NSDUH State Releases
The National Survey on Drug Use and Health (NSDUH) releases state estimates for a limited number of substance use and mental health measures. They are generally based on two years of combined data and cover each state and the District of Columbia.
Most state estimates are based on a small area estimation (SAE) methodology, in which state-level NSDUH data are combined with county and sub-county level census data from the state. The Guide to State Tables and Summary of Small Area Estimates Methodology Report explains the methodological details.
You can find the state estimates in a number of formats: data tables, reports, and maps. These resources are generally released annually, although the 2019-2020 estimates are not available due to the impact of the Coronavirus-2019 (COVID-19) pandemic on survey methodology.
Check out the additional resources and tools below:
- Interactive NSDUH State Estimates: An online data tool that displays the prevalence of mental health or substance use issues within different geographic areas using model-based estimates
- Behavioral Health Barometer Reports: Provide a variety of estimates related to mental health and substance use using NSDUH data for each state, HHS region, and the United States
- NSDUH Small Area Estimation Dataset (1999-2019 SAS dataset and Data Documentation): A single file with each year’s small area estimates, associated confidence intervals, and other key statistics.
State Data Tables and Reports from the 2022-2023 NSDUH
Find reports and tables for U.S. states based on small area estimation of the 2022-2023 National Surveys on Drug Use and Health (NSDUH). Estimates are available in a variety of formats.
Jump to release sections below:
Overview of Indicators in the Tables
Use this list of topics and measures to confirm that data meets your needs.
Indicators Included in the Tables
Drug Use and Perceived Risk
- Illicit Drug Use in the Past Month
- Marijuana Use in the Past Year
- Marijuana Use in the Past Month
- Perceptions of Great Risk from Smoking Marijuana Once a Month
- First Use of Marijuana in the Past Year (among those at risk for initiation)
- Illicit Drug Use Other than Marijuana in the Past Month
- Cocaine Use in the Past Year
- Perceptions of Great Risk from using Cocaine Once a Month
- Heroin Use in the Past Year
- Perceptions of Great Risk from Trying Heroin Once or Twice
- Hallucinogen Use in the Past Year
- Methamphetamine Use in the Past Year
- Prescription Pain Reliever Misuse in the Past Year
- Opiod Misuse in the Past Year
Alcohol
- Alcohol Use in the Past Month
- Binge Alcohol Use in the Past Month
- Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic Beverage Once or Twice a Week
- Alcohol Use, Binge Alcohol Use in the Past Month, and Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic Beverage Once or Twice a Week (among people aged 12 to 20)
Tobacco
- Tobacco Product Use in the Past Month
- Cigarette Use in the Past Month
- Nicotine Vaping in the Past Month
- Perceptions of Great Risk from Smoking One or More Packs of Cigarettes per Day
- Tobacco Product Use in the Past Month and Cigarette Use in the Past Month (among people aged 12 to 20)
Substance Use Disorders in the Past Year
- Substance Use Disorder
- Alcohol Use Disorder
- Alcohol Use Disorder (among people aged 12 to 20)
- Drug Use Disorder
- Pain Reliever Use Disorder
- Opioid Use Disorder
Substance Use Treatment in the Past Year
- Received Substance Use Treatment
- Classified as Needing Substance Use Treatment
- Did Not Receive Substance Use Treatment among those Classified as Needing Substance Use Treatment
Mental Illness in the Past Year
- Any Mental Illness
- Serious Mental Illness
- Co-occurring Substance Use Disorder and Any Mental Illness
- Co-occurring Substance Use Disorder and Serious Mental Illness
- Received Mental Health Services
- Major Depressive Episode
Suicidality in the Past Year
- Had Serious Thoughts of Suicide
- Made Any Suicide Plans
- Attempted Suicide
NSDUH State Result Data Tables
The 2022-2023 NSDUH state data tables provide estimates for 38 measures of substance use and mental health by age group across 41 tables. The estimates are based on a small area estimation (SAE) methodology, in which state-level NSDUH survey data of the civilian, noninstitutionalized population aged 12 or older are combined with multiple sources of local data. The age groups available are 12 or older, 12 to 17, 18 or older, 18 to 25, and 26 or older, as well as 12 to 20 for some measures.
The State-Level Prevalence Estimates provide a percentage estimate and 95% confidence interval for each measure by age group.
The Estimated Totals By State provide the estimated total number of people in thousands and a 95% confidence interval for each measure by age group.
The State-Specific Tables provide the measures grouped by state, rather than by measure and age group.
Comparisons for NSDUH State Prevalence Estimates
Comparison tables allow users to determine if apparent differences across time and geography are statistically significant.
Tables allowing comparison between states, as well as regional comparisons, are available as P-Value Tables. A Methodology Guide is also available to help users interpret the tables.
A report on recent changes compares 2021-2022 and 2022-2023 percentage estimates by age group and also includes p-values.
NSDUH State Result Maps
The Interactive NSDUH State Estimates is an online data tool that displays the prevalence data in a user-friendly format. Use this tool to compare between areas, look at older estimates, or compare the data for related issues. Differences in color do not indicate that the estimates are significantly different.
State and Regional Methodology Reports
The 2022-2023 NSDUH: Guide to State Tables and Summary of Small Area Estimation Methodology Report is a guide to the development and presentation of the 2022-2023 state estimates. A summary of the methodology is included, as well as sample sizes, response rates, and population estimates.
Last Updated: 2/25/2025