National Survey on Drug Use and Health:
Comparison of the 2008-2010 and 2014-2016 Population Percentages (Substate Regions)

NOTE: The methodology used to conduct significance testing for substate estimates between the 2008-2010 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, 2008-2010 and 2014-2016 NSDUHs
State/Substate Region 2008-2010
(Estimate)
2008-2010
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 11.13a (10.89 - 11.38) 13.55 (13.32 - 13.79) 0.000
Northeast 12.22a (11.75 - 12.70) 14.86 (14.31 - 15.43) 0.000
Midwest 10.45a (10.11 - 10.79) 12.86 (12.39 - 13.35) 0.000
South 9.70a   (9.39 - 10.02) 11.66 (11.24 - 12.09) 0.000
West 13.18a (12.68 - 13.69) 16.19 (15.64 - 16.76) 0.000
Alabama 8.62 (7.48 - 9.92) 9.43   (8.34 - 10.64) 0.264
Region 1 7.93b (6.30 - 9.94) 9.55   (7.92 - 11.47) 0.099
Region 2 9.16   (7.47 - 11.20) 10.39   (8.67 - 12.40) 0.239
Region 3 10.39b   (8.25 - 13.00) 8.42   (6.72 - 10.51) 0.066
Region 4 7.31 (5.70 - 9.31) 8.71   (7.02 - 10.76) 0.125
Alaska 16.73a (14.87 - 18.77) 22.83 (21.09 - 24.68) 0.000
Anchorage 16.29a (13.87 - 19.04) 21.53 (19.24 - 24.01) 0.001
Northern 18.98a (15.75 - 22.71) 25.79 (22.33 - 29.58) 0.001
South Central 16.27a (13.09 - 20.04) 21.90 (18.88 - 25.26) 0.005
Southeast 15.04a (11.70 - 19.12) 24.02 (19.83 - 28.78) 0.000
Arizona1 11.39   (9.94 - 13.01) 12.53 (11.23 - 13.95) 0.197
Central 11.21b   (9.48 - 13.22) 13.05 (11.51 - 14.76) 0.086
North -- (-- - --) 10.99   (8.58 - 13.97) --
South -- (-- - --) 12.08 (10.10 - 14.39) --
South A 13.33 (10.53 - 16.74) 12.76 (10.31 - 15.68) 0.687
South B -- (-- - --) 11.26   (8.79 - 14.31) --
Arkansas 10.02b   (8.77 - 11.43) 11.52 (10.29 - 12.88) 0.057
Catchment Area 1 9.11a   (7.01 - 11.77) 11.82   (9.64 - 14.42) 0.015
Catchment Area 2 9.11   (6.94 - 11.87) 8.74   (6.75 - 11.25) 0.728
Catchment Area 3 10.71   (8.33 - 13.67) 10.83   (8.74 - 13.35) 0.920
Catchment Area 4 8.73   (6.60 - 11.47) 9.44   (7.37 - 12.02) 0.481
Catchment Area 5 10.51   (8.50 - 12.92) 10.94   (8.74 - 13.61) 0.718
Catchment Area 6 10.78b   (8.14 - 14.15) 13.08 (10.21 - 16.61) 0.089
Catchment Area 7 9.38   (6.96 - 12.51) 10.14   (7.67 - 13.31) 0.514
Catchment Area 8 11.08a   (8.83 - 13.83) 14.79 (12.20 - 17.82) 0.009
California 13.46a (12.67 - 14.29) 15.87 (15.10 - 16.68) 0.000
Region 1R 22.67 (18.54 - 27.42) 21.55 (18.02 - 25.55) 0.586
Region 2R 15.02 (12.39 - 18.08) 17.04 (14.30 - 20.18) 0.141
Region 3R (Sacramento) 16.19 (13.15 - 19.77) 17.39 (14.79 - 20.33) 0.445
Region 4R 14.42a (11.60 - 17.79) 17.93 (14.97 - 21.33) 0.022
Region 5R (San Francisco) 23.12 (18.66 - 28.26) 24.71 (20.51 - 29.45) 0.528
Region 6 (Santa Clara) 10.48a   (8.36 - 13.07) 13.67 (11.63 - 15.99) 0.007
Region 7R (Contra Costa) 14.12b (11.17 - 17.71) 16.84 (14.04 - 20.08) 0.068
Region 8R (Alameda) 15.32 (12.61 - 18.49) 17.75 (15.09 - 20.76) 0.106
Region 9R (San Mateo) 12.30a   (9.71 - 15.47) 16.05 (13.06 - 19.56) 0.008
Region 10 16.42 (13.60 - 19.70) 16.99 (14.05 - 20.41) 0.697
Region 11 (Los Angeles) 12.50a (11.36 - 13.74) 15.30 (14.13 - 16.55) 0.000
LA SPA 1 and 5 16.00 (12.69 - 19.98) 18.46 (15.25 - 22.17) 0.134
LA SPA 2 12.35a (10.21 - 14.86) 15.22 (12.91 - 17.86) 0.024
LA SPA 3 10.71   (8.70 - 13.12) 10.82   (8.82 - 13.21) 0.922
LA SPA 4 14.44a (11.60 - 17.84) 19.69 (16.18 - 23.74) 0.001
LA SPA 6 12.13a   (9.63 - 15.15) 15.64 (12.90 - 18.84) 0.007
LA SPA 7 10.01a   (7.94 - 12.54) 12.59 (10.30 - 15.31) 0.019
LA SPA 8 13.21a (10.59 - 16.37) 17.09 (14.53 - 20.00) 0.007
Region 12R 15.23 (11.96 - 19.19) 14.62 (11.74 - 18.06) 0.662
Regions 13 and 19R 12.42 (10.33 - 14.86) 13.30 (11.46 - 15.40) 0.415
Region 14 (Orange) 10.22a   (8.61 - 12.08) 13.69 (11.70 - 15.95) 0.001
Region 15R (Fresno) 12.02   (9.42 - 15.21) 13.83 (11.32 - 16.78) 0.147
Region 16R (San Diego) 13.66a (11.64 - 15.96) 17.72 (15.61 - 20.04) 0.001
Region 17R 10.33a   (8.41 - 12.62) 13.34 (11.36 - 15.59) 0.005
Region 18R (San Bernardino) 11.53a   (9.61 - 13.77) 13.78 (11.68 - 16.19) 0.048
Region 20R 13.37 (10.68 - 16.62) 13.52 (10.97 - 16.55) 0.910
Region 21R 17.73 (14.29 - 21.78) 20.55 (17.05 - 24.56) 0.110
Colorado 16.84a (15.04 - 18.81) 22.74 (20.93 - 24.65) 0.000
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 13.01a (11.57 - 14.60) 14.95 (13.47 - 16.56) 0.041
Eastern 13.46a (10.57 - 16.99) 18.04 (14.91 - 21.66) 0.004
North Central 14.11 (11.80 - 16.80) 15.43 (13.13 - 18.05) 0.358
Northwestern 12.31   (9.89 - 15.22) 14.02 (11.49 - 17.00) 0.198
South Central 14.52 (12.13 - 17.29) 14.35 (12.03 - 17.03) 0.902
Southwest 9.79a   (7.62 - 12.49) 13.85 (11.34 - 16.80) 0.002
Delaware 11.79a (10.43 - 13.31) 13.73 (12.38 - 15.21) 0.031
Kent 10.92a   (8.67 - 13.67) 13.61 (11.36 - 16.21) 0.032
New Castle (excluding Wilmington City) 12.05 (10.32 - 14.03) 13.48 (11.81 - 15.33) 0.194
Sussex 10.56   (8.48 - 13.07) 11.81   (9.56 - 14.50) 0.308
Wilmington City 15.17a (11.90 - 19.14) 21.09 (17.00 - 25.87) 0.002
District of Columbia 15.66a (13.96 - 17.52) 24.28 (22.42 - 26.25) 0.000
Ward 1 18.36a (14.78 - 22.58) 32.56 (27.79 - 37.72) 0.000
Ward 2 18.21a (14.73 - 22.31) 31.02 (26.55 - 35.89) 0.000
Ward 3 13.18a (10.56 - 16.32) 19.06 (15.83 - 22.78) 0.000
Ward 4 13.19a (10.07 - 17.08) 18.49 (15.12 - 22.41) 0.003
Ward 5 14.97a (11.71 - 18.94) 24.79 (20.86 - 29.20) 0.000
Ward 6 14.25a (11.09 - 18.13) 21.62 (18.27 - 25.40) 0.000
Ward 7 15.82a (12.63 - 19.63) 22.47 (18.65 - 26.81) 0.001
Ward 8 17.24a (13.86 - 21.23) 23.83 (20.04 - 28.09) 0.001
Florida1 10.56a   (9.85 - 11.31) 12.73 (11.90 - 13.60) 0.000
Broward (Circuit 17) 10.18a   (8.63 - 11.97) 13.47 (11.38 - 15.86) 0.002
Central I -- (-- - --) 14.05 (12.47 - 15.80) --
Circuit 9 11.35a   (9.50 - 13.49) 14.04 (12.09 - 16.24) 0.016
Circuit 18 11.26a   (9.20 - 13.72) 14.07 (11.74 - 16.77) 0.026
Central II -- (-- - --) 12.04 (10.91 - 13.27) --
Circuit 6 10.20a   (8.45 - 12.26) 13.09 (11.04 - 15.44) 0.009
Circuit 10 8.74a   (6.90 - 11.01) 10.87   (8.85 - 13.29) 0.045
Circuit 12 11.27   (8.85 - 14.26) 10.60   (8.44 - 13.22) 0.566
Circuit 13 (Hillsborough) 12.25 (10.33 - 14.48) 14.17 (12.09 - 16.53) 0.113
Circuit 20 10.54   (8.45 - 13.08) 10.22   (8.14 - 12.75) 0.771
Northeast -- (-- - --) 14.00 (12.54 - 15.59) --
Circuit 4 13.07 (10.80 - 15.73) 14.66 (12.21 - 17.50) 0.219
Circuit 5 9.04a   (7.28 - 11.17) 12.39 (10.13 - 15.08) 0.002
Circuit 7 10.44a   (8.27 - 13.10) 13.66 (11.19 - 16.57) 0.013
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee -- (-- - --) 16.45 (13.26 - 20.21) --
Northwest -- (-- - --) 16.04 (14.18 - 18.09) --
Circuit 1 11.15a   (9.07 - 13.63) 13.91 (11.47 - 16.78) 0.022
Circuit 2 plus Madison and Taylor -- (-- - --) 20.09 (17.07 - 23.51) --
Circuit 14 11.04a   (8.38 - 14.42) 15.08 (11.90 - 18.92) 0.003
South (Circuits 11 and 16) 9.02   (7.70 - 10.54) 9.15   (7.80 - 10.71) 0.872
Southeast -- (-- - --) 12.41 (10.69 - 14.36) --
Circuit 15 (Palm Beach) 9.21a   (7.38 - 11.44) 12.48 (10.40 - 14.91) 0.003
Circuit 19 9.32a   (7.18 - 12.02) 12.24   (9.87 - 15.08) 0.015
Georgia 10.47a   (9.19 - 11.90) 12.28 (11.20 - 13.44) 0.019
Region 1 10.03   (8.09 - 12.38) 10.92   (9.29 - 12.79) 0.404
Region 2 8.68a   (6.54 - 11.43) 11.40   (9.41 - 13.74) 0.021
Region 3 11.99a   (9.90 - 14.46) 15.28 (13.43 - 17.34) 0.011
Region 4 9.56   (6.94 - 13.03) 11.51   (9.11 - 14.45) 0.110
Region 5 11.25   (8.84 - 14.23) 10.96   (8.81 - 13.56) 0.807
Region 6 9.38   (7.22 - 12.10) 10.57   (8.59 - 12.95) 0.294
Hawaii 11.66 (10.23 - 13.27) 12.74 (11.37 - 14.24) 0.269
Hawaii Island 17.74 (14.03 - 22.17) 16.16 (12.97 - 19.96) 0.463
Honolulu 9.81   (8.36 - 11.47) 11.18   (9.73 - 12.82) 0.161
Kauai 14.98 (10.99 - 20.11) 18.29 (14.40 - 22.96) 0.139
Maui 14.50 (11.11 - 18.70) 15.99 (12.78 - 19.84) 0.420
Idaho 11.60 (10.27 - 13.07) 11.92 (10.71 - 13.24) 0.688
Region 1 12.85 (10.04 - 16.31) 12.80 (10.23 - 15.90) 0.973
Region 2 11.92   (9.02 - 15.60) 13.80 (10.81 - 17.45) 0.179
Region 3 9.70   (7.69 - 12.17) 9.30   (7.44 - 11.58) 0.712
Region 4 14.25 (11.99 - 16.85) 15.48 (13.35 - 17.87) 0.379
Region 5 10.62   (8.15 - 13.72) 9.97   (7.85 - 12.58) 0.560
Region 6 -- (-- - --) 11.10   (8.37 - 14.59) --
Region 7 -- (-- - --) 8.12   (6.37 - 10.32) --
Illinois 10.73a (10.03 - 11.47) 12.29 (11.41 - 13.22) 0.004
Region 1 (Cook) 12.05b (10.90 - 13.30) 13.50 (12.23 - 14.89) 0.082
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 9.76b   (8.76 - 10.88) 10.98   (9.87 - 12.20) 0.081
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 10.58a   (9.25 - 12.07) 13.44 (11.64 - 15.47) 0.003
Region 3a (Champaign) -- (-- - --) 19.39 (15.76 - 23.61) --
Region 3b -- (-- - --) 12.45 (10.52 - 14.68) --
Region 4 9.14   (7.50 - 11.10) 10.54   (8.85 - 12.50) 0.123
Region 4a (Sangamon) -- (-- - --) 13.35 (10.31 - 17.13) --
Region 4b -- (-- - --) 9.73   (7.87 - 11.97) --
Region 5 9.83b   (8.42 - 11.46) 11.34   (9.62 - 13.33) 0.096
Region 5a -- (-- - --) 11.10   (8.81 - 13.89) --
Region 5b -- (-- - --) 11.53   (9.34 - 14.16) --
Indiana 10.02a   (8.82 - 11.35) 13.78 (12.43 - 15.24) 0.000
Central 10.38a   (8.40 - 12.75) 14.30 (12.23 - 16.67) 0.001
East 8.82a   (6.76 - 11.44) 15.94 (12.73 - 19.77) 0.000
North Central 9.46b   (7.42 - 11.98) 11.54   (9.26 - 14.30) 0.054
Northeast 9.52a   (7.26 - 12.39) 12.32   (9.85 - 15.31) 0.015
Northwest 10.22a   (7.93 - 13.09) 13.31 (10.64 - 16.51) 0.016
Southeast 9.46a   (7.26 - 12.24) 12.36   (9.72 - 15.60) 0.022
Southwest 7.96a   (5.82 - 10.79) 12.07   (9.38 - 15.41) 0.000
West 13.12a (10.59 - 16.14) 17.96 (14.66 - 21.83) 0.001
Iowa 8.00b (7.02 - 9.10) 9.23   (8.15 - 10.44) 0.061
Central 8.53   (6.77 - 10.70) 9.38   (7.47 - 11.71) 0.398
North Central 8.31b   (6.33 - 10.82) 10.05   (7.96 - 12.61) 0.098
Northeast 9.06   (7.38 - 11.08) 9.33   (7.70 - 11.28) 0.772
Northwest 6.13a (4.73 - 7.93) 8.16   (6.39 - 10.35) 0.014
Southeast 7.82a (6.24 - 9.76) 9.73   (7.94 - 11.87) 0.043
Southwest 7.45   (5.52 - 10.00) 8.40   (6.45 - 10.87) 0.324
Kansas 9.12a   (7.99 - 10.39) 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 8.34a (7.29 - 9.53) 12.66 (11.33 - 14.12) 0.000
Adanta, Cumberland River, and Lifeskills 6.25a (4.73 - 8.20) 11.04   (8.86 - 13.67) 0.000
Bluegrass, Comprehend, and North Key 9.37a   (7.74 - 11.31) 13.82 (11.67 - 16.28) 0.000
Centerstone 9.75a   (7.73 - 12.24) 14.23 (11.87 - 16.96) 0.001
Communicare and River Valley 8.23a   (6.21 - 10.83) 11.46   (8.87 - 14.67) 0.004
Four Rivers and Pennyroyal 8.50b   (6.46 - 11.11) 10.47   (8.02 - 13.55) 0.077
Kentucky River, Mountain, and Pathways 6.23a (4.62 - 8.34) 11.95   (9.28 - 15.26) 0.000
Louisiana 8.19a (7.09 - 9.45) 11.26 (10.04 - 12.59) 0.000
Regions 1 and 10 -- (-- - --) 14.38 (11.99 - 17.15) --
Region 1 -- (-- - --) 17.19 (13.79 - 21.22) --
Region 10 (Jefferson) 9.20b   (6.82 - 12.28) 11.30   (8.73 - 14.51) 0.093
Regions 2 and 9 8.88a   (7.29 - 10.78) 12.33 (10.46 - 14.47) 0.001
Region 3 -- (-- - --) 8.93   (6.92 - 11.46) --
Regions 4, 5, and 6 7.09a (5.54 - 9.04) 8.90   (7.12 - 11.08) 0.048
Regions 7 and 8 8.25a   (6.58 - 10.29) 10.80   (8.89 - 13.06) 0.006
Maine 13.98a (12.52 - 15.57) 20.37 (18.58 - 22.30) 0.000
Aroostook/Downeast 11.33a   (9.00 - 14.18) 19.17 (16.05 - 22.74) 0.000
Aroostook -- (-- - --) 17.62 (14.08 - 21.83) --
Downeast -- (-- - --) 20.43 (16.03 - 25.67) --
Central 13.91a (11.21 - 17.14) 20.26 (16.67 - 24.40) 0.000
Cumberland 15.28a (12.74 - 18.22) 21.59 (18.50 - 25.03) 0.000
Midcoast 12.62a   (9.91 - 15.93) 19.85 (16.28 - 23.98) 0.000
Penquis 13.89a (11.30 - 16.97) 20.43 (16.92 - 24.46) 0.000
Western 15.11a (12.25 - 18.49) 21.00 (17.65 - 24.80) 0.001
York 14.35a (11.49 - 17.77) 19.42 (16.02 - 23.35) 0.006
Maryland 10.29a   (8.93 - 11.83) 15.17 (13.72 - 16.75) 0.000
Anne Arundel 9.39a   (7.24 - 12.09) 15.30 (12.25 - 18.93) 0.000
Baltimore City 13.21a   (9.95 - 17.32) 21.00 (17.52 - 24.96) 0.000
Baltimore County 11.36a   (8.83 - 14.49) 14.46 (11.66 - 17.81) 0.028
Montgomery 9.18a   (7.20 - 11.64) 12.57 (10.29 - 15.27) 0.004
North Central 8.46a   (6.38 - 11.15) 12.16   (9.61 - 15.28) 0.001
Northeast 9.61a   (7.29 - 12.59) 15.66 (12.47 - 19.49) 0.000
Prince George's 11.88a   (9.25 - 15.13) 18.27 (15.23 - 21.76) 0.000
South 9.35a   (7.05 - 12.31) 12.75 (10.10 - 15.98) 0.007
West 8.50a   (6.40 - 11.21) 14.09 (11.30 - 17.44) 0.000
Massachusetts 15.19a (13.66 - 16.85) 18.57 (16.95 - 20.30) 0.001
Boston 16.71a (13.21 - 20.90) 23.03 (19.25 - 27.29) 0.002
Central 14.80 (11.87 - 18.31) 17.13 (14.11 - 20.64) 0.155
Metrowest 13.21a (11.03 - 15.73) 18.70 (16.01 - 21.73) 0.000
Northeast 13.75b (11.29 - 16.65) 16.67 (14.15 - 19.54) 0.053
Southeast 15.46 (12.79 - 18.57) 17.24 (14.30 - 20.63) 0.254
Western 19.41 (16.09 - 23.22) 20.35 (16.99 - 24.19) 0.603
Michigan1 12.65a (11.89 - 13.44) 15.46 (14.48 - 16.50) 0.000
Region 1 13.67 (11.18 - 16.61) 14.93 (11.97 - 18.47) 0.364
Region 2 -- (-- - --) 11.76   (9.20 - 14.91) --
Region 3 -- (-- - --) 15.86 (13.77 - 18.20) --
Region 4 -- (-- - --) 14.97 (12.74 - 17.51) --
Region 5 -- (-- - --) 15.13 (13.31 - 17.14) --
Region 6 -- (-- - --) 16.49 (13.92 - 19.43) --
Region 7 -- (-- - --) 16.91 (14.80 - 19.26) --
Region 8 11.66a   (9.98 - 13.59) 14.37 (12.30 - 16.72) 0.021
Region 9 10.81a   (9.09 - 12.81) 16.22 (13.73 - 19.07) 0.000
Region 10 -- (-- - --) 15.39 (12.85 - 18.32) --
Minnesota 10.57a   (9.34 - 11.93) 12.73 (11.42 - 14.16) 0.005
Regions 1 and 2 12.61   (9.89 - 15.96) 12.45 (10.02 - 15.36) 0.897
Region 1 -- (-- - --) 10.99   (8.24 - 14.52) --
Region 2 -- (-- - --) 13.33 (10.17 - 17.29) --
Regions 3 and 4 10.93   (8.88 - 13.38) 11.57   (9.62 - 13.84) 0.547
Region 3 -- (-- - --) 11.81   (8.84 - 15.61) --
Region 4 -- (-- - --) 11.44   (9.20 - 14.13) --
Regions 5 and 6 9.04a   (7.29 - 11.17) 11.18   (9.32 - 13.35) 0.032
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) 9.95a   (7.96 - 12.36) 15.92 (13.45 - 18.73) 0.000
Region 7B (Ramsey) 10.88b   (8.33 - 14.08) 13.34 (10.60 - 16.65) 0.060
Region 7C 11.12   (9.04 - 13.62) 11.57   (9.56 - 13.93) 0.697
Mississippi 8.16 (7.13 - 9.32) 9.21   (8.11 - 10.44) 0.101
Region 1 9.06   (7.35 - 11.13) 10.10   (8.31 - 12.23) 0.290
Region 2 8.31   (6.15 - 11.14) 10.03   (7.83 - 12.76) 0.111
Region 3 6.67 (5.08 - 8.72) 7.88   (6.14 - 10.05) 0.157
Region 4 7.81b (6.24 - 9.74) 9.41   (7.51 - 11.73) 0.079
Region 5 8.65   (6.35 - 11.66) 9.79   (7.22 - 13.14) 0.289
Region 6 8.36   (6.28 - 11.05) 8.92   (6.93 - 11.41) 0.586
Region 7 8.17   (6.30 - 10.54) 8.23   (6.37 - 10.59) 0.946
Missouri 9.66a   (8.45 - 11.02) 13.27 (11.90 - 14.77) 0.000
Central 8.38a   (6.42 - 10.87) 11.93   (9.66 - 14.65) 0.001
Eastern 11.38a   (9.58 - 13.46) 14.46 (12.52 - 16.65) 0.007
Eastern (St. Louis City and County) 11.58a   (9.40 - 14.18) 15.75 (13.19 - 18.69) 0.003
Eastern (excluding St. Louis) 11.02   (8.63 - 13.97) 12.27   (9.94 - 15.06) 0.345
Northwest 9.42a   (7.80 - 11.32) 14.75 (12.62 - 17.17) 0.000
Northwest (Jackson) 10.51a   (8.27 - 13.26) 17.25 (14.17 - 20.84) 0.000
Northwest (excluding Jackson) 8.48a   (6.62 - 10.81) 12.64 (10.19 - 15.59) 0.000
Southeast 7.82a   (5.86 - 10.37) 10.86   (8.55 - 13.71) 0.007
Southwest 8.54a   (6.63 - 10.94) 11.30   (9.02 - 14.07) 0.017
Montana 13.88a (12.42 - 15.47) 16.98 (15.43 - 18.65) 0.002
Region 1 11.13   (8.51 - 14.43) 12.66   (9.83 - 16.17) 0.251
Region 2 12.49 (10.01 - 15.48) 13.79 (11.19 - 16.87) 0.363
Region 3 10.78a   (8.67 - 13.34) 13.62 (11.33 - 16.29) 0.029
Region 4 16.91 (14.50 - 19.63) 18.91 (16.31 - 21.82) 0.184
Region 5 14.67a (12.41 - 17.26) 20.16 (17.55 - 23.05) 0.000
Nebraska 9.49a   (8.33 - 10.80) 11.11   (9.88 - 12.48) 0.030
Regions 1 and 2 8.63   (6.74 - 10.99) 9.37   (7.38 - 11.83) 0.405
Region 1 7.99b   (5.81 - 10.91) 9.76   (7.27 - 12.97) 0.081
Region 2 9.18   (6.74 - 12.37) 9.03   (6.62 - 12.21) 0.890
Region 3 6.92a (5.23 - 9.10) 9.04   (7.17 - 11.34) 0.022
Region 4 7.78   (5.73 - 10.49) 8.21   (6.33 - 10.59) 0.649
Region 5 9.08a   (7.40 - 11.09) 11.62   (9.62 - 13.97) 0.016
Region 6 11.26   (9.48 - 13.34) 12.61 (10.80 - 14.67) 0.228
Nevada1 11.77 (10.24 - 13.49) 13.05 (11.62 - 14.62) 0.185
Clark – Region 1 11.52   (9.80 - 13.50) 12.60 (11.02 - 14.37) 0.322
Region 3 11.66   (9.06 - 14.88) 11.91   (9.43 - 14.94) 0.840
Capital District -- (-- - --) 12.93   (9.51 - 17.36) --
Rural/Frontier -- (-- - --) 10.99   (8.28 - 14.44) --
Washoe – Region 2 12.98b (10.43 - 16.03) 16.02 (13.22 - 19.27) 0.052
New Hampshire 14.88a (13.29 - 16.61) 17.98 (16.35 - 19.72) 0.004
Central 15.32 (13.14 - 17.79) 17.31 (15.08 - 19.78) 0.124
Central 1 17.09 (14.02 - 20.68) 19.36 (16.30 - 22.83) 0.187
Central 2 13.64 (11.07 - 16.71) 15.30 (12.56 - 18.51) 0.284
Northern 16.26a (12.98 - 20.18) 20.63 (17.13 - 24.62) 0.021
Southern 14.35a (12.57 - 16.35) 17.72 (15.78 - 19.83) 0.005
Southern 1 (Rockingham) 15.77 (12.98 - 19.02) 16.05 (13.43 - 19.08) 0.857
Southern 2 13.48a (11.42 - 15.84) 18.76 (16.33 - 21.45) 0.000
New Jersey 9.78a   (8.53 - 11.18) 12.16 (11.06 - 13.35) 0.003
Central 10.52   (8.44 - 13.04) 11.63   (9.80 - 13.74) 0.349
Metropolitan 8.83a   (7.11 - 10.91) 11.60   (9.75 - 13.74) 0.007
Northern 9.26a   (7.56 - 11.30) 11.86 (10.30 - 13.62) 0.014
Southern 10.75a   (8.66 - 13.26) 13.87 (11.89 - 16.12) 0.012
New Mexico 11.40a (10.06 - 12.90) 16.02 (14.41 - 17.78) 0.000
Region 1 11.92b   (9.80 - 14.43) 14.45 (11.84 - 17.51) 0.077
Region 2 11.35a   (8.89 - 14.39) 19.51 (15.80 - 23.84) 0.000
Region 3 (Bernalillo) 12.70a (10.63 - 15.11) 17.78 (15.30 - 20.56) 0.000
Region 4 9.41a   (7.14 - 12.30) 12.70 (10.12 - 15.83) 0.008
Region 5 10.04a   (8.06 - 12.43) 14.35 (12.08 - 16.95) 0.000
Region 5a -- (-- - --) 15.53 (12.42 - 19.25) --
Region 5b (Dona Ana) -- (-- - --) 13.27 (10.50 - 16.64) --
New York1 12.77a (11.98 - 13.61) 14.99 (14.12 - 15.90) 0.000
Region 1: Long Island 11.19a   (9.76 - 12.81) 13.55 (11.84 - 15.45) 0.015
Region 2: New York City 12.37a (11.19 - 13.65) 15.45 (14.20 - 16.79) 0.000
Region 2A: Bronx 11.16   (9.01 - 13.75) 11.53   (9.56 - 13.85) 0.748
Region 2B: Kings -- (-- - --) 17.17 (14.98 - 19.60) --
Region 2C: New York 17.22a (14.21 - 20.70) 22.69 (19.81 - 25.86) 0.004
Region 2D: Queens 9.37b   (7.75 - 11.27) 11.18   (9.39 - 13.27) 0.068
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 Carolina1 10.77   (9.53 - 12.15) 12.01 (10.94 - 13.17) 0.111
Alliance Behavioral Healthcare 1 -- (-- - --) 12.29   (9.94 - 15.10) --
Alliance Behavioral Healthcare 2 -- (-- - --) 12.16   (9.83 - 14.96) --
Cardinal Innovations Healthcare Solutions 1 -- (-- - --) 11.13   (8.89 - 13.85) --
Cardinal Innovations Healthcare Solutions 2 -- (-- - --) 10.89   (8.69 - 13.56) --
Cardinal Innovations Healthcare Solutions 3 13.15 (10.38 - 16.53) 14.02 (11.58 - 16.87) 0.564
CenterPoint Human Services 9.98   (7.38 - 13.38) 11.36   (8.96 - 14.30) 0.251
Eastpointe 11.40   (8.59 - 14.99) 9.89   (7.84 - 12.41) 0.214
Partners Behavioral Health Management 9.25a   (7.14 - 11.91) 11.86   (9.47 - 14.75) 0.028
Sandhills Center 1 10.20   (7.52 - 13.69) 11.99   (9.34 - 15.26) 0.160
Sandhills Center 2 12.47   (9.58 - 16.07) 14.04 (11.15 - 17.54) 0.257
Smoky Mountain Center 1 8.16a   (6.05 - 10.92) 11.58   (9.27 - 14.37) 0.003
Smoky Mountain Center 2 10.51   (7.95 - 13.77) 10.30   (7.96 - 13.23) 0.861
Trillium Health Resources 1 13.65 (10.42 - 17.67) 12.17   (9.89 - 14.89) 0.309
Trillium Health Resources 2 13.32 (10.11 - 17.34) 14.17 (11.26 - 17.68) 0.549
North Dakota 8.09a (7.13 - 9.18) 9.65   (8.59 - 10.83) 0.015
Badlands and West Central 7.20a (5.79 - 8.93) 9.16   (7.62 - 10.97) 0.020
Badlands -- (-- - --) 7.88   (5.76 - 10.71) --
West Central -- (-- - --) 9.53   (7.79 - 11.61) --
Lake Region -- (-- - --) 7.65   (5.64 - 10.31) --
North Central -- (-- - --) 9.90   (7.78 - 12.52) --
Northeast 10.36b   (8.25 - 12.94) 12.34 (10.16 - 14.91) 0.093
Northwest -- (-- - --) 9.18   (6.71 - 12.44) --
South Central -- (-- - --) 6.96 (5.13 - 9.38) --
Southeast 8.88   (7.40 - 10.64) 10.04   (8.45 - 11.88) 0.199
Ohio 10.21a   (9.55 - 10.91) 12.75 (11.87 - 13.70) 0.000
Boards 2, 46, 55, and 68 7.87a (6.36 - 9.70) 10.31   (8.03 - 13.14) 0.010
Boards 3, 52, and 85 8.90   (6.99 - 11.28) 9.82   (7.48 - 12.78) 0.365
Boards 4 and 78 9.14   (7.04 - 11.79) 10.44   (8.15 - 13.28) 0.203
Boards 5 and 60 11.18a   (9.14 - 13.61) 13.74 (10.98 - 17.07) 0.039
Boards 7, 15, 41, 79, and 84 7.29a (5.75 - 9.19) 10.39   (8.02 - 13.35) 0.001
Boards 8, 13, and 83 8.59   (6.86 - 10.70) 9.19   (7.06 - 11.88) 0.528
Board 9 (Butler) 10.44a   (8.31 - 13.03) 13.55 (10.82 - 16.85) 0.009
Board 12 9.05a   (7.34 - 11.12) 11.69   (9.18 - 14.78) 0.009
Boards 18 and 47 10.52a   (9.14 - 12.08) 14.33 (12.34 - 16.57) 0.000
Boards 20, 32, 54, and 69 7.20a (5.61 - 9.20) 9.18   (7.19 - 11.65) 0.023
Boards 21, 39, 51, 70, and 80 9.06   (7.19 - 11.35) 10.02   (7.91 - 12.62) 0.336
Boards 22, 74, and 87 9.48a   (7.62 - 11.75) 11.82   (9.49 - 14.63) 0.020
Boards 23 and 45 9.33   (7.37 - 11.74) 10.75   (8.52 - 13.47) 0.172
Board 25 (Franklin) 13.69a (11.89 - 15.71) 16.33 (14.04 - 18.91) 0.037
Boards 27, 71, and 73 7.83a   (6.09 - 10.00) 12.27   (9.71 - 15.40) 0.000
Boards 28, 43, and 67 10.17   (8.42 - 12.24) 10.51   (8.34 - 13.17) 0.758
Board 31 (Hamilton) 12.23a (10.25 - 14.54) 17.02 (14.43 - 19.98) 0.000
Board 48 (Lucas) 12.53b (10.23 - 15.26) 14.90 (11.92 - 18.47) 0.088
Boards 50 and 76 10.01a   (8.13 - 12.27) 12.69 (10.39 - 15.41) 0.014
Board 57 (Montgomery) 10.93a   (8.90 - 13.36) 13.62 (10.93 - 16.86) 0.041
Board 77 (Summit) 11.15   (9.18 - 13.48) 11.75   (9.35 - 14.67) 0.579
Oklahoma 10.23   (8.89 - 11.75) 11.02   (9.78 - 12.40) 0.314
Central 9.74   (7.51 - 12.55) 10.90   (8.66 - 13.63) 0.302
East Central 9.83   (7.38 - 12.99) 8.11   (6.22 - 10.52) 0.104
Northeast 9.57   (7.42 - 12.26) 10.45   (8.14 - 13.33) 0.433
Northwest and Southwest 10.78   (8.38 - 13.77) 12.02   (9.59 - 14.97) 0.304
Oklahoma County 10.22b   (7.88 - 13.15) 12.59 (10.26 - 15.36) 0.063
Southeast 10.46   (8.09 - 13.42) 8.97   (7.00 - 11.42) 0.179
Tulsa County 10.79   (8.54 - 13.55) 12.58 (10.23 - 15.38) 0.137
Oregon 14.79a (13.27 - 16.46) 21.41 (19.73 - 23.20) 0.000
Region 1 (Multnomah) 20.59a (17.03 - 24.68) 28.61 (25.09 - 32.42) 0.000
Region 2 12.54a (10.29 - 15.20) 18.67 (16.05 - 21.60) 0.000
Region 3 14.95a (12.79 - 17.41) 20.86 (18.27 - 23.71) 0.000
Region 4 12.29a   (9.68 - 15.48) 19.18 (16.12 - 22.66) 0.000
Region 5 (Central) 14.57a (11.09 - 18.92) 18.76 (14.47 - 23.97) 0.022
Region 6 (Eastern) 11.21a   (8.53 - 14.59) 18.99 (15.23 - 23.42) 0.000
Pennsylvania 10.22a   (9.51 - 10.97) 12.90 (12.01 - 13.84) 0.000
Region 1 (Allegheny) 12.14a (10.31 - 14.25) 15.26 (12.95 - 17.90) 0.014
Regions 3, 8, 9, and 51 9.06a   (7.34 - 11.15) 11.93   (9.80 - 14.46) 0.006
Regions 4, 11, 37, and 49 8.55a   (6.93 - 10.50) 12.54 (10.18 - 15.36) 0.000
Regions 5, 18, 23, 24, and 46 9.01   (7.03 - 11.49) 9.41   (7.58 - 11.63) 0.705
Regions 6, 12, 16, 31, 35, 45, and 47 10.53a   (8.60 - 12.84) 14.37 (11.85 - 17.32) 0.001
Regions 7, 13, 20, and 33 11.83 (10.44 - 13.38) 12.74 (11.15 - 14.53) 0.344
Regions 10, 15, 27, 32, 43, and 44 8.53   (6.74 - 10.75) 8.89   (6.83 - 11.51) 0.717
Regions 17 and 21 10.80   (8.65 - 13.42) 11.21   (8.76 - 14.24) 0.723
Regions 19, 26, 28, and 42 8.10a (6.65 - 9.84) 9.98   (8.37 - 11.86) 0.034
Regions 22, 38, 40, 41, and 48 7.80a (6.36 - 9.54) 9.82   (7.83 - 12.25) 0.026
Regions 29 and 34 7.89a (6.20 - 9.99) 11.49   (9.07 - 14.45) 0.000
Regions 30 and 50 8.41a   (6.73 - 10.45) 11.29   (9.02 - 14.05) 0.004
Region 36 (Philadelphia) 13.89a (11.95 - 16.08) 20.41 (17.66 - 23.47) 0.000
Rhode Island 16.07a (14.37 - 17.94) 19.72 (17.97 - 21.59) 0.002
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 9.87b   (8.67 - 11.23) 11.34 (10.12 - 12.69) 0.063
Region 1 -- (-- - --) 9.59   (7.92 - 11.58) --
Region 2 -- (-- - --) 12.52 (10.48 - 14.90) --
Region 3 9.59   (7.46 - 12.24) 10.30   (8.27 - 12.77) 0.520
Region 4 10.28a   (8.34 - 12.61) 12.97 (10.96 - 15.29) 0.022
South Dakota 8.74a (7.69 - 9.92) 11.12   (9.87 - 12.50) 0.001
Region 1 -- (-- - --) 14.14 (11.84 - 16.81) --
Region 2 -- (-- - --) 9.88   (7.46 - 12.98) --
Region 3 -- (-- - --) 9.59   (7.82 - 11.71) --
Region 4 -- (-- - --) 11.66   (9.45 - 14.31) --
Region 5 -- (-- - --) 9.90   (8.10 - 12.04) --
Tennessee 9.58a   (8.37 - 10.94) 11.87 (10.60 - 13.26) 0.003
Region 1 7.99a   (5.93 - 10.69) 10.36   (8.02 - 13.30) 0.031
Region 2 7.59a (5.88 - 9.73) 10.65   (8.55 - 13.19) 0.002
Region 3 -- (-- - --) 9.97   (8.02 - 12.34) --
Region 4 (Davidson) 14.36 (11.41 - 17.91) 15.15 (12.06 - 18.85) 0.607
Region 5 -- (-- - --) 14.00 (11.70 - 16.68) --
Region 6 8.79   (6.65 - 11.54) 9.67   (7.48 - 12.42) 0.408
Region 7 (Shelby) 11.83   (9.29 - 14.95) 11.89   (9.48 - 14.80) 0.967
Texas 8.70a (8.10 - 9.33) 10.08   (9.38 - 10.83) 0.002
Region 1 9.79   (7.95 - 12.01) 9.51   (7.48 - 12.03) 0.769
Region 2 8.62a   (6.64 - 11.12) 12.15   (9.66 - 15.18) 0.001
Region 3 8.81 (7.81 - 9.92) 9.59   (8.59 - 10.71) 0.207
Region 3a 8.32 (7.14 - 9.66) 9.51   (8.30 - 10.88) 0.109
Region 3bc 9.67   (8.20 - 11.39) 9.74   (8.24 - 11.48) 0.941
Region 4 9.21   (7.31 - 11.55) 9.32   (7.51 - 11.52) 0.908
Region 5 8.59a   (6.72 - 10.90) 10.53   (8.24 - 13.36) 0.050
Region 6 8.05a (7.06 - 9.18) 9.63   (8.46 - 10.95) 0.017
Region 6a 7.85a (6.78 - 9.06) 9.60   (8.36 - 11.01) 0.013
Region 6bc 9.75   (7.63 - 12.38) 9.92   (7.64 - 12.79) 0.860
Region 7 11.60a (10.15 - 13.22) 14.65 (12.95 - 16.53) 0.001
Region 7a 12.29a (10.40 - 14.47) 15.81 (13.56 - 18.35) 0.004
Region 7bcd 10.45a   (8.56 - 12.70) 12.60 (10.43 - 15.16) 0.034
Region 8 8.12a (6.78 - 9.69) 10.02   (8.46 - 11.83) 0.024
Region 9 8.50a   (6.67 - 10.77) 10.79   (8.36 - 13.83) 0.018
Region 10 6.99 (5.37 - 9.04) 7.81 (6.16 - 9.85) 0.271
Region 11 6.80 (5.71 - 8.07) 6.86 (5.73 - 8.20) 0.908
Region 11abd 7.33 (5.91 - 9.06) 6.92 (5.56 - 8.60) 0.570
Region 11c (Hidalgo) 5.81 (4.49 - 7.48) 6.76 (5.21 - 8.74) 0.158
Utah 6.73a (5.81 - 7.79) 9.60   (8.53 - 10.80) 0.000
Bear River, Northeastern, Summit, Tooele, and Wasatch 6.72a (4.99 - 8.98) 9.03   (6.90 - 11.74) 0.012
Central, Four Corners, San Juan, and Southwest 5.76a (4.26 - 7.73) 8.83   (7.01 - 11.08) 0.000
Central, Four Corners, and San Juan -- (-- - --) 7.96   (5.78 - 10.87) --
Southwest -- (-- - --) 9.37   (7.06 - 12.34) --
Davis County 6.73 (5.06 - 8.91) 8.12   (6.13 - 10.68) 0.125
Salt Lake County 7.72a (6.35 - 9.35) 11.45   (9.84 - 13.30) 0.000
Utah County 5.40a (4.13 - 7.03) 8.09   (6.35 - 10.26) 0.002
Weber, Morgan 6.65b (4.82 - 9.11) 8.44   (6.50 - 10.88) 0.052
Vermont 16.74a (15.13 - 18.49) 21.19 (19.43 - 23.07) 0.000
Champlain Valley 17.73a (15.56 - 20.13) 22.78 (20.39 - 25.35) 0.001
Rural Northeast 17.37a (14.60 - 20.53) 22.07 (18.54 - 26.06) 0.011
Rural Southeast 16.61 (13.67 - 20.03) 19.15 (16.25 - 22.42) 0.150
Rural Southwest 13.59a (11.03 - 16.63) 18.49 (15.31 - 22.15) 0.002
Virginia 9.77a   (8.60 - 11.07) 11.39 (10.39 - 12.48) 0.024
Region 1 9.73   (7.89 - 11.94) 11.03   (9.14 - 13.24) 0.183
Region 2 8.41   (6.73 - 10.47) 8.89   (7.49 - 10.51) 0.610
Region 3 9.63   (7.63 - 12.09) 10.84   (9.09 - 12.87) 0.279
Region 4 9.90a   (7.74 - 12.59) 13.12 (11.10 - 15.45) 0.012
Region 5 11.36a   (9.24 - 13.90) 13.96 (12.01 - 16.17) 0.034
Washington1 13.80a (12.26 - 15.49) 18.63 (16.93 - 20.46) 0.000
Region 1 12.18a (10.01 - 14.73) 17.08 (14.59 - 19.90) 0.000
Greater Columbia and North Central -- (-- - --) 14.54 (11.81 - 17.78) --
Spokane -- (-- - --) 20.82 (16.70 - 25.64) --
Region 2 14.36a (12.38 - 16.61) 18.74 (16.53 - 21.17) 0.001
King 14.21a (11.84 - 16.96) 19.03 (16.33 - 22.06) 0.002
North Sound 14.63a (11.89 - 17.88) 18.22 (15.05 - 21.89) 0.031
Region 3 14.07a (12.00 - 16.44) 19.52 (17.23 - 22.03) 0.000
Pierce -- (-- - --) 21.33 (17.90 - 25.21) --
Salish -- (-- - --) 17.95 (13.87 - 22.91) --
SW WA and Great Rivers -- (-- - --) 18.47 (14.86 - 22.71) --
Thurston-Mason -- (-- - --) 19.12 (14.64 - 24.57) --
West Virginia 9.94b   (8.69 - 11.33) 11.26 (10.02 - 12.63) 0.089
Region I 9.24   (6.82 - 12.41) 10.11   (7.79 - 13.03) 0.445
Region II 9.51   (7.31 - 12.27) 9.94   (7.81 - 12.57) 0.704
Region III 8.14a   (6.04 - 10.88) 11.08   (8.61 - 14.14) 0.010
Region IV 11.57a   (9.47 - 14.07) 14.00 (11.71 - 16.67) 0.048
Region V 10.28   (8.45 - 12.46) 11.36   (9.36 - 13.71) 0.337
Region VI 9.09   (7.10 - 11.57) 9.39   (7.45 - 11.77) 0.780
Wisconsin 10.36a   (9.13 - 11.73) 12.31 (11.06 - 13.68) 0.013
Milwaukee 11.70a   (9.31 - 14.60) 16.06 (13.40 - 19.12) 0.002
Northeastern 8.90   (7.15 - 11.03) 9.18   (7.35 - 11.42) 0.776
Northern 8.14   (6.04 - 10.88) 9.52   (7.31 - 12.31) 0.173
Southeastern 9.67   (7.70 - 12.08) 11.48   (9.53 - 13.76) 0.104
Southern 12.74 (10.39 - 15.52) 13.64 (11.38 - 16.25) 0.487
Western 10.26a   (8.16 - 12.82) 13.97 (11.44 - 16.95) 0.003
Wyoming 9.33a   (8.20 - 10.59) 11.13   (9.85 - 12.56) 0.014
Judicial District 1 (Laramie) 8.83a   (6.96 - 11.13) 12.38 (10.08 - 15.11) 0.002
Judicial District 2 14.67 (11.87 - 18.00) 16.04 (13.21 - 19.33) 0.358
Judicial District 3 6.85a (5.32 - 8.78) 8.96   (6.95 - 11.49) 0.024
Judicial District 4 8.37   (6.11 - 11.36) 9.60   (7.14 - 12.80) 0.247
Judicial District 5 7.94   (6.02 - 10.39) 7.81   (5.92 - 10.25) 0.895
Judicial District 6 8.10   (6.23 - 10.47) 9.34   (7.24 - 11.96) 0.209
Judicial District 7 (Natrona) 10.96   (8.68 - 13.75) 10.89   (8.61 - 13.68) 0.955
Judicial District 8 8.82   (6.58 - 11.74) 9.74   (7.45 - 12.64) 0.378
Judicial District 9 10.29a   (7.83 - 13.42) 14.00 (11.06 - 17.55) 0.008
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2014-2016); hence, the 2008-2010 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 2008-2010 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 2008-2010 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2008-2010 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 (2008-2010 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, 2008-2010 and 2014-2016.
180416
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, 2008-2010 and 2014-2016 NSDUHs
State/Substate Region 2008-2010
(Estimate)
2008-2010
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 6.58a (6.40 - 6.77) 8.53 (8.35 - 8.71) 0.000
Northeast 7.30a (6.95 - 7.66) 9.53 (9.10 - 9.98) 0.000
Midwest 6.19a (5.93 - 6.47) 8.14 (7.80 - 8.49) 0.000
South 5.55a (5.30 - 5.80) 7.03 (6.74 - 7.34) 0.000
West 8.02a (7.59 - 8.47) 10.48 (10.06 - 10.92) 0.000
Alabama 4.88 (4.09 - 5.81) 5.25 (4.46 - 6.18) 0.424
Region 1 4.54 (3.38 - 6.07) 5.10 (3.97 - 6.54) 0.377
Region 2 5.20 (4.03 - 6.68) 5.54 (4.37 - 7.01) 0.605
Region 3 5.75 (4.32 - 7.63) 5.09 (3.86 - 6.69) 0.329
Region 4 4.15 (3.02 - 5.66) 5.16 (3.99 - 6.66) 0.102
Alaska 11.49a   (9.93 - 13.25) 15.48 (13.94 - 17.17) 0.000
Anchorage 11.11b   (9.17 - 13.40) 13.51 (11.57 - 15.71) 0.060
Northern 12.73a (10.09 - 15.94) 17.95 (15.02 - 21.31) 0.002
South Central 11.35a   (8.68 - 14.73) 15.72 (13.16 - 18.67) 0.009
Southeast 10.82a   (8.01 - 14.45) 17.39 (13.67 - 21.88) 0.000
Arizona1 6.50b (5.42 - 7.78) 7.74 (6.72 - 8.90) 0.061
Central 6.17a (4.94 - 7.68) 8.01 (6.81 - 9.40) 0.022
North -- (-- - --) 7.09 (5.31 - 9.41) --
South -- (-- - --) 7.45 (6.00 - 9.23) --
South A 7.98   (5.85 - 10.80) 7.88   (6.07 - 10.17) 0.921
South B -- (-- - --) 6.94 (5.17 - 9.26) --
Arkansas 5.53a (4.63 - 6.59) 7.10 (6.13 - 8.21) 0.004
Catchment Area 1 5.52a (3.97 - 7.62) 7.26 (5.60 - 9.37) 0.036
Catchment Area 2 4.84 (3.37 - 6.90) 6.02 (4.46 - 8.08) 0.120
Catchment Area 3 5.31b (3.83 - 7.32) 6.84 (5.24 - 8.89) 0.057
Catchment Area 4 4.78a (3.31 - 6.87) 6.96 (5.22 - 9.22) 0.006
Catchment Area 5 6.18 (4.69 - 8.10) 6.20 (4.72 - 8.11) 0.972
Catchment Area 6 6.46 (4.56 - 9.07) 8.00   (5.99 - 10.61) 0.101
Catchment Area 7 5.16b (3.55 - 7.43) 6.43 (4.62 - 8.89) 0.094
Catchment Area 8 5.78a (4.28 - 7.77) 8.47   (6.64 - 10.75) 0.003
California 8.05a (7.39 - 8.76) 10.21   (9.62 - 10.84) 0.000
Region 1R 13.99 (10.68 - 18.11) 15.29 (12.33 - 18.80) 0.448
Region 2R 8.24a   (6.32 - 10.69) 11.40   (9.16 - 14.11) 0.003
Region 3R (Sacramento) 9.44   (7.22 - 12.24) 10.86   (8.91 - 13.17) 0.188
Region 4R 8.18a   (6.19 - 10.73) 11.16   (9.01 - 13.75) 0.006
Region 5R (San Francisco) 12.71   (9.55 - 16.72) 15.29 (12.15 - 19.06) 0.147
Region 6 (Santa Clara) 6.68a (5.07 - 8.76) 8.76   (7.17 - 10.67) 0.019
Region 7R (Contra Costa) 8.61b   (6.39 - 11.49) 10.53   (8.55 - 12.91) 0.085
Region 8R (Alameda) 9.08a   (7.06 - 11.61) 12.15   (9.97 - 14.74) 0.009
Region 9R (San Mateo) 7.19a (5.25 - 9.76) 10.60   (8.27 - 13.50) 0.001
Region 10 10.85   (8.47 - 13.79) 10.40   (8.21 - 13.09) 0.706
Region 11 (Los Angeles) 7.21a (6.35 - 8.18) 9.84   (8.95 - 10.81) 0.000
LA SPA 1 and 5 9.04a   (6.77 - 11.98) 11.94   (9.46 - 14.96) 0.014
LA SPA 2 6.84a (5.28 - 8.83) 9.57   (7.81 - 11.67) 0.003
LA SPA 3 5.93 (4.53 - 7.72) 6.68 (5.28 - 8.43) 0.279
LA SPA 4 7.88a   (5.94 - 10.39) 12.23   (9.65 - 15.39) 0.000
LA SPA 6 7.20a (5.37 - 9.60) 11.39   (9.24 - 13.98) 0.000
LA SPA 7 6.39a (4.82 - 8.43) 8.18   (6.46 - 10.30) 0.025
LA SPA 8 8.14a   (6.16 - 10.69) 10.99   (9.07 - 13.25) 0.012
Region 12R 7.75   (5.60 - 10.63) 8.67   (6.75 - 11.07) 0.324
Regions 13 and 19R 8.05   (6.36 - 10.14) 8.57   (7.12 - 10.27) 0.550
Region 14 (Orange) 6.49a (5.23 - 8.02) 8.54   (7.01 - 10.36) 0.009
Region 15R (Fresno) 7.09a (5.24 - 9.51) 9.79   (7.72 - 12.34) 0.005
Region 16R (San Diego) 8.85a   (7.20 - 10.82) 11.10   (9.47 - 12.96) 0.018
Region 17R 6.78a (5.23 - 8.74) 8.68   (7.11 - 10.57) 0.034
Region 18R (San Bernardino) 6.13a (4.72 - 7.94) 8.89   (7.34 - 10.72) 0.001
Region 20R 7.95   (5.97 - 10.51) 9.28   (7.30 - 11.73) 0.149
Region 21R 11.03b   (8.34 - 14.45) 13.48 (10.82 - 16.66) 0.075
Colorado 11.18a   (9.68 - 12.89) 15.65 (14.10 - 17.34) 0.000
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 7.55a (6.46 - 8.80) 9.27   (8.11 - 10.58) 0.013
Eastern 9.00   (6.62 - 12.11) 10.61   (8.25 - 13.55) 0.165
North Central 7.54b (6.01 - 9.43) 9.27   (7.53 - 11.37) 0.070
Northwestern 7.66   (5.82 - 10.01) 8.61   (6.75 - 10.93) 0.314
South Central 8.03b   (6.34 - 10.12) 9.72   (7.88 - 11.92) 0.082
Southwest 5.89a (4.30 - 8.01) 8.49   (6.64 - 10.80) 0.004
Delaware 6.87a (5.84 - 8.06) 8.89   (7.74 - 10.19) 0.002
Kent 6.83a (5.10 - 9.10) 8.78   (6.96 - 11.01) 0.040
New Castle (excluding Wilmington City) 6.77a (5.57 - 8.21) 8.70   (7.34 - 10.29) 0.012
Sussex 5.84 (4.33 - 7.83) 7.17 (5.49 - 9.31) 0.123
Wilmington City 10.10a   (7.56 - 13.36) 15.19 (11.56 - 19.71) 0.001
District of Columbia 9.25a   (7.97 - 10.70) 13.89 (12.42 - 15.50) 0.000
Ward 1 9.99a   (7.51 - 13.17) 16.43 (13.23 - 20.22) 0.000
Ward 2 8.88a   (6.63 - 11.78) 17.49 (14.11 - 21.48) 0.000
Ward 3 6.88a (5.13 - 9.17) 9.73   (7.57 - 12.42) 0.009
Ward 4 8.64   (6.21 - 11.90) 10.84   (8.43 - 13.84) 0.112
Ward 5 9.52a   (6.97 - 12.87) 14.61 (11.62 - 18.21) 0.001
Ward 6 9.14b   (6.76 - 12.25) 11.44   (9.07 - 14.34) 0.087
Ward 7 10.29a   (7.82 - 13.44) 14.07 (11.13 - 17.64) 0.012
Ward 8 11.24a   (8.58 - 14.60) 16.64 (13.46 - 20.39) 0.001
Florida1 6.12a (5.54 - 6.75) 7.70 (7.07 - 8.38) 0.000
Broward (Circuit 17) 5.93a (4.75 - 7.38) 7.98 (6.45 - 9.83) 0.009
Central I -- (-- - --) 8.41 (7.20 - 9.79) --
Circuit 9 5.89a (4.62 - 7.47) 8.63   (7.17 - 10.36) 0.001
Circuit 18 6.86 (5.23 - 8.95) 8.07   (6.37 - 10.18) 0.172
Central II -- (-- - --) 7.40 (6.53 - 8.37) --
Circuit 6 5.82a (4.46 - 7.57) 8.53   (6.90 - 10.50) 0.002
Circuit 10 4.97b (3.62 - 6.79) 6.22 (4.89 - 7.89) 0.076
Circuit 12 5.68 (4.11 - 7.80) 6.39 (4.83 - 8.41) 0.372
Circuit 13 (Hillsborough) 6.76a (5.36 - 8.48) 8.66   (7.08 - 10.55) 0.022
Circuit 20 6.40 (4.85 - 8.40) 6.10 (4.66 - 7.95) 0.708
Northeast -- (-- - --) 8.41 (7.34 - 9.61) --
Circuit 4 7.75 (6.05 - 9.87) 8.39   (6.64 - 10.54) 0.493
Circuit 5 5.33a (4.01 - 7.07) 7.54 (5.90 - 9.58) 0.008
Circuit 7 6.60b (4.90 - 8.83) 8.24   (6.49 - 10.41) 0.074
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee -- (-- - --) 10.51   (8.25 - 13.31) --
Northwest -- (-- - --) 10.03   (8.65 - 11.61) --
Circuit 1 6.76 (5.10 - 8.93) 7.83 (6.20 - 9.84) 0.209
Circuit 2 plus Madison and Taylor -- (-- - --) 13.80 (11.18 - 16.92) --
Circuit 14 6.97a (4.88 - 9.85) 9.70   (7.31 - 12.77) 0.009
South (Circuits 11 and 16) 5.31 (4.28 - 6.56) 5.36 (4.40 - 6.52) 0.923
Southeast -- (-- - --) 7.55 (6.29 - 9.05) --
Circuit 15 (Palm Beach) 5.11a (3.87 - 6.73) 7.61 (6.05 - 9.53) 0.002
Circuit 19 5.44a (3.92 - 7.50) 7.44 (5.76 - 9.54) 0.013
Georgia 5.39a (4.53 - 6.40) 7.31 (6.52 - 8.18) 0.000
Region 1 4.49a (3.35 - 6.00) 6.09 (4.97 - 7.44) 0.019
Region 2 4.83a (3.44 - 6.75) 6.88 (5.47 - 8.62) 0.010
Region 3 6.58a (5.15 - 8.38) 9.14   (7.78 - 10.71) 0.005
Region 4 5.40b (3.65 - 7.92) 6.90 (5.19 - 9.12) 0.083
Region 5 5.36b (3.89 - 7.33) 6.80 (5.21 - 8.81) 0.069
Region 6 4.91a (3.51 - 6.82) 6.61 (5.18 - 8.40) 0.028
Hawaii 8.00 (6.70 - 9.53) 7.75 (6.67 - 9.00) 0.754
Hawaii Island 13.01a   (9.62 - 17.37) 9.25   (6.99 - 12.15) 0.021
Honolulu 6.41 (5.14 - 7.97) 6.83 (5.71 - 8.15) 0.605
Kauai 10.37   (7.04 - 15.02) 10.55   (7.73 - 14.24) 0.903
Maui 10.85   (7.78 - 14.93) 10.55   (8.04 - 13.72) 0.840
Idaho 6.95 (5.93 - 8.14) 6.79 (5.86 - 7.85) 0.787
Region 1 7.72   (5.56 - 10.61) 6.91 (5.21 - 9.10) 0.431
Region 2 7.33   (5.16 - 10.32) 7.78   (5.69 - 10.54) 0.644
Region 3 6.07 (4.52 - 8.10) 5.17 (3.91 - 6.81) 0.255
Region 4 8.51   (6.83 - 10.55) 8.40   (6.83 - 10.28) 0.909
Region 5 6.01 (4.33 - 8.29) 5.90 (4.42 - 7.82) 0.880
Region 6 -- (-- - --) 6.96 (5.04 - 9.54) --
Region 7 -- (-- - --) 5.45 (4.08 - 7.24) --
Illinois 6.09a (5.56 - 6.68) 8.02 (7.32 - 8.77) 0.000
Region 1 (Cook) 7.00a (6.13 - 7.98) 8.61 (7.66 - 9.67) 0.009
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 5.46a (4.73 - 6.29) 7.26 (6.38 - 8.25) 0.000
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 6.06a (5.06 - 7.24) 8.71   (7.28 - 10.39) 0.000
Region 3a (Champaign) -- (-- - --) 13.40 (10.55 - 16.87) --
Region 3b -- (-- - --) 7.93 (6.40 - 9.79) --
Region 4 4.61a (3.56 - 5.97) 7.58 (6.15 - 9.31) 0.000
Region 4a (Sangamon) -- (-- - --) 8.05   (5.96 - 10.80) --
Region 4b -- (-- - --) 7.44 (5.80 - 9.50) --
Region 5 5.62a (4.58 - 6.89) 7.50 (6.18 - 9.06) 0.005
Region 5a -- (-- - --) 8.07   (6.19 - 10.45) --
Region 5b -- (-- - --) 7.04 (5.46 - 9.02) --
Indiana 6.26a (5.32 - 7.35) 8.87   (7.76 - 10.11) 0.000
Central 6.35b (4.88 - 8.23) 7.88 (6.38 - 9.70) 0.069
East 6.02a (4.38 - 8.23) 10.34   (7.85 - 13.50) 0.000
North Central 5.99a (4.43 - 8.05) 8.42   (6.52 - 10.80) 0.004
Northeast 6.10a (4.43 - 8.35) 8.85   (6.72 - 11.57) 0.003
Northwest 6.64b (4.76 - 9.21) 8.30   (6.31 - 10.85) 0.075
Southeast 5.67a (4.09 - 7.82) 9.05   (6.86 - 11.85) 0.000
Southwest 4.98a (3.44 - 7.16) 7.62   (5.66 - 10.19) 0.001
West 7.81a   (5.97 - 10.15) 11.90   (9.23 - 15.21) 0.000
Iowa 4.50 (3.76 - 5.38) 4.98 (4.20 - 5.90) 0.290
Central 4.94 (3.65 - 6.65) 5.42 (4.07 - 7.19) 0.481
North Central 4.20b (3.00 - 5.83) 5.39 (4.00 - 7.22) 0.053
Northeast 5.13 (3.93 - 6.66) 5.24 (4.10 - 6.68) 0.859
Northwest 3.43b (2.42 - 4.83) 4.33 (3.19 - 5.85) 0.078
Southeast 4.72 (3.56 - 6.24) 4.72 (3.53 - 6.27) 0.994
Southwest 3.76 (2.54 - 5.52) 4.64 (3.33 - 6.43) 0.138
Kansas 5.21a (4.34 - 6.25) 7.01 (6.03 - 8.14) 0.001
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 4.65a (3.88 - 5.57) 7.24 (6.22 - 8.42) 0.000
Adanta, Cumberland River, and Lifeskills 3.48a (2.45 - 4.92) 6.32 (4.78 - 8.30) 0.000
Bluegrass, Comprehend, and North Key 4.98a (3.85 - 6.40) 7.67 (6.15 - 9.53) 0.000
Centerstone 5.47a (4.07 - 7.31) 8.31   (6.51 - 10.55) 0.001
Communicare and River Valley 4.59a (3.22 - 6.51) 6.72 (4.94 - 9.09) 0.002
Four Rivers and Pennyroyal 5.01 (3.57 - 6.97) 5.89 (4.27 - 8.07) 0.210
Kentucky River, Mountain, and Pathways 3.80a (2.69 - 5.35) 7.02 (5.18 - 9.44) 0.000
Louisiana 4.86a (4.09 - 5.78) 6.67 (5.72 - 7.76) 0.000
Regions 1 and 10 -- (-- - --) 9.03   (7.20 - 11.28) --
Region 1 -- (-- - --) 11.80   (8.91 - 15.47) --
Region 10 (Jefferson) 5.53 (3.87 - 7.85) 6.01 (4.45 - 8.07) 0.528
Regions 2 and 9 5.48a (4.31 - 6.95) 7.11 (5.67 - 8.89) 0.026
Region 3 -- (-- - --) 5.38 (4.01 - 7.18) --
Regions 4, 5, and 6 3.99a (2.97 - 5.34) 5.78 (4.40 - 7.55) 0.004
Regions 7 and 8 4.38b (3.27 - 5.84) 5.44 (4.21 - 7.00) 0.076
Maine 9.55a   (8.25 - 11.03) 14.91 (13.33 - 16.64) 0.000
Aroostook/Downeast 7.15a (5.30 - 9.58) 14.70 (11.89 - 18.03) 0.000
Aroostook -- (-- - --) 14.01 (10.75 - 18.05) --
Downeast -- (-- - --) 15.26 (11.55 - 19.88) --
Central 10.22a   (7.83 - 13.23) 14.70 (11.64 - 18.40) 0.003
Cumberland 11.50a   (9.20 - 14.28) 15.67 (13.03 - 18.73) 0.005
Midcoast 8.65a   (6.29 - 11.79) 13.97 (11.03 - 17.53) 0.000
Penquis 9.31a   (7.04 - 12.22) 16.20 (13.06 - 19.92) 0.000
Western 9.55a   (7.36 - 12.32) 15.25 (12.22 - 18.86) 0.000
York 9.11a   (6.75 - 12.20) 13.44 (10.64 - 16.85) 0.003
Maryland 5.70a (4.75 - 6.84) 9.89   (8.74 - 11.18) 0.000
Anne Arundel 5.51a (3.95 - 7.64) 9.76   (7.40 - 12.77) 0.000
Baltimore City 7.40a   (5.35 - 10.15) 15.37 (12.36 - 18.96) 0.000
Baltimore County 6.40a (4.67 - 8.70) 9.91   (7.67 - 12.71) 0.000
Montgomery 4.57a (3.27 - 6.36) 7.44 (5.86 - 9.41) 0.000
North Central 5.14a (3.63 - 7.23) 7.83   (5.87 - 10.38) 0.001
Northeast 5.90a (4.16 - 8.30) 9.22   (6.99 - 12.06) 0.000
Prince George's 6.13a (4.43 - 8.42) 11.32   (8.99 - 14.17) 0.000
South 5.12a (3.64 - 7.16) 8.42   (6.31 - 11.15) 0.000
West 4.95a (3.51 - 6.96) 10.10   (7.75 - 13.07) 0.000
Massachusetts 9.21a   (8.07 - 10.49) 12.24 (10.95 - 13.65) 0.000
Boston 10.39a   (7.77 - 13.75) 15.34 (12.35 - 18.91) 0.001
Central 8.66a   (6.62 - 11.27) 12.47   (9.83 - 15.69) 0.001
Metrowest 7.72a (6.16 - 9.65) 12.29 (10.13 - 14.84) 0.000
Northeast 8.50b   (6.65 - 10.80) 10.53   (8.61 - 12.81) 0.057
Southeast 9.93   (7.85 - 12.50) 11.33   (9.06 - 14.09) 0.244
Western 11.27   (8.88 - 14.21) 12.86 (10.23 - 16.04) 0.245
Michigan1 8.04a (7.39 - 8.74) 10.45   (9.63 - 11.33) 0.000
Region 1 8.28b   (6.34 - 10.75) 10.07   (7.78 - 12.94) 0.081
Region 2 -- (-- - --) 8.40   (6.32 - 11.10) --
Region 3 -- (-- - --) 9.73   (8.09 - 11.66) --
Region 4 -- (-- - --) 9.63   (7.95 - 11.64) --
Region 5 -- (-- - --) 10.71   (9.18 - 12.47) --
Region 6 -- (-- - --) 10.16   (8.23 - 12.47) --
Region 7 -- (-- - --) 12.31 (10.45 - 14.44) --
Region 8 7.25a (5.91 - 8.86) 9.64   (8.03 - 11.51) 0.010
Region 9 7.33a (5.88 - 9.10) 10.15   (8.26 - 12.42) 0.003
Region 10 -- (-- - --) 11.24   (9.03 - 13.92) --
Minnesota 6.00a (5.09 - 7.06) 7.63 (6.58 - 8.83) 0.005
Regions 1 and 2 7.31 (5.38 - 9.86) 7.71 (5.91 - 9.99) 0.661
Region 1 -- (-- - --) 7.37   (5.27 - 10.22) --
Region 2 -- (-- - --) 7.91   (5.68 - 10.92) --
Regions 3 and 4 6.02 (4.56 - 7.90) 6.96 (5.52 - 8.75) 0.210
Region 3 -- (-- - --) 6.96 (4.91 - 9.77) --
Region 4 -- (-- - --) 6.97 (5.33 - 9.06) --
Regions 5 and 6 4.78a (3.64 - 6.26) 6.97 (5.52 - 8.78) 0.001
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) 6.02a (4.50 - 8.00) 8.56   (6.75 - 10.80) 0.006
Region 7B (Ramsey) 6.35a (4.60 - 8.71) 8.44   (6.37 - 11.10) 0.027
Region 7C 6.26 (4.78 - 8.16) 7.37 (5.76 - 9.39) 0.191
Mississippi 4.60a (3.79 - 5.57) 5.76 (4.90 - 6.76) 0.019
Region 1 4.68a (3.50 - 6.24) 6.28 (4.94 - 7.95) 0.025
Region 2 5.26 (3.67 - 7.50) 6.12 (4.56 - 8.16) 0.280
Region 3 4.02b (2.86 - 5.62) 5.21 (3.87 - 6.98) 0.055
Region 4 4.18a (3.07 - 5.67) 6.16 (4.75 - 7.96) 0.003
Region 5 4.66 (3.18 - 6.78) 5.58 (3.94 - 7.86) 0.190
Region 6 4.91 (3.41 - 7.01) 5.30 (3.98 - 7.03) 0.572
Region 7 4.71 (3.34 - 6.60) 5.13 (3.77 - 6.94) 0.528
Missouri 6.06a (5.12 - 7.18) 7.97 (6.95 - 9.13) 0.001
Central 5.73b (4.14 - 7.88) 7.32 (5.56 - 9.57) 0.056
Eastern 6.97a (5.60 - 8.65) 8.97   (7.45 - 10.77) 0.014
Eastern (St. Louis City and County) 6.86a (5.27 - 8.90) 9.96   (7.95 - 12.42) 0.002
Eastern (excluding St. Louis) 7.16 (5.20 - 9.77) 7.29 (5.64 - 9.38) 0.882
Northwest 5.74a (4.54 - 7.23) 8.65   (7.06 - 10.55) 0.000
Northwest (Jackson) 6.32a (4.71 - 8.43) 9.83   (7.67 - 12.53) 0.000
Northwest (excluding Jackson) 5.24a (3.84 - 7.12) 7.65 (5.83 - 9.99) 0.003
Southeast 4.78a (3.39 - 6.71) 6.25 (4.65 - 8.36) 0.048
Southwest 5.75 (4.19 - 7.83) 6.57 (5.04 - 8.54) 0.290
Montana 8.91a   (7.72 - 10.26) 11.80 (10.49 - 13.25) 0.001
Region 1 6.52a (4.58 - 9.21) 9.49   (6.98 - 12.77) 0.008
Region 2 7.27a (5.44 - 9.66) 9.68   (7.57 - 12.30) 0.023
Region 3 7.33b (5.61 - 9.51) 9.35   (7.42 - 11.72) 0.051
Region 4 10.83b   (8.82 - 13.23) 13.06 (10.83 - 15.66) 0.092
Region 5 9.67a   (7.75 - 12.00) 13.94 (11.72 - 16.50) 0.001
Nebraska 5.56a (4.71 - 6.54) 6.95 (5.95 - 8.11) 0.012
Regions 1 and 2 4.39a (3.27 - 5.88) 6.12 (4.62 - 8.06) 0.002
Region 1 4.30a (2.93 - 6.26) 6.33 (4.47 - 8.91) 0.003
Region 2 4.47a (3.06 - 6.49) 5.93 (4.17 - 8.38) 0.024
Region 3 3.95a (2.83 - 5.48) 6.04 (4.60 - 7.90) 0.001
Region 4 4.51 (3.10 - 6.52) 5.47 (4.01 - 7.42) 0.158
Region 5 5.60b (4.34 - 7.19) 6.82 (5.34 - 8.66) 0.098
Region 6 6.63 (5.34 - 8.21) 7.90 (6.44 - 9.64) 0.131
Nevada1 7.36 (6.18 - 8.76) 7.94 (6.83 - 9.22) 0.418
Clark – Region 1 7.09 (5.77 - 8.68) 7.63 (6.42 - 9.04) 0.499
Region 3 7.07 (5.02 - 9.86) 7.21 (5.41 - 9.54) 0.884
Capital District -- (-- - --) 7.44   (5.12 - 10.69) --
Rural/Frontier -- (-- - --) 6.99 (4.96 - 9.79) --
Washoe – Region 2 8.88   (6.73 - 11.61) 9.98   (7.78 - 12.70) 0.350
New Hampshire 9.81a   (8.54 - 11.26) 12.39 (11.03 - 13.88) 0.003
Central 9.46a   (7.80 - 11.43) 12.86 (10.95 - 15.05) 0.001
Central 1 10.24a   (7.94 - 13.12) 14.49 (11.73 - 17.77) 0.002
Central 2 8.73a   (6.75 - 11.21) 11.26   (9.09 - 13.87) 0.035
Northern 10.36a   (7.89 - 13.49) 14.86 (11.93 - 18.36) 0.003
Southern 9.86b   (8.34 - 11.62) 11.61 (10.04 - 13.40) 0.069
Southern 1 (Rockingham) 11.16   (8.79 - 14.07) 9.26   (7.33 - 11.63) 0.145
Southern 2 9.05a   (7.36 - 11.10) 13.08 (11.05 - 15.43) 0.000
New Jersey 5.42a (4.54 - 6.45) 7.02 (6.21 - 7.93) 0.003
Central 5.43a (4.10 - 7.15) 7.01 (5.67 - 8.65) 0.037
Metropolitan 5.57 (4.21 - 7.35) 6.73 (5.44 - 8.29) 0.118
Northern 5.03a (3.89 - 6.49) 6.78 (5.66 - 8.09) 0.014
Southern 5.79a (4.34 - 7.70) 7.76 (6.34 - 9.48) 0.024
New Mexico 6.85a (5.82 - 8.05) 10.68   (9.37 - 12.14) 0.000
Region 1 7.10a (5.48 - 9.15) 9.37   (7.37 - 11.84) 0.021
Region 2 7.50a   (5.52 - 10.11) 12.82   (9.91 - 16.42) 0.000
Region 3 (Bernalillo) 7.71a (6.14 - 9.65) 11.83   (9.82 - 14.20) 0.000
Region 4 5.11a (3.63 - 7.14) 9.49   (7.27 - 12.28) 0.000
Region 5 5.79a (4.38 - 7.62) 9.35   (7.60 - 11.45) 0.000
Region 5a -- (-- - --) 10.10   (7.62 - 13.28) --
Region 5b (Dona Ana) -- (-- - --) 8.67   (6.60 - 11.31) --
New York1 7.67a (7.03 - 8.36) 9.64   (8.92 - 10.41) 0.000
Region 1: Long Island 7.50b (6.23 - 9.01) 8.84   (7.49 - 10.40) 0.088
Region 2: New York City 6.82a (6.03 - 7.71) 9.78   (8.79 - 10.87) 0.000
Region 2A: Bronx 6.70 (5.17 - 8.63) 7.62 (6.07 - 9.53) 0.284
Region 2B: Kings -- (-- - --) 10.56   (8.91 - 12.46) --
Region 2C: New York 8.78a   (6.88 - 11.14) 14.41 (11.99 - 17.23) 0.000
Region 2D: Queens 5.61b (4.46 - 7.03) 6.93 (5.61 - 8.52) 0.067
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 Carolina1 6.70b (5.66 - 7.92) 7.76 (6.91 - 8.71) 0.084
Alliance Behavioral Healthcare 1 -- (-- - --) 8.78   (6.93 - 11.07) --
Alliance Behavioral Healthcare 2 -- (-- - --) 7.58 (5.82 - 9.82) --
Cardinal Innovations Healthcare Solutions 1 -- (-- - --) 7.06 (5.32 - 9.30) --
Cardinal Innovations Healthcare Solutions 2 -- (-- - --) 7.06 (5.38 - 9.21) --
Cardinal Innovations Healthcare Solutions 3 7.69   (5.65 - 10.38) 9.30   (7.39 - 11.65) 0.142
CenterPoint Human Services 6.06a (4.22 - 8.63) 7.78   (5.90 - 10.20) 0.046
Eastpointe 7.46   (5.36 - 10.30) 6.02 (4.58 - 7.87) 0.101
Partners Behavioral Health Management 6.29 (4.67 - 8.42) 7.29 (5.60 - 9.44) 0.223
Sandhills Center 1 6.73 (4.61 - 9.73) 6.93 (5.16 - 9.25) 0.834
Sandhills Center 2 7.23b   (5.12 - 10.10) 9.13   (6.93 - 11.94) 0.079
Smoky Mountain Center 1 5.04a (3.49 - 7.23) 7.96   (6.07 - 10.38) 0.001
Smoky Mountain Center 2 7.11 (5.06 - 9.92) 6.64 (4.92 - 8.90) 0.590
Trillium Health Resources 1 7.97   (5.67 - 11.11) 8.01   (6.24 - 10.23) 0.971
Trillium Health Resources 2 6.86a (4.83 - 9.68) 9.10   (6.94 - 11.85) 0.024
North Dakota 4.25a (3.55 - 5.09) 5.71 (4.88 - 6.67) 0.002
Badlands and West Central 4.00a (3.00 - 5.33) 5.54 (4.41 - 6.93) 0.010
Badlands -- (-- - --) 4.86 (3.48 - 6.75) --
West Central -- (-- - --) 5.73 (4.44 - 7.38) --
Lake Region -- (-- - --) 4.35 (3.03 - 6.20) --
North Central -- (-- - --) 5.62 (4.20 - 7.49) --
Northeast 4.76a (3.47 - 6.50) 6.89 (5.31 - 8.88) 0.007
Northwest -- (-- - --) 5.13 (3.61 - 7.25) --
South Central -- (-- - --) 4.59 (3.26 - 6.42) --
Southeast 4.80a (3.75 - 6.13) 6.09 (4.89 - 7.57) 0.048
Ohio 5.93a (5.41 - 6.49) 8.14 (7.42 - 8.92) 0.000
Boards 2, 46, 55, and 68 4.53a (3.45 - 5.94) 6.59 (4.94 - 8.73) 0.001
Boards 3, 52, and 85 4.54a (3.36 - 6.11) 6.95 (5.19 - 9.27) 0.000
Boards 4 and 78 4.72a (3.41 - 6.50) 6.56 (4.87 - 8.78) 0.006
Boards 5 and 60 6.32a (4.93 - 8.07) 8.66   (6.62 - 11.24) 0.004
Boards 7, 15, 41, 79, and 84 3.96a (2.94 - 5.33) 6.30 (4.60 - 8.57) 0.000
Boards 8, 13, and 83 4.57a (3.43 - 6.07) 6.36 (4.74 - 8.49) 0.004
Board 9 (Butler) 5.84a (4.41 - 7.71) 8.74   (6.79 - 11.18) 0.000
Board 12 5.46a (4.13 - 7.20) 8.06   (6.10 - 10.59) 0.001
Boards 18 and 47 6.25a (5.22 - 7.47) 8.65   (7.15 - 10.43) 0.002
Boards 20, 32, 54, and 69 3.70a (2.67 - 5.11) 6.36 (4.81 - 8.37) 0.000
Boards 21, 39, 51, 70, and 80 4.80a (3.57 - 6.41) 7.05 (5.34 - 9.24) 0.001
Boards 22, 74, and 87 6.18b (4.70 - 8.07) 7.60 (5.81 - 9.88) 0.082
Boards 23 and 45 5.42a (4.05 - 7.23) 7.10 (5.38 - 9.33) 0.023
Board 25 (Franklin) 8.57   (7.09 - 10.32) 9.95   (8.22 - 12.01) 0.136
Boards 27, 71, and 73 4.89a (3.63 - 6.57) 8.51   (6.45 - 11.13) 0.000
Boards 28, 43, and 67 6.03 (4.75 - 7.62) 6.70 (5.07 - 8.81) 0.387
Board 31 (Hamilton) 6.83a (5.40 - 8.61) 9.81   (7.89 - 12.14) 0.001
Board 48 (Lucas) 6.65a (5.16 - 8.54) 10.05   (7.76 - 12.92) 0.000
Boards 50 and 76 6.30a (4.92 - 8.04) 8.24   (6.47 - 10.43) 0.017
Board 57 (Montgomery) 6.25a (4.78 - 8.14) 8.20   (6.37 - 10.50) 0.018
Board 77 (Summit) 6.70a (5.23 - 8.54) 8.61   (6.67 - 11.06) 0.029
Oklahoma 6.05 (5.05 - 7.23) 5.90 (5.00 - 6.96) 0.792
Central 6.46 (4.70 - 8.82) 5.39 (4.00 - 7.21) 0.159
East Central 5.24 (3.65 - 7.48) 4.54 (3.27 - 6.28) 0.291
Northeast 5.46 (3.98 - 7.44) 5.82 (4.33 - 7.78) 0.617
Northwest and Southwest 6.62 (4.83 - 9.02) 5.69 (4.20 - 7.68) 0.264
Oklahoma County 6.64 (4.86 - 9.00) 7.02 (5.39 - 9.10) 0.663
Southeast 5.87 (4.27 - 8.01) 4.81 (3.47 - 6.62) 0.142
Tulsa County 5.78 (4.16 - 7.96) 7.11 (5.46 - 9.21) 0.122
Oregon 9.34a   (8.08 - 10.77) 14.71 (13.23 - 16.32) 0.000
Region 1 (Multnomah) 13.18a (10.26 - 16.78) 19.79 (16.75 - 23.22) 0.001
Region 2 7.79a   (5.98 - 10.09) 12.03   (9.96 - 14.46) 0.000
Region 3 9.36a   (7.66 - 11.40) 14.57 (12.33 - 17.14) 0.000
Region 4 8.08a   (6.05 - 10.71) 14.26 (11.47 - 17.60) 0.000
Region 5 (Central) 8.75a   (6.20 - 12.22) 11.95   (8.77 - 16.07) 0.011
Region 6 (Eastern) 7.04a (4.99 - 9.85) 12.74   (9.66 - 16.62) 0.000
Pennsylvania 5.89a (5.38 - 6.45) 8.12 (7.41 - 8.88) 0.000
Region 1 (Allegheny) 7.54a (6.21 - 9.13) 9.63   (7.77 - 11.87) 0.031
Regions 3, 8, 9, and 51 5.36a (4.09 - 7.00) 7.99   (6.30 - 10.09) 0.000
Regions 4, 11, 37, and 49 5.19a (4.02 - 6.67) 7.02 (5.40 - 9.06) 0.008
Regions 5, 18, 23, 24, and 46 5.49 (4.05 - 7.40) 5.80 (4.54 - 7.38) 0.652
Regions 6, 12, 16, 31, 35, 45, and 47 5.61a (4.34 - 7.22) 8.65   (6.88 - 10.83) 0.000
Regions 7, 13, 20, and 33 6.81 (5.75 - 8.05) 7.73 (6.53 - 9.13) 0.197
Regions 10, 15, 27, 32, 43, and 44 4.84b (3.65 - 6.39) 6.03 (4.44 - 8.13) 0.085
Regions 17 and 21 5.90b (4.48 - 7.73) 7.24 (5.41 - 9.62) 0.076
Regions 19, 26, 28, and 42 4.14a (3.18 - 5.37) 6.39 (5.19 - 7.85) 0.000
Regions 22, 38, 40, 41, and 48 5.07 (3.93 - 6.51) 5.48 (4.17 - 7.17) 0.519
Regions 29 and 34 4.97a (3.75 - 6.58) 7.19 (5.55 - 9.26) 0.001
Regions 30 and 50 4.61a (3.47 - 6.09) 7.10 (5.40 - 9.27) 0.000
Region 36 (Philadelphia) 7.63a (6.32 - 9.19) 13.94 (11.61 - 16.65) 0.000
Rhode Island 11.08a   (9.63 - 12.71) 14.38 (12.86 - 16.04) 0.001
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 5.75a (4.83 - 6.84) 7.05 (6.14 - 8.08) 0.021
Region 1 -- (-- - --) 6.19 (4.92 - 7.75) --
Region 2 -- (-- - --) 8.08 (6.54 - 9.95) --
Region 3 6.37 (4.69 - 8.59) 6.35 (4.85 - 8.28) 0.985
Region 4 5.62a (4.23 - 7.44) 7.55 (6.06 - 9.37) 0.021
South Dakota 5.05a (4.20 - 6.05) 7.10 (6.14 - 8.19) 0.000
Region 1 -- (-- - --) 8.89   (7.14 - 11.03) --
Region 2 -- (-- - --) 6.35 (4.60 - 8.71) --
Region 3 -- (-- - --) 6.22 (4.88 - 7.91) --
Region 4 -- (-- - --) 7.65 (5.91 - 9.85) --
Region 5 -- (-- - --) 6.24 (4.91 - 7.90) --
Tennessee 5.21a (4.38 - 6.20) 6.99 (5.97 - 8.16) 0.001
Region 1 4.34a (3.02 - 6.19) 5.77 (4.20 - 7.89) 0.034
Region 2 4.38a (3.21 - 5.96) 6.29 (4.80 - 8.20) 0.005
Region 3 -- (-- - --) 5.91 (4.49 - 7.74) --
Region 4 (Davidson) 7.57b   (5.62 - 10.13) 9.61   (7.20 - 12.73) 0.069
Region 5 -- (-- - --) 7.86   (6.15 - 10.00) --
Region 6 4.78b (3.40 - 6.69) 6.16 (4.50 - 8.38) 0.056
Region 7 (Shelby) 7.09 (5.28 - 9.47) 6.97 (5.24 - 9.21) 0.891
Texas 5.05a (4.58 - 5.56) 6.06 (5.52 - 6.64) 0.002
Region 1 5.20 (3.98 - 6.78) 5.96 (4.51 - 7.82) 0.234
Region 2 4.63a (3.34 - 6.40) 7.30 (5.49 - 9.64) 0.000
Region 3 5.06b (4.34 - 5.88) 5.83 (5.09 - 6.68) 0.089
Region 3a 5.11 (4.23 - 6.16) 5.63 (4.73 - 6.68) 0.349
Region 3bc 4.96a (3.93 - 6.24) 6.20 (5.06 - 7.57) 0.043
Region 4 5.60 (4.25 - 7.34) 5.65 (4.37 - 7.27) 0.931
Region 5 5.12a (3.79 - 6.88) 7.06 (5.36 - 9.25) 0.006
Region 6 4.98a (4.18 - 5.93) 5.98 (5.09 - 7.02) 0.049
Region 6a 5.05b (4.18 - 6.08) 5.99 (5.04 - 7.11) 0.081
Region 6bc 4.47a (3.22 - 6.18) 5.88 (4.35 - 7.90) 0.017
Region 7 6.71a (5.63 - 7.98) 8.41 (7.12 - 9.92) 0.009
Region 7a 7.17a (5.73 - 8.93) 9.04   (7.34 - 11.08) 0.037
Region 7bcd 5.94b (4.59 - 7.66) 7.31 (5.76 - 9.25) 0.055
Region 8 4.46 (3.48 - 5.69) 5.27 (4.24 - 6.54) 0.135
Region 9 4.68a (3.45 - 6.31) 6.84 (5.09 - 9.13) 0.001
Region 10 4.09b (3.01 - 5.53) 4.98 (3.73 - 6.63) 0.086
Region 11 3.74 (3.00 - 4.64) 4.26 (3.44 - 5.28) 0.181
Region 11abd 4.11 (3.15 - 5.35) 4.22 (3.23 - 5.50) 0.812
Region 11c (Hidalgo) 3.05a (2.21 - 4.18) 4.33 (3.19 - 5.85) 0.006
Utah 3.27a (2.64 - 4.04) 5.30 (4.52 - 6.21) 0.000
Bear River, Northeastern, Summit, Tooele, and Wasatch 3.27a (2.23 - 4.76) 5.20 (3.77 - 7.14) 0.001
Central, Four Corners, San Juan, and Southwest 2.63a (1.78 - 3.87) 4.54 (3.44 - 5.96) 0.000
Central, Four Corners, and San Juan -- (-- - --) 4.38 (3.06 - 6.22) --
Southwest -- (-- - --) 4.63 (3.29 - 6.50) --
Davis County 3.52b (2.41 - 5.13) 4.63 (3.27 - 6.53) 0.067
Salt Lake County 3.58a (2.71 - 4.71) 6.50 (5.32 - 7.93) 0.000
Utah County 3.09a (2.20 - 4.32) 4.32 (3.22 - 5.77) 0.024
Weber, Morgan 2.89a (1.93 - 4.31) 4.19 (3.00 - 5.81) 0.008
Vermont 11.51a (10.13 - 13.06) 16.25 (14.63 - 18.01) 0.000
Champlain Valley 12.70a (10.79 - 14.89) 17.86 (15.58 - 20.40) 0.000
Rural Northeast 11.53a   (9.14 - 14.43) 16.60 (13.63 - 20.08) 0.001
Rural Southeast 10.69a   (8.41 - 13.51) 14.46 (11.81 - 17.59) 0.010
Rural Southwest 9.68a   (7.45 - 12.49) 13.92 (11.12 - 17.29) 0.002
Virginia 5.49a (4.61 - 6.53) 6.58 (5.84 - 7.40) 0.036
Region 1 5.77 (4.35 - 7.61) 6.69 (5.32 - 8.37) 0.217
Region 2 4.77 (3.52 - 6.44) 5.16 (4.14 - 6.40) 0.566
Region 3 5.60 (4.26 - 7.33) 6.81 (5.46 - 8.47) 0.111
Region 4 5.30a (3.90 - 7.18) 7.51 (6.03 - 9.31) 0.007
Region 5 6.18 (4.69 - 8.10) 7.45 (6.10 - 9.05) 0.117
Washington1 8.63a   (7.41 - 10.03) 12.22 (10.76 - 13.83) 0.000
Region 1 6.62a (5.12 - 8.52) 11.49   (9.36 - 14.04) 0.000
Greater Columbia and North Central -- (-- - --) 9.89   (7.61 - 12.76) --
Spokane -- (-- - --) 13.85 (10.56 - 17.96) --
Region 2 9.48a   (7.83 - 11.42) 12.32 (10.51 - 14.40) 0.007
King 8.87a   (7.01 - 11.18) 12.03   (9.93 - 14.51) 0.007
North Sound 10.50   (8.04 - 13.62) 12.84 (10.14 - 16.11) 0.105
Region 3 8.77a   (7.19 - 10.66) 12.55 (10.62 - 14.77) 0.000
Pierce -- (-- - --) 13.67 (10.94 - 16.95) --
Salish -- (-- - --) 11.99   (8.85 - 16.05) --
SW WA and Great Rivers -- (-- - --) 11.66   (8.82 - 15.27) --
Thurston-Mason -- (-- - --) 12.35   (8.99 - 16.73) --
West Virginia 5.78a (4.90 - 6.81) 6.87 (5.91 - 7.97) 0.047
Region I 5.06 (3.57 - 7.12) 5.90 (4.16 - 8.30) 0.266
Region II 5.94 (4.28 - 8.21) 6.48 (4.88 - 8.54) 0.527
Region III 4.92b (3.45 - 6.97) 6.28 (4.55 - 8.60) 0.067
Region IV 6.47b (5.05 - 8.26) 8.05   (6.46 - 10.00) 0.055
Region V 6.12b (4.82 - 7.73) 7.66 (6.05 - 9.65) 0.059
Region VI 5.12 (3.77 - 6.92) 5.24 (3.95 - 6.93) 0.862
Wisconsin 5.90a (4.98 - 6.97) 7.33 (6.33 - 8.48) 0.012
Milwaukee 7.11 (5.35 - 9.40) 8.56   (6.63 - 10.97) 0.144
Northeastern 5.10 (3.85 - 6.72) 5.91 (4.52 - 7.70) 0.239
Northern 4.84a (3.40 - 6.86) 6.39 (4.68 - 8.68) 0.024
Southeastern 5.64 (4.22 - 7.51) 6.84 (5.28 - 8.80) 0.133
Southern 6.62b (4.97 - 8.76) 8.46   (6.70 - 10.64) 0.052
Western 5.83a (4.35 - 7.77) 7.86   (6.01 - 10.21) 0.016
Wyoming 5.29a (4.45 - 6.27) 6.46 (5.49 - 7.59) 0.026
Judicial District 1 (Laramie) 5.00a (3.65 - 6.80) 7.19 (5.51 - 9.34) 0.004
Judicial District 2 8.98   (6.95 - 11.53) 8.66   (6.69 - 11.14) 0.756
Judicial District 3 3.81a (2.80 - 5.17) 5.32 (3.90 - 7.24) 0.011
Judicial District 4 4.59 (3.17 - 6.61) 5.70 (4.00 - 8.04) 0.102
Judicial District 5 4.34 (3.10 - 6.03) 4.52 (3.19 - 6.36) 0.776
Judicial District 6 4.64 (3.31 - 6.47) 5.69 (4.18 - 7.69) 0.126
Judicial District 7 (Natrona) 6.22 (4.55 - 8.43) 6.73 (5.02 - 8.96) 0.553
Judicial District 8 4.71 (3.29 - 6.71) 5.78 (4.14 - 8.02) 0.116
Judicial District 9 5.75a (4.03 - 8.16) 7.69   (5.76 - 10.19) 0.033
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2014-2016); hence, the 2008-2010 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 2008-2010 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 2008-2010 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2008-2010 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 (2008-2010 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, 2008-2010 and 2014-2016.
180416
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, 2008-2010 and 2014-2016 NSDUHs
State/Substate Region 2008-2010
(Estimate)
2008-2010
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 1.94a (1.84 - 2.03) 1.80 (1.72 - 1.88) 0.030
Northeast 2.31 (2.10 - 2.53) 2.25 (2.06 - 2.45) 0.650
Midwest 1.68a (1.55 - 1.83) 1.43 (1.30 - 1.57) 0.002
South 1.72a (1.59 - 1.87) 1.53 (1.42 - 1.65) 0.026
West 2.22 (2.02 - 2.45) 2.23 (2.05 - 2.42) 0.966
Alabama 1.18 (0.82 - 1.70) 1.19 (0.85 - 1.66) 0.968
Region 1 1.08 (0.68 - 1.71) 0.87 (0.53 - 1.42) 0.276
Region 2 1.27 (0.80 - 2.01) 1.69 (1.07 - 2.66) 0.183
Region 3 1.24 (0.75 - 2.07) 1.09 (0.62 - 1.89) 0.544
Region 4 1.12 (0.68 - 1.84) 0.95 (0.53 - 1.67) 0.428
Alaska 2.52 (1.90 - 3.34) 2.13 (1.66 - 2.74) 0.255
Anchorage 2.87 (1.99 - 4.11) 2.37 (1.73 - 3.25) 0.306
Northern 2.04 (1.33 - 3.10) 1.75 (1.12 - 2.72) 0.432
South Central 2.22 (1.48 - 3.33) 2.22 (1.46 - 3.37) 0.993
Southeast 2.86a (1.85 - 4.40) 1.81 (1.09 - 3.00) 0.024
Arizona1 2.21 (1.64 - 2.98) 2.19 (1.71 - 2.80) 0.940
Central 2.10 (1.47 - 2.99) 2.11 (1.57 - 2.84) 0.967
North -- (-- - --) 2.21 (1.35 - 3.58) --
South -- (-- - --) 2.34 (1.62 - 3.38) --
South A 2.83 (1.84 - 4.33) 2.86 (1.85 - 4.40) 0.962
South B -- (-- - --) 1.72 (1.01 - 2.89) --
Arkansas 1.30 (0.91 - 1.84) 1.13 (0.81 - 1.57) 0.347
Catchment Area 1 1.23 (0.78 - 1.94) 1.04 (0.61 - 1.78) 0.388
Catchment Area 2 1.27b (0.78 - 2.08) 0.89 (0.50 - 1.58) 0.073
Catchment Area 3 1.41 (0.83 - 2.37) 1.05 (0.60 - 1.84) 0.179
Catchment Area 4 1.13 (0.69 - 1.84) 0.93 (0.53 - 1.63) 0.294
Catchment Area 5 1.22 (0.76 - 1.96) 1.22 (0.72 - 2.08) 0.991
Catchment Area 6 1.35 (0.78 - 2.35) 1.27 (0.69 - 2.33) 0.789
Catchment Area 7 1.29 (0.75 - 2.20) 1.04 (0.56 - 1.93) 0.309
Catchment Area 8 1.40 (0.86 - 2.29) 1.41 (0.85 - 2.34) 0.982
California 2.18 (1.87 - 2.53) 2.44 (2.16 - 2.74) 0.182
Region 1R 3.12 (2.19 - 4.44) 2.49 (1.61 - 3.81) 0.157
Region 2R 2.49 (1.76 - 3.51) 2.48 (1.66 - 3.69) 0.984
Region 3R (Sacramento) 2.30 (1.55 - 3.40) 2.20 (1.47 - 3.28) 0.785
Region 4R 2.24 (1.54 - 3.24) 2.32 (1.55 - 3.48) 0.821
Region 5R (San Francisco) 3.92 (2.56 - 5.95) 5.35 (3.58 - 7.92) 0.145
Region 6 (Santa Clara) 1.60 (1.09 - 2.34) 1.69 (1.16 - 2.46) 0.745
Region 7R (Contra Costa) 1.90 (1.29 - 2.79) 2.26 (1.51 - 3.38) 0.298
Region 8R (Alameda) 2.29 (1.58 - 3.30) 2.72 (1.86 - 3.97) 0.309
Region 9R (San Mateo) 1.70 (1.13 - 2.55) 2.15 (1.38 - 3.33) 0.160
Region 10 2.66b (1.86 - 3.81) 3.48 (2.36 - 5.09) 0.087
Region 11 (Los Angeles) 2.08b (1.71 - 2.53) 2.52 (2.12 - 3.00) 0.070
LA SPA 1 and 5 2.56 (1.72 - 3.78) 2.90 (1.92 - 4.34) 0.464
LA SPA 2 2.13 (1.49 - 3.02) 2.34 (1.63 - 3.34) 0.567
LA SPA 3 1.66 (1.14 - 2.41) 1.86 (1.24 - 2.79) 0.499
LA SPA 4 2.57a (1.76 - 3.76) 4.47 (3.06 - 6.47) 0.002
LA SPA 6 2.20 (1.49 - 3.23) 2.38 (1.52 - 3.71) 0.649
LA SPA 7 1.79 (1.22 - 2.64) 1.89 (1.23 - 2.90) 0.754
LA SPA 8 1.97 (1.35 - 2.85) 2.40 (1.64 - 3.49) 0.213
Region 12R 2.12 (1.46 - 3.08) 2.06 (1.27 - 3.34) 0.870
Regions 13 and 19R 2.07 (1.46 - 2.92) 1.69 (1.18 - 2.40) 0.189
Region 14 (Orange) 1.80b (1.31 - 2.46) 2.35 (1.67 - 3.30) 0.078
Region 15R (Fresno) 2.13 (1.46 - 3.09) 2.06 (1.32 - 3.18) 0.829
Region 16R (San Diego) 2.29b (1.68 - 3.13) 2.96 (2.21 - 3.96) 0.060
Region 17R 2.29 (1.63 - 3.21) 1.91 (1.30 - 2.78) 0.224
Region 18R (San Bernardino) 2.06 (1.46 - 2.90) 1.85 (1.23 - 2.76) 0.501
Region 20R 2.06 (1.42 - 2.99) 2.12 (1.35 - 3.33) 0.861
Region 21R 2.38 (1.66 - 3.42) 2.73 (1.79 - 4.16) 0.348
Colorado 3.44a (2.73 - 4.32) 2.54 (2.02 - 3.19) 0.021
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 1.82b (1.32 - 2.50) 2.39 (1.88 - 3.03) 0.058
Eastern 1.80b (1.13 - 2.87) 2.46 (1.56 - 3.87) 0.089
North Central 1.68a (1.10 - 2.55) 2.74 (1.88 - 3.97) 0.011
Northwestern 1.97 (1.25 - 3.08) 2.26 (1.47 - 3.46) 0.496
South Central 2.02 (1.33 - 3.05) 2.25 (1.51 - 3.34) 0.564
Southwest 1.66 (1.03 - 2.67) 2.13 (1.38 - 3.29) 0.203
Delaware 2.09 (1.55 - 2.81) 2.00 (1.55 - 2.59) 0.768
Kent 2.11 (1.37 - 3.23) 1.68 (1.03 - 2.73) 0.237
New Castle (excluding Wilmington City) 2.17 (1.53 - 3.08) 2.24 (1.66 - 3.03) 0.860
Sussex 1.84 (1.18 - 2.86) 1.62 (0.98 - 2.67) 0.546
Wilmington City 2.16 (1.27 - 3.66) 2.26 (1.27 - 3.99) 0.865
District of Columbia 3.32 (2.49 - 4.41) 3.44 (2.71 - 4.36) 0.810
Ward 1 3.39 (2.13 - 5.35) 3.74 (2.39 - 5.81) 0.652
Ward 2 4.57 (3.07 - 6.76) 5.14 (3.43 - 7.64) 0.569
Ward 3 3.47 (2.31 - 5.17) 3.13 (2.03 - 4.81) 0.621
Ward 4 2.47 (1.45 - 4.17) 2.93 (1.75 - 4.86) 0.490
Ward 5 3.16 (1.87 - 5.29) 3.54 (2.16 - 5.75) 0.646
Ward 6 3.43 (2.12 - 5.51) 2.87 (1.85 - 4.41) 0.460
Ward 7 3.23 (1.90 - 5.44) 3.37 (2.01 - 5.62) 0.873
Ward 8 2.54 (1.45 - 4.40) 2.67 (1.55 - 4.58) 0.859
Florida1 1.83 (1.54 - 2.17) 1.79 (1.52 - 2.11) 0.813
Broward (Circuit 17) 1.56 (1.08 - 2.25) 1.82 (1.21 - 2.73) 0.411
Central I -- (-- - --) 2.07 (1.56 - 2.75) --
Circuit 9 2.12 (1.50 - 2.99) 2.08 (1.45 - 2.98) 0.912
Circuit 18 1.88 (1.29 - 2.75) 2.06 (1.33 - 3.18) 0.605
Central II -- (-- - --) 1.72 (1.35 - 2.17) --
Circuit 6 1.91 (1.30 - 2.80) 1.74 (1.15 - 2.61) 0.594
Circuit 10 1.60 (1.09 - 2.35) 1.64 (1.03 - 2.59) 0.897
Circuit 12 2.02 (1.31 - 3.10) 1.63 (1.02 - 2.62) 0.249
Circuit 13 (Hillsborough) 2.00 (1.41 - 2.83) 1.92 (1.29 - 2.83) 0.803
Circuit 20 1.90 (1.28 - 2.81) 1.58 (0.99 - 2.51) 0.317
Northeast -- (-- - --) 1.68 (1.28 - 2.21) --
Circuit 4 2.03 (1.38 - 2.97) 1.68 (1.04 - 2.70) 0.311
Circuit 5 1.52 (1.02 - 2.27) 1.28 (0.78 - 2.10) 0.349
Circuit 7 1.71 (1.14 - 2.54) 2.08 (1.34 - 3.22) 0.253
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee -- (-- - --) 1.84 (1.11 - 3.03) --
Northwest -- (-- - --) 2.35 (1.76 - 3.12) --
Circuit 1 1.92 (1.32 - 2.77) 2.43 (1.62 - 3.62) 0.142
Circuit 2 plus Madison and Taylor -- (-- - --) 2.50 (1.63 - 3.82) --
Circuit 14 1.98 (1.30 - 3.01) 1.92 (1.13 - 3.25) 0.859
South (Circuits 11 and 16) 1.79 (1.28 - 2.49) 1.35 (0.91 - 2.00) 0.117
Southeast -- (-- - --) 1.97 (1.41 - 2.73) --
Circuit 15 (Palm Beach) 1.51b (1.01 - 2.26) 2.14 (1.44 - 3.17) 0.051
Circuit 19 1.76 (1.15 - 2.66) 1.60 (0.97 - 2.61) 0.608
Georgia 1.39 (0.98 - 1.98) 1.73 (1.35 - 2.21) 0.173
Region 1 1.26 (0.80 - 1.97) 1.28 (0.85 - 1.92) 0.930
Region 2 1.48 (0.89 - 2.47) 1.44 (0.89 - 2.34) 0.893
Region 3 1.42a (0.86 - 2.31) 2.70 (1.90 - 3.83) 0.005
Region 4 1.50 (0.88 - 2.53) 1.66 (0.95 - 2.90) 0.634
Region 5 1.46 (0.92 - 2.32) 1.29 (0.78 - 2.13) 0.516
Region 6 1.39 (0.86 - 2.24) 1.13 (0.68 - 1.89) 0.289
Hawaii 1.59 (1.14 - 2.22) 2.00 (1.53 - 2.60) 0.176
Hawaii Island 2.32 (1.44 - 3.73) 1.94 (1.17 - 3.19) 0.391
Honolulu 1.41 (0.97 - 2.07) 1.89 (1.39 - 2.56) 0.131
Kauai 1.88 (1.11 - 3.19) 2.47 (1.40 - 4.32) 0.214
Maui 1.70b (1.01 - 2.84) 2.55 (1.55 - 4.16) 0.067
Idaho 1.16 (0.85 - 1.58) 1.15 (0.85 - 1.57) 0.961
Region 1 1.11 (0.69 - 1.78) 1.10 (0.62 - 1.93) 0.950
Region 2 1.29 (0.80 - 2.09) 1.49 (0.86 - 2.57) 0.401
Region 3 1.05 (0.67 - 1.65) 0.79 (0.46 - 1.37) 0.130
Region 4 1.25 (0.84 - 1.85) 1.51 (1.00 - 2.28) 0.297
Region 5 1.09 (0.69 - 1.71) 0.85 (0.50 - 1.44) 0.167
Region 6 -- (-- - --) 1.15 (0.65 - 2.04) --
Region 7 -- (-- - --) 0.98 (0.58 - 1.65) --
Illinois 1.88 (1.58 - 2.23) 1.74 (1.43 - 2.12) 0.495
Region 1 (Cook) 2.16 (1.68 - 2.78) 1.92 (1.49 - 2.48) 0.437
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 1.63 (1.25 - 2.13) 1.52 (1.17 - 1.98) 0.630
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 2.02 (1.51 - 2.71) 1.84 (1.32 - 2.56) 0.543
Region 3a (Champaign) -- (-- - --) 2.94 (1.87 - 4.61) --
Region 3b -- (-- - --) 1.65 (1.12 - 2.44) --
Region 4 1.56 (1.06 - 2.27) 1.48 (0.99 - 2.22) 0.763
Region 4a (Sangamon) -- (-- - --) 1.55 (0.92 - 2.61) --
Region 4b -- (-- - --) 1.46 (0.91 - 2.35) --
Region 5 1.64 (1.15 - 2.32) 1.79 (1.25 - 2.54) 0.594
Region 5a -- (-- - --) 1.92 (1.20 - 3.07) --
Region 5b -- (-- - --) 1.68 (1.06 - 2.66) --
Indiana 1.36 (0.98 - 1.88) 1.17 (0.86 - 1.60) 0.288
Central 1.31 (0.84 - 2.06) 1.19 (0.74 - 1.90) 0.595
East 1.30 (0.79 - 2.12) 1.19 (0.69 - 2.02) 0.650
North Central 1.31 (0.83 - 2.05) 1.08 (0.62 - 1.88) 0.345
Northeast 1.28 (0.80 - 2.04) 1.16 (0.67 - 2.00) 0.601
Northwest 1.38 (0.85 - 2.22) 1.21 (0.70 - 2.10) 0.528
Southeast 1.38 (0.86 - 2.22) 1.04 (0.60 - 1.81) 0.125
Southwest 1.30 (0.79 - 2.15) 0.99 (0.56 - 1.73) 0.155
West 1.67 (1.09 - 2.56) 1.48 (0.88 - 2.48) 0.518
Iowa 1.00 (0.70 - 1.41) 1.05 (0.76 - 1.46) 0.721
Central 1.10 (0.69 - 1.75) 1.13 (0.67 - 1.88) 0.895
North Central 1.05 (0.65 - 1.69) 1.06 (0.61 - 1.84) 0.975
Northeast 1.02 (0.65 - 1.60) 1.20 (0.75 - 1.92) 0.392
Northwest 0.95 (0.60 - 1.50) 0.86 (0.50 - 1.49) 0.625
Southeast 0.95 (0.60 - 1.51) 1.04 (0.61 - 1.76) 0.656
Southwest 0.88 (0.52 - 1.48) 0.87 (0.48 - 1.55) 0.943
Kansas 1.48b (1.08 - 2.03) 1.16 (0.85 - 1.59) 0.081
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 1.28 (0.92 - 1.79) 1.57 (1.18 - 2.08) 0.146
Adanta, Cumberland River, and Lifeskills 1.07b (0.67 - 1.70) 1.45 (0.86 - 2.43) 0.097
Bluegrass, Comprehend, and North Key 1.38 (0.90 - 2.11) 1.60 (1.07 - 2.38) 0.404
Centerstone 1.33b (0.84 - 2.11) 1.86 (1.20 - 2.87) 0.078
Communicare and River Valley 1.32 (0.80 - 2.15) 1.48 (0.83 - 2.60) 0.539
Four Rivers and Pennyroyal 1.30 (0.80 - 2.09) 1.19 (0.67 - 2.09) 0.640
Kentucky River, Mountain, and Pathways 1.21 (0.76 - 1.94) 1.47 (0.86 - 2.51) 0.289
Louisiana 1.83 (1.34 - 2.49) 1.65 (1.22 - 2.24) 0.524
Regions 1 and 10 -- (-- - --) 2.27 (1.45 - 3.54) --
Region 1 -- (-- - --) 3.06 (1.77 - 5.27) --
Region 10 (Jefferson) 1.91 (1.16 - 3.13) 1.41 (0.81 - 2.47) 0.158
Regions 2 and 9 1.68 (1.09 - 2.58) 1.54 (0.98 - 2.42) 0.660
Region 3 -- (-- - --) 1.51 (0.87 - 2.60) --
Regions 4, 5, and 6 1.71 (1.11 - 2.61) 1.53 (0.92 - 2.54) 0.585
Regions 7 and 8 1.84 (1.19 - 2.83) 1.41 (0.83 - 2.39) 0.221
Maine 2.10 (1.61 - 2.74) 1.80 (1.38 - 2.34) 0.248
Aroostook/Downeast 1.80 (1.18 - 2.72) 1.58 (1.02 - 2.44) 0.466
Aroostook -- (-- - --) 1.59 (0.90 - 2.79) --
Downeast -- (-- - --) 1.57 (0.90 - 2.73) --
Central 1.92 (1.24 - 2.98) 1.45 (0.84 - 2.50) 0.178
Cumberland 2.60 (1.80 - 3.76) 2.36 (1.58 - 3.53) 0.607
Midcoast 2.19a (1.42 - 3.38) 1.48 (0.86 - 2.54) 0.045
Penquis 2.17 (1.44 - 3.27) 1.81 (1.11 - 2.96) 0.335
Western 1.97 (1.30 - 2.98) 1.74 (1.06 - 2.87) 0.527
York 1.81 (1.18 - 2.76) 1.73 (1.08 - 2.75) 0.800
Maryland 1.68 (1.18 - 2.38) 1.49 (1.10 - 2.01) 0.413
Anne Arundel 1.80 (1.12 - 2.89) 1.36 (0.78 - 2.39) 0.148
Baltimore City 2.15 (1.21 - 3.78) 2.67 (1.57 - 4.51) 0.412
Baltimore County 1.58 (0.93 - 2.65) 1.44 (0.84 - 2.43) 0.658
Montgomery 1.30 (0.81 - 2.11) 1.25 (0.75 - 2.07) 0.816
North Central 1.50 (0.93 - 2.40) 1.33 (0.78 - 2.25) 0.517
Northeast 1.68 (1.06 - 2.67) 1.51 (0.88 - 2.56) 0.547
Prince George's 1.64 (0.96 - 2.79) 1.39 (0.78 - 2.48) 0.495
South 1.99a (1.21 - 3.26) 1.30 (0.76 - 2.23) 0.029
West 1.69 (1.04 - 2.73) 1.30 (0.76 - 2.21) 0.137
Massachusetts 2.64 (2.06 - 3.38) 2.65 (2.11 - 3.31) 0.994
Boston 3.00 (1.96 - 4.58) 3.98 (2.62 - 6.00) 0.152
Central 2.74 (1.85 - 4.04) 2.35 (1.50 - 3.65) 0.363
Metrowest 2.34 (1.64 - 3.31) 2.61 (1.76 - 3.85) 0.518
Northeast 2.43 (1.64 - 3.58) 2.22 (1.50 - 3.27) 0.608
Southeast 2.43 (1.65 - 3.57) 2.53 (1.66 - 3.82) 0.830
Western 3.40 (2.23 - 5.16) 2.54 (1.59 - 4.04) 0.128
Michigan1 1.83a (1.56 - 2.15) 1.32 (1.07 - 1.63) 0.002
Region 1 1.99a (1.39 - 2.86) 1.10 (0.63 - 1.91) 0.002
Region 2 -- (-- - --) 1.01 (0.59 - 1.72) --
Region 3 -- (-- - --) 1.22 (0.80 - 1.87) --
Region 4 -- (-- - --) 1.28 (0.82 - 1.99) --
Region 5 -- (-- - --) 1.17 (0.80 - 1.71) --
Region 6 -- (-- - --) 1.55 (0.99 - 2.42) --
Region 7 -- (-- - --) 1.58 (1.03 - 2.42) --
Region 8 1.69b (1.23 - 2.32) 1.25 (0.82 - 1.89) 0.082
Region 9 1.83a (1.30 - 2.57) 1.23 (0.78 - 1.92) 0.026
Region 10 -- (-- - --) 1.56 (0.96 - 2.51) --
Minnesota 1.76 (1.33 - 2.33) 1.55 (1.15 - 2.07) 0.342
Regions 1 and 2 1.68 (1.07 - 2.63) 1.40 (0.87 - 2.25) 0.269
Region 1 -- (-- - --) 1.45 (0.80 - 2.61) --
Region 2 -- (-- - --) 1.37 (0.77 - 2.45) --
Regions 3 and 4 1.66a (1.11 - 2.48) 1.19 (0.78 - 1.82) 0.040
Region 3 -- (-- - --) 1.26 (0.69 - 2.28) --
Region 4 -- (-- - --) 1.16 (0.71 - 1.90) --
Regions 5 and 6 1.51 (1.00 - 2.27) 1.25 (0.81 - 1.92) 0.256
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) 1.96 (1.26 - 3.03) 2.57 (1.69 - 3.87) 0.176
Region 7B (Ramsey) 1.90 (1.19 - 3.01) 1.62 (0.95 - 2.75) 0.418
Region 7C 1.83a (1.22 - 2.74) 1.07 (0.66 - 1.75) 0.003
Mississippi 1.42b (0.99 - 2.04) 1.08 (0.74 - 1.56) 0.090
Region 1 1.63 (1.03 - 2.55) 1.20 (0.71 - 2.03) 0.160
Region 2 1.50 (0.84 - 2.66) 1.15 (0.62 - 2.11) 0.287
Region 3 1.27 (0.76 - 2.13) 1.19 (0.65 - 2.15) 0.756
Region 4 1.33 (0.80 - 2.19) 1.12 (0.62 - 2.02) 0.466
Region 5 1.24 (0.69 - 2.22) 0.96 (0.47 - 1.93) 0.299
Region 6 1.36b (0.81 - 2.26) 0.95 (0.52 - 1.73) 0.082
Region 7 1.44a (0.89 - 2.33) 0.83 (0.46 - 1.50) 0.008
Missouri 1.78a (1.31 - 2.41) 1.23 (0.91 - 1.66) 0.007
Central 1.68 (1.07 - 2.64) 1.68 (1.03 - 2.72) 0.997
Eastern 1.97a (1.35 - 2.87) 1.37 (0.92 - 2.03) 0.044
Eastern (St. Louis City and County) 1.86 (1.16 - 2.94) 1.32 (0.79 - 2.18) 0.125
Eastern (excluding St. Louis) 2.17a (1.37 - 3.42) 1.46 (0.88 - 2.41) 0.042
Northwest 1.76a (1.20 - 2.56) 1.09 (0.70 - 1.69) 0.005
Northwest (Jackson) 1.86a (1.16 - 2.98) 1.21 (0.69 - 2.08) 0.036
Northwest (excluding Jackson) 1.67a (1.08 - 2.58) 0.99 (0.57 - 1.72) 0.008
Southeast 1.51a (0.95 - 2.40) 0.96 (0.56 - 1.65) 0.019
Southwest 1.66a (1.09 - 2.51) 0.93 (0.54 - 1.59) 0.002
Montana 2.04b (1.56 - 2.66) 1.64 (1.26 - 2.13) 0.093
Region 1 1.72 (1.10 - 2.69) 1.42 (0.80 - 2.51) 0.294
Region 2 1.84b (1.21 - 2.79) 1.34 (0.83 - 2.17) 0.069
Region 3 2.06b (1.40 - 3.01) 1.47 (0.95 - 2.29) 0.059
Region 4 2.02 (1.38 - 2.94) 1.72 (1.15 - 2.56) 0.368
Region 5 2.21 (1.54 - 3.17) 1.89 (1.29 - 2.76) 0.355
Nebraska 1.48 (1.08 - 2.02) 1.43 (1.07 - 1.92) 0.830
Regions 1 and 2 1.20 (0.79 - 1.82) 1.17 (0.73 - 1.87) 0.874
Region 1 1.15 (0.71 - 1.86) 1.19 (0.66 - 2.13) 0.858
Region 2 1.24 (0.75 - 2.04) 1.15 (0.64 - 2.07) 0.688
Region 3 1.37 (0.87 - 2.14) 1.44 (0.85 - 2.42) 0.793
Region 4 1.33b (0.82 - 2.16) 0.97 (0.56 - 1.68) 0.095
Region 5 1.61 (1.08 - 2.41) 1.31 (0.80 - 2.13) 0.282
Region 6 1.54 (1.03 - 2.30) 1.69 (1.16 - 2.46) 0.609
Nevada1 2.46a (1.85 - 3.28) 1.78 (1.33 - 2.38) 0.035
Clark – Region 1 2.31b (1.65 - 3.23) 1.67 (1.18 - 2.36) 0.074
Region 3 2.50a (1.61 - 3.87) 1.52 (0.94 - 2.48) 0.004
Capital District -- (-- - --) 1.65 (0.90 - 2.98) --
Rural/Frontier -- (-- - --) 1.42 (0.78 - 2.57) --
Washoe – Region 2 3.13 (2.13 - 4.58) 2.51 (1.64 - 3.81) 0.236
New Hampshire 2.54 (1.99 - 3.25) 2.89 (2.33 - 3.57) 0.306
Central 2.77 (2.03 - 3.78) 2.62 (1.94 - 3.53) 0.687
Central 1 3.11 (2.10 - 4.59) 2.43 (1.60 - 3.69) 0.158
Central 2 2.45 (1.64 - 3.65) 2.80 (1.93 - 4.06) 0.433
Northern 2.63 (1.73 - 3.97) 2.59 (1.67 - 4.00) 0.940
Southern 2.41b (1.82 - 3.20) 3.08 (2.39 - 3.98) 0.076
Southern 1 (Rockingham) 2.27 (1.56 - 3.29) 2.30 (1.54 - 3.41) 0.945
Southern 2 2.50a (1.80 - 3.48) 3.58 (2.65 - 4.82) 0.026
New Jersey 2.09 (1.54 - 2.84) 1.82 (1.45 - 2.27) 0.323
Central 2.21 (1.45 - 3.35) 1.80 (1.20 - 2.69) 0.288
Metropolitan 2.15 (1.40 - 3.28) 1.66 (1.09 - 2.53) 0.208
Northern 1.88 (1.24 - 2.85) 1.78 (1.28 - 2.48) 0.768
Southern 2.21 (1.45 - 3.37) 2.07 (1.42 - 3.00) 0.712
New Mexico 2.23 (1.71 - 2.90) 2.01 (1.54 - 2.62) 0.449
Region 1 1.82 (1.23 - 2.68) 1.91 (1.18 - 3.09) 0.788
Region 2 2.18 (1.42 - 3.35) 1.68 (1.02 - 2.75) 0.138
Region 3 (Bernalillo) 2.66 (1.90 - 3.72) 2.25 (1.56 - 3.23) 0.342
Region 4 1.99 (1.31 - 3.03) 1.91 (1.15 - 3.14) 0.803
Region 5 2.13 (1.42 - 3.18) 2.02 (1.38 - 2.96) 0.762
Region 5a -- (-- - --) 1.95 (1.15 - 3.27) --
Region 5b (Dona Ana) -- (-- - --) 2.09 (1.30 - 3.36) --
New York1 2.43 (2.07 - 2.85) 2.54 (2.20 - 2.92) 0.632
Region 1: Long Island 2.30 (1.71 - 3.09) 2.05 (1.49 - 2.81) 0.455
Region 2: New York City 2.29a (1.84 - 2.85) 3.05 (2.52 - 3.68) 0.016
Region 2A: Bronx 2.02 (1.35 - 3.01) 2.03 (1.31 - 3.14) 0.971
Region 2B: Kings -- (-- - --) 3.26 (2.35 - 4.51) --
Region 2C: New York 3.69b (2.58 - 5.24) 5.12 (3.81 - 6.86) 0.060
Region 2D: Queens 1.70 (1.18 - 2.44) 2.02 (1.38 - 2.94) 0.341
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 Carolina1 2.04 (1.50 - 2.77) 1.74 (1.38 - 2.18) 0.214
Alliance Behavioral Healthcare 1 -- (-- - --) 1.92 (1.16 - 3.16) --
Alliance Behavioral Healthcare 2 -- (-- - --) 1.55 (0.96 - 2.50) --
Cardinal Innovations Healthcare Solutions 1 -- (-- - --) 1.24 (0.73 - 2.10) --
Cardinal Innovations Healthcare Solutions 2 -- (-- - --) 1.88 (1.15 - 3.07) --
Cardinal Innovations Healthcare Solutions 3 2.26 (1.40 - 3.64) 2.04 (1.30 - 3.20) 0.623
CenterPoint Human Services 1.91 (1.15 - 3.15) 1.84 (1.09 - 3.10) 0.867
Eastpointe 2.02 (1.18 - 3.46) 1.59 (0.94 - 2.67) 0.285
Partners Behavioral Health Management 1.92a (1.22 - 3.00) 1.28 (0.77 - 2.11) 0.030
Sandhills Center 1 1.84 (1.09 - 3.07) 1.77 (1.03 - 3.03) 0.854
Sandhills Center 2 2.19 (1.30 - 3.65) 2.34 (1.40 - 3.88) 0.749
Smoky Mountain Center 1 1.78 (1.11 - 2.83) 1.71 (1.04 - 2.78) 0.835
Smoky Mountain Center 2 1.96a (1.22 - 3.13) 1.24 (0.72 - 2.10) 0.013
Trillium Health Resources 1 2.29 (1.41 - 3.69) 2.08 (1.31 - 3.27) 0.649
Trillium Health Resources 2 2.27 (1.44 - 3.57) 2.13 (1.31 - 3.42) 0.695
North Dakota 1.02 (0.71 - 1.45) 1.17 (0.86 - 1.59) 0.362
Badlands and West Central 0.94 (0.59 - 1.49) 1.03 (0.65 - 1.62) 0.618
Badlands -- (-- - --) 1.12 (0.62 - 2.01) --
West Central -- (-- - --) 1.00 (0.60 - 1.68) --
Lake Region -- (-- - --) 0.87 (0.47 - 1.61) --
North Central -- (-- - --) 1.35 (0.80 - 2.26) --
Northeast 1.22 (0.77 - 1.92) 1.23 (0.73 - 2.07) 0.962
Northwest -- (-- - --) 1.15 (0.63 - 2.09) --
South Central -- (-- - --) 0.92 (0.51 - 1.66) --
Southeast 1.16 (0.75 - 1.79) 1.32 (0.88 - 1.98) 0.480
Ohio 1.46 (1.21 - 1.74) 1.55 (1.28 - 1.87) 0.546
Boards 2, 46, 55, and 68 1.45 (1.02 - 2.05) 1.37 (0.82 - 2.29) 0.774
Boards 3, 52, and 85 1.16 (0.77 - 1.75) 1.37 (0.81 - 2.31) 0.362
Boards 4 and 78 1.31 (0.86 - 1.98) 1.49 (0.90 - 2.45) 0.457
Boards 5 and 60 1.51 (1.05 - 2.16) 1.75 (1.06 - 2.87) 0.413
Boards 7, 15, 41, 79, and 84 1.12 (0.74 - 1.69) 1.47 (0.87 - 2.48) 0.134
Boards 8, 13, and 83 1.20 (0.81 - 1.78) 1.40 (0.83 - 2.35) 0.376
Board 9 (Butler) 1.24a (0.82 - 1.89) 1.76 (1.07 - 2.88) 0.047
Board 12 1.47 (1.00 - 2.15) 1.78 (1.08 - 2.93) 0.256
Boards 18 and 47 1.43 (1.00 - 2.03) 1.21 (0.77 - 1.89) 0.394
Boards 20, 32, 54, and 69 1.26 (0.86 - 1.85) 1.23 (0.75 - 2.01) 0.884
Boards 21, 39, 51, 70, and 80 1.20 (0.80 - 1.79) 1.40 (0.88 - 2.24) 0.332
Boards 22, 74, and 87 1.47 (1.01 - 2.14) 1.41 (0.87 - 2.28) 0.814
Boards 23 and 45 1.38 (0.93 - 2.03) 1.16 (0.70 - 1.92) 0.338
Board 25 (Franklin) 2.01 (1.46 - 2.78) 2.15 (1.50 - 3.07) 0.677
Boards 27, 71, and 73 1.26a (0.85 - 1.86) 2.03 (1.18 - 3.44) 0.011
Boards 28, 43, and 67 1.31 (0.91 - 1.86) 1.27 (0.79 - 2.03) 0.871
Board 31 (Hamilton) 1.52 (1.03 - 2.22) 1.96 (1.25 - 3.05) 0.171
Board 48 (Lucas) 1.75 (1.14 - 2.67) 1.74 (1.05 - 2.88) 0.992
Boards 50 and 76 1.74 (1.18 - 2.57) 1.48 (0.91 - 2.39) 0.364
Board 57 (Montgomery) 1.51 (1.00 - 2.27) 1.42 (0.85 - 2.39) 0.787
Board 77 (Summit) 1.39 (0.95 - 2.03) 1.33 (0.82 - 2.16) 0.825
Oklahoma 1.37b (0.98 - 1.92) 1.07 (0.76 - 1.50) 0.068
Central 1.47a (0.92 - 2.34) 0.95 (0.54 - 1.68) 0.027
East Central 1.39a (0.83 - 2.31) 0.82 (0.44 - 1.54) 0.010
Northeast 1.29b (0.80 - 2.05) 0.90 (0.50 - 1.61) 0.067
Northwest and Southwest 1.44b (0.91 - 2.26) 1.04 (0.59 - 1.81) 0.075
Oklahoma County 1.40 (0.86 - 2.28) 1.32 (0.80 - 2.17) 0.760
Southeast 1.22b (0.77 - 1.95) 0.88 (0.48 - 1.61) 0.084
Tulsa County 1.39 (0.87 - 2.20) 1.36 (0.82 - 2.26) 0.925
Oregon 2.32 (1.80 - 3.00) 2.53 (2.04 - 3.12) 0.500
Region 1 (Multnomah) 3.09b (2.06 - 4.61) 4.28 (3.10 - 5.89) 0.087
Region 2 1.82 (1.23 - 2.70) 1.99 (1.36 - 2.91) 0.589
Region 3 2.49 (1.81 - 3.41) 2.23 (1.56 - 3.17) 0.492
Region 4 1.96 (1.30 - 2.96) 1.91 (1.21 - 3.02) 0.876
Region 5 (Central) 2.24 (1.42 - 3.52) 2.02 (1.17 - 3.48) 0.546
Region 6 (Eastern) 1.99 (1.29 - 3.06) 2.26 (1.33 - 3.79) 0.481
Pennsylvania 2.10 (1.76 - 2.50) 1.75 (1.44 - 2.13) 0.101
Region 1 (Allegheny) 2.58 (1.82 - 3.63) 2.15 (1.46 - 3.15) 0.312
Regions 3, 8, 9, and 51 2.15a (1.45 - 3.18) 1.21 (0.74 - 1.96) 0.002
Regions 4, 11, 37, and 49 1.99a (1.41 - 2.80) 1.23 (0.76 - 2.00) 0.008
Regions 5, 18, 23, 24, and 46 1.91a (1.25 - 2.89) 1.14 (0.71 - 1.85) 0.003
Regions 6, 12, 16, 31, 35, 45, and 47 2.08 (1.45 - 2.98) 2.05 (1.33 - 3.14) 0.930
Regions 7, 13, 20, and 33 2.16 (1.62 - 2.87) 1.82 (1.32 - 2.52) 0.277
Regions 10, 15, 27, 32, 43, and 44 1.69 (1.15 - 2.48) 1.28 (0.75 - 2.18) 0.138
Regions 17 and 21 2.15 (1.45 - 3.19) 1.73 (1.03 - 2.88) 0.233
Regions 19, 26, 28, and 42 1.81b (1.28 - 2.57) 1.33 (0.89 - 1.99) 0.063
Regions 22, 38, 40, 41, and 48 1.73 (1.19 - 2.50) 1.41 (0.85 - 2.34) 0.275
Regions 29 and 34 1.83a (1.25 - 2.66) 1.19 (0.71 - 1.97) 0.016
Regions 30 and 50 2.10a (1.45 - 3.03) 1.19 (0.70 - 2.03) 0.005
Region 36 (Philadelphia) 2.50 (1.73 - 3.60) 3.26 (2.16 - 4.91) 0.215
Rhode Island 3.33a (2.55 - 4.33) 2.56 (2.00 - 3.27) 0.050
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 2.35a (1.71 - 3.22) 1.46 (1.09 - 1.95) 0.002
Region 1 -- (-- - --) 0.99 (0.60 - 1.63) --
Region 2 -- (-- - --) 1.44 (0.90 - 2.29) --
Region 3 2.56a (1.58 - 4.11) 1.46 (0.87 - 2.44) 0.012
Region 4 2.90b (1.83 - 4.56) 2.02 (1.34 - 3.03) 0.096
South Dakota 1.16 (0.83 - 1.63) 0.98 (0.70 - 1.38) 0.216
Region 1 -- (-- - --) 1.31 (0.80 - 2.13) --
Region 2 -- (-- - --) 0.95 (0.51 - 1.75) --
Region 3 -- (-- - --) 0.94 (0.56 - 1.55) --
Region 4 -- (-- - --) 0.92 (0.53 - 1.58) --
Region 5 -- (-- - --) 0.77 (0.46 - 1.28) --
Tennessee 1.46 (1.03 - 2.06) 1.48 (1.10 - 1.98) 0.924
Region 1 1.26 (0.76 - 2.09) 1.23 (0.73 - 2.08) 0.902
Region 2 1.50 (0.96 - 2.35) 1.14 (0.69 - 1.90) 0.143
Region 3 -- (-- - --) 1.40 (0.84 - 2.34) --
Region 4 (Davidson) 1.92 (1.14 - 3.23) 2.26 (1.34 - 3.79) 0.451
Region 5 -- (-- - --) 1.64 (1.06 - 2.53) --
Region 6 1.41 (0.85 - 2.32) 1.36 (0.78 - 2.37) 0.858
Region 7 (Shelby) 1.50 (0.87 - 2.58) 1.40 (0.79 - 2.46) 0.772
Texas 1.79a (1.52 - 2.11) 1.40 (1.18 - 1.66) 0.013
Region 1 1.90 (1.35 - 2.67) 1.57 (0.96 - 2.55) 0.274
Region 2 1.62 (1.08 - 2.43) 1.45 (0.87 - 2.38) 0.515
Region 3 1.73a (1.35 - 2.21) 1.21 (0.92 - 1.60) 0.010
Region 3a 1.84a (1.37 - 2.46) 1.18 (0.83 - 1.68) 0.008
Region 3bc 1.53 (1.08 - 2.17) 1.27 (0.84 - 1.91) 0.276
Region 4 1.56 (1.05 - 2.29) 1.27 (0.79 - 2.02) 0.247
Region 5 1.62 (1.07 - 2.46) 1.33 (0.81 - 2.18) 0.278
Region 6 1.89a (1.45 - 2.47) 1.33 (0.99 - 1.78) 0.015
Region 6a 1.89a (1.41 - 2.51) 1.31 (0.95 - 1.81) 0.020
Region 6bc 1.95 (1.31 - 2.89) 1.49 (0.89 - 2.46) 0.127
Region 7 2.08 (1.60 - 2.70) 2.13 (1.58 - 2.86) 0.869
Region 7a 2.03 (1.45 - 2.83) 2.18 (1.51 - 3.15) 0.660
Region 7bcd 2.16 (1.51 - 3.08) 2.03 (1.32 - 3.12) 0.708
Region 8 1.64a (1.18 - 2.27) 1.19 (0.79 - 1.78) 0.046
Region 9 1.73 (1.18 - 2.53) 2.19 (1.32 - 3.64) 0.200
Region 10 1.64 (1.12 - 2.38) 1.38 (0.85 - 2.25) 0.319
Region 11 1.78a (1.35 - 2.36) 1.20 (0.84 - 1.72) 0.006
Region 11abd 1.80a (1.28 - 2.54) 1.30 (0.83 - 2.03) 0.050
Region 11c (Hidalgo) 1.75a (1.19 - 2.57) 1.04 (0.65 - 1.68) 0.002
Utah 1.29b (0.94 - 1.77) 0.97 (0.68 - 1.39) 0.079
Bear River, Northeastern, Summit, Tooele, and Wasatch 1.24b (0.78 - 1.95) 0.85 (0.47 - 1.54) 0.064
Central, Four Corners, San Juan, and Southwest 1.08 (0.68 - 1.72) 0.84 (0.50 - 1.40) 0.157
Central, Four Corners, and San Juan -- (-- - --) 0.79 (0.42 - 1.49) --
Southwest -- (-- - --) 0.87 (0.47 - 1.59) --
Davis County 1.33a (0.83 - 2.12) 0.83 (0.45 - 1.51) 0.022
Salt Lake County 1.36 (0.91 - 2.02) 1.16 (0.75 - 1.79) 0.436
Utah County 1.36b (0.89 - 2.06) 0.92 (0.53 - 1.59) 0.070
Weber, Morgan 1.18a (0.72 - 1.94) 0.79 (0.44 - 1.41) 0.034
Vermont 3.06 (2.46 - 3.80) 3.05 (2.46 - 3.78) 0.980
Champlain Valley 3.57 (2.75 - 4.61) 3.79 (2.88 - 4.97) 0.694
Rural Northeast 2.82 (2.00 - 3.98) 3.11 (2.07 - 4.66) 0.587
Rural Southeast 2.65 (1.82 - 3.86) 1.97 (1.26 - 3.06) 0.119
Rural Southwest 2.73 (1.83 - 4.05) 2.50 (1.60 - 3.89) 0.656
Virginia 1.80b (1.34 - 2.42) 1.43 (1.11 - 1.84) 0.080
Region 1 2.05a (1.38 - 3.03) 1.24 (0.78 - 1.95) 0.004
Region 2 1.55a (0.99 - 2.40) 1.04 (0.68 - 1.60) 0.046
Region 3 1.90 (1.26 - 2.87) 1.69 (1.10 - 2.57) 0.513
Region 4 1.89 (1.22 - 2.91) 1.64 (1.08 - 2.51) 0.455
Region 5 1.79 (1.16 - 2.77) 1.69 (1.11 - 2.58) 0.754
Washington1 2.21 (1.68 - 2.90) 1.91 (1.46 - 2.49) 0.243
Region 1 2.18a (1.52 - 3.12) 1.61 (1.08 - 2.40) 0.040
Greater Columbia and North Central -- (-- - --) 1.53 (0.93 - 2.51) --
Spokane -- (-- - --) 1.75 (1.02 - 2.97) --
Region 2 2.26 (1.63 - 3.12) 2.21 (1.60 - 3.05) 0.894
King 2.29 (1.54 - 3.38) 2.71 (1.88 - 3.88) 0.345
North Sound 2.21a (1.50 - 3.25) 1.34 (0.81 - 2.21) 0.007
Region 3 2.16b (1.54 - 3.02) 1.66 (1.17 - 2.35) 0.066
Pierce -- (-- - --) 1.62 (1.00 - 2.61) --
Salish -- (-- - --) 1.78 (1.03 - 3.06) --
SW WA and Great Rivers -- (-- - --) 1.70 (1.02 - 2.81) --
Thurston-Mason -- (-- - --) 1.58 (0.87 - 2.83) --
West Virginia 2.14a (1.64 - 2.78) 1.32 (0.97 - 1.79) 0.001
Region I 2.12a (1.37 - 3.27) 1.30 (0.72 - 2.32) 0.013
Region II 2.24a (1.42 - 3.50) 1.03 (0.59 - 1.79) 0.000
Region III 1.72a (1.09 - 2.70) 1.04 (0.58 - 1.87) 0.015
Region IV 2.94a (2.06 - 4.18) 2.04 (1.35 - 3.08) 0.050
Region V 1.98a (1.35 - 2.89) 1.07 (0.65 - 1.75) 0.003
Region VI 1.62 (1.05 - 2.51) 1.21 (0.72 - 2.02) 0.128
Wisconsin 2.31a (1.77 - 3.01) 1.49 (1.13 - 1.96) 0.001
Milwaukee 2.36b (1.54 - 3.60) 1.66 (1.00 - 2.74) 0.089
Northeastern 2.23a (1.52 - 3.27) 1.17 (0.71 - 1.93) 0.001
Northern 1.91b (1.21 - 3.00) 1.32 (0.76 - 2.30) 0.057
Southeastern 2.31b (1.55 - 3.43) 1.70 (1.06 - 2.71) 0.097
Southern 2.60a (1.74 - 3.89) 1.64 (1.09 - 2.48) 0.007
Western 2.25a (1.50 - 3.36) 1.36 (0.83 - 2.21) 0.004
Wyoming 1.34 (0.98 - 1.82) 1.35 (1.01 - 1.80) 0.952
Judicial District 1 (Laramie) 1.36 (0.90 - 2.05) 1.29 (0.78 - 2.13) 0.781
Judicial District 2 1.67 (1.09 - 2.57) 1.85 (1.15 - 2.96) 0.604
Judicial District 3 1.13 (0.73 - 1.76) 1.22 (0.73 - 2.03) 0.720
Judicial District 4 1.20 (0.73 - 1.96) 1.15 (0.65 - 2.01) 0.814
Judicial District 5 1.22 (0.79 - 1.89) 1.06 (0.62 - 1.83) 0.456
Judicial District 6 1.34 (0.85 - 2.12) 1.27 (0.78 - 2.08) 0.792
Judicial District 7 (Natrona) 1.51 (0.97 - 2.33) 1.56 (0.96 - 2.51) 0.855
Judicial District 8 1.17 (0.73 - 1.85) 1.05 (0.60 - 1.83) 0.601
Judicial District 9 1.37 (0.84 - 2.22) 1.51 (0.90 - 2.52) 0.639
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2014-2016); hence, the 2008-2010 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 2008-2010 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 2008-2010 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2008-2010 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 (2008-2010 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, 2008-2010 and 2014-2016.
180416
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, 2008-2010 and 2014-2016 NSDUHs
State/Substate Region 2008-2010
(Estimate)
2008-2010
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 51.65 (51.18 - 52.12) 51.70 (51.32 - 52.07) 0.841
Northeast 56.68 (55.65 - 57.72) 56.55 (55.79 - 57.31) 0.838
Midwest 54.43 (53.55 - 55.31) 54.62 (53.93 - 55.31) 0.729
South 47.59 (46.73 - 48.45) 48.09 (47.50 - 48.68) 0.318
West 51.42 (50.35 - 52.48) 51.11 (50.40 - 51.82) 0.630
Alabama 42.67 (39.98 - 45.41) 42.07 (39.79 - 44.39) 0.721
Region 1 39.92 (35.58 - 44.42) 36.95 (33.32 - 40.73) 0.232
Region 2 45.21 (41.06 - 49.43) 46.87 (43.21 - 50.57) 0.499
Region 3 43.42 (38.57 - 48.39) 42.03 (37.86 - 46.31) 0.591
Region 4 41.85 (37.25 - 46.59) 41.67 (37.60 - 45.87) 0.946
Alaska 53.72 (50.88 - 56.52) 53.42 (51.27 - 55.56) 0.860
Anchorage 56.84 (53.04 - 60.56) 55.00 (52.00 - 57.96) 0.384
Northern 44.02a (39.55 - 48.58) 49.92 (45.96 - 53.89) 0.016
South Central 56.53 (51.33 - 61.59) 52.44 (48.72 - 56.13) 0.126
Southeast 53.86 (48.04 - 59.58) 57.13 (51.94 - 62.18) 0.260
Arizona1 49.38 (46.37 - 52.39) 51.66 (49.36 - 53.95) 0.191
Central 49.66a (46.05 - 53.27) 54.52 (51.84 - 57.18) 0.020
North -- (-- - --) 42.89 (37.63 - 48.30) --
South -- (-- - --) 49.34 (45.49 - 53.20) --
South A 53.09 (47.37 - 58.74) 51.53 (46.92 - 56.12) 0.591
South B -- (-- - --) 46.70 (41.39 - 52.10) --
Arkansas 41.89 (39.21 - 44.62) 40.99 (38.66 - 43.36) 0.585
Catchment Area 1 47.31 (42.07 - 52.60) 45.95 (41.29 - 50.67) 0.625
Catchment Area 2 38.12 (32.69 - 43.85) 36.88 (32.08 - 41.96) 0.674
Catchment Area 3 39.56a (34.54 - 44.81) 33.37 (29.21 - 37.80) 0.018
Catchment Area 4 37.09 (31.50 - 43.05) 35.65 (30.98 - 40.62) 0.598
Catchment Area 5 43.53 (38.71 - 48.48) 42.38 (37.84 - 47.06) 0.667
Catchment Area 6 36.41 (30.73 - 42.50) 35.35 (30.52 - 40.49) 0.698
Catchment Area 7 37.24 (31.56 - 43.29) 34.34 (29.11 - 39.98) 0.276
Catchment Area 8 46.80 (41.81 - 51.85) 50.44 (45.91 - 54.96) 0.180
California 50.20 (48.69 - 51.71) 50.27 (49.20 - 51.34) 0.937
Region 1R 55.97 (50.44 - 61.35) 55.23 (50.41 - 59.95) 0.771
Region 2R 54.71 (49.54 - 59.78) 57.01 (52.81 - 61.11) 0.356
Region 3R (Sacramento) 49.94 (44.85 - 55.02) 48.81 (44.86 - 52.77) 0.651
Region 4R 57.45 (52.48 - 62.28) 56.69 (52.57 - 60.73) 0.763
Region 5R (San Francisco) 61.21 (55.48 - 66.64) 63.64 (58.52 - 68.46) 0.361
Region 6 (Santa Clara) 51.86 (47.25 - 56.45) 51.70 (48.00 - 55.38) 0.946
Region 7R (Contra Costa) 55.39 (50.10 - 60.55) 56.62 (52.55 - 60.61) 0.621
Region 8R (Alameda) 53.34 (48.39 - 58.21) 51.19 (47.12 - 55.23) 0.377
Region 9R (San Mateo) 57.83 (52.32 - 63.16) 55.98 (51.09 - 60.76) 0.471
Region 10 54.33 (49.26 - 59.31) 53.49 (49.00 - 57.92) 0.728
Region 11 (Los Angeles) 46.88 (44.68 - 49.09) 46.96 (45.23 - 48.69) 0.949
LA SPA 1 and 5 56.09 (50.41 - 61.62) 55.69 (51.14 - 60.15) 0.879
LA SPA 2 48.74 (44.12 - 53.38) 51.02 (47.52 - 54.51) 0.324
LA SPA 3 44.97 (40.53 - 49.49) 43.12 (39.08 - 47.26) 0.448
LA SPA 4 47.08 (42.17 - 52.04) 49.02 (44.08 - 53.98) 0.444
LA SPA 6 37.45 (32.51 - 42.67) 35.76 (31.65 - 40.09) 0.470
LA SPA 7 43.24 (38.52 - 48.09) 40.91 (36.64 - 45.31) 0.320
LA SPA 8 49.10 (44.15 - 54.07) 49.88 (45.98 - 53.78) 0.749
Region 12R 50.35b (44.56 - 56.13) 45.67 (40.78 - 50.64) 0.073
Regions 13 and 19R 45.80 (41.72 - 49.93) 46.30 (42.99 - 49.65) 0.814
Region 14 (Orange) 52.83 (49.21 - 56.41) 54.38 (50.99 - 57.73) 0.452
Region 15R (Fresno) 42.61 (37.54 - 47.85) 44.40 (39.94 - 48.96) 0.458
Region 16R (San Diego) 54.34 (50.74 - 57.90) 56.19 (53.20 - 59.14) 0.347
Region 17R 45.20b (40.79 - 49.69) 41.24 (37.67 - 44.91) 0.080
Region 18R (San Bernardino) 45.42 (41.36 - 49.54) 42.71 (39.19 - 46.30) 0.227
Region 20R 43.90 (38.61 - 49.34) 42.81 (38.32 - 47.41) 0.667
Region 21R 50.24a (44.81 - 55.66) 55.55 (50.90 - 60.10) 0.039
Colorado 62.54a (59.86 - 65.14) 58.15 (55.93 - 60.34) 0.006
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 59.54 (56.81 - 62.21) 59.88 (57.51 - 62.21) 0.839
Eastern 56.42 (50.54 - 62.12) 58.13 (53.15 - 62.95) 0.547
North Central 59.17 (54.95 - 63.25) 60.92 (57.18 - 64.54) 0.468
Northwestern 59.80 (54.96 - 64.45) 57.47 (52.89 - 61.92) 0.385
South Central 61.17 (56.60 - 65.56) 60.74 (56.55 - 64.77) 0.866
Southwest 59.85 (54.76 - 64.74) 60.61 (56.02 - 65.02) 0.783
Delaware 56.54 (53.61 - 59.43) 53.85 (51.47 - 56.21) 0.126
Kent 53.26 (47.77 - 58.67) 50.43 (46.07 - 54.79) 0.315
New Castle (excluding Wilmington City) 60.03 (56.34 - 63.60) 56.78 (53.77 - 59.73) 0.133
Sussex 54.52 (49.44 - 59.51) 51.12 (46.66 - 55.56) 0.216
Wilmington City 47.60 (41.75 - 53.51) 50.57 (44.75 - 56.38) 0.307
District of Columbia 62.40a (59.62 - 65.10) 68.62 (66.47 - 70.69) 0.000
Ward 1 64.57a (59.20 - 69.60) 76.99 (72.70 - 80.78) 0.000
Ward 2 77.90a (72.97 - 82.15) 81.81 (78.06 - 85.04) 0.044
Ward 3 79.00 (74.64 - 82.79) 80.51 (76.62 - 83.88) 0.422
Ward 4 57.58a (51.54 - 63.40) 64.97 (60.04 - 69.60) 0.009
Ward 5 54.84a (48.87 - 60.69) 61.86 (56.97 - 66.53) 0.015
Ward 6 64.29a (59.05 - 69.21) 77.27 (73.62 - 80.56) 0.000
Ward 7 47.79 (42.57 - 53.06) 48.68 (43.47 - 53.92) 0.752
Ward 8 46.06a (40.58 - 51.63) 52.83 (48.06 - 57.55) 0.009
Florida1 51.01a (49.50 - 52.52) 53.78 (52.45 - 55.11) 0.005
Broward (Circuit 17) 52.14 (48.55 - 55.70) 54.36 (50.49 - 58.17) 0.336
Central I -- (-- - --) 53.94 (51.20 - 56.66) --
Circuit 9 52.10 (48.12 - 56.05) 50.82 (47.37 - 54.25) 0.557
Circuit 18 54.51b (49.92 - 59.02) 58.55 (54.35 - 62.64) 0.097
Central II -- (-- - --) 55.07 (53.00 - 57.12) --
Circuit 6 52.64a (48.23 - 57.01) 59.23 (55.23 - 63.11) 0.009
Circuit 10 42.57b (37.74 - 47.54) 46.95 (42.72 - 51.23) 0.084
Circuit 12 56.12 (50.55 - 61.53) 59.29 (54.59 - 63.83) 0.246
Circuit 13 (Hillsborough) 51.29 (47.50 - 55.07) 53.99 (50.44 - 57.51) 0.207
Circuit 20 56.43 (51.71 - 61.04) 53.51 (48.97 - 57.99) 0.265
Northeast -- (-- - --) 53.02 (50.63 - 55.40) --
Circuit 4 54.73 (50.23 - 59.16) 53.85 (49.74 - 57.91) 0.711
Circuit 5 48.21b (43.76 - 52.69) 52.52 (48.06 - 56.94) 0.087
Circuit 7 51.61 (46.54 - 56.65) 54.96 (50.33 - 59.51) 0.205
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee -- (-- - --) 49.08 (44.10 - 54.08) --
Northwest -- (-- - --) 54.78 (51.78 - 57.75) --
Circuit 1 50.14 (45.12 - 55.16) 52.95 (48.47 - 57.40) 0.288
Circuit 2 plus Madison and Taylor -- (-- - --) 61.40 (56.67 - 65.93) --
Circuit 14 46.06 (40.20 - 52.03) 49.32 (43.54 - 55.13) 0.234
South (Circuits 11 and 16) 43.96a (40.56 - 47.42) 49.40 (46.32 - 52.47) 0.009
Southeast -- (-- - --) 56.11 (52.76 - 59.41) --
Circuit 15 (Palm Beach) 54.75 (50.25 - 59.18) 56.72 (52.55 - 60.80) 0.424
Circuit 19 51.11 (45.52 - 56.67) 54.78 (49.83 - 59.64) 0.189
Georgia 47.79 (45.12 - 50.47) 47.37 (45.47 - 49.28) 0.790
Region 1 48.45 (44.03 - 52.90) 47.18 (44.03 - 50.35) 0.595
Region 2 45.35 (39.87 - 50.95) 47.04 (43.08 - 51.04) 0.535
Region 3 52.67 (48.39 - 56.91) 51.47 (48.22 - 54.70) 0.621
Region 4 43.11 (37.10 - 49.33) 42.64 (37.65 - 47.78) 0.869
Region 5 43.23 (37.62 - 49.02) 43.00 (38.56 - 47.55) 0.933
Region 6 43.57 (38.25 - 49.04) 44.89 (40.86 - 48.99) 0.619
Hawaii 47.89 (45.08 - 50.71) 45.21 (42.91 - 47.54) 0.126
Hawaii Island 51.88a (46.26 - 57.46) 43.21 (38.53 - 48.01) 0.004
Honolulu 46.74 (43.57 - 49.93) 45.45 (42.77 - 48.16) 0.518
Kauai 48.73 (41.61 - 55.90) 48.40 (42.77 - 54.08) 0.920
Maui 49.91b (44.05 - 55.77) 44.73 (39.64 - 49.92) 0.094
Idaho 46.52 (43.84 - 49.23) 44.65 (42.40 - 46.91) 0.240
Region 1 54.51a (48.83 - 60.07) 47.91 (42.65 - 53.21) 0.026
Region 2 51.12 (44.70 - 57.51) 48.90 (43.10 - 54.72) 0.452
Region 3 40.20 (35.31 - 45.29) 40.13 (35.97 - 44.43) 0.979
Region 4 54.31 (50.03 - 58.53) 54.24 (50.70 - 57.73) 0.975
Region 5 42.94 (37.38 - 48.69) 41.79 (37.28 - 46.45) 0.675
Region 6 -- (-- - --) 41.78 (36.16 - 47.62) --
Region 7 -- (-- - --) 29.93 (25.84 - 34.37) --
Illinois 54.26 (52.76 - 55.74) 54.36 (52.89 - 55.82) 0.920
Region 1 (Cook) 54.78 (52.37 - 57.17) 53.97 (51.86 - 56.07) 0.599
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 57.17 (54.83 - 59.48) 56.86 (54.76 - 58.95) 0.834
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 52.14 (49.00 - 55.25) 54.28 (51.10 - 57.43) 0.275
Region 3a (Champaign) -- (-- - --) 59.80 (54.35 - 65.01) --
Region 3b -- (-- - --) 53.37 (49.83 - 56.86) --
Region 4 49.20 (45.24 - 53.18) 51.60 (47.89 - 55.30) 0.309
Region 4a (Sangamon) -- (-- - --) 54.75 (48.87 - 60.50) --
Region 4b -- (-- - --) 50.70 (46.33 - 55.07) --
Region 5 48.40 (44.91 - 51.91) 49.71 (46.37 - 53.06) 0.540
Region 5a -- (-- - --) 51.70 (46.70 - 56.67) --
Region 5b -- (-- - --) 48.12 (43.83 - 52.43) --
Indiana 48.16 (45.46 - 50.87) 50.01 (47.62 - 52.40) 0.259
Central 48.51b (43.94 - 53.10) 52.78 (49.14 - 56.40) 0.079
East 39.52 (33.43 - 45.96) 43.92 (38.56 - 49.43) 0.144
North Central 51.48 (46.14 - 56.78) 48.34 (43.50 - 53.22) 0.265
Northeast 49.24 (43.69 - 54.80) 52.20 (47.02 - 57.34) 0.294
Northwest 49.33 (43.59 - 55.09) 51.07 (45.79 - 56.32) 0.552
Southeast 44.98 (39.59 - 50.48) 46.43 (41.14 - 51.80) 0.632
Southwest 43.67b (37.63 - 49.90) 49.66 (43.94 - 55.39) 0.051
West 53.84 (48.77 - 58.84) 50.75 (45.49 - 55.99) 0.232
Iowa 55.92 (53.34 - 58.47) 57.41 (55.15 - 59.65) 0.331
Central 61.26 (56.61 - 65.72) 58.04 (53.74 - 62.21) 0.201
North Central 54.10 (48.58 - 59.52) 56.73 (51.67 - 61.66) 0.341
Northeast 59.82 (55.53 - 63.96) 59.28 (55.61 - 62.84) 0.815
Northwest 50.81a (45.43 - 56.17) 59.00 (54.41 - 63.44) 0.003
Southeast 53.49 (49.14 - 57.77) 54.03 (49.93 - 58.07) 0.824
Southwest 52.27b (46.26 - 58.21) 57.30 (51.88 - 62.56) 0.096
Kansas 53.80 (50.92 - 56.66) 54.65 (52.33 - 56.94) 0.618
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 39.03b (36.39 - 41.74) 41.82 (39.52 - 44.16) 0.086
Adanta, Cumberland River, and Lifeskills 27.98 (23.77 - 32.61) 30.81 (26.86 - 35.07) 0.238
Bluegrass, Comprehend, and North Key 46.47 (42.35 - 50.64) 48.47 (44.81 - 52.16) 0.397
Centerstone 47.02 (42.08 - 52.03) 49.22 (45.07 - 53.38) 0.410
Communicare and River Valley 36.87 (31.11 - 43.02) 41.37 (36.05 - 46.90) 0.132
Four Rivers and Pennyroyal 35.63 (30.23 - 41.43) 36.57 (31.48 - 41.99) 0.730
Kentucky River, Mountain, and Pathways 26.65b (22.18 - 31.65) 30.95 (26.31 - 36.00) 0.088
Louisiana 46.97a (44.32 - 49.64) 50.21 (47.89 - 52.53) 0.044
Regions 1 and 10 -- (-- - --) 56.92 (52.87 - 60.87) --
Region 1 -- (-- - --) 58.62 (53.38 - 63.67) --
Region 10 (Jefferson) 53.37 (47.23 - 59.41) 55.06 (49.74 - 60.27) 0.582
Regions 2 and 9 50.30 (46.19 - 54.41) 54.00 (50.39 - 57.56) 0.110
Region 3 -- (-- - --) 48.62 (43.50 - 53.77) --
Regions 4, 5, and 6 41.79b (37.44 - 46.28) 45.80 (41.72 - 49.94) 0.100
Regions 7 and 8 45.89 (41.41 - 50.44) 44.85 (40.70 - 49.08) 0.679
Maine 55.34b (52.49 - 58.16) 58.28 (55.89 - 60.64) 0.096
Aroostook/Downeast 50.39 (44.99 - 55.79) 52.30 (47.83 - 56.74) 0.485
Aroostook -- (-- - --) 51.37 (45.61 - 57.10) --
Downeast -- (-- - --) 53.05 (46.93 - 59.08) --
Central 51.44 (45.82 - 57.02) 55.15 (49.93 - 60.25) 0.212
Cumberland 61.72 (57.00 - 66.24) 65.41 (61.28 - 69.31) 0.154
Midcoast 57.60 (51.81 - 63.18) 58.51 (53.41 - 63.44) 0.755
Penquis 52.86 (47.08 - 58.56) 55.94 (50.75 - 61.02) 0.313
Western 52.23 (47.21 - 57.21) 53.05 (48.28 - 57.75) 0.782
York 57.21b (51.28 - 62.94) 62.45 (57.76 - 66.92) 0.065
Maryland 53.02a (49.95 - 56.06) 56.67 (54.34 - 58.98) 0.039
Anne Arundel 59.19 (53.26 - 64.87) 61.40 (56.33 - 66.24) 0.442
Baltimore City 42.46a (36.71 - 48.43) 53.30 (48.49 - 58.04) 0.000
Baltimore County 53.19a (46.87 - 59.41) 61.39 (56.55 - 66.02) 0.005
Montgomery 55.67 (50.20 - 61.01) 57.02 (52.67 - 61.26) 0.629
North Central 60.73 (54.95 - 66.23) 58.45 (53.13 - 63.58) 0.413
Northeast 55.30 (49.13 - 61.32) 55.48 (50.15 - 60.69) 0.951
Prince George's 49.58a (43.66 - 55.51) 55.24 (50.42 - 59.97) 0.047
South 50.73 (44.86 - 56.58) 52.71 (47.46 - 57.90) 0.504
West 53.90 (47.80 - 59.89) 53.55 (48.31 - 58.71) 0.904
Massachusetts 62.26a (59.64 - 64.81) 59.01 (56.65 - 61.32) 0.046
Boston 57.73 (51.83 - 63.41) 58.22 (53.19 - 63.09) 0.857
Central 61.68a (56.58 - 66.54) 54.30 (49.35 - 59.15) 0.006
Metrowest 68.29 (64.05 - 72.24) 64.98 (61.17 - 68.61) 0.160
Northeast 61.43 (56.66 - 65.99) 57.97 (53.88 - 61.95) 0.184
Southeast 60.60 (55.87 - 65.14) 58.50 (53.87 - 62.98) 0.427
Western 60.09 (55.16 - 64.83) 55.96 (51.01 - 60.79) 0.116
Michigan1 54.55 (53.07 - 56.01) 53.83 (52.33 - 55.33) 0.485
Region 1 54.45 (49.28 - 59.54) 56.43 (51.22 - 61.50) 0.482
Region 2 -- (-- - --) 54.15 (48.87 - 59.33) --
Region 3 -- (-- - --) 57.03 (53.81 - 60.19) --
Region 4 -- (-- - --) 51.79 (48.07 - 55.49) --
Region 5 -- (-- - --) 51.20 (48.08 - 54.30) --
Region 6 -- (-- - --) 56.94 (52.90 - 60.89) --
Region 7 -- (-- - --) 49.20 (45.97 - 52.44) --
Region 8 60.21 (56.80 - 63.53) 58.54 (54.87 - 62.12) 0.443
Region 9 58.90 (55.11 - 62.60) 56.30 (52.28 - 60.23) 0.244
Region 10 -- (-- - --) 52.04 (47.79 - 56.27) --
Minnesota 61.17 (58.48 - 63.79) 59.29 (57.03 - 61.52) 0.237
Regions 1 and 2 58.44 (52.65 - 64.02) 54.94 (50.29 - 59.50) 0.198
Region 1 -- (-- - --) 54.20 (48.13 - 60.15) --
Region 2 -- (-- - --) 55.39 (49.35 - 61.28) --
Regions 3 and 4 60.27 (55.51 - 64.84) 56.93 (53.05 - 60.73) 0.182
Region 3 -- (-- - --) 56.55 (50.17 - 62.73) --
Region 4 -- (-- - --) 57.13 (52.58 - 61.57) --
Regions 5 and 6 57.46 (52.68 - 62.11) 56.23 (52.17 - 60.21) 0.628
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) 64.79 (60.30 - 69.04) 65.69 (61.97 - 69.22) 0.696
Region 7B (Ramsey) 55.10 (49.38 - 60.69) 56.26 (51.41 - 60.98) 0.672
Region 7C 65.28a (60.78 - 69.51) 60.49 (56.55 - 64.30) 0.042
Mississippi 40.09 (37.45 - 42.79) 38.31 (36.08 - 40.59) 0.267
Region 1 40.29 (35.71 - 45.06) 36.33 (32.60 - 40.23) 0.115
Region 2 36.56 (31.17 - 42.30) 36.10 (31.51 - 40.97) 0.868
Region 3 34.12 (29.57 - 39.00) 37.32 (32.91 - 41.95) 0.189
Region 4 44.77 (40.31 - 49.32) 41.74 (37.57 - 46.04) 0.217
Region 5 38.47 (32.84 - 44.41) 34.83 (29.31 - 40.79) 0.177
Region 6 43.84 (38.21 - 49.62) 39.96 (35.40 - 44.71) 0.170
Region 7 40.95 (35.70 - 46.41) 39.90 (35.32 - 44.67) 0.704
Missouri 50.35 (47.56 - 53.14) 51.12 (48.82 - 53.42) 0.641
Central 51.18 (45.87 - 56.46) 48.27 (43.46 - 53.12) 0.279
Eastern 52.59 (48.85 - 56.30) 55.98 (52.81 - 59.09) 0.104
Eastern (St. Louis City and County) 52.23 (47.68 - 56.74) 56.00 (51.93 - 60.00) 0.137
Eastern (excluding St. Louis) 53.21 (47.60 - 58.75) 55.93 (51.36 - 60.40) 0.329
Northwest 51.26 (47.12 - 55.39) 52.82 (49.22 - 56.38) 0.482
Northwest (Jackson) 50.53 (45.35 - 55.70) 54.13 (49.45 - 58.73) 0.180
Northwest (excluding Jackson) 51.89 (46.37 - 57.36) 51.72 (46.82 - 56.58) 0.952
Southeast 44.36 (38.72 - 50.15) 41.95 (37.04 - 47.02) 0.422
Southwest 47.61 (42.40 - 52.87) 47.12 (42.40 - 51.89) 0.865
Montana 58.99 (56.27 - 61.65) 57.16 (54.78 - 59.50) 0.272
Region 1 52.99 (46.87 - 59.04) 51.99 (45.81 - 58.11) 0.749
Region 2 51.97 (46.60 - 57.29) 53.32 (48.59 - 57.98) 0.637
Region 3 55.83 (51.27 - 60.30) 54.28 (50.21 - 58.30) 0.538
Region 4 65.17 (61.04 - 69.09) 61.30 (57.31 - 65.14) 0.112
Region 5 60.54 (56.24 - 64.68) 58.61 (54.85 - 62.28) 0.425
Nebraska 54.23a (51.49 - 56.95) 58.49 (56.22 - 60.73) 0.008
Regions 1 and 2 51.33 (45.91 - 56.72) 54.30 (49.42 - 59.09) 0.240
Region 1 48.95b (42.12 - 55.82) 54.18 (47.83 - 60.40) 0.100
Region 2 53.35 (46.34 - 60.24) 54.40 (48.13 - 60.53) 0.732
Region 3 49.19a (43.61 - 54.79) 55.61 (50.64 - 60.46) 0.028
Region 4 50.72 (44.72 - 56.69) 52.89 (47.56 - 58.15) 0.456
Region 5 56.26b (51.82 - 60.59) 60.57 (56.44 - 64.55) 0.093
Region 6 56.34a (52.52 - 60.09) 60.61 (57.56 - 63.58) 0.042
Nevada1 54.22 (51.13 - 57.29) 52.26 (49.72 - 54.78) 0.288
Clark – Region 1 52.87 (49.32 - 56.40) 51.07 (48.16 - 53.98) 0.393
Region 3 56.99 (51.13 - 62.66) 52.03 (47.00 - 57.01) 0.103
Capital District -- (-- - --) 55.33 (48.76 - 61.73) --
Rural/Frontier -- (-- - --) 49.04 (42.75 - 55.35) --
Washoe – Region 2 58.09 (52.89 - 63.10) 57.90 (53.51 - 62.17) 0.945
New Hampshire 64.33 (61.66 - 66.92) 64.18 (61.88 - 66.41) 0.922
Central 62.99 (59.13 - 66.69) 61.60 (58.19 - 64.89) 0.502
Central 1 63.35 (58.34 - 68.09) 60.03 (55.17 - 64.70) 0.212
Central 2 62.65 (57.55 - 67.49) 63.13 (58.92 - 67.15) 0.850
Northern 62.57 (57.11 - 67.72) 65.17 (60.27 - 69.76) 0.326
Southern 65.37 (62.25 - 68.37) 65.21 (62.46 - 67.86) 0.927
Southern 1 (Rockingham) 68.54 (63.90 - 72.84) 65.66 (61.63 - 69.48) 0.231
Southern 2 63.41 (59.66 - 66.99) 64.92 (61.58 - 68.13) 0.472
New Jersey 54.98 (52.11 - 57.82) 55.57 (53.58 - 57.55) 0.723
Central 58.23 (53.29 - 63.01) 57.77 (54.16 - 61.30) 0.859
Metropolitan 51.13 (46.46 - 55.78) 49.14 (45.40 - 52.89) 0.435
Northern 55.35 (51.06 - 59.56) 56.50 (53.45 - 59.50) 0.626
Southern 55.11 (50.20 - 59.93) 59.21 (55.57 - 62.75) 0.103
New Mexico 46.40 (43.74 - 49.09) 48.36 (45.97 - 50.76) 0.236
Region 1 39.09 (34.93 - 43.41) 43.13 (38.74 - 47.62) 0.107
Region 2 49.01 (43.49 - 54.55) 49.56 (44.42 - 54.71) 0.844
Region 3 (Bernalillo) 51.85 (47.71 - 55.97) 54.62 (51.04 - 58.14) 0.252
Region 4 42.66 (37.20 - 48.31) 43.62 (38.86 - 48.51) 0.709
Region 5 45.61 (40.72 - 50.59) 45.71 (41.78 - 49.69) 0.969
Region 5a -- (-- - --) 41.99 (36.80 - 47.36) --
Region 5b (Dona Ana) -- (-- - --) 49.08 (44.04 - 54.15) --
New York1 55.68 (54.06 - 57.28) 54.80 (53.47 - 56.12) 0.392
Region 1: Long Island 65.04 (62.00 - 67.96) 63.48 (60.55 - 66.32) 0.403
Region 2: New York City 50.95 (48.65 - 53.24) 50.74 (48.84 - 52.65) 0.882
Region 2A: Bronx 46.29a (41.40 - 51.25) 40.24 (36.35 - 44.26) 0.014
Region 2B: Kings -- (-- - --) 50.39 (47.03 - 53.74) --
Region 2C: New York 60.40a (55.71 - 64.90) 66.39 (62.70 - 69.89) 0.008
Region 2D: Queens 46.45 (42.31 - 50.65) 45.64 (41.93 - 49.41) 0.734
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 Carolina1 48.23b (45.51 - 50.96) 45.17 (43.29 - 47.08) 0.051
Alliance Behavioral Healthcare 1 -- (-- - --) 45.55 (41.16 - 50.01) --
Alliance Behavioral Healthcare 2 -- (-- - --) 53.18 (48.55 - 57.76) --
Cardinal Innovations Healthcare Solutions 1 -- (-- - --) 45.32 (40.54 - 50.19) --
Cardinal Innovations Healthcare Solutions 2 -- (-- - --) 43.46 (38.65 - 48.40) --
Cardinal Innovations Healthcare Solutions 3 51.54 (46.15 - 56.89) 52.04 (47.67 - 56.39) 0.851
CenterPoint Human Services 44.61 (37.94 - 51.49) 44.78 (39.85 - 49.81) 0.957
Eastpointe 40.31a (34.38 - 46.53) 33.93 (29.77 - 38.35) 0.021
Partners Behavioral Health Management 47.53a (42.11 - 53.00) 41.53 (36.67 - 46.56) 0.036
Sandhills Center 1 42.37 (35.96 - 49.06) 38.67 (33.68 - 43.90) 0.179
Sandhills Center 2 52.84a (46.81 - 58.79) 46.91 (41.83 - 52.06) 0.036
Smoky Mountain Center 1 42.65b (36.28 - 49.26) 37.15 (32.18 - 42.41) 0.074
Smoky Mountain Center 2 47.30 (40.77 - 53.92) 46.92 (41.42 - 52.49) 0.903
Trillium Health Resources 1 47.05 (40.76 - 53.44) 45.59 (40.77 - 50.50) 0.625
Trillium Health Resources 2 50.63 (44.20 - 57.04) 52.97 (47.18 - 58.67) 0.404
North Dakota 58.54 (55.88 - 61.15) 59.43 (57.28 - 61.54) 0.574
Badlands and West Central 57.14b (52.58 - 61.58) 61.48 (58.12 - 64.73) 0.067
Badlands -- (-- - --) 58.19 (52.18 - 63.97) --
West Central -- (-- - --) 62.44 (58.69 - 66.04) --
Lake Region -- (-- - --) 48.23 (42.48 - 54.03) --
North Central -- (-- - --) 57.91 (52.98 - 62.69) --
Northeast 60.53 (55.50 - 65.34) 63.38 (59.19 - 67.37) 0.238
Northwest -- (-- - --) 54.95 (48.39 - 61.34) --
South Central -- (-- - --) 58.24 (52.55 - 63.71) --
Southeast 64.38a (60.79 - 67.81) 59.88 (56.24 - 63.42) 0.042
Ohio 52.21 (50.69 - 53.73) 52.28 (50.78 - 53.77) 0.949
Boards 2, 46, 55, and 68 47.97b (43.54 - 52.43) 52.67 (47.56 - 57.73) 0.075
Boards 3, 52, and 85 54.86 (49.45 - 60.16) 52.06 (46.99 - 57.10) 0.297
Boards 4 and 78 50.10b (44.45 - 55.74) 44.59 (39.30 - 50.02) 0.055
Boards 5 and 60 46.91 (42.07 - 51.80) 46.59 (41.23 - 52.03) 0.903
Boards 7, 15, 41, 79, and 84 46.65 (41.75 - 51.62) 45.03 (39.84 - 50.34) 0.569
Boards 8, 13, and 83 53.72 (48.68 - 58.69) 53.44 (48.38 - 58.43) 0.912
Board 9 (Butler) 55.37 (50.22 - 60.41) 51.61 (46.52 - 56.67) 0.138
Board 12 53.72 (48.80 - 58.57) 52.16 (46.80 - 57.46) 0.553
Boards 18 and 47 53.75 (50.37 - 57.09) 55.76 (52.32 - 59.14) 0.346
Boards 20, 32, 54, and 69 52.06 (46.70 - 57.37) 48.86 (44.02 - 53.72) 0.256
Boards 21, 39, 51, 70, and 80 50.24 (45.53 - 54.95) 46.51 (41.64 - 51.46) 0.142
Boards 22, 74, and 87 53.44 (48.31 - 58.51) 53.32 (48.27 - 58.31) 0.965
Boards 23 and 45 53.74 (48.65 - 58.75) 51.19 (46.45 - 55.91) 0.325
Board 25 (Franklin) 55.61 (52.04 - 59.13) 54.82 (51.23 - 58.36) 0.711
Boards 27, 71, and 73 39.90 (35.09 - 44.93) 42.67 (37.76 - 47.72) 0.290
Boards 28, 43, and 67 59.70 (55.35 - 63.91) 58.49 (54.09 - 62.76) 0.630
Board 31 (Hamilton) 54.62 (50.21 - 58.96) 58.02 (53.97 - 61.97) 0.150
Board 48 (Lucas) 50.76 (45.80 - 55.71) 49.44 (44.32 - 54.57) 0.607
Boards 50 and 76 49.72 (45.11 - 54.34) 50.53 (46.19 - 54.86) 0.750
Board 57 (Montgomery) 48.79b (44.01 - 53.60) 53.59 (48.67 - 58.44) 0.069
Board 77 (Summit) 56.26 (51.82 - 60.61) 55.78 (51.10 - 60.35) 0.840
Oklahoma 45.12 (42.30 - 47.98) 44.13 (41.88 - 46.39) 0.541
Central 47.14 (41.65 - 52.70) 50.06 (45.34 - 54.77) 0.285
East Central 43.34a (37.44 - 49.45) 37.27 (32.45 - 42.36) 0.032
Northeast 44.85 (39.48 - 50.34) 44.02 (39.27 - 48.87) 0.755
Northwest and Southwest 43.25 (37.77 - 48.89) 44.29 (39.77 - 48.90) 0.702
Oklahoma County 47.64 (42.41 - 52.94) 47.60 (43.12 - 52.11) 0.986
Southeast 41.46 (36.17 - 46.95) 37.26 (32.76 - 41.99) 0.119
Tulsa County 47.00 (42.10 - 51.95) 45.84 (41.37 - 50.38) 0.663
Oregon 60.67 (57.91 - 63.36) 58.20 (55.87 - 60.50) 0.137
Region 1 (Multnomah) 64.01 (59.05 - 68.69) 62.65 (58.56 - 66.58) 0.593
Region 2 62.87 (58.31 - 67.21) 62.11 (58.33 - 65.75) 0.757
Region 3 60.76a (56.71 - 64.67) 53.93 (50.14 - 57.68) 0.004
Region 4 55.07 (49.54 - 60.49) 56.50 (51.59 - 61.29) 0.621
Region 5 (Central) 63.83a (57.45 - 69.76) 57.74 (51.37 - 63.86) 0.035
Region 6 (Eastern) 52.05 (45.73 - 58.30) 54.68 (48.87 - 60.37) 0.389
Pennsylvania 54.45 (52.82 - 56.07) 56.14 (54.66 - 57.61) 0.123
Region 1 (Allegheny) 60.93 (57.25 - 64.49) 59.74 (55.91 - 63.45) 0.596
Regions 3, 8, 9, and 51 51.20a (46.47 - 55.92) 56.99 (52.55 - 61.32) 0.028
Regions 4, 11, 37, and 49 54.16 (49.83 - 58.43) 57.44 (53.26 - 61.52) 0.161
Regions 5, 18, 23, 24, and 46 50.42 (44.85 - 55.98) 47.52 (42.97 - 52.11) 0.281
Regions 6, 12, 16, 31, 35, 45, and 47 54.01 (49.71 - 58.24) 56.21 (51.56 - 60.75) 0.365
Regions 7, 13, 20, and 33 60.57 (57.62 - 63.45) 62.02 (59.05 - 64.91) 0.437
Regions 10, 15, 27, 32, 43, and 44 49.65 (44.89 - 54.42) 46.70 (41.61 - 51.85) 0.290
Regions 17 and 21 54.82 (49.53 - 60.01) 55.61 (50.42 - 60.68) 0.766
Regions 19, 26, 28, and 42 51.34 (47.23 - 55.44) 52.65 (48.95 - 56.32) 0.577
Regions 22, 38, 40, 41, and 48 53.63 (49.12 - 58.07) 55.89 (51.29 - 60.40) 0.389
Regions 29 and 34 54.38 (49.41 - 59.27) 55.77 (50.85 - 60.59) 0.596
Regions 30 and 50 54.61 (49.74 - 59.39) 52.46 (47.88 - 57.00) 0.397
Region 36 (Philadelphia) 47.50a (43.82 - 51.20) 54.99 (51.20 - 58.71) 0.001
Rhode Island 60.38 (57.43 - 63.26) 60.28 (57.81 - 62.69) 0.953
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 45.57 (42.79 - 48.39) 45.71 (43.43 - 48.01) 0.933
Region 1 -- (-- - --) 41.61 (37.80 - 45.51) --
Region 2 -- (-- - --) 47.82 (44.03 - 51.64) --
Region 3 43.52 (38.27 - 48.91) 42.36 (38.13 - 46.71) 0.674
Region 4 49.28 (44.58 - 54.00) 50.73 (47.29 - 54.17) 0.565
South Dakota 58.42 (55.81 - 60.99) 58.17 (55.97 - 60.34) 0.868
Region 1 -- (-- - --) 57.47 (53.85 - 61.02) --
Region 2 -- (-- - --) 53.57 (48.19 - 58.88) --
Region 3 -- (-- - --) 60.02 (56.25 - 63.67) --
Region 4 -- (-- - --) 58.53 (53.70 - 63.21) --
Region 5 -- (-- - --) 58.55 (54.85 - 62.15) --
Tennessee 41.40 (38.57 - 44.29) 43.41 (41.12 - 45.73) 0.218
Region 1 40.22 (34.79 - 45.91) 36.27 (31.15 - 41.71) 0.166
Region 2 43.00 (37.93 - 48.23) 42.09 (37.75 - 46.56) 0.737
Region 3 -- (-- - --) 38.57 (34.29 - 43.04) --
Region 4 (Davidson) 47.07 (41.21 - 53.01) 50.90 (45.45 - 56.32) 0.181
Region 5 -- (-- - --) 46.73 (42.76 - 50.75) --
Region 6 37.13 (31.80 - 42.79) 40.04 (34.81 - 45.52) 0.286
Region 7 (Shelby) 42.10 (36.75 - 47.64) 45.70 (41.23 - 50.24) 0.182
Texas 48.58 (47.08 - 50.09) 47.57 (46.35 - 48.80) 0.285
Region 1 48.87 (44.11 - 53.66) 49.78 (45.23 - 54.33) 0.707
Region 2 46.60 (41.39 - 51.88) 46.19 (41.35 - 51.10) 0.869
Region 3 51.81a (49.40 - 54.22) 47.52 (45.54 - 49.52) 0.003
Region 3a 51.38a (48.44 - 54.32) 46.96 (44.44 - 49.49) 0.011
Region 3bc 52.56a (48.93 - 56.17) 48.53 (45.51 - 51.56) 0.050
Region 4 42.66 (37.79 - 47.68) 41.78 (37.68 - 45.99) 0.730
Region 5 46.25 (41.24 - 51.35) 44.96 (40.11 - 49.91) 0.620
Region 6 49.28 (46.61 - 51.96) 48.52 (46.21 - 50.83) 0.633
Region 6a 49.35 (46.47 - 52.24) 48.47 (46.01 - 50.94) 0.615
Region 6bc 48.72 (43.36 - 54.10) 48.88 (43.77 - 54.00) 0.952
Region 7 53.99 (51.04 - 56.91) 53.19 (50.51 - 55.86) 0.624
Region 7a 56.69 (53.08 - 60.23) 56.22 (52.76 - 59.61) 0.814
Region 7bcd 49.51 (45.02 - 54.01) 47.84 (43.73 - 51.99) 0.462
Region 8 46.91 (43.24 - 50.61) 49.28 (46.14 - 52.43) 0.256
Region 9 43.94b (38.79 - 49.22) 48.96 (43.49 - 54.46) 0.059
Region 10 44.69 (39.69 - 49.81) 41.94 (37.36 - 46.66) 0.276
Region 11 37.48 (34.32 - 40.76) 39.57 (36.42 - 42.81) 0.259
Region 11abd 39.96 (35.95 - 44.11) 40.36 (36.32 - 44.54) 0.863
Region 11c (Hidalgo) 32.92a (28.44 - 37.73) 38.22 (33.85 - 42.80) 0.025
Utah 26.36a (23.99 - 28.89) 29.41 (27.49 - 31.40) 0.049
Bear River, Northeastern, Summit, Tooele, and Wasatch 24.51 (20.07 - 29.58) 25.76 (21.66 - 30.33) 0.603
Central, Four Corners, San Juan, and Southwest 22.93 (18.64 - 27.86) 25.89 (22.16 - 29.99) 0.190
Central, Four Corners, and San Juan -- (-- - --) 25.04 (20.20 - 30.59) --
Southwest -- (-- - --) 26.41 (21.86 - 31.53) --
Davis County 28.72 (24.23 - 33.67) 27.75 (23.28 - 32.71) 0.705
Salt Lake County 31.08a (27.55 - 34.86) 35.81 (33.08 - 38.64) 0.030
Utah County 18.05b (14.92 - 21.68) 21.10 (17.96 - 24.62) 0.098
Weber, Morgan 27.67 (22.61 - 33.38) 31.06 (26.46 - 36.07) 0.191
Vermont 61.40 (58.85 - 63.89) 61.39 (58.89 - 63.83) 0.993
Champlain Valley 66.40 (62.79 - 69.83) 64.68 (61.27 - 67.95) 0.413
Rural Northeast 58.77 (53.93 - 63.44) 60.92 (56.21 - 65.42) 0.435
Rural Southeast 60.52 (55.71 - 65.13) 59.88 (55.48 - 64.13) 0.809
Rural Southwest 54.36 (49.05 - 59.56) 55.57 (50.62 - 60.41) 0.677
Virginia 51.39 (48.52 - 54.25) 51.92 (50.11 - 53.72) 0.745
Region 1 54.98 (50.07 - 59.80) 52.18 (48.30 - 56.04) 0.270
Region 2 52.11 (46.98 - 57.19) 55.84 (52.54 - 59.08) 0.156
Region 3 45.79 (40.89 - 50.77) 43.71 (40.05 - 47.43) 0.431
Region 4 52.36 (47.17 - 57.50) 52.61 (48.79 - 56.40) 0.922
Region 5 51.61 (46.91 - 56.29) 52.36 (49.06 - 55.64) 0.757
Washington1 56.84 (54.14 - 59.49) 56.02 (53.55 - 58.46) 0.616
Region 1 53.31 (48.98 - 57.59) 50.62 (46.65 - 54.59) 0.212
Greater Columbia and North Central -- (-- - --) 46.22 (41.32 - 51.20) --
Spokane -- (-- - --) 57.10 (51.52 - 62.51) --
Region 2 60.23 (56.75 - 63.62) 59.20 (56.12 - 62.22) 0.602
King 60.85 (56.53 - 65.01) 60.70 (57.07 - 64.22) 0.948
North Sound 59.18 (54.07 - 64.09) 56.56 (51.71 - 61.28) 0.321
Region 3 54.46 (50.72 - 58.14) 55.10 (51.79 - 58.37) 0.756
Pierce -- (-- - --) 54.40 (49.82 - 58.90) --
Salish -- (-- - --) 56.35 (49.85 - 62.64) --
SW WA and Great Rivers -- (-- - --) 54.91 (49.77 - 59.94) --
Thurston-Mason -- (-- - --) 55.89 (49.43 - 62.16) --
West Virginia 39.61 (36.88 - 42.40) 39.81 (37.43 - 42.25) 0.904
Region I 43.37 (37.24 - 49.71) 42.82 (36.87 - 48.99) 0.863
Region II 42.71 (37.06 - 48.56) 46.77 (41.72 - 51.89) 0.186
Region III 37.19 (31.55 - 43.22) 36.96 (31.75 - 42.49) 0.937
Region IV 40.71 (36.09 - 45.50) 44.09 (40.00 - 48.26) 0.205
Region V 41.22 (36.94 - 45.63) 37.78 (33.88 - 41.84) 0.177
Region VI 33.09 (28.45 - 38.09) 32.50 (28.52 - 36.75) 0.817
Wisconsin 62.67 (59.98 - 65.28) 61.86 (59.60 - 64.07) 0.601
Milwaukee 57.28 (52.18 - 62.24) 59.19 (54.99 - 63.27) 0.441
Northeastern 62.10 (57.63 - 66.38) 62.97 (59.04 - 66.73) 0.709
Northern 63.57b (57.13 - 69.56) 57.85 (52.47 - 63.05) 0.069
Southeastern 65.50 (60.95 - 69.79) 64.70 (60.73 - 68.47) 0.734
Southern 65.78 (60.98 - 70.28) 63.47 (59.52 - 67.24) 0.347
Western 60.59 (55.79 - 65.18) 59.26 (54.27 - 64.06) 0.613
Wyoming 53.38 (50.56 - 56.18) 53.08 (50.76 - 55.40) 0.862
Judicial District 1 (Laramie) 55.14 (49.67 - 60.49) 53.08 (48.64 - 57.47) 0.468
Judicial District 2 56.44 (50.83 - 61.89) 60.27 (55.46 - 64.89) 0.138
Judicial District 3 46.68 (41.59 - 51.85) 45.73 (40.86 - 50.67) 0.733
Judicial District 4 56.33 (49.98 - 62.47) 56.78 (50.51 - 62.83) 0.881
Judicial District 5 49.96 (44.29 - 55.63) 53.09 (47.77 - 58.34) 0.296
Judicial District 6 57.33 (51.77 - 62.71) 53.48 (48.63 - 58.26) 0.151
Judicial District 7 (Natrona) 53.95 (48.45 - 59.36) 53.54 (48.94 - 58.07) 0.878
Judicial District 8 50.36 (43.78 - 56.93) 49.55 (43.60 - 55.50) 0.796
Judicial District 9 55.56 (49.81 - 61.15) 54.96 (49.68 - 60.13) 0.839
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2014-2016); hence, the 2008-2010 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 2008-2010 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 2008-2010 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2008-2010 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 (2008-2010 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, 2008-2010 and 2014-2016.
180416
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, 2008-2010 and 2014-2016 NSDUHs
State/Substate Region 2008-2010
(Estimate)
2008-2010
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 26.54a (26.04 - 27.04) 20.82 (20.28 - 21.38) 0.000
Northeast 30.38a (29.58 - 31.19) 24.91 (24.00 - 25.83) 0.000
Midwest 27.26a (26.69 - 27.84) 21.71 (21.00 - 22.43) 0.000
South 24.97a (24.44 - 25.51) 19.16 (18.57 - 19.76) 0.000
West 25.44a (24.66 - 26.24) 19.75 (18.97 - 20.55) 0.000
Alabama 22.44a (20.42 - 24.61) 18.19 (16.12 - 20.46) 0.002
Region 1 20.18b (17.17 - 23.56) 16.93 (14.10 - 20.20) 0.099
Region 2 23.26b (20.35 - 26.45) 19.98 (16.96 - 23.39) 0.090
Region 3 25.26a (21.52 - 29.41) 18.24 (15.12 - 21.85) 0.002
Region 4 21.48a (18.21 - 25.16) 17.09 (14.23 - 20.38) 0.025
Alaska 25.25b (22.92 - 27.74) 22.36 (20.05 - 24.86) 0.073
Anchorage 26.46b (23.23 - 29.96) 22.47 (19.52 - 25.73) 0.067
Northern 22.18 (18.85 - 25.92) 20.31 (17.05 - 24.02) 0.406
South Central 27.08 (23.10 - 31.46) 23.51 (20.29 - 27.06) 0.141
Southeast 23.16 (18.96 - 27.97) 24.06 (20.04 - 28.61) 0.731
Arizona1 24.46a (22.23 - 26.84) 18.76 (16.60 - 21.14) 0.000
Central 23.48a (20.74 - 26.47) 19.26 (16.72 - 22.08) 0.020
North -- (-- - --) 17.72 (14.21 - 21.88) --
South -- (-- - --) 18.10 (15.38 - 21.18) --
South A 28.22a (23.84 - 33.05) 19.68 (16.26 - 23.63) 0.001
South B -- (-- - --) 16.37 (13.20 - 20.13) --
Arkansas 21.82a (19.84 - 23.92) 16.04 (14.03 - 18.29) 0.000
Catchment Area 1 24.07a (20.24 - 28.37) 17.72 (14.62 - 21.31) 0.004
Catchment Area 2 19.93b (16.09 - 24.42) 15.62 (12.63 - 19.17) 0.053
Catchment Area 3 21.73a (18.29 - 25.62) 13.57 (10.82 - 16.89) 0.000
Catchment Area 4 19.11a (15.55 - 23.26) 14.70 (11.77 - 18.21) 0.035
Catchment Area 5 25.97a (22.03 - 30.34) 18.82 (15.38 - 22.82) 0.004
Catchment Area 6 19.19a (15.56 - 23.43) 14.58 (11.47 - 18.35) 0.026
Catchment Area 7 20.27a (16.24 - 25.00) 13.83 (10.83 - 17.50) 0.004
Catchment Area 8 20.74a (17.46 - 24.45) 16.29 (13.28 - 19.81) 0.027
California 24.98a (23.76 - 26.25) 19.75 (18.53 - 21.03) 0.000
Region 1R 29.91 (25.48 - 34.75) 25.78 (22.07 - 29.87) 0.110
Region 2R 27.10 (23.28 - 31.30) 24.36 (20.93 - 28.16) 0.229
Region 3R (Sacramento) 23.57a (19.95 - 27.62) 18.60 (15.72 - 21.87) 0.014
Region 4R 26.74a (22.86 - 31.00) 21.41 (18.07 - 25.18) 0.019
Region 5R (San Francisco) 26.81b (22.31 - 31.84) 21.78 (17.78 - 26.39) 0.056
Region 6 (Santa Clara) 22.77a (19.34 - 26.60) 17.82 (15.18 - 20.81) 0.011
Region 7R (Contra Costa) 24.28 (20.46 - 28.55) 21.36 (18.38 - 24.67) 0.182
Region 8R (Alameda) 24.76a (21.31 - 28.57) 19.89 (16.95 - 23.20) 0.019
Region 9R (San Mateo) 25.26a (21.12 - 29.90) 18.88 (15.59 - 22.68) 0.005
Region 10 28.71a (24.84 - 32.92) 23.77 (20.15 - 27.82) 0.030
Region 11 (Los Angeles) 23.37a (21.73 - 25.09) 18.22 (16.70 - 19.84) 0.000
LA SPA 1 and 5 27.33a (23.14 - 31.97) 22.13 (18.54 - 26.19) 0.029
LA SPA 2 23.83a (20.55 - 27.45) 18.82 (16.03 - 21.96) 0.010
LA SPA 3 24.08a (20.70 - 27.82) 17.84 (14.87 - 21.25) 0.003
LA SPA 4 22.63a (18.92 - 26.83) 17.19 (13.87 - 21.10) 0.013
LA SPA 6 20.24a (16.92 - 24.02) 15.83 (13.01 - 19.12) 0.030
LA SPA 7 23.22a (19.73 - 27.13) 16.85 (14.04 - 20.08) 0.002
LA SPA 8 22.74b (19.44 - 26.42) 19.18 (16.37 - 22.34) 0.078
Region 12R 25.84a (21.72 - 30.42) 19.01 (15.71 - 22.81) 0.002
Regions 13 and 19R 24.30a (21.08 - 27.83) 17.47 (15.08 - 20.15) 0.000
Region 14 (Orange) 25.00a (22.18 - 28.05) 20.84 (18.08 - 23.90) 0.028
Region 15R (Fresno) 23.18 (19.48 - 27.36) 19.79 (16.69 - 23.31) 0.111
Region 16R (San Diego) 28.68a (25.52 - 32.06) 22.92 (20.10 - 26.00) 0.004
Region 17R 24.89a (21.46 - 28.68) 17.72 (15.07 - 20.73) 0.001
Region 18R (San Bernardino) 25.12a (22.02 - 28.50) 17.04 (14.47 - 19.96) 0.000
Region 20R 24.42a (20.69 - 28.58) 18.17 (15.16 - 21.63) 0.005
Region 21R 25.61 (21.47 - 30.24) 25.67 (21.50 - 30.34) 0.979
Colorado 31.62a (29.24 - 34.11) 22.96 (20.66 - 25.44) 0.000
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 31.35a (29.04 - 33.76) 25.96 (23.46 - 28.63) 0.001
Eastern 33.55 (28.55 - 38.95) 29.88 (25.11 - 35.12) 0.228
North Central 30.10a (26.74 - 33.68) 25.31 (21.84 - 29.13) 0.031
Northwestern 29.86a (26.01 - 34.01) 23.03 (19.48 - 27.01) 0.004
South Central 33.28a (29.29 - 37.52) 27.38 (23.50 - 31.64) 0.021
Southwest 30.62a (26.56 - 35.01) 25.08 (21.60 - 28.92) 0.022
Delaware 31.17a (28.77 - 33.67) 22.38 (20.20 - 24.72) 0.000
Kent 31.01a (27.19 - 35.10) 20.88 (17.54 - 24.67) 0.000
New Castle (excluding Wilmington City) 32.88a (29.84 - 36.07) 24.81 (22.05 - 27.79) 0.000
Sussex 29.14a (25.23 - 33.38) 19.36 (16.22 - 22.95) 0.000
Wilmington City 24.64a (20.56 - 29.23) 16.08 (12.87 - 19.91) 0.000
District of Columbia 30.44b (27.72 - 33.32) 26.95 (23.90 - 30.24) 0.082
Ward 1 35.16 (29.71 - 41.02) 33.59 (27.51 - 40.27) 0.656
Ward 2 57.41 (51.47 - 63.14) 57.30 (49.98 - 64.30) 0.978
Ward 3 39.63 (34.23 - 45.29) 35.16 (29.94 - 40.77) 0.172
Ward 4 25.35a (20.96 - 30.30) 19.72 (15.98 - 24.08) 0.032
Ward 5 27.99 (23.56 - 32.88) 23.50 (18.85 - 28.89) 0.149
Ward 6 25.68 (21.11 - 30.87) 22.73 (18.71 - 27.32) 0.284
Ward 7 22.66a (18.94 - 26.89) 16.45 (13.02 - 20.57) 0.013
Ward 8 21.62 (17.80 - 25.99) 18.04 (14.29 - 22.51) 0.175
Florida1 25.99a (24.77 - 27.26) 20.79 (19.40 - 22.25) 0.000
Broward (Circuit 17) 23.12b (20.25 - 26.26) 19.61 (16.90 - 22.64) 0.065
Central I -- (-- - --) 21.19 (18.97 - 23.60) --
Circuit 9 25.77a (22.92 - 28.84) 21.20 (18.44 - 24.27) 0.018
Circuit 18 26.93a (23.56 - 30.60) 21.17 (18.10 - 24.60) 0.004
Central II -- (-- - --) 20.27 (18.52 - 22.15) --
Circuit 6 25.12b (21.84 - 28.72) 21.39 (18.47 - 24.63) 0.064
Circuit 10 22.90a (19.64 - 26.53) 16.92 (14.14 - 20.12) 0.003
Circuit 12 26.06a (22.07 - 30.50) 20.49 (17.31 - 24.08) 0.011
Circuit 13 (Hillsborough) 26.25a (23.30 - 29.43) 21.91 (19.14 - 24.95) 0.024
Circuit 20 26.74a (22.97 - 30.89) 19.07 (16.04 - 22.53) 0.000
Northeast -- (-- - --) 21.68 (19.64 - 23.88) --
Circuit 4 27.89a (24.22 - 31.87) 20.07 (17.19 - 23.31) 0.000
Circuit 5 24.88a (21.37 - 28.75) 19.12 (16.15 - 22.50) 0.007
Circuit 7 26.62b (22.64 - 31.03) 22.72 (19.49 - 26.30) 0.092
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee -- (-- - --) 27.30 (23.02 - 32.05) --
Northwest -- (-- - --) 26.15 (23.67 - 28.80) --
Circuit 1 28.75a (24.97 - 32.85) 23.27 (20.14 - 26.72) 0.016
Circuit 2 plus Madison and Taylor -- (-- - --) 34.07 (29.66 - 38.77) --
Circuit 14 26.17a (21.69 - 31.21) 19.29 (15.98 - 23.11) 0.003
South (Circuits 11 and 16) 24.17a (21.56 - 26.99) 18.80 (16.37 - 21.49) 0.003
Southeast -- (-- - --) 19.39 (17.15 - 21.84) --
Circuit 15 (Palm Beach) 25.76a (22.27 - 29.59) 19.22 (16.46 - 22.32) 0.001
Circuit 19 26.76a (22.63 - 31.34) 19.76 (16.72 - 23.19) 0.002
Georgia 23.75a (21.73 - 25.90) 16.91 (15.18 - 18.78) 0.000
Region 1 22.88a (19.57 - 26.57) 16.03 (13.64 - 18.75) 0.000
Region 2 26.63a (22.58 - 31.11) 19.58 (16.53 - 23.04) 0.002
Region 3 22.84a (19.84 - 26.15) 16.00 (13.69 - 18.61) 0.000
Region 4 23.85a (19.58 - 28.73) 18.43 (15.03 - 22.38) 0.024
Region 5 25.46a (21.51 - 29.85) 17.97 (14.94 - 21.46) 0.001
Region 6 22.90a (19.37 - 26.86) 16.42 (13.75 - 19.48) 0.001
Hawaii 24.28a (21.86 - 26.87) 19.27 (16.92 - 21.86) 0.002
Hawaii Island 25.99a (21.74 - 30.74) 18.25 (14.80 - 22.30) 0.002
Honolulu 24.45a (21.63 - 27.52) 19.56 (16.92 - 22.51) 0.010
Kauai 21.61 (17.31 - 26.63) 19.87 (16.19 - 24.16) 0.466
Maui 22.03 (18.00 - 26.67) 18.41 (14.92 - 22.49) 0.133
Idaho 24.30a (22.19 - 26.53) 17.45 (15.47 - 19.62) 0.000
Region 1 26.29a (22.19 - 30.85) 19.31 (15.81 - 23.37) 0.005
Region 2 32.19a (26.72 - 38.19) 24.06 (19.55 - 29.23) 0.008
Region 3 21.93a (18.65 - 25.62) 15.81 (13.04 - 19.04) 0.002
Region 4 26.43a (23.42 - 29.69) 20.25 (17.28 - 23.58) 0.003
Region 5 23.76a (19.88 - 28.13) 16.24 (13.16 - 19.86) 0.000
Region 6 -- (-- - --) 15.74 (12.53 - 19.59) --
Region 7 -- (-- - --) 12.41   (9.58 - 15.94) --
Illinois 27.95a (26.73 - 29.21) 20.70 (19.15 - 22.33) 0.000
Region 1 (Cook) 27.08a (25.22 - 29.03) 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 27.57a (25.66 - 29.56) 20.17 (18.27 - 22.21) 0.000
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 32.56a (29.67 - 35.60) 25.88 (23.04 - 28.95) 0.001
Region 3a (Champaign) -- (-- - --) 37.11 (31.24 - 43.39) --
Region 3b -- (-- - --) 23.43 (20.38 - 26.78) --
Region 4 27.42a (24.30 - 30.78) 22.56 (19.61 - 25.82) 0.012
Region 4a (Sangamon) -- (-- - --) 20.87 (17.41 - 24.81) --
Region 4b -- (-- - --) 23.03 (19.59 - 26.89) --
Region 5 27.60a (24.77 - 30.61) 22.64 (19.91 - 25.63) 0.008
Region 5a -- (-- - --) 20.70 (17.29 - 24.60) --
Region 5b -- (-- - --) 24.26 (20.74 - 28.17) --
Indiana 23.80b (21.67 - 26.06) 21.41 (19.15 - 23.85) 0.089
Central 20.70 (17.56 - 24.23) 18.73 (15.96 - 21.86) 0.318
East 23.04 (19.06 - 27.56) 24.15 (19.91 - 28.96) 0.675
North Central 25.41a (21.31 - 30.00) 20.52 (16.97 - 24.58) 0.041
Northeast 22.62 (18.79 - 26.96) 21.17 (17.69 - 25.13) 0.528
Northwest 22.81b (19.02 - 27.11) 18.92 (15.51 - 22.87) 0.085
Southeast 23.02 (19.07 - 27.51) 19.53 (16.22 - 23.33) 0.129
Southwest 21.84 (17.79 - 26.50) 22.48 (18.68 - 26.78) 0.795
West 32.78 (27.76 - 38.23) 29.40 (24.31 - 35.06) 0.279
Iowa 29.09a (26.86 - 31.42) 23.33 (20.96 - 25.88) 0.000
Central 29.86a (25.62 - 34.48) 19.91 (16.61 - 23.69) 0.000
North Central 30.38 (25.80 - 35.38) 28.01 (23.45 - 33.07) 0.417
Northeast 31.10a (27.38 - 35.07) 25.00 (21.65 - 28.67) 0.009
Northwest 28.18 (24.48 - 32.21) 24.92 (21.07 - 29.20) 0.177
Southeast 27.24a (23.46 - 31.38) 21.66 (18.20 - 25.58) 0.017
Southwest 26.56a (22.10 - 31.55) 21.08 (17.39 - 25.31) 0.031
Kansas 27.89a (25.56 - 30.34) 21.60 (19.28 - 24.11) 0.000
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 23.71a (21.54 - 26.03) 19.49 (17.28 - 21.91) 0.005
Adanta, Cumberland River, and Lifeskills 20.27b (16.84 - 24.20) 16.55 (13.30 - 20.40) 0.085
Bluegrass, Comprehend, and North Key 26.40b (23.01 - 30.10) 22.28 (19.07 - 25.87) 0.071
Centerstone 25.26a (21.70 - 29.19) 19.82 (16.74 - 23.31) 0.015
Communicare and River Valley 22.54 (18.44 - 27.24) 18.76 (15.29 - 22.81) 0.112
Four Rivers and Pennyroyal 24.55a (20.40 - 29.25) 18.07 (14.61 - 22.14) 0.008
Kentucky River, Mountain, and Pathways 19.26 (15.73 - 23.36) 17.54 (14.18 - 21.49) 0.443
Louisiana 27.67a (25.44 - 30.01) 23.08 (20.85 - 25.47) 0.002
Regions 1 and 10 -- (-- - --) 23.74 (20.40 - 27.44) --
Region 1 -- (-- - --) 25.98 (21.60 - 30.90) --
Region 10 (Jefferson) 27.71a (23.23 - 32.70) 21.12 (17.52 - 25.24) 0.008
Regions 2 and 9 29.98b (26.52 - 33.68) 25.93 (22.89 - 29.21) 0.062
Region 3 -- (-- - --) 23.43 (19.52 - 27.85) --
Regions 4, 5, and 6 26.07a (22.49 - 30.01) 21.17 (17.82 - 24.95) 0.026
Regions 7 and 8 27.71a (24.00 - 31.76) 20.99 (17.63 - 24.80) 0.004
Maine 26.23 (24.13 - 28.44) 25.17 (22.64 - 27.88) 0.487
Aroostook/Downeast 25.69 (21.93 - 29.84) 23.28 (19.81 - 27.14) 0.290
Aroostook -- (-- - --) 23.26 (19.20 - 27.87) --
Downeast -- (-- - --) 23.29 (19.05 - 28.16) --
Central 24.23 (20.53 - 28.37) 24.74 (20.84 - 29.11) 0.831
Cumberland 28.27 (24.43 - 32.46) 26.59 (22.75 - 30.83) 0.492
Midcoast 24.88 (20.83 - 29.41) 23.57 (19.66 - 27.99) 0.599
Penquis 28.85 (24.67 - 33.42) 27.55 (22.96 - 32.68) 0.642
Western 25.57 (21.71 - 29.85) 23.55 (19.69 - 27.90) 0.413
York 24.77 (21.22 - 28.70) 25.35 (21.84 - 29.21) 0.798
Maryland 25.87a (23.80 - 28.05) 21.84 (19.57 - 24.31) 0.004
Anne Arundel 29.33a (24.87 - 34.22) 23.52 (19.66 - 27.88) 0.019
Baltimore City 24.60 (20.51 - 29.21) 21.99 (17.97 - 26.61) 0.316
Baltimore County 27.93 (24.03 - 32.20) 24.00 (19.99 - 28.53) 0.120
Montgomery 22.49b (18.98 - 26.44) 18.52 (15.49 - 21.99) 0.058
North Central 27.07a (22.94 - 31.64) 21.45 (18.00 - 25.37) 0.016
Northeast 26.45 (22.32 - 31.03) 22.68 (18.79 - 27.11) 0.121
Prince George's 23.85 (20.08 - 28.07) 22.73 (19.14 - 26.77) 0.632
South 26.56a (22.35 - 31.24) 20.75 (16.98 - 25.10) 0.016
West 28.55a (24.31 - 33.19) 22.09 (18.27 - 26.46) 0.010
Massachusetts 31.76 (29.43 - 34.18) 30.29 (27.63 - 33.09) 0.392
Boston 33.71 (29.08 - 38.67) 34.39 (28.93 - 40.29) 0.830
Central 32.84 (28.45 - 37.56) 28.60 (24.44 - 33.16) 0.116
Metrowest 32.18 (28.26 - 36.37) 29.93 (26.15 - 34.02) 0.385
Northeast 29.55 (25.90 - 33.48) 27.42 (23.60 - 31.59) 0.398
Southeast 28.38 (24.59 - 32.50) 29.55 (25.61 - 33.83) 0.645
Western 35.94 (31.80 - 40.30) 33.72 (29.13 - 38.64) 0.442
Michigan1 26.16a (25.03 - 27.33) 21.27 (19.76 - 22.86) 0.000
Region 1 31.58b (27.66 - 35.77) 26.91 (22.82 - 31.44) 0.068
Region 2 -- (-- - --) 21.93 (18.49 - 25.80) --
Region 3 -- (-- - --) 22.55 (19.81 - 25.55) --
Region 4 -- (-- - --) 20.86 (18.03 - 24.00) --
Region 5 -- (-- - --) 23.41 (20.47 - 26.62) --
Region 6 -- (-- - --) 23.85 (20.54 - 27.50) --
Region 7 -- (-- - --) 17.27 (14.92 - 19.90) --
Region 8 26.65a (24.04 - 29.43) 20.46 (17.85 - 23.34) 0.001
Region 9 26.17a (23.25 - 29.32) 20.39 (17.59 - 23.50) 0.002
Region 10 -- (-- - --) 20.57 (17.66 - 23.81) --
Minnesota 28.67a (26.49 - 30.96) 22.49 (20.23 - 24.93) 0.000
Regions 1 and 2 31.63a (27.09 - 36.56) 23.55 (20.13 - 27.35) 0.001
Region 1 -- (-- - --) 21.41 (17.43 - 26.01) --
Region 2 -- (-- - --) 25.02 (20.71 - 29.90) --
Regions 3 and 4 29.85a (26.01 - 33.99) 23.35 (20.20 - 26.84) 0.003
Region 3 -- (-- - --) 24.78 (20.16 - 30.07) --
Region 4 -- (-- - --) 22.66 (19.18 - 26.56) --
Regions 5 and 6 30.70a (26.98 - 34.69) 23.82 (20.72 - 27.22) 0.002
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) 26.91 (23.38 - 30.75) 23.40 (20.05 - 27.11) 0.113
Region 7B (Ramsey) 24.29 (20.19 - 28.92) 21.99 (18.26 - 26.24) 0.363
Region 7C 28.05a (24.58 - 31.81) 19.79 (16.66 - 23.35) 0.000
Mississippi 23.96a (21.82 - 26.23) 17.29 (15.23 - 19.57) 0.000
Region 1 25.93a (22.50 - 29.70) 17.13 (14.20 - 20.52) 0.000
Region 2 21.84a (18.00 - 26.24) 14.22 (11.34 - 17.70) 0.000
Region 3 21.54 (17.99 - 25.57) 19.39 (15.98 - 23.32) 0.349
Region 4 22.86a (19.41 - 26.73) 16.00 (13.24 - 19.21) 0.001
Region 5 22.83a (18.67 - 27.61) 15.45 (12.11 - 19.52) 0.002
Region 6 27.49a (22.96 - 32.54) 19.18 (15.73 - 23.19) 0.001
Region 7 24.86a (21.17 - 28.97) 18.86 (15.51 - 22.75) 0.008
Missouri 24.71a (22.56 - 27.00) 20.56 (18.32 - 22.98) 0.003
Central 28.78b (24.11 - 33.95) 23.88 (20.00 - 28.26) 0.066
Eastern 24.46a (21.62 - 27.54) 20.49 (17.84 - 23.43) 0.020
Eastern (St. Louis City and County) 23.12a (19.88 - 26.71) 19.13 (16.05 - 22.65) 0.047
Eastern (excluding St. Louis) 26.79b (22.37 - 31.73) 22.49 (18.99 - 26.43) 0.081
Northwest 23.31b (20.45 - 26.44) 20.09 (17.26 - 23.25) 0.069
Northwest (Jackson) 22.52b (18.95 - 26.56) 18.55 (15.38 - 22.21) 0.068
Northwest (excluding Jackson) 23.98 (20.17 - 28.25) 21.26 (17.67 - 25.36) 0.243
Southeast 24.97a (20.82 - 29.63) 19.24 (15.77 - 23.26) 0.018
Southwest 23.48b (19.60 - 27.86) 19.24 (15.86 - 23.15) 0.070
Montana 33.04a (30.61 - 35.56) 21.84 (19.53 - 24.33) 0.000
Region 1 31.44a (26.50 - 36.84) 19.41 (15.71 - 23.72) 0.000
Region 2 29.33a (25.18 - 33.85) 19.17 (15.84 - 23.01) 0.000
Region 3 28.35a (24.62 - 32.40) 18.03 (14.99 - 21.52) 0.000
Region 4 39.47a (35.56 - 43.52) 24.58 (21.21 - 28.29) 0.000
Region 5 32.78a (28.99 - 36.81) 24.03 (20.78 - 27.61) 0.000
Nebraska 26.23a (23.85 - 28.76) 21.28 (19.02 - 23.72) 0.002
Regions 1 and 2 25.55a (21.65 - 29.89) 20.64 (17.27 - 24.47) 0.021
Region 1 25.27 (20.51 - 30.70) 21.42 (17.17 - 26.39) 0.157
Region 2 25.80a (20.80 - 31.53) 19.96 (16.02 - 24.57) 0.023
Region 3 24.49 (20.51 - 28.96) 20.74 (17.18 - 24.83) 0.138
Region 4 25.47a (21.01 - 30.52) 19.83 (16.34 - 23.85) 0.026
Region 5 30.63a (27.04 - 34.46) 23.60 (19.73 - 27.97) 0.006
Region 6 24.51a (21.29 - 28.04) 20.62 (18.10 - 23.40) 0.047
Nevada1 24.26 (21.84 - 26.86) 22.21 (19.77 - 24.87) 0.209
Clark – Region 1 22.77 (20.00 - 25.80) 21.14 (18.54 - 24.01) 0.382
Region 3 26.34 (21.88 - 31.34) 23.38 (19.62 - 27.61) 0.237
Capital District -- (-- - --) 24.60 (20.01 - 29.85) --
Rural/Frontier -- (-- - --) 22.38 (18.02 - 27.45) --
Washoe – Region 2 29.45 (25.50 - 33.73) 26.32 (22.37 - 30.69) 0.220
New Hampshire 34.43a (32.20 - 36.75) 27.27 (24.88 - 29.80) 0.000
Central 36.20a (33.02 - 39.51) 29.07 (25.92 - 32.44) 0.000
Central 1 38.99a (34.58 - 43.59) 32.51 (28.20 - 37.14) 0.016
Central 2 33.35a (29.50 - 37.44) 25.27 (21.65 - 29.27) 0.001
Northern 38.70a (34.12 - 43.50) 32.78 (28.26 - 37.64) 0.038
Southern 32.69a (29.99 - 35.52) 25.19 (22.45 - 28.13) 0.000
Southern 1 (Rockingham) 33.26a (29.54 - 37.21) 23.09 (19.70 - 26.87) 0.000
Southern 2 32.36a (28.98 - 35.94) 26.41 (23.10 - 30.01) 0.007
New Jersey 27.68a (25.45 - 30.03) 23.57 (21.55 - 25.72) 0.003
Central 29.09a (25.06 - 33.48) 24.27 (21.37 - 27.42) 0.034
Metropolitan 26.00a (22.66 - 29.65) 20.73 (17.66 - 24.19) 0.014
Northern 27.41 (24.31 - 30.75) 24.45 (21.76 - 27.35) 0.129
Southern 28.39 (24.63 - 32.47) 24.93 (21.63 - 28.54) 0.124
New Mexico 25.46a (23.25 - 27.81) 19.87 (17.69 - 22.25) 0.000
Region 1 21.53a (18.41 - 25.02) 17.06 (14.22 - 20.33) 0.028
Region 2 25.19a (20.90 - 30.04) 19.34 (15.82 - 23.41) 0.015
Region 3 (Bernalillo) 26.67a (23.12 - 30.55) 21.99 (18.95 - 25.37) 0.037
Region 4 25.63a (21.28 - 30.52) 18.56 (15.13 - 22.57) 0.004
Region 5 28.00a (24.24 - 32.09) 20.93 (17.99 - 24.20) 0.001
Region 5a -- (-- - --) 17.52 (14.24 - 21.38) --
Region 5b (Dona Ana) -- (-- - --) 23.40 (19.53 - 27.78) --
New York1 31.44a (30.05 - 32.85) 23.54 (22.04 - 25.12) 0.000
Region 1: Long Island 33.88a (30.90 - 36.99) 25.32 (22.56 - 28.31) 0.000
Region 2: New York City 28.08a (26.17 - 30.07) 20.68 (18.87 - 22.61) 0.000
Region 2A: Bronx 28.77a (25.01 - 32.84) 17.52 (14.88 - 20.51) 0.000
Region 2B: Kings -- (-- - --) 20.19 (17.37 - 23.35) --
Region 2C: New York 33.99b (29.97 - 38.26) 29.63 (25.73 - 33.84) 0.091
Region 2D: Queens 25.71a (22.60 - 29.08) 18.73 (15.90 - 21.93) 0.000
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 Carolina1 23.12a (21.05 - 25.34) 16.91 (15.15 - 18.84) 0.000
Alliance Behavioral Healthcare 1 -- (-- - --) 16.53 (13.59 - 19.96) --
Alliance Behavioral Healthcare 2 -- (-- - --) 15.30 (12.53 - 18.56) --
Cardinal Innovations Healthcare Solutions 1 -- (-- - --) 16.38 (13.45 - 19.79) --
Cardinal Innovations Healthcare Solutions 2 -- (-- - --) 17.16 (13.84 - 21.08) --
Cardinal Innovations Healthcare Solutions 3 20.79a (17.16 - 24.96) 16.37 (13.61 - 19.56) 0.032
CenterPoint Human Services 21.57 (17.46 - 26.35) 18.41 (15.05 - 22.32) 0.171
Eastpointe 20.47a (16.80 - 24.70) 13.23 (10.65 - 16.31) 0.000
Partners Behavioral Health Management 23.15a (19.47 - 27.28) 16.49 (13.66 - 19.78) 0.001
Sandhills Center 1 20.52a (16.52 - 25.20) 14.48 (11.57 - 17.97) 0.004
Sandhills Center 2 24.54a (20.12 - 29.57) 18.99 (15.54 - 23.01) 0.019
Smoky Mountain Center 1 25.20a (20.92 - 30.02) 17.35 (13.89 - 21.45) 0.001
Smoky Mountain Center 2 23.46a (18.95 - 28.67) 17.07 (14.03 - 20.61) 0.006
Trillium Health Resources 1 24.34a (20.14 - 29.09) 19.11 (15.78 - 22.94) 0.028
Trillium Health Resources 2 28.19b (23.53 - 33.38) 23.70 (19.49 - 28.49) 0.093
North Dakota 34.64a (32.17 - 37.18) 30.65 (28.13 - 33.28) 0.016
Badlands and West Central 32.08 (28.20 - 36.22) 29.09 (25.65 - 32.79) 0.213
Badlands -- (-- - --) 27.29 (22.41 - 32.78) --
West Central -- (-- - --) 29.59 (25.74 - 33.74) --
Lake Region -- (-- - --) 20.78 (16.99 - 25.15) --
North Central -- (-- - --) 28.24 (23.66 - 33.31) --
Northeast 41.73 (36.93 - 46.69) 39.71 (34.83 - 44.81) 0.515
Northwest -- (-- - --) 25.26 (20.78 - 30.33) --
South Central -- (-- - --) 28.02 (23.29 - 33.30) --
Southeast 37.46a (33.68 - 41.41) 32.41 (28.78 - 36.25) 0.040
Ohio 27.68a (26.56 - 28.82) 21.44 (19.83 - 23.13) 0.000
Boards 2, 46, 55, and 68 26.57 (23.48 - 29.91) 23.30 (19.61 - 27.46) 0.138
Boards 3, 52, and 85 26.61a (23.00 - 30.57) 20.60 (17.11 - 24.58) 0.008
Boards 4 and 78 26.63a (22.63 - 31.06) 19.60 (16.22 - 23.48) 0.002
Boards 5 and 60 32.45a (29.00 - 36.11) 25.65 (21.36 - 30.45) 0.009
Boards 7, 15, 41, 79, and 84 25.37a (22.00 - 29.07) 19.77 (16.32 - 23.74) 0.014
Boards 8, 13, and 83 25.79a (22.34 - 29.58) 19.60 (16.33 - 23.34) 0.005
Board 9 (Butler) 32.61a (28.66 - 36.83) 22.52 (18.83 - 26.70) 0.000
Board 12 31.38a (27.57 - 35.46) 22.71 (18.98 - 26.94) 0.000
Boards 18 and 47 26.11a (23.45 - 28.94) 20.17 (17.49 - 23.14) 0.001
Boards 20, 32, 54, and 69 27.78a (24.07 - 31.82) 19.86 (16.60 - 23.59) 0.000
Boards 21, 39, 51, 70, and 80 24.46a (21.03 - 28.26) 18.27 (15.21 - 21.79) 0.003
Boards 22, 74, and 87 32.14a (28.18 - 36.37) 25.16 (21.50 - 29.21) 0.003
Boards 23 and 45 27.01a (23.26 - 31.11) 19.55 (16.43 - 23.11) 0.001
Board 25 (Franklin) 29.78a (26.98 - 32.73) 21.70 (18.87 - 24.83) 0.000
Boards 27, 71, and 73 23.33a (19.97 - 27.06) 18.06 (15.10 - 21.47) 0.008
Boards 28, 43, and 67 30.94a (27.53 - 34.58) 25.20 (21.70 - 29.06) 0.009
Board 31 (Hamilton) 27.41b (24.05 - 31.05) 23.08 (19.64 - 26.91) 0.063
Board 48 (Lucas) 27.18a (23.90 - 30.73) 20.02 (16.51 - 24.06) 0.002
Boards 50 and 76 27.64a (24.28 - 31.27) 21.69 (18.57 - 25.16) 0.004
Board 57 (Montgomery) 26.80a (23.19 - 30.74) 22.23 (18.69 - 26.23) 0.046
Board 77 (Summit) 27.08a (23.75 - 30.68) 22.93 (19.54 - 26.71) 0.048
Oklahoma 25.43a (23.12 - 27.89) 19.11 (16.87 - 21.56) 0.000
Central 26.29 (22.13 - 30.91) 23.18 (19.44 - 27.39) 0.209
East Central 26.09a (21.74 - 30.96) 15.74 (12.51 - 19.62) 0.000
Northeast 28.31a (24.07 - 32.97) 21.11 (17.34 - 25.45) 0.005
Northwest and Southwest 25.92a (21.75 - 30.58) 19.60 (16.30 - 23.39) 0.008
Oklahoma County 23.62b (19.89 - 27.81) 19.31 (16.15 - 22.92) 0.057
Southeast 25.20a (21.24 - 29.61) 17.25 (13.93 - 21.17) 0.001
Tulsa County 23.62a (19.90 - 27.80) 17.44 (14.36 - 21.03) 0.005
Oregon 30.72a (28.43 - 33.10) 22.44 (20.22 - 24.82) 0.000
Region 1 (Multnomah) 31.73a (27.62 - 36.14) 20.59 (17.29 - 24.34) 0.000
Region 2 26.99a (23.45 - 30.85) 21.34 (18.48 - 24.50) 0.007
Region 3 34.22a (30.82 - 37.78) 24.30 (20.98 - 27.95) 0.000
Region 4 28.44a (23.93 - 33.42) 23.02 (19.51 - 26.96) 0.037
Region 5 (Central) 32.32a (27.07 - 38.06) 20.68 (16.72 - 25.28) 0.000
Region 6 (Eastern) 27.45a (22.96 - 32.45) 22.15 (18.21 - 26.66) 0.034
Pennsylvania 29.01a (27.67 - 30.39) 23.76 (22.14 - 25.46) 0.000
Region 1 (Allegheny) 33.34a (30.08 - 36.76) 23.39 (20.21 - 26.92) 0.000
Regions 3, 8, 9, and 51 29.90 (26.13 - 33.96) 27.37 (23.67 - 31.42) 0.299
Regions 4, 11, 37, and 49 29.22a (25.80 - 32.88) 23.88 (20.50 - 27.62) 0.019
Regions 5, 18, 23, 24, and 46 27.86a (23.94 - 32.16) 20.35 (17.09 - 24.06) 0.001
Regions 6, 12, 16, 31, 35, 45, and 47 32.87 (28.78 - 37.23) 33.26 (29.03 - 37.78) 0.887
Regions 7, 13, 20, and 33 27.96a (25.52 - 30.55) 23.10 (20.51 - 25.91) 0.007
Regions 10, 15, 27, 32, 43, and 44 26.12a (22.57 - 30.01) 20.03 (16.58 - 23.99) 0.008
Regions 17 and 21 30.42b (26.19 - 35.00) 25.97 (21.86 - 30.55) 0.089
Regions 19, 26, 28, and 42 25.24a (22.20 - 28.55) 20.39 (17.63 - 23.47) 0.014
Regions 22, 38, 40, 41, and 48 28.77a (25.41 - 32.38) 23.54 (20.19 - 27.25) 0.016
Regions 29 and 34 27.77a (23.97 - 31.93) 22.67 (19.11 - 26.68) 0.029
Regions 30 and 50 29.16a (25.42 - 33.20) 22.51 (18.89 - 26.59) 0.005
Region 36 (Philadelphia) 30.19a (27.07 - 33.50) 25.10 (21.91 - 28.59) 0.019
Rhode Island 33.75a (31.34 - 36.24) 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 22.34a (20.39 - 24.41) 19.52 (17.36 - 21.87) 0.037
Region 1 -- (-- - --) 17.87 (15.08 - 21.06) --
Region 2 -- (-- - --) 20.05 (17.07 - 23.40) --
Region 3 20.76 (17.56 - 24.36) 17.92 (14.82 - 21.51) 0.163
Region 4 22.21 (18.92 - 25.90) 22.00 (18.76 - 25.63) 0.924
South Dakota 31.95a (29.68 - 34.31) 25.56 (23.22 - 28.06) 0.000
Region 1 -- (-- - --) 24.12 (20.79 - 27.79) --
Region 2 -- (-- - --) 19.38 (15.93 - 23.38) --
Region 3 -- (-- - --) 31.04 (27.29 - 35.05) --
Region 4 -- (-- - --) 28.11 (24.19 - 32.39) --
Region 5 -- (-- - --) 22.85 (19.82 - 26.20) --
Tennessee 21.27a (19.29 - 23.39) 18.31 (16.12 - 20.71) 0.026
Region 1 22.53b (18.35 - 27.33) 17.95 (14.58 - 21.89) 0.051
Region 2 22.02 (18.45 - 26.06) 19.24 (15.82 - 23.20) 0.230
Region 3 -- (-- - --) 18.18 (14.80 - 22.12) --
Region 4 (Davidson) 22.87 (18.95 - 27.33) 19.47 (15.65 - 23.94) 0.156
Region 5 -- (-- - --) 19.36 (16.34 - 22.78) --
Region 6 21.33 (17.61 - 25.58) 17.80 (14.23 - 22.03) 0.117
Region 7 (Shelby) 18.47 (15.12 - 22.37) 15.36 (12.48 - 18.77) 0.125
Texas 26.27a (25.07 - 27.50) 18.53 (17.22 - 19.92) 0.000
Region 1 31.24a (27.37 - 35.39) 22.93 (19.42 - 26.88) 0.000
Region 2 30.17a (25.86 - 34.85) 22.95 (19.20 - 27.19) 0.004
Region 3 26.36a (24.48 - 28.34) 16.23 (14.57 - 18.03) 0.000
Region 3a 25.77a (23.39 - 28.30) 15.46 (13.49 - 17.65) 0.000
Region 3bc 27.40a (24.74 - 30.23) 17.60 (15.18 - 20.30) 0.000
Region 4 24.90a (21.36 - 28.81) 17.79 (14.84 - 21.18) 0.001
Region 5 26.83a (23.17 - 30.84) 21.09 (17.71 - 24.93) 0.010
Region 6 24.58a (22.52 - 26.76) 16.88 (14.93 - 19.04) 0.000
Region 6a 24.47a (22.26 - 26.82) 16.75 (14.68 - 19.04) 0.000
Region 6bc 25.49a (21.61 - 29.81) 18.12 (15.03 - 21.69) 0.001
Region 7 30.68a (28.22 - 33.27) 23.49 (20.94 - 26.24) 0.000
Region 7a 29.29a (26.05 - 32.77) 22.86 (19.80 - 26.23) 0.002
Region 7bcd 32.58a (28.82 - 36.59) 24.50 (20.94 - 28.44) 0.001
Region 8 25.88a (22.82 - 29.19) 20.67 (18.00 - 23.62) 0.009
Region 9 27.19a (23.19 - 31.60) 20.55 (17.11 - 24.48) 0.004
Region 10 27.35a (23.51 - 31.56) 17.80 (14.76 - 21.32) 0.000
Region 11 22.19a (19.65 - 24.96) 17.55 (15.32 - 20.02) 0.004
Region 11abd 23.12a (19.94 - 26.64) 17.71 (14.91 - 20.91) 0.008
Region 11c (Hidalgo) 20.61b (17.27 - 24.41) 17.29 (14.37 - 20.65) 0.100
Utah 14.42a (12.37 - 16.75) 11.15   (9.22 - 13.43) 0.027
Bear River, Northeastern, Summit, Tooele, and Wasatch 13.85 (10.67 - 17.80) 10.50   (7.81 - 13.96) 0.101
Central, Four Corners, San Juan, and Southwest 14.00 (10.94 - 17.76) 12.00   (9.34 - 15.28) 0.304
Central, Four Corners, and San Juan -- (-- - --) 11.08   (8.15 - 14.89) --
Southwest -- (-- - --) 12.60   (9.47 - 16.58) --
Davis County 14.73a (11.61 - 18.51) 9.81   (7.40 - 12.91) 0.010
Salt Lake County 16.33a (13.49 - 19.64) 12.40   (9.96 - 15.32) 0.041
Utah County 11.78   (8.86 - 15.49) 9.38   (6.97 - 12.52) 0.214
Weber, Morgan 14.53 (11.25 - 18.58) 11.95   (9.08 - 15.58) 0.222
Vermont 35.77a (33.35 - 38.27) 30.89 (28.17 - 33.75) 0.004
Champlain Valley 40.40b (37.20 - 43.68) 35.93 (32.20 - 39.84) 0.059
Rural Northeast 33.81a (29.74 - 38.12) 27.96 (24.13 - 32.15) 0.021
Rural Southeast 31.35a (27.03 - 36.03) 25.79 (22.08 - 29.88) 0.028
Rural Southwest 30.93 (26.80 - 35.40) 26.63 (22.30 - 31.46) 0.108
Virginia 26.99a (24.87 - 29.22) 20.47 (18.63 - 22.44) 0.000
Region 1 30.91a (27.11 - 34.99) 22.76 (19.60 - 26.26) 0.000
Region 2 21.37a (18.19 - 24.93) 17.25 (14.80 - 20.02) 0.033
Region 3 31.30a (27.22 - 35.69) 22.89 (19.70 - 26.42) 0.000
Region 4 26.43a (22.47 - 30.82) 20.17 (17.14 - 23.59) 0.008
Region 5 27.20a (23.65 - 31.07) 21.14 (18.29 - 24.30) 0.006
Washington1 26.70a (24.60 - 28.92) 20.04 (17.94 - 22.31) 0.000
Region 1 27.60a (24.37 - 31.08) 20.29 (17.38 - 23.55) 0.000
Greater Columbia and North Central -- (-- - --) 18.32 (15.02 - 22.15) --
Spokane -- (-- - --) 23.72 (19.46 - 28.58) --
Region 2 27.82a (25.09 - 30.72) 20.44 (17.90 - 23.25) 0.000
King 26.88a (23.60 - 30.43) 20.22 (17.17 - 23.65) 0.001
North Sound 29.21a (25.40 - 33.32) 20.81 (17.48 - 24.58) 0.000
Region 3 24.62a (21.77 - 27.72) 19.30 (16.84 - 22.02) 0.002
Pierce -- (-- - --) 17.58 (14.48 - 21.19) --
Salish -- (-- - --) 19.57 (15.63 - 24.21) --
SW WA and Great Rivers -- (-- - --) 20.67 (17.06 - 24.82) --
Thurston-Mason -- (-- - --) 20.43 (16.50 - 25.02) --
West Virginia 23.36 (21.24 - 25.63) 22.52 (20.15 - 25.09) 0.581
Region I 24.00 (19.72 - 28.88) 23.80 (19.55 - 28.66) 0.940
Region II 21.75 (18.11 - 25.90) 21.93 (18.10 - 26.30) 0.943
Region III 20.81 (17.19 - 24.95) 19.31 (15.68 - 23.54) 0.513
Region IV 28.10 (24.19 - 32.37) 29.49 (25.49 - 33.83) 0.593
Region V 23.46 (20.21 - 27.07) 20.05 (16.88 - 23.65) 0.122
Region VI 19.17 (15.79 - 23.07) 18.51 (15.39 - 22.09) 0.762
Wisconsin 29.72a (27.45 - 32.09) 23.77 (21.52 - 26.17) 0.000
Milwaukee 26.79a (23.04 - 30.89) 21.20 (18.02 - 24.77) 0.012
Northeastern 29.09a (25.46 - 33.01) 23.90 (20.44 - 27.73) 0.023
Northern 32.31a (27.23 - 37.85) 23.55 (19.85 - 27.71) 0.001
Southeastern 29.26a (25.21 - 33.67) 23.13 (19.86 - 26.76) 0.009
Southern 32.66a (28.69 - 36.90) 25.25 (21.97 - 28.85) 0.002
Western 29.35 (25.24 - 33.82) 25.91 (22.18 - 30.03) 0.153
Wyoming 29.85a (27.36 - 32.47) 22.65 (20.31 - 25.17) 0.000
Judicial District 1 (Laramie) 29.43a (25.12 - 34.14) 21.56 (18.03 - 25.56) 0.003
Judicial District 2 40.70 (35.03 - 46.62) 38.85 (33.68 - 44.29) 0.597
Judicial District 3 24.88a (21.31 - 28.82) 17.52 (14.40 - 21.16) 0.001
Judicial District 4 29.31a (24.22 - 34.97) 22.46 (18.38 - 27.14) 0.012
Judicial District 5 28.33a (23.80 - 33.36) 22.73 (18.84 - 27.15) 0.033
Judicial District 6 30.92a (26.26 - 36.00) 20.50 (17.03 - 24.46) 0.000
Judicial District 7 (Natrona) 31.28a (26.83 - 36.10) 20.67 (17.10 - 24.76) 0.000
Judicial District 8 28.81a (24.12 - 34.01) 23.33 (19.44 - 27.73) 0.042
Judicial District 9 26.57a (22.01 - 31.69) 19.84 (16.32 - 23.90) 0.009
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2014-2016); hence, the 2008-2010 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 2008-2010 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 2008-2010 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2008-2010 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 (2008-2010 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, 2008-2010 and 2014-2016.
180416
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, 2008-2010 and 2014-2016 NSDUHs
State/Substate Region 2008-2010
(Estimate)
2008-2010
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 27.93a (27.53 - 28.34) 24.22 (23.90 - 24.54) 0.000
Northeast 26.35a (25.58 - 27.13) 23.18 (22.52 - 23.85) 0.000
Midwest 30.47a (29.79 - 31.16) 27.15 (26.55 - 27.76) 0.000
South 29.43a (28.78 - 30.10) 25.92 (25.40 - 26.45) 0.000
West 24.41a (23.65 - 25.19) 19.66 (19.06 - 20.28) 0.000
Alabama 32.95a (30.65 - 35.33) 29.95 (28.00 - 31.98) 0.039
Region 1 33.78 (30.18 - 37.58) 32.43 (29.19 - 35.84) 0.549
Region 2 33.43b (30.16 - 36.88) 29.79 (26.84 - 32.92) 0.095
Region 3 30.95a (27.18 - 34.98) 26.08 (22.79 - 29.66) 0.039
Region 4 32.80 (29.21 - 36.61) 30.18 (26.84 - 33.73) 0.256
Alaska 31.38 (28.94 - 33.93) 30.87 (28.93 - 32.87) 0.730
Anchorage 28.77 (25.81 - 31.93) 26.80 (24.45 - 29.30) 0.279
Northern 35.36 (31.50 - 39.42) 37.65 (33.97 - 41.47) 0.353
South Central 32.45 (28.46 - 36.73) 32.13 (28.84 - 35.61) 0.894
Southeast 31.10 (26.63 - 35.94) 29.23 (25.15 - 33.68) 0.492
Arizona1 26.08a (23.79 - 28.51) 22.17 (20.41 - 24.04) 0.005
Central 25.27a (22.59 - 28.15) 21.13 (19.10 - 23.31) 0.013
North -- (-- - --) 26.51 (22.66 - 30.74) --
South -- (-- - --) 22.53 (19.81 - 25.50) --
South A 25.86a (22.07 - 30.05) 21.09 (18.10 - 24.42) 0.025
South B -- (-- - --) 24.26 (20.43 - 28.56) --
Arkansas 34.67 (32.27 - 37.14) 33.42 (31.31 - 35.59) 0.422
Catchment Area 1 30.86b (27.04 - 34.97) 26.66 (23.46 - 30.13) 0.062
Catchment Area 2 35.60 (31.17 - 40.29) 38.01 (33.58 - 42.64) 0.413
Catchment Area 3 38.47 (34.14 - 42.98) 34.03 (30.02 - 38.27) 0.108
Catchment Area 4 36.58 (32.05 - 41.37) 34.51 (30.40 - 38.87) 0.462
Catchment Area 5 34.55 (30.82 - 38.48) 33.20 (29.40 - 37.23) 0.589
Catchment Area 6 36.79 (32.17 - 41.66) 36.77 (32.38 - 41.39) 0.995
Catchment Area 7 34.47 (29.76 - 39.50) 36.48 (31.96 - 41.26) 0.473
Catchment Area 8 32.87 (29.11 - 36.86) 33.14 (29.34 - 37.17) 0.915
California 22.14a (21.00 - 23.32) 17.37 (16.54 - 18.24) 0.000
Region 1R 29.84b (26.07 - 33.90) 25.48 (22.10 - 29.19) 0.052
Region 2R 25.58a (22.37 - 29.07) 19.33 (16.68 - 22.29) 0.001
Region 3R (Sacramento) 24.67a (21.42 - 28.24) 19.38 (17.00 - 22.00) 0.003
Region 4R 22.49a (19.41 - 25.90) 17.82 (15.35 - 20.59) 0.006
Region 5R (San Francisco) 22.90a (19.47 - 26.74) 16.34 (13.61 - 19.49) 0.001
Region 6 (Santa Clara) 18.28a (15.73 - 21.14) 12.76 (11.00 - 14.76) 0.000
Region 7R (Contra Costa) 19.04b (16.14 - 22.32) 16.01 (13.77 - 18.53) 0.062
Region 8R (Alameda) 20.60a (17.84 - 23.66) 14.90 (12.72 - 17.38) 0.000
Region 9R (San Mateo) 19.04a (16.07 - 22.41) 14.02 (11.71 - 16.70) 0.002
Region 10 21.50a (18.64 - 24.66) 17.72 (15.03 - 20.78) 0.027
Region 11 (Los Angeles) 20.59a (19.13 - 22.13) 16.04 (14.94 - 17.20) 0.000
LA SPA 1 and 5 20.74a (17.66 - 24.19) 16.35 (14.02 - 18.99) 0.006
LA SPA 2 20.43a (17.89 - 23.23) 15.59 (13.55 - 17.87) 0.001
LA SPA 3 18.17a (15.68 - 20.96) 14.03 (11.92 - 16.43) 0.005
LA SPA 4 23.43a (20.26 - 26.93) 17.68 (15.05 - 20.67) 0.001
LA SPA 6 22.06b (19.00 - 25.47) 18.99 (16.18 - 22.15) 0.080
LA SPA 7 20.36a (17.58 - 23.45) 15.28 (12.92 - 17.98) 0.002
LA SPA 8 20.59a (17.72 - 23.79) 16.35 (14.09 - 18.89) 0.010
Region 12R 24.41b (20.87 - 28.35) 20.93 (17.88 - 24.34) 0.077
Regions 13 and 19R 23.87a (21.14 - 26.84) 17.94 (15.75 - 20.35) 0.000
Region 14 (Orange) 20.73a (18.41 - 23.26) 15.27 (13.32 - 17.44) 0.000
Region 15R (Fresno) 21.87 (18.79 - 25.30) 19.33 (16.59 - 22.40) 0.153
Region 16R (San Diego) 22.10a (19.57 - 24.85) 18.17 (16.10 - 20.45) 0.012
Region 17R 24.09 (21.16 - 27.30) 21.46 (18.90 - 24.26) 0.141
Region 18R (San Bernardino) 25.33a (22.49 - 28.40) 19.86 (17.45 - 22.52) 0.002
Region 20R 23.74b (20.49 - 27.32) 20.12 (17.28 - 23.29) 0.057
Region 21R 24.97a (21.63 - 28.63) 18.78 (15.97 - 21.96) 0.000
Colorado 27.99a (25.71 - 30.39) 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 25.12a (23.00 - 27.36) 22.19 (20.34 - 24.16) 0.033
Eastern 27.37 (23.48 - 31.63) 26.99 (23.28 - 31.05) 0.876
North Central 25.36 (22.26 - 28.73) 22.43 (19.70 - 25.41) 0.140
Northwestern 24.88 (21.58 - 28.50) 21.87 (18.83 - 25.25) 0.154
South Central 25.69 (22.47 - 29.19) 22.80 (19.75 - 26.17) 0.167
Southwest 22.76a (19.50 - 26.39) 18.36 (15.57 - 21.52) 0.030
Delaware 30.08a (27.72 - 32.55) 24.18 (22.27 - 26.18) 0.000
Kent 33.43a (29.36 - 37.77) 25.91 (22.62 - 29.49) 0.001
New Castle (excluding Wilmington City) 27.71a (24.85 - 30.76) 21.71 (19.48 - 24.12) 0.001
Sussex 32.21a (28.34 - 36.33) 26.89 (23.42 - 30.68) 0.031
Wilmington City 31.98 (27.75 - 36.53) 28.37 (24.14 - 33.02) 0.183
District of Columbia 28.57a (26.24 - 31.02) 23.69 (21.75 - 25.74) 0.001
Ward 1 28.81a (24.71 - 33.28) 22.24 (18.59 - 26.38) 0.008
Ward 2 28.75a (24.83 - 33.01) 22.85 (19.44 - 26.66) 0.006
Ward 3 24.92a (21.38 - 28.83) 19.00 (15.99 - 22.43) 0.004
Ward 4 24.63 (20.88 - 28.80) 20.94 (17.61 - 24.72) 0.105
Ward 5 28.99 (24.83 - 33.53) 25.77 (22.07 - 29.85) 0.197
Ward 6 28.15a (24.18 - 32.50) 20.73 (17.63 - 24.21) 0.001
Ward 7 30.99 (26.98 - 35.30) 27.86 (24.01 - 32.07) 0.226
Ward 8 34.73 (30.23 - 39.51) 31.20 (27.23 - 35.47) 0.187
Florida1 26.87a (25.60 - 28.18) 21.70 (20.64 - 22.81) 0.000
Broward (Circuit 17) 24.60a (22.08 - 27.31) 18.75 (16.32 - 21.45) 0.001
Central I -- (-- - --) 19.83 (18.03 - 21.77) --
Circuit 9 25.12a (22.39 - 28.06) 17.73 (15.65 - 20.03) 0.000
Circuit 18 27.30a (24.04 - 30.84) 22.93 (20.08 - 26.07) 0.030
Central II -- (-- - --) 23.40 (21.86 - 25.02) --
Circuit 6 28.70 (25.50 - 32.14) 25.64 (22.66 - 28.86) 0.140
Circuit 10 29.72 (26.22 - 33.47) 26.35 (23.03 - 29.96) 0.148
Circuit 12 30.54a (26.60 - 34.79) 21.09 (18.15 - 24.36) 0.000
Circuit 13 (Hillsborough) 27.77a (24.83 - 30.91) 23.40 (20.72 - 26.32) 0.022
Circuit 20 25.91a (22.70 - 29.40) 20.50 (17.56 - 23.80) 0.010
Northeast -- (-- - --) 24.96 (23.06 - 26.97) --
Circuit 4 30.25a (26.78 - 33.96) 24.51 (21.44 - 27.85) 0.009
Circuit 5 28.98b (25.65 - 32.55) 24.80 (21.59 - 28.32) 0.062
Circuit 7 31.00a (27.34 - 34.93) 24.58 (21.35 - 28.12) 0.004
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee -- (-- - --) 26.90 (23.11 - 31.06) --
Northwest -- (-- - --) 25.36 (23.20 - 27.64) --
Circuit 1 29.83a (26.41 - 33.49) 23.73 (20.67 - 27.08) 0.003
Circuit 2 plus Madison and Taylor -- (-- - --) 24.95 (21.76 - 28.45) --
Circuit 14 33.68 (29.42 - 38.22) 29.84 (25.77 - 34.26) 0.133
South (Circuits 11 and 16) 21.06a (18.84 - 23.46) 15.65 (13.75 - 17.77) 0.000
Southeast -- (-- - --) 21.58 (19.38 - 23.96) --
Circuit 15 (Palm Beach) 22.36 (19.45 - 25.57) 20.34 (17.66 - 23.32) 0.279
Circuit 19 28.68b (24.95 - 32.72) 24.30 (21.06 - 27.86) 0.054
Georgia 28.64a (26.34 - 31.06) 25.37 (23.87 - 26.94) 0.013
Region 1 29.38a (25.98 - 33.03) 24.54 (22.19 - 27.06) 0.012
Region 2 29.40 (25.34 - 33.82) 27.12 (24.12 - 30.35) 0.322
Region 3 24.64b (21.51 - 28.06) 21.42 (19.17 - 23.85) 0.090
Region 4 33.98 (29.27 - 39.04) 31.48 (27.50 - 35.75) 0.339
Region 5 33.72 (29.49 - 38.22) 30.02 (26.52 - 33.76) 0.135
Region 6 29.13 (25.26 - 33.32) 27.30 (24.16 - 30.69) 0.428
Hawaii 22.77a (20.63 - 25.05) 19.10 (17.36 - 20.96) 0.007
Hawaii Island 26.24a (22.39 - 30.48) 21.14 (17.91 - 24.76) 0.030
Honolulu 21.87a (19.53 - 24.42) 18.29 (16.36 - 20.39) 0.018
Kauai 23.26 (19.17 - 27.93) 21.41 (17.81 - 25.51) 0.423
Maui 23.94 (20.19 - 28.13) 20.73 (17.43 - 24.46) 0.151
Idaho 27.13a (25.03 - 29.33) 21.82 (20.14 - 23.60) 0.000
Region 1 30.13a (26.18 - 34.40) 25.20 (21.70 - 29.06) 0.042
Region 2 26.40 (22.38 - 30.86) 23.64 (19.94 - 27.79) 0.221
Region 3 29.41a (25.95 - 33.12) 21.87 (18.99 - 25.05) 0.000
Region 4 27.96a (24.81 - 31.34) 21.76 (19.26 - 24.48) 0.002
Region 5 26.15 (22.46 - 30.21) 22.76 (19.57 - 26.31) 0.140
Region 6 -- (-- - --) 21.09 (17.67 - 24.97) --
Region 7 -- (-- - --) 17.63 (14.96 - 20.68) --
Illinois 28.87a (27.57 - 30.20) 23.76 (22.56 - 25.00) 0.000
Region 1 (Cook) 27.54a (25.56 - 29.62) 21.03 (19.53 - 22.62) 0.000
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 26.42a (24.52 - 28.42) 21.28 (19.71 - 22.93) 0.000
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 33.80b (31.18 - 36.53) 30.33 (27.65 - 33.16) 0.053
Region 3a (Champaign) -- (-- - --) 25.25 (21.78 - 29.07) --
Region 3b -- (-- - --) 31.18 (28.16 - 34.36) --
Region 4 32.79 (29.58 - 36.17) 30.72 (27.77 - 33.83) 0.319
Region 4a (Sangamon) -- (-- - --) 27.87 (23.94 - 32.17) --
Region 4b -- (-- - --) 31.53 (28.10 - 35.18) --
Region 5 34.00 (31.17 - 36.94) 30.91 (28.13 - 33.83) 0.103
Region 5a -- (-- - --) 27.09 (23.47 - 31.06) --
Region 5b -- (-- - --) 33.97 (30.32 - 37.82) --
Indiana 31.26 (29.00 - 33.61) 29.80 (27.85 - 31.82) 0.310
Central 30.00a (26.64 - 33.58) 23.97 (21.29 - 26.87) 0.003
East 30.11 (25.88 - 34.72) 33.56 (29.17 - 38.26) 0.213
North Central 30.46 (26.60 - 34.62) 31.61 (27.84 - 35.63) 0.636
Northeast 30.99 (26.87 - 35.43) 28.50 (24.91 - 32.39) 0.296
Northwest 29.79 (25.90 - 33.99) 30.06 (26.02 - 34.44) 0.914
Southeast 33.70 (29.50 - 38.17) 33.72 (29.46 - 38.26) 0.993
Southwest 31.85 (27.62 - 36.40) 31.66 (27.50 - 36.13) 0.941
West 35.19 (31.24 - 39.36) 34.30 (30.03 - 38.84) 0.726
Iowa 30.31a (28.18 - 32.54) 27.50 (25.60 - 29.48) 0.043
Central 29.17b (25.75 - 32.84) 25.42 (22.15 - 28.99) 0.088
North Central 31.44a (27.52 - 35.64) 26.38 (22.82 - 30.27) 0.032
Northeast 30.21 (26.88 - 33.75) 27.25 (24.26 - 30.46) 0.173
Northwest 29.92 (26.23 - 33.89) 29.18 (25.40 - 33.27) 0.754
Southeast 29.18 (25.81 - 32.80) 28.09 (24.96 - 31.44) 0.609
Southwest 34.35b (30.00 - 38.99) 29.28 (25.41 - 33.47) 0.054
Kansas 30.48a (28.20 - 32.86) 24.97 (23.13 - 26.91) 0.000
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 37.35 (34.88 - 39.88) 35.28 (33.21 - 37.41) 0.177
Adanta, Cumberland River, and Lifeskills 39.64 (35.46 - 43.98) 38.74 (34.83 - 42.81) 0.740
Bluegrass, Comprehend, and North Key 35.22 (31.74 - 38.87) 31.73 (28.58 - 35.05) 0.113
Centerstone 34.79 (30.88 - 38.92) 31.89 (28.60 - 35.37) 0.220
Communicare and River Valley 39.62 (34.85 - 44.60) 38.76 (34.16 - 43.58) 0.769
Four Rivers and Pennyroyal 37.78 (33.39 - 42.38) 36.24 (31.88 - 40.83) 0.566
Kentucky River, Mountain, and Pathways 41.53 (36.81 - 46.41) 41.93 (37.48 - 46.52) 0.890
Louisiana 30.43 (28.18 - 32.77) 30.67 (28.71 - 32.70) 0.870
Regions 1 and 10 -- (-- - --) 26.76 (23.76 - 29.99) --
Region 1 -- (-- - --) 27.88 (23.91 - 32.22) --
Region 10 (Jefferson) 27.46 (23.29 - 32.06) 25.54 (21.97 - 29.48) 0.444
Regions 2 and 9 30.58 (27.33 - 34.04) 29.95 (26.99 - 33.09) 0.772
Region 3 -- (-- - --) 31.41 (27.55 - 35.54) --
Regions 4, 5, and 6 32.54 (28.97 - 36.33) 33.93 (30.47 - 37.57) 0.557
Regions 7 and 8 31.17 (27.67 - 34.91) 30.94 (27.51 - 34.60) 0.919
Maine 28.85a (26.67 - 31.14) 24.30 (22.35 - 26.35) 0.001
Aroostook/Downeast 30.90 (26.98 - 35.12) 27.14 (24.03 - 30.50) 0.112
Aroostook -- (-- - --) 29.70 (25.53 - 34.24) --
Downeast -- (-- - --) 25.07 (21.23 - 29.35) --
Central 29.84 (25.96 - 34.03) 27.04 (23.35 - 31.09) 0.255
Cumberland 26.14a (22.97 - 29.59) 21.07 (18.26 - 24.18) 0.011
Midcoast 25.51 (21.83 - 29.58) 22.45 (19.13 - 26.16) 0.165
Penquis 30.21b (26.43 - 34.29) 25.67 (21.99 - 29.74) 0.063
Western 31.95a (28.13 - 36.02) 26.74 (23.23 - 30.56) 0.031
York 28.51a (24.62 - 32.74) 22.11 (18.92 - 25.66) 0.007
Maryland 23.61 (21.38 - 26.00) 22.20 (20.48 - 24.02) 0.294
Anne Arundel 25.17 (21.40 - 29.35) 22.79 (19.33 - 26.66) 0.311
Baltimore City 28.38 (24.12 - 33.08) 31.33 (27.52 - 35.41) 0.273
Baltimore County 24.77 (21.02 - 28.94) 23.08 (19.66 - 26.89) 0.464
Montgomery 17.30b (14.47 - 20.55) 14.40 (12.08 - 17.07) 0.078
North Central 19.71 (16.41 - 23.49) 19.22 (16.27 - 22.56) 0.796
Northeast 26.52 (22.56 - 30.90) 23.32 (19.68 - 27.40) 0.187
Prince George's 20.43 (17.06 - 24.28) 20.52 (17.47 - 23.95) 0.968
South 28.17 (24.02 - 32.73) 24.29 (20.86 - 28.10) 0.105
West 26.88 (23.02 - 31.13) 27.02 (23.39 - 30.98) 0.953
Massachusetts 24.19a (22.15 - 26.35) 21.15 (19.39 - 23.02) 0.017
Boston 23.99 (20.31 - 28.11) 21.64 (18.31 - 25.40) 0.286
Central 26.93a (23.33 - 30.87) 22.70 (19.63 - 26.09) 0.048
Metrowest 20.76b (18.07 - 23.74) 17.48 (14.96 - 20.33) 0.059
Northeast 22.44 (19.40 - 25.82) 19.63 (16.96 - 22.62) 0.134
Southeast 25.88 (22.60 - 29.44) 23.95 (20.80 - 27.42) 0.346
Western 27.63b (24.27 - 31.26) 24.00 (20.57 - 27.80) 0.087
Michigan1 30.60a (29.36 - 31.86) 27.38 (26.11 - 28.69) 0.000
Region 1 33.14 (29.43 - 37.07) 32.24 (28.26 - 36.50) 0.709
Region 2 -- (-- - --) 29.15 (25.39 - 33.21) --
Region 3 -- (-- - --) 25.48 (22.95 - 28.17) --
Region 4 -- (-- - --) 30.30 (27.19 - 33.61) --
Region 5 -- (-- - --) 29.59 (27.20 - 32.10) --
Region 6 -- (-- - --) 23.47 (20.68 - 26.52) --
Region 7 -- (-- - --) 27.44 (24.83 - 30.22) --
Region 8 25.79a (23.30 - 28.44) 21.18 (18.69 - 23.90) 0.009
Region 9 30.95 (28.02 - 34.05) 28.61 (25.47 - 31.96) 0.267
Region 10 -- (-- - --) 32.27 (28.84 - 35.90) --
Minnesota 27.77a (25.67 - 29.98) 24.64 (22.79 - 26.59) 0.018
Regions 1 and 2 32.72 (28.56 - 37.17) 29.48 (25.91 - 33.31) 0.169
Region 1 -- (-- - --) 28.91 (24.58 - 33.66) --
Region 2 -- (-- - --) 29.82 (25.40 - 34.65) --
Regions 3 and 4 30.56 (27.05 - 34.31) 28.71 (25.58 - 32.07) 0.394
Region 3 -- (-- - --) 29.12 (24.62 - 34.06) --
Region 4 -- (-- - --) 28.50 (24.87 - 32.42) --
Regions 5 and 6 29.51 (26.20 - 33.04) 26.46 (23.50 - 29.66) 0.136
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) 24.45b (21.25 - 27.95) 20.74 (18.08 - 23.68) 0.059
Region 7B (Ramsey) 25.57 (22.07 - 29.41) 23.70 (20.34 - 27.43) 0.390
Region 7C 26.02b (22.72 - 29.61) 22.21 (19.39 - 25.30) 0.057
Mississippi 33.60 (31.33 - 35.96) 31.42 (29.44 - 33.46) 0.141
Region 1 37.16b (33.37 - 41.13) 32.98 (29.60 - 36.54) 0.077
Region 2 33.09 (28.97 - 37.49) 30.98 (27.12 - 35.14) 0.427
Region 3 30.82 (27.14 - 34.75) 32.64 (28.87 - 36.64) 0.451
Region 4 29.83 (26.43 - 33.46) 27.21 (24.01 - 30.65) 0.236
Region 5 33.88 (29.66 - 38.37) 34.43 (29.80 - 39.38) 0.836
Region 6 36.02 (31.59 - 40.71) 33.30 (29.42 - 37.43) 0.295
Region 7 34.20 (30.25 - 38.37) 31.02 (27.29 - 35.01) 0.211
Missouri 33.47a (31.10 - 35.92) 29.89 (27.89 - 31.97) 0.019
Central 36.25a (32.09 - 40.61) 30.64 (27.02 - 34.52) 0.026
Eastern 29.87 (26.92 - 32.99) 27.99 (25.30 - 30.85) 0.329
Eastern (St. Louis City and County) 28.18 (24.73 - 31.92) 27.40 (24.08 - 30.99) 0.731
Eastern (excluding St. Louis) 32.83 (28.77 - 37.16) 28.99 (25.45 - 32.80) 0.118
Northwest 32.74 (29.57 - 36.07) 29.55 (26.65 - 32.64) 0.122
Northwest (Jackson) 31.58 (27.55 - 35.91) 28.54 (24.96 - 32.40) 0.235
Northwest (excluding Jackson) 33.73 (29.67 - 38.05) 30.41 (26.51 - 34.61) 0.202
Southeast 39.79b (35.24 - 44.52) 34.67 (30.64 - 38.93) 0.063
Southwest 35.73a (31.77 - 39.89) 30.38 (26.73 - 34.30) 0.029
Montana 31.79a (29.53 - 34.14) 28.51 (26.46 - 30.64) 0.028
Region 1 34.44 (30.02 - 39.14) 33.65 (29.08 - 38.55) 0.777
Region 2 33.20 (29.22 - 37.44) 29.72 (25.99 - 33.74) 0.170
Region 3 31.31 (27.65 - 35.22) 28.00 (24.81 - 31.43) 0.145
Region 4 31.98a (28.77 - 35.38) 27.45 (24.25 - 30.91) 0.040
Region 5 30.65 (27.42 - 34.09) 27.87 (24.87 - 31.08) 0.197
Nebraska 29.67 (27.48 - 31.96) 27.48 (25.57 - 29.47) 0.109
Regions 1 and 2 31.46 (27.87 - 35.28) 30.80 (27.18 - 34.68) 0.769
Region 1 30.19 (25.86 - 34.91) 30.34 (25.81 - 35.28) 0.956
Region 2 32.53 (28.02 - 37.40) 31.21 (26.67 - 36.14) 0.628
Region 3 28.16 (24.41 - 32.24) 28.48 (24.88 - 32.37) 0.892
Region 4 30.73 (26.69 - 35.08) 28.40 (24.45 - 32.72) 0.355
Region 5 30.43 (27.08 - 34.00) 27.83 (24.85 - 31.02) 0.208
Region 6 28.91 (26.08 - 31.93) 25.93 (23.29 - 28.75) 0.106
Nevada1 28.39a (25.91 - 31.01) 24.16 (22.13 - 26.31) 0.009
Clark – Region 1 28.60a (25.75 - 31.64) 22.98 (20.71 - 25.42) 0.003
Region 3 28.75 (24.70 - 33.16) 29.54 (25.75 - 33.63) 0.753
Capital District -- (-- - --) 28.08 (23.50 - 33.16) --
Rural/Frontier -- (-- - --) 30.86 (26.07 - 36.09) --
Washoe – Region 2 27.11 (23.56 - 30.98) 25.36 (21.98 - 29.07) 0.449
New Hampshire 28.57a (26.34 - 30.92) 24.21 (22.35 - 26.17) 0.002
Central 29.86a (26.85 - 33.05) 26.12 (23.50 - 28.92) 0.047
Central 1 31.17b (27.15 - 35.49) 26.60 (23.16 - 30.35) 0.061
Central 2 28.62 (25.09 - 32.43) 25.65 (22.40 - 29.20) 0.179
Northern 29.46 (25.41 - 33.86) 25.89 (22.33 - 29.80) 0.151
Southern 27.76a (25.19 - 30.47) 22.91 (20.73 - 25.26) 0.004
Southern 1 (Rockingham) 27.53a (24.00 - 31.37) 21.37 (18.36 - 24.73) 0.006
Southern 2 27.89a (24.85 - 31.15) 23.88 (21.28 - 26.68) 0.042
New Jersey 25.41a (23.23 - 27.73) 20.57 (19.06 - 22.16) 0.000
Central 24.69 (21.48 - 28.22) 22.16 (19.59 - 24.96) 0.197
Metropolitan 25.33a (22.12 - 28.84) 18.65 (16.35 - 21.21) 0.000
Northern 22.79a (19.89 - 25.97) 18.54 (16.47 - 20.81) 0.015
Southern 30.13a (26.42 - 34.11) 24.18 (21.45 - 27.13) 0.007
New Mexico 26.46 (24.44 - 28.60) 25.34 (23.41 - 27.37) 0.396
Region 1 27.37 (24.23 - 30.74) 26.34 (23.06 - 29.90) 0.626
Region 2 24.21 (20.86 - 27.92) 21.91 (18.72 - 25.47) 0.261
Region 3 (Bernalillo) 25.32 (22.42 - 28.47) 25.25 (22.41 - 28.33) 0.971
Region 4 30.97 (27.01 - 35.23) 28.23 (24.52 - 32.26) 0.247
Region 5 26.29 (23.07 - 29.79) 25.12 (22.28 - 28.20) 0.552
Region 5a -- (-- - --) 27.01 (23.08 - 31.32) --
Region 5b (Dona Ana) -- (-- - --) 23.42 (20.08 - 27.12) --
New York1 24.44a (23.21 - 25.71) 22.39 (21.29 - 23.52) 0.014
Region 1: Long Island 22.45a (20.21 - 24.86) 18.81 (16.70 - 21.11) 0.017
Region 2: New York City 21.81a (20.19 - 23.52) 19.68 (18.29 - 21.16) 0.048
Region 2A: Bronx 22.90b (19.90 - 26.20) 19.85 (17.31 - 22.68) 0.099
Region 2B: Kings -- (-- - --) 20.23 (17.84 - 22.86) --
Region 2C: New York 25.62a (22.50 - 29.00) 21.05 (18.31 - 24.08) 0.019
Region 2D: Queens 19.33 (16.90 - 22.03) 17.67 (15.34 - 20.27) 0.317
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 Carolina1 30.51a (28.26 - 32.85) 25.84 (24.25 - 27.50) 0.000
Alliance Behavioral Healthcare 1 -- (-- - --) 24.59 (21.39 - 28.10) --
Alliance Behavioral Healthcare 2 -- (-- - --) 18.00 (15.29 - 21.08) --
Cardinal Innovations Healthcare Solutions 1 -- (-- - --) 25.54 (22.06 - 29.35) --
Cardinal Innovations Healthcare Solutions 2 -- (-- - --) 25.54 (22.12 - 29.28) --
Cardinal Innovations Healthcare Solutions 3 26.04b (22.35 - 30.12) 22.44 (19.44 - 25.77) 0.097
CenterPoint Human Services 30.69 (26.20 - 35.57) 26.71 (23.11 - 30.64) 0.111
Eastpointe 32.73 (28.18 - 37.63) 29.53 (25.84 - 33.50) 0.226
Partners Behavioral Health Management 36.26a (31.94 - 40.80) 28.49 (24.91 - 32.36) 0.002
Sandhills Center 1 32.73 (28.15 - 37.67) 30.12 (25.97 - 34.62) 0.329
Sandhills Center 2 27.84 (23.82 - 32.24) 24.50 (20.91 - 28.49) 0.154
Smoky Mountain Center 1 34.34 (29.70 - 39.30) 30.22 (26.32 - 34.43) 0.136
Smoky Mountain Center 2 31.37a (27.01 - 36.07) 25.21 (21.60 - 29.21) 0.017
Trillium Health Resources 1 31.99b (27.49 - 36.85) 27.64 (24.17 - 31.41) 0.089
Trillium Health Resources 2 31.65 (27.38 - 36.25) 28.19 (24.20 - 32.55) 0.156
North Dakota 29.39 (27.32 - 31.55) 29.85 (27.98 - 31.79) 0.743
Badlands and West Central 28.82 (25.65 - 32.22) 29.43 (26.71 - 32.30) 0.766
Badlands -- (-- - --) 30.07 (25.75 - 34.77) --
West Central -- (-- - --) 29.24 (26.20 - 32.49) --
Lake Region -- (-- - --) 32.57 (28.17 - 37.31) --
North Central -- (-- - --) 31.72 (28.03 - 35.67) --
Northeast 30.43 (26.84 - 34.28) 31.63 (28.07 - 35.41) 0.613
Northwest -- (-- - --) 32.27 (27.56 - 37.37) --
South Central -- (-- - --) 30.33 (26.06 - 34.96) --
Southeast 29.17 (26.30 - 32.21) 27.32 (24.53 - 30.30) 0.346
Ohio 31.98a (30.71 - 33.29) 29.86 (28.54 - 31.22) 0.022
Boards 2, 46, 55, and 68 34.01 (30.60 - 37.60) 33.26 (29.14 - 37.64) 0.757
Boards 3, 52, and 85 31.41a (27.82 - 35.24) 25.36 (21.77 - 29.31) 0.008
Boards 4 and 78 34.09 (30.01 - 38.41) 34.26 (30.05 - 38.73) 0.947
Boards 5 and 60 34.43 (30.92 - 38.12) 35.01 (30.86 - 39.39) 0.818
Boards 7, 15, 41, 79, and 84 33.14 (29.56 - 36.93) 34.35 (30.43 - 38.50) 0.631
Boards 8, 13, and 83 31.53a (28.09 - 35.19) 26.79 (23.30 - 30.58) 0.030
Board 9 (Butler) 33.03b (29.40 - 36.87) 28.89 (25.20 - 32.88) 0.061
Board 12 32.67b (29.16 - 36.39) 28.37 (24.51 - 32.58) 0.068
Boards 18 and 47 30.23 (27.69 - 32.89) 28.78 (25.97 - 31.76) 0.433
Boards 20, 32, 54, and 69 31.87 (28.34 - 35.63) 33.51 (29.68 - 37.57) 0.498
Boards 21, 39, 51, 70, and 80 34.14a (30.46 - 38.03) 29.45 (25.85 - 33.33) 0.043
Boards 22, 74, and 87 34.63 (30.80 - 38.68) 34.22 (30.30 - 38.37) 0.869
Boards 23 and 45 30.64 (27.16 - 34.35) 30.30 (26.59 - 34.28) 0.884
Board 25 (Franklin) 30.85a (28.01 - 33.83) 26.81 (24.01 - 29.81) 0.037
Boards 27, 71, and 73 38.32 (34.42 - 42.38) 35.93 (31.71 - 40.38) 0.374
Boards 28, 43, and 67 30.44 (27.21 - 33.88) 27.67 (24.27 - 31.34) 0.197
Board 31 (Hamilton) 28.93 (25.88 - 32.19) 28.24 (25.18 - 31.53) 0.733
Board 48 (Lucas) 31.94 (28.46 - 35.65) 32.22 (28.38 - 36.31) 0.910
Boards 50 and 76 32.26 (28.79 - 35.94) 31.40 (27.91 - 35.12) 0.719
Board 57 (Montgomery) 29.54 (26.25 - 33.05) 28.97 (25.34 - 32.89) 0.800
Board 77 (Summit) 32.59a (29.22 - 36.14) 25.39 (22.07 - 29.03) 0.001
Oklahoma 35.35a (32.87 - 37.90) 31.54 (29.54 - 33.61) 0.012
Central 35.92a (31.71 - 40.35) 29.45 (25.69 - 33.52) 0.014
East Central 37.92 (33.11 - 42.98) 34.93 (30.85 - 39.25) 0.282
Northeast 34.65 (30.64 - 38.90) 31.45 (27.61 - 35.55) 0.212
Northwest and Southwest 36.15 (31.87 - 40.65) 37.54 (33.55 - 41.69) 0.593
Oklahoma County 33.51a (29.43 - 37.84) 27.46 (24.18 - 31.01) 0.011
Southeast 40.47a (35.89 - 45.22) 34.81 (30.95 - 38.89) 0.037
Tulsa County 30.54 (26.86 - 34.50) 27.70 (24.28 - 31.41) 0.229
Oregon 29.12a (26.91 - 31.44) 22.66 (20.84 - 24.59) 0.000
Region 1 (Multnomah) 30.10a (26.40 - 34.08) 21.55 (18.72 - 24.67) 0.000
Region 2 24.19a (21.03 - 27.66) 18.36 (15.86 - 21.14) 0.003
Region 3 30.17a (26.95 - 33.59) 24.45 (21.63 - 27.51) 0.004
Region 4 32.69a (28.59 - 37.07) 25.75 (22.30 - 29.53) 0.007
Region 5 (Central) 29.93a (25.60 - 34.66) 21.93 (18.12 - 26.29) 0.001
Region 6 (Eastern) 30.50 (26.16 - 35.21) 27.35 (23.38 - 31.71) 0.235
Pennsylvania 30.78a (29.46 - 32.15) 27.11 (25.82 - 28.43) 0.000
Region 1 (Allegheny) 31.07a (28.04 - 34.28) 26.49 (23.48 - 29.73) 0.026
Regions 3, 8, 9, and 51 34.06 (30.50 - 37.82) 31.16 (27.74 - 34.80) 0.198
Regions 4, 11, 37, and 49 33.25a (29.98 - 36.68) 28.05 (24.64 - 31.73) 0.020
Regions 5, 18, 23, 24, and 46 30.94b (27.16 - 35.00) 27.08 (23.85 - 30.56) 0.083
Regions 6, 12, 16, 31, 35, 45, and 47 35.04b (31.67 - 38.55) 31.40 (27.86 - 35.16) 0.094
Regions 7, 13, 20, and 33 26.63a (24.32 - 29.08) 20.01 (17.99 - 22.19) 0.000
Regions 10, 15, 27, 32, 43, and 44 35.77 (32.02 - 39.71) 33.08 (29.12 - 37.29) 0.288
Regions 17 and 21 31.49 (27.92 - 35.30) 30.66 (26.58 - 35.06) 0.730
Regions 19, 26, 28, and 42 29.55 (26.49 - 32.80) 27.91 (25.10 - 30.92) 0.422
Regions 22, 38, 40, 41, and 48 35.33a (31.96 - 38.85) 30.24 (26.83 - 33.89) 0.029
Regions 29 and 34 27.47 (24.14 - 31.08) 25.39 (21.93 - 29.20) 0.337
Regions 30 and 50 31.00 (27.60 - 34.62) 31.10 (27.45 - 35.01) 0.964
Region 36 (Philadelphia) 30.18 (27.30 - 33.22) 28.60 (25.61 - 31.78) 0.430
Rhode Island 27.32a (25.04 - 29.72) 23.82 (21.86 - 25.91) 0.014
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 30.73 (28.42 - 33.14) 28.73 (26.86 - 30.69) 0.168
Region 1 -- (-- - --) 30.67 (27.65 - 33.86) --
Region 2 -- (-- - --) 27.91 (24.90 - 31.12) --
Region 3 33.43b (29.28 - 37.85) 28.94 (25.54 - 32.60) 0.070
Region 4 29.13 (25.72 - 32.78) 27.10 (24.30 - 30.10) 0.336
South Dakota 31.83a (29.61 - 34.13) 28.55 (26.59 - 30.59) 0.023
Region 1 -- (-- - --) 30.03 (26.86 - 33.40) --
Region 2 -- (-- - --) 29.85 (25.91 - 34.12) --
Region 3 -- (-- - --) 28.31 (25.14 - 31.72) --
Region 4 -- (-- - --) 30.58 (26.84 - 34.60) --
Region 5 -- (-- - --) 26.04 (23.01 - 29.31) --
Tennessee 34.15a (31.75 - 36.63) 29.41 (27.41 - 31.49) 0.002
Region 1 36.05 (31.61 - 40.75) 32.20 (28.09 - 36.62) 0.145
Region 2 36.77b (32.75 - 40.98) 31.59 (27.90 - 35.52) 0.051
Region 3 -- (-- - --) 30.09 (26.56 - 33.88) --
Region 4 (Davidson) 30.67b (26.76 - 34.88) 26.16 (22.29 - 30.44) 0.070
Region 5 -- (-- - --) 29.56 (26.41 - 32.91) --
Region 6 38.35a (33.81 - 43.11) 32.62 (28.45 - 37.08) 0.040
Region 7 (Shelby) 26.62 (23.00 - 30.59) 24.04 (20.69 - 27.75) 0.248
Texas 26.86a (25.64 - 28.11) 23.20 (22.17 - 24.25) 0.000
Region 1 30.19 (26.87 - 33.73) 27.78 (24.27 - 31.58) 0.251
Region 2 33.08 (29.32 - 37.07) 33.59 (29.61 - 37.82) 0.828
Region 3 26.86a (24.97 - 28.84) 21.49 (19.96 - 23.09) 0.000
Region 3a 25.55a (23.23 - 28.01) 20.16 (18.30 - 22.17) 0.000
Region 3bc 29.17a (26.51 - 31.98) 23.83 (21.52 - 26.30) 0.002
Region 4 32.06 (28.44 - 35.91) 32.44 (29.03 - 36.05) 0.867
Region 5 32.28 (28.52 - 36.29) 29.17 (25.44 - 33.22) 0.200
Region 6 25.66a (23.66 - 27.77) 21.04 (19.32 - 22.87) 0.000
Region 6a 25.19a (23.05 - 27.45) 20.59 (18.74 - 22.56) 0.001
Region 6bc 29.52a (25.89 - 33.43) 24.91 (21.39 - 28.80) 0.029
Region 7 27.15b (25.00 - 29.41) 24.63 (22.55 - 26.83) 0.073
Region 7a 25.03b (22.47 - 27.77) 21.96 (19.45 - 24.69) 0.073
Region 7bcd 30.65 (27.42 - 34.09) 29.34 (26.05 - 32.86) 0.528
Region 8 25.64b (22.98 - 28.49) 22.77 (20.48 - 25.24) 0.084
Region 9 28.96 (25.48 - 32.70) 28.40 (24.66 - 32.48) 0.800
Region 10 22.99 (19.93 - 26.38) 20.19 (17.37 - 23.35) 0.120
Region 11 24.16 (21.88 - 26.59) 21.79 (19.55 - 24.21) 0.110
Region 11abd 25.82 (22.94 - 28.92) 22.91 (19.97 - 26.15) 0.131
Region 11c (Hidalgo) 21.10 (18.06 - 24.50) 19.86 (16.90 - 23.21) 0.502
Utah 16.79b (15.00 - 18.76) 14.73 (13.27 - 16.32) 0.076
Bear River, Northeastern, Summit, Tooele, and Wasatch 16.23 (13.36 - 19.58) 15.75 (12.81 - 19.21) 0.795
Central, Four Corners, San Juan, and Southwest 17.83 (14.76 - 21.38) 16.58 (14.03 - 19.48) 0.488
Central, Four Corners, and San Juan -- (-- - --) 18.16 (14.84 - 22.04) --
Southwest -- (-- - --) 15.59 (12.64 - 19.08) --
Davis County 17.79a (14.92 - 21.09) 13.03 (10.58 - 15.94) 0.004
Salt Lake County 17.72b (15.30 - 20.43) 15.04 (13.23 - 17.05) 0.073
Utah County 13.12 (10.82 - 15.82) 12.13 (10.05 - 14.58) 0.476
Weber, Morgan 18.46 (15.19 - 22.25) 17.04 (14.21 - 20.31) 0.482
Vermont 27.64 (25.41 - 29.99) 27.17 (25.22 - 29.21) 0.744
Champlain Valley 25.87 (23.12 - 28.82) 25.72 (23.24 - 28.37) 0.935
Rural Northeast 30.36 (26.70 - 34.29) 31.08 (27.39 - 35.02) 0.772
Rural Southeast 27.29 (23.60 - 31.32) 24.47 (21.33 - 27.92) 0.219
Rural Southwest 28.32 (24.66 - 32.29) 28.56 (24.91 - 32.52) 0.921
Virginia 27.16b (25.00 - 29.44) 24.74 (23.29 - 26.26) 0.055
Region 1 29.80a (26.24 - 33.63) 25.16 (22.36 - 28.19) 0.029
Region 2 19.86a (17.04 - 23.03) 15.60 (13.65 - 17.78) 0.008
Region 3 33.79 (29.80 - 38.02) 35.09 (31.84 - 38.49) 0.604
Region 4 28.42 (24.76 - 32.39) 26.66 (23.88 - 29.64) 0.413
Region 5 27.82 (24.41 - 31.51) 26.89 (24.16 - 29.81) 0.654
Washington1 27.74a (25.58 - 30.01) 20.93 (19.18 - 22.80) 0.000
Region 1 28.65a (25.72 - 31.76) 23.49 (20.72 - 26.50) 0.005
Greater Columbia and North Central -- (-- - --) 21.26 (18.03 - 24.88) --
Spokane -- (-- - --) 26.77 (22.88 - 31.05) --
Region 2 25.16a (22.53 - 27.98) 17.06 (15.13 - 19.19) 0.000
King 23.81a (20.69 - 27.24) 15.33 (13.17 - 17.77) 0.000
North Sound 27.46a (24.00 - 31.22) 20.12 (17.13 - 23.49) 0.001
Region 3 30.73a (27.77 - 33.85) 24.74 (22.35 - 27.30) 0.001
Pierce -- (-- - --) 25.01 (21.85 - 28.45) --
Salish -- (-- - --) 22.40 (18.84 - 26.43) --
SW WA and Great Rivers -- (-- - --) 26.19 (22.40 - 30.36) --
Thurston-Mason -- (-- - --) 23.56 (19.53 - 28.14) --
West Virginia 39.25 (36.68 - 41.88) 37.61 (35.36 - 39.93) 0.318
Region I 37.61 (32.78 - 42.71) 36.51 (31.70 - 41.61) 0.725
Region II 39.05a (34.55 - 43.74) 31.54 (27.63 - 35.73) 0.006
Region III 40.07 (35.35 - 44.98) 37.42 (32.98 - 42.08) 0.369
Region IV 37.26 (33.33 - 41.36) 39.75 (36.02 - 43.60) 0.334
Region V 39.94 (36.14 - 43.86) 37.91 (34.36 - 41.60) 0.414
Region VI 40.89 (36.57 - 45.37) 39.88 (36.06 - 43.83) 0.712
Wisconsin 29.52a (27.26 - 31.89) 25.54 (23.68 - 27.50) 0.005
Milwaukee 28.95 (25.21 - 33.01) 25.68 (22.38 - 29.27) 0.154
Northeastern 32.03a (28.41 - 35.88) 25.85 (22.69 - 29.28) 0.009
Northern 31.51 (27.29 - 36.07) 28.61 (24.66 - 32.91) 0.261
Southeastern 25.93 (22.55 - 29.62) 23.61 (20.49 - 27.05) 0.295
Southern 28.98a (25.36 - 32.88) 23.76 (20.79 - 27.01) 0.019
Western 31.01 (27.29 - 34.99) 28.39 (24.64 - 32.45) 0.275
Wyoming 34.21a (31.89 - 36.60) 29.60 (27.55 - 31.73) 0.002
Judicial District 1 (Laramie) 33.84 (29.95 - 37.96) 29.96 (26.20 - 34.02) 0.129
Judicial District 2 33.10a (29.24 - 37.21) 28.22 (24.64 - 32.09) 0.034
Judicial District 3 31.40 (27.59 - 35.47) 27.48 (23.80 - 31.49) 0.113
Judicial District 4 34.44a (29.72 - 39.48) 27.36 (23.16 - 32.01) 0.010
Judicial District 5 30.67 (26.69 - 34.97) 27.53 (23.93 - 31.45) 0.194
Judicial District 6 38.16 (33.83 - 42.70) 34.15 (29.93 - 38.64) 0.149
Judicial District 7 (Natrona) 38.41a (34.35 - 42.63) 32.19 (28.40 - 36.24) 0.015
Judicial District 8 33.93 (29.22 - 38.98) 30.91 (26.58 - 35.60) 0.266
Judicial District 9 33.75a (29.52 - 38.26) 28.01 (24.22 - 32.14) 0.030
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2014-2016); hence, the 2008-2010 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 2008-2010 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 2008-2010 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2008-2010 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 (2008-2010 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, 2008-2010 and 2014-2016.
180416
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, 2008-2010 and 2014-2016 NSDUHs
State/Substate Region 2008-2010
(Estimate)
2008-2010
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 23.46a (23.08 - 23.85) 19.76 (19.45 - 20.07) 0.000
Northeast 22.26a (21.56 - 22.99) 19.04 (18.40 - 19.70) 0.000
Midwest 25.50a (24.88 - 26.13) 22.01 (21.39 - 22.64) 0.000
South 24.58a (23.96 - 25.21) 21.13 (20.58 - 21.69) 0.000
West 20.71a (19.96 - 21.49) 16.11 (15.51 - 16.74) 0.000
Alabama 27.15a (25.05 - 29.35) 23.24 (21.45 - 25.13) 0.003
Region 1 27.09 (23.90 - 30.54) 24.77 (21.67 - 28.15) 0.274
Region 2 27.60b (24.52 - 30.90) 23.87 (21.05 - 26.94) 0.066
Region 3 25.81a (22.42 - 29.52) 19.98 (16.93 - 23.42) 0.007
Region 4 27.63a (24.18 - 31.37) 23.02 (20.03 - 26.31) 0.028
Alaska 25.62 (23.45 - 27.92) 24.42 (22.59 - 26.35) 0.375
Anchorage 23.80 (21.18 - 26.62) 21.19 (18.85 - 23.74) 0.112
Northern 29.20 (25.63 - 33.05) 30.57 (27.04 - 34.35) 0.573
South Central 25.66 (22.06 - 29.62) 24.59 (21.62 - 27.82) 0.624
Southeast 25.59 (21.48 - 30.18) 23.61 (19.83 - 27.86) 0.432
Arizona1 22.55a (20.42 - 24.84) 18.48 (16.84 - 20.25) 0.001
Central 22.14a (19.62 - 24.88) 17.38 (15.46 - 19.48) 0.002
North -- (-- - --) 21.88 (18.17 - 26.11) --
South -- (-- - --) 19.36 (16.89 - 22.10) --
South A 22.08a (18.78 - 25.77) 17.59 (14.74 - 20.85) 0.023
South B -- (-- - --) 21.50 (17.94 - 25.55) --
Arkansas 29.77b (27.50 - 32.15) 27.20 (25.29 - 29.20) 0.073
Catchment Area 1 26.33a (22.74 - 30.26) 21.37 (18.26 - 24.86) 0.025
Catchment Area 2 30.86 (26.80 - 35.25) 30.85 (26.55 - 35.51) 0.996
Catchment Area 3 33.52a (29.44 - 37.86) 27.07 (23.44 - 31.03) 0.013
Catchment Area 4 31.28 (26.94 - 35.97) 27.76 (23.76 - 32.15) 0.205
Catchment Area 5 29.21 (25.72 - 32.96) 26.92 (23.37 - 30.80) 0.341
Catchment Area 6 32.19 (27.66 - 37.08) 30.69 (26.27 - 35.49) 0.604
Catchment Area 7 29.30 (24.98 - 34.03) 29.16 (24.57 - 34.21) 0.961
Catchment Area 8 28.14 (24.58 - 31.99) 27.86 (24.23 - 31.81) 0.908
California 18.89a (17.80 - 20.03) 14.34 (13.53 - 15.18) 0.000
Region 1R 24.15a (20.81 - 27.83) 19.18 (16.25 - 22.50) 0.014
Region 2R 19.88a (17.11 - 22.97) 14.53 (12.10 - 17.35) 0.001
Region 3R (Sacramento) 21.00a (18.13 - 24.19) 15.77 (13.35 - 18.54) 0.003
Region 4R 18.00a (15.31 - 21.04) 13.41 (11.13 - 16.07) 0.004
Region 5R (San Francisco) 19.67a (16.60 - 23.15) 14.35 (11.65 - 17.54) 0.006
Region 6 (Santa Clara) 15.36a (13.09 - 17.93) 10.47   (8.74 - 12.51) 0.000
Region 7R (Contra Costa) 15.50a (12.96 - 18.43) 12.42 (10.31 - 14.90) 0.039
Region 8R (Alameda) 17.10a (14.63 - 19.89) 12.93 (10.83 - 15.36) 0.005
Region 9R (San Mateo) 15.18a (12.63 - 18.13) 11.64   (9.47 - 14.22) 0.018
Region 10 17.98a (15.50 - 20.75) 13.90 (11.47 - 16.76) 0.009
Region 11 (Los Angeles) 18.34a (16.94 - 19.84) 13.90 (12.77 - 15.11) 0.000
LA SPA 1 and 5 17.46a (14.68 - 20.63) 13.45 (11.11 - 16.20) 0.011
LA SPA 2 17.96a (15.53 - 20.68) 12.85 (10.83 - 15.18) 0.001
LA SPA 3 15.55a (13.21 - 18.22) 12.23 (10.12 - 14.71) 0.027
LA SPA 4 22.02a (19.02 - 25.35) 16.87 (14.01 - 20.18) 0.007
LA SPA 6 20.53a (17.39 - 24.06) 16.56 (13.80 - 19.74) 0.038
LA SPA 7 18.44a (15.73 - 21.50) 13.49 (11.19 - 16.19) 0.002
LA SPA 8 18.40a (15.66 - 21.50) 14.07 (11.81 - 16.68) 0.010
Region 12R 20.53a (17.42 - 24.03) 16.81 (14.03 - 20.01) 0.038
Regions 13 and 19R 20.42a (17.93 - 23.16) 15.00 (12.94 - 17.31) 0.000
Region 14 (Orange) 17.50a (15.30 - 19.93) 12.96 (11.09 - 15.09) 0.001
Region 15R (Fresno) 18.76b (16.03 - 21.83) 15.70 (13.06 - 18.75) 0.060
Region 16R (San Diego) 19.10a (16.85 - 21.57) 14.17 (12.30 - 16.27) 0.000
Region 17R 20.57b (17.85 - 23.59) 17.62 (15.23 - 20.30) 0.074
Region 18R (San Bernardino) 21.64a (18.96 - 24.59) 17.09 (14.77 - 19.70) 0.005
Region 20R 20.23a (17.37 - 23.42) 16.56 (13.83 - 19.71) 0.036
Region 21R 21.23a (18.15 - 24.67) 14.74 (12.18 - 17.73) 0.000
Colorado 22.78a (20.75 - 24.94) 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 21.56a (19.60 - 23.66) 17.61 (15.97 - 19.39) 0.001
Eastern 23.85 (20.39 - 27.68) 21.29 (17.89 - 25.13) 0.247
North Central 22.28a (19.36 - 25.49) 17.58 (15.04 - 20.44) 0.011
Northwestern 21.19a (18.20 - 24.52) 17.46 (14.73 - 20.58) 0.042
South Central 21.37b (18.40 - 24.67) 17.64 (14.99 - 20.65) 0.057
Southwest 19.54a (16.47 - 23.03) 15.45 (12.79 - 18.55) 0.030
Delaware 24.87a (22.74 - 27.13) 20.64 (18.92 - 22.48) 0.002
Kent 27.21a (23.54 - 31.22) 22.49 (19.30 - 26.04) 0.033
New Castle (excluding Wilmington City) 22.70a (20.12 - 25.50) 18.25 (16.18 - 20.51) 0.007
Sussex 26.93b (23.34 - 30.85) 22.68 (19.33 - 26.41) 0.074
Wilmington City 27.78 (23.86 - 32.06) 26.07 (21.74 - 30.92) 0.517
District of Columbia 24.61a (22.52 - 26.82) 19.42 (17.69 - 21.28) 0.000
Ward 1 26.15a (22.56 - 30.08) 18.22 (14.92 - 22.06) 0.000
Ward 2 24.21a (20.58 - 28.26) 18.26 (15.16 - 21.82) 0.005
Ward 3 20.87a (17.77 - 24.36) 14.86 (12.04 - 18.21) 0.002
Ward 4 20.91 (17.50 - 24.79) 17.81 (14.68 - 21.44) 0.146
Ward 5 24.95 (21.09 - 29.25) 21.59 (18.13 - 25.50) 0.152
Ward 6 23.58a (20.04 - 27.54) 16.22 (13.36 - 19.56) 0.001
Ward 7 26.59 (22.76 - 30.81) 22.82 (19.17 - 26.94) 0.119
Ward 8 31.07b (26.76 - 35.75) 26.68 (22.64 - 31.16) 0.096
Florida1 22.57a (21.43 - 23.76) 17.81 (16.77 - 18.90) 0.000
Broward (Circuit 17) 21.22a (18.77 - 23.89) 15.93 (13.54 - 18.64) 0.002
Central I -- (-- - --) 16.56 (14.82 - 18.46) --
Circuit 9 21.61a (19.08 - 24.38) 15.32 (13.24 - 17.67) 0.000
Circuit 18 22.94a (20.04 - 26.12) 18.40 (15.70 - 21.43) 0.017
Central II -- (-- - --) 18.75 (17.25 - 20.34) --
Circuit 6 23.40 (20.53 - 26.53) 20.63 (17.77 - 23.80) 0.160
Circuit 10 24.28 (21.17 - 27.70) 22.77 (19.55 - 26.34) 0.478
Circuit 12 25.19a (21.66 - 29.08) 16.53 (13.73 - 19.78) 0.000
Circuit 13 (Hillsborough) 23.83a (21.09 - 26.79) 18.56 (15.98 - 21.45) 0.005
Circuit 20 21.41a (18.69 - 24.40) 15.74 (13.11 - 18.79) 0.003
Northeast -- (-- - --) 20.17 (18.33 - 22.15) --
Circuit 4 24.72a (21.67 - 28.03) 19.88 (16.78 - 23.39) 0.019
Circuit 5 24.43a (21.33 - 27.82) 19.89 (16.75 - 23.45) 0.031
Circuit 7 25.26a (22.00 - 28.82) 19.74 (16.78 - 23.09) 0.006
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee -- (-- - --) 22.08 (18.58 - 26.03) --
Northwest -- (-- - --) 20.79 (18.64 - 23.12) --
Circuit 1 24.70a (21.39 - 28.34) 18.97 (15.99 - 22.37) 0.007
Circuit 2 plus Madison and Taylor -- (-- - --) 20.92 (17.72 - 24.52) --
Circuit 14 27.40 (23.63 - 31.53) 24.93 (20.75 - 29.64) 0.329
South (Circuits 11 and 16) 18.80a (16.72 - 21.06) 13.54 (11.69 - 15.64) 0.000
Southeast -- (-- - --) 17.80 (15.65 - 20.18) --
Circuit 15 (Palm Beach) 18.64 (16.03 - 21.57) 16.82 (14.30 - 19.67) 0.291
Circuit 19 24.30a (20.95 - 27.99) 19.95 (16.69 - 23.67) 0.045
Georgia 23.97a (21.87 - 26.21) 20.16 (18.73 - 21.67) 0.002
Region 1 24.75a (21.52 - 28.27) 18.79 (16.52 - 21.29) 0.002
Region 2 23.96 (20.37 - 27.97) 21.11 (18.27 - 24.25) 0.176
Region 3 21.21a (18.28 - 24.47) 17.72 (15.59 - 20.07) 0.050
Region 4 28.28 (24.00 - 32.99) 24.87 (21.22 - 28.92) 0.160
Region 5 28.16 (24.37 - 32.28) 24.92 (21.50 - 28.69) 0.161
Region 6 23.51 (19.98 - 27.46) 21.09 (18.10 - 24.42) 0.248
Hawaii 20.39a (18.37 - 22.56) 15.53 (13.96 - 17.23) 0.000
Hawaii Island 23.78a (20.11 - 27.89) 17.64 (14.64 - 21.10) 0.006
Honolulu 19.48a (17.26 - 21.90) 14.67 (12.90 - 16.64) 0.001
Kauai 20.88 (17.10 - 25.23) 17.47 (14.17 - 21.36) 0.127
Maui 21.76a (18.22 - 25.76) 17.54 (14.44 - 21.13) 0.049
Idaho 23.24a (21.33 - 25.27) 17.60 (16.03 - 19.28) 0.000
Region 1 25.77a (22.07 - 29.86) 19.10 (15.82 - 22.88) 0.004
Region 2 22.01b (18.47 - 26.02) 18.16 (14.75 - 22.15) 0.080
Region 3 25.62a (22.17 - 29.41) 17.96 (15.18 - 21.13) 0.000
Region 4 23.75a (20.89 - 26.87) 17.16 (14.84 - 19.76) 0.000
Region 5 22.27b (18.87 - 26.09) 18.59 (15.63 - 21.98) 0.070
Region 6 -- (-- - --) 18.23 (14.89 - 22.11) --
Region 7 -- (-- - --) 15.35 (12.76 - 18.35) --
Illinois 24.58a (23.34 - 25.86) 19.93 (18.75 - 21.16) 0.000
Region 1 (Cook) 24.11a (22.20 - 26.13) 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 22.00a (20.26 - 23.85) 17.75 (16.26 - 19.35) 0.000
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 28.30 (25.82 - 30.93) 25.85 (23.14 - 28.75) 0.182
Region 3a (Champaign) -- (-- - --) 20.28 (16.76 - 24.31) --
Region 3b -- (-- - --) 26.77 (23.72 - 30.07) --
Region 4 27.72 (24.92 - 30.71) 24.54 (21.73 - 27.59) 0.103
Region 4a (Sangamon) -- (-- - --) 22.08 (18.42 - 26.23) --
Region 4b -- (-- - --) 25.25 (21.88 - 28.94) --
Region 5 28.52a (25.92 - 31.28) 24.58 (21.94 - 27.44) 0.028
Region 5a -- (-- - --) 21.17 (17.68 - 25.12) --
Region 5b -- (-- - --) 27.33 (23.79 - 31.18) --
Indiana 26.28 (24.22 - 28.45) 24.41 (22.54 - 26.38) 0.154
Central 24.93a (21.79 - 28.36) 18.77 (16.37 - 21.45) 0.001
East 25.25 (21.27 - 29.69) 28.14 (23.83 - 32.89) 0.275
North Central 25.72 (22.31 - 29.45) 26.65 (23.06 - 30.56) 0.682
Northeast 26.59 (22.92 - 30.61) 23.12 (19.38 - 27.34) 0.136
Northwest 25.35 (21.70 - 29.40) 25.05 (21.18 - 29.36) 0.899
Southeast 28.27 (24.37 - 32.54) 27.11 (23.25 - 31.36) 0.653
Southwest 26.57 (22.79 - 30.72) 26.17 (22.10 - 30.69) 0.870
West 29.55 (25.88 - 33.50) 28.81 (24.55 - 33.47) 0.765
Iowa 24.94a (22.94 - 27.06) 21.68 (19.92 - 23.54) 0.012
Central 23.93b (20.71 - 27.49) 20.18 (17.13 - 23.60) 0.076
North Central 26.11a (22.57 - 29.99) 20.12 (16.72 - 24.01) 0.010
Northeast 25.13b (22.06 - 28.46) 21.46 (18.61 - 24.61) 0.075
Northwest 24.48 (21.10 - 28.21) 22.44 (19.01 - 26.29) 0.364
Southeast 23.94 (20.94 - 27.21) 22.84 (19.80 - 26.19) 0.585
Southwest 27.85a (23.84 - 32.24) 23.02 (19.29 - 27.24) 0.048
Kansas 24.51a (22.54 - 26.60) 18.87 (17.20 - 20.67) 0.000
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 31.30 (29.06 - 33.63) 29.20 (27.09 - 31.40) 0.150
Adanta, Cumberland River, and Lifeskills 33.36 (29.45 - 37.51) 32.40 (28.36 - 36.72) 0.703
Bluegrass, Comprehend, and North Key 29.94b (26.68 - 33.42) 25.92 (22.88 - 29.22) 0.065
Centerstone 28.61 (25.05 - 32.44) 26.01 (22.79 - 29.50) 0.256
Communicare and River Valley 33.45 (29.02 - 38.19) 32.76 (27.93 - 37.99) 0.817
Four Rivers and Pennyroyal 31.86 (27.72 - 36.31) 30.69 (26.37 - 35.39) 0.659
Kentucky River, Mountain, and Pathways 34.23 (29.94 - 38.79) 34.58 (30.06 - 39.40) 0.901
Louisiana 26.29 (24.31 - 28.36) 25.93 (24.02 - 27.92) 0.782
Regions 1 and 10 -- (-- - --) 22.33 (19.47 - 25.47) --
Region 1 -- (-- - --) 23.64 (19.73 - 28.05) --
Region 10 (Jefferson) 24.01 (20.35 - 28.10) 20.89 (17.45 - 24.81) 0.173
Regions 2 and 9 26.31 (23.29 - 29.58) 25.38 (22.42 - 28.59) 0.647
Region 3 -- (-- - --) 26.49 (22.61 - 30.77) --
Regions 4, 5, and 6 28.66 (25.33 - 32.23) 29.29 (25.81 - 33.04) 0.777
Regions 7 and 8 25.96 (22.76 - 29.45) 25.60 (22.33 - 29.16) 0.864
Maine 24.82a (22.79 - 26.98) 20.54 (18.70 - 22.51) 0.002
Aroostook/Downeast 26.62 (22.98 - 30.60) 23.37 (20.19 - 26.87) 0.157
Aroostook -- (-- - --) 26.17 (21.98 - 30.85) --
Downeast -- (-- - --) 21.10 (17.12 - 25.71) --
Central 26.18 (22.61 - 30.10) 22.89 (19.22 - 27.04) 0.171
Cumberland 22.39a (19.39 - 25.70) 17.20 (14.54 - 20.24) 0.007
Midcoast 22.54b (19.12 - 26.36) 18.73 (15.55 - 22.38) 0.085
Penquis 26.42b (22.82 - 30.37) 21.89 (18.22 - 26.08) 0.065
Western 27.86a (24.14 - 31.91) 23.18 (19.72 - 27.04) 0.050
York 23.06b (19.68 - 26.82) 18.66 (15.49 - 22.31) 0.057
Maryland 19.76 (17.76 - 21.93) 18.31 (16.66 - 20.08) 0.240
Anne Arundel 21.23 (17.65 - 25.31) 17.96 (14.78 - 21.64) 0.138
Baltimore City 24.67 (20.76 - 29.04) 27.08 (23.05 - 31.53) 0.344
Baltimore County 20.66 (17.21 - 24.61) 18.88 (15.73 - 22.50) 0.420
Montgomery 14.31b (11.86 - 17.16) 11.85   (9.69 - 14.41) 0.098
North Central 16.20 (13.32 - 19.56) 14.51 (11.71 - 17.83) 0.354
Northeast 21.47 (18.04 - 25.35) 19.07 (15.57 - 23.13) 0.276
Prince George's 17.39 (14.30 - 20.99) 17.59 (14.68 - 20.95) 0.918
South 23.80 (20.07 - 27.98) 20.18 (16.73 - 24.13) 0.115
West 21.84 (18.35 - 25.78) 22.10 (18.45 - 26.24) 0.906
Massachusetts 20.54a (18.71 - 22.48) 17.09 (15.48 - 18.83) 0.003
Boston 21.85 (18.23 - 25.97) 19.42 (16.15 - 23.16) 0.248
Central 22.98a (19.63 - 26.72) 18.21 (15.27 - 21.58) 0.017
Metrowest 17.22a (14.78 - 19.96) 13.84 (11.59 - 16.45) 0.033
Northeast 19.04b (16.32 - 22.10) 15.57 (13.10 - 18.40) 0.053
Southeast 21.81 (18.81 - 25.14) 19.00 (15.96 - 22.46) 0.167
Western 23.01b (19.79 - 26.58) 19.13 (15.90 - 22.84) 0.059
Michigan1 26.37a (25.19 - 27.58) 22.41 (21.23 - 23.64) 0.000
Region 1 27.38 (23.92 - 31.13) 26.03 (22.12 - 30.37) 0.582
Region 2 -- (-- - --) 22.90 (19.34 - 26.90) --
Region 3 -- (-- - --) 21.13 (18.73 - 23.74) --
Region 4 -- (-- - --) 25.70 (22.80 - 28.83) --
Region 5 -- (-- - --) 24.62 (22.19 - 27.21) --
Region 6 -- (-- - --) 19.43 (16.75 - 22.42) --
Region 7 -- (-- - --) 22.47 (20.05 - 25.10) --
Region 8 21.32a (19.01 - 23.83) 16.79 (14.66 - 19.14) 0.004
Region 9 27.15b (24.27 - 30.24) 23.59 (20.50 - 26.99) 0.093
Region 10 -- (-- - --) 25.30 (22.07 - 28.83) --
Minnesota 23.68a (21.80 - 25.68) 19.38 (17.72 - 21.16) 0.000
Regions 1 and 2 27.93a (24.00 - 32.23) 22.21 (19.00 - 25.79) 0.013
Region 1 -- (-- - --) 22.11 (18.08 - 26.74) --
Region 2 -- (-- - --) 22.27 (18.23 - 26.91) --
Regions 3 and 4 26.33b (22.98 - 29.98) 22.54 (19.66 - 25.71) 0.060
Region 3 -- (-- - --) 22.66 (18.36 - 27.62) --
Region 4 -- (-- - --) 22.48 (19.13 - 26.23) --
Regions 5 and 6 24.85a (21.70 - 28.28) 20.40 (17.63 - 23.49) 0.027
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) 20.92a (18.02 - 24.16) 16.95 (14.50 - 19.72) 0.028
Region 7B (Ramsey) 22.52 (19.32 - 26.08) 19.76 (16.47 - 23.52) 0.186
Region 7C 21.87a (19.06 - 24.96) 17.16 (14.64 - 20.00) 0.008
Mississippi 26.78 (24.73 - 28.93) 25.00 (23.13 - 26.97) 0.172
Region 1 30.05 (26.63 - 33.70) 26.66 (23.42 - 30.18) 0.134
Region 2 25.71 (21.95 - 29.86) 25.30 (21.55 - 29.45) 0.862
Region 3 23.95 (20.73 - 27.50) 26.47 (22.70 - 30.61) 0.265
Region 4 23.40 (20.31 - 26.80) 21.27 (18.28 - 24.60) 0.288
Region 5 26.56 (22.61 - 30.92) 27.49 (22.68 - 32.88) 0.729
Region 6 29.26 (25.26 - 33.59) 25.65 (21.96 - 29.72) 0.157
Region 7 28.01 (24.20 - 32.16) 24.15 (20.59 - 28.10) 0.107
Missouri 26.82a (24.79 - 28.96) 23.67 (21.88 - 25.55) 0.013
Central 28.98a (25.22 - 33.06) 23.72 (20.18 - 27.67) 0.026
Eastern 23.54 (21.05 - 26.22) 22.79 (20.34 - 25.43) 0.648
Eastern (St. Louis City and County) 21.67 (18.78 - 24.87) 23.00 (19.93 - 26.39) 0.510
Eastern (excluding St. Louis) 26.82a (23.17 - 30.80) 22.42 (19.16 - 26.05) 0.048
Northwest 27.06a (24.16 - 30.17) 23.39 (20.80 - 26.20) 0.038
Northwest (Jackson) 26.54 (22.91 - 30.51) 23.36 (19.84 - 27.29) 0.166
Northwest (excluding Jackson) 27.51b (23.95 - 31.37) 23.42 (20.04 - 27.17) 0.067
Southeast 31.69b (27.51 - 36.18) 26.76 (22.83 - 31.08) 0.066
Southwest 28.48a (24.81 - 32.46) 23.67 (20.21 - 27.51) 0.038
Montana 24.88a (22.90 - 26.97) 20.83 (18.98 - 22.81) 0.002
Region 1 25.82 (21.93 - 30.14) 24.68 (20.38 - 29.56) 0.659
Region 2 25.87 (22.25 - 29.84) 22.12 (18.59 - 26.09) 0.108
Region 3 23.88 (20.66 - 27.42) 20.67 (17.83 - 23.82) 0.101
Region 4 25.38a (22.52 - 28.47) 19.92 (17.17 - 22.99) 0.005
Region 5 24.43a (21.61 - 27.48) 20.13 (17.42 - 23.16) 0.023
Nebraska 24.58b (22.59 - 26.69) 22.21 (20.40 - 24.13) 0.065
Regions 1 and 2 25.70 (22.49 - 29.20) 24.51 (21.05 - 28.34) 0.560
Region 1 24.89 (20.97 - 29.28) 24.94 (20.54 - 29.93) 0.985
Region 2 26.39 (22.27 - 30.97) 24.13 (19.90 - 28.95) 0.386
Region 3 22.51 (19.25 - 26.15) 22.19 (18.72 - 26.09) 0.882
Region 4 24.75 (21.12 - 28.77) 21.92 (18.24 - 26.10) 0.213
Region 5 24.69 (21.67 - 27.98) 22.67 (19.62 - 26.04) 0.315
Region 6 24.83b (22.06 - 27.84) 21.47 (18.93 - 24.25) 0.065
Nevada1 24.75a (22.34 - 27.33) 20.40 (18.50 - 22.45) 0.004
Clark – Region 1 25.00a (22.27 - 27.94) 19.93 (17.78 - 22.26) 0.003
Region 3 24.44 (20.55 - 28.80) 23.08 (19.57 - 27.00) 0.566
Capital District -- (-- - --) 21.58 (17.27 - 26.61) --
Rural/Frontier -- (-- - --) 24.44 (20.13 - 29.33) --
Washoe – Region 2 23.89 (20.47 - 27.68) 20.52 (17.33 - 24.12) 0.130
New Hampshire 23.77a (21.80 - 25.86) 19.27 (17.56 - 21.10) 0.000
Central 24.68b (21.96 - 27.62) 21.44 (18.94 - 24.17) 0.065
Central 1 26.06a (22.44 - 30.03) 21.30 (17.94 - 25.10) 0.040
Central 2 23.37 (20.09 - 27.00) 21.57 (18.45 - 25.06) 0.411
Northern 24.45b (20.85 - 28.44) 20.62 (17.28 - 24.43) 0.081
Southern 23.18a (20.95 - 25.58) 17.92 (15.95 - 20.08) 0.000
Southern 1 (Rockingham) 22.38a (19.32 - 25.76) 16.29 (13.78 - 19.16) 0.002
Southern 2 23.68a (20.97 - 26.63) 18.94 (16.50 - 21.66) 0.009
New Jersey 21.33a (19.30 - 23.52) 16.79 (15.41 - 18.27) 0.000
Central 20.69b (17.70 - 24.04) 17.34 (15.01 - 19.95) 0.064
Metropolitan 20.78a (17.80 - 24.10) 15.83 (13.56 - 18.40) 0.007
Northern 19.34a (16.69 - 22.29) 15.22 (13.26 - 17.42) 0.010
Southern 25.56a (22.29 - 29.13) 19.72 (17.16 - 22.56) 0.004
New Mexico 22.19 (20.34 - 24.17) 20.79 (19.01 - 22.69) 0.249
Region 1 23.06 (20.16 - 26.24) 22.04 (18.84 - 25.61) 0.623
Region 2 20.89 (17.79 - 24.36) 18.58 (15.42 - 22.21) 0.252
Region 3 (Bernalillo) 21.22 (18.65 - 24.03) 20.01 (17.49 - 22.81) 0.496
Region 4 25.74 (22.18 - 29.66) 23.84 (20.28 - 27.80) 0.388
Region 5 21.67 (18.69 - 24.97) 20.42 (17.79 - 23.33) 0.497
Region 5a -- (-- - --) 21.37 (17.83 - 25.39) --
Region 5b (Dona Ana) -- (-- - --) 19.56 (16.37 - 23.19) --
New York1 21.13a (20.02 - 22.29) 18.89 (17.85 - 19.98) 0.003
Region 1: Long Island 18.97a (16.87 - 21.27) 14.78 (12.80 - 17.01) 0.004
Region 2: New York City 19.87a (18.36 - 21.47) 17.67 (16.27 - 19.17) 0.029
Region 2A: Bronx 21.58a (18.77 - 24.68) 17.55 (14.95 - 20.50) 0.027
Region 2B: Kings -- (-- - --) 18.58 (16.23 - 21.19) --
Region 2C: New York 22.16 (19.25 - 25.37) 19.27 (16.51 - 22.37) 0.148
Region 2D: Queens 17.75 (15.44 - 20.32) 15.59 (13.32 - 18.17) 0.173
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 Carolina1 26.02a (23.88 - 28.29) 21.27 (19.81 - 22.81) 0.000
Alliance Behavioral Healthcare 1 -- (-- - --) 21.32 (18.06 - 24.99) --
Alliance Behavioral Healthcare 2 -- (-- - --) 15.12 (12.59 - 18.06) --
Cardinal Innovations Healthcare Solutions 1 -- (-- - --) 20.55 (17.39 - 24.12) --
Cardinal Innovations Healthcare Solutions 2 -- (-- - --) 21.77 (18.34 - 25.64) --
Cardinal Innovations Healthcare Solutions 3 21.08 (17.78 - 24.81) 18.42 (15.54 - 21.69) 0.200
CenterPoint Human Services 26.17 (21.96 - 30.87) 22.22 (18.67 - 26.23) 0.107
Eastpointe 28.52 (24.38 - 33.07) 25.09 (21.56 - 29.00) 0.165
Partners Behavioral Health Management 30.96a (26.76 - 35.50) 22.32 (18.83 - 26.23) 0.001
Sandhills Center 1 28.13 (23.84 - 32.86) 25.54 (21.58 - 29.95) 0.306
Sandhills Center 2 23.63b (19.82 - 27.93) 19.89 (16.60 - 23.65) 0.096
Smoky Mountain Center 1 28.67a (24.32 - 33.46) 23.09 (19.43 - 27.21) 0.038
Smoky Mountain Center 2 25.71a (21.61 - 30.30) 20.86 (17.48 - 24.71) 0.045
Trillium Health Resources 1 27.57b (23.44 - 32.12) 22.94 (19.47 - 26.83) 0.058
Trillium Health Resources 2 27.03b (22.88 - 31.63) 22.52 (18.74 - 26.82) 0.061
North Dakota 23.38 (21.46 - 25.43) 22.99 (21.23 - 24.85) 0.760
Badlands and West Central 22.37 (19.61 - 25.40) 22.05 (19.59 - 24.73) 0.855
Badlands -- (-- - --) 23.42 (19.43 - 27.94) --
West Central -- (-- - --) 21.65 (18.86 - 24.74) --
Lake Region -- (-- - --) 25.59 (21.25 - 30.47) --
North Central -- (-- - --) 24.19 (20.50 - 28.30) --
Northeast 24.52 (21.12 - 28.26) 24.35 (20.99 - 28.04) 0.938
Northwest -- (-- - --) 24.02 (19.67 - 29.00) --
South Central -- (-- - --) 23.08 (19.13 - 27.56) --
Southeast 23.62 (20.94 - 26.52) 21.93 (19.20 - 24.92) 0.359
Ohio 26.48a (25.25 - 27.74) 24.27 (23.00 - 25.59) 0.012
Boards 2, 46, 55, and 68 27.42 (24.32 - 30.76) 27.59 (23.55 - 32.04) 0.941
Boards 3, 52, and 85 24.80a (21.58 - 28.32) 19.36 (16.06 - 23.15) 0.009
Boards 4 and 78 27.79 (24.14 - 31.77) 29.12 (24.92 - 33.71) 0.597
Boards 5 and 60 26.89 (23.51 - 30.56) 28.94 (24.60 - 33.70) 0.430
Boards 7, 15, 41, 79, and 84 26.13 (22.76 - 29.80) 26.45 (22.51 - 30.81) 0.896
Boards 8, 13, and 83 26.23a (22.96 - 29.79) 20.82 (17.61 - 24.45) 0.011
Board 9 (Butler) 27.41a (24.03 - 31.06) 22.42 (19.04 - 26.20) 0.017
Board 12 26.59b (23.45 - 29.98) 22.64 (19.02 - 26.72) 0.067
Boards 18 and 47 25.48 (23.01 - 28.12) 24.20 (21.56 - 27.06) 0.479
Boards 20, 32, 54, and 69 26.24 (22.94 - 29.82) 28.91 (25.05 - 33.09) 0.267
Boards 21, 39, 51, 70, and 80 28.37a (25.02 - 31.98) 23.81 (20.28 - 27.74) 0.040
Boards 22, 74, and 87 28.85 (25.39 - 32.57) 28.07 (24.08 - 32.45) 0.757
Boards 23 and 45 25.22 (22.03 - 28.71) 24.24 (20.83 - 28.01) 0.643
Board 25 (Franklin) 26.02a (23.33 - 28.90) 22.02 (19.22 - 25.10) 0.034
Boards 27, 71, and 73 31.56 (28.04 - 35.30) 29.54 (25.28 - 34.18) 0.433
Boards 28, 43, and 67 25.58a (22.64 - 28.76) 21.49 (18.31 - 25.06) 0.048
Board 31 (Hamilton) 24.03 (21.10 - 27.22) 23.42 (20.29 - 26.87) 0.765
Board 48 (Lucas) 26.27 (23.02 - 29.80) 26.55 (22.71 - 30.78) 0.905
Boards 50 and 76 27.34 (24.25 - 30.67) 24.67 (21.36 - 28.32) 0.225
Board 57 (Montgomery) 25.03 (21.98 - 28.34) 23.63 (20.04 - 27.65) 0.531
Board 77 (Summit) 27.22a (24.11 - 30.58) 19.95 (16.84 - 23.47) 0.001
Oklahoma 28.03a (25.75 - 30.42) 25.14 (23.19 - 27.19) 0.037
Central 28.62b (24.78 - 32.79) 24.36 (20.80 - 28.30) 0.076
East Central 29.67 (25.43 - 34.29) 27.28 (23.29 - 31.66) 0.356
Northeast 27.55 (23.80 - 31.64) 24.57 (21.06 - 28.45) 0.190
Northwest and Southwest 27.65 (23.92 - 31.70) 30.13 (26.15 - 34.43) 0.309
Oklahoma County 27.32a (23.83 - 31.11) 21.71 (18.45 - 25.38) 0.013
Southeast 31.48 (27.56 - 35.68) 27.66 (23.75 - 31.93) 0.127
Tulsa County 24.91 (21.36 - 28.83) 22.26 (18.97 - 25.94) 0.236
Oregon 24.26a (22.26 - 26.38) 18.13 (16.52 - 19.86) 0.000
Region 1 (Multnomah) 26.00a (22.50 - 29.85) 18.26 (15.47 - 21.43) 0.000
Region 2 20.61a (17.77 - 23.77) 14.60 (12.38 - 17.15) 0.001
Region 3 24.71a (21.91 - 27.75) 19.85 (17.23 - 22.77) 0.010
Region 4 26.66a (22.94 - 30.73) 19.33 (16.31 - 22.75) 0.001
Region 5 (Central) 24.44a (20.56 - 28.79) 16.49 (13.14 - 20.49) 0.000
Region 6 (Eastern) 24.81 (20.94 - 29.12) 21.27 (17.54 - 25.55) 0.126
Pennsylvania 25.23a (23.99 - 26.52) 21.92 (20.72 - 23.16) 0.000
Region 1 (Allegheny) 25.19a (22.43 - 28.16) 21.14 (18.41 - 24.16) 0.036
Regions 3, 8, 9, and 51 27.07a (23.76 - 30.66) 22.58 (19.37 - 26.15) 0.044
Regions 4, 11, 37, and 49 27.83a (24.72 - 31.17) 23.26 (20.09 - 26.75) 0.034
Regions 5, 18, 23, 24, and 46 25.17a (21.83 - 28.85) 20.35 (17.35 - 23.71) 0.017
Regions 6, 12, 16, 31, 35, 45, and 47 28.67a (25.58 - 31.98) 24.24 (20.91 - 27.91) 0.039
Regions 7, 13, 20, and 33 22.00a (19.87 - 24.29) 15.94 (14.00 - 18.09) 0.000
Regions 10, 15, 27, 32, 43, and 44 28.21 (24.90 - 31.78) 26.40 (22.53 - 30.67) 0.453
Regions 17 and 21 25.50 (22.16 - 29.15) 25.29 (21.55 - 29.44) 0.927
Regions 19, 26, 28, and 42 23.70 (21.00 - 26.62) 23.01 (20.32 - 25.93) 0.716
Regions 22, 38, 40, 41, and 48 27.99b (24.80 - 31.42) 24.03 (20.74 - 27.65) 0.074
Regions 29 and 34 22.25 (19.12 - 25.73) 21.64 (18.11 - 25.65) 0.777
Regions 30 and 50 26.13 (22.83 - 29.72) 26.02 (22.36 - 30.06) 0.965
Region 36 (Philadelphia) 26.32 (23.63 - 29.20) 24.89 (21.86 - 28.19) 0.460
Rhode Island 23.52a (21.36 - 25.83) 19.34 (17.52 - 21.30) 0.002
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 26.69a (24.55 - 28.95) 23.29 (21.52 - 25.16) 0.011
Region 1 -- (-- - --) 25.06 (21.94 - 28.45) --
Region 2 -- (-- - --) 22.89 (19.96 - 26.10) --
Region 3 29.07a (25.30 - 33.16) 23.17 (20.02 - 26.67) 0.010
Region 4 25.31b (22.13 - 28.78) 21.66 (19.09 - 24.47) 0.064
South Dakota 25.45a (23.41 - 27.61) 22.72 (20.95 - 24.59) 0.032
Region 1 -- (-- - --) 22.87 (20.01 - 26.00) --
Region 2 -- (-- - --) 24.13 (20.32 - 28.40) --
Region 3 -- (-- - --) 23.06 (20.05 - 26.38) --
Region 4 -- (-- - --) 25.41 (21.70 - 29.51) --
Region 5 -- (-- - --) 20.53 (17.86 - 23.49) --
Tennessee 27.55a (25.31 - 29.91) 23.52 (21.71 - 25.43) 0.002
Region 1 29.48b (25.32 - 34.02) 24.94 (21.05 - 29.28) 0.074
Region 2 29.02a (25.38 - 32.96) 24.14 (20.86 - 27.77) 0.033
Region 3 -- (-- - --) 24.02 (20.57 - 27.84) --
Region 4 (Davidson) 26.09 (22.31 - 30.26) 22.45 (18.61 - 26.82) 0.148
Region 5 -- (-- - --) 24.10 (21.16 - 27.31) --
Region 6 30.80 (26.63 - 35.30) 26.93 (22.89 - 31.40) 0.137
Region 7 (Shelby) 21.70 (18.41 - 25.40) 18.78 (15.70 - 22.30) 0.157
Texas 22.37a (21.26 - 23.52) 19.15 (18.15 - 20.19) 0.000
Region 1 24.95 (21.84 - 28.34) 22.57 (19.27 - 26.26) 0.251
Region 2 26.23 (22.56 - 30.26) 26.76 (22.81 - 31.13) 0.822
Region 3 21.81a (20.13 - 23.59) 17.12 (15.69 - 18.66) 0.000
Region 3a 21.12a (19.05 - 23.35) 16.20 (14.45 - 18.11) 0.000
Region 3bc 23.03a (20.58 - 25.68) 18.76 (16.60 - 21.14) 0.007
Region 4 27.01 (23.66 - 30.64) 25.27 (22.07 - 28.77) 0.422
Region 5 25.30 (21.92 - 29.00) 23.34 (19.78 - 27.31) 0.376
Region 6 21.73a (19.89 - 23.70) 17.46 (15.80 - 19.25) 0.000
Region 6a 21.46a (19.47 - 23.58) 17.11 (15.36 - 19.02) 0.001
Region 6bc 23.99b (20.64 - 27.69) 20.38 (16.95 - 24.29) 0.088
Region 7 22.73b (20.77 - 24.81) 20.40 (18.38 - 22.58) 0.087
Region 7a 20.87b (18.56 - 23.40) 18.00 (15.61 - 20.66) 0.076
Region 7bcd 25.79 (22.70 - 29.15) 24.64 (21.50 - 28.09) 0.560
Region 8 21.27 (18.91 - 23.84) 19.68 (17.36 - 22.23) 0.320
Region 9 23.83 (20.69 - 27.29) 23.21 (19.39 - 27.53) 0.776
Region 10 20.21 (17.31 - 23.46) 18.17 (15.19 - 21.59) 0.272
Region 11 21.43 (19.23 - 23.80) 19.51 (17.32 - 21.90) 0.176
Region 11abd 22.80 (19.95 - 25.92) 20.72 (17.77 - 24.03) 0.282
Region 11c (Hidalgo) 18.90 (16.13 - 22.03) 17.43 (14.54 - 20.75) 0.400
Utah 15.13b (13.43 - 16.99) 13.11 (11.75 - 14.60) 0.070
Bear River, Northeastern, Summit, Tooele, and Wasatch 14.40 (11.69 - 17.60) 14.60 (11.65 - 18.14) 0.913
Central, Four Corners, San Juan, and Southwest 16.14 (13.25 - 19.52) 14.73 (12.32 - 17.51) 0.418
Central, Four Corners, and San Juan -- (-- - --) 16.43 (13.13 - 20.37) --
Southwest -- (-- - --) 13.67 (10.92 - 16.99) --
Davis County 15.76a (13.01 - 18.95) 11.34   (9.06 - 14.11) 0.007
Salt Lake County 16.14b (13.90 - 18.67) 13.57 (11.76 - 15.61) 0.080
Utah County 11.76   (9.64 - 14.26) 10.35   (8.46 - 12.60) 0.283
Weber, Morgan 16.50 (13.49 - 20.04) 14.83 (12.12 - 18.01) 0.355
Vermont 22.10 (20.16 - 24.18) 22.07 (20.21 - 24.05) 0.978
Champlain Valley 20.70 (18.24 - 23.40) 21.53 (19.05 - 24.23) 0.635
Rural Northeast 24.74 (21.59 - 28.17) 24.45 (21.04 - 28.22) 0.894
Rural Southeast 21.42 (18.37 - 24.82) 18.82 (16.13 - 21.86) 0.179
Rural Southwest 22.47 (19.14 - 26.19) 24.18 (20.64 - 28.11) 0.462
Virginia 22.99a (21.05 - 25.05) 20.22 (18.83 - 21.68) 0.019
Region 1 25.28a (22.13 - 28.70) 20.05 (17.37 - 23.03) 0.010
Region 2 17.02a (14.44 - 19.97) 12.33 (10.56 - 14.36) 0.002
Region 3 27.54 (23.98 - 31.42) 28.25 (25.07 - 31.66) 0.761
Region 4 23.93 (20.73 - 27.45) 22.06 (19.34 - 25.04) 0.341
Region 5 24.15 (20.90 - 27.72) 22.96 (20.38 - 25.77) 0.557
Washington1 23.43a (21.48 - 25.50) 16.87 (15.28 - 18.59) 0.000
Region 1 24.33a (21.50 - 27.40) 18.18 (15.67 - 20.99) 0.000
Greater Columbia and North Central -- (-- - --) 16.29 (13.38 - 19.68) --
Spokane -- (-- - --) 20.97 (17.23 - 25.27) --
Region 2 20.89a (18.56 - 23.43) 14.18 (12.42 - 16.14) 0.000
King 19.63a (16.90 - 22.69) 12.92 (10.91 - 15.23) 0.000
North Sound 23.04a (19.77 - 26.67) 16.42 (13.61 - 19.67) 0.001
Region 3 26.35a (23.69 - 29.21) 19.84 (17.52 - 22.38) 0.000
Pierce -- (-- - --) 21.07 (17.77 - 24.81) --
Salish -- (-- - --) 16.59 (13.21 - 20.63) --
SW WA and Great Rivers -- (-- - --) 20.78 (17.14 - 24.97) --
Thurston-Mason -- (-- - --) 18.35 (14.54 - 22.90) --
West Virginia 30.89 (28.61 - 33.26) 29.92 (27.74 - 32.21) 0.535
Region I 29.52 (25.14 - 34.31) 28.06 (23.57 - 33.04) 0.599
Region II 31.56a (27.45 - 35.98) 22.85 (19.26 - 26.88) 0.001
Region III 31.81 (27.49 - 36.47) 28.93 (24.63 - 33.66) 0.303
Region IV 28.91b (25.47 - 32.62) 33.23 (29.44 - 37.24) 0.083
Region V 31.66 (28.31 - 35.22) 31.13 (27.42 - 35.10) 0.825
Region VI 31.54 (27.56 - 35.82) 30.88 (27.18 - 34.84) 0.803
Wisconsin 24.79a (22.84 - 26.85) 20.85 (19.04 - 22.79) 0.002
Milwaukee 24.47 (21.08 - 28.20) 21.96 (18.75 - 25.56) 0.250
Northeastern 27.46a (24.13 - 31.05) 21.11 (17.95 - 24.66) 0.005
Northern 26.07 (22.20 - 30.35) 23.07 (19.13 - 27.54) 0.228
Southeastern 21.54 (18.54 - 24.87) 18.93 (16.02 - 22.23) 0.199
Southern 24.51a (21.27 - 28.08) 19.05 (16.24 - 22.22) 0.008
Western 25.33 (21.96 - 29.01) 23.19 (19.56 - 27.26) 0.336
Wyoming 26.24a (24.15 - 28.44) 22.97 (21.14 - 24.92) 0.013
Judicial District 1 (Laramie) 26.91 (23.42 - 30.71) 24.39 (21.04 - 28.09) 0.270
Judicial District 2 24.04 (20.68 - 27.76) 21.53 (18.23 - 25.24) 0.221
Judicial District 3 23.03 (19.78 - 26.65) 20.70 (17.31 - 24.57) 0.284
Judicial District 4 25.87a (21.95 - 30.23) 20.15 (16.22 - 24.74) 0.019
Judicial District 5 23.65 (20.31 - 27.35) 20.16 (16.85 - 23.94) 0.105
Judicial District 6 29.15 (25.21 - 33.44) 26.51 (22.49 - 30.96) 0.298
Judicial District 7 (Natrona) 29.81 (26.01 - 33.92) 26.61 (22.86 - 30.74) 0.197
Judicial District 8 26.18 (22.18 - 30.61) 23.26 (19.34 - 27.69) 0.244
Judicial District 9 26.62a (22.71 - 30.93) 21.41 (17.97 - 25.31) 0.029
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2014-2016); hence, the 2008-2010 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 2008-2010 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 2008-2010 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2008-2010 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 (2008-2010 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, 2008-2010 and 2014-2016.
180416
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, 2008-2010 and 2014-2016 NSDUHs
State/Substate Region 2008-2010
(Estimate)
2008-2010
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 7.29a (7.10 - 7.48) 5.96 (5.81 - 6.11) 0.000
Northeast 7.26a (6.89 - 7.65) 6.20 (5.87 - 6.54) 0.000
Midwest 7.63a (7.35 - 7.92) 6.11 (5.86 - 6.38) 0.000
South 6.73a (6.44 - 7.03) 5.53 (5.31 - 5.76) 0.000
West 7.87a (7.47 - 8.29) 6.31 (6.00 - 6.63) 0.000
Alabama 6.55a (5.61 - 7.64) 4.30 (3.60 - 5.13) 0.000
Region 1 6.22a (4.92 - 7.83) 3.96 (3.03 - 5.16) 0.002
Region 2 6.76a (5.45 - 8.35) 4.45 (3.47 - 5.68) 0.003
Region 3 7.17a (5.77 - 8.87) 3.94 (2.92 - 5.30) 0.000
Region 4 6.19b (4.94 - 7.74) 4.81 (3.66 - 6.29) 0.093
Alaska 7.93 (6.80 - 9.22) 7.13 (6.16 - 8.24) 0.255
Anchorage 8.32   (6.88 - 10.03) 7.38 (6.05 - 8.97) 0.330
Northern 7.56 (6.14 - 9.27) 7.53 (5.92 - 9.53) 0.979
South Central 7.77 (6.18 - 9.73) 6.53 (5.11 - 8.30) 0.219
Southeast 7.51 (5.96 - 9.42) 6.81 (5.09 - 9.06) 0.534
Arizona1 8.01a (6.83 - 9.37) 6.33 (5.44 - 7.35) 0.011
Central 8.03a (6.67 - 9.65) 6.38 (5.34 - 7.60) 0.042
North -- (-- - --) 6.27 (4.67 - 8.36) --
South -- (-- - --) 6.24 (5.00 - 7.77) --
South A 8.67a   (6.88 - 10.86) 6.48 (4.94 - 8.45) 0.047
South B -- (-- - --) 5.96 (4.45 - 7.95) --
Arkansas 6.36a (5.45 - 7.40) 4.96 (4.17 - 5.89) 0.009
Catchment Area 1 6.48a (5.18 - 8.08) 4.80 (3.62 - 6.34) 0.039
Catchment Area 2 6.04a (4.72 - 7.69) 4.42 (3.27 - 5.96) 0.047
Catchment Area 3 6.21 (4.94 - 7.78) 5.47 (4.11 - 7.26) 0.407
Catchment Area 4 5.93 (4.63 - 7.57) 5.07 (3.74 - 6.84) 0.299
Catchment Area 5 6.78b (5.47 - 8.37) 5.18 (3.90 - 6.86) 0.073
Catchment Area 6 6.26a (4.87 - 8.01) 4.51 (3.29 - 6.14) 0.034
Catchment Area 7 6.45a (5.02 - 8.26) 4.72 (3.46 - 6.40) 0.042
Catchment Area 8 6.44 (5.11 - 8.07) 5.13 (3.88 - 6.74) 0.134
California 7.92a (7.28 - 8.60) 6.37 (5.88 - 6.90) 0.000
Region 1R 9.17a   (7.56 - 11.09) 6.87 (5.35 - 8.78) 0.024
Region 2R 9.41a   (7.65 - 11.52) 6.46 (5.01 - 8.29) 0.008
Region 3R (Sacramento) 8.11a (6.66 - 9.84) 6.25 (4.93 - 7.88) 0.049
Region 4R 7.79 (6.37 - 9.50) 7.04 (5.51 - 8.95) 0.442
Region 5R (San Francisco) 9.25   (7.34 - 11.61) 7.52 (5.73 - 9.83) 0.165
Region 6 (Santa Clara) 6.63 (5.35 - 8.18) 5.34 (4.27 - 6.66) 0.105
Region 7R (Contra Costa) 7.20 (5.83 - 8.88) 7.43 (5.82 - 9.43) 0.831
Region 8R (Alameda) 7.56 (6.25 - 9.12) 6.22 (4.90 - 7.87) 0.122
Region 9R (San Mateo) 7.12 (5.77 - 8.76) 5.88 (4.49 - 7.66) 0.169
Region 10 8.85   (7.32 - 10.66) 7.55 (5.88 - 9.64) 0.232
Region 11 (Los Angeles) 7.70a (6.92 - 8.56) 6.06 (5.39 - 6.81) 0.001
LA SPA 1 and 5 8.22a   (6.72 - 10.02) 5.85 (4.46 - 7.66) 0.014
LA SPA 2 7.51a (6.17 - 9.10) 5.58 (4.38 - 7.09) 0.026
LA SPA 3 6.83 (5.59 - 8.32) 5.67 (4.42 - 7.25) 0.176
LA SPA 4 8.44   (6.92 - 10.26) 7.44 (5.75 - 9.58) 0.332
LA SPA 6 8.03a (6.56 - 9.80) 5.84 (4.51 - 7.54) 0.014
LA SPA 7 7.92b (6.54 - 9.57) 6.13 (4.76 - 7.87) 0.057
LA SPA 8 7.68 (6.27 - 9.37) 6.36 (5.07 - 7.96) 0.139
Region 12R 7.68b (6.23 - 9.44) 5.95 (4.56 - 7.73) 0.069
Regions 13 and 19R 7.87b (6.59 - 9.36) 6.37 (5.20 - 7.80) 0.066
Region 14 (Orange) 7.08 (5.96 - 8.39) 6.96 (5.67 - 8.51) 0.886
Region 15R (Fresno) 7.77 (6.29 - 9.56) 6.77 (5.29 - 8.63) 0.293
Region 16R (San Diego) 9.16a   (7.75 - 10.79) 6.45 (5.30 - 7.83) 0.002
Region 17R 8.19a (6.81 - 9.81) 5.79 (4.66 - 7.18) 0.004
Region 18R (San Bernardino) 7.42b (6.15 - 8.94) 5.92 (4.72 - 7.40) 0.076
Region 20R 7.83b (6.41 - 9.53) 6.12 (4.73 - 7.90) 0.069
Region 21R 8.89a   (7.32 - 10.76) 6.83 (5.25 - 8.82) 0.043
Colorado 9.20a   (7.97 - 10.59) 7.20 (6.19 - 8.36) 0.007
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 8.01b (6.91 - 9.27) 6.72 (5.70 - 7.90) 0.062
Eastern 9.32a   (7.46 - 11.59) 6.59 (4.94 - 8.73) 0.020
North Central 7.41 (5.99 - 9.14) 7.10 (5.58 - 9.00) 0.770
Northwestern 7.69 (6.17 - 9.56) 6.15 (4.66 - 8.08) 0.125
South Central 8.42   (6.82 - 10.35) 7.20 (5.54 - 9.30) 0.279
Southwest 7.86 (6.25 - 9.84) 6.17 (4.69 - 8.07) 0.104
Delaware 7.28a (6.21 - 8.52) 5.89 (5.01 - 6.91) 0.028
Kent 7.20 (5.76 - 8.98) 5.85 (4.51 - 7.55) 0.138
New Castle (excluding Wilmington City) 7.37 (6.08 - 8.91) 6.33 (5.18 - 7.72) 0.214
Sussex 6.94a (5.45 - 8.80) 4.81 (3.57 - 6.45) 0.019
Wilmington City 7.77 (6.03 - 9.96) 6.20 (4.50 - 8.49) 0.171
District of Columbia 9.39   (8.15 - 10.80) 8.59 (7.51 - 9.81) 0.276
Ward 1 10.42   (8.37 - 12.91) 10.43   (8.02 - 13.46) 0.993
Ward 2 12.31 (10.09 - 14.94) 12.07   (9.50 - 15.22) 0.875
Ward 3 9.56   (7.71 - 11.80) 8.78   (6.81 - 11.25) 0.528
Ward 4 8.12   (6.33 - 10.36) 7.10 (5.38 - 9.31) 0.374
Ward 5 8.82   (6.99 - 11.07) 7.38 (5.57 - 9.72) 0.252
Ward 6 9.40   (7.44 - 11.83) 8.51   (6.69 - 10.77) 0.467
Ward 7 7.87   (6.15 - 10.01) 6.28 (4.72 - 8.30) 0.143
Ward 8 7.84 (6.15 - 9.94) 7.72   (5.82 - 10.18) 0.920
Florida1 6.82a (6.19 - 7.50) 5.75 (5.19 - 6.37) 0.011
Broward (Circuit 17) 6.46 (5.34 - 7.81) 5.37 (4.22 - 6.82) 0.184
Central I -- (-- - --) 5.51 (4.64 - 6.53) --
Circuit 9 7.19a (5.91 - 8.73) 5.55 (4.50 - 6.84) 0.035
Circuit 18 7.29a (5.99 - 8.84) 5.45 (4.17 - 7.08) 0.047
Central II -- (-- - --) 5.89 (5.11 - 6.78) --
Circuit 6 6.27 (5.05 - 7.77) 6.01 (4.69 - 7.66) 0.771
Circuit 10 6.61a (5.31 - 8.19) 4.84 (3.68 - 6.33) 0.036
Circuit 12 7.16 (5.68 - 8.99) 5.83 (4.33 - 7.79) 0.209
Circuit 13 (Hillsborough) 7.18 (5.94 - 8.66) 6.46 (5.20 - 8.01) 0.398
Circuit 20 6.37 (5.14 - 7.88) 5.84 (4.41 - 7.69) 0.577
Northeast -- (-- - --) 6.02 (5.17 - 7.00) --
Circuit 4 7.38 (5.93 - 9.14) 6.39 (4.98 - 8.16) 0.308
Circuit 5 6.53 (5.26 - 8.07) 5.29 (4.05 - 6.89) 0.165
Circuit 7 6.67 (5.37 - 8.25) 6.36 (4.89 - 8.23) 0.740
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee -- (-- - --) 6.19 (4.65 - 8.20) --
Northwest -- (-- - --) 6.68 (5.63 - 7.92) --
Circuit 1 7.26 (5.92 - 8.88) 6.26 (4.84 - 8.06) 0.270
Circuit 2 plus Madison and Taylor -- (-- - --) 7.89   (6.16 - 10.04) --
Circuit 14 7.23 (5.77 - 9.02) 5.90 (4.41 - 7.85) 0.181
South (Circuits 11 and 16) 6.46b (5.36 - 7.76) 4.96 (3.94 - 6.22) 0.054
Southeast -- (-- - --) 5.88 (4.75 - 7.26) --
Circuit 15 (Palm Beach) 6.30 (5.09 - 7.77) 6.13 (4.73 - 7.92) 0.857
Circuit 19 6.75 (5.39 - 8.43) 5.33 (4.00 - 7.07) 0.119
Georgia 6.43a (5.45 - 7.58) 5.19 (4.51 - 5.96) 0.024
Region 1 6.56b (5.25 - 8.16) 5.19 (4.14 - 6.50) 0.094
Region 2 6.89b (5.43 - 8.72) 5.45 (4.24 - 6.99) 0.098
Region 3 6.06 (4.78 - 7.64) 5.20 (4.18 - 6.46) 0.291
Region 4 6.49 (5.00 - 8.39) 5.20 (3.85 - 6.99) 0.142
Region 5 6.56 (5.16 - 8.30) 5.31 (4.06 - 6.92) 0.146
Region 6 6.47b (5.07 - 8.21) 4.80 (3.65 - 6.31) 0.061
Hawaii 7.95a (6.70 - 9.40) 5.33 (4.49 - 6.31) 0.000
Hawaii Island 8.53a   (6.65 - 10.86) 4.81 (3.55 - 6.49) 0.000
Honolulu 7.84a (6.48 - 9.45) 5.36 (4.40 - 6.53) 0.002
Kauai 7.39b (5.62 - 9.67) 5.58 (4.07 - 7.62) 0.087
Maui 8.16a   (6.29 - 10.53) 5.60 (4.09 - 7.63) 0.024
Idaho 7.30a (6.33 - 8.41) 5.90 (5.05 - 6.87) 0.013
Region 1 7.05 (5.58 - 8.88) 6.13 (4.60 - 8.12) 0.354
Region 2 8.08b   (6.49 - 10.02) 6.24 (4.66 - 8.31) 0.086
Region 3 6.49b (5.22 - 8.05) 4.93 (3.77 - 6.44) 0.052
Region 4 8.04 (6.63 - 9.71) 7.03 (5.59 - 8.80) 0.301
Region 5 7.03a (5.57 - 8.85) 4.92 (3.66 - 6.58) 0.018
Region 6 -- (-- - --) 6.16 (4.56 - 8.27) --
Region 7 -- (-- - --) 5.01 (3.81 - 6.56) --
Illinois 7.39a (6.79 - 8.04) 5.94 (5.32 - 6.63) 0.001
Region 1 (Cook) 7.43a (6.52 - 8.45) 6.23 (5.41 - 7.16) 0.046
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 7.18a (6.29 - 8.17) 5.61 (4.83 - 6.50) 0.009
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 7.96a (6.89 - 9.19) 6.38 (5.28 - 7.69) 0.036
Region 3a (Champaign) -- (-- - --) 8.97   (6.89 - 11.60) --
Region 3b -- (-- - --) 5.95 (4.75 - 7.42) --
Region 4 6.70b (5.52 - 8.12) 5.45 (4.37 - 6.79) 0.092
Region 4a (Sangamon) -- (-- - --) 6.41 (4.73 - 8.63) --
Region 4b -- (-- - --) 5.18 (3.98 - 6.72) --
Region 5 7.78a (6.62 - 9.12) 5.63 (4.58 - 6.89) 0.004
Region 5a -- (-- - --) 5.94 (4.46 - 7.88) --
Region 5b -- (-- - --) 5.37 (4.15 - 6.93) --
Indiana 7.12a (6.14 - 8.25) 5.78 (4.98 - 6.71) 0.017
Central 6.84 (5.50 - 8.46) 5.63 (4.45 - 7.11) 0.154
East 6.64 (5.22 - 8.40) 5.86 (4.44 - 7.70) 0.407
North Central 7.20a (5.76 - 8.96) 5.31 (4.01 - 7.01) 0.038
Northeast 7.23 (5.77 - 9.03) 5.90 (4.45 - 7.78) 0.158
Northwest 7.20b (5.69 - 9.08) 5.52 (4.13 - 7.34) 0.078
Southeast 6.64 (5.21 - 8.43) 5.68 (4.25 - 7.56) 0.307
Southwest 6.80 (5.33 - 8.63) 5.48 (4.10 - 7.30) 0.158
West 8.61   (7.00 - 10.55) 7.13 (5.41 - 9.33) 0.181
Iowa 8.36a (7.27 - 9.60) 6.41 (5.53 - 7.43) 0.002
Central 7.61 (6.11 - 9.45) 6.70 (5.17 - 8.64) 0.376
North Central 8.93a   (7.22 - 11.00) 6.09 (4.65 - 7.94) 0.006
Northeast 9.04b   (7.42 - 10.96) 7.02 (5.56 - 8.82) 0.059
Northwest 7.80 (6.29 - 9.64) 6.55 (4.96 - 8.60) 0.219
Southeast 8.43a   (6.86 - 10.31) 5.70 (4.42 - 7.33) 0.004
Southwest 8.16a   (6.50 - 10.19) 6.07 (4.53 - 8.10) 0.049
Kansas 8.03a (6.94 - 9.29) 5.61 (4.80 - 6.54) 0.000
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 5.63 (4.74 - 6.68) 5.34 (4.51 - 6.31) 0.610
Adanta, Cumberland River, and Lifeskills 5.12 (3.99 - 6.54) 4.76 (3.55 - 6.36) 0.655
Bluegrass, Comprehend, and North Key 5.91 (4.73 - 7.35) 5.57 (4.37 - 7.06) 0.684
Centerstone 5.75 (4.51 - 7.31) 5.79 (4.44 - 7.52) 0.964
Communicare and River Valley 5.55 (4.29 - 7.16) 5.26 (3.87 - 7.10) 0.735
Four Rivers and Pennyroyal 5.59 (4.29 - 7.25) 4.99 (3.67 - 6.74) 0.495
Kentucky River, Mountain, and Pathways 5.59 (4.31 - 7.20) 5.06 (3.73 - 6.83) 0.539
Louisiana 6.50 (5.57 - 7.57) 6.75 (5.76 - 7.90) 0.694
Regions 1 and 10 -- (-- - --) 7.36 (5.83 - 9.25) --
Region 1 -- (-- - --) 8.33   (6.26 - 11.01) --
Region 10 (Jefferson) 6.33 (4.92 - 8.11) 6.30 (4.66 - 8.48) 0.977
Regions 2 and 9 6.94 (5.66 - 8.49) 6.80 (5.38 - 8.56) 0.874
Region 3 -- (-- - --) 5.55 (4.07 - 7.51) --
Regions 4, 5, and 6 6.17 (4.95 - 7.67) 6.99 (5.45 - 8.92) 0.387
Regions 7 and 8 6.63 (5.34 - 8.20) 6.28 (4.76 - 8.24) 0.724
Maine 6.29 (5.33 - 7.41) 5.34 (4.52 - 6.30) 0.103
Aroostook/Downeast 5.78 (4.46 - 7.45) 4.76 (3.66 - 6.18) 0.215
Aroostook -- (-- - --) 4.52 (3.31 - 6.16) --
Downeast -- (-- - --) 4.95 (3.54 - 6.89) --
Central 6.40 (5.02 - 8.13) 5.19 (3.82 - 7.03) 0.186
Cumberland 7.13 (5.72 - 8.87) 6.02 (4.66 - 7.75) 0.236
Midcoast 5.94 (4.58 - 7.66) 5.21 (3.88 - 6.96) 0.419
Penquis 6.13 (4.81 - 7.78) 5.15 (3.86 - 6.83) 0.265
Western 6.04 (4.78 - 7.62) 5.18 (3.93 - 6.81) 0.329
York 6.11 (4.77 - 7.81) 5.38 (4.01 - 7.19) 0.435
Maryland 6.37 (5.33 - 7.60) 6.44 (5.48 - 7.55) 0.918
Anne Arundel 6.77 (5.23 - 8.72) 5.88 (4.37 - 7.85) 0.376
Baltimore City 6.87 (5.28 - 8.90) 8.01   (6.08 - 10.48) 0.348
Baltimore County 6.37 (4.91 - 8.22) 6.62 (4.96 - 8.77) 0.815
Montgomery 5.61 (4.36 - 7.19) 5.63 (4.28 - 7.39) 0.978
North Central 6.21 (4.79 - 8.01) 5.80 (4.30 - 7.77) 0.676
Northeast 6.56 (5.09 - 8.42) 6.00 (4.42 - 8.11) 0.582
Prince George's 6.33 (4.91 - 8.13) 7.54 (5.67 - 9.95) 0.277
South 6.68 (5.12 - 8.66) 6.13 (4.55 - 8.20) 0.595
West 6.45 (4.97 - 8.33) 5.97 (4.47 - 7.93) 0.619
Massachusetts 7.97 (6.90 - 9.19) 7.23 (6.22 - 8.38) 0.256
Boston 8.97   (7.13 - 11.22) 9.32   (7.12 - 12.10) 0.798
Central 7.93 (6.34 - 9.89) 7.12 (5.49 - 9.18) 0.442
Metrowest 7.62 (6.22 - 9.30) 7.07 (5.50 - 9.05) 0.596
Northeast 7.80 (6.25 - 9.69) 6.39 (4.94 - 8.23) 0.164
Southeast 7.83 (6.29 - 9.70) 6.85 (5.26 - 8.89) 0.355
Western 8.20   (6.66 - 10.05) 7.43 (5.67 - 9.69) 0.488
Michigan1 7.60a (6.99 - 8.26) 5.69 (5.09 - 6.36) 0.000
Region 1 8.39a   (6.87 - 10.22) 5.35 (4.03 - 7.07) 0.002
Region 2 -- (-- - --) 4.60 (3.43 - 6.15) --
Region 3 -- (-- - --) 6.33 (5.11 - 7.82) --
Region 4 -- (-- - --) 5.38 (4.25 - 6.80) --
Region 5 -- (-- - --) 6.31 (5.22 - 7.62) --
Region 6 -- (-- - --) 4.98 (3.83 - 6.45) --
Region 7 -- (-- - --) 6.07 (4.89 - 7.51) --
Region 8 7.69a (6.47 - 9.13) 4.99 (3.90 - 6.36) 0.002
Region 9 7.18a (5.92 - 8.68) 5.34 (4.11 - 6.92) 0.032
Region 10 -- (-- - --) 5.97 (4.63 - 7.67) --
Minnesota 9.08a   (7.93 - 10.39) 5.74 (4.91 - 6.70) 0.000
Regions 1 and 2 9.39a   (7.58 - 11.58) 5.98 (4.59 - 7.76) 0.001
Region 1 -- (-- - --) 5.50 (3.97 - 7.57) --
Region 2 -- (-- - --) 6.28 (4.57 - 8.57) --
Regions 3 and 4 9.10a   (7.41 - 11.11) 5.44 (4.31 - 6.86) 0.000
Region 3 -- (-- - --) 5.33 (3.85 - 7.34) --
Region 4 -- (-- - --) 5.50 (4.17 - 7.23) --
Regions 5 and 6 9.15a   (7.50 - 11.13) 6.27 (5.05 - 7.77) 0.002
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) 9.32a   (7.49 - 11.56) 5.77 (4.47 - 7.43) 0.001
Region 7B (Ramsey) 8.13a   (6.43 - 10.24) 5.87 (4.42 - 7.75) 0.033
Region 7C 9.04a   (7.36 - 11.05) 5.33 (4.11 - 6.90) 0.000
Mississippi 6.14a (5.21 - 7.23) 4.97 (4.20 - 5.86) 0.024
Region 1 6.29a (5.04 - 7.82) 4.69 (3.63 - 6.03) 0.040
Region 2 5.86 (4.51 - 7.57) 4.68 (3.47 - 6.30) 0.151
Region 3 6.05 (4.77 - 7.65) 4.87 (3.64 - 6.48) 0.145
Region 4 6.04 (4.72 - 7.69) 5.16 (3.89 - 6.82) 0.333
Region 5 5.84 (4.47 - 7.60) 4.52 (3.29 - 6.18) 0.108
Region 6 6.79 (5.29 - 8.66) 5.87 (4.42 - 7.76) 0.332
Region 7 6.10 (4.80 - 7.72) 5.01 (3.77 - 6.64) 0.189
Missouri 7.02b (6.08 - 8.11) 6.03 (5.16 - 7.05) 0.090
Central 7.12 (5.70 - 8.85) 5.82 (4.50 - 7.50) 0.148
Eastern 7.20 (6.04 - 8.56) 6.23 (5.07 - 7.64) 0.208
Eastern (St. Louis City and County) 7.08 (5.75 - 8.70) 6.21 (4.78 - 8.02) 0.360
Eastern (excluding St. Louis) 7.41 (5.92 - 9.24) 6.28 (4.80 - 8.17) 0.249
Northwest 7.03 (5.83 - 8.46) 6.43 (5.17 - 7.97) 0.452
Northwest (Jackson) 7.15 (5.68 - 8.96) 6.44 (4.86 - 8.50) 0.493
Northwest (excluding Jackson) 6.93 (5.53 - 8.65) 6.42 (4.85 - 8.46) 0.601
Southeast 6.70 (5.31 - 8.43) 5.84 (4.40 - 7.72) 0.375
Southwest 6.78b (5.44 - 8.41) 5.30 (3.99 - 7.00) 0.097
Montana 9.68a   (8.49 - 11.01) 7.31 (6.32 - 8.43) 0.001
Region 1 8.89a   (7.11 - 11.07) 6.08 (4.43 - 8.29) 0.017
Region 2 8.44   (6.85 - 10.35) 7.28 (5.59 - 9.43) 0.300
Region 3 9.20   (7.50 - 11.24) 7.56 (5.98 - 9.53) 0.145
Region 4 10.84a   (9.15 - 12.81) 7.82 (6.32 - 9.64) 0.006
Region 5 9.76a   (8.12 - 11.70) 7.01 (5.66 - 8.67) 0.008
Nebraska 7.89a (6.87 - 9.05) 6.45 (5.51 - 7.54) 0.021
Regions 1 and 2 7.21 (5.91 - 8.78) 5.93 (4.55 - 7.70) 0.136
Region 1 7.50 (5.93 - 9.45) 6.32 (4.52 - 8.76) 0.309
Region 2 6.96 (5.44 - 8.88) 5.59 (4.03 - 7.70) 0.157
Region 3 7.36 (5.96 - 9.07) 6.31 (4.80 - 8.25) 0.288
Region 4 7.43b (5.87 - 9.38) 5.52 (4.12 - 7.36) 0.054
Region 5 8.86a   (7.37 - 10.61) 6.47 (5.04 - 8.26) 0.013
Region 6 7.77 (6.45 - 9.33) 6.86 (5.55 - 8.43) 0.292
Nevada1 8.38a (7.10 - 9.86) 5.97 (5.06 - 7.02) 0.001
Clark – Region 1 8.25a (6.84 - 9.93) 5.88 (4.86 - 7.09) 0.004
Region 3 8.50a   (6.68 - 10.77) 6.22 (4.78 - 8.04) 0.027
Capital District -- (-- - --) 5.95 (4.22 - 8.33) --
Rural/Frontier -- (-- - --) 6.46 (4.70 - 8.80) --
Washoe – Region 2 8.86a   (7.07 - 11.05) 6.19 (4.73 - 8.06) 0.014
New Hampshire 7.29 (6.29 - 8.45) 6.77 (5.78 - 7.90) 0.426
Central 7.68 (6.44 - 9.13) 6.57 (5.34 - 8.06) 0.187
Central 1 8.08 (6.56 - 9.91) 6.45 (4.93 - 8.40) 0.118
Central 2 7.30 (5.80 - 9.14) 6.69 (5.15 - 8.63) 0.565
Northern 7.13 (5.65 - 8.98) 6.72 (5.06 - 8.88) 0.707
Southern 7.14 (6.02 - 8.46) 6.87 (5.69 - 8.27) 0.724
Southern 1 (Rockingham) 7.27 (5.79 - 9.10) 6.31 (4.86 - 8.17) 0.332
Southern 2 7.06 (5.77 - 8.62) 7.22 (5.78 - 8.98) 0.874
New Jersey 6.46a (5.48 - 7.61) 5.33 (4.62 - 6.15) 0.046
Central 6.28 (4.94 - 7.95) 5.60 (4.47 - 7.00) 0.408
Metropolitan 6.40 (5.05 - 8.07) 5.30 (4.15 - 6.76) 0.206
Northern 6.36a (5.09 - 7.92) 4.83 (3.88 - 5.99) 0.039
Southern 6.89 (5.48 - 8.62) 5.85 (4.68 - 7.29) 0.226
New Mexico 7.92 (6.85 - 9.14) 7.03 (5.98 - 8.24) 0.201
Region 1 7.73 (6.27 - 9.50) 7.47 (5.74 - 9.67) 0.803
Region 2 7.70 (6.07 - 9.72) 6.31 (4.69 - 8.44) 0.205
Region 3 (Bernalillo) 8.30   (6.85 - 10.01) 7.26 (5.78 - 9.09) 0.305
Region 4 7.51 (5.91 - 9.49) 6.82 (5.14 - 8.99) 0.525
Region 5 7.93 (6.39 - 9.81) 6.84 (5.45 - 8.54) 0.272
Region 5a -- (-- - --) 7.03 (5.26 - 9.35) --
Region 5b (Dona Ana) -- (-- - --) 6.66 (4.99 - 8.83) --
New York1 7.54a (6.90 - 8.24) 6.30 (5.72 - 6.94) 0.003
Region 1: Long Island 7.31a (6.19 - 8.62) 5.30 (4.28 - 6.54) 0.010
Region 2: New York City 7.05 (6.25 - 7.95) 6.97 (6.14 - 7.90) 0.879
Region 2A: Bronx 7.45 (6.10 - 9.07) 6.63 (5.25 - 8.35) 0.365
Region 2B: Kings -- (-- - --) 6.86 (5.55 - 8.46) --
Region 2C: New York 8.28   (6.70 - 10.20) 9.90   (7.97 - 12.24) 0.191
Region 2D: Queens 6.03 (4.93 - 7.34) 5.39 (4.22 - 6.85) 0.418
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 Carolina1 6.19a (5.28 - 7.26) 4.98 (4.31 - 5.76) 0.017
Alliance Behavioral Healthcare 1 -- (-- - --) 5.35 (4.07 - 7.01) --
Alliance Behavioral Healthcare 2 -- (-- - --) 5.02 (3.81 - 6.61) --
Cardinal Innovations Healthcare Solutions 1 -- (-- - --) 4.10 (3.02 - 5.53) --
Cardinal Innovations Healthcare Solutions 2 -- (-- - --) 4.93 (3.67 - 6.59) --
Cardinal Innovations Healthcare Solutions 3 6.48 (5.06 - 8.26) 6.20 (4.75 - 8.05) 0.771
CenterPoint Human Services 5.97 (4.58 - 7.76) 4.80 (3.55 - 6.47) 0.175
Eastpointe 5.68b (4.38 - 7.35) 4.30 (3.21 - 5.75) 0.093
Partners Behavioral Health Management 6.04 (4.74 - 7.68) 4.76 (3.53 - 6.39) 0.133
Sandhills Center 1 5.87b (4.50 - 7.61) 4.49 (3.29 - 6.10) 0.094
Sandhills Center 2 6.27 (4.91 - 7.98) 5.19 (3.87 - 6.93) 0.212
Smoky Mountain Center 1 6.33b (4.95 - 8.07) 4.67 (3.47 - 6.27) 0.057
Smoky Mountain Center 2 5.81 (4.46 - 7.55) 5.08 (3.76 - 6.84) 0.405
Trillium Health Resources 1 6.71b (5.17 - 8.66) 5.02 (3.77 - 6.66) 0.065
Trillium Health Resources 2 6.99 (5.51 - 8.83) 5.49 (4.09 - 7.32) 0.108
North Dakota 8.34a (7.35 - 9.45) 6.76 (5.87 - 7.77) 0.010
Badlands and West Central 7.65 (6.29 - 9.27) 6.92 (5.64 - 8.48) 0.425
Badlands -- (-- - --) 7.51   (5.53 - 10.11) --
West Central -- (-- - --) 6.75 (5.34 - 8.52) --
Lake Region -- (-- - --) 6.06 (4.47 - 8.15) --
North Central -- (-- - --) 6.79 (5.14 - 8.91) --
Northeast 10.58a   (8.81 - 12.64) 7.81 (6.14 - 9.90) 0.020
Northwest -- (-- - --) 5.84 (4.25 - 7.97) --
South Central -- (-- - --) 6.42 (4.76 - 8.60) --
Southeast 8.94a   (7.51 - 10.61) 6.53 (5.24 - 8.10) 0.010
Ohio 7.30a (6.72 - 7.93) 6.30 (5.70 - 6.96) 0.014
Boards 2, 46, 55, and 68 6.53 (5.42 - 7.83) 6.24 (4.70 - 8.22) 0.753
Boards 3, 52, and 85 7.42a (6.03 - 9.09) 5.27 (3.99 - 6.93) 0.016
Boards 4 and 78 6.76b (5.41 - 8.41) 5.19 (3.93 - 6.84) 0.080
Boards 5 and 60 7.93 (6.64 - 9.45) 6.69 (5.16 - 8.64) 0.185
Boards 7, 15, 41, 79, and 84 6.59 (5.32 - 8.14) 5.54 (4.18 - 7.32) 0.245
Boards 8, 13, and 83 6.92b (5.68 - 8.41) 5.35 (4.00 - 7.13) 0.083
Board 9 (Butler) 7.62 (6.34 - 9.14) 6.53 (4.98 - 8.53) 0.262
Board 12 7.47 (6.13 - 9.08) 6.30 (4.78 - 8.26) 0.219
Boards 18 and 47 7.55 (6.39 - 8.89) 7.37 (5.95 - 9.09) 0.843
Boards 20, 32, 54, and 69 6.94 (5.65 - 8.50) 5.70 (4.36 - 7.43) 0.152
Boards 21, 39, 51, 70, and 80 7.40a (6.06 - 9.00) 5.40 (4.13 - 7.05) 0.022
Boards 22, 74, and 87 6.98 (5.68 - 8.55) 5.93 (4.55 - 7.68) 0.241
Boards 23 and 45 7.04 (5.78 - 8.56) 6.11 (4.69 - 7.93) 0.325
Board 25 (Franklin) 8.32a (7.07 - 9.77) 6.19 (4.98 - 7.66) 0.017
Boards 27, 71, and 73 6.70 (5.47 - 8.18) 5.91 (4.51 - 7.73) 0.383
Boards 28, 43, and 67 7.55 (6.27 - 9.07) 6.25 (4.79 - 8.12) 0.177
Board 31 (Hamilton) 6.60 (5.41 - 8.03) 7.47 (5.88 - 9.45) 0.356
Board 48 (Lucas) 7.39 (6.05 - 8.99) 6.51 (4.91 - 8.58) 0.371
Boards 50 and 76 7.58b (6.21 - 9.22) 5.95 (4.60 - 7.66) 0.086
Board 57 (Montgomery) 6.90 (5.62 - 8.45) 6.52 (4.97 - 8.51) 0.688
Board 77 (Summit) 7.68 (6.34 - 9.28) 6.40 (4.97 - 8.20) 0.177
Oklahoma 7.50a (6.42 - 8.74) 5.86 (4.97 - 6.88) 0.008
Central 8.06   (6.45 - 10.03) 6.66 (5.06 - 8.72) 0.192
East Central 7.18a (5.63 - 9.11) 4.65 (3.39 - 6.36) 0.008
Northeast 7.09 (5.63 - 8.89) 5.50 (4.12 - 7.30) 0.104
Northwest and Southwest 7.85a (6.29 - 9.75) 5.77 (4.38 - 7.56) 0.030
Oklahoma County 7.40 (5.84 - 9.35) 6.31 (4.81 - 8.23) 0.296
Southeast 7.49a (5.91 - 9.45) 5.32 (3.98 - 7.09) 0.028
Tulsa County 7.46 (5.95 - 9.33) 6.34 (4.76 - 8.39) 0.289
Oregon 8.14 (7.00 - 9.45) 7.11 (6.13 - 8.24) 0.139
Region 1 (Multnomah) 9.02   (7.15 - 11.32) 7.61 (5.93 - 9.71) 0.233
Region 2 8.26b   (6.63 - 10.25) 6.63 (5.28 - 8.29) 0.099
Region 3 7.80 (6.38 - 9.51) 7.34 (5.89 - 9.12) 0.649
Region 4 7.69 (6.12 - 9.61) 7.06 (5.33 - 9.30) 0.584
Region 5 (Central) 8.10   (6.31 - 10.34) 6.99 (5.00 - 9.69) 0.365
Region 6 (Eastern) 7.85   (6.14 - 10.00) 6.45 (4.75 - 8.70) 0.215
Pennsylvania 6.78a (6.17 - 7.43) 5.86 (5.25 - 6.54) 0.032
Region 1 (Allegheny) 6.84 (5.75 - 8.13) 6.19 (4.85 - 7.87) 0.463
Regions 3, 8, 9, and 51 6.71 (5.50 - 8.16) 6.24 (4.83 - 8.03) 0.600
Regions 4, 11, 37, and 49 6.21 (5.11 - 7.55) 4.99 (3.84 - 6.47) 0.114
Regions 5, 18, 23, 24, and 46 6.55a (5.29 - 8.09) 4.81 (3.70 - 6.23) 0.032
Regions 6, 12, 16, 31, 35, 45, and 47 7.34 (6.13 - 8.76) 6.53 (5.16 - 8.25) 0.352
Regions 7, 13, 20, and 33 7.16b (6.08 - 8.41) 5.87 (4.79 - 7.18) 0.096
Regions 10, 15, 27, 32, 43, and 44 6.59a (5.35 - 8.10) 4.88 (3.68 - 6.45) 0.045
Regions 17 and 21 7.08 (5.76 - 8.69) 5.99 (4.55 - 7.84) 0.246
Regions 19, 26, 28, and 42 6.32 (5.23 - 7.61) 5.28 (4.18 - 6.65) 0.172
Regions 22, 38, 40, 41, and 48 6.43 (5.28 - 7.81) 5.83 (4.48 - 7.55) 0.478
Regions 29 and 34 6.21 (5.00 - 7.69) 5.45 (4.10 - 7.22) 0.378
Regions 30 and 50 6.95 (5.67 - 8.50) 5.96 (4.57 - 7.73) 0.285
Region 36 (Philadelphia) 7.14 (5.94 - 8.56) 7.15 (5.72 - 8.90) 0.992
Rhode Island 8.49b (7.23 - 9.94) 7.02 (5.96 - 8.24) 0.054
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 7.74a (6.59 - 9.07) 5.98 (5.12 - 6.98) 0.010
Region 1 -- (-- - --) 5.64 (4.44 - 7.14) --
Region 2 -- (-- - --) 5.75 (4.54 - 7.26) --
Region 3 8.21a   (6.41 - 10.47) 5.00 (3.77 - 6.61) 0.002
Region 4 7.47 (5.86 - 9.48) 7.22 (5.70 - 9.11) 0.828
South Dakota 9.72a   (8.51 - 11.08) 7.48 (6.46 - 8.63) 0.002
Region 1 -- (-- - --) 7.77 (6.14 - 9.77) --
Region 2 -- (-- - --) 7.81   (5.79 - 10.46) --
Region 3 -- (-- - --) 7.22 (5.69 - 9.13) --
Region 4 -- (-- - --) 6.97 (5.35 - 9.04) --
Region 5 -- (-- - --) 7.58 (6.07 - 9.43) --
Tennessee 6.09b (5.12 - 7.22) 5.13 (4.32 - 6.08) 0.085
Region 1 5.92 (4.56 - 7.66) 4.63 (3.39 - 6.29) 0.133
Region 2 5.88 (4.66 - 7.39) 4.85 (3.68 - 6.37) 0.196
Region 3 -- (-- - --) 4.71 (3.53 - 6.24) --
Region 4 (Davidson) 6.80 (5.29 - 8.70) 6.39 (4.75 - 8.54) 0.686
Region 5 -- (-- - --) 5.15 (3.94 - 6.71) --
Region 6 6.07 (4.68 - 7.82) 5.22 (3.85 - 7.02) 0.330
Region 7 (Shelby) 5.93 (4.58 - 7.64) 5.25 (3.93 - 6.97) 0.440
Texas 6.80a (6.22 - 7.42) 5.53 (5.04 - 6.06) 0.001
Region 1 7.25 (5.98 - 8.76) 6.46 (4.97 - 8.35) 0.411
Region 2 7.06 (5.74 - 8.66) 6.10 (4.66 - 7.94) 0.287
Region 3 6.62a (5.80 - 7.53) 5.15 (4.43 - 5.97) 0.006
Region 3a 6.34b (5.38 - 7.46) 5.22 (4.33 - 6.28) 0.083
Region 3bc 7.09a (5.99 - 8.38) 5.02 (4.04 - 6.22) 0.004
Region 4 6.72a (5.48 - 8.23) 4.99 (3.87 - 6.42) 0.032
Region 5 6.55 (5.29 - 8.08) 5.64 (4.33 - 7.31) 0.275
Region 6 6.71a (5.81 - 7.73) 5.20 (4.41 - 6.12) 0.009
Region 6a 6.73a (5.77 - 7.84) 5.21 (4.37 - 6.21) 0.015
Region 6bc 6.55b (5.30 - 8.07) 5.05 (3.81 - 6.67) 0.064
Region 7 7.74b (6.73 - 8.88) 6.46 (5.44 - 7.65) 0.062
Region 7a 7.94 (6.64 - 9.45) 7.22 (5.81 - 8.94) 0.434
Region 7bcd 7.41a (6.16 - 8.91) 5.11 (3.98 - 6.53) 0.005
Region 8 6.69 (5.61 - 7.97) 5.95 (4.87 - 7.26) 0.328
Region 9 7.39 (6.04 - 9.01) 6.72 (5.04 - 8.91) 0.501
Region 10 6.67 (5.40 - 8.21) 5.90 (4.46 - 7.77) 0.409
Region 11 6.23b (5.32 - 7.29) 5.10 (4.15 - 6.26) 0.082
Region 11abd 6.26 (5.15 - 7.60) 5.02 (3.88 - 6.47) 0.109
Region 11c (Hidalgo) 6.18 (5.04 - 7.57) 5.25 (3.96 - 6.92) 0.258
Utah 5.57a (4.71 - 6.57) 4.39 (3.68 - 5.23) 0.018
Bear River, Northeastern, Summit, Tooele, and Wasatch 5.70b (4.43 - 7.32) 4.30 (3.16 - 5.81) 0.065
Central, Four Corners, San Juan, and Southwest 5.45 (4.28 - 6.92) 4.28 (3.28 - 5.58) 0.101
Central, Four Corners, and San Juan -- (-- - --) 4.01 (2.85 - 5.62) --
Southwest -- (-- - --) 4.45 (3.24 - 6.09) --
Davis County 5.22 (4.06 - 6.69) 4.06 (2.97 - 5.54) 0.101
Salt Lake County 5.80b (4.69 - 7.16) 4.51 (3.59 - 5.66) 0.059
Utah County 5.40 (4.27 - 6.79) 4.48 (3.38 - 5.92) 0.217
Weber, Morgan 5.31 (4.06 - 6.90) 4.33 (3.14 - 5.95) 0.208
Vermont 7.76 (6.71 - 8.95) 7.01 (6.00 - 8.19) 0.279
Champlain Valley 8.26 (6.92 - 9.84) 7.23 (5.89 - 8.86) 0.272
Rural Northeast 7.69 (6.23 - 9.47) 7.41 (5.69 - 9.60) 0.799
Rural Southeast 7.37 (5.88 - 9.21) 6.52 (5.00 - 8.46) 0.427
Rural Southwest 7.13 (5.65 - 8.97) 6.51 (4.88 - 8.62) 0.546
Virginia 8.23a (7.15 - 9.46) 5.72 (5.00 - 6.52) 0.000
Region 1 9.04a   (7.39 - 11.01) 5.56 (4.36 - 7.06) 0.000
Region 2 7.45a (5.94 - 9.31) 5.32 (4.26 - 6.63) 0.014
Region 3 9.04a   (7.35 - 11.07) 5.50 (4.38 - 6.88) 0.000
Region 4 7.97a (6.43 - 9.84) 5.78 (4.55 - 7.32) 0.019
Region 5 8.17b (6.66 - 9.99) 6.43 (5.18 - 7.97) 0.062
Washington1 6.87a (5.89 - 8.01) 5.52 (4.68 - 6.50) 0.014
Region 1 6.84 (5.63 - 8.30) 5.76 (4.58 - 7.23) 0.141
Greater Columbia and North Central -- (-- - --) 5.64 (4.30 - 7.37) --
Spokane -- (-- - --) 5.93 (4.35 - 8.06) --
Region 2 6.73a (5.61 - 8.05) 5.37 (4.37 - 6.57) 0.040
King 6.64 (5.36 - 8.20) 5.62 (4.42 - 7.14) 0.215
North Sound 6.89a (5.49 - 8.61) 4.91 (3.67 - 6.53) 0.020
Region 3 7.09a (5.85 - 8.57) 5.58 (4.56 - 6.81) 0.039
Pierce -- (-- - --) 5.98 (4.58 - 7.78) --
Salish -- (-- - --) 5.29 (3.81 - 7.31) --
SW WA and Great Rivers -- (-- - --) 5.23 (3.87 - 7.02) --
Thurston-Mason -- (-- - --) 5.69 (4.07 - 7.91) --
West Virginia 6.10b (5.18 - 7.18) 5.02 (4.20 - 5.99) 0.057
Region I 6.07 (4.67 - 7.85) 5.15 (3.70 - 7.13) 0.346
Region II 6.02 (4.68 - 7.72) 4.72 (3.48 - 6.36) 0.127
Region III 5.41 (4.18 - 6.99) 4.58 (3.32 - 6.29) 0.320
Region IV 6.64 (5.37 - 8.19) 5.72 (4.46 - 7.31) 0.274
Region V 6.30 (5.05 - 7.83) 5.11 (3.91 - 6.66) 0.162
Region VI 5.62 (4.38 - 7.18) 4.44 (3.32 - 5.91) 0.144
Wisconsin 7.69 (6.67 - 8.85) 7.38 (6.34 - 8.56) 0.645
Milwaukee 7.57 (6.04 - 9.45) 7.81   (6.02 - 10.07) 0.835
Northeastern 7.33 (5.91 - 9.06) 6.26 (4.86 - 8.03) 0.257
Northern 7.89 (6.23 - 9.95) 6.46 (4.78 - 8.68) 0.215
Southeastern 7.43 (6.00 - 9.15) 7.94   (6.20 - 10.13) 0.627
Southern 8.24   (6.66 - 10.17) 7.79 (6.16 - 9.81) 0.678
Western 7.89 (6.35 - 9.76) 7.77   (6.00 - 10.01) 0.919
Wyoming 8.11a (7.07 - 9.28) 6.73 (5.76 - 7.85) 0.038
Judicial District 1 (Laramie) 7.62 (6.11 - 9.47) 6.57 (5.11 - 8.42) 0.291
Judicial District 2 10.57a   (8.82 - 12.62) 7.82   (5.97 - 10.19) 0.029
Judicial District 3 7.47 (6.01 - 9.25) 6.74 (5.15 - 8.78) 0.487
Judicial District 4 7.40 (5.87 - 9.30) 5.76 (4.19 - 7.86) 0.114
Judicial District 5 7.88a (6.27 - 9.87) 5.68 (4.23 - 7.57) 0.032
Judicial District 6 8.10   (6.51 - 10.04) 6.87 (5.18 - 9.05) 0.263
Judicial District 7 (Natrona) 8.62   (6.92 - 10.69) 6.99 (5.35 - 9.09) 0.138
Judicial District 8 7.45b (5.89 - 9.39) 5.73 (4.22 - 7.75) 0.090
Judicial District 9 8.14   (6.45 - 10.23) 7.56   (5.65 - 10.05) 0.635
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2014-2016); hence, the 2008-2010 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 2008-2010 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 2008-2010 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2008-2010 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 (2008-2010 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, 2008-2010 and 2014-2016.
180416
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, 2008-2010 and 2014-2016 NSDUHs
State/Substate Region 2008-2010
(Estimate)
2008-2010
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 3.81a (3.65 - 3.99) 4.12 (3.98 - 4.26) 0.008
Northeast 3.74 (3.45 - 4.06) 4.04 (3.75 - 4.35) 0.129
Midwest 4.14 (3.89 - 4.41) 4.38 (4.12 - 4.64) 0.182
South 3.68a (3.44 - 3.94) 4.03 (3.80 - 4.27) 0.032
West 3.77 (3.47 - 4.11) 4.08 (3.81 - 4.37) 0.135
Alabama 4.45 (3.61 - 5.47) 4.50 (3.73 - 5.42) 0.924
Region 1 4.62 (3.41 - 6.22) 4.71 (3.60 - 6.14) 0.905
Region 2 4.73 (3.53 - 6.32) 4.81 (3.67 - 6.30) 0.923
Region 3 3.85 (2.84 - 5.21) 4.11 (3.10 - 5.42) 0.701
Region 4 4.29 (3.12 - 5.86) 4.09 (3.05 - 5.46) 0.792
Alaska 3.67 (2.89 - 4.66) 4.25 (3.60 - 5.01) 0.254
Anchorage 3.68 (2.72 - 4.96) 4.20 (3.32 - 5.28) 0.427
Northern 3.73 (2.70 - 5.14) 4.50 (3.51 - 5.76) 0.272
South Central 3.75 (2.66 - 5.26) 4.04 (3.08 - 5.29) 0.668
Southeast 3.35 (2.34 - 4.79) 4.44 (3.34 - 5.90) 0.120
Arizona1 4.29 (3.40 - 5.39) 4.16 (3.47 - 4.98) 0.819
Central 4.32 (3.27 - 5.69) 4.08 (3.28 - 5.06) 0.708
North -- (-- - --) 4.17 (3.07 - 5.63) --
South -- (-- - --) 4.33 (3.42 - 5.47) --
South A 4.27 (3.05 - 5.97) 4.32 (3.25 - 5.73) 0.949
South B -- (-- - --) 4.34 (3.21 - 5.85) --
Arkansas 4.83 (3.89 - 5.97) 5.21 (4.40 - 6.16) 0.518
Catchment Area 1 4.79 (3.45 - 6.63) 5.02 (3.79 - 6.62) 0.802
Catchment Area 2 5.34 (3.83 - 7.40) 5.60 (4.21 - 7.41) 0.789
Catchment Area 3 5.05 (3.66 - 6.92) 5.08 (3.82 - 6.71) 0.975
Catchment Area 4 4.66 (3.29 - 6.56) 5.93 (4.44 - 7.86) 0.170
Catchment Area 5 5.19 (3.83 - 7.00) 5.82 (4.44 - 7.61) 0.489
Catchment Area 6 4.36 (3.11 - 6.09) 4.73 (3.48 - 6.38) 0.654
Catchment Area 7 4.75 (3.38 - 6.64) 5.19 (3.81 - 7.03) 0.626
Catchment Area 8 4.37 (3.17 - 6.00) 4.62 (3.53 - 6.03) 0.748
California 3.21 (2.75 - 3.75) 3.62 (3.25 - 4.04) 0.178
Region 1R 3.92 (2.90 - 5.27) 4.45 (3.40 - 5.81) 0.423
Region 2R 3.89 (2.88 - 5.23) 3.86 (2.97 - 5.01) 0.958
Region 3R (Sacramento) 3.59 (2.65 - 4.84) 3.58 (2.77 - 4.62) 0.985
Region 4R 3.00 (2.22 - 4.03) 3.30 (2.53 - 4.30) 0.547
Region 5R (San Francisco) 3.23 (2.34 - 4.43) 4.06 (3.08 - 5.31) 0.192
Region 6 (Santa Clara) 2.90 (2.14 - 3.91) 3.29 (2.54 - 4.25) 0.434
Region 7R (Contra Costa) 2.87 (2.08 - 3.94) 3.40 (2.61 - 4.42) 0.296
Region 8R (Alameda) 3.00b (2.20 - 4.07) 3.95 (3.02 - 5.16) 0.095
Region 9R (San Mateo) 2.76 (2.00 - 3.80) 3.08 (2.32 - 4.07) 0.519
Region 10 3.43 (2.54 - 4.61) 3.93 (3.01 - 5.11) 0.375
Region 11 (Los Angeles) 3.02 (2.51 - 3.62) 3.56 (3.08 - 4.11) 0.113
LA SPA 1 and 5 3.08 (2.27 - 4.16) 3.85 (2.94 - 5.03) 0.169
LA SPA 2 3.11 (2.32 - 4.16) 3.53 (2.70 - 4.59) 0.444
LA SPA 3 2.92 (2.16 - 3.95) 3.06 (2.32 - 4.04) 0.782
LA SPA 4 3.30 (2.43 - 4.47) 4.33 (3.29 - 5.68) 0.125
LA SPA 6 2.81b (2.05 - 3.84) 3.72 (2.85 - 4.84) 0.085
LA SPA 7 2.96 (2.17 - 4.03) 3.13 (2.36 - 4.14) 0.754
LA SPA 8 2.89 (2.14 - 3.89) 3.63 (2.78 - 4.73) 0.175
Region 12R 3.54 (2.56 - 4.85) 3.79 (2.90 - 4.95) 0.671
Regions 13 and 19R 3.44 (2.60 - 4.53) 3.57 (2.80 - 4.55) 0.804
Region 14 (Orange) 3.11 (2.35 - 4.10) 3.43 (2.71 - 4.32) 0.522
Region 15R (Fresno) 3.19 (2.35 - 4.31) 3.75 (2.89 - 4.85) 0.289
Region 16R (San Diego) 3.15 (2.39 - 4.13) 3.70 (2.91 - 4.70) 0.285
Region 17R 3.58 (2.65 - 4.82) 3.84 (3.03 - 4.86) 0.648
Region 18R (San Bernardino) 3.50 (2.62 - 4.67) 3.50 (2.74 - 4.47) 0.997
Region 20R 3.49 (2.53 - 4.79) 3.87 (2.96 - 5.05) 0.530
Region 21R 3.20 (2.36 - 4.32) 3.65 (2.81 - 4.73) 0.397
Colorado 4.84 (3.86 - 6.04) 4.44 (3.74 - 5.27) 0.500
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 3.70 (2.94 - 4.64) 3.60 (2.97 - 4.36) 0.839
Eastern 4.18 (2.98 - 5.83) 4.20 (3.18 - 5.52) 0.980
North Central 3.56 (2.57 - 4.90) 3.62 (2.71 - 4.81) 0.923
Northwestern 3.70 (2.68 - 5.09) 3.67 (2.77 - 4.86) 0.964
South Central 3.90 (2.83 - 5.35) 3.59 (2.69 - 4.78) 0.650
Southwest 3.32 (2.35 - 4.67) 3.14 (2.31 - 4.25) 0.765
Delaware 3.85 (3.07 - 4.83) 4.08 (3.38 - 4.93) 0.657
Kent 4.86 (3.48 - 6.76) 3.89 (2.91 - 5.17) 0.218
New Castle (excluding Wilmington City) 3.57 (2.68 - 4.74) 4.30 (3.39 - 5.44) 0.251
Sussex 3.73 (2.65 - 5.22) 3.82 (2.83 - 5.13) 0.898
Wilmington City 3.83 (2.72 - 5.36) 3.90 (2.80 - 5.42) 0.917
District of Columbia 3.49 (2.79 - 4.37) 3.96 (3.33 - 4.69) 0.299
Ward 1 3.87 (2.82 - 5.27) 4.12 (3.09 - 5.46) 0.720
Ward 2 4.08 (2.95 - 5.62) 5.01 (3.81 - 6.56) 0.219
Ward 3 3.73 (2.66 - 5.19) 4.33 (3.29 - 5.67) 0.393
Ward 4 2.93 (2.04 - 4.19) 3.37 (2.48 - 4.56) 0.466
Ward 5 3.02 (2.13 - 4.28) 3.48 (2.60 - 4.64) 0.449
Ward 6 3.76 (2.70 - 5.23) 4.31 (3.30 - 5.61) 0.457
Ward 7 3.00 (2.12 - 4.23) 3.05 (2.20 - 4.22) 0.933
Ward 8 3.32 (2.37 - 4.63) 3.72 (2.71 - 5.10) 0.523
Florida1 3.61 (3.11 - 4.19) 3.57 (3.13 - 4.07) 0.895
Broward (Circuit 17) 3.28 (2.43 - 4.41) 3.09 (2.34 - 4.07) 0.730
Central I -- (-- - --) 3.54 (2.89 - 4.32) --
Circuit 9 3.99 (3.02 - 5.25) 3.51 (2.71 - 4.54) 0.427
Circuit 18 3.59 (2.69 - 4.80) 3.58 (2.74 - 4.66) 0.979
Central II -- (-- - --) 3.67 (3.12 - 4.31) --
Circuit 6 3.95 (2.97 - 5.24) 3.93 (3.03 - 5.08) 0.970
Circuit 10 4.07 (3.01 - 5.47) 3.73 (2.81 - 4.94) 0.616
Circuit 12 4.09 (2.91 - 5.71) 3.23 (2.42 - 4.29) 0.193
Circuit 13 (Hillsborough) 3.91 (2.94 - 5.19) 4.12 (3.18 - 5.33) 0.737
Circuit 20 3.49 (2.60 - 4.68) 3.16 (2.37 - 4.18) 0.529
Northeast -- (-- - --) 3.89 (3.27 - 4.63) --
Circuit 4 4.05 (3.04 - 5.37) 4.12 (3.15 - 5.38) 0.907
Circuit 5 4.10 (3.04 - 5.50) 3.38 (2.51 - 4.55) 0.285
Circuit 7 3.81 (2.83 - 5.10) 3.79 (2.87 - 4.99) 0.982
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee -- (-- - --) 4.61 (3.48 - 6.09) --
Northwest -- (-- - --) 4.25 (3.51 - 5.13) --
Circuit 1 3.92 (2.91 - 5.25) 4.18 (3.19 - 5.46) 0.696
Circuit 2 plus Madison and Taylor -- (-- - --) 4.11 (3.18 - 5.29) --
Circuit 14 4.46 (3.26 - 6.07) 4.61 (3.42 - 6.18) 0.851
South (Circuits 11 and 16) 2.59 (1.91 - 3.50) 3.14 (2.43 - 4.04) 0.261
Southeast -- (-- - --) 3.27 (2.61 - 4.08) --
Circuit 15 (Palm Beach) 3.08 (2.26 - 4.20) 3.11 (2.37 - 4.07) 0.961
Circuit 19 3.79 (2.77 - 5.16) 3.62 (2.68 - 4.87) 0.782
Georgia 3.35 (2.63 - 4.26) 4.06 (3.46 - 4.76) 0.137
Region 1 3.83 (2.77 - 5.28) 4.20 (3.28 - 5.37) 0.600
Region 2 3.34b (2.37 - 4.68) 4.67 (3.54 - 6.14) 0.057
Region 3 2.90 (2.08 - 4.03) 3.52 (2.73 - 4.53) 0.288
Region 4 3.45b (2.39 - 4.94) 4.71 (3.49 - 6.34) 0.096
Region 5 3.43 (2.40 - 4.88) 4.37 (3.28 - 5.80) 0.195
Region 6 3.38 (2.37 - 4.81) 3.85 (2.95 - 5.00) 0.472
Hawaii 3.36 (2.63 - 4.28) 3.39 (2.72 - 4.22) 0.948
Hawaii Island 3.79 (2.72 - 5.25) 3.98 (2.89 - 5.46) 0.791
Honolulu 3.26 (2.46 - 4.32) 3.18 (2.44 - 4.12) 0.874
Kauai 3.13 (2.18 - 4.48) 3.61 (2.57 - 5.06) 0.460
Maui 3.53 (2.49 - 5.00) 3.95 (2.85 - 5.45) 0.568
Idaho 5.10 (4.18 - 6.22) 4.85 (4.14 - 5.69) 0.669
Region 1 5.01 (3.63 - 6.87) 4.85 (3.66 - 6.40) 0.857
Region 2 4.69 (3.37 - 6.49) 4.76 (3.55 - 6.36) 0.934
Region 3 5.36 (3.94 - 7.26) 5.33 (4.07 - 6.96) 0.975
Region 4 4.97 (3.69 - 6.65) 4.60 (3.62 - 5.82) 0.643
Region 5 5.04 (3.64 - 6.93) 4.98 (3.76 - 6.58) 0.950
Region 6 -- (-- - --) 5.01 (3.74 - 6.70) --
Region 7 -- (-- - --) 4.73 (3.61 - 6.17) --
Illinois 3.73 (3.23 - 4.29) 3.72 (3.24 - 4.27) 0.977
Region 1 (Cook) 3.61 (2.92 - 4.46) 3.55 (3.02 - 4.18) 0.892
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 3.71 (3.00 - 4.58) 3.42 (2.85 - 4.10) 0.514
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 4.07 (3.21 - 5.15) 4.39 (3.49 - 5.50) 0.594
Region 3a (Champaign) -- (-- - --) 4.43 (3.38 - 5.78) --
Region 3b -- (-- - --) 4.38 (3.40 - 5.63) --
Region 4 3.87 (2.93 - 5.10) 4.21 (3.34 - 5.30) 0.580
Region 4a (Sangamon) -- (-- - --) 4.02 (3.01 - 5.37) --
Region 4b -- (-- - --) 4.26 (3.25 - 5.58) --
Region 5 3.74 (2.88 - 4.84) 4.23 (3.40 - 5.26) 0.395
Region 5a -- (-- - --) 4.05 (3.06 - 5.34) --
Region 5b -- (-- - --) 4.38 (3.35 - 5.71) --
Indiana 4.81 (3.89 - 5.93) 4.84 (4.07 - 5.74) 0.959
Central 4.78 (3.48 - 6.52) 4.36 (3.33 - 5.68) 0.603
East 4.69 (3.28 - 6.67) 4.99 (3.68 - 6.73) 0.748
North Central 4.78 (3.44 - 6.61) 4.72 (3.53 - 6.28) 0.940
Northeast 4.78 (3.43 - 6.63) 4.93 (3.68 - 6.58) 0.862
Northwest 4.65 (3.33 - 6.46) 4.69 (3.46 - 6.33) 0.963
Southeast 5.36 (3.83 - 7.45) 5.48 (4.06 - 7.35) 0.904
Southwest 4.74 (3.38 - 6.62) 5.02 (3.75 - 6.70) 0.750
West 4.71 (3.43 - 6.43) 5.32 (4.06 - 6.94) 0.469
Iowa 4.14 (3.37 - 5.07) 4.17 (3.49 - 4.98) 0.946
Central 4.08 (2.95 - 5.63) 4.06 (3.10 - 5.30) 0.972
North Central 3.70 (2.68 - 5.10) 4.39 (3.37 - 5.69) 0.311
Northeast 4.07 (3.04 - 5.44) 4.28 (3.24 - 5.64) 0.778
Northwest 3.60 (2.64 - 4.90) 3.61 (2.67 - 4.87) 0.986
Southeast 4.58 (3.36 - 6.21) 4.50 (3.43 - 5.88) 0.912
Southwest 4.76 (3.39 - 6.64) 4.01 (2.95 - 5.43) 0.345
Kansas 3.57 (2.86 - 4.45) 4.20 (3.51 - 5.01) 0.182
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 4.30 (3.49 - 5.28) 5.06 (4.26 - 6.00) 0.169
Adanta, Cumberland River, and Lifeskills 4.62 (3.39 - 6.27) 5.99 (4.52 - 7.90) 0.132
Bluegrass, Comprehend, and North Key 4.41 (3.29 - 5.90) 4.66 (3.57 - 6.05) 0.754
Centerstone 3.84 (2.79 - 5.26) 4.36 (3.34 - 5.67) 0.463
Communicare and River Valley 4.47 (3.16 - 6.28) 4.81 (3.53 - 6.51) 0.678
Four Rivers and Pennyroyal 4.10 (2.95 - 5.68) 5.27 (3.90 - 7.08) 0.163
Kentucky River, Mountain, and Pathways 4.39b (3.16 - 6.06) 6.20 (4.60 - 8.30) 0.062
Louisiana 3.82 (3.09 - 4.71) 4.48 (3.75 - 5.33) 0.177
Regions 1 and 10 -- (-- - --) 4.54 (3.58 - 5.74) --
Region 1 -- (-- - --) 4.35 (3.24 - 5.81) --
Region 10 (Jefferson) 3.53 (2.50 - 4.96) 4.75 (3.51 - 6.40) 0.119
Regions 2 and 9 3.86 (2.89 - 5.13) 3.94 (3.02 - 5.11) 0.895
Region 3 -- (-- - --) 4.40 (3.28 - 5.88) --
Regions 4, 5, and 6 4.38 (3.23 - 5.92) 4.95 (3.75 - 6.50) 0.469
Regions 7 and 8 3.48 (2.53 - 4.76) 4.56 (3.45 - 6.01) 0.124
Maine 4.02 (3.29 - 4.91) 4.65 (3.89 - 5.54) 0.227
Aroostook/Downeast 3.86b (2.78 - 5.33) 5.27 (4.07 - 6.79) 0.078
Aroostook -- (-- - --) 5.05 (3.72 - 6.82) --
Downeast -- (-- - --) 5.44 (3.91 - 7.52) --
Central 4.16 (2.96 - 5.81) 5.16 (3.80 - 6.96) 0.250
Cumberland 4.06 (2.98 - 5.52) 4.14 (3.10 - 5.51) 0.920
Midcoast 3.79 (2.69 - 5.31) 4.71 (3.48 - 6.35) 0.248
Penquis 4.12 (3.02 - 5.61) 4.86 (3.63 - 6.47) 0.339
Western 4.34 (3.18 - 5.90) 4.81 (3.60 - 6.40) 0.563
York 3.75 (2.72 - 5.16) 4.05 (2.99 - 5.46) 0.677
Maryland 3.39 (2.67 - 4.30) 3.40 (2.85 - 4.05) 0.989
Anne Arundel 3.40 (2.36 - 4.87) 3.72 (2.81 - 4.90) 0.629
Baltimore City 3.55 (2.52 - 4.98) 3.49 (2.58 - 4.71) 0.931
Baltimore County 3.36 (2.33 - 4.82) 3.54 (2.65 - 4.72) 0.777
Montgomery 3.06 (2.17 - 4.31) 3.05 (2.28 - 4.07) 0.985
North Central 3.37 (2.38 - 4.76) 3.39 (2.50 - 4.59) 0.973
Northeast 3.82 (2.70 - 5.37) 3.74 (2.75 - 5.07) 0.906
Prince George's 3.01 (2.15 - 4.22) 2.75 (2.05 - 3.68) 0.603
South 3.70 (2.61 - 5.21) 3.73 (2.77 - 5.00) 0.967
West 3.75 (2.62 - 5.33) 3.82 (2.86 - 5.08) 0.914
Massachusetts 3.91 (3.16 - 4.84) 4.21 (3.54 - 5.01) 0.533
Boston 4.01 (2.90 - 5.51) 4.76 (3.62 - 6.24) 0.313
Central 3.92 (2.80 - 5.46) 4.20 (3.13 - 5.61) 0.696
Metrowest 3.53 (2.58 - 4.80) 3.83 (2.91 - 5.03) 0.624
Northeast 3.70 (2.65 - 5.15) 4.19 (3.20 - 5.46) 0.498
Southeast 4.09 (2.97 - 5.61) 4.19 (3.13 - 5.58) 0.897
Western 4.56 (3.30 - 6.26) 4.43 (3.32 - 5.89) 0.873
Michigan1 4.20 (3.69 - 4.77) 4.34 (3.81 - 4.95) 0.661
Region 1 4.12 (3.07 - 5.49) 4.72 (3.53 - 6.28) 0.410
Region 2 -- (-- - --) 4.55 (3.44 - 6.00) --
Region 3 -- (-- - --) 4.47 (3.52 - 5.65) --
Region 4 -- (-- - --) 5.04 (3.93 - 6.44) --
Region 5 -- (-- - --) 4.87 (3.92 - 6.04) --
Region 6 -- (-- - --) 4.11 (3.17 - 5.32) --
Region 7 -- (-- - --) 3.70 (2.89 - 4.74) --
Region 8 3.78 (2.90 - 4.90) 3.82 (2.93 - 4.96) 0.942
Region 9 4.51 (3.46 - 5.86) 4.19 (3.22 - 5.45) 0.633
Region 10 -- (-- - --) 4.69 (3.56 - 6.15) --
Minnesota 4.22 (3.40 - 5.23) 4.32 (3.67 - 5.09) 0.839
Regions 1 and 2 4.43 (3.15 - 6.20) 4.58 (3.59 - 5.83) 0.839
Region 1 -- (-- - --) 4.39 (3.24 - 5.92) --
Region 2 -- (-- - --) 4.69 (3.48 - 6.30) --
Regions 3 and 4 4.71 (3.43 - 6.43) 4.52 (3.61 - 5.64) 0.798
Region 3 -- (-- - --) 4.46 (3.29 - 6.01) --
Region 4 -- (-- - --) 4.55 (3.48 - 5.93) --
Regions 5 and 6 4.08 (2.97 - 5.58) 4.44 (3.51 - 5.59) 0.626
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) 3.88 (2.83 - 5.31) 4.50 (3.47 - 5.82) 0.359
Region 7B (Ramsey) 4.07 (2.93 - 5.64) 4.49 (3.37 - 5.96) 0.570
Region 7C 4.25 (3.11 - 5.80) 3.70 (2.81 - 4.88) 0.424
Mississippi 3.63 (2.88 - 4.58) 4.09 (3.38 - 4.94) 0.356
Region 1 4.04 (2.88 - 5.65) 4.51 (3.42 - 5.92) 0.549
Region 2 3.36 (2.38 - 4.74) 3.77 (2.74 - 5.16) 0.547
Region 3 3.45 (2.47 - 4.82) 4.04 (2.99 - 5.43) 0.380
Region 4 3.36 (2.43 - 4.63) 3.30 (2.41 - 4.49) 0.924
Region 5 3.42 (2.41 - 4.84) 4.37 (3.10 - 6.14) 0.211
Region 6 4.03 (2.88 - 5.62) 4.54 (3.35 - 6.13) 0.511
Region 7 3.59 (2.51 - 5.11) 4.31 (3.20 - 5.78) 0.335
Missouri 4.38 (3.52 - 5.43) 4.52 (3.81 - 5.35) 0.790
Central 4.36 (3.13 - 6.05) 4.56 (3.42 - 6.06) 0.797
Eastern 4.15 (3.19 - 5.39) 4.16 (3.36 - 5.15) 0.984
Eastern (St. Louis City and County) 3.65 (2.67 - 4.97) 4.09 (3.11 - 5.35) 0.508
Eastern (excluding St. Louis) 5.05 (3.63 - 6.98) 4.30 (3.27 - 5.63) 0.347
Northwest 4.03 (3.06 - 5.29) 4.32 (3.43 - 5.43) 0.633
Northwest (Jackson) 3.81 (2.70 - 5.34) 4.03 (3.02 - 5.37) 0.745
Northwest (excluding Jackson) 4.22 (3.03 - 5.85) 4.56 (3.43 - 6.04) 0.648
Southeast 4.82 (3.48 - 6.64) 5.73 (4.29 - 7.61) 0.337
Southwest 5.14 (3.69 - 7.10) 4.67 (3.51 - 6.20) 0.595
Montana 4.36 (3.54 - 5.37) 4.88 (4.10 - 5.78) 0.338
Region 1 3.68 (2.63 - 5.14) 4.48 (3.31 - 6.05) 0.276
Region 2 4.09 (2.96 - 5.61) 4.92 (3.68 - 6.55) 0.289
Region 3 4.05 (2.96 - 5.51) 4.45 (3.43 - 5.76) 0.569
Region 4 4.40 (3.32 - 5.83) 4.60 (3.55 - 5.95) 0.777
Region 5 4.82 (3.59 - 6.45) 5.47 (4.26 - 7.01) 0.434
Nebraska 3.84 (3.13 - 4.70) 4.36 (3.67 - 5.16) 0.264
Regions 1 and 2 3.70 (2.78 - 4.90) 4.25 (3.29 - 5.49) 0.360
Region 1 3.56 (2.53 - 5.00) 4.26 (3.10 - 5.83) 0.315
Region 2 3.81 (2.68 - 5.40) 4.25 (3.10 - 5.79) 0.570
Region 3 4.11 (3.01 - 5.58) 4.37 (3.31 - 5.76) 0.707
Region 4 3.77 (2.76 - 5.14) 4.02 (2.97 - 5.42) 0.713
Region 5 3.72 (2.75 - 5.02) 3.89 (2.93 - 5.13) 0.801
Region 6 3.88 (2.97 - 5.06) 4.75 (3.75 - 6.01) 0.186
Nevada1 4.46 (3.51 - 5.64) 4.50 (3.72 - 5.44) 0.940
Clark – Region 1 4.47 (3.39 - 5.87) 4.37 (3.49 - 5.47) 0.892
Region 3 4.37 (3.10 - 6.13) 4.45 (3.47 - 5.69) 0.920
Capital District -- (-- - --) 4.27 (3.12 - 5.84) --
Rural/Frontier -- (-- - --) 4.61 (3.42 - 6.19) --
Washoe – Region 2 4.46 (3.22 - 6.14) 5.14 (3.91 - 6.74) 0.406
New Hampshire 4.24a (3.41 - 5.27) 5.52 (4.63 - 6.57) 0.029
Central 4.50b (3.45 - 5.87) 5.90 (4.75 - 7.31) 0.059
Central 1 4.60b (3.33 - 6.32) 6.19 (4.79 - 7.96) 0.080
Central 2 4.41 (3.17 - 6.11) 5.62 (4.26 - 7.38) 0.171
Northern 4.37 (3.13 - 6.07) 5.40 (4.06 - 7.15) 0.215
Southern 4.08b (3.17 - 5.25) 5.36 (4.37 - 6.56) 0.052
Southern 1 (Rockingham) 3.87 (2.84 - 5.27) 4.71 (3.56 - 6.22) 0.241
Southern 2 4.22b (3.13 - 5.65) 5.77 (4.54 - 7.31) 0.055
New Jersey 3.50 (2.79 - 4.37) 3.74 (3.15 - 4.43) 0.593
Central 3.39 (2.42 - 4.73) 3.79 (2.93 - 4.90) 0.527
Metropolitan 3.28 (2.40 - 4.47) 3.38 (2.57 - 4.42) 0.864
Northern 3.40 (2.51 - 4.58) 3.74 (2.92 - 4.76) 0.567
Southern 3.99 (2.92 - 5.44) 4.09 (3.14 - 5.30) 0.886
New Mexico 3.42a (2.71 - 4.31) 4.41 (3.67 - 5.30) 0.046
Region 1 3.56 (2.58 - 4.91) 4.32 (3.21 - 5.79) 0.284
Region 2 3.29 (2.31 - 4.66) 4.25 (3.09 - 5.80) 0.167
Region 3 (Bernalillo) 3.29b (2.40 - 4.51) 4.47 (3.44 - 5.79) 0.077
Region 4 3.54b (2.50 - 4.99) 4.83 (3.59 - 6.46) 0.083
Region 5 3.53 (2.53 - 4.90) 4.29 (3.36 - 5.45) 0.253
Region 5a -- (-- - --) 4.28 (3.14 - 5.79) --
Region 5b (Dona Ana) -- (-- - --) 4.29 (3.18 - 5.78) --
New York1 3.75 (3.25 - 4.32) 3.97 (3.48 - 4.52) 0.524
Region 1: Long Island 3.23 (2.46 - 4.23) 3.54 (2.77 - 4.52) 0.555
Region 2: New York City 3.60 (3.01 - 4.31) 3.84 (3.26 - 4.53) 0.556
Region 2A: Bronx 3.36 (2.50 - 4.50) 3.77 (2.85 - 4.96) 0.495
Region 2B: Kings -- (-- - --) 3.84 (2.97 - 4.94) --
Region 2C: New York 3.74 (2.78 - 5.00) 4.50 (3.48 - 5.79) 0.272
Region 2D: Queens 3.44 (2.58 - 4.56) 3.34 (2.54 - 4.37) 0.864
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 Carolina1 3.59a (2.86 - 4.49) 4.71 (4.03 - 5.49) 0.030
Alliance Behavioral Healthcare 1 -- (-- - --) 4.44 (3.37 - 5.83) --
Alliance Behavioral Healthcare 2 -- (-- - --) 4.06 (3.05 - 5.38) --
Cardinal Innovations Healthcare Solutions 1 -- (-- - --) 4.83 (3.61 - 6.44) --
Cardinal Innovations Healthcare Solutions 2 -- (-- - --) 4.58 (3.39 - 6.17) --
Cardinal Innovations Healthcare Solutions 3 3.30 (2.35 - 4.62) 4.29 (3.24 - 5.66) 0.153
CenterPoint Human Services 3.43b (2.39 - 4.91) 4.74 (3.52 - 6.36) 0.087
Eastpointe 3.49 (2.48 - 4.89) 4.58 (3.40 - 6.15) 0.153
Partners Behavioral Health Management 4.04 (2.85 - 5.69) 5.34 (4.02 - 7.07) 0.126
Sandhills Center 1 3.93 (2.75 - 5.59) 4.98 (3.67 - 6.73) 0.201
Sandhills Center 2 3.41 (2.38 - 4.86) 4.28 (3.16 - 5.77) 0.240
Smoky Mountain Center 1 3.98b (2.80 - 5.61) 5.45 (4.04 - 7.30) 0.099
Smoky Mountain Center 2 3.80 (2.67 - 5.38) 5.01 (3.72 - 6.71) 0.132
Trillium Health Resources 1 3.57 (2.51 - 5.07) 4.78 (3.56 - 6.40) 0.128
Trillium Health Resources 2 3.87 (2.70 - 5.53) 4.98 (3.71 - 6.64) 0.169
North Dakota 3.26 (2.60 - 4.07) 3.90 (3.28 - 4.64) 0.128
Badlands and West Central 3.07 (2.21 - 4.25) 3.45 (2.71 - 4.39) 0.496
Badlands -- (-- - --) 3.94 (2.91 - 5.29) --
West Central -- (-- - --) 3.31 (2.48 - 4.39) --
Lake Region -- (-- - --) 3.67 (2.67 - 5.03) --
North Central -- (-- - --) 4.08 (3.08 - 5.38) --
Northeast 3.30a (2.41 - 4.48) 4.55 (3.47 - 5.95) 0.042
Northwest -- (-- - --) 4.05 (2.98 - 5.48) --
South Central -- (-- - --) 3.73 (2.72 - 5.10) --
Southeast 3.46 (2.57 - 4.63) 4.02 (3.15 - 5.12) 0.340
Ohio 4.32a (3.79 - 4.93) 5.11 (4.52 - 5.77) 0.043
Boards 2, 46, 55, and 68 4.31 (3.21 - 5.76) 5.20 (3.93 - 6.85) 0.257
Boards 3, 52, and 85 4.47 (3.29 - 6.05) 4.84 (3.61 - 6.46) 0.643
Boards 4 and 78 4.45 (3.26 - 6.05) 5.57 (4.16 - 7.42) 0.188
Boards 5 and 60 4.73b (3.54 - 6.30) 6.16 (4.76 - 7.94) 0.085
Boards 7, 15, 41, 79, and 84 4.49b (3.40 - 5.90) 5.91 (4.47 - 7.79) 0.082
Boards 8, 13, and 83 4.58 (3.41 - 6.14) 4.80 (3.66 - 6.27) 0.778
Board 9 (Butler) 4.76 (3.60 - 6.28) 5.09 (3.86 - 6.67) 0.672
Board 12 4.25 (3.16 - 5.69) 5.03 (3.83 - 6.57) 0.298
Boards 18 and 47 3.59b (2.77 - 4.64) 4.77 (3.74 - 6.06) 0.059
Boards 20, 32, 54, and 69 4.13 (3.04 - 5.58) 5.38 (4.10 - 7.02) 0.108
Boards 21, 39, 51, 70, and 80 4.50 (3.40 - 5.94) 5.15 (3.94 - 6.70) 0.404
Boards 22, 74, and 87 4.21 (3.13 - 5.65) 5.17 (3.93 - 6.76) 0.206
Boards 23 and 45 4.74 (3.51 - 6.36) 5.39 (4.18 - 6.93) 0.415
Board 25 (Franklin) 4.88 (3.74 - 6.33) 4.64 (3.65 - 5.89) 0.753
Boards 27, 71, and 73 5.06 (3.77 - 6.76) 6.44 (4.87 - 8.46) 0.142
Boards 28, 43, and 67 4.29 (3.28 - 5.61) 4.76 (3.62 - 6.24) 0.503
Board 31 (Hamilton) 4.09 (3.08 - 5.42) 4.83 (3.72 - 6.23) 0.285
Board 48 (Lucas) 4.20 (3.12 - 5.64) 5.29 (4.00 - 6.98) 0.156
Boards 50 and 76 4.54 (3.40 - 6.03) 5.05 (3.90 - 6.51) 0.513
Board 57 (Montgomery) 4.02 (3.06 - 5.28) 5.21 (3.95 - 6.84) 0.101
Board 77 (Summit) 3.92 (2.94 - 5.19) 4.83 (3.68 - 6.32) 0.182
Oklahoma 4.09 (3.29 - 5.07) 4.37 (3.68 - 5.19) 0.556
Central 4.08 (2.96 - 5.59) 4.54 (3.45 - 5.94) 0.532
East Central 4.32 (3.06 - 6.06) 4.57 (3.38 - 6.14) 0.744
Northeast 3.82 (2.69 - 5.41) 4.21 (3.15 - 5.62) 0.578
Northwest and Southwest 4.58 (3.23 - 6.44) 4.59 (3.46 - 6.07) 0.987
Oklahoma County 3.92 (2.85 - 5.36) 4.30 (3.24 - 5.68) 0.583
Southeast 4.27 (3.09 - 5.88) 4.59 (3.45 - 6.09) 0.673
Tulsa County 3.74 (2.69 - 5.19) 3.93 (2.95 - 5.22) 0.783
Oregon 4.53 (3.68 - 5.55) 5.10 (4.30 - 6.05) 0.307
Region 1 (Multnomah) 4.68 (3.43 - 6.38) 5.56 (4.29 - 7.17) 0.326
Region 2 4.04 (3.00 - 5.43) 4.46 (3.43 - 5.78) 0.537
Region 3 4.65 (3.48 - 6.19) 5.62 (4.41 - 7.13) 0.252
Region 4 4.84 (3.47 - 6.71) 4.70 (3.52 - 6.24) 0.868
Region 5 (Central) 4.76 (3.38 - 6.66) 4.73 (3.46 - 6.43) 0.972
Region 6 (Eastern) 4.24 (3.00 - 5.98) 4.66 (3.45 - 6.28) 0.617
Pennsylvania 3.60 (3.10 - 4.17) 4.08 (3.56 - 4.66) 0.177
Region 1 (Allegheny) 3.28a (2.50 - 4.28) 4.59 (3.55 - 5.92) 0.033
Regions 3, 8, 9, and 51 3.72 (2.79 - 4.94) 4.51 (3.43 - 5.92) 0.229
Regions 4, 11, 37, and 49 3.89 (2.93 - 5.17) 4.25 (3.24 - 5.57) 0.589
Regions 5, 18, 23, 24, and 46 4.07 (3.00 - 5.50) 4.48 (3.43 - 5.85) 0.561
Regions 6, 12, 16, 31, 35, 45, and 47 3.64 (2.72 - 4.85) 4.41 (3.39 - 5.73) 0.219
Regions 7, 13, 20, and 33 3.28 (2.52 - 4.26) 3.24 (2.53 - 4.15) 0.944
Regions 10, 15, 27, 32, 43, and 44 3.87 (2.88 - 5.18) 4.18 (3.14 - 5.56) 0.645
Regions 17 and 21 3.90 (2.88 - 5.26) 4.37 (3.33 - 5.72) 0.487
Regions 19, 26, 28, and 42 3.84 (2.88 - 5.09) 4.63 (3.60 - 5.94) 0.231
Regions 22, 38, 40, 41, and 48 3.62 (2.70 - 4.84) 3.82 (2.86 - 5.09) 0.754
Regions 29 and 34 3.49 (2.57 - 4.73) 3.64 (2.70 - 4.90) 0.806
Regions 30 and 50 3.78 (2.81 - 5.07) 4.05 (3.01 - 5.42) 0.690
Region 36 (Philadelphia) 3.43 (2.60 - 4.52) 4.04 (3.13 - 5.19) 0.318
Rhode Island 5.23 (4.15 - 6.59) 4.50 (3.75 - 5.40) 0.251
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 3.65 (2.91 - 4.56) 4.00 (3.31 - 4.82) 0.463
Region 1 -- (-- - --) 4.45 (3.40 - 5.82) --
Region 2 -- (-- - --) 4.00 (3.05 - 5.23) --
Region 3 3.39 (2.42 - 4.73) 3.76 (2.82 - 5.01) 0.565
Region 4 3.74 (2.73 - 5.12) 3.62 (2.77 - 4.71) 0.841
South Dakota 3.43 (2.76 - 4.27) 4.07 (3.38 - 4.90) 0.171
Region 1 -- (-- - --) 3.93 (2.97 - 5.17) --
Region 2 -- (-- - --) 3.95 (2.87 - 5.41) --
Region 3 -- (-- - --) 4.06 (3.10 - 5.30) --
Region 4 -- (-- - --) 4.21 (3.13 - 5.63) --
Region 5 -- (-- - --) 4.17 (3.18 - 5.46) --
Tennessee 3.87b (3.11 - 4.79) 4.81 (4.07 - 5.68) 0.059
Region 1 4.01 (2.84 - 5.65) 5.25 (3.85 - 7.12) 0.150
Region 2 4.03b (2.93 - 5.50) 5.45 (4.15 - 7.13) 0.083
Region 3 -- (-- - --) 4.97 (3.77 - 6.52) --
Region 4 (Davidson) 3.46b (2.49 - 4.78) 4.65 (3.44 - 6.26) 0.079
Region 5 -- (-- - --) 4.70 (3.62 - 6.09) --
Region 6 4.40 (3.15 - 6.11) 4.90 (3.70 - 6.46) 0.527
Region 7 (Shelby) 2.99 (2.16 - 4.12) 3.78 (2.82 - 5.07) 0.178
Texas 3.34 (2.89 - 3.85) 3.32 (2.91 - 3.78) 0.948
Region 1 3.57 (2.64 - 4.80) 3.62 (2.75 - 4.75) 0.929
Region 2 3.86 (2.88 - 5.16) 3.93 (2.95 - 5.21) 0.915
Region 3 3.54 (2.92 - 4.28) 3.12 (2.58 - 3.77) 0.283
Region 3a 3.47 (2.73 - 4.39) 3.07 (2.45 - 3.85) 0.389
Region 3bc 3.66 (2.79 - 4.78) 3.21 (2.51 - 4.10) 0.396
Region 4 3.93 (2.93 - 5.25) 4.03 (3.06 - 5.28) 0.884
Region 5 3.70 (2.72 - 5.02) 3.77 (2.82 - 5.03) 0.911
Region 6 2.96 (2.31 - 3.79) 3.43 (2.80 - 4.20) 0.311
Region 6a 2.87 (2.18 - 3.76) 3.45 (2.78 - 4.28) 0.242
Region 6bc 3.72 (2.74 - 5.04) 3.27 (2.44 - 4.37) 0.435
Region 7 3.56 (2.84 - 4.44) 3.50 (2.85 - 4.28) 0.884
Region 7a 3.45 (2.59 - 4.58) 3.27 (2.53 - 4.22) 0.732
Region 7bcd 3.74 (2.82 - 4.94) 3.89 (2.99 - 5.03) 0.797
Region 8 3.12 (2.34 - 4.16) 2.98 (2.32 - 3.81) 0.757
Region 9 3.52 (2.62 - 4.71) 3.41 (2.55 - 4.55) 0.846
Region 10 3.04 (2.24 - 4.12) 3.03 (2.25 - 4.07) 0.977
Region 11 3.06 (2.41 - 3.88) 3.06 (2.40 - 3.89) 0.997
Region 11abd 3.02 (2.26 - 4.02) 3.06 (2.28 - 4.08) 0.945
Region 11c (Hidalgo) 3.13 (2.31 - 4.23) 3.06 (2.27 - 4.10) 0.889
Utah 4.96 (4.08 - 6.03) 5.00 (4.26 - 5.86) 0.941
Bear River, Northeastern, Summit, Tooele, and Wasatch 5.47 (4.02 - 7.42) 5.21 (3.90 - 6.93) 0.765
Central, Four Corners, San Juan, and Southwest 4.87 (3.56 - 6.63) 4.95 (3.92 - 6.24) 0.920
Central, Four Corners, and San Juan -- (-- - --) 5.06 (3.76 - 6.78) --
Southwest -- (-- - --) 4.88 (3.65 - 6.49) --
Davis County 4.99 (3.66 - 6.75) 4.55 (3.42 - 6.03) 0.591
Salt Lake County 5.09 (3.88 - 6.66) 4.82 (3.87 - 6.00) 0.729
Utah County 4.39 (3.29 - 5.84) 5.64 (4.35 - 7.29) 0.106
Weber, Morgan 4.97 (3.59 - 6.85) 4.82 (3.64 - 6.36) 0.849
Vermont 3.95a (3.19 - 4.89) 5.25 (4.37 - 6.29) 0.021
Champlain Valley 3.63 (2.73 - 4.82) 4.49 (3.48 - 5.77) 0.181
Rural Northeast 4.69 (3.38 - 6.46) 6.27 (4.70 - 8.31) 0.106
Rural Southeast 3.77a (2.74 - 5.17) 5.55 (4.20 - 7.29) 0.029
Rural Southwest 3.88b (2.82 - 5.30) 5.25 (3.92 - 7.02) 0.087
Virginia 3.73 (3.00 - 4.62) 4.42 (3.79 - 5.16) 0.152
Region 1 4.09 (3.02 - 5.51) 4.44 (3.42 - 5.75) 0.607
Region 2 3.27 (2.37 - 4.50) 3.89 (3.02 - 5.00) 0.319
Region 3 4.22b (3.04 - 5.82) 5.91 (4.62 - 7.53) 0.052
Region 4 3.79 (2.74 - 5.23) 4.02 (3.10 - 5.20) 0.731
Region 5 3.59 (2.61 - 4.91) 4.25 (3.31 - 5.46) 0.335
Washington1 4.16 (3.37 - 5.12) 4.79 (4.02 - 5.69) 0.235
Region 1 4.31 (3.29 - 5.62) 5.08 (4.01 - 6.40) 0.267
Greater Columbia and North Central -- (-- - --) 4.88 (3.63 - 6.52) --
Spokane -- (-- - --) 5.36 (4.01 - 7.13) --
Region 2 3.79 (2.94 - 4.88) 4.53 (3.66 - 5.61) 0.205
King 3.53 (2.60 - 4.76) 4.38 (3.39 - 5.66) 0.188
North Sound 4.25 (3.10 - 5.80) 4.80 (3.64 - 6.30) 0.493
Region 3 4.57 (3.53 - 5.89) 4.96 (4.06 - 6.07) 0.552
Pierce -- (-- - --) 4.91 (3.74 - 6.43) --
Salish -- (-- - --) 4.87 (3.55 - 6.66) --
SW WA and Great Rivers -- (-- - --) 5.13 (3.80 - 6.90) --
Thurston-Mason -- (-- - --) 4.84 (3.56 - 6.55) --
West Virginia 4.83 (3.88 - 6.01) 5.40 (4.53 - 6.42) 0.366
Region I 4.09 (2.89 - 5.77) 5.08 (3.73 - 6.88) 0.251
Region II 5.31 (3.79 - 7.41) 4.78 (3.59 - 6.35) 0.565
Region III 5.06 (3.57 - 7.14) 6.10 (4.53 - 8.17) 0.324
Region IV 4.26 (3.05 - 5.93) 5.45 (4.17 - 7.10) 0.172
Region V 5.34 (3.92 - 7.23) 5.30 (3.98 - 7.03) 0.970
Region VI 4.54 (3.21 - 6.39) 5.73 (4.36 - 7.50) 0.204
Wisconsin 4.10 (3.32 - 5.06) 4.11 (3.44 - 4.90) 0.994
Milwaukee 4.36 (3.17 - 5.96) 4.31 (3.28 - 5.64) 0.943
Northeastern 4.16 (3.04 - 5.68) 3.93 (2.97 - 5.18) 0.742
Northern 4.10 (2.92 - 5.73) 4.02 (2.95 - 5.45) 0.914
Southeastern 3.80 (2.76 - 5.22) 3.88 (2.92 - 5.14) 0.901
Southern 4.02 (2.92 - 5.49) 4.27 (3.24 - 5.62) 0.719
Western 4.29 (3.16 - 5.81) 4.30 (3.21 - 5.74) 0.991
Wyoming 4.02 (3.26 - 4.96) 4.52 (3.84 - 5.31) 0.303
Judicial District 1 (Laramie) 3.95 (2.89 - 5.38) 4.53 (3.46 - 5.91) 0.405
Judicial District 2 4.15a (3.03 - 5.65) 5.56 (4.32 - 7.12) 0.049
Judicial District 3 4.10 (3.01 - 5.56) 5.26 (3.96 - 6.96) 0.141
Judicial District 4 4.10 (2.90 - 5.79) 4.11 (3.04 - 5.54) 0.990
Judicial District 5 3.64 (2.63 - 5.03) 3.92 (2.90 - 5.28) 0.683
Judicial District 6 4.50 (3.20 - 6.30) 4.02 (2.99 - 5.40) 0.537
Judicial District 7 (Natrona) 4.23 (3.06 - 5.82) 4.32 (3.25 - 5.71) 0.904
Judicial District 8 3.72 (2.65 - 5.21) 4.42 (3.23 - 6.02) 0.348
Judicial District 9 3.76 (2.67 - 5.26) 4.20 (3.12 - 5.63) 0.545
SPA = service planning area.
-- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2014-2016); hence, the 2008-2010 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 2008-2010 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 2008-2010 and 2014-2016 population percentages is statistically significant at the 0.05 level.
b Difference between the 2008-2010 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 (2008-2010 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, 2008-2010 and 2014-2016.
180416
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, 2008-2010 and 2014-2016 NSDUHs
State/Substate Region 2008-2010
(Estimate)
2008-2010
(95% Confidence
Interval)
2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
P Value
Total United States 17.96 (17.62 - 18.31) 18.09 (17.80 - 18.38) 0.597
Northeast 18.44 (17.74 - 19.17) 17.86 (17.27 - 18.47) 0.201
Midwest 18.45 (17.89 - 19.02) 18.21 (17.70 - 18.73) 0.510
South 17.39 (16.87 - 17.93) 17.81 (17.37 - 18.26) 0.220
West 18.00 (17.28 - 18.74) 18.61 (18.05 - 19.18) 0.187
Alabama 19.78 (17.70 - 22.03) 18.67 (17.00 - 20.47) 0.409
Region 1 21.27 (18.04 - 24.89) 18.67 (16.14 - 21.50) 0.211
Region 2 19.13 (16.33 - 22.29) 19.30 (16.71 - 22.18) 0.932
Region 3 19.11 (15.94 - 22.75) 17.70 (15.08 - 20.67) 0.507
Region 4 19.37 (16.24 - 22.93) 18.55 (15.79 - 21.68) 0.706
Alaska 17.72 (15.78 - 19.85) 19.50 (17.83 - 21.28) 0.154
Anchorage 18.42 (15.82 - 21.33) 20.85 (18.48 - 23.43) 0.184
Northern 16.80 (14.04 - 19.97) 19.15 (16.42 - 22.22) 0.215
South Central 17.07 (14.26 - 20.29) 17.61 (15.15 - 20.37) 0.765
Southeast 18.39 (15.08 - 22.23) 19.65 (16.34 - 23.45) 0.582
Arizona1 17.94 (15.86 - 20.23) 18.00 (16.31 - 19.81) 0.966
Central 18.00 (15.54 - 20.75) 17.50 (15.45 - 19.76) 0.763
North -- (-- - --) 17.74 (14.69 - 21.27) --
South -- (-- - --) 19.15 (16.72 - 21.84) --
South A 18.40 (15.17 - 22.12) 19.36 (16.31 - 22.83) 0.668
South B -- (-- - --) 18.90 (15.76 - 22.50) --
Arkansas 19.93 (17.94 - 22.09) 20.45 (18.70 - 22.32) 0.682
Catchment Area 1 19.13 (15.98 - 22.73) 20.16 (17.12 - 23.60) 0.640
Catchment Area 2 21.21 (17.67 - 25.24) 22.13 (18.58 - 26.14) 0.721
Catchment Area 3 20.16 (16.93 - 23.83) 20.69 (17.76 - 23.96) 0.808
Catchment Area 4 19.72 (16.23 - 23.75) 20.83 (17.55 - 24.55) 0.648
Catchment Area 5 20.63 (17.50 - 24.16) 20.98 (17.82 - 24.53) 0.878
Catchment Area 6 18.89 (15.47 - 22.85) 17.71 (14.66 - 21.22) 0.607
Catchment Area 7 19.21 (15.87 - 23.05) 19.38 (16.06 - 23.19) 0.942
Catchment Area 8 19.87 (16.77 - 23.40) 20.33 (17.29 - 23.74) 0.834
California 16.80 (15.69 - 17.97) 17.36 (16.55 - 18.19) 0.423
Region 1R 19.18 (16.24 - 22.52) 19.90 (17.09 - 23.04) 0.729
Region 2R 19.08 (16.14 - 22.40) 18.71 (16.04 - 21.70) 0.857
Region 3R (Sacramento) 18.09 (15.20 - 21.39) 18.00 (15.58 - 20.71) 0.965
Region 4R 16.99 (14.27 - 20.11) 15.82 (13.45 - 18.51) 0.517
Region 5R (San Francisco) 19.23 (16.10 - 22.80) 19.19 (16.19 - 22.60) 0.986
Region 6 (Santa Clara) 15.12 (12.68 - 17.93) 15.66 (13.58 - 17.99) 0.739
Region 7R (Contra Costa) 15.44 (12.81 - 18.49) 18.15 (15.59 - 21.03) 0.142
Region 8R (Alameda) 16.22 (13.66 - 19.15) 18.91 (16.28 - 21.86) 0.159
Region 9R (San Mateo) 15.40 (12.76 - 18.46) 15.81 (13.26 - 18.75) 0.829
Region 10 17.77 (14.92 - 21.03) 17.18 (14.56 - 20.16) 0.765
Region 11 (Los Angeles) 16.27 (14.86 - 17.79) 17.09 (15.92 - 18.33) 0.373
LA SPA 1 and 5 16.85 (14.08 - 20.04) 19.27 (16.28 - 22.65) 0.227
LA SPA 2 17.29 (14.63 - 20.31) 18.11 (15.64 - 20.87) 0.656
LA SPA 3 14.91 (12.50 - 17.68) 14.79 (12.59 - 17.30) 0.943
LA SPA 4 17.43 (14.66 - 20.60) 19.41 (16.47 - 22.74) 0.334
LA SPA 6 15.72 (13.25 - 18.55) 15.66 (13.39 - 18.24) 0.974
LA SPA 7 15.11 (12.56 - 18.06) 15.10 (12.82 - 17.70) 0.996
LA SPA 8 16.41 (13.83 - 19.37) 17.43 (14.95 - 20.22) 0.574
Region 12R 18.87 (15.64 - 22.60) 17.85 (15.23 - 20.82) 0.631
Regions 13 and 19R 16.16 (13.78 - 18.86) 17.21 (15.11 - 19.54) 0.509
Region 14 (Orange) 17.20 (14.76 - 19.95) 16.28 (14.14 - 18.68) 0.591
Region 15R (Fresno) 16.01 (13.34 - 19.09) 17.95 (15.33 - 20.90) 0.303
Region 16R (San Diego) 16.94 (14.67 - 19.48) 18.00 (15.94 - 20.27) 0.501
Region 17R 16.19 (13.71 - 19.03) 17.67 (15.37 - 20.24) 0.389
Region 18R (San Bernardino) 17.13 (14.70 - 19.87) 16.94 (14.77 - 19.36) 0.908
Region 20R 16.07 (13.40 - 19.16) 18.72 (16.00 - 21.77) 0.176
Region 21R 17.64 (14.82 - 20.86) 16.57 (14.10 - 19.37) 0.570
Colorado 18.30 (16.29 - 20.49) 20.16 (18.38 - 22.07) 0.171
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 17.84 (15.88 - 20.00) 17.51 (15.86 - 19.30) 0.784
Eastern 19.21 (15.99 - 22.91) 20.08 (17.09 - 23.45) 0.690
North Central 16.53 (13.76 - 19.73) 17.68 (15.12 - 20.58) 0.555
Northwestern 17.41 (14.47 - 20.80) 16.96 (14.31 - 19.99) 0.819
South Central 19.63 (16.47 - 23.23) 17.42 (14.76 - 20.43) 0.293
Southwest 17.06 (14.11 - 20.48) 16.22 (13.49 - 19.38) 0.676
Delaware 18.22 (16.22 - 20.42) 18.62 (16.84 - 20.55) 0.757
Kent 18.93 (15.78 - 22.54) 18.71 (15.91 - 21.87) 0.915
New Castle (excluding Wilmington City) 18.52 (15.99 - 21.34) 18.86 (16.61 - 21.35) 0.838
Sussex 16.87 (13.92 - 20.30) 17.85 (14.96 - 21.15) 0.641
Wilmington City 18.50 (15.13 - 22.43) 19.14 (15.62 - 23.23) 0.795
District of Columbia 18.42 (16.46 - 20.55) 18.97 (17.37 - 20.69) 0.656
Ward 1 19.15 (16.11 - 22.61) 20.50 (17.42 - 23.97) 0.520
Ward 2 20.21 (17.03 - 23.82) 22.79 (19.53 - 26.41) 0.238
Ward 3 20.03 (16.90 - 23.58) 19.87 (16.82 - 23.33) 0.942
Ward 4 16.38 (13.39 - 19.88) 16.44 (13.82 - 19.45) 0.975
Ward 5 17.03 (13.89 - 20.70) 16.60 (13.91 - 19.68) 0.834
Ward 6 19.29 (16.07 - 22.99) 20.73 (17.82 - 23.97) 0.516
Ward 7 17.22 (14.19 - 20.73) 15.68 (13.11 - 18.64) 0.445
Ward 8 17.11 (14.08 - 20.64) 18.14 (15.19 - 21.52) 0.625
Florida1 16.87 (15.80 - 18.01) 16.87 (15.82 - 17.96) 0.990
Broward (Circuit 17) 14.55 (12.36 - 17.05) 14.58 (12.36 - 17.12) 0.985
Central I -- (-- - --) 17.46 (15.65 - 19.44) --
Circuit 9 17.34 (14.86 - 20.14) 17.64 (15.34 - 20.21) 0.861
Circuit 18 16.72 (14.14 - 19.66) 17.20 (14.65 - 20.08) 0.799
Central II -- (-- - --) 16.92 (15.50 - 18.45) --
Circuit 6 18.07 (15.43 - 21.05) 17.12 (14.64 - 19.93) 0.607
Circuit 10 18.89 (15.86 - 22.34) 16.74 (14.20 - 19.64) 0.305
Circuit 12 19.47 (16.15 - 23.28) 15.83 (13.14 - 18.94) 0.101
Circuit 13 (Hillsborough) 17.30 (14.85 - 20.07) 18.28 (15.70 - 21.18) 0.598
Circuit 20 16.52 (13.98 - 19.41) 16.11 (13.52 - 19.08) 0.824
Northeast -- (-- - --) 17.09 (15.47 - 18.84) --
Circuit 4 18.83 (15.91 - 22.15) 16.77 (14.28 - 19.60) 0.298
Circuit 5 16.50 (14.05 - 19.28) 16.70 (14.06 - 19.71) 0.916
Circuit 7 17.65 (14.91 - 20.77) 17.24 (14.45 - 20.45) 0.843
Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee -- (-- - --) 18.28 (15.44 - 21.50) --
Northwest -- (-- - --) 19.14 (17.19 - 21.25) --
Circuit 1 17.41 (14.70 - 20.49) 18.85 (16.08 - 21.98) 0.476
Circuit 2 plus Madison and Taylor -- (-- - --) 19.19 (16.34 - 22.42) --
Circuit 14 20.01 (16.74 - 23.73) 19.72 (16.46 - 23.44) 0.899
South (Circuits 11 and 16) 14.72 (12.68 - 17.03) 15.80 (13.72 - 18.13) 0.477
Southeast -- (-- - --) 17.42 (15.26 - 19.81) --
Circuit 15 (Palm Beach) 16.12 (13.61 - 18.99) 17.28 (14.63 - 20.29) 0.541
Circuit 19 16.88 (14.08 - 20.10) 17.73 (14.69 - 21.24) 0.697
Georgia 15.96 (14.14 - 17.97) 17.60 (16.23 - 19.07) 0.152
Region 1 16.80 (14.16 - 19.81) 17.10 (14.84 - 19.61) 0.868
Region 2 16.07 (13.25 - 19.36) 18.60 (16.00 - 21.51) 0.196
Region 3 15.26 (12.75 - 18.16) 16.22 (14.16 - 18.52) 0.573
Region 4 16.56 (13.53 - 20.10) 20.13 (16.97 - 23.70) 0.102
Region 5 15.59 (12.76 - 18.92) 18.72 (15.82 - 22.01) 0.132
Region 6 15.91 (13.00 - 19.32) 18.56 (15.77 - 21.72) 0.203
Hawaii 17.32 (15.39 - 19.42) 15.44 (13.86 - 17.16) 0.129
Hawaii Island 19.00 (15.72 - 22.79) 16.86 (14.06 - 20.07) 0.333
Honolulu 16.98 (14.80 - 19.40) 14.84 (13.06 - 16.83) 0.134
Kauai 16.72 (13.41 - 20.66) 15.50 (12.64 - 18.86) 0.583
Maui 17.64 (14.55 - 21.23) 17.49 (14.53 - 20.89) 0.941
Idaho 20.99 (19.02 - 23.10) 21.64 (19.90 - 23.49) 0.596
Region 1 20.70 (17.21 - 24.69) 20.82 (17.56 - 24.51) 0.959
Region 2 19.60 (16.23 - 23.47) 20.38 (17.02 - 24.20) 0.731
Region 3 21.80 (18.57 - 25.43) 21.83 (18.69 - 25.34) 0.989
Region 4 21.36 (18.44 - 24.61) 22.83 (20.08 - 25.83) 0.464
Region 5 20.40 (17.08 - 24.17) 20.83 (17.67 - 24.38) 0.850
Region 6 -- (-- - --) 21.83 (18.40 - 25.71) --
Region 7 -- (-- - --) 21.08 (18.05 - 24.48) --
Illinois 16.79 (15.66 - 17.98) 15.89 (14.80 - 17.04) 0.260
Region 1 (Cook) 16.44 (14.72 - 18.31) 15.00 (13.66 - 16.45) 0.197
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 15.82 (14.19 - 17.59) 15.67 (14.27 - 17.18) 0.896
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 18.55 (16.37 - 20.96) 18.25 (16.02 - 20.71) 0.849
Region 3a (Champaign) -- (-- - --) 18.87 (16.09 - 22.01) --
Region 3b -- (-- - --) 18.14 (15.65 - 20.93) --
Region 4 17.59 (15.14 - 20.33) 16.93 (14.74 - 19.38) 0.697
Region 4a (Sangamon) -- (-- - --) 17.45 (14.48 - 20.87) --
Region 4b -- (-- - --) 16.79 (14.22 - 19.71) --
Region 5 18.81 (16.45 - 21.41) 16.80 (14.74 - 19.07) 0.201
Region 5a -- (-- - --) 17.06 (14.25 - 20.28) --
Region 5b -- (-- - --) 16.59 (13.95 - 19.62) --
Indiana 19.57 (17.57 - 21.73) 20.06 (18.36 - 21.87) 0.710
Central 19.86 (16.87 - 23.23) 18.32 (15.75 - 21.21) 0.446
East 18.76 (15.40 - 22.66) 19.96 (16.69 - 23.68) 0.618
North Central 19.33 (16.17 - 22.95) 20.52 (17.54 - 23.86) 0.593
Northeast 19.14 (15.80 - 23.01) 20.41 (17.19 - 24.06) 0.594
Northwest 19.05 (15.74 - 22.86) 19.53 (16.28 - 23.25) 0.839
Southeast 20.06 (16.71 - 23.89) 21.87 (18.42 - 25.76) 0.455
Southwest 19.42 (16.07 - 23.27) 20.60 (17.21 - 24.45) 0.621
West 20.40 (17.29 - 23.91) 21.73 (18.47 - 25.38) 0.554
Iowa 18.17 (16.38 - 20.10) 17.47 (15.94 - 19.12) 0.543
Central 18.59 (15.68 - 21.90) 17.69 (15.08 - 20.65) 0.648
North Central 17.56 (14.65 - 20.92) 17.63 (15.01 - 20.58) 0.975
Northeast 17.15 (14.53 - 20.13) 17.94 (15.40 - 20.80) 0.673
Northwest 16.85 (14.03 - 20.10) 16.00 (13.40 - 19.00) 0.666
Southeast 19.89