Comparison of the 2008-2010 and 2010-2012 Model-Based Substate Estimates, SAMHSA, CBHSQ

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Table 1 – *Illicit Drug Use in the Past Month* among Persons Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2008-2010 and 2010-2012 NSDUHs
State/Substate Region	2008-2010 (Estimate)	2008-2010 (95% Confidence Interval)	2010-2012 (Estimate)	2010-2012 (95% Confidence Interval)	P Value
ECBH = East Carolina Behavioral Health; SPA = service planning area. -- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2010-2012); 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 "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. 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 posterior probability of no change between the 2008-2010 and 2010-2012 estimates. The "Total U.S." estimates, along with the 95 percent confidence intervals and p values, are based on design-based (direct) estimation methods. NOTE: Illicit Drugs include marijuana/hashish, cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically, including data from original methamphetamine questions but not including new methamphetamine items added in 2005 and 2006. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. ^a Difference between the 2008-2010 estimate and the 2010-2012 estimate is statistically significant at the 0.05 level. ^b Difference between the 2008-2010 estimate and the 2010-2012 estimate 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. 2010-2012). For details, see the "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008, 2009, 2010, 2011, and 2012 (2008, 2009, and 2010 Data - Revised March 2012).
Total United States	8.61^a	(8.39 - 8.83)	8.90	(8.68 - 9.12)	0.022
Northeast	9.24	(8.82 - 9.67)	9.44	(9.00 - 9.90)	0.381
Midwest	7.95^a	(7.65 - 8.26)	8.49	(8.16 - 8.83)	0.001
South	7.58	(7.30 - 7.87)	7.64	(7.33 - 7.95)	0.733
West	10.35^b	(9.87 - 10.86)	10.86	(10.37 - 11.37)	0.071
Alabama	7.06	(6.04 - 8.24)	7.60	(6.53 - 8.83)	0.281
Region 1	6.38	(4.95 - 8.19)	7.05	(5.53 - 8.95)	0.323
Region 2	7.93	(6.30 - 9.94)	8.71	(7.05 - 10.71)	0.324
Region 3	7.62^a	(5.87 - 9.84)	6.33	(4.87 - 8.19)	0.044
Region 4	6.20^a	(4.72 - 8.12)	7.70	(6.14 - 9.63)	0.025
Alaska	13.60	(11.82 - 15.60)	14.01	(12.25 - 15.98)	0.659
Anchorage	13.60	(11.39 - 16.17)	14.64	(12.44 - 17.14)	0.352
Northern	14.50	(11.41 - 18.26)	14.56	(11.85 - 17.76)	0.969
South Central	13.08	(10.14 - 16.72)	12.72	(10.04 - 15.99)	0.785
Southeast	13.03	(9.66 - 17.36)	13.65	(10.72 - 17.23)	0.664
Arizona	9.63	(8.28 - 11.17)	9.58	(8.20 - 11.16)	0.940
Maricopa	8.93	(7.38 - 10.78)	9.58	(8.02 - 11.41)	0.415
Pima	11.70	(8.85 - 15.31)	10.74	(8.34 - 13.73)	0.358
Rural North	11.97^a	(8.93 - 15.85)	9.71	(7.45 - 12.58)	0.042
Rural South	8.28	(6.04 - 11.26)	8.12	(5.95 - 11.00)	0.837
Arkansas	7.78	(6.70 - 9.02)	7.42	(6.33 - 8.68)	0.461
Catchment Area 1	7.86	(5.87 - 10.45)	7.91	(6.12 - 10.16)	0.952
Catchment Area 2	6.93	(5.01 - 9.51)	6.59	(4.79 - 9.00)	0.636
Catchment Area 3	7.72	(5.83 - 10.17)	6.64	(4.99 - 8.79)	0.124
Catchment Area 4	6.72	(4.72 - 9.47)	7.31	(5.39 - 9.84)	0.460
Catchment Area 5	8.14	(6.31 - 10.45)	6.90	(5.21 - 9.10)	0.103
Catchment Area 6	8.16	(5.91 - 11.16)	7.67	(5.69 - 10.26)	0.541
Catchment Area 7	7.07	(5.00 - 9.90)	6.08	(4.38 - 8.39)	0.162
Catchment Area 8	8.67	(6.70 - 11.16)	8.96	(7.09 - 11.27)	0.727
California	10.25	(9.51 - 11.04)	10.72	(9.97 - 11.51)	0.264
Region 1R	17.39	(13.59 - 21.98)	16.89	(13.52 - 20.91)	0.743
Region 2R	10.66^a	(8.35 - 13.51)	12.88	(10.27 - 16.03)	0.023
Region 3R (Sacramento)	11.73	(9.07 - 15.04)	12.29	(9.81 - 15.28)	0.611
Region 4R	10.00^a	(7.62 - 13.01)	12.34	(9.98 - 15.17)	0.025
Region 5R (San Francisco)	17.22	(12.94 - 22.54)	16.83	(13.28 - 21.09)	0.831
Region 6 (Santa Clara)	8.23	(6.24 - 10.78)	7.93	(6.20 - 10.09)	0.701
Region 7R (Contra Costa)	9.85	(7.46 - 12.91)	10.54	(8.29 - 13.32)	0.431
Region 8R (Alameda)	10.98	(8.59 - 13.95)	11.10	(9.00 - 13.62)	0.906
Region 9R (San Mateo)	8.70	(6.44 - 11.67)	8.86	(6.69 - 11.64)	0.854
Region 10	13.17^a	(10.39 - 16.56)	10.75	(8.49 - 13.53)	0.026
Region 11 (Los Angeles)	9.57	(8.52 - 10.72)	10.17	(9.13 - 11.30)	0.231
LA SPA 1 and 5	11.31	(8.57 - 14.80)	11.54	(9.05 - 14.59)	0.830
LA SPA 2	8.98	(6.95 - 11.52)	9.39	(7.58 - 11.57)	0.642
LA SPA 3	7.92	(6.18 - 10.10)	7.93	(6.35 - 9.87)	0.989
LA SPA 4	10.61	(8.16 - 13.70)	11.68	(9.11 - 14.86)	0.295
LA SPA 6	9.64^a	(7.44 - 12.40)	12.18	(9.62 - 15.31)	0.009
LA SPA 7	8.12	(6.26 - 10.46)	8.34	(6.51 - 10.63)	0.760
LA SPA 8	11.46	(8.92 - 14.62)	12.05	(9.82 - 14.69)	0.563
Region 12R	9.22	(6.95 - 12.14)	9.52	(7.15 - 12.57)	0.734
Regions 13 and 19R	10.23	(8.26 - 12.61)	10.34	(8.63 - 12.36)	0.888
Region 13 (Riverside)	10.49	(8.38 - 13.05)	10.53	(8.70 - 12.70)	0.956
Region 19R (Imperial)	6.95	(5.08 - 9.44)	7.93	(5.86 - 10.67)	0.152
Region 14 (Orange)	8.22	(6.68 - 10.08)	9.38	(7.89 - 11.11)	0.135
Region 15R (Fresno)	9.17	(6.88 - 12.12)	9.37	(7.24 - 12.03)	0.816
Region 16R (San Diego)	11.58	(9.60 - 13.91)	11.18	(9.44 - 13.19)	0.646
Region 17R	8.83	(6.96 - 11.14)	9.21	(7.32 - 11.52)	0.631
Region 18R (San Bernardino)	8.49	(6.74 - 10.65)	9.64	(7.89 - 11.74)	0.124
Region 20R	9.44	(7.15 - 12.38)	10.82	(8.51 - 13.66)	0.130
Region 21R	12.63	(9.74 - 16.22)	13.89	(11.12 - 17.21)	0.294
Colorado	13.25	(11.62 - 15.07)	13.85	(12.23 - 15.66)	0.433
Region 1	14.02	(10.90 - 17.87)	12.67	(10.15 - 15.70)	0.238
Regions 2 and 7	14.34	(12.17 - 16.83)	15.45	(13.28 - 17.92)	0.279
Region 3	10.39	(8.09 - 13.24)	11.08	(8.71 - 14.01)	0.468
Region 4	9.99	(7.28 - 13.55)	10.81	(8.03 - 14.40)	0.412
Regions 5 and 6	12.26	(9.13 - 16.26)	12.37	(9.56 - 15.87)	0.923
Connecticut	9.36	(8.10 - 10.80)	9.95	(8.62 - 11.45)	0.341
Eastern	10.76	(8.07 - 14.21)	9.17	(7.14 - 11.71)	0.103
North Central	8.97	(7.18 - 11.16)	9.76	(7.94 - 11.94)	0.323
Northwestern	9.88	(7.59 - 12.77)	9.59	(7.36 - 12.40)	0.747
South Central	10.07^b	(7.99 - 12.61)	11.83	(9.62 - 14.46)	0.069
Southwest	7.66	(5.69 - 10.23)	8.71	(6.71 - 11.24)	0.206
Delaware	8.46	(7.31 - 9.78)	8.83	(7.67 - 10.13)	0.513
Kent	8.38	(6.42 - 10.87)	7.89	(6.08 - 10.17)	0.529
New Castle (excluding Wilmington City)	8.37	(6.96 - 10.03)	9.05	(7.67 - 10.65)	0.333
Sussex	7.14	(5.44 - 9.32)	7.68	(5.99 - 9.78)	0.452
Wilmington City	12.51	(9.43 - 16.41)	12.61	(9.61 - 16.38)	0.933
District of Columbia	11.70^a	(10.11 - 13.51)	14.12	(12.49 - 15.93)	0.003
Ward 1	11.94^a	(9.04 - 15.59)	14.55	(11.31 - 18.51)	0.035
Ward 2	11.75^a	(8.89 - 15.38)	14.78	(11.84 - 18.29)	0.018
Ward 3	9.52^a	(7.16 - 12.54)	13.24	(10.41 - 16.69)	0.001
Ward 4	10.57^b	(7.79 - 14.19)	12.59	(9.74 - 16.13)	0.085
Ward 5	12.25^b	(8.99 - 16.48)	14.53	(11.58 - 18.07)	0.097
Ward 6	10.97^a	(8.19 - 14.54)	14.47	(11.27 - 18.39)	0.004
Ward 7	13.14	(10.24 - 16.71)	13.21	(10.26 - 16.84)	0.957
Ward 8	14.09	(10.87 - 18.06)	15.68	(12.74 - 19.15)	0.213
Florida	8.39	(7.70 - 9.13)	8.37	(7.71 - 9.08)	0.955
Region A - Northwest	9.57	(8.04 - 11.37)	10.35	(8.94 - 11.94)	0.223
Circuit 1	8.84	(6.83 - 11.37)	9.30	(7.47 - 11.53)	0.583
Circuit 2	10.93^b	(8.34 - 14.21)	12.65	(10.20 - 15.59)	0.096
Circuit 14	9.53	(6.90 - 13.02)	9.72	(7.44 - 12.61)	0.839
Region B - Northeast	9.65	(8.28 - 11.22)	9.61	(8.34 - 11.05)	0.953
Circuits 3 and 8	10.30	(7.89 - 13.34)	10.75	(8.64 - 13.30)	0.672
Circuit 4	10.43	(8.31 - 13.03)	10.40	(8.35 - 12.89)	0.975
Circuit 7	8.27	(6.32 - 10.75)	7.87	(6.23 - 9.89)	0.602
Region C - Central	7.89	(6.93 - 8.97)	8.52	(7.59 - 9.55)	0.173
Circuit 5	7.51	(5.77 - 9.71)	7.00	(5.49 - 8.87)	0.465
Circuit 9	7.92^a	(6.31 - 9.90)	9.81	(8.14 - 11.79)	0.022
Circuit 10	6.93	(5.22 - 9.15)	7.72	(6.19 - 9.59)	0.274
Circuit 18	8.71	(6.83 - 11.06)	9.17	(7.39 - 11.33)	0.574
Circuit 19	8.29	(6.20 - 11.00)	8.11	(6.31 - 10.37)	0.836
Region D - Southeast	7.30	(6.12 - 8.68)	7.21	(6.14 - 8.44)	0.866
Circuit 15 (Palm Beach)	6.89	(5.19 - 9.10)	7.02	(5.62 - 8.74)	0.858
Circuit 17 (Broward)	7.60	(6.14 - 9.39)	7.35	(6.01 - 8.97)	0.709
Region E - Sun Coast	9.14	(8.01 - 10.41)	8.93	(7.88 - 10.12)	0.706
Circuit 6	8.38	(6.63 - 10.54)	9.72	(7.84 - 12.01)	0.129
Circuit 12	9.90	(7.40 - 13.13)	9.26	(7.34 - 11.62)	0.496
Circuit 13 (Hillsborough)	9.05	(7.28 - 11.19)	8.28	(6.82 - 10.01)	0.356
Circuit 20	9.66	(7.52 - 12.33)	8.46	(6.63 - 10.74)	0.170
Region F - Southern (Circuits 11 and 16)	7.37^a	(6.01 - 9.00)	6.21	(5.24 - 7.33)	0.041
Georgia	7.35	(6.29 - 8.58)	7.05	(6.05 - 8.20)	0.536
Region 1	6.42	(4.93 - 8.31)	6.18	(4.86 - 7.82)	0.704
Region 2	6.59	(4.79 - 9.00)	6.31	(4.75 - 8.34)	0.680
Region 3	8.74	(6.85 - 11.07)	8.54	(6.92 - 10.49)	0.817
Region 4	7.31	(5.18 - 10.22)	7.06	(5.27 - 9.40)	0.731
Region 5	7.09	(5.26 - 9.49)	7.09	(5.19 - 9.61)	1.000
Region 6	6.94	(5.14 - 9.30)	6.15	(4.61 - 8.17)	0.240
Hawaii	10.70^b	(9.19 - 12.43)	9.13	(7.86 - 10.57)	0.060
Hawaii Island	15.43^a	(11.74 - 20.02)	10.94	(8.46 - 14.02)	0.002
Honolulu	9.04	(7.48 - 10.87)	8.40	(7.09 - 9.93)	0.473
Kauai and Maui	14.01^a	(10.82 - 17.95)	10.74	(8.40 - 13.62)	0.011
Kauai	14.40^a	(10.17 - 20.01)	10.69	(7.70 - 14.65)	0.014
Maui	13.83^a	(10.11 - 18.64)	10.76	(8.11 - 14.13)	0.032
Idaho	9.20	(8.00 - 10.56)	8.40	(7.22 - 9.75)	0.152
Region 1	10.51^a	(7.91 - 13.82)	7.65	(5.78 - 10.06)	0.001
Region 2	10.17	(7.43 - 13.77)	10.32	(7.59 - 13.87)	0.882
Region 3	8.19	(6.22 - 10.70)	8.03	(6.21 - 10.33)	0.836
Region 4	10.72	(8.67 - 13.18)	10.15	(8.26 - 12.42)	0.549
Region 5	8.44^a	(6.13 - 11.51)	6.21	(4.69 - 8.17)	0.005
Region 6	8.19	(6.15 - 10.85)	8.85	(6.70 - 11.61)	0.412
Region 7	6.48	(4.82 - 8.65)	6.36	(4.76 - 8.43)	0.846
Illinois	8.06	(7.43 - 8.75)	8.52	(7.87 - 9.23)	0.206
Region I (Cook)	9.69	(8.53 - 11.00)	10.40	(9.31 - 11.61)	0.265
Region II	6.84	(5.98 - 7.80)	7.05	(6.22 - 7.97)	0.637
Region III	7.33	(6.16 - 8.69)	7.83	(6.63 - 9.22)	0.374
Region IV	6.10	(4.89 - 7.59)	5.93	(4.67 - 7.50)	0.747
Region V	7.75	(6.45 - 9.27)	8.18	(6.86 - 9.73)	0.473
Indiana	8.47	(7.35 - 9.75)	8.56	(7.35 - 9.95)	0.866
Central	8.43	(6.55 - 10.79)	8.86	(7.01 - 11.13)	0.599
East	7.99^b	(5.89 - 10.77)	9.43	(7.19 - 12.28)	0.093
North Central	8.45	(6.30 - 11.24)	8.72	(6.76 - 11.17)	0.756
Northeast	8.13	(5.97 - 10.96)	7.33	(5.47 - 9.77)	0.305
Northwest	8.31	(6.10 - 11.22)	8.89	(6.79 - 11.57)	0.493
Southeast	9.04^b	(6.75 - 11.99)	7.50	(5.66 - 9.87)	0.070
Southwest	6.56	(4.64 - 9.19)	6.89	(4.93 - 9.57)	0.617
West	10.29	(7.97 - 13.19)	9.96	(7.76 - 12.69)	0.705
Iowa	5.33^a	(4.55 - 6.23)	6.85	(5.85 - 8.01)	0.000
Central	6.08	(4.60 - 8.00)	6.87	(5.27 - 8.90)	0.248
North Central	4.99^a	(3.62 - 6.83)	8.66	(6.55 - 11.35)	0.000
Northeast	5.93	(4.63 - 7.56)	6.47	(5.15 - 8.10)	0.360
Northwest	4.06^a	(2.98 - 5.51)	5.41	(3.98 - 7.33)	0.007
Southeast	5.53^a	(4.26 - 7.16)	7.70	(6.03 - 9.78)	0.001
Southwest	4.50^a	(3.18 - 6.34)	6.14	(4.61 - 8.14)	0.002
Kansas	6.93^a	(5.89 - 8.14)	5.72	(4.82 - 6.77)	0.010
Kansas City Metro	8.05^a	(6.45 - 10.01)	6.03	(4.80 - 7.55)	0.004
Northeast	6.43^a	(4.74 - 8.66)	5.27	(3.96 - 7.00)	0.046
South Central	6.36^b	(4.57 - 8.80)	5.36	(3.90 - 7.33)	0.090
Southeast	7.03	(4.95 - 9.91)	6.18	(4.52 - 8.40)	0.213
West	5.39	(3.90 - 7.39)	5.46	(4.06 - 7.29)	0.902
Wichita (Sedgwick)	6.65	(4.89 - 9.00)	5.85	(4.43 - 7.69)	0.238
Kentucky	7.11	(6.07 - 8.33)	6.91	(5.92 - 8.06)	0.688
Adanta, Cumberland River, and Lifeskills	5.57	(4.13 - 7.47)	5.66	(4.32 - 7.38)	0.873
Bluegrass, Comprehend, and North Key	8.00	(6.35 - 10.03)	7.15	(5.73 - 8.89)	0.239
Communicare and River Valley	6.92	(4.97 - 9.56)	6.67	(4.94 - 8.95)	0.737
Four Rivers and Pennyroyal	7.33	(5.26 - 10.13)	6.17	(4.62 - 8.19)	0.101
Kentucky River, Mountain, and Pathways	5.42	(3.91 - 7.47)	5.51	(4.02 - 7.51)	0.874
Seven Counties	8.07	(6.11 - 10.59)	8.71	(6.93 - 10.90)	0.451
Louisiana	6.82	(5.86 - 7.92)	6.85	(5.90 - 7.94)	0.936
Regions 1 and 10	--	(-- - --)	8.72	(7.03 - 10.78)	--
Region 1	--	(-- - --)	9.49	(7.28 - 12.28)	--
Region 10 (Jefferson)	7.12	(5.05 - 9.96)	7.97	(5.97 - 10.55)	0.325
Regions 2 and 9	7.39	(5.93 - 9.18)	6.81	(5.48 - 8.43)	0.377
Region 3	--	(-- - --)	7.04	(5.27 - 9.34)	--
Regions 4, 5, and 6	6.06	(4.66 - 7.84)	6.11	(4.83 - 7.71)	0.923
Regions 7 and 8	6.66	(5.12 - 8.64)	6.00	(4.68 - 7.66)	0.272
Maine	11.01	(9.58 - 12.61)	9.98	(8.65 - 11.49)	0.156
Aroostook/Downeast	8.71	(6.63 - 11.36)	8.27	(6.55 - 10.39)	0.596
Aroostook	--	(-- - --)	7.85	(5.77 - 10.60)	--
Downeast	--	(-- - --)	8.62	(6.46 - 11.40)	--
Central	11.65^b	(9.05 - 14.88)	9.69	(7.53 - 12.39)	0.057
Cumberland	12.87^b	(10.30 - 15.98)	10.84	(8.69 - 13.44)	0.079
Midcoast	9.92	(7.43 - 13.12)	9.36	(7.07 - 12.29)	0.579
Penquis	10.35	(7.91 - 13.43)	10.64	(8.37 - 13.43)	0.776
Western	11.40	(8.84 - 14.57)	11.13	(8.88 - 13.87)	0.803
York	10.71	(8.10 - 14.02)	9.17	(7.14 - 11.71)	0.133
Maryland	7.57	(6.41 - 8.92)	7.56	(6.53 - 8.74)	0.986
Anne Arundel	6.88	(4.90 - 9.57)	7.09	(5.23 - 9.55)	0.772
Baltimore City	9.31	(6.82 - 12.59)	10.51	(8.24 - 13.31)	0.232
Baltimore County	9.30^a	(6.90 - 12.42)	7.53	(5.80 - 9.72)	0.030
Montgomery	6.22	(4.53 - 8.49)	7.03	(5.40 - 9.11)	0.258
North Central	6.92	(4.95 - 9.61)	6.97	(5.29 - 9.14)	0.949
Northeast	7.78^a	(5.63 - 10.68)	6.35	(4.65 - 8.59)	0.049
Prince George's	7.30	(5.36 - 9.87)	7.46	(5.71 - 9.68)	0.831
South	7.10^a	(5.15 - 9.71)	8.66	(6.61 - 11.28)	0.037
West	7.10	(5.19 - 9.64)	6.15	(4.53 - 8.29)	0.144
Massachusetts	11.32	(10.01 - 12.78)	11.32	(9.99 - 12.80)	0.996
Boston	12.24	(9.18 - 16.13)	13.33	(10.63 - 16.58)	0.364
Central	10.85	(8.39 - 13.91)	11.79	(9.28 - 14.88)	0.369
Metrowest	9.90	(7.93 - 12.29)	11.24	(9.12 - 13.77)	0.149
Northeast	10.97	(8.64 - 13.83)	10.19	(8.22 - 12.58)	0.424
Southeast	11.83	(9.47 - 14.68)	11.28	(9.12 - 13.87)	0.582
Western	13.22^a	(10.45 - 16.58)	10.85	(8.56 - 13.66)	0.023
Michigan	10.06^b	(9.33 - 10.84)	10.79	(10.05 - 11.59)	0.071
Detroit City	14.13^a	(11.68 - 17.01)	17.01	(14.31 - 20.10)	0.028
Genesee	13.63^b	(10.80 - 17.05)	11.53	(9.43 - 14.02)	0.052
Kalamazoo	9.27	(7.46 - 11.47)	10.37	(8.57 - 12.51)	0.160
Kent	9.01	(7.21 - 11.22)	10.24	(8.44 - 12.38)	0.134
Lakeshore	10.41	(8.51 - 12.68)	9.38	(7.80 - 11.25)	0.190
Macomb	9.24	(7.48 - 11.38)	9.29	(7.67 - 11.21)	0.957
Mid South	9.96	(8.26 - 11.97)	10.58	(8.87 - 12.58)	0.421
Northern	10.17	(8.31 - 12.39)	11.01	(9.19 - 13.13)	0.321
Oakland	9.50	(7.86 - 11.43)	9.62	(8.12 - 11.37)	0.868
Pathways and Western	10.08^a	(7.79 - 12.94)	13.05	(10.49 - 16.14)	0.004
Riverhaven	9.37	(7.18 - 12.15)	10.08	(8.04 - 12.59)	0.430
Saginaw	10.34	(7.95 - 13.36)	11.26	(8.82 - 14.26)	0.336
Southeast	8.65^a	(7.21 - 10.36)	10.93	(9.31 - 12.80)	0.005
St. Clair	6.97^a	(5.31 - 9.10)	9.42	(7.43 - 11.87)	0.002
Washtenaw	10.71	(8.59 - 13.28)	9.75	(8.05 - 11.78)	0.292
Minnesota	7.12	(6.08 - 8.32)	7.94	(6.84 - 9.20)	0.113
Regions 1 and 2	9.20	(6.90 - 12.18)	8.19	(6.03 - 11.03)	0.255
Regions 3 and 4	6.66	(5.06 - 8.71)	7.20	(5.60 - 9.22)	0.436
Regions 5 and 6	5.52^a	(4.20 - 7.22)	8.00	(6.30 - 10.13)	0.000
Region 7A (Hennepin)	7.43	(5.66 - 9.71)	8.36	(6.60 - 10.54)	0.254
Region 7B (Ramsey)	7.60^a	(5.56 - 10.31)	9.49	(6.97 - 12.80)	0.044
Region 7C	7.41	(5.75 - 9.49)	7.26	(5.72 - 9.18)	0.834
Mississippi	6.61^a	(5.62 - 7.75)	7.77	(6.70 - 8.99)	0.012
Region 1	6.78	(5.25 - 8.72)	7.44	(5.91 - 9.34)	0.313
Region 2	7.00	(5.01 - 9.70)	8.16	(6.18 - 10.69)	0.126
Region 3	5.87^a	(4.30 - 7.98)	7.53	(5.79 - 9.74)	0.016
Region 4	6.43^a	(4.94 - 8.34)	7.85	(6.21 - 9.88)	0.031
Region 5	6.23	(4.38 - 8.77)	7.16	(5.14 - 9.91)	0.162
Region 6	7.09	(5.14 - 9.68)	6.88	(5.21 - 9.05)	0.780
Region 7	6.74^a	(5.03 - 8.97)	8.84	(6.91 - 11.25)	0.011
Missouri	7.49	(6.38 - 8.77)	7.33	(6.33 - 8.48)	0.753
Central	6.89	(5.01 - 9.39)	6.44	(4.93 - 8.36)	0.514
Eastern	8.46	(6.86 - 10.39)	8.42	(7.02 - 10.08)	0.954
Eastern (St. Louis City and County)	8.13	(6.30 - 10.43)	8.93	(7.18 - 11.05)	0.316
Eastern (excluding St. Louis)	9.04^b	(6.73 - 12.03)	7.54	(5.82 - 9.73)	0.055
Northwest	7.25	(5.78 - 9.04)	7.42	(6.04 - 9.09)	0.771
Northwest (Jackson)	7.92	(5.92 - 10.53)	8.03	(6.18 - 10.37)	0.895
Northwest (excluding Jackson)	6.66	(4.96 - 8.90)	6.91	(5.29 - 8.98)	0.724
Southeast	5.91	(4.23 - 8.21)	5.61	(4.18 - 7.50)	0.631
Southwest	7.35	(5.45 - 9.84)	6.87	(5.27 - 8.90)	0.499
Montana	10.58^b	(9.25 - 12.08)	11.95	(10.51 - 13.56)	0.059
Region 1	8.44	(6.13 - 11.50)	9.59	(7.29 - 12.51)	0.208
Region 2	8.81^a	(6.65 - 11.59)	10.93	(8.43 - 14.05)	0.038
Region 3	8.69^a	(6.68 - 11.22)	11.35	(9.10 - 14.06)	0.009
Region 4	12.79	(10.48 - 15.53)	13.52	(11.25 - 16.16)	0.498
Region 5	11.30	(9.22 - 13.78)	12.08	(10.09 - 14.40)	0.434
Nebraska	6.82	(5.84 - 7.94)	6.39	(5.46 - 7.46)	0.326
Regions 1 and 2	5.78	(4.35 - 7.65)	5.21	(3.90 - 6.92)	0.250
Region 1	5.86	(4.09 - 8.34)	5.72	(3.94 - 8.22)	0.815
Region 2	5.71^b	(3.95 - 8.18)	4.76	(3.36 - 6.71)	0.096
Region 3	5.16	(3.79 - 6.99)	5.44	(4.10 - 7.19)	0.600
Region 4	5.56^a	(3.96 - 7.75)	3.92	(2.74 - 5.60)	0.003
Region 5	6.68	(5.23 - 8.49)	5.93	(4.60 - 7.61)	0.221
Region 6	8.05	(6.53 - 9.89)	7.90	(6.56 - 9.49)	0.822
Nevada¹	10.31	(8.84 - 12.00)	10.86	(9.28 - 12.68)	0.483
Clark - Region 1	10.11	(8.44 - 12.08)	10.81	(9.05 - 12.87)	0.430
Region 3	9.65	(7.19 - 12.84)	9.26	(7.10 - 12.00)	0.655
Capital District	--	(-- - --)	9.20	(6.72 - 12.46)	--
Rural/Frontier	--	(-- - --)	9.32	(6.66 - 12.91)	--
Washoe - Region 2	11.78	(9.22 - 14.93)	12.35	(9.87 - 15.35)	0.612
New Hampshire	11.74	(10.30 - 13.35)	10.97	(9.67 - 12.42)	0.262
Central	11.23	(9.32 - 13.47)	11.32	(9.56 - 13.35)	0.914
Central 1	12.24	(9.56 - 15.53)	13.62	(11.11 - 16.59)	0.251
Central 2	10.26	(8.09 - 12.95)	9.09	(7.09 - 11.58)	0.186
Northern	12.62	(9.71 - 16.25)	12.15	(9.65 - 15.18)	0.654
Southern	11.80	(10.08 - 13.77)	10.53	(9.06 - 12.21)	0.103
Southern 1 (Rockingham)	12.85^a	(10.24 - 16.01)	10.07	(8.15 - 12.38)	0.007
Southern 2	11.15	(9.16 - 13.51)	10.82	(8.99 - 12.97)	0.717
New Jersey	7.02^b	(6.00 - 8.21)	8.08	(6.91 - 9.43)	0.051
Central	6.67	(5.09 - 8.69)	7.60	(5.99 - 9.59)	0.166
Metropolitan	7.37	(5.69 - 9.51)	7.80	(6.17 - 9.83)	0.557
Northern	6.65^a	(5.22 - 8.43)	8.16	(6.52 - 10.17)	0.043
Southern	7.58^b	(5.85 - 9.78)	8.82	(6.94 - 11.15)	0.090
New Mexico	9.50	(8.20 - 10.98)	10.62	(9.23 - 12.20)	0.111
Region 1	9.61	(7.41 - 12.37)	10.80	(8.71 - 13.32)	0.270
Region 2	10.15	(7.55 - 13.51)	9.56	(7.26 - 12.49)	0.587
Region 3 (Bernalillo)	10.99^a	(8.91 - 13.49)	13.45	(11.10 - 16.20)	0.024
Region 4	6.85	(4.95 - 9.42)	8.03	(6.16 - 10.42)	0.122
Region 5	8.12	(6.26 - 10.46)	8.21	(6.39 - 10.48)	0.911
New York	9.94	(9.19 - 10.75)	9.63	(8.88 - 10.44)	0.473
Region A	9.67	(8.60 - 10.86)	9.53	(8.51 - 10.65)	0.793
Region 1	9.12	(7.14 - 11.57)	8.97	(7.27 - 11.01)	0.849
Region 2	8.78	(7.39 - 10.41)	9.61	(8.12 - 11.35)	0.273
Region 3	14.74^a	(11.75 - 18.33)	11.14	(9.01 - 13.70)	0.004
Region 4	7.36^b	(5.86 - 9.21)	8.55	(6.99 - 10.40)	0.098
Region B	9.66	(8.53 - 10.93)	9.07	(8.05 - 10.20)	0.305
Region 5	9.64	(8.14 - 11.39)	9.23	(7.94 - 10.70)	0.573
Region 6	8.91	(7.13 - 11.07)	8.13	(6.50 - 10.14)	0.305
Region 7	10.86	(8.72 - 13.46)	10.00	(8.16 - 12.20)	0.341
Region C	10.86	(9.79 - 12.04)	10.18	(9.13 - 11.33)	0.205
Region 8	11.84^a	(9.67 - 14.42)	9.59	(7.85 - 11.67)	0.010
Region 9	10.70	(8.58 - 13.27)	10.66	(8.78 - 12.89)	0.966
Region 10	12.75^a	(10.08 - 15.99)	10.79	(8.53 - 13.56)	0.035
Region 11	9.70	(7.88 - 11.87)	10.25	(8.44 - 12.40)	0.518
Region 12	10.47	(8.62 - 12.65)	9.98	(8.14 - 12.17)	0.569
Region D	9.53	(8.14 - 11.14)	10.38	(8.93 - 12.03)	0.146
Region 13	9.60	(7.23 - 12.64)	10.69	(8.42 - 13.50)	0.238
Region 14	9.22^a	(7.22 - 11.70)	10.94	(8.65 - 13.75)	0.045
Region 15	9.78	(7.57 - 12.55)	9.54	(7.54 - 12.01)	0.770
North Carolina¹	8.58	(7.36 - 9.97)	8.15	(7.00 - 9.47)	0.445
Alliance	7.84	(6.04 - 10.14)	7.94	(6.27 - 10.01)	0.900
Cardinal Innovations	8.58	(6.36 - 11.49)	8.25	(6.42 - 10.55)	0.702
CenterPoint/Guilford	8.38	(6.43 - 10.86)	8.06	(6.32 - 10.23)	0.639
CenterPoint	7.78	(5.37 - 11.16)	7.89	(5.75 - 10.74)	0.900
Guilford	9.06	(6.60 - 12.32)	8.24	(6.09 - 11.06)	0.329
CoastalCare	9.52	(6.90 - 12.99)	8.95	(6.49 - 12.22)	0.520
Eastpointe	9.58^b	(6.89 - 13.17)	7.99	(6.02 - 10.54)	0.086
ECBH	9.39^b	(6.90 - 12.67)	8.03	(5.91 - 10.84)	0.087
MeckLINK	8.77	(6.50 - 11.73)	8.48	(6.33 - 11.28)	0.744
Partners	8.64	(6.48 - 11.43)	8.09	(6.17 - 10.56)	0.553
Sandhills	8.48	(5.95 - 11.95)	7.40	(5.33 - 10.18)	0.195
Smoky Mountain	6.77	(4.81 - 9.45)	7.52	(5.49 - 10.22)	0.297
Western Highlands	9.14	(6.53 - 12.65)	9.01	(6.69 - 12.03)	0.891
North Dakota	5.25	(4.46 - 6.18)	5.65	(4.77 - 6.69)	0.345
Badlands and West Central	4.91	(3.74 - 6.43)	4.73	(3.56 - 6.25)	0.740
Lake Region and South Central	5.26	(3.75 - 7.33)	5.73	(4.27 - 7.65)	0.474
North Central and Northwest	4.61	(3.32 - 6.36)	4.99	(3.71 - 6.69)	0.471
Northeast	5.87	(4.34 - 7.89)	6.89	(5.36 - 8.80)	0.105
Southeast	5.68	(4.53 - 7.10)	6.38	(5.04 - 8.04)	0.222
Ohio	7.70^a	(7.12 - 8.33)	9.12	(8.45 - 9.84)	0.000
Boards 2, 46, 55, and 68	5.71^a	(4.41 - 7.35)	8.29	(6.66 - 10.28)	0.000
Boards 3, 52, and 85	5.74^a	(4.38 - 7.49)	7.90	(6.22 - 10.00)	0.000
Boards 4 and 78	6.27^a	(4.57 - 8.56)	8.70	(6.66 - 11.30)	0.001
Boards 5 and 60	8.10^a	(6.40 - 10.20)	11.03	(8.76 - 13.80)	0.000
Boards 7, 15, 41, 79, and 84	5.49	(4.18 - 7.17)	6.52	(5.11 - 8.28)	0.108
Boards 8, 13, and 83	5.92^a	(4.49 - 7.77)	7.33	(5.86 - 9.14)	0.026
Board 9 (Butler)	8.40^b	(6.50 - 10.79)	9.81	(7.86 - 12.17)	0.075
Board 12	6.77	(5.21 - 8.76)	7.82	(6.07 - 10.03)	0.123
Boards 18 and 47	8.64^b	(7.34 - 10.15)	9.83	(8.44 - 11.43)	0.087
Boards 20, 32, 54, and 69	5.22^a	(3.91 - 6.93)	6.28	(4.84 - 8.11)	0.049
Boards 21, 39, 51, 70, and 80	6.32^a	(4.81 - 8.26)	8.01	(6.36 - 10.05)	0.014
Boards 22, 74, and 87	7.65	(5.87 - 9.92)	7.94	(6.32 - 9.93)	0.695
Boards 23 and 45	6.59^a	(5.00 - 8.64)	8.17	(6.42 - 10.33)	0.017
Board 25 (Franklin)	11.13	(9.37 - 13.18)	11.86	(10.03 - 13.96)	0.453
Boards 27, 71, and 73	6.46	(4.94 - 8.42)	7.32	(5.80 - 9.21)	0.151
Boards 28, 43, and 67	7.14	(5.71 - 8.89)	8.15	(6.61 - 10.00)	0.133
Board 31 (Hamilton)	8.23^a	(6.51 - 10.36)	9.98	(8.20 - 12.10)	0.036
Board 48 (Lucas)	8.59^a	(6.71 - 10.94)	10.62	(8.54 - 13.14)	0.014
Boards 50 and 76	8.05	(6.32 - 10.21)	8.74	(7.13 - 10.68)	0.351
Board 57 (Montgomery)	8.49	(6.59 - 10.88)	9.36	(7.47 - 11.66)	0.307
Board 77 (Summit)	8.40^a	(6.61 - 10.63)	10.86	(8.92 - 13.16)	0.007
Oklahoma	9.18	(7.88 - 10.66)	8.33	(7.17 - 9.66)	0.175
Central	9.28^b	(6.97 - 12.27)	7.70	(5.84 - 10.08)	0.052
East Central	8.36	(5.93 - 11.66)	7.80	(5.74 - 10.51)	0.556
Northeast	7.82	(5.84 - 10.41)	6.91	(5.24 - 9.07)	0.265
Northwest and Southwest	10.58	(8.04 - 13.80)	9.76	(7.46 - 12.67)	0.420
Oklahoma County	9.28	(7.09 - 12.07)	9.60	(7.56 - 12.11)	0.737
Southeast	9.82^a	(7.27 - 13.12)	7.75	(5.88 - 10.16)	0.033
Tulsa County	8.88	(6.64 - 11.76)	8.07	(6.23 - 10.38)	0.368
Oregon	12.39	(10.86 - 14.11)	13.30	(11.75 - 15.03)	0.267
Region 1 (Multnomah)	17.20	(13.57 - 21.57)	19.41	(15.96 - 23.40)	0.230
Region 2	10.92	(8.58 - 13.81)	12.07	(9.72 - 14.90)	0.295
Region 3	11.80	(9.78 - 14.17)	12.49	(10.48 - 14.82)	0.499
Region 4	11.61	(8.80 - 15.17)	11.27	(8.83 - 14.28)	0.782
Region 5 (Central)	10.73	(7.71 - 14.74)	10.31	(7.64 - 13.79)	0.706
Region 6 (Eastern)	9.81	(7.14 - 13.34)	10.16	(7.23 - 14.09)	0.739
Pennsylvania	7.50	(6.89 - 8.16)	8.02	(7.36 - 8.73)	0.128
Region 1 (Allegheny)	10.29	(8.51 - 12.40)	10.54	(8.83 - 12.53)	0.769
Regions 3, 8, 9, and 51	6.72	(5.19 - 8.66)	6.83	(5.43 - 8.55)	0.851
Regions 4, 11, 37, and 49	6.48	(5.09 - 8.22)	6.74	(5.37 - 8.41)	0.662
Regions 5, 18, 23, 24, and 46	6.51	(4.88 - 8.63)	7.06	(5.54 - 8.96)	0.407
Regions 6, 12, 16, 31, 35, 45, and 47	7.11	(5.56 - 9.05)	6.54	(5.20 - 8.19)	0.340
Regions 7, 13, 20, and 33	8.64	(7.35 - 10.14)	7.81	(6.68 - 9.10)	0.186
Regions 10, 15, 27, 32, 43, and 44	6.12	(4.68 - 7.96)	6.39	(5.03 - 8.09)	0.632
Regions 17 and 21	7.03^a	(5.31 - 9.27)	8.39	(6.54 - 10.71)	0.041
Regions 19, 26, 28, and 42	5.12	(4.00 - 6.52)	5.92	(4.85 - 7.20)	0.132
Regions 22, 38, 40, 41, and 48	6.11	(4.82 - 7.71)	6.15	(4.97 - 7.58)	0.935
Regions 29 and 34	6.10^a	(4.65 - 7.97)	7.85	(6.20 - 9.89)	0.004
Regions 30 and 50	6.04	(4.60 - 7.88)	6.28	(4.84 - 8.12)	0.677
Region 36 (Philadelphia)	10.10^a	(8.43 - 12.06)	13.13	(11.14 - 15.42)	0.002
Rhode Island	13.62^b	(11.93 - 15.52)	15.28	(13.56 - 17.18)	0.052
Bristol and Newport	12.73	(9.83 - 16.32)	13.79	(10.82 - 17.42)	0.361
Kent	10.86^a	(8.23 - 14.20)	13.86	(11.09 - 17.18)	0.011
Providence	14.86	(12.68 - 17.35)	15.89	(13.74 - 18.30)	0.350
Washington	12.23^a	(9.35 - 15.84)	15.78	(12.85 - 19.22)	0.007
South Carolina	8.47	(7.23 - 9.89)	8.34	(7.21 - 9.62)	0.826
Region 1	6.79	(5.19 - 8.83)	7.57	(5.98 - 9.53)	0.301
Region 2	9.40	(7.53 - 11.67)	8.44	(6.89 - 10.31)	0.250
Region 3	8.95	(6.78 - 11.74)	8.43	(6.51 - 10.86)	0.538
Region 4	8.75	(6.70 - 11.36)	8.91	(7.18 - 11.00)	0.867
South Dakota	6.12	(5.16 - 7.24)	6.23	(5.25 - 7.38)	0.811
Region 1	--	(-- - --)	7.58	(5.84 - 9.77)	--
Region 2	--	(-- - --)	6.28	(4.46 - 8.78)	--
Region 3	--	(-- - --)	5.50	(4.19 - 7.19)	--
Region 4	--	(-- - --)	5.41	(3.97 - 7.34)	--
Region 5	--	(-- - --)	6.06	(4.75 - 7.71)	--
Tennessee	7.16	(6.12 - 8.37)	7.03	(5.98 - 8.26)	0.799
Region 1	6.59	(4.70 - 9.15)	5.87	(4.30 - 7.98)	0.292
Region 2	5.82	(4.38 - 7.70)	6.38	(4.78 - 8.45)	0.389
Region 3	--	(-- - --)	6.76	(5.19 - 8.77)	--
Region 4 (Davidson)	10.50^a	(7.89 - 13.84)	8.55	(6.44 - 11.28)	0.049
Region 5	--	(-- - --)	6.64	(5.13 - 8.55)	--
Region 6	6.92	(5.01 - 9.49)	6.45	(4.74 - 8.71)	0.495
Region 7 (Shelby)	9.00	(6.76 - 11.89)	8.87	(6.84 - 11.42)	0.874
Texas	6.85	(6.31 - 7.43)	7.11	(6.53 - 7.74)	0.373
Region 1	7.10	(5.50 - 9.11)	7.19	(5.61 - 9.16)	0.886
Region 2	6.35	(4.72 - 8.48)	6.52	(4.87 - 8.67)	0.765
Region 3	7.11	(6.21 - 8.13)	7.45	(6.60 - 8.41)	0.419
Region 3a	7.18	(6.05 - 8.50)	7.19	(6.15 - 8.39)	0.986
Region 3bc	6.98	(5.68 - 8.55)	7.91	(6.63 - 9.42)	0.135
Region 4	7.23^b	(5.53 - 9.39)	6.24	(4.83 - 8.01)	0.090
Region 5	7.03	(5.33 - 9.23)	6.50	(4.98 - 8.44)	0.385
Region 6	6.55	(5.58 - 7.68)	6.55	(5.62 - 7.62)	1.000
Region 6a	6.60	(5.55 - 7.82)	6.51	(5.53 - 7.65)	0.859
Region 6bc	6.16	(4.52 - 8.33)	6.92	(5.28 - 9.01)	0.203
Region 7	8.79	(7.47 - 10.33)	9.45	(8.16 - 10.92)	0.287
Region 7a	9.62	(7.82 - 11.80)	10.99	(9.15 - 13.14)	0.127
Region 7bcd	7.41	(5.86 - 9.34)	6.87	(5.49 - 8.57)	0.362
Region 8	6.09^b	(4.90 - 7.55)	7.10	(5.85 - 8.59)	0.058
Region 9	6.95	(5.32 - 9.04)	6.67	(5.10 - 8.67)	0.617
Region 10	5.60	(4.26 - 7.33)	5.81	(4.51 - 7.46)	0.671
Region 11	5.22	(4.24 - 6.41)	5.68	(4.72 - 6.83)	0.255
Region 11abd	5.69	(4.42 - 7.31)	6.43	(5.13 - 8.03)	0.175
Region 11c (Hidalgo)	4.34	(3.21 - 5.84)	4.36	(3.26 - 5.81)	0.950
Utah	5.46	(4.61 - 6.46)	5.41	(4.57 - 6.39)	0.905
Bear River, Northeastern, Summit, Tooele, and Wasatch	5.03	(3.62 - 6.95)	4.38	(3.24 - 5.89)	0.197
Central, Four Corners, San Juan, and Southwest	4.31	(2.99 - 6.19)	4.57	(3.28 - 6.33)	0.603
Davis County	5.60	(4.04 - 7.72)	5.25	(3.93 - 6.99)	0.528
Salt Lake County	6.30	(5.02 - 7.88)	6.23	(4.97 - 7.78)	0.912
Utah County	5.15	(3.86 - 6.84)	5.13	(3.90 - 6.71)	0.973
Weber, Morgan	4.48	(3.07 - 6.50)	5.21	(3.73 - 7.23)	0.188
Vermont	13.21	(11.69 - 14.90)	14.27	(12.66 - 16.05)	0.195
Champlain Valley	14.49^a	(12.36 - 16.91)	16.71	(14.45 - 19.25)	0.044
Rural Northeast	12.93	(10.40 - 15.98)	13.01	(10.57 - 15.92)	0.949
Rural Southeast	12.66	(10.07 - 15.80)	12.56	(10.09 - 15.53)	0.934
Rural Southwest	11.26	(8.68 - 14.47)	12.26	(9.72 - 15.34)	0.383
Virginia	6.83^b	(5.83 - 7.98)	7.71	(6.66 - 8.90)	0.061
Region 1	7.26^a	(5.63 - 9.33)	9.32	(7.47 - 11.58)	0.007
Region 2	5.75	(4.31 - 7.64)	5.73	(4.39 - 7.44)	0.966
Region 3	7.19	(5.53 - 9.30)	7.96	(6.28 - 10.04)	0.270
Region 4	6.85	(5.16 - 9.04)	7.03	(5.30 - 9.27)	0.773
Region 5	7.48^a	(5.74 - 9.68)	9.34	(7.51 - 11.56)	0.016
Washington	10.59^a	(9.19 - 12.17)	12.11	(10.69 - 13.68)	0.032
Region 1	8.44^b	(6.66 - 10.64)	9.69	(7.83 - 11.93)	0.078
East 1 (previously Region 1)	8.42^b	(6.25 - 11.25)	10.10	(7.71 - 13.13)	0.063
East 2 (previously Region 2)	8.48	(6.07 - 11.72)	9.13	(6.89 - 12.00)	0.433
Region 2	11.34^a	(9.44 - 13.57)	13.52	(11.65 - 15.63)	0.027
North 1 (previously Region 3)	12.53	(9.75 - 15.97)	13.43	(10.96 - 16.35)	0.470
North 2 (previously Region 4)	10.64^a	(8.43 - 13.35)	13.57	(11.34 - 16.14)	0.012
Region 3	10.96	(9.03 - 13.25)	11.73	(9.87 - 13.89)	0.377
West 1 (previously Region 5)	11.09	(8.56 - 14.26)	11.93	(9.47 - 14.93)	0.438
West 2 (previously Region 6)	10.84	(8.40 - 13.89)	11.55	(9.24 - 14.33)	0.503
West Virginia	8.06^b	(6.95 - 9.33)	7.20	(6.24 - 8.29)	0.077
Region I	7.69^b	(5.54 - 10.59)	6.26	(4.61 - 8.46)	0.053
Region II	8.19	(6.02 - 11.05)	7.07	(5.29 - 9.38)	0.150
Region III	7.02^a	(5.11 - 9.59)	5.46	(4.00 - 7.40)	0.009
Region IV	8.75^a	(7.01 - 10.88)	10.50	(8.80 - 12.49)	0.019
Region V	8.72^a	(6.98 - 10.83)	6.51	(5.22 - 8.10)	0.002
Region VI	6.85^b	(5.11 - 9.12)	5.72	(4.25 - 7.64)	0.099
Wisconsin	7.94	(6.80 - 9.25)	8.34	(7.14 - 9.72)	0.455
Milwaukee	9.14^a	(6.92 - 11.99)	11.44	(8.80 - 14.74)	0.021
Northeastern	7.08	(5.46 - 9.13)	7.34	(5.83 - 9.20)	0.690
Northern	6.26	(4.42 - 8.79)	6.82	(4.90 - 9.42)	0.402
Southeastern	7.50	(5.65 - 9.89)	8.20	(6.32 - 10.58)	0.380
Southern	9.21	(7.07 - 11.91)	8.30	(6.54 - 10.49)	0.275
Western	7.90	(5.99 - 10.34)	7.46	(5.68 - 9.74)	0.557
Wyoming	6.65	(5.70 - 7.75)	7.07	(6.03 - 8.28)	0.404
Judicial District 1 (Laramie)	6.66	(5.03 - 8.77)	6.98	(5.37 - 9.03)	0.658
Judicial District 2	9.61	(7.46 - 12.29)	9.39	(7.28 - 12.03)	0.812
Judicial District 3	5.13	(3.84 - 6.82)	5.02	(3.72 - 6.73)	0.844
Judicial District 4	5.70	(4.01 - 8.04)	6.43	(4.67 - 8.81)	0.308
Judicial District 5	5.76	(4.24 - 7.78)	6.30	(4.62 - 8.55)	0.397
Judicial District 6	5.76	(4.23 - 7.80)	6.13	(4.55 - 8.23)	0.557
Judicial District 7 (Natrona)	7.87	(5.96 - 10.34)	7.30	(5.52 - 9.59)	0.450
Judicial District 8	5.81^b	(4.17 - 8.05)	7.13	(5.28 - 9.57)	0.057
Judicial District 9	7.46	(5.34 - 10.33)	9.16	(6.77 - 12.29)	0.103

140403

Table 2 – *Marijuana Use in the Past Year* among Persons Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2008-2010 and 2010-2012 NSDUHs
State/Substate Region	2008-2010 (Estimate)	2008-2010 (95% Confidence Interval)	2010-2012 (Estimate)	2010-2012 (95% Confidence Interval)	P Value
ECBH = East Carolina Behavioral Health; SPA = service planning area. -- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2010-2012); 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 "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. 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 posterior probability of no change between the 2008-2010 and 2010-2012 estimates. The "Total U.S." estimates, along with the 95 percent confidence intervals and p values, are based on design-based (direct) estimation methods. ^a Difference between the 2008-2010 estimate and the 2010-2012 estimate is statistically significant at the 0.05 level. ^b Difference between the 2008-2010 estimate and the 2010-2012 estimate 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. 2010-2012). For details, see the "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008, 2009, 2010, 2011, and 2012 (2008, 2009, and 2010 Data - Revised March 2012).
Total United States	11.13^a	(10.89 - 11.38)	11.69	(11.45 - 11.95)	0.000
Northeast	12.22^a	(11.75 - 12.70)	12.74	(12.21 - 13.29)	0.040
Midwest	10.45^a	(10.11 - 10.79)	11.21	(10.77 - 11.66)	0.000
South	9.70	(9.39 - 10.02)	9.97	(9.57 - 10.40)	0.171
West	13.18^a	(12.68 - 13.69)	14.06	(13.48 - 14.67)	0.003
Alabama	8.62	(7.48 - 9.92)	9.00	(7.79 - 10.36)	0.500
Region 1	7.93	(6.30 - 9.94)	7.90	(6.29 - 9.89)	0.966
Region 2	9.16	(7.47 - 11.20)	10.27	(8.42 - 12.48)	0.175
Region 3	10.39^a	(8.25 - 13.00)	8.31	(6.60 - 10.40)	0.006
Region 4	7.31^a	(5.70 - 9.31)	9.09	(7.27 - 11.30)	0.022
Alaska	16.73^a	(14.87 - 18.77)	18.72	(16.76 - 20.86)	0.049
Anchorage	16.29^a	(13.87 - 19.04)	19.14	(16.69 - 21.85)	0.021
Northern	18.98	(15.75 - 22.71)	20.86	(17.52 - 24.65)	0.262
South Central	16.27	(13.09 - 20.04)	16.34	(13.38 - 19.80)	0.960
Southeast	15.04^a	(11.70 - 19.12)	18.54	(14.89 - 22.83)	0.037
Arizona	11.39	(9.94 - 13.01)	12.14	(10.63 - 13.83)	0.261
Maricopa	11.21	(9.48 - 13.22)	12.12	(10.41 - 14.06)	0.272
Pima	13.33	(10.53 - 16.74)	13.48	(10.75 - 16.77)	0.893
Rural North	11.68	(9.08 - 14.90)	11.85	(9.28 - 15.01)	0.877
Rural South	9.58	(7.22 - 12.61)	10.95	(8.30 - 14.32)	0.116
Arkansas	10.02^b	(8.77 - 11.43)	9.00	(7.80 - 10.37)	0.081
Catchment Area 1	9.11	(7.01 - 11.77)	9.32	(7.34 - 11.76)	0.804
Catchment Area 2	9.11^a	(6.94 - 11.87)	7.48	(5.63 - 9.88)	0.044
Catchment Area 3	10.71^a	(8.33 - 13.67)	7.41	(5.66 - 9.64)	0.000
Catchment Area 4	8.73	(6.60 - 11.47)	9.00	(6.80 - 11.83)	0.735
Catchment Area 5	10.51	(8.50 - 12.92)	9.70	(7.70 - 12.16)	0.351
Catchment Area 6	10.78	(8.14 - 14.15)	9.76	(7.51 - 12.58)	0.302
Catchment Area 7	9.38^a	(6.96 - 12.51)	7.13	(5.25 - 9.63)	0.005
Catchment Area 8	11.08	(8.83 - 13.83)	10.75	(8.72 - 13.18)	0.715
California	13.46	(12.67 - 14.29)	13.98	(13.11 - 14.89)	0.250
Region 1R	22.67	(18.54 - 27.42)	21.60	(17.80 - 25.96)	0.503
Region 2R	15.02	(12.39 - 18.08)	15.56	(12.73 - 18.89)	0.643
Region 3R (Sacramento)	16.19	(13.15 - 19.77)	16.12	(13.28 - 19.42)	0.950
Region 4R	14.42	(11.60 - 17.79)	15.94	(13.28 - 19.01)	0.200
Region 5R (San Francisco)	23.12	(18.66 - 28.26)	22.85	(18.65 - 27.67)	0.885
Region 6 (Santa Clara)	10.48	(8.36 - 13.07)	10.58	(8.61 - 12.93)	0.908
Region 7R (Contra Costa)	14.12	(11.17 - 17.71)	13.96	(11.35 - 17.05)	0.877
Region 8R (Alameda)	15.32	(12.61 - 18.49)	14.37	(11.91 - 17.24)	0.396
Region 9R (San Mateo)	12.30	(9.71 - 15.47)	12.34	(9.69 - 15.60)	0.969
Region 10	16.42	(13.60 - 19.70)	15.27	(12.61 - 18.37)	0.286
Region 11 (Los Angeles)	12.50	(11.36 - 13.74)	13.12	(11.95 - 14.38)	0.250
LA SPA 1 and 5	16.00	(12.69 - 19.98)	15.20	(12.30 - 18.63)	0.474
LA SPA 2	12.35	(10.21 - 14.86)	13.01	(10.77 - 15.64)	0.504
LA SPA 3	10.71	(8.70 - 13.12)	10.54	(8.70 - 12.72)	0.822
LA SPA 4	14.44	(11.60 - 17.84)	15.25	(12.38 - 18.66)	0.487
LA SPA 6	12.13^a	(9.63 - 15.15)	14.19	(11.46 - 17.44)	0.045
LA SPA 7	10.01	(7.94 - 12.54)	10.84	(8.83 - 13.24)	0.302
LA SPA 8	13.21	(10.59 - 16.37)	14.41	(11.90 - 17.36)	0.247
Region 12R	15.23	(11.96 - 19.19)	13.53	(10.66 - 17.02)	0.138
Regions 13 and 19R	12.42	(10.33 - 14.86)	12.44	(10.56 - 14.60)	0.980
Region 13 (Riverside)	12.69	(10.46 - 15.30)	12.69	(10.69 - 15.02)	0.993
Region 19R (Imperial)	8.98	(6.84 - 11.69)	9.20	(7.02 - 11.96)	0.745
Region 14 (Orange)	10.22^b	(8.61 - 12.08)	11.67	(9.99 - 13.60)	0.056
Region 15R (Fresno)	12.02	(9.42 - 15.21)	13.21	(10.53 - 16.45)	0.215
Region 16R (San Diego)	13.66	(11.64 - 15.96)	14.94	(12.79 - 17.38)	0.197
Region 17R	10.33	(8.41 - 12.62)	11.67	(9.56 - 14.18)	0.109
Region 18R (San Bernardino)	11.53^a	(9.61 - 13.77)	13.15	(11.11 - 15.50)	0.043
Region 20R	13.37	(10.68 - 16.62)	13.74	(11.09 - 16.90)	0.707
Region 21R	17.73	(14.29 - 21.78)	18.84	(15.63 - 22.54)	0.410
Colorado	16.84	(15.04 - 18.81)	17.55	(15.74 - 19.53)	0.422
Region 1	18.13	(14.65 - 22.22)	16.24	(13.31 - 19.68)	0.167
Regions 2 and 7	17.95	(15.59 - 20.59)	19.44	(16.98 - 22.16)	0.219
Region 3	13.84	(11.12 - 17.09)	14.73	(12.09 - 17.82)	0.454
Region 4	13.33	(10.11 - 17.38)	13.35	(10.14 - 17.37)	0.988
Regions 5 and 6	15.42	(11.96 - 19.67)	15.41	(12.28 - 19.15)	0.989
Connecticut	13.01	(11.57 - 14.60)	13.80	(12.21 - 15.57)	0.273
Eastern	13.46	(10.57 - 16.99)	13.26	(10.71 - 16.31)	0.855
North Central	14.11	(11.80 - 16.80)	14.55	(12.17 - 17.32)	0.684
Northwestern	12.31	(9.89 - 15.22)	12.88	(10.40 - 15.84)	0.582
South Central	14.52	(12.13 - 17.29)	15.39	(12.78 - 18.42)	0.456
Southwest	9.79^a	(7.62 - 12.49)	11.90	(9.54 - 14.73)	0.017
Delaware	11.79^a	(10.43 - 13.31)	13.28	(11.89 - 14.81)	0.034
Kent	10.92	(8.67 - 13.67)	11.96	(9.70 - 14.65)	0.284
New Castle (excluding Wilmington City)	12.05^b	(10.32 - 14.03)	13.72	(12.03 - 15.61)	0.059
Sussex	10.56	(8.48 - 13.07)	11.84	(9.69 - 14.39)	0.190
Wilmington City	15.17	(11.90 - 19.14)	17.34	(13.87 - 21.47)	0.148
District of Columbia	15.66^a	(13.96 - 17.52)	19.41	(17.49 - 21.48)	0.000
Ward 1	18.36^a	(14.78 - 22.58)	25.29	(20.94 - 30.19)	0.000
Ward 2	18.21^a	(14.73 - 22.31)	22.30	(18.73 - 26.33)	0.009
Ward 3	13.18^a	(10.56 - 16.32)	17.70	(14.63 - 21.26)	0.000
Ward 4	13.19^a	(10.07 - 17.08)	16.54	(13.17 - 20.58)	0.020
Ward 5	14.97^a	(11.71 - 18.94)	19.15	(15.87 - 22.93)	0.005
Ward 6	14.25^a	(11.09 - 18.13)	19.15	(15.33 - 23.66)	0.002
Ward 7	15.82	(12.63 - 19.63)	16.76	(13.50 - 20.63)	0.491
Ward 8	17.24	(13.86 - 21.23)	17.97	(14.81 - 21.62)	0.610
Florida	10.56	(9.85 - 11.31)	11.11	(10.34 - 11.94)	0.183
Region A - Northwest	12.23^a	(10.62 - 14.06)	13.96	(12.36 - 15.74)	0.017
Circuit 1	11.15	(9.07 - 13.63)	12.35	(10.25 - 14.80)	0.185
Circuit 2	15.11^a	(12.02 - 18.84)	18.04	(15.14 - 21.37)	0.019
Circuit 14	11.04	(8.38 - 14.42)	12.30	(9.69 - 15.50)	0.212
Region B - Northeast	12.10	(10.61 - 13.75)	12.75	(11.31 - 14.34)	0.343
Circuits 3 and 8	12.80^b	(10.31 - 15.79)	14.77	(12.21 - 17.75)	0.077
Circuit 4	13.07	(10.80 - 15.73)	12.87	(10.67 - 15.44)	0.844
Circuit 7	10.44	(8.27 - 13.10)	11.27	(9.26 - 13.65)	0.373
Region C - Central	10.15^a	(9.12 - 11.29)	11.34	(10.25 - 12.54)	0.019
Circuit 5	9.04	(7.28 - 11.17)	9.80	(7.91 - 12.08)	0.349
Circuit 9	11.35^a	(9.50 - 13.49)	13.38	(11.50 - 15.52)	0.019
Circuit 10	8.74	(6.90 - 11.01)	9.36	(7.61 - 11.46)	0.405
Circuit 18	11.26	(9.20 - 13.72)	12.35	(10.25 - 14.82)	0.218
Circuit 19	9.32	(7.18 - 12.02)	10.11	(8.01 - 12.68)	0.403
Region D - Southeast	9.77	(8.55 - 11.13)	9.54	(8.34 - 10.90)	0.708
Circuit 15 (Palm Beach)	9.21	(7.38 - 11.44)	9.48	(7.82 - 11.44)	0.736
Circuit 17 (Broward)	10.18	(8.63 - 11.97)	9.60	(8.11 - 11.32)	0.426
Region E - Sun Coast	11.00^b	(9.89 - 12.22)	12.01	(10.74 - 13.41)	0.091
Circuit 6	10.20^a	(8.45 - 12.26)	12.77	(10.58 - 15.34)	0.006
Circuit 12	11.27	(8.85 - 14.26)	12.03	(9.71 - 14.81)	0.496
Circuit 13 (Hillsborough)	12.25	(10.33 - 14.48)	12.20	(10.35 - 14.34)	0.956
Circuit 20	10.54	(8.45 - 13.08)	10.89	(8.88 - 13.29)	0.694
Region F - Southern (Circuits 11 and 16)	9.02^b	(7.70 - 10.54)	7.87	(6.76 - 9.15)	0.060
Georgia	10.47	(9.19 - 11.90)	9.51	(8.33 - 10.83)	0.101
Region 1	10.03^a	(8.09 - 12.38)	8.23	(6.68 - 10.10)	0.018
Region 2	8.68	(6.54 - 11.43)	8.53	(6.68 - 10.83)	0.847
Region 3	11.99	(9.90 - 14.46)	11.32	(9.41 - 13.57)	0.514
Region 4	9.56	(6.94 - 13.03)	9.53	(7.41 - 12.19)	0.980
Region 5	11.25	(8.84 - 14.23)	9.91	(7.57 - 12.86)	0.135
Region 6	9.38	(7.22 - 12.10)	8.65	(6.77 - 10.99)	0.359
Hawaii	11.66	(10.23 - 13.27)	12.30	(10.76 - 14.03)	0.431
Hawaii Island	17.74	(14.03 - 22.17)	15.81	(12.57 - 19.69)	0.243
Honolulu	9.81	(8.36 - 11.47)	10.89	(9.36 - 12.63)	0.195
Kauai and Maui	14.65	(11.74 - 18.13)	15.46	(12.45 - 19.03)	0.526
Kauai	14.98	(10.99 - 20.11)	13.89	(10.35 - 18.39)	0.441
Maui	14.50	(11.11 - 18.70)	16.14	(12.66 - 20.35)	0.266
Idaho	11.60	(10.27 - 13.07)	11.22	(9.82 - 12.80)	0.545
Region 1	12.85^b	(10.04 - 16.31)	11.12	(8.67 - 14.15)	0.094
Region 2	11.92	(9.02 - 15.60)	12.56	(9.79 - 15.99)	0.519
Region 3	9.70	(7.69 - 12.17)	10.06	(7.87 - 12.79)	0.674
Region 4	14.25	(11.99 - 16.85)	13.72	(11.43 - 16.39)	0.619
Region 5	10.62	(8.15 - 13.72)	9.29	(7.27 - 11.80)	0.128
Region 6	11.13	(8.72 - 14.10)	12.28	(9.68 - 15.46)	0.226
Region 7	7.64	(5.82 - 9.96)	7.37	(5.61 - 9.63)	0.687
Illinois	10.73	(10.03 - 11.47)	11.18	(10.42 - 11.99)	0.252
Region I (Cook)	12.05	(10.90 - 13.30)	13.13	(11.90 - 14.45)	0.101
Region II	9.76	(8.76 - 10.88)	9.49	(8.49 - 10.60)	0.609
Region III	10.58	(9.25 - 12.07)	10.81	(9.39 - 12.42)	0.723
Region IV	9.14	(7.50 - 11.10)	8.70	(7.20 - 10.46)	0.538
Region V	9.83	(8.42 - 11.46)	10.79	(9.26 - 12.54)	0.160
Indiana	10.02	(8.82 - 11.35)	10.66	(9.34 - 12.16)	0.261
Central	10.38	(8.40 - 12.75)	11.65	(9.47 - 14.26)	0.160
East	8.82^a	(6.76 - 11.44)	10.92	(8.52 - 13.89)	0.014
North Central	9.46^b	(7.42 - 11.98)	10.89	(8.67 - 13.58)	0.094
Northeast	9.52	(7.26 - 12.39)	9.05	(6.96 - 11.69)	0.568
Northwest	10.22	(7.93 - 13.09)	10.27	(8.01 - 13.09)	0.956
Southeast	9.46	(7.26 - 12.24)	8.50	(6.64 - 10.83)	0.250
Southwest	7.96	(5.82 - 10.79)	8.39	(6.28 - 11.11)	0.565
West	13.12	(10.59 - 16.14)	13.38	(10.87 - 16.37)	0.785
Iowa	8.00^a	(7.02 - 9.10)	9.80	(8.61 - 11.13)	0.000
Central	8.53^a	(6.77 - 10.70)	11.10	(8.90 - 13.76)	0.003
North Central	8.31^a	(6.33 - 10.82)	12.44	(9.86 - 15.58)	0.000
Northeast	9.06	(7.38 - 11.08)	9.51	(7.89 - 11.44)	0.546
Northwest	6.13	(4.73 - 7.93)	6.77	(5.16 - 8.84)	0.312
Southeast	7.82^a	(6.24 - 9.76)	10.43	(8.43 - 12.83)	0.001
Southwest	7.45	(5.52 - 10.00)	8.53	(6.62 - 10.94)	0.139
Kansas	9.12	(7.99 - 10.39)	8.48	(7.34 - 9.77)	0.211
Kansas City Metro	10.37^a	(8.68 - 12.34)	8.91	(7.38 - 10.74)	0.049
Northeast	8.68	(6.78 - 11.04)	8.98	(7.12 - 11.26)	0.678
South Central	7.42	(5.47 - 9.99)	7.27	(5.47 - 9.61)	0.824
Southeast	9.34	(6.83 - 12.65)	8.21	(6.08 - 11.02)	0.167
West	8.05	(6.16 - 10.46)	7.48	(5.80 - 9.60)	0.395
Wichita (Sedgwick)	9.02	(7.07 - 11.44)	8.68	(6.86 - 10.94)	0.666
Kentucky	8.34	(7.29 - 9.53)	8.76	(7.60 - 10.07)	0.425
Adanta, Cumberland River, and Lifeskills	6.25	(4.73 - 8.20)	6.20	(4.78 - 8.00)	0.937
Bluegrass, Comprehend, and North Key	9.37	(7.74 - 11.31)	9.77	(8.11 - 11.73)	0.603
Communicare and River Valley	8.23	(6.21 - 10.83)	7.53	(5.71 - 9.88)	0.335
Four Rivers and Pennyroyal	8.50	(6.46 - 11.11)	7.44	(5.63 - 9.78)	0.142
Kentucky River, Mountain, and Pathways	6.23	(4.62 - 8.34)	6.67	(5.00 - 8.84)	0.500
Seven Counties	9.75^b	(7.73 - 12.24)	11.62	(9.51 - 14.12)	0.051
Louisiana	8.19	(7.09 - 9.45)	8.94	(7.87 - 10.15)	0.161
Regions 1 and 10	--	(-- - --)	10.98	(9.05 - 13.25)	--
Region 1	--	(-- - --)	12.53	(9.89 - 15.76)	--
Region 10 (Jefferson)	9.20	(6.82 - 12.28)	9.43	(7.31 - 12.09)	0.793
Regions 2 and 9	8.88	(7.29 - 10.78)	8.96	(7.39 - 10.81)	0.919
Region 3	--	(-- - --)	8.24	(6.34 - 10.64)	--
Regions 4, 5, and 6	7.09	(5.54 - 9.04)	8.13	(6.63 - 9.92)	0.139
Regions 7 and 8	8.25	(6.58 - 10.29)	8.35	(6.70 - 10.36)	0.888
Maine	13.98	(12.52 - 15.57)	14.02	(12.43 - 15.76)	0.959
Aroostook/Downeast	11.33	(9.00 - 14.18)	12.25	(10.03 - 14.88)	0.339
Aroostook	--	(-- - --)	10.96	(8.31 - 14.32)	--
Downeast	--	(-- - --)	13.31	(10.47 - 16.78)	--
Central	13.91	(11.21 - 17.14)	12.21	(9.84 - 15.04)	0.140
Cumberland	15.28	(12.74 - 18.22)	15.59	(12.85 - 18.79)	0.813
Midcoast	12.62	(9.91 - 15.93)	13.34	(10.33 - 17.07)	0.553
Penquis	13.89	(11.30 - 16.97)	15.73	(13.00 - 18.92)	0.113
Western	15.11	(12.25 - 18.49)	14.74	(12.09 - 17.86)	0.764
York	14.35	(11.49 - 17.77)	13.07	(10.53 - 16.11)	0.292
Maryland	10.29	(8.93 - 11.83)	10.08	(8.88 - 11.43)	0.709
Anne Arundel	9.39	(7.24 - 12.09)	9.17	(7.15 - 11.68)	0.773
Baltimore City	13.21	(9.95 - 17.32)	13.41	(10.81 - 16.53)	0.875
Baltimore County	11.36^b	(8.83 - 14.49)	9.76	(7.70 - 12.31)	0.076
Montgomery	9.18	(7.20 - 11.64)	9.07	(7.21 - 11.35)	0.881
North Central	8.46	(6.38 - 11.15)	8.74	(6.77 - 11.23)	0.706
Northeast	9.61	(7.29 - 12.59)	9.15	(7.10 - 11.70)	0.552
Prince George's	11.88	(9.25 - 15.13)	11.34	(9.15 - 13.98)	0.575
South	9.35^b	(7.05 - 12.31)	11.03	(8.83 - 13.70)	0.068
West	8.50	(6.40 - 11.21)	8.34	(6.42 - 10.77)	0.834
Massachusetts	15.19	(13.66 - 16.85)	15.54	(14.01 - 17.19)	0.633
Boston	16.71^b	(13.21 - 20.90)	19.47	(16.17 - 23.25)	0.054
Central	14.80	(11.87 - 18.31)	14.50	(11.82 - 17.67)	0.804
Metrowest	13.21^a	(11.03 - 15.73)	15.60	(13.15 - 18.41)	0.023
Northeast	13.75	(11.29 - 16.65)	14.88	(12.52 - 17.59)	0.301
Southeast	15.46	(12.79 - 18.57)	14.71	(12.25 - 17.58)	0.526
Western	19.41^a	(16.09 - 23.22)	14.95	(12.31 - 18.05)	0.001
Michigan	12.65^a	(11.89 - 13.44)	13.62	(12.81 - 14.48)	0.021
Detroit City	17.54	(14.87 - 20.57)	19.10	(16.32 - 22.23)	0.240
Genesee	16.46	(13.52 - 19.88)	14.73	(12.35 - 17.49)	0.135
Kalamazoo	12.38^b	(10.35 - 14.75)	14.18	(11.91 - 16.79)	0.062
Kent	12.27	(10.27 - 14.59)	13.28	(11.22 - 15.66)	0.280
Lakeshore	12.90	(10.91 - 15.18)	12.78	(10.91 - 14.93)	0.900
Macomb	10.81	(9.09 - 12.81)	11.94	(10.21 - 13.91)	0.171
Mid South	12.28^b	(10.52 - 14.29)	13.68	(11.84 - 15.75)	0.092
Northern	12.13	(10.29 - 14.24)	13.44	(11.51 - 15.63)	0.144
Oakland	11.66	(9.98 - 13.59)	12.42	(10.76 - 14.30)	0.387
Pathways and Western	13.67^a	(11.18 - 16.61)	16.69	(13.91 - 19.90)	0.007
Riverhaven	10.32^b	(8.25 - 12.84)	11.80	(9.55 - 14.51)	0.090
Saginaw	12.22^b	(9.68 - 15.31)	14.00	(11.26 - 17.28)	0.073
Southeast	11.66^b	(9.97 - 13.58)	13.38	(11.58 - 15.41)	0.052
St. Clair	10.20^b	(8.21 - 12.61)	11.75	(9.55 - 14.37)	0.072
Washtenaw	14.14	(11.87 - 16.76)	12.95	(11.06 - 15.11)	0.213
Minnesota	10.57	(9.34 - 11.93)	11.28	(9.98 - 12.73)	0.238
Regions 1 and 2	12.61^b	(9.89 - 15.96)	10.73	(8.28 - 13.78)	0.059
Regions 3 and 4	10.93	(8.88 - 13.38)	10.00	(8.11 - 12.27)	0.271
Regions 5 and 6	9.04^a	(7.29 - 11.17)	11.55	(9.56 - 13.88)	0.002
Region 7A (Hennepin)	9.95^a	(7.96 - 12.36)	12.45	(10.24 - 15.06)	0.012
Region 7B (Ramsey)	10.88^a	(8.33 - 14.08)	13.21	(10.22 - 16.90)	0.039
Region 7C	11.12	(9.04 - 13.62)	10.29	(8.54 - 12.36)	0.334
Mississippi	8.16^b	(7.13 - 9.32)	9.08	(7.93 - 10.38)	0.071
Region 1	9.06	(7.35 - 11.13)	8.76	(7.09 - 10.77)	0.685
Region 2	8.31	(6.15 - 11.14)	9.28	(7.19 - 11.91)	0.241
Region 3	6.67^a	(5.08 - 8.72)	8.82	(6.99 - 11.09)	0.002
Region 4	7.81^a	(6.24 - 9.74)	9.63	(7.83 - 11.80)	0.012
Region 5	8.65^b	(6.35 - 11.66)	7.33	(5.41 - 9.87)	0.080
Region 6	8.36	(6.28 - 11.05)	8.55	(6.62 - 10.97)	0.807
Region 7	8.17^a	(6.30 - 10.54)	10.00	(7.85 - 12.67)	0.026
Missouri	9.66	(8.45 - 11.02)	10.22	(9.02 - 11.56)	0.301
Central	8.38	(6.42 - 10.87)	8.75	(6.84 - 11.14)	0.616
Eastern	11.38	(9.58 - 13.46)	11.61	(9.98 - 13.46)	0.770
Eastern (St. Louis City and County)	11.58	(9.40 - 14.18)	12.26	(10.22 - 14.64)	0.493
Eastern (excluding St. Louis)	11.02	(8.63 - 13.97)	10.47	(8.40 - 12.97)	0.534
Northwest	9.42^a	(7.80 - 11.32)	10.72	(8.98 - 12.76)	0.045
Northwest (Jackson)	10.51^b	(8.27 - 13.26)	12.06	(9.71 - 14.89)	0.091
Northwest (excluding Jackson)	8.48	(6.62 - 10.81)	9.59	(7.49 - 12.20)	0.134
Southeast	7.82	(5.86 - 10.37)	7.43	(5.70 - 9.64)	0.588
Southwest	8.54	(6.63 - 10.94)	9.77	(7.74 - 12.27)	0.126
Montana	13.88^a	(12.42 - 15.47)	16.36	(14.76 - 18.09)	0.001
Region 1	11.13^a	(8.51 - 14.43)	13.82	(10.94 - 17.32)	0.016
Region 2	12.49^a	(10.01 - 15.48)	14.93	(12.04 - 18.36)	0.031
Region 3	10.78^a	(8.67 - 13.34)	14.96	(12.49 - 17.81)	0.000
Region 4	16.91	(14.50 - 19.63)	18.05	(15.48 - 20.94)	0.329
Region 5	14.67^a	(12.41 - 17.26)	17.16	(14.72 - 19.90)	0.031
Nebraska	9.49	(8.33 - 10.80)	8.94	(7.82 - 10.19)	0.330
Regions 1 and 2	8.63	(6.74 - 10.99)	7.86	(6.17 - 9.97)	0.237
Region 1	7.99	(5.81 - 10.91)	8.16	(6.00 - 11.01)	0.825
Region 2	9.18^a	(6.74 - 12.37)	7.59	(5.61 - 10.20)	0.045
Region 3	6.92	(5.23 - 9.10)	6.66	(5.14 - 8.58)	0.687
Region 4	7.78^a	(5.73 - 10.49)	5.71	(4.17 - 7.79)	0.002
Region 5	9.08	(7.40 - 11.09)	9.09	(7.40 - 11.13)	0.988
Region 6	11.26	(9.48 - 13.34)	10.66	(9.07 - 12.49)	0.470
Nevada¹	11.77^a	(10.24 - 13.49)	13.94	(12.16 - 15.94)	0.009
Clark - Region 1	11.52^a	(9.80 - 13.50)	13.85	(11.83 - 16.15)	0.014
Region 3	11.66	(9.06 - 14.88)	12.07	(9.52 - 15.19)	0.663
Capital District	--	(-- - --)	12.39	(9.36 - 16.24)	--
Rural/Frontier	--	(-- - --)	11.78	(8.66 - 15.81)	--
Washoe - Region 2	12.98^a	(10.43 - 16.03)	15.83	(12.99 - 19.15)	0.019
New Hampshire	14.88	(13.29 - 16.61)	14.40	(12.84 - 16.12)	0.546
Central	15.32	(13.14 - 17.79)	15.75	(13.56 - 18.22)	0.675
Central 1	17.09	(14.02 - 20.68)	18.63	(15.54 - 22.17)	0.277
Central 2	13.64	(11.07 - 16.71)	12.96	(10.48 - 15.91)	0.538
Northern	16.26	(12.98 - 20.18)	15.36	(12.50 - 18.73)	0.495
Southern	14.35	(12.57 - 16.35)	13.54	(11.82 - 15.46)	0.346
Southern 1 (Rockingham)	15.77^a	(12.98 - 19.02)	12.36	(10.19 - 14.90)	0.003
Southern 2	13.48	(11.42 - 15.84)	14.27	(12.19 - 16.64)	0.449
New Jersey	9.78	(8.53 - 11.18)	10.50	(9.20 - 11.95)	0.196
Central	10.52	(8.44 - 13.04)	10.11	(8.22 - 12.39)	0.632
Metropolitan	8.83^b	(7.11 - 10.91)	10.19	(8.37 - 12.35)	0.063
Northern	9.26^b	(7.56 - 11.30)	10.69	(8.80 - 12.93)	0.069
Southern	10.75	(8.66 - 13.26)	10.97	(8.94 - 13.39)	0.792
New Mexico	11.40^a	(10.06 - 12.90)	13.70	(12.15 - 15.42)	0.001
Region 1	11.92	(9.80 - 14.43)	13.20	(10.97 - 15.80)	0.182
Region 2	11.35	(8.89 - 14.39)	12.56	(9.87 - 15.86)	0.275
Region 3 (Bernalillo)	12.70^a	(10.63 - 15.11)	16.96	(14.38 - 19.89)	0.000
Region 4	9.41^a	(7.14 - 12.30)	11.26	(8.97 - 14.03)	0.047
Region 5	10.04	(8.06 - 12.43)	11.26	(9.16 - 13.78)	0.143
New York	12.77	(11.98 - 13.61)	13.00	(12.18 - 13.87)	0.603
Region A	12.37	(11.19 - 13.65)	12.92	(11.76 - 14.18)	0.362
Region 1	11.16	(9.01 - 13.75)	11.88	(9.96 - 14.12)	0.418
Region 2	12.42	(10.81 - 14.24)	12.99	(11.16 - 15.06)	0.523
Region 3	17.22	(14.21 - 20.70)	15.29	(12.75 - 18.23)	0.156
Region 4	9.37^a	(7.75 - 11.27)	11.70	(9.88 - 13.80)	0.003
Region B	11.93	(10.80 - 13.17)	12.30	(11.15 - 13.56)	0.522
Region 5	11.19^a	(9.76 - 12.81)	12.74	(11.17 - 14.49)	0.045
Region 6	11.83	(9.94 - 14.01)	10.91	(9.00 - 13.18)	0.273
Region 7	14.45	(12.12 - 17.13)	13.05	(10.97 - 15.46)	0.163
Region C	14.47	(13.28 - 15.74)	13.77	(12.60 - 15.03)	0.229
Region 8	15.93^a	(13.61 - 18.56)	13.79	(11.69 - 16.20)	0.034
Region 9	13.55	(11.32 - 16.13)	14.27	(12.18 - 16.65)	0.456
Region 10	16.81^b	(13.81 - 20.31)	14.67	(12.04 - 17.77)	0.065
Region 11	13.68	(11.60 - 16.06)	13.87	(11.67 - 16.41)	0.844
Region 12	13.74	(11.65 - 16.13)	12.89	(10.86 - 15.24)	0.386
Region D	12.54	(10.94 - 14.34)	13.33	(11.69 - 15.16)	0.226
Region 13	12.88	(10.16 - 16.20)	14.45	(11.77 - 17.60)	0.152
Region 14	13.15	(10.80 - 15.93)	13.78	(11.15 - 16.91)	0.504
Region 15	11.64	(9.29 - 14.49)	11.90	(9.67 - 14.56)	0.780
North Carolina¹	10.77	(9.53 - 12.15)	10.57	(9.25 - 12.04)	0.710
Alliance	9.86	(7.95 - 12.18)	9.59	(7.77 - 11.79)	0.732
Cardinal Innovations	9.69	(7.38 - 12.63)	10.73	(8.65 - 13.23)	0.235
CenterPoint/Guilford	11.15	(9.00 - 13.74)	11.44	(9.24 - 14.09)	0.702
CenterPoint	9.98	(7.38 - 13.38)	11.16	(8.45 - 14.61)	0.192
Guilford	12.47	(9.58 - 16.07)	11.75	(9.04 - 15.13)	0.461
CoastalCare	13.32	(10.11 - 17.34)	12.55	(9.64 - 16.16)	0.451
Eastpointe	11.40	(8.59 - 14.99)	10.07	(7.79 - 12.92)	0.162
ECBH	13.65^a	(10.42 - 17.67)	10.24	(7.87 - 13.21)	0.001
MeckLINK	13.15^b	(10.38 - 16.53)	11.26	(8.72 - 14.41)	0.077
Partners	9.25	(7.14 - 11.91)	10.39	(8.20 - 13.09)	0.186
Sandhills	10.20	(7.52 - 13.69)	10.02	(7.58 - 13.14)	0.840
Smoky Mountain	8.16^a	(6.05 - 10.92)	9.76	(7.35 - 12.85)	0.041
Western Highlands	10.51	(7.95 - 13.77)	10.79	(8.34 - 13.85)	0.750
North Dakota	8.09	(7.13 - 9.18)	8.90	(7.82 - 10.11)	0.102
Badlands and West Central	7.20	(5.79 - 8.93)	7.52	(5.97 - 9.44)	0.645
Lake Region and South Central	7.48	(5.75 - 9.68)	8.70	(6.79 - 11.10)	0.101
North Central and Northwest	6.92^a	(5.37 - 8.87)	8.43	(6.67 - 10.59)	0.024
Northeast	10.36	(8.25 - 12.94)	11.22	(9.18 - 13.64)	0.342
Southeast	8.88	(7.40 - 10.64)	9.56	(8.00 - 11.38)	0.346
Ohio	10.21^a	(9.55 - 10.91)	12.08	(11.30 - 12.91)	0.000
Boards 2, 46, 55, and 68	7.87^a	(6.36 - 9.70)	10.59	(8.72 - 12.79)	0.000
Boards 3, 52, and 85	8.90	(6.99 - 11.28)	9.61	(7.80 - 11.79)	0.371
Boards 4 and 78	9.14^a	(7.04 - 11.79)	11.82	(9.31 - 14.89)	0.003
Boards 5 and 60	11.18^a	(9.14 - 13.61)	13.96	(11.52 - 16.80)	0.004
Boards 7, 15, 41, 79, and 84	7.29	(5.75 - 9.19)	8.17	(6.52 - 10.20)	0.229
Boards 8, 13, and 83	8.59^a	(6.86 - 10.70)	10.20	(8.38 - 12.38)	0.033
Board 9 (Butler)	10.44	(8.31 - 13.03)	11.38	(9.33 - 13.81)	0.254
Board 12	9.05^a	(7.34 - 11.12)	12.39	(10.05 - 15.18)	0.000
Boards 18 and 47	10.52^a	(9.14 - 12.08)	13.06	(11.42 - 14.89)	0.001
Boards 20, 32, 54, and 69	7.20^b	(5.61 - 9.20)	8.42	(6.68 - 10.57)	0.054
Boards 21, 39, 51, 70, and 80	9.06^a	(7.19 - 11.35)	10.95	(9.07 - 13.16)	0.017
Boards 22, 74, and 87	9.48	(7.62 - 11.75)	10.36	(8.45 - 12.64)	0.241
Boards 23 and 45	9.33	(7.37 - 11.74)	10.61	(8.59 - 13.04)	0.119
Board 25 (Franklin)	13.69^a	(11.89 - 15.71)	15.97	(13.92 - 18.27)	0.026
Boards 27, 71, and 73	7.83^a	(6.09 - 10.00)	9.42	(7.55 - 11.68)	0.041
Boards 28, 43, and 67	10.17	(8.42 - 12.24)	10.47	(8.70 - 12.56)	0.723
Board 31 (Hamilton)	12.23^b	(10.25 - 14.54)	14.02	(11.93 - 16.41)	0.067
Board 48 (Lucas)	12.53^a	(10.23 - 15.26)	14.89	(12.40 - 17.78)	0.023
Boards 50 and 76	10.01^b	(8.13 - 12.27)	11.48	(9.65 - 13.60)	0.096
Board 57 (Montgomery)	10.93	(8.90 - 13.36)	12.17	(10.11 - 14.58)	0.176
Board 77 (Summit)	11.15^a	(9.18 - 13.48)	13.55	(11.31 - 16.15)	0.015
Oklahoma	10.23	(8.89 - 11.75)	10.07	(8.81 - 11.49)	0.787
Central	9.74	(7.51 - 12.55)	10.47	(8.25 - 13.21)	0.411
East Central	9.83	(7.38 - 12.99)	8.77	(6.61 - 11.55)	0.232
Northeast	9.57	(7.42 - 12.26)	9.16	(7.20 - 11.59)	0.634
Northwest and Southwest	10.78	(8.38 - 13.77)	11.06	(8.70 - 13.97)	0.769
Oklahoma County	10.22	(7.88 - 13.15)	11.63	(9.48 - 14.19)	0.169
Southeast	10.46^b	(8.09 - 13.42)	8.82	(6.85 - 11.28)	0.055
Tulsa County	10.79	(8.54 - 13.55)	9.76	(7.68 - 12.34)	0.242
Oregon	14.79^a	(13.27 - 16.46)	16.66	(14.97 - 18.50)	0.021
Region 1 (Multnomah)	20.59^b	(17.03 - 24.68)	23.65	(20.02 - 27.71)	0.089
Region 2	12.54	(10.29 - 15.20)	13.79	(11.41 - 16.57)	0.235
Region 3	14.95^a	(12.79 - 17.41)	17.17	(14.77 - 19.86)	0.050
Region 4	12.29	(9.68 - 15.48)	13.97	(11.22 - 17.26)	0.144
Region 5 (Central)	14.57	(11.09 - 18.92)	13.20	(10.24 - 16.84)	0.236
Region 6 (Eastern)	11.21	(8.53 - 14.59)	12.19	(8.86 - 16.55)	0.371
Pennsylvania	10.22^b	(9.51 - 10.97)	10.96	(10.20 - 11.77)	0.055
Region 1 (Allegheny)	12.14	(10.31 - 14.25)	12.73	(10.89 - 14.82)	0.529
Regions 3, 8, 9, and 51	9.06	(7.34 - 11.15)	8.91	(7.26 - 10.90)	0.832
Regions 4, 11, 37, and 49	8.55	(6.93 - 10.50)	9.32	(7.70 - 11.25)	0.263
Regions 5, 18, 23, 24, and 46	9.01	(7.03 - 11.49)	9.53	(7.73 - 11.69)	0.497
Regions 6, 12, 16, 31, 35, 45, and 47	10.53	(8.60 - 12.84)	10.06	(8.42 - 11.97)	0.533
Regions 7, 13, 20, and 33	11.83	(10.44 - 13.38)	11.77	(10.40 - 13.29)	0.932
Regions 10, 15, 27, 32, 43, and 44	8.53	(6.74 - 10.75)	9.06	(7.41 - 11.03)	0.458
Regions 17 and 21	10.80	(8.65 - 13.42)	11.79	(9.55 - 14.47)	0.250
Regions 19, 26, 28, and 42	8.10	(6.65 - 9.84)	8.79	(7.47 - 10.33)	0.283
Regions 22, 38, 40, 41, and 48	7.80	(6.36 - 9.54)	8.10	(6.70 - 9.75)	0.626
Regions 29 and 34	7.89^a	(6.20 - 9.99)	10.27	(8.34 - 12.60)	0.001
Regions 30 and 50	8.41	(6.73 - 10.45)	8.60	(6.80 - 10.82)	0.789
Region 36 (Philadelphia)	13.89^a	(11.95 - 16.08)	16.73	(14.63 - 19.06)	0.009
Rhode Island	16.07^a	(14.37 - 17.94)	19.24	(17.35 - 21.27)	0.001
Bristol and Newport	15.53^a	(12.40 - 19.28)	18.55	(15.15 - 22.50)	0.031
Kent	13.82^a	(11.04 - 17.17)	17.53	(14.48 - 21.07)	0.005
Providence	16.66^a	(14.52 - 19.04)	19.60	(17.31 - 22.11)	0.008
Washington	16.79^a	(13.65 - 20.48)	20.43	(17.09 - 24.22)	0.011
South Carolina	9.87^a	(8.67 - 11.23)	11.24	(9.96 - 12.65)	0.020
Region 1	9.48^a	(7.65 - 11.69)	11.40	(9.46 - 13.67)	0.019
Region 2	10.03	(8.31 - 12.06)	11.29	(9.50 - 13.36)	0.128
Region 3	9.59^b	(7.46 - 12.24)	11.21	(9.02 - 13.86)	0.100
Region 4	10.28	(8.34 - 12.61)	11.03	(9.12 - 13.28)	0.378
South Dakota	8.74	(7.69 - 9.92)	9.08	(7.90 - 10.42)	0.541
Region 1	--	(-- - --)	11.04	(8.96 - 13.52)	--
Region 2	--	(-- - --)	8.66	(6.43 - 11.55)	--
Region 3	--	(-- - --)	8.54	(6.81 - 10.66)	--
Region 4	--	(-- - --)	8.48	(6.49 - 11.01)	--
Region 5	--	(-- - --)	8.26	(6.70 - 10.15)	--
Tennessee	9.58	(8.37 - 10.94)	9.06	(7.90 - 10.38)	0.346
Region 1	7.99	(5.93 - 10.69)	8.00	(6.10 - 10.42)	0.995
Region 2	7.59	(5.88 - 9.73)	7.72	(6.00 - 9.87)	0.858
Region 3	--	(-- - --)	8.94	(7.07 - 11.25)	--
Region 4 (Davidson)	14.36^a	(11.41 - 17.91)	12.07	(9.60 - 15.08)	0.044
Region 5	--	(-- - --)	8.74	(6.95 - 10.94)	--
Region 6	8.79	(6.65 - 11.54)	8.23	(6.30 - 10.68)	0.458
Region 7 (Shelby)	11.83	(9.29 - 14.95)	10.60	(8.47 - 13.19)	0.200
Texas	8.70^a	(8.10 - 9.33)	9.39	(8.72 - 10.11)	0.033
Region 1	9.79	(7.95 - 12.01)	10.68	(8.66 - 13.10)	0.260
Region 2	8.62	(6.64 - 11.12)	8.23	(6.32 - 10.66)	0.560
Region 3	8.81^b	(7.81 - 9.92)	9.80	(8.77 - 10.92)	0.053
Region 3a	8.32	(7.14 - 9.66)	9.24	(8.01 - 10.63)	0.127
Region 3bc	9.67	(8.20 - 11.39)	10.77	(9.23 - 12.53)	0.132
Region 4	9.21	(7.31 - 11.55)	9.02	(7.23 - 11.19)	0.778
Region 5	8.59	(6.72 - 10.90)	8.98	(7.13 - 11.24)	0.576
Region 6	8.05	(7.06 - 9.18)	8.28	(7.26 - 9.43)	0.650
Region 6a	7.85	(6.78 - 9.06)	8.08	(6.99 - 9.32)	0.670
Region 6bc	9.75	(7.63 - 12.38)	9.99	(7.89 - 12.57)	0.739
Region 7	11.60	(10.15 - 13.22)	12.22	(10.81 - 13.79)	0.341
Region 7a	12.29^a	(10.40 - 14.47)	14.15	(12.13 - 16.44)	0.044
Region 7bcd	10.45^a	(8.56 - 12.70)	8.99	(7.41 - 10.87)	0.039
Region 8	8.12^a	(6.78 - 9.69)	9.39	(7.95 - 11.06)	0.039
Region 9	8.50	(6.67 - 10.77)	9.00	(7.12 - 11.32)	0.449
Region 10	6.99	(5.37 - 9.04)	7.86	(6.30 - 9.76)	0.158
Region 11	6.80^a	(5.71 - 8.07)	8.03	(6.83 - 9.43)	0.007
Region 11abd	7.33^a	(5.91 - 9.06)	9.16	(7.56 - 11.06)	0.002
Region 11c (Hidalgo)	5.81	(4.49 - 7.48)	6.05	(4.69 - 7.77)	0.606
Utah	6.73	(5.81 - 7.79)	7.28	(6.31 - 8.40)	0.280
Bear River, Northeastern, Summit, Tooele, and Wasatch	6.72	(4.99 - 8.98)	6.59	(5.11 - 8.45)	0.851
Central, Four Corners, San Juan, and Southwest	5.76	(4.26 - 7.73)	6.40	(4.76 - 8.56)	0.286
Davis County	6.73	(5.06 - 8.91)	6.30	(4.80 - 8.22)	0.487
Salt Lake County	7.72	(6.35 - 9.35)	8.56	(7.09 - 10.31)	0.235
Utah County	5.40^a	(4.13 - 7.03)	6.55	(5.14 - 8.31)	0.047
Weber, Morgan	6.65	(4.82 - 9.11)	6.67	(4.97 - 8.90)	0.985
Vermont	16.74^a	(15.13 - 18.49)	18.65	(16.89 - 20.54)	0.033
Champlain Valley	17.73^a	(15.56 - 20.13)	21.63	(19.24 - 24.22)	0.001
Rural Northeast	17.37	(14.60 - 20.53)	17.24	(14.50 - 20.38)	0.927
Rural Southeast	16.61	(13.67 - 20.03)	16.57	(13.72 - 19.88)	0.979
Rural Southwest	13.59^a	(11.03 - 16.63)	15.99	(13.19 - 19.25)	0.042
Virginia	9.77	(8.60 - 11.07)	10.13	(8.92 - 11.48)	0.511
Region 1	9.73^a	(7.89 - 11.94)	12.28	(10.13 - 14.81)	0.004
Region 2	8.41	(6.73 - 10.47)	7.60	(6.04 - 9.52)	0.251
Region 3	9.63	(7.63 - 12.09)	9.89	(7.91 - 12.29)	0.761
Region 4	9.90	(7.74 - 12.59)	9.79	(7.78 - 12.26)	0.893
Region 5	11.36	(9.24 - 13.90)	12.18	(10.10 - 14.63)	0.374
Washington	13.80^a	(12.26 - 15.49)	15.54	(13.96 - 17.26)	0.024
Region 1	12.18	(10.01 - 14.73)	13.37	(11.20 - 15.89)	0.165
East 1 (previously Region 1)	12.40	(9.76 - 15.64)	13.97	(11.13 - 17.40)	0.155
East 2 (previously Region 2)	11.87	(9.05 - 15.42)	12.56	(9.95 - 15.73)	0.488
Region 2	14.36^a	(12.38 - 16.61)	17.01	(14.95 - 19.29)	0.010
North 1 (previously Region 3)	14.63	(11.89 - 17.88)	16.43	(13.74 - 19.52)	0.151
North 2 (previously Region 4)	14.21^a	(11.84 - 16.96)	17.35	(14.79 - 20.25)	0.012
Region 3	14.07	(12.00 - 16.44)	14.91	(12.79 - 17.30)	0.375
West 1 (previously Region 5)	14.28	(11.54 - 17.55)	15.63	(12.95 - 18.74)	0.262
West 2 (previously Region 6)	13.88	(11.26 - 17.00)	14.24	(11.58 - 17.38)	0.755
West Virginia	9.94	(8.69 - 11.33)	9.79	(8.63 - 11.10)	0.807
Region I	9.24	(6.82 - 12.41)	8.74	(6.60 - 11.50)	0.567
Region II	9.51	(7.31 - 12.27)	9.93	(7.80 - 12.55)	0.634
Region III	8.14	(6.04 - 10.88)	7.41	(5.63 - 9.69)	0.295
Region IV	11.57^b	(9.47 - 14.07)	13.38	(11.34 - 15.73)	0.057
Region V	10.28^b	(8.45 - 12.46)	8.77	(7.26 - 10.56)	0.073
Region VI	9.09	(7.10 - 11.57)	8.66	(6.76 - 11.03)	0.587
Wisconsin	10.36	(9.13 - 11.73)	10.28	(9.01 - 11.71)	0.895
Milwaukee	11.70^b	(9.31 - 14.60)	13.67	(10.85 - 17.09)	0.077
Northeastern	8.90	(7.15 - 11.03)	8.76	(7.08 - 10.79)	0.856
Northern	8.14	(6.04 - 10.88)	7.94	(5.94 - 10.54)	0.790
Southeastern	9.67	(7.70 - 12.08)	10.32	(8.22 - 12.89)	0.455
Southern	12.74^a	(10.39 - 15.52)	10.43	(8.58 - 12.63)	0.012
Western	10.26	(8.16 - 12.82)	9.86	(7.85 - 12.31)	0.640
Wyoming	9.33	(8.20 - 10.59)	10.04	(8.81 - 11.42)	0.224
Judicial District 1 (Laramie)	8.83	(6.96 - 11.13)	9.47	(7.50 - 11.89)	0.430
Judicial District 2	14.67	(11.87 - 18.00)	14.87	(12.15 - 18.07)	0.861
Judicial District 3	6.85	(5.32 - 8.78)	6.64	(5.15 - 8.51)	0.743
Judicial District 4	8.37	(6.11 - 11.36)	9.48	(7.31 - 12.22)	0.213
Judicial District 5	7.94	(6.02 - 10.39)	7.98	(6.00 - 10.52)	0.962
Judicial District 6	8.10	(6.23 - 10.47)	8.59	(6.62 - 11.08)	0.551
Judicial District 7 (Natrona)	10.96	(8.68 - 13.75)	10.87	(8.77 - 13.39)	0.921
Judicial District 8	8.82	(6.58 - 11.74)	9.73	(7.46 - 12.58)	0.296
Judicial District 9	10.29^a	(7.83 - 13.42)	13.26	(10.21 - 17.05)	0.015

140403

Table 3 – *Marijuana Use in the Past Month* among Persons Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2008-2010 and 2010-2012 NSDUHs
State/Substate Region	2008-2010 (Estimate)	2008-2010 (95% Confidence Interval)	2010-2012 (Estimate)	2010-2012 (95% Confidence Interval)	P Value
ECBH = East Carolina Behavioral Health; SPA = service planning area. -- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2010-2012); 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 "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. 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 posterior probability of no change between the 2008-2010 and 2010-2012 estimates. The "Total U.S." estimates, along with the 95 percent confidence intervals and p values, are based on design-based (direct) estimation methods. ^a Difference between the 2008-2010 estimate and the 2010-2012 estimate is statistically significant at the 0.05 level. ^b Difference between the 2008-2010 estimate and the 2010-2012 estimate 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. 2010-2012). For details, see the "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008, 2009, 2010, 2011, and 2012 (2008, 2009, and 2010 Data - Revised March 2012).
Total United States	6.58^a	(6.40 - 6.77)	7.01	(6.82 - 7.20)	0.000
Northeast	7.30^b	(6.95 - 7.66)	7.66	(7.25 - 8.08)	0.075
Midwest	6.19^a	(5.93 - 6.47)	6.68	(6.39 - 7.00)	0.001
South	5.55	(5.30 - 5.80)	5.74	(5.47 - 6.01)	0.163
West	8.02^a	(7.59 - 8.47)	8.82	(8.37 - 9.30)	0.001
Alabama	4.88	(4.09 - 5.81)	5.02	(4.21 - 5.98)	0.706
Region 1	4.54	(3.38 - 6.07)	5.07	(3.82 - 6.69)	0.314
Region 2	5.20	(4.03 - 6.68)	5.56	(4.34 - 7.09)	0.506
Region 3	5.75^a	(4.32 - 7.63)	4.28	(3.16 - 5.75)	0.004
Region 4	4.15	(3.02 - 5.66)	4.77	(3.60 - 6.30)	0.208
Alaska	11.49	(9.93 - 13.25)	12.34	(10.72 - 14.17)	0.327
Anchorage	11.11	(9.17 - 13.40)	12.48	(10.39 - 14.91)	0.194
Northern	12.73	(10.09 - 15.94)	13.14	(10.50 - 16.31)	0.755
South Central	11.35	(8.68 - 14.73)	11.42	(8.90 - 14.55)	0.958
Southeast	10.82	(8.01 - 14.45)	12.43	(9.38 - 16.31)	0.228
Arizona	6.50	(5.42 - 7.78)	6.97	(5.86 - 8.27)	0.376
Maricopa	6.17	(4.94 - 7.68)	6.66	(5.44 - 8.12)	0.436
Pima	7.98	(5.85 - 10.80)	8.17	(6.10 - 10.86)	0.828
Rural North	7.02	(5.10 - 9.59)	7.43	(5.41 - 10.12)	0.614
Rural South	5.77	(4.07 - 8.13)	6.59	(4.57 - 9.41)	0.203
Arkansas	5.53	(4.63 - 6.59)	4.95	(4.15 - 5.91)	0.134
Catchment Area 1	5.52	(3.97 - 7.62)	5.25	(3.88 - 7.07)	0.638
Catchment Area 2	4.84	(3.37 - 6.90)	4.46	(3.11 - 6.35)	0.477
Catchment Area 3	5.31^a	(3.83 - 7.32)	3.99	(2.83 - 5.58)	0.016
Catchment Area 4	4.78	(3.31 - 6.87)	4.98	(3.46 - 7.13)	0.728
Catchment Area 5	6.18^b	(4.69 - 8.10)	5.05	(3.67 - 6.91)	0.063
Catchment Area 6	6.46	(4.56 - 9.07)	5.46	(3.83 - 7.73)	0.168
Catchment Area 7	5.16^a	(3.55 - 7.43)	3.98	(2.71 - 5.81)	0.022
Catchment Area 8	5.78	(4.28 - 7.77)	5.82	(4.48 - 7.53)	0.951
California	8.05^b	(7.39 - 8.76)	8.74	(8.06 - 9.48)	0.059
Region 1R	13.99	(10.68 - 18.11)	15.38	(11.77 - 19.86)	0.330
Region 2R	8.24^a	(6.32 - 10.69)	10.82	(8.40 - 13.83)	0.003
Region 3R (Sacramento)	9.44	(7.22 - 12.24)	10.46	(8.12 - 13.37)	0.267
Region 4R	8.18^a	(6.19 - 10.73)	10.30	(8.07 - 13.06)	0.016
Region 5R (San Francisco)	12.71	(9.55 - 16.72)	13.47	(10.18 - 17.61)	0.602
Region 6 (Santa Clara)	6.68	(5.07 - 8.76)	6.50	(5.02 - 8.39)	0.781
Region 7R (Contra Costa)	8.61	(6.39 - 11.49)	8.80	(6.67 - 11.53)	0.818
Region 8R (Alameda)	9.08	(7.06 - 11.61)	9.06	(7.05 - 11.58)	0.981
Region 9R (San Mateo)	7.19	(5.25 - 9.76)	7.54	(5.44 - 10.35)	0.632
Region 10	10.85	(8.47 - 13.79)	9.29	(7.10 - 12.06)	0.112
Region 11 (Los Angeles)	7.21^a	(6.35 - 8.18)	8.04	(7.13 - 9.05)	0.044
LA SPA 1 and 5	9.04	(6.77 - 11.98)	9.27	(7.01 - 12.16)	0.789
LA SPA 2	6.84	(5.28 - 8.83)	6.98	(5.40 - 8.97)	0.837
LA SPA 3	5.93	(4.53 - 7.72)	6.08	(4.72 - 7.81)	0.768
LA SPA 4	7.88^a	(5.94 - 10.39)	9.88	(7.52 - 12.88)	0.021
LA SPA 6	7.20^a	(5.37 - 9.60)	10.00	(7.71 - 12.88)	0.001
LA SPA 7	6.39	(4.82 - 8.43)	6.19	(4.65 - 8.18)	0.726
LA SPA 8	8.14^a	(6.16 - 10.69)	9.91	(7.85 - 12.43)	0.044
Region 12R	7.75	(5.60 - 10.63)	8.16	(5.95 - 11.09)	0.603
Regions 13 and 19R	8.05	(6.36 - 10.14)	8.12	(6.61 - 9.94)	0.919
Region 13 (Riverside)	8.26	(6.46 - 10.50)	8.31	(6.69 - 10.27)	0.943
Region 19R (Imperial)	5.40	(3.89 - 7.46)	5.72	(4.01 - 8.10)	0.564
Region 14 (Orange)	6.49	(5.23 - 8.02)	7.18	(5.85 - 8.78)	0.255
Region 15R (Fresno)	7.09	(5.24 - 9.51)	7.81	(5.83 - 10.38)	0.270
Region 16R (San Diego)	8.85	(7.20 - 10.82)	9.10	(7.48 - 11.03)	0.725
Region 17R	6.78	(5.23 - 8.74)	7.68	(5.91 - 9.92)	0.167
Region 18R (San Bernardino)	6.13^a	(4.72 - 7.94)	7.76	(6.21 - 9.65)	0.007
Region 20R	7.95	(5.97 - 10.51)	8.51	(6.47 - 11.11)	0.444
Region 21R	11.03	(8.34 - 14.45)	12.25	(9.43 - 15.77)	0.274
Colorado	11.18	(9.68 - 12.89)	11.66	(10.17 - 13.34)	0.528
Region 1	11.16^b	(8.62 - 14.31)	9.59	(7.39 - 12.35)	0.076
Regions 2 and 7	12.20	(10.17 - 14.57)	13.45	(11.36 - 15.84)	0.239
Region 3	8.99	(6.86 - 11.70)	9.08	(6.92 - 11.82)	0.919
Region 4	8.12	(5.73 - 11.39)	8.50	(5.84 - 12.21)	0.662
Regions 5 and 6	10.57	(7.72 - 14.30)	10.11	(7.47 - 13.54)	0.682
Connecticut	7.55	(6.46 - 8.80)	8.32	(7.13 - 9.68)	0.147
Eastern	9.00	(6.62 - 12.11)	7.86	(6.03 - 10.20)	0.189
North Central	7.54	(6.01 - 9.43)	8.33	(6.60 - 10.45)	0.272
Northwestern	7.66	(5.82 - 10.01)	7.44	(5.58 - 9.85)	0.769
South Central	8.03^a	(6.34 - 10.12)	10.06	(7.92 - 12.70)	0.019
Southwest	5.89^b	(4.30 - 8.01)	7.23	(5.42 - 9.59)	0.053
Delaware	6.87	(5.84 - 8.06)	7.00	(6.02 - 8.13)	0.781
Kent	6.83	(5.10 - 9.10)	6.04	(4.48 - 8.11)	0.235
New Castle (excluding Wilmington City)	6.77	(5.57 - 8.21)	7.14	(5.96 - 8.54)	0.536
Sussex	5.84	(4.33 - 7.83)	6.32	(4.80 - 8.29)	0.469
Wilmington City	10.10	(7.56 - 13.36)	10.11	(7.57 - 13.38)	0.990
District of Columbia	9.25^b	(7.97 - 10.70)	10.45	(9.05 - 12.03)	0.071
Ward 1	9.99^b	(7.51 - 13.17)	11.77	(8.93 - 15.36)	0.100
Ward 2	8.88^a	(6.63 - 11.78)	10.75	(8.34 - 13.75)	0.046
Ward 3	6.88^a	(5.13 - 9.17)	9.05	(6.93 - 11.73)	0.007
Ward 4	8.64	(6.21 - 11.90)	9.99	(7.31 - 13.51)	0.210
Ward 5	9.52	(6.97 - 12.87)	10.81	(8.35 - 13.88)	0.235
Ward 6	9.14	(6.76 - 12.25)	10.33	(7.64 - 13.83)	0.258
Ward 7	10.29	(7.82 - 13.44)	9.57	(7.13 - 12.72)	0.480
Ward 8	11.24	(8.58 - 14.60)	11.44	(8.99 - 14.44)	0.859
Florida	6.12	(5.54 - 6.75)	6.48	(5.91 - 7.11)	0.256
Region A - Northwest	7.40^a	(6.09 - 8.97)	8.51	(7.22 - 10.00)	0.046
Circuit 1	6.76	(5.10 - 8.93)	7.43	(5.80 - 9.47)	0.352
Circuit 2	8.90^b	(6.65 - 11.81)	10.62	(8.38 - 13.38)	0.059
Circuit 14	6.97^b	(4.88 - 9.85)	8.23	(6.00 - 11.18)	0.099
Region B - Northeast	7.38	(6.26 - 8.69)	7.53	(6.41 - 8.84)	0.760
Circuits 3 and 8	7.91	(6.04 - 10.29)	8.92	(6.98 - 11.34)	0.213
Circuit 4	7.75	(6.05 - 9.87)	7.81	(6.09 - 9.95)	0.934
Circuit 7	6.60	(4.90 - 8.83)	6.28	(4.84 - 8.11)	0.600
Region C - Central	5.77^a	(4.99 - 6.66)	6.72	(5.86 - 7.70)	0.013
Circuit 5	5.33	(4.01 - 7.07)	5.62	(4.25 - 7.38)	0.609
Circuit 9	5.89^a	(4.62 - 7.47)	7.63	(6.18 - 9.40)	0.006
Circuit 10	4.97^b	(3.62 - 6.79)	6.10	(4.64 - 7.99)	0.056
Circuit 18	6.86	(5.23 - 8.95)	7.49	(5.81 - 9.61)	0.374
Circuit 19	5.44	(3.92 - 7.50)	6.08	(4.44 - 8.27)	0.304
Region D - Southeast	5.58	(4.67 - 6.65)	5.25	(4.40 - 6.27)	0.441
Circuit 15 (Palm Beach)	5.11	(3.87 - 6.73)	5.20	(4.00 - 6.74)	0.860
Circuit 17 (Broward)	5.93	(4.75 - 7.38)	5.29	(4.23 - 6.60)	0.238
Region E - Sun Coast	6.19	(5.32 - 7.20)	6.81	(5.88 - 7.88)	0.190
Circuit 6	5.82^a	(4.46 - 7.57)	7.58	(5.96 - 9.61)	0.013
Circuit 12	5.68	(4.11 - 7.80)	6.55	(4.84 - 8.81)	0.218
Circuit 13 (Hillsborough)	6.76	(5.36 - 8.48)	6.66	(5.40 - 8.18)	0.878
Circuit 20	6.40	(4.85 - 8.40)	6.20	(4.70 - 8.15)	0.772
Region F - Southern (Circuits 11 and 16)	5.31	(4.28 - 6.56)	4.82	(3.98 - 5.82)	0.274
Georgia	5.39	(4.53 - 6.40)	5.34	(4.49 - 6.33)	0.900
Region 1	4.49	(3.35 - 6.00)	4.50	(3.42 - 5.88)	0.998
Region 2	4.83	(3.44 - 6.75)	4.54	(3.28 - 6.26)	0.535
Region 3	6.58	(5.15 - 8.38)	6.50	(5.10 - 8.26)	0.909
Region 4	5.40	(3.65 - 7.92)	5.62	(3.95 - 7.93)	0.730
Region 5	5.36	(3.89 - 7.33)	5.77	(4.00 - 8.27)	0.485
Region 6	4.91	(3.51 - 6.82)	4.70	(3.40 - 6.47)	0.690
Hawaii	8.00	(6.70 - 9.53)	7.06	(5.96 - 8.34)	0.161
Hawaii Island	13.01^a	(9.62 - 17.37)	9.27	(6.82 - 12.47)	0.008
Honolulu	6.41	(5.14 - 7.97)	6.21	(5.11 - 7.52)	0.761
Kauai and Maui	10.70^b	(8.04 - 14.10)	8.85	(6.72 - 11.58)	0.090
Kauai	10.37	(7.04 - 15.02)	8.78	(5.99 - 12.68)	0.174
Maui	10.85	(7.78 - 14.93)	8.88	(6.48 - 12.06)	0.116
Idaho	6.95	(5.93 - 8.14)	6.44	(5.43 - 7.62)	0.249
Region 1	7.72^a	(5.56 - 10.61)	5.60	(3.95 - 7.88)	0.005
Region 2	7.33	(5.16 - 10.32)	7.69	(5.53 - 10.58)	0.616
Region 3	6.07	(4.52 - 8.10)	6.18	(4.56 - 8.33)	0.854
Region 4	8.51	(6.83 - 10.55)	8.00	(6.29 - 10.13)	0.519
Region 5	6.01^a	(4.33 - 8.29)	4.70	(3.33 - 6.59)	0.012
Region 6	6.37	(4.57 - 8.82)	6.76	(4.86 - 9.32)	0.562
Region 7	4.78	(3.43 - 6.62)	4.86	(3.50 - 6.73)	0.858
Illinois	6.09^a	(5.56 - 6.68)	6.75	(6.21 - 7.34)	0.026
Region I (Cook)	7.00^a	(6.13 - 7.98)	8.21	(7.30 - 9.22)	0.014
Region II	5.46	(4.73 - 6.29)	5.53	(4.81 - 6.35)	0.841
Region III	6.06	(5.06 - 7.24)	6.12	(5.09 - 7.35)	0.888
Region IV	4.61	(3.56 - 5.97)	4.81	(3.75 - 6.16)	0.659
Region V	5.62^a	(4.58 - 6.89)	6.75	(5.54 - 8.20)	0.033
Indiana	6.26	(5.32 - 7.35)	6.45	(5.46 - 7.59)	0.655
Central	6.35	(4.88 - 8.23)	6.76	(5.17 - 8.81)	0.507
East	6.02	(4.38 - 8.23)	6.79	(4.92 - 9.30)	0.234
North Central	5.99	(4.43 - 8.05)	6.83	(5.11 - 9.07)	0.197
Northeast	6.10	(4.43 - 8.35)	5.22	(3.81 - 7.12)	0.116
Northwest	6.64	(4.76 - 9.21)	6.67	(4.85 - 9.11)	0.975
Southeast	5.67	(4.09 - 7.82)	5.42	(4.00 - 7.30)	0.646
Southwest	4.98	(3.44 - 7.16)	5.30	(3.70 - 7.54)	0.539
West	7.81	(5.97 - 10.15)	7.60	(5.66 - 10.12)	0.774
Iowa	4.50^a	(3.76 - 5.38)	5.69	(4.79 - 6.73)	0.002
Central	4.94^b	(3.65 - 6.65)	5.96	(4.47 - 7.91)	0.093
North Central	4.20^a	(3.00 - 5.83)	7.79	(5.72 - 10.51)	0.000
Northeast	5.13	(3.93 - 6.66)	5.22	(4.03 - 6.74)	0.860
Northwest	3.43	(2.42 - 4.83)	3.79	(2.65 - 5.39)	0.412
Southeast	4.72^a	(3.56 - 6.24)	6.52	(4.94 - 8.57)	0.003
Southwest	3.76^a	(2.54 - 5.52)	5.12	(3.68 - 7.09)	0.005
Kansas	5.21^b	(4.34 - 6.25)	4.55	(3.75 - 5.50)	0.068
Kansas City Metro	6.11^a	(4.78 - 7.78)	4.82	(3.74 - 6.19)	0.013
Northeast	5.21^b	(3.77 - 7.16)	4.31	(3.11 - 5.94)	0.065
South Central	4.26	(2.96 - 6.10)	4.15	(2.88 - 5.94)	0.801
Southeast	5.17	(3.49 - 7.58)	4.95	(3.35 - 7.26)	0.697
West	4.07	(2.87 - 5.75)	4.34	(3.06 - 6.12)	0.532
Wichita (Sedgwick)	4.91	(3.55 - 6.77)	4.54	(3.30 - 6.22)	0.461
Kentucky	4.65^a	(3.88 - 5.57)	5.36	(4.52 - 6.34)	0.049
Adanta, Cumberland River, and Lifeskills	3.48	(2.45 - 4.92)	3.78	(2.71 - 5.24)	0.487
Bluegrass, Comprehend, and North Key	4.98	(3.85 - 6.40)	5.48	(4.32 - 6.92)	0.322
Communicare and River Valley	4.59	(3.22 - 6.51)	5.43	(3.84 - 7.63)	0.127
Four Rivers and Pennyroyal	5.01	(3.57 - 6.97)	5.06	(3.55 - 7.15)	0.922
Kentucky River, Mountain, and Pathways	3.80	(2.69 - 5.35)	4.04	(2.82 - 5.77)	0.570
Seven Counties	5.47^a	(4.07 - 7.31)	7.16	(5.54 - 9.21)	0.007
Louisiana	4.86	(4.09 - 5.78)	4.50	(3.80 - 5.33)	0.286
Regions 1 and 10	--	(-- - --)	5.95	(4.65 - 7.58)	--
Region 1	--	(-- - --)	6.39	(4.69 - 8.64)	--
Region 10 (Jefferson)	5.53	(3.87 - 7.85)	5.51	(3.96 - 7.62)	0.967
Regions 2 and 9	5.48^b	(4.31 - 6.95)	4.60	(3.62 - 5.82)	0.059
Region 3	--	(-- - --)	4.50	(3.16 - 6.37)	--
Regions 4, 5, and 6	3.99	(2.97 - 5.34)	3.74	(2.77 - 5.05)	0.536
Regions 7 and 8	4.38	(3.27 - 5.84)	3.99	(2.96 - 5.35)	0.357
Maine	9.55^b	(8.25 - 11.03)	8.41	(7.27 - 9.70)	0.070
Aroostook/Downeast	7.15	(5.30 - 9.58)	6.88	(5.26 - 8.96)	0.710
Aroostook	--	(-- - --)	6.49	(4.56 - 9.17)	--
Downeast	--	(-- - --)	7.20	(5.10 - 10.06)	--
Central	10.22^a	(7.83 - 13.23)	8.24	(6.34 - 10.65)	0.031
Cumberland	11.50^a	(9.20 - 14.28)	9.38	(7.38 - 11.86)	0.041
Midcoast	8.65	(6.29 - 11.79)	7.76	(5.67 - 10.53)	0.344
Penquis	9.31	(7.04 - 12.22)	8.55	(6.64 - 10.95)	0.396
Western	9.55	(7.36 - 12.32)	9.47	(7.33 - 12.15)	0.926
York	9.11	(6.75 - 12.20)	7.72	(5.85 - 10.12)	0.128
Maryland	5.70	(4.75 - 6.84)	5.69	(4.84 - 6.68)	0.982
Anne Arundel	5.51	(3.95 - 7.64)	5.12	(3.64 - 7.16)	0.486
Baltimore City	7.40	(5.35 - 10.15)	8.17	(6.27 - 10.58)	0.333
Baltimore County	6.40^a	(4.67 - 8.70)	5.21	(3.81 - 7.09)	0.050
Montgomery	4.57	(3.27 - 6.36)	5.38	(4.00 - 7.20)	0.149
North Central	5.14	(3.63 - 7.23)	5.25	(3.78 - 7.25)	0.836
Northeast	5.90^b	(4.16 - 8.30)	4.85	(3.41 - 6.85)	0.073
Prince George's	6.13	(4.43 - 8.42)	5.83	(4.29 - 7.89)	0.634
South	5.12^a	(3.64 - 7.16)	6.63	(4.81 - 9.08)	0.014
West	4.95	(3.51 - 6.96)	4.59	(3.27 - 6.40)	0.470
Massachusetts	9.21	(8.07 - 10.49)	9.73	(8.49 - 11.13)	0.386
Boston	10.39	(7.77 - 13.75)	11.54	(9.03 - 14.64)	0.260
Central	8.66	(6.62 - 11.27)	9.87	(7.58 - 12.77)	0.163
Metrowest	7.72^b	(6.16 - 9.65)	9.19	(7.29 - 11.53)	0.051
Northeast	8.50	(6.65 - 10.80)	9.10	(7.19 - 11.47)	0.460
Southeast	9.93	(7.85 - 12.50)	9.91	(7.82 - 12.47)	0.981
Western	11.27^b	(8.88 - 14.21)	9.52	(7.37 - 12.22)	0.065
Michigan	8.04^a	(7.39 - 8.74)	8.74	(8.07 - 9.47)	0.047
Detroit City	12.10	(9.89 - 14.73)	13.59	(11.17 - 16.45)	0.191
Genesee	10.74	(8.37 - 13.69)	9.57	(7.67 - 11.89)	0.210
Kalamazoo	7.45^b	(5.87 - 9.39)	8.86	(7.06 - 11.05)	0.053
Kent	7.21^b	(5.65 - 9.16)	8.48	(6.81 - 10.51)	0.076
Lakeshore	7.96	(6.41 - 9.84)	7.52	(6.02 - 9.36)	0.513
Macomb	7.33	(5.88 - 9.10)	7.06	(5.73 - 8.67)	0.679
Mid South	7.82	(6.41 - 9.51)	8.27	(6.79 - 10.04)	0.470
Northern	8.31	(6.74 - 10.21)	9.06	(7.44 - 10.98)	0.306
Oakland	7.25	(5.91 - 8.86)	7.90	(6.56 - 9.48)	0.312
Pathways and Western	8.28^a	(6.34 - 10.75)	11.44	(9.04 - 14.38)	0.001
Riverhaven	7.21	(5.42 - 9.55)	7.93	(6.07 - 10.30)	0.337
Saginaw	7.89	(6.03 - 10.26)	8.74	(6.58 - 11.51)	0.236
Southeast	6.90^a	(5.67 - 8.39)	8.66	(7.22 - 10.36)	0.009
St. Clair	5.71^a	(4.21 - 7.71)	7.80	(5.92 - 10.23)	0.002
Washtenaw	8.81	(7.01 - 11.02)	8.20	(6.66 - 10.07)	0.414
Minnesota	6.00	(5.09 - 7.06)	6.24	(5.32 - 7.31)	0.570
Regions 1 and 2	7.31	(5.38 - 9.86)	6.21	(4.37 - 8.76)	0.132
Regions 3 and 4	6.02	(4.56 - 7.90)	5.86	(4.44 - 7.71)	0.803
Regions 5 and 6	4.78^a	(3.64 - 6.26)	6.69	(5.14 - 8.68)	0.000
Region 7A (Hennepin)	6.02	(4.50 - 8.00)	6.52	(5.07 - 8.34)	0.444
Region 7B (Ramsey)	6.35	(4.60 - 8.71)	7.19	(5.12 - 10.01)	0.271
Region 7C	6.26	(4.78 - 8.16)	5.46	(4.17 - 7.12)	0.194
Mississippi	4.60^a	(3.79 - 5.57)	5.46	(4.62 - 6.46)	0.030
Region 1	4.68	(3.50 - 6.24)	5.25	(4.00 - 6.87)	0.287
Region 2	5.26	(3.67 - 7.50)	5.99	(4.40 - 8.12)	0.256
Region 3	4.02^a	(2.86 - 5.62)	5.30	(3.84 - 7.27)	0.016
Region 4	4.18^a	(3.07 - 5.67)	5.41	(4.07 - 7.15)	0.020
Region 5	4.66	(3.18 - 6.78)	4.75	(3.21 - 6.96)	0.875
Region 6	4.91	(3.41 - 7.01)	4.81	(3.48 - 6.62)	0.862
Region 7	4.71^a	(3.34 - 6.60)	6.27	(4.65 - 8.40)	0.015
Missouri	6.06	(5.12 - 7.18)	5.88	(4.99 - 6.91)	0.645
Central	5.73	(4.14 - 7.88)	5.18	(3.80 - 7.01)	0.295
Eastern	6.97	(5.60 - 8.65)	6.79	(5.52 - 8.32)	0.742
Eastern (St. Louis City and County)	6.86	(5.27 - 8.90)	7.29	(5.68 - 9.33)	0.536
Eastern (excluding St. Louis)	7.16^b	(5.20 - 9.77)	5.91	(4.43 - 7.83)	0.053
Northwest	5.74	(4.54 - 7.23)	5.83	(4.62 - 7.31)	0.856
Northwest (Jackson)	6.32	(4.71 - 8.43)	6.47	(4.89 - 8.52)	0.803
Northwest (excluding Jackson)	5.24	(3.84 - 7.12)	5.28	(3.88 - 7.13)	0.943
Southeast	4.78	(3.39 - 6.71)	4.19	(2.97 - 5.88)	0.230
Southwest	5.75	(4.19 - 7.83)	5.83	(4.29 - 7.86)	0.897
Montana	8.91^a	(7.72 - 10.26)	10.65	(9.32 - 12.15)	0.005
Region 1	6.52	(4.58 - 9.21)	7.68	(5.53 - 10.57)	0.125
Region 2	7.27^a	(5.44 - 9.66)	9.66	(7.25 - 12.76)	0.004
Region 3	7.33^a	(5.61 - 9.51)	10.13	(8.00 - 12.75)	0.002
Region 4	10.83	(8.82 - 13.23)	11.87	(9.71 - 14.42)	0.290
Region 5	9.67	(7.75 - 12.00)	11.17	(9.10 - 13.63)	0.114
Nebraska	5.56	(4.71 - 6.54)	5.32	(4.48 - 6.30)	0.540
Regions 1 and 2	4.39	(3.27 - 5.88)	4.21	(3.00 - 5.89)	0.647
Region 1	4.30	(2.93 - 6.26)	4.49	(2.94 - 6.80)	0.691
Region 2	4.47	(3.06 - 6.49)	3.96	(2.63 - 5.92)	0.245
Region 3	3.95	(2.83 - 5.48)	4.44	(3.19 - 6.15)	0.258
Region 4	4.51^a	(3.10 - 6.52)	3.03	(2.05 - 4.46)	0.000
Region 5	5.60	(4.34 - 7.19)	4.91	(3.76 - 6.39)	0.198
Region 6	6.63	(5.34 - 8.21)	6.71	(5.42 - 8.28)	0.898
Nevada¹	7.36	(6.18 - 8.76)	7.97	(6.63 - 9.54)	0.341
Clark - Region 1	7.09	(5.77 - 8.68)	7.71	(6.24 - 9.50)	0.365
Region 3	7.07	(5.02 - 9.86)	7.26	(5.36 - 9.77)	0.776
Capital District	--	(-- - --)	7.25	(4.98 - 10.45)	--
Rural/Frontier	--	(-- - --)	7.27	(4.94 - 10.59)	--
Washoe - Region 2	8.88	(6.73 - 11.61)	9.67	(7.35 - 12.64)	0.430
New Hampshire	9.81^b	(8.54 - 11.26)	8.72	(7.60 - 9.99)	0.065
Central	9.46	(7.80 - 11.43)	9.19	(7.59 - 11.10)	0.717
Central 1	10.24	(7.94 - 13.12)	11.24	(8.95 - 14.03)	0.333
Central 2	8.73^b	(6.75 - 11.21)	7.21	(5.51 - 9.37)	0.058
Northern	10.36	(7.89 - 13.49)	9.90	(7.57 - 12.84)	0.632
Southern	9.86^a	(8.34 - 11.62)	8.23	(7.00 - 9.65)	0.013
Southern 1 (Rockingham)	11.16^a	(8.79 - 14.07)	8.18	(6.52 - 10.20)	0.001
Southern 2	9.05	(7.36 - 11.10)	8.26	(6.77 - 10.05)	0.290
New Jersey	5.42^a	(4.54 - 6.45)	6.30	(5.32 - 7.45)	0.031
Central	5.43	(4.10 - 7.15)	6.03	(4.61 - 7.85)	0.274
Metropolitan	5.57	(4.21 - 7.35)	5.82	(4.47 - 7.55)	0.658
Northern	5.03^a	(3.89 - 6.49)	6.50	(5.01 - 8.39)	0.009
Southern	5.79^b	(4.34 - 7.70)	6.83	(5.24 - 8.86)	0.087
New Mexico	6.85^a	(5.82 - 8.05)	8.59	(7.37 - 9.99)	0.002
Region 1	7.10	(5.48 - 9.15)	8.08	(6.33 - 10.28)	0.193
Region 2	7.50	(5.52 - 10.11)	7.75	(5.76 - 10.34)	0.767
Region 3 (Bernalillo)	7.71^a	(6.14 - 9.65)	11.16	(9.13 - 13.57)	0.000
Region 4	5.11^a	(3.63 - 7.14)	6.54	(4.83 - 8.78)	0.018
Region 5	5.79	(4.38 - 7.62)	6.82	(5.16 - 8.95)	0.103
New York	7.67	(7.03 - 8.36)	7.80	(7.16 - 8.50)	0.702
Region A	6.82	(6.03 - 7.71)	7.40	(6.54 - 8.35)	0.160
Region 1	6.70	(5.17 - 8.63)	7.02	(5.53 - 8.88)	0.606
Region 2	6.68^b	(5.59 - 7.95)	7.86	(6.52 - 9.45)	0.059
Region 3	8.78^b	(6.88 - 11.14)	7.24	(5.69 - 9.18)	0.055
Region 4	5.61^a	(4.46 - 7.03)	7.12	(5.78 - 8.75)	0.005
Region B	7.69	(6.72 - 8.79)	7.70	(6.72 - 8.81)	0.983
Region 5	7.50	(6.23 - 9.01)	7.88	(6.64 - 9.32)	0.564
Region 6	7.00	(5.56 - 8.79)	6.93	(5.36 - 8.92)	0.913
Region 7	9.33	(7.47 - 11.59)	8.33	(6.57 - 10.52)	0.251
Region C	9.09^b	(8.10 - 10.19)	8.31	(7.39 - 9.33)	0.100
Region 8	10.37^a	(8.39 - 12.74)	8.26	(6.66 - 10.20)	0.012
Region 9	8.74	(6.96 - 10.92)	8.87	(7.15 - 10.95)	0.864
Region 10	9.87	(7.70 - 12.55)	8.96	(6.93 - 11.52)	0.294
Region 11	8.00	(6.45 - 9.87)	7.90	(6.28 - 9.90)	0.894
Region 12	8.97	(7.32 - 10.95)	8.01	(6.40 - 9.99)	0.203
Region D	7.78^b	(6.54 - 9.24)	8.76	(7.37 - 10.37)	0.079
Region 13	7.45^a	(5.53 - 9.96)	9.36	(7.14 - 12.19)	0.019
Region 14	7.95	(6.15 - 10.22)	9.16	(6.99 - 11.92)	0.107
Region 15	7.92	(6.05 - 10.32)	7.82	(5.96 - 10.18)	0.887
North Carolina¹	6.70	(5.66 - 7.92)	6.89	(5.83 - 8.13)	0.673
Alliance	6.43	(4.81 - 8.54)	6.67	(5.12 - 8.63)	0.716
Cardinal Innovations	6.16	(4.42 - 8.53)	6.50	(4.92 - 8.54)	0.593
CenterPoint/Guilford	6.61	(5.04 - 8.63)	6.81	(5.16 - 8.95)	0.706
CenterPoint	6.06	(4.22 - 8.63)	6.74	(4.66 - 9.66)	0.284
Guilford	7.23	(5.12 - 10.10)	6.89	(4.92 - 9.57)	0.619
CoastalCare	6.86	(4.83 - 9.68)	7.50	(5.28 - 10.56)	0.340
Eastpointe	7.46	(5.36 - 10.30)	6.86	(5.01 - 9.32)	0.384
ECBH	7.97	(5.67 - 11.11)	6.83	(4.92 - 9.42)	0.116
MeckLINK	7.69	(5.65 - 10.38)	7.27	(5.17 - 10.13)	0.600
Partners	6.29	(4.67 - 8.42)	6.98	(5.13 - 9.44)	0.302
Sandhills	6.73	(4.61 - 9.73)	6.61	(4.66 - 9.31)	0.859
Smoky Mountain	5.04^a	(3.49 - 7.23)	6.57	(4.57 - 9.35)	0.012
Western Highlands	7.11	(5.06 - 9.92)	8.00	(5.66 - 11.18)	0.262
North Dakota	4.25	(3.55 - 5.09)	4.54	(3.77 - 5.46)	0.432
Badlands and West Central	4.00	(3.00 - 5.33)	3.59	(2.61 - 4.92)	0.347
Lake Region and South Central	4.16	(2.93 - 5.87)	4.66	(3.33 - 6.49)	0.359
North Central and Northwest	3.43	(2.41 - 4.87)	4.05	(2.93 - 5.59)	0.156
Northeast	4.76^b	(3.47 - 6.50)	5.71	(4.32 - 7.51)	0.084
Southeast	4.80	(3.75 - 6.13)	5.17	(3.98 - 6.69)	0.501
Ohio	5.93^a	(5.41 - 6.49)	6.94	(6.38 - 7.55)	0.001
Boards 2, 46, 55, and 68	4.53^a	(3.45 - 5.94)	6.79	(5.29 - 8.68)	0.000
Boards 3, 52, and 85	4.54^a	(3.36 - 6.11)	5.58	(4.25 - 7.30)	0.041
Boards 4 and 78	4.72^a	(3.41 - 6.50)	6.47	(4.70 - 8.85)	0.003
Boards 5 and 60	6.32^a	(4.93 - 8.07)	8.65	(6.79 - 10.95)	0.000
Boards 7, 15, 41, 79, and 84	3.96	(2.94 - 5.33)	4.77	(3.59 - 6.32)	0.102
Boards 8, 13, and 83	4.57^b	(3.43 - 6.07)	5.49	(4.25 - 7.05)	0.070
Board 9 (Butler)	5.84^b	(4.41 - 7.71)	6.86	(5.30 - 8.82)	0.081
Board 12	5.46	(4.13 - 7.20)	6.21	(4.66 - 8.23)	0.195
Boards 18 and 47	6.25^b	(5.22 - 7.47)	7.32	(6.17 - 8.66)	0.053
Boards 20, 32, 54, and 69	3.70^a	(2.67 - 5.11)	4.79	(3.52 - 6.49)	0.011
Boards 21, 39, 51, 70, and 80	4.80^a	(3.57 - 6.41)	6.24	(4.80 - 8.09)	0.010
Boards 22, 74, and 87	6.18	(4.70 - 8.07)	6.39	(4.90 - 8.31)	0.695
Boards 23 and 45	5.42^b	(4.05 - 7.23)	6.43	(4.90 - 8.40)	0.086
Board 25 (Franklin)	8.57	(7.09 - 10.32)	9.30	(7.73 - 11.16)	0.366
Boards 27, 71, and 73	4.89	(3.63 - 6.57)	5.18	(3.88 - 6.87)	0.550
Boards 28, 43, and 67	6.03	(4.75 - 7.62)	6.27	(4.91 - 7.96)	0.673
Board 31 (Hamilton)	6.83	(5.40 - 8.61)	7.82	(6.32 - 9.65)	0.138
Board 48 (Lucas)	6.65	(5.16 - 8.54)	7.69	(5.92 - 9.93)	0.120
Boards 50 and 76	6.30	(4.92 - 8.04)	7.04	(5.57 - 8.86)	0.232
Board 57 (Montgomery)	6.25	(4.78 - 8.14)	6.59	(5.07 - 8.54)	0.593
Board 77 (Summit)	6.70^a	(5.23 - 8.54)	8.22	(6.51 - 10.34)	0.040
Oklahoma	6.05	(5.05 - 7.23)	6.10	(5.12 - 7.26)	0.905
Central	6.46	(4.70 - 8.82)	5.66	(4.04 - 7.88)	0.179
East Central	5.24	(3.65 - 7.48)	5.60	(3.92 - 7.92)	0.545
Northeast	5.46	(3.98 - 7.44)	5.49	(3.97 - 7.55)	0.952
Northwest and Southwest	6.62	(4.83 - 9.02)	7.61	(5.62 - 10.22)	0.164
Oklahoma County	6.64	(4.86 - 9.00)	6.84	(5.25 - 8.88)	0.769
Southeast	5.87	(4.27 - 8.01)	5.50	(3.96 - 7.60)	0.543
Tulsa County	5.78	(4.16 - 7.96)	5.57	(4.05 - 7.62)	0.735
Oregon	9.34^a	(8.08 - 10.77)	11.16	(9.71 - 12.80)	0.006
Region 1 (Multnomah)	13.18^b	(10.26 - 16.78)	16.05	(12.91 - 19.78)	0.058
Region 2	7.79^a	(5.98 - 10.09)	9.68	(7.56 - 12.31)	0.034
Region 3	9.36	(7.66 - 11.40)	10.66	(8.79 - 12.87)	0.145
Region 4	8.08^b	(6.05 - 10.71)	9.95	(7.45 - 13.16)	0.058
Region 5 (Central)	8.75	(6.20 - 12.22)	8.80	(6.33 - 12.11)	0.957
Region 6 (Eastern)	7.04^b	(4.99 - 9.85)	8.79	(5.74 - 13.24)	0.068
Pennsylvania	5.89	(5.38 - 6.45)	6.23	(5.69 - 6.80)	0.236
Region 1 (Allegheny)	7.54	(6.21 - 9.13)	7.79	(6.41 - 9.43)	0.711
Regions 3, 8, 9, and 51	5.36	(4.09 - 7.00)	5.45	(4.21 - 7.02)	0.857
Regions 4, 11, 37, and 49	5.19	(4.02 - 6.67)	5.07	(3.98 - 6.45)	0.804
Regions 5, 18, 23, 24, and 46	5.49	(4.05 - 7.40)	5.60	(4.29 - 7.30)	0.827
Regions 6, 12, 16, 31, 35, 45, and 47	5.61	(4.34 - 7.22)	5.40	(4.24 - 6.86)	0.653
Regions 7, 13, 20, and 33	6.81	(5.75 - 8.05)	6.15	(5.14 - 7.33)	0.204
Regions 10, 15, 27, 32, 43, and 44	4.84	(3.65 - 6.39)	4.89	(3.76 - 6.33)	0.907
Regions 17 and 21	5.90	(4.48 - 7.73)	6.57	(5.02 - 8.57)	0.192
Regions 19, 26, 28, and 42	4.14	(3.18 - 5.37)	4.68	(3.76 - 5.82)	0.195
Regions 22, 38, 40, 41, and 48	5.07	(3.93 - 6.51)	4.70	(3.67 - 6.00)	0.424
Regions 29 and 34	4.97^a	(3.75 - 6.58)	6.19	(4.73 - 8.07)	0.015
Regions 30 and 50	4.61	(3.47 - 6.09)	4.73	(3.51 - 6.34)	0.800
Region 36 (Philadelphia)	7.63^a	(6.32 - 9.19)	10.19	(8.56 - 12.09)	0.001
Rhode Island	11.08^a	(9.63 - 12.71)	12.64	(11.11 - 14.33)	0.041
Bristol and Newport	11.14	(8.50 - 14.47)	11.82	(9.07 - 15.27)	0.523
Kent	9.19^a	(6.82 - 12.26)	12.03	(9.45 - 15.20)	0.011
Providence	11.47	(9.72 - 13.49)	12.77	(10.87 - 14.93)	0.174
Washington	11.58	(8.81 - 15.09)	13.63	(10.85 - 16.99)	0.107
South Carolina	5.75^a	(4.83 - 6.84)	6.64	(5.66 - 7.77)	0.040
Region 1	4.70^a	(3.51 - 6.27)	6.04	(4.66 - 7.79)	0.017
Region 2	6.43	(5.07 - 8.11)	7.19	(5.79 - 8.90)	0.229
Region 3	6.37	(4.69 - 8.59)	6.94	(5.15 - 9.30)	0.411
Region 4	5.62	(4.23 - 7.44)	6.39	(4.99 - 8.17)	0.193
South Dakota	5.05	(4.20 - 6.05)	5.16	(4.24 - 6.25)	0.806
Region 1	--	(-- - --)	6.69	(5.03 - 8.86)	--
Region 2	--	(-- - --)	5.12	(3.50 - 7.45)	--
Region 3	--	(-- - --)	4.36	(3.17 - 5.95)	--
Region 4	--	(-- - --)	4.51	(3.15 - 6.43)	--
Region 5	--	(-- - --)	4.82	(3.65 - 6.34)	--
Tennessee	5.21	(4.38 - 6.20)	5.16	(4.29 - 6.20)	0.896
Region 1	4.34	(3.02 - 6.19)	4.49	(3.10 - 6.46)	0.762
Region 2	4.38	(3.21 - 5.96)	4.29	(3.08 - 5.94)	0.851
Region 3	--	(-- - --)	4.82	(3.48 - 6.66)	--
Region 4 (Davidson)	7.57	(5.62 - 10.13)	6.60	(4.81 - 8.99)	0.188
Region 5	--	(-- - --)	4.99	(3.71 - 6.69)	--
Region 6	4.78	(3.40 - 6.69)	4.88	(3.44 - 6.89)	0.857
Region 7 (Shelby)	7.09	(5.28 - 9.47)	6.51	(4.86 - 8.68)	0.439
Texas	5.05	(4.58 - 5.56)	5.25	(4.76 - 5.77)	0.401
Region 1	5.20	(3.98 - 6.78)	5.49	(4.09 - 7.35)	0.566
Region 2	4.63	(3.34 - 6.40)	5.11	(3.65 - 7.11)	0.313
Region 3	5.06	(4.34 - 5.88)	5.51	(4.80 - 6.33)	0.174
Region 3a	5.11	(4.23 - 6.16)	5.26	(4.39 - 6.28)	0.715
Region 3bc	4.96^a	(3.93 - 6.24)	5.96	(4.90 - 7.22)	0.038
Region 4	5.60^b	(4.25 - 7.34)	4.75	(3.52 - 6.37)	0.074
Region 5	5.12	(3.79 - 6.88)	5.11	(3.76 - 6.91)	0.988
Region 6	4.98	(4.18 - 5.93)	4.70	(3.94 - 5.60)	0.445
Region 6a	5.05	(4.18 - 6.08)	4.63	(3.83 - 5.60)	0.303
Region 6bc	4.47^b	(3.22 - 6.18)	5.27	(3.81 - 7.24)	0.094
Region 7	6.71	(5.63 - 7.98)	7.32	(6.21 - 8.60)	0.218
Region 7a	7.17^a	(5.73 - 8.93)	8.76	(7.19 - 10.63)	0.023
Region 7bcd	5.94^a	(4.59 - 7.66)	4.90	(3.73 - 6.40)	0.034
Region 8	4.46^b	(3.48 - 5.69)	5.16	(4.17 - 6.38)	0.094
Region 9	4.68	(3.45 - 6.31)	4.67	(3.39 - 6.42)	0.996
Region 10	4.09	(3.01 - 5.53)	4.01	(2.97 - 5.39)	0.828
Region 11	3.74	(3.00 - 4.64)	3.96	(3.18 - 4.92)	0.447
Region 11abd	4.11	(3.15 - 5.35)	4.55	(3.48 - 5.92)	0.254
Region 11c (Hidalgo)	3.05	(2.21 - 4.18)	2.92	(2.09 - 4.07)	0.678
Utah	3.27^b	(2.64 - 4.04)	3.91	(3.19 - 4.79)	0.053
Bear River, Northeastern, Summit, Tooele, and Wasatch	3.27	(2.23 - 4.76)	3.16	(2.19 - 4.53)	0.773
Central, Four Corners, San Juan, and Southwest	2.63^b	(1.78 - 3.87)	3.24	(2.18 - 4.80)	0.063
Davis County	3.52	(2.41 - 5.13)	3.63	(2.55 - 5.14)	0.809
Salt Lake County	3.58^a	(2.71 - 4.71)	4.62	(3.53 - 6.02)	0.029
Utah County	3.09	(2.20 - 4.32)	3.65	(2.63 - 5.06)	0.172
Weber, Morgan	2.89^a	(1.93 - 4.31)	3.72	(2.56 - 5.38)	0.033
Vermont	11.51^b	(10.13 - 13.06)	12.75	(11.32 - 14.33)	0.099
Champlain Valley	12.70^a	(10.79 - 14.89)	14.85	(12.82 - 17.14)	0.032
Rural Northeast	11.53	(9.14 - 14.43)	11.75	(9.39 - 14.62)	0.837
Rural Southeast	10.69	(8.41 - 13.51)	11.15	(8.81 - 14.02)	0.681
Rural Southwest	9.68	(7.45 - 12.49)	11.09	(8.66 - 14.09)	0.178
Virginia	5.49	(4.61 - 6.53)	5.58	(4.72 - 6.59)	0.819
Region 1	5.77	(4.35 - 7.61)	6.68	(5.13 - 8.64)	0.144
Region 2	4.77	(3.52 - 6.44)	4.08	(3.02 - 5.49)	0.173
Region 3	5.60	(4.26 - 7.33)	5.69	(4.31 - 7.48)	0.860
Region 4	5.30	(3.90 - 7.18)	5.00	(3.60 - 6.89)	0.566
Region 5	6.18	(4.69 - 8.10)	7.03	(5.45 - 9.03)	0.195
Washington	8.63^a	(7.41 - 10.03)	10.35	(9.04 - 11.83)	0.008
Region 1	6.62^a	(5.12 - 8.52)	8.13	(6.43 - 10.23)	0.010
East 1 (previously Region 1)	6.49^a	(4.74 - 8.83)	8.47	(6.27 - 11.36)	0.006
East 2 (previously Region 2)	6.80	(4.77 - 9.60)	7.66	(5.63 - 10.34)	0.234
Region 2	9.48^a	(7.83 - 11.42)	11.80	(9.99 - 13.89)	0.009
North 1 (previously Region 3)	10.50	(8.04 - 13.62)	12.04	(9.61 - 14.98)	0.186
North 2 (previously Region 4)	8.87^a	(7.01 - 11.18)	11.67	(9.48 - 14.28)	0.006
Region 3	8.77	(7.19 - 10.66)	9.80	(8.05 - 11.87)	0.158
West 1 (previously Region 5)	8.74	(6.70 - 11.32)	9.72	(7.58 - 12.38)	0.241
West 2 (previously Region 6)	8.80	(6.78 - 11.35)	9.87	(7.59 - 12.74)	0.249
West Virginia	5.78	(4.90 - 6.81)	5.55	(4.73 - 6.49)	0.533
Region I	5.06	(3.57 - 7.12)	4.56	(3.13 - 6.61)	0.327
Region II	5.94	(4.28 - 8.21)	5.59	(4.12 - 7.54)	0.549
Region III	4.92	(3.45 - 6.97)	4.22	(2.94 - 6.03)	0.174
Region IV	6.47^a	(5.05 - 8.26)	8.20	(6.69 - 10.02)	0.006
Region V	6.12^a	(4.82 - 7.73)	4.91	(3.81 - 6.29)	0.024
Region VI	5.12	(3.77 - 6.92)	4.45	(3.20 - 6.15)	0.193
Wisconsin	5.90	(4.98 - 6.97)	6.45	(5.44 - 7.64)	0.188
Milwaukee	7.11^a	(5.35 - 9.40)	8.96	(6.71 - 11.87)	0.021
Northeastern	5.10	(3.85 - 6.72)	5.62	(4.28 - 7.33)	0.341
Northern	4.84	(3.40 - 6.86)	5.28	(3.66 - 7.55)	0.432
Southeastern	5.64	(4.22 - 7.51)	6.68	(4.94 - 8.97)	0.123
Southern	6.62	(4.97 - 8.76)	6.27	(4.83 - 8.11)	0.588
Western	5.83	(4.35 - 7.77)	5.45	(3.96 - 7.45)	0.514
Wyoming	5.29	(4.45 - 6.27)	5.49	(4.56 - 6.61)	0.649
Judicial District 1 (Laramie)	5.00	(3.65 - 6.80)	5.60	(4.10 - 7.60)	0.328
Judicial District 2	8.98	(6.95 - 11.53)	7.82	(5.88 - 10.33)	0.160
Judicial District 3	3.81	(2.80 - 5.17)	3.74	(2.69 - 5.17)	0.865
Judicial District 4	4.59	(3.17 - 6.61)	5.20	(3.62 - 7.41)	0.307
Judicial District 5	4.34	(3.10 - 6.03)	4.85	(3.28 - 7.12)	0.394
Judicial District 6	4.64	(3.31 - 6.47)	4.15	(2.92 - 5.88)	0.356
Judicial District 7 (Natrona)	6.22	(4.55 - 8.43)	5.27	(3.80 - 7.26)	0.169
Judicial District 8	4.71	(3.29 - 6.71)	5.42	(3.74 - 7.79)	0.241
Judicial District 9	5.75^a	(4.03 - 8.16)	7.61	(5.31 - 10.79)	0.044

140403

Table 4 – *Perceptions of Great Risk of Smoking Marijuana Once a Month* among Persons Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2008-2010 and 2010-2012 NSDUHs
State/Substate Region	2008-2010 (Estimate)	2008-2010 (95% Confidence Interval)	2010-2012 (Estimate)	2010-2012 (95% Confidence Interval)	P Value
ECBH = East Carolina Behavioral Health; SPA = service planning area. -- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2010-2012); 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 "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. 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 posterior probability of no change between the 2008-2010 and 2010-2012 estimates. The "Total U.S." estimates, along with the 95 percent confidence intervals and p values, are based on design-based (direct) estimation methods. ^a Difference between the 2008-2010 estimate and the 2010-2012 estimate is statistically significant at the 0.05 level. ^b Difference between the 2008-2010 estimate and the 2010-2012 estimate 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. 2010-2012). For details, see the "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008, 2009, 2010, 2011, and 2012 (2008, 2009, and 2010 Data - Revised March 2012).
Total United States	34.70^a	(34.25 - 35.15)	31.82	(31.37 - 32.27)	0.000
Northeast	32.03^a	(31.17 - 32.90)	30.05	(29.25 - 30.87)	0.000
Midwest	33.21^a	(32.53 - 33.89)	30.07	(29.45 - 30.70)	0.000
South	39.08^a	(38.41 - 39.75)	36.04	(35.39 - 36.70)	0.000
West	31.32^a	(30.46 - 32.19)	28.11	(27.27 - 28.97)	0.000
Alabama	41.05	(38.32 - 43.83)	39.11	(36.42 - 41.87)	0.154
Region 1	40.85	(36.34 - 45.52)	39.41	(35.06 - 43.94)	0.524
Region 2	38.19	(34.16 - 42.38)	36.22	(32.19 - 40.46)	0.321
Region 3	44.61	(39.42 - 49.92)	42.25	(37.66 - 46.98)	0.297
Region 4	42.58	(37.94 - 47.35)	40.42	(35.91 - 45.09)	0.305
Alaska	25.75^a	(23.27 - 28.41)	21.48	(19.21 - 23.94)	0.000
Anchorage	25.83^a	(22.59 - 29.37)	20.26	(17.42 - 23.44)	0.000
Northern	26.06^a	(21.99 - 30.59)	20.73	(17.31 - 24.63)	0.003
South Central	24.44	(20.32 - 29.10)	23.83	(19.76 - 28.43)	0.747
Southeast	28.08^a	(22.95 - 33.87)	21.94	(17.75 - 26.80)	0.004
Arizona	33.36^a	(30.60 - 36.24)	28.62	(26.03 - 31.34)	0.000
Maricopa	33.11^a	(29.77 - 36.63)	26.82	(23.82 - 30.06)	0.000
Pima	31.83^a	(26.62 - 37.53)	27.52	(22.85 - 32.73)	0.045
Rural North	32.66	(27.24 - 38.58)	31.88	(26.81 - 37.40)	0.734
Rural South	37.08	(31.31 - 43.25)	34.99	(29.43 - 40.99)	0.355
Arkansas	38.63	(35.99 - 41.35)	36.71	(33.94 - 39.57)	0.169
Catchment Area 1	35.06	(30.04 - 40.43)	34.25	(29.49 - 39.35)	0.719
Catchment Area 2	41.12^a	(35.46 - 47.02)	36.07	(30.48 - 42.08)	0.039
Catchment Area 3	41.36	(36.10 - 46.83)	39.67	(34.34 - 45.27)	0.488
Catchment Area 4	40.13	(33.95 - 46.64)	37.23	(31.57 - 43.26)	0.258
Catchment Area 5	36.42	(31.76 - 41.35)	34.36	(29.46 - 39.61)	0.355
Catchment Area 6	44.25	(37.72 - 50.98)	42.05	(36.06 - 48.29)	0.398
Catchment Area 7	43.05	(36.72 - 49.61)	40.91	(34.98 - 47.12)	0.390
Catchment Area 8	34.79	(30.02 - 39.88)	34.92	(30.33 - 39.81)	0.952
California	32.81^a	(31.44 - 34.22)	29.61	(28.27 - 30.99)	0.000
Region 1R	27.45^a	(22.73 - 32.73)	23.59	(19.51 - 28.22)	0.034
Region 2R	24.86	(20.66 - 29.60)	22.88	(18.93 - 27.37)	0.273
Region 3R (Sacramento)	28.69	(24.04 - 33.83)	26.20	(22.02 - 30.86)	0.206
Region 4R	25.49	(21.26 - 30.23)	23.59	(19.76 - 27.90)	0.298
Region 5R (San Francisco)	23.90	(19.07 - 29.51)	24.51	(19.97 - 29.69)	0.760
Region 6 (Santa Clara)	32.99^b	(28.44 - 37.89)	29.57	(25.42 - 34.09)	0.080
Region 7R (Contra Costa)	31.11^a	(25.96 - 36.77)	26.70	(22.30 - 31.61)	0.033
Region 8R (Alameda)	27.90	(23.41 - 32.88)	25.76	(21.78 - 30.18)	0.285
Region 9R (San Mateo)	29.24	(24.07 - 35.01)	28.22	(23.34 - 33.67)	0.632
Region 10	27.03	(22.71 - 31.83)	25.70	(21.64 - 30.23)	0.484
Region 11 (Los Angeles)	35.40^a	(33.35 - 37.51)	32.18	(30.08 - 34.35)	0.001
LA SPA 1 and 5	27.94^a	(23.09 - 33.36)	24.01	(19.97 - 28.58)	0.032
LA SPA 2	34.18^a	(29.89 - 38.75)	28.13	(24.15 - 32.47)	0.002
LA SPA 3	38.89	(34.49 - 43.48)	36.86	(32.40 - 41.56)	0.313
LA SPA 4	37.26^a	(32.31 - 42.50)	32.11	(27.30 - 37.34)	0.019
LA SPA 6	38.38	(33.42 - 43.59)	37.57	(32.56 - 42.86)	0.707
LA SPA 7	37.54	(32.84 - 42.49)	37.09	(32.46 - 41.98)	0.831
LA SPA 8	32.95	(28.37 - 37.88)	30.78	(26.59 - 35.32)	0.301
Region 12R	32.86^a	(27.77 - 38.39)	27.70	(23.16 - 32.75)	0.007
Regions 13 and 19R	37.03^a	(33.01 - 41.24)	31.01	(27.45 - 34.80)	0.001
Region 13 (Riverside)	36.27^a	(32.00 - 40.77)	30.07	(26.33 - 34.09)	0.001
Region 19R (Imperial)	46.81^b	(41.05 - 52.65)	42.95	(36.92 - 49.20)	0.091
Region 14 (Orange)	34.37^b	(30.81 - 38.12)	31.40	(28.04 - 34.96)	0.097
Region 15R (Fresno)	39.51^a	(34.39 - 44.87)	31.41	(26.98 - 36.21)	0.000
Region 16R (San Diego)	28.85	(25.41 - 32.54)	29.03	(25.86 - 32.42)	0.915
Region 17R	39.28^a	(34.85 - 43.88)	35.01	(30.68 - 39.60)	0.034
Region 18R (San Bernardino)	37.83^a	(33.70 - 42.14)	32.10	(28.21 - 36.25)	0.003
Region 20R	37.93^a	(32.56 - 43.61)	31.64	(27.03 - 36.64)	0.002
Region 21R	29.18	(24.46 - 34.40)	27.91	(23.69 - 32.55)	0.504
Colorado	24.20^b	(21.88 - 26.68)	22.10	(19.89 - 24.49)	0.091
Region 1	23.59	(19.20 - 28.62)	21.39	(17.47 - 25.91)	0.249
Regions 2 and 7	21.99	(19.05 - 25.23)	19.63	(17.02 - 22.52)	0.131
Region 3	26.32	(22.09 - 31.05)	23.65	(19.68 - 28.15)	0.171
Region 4	36.84	(30.36 - 43.84)	36.31	(30.20 - 42.90)	0.840
Regions 5 and 6	26.78	(21.90 - 32.30)	26.43	(21.48 - 32.05)	0.870
Connecticut	32.51^a	(29.87 - 35.27)	27.83	(25.29 - 30.53)	0.000
Eastern	27.46	(22.50 - 33.05)	25.13	(21.08 - 29.66)	0.237
North Central	35.35^a	(31.04 - 39.91)	27.30	(23.46 - 31.50)	0.000
Northwestern	34.64	(29.92 - 39.68)	31.25	(26.60 - 36.32)	0.119
South Central	30.97	(26.41 - 35.93)	27.73	(23.48 - 32.43)	0.103
Southwest	31.46^b	(26.57 - 36.79)	27.39	(23.09 - 32.15)	0.059
Delaware	32.24	(29.56 - 35.06)	30.49	(27.92 - 33.18)	0.183
Kent	33.39	(28.40 - 38.79)	31.89	(27.25 - 36.92)	0.508
New Castle (excluding Wilmington City)	30.94	(27.39 - 34.74)	28.74	(25.67 - 32.03)	0.208
Sussex	34.22	(29.29 - 39.51)	33.43	(28.81 - 38.40)	0.727
Wilmington City	32.66	(27.15 - 38.69)	30.33	(24.97 - 36.29)	0.343
District of Columbia	27.34^b	(24.89 - 29.94)	25.11	(22.64 - 27.75)	0.064
Ward 1	26.44^a	(21.81 - 31.67)	21.18	(17.04 - 26.01)	0.007
Ward 2	18.37	(14.56 - 22.91)	16.91	(13.56 - 20.89)	0.376
Ward 3	17.59	(13.85 - 22.08)	18.76	(15.07 - 23.11)	0.488
Ward 4	31.93	(26.58 - 37.80)	28.16	(23.33 - 33.56)	0.105
Ward 5	32.23	(26.72 - 38.28)	30.20	(25.45 - 35.42)	0.373
Ward 6	25.71	(21.01 - 31.05)	23.66	(19.29 - 28.68)	0.304
Ward 7	35.74	(30.65 - 41.17)	32.09	(26.79 - 37.90)	0.140
Ward 8	34.50	(29.41 - 39.98)	32.42	(27.61 - 37.62)	0.356
Florida	41.73^a	(40.30 - 43.18)	37.16	(35.75 - 38.59)	0.000
Region A - Northwest	36.46^a	(33.09 - 39.96)	31.96	(29.11 - 34.96)	0.002
Circuit 1	37.67^b	(32.73 - 42.89)	34.15	(30.10 - 38.45)	0.099
Circuit 2	32.86^a	(27.61 - 38.57)	26.29	(22.07 - 31.00)	0.001
Circuit 14	38.27^b	(32.70 - 44.17)	34.38	(28.94 - 40.26)	0.075
Region B - Northeast	38.12^a	(35.17 - 41.16)	35.16	(32.31 - 38.13)	0.030
Circuits 3 and 8	38.28^a	(33.29 - 43.54)	33.54	(29.19 - 38.19)	0.017
Circuit 4	38.08	(33.52 - 42.85)	35.85	(31.57 - 40.36)	0.292
Circuit 7	38.06	(33.09 - 43.30)	35.36	(30.89 - 40.11)	0.216
Region C - Central	40.44^a	(38.21 - 42.71)	34.97	(32.81 - 37.19)	0.000
Circuit 5	41.47^a	(36.73 - 46.36)	33.30	(28.49 - 38.48)	0.000
Circuit 9	41.36^a	(37.35 - 45.49)	35.76	(32.18 - 39.51)	0.003
Circuit 10	42.61^a	(37.51 - 47.87)	38.02	(33.62 - 42.63)	0.033
Circuit 18	37.22	(32.67 - 42.02)	34.04	(29.48 - 38.92)	0.135
Circuit 19	39.33^a	(33.91 - 45.03)	33.96	(29.08 - 39.22)	0.017
Region D - Southeast	41.24^a	(38.19 - 44.37)	37.57	(34.76 - 40.46)	0.013
Circuit 15 (Palm Beach)	38.69	(33.91 - 43.70)	35.46	(31.37 - 39.76)	0.136
Circuit 17 (Broward)	43.16^a	(39.54 - 46.85)	39.19	(35.43 - 43.08)	0.042
Region E - Sun Coast	39.70^a	(37.23 - 42.23)	33.04	(30.68 - 35.50)	0.000
Circuit 6	36.69^a	(32.35 - 41.27)	30.90	(26.68 - 35.46)	0.005
Circuit 12	35.78^b	(30.58 - 41.35)	31.74	(26.92 - 36.98)	0.075
Circuit 13 (Hillsborough)	44.38^a	(40.20 - 48.64)	37.73	(33.82 - 41.80)	0.001
Circuit 20	41.19^a	(36.49 - 46.05)	31.61	(27.25 - 36.32)	0.000
Region F - Southern (Circuits 11 and 16)	55.04	(51.67 - 58.37)	52.72	(49.55 - 55.88)	0.188
Georgia	35.23	(32.59 - 37.96)	35.92	(33.33 - 38.59)	0.607
Region 1	34.83	(30.39 - 39.54)	35.60	(31.35 - 40.08)	0.717
Region 2	37.51	(32.30 - 43.03)	35.70	(30.97 - 40.74)	0.411
Region 3	32.28	(28.03 - 36.84)	35.65	(31.79 - 39.71)	0.113
Region 4	40.58	(34.15 - 47.35)	38.07	(32.42 - 44.05)	0.307
Region 5	36.53	(30.86 - 42.59)	36.32	(30.47 - 42.60)	0.931
Region 6	37.00	(31.80 - 42.53)	36.00	(31.11 - 41.21)	0.662
Hawaii	31.97^b	(29.24 - 34.82)	29.58	(26.89 - 32.42)	0.089
Hawaii Island	26.46	(21.51 - 32.09)	23.16	(18.74 - 28.25)	0.135
Honolulu	33.47	(30.31 - 36.79)	31.44	(28.42 - 34.61)	0.209
Kauai and Maui	30.05	(25.54 - 34.97)	26.98	(22.46 - 32.04)	0.122
Kauai	31.05	(24.71 - 38.19)	29.21	(23.14 - 36.13)	0.439
Maui	29.60	(24.44 - 35.34)	26.01	(21.03 - 31.71)	0.108
Idaho	32.80^a	(30.37 - 35.33)	30.27	(27.66 - 33.00)	0.039
Region 1	27.26	(22.61 - 32.47)	28.52	(23.84 - 33.70)	0.556
Region 2	30.59^a	(24.86 - 36.99)	24.12	(19.44 - 29.51)	0.002
Region 3	37.99	(33.38 - 42.84)	35.70	(30.81 - 40.90)	0.286
Region 4	27.59	(23.71 - 31.84)	25.70	(21.82 - 29.99)	0.329
Region 5	37.75	(32.22 - 43.62)	34.31	(29.59 - 39.36)	0.122
Region 6	33.64	(28.74 - 38.91)	31.51	(26.68 - 36.78)	0.318
Region 7	40.41^a	(35.35 - 45.68)	34.39	(29.67 - 39.44)	0.008
Illinois	34.54^a	(33.11 - 36.00)	31.90	(30.57 - 33.27)	0.001
Region I (Cook)	34.03	(31.68 - 36.47)	32.28	(30.21 - 34.41)	0.152
Region II	33.08^a	(30.91 - 35.32)	30.61	(28.44 - 32.87)	0.037
Region III	35.41^a	(32.38 - 38.57)	30.89	(27.93 - 34.01)	0.004
Region IV	37.77	(33.64 - 42.09)	35.99	(32.12 - 40.06)	0.390
Region V	38.20^a	(34.72 - 41.80)	32.76	(29.28 - 36.44)	0.004
Indiana	35.54^a	(33.01 - 38.15)	31.33	(28.77 - 34.00)	0.001
Central	36.80^a	(32.31 - 41.52)	31.56	(27.22 - 36.24)	0.012
East	36.31^b	(30.50 - 42.55)	32.25	(27.09 - 37.89)	0.077
North Central	37.98^a	(32.82 - 43.42)	32.06	(27.49 - 37.01)	0.005
Northeast	34.79^a	(29.43 - 40.55)	30.05	(25.13 - 35.48)	0.036
Northwest	33.32	(28.22 - 38.85)	31.45	(26.78 - 36.53)	0.403
Southeast	34.32	(29.12 - 39.93)	32.95	(27.85 - 38.49)	0.556
Southwest	37.81^b	(31.94 - 44.07)	33.77	(28.38 - 39.62)	0.075
West	31.36^a	(26.66 - 36.47)	26.87	(22.33 - 31.95)	0.034
Iowa	34.24^a	(31.73 - 36.84)	31.42	(28.78 - 34.18)	0.029
Central	27.48	(23.14 - 32.28)	28.73	(24.49 - 33.38)	0.530
North Central	36.76^a	(31.46 - 42.39)	30.12	(25.06 - 35.71)	0.002
Northeast	33.08	(28.81 - 37.63)	31.56	(27.51 - 35.91)	0.446
Northwest	40.07	(34.87 - 45.50)	37.27	(32.13 - 42.71)	0.229
Southeast	34.44^a	(30.27 - 38.86)	28.87	(24.74 - 33.39)	0.006
Southwest	36.59	(30.95 - 42.62)	33.70	(28.21 - 39.66)	0.218
Kansas	35.92^a	(33.33 - 38.59)	30.94	(28.36 - 33.65)	0.000
Kansas City Metro	33.73^b	(30.04 - 37.64)	30.61	(26.92 - 34.57)	0.089
Northeast	35.55^a	(30.68 - 40.74)	29.93	(25.41 - 34.88)	0.010
South Central	38.71^a	(32.81 - 44.96)	29.27	(24.43 - 34.64)	0.000
Southeast	36.66^a	(30.41 - 43.40)	31.37	(25.95 - 37.36)	0.032
West	38.54^b	(33.15 - 44.22)	33.93	(28.67 - 39.61)	0.051
Wichita (Sedgwick)	36.60^a	(31.49 - 42.02)	31.88	(27.40 - 36.72)	0.023
Kentucky	40.50^a	(37.82 - 43.23)	36.87	(34.23 - 39.58)	0.007
Adanta, Cumberland River, and Lifeskills	43.09	(37.78 - 48.55)	41.63	(36.79 - 46.64)	0.548
Bluegrass, Comprehend, and North Key	38.38^a	(34.17 - 42.77)	32.06	(27.97 - 36.44)	0.002
Communicare and River Valley	38.36	(32.63 - 44.44)	37.98	(32.53 - 43.75)	0.871
Four Rivers and Pennyroyal	43.30	(37.54 - 49.24)	41.44	(35.87 - 47.23)	0.440
Kentucky River, Mountain, and Pathways	45.07	(39.37 - 50.91)	42.28	(36.48 - 48.30)	0.254
Seven Counties	38.69^b	(33.72 - 43.90)	34.30	(29.78 - 39.11)	0.052
Louisiana	42.12	(39.47 - 44.83)	40.19	(37.71 - 42.72)	0.128
Regions 1 and 10	--	(-- - --)	36.66	(32.47 - 41.07)	--
Region 1	--	(-- - --)	35.84	(30.82 - 41.19)	--
Region 10 (Jefferson)	39.53	(33.55 - 45.85)	37.48	(31.84 - 43.49)	0.425
Regions 2 and 9	40.96	(36.73 - 45.33)	39.62	(35.53 - 43.85)	0.504
Region 3	--	(-- - --)	43.88	(38.30 - 49.62)	--
Regions 4, 5, and 6	40.29	(35.78 - 44.97)	39.61	(35.55 - 43.83)	0.733
Regions 7 and 8	45.31	(40.48 - 50.23)	43.45	(39.12 - 47.89)	0.413
Maine	26.19^a	(23.75 - 28.78)	21.14	(18.86 - 23.62)	0.000
Aroostook/Downeast	31.69^a	(26.52 - 37.35)	23.61	(19.79 - 27.92)	0.000
Aroostook	--	(-- - --)	25.79	(20.56 - 31.81)	--
Downeast	--	(-- - --)	21.83	(17.30 - 27.16)	--
Central	27.37^a	(22.50 - 32.84)	20.70	(16.73 - 25.32)	0.001
Cumberland	22.33	(18.56 - 26.62)	19.84	(16.34 - 23.88)	0.171
Midcoast	27.65^a	(22.63 - 33.30)	21.29	(16.95 - 26.39)	0.003
Penquis	28.19^a	(23.32 - 33.64)	21.67	(17.88 - 26.00)	0.001
Western	24.85	(20.76 - 29.44)	22.56	(18.61 - 27.07)	0.239
York	24.65^a	(20.17 - 29.75)	19.42	(15.45 - 24.12)	0.008
Maryland	33.76	(30.93 - 36.72)	33.10	(30.47 - 35.83)	0.613
Anne Arundel	30.76	(25.20 - 36.94)	32.02	(26.55 - 38.04)	0.582
Baltimore City	41.43	(35.55 - 47.56)	39.14	(34.02 - 44.52)	0.327
Baltimore County	31.45	(25.82 - 37.69)	32.17	(27.53 - 37.19)	0.763
Montgomery	32.38	(27.23 - 38.01)	31.73	(27.14 - 36.71)	0.768
North Central	29.05	(23.78 - 34.96)	27.15	(22.29 - 32.63)	0.368
Northeast	30.28	(25.06 - 36.06)	30.29	(24.99 - 36.17)	0.995
Prince George's	37.05	(31.44 - 43.02)	37.26	(32.12 - 42.72)	0.925
South	35.73	(29.92 - 41.98)	33.56	(28.26 - 39.31)	0.380
West	33.48	(27.86 - 39.60)	31.47	(26.45 - 36.97)	0.393
Massachusetts	24.90	(22.61 - 27.33)	23.46	(21.09 - 26.00)	0.227
Boston	26.11^b	(21.32 - 31.54)	22.93	(18.75 - 27.73)	0.093
Central	24.80	(20.37 - 29.84)	26.11	(21.58 - 31.21)	0.515
Metrowest	23.98^a	(20.20 - 28.22)	20.02	(16.55 - 24.02)	0.028
Northeast	27.14	(22.96 - 31.78)	26.55	(22.44 - 31.11)	0.778
Southeast	21.48	(17.70 - 25.81)	23.52	(19.48 - 28.11)	0.270
Western	27.34^a	(22.99 - 32.17)	22.65	(18.82 - 27.00)	0.017
Michigan	30.45^a	(29.17 - 31.76)	26.99	(25.71 - 28.30)	0.000
Detroit City	36.83^a	(32.87 - 40.98)	32.60	(28.54 - 36.94)	0.041
Genesee	26.81	(22.68 - 31.38)	26.01	(22.36 - 30.03)	0.660
Kalamazoo	32.37^a	(28.58 - 36.41)	28.01	(24.48 - 31.85)	0.013
Kent	29.40	(25.39 - 33.75)	26.51	(23.08 - 30.26)	0.114
Lakeshore	31.65	(28.06 - 35.47)	30.58	(27.04 - 34.37)	0.557
Macomb	31.29^b	(27.63 - 35.21)	28.20	(24.91 - 31.75)	0.072
Mid South	27.32^a	(24.18 - 30.70)	23.32	(20.37 - 26.56)	0.013
Northern	27.56^a	(23.91 - 31.52)	23.80	(20.47 - 27.49)	0.028
Oakland	28.92^b	(25.74 - 32.33)	26.07	(23.07 - 29.31)	0.082
Pathways and Western	29.35^a	(24.68 - 34.51)	21.98	(18.22 - 26.28)	0.000
Riverhaven	31.13	(26.61 - 36.04)	27.97	(23.82 - 32.53)	0.115
Saginaw	32.43^a	(27.60 - 37.67)	27.66	(23.14 - 32.68)	0.018
Southeast	33.38^a	(30.10 - 36.83)	29.85	(26.80 - 33.09)	0.042
St. Clair	31.38	(26.94 - 36.20)	29.79	(25.20 - 34.83)	0.475
Washtenaw	25.54^a	(21.73 - 29.78)	20.83	(17.73 - 24.31)	0.004
Minnesota	28.54	(26.11 - 31.09)	28.19	(25.70 - 30.81)	0.781
Regions 1 and 2	28.63	(23.64 - 34.22)	29.85	(24.60 - 35.70)	0.591
Regions 3 and 4	29.52	(25.27 - 34.16)	30.49	(26.04 - 35.33)	0.636
Regions 5 and 6	28.14	(23.83 - 32.90)	30.40	(25.97 - 35.22)	0.309
Region 7A (Hennepin)	26.87	(22.60 - 31.60)	25.30	(21.50 - 29.52)	0.424
Region 7B (Ramsey)	29.83^a	(24.81 - 35.39)	25.40	(20.58 - 30.92)	0.036
Region 7C	29.12	(24.76 - 33.91)	27.84	(23.99 - 32.05)	0.511
Mississippi	46.23^a	(43.61 - 48.88)	41.14	(38.51 - 43.82)	0.000
Region 1	44.96^a	(40.43 - 49.58)	40.31	(35.81 - 44.97)	0.031
Region 2	53.96^a	(47.97 - 59.83)	47.79	(42.45 - 53.18)	0.013
Region 3	47.48^a	(42.26 - 52.77)	38.63	(33.62 - 43.89)	0.000
Region 4	42.52	(37.78 - 47.41)	39.97	(35.58 - 44.52)	0.234
Region 5	51.38^a	(45.13 - 57.60)	42.67	(36.03 - 49.58)	0.001
Region 6	41.53	(35.61 - 47.71)	42.69	(37.38 - 48.18)	0.630
Region 7	45.61^a	(40.23 - 51.09)	39.02	(33.97 - 44.32)	0.005
Missouri	34.65^b	(32.08 - 37.32)	32.29	(29.79 - 34.88)	0.063
Central	35.10	(29.93 - 40.65)	33.86	(29.14 - 38.93)	0.572
Eastern	32.53^a	(28.94 - 36.34)	28.88	(25.60 - 32.40)	0.030
Eastern (St. Louis City and County)	32.78^a	(28.44 - 37.43)	27.83	(23.86 - 32.19)	0.018
Eastern (excluding St. Louis)	32.09	(26.95 - 37.70)	30.70	(25.91 - 35.94)	0.529
Northwest	36.44^a	(32.44 - 40.63)	32.77	(28.87 - 36.92)	0.042
Northwest (Jackson)	36.51	(31.42 - 41.92)	33.13	(28.33 - 38.32)	0.132
Northwest (excluding Jackson)	36.38	(30.91 - 42.23)	32.46	(27.40 - 37.97)	0.103
Southeast	37.81	(32.41 - 43.53)	38.93	(33.77 - 44.36)	0.648
Southwest	33.96	(29.06 - 39.24)	32.67	(28.11 - 37.60)	0.562
Montana	27.66^a	(25.31 - 30.15)	24.27	(22.11 - 26.56)	0.005
Region 1	34.40^a	(28.66 - 40.63)	26.71	(22.10 - 31.90)	0.001
Region 2	34.87^a	(29.58 - 40.56)	28.69	(23.95 - 33.94)	0.008
Region 3	31.68^a	(27.37 - 36.32)	27.71	(23.96 - 31.81)	0.045
Region 4	22.53	(18.96 - 26.55)	21.11	(17.80 - 24.85)	0.413
Region 5	24.40	(20.87 - 28.32)	22.03	(18.81 - 25.62)	0.186
Nebraska	34.78^a	(32.22 - 37.43)	30.15	(27.65 - 32.78)	0.000
Regions 1 and 2	39.06^a	(33.89 - 44.49)	32.72	(28.07 - 37.75)	0.002
Region 1	38.69^b	(32.26 - 45.54)	34.19	(28.03 - 40.92)	0.085
Region 2	39.38^a	(32.58 - 46.61)	31.44	(25.73 - 37.77)	0.001
Region 3	45.12^a	(39.86 - 50.49)	40.27	(34.95 - 45.82)	0.050
Region 4	40.30^a	(34.50 - 46.38)	33.52	(28.25 - 39.24)	0.004
Region 5	32.93^a	(28.89 - 37.23)	27.52	(23.59 - 31.84)	0.007
Region 6	29.97	(26.35 - 33.87)	27.16	(23.73 - 30.88)	0.122
Nevada¹	33.47^a	(30.66 - 36.41)	28.42	(25.63 - 31.39)	0.001
Clark - Region 1	34.02^a	(30.73 - 37.47)	29.02	(25.78 - 32.48)	0.005
Region 3	33.95^a	(28.36 - 40.04)	29.76	(24.93 - 35.09)	0.044
Capital District	--	(-- - --)	30.34	(24.48 - 36.91)	--
Rural/Frontier	--	(-- - --)	29.24	(23.26 - 36.04)	--
Washoe - Region 2	30.58^a	(25.82 - 35.79)	24.67	(20.42 - 29.48)	0.004
New Hampshire	24.06	(21.74 - 26.54)	22.50	(20.22 - 24.97)	0.187
Central	26.45^a	(23.03 - 30.18)	21.72	(18.53 - 25.28)	0.002
Central 1	25.45^b	(21.07 - 30.40)	21.91	(17.90 - 26.52)	0.064
Central 2	27.40^a	(22.91 - 32.39)	21.54	(17.33 - 26.44)	0.004
Northern	24.17	(19.53 - 29.49)	23.07	(18.67 - 28.15)	0.593
Southern	22.87	(20.17 - 25.81)	22.76	(20.14 - 25.60)	0.934
Southern 1 (Rockingham)	21.56	(17.59 - 26.14)	22.58	(18.88 - 26.75)	0.603
Southern 2	23.68	(20.36 - 27.36)	22.87	(19.72 - 26.35)	0.617
New Jersey	34.97	(32.12 - 37.93)	33.69	(31.06 - 36.44)	0.372
Central	30.37	(25.67 - 35.51)	30.72	(26.46 - 35.33)	0.873
Metropolitan	40.29^b	(35.69 - 45.07)	36.02	(31.78 - 40.49)	0.055
Northern	36.39	(31.95 - 41.08)	36.43	(32.12 - 40.96)	0.989
Southern	32.09	(27.62 - 36.93)	30.15	(25.90 - 34.77)	0.345
New Mexico	37.70^a	(35.16 - 40.31)	31.61	(28.99 - 34.36)	0.000
Region 1	37.03^a	(32.54 - 41.76)	31.24	(27.05 - 35.76)	0.005
Region 2	33.10	(28.12 - 38.49)	32.77	(27.65 - 38.33)	0.886
Region 3 (Bernalillo)	35.72^a	(31.62 - 40.04)	27.34	(23.38 - 31.69)	0.000
Region 4	41.99^a	(36.58 - 47.60)	34.90	(30.15 - 39.98)	0.001
Region 5	42.42^a	(37.59 - 47.40)	36.08	(31.70 - 40.72)	0.003
New York	33.23^a	(31.75 - 34.76)	31.53	(30.10 - 32.99)	0.035
Region A	35.58	(33.33 - 37.88)	34.58	(32.48 - 36.74)	0.373
Region 1	43.19	(38.38 - 48.13)	41.84	(37.64 - 46.17)	0.529
Region 2	34.64	(31.33 - 38.12)	34.13	(30.89 - 37.54)	0.772
Region 3	27.32	(23.22 - 31.85)	26.09	(22.52 - 30.01)	0.521
Region 4	38.51	(34.41 - 42.78)	37.16	(33.10 - 41.42)	0.508
Region B	32.97^a	(30.63 - 35.40)	30.41	(28.20 - 32.72)	0.040
Region 5	33.85^a	(30.67 - 37.20)	29.55	(26.63 - 32.64)	0.012
Region 6	32.57	(28.36 - 37.09)	32.47	(28.23 - 37.02)	0.961
Region 7	30.79	(26.76 - 35.14)	30.05	(25.99 - 34.44)	0.694
Region C	29.72	(27.63 - 31.91)	28.07	(25.99 - 30.24)	0.130
Region 8	25.97	(22.32 - 29.98)	25.88	(22.32 - 29.78)	0.959
Region 9	31.03^a	(26.84 - 35.55)	26.91	(23.18 - 31.00)	0.035
Region 10	26.99	(22.63 - 31.84)	25.76	(21.47 - 30.57)	0.524
Region 11	30.92	(27.01 - 35.12)	29.51	(25.70 - 33.62)	0.442
Region 12	31.94	(28.00 - 36.16)	30.54	(26.48 - 34.93)	0.472
Region D	32.30^a	(29.21 - 35.56)	29.42	(26.47 - 32.56)	0.045
Region 13	32.62^b	(27.49 - 38.20)	28.55	(24.00 - 33.58)	0.055
Region 14	30.74	(26.27 - 35.59)	29.17	(24.50 - 34.33)	0.456
Region 15	33.57	(28.70 - 38.82)	30.45	(26.22 - 35.03)	0.129
North Carolina¹	33.60	(31.03 - 36.27)	33.35	(30.73 - 36.08)	0.841
Alliance	30.05	(25.80 - 34.68)	29.98	(26.11 - 34.16)	0.971
Cardinal Innovations	34.84	(29.29 - 40.84)	32.44	(27.51 - 37.80)	0.299
CenterPoint/Guilford	33.70	(28.93 - 38.83)	33.69	(29.07 - 38.64)	0.994
CenterPoint	35.77	(29.21 - 42.92)	36.16	(30.03 - 42.76)	0.871
Guilford	31.37	(25.69 - 37.66)	31.00	(25.32 - 37.32)	0.871
CoastalCare	29.76	(24.07 - 36.16)	30.90	(25.34 - 37.08)	0.613
Eastpointe	35.99	(29.95 - 42.51)	37.79	(32.18 - 43.75)	0.458
ECBH	36.49	(30.40 - 43.04)	35.98	(29.93 - 42.52)	0.829
MeckLINK	33.34	(28.07 - 39.06)	32.46	(27.03 - 38.42)	0.690
Partners	34.50	(29.45 - 39.93)	33.39	(28.57 - 38.59)	0.624
Sandhills	38.99	(32.60 - 45.78)	37.60	(31.69 - 43.90)	0.588
Smoky Mountain	33.39	(27.37 - 40.01)	36.38	(29.89 - 43.41)	0.233
Western Highlands	31.41	(25.46 - 38.05)	32.55	(26.95 - 38.70)	0.638
North Dakota	36.14	(33.61 - 38.76)	34.13	(31.64 - 36.71)	0.109
Badlands and West Central	38.97	(34.52 - 43.62)	35.93	(31.59 - 40.52)	0.138
Lake Region and South Central	37.21	(31.65 - 43.12)	37.49	(32.42 - 42.85)	0.904
North Central and Northwest	42.50^a	(37.42 - 47.75)	35.65	(30.97 - 40.63)	0.003
Northeast	30.49	(25.74 - 35.70)	30.87	(26.24 - 35.91)	0.850
Southeast	31.72	(28.23 - 35.43)	31.18	(27.56 - 35.04)	0.761
Ohio	33.39^a	(32.00 - 34.81)	29.99	(28.70 - 31.30)	0.000
Boards 2, 46, 55, and 68	40.34^a	(36.01 - 44.82)	32.64	(28.49 - 37.07)	0.000
Boards 3, 52, and 85	31.46	(26.43 - 36.96)	32.28	(27.82 - 37.10)	0.699
Boards 4 and 78	36.27^a	(31.03 - 41.85)	29.41	(24.57 - 34.77)	0.002
Boards 5 and 60	34.73^a	(30.18 - 39.58)	30.41	(25.92 - 35.30)	0.043
Boards 7, 15, 41, 79, and 84	39.38	(34.43 - 44.55)	36.03	(31.63 - 40.67)	0.139
Boards 8, 13, and 83	29.67	(25.12 - 34.66)	30.12	(26.01 - 34.57)	0.832
Board 9 (Butler)	32.28	(27.35 - 37.64)	30.24	(25.85 - 35.02)	0.320
Board 12	33.00^a	(28.42 - 37.93)	26.69	(22.45 - 31.42)	0.001
Boards 18 and 47	32.25^a	(29.12 - 35.56)	28.82	(25.98 - 31.83)	0.031
Boards 20, 32, 54, and 69	39.60	(34.62 - 44.81)	37.05	(32.37 - 41.97)	0.264
Boards 21, 39, 51, 70, and 80	36.77^a	(32.10 - 41.71)	28.91	(25.12 - 33.03)	0.000
Boards 22, 74, and 87	31.22	(26.63 - 36.20)	28.78	(24.67 - 33.27)	0.216
Boards 23 and 45	34.37	(29.59 - 39.48)	31.61	(27.50 - 36.03)	0.164
Board 25 (Franklin)	29.18	(25.96 - 32.62)	26.82	(23.79 - 30.08)	0.124
Boards 27, 71, and 73	38.58^b	(33.95 - 43.41)	34.61	(30.21 - 39.30)	0.057
Boards 28, 43, and 67	29.62	(25.66 - 33.91)	28.16	(24.25 - 32.44)	0.449
Board 31 (Hamilton)	30.39^a	(26.00 - 35.18)	26.25	(22.70 - 30.14)	0.030
Board 48 (Lucas)	32.16	(27.35 - 37.38)	29.98	(25.64 - 34.72)	0.284
Boards 50 and 76	36.08^a	(31.70 - 40.70)	30.22	(26.49 - 34.24)	0.002
Board 57 (Montgomery)	35.89	(31.24 - 40.82)	33.19	(28.87 - 37.80)	0.205
Board 77 (Summit)	28.63	(24.57 - 33.08)	28.55	(24.67 - 32.77)	0.963
Oklahoma	37.86^a	(35.04 - 40.77)	34.00	(31.43 - 36.68)	0.004
Central	35.96^a	(30.78 - 41.49)	29.09	(24.26 - 34.43)	0.003
East Central	37.51	(31.66 - 43.75)	33.97	(28.73 - 39.64)	0.128
Northeast	34.47	(29.21 - 40.14)	33.94	(29.36 - 38.84)	0.819
Northwest and Southwest	40.12^a	(34.62 - 45.89)	34.08	(29.10 - 39.43)	0.006
Oklahoma County	40.36^a	(34.89 - 46.09)	35.14	(30.59 - 39.98)	0.022
Southeast	39.07	(33.53 - 44.91)	37.95	(32.96 - 43.20)	0.654
Tulsa County	36.32	(31.35 - 41.60)	33.09	(28.52 - 38.00)	0.130
Oregon	23.96^a	(21.61 - 26.48)	20.57	(18.36 - 22.96)	0.004
Region 1 (Multnomah)	20.60^a	(16.63 - 25.23)	16.94	(13.73 - 20.72)	0.026
Region 2	23.73^a	(19.79 - 28.18)	18.26	(14.91 - 22.15)	0.002
Region 3	23.00	(19.59 - 26.80)	22.36	(19.19 - 25.89)	0.711
Region 4	26.41^a	(21.63 - 31.82)	21.43	(17.32 - 26.21)	0.017
Region 5 (Central)	23.77	(18.78 - 29.60)	23.61	(18.83 - 29.18)	0.943
Region 6 (Eastern)	34.26^a	(28.39 - 40.66)	26.98	(21.33 - 33.49)	0.003
Pennsylvania	34.00^a	(32.57 - 35.46)	31.90	(30.54 - 33.28)	0.006
Region 1 (Allegheny)	34.05^a	(30.41 - 37.89)	29.38	(25.94 - 33.08)	0.011
Regions 3, 8, 9, and 51	37.12	(32.53 - 41.94)	36.88	(32.36 - 41.65)	0.913
Regions 4, 11, 37, and 49	35.68	(31.35 - 40.26)	37.59	(33.39 - 41.97)	0.361
Regions 5, 18, 23, 24, and 46	37.12	(31.87 - 42.70)	36.88	(32.43 - 41.56)	0.913
Regions 6, 12, 16, 31, 35, 45, and 47	34.13	(29.99 - 38.53)	31.42	(27.57 - 35.54)	0.149
Regions 7, 13, 20, and 33	28.26	(25.49 - 31.21)	26.62	(23.94 - 29.50)	0.270
Regions 10, 15, 27, 32, 43, and 44	35.71	(31.24 - 40.45)	32.80	(28.70 - 37.18)	0.148
Regions 17 and 21	32.18	(27.39 - 37.37)	30.40	(25.72 - 35.52)	0.391
Regions 19, 26, 28, and 42	34.63	(30.78 - 38.69)	33.43	(30.21 - 36.82)	0.505
Regions 22, 38, 40, 41, and 48	36.49	(32.18 - 41.03)	35.57	(31.66 - 39.68)	0.647
Regions 29 and 34	34.35^a	(29.60 - 39.44)	29.42	(25.21 - 34.01)	0.017
Regions 30 and 50	35.18	(30.53 - 40.14)	35.22	(30.75 - 39.97)	0.985
Region 36 (Philadelphia)	36.66^a	(33.03 - 40.46)	30.86	(27.68 - 34.24)	0.001
Rhode Island	27.79^a	(25.13 - 30.60)	24.66	(22.13 - 27.38)	0.015
Bristol and Newport	23.73	(18.93 - 29.31)	21.69	(17.17 - 27.02)	0.324
Kent	27.50^a	(22.83 - 32.72)	23.40	(19.08 - 28.37)	0.044
Providence	29.63^b	(26.26 - 33.23)	26.65	(23.53 - 30.02)	0.071
Washington	23.52^b	(19.03 - 28.68)	19.84	(15.78 - 24.64)	0.052
South Carolina	39.42^a	(36.70 - 42.22)	35.48	(32.90 - 38.14)	0.004
Region 1	40.39^a	(35.86 - 45.10)	34.99	(30.91 - 39.30)	0.011
Region 2	39.05^a	(34.91 - 43.37)	34.71	(30.82 - 38.82)	0.039
Region 3	41.57^a	(36.10 - 47.25)	35.04	(30.15 - 40.26)	0.006
Region 4	37.42	(32.90 - 42.16)	37.11	(32.78 - 41.66)	0.891
South Dakota	37.25^a	(34.61 - 39.97)	31.58	(29.16 - 34.10)	0.000
Region 1	--	(-- - --)	28.79	(24.70 - 33.25)	--
Region 2	--	(-- - --)	34.45	(28.94 - 40.41)	--
Region 3	--	(-- - --)	33.16	(29.12 - 37.48)	--
Region 4	--	(-- - --)	31.98	(27.21 - 37.16)	--
Region 5	--	(-- - --)	31.53	(27.80 - 35.52)	--
Tennessee	39.00^a	(36.27 - 41.80)	36.30	(33.58 - 39.11)	0.033
Region 1	41.12	(35.15 - 47.36)	38.18	(32.50 - 44.20)	0.238
Region 2	38.37	(33.24 - 43.78)	34.95	(30.25 - 39.96)	0.115
Region 3	--	(-- - --)	37.85	(32.85 - 43.13)	--
Region 4 (Davidson)	36.26	(30.90 - 41.99)	33.83	(28.91 - 39.11)	0.277
Region 5	--	(-- - --)	35.45	(31.03 - 40.13)	--
Region 6	38.23	(32.55 - 44.24)	40.63	(34.84 - 46.69)	0.323
Region 7 (Shelby)	40.03^a	(34.55 - 45.76)	35.51	(30.42 - 40.94)	0.049
Texas	42.24^a	(40.88 - 43.60)	37.65	(36.29 - 39.04)	0.000
Region 1	43.22^a	(38.73 - 47.82)	36.61	(32.10 - 41.36)	0.001
Region 2	42.23	(36.73 - 47.94)	40.29	(34.94 - 45.88)	0.369
Region 3	38.55^a	(36.20 - 40.96)	33.25	(31.08 - 35.50)	0.000
Region 3a	38.93^a	(35.88 - 42.07)	33.81	(31.06 - 36.67)	0.001
Region 3bc	37.88^a	(34.45 - 41.43)	32.29	(29.03 - 35.74)	0.001
Region 4	42.26^b	(37.35 - 47.32)	37.99	(33.20 - 43.01)	0.061
Region 5	36.73	(31.95 - 41.78)	36.84	(32.00 - 41.96)	0.960
Region 6	44.52^a	(41.96 - 47.12)	39.55	(36.88 - 42.29)	0.000
Region 6a	44.90^a	(42.13 - 47.71)	39.90	(37.02 - 42.85)	0.001
Region 6bc	41.43^a	(36.06 - 47.02)	36.59	(31.45 - 42.06)	0.031
Region 7	34.11^a	(31.15 - 37.18)	31.22	(28.54 - 34.03)	0.047
Region 7a	32.19	(28.60 - 36.00)	30.65	(27.20 - 34.32)	0.408
Region 7bcd	37.28^a	(32.79 - 41.99)	32.18	(28.35 - 36.26)	0.008
Region 8	45.93^a	(42.33 - 49.58)	40.82	(37.27 - 44.46)	0.004
Region 9	45.80^a	(40.25 - 51.45)	36.72	(31.69 - 42.05)	0.000
Region 10	49.43	(44.08 - 54.79)	46.08	(41.74 - 50.47)	0.116
Region 11	52.90^a	(49.45 - 56.33)	48.69	(45.31 - 52.07)	0.007
Region 11abd	52.71^a	(48.38 - 56.99)	48.38	(44.12 - 52.67)	0.028
Region 11c (Hidalgo)	53.27^b	(48.02 - 58.44)	49.22	(44.49 - 53.97)	0.055
Utah	38.55	(36.20 - 40.96)	38.41	(35.94 - 40.95)	0.913
Bear River, Northeastern, Summit, Tooele, and Wasatch	36.09	(31.09 - 41.41)	38.79	(33.93 - 43.88)	0.208
Central, Four Corners, San Juan, and Southwest	40.70	(35.60 - 46.01)	40.62	(35.16 - 46.32)	0.971
Davis County	39.89	(34.96 - 45.03)	37.46	(32.54 - 42.66)	0.272
Salt Lake County	36.16	(32.49 - 40.01)	36.62	(33.06 - 40.33)	0.807
Utah County	44.06^b	(39.81 - 48.41)	40.32	(35.87 - 44.95)	0.069
Weber, Morgan	36.00^b	(30.58 - 41.79)	39.86	(34.74 - 45.20)	0.082
Vermont	24.23	(21.83 - 26.80)	23.14	(20.88 - 25.56)	0.374
Champlain Valley	23.19	(19.92 - 26.81)	21.82	(18.81 - 25.16)	0.401
Rural Northeast	23.63	(19.65 - 28.15)	23.35	(19.55 - 27.64)	0.884
Rural Southeast	22.83	(18.79 - 27.46)	21.51	(17.91 - 25.60)	0.494
Rural Southwest	29.47	(24.68 - 34.75)	28.32	(23.68 - 33.47)	0.598
Virginia	33.42^a	(30.73 - 36.23)	29.45	(26.92 - 32.11)	0.002
Region 1	34.19^b	(29.55 - 39.15)	30.18	(26.07 - 34.63)	0.055
Region 2	35.10^b	(30.21 - 40.32)	31.07	(26.96 - 35.50)	0.065
Region 3	35.74	(30.97 - 40.80)	32.05	(27.32 - 37.18)	0.101
Region 4	33.10	(28.23 - 38.36)	30.84	(26.27 - 35.82)	0.286
Region 5	29.45^a	(25.07 - 34.25)	23.89	(20.05 - 28.21)	0.004
Washington	25.65^a	(23.30 - 28.15)	23.33	(21.15 - 25.66)	0.044
Region 1	30.26^a	(26.33 - 34.51)	26.27	(22.77 - 30.09)	0.020
East 1 (previously Region 1)	27.29^b	(22.71 - 32.42)	24.05	(20.02 - 28.60)	0.095
East 2 (previously Region 2)	34.31^a	(28.61 - 40.50)	29.27	(24.25 - 34.86)	0.024
Region 2	23.35	(20.35 - 26.64)	22.03	(19.35 - 24.97)	0.355
North 1 (previously Region 3)	23.10	(19.03 - 27.75)	22.85	(19.13 - 27.05)	0.885
North 2 (previously Region 4)	23.50	(19.82 - 27.62)	21.56	(18.22 - 25.33)	0.289
Region 3	25.78^b	(22.69 - 29.14)	23.20	(20.21 - 26.49)	0.072
West 1 (previously Region 5)	25.54^b	(21.40 - 30.16)	22.45	(18.74 - 26.65)	0.086
West 2 (previously Region 6)	26.01	(22.02 - 30.44)	23.89	(19.89 - 28.42)	0.258
West Virginia	42.00^a	(39.29 - 44.76)	37.09	(34.36 - 39.91)	0.000
Region I	41.55^a	(35.18 - 48.22)	35.37	(29.35 - 41.90)	0.018
Region II	39.47^a	(34.19 - 45.00)	33.49	(28.52 - 38.85)	0.010
Region III	43.05	(37.27 - 49.01)	40.72	(35.15 - 46.53)	0.366
Region IV	40.31^a	(35.37 - 45.46)	34.18	(29.78 - 38.88)	0.008
Region V	41.22^b	(36.87 - 45.72)	37.58	(33.74 - 41.59)	0.083
Region VI	46.68^a	(41.42 - 52.02)	41.47	(36.07 - 47.09)	0.034
Wisconsin	31.69^a	(29.18 - 34.30)	27.64	(25.13 - 30.29)	0.001
Milwaukee	32.02^a	(27.09 - 37.38)	26.60	(22.27 - 31.43)	0.010
Northeastern	32.16^b	(27.86 - 36.79)	28.56	(24.72 - 32.73)	0.072
Northern	35.28^a	(29.40 - 41.63)	30.13	(24.84 - 36.00)	0.032
Southeastern	32.08^a	(27.33 - 37.24)	26.88	(22.59 - 31.65)	0.018
Southern	28.76	(24.21 - 33.80)	25.49	(21.27 - 30.23)	0.122
Western	31.73	(27.24 - 36.57)	30.01	(25.23 - 35.27)	0.422
Wyoming	34.19^a	(31.46 - 37.03)	31.23	(28.81 - 33.75)	0.028
Judicial District 1 (Laramie)	34.41	(29.43 - 39.77)	32.80	(28.31 - 37.63)	0.471
Judicial District 2	27.34	(22.41 - 32.90)	24.26	(20.13 - 28.94)	0.120
Judicial District 3	40.36	(35.10 - 45.84)	37.85	(33.01 - 42.94)	0.310
Judicial District 4	33.51	(27.51 - 40.10)	31.02	(25.95 - 36.59)	0.292
Judicial District 5	38.63^a	(33.25 - 44.30)	31.76	(26.47 - 37.56)	0.005
Judicial District 6	33.38	(28.49 - 38.65)	32.45	(27.49 - 37.84)	0.667
Judicial District 7 (Natrona)	31.76^a	(26.87 - 37.08)	26.73	(22.30 - 31.67)	0.014
Judicial District 8	38.67	(32.11 - 45.66)	34.52	(29.08 - 40.39)	0.114
Judicial District 9	29.17	(24.08 - 34.84)	28.75	(23.93 - 34.11)	0.849

140403

Table 5 – *Illicit Drug Use Other Than Marijuana in the Past Month* among Persons Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2008-2010 and 2010-2012 NSDUHs
State/Substate Region	2008-2010 (Estimate)	2008-2010 (95% Confidence Interval)	2010-2012 (Estimate)	2010-2012 (95% Confidence Interval)	P Value
ECBH = East Carolina Behavioral Health; SPA = service planning area. -- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2010-2012); 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 "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. 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 posterior probability of no change between the 2008-2010 and 2010-2012 estimates. The "Total U.S." estimates, along with the 95 percent confidence intervals and p values, are based on design-based (direct) estimation methods. NOTE: Illicit Drugs Other Than Marijuana include cocaine (including crack), heroin, hallucinogens, inhalants, or prescription-type psychotherapeutics used nonmedically, including data from original methamphetamine questions but not including new methamphetamine items added in 2005 and 2006. See Section B.4.8 in Appendix B of the Results from the 2008 National Survey on Drug Use and Health: National Findings. ^a Difference between the 2008-2010 estimate and the 2010-2012 estimate is statistically significant at the 0.05 level. ^b Difference between the 2008-2010 estimate and the 2010-2012 estimate 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. 2010-2012). For details, see the "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008, 2009, 2010, 2011, and 2012 (2008, 2009, and 2010 Data - Revised March 2012).
Total United States	3.56^a	(3.42 - 3.70)	3.35	(3.22 - 3.48)	0.007
Northeast	3.61^a	(3.34 - 3.89)	3.32	(3.07 - 3.59)	0.030
Midwest	3.25	(3.06 - 3.46)	3.18	(2.98 - 3.39)	0.456
South	3.44^a	(3.25 - 3.65)	3.19	(3.01 - 3.39)	0.009
West	3.99	(3.69 - 4.31)	3.76	(3.47 - 4.07)	0.129
Alabama	3.44	(2.75 - 4.30)	3.54	(2.88 - 4.34)	0.721
Region 1	3.13	(2.17 - 4.50)	3.27	(2.42 - 4.41)	0.712
Region 2	3.86	(2.74 - 5.41)	3.97	(2.98 - 5.28)	0.808
Region 3	3.76^b	(2.52 - 5.58)	3.06	(2.23 - 4.19)	0.094
Region 4	2.96^b	(2.03 - 4.29)	3.64	(2.72 - 4.86)	0.076
Alaska	3.93	(3.08 - 5.00)	3.46	(2.74 - 4.35)	0.145
Anchorage	5.03^a	(3.59 - 7.01)	3.98	(3.00 - 5.26)	0.048
Northern	2.89	(1.97 - 4.22)	2.92	(2.08 - 4.08)	0.935
South Central	3.03	(2.02 - 4.54)	3.15	(2.20 - 4.50)	0.741
Southeast	3.86	(2.45 - 6.04)	3.32	(2.27 - 4.84)	0.246
Arizona	4.25	(3.33 - 5.41)	3.90	(3.10 - 4.90)	0.348
Maricopa	3.90	(2.85 - 5.31)	4.00	(3.06 - 5.21)	0.822
Pima	4.67	(2.97 - 7.28)	4.12	(2.89 - 5.84)	0.329
Rural North	6.24^a	(3.89 - 9.85)	3.91	(2.74 - 5.55)	0.001
Rural South	3.59	(2.25 - 5.70)	3.23	(2.19 - 4.73)	0.369
Arkansas	4.02	(3.23 - 4.99)	3.77	(3.08 - 4.60)	0.431
Catchment Area 1	4.11	(2.72 - 6.17)	4.02	(2.99 - 5.37)	0.850
Catchment Area 2	4.10	(2.58 - 6.44)	3.40	(2.40 - 4.80)	0.172
Catchment Area 3	4.34	(2.85 - 6.55)	3.61	(2.61 - 4.97)	0.146
Catchment Area 4	3.72	(2.32 - 5.91)	3.79	(2.68 - 5.35)	0.884
Catchment Area 5	3.58	(2.46 - 5.17)	3.57	(2.59 - 4.89)	0.976
Catchment Area 6	3.84	(2.36 - 6.21)	3.54	(2.48 - 5.02)	0.556
Catchment Area 7	3.48	(2.12 - 5.65)	3.35	(2.36 - 4.72)	0.789
Catchment Area 8	4.45	(2.97 - 6.61)	4.31	(3.17 - 5.85)	0.812
California	3.89	(3.44 - 4.40)	3.60	(3.18 - 4.06)	0.191
Region 1R	5.31	(3.54 - 7.88)	4.54	(3.24 - 6.34)	0.151
Region 2R	4.48	(3.00 - 6.63)	4.00	(2.96 - 5.38)	0.351
Region 3R (Sacramento)	3.68	(2.44 - 5.52)	3.69	(2.75 - 4.95)	0.982
Region 4R	3.60	(2.38 - 5.42)	3.81	(2.85 - 5.09)	0.659
Region 5R (San Francisco)	5.45	(3.36 - 8.73)	4.68	(3.34 - 6.52)	0.313
Region 6 (Santa Clara)	2.74	(1.83 - 4.10)	2.86	(2.10 - 3.88)	0.731
Region 7R (Contra Costa)	3.47	(2.27 - 5.29)	3.44	(2.56 - 4.61)	0.943
Region 8R (Alameda)	3.49	(2.31 - 5.26)	3.49	(2.57 - 4.73)	0.994
Region 9R (San Mateo)	2.90	(1.87 - 4.48)	3.01	(2.16 - 4.18)	0.777
Region 10	5.31^a	(3.50 - 7.99)	3.83	(2.85 - 5.14)	0.010
Region 11 (Los Angeles)	3.78	(3.16 - 4.53)	3.47	(2.96 - 4.06)	0.250
LA SPA 1 and 5	3.84	(2.51 - 5.81)	3.77	(2.78 - 5.10)	0.898
LA SPA 2	3.96	(2.71 - 5.75)	3.59	(2.68 - 4.79)	0.443
LA SPA 3	3.39	(2.31 - 4.96)	3.09	(2.30 - 4.14)	0.434
LA SPA 4	3.88	(2.55 - 5.86)	3.61	(2.61 - 4.95)	0.559
LA SPA 6	3.79	(2.62 - 5.46)	3.48	(2.55 - 4.72)	0.435
LA SPA 7	3.52	(2.40 - 5.14)	3.37	(2.50 - 4.55)	0.714
LA SPA 8	4.10	(2.69 - 6.21)	3.52	(2.62 - 4.70)	0.239
Region 12R	3.75	(2.52 - 5.55)	3.44	(2.51 - 4.71)	0.480
Regions 13 and 19R	3.84	(2.72 - 5.40)	3.75	(2.91 - 4.82)	0.827
Region 13 (Riverside)	3.86	(2.67 - 5.55)	3.75	(2.86 - 4.90)	0.797
Region 19R (Imperial)	3.58	(2.39 - 5.31)	3.77	(2.68 - 5.29)	0.624
Region 14 (Orange)	3.23	(2.31 - 4.51)	3.19	(2.46 - 4.13)	0.902
Region 15R (Fresno)	3.70	(2.55 - 5.33)	3.44	(2.51 - 4.68)	0.496
Region 16R (San Diego)	4.93^a	(3.68 - 6.58)	3.73	(2.91 - 4.77)	0.003
Region 17R	4.02	(2.83 - 5.70)	4.01	(3.03 - 5.29)	0.972
Region 18R (San Bernardino)	3.76	(2.70 - 5.22)	3.32	(2.57 - 4.27)	0.221
Region 20R	3.51	(2.36 - 5.18)	3.78	(2.80 - 5.09)	0.533
Region 21R	3.89	(2.59 - 5.79)	4.45	(3.32 - 5.94)	0.255
Colorado	4.00	(3.21 - 4.99)	4.11	(3.33 - 5.06)	0.750
Region 1	4.89	(3.28 - 7.22)	4.66	(3.40 - 6.36)	0.660
Regions 2 and 7	4.13	(3.11 - 5.47)	4.17	(3.24 - 5.36)	0.924
Region 3	3.31	(2.25 - 4.86)	3.72	(2.65 - 5.21)	0.313
Region 4	3.54	(2.19 - 5.65)	3.63	(2.49 - 5.26)	0.838
Regions 5 and 6	3.46	(2.17 - 5.47)	3.89	(2.77 - 5.45)	0.325
Connecticut	3.64	(2.87 - 4.60)	3.39	(2.70 - 4.25)	0.365
Eastern	3.46	(2.23 - 5.34)	3.37	(2.38 - 4.75)	0.822
North Central	3.19	(2.17 - 4.68)	3.23	(2.33 - 4.45)	0.931
Northwestern	4.45^b	(2.95 - 6.65)	3.61	(2.53 - 5.13)	0.053
South Central	3.84	(2.61 - 5.62)	3.80	(2.76 - 5.21)	0.923
Southwest	3.42	(2.18 - 5.34)	2.91	(2.07 - 4.09)	0.206
Delaware	3.83	(3.00 - 4.88)	3.80	(3.06 - 4.70)	0.916
Kent	3.81	(2.55 - 5.67)	3.79	(2.76 - 5.19)	0.952
New Castle (excluding Wilmington City)	3.95	(2.88 - 5.38)	4.10	(3.19 - 5.26)	0.733
Sussex	3.24	(2.13 - 4.90)	3.09	(2.20 - 4.33)	0.717
Wilmington City	4.71	(2.90 - 7.57)	3.83	(2.61 - 5.57)	0.128
District of Columbia	4.70	(3.67 - 6.00)	5.05	(4.06 - 6.27)	0.417
Ward 1	4.36^a	(2.75 - 6.85)	5.67	(4.00 - 7.99)	0.050
Ward 2	5.72	(3.72 - 8.69)	6.21	(4.55 - 8.42)	0.512
Ward 3	4.60	(2.88 - 7.28)	5.31	(3.77 - 7.42)	0.276
Ward 4	3.28	(1.93 - 5.53)	4.18	(2.84 - 6.12)	0.135
Ward 5	5.98	(3.60 - 9.75)	4.66	(3.25 - 6.64)	0.103
Ward 6	4.03^b	(2.46 - 6.52)	5.16	(3.58 - 7.39)	0.083
Ward 7	4.50	(2.84 - 7.06)	4.22	(2.91 - 6.09)	0.698
Ward 8	5.07	(3.09 - 8.23)	4.79	(3.34 - 6.83)	0.702
Florida	3.50^a	(3.05 - 4.01)	3.10	(2.73 - 3.53)	0.041
Region A - Northwest	3.90	(2.97 - 5.11)	3.66	(2.98 - 4.49)	0.453
Circuit 1	3.77	(2.56 - 5.51)	3.56	(2.65 - 4.76)	0.622
Circuit 2	3.98	(2.63 - 5.97)	3.93	(2.92 - 5.28)	0.926
Circuit 14	4.11	(2.57 - 6.51)	3.55	(2.52 - 4.98)	0.260
Region B - Northeast	3.80	(2.94 - 4.90)	3.41	(2.79 - 4.16)	0.218
Circuits 3 and 8	4.13	(2.81 - 6.04)	3.80	(2.87 - 5.03)	0.457
Circuit 4	4.34	(2.96 - 6.31)	3.68	(2.72 - 4.97)	0.190
Circuit 7	2.91	(1.87 - 4.50)	2.81	(2.06 - 3.81)	0.780
Region C - Central	3.34	(2.70 - 4.13)	3.03	(2.56 - 3.59)	0.175
Circuit 5	3.61^a	(2.38 - 5.43)	2.66	(1.91 - 3.69)	0.012
Circuit 9	2.93	(1.99 - 4.30)	3.36	(2.60 - 4.32)	0.258
Circuit 10	3.04	(1.99 - 4.61)	3.19	(2.39 - 4.26)	0.687
Circuit 18	3.61^b	(2.42 - 5.36)	2.96	(2.21 - 3.96)	0.092
Circuit 19	3.69^b	(2.29 - 5.89)	2.88	(2.05 - 4.02)	0.082
Region D - Southeast	2.37^b	(1.75 - 3.22)	2.87	(2.30 - 3.56)	0.063
Circuit 15 (Palm Beach)	2.44	(1.58 - 3.73)	2.96	(2.20 - 3.96)	0.148
Circuit 17 (Broward)	2.33	(1.59 - 3.40)	2.80	(2.12 - 3.68)	0.139
Region E - Sun Coast	4.17^a	(3.34 - 5.20)	3.18	(2.63 - 3.84)	0.001
Circuit 6	3.97	(2.72 - 5.76)	3.42	(2.52 - 4.63)	0.229
Circuit 12	5.54^a	(3.46 - 8.74)	3.25	(2.33 - 4.52)	0.000
Circuit 13 (Hillsborough)	3.23	(2.27 - 4.59)	3.00	(2.30 - 3.90)	0.505
Circuit 20	4.46^a	(2.96 - 6.67)	3.04	(2.19 - 4.20)	0.005
Region F - Southern (Circuits 11 and 16)	3.45^a	(2.49 - 4.76)	2.78	(2.17 - 3.55)	0.041
Georgia	3.21	(2.54 - 4.06)	3.03	(2.41 - 3.80)	0.474
Region 1	3.34	(2.28 - 4.87)	2.92	(2.16 - 3.95)	0.270
Region 2	2.99	(1.96 - 4.56)	3.13	(2.25 - 4.32)	0.710
Region 3	3.22	(2.13 - 4.84)	3.10	(2.23 - 4.30)	0.769
Region 4	3.40	(2.08 - 5.50)	3.20	(2.21 - 4.61)	0.634
Region 5	3.21	(2.15 - 4.75)	3.18	(2.23 - 4.50)	0.924
Region 6	3.07	(2.01 - 4.66)	2.77	(1.95 - 3.91)	0.407
Hawaii	4.38^a	(3.40 - 5.62)	3.42	(2.69 - 4.32)	0.039
Hawaii Island	4.24	(2.69 - 6.63)	3.49	(2.41 - 5.02)	0.160
Honolulu	4.37	(3.24 - 5.87)	3.50	(2.69 - 4.53)	0.111
Kauai and Maui	4.52^a	(3.03 - 6.72)	3.00	(2.13 - 4.21)	0.002
Kauai	5.56^a	(3.11 - 9.75)	3.49	(2.27 - 5.33)	0.010
Maui	4.06^a	(2.52 - 6.48)	2.79	(1.89 - 4.10)	0.013
Idaho	3.77	(3.03 - 4.69)	3.59	(2.89 - 4.45)	0.512
Region 1	4.25^b	(2.70 - 6.62)	3.36	(2.36 - 4.76)	0.072
Region 2	4.13	(2.62 - 6.44)	3.52	(2.49 - 4.95)	0.183
Region 3	3.56	(2.37 - 5.31)	3.54	(2.56 - 4.87)	0.949
Region 4	3.70	(2.60 - 5.25)	3.98	(2.94 - 5.36)	0.537
Region 5	3.44	(2.21 - 5.30)	3.05	(2.18 - 4.26)	0.343
Region 6	4.02	(2.63 - 6.11)	3.74	(2.66 - 5.22)	0.551
Region 7	3.55	(2.43 - 5.15)	3.43	(2.48 - 4.73)	0.750
Illinois	3.26	(2.84 - 3.73)	3.06	(2.68 - 3.48)	0.338
Region I (Cook)	3.78	(3.03 - 4.72)	3.24	(2.66 - 3.94)	0.116
Region II	2.73	(2.20 - 3.40)	2.83	(2.32 - 3.45)	0.688
Region III	2.90	(2.23 - 3.77)	3.15	(2.47 - 4.01)	0.375
Region IV	2.80	(1.98 - 3.96)	2.56	(1.88 - 3.47)	0.439
Region V	3.58	(2.65 - 4.81)	3.30	(2.53 - 4.29)	0.433
Indiana	3.53	(2.83 - 4.40)	3.60	(2.88 - 4.49)	0.835
Central	3.15	(2.13 - 4.64)	3.32	(2.40 - 4.57)	0.655
East	3.45	(2.24 - 5.29)	4.03	(2.83 - 5.72)	0.200
North Central	3.63	(2.38 - 5.49)	3.58	(2.57 - 4.97)	0.929
Northeast	3.28	(2.15 - 4.99)	3.62	(2.52 - 5.18)	0.404
Northwest	3.03	(1.95 - 4.67)	3.63	(2.55 - 5.15)	0.183
Southeast	4.66	(2.95 - 7.28)	3.73	(2.65 - 5.23)	0.112
Southwest	3.07	(1.95 - 4.78)	3.23	(2.25 - 4.61)	0.676
West	4.39	(2.98 - 6.40)	4.00	(2.91 - 5.48)	0.394
Iowa	2.04^a	(1.57 - 2.64)	2.58	(2.05 - 3.24)	0.010
Central	2.11	(1.38 - 3.21)	2.52	(1.81 - 3.50)	0.160
North Central	2.11^a	(1.36 - 3.27)	3.02	(2.09 - 4.34)	0.005
Northeast	2.17	(1.47 - 3.19)	2.45	(1.78 - 3.38)	0.318
Northwest	1.86^a	(1.20 - 2.88)	2.60	(1.83 - 3.66)	0.011
Southeast	1.86^a	(1.26 - 2.75)	2.62	(1.90 - 3.59)	0.003
Southwest	2.13	(1.35 - 3.34)	2.38	(1.66 - 3.39)	0.405
Kansas	3.24^b	(2.57 - 4.08)	2.80	(2.23 - 3.51)	0.073
Kansas City Metro	3.62^a	(2.59 - 5.03)	2.68	(1.99 - 3.60)	0.009
Northeast	2.81	(1.87 - 4.21)	2.64	(1.87 - 3.71)	0.600
South Central	3.49	(2.15 - 5.63)	2.95	(2.08 - 4.16)	0.201
Southeast	3.19	(1.99 - 5.07)	3.05	(2.08 - 4.46)	0.719
West	2.96	(1.91 - 4.56)	2.79	(1.99 - 3.90)	0.626
Wichita (Sedgwick)	2.98	(1.97 - 4.50)	3.01	(2.13 - 4.24)	0.940
Kentucky	3.67^a	(2.94 - 4.58)	3.00	(2.40 - 3.73)	0.013
Adanta, Cumberland River, and Lifeskills	3.26	(2.19 - 4.84)	3.11	(2.23 - 4.32)	0.683
Bluegrass, Comprehend, and North Key	4.41^a	(3.09 - 6.26)	3.08	(2.28 - 4.14)	0.003
Communicare and River Valley	3.33	(2.11 - 5.22)	2.76	(1.96 - 3.88)	0.137
Four Rivers and Pennyroyal	3.38^b	(2.19 - 5.19)	2.76	(1.91 - 3.97)	0.088
Kentucky River, Mountain, and Pathways	3.41	(2.23 - 5.17)	3.12	(2.16 - 4.49)	0.449
Seven Counties	3.44	(2.28 - 5.17)	2.95	(2.12 - 4.11)	0.212
Louisiana	3.69	(2.96 - 4.59)	3.57	(2.92 - 4.36)	0.702
Regions 1 and 10	--	(-- - --)	3.75	(2.82 - 4.96)	--
Region 1	--	(-- - --)	3.98	(2.83 - 5.57)	--
Region 10 (Jefferson)	3.54	(2.20 - 5.64)	3.52	(2.47 - 5.00)	0.978
Regions 2 and 9	3.86	(2.75 - 5.38)	3.72	(2.82 - 4.89)	0.741
Region 3	--	(-- - --)	3.78	(2.69 - 5.29)	--
Regions 4, 5, and 6	3.81	(2.66 - 5.43)	3.50	(2.62 - 4.66)	0.442
Regions 7 and 8	3.71	(2.58 - 5.31)	3.20	(2.36 - 4.33)	0.204
Maine	3.21	(2.58 - 3.99)	3.35	(2.71 - 4.13)	0.605
Aroostook/Downeast	3.25	(2.15 - 4.86)	2.99	(2.22 - 4.02)	0.477
Aroostook	--	(-- - --)	2.83	(1.99 - 4.02)	--
Downeast	--	(-- - --)	3.13	(2.15 - 4.53)	--
Central	3.14	(2.06 - 4.76)	3.09	(2.20 - 4.34)	0.898
Cumberland	3.38	(2.32 - 4.90)	3.48	(2.50 - 4.83)	0.802
Midcoast	2.96	(1.88 - 4.61)	3.10	(2.15 - 4.45)	0.720
Penquis	3.40^b	(2.28 - 5.05)	4.13	(3.02 - 5.62)	0.091
Western	3.25	(2.23 - 4.73)	3.54	(2.57 - 4.86)	0.439
York	3.00	(1.96 - 4.56)	2.97	(2.14 - 4.10)	0.938
Maryland	3.05	(2.35 - 3.95)	2.75	(2.17 - 3.49)	0.219
Anne Arundel	2.82	(1.77 - 4.46)	2.98	(2.04 - 4.33)	0.647
Baltimore City	3.05	(1.88 - 4.92)	3.28	(2.25 - 4.77)	0.571
Baltimore County	3.46	(2.07 - 5.74)	2.84	(2.01 - 3.99)	0.168
Montgomery	2.65	(1.65 - 4.23)	2.31	(1.64 - 3.25)	0.316
North Central	3.12	(1.90 - 5.06)	2.72	(1.89 - 3.89)	0.296
Northeast	3.30	(2.07 - 5.23)	2.82	(1.94 - 4.10)	0.200
Prince George's	2.70	(1.68 - 4.30)	2.32	(1.60 - 3.37)	0.261
South	3.35	(2.10 - 5.30)	3.07	(2.13 - 4.43)	0.506
West	3.28	(2.02 - 5.28)	2.93	(2.02 - 4.22)	0.388
Massachusetts	4.13^a	(3.33 - 5.10)	3.53	(2.88 - 4.31)	0.044
Boston	3.54	(2.27 - 5.47)	4.24	(3.08 - 5.82)	0.132
Central	4.23	(2.78 - 6.39)	3.65	(2.64 - 5.05)	0.210
Metrowest	4.03	(2.82 - 5.73)	3.43	(2.50 - 4.70)	0.164
Northeast	4.13^a	(2.78 - 6.08)	3.01	(2.17 - 4.17)	0.011
Southeast	3.68	(2.49 - 5.41)	3.25	(2.36 - 4.46)	0.289
Western	5.40^a	(3.67 - 7.88)	4.10	(2.99 - 5.59)	0.014
Michigan	3.80	(3.38 - 4.27)	3.58	(3.18 - 4.03)	0.275
Detroit City	2.81^a	(1.96 - 4.03)	3.68	(2.71 - 4.97)	0.028
Genesee	4.59^a	(3.09 - 6.76)	3.63	(2.71 - 4.85)	0.048
Kalamazoo	3.41	(2.43 - 4.77)	3.37	(2.56 - 4.42)	0.900
Kent	3.65	(2.61 - 5.07)	3.77	(2.86 - 4.96)	0.748
Lakeshore	4.32^a	(3.17 - 5.88)	3.46	(2.68 - 4.46)	0.035
Macomb	3.71	(2.66 - 5.16)	3.21	(2.46 - 4.19)	0.190
Mid South	4.74^b	(3.54 - 6.31)	3.97	(3.10 - 5.07)	0.074
Northern	4.25	(3.04 - 5.90)	3.90	(3.00 - 5.05)	0.422
Oakland	3.87^b	(2.82 - 5.30)	3.24	(2.53 - 4.13)	0.075
Pathways and Western	3.18	(2.17 - 4.65)	3.30	(2.45 - 4.45)	0.735
Riverhaven	4.16	(2.83 - 6.07)	3.60	(2.64 - 4.88)	0.202
Saginaw	3.70	(2.48 - 5.50)	3.81	(2.74 - 5.29)	0.793
Southeast	3.40	(2.55 - 4.53)	3.81	(3.01 - 4.81)	0.300
St. Clair	3.41	(2.34 - 4.97)	3.67	(2.71 - 4.95)	0.500
Washtenaw	3.54	(2.49 - 5.01)	3.31	(2.52 - 4.33)	0.546
Minnesota	2.88	(2.26 - 3.66)	2.76	(2.22 - 3.44)	0.622
Regions 1 and 2	3.86^a	(2.47 - 6.00)	2.98	(2.07 - 4.29)	0.038
Regions 3 and 4	2.82	(1.90 - 4.17)	2.69	(1.97 - 3.67)	0.693
Regions 5 and 6	2.47	(1.66 - 3.65)	2.90	(2.10 - 3.97)	0.151
Region 7A (Hennepin)	2.71	(1.76 - 4.14)	2.85	(2.05 - 3.94)	0.682
Region 7B (Ramsey)	2.83	(1.81 - 4.37)	2.95	(2.04 - 4.25)	0.728
Region 7C	3.02	(2.02 - 4.48)	2.44	(1.78 - 3.34)	0.105
Mississippi	3.13^b	(2.49 - 3.93)	3.57	(2.91 - 4.38)	0.098
Region 1	3.48	(2.39 - 5.04)	3.83	(2.86 - 5.12)	0.419
Region 2	2.97	(1.86 - 4.72)	3.41	(2.42 - 4.79)	0.315
Region 3	2.92	(1.91 - 4.44)	3.33	(2.38 - 4.65)	0.257
Region 4	3.14	(2.13 - 4.62)	3.43	(2.46 - 4.75)	0.464
Region 5	2.81^b	(1.74 - 4.49)	3.52	(2.45 - 5.04)	0.082
Region 6	3.21	(2.09 - 4.90)	3.76	(2.73 - 5.14)	0.200
Region 7	3.02	(1.99 - 4.57)	3.61	(2.60 - 4.98)	0.176
Missouri	2.89	(2.30 - 3.62)	2.78	(2.21 - 3.48)	0.609
Central	2.80	(1.86 - 4.19)	2.78	(1.97 - 3.91)	0.961
Eastern	2.94	(2.15 - 4.00)	2.75	(2.09 - 3.61)	0.498
Eastern (St. Louis City and County)	2.53	(1.70 - 3.76)	2.77	(2.02 - 3.79)	0.450
Eastern (excluding St. Louis)	3.65^a	(2.39 - 5.53)	2.72	(1.92 - 3.84)	0.020
Northwest	2.93	(2.08 - 4.11)	2.81	(2.14 - 3.69)	0.679
Northwest (Jackson)	2.78	(1.76 - 4.35)	2.80	(2.00 - 3.89)	0.956
Northwest (excluding Jackson)	3.06	(2.00 - 4.66)	2.82	(2.04 - 3.90)	0.506
Southeast	2.68	(1.74 - 4.10)	2.85	(2.01 - 4.01)	0.609
Southwest	2.94	(1.95 - 4.41)	2.72	(1.93 - 3.81)	0.493
Montana	3.30	(2.62 - 4.14)	3.27	(2.64 - 4.03)	0.902
Region 1	3.08	(1.91 - 4.93)	3.01	(2.12 - 4.27)	0.864
Region 2	2.76^b	(1.83 - 4.14)	3.43	(2.43 - 4.81)	0.056
Region 3	2.79	(1.85 - 4.19)	3.15	(2.31 - 4.28)	0.309
Region 4	3.74	(2.64 - 5.27)	3.74	(2.78 - 5.01)	0.997
Region 5	3.56^b	(2.50 - 5.05)	2.93	(2.18 - 3.93)	0.092
Nebraska	2.83	(2.22 - 3.60)	2.49	(1.95 - 3.19)	0.144
Regions 1 and 2	2.64	(1.81 - 3.83)	2.25	(1.60 - 3.14)	0.123
Region 1	2.66	(1.66 - 4.24)	2.33	(1.56 - 3.47)	0.286
Region 2	2.62	(1.63 - 4.19)	2.17	(1.46 - 3.22)	0.149
Region 3	2.98	(1.90 - 4.65)	2.47	(1.71 - 3.54)	0.147
Region 4	2.97^a	(1.84 - 4.76)	2.15	(1.47 - 3.15)	0.013
Region 5	2.99	(2.07 - 4.29)	2.65	(1.90 - 3.67)	0.309
Region 6	2.70	(1.91 - 3.80)	2.56	(1.89 - 3.46)	0.641
Nevada¹	4.93^b	(3.92 - 6.18)	4.11	(3.23 - 5.22)	0.066
Clark - Region 1	5.01^a	(3.83 - 6.54)	3.89	(2.96 - 5.10)	0.027
Region 3	4.25	(2.72 - 6.57)	4.04	(2.90 - 5.58)	0.672
Capital District	--	(-- - --)	4.05	(2.73 - 5.97)	--
Rural/Frontier	--	(-- - --)	4.02	(2.72 - 5.91)	--
Washoe - Region 2	5.11	(3.46 - 7.47)	5.17	(3.69 - 7.19)	0.926
New Hampshire	4.34^b	(3.53 - 5.31)	3.79	(3.10 - 4.61)	0.072
Central	4.52^a	(3.36 - 6.05)	3.70	(2.89 - 4.73)	0.029
Central 1	5.18	(3.49 - 7.63)	4.34	(3.24 - 5.80)	0.124
Central 2	3.90^a	(2.66 - 5.68)	3.09	(2.23 - 4.26)	0.045
Northern	4.24	(2.79 - 6.40)	3.74	(2.71 - 5.13)	0.312
Southern	4.27	(3.30 - 5.50)	3.84	(3.04 - 4.84)	0.238
Southern 1 (Rockingham)	3.56	(2.42 - 5.21)	3.20	(2.34 - 4.36)	0.370
Southern 2	4.71	(3.44 - 6.40)	4.23	(3.21 - 5.55)	0.310
New Jersey	3.00	(2.31 - 3.88)	3.19	(2.54 - 4.01)	0.501
Central	3.05	(2.01 - 4.59)	3.10	(2.24 - 4.26)	0.903
Metropolitan	2.89	(1.91 - 4.34)	3.25	(2.35 - 4.47)	0.372
Northern	2.93	(1.97 - 4.34)	3.01	(2.17 - 4.15)	0.846
Southern	3.16	(2.12 - 4.68)	3.52	(2.58 - 4.79)	0.353
New Mexico	3.96	(3.17 - 4.92)	3.98	(3.19 - 4.95)	0.949
Region 1	3.57	(2.44 - 5.18)	3.99	(2.90 - 5.47)	0.345
Region 2	3.63	(2.30 - 5.67)	3.54	(2.42 - 5.14)	0.850
Region 3 (Bernalillo)	4.45	(3.18 - 6.21)	4.45	(3.28 - 6.02)	0.999
Region 4	3.64	(2.42 - 5.43)	3.83	(2.75 - 5.32)	0.659
Region 5	4.01	(2.71 - 5.90)	3.60	(2.59 - 4.98)	0.381
New York	3.89^a	(3.42 - 4.42)	3.31	(2.89 - 3.79)	0.009
Region A	3.75^b	(3.06 - 4.59)	3.24	(2.72 - 3.87)	0.054
Region 1	3.57	(2.41 - 5.25)	3.08	(2.23 - 4.22)	0.206
Region 2	3.12	(2.30 - 4.22)	3.07	(2.35 - 4.02)	0.892
Region 3	6.27^a	(4.25 - 9.14)	4.60	(3.40 - 6.20)	0.016
Region 4	2.80	(1.93 - 4.03)	2.56	(1.91 - 3.43)	0.420
Region B	3.94^a	(3.19 - 4.86)	3.10	(2.55 - 3.77)	0.005
Region 5	4.06^a	(3.05 - 5.40)	3.28	(2.54 - 4.22)	0.048
Region 6	3.65^a	(2.46 - 5.38)	2.48	(1.78 - 3.44)	0.001
Region 7	4.01	(2.82 - 5.68)	3.50	(2.61 - 4.68)	0.200
Region C	4.03^b	(3.39 - 4.80)	3.57	(3.01 - 4.23)	0.074
Region 8	3.72	(2.66 - 5.18)	3.20	(2.43 - 4.21)	0.151
Region 9	3.84	(2.66 - 5.50)	3.69	(2.75 - 4.93)	0.723
Region 10	4.78^a	(3.33 - 6.82)	3.55	(2.61 - 4.80)	0.005
Region 11	4.45	(3.18 - 6.20)	3.74	(2.80 - 4.97)	0.101
Region 12	3.81	(2.69 - 5.36)	3.66	(2.75 - 4.85)	0.724
Region D	3.99	(3.13 - 5.08)	3.57	(2.90 - 4.38)	0.133
Region 13	4.03^b	(2.68 - 6.01)	3.25	(2.39 - 4.41)	0.057
Region 14	3.72	(2.57 - 5.34)	3.80	(2.79 - 5.15)	0.829
Region 15	4.24	(2.90 - 6.15)	3.62	(2.70 - 4.86)	0.136
North Carolina¹	3.60^a	(2.88 - 4.49)	2.85	(2.27 - 3.59)	0.003
Alliance	3.35	(2.25 - 4.96)	2.82	(2.04 - 3.89)	0.123
Cardinal Innovations	4.08^a	(2.60 - 6.34)	3.00	(2.14 - 4.19)	0.017
CenterPoint/Guilford	3.41	(2.32 - 4.98)	2.96	(2.18 - 4.02)	0.173
CenterPoint	3.34	(2.03 - 5.44)	2.98	(2.06 - 4.29)	0.395
Guilford	3.49	(2.16 - 5.59)	2.94	(2.04 - 4.23)	0.164
CoastalCare	4.20^a	(2.67 - 6.54)	3.32	(2.29 - 4.78)	0.035
Eastpointe	3.00	(1.87 - 4.78)	2.59	(1.79 - 3.74)	0.239
ECBH	3.80^a	(2.42 - 5.91)	2.71	(1.84 - 3.96)	0.003
MeckLINK	2.87	(1.83 - 4.48)	2.72	(1.87 - 3.95)	0.659
Partners	4.61^a	(2.94 - 7.16)	2.86	(2.00 - 4.07)	0.001
Sandhills	3.39^b	(2.04 - 5.60)	2.64	(1.82 - 3.80)	0.076
Smoky Mountain	3.45	(2.17 - 5.44)	2.86	(1.95 - 4.19)	0.117
Western Highlands	3.27	(2.05 - 5.18)	2.82	(1.93 - 4.08)	0.236
North Dakota	2.04	(1.57 - 2.63)	2.20	(1.70 - 2.84)	0.424
Badlands and West Central	1.88	(1.29 - 2.74)	1.99	(1.39 - 2.84)	0.657
Lake Region and South Central	1.91	(1.22 - 2.98)	2.02	(1.38 - 2.94)	0.689
North Central and Northwest	1.83	(1.22 - 2.74)	2.19	(1.53 - 3.12)	0.165
Northeast	2.38	(1.59 - 3.55)	2.55	(1.79 - 3.60)	0.576
Southeast	2.20	(1.54 - 3.15)	2.34	(1.68 - 3.26)	0.621
Ohio	3.38	(2.98 - 3.83)	3.60	(3.22 - 4.02)	0.237
Boards 2, 46, 55, and 68	2.80	(1.95 - 3.99)	3.16	(2.37 - 4.19)	0.249
Boards 3, 52, and 85	3.10^b	(2.05 - 4.68)	3.86	(2.87 - 5.17)	0.067
Boards 4 and 78	2.75^a	(1.81 - 4.14)	3.68	(2.68 - 5.02)	0.009
Boards 5 and 60	4.07	(2.84 - 5.80)	4.19	(3.18 - 5.52)	0.766
Boards 7, 15, 41, 79, and 84	2.69	(1.77 - 4.05)	3.24	(2.42 - 4.31)	0.139
Boards 8, 13, and 83	2.76	(1.85 - 4.09)	3.18	(2.42 - 4.19)	0.217
Board 9 (Butler)	4.83^b	(3.18 - 7.28)	3.89	(2.96 - 5.09)	0.099
Board 12	2.99	(2.03 - 4.37)	3.30	(2.44 - 4.44)	0.359
Boards 18 and 47	3.57	(2.68 - 4.74)	3.47	(2.74 - 4.38)	0.769
Boards 20, 32, 54, and 69	3.11	(2.09 - 4.62)	3.08	(2.26 - 4.17)	0.913
Boards 21, 39, 51, 70, and 80	3.05	(2.07 - 4.47)	3.38	(2.56 - 4.46)	0.364
Boards 22, 74, and 87	3.53	(2.37 - 5.21)	3.52	(2.65 - 4.66)	0.986
Boards 23 and 45	2.90^b	(1.97 - 4.26)	3.53	(2.62 - 4.75)	0.068
Board 25 (Franklin)	4.56	(3.37 - 6.16)	4.30	(3.38 - 5.47)	0.584
Boards 27, 71, and 73	3.69	(2.42 - 5.59)	3.91	(2.91 - 5.24)	0.624
Boards 28, 43, and 67	2.82^b	(2.00 - 3.98)	3.47	(2.65 - 4.54)	0.058
Board 31 (Hamilton)	2.82	(1.93 - 4.11)	3.33	(2.57 - 4.32)	0.160
Board 48 (Lucas)	3.38	(2.25 - 5.03)	3.83	(2.90 - 5.06)	0.293
Boards 50 and 76	3.67	(2.53 - 5.29)	3.29	(2.53 - 4.27)	0.347
Board 57 (Montgomery)	3.47	(2.34 - 5.14)	3.54	(2.67 - 4.69)	0.870
Board 77 (Summit)	2.97^a	(2.04 - 4.32)	4.10	(3.08 - 5.45)	0.008
Oklahoma	4.80^a	(3.88 - 5.93)	3.68	(2.99 - 4.52)	0.001
Central	5.30^a	(3.56 - 7.83)	3.47	(2.52 - 4.76)	0.000
East Central	4.47^b	(2.89 - 6.85)	3.48	(2.43 - 4.97)	0.052
Northeast	3.86	(2.56 - 5.79)	3.39	(2.43 - 4.70)	0.319
Northwest and Southwest	6.26^a	(4.15 - 9.35)	3.79	(2.70 - 5.30)	0.000
Oklahoma County	4.24	(2.80 - 6.37)	4.03	(2.95 - 5.48)	0.684
Southeast	5.14^a	(3.40 - 7.71)	3.58	(2.52 - 5.07)	0.003
Tulsa County	4.51	(3.06 - 6.60)	3.78	(2.71 - 5.23)	0.150
Oregon	4.93^b	(4.00 - 6.08)	4.21	(3.42 - 5.19)	0.053
Region 1 (Multnomah)	6.06	(4.08 - 8.92)	5.29	(3.84 - 7.25)	0.286
Region 2	4.62^a	(3.12 - 6.80)	3.54	(2.58 - 4.84)	0.027
Region 3	4.80	(3.54 - 6.47)	4.41	(3.40 - 5.70)	0.420
Region 4	4.59^b	(2.95 - 7.08)	3.70	(2.58 - 5.27)	0.075
Region 5 (Central)	4.66	(2.84 - 7.57)	3.94	(2.73 - 5.66)	0.207
Region 6 (Eastern)	4.45	(2.78 - 7.03)	3.80	(2.58 - 5.56)	0.185
Pennsylvania	3.09	(2.68 - 3.56)	3.09	(2.70 - 3.53)	0.987
Region 1 (Allegheny)	4.10	(2.91 - 5.73)	3.92	(2.99 - 5.14)	0.742
Regions 3, 8, 9, and 51	2.75	(1.89 - 3.99)	2.66	(1.96 - 3.60)	0.768
Regions 4, 11, 37, and 49	2.94	(2.03 - 4.23)	3.00	(2.23 - 4.02)	0.854
Regions 5, 18, 23, 24, and 46	2.99	(1.96 - 4.54)	2.80	(2.10 - 3.71)	0.591
Regions 6, 12, 16, 31, 35, 45, and 47	3.28	(2.35 - 4.57)	2.94	(2.19 - 3.92)	0.271
Regions 7, 13, 20, and 33	3.23	(2.44 - 4.27)	2.83	(2.23 - 3.57)	0.219
Regions 10, 15, 27, 32, 43, and 44	2.57	(1.77 - 3.72)	2.52	(1.84 - 3.46)	0.875
Regions 17 and 21	2.87	(1.92 - 4.25)	3.02	(2.19 - 4.15)	0.645
Regions 19, 26, 28, and 42	2.48	(1.69 - 3.63)	2.65	(2.01 - 3.50)	0.571
Regions 22, 38, 40, 41, and 48	2.82	(1.94 - 4.07)	3.05	(2.32 - 3.99)	0.500
Regions 29 and 34	2.76	(1.85 - 4.11)	2.89	(2.15 - 3.87)	0.702
Regions 30 and 50	2.47	(1.69 - 3.60)	2.74	(2.02 - 3.69)	0.376
Region 36 (Philadelphia)	3.63	(2.58 - 5.09)	4.20	(3.20 - 5.48)	0.258
Rhode Island	5.37	(4.30 - 6.70)	4.87	(3.92 - 6.02)	0.293
Bristol and Newport	3.85	(2.49 - 5.92)	3.78	(2.62 - 5.42)	0.881
Kent	4.52	(2.92 - 6.94)	3.99	(2.85 - 5.57)	0.349
Providence	6.20	(4.73 - 8.10)	5.30	(4.11 - 6.81)	0.168
Washington	4.09^b	(2.72 - 6.09)	5.05	(3.65 - 6.96)	0.088
South Carolina	3.95	(3.04 - 5.12)	3.39	(2.75 - 4.16)	0.110
Region 1	2.92	(1.90 - 4.46)	3.01	(2.20 - 4.11)	0.810
Region 2	4.44^a	(3.04 - 6.44)	3.23	(2.40 - 4.33)	0.012
Region 3	3.29	(2.02 - 5.30)	3.40	(2.40 - 4.80)	0.817
Region 4	4.88	(3.15 - 7.47)	3.92	(2.92 - 5.24)	0.152
South Dakota	2.35	(1.83 - 3.02)	2.45	(1.90 - 3.17)	0.649
Region 1	--	(-- - --)	2.51	(1.76 - 3.56)	--
Region 2	--	(-- - --)	2.46	(1.65 - 3.65)	--
Region 3	--	(-- - --)	2.22	(1.58 - 3.12)	--
Region 4	--	(-- - --)	2.33	(1.62 - 3.33)	--
Region 5	--	(-- - --)	2.66	(1.89 - 3.75)	--
Tennessee	3.53	(2.80 - 4.45)	3.56	(2.90 - 4.36)	0.930
Region 1	4.02	(2.52 - 6.36)	3.31	(2.33 - 4.69)	0.176
Region 2	2.98	(1.93 - 4.56)	3.60	(2.63 - 4.91)	0.158
Region 3	--	(-- - --)	3.59	(2.61 - 4.93)	--
Region 4 (Davidson)	3.62	(2.28 - 5.70)	3.72	(2.72 - 5.08)	0.832
Region 5	--	(-- - --)	3.31	(2.45 - 4.46)	--
Region 6	3.80	(2.45 - 5.86)	3.33	(2.34 - 4.71)	0.273
Region 7 (Shelby)	3.87	(2.42 - 6.15)	4.06	(2.88 - 5.70)	0.717
Texas	3.11	(2.74 - 3.53)	3.09	(2.72 - 3.50)	0.896
Region 1	2.95	(2.09 - 4.16)	3.35	(2.52 - 4.45)	0.219
Region 2	2.85	(1.90 - 4.26)	3.03	(2.22 - 4.12)	0.599
Region 3	3.52	(2.86 - 4.33)	3.20	(2.67 - 3.83)	0.229
Region 3a	3.73^b	(2.86 - 4.85)	3.17	(2.52 - 3.96)	0.098
Region 3bc	3.16	(2.32 - 4.29)	3.26	(2.55 - 4.16)	0.781
Region 4	2.88	(1.94 - 4.27)	2.88	(2.12 - 3.89)	0.978
Region 5	3.18	(2.11 - 4.77)	3.11	(2.32 - 4.16)	0.860
Region 6	2.70	(2.11 - 3.44)	2.70	(2.19 - 3.32)	0.981
Region 6a	2.69	(2.06 - 3.51)	2.68	(2.14 - 3.35)	0.967
Region 6bc	2.72	(1.78 - 4.14)	2.88	(2.13 - 3.89)	0.649
Region 7	3.76	(2.94 - 4.79)	3.71	(3.05 - 4.52)	0.897
Region 7a	3.99	(2.92 - 5.45)	3.81	(2.96 - 4.90)	0.692
Region 7bcd	3.37	(2.39 - 4.73)	3.55	(2.71 - 4.63)	0.618
Region 8	2.69	(1.92 - 3.75)	3.04	(2.32 - 3.98)	0.275
Region 9	3.88	(2.55 - 5.86)	3.29	(2.41 - 4.47)	0.159
Region 10	2.79	(1.89 - 4.10)	3.00	(2.23 - 4.02)	0.525
Region 11	2.72	(2.08 - 3.56)	2.98	(2.38 - 3.75)	0.304
Region 11abd	2.63	(1.89 - 3.64)	3.08	(2.34 - 4.05)	0.119
Region 11c (Hidalgo)	2.90	(1.94 - 4.30)	2.82	(2.07 - 3.82)	0.819
Utah	3.18	(2.58 - 3.93)	2.92	(2.35 - 3.61)	0.272
Bear River, Northeastern, Summit, Tooele, and Wasatch	2.93	(1.97 - 4.32)	2.74	(1.98 - 3.80)	0.558
Central, Four Corners, San Juan, and Southwest	2.95	(1.95 - 4.44)	2.81	(2.01 - 3.91)	0.683
Davis County	3.00	(2.06 - 4.34)	2.88	(2.06 - 4.00)	0.694
Salt Lake County	3.29	(2.41 - 4.49)	2.85	(2.13 - 3.82)	0.196
Utah County	3.65	(2.63 - 5.04)	3.31	(2.44 - 4.49)	0.350
Weber, Morgan	2.64	(1.71 - 4.05)	2.81	(1.97 - 3.99)	0.581
Vermont	4.18	(3.41 - 5.12)	4.01	(3.28 - 4.89)	0.583
Champlain Valley	4.58	(3.49 - 5.99)	4.40	(3.43 - 5.64)	0.704
Rural Northeast	3.75	(2.60 - 5.37)	3.95	(2.90 - 5.38)	0.642
Rural Southeast	4.24	(2.87 - 6.23)	3.74	(2.70 - 5.16)	0.268
Rural Southwest	3.79	(2.55 - 5.61)	3.45	(2.43 - 4.87)	0.376
Virginia	3.03	(2.37 - 3.87)	3.18	(2.56 - 3.94)	0.562
Region 1	3.55	(2.37 - 5.28)	3.52	(2.56 - 4.81)	0.946
Region 2	2.52	(1.65 - 3.85)	2.57	(1.84 - 3.59)	0.882
Region 3	3.16	(2.13 - 4.65)	3.42	(2.47 - 4.72)	0.492
Region 4	3.12	(1.98 - 4.87)	3.22	(2.27 - 4.55)	0.789
Region 5	3.10	(2.04 - 4.69)	3.48	(2.55 - 4.73)	0.355
Washington	3.86	(3.10 - 4.79)	4.36	(3.56 - 5.33)	0.110
Region 1	3.99	(2.87 - 5.53)	4.14	(3.15 - 5.43)	0.680
East 1 (previously Region 1)	4.03	(2.67 - 6.03)	4.16	(3.00 - 5.76)	0.763
East 2 (previously Region 2)	3.94	(2.48 - 6.20)	4.11	(2.91 - 5.79)	0.729
Region 2	3.36^a	(2.48 - 4.53)	4.51	(3.55 - 5.73)	0.003
North 1 (previously Region 3)	3.74	(2.48 - 5.62)	4.31	(3.15 - 5.86)	0.251
North 2 (previously Region 4)	3.13^a	(2.14 - 4.57)	4.63	(3.49 - 6.13)	0.002
Region 3	4.47	(3.31 - 6.00)	4.29	(3.33 - 5.51)	0.669
West 1 (previously Region 5)	4.08	(2.76 - 6.00)	4.37	(3.22 - 5.89)	0.555
West 2 (previously Region 6)	4.82	(3.23 - 7.14)	4.22	(3.06 - 5.79)	0.240
West Virginia	4.22^a	(3.38 - 5.24)	3.22	(2.62 - 3.95)	0.000
Region I	4.71^a	(2.93 - 7.47)	2.95	(2.05 - 4.22)	0.000
Region II	4.53^a	(2.91 - 6.98)	3.20	(2.29 - 4.48)	0.006
Region III	3.52^b	(2.25 - 5.47)	2.81	(2.00 - 3.94)	0.074
Region IV	4.23	(2.97 - 6.01)	4.16	(3.17 - 5.44)	0.866
Region V	4.88^a	(3.38 - 6.99)	3.15	(2.36 - 4.20)	0.000
Region VI	3.08	(2.05 - 4.61)	2.56	(1.79 - 3.65)	0.107
Wisconsin	3.50	(2.83 - 4.32)	3.18	(2.57 - 3.93)	0.199
Milwaukee	3.20	(2.14 - 4.75)	3.44	(2.49 - 4.74)	0.505
Northeastern	3.42	(2.38 - 4.89)	2.88	(2.11 - 3.93)	0.125
Northern	3.15	(2.01 - 4.91)	3.08	(2.16 - 4.39)	0.859
Southeastern	3.39	(2.32 - 4.93)	3.19	(2.31 - 4.37)	0.583
Southern	3.86	(2.63 - 5.64)	3.34	(2.48 - 4.49)	0.176
Western	3.84^b	(2.65 - 5.53)	3.18	(2.26 - 4.44)	0.066
Wyoming	2.90	(2.30 - 3.66)	2.81	(2.22 - 3.55)	0.701
Judicial District 1 (Laramie)	2.80	(1.85 - 4.21)	2.68	(1.86 - 3.84)	0.705
Judicial District 2	3.49	(2.40 - 5.04)	3.30	(2.39 - 4.54)	0.595
Judicial District 3	2.88	(1.92 - 4.29)	2.64	(1.87 - 3.70)	0.448
Judicial District 4	2.66	(1.67 - 4.23)	2.40	(1.64 - 3.49)	0.418
Judicial District 5	2.76	(1.79 - 4.24)	2.50	(1.72 - 3.62)	0.444
Judicial District 6	2.86	(1.86 - 4.38)	2.95	(2.08 - 4.16)	0.792
Judicial District 7 (Natrona)	3.24	(2.14 - 4.85)	3.21	(2.25 - 4.56)	0.949
Judicial District 8	2.69	(1.69 - 4.27)	2.66	(1.83 - 3.86)	0.932
Judicial District 9	2.69	(1.69 - 4.25)	2.82	(1.94 - 4.08)	0.730

140403

Table 6 – *Cocaine Use in the Past Year* among Persons Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2008-2010 and 2010-2012 NSDUHs
State/Substate Region	2008-2010 (Estimate)	2008-2010 (95% Confidence Interval)	2010-2012 (Estimate)	2010-2012 (95% Confidence Interval)	P Value
ECBH = East Carolina Behavioral Health; SPA = service planning area. -- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2010-2012); 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 "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. 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 posterior probability of no change between the 2008-2010 and 2010-2012 estimates. The "Total U.S." estimates, along with the 95 percent confidence intervals and p values, are based on design-based (direct) estimation methods. ^a Difference between the 2008-2010 estimate and the 2010-2012 estimate is statistically significant at the 0.05 level. ^b Difference between the 2008-2010 estimate and the 2010-2012 estimate 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. 2010-2012). For details, see the "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008, 2009, 2010, 2011, and 2012 (2008, 2009, and 2010 Data - Revised March 2012).
Total United States	1.94^a	(1.84 - 2.03)	1.68	(1.60 - 1.77)	0.000
Northeast	2.31^a	(2.10 - 2.53)	1.96	(1.76 - 2.18)	0.001
Midwest	1.68^a	(1.55 - 1.83)	1.41	(1.27 - 1.56)	0.000
South	1.72^a	(1.59 - 1.87)	1.52	(1.39 - 1.67)	0.006
West	2.22^a	(2.02 - 2.45)	1.97	(1.77 - 2.19)	0.025
Alabama	1.18	(0.82 - 1.70)	1.06	(0.73 - 1.55)	0.461
Region 1	1.08	(0.68 - 1.71)	1.15	(0.73 - 1.79)	0.727
Region 2	1.27	(0.80 - 2.01)	1.10	(0.70 - 1.72)	0.408
Region 3	1.24^b	(0.75 - 2.07)	0.90	(0.56 - 1.44)	0.073
Region 4	1.12	(0.68 - 1.84)	1.04	(0.66 - 1.63)	0.641
Alaska	2.52^a	(1.90 - 3.34)	1.77	(1.34 - 2.34)	0.009
Anchorage	2.87^a	(1.99 - 4.11)	2.00	(1.46 - 2.75)	0.028
Northern	2.04	(1.33 - 3.10)	1.60	(1.08 - 2.36)	0.165
South Central	2.22^a	(1.48 - 3.33)	1.55	(1.05 - 2.28)	0.032
Southeast	2.86^a	(1.85 - 4.40)	1.81	(1.21 - 2.69)	0.008
Arizona	2.21	(1.64 - 2.98)	2.02	(1.52 - 2.68)	0.463
Maricopa	2.10	(1.47 - 2.99)	2.05	(1.48 - 2.83)	0.877
Pima	2.83	(1.84 - 4.33)	2.30	(1.59 - 3.31)	0.163
Rural North	2.29	(1.48 - 3.54)	1.93	(1.30 - 2.86)	0.243
Rural South	1.92	(1.21 - 3.02)	1.66	(1.08 - 2.54)	0.326
Arkansas	1.30	(0.91 - 1.84)	1.24	(0.88 - 1.74)	0.746
Catchment Area 1	1.23	(0.78 - 1.94)	1.24	(0.81 - 1.88)	0.966
Catchment Area 2	1.27	(0.78 - 2.08)	1.03	(0.66 - 1.62)	0.252
Catchment Area 3	1.41	(0.83 - 2.37)	1.11	(0.70 - 1.75)	0.236
Catchment Area 4	1.13	(0.69 - 1.84)	1.12	(0.73 - 1.73)	0.983
Catchment Area 5	1.22	(0.76 - 1.96)	1.15	(0.74 - 1.79)	0.740
Catchment Area 6	1.35	(0.78 - 2.35)	1.66	(1.00 - 2.73)	0.354
Catchment Area 7	1.29	(0.75 - 2.20)	1.05	(0.67 - 1.66)	0.298
Catchment Area 8	1.40	(0.86 - 2.29)	1.49	(0.97 - 2.29)	0.739
California	2.18	(1.87 - 2.53)	2.03	(1.72 - 2.38)	0.355
Region 1R	3.12^a	(2.19 - 4.44)	2.13	(1.53 - 2.95)	0.004
Region 2R	2.49	(1.76 - 3.51)	2.05	(1.47 - 2.84)	0.117
Region 3R (Sacramento)	2.30	(1.55 - 3.40)	1.93	(1.37 - 2.71)	0.211
Region 4R	2.24	(1.54 - 3.24)	1.89	(1.39 - 2.57)	0.197
Region 5R (San Francisco)	3.92	(2.56 - 5.95)	3.52	(2.51 - 4.91)	0.534
Region 6 (Santa Clara)	1.60	(1.09 - 2.34)	1.39	(0.99 - 1.94)	0.279
Region 7R (Contra Costa)	1.90	(1.29 - 2.79)	1.80	(1.29 - 2.52)	0.673
Region 8R (Alameda)	2.29	(1.58 - 3.30)	2.09	(1.52 - 2.87)	0.506
Region 9R (San Mateo)	1.70	(1.13 - 2.55)	1.59	(1.11 - 2.28)	0.654
Region 10	2.66	(1.86 - 3.81)	2.28	(1.66 - 3.12)	0.226
Region 11 (Los Angeles)	2.08	(1.71 - 2.53)	2.05	(1.67 - 2.51)	0.867
LA SPA 1 and 5	2.56	(1.72 - 3.78)	2.40	(1.69 - 3.41)	0.652
LA SPA 2	2.13	(1.49 - 3.02)	1.90	(1.36 - 2.63)	0.377
LA SPA 3	1.66	(1.14 - 2.41)	1.69	(1.22 - 2.34)	0.875
LA SPA 4	2.57	(1.76 - 3.76)	2.58	(1.84 - 3.62)	0.978
LA SPA 6	2.20	(1.49 - 3.23)	2.23	(1.59 - 3.13)	0.905
LA SPA 7	1.79	(1.22 - 2.64)	1.88	(1.34 - 2.63)	0.730
LA SPA 8	1.97	(1.35 - 2.85)	2.05	(1.50 - 2.81)	0.758
Region 12R	2.12	(1.46 - 3.08)	1.91	(1.35 - 2.70)	0.415
Regions 13 and 19R	2.07	(1.46 - 2.92)	1.70	(1.26 - 2.29)	0.112
Region 13 (Riverside)	2.06	(1.43 - 2.97)	1.68	(1.22 - 2.31)	0.116
Region 19R (Imperial)	2.19	(1.49 - 3.22)	1.97	(1.39 - 2.80)	0.415
Region 14 (Orange)	1.80	(1.31 - 2.46)	1.91	(1.46 - 2.50)	0.633
Region 15R (Fresno)	2.13	(1.46 - 3.09)	2.04	(1.42 - 2.92)	0.734
Region 16R (San Diego)	2.29	(1.68 - 3.13)	2.20	(1.64 - 2.95)	0.734
Region 17R	2.29	(1.63 - 3.21)	2.44	(1.75 - 3.39)	0.608
Region 18R (San Bernardino)	2.06	(1.46 - 2.90)	2.00	(1.47 - 2.71)	0.810
Region 20R	2.06	(1.42 - 2.99)	1.88	(1.34 - 2.63)	0.478
Region 21R	2.38	(1.66 - 3.42)	2.25	(1.63 - 3.10)	0.636
Colorado	3.44^b	(2.73 - 4.32)	2.76	(2.15 - 3.53)	0.052
Region 1	4.20^a	(2.89 - 6.06)	3.00	(2.15 - 4.18)	0.022
Regions 2 and 7	3.55	(2.69 - 4.67)	2.95	(2.23 - 3.90)	0.163
Region 3	2.78	(1.88 - 4.08)	2.44	(1.68 - 3.54)	0.365
Region 4	2.71	(1.74 - 4.20)	2.37	(1.54 - 3.65)	0.404
Regions 5 and 6	3.22^a	(2.07 - 4.98)	2.08	(1.42 - 3.04)	0.009
Connecticut	1.82	(1.32 - 2.50)	1.89	(1.44 - 2.50)	0.760
Eastern	1.80	(1.13 - 2.87)	1.78	(1.21 - 2.61)	0.932
North Central	1.68	(1.10 - 2.55)	2.02	(1.43 - 2.84)	0.275
Northwestern	1.97	(1.25 - 3.08)	1.71	(1.15 - 2.52)	0.395
South Central	2.02	(1.33 - 3.05)	2.04	(1.46 - 2.86)	0.934
Southwest	1.66	(1.03 - 2.67)	1.78	(1.19 - 2.64)	0.691
Delaware	2.09	(1.55 - 2.81)	1.81	(1.37 - 2.40)	0.276
Kent	2.11^b	(1.37 - 3.23)	1.63	(1.11 - 2.41)	0.098
New Castle (excluding Wilmington City)	2.17	(1.53 - 3.08)	2.06	(1.51 - 2.81)	0.736
Sussex	1.84^a	(1.18 - 2.86)	1.25	(0.85 - 1.84)	0.019
Wilmington City	2.16	(1.27 - 3.66)	2.17	(1.39 - 3.37)	0.986
District of Columbia	3.32	(2.49 - 4.41)	2.98	(2.26 - 3.92)	0.424
Ward 1	3.39	(2.13 - 5.35)	3.71	(2.56 - 5.35)	0.626
Ward 2	4.57	(3.07 - 6.76)	3.92	(2.76 - 5.54)	0.373
Ward 3	3.47	(2.31 - 5.17)	3.24	(2.29 - 4.55)	0.696
Ward 4	2.47	(1.45 - 4.17)	2.34	(1.55 - 3.54)	0.806
Ward 5	3.16	(1.87 - 5.29)	2.50	(1.66 - 3.75)	0.257
Ward 6	3.43	(2.12 - 5.51)	3.39	(2.29 - 4.97)	0.947
Ward 7	3.23	(1.90 - 5.44)	2.29	(1.42 - 3.67)	0.164
Ward 8	2.54	(1.45 - 4.40)	2.21	(1.38 - 3.51)	0.534
Florida	1.83	(1.54 - 2.17)	1.79	(1.50 - 2.14)	0.810
Region A - Northwest	2.07	(1.59 - 2.69)	2.17	(1.70 - 2.79)	0.647
Circuit 1	1.92	(1.32 - 2.77)	2.04	(1.47 - 2.83)	0.656
Circuit 2	2.41	(1.63 - 3.55)	2.70	(1.95 - 3.74)	0.401
Circuit 14	1.98	(1.30 - 3.01)	1.78	(1.24 - 2.55)	0.471
Region B - Northeast	1.92	(1.48 - 2.48)	1.93	(1.51 - 2.46)	0.962
Circuits 3 and 8	2.04	(1.38 - 3.00)	2.09	(1.52 - 2.87)	0.847
Circuit 4	2.03	(1.38 - 2.97)	2.06	(1.46 - 2.90)	0.932
Circuit 7	1.71	(1.14 - 2.54)	1.66	(1.20 - 2.30)	0.854
Region C - Central	1.81	(1.45 - 2.26)	1.65	(1.34 - 2.04)	0.353
Circuit 5	1.52	(1.02 - 2.27)	1.21	(0.85 - 1.73)	0.168
Circuit 9	2.12	(1.50 - 2.99)	2.25	(1.68 - 3.01)	0.656
Circuit 10	1.60	(1.09 - 2.35)	1.42	(1.03 - 1.96)	0.419
Circuit 18	1.88	(1.29 - 2.75)	1.69	(1.23 - 2.32)	0.444
Circuit 19	1.76^a	(1.15 - 2.66)	1.27	(0.89 - 1.80)	0.033
Region D - Southeast	1.54	(1.14 - 2.07)	1.67	(1.30 - 2.13)	0.503
Circuit 15 (Palm Beach)	1.51	(1.01 - 2.26)	1.71	(1.26 - 2.33)	0.410
Circuit 17 (Broward)	1.56	(1.08 - 2.25)	1.63	(1.21 - 2.20)	0.753
Region E - Sun Coast	1.95	(1.53 - 2.48)	1.96	(1.57 - 2.44)	0.957
Circuit 6	1.91	(1.30 - 2.80)	2.38	(1.73 - 3.28)	0.164
Circuit 12	2.02	(1.31 - 3.10)	1.91	(1.36 - 2.67)	0.723
Circuit 13 (Hillsborough)	2.00	(1.41 - 2.83)	1.91	(1.42 - 2.56)	0.727
Circuit 20	1.90	(1.28 - 2.81)	1.55	(1.11 - 2.15)	0.174
Region F - Southern (Circuits 11 and 16)	1.79	(1.28 - 2.49)	1.56	(1.20 - 2.04)	0.311
Georgia	1.39	(0.98 - 1.98)	1.58	(1.15 - 2.18)	0.351
Region 1	1.26	(0.80 - 1.97)	1.36	(0.91 - 2.02)	0.668
Region 2	1.48	(0.89 - 2.47)	1.75	(1.13 - 2.71)	0.336
Region 3	1.42	(0.86 - 2.31)	1.72	(1.16 - 2.55)	0.316
Region 4	1.50	(0.88 - 2.53)	1.77	(1.13 - 2.77)	0.372
Region 5	1.46	(0.92 - 2.32)	1.51	(0.98 - 2.32)	0.828
Region 6	1.39	(0.86 - 2.24)	1.53	(0.99 - 2.35)	0.590
Hawaii	1.59	(1.14 - 2.22)	1.59	(1.15 - 2.19)	0.995
Hawaii Island	2.32	(1.44 - 3.73)	1.88	(1.21 - 2.91)	0.262
Honolulu	1.41	(0.97 - 2.07)	1.61	(1.15 - 2.27)	0.465
Kauai and Maui	1.76^a	(1.12 - 2.75)	1.26	(0.84 - 1.88)	0.039
Kauai	1.88	(1.11 - 3.19)	1.41	(0.87 - 2.27)	0.141
Maui	1.70^a	(1.01 - 2.84)	1.19	(0.77 - 1.84)	0.045
Idaho	1.16	(0.85 - 1.58)	1.08	(0.77 - 1.52)	0.566
Region 1	1.11^b	(0.69 - 1.78)	0.82	(0.52 - 1.29)	0.071
Region 2	1.29	(0.80 - 2.09)	1.20	(0.78 - 1.87)	0.646
Region 3	1.05	(0.67 - 1.65)	1.08	(0.69 - 1.70)	0.835
Region 4	1.25	(0.84 - 1.85)	1.25	(0.82 - 1.91)	0.981
Region 5	1.09	(0.69 - 1.71)	1.03	(0.66 - 1.61)	0.702
Region 6	1.18	(0.75 - 1.84)	1.00	(0.64 - 1.56)	0.273
Region 7	1.14	(0.74 - 1.76)	1.01	(0.65 - 1.57)	0.407
Illinois	1.88	(1.58 - 2.23)	1.80	(1.50 - 2.15)	0.632
Region I (Cook)	2.16	(1.68 - 2.78)	2.21	(1.74 - 2.79)	0.881
Region II	1.63	(1.25 - 2.13)	1.42	(1.11 - 1.82)	0.289
Region III	2.02	(1.51 - 2.71)	1.84	(1.39 - 2.44)	0.446
Region IV	1.56	(1.06 - 2.27)	1.48	(1.06 - 2.07)	0.757
Region V	1.64	(1.15 - 2.32)	1.50	(1.09 - 2.06)	0.540
Indiana	1.36^b	(0.98 - 1.88)	1.06	(0.73 - 1.53)	0.056
Central	1.31	(0.84 - 2.06)	1.07	(0.68 - 1.70)	0.215
East	1.30	(0.79 - 2.12)	1.04	(0.64 - 1.67)	0.198
North Central	1.31^b	(0.83 - 2.05)	0.97	(0.61 - 1.53)	0.059
Northeast	1.28	(0.80 - 2.04)	0.98	(0.61 - 1.55)	0.107
Northwest	1.38^b	(0.85 - 2.22)	1.03	(0.63 - 1.67)	0.093
Southeast	1.38^b	(0.86 - 2.22)	1.02	(0.64 - 1.62)	0.073
Southwest	1.30	(0.79 - 2.15)	1.04	(0.63 - 1.71)	0.185
West	1.67	(1.09 - 2.56)	1.33	(0.85 - 2.07)	0.116
Iowa	1.00	(0.70 - 1.41)	1.10	(0.79 - 1.52)	0.472
Central	1.10	(0.69 - 1.75)	1.01	(0.64 - 1.58)	0.620
North Central	1.05	(0.65 - 1.69)	1.33	(0.85 - 2.06)	0.133
Northeast	1.02	(0.65 - 1.60)	1.05	(0.70 - 1.57)	0.853
Northwest	0.95	(0.60 - 1.50)	0.92	(0.60 - 1.42)	0.856
Southeast	0.95^b	(0.60 - 1.51)	1.26	(0.85 - 1.87)	0.059
Southwest	0.88	(0.52 - 1.48)	1.01	(0.65 - 1.59)	0.434
Kansas	1.48	(1.08 - 2.03)	1.36	(1.00 - 1.86)	0.482
Kansas City Metro	1.65	(1.11 - 2.46)	1.39	(0.96 - 2.02)	0.283
Northeast	1.52	(0.98 - 2.34)	1.22	(0.81 - 1.85)	0.128
South Central	1.32	(0.81 - 2.14)	1.24	(0.81 - 1.89)	0.666
Southeast	1.48	(0.93 - 2.36)	1.22	(0.79 - 1.89)	0.181
West	1.23	(0.78 - 1.94)	1.22	(0.81 - 1.83)	0.945
Wichita (Sedgwick)	1.40	(0.90 - 2.17)	1.70	(1.10 - 2.63)	0.207
Kentucky	1.28	(0.92 - 1.79)	1.29	(0.93 - 1.79)	0.972
Adanta, Cumberland River, and Lifeskills	1.07	(0.67 - 1.70)	1.28	(0.83 - 1.95)	0.274
Bluegrass, Comprehend, and North Key	1.38	(0.90 - 2.11)	1.37	(0.91 - 2.05)	0.957
Communicare and River Valley	1.32	(0.80 - 2.15)	1.14	(0.74 - 1.75)	0.369
Four Rivers and Pennyroyal	1.30	(0.80 - 2.09)	1.36	(0.88 - 2.11)	0.784
Kentucky River, Mountain, and Pathways	1.21	(0.76 - 1.94)	1.22	(0.77 - 1.93)	0.956
Seven Counties	1.33	(0.84 - 2.11)	1.27	(0.83 - 1.93)	0.759
Louisiana	1.83	(1.34 - 2.49)	1.50	(1.10 - 2.04)	0.136
Regions 1 and 10	--	(-- - --)	1.98	(1.37 - 2.85)	--
Region 1	--	(-- - --)	2.21	(1.43 - 3.40)	--
Region 10 (Jefferson)	1.91	(1.16 - 3.13)	1.75	(1.17 - 2.62)	0.615
Regions 2 and 9	1.68	(1.09 - 2.58)	1.36	(0.92 - 2.01)	0.222
Region 3	--	(-- - --)	1.39	(0.91 - 2.13)	--
Regions 4, 5, and 6	1.71	(1.11 - 2.61)	1.52	(1.04 - 2.22)	0.493
Regions 7 and 8	1.84^a	(1.19 - 2.83)	1.25	(0.83 - 1.87)	0.030
Maine	2.10	(1.61 - 2.74)	1.81	(1.38 - 2.35)	0.183
Aroostook/Downeast	1.80	(1.18 - 2.72)	1.78	(1.25 - 2.53)	0.941
Aroostook	--	(-- - --)	1.79	(1.17 - 2.73)	--
Downeast	--	(-- - --)	1.77	(1.18 - 2.63)	--
Central	1.92	(1.24 - 2.98)	1.61	(1.08 - 2.41)	0.272
Cumberland	2.60	(1.80 - 3.76)	2.58	(1.83 - 3.61)	0.942
Midcoast	2.19^a	(1.42 - 3.38)	1.47	(0.98 - 2.21)	0.015
Penquis	2.17	(1.44 - 3.27)	1.98	(1.36 - 2.86)	0.536
Western	1.97	(1.30 - 2.98)	1.53	(1.05 - 2.23)	0.116
York	1.81^a	(1.18 - 2.76)	1.27	(0.86 - 1.86)	0.029
Maryland	1.68	(1.18 - 2.38)	1.39	(0.98 - 1.96)	0.143
Anne Arundel	1.80	(1.12 - 2.89)	1.45	(0.92 - 2.26)	0.133
Baltimore City	2.15	(1.21 - 3.78)	2.10	(1.29 - 3.39)	0.913
Baltimore County	1.58	(0.93 - 2.65)	1.43	(0.91 - 2.24)	0.596
Montgomery	1.30	(0.81 - 2.11)	1.12	(0.74 - 1.69)	0.328
North Central	1.50	(0.93 - 2.40)	1.27	(0.80 - 2.00)	0.313
Northeast	1.68	(1.06 - 2.67)	1.42	(0.90 - 2.24)	0.283
Prince George's	1.64^a	(0.96 - 2.79)	1.11	(0.69 - 1.76)	0.034
South	1.99^a	(1.21 - 3.26)	1.44	(0.91 - 2.25)	0.032
West	1.69	(1.04 - 2.73)	1.44	(0.92 - 2.24)	0.323
Massachusetts	2.64^a	(2.06 - 3.38)	2.06	(1.58 - 2.66)	0.017
Boston	3.00	(1.96 - 4.58)	3.09	(2.17 - 4.39)	0.846
Central	2.74	(1.85 - 4.04)	2.25	(1.55 - 3.25)	0.155
Metrowest	2.34^b	(1.64 - 3.31)	1.84	(1.30 - 2.60)	0.081
Northeast	2.43^a	(1.64 - 3.58)	1.79	(1.24 - 2.57)	0.043
Southeast	2.43^b	(1.65 - 3.57)	1.85	(1.27 - 2.68)	0.060
Western	3.40^a	(2.23 - 5.16)	1.98	(1.37 - 2.86)	0.000
Michigan	1.83^a	(1.56 - 2.15)	1.33	(1.10 - 1.62)	0.000
Detroit City	1.76	(1.08 - 2.85)	1.63	(1.04 - 2.53)	0.724
Genesee	1.92^a	(1.30 - 2.83)	1.29	(0.90 - 1.83)	0.008
Kalamazoo	1.73^a	(1.20 - 2.47)	1.23	(0.89 - 1.69)	0.012
Kent	2.04^a	(1.45 - 2.87)	1.44	(1.04 - 1.98)	0.011
Lakeshore	1.81^a	(1.30 - 2.51)	1.23	(0.89 - 1.70)	0.004
Macomb	1.83^a	(1.30 - 2.57)	1.13	(0.82 - 1.56)	0.001
Mid South	1.89^a	(1.39 - 2.57)	1.41	(1.03 - 1.94)	0.015
Northern	1.97^a	(1.43 - 2.70)	1.33	(0.98 - 1.81)	0.002
Oakland	1.69^a	(1.23 - 2.32)	1.27	(0.95 - 1.70)	0.021
Pathways and Western	1.99^a	(1.39 - 2.86)	1.16	(0.82 - 1.64)	0.000
Riverhaven	1.90^a	(1.33 - 2.73)	1.34	(0.95 - 1.89)	0.014
Saginaw	1.79	(1.19 - 2.68)	1.46	(1.00 - 2.13)	0.168
Southeast	1.84^b	(1.36 - 2.49)	1.47	(1.06 - 2.02)	0.093
St. Clair	1.63^a	(1.13 - 2.34)	1.11	(0.78 - 1.59)	0.006
Washtenaw	1.83^a	(1.30 - 2.58)	1.34	(0.98 - 1.83)	0.018
Minnesota	1.76^a	(1.33 - 2.33)	1.28	(0.94 - 1.74)	0.008
Regions 1 and 2	1.68^a	(1.07 - 2.63)	1.20	(0.78 - 1.86)	0.036
Regions 3 and 4	1.66^a	(1.11 - 2.48)	1.09	(0.72 - 1.65)	0.008
Regions 5 and 6	1.51	(1.00 - 2.27)	1.27	(0.85 - 1.90)	0.258
Region 7A (Hennepin)	1.96	(1.26 - 3.03)	1.70	(1.16 - 2.48)	0.398
Region 7B (Ramsey)	1.90^b	(1.19 - 3.01)	1.41	(0.91 - 2.17)	0.069
Region 7C	1.83^a	(1.22 - 2.74)	0.98	(0.65 - 1.48)	0.000
Mississippi	1.42	(0.99 - 2.04)	1.47	(1.05 - 2.06)	0.824
Region 1	1.63	(1.03 - 2.55)	1.48	(0.98 - 2.24)	0.592
Region 2	1.50	(0.84 - 2.66)	1.51	(0.93 - 2.45)	0.970
Region 3	1.27	(0.76 - 2.13)	1.37	(0.89 - 2.11)	0.683
Region 4	1.33	(0.80 - 2.19)	1.54	(1.00 - 2.36)	0.466
Region 5	1.24	(0.69 - 2.22)	1.28	(0.80 - 2.04)	0.892
Region 6	1.36	(0.81 - 2.26)	1.42	(0.92 - 2.19)	0.801
Region 7	1.44	(0.89 - 2.33)	1.56	(1.03 - 2.34)	0.682
Missouri	1.78^a	(1.31 - 2.41)	1.25	(0.91 - 1.73)	0.003
Central	1.68^a	(1.07 - 2.64)	1.24	(0.81 - 1.87)	0.045
Eastern	1.97^a	(1.35 - 2.87)	1.35	(0.92 - 1.97)	0.012
Eastern (St. Louis City and County)	1.86	(1.16 - 2.94)	1.54	(1.00 - 2.37)	0.291
Eastern (excluding St. Louis)	2.17^a	(1.37 - 3.42)	1.01	(0.65 - 1.57)	0.000
Northwest	1.76^a	(1.20 - 2.56)	1.23	(0.85 - 1.78)	0.010
Northwest (Jackson)	1.86	(1.16 - 2.98)	1.49	(0.96 - 2.32)	0.210
Northwest (excluding Jackson)	1.67^a	(1.08 - 2.58)	1.01	(0.65 - 1.55)	0.001
Southeast	1.51^a	(0.95 - 2.40)	1.08	(0.69 - 1.67)	0.035
Southwest	1.66^a	(1.09 - 2.51)	1.23	(0.81 - 1.87)	0.035
Montana	2.04^a	(1.56 - 2.66)	1.51	(1.15 - 1.98)	0.006
Region 1	1.72^a	(1.10 - 2.69)	1.11	(0.73 - 1.67)	0.003
Region 2	1.84	(1.21 - 2.79)	1.43	(0.95 - 2.14)	0.112
Region 3	2.06^a	(1.40 - 3.01)	1.41	(0.97 - 2.04)	0.007
Region 4	2.02^b	(1.38 - 2.94)	1.57	(1.10 - 2.22)	0.064
Region 5	2.21^b	(1.54 - 3.17)	1.68	(1.21 - 2.31)	0.057
Nebraska	1.48	(1.08 - 2.02)	1.39	(1.05 - 1.85)	0.654
Regions 1 and 2	1.20	(0.79 - 1.82)	1.24	(0.86 - 1.80)	0.806
Region 1	1.15	(0.71 - 1.86)	1.30	(0.84 - 2.03)	0.431
Region 2	1.24	(0.75 - 2.04)	1.19	(0.78 - 1.81)	0.769
Region 3	1.37	(0.87 - 2.14)	1.14	(0.75 - 1.71)	0.228
Region 4	1.33	(0.82 - 2.16)	1.09	(0.71 - 1.65)	0.230
Region 5	1.61	(1.08 - 2.41)	1.46	(1.02 - 2.08)	0.501
Region 6	1.54	(1.03 - 2.30)	1.56	(1.10 - 2.19)	0.950
Nevada¹	2.46^a	(1.85 - 3.28)	1.63	(1.20 - 2.22)	0.001
Clark - Region 1	2.31^a	(1.65 - 3.23)	1.56	(1.11 - 2.21)	0.006
Region 3	2.50^a	(1.61 - 3.87)	1.38	(0.95 - 2.01)	0.000
Capital District	--	(-- - --)	1.50	(0.98 - 2.28)	--
Rural/Frontier	--	(-- - --)	1.28	(0.82 - 1.99)	--
Washoe - Region 2	3.13^a	(2.13 - 4.58)	2.15	(1.50 - 3.07)	0.007
New Hampshire	2.54^a	(1.99 - 3.25)	1.99	(1.54 - 2.56)	0.027
Central	2.77^b	(2.03 - 3.78)	2.23	(1.66 - 2.99)	0.092
Central 1	3.11	(2.10 - 4.59)	2.43	(1.72 - 3.42)	0.103
Central 2	2.45	(1.64 - 3.65)	2.03	(1.40 - 2.95)	0.220
Northern	2.63^b	(1.73 - 3.97)	1.95	(1.37 - 2.77)	0.052
Southern	2.41^a	(1.82 - 3.20)	1.88	(1.41 - 2.49)	0.037
Southern 1 (Rockingham)	2.27^a	(1.56 - 3.29)	1.56	(1.11 - 2.17)	0.007
Southern 2	2.50	(1.80 - 3.48)	2.08	(1.49 - 2.89)	0.186
New Jersey	2.09	(1.54 - 2.84)	1.98	(1.48 - 2.66)	0.656
Central	2.21	(1.45 - 3.35)	1.82	(1.24 - 2.66)	0.200
Metropolitan	2.15	(1.40 - 3.28)	2.48	(1.70 - 3.61)	0.360
Northern	1.88	(1.24 - 2.85)	1.88	(1.33 - 2.67)	0.997
Southern	2.21	(1.45 - 3.37)	1.75	(1.17 - 2.61)	0.148
New Mexico	2.23	(1.71 - 2.90)	2.12	(1.60 - 2.81)	0.671
Region 1	1.82	(1.23 - 2.68)	1.74	(1.19 - 2.55)	0.770
Region 2	2.18	(1.42 - 3.35)	1.90	(1.27 - 2.83)	0.336
Region 3 (Bernalillo)	2.66	(1.90 - 3.72)	2.64	(1.89 - 3.68)	0.955
Region 4	1.99	(1.31 - 3.03)	1.70	(1.16 - 2.49)	0.246
Region 5	2.13	(1.42 - 3.18)	2.10	(1.45 - 3.04)	0.930
New York	2.43^b	(2.07 - 2.85)	2.06	(1.74 - 2.45)	0.063
Region A	2.29	(1.84 - 2.85)	2.35	(1.89 - 2.90)	0.823
Region 1	2.02	(1.35 - 3.01)	2.13	(1.47 - 3.08)	0.736
Region 2	2.07	(1.49 - 2.87)	2.19	(1.64 - 2.93)	0.685
Region 3	3.69	(2.58 - 5.24)	3.38	(2.48 - 4.58)	0.581
Region 4	1.70	(1.18 - 2.44)	1.91	(1.41 - 2.58)	0.422
Region B	2.28^a	(1.83 - 2.85)	1.79	(1.45 - 2.19)	0.017
Region 5	2.30^a	(1.71 - 3.09)	1.74	(1.35 - 2.24)	0.027
Region 6	1.96	(1.36 - 2.82)	1.63	(1.17 - 2.27)	0.201
Region 7	2.70	(1.91 - 3.80)	2.19	(1.60 - 3.00)	0.126
Region C	2.72^a	(2.24 - 3.31)	1.97	(1.61 - 2.41)	0.001
Region 8	2.53	(1.80 - 3.53)	2.09	(1.54 - 2.83)	0.167
Region 9	2.52^b	(1.78 - 3.55)	1.92	(1.41 - 2.62)	0.059
Region 10	2.83^a	(2.01 - 3.96)	1.79	(1.30 - 2.46)	0.001
Region 11	2.81^a	(2.04 - 3.85)	2.02	(1.48 - 2.74)	0.010
Region 12	2.94^a	(2.11 - 4.09)	1.94	(1.41 - 2.66)	0.005
Region D	2.73^a	(2.12 - 3.50)	1.76	(1.38 - 2.23)	0.000
Region 13	2.39^a	(1.61 - 3.54)	1.75	(1.26 - 2.44)	0.031
Region 14	2.60^a	(1.83 - 3.68)	1.75	(1.26 - 2.44)	0.004
Region 15	3.15^a	(2.14 - 4.62)	1.76	(1.24 - 2.49)	0.000
North Carolina¹	2.04	(1.50 - 2.77)	1.69	(1.24 - 2.31)	0.103
Alliance	2.00	(1.29 - 3.08)	1.78	(1.20 - 2.63)	0.463
Cardinal Innovations	2.06	(1.30 - 3.25)	1.86	(1.24 - 2.78)	0.515
CenterPoint/Guilford	2.04^b	(1.34 - 3.10)	1.62	(1.11 - 2.35)	0.100
CenterPoint	1.91	(1.15 - 3.15)	1.65	(1.08 - 2.52)	0.390
Guilford	2.19^b	(1.30 - 3.65)	1.58	(1.01 - 2.46)	0.067
CoastalCare	2.27	(1.44 - 3.57)	2.11	(1.38 - 3.22)	0.627
Eastpointe	2.02^b	(1.18 - 3.46)	1.45	(0.93 - 2.26)	0.078
ECBH	2.29^b	(1.41 - 3.69)	1.72	(1.11 - 2.65)	0.078
MeckLINK	2.26^a	(1.40 - 3.64)	1.61	(1.04 - 2.48)	0.040
Partners	1.92	(1.22 - 3.00)	1.58	(1.04 - 2.39)	0.258
Sandhills	1.84	(1.09 - 3.07)	1.42	(0.91 - 2.22)	0.137
Smoky Mountain	1.78	(1.11 - 2.83)	1.59	(1.03 - 2.45)	0.480
Western Highlands	1.96	(1.22 - 3.13)	1.67	(1.11 - 2.51)	0.308
North Dakota	1.02	(0.71 - 1.45)	0.97	(0.68 - 1.39)	0.767
Badlands and West Central	0.94	(0.59 - 1.49)	0.84	(0.54 - 1.32)	0.551
Lake Region and South Central	0.83	(0.51 - 1.34)	0.89	(0.56 - 1.43)	0.662
North Central and Northwest	0.92	(0.57 - 1.47)	0.86	(0.54 - 1.35)	0.682
Northeast	1.22	(0.77 - 1.92)	1.26	(0.83 - 1.91)	0.853
Southeast	1.16	(0.75 - 1.79)	1.09	(0.70 - 1.71)	0.722
Ohio	1.46	(1.21 - 1.74)	1.54	(1.28 - 1.85)	0.562
Boards 2, 46, 55, and 68	1.45	(1.02 - 2.05)	1.44	(1.03 - 2.01)	0.974
Boards 3, 52, and 85	1.16	(0.77 - 1.75)	1.29	(0.90 - 1.85)	0.477
Boards 4 and 78	1.31	(0.86 - 1.98)	1.48	(1.03 - 2.11)	0.418
Boards 5 and 60	1.51	(1.05 - 2.16)	1.57	(1.12 - 2.20)	0.768
Boards 7, 15, 41, 79, and 84	1.12	(0.74 - 1.69)	1.25	(0.90 - 1.74)	0.469
Boards 8, 13, and 83	1.20	(0.81 - 1.78)	1.27	(0.91 - 1.77)	0.712
Board 9 (Butler)	1.24	(0.82 - 1.89)	1.23	(0.88 - 1.71)	0.942
Board 12	1.47	(1.00 - 2.15)	1.58	(1.10 - 2.26)	0.590
Boards 18 and 47	1.43	(1.00 - 2.03)	1.39	(1.03 - 1.89)	0.881
Boards 20, 32, 54, and 69	1.26	(0.86 - 1.85)	1.34	(0.95 - 1.87)	0.682
Boards 21, 39, 51, 70, and 80	1.20	(0.80 - 1.79)	1.20	(0.84 - 1.71)	0.990
Boards 22, 74, and 87	1.47	(1.01 - 2.14)	1.43	(1.03 - 1.98)	0.841
Boards 23 and 45	1.38	(0.93 - 2.03)	1.49	(1.06 - 2.09)	0.594
Board 25 (Franklin)	2.01	(1.46 - 2.78)	2.34	(1.74 - 3.14)	0.279
Boards 27, 71, and 73	1.26	(0.85 - 1.86)	1.54	(1.08 - 2.19)	0.203
Boards 28, 43, and 67	1.31	(0.91 - 1.86)	1.30	(0.94 - 1.81)	0.993
Board 31 (Hamilton)	1.52	(1.03 - 2.22)	1.82	(1.29 - 2.56)	0.243
Board 48 (Lucas)	1.75	(1.14 - 2.67)	1.52	(1.08 - 2.13)	0.389
Boards 50 and 76	1.74	(1.18 - 2.57)	1.35	(0.96 - 1.89)	0.102
Board 57 (Montgomery)	1.51	(1.00 - 2.27)	1.93	(1.34 - 2.76)	0.127
Board 77 (Summit)	1.39	(0.95 - 2.03)	1.41	(0.99 - 1.99)	0.936
Oklahoma	1.37	(0.98 - 1.92)	1.15	(0.82 - 1.62)	0.150
Central	1.47	(0.92 - 2.34)	1.17	(0.76 - 1.80)	0.148
East Central	1.39^a	(0.83 - 2.31)	0.96	(0.60 - 1.55)	0.025
Northeast	1.29^a	(0.80 - 2.05)	0.86	(0.56 - 1.33)	0.010
Northwest and Southwest	1.44	(0.91 - 2.26)	1.19	(0.76 - 1.86)	0.199
Oklahoma County	1.40	(0.86 - 2.28)	1.30	(0.85 - 1.99)	0.658
Southeast	1.22	(0.77 - 1.95)	1.16	(0.72 - 1.85)	0.730
Tulsa County	1.39	(0.87 - 2.20)	1.28	(0.82 - 2.00)	0.631
Oregon	2.32	(1.80 - 3.00)	1.93	(1.47 - 2.54)	0.106
Region 1 (Multnomah)	3.09	(2.06 - 4.61)	3.25	(2.27 - 4.63)	0.768
Region 2	1.82	(1.23 - 2.70)	1.56	(1.08 - 2.26)	0.254
Region 3	2.49^a	(1.81 - 3.41)	1.70	(1.21 - 2.39)	0.007
Region 4	1.96	(1.30 - 2.96)	1.55	(1.03 - 2.32)	0.132
Region 5 (Central)	2.24^a	(1.42 - 3.52)	1.53	(1.01 - 2.30)	0.013
Region 6 (Eastern)	1.99	(1.29 - 3.06)	1.59	(1.02 - 2.46)	0.147
Pennsylvania	2.10^a	(1.76 - 2.50)	1.72	(1.42 - 2.07)	0.033
Region 1 (Allegheny)	2.58	(1.82 - 3.63)	2.15	(1.57 - 2.93)	0.247
Regions 3, 8, 9, and 51	2.15^b	(1.45 - 3.18)	1.65	(1.16 - 2.35)	0.068
Regions 4, 11, 37, and 49	1.99^a	(1.41 - 2.80)	1.39	(1.01 - 1.92)	0.010
Regions 5, 18, 23, 24, and 46	1.91^a	(1.25 - 2.89)	1.34	(0.95 - 1.87)	0.019
Regions 6, 12, 16, 31, 35, 45, and 47	2.08^a	(1.45 - 2.98)	1.46	(1.05 - 2.02)	0.009
Regions 7, 13, 20, and 33	2.16^a	(1.62 - 2.87)	1.42	(1.09 - 1.84)	0.001
Regions 10, 15, 27, 32, 43, and 44	1.69	(1.15 - 2.48)	1.49	(1.05 - 2.10)	0.379
Regions 17 and 21	2.15^a	(1.45 - 3.19)	1.59	(1.13 - 2.24)	0.047
Regions 19, 26, 28, and 42	1.81^b	(1.28 - 2.57)	1.40	(1.02 - 1.91)	0.066
Regions 22, 38, 40, 41, and 48	1.73	(1.19 - 2.50)	1.66	(1.20 - 2.31)	0.796
Regions 29 and 34	1.83	(1.25 - 2.66)	1.74	(1.26 - 2.39)	0.697
Regions 30 and 50	2.10^a	(1.45 - 3.03)	1.47	(1.05 - 2.05)	0.013
Region 36 (Philadelphia)	2.50	(1.73 - 3.60)	2.93	(2.14 - 3.99)	0.357
Rhode Island	3.33^a	(2.55 - 4.33)	2.49	(1.89 - 3.26)	0.032
Bristol and Newport	2.89^a	(1.86 - 4.48)	1.66	(1.12 - 2.46)	0.001
Kent	2.65	(1.70 - 4.12)	2.04	(1.37 - 3.03)	0.150
Providence	3.65^b	(2.68 - 4.94)	2.74	(2.01 - 3.72)	0.070
Washington	3.12	(2.08 - 4.66)	2.72	(1.87 - 3.92)	0.366
South Carolina	2.35^a	(1.71 - 3.22)	1.72	(1.26 - 2.34)	0.035
Region 1	1.97	(1.25 - 3.08)	1.79	(1.20 - 2.65)	0.602
Region 2	2.09^b	(1.36 - 3.18)	1.52	(1.05 - 2.21)	0.074
Region 3	2.56^b	(1.58 - 4.11)	1.74	(1.13 - 2.66)	0.056
Region 4	2.90^a	(1.83 - 4.56)	1.85	(1.26 - 2.69)	0.029
South Dakota	1.16^a	(0.83 - 1.63)	0.91	(0.63 - 1.31)	0.044
Region 1	--	(-- - --)	0.90	(0.58 - 1.40)	--
Region 2	--	(-- - --)	0.73	(0.45 - 1.18)	--
Region 3	--	(-- - --)	0.85	(0.54 - 1.35)	--
Region 4	--	(-- - --)	0.81	(0.50 - 1.31)	--
Region 5	--	(-- - --)	1.08	(0.70 - 1.66)	--
Tennessee	1.46	(1.03 - 2.06)	1.43	(1.04 - 1.97)	0.887
Region 1	1.26	(0.76 - 2.09)	1.40	(0.92 - 2.13)	0.544
Region 2	1.50	(0.96 - 2.35)	1.60	(1.06 - 2.42)	0.688
Region 3	--	(-- - --)	1.45	(0.96 - 2.20)	--
Region 4 (Davidson)	1.92	(1.14 - 3.23)	1.86	(1.22 - 2.84)	0.851
Region 5	--	(-- - --)	1.13	(0.75 - 1.69)	--
Region 6	1.41	(0.85 - 2.32)	1.31	(0.83 - 2.04)	0.652
Region 7 (Shelby)	1.50	(0.87 - 2.58)	1.50	(0.95 - 2.38)	0.998
Texas	1.79^a	(1.52 - 2.11)	1.47	(1.24 - 1.75)	0.016
Region 1	1.90	(1.35 - 2.67)	1.76	(1.27 - 2.44)	0.530
Region 2	1.62^b	(1.08 - 2.43)	1.25	(0.85 - 1.82)	0.064
Region 3	1.73	(1.35 - 2.21)	1.50	(1.21 - 1.86)	0.158
Region 3a	1.84	(1.37 - 2.46)	1.56	(1.21 - 2.01)	0.165
Region 3bc	1.53	(1.08 - 2.17)	1.40	(1.03 - 1.89)	0.488
Region 4	1.56^b	(1.05 - 2.29)	1.22	(0.84 - 1.77)	0.093
Region 5	1.62^a	(1.07 - 2.46)	1.21	(0.85 - 1.71)	0.043
Region 6	1.89^a	(1.45 - 2.47)	1.38	(1.07 - 1.79)	0.010
Region 6a	1.89^a	(1.41 - 2.51)	1.38	(1.04 - 1.81)	0.015
Region 6bc	1.95^a	(1.31 - 2.89)	1.45	(1.01 - 2.08)	0.032
Region 7	2.08	(1.60 - 2.70)	1.79	(1.40 - 2.27)	0.127
Region 7a	2.03	(1.45 - 2.83)	1.95	(1.46 - 2.61)	0.757
Region 7bcd	2.16^a	(1.51 - 3.08)	1.50	(1.08 - 2.09)	0.004
Region 8	1.64	(1.18 - 2.27)	1.44	(1.06 - 1.96)	0.271
Region 9	1.73	(1.18 - 2.53)	1.74	(1.24 - 2.43)	0.981
Region 10	1.64	(1.12 - 2.38)	1.46	(1.04 - 2.06)	0.384
Region 11	1.78^a	(1.35 - 2.36)	1.35	(1.01 - 1.78)	0.012
Region 11abd	1.80^a	(1.28 - 2.54)	1.40	(1.00 - 1.96)	0.049
Region 11c (Hidalgo)	1.75^a	(1.19 - 2.57)	1.25	(0.87 - 1.80)	0.015
Utah	1.29	(0.94 - 1.77)	1.52	(1.15 - 1.99)	0.215
Bear River, Northeastern, Summit, Tooele, and Wasatch	1.24	(0.78 - 1.95)	1.30	(0.87 - 1.94)	0.725
Central, Four Corners, San Juan, and Southwest	1.08	(0.68 - 1.72)	1.21	(0.80 - 1.82)	0.484
Davis County	1.33	(0.83 - 2.12)	1.36	(0.89 - 2.07)	0.874
Salt Lake County	1.36	(0.91 - 2.02)	1.71	(1.22 - 2.38)	0.157
Utah County	1.36	(0.89 - 2.06)	1.50	(1.02 - 2.18)	0.516
Weber, Morgan	1.18^b	(0.72 - 1.94)	1.63	(1.08 - 2.44)	0.053
Vermont	3.06^a	(2.46 - 3.80)	2.38	(1.87 - 3.01)	0.012
Champlain Valley	3.57^a	(2.75 - 4.61)	2.75	(2.09 - 3.59)	0.021
Rural Northeast	2.82	(2.00 - 3.98)	2.32	(1.65 - 3.27)	0.168
Rural Southeast	2.65	(1.82 - 3.86)	2.16	(1.51 - 3.07)	0.159
Rural Southwest	2.73^a	(1.83 - 4.05)	1.82	(1.26 - 2.62)	0.009
Virginia	1.80^a	(1.34 - 2.42)	1.36	(1.01 - 1.83)	0.010
Region 1	2.05^a	(1.38 - 3.03)	1.43	(1.00 - 2.06)	0.010
Region 2	1.55	(0.99 - 2.40)	1.23	(0.82 - 1.82)	0.135
Region 3	1.90^a	(1.26 - 2.87)	1.37	(0.93 - 2.00)	0.030
Region 4	1.89^b	(1.22 - 2.91)	1.44	(0.94 - 2.19)	0.096
Region 5	1.79^b	(1.16 - 2.77)	1.39	(0.93 - 2.06)	0.075
Washington	2.21^a	(1.68 - 2.90)	1.73	(1.32 - 2.27)	0.030
Region 1	2.18^a	(1.52 - 3.12)	1.46	(1.05 - 2.04)	0.002
East 1 (previously Region 1)	2.22^a	(1.45 - 3.38)	1.51	(1.02 - 2.23)	0.010
East 2 (previously Region 2)	2.13^a	(1.35 - 3.34)	1.41	(0.94 - 2.10)	0.005
Region 2	2.26	(1.63 - 3.12)	1.93	(1.44 - 2.59)	0.226
North 1 (previously Region 3)	2.21	(1.50 - 3.25)	1.75	(1.23 - 2.49)	0.101
North 2 (previously Region 4)	2.29	(1.54 - 3.38)	2.04	(1.45 - 2.86)	0.444
Region 3	2.16^a	(1.54 - 3.02)	1.63	(1.18 - 2.25)	0.029
West 1 (previously Region 5)	2.27^b	(1.50 - 3.41)	1.70	(1.16 - 2.48)	0.060
West 2 (previously Region 6)	2.06^b	(1.36 - 3.10)	1.56	(1.06 - 2.29)	0.068
West Virginia	2.14^a	(1.64 - 2.78)	1.54	(1.15 - 2.06)	0.006
Region I	2.12^a	(1.37 - 3.27)	1.10	(0.72 - 1.70)	0.000
Region II	2.24^a	(1.42 - 3.50)	1.40	(0.92 - 2.11)	0.007
Region III	1.72^a	(1.09 - 2.70)	1.19	(0.77 - 1.83)	0.023
Region IV	2.94^b	(2.06 - 4.18)	2.27	(1.64 - 3.12)	0.056
Region V	1.98^b	(1.35 - 2.89)	1.49	(1.00 - 2.20)	0.085
Region VI	1.62^b	(1.05 - 2.51)	1.22	(0.80 - 1.86)	0.079
Wisconsin	2.31^a	(1.77 - 3.01)	1.40	(1.04 - 1.89)	0.000
Milwaukee	2.36^a	(1.54 - 3.60)	1.66	(1.07 - 2.56)	0.038
Northeastern	2.23^a	(1.52 - 3.27)	1.27	(0.87 - 1.86)	0.000
Northern	1.91^a	(1.21 - 3.00)	1.27	(0.84 - 1.93)	0.011
Southeastern	2.31^a	(1.55 - 3.43)	1.36	(0.91 - 2.02)	0.001
Southern	2.60^a	(1.74 - 3.89)	1.52	(1.05 - 2.18)	0.000
Western	2.25^a	(1.50 - 3.36)	1.30	(0.86 - 1.94)	0.000
Wyoming	1.34	(0.98 - 1.82)	1.19	(0.86 - 1.65)	0.375
Judicial District 1 (Laramie)	1.36	(0.90 - 2.05)	1.26	(0.82 - 1.94)	0.617
Judicial District 2	1.67	(1.09 - 2.57)	1.90	(1.25 - 2.87)	0.403
Judicial District 3	1.13	(0.73 - 1.76)	0.99	(0.63 - 1.55)	0.442
Judicial District 4	1.20	(0.73 - 1.96)	1.04	(0.66 - 1.64)	0.384
Judicial District 5	1.22^b	(0.79 - 1.89)	0.93	(0.59 - 1.46)	0.078
Judicial District 6	1.34	(0.85 - 2.12)	1.14	(0.73 - 1.79)	0.316
Judicial District 7 (Natrona)	1.51	(0.97 - 2.33)	1.35	(0.88 - 2.05)	0.487
Judicial District 8	1.17	(0.73 - 1.85)	0.98	(0.63 - 1.52)	0.268
Judicial District 9	1.37	(0.84 - 2.22)	1.06	(0.67 - 1.68)	0.133

140403

Table 7 – *Nonmedical Use of Pain Relievers in the Past Year* among Persons Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2008-2010 and 2010-2012 NSDUHs
State/Substate Region	2008-2010 (Estimate)	2008-2010 (95% Confidence Interval)	2010-2012 (Estimate)	2010-2012 (95% Confidence Interval)	P Value
ECBH = East Carolina Behavioral Health; SPA = service planning area. -- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2010-2012); 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 "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. 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 posterior probability of no change between the 2008-2010 and 2010-2012 estimates. The "Total U.S." estimates, along with the 95 percent confidence intervals and p values, are based on design-based (direct) estimation methods. ^a Difference between the 2008-2010 estimate and the 2010-2012 estimate is statistically significant at the 0.05 level. ^b Difference between the 2008-2010 estimate and the 2010-2012 estimate 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. 2010-2012). For details, see the "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008, 2009, 2010, 2011, and 2012 (2008, 2009, and 2010 Data - Revised March 2012).
Total United States	4.87^a	(4.72 - 5.02)	4.63	(4.49 - 4.78)	0.007
Northeast	4.41^b	(4.15 - 4.70)	4.19	(3.92 - 4.48)	0.094
Midwest	4.83	(4.61 - 5.05)	4.65	(4.43 - 4.88)	0.130
South	4.71^a	(4.50 - 4.93)	4.45	(4.23 - 4.67)	0.023
West	5.51	(5.17 - 5.88)	5.24	(4.92 - 5.59)	0.102
Alabama	4.79	(4.01 - 5.71)	4.92	(4.13 - 5.84)	0.730
Region 1	4.70	(3.64 - 6.04)	4.58	(3.49 - 5.99)	0.811
Region 2	5.03	(3.95 - 6.38)	5.27	(4.14 - 6.69)	0.638
Region 3	4.74	(3.58 - 6.23)	4.25	(3.20 - 5.64)	0.326
Region 4	4.60	(3.48 - 6.05)	5.36	(4.15 - 6.90)	0.167
Alaska	5.31	(4.37 - 6.43)	5.21	(4.40 - 6.16)	0.809
Anchorage	5.72	(4.48 - 7.28)	5.81	(4.68 - 7.20)	0.867
Northern	4.90	(3.73 - 6.40)	5.00	(3.85 - 6.48)	0.820
South Central	5.07	(3.78 - 6.77)	4.75	(3.61 - 6.21)	0.524
Southeast	5.07	(3.68 - 6.94)	4.47	(3.31 - 6.01)	0.241
Arizona	6.25	(5.15 - 7.56)	5.70	(4.77 - 6.80)	0.258
Maricopa	6.07	(4.86 - 7.57)	6.07	(4.93 - 7.46)	0.999
Pima	7.00	(5.18 - 9.38)	5.89	(4.42 - 7.81)	0.111
Rural North	7.20^a	(5.20 - 9.89)	4.66	(3.40 - 6.37)	0.000
Rural South	5.30	(3.80 - 7.34)	4.72	(3.41 - 6.51)	0.260
Arkansas	5.51	(4.64 - 6.55)	5.74	(4.85 - 6.78)	0.569
Catchment Area 1	5.45	(4.11 - 7.18)	5.45	(4.16 - 7.11)	0.997
Catchment Area 2	5.83	(4.35 - 7.78)	5.59	(4.15 - 7.50)	0.688
Catchment Area 3	5.47	(4.09 - 7.28)	5.66	(4.23 - 7.53)	0.764
Catchment Area 4	5.26	(3.86 - 7.11)	5.92	(4.37 - 7.96)	0.278
Catchment Area 5	5.64	(4.32 - 7.32)	5.85	(4.49 - 7.60)	0.708
Catchment Area 6	4.87	(3.52 - 6.70)	5.73	(4.23 - 7.71)	0.165
Catchment Area 7	5.33	(3.91 - 7.23)	5.16	(3.85 - 6.89)	0.753
Catchment Area 8	5.76	(4.32 - 7.64)	6.20	(4.79 - 7.99)	0.518
California	5.02	(4.53 - 5.57)	5.03	(4.55 - 5.56)	0.963
Region 1R	6.58	(5.06 - 8.52)	5.71	(4.41 - 7.36)	0.123
Region 2R	6.38	(4.94 - 8.21)	5.97	(4.61 - 7.69)	0.482
Region 3R (Sacramento)	5.90	(4.52 - 7.66)	5.23	(4.02 - 6.77)	0.197
Region 4R	5.49	(4.21 - 7.15)	5.66	(4.42 - 7.23)	0.757
Region 5R (San Francisco)	5.33	(3.91 - 7.23)	5.47	(4.10 - 7.27)	0.803
Region 6 (Santa Clara)	3.78^b	(2.85 - 5.01)	4.49	(3.46 - 5.82)	0.078
Region 7R (Contra Costa)	4.56	(3.43 - 6.03)	4.75	(3.65 - 6.16)	0.678
Region 8R (Alameda)	5.00	(3.76 - 6.61)	4.95	(3.75 - 6.50)	0.916
Region 9R (San Mateo)	4.15	(3.08 - 5.58)	4.28	(3.13 - 5.81)	0.761
Region 10	6.01	(4.61 - 7.82)	5.48	(4.26 - 7.02)	0.340
Region 11 (Los Angeles)	4.48	(3.92 - 5.12)	4.81	(4.19 - 5.52)	0.211
LA SPA 1 and 5	4.71	(3.56 - 6.22)	5.18	(3.96 - 6.74)	0.307
LA SPA 2	4.25	(3.27 - 5.51)	4.91	(3.83 - 6.29)	0.106
LA SPA 3	4.40	(3.34 - 5.77)	4.21	(3.19 - 5.54)	0.665
LA SPA 4	4.51	(3.41 - 5.95)	4.91	(3.71 - 6.47)	0.397
LA SPA 6	4.36	(3.35 - 5.66)	5.06	(3.82 - 6.67)	0.145
LA SPA 7	4.68	(3.61 - 6.05)	4.96	(3.77 - 6.50)	0.554
LA SPA 8	4.65	(3.50 - 6.15)	4.76	(3.68 - 6.15)	0.815
Region 12R	5.18	(3.93 - 6.82)	5.59	(4.25 - 7.33)	0.409
Regions 13 and 19R	5.11	(4.01 - 6.49)	5.17	(4.15 - 6.42)	0.894
Region 13 (Riverside)	5.16	(4.01 - 6.63)	5.17	(4.10 - 6.51)	0.987
Region 19R (Imperial)	4.42	(3.29 - 5.91)	5.12	(3.82 - 6.84)	0.136
Region 14 (Orange)	4.09	(3.20 - 5.21)	4.29	(3.41 - 5.40)	0.566
Region 15R (Fresno)	5.24	(3.99 - 6.85)	5.29	(4.05 - 6.88)	0.917
Region 16R (San Diego)	5.92	(4.74 - 7.38)	5.32	(4.30 - 6.56)	0.219
Region 17R	5.12	(4.03 - 6.49)	5.13	(3.99 - 6.58)	0.988
Region 18R (San Bernardino)	5.56^b	(4.41 - 7.01)	4.78	(3.77 - 6.04)	0.097
Region 20R	5.35	(4.11 - 6.92)	5.69	(4.40 - 7.33)	0.499
Region 21R	5.41	(4.14 - 7.03)	5.62	(4.28 - 7.34)	0.689
Colorado	6.31^b	(5.29 - 7.52)	5.55	(4.70 - 6.56)	0.072
Region 1	6.88	(5.18 - 9.08)	5.93	(4.54 - 7.71)	0.140
Regions 2 and 7	6.57	(5.25 - 8.19)	5.69	(4.63 - 6.98)	0.119
Region 3	5.41	(4.08 - 7.14)	5.17	(3.96 - 6.72)	0.634
Region 4	5.56	(4.03 - 7.64)	4.89	(3.55 - 6.70)	0.227
Regions 5 and 6	5.92	(4.36 - 7.98)	5.24	(3.91 - 6.98)	0.226
Connecticut	3.88	(3.18 - 4.74)	4.13	(3.39 - 5.02)	0.405
Eastern	4.28	(3.18 - 5.74)	4.13	(3.07 - 5.53)	0.729
North Central	3.36	(2.51 - 4.50)	4.01	(3.03 - 5.29)	0.116
Northwestern	4.54	(3.31 - 6.19)	4.36	(3.20 - 5.91)	0.717
South Central	4.09	(3.07 - 5.43)	4.40	(3.35 - 5.77)	0.475
Southwest	3.52	(2.56 - 4.82)	3.78	(2.74 - 5.19)	0.519
Delaware	5.41	(4.50 - 6.49)	5.28	(4.45 - 6.26)	0.764
Kent	5.87	(4.45 - 7.71)	5.26	(4.05 - 6.82)	0.293
New Castle (excluding Wilmington City)	5.49	(4.38 - 6.86)	5.37	(4.38 - 6.58)	0.826
Sussex	4.93	(3.69 - 6.55)	4.99	(3.80 - 6.53)	0.910
Wilmington City	5.21	(3.74 - 7.22)	5.56	(4.05 - 7.58)	0.592
District of Columbia	3.98	(3.22 - 4.93)	4.50	(3.73 - 5.41)	0.126
Ward 1	4.18^a	(2.97 - 5.86)	5.26	(3.83 - 7.19)	0.046
Ward 2	5.28	(3.86 - 7.19)	5.39	(4.03 - 7.17)	0.863
Ward 3	4.61	(3.38 - 6.25)	4.54	(3.38 - 6.08)	0.891
Ward 4	3.15	(2.20 - 4.51)	3.79	(2.73 - 5.24)	0.151
Ward 5	3.73	(2.61 - 5.30)	4.25	(3.14 - 5.73)	0.298
Ward 6	3.97	(2.79 - 5.63)	4.75	(3.45 - 6.50)	0.133
Ward 7	3.01	(2.13 - 4.23)	3.68	(2.62 - 5.15)	0.123
Ward 8	3.58	(2.62 - 4.89)	4.13	(3.02 - 5.63)	0.230
Florida	4.22	(3.76 - 4.74)	3.95	(3.50 - 4.45)	0.221
Region A - Northwest	5.28	(4.38 - 6.34)	5.01	(4.19 - 5.97)	0.462
Circuit 1	5.28	(4.07 - 6.81)	4.96	(3.90 - 6.30)	0.537
Circuit 2	5.38	(4.12 - 7.00)	5.11	(3.92 - 6.64)	0.584
Circuit 14	5.13	(3.81 - 6.88)	4.96	(3.71 - 6.60)	0.750
Region B - Northeast	4.91	(4.11 - 5.86)	4.39	(3.68 - 5.23)	0.115
Circuits 3 and 8	5.12	(3.88 - 6.73)	5.15	(3.96 - 6.68)	0.950
Circuit 4	4.95	(3.83 - 6.36)	4.31	(3.34 - 5.53)	0.163
Circuit 7	4.74	(3.61 - 6.21)	4.01	(3.07 - 5.22)	0.114
Region C - Central	4.38	(3.76 - 5.09)	4.06	(3.47 - 4.74)	0.232
Circuit 5	4.36^a	(3.33 - 5.69)	3.51	(2.62 - 4.70)	0.048
Circuit 9	3.94	(3.09 - 5.01)	4.34	(3.43 - 5.48)	0.291
Circuit 10	4.20	(3.23 - 5.45)	4.14	(3.16 - 5.41)	0.883
Circuit 18	4.87	(3.71 - 6.37)	4.20	(3.24 - 5.43)	0.133
Circuit 19	4.75	(3.52 - 6.39)	4.02	(2.99 - 5.39)	0.143
Region D - Southeast	3.21	(2.60 - 3.96)	3.44	(2.82 - 4.20)	0.401
Circuit 15 (Palm Beach)	3.55	(2.70 - 4.66)	3.40	(2.59 - 4.46)	0.661
Circuit 17 (Broward)	2.96	(2.26 - 3.86)	3.47	(2.71 - 4.44)	0.123
Region E - Sun Coast	4.65^b	(3.95 - 5.45)	4.11	(3.44 - 4.89)	0.092
Circuit 6	4.43	(3.41 - 5.74)	4.22	(3.19 - 5.55)	0.652
Circuit 12	5.20^a	(3.84 - 7.02)	4.18	(3.09 - 5.62)	0.042
Circuit 13 (Hillsborough)	4.22	(3.28 - 5.40)	3.93	(3.07 - 5.01)	0.490
Circuit 20	4.97^b	(3.80 - 6.46)	4.12	(3.07 - 5.51)	0.099
Region F - Southern (Circuits 11 and 16)	3.11	(2.42 - 3.97)	3.07	(2.38 - 3.96)	0.911
Georgia	4.50^b	(3.77 - 5.37)	3.99	(3.31 - 4.80)	0.087
Region 1	4.77	(3.65 - 6.20)	4.06	(3.11 - 5.28)	0.119
Region 2	4.86	(3.64 - 6.47)	4.48	(3.37 - 5.93)	0.409
Region 3	4.12	(3.14 - 5.40)	3.59	(2.72 - 4.72)	0.186
Region 4	4.62	(3.36 - 6.31)	4.23	(3.12 - 5.71)	0.401
Region 5	4.83	(3.66 - 6.36)	4.42	(3.22 - 6.03)	0.395
Region 6	4.22	(3.15 - 5.63)	3.80	(2.84 - 5.08)	0.317
Hawaii	4.76	(3.82 - 5.91)	4.32	(3.53 - 5.26)	0.320
Hawaii Island	5.50^b	(3.95 - 7.61)	4.52	(3.34 - 6.09)	0.092
Honolulu	4.62	(3.60 - 5.91)	4.32	(3.45 - 5.41)	0.562
Kauai and Maui	4.71	(3.46 - 6.39)	4.11	(3.12 - 5.40)	0.160
Kauai	4.71	(3.23 - 6.82)	4.07	(2.88 - 5.73)	0.194
Maui	4.72	(3.32 - 6.67)	4.13	(3.00 - 5.65)	0.234
Idaho	5.94	(5.06 - 6.97)	5.70	(4.83 - 6.73)	0.544
Region 1	6.93^a	(5.20 - 9.18)	5.29	(3.94 - 7.05)	0.017
Region 2	6.25	(4.64 - 8.36)	5.95	(4.43 - 7.94)	0.612
Region 3	5.23	(3.97 - 6.86)	5.24	(3.99 - 6.85)	0.994
Region 4	6.16	(4.86 - 7.77)	6.40	(5.02 - 8.11)	0.716
Region 5	5.14	(3.80 - 6.90)	4.90	(3.66 - 6.53)	0.658
Region 6	5.97	(4.49 - 7.89)	6.36	(4.85 - 8.30)	0.532
Region 7	5.78	(4.44 - 7.48)	5.27	(3.95 - 7.01)	0.360
Illinois	3.94	(3.53 - 4.40)	3.90	(3.49 - 4.35)	0.839
Region I (Cook)	3.84	(3.23 - 4.54)	3.84	(3.24 - 4.54)	0.987
Region II	3.57	(3.01 - 4.23)	3.79	(3.20 - 4.48)	0.465
Region III	4.64^b	(3.84 - 5.59)	4.01	(3.26 - 4.93)	0.091
Region IV	4.46^a	(3.53 - 5.61)	3.66	(2.84 - 4.70)	0.045
Region V	4.47	(3.62 - 5.52)	4.56	(3.69 - 5.62)	0.832
Indiana	5.88	(4.99 - 6.92)	5.69	(4.85 - 6.66)	0.594
Central	5.83	(4.50 - 7.52)	5.54	(4.33 - 7.05)	0.610
East	5.95	(4.47 - 7.88)	6.49	(4.92 - 8.51)	0.372
North Central	5.81	(4.44 - 7.58)	5.36	(4.08 - 7.01)	0.432
Northeast	5.41	(4.04 - 7.21)	5.27	(3.96 - 6.98)	0.780
Northwest	5.37	(4.04 - 7.12)	5.77	(4.38 - 7.57)	0.487
Southeast	6.51	(4.89 - 8.62)	5.90	(4.46 - 7.77)	0.343
Southwest	5.32	(3.90 - 7.22)	5.20	(3.89 - 6.92)	0.827
West	6.84	(5.26 - 8.84)	6.26	(4.86 - 8.03)	0.334
Iowa	3.45	(2.83 - 4.20)	3.68	(3.05 - 4.44)	0.400
Central	3.72	(2.77 - 4.98)	3.75	(2.82 - 4.98)	0.938
North Central	3.62	(2.66 - 4.92)	4.07	(2.98 - 5.54)	0.269
Northeast	3.43	(2.60 - 4.51)	3.53	(2.73 - 4.56)	0.768
Northwest	3.27	(2.42 - 4.42)	3.39	(2.49 - 4.60)	0.751
Southeast	3.21^b	(2.41 - 4.27)	3.94	(3.01 - 5.14)	0.055
Southwest	3.56	(2.58 - 4.91)	3.35	(2.48 - 4.53)	0.582
Kansas	4.70^b	(3.91 - 5.64)	4.13	(3.43 - 4.96)	0.062
Kansas City Metro	4.91^a	(3.85 - 6.25)	4.01	(3.13 - 5.13)	0.042
Northeast	4.40	(3.27 - 5.88)	3.89	(2.85 - 5.28)	0.232
South Central	4.81	(3.50 - 6.56)	4.38	(3.23 - 5.91)	0.369
Southeast	4.87	(3.59 - 6.57)	4.35	(3.23 - 5.83)	0.250
West	4.26	(3.15 - 5.74)	4.20	(3.09 - 5.69)	0.896
Wichita (Sedgwick)	4.75	(3.54 - 6.34)	4.31	(3.26 - 5.68)	0.342
Kentucky	5.65^a	(4.79 - 6.65)	4.44	(3.72 - 5.31)	0.001
Adanta, Cumberland River, and Lifeskills	5.24	(3.97 - 6.87)	4.66	(3.58 - 6.06)	0.229
Bluegrass, Comprehend, and North Key	6.27^a	(4.96 - 7.89)	4.73	(3.65 - 6.10)	0.007
Communicare and River Valley	5.75^a	(4.24 - 7.74)	4.15	(3.07 - 5.60)	0.003
Four Rivers and Pennyroyal	5.52^a	(4.14 - 7.32)	4.25	(3.16 - 5.71)	0.008
Kentucky River, Mountain, and Pathways	5.46^a	(4.09 - 7.26)	4.25	(3.13 - 5.75)	0.023
Seven Counties	5.25^a	(3.98 - 6.90)	4.23	(3.23 - 5.52)	0.035
Louisiana	5.48	(4.63 - 6.48)	5.03	(4.30 - 5.87)	0.202
Regions 1 and 10	--	(-- - --)	4.73	(3.75 - 5.96)	--
Region 1	--	(-- - --)	4.59	(3.44 - 6.09)	--
Region 10 (Jefferson)	4.90	(3.57 - 6.68)	4.88	(3.64 - 6.51)	0.970
Regions 2 and 9	5.22	(4.08 - 6.67)	5.41	(4.27 - 6.84)	0.723
Region 3	--	(-- - --)	5.08	(3.84 - 6.69)	--
Regions 4, 5, and 6	6.05^b	(4.73 - 7.71)	5.13	(4.04 - 6.49)	0.070
Regions 7 and 8	5.98^a	(4.61 - 7.73)	4.63	(3.59 - 5.96)	0.013
Maine	4.25	(3.54 - 5.10)	4.22	(3.52 - 5.05)	0.909
Aroostook/Downeast	4.27	(3.16 - 5.75)	3.84	(2.96 - 4.96)	0.299
Aroostook	--	(-- - --)	3.75	(2.74 - 5.12)	--
Downeast	--	(-- - --)	3.90	(2.84 - 5.34)	--
Central	4.18	(3.13 - 5.56)	4.26	(3.16 - 5.71)	0.865
Cumberland	4.22	(3.23 - 5.49)	4.07	(3.08 - 5.37)	0.753
Midcoast	4.29	(3.15 - 5.83)	3.70	(2.67 - 5.11)	0.168
Penquis	4.45	(3.34 - 5.90)	4.99	(3.82 - 6.48)	0.265
Western	4.51	(3.41 - 5.94)	4.63	(3.52 - 6.08)	0.811
York	3.92	(2.86 - 5.36)	4.00	(2.93 - 5.44)	0.870
Maryland	4.01	(3.26 - 4.93)	3.79	(3.11 - 4.61)	0.446
Anne Arundel	4.13	(2.99 - 5.67)	4.03	(2.91 - 5.56)	0.835
Baltimore City	3.95	(2.79 - 5.57)	4.09	(3.01 - 5.52)	0.789
Baltimore County	4.36	(3.12 - 6.05)	4.01	(2.95 - 5.42)	0.451
Montgomery	3.30	(2.40 - 4.53)	3.41	(2.48 - 4.66)	0.770
North Central	4.07	(2.98 - 5.54)	3.78	(2.75 - 5.17)	0.488
Northeast	4.70^b	(3.40 - 6.47)	3.88	(2.81 - 5.34)	0.099
Prince George's	3.51	(2.56 - 4.80)	3.27	(2.36 - 4.51)	0.523
South	4.45	(3.23 - 6.09)	4.05	(2.97 - 5.48)	0.375
West	4.38	(3.22 - 5.94)	4.09	(3.02 - 5.52)	0.519
Massachusetts	5.08^a	(4.29 - 6.00)	4.05	(3.38 - 4.85)	0.001
Boston	5.06	(3.68 - 6.91)	4.89	(3.67 - 6.47)	0.752
Central	5.43^a	(4.10 - 7.16)	4.27	(3.21 - 5.66)	0.020
Metrowest	4.32	(3.31 - 5.61)	3.75	(2.82 - 4.97)	0.152
Northeast	4.83^a	(3.69 - 6.30)	3.63	(2.73 - 4.80)	0.004
Southeast	5.45^a	(4.14 - 7.15)	4.04	(3.08 - 5.29)	0.004
Western	5.85^a	(4.43 - 7.70)	4.23	(3.14 - 5.67)	0.002
Michigan	5.66^a	(5.15 - 6.20)	5.14	(4.67 - 5.65)	0.041
Detroit City	3.94	(3.05 - 5.07)	4.59	(3.62 - 5.81)	0.152
Genesee	6.64^b	(5.16 - 8.50)	5.45	(4.31 - 6.87)	0.060
Kalamazoo	5.72^a	(4.59 - 7.11)	4.71	(3.73 - 5.95)	0.028
Kent	5.44	(4.26 - 6.92)	5.32	(4.28 - 6.59)	0.823
Lakeshore	6.61^b	(5.26 - 8.28)	5.65	(4.55 - 7.01)	0.087
Macomb	5.80^b	(4.68 - 7.17)	4.90	(3.94 - 6.07)	0.063
Mid South	6.32	(5.14 - 7.75)	5.50	(4.46 - 6.76)	0.118
Northern	6.34	(5.11 - 7.85)	5.57	(4.47 - 6.93)	0.147
Oakland	4.83	(3.93 - 5.94)	4.94	(3.99 - 6.09)	0.826
Pathways and Western	5.25	(3.99 - 6.87)	4.75	(3.65 - 6.16)	0.318
Riverhaven	6.21^b	(4.85 - 7.92)	5.26	(4.10 - 6.73)	0.086
Saginaw	5.72	(4.37 - 7.45)	5.33	(4.10 - 6.92)	0.494
Southeast	5.59	(4.61 - 6.75)	5.15	(4.22 - 6.28)	0.341
St. Clair	5.80	(4.47 - 7.50)	5.33	(4.14 - 6.84)	0.369
Washtenaw	5.58^a	(4.40 - 7.06)	4.65	(3.62 - 5.94)	0.048
Minnesota	4.43	(3.68 - 5.33)	4.12	(3.43 - 4.94)	0.291
Regions 1 and 2	5.15^b	(3.79 - 6.97)	4.27	(3.15 - 5.78)	0.076
Regions 3 and 4	4.23	(3.16 - 5.62)	4.07	(3.08 - 5.35)	0.691
Regions 5 and 6	4.33	(3.31 - 5.63)	4.33	(3.30 - 5.68)	0.988
Region 7A (Hennepin)	4.31	(3.21 - 5.75)	4.12	(3.11 - 5.44)	0.671
Region 7B (Ramsey)	4.01	(2.98 - 5.39)	4.43	(3.26 - 5.99)	0.331
Region 7C	4.64^a	(3.55 - 6.04)	3.77	(2.87 - 4.94)	0.046
Mississippi	4.59	(3.84 - 5.47)	4.78	(4.05 - 5.63)	0.525
Region 1	4.93	(3.79 - 6.39)	5.36	(4.19 - 6.85)	0.407
Region 2	3.90	(2.86 - 5.29)	4.25	(3.15 - 5.73)	0.445
Region 3	4.58	(3.43 - 6.10)	4.76	(3.64 - 6.20)	0.691
Region 4	4.33	(3.31 - 5.65)	4.24	(3.25 - 5.52)	0.826
Region 5	3.80	(2.79 - 5.14)	4.41	(3.25 - 5.97)	0.139
Region 6	5.21	(3.88 - 6.96)	4.91	(3.71 - 6.47)	0.550
Region 7	4.89	(3.68 - 6.47)	5.07	(3.86 - 6.62)	0.731
Missouri	4.69	(3.95 - 5.55)	4.92	(4.19 - 5.76)	0.449
Central	4.65	(3.51 - 6.14)	4.90	(3.72 - 6.43)	0.590
Eastern	4.70	(3.76 - 5.85)	4.73	(3.84 - 5.83)	0.927
Eastern (St. Louis City and County)	4.26	(3.25 - 5.56)	4.72	(3.62 - 6.12)	0.324
Eastern (excluding St. Louis)	5.48	(4.12 - 7.25)	4.76	(3.62 - 6.25)	0.137
Northwest	4.65	(3.72 - 5.80)	4.93	(3.95 - 6.13)	0.466
Northwest (Jackson)	4.36	(3.29 - 5.76)	4.53	(3.40 - 5.99)	0.709
Northwest (excluding Jackson)	4.90	(3.73 - 6.41)	5.26	(4.02 - 6.86)	0.443
Southeast	4.55	(3.40 - 6.06)	4.97	(3.76 - 6.55)	0.373
Southwest	4.86	(3.70 - 6.36)	5.29	(4.09 - 6.81)	0.394
Montana	5.08	(4.27 - 6.03)	4.60	(3.87 - 5.46)	0.199
Region 1	4.80	(3.54 - 6.48)	4.36	(3.22 - 5.86)	0.351
Region 2	4.59	(3.44 - 6.09)	4.38	(3.25 - 5.89)	0.666
Region 3	4.30	(3.23 - 5.71)	4.15	(3.19 - 5.37)	0.727
Region 4	5.34	(4.23 - 6.72)	5.25	(4.09 - 6.73)	0.867
Region 5	5.65^a	(4.41 - 7.22)	4.52	(3.53 - 5.76)	0.035
Nebraska	3.72	(3.06 - 4.51)	3.86	(3.18 - 4.69)	0.617
Regions 1 and 2	3.60	(2.73 - 4.74)	3.75	(2.84 - 4.94)	0.656
Region 1	3.59	(2.57 - 5.00)	4.03	(2.85 - 5.67)	0.311
Region 2	3.62	(2.59 - 5.03)	3.51	(2.52 - 4.85)	0.779
Region 3	3.70	(2.72 - 5.00)	3.66	(2.70 - 4.94)	0.934
Region 4	3.48	(2.53 - 4.76)	3.33	(2.39 - 4.64)	0.706
Region 5	3.92	(3.01 - 5.10)	4.33	(3.32 - 5.63)	0.344
Region 6	3.69	(2.84 - 4.78)	3.82	(2.95 - 4.92)	0.752
Nevada¹	6.31	(5.22 - 7.62)	5.92	(4.87 - 7.17)	0.417
Clark - Region 1	6.45	(5.21 - 7.96)	5.92	(4.73 - 7.39)	0.369
Region 3	5.81	(4.21 - 7.96)	5.31	(4.03 - 6.97)	0.372
Capital District	--	(-- - --)	5.14	(3.68 - 7.14)	--
Rural/Frontier	--	(-- - --)	5.47	(3.95 - 7.52)	--
Washoe - Region 2	6.13	(4.53 - 8.24)	6.37	(4.88 - 8.28)	0.718
New Hampshire	5.42^a	(4.56 - 6.45)	4.41	(3.72 - 5.23)	0.004
Central	5.71^a	(4.55 - 7.15)	4.37	(3.49 - 5.47)	0.002
Central 1	6.25^a	(4.74 - 8.21)	4.72	(3.62 - 6.14)	0.006
Central 2	5.20^a	(3.91 - 6.88)	4.03	(2.98 - 5.44)	0.018
Northern	5.49^a	(4.10 - 7.32)	4.30	(3.21 - 5.73)	0.018
Southern	5.27^a	(4.30 - 6.44)	4.46	(3.66 - 5.41)	0.043
Southern 1 (Rockingham)	5.04^a	(3.83 - 6.62)	3.94	(3.03 - 5.12)	0.014
Southern 2	5.41	(4.27 - 6.83)	4.77	(3.79 - 6.01)	0.201
New Jersey	3.85^b	(3.15 - 4.69)	4.37	(3.63 - 5.25)	0.098
Central	4.16	(3.14 - 5.49)	4.13	(3.12 - 5.45)	0.953
Metropolitan	3.81	(2.83 - 5.12)	4.06	(3.06 - 5.35)	0.568
Northern	3.42^a	(2.58 - 4.53)	4.55	(3.48 - 5.93)	0.011
Southern	4.16	(3.16 - 5.47)	4.70	(3.60 - 6.13)	0.234
New Mexico	5.76	(4.81 - 6.89)	5.60	(4.70 - 6.66)	0.721
Region 1	5.25	(4.02 - 6.82)	5.23	(4.05 - 6.74)	0.983
Region 2	5.38	(3.99 - 7.23)	4.88	(3.58 - 6.62)	0.387
Region 3 (Bernalillo)	6.41	(4.96 - 8.24)	6.50	(5.14 - 8.19)	0.894
Region 4	5.60	(4.15 - 7.51)	5.05	(3.81 - 6.66)	0.337
Region 5	5.65	(4.28 - 7.43)	5.39	(4.09 - 7.07)	0.654
New York	4.43	(3.97 - 4.94)	4.17	(3.72 - 4.68)	0.259
Region A	3.92	(3.35 - 4.59)	4.02	(3.45 - 4.68)	0.721
Region 1	4.08	(3.07 - 5.39)	4.10	(3.14 - 5.34)	0.958
Region 2	3.57	(2.86 - 4.46)	3.77	(2.98 - 4.74)	0.585
Region 3	4.85	(3.63 - 6.46)	4.72	(3.61 - 6.14)	0.796
Region 4	3.59	(2.76 - 4.65)	3.78	(2.92 - 4.87)	0.609
Region B	4.40^b	(3.77 - 5.12)	3.90	(3.31 - 4.58)	0.080
Region 5	4.29	(3.48 - 5.27)	3.76	(3.01 - 4.70)	0.163
Region 6	4.06	(3.15 - 5.22)	3.58	(2.70 - 4.74)	0.217
Region 7	5.27	(4.16 - 6.66)	4.83	(3.81 - 6.11)	0.358
Region C	5.08	(4.46 - 5.79)	4.61	(3.99 - 5.31)	0.111
Region 8	5.09	(4.03 - 6.42)	4.49	(3.54 - 5.68)	0.174
Region 9	5.09	(4.01 - 6.45)	4.77	(3.76 - 6.03)	0.482
Region 10	5.87^b	(4.56 - 7.53)	4.91	(3.77 - 6.37)	0.068
Region 11	5.14^b	(4.06 - 6.47)	4.36	(3.42 - 5.54)	0.090
Region 12	4.71	(3.76 - 5.89)	4.70	(3.64 - 6.03)	0.974
Region D	5.22^a	(4.43 - 6.15)	4.58	(3.85 - 5.44)	0.050
Region 13	5.35^a	(4.10 - 6.97)	4.25	(3.27 - 5.51)	0.017
Region 14	5.28	(4.14 - 6.72)	4.90	(3.73 - 6.41)	0.431
Region 15	5.04	(3.93 - 6.45)	4.55	(3.52 - 5.87)	0.285
North Carolina¹	4.73	(3.95 - 5.65)	4.30	(3.60 - 5.13)	0.153
Alliance	3.93	(2.97 - 5.19)	3.84	(2.91 - 5.06)	0.821
Cardinal Innovations	4.99	(3.72 - 6.67)	4.24	(3.20 - 5.59)	0.118
CenterPoint/Guilford	4.69	(3.60 - 6.08)	4.38	(3.40 - 5.63)	0.454
CenterPoint	4.80	(3.48 - 6.58)	4.45	(3.24 - 6.10)	0.488
Guilford	4.56	(3.28 - 6.31)	4.30	(3.14 - 5.85)	0.572
CoastalCare	5.65	(4.19 - 7.59)	4.90	(3.60 - 6.62)	0.150
Eastpointe	4.84	(3.51 - 6.64)	4.23	(3.08 - 5.76)	0.224
ECBH	5.21^b	(3.77 - 7.16)	4.27	(3.12 - 5.81)	0.066
MeckLINK	4.03	(2.96 - 5.47)	4.13	(3.03 - 5.61)	0.822
Partners	5.22	(3.88 - 6.99)	4.82	(3.54 - 6.53)	0.483
Sandhills	4.80	(3.51 - 6.55)	4.43	(3.24 - 6.03)	0.441
Smoky Mountain	4.91	(3.56 - 6.72)	4.32	(3.16 - 5.88)	0.226
Western Highlands	4.77	(3.44 - 6.58)	4.41	(3.23 - 6.01)	0.490
North Dakota	3.88	(3.21 - 4.68)	3.60	(2.97 - 4.37)	0.357
Badlands and West Central	3.72	(2.82 - 4.90)	3.25	(2.44 - 4.32)	0.208
Lake Region and South Central	3.57	(2.60 - 4.89)	3.19	(2.29 - 4.41)	0.337
North Central and Northwest	3.44	(2.57 - 4.60)	3.66	(2.73 - 4.88)	0.579
Northeast	4.55	(3.45 - 5.98)	4.12	(3.09 - 5.46)	0.341
Southeast	4.12	(3.20 - 5.29)	3.88	(2.98 - 5.05)	0.577
Ohio	5.45	(4.96 - 5.98)	5.22	(4.74 - 5.73)	0.361
Boards 2, 46, 55, and 68	4.96	(3.94 - 6.23)	5.22	(4.06 - 6.69)	0.592
Boards 3, 52, and 85	5.18	(4.02 - 6.65)	4.91	(3.79 - 6.33)	0.555
Boards 4 and 78	5.12	(3.89 - 6.72)	5.40	(4.12 - 7.05)	0.597
Boards 5 and 60	5.85	(4.62 - 7.40)	6.32	(5.01 - 7.95)	0.388
Boards 7, 15, 41, 79, and 84	4.89	(3.76 - 6.33)	4.69	(3.66 - 5.98)	0.682
Boards 8, 13, and 83	5.49	(4.27 - 7.03)	4.84	(3.80 - 6.15)	0.183
Board 9 (Butler)	6.16	(4.79 - 7.91)	5.33	(4.13 - 6.85)	0.109
Board 12	5.72	(4.47 - 7.29)	5.47	(4.25 - 7.01)	0.637
Boards 18 and 47	4.88	(4.02 - 5.91)	5.05	(4.19 - 6.08)	0.678
Boards 20, 32, 54, and 69	5.19^a	(4.01 - 6.70)	4.23	(3.19 - 5.58)	0.038
Boards 21, 39, 51, 70, and 80	5.38	(4.20 - 6.87)	4.99	(3.92 - 6.34)	0.436
Boards 22, 74, and 87	5.73	(4.48 - 7.30)	5.13	(4.01 - 6.53)	0.214
Boards 23 and 45	5.55	(4.26 - 7.20)	5.04	(3.89 - 6.52)	0.314
Board 25 (Franklin)	6.33	(5.17 - 7.73)	6.12	(5.00 - 7.47)	0.703
Boards 27, 71, and 73	5.86	(4.56 - 7.50)	5.05	(3.94 - 6.46)	0.112
Boards 28, 43, and 67	5.29	(4.21 - 6.63)	5.11	(4.05 - 6.41)	0.706
Board 31 (Hamilton)	5.23	(4.09 - 6.66)	4.74	(3.73 - 6.01)	0.287
Board 48 (Lucas)	5.55	(4.32 - 7.11)	5.77	(4.52 - 7.34)	0.685
Boards 50 and 76	5.89^b	(4.59 - 7.54)	4.93	(3.89 - 6.23)	0.064
Board 57 (Montgomery)	5.62	(4.38 - 7.17)	5.37	(4.22 - 6.80)	0.626
Board 77 (Summit)	5.05	(3.96 - 6.40)	5.44	(4.32 - 6.84)	0.451
Oklahoma	7.26^a	(6.12 - 8.60)	5.15	(4.37 - 6.07)	0.000
Central	8.11^a	(6.21 - 10.52)	5.46	(4.11 - 7.21)	0.000
East Central	7.16^a	(5.35 - 9.51)	5.02	(3.73 - 6.74)	0.001
Northeast	6.89^a	(5.17 - 9.11)	4.91	(3.76 - 6.40)	0.001
Northwest and Southwest	7.40^a	(5.56 - 9.81)	5.61	(4.22 - 7.43)	0.012
Oklahoma County	6.53^a	(4.92 - 8.61)	5.21	(4.03 - 6.72)	0.033
Southeast	7.42^a	(5.59 - 9.79)	4.71	(3.57 - 6.19)	0.000
Tulsa County	7.63^a	(5.75 - 10.05)	5.10	(3.85 - 6.74)	0.000
Oregon	6.89^b	(5.84 - 8.12)	6.14	(5.21 - 7.23)	0.099
Region 1 (Multnomah)	7.52	(5.63 - 9.98)	7.11	(5.47 - 9.18)	0.591
Region 2	6.44	(4.94 - 8.36)	5.86	(4.50 - 7.60)	0.346
Region 3	7.23^b	(5.85 - 8.91)	6.19	(4.97 - 7.69)	0.095
Region 4	6.47	(4.82 - 8.64)	5.52	(4.18 - 7.26)	0.137
Region 5 (Central)	6.68	(4.88 - 9.08)	5.80	(4.24 - 7.87)	0.201
Region 6 (Eastern)	6.19	(4.55 - 8.37)	5.70	(4.13 - 7.81)	0.416
Pennsylvania	4.36	(3.89 - 4.87)	4.05	(3.63 - 4.53)	0.183
Region 1 (Allegheny)	4.46	(3.60 - 5.53)	4.79	(3.80 - 6.02)	0.494
Regions 3, 8, 9, and 51	4.37	(3.38 - 5.64)	3.79	(2.94 - 4.87)	0.127
Regions 4, 11, 37, and 49	4.17	(3.23 - 5.36)	3.69	(2.89 - 4.71)	0.215
Regions 5, 18, 23, 24, and 46	4.44	(3.35 - 5.85)	3.94	(3.05 - 5.06)	0.219
Regions 6, 12, 16, 31, 35, 45, and 47	4.91^a	(3.88 - 6.20)	3.63	(2.82 - 4.68)	0.001
Regions 7, 13, 20, and 33	4.66^a	(3.82 - 5.69)	3.77	(3.08 - 4.61)	0.015
Regions 10, 15, 27, 32, 43, and 44	4.57^a	(3.55 - 5.87)	3.76	(2.92 - 4.85)	0.035
Regions 17 and 21	4.34	(3.30 - 5.68)	4.31	(3.33 - 5.56)	0.945
Regions 19, 26, 28, and 42	4.00	(3.11 - 5.14)	3.65	(2.89 - 4.61)	0.350
Regions 22, 38, 40, 41, and 48	4.40	(3.40 - 5.70)	4.16	(3.27 - 5.27)	0.577
Regions 29 and 34	3.99	(3.02 - 5.26)	3.96	(3.05 - 5.13)	0.942
Regions 30 and 50	4.18	(3.25 - 5.37)	3.88	(3.02 - 4.97)	0.409
Region 36 (Philadelphia)	4.01^a	(3.19 - 5.03)	4.99	(3.97 - 6.24)	0.027
Rhode Island	5.83^a	(4.84 - 7.00)	5.00	(4.17 - 5.98)	0.037
Bristol and Newport	5.62^b	(4.15 - 7.56)	4.65	(3.44 - 6.27)	0.065
Kent	5.87	(4.32 - 7.92)	5.33	(4.01 - 7.06)	0.390
Providence	5.72^b	(4.59 - 7.10)	4.84	(3.89 - 6.01)	0.067
Washington	6.49	(4.85 - 8.64)	5.68	(4.28 - 7.50)	0.208
South Carolina	4.66	(3.88 - 5.58)	4.91	(4.13 - 5.83)	0.460
Region 1	4.51	(3.43 - 5.90)	4.59	(3.54 - 5.95)	0.855
Region 2	4.61	(3.58 - 5.92)	4.87	(3.81 - 6.21)	0.579
Region 3	4.83	(3.56 - 6.51)	4.92	(3.72 - 6.48)	0.870
Region 4	4.75	(3.61 - 6.23)	5.27	(4.05 - 6.82)	0.326
South Dakota	3.66	(2.99 - 4.46)	3.48	(2.87 - 4.23)	0.550
Region 1	--	(-- - --)	3.50	(2.61 - 4.68)	--
Region 2	--	(-- - --)	3.39	(2.42 - 4.75)	--
Region 3	--	(-- - --)	3.26	(2.44 - 4.35)	--
Region 4	--	(-- - --)	3.44	(2.52 - 4.69)	--
Region 5	--	(-- - --)	3.71	(2.83 - 4.85)	--
Tennessee	4.71	(3.93 - 5.64)	4.93	(4.16 - 5.84)	0.524
Region 1	5.18	(3.84 - 6.97)	4.71	(3.51 - 6.29)	0.368
Region 2	4.48	(3.35 - 5.98)	4.58	(3.45 - 6.05)	0.852
Region 3	--	(-- - --)	4.77	(3.61 - 6.26)	--
Region 4 (Davidson)	4.45	(3.29 - 5.98)	5.15	(3.85 - 6.85)	0.165
Region 5	--	(-- - --)	5.53	(4.33 - 7.04)	--
Region 6	5.14	(3.80 - 6.92)	4.64	(3.44 - 6.24)	0.345
Region 7 (Shelby)	4.01	(2.95 - 5.44)	4.73	(3.55 - 6.28)	0.137
Texas	4.46	(4.02 - 4.95)	4.45	(4.01 - 4.93)	0.967
Region 1	5.12	(4.00 - 6.53)	4.90	(3.81 - 6.26)	0.634
Region 2	4.67	(3.57 - 6.09)	4.47	(3.39 - 5.87)	0.624
Region 3	4.60	(3.91 - 5.40)	4.59	(3.93 - 5.35)	0.968
Region 3a	4.54	(3.69 - 5.56)	4.63	(3.79 - 5.65)	0.820
Region 3bc	4.71	(3.82 - 5.80)	4.51	(3.66 - 5.55)	0.616
Region 4	4.50	(3.47 - 5.82)	4.21	(3.23 - 5.48)	0.502
Region 5	4.47	(3.41 - 5.83)	4.37	(3.35 - 5.68)	0.826
Region 6	3.99	(3.33 - 4.77)	4.02	(3.36 - 4.81)	0.922
Region 6a	3.92	(3.22 - 4.77)	3.98	(3.26 - 4.84)	0.883
Region 6bc	4.53	(3.43 - 5.96)	4.41	(3.37 - 5.77)	0.786
Region 7	5.34	(4.45 - 6.39)	5.09	(4.27 - 6.06)	0.531
Region 7a	5.43	(4.29 - 6.85)	5.23	(4.16 - 6.54)	0.701
Region 7bcd	5.18	(4.09 - 6.54)	4.85	(3.81 - 6.17)	0.440
Region 8	4.61	(3.67 - 5.79)	4.53	(3.65 - 5.61)	0.835
Region 9	5.06	(3.87 - 6.60)	4.53	(3.43 - 5.97)	0.219
Region 10	4.17	(3.13 - 5.53)	4.45	(3.46 - 5.70)	0.535
Region 11	3.50^a	(2.81 - 4.36)	4.16	(3.39 - 5.10)	0.047
Region 11abd	3.51^a	(2.66 - 4.61)	4.31	(3.37 - 5.50)	0.041
Region 11c (Hidalgo)	3.49	(2.65 - 4.60)	3.90	(2.93 - 5.17)	0.284
Utah	4.71^b	(3.98 - 5.56)	4.11	(3.42 - 4.92)	0.060
Bear River, Northeastern, Summit, Tooele, and Wasatch	4.67^b	(3.51 - 6.19)	3.93	(2.96 - 5.20)	0.099
Central, Four Corners, San Juan, and Southwest	4.20	(3.12 - 5.64)	3.88	(2.82 - 5.31)	0.450
Davis County	4.59	(3.45 - 6.07)	4.05	(3.00 - 5.46)	0.261
Salt Lake County	4.81	(3.79 - 6.10)	4.12	(3.22 - 5.25)	0.123
Utah County	5.21^b	(4.08 - 6.64)	4.36	(3.29 - 5.77)	0.090
Weber, Morgan	4.15	(3.05 - 5.62)	4.13	(3.02 - 5.62)	0.970
Vermont	4.69	(3.92 - 5.61)	4.73	(4.00 - 5.58)	0.922
Champlain Valley	4.82	(3.87 - 6.00)	5.21	(4.20 - 6.44)	0.398
Rural Northeast	4.73	(3.63 - 6.14)	4.69	(3.61 - 6.07)	0.928
Rural Southeast	4.57	(3.39 - 6.13)	4.31	(3.29 - 5.63)	0.587
Rural Southwest	4.48	(3.31 - 6.05)	4.11	(3.11 - 5.43)	0.389
Virginia	4.76	(3.97 - 5.69)	4.58	(3.85 - 5.44)	0.565
Region 1	5.02	(3.81 - 6.59)	5.03	(3.89 - 6.49)	0.981
Region 2	4.14	(3.11 - 5.49)	3.80	(2.87 - 5.01)	0.418
Region 3	5.15	(3.93 - 6.74)	4.67	(3.58 - 6.07)	0.309
Region 4	4.99	(3.77 - 6.59)	5.24	(3.93 - 6.96)	0.633
Region 5	4.82	(3.67 - 6.30)	4.64	(3.56 - 6.04)	0.700
Washington	6.27^b	(5.28 - 7.41)	5.55	(4.70 - 6.54)	0.078
Region 1	6.41^a	(5.08 - 8.05)	5.32	(4.22 - 6.70)	0.022
East 1 (previously Region 1)	6.71^b	(5.07 - 8.83)	5.50	(4.13 - 7.30)	0.054
East 2 (previously Region 2)	5.99^b	(4.39 - 8.12)	5.08	(3.80 - 6.77)	0.090
Region 2	5.66	(4.56 - 7.01)	5.34	(4.37 - 6.52)	0.498
North 1 (previously Region 3)	6.17	(4.62 - 8.21)	5.62	(4.29 - 7.33)	0.382
North 2 (previously Region 4)	5.36	(4.15 - 6.90)	5.18	(4.03 - 6.65)	0.742
Region 3	7.01^b	(5.65 - 8.66)	5.98	(4.83 - 7.38)	0.058
West 1 (previously Region 5)	7.56^a	(5.76 - 9.85)	6.00	(4.65 - 7.72)	0.026
West 2 (previously Region 6)	6.50	(4.93 - 8.52)	5.97	(4.55 - 7.80)	0.408
West Virginia	5.68^a	(4.80 - 6.71)	4.56	(3.87 - 5.37)	0.001
Region I	5.63	(4.15 - 7.58)	4.74	(3.51 - 6.39)	0.109
Region II	5.59^a	(4.13 - 7.52)	4.50	(3.41 - 5.90)	0.043
Region III	5.00^a	(3.72 - 6.69)	4.09	(3.03 - 5.51)	0.047
Region IV	5.90	(4.58 - 7.57)	5.39	(4.29 - 6.75)	0.329
Region V	6.26^a	(4.91 - 7.96)	4.33	(3.40 - 5.50)	0.000
Region VI	4.97^b	(3.75 - 6.57)	4.13	(3.07 - 5.54)	0.085
Wisconsin	4.83	(4.02 - 5.78)	4.74	(3.94 - 5.68)	0.797
Milwaukee	4.70	(3.47 - 6.34)	5.66	(4.21 - 7.56)	0.121
Northeastern	4.68	(3.61 - 6.06)	4.16	(3.13 - 5.51)	0.290
Northern	4.41	(3.23 - 6.00)	4.43	(3.25 - 6.02)	0.960
Southeastern	4.88	(3.77 - 6.30)	5.13	(3.85 - 6.80)	0.638
Southern	4.95	(3.71 - 6.57)	4.37	(3.27 - 5.81)	0.258
Western	5.21	(3.98 - 6.79)	4.67	(3.53 - 6.16)	0.286
Wyoming	4.20	(3.50 - 5.02)	4.36	(3.66 - 5.18)	0.602
Judicial District 1 (Laramie)	4.09	(3.04 - 5.47)	4.17	(3.20 - 5.43)	0.839
Judicial District 2	5.06	(3.84 - 6.64)	5.50	(4.16 - 7.24)	0.415
Judicial District 3	4.16	(3.17 - 5.44)	4.05	(3.07 - 5.32)	0.790
Judicial District 4	3.88	(2.81 - 5.34)	3.77	(2.75 - 5.16)	0.809
Judicial District 5	3.80	(2.81 - 5.12)	3.94	(2.85 - 5.41)	0.741
Judicial District 6	4.14	(3.10 - 5.50)	4.23	(3.16 - 5.65)	0.824
Judicial District 7 (Natrona)	4.74	(3.56 - 6.30)	4.85	(3.64 - 6.43)	0.843
Judicial District 8	3.67	(2.65 - 5.08)	4.23	(3.09 - 5.76)	0.212
Judicial District 9	4.01	(2.92 - 5.47)	4.35	(3.19 - 5.91)	0.486

140403

Table 8 – *Alcohol Use in the Past Month* among Persons Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2008-2010 and 2010-2012 NSDUHs
State/Substate Region	2008-2010 (Estimate)	2008-2010 (95% Confidence Interval)	2010-2012 (Estimate)	2010-2012 (95% Confidence Interval)	P Value
ECBH = East Carolina Behavioral Health; SPA = service planning area. -- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2010-2012); 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 "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. 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 posterior probability of no change between the 2008-2010 and 2010-2012 estimates. The "Total U.S." estimates, along with the 95 percent confidence intervals and p values, are based on design-based (direct) estimation methods. ^a Difference between the 2008-2010 estimate and the 2010-2012 estimate is statistically significant at the 0.05 level. ^b Difference between the 2008-2010 estimate and the 2010-2012 estimate 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. 2010-2012). For details, see the "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008, 2009, 2010, 2011, and 2012 (2008, 2009, and 2010 Data - Revised March 2012).
Total United States	51.65	(51.18 - 52.12)	51.78	(51.32 - 52.24)	0.618
Northeast	56.68	(55.65 - 57.72)	57.31	(56.47 - 58.14)	0.233
Midwest	54.43	(53.55 - 55.31)	54.51	(53.84 - 55.17)	0.862
South	47.59	(46.73 - 48.45)	48.00	(47.36 - 48.63)	0.326
West	51.42	(50.35 - 52.48)	50.94	(50.07 - 51.81)	0.375
Alabama	42.67	(39.98 - 45.41)	42.76	(40.16 - 45.40)	0.946
Region 1	39.92	(35.58 - 44.42)	38.98	(34.67 - 43.47)	0.659
Region 2	45.21	(41.06 - 49.43)	48.04	(43.83 - 52.27)	0.169
Region 3	43.42^a	(38.57 - 48.39)	38.87	(34.44 - 43.49)	0.031
Region 4	41.85	(37.25 - 46.59)	43.01	(38.57 - 47.58)	0.581
Alaska	53.72	(50.88 - 56.52)	52.68	(49.90 - 55.45)	0.456
Anchorage	56.84	(53.04 - 60.56)	57.75	(54.13 - 61.29)	0.622
Northern	44.02	(39.55 - 48.58)	44.73	(39.93 - 49.63)	0.731
South Central	56.53^a	(51.33 - 61.59)	51.67	(46.52 - 56.78)	0.034
Southeast	53.86	(48.04 - 59.58)	52.25	(46.63 - 57.81)	0.502
Arizona	49.38	(46.37 - 52.39)	49.92	(47.07 - 52.76)	0.714
Maricopa	49.66	(46.05 - 53.27)	52.39	(48.90 - 55.86)	0.142
Pima	53.09	(47.37 - 58.74)	52.31	(46.85 - 57.73)	0.741
Rural North	50.79^a	(44.93 - 56.63)	45.11	(39.59 - 50.75)	0.017
Rural South	42.22	(36.22 - 48.46)	40.37	(34.48 - 46.55)	0.440
Arkansas	41.89^b	(39.21 - 44.62)	39.61	(36.94 - 42.35)	0.090
Catchment Area 1	47.31	(42.07 - 52.60)	44.11	(38.96 - 49.38)	0.145
Catchment Area 2	38.12	(32.69 - 43.85)	36.89	(31.30 - 42.86)	0.634
Catchment Area 3	39.56^a	(34.54 - 44.81)	34.85	(29.82 - 40.23)	0.035
Catchment Area 4	37.09	(31.50 - 43.05)	38.06	(32.44 - 44.01)	0.681
Catchment Area 5	43.53	(38.71 - 48.48)	41.53	(36.20 - 47.07)	0.401
Catchment Area 6	36.41	(30.73 - 42.50)	34.35	(28.76 - 40.41)	0.378
Catchment Area 7	37.24	(31.56 - 43.29)	35.53	(29.88 - 41.61)	0.472
Catchment Area 8	46.80	(41.81 - 51.85)	43.82	(39.14 - 48.61)	0.167
California	50.20	(48.69 - 51.71)	49.67	(48.29 - 51.06)	0.505
Region 1R	55.97	(50.44 - 61.35)	57.28	(51.69 - 62.68)	0.561
Region 2R	54.71	(49.54 - 59.78)	57.11	(51.68 - 62.37)	0.265
Region 3R (Sacramento)	49.94	(44.85 - 55.02)	46.80	(41.86 - 51.80)	0.140
Region 4R	57.45	(52.48 - 62.28)	57.09	(52.13 - 61.91)	0.857
Region 5R (San Francisco)	61.21	(55.48 - 66.64)	61.06	(55.37 - 66.46)	0.947
Region 6 (Santa Clara)	51.86	(47.25 - 56.45)	50.59	(45.49 - 55.68)	0.562
Region 7R (Contra Costa)	55.39	(50.10 - 60.55)	55.81	(50.51 - 60.97)	0.842
Region 8R (Alameda)	53.34	(48.39 - 58.21)	53.88	(49.04 - 58.64)	0.790
Region 9R (San Mateo)	57.83	(52.32 - 63.16)	54.99	(48.77 - 61.06)	0.235
Region 10	54.33	(49.26 - 59.31)	53.88	(48.80 - 58.88)	0.834
Region 11 (Los Angeles)	46.88	(44.68 - 49.09)	46.60	(44.45 - 48.77)	0.797
LA SPA 1 and 5	56.09	(50.41 - 61.62)	53.32	(47.63 - 58.92)	0.205
LA SPA 2	48.74	(44.12 - 53.38)	49.20	(44.49 - 53.91)	0.829
LA SPA 3	44.97^a	(40.53 - 49.49)	39.78	(35.17 - 44.58)	0.013
LA SPA 4	47.08	(42.17 - 52.04)	49.32	(44.05 - 54.60)	0.307
LA SPA 6	37.45	(32.51 - 42.67)	40.61	(35.50 - 45.93)	0.152
LA SPA 7	43.24	(38.52 - 48.09)	44.26	(39.27 - 49.37)	0.629
LA SPA 8	49.10	(44.15 - 54.07)	49.79	(45.02 - 54.58)	0.753
Region 12R	50.35	(44.56 - 56.13)	50.14	(44.32 - 55.95)	0.923
Regions 13 and 19R	45.80	(41.72 - 49.93)	47.77	(43.83 - 51.74)	0.270
Region 13 (Riverside)	46.29	(41.93 - 50.71)	48.48	(44.28 - 52.71)	0.250
Region 19R (Imperial)	39.40	(34.18 - 44.88)	38.73	(32.87 - 44.93)	0.750
Region 14 (Orange)	52.83^a	(49.21 - 56.41)	48.80	(45.06 - 52.55)	0.021
Region 15R (Fresno)	42.61	(37.54 - 47.85)	44.20	(38.88 - 49.67)	0.424
Region 16R (San Diego)	54.34	(50.74 - 57.90)	51.45	(47.75 - 55.13)	0.111
Region 17R	45.20	(40.79 - 49.69)	45.03	(40.51 - 49.64)	0.929
Region 18R (San Bernardino)	45.42	(41.36 - 49.54)	44.28	(40.17 - 48.47)	0.537
Region 20R	43.90	(38.61 - 49.34)	46.66	(41.22 - 52.19)	0.210
Region 21R	50.24	(44.81 - 55.66)	51.59	(46.39 - 56.76)	0.521
Colorado	62.54^a	(59.86 - 65.14)	59.80	(57.21 - 62.35)	0.041
Region 1	62.13	(56.67 - 67.30)	59.59	(54.43 - 64.55)	0.228
Regions 2 and 7	65.57^a	(62.22 - 68.77)	61.59	(58.26 - 64.82)	0.021
Region 3	59.09	(54.05 - 63.95)	59.50	(54.64 - 64.18)	0.852
Region 4	46.94	(40.44 - 53.54)	46.57	(40.08 - 53.17)	0.878
Regions 5 and 6	60.32	(54.44 - 65.92)	57.95	(51.89 - 63.78)	0.339
Connecticut	59.54	(56.81 - 62.21)	60.95	(58.26 - 63.58)	0.304
Eastern	56.42	(50.54 - 62.12)	59.23	(54.17 - 64.10)	0.218
North Central	59.17	(54.95 - 63.25)	58.67	(54.11 - 63.08)	0.808
Northwestern	59.80	(54.96 - 64.45)	61.08	(55.85 - 66.06)	0.563
South Central	61.17	(56.60 - 65.56)	63.66	(58.91 - 68.15)	0.237
Southwest	59.85	(54.76 - 64.74)	61.97	(57.05 - 66.66)	0.339
Delaware	56.54^b	(53.61 - 59.43)	53.70	(51.00 - 56.39)	0.053
Kent	53.26	(47.77 - 58.67)	52.26	(47.17 - 57.31)	0.672
New Castle (excluding Wilmington City)	60.03^a	(56.34 - 63.60)	54.94	(51.37 - 58.47)	0.007
Sussex	54.52	(49.44 - 59.51)	53.95	(49.09 - 58.73)	0.805
Wilmington City	47.60	(41.75 - 53.51)	48.36	(42.44 - 54.32)	0.757
District of Columbia	62.40	(59.62 - 65.10)	64.08	(61.51 - 66.56)	0.225
Ward 1	64.57^a	(59.20 - 69.60)	71.49	(66.28 - 76.18)	0.001
Ward 2	77.90	(72.97 - 82.15)	80.21	(75.87 - 83.94)	0.178
Ward 3	79.00	(74.64 - 82.79)	76.48	(71.87 - 80.55)	0.145
Ward 4	57.58	(51.54 - 63.40)	59.38	(53.55 - 64.95)	0.491
Ward 5	54.84	(48.87 - 60.69)	55.83	(50.53 - 60.99)	0.695
Ward 6	64.29^a	(59.05 - 69.21)	69.73	(64.34 - 74.63)	0.013
Ward 7	47.79	(42.57 - 53.06)	47.21	(41.60 - 52.90)	0.819
Ward 8	46.06	(40.58 - 51.63)	46.57	(41.50 - 51.71)	0.823
Florida	51.01	(49.50 - 52.52)	51.22	(49.79 - 52.64)	0.794
Region A - Northwest	50.42	(47.01 - 53.82)	52.26	(49.15 - 55.36)	0.229
Circuit 1	50.14	(45.12 - 55.16)	50.78	(46.33 - 55.23)	0.771
Circuit 2	54.26^a	(48.84 - 59.59)	59.37	(54.36 - 64.19)	0.017
Circuit 14	46.06	(40.20 - 52.03)	46.30	(40.24 - 52.47)	0.917
Region B - Northeast	51.96	(48.91 - 54.98)	50.15	(47.29 - 53.02)	0.197
Circuits 3 and 8	47.02	(42.23 - 51.87)	49.78	(44.94 - 54.61)	0.182
Circuit 4	54.73^a	(50.23 - 59.16)	47.70	(43.10 - 52.34)	0.001
Circuit 7	51.61	(46.54 - 56.65)	53.51	(48.63 - 58.32)	0.401
Region C - Central	50.16	(47.94 - 52.39)	51.43	(49.10 - 53.76)	0.238
Circuit 5	48.21	(43.76 - 52.69)	49.18	(43.80 - 54.58)	0.668
Circuit 9	52.10	(48.12 - 56.05)	53.01	(49.19 - 56.78)	0.620
Circuit 10	42.57	(37.74 - 47.54)	42.20	(37.50 - 47.05)	0.865
Circuit 18	54.51	(49.92 - 59.02)	55.35	(50.68 - 59.94)	0.684
Circuit 19	51.11^a	(45.52 - 56.67)	56.41	(50.85 - 61.81)	0.020
Region D - Southeast	53.25^a	(50.32 - 56.17)	50.26	(47.17 - 53.35)	0.043
Circuit 15 (Palm Beach)	54.75^b	(50.25 - 59.18)	51.26	(46.76 - 55.74)	0.090
Circuit 17 (Broward)	52.14	(48.55 - 55.70)	49.49	(45.61 - 53.37)	0.147
Region E - Sun Coast	53.87^b	(51.31 - 56.42)	56.01	(53.60 - 58.39)	0.074
Circuit 6	52.64^b	(48.23 - 57.01)	56.64	(51.97 - 61.19)	0.062
Circuit 12	56.12	(50.55 - 61.53)	59.84	(54.71 - 64.76)	0.102
Circuit 13 (Hillsborough)	51.29	(47.50 - 55.07)	51.20	(47.16 - 55.22)	0.961
Circuit 20	56.43	(51.71 - 61.04)	57.77	(53.08 - 62.32)	0.524
Region F - Southern (Circuits 11 and 16)	43.96	(40.56 - 47.42)	43.97	(40.81 - 47.17)	0.998
Georgia	47.79	(45.12 - 50.47)	46.50	(43.94 - 49.08)	0.330
Region 1	48.45	(44.03 - 52.90)	47.94	(43.45 - 52.46)	0.809
Region 2	45.35	(39.87 - 50.95)	44.51	(39.60 - 49.53)	0.715
Region 3	52.67	(48.39 - 56.91)	50.63	(46.50 - 54.76)	0.325
Region 4	43.11^b	(37.10 - 49.33)	39.19	(33.57 - 45.11)	0.093
Region 5	43.23	(37.62 - 49.02)	41.89	(35.72 - 48.31)	0.558
Region 6	43.57	(38.25 - 49.04)	43.96	(38.72 - 49.34)	0.862
Hawaii	47.89	(45.08 - 50.71)	49.04	(46.23 - 51.85)	0.445
Hawaii Island	51.88	(46.26 - 57.46)	54.60	(48.97 - 60.10)	0.272
Honolulu	46.74	(43.57 - 49.93)	47.23	(43.96 - 50.51)	0.778
Kauai and Maui	49.55	(44.46 - 54.64)	52.19	(47.09 - 57.24)	0.202
Kauai	48.73	(41.61 - 55.90)	51.99	(44.84 - 59.05)	0.204
Maui	49.91	(44.05 - 55.77)	52.28	(46.19 - 58.30)	0.329
Idaho	46.52^a	(43.84 - 49.23)	49.19	(46.52 - 51.88)	0.049
Region 1	54.51	(48.83 - 60.07)	56.03	(49.99 - 61.90)	0.542
Region 2	51.12^b	(44.70 - 57.51)	55.10	(48.99 - 61.06)	0.096
Region 3	40.20	(35.31 - 45.29)	43.05	(37.78 - 48.48)	0.244
Region 4	54.31	(50.03 - 58.53)	56.37	(51.93 - 60.71)	0.321
Region 5	42.94^b	(37.38 - 48.69)	47.36	(42.18 - 52.59)	0.069
Region 6	40.20^b	(34.93 - 45.72)	44.76	(39.05 - 50.61)	0.053
Region 7	33.52	(28.62 - 38.80)	35.27	(29.99 - 40.93)	0.465
Illinois	54.26	(52.76 - 55.74)	54.89	(53.51 - 56.26)	0.428
Region I (Cook)	54.78	(52.37 - 57.17)	55.90	(53.73 - 58.05)	0.366
Region II	57.17	(54.83 - 59.48)	57.10	(54.86 - 59.32)	0.955
Region III	52.14	(49.00 - 55.25)	53.27	(49.94 - 56.57)	0.488
Region IV	49.20	(45.24 - 53.18)	49.34	(45.28 - 53.42)	0.942
Region V	48.40	(44.91 - 51.91)	49.30	(45.47 - 53.13)	0.639
Indiana	48.16^a	(45.46 - 50.87)	51.19	(48.44 - 53.93)	0.023
Central	48.51	(43.94 - 53.10)	51.94	(47.18 - 56.66)	0.111
East	39.52^a	(33.43 - 45.96)	45.63	(40.09 - 51.29)	0.015
North Central	51.48	(46.14 - 56.78)	51.03	(45.77 - 56.27)	0.847
Northeast	49.24	(43.69 - 54.80)	51.24	(45.37 - 57.08)	0.402
Northwest	49.33	(43.59 - 55.09)	52.62	(47.26 - 57.92)	0.158
Southeast	44.98	(39.59 - 50.48)	46.71	(40.89 - 52.63)	0.500
Southwest	43.67^a	(37.63 - 49.90)	49.62	(43.34 - 55.92)	0.016
West	53.84^b	(48.77 - 58.84)	57.80	(52.25 - 63.16)	0.071
Iowa	55.92	(53.34 - 58.47)	55.67	(53.03 - 58.28)	0.843
Central	61.26	(56.61 - 65.72)	59.62	(54.80 - 64.25)	0.405
North Central	54.10	(48.58 - 59.52)	53.65	(47.96 - 59.25)	0.834
Northeast	59.82	(55.53 - 63.96)	60.33	(55.86 - 64.64)	0.799
Northwest	50.81	(45.43 - 56.17)	50.85	(45.52 - 56.16)	0.986
Southeast	53.49	(49.14 - 57.77)	53.01	(48.17 - 57.79)	0.824
Southwest	52.27	(46.26 - 58.21)	52.64	(46.78 - 58.44)	0.871
Kansas	53.80^b	(50.92 - 56.66)	51.43	(48.73 - 54.12)	0.089
Kansas City Metro	60.24^a	(56.53 - 63.84)	54.69	(50.70 - 58.63)	0.003
Northeast	53.11	(47.84 - 58.32)	52.29	(46.92 - 57.61)	0.735
South Central	49.46	(43.19 - 55.75)	45.83	(40.06 - 51.72)	0.144
Southeast	45.21	(38.47 - 52.13)	44.10	(37.63 - 50.78)	0.658
West	45.65	(39.87 - 51.55)	46.12	(40.47 - 51.86)	0.846
Wichita (Sedgwick)	53.78	(48.65 - 58.83)	54.47	(49.49 - 59.36)	0.763
Kentucky	39.03^a	(36.39 - 41.74)	43.44	(40.81 - 46.10)	0.001
Adanta, Cumberland River, and Lifeskills	27.98^a	(23.77 - 32.61)	32.72	(28.17 - 37.61)	0.021
Bluegrass, Comprehend, and North Key	46.47^a	(42.35 - 50.64)	51.11	(46.72 - 55.48)	0.026
Communicare and River Valley	36.87^a	(31.11 - 43.02)	43.01	(37.13 - 49.10)	0.016
Four Rivers and Pennyroyal	35.63	(30.23 - 41.43)	38.42	(32.92 - 44.24)	0.225
Kentucky River, Mountain, and Pathways	26.65^a	(22.18 - 31.65)	33.06	(27.55 - 39.09)	0.003
Seven Counties	47.02	(42.08 - 52.03)	49.14	(44.34 - 53.96)	0.343
Louisiana	46.97	(44.32 - 49.64)	47.70	(45.21 - 50.21)	0.566
Regions 1 and 10	--	(-- - --)	50.33	(45.91 - 54.75)	--
Region 1	--	(-- - --)	48.46	(42.74 - 54.23)	--
Region 10 (Jefferson)	53.37	(47.23 - 59.41)	52.19	(46.35 - 57.97)	0.609
Regions 2 and 9	50.30	(46.19 - 54.41)	50.99	(46.69 - 55.27)	0.734
Region 3	--	(-- - --)	46.78	(41.22 - 52.42)	--
Regions 4, 5, and 6	41.79^b	(37.44 - 46.28)	45.59	(41.46 - 49.79)	0.073
Regions 7 and 8	45.89	(41.41 - 50.44)	43.95	(39.63 - 48.36)	0.353
Maine	55.34	(52.49 - 58.16)	54.06	(51.14 - 56.95)	0.403
Aroostook/Downeast	50.39	(44.99 - 55.79)	51.50	(46.40 - 56.58)	0.612
Aroostook	--	(-- - --)	48.63	(41.74 - 55.57)	--
Downeast	--	(-- - --)	53.86	(47.29 - 60.30)	--
Central	51.44	(45.82 - 57.02)	50.75	(44.91 - 56.57)	0.787
Cumberland	61.72	(57.00 - 66.24)	58.87	(53.61 - 63.94)	0.222
Midcoast	57.60	(51.81 - 63.18)	53.68	(46.92 - 60.30)	0.155
Penquis	52.86	(47.08 - 58.56)	53.09	(47.95 - 58.16)	0.927
Western	52.23	(47.21 - 57.21)	51.00	(45.73 - 56.24)	0.618
York	57.21	(51.28 - 62.94)	56.26	(50.48 - 61.88)	0.719
Maryland	53.02^a	(49.95 - 56.06)	56.05	(53.37 - 58.70)	0.029
Anne Arundel	59.19	(53.26 - 64.87)	61.64	(55.36 - 67.55)	0.307
Baltimore City	42.46^a	(36.71 - 48.43)	48.91	(43.70 - 54.14)	0.007
Baltimore County	53.19	(46.87 - 59.41)	56.09	(50.78 - 61.27)	0.252
Montgomery	55.67	(50.20 - 61.01)	57.96	(52.68 - 63.06)	0.320
North Central	60.73	(54.95 - 66.23)	58.92	(53.09 - 64.52)	0.423
Northeast	55.30	(49.13 - 61.32)	55.82	(49.93 - 61.54)	0.831
Prince George's	49.58	(43.66 - 55.51)	53.01	(47.48 - 58.47)	0.149
South	50.73^a	(44.86 - 56.58)	58.53	(52.82 - 64.01)	0.001
West	53.90	(47.80 - 59.89)	55.14	(49.18 - 60.95)	0.645
Massachusetts	62.26	(59.64 - 64.81)	64.30	(61.84 - 66.68)	0.106
Boston	57.73^a	(51.83 - 63.41)	64.14	(59.10 - 68.89)	0.003
Central	61.68	(56.58 - 66.54)	62.41	(57.05 - 67.48)	0.736
Metrowest	68.29	(64.05 - 72.24)	70.72	(66.49 - 74.62)	0.200
Northeast	61.43	(56.66 - 65.99)	62.75	(58.43 - 66.87)	0.523
Southeast	60.60	(55.87 - 65.14)	63.61	(58.85 - 68.11)	0.163
Western	60.09	(55.16 - 64.83)	58.18	(53.00 - 63.18)	0.369
Michigan	54.55	(53.07 - 56.01)	53.80	(52.44 - 55.16)	0.337
Detroit City	39.90	(36.03 - 43.91)	38.13	(34.06 - 42.38)	0.384
Genesee	53.86	(49.15 - 58.49)	50.95	(46.40 - 55.50)	0.145
Kalamazoo	51.63	(47.59 - 55.65)	53.30	(48.87 - 57.68)	0.389
Kent	57.07	(52.79 - 61.24)	56.81	(52.88 - 60.66)	0.893
Lakeshore	53.07	(49.06 - 57.04)	51.98	(48.07 - 55.86)	0.552
Macomb	58.90	(55.11 - 62.60)	60.02	(56.31 - 63.62)	0.531
Mid South	53.02	(49.29 - 56.71)	53.97	(50.33 - 57.56)	0.601
Northern	56.30	(52.26 - 60.26)	55.34	(51.10 - 59.50)	0.613
Oakland	60.21	(56.80 - 63.53)	58.31	(54.91 - 61.63)	0.270
Pathways and Western	54.45	(49.28 - 59.54)	55.28	(50.14 - 60.31)	0.715
Riverhaven	54.61	(49.60 - 59.53)	54.48	(49.48 - 59.39)	0.953
Saginaw	52.36	(47.27 - 57.39)	52.57	(46.72 - 58.35)	0.923
Southeast	53.59	(50.19 - 56.95)	51.81	(48.38 - 55.23)	0.303
St. Clair	55.80^a	(51.00 - 60.49)	50.84	(45.61 - 56.04)	0.024
Washtenaw	62.08^a	(57.94 - 66.06)	58.04	(53.81 - 62.16)	0.035
Minnesota	61.17^b	(58.48 - 63.79)	58.64	(55.94 - 61.29)	0.055
Regions 1 and 2	58.44^a	(52.65 - 64.02)	53.52	(47.01 - 59.90)	0.047
Regions 3 and 4	60.27	(55.51 - 64.84)	58.51	(53.40 - 63.44)	0.423
Regions 5 and 6	57.46	(52.68 - 62.11)	56.60	(51.57 - 61.49)	0.685
Region 7A (Hennepin)	64.79	(60.30 - 69.04)	64.31	(59.84 - 68.54)	0.809
Region 7B (Ramsey)	55.10	(49.38 - 60.69)	54.31	(48.14 - 60.35)	0.742
Region 7C	65.28^a	(60.78 - 69.51)	59.07	(54.76 - 63.25)	0.001
Mississippi	40.09	(37.45 - 42.79)	40.61	(38.18 - 43.09)	0.676
Region 1	40.29	(35.71 - 45.06)	37.47	(33.27 - 41.87)	0.184
Region 2	36.56	(31.17 - 42.30)	38.27	(32.90 - 43.94)	0.445
Region 3	34.12^a	(29.57 - 39.00)	38.99	(34.08 - 44.12)	0.017
Region 4	44.77	(40.31 - 49.32)	43.82	(39.21 - 48.54)	0.659
Region 5	38.47	(32.84 - 44.41)	36.21	(30.01 - 42.90)	0.315
Region 6	43.84	(38.21 - 49.62)	43.41	(38.08 - 48.89)	0.856
Region 7	40.95	(35.70 - 46.41)	44.59	(39.51 - 49.79)	0.117
Missouri	50.35	(47.56 - 53.14)	50.64	(47.97 - 53.30)	0.839
Central	51.18	(45.87 - 56.46)	49.99	(44.47 - 55.50)	0.606
Eastern	52.59	(48.85 - 56.30)	53.99	(50.30 - 57.64)	0.445
Eastern (St. Louis City and County)	52.23	(47.68 - 56.74)	52.06	(47.48 - 56.62)	0.939
Eastern (excluding St. Louis)	53.21^b	(47.60 - 58.75)	57.33	(51.97 - 62.52)	0.080
Northwest	51.26	(47.12 - 55.39)	52.58	(48.43 - 56.70)	0.477
Northwest (Jackson)	50.53	(45.35 - 55.70)	52.52	(47.14 - 57.85)	0.382
Northwest (excluding Jackson)	51.89	(46.37 - 57.36)	52.64	(46.90 - 58.30)	0.756
Southeast	44.36	(38.72 - 50.15)	44.84	(39.44 - 50.35)	0.848
Southwest	47.61	(42.40 - 52.87)	45.13	(39.72 - 50.65)	0.320
Montana	58.99	(56.27 - 61.65)	60.19	(57.69 - 62.64)	0.375
Region 1	52.99	(46.87 - 59.04)	56.64	(50.72 - 62.37)	0.157
Region 2	51.97	(46.60 - 57.29)	51.93	(46.56 - 57.26)	0.988
Region 3	55.83	(51.27 - 60.30)	56.68	(52.14 - 61.10)	0.692
Region 4	65.17	(61.04 - 69.09)	65.13	(60.88 - 69.16)	0.984
Region 5	60.54	(56.24 - 64.68)	62.99	(59.16 - 66.67)	0.221
Nebraska	54.23	(51.49 - 56.95)	53.43	(50.69 - 56.15)	0.546
Regions 1 and 2	51.33	(45.91 - 56.72)	49.15	(43.94 - 54.39)	0.294
Region 1	48.95	(42.12 - 55.82)	47.40	(40.65 - 54.25)	0.549
Region 2	53.35	(46.34 - 60.24)	50.70	(44.01 - 57.36)	0.281
Region 3	49.19	(43.61 - 54.79)	48.40	(43.03 - 53.80)	0.740
Region 4	50.72	(44.72 - 56.69)	48.90	(42.85 - 54.98)	0.468
Region 5	56.26	(51.82 - 60.59)	59.38	(54.86 - 63.75)	0.127
Region 6	56.34	(52.52 - 60.09)	53.68	(49.81 - 57.50)	0.149
Nevada¹	54.22	(51.13 - 57.29)	52.99	(49.97 - 55.98)	0.432
Clark - Region 1	52.87	(49.32 - 56.40)	51.43	(47.88 - 54.96)	0.428
Region 3	56.99^b	(51.13 - 62.66)	53.12	(47.72 - 58.44)	0.094
Capital District	--	(-- - --)	57.61	(50.93 - 64.03)	--
Rural/Frontier	--	(-- - --)	49.05	(41.83 - 56.31)	--
Washoe - Region 2	58.09	(52.89 - 63.10)	59.99	(54.96 - 64.81)	0.411
New Hampshire	64.33	(61.66 - 66.92)	63.12	(60.51 - 65.65)	0.352
Central	62.99	(59.13 - 66.69)	62.88	(58.72 - 66.86)	0.949
Central 1	63.35	(58.34 - 68.09)	64.97	(59.94 - 69.68)	0.447
Central 2	62.65	(57.55 - 67.49)	60.86	(55.19 - 66.24)	0.435
Northern	62.57	(57.11 - 67.72)	61.05	(55.37 - 66.44)	0.503
Southern	65.37	(62.25 - 68.37)	63.70	(60.64 - 66.65)	0.251
Southern 1 (Rockingham)	68.54	(63.90 - 72.84)	66.09	(61.63 - 70.28)	0.220
Southern 2	63.41	(59.66 - 66.99)	62.22	(58.36 - 65.92)	0.499
New Jersey	54.98	(52.11 - 57.82)	56.74	(53.97 - 59.47)	0.229
Central	58.23	(53.29 - 63.01)	60.89	(55.92 - 65.65)	0.223
Metropolitan	51.13^a	(46.46 - 55.78)	55.49	(50.92 - 59.96)	0.045
Northern	55.35	(51.06 - 59.56)	56.63	(52.15 - 61.01)	0.547
Southern	55.11	(50.20 - 59.93)	53.78	(49.01 - 58.49)	0.571
New Mexico	46.40	(43.74 - 49.09)	45.19	(42.39 - 48.03)	0.383
Region 1	39.09	(34.93 - 43.41)	37.76	(33.53 - 42.17)	0.500
Region 2	49.01	(43.49 - 54.55)	47.86	(42.10 - 53.67)	0.634
Region 3 (Bernalillo)	51.85	(47.71 - 55.97)	50.51	(45.78 - 55.24)	0.540
Region 4	42.66	(37.20 - 48.31)	42.85	(37.60 - 48.26)	0.938
Region 5	45.61	(40.72 - 50.59)	43.71	(39.01 - 48.53)	0.388
New York	55.68	(54.06 - 57.28)	55.42	(53.96 - 56.87)	0.764
Region A	50.95^a	(48.65 - 53.24)	53.27	(51.20 - 55.32)	0.044
Region 1	46.29	(41.40 - 51.25)	45.41	(41.29 - 49.60)	0.671
Region 2	51.05	(47.54 - 54.55)	53.20	(49.72 - 56.64)	0.215
Region 3	60.40	(55.71 - 64.90)	63.47	(59.22 - 67.53)	0.125
Region 4	46.45^b	(42.31 - 50.65)	50.43	(46.37 - 54.49)	0.053
Region B	62.11	(59.80 - 64.36)	60.56	(58.21 - 62.86)	0.205
Region 5	65.04^b	(62.00 - 67.96)	62.03	(58.98 - 64.98)	0.056
Region 6	58.24	(54.05 - 62.33)	59.88	(55.56 - 64.06)	0.392
Region 7	58.67	(54.43 - 62.79)	56.74	(52.11 - 61.25)	0.330
Region C	57.53^a	(55.29 - 59.75)	55.19	(52.89 - 57.48)	0.041
Region 8	60.27	(56.13 - 64.28)	57.16	(52.77 - 61.44)	0.103
Region 9	55.28	(50.67 - 59.81)	52.09	(47.49 - 56.65)	0.138
Region 10	59.43	(54.13 - 64.51)	56.39	(51.09 - 61.54)	0.174
Region 11	55.28	(51.20 - 59.30)	54.90	(50.63 - 59.10)	0.845
Region 12	58.31	(54.06 - 62.44)	55.87	(51.44 - 60.21)	0.219
Region D	54.24^a	(50.96 - 57.49)	50.84	(47.45 - 54.21)	0.024
Region 13	58.42^a	(52.73 - 63.89)	51.61	(46.07 - 57.12)	0.004
Region 14	54.68	(49.77 - 59.51)	53.09	(47.43 - 58.68)	0.469
Region 15	50.06	(44.92 - 55.21)	47.91	(43.04 - 52.83)	0.343
North Carolina¹	48.23	(45.51 - 50.96)	46.81	(43.99 - 49.64)	0.280
Alliance	53.04	(48.53 - 57.50)	52.28	(47.60 - 56.92)	0.725
Cardinal Innovations	49.93	(44.12 - 55.74)	47.14	(41.58 - 52.78)	0.259
CenterPoint/Guilford	48.48^a	(43.60 - 53.38)	44.29	(39.25 - 49.45)	0.033
CenterPoint	44.61	(37.94 - 51.49)	41.55	(34.73 - 48.71)	0.234
Guilford	52.84^a	(46.81 - 58.79)	47.27	(41.04 - 53.59)	0.016
CoastalCare	50.63	(44.20 - 57.04)	53.57	(46.70 - 60.31)	0.211
Eastpointe	40.31^a	(34.38 - 46.53)	35.05	(29.63 - 40.88)	0.028
ECBH	47.05	(40.76 - 53.44)	43.94	(37.17 - 50.95)	0.224
MeckLINK	51.54	(46.15 - 56.89)	48.73	(42.53 - 54.98)	0.221
Partners	47.53	(42.11 - 53.00)	45.98	(40.45 - 51.61)	0.516
Sandhills	42.37	(35.96 - 49.06)	44.48	(37.89 - 51.28)	0.414
Smoky Mountain	42.65	(36.28 - 49.26)	45.63	(38.37 - 53.08)	0.269
Western Highlands	47.30	(40.77 - 53.92)	48.92	(42.26 - 55.63)	0.539
North Dakota	58.54	(55.88 - 61.15)	59.55	(56.86 - 62.19)	0.446
Badlands and West Central	57.14	(52.58 - 61.58)	59.33	(54.44 - 64.05)	0.302
Lake Region and South Central	51.62	(45.78 - 57.41)	50.43	(44.85 - 55.99)	0.637
North Central and Northwest	55.85	(51.00 - 60.59)	56.10	(51.12 - 60.95)	0.913
Northeast	60.53	(55.50 - 65.34)	61.35	(56.04 - 66.40)	0.694
Southeast	64.38	(60.79 - 67.81)	65.90	(62.24 - 69.39)	0.380
Ohio	52.21	(50.69 - 53.73)	52.77	(51.42 - 54.11)	0.502
Boards 2, 46, 55, and 68	47.97	(43.54 - 52.43)	48.59	(43.90 - 53.30)	0.768
Boards 3, 52, and 85	54.86	(49.45 - 60.16)	55.40	(50.10 - 60.58)	0.808
Boards 4 and 78	50.10	(44.45 - 55.74)	53.74	(47.98 - 59.40)	0.108
Boards 5 and 60	46.91	(42.07 - 51.80)	50.31	(45.15 - 55.47)	0.101
Boards 7, 15, 41, 79, and 84	46.65	(41.75 - 51.62)	45.08	(40.44 - 49.82)	0.495
Boards 8, 13, and 83	53.72	(48.68 - 58.69)	52.83	(48.16 - 57.44)	0.682
Board 9 (Butler)	55.37	(50.22 - 60.41)	54.12	(49.12 - 59.05)	0.554
Board 12	53.72	(48.80 - 58.57)	53.65	(48.29 - 58.92)	0.972
Boards 18 and 47	53.75^a	(50.37 - 57.09)	57.20	(54.05 - 60.30)	0.044
Boards 20, 32, 54, and 69	52.06	(46.70 - 57.37)	51.68	(46.54 - 56.78)	0.867
Boards 21, 39, 51, 70, and 80	50.24	(45.53 - 54.95)	53.24	(48.45 - 57.97)	0.161
Boards 22, 74, and 87	53.44	(48.31 - 58.51)	54.27	(49.47 - 58.99)	0.704
Boards 23 and 45	53.74	(48.65 - 58.75)	50.78	(45.85 - 55.69)	0.171
Board 25 (Franklin)	55.61	(52.04 - 59.13)	54.64	(51.06 - 58.18)	0.567
Boards 27, 71, and 73	39.90	(35.09 - 44.93)	40.68	(35.69 - 45.87)	0.731
Boards 28, 43, and 67	59.70	(55.35 - 63.91)	60.00	(55.67 - 64.19)	0.880
Board 31 (Hamilton)	54.62	(50.21 - 58.96)	52.71	(48.72 - 56.67)	0.329
Board 48 (Lucas)	50.76	(45.80 - 55.71)	52.13	(46.92 - 57.30)	0.521
Boards 50 and 76	49.72	(45.11 - 54.34)	53.12	(48.71 - 57.48)	0.115
Board 57 (Montgomery)	48.79	(44.01 - 53.60)	48.06	(43.35 - 52.81)	0.736
Board 77 (Summit)	56.26	(51.82 - 60.61)	53.91	(49.43 - 58.33)	0.259
Oklahoma	45.12	(42.30 - 47.98)	44.50	(41.77 - 47.26)	0.652
Central	47.14	(41.65 - 52.70)	47.06	(41.19 - 53.01)	0.974
East Central	43.34	(37.44 - 49.45)	39.89	(33.99 - 46.09)	0.165
Northeast	44.85	(39.48 - 50.34)	46.04	(41.01 - 51.15)	0.613
Northwest and Southwest	43.25	(37.77 - 48.89)	40.65	(35.21 - 46.33)	0.280
Oklahoma County	47.64	(42.41 - 52.94)	48.74	(43.95 - 53.55)	0.618
Southeast	41.46	(36.17 - 46.95)	39.78	(34.45 - 45.37)	0.464
Tulsa County	47.00	(42.10 - 51.95)	47.11	(41.99 - 52.30)	0.959
Oregon	60.67	(57.91 - 63.36)	59.61	(56.98 - 62.19)	0.428
Region 1 (Multnomah)	64.01	(59.05 - 68.69)	66.57	(61.93 - 70.90)	0.219
Region 2	62.87	(58.31 - 67.21)	61.47	(56.79 - 65.96)	0.498
Region 3	60.76	(56.71 - 64.67)	58.27	(54.36 - 62.08)	0.204
Region 4	55.07	(49.54 - 60.49)	54.96	(49.60 - 60.21)	0.961
Region 5 (Central)	63.83	(57.45 - 69.76)	60.63	(54.57 - 66.38)	0.189
Region 6 (Eastern)	52.05^b	(45.73 - 58.30)	47.56	(40.28 - 54.95)	0.069
Pennsylvania	54.45	(52.82 - 56.07)	55.09	(53.73 - 56.44)	0.421
Region 1 (Allegheny)	60.93	(57.25 - 64.49)	60.60	(56.92 - 64.17)	0.857
Regions 3, 8, 9, and 51	51.20	(46.47 - 55.92)	53.54	(48.87 - 58.14)	0.273
Regions 4, 11, 37, and 49	54.16	(49.83 - 58.43)	52.65	(48.36 - 56.90)	0.467
Regions 5, 18, 23, 24, and 46	50.42	(44.85 - 55.98)	50.62	(45.90 - 55.33)	0.930
Regions 6, 12, 16, 31, 35, 45, and 47	54.01	(49.71 - 58.24)	52.71	(48.45 - 56.92)	0.500
Regions 7, 13, 20, and 33	60.57	(57.62 - 63.45)	62.03	(59.11 - 64.86)	0.339
Regions 10, 15, 27, 32, 43, and 44	49.65	(44.89 - 54.42)	47.53	(42.89 - 52.22)	0.336
Regions 17 and 21	54.82	(49.53 - 60.01)	55.41	(50.04 - 60.65)	0.791
Regions 19, 26, 28, and 42	51.34	(47.23 - 55.44)	52.30	(48.71 - 55.88)	0.607
Regions 22, 38, 40, 41, and 48	53.63	(49.12 - 58.07)	52.35	(47.98 - 56.70)	0.547
Regions 29 and 34	54.38	(49.41 - 59.27)	54.12	(49.39 - 58.77)	0.903
Regions 30 and 50	54.61	(49.74 - 59.39)	53.83	(49.32 - 58.27)	0.726
Region 36 (Philadelphia)	47.50^a	(43.82 - 51.20)	52.31	(48.83 - 55.77)	0.008
Rhode Island	60.38	(57.43 - 63.26)	62.68	(59.88 - 65.39)	0.111
Bristol and Newport	63.48^a	(57.81 - 68.80)	68.49	(62.97 - 73.53)	0.021
Kent	60.58	(54.98 - 65.92)	63.99	(58.85 - 68.83)	0.146
Providence	58.23	(54.49 - 61.88)	59.93	(56.42 - 63.35)	0.342
Washington	67.23	(62.09 - 72.00)	68.08	(62.65 - 73.07)	0.680
South Carolina	45.57^a	(42.79 - 48.39)	49.02	(46.41 - 51.65)	0.018
Region 1	43.97	(39.40 - 48.63)	46.45	(42.07 - 50.88)	0.259
Region 2	44.96^a	(40.98 - 49.01)	50.34	(46.15 - 54.52)	0.011
Region 3	43.52	(38.27 - 48.91)	46.62	(41.38 - 51.94)	0.178
Region 4	49.28	(44.58 - 54.00)	51.64	(47.41 - 55.84)	0.284
South Dakota	58.42	(55.81 - 60.99)	57.00	(54.44 - 59.52)	0.254
Region 1	--	(-- - --)	55.64	(50.88 - 60.31)	--
Region 2	--	(-- - --)	52.31	(46.27 - 58.28)	--
Region 3	--	(-- - --)	58.53	(54.10 - 62.82)	--
Region 4	--	(-- - --)	55.59	(50.18 - 60.86)	--
Region 5	--	(-- - --)	59.17	(55.19 - 63.03)	--
Tennessee	41.40	(38.57 - 44.29)	40.04	(37.45 - 42.70)	0.314
Region 1	40.22^a	(34.79 - 45.91)	35.57	(30.22 - 41.30)	0.048
Region 2	43.00	(37.93 - 48.23)	41.32	(36.49 - 46.31)	0.453
Region 3	--	(-- - --)	36.13	(31.31 - 41.26)	--
Region 4 (Davidson)	47.07	(41.21 - 53.01)	44.45	(39.04 - 49.99)	0.270
Region 5	--	(-- - --)	44.08	(39.31 - 48.95)	--
Region 6	37.13	(31.80 - 42.79)	34.70	(29.11 - 40.75)	0.315
Region 7 (Shelby)	42.10	(36.75 - 47.64)	38.93	(33.80 - 44.32)	0.152
Texas	48.58	(47.08 - 50.09)	48.51	(47.11 - 49.91)	0.926
Region 1	48.87	(44.11 - 53.66)	48.69	(43.84 - 53.55)	0.929
Region 2	46.60	(41.39 - 51.88)	43.91	(38.38 - 49.58)	0.231
Region 3	51.81	(49.40 - 54.22)	51.19	(48.97 - 53.39)	0.609
Region 3a	51.38	(48.44 - 54.32)	50.84	(47.93 - 53.75)	0.723
Region 3bc	52.56	(48.93 - 56.17)	51.79	(48.45 - 55.11)	0.667
Region 4	42.66	(37.79 - 47.68)	43.97	(38.93 - 49.15)	0.554
Region 5	46.25	(41.24 - 51.35)	45.04	(40.18 - 50.00)	0.576
Region 6	49.28	(46.61 - 51.96)	48.50	(45.91 - 51.11)	0.565
Region 6a	49.35	(46.47 - 52.24)	48.34	(45.57 - 51.11)	0.488
Region 6bc	48.72	(43.36 - 54.10)	49.91	(44.35 - 55.47)	0.616
Region 7	53.99	(51.04 - 56.91)	54.77	(51.72 - 57.79)	0.571
Region 7a	56.69	(53.08 - 60.23)	57.92	(53.94 - 61.80)	0.497
Region 7bcd	49.51	(45.02 - 54.01)	49.48	(45.06 - 53.90)	0.989
Region 8	46.91	(43.24 - 50.61)	47.20	(43.64 - 50.78)	0.871
Region 9	43.94	(38.79 - 49.22)	44.21	(38.81 - 49.76)	0.895
Region 10	44.69	(39.69 - 49.81)	45.27	(40.78 - 49.85)	0.792
Region 11	37.48	(34.32 - 40.76)	39.62	(36.31 - 43.03)	0.133
Region 11abd	39.96	(35.95 - 44.11)	41.43	(37.28 - 45.71)	0.414
Region 11c (Hidalgo)	32.92^b	(28.44 - 37.73)	36.41	(31.67 - 41.43)	0.066
Utah	26.36	(23.99 - 28.89)	27.68	(25.33 - 30.16)	0.319
Bear River, Northeastern, Summit, Tooele, and Wasatch	24.51	(20.07 - 29.58)	22.76	(18.83 - 27.25)	0.377
Central, Four Corners, San Juan, and Southwest	22.93^a	(18.64 - 27.86)	27.20	(22.25 - 32.78)	0.047
Davis County	28.72	(24.23 - 33.67)	27.85	(23.20 - 33.03)	0.684
Salt Lake County	31.08	(27.55 - 34.86)	32.79	(29.28 - 36.50)	0.379
Utah County	18.05	(14.92 - 21.68)	19.90	(16.42 - 23.90)	0.239
Weber, Morgan	27.67	(22.61 - 33.38)	28.69	(23.94 - 33.97)	0.646
Vermont	61.40	(58.85 - 63.89)	59.86	(57.16 - 62.50)	0.268
Champlain Valley	66.40	(62.79 - 69.83)	65.12	(61.46 - 68.62)	0.495
Rural Northeast	58.77	(53.93 - 63.44)	57.79	(52.97 - 62.47)	0.666
Rural Southeast	60.52	(55.71 - 65.13)	58.12	(53.29 - 62.80)	0.274
Rural Southwest	54.36	(49.05 - 59.56)	51.99	(46.32 - 57.61)	0.351
Virginia	51.39^a	(48.52 - 54.25)	54.98	(52.32 - 57.61)	0.012
Region 1	54.98	(50.07 - 59.80)	55.00	(50.24 - 59.68)	0.992
Region 2	52.11^a	(46.98 - 57.19)	57.48	(53.11 - 61.74)	0.021
Region 3	45.79	(40.89 - 50.77)	48.04	(42.93 - 53.19)	0.311
Region 4	52.36	(47.17 - 57.50)	55.95	(50.67 - 61.10)	0.113
Region 5	51.61^a	(46.91 - 56.29)	56.48	(51.84 - 61.01)	0.022
Washington	56.84	(54.14 - 59.49)	56.28	(53.62 - 58.91)	0.683
Region 1	53.31	(48.98 - 57.59)	51.00	(46.47 - 55.51)	0.216
East 1 (previously Region 1)	56.24^b	(50.90 - 61.43)	52.09	(46.22 - 57.89)	0.073
East 2 (previously Region 2)	49.31	(43.15 - 55.50)	49.52	(43.48 - 55.58)	0.932
Region 2	60.23	(56.75 - 63.62)	59.95	(56.65 - 63.17)	0.867
North 1 (previously Region 3)	59.18	(54.07 - 64.09)	59.36	(54.56 - 63.98)	0.934
North 2 (previously Region 4)	60.85	(56.53 - 65.01)	60.30	(56.22 - 64.23)	0.785
Region 3	54.46	(50.72 - 58.14)	54.64	(50.73 - 58.48)	0.918
West 1 (previously Region 5)	55.77	(50.69 - 60.73)	58.05	(52.90 - 63.03)	0.312
West 2 (previously Region 6)	53.25	(48.38 - 58.05)	51.48	(46.28 - 56.65)	0.435
West Virginia	39.61	(36.88 - 42.40)	39.30	(36.60 - 42.07)	0.830
Region I	43.37	(37.24 - 49.71)	45.22	(38.50 - 52.12)	0.492
Region II	42.71	(37.06 - 48.56)	42.91	(37.32 - 48.68)	0.938
Region III	37.19	(31.55 - 43.22)	36.22	(30.56 - 42.29)	0.697
Region IV	40.71^a	(36.09 - 45.50)	45.85	(41.25 - 50.53)	0.021
Region V	41.22^a	(36.94 - 45.63)	35.45	(31.53 - 39.58)	0.006
Region VI	33.09	(28.45 - 38.09)	33.71	(28.65 - 39.17)	0.792
Wisconsin	62.67	(59.98 - 65.28)	62.54	(59.82 - 65.18)	0.925
Milwaukee	57.28	(52.18 - 62.24)	59.69	(54.61 - 64.58)	0.296
Northeastern	62.10	(57.63 - 66.38)	59.83	(55.38 - 64.12)	0.293
Northern	63.57	(57.13 - 69.56)	59.79	(53.46 - 65.81)	0.136
Southeastern	65.50	(60.95 - 69.79)	65.11	(60.10 - 69.80)	0.851
Southern	65.78	(60.98 - 70.28)	66.01	(61.12 - 70.58)	0.915
Western	60.59	(55.79 - 65.18)	63.20	(58.08 - 68.05)	0.237
Wyoming	53.38	(50.56 - 56.18)	51.87	(49.24 - 54.49)	0.281
Judicial District 1 (Laramie)	55.14^a	(49.67 - 60.49)	50.18	(45.02 - 55.33)	0.041
Judicial District 2	56.44	(50.83 - 61.89)	57.66	(52.38 - 62.77)	0.555
Judicial District 3	46.68	(41.59 - 51.85)	42.90	(37.88 - 48.08)	0.115
Judicial District 4	56.33	(49.98 - 62.47)	55.73	(49.40 - 61.88)	0.817
Judicial District 5	49.96	(44.29 - 55.63)	49.98	(43.62 - 56.34)	0.994
Judicial District 6	57.33	(51.77 - 62.71)	54.07	(48.45 - 59.60)	0.177
Judicial District 7 (Natrona)	53.95	(48.45 - 59.36)	56.11	(50.65 - 61.41)	0.368
Judicial District 8	50.36	(43.78 - 56.93)	51.29	(45.13 - 57.41)	0.718
Judicial District 9	55.56	(49.81 - 61.15)	53.08	(47.23 - 58.85)	0.315

140403

Table 9 – *Binge Alcohol Use in the Past Month* among Persons Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2008-2010 and 2010-2012 NSDUHs
State/Substate Region	2008-2010 (Estimate)	2008-2010 (95% Confidence Interval)	2010-2012 (Estimate)	2010-2012 (95% Confidence Interval)	P Value
ECBH = East Carolina Behavioral Health; SPA = service planning area. -- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2010-2012); 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 "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. 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 posterior probability of no change between the 2008-2010 and 2010-2012 estimates. The "Total U.S." estimates, along with the 95 percent confidence intervals and p values, are based on design-based (direct) estimation methods. NOTE: Binge Alcohol Use is defined as drinking five or more drinks on the same occasion (i.e., at the same time or within a couple of hours of each other) on at least 1 day in the past 30 days. ^a Difference between the 2008-2010 estimate and the 2010-2012 estimate is statistically significant at the 0.05 level. ^b Difference between the 2008-2010 estimate and the 2010-2012 estimate 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. 2010-2012). For details, see the "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008, 2009, 2010, 2011, and 2012 (2008, 2009, and 2010 Data - Revised March 2012).
Total United States	23.37^a	(23.03 - 23.72)	22.81	(22.47 - 23.16)	0.006
Northeast	24.80	(24.10 - 25.51)	24.61	(23.88 - 25.37)	0.630
Midwest	25.72^b	(25.17 - 26.28)	25.10	(24.49 - 25.73)	0.051
South	21.70	(21.20 - 22.21)	21.26	(20.69 - 21.83)	0.128
West	22.65^a	(21.97 - 23.34)	21.75	(21.03 - 22.50)	0.015
Alabama	20.27	(18.43 - 22.24)	20.18	(18.19 - 22.33)	0.931
Region 1	18.44	(15.66 - 21.59)	18.40	(15.56 - 21.61)	0.975
Region 2	21.45	(18.55 - 24.66)	22.71	(19.54 - 26.22)	0.398
Region 3	22.47^a	(18.99 - 26.38)	17.94	(14.96 - 21.36)	0.005
Region 4	19.09	(16.00 - 22.62)	20.59	(17.51 - 24.04)	0.318
Alaska	24.04	(21.95 - 26.25)	23.27	(21.15 - 25.53)	0.466
Anchorage	26.53	(23.63 - 29.65)	25.29	(22.53 - 28.28)	0.408
Northern	21.12	(17.94 - 24.69)	21.97	(18.66 - 25.69)	0.591
South Central	23.21	(19.64 - 27.20)	21.92	(18.55 - 25.71)	0.419
Southeast	22.01	(18.03 - 26.59)	21.45	(17.78 - 25.65)	0.746
Arizona	23.14	(20.95 - 25.48)	22.44	(20.28 - 24.76)	0.513
Maricopa	22.66	(20.05 - 25.50)	23.28	(20.64 - 26.14)	0.645
Pima	24.72	(20.61 - 29.35)	23.46	(19.73 - 27.65)	0.502
Rural North	24.80^a	(20.68 - 29.43)	19.01	(15.56 - 23.01)	0.001
Rural South	21.96	(17.99 - 26.54)	20.50	(16.73 - 24.87)	0.371
Arkansas	19.43	(17.55 - 21.47)	19.46	(17.50 - 21.59)	0.971
Catchment Area 1	18.31	(15.14 - 21.97)	20.07	(16.78 - 23.82)	0.233
Catchment Area 2	18.96	(15.58 - 22.87)	18.51	(15.10 - 22.48)	0.767
Catchment Area 3	20.98	(17.42 - 25.03)	18.96	(15.73 - 22.69)	0.180
Catchment Area 4	18.32	(14.85 - 22.39)	18.89	(15.55 - 22.76)	0.706
Catchment Area 5	20.00	(16.85 - 23.57)	20.43	(17.16 - 24.15)	0.782
Catchment Area 6	18.28	(14.77 - 22.42)	18.94	(15.40 - 23.07)	0.676
Catchment Area 7	19.20	(15.57 - 23.44)	17.88	(14.48 - 21.89)	0.403
Catchment Area 8	20.20	(16.97 - 23.86)	20.27	(17.05 - 23.92)	0.961
California	22.33^b	(21.25 - 23.44)	21.35	(20.24 - 22.51)	0.087
Region 1R	26.49	(22.54 - 30.86)	24.16	(20.50 - 28.24)	0.150
Region 2R	25.87^a	(22.25 - 29.87)	22.53	(19.19 - 26.27)	0.035
Region 3R (Sacramento)	22.75	(19.49 - 26.37)	20.63	(17.63 - 23.99)	0.125
Region 4R	21.15	(17.86 - 24.85)	22.24	(19.02 - 25.84)	0.469
Region 5R (San Francisco)	25.85	(21.60 - 30.61)	24.96	(21.18 - 29.15)	0.628
Region 6 (Santa Clara)	20.17	(17.09 - 23.65)	19.39	(16.47 - 22.69)	0.560
Region 7R (Contra Costa)	21.19	(17.62 - 25.27)	21.26	(17.88 - 25.08)	0.968
Region 8R (Alameda)	20.66	(17.37 - 24.38)	20.36	(17.24 - 23.89)	0.844
Region 9R (San Mateo)	20.78^a	(17.28 - 24.77)	17.76	(14.50 - 21.57)	0.050
Region 10	23.50	(20.17 - 27.20)	21.91	(18.56 - 25.68)	0.271
Region 11 (Los Angeles)	21.29	(19.78 - 22.88)	20.99	(19.52 - 22.53)	0.679
LA SPA 1 and 5	23.18	(19.54 - 27.27)	23.19	(19.73 - 27.06)	0.992
LA SPA 2	19.81	(16.93 - 23.03)	19.50	(16.65 - 22.71)	0.824
LA SPA 3	20.67^a	(17.72 - 23.96)	17.46	(14.80 - 20.49)	0.015
LA SPA 4	23.31	(19.95 - 27.04)	23.64	(20.14 - 27.55)	0.824
LA SPA 6	20.64	(17.19 - 24.56)	21.98	(18.62 - 25.74)	0.387
LA SPA 7	23.01	(19.53 - 26.91)	23.01	(19.68 - 26.73)	0.999
LA SPA 8	20.18	(16.91 - 23.90)	21.34	(18.30 - 24.73)	0.423
Region 12R	22.55	(18.92 - 26.66)	21.84	(18.22 - 25.94)	0.639
Regions 13 and 19R	23.84	(20.75 - 27.23)	22.51	(19.58 - 25.73)	0.360
Region 13 (Riverside)	23.90	(20.61 - 27.53)	22.49	(19.39 - 25.94)	0.362
Region 19R (Imperial)	23.10	(19.30 - 27.38)	22.69	(18.79 - 27.13)	0.800
Region 14 (Orange)	20.49^b	(17.97 - 23.28)	18.16	(15.80 - 20.79)	0.068
Region 15R (Fresno)	21.68	(18.35 - 25.42)	21.26	(17.98 - 24.95)	0.769
Region 16R (San Diego)	24.89	(22.18 - 27.82)	22.83	(20.14 - 25.75)	0.129
Region 17R	23.19	(20.02 - 26.70)	22.91	(19.72 - 26.44)	0.850
Region 18R (San Bernardino)	21.81	(18.96 - 24.95)	21.52	(18.75 - 24.57)	0.821
Region 20R	23.10	(19.47 - 27.19)	21.71	(18.28 - 25.60)	0.350
Region 21R	23.85	(20.11 - 28.05)	23.92	(20.40 - 27.82)	0.968
Colorado	26.84^a	(24.68 - 29.12)	24.36	(22.20 - 26.65)	0.027
Region 1	26.73^a	(22.65 - 31.24)	23.52	(20.03 - 27.41)	0.049
Regions 2 and 7	28.30	(25.46 - 31.32)	25.98	(23.13 - 29.05)	0.132
Region 3	22.76	(19.20 - 26.76)	21.57	(18.24 - 25.33)	0.462
Region 4	23.80^a	(19.46 - 28.76)	20.34	(16.50 - 24.81)	0.038
Regions 5 and 6	26.57^a	(22.05 - 31.65)	22.87	(18.97 - 27.29)	0.044
Connecticut	26.48	(24.25 - 28.85)	25.22	(22.99 - 27.59)	0.245
Eastern	25.24	(21.29 - 29.65)	25.45	(22.02 - 29.21)	0.899
North Central	26.05^b	(22.65 - 29.75)	23.11	(19.85 - 26.73)	0.069
Northwestern	24.98	(21.29 - 29.07)	24.28	(20.51 - 28.48)	0.701
South Central	28.48	(24.69 - 32.61)	28.13	(24.34 - 32.26)	0.854
Southwest	26.85	(22.64 - 31.54)	25.43	(21.65 - 29.62)	0.448
Delaware	24.61^b	(22.38 - 26.99)	22.41	(20.31 - 24.65)	0.052
Kent	24.85^a	(21.06 - 29.09)	21.15	(17.74 - 25.01)	0.033
New Castle (excluding Wilmington City)	25.18	(22.32 - 28.27)	23.35	(20.68 - 26.25)	0.223
Sussex	23.93^b	(20.16 - 28.16)	21.08	(17.79 - 24.78)	0.100
Wilmington City	22.50	(18.47 - 27.12)	22.85	(18.86 - 27.39)	0.852
District of Columbia	29.93^b	(27.56 - 32.42)	32.09	(29.72 - 34.55)	0.070
Ward 1	34.33^a	(29.69 - 39.30)	39.48	(34.65 - 44.53)	0.010
Ward 2	39.10^a	(34.38 - 44.04)	43.87	(39.41 - 48.43)	0.028
Ward 3	34.48	(30.10 - 39.14)	35.69	(31.62 - 39.98)	0.552
Ward 4	25.18	(20.73 - 30.23)	24.41	(20.34 - 29.01)	0.704
Ward 5	26.40	(21.95 - 31.39)	27.47	(23.60 - 31.70)	0.593
Ward 6	30.13^a	(25.72 - 34.93)	36.02	(31.17 - 41.18)	0.006
Ward 7	23.06	(19.26 - 27.35)	23.15	(19.09 - 27.78)	0.961
Ward 8	23.54	(19.40 - 28.24)	23.64	(19.89 - 27.86)	0.954
Florida	21.31	(20.18 - 22.48)	20.46	(19.34 - 21.64)	0.179
Region A - Northwest	22.41	(20.15 - 24.84)	21.90	(19.85 - 24.08)	0.605
Circuit 1	21.72	(18.58 - 25.23)	19.56	(16.78 - 22.68)	0.131
Circuit 2	25.17	(21.27 - 29.51)	27.04	(23.49 - 30.92)	0.253
Circuit 14	20.43	(16.80 - 24.61)	20.51	(17.08 - 24.43)	0.957
Region B - Northeast	22.10	(19.95 - 24.40)	21.46	(19.47 - 23.60)	0.524
Circuits 3 and 8	24.08	(20.41 - 28.18)	23.47	(20.33 - 26.92)	0.697
Circuit 4	22.56^b	(19.32 - 26.17)	19.74	(16.85 - 22.99)	0.052
Circuit 7	20.27	(16.95 - 24.06)	22.34	(19.12 - 25.92)	0.203
Region C - Central	20.86	(19.23 - 22.59)	19.92	(18.33 - 21.61)	0.270
Circuit 5	19.19	(16.37 - 22.36)	17.06	(14.21 - 20.34)	0.126
Circuit 9	23.30	(20.20 - 26.73)	22.62	(19.91 - 25.59)	0.659
Circuit 10	19.22	(16.04 - 22.86)	18.39	(15.51 - 21.66)	0.593
Circuit 18	21.42	(18.27 - 24.94)	20.25	(17.28 - 23.59)	0.423
Circuit 19	19.44	(16.11 - 23.26)	20.03	(16.69 - 23.85)	0.713
Region D - Southeast	20.54	(18.45 - 22.79)	19.58	(17.60 - 21.72)	0.372
Circuit 15 (Palm Beach)	19.61	(16.47 - 23.19)	18.93	(16.18 - 22.01)	0.651
Circuit 17 (Broward)	21.23	(18.62 - 24.09)	20.08	(17.60 - 22.81)	0.380
Region E - Sun Coast	21.82	(20.02 - 23.74)	21.76	(19.87 - 23.77)	0.943
Circuit 6	20.57	(17.70 - 23.77)	22.22	(19.03 - 25.77)	0.273
Circuit 12	23.17	(19.12 - 27.78)	22.06	(18.57 - 26.00)	0.534
Circuit 13 (Hillsborough)	23.79	(20.77 - 27.11)	23.20	(20.33 - 26.34)	0.696
Circuit 20	20.51	(17.51 - 23.87)	19.52	(16.50 - 22.94)	0.500
Region F - Southern (Circuits 11 and 16)	20.77^b	(18.37 - 23.39)	18.48	(16.35 - 20.82)	0.061
Georgia	20.34	(18.37 - 22.46)	19.23	(17.35 - 21.27)	0.251
Region 1	21.12^b	(18.00 - 24.61)	18.47	(15.72 - 21.57)	0.068
Region 2	18.00	(14.79 - 21.73)	19.30	(16.19 - 22.86)	0.365
Region 3	20.14	(17.22 - 23.42)	19.65	(16.74 - 22.92)	0.749
Region 4	20.96	(16.89 - 25.71)	19.24	(15.70 - 23.34)	0.295
Region 5	22.13	(18.34 - 26.44)	19.80	(16.28 - 23.87)	0.146
Region 6	19.89	(16.52 - 23.76)	19.23	(15.92 - 23.04)	0.667
Hawaii	23.51	(21.30 - 25.86)	22.69	(20.55 - 24.97)	0.464
Hawaii Island	26.37	(22.11 - 31.13)	23.90	(19.77 - 28.60)	0.230
Honolulu	23.02	(20.47 - 25.79)	22.53	(20.24 - 24.99)	0.690
Kauai and Maui	23.17	(19.54 - 27.23)	22.35	(18.79 - 26.37)	0.616
Kauai	23.21	(18.64 - 28.49)	20.99	(16.73 - 26.01)	0.225
Maui	23.15	(18.94 - 27.97)	22.95	(18.79 - 27.71)	0.916
Idaho	20.88	(19.04 - 22.85)	20.82	(18.83 - 22.97)	0.952
Region 1	22.82	(18.93 - 27.23)	20.91	(17.25 - 25.12)	0.269
Region 2	23.16	(18.90 - 28.04)	24.61	(20.70 - 29.00)	0.385
Region 3	19.43	(16.38 - 22.89)	20.20	(16.88 - 23.98)	0.615
Region 4	23.56	(20.31 - 27.15)	22.35	(19.26 - 25.77)	0.436
Region 5	19.64	(15.94 - 23.95)	20.61	(17.05 - 24.70)	0.551
Region 6	18.49	(15.23 - 22.25)	20.44	(16.94 - 24.45)	0.203
Region 7	16.18	(13.23 - 19.63)	16.50	(13.34 - 20.24)	0.818
Illinois	26.24	(25.08 - 27.43)	25.52	(24.36 - 26.71)	0.270
Region I (Cook)	27.38	(25.49 - 29.35)	26.35	(24.55 - 28.23)	0.320
Region II	25.24	(23.37 - 27.21)	24.57	(22.71 - 26.53)	0.522
Region III	26.26	(23.82 - 28.84)	26.66	(24.15 - 29.34)	0.752
Region IV	25.46	(22.52 - 28.64)	25.21	(22.20 - 28.46)	0.870
Region V	25.43	(22.85 - 28.19)	23.99	(21.23 - 26.99)	0.299
Indiana	22.87	(20.90 - 24.98)	22.99	(20.92 - 25.21)	0.898
Central	22.03	(18.83 - 25.61)	22.12	(18.83 - 25.80)	0.959
East	20.27	(16.65 - 24.44)	21.79	(18.22 - 25.85)	0.350
North Central	22.80	(19.20 - 26.85)	22.89	(19.42 - 26.77)	0.957
Northeast	23.64	(19.83 - 27.93)	22.68	(19.03 - 26.81)	0.564
Northwest	23.28	(19.26 - 27.84)	23.05	(19.53 - 27.01)	0.896
Southeast	21.92	(18.24 - 26.11)	21.63	(18.09 - 25.65)	0.864
Southwest	22.70	(18.57 - 27.43)	23.46	(19.44 - 28.02)	0.650
West	26.92	(23.16 - 31.05)	27.26	(23.45 - 31.44)	0.834
Iowa	27.63	(25.58 - 29.78)	26.72	(24.59 - 28.97)	0.382
Central	26.29	(22.69 - 30.24)	27.73	(24.06 - 31.73)	0.411
North Central	27.44	(23.48 - 31.79)	28.64	(24.57 - 33.09)	0.518
Northeast	31.76^b	(28.09 - 35.67)	28.63	(25.07 - 32.47)	0.076
Northwest	25.40	(21.57 - 29.66)	23.28	(19.71 - 27.28)	0.249
Southeast	26.43	(23.04 - 30.12)	25.53	(22.18 - 29.20)	0.598
Southwest	26.28	(22.10 - 30.93)	25.99	(22.05 - 30.36)	0.875
Kansas	25.16	(23.04 - 27.40)	23.79	(21.72 - 26.00)	0.162
Kansas City Metro	26.37	(23.32 - 29.67)	25.36	(22.29 - 28.70)	0.511
Northeast	24.60	(20.81 - 28.83)	22.97	(19.62 - 26.69)	0.324
South Central	24.27	(19.99 - 29.13)	22.11	(18.38 - 26.35)	0.200
Southeast	23.74	(19.42 - 28.68)	21.56	(17.67 - 26.04)	0.204
West	24.34	(20.38 - 28.78)	23.65	(19.90 - 27.85)	0.684
Wichita (Sedgwick)	25.13	(21.41 - 29.27)	23.88	(20.46 - 27.68)	0.463
Kentucky	20.57^b	(18.66 - 22.62)	22.18	(20.15 - 24.35)	0.089
Adanta, Cumberland River, and Lifeskills	16.79	(13.86 - 20.20)	18.90	(15.81 - 22.42)	0.139
Bluegrass, Comprehend, and North Key	24.06	(20.96 - 27.45)	26.38	(23.02 - 30.03)	0.142
Communicare and River Valley	19.25	(15.65 - 23.45)	19.88	(16.46 - 23.81)	0.675
Four Rivers and Pennyroyal	19.42	(15.96 - 23.41)	19.79	(16.27 - 23.85)	0.810
Kentucky River, Mountain, and Pathways	17.27	(14.05 - 21.06)	19.69	(16.23 - 23.67)	0.101
Seven Counties	21.83	(18.36 - 25.74)	22.59	(19.32 - 26.24)	0.639
Louisiana	23.06	(21.08 - 25.16)	23.77	(21.82 - 25.84)	0.447
Regions 1 and 10	--	(-- - --)	24.31	(21.18 - 27.73)	--
Region 1	--	(-- - --)	24.65	(20.74 - 29.03)	--
Region 10 (Jefferson)	22.60	(18.39 - 27.46)	23.97	(19.99 - 28.45)	0.455
Regions 2 and 9	24.51	(21.47 - 27.83)	23.64	(20.66 - 26.91)	0.560
Region 3	--	(-- - --)	24.23	(20.35 - 28.59)	--
Regions 4, 5, and 6	21.40	(18.21 - 24.98)	23.98	(20.77 - 27.51)	0.103
Regions 7 and 8	22.97	(19.60 - 26.73)	22.96	(19.83 - 26.41)	0.993
Maine	22.68	(20.74 - 24.75)	21.49	(19.43 - 23.70)	0.228
Aroostook/Downeast	21.05	(17.63 - 24.94)	20.66	(17.56 - 24.15)	0.795
Aroostook	--	(-- - --)	20.06	(16.31 - 24.40)	--
Downeast	--	(-- - --)	21.16	(17.21 - 25.73)	--
Central	21.86	(18.33 - 25.85)	21.36	(17.88 - 25.31)	0.776
Cumberland	25.39	(21.91 - 29.21)	23.00	(19.56 - 26.84)	0.160
Midcoast	21.17	(17.47 - 25.41)	19.41	(15.82 - 23.59)	0.302
Penquis	22.49	(18.97 - 26.45)	22.03	(18.82 - 25.61)	0.774
Western	21.26	(17.93 - 25.01)	22.03	(18.61 - 25.88)	0.624
York	23.68^b	(19.80 - 28.04)	20.66	(17.19 - 24.62)	0.086
Maryland	20.87	(18.73 - 23.18)	21.78	(19.76 - 23.95)	0.362
Anne Arundel	23.42	(19.48 - 27.89)	24.49	(20.30 - 29.22)	0.561
Baltimore City	20.91^b	(16.90 - 25.58)	24.17	(20.57 - 28.18)	0.066
Baltimore County	20.64	(16.89 - 24.99)	21.00	(17.68 - 24.75)	0.836
Montgomery	20.42	(16.87 - 24.51)	20.30	(17.02 - 24.02)	0.938
North Central	21.42	(17.59 - 25.83)	21.28	(17.61 - 25.47)	0.931
Northeast	20.61	(16.87 - 24.92)	20.43	(16.83 - 24.58)	0.914
Prince George's	19.01^b	(15.51 - 23.08)	21.81	(18.27 - 25.83)	0.098
South	21.41	(17.62 - 25.76)	21.50	(17.86 - 25.66)	0.956
West	21.68	(17.70 - 26.26)	22.12	(18.55 - 26.15)	0.802
Massachusetts	25.51	(23.58 - 27.55)	26.67	(24.52 - 28.94)	0.252
Boston	26.45^a	(22.33 - 31.03)	30.69	(26.73 - 34.96)	0.020
Central	25.42	(21.52 - 29.76)	26.50	(22.52 - 30.90)	0.552
Metrowest	23.97^a	(20.87 - 27.36)	27.05	(23.60 - 30.81)	0.049
Northeast	25.31	(21.84 - 29.12)	25.24	(21.81 - 29.00)	0.968
Southeast	25.15	(21.67 - 28.97)	24.76	(21.24 - 28.65)	0.824
Western	28.36	(24.50 - 32.57)	27.41	(23.49 - 31.71)	0.600
Michigan	25.71	(24.53 - 26.94)	25.23	(24.05 - 26.45)	0.458
Detroit City	21.80	(18.86 - 25.06)	21.04	(18.13 - 24.29)	0.613
Genesee	24.79	(21.35 - 28.59)	23.12	(19.98 - 26.59)	0.300
Kalamazoo	24.42	(21.34 - 27.78)	25.33	(22.30 - 28.63)	0.534
Kent	29.60	(25.95 - 33.54)	26.92	(23.73 - 30.37)	0.114
Lakeshore	24.95	(22.07 - 28.06)	24.72	(21.83 - 27.85)	0.870
Macomb	27.05	(23.91 - 30.44)	26.44	(23.51 - 29.59)	0.690
Mid South	25.69	(22.87 - 28.73)	25.43	(22.67 - 28.39)	0.853
Northern	26.37	(23.28 - 29.71)	26.16	(23.07 - 29.52)	0.896
Oakland	25.99	(23.24 - 28.95)	24.75	(22.17 - 27.53)	0.379
Pathways and Western	28.27	(24.51 - 32.36)	28.92	(25.24 - 32.90)	0.711
Riverhaven	31.66^b	(27.42 - 36.23)	28.45	(24.66 - 32.58)	0.088
Saginaw	24.49	(20.64 - 28.79)	26.09	(22.12 - 30.50)	0.387
Southeast	23.95	(21.30 - 26.83)	24.64	(22.07 - 27.42)	0.616
St. Clair	26.76^a	(23.11 - 30.76)	22.78	(19.53 - 26.39)	0.015
Washtenaw	25.35	(22.03 - 28.99)	26.26	(23.23 - 29.53)	0.555
Minnesota	27.14	(24.96 - 29.43)	26.93	(24.75 - 29.24)	0.847
Regions 1 and 2	27.38	(23.12 - 32.11)	25.59	(21.18 - 30.57)	0.360
Regions 3 and 4	28.71	(24.91 - 32.83)	26.50	(22.80 - 30.55)	0.234
Regions 5 and 6	27.86	(24.11 - 31.95)	28.20	(24.49 - 32.24)	0.852
Region 7A (Hennepin)	25.72	(21.93 - 29.91)	27.32	(23.75 - 31.22)	0.361
Region 7B (Ramsey)	22.77^a	(18.89 - 27.18)	27.10	(22.79 - 31.88)	0.017
Region 7C	28.36	(24.65 - 32.40)	26.34	(23.00 - 29.98)	0.226
Mississippi	19.80	(17.96 - 21.78)	19.71	(17.87 - 21.69)	0.914
Region 1	20.39^b	(17.44 - 23.69)	17.85	(15.14 - 20.92)	0.064
Region 2	19.81	(16.16 - 24.05)	20.49	(16.98 - 24.51)	0.664
Region 3	17.38^b	(14.23 - 21.05)	19.87	(16.69 - 23.47)	0.098
Region 4	19.37	(16.32 - 22.84)	19.47	(16.33 - 23.06)	0.944
Region 5	19.26	(15.50 - 23.68)	18.83	(15.06 - 23.27)	0.790
Region 6	22.30	(18.46 - 26.68)	21.88	(18.24 - 26.03)	0.800
Region 7	20.27	(16.84 - 24.18)	20.81	(17.46 - 24.60)	0.730
Missouri	23.74	(21.77 - 25.82)	23.06	(21.04 - 25.21)	0.481
Central	25.34	(21.42 - 29.70)	24.17	(20.50 - 28.25)	0.467
Eastern	24.03	(21.31 - 26.97)	23.07	(20.42 - 25.96)	0.463
Eastern (St. Louis City and County)	22.37	(19.17 - 25.94)	21.50	(18.41 - 24.95)	0.585
Eastern (excluding St. Louis)	26.94	(22.87 - 31.44)	25.79	(21.82 - 30.22)	0.543
Northwest	23.46	(20.66 - 26.51)	24.00	(21.15 - 27.10)	0.677
Northwest (Jackson)	22.87	(19.32 - 26.85)	23.96	(20.53 - 27.75)	0.513
Northwest (excluding Jackson)	23.97	(20.20 - 28.19)	24.04	(20.29 - 28.23)	0.967
Southeast	23.81	(19.93 - 28.16)	22.29	(18.75 - 26.29)	0.391
Southwest	22.07	(18.55 - 26.05)	21.19	(17.79 - 25.03)	0.601
Montana	27.71	(25.56 - 29.97)	26.64	(24.53 - 28.85)	0.312
Region 1	26.93	(22.54 - 31.83)	27.14	(22.85 - 31.91)	0.911
Region 2	24.53	(20.72 - 28.80)	25.12	(21.18 - 29.51)	0.741
Region 3	26.17	(22.46 - 30.25)	25.98	(22.58 - 29.69)	0.913
Region 4	31.75^a	(28.27 - 35.44)	27.85	(24.59 - 31.36)	0.022
Region 5	26.98	(23.54 - 30.73)	26.61	(23.58 - 29.87)	0.824
Nebraska	26.09	(23.97 - 28.32)	24.53	(22.40 - 26.79)	0.129
Regions 1 and 2	25.32	(21.72 - 29.29)	23.74	(20.34 - 27.52)	0.289
Region 1	24.21	(19.92 - 29.09)	23.58	(19.37 - 28.38)	0.727
Region 2	26.27	(21.42 - 31.77)	23.89	(19.61 - 28.77)	0.225
Region 3	23.16	(19.43 - 27.37)	21.94	(18.57 - 25.74)	0.484
Region 4	25.13	(20.91 - 29.88)	23.88	(19.89 - 28.39)	0.509
Region 5	28.01	(24.57 - 31.74)	25.76	(22.33 - 29.51)	0.174
Region 6	26.30	(23.28 - 29.57)	24.93	(22.07 - 28.03)	0.350
Nevada¹	26.72	(24.31 - 29.27)	25.08	(22.63 - 27.70)	0.189
Clark - Region 1	26.72	(23.94 - 29.70)	24.61	(21.82 - 27.62)	0.139
Region 3	26.22^b	(21.87 - 31.09)	23.17	(19.48 - 27.32)	0.080
Capital District	--	(-- - --)	24.59	(20.05 - 29.77)	--
Rural/Frontier	--	(-- - --)	21.89	(17.40 - 27.15)	--
Washoe - Region 2	27.10	(23.14 - 31.45)	28.74	(24.75 - 33.10)	0.399
New Hampshire	25.26	(23.18 - 27.45)	23.89	(21.81 - 26.11)	0.194
Central	25.87	(22.87 - 29.12)	24.29	(21.35 - 27.49)	0.256
Central 1	26.54	(22.61 - 30.89)	26.49	(22.79 - 30.55)	0.976
Central 2	25.23^b	(21.50 - 29.38)	22.16	(18.52 - 26.28)	0.081
Northern	25.21	(21.17 - 29.72)	23.50	(19.86 - 27.58)	0.322
Southern	24.97	(22.49 - 27.63)	23.79	(21.34 - 26.42)	0.340
Southern 1 (Rockingham)	25.76	(22.03 - 29.89)	24.96	(21.43 - 28.85)	0.644
Southern 2	24.48	(21.49 - 27.74)	23.06	(20.23 - 26.15)	0.347
New Jersey	24.53	(22.28 - 26.93)	23.54	(21.48 - 25.73)	0.369
Central	23.03	(19.54 - 26.93)	22.82	(19.47 - 26.55)	0.900
Metropolitan	23.36	(19.95 - 27.16)	24.01	(20.78 - 27.57)	0.691
Northern	25.42	(22.00 - 29.19)	24.15	(21.05 - 27.54)	0.440
Southern	26.14^b	(22.33 - 30.36)	22.87	(19.55 - 26.58)	0.067
New Mexico	22.26^b	(20.23 - 24.42)	20.55	(18.56 - 22.69)	0.084
Region 1	19.50	(16.57 - 22.80)	17.85	(15.07 - 21.01)	0.232
Region 2	23.28^a	(19.41 - 27.65)	19.40	(15.90 - 23.46)	0.024
Region 3 (Bernalillo)	23.43	(20.31 - 26.87)	21.83	(18.82 - 25.17)	0.306
Region 4	21.29	(17.62 - 25.50)	21.60	(18.25 - 25.38)	0.846
Region 5	23.06	(19.61 - 26.92)	21.44	(18.21 - 25.07)	0.290
New York	24.08	(22.90 - 25.30)	24.16	(22.97 - 25.40)	0.898
Region A	22.55^b	(20.85 - 24.34)	24.01	(22.39 - 25.71)	0.084
Region 1	22.78	(19.23 - 26.76)	24.46	(21.42 - 27.78)	0.285
Region 2	20.48^b	(18.03 - 23.18)	22.90	(20.40 - 25.62)	0.058
Region 3	29.11	(25.23 - 33.31)	28.02	(24.65 - 31.66)	0.529
Region 4	20.20	(17.49 - 23.21)	22.21	(19.34 - 25.38)	0.155
Region B	24.20	(22.33 - 26.17)	23.65	(21.84 - 25.55)	0.562
Region 5	24.46	(21.88 - 27.25)	24.09	(21.66 - 26.69)	0.778
Region 6	22.10	(19.04 - 25.51)	22.85	(19.76 - 26.26)	0.615
Region 7	26.55^a	(23.15 - 30.25)	23.43	(20.30 - 26.88)	0.047
Region C	25.50	(23.79 - 27.30)	24.93	(23.22 - 26.72)	0.510
Region 8	24.14	(21.11 - 27.46)	23.16	(20.17 - 26.45)	0.520
Region 9	24.59	(21.25 - 28.26)	24.40	(21.30 - 27.80)	0.910
Region 10	28.55^a	(24.71 - 32.71)	25.31	(21.87 - 29.09)	0.047
Region 11	24.60	(21.58 - 27.89)	26.04	(22.89 - 29.45)	0.349
Region 12	27.11	(23.87 - 30.61)	25.75	(22.65 - 29.11)	0.380
Region D	27.37^a	(24.85 - 30.03)	24.34	(22.08 - 26.76)	0.008
Region 13	27.13^b	(23.02 - 31.66)	23.95	(20.43 - 27.85)	0.057
Region 14	30.01^a	(26.01 - 34.34)	26.23	(22.46 - 30.39)	0.027
Region 15	24.97	(21.21 - 29.15)	22.83	(19.59 - 26.43)	0.197
North Carolina¹	20.29^b	(18.39 - 22.34)	18.54	(16.57 - 20.69)	0.053
Alliance	20.58	(17.45 - 24.12)	18.67	(15.82 - 21.89)	0.178
Cardinal Innovations	20.50	(16.77 - 24.82)	18.00	(14.88 - 21.61)	0.102
CenterPoint/Guilford	19.55	(16.48 - 23.05)	17.99	(15.11 - 21.28)	0.217
CenterPoint	18.25	(14.51 - 22.69)	17.23	(13.66 - 21.50)	0.493
Guilford	21.03	(17.02 - 25.69)	18.81	(15.22 - 23.02)	0.180
CoastalCare	20.68	(16.72 - 25.29)	21.01	(17.05 - 25.61)	0.830
Eastpointe	19.79^a	(15.98 - 24.24)	15.76	(12.69 - 19.41)	0.006
ECBH	21.94^b	(18.10 - 26.34)	19.07	(15.33 - 23.45)	0.081
MeckLINK	21.70	(17.93 - 26.01)	20.49	(16.56 - 25.07)	0.487
Partners	19.00	(15.67 - 22.84)	18.47	(15.20 - 22.25)	0.718
Sandhills	19.71	(15.68 - 24.47)	18.06	(14.58 - 22.16)	0.293
Smoky Mountain	20.50	(16.60 - 25.04)	19.31	(15.47 - 23.83)	0.478
Western Highlands	19.10	(15.43 - 23.40)	17.91	(14.43 - 22.02)	0.456
North Dakota	29.90	(27.86 - 32.03)	30.25	(28.05 - 32.55)	0.742
Badlands and West Central	28.30	(25.00 - 31.85)	27.20	(23.74 - 30.97)	0.509
Lake Region and South Central	27.64	(23.50 - 32.20)	25.97	(22.01 - 30.37)	0.390
North Central and Northwest	29.17	(25.29 - 33.39)	28.67	(24.78 - 32.90)	0.779
Northeast	29.11^b	(25.15 - 33.42)	32.58	(28.75 - 36.65)	0.061
Southeast	33.61	(30.38 - 37.00)	35.39	(32.00 - 38.92)	0.278
Ohio	24.48	(23.37 - 25.63)	23.72	(22.60 - 24.87)	0.203
Boards 2, 46, 55, and 68	23.71	(20.64 - 27.08)	22.84	(19.60 - 26.44)	0.574
Boards 3, 52, and 85	25.21^b	(21.56 - 29.25)	22.35	(18.95 - 26.17)	0.080
Boards 4 and 78	24.63	(20.70 - 29.03)	23.96	(20.20 - 28.16)	0.706
Boards 5 and 60	25.59	(22.23 - 29.27)	25.09	(21.69 - 28.83)	0.757
Boards 7, 15, 41, 79, and 84	22.56	(19.16 - 26.36)	20.66	(17.60 - 24.09)	0.239
Boards 8, 13, and 83	23.46	(20.05 - 27.25)	22.26	(19.19 - 25.68)	0.434
Board 9 (Butler)	27.99	(23.99 - 32.38)	25.72	(22.29 - 29.48)	0.192
Board 12	25.46	(21.92 - 29.36)	22.98	(19.60 - 26.75)	0.118
Boards 18 and 47	23.94	(21.53 - 26.53)	24.29	(21.87 - 26.87)	0.793
Boards 20, 32, 54, and 69	24.31	(20.67 - 28.37)	23.72	(20.25 - 27.58)	0.719
Boards 21, 39, 51, 70, and 80	23.64	(20.19 - 27.48)	23.88	(20.62 - 27.46)	0.885
Boards 22, 74, and 87	26.99	(23.35 - 30.96)	24.34	(21.01 - 28.01)	0.107
Boards 23 and 45	24.12	(20.44 - 28.23)	23.28	(20.02 - 26.90)	0.614
Board 25 (Franklin)	25.43	(22.65 - 28.43)	26.69	(24.07 - 29.49)	0.386
Boards 27, 71, and 73	22.37	(19.05 - 26.08)	21.83	(18.70 - 25.32)	0.725
Boards 28, 43, and 67	26.30	(23.15 - 29.72)	25.20	(22.01 - 28.67)	0.485
Board 31 (Hamilton)	24.02	(20.74 - 27.63)	22.56	(19.80 - 25.59)	0.330
Board 48 (Lucas)	23.76	(20.36 - 27.53)	25.27	(21.80 - 29.09)	0.342
Boards 50 and 76	24.35	(21.18 - 27.82)	22.84	(19.93 - 26.04)	0.328
Board 57 (Montgomery)	21.57	(18.36 - 25.18)	20.71	(17.68 - 24.10)	0.564
Board 77 (Summit)	27.22^b	(23.61 - 31.16)	24.05	(21.02 - 27.36)	0.052
Oklahoma	22.16	(20.14 - 24.33)	21.48	(19.46 - 23.64)	0.462
Central	23.69	(19.96 - 27.87)	24.84	(20.92 - 29.21)	0.502
East Central	21.15	(17.34 - 25.53)	18.96	(15.52 - 22.95)	0.165
Northeast	20.33	(16.81 - 24.37)	19.54	(16.38 - 23.14)	0.609
Northwest and Southwest	22.34	(18.60 - 26.59)	22.02	(18.44 - 26.08)	0.843
Oklahoma County	22.70	(19.04 - 26.84)	22.54	(19.09 - 26.40)	0.920
Southeast	22.60	(18.99 - 26.68)	20.61	(17.17 - 24.54)	0.218
Tulsa County	22.08	(18.65 - 25.95)	21.24	(17.77 - 25.18)	0.594
Oregon	22.53	(20.46 - 24.74)	21.42	(19.50 - 23.48)	0.261
Region 1 (Multnomah)	23.86	(20.19 - 27.97)	25.08	(21.61 - 28.90)	0.474
Region 2	21.27	(17.95 - 25.02)	19.84	(16.75 - 23.34)	0.366
Region 3	23.40	(20.40 - 26.70)	21.82	(19.18 - 24.71)	0.286
Region 4	20.69	(17.14 - 24.75)	19.50	(16.29 - 23.17)	0.459
Region 5 (Central)	23.75	(19.47 - 28.64)	21.13	(17.28 - 25.57)	0.124
Region 6 (Eastern)	22.15^a	(18.09 - 26.81)	18.62	(14.89 - 23.03)	0.030
Pennsylvania	25.16	(23.96 - 26.41)	24.86	(23.67 - 26.09)	0.651
Region 1 (Allegheny)	26.98	(24.09 - 30.08)	27.56	(24.63 - 30.69)	0.704
Regions 3, 8, 9, and 51	24.21	(20.94 - 27.80)	24.91	(21.65 - 28.49)	0.648
Regions 4, 11, 37, and 49	25.63	(22.45 - 29.10)	24.07	(21.01 - 27.41)	0.300
Regions 5, 18, 23, 24, and 46	22.85	(19.30 - 26.83)	22.58	(19.52 - 25.97)	0.873
Regions 6, 12, 16, 31, 35, 45, and 47	27.49^a	(24.22 - 31.01)	24.37	(21.39 - 27.62)	0.043
Regions 7, 13, 20, and 33	25.51	(23.22 - 27.95)	25.75	(23.42 - 28.23)	0.850
Regions 10, 15, 27, 32, 43, and 44	25.32	(21.92 - 29.06)	23.83	(20.67 - 27.31)	0.350
Regions 17 and 21	24.70	(21.10 - 28.69)	27.06	(23.23 - 31.27)	0.166
Regions 19, 26, 28, and 42	22.72^b	(19.74 - 26.00)	20.34	(17.90 - 23.02)	0.087
Regions 22, 38, 40, 41, and 48	25.06	(21.67 - 28.77)	23.69	(20.71 - 26.95)	0.391
Regions 29 and 34	22.97	(19.57 - 26.77)	23.76	(20.25 - 27.66)	0.630
Regions 30 and 50	26.85	(23.18 - 30.88)	24.56	(21.27 - 28.17)	0.172
Region 36 (Philadelphia)	26.12	(23.23 - 29.24)	28.44	(25.54 - 31.52)	0.129
Rhode Island	26.92^b	(24.57 - 29.42)	29.06	(26.65 - 31.60)	0.071
Bristol and Newport	25.03^a	(20.98 - 29.57)	30.65	(26.21 - 35.48)	0.004
Kent	23.50^a	(19.61 - 27.88)	27.94	(23.87 - 32.40)	0.022
Providence	28.29	(25.25 - 31.55)	29.00	(26.01 - 32.19)	0.649
Washington	26.82	(22.66 - 31.43)	29.16	(25.08 - 33.60)	0.209
South Carolina	21.65	(19.68 - 23.75)	23.03	(20.92 - 25.28)	0.176
Region 1	19.46	(16.39 - 22.94)	21.84	(18.73 - 25.32)	0.131
Region 2	22.12	(19.25 - 25.28)	22.45	(19.38 - 25.86)	0.826
Region 3	23.41	(19.47 - 27.87)	24.43	(20.55 - 28.77)	0.581
Region 4	22.11	(18.87 - 25.73)	23.91	(20.64 - 27.52)	0.278
South Dakota	29.25	(27.17 - 31.41)	28.00	(25.85 - 30.25)	0.251
Region 1	--	(-- - --)	26.47	(23.08 - 30.16)	--
Region 2	--	(-- - --)	26.58	(22.34 - 31.31)	--
Region 3	--	(-- - --)	30.07	(26.54 - 33.84)	--
Region 4	--	(-- - --)	28.18	(24.37 - 32.33)	--
Region 5	--	(-- - --)	27.96	(24.58 - 31.61)	--
Tennessee	18.55	(16.68 - 20.58)	17.96	(16.11 - 19.96)	0.499
Region 1	18.80^a	(15.46 - 22.68)	15.51	(12.59 - 18.97)	0.019
Region 2	18.75	(15.55 - 22.42)	17.55	(14.60 - 20.96)	0.418
Region 3	--	(-- - --)	16.64	(13.78 - 19.96)	--
Region 4 (Davidson)	20.04	(16.48 - 24.15)	21.30	(17.79 - 25.29)	0.427
Region 5	--	(-- - --)	19.21	(16.16 - 22.67)	--
Region 6	18.39	(15.04 - 22.28)	17.11	(13.89 - 20.89)	0.361
Region 7 (Shelby)	18.63	(15.20 - 22.63)	17.44	(14.39 - 20.97)	0.419
Texas	23.93	(22.78 - 25.13)	23.62	(22.48 - 24.80)	0.635
Region 1	24.98	(21.55 - 28.76)	24.98	(21.68 - 28.61)	1.000
Region 2	23.58	(19.92 - 27.69)	22.37	(18.85 - 26.33)	0.453
Region 3	23.10	(21.19 - 25.14)	23.56	(21.75 - 25.48)	0.661
Region 3a	22.04	(19.71 - 24.57)	22.67	(20.48 - 25.03)	0.614
Region 3bc	24.96	(22.14 - 28.02)	25.11	(22.35 - 28.09)	0.923
Region 4	19.23	(16.13 - 22.77)	20.66	(17.59 - 24.11)	0.346
Region 5	24.20	(20.69 - 28.10)	22.01	(18.66 - 25.77)	0.189
Region 6	24.45	(22.36 - 26.67)	23.09	(21.09 - 25.23)	0.238
Region 6a	24.56	(22.30 - 26.96)	22.97	(20.80 - 25.30)	0.206
Region 6bc	23.60	(19.68 - 28.03)	24.08	(20.35 - 28.25)	0.776
Region 7	26.11	(23.69 - 28.68)	25.93	(23.68 - 28.32)	0.883
Region 7a	27.27	(24.18 - 30.60)	27.47	(24.46 - 30.69)	0.899
Region 7bcd	24.19	(20.86 - 27.85)	23.36	(20.39 - 26.62)	0.577
Region 8	25.25	(22.25 - 28.52)	24.02	(21.28 - 26.99)	0.396
Region 9	23.35	(19.73 - 27.41)	24.70	(20.88 - 28.97)	0.409
Region 10	22.88	(19.18 - 27.05)	23.31	(20.03 - 26.93)	0.796
Region 11	23.19	(20.67 - 25.92)	23.33	(20.77 - 26.09)	0.908
Region 11abd	24.13	(20.92 - 27.66)	24.15	(20.94 - 27.69)	0.985
Region 11c (Hidalgo)	21.47	(18.09 - 25.28)	21.86	(18.53 - 25.61)	0.789
Utah	13.64	(12.04 - 15.41)	14.95	(13.32 - 16.75)	0.134
Bear River, Northeastern, Summit, Tooele, and Wasatch	12.56	(9.88 - 15.83)	12.78	(10.31 - 15.72)	0.856
Central, Four Corners, San Juan, and Southwest	13.78	(10.99 - 17.14)	15.47	(12.38 - 19.17)	0.240
Davis County	13.01	(10.37 - 16.19)	13.82	(11.11 - 17.06)	0.534
Salt Lake County	15.50	(13.16 - 18.17)	16.81	(14.50 - 19.40)	0.295
Utah County	10.34^a	(8.29 - 12.82)	12.66	(10.28 - 15.49)	0.043
Weber, Morgan	14.49	(11.41 - 18.22)	15.28	(12.20 - 18.99)	0.574
Vermont	26.40^a	(24.38 - 28.53)	24.13	(22.14 - 26.25)	0.028
Champlain Valley	28.29	(25.42 - 31.34)	27.21	(24.48 - 30.12)	0.470
Rural Northeast	27.61^a	(23.98 - 31.57)	23.16	(19.85 - 26.83)	0.008
Rural Southeast	24.37^b	(20.83 - 28.29)	21.61	(18.42 - 25.17)	0.093
Rural Southwest	22.68	(19.12 - 26.69)	21.19	(17.88 - 24.92)	0.354
Virginia	23.72^b	(21.68 - 25.89)	21.95	(20.01 - 24.02)	0.064
Region 1	24.57^b	(21.07 - 28.43)	21.87	(18.76 - 25.34)	0.092
Region 2	21.28	(18.05 - 24.92)	20.69	(17.74 - 23.99)	0.697
Region 3	25.02^b	(21.41 - 29.02)	22.18	(18.93 - 25.82)	0.078
Region 4	25.10	(21.43 - 29.16)	22.71	(19.17 - 26.69)	0.144
Region 5	23.96	(20.70 - 27.56)	22.79	(19.74 - 26.17)	0.427
Washington	22.23	(20.25 - 24.35)	22.31	(20.31 - 24.45)	0.937
Region 1	22.17	(19.14 - 25.53)	22.80	(19.77 - 26.15)	0.627
East 1 (previously Region 1)	23.21	(19.47 - 27.44)	23.95	(20.13 - 28.24)	0.656
East 2 (previously Region 2)	20.75	(16.76 - 25.41)	21.25	(17.47 - 25.58)	0.759
Region 2	22.13	(19.65 - 24.83)	22.27	(19.79 - 24.97)	0.910
North 1 (previously Region 3)	22.14	(18.52 - 26.23)	23.06	(19.75 - 26.73)	0.571
North 2 (previously Region 4)	22.13	(19.20 - 25.38)	21.82	(18.85 - 25.12)	0.835
Region 3	22.41	(19.71 - 25.36)	22.03	(19.37 - 24.93)	0.760
West 1 (previously Region 5)	23.60	(19.99 - 27.64)	24.45	(20.74 - 28.59)	0.605
West 2 (previously Region 6)	21.30	(17.94 - 25.10)	19.78	(16.66 - 23.33)	0.314
West Virginia	20.45	(18.52 - 22.53)	19.90	(18.05 - 21.88)	0.542
Region I	20.36	(16.53 - 24.81)	20.82	(17.07 - 25.14)	0.790
Region II	21.43	(17.63 - 25.79)	21.11	(17.61 - 25.09)	0.854
Region III	19.56	(16.00 - 23.69)	18.46	(15.11 - 22.34)	0.477
Region IV	21.44^b	(18.21 - 25.06)	24.17	(21.14 - 27.49)	0.078
Region V	21.34^a	(18.41 - 24.59)	17.62	(15.07 - 20.49)	0.005
Region VI	17.71	(14.49 - 21.46)	17.75	(14.74 - 21.23)	0.977
Wisconsin	29.20	(26.98 - 31.52)	28.47	(26.11 - 30.96)	0.527
Milwaukee	25.17	(21.25 - 29.53)	27.06	(23.07 - 31.46)	0.313
Northeastern	28.13	(24.52 - 32.04)	27.38	(23.91 - 31.14)	0.664
Northern	29.64	(24.89 - 34.88)	27.10	(22.46 - 32.30)	0.214
Southeastern	28.27	(24.22 - 32.71)	29.60	(25.34 - 34.25)	0.511
Southern	33.95^a	(29.62 - 38.56)	29.81	(25.86 - 34.09)	0.033
Western	29.93	(25.83 - 34.37)	29.19	(25.31 - 33.39)	0.695
Wyoming	22.77	(20.88 - 24.78)	22.60	(20.60 - 24.72)	0.858
Judicial District 1 (Laramie)	22.58	(19.05 - 26.54)	21.56	(18.26 - 25.27)	0.532
Judicial District 2	27.56	(23.56 - 31.95)	28.95	(25.24 - 32.98)	0.425
Judicial District 3	20.76	(17.49 - 24.44)	20.21	(16.99 - 23.86)	0.732
Judicial District 4	19.67	(15.90 - 24.07)	20.90	(17.25 - 25.09)	0.453
Judicial District 5	20.98	(17.43 - 25.02)	20.31	(16.66 - 24.53)	0.694
Judicial District 6	27.58^b	(23.34 - 32.27)	24.31	(20.43 - 28.65)	0.080
Judicial District 7 (Natrona)	22.86	(19.28 - 26.88)	23.48	(19.96 - 27.40)	0.714
Judicial District 8	21.35	(17.41 - 25.90)	21.93	(18.22 - 26.15)	0.736
Judicial District 9	21.91	(18.19 - 26.15)	22.45	(18.60 - 26.85)	0.754

140403

Table 10 – *Perceptions of Great Risk of Having Five or More Drinks of an Alcoholic Beverage Once or Twice a Week* among Persons Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2008-2010 and 2010-2012 NSDUHs
State/Substate Region	2008-2010 (Estimate)	2008-2010 (95% Confidence Interval)	2010-2012 (Estimate)	2010-2012 (95% Confidence Interval)	P Value
ECBH = East Carolina Behavioral Health; SPA = service planning area. -- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2010-2012); 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 "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. 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 posterior probability of no change between the 2008-2010 and 2010-2012 estimates. The "Total U.S." estimates, along with the 95 percent confidence intervals and p values, are based on design-based (direct) estimation methods. ^a Difference between the 2008-2010 estimate and the 2010-2012 estimate is statistically significant at the 0.05 level. ^b Difference between the 2008-2010 estimate and the 2010-2012 estimate 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. 2010-2012). For details, see the "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008, 2009, 2010, 2011, and 2012 (2008, 2009, and 2010 Data - Revised March 2012).
Total United States	42.12^b	(41.69 - 42.55)	42.54	(42.11 - 42.97)	0.090
Northeast	39.84^a	(39.00 - 40.67)	40.88	(40.06 - 41.70)	0.021
Midwest	38.77	(38.12 - 39.43)	38.25	(37.59 - 38.90)	0.136
South	44.55	(43.89 - 45.22)	44.77	(44.12 - 45.42)	0.558
West	43.25^a	(42.38 - 44.13)	44.29	(43.42 - 45.16)	0.035
Alabama	45.73	(43.18 - 48.29)	45.00	(42.52 - 47.51)	0.589
Region 1	45.51	(41.60 - 49.47)	45.20	(41.19 - 49.28)	0.880
Region 2	45.78	(42.03 - 49.57)	43.36	(39.62 - 47.18)	0.230
Region 3	47.45	(43.08 - 51.86)	48.41	(44.21 - 52.63)	0.656
Region 4	44.55	(40.47 - 48.71)	44.39	(40.18 - 48.69)	0.938
Alaska	41.53	(38.91 - 44.20)	40.02	(37.39 - 42.71)	0.266
Anchorage	44.56	(41.04 - 48.13)	41.75	(38.25 - 45.34)	0.121
Northern	39.82	(35.63 - 44.17)	38.37	(34.33 - 42.57)	0.471
South Central	38.37	(34.16 - 42.75)	39.20	(34.75 - 43.83)	0.705
Southeast	40.76	(36.08 - 45.61)	38.83	(34.27 - 43.59)	0.384
Arizona	43.27	(40.36 - 46.22)	44.33	(41.55 - 47.15)	0.458
Maricopa	43.90	(40.36 - 47.49)	43.85	(40.44 - 47.33)	0.982
Pima	42.38	(37.66 - 47.23)	44.17	(39.33 - 49.13)	0.439
Rural North	41.20	(36.40 - 46.17)	44.31	(39.23 - 49.51)	0.190
Rural South	43.24	(38.56 - 48.05)	46.65	(41.30 - 52.08)	0.136
Arkansas	44.33	(41.67 - 47.02)	43.95	(41.34 - 46.58)	0.775
Catchment Area 1	42.90	(38.42 - 47.50)	42.75	(38.29 - 47.33)	0.944
Catchment Area 2	43.09	(38.23 - 48.08)	41.45	(36.45 - 46.63)	0.490
Catchment Area 3	43.97	(39.43 - 48.62)	44.05	(39.28 - 48.92)	0.975
Catchment Area 4	43.57	(38.66 - 48.61)	44.03	(39.11 - 49.08)	0.847
Catchment Area 5	42.62	(38.45 - 46.90)	41.70	(37.24 - 46.30)	0.667
Catchment Area 6	47.26	(42.23 - 52.34)	47.25	(42.00 - 52.57)	0.999
Catchment Area 7	46.26	(41.19 - 51.41)	45.49	(40.47 - 50.59)	0.747
Catchment Area 8	46.20	(41.89 - 50.56)	46.24	(41.94 - 50.60)	0.985
California	44.15^a	(42.74 - 45.56)	46.47	(45.10 - 47.84)	0.003
Region 1R	37.13^a	(33.02 - 41.44)	41.69	(37.38 - 46.14)	0.023
Region 2R	39.48	(35.43 - 43.69)	39.85	(35.38 - 44.50)	0.862
Region 3R (Sacramento)	41.09^a	(37.00 - 45.32)	46.32	(42.01 - 50.68)	0.011
Region 4R	41.78	(37.80 - 45.88)	43.24	(38.98 - 47.60)	0.462
Region 5R (San Francisco)	40.16	(35.39 - 45.12)	43.69	(38.82 - 48.68)	0.137
Region 6 (Santa Clara)	44.38	(40.32 - 48.53)	45.05	(40.72 - 49.45)	0.747
Region 7R (Contra Costa)	44.82	(40.44 - 49.28)	45.93	(41.41 - 50.51)	0.594
Region 8R (Alameda)	43.57	(39.41 - 47.83)	46.35	(42.09 - 50.65)	0.169
Region 9R (San Mateo)	42.66	(38.22 - 47.22)	45.65	(40.75 - 50.63)	0.180
Region 10	43.90	(39.81 - 48.08)	43.71	(39.49 - 48.03)	0.924
Region 11 (Los Angeles)	46.98^a	(45.07 - 48.91)	49.22	(47.23 - 51.21)	0.036
LA SPA 1 and 5	41.82	(37.50 - 46.28)	45.25	(40.68 - 49.91)	0.109
LA SPA 2	47.48	(43.51 - 51.48)	48.00	(43.99 - 52.04)	0.795
LA SPA 3	46.09^a	(42.22 - 50.01)	52.10	(47.98 - 56.19)	0.005
LA SPA 4	46.75	(42.67 - 50.86)	46.14	(41.65 - 50.69)	0.766
LA SPA 6	50.37	(46.41 - 54.32)	53.43	(49.05 - 57.77)	0.123
LA SPA 7	50.21	(46.24 - 54.17)	52.92	(48.66 - 57.13)	0.183
LA SPA 8	46.21	(42.36 - 50.11)	46.98	(42.73 - 51.28)	0.705
Region 12R	41.44^b	(37.13 - 45.89)	45.12	(40.48 - 49.85)	0.077
Regions 13 and 19R	43.66^a	(40.08 - 47.32)	47.36	(43.74 - 51.00)	0.045
Region 13 (Riverside)	43.27^b	(39.47 - 47.16)	47.03	(43.18 - 50.92)	0.055
Region 19R (Imperial)	48.71	(44.46 - 52.97)	51.51	(46.59 - 56.39)	0.170
Region 14 (Orange)	43.65	(40.20 - 47.16)	46.29	(42.78 - 49.85)	0.147
Region 15R (Fresno)	45.85	(41.78 - 49.98)	48.69	(44.32 - 53.09)	0.159
Region 16R (San Diego)	42.37	(38.98 - 45.83)	45.10	(41.85 - 48.39)	0.113
Region 17R	45.92	(42.18 - 49.71)	45.47	(41.41 - 49.59)	0.819
Region 18R (San Bernardino)	45.98	(42.46 - 49.55)	48.75	(44.93 - 52.58)	0.117
Region 20R	44.42	(40.30 - 48.62)	46.06	(41.65 - 50.55)	0.430
Region 21R	41.63	(37.51 - 45.87)	44.11	(39.73 - 48.59)	0.210
Colorado	39.24	(36.59 - 41.95)	38.34	(35.81 - 40.94)	0.497
Region 1	37.47	(33.05 - 42.12)	36.82	(32.37 - 41.50)	0.770
Regions 2 and 7	39.60	(36.27 - 43.02)	39.09	(35.82 - 42.46)	0.773
Region 3	38.53	(34.32 - 42.92)	37.21	(33.11 - 41.51)	0.524
Region 4	43.63	(38.61 - 48.79)	42.56	(37.36 - 47.94)	0.644
Regions 5 and 6	38.26	(33.67 - 43.07)	35.80	(31.14 - 40.75)	0.265
Connecticut	41.15	(38.45 - 43.90)	42.71	(40.01 - 45.45)	0.259
Eastern	36.41	(32.03 - 41.02)	39.22	(34.82 - 43.80)	0.190
North Central	42.47	(38.56 - 46.47)	42.27	(38.09 - 46.57)	0.924
Northwestern	40.92	(36.55 - 45.45)	42.90	(38.39 - 47.54)	0.376
South Central	40.34	(35.97 - 44.88)	42.60	(38.19 - 47.13)	0.300
Southwest	43.49	(38.89 - 48.20)	45.63	(41.22 - 50.12)	0.345
Delaware	40.64	(37.96 - 43.37)	41.30	(38.75 - 43.89)	0.632
Kent	41.17	(36.83 - 45.65)	42.47	(38.15 - 46.91)	0.535
New Castle (excluding Wilmington City)	40.06	(36.68 - 43.54)	40.49	(37.19 - 43.89)	0.809
Sussex	39.29	(34.97 - 43.79)	40.99	(36.71 - 45.42)	0.466
Wilmington City	46.36	(41.45 - 51.34)	44.62	(39.80 - 49.55)	0.455
District of Columbia	40.56	(37.90 - 43.27)	40.06	(37.56 - 42.62)	0.708
Ward 1	40.79	(36.47 - 45.25)	37.42	(32.84 - 42.24)	0.138
Ward 2	30.95	(26.85 - 35.37)	28.67	(24.80 - 32.88)	0.249
Ward 3	34.23	(29.97 - 38.77)	35.33	(30.94 - 39.98)	0.599
Ward 4	43.16	(38.38 - 48.08)	43.20	(38.27 - 48.27)	0.987
Ward 5	44.10	(39.18 - 49.15)	43.95	(39.50 - 48.49)	0.943
Ward 6	40.81	(36.08 - 45.71)	37.89	(33.05 - 42.98)	0.216
Ward 7	47.48	(42.97 - 52.04)	48.91	(44.00 - 53.84)	0.522
Ward 8	46.36	(42.04 - 50.74)	48.03	(43.56 - 52.53)	0.435
Florida	45.91^a	(44.46 - 47.37)	47.62	(46.18 - 49.06)	0.033
Region A - Northwest	43.58	(40.85 - 46.35)	42.56	(39.90 - 45.26)	0.454
Circuit 1	43.75	(39.67 - 47.92)	42.29	(38.48 - 46.20)	0.469
Circuit 2	43.97	(39.62 - 48.41)	43.30	(39.06 - 47.64)	0.748
Circuit 14	42.68	(38.23 - 47.25)	42.20	(37.44 - 47.11)	0.823
Region B - Northeast	42.72^b	(40.18 - 45.31)	44.88	(42.34 - 47.44)	0.091
Circuits 3 and 8	41.33	(37.33 - 45.45)	42.24	(38.08 - 46.51)	0.652
Circuit 4	43.48^a	(39.67 - 47.37)	47.75	(43.69 - 51.83)	0.030
Circuit 7	42.66	(38.67 - 46.75)	42.97	(38.93 - 47.11)	0.875
Region C - Central	44.35	(42.22 - 46.50)	45.37	(43.12 - 47.64)	0.381
Circuit 5	44.59	(40.54 - 48.71)	45.10	(40.30 - 50.00)	0.817
Circuit 9	46.94	(43.17 - 50.74)	47.54	(44.10 - 51.00)	0.755
Circuit 10	44.19	(40.18 - 48.28)	44.88	(40.59 - 49.25)	0.740
Circuit 18	41.93	(37.99 - 45.97)	42.63	(38.46 - 46.92)	0.740
Circuit 19	42.39	(37.95 - 46.96)	45.82	(41.07 - 50.65)	0.133
Region D - Southeast	48.16	(45.49 - 50.84)	49.33	(46.59 - 52.08)	0.422
Circuit 15 (Palm Beach)	45.08	(41.05 - 49.18)	46.20	(42.14 - 50.32)	0.595
Circuit 17 (Broward)	50.47	(47.11 - 53.82)	51.73	(48.19 - 55.25)	0.499
Region E - Sun Coast	43.18	(40.94 - 45.45)	43.31	(41.03 - 45.63)	0.915
Circuit 6	40.73	(36.97 - 44.61)	40.68	(36.68 - 44.80)	0.980
Circuit 12	43.38	(38.74 - 48.13)	41.60	(37.14 - 46.20)	0.442
Circuit 13 (Hillsborough)	45.55	(41.97 - 49.18)	46.38	(42.73 - 50.06)	0.665
Circuit 20	43.65	(39.73 - 47.65)	44.39	(40.08 - 48.78)	0.731
Region F - Southern (Circuits 11 and 16)	55.58^a	(52.34 - 58.78)	62.73	(59.61 - 65.74)	0.000
Georgia	46.01	(43.21 - 48.84)	44.31	(41.84 - 46.81)	0.203
Region 1	44.40	(40.29 - 48.57)	42.89	(38.89 - 47.00)	0.465
Region 2	46.81	(42.13 - 51.56)	44.09	(39.78 - 48.49)	0.225
Region 3	47.18	(43.01 - 51.39)	45.00	(41.09 - 48.97)	0.291
Region 4	47.18	(42.23 - 52.19)	46.66	(41.48 - 51.91)	0.829
Region 5	44.59	(39.85 - 49.42)	45.50	(40.43 - 50.66)	0.696
Region 6	46.21	(41.59 - 50.91)	43.69	(39.11 - 48.39)	0.258
Hawaii	40.12	(37.37 - 42.95)	40.71	(38.06 - 43.43)	0.689
Hawaii Island	39.00	(34.50 - 43.70)	40.08	(35.38 - 44.98)	0.637
Honolulu	40.19	(36.98 - 43.48)	40.42	(37.34 - 43.58)	0.891
Kauai and Maui	40.82	(36.62 - 45.15)	42.48	(38.08 - 47.01)	0.406
Kauai	40.06	(34.81 - 45.55)	40.16	(34.63 - 45.94)	0.969
Maui	41.16	(36.23 - 46.27)	43.50	(38.24 - 48.91)	0.329
Idaho	39.67	(37.23 - 42.16)	38.49	(36.04 - 41.00)	0.360
Region 1	38.15	(33.86 - 42.64)	36.53	(31.84 - 41.49)	0.471
Region 2	37.38	(32.72 - 42.29)	35.02	(30.36 - 39.99)	0.279
Region 3	42.09	(37.90 - 46.39)	40.13	(35.74 - 44.68)	0.366
Region 4	37.58	(33.87 - 41.44)	36.76	(32.87 - 40.83)	0.689
Region 5	42.39	(37.87 - 47.04)	41.21	(36.70 - 45.87)	0.601
Region 6	39.29	(35.18 - 43.55)	38.52	(34.06 - 43.17)	0.718
Region 7	42.14	(37.80 - 46.61)	41.90	(37.40 - 46.54)	0.911
Illinois	40.87	(39.49 - 42.26)	41.43	(40.02 - 42.86)	0.467
Region I (Cook)	43.74	(41.47 - 46.04)	43.09	(40.87 - 45.33)	0.607
Region II	40.51	(38.30 - 42.75)	42.15	(39.89 - 44.44)	0.183
Region III	37.62	(34.79 - 40.54)	37.79	(34.70 - 40.98)	0.919
Region IV	36.35	(32.99 - 39.84)	37.98	(34.46 - 41.62)	0.371
Region V	37.24	(34.22 - 40.36)	38.93	(35.70 - 42.26)	0.308
Indiana	40.22	(37.76 - 42.73)	38.65	(36.16 - 41.20)	0.205
Central	42.00	(37.89 - 46.22)	40.21	(36.10 - 44.46)	0.386
East	41.05	(36.24 - 46.05)	38.53	(34.05 - 43.22)	0.244
North Central	40.38	(35.98 - 44.93)	37.79	(33.32 - 42.47)	0.227
Northeast	39.15	(34.67 - 43.84)	36.91	(32.40 - 41.66)	0.311
Northwest	42.21	(37.74 - 46.82)	40.58	(36.00 - 45.33)	0.444
Southeast	37.84	(33.34 - 42.56)	38.13	(33.52 - 42.96)	0.899
Southwest	39.25	(34.70 - 44.00)	38.82	(33.89 - 43.99)	0.854
West	37.04	(33.07 - 41.19)	36.18	(31.92 - 40.67)	0.660
Iowa	36.61	(34.18 - 39.11)	36.46	(34.00 - 38.99)	0.904
Central	39.36	(35.28 - 43.60)	38.25	(34.18 - 42.50)	0.584
North Central	36.86	(32.60 - 41.34)	37.76	(32.97 - 42.80)	0.678
Northeast	33.96	(30.22 - 37.90)	33.93	(30.08 - 38.01)	0.991
Northwest	37.23	(32.88 - 41.79)	36.65	(32.13 - 41.41)	0.790
Southeast	35.60	(31.83 - 39.56)	36.21	(32.20 - 40.42)	0.753
Southwest	39.00	(34.45 - 43.75)	38.17	(33.43 - 43.14)	0.710
Kansas	39.24	(36.66 - 41.88)	38.04	(35.54 - 40.61)	0.369
Kansas City Metro	37.10	(33.72 - 40.61)	38.03	(34.48 - 41.72)	0.623
Northeast	38.48	(34.23 - 42.92)	36.81	(32.47 - 41.36)	0.420
South Central	40.15	(35.31 - 45.19)	36.94	(32.28 - 41.84)	0.169
Southeast	38.77	(33.97 - 43.79)	37.58	(32.78 - 42.64)	0.604
West	42.10	(37.34 - 47.02)	39.75	(35.01 - 44.70)	0.302
Wichita (Sedgwick)	42.04	(37.54 - 46.67)	39.37	(35.13 - 43.77)	0.215
Kentucky	42.79	(40.17 - 45.46)	42.25	(39.65 - 44.90)	0.690
Adanta, Cumberland River, and Lifeskills	42.99	(38.61 - 47.49)	43.55	(39.17 - 48.03)	0.814
Bluegrass, Comprehend, and North Key	40.63	(36.89 - 44.49)	38.66	(34.65 - 42.83)	0.323
Communicare and River Valley	41.70	(36.76 - 46.82)	43.10	(38.35 - 47.98)	0.543
Four Rivers and Pennyroyal	43.05	(38.55 - 47.66)	43.33	(38.47 - 48.32)	0.902
Kentucky River, Mountain, and Pathways	44.17	(39.47 - 48.98)	42.86	(37.65 - 48.23)	0.593
Seven Counties	45.23	(40.93 - 49.60)	44.80	(40.49 - 49.20)	0.844
Louisiana	46.05^a	(43.44 - 48.68)	43.31	(40.85 - 45.81)	0.035
Regions 1 and 10	--	(-- - --)	43.89	(40.05 - 47.82)	--
Region 1	--	(-- - --)	44.59	(39.75 - 49.54)	--
Region 10 (Jefferson)	45.47	(40.54 - 50.49)	43.20	(38.27 - 48.27)	0.327
Regions 2 and 9	45.59^a	(41.73 - 49.50)	41.49	(37.64 - 45.46)	0.031
Region 3	--	(-- - --)	44.36	(39.63 - 49.20)	--
Regions 4, 5, and 6	44.91	(40.85 - 49.03)	42.19	(38.23 - 46.26)	0.187
Regions 7 and 8	47.74	(43.51 - 52.00)	46.18	(42.05 - 50.37)	0.455
Maine	37.30	(34.73 - 39.95)	37.50	(34.86 - 40.22)	0.885
Aroostook/Downeast	38.82	(34.21 - 43.64)	37.59	(33.49 - 41.88)	0.560
Aroostook	--	(-- - --)	37.67	(32.53 - 43.10)	--
Downeast	--	(-- - --)	37.52	(32.43 - 42.91)	--
Central	35.99	(31.48 - 40.77)	36.47	(31.81 - 41.41)	0.833
Cumberland	36.72	(32.67 - 40.96)	39.65	(35.24 - 44.22)	0.181
Midcoast	39.17	(34.33 - 44.25)	37.81	(32.91 - 42.98)	0.571
Penquis	36.11	(31.69 - 40.78)	35.42	(31.22 - 39.86)	0.750
Western	36.93	(32.84 - 41.22)	37.63	(33.17 - 42.32)	0.752
York	37.92	(33.43 - 42.63)	36.70	(32.20 - 41.45)	0.595
Maryland	43.50	(40.83 - 46.20)	43.43	(40.79 - 46.10)	0.959
Anne Arundel	41.25	(36.31 - 46.37)	41.18	(36.20 - 46.35)	0.977
Baltimore City	48.10	(43.22 - 53.01)	46.88	(42.26 - 51.56)	0.614
Baltimore County	41.67	(36.70 - 46.83)	43.72	(38.98 - 48.58)	0.400
Montgomery	43.75	(39.14 - 48.47)	44.92	(40.37 - 49.56)	0.610
North Central	41.23	(36.60 - 46.01)	40.96	(36.01 - 46.11)	0.909
Northeast	39.28	(34.56 - 44.20)	38.81	(34.04 - 43.80)	0.840
Prince George's	49.45	(44.62 - 54.29)	46.69	(41.85 - 51.60)	0.234
South	42.75	(38.03 - 47.62)	44.06	(39.20 - 49.03)	0.573
West	39.37	(34.66 - 44.28)	38.57	(33.78 - 43.60)	0.733
Massachusetts	36.04^a	(33.59 - 38.57)	38.81	(36.37 - 41.32)	0.030
Boston	38.70	(34.24 - 43.36)	38.32	(33.75 - 43.09)	0.859
Central	34.10^b	(29.85 - 38.63)	37.94	(33.42 - 42.69)	0.075
Metrowest	36.88	(33.06 - 40.88)	38.88	(34.75 - 43.18)	0.328
Northeast	36.19	(32.17 - 40.42)	39.32	(35.24 - 43.56)	0.127
Southeast	33.66^a	(29.73 - 37.83)	38.43	(34.27 - 42.76)	0.022
Western	37.52	(33.34 - 41.89)	39.86	(35.60 - 44.28)	0.267
Michigan	39.16	(37.82 - 40.53)	39.51	(38.16 - 40.88)	0.648
Detroit City	51.12	(47.48 - 54.74)	51.29	(47.55 - 55.02)	0.929
Genesee	37.05	(33.08 - 41.19)	38.58	(34.66 - 42.65)	0.460
Kalamazoo	37.77	(34.32 - 41.34)	39.84	(36.15 - 43.65)	0.272
Kent	38.23^b	(34.68 - 41.91)	41.72	(38.00 - 45.55)	0.065
Lakeshore	37.13	(33.67 - 40.73)	38.00	(34.57 - 41.55)	0.621
Macomb	37.72	(34.44 - 41.12)	39.75	(36.38 - 43.22)	0.247
Mid South	35.31	(32.10 - 38.65)	34.88	(31.69 - 38.21)	0.792
Northern	37.89^b	(34.38 - 41.53)	34.65	(31.16 - 38.31)	0.075
Oakland	40.23	(37.05 - 43.48)	39.93	(36.65 - 43.29)	0.866
Pathways and Western	35.83	(31.72 - 40.16)	36.61	(32.65 - 40.75)	0.688
Riverhaven	35.51	(31.71 - 39.51)	36.15	(32.14 - 40.35)	0.739
Saginaw	39.11	(35.01 - 43.37)	38.65	(34.13 - 43.38)	0.825
Southeast	40.92	(37.84 - 44.07)	41.10	(37.94 - 44.32)	0.917
St. Clair	37.91	(34.11 - 41.87)	39.64	(35.34 - 44.10)	0.392
Washtenaw	38.31	(34.65 - 42.11)	39.54	(35.88 - 43.31)	0.505
Minnesota	36.37	(33.87 - 38.95)	36.57	(34.13 - 39.07)	0.880
Regions 1 and 2	35.13	(30.78 - 39.74)	38.13	(33.15 - 43.38)	0.182
Regions 3 and 4	33.92	(30.06 - 38.00)	36.22	(32.16 - 40.48)	0.238
Regions 5 and 6	35.98	(32.04 - 40.13)	35.73	(31.51 - 40.18)	0.906
Region 7A (Hennepin)	38.06	(33.84 - 42.47)	37.05	(33.03 - 41.26)	0.634
Region 7B (Ramsey)	39.57	(34.99 - 44.34)	38.05	(33.22 - 43.13)	0.492
Region 7C	36.24	(32.26 - 40.41)	35.72	(31.93 - 39.69)	0.800
Mississippi	48.51	(45.96 - 51.06)	46.59	(44.11 - 49.09)	0.137
Region 1	47.45	(43.35 - 51.59)	45.93	(41.89 - 50.03)	0.467
Region 2	52.61	(47.84 - 57.32)	50.32	(45.59 - 55.04)	0.313
Region 3	49.35	(44.98 - 53.73)	45.91	(41.38 - 50.51)	0.102
Region 4	48.80	(44.74 - 52.88)	46.82	(42.61 - 51.07)	0.339
Region 5	49.88	(44.94 - 54.83)	47.08	(41.69 - 52.54)	0.237
Region 6	46.15	(41.44 - 50.92)	46.55	(42.12 - 51.03)	0.850
Region 7	46.36	(41.79 - 50.99)	44.76	(40.20 - 49.40)	0.476
Missouri	39.13^a	(36.61 - 41.70)	36.02	(33.58 - 38.53)	0.013
Central	39.37^b	(35.05 - 43.87)	35.46	(31.20 - 39.96)	0.056
Eastern	39.23	(35.87 - 42.70)	36.95	(33.58 - 40.45)	0.177
Eastern (St. Louis City and County)	40.56	(36.52 - 44.72)	38.37	(34.22 - 42.70)	0.295
Eastern (excluding St. Louis)	36.89	(32.39 - 41.63)	34.48	(30.07 - 39.18)	0.268
Northwest	41.17^a	(37.61 - 44.82)	36.77	(33.23 - 40.45)	0.011
Northwest (Jackson)	44.35^a	(39.81 - 48.98)	39.90	(35.34 - 44.64)	0.047
Northwest (excluding Jackson)	38.44^a	(33.96 - 43.12)	34.12	(29.70 - 38.85)	0.047
Southeast	38.04^a	(33.59 - 42.70)	33.76	(29.41 - 38.39)	0.048
Southwest	36.31	(32.09 - 40.74)	34.99	(30.78 - 39.44)	0.532
Montana	36.82	(34.32 - 39.38)	36.88	(34.53 - 39.30)	0.958
Region 1	37.39	(32.64 - 42.40)	37.98	(33.30 - 42.89)	0.788
Region 2	39.45	(35.00 - 44.07)	39.61	(35.28 - 44.12)	0.939
Region 3	38.90	(35.00 - 42.95)	37.58	(33.58 - 41.76)	0.528
Region 4	34.57	(30.87 - 38.46)	34.32	(30.62 - 38.22)	0.899
Region 5	36.00	(32.28 - 39.89)	37.09	(33.55 - 40.77)	0.594
Nebraska	35.23	(32.71 - 37.83)	37.23	(34.76 - 39.76)	0.126
Regions 1 and 2	36.37	(32.40 - 40.54)	39.04	(35.03 - 43.20)	0.152
Region 1	37.24	(32.50 - 42.25)	39.82	(34.63 - 45.24)	0.289
Region 2	35.63	(30.67 - 40.93)	38.36	(33.27 - 43.71)	0.251
Region 3	37.00	(32.51 - 41.73)	37.44	(33.16 - 41.92)	0.842
Region 4	34.59	(30.01 - 39.47)	37.39	(32.69 - 42.33)	0.217
Region 5	36.02	(32.18 - 40.05)	37.17	(33.19 - 41.33)	0.555
Region 6	34.07	(30.77 - 37.54)	36.71	(33.21 - 40.36)	0.142
Nevada¹	43.98	(41.13 - 46.88)	42.27	(39.28 - 45.32)	0.283
Clark - Region 1	43.95	(40.65 - 47.30)	43.18	(39.66 - 46.77)	0.684
Region 3	43.92^b	(39.05 - 48.91)	39.91	(35.63 - 44.35)	0.057
Capital District	--	(-- - --)	40.27	(34.90 - 45.88)	--
Rural/Frontier	--	(-- - --)	39.58	(34.34 - 45.08)	--
Washoe - Region 2	44.17^b	(39.65 - 48.78)	39.97	(35.50 - 44.61)	0.069
New Hampshire	36.71	(34.13 - 39.36)	37.73	(35.22 - 40.30)	0.437
Central	36.18	(32.81 - 39.69)	37.01	(33.55 - 40.59)	0.631
Central 1	35.83	(31.70 - 40.17)	36.33	(31.95 - 40.94)	0.818
Central 2	36.51	(32.08 - 41.18)	37.66	(33.16 - 42.39)	0.607
Northern	34.77	(30.19 - 39.65)	38.08	(33.26 - 43.15)	0.145
Southern	37.39	(34.37 - 40.51)	38.00	(35.05 - 41.04)	0.694
Southern 1 (Rockingham)	35.12	(30.86 - 39.63)	35.61	(31.68 - 39.74)	0.815
Southern 2	38.80	(35.16 - 42.57)	39.49	(35.78 - 43.32)	0.716
New Jersey	41.18	(38.50 - 43.91)	42.67	(40.06 - 45.33)	0.284
Central	40.32	(36.01 - 44.78)	38.32	(34.03 - 42.79)	0.370
Metropolitan	44.04	(40.03 - 48.12)	47.21	(43.05 - 51.42)	0.136
Northern	42.28	(38.33 - 46.34)	43.79	(39.77 - 47.90)	0.465
Southern	37.38	(33.15 - 41.82)	40.58	(36.43 - 44.87)	0.138
New Mexico	47.04	(44.34 - 49.75)	47.92	(45.08 - 50.76)	0.533
Region 1	45.88	(41.87 - 49.95)	48.86	(44.47 - 53.28)	0.164
Region 2	48.46	(43.58 - 53.38)	50.79	(45.78 - 55.80)	0.327
Region 3 (Bernalillo)	48.80	(44.98 - 52.63)	47.56	(43.18 - 51.98)	0.566
Region 4	45.17	(40.58 - 49.85)	45.81	(41.21 - 50.49)	0.760
Region 5	45.48	(41.16 - 49.87)	46.73	(42.39 - 51.12)	0.565
New York	41.87	(40.40 - 43.35)	42.97	(41.44 - 44.51)	0.184
Region A	46.15	(44.05 - 48.27)	46.42	(44.29 - 48.56)	0.813
Region 1	50.76	(46.82 - 54.69)	53.14	(49.03 - 57.20)	0.250
Region 2	46.60	(43.39 - 49.84)	46.84	(43.57 - 50.14)	0.891
Region 3	40.42	(36.31 - 44.67)	40.72	(36.86 - 44.70)	0.886
Region 4	47.13	(43.35 - 50.95)	46.10	(42.32 - 49.94)	0.592
Region B	41.23	(39.03 - 43.47)	43.01	(40.78 - 45.26)	0.144
Region 5	41.94	(38.87 - 45.07)	43.44	(40.55 - 46.38)	0.357
Region 6	41.45	(37.68 - 45.33)	43.48	(39.40 - 47.65)	0.328
Region 7	38.65	(35.00 - 42.43)	40.82	(36.84 - 44.93)	0.253
Region C	37.38	(35.41 - 39.40)	38.74	(36.67 - 40.86)	0.219
Region 8	37.53	(34.06 - 41.13)	38.32	(34.42 - 42.38)	0.684
Region 9	35.53	(31.94 - 39.29)	38.13	(34.26 - 42.15)	0.184
Region 10	34.65	(30.81 - 38.71)	36.87	(32.66 - 41.29)	0.258
Region 11	40.29	(36.66 - 44.04)	39.86	(36.13 - 43.70)	0.817
Region 12	37.21	(33.68 - 40.89)	39.32	(35.58 - 43.20)	0.271
Region D	35.13^b	(32.60 - 37.74)	37.34	(34.57 - 40.20)	0.087
Region 13	35.81^b	(31.82 - 40.00)	39.20	(34.80 - 43.79)	0.100
Region 14	34.20^a	(30.63 - 37.97)	38.24	(33.76 - 42.94)	0.049
Region 15	35.42	(31.56 - 39.49)	34.79	(30.85 - 38.96)	0.749
North Carolina¹	43.13	(40.61 - 45.69)	43.91	(41.35 - 46.50)	0.544
Alliance	43.67	(39.51 - 47.93)	45.74	(41.59 - 49.95)	0.341
Cardinal Innovations	40.75	(36.23 - 45.43)	43.41	(38.91 - 48.03)	0.235
CenterPoint/Guilford	43.46	(39.50 - 47.50)	43.70	(39.55 - 47.94)	0.900
CenterPoint	42.57	(37.52 - 47.78)	42.81	(37.42 - 48.37)	0.923
Guilford	44.45	(39.64 - 49.38)	44.67	(39.50 - 49.95)	0.927
CoastalCare	40.31	(35.52 - 45.29)	41.09	(36.09 - 46.28)	0.725
Eastpointe	45.35	(40.45 - 50.35)	47.95	(42.81 - 53.14)	0.283
ECBH	43.62	(38.75 - 48.61)	43.43	(38.22 - 48.78)	0.934
MeckLINK	45.24	(40.60 - 49.97)	44.40	(39.31 - 49.61)	0.715
Partners	43.97	(39.48 - 48.55)	42.93	(38.31 - 47.68)	0.646
Sandhills	43.88	(38.96 - 48.93)	43.20	(37.94 - 48.61)	0.776
Smoky Mountain	41.77	(36.59 - 47.14)	40.01	(34.60 - 45.67)	0.488
Western Highlands	42.06	(36.95 - 47.35)	43.17	(37.88 - 48.62)	0.649
North Dakota	35.44	(33.10 - 37.85)	35.92	(33.55 - 38.36)	0.695
Badlands and West Central	36.90	(33.08 - 40.89)	37.13	(33.10 - 41.34)	0.912
Lake Region and South Central	34.76	(30.37 - 39.42)	37.14	(32.62 - 41.91)	0.287
North Central and Northwest	36.50	(32.51 - 40.68)	37.50	(33.40 - 41.79)	0.618
Northeast	33.63	(29.65 - 37.85)	34.53	(30.46 - 38.83)	0.639
Southeast	34.63	(31.39 - 38.02)	33.71	(30.40 - 37.19)	0.602
Ohio	39.53^b	(38.12 - 40.95)	38.17	(36.85 - 39.51)	0.070
Boards 2, 46, 55, and 68	38.61	(34.85 - 42.50)	37.20	(33.42 - 41.15)	0.466
Boards 3, 52, and 85	37.80	(33.63 - 42.16)	36.54	(32.56 - 40.70)	0.534
Boards 4 and 78	38.15	(34.01 - 42.48)	37.24	(32.74 - 41.97)	0.652
Boards 5 and 60	36.75	(32.91 - 40.77)	33.78	(29.90 - 37.89)	0.118
Boards 7, 15, 41, 79, and 84	35.39	(31.47 - 39.52)	36.26	(32.31 - 40.41)	0.662
Boards 8, 13, and 83	39.31	(35.18 - 43.59)	37.93	(34.13 - 41.90)	0.484
Board 9 (Butler)	37.72	(33.93 - 41.66)	37.60	(33.54 - 41.84)	0.949
Board 12	38.31	(34.39 - 42.38)	38.18	(34.09 - 42.45)	0.950
Boards 18 and 47	43.06^a	(39.96 - 46.22)	39.28	(36.37 - 42.27)	0.020
Boards 20, 32, 54, and 69	38.33	(34.21 - 42.62)	36.50	(32.24 - 40.99)	0.366
Boards 21, 39, 51, 70, and 80	37.89	(34.11 - 41.83)	37.85	(33.99 - 41.88)	0.983
Boards 22, 74, and 87	36.76	(32.98 - 40.70)	36.22	(32.31 - 40.31)	0.778
Boards 23 and 45	37.64	(33.75 - 41.69)	36.27	(32.39 - 40.33)	0.480
Board 25 (Franklin)	41.67	(38.46 - 44.95)	39.10	(35.64 - 42.67)	0.140
Boards 27, 71, and 73	39.15	(35.20 - 43.24)	40.16	(35.86 - 44.61)	0.622
Boards 28, 43, and 67	38.28	(34.59 - 42.12)	36.20	(32.47 - 40.10)	0.269
Board 31 (Hamilton)	40.86	(36.99 - 44.85)	38.45	(34.90 - 42.12)	0.202
Board 48 (Lucas)	41.49	(37.33 - 45.77)	39.73	(35.50 - 44.12)	0.390
Boards 50 and 76	38.86	(35.23 - 42.63)	37.30	(33.79 - 40.94)	0.376
Board 57 (Montgomery)	41.88	(37.70 - 46.17)	41.63	(37.56 - 45.82)	0.907
Board 77 (Summit)	37.40	(33.59 - 41.38)	40.60	(36.75 - 44.56)	0.111
Oklahoma	42.92	(40.31 - 45.56)	43.49	(40.90 - 46.11)	0.674
Central	41.33	(36.86 - 45.95)	40.25	(35.52 - 45.17)	0.624
East Central	41.88	(37.19 - 46.71)	42.39	(37.45 - 47.48)	0.831
Northeast	41.31	(36.90 - 45.86)	42.70	(38.42 - 47.08)	0.524
Northwest and Southwest	42.67	(38.22 - 47.25)	44.78	(40.13 - 49.53)	0.353
Oklahoma County	45.59	(41.00 - 50.26)	44.77	(40.47 - 49.16)	0.720
Southeast	42.84	(38.30 - 47.50)	45.12	(40.39 - 49.94)	0.327
Tulsa County	43.31	(38.84 - 47.89)	43.33	(38.77 - 48.01)	0.992
Oregon	39.23	(36.57 - 41.95)	38.37	(35.92 - 40.88)	0.529
Region 1 (Multnomah)	39.11	(34.54 - 43.87)	35.70	(31.60 - 40.01)	0.131
Region 2	40.77	(36.44 - 45.25)	40.40	(36.14 - 44.80)	0.870
Region 3	38.16	(34.31 - 42.17)	38.27	(34.74 - 41.93)	0.957
Region 4	39.23	(34.85 - 43.79)	38.54	(34.13 - 43.15)	0.746
Region 5 (Central)	37.28	(32.55 - 42.28)	37.68	(32.70 - 42.94)	0.866
Region 6 (Eastern)	40.86	(36.12 - 45.78)	39.74	(34.48 - 45.26)	0.634
Pennsylvania	38.35	(36.85 - 39.88)	38.19	(36.78 - 39.61)	0.839
Region 1 (Allegheny)	38.80	(35.38 - 42.33)	37.51	(34.12 - 41.02)	0.466
Regions 3, 8, 9, and 51	36.47	(32.71 - 40.40)	36.20	(32.30 - 40.29)	0.892
Regions 4, 11, 37, and 49	36.66	(33.07 - 40.41)	37.97	(34.22 - 41.87)	0.483
Regions 5, 18, 23, 24, and 46	37.47	(33.36 - 41.76)	37.04	(33.30 - 40.94)	0.830
Regions 6, 12, 16, 31, 35, 45, and 47	35.16	(31.68 - 38.81)	35.93	(32.45 - 39.56)	0.654
Regions 7, 13, 20, and 33	38.14	(35.44 - 40.91)	37.74	(34.92 - 40.65)	0.789
Regions 10, 15, 27, 32, 43, and 44	35.36	(31.75 - 39.15)	35.19	(31.36 - 39.21)	0.926
Regions 17 and 21	36.51	(32.50 - 40.71)	35.18	(30.94 - 39.67)	0.516
Regions 19, 26, 28, and 42	40.38	(36.82 - 44.05)	41.37	(38.18 - 44.64)	0.583
Regions 22, 38, 40, 41, and 48	34.93	(31.28 - 38.76)	36.11	(32.36 - 40.03)	0.529
Regions 29 and 34	40.81	(36.72 - 45.03)	38.58	(34.65 - 42.66)	0.273
Regions 30 and 50	35.36	(31.36 - 39.58)	37.86	(33.96 - 41.92)	0.204
Region 36 (Philadelphia)	44.33	(40.85 - 47.87)	42.07	(38.90 - 45.31)	0.189
Rhode Island	37.70	(35.10 - 40.38)	37.12	(34.45 - 39.88)	0.683
Bristol and Newport	35.23	(30.68 - 40.06)	34.39	(29.62 - 39.49)	0.706
Kent	33.49	(28.90 - 38.41)	35.03	(30.47 - 39.88)	0.480
Providence	39.95	(36.79 - 43.20)	38.77	(35.52 - 42.13)	0.508
Washington	34.98	(30.66 - 39.55)	34.76	(30.36 - 39.42)	0.920
South Carolina	46.56	(43.94 - 49.21)	44.27	(41.64 - 46.93)	0.101
Region 1	45.48	(41.42 - 49.59)	45.85	(41.70 - 50.06)	0.861
Region 2	48.06^a	(44.22 - 51.92)	43.89	(39.96 - 47.89)	0.040
Region 3	46.77	(42.21 - 51.39)	44.87	(40.39 - 49.43)	0.384
Region 4	45.81	(41.80 - 49.88)	42.77	(38.78 - 46.85)	0.144
South Dakota	34.22	(31.73 - 36.80)	35.55	(33.19 - 38.00)	0.284
Region 1	--	(-- - --)	37.94	(33.94 - 42.10)	--
Region 2	--	(-- - --)	38.65	(33.73 - 43.81)	--
Region 3	--	(-- - --)	32.82	(29.10 - 36.77)	--
Region 4	--	(-- - --)	34.78	(30.47 - 39.36)	--
Region 5	--	(-- - --)	35.15	(31.67 - 38.79)	--
Tennessee	44.16	(41.47 - 46.89)	44.68	(42.15 - 47.24)	0.697
Region 1	42.10	(37.47 - 46.88)	44.85	(39.99 - 49.81)	0.254
Region 2	43.35	(39.04 - 47.77)	42.91	(38.38 - 47.56)	0.830
Region 3	--	(-- - --)	44.32	(39.87 - 48.87)	--
Region 4 (Davidson)	47.59	(42.71 - 52.52)	45.76	(41.08 - 50.51)	0.438
Region 5	--	(-- - --)	43.00	(38.81 - 47.30)	--
Region 6	43.57	(38.90 - 48.36)	46.57	(41.57 - 51.64)	0.195
Region 7 (Shelby)	48.05	(43.44 - 52.69)	48.01	(43.26 - 52.79)	0.986
Texas	44.03^a	(42.67 - 45.39)	45.64	(44.28 - 47.01)	0.034
Region 1	43.28	(39.55 - 47.08)	42.14	(38.14 - 46.24)	0.553
Region 2	41.26	(36.97 - 45.68)	40.22	(35.66 - 44.96)	0.618
Region 3	42.46	(40.18 - 44.79)	43.71	(41.39 - 46.05)	0.331
Region 3a	43.18	(40.28 - 46.13)	44.34	(41.41 - 47.31)	0.475
Region 3bc	41.22	(37.97 - 44.54)	42.61	(39.32 - 45.97)	0.436
Region 4	41.20	(37.15 - 45.37)	41.53	(37.40 - 45.79)	0.874
Region 5	43.37^a	(39.22 - 47.62)	47.79	(43.14 - 52.48)	0.042
Region 6	45.28^a	(42.91 - 47.67)	48.55	(46.07 - 51.04)	0.014
Region 6a	45.68^a	(43.10 - 48.30)	48.66	(45.95 - 51.38)	0.042
Region 6bc	41.99^a	(37.68 - 46.43)	47.60	(42.95 - 52.29)	0.007
Region 7	39.83	(37.29 - 42.43)	40.15	(37.50 - 42.85)	0.808
Region 7a	40.12	(36.93 - 43.39)	40.03	(36.56 - 43.61)	0.961
Region 7bcd	39.35	(35.78 - 43.04)	40.35	(36.59 - 44.22)	0.584
Region 8	45.43	(42.03 - 48.88)	47.86	(44.39 - 51.35)	0.158
Region 9	42.88	(38.74 - 47.13)	42.79	(38.36 - 47.33)	0.961
Region 10	51.59	(47.31 - 55.84)	53.70	(49.53 - 57.82)	0.286
Region 11	50.23	(47.28 - 53.17)	50.60	(47.58 - 53.61)	0.804
Region 11abd	50.04	(46.30 - 53.78)	50.16	(46.31 - 54.00)	0.951
Region 11c (Hidalgo)	50.57	(46.40 - 54.73)	51.38	(47.07 - 55.68)	0.685
Utah	51.24^b	(48.75 - 53.72)	49.10	(46.64 - 51.56)	0.091
Bear River, Northeastern, Summit, Tooele, and Wasatch	49.12	(44.49 - 53.76)	49.07	(44.68 - 53.46)	0.980
Central, Four Corners, San Juan, and Southwest	50.12	(45.56 - 54.69)	49.30	(44.50 - 54.12)	0.711
Davis County	50.58	(46.28 - 54.87)	47.70	(43.26 - 52.17)	0.179
Salt Lake County	51.62	(48.22 - 55.01)	48.77	(45.30 - 52.26)	0.122
Utah County	53.45	(49.58 - 57.28)	50.94	(46.76 - 55.12)	0.209
Weber, Morgan	50.28	(45.50 - 55.04)	48.19	(43.27 - 53.15)	0.360
Vermont	36.38	(33.82 - 39.01)	37.69	(35.21 - 40.23)	0.330
Champlain Valley	34.26	(30.85 - 37.84)	37.25	(33.83 - 40.81)	0.104
Rural Northeast	37.79	(33.72 - 42.05)	36.71	(32.54 - 41.09)	0.609
Rural Southeast	37.30	(33.29 - 41.49)	37.89	(33.85 - 42.11)	0.772
Rural Southwest	38.21	(33.54 - 43.10)	39.96	(35.41 - 44.69)	0.463
Virginia	42.53	(39.84 - 45.27)	41.95	(39.48 - 44.47)	0.665
Region 1	39.96	(35.78 - 44.30)	40.10	(35.97 - 44.37)	0.944
Region 2	45.45	(41.11 - 49.85)	42.86	(38.84 - 46.98)	0.248
Region 3	40.24	(35.93 - 44.71)	42.85	(38.26 - 47.57)	0.253
Region 4	42.23	(37.98 - 46.60)	41.22	(36.76 - 45.82)	0.632
Region 5	42.90	(38.64 - 47.28)	41.98	(37.73 - 46.36)	0.674
Washington	42.02	(39.45 - 44.64)	42.20	(39.68 - 44.76)	0.895
Region 1	43.60	(40.14 - 47.13)	43.34	(39.64 - 47.13)	0.883
East 1 (previously Region 1)	42.25	(37.93 - 46.68)	42.08	(37.43 - 46.87)	0.939
East 2 (previously Region 2)	45.46	(40.81 - 50.18)	45.05	(40.26 - 49.94)	0.857
Region 2	42.84	(39.48 - 46.27)	41.66	(38.47 - 44.92)	0.504
North 1 (previously Region 3)	40.80	(36.40 - 45.35)	38.97	(34.87 - 43.23)	0.391
North 2 (previously Region 4)	44.04	(39.93 - 48.24)	43.21	(39.18 - 47.34)	0.706
Region 3	39.84	(36.53 - 43.26)	42.19	(38.75 - 45.71)	0.168
West 1 (previously Region 5)	39.62	(35.28 - 44.13)	42.00	(37.72 - 46.42)	0.254
West 2 (previously Region 6)	40.05	(35.89 - 44.36)	42.36	(37.90 - 46.95)	0.287
West Virginia	43.34	(40.65 - 46.07)	41.35	(38.87 - 43.87)	0.138
Region I	42.12	(36.96 - 47.46)	41.40	(36.33 - 46.66)	0.775
Region II	42.22	(37.68 - 46.89)	40.24	(35.76 - 44.89)	0.361
Region III	42.18	(37.16 - 47.36)	39.96	(35.29 - 44.82)	0.343
Region IV	44.59^b	(40.20 - 49.07)	40.86	(36.76 - 45.08)	0.089
Region V	42.42	(38.52 - 46.41)	41.21	(37.46 - 45.06)	0.541
Region VI	45.31	(40.75 - 49.94)	43.69	(39.02 - 48.48)	0.499
Wisconsin	35.16	(32.67 - 37.74)	34.59	(32.00 - 37.28)	0.659
Milwaukee	40.29	(35.88 - 44.86)	38.60	(33.95 - 43.47)	0.459
Northeastern	35.12	(31.39 - 39.04)	33.58	(29.78 - 37.61)	0.440
Northern	33.53	(29.09 - 38.30)	33.55	(28.80 - 38.67)	0.994
Southeastern	34.37	(30.30 - 38.70)	34.58	(30.16 - 39.28)	0.923
Southern	32.43	(28.44 - 36.70)	33.30	(29.15 - 37.73)	0.662
Western	35.42	(31.46 - 39.59)	33.90	(29.61 - 38.48)	0.466
Wyoming	39.45^a	(36.93 - 42.04)	36.41	(34.04 - 38.85)	0.019
Judicial District 1 (Laramie)	41.65	(37.20 - 46.23)	39.08	(34.79 - 43.54)	0.254
Judicial District 2	37.83^a	(33.51 - 42.36)	32.47	(28.40 - 36.83)	0.010
Judicial District 3	41.81	(37.43 - 46.33)	38.63	(34.36 - 43.09)	0.156
Judicial District 4	37.92	(33.16 - 42.92)	35.84	(31.03 - 40.95)	0.383
Judicial District 5	37.65	(33.17 - 42.36)	35.79	(31.10 - 40.77)	0.399
Judicial District 6	37.37	(33.05 - 41.90)	35.34	(30.94 - 40.01)	0.357
Judicial District 7 (Natrona)	38.51^a	(34.15 - 43.07)	34.13	(29.83 - 38.72)	0.042
Judicial District 8	40.05	(34.92 - 45.41)	37.47	(32.55 - 42.66)	0.293
Judicial District 9	39.61	(34.95 - 44.46)	36.99	(32.52 - 41.71)	0.228

140403

Table 11 – *Alcohol Use in the Past Month among Persons Aged 12 to 20*, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2008-2010 and 2010-2012 NSDUHs
State/Substate Region	2008-2010 (Estimate)	2008-2010 (95% Confidence Interval)	2010-2012 (Estimate)	2010-2012 (95% Confidence Interval)	P Value
ECBH = East Carolina Behavioral Health; SPA = service planning area. -- Not available. These regions were not defined consistently across the two time periods (i.e., 2008-2010 and 2010-2012); 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 "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. 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 posterior probability of no change between the 2008-2010 and 2010-2012 estimates. The "Total U.S." estimates, along with the 95 percent confidence intervals and p values, are based on design-based (direct) estimation methods. ^a Difference between the 2008-2010 estimate and the 2010-2012 estimate is statistically significant at the 0.05 level. ^b Difference between the 2008-2010 estimate and the 2010-2012 estimate 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. 2010-2012). For details, see the "2010-2012 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/population-data-nsduh/reports?tab=34. Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2008, 2009, 2010, 2011, and 2012 (2008, 2009, and 2010 Data - Revised March 2012).
Total United States	26.54^a	(26.04 - 27.04)	25.04	(24.48 - 25.61)	0.000
Northeast	30.38^a	(29.58 - 31.19)	29.30	(28.44 - 30.17)	0.016
Midwest	27.26^a	(26.69 - 27.84)	25.76	(25.11 - 26.42)	0.000
South	24.97^a	(24.44 - 25.51)	22.93	(22.31 - 23.57)	0.000
West	25.44^a	(24.66 - 26.24)	24.50	(23.68 - 25.35)	0.040
Alabama	22.44	(20.42 - 24.61)	20.69	(18.67 - 22.86)	0.105
Region 1	20.18^b	(17.17 - 23.56)	17.59	(14.64 - 20.98)	0.091
Region 2	23.26	(20.35 - 26.45)	23.30	(20.09 - 26.85)	0.980
Region 3	25.26^a	(21.52 - 29.41)	20.05	(16.76 - 23.82)	0.003
Region 4	21.48	(18.21 - 25.16)	21.27	(17.86 - 25.12)	0.902
Alaska	25.25	(22.92 - 27.74)	23.84	(21.60 - 26.22)	0.263
Anchorage	26.46	(23.23 - 29.96)	25.57	(22.51 - 28.89)	0.614
Northern	22.18	(18.85 - 25.92)	20.25	(16.86 - 24.13)	0.278
South Central	27.08	(23.10 - 31.46)	25.03	(21.02 - 29.52)	0.302
Southeast	23.16	(18.96 - 27.97)	22.08	(18.05 - 26.73)	0.575
Arizona	24.46	(22.23 - 26.84)	23.70	(21.52 - 26.03)	0.513
Maricopa	23.48	(20.74 - 26.47)	23.75	(21.02 - 26.71)	0.854
Pima	28.22	(23.84 - 33.05)	27.88	(23.45 - 32.79)	0.870
Rural North	25.10	(21.04 - 29.66)	23.03	(18.94 - 27.70)	0.267
Rural South	24.14^a	(19.88 - 28.98)	19.39	(15.61 - 23.84)	0.007
Arkansas	21.82	(19.84 - 23.92)	21.59	(19.67 - 23.65)	0.835
Catchment Area 1	24.07	(20.24 - 28.37)	22.00	(18.36 - 26.13)	0.266
Catchment Area 2	19.93	(16.09 - 24.42)	20.71	(16.61 - 25.51)	0.669
Catchment Area 3	21.73	(18.29 - 25.62)	19.52	(15.76 - 23.92)	0.231
Catchment Area 4	19.11	(15.55 - 23.26)	20.69	(16.73 - 25.31)	0.378
Catchment Area 5	25.97	(22.03 - 30.34)	25.39	(21.53 - 29.69)	0.780
Catchment Area 6	19.19	(15.56 - 23.43)	20.40	(16.31 - 25.21)	0.514
Catchment Area 7	20.27	(16.24 - 25.00)	20.41	(16.39 - 25.12)	0.941
Catchment Area 8	20.74	(17.46 - 24.45)	21.62	(18.29 - 25.36)	0.610
California	24.98	(23.76 - 26.25)	25.00	(23.77 - 26.27)	0.979
Region 1R	29.91	(25.48 - 34.75)	30.58	(25.82 - 35.79)	0.751
Region 2R	27.10^b	(23.28 - 31.30)	30.29	(26.00 - 34.94)	0.089
Region 3R (Sacramento)	23.57	(19.95 - 27.62)	22.03	(18.32 - 26.25)	0.377
Region 4R	26.74	(22.86 - 31.00)	28.04	(23.96 - 32.52)	0.472
Region 5R (San Francisco)	26.81^a	(22.31 - 31.84)	32.73	(27.67 - 38.23)	0.005
Region 6 (Santa Clara)	22.77	(19.34 - 26.60)	22.42	(18.72 - 26.62)	0.838
Region 7R (Contra Costa)	24.28	(20.46 - 28.55)	26.48	(22.22 - 31.22)	0.224
Region 8R (Alameda)	24.76	(21.31 - 28.57)	26.28	(22.57 - 30.37)	0.371
Region 9R (San Mateo)	25.26	(21.12 - 29.90)	25.30	(20.73 - 30.49)	0.986
Region 10	28.71	(24.84 - 32.92)	29.56	(25.50 - 33.98)	0.648
Region 11 (Los Angeles)	23.37	(21.73 - 25.09)	23.41	(21.70 - 25.21)	0.964
LA SPA 1 and 5	27.33	(23.14 - 31.97)	29.33	(24.79 - 34.33)	0.287
LA SPA 2	23.83	(20.55 - 27.45)	23.28	(19.71 - 27.28)	0.743
LA SPA 3	24.08^b	(20.70 - 27.82)	21.19	(17.80 - 25.02)	0.095
LA SPA 4	22.63	(18.92 - 26.83)	24.59	(20.39 - 29.32)	0.286
LA SPA 6	20.24	(16.92 - 24.02)	22.54	(18.78 - 26.80)	0.166
LA SPA 7	23.22	(19.73 - 27.13)	21.86	(18.37 - 25.80)	0.407
LA SPA 8	22.74	(19.44 - 26.42)	23.88	(20.34 - 27.83)	0.494
Region 12R	25.84	(21.72 - 30.42)	23.99	(19.81 - 28.74)	0.329
Regions 13 and 19R	24.30	(21.08 - 27.83)	23.99	(21.06 - 27.19)	0.841
Region 13 (Riverside)	24.31	(20.86 - 28.13)	24.08	(20.98 - 27.47)	0.885
Region 19R (Imperial)	24.10	(20.29 - 28.37)	22.88	(18.37 - 28.12)	0.520
Region 14 (Orange)	25.00	(22.18 - 28.05)	24.68	(21.56 - 28.09)	0.840
Region 15R (Fresno)	23.18	(19.48 - 27.36)	23.07	(19.16 - 27.50)	0.944
Region 16R (San Diego)	28.68^b	(25.52 - 32.06)	25.75	(22.60 - 29.16)	0.090
Region 17R	24.89	(21.46 - 28.68)	24.06	(20.43 - 28.10)	0.638
Region 18R (San Bernardino)	25.12	(22.02 - 28.50)	23.86	(20.54 - 27.53)	0.441
Region 20R	24.42	(20.69 - 28.58)	24.04	(20.09 - 28.48)	0.824
Region 21R	25.61^a	(21.47 - 30.24)	31.47	(27.04 - 36.27)	0.003
Colorado	31.62^a	(29.24 - 34.11)	26.14	(23.99 - 28.41)	0.000
Region 1	35.40^a	(30.71 - 40.38)	29.67	(25.74 - 33.94)	0.005
Regions 2 and 7	32.29^a	(29.19 - 35.55)	26.44	(23.59 - 29.51)	0.000
Region 3	28.32^a	(24.45 - 32.54)	24.66	(21.00 - 28.73)	0.048
Region 4	27.14^b	(22.41 - 32.45)	23.50	(18.97 - 28.74)	0.084
Regions 5 and 6	30.24^a	(25.79 - 35.10)	23.17	(18.90 - 28.06)	0.001
Connecticut	31.35	(29.04 - 33.76)	31.27	(28.93 - 33.70)	0.943
Eastern	33.55	(28.55 - 38.95)	36.80	(32.15 - 41.71)	0.150
North Central	30.10	(26.74 - 33.68)	28.54	(24.88 - 32.50)	0.371
Northwestern	29.86	(26.01 - 34.01)	28.33	(24.09 - 33.00)	0.426
South Central	33.28	(29.29 - 37.52)	35.07	(30.97 - 39.41)	0.359
Southwest	30.62	(26.56 - 35.01)	29.18	(24.97 - 33.77)	0.451
Delaware	31.17^a	(28.77 - 33.67)	27.70	(25.39 - 30.12)	0.007
Kent	31.01	(27.19 - 35.10)	27.82	(23.63 - 32.44)	0.116
New Castle (excluding Wilmington City)	32.88^a	(29.84 - 36.07)	29.14	(26.16 - 32.32)	0.018
Sussex	29.14^b	(25.23 - 33.38)	25.36	(21.46 - 29.71)	0.055
Wilmington City	24.64	(20.56 - 29.23)	22.59	(18.54 - 27.22)	0.278
District of Columbia	30.44^a	(27.72 - 33.32)	35.75	(32.82 - 38.79)	0.001
Ward 1	35.16^a	(29.71 - 41.02)	44.61	(37.97 - 51.45)	0.001
Ward 2	57.41^a	(51.47 - 63.14)	71.67	(65.41 - 77.20)	0.000
Ward 3	39.63^a	(34.23 - 45.29)	48.24	(43.02 - 53.49)	0.001
Ward 4	25.35	(20.96 - 30.30)	27.41	(22.65 - 32.74)	0.332
Ward 5	27.99	(23.56 - 32.88)	31.82	(26.73 - 37.39)	0.107
Ward 6	25.68	(21.11 - 30.87)	29.38	(24.20 - 35.16)	0.119
Ward 7	22.66	(18.94 - 26.89)	21.94	(17.62 - 26.97)	0.713
Ward 8	21.62	(17.80 - 25.99)	22.48	(18.39 - 27.17)	0.650
Florida	25.99^a	(24.77 - 27.26)	24.04	(22.85 - 25.27)	0.003
Region A - Northwest	30.32	(27.63 - 33.15)	28.36	(25.80 - 31.06)	0.104
Circuit 1	28.75^a	(24.97 - 32.85)	23.11	(19.81 - 26.77)	0.001
Circuit 2	35.42^b	(30.97 - 40.14)	39.08	(34.20 - 44.18)	0.067
Circuit 14	26.17^b	(21.69 - 31.21)	22.87	(18.57 - 27.83)	0.076
Region B - Northeast	28.01^a	(25.50 - 30.66)	24.65	(22.33 - 27.12)	0.006
Circuits 3 and 8	29.98	(25.71 - 34.63)	31.17	(26.93 - 35.76)	0.533
Circuit 4	27.89^a	(24.22 - 31.87)	21.37	(17.95 - 25.24)	0.000
Circuit 7	26.62	(22.64 - 31.03)	24.20	(20.48 - 28.36)	0.189
Region C - Central	25.52	(23.81 - 27.31)	24.82	(23.02 - 26.70)	0.416
Circuit 5	24.88	(21.37 - 28.75)	22.51	(18.88 - 26.61)	0.158
Circuit 9	25.77	(22.92 - 28.84)	26.75	(23.64 - 30.10)	0.508
Circuit 10	22.90	(19.64 - 26.53)	20.66	(17.38 - 24.37)	0.162
Circuit 18	26.93	(23.56 - 30.60)	25.96	(22.56 - 29.67)	0.553
Circuit 19	26.76	(22.63 - 31.34)	26.10	(21.83 - 30.89)	0.730
Region D - Southeast	24.19^a	(21.85 - 26.70)	20.85	(18.56 - 23.33)	0.007
Circuit 15 (Palm Beach)	25.76^a	(22.27 - 29.59)	21.85	(18.76 - 25.29)	0.014
Circuit 17 (Broward)	23.12^b	(20.25 - 26.26)	20.15	(17.18 - 23.48)	0.065
Region E - Sun Coast	26.01	(24.09 - 28.02)	24.73	(22.77 - 26.80)	0.180
Circuit 6	25.12	(21.84 - 28.72)	23.56	(20.15 - 27.34)	0.336
Circuit 12	26.06	(22.07 - 30.50)	27.35	(23.11 - 32.04)	0.497
Circuit 13 (Hillsborough)	26.25^b	(23.30 - 29.43)	23.46	(20.69 - 26.48)	0.062
Circuit 20	26.74	(22.97 - 30.89)	26.30	(22.49 - 30.49)	0.799
Region F - Southern (Circuits 11 and 16)	24.17	(21.56 - 26.99)	22.08	(19.61 - 24.76)	0.121
Georgia	23.75^a	(21.73 - 25.90)	20.52	(18.55 - 22.63)	0.002
Region 1	22.88^a	(19.57 - 26.57)	19.61	(16.55 - 23.07)	0.040
Region 2	26.63^a	(22.58 - 31.11)	21.87	(18.10 - 26.17)	0.013
Region 3	22.84	(19.84 - 26.15)	21.13	(18.04 - 24.59)	0.267
Region 4	23.85	(19.58 - 28.73)	21.54	(17.29 - 26.50)	0.216
Region 5	25.46^b	(21.51 - 29.85)	21.63	(17.23 - 26.78)	0.051
Region 6	22.90^a	(19.37 - 26.86)	18.40	(15.06 - 22.28)	0.006
Hawaii	24.28	(21.86 - 26.87)	22.68	(20.50 - 25.02)	0.212
Hawaii Island	25.99	(21.74 - 30.74)	23.86	(19.86 - 28.38)	0.278
Honolulu	24.45	(21.63 - 27.52)	22.88	(20.29 - 25.69)	0.299
Kauai and Maui	21.90	(18.47 - 25.76)	20.76	(17.43 - 24.55)	0.460
Kauai	21.61	(17.31 - 26.63)	19.55	(15.20 - 24.78)	0.251
Maui	22.03	(18.00 - 26.67)	21.28	(17.29 - 25.91)	0.680
Idaho	24.30^a	(22.19 - 26.53)	21.84	(19.87 - 23.94)	0.018

National Survey on Drug Use and Health:Comparison of the 2008-2010 and 2010-2012 Model-Based Substate Estimates

National Survey on Drug Use and Health:
Comparison of the 2008-2010 and 2010-2012 Model-Based Substate Estimates