96 - 21.15) 0.588
Wilmington City 19.81 (16.74 - 23.29) 19.14 (15.62 - 23.23) 0.676
District of Columbia 19.31 (17.53 - 21.22) 18.97 (17.37 - 20.69) 0.708
Ward 1 20.59 (17.86 - 23.62) 20.50 (17.42 - 23.97) 0.953
Ward 2 20.15b (17.31 - 23.33) 22.79 (19.53 - 26.41) 0.074
Ward 3 18.79 (16.11 - 21.80) 19.87 (16.82 - 23.33) 0.453
Ward 4 18.59 (15.74 - 21.83) 16.44 (13.82 - 19.45) 0.114
Ward 5 17.97 (15.29 - 21.01) 16.60 (13.91 - 19.68) 0.317
Ward 6 20.38 (17.54 - 23.55) 20.73 (17.82 - 23.97) 0.810
Ward 7 18.43b (15.46 - 21.82) 15.68 (13.11 - 18.64) 0.055
Ward 8 19.25 (16.44 - 22.41) 18.14 (15.19 - 21.52) 0.458
Florida 16.46 (15.35 - 17.64) 16.87 (15.82 - 17.96) 0.509
Broward (Circuit 17) 14.91 (12.86 - 17.23) 14.58 (12.36 - 17.12) 0.775
Central I 17.59 (15.79 - 19.55) 17.46 (15.65 - 19.44) 0.891
Circuit 9 17.81 (15.61 - 20.24) 17.64 (15.34 - 20.21) 0.893
Circuit 18 17.29 (14.88 - 19.99) 17.20 (14.65 - 20.08) 0.946
Central II 16.83 (15.39 - 18.37) 16.92 (15.50 - 18.45) 0.904
Circuit 6 16.44 (14.20 - 18.94) 17.12 (14.64 - 19.93) 0.608
Circuit 10 17.66 (15.11 - 20.53) 16.74 (14.20 - 19.64) 0.496
Circuit 12 17.27 (14.78 - 20.07) 15.83 (13.14 - 18.94) 0.302
Circuit 13 (Hillsborough) 17.05 (14.83 - 19.54) 18.28 (15.70 - 21.18) 0.344
Circuit 20 16.29 (13.96 - 18.93) 16.11 (13.52 - 19.08) 0.893
Northeast 16.96 (15.40 - 18.64) 17.09 (15.47 - 18.84) 0.879
Circuit 4 16.75 (14.43 - 19.35) 16.77 (14.28 - 19.60) 0.985
Circuit 5 17.11 (14.61 - 19.95) 16.70 (14.06 - 19.71) 0.762
Circuit 7 16.64 (14.27 - 19.33) 17.24 (14.45 - 20.45) 0.666
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee 17.59 (15.25 - 20.21) 18.28 (15.44 - 21.50) 0.614
Northwest 18.01 (16.25 - 19.93) 19.14 (17.19 - 21.25) 0.249
Circuit 1 17.96 (15.55 - 20.66) 18.85 (16.08 - 21.98) 0.513
Circuit 2 plus Madison and Taylor 18.03 (15.55 - 20.81) 19.19 (16.34 - 22.42) 0.384
Circuit 14 18.11 (15.44 - 21.13) 19.72 (16.46 - 23.44) 0.299
South (Circuits 11 and 16) 14.53 (12.64 - 16.64) 15.80 (13.72 - 18.13) 0.250
Southeast 16.03 (14.14 - 18.12) 17.42 (15.26 - 19.81) 0.202
Circuit 15 (Palm Beach) 15.59 (13.36 - 18.10) 17.28 (14.63 - 20.29) 0.209
Circuit 19 16.99 (14.46 - 19.86) 17.73 (14.69 - 21.24) 0.621
Georgia 18.52 (16.72 - 20.47) 17.60 (16.23 - 19.07) 0.327
Region 1 18.23 (15.65 - 21.12) 17.10 (14.84 - 19.61) 0.425
Region 2 19.15 (16.39 - 22.25) 18.60 (16.00 - 21.51) 0.704
Region 3 18.06 (15.62 - 20.79) 16.22 (14.16 - 18.52) 0.142
Region 4 19.94 (16.88 - 23.39) 20.13 (16.97 - 23.70) 0.906
Region 5 19.19 (16.20 - 22.58) 18.72 (15.82 - 22.01) 0.757
Region 6 18.27 (15.49 - 21.43) 18.56 (15.77 - 21.72) 0.853
Hawaii 17.35b (15.51 - 19.36) 15.44 (13.86 - 17.16) 0.054
Hawaii Island 18.87 (15.90 - 22.26) 16.86 (14.06 - 20.07) 0.175
Honolulu 16.93b (14.89 - 19.18) 14.84 (13.06 - 16.83) 0.065
Kauai 18.06b (15.09 - 21.47) 15.50 (12.64 - 18.86) 0.087
Maui 17.87 (15.07 - 21.07) 17.49 (14.53 - 20.89) 0.788
Idaho 20.77 (18.88 - 22.79) 21.64 (19.90 - 23.49) 0.369
Region 1 20.09 (17.17 - 23.36) 20.82 (17.56 - 24.51) 0.660
Region 2 21.99 (18.66 - 25.74) 20.38 (17.02 - 24.20) 0.340
Region 3 21.56 (18.46 - 25.01) 21.83 (18.69 - 25.34) 0.864
Region 4 20.35 (17.71 - 23.27) 22.83 (20.08 - 25.83) 0.102
Region 5 20.38 (17.44 - 23.67) 20.83 (17.67 - 24.38) 0.775
Region 6 21.35 (18.28 - 24.79) 21.83 (18.40 - 25.71) 0.760
Region 7 20.81 (18.01 - 23.91) 21.08 (18.05 - 24.48) 0.855
Illinois 16.36 (15.28 - 17.51) 15.89 (14.80 - 17.04) 0.438
Region 1 (Cook) 16.19 (14.61 - 17.90) 15.00 (13.66 - 16.45) 0.142
Region 1.1 (Far North Side) -- (-- - --) 17.57 (14.67 - 20.89) --
Region 1.2 (Northwest Side) -- (-- - --) 16.07 (13.26 - 19.35) --
Region 1.3 (North Central Side) -- (-- - --) 19.80 (16.63 - 23.41) --
Region 1.4 (West Side) -- (-- - --) 16.23 (13.54 - 19.34) --
Region 1.5 (South Side) -- (-- - --) 15.00 (12.40 - 18.03) --
Region 1.6 (Southwest Side) -- (-- - --) 14.77 (12.23 - 17.71) --
Region 1.7 (Suburban Cook) -- (-- - --) 13.21 (11.43 - 15.21) --
Region 2 15.90 (14.37 - 17.56) 15.67 (14.27 - 17.18) 0.777
Region 2a (DuPage) -- (-- - --) 15.51 (13.19 - 18.15) --
Region 2b -- (-- - --) 14.91 (13.05 - 16.99) --
Region 2c (Winnebago) -- (-- - --) 17.90 (14.91 - 21.35) --
Region 2d -- (-- - --) 17.41 (14.68 - 20.51) --
Region 3 17.16 (15.07 - 19.48) 18.25 (16.02 - 20.71) 0.348
Region 3a (Champaign) -- (-- - --) 18.87 (16.09 - 22.01) --
Region 3b -- (-- - --) 18.14 (15.65 - 20.93) --
Region 4 17.77 (15.46 - 20.34) 16.93 (14.74 - 19.38) 0.480
Region 4a (Sangamon) -- (-- - --) 17.45 (14.48 - 20.87) --
Region 4b -- (-- - --) 16.79 (14.22 - 19.71) --
Region 5 16.59 (14.44 - 18.98) 16.80 (14.74 - 19.07) 0.854
Region 5a -- (-- - --) 17.06 (14.25 - 20.28) --
Region 5b -- (-- - --) 16.59 (13.95 - 19.62) --
Indiana 20.12 (18.27 - 22.12) 20.06 (18.36 - 21.87) 0.948
Central 20.18 (17.50 - 23.15) 18.32 (15.75 - 21.21) 0.209
East 21.56 (18.37 - 25.14) 19.96 (16.69 - 23.68) 0.323
North Central 20.09 (17.17 - 23.37) 20.52 (17.54 - 23.86) 0.781
Northeast 19.33 (16.52 - 22.50) 20.41 (17.19 - 24.06) 0.472
Northwest 18.68 (15.81 - 21.95) 19.53 (16.28 - 23.25) 0.596
Southeast 20.45 (17.35 - 23.95) 21.87 (18.42 - 25.76) 0.381
Southwest 20.28 (17.24 - 23.70) 20.60 (17.21 - 24.45) 0.846
West 20.65 (17.74 - 23.90) 21.73 (18.47 - 25.38) 0.497
Iowa 17.40 (15.61 - 19.35) 17.47 (15.94 - 19.12) 0.934
Central 16.48 (13.97 - 19.34) 17.69 (15.08 - 20.65) 0.368
North Central 17.38 (14.70 - 20.44) 17.63 (15.01 - 20.58) 0.856
Northeast 17.65 (15.17 - 20.44) 17.94 (15.40 - 20.80) 0.828
Northwest 16.32 (13.54 - 19.54) 16.00 (13.40 - 19.00) 0.829
Southeast 18.60 (15.97 - 21.55) 17.86 (15.28 - 20.78) 0.600
Southwest 17.51 (14.79 - 20.62) 17.16 (14.28 - 20.49) 0.809
Kansas 17.61 (15.80 - 19.57) 17.82 (16.11 - 19.67) 0.823
Northeast -- (-- - --) 18.41 (16.21 - 20.84) --
Northwest and North Central -- (-- - --) 17.39 (14.23 - 21.08) --
South Central -- (-- - --) 17.01 (14.49 - 19.88) --
Southeast -- (-- - --) 18.46 (15.18 - 22.26) --
Southwest -- (-- - --) 16.42 (13.37 - 19.99) --
Kentucky1 19.69 (17.80 - 21.71) 21.21 (19.38 - 23.17) 0.134
Adanta, Cumberland River, and Lifeskills 20.63 (17.74 - 23.87) 21.72 (18.52 - 25.30) 0.509
Bluegrass, Comprehend, and North Key 19.64 (17.12 - 22.43) 21.20 (18.44 - 24.24) 0.283
Centerstone 18.74 (15.98 - 21.85) 20.33 (17.40 - 23.62) 0.286
Communicare and River Valley 19.02 (16.06 - 22.37) 19.66 (16.33 - 23.48) 0.699
Four Rivers and Pennyroyal 19.46 (16.48 - 22.82) 21.13 (17.66 - 25.07) 0.303
Kentucky River, Mountain, and Pathways 21.09 (17.87 - 24.71) 23.85 (20.12 - 28.04) 0.145
Louisiana 19.55a (17.73 - 21.52) 17.72 (16.07 - 19.51) 0.050
Regions 1 and 10 18.95 (16.59 - 21.57) 18.08 (15.59 - 20.87) 0.477
Region 1 19.28 (16.35 - 22.60) 17.94 (14.87 - 21.49) 0.364
Region 10 (Jefferson) 18.61 (15.76 - 21.83) 18.23 (15.06 - 21.90) 0.809
Regions 2 and 9 19.70b (17.07 - 22.63) 17.36 (14.92 - 20.10) 0.077
Region 3 18.88b (16.07 - 22.04) 16.52 (13.74 - 19.73) 0.099
Regions 4, 5, and 6 20.39 (17.67 - 23.42) 18.44 (15.74 - 21.49) 0.196
Regions 7 and 8 19.16 (16.47 - 22.16) 17.44 (14.73 - 20.53) 0.227
Maine 21.30a (19.26 - 23.50) 18.64 (16.98 - 20.42) 0.008
Aroostook/Downeast 20.98 (18.18 - 24.09) 18.63 (16.01 - 21.58) 0.106
Aroostook 20.66 (17.30 - 24.49) 18.03 (14.89 - 21.67) 0.136
Downeast 21.24 (17.81 - 25.12) 19.12 (15.62 - 23.18) 0.247
Central 22.29b (19.10 - 25.85) 19.25 (16.07 - 22.89) 0.071
Cumberland 21.54a (18.59 - 24.82) 17.88 (15.20 - 20.91) 0.017
Midcoast 20.67 (17.54 - 24.18) 18.22 (15.18 - 21.72) 0.129
Penquis 21.92b (18.76 - 25.43) 18.89 (15.84 - 22.36) 0.058
Western 20.85 (17.80 - 24.27) 19.82 (16.80 - 23.24) 0.518
York 20.74 (17.62 - 24.26) 18.15 (15.22 - 21.50) 0.106
Maryland 16.80 (15.02 - 18.73) 16.74 (15.19 - 18.41) 0.948
Anne Arundel 16.57 (13.94 - 19.58) 17.59 (14.71 - 20.89) 0.461
Baltimore City 18.02 (15.15 - 21.29) 17.83 (14.91 - 21.19) 0.900
Baltimore County 17.14 (14.48 - 20.17) 17.52 (14.67 - 20.79) 0.780
Montgomery 16.23 (13.73 - 19.09) 15.72 (13.23 - 18.58) 0.689
North Central 16.38 (13.70 - 19.47) 17.44 (14.43 - 20.92) 0.469
Northeast 17.90 (15.00 - 21.22) 18.81 (15.65 - 22.44) 0.572
Prince George's 15.89b (13.38 - 18.76) 13.80 (11.50 - 16.49) 0.080
South 16.31 (13.62 - 19.41) 16.77 (14.02 - 19.94) 0.736
West 17.49 (14.77 - 20.58) 17.57 (14.64 - 20.93) 0.958
Massachusetts 19.09 (17.22 - 21.12) 19.31 (17.57 - 21.18) 0.821
Boston 20.93 (17.94 - 24.27) 22.93 (19.53 - 26.72) 0.194
Central 18.53 (15.72 - 21.73) 18.81 (15.86 - 22.17) 0.852
Metrowest 17.72 (15.11 - 20.66) 17.01 (14.39 - 20.00) 0.610
Northeast 19.73 (16.92 - 22.89) 19.74 (16.90 - 22.92) 0.998
Southeast 19.09 (16.25 - 22.31) 19.11 (16.18 - 22.42) 0.993
Western 19.30 (16.53 - 22.41) 19.99 (16.77 - 23.65) 0.663
Michigan 19.58a (18.43 - 20.78) 17.70 (16.54 - 18.92) 0.004
Region 1 20.72b (17.86 - 23.91) 17.72 (14.88 - 20.96) 0.054
Region 2 19.39 (16.73 - 22.37) 17.00 (14.22 - 20.19) 0.102
Region 3 19.49 (17.40 - 21.77) 19.57 (17.10 - 22.31) 0.947
Region 4 19.81 (17.49 - 22.35) 18.05 (15.63 - 20.76) 0.193
Region 5 20.57b (18.56 - 22.75) 18.51 (16.48 - 20.74) 0.065
Region 6 18.08 (15.84 - 20.57) 17.21 (14.76 - 19.97) 0.476
Region 7 19.54a (17.39 - 21.87) 16.31 (14.12 - 18.76) 0.007
Region 8 18.98a (16.73 - 21.45) 16.42 (14.20 - 18.92) 0.043
Region 9 19.04 (16.65 - 21.68) 17.54 (14.91 - 20.52) 0.256
Region 10 20.21 (17.74 - 22.93) 19.10 (16.38 - 22.15) 0.438
Minnesota 18.46 (16.65 - 20.42) 18.96 (17.34 - 20.69) 0.586
Regions 1 and 2 18.97 (16.04 - 22.29) 19.10 (16.45 - 22.07) 0.920
Region 1 -- (-- - --) 18.16 (14.92 - 21.91) --
Region 2 -- (-- - --) 19.67 (16.35 - 23.46) --
Regions 3 and 4 18.82 (16.16 - 21.80) 18.03 (15.70 - 20.61) 0.543
Region 3 -- (-- - --) 19.12 (15.77 - 22.98) --
Region 4 -- (-- - --) 17.43 (14.69 - 20.56) --
Regions 5 and 6 18.62 (15.89 - 21.71) 18.54 (16.16 - 21.19) 0.948
Region 5 -- (-- - --) 18.73 (15.74 - 22.13) --
Region 6 -- (-- - --) 18.35 (15.24 - 21.94) --
Region 7 -- (-- - --) 19.36 (17.44 - 21.45) --
Region 7A (Hennepin) 18.59 (15.98 - 21.52) 19.31 (16.61 - 22.32) 0.612
Region 7B (Ramsey) 19.40 (16.55 - 22.62) 20.89 (17.68 - 24.52) 0.337
Region 7C 17.25 (14.78 - 20.04) 18.74 (16.10 - 21.69) 0.278
Mississippi 19.19 (17.24 - 21.32) 18.09 (16.43 - 19.88) 0.252
Region 1 20.28 (17.40 - 23.50) 18.48 (15.78 - 21.51) 0.216
Region 2 18.89 (16.00 - 22.17) 16.67 (13.84 - 19.94) 0.124
Region 3 19.11 (16.25 - 22.34) 18.44 (15.44 - 21.86) 0.675
Region 4 17.45 (14.82 - 20.43) 16.82 (14.09 - 19.96) 0.649
Region 5 19.97 (16.79 - 23.57) 18.38 (15.03 - 22.29) 0.342
Region 6 19.01 (16.20 - 22.18) 19.37 (16.34 - 22.81) 0.814
Region 7 19.79 (16.67 - 23.34) 18.82 (15.76 - 22.31) 0.555
Missouri 19.09 (17.25 - 21.07) 18.32 (16.71 - 20.05) 0.425
Central 18.97 (16.27 - 22.00) 17.17 (14.50 - 20.23) 0.207
Eastern 17.94 (15.73 - 20.38) 17.59 (15.48 - 19.92) 0.776
Eastern (St. Louis City and County) 18.33 (15.68 - 21.30) 17.61 (15.03 - 20.53) 0.615
Eastern (excluding St. Louis) 17.26 (14.51 - 20.40) 17.56 (14.69 - 20.86) 0.846
Northwest 18.76 (16.46 - 21.31) 18.97 (16.57 - 21.63) 0.872
Northwest (Jackson) 18.90 (16.06 - 22.11) 18.59 (15.56 - 22.05) 0.839
Northwest (excluding Jackson) 18.65 (15.82 - 21.85) 19.30 (16.19 - 22.83) 0.685
Southeast 20.69 (17.61 - 24.15) 19.07 (15.93 - 22.65) 0.335
Southwest 21.03 (17.98 - 24.44) 19.38 (16.39 - 22.77) 0.304
Montana 19.28 (17.34 - 21.38) 19.95 (18.22 - 21.80) 0.506
Region 1 18.50 (15.42 - 22.04) 18.26 (15.00 - 22.06) 0.882
Region 2 19.12 (16.26 - 22.36) 19.95 (16.94 - 23.35) 0.598
Region 3 19.70 (16.97 - 22.75) 18.56 (15.81 - 21.67) 0.430
Region 4 18.57 (15.95 - 21.51) 20.33 (17.69 - 23.26) 0.208
Region 5 19.87 (17.24 - 22.80) 20.98 (18.25 - 23.99) 0.462
Nebraska 17.75 (15.88 - 19.79) 18.51 (16.77 - 20.38) 0.445
Regions 1 and 2 17.97 (15.44 - 20.81) 17.07 (14.52 - 19.97) 0.477
Region 1 18.19 (15.14 - 21.69) 17.07 (13.92 - 20.76) 0.484
Region 2 17.77 (14.82 - 21.16) 17.07 (13.90 - 20.79) 0.648
Region 3 17.71 (14.82 - 21.03) 17.79 (14.91 - 21.09) 0.958
Region 4 17.70 (14.82 - 21.01) 16.11 (13.23 - 19.47) 0.275
Region 5 18.43 (15.88 - 21.27) 19.30 (16.60 - 22.32) 0.542
Region 6 17.32 (14.99 - 19.92) 19.23 (16.79 - 21.93) 0.155
Nevada 18.30 (16.33 - 20.46) 18.05 (16.26 - 19.99) 0.807
Clark - Region 1 18.11 (15.89 - 20.55) 17.62 (15.55 - 19.91) 0.685
Region 3 18.98 (16.28 - 22.00) 18.57 (15.76 - 21.76) 0.766
Capital District 18.37 (15.23 - 21.99) 17.93 (14.40 - 22.10) 0.788
Rural/Frontier 19.53 (16.25 - 23.30) 19.16 (15.74 - 23.11) 0.824
Washoe - Region 2 18.66 (15.94 - 21.71) 19.60 (16.51 - 23.11) 0.527
New Hampshire 20.54 (18.61 - 22.61) 21.07 (19.25 - 23.01) 0.590
Central 21.28 (18.82 - 23.97) 21.30 (18.78 - 24.04) 0.993
Central 1 20.61 (17.64 - 23.93) 21.70 (18.48 - 25.31) 0.476