2016-2018 National Survey on Drug Use and Health
National Maps of Prevalence Estimates, by Substate Region

The 29 national maps presented here show the 2016-2018 National Survey on Drug Use and Health (NSDUH) estimates for 395 substate regions that were ranked from lowest to highest for each measure and divided into seven categories (based on estimates rounded to two decimal places) designed to represent somewhat symmetric distributions, as in a normal distribution. Colors were assigned to all substate regions such that the third having the lowest prevalence are in shades of blue (132 substate regions), the middle third are in white (131 substate regions), and the third with the highest prevalence are in shades of yellow (132 substate regions). The only exceptions are the five perception-of-risk outcomes shown in Figure 4 (marijuana), Figure 8 (cocaine), Figure 10 (heroin), Figure 15 (alcohol), and Figure 20 (cigarettes), which have the highest estimates represented in blue and the lowest estimates represented in shades of yellow to reflect the inverse relationship between substance use and the perception of risk from using that substance. To further distinguish among the substate regions displaying relatively higher prevalence, the "highest" third has been subdivided into (a) orangish-yellow for the 18 substate regions with the highest estimates, (b) dark yellow for the 37 substate regions with the next highest estimates, and (c) light yellow for the 77 substate regions in the third highest group. The "lowest" third is categorized in a similar way using three distinct shades of blue (i.e., dark blue, medium blue, and light blue). In some cases, a group (or category) could have more or fewer substate regions because two (or more) substate regions have the same estimate (to two decimal places). When such ties occurred at the "boundary" between two groups, all substate regions with the same estimate (to two decimal places) were assigned to the lower group. The upper and lower limits of each of the seven categories shown in the map legend collectively define a continuum and are not necessarily the actual values of a particular substate region. For example, in Figure 13 (a national map showing alcohol use in the past month among individuals aged 12 or older), the values on the boundary in the lowest category (group 1) correspond to Utah County in Utah (19.56 percent) and Catchment Area 3 in Arkansas (35.60 percent) and are displayed in the legend. In the next to lowest category, Catchment Area 4 in Arkansas (35.80 percent) and the Southeast region in Oklahoma (42.52 percent) are the substate regions with the lowest and highest values; however, in the continuum of the legend, the lower limit for group 2 was assigned a value of 35.61 percent because the upper limit of group 1 is 35.60 percent. Note that the rankings used to create these maps do not account for the standard errors of the estimates (i.e., just because two regions are in different map groups does not imply that they are significantly different from each other). Tables containing specific estimates for these substate regions are available on the 2016-2018 NSDUH substate webpage at https://www.samhsa.gov/data/. Specifically, see the "2016-2018 NSDUH Substate Region Estimates – Excel Tables and CSV Files." Additionally, tables containing values for comparing two substate regions can be found at the same webpage. Specifically, see the "2016-2018 NSDUH: Comparison of Population Percentages from the United States, Census Regions, States, District of Columbia, and Substate Regions." Individual state maps containing enlarged images of these substate regions also are available.1

Figure 1. Illicit Drug Use in the Past Month among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 1     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 2. Marijuana Use in the Past Year among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 2     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 3. Marijuana Use in the Past Month among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 3     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 4. Perceptions of Great Risk from Smoking Marijuana Once a Month among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 4     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 5. First Use of Marijuana among Individuals Aged 12 or Older, by Substate Region: Average Annual Initiation Estimates (Expressed as Percentages of the At-Risk Population) Based on 2016, 2017, and 2018 NSDUHs

Figure 5     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 6. Illicit Drug Use Other Than Marijuana in the Past Month among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 6     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 7. Cocaine Use in the Past Year among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 7     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 8. Perceptions of Great Risk from Using Cocaine Once a Month among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 8     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 9. Heroin Use in the Past Year among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 9     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 10. Perceptions of Great Risk from Trying Heroin Once or Twice among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 10     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 11. Methamphetamine Use in the Past Year among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 11     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 12. Pain Reliever Misuse in the Past Year among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 12     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 13. Alcohol Use in the Past Month among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 13     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 14. Binge Alcohol Use in the Past Month among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 14     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 15. Perceptions of Great Risk from Having Five or More Drinks of an Alcoholic Beverage Once or Twice a Week among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 15     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 16. Alcohol Use in the Past Month among Individuals Aged 12 to 20, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 16     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 17. Binge Alcohol Use in the Past Month among Individuals Aged 12 to 20, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 17     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 18. Tobacco Product Use in the Past Month among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 18     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 19. Cigarette Use in the Past Month among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 19     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 20. Perceptions of Great Risk from Smoking One or More Packs of Cigarettes per Day among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 20     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 21. Illicit Drug Use Disorder in the Past Year among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 21     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 22. Pain Reliever Use Disorder in the Past Year among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 22     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 23. Alcohol Use Disorder in the Past Year among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 23     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 24. Substance Use Disorder in the Past Year among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 24     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 25. Serious Mental Illness in the Past Year among Adults Aged 18 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 25     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 26. Any Mental Illness in the Past Year among Adults Aged 18 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 26     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 27. Received Mental Health Services in the Past Year among Adults Aged 18 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 27     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 28. Had Serious Thoughts of Suicide in the Past Year among Adults Aged 18 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 28     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Figure 29. Major Depressive Episode in the Past Year among Adults Aged 18 or Older, by Substate Region: Percentages, Annual Averages Based on 2016, 2017, and 2018 NSDUHs

Figure 29     D

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NOTE: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.


End Notes

1 The substate regions within Los Angeles County, California, Cook County, Illinois, and New York City, New York, shown on the national maps also appear as enlarged images in the individual state maps for California, Illinois, and New York, respectively. Enlargements of specific substate regions other than for an entire state are unavailable in this set of 29 national maps.


Long Descriptions – Maps

Long description, Figure 1. Figure 1 is a U.S. map showing illicit drug use in the past month among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 5.02 to 7.01 percent.
The next to lowest group, group 2's percentages ranged from 7.02 to 8.11 percent. The next lowest group, group 3's percentages ranged from 8.12 to 9.34 percent.
The middle group, group 4's percentages ranged from 9.35 to 11.97 percent. The next highest group, group 5's percentages ranged from 11.98 to 16.19 percent.
The next to highest group, group 6's percentages ranged from 16.20 to 19.45 percent.
The highest group, group 7's percentages ranged from 19.46 to 29.61 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 4.
Alabama's substate region, Region 2, is in group 4.
Alabama's substate region, Region 3, is in group 4.
Alabama's substate region, Region 4, is in group 4.
Alaska's substate region, Anchorage, is in group 6.
Alaska's substate region, Northern, is in group 7.
Alaska's substate region, South Central, is in group 6.
Alaska's substate region, Southeast, is in group 7.
Arizona's substate region, Central, is in group 4.
Arizona's substate region, North, is in group 5.
Arizona's substate region, South A, is in group 5.
Arizona's substate region, South B, is in group 4.
Arkansas's substate region, Catchment Area 1, is in group 4.
Arkansas's substate region, Catchment Area 2, is in group 3.
Arkansas's substate region, Catchment Area 3, is in group 4.
Arkansas's substate region, Catchment Area 4, is in group 4.
Arkansas's substate region, Catchment Area 5, is in group 4.
Arkansas's substate region, Catchment Area 6, is in group 4.
Arkansas's substate region, Catchment Area 7, is in group 4.
Arkansas's substate region, Catchment Area 8, is in group 4.
California's substate region, Region 1R, is in group 7.
California's substate region, Region 2R, is in group 5.
California's substate region, Region 3R (Sacramento), is in group 5.
California's substate region, Region 4R, is in group 5.
California's substate region, Region 5R (San Francisco), is in group 7.
California's substate region, Region 6 (Santa Clara), is in group 4.
California's substate region, Region 7R (Contra Costa), is in group 5.
California's substate region, Region 8R (Alameda), is in group 6.
California's substate region, Region 9R (San Mateo), is in group 5.
California's substate region, Region 10, is in group 5.
California's substate region, LA SPA 1 and 5, is in group 5.
California's substate region, LA SPA 2, is in group 5.
California's substate region, LA SPA 3, is in group 4.
California's substate region, LA SPA 4, is in group 6.
California's substate region, LA SPA 6, is in group 5.
California's substate region, LA SPA 7, is in group 4.
California's substate region, LA SPA 8, is in group 5.
California's substate region, Region 12R, is in group 5.
California's substate region, Regions 13 and 19R, is in group 4.
California's substate region, Region 14 (Orange), is in group 4.
California's substate region, Region 15R (Fresno), is in group 4.
California's substate region, Region 16R (San Diego), is in group 5.
California's substate region, Region 17R, is in group 4.
California's substate region, Region 18R (San Bernardino), is in group 4.
California's substate region, Region 20R, is in group 5.
California's substate region, Region 21R, is in group 6.
Colorado's substate region, Region 1, is in group 6.
Colorado's substate region, Region 2, is in group 5.
Colorado's substate region, Region 3, is in group 5.
Colorado's substate region, Region 4, is in group 5.
Colorado's substate region, Region 5, is in group 7.
Colorado's substate region, Region 6, is in group 7.
Colorado's substate region, Region 7, is in group 6.
Connecticut's substate region, Eastern, is in group 5.
Connecticut's substate region, North Central, is in group 5.
Connecticut's substate region, Northwestern, is in group 5.
Connecticut's substate region, South Central, is in group 5.
Connecticut's substate region, Southwest, is in group 4.
Delaware's substate region, Kent, is in group 5.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 5.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 7.
District of Columbia's substate region, Ward 1, is in group 7.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 6.
District of Columbia's substate region, Ward 4, is in group 5.
District of Columbia's substate region, Ward 5, is in group 7.
District of Columbia's substate region, Ward 6, is in group 6.
District of Columbia's substate region, Ward 7, is in group 6.
District of Columbia's substate region, Ward 8, is in group 7.
Florida's substate region, Broward (Circuit 17), is in group 4.
Florida's substate region, Circuit 9, is in group 4.
Florida's substate region, Circuit 18, is in group 4.
Florida's substate region, Circuit 6, is in group 4.
Florida's substate region, Circuit 10, is in group 4.
Florida's substate region, Circuit 12, is in group 4.
Florida's substate region, Circuit 13 (Hillsborough), is in group 5.
Florida's substate region, Circuit 20, is in group 3.
Florida's substate region, Circuit 4, is in group 4.
Florida's substate region, Circuit 5, is in group 3.
Florida's substate region, Circuit 7, is in group 5.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 5.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 5.
Florida's substate region, Circuit 14, is in group 4.
Florida's substate region, South (Circuits 11 and 16), is in group 2.
Florida's substate region, Circuit 15 (Palm Beach), is in group 4.
Florida's substate region, Circuit 19, is in group 4.
Georgia's substate region, Region 1, is in group 1.
Georgia's substate region, Region 2, is in group 4.
Georgia's substate region, Region 3, is in group 4.
Georgia's substate region, Region 4, is in group 3.
Georgia's substate region, Region 5, is in group 2.
Georgia's substate region, Region 6, is in group 2.
Hawaii's substate region, Hawaii Island, is in group 5.
Hawaii's substate region, Honolulu, is in group 3.
Hawaii's substate region, Kauai, is in group 4.
Hawaii's substate region, Maui, is in group 5.
Idaho's substate region, Region 1, is in group 4.
Idaho's substate region, Region 2, is in group 4.
Idaho's substate region, Region 3, is in group 2.
Idaho's substate region, Region 4, is in group 5.
Idaho's substate region, Region 5, is in group 2.
Idaho's substate region, Region 6, is in group 4.
Idaho's substate region, Region 7, is in group 1.
Illinois's substate region, Region 1.1 (Far North Side), is in group 5.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 4.
Illinois's substate region, Region 1.3 (North Central Side), is in group 6.
Illinois's substate region, Region 1.4 (West Side), is in group 5.
Illinois's substate region, Region 1.5 (South Side), is in group 5.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 4.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 3.
Illinois's substate region, Region 2a (DuPage), is in group 3.
Illinois's substate region, Region 2b, is in group 3.
Illinois's substate region, Region 2c (Winnebago), is in group 4.
Illinois's substate region, Region 2d, is in group 4.
Illinois's substate region, Region 3a (Champaign), is in group 5.
Illinois's substate region, Region 3b, is in group 4.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 3.
Illinois's substate region, Region 5a, is in group 4.
Illinois's substate region, Region 5b, is in group 4.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 5.
Indiana's substate region, North Central, is in group 4.
Indiana's substate region, Northeast, is in group 3.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 4.
Indiana's substate region, Southwest, is in group 4.
Indiana's substate region, West, is in group 5.
Iowa's substate region, Central, is in group 4.
Iowa's substate region, North Central, is in group 2.
Iowa's substate region, Northeast, is in group 3.
Iowa's substate region, Northwest, is in group 1.
Iowa's substate region, Southeast, is in group 3.
Iowa's substate region, Southwest, is in group 2.
Kansas's substate region, Northeast, is in group 3.
Kansas's substate region, Northwest and North Central, is in group 3.
Kansas's substate region, South Central, is in group 3.
Kansas's substate region, Southeast, is in group 3.
Kansas's substate region, Southwest, is in group 1.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 3.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 4.
Kentucky's substate region, Centerstone, is in group 4.
Kentucky's substate region, Communicare and River Valley, is in group 4.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 3.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 3.
Louisiana's substate region, Region 1, is in group 5.
Louisiana's substate region, Region 10 (Jefferson), is in group 3.
Louisiana's substate region, Regions 2 and 9, is in group 4.
Louisiana's substate region, Region 3, is in group 2.
Louisiana's substate region, Regions 4, 5, and 6, is in group 2.
Louisiana's substate region, Regions 7 and 8, is in group 2.
Maine's substate region, Aroostook, is in group 5.
Maine's substate region, Downeast, is in group 5.
Maine's substate region, Central, is in group 6.
Maine's substate region, Cumberland, is in group 6.
Maine's substate region, Midcoast, is in group 6.
Maine's substate region, Penquis, is in group 6.
Maine's substate region, Western, is in group 6.
Maine's substate region, York, is in group 6.
Maryland's substate region, Anne Arundel, is in group 4.
Maryland's substate region, Baltimore City, is in group 6.
Maryland's substate region, Baltimore County, is in group 4.
Maryland's substate region, Montgomery, is in group 4.
Maryland's substate region, North Central, is in group 4.
Maryland's substate region, Northeast, is in group 4.
Maryland's substate region, Prince George's, is in group 5.
Maryland's substate region, South, is in group 4.
Maryland's substate region, West, is in group 3.
Massachusetts's substate region, Boston, is in group 7.
Massachusetts's substate region, Central, is in group 5.
Massachusetts's substate region, Metrowest, is in group 5.
Massachusetts's substate region, Northeast, is in group 5.
Massachusetts's substate region, Southeast, is in group 5.
Massachusetts's substate region, Western, is in group 6.
Michigan's substate region, Region 1, is in group 5.
Michigan's substate region, Region 2, is in group 4.
Michigan's substate region, Region 3, is in group 5.
Michigan's substate region, Region 4, is in group 5.
Michigan's substate region, Region 5, is in group 5.
Michigan's substate region, Region 6, is in group 5.
Michigan's substate region, Region 7, is in group 6.
Michigan's substate region, Region 8, is in group 5.
Michigan's substate region, Region 9, is in group 5.
Michigan's substate region, Region 10, is in group 5.
Minnesota's substate region, Region 1, is in group 4.
Minnesota's substate region, Region 2, is in group 4.
Minnesota's substate region, Region 3, is in group 3.
Minnesota's substate region, Region 4, is in group 4.
Minnesota's substate region, Region 5, is in group 3.
Minnesota's substate region, Region 6, is in group 4.
Minnesota's substate region, Region 7A (Hennepin), is in group 4.
Minnesota's substate region, Region 7B (Ramsey), is in group 4.
Minnesota's substate region, Region 7C, is in group 4.
Mississippi's substate region, Region 1, is in group 4.
Mississippi's substate region, Region 2, is in group 3.
Mississippi's substate region, Region 3, is in group 3.
Mississippi's substate region, Region 4, is in group 2.
Mississippi's substate region, Region 5, is in group 4.
Mississippi's substate region, Region 6, is in group 3.
Mississippi's substate region, Region 7, is in group 4.
Missouri's substate region, Central, is in group 2.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 4.
Missouri's substate region, Northwest (Jackson), is in group 5.
Missouri's substate region, Northwest (excluding Jackson), is in group 3.
Missouri's substate region, Southeast, is in group 3.
Missouri's substate region, Southwest, is in group 4.
Montana's substate region, Region 1, is in group 5.
Montana's substate region, Region 2, is in group 5.
Montana's substate region, Region 3, is in group 4.
Montana's substate region, Region 4, is in group 6.
Montana's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 1, is in group 4.
Nebraska's substate region, Region 2, is in group 3.
Nebraska's substate region, Region 3, is in group 2.
Nebraska's substate region, Region 4, is in group 1.
Nebraska's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 6, is in group 4.
Nevada's substate region, Clark - Region 1, is in group 5.
Nevada's substate region, Capital District, is in group 5.
Nevada's substate region, Rural/Frontier, is in group 5.
Nevada's substate region, Washoe - Region 2, is in group 6.
New Hampshire's substate region, Central, is in group 6.
New Hampshire's substate region, Northern, is in group 5.
New Hampshire's substate region, Southern, is in group 5.
New Jersey's substate region, Central, is in group 3.
New Jersey's substate region, Metropolitan, is in group 3.
New Jersey's substate region, Northern, is in group 2.
New Jersey's substate region, Southern, is in group 4.
New Mexico's substate region, Region 1, is in group 5.
New Mexico's substate region, Region 2, is in group 5.
New Mexico's substate region, Region 3 (Bernalillo), is in group 5.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 5.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 4.
New York's substate region, Region 2A: Bronx, is in group 3.
New York's substate region, Region 2B: Kings, is in group 4.
New York's substate region, Region 2C: New York, is in group 6.
New York's substate region, Region 2D: Queens, is in group 4.
New York's substate region, Region 2E: Richmond, is in group 4.
New York's substate region, Region 3: Mid-Hudson, is in group 3.
New York's substate region, Region 4: Capital Region, is in group 5.
New York's substate region, Region 5: Mohawk Valley, is in group 5.
New York's substate region, Region 6: North Country, is in group 5.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 5.
New York's substate region, Region 9: Southern Tier, is in group 5.
New York's substate region, Region 10: Finger Lakes, is in group 4.
New York's substate region, Region 11: Western, is in group 5.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 4.
North Carolina's substate region, CenterPoint Human Services, is in group 4.
North Carolina's substate region, Eastpointe, is in group 3.
North Carolina's substate region, Partners Behavioral Health Management, is in group 3.
North Carolina's substate region, Sandhills Center 1, is in group 2.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 4.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 4.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 1.
North Dakota's substate region, West Central, is in group 1.
North Dakota's substate region, Lake Region, is in group 3.
North Dakota's substate region, North Central, is in group 3.
North Dakota's substate region, Northeast, is in group 2.
North Dakota's substate region, Northwest, is in group 4.
North Dakota's substate region, South Central, is in group 1.
North Dakota's substate region, Southeast, is in group 3.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 2.
Ohio's substate region, Boards 3, 52, and 85, is in group 2.
Ohio's substate region, Boards 4 and 78, is in group 3.
Ohio's substate region, Boards 5 and 60, is in group 4.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 3.
Ohio's substate region, Boards 8, 13, and 83, is in group 3.
Ohio's substate region, Board 9 (Butler), is in group 4.
Ohio's substate region, Board 12, is in group 4.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 2.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 2.
Ohio's substate region, Boards 22, 74, and 87, is in group 4.
Ohio's substate region, Boards 23 and 45, is in group 3.
Ohio's substate region, Board 25 (Franklin), is in group 4.
Ohio's substate region, Boards 27, 71, and 73, is in group 3.
Ohio's substate region, Boards 28, 43, and 67, is in group 2.
Ohio's substate region, Board 31 (Hamilton), is in group 4.
Ohio's substate region, Board 48 (Lucas), is in group 5.
Ohio's substate region, Boards 50 and 76, is in group 3.
Ohio's substate region, Board 57 (Montgomery), is in group 4.
Ohio's substate region, Board 77 (Summit), is in group 3.
Oklahoma's substate region, Central, is in group 3.
Oklahoma's substate region, East Central, is in group 2.
Oklahoma's substate region, Northeast, is in group 2.
Oklahoma's substate region, Northwest and Southwest, is in group 2.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 3.
Oklahoma's substate region, Tulsa County, is in group 4.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 6.
Oregon's substate region, Region 3, is in group 7.
Oregon's substate region, Region 4, is in group 7.
Oregon's substate region, Region 5 (Central), is in group 6.
Oregon's substate region, Region 6 (Eastern), is in group 5.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 4.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 3.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 3.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 3.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 4.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 4.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 3.
Pennsylvania's substate region, Regions 17 and 21, is in group 4.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 3.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 3.
Pennsylvania's substate region, Regions 29 and 34, is in group 3.
Pennsylvania's substate region, Regions 30 and 50, is in group 4.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 6.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 6.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 6.
Rhode Island's substate region, Region 3: Providence, is in group 6.
Rhode Island's substate region, Region 4: Kent County, is in group 6.
Rhode Island's substate region, Region 5: East Bay, is in group 6.
Rhode Island's substate region, Region 6: Newport County, is in group 5.
Rhode Island's substate region, Region 7: South County, is in group 6.
South Carolina's substate region, Region 1, is in group 3.
South Carolina's substate region, Region 2, is in group 3.
South Carolina's substate region, Region 3, is in group 3.
South Carolina's substate region, Region 4, is in group 3.
South Dakota's substate region, Region 1, is in group 4.
South Dakota's substate region, Region 2, is in group 3.
South Dakota's substate region, Region 3, is in group 2.
South Dakota's substate region, Region 4, is in group 3.
South Dakota's substate region, Region 5, is in group 3.
Tennessee's substate region, Region 1, is in group 3.
Tennessee's substate region, Region 2, is in group 3.
Tennessee's substate region, Region 3, is in group 3.
Tennessee's substate region, Region 4 (Davidson), is in group 5.
Tennessee's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 6, is in group 3.
Tennessee's substate region, Region 7 (Shelby), is in group 3.
Texas's substate region, Region 1, is in group 3.
Texas's substate region, Region 2, is in group 4.
Texas's substate region, Region 3, is in group 2.
Texas's substate region, Region 4, is in group 2.
Texas's substate region, Region 5, is in group 3.
Texas's substate region, Region 6, is in group 2.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 2.
Texas's substate region, Region 9, is in group 1.
Texas's substate region, Region 10, is in group 1.
Texas's substate region, Region 11, is in group 1.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 1.
Utah's substate region, Central, Four Corners, and San Juan, is in group 1.
Utah's substate region, Southwest, is in group 1.
Utah's substate region, Davis County, is in group 1.
Utah's substate region, Salt Lake County, is in group 4.
Utah's substate region, Utah County, is in group 1.
Utah's substate region, Weber, Morgan, is in group 1.
Vermont's substate region, Champlain Valley, is in group 7.
Vermont's substate region, Rural Northeast, is in group 7.
Vermont's substate region, Rural Southeast, is in group 7.
Vermont's substate region, Rural Southwest, is in group 6.
Virginia's substate region, Region 1, is in group 3.
Virginia's substate region, Region 2, is in group 1.
Virginia's substate region, Region 3, is in group 2.
Virginia's substate region, Region 4, is in group 4.
Virginia's substate region, Region 5, is in group 3.
Washington's substate region, Region 1, is in group 5.
Washington's substate region, Region 2, is in group 6.
Washington's substate region, Region 3, is in group 6.
West Virginia's substate region, Region I, is in group 2.
West Virginia's substate region, Region II, is in group 3.
West Virginia's substate region, Region III, is in group 3.
West Virginia's substate region, Region IV, is in group 4.
West Virginia's substate region, Region V, is in group 4.
West Virginia's substate region, Region VI, is in group 3.
Wisconsin's substate region, Milwaukee, is in group 4.
Wisconsin's substate region, Northeastern, is in group 2.
Wisconsin's substate region, Northern, is in group 3.
Wisconsin's substate region, Southeastern, is in group 4. Wisconsin's substate region, Southern, is in group 4.
Wisconsin's substate region, Western, is in group 4.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 4.
Wyoming's substate region, Judicial District 3, is in group 2.
Wyoming's substate region, Judicial District 4, is in group 2.
Wyoming's substate region, Judicial District 5, is in group 2.
Wyoming's substate region, Judicial District 6, is in group 2.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 3.
Wyoming's substate region, Judicial District 8, is in group 2.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 1.

Long description, Figure 2. Figure 2 is a U.S. map showing marijuana use in the past year among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 6.49 to 9.67 percent.
The next to lowest group, group 2's percentages ranged from 9.68 to 10.97 percent.
The next lowest group, group 3's percentages ranged from 10.98 to 12.53 percent.
The middle group, group 4's percentages ranged from 12.54 to 16.34 percent.
The next highest group, group 5's percentages ranged from 16.35 to 20.80 percent.
The next to highest group, group 6's percentages ranged from 20.81 to 24.52 percent.
The highest group, group 7's percentages ranged from 24.53 to 37.96 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 3.
Alabama's substate region, Region 2, is in group 3.
Alabama's substate region, Region 3, is in group 3.
Alabama's substate region, Region 4, is in group 2.
Alaska's substate region, Anchorage, is in group 6.
Alaska's substate region, Northern, is in group 7.
Alaska's substate region, South Central, is in group 6.
Alaska's substate region, Southeast, is in group 6.
Arizona's substate region, Central, is in group 4.
Arizona's substate region, North, is in group 5.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 4.
Arkansas's substate region, Catchment Area 1, is in group 4.
Arkansas's substate region, Catchment Area 2, is in group 2.
Arkansas's substate region, Catchment Area 3, is in group 4.
Arkansas's substate region, Catchment Area 4, is in group 3.
Arkansas's substate region, Catchment Area 5, is in group 4.
Arkansas's substate region, Catchment Area 6, is in group 4.
Arkansas's substate region, Catchment Area 7, is in group 4.
Arkansas's substate region, Catchment Area 8, is in group 4.
California's substate region, Region 1R, is in group 7.
California's substate region, Region 2R, is in group 5.
California's substate region, Region 3R (Sacramento), is in group 5.
California's substate region, Region 4R, is in group 5.
California's substate region, Region 5R (San Francisco), is in group 7.
California's substate region, Region 6 (Santa Clara), is in group 4.
California's substate region, Region 7R (Contra Costa), is in group 5.
California's substate region, Region 8R (Alameda), is in group 5.
California's substate region, Region 9R (San Mateo), is in group 5.
California's substate region, Region 10, is in group 5.
California's substate region, LA SPA 1 and 5, is in group 5.
California's substate region, LA SPA 2, is in group 5.
California's substate region, LA SPA 3, is in group 4.
California's substate region, LA SPA 4, is in group 6.
California's substate region, LA SPA 6, is in group 4.
California's substate region, LA SPA 7, is in group 4.
California's substate region, LA SPA 8, is in group 5.
California's substate region, Region 12R, is in group 5.
California's substate region, Regions 13 and 19R, is in group 5.
California's substate region, Region 14 (Orange), is in group 4.
California's substate region, Region 15R (Fresno), is in group 4.
California's substate region, Region 16R (San Diego), is in group 5.
California's substate region, Region 17R, is in group 4.
California's substate region, Region 18R (San Bernardino), is in group 4.
California's substate region, Region 20R, is in group 4.
California's substate region, Region 21R, is in group 7.
Colorado's substate region, Region 1, is in group 7.
Colorado's substate region, Region 2, is in group 6.
Colorado's substate region, Region 3, is in group 5.
Colorado's substate region, Region 4, is in group 6.
Colorado's substate region, Region 5, is in group 7.
Colorado's substate region, Region 6, is in group 7.
Colorado's substate region, Region 7, is in group 6.
Connecticut's substate region, Eastern, is in group 5.
Connecticut's substate region, North Central, is in group 5.
Connecticut's substate region, Northwestern, is in group 4.
Connecticut's substate region, South Central, is in group 5.
Connecticut's substate region, Southwest, is in group 4.
Delaware's substate region, Kent, is in group 4.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 5.
Delaware's substate region, Sussex, is in group 3.
Delaware's substate region, Wilmington City, is in group 6.
District of Columbia's substate region, Ward 1, is in group 7.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 6.
District of Columbia's substate region, Ward 4, is in group 5.
District of Columbia's substate region, Ward 5, is in group 7.
District of Columbia's substate region, Ward 6, is in group 7.
District of Columbia's substate region, Ward 7, is in group 6.
District of Columbia's substate region, Ward 8, is in group 7.
Florida's substate region, Broward (Circuit 17), is in group 4.
Florida's substate region, Circuit 9, is in group 4.
Florida's substate region, Circuit 18, is in group 4.
Florida's substate region, Circuit 6, is in group 4.
Florida's substate region, Circuit 10, is in group 3.
Florida's substate region, Circuit 12, is in group 4.
Florida's substate region, Circuit 13 (Hillsborough), is in group 5.
Florida's substate region, Circuit 20, is in group 2.
Florida's substate region, Circuit 4, is in group 4.
Florida's substate region, Circuit 5, is in group 4.
Florida's substate region, Circuit 7, is in group 5.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 5.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 5.
Florida's substate region, Circuit 14, is in group 4.
Florida's substate region, South (Circuits 11 and 16), is in group 2.
Florida's substate region, Circuit 15 (Palm Beach), is in group 4.
Florida's substate region, Circuit 19, is in group 4.
Georgia's substate region, Region 1, is in group 2.
Georgia's substate region, Region 2, is in group 4.
Georgia's substate region, Region 3, is in group 4.
Georgia's substate region, Region 4, is in group 3.
Georgia's substate region, Region 5, is in group 3.
Georgia's substate region, Region 6, is in group 2.
Hawaii's substate region, Hawaii Island, is in group 5.
Hawaii's substate region, Honolulu, is in group 3.
Hawaii's substate region, Kauai, is in group 4.
Hawaii's substate region, Maui, is in group 5.
Idaho's substate region, Region 1, is in group 4.
Idaho's substate region, Region 2, is in group 4.
Idaho's substate region, Region 3, is in group 3.
Idaho's substate region, Region 4, is in group 5.
Idaho's substate region, Region 5, is in group 3.
Idaho's substate region, Region 6, is in group 4.
Idaho's substate region, Region 7, is in group 1.
Illinois's substate region, Region 1.1 (Far North Side), is in group 5.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 4.
Illinois's substate region, Region 1.3 (North Central Side), is in group 6.
Illinois's substate region, Region 1.4 (West Side), is in group 5.
Illinois's substate region, Region 1.5 (South Side), is in group 5.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 3.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 4.
Illinois's substate region, Region 2a (DuPage), is in group 4.
Illinois's substate region, Region 2b, is in group 3.
Illinois's substate region, Region 2c (Winnebago), is in group 3.
Illinois's substate region, Region 2d, is in group 4.
Illinois's substate region, Region 3a (Champaign), is in group 5.
Illinois's substate region, Region 3b, is in group 4.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 3.
Illinois's substate region, Region 5a, is in group 4.
Illinois's substate region, Region 5b, is in group 3.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 5.
Indiana's substate region, North Central, is in group 4.
Indiana's substate region, Northeast, is in group 3.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 4.
Indiana's substate region, Southwest, is in group 4.
Indiana's substate region, West, is in group 5.
Iowa's substate region, Central, is in group 4.
Iowa's substate region, North Central, is in group 3.
Iowa's substate region, Northeast, is in group 3.
Iowa's substate region, Northwest, is in group 1.
Iowa's substate region, Southeast, is in group 3.
Iowa's substate region, Southwest, is in group 1.
Kansas's substate region, Northeast, is in group 4.
Kansas's substate region, Northwest and North Central, is in group 2.
Kansas's substate region, South Central, is in group 4.
Kansas's substate region, Southeast, is in group 3.
Kansas's substate region, Southwest, is in group 2.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 2.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 4.
Kentucky's substate region, Centerstone, is in group 4.
Kentucky's substate region, Communicare and River Valley, is in group 3.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 3.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 3.
Louisiana's substate region, Region 1, is in group 5.
Louisiana's substate region, Region 10 (Jefferson), is in group 4.
Louisiana's substate region, Regions 2 and 9, is in group 4.
Louisiana's substate region, Region 3, is in group 2.
Louisiana's substate region, Regions 4, 5, and 6, is in group 2.
Louisiana's substate region, Regions 7 and 8, is in group 2.
Maine's substate region, Aroostook, is in group 5.
Maine's substate region, Downeast, is in group 5.
Maine's substate region, Central, is in group 6.
Maine's substate region, Cumberland, is in group 7.
Maine's substate region, Midcoast, is in group 6.
Maine's substate region, Penquis, is in group 6.
Maine's substate region, Western, is in group 6.
Maine's substate region, York, is in group 6.
Maryland's substate region, Anne Arundel, is in group 4.
Maryland's substate region, Baltimore City, is in group 6.
Maryland's substate region, Baltimore County, is in group 4.
Maryland's substate region, Montgomery, is in group 4.
Maryland's substate region, North Central, is in group 4.
Maryland's substate region, Northeast, is in group 4.
Maryland's substate region, Prince George's, is in group 5.
Maryland's substate region, South, is in group 4.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 6.
Massachusetts's substate region, Central, is in group 6.
Massachusetts's substate region, Metrowest, is in group 5.
Massachusetts's substate region, Northeast, is in group 5.
Massachusetts's substate region, Southeast, is in group 5.
Massachusetts's substate region, Western, is in group 6.
Michigan's substate region, Region 1, is in group 5.
Michigan's substate region, Region 2, is in group 4.
Michigan's substate region, Region 3, is in group 4.
Michigan's substate region, Region 4, is in group 5.
Michigan's substate region, Region 5, is in group 5.
Michigan's substate region, Region 6, is in group 5.
Michigan's substate region, Region 7, is in group 6.
Michigan's substate region, Region 8, is in group 5.
Michigan's substate region, Region 9, is in group 5.
Michigan's substate region, Region 10, is in group 5.
Minnesota's substate region, Region 1, is in group 4.
Minnesota's substate region, Region 2, is in group 5.
Minnesota's substate region, Region 3, is in group 4.
Minnesota's substate region, Region 4, is in group 4.
Minnesota's substate region, Region 5, is in group 3.
Minnesota's substate region, Region 6, is in group 4.
Minnesota's substate region, Region 7A (Hennepin), is in group 4.
Minnesota's substate region, Region 7B (Ramsey), is in group 5.
Minnesota's substate region, Region 7C, is in group 4.
Mississippi's substate region, Region 1, is in group 3.
Mississippi's substate region, Region 2, is in group 3.
Mississippi's substate region, Region 3, is in group 2.
Mississippi's substate region, Region 4, is in group 2.
Mississippi's substate region, Region 5, is in group 4.
Mississippi's substate region, Region 6, is in group 2.
Mississippi's substate region, Region 7, is in group 4.
Missouri's substate region, Central, is in group 2.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 4.
Missouri's substate region, Northwest (Jackson), is in group 5.
Missouri's substate region, Northwest (excluding Jackson), is in group 3.
Missouri's substate region, Southeast, is in group 3.
Missouri's substate region, Southwest, is in group 3.
Montana's substate region, Region 1, is in group 4.
Montana's substate region, Region 2, is in group 4.
Montana's substate region, Region 3, is in group 5.
Montana's substate region, Region 4, is in group 6.
Montana's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 1, is in group 4.
Nebraska's substate region, Region 2, is in group 3.
Nebraska's substate region, Region 3, is in group 2.
Nebraska's substate region, Region 4, is in group 1.
Nebraska's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 6, is in group 4.
Nevada's substate region, Clark - Region 1, is in group 5.
Nevada's substate region, Capital District, is in group 5.
Nevada's substate region, Rural/Frontier, is in group 5.
Nevada's substate region, Washoe - Region 2, is in group 6.
New Hampshire's substate region, Central, is in group 5.
New Hampshire's substate region, Northern, is in group 5.
New Hampshire's substate region, Southern, is in group 5.
New Jersey's substate region, Central, is in group 3.
New Jersey's substate region, Metropolitan, is in group 3.
New Jersey's substate region, Northern, is in group 3.
New Jersey's substate region, Southern, is in group 4.
New Mexico's substate region, Region 1, is in group 5.
New Mexico's substate region, Region 2, is in group 5.
New Mexico's substate region, Region 3 (Bernalillo), is in group 6.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 5.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 4.
New York's substate region, Region 2A: Bronx, is in group 3.
New York's substate region, Region 2B: Kings, is in group 4.
New York's substate region, Region 2C: New York, is in group 6.
New York's substate region, Region 2D: Queens, is in group 4.
New York's substate region, Region 2E: Richmond, is in group 4.
New York's substate region, Region 3: Mid-Hudson, is in group 3.
New York's substate region, Region 4: Capital Region, is in group 5.
New York's substate region, Region 5: Mohawk Valley, is in group 4.
New York's substate region, Region 6: North Country, is in group 5.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 5.
New York's substate region, Region 9: Southern Tier, is in group 5.
New York's substate region, Region 10: Finger Lakes, is in group 4.
New York's substate region, Region 11: Western, is in group 5.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 3.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 4.
North Carolina's substate region, CenterPoint Human Services, is in group 4.
North Carolina's substate region, Eastpointe, is in group 3.
North Carolina's substate region, Partners Behavioral Health Management, is in group 3.
North Carolina's substate region, Sandhills Center 1, is in group 2.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 3.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 3.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 1.
North Dakota's substate region, West Central, is in group 1.
North Dakota's substate region, Lake Region, is in group 4.
North Dakota's substate region, North Central, is in group 3.
North Dakota's substate region, Northeast, is in group 3.
North Dakota's substate region, Northwest, is in group 4.
North Dakota's substate region, South Central, is in group 1.
North Dakota's substate region, Southeast, is in group 4.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 2.
Ohio's substate region, Boards 3, 52, and 85, is in group 1.
Ohio's substate region, Boards 4 and 78, is in group 3.
Ohio's substate region, Boards 5 and 60, is in group 5.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 3.
Ohio's substate region, Boards 8, 13, and 83, is in group 3.
Ohio's substate region, Board 9 (Butler), is in group 4.
Ohio's substate region, Board 12, is in group 4.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 2.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 2.
Ohio's substate region, Boards 22, 74, and 87, is in group 4.
Ohio's substate region, Boards 23 and 45, is in group 3.
Ohio's substate region, Board 25 (Franklin), is in group 5.
Ohio's substate region, Boards 27, 71, and 73, is in group 3.
Ohio's substate region, Boards 28, 43, and 67, is in group 3.
Ohio's substate region, Board 31 (Hamilton), is in group 4.
Ohio's substate region, Board 48 (Lucas), is in group 5.
Ohio's substate region, Boards 50 and 76, is in group 3.
Ohio's substate region, Board 57 (Montgomery), is in group 4.
Ohio's substate region, Board 77 (Summit), is in group 3.
Oklahoma's substate region, Central, is in group 3.
Oklahoma's substate region, East Central, is in group 4.
Oklahoma's substate region, Northeast, is in group 2.
Oklahoma's substate region, Northwest and Southwest, is in group 3.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 3.
Oklahoma's substate region, Tulsa County, is in group 3.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 6.
Oregon's substate region, Region 3, is in group 7.
Oregon's substate region, Region 4, is in group 6.
Oregon's substate region, Region 5 (Central), is in group 7.
Oregon's substate region, Region 6 (Eastern), is in group 5.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 5.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 3.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 4.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 3.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 4.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 4.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 2.
Pennsylvania's substate region, Regions 17 and 21, is in group 4.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 2.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 2.
Pennsylvania's substate region, Regions 29 and 34, is in group 3.
Pennsylvania's substate region, Regions 30 and 50, is in group 3.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 6.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 6.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 5.
Rhode Island's substate region, Region 3: Providence, is in group 6.
Rhode Island's substate region, Region 4: Kent County, is in group 5.
Rhode Island's substate region, Region 5: East Bay, is in group 5.
Rhode Island's substate region, Region 6: Newport County, is in group 6.
Rhode Island's substate region, Region 7: South County, is in group 6.
South Carolina's substate region, Region 1, is in group 3.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 3.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 4.
South Dakota's substate region, Region 2, is in group 4.
South Dakota's substate region, Region 3, is in group 2.
South Dakota's substate region, Region 4, is in group 3.
South Dakota's substate region, Region 5, is in group 3.
Tennessee's substate region, Region 1, is in group 2.
Tennessee's substate region, Region 2, is in group 3.
Tennessee's substate region, Region 3, is in group 3.
Tennessee's substate region, Region 4 (Davidson), is in group 5.
Tennessee's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 6, is in group 3.
Tennessee's substate region, Region 7 (Shelby), is in group 4.
Texas's substate region, Region 1, is in group 3.
Texas's substate region, Region 2, is in group 3.
Texas's substate region, Region 3, is in group 2.
Texas's substate region, Region 4, is in group 2.
Texas's substate region, Region 5, is in group 3.
Texas's substate region, Region 6, is in group 2.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 2.
Texas's substate region, Region 9, is in group 1.
Texas's substate region, Region 10, is in group 1.
Texas's substate region, Region 11, is in group 1.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 1.
Utah's substate region, Central, Four Corners, and San Juan, is in group 1.
Utah's substate region, Southwest, is in group 1.
Utah's substate region, Davis County, is in group 1.
Utah's substate region, Salt Lake County, is in group 4.
Utah's substate region, Utah County, is in group 1.
Utah's substate region, Weber, Morgan, is in group 2.
Vermont's substate region, Champlain Valley, is in group 7.
Vermont's substate region, Rural Northeast, is in group 7.
Vermont's substate region, Rural Southeast, is in group 6.
Vermont's substate region, Rural Southwest, is in group 6.
Virginia's substate region, Region 1, is in group 3.
Virginia's substate region, Region 2, is in group 1.
Virginia's substate region, Region 3, is in group 3.
Virginia's substate region, Region 4, is in group 4.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 5.
Washington's substate region, Region 2, is in group 6.
Washington's substate region, Region 3, is in group 6.
West Virginia's substate region, Region I, is in group 2.
West Virginia's substate region, Region II, is in group 3.
West Virginia's substate region, Region III, is in group 3.
West Virginia's substate region, Region IV, is in group 4.
West Virginia's substate region, Region V, is in group 4.
West Virginia's substate region, Region VI, is in group 4.
Wisconsin's substate region, Milwaukee, is in group 5.
Wisconsin's substate region, Northeastern, is in group 2.
Wisconsin's substate region, Northern, is in group 3.
Wisconsin's substate region, Southeastern, is in group 4.
Wisconsin's substate region, Southern, is in group 4.
Wisconsin's substate region, Western, is in group 3.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 5.
Wyoming's substate region, Judicial District 3, is in group 2.
Wyoming's substate region, Judicial District 4, is in group 2.
Wyoming's substate region, Judicial District 5, is in group 1.
Wyoming's substate region, Judicial District 6, is in group 3.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 4.
Wyoming's substate region, Judicial District 8, is in group 2.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 2.

Long description, Figure 3. Figure 3 is a U.S. map showing marijuana use in the past month among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 3.95 to 5.78 percent.
The next to lowest group, group 2's percentages ranged from 5.79 to 6.71 percent.
The next lowest group, group 3's percentages ranged from 6.72 to 7.76 percent.
The middle group, group 4's percentages ranged from 7.77 to 10.44 percent.
The next highest group, group 5's percentages ranged from 10.45 to 14.32 percent.
The next to highest group, group 6's percentages ranged from 14.33 to 17.58 percent.
The highest group, group 7's percentages ranged from 17.59 to 27.15 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 3.
Alabama's substate region, Region 2, is in group 3.
Alabama's substate region, Region 3, is in group 4.
Alabama's substate region, Region 4, is in group 3.
Alaska's substate region, Anchorage, is in group 6.
Alaska's substate region, Northern, is in group 7.
Alaska's substate region, South Central, is in group 6.
Alaska's substate region, Southeast, is in group 7.
Arizona's substate region, Central, is in group 4.
Arizona's substate region, North, is in group 5.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 4.
Arkansas's substate region, Catchment Area 1, is in group 4.
Arkansas's substate region, Catchment Area 2, is in group 3.
Arkansas's substate region, Catchment Area 3, is in group 4.
Arkansas's substate region, Catchment Area 4, is in group 4.
Arkansas's substate region, Catchment Area 5, is in group 4.
Arkansas's substate region, Catchment Area 6, is in group 4.
Arkansas's substate region, Catchment Area 7, is in group 4.
Arkansas's substate region, Catchment Area 8, is in group 4.
California's substate region, Region 1R, is in group 7.
California's substate region, Region 2R, is in group 5.
California's substate region, Region 3R (Sacramento), is in group 5.
California's substate region, Region 4R, is in group 5.
California's substate region, Region 5R (San Francisco), is in group 6.
California's substate region, Region 6 (Santa Clara), is in group 4.
California's substate region, Region 7R (Contra Costa), is in group 5.
California's substate region, Region 8R (Alameda), is in group 5.
California's substate region, Region 9R (San Mateo), is in group 5.
California's substate region, Region 10, is in group 5.
California's substate region, LA SPA 1 and 5, is in group 5.
California's substate region, LA SPA 2, is in group 5.
California's substate region, LA SPA 3, is in group 4.
California's substate region, LA SPA 4, is in group 6.
California's substate region, LA SPA 6, is in group 5.
California's substate region, LA SPA 7, is in group 4.
California's substate region, LA SPA 8, is in group 5.
California's substate region, Region 12R, is in group 5.
California's substate region, Regions 13 and 19R, is in group 4.
California's substate region, Region 14 (Orange), is in group 4.
California's substate region, Region 15R (Fresno), is in group 5.
California's substate region, Region 16R (San Diego), is in group 5.
California's substate region, Region 17R, is in group 4.
California's substate region, Region 18R (San Bernardino), is in group 4.
California's substate region, Region 20R, is in group 4.
California's substate region, Region 21R, is in group 6.
Colorado's substate region, Region 1, is in group 7.
Colorado's substate region, Region 2, is in group 5.
Colorado's substate region, Region 3, is in group 5.
Colorado's substate region, Region 4, is in group 5.
Colorado's substate region, Region 5, is in group 7.
Colorado's substate region, Region 6, is in group 7.
Colorado's substate region, Region 7, is in group 6.
Connecticut's substate region, Eastern, is in group 5.
Connecticut's substate region, North Central, is in group 5.
Connecticut's substate region, Northwestern, is in group 4.
Connecticut's substate region, South Central, is in group 5.
Connecticut's substate region, Southwest, is in group 4.
Delaware's substate region, Kent, is in group 5.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 5.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 7.
District of Columbia's substate region, Ward 1, is in group 7.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 5.
District of Columbia's substate region, Ward 4, is in group 5.
District of Columbia's substate region, Ward 5, is in group 6.
District of Columbia's substate region, Ward 6, is in group 6.
District of Columbia's substate region, Ward 7, is in group 6.
District of Columbia's substate region, Ward 8, is in group 7.
Florida's substate region, Broward (Circuit 17), is in group 3.
Florida's substate region, Circuit 9, is in group 4.
Florida's substate region, Circuit 18, is in group 4.
Florida's substate region, Circuit 6, is in group 4.
Florida's substate region, Circuit 10, is in group 4.
Florida's substate region, Circuit 12, is in group 4.
Florida's substate region, Circuit 13 (Hillsborough), is in group 5.
Florida's substate region, Circuit 20, is in group 3.
Florida's substate region, Circuit 4, is in group 4.
Florida's substate region, Circuit 5, is in group 3.
Florida's substate region, Circuit 7, is in group 5.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 5.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 5.
Florida's substate region, Circuit 14, is in group 4.
Florida's substate region, South (Circuits 11 and 16), is in group 3.
Florida's substate region, Circuit 15 (Palm Beach), is in group 4.
Florida's substate region, Circuit 19, is in group 4.
Georgia's substate region, Region 1, is in group 1.
Georgia's substate region, Region 2, is in group 4.
Georgia's substate region, Region 3, is in group 4.
Georgia's substate region, Region 4, is in group 3.
Georgia's substate region, Region 5, is in group 3.
Georgia's substate region, Region 6, is in group 2.
Hawaii's substate region, Hawaii Island, is in group 5.
Hawaii's substate region, Honolulu, is in group 3.
Hawaii's substate region, Kauai, is in group 4.
Hawaii's substate region, Maui, is in group 5.
Idaho's substate region, Region 1, is in group 4.
Idaho's substate region, Region 2, is in group 4.
Idaho's substate region, Region 3, is in group 3.
Idaho's substate region, Region 4, is in group 5.
Idaho's substate region, Region 5, is in group 3.
Idaho's substate region, Region 6, is in group 4.
Idaho's substate region, Region 7, is in group 2.
Illinois's substate region, Region 1.1 (Far North Side), is in group 5.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 4.
Illinois's substate region, Region 1.3 (North Central Side), is in group 6.
Illinois's substate region, Region 1.4 (West Side), is in group 5.
Illinois's substate region, Region 1.5 (South Side), is in group 5.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 4.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 4.
Illinois's substate region, Region 2a (DuPage), is in group 3.
Illinois's substate region, Region 2b, is in group 4.
Illinois's substate region, Region 2c (Winnebago), is in group 4.
Illinois's substate region, Region 2d, is in group 4.
Illinois's substate region, Region 3a (Champaign), is in group 5.
Illinois's substate region, Region 3b, is in group 4.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 4.
Illinois's substate region, Region 5a, is in group 4.
Illinois's substate region, Region 5b, is in group 4.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 5.
Indiana's substate region, North Central, is in group 4.
Indiana's substate region, Northeast, is in group 4.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 4.
Indiana's substate region, Southwest, is in group 4.
Indiana's substate region, West, is in group 5.
Iowa's substate region, Central, is in group 3.
Iowa's substate region, North Central, is in group 2.
Iowa's substate region, Northeast, is in group 3.
Iowa's substate region, Northwest, is in group 1.
Iowa's substate region, Southeast, is in group 2.
Iowa's substate region, Southwest, is in group 1.
Kansas's substate region, Northeast, is in group 2.
Kansas's substate region, Northwest and North Central, is in group 2.
Kansas's substate region, South Central, is in group 2.
Kansas's substate region, Southeast, is in group 3.
Kansas's substate region, Southwest, is in group 1.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 2.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 4.
Kentucky's substate region, Centerstone, is in group 4.
Kentucky's substate region, Communicare and River Valley, is in group 3.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 3.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 3.
Louisiana's substate region, Region 1, is in group 5.
Louisiana's substate region, Region 10 (Jefferson), is in group 3.
Louisiana's substate region, Regions 2 and 9, is in group 4.
Louisiana's substate region, Region 3, is in group 2.
Louisiana's substate region, Regions 4, 5, and 6, is in group 2.
Louisiana's substate region, Regions 7 and 8, is in group 2.
Maine's substate region, Aroostook, is in group 6.
Maine's substate region, Downeast, is in group 5.
Maine's substate region, Central, is in group 6.
Maine's substate region, Cumberland, is in group 7.
Maine's substate region, Midcoast, is in group 6.
Maine's substate region, Penquis, is in group 6.
Maine's substate region, Western, is in group 7.
Maine's substate region, York, is in group 6.
Maryland's substate region, Anne Arundel, is in group 4.
Maryland's substate region, Baltimore City, is in group 6.
Maryland's substate region, Baltimore County, is in group 4.
Maryland's substate region, Montgomery, is in group 4.
Maryland's substate region, North Central, is in group 4.
Maryland's substate region, Northeast, is in group 4.
Maryland's substate region, Prince George's, is in group 5.
Maryland's substate region, South, is in group 4.
Maryland's substate region, West, is in group 3.
Massachusetts's substate region, Boston, is in group 6.
Massachusetts's substate region, Central, is in group 5.
Massachusetts's substate region, Metrowest, is in group 5.
Massachusetts's substate region, Northeast, is in group 4.
Massachusetts's substate region, Southeast, is in group 5.
Massachusetts's substate region, Western, is in group 6.
Michigan's substate region, Region 1, is in group 5.
Michigan's substate region, Region 2, is in group 4.
Michigan's substate region, Region 3, is in group 5.
Michigan's substate region, Region 4, is in group 5.
Michigan's substate region, Region 5, is in group 5.
Michigan's substate region, Region 6, is in group 5.
Michigan's substate region, Region 7, is in group 6.
Michigan's substate region, Region 8, is in group 5.
Michigan's substate region, Region 9, is in group 5.
Michigan's substate region, Region 10, is in group 5.
Minnesota's substate region, Region 1, is in group 4.
Minnesota's substate region, Region 2, is in group 4.
Minnesota's substate region, Region 3, is in group 4.
Minnesota's substate region, Region 4, is in group 4.
Minnesota's substate region, Region 5, is in group 3.
Minnesota's substate region, Region 6, is in group 4.
Minnesota's substate region, Region 7A (Hennepin), is in group 4.
Minnesota's substate region, Region 7B (Ramsey), is in group 4.
Minnesota's substate region, Region 7C, is in group 4.
Mississippi's substate region, Region 1, is in group 4.
Mississippi's substate region, Region 2, is in group 3.
Mississippi's substate region, Region 3, is in group 2.
Mississippi's substate region, Region 4, is in group 2.
Mississippi's substate region, Region 5, is in group 4.
Mississippi's substate region, Region 6, is in group 2.
Mississippi's substate region, Region 7, is in group 3.
Missouri's substate region, Central, is in group 2.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 4.
Missouri's substate region, Northwest (Jackson), is in group 5.
Missouri's substate region, Northwest (excluding Jackson), is in group 3.
Missouri's substate region, Southeast, is in group 3.
Missouri's substate region, Southwest, is in group 4.
Montana's substate region, Region 1, is in group 5.
Montana's substate region, Region 2, is in group 5.
Montana's substate region, Region 3, is in group 5.
Montana's substate region, Region 4, is in group 6.
Montana's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 1, is in group 4.
Nebraska's substate region, Region 2, is in group 4.
Nebraska's substate region, Region 3, is in group 3.
Nebraska's substate region, Region 4, is in group 2.
Nebraska's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 6, is in group 4.
Nevada's substate region, Clark - Region 1, is in group 5.
Nevada's substate region, Capital District, is in group 5.
Nevada's substate region, Rural/Frontier, is in group 5.
Nevada's substate region, Washoe - Region 2, is in group 6.
New Hampshire's substate region, Central, is in group 5.
New Hampshire's substate region, Northern, is in group 5.
New Hampshire's substate region, Southern, is in group 5.
New Jersey's substate region, Central, is in group 3.
New Jersey's substate region, Metropolitan, is in group 4.
New Jersey's substate region, Northern, is in group 2.
New Jersey's substate region, Southern, is in group 4.
New Mexico's substate region, Region 1, is in group 5.
New Mexico's substate region, Region 2, is in group 5.
New Mexico's substate region, Region 3 (Bernalillo), is in group 6.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 5.
New Mexico's substate region, Region 5b (Dona Ana), is in group 5.
New York's substate region, Region 1: Long Island, is in group 4.
New York's substate region, Region 2A: Bronx, is in group 3.
New York's substate region, Region 2B: Kings, is in group 4.
New York's substate region, Region 2C: New York, is in group 6.
New York's substate region, Region 2D: Queens, is in group 4.
New York's substate region, Region 2E: Richmond, is in group 4.
New York's substate region, Region 3: Mid-Hudson, is in group 3.
New York's substate region, Region 4: Capital Region, is in group 5.
New York's substate region, Region 5: Mohawk Valley, is in group 5.
New York's substate region, Region 6: North Country, is in group 5.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 5.
New York's substate region, Region 9: Southern Tier, is in group 5.
New York's substate region, Region 10: Finger Lakes, is in group 4.
New York's substate region, Region 11: Western, is in group 5.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 4.
North Carolina's substate region, CenterPoint Human Services, is in group 4.
North Carolina's substate region, Eastpointe, is in group 3.
North Carolina's substate region, Partners Behavioral Health Management, is in group 3.
North Carolina's substate region, Sandhills Center 1, is in group 2.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 4.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 3.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 1.
North Dakota's substate region, West Central, is in group 1.
North Dakota's substate region, Lake Region, is in group 3.
North Dakota's substate region, North Central, is in group 3.
North Dakota's substate region, Northeast, is in group 3.
North Dakota's substate region, Northwest, is in group 3.
North Dakota's substate region, South Central, is in group 1.
North Dakota's substate region, Southeast, is in group 4.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 3.
Ohio's substate region, Boards 3, 52, and 85, is in group 2.
Ohio's substate region, Boards 4 and 78, is in group 3.
Ohio's substate region, Boards 5 and 60, is in group 4.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 3.
Ohio's substate region, Boards 8, 13, and 83, is in group 3.
Ohio's substate region, Board 9 (Butler), is in group 4.
Ohio's substate region, Board 12, is in group 4.
Ohio's substate region, Boards 18 and 47, is in group 5.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 3.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 3.
Ohio's substate region, Boards 22, 74, and 87, is in group 4.
Ohio's substate region, Boards 23 and 45, is in group 3.
Ohio's substate region, Board 25 (Franklin), is in group 4.
Ohio's substate region, Boards 27, 71, and 73, is in group 3.
Ohio's substate region, Boards 28, 43, and 67, is in group 2.
Ohio's substate region, Board 31 (Hamilton), is in group 4.
Ohio's substate region, Board 48 (Lucas), is in group 5.
Ohio's substate region, Boards 50 and 76, is in group 3.
Ohio's substate region, Board 57 (Montgomery), is in group 4.
Ohio's substate region, Board 77 (Summit), is in group 3.
Oklahoma's substate region, Central, is in group 2.
Oklahoma's substate region, East Central, is in group 2.
Oklahoma's substate region, Northeast, is in group 2.
Oklahoma's substate region, Northwest and Southwest, is in group 2.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 3.
Oklahoma's substate region, Tulsa County, is in group 3.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 6.
Oregon's substate region, Region 3, is in group 7.
Oregon's substate region, Region 4, is in group 7.
Oregon's substate region, Region 5 (Central), is in group 6.
Oregon's substate region, Region 6 (Eastern), is in group 5.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 4.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 3.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 3.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 2.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 4.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 4.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 3.
Pennsylvania's substate region, Regions 17 and 21, is in group 4.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 3.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 2.
Pennsylvania's substate region, Regions 29 and 34, is in group 3.
Pennsylvania's substate region, Regions 30 and 50, is in group 4.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 5.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 6.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 6.
Rhode Island's substate region, Region 3: Providence, is in group 6.
Rhode Island's substate region, Region 4: Kent County, is in group 6.
Rhode Island's substate region, Region 5: East Bay, is in group 6.
Rhode Island's substate region, Region 6: Newport County, is in group 6.
Rhode Island's substate region, Region 7: South County, is in group 6.
South Carolina's substate region, Region 1, is in group 3.
South Carolina's substate region, Region 2, is in group 3.
South Carolina's substate region, Region 3, is in group 3.
South Carolina's substate region, Region 4, is in group 3.
South Dakota's substate region, Region 1, is in group 4.
South Dakota's substate region, Region 2, is in group 3.
South Dakota's substate region, Region 3, is in group 2.
South Dakota's substate region, Region 4, is in group 3.
South Dakota's substate region, Region 5, is in group 3.
Tennessee's substate region, Region 1, is in group 3.
Tennessee's substate region, Region 2, is in group 3.
Tennessee's substate region, Region 3, is in group 3.
Tennessee's substate region, Region 4 (Davidson), is in group 5.
Tennessee's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 6, is in group 3.
Tennessee's substate region, Region 7 (Shelby), is in group 4.
Texas's substate region, Region 1, is in group 2.
Texas's substate region, Region 2, is in group 3.
Texas's substate region, Region 3, is in group 2.
Texas's substate region, Region 4, is in group 2.
Texas's substate region, Region 5, is in group 3.
Texas's substate region, Region 6, is in group 1.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 2.
Texas's substate region, Region 9, is in group 1.
Texas's substate region, Region 10, is in group 1.
Texas's substate region, Region 11, is in group 1.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 1.
Utah's substate region, Central, Four Corners, and San Juan, is in group 1.
Utah's substate region, Southwest, is in group 1.
Utah's substate region, Davis County, is in group 1.
Utah's substate region, Salt Lake County, is in group 4.
Utah's substate region, Utah County, is in group 1.
Utah's substate region, Weber, Morgan, is in group 1.
Vermont's substate region, Champlain Valley, is in group 7.
Vermont's substate region, Rural Northeast, is in group 7.
Vermont's substate region, Rural Southeast, is in group 7.
Vermont's substate region, Rural Southwest, is in group 6.
Virginia's substate region, Region 1, is in group 3.
Virginia's substate region, Region 2, is in group 1.
Virginia's substate region, Region 3, is in group 2.
Virginia's substate region, Region 4, is in group 4.
Virginia's substate region, Region 5, is in group 3.
Washington's substate region, Region 1, is in group 6.
Washington's substate region, Region 2, is in group 6.
Washington's substate region, Region 3, is in group 6.
West Virginia's substate region, Region I, is in group 2.
West Virginia's substate region, Region II, is in group 3.
West Virginia's substate region, Region III, is in group 4.
West Virginia's substate region, Region IV, is in group 4.
West Virginia's substate region, Region V, is in group 4.
West Virginia's substate region, Region VI, is in group 3.
Wisconsin's substate region, Milwaukee, is in group 4.
Wisconsin's substate region, Northeastern, is in group 3.
Wisconsin's substate region, Northern, is in group 3.
Wisconsin's substate region, Southeastern, is in group 4.
Wisconsin's substate region, Southern, is in group 4.
Wisconsin's substate region, Western, is in group 4.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 4.
Wyoming's substate region, Judicial District 3, is in group 2.
Wyoming's substate region, Judicial District 4, is in group 2.
Wyoming's substate region, Judicial District 5, is in group 2.
Wyoming's substate region, Judicial District 6, is in group 3.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 3.
Wyoming's substate region, Judicial District 8, is in group 2.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 3.

Long description, Figure 4. Figure 4 is a U.S. map showing perceptions of great risk from smoking marijuana once a month among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The highest group, group 1's percentages ranged from 34.37 to 46.15  percent.
The next to highest group, group 2's percentages ranged from 30.77 to 34.36  percent.
The next highest group, group 3's percentages ranged from 26.97 to 30.76  percent.
The middle group, group 4's percentages ranged from 22.68 to 26.96  percent.
The next lowest group, group 5's percentages ranged from 19.02 to 22.67  percent.
The next to lowest group, group 6's percentages ranged from 16.51 to 19.01  percent.
The lowest group, group 7's percentages ranged from 10.73 to 16.50  percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 3.
Alabama's substate region, Region 2, is in group 4.
Alabama's substate region, Region 3, is in group 2.
Alabama's substate region, Region 4, is in group 2.
Alaska's substate region, Anchorage, is in group 6.
Alaska's substate region, Northern, is in group 6.
Alaska's substate region, South Central, is in group 6.
Alaska's substate region, Southeast, is in group 7.
Arizona's substate region, Central, is in group 4.
Arizona's substate region, North, is in group 3.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 3.
Arkansas's substate region, Catchment Area 1, is in group 3.
Arkansas's substate region, Catchment Area 2, is in group 3.
Arkansas's substate region, Catchment Area 3, is in group 2.
Arkansas's substate region, Catchment Area 4, is in group 2.
Arkansas's substate region, Catchment Area 5, is in group 3.
Arkansas's substate region, Catchment Area 6, is in group 2.
Arkansas's substate region, Catchment Area 7, is in group 3.
Arkansas's substate region, Catchment Area 8, is in group 4.
California's substate region, Region 1R, is in group 5.
California's substate region, Region 2R, is in group 5.
California's substate region, Region 3R (Sacramento), is in group 4.
California's substate region, Region 4R, is in group 5.
California's substate region, Region 5R (San Francisco), is in group 5.
California's substate region, Region 6 (Santa Clara), is in group 4.
California's substate region, Region 7R (Contra Costa), is in group 4.
California's substate region, Region 8R (Alameda), is in group 4.
California's substate region, Region 9R (San Mateo), is in group 4.
California's substate region, Region 10, is in group 3.
California's substate region, LA SPA 1 and 5, is in group 4.
California's substate region, LA SPA 2, is in group 4.
California's substate region, LA SPA 3, is in group 2.
California's substate region, LA SPA 4, is in group 3.
California's substate region, LA SPA 6, is in group 2.
California's substate region, LA SPA 7, is in group 1.
California's substate region, LA SPA 8, is in group 4.
California's substate region, Region 12R, is in group 4.
California's substate region, Regions 13 and 19R, is in group 2.
California's substate region, Region 14 (Orange), is in group 3.
California's substate region, Region 15R (Fresno), is in group 3.
California's substate region, Region 16R (San Diego), is in group 4.
California's substate region, Region 17R, is in group 2.
California's substate region, Region 18R (San Bernardino), is in group 3.
California's substate region, Region 20R, is in group 3.
California's substate region, Region 21R, is in group 4.
Colorado's substate region, Region 1, is in group 7.
Colorado's substate region, Region 2, is in group 5.
Colorado's substate region, Region 3, is in group 6.
Colorado's substate region, Region 4, is in group 5.
Colorado's substate region, Region 5, is in group 7.
Colorado's substate region, Region 6, is in group 7.
Colorado's substate region, Region 7, is in group 6.
Connecticut's substate region, Eastern, is in group 5.
Connecticut's substate region, North Central, is in group 5.
Connecticut's substate region, Northwestern, is in group 5.
Connecticut's substate region, South Central, is in group 5.
Connecticut's substate region, Southwest, is in group 4.
Delaware's substate region, Kent, is in group 4.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 5.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 5.
District of Columbia's substate region, Ward 1, is in group 7.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 7.
District of Columbia's substate region, Ward 4, is in group 6.
District of Columbia's substate region, Ward 5, is in group 6.
District of Columbia's substate region, Ward 6, is in group 7.
District of Columbia's substate region, Ward 7, is in group 5.
District of Columbia's substate region, Ward 8, is in group 5.
Florida's substate region, Broward (Circuit 17), is in group 2.
Florida's substate region, Circuit 9, is in group 2.
Florida's substate region, Circuit 18, is in group 3.
Florida's substate region, Circuit 6, is in group 4.
Florida's substate region, Circuit 10, is in group 2.
Florida's substate region, Circuit 12, is in group 4.
Florida's substate region, Circuit 13 (Hillsborough), is in group 3.
Florida's substate region, Circuit 20, is in group 2.
Florida's substate region, Circuit 4, is in group 3.
Florida's substate region, Circuit 5, is in group 3.
Florida's substate region, Circuit 7, is in group 4.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 4.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 4.
Florida's substate region, Circuit 14, is in group 3.
Florida's substate region, South (Circuits 11 and 16), is in group 1.
Florida's substate region, Circuit 15 (Palm Beach), is in group 3.
Florida's substate region, Circuit 19, is in group 3.
Georgia's substate region, Region 1, is in group 2.
Georgia's substate region, Region 2, is in group 3.
Georgia's substate region, Region 3, is in group 3.
Georgia's substate region, Region 4, is in group 2.
Georgia's substate region, Region 5, is in group 3.
Georgia's substate region, Region 6, is in group 2.
Hawaii's substate region, Hawaii Island, is in group 4.
Hawaii's substate region, Honolulu, is in group 3.
Hawaii's substate region, Kauai, is in group 4.
Hawaii's substate region, Maui, is in group 5.
Idaho's substate region, Region 1, is in group 5.
Idaho's substate region, Region 2, is in group 4.
Idaho's substate region, Region 3, is in group 2.
Idaho's substate region, Region 4, is in group 5.
Idaho's substate region, Region 5, is in group 2.
Idaho's substate region, Region 6, is in group 4.
Idaho's substate region, Region 7, is in group 2.
Illinois's substate region, Region 1.1 (Far North Side), is in group 4.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 2.
Illinois's substate region, Region 1.3 (North Central Side), is in group 6.
Illinois's substate region, Region 1.4 (West Side), is in group 3.
Illinois's substate region, Region 1.5 (South Side), is in group 4.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 1.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 4.
Illinois's substate region, Region 2a (DuPage), is in group 4.
Illinois's substate region, Region 2b, is in group 4.
Illinois's substate region, Region 2c (Winnebago), is in group 4.
Illinois's substate region, Region 2d, is in group 5.
Illinois's substate region, Region 3a (Champaign), is in group 6.
Illinois's substate region, Region 3b, is in group 5.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 4.
Illinois's substate region, Region 5a, is in group 4.
Illinois's substate region, Region 5b, is in group 4.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 4.
Indiana's substate region, North Central, is in group 4.
Indiana's substate region, Northeast, is in group 4.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 4.
Indiana's substate region, Southwest, is in group 4.
Indiana's substate region, West, is in group 5.
Iowa's substate region, Central, is in group 5.
Iowa's substate region, North Central, is in group 5.
Iowa's substate region, Northeast, is in group 4.
Iowa's substate region, Northwest, is in group 3.
Iowa's substate region, Southeast, is in group 5.
Iowa's substate region, Southwest, is in group 4.
Kansas's substate region, Northeast, is in group 5.
Kansas's substate region, Northwest and North Central, is in group 4.
Kansas's substate region, South Central, is in group 4.
Kansas's substate region, Southeast, is in group 3.
Kansas's substate region, Southwest, is in group 1.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 2.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 4.
Kentucky's substate region, Centerstone, is in group 4.
Kentucky's substate region, Communicare and River Valley, is in group 3.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 3.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 2.
Louisiana's substate region, Region 1, is in group 4.
Louisiana's substate region, Region 10 (Jefferson), is in group 3.
Louisiana's substate region, Regions 2 and 9, is in group 4.
Louisiana's substate region, Region 3, is in group 2.
Louisiana's substate region, Regions 4, 5, and 6, is in group 2.
Louisiana's substate region, Regions 7 and 8, is in group 2.
Maine's substate region, Aroostook, is in group 4.
Maine's substate region, Downeast, is in group 5.
Maine's substate region, Central, is in group 6.
Maine's substate region, Cumberland, is in group 7.
Maine's substate region, Midcoast, is in group 6.
Maine's substate region, Penquis, is in group 6.
Maine's substate region, Western, is in group 6.
Maine's substate region, York, is in group 7.
Maryland's substate region, Anne Arundel, is in group 4.
Maryland's substate region, Baltimore City, is in group 4.
Maryland's substate region, Baltimore County, is in group 4.
Maryland's substate region, Montgomery, is in group 3.
Maryland's substate region, North Central, is in group 5.
Maryland's substate region, Northeast, is in group 4.
Maryland's substate region, Prince George's, is in group 4.
Maryland's substate region, South, is in group 4.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 5.
Massachusetts's substate region, Central, is in group 6.
Massachusetts's substate region, Metrowest, is in group 6.
Massachusetts's substate region, Northeast, is in group 5.
Massachusetts's substate region, Southeast, is in group 6.
Massachusetts's substate region, Western, is in group 6.
Michigan's substate region, Region 1, is in group 5.
Michigan's substate region, Region 2, is in group 5.
Michigan's substate region, Region 3, is in group 5.
Michigan's substate region, Region 4, is in group 5.
Michigan's substate region, Region 5, is in group 5.
Michigan's substate region, Region 6, is in group 6.
Michigan's substate region, Region 7, is in group 5.
Michigan's substate region, Region 8, is in group 5.
Michigan's substate region, Region 9, is in group 5.
Michigan's substate region, Region 10, is in group 5.
Minnesota's substate region, Region 1, is in group 4.
Minnesota's substate region, Region 2, is in group 5.
Minnesota's substate region, Region 3, is in group 6.
Minnesota's substate region, Region 4, is in group 6.
Minnesota's substate region, Region 5, is in group 5.
Minnesota's substate region, Region 6, is in group 6.
Minnesota's substate region, Region 7A (Hennepin), is in group 7.
Minnesota's substate region, Region 7B (Ramsey), is in group 6.
Minnesota's substate region, Region 7C, is in group 6.
Mississippi's substate region, Region 1, is in group 2.
Mississippi's substate region, Region 2, is in group 1.
Mississippi's substate region, Region 3, is in group 1.
Mississippi's substate region, Region 4, is in group 2.
Mississippi's substate region, Region 5, is in group 1.
Mississippi's substate region, Region 6, is in group 1.
Mississippi's substate region, Region 7, is in group 3.
Missouri's substate region, Central, is in group 4.
Missouri's substate region, Eastern (St. Louis City and County), is in group 5.
Missouri's substate region, Eastern (excluding St. Louis), is in group 5.
Missouri's substate region, Northwest (Jackson), is in group 5.
Missouri's substate region, Northwest (excluding Jackson), is in group 4.
Missouri's substate region, Southeast, is in group 3.
Missouri's substate region, Southwest, is in group 3.
Montana's substate region, Region 1, is in group 5.
Montana's substate region, Region 2, is in group 4.
Montana's substate region, Region 3, is in group 5.
Montana's substate region, Region 4, is in group 7.
Montana's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 1, is in group 4.
Nebraska's substate region, Region 2, is in group 3.
Nebraska's substate region, Region 3, is in group 3.
Nebraska's substate region, Region 4, is in group 2.
Nebraska's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 6, is in group 5.
Nevada's substate region, Clark - Region 1, is in group 4.
Nevada's substate region, Capital District, is in group 4.
Nevada's substate region, Rural/Frontier, is in group 5.
Nevada's substate region, Washoe - Region 2, is in group 5.
New Hampshire's substate region, Central, is in group 6.
New Hampshire's substate region, Northern, is in group 5.
New Hampshire's substate region, Southern, is in group 6.
New Jersey's substate region, Central, is in group 3.
New Jersey's substate region, Metropolitan, is in group 1.
New Jersey's substate region, Northern, is in group 1.
New Jersey's substate region, Southern, is in group 4.
New Mexico's substate region, Region 1, is in group 4.
New Mexico's substate region, Region 2, is in group 5.
New Mexico's substate region, Region 3 (Bernalillo), is in group 5.
New Mexico's substate region, Region 4, is in group 3.
New Mexico's substate region, Region 5a, is in group 3.
New Mexico's substate region, Region 5b (Dona Ana), is in group 3.
New York's substate region, Region 1: Long Island, is in group 4.
New York's substate region, Region 2A: Bronx, is in group 1.
New York's substate region, Region 2B: Kings, is in group 2.
New York's substate region, Region 2C: New York, is in group 4.
New York's substate region, Region 2D: Queens, is in group 1.
New York's substate region, Region 2E: Richmond, is in group 4.
New York's substate region, Region 3: Mid-Hudson, is in group 4.
New York's substate region, Region 4: Capital Region, is in group 6.
New York's substate region, Region 5: Mohawk Valley, is in group 4.
New York's substate region, Region 6: North Country, is in group 4.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 5.
New York's substate region, Region 9: Southern Tier, is in group 5.
New York's substate region, Region 10: Finger Lakes, is in group 5.
New York's substate region, Region 11: Western, is in group 5.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 3.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 4.
North Carolina's substate region, CenterPoint Human Services, is in group 3.
North Carolina's substate region, Eastpointe, is in group 1.
North Carolina's substate region, Partners Behavioral Health Management, is in group 3.
North Carolina's substate region, Sandhills Center 1, is in group 3.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 3.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 3.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 4.
North Dakota's substate region, West Central, is in group 4.
North Dakota's substate region, Lake Region, is in group 3.
North Dakota's substate region, North Central, is in group 4.
North Dakota's substate region, Northeast, is in group 5.
North Dakota's substate region, Northwest, is in group 5.
North Dakota's substate region, South Central, is in group 3.
North Dakota's substate region, Southeast, is in group 5.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 4.
Ohio's substate region, Boards 3, 52, and 85, is in group 4.
Ohio's substate region, Boards 4 and 78, is in group 3.
Ohio's substate region, Boards 5 and 60, is in group 4.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 3.
Ohio's substate region, Boards 8, 13, and 83, is in group 5.
Ohio's substate region, Board 9 (Butler), is in group 4.
Ohio's substate region, Board 12, is in group 5.
Ohio's substate region, Boards 18 and 47, is in group 3.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 4.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 4.
Ohio's substate region, Boards 22, 74, and 87, is in group 4.
Ohio's substate region, Boards 23 and 45, is in group 4.
Ohio's substate region, Board 25 (Franklin), is in group 5.
Ohio's substate region, Boards 27, 71, and 73, is in group 3.
Ohio's substate region, Boards 28, 43, and 67, is in group 4.
Ohio's substate region, Board 31 (Hamilton), is in group 5.
Ohio's substate region, Board 48 (Lucas), is in group 5.
Ohio's substate region, Boards 50 and 76, is in group 4.
Ohio's substate region, Board 57 (Montgomery), is in group 5.
Ohio's substate region, Board 77 (Summit), is in group 4.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 3.
Oklahoma's substate region, Northeast, is in group 4.
Oklahoma's substate region, Northwest and Southwest, is in group 3.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 3.
Oklahoma's substate region, Tulsa County, is in group 4.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 6.
Oregon's substate region, Region 3, is in group 7.
Oregon's substate region, Region 4, is in group 6.
Oregon's substate region, Region 5 (Central), is in group 6.
Oregon's substate region, Region 6 (Eastern), is in group 5.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 5.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 4.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 4.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 3.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 4.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 5.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 4.
Pennsylvania's substate region, Regions 17 and 21, is in group 5.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 4.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 4.
Pennsylvania's substate region, Regions 29 and 34, is in group 4.
Pennsylvania's substate region, Regions 30 and 50, is in group 4.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 3.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 5.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 4.
Rhode Island's substate region, Region 3: Providence, is in group 4.
Rhode Island's substate region, Region 4: Kent County, is in group 6.
Rhode Island's substate region, Region 5: East Bay, is in group 6.
Rhode Island's substate region, Region 6: Newport County, is in group 6.
Rhode Island's substate region, Region 7: South County, is in group 6.
South Carolina's substate region, Region 1, is in group 4.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 2.
South Carolina's substate region, Region 4, is in group 3.
South Dakota's substate region, Region 1, is in group 4.
South Dakota's substate region, Region 2, is in group 3.
South Dakota's substate region, Region 3, is in group 3.
South Dakota's substate region, Region 4, is in group 3.
South Dakota's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 1, is in group 3.
Tennessee's substate region, Region 2, is in group 4.
Tennessee's substate region, Region 3, is in group 3.
Tennessee's substate region, Region 4 (Davidson), is in group 4.
Tennessee's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 6, is in group 3.
Tennessee's substate region, Region 7 (Shelby), is in group 2.
Texas's substate region, Region 1, is in group 2.
Texas's substate region, Region 2, is in group 2.
Texas's substate region, Region 3, is in group 2.
Texas's substate region, Region 4, is in group 2.
Texas's substate region, Region 5, is in group 2.
Texas's substate region, Region 6, is in group 1.
Texas's substate region, Region 7, is in group 3.
Texas's substate region, Region 8, is in group 1.
Texas's substate region, Region 9, is in group 1.
Texas's substate region, Region 10, is in group 1.
Texas's substate region, Region 11, is in group 1.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 3.
Utah's substate region, Central, Four Corners, and San Juan, is in group 2.
Utah's substate region, Southwest, is in group 3.
Utah's substate region, Davis County, is in group 3.
Utah's substate region, Salt Lake County, is in group 4.
Utah's substate region, Utah County, is in group 3.
Utah's substate region, Weber, Morgan, is in group 3.
Vermont's substate region, Champlain Valley, is in group 7.
Vermont's substate region, Rural Northeast, is in group 7.
Vermont's substate region, Rural Southeast, is in group 7.
Vermont's substate region, Rural Southwest, is in group 6.
Virginia's substate region, Region 1, is in group 4.
Virginia's substate region, Region 2, is in group 4.
Virginia's substate region, Region 3, is in group 4.
Virginia's substate region, Region 4, is in group 4.
Virginia's substate region, Region 5, is in group 5.
Washington's substate region, Region 1, is in group 6.
Washington's substate region, Region 2, is in group 7.
Washington's substate region, Region 3, is in group 6.
West Virginia's substate region, Region I, is in group 4.
West Virginia's substate region, Region II, is in group 5.
West Virginia's substate region, Region III, is in group 3.
West Virginia's substate region, Region IV, is in group 5.
West Virginia's substate region, Region V, is in group 3.
West Virginia's substate region, Region VI, is in group 3.
Wisconsin's substate region, Milwaukee, is in group 5.
Wisconsin's substate region, Northeastern, is in group 5.
Wisconsin's substate region, Northern, is in group 4.
Wisconsin's substate region, Southeastern, is in group 5.
Wisconsin's substate region, Southern, is in group 5.
Wisconsin's substate region, Western, is in group 5.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 5.
Wyoming's substate region, Judicial District 3, is in group 4.
Wyoming's substate region, Judicial District 4, is in group 4.
Wyoming's substate region, Judicial District 5, is in group 4.
Wyoming's substate region, Judicial District 6, is in group 4.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 4.
Wyoming's substate region, Judicial District 8, is in group 3.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 4.

Long description, Figure 5. Figure 5 is a U.S. map showing first use of marijuana among individuals aged 12 or older, by substate region: average annual initiation estimates (expressed as percentages of the at-risk population) based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 1.16 to 1.44  percent.
The next to lowest group, group 2's percentages ranged from 1.45 to 1.59  percent.
The next lowest group, group 3's percentages ranged from 1.60 to 1.85  percent.
The middle group, group 4's percentages ranged from 1.86 to 2.36  percent.
The next highest group, group 5's percentages ranged from 2.37 to 2.96  percent.
The next to highest group, group 6's percentages ranged from 2.97 to 3.57  percent.
The highest group, group 7's percentages ranged from 3.58 to 5.80  percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 2.
Alabama's substate region, Region 2, is in group 3.
Alabama's substate region, Region 3, is in group 2.
Alabama's substate region, Region 4, is in group 2.
Alaska's substate region, Anchorage, is in group 6.
Alaska's substate region, Northern, is in group 7.
Alaska's substate region, South Central, is in group 5.
Alaska's substate region, Southeast, is in group 6.
Arizona's substate region, Central, is in group 4.
Arizona's substate region, North, is in group 4.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 3.
Arkansas's substate region, Catchment Area 1, is in group 4.
Arkansas's substate region, Catchment Area 2, is in group 1.
Arkansas's substate region, Catchment Area 3, is in group 2.
Arkansas's substate region, Catchment Area 4, is in group 2.
Arkansas's substate region, Catchment Area 5, is in group 4.
Arkansas's substate region, Catchment Area 6, is in group 2.
Arkansas's substate region, Catchment Area 7, is in group 3.
Arkansas's substate region, Catchment Area 8, is in group 3.
California's substate region, Region 1R, is in group 7.
California's substate region, Region 2R, is in group 5.
California's substate region, Region 3R (Sacramento), is in group 4.
California's substate region, Region 4R, is in group 4.
California's substate region, Region 5R (San Francisco), is in group 6.
California's substate region, Region 6 (Santa Clara), is in group 4.
California's substate region, Region 7R (Contra Costa), is in group 5.
California's substate region, Region 8R (Alameda), is in group 5.
California's substate region, Region 9R (San Mateo), is in group 5.
California's substate region, Region 10, is in group 5.
California's substate region, LA SPA 1 and 5, is in group 5.
California's substate region, LA SPA 2, is in group 4.
California's substate region, LA SPA 3, is in group 3.
California's substate region, LA SPA 4, is in group 5.
California's substate region, LA SPA 6, is in group 5.
California's substate region, LA SPA 7, is in group 4.
California's substate region, LA SPA 8, is in group 5.
California's substate region, Region 12R, is in group 5.
California's substate region, Regions 13 and 19R, is in group 5.
California's substate region, Region 14 (Orange), is in group 3.
California's substate region, Region 15R (Fresno), is in group 4.
California's substate region, Region 16R (San Diego), is in group 5.
California's substate region, Region 17R, is in group 4.
California's substate region, Region 18R (San Bernardino), is in group 5.
California's substate region, Region 20R, is in group 4.
California's substate region, Region 21R, is in group 5.
Colorado's substate region, Region 1, is in group 7.
Colorado's substate region, Region 2, is in group 6.
Colorado's substate region, Region 3, is in group 6.
Colorado's substate region, Region 4, is in group 5.
Colorado's substate region, Region 5, is in group 7.
Colorado's substate region, Region 6, is in group 7.
Colorado's substate region, Region 7, is in group 7.
Connecticut's substate region, Eastern, is in group 6.
Connecticut's substate region, North Central, is in group 6.
Connecticut's substate region, Northwestern, is in group 5.
Connecticut's substate region, South Central, is in group 5.
Connecticut's substate region, Southwest, is in group 5.
Delaware's substate region, Kent, is in group 4.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 5.
Delaware's substate region, Sussex, is in group 2.
Delaware's substate region, Wilmington City, is in group 6.
District of Columbia's substate region, Ward 1, is in group 7.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 7.
District of Columbia's substate region, Ward 4, is in group 5.
District of Columbia's substate region, Ward 5, is in group 7.
District of Columbia's substate region, Ward 6, is in group 7.
District of Columbia's substate region, Ward 7, is in group 6.
District of Columbia's substate region, Ward 8, is in group 7.
Florida's substate region, Broward (Circuit 17), is in group 2.
Florida's substate region, Circuit 9, is in group 3.
Florida's substate region, Circuit 18, is in group 3.
Florida's substate region, Circuit 6, is in group 4.
Florida's substate region, Circuit 10, is in group 3.
Florida's substate region, Circuit 12, is in group 3.
Florida's substate region, Circuit 13 (Hillsborough), is in group 4.
Florida's substate region, Circuit 20, is in group 1.
Florida's substate region, Circuit 4, is in group 4.
Florida's substate region, Circuit 5, is in group 1.
Florida's substate region, Circuit 7, is in group 4.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 6.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 5.
Florida's substate region, Circuit 14, is in group 4.
Florida's substate region, South (Circuits 11 and 16), is in group 1.
Florida's substate region, Circuit 15 (Palm Beach), is in group 2.
Florida's substate region, Circuit 19, is in group 3.
Georgia's substate region, Region 1, is in group 2.
Georgia's substate region, Region 2, is in group 4.
Georgia's substate region, Region 3, is in group 4.
Georgia's substate region, Region 4, is in group 2.
Georgia's substate region, Region 5, is in group 2.
Georgia's substate region, Region 6, is in group 2.
Hawaii's substate region, Hawaii Island, is in group 5.
Hawaii's substate region, Honolulu, is in group 3.
Hawaii's substate region, Kauai, is in group 4.
Hawaii's substate region, Maui, is in group 4.
Idaho's substate region, Region 1, is in group 4.
Idaho's substate region, Region 2, is in group 4.
Idaho's substate region, Region 3, is in group 3.
Idaho's substate region, Region 4, is in group 5.
Idaho's substate region, Region 5, is in group 3.
Idaho's substate region, Region 6, is in group 4.
Idaho's substate region, Region 7, is in group 3.
Illinois's substate region, Region 1. 1 (Far North Side), is in group 3.
Illinois's substate region, Region 1. 2 (Northwest Side), is in group 3.
Illinois's substate region, Region 1.3 (North Central Side), is in group 5.
Illinois's substate region, Region 1.4 (West Side), is in group 4.
Illinois's substate region, Region 1.5 (South Side), is in group 5.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 3.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 4.
Illinois's substate region, Region 2a (DuPage), is in group 4.
Illinois's substate region, Region 2b, is in group 4.
Illinois's substate region, Region 2c (Winnebago), is in group 4.
Illinois's substate region, Region 2d, is in group 4.
Illinois's substate region, Region 3a (Champaign), is in group 5.
Illinois's substate region, Region 3b, is in group 3.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 4.
Illinois's substate region, Region 5a, is in group 3.
Illinois's substate region, Region 5b, is in group 3.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 5.
Indiana's substate region, North Central, is in group 4.
Indiana's substate region, Northeast, is in group 5.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 4.
Indiana's substate region, Southwest, is in group 5.
Indiana's substate region, West, is in group 6.
Iowa's substate region, Central, is in group 5.
Iowa's substate region, North Central, is in group 3.
Iowa's substate region, Northeast, is in group 3.
Iowa's substate region, Northwest, is in group 2.
Iowa's substate region, Southeast, is in group 4.
Iowa's substate region, Southwest, is in group 2.
Kansas's substate region, Northeast, is in group 5.
Kansas's substate region, Northwest and North Central, is in group 4.
Kansas's substate region, South Central, is in group 4.
Kansas's substate region, Southeast, is in group 3.
Kansas's substate region, Southwest, is in group 3.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 2.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 4.
Kentucky's substate region, Centerstone, is in group 4.
Kentucky's substate region, Communicare and River Valley, is in group 3.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 3.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 1.
Louisiana's substate region, Region 1, is in group 4.
Louisiana's substate region, Region 10 (Jefferson), is in group 1.
Louisiana's substate region, Regions 2 and 9, is in group 4.
Louisiana's substate region, Region 3, is in group 2.
Louisiana's substate region, Regions 4, 5, and 6, is in group 1.
Louisiana's substate region, Regions 7 and 8, is in group 1.
Maine's substate region, Aroostook, is in group 5.
Maine's substate region, Downeast, is in group 4.
Maine's substate region, Central, is in group 6.
Maine's substate region, Cumberland, is in group 7.
Maine's substate region, Midcoast, is in group 5.
Maine's substate region, Penquis, is in group 5.
Maine's substate region, Western, is in group 6.
Maine's substate region, York, is in group 5.
Maryland's substate region, Anne Arundel, is in group 4.
Maryland's substate region, Baltimore City, is in group 5.
Maryland's substate region, Baltimore County, is in group 4.
Maryland's substate region, Montgomery, is in group 4.
Maryland's substate region, North Central, is in group 4.
Maryland's substate region, Northeast, is in group 5.
Maryland's substate region, Prince George's, is in group 4.
Maryland's substate region, South, is in group 5.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 7.
Massachusetts's substate region, Central, is in group 6.
Massachusetts's substate region, Metrowest, is in group 6.
Massachusetts's substate region, Northeast, is in group 5.
Massachusetts's substate region, Southeast, is in group 6.
Massachusetts's substate region, Western, is in group 7.
Michigan's substate region, Region 1, is in group 5.
Michigan's substate region, Region 2, is in group 4.
Michigan's substate region, Region 3, is in group 5.
Michigan's substate region, Region 4, is in group 5.
Michigan's substate region, Region 5, is in group 5.
Michigan's substate region, Region 6, is in group 6.
Michigan's substate region, Region 7, is in group 5.
Michigan's substate region, Region 8, is in group 5.
Michigan's substate region, Region 9, is in group 4.
Michigan's substate region, Region 10, is in group 5.
Minnesota's substate region, Region 1, is in group 4.
Minnesota's substate region, Region 2, is in group 4.
Minnesota's substate region, Region 3, is in group 4.
Minnesota's substate region, Region 4, is in group 4.
Minnesota's substate region, Region 5, is in group 4.
Minnesota's substate region, Region 6, is in group 5.
Minnesota's substate region, Region 7A (Hennepin), is in group 5.
Minnesota's substate region, Region 7B (Ramsey), is in group 5.
Minnesota's substate region, Region 7C, is in group 5.
Mississippi's substate region, Region 1, is in group 4.
Mississippi's substate region, Region 2, is in group 1.
Mississippi's substate region, Region 3, is in group 3.
Mississippi's substate region, Region 4, is in group 2.
Mississippi's substate region, Region 5, is in group 3.
Mississippi's substate region, Region 6, is in group 3.
Mississippi's substate region, Region 7, is in group 4.
Missouri's substate region, Central, is in group 4.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 5.
Missouri's substate region, Northwest (Jackson), is in group 5.
Missouri's substate region, Northwest (excluding Jackson), is in group 4.
Missouri's substate region, Southeast, is in group 4.
Missouri's substate region, Southwest, is in group 3.
Montana's substate region, Region 1, is in group 4.
Montana's substate region, Region 2, is in group 4.
Montana's substate region, Region 3, is in group 5.
Montana's substate region, Region 4, is in group 6.
Montana's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 1, is in group 5.
Nebraska's substate region, Region 2, is in group 4.
Nebraska's substate region, Region 3, is in group 3.
Nebraska's substate region, Region 4, is in group 2.
Nebraska's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 6, is in group 5.
Nevada's substate region, Clark - Region 1, is in group 5.
Nevada's substate region, Capital District, is in group 4.
Nevada's substate region, Rural/Frontier, is in group 4.
Nevada's substate region, Washoe - Region 2, is in group 5.
New Hampshire's substate region, Central, is in group 6.
New Hampshire's substate region, Northern, is in group 6.
New Hampshire's substate region, Southern, is in group 5.
New Jersey's substate region, Central, is in group 4.
New Jersey's substate region, Metropolitan, is in group 2.
New Jersey's substate region, Northern, is in group 3.
New Jersey's substate region, Southern, is in group 5.
New Mexico's substate region, Region 1, is in group 6.
New Mexico's substate region, Region 2, is in group 5.
New Mexico's substate region, Region 3 (Bernalillo), is in group 6.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 4.
New Mexico's substate region, Region 5b (Dona Ana), is in group 5.
New York's substate region, Region 1: Long Island, is in group 4.
New York's substate region, Region 2A: Bronx, is in group 2.
New York's substate region, Region 2B: Kings, is in group 4.
New York's substate region, Region 2C: New York, is in group 4.
New York's substate region, Region 2D: Queens, is in group 1.
New York's substate region, Region 2E: Richmond, is in group 3.
New York's substate region, Region 3: Mid-Hudson, is in group 3.
New York's substate region, Region 4: Capital Region, is in group 5.
New York's substate region, Region 5: Mohawk Valley, is in group 4.
New York's substate region, Region 6: North Country, is in group 4.
New York's substate region, Region 7: Tug Hill Seaway, is in group 5.
New York's substate region, Region 8: Central, is in group 4.
New York's substate region, Region 9: Southern Tier, is in group 5.
New York's substate region, Region 10: Finger Lakes, is in group 5.
New York's substate region, Region 11: Western, is in group 5.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 3.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 4.
North Carolina's substate region, CenterPoint Human Services, is in group 4.
North Carolina's substate region, Eastpointe, is in group 3.
North Carolina's substate region, Partners Behavioral Health Management, is in group 2.
North Carolina's substate region, Sandhills Center 1, is in group 3.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 3.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 3.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 3.
North Dakota's substate region, West Central, is in group 2.
North Dakota's substate region, Lake Region, is in group 4.
North Dakota's substate region, North Central, is in group 3.
North Dakota's substate region, Northeast, is in group 4.
North Dakota's substate region, Northwest, is in group 4.
North Dakota's substate region, South Central, is in group 2.
North Dakota's substate region, Southeast, is in group 4.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 4.
Ohio's substate region, Boards 3, 52, and 85, is in group 3.
Ohio's substate region, Boards 4 and 78, is in group 4.
Ohio's substate region, Boards 5 and 60, is in group 5.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 3.
Ohio's substate region, Boards 8, 13, and 83, is in group 4.
Ohio's substate region, Board 9 (Butler), is in group 4.
Ohio's substate region, Board 12, is in group 4.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 4.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 3.
Ohio's substate region, Boards 22, 74, and 87, is in group 5.
Ohio's substate region, Boards 23 and 45, is in group 5.
Ohio's substate region, Board 25 (Franklin), is in group 4.
Ohio's substate region, Boards 27, 71, and 73, is in group 3.
Ohio's substate region, Boards 28, 43, and 67, is in group 5.
Ohio's substate region, Board 31 (Hamilton), is in group 4.
Ohio's substate region, Board 48 (Lucas), is in group 6.
Ohio's substate region, Boards 50 and 76, is in group 3.
Ohio's substate region, Board 57 (Montgomery), is in group 4.
Ohio's substate region, Board 77 (Summit), is in group 4.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 3.
Oklahoma's substate region, Northeast, is in group 3.
Oklahoma's substate region, Northwest and Southwest, is in group 2.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 3.
Oklahoma's substate region, Tulsa County, is in group 4.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 6.
Oregon's substate region, Region 3, is in group 6.
Oregon's substate region, Region 4, is in group 6.
Oregon's substate region, Region 5 (Central), is in group 6.
Oregon's substate region, Region 6 (Eastern), is in group 5.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 4.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 4.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 3.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 2.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 4.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 4.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 3.
Pennsylvania's substate region, Regions 17 and 21, is in group 4.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 2.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 4.
Pennsylvania's substate region, Regions 29 and 34, is in group 4.
Pennsylvania's substate region, Regions 30 and 50, is in group 3.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 4.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 5.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 5.
Rhode Island's substate region, Region 3: Providence, is in group 6.
Rhode Island's substate region, Region 4: Kent County, is in group 5.
Rhode Island's substate region, Region 5: East Bay, is in group 6.
Rhode Island's substate region, Region 6: Newport County, is in group 6.
Rhode Island's substate region, Region 7: South County, is in group 7.
South Carolina's substate region, Region 1, is in group 3.
South Carolina's substate region, Region 2, is in group 3.
South Carolina's substate region, Region 3, is in group 1.
South Carolina's substate region, Region 4, is in group 3.
South Dakota's substate region, Region 1, is in group 4.
South Dakota's substate region, Region 2, is in group 4.
South Dakota's substate region, Region 3, is in group 1.
South Dakota's substate region, Region 4, is in group 3.
South Dakota's substate region, Region 5, is in group 2.
Tennessee's substate region, Region 1, is in group 1.
Tennessee's substate region, Region 2, is in group 3.
Tennessee's substate region, Region 3, is in group 2.
Tennessee's substate region, Region 4 (Davidson), is in group 4.
Tennessee's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 6, is in group 1.
Tennessee's substate region, Region 7 (Shelby), is in group 3.
Texas's substate region, Region 1, is in group 4.
Texas's substate region, Region 2, is in group 2.
Texas's substate region, Region 3, is in group 2.
Texas's substate region, Region 4, is in group 2.
Texas's substate region, Region 5, is in group 4.
Texas's substate region, Region 6, is in group 2.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 3.
Texas's substate region, Region 9, is in group 2.
Texas's substate region, Region 10, is in group 2.
Texas's substate region, Region 11, is in group 1.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 3.
Utah's substate region, Central, Four Corners, and San Juan, is in group 1.
Utah's substate region, Southwest, is in group 2.
Utah's substate region, Davis County, is in group 3.
Utah's substate region, Salt Lake County, is in group 3.
Utah's substate region, Utah County, is in group 1.
Utah's substate region, Weber, Morgan, is in group 3.
Vermont's substate region, Champlain Valley, is in group 7.
Vermont's substate region, Rural Northeast, is in group 6.
Vermont's substate region, Rural Southeast, is in group 6.
Vermont's substate region, Rural Southwest, is in group 6.
Virginia's substate region, Region 1, is in group 3.
Virginia's substate region, Region 2, is in group 3.
Virginia's substate region, Region 3, is in group 3.
Virginia's substate region, Region 4, is in group 4.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 6.
Washington's substate region, Region 2, is in group 6.
Washington's substate region, Region 3, is in group 6.
West Virginia's substate region, Region I, is in group 2.
West Virginia's substate region, Region II, is in group 3.
West Virginia's substate region, Region III, is in group 2.
West Virginia's substate region, Region IV, is in group 3.
West Virginia's substate region, Region V, is in group 3.
West Virginia's substate region, Region VI, is in group 1.
Wisconsin's substate region, Milwaukee, is in group 5.
Wisconsin's substate region, Northeastern, is in group 4.
Wisconsin's substate region, Northern, is in group 3.
Wisconsin's substate region, Southeastern, is in group 4.
Wisconsin's substate region, Southern, is in group 4.
Wisconsin's substate region, Western, is in group 4.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 5.
Wyoming's substate region, Judicial District 3, is in group 3.
Wyoming's substate region, Judicial District 4, is in group 3.
Wyoming's substate region, Judicial District 5, is in group 2.
Wyoming's substate region, Judicial District 6, is in group 4.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 4.
Wyoming's substate region, Judicial District 8, is in group 3.
Wyoming's substate region, Judicial District 9, is in group 3.

Long description end. Click here to return to Figure 5.

Long description, Figure 6. Figure 6 is a U.S. map showing illicit drug use other than marijuana in the past month among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 2.13 to 2.47 percent.
The next to lowest group, group 2's percentages ranged from 2.48 to 2.72 percent.
The next lowest group, group 3's percentages ranged from 2.73 to 3.01 percent.
The middle group, group 4's percentages ranged from 3.02 to 3.49 percent.
The next highest group, group 5's percentages ranged from 3.50 to 3.99 percent.
The next to highest group, group 6's percentages ranged from 4.00 to 4.63 percent.
The highest group, group 7's percentages ranged from 4.64 to 7.20 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 5.
Alabama's substate region, Region 2, is in group 4.
Alabama's substate region, Region 3, is in group 4.
Alabama's substate region, Region 4, is in group 5.
Alaska's substate region, Anchorage, is in group 5.
Alaska's substate region, Northern, is in group 4.
Alaska's substate region, South Central, is in group 3.
Alaska's substate region, Southeast, is in group 4.
Arizona's substate region, Central, is in group 4.
Arizona's substate region, North, is in group 5.
Arizona's substate region, South A, is in group 5.
Arizona's substate region, South B, is in group 4.
Arkansas's substate region, Catchment Area 1, is in group 5.
Arkansas's substate region, Catchment Area 2, is in group 3.
Arkansas's substate region, Catchment Area 3, is in group 5.
Arkansas's substate region, Catchment Area 4, is in group 4.
Arkansas's substate region, Catchment Area 5, is in group 4.
Arkansas's substate region, Catchment Area 6, is in group 4.
Arkansas's substate region, Catchment Area 7, is in group 4.
Arkansas's substate region, Catchment Area 8, is in group 6.
California's substate region, Region 1R, is in group 7.
California's substate region, Region 2R, is in group 6.
California's substate region, Region 3R (Sacramento), is in group 4.
California's substate region, Region 4R, is in group 5.
California's substate region, Region 5R (San Francisco), is in group 6.
California's substate region, Region 6 (Santa Clara), is in group 4.
California's substate region, Region 7R (Contra Costa), is in group 5.
California's substate region, Region 8R (Alameda), is in group 6.
California's substate region, Region 9R (San Mateo), is in group 3.
California's substate region, Region 10, is in group 6.
California's substate region, LA SPA 1 and 5, is in group 5.
California's substate region, LA SPA 2, is in group 5.
California's substate region, LA SPA 3, is in group 4.
California's substate region, LA SPA 4, is in group 7.
California's substate region, LA SPA 6, is in group 5.
California's substate region, LA SPA 7, is in group 4.
California's substate region, LA SPA 8, is in group 6.
California's substate region, Region 12R, is in group 6.
California's substate region, Regions 13 and 19R, is in group 3.
California's substate region, Region 14 (Orange), is in group 4.
California's substate region, Region 15R (Fresno), is in group 5.
California's substate region, Region 16R (San Diego), is in group 5.
California's substate region, Region 17R, is in group 5.
California's substate region, Region 18R (San Bernardino), is in group 4.
California's substate region, Region 20R, is in group 6.
California's substate region, Region 21R, is in group 6.
Colorado's substate region, Region 1, is in group 6.
Colorado's substate region, Region 2, is in group 5.
Colorado's substate region, Region 3, is in group 4.
Colorado's substate region, Region 4, is in group 4.
Colorado's substate region, Region 5, is in group 7.
Colorado's substate region, Region 6, is in group 6.
Colorado's substate region, Region 7, is in group 6.
Connecticut's substate region, Eastern, is in group 5.
Connecticut's substate region, North Central, is in group 6.
Connecticut's substate region, Northwestern, is in group 5.
Connecticut's substate region, South Central, is in group 5.
Connecticut's substate region, Southwest, is in group 4.
Delaware's substate region, Kent, is in group 4.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 4.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 5.
District of Columbia's substate region, Ward 1, is in group 7.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 7.
District of Columbia's substate region, Ward 4, is in group 6.
District of Columbia's substate region, Ward 5, is in group 7.
District of Columbia's substate region, Ward 6, is in group 7.
District of Columbia's substate region, Ward 7, is in group 5.
District of Columbia's substate region, Ward 8, is in group 7.
Florida's substate region, Broward (Circuit 17), is in group 4.
Florida's substate region, Circuit 9, is in group 3.
Florida's substate region, Circuit 18, is in group 4.
Florida's substate region, Circuit 6, is in group 4.
Florida's substate region, Circuit 10, is in group 3.
Florida's substate region, Circuit 12, is in group 4.
Florida's substate region, Circuit 13 (Hillsborough), is in group 5.
Florida's substate region, Circuit 20, is in group 3.
Florida's substate region, Circuit 4, is in group 5.
Florida's substate region, Circuit 5, is in group 3.
Florida's substate region, Circuit 7, is in group 4.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 5.
Florida's substate region, Circuit 1, is in group 6.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 5.
Florida's substate region, Circuit 14, is in group 5.
Florida's substate region, South (Circuits 11 and 16), is in group 3.
Florida's substate region, Circuit 15 (Palm Beach), is in group 4.
Florida's substate region, Circuit 19, is in group 3.
Georgia's substate region, Region 1, is in group 1.
Georgia's substate region, Region 2, is in group 4.
Georgia's substate region, Region 3, is in group 4.
Georgia's substate region, Region 4, is in group 4.
Georgia's substate region, Region 5, is in group 3.
Georgia's substate region, Region 6, is in group 4.
Hawaii's substate region, Hawaii Island, is in group 2.
Hawaii's substate region, Honolulu, is in group 3.
Hawaii's substate region, Kauai, is in group 3.
Hawaii's substate region, Maui, is in group 4.
Idaho's substate region, Region 1, is in group 4.
Idaho's substate region, Region 2, is in group 3.
Idaho's substate region, Region 3, is in group 2.
Idaho's substate region, Region 4, is in group 4.
Idaho's substate region, Region 5, is in group 1.
Idaho's substate region, Region 6, is in group 3.
Idaho's substate region, Region 7, is in group 2.
Illinois's substate region, Region 1. 1 (Far North Side), is in group 6.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 4.
Illinois's substate region, Region 1.3 (North Central Side), is in group 7.
Illinois's substate region, Region 1.4 (West Side), is in group 6.
Illinois's substate region, Region 1.5 (South Side), is in group 4.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 4.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 4.
Illinois's substate region, Region 2a (DuPage), is in group 2.
Illinois's substate region, Region 2b, is in group 3.
Illinois's substate region, Region 2c (Winnebago), is in group 3.
Illinois's substate region, Region 2d, is in group 3.
Illinois's substate region, Region 3a (Champaign), is in group 7.
Illinois's substate region, Region 3b, is in group 5.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 3.
Illinois's substate region, Region 5a, is in group 3.
Illinois's substate region, Region 5b, is in group 3.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 6.
Indiana's substate region, North Central, is in group 5.
Indiana's substate region, Northeast, is in group 4.
Indiana's substate region, Northwest, is in group 5.
Indiana's substate region, Southeast, is in group 5.
Indiana's substate region, Southwest, is in group 4.
Indiana's substate region, West, is in group 6.
Iowa's substate region, Central, is in group 5.
Iowa's substate region, North Central, is in group 4.
Iowa's substate region, Northeast, is in group 4.
Iowa's substate region, Northwest, is in group 3.
Iowa's substate region, Southeast, is in group 4.
Iowa's substate region, Southwest, is in group 4.
Kansas's substate region, Northeast, is in group 3.
Kansas's substate region, Northwest and North Central, is in group 4.
Kansas's substate region, South Central, is in group 3.
Kansas's substate region, Southeast, is in group 3.
Kansas's substate region, Southwest, is in group 2.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 3.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 3.
Kentucky's substate region, Centerstone, is in group 5.
Kentucky's substate region, Communicare and River Valley, is in group 4.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 2.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 2.
Louisiana's substate region, Region 1, is in group 6.
Louisiana's substate region, Region 10 (Jefferson), is in group 4.
Louisiana's substate region, Regions 2 and 9, is in group 5.
Louisiana's substate region, Region 3, is in group 4.
Louisiana's substate region, Regions 4, 5, and 6, is in group 4.
Louisiana's substate region, Regions 7 and 8, is in group 4.
Maine's substate region, Aroostook, is in group 2.
Maine's substate region, Downeast, is in group 1.
Maine's substate region, Central, is in group 3.
Maine's substate region, Cumberland, is in group 4.
Maine's substate region, Midcoast, is in group 2.
Maine's substate region, Penquis, is in group 4.
Maine's substate region, Western, is in group 4.
Maine's substate region, York, is in group 3.
Maryland's substate region, Anne Arundel, is in group 4.
Maryland's substate region, Baltimore City, is in group 6.
Maryland's substate region, Baltimore County, is in group 5.
Maryland's substate region, Montgomery, is in group 4.
Maryland's substate region, North Central, is in group 4.
Maryland's substate region, Northeast, is in group 4.
Maryland's substate region, Prince George's, is in group 3.
Maryland's substate region, South, is in group 4.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 7.
Massachusetts's substate region, Central, is in group 5.
Massachusetts's substate region, Metrowest, is in group 6.
Massachusetts's substate region, Northeast, is in group 5.
Massachusetts's substate region, Southeast, is in group 6.
Massachusetts's substate region, Western, is in group 5.
Michigan's substate region, Region 1, is in group 4.
Michigan's substate region, Region 2, is in group 3.
Michigan's substate region, Region 3, is in group 5.
Michigan's substate region, Region 4, is in group 5.
Michigan's substate region, Region 5, is in group 5.
Michigan's substate region, Region 6, is in group 4.
Michigan's substate region, Region 7, is in group 6.
Michigan's substate region, Region 8, is in group 4.
Michigan's substate region, Region 9, is in group 4.
Michigan's substate region, Region 10, is in group 5.
Minnesota's substate region, Region 1, is in group 3.
Minnesota's substate region, Region 2, is in group 4.
Minnesota's substate region, Region 3, is in group 3.
Minnesota's substate region, Region 4, is in group 3.
Minnesota's substate region, Region 5, is in group 3.
Minnesota's substate region, Region 6, is in group 4.
Minnesota's substate region, Region 7A (Hennepin), is in group 6.
Minnesota's substate region, Region 7B (Ramsey), is in group 4.
Minnesota's substate region, Region 7C, is in group 3.
Mississippi's substate region, Region 1, is in group 5.
Mississippi's substate region, Region 2, is in group 3.
Mississippi's substate region, Region 3, is in group 4.
Mississippi's substate region, Region 4, is in group 4.
Mississippi's substate region, Region 5, is in group 3.
Mississippi's substate region, Region 6, is in group 4.
Mississippi's substate region, Region 7, is in group 5.
Missouri's substate region, Central, is in group 3.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 4.
Missouri's substate region, Northwest (Jackson), is in group 4.
Missouri's substate region, Northwest (excluding Jackson), is in group 2.
Missouri's substate region, Southeast, is in group 3.
Missouri's substate region, Southwest, is in group 3.
Montana's substate region, Region 1, is in group 4.
Montana's substate region, Region 2, is in group 4.
Montana's substate region, Region 3, is in group 4.
Montana's substate region, Region 4, is in group 5.
Montana's substate region, Region 5, is in group 5.
Nebraska's substate region, Region 1, is in group 2.
Nebraska's substate region, Region 2, is in group 1.
Nebraska's substate region, Region 3, is in group 2.
Nebraska's substate region, Region 4, is in group 1.
Nebraska's substate region, Region 5, is in group 5.
Nebraska's substate region, Region 6, is in group 2.
Nevada's substate region, Clark - Region 1, is in group 5.
Nevada's substate region, Capital District, is in group 3.
Nevada's substate region, Rural/Frontier, is in group 4.
Nevada's substate region, Washoe - Region 2, is in group 6.
New Hampshire's substate region, Central, is in group 6.
New Hampshire's substate region, Northern, is in group 4.
New Hampshire's substate region, Southern, is in group 4.
New Jersey's substate region, Central, is in group 1.
New Jersey's substate region, Metropolitan, is in group 1.
New Jersey's substate region, Northern, is in group 1.
New Jersey's substate region, Southern, is in group 4.
New Mexico's substate region, Region 1, is in group 4.
New Mexico's substate region, Region 2, is in group 3.
New Mexico's substate region, Region 3 (Bernalillo), is in group 5.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 4.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 3.
New York's substate region, Region 2A: Bronx, is in group 3.
New York's substate region, Region 2B: Kings, is in group 5.
New York's substate region, Region 2C: New York, is in group 7.
New York's substate region, Region 2D: Queens, is in group 4.
New York's substate region, Region 2E: Richmond, is in group 4.
New York's substate region, Region 3: Mid-Hudson, is in group 3.
New York's substate region, Region 4: Capital Region, is in group 5.
New York's substate region, Region 5: Mohawk Valley, is in group 5.
New York's substate region, Region 6: North Country, is in group 5.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 6.
New York's substate region, Region 9: Southern Tier, is in group 6.
New York's substate region, Region 10: Finger Lakes, is in group 3.
New York's substate region, Region 11: Western, is in group 5.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 6.
North Carolina's substate region, CenterPoint Human Services, is in group 3.
North Carolina's substate region, Eastpointe, is in group 3.
North Carolina's substate region, Partners Behavioral Health Management, is in group 3.
North Carolina's substate region, Sandhills Center 1, is in group 3.
North Carolina's substate region, Sandhills Center 2, is in group 5.
North Carolina's substate region, Smoky Mountain Center 1, is in group 4.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 4.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 1.
North Dakota's substate region, West Central, is in group 2.
North Dakota's substate region, Lake Region, is in group 2.
North Dakota's substate region, North Central, is in group 3.
North Dakota's substate region, Northeast, is in group 3.
North Dakota's substate region, Northwest, is in group 4.
North Dakota's substate region, South Central, is in group 1.
North Dakota's substate region, Southeast, is in group 3.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 2.
Ohio's substate region, Boards 3, 52, and 85, is in group 2.
Ohio's substate region, Boards 4 and 78, is in group 3.
Ohio's substate region, Boards 5 and 60, is in group 6.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 3.
Ohio's substate region, Boards 8, 13, and 83, is in group 3.
Ohio's substate region, Board 9 (Butler), is in group 4.
Ohio's substate region, Board 12, is in group 4.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 2.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 3.
Ohio's substate region, Boards 22, 74, and 87, is in group 4.
Ohio's substate region, Boards 23 and 45, is in group 4.
Ohio's substate region, Board 25 (Franklin), is in group 4.
Ohio's substate region, Boards 27, 71, and 73, is in group 3.
Ohio's substate region, Boards 28, 43, and 67, is in group 4.
Ohio's substate region, Board 31 (Hamilton), is in group 4.
Ohio's substate region, Board 48 (Lucas), is in group 5.
Ohio's substate region, Boards 50 and 76, is in group 3.
Ohio's substate region, Board 57 (Montgomery), is in group 5.
Ohio's substate region, Board 77 (Summit), is in group 4.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 3.
Oklahoma's substate region, Northeast, is in group 2.
Oklahoma's substate region, Northwest and Southwest, is in group 4.
Oklahoma's substate region, Oklahoma County, is in group 5.
Oklahoma's substate region, Southeast, is in group 4.
Oklahoma's substate region, Tulsa County, is in group 5.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 5.
Oregon's substate region, Region 3, is in group 6.
Oregon's substate region, Region 4, is in group 5.
Oregon's substate region, Region 5 (Central), is in group 4.
Oregon's substate region, Region 6 (Eastern), is in group 5.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 5.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 4.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 3.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 2.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 5.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 3.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 3.
Pennsylvania's substate region, Regions 17 and 21, is in group 5.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 2.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 3.
Pennsylvania's substate region, Regions 29 and 34, is in group 2.
Pennsylvania's substate region, Regions 30 and 50, is in group 4.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 6.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 6.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 5.
Rhode Island's substate region, Region 3: Providence, is in group 7.
Rhode Island's substate region, Region 4: Kent County, is in group 5.
Rhode Island's substate region, Region 5: East Bay, is in group 5.
Rhode Island's substate region, Region 6: Newport County, is in group 6.
Rhode Island's substate region, Region 7: South County, is in group 7.
South Carolina's substate region, Region 1, is in group 5.
South Carolina's substate region, Region 2, is in group 5.
South Carolina's substate region, Region 3, is in group 5.
South Carolina's substate region, Region 4, is in group 5.
South Dakota's substate region, Region 1, is in group 2.
South Dakota's substate region, Region 2, is in group 3.
South Dakota's substate region, Region 3, is in group 4.
South Dakota's substate region, Region 4, is in group 3.
South Dakota's substate region, Region 5, is in group 3.
Tennessee's substate region, Region 1, is in group 4.
Tennessee's substate region, Region 2, is in group 4.
Tennessee's substate region, Region 3, is in group 3.
Tennessee's substate region, Region 4 (Davidson), is in group 6.
Tennessee's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 6, is in group 4.
Tennessee's substate region, Region 7 (Shelby), is in group 4.
Texas's substate region, Region 1, is in group 4.
Texas's substate region, Region 2, is in group 5.
Texas's substate region, Region 3, is in group 2.
Texas's substate region, Region 4, is in group 3.
Texas's substate region, Region 5, is in group 3.
Texas's substate region, Region 6, is in group 2.
Texas's substate region, Region 7, is in group 5.
Texas's substate region, Region 8, is in group 4.
Texas's substate region, Region 9, is in group 3.
Texas's substate region, Region 10, is in group 2.
Texas's substate region, Region 11, is in group 2.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 1.
Utah's substate region, Central, Four Corners, and San Juan, is in group 1.
Utah's substate region, Southwest, is in group 2.
Utah's substate region, Davis County, is in group 2.
Utah's substate region, Salt Lake County, is in group 4.
Utah's substate region, Utah County, is in group 2.
Utah's substate region, Weber, Morgan, is in group 2.
Vermont's substate region, Champlain Valley, is in group 7.
Vermont's substate region, Rural Northeast, is in group 6.
Vermont's substate region, Rural Southeast, is in group 5.
Vermont's substate region, Rural Southwest, is in group 7.
Virginia's substate region, Region 1, is in group 3.
Virginia's substate region, Region 2, is in group 1.
Virginia's substate region, Region 3, is in group 3.
Virginia's substate region, Region 4, is in group 4.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 4.
Washington's substate region, Region 2, is in group 5.
Washington's substate region, Region 3, is in group 4.
West Virginia's substate region, Region I, is in group 2.
West Virginia's substate region, Region II, is in group 2.
West Virginia's substate region, Region III, is in group 1.
West Virginia's substate region, Region IV, is in group 4.
West Virginia's substate region, Region V, is in group 5.
West Virginia's substate region, Region VI, is in group 2.
Wisconsin's substate region, Milwaukee, is in group 5.
Wisconsin's substate region, Northeastern, is in group 2.
Wisconsin's substate region, Northern, is in group 4.
Wisconsin's substate region, Southeastern, is in group 4.
Wisconsin's substate region, Southern, is in group 4.
Wisconsin's substate region, Western, is in group 3.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 2.
Wyoming's substate region, Judicial District 2, is in group 4.
Wyoming's substate region, Judicial District 3, is in group 2.
Wyoming's substate region, Judicial District 4, is in group 1.
Wyoming's substate region, Judicial District 5, is in group 1.
Wyoming's substate region, Judicial District 6, is in group 1.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 3.
Wyoming's substate region, Judicial District 8, is in group 1.
Wyoming's substate region, Judicial District 9, is in group 3.

Long description end. Click here to return to Figure 6.

Long description, Figure 7. Figure 7 is a U.S. map showing cocaine use in the past year among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 0.90 to 1.17 percent.
The next to lowest group, group 2's percentages ranged from 1.18 to 1.32 percent.
The next lowest group, group 3's percentages ranged from 1.33 to 1.59 percent.
The middle group, group 4's percentages ranged from 1.60 to 2.08 percent.
The next highest group, group 5's percentages ranged from 2.09 to 2.60 percent.
The next to highest group, group 6's percentages ranged from 2.61 to 3.44 percent.
The highest group, group 7's percentages ranged from 3.45 to 5.89 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 3.
Alabama's substate region, Region 2, is in group 4.
Alabama's substate region, Region 3, is in group 4.
Alabama's substate region, Region 4, is in group 3.
Alaska's substate region, Anchorage, is in group 5.
Alaska's substate region, Northern, is in group 4.
Alaska's substate region, South Central, is in group 4.
Alaska's substate region, Southeast, is in group 4.
Arizona's substate region, Central, is in group 4.
Arizona's substate region, North, is in group 5.
Arizona's substate region, South A, is in group 5.
Arizona's substate region, South B, is in group 5.
Arkansas's substate region, Catchment Area 1, is in group 3.
Arkansas's substate region, Catchment Area 2, is in group 1.
Arkansas's substate region, Catchment Area 3, is in group 2.
Arkansas's substate region, Catchment Area 4, is in group 1.
Arkansas's substate region, Catchment Area 5, is in group 2.
Arkansas's substate region, Catchment Area 6, is in group 3.
Arkansas's substate region, Catchment Area 7, is in group 2.
Arkansas's substate region, Catchment Area 8, is in group 4.
California's substate region, Region 1R, is in group 7.
California's substate region, Region 2R, is in group 6.
California's substate region, Region 3R (Sacramento), is in group 5.
California's substate region, Region 4R, is in group 5.
California's substate region, Region 5R (San Francisco), is in group 7.
California's substate region, Region 6 (Santa Clara), is in group 5.
California's substate region, Region 7R (Contra Costa), is in group 5.
California's substate region, Region 8R (Alameda), is in group 6.
California's substate region, Region 9R (San Mateo), is in group 5.
California's substate region, Region 10, is in group 6.
California's substate region, LA SPA 1 and 5, is in group 6.
California's substate region, LA SPA 2, is in group 5.
California's substate region, LA SPA 3, is in group 4.
California's substate region, LA SPA 4, is in group 7.
California's substate region, LA SPA 6, is in group 6.
California's substate region, LA SPA 7, is in group 5.
California's substate region, LA SPA 8, is in group 6.
California's substate region, Region 12R, is in group 6.
California's substate region, Regions 13 and 19R, is in group 4.
California's substate region, Region 14 (Orange), is in group 5.
California's substate region, Region 15R (Fresno), is in group 5.
California's substate region, Region 16R (San Diego), is in group 7.
California's substate region, Region 17R, is in group 5.
California's substate region, Region 18R (San Bernardino), is in group 5.
California's substate region, Region 20R, is in group 5.
California's substate region, Region 21R, is in group 6.
Colorado's substate region, Region 1, is in group 6.
Colorado's substate region, Region 2, is in group 5.
Colorado's substate region, Region 3, is in group 5.
Colorado's substate region, Region 4, is in group 5.
Colorado's substate region, Region 5, is in group 7.
Colorado's substate region, Region 6, is in group 7.
Colorado's substate region, Region 7, is in group 5.
Connecticut's substate region, Eastern, is in group 5.
Connecticut's substate region, North Central, is in group 5.
Connecticut's substate region, Northwestern, is in group 5.
Connecticut's substate region, South Central, is in group 5.
Connecticut's substate region, Southwest, is in group 5.
Delaware's substate region, Kent, is in group 4.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 5.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 5.
District of Columbia's substate region, Ward 1, is in group 7.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 7.
District of Columbia's substate region, Ward 4, is in group 6.
District of Columbia's substate region, Ward 5, is in group 7.
District of Columbia's substate region, Ward 6, is in group 7.
District of Columbia's substate region, Ward 7, is in group 6.
District of Columbia's substate region, Ward 8, is in group 7.
Florida's substate region, Broward (Circuit 17), is in group 3.
Florida's substate region, Circuit 9, is in group 4.
Florida's substate region, Circuit 18, is in group 4.
Florida's substate region, Circuit 6, is in group 4.
Florida's substate region, Circuit 10, is in group 4.
Florida's substate region, Circuit 12, is in group 4.
Florida's substate region, Circuit 13 (Hillsborough), is in group 5.
Florida's substate region, Circuit 20, is in group 3.
Florida's substate region, Circuit 4, is in group 5.
Florida's substate region, Circuit 5, is in group 4.
Florida's substate region, Circuit 7, is in group 5.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 6.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 6.
Florida's substate region, Circuit 14, is in group 4.
Florida's substate region, South (Circuits 11 and 16), is in group 3.
Florida's substate region, Circuit 15 (Palm Beach), is in group 5.
Florida's substate region, Circuit 19, is in group 3.
Georgia's substate region, Region 1, is in group 3.
Georgia's substate region, Region 2, is in group 4.
Georgia's substate region, Region 3, is in group 5.
Georgia's substate region, Region 4, is in group 4.
Georgia's substate region, Region 5, is in group 3.
Georgia's substate region, Region 6, is in group 3.
Hawaii's substate region, Hawaii Island, is in group 5.
Hawaii's substate region, Honolulu, is in group 4.
Hawaii's substate region, Kauai, is in group 5.
Hawaii's substate region, Maui, is in group 5.
Idaho's substate region, Region 1, is in group 2.
Idaho's substate region, Region 2, is in group 4.
Idaho's substate region, Region 3, is in group 1.
Idaho's substate region, Region 4, is in group 3.
Idaho's substate region, Region 5, is in group 1.
Idaho's substate region, Region 6, is in group 1.
Idaho's substate region, Region 7, is in group 1.
Illinois's substate region, Region 1.1 (Far North Side), is in group 6.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 4.
Illinois's substate region, Region 1.3 (North Central Side), is in group 7.
Illinois's substate region, Region 1.4 (West Side), is in group 5.
Illinois's substate region, Region 1.5 (South Side), is in group 5.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 4.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 4.
Illinois's substate region, Region 2a (DuPage), is in group 4.
Illinois's substate region, Region 2b, is in group 4.
Illinois's substate region, Region 2c (Winnebago), is in group 4.
Illinois's substate region, Region 2d, is in group 4.
Illinois's substate region, Region 3a (Champaign), is in group 6.
Illinois's substate region, Region 3b, is in group 4.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 4.
Illinois's substate region, Region 5a, is in group 4.
Illinois's substate region, Region 5b, is in group 4.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 4.
Indiana's substate region, North Central, is in group 4.
Indiana's substate region, Northeast, is in group 3.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 4.
Indiana's substate region, Southwest, is in group 3.
Indiana's substate region, West, is in group 5.
Iowa's substate region, Central, is in group 3.
Iowa's substate region, North Central, is in group 3.
Iowa's substate region, Northeast, is in group 3.
Iowa's substate region, Northwest, is in group 1.
Iowa's substate region, Southeast, is in group 2.
Iowa's substate region, Southwest, is in group 2.
Kansas's substate region, Northeast, is in group 4.
Kansas's substate region, Northwest and North Central, is in group 3.
Kansas's substate region, South Central, is in group 2.
Kansas's substate region, Southeast, is in group 2.
Kansas's substate region, Southwest, is in group 2.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 3.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 4.
Kentucky's substate region, Centerstone, is in group 4.
Kentucky's substate region, Communicare and River Valley, is in group 3.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 2.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 3.
Louisiana's substate region, Region 1, is in group 4.
Louisiana's substate region, Region 10 (Jefferson), is in group 3.
Louisiana's substate region, Regions 2 and 9, is in group 3.
Louisiana's substate region, Region 3, is in group 2.
Louisiana's substate region, Regions 4, 5, and 6, is in group 2.
Louisiana's substate region, Regions 7 and 8, is in group 1.
Maine's substate region, Aroostook, is in group 3.
Maine's substate region, Downeast, is in group 4.
Maine's substate region, Central, is in group 3.
Maine's substate region, Cumberland, is in group 4.
Maine's substate region, Midcoast, is in group 4.
Maine's substate region, Penquis, is in group 5.
Maine's substate region, Western, is in group 4.
Maine's substate region, York, is in group 4.
Maryland's substate region, Anne Arundel, is in group 4.
Maryland's substate region, Baltimore City, is in group 5.
Maryland's substate region, Baltimore County, is in group 5.
Maryland's substate region, Montgomery, is in group 4.
Maryland's substate region, North Central, is in group 4.
Maryland's substate region, Northeast, is in group 5.
Maryland's substate region, Prince George's, is in group 4.
Maryland's substate region, South, is in group 4.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 7.
Massachusetts's substate region, Central, is in group 6.
Massachusetts's substate region, Metrowest, is in group 6.
Massachusetts's substate region, Northeast, is in group 5.
Massachusetts's substate region, Southeast, is in group 6.
Massachusetts's substate region, Western, is in group 6.
Michigan's substate region, Region 1, is in group 4.
Michigan's substate region, Region 2, is in group 3.
Michigan's substate region, Region 3, is in group 4.
Michigan's substate region, Region 4, is in group 3.
Michigan's substate region, Region 5, is in group 4.
Michigan's substate region, Region 6, is in group 4.
Michigan's substate region, Region 7, is in group 4.
Michigan's substate region, Region 8, is in group 4.
Michigan's substate region, Region 9, is in group 4.
Michigan's substate region, Region 10, is in group 4.
Minnesota's substate region, Region 1, is in group 4.
Minnesota's substate region, Region 2, is in group 4.
Minnesota's substate region, Region 3, is in group 4.
Minnesota's substate region, Region 4, is in group 4.
Minnesota's substate region, Region 5, is in group 4.
Minnesota's substate region, Region 6, is in group 3.
Minnesota's substate region, Region 7A (Hennepin), is in group 6.
Minnesota's substate region, Region 7B (Ramsey), is in group 5.
Minnesota's substate region, Region 7C, is in group 4.
Mississippi's substate region, Region 1, is in group 3.
Mississippi's substate region, Region 2, is in group 1.
Mississippi's substate region, Region 3, is in group 2.
Mississippi's substate region, Region 4, is in group 2.
Mississippi's substate region, Region 5, is in group 2.
Mississippi's substate region, Region 6, is in group 2.
Mississippi's substate region, Region 7, is in group 3.
Missouri's substate region, Central, is in group 2.
Missouri's substate region, Eastern (St.Louis City and County), is in group 3.
Missouri's substate region, Eastern (excluding St. Louis), is in group 3.
Missouri's substate region, Northwest (Jackson), is in group 3.
Missouri's substate region, Northwest (excluding Jackson), is in group 1.
Missouri's substate region, Southeast, is in group 1.
Missouri's substate region, Southwest, is in group 1.
Montana's substate region, Region 1, is in group 3.
Montana's substate region, Region 2, is in group 3.
Montana's substate region, Region 3, is in group 4.
Montana's substate region, Region 4, is in group 5.
Montana's substate region, Region 5, is in group 5.
Nebraska's substate region, Region 1, is in group 3.
Nebraska's substate region, Region 2, is in group 3.
Nebraska's substate region, Region 3, is in group 4.
Nebraska's substate region, Region 4, is in group 2.
Nebraska's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 6, is in group 4.
Nevada's substate region, Clark - Region 1, is in group 5.
Nevada's substate region, Capital District, is in group 4.
Nevada's substate region, Rural/Frontier, is in group 4.
Nevada's substate region, Washoe - Region 2, is in group 6.
New Hampshire's substate region, Central, is in group 6.
New Hampshire's substate region, Northern, is in group 5.
New Hampshire's substate region, Southern, is in group 5.
New Jersey's substate region, Central, is in group 4.
New Jersey's substate region, Metropolitan, is in group 4.
New Jersey's substate region, Northern, is in group 3.
New Jersey's substate region, Southern, is in group 4.
New Mexico's substate region, Region 1, is in group 3.
New Mexico's substate region, Region 2, is in group 4.
New Mexico's substate region, Region 3 (Bernalillo), is in group 6.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 5.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 4.
New York's substate region, Region 2A: Bronx, is in group 4.
New York's substate region, Region 2B: Kings, is in group 6.
New York's substate region, Region 2C: New York, is in group 7.
New York's substate region, Region 2D: Queens, is in group 5.
New York's substate region, Region 2E: Richmond, is in group 5.
New York's substate region, Region 3: Mid-Hudson, is in group 5.
New York's substate region, Region 4: Capital Region, is in group 6.
New York's substate region, Region 5: Mohawk Valley, is in group 6.
New York's substate region, Region 6: North Country, is in group 5.
New York's substate region, Region 7: Tug Hill Seaway, is in group 6.
New York's substate region, Region 8: Central, is in group 6.
New York's substate region, Region 9: Southern Tier, is in group 6.
New York's substate region, Region 10: Finger Lakes, is in group 5.
New York's substate region, Region 11: Western, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 5.
North Carolina's substate region, CenterPoint Human Services, is in group 3.
North Carolina's substate region, Eastpointe, is in group 4.
North Carolina's substate region, Partners Behavioral Health Management, is in group 4.
North Carolina's substate region, Sandhills Center 1, is in group 3.
North Carolina's substate region, Sandhills Center 2, is in group 5.
North Carolina's substate region, Smoky Mountain Center 1, is in group 4.
North Carolina's substate region, Smoky Mountain Center 2, is in group 3.
North Carolina's substate region, Trillium Health Resources 1, is in group 4.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 1.
North Dakota's substate region, West Central, is in group 2.
North Dakota's substate region, Lake Region, is in group 1.
North Dakota's substate region, North Central, is in group 2.
North Dakota's substate region, Northeast, is in group 3.
North Dakota's substate region, Northwest, is in group 2.
North Dakota's substate region, South Central, is in group 1.
North Dakota's substate region, Southeast, is in group 3.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 3.
Ohio's substate region, Boards 3, 52, and 85, is in group 3.
Ohio's substate region, Boards 4 and 78, is in group 3.
Ohio's substate region, Boards 5 and 60, is in group 5.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 4.
Ohio's substate region, Boards 8, 13, and 83, is in group 3.
Ohio's substate region, Board 9 (Butler), is in group 4.
Ohio's substate region, Board 12, is in group 4.
Ohio's substate region, Boards 18 and 47, is in group 3.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 3.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 3.
Ohio's substate region, Boards 22, 74, and 87, is in group 4.
Ohio's substate region, Boards 23 and 45, is in group 3.
Ohio's substate region, Board 25 (Franklin), is in group 4.
Ohio's substate region, Boards 27, 71, and 73, is in group 3.
Ohio's substate region, Boards 28, 43, and 67, is in group 3.
Ohio's substate region, Board 31 (Hamilton), is in group 4.
Ohio's substate region, Board 48 (Lucas), is in group 4.
Ohio's substate region, Boards 50 and 76, is in group 3.
Ohio's substate region, Board 57 (Montgomery), is in group 4.
Ohio's substate region, Board 77 (Summit), is in group 3.
Oklahoma's substate region, Central, is in group 3.
Oklahoma's substate region, East Central, is in group 2.
Oklahoma's substate region, Northeast, is in group 3.
Oklahoma's substate region, Northwest and Southwest, is in group 3.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 3.
Oklahoma's substate region, Tulsa County, is in group 4.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 5.
Oregon's substate region, Region 3, is in group 6.
Oregon's substate region, Region 4, is in group 6.
Oregon's substate region, Region 5 (Central), is in group 5.
Oregon's substate region, Region 6 (Eastern), is in group 5.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 5.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 4.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 3.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 3.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 6.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 5.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 4.
Pennsylvania's substate region, Regions 17 and 21, is in group 5.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 4.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 4.
Pennsylvania's substate region, Regions 29 and 34, is in group 4.
Pennsylvania's substate region, Regions 30 and 50, is in group 4.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 6.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 5.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 5.
Rhode Island's substate region, Region 3: Providence, is in group 7.
Rhode Island's substate region, Region 4: Kent County, is in group 4.
Rhode Island's substate region, Region 5: East Bay, is in group 5.
Rhode Island's substate region, Region 6: Newport County, is in group 6.
Rhode Island's substate region, Region 7: South County, is in group 6.
South Carolina's substate region, Region 1, is in group 4.
South Carolina's substate region, Region 2, is in group 3.
South Carolina's substate region, Region 3, is in group 4.
South Carolina's substate region, Region 4, is in group 5.
South Dakota's substate region, Region 1, is in group 1.
South Dakota's substate region, Region 2, is in group 1.
South Dakota's substate region, Region 3, is in group 1.
South Dakota's substate region, Region 4, is in group 1.
South Dakota's substate region, Region 5, is in group 1.
Tennessee's substate region, Region 1, is in group 3.
Tennessee's substate region, Region 2, is in group 3.
Tennessee's substate region, Region 3, is in group 4.
Tennessee's substate region, Region 4 (Davidson), is in group 5.
Tennessee's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 6, is in group 4.
Tennessee's substate region, Region 7 (Shelby), is in group 3.
Texas's substate region, Region 1, is in group 3.
Texas's substate region, Region 2, is in group 3.
Texas's substate region, Region 3, is in group 2.
Texas's substate region, Region 4, is in group 3.
Texas's substate region, Region 5, is in group 4.
Texas's substate region, Region 6, is in group 3.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 2.
Texas's substate region, Region 9, is in group 3.
Texas's substate region, Region 10, is in group 1.
Texas's substate region, Region 11, is in group 2.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 2.
Utah's substate region, Central, Four Corners, and San Juan, is in group 2.
Utah's substate region, Southwest, is in group 2.
Utah's substate region, Davis County, is in group 2.
Utah's substate region, Salt Lake County, is in group 4.
Utah's substate region, Utah County, is in group 2.
Utah's substate region, Weber, Morgan, is in group 2.
Vermont's substate region, Champlain Valley, is in group 7.
Vermont's substate region, Rural Northeast, is in group 6.
Vermont's substate region, Rural Southeast, is in group 5.
Vermont's substate region, Rural Southwest, is in group 6.
Virginia's substate region, Region 1, is in group 4.
Virginia's substate region, Region 2, is in group 3.
Virginia's substate region, Region 3, is in group 4.
Virginia's substate region, Region 4, is in group 5.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 4.
Washington's substate region, Region 2, is in group 5.
Washington's substate region, Region 3, is in group 5.
West Virginia's substate region, Region I, is in group 3.
West Virginia's substate region, Region II, is in group 4.
West Virginia's substate region, Region III, is in group 3.
West Virginia's substate region, Region IV, is in group 4.
West Virginia's substate region, Region V, is in group 3.
West Virginia's substate region, Region VI, is in group 3.
Wisconsin's substate region, Milwaukee, is in group 5.
Wisconsin's substate region, Northeastern, is in group 4.
Wisconsin's substate region, Northern, is in group 4.
Wisconsin's substate region, Southeastern, is in group 5.
Wisconsin's substate region, Southern, is in group 5.
Wisconsin's substate region, Western, is in group 4.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 4.
Wyoming's substate region, Judicial District 3, is in group 3.
Wyoming's substate region, Judicial District 4, is in group 2.
Wyoming's substate region, Judicial District 5, is in group 2.
Wyoming's substate region, Judicial District 6, is in group 3.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 3.
Wyoming's substate region, Judicial District 8, is in group 2.
Wyoming's substate region, Judicial District 9, is in group 3.

Long description end. Click here to return to Figure 7.

Long description, Figure 8. Figure 8 is a U.S. map showing perceptions of great risk from using cocaine once a month among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The highest group, group 1's percentages ranged from 79.11 to 81.11 percent.
The next to highest group, group 2's percentages ranged from 76.06 to 79.10 percent.
The next highest group, group 3's percentages ranged from 73.28 to 76.05 percent.
The middle group, group 4's percentages ranged from 69.73 to 73.27 percent.
The next lowest group, group 5's percentages ranged from 66.26 to 69.72 percent.
The next to lowest group, group 6's percentages ranged from 62.00 to 66.25 percent.
The lowest group, group 7's percentages ranged from 50.55 to 61.99 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 3.
Alabama's substate region, Region 2, is in group 2.
Alabama's substate region, Region 3, is in group 2.
Alabama's substate region, Region 4, is in group 2.
Alaska's substate region, Anchorage, is in group 6.
Alaska's substate region, Northern, is in group 6.
Alaska's substate region, South Central, is in group 5.
Alaska's substate region, Southeast, is in group 6.
Arizona's substate region, Central, is in group 4.
Arizona's substate region, North, is in group 5.
Arizona's substate region, South A, is in group 5.
Arizona's substate region, South B, is in group 4.
Arkansas's substate region, Catchment Area 1, is in group 3.
Arkansas's substate region, Catchment Area 2, is in group 1.
Arkansas's substate region, Catchment Area 3, is in group 1.
Arkansas's substate region, Catchment Area 4, is in group 3.
Arkansas's substate region, Catchment Area 5, is in group 1.
Arkansas's substate region, Catchment Area 6, is in group 1.
Arkansas's substate region, Catchment Area 7, is in group 1.
Arkansas's substate region, Catchment Area 8, is in group 3.
California's substate region, Region 1R, is in group 6.
California's substate region, Region 2R, is in group 5.
California's substate region, Region 3R (Sacramento), is in group 5.
California's substate region, Region 4R, is in group 6.
California's substate region, Region 5R (San Francisco), is in group 7.
California's substate region, Region 6 (Santa Clara), is in group 6.
California's substate region, Region 7R (Contra Costa), is in group 6.
California's substate region, Region 8R (Alameda), is in group 5.
California's substate region, Region 9R (San Mateo), is in group 6.
California's substate region, Region 10, is in group 5.
California's substate region, LA SPA 1 and 5, is in group 6.
California's substate region, LA SPA 2, is in group 5.
California's substate region, LA SPA 3, is in group 5.
California's substate region, LA SPA 4, is in group 7.
California's substate region, LA SPA 6, is in group 5.
California's substate region, LA SPA 7, is in group 4.
California's substate region, LA SPA 8, is in group 5.
California's substate region, Region 12R, is in group 4.
California's substate region, Regions 13 and 19R, is in group 4.
California's substate region, Region 14 (Orange), is in group 5.
California's substate region, Region 15R (Fresno), is in group 4.
California's substate region, Region 16R (San Diego), is in group 5.
California's substate region, Region 17R, is in group 4.
California's substate region, Region 18R (San Bernardino), is in group 4.
California's substate region, Region 20R, is in group 4.
California's substate region, Region 21R, is in group 6.
Colorado's substate region, Region 1, is in group 6.
Colorado's substate region, Region 2, is in group 6.
Colorado's substate region, Region 3, is in group 6.
Colorado's substate region, Region 4, is in group 4.
Colorado's substate region, Region 5, is in group 7.
Colorado's substate region, Region 6, is in group 7.
Colorado's substate region, Region 7, is in group 6.
Connecticut's substate region, Eastern, is in group 5.
Connecticut's substate region, North Central, is in group 5.
Connecticut's substate region, Northwestern, is in group 5.
Connecticut's substate region, South Central, is in group 5.
Connecticut's substate region, Southwest, is in group 5.
Delaware's substate region, Kent, is in group 4.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 5.
Delaware's substate region, Sussex, is in group 3.
Delaware's substate region, Wilmington City, is in group 4.
District of Columbia's substate region, Ward 1, is in group 7.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 7.
District of Columbia's substate region, Ward 4, is in group 7.
District of Columbia's substate region, Ward 5, is in group 6.
District of Columbia's substate region, Ward 6, is in group 7.
District of Columbia's substate region, Ward 7, is in group 4.
District of Columbia's substate region, Ward 8, is in group 4.
Florida's substate region, Broward (Circuit 17), is in group 3.
Florida's substate region, Circuit 9, is in group 2.
Florida's substate region, Circuit 18, is in group 3.
Florida's substate region, Circuit 6, is in group 3.
Florida's substate region, Circuit 10, is in group 2.
Florida's substate region, Circuit 12, is in group 2.
Florida's substate region, Circuit 13 (Hillsborough), is in group 3.
Florida's substate region, Circuit 20, is in group 2.
Florida's substate region, Circuit 4, is in group 3.
Florida's substate region, Circuit 5, is in group 2.
Florida's substate region, Circuit 7, is in group 3.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 3.
Florida's substate region, Circuit 1, is in group 4.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 4.
Florida's substate region, Circuit 14, is in group 3.
Florida's substate region, South (Circuits 11 and 16), is in group 1.
Florida's substate region, Circuit 15 (Palm Beach), is in group 3.
Florida's substate region, Circuit 19, is in group 2.
Georgia's substate region, Region 1, is in group 2.
Georgia's substate region, Region 2, is in group 2.
Georgia's substate region, Region 3, is in group 3.
Georgia's substate region, Region 4, is in group 1.
Georgia's substate region, Region 5, is in group 2.
Georgia's substate region, Region 6, is in group 1.
Hawaii's substate region, Hawaii Island, is in group 5.
Hawaii's substate region, Honolulu, is in group 5.
Hawaii's substate region, Kauai, is in group 6.
Hawaii's substate region, Maui, is in group 6.
Idaho's substate region, Region 1, is in group 4.
Idaho's substate region, Region 2, is in group 5.
Idaho's substate region, Region 3, is in group 3.
Idaho's substate region, Region 4, is in group 5.
Idaho's substate region, Region 5, is in group 3.
Idaho's substate region, Region 6, is in group 4.
Idaho's substate region, Region 7, is in group 3.
Illinois's substate region, Region 1.1 (Far North Side), is in group 6.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 5.
Illinois's substate region, Region 1.3 (North Central Side), is in group 7.
Illinois's substate region, Region 1.4 (West Side), is in group 5.
Illinois's substate region, Region 1.5 (South Side), is in group 4.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 4.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 5.
Illinois's substate region, Region 2a (DuPage), is in group 4.
Illinois's substate region, Region 2b, is in group 4.
Illinois's substate region, Region 2c (Winnebago), is in group 4.
Illinois's substate region, Region 2d, is in group 4.
Illinois's substate region, Region 3a (Champaign), is in group 6.
Illinois's substate region, Region 3b, is in group 4.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 3.
Illinois's substate region, Region 5a, is in group 3.
Illinois's substate region, Region 5b, is in group 3.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 4.
Indiana's substate region, North Central, is in group 4.
Indiana's substate region, Northeast, is in group 3.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 3.
Indiana's substate region, Southwest, is in group 4.
Indiana's substate region, West, is in group 6.
Iowa's substate region, Central, is in group 5.
Iowa's substate region, North Central, is in group 5.
Iowa's substate region, Northeast, is in group 5.
Iowa's substate region, Northwest, is in group 4.
Iowa's substate region, Southeast, is in group 4.
Iowa's substate region, Southwest, is in group 4.
Kansas's substate region, Northeast, is in group 5.
Kansas's substate region, Northwest and North Central, is in group 3.
Kansas's substate region, South Central, is in group 4.
Kansas's substate region, Southeast, is in group 4.
Kansas's substate region, Southwest, is in group 3.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 1.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 4.
Kentucky's substate region, Centerstone, is in group 4.
Kentucky's substate region, Communicare and River Valley, is in group 2.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 1.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 1.
Louisiana's substate region, Region 1, is in group 4.
Louisiana's substate region, Region 10 (Jefferson), is in group 4.
Louisiana's substate region, Regions 2 and 9, is in group 3.
Louisiana's substate region, Region 3, is in group 3.
Louisiana's substate region, Regions 4, 5, and 6, is in group 2.
Louisiana's substate region, Regions 7 and 8, is in group 2.
Maine's substate region, Aroostook, is in group 3.
Maine's substate region, Downeast, is in group 4.
Maine's substate region, Central, is in group 4.
Maine's substate region, Cumberland, is in group 6.
Maine's substate region, Midcoast, is in group 5.
Maine's substate region, Penquis, is in group 4.
Maine's substate region, Western, is in group 4.
Maine's substate region, York, is in group 5.
Maryland's substate region, Anne Arundel, is in group 4.
Maryland's substate region, Baltimore City, is in group 4.
Maryland's substate region, Baltimore County, is in group 4.
Maryland's substate region, Montgomery, is in group 5.
Maryland's substate region, North Central, is in group 4.
Maryland's substate region, Northeast, is in group 4.
Maryland's substate region, Prince George's, is in group 3.
Maryland's substate region, South, is in group 4.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 7.
Massachusetts's substate region, Central, is in group 6.
Massachusetts's substate region, Metrowest, is in group 7.
Massachusetts's substate region, Northeast, is in group 5.
Massachusetts's substate region, Southeast, is in group 6.
Massachusetts's substate region, Western, is in group 6.
Michigan's substate region, Region 1, is in group 3.
Michigan's substate region, Region 2, is in group 3.
Michigan's substate region, Region 3, is in group 4.
Michigan's substate region, Region 4, is in group 4.
Michigan's substate region, Region 5, is in group 4.
Michigan's substate region, Region 6, is in group 4.
Michigan's substate region, Region 7, is in group 4.
Michigan's substate region, Region 8, is in group 4.
Michigan's substate region, Region 9, is in group 3.
Michigan's substate region, Region 10, is in group 3.
Minnesota's substate region, Region 1, is in group 5.
Minnesota's substate region, Region 2, is in group 5.
Minnesota's substate region, Region 3, is in group 4.
Minnesota's substate region, Region 4, is in group 5.
Minnesota's substate region, Region 5, is in group 4.
Minnesota's substate region, Region 6, is in group 5.
Minnesota's substate region, Region 7A (Hennepin), is in group 7.
Minnesota's substate region, Region 7B (Ramsey), is in group 7.
Minnesota's substate region, Region 7C, is in group 5.
Mississippi's substate region, Region 1, is in group 1.
Mississippi's substate region, Region 2, is in group 1.
Mississippi's substate region, Region 3, is in group 2.
Mississippi's substate region, Region 4, is in group 1.
Mississippi's substate region, Region 5, is in group 1.
Mississippi's substate region, Region 6, is in group 1.
Mississippi's substate region, Region 7, is in group 2.
Missouri's substate region, Central, is in group 3.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 3.
Missouri's substate region, Northwest (Jackson), is in group 5.
Missouri's substate region, Northwest (excluding Jackson), is in group 4.
Missouri's substate region, Southeast, is in group 2.
Missouri's substate region, Southwest, is in group 3.
Montana's substate region, Region 1, is in group 4.
Montana's substate region, Region 2, is in group 5.
Montana's substate region, Region 3, is in group 4.
Montana's substate region, Region 4, is in group 6.
Montana's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 1, is in group 4.
Nebraska's substate region, Region 2, is in group 3.
Nebraska's substate region, Region 3, is in group 4.
Nebraska's substate region, Region 4, is in group 3.
Nebraska's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 6, is in group 5.
Nevada's substate region, Clark - Region 1, is in group 4.
Nevada's substate region, Capital District, is in group 4.
Nevada's substate region, Rural/Frontier, is in group 4.
Nevada's substate region, Washoe - Region 2, is in group 5.
New Hampshire's substate region, Central, is in group 5.
New Hampshire's substate region, Northern, is in group 5.
New Hampshire's substate region, Southern, is in group 5.
New Jersey's substate region, Central, is in group 4.
New Jersey's substate region, Metropolitan, is in group 3.
New Jersey's substate region, Northern, is in group 4.
New Jersey's substate region, Southern, is in group 4.
New Mexico's substate region, Region 1, is in group 5.
New Mexico's substate region, Region 2, is in group 5.
New Mexico's substate region, Region 3 (Bernalillo), is in group 5.
New Mexico's substate region, Region 4, is in group 3.
New Mexico's substate region, Region 5a, is in group 4.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 4.
New York's substate region, Region 2A: Bronx, is in group 3.
New York's substate region, Region 2B: Kings, is in group 5.
New York's substate region, Region 2C: New York, is in group 7.
New York's substate region, Region 2D: Queens, is in group 5.
New York's substate region, Region 2E: Richmond, is in group 6.
New York's substate region, Region 3: Mid-Hudson, is in group 5.
New York's substate region, Region 4: Capital Region, is in group 5.
New York's substate region, Region 5: Mohawk Valley, is in group 4.
New York's substate region, Region 6: North Country, is in group 4.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 5.
New York's substate region, Region 9: Southern Tier, is in group 4.
New York's substate region, Region 10: Finger Lakes, is in group 4.
New York's substate region, Region 11: Western, is in group 5.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 4.
North Carolina's substate region, CenterPoint Human Services, is in group 3.
North Carolina's substate region, Eastpointe, is in group 2.
North Carolina's substate region, Partners Behavioral Health Management, is in group 3.
North Carolina's substate region, Sandhills Center 1, is in group 3.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 3.
North Carolina's substate region, Smoky Mountain Center 2, is in group 3.
North Carolina's substate region, Trillium Health Resources 1, is in group 2.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 3.
North Dakota's substate region, West Central, is in group 4.
North Dakota's substate region, Lake Region, is in group 3.
North Dakota's substate region, North Central, is in group 4.
North Dakota's substate region, Northeast, is in group 4.
North Dakota's substate region, Northwest, is in group 5.
North Dakota's substate region, South Central, is in group 2.
North Dakota's substate region, Southeast, is in group 5.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 4.
Ohio's substate region, Boards 3, 52, and 85, is in group 4.
Ohio's substate region, Boards 4 and 78, is in group 3.
Ohio's substate region, Boards 5 and 60, is in group 4.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 3.
Ohio's substate region, Boards 8, 13, and 83, is in group 4.
Ohio's substate region, Board 9 (Butler), is in group 4.
Ohio's substate region, Board 12, is in group 4.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 3.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 4.
Ohio's substate region, Boards 22, 74, and 87, is in group 4.
Ohio's substate region, Boards 23 and 45, is in group 3.
Ohio's substate region, Board 25 (Franklin), is in group 4.
Ohio's substate region, Boards 27, 71, and 73, is in group 3.
Ohio's substate region, Boards 28, 43, and 67, is in group 4.
Ohio's substate region, Board 31 (Hamilton), is in group 5.
Ohio's substate region, Board 48 (Lucas), is in group 4.
Ohio's substate region, Boards 50 and 76, is in group 3.
Ohio's substate region, Board 57 (Montgomery), is in group 4.
Ohio's substate region, Board 77 (Summit), is in group 4.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 4.
Oklahoma's substate region, Northeast, is in group 4.
Oklahoma's substate region, Northwest and Southwest, is in group 3.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 3.
Oklahoma's substate region, Tulsa County, is in group 4.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 6.
Oregon's substate region, Region 3, is in group 6.
Oregon's substate region, Region 4, is in group 6.
Oregon's substate region, Region 5 (Central), is in group 6.
Oregon's substate region, Region 6 (Eastern), is in group 6.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 5.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 3.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 4.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 4.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 4.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 5.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 3.
Pennsylvania's substate region, Regions 17 and 21, is in group 4.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 4.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 4.
Pennsylvania's substate region, Regions 29 and 34, is in group 5.
Pennsylvania's substate region, Regions 30 and 50, is in group 4.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 5.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 5.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 5.
Rhode Island's substate region, Region 3: Providence, is in group 6.
Rhode Island's substate region, Region 4: Kent County, is in group 5.
Rhode Island's substate region, Region 5: East Bay, is in group 5.
Rhode Island's substate region, Region 6: Newport County, is in group 6.
Rhode Island's substate region, Region 7: South County, is in group 5.
South Carolina's substate region, Region 1, is in group 2.
South Carolina's substate region, Region 2, is in group 3.
South Carolina's substate region, Region 3, is in group 2.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 5.
South Dakota's substate region, Region 2, is in group 4.
South Dakota's substate region, Region 3, is in group 4.
South Dakota's substate region, Region 4, is in group 3.
South Dakota's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 1, is in group 2.
Tennessee's substate region, Region 2, is in group 3.
Tennessee's substate region, Region 3, is in group 2.
Tennessee's substate region, Region 4 (Davidson), is in group 3.
Tennessee's substate region, Region 5, is in group 3.
Tennessee's substate region, Region 6, is in group 2.
Tennessee's substate region, Region 7 (Shelby), is in group 2.
Texas's substate region, Region 1, is in group 2.
Texas's substate region, Region 2, is in group 2.
Texas's substate region, Region 3, is in group 2.
Texas's substate region, Region 4, is in group 2.
Texas's substate region, Region 5, is in group 2.
Texas's substate region, Region 6, is in group 3.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 2.
Texas's substate region, Region 9, is in group 2.
Texas's substate region, Region 10, is in group 1.
Texas's substate region, Region 11, is in group 1.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 4.
Utah's substate region, Central, Four Corners, and San Juan, is in group 3.
Utah's substate region, Southwest, is in group 3.
Utah's substate region, Davis County, is in group 3.
Utah's substate region, Salt Lake County, is in group 4.
Utah's substate region, Utah County, is in group 4.
Utah's substate region, Weber, Morgan, is in group 3.
Vermont's substate region, Champlain Valley, is in group 7.
Vermont's substate region, Rural Northeast, is in group 5.
Vermont's substate region, Rural Southeast, is in group 6.
Vermont's substate region, Rural Southwest, is in group 5.
Virginia's substate region, Region 1, is in group 4.
Virginia's substate region, Region 2, is in group 5.
Virginia's substate region, Region 3, is in group 4.
Virginia's substate region, Region 4, is in group 4.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 5.
Washington's substate region, Region 2, is in group 7.
Washington's substate region, Region 3, is in group 6.
West Virginia's substate region, Region I, is in group 3.
West Virginia's substate region, Region II, is in group 3.
West Virginia's substate region, Region III, is in group 2.
West Virginia's substate region, Region IV, is in group 3.
West Virginia's substate region, Region V, is in group 2.
West Virginia's substate region, Region VI, is in group 2.
Wisconsin's substate region, Milwaukee, is in group 5.
Wisconsin's substate region, Northeastern, is in group 4.
Wisconsin's substate region, Northern, is in group 4.
Wisconsin's substate region, Southeastern, is in group 5.
Wisconsin's substate region, Southern, is in group 5.
Wisconsin's substate region, Western, is in group 4.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 5.
Wyoming's substate region, Judicial District 2, is in group 6.
Wyoming's substate region, Judicial District 3, is in group 3.
Wyoming's substate region, Judicial District 4, is in group 4.
Wyoming's substate region, Judicial District 5, is in group 4.
Wyoming's substate region, Judicial District 6, is in group 3.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 4.
Wyoming's substate region, Judicial District 8, is in group 3.
Wyoming's substate region, Judicial District 9, is in group 5.

Long description end. Click here to return to Figure 8.

Long description, Figure 9. Figure 9 is a U.S. map showing heroin use in the past year among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 0.12 to 0.17 percent.
The next to lowest group, group 2's percentages ranged from 0.18 to 0.21 percent.
The next lowest group, group 3's percentages ranged from 0.22 to 0.28 percent.
The middle group, group 4's percentages ranged from 0.29 to 0.38 percent.
The next highest group, group 5's percentages ranged from 0.39 to 0.53 percent.
The next to highest group, group 6's percentages ranged from 0.54 to 0.66 percent.
The highest group, group 7's percentages ranged from 0.67 to 1.22 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 4.
Alabama's substate region, Region 2, is in group 4.
Alabama's substate region, Region 3, is in group 3.
Alabama's substate region, Region 4, is in group 3.
Alaska's substate region, Anchorage, is in group 6.
Alaska's substate region, Northern, is in group 5.
Alaska's substate region, South Central, is in group 5.
Alaska's substate region, Southeast, is in group 6.
Arizona's substate region, Central, is in group 4.
Arizona's substate region, North, is in group 4.
Arizona's substate region, South A, is in group 5.
Arizona's substate region, South B, is in group 4.
Arkansas's substate region, Catchment Area 1, is in group 2.
Arkansas's substate region, Catchment Area 2, is in group 2.
Arkansas's substate region, Catchment Area 3, is in group 3.
Arkansas's substate region, Catchment Area 4, is in group 3.
Arkansas's substate region, Catchment Area 5, is in group 3.
Arkansas's substate region, Catchment Area 6, is in group 2.
Arkansas's substate region, Catchment Area 7, is in group 2.
Arkansas's substate region, Catchment Area 8, is in group 3.
California's substate region, Region 1R, is in group 3.
California's substate region, Region 2R, is in group 2.
California's substate region, Region 3R (Sacramento), is in group 1.
California's substate region, Region 4R, is in group 2.
California's substate region, Region 5R (San Francisco), is in group 3.
California's substate region, Region 6 (Santa Clara), is in group 1.
California's substate region, Region 7R (Contra Costa), is in group 1.
California's substate region, Region 8R (Alameda), is in group 2.
California's substate region, Region 9R (San Mateo), is in group 1.
California's substate region, Region 10, is in group 2.
California's substate region, LA SPA 1 and 5, is in group 2.
California's substate region, LA SPA 2, is in group 2.
California's substate region, LA SPA 3, is in group 1.
California's substate region, LA SPA 4, is in group 3.
California's substate region, LA SPA 6, is in group 3.
California's substate region, LA SPA 7, is in group 2.
California's substate region, LA SPA 8, is in group 2.
California's substate region, Region 12R, is in group 2.
California's substate region, Regions 13 and 19R, is in group 1.
California's substate region, Region 14 (Orange), is in group 1.
California's substate region, Region 15R (Fresno), is in group 2.
California's substate region, Region 16R (San Diego), is in group 1.
California's substate region, Region 17R, is in group 2.
California's substate region, Region 18R (San Bernardino), is in group 1.
California's substate region, Region 20R, is in group 2.
California's substate region, Region 21R, is in group 3.
Colorado's substate region, Region 1, is in group 5.
Colorado's substate region, Region 2, is in group 4.
Colorado's substate region, Region 3, is in group 4.
Colorado's substate region, Region 4, is in group 5.
Colorado's substate region, Region 5, is in group 5.
Colorado's substate region, Region 6, is in group 5.
Colorado's substate region, Region 7, is in group 4.
Connecticut's substate region, Eastern, is in group 6.
Connecticut's substate region, North Central, is in group 7.
Connecticut's substate region, Northwestern, is in group 6.
Connecticut's substate region, South Central, is in group 6.
Connecticut's substate region, Southwest, is in group 5.
Delaware's substate region, Kent, is in group 7.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 7.
Delaware's substate region, Sussex, is in group 7.
Delaware's substate region, Wilmington City, is in group 7.
District of Columbia's substate region, Ward 1, is in group 5.
District of Columbia's substate region, Ward 2, is in group 5.
District of Columbia's substate region, Ward 3, is in group 4.
District of Columbia's substate region, Ward 4, is in group 3.
District of Columbia's substate region, Ward 5, is in group 4.
District of Columbia's substate region, Ward 6, is in group 4.
District of Columbia's substate region, Ward 7, is in group 5.
District of Columbia's substate region, Ward 8, is in group 5.
Florida's substate region, Broward (Circuit 17), is in group 3.
Florida's substate region, Circuit 9, is in group 3.
Florida's substate region, Circuit 18, is in group 4.
Florida's substate region, Circuit 6, is in group 4.
Florida's substate region, Circuit 10, is in group 4.
Florida's substate region, Circuit 12, is in group 4.
Florida's substate region, Circuit 13 (Hillsborough), is in group 4.
Florida's substate region, Circuit 20, is in group 4.
Florida's substate region, Circuit 4, is in group 5.
Florida's substate region, Circuit 5, is in group 4.
Florida's substate region, Circuit 7, is in group 4.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 5.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 4.
Florida's substate region, Circuit 14, is in group 5.
Florida's substate region, South (Circuits 11 and 16), is in group 3.
Florida's substate region, Circuit 15 (Palm Beach), is in group 5.
Florida's substate region, Circuit 19, is in group 3.
Georgia's substate region, Region 1, is in group 1.
Georgia's substate region, Region 2, is in group 1.
Georgia's substate region, Region 3, is in group 1.
Georgia's substate region, Region 4, is in group 2.
Georgia's substate region, Region 5, is in group 2.
Georgia's substate region, Region 6, is in group 1.
Hawaii's substate region, Hawaii Island, is in group 4.
Hawaii's substate region, Honolulu, is in group 3.
Hawaii's substate region, Kauai, is in group 3.
Hawaii's substate region, Maui, is in group 4.
Idaho's substate region, Region 1, is in group 4.
Idaho's substate region, Region 2, is in group 4.
Idaho's substate region, Region 3, is in group 3.
Idaho's substate region, Region 4, is in group 4.
Idaho's substate region, Region 5, is in group 4.
Idaho's substate region, Region 6, is in group 4.
Idaho's substate region, Region 7, is in group 3.
Illinois's substate region, Region 1.1 (Far North Side), is in group 3.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 3.
Illinois's substate region, Region 1.3 (North Central Side), is in group 4.
Illinois's substate region, Region 1.4 (West Side), is in group 4.
Illinois's substate region, Region 1.5 (South Side), is in group 3.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 2.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 1.
Illinois's substate region, Region 2a (DuPage), is in group 1.
Illinois's substate region, Region 2b, is in group 1.
Illinois's substate region, Region 2c (Winnebago), is in group 3.
Illinois's substate region, Region 2d, is in group 2.
Illinois's substate region, Region 3a (Champaign), is in group 2.
Illinois's substate region, Region 3b, is in group 3.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 3.
Illinois's substate region, Region 5a, is in group 3.
Illinois's substate region, Region 5b, is in group 3.
Indiana's substate region, Central, is in group 5.
Indiana's substate region, East, is in group 7.
Indiana's substate region, North Central, is in group 5.
Indiana's substate region, Northeast, is in group 5.
Indiana's substate region, Northwest, is in group 6.
Indiana's substate region, Southeast, is in group 7.
Indiana's substate region, Southwest, is in group 6.
Indiana's substate region, West, is in group 6.
Iowa's substate region, Central, is in group 2.
Iowa's substate region, North Central, is in group 2.
Iowa's substate region, Northeast, is in group 2.
Iowa's substate region, Northwest, is in group 3.
Iowa's substate region, Southeast, is in group 2.
Iowa's substate region, Southwest, is in group 2.
Kansas's substate region, Northeast, is in group 2.
Kansas's substate region, Northwest and North Central, is in group 3.
Kansas's substate region, South Central, is in group 3.
Kansas's substate region, Southeast, is in group 3.
Kansas's substate region, Southwest, is in group 2.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 5.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 5.
Kentucky's substate region, Centerstone, is in group 5.
Kentucky's substate region, Communicare and River Valley, is in group 5.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 5.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 5.
Louisiana's substate region, Region 1, is in group 3.
Louisiana's substate region, Region 10 (Jefferson), is in group 1.
Louisiana's substate region, Regions 2 and 9, is in group 1.
Louisiana's substate region, Region 3, is in group 1.
Louisiana's substate region, Regions 4, 5, and 6, is in group 2.
Louisiana's substate region, Regions 7 and 8, is in group 2.
Maine's substate region, Aroostook, is in group 7.
Maine's substate region, Downeast, is in group 6.
Maine's substate region, Central, is in group 7.
Maine's substate region, Cumberland, is in group 6.
Maine's substate region, Midcoast, is in group 5.
Maine's substate region, Penquis, is in group 7.
Maine's substate region, Western, is in group 6.
Maine's substate region, York, is in group 6.
Maryland's substate region, Anne Arundel, is in group 6.
Maryland's substate region, Baltimore City, is in group 7.
Maryland's substate region, Baltimore County, is in group 6.
Maryland's substate region, Montgomery, is in group 4.
Maryland's substate region, North Central, is in group 5.
Maryland's substate region, Northeast, is in group 7.
Maryland's substate region, Prince George's, is in group 3.
Maryland's substate region, South, is in group 6.
Maryland's substate region, West, is in group 7.
Massachusetts's substate region, Boston, is in group 6.
Massachusetts's substate region, Central, is in group 5.
Massachusetts's substate region, Metrowest, is in group 4.
Massachusetts's substate region, Northeast, is in group 4.
Massachusetts's substate region, Southeast, is in group 5.
Massachusetts's substate region, Western, is in group 6.
Michigan's substate region, Region 1, is in group 3.
Michigan's substate region, Region 2, is in group 2.
Michigan's substate region, Region 3, is in group 2.
Michigan's substate region, Region 4, is in group 3.
Michigan's substate region, Region 5, is in group 3.
Michigan's substate region, Region 6, is in group 2.
Michigan's substate region, Region 7, is in group 4.
Michigan's substate region, Region 8, is in group 3.
Michigan's substate region, Region 9, is in group 2.
Michigan's substate region, Region 10, is in group 4.
Minnesota's substate region, Region 1, is in group 4.
Minnesota's substate region, Region 2, is in group 4.
Minnesota's substate region, Region 3, is in group 4.
Minnesota's substate region, Region 4, is in group 3.
Minnesota's substate region, Region 5, is in group 4.
Minnesota's substate region, Region 6, is in group 3.
Minnesota's substate region, Region 7A (Hennepin), is in group 4.
Minnesota's substate region, Region 7B (Ramsey), is in group 4.
Minnesota's substate region, Region 7C, is in group 2.
Mississippi's substate region, Region 1, is in group 3.
Mississippi's substate region, Region 2, is in group 2.
Mississippi's substate region, Region 3, is in group 3.
Mississippi's substate region, Region 4, is in group 2.
Mississippi's substate region, Region 5, is in group 1.
Mississippi's substate region, Region 6, is in group 2.
Mississippi's substate region, Region 7, is in group 3.
Missouri's substate region, Central, is in group 3.
Missouri's substate region, Eastern (St. Louis City and County), is in group 3.
Missouri's substate region, Eastern (excluding St. Louis), is in group 3.
Missouri's substate region, Northwest (Jackson), is in group 4.
Missouri's substate region, Northwest (excluding Jackson), is in group 3.
Missouri's substate region, Southeast, is in group 4.
Missouri's substate region, Southwest, is in group 4.
Montana's substate region, Region 1, is in group 5.
Montana's substate region, Region 2, is in group 5.
Montana's substate region, Region 3, is in group 4.
Montana's substate region, Region 4, is in group 4.
Montana's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 1, is in group 3.
Nebraska's substate region, Region 2, is in group 3.
Nebraska's substate region, Region 3, is in group 3.
Nebraska's substate region, Region 4, is in group 2.
Nebraska's substate region, Region 5, is in group 2.
Nebraska's substate region, Region 6, is in group 1.
Nevada's substate region, Clark - Region 1, is in group 4.
Nevada's substate region, Capital District, is in group 5.
Nevada's substate region, Rural/Frontier, is in group 5.
Nevada's substate region, Washoe - Region 2, is in group 5.
New Hampshire's substate region, Central, is in group 6.
New Hampshire's substate region, Northern, is in group 5.
New Hampshire's substate region, Southern, is in group 5.
New Jersey's substate region, Central, is in group 5.
New Jersey's substate region, Metropolitan, is in group 6.
New Jersey's substate region, Northern, is in group 5.
New Jersey's substate region, Southern, is in group 5.
New Mexico's substate region, Region 1, is in group 3.
New Mexico's substate region, Region 2, is in group 4.
New Mexico's substate region, Region 3 (Bernalillo), is in group 5.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 4.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 3.
New York's substate region, Region 2A: Bronx, is in group 5.
New York's substate region, Region 2B: Kings, is in group 4.
New York's substate region, Region 2C: New York, is in group 5.
New York's substate region, Region 2D: Queens, is in group 4.
New York's substate region, Region 2E: Richmond, is in group 4.
New York's substate region, Region 3: Mid-Hudson, is in group 3.
New York's substate region, Region 4: Capital Region, is in group 4.
New York's substate region, Region 5: Mohawk Valley, is in group 5.
New York's substate region, Region 6: North Country, is in group 4.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 5.
New York's substate region, Region 9: Southern Tier, is in group 4.
New York's substate region, Region 10: Finger Lakes, is in group 4.
New York's substate region, Region 11: Western, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 5.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 4.
North Carolina's substate region, CenterPoint Human Services, is in group 4.
North Carolina's substate region, Eastpointe, is in group 4.
North Carolina's substate region, Partners Behavioral Health Management, is in group 5.
North Carolina's substate region, Sandhills Center 1, is in group 4.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 5.
North Carolina's substate region, Smoky Mountain Center 2, is in group 5.
North Carolina's substate region, Trillium Health Resources 1, is in group 5.
North Carolina's substate region, Trillium Health Resources 2, is in group 5.
North Dakota's substate region, Badlands, is in group 4.
North Dakota's substate region, West Central, is in group 4.
North Dakota's substate region, Lake Region, is in group 3.
North Dakota's substate region, North Central, is in group 4.
North Dakota's substate region, Northeast, is in group 5.
North Dakota's substate region, Northwest, is in group 5.
North Dakota's substate region, South Central, is in group 4.
North Dakota's substate region, Southeast, is in group 4.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 5.
Ohio's substate region, Boards 3, 52, and 85, is in group 4.
Ohio's substate region, Boards 4 and 78, is in group 5.
Ohio's substate region, Boards 5 and 60, is in group 6.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 4.
Ohio's substate region, Boards 8, 13, and 83, is in group 4.
Ohio's substate region, Board 9 (Butler), is in group 4.
Ohio's substate region, Board 12, is in group 5.
Ohio's substate region, Boards 18 and 47, is in group 5.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 5.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 4.
Ohio's substate region, Boards 22, 74, and 87, is in group 4.
Ohio's substate region, Boards 23 and 45, is in group 5.
Ohio's substate region, Board 25 (Franklin), is in group 4.
Ohio's substate region, Boards 27, 71, and 73, is in group 5.
Ohio's substate region, Boards 28, 43, and 67, is in group 4.
Ohio's substate region, Board 31 (Hamilton), is in group 5.
Ohio's substate region, Board 48 (Lucas), is in group 5.
Ohio's substate region, Boards 50 and 76, is in group 5.
Ohio's substate region, Board 57 (Montgomery), is in group 5.
Ohio's substate region, Board 77 (Summit), is in group 5.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 4.
Oklahoma's substate region, Northeast, is in group 4.
Oklahoma's substate region, Northwest and Southwest, is in group 4.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 5.
Oklahoma's substate region, Tulsa County, is in group 5.
Oregon's substate region, Region 1 (Multnomah), is in group 5.
Oregon's substate region, Region 2, is in group 4.
Oregon's substate region, Region 3, is in group 5.
Oregon's substate region, Region 4, is in group 5.
Oregon's substate region, Region 5 (Central), is in group 4.
Oregon's substate region, Region 6 (Eastern), is in group 5.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 6.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 6.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 6.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 6.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 6.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 5.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 6.
Pennsylvania's substate region, Regions 17 and 21, is in group 7.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 5.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 6.
Pennsylvania's substate region, Regions 29 and 34, is in group 5.
Pennsylvania's substate region, Regions 30 and 50, is in group 7.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 7.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 4.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 4.
Rhode Island's substate region, Region 3: Providence, is in group 5.
Rhode Island's substate region, Region 4: Kent County, is in group 4.
Rhode Island's substate region, Region 5: East Bay, is in group 4.
Rhode Island's substate region, Region 6: Newport County, is in group 4.
Rhode Island's substate region, Region 7: South County, is in group 4.
South Carolina's substate region, Region 1, is in group 1.
South Carolina's substate region, Region 2, is in group 1.
South Carolina's substate region, Region 3, is in group 1.
South Carolina's substate region, Region 4, is in group 1.
South Dakota's substate region, Region 1, is in group 3.
South Dakota's substate region, Region 2, is in group 2.
South Dakota's substate region, Region 3, is in group 2.
South Dakota's substate region, Region 4, is in group 3.
South Dakota's substate region, Region 5, is in group 2.
Tennessee's substate region, Region 1, is in group 4.
Tennessee's substate region, Region 2, is in group 4.
Tennessee's substate region, Region 3, is in group 4.
Tennessee's substate region, Region 4 (Davidson), is in group 4.
Tennessee's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 6, is in group 4.
Tennessee's substate region, Region 7 (Shelby), is in group 4.
Texas's substate region, Region 1, is in group 4.
Texas's substate region, Region 2, is in group 5.
Texas's substate region, Region 3, is in group 3.
Texas's substate region, Region 4, is in group 4.
Texas's substate region, Region 5, is in group 4.
Texas's substate region, Region 6, is in group 3.
Texas's substate region, Region 7, is in group 3.
Texas's substate region, Region 8, is in group 3.
Texas's substate region, Region 9, is in group 4.
Texas's substate region, Region 10, is in group 1.
Texas's substate region, Region 11, is in group 1.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 4.
Utah's substate region, Central, Four Corners, and San Juan, is in group 4.
Utah's substate region, Southwest, is in group 4.
Utah's substate region, Davis County, is in group 3.
Utah's substate region, Salt Lake County, is in group 4.
Utah's substate region, Utah County, is in group 4.
Utah's substate region, Weber, Morgan, is in group 4.
Vermont's substate region, Champlain Valley, is in group 6.
Vermont's substate region, Rural Northeast, is in group 6.
Vermont's substate region, Rural Southeast, is in group 6.
Vermont's substate region, Rural Southwest, is in group 7.
Virginia's substate region, Region 1, is in group 4.
Virginia's substate region, Region 2, is in group 2.
Virginia's substate region, Region 3, is in group 4.
Virginia's substate region, Region 4, is in group 5.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 5.
Washington's substate region, Region 2, is in group 4.
Washington's substate region, Region 3, is in group 4.
West Virginia's substate region, Region I, is in group 6.
West Virginia's substate region, Region II, is in group 5.
West Virginia's substate region, Region III, is in group 6.
West Virginia's substate region, Region IV, is in group 6.
West Virginia's substate region, Region V, is in group 7.
West Virginia's substate region, Region VI, is in group 5.
Wisconsin's substate region, Milwaukee, is in group 5.
Wisconsin's substate region, Northeastern, is in group 4.
Wisconsin's substate region, Northern, is in group 4.
Wisconsin's substate region, Southeastern, is in group 3.
Wisconsin's substate region, Southern, is in group 4.
Wisconsin's substate region, Western, is in group 4.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 3.
Wyoming's substate region, Judicial District 2, is in group 3.
Wyoming's substate region, Judicial District 3, is in group 3.
Wyoming's substate region, Judicial District 4, is in group 4.
Wyoming's substate region, Judicial District 5, is in group 3.
Wyoming's substate region, Judicial District 6, is in group 3.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 4.
Wyoming's substate region, Judicial District 8, is in group 3.
Wyoming's substate region, Judicial District 9, is in group 2.

Long description end. Click here to return to Figure 9.

Long description, Figure 10. Figure 10 is a U.S. map showing perceptions of great risk from trying heroin once or twice among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The highest group, group 1's percentages ranged from 89.56 to 90.77 percent.
The next to highest group, group 2's percentages ranged from 88.74 to 89.55 percent.
The next highest group, group 3's percentages ranged from 87.37 to 88.73 percent.
The middle group, group 4's percentages ranged from 85.28 to 87.36 percent.
The next lowest group, group 5's percentages ranged from 83.25 to 85.27 percent.
The next to lowest group, group 6's percentages ranged from 81.88 to 83.24 percent.
The lowest group, group 7's percentages ranged from 77.01 to 81.87 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 3.
Alabama's substate region, Region 2, is in group 2.
Alabama's substate region, Region 3, is in group 2.
Alabama's substate region, Region 4, is in group 3.
Alaska's substate region, Anchorage, is in group 6.
Alaska's substate region, Northern, is in group 7.
Alaska's substate region, South Central, is in group 5.
Alaska's substate region, Southeast, is in group 5.
Arizona's substate region, Central, is in group 3.
Arizona's substate region, North, is in group 5.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 4.
Arkansas's substate region, Catchment Area 1, is in group 4.
Arkansas's substate region, Catchment Area 2, is in group 3.
Arkansas's substate region, Catchment Area 3, is in group 3.
Arkansas's substate region, Catchment Area 4, is in group 4.
Arkansas's substate region, Catchment Area 5, is in group 3.
Arkansas's substate region, Catchment Area 6, is in group 3.
Arkansas's substate region, Catchment Area 7, is in group 2.
Arkansas's substate region, Catchment Area 8, is in group 4.
California's substate region, Region 1R, is in group 5.
California's substate region, Region 2R, is in group 6.
California's substate region, Region 3R (Sacramento), is in group 5.
California's substate region, Region 4R, is in group 6.
California's substate region, Region 5R (San Francisco), is in group 7.
California's substate region, Region 6 (Santa Clara), is in group 7.
California's substate region, Region 7R (Contra Costa), is in group 6.
California's substate region, Region 8R (Alameda), is in group 6.
California's substate region, Region 9R (San Mateo), is in group 7.
California's substate region, Region 10, is in group 4.
California's substate region, LA SPA 1 and 5, is in group 6.
California's substate region, LA SPA 2, is in group 4.
California's substate region, LA SPA 3, is in group 5.
California's substate region, LA SPA 4, is in group 6.
California's substate region, LA SPA 6, is in group 5.
California's substate region, LA SPA 7, is in group 5.
California's substate region, LA SPA 8, is in group 5.
California's substate region, Region 12R, is in group 5.
California's substate region, Regions 13 and 19R, is in group 4.
California's substate region, Region 14 (Orange), is in group 6.
California's substate region, Region 15R (Fresno), is in group 5.
California's substate region, Region 16R (San Diego), is in group 6.
California's substate region, Region 17R, is in group 4.
California's substate region, Region 18R (San Bernardino), is in group 4.
California's substate region, Region 20R, is in group 5.
California's substate region, Region 21R, is in group 5.
Colorado's substate region, Region 1, is in group 4.
Colorado's substate region, Region 2, is in group 5.
Colorado's substate region, Region 3, is in group 6.
Colorado's substate region, Region 4, is in group 4.
Colorado's substate region, Region 5, is in group 5.
Colorado's substate region, Region 6, is in group 7.
Colorado's substate region, Region 7, is in group 5.
Connecticut's substate region, Eastern, is in group 4.
Connecticut's substate region, North Central, is in group 3.
Connecticut's substate region, Northwestern, is in group 3.
Connecticut's substate region, South Central, is in group 4.
Connecticut's substate region, Southwest, is in group 4.
Delaware's substate region, Kent, is in group 3.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 3.
Delaware's substate region, Sussex, is in group 2.
Delaware's substate region, Wilmington City, is in group 4.
District of Columbia's substate region, Ward 1, is in group 7.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 7.
District of Columbia's substate region, Ward 4, is in group 5.
District of Columbia's substate region, Ward 5, is in group 6.
District of Columbia's substate region, Ward 6, is in group 7.
District of Columbia's substate region, Ward 7, is in group 4.
District of Columbia's substate region, Ward 8, is in group 5.
Florida's substate region, Broward (Circuit 17), is in group 2.
Florida's substate region, Circuit 9, is in group 3.
Florida's substate region, Circuit 18, is in group 3.
Florida's substate region, Circuit 6, is in group 2.
Florida's substate region, Circuit 10, is in group 1.
Florida's substate region, Circuit 12, is in group 2.
Florida's substate region, Circuit 13 (Hillsborough), is in group 3.
Florida's substate region, Circuit 20, is in group 2.
Florida's substate region, Circuit 4, is in group 3.
Florida's substate region, Circuit 5, is in group 1.
Florida's substate region, Circuit 7, is in group 2.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 3.
Florida's substate region, Circuit 1, is in group 4.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 3.
Florida's substate region, Circuit 14, is in group 3.
Florida's substate region, South (Circuits 11 and 16), is in group 1.
Florida's substate region, Circuit 15 (Palm Beach), is in group 2.
Florida's substate region, Circuit 19, is in group 1.
Georgia's substate region, Region 1, is in group 2.
Georgia's substate region, Region 2, is in group 2.
Georgia's substate region, Region 3, is in group 3.
Georgia's substate region, Region 4, is in group 1.
Georgia's substate region, Region 5, is in group 2.
Georgia's substate region, Region 6, is in group 2.
Hawaii's substate region, Hawaii Island, is in group 5.
Hawaii's substate region, Honolulu, is in group 7.
Hawaii's substate region, Kauai, is in group 5.
Hawaii's substate region, Maui, is in group 6.
Idaho's substate region, Region 1, is in group 4.
Idaho's substate region, Region 2, is in group 5.
Idaho's substate region, Region 3, is in group 4.
Idaho's substate region, Region 4, is in group 5.
Idaho's substate region, Region 5, is in group 4.
Idaho's substate region, Region 6, is in group 5.
Idaho's substate region, Region 7, is in group 4.
Illinois's substate region, Region 1.1 (Far North Side), is in group 5.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 4.
Illinois's substate region, Region 1.3 (North Central Side), is in group 5.
Illinois's substate region, Region 1.4 (West Side), is in group 4.
Illinois's substate region, Region 1.5 (South Side), is in group 4.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 4.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 4.
Illinois's substate region, Region 2a (DuPage), is in group 4.
Illinois's substate region, Region 2b, is in group 4.
Illinois's substate region, Region 2c (Winnebago), is in group 4.
Illinois's substate region, Region 2d, is in group 4.
Illinois's substate region, Region 3a (Champaign), is in group 5.
Illinois's substate region, Region 3b, is in group 4.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 3.
Illinois's substate region, Region 5a, is in group 2.
Illinois's substate region, Region 5b, is in group 3.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 3.
Indiana's substate region, North Central, is in group 4.
Indiana's substate region, Northeast, is in group 4.
Indiana's substate region, Northwest, is in group 3.
Indiana's substate region, Southeast, is in group 3.
Indiana's substate region, Southwest, is in group 4.
Indiana's substate region, West, is in group 5.
Iowa's substate region, Central, is in group 6.
Iowa's substate region, North Central, is in group 6.
Iowa's substate region, Northeast, is in group 5.
Iowa's substate region, Northwest, is in group 6.
Iowa's substate region, Southeast, is in group 6.
Iowa's substate region, Southwest, is in group 5.
Kansas's substate region, Northeast, is in group 6.
Kansas's substate region, Northwest and North Central, is in group 5.
Kansas's substate region, South Central, is in group 4.
Kansas's substate region, Southeast, is in group 4.
Kansas's substate region, Southwest, is in group 4.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 2.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 3.
Kentucky's substate region, Centerstone, is in group 2.
Kentucky's substate region, Communicare and River Valley, is in group 4.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 2.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 1.
Louisiana's substate region, Region 1, is in group 4.
Louisiana's substate region, Region 10 (Jefferson), is in group 3.
Louisiana's substate region, Regions 2 and 9, is in group 3.
Louisiana's substate region, Region 3, is in group 3.
Louisiana's substate region, Regions 4, 5, and 6, is in group 3.
Louisiana's substate region, Regions 7 and 8, is in group 3.
Maine's substate region, Aroostook, is in group 3.
Maine's substate region, Downeast, is in group 4.
Maine's substate region, Central, is in group 3.
Maine's substate region, Cumberland, is in group 5.
Maine's substate region, Midcoast, is in group 4.
Maine's substate region, Penquis, is in group 4.
Maine's substate region, Western, is in group 4.
Maine's substate region, York, is in group 3.
Maryland's substate region, Anne Arundel, is in group 4.
Maryland's substate region, Baltimore City, is in group 5.
Maryland's substate region, Baltimore County, is in group 4.
Maryland's substate region, Montgomery, is in group 5.
Maryland's substate region, North Central, is in group 4.
Maryland's substate region, Northeast, is in group 3.
Maryland's substate region, Prince George's, is in group 3.
Maryland's substate region, South, is in group 4.
Maryland's substate region, West, is in group 3.
Massachusetts's substate region, Boston, is in group 6.
Massachusetts's substate region, Central, is in group 4.
Massachusetts's substate region, Metrowest, is in group 6.
Massachusetts's substate region, Northeast, is in group 4.
Massachusetts's substate region, Southeast, is in group 4.
Massachusetts's substate region, Western, is in group 3.
Michigan's substate region, Region 1, is in group 4.
Michigan's substate region, Region 2, is in group 4.
Michigan's substate region, Region 3, is in group 5.
Michigan's substate region, Region 4, is in group 4.
Michigan's substate region, Region 5, is in group 4.
Michigan's substate region, Region 6, is in group 4.
Michigan's substate region, Region 7, is in group 4.
Michigan's substate region, Region 8, is in group 4.
Michigan's substate region, Region 9, is in group 4.
Michigan's substate region, Region 10, is in group 3.
Minnesota's substate region, Region 1, is in group 7.
Minnesota's substate region, Region 2, is in group 5.
Minnesota's substate region, Region 3, is in group 5.
Minnesota's substate region, Region 4, is in group 6.
Minnesota's substate region, Region 5, is in group 6.
Minnesota's substate region, Region 6, is in group 5.
Minnesota's substate region, Region 7A (Hennepin), is in group 7.
Minnesota's substate region, Region 7B (Ramsey), is in group 7.
Minnesota's substate region, Region 7C, is in group 6.
Mississippi's substate region, Region 1, is in group 3.
Mississippi's substate region, Region 2, is in group 3.
Mississippi's substate region, Region 3, is in group 3.
Mississippi's substate region, Region 4, is in group 2.
Mississippi's substate region, Region 5, is in group 2.
Mississippi's substate region, Region 6, is in group 3.
Mississippi's substate region, Region 7, is in group 3.
Missouri's substate region, Central, is in group 4.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 3.
Missouri's substate region, Northwest (Jackson), is in group 5.
Missouri's substate region, Northwest (excluding Jackson), is in group 5.
Missouri's substate region, Southeast, is in group 3.
Missouri's substate region, Southwest, is in group 4.
Montana's substate region, Region 1, is in group 5.
Montana's substate region, Region 2, is in group 5.
Montana's substate region, Region 3, is in group 5.
Montana's substate region, Region 4, is in group 5.
Montana's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 1, is in group 4.
Nebraska's substate region, Region 2, is in group 4.
Nebraska's substate region, Region 3, is in group 4.
Nebraska's substate region, Region 4, is in group 4.
Nebraska's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 6, is in group 5.
Nevada's substate region, Clark - Region 1, is in group 5.
Nevada's substate region, Capital District, is in group 5.
Nevada's substate region, Rural/Frontier, is in group 5.
Nevada's substate region, Washoe - Region 2, is in group 5.
New Hampshire's substate region, Central, is in group 3.
New Hampshire's substate region, Northern, is in group 3.
New Hampshire's substate region, Southern, is in group 3.
New Jersey's substate region, Central, is in group 3.
New Jersey's substate region, Metropolitan, is in group 4.
New Jersey's substate region, Northern, is in group 4.
New Jersey's substate region, Southern, is in group 4.
New Mexico's substate region, Region 1, is in group 5.
New Mexico's substate region, Region 2, is in group 4.
New Mexico's substate region, Region 3 (Bernalillo), is in group 5.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 4.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 3.
New York's substate region, Region 2A: Bronx, is in group 5.
New York's substate region, Region 2B: Kings, is in group 6.
New York's substate region, Region 2C: New York, is in group 7.
New York's substate region, Region 2D: Queens, is in group 6.
New York's substate region, Region 2E: Richmond, is in group 5.
New York's substate region, Region 3: Mid-Hudson, is in group 5.
New York's substate region, Region 4: Capital Region, is in group 4.
New York's substate region, Region 5: Mohawk Valley, is in group 4.
New York's substate region, Region 6: North Country, is in group 4.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 4.
New York's substate region, Region 9: Southern Tier, is in group 4.
New York's substate region, Region 10: Finger Lakes, is in group 4.
New York's substate region, Region 11: Western, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 5.
North Carolina's substate region, CenterPoint Human Services, is in group 3.
North Carolina's substate region, Eastpointe, is in group 3.
North Carolina's substate region, Partners Behavioral Health Management, is in group 4.
North Carolina's substate region, Sandhills Center 1, is in group 3.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 3.
North Carolina's substate region, Smoky Mountain Center 2, is in group 3.
North Carolina's substate region, Trillium Health Resources 1, is in group 3.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 4.
North Dakota's substate region, West Central, is in group 5.
North Dakota's substate region, Lake Region, is in group 5.
North Dakota's substate region, North Central, is in group 5.
North Dakota's substate region, Northeast, is in group 5.
North Dakota's substate region, Northwest, is in group 5.
North Dakota's substate region, South Central, is in group 4.
North Dakota's substate region, Southeast, is in group 6.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 1.
Ohio's substate region, Boards 3, 52, and 85, is in group 3.
Ohio's substate region, Boards 4 and 78, is in group 1.
Ohio's substate region, Boards 5 and 60, is in group 1.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 1.
Ohio's substate region, Boards 8, 13, and 83, is in group 3.
Ohio's substate region, Board 9 (Butler), is in group 2.
Ohio's substate region, Board 12, is in group 3.
Ohio's substate region, Boards 18 and 47, is in group 2.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 2.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 2.
Ohio's substate region, Boards 22, 74, and 87, is in group 1.
Ohio's substate region, Boards 23 and 45, is in group 2.
Ohio's substate region, Board 25 (Franklin), is in group 4.
Ohio's substate region, Boards 27, 71, and 73, is in group 1.
Ohio's substate region, Boards 28, 43, and 67, is in group 2.
Ohio's substate region, Board 31 (Hamilton), is in group 3.
Ohio's substate region, Board 48 (Lucas), is in group 3.
Ohio's substate region, Boards 50 and 76, is in group 2.
Ohio's substate region, Board 57 (Montgomery), is in group 2.
Ohio's substate region, Board 77 (Summit), is in group 2.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 6.
Oklahoma's substate region, Northeast, is in group 6.
Oklahoma's substate region, Northwest and Southwest, is in group 5.
Oklahoma's substate region, Oklahoma County, is in group 5.
Oklahoma's substate region, Southeast, is in group 4.
Oklahoma's substate region, Tulsa County, is in group 5.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 6.
Oregon's substate region, Region 3, is in group 6.
Oregon's substate region, Region 4, is in group 5.
Oregon's substate region, Region 5 (Central), is in group 5.
Oregon's substate region, Region 6 (Eastern), is in group 6.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 4.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 2.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 2.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 2.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 2.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 4.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 3.
Pennsylvania's substate region, Regions 17 and 21, is in group 2.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 4.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 1.
Pennsylvania's substate region, Regions 29 and 34, is in group 4.
Pennsylvania's substate region, Regions 30 and 50, is in group 3.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 4.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 4.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 4.
Rhode Island's substate region, Region 3: Providence, is in group 6.
Rhode Island's substate region, Region 4: Kent County, is in group 4.
Rhode Island's substate region, Region 5: East Bay, is in group 4.
Rhode Island's substate region, Region 6: Newport County, is in group 5.
Rhode Island's substate region, Region 7: South County, is in group 4.
South Carolina's substate region, Region 1, is in group 2.
South Carolina's substate region, Region 2, is in group 3.
South Carolina's substate region, Region 3, is in group 2.
South Carolina's substate region, Region 4, is in group 3.
South Dakota's substate region, Region 1, is in group 6.
South Dakota's substate region, Region 2, is in group 7.
South Dakota's substate region, Region 3, is in group 5.
South Dakota's substate region, Region 4, is in group 5.
South Dakota's substate region, Region 5, is in group 5.
Tennessee's substate region, Region 1, is in group 4.
Tennessee's substate region, Region 2, is in group 4.
Tennessee's substate region, Region 3, is in group 3.
Tennessee's substate region, Region 4 (Davidson), is in group 4.
Tennessee's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 6, is in group 3.
Tennessee's substate region, Region 7 (Shelby), is in group 4.
Texas's substate region, Region 1, is in group 4.
Texas's substate region, Region 2, is in group 3.
Texas's substate region, Region 3, is in group 4.
Texas's substate region, Region 4, is in group 3.
Texas's substate region, Region 5, is in group 3.
Texas's substate region, Region 6, is in group 4.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 3.
Texas's substate region, Region 9, is in group 3.
Texas's substate region, Region 10, is in group 3.
Texas's substate region, Region 11, is in group 3.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 5.
Utah's substate region, Central, Four Corners, and San Juan, is in group 5.
Utah's substate region, Southwest, is in group 4.
Utah's substate region, Davis County, is in group 5.
Utah's substate region, Salt Lake County, is in group 6.
Utah's substate region, Utah County, is in group 5.
Utah's substate region, Weber, Morgan, is in group 6.
Vermont's substate region, Champlain Valley, is in group 5.
Vermont's substate region, Rural Northeast, is in group 4.
Vermont's substate region, Rural Southeast, is in group 4.
Vermont's substate region, Rural Southwest, is in group 4.
Virginia's substate region, Region 1, is in group 4.
Virginia's substate region, Region 2, is in group 5.
Virginia's substate region, Region 3, is in group 4.
Virginia's substate region, Region 4, is in group 5.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 6.
Washington's substate region, Region 2, is in group 7.
Washington's substate region, Region 3, is in group 7.
West Virginia's substate region, Region I, is in group 1.
West Virginia's substate region, Region II, is in group 2.
West Virginia's substate region, Region III, is in group 1.
West Virginia's substate region, Region IV, is in group 2.
West Virginia's substate region, Region V, is in group 1.
West Virginia's substate region, Region VI, is in group 1.
Wisconsin's substate region, Milwaukee, is in group 4.
Wisconsin's substate region, Northeastern, is in group 4.
Wisconsin's substate region, Northern, is in group 4.
Wisconsin's substate region, Southeastern, is in group 3.
Wisconsin's substate region, Southern, is in group 4.
Wisconsin's substate region, Western, is in group 4.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 5.
Wyoming's substate region, Judicial District 2, is in group 6.
Wyoming's substate region, Judicial District 3, is in group 4.
Wyoming's substate region, Judicial District 4, is in group 4.
Wyoming's substate region, Judicial District 5, is in group 4.
Wyoming's substate region, Judicial District 6, is in group 4.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 4.
Wyoming's substate region, Judicial District 8, is in group 4.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 10.

Long description, Figure 11. Figure 11 is a U.S. map showing methamphetamine use in the past year among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 0.11 to 0.22 percent.
The next to lowest group, group 2's percentages ranged from 0.23 to 0.31 percent.
The next lowest group, group 3's percentages ranged from 0.32 to 0.46 percent.
The middle group, group 4's percentages ranged from 0.47 to 0.80 percent.
The next highest group, group 5's percentages ranged from 0.81 to 1.00 percent.
The next to highest group, group 6's percentages ranged from 1.01 to 1.18 percent.
The highest group, group 7's percentages ranged from 1.19 to 1.66 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 7.
Alabama's substate region, Region 2, is in group 5.
Alabama's substate region, Region 3, is in group 4.
Alabama's substate region, Region 4, is in group 5.
Alaska's substate region, Anchorage, is in group 5.
Alaska's substate region, Northern, is in group 4.
Alaska's substate region, South Central, is in group 5.
Alaska's substate region, Southeast, is in group 5.
Arizona's substate region, Central, is in group 5.
Arizona's substate region, North, is in group 7.
Arizona's substate region, South A, is in group 6.
Arizona's substate region, South B, is in group 5.
Arkansas's substate region, Catchment Area 1, is in group 5.
Arkansas's substate region, Catchment Area 2, is in group 7.
Arkansas's substate region, Catchment Area 3, is in group 5.
Arkansas's substate region, Catchment Area 4, is in group 6.
Arkansas's substate region, Catchment Area 5, is in group 5.
Arkansas's substate region, Catchment Area 6, is in group 5.
Arkansas's substate region, Catchment Area 7, is in group 5.
Arkansas's substate region, Catchment Area 8, is in group 5.
California's substate region, Region 1R, is in group 7.
California's substate region, Region 2R, is in group 5.
California's substate region, Region 3R (Sacramento), is in group 4.
California's substate region, Region 4R, is in group 4.
California's substate region, Region 5R (San Francisco), is in group 4.
California's substate region, Region 6 (Santa Clara), is in group 4.
California's substate region, Region 7R (Contra Costa), is in group 4.
California's substate region, Region 8R (Alameda), is in group 5.
California's substate region, Region 9R (San Mateo), is in group 4.
California's substate region, Region 10, is in group 5.
California's substate region, LA SPA 1 and 5, is in group 4.
California's substate region, LA SPA 2, is in group 5.
California's substate region, LA SPA 3, is in group 4.
California's substate region, LA SPA 4, is in group 6.
California's substate region, LA SPA 6, is in group 4.
California's substate region, LA SPA 7, is in group 5.
California's substate region, LA SPA 8, is in group 5.
California's substate region, Region 12R, is in group 6.
California's substate region, Regions 13 and 19R, is in group 6.
California's substate region, Region 14 (Orange), is in group 5.
California's substate region, Region 15R (Fresno), is in group 5.
California's substate region, Region 16R (San Diego), is in group 4.
California's substate region, Region 17R, is in group 6.
California's substate region, Region 18R (San Bernardino), is in group 6.
California's substate region, Region 20R, is in group 6.
California's substate region, Region 21R, is in group 6.
Colorado's substate region, Region 1, is in group 5.
Colorado's substate region, Region 2, is in group 5.
Colorado's substate region, Region 3, is in group 4.
Colorado's substate region, Region 4, is in group 5.
Colorado's substate region, Region 5, is in group 5.
Colorado's substate region, Region 6, is in group 5.
Colorado's substate region, Region 7, is in group 4.
Connecticut's substate region, Eastern, is in group 3.
Connecticut's substate region, North Central, is in group 2.
Connecticut's substate region, Northwestern, is in group 2.
Connecticut's substate region, South Central, is in group 2.
Connecticut's substate region, Southwest, is in group 3.
Delaware's substate region, Kent, is in group 4.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 4.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 3.
District of Columbia's substate region, Ward 1, is in group 3.
District of Columbia's substate region, Ward 2, is in group 3.
District of Columbia's substate region, Ward 3, is in group 3.
District of Columbia's substate region, Ward 4, is in group 1.
District of Columbia's substate region, Ward 5, is in group 1.
District of Columbia's substate region, Ward 6, is in group 3.
District of Columbia's substate region, Ward 7, is in group 1.
District of Columbia's substate region, Ward 8, is in group 1.
Florida's substate region, Broward (Circuit 17), is in group 2.
Florida's substate region, Circuit 9, is in group 3.
Florida's substate region, Circuit 18, is in group 3.
Florida's substate region, Circuit 6, is in group 3.
Florida's substate region, Circuit 10, is in group 4.
Florida's substate region, Circuit 12, is in group 3.
Florida's substate region, Circuit 13 (Hillsborough), is in group 3.
Florida's substate region, Circuit 20, is in group 3.
Florida's substate region, Circuit 4, is in group 3.
Florida's substate region, Circuit 5, is in group 4.
Florida's substate region, Circuit 7, is in group 3.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 4.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 3.
Florida's substate region, Circuit 14, is in group 4.
Florida's substate region, South (Circuits 11 and 16), is in group 2.
Florida's substate region, Circuit 15 (Palm Beach), is in group 3.
Florida's substate region, Circuit 19, is in group 3.
Georgia's substate region, Region 1, is in group 4.
Georgia's substate region, Region 2, is in group 4.
Georgia's substate region, Region 3, is in group 3.
Georgia's substate region, Region 4, is in group 4.
Georgia's substate region, Region 5, is in group 4.
Georgia's substate region, Region 6, is in group 3.
Hawaii's substate region, Hawaii Island, is in group 6.
Hawaii's substate region, Honolulu, is in group 5.
Hawaii's substate region, Kauai, is in group 7.
Hawaii's substate region, Maui, is in group 7.
Idaho's substate region, Region 1, is in group 5.
Idaho's substate region, Region 2, is in group 4.
Idaho's substate region, Region 3, is in group 5.
Idaho's substate region, Region 4, is in group 4.
Idaho's substate region, Region 5, is in group 5.
Idaho's substate region, Region 6, is in group 5.
Idaho's substate region, Region 7, is in group 4.
Illinois's substate region, Region 1.1 (Far North Side), is in group 3.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 3.
Illinois's substate region, Region 1.3 (North Central Side), is in group 3.
Illinois's substate region, Region 1.4 (West Side), is in group 3.
Illinois's substate region, Region 1.5 (South Side), is in group 1.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 2.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 2.
Illinois's substate region, Region 2a (DuPage), is in group 2.
Illinois's substate region, Region 2b, is in group 2.
Illinois's substate region, Region 2c (Winnebago), is in group 2.
Illinois's substate region, Region 2d, is in group 2.
Illinois's substate region, Region 3a (Champaign), is in group 2.
Illinois's substate region, Region 3b, is in group 3.
Illinois's substate region, Region 4a (Sangamon), is in group 2.
Illinois's substate region, Region 4b, is in group 3.
Illinois's substate region, Region 5a, is in group 3.
Illinois's substate region, Region 5b, is in group 3.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 5.
Indiana's substate region, North Central, is in group 4.
Indiana's substate region, Northeast, is in group 4.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 6.
Indiana's substate region, Southwest, is in group 5.
Indiana's substate region, West, is in group 6.
Iowa's substate region, Central, is in group 4.
Iowa's substate region, North Central, is in group 5.
Iowa's substate region, Northeast, is in group 4.
Iowa's substate region, Northwest, is in group 4.
Iowa's substate region, Southeast, is in group 5.
Iowa's substate region, Southwest, is in group 5.
Kansas's substate region, Northeast, is in group 4.
Kansas's substate region, Northwest and North Central, is in group 7.
Kansas's substate region, South Central, is in group 6.
Kansas's substate region, Southeast, is in group 6.
Kansas's substate region, Southwest, is in group 6.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 7.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 5.
Kentucky's substate region, Centerstone, is in group 6.
Kentucky's substate region, Communicare and River Valley, is in group 7.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 6.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 6.
Louisiana's substate region, Region 1, is in group 3.
Louisiana's substate region, Region 10 (Jefferson), is in group 3.
Louisiana's substate region, Regions 2 and 9, is in group 4.
Louisiana's substate region, Region 3, is in group 4.
Louisiana's substate region, Regions 4, 5, and 6, is in group 4.
Louisiana's substate region, Regions 7 and 8, is in group 3.
Maine's substate region, Aroostook, is in group 3.
Maine's substate region, Downeast, is in group 3.
Maine's substate region, Central, is in group 3.
Maine's substate region, Cumberland, is in group 2.
Maine's substate region, Midcoast, is in group 3.
Maine's substate region, Penquis, is in group 3.
Maine's substate region, Western, is in group 3.
Maine's substate region, York, is in group 3.
Maryland's substate region, Anne Arundel, is in group 2.
Maryland's substate region, Baltimore City, is in group 1.
Maryland's substate region, Baltimore County, is in group 2.
Maryland's substate region, Montgomery, is in group 2.
Maryland's substate region, North Central, is in group 2.
Maryland's substate region, Northeast, is in group 3.
Maryland's substate region, Prince George's, is in group 1.
Maryland's substate region, South, is in group 2.
Maryland's substate region, West, is in group 3.
Massachusetts's substate region, Boston, is in group 3.
Massachusetts's substate region, Central, is in group 3.
Massachusetts's substate region, Metrowest, is in group 2.
Massachusetts's substate region, Northeast, is in group 2.
Massachusetts's substate region, Southeast, is in group 3.
Massachusetts's substate region, Western, is in group 3.
Michigan's substate region, Region 1, is in group 3.
Michigan's substate region, Region 2, is in group 3.
Michigan's substate region, Region 3, is in group 2.
Michigan's substate region, Region 4, is in group 4.
Michigan's substate region, Region 5, is in group 3.
Michigan's substate region, Region 6, is in group 3.
Michigan's substate region, Region 7, is in group 2.
Michigan's substate region, Region 8, is in group 2.
Michigan's substate region, Region 9, is in group 2.
Michigan's substate region, Region 10, is in group 3.
Minnesota's substate region, Region 1, is in group 5.
Minnesota's substate region, Region 2, is in group 6.
Minnesota's substate region, Region 3, is in group 5.
Minnesota's substate region, Region 4, is in group 4.
Minnesota's substate region, Region 5, is in group 5.
Minnesota's substate region, Region 6, is in group 6.
Minnesota's substate region, Region 7A (Hennepin), is in group 5.
Minnesota's substate region, Region 7B (Ramsey), is in group 4.
Minnesota's substate region, Region 7C, is in group 4.
Mississippi's substate region, Region 1, is in group 5.
Mississippi's substate region, Region 2, is in group 4.
Mississippi's substate region, Region 3, is in group 4.
Mississippi's substate region, Region 4, is in group 4.
Mississippi's substate region, Region 5, is in group 4.
Mississippi's substate region, Region 6, is in group 5.
Mississippi's substate region, Region 7, is in group 6.
Missouri's substate region, Central, is in group 6.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 5.
Missouri's substate region, Northwest (Jackson), is in group 5.
Missouri's substate region, Northwest (excluding Jackson), is in group 5.
Missouri's substate region, Southeast, is in group 7.
Missouri's substate region, Southwest, is in group 7.
Montana's substate region, Region 1, is in group 6.
Montana's substate region, Region 2, is in group 7.
Montana's substate region, Region 3, is in group 4.
Montana's substate region, Region 4, is in group 5.
Montana's substate region, Region 5, is in group 5.
Nebraska's substate region, Region 1, is in group 4.
Nebraska's substate region, Region 2, is in group 4.
Nebraska's substate region, Region 3, is in group 4.
Nebraska's substate region, Region 4, is in group 4.
Nebraska's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 6, is in group 4.
Nevada's substate region, Clark - Region 1, is in group 6.
Nevada's substate region, Capital District, is in group 6.
Nevada's substate region, Rural/Frontier, is in group 7.
Nevada's substate region, Washoe - Region 2, is in group 7.
New Hampshire's substate region, Central, is in group 4.
New Hampshire's substate region, Northern, is in group 4.
New Hampshire's substate region, Southern, is in group 3.
New Jersey's substate region, Central, is in group 2.
New Jersey's substate region, Metropolitan, is in group 1.
New Jersey's substate region, Northern, is in group 2.
New Jersey's substate region, Southern, is in group 2.
New Mexico's substate region, Region 1, is in group 6.
New Mexico's substate region, Region 2, is in group 5.
New Mexico's substate region, Region 3 (Bernalillo), is in group 6.
New Mexico's substate region, Region 4, is in group 6.
New Mexico's substate region, Region 5a, is in group 7.
New Mexico's substate region, Region 5b (Dona Ana), is in group 5.
New York's substate region, Region 1: Long Island, is in group 1.
New York's substate region, Region 2A: Bronx, is in group 1.
New York's substate region, Region 2B: Kings, is in group 1.
New York's substate region, Region 2C: New York, is in group 1.
New York's substate region, Region 2D: Queens, is in group 1.
New York's substate region, Region 2E: Richmond, is in group 1.
New York's substate region, Region 3: Mid-Hudson, is in group 1.
New York's substate region, Region 4: Capital Region, is in group 1.
New York's substate region, Region 5: Mohawk Valley, is in group 2.
New York's substate region, Region 6: North Country, is in group 2.
New York's substate region, Region 7: Tug Hill Seaway, is in group 2.
New York's substate region, Region 8: Central, is in group 1.
New York's substate region, Region 9: Southern Tier, is in group 2.
New York's substate region, Region 10: Finger Lakes, is in group 1.
New York's substate region, Region 11: Western, is in group 1.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 4.
North Carolina's substate region, CenterPoint Human Services, is in group 4.
North Carolina's substate region, Eastpointe, is in group 4.
North Carolina's substate region, Partners Behavioral Health Management, is in group 4.
North Carolina's substate region, Sandhills Center 1, is in group 4.
North Carolina's substate region, Sandhills Center 2, is in group 3.
North Carolina's substate region, Smoky Mountain Center 1, is in group 5.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 4.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 5.
North Dakota's substate region, West Central, is in group 5.
North Dakota's substate region, Lake Region, is in group 6.
North Dakota's substate region, North Central, is in group 5.
North Dakota's substate region, Northeast, is in group 5.
North Dakota's substate region, Northwest, is in group 7.
North Dakota's substate region, South Central, is in group 5.
North Dakota's substate region, Southeast, is in group 4.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 3.
Ohio's substate region, Boards 3, 52, and 85, is in group 3.
Ohio's substate region, Boards 4 and 78, is in group 4.
Ohio's substate region, Boards 5 and 60, is in group 5.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 4.
Ohio's substate region, Boards 8, 13, and 83, is in group 3.
Ohio's substate region, Board 9 (Butler), is in group 4.
Ohio's substate region, Board 12, is in group 3.
Ohio's substate region, Boards 18 and 47, is in group 2.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 3.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 3.
Ohio's substate region, Boards 22, 74, and 87, is in group 3.
Ohio's substate region, Boards 23 and 45, is in group 4.
Ohio's substate region, Board 25 (Franklin), is in group 3.
Ohio's substate region, Boards 27, 71, and 73, is in group 4.
Ohio's substate region, Boards 28, 43, and 67, is in group 3.
Ohio's substate region, Board 31 (Hamilton), is in group 2.
Ohio's substate region, Board 48 (Lucas), is in group 3.
Ohio's substate region, Boards 50 and 76, is in group 3.
Ohio's substate region, Board 57 (Montgomery), is in group 3.
Ohio's substate region, Board 77 (Summit), is in group 3.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 6.
Oklahoma's substate region, Northeast, is in group 5.
Oklahoma's substate region, Northwest and Southwest, is in group 5.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 6.
Oklahoma's substate region, Tulsa County, is in group 5.
Oregon's substate region, Region 1 (Multnomah), is in group 5.
Oregon's substate region, Region 2, is in group 5.
Oregon's substate region, Region 3, is in group 6.
Oregon's substate region, Region 4, is in group 7.
Oregon's substate region, Region 5 (Central), is in group 6.
Oregon's substate region, Region 6 (Eastern), is in group 6.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 2.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 3.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 4.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 4.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 4.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 3.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 4.
Pennsylvania's substate region, Regions 17 and 21, is in group 4.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 3.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 3.
Pennsylvania's substate region, Regions 29 and 34, is in group 3.
Pennsylvania's substate region, Regions 30 and 50, is in group 4.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 3.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 3.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 3.
Rhode Island's substate region, Region 3: Providence, is in group 3.
Rhode Island's substate region, Region 4: Kent County, is in group 3.
Rhode Island's substate region, Region 5: East Bay, is in group 3.
Rhode Island's substate region, Region 6: Newport County, is in group 4.
Rhode Island's substate region, Region 7: South County, is in group 3.
South Carolina's substate region, Region 1, is in group 4.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 3.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 5.
South Dakota's substate region, Region 2, is in group 5.
South Dakota's substate region, Region 3, is in group 4.
South Dakota's substate region, Region 4, is in group 5.
South Dakota's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 1, is in group 5.
Tennessee's substate region, Region 2, is in group 4.
Tennessee's substate region, Region 3, is in group 4.
Tennessee's substate region, Region 4 (Davidson), is in group 3.
Tennessee's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 6, is in group 4.
Tennessee's substate region, Region 7 (Shelby), is in group 2.
Texas's substate region, Region 1, is in group 4.
Texas's substate region, Region 2, is in group 4.
Texas's substate region, Region 3, is in group 4.
Texas's substate region, Region 4, is in group 4.
Texas's substate region, Region 5, is in group 5.
Texas's substate region, Region 6, is in group 3.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 5.
Texas's substate region, Region 9, is in group 4.
Texas's substate region, Region 10, is in group 4.
Texas's substate region, Region 11, is in group 4.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 4.
Utah's substate region, Central, Four Corners, and San Juan, is in group 5.
Utah's substate region, Southwest, is in group 4.
Utah's substate region, Davis County, is in group 4.
Utah's substate region, Salt Lake County, is in group 4.
Utah's substate region, Utah County, is in group 4.
Utah's substate region, Weber, Morgan, is in group 5.
Vermont's substate region, Champlain Valley, is in group 4.
Vermont's substate region, Rural Northeast, is in group 4.
Vermont's substate region, Rural Southeast, is in group 4.
Vermont's substate region, Rural Southwest, is in group 4.
Virginia's substate region, Region 1, is in group 4.
Virginia's substate region, Region 2, is in group 2.
Virginia's substate region, Region 3, is in group 4.
Virginia's substate region, Region 4, is in group 2.
Virginia's substate region, Region 5, is in group 2.
Washington's substate region, Region 1, is in group 5.
Washington's substate region, Region 2, is in group 4.
Washington's substate region, Region 3, is in group 4.
West Virginia's substate region, Region I, is in group 5.
West Virginia's substate region, Region II, is in group 4.
West Virginia's substate region, Region III, is in group 6.
West Virginia's substate region, Region IV, is in group 5.
West Virginia's substate region, Region V, is in group 7.
West Virginia's substate region, Region VI, is in group 6.
Wisconsin's substate region, Milwaukee, is in group 3.
Wisconsin's substate region, Northeastern, is in group 4.
Wisconsin's substate region, Northern, is in group 4.
Wisconsin's substate region, Southeastern, is in group 4.
Wisconsin's substate region, Southern, is in group 4.
Wisconsin's substate region, Western, is in group 4.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 4.
Wyoming's substate region, Judicial District 3, is in group 5.
Wyoming's substate region, Judicial District 4, is in group 4.
Wyoming's substate region, Judicial District 5, is in group 4.
Wyoming's substate region, Judicial District 6, is in group 4.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 4.
Wyoming's substate region, Judicial District 8, is in group 4.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 11.

Long description, Figure 12. Figure 12 is a U.S. map showing pain reliever misuse in the past year among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 2.66 to 3.24 percent.
The next to lowest group, group 2's percentages ranged from 3.25 to 3.58 percent.
The next lowest group, group 3's percentages ranged from 3.59 to 3.91 percent.
The middle group, group 4's percentages ranged from 3.92 to 4.28 percent.
The next highest group, group 5's percentages ranged from 4.29 to 4.58 percent.
The next to highest group, group 6's percentages ranged from 4.59 to 4.93 percent.
The highest group, group 7's percentages ranged from 4.94 to 5.82 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 7.
Alabama's substate region, Region 2, is in group 6.
Alabama's substate region, Region 3, is in group 5.
Alabama's substate region, Region 4, is in group 6.
Alaska's substate region, Anchorage, is in group 7.
Alaska's substate region, Northern, is in group 6.
Alaska's substate region, South Central, is in group 5.
Alaska's substate region, Southeast, is in group 5.
Arizona's substate region, Central, is in group 3.
Arizona's substate region, North, is in group 4.
Arizona's substate region, South A, is in group 5.
Arizona's substate region, South B, is in group 4.
Arkansas's substate region, Catchment Area 1, is in group 6.
Arkansas's substate region, Catchment Area 2, is in group 6.
Arkansas's substate region, Catchment Area 3, is in group 7.
Arkansas's substate region, Catchment Area 4, is in group 7.
Arkansas's substate region, Catchment Area 5, is in group 6.
Arkansas's substate region, Catchment Area 6, is in group 5.
Arkansas's substate region, Catchment Area 7, is in group 6.
Arkansas's substate region, Catchment Area 8, is in group 6.
California's substate region, Region 1R, is in group 7.
California's substate region, Region 2R, is in group 5.
California's substate region, Region 3R (Sacramento), is in group 4.
California's substate region, Region 4R, is in group 5.
California's substate region, Region 5R (San Francisco), is in group 4.
California's substate region, Region 6 (Santa Clara), is in group 2.
California's substate region, Region 7R (Contra Costa), is in group 4.
California's substate region, Region 8R (Alameda), is in group 3.
California's substate region, Region 9R (San Mateo), is in group 3.
California's substate region, Region 10, is in group 4.
California's substate region, LA SPA 1 and 5, is in group 4.
California's substate region, LA SPA 2, is in group 3.
California's substate region, LA SPA 3, is in group 2.
California's substate region, LA SPA 4, is in group 3.
California's substate region, LA SPA 6, is in group 3.
California's substate region, LA SPA 7, is in group 3.
California's substate region, LA SPA 8, is in group 3.
California's substate region, Region 12R, is in group 6.
California's substate region, Regions 13 and 19R, is in group 6.
California's substate region, Region 14 (Orange), is in group 3.
California's substate region, Region 15R (Fresno), is in group 5.
California's substate region, Region 16R (San Diego), is in group 4.
California's substate region, Region 17R, is in group 4.
California's substate region, Region 18R (San Bernardino), is in group 4.
California's substate region, Region 20R, is in group 5.
California's substate region, Region 21R, is in group 5.
Colorado's substate region, Region 1, is in group 7.
Colorado's substate region, Region 2, is in group 7.
Colorado's substate region, Region 3, is in group 5.
Colorado's substate region, Region 4, is in group 6.
Colorado's substate region, Region 5, is in group 7.
Colorado's substate region, Region 6, is in group 7.
Colorado's substate region, Region 7, is in group 7.
Connecticut's substate region, Eastern, is in group 4.
Connecticut's substate region, North Central, is in group 5.
Connecticut's substate region, Northwestern, is in group 4.
Connecticut's substate region, South Central, is in group 3.
Connecticut's substate region, Southwest, is in group 2.
Delaware's substate region, Kent, is in group 5.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 3.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 4.
District of Columbia's substate region, Ward 1, is in group 4.
District of Columbia's substate region, Ward 2, is in group 6.
District of Columbia's substate region, Ward 3, is in group 5.
District of Columbia's substate region, Ward 4, is in group 3.
District of Columbia's substate region, Ward 5, is in group 5.
District of Columbia's substate region, Ward 6, is in group 4.
District of Columbia's substate region, Ward 7, is in group 2.
District of Columbia's substate region, Ward 8, is in group 4.
Florida's substate region, Broward (Circuit 17), is in group 3.
Florida's substate region, Circuit 9, is in group 3.
Florida's substate region, Circuit 18, is in group 5.
Florida's substate region, Circuit 6, is in group 5.
Florida's substate region, Circuit 10, is in group 5.
Florida's substate region, Circuit 12, is in group 4.
Florida's substate region, Circuit 13 (Hillsborough), is in group 4.
Florida's substate region, Circuit 20, is in group 4.
Florida's substate region, Circuit 4, is in group 4.
Florida's substate region, Circuit 5, is in group 6.
Florida's substate region, Circuit 7, is in group 4.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 5.
Florida's substate region, Circuit 1, is in group 6.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 5.
Florida's substate region, Circuit 14, is in group 6.
Florida's substate region, South (Circuits 11 and 16), is in group 2.
Florida's substate region, Circuit 15 (Palm Beach), is in group 5.
Florida's substate region, Circuit 19, is in group 4.
Georgia's substate region, Region 1, is in group 2.
Georgia's substate region, Region 2, is in group 3.
Georgia's substate region, Region 3, is in group 1.
Georgia's substate region, Region 4, is in group 3.
Georgia's substate region, Region 5, is in group 3.
Georgia's substate region, Region 6, is in group 3.
Hawaii's substate region, Hawaii Island, is in group 2.
Hawaii's substate region, Honolulu, is in group 2.
Hawaii's substate region, Kauai, is in group 2.
Hawaii's substate region, Maui, is in group 2.
Idaho's substate region, Region 1, is in group 5.
Idaho's substate region, Region 2, is in group 5.
Idaho's substate region, Region 3, is in group 5.
Idaho's substate region, Region 4, is in group 5.
Idaho's substate region, Region 5, is in group 4.
Idaho's substate region, Region 6, is in group 6.
Idaho's substate region, Region 7, is in group 5.
Illinois's substate region, Region 1.1 (Far North Side), is in group 1.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 1.
Illinois's substate region, Region 1.3 (North Central Side), is in group 3.
Illinois's substate region, Region 1.4 (West Side), is in group 1.
Illinois's substate region, Region 1.5 (South Side), is in group 1.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 1.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 1.
Illinois's substate region, Region 2a (DuPage), is in group 1.
Illinois's substate region, Region 2b, is in group 2.
Illinois's substate region, Region 2c (Winnebago), is in group 2.
Illinois's substate region, Region 2d, is in group 3.
Illinois's substate region, Region 3a (Champaign), is in group 4.
Illinois's substate region, Region 3b, is in group 3.
Illinois's substate region, Region 4a (Sangamon), is in group 2.
Illinois's substate region, Region 4b, is in group 4.
Illinois's substate region, Region 5a, is in group 2.
Illinois's substate region, Region 5b, is in group 2.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 7.
Indiana's substate region, North Central, is in group 5.
Indiana's substate region, Northeast, is in group 5.
Indiana's substate region, Northwest, is in group 5.
Indiana's substate region, Southeast, is in group 6.
Indiana's substate region, Southwest, is in group 6.
Indiana's substate region, West, is in group 6.
Iowa's substate region, Central, is in group 4.
Iowa's substate region, North Central, is in group 4.
Iowa's substate region, Northeast, is in group 5.
Iowa's substate region, Northwest, is in group 4.
Iowa's substate region, Southeast, is in group 5.
Iowa's substate region, Southwest, is in group 4.
Kansas's substate region, Northeast, is in group 4.
Kansas's substate region, Northwest and North Central, is in group 4.
Kansas's substate region, South Central, is in group 5.
Kansas's substate region, Southeast, is in group 5.
Kansas's substate region, Southwest, is in group 4.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 5.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 4.
Kentucky's substate region, Centerstone, is in group 5.
Kentucky's substate region, Communicare and River Valley, is in group 5.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 5.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 5.
Louisiana's substate region, Region 1, is in group 4.
Louisiana's substate region, Region 10 (Jefferson), is in group 4.
Louisiana's substate region, Regions 2 and 9, is in group 4.
Louisiana's substate region, Region 3, is in group 4.
Louisiana's substate region, Regions 4, 5, and 6, is in group 4.
Louisiana's substate region, Regions 7 and 8, is in group 4.
Maine's substate region, Aroostook, is in group 3.
Maine's substate region, Downeast, is in group 3.
Maine's substate region, Central, is in group 3.
Maine's substate region, Cumberland, is in group 2.
Maine's substate region, Midcoast, is in group 3.
Maine's substate region, Penquis, is in group 3.
Maine's substate region, Western, is in group 4.
Maine's substate region, York, is in group 4.
Maryland's substate region, Anne Arundel, is in group 3.
Maryland's substate region, Baltimore City, is in group 5.
Maryland's substate region, Baltimore County, is in group 3.
Maryland's substate region, Montgomery, is in group 2.
Maryland's substate region, North Central, is in group 3.
Maryland's substate region, Northeast, is in group 4.
Maryland's substate region, Prince George's, is in group 2.
Maryland's substate region, South, is in group 3.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 2.
Massachusetts's substate region, Central, is in group 3.
Massachusetts's substate region, Metrowest, is in group 2.
Massachusetts's substate region, Northeast, is in group 1.
Massachusetts's substate region, Southeast, is in group 4.
Massachusetts's substate region, Western, is in group 3.
Michigan's substate region, Region 1, is in group 5.
Michigan's substate region, Region 2, is in group 3.
Michigan's substate region, Region 3, is in group 3.
Michigan's substate region, Region 4, is in group 5.
Michigan's substate region, Region 5, is in group 4.
Michigan's substate region, Region 6, is in group 3.
Michigan's substate region, Region 7, is in group 5.
Michigan's substate region, Region 8, is in group 4.
Michigan's substate region, Region 9, is in group 4.
Michigan's substate region, Region 10, is in group 5.
Minnesota's substate region, Region 1, is in group 4.
Minnesota's substate region, Region 2, is in group 5.
Minnesota's substate region, Region 3, is in group 5.
Minnesota's substate region, Region 4, is in group 4.
Minnesota's substate region, Region 5, is in group 4.
Minnesota's substate region, Region 6, is in group 4.
Minnesota's substate region, Region 7A (Hennepin), is in group 4.
Minnesota's substate region, Region 7B (Ramsey), is in group 4.
Minnesota's substate region, Region 7C, is in group 4.
Mississippi's substate region, Region 1, is in group 5.
Mississippi's substate region, Region 2, is in group 3.
Mississippi's substate region, Region 3, is in group 6.
Mississippi's substate region, Region 4, is in group 3.
Mississippi's substate region, Region 5, is in group 3.
Mississippi's substate region, Region 6, is in group 4.
Mississippi's substate region, Region 7, is in group 6.
Missouri's substate region, Central, is in group 5.
Missouri's substate region, Eastern (St. Louis City and County), is in group 2.
Missouri's substate region, Eastern (excluding St. Louis), is in group 4.
Missouri's substate region, Northwest (Jackson), is in group 4.
Missouri's substate region, Northwest (excluding Jackson), is in group 4.
Missouri's substate region, Southeast, is in group 5.
Missouri's substate region, Southwest, is in group 6.
Montana's substate region, Region 1, is in group 5.
Montana's substate region, Region 2, is in group 5.
Montana's substate region, Region 3, is in group 4.
Montana's substate region, Region 4, is in group 5.
Montana's substate region, Region 5, is in group 5.
Nebraska's substate region, Region 1, is in group 3.
Nebraska's substate region, Region 2, is in group 3.
Nebraska's substate region, Region 3, is in group 2.
Nebraska's substate region, Region 4, is in group 2.
Nebraska's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 6, is in group 2.
Nevada's substate region, Clark - Region 1, is in group 6.
Nevada's substate region, Capital District, is in group 6.
Nevada's substate region, Rural/Frontier, is in group 6.
Nevada's substate region, Washoe - Region 2, is in group 7.
New Hampshire's substate region, Central, is in group 5.
New Hampshire's substate region, Northern, is in group 4.
New Hampshire's substate region, Southern, is in group 3.
New Jersey's substate region, Central, is in group 1.
New Jersey's substate region, Metropolitan, is in group 1.
New Jersey's substate region, Northern, is in group 1.
New Jersey's substate region, Southern, is in group 3.
New Mexico's substate region, Region 1, is in group 3.
New Mexico's substate region, Region 2, is in group 3.
New Mexico's substate region, Region 3 (Bernalillo), is in group 3.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 3.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 1.
New York's substate region, Region 2A: Bronx, is in group 1.
New York's substate region, Region 2B: Kings, is in group 1.
New York's substate region, Region 2C: New York, is in group 2.
New York's substate region, Region 2D: Queens, is in group 1.
New York's substate region, Region 2E: Richmond, is in group 1.
New York's substate region, Region 3: Mid-Hudson, is in group 1.
New York's substate region, Region 4: Capital Region, is in group 2.
New York's substate region, Region 5: Mohawk Valley, is in group 3.
New York's substate region, Region 6: North Country, is in group 3.
New York's substate region, Region 7: Tug Hill Seaway, is in group 3.
New York's substate region, Region 8: Central, is in group 3.
New York's substate region, Region 9: Southern Tier, is in group 2.
New York's substate region, Region 10: Finger Lakes, is in group 2.
New York's substate region, Region 11: Western, is in group 3.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 3.
North Carolina's substate region, CenterPoint Human Services, is in group 3.
North Carolina's substate region, Eastpointe, is in group 3.
North Carolina's substate region, Partners Behavioral Health Management, is in group 3.
North Carolina's substate region, Sandhills Center 1, is in group 4.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 5.
North Carolina's substate region, Smoky Mountain Center 2, is in group 3.
North Carolina's substate region, Trillium Health Resources 1, is in group 4.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 3.
North Dakota's substate region, West Central, is in group 3.
North Dakota's substate region, Lake Region, is in group 3.
North Dakota's substate region, North Central, is in group 4.
North Dakota's substate region, Northeast, is in group 4.
North Dakota's substate region, Northwest, is in group 4.
North Dakota's substate region, South Central, is in group 3.
North Dakota's substate region, Southeast, is in group 3.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 4.
Ohio's substate region, Boards 3, 52, and 85, is in group 4.
Ohio's substate region, Boards 4 and 78, is in group 5.
Ohio's substate region, Boards 5 and 60, is in group 7.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 5.
Ohio's substate region, Boards 8, 13, and 83, is in group 5.
Ohio's substate region, Board 9 (Butler), is in group 5.
Ohio's substate region, Board 12, is in group 6.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 5.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 4.
Ohio's substate region, Boards 22, 74, and 87, is in group 4.
Ohio's substate region, Boards 23 and 45, is in group 6.
Ohio's substate region, Board 25 (Franklin), is in group 4.
Ohio's substate region, Boards 27, 71, and 73, is in group 5.
Ohio's substate region, Boards 28, 43, and 67, is in group 4.
Ohio's substate region, Board 31 (Hamilton), is in group 4.
Ohio's substate region, Board 48 (Lucas), is in group 6.
Ohio's substate region, Boards 50 and 76, is in group 5.
Ohio's substate region, Board 57 (Montgomery), is in group 6.
Ohio's substate region, Board 77 (Summit), is in group 5.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 4.
Oklahoma's substate region, Northeast, is in group 3.
Oklahoma's substate region, Northwest and Southwest, is in group 5.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 4.
Oklahoma's substate region, Tulsa County, is in group 5.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 5.
Oregon's substate region, Region 3, is in group 7.
Oregon's substate region, Region 4, is in group 7.
Oregon's substate region, Region 5 (Central), is in group 7.
Oregon's substate region, Region 6 (Eastern), is in group 7.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 4.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 4.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 4.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 4.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 4.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 2.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 3.
Pennsylvania's substate region, Regions 17 and 21, is in group 4.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 4.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 3.
Pennsylvania's substate region, Regions 29 and 34, is in group 2.
Pennsylvania's substate region, Regions 30 and 50, is in group 4.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 4.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 5.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 5.
Rhode Island's substate region, Region 3: Providence, is in group 6.
Rhode Island's substate region, Region 4: Kent County, is in group 4.
Rhode Island's substate region, Region 5: East Bay, is in group 5.
Rhode Island's substate region, Region 6: Newport County, is in group 4.
Rhode Island's substate region, Region 7: South County, is in group 6.
South Carolina's substate region, Region 1, is in group 5.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 5.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 4.
South Dakota's substate region, Region 2, is in group 5.
South Dakota's substate region, Region 3, is in group 6.
South Dakota's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 1, is in group 4.
Tennessee's substate region, Region 2, is in group 4.
Tennessee's substate region, Region 3, is in group 4.
Tennessee's substate region, Region 4 (Davidson), is in group 4.
Tennessee's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 6, is in group 4.
Tennessee's substate region, Region 7 (Shelby), is in group 2.
Texas's substate region, Region 1, is in group 4.
Texas's substate region, Region 2, is in group 5.
Texas's substate region, Region 3, is in group 4.
Texas's substate region, Region 4, is in group 4.
Texas's substate region, Region 5, is in group 4.
Texas's substate region, Region 6, is in group 3.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 4.
Texas's substate region, Region 9, is in group 3.
Texas's substate region, Region 10, is in group 2.
Texas's substate region, Region 11, is in group 2.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 5.
Utah's substate region, Central, Four Corners, and San Juan, is in group 5.
Utah's substate region, Southwest, is in group 5.
Utah's substate region, Davis County, is in group 4.
Utah's substate region, Salt Lake County, is in group 5.
Utah's substate region, Utah County, is in group 4.
Utah's substate region, Weber, Morgan, is in group 5.
Vermont's substate region, Champlain Valley, is in group 4.
Vermont's substate region, Rural Northeast, is in group 4.
Vermont's substate region, Rural Southeast, is in group 3.
Vermont's substate region, Rural Southwest, is in group 5.
Virginia's substate region, Region 1, is in group 4.
Virginia's substate region, Region 2, is in group 1.
Virginia's substate region, Region 3, is in group 3.
Virginia's substate region, Region 4, is in group 3.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 6.
Washington's substate region, Region 2, is in group 6.
Washington's substate region, Region 3, is in group 6.
West Virginia's substate region, Region I, is in group 3.
West Virginia's substate region, Region II, is in group 2.
West Virginia's substate region, Region III, is in group 2.
West Virginia's substate region, Region IV, is in group 3.
West Virginia's substate region, Region V, is in group 4.
West Virginia's substate region, Region VI, is in group 3.
Wisconsin's substate region, Milwaukee, is in group 4.
Wisconsin's substate region, Northeastern, is in group 2.
Wisconsin's substate region, Northern, is in group 4.
Wisconsin's substate region, Southeastern, is in group 4.
Wisconsin's substate region, Southern, is in group 4.
Wisconsin's substate region, Western, is in group 3.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 3.
Wyoming's substate region, Judicial District 2, is in group 5.
Wyoming's substate region, Judicial District 3, is in group 4.
Wyoming's substate region, Judicial District 4, is in group 3.
Wyoming's substate region, Judicial District 5, is in group 3.
Wyoming's substate region, Judicial District 6, is in group 3.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 4.
Wyoming's substate region, Judicial District 8, is in group 4.
Wyoming's substate region, Judicial District 9, is in group 3.

Long description end. Click here to return to Figure 12.

Long description, Figure 13. Figure 13 is a U.S. map showing alcohol use in the past month among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 19.56 to 35.60 percent.
The next to lowest group, group 2's percentages ranged from 35.61 to 42.52 percent.
The next lowest group, group 3's percentages ranged from 42.53 to 48.92 percent.
The middle group, group 4's percentages ranged from 48.93 to 54.57 percent.
The next highest group, group 5's percentages ranged from 54.58 to 59.05 percent.
The next to highest group, group 6's percentages ranged from 59.06 to 62.99 percent.
The highest group, group 7's percentages ranged from 63.00 to 77.46 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 2.
Alabama's substate region, Region 2, is in group 3.
Alabama's substate region, Region 3, is in group 3.
Alabama's substate region, Region 4, is in group 2.
Alaska's substate region, Anchorage, is in group 4.
Alaska's substate region, Northern, is in group 4.
Alaska's substate region, South Central, is in group 3.
Alaska's substate region, Southeast, is in group 5.
Arizona's substate region, Central, is in group 4.
Arizona's substate region, North, is in group 4.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 3.
Arkansas's substate region, Catchment Area 1, is in group 3.
Arkansas's substate region, Catchment Area 2, is in group 1.
Arkansas's substate region, Catchment Area 3, is in group 1.
Arkansas's substate region, Catchment Area 4, is in group 2.
Arkansas's substate region, Catchment Area 5, is in group 2.
Arkansas's substate region, Catchment Area 6, is in group 1.
Arkansas's substate region, Catchment Area 7, is in group 2.
Arkansas's substate region, Catchment Area 8, is in group 3.
California's substate region, Region 1R, is in group 5.
California's substate region, Region 2R, is in group 5.
California's substate region, Region 3R (Sacramento), is in group 4.
California's substate region, Region 4R, is in group 4.
California's substate region, Region 5R (San Francisco), is in group 6.
California's substate region, Region 6 (Santa Clara), is in group 4.
California's substate region, Region 7R (Contra Costa), is in group 5.
California's substate region, Region 8R (Alameda), is in group 4.
California's substate region, Region 9R (San Mateo), is in group 5.
California's substate region, Region 10, is in group 5.
California's substate region, LA SPA 1 and 5, is in group 5.
California's substate region, LA SPA 2, is in group 5.
California's substate region, LA SPA 3, is in group 3.
California's substate region, LA SPA 4, is in group 4.
California's substate region, LA SPA 6, is in group 2.
California's substate region, LA SPA 7, is in group 2.
California's substate region, LA SPA 8, is in group 4.
California's substate region, Region 12R, is in group 4.
California's substate region, Regions 13 and 19R, is in group 4.
California's substate region, Region 14 (Orange), is in group 4.
California's substate region, Region 15R (Fresno), is in group 3.
California's substate region, Region 16R (San Diego), is in group 4.
California's substate region, Region 17R, is in group 2.
California's substate region, Region 18R (San Bernardino), is in group 3.
California's substate region, Region 20R, is in group 2.
California's substate region, Region 21R, is in group 5.
Colorado's substate region, Region 1, is in group 6.
Colorado's substate region, Region 2, is in group 4.
Colorado's substate region, Region 3, is in group 5.
Colorado's substate region, Region 4, is in group 4.
Colorado's substate region, Region 5, is in group 7.
Colorado's substate region, Region 6, is in group 7.
Colorado's substate region, Region 7, is in group 5.
Connecticut's substate region, Eastern, is in group 5.
Connecticut's substate region, North Central, is in group 6.
Connecticut's substate region, Northwestern, is in group 6.
Connecticut's substate region, South Central, is in group 6.
Connecticut's substate region, Southwest, is in group 6.
Delaware's substate region, Kent, is in group 4.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 5.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 3.
District of Columbia's substate region, Ward 1, is in group 7.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 7.
District of Columbia's substate region, Ward 4, is in group 7.
District of Columbia's substate region, Ward 5, is in group 6.
District of Columbia's substate region, Ward 6, is in group 7.
District of Columbia's substate region, Ward 7, is in group 4.
District of Columbia's substate region, Ward 8, is in group 4.
Florida's substate region, Broward (Circuit 17), is in group 4.
Florida's substate region, Circuit 9, is in group 4.
Florida's substate region, Circuit 18, is in group 4.
Florida's substate region, Circuit 6, is in group 5.
Florida's substate region, Circuit 10, is in group 3.
Florida's substate region, Circuit 12, is in group 5.
Florida's substate region, Circuit 13 (Hillsborough), is in group 4.
Florida's substate region, Circuit 20, is in group 4.
Florida's substate region, Circuit 4, is in group 4.
Florida's substate region, Circuit 5, is in group 3.
Florida's substate region, Circuit 7, is in group 5.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 3.
Florida's substate region, Circuit 1, is in group 4.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 5.
Florida's substate region, Circuit 14, is in group 3.
Florida's substate region, South (Circuits 11 and 16), is in group 4.
Florida's substate region, Circuit 15 (Palm Beach), is in group 4.
Florida's substate region, Circuit 19, is in group 4.
Georgia's substate region, Region 1, is in group 3.
Georgia's substate region, Region 2, is in group 3.
Georgia's substate region, Region 3, is in group 4.
Georgia's substate region, Region 4, is in group 2.
Georgia's substate region, Region 5, is in group 3.
Georgia's substate region, Region 6, is in group 3.
Hawaii's substate region, Hawaii Island, is in group 3.
Hawaii's substate region, Honolulu, is in group 3.
Hawaii's substate region, Kauai, is in group 3.
Hawaii's substate region, Maui, is in group 3.
Idaho's substate region, Region 1, is in group 4.
Idaho's substate region, Region 2, is in group 4.
Idaho's substate region, Region 3, is in group 2.
Idaho's substate region, Region 4, is in group 4.
Idaho's substate region, Region 5, is in group 3.
Idaho's substate region, Region 6, is in group 2.
Idaho's substate region, Region 7, is in group 1.
Illinois's substate region, Region 1.1 (Far North Side), is in group 5.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 3.
Illinois's substate region, Region 1.3 (North Central Side), is in group 7.
Illinois's substate region, Region 1.4 (West Side), is in group 4.
Illinois's substate region, Region 1.5 (South Side), is in group 4.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 2.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 5.
Illinois's substate region, Region 2a (DuPage), is in group 5.
Illinois's substate region, Region 2b, is in group 5.
Illinois's substate region, Region 2c (Winnebago), is in group 4.
Illinois's substate region, Region 2d, is in group 5.
Illinois's substate region, Region 3a (Champaign), is in group 6.
Illinois's substate region, Region 3b, is in group 4.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 4.
Illinois's substate region, Region 5a, is in group 4.
Illinois's substate region, Region 5b, is in group 3.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 3.
Indiana's substate region, North Central, is in group 4.
Indiana's substate region, Northeast, is in group 3.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 3.
Indiana's substate region, Southwest, is in group 3.
Indiana's substate region, West, is in group 4.
Iowa's substate region, Central, is in group 6.
Iowa's substate region, North Central, is in group 6.
Iowa's substate region, Northeast, is in group 5.
Iowa's substate region, Northwest, is in group 5.
Iowa's substate region, Southeast, is in group 5.
Iowa's substate region, Southwest, is in group 5.
Kansas's substate region, Northeast, is in group 6.
Kansas's substate region, Northwest and North Central, is in group 5.
Kansas's substate region, South Central, is in group 4.
Kansas's substate region, Southeast, is in group 4.
Kansas's substate region, Southwest, is in group 4.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 1.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 3.
Kentucky's substate region, Centerstone, is in group 3.
Kentucky's substate region, Communicare and River Valley, is in group 2.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 1.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 1.
Louisiana's substate region, Region 1, is in group 5.
Louisiana's substate region, Region 10 (Jefferson), is in group 4.
Louisiana's substate region, Regions 2 and 9, is in group 4.
Louisiana's substate region, Region 3, is in group 3.
Louisiana's substate region, Regions 4, 5, and 6, is in group 3.
Louisiana's substate region, Regions 7 and 8, is in group 3.
Maine's substate region, Aroostook, is in group 4.
Maine's substate region, Downeast, is in group 3.
Maine's substate region, Central, is in group 4.
Maine's substate region, Cumberland, is in group 7.
Maine's substate region, Midcoast, is in group 5.
Maine's substate region, Penquis, is in group 4.
Maine's substate region, Western, is in group 4.
Maine's substate region, York, is in group 5.
Maryland's substate region, Anne Arundel, is in group 6.
Maryland's substate region, Baltimore City, is in group 4.
Maryland's substate region, Baltimore County, is in group 5.
Maryland's substate region, Montgomery, is in group 5.
Maryland's substate region, North Central, is in group 5.
Maryland's substate region, Northeast, is in group 5.
Maryland's substate region, Prince George's, is in group 4.
Maryland's substate region, South, is in group 4.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 6.
Massachusetts's substate region, Central, is in group 5.
Massachusetts's substate region, Metrowest, is in group 7.
Massachusetts's substate region, Northeast, is in group 5.
Massachusetts's substate region, Southeast, is in group 6.
Massachusetts's substate region, Western, is in group 6.
Michigan's substate region, Region 1, is in group 5.
Michigan's substate region, Region 2, is in group 5.
Michigan's substate region, Region 3, is in group 4.
Michigan's substate region, Region 4, is in group 4.
Michigan's substate region, Region 5, is in group 4.
Michigan's substate region, Region 6, is in group 5.
Michigan's substate region, Region 7, is in group 4.
Michigan's substate region, Region 8, is in group 5.
Michigan's substate region, Region 9, is in group 4.
Michigan's substate region, Region 10, is in group 4.
Minnesota's substate region, Region 1, is in group 4.
Minnesota's substate region, Region 2, is in group 5.
Minnesota's substate region, Region 3, is in group 5.
Minnesota's substate region, Region 4, is in group 5.
Minnesota's substate region, Region 5, is in group 4.
Minnesota's substate region, Region 6, is in group 5.
Minnesota's substate region, Region 7A (Hennepin), is in group 6.
Minnesota's substate region, Region 7B (Ramsey), is in group 5.
Minnesota's substate region, Region 7C, is in group 6.
Mississippi's substate region, Region 1, is in group 2.
Mississippi's substate region, Region 2, is in group 2.
Mississippi's substate region, Region 3, is in group 1.
Mississippi's substate region, Region 4, is in group 3.
Mississippi's substate region, Region 5, is in group 2.
Mississippi's substate region, Region 6, is in group 2.
Mississippi's substate region, Region 7, is in group 2.
Missouri's substate region, Central, is in group 3.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 5.
Missouri's substate region, Northwest (Jackson), is in group 4.
Missouri's substate region, Northwest (excluding Jackson), is in group 4.
Missouri's substate region, Southeast, is in group 2.
Missouri's substate region, Southwest, is in group 2.
Montana's substate region, Region 1, is in group 4.
Montana's substate region, Region 2, is in group 4.
Montana's substate region, Region 3, is in group 4.
Montana's substate region, Region 4, is in group 6.
Montana's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 1, is in group 4.
Nebraska's substate region, Region 2, is in group 4.
Nebraska's substate region, Region 3, is in group 4.
Nebraska's substate region, Region 4, is in group 4.
Nebraska's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 6, is in group 5.
Nevada's substate region, Clark - Region 1, is in group 4.
Nevada's substate region, Capital District, is in group 4.
Nevada's substate region, Rural/Frontier, is in group 3.
Nevada's substate region, Washoe - Region 2, is in group 4.
New Hampshire's substate region, Central, is in group 6.
New Hampshire's substate region, Northern, is in group 6.
New Hampshire's substate region, Southern, is in group 7.
New Jersey's substate region, Central, is in group 5.
New Jersey's substate region, Metropolitan, is in group 3.
New Jersey's substate region, Northern, is in group 4.
New Jersey's substate region, Southern, is in group 5.
New Mexico's substate region, Region 1, is in group 2.
New Mexico's substate region, Region 2, is in group 3.
New Mexico's substate region, Region 3 (Bernalillo), is in group 4.
New Mexico's substate region, Region 4, is in group 3.
New Mexico's substate region, Region 5a, is in group 3.
New Mexico's substate region, Region 5b (Dona Ana), is in group 3.
New York's substate region, Region 1: Long Island, is in group 6.
New York's substate region, Region 2A: Bronx, is in group 2.
New York's substate region, Region 2B: Kings, is in group 3.
New York's substate region, Region 2C: New York, is in group 7.
New York's substate region, Region 2D: Queens, is in group 3.
New York's substate region, Region 2E: Richmond, is in group 4.
New York's substate region, Region 3: Mid-Hudson, is in group 4.
New York's substate region, Region 4: Capital Region, is in group 6.
New York's substate region, Region 5: Mohawk Valley, is in group 3.
New York's substate region, Region 6: North Country, is in group 4.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 5.
New York's substate region, Region 9: Southern Tier, is in group 5.
New York's substate region, Region 10: Finger Lakes, is in group 5.
New York's substate region, Region 11: Western, is in group 5.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 3.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 5.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 4.
North Carolina's substate region, CenterPoint Human Services, is in group 3.
North Carolina's substate region, Eastpointe, is in group 1.
North Carolina's substate region, Partners Behavioral Health Management, is in group 3.
North Carolina's substate region, Sandhills Center 1, is in group 2.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 2.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 3.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 5.
North Dakota's substate region, West Central, is in group 6.
North Dakota's substate region, Lake Region, is in group 4.
North Dakota's substate region, North Central, is in group 5.
North Dakota's substate region, Northeast, is in group 5.
North Dakota's substate region, Northwest, is in group 6.
North Dakota's substate region, South Central, is in group 5.
North Dakota's substate region, Southeast, is in group 6.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 4.
Ohio's substate region, Boards 3, 52, and 85, is in group 3.
Ohio's substate region, Boards 4 and 78, is in group 3.
Ohio's substate region, Boards 5 and 60, is in group 3.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 3.
Ohio's substate region, Boards 8, 13, and 83, is in group 4.
Ohio's substate region, Board 9 (Butler), is in group 4.
Ohio's substate region, Board 12, is in group 4.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 4.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 4.
Ohio's substate region, Boards 22, 74, and 87, is in group 4.
Ohio's substate region, Boards 23 and 45, is in group 4.
Ohio's substate region, Board 25 (Franklin), is in group 4.
Ohio's substate region, Boards 27, 71, and 73, is in group 2.
Ohio's substate region, Boards 28, 43, and 67, is in group 5.
Ohio's substate region, Board 31 (Hamilton), is in group 5.
Ohio's substate region, Board 48 (Lucas), is in group 4.
Ohio's substate region, Boards 50 and 76, is in group 4.
Ohio's substate region, Board 57 (Montgomery), is in group 4.
Ohio's substate region, Board 77 (Summit), is in group 4.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 2.
Oklahoma's substate region, Northeast, is in group 3.
Oklahoma's substate region, Northwest and Southwest, is in group 3.
Oklahoma's substate region, Oklahoma County, is in group 3.
Oklahoma's substate region, Southeast, is in group 2.
Oklahoma's substate region, Tulsa County, is in group 3.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 6.
Oregon's substate region, Region 3, is in group 4.
Oregon's substate region, Region 4, is in group 4.
Oregon's substate region, Region 5 (Central), is in group 6.
Oregon's substate region, Region 6 (Eastern), is in group 4.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 5.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 5.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 4.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 4.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 5.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 6.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 4.
Pennsylvania's substate region, Regions 17 and 21, is in group 5.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 4.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 4.
Pennsylvania's substate region, Regions 29 and 34, is in group 5.
Pennsylvania's substate region, Regions 30 and 50, is in group 5.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 4.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 6.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 4.
Rhode Island's substate region, Region 3: Providence, is in group 4.
Rhode Island's substate region, Region 4: Kent County, is in group 6.
Rhode Island's substate region, Region 5: East Bay, is in group 6.
Rhode Island's substate region, Region 6: Newport County, is in group 7.
Rhode Island's substate region, Region 7: South County, is in group 7.
South Carolina's substate region, Region 1, is in group 3.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 3.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 5.
South Dakota's substate region, Region 2, is in group 5.
South Dakota's substate region, Region 3, is in group 5.
South Dakota's substate region, Region 4, is in group 6.
South Dakota's substate region, Region 5, is in group 5.
Tennessee's substate region, Region 1, is in group 2.
Tennessee's substate region, Region 2, is in group 3.
Tennessee's substate region, Region 3, is in group 2.
Tennessee's substate region, Region 4 (Davidson), is in group 4.
Tennessee's substate region, Region 5, is in group 3.
Tennessee's substate region, Region 6, is in group 2.
Tennessee's substate region, Region 7 (Shelby), is in group 3.
Texas's substate region, Region 1, is in group 3.
Texas's substate region, Region 2, is in group 3.
Texas's substate region, Region 3, is in group 3.
Texas's substate region, Region 4, is in group 2.
Texas's substate region, Region 5, is in group 3.
Texas's substate region, Region 6, is in group 3.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 3.
Texas's substate region, Region 9, is in group 3.
Texas's substate region, Region 10, is in group 2.
Texas's substate region, Region 11, is in group 2.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 1.
Utah's substate region, Central, Four Corners, and San Juan, is in group 1.
Utah's substate region, Southwest, is in group 1.
Utah's substate region, Davis County, is in group 1.
Utah's substate region, Salt Lake County, is in group 1.
Utah's substate region, Utah County, is in group 1.
Utah's substate region, Weber, Morgan, is in group 1.
Vermont's substate region, Champlain Valley, is in group 7.
Vermont's substate region, Rural Northeast, is in group 6.
Vermont's substate region, Rural Southeast, is in group 6.
Vermont's substate region, Rural Southwest, is in group 5.
Virginia's substate region, Region 1, is in group 4.
Virginia's substate region, Region 2, is in group 5.
Virginia's substate region, Region 3, is in group 3.
Virginia's substate region, Region 4, is in group 4.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 4.
Washington's substate region, Region 2, is in group 5.
Washington's substate region, Region 3, is in group 4.
West Virginia's substate region, Region I, is in group 2.
West Virginia's substate region, Region II, is in group 3.
West Virginia's substate region, Region III, is in group 2.
West Virginia's substate region, Region IV, is in group 3.
West Virginia's substate region, Region V, is in group 1.
West Virginia's substate region, Region VI, is in group 1.
Wisconsin's substate region, Milwaukee, is in group 5.
Wisconsin's substate region, Northeastern, is in group 6.
Wisconsin's substate region, Northern, is in group 5.
Wisconsin's substate region, Southeastern, is in group 7.
Wisconsin's substate region, Southern, is in group 7.
Wisconsin's substate region, Western, is in group 5.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 5.
Wyoming's substate region, Judicial District 3, is in group 2.
Wyoming's substate region, Judicial District 4, is in group 4.
Wyoming's substate region, Judicial District 5, is in group 4.
Wyoming's substate region, Judicial District 6, is in group 4.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 3.
Wyoming's substate region, Judicial District 8, is in group 3.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 13.

Long description, Figure 14. Figure 14 is a U.S. map showing binge alcohol use in the past month among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 11.50 to 18.53 percent.
The next to lowest group, group 2's percentages ranged from 18.54 to 21.20 percent.
The next lowest group, group 3's percentages ranged from 21.21 to 23.26 percent.
The middle group, group 4's percentages ranged from 23.27 to 26.00 percent.
The next highest group, group 5's percentages ranged from 26.01 to 28.79 percent.
The next to highest group, group 6's percentages ranged from 28.80 to 32.08 percent.
The highest group, group 7's percentages ranged from 32.09 to 45.72 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 3.
Alabama's substate region, Region 2, is in group 4.
Alabama's substate region, Region 3, is in group 3.
Alabama's substate region, Region 4, is in group 2.
Alaska's substate region, Anchorage, is in group 3.
Alaska's substate region, Northern, is in group 4.
Alaska's substate region, South Central, is in group 3.
Alaska's substate region, Southeast, is in group 4.
Arizona's substate region, Central, is in group 3.
Arizona's substate region, North, is in group 3.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 4.
Arkansas's substate region, Catchment Area 1, is in group 2.
Arkansas's substate region, Catchment Area 2, is in group 1.
Arkansas's substate region, Catchment Area 3, is in group 1.
Arkansas's substate region, Catchment Area 4, is in group 1.
Arkansas's substate region, Catchment Area 5, is in group 2.
Arkansas's substate region, Catchment Area 6, is in group 2.
Arkansas's substate region, Catchment Area 7, is in group 3.
Arkansas's substate region, Catchment Area 8, is in group 3.
California's substate region, Region 1R, is in group 5.
California's substate region, Region 2R, is in group 4.
California's substate region, Region 3R (Sacramento), is in group 3.
California's substate region, Region 4R, is in group 3.
California's substate region, Region 5R (San Francisco), is in group 6.
California's substate region, Region 6 (Santa Clara), is in group 3.
California's substate region, Region 7R (Contra Costa), is in group 3.
California's substate region, Region 8R (Alameda), is in group 4.
California's substate region, Region 9R (San Mateo), is in group 4.
California's substate region, Region 10, is in group 4.
California's substate region, LA SPA 1 and 5, is in group 4.
California's substate region, LA SPA 2, is in group 4.
California's substate region, LA SPA 3, is in group 4.
California's substate region, LA SPA 4, is in group 5.
California's substate region, LA SPA 6, is in group 4.
California's substate region, LA SPA 7, is in group 3.
California's substate region, LA SPA 8, is in group 4.
California's substate region, Region 12R, is in group 4.
California's substate region, Regions 13 and 19R, is in group 4.
California's substate region, Region 14 (Orange), is in group 3.
California's substate region, Region 15R (Fresno), is in group 4.
California's substate region, Region 16R (San Diego), is in group 4.
California's substate region, Region 17R, is in group 2.
California's substate region, Region 18R (San Bernardino), is in group 3.
California's substate region, Region 20R, is in group 3.
California's substate region, Region 21R, is in group 5.
Colorado's substate region, Region 1, is in group 6.
Colorado's substate region, Region 2, is in group 5.
Colorado's substate region, Region 3, is in group 4.
Colorado's substate region, Region 4, is in group 5.
Colorado's substate region, Region 5, is in group 7.
Colorado's substate region, Region 6, is in group 5.
Colorado's substate region, Region 7, is in group 4.
Connecticut's substate region, Eastern, is in group 6.
Connecticut's substate region, North Central, is in group 5.
Connecticut's substate region, Northwestern, is in group 5.
Connecticut's substate region, South Central, is in group 5.
Connecticut's substate region, Southwest, is in group 6.
Delaware's substate region, Kent, is in group 3.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 4.
Delaware's substate region, Sussex, is in group 3.
Delaware's substate region, Wilmington City, is in group 3.
District of Columbia's substate region, Ward 1, is in group 7.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 7.
District of Columbia's substate region, Ward 4, is in group 7.
District of Columbia's substate region, Ward 5, is in group 7.
District of Columbia's substate region, Ward 6, is in group 7.
District of Columbia's substate region, Ward 7, is in group 5.
District of Columbia's substate region, Ward 8, is in group 6.
Florida's substate region, Broward (Circuit 17), is in group 2.
Florida's substate region, Circuit 9, is in group 5.
Florida's substate region, Circuit 18, is in group 3.
Florida's substate region, Circuit 6, is in group 3.
Florida's substate region, Circuit 10, is in group 4.
Florida's substate region, Circuit 12, is in group 3.
Florida's substate region, Circuit 13 (Hillsborough), is in group 4.
Florida's substate region, Circuit 20, is in group 4.
Florida's substate region, Circuit 4, is in group 4.
Florida's substate region, Circuit 5, is in group 3.
Florida's substate region, Circuit 7, is in group 4.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 4.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 6.
Florida's substate region, Circuit 14, is in group 3.
Florida's substate region, South (Circuits 11 and 16), is in group 4.
Florida's substate region, Circuit 15 (Palm Beach), is in group 4.
Florida's substate region, Circuit 19, is in group 2.
Georgia's substate region, Region 1, is in group 2.
Georgia's substate region, Region 2, is in group 2.
Georgia's substate region, Region 3, is in group 3.
Georgia's substate region, Region 4, is in group 2.
Georgia's substate region, Region 5, is in group 2.
Georgia's substate region, Region 6, is in group 2.
Hawaii's substate region, Hawaii Island, is in group 4.
Hawaii's substate region, Honolulu, is in group 2.
Hawaii's substate region, Kauai, is in group 3.
Hawaii's substate region, Maui, is in group 3.
Idaho's substate region, Region 1, is in group 2.
Idaho's substate region, Region 2, is in group 3.
Idaho's substate region, Region 3, is in group 2.
Idaho's substate region, Region 4, is in group 4.
Idaho's substate region, Region 5, is in group 4.
Idaho's substate region, Region 6, is in group 2.
Idaho's substate region, Region 7, is in group 1.
Illinois's substate region, Region 1.1 (Far North Side), is in group 5.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 4.
Illinois's substate region, Region 1.3 (North Central Side), is in group 7.
Illinois's substate region, Region 1.4 (West Side), is in group 6.
Illinois's substate region, Region 1.5 (South Side), is in group 5.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 4.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 5.
Illinois's substate region, Region 2a (DuPage), is in group 4.
Illinois's substate region, Region 2b, is in group 5.
Illinois's substate region, Region 2c (Winnebago), is in group 4.
Illinois's substate region, Region 2d, is in group 4.
Illinois's substate region, Region 3a (Champaign), is in group 6.
Illinois's substate region, Region 3b, is in group 5.
Illinois's substate region, Region 4a (Sangamon), is in group 5.
Illinois's substate region, Region 4b, is in group 4.
Illinois's substate region, Region 5a, is in group 5.
Illinois's substate region, Region 5b, is in group 5.
Indiana's substate region, Central, is in group 3.
Indiana's substate region, East, is in group 4.
Indiana's substate region, North Central, is in group 4.
Indiana's substate region, Northeast, is in group 4.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 3.
Indiana's substate region, Southwest, is in group 4.
Indiana's substate region, West, is in group 5.
Iowa's substate region, Central, is in group 6.
Iowa's substate region, North Central, is in group 5.
Iowa's substate region, Northeast, is in group 6.
Iowa's substate region, Northwest, is in group 5.
Iowa's substate region, Southeast, is in group 5.
Iowa's substate region, Southwest, is in group 5.
Kansas's substate region, Northeast, is in group 5.
Kansas's substate region, Northwest and North Central, is in group 4.
Kansas's substate region, South Central, is in group 4.
Kansas's substate region, Southeast, is in group 5.
Kansas's substate region, Southwest, is in group 5.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 1.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 3.
Kentucky's substate region, Centerstone, is in group 3.
Kentucky's substate region, Communicare and River Valley, is in group 2.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 1.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 1.
Louisiana's substate region, Region 1, is in group 5.
Louisiana's substate region, Region 10 (Jefferson), is in group 4.
Louisiana's substate region, Regions 2 and 9, is in group 4.
Louisiana's substate region, Region 3, is in group 4.
Louisiana's substate region, Regions 4, 5, and 6, is in group 5.
Louisiana's substate region, Regions 7 and 8, is in group 4.
Maine's substate region, Aroostook, is in group 4.
Maine's substate region, Downeast, is in group 2.
Maine's substate region, Central, is in group 3.
Maine's substate region, Cumberland, is in group 4.
Maine's substate region, Midcoast, is in group 3.
Maine's substate region, Penquis, is in group 3.
Maine's substate region, Western, is in group 3.
Maine's substate region, York, is in group 4.
Maryland's substate region, Anne Arundel, is in group 5.
Maryland's substate region, Baltimore City, is in group 5.
Maryland's substate region, Baltimore County, is in group 4.
Maryland's substate region, Montgomery, is in group 3.
Maryland's substate region, North Central, is in group 4.
Maryland's substate region, Northeast, is in group 4.
Maryland's substate region, Prince George's, is in group 4.
Maryland's substate region, South, is in group 4.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 7.
Massachusetts's substate region, Central, is in group 6.
Massachusetts's substate region, Metrowest, is in group 7.
Massachusetts's substate region, Northeast, is in group 5.
Massachusetts's substate region, Southeast, is in group 6.
Massachusetts's substate region, Western, is in group 7.
Michigan's substate region, Region 1, is in group 5.
Michigan's substate region, Region 2, is in group 4.
Michigan's substate region, Region 3, is in group 5.
Michigan's substate region, Region 4, is in group 4.
Michigan's substate region, Region 5, is in group 4.
Michigan's substate region, Region 6, is in group 5.
Michigan's substate region, Region 7, is in group 4.
Michigan's substate region, Region 8, is in group 5.
Michigan's substate region, Region 9, is in group 4.
Michigan's substate region, Region 10, is in group 5.
Minnesota's substate region, Region 1, is in group 5.
Minnesota's substate region, Region 2, is in group 4.
Minnesota's substate region, Region 3, is in group 5.
Minnesota's substate region, Region 4, is in group 4.
Minnesota's substate region, Region 5, is in group 4.
Minnesota's substate region, Region 6, is in group 5.
Minnesota's substate region, Region 7A (Hennepin), is in group 4.
Minnesota's substate region, Region 7B (Ramsey), is in group 5.
Minnesota's substate region, Region 7C, is in group 5.
Mississippi's substate region, Region 1, is in group 2.
Mississippi's substate region, Region 2, is in group 3.
Mississippi's substate region, Region 3, is in group 2.
Mississippi's substate region, Region 4, is in group 3.
Mississippi's substate region, Region 5, is in group 3.
Mississippi's substate region, Region 6, is in group 2.
Mississippi's substate region, Region 7, is in group 2.
Missouri's substate region, Central, is in group 4.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 4.
Missouri's substate region, Northwest (Jackson), is in group 5.
Missouri's substate region, Northwest (excluding Jackson), is in group 4.
Missouri's substate region, Southeast, is in group 4.
Missouri's substate region, Southwest, is in group 2.
Montana's substate region, Region 1, is in group 4.
Montana's substate region, Region 2, is in group 5.
Montana's substate region, Region 3, is in group 5.
Montana's substate region, Region 4, is in group 6.
Montana's substate region, Region 5, is in group 5.
Nebraska's substate region, Region 1, is in group 5.
Nebraska's substate region, Region 2, is in group 5.
Nebraska's substate region, Region 3, is in group 5.
Nebraska's substate region, Region 4, is in group 5.
Nebraska's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 6, is in group 6.
Nevada's substate region, Clark - Region 1, is in group 4.
Nevada's substate region, Capital District, is in group 4.
Nevada's substate region, Rural/Frontier, is in group 3.
Nevada's substate region, Washoe - Region 2, is in group 4.
New Hampshire's substate region, Central, is in group 5.
New Hampshire's substate region, Northern, is in group 5.
New Hampshire's substate region, Southern, is in group 6.
New Jersey's substate region, Central, is in group 4.
New Jersey's substate region, Metropolitan, is in group 4.
New Jersey's substate region, Northern, is in group 3.
New Jersey's substate region, Southern, is in group 6.
New Mexico's substate region, Region 1, is in group 3.
New Mexico's substate region, Region 2, is in group 3.
New Mexico's substate region, Region 3 (Bernalillo), is in group 4.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 3.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 4.
New York's substate region, Region 2A: Bronx, is in group 3.
New York's substate region, Region 2B: Kings, is in group 4.
New York's substate region, Region 2C: New York, is in group 6.
New York's substate region, Region 2D: Queens, is in group 3.
New York's substate region, Region 2E: Richmond, is in group 3.
New York's substate region, Region 3: Mid-Hudson, is in group 2.
New York's substate region, Region 4: Capital Region, is in group 5.
New York's substate region, Region 5: Mohawk Valley, is in group 4.
New York's substate region, Region 6: North Country, is in group 4.
New York's substate region, Region 7: Tug Hill Seaway, is in group 5.
New York's substate region, Region 8: Central, is in group 5.
New York's substate region, Region 9: Southern Tier, is in group 5.
New York's substate region, Region 10: Finger Lakes, is in group 4.
New York's substate region, Region 11: Western, is in group 5.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 2.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 2.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 3.
North Carolina's substate region, CenterPoint Human Services, is in group 3.
North Carolina's substate region, Eastpointe, is in group 2.
North Carolina's substate region, Partners Behavioral Health Management, is in group 2.
North Carolina's substate region, Sandhills Center 1, is in group 2.
North Carolina's substate region, Sandhills Center 2, is in group 3.
North Carolina's substate region, Smoky Mountain Center 1, is in group 2.
North Carolina's substate region, Smoky Mountain Center 2, is in group 3.
North Carolina's substate region, Trillium Health Resources 1, is in group 3.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 6.
North Dakota's substate region, West Central, is in group 6.
North Dakota's substate region, Lake Region, is in group 6.
North Dakota's substate region, North Central, is in group 6.
North Dakota's substate region, Northeast, is in group 7.
North Dakota's substate region, Northwest, is in group 7.
North Dakota's substate region, South Central, is in group 7.
North Dakota's substate region, Southeast, is in group 6.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 4.
Ohio's substate region, Boards 3, 52, and 85, is in group 2.
Ohio's substate region, Boards 4 and 78, is in group 4.
Ohio's substate region, Boards 5 and 60, is in group 5.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 4.
Ohio's substate region, Boards 8, 13, and 83, is in group 4.
Ohio's substate region, Board 9 (Butler), is in group 4.
Ohio's substate region, Board 12, is in group 4.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 4.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 3.
Ohio's substate region, Boards 22, 74, and 87, is in group 5.
Ohio's substate region, Boards 23 and 45, is in group 4.
Ohio's substate region, Board 25 (Franklin), is in group 5.
Ohio's substate region, Boards 27, 71, and 73, is in group 3.
Ohio's substate region, Boards 28, 43, and 67, is in group 4.
Ohio's substate region, Board 31 (Hamilton), is in group 5.
Ohio's substate region, Board 48 (Lucas), is in group 4.
Ohio's substate region, Boards 50 and 76, is in group 4.
Ohio's substate region, Board 57 (Montgomery), is in group 4.
Ohio's substate region, Board 77 (Summit), is in group 4.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 2.
Oklahoma's substate region, Northeast, is in group 3.
Oklahoma's substate region, Northwest and Southwest, is in group 4.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 3.
Oklahoma's substate region, Tulsa County, is in group 2.
Oregon's substate region, Region 1 (Multnomah), is in group 5.
Oregon's substate region, Region 2, is in group 3.
Oregon's substate region, Region 3, is in group 4.
Oregon's substate region, Region 4, is in group 3.
Oregon's substate region, Region 5 (Central), is in group 4.
Oregon's substate region, Region 6 (Eastern), is in group 5.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 5.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 5.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 4.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 4.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 6.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 4.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 5.
Pennsylvania's substate region, Regions 17 and 21, is in group 6.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 3.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 5.
Pennsylvania's substate region, Regions 29 and 34, is in group 4.
Pennsylvania's substate region, Regions 30 and 50, is in group 5.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 6.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 5.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 5.
Rhode Island's substate region, Region 3: Providence, is in group 6.
Rhode Island's substate region, Region 4: Kent County, is in group 5.
Rhode Island's substate region, Region 5: East Bay, is in group 6.
Rhode Island's substate region, Region 6: Newport County, is in group 6.
Rhode Island's substate region, Region 7: South County, is in group 5.
South Carolina's substate region, Region 1, is in group 4.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 4.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 5.
South Dakota's substate region, Region 2, is in group 6.
South Dakota's substate region, Region 3, is in group 7.
South Dakota's substate region, Region 4, is in group 7.
South Dakota's substate region, Region 5, is in group 6.
Tennessee's substate region, Region 1, is in group 1.
Tennessee's substate region, Region 2, is in group 2.
Tennessee's substate region, Region 3, is in group 1.
Tennessee's substate region, Region 4 (Davidson), is in group 3.
Tennessee's substate region, Region 5, is in group 3.
Tennessee's substate region, Region 6, is in group 2.
Tennessee's substate region, Region 7 (Shelby), is in group 1.
Texas's substate region, Region 1, is in group 4.
Texas's substate region, Region 2, is in group 4.
Texas's substate region, Region 3, is in group 3.
Texas's substate region, Region 4, is in group 3.
Texas's substate region, Region 5, is in group 4.
Texas's substate region, Region 6, is in group 3.
Texas's substate region, Region 7, is in group 5.
Texas's substate region, Region 8, is in group 4.
Texas's substate region, Region 9, is in group 5.
Texas's substate region, Region 10, is in group 4.
Texas's substate region, Region 11, is in group 4.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 1.
Utah's substate region, Central, Four Corners, and San Juan, is in group 1.
Utah's substate region, Southwest, is in group 1.
Utah's substate region, Davis County, is in group 1.
Utah's substate region, Salt Lake County, is in group 1.
Utah's substate region, Utah County, is in group 1.
Utah's substate region, Weber, Morgan, is in group 1.
Vermont's substate region, Champlain Valley, is in group 6.
Vermont's substate region, Rural Northeast, is in group 5.
Vermont's substate region, Rural Southeast, is in group 4.
Vermont's substate region, Rural Southwest, is in group 4.
Virginia's substate region, Region 1, is in group 4.
Virginia's substate region, Region 2, is in group 3.
Virginia's substate region, Region 3, is in group 3.
Virginia's substate region, Region 4, is in group 4.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 3.
Washington's substate region, Region 2, is in group 3.
Washington's substate region, Region 3, is in group 3.
West Virginia's substate region, Region I, is in group 3.
West Virginia's substate region, Region II, is in group 3.
West Virginia's substate region, Region III, is in group 2.
West Virginia's substate region, Region IV, is in group 4.
West Virginia's substate region, Region V, is in group 2.
West Virginia's substate region, Region VI, is in group 1.
Wisconsin's substate region, Milwaukee, is in group 6.
Wisconsin's substate region, Northeastern, is in group 6.
Wisconsin's substate region, Northern, is in group 6.
Wisconsin's substate region, Southeastern, is in group 6.
Wisconsin's substate region, Southern, is in group 7.
Wisconsin's substate region, Western, is in group 7.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 6.
Wyoming's substate region, Judicial District 3, is in group 2.
Wyoming's substate region, Judicial District 4, is in group 3.
Wyoming's substate region, Judicial District 5, is in group 3.
Wyoming's substate region, Judicial District 6, is in group 4.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 4.
Wyoming's substate region, Judicial District 8, is in group 3.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 14.

Long description, Figure 15. Figure 15 is a U.S. map showing perceptions of great risk from having five or more drinks of an alcoholic beverage once or twice a week among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The highest group, group 1's percentages ranged from 50.93 to 57.50 percent.
The next to highest group, group 2's percentages ranged from 48.38 to 50.92 percent.
The next highest group, group 3's percentages ranged from 44.96 to 48.37 percent.
The middle group, group 4's percentages ranged from 40.51 to 44.95 percent.
The next lowest group, group 5's percentages ranged from 37.90 to 40.50 percent.
The next to lowest group, group 6's percentages ranged from 35.62 to 37.89 percent.
The lowest group, group 7's percentages ranged from 33.00 to 35.61 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 4.
Alabama's substate region, Region 2, is in group 4.
Alabama's substate region, Region 3, is in group 3.
Alabama's substate region, Region 4, is in group 4.
Alaska's substate region, Anchorage, is in group 3.
Alaska's substate region, Northern, is in group 4.
Alaska's substate region, South Central, is in group 4.
Alaska's substate region, Southeast, is in group 4.
Arizona's substate region, Central, is in group 3.
Arizona's substate region, North, is in group 4.
Arizona's substate region, South A, is in group 3.
Arizona's substate region, South B, is in group 3.
Arkansas's substate region, Catchment Area 1, is in group 4.
Arkansas's substate region, Catchment Area 2, is in group 4.
Arkansas's substate region, Catchment Area 3, is in group 3.
Arkansas's substate region, Catchment Area 4, is in group 4.
Arkansas's substate region, Catchment Area 5, is in group 4.
Arkansas's substate region, Catchment Area 6, is in group 3.
Arkansas's substate region, Catchment Area 7, is in group 3.
Arkansas's substate region, Catchment Area 8, is in group 3.
California's substate region, Region 1R, is in group 4.
California's substate region, Region 2R, is in group 4.
California's substate region, Region 3R (Sacramento), is in group 2.
California's substate region, Region 4R, is in group 4.
California's substate region, Region 5R (San Francisco), is in group 4.
California's substate region, Region 6 (Santa Clara), is in group 3.
California's substate region, Region 7R (Contra Costa), is in group 2.
California's substate region, Region 8R (Alameda), is in group 2.
California's substate region, Region 9R (San Mateo), is in group 3.
California's substate region, Region 10, is in group 2.
California's substate region, LA SPA 1 and 5, is in group 3.
California's substate region, LA SPA 2, is in group 3.
California's substate region, LA SPA 3, is in group 1.
California's substate region, LA SPA 4, is in group 2.
California's substate region, LA SPA 6, is in group 1.
California's substate region, LA SPA 7, is in group 1.
California's substate region, LA SPA 8, is in group 3.
California's substate region, Region 12R, is in group 2.
California's substate region, Regions 13 and 19R, is in group 1.
California's substate region, Region 14 (Orange), is in group 2.
California's substate region, Region 15R (Fresno), is in group 2.
California's substate region, Region 16R (San Diego), is in group 3.
California's substate region, Region 17R, is in group 1.
California's substate region, Region 18R (San Bernardino), is in group 2.
California's substate region, Region 20R, is in group 3.
California's substate region, Region 21R, is in group 3.
Colorado's substate region, Region 1, is in group 4.
Colorado's substate region, Region 2, is in group 4.
Colorado's substate region, Region 3, is in group 3.
Colorado's substate region, Region 4, is in group 3.
Colorado's substate region, Region 5, is in group 4.
Colorado's substate region, Region 6, is in group 4.
Colorado's substate region, Region 7, is in group 4.
Connecticut's substate region, Eastern, is in group 5.
Connecticut's substate region, North Central, is in group 3.
Connecticut's substate region, Northwestern, is in group 3.
Connecticut's substate region, South Central, is in group 4.
Connecticut's substate region, Southwest, is in group 4.
Delaware's substate region, Kent, is in group 4.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 4.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 3.
District of Columbia's substate region, Ward 1, is in group 6.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 6.
District of Columbia's substate region, Ward 4, is in group 3.
District of Columbia's substate region, Ward 5, is in group 3.
District of Columbia's substate region, Ward 6, is in group 5.
District of Columbia's substate region, Ward 7, is in group 1.
District of Columbia's substate region, Ward 8, is in group 1.
Florida's substate region, Broward (Circuit 17), is in group 1.
Florida's substate region, Circuit 9, is in group 2.
Florida's substate region, Circuit 18, is in group 4.
Florida's substate region, Circuit 6, is in group 4.
Florida's substate region, Circuit 10, is in group 2.
Florida's substate region, Circuit 12, is in group 3.
Florida's substate region, Circuit 13 (Hillsborough), is in group 3.
Florida's substate region, Circuit 20, is in group 3.
Florida's substate region, Circuit 4, is in group 4.
Florida's substate region, Circuit 5, is in group 3.
Florida's substate region, Circuit 7, is in group 4.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 4.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 4.
Florida's substate region, Circuit 14, is in group 4.
Florida's substate region, South (Circuits 11 and 16), is in group 1.
Florida's substate region, Circuit 15 (Palm Beach), is in group 3.
Florida's substate region, Circuit 19, is in group 3.
Georgia's substate region, Region 1, is in group 3.
Georgia's substate region, Region 2, is in group 2.
Georgia's substate region, Region 3, is in group 1.
Georgia's substate region, Region 4, is in group 2.
Georgia's substate region, Region 5, is in group 3.
Georgia's substate region, Region 6, is in group 3.
Hawaii's substate region, Hawaii Island, is in group 4.
Hawaii's substate region, Honolulu, is in group 3.
Hawaii's substate region, Kauai, is in group 4.
Hawaii's substate region, Maui, is in group 3.
Idaho's substate region, Region 1, is in group 4.
Idaho's substate region, Region 2, is in group 4.
Idaho's substate region, Region 3, is in group 3.
Idaho's substate region, Region 4, is in group 4.
Idaho's substate region, Region 5, is in group 3.
Idaho's substate region, Region 6, is in group 4.
Idaho's substate region, Region 7, is in group 4.
Illinois's substate region, Region 1.1 (Far North Side), is in group 4.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 3.
Illinois's substate region, Region 1.3 (North Central Side), is in group 5.
Illinois's substate region, Region 1.4 (West Side), is in group 2.
Illinois's substate region, Region 1.5 (South Side), is in group 2.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 1.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 4.
Illinois's substate region, Region 2a (DuPage), is in group 4.
Illinois's substate region, Region 2b, is in group 4.
Illinois's substate region, Region 2c (Winnebago), is in group 4.
Illinois's substate region, Region 2d, is in group 5.
Illinois's substate region, Region 3a (Champaign), is in group 6.
Illinois's substate region, Region 3b, is in group 6.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 5.
Illinois's substate region, Region 5a, is in group 5.
Illinois's substate region, Region 5b, is in group 6.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 4.
Indiana's substate region, North Central, is in group 4.
Indiana's substate region, Northeast, is in group 4.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 5.
Indiana's substate region, Southwest, is in group 5.
Indiana's substate region, West, is in group 6.
Iowa's substate region, Central, is in group 7.
Iowa's substate region, North Central, is in group 7.
Iowa's substate region, Northeast, is in group 7.
Iowa's substate region, Northwest, is in group 6.
Iowa's substate region, Southeast, is in group 7.
Iowa's substate region, Southwest, is in group 7.
Kansas's substate region, Northeast, is in group 6.
Kansas's substate region, Northwest and North Central, is in group 6.
Kansas's substate region, South Central, is in group 5.
Kansas's substate region, Southeast, is in group 6.
Kansas's substate region, Southwest, is in group 4.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 3.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 4.
Kentucky's substate region, Centerstone, is in group 3.
Kentucky's substate region, Communicare and River Valley, is in group 4.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 4.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 4.
Louisiana's substate region, Region 1, is in group 3.
Louisiana's substate region, Region 10 (Jefferson), is in group 3.
Louisiana's substate region, Regions 2 and 9, is in group 3.
Louisiana's substate region, Region 3, is in group 4.
Louisiana's substate region, Regions 4, 5, and 6, is in group 4.
Louisiana's substate region, Regions 7 and 8, is in group 2.
Maine's substate region, Aroostook, is in group 5.
Maine's substate region, Downeast, is in group 4.
Maine's substate region, Central, is in group 5.
Maine's substate region, Cumberland, is in group 5.
Maine's substate region, Midcoast, is in group 4.
Maine's substate region, Penquis, is in group 6.
Maine's substate region, Western, is in group 4.
Maine's substate region, York, is in group 5.
Maryland's substate region, Anne Arundel, is in group 4.
Maryland's substate region, Baltimore City, is in group 3.
Maryland's substate region, Baltimore County, is in group 3.
Maryland's substate region, Montgomery, is in group 3.
Maryland's substate region, North Central, is in group 4.
Maryland's substate region, Northeast, is in group 4.
Maryland's substate region, Prince George's, is in group 1.
Maryland's substate region, South, is in group 3.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 4.
Massachusetts's substate region, Central, is in group 5.
Massachusetts's substate region, Metrowest, is in group 5.
Massachusetts's substate region, Northeast, is in group 4.
Massachusetts's substate region, Southeast, is in group 4.
Massachusetts's substate region, Western, is in group 5.
Michigan's substate region, Region 1, is in group 6.
Michigan's substate region, Region 2, is in group 5.
Michigan's substate region, Region 3, is in group 5.
Michigan's substate region, Region 4, is in group 4.
Michigan's substate region, Region 5, is in group 5.
Michigan's substate region, Region 6, is in group 5.
Michigan's substate region, Region 7, is in group 4.
Michigan's substate region, Region 8, is in group 4.
Michigan's substate region, Region 9, is in group 5.
Michigan's substate region, Region 10, is in group 4.
Minnesota's substate region, Region 1, is in group 7.
Minnesota's substate region, Region 2, is in group 7.
Minnesota's substate region, Region 3, is in group 7.
Minnesota's substate region, Region 4, is in group 7.
Minnesota's substate region, Region 5, is in group 7.
Minnesota's substate region, Region 6, is in group 6.
Minnesota's substate region, Region 7A (Hennepin), is in group 5.
Minnesota's substate region, Region 7B (Ramsey), is in group 5.
Minnesota's substate region, Region 7C, is in group 6.
Mississippi's substate region, Region 1, is in group 3.
Mississippi's substate region, Region 2, is in group 2.
Mississippi's substate region, Region 3, is in group 2.
Mississippi's substate region, Region 4, is in group 2.
Mississippi's substate region, Region 5, is in group 2.
Mississippi's substate region, Region 6, is in group 3.
Mississippi's substate region, Region 7, is in group 4.
Missouri's substate region, Central, is in group 5.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 5.
Missouri's substate region, Northwest (Jackson), is in group 4.
Missouri's substate region, Northwest (excluding Jackson), is in group 5.
Missouri's substate region, Southeast, is in group 5.
Missouri's substate region, Southwest, is in group 4.
Montana's substate region, Region 1, is in group 6.
Montana's substate region, Region 2, is in group 5.
Montana's substate region, Region 3, is in group 6.
Montana's substate region, Region 4, is in group 7.
Montana's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 1, is in group 5.
Nebraska's substate region, Region 2, is in group 5.
Nebraska's substate region, Region 3, is in group 6.
Nebraska's substate region, Region 4, is in group 6.
Nebraska's substate region, Region 5, is in group 5.
Nebraska's substate region, Region 6, is in group 5.
Nevada's substate region, Clark - Region 1, is in group 3.
Nevada's substate region, Capital District, is in group 5.
Nevada's substate region, Rural/Frontier, is in group 4.
Nevada's substate region, Washoe - Region 2, is in group 4.
New Hampshire's substate region, Central, is in group 5.
New Hampshire's substate region, Northern, is in group 6.
New Hampshire's substate region, Southern, is in group 6.
New Jersey's substate region, Central, is in group 3.
New Jersey's substate region, Metropolitan, is in group 1.
New Jersey's substate region, Northern, is in group 3.
New Jersey's substate region, Southern, is in group 4.
New Mexico's substate region, Region 1, is in group 2.
New Mexico's substate region, Region 2, is in group 2.
New Mexico's substate region, Region 3 (Bernalillo), is in group 2.
New Mexico's substate region, Region 4, is in group 2.
New Mexico's substate region, Region 5a, is in group 3.
New Mexico's substate region, Region 5b (Dona Ana), is in group 2.
New York's substate region, Region 1: Long Island, is in group 4.
New York's substate region, Region 2A: Bronx, is in group 1.
New York's substate region, Region 2B: Kings, is in group 2.
New York's substate region, Region 2C: New York, is in group 4.
New York's substate region, Region 2D: Queens, is in group 1.
New York's substate region, Region 2E: Richmond, is in group 4.
New York's substate region, Region 3: Mid-Hudson, is in group 3.
New York's substate region, Region 4: Capital Region, is in group 4.
New York's substate region, Region 5: Mohawk Valley, is in group 5.
New York's substate region, Region 6: North Country, is in group 6.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 5.
New York's substate region, Region 9: Southern Tier, is in group 5.
New York's substate region, Region 10: Finger Lakes, is in group 5.
New York's substate region, Region 11: Western, is in group 5.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 3.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 3.
North Carolina's substate region, CenterPoint Human Services, is in group 3.
North Carolina's substate region, Eastpointe, is in group 2.
North Carolina's substate region, Partners Behavioral Health Management, is in group 4.
North Carolina's substate region, Sandhills Center 1, is in group 4.
North Carolina's substate region, Sandhills Center 2, is in group 3.
North Carolina's substate region, Smoky Mountain Center 1, is in group 4.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 3.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 6.
North Dakota's substate region, West Central, is in group 5.
North Dakota's substate region, Lake Region, is in group 4.
North Dakota's substate region, North Central, is in group 5.
North Dakota's substate region, Northeast, is in group 6.
North Dakota's substate region, Northwest, is in group 6.
North Dakota's substate region, South Central, is in group 6.
North Dakota's substate region, Southeast, is in group 6.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 5.
Ohio's substate region, Boards 3, 52, and 85, is in group 5.
Ohio's substate region, Boards 4 and 78, is in group 4.
Ohio's substate region, Boards 5 and 60, is in group 6.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 5.
Ohio's substate region, Boards 8, 13, and 83, is in group 6.
Ohio's substate region, Board 9 (Butler), is in group 5.
Ohio's substate region, Board 12, is in group 5.
Ohio's substate region, Boards 18 and 47, is in group 3.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 5.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 5.
Ohio's substate region, Boards 22, 74, and 87, is in group 5.
Ohio's substate region, Boards 23 and 45, is in group 5.
Ohio's substate region, Board 25 (Franklin), is in group 4.
Ohio's substate region, Boards 27, 71, and 73, is in group 5.
Ohio's substate region, Boards 28, 43, and 67, is in group 5.
Ohio's substate region, Board 31 (Hamilton), is in group 4.
Ohio's substate region, Board 48 (Lucas), is in group 4.
Ohio's substate region, Boards 50 and 76, is in group 4.
Ohio's substate region, Board 57 (Montgomery), is in group 4.
Ohio's substate region, Board 77 (Summit), is in group 4.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 4.
Oklahoma's substate region, Northeast, is in group 4.
Oklahoma's substate region, Northwest and Southwest, is in group 4.
Oklahoma's substate region, Oklahoma County, is in group 3.
Oklahoma's substate region, Southeast, is in group 4.
Oklahoma's substate region, Tulsa County, is in group 4.
Oregon's substate region, Region 1 (Multnomah), is in group 4.
Oregon's substate region, Region 2, is in group 4.
Oregon's substate region, Region 3, is in group 4.
Oregon's substate region, Region 4, is in group 5.
Oregon's substate region, Region 5 (Central), is in group 5.
Oregon's substate region, Region 6 (Eastern), is in group 4.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 5.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 6.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 5.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 6.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 7.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 4.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 5.
Pennsylvania's substate region, Regions 17 and 21, is in group 5.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 4.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 5.
Pennsylvania's substate region, Regions 29 and 34, is in group 4.
Pennsylvania's substate region, Regions 30 and 50, is in group 5.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 3.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 5.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 4.
Rhode Island's substate region, Region 3: Providence, is in group 3.
Rhode Island's substate region, Region 4: Kent County, is in group 6.
Rhode Island's substate region, Region 5: East Bay, is in group 5.
Rhode Island's substate region, Region 6: Newport County, is in group 6.
Rhode Island's substate region, Region 7: South County, is in group 5.
South Carolina's substate region, Region 1, is in group 4.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 2.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 5.
South Dakota's substate region, Region 2, is in group 5.
South Dakota's substate region, Region 3, is in group 7.
South Dakota's substate region, Region 4, is in group 6.
South Dakota's substate region, Region 5, is in group 5.
Tennessee's substate region, Region 1, is in group 3.
Tennessee's substate region, Region 2, is in group 4.
Tennessee's substate region, Region 3, is in group 3.
Tennessee's substate region, Region 4 (Davidson), is in group 2.
Tennessee's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 6, is in group 4.
Tennessee's substate region, Region 7 (Shelby), is in group 1.
Texas's substate region, Region 1, is in group 3.
Texas's substate region, Region 2, is in group 3.
Texas's substate region, Region 3, is in group 2.
Texas's substate region, Region 4, is in group 4.
Texas's substate region, Region 5, is in group 2.
Texas's substate region, Region 6, is in group 2.
Texas's substate region, Region 7, is in group 3.
Texas's substate region, Region 8, is in group 2.
Texas's substate region, Region 9, is in group 2.
Texas's substate region, Region 10, is in group 1.
Texas's substate region, Region 11, is in group 1.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 3.
Utah's substate region, Central, Four Corners, and San Juan, is in group 3.
Utah's substate region, Southwest, is in group 3.
Utah's substate region, Davis County, is in group 2.
Utah's substate region, Salt Lake County, is in group 3.
Utah's substate region, Utah County, is in group 2.
Utah's substate region, Weber, Morgan, is in group 2.
Vermont's substate region, Champlain Valley, is in group 6.
Vermont's substate region, Rural Northeast, is in group 6.
Vermont's substate region, Rural Southeast, is in group 5.
Vermont's substate region, Rural Southwest, is in group 5.
Virginia's substate region, Region 1, is in group 4.
Virginia's substate region, Region 2, is in group 4.
Virginia's substate region, Region 3, is in group 3.
Virginia's substate region, Region 4, is in group 4.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 5.
Washington's substate region, Region 2, is in group 5.
Washington's substate region, Region 3, is in group 5.
West Virginia's substate region, Region I, is in group 4.
West Virginia's substate region, Region II, is in group 5.
West Virginia's substate region, Region III, is in group 4.
West Virginia's substate region, Region IV, is in group 4.
West Virginia's substate region, Region V, is in group 3.
West Virginia's substate region, Region VI, is in group 3.
Wisconsin's substate region, Milwaukee, is in group 4.
Wisconsin's substate region, Northeastern, is in group 7.
Wisconsin's substate region, Northern, is in group 7.
Wisconsin's substate region, Southeastern, is in group 7.
Wisconsin's substate region, Southern, is in group 6.
Wisconsin's substate region, Western, is in group 7.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 5.
Wyoming's substate region, Judicial District 3, is in group 4.
Wyoming's substate region, Judicial District 4, is in group 5.
Wyoming's substate region, Judicial District 5, is in group 5.
Wyoming's substate region, Judicial District 6, is in group 5.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 5.
Wyoming's substate region, Judicial District 8, is in group 4.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 15.

Long description, Figure 16. Figure 16 is a U.S. map showing alcohol use in the past month among individuals aged 12 to 20, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 8.00 to 13.55 percent.
The next to lowest group, group 2's percentages ranged from 13.56 to 15.53 percent.
The next lowest group, group 3's percentages ranged from 15.54 to 18.22 percent.
The middle group, group 4's percentages ranged from 18.23 to 21.32 percent.
The next highest group, group 5's percentages ranged from 21.33 to 25.06 percent.
The next to highest group, group 6's percentages ranged from 25.07 to 28.62 percent.
The highest group, group 7's percentages ranged from 28.63 to 49.32 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 3.
Alabama's substate region, Region 2, is in group 4.
Alabama's substate region, Region 3, is in group 4.
Alabama's substate region, Region 4, is in group 3.
Alaska's substate region, Anchorage, is in group 4.
Alaska's substate region, Northern, is in group 3.
Alaska's substate region, South Central, is in group 3.
Alaska's substate region, Southeast, is in group 5.
Arizona's substate region, Central, is in group 3.
Arizona's substate region, North, is in group 4.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 2.
Arkansas's substate region, Catchment Area 1, is in group 3.
Arkansas's substate region, Catchment Area 2, is in group 2.
Arkansas's substate region, Catchment Area 3, is in group 2.
Arkansas's substate region, Catchment Area 4, is in group 2.
Arkansas's substate region, Catchment Area 5, is in group 4.
Arkansas's substate region, Catchment Area 6, is in group 1.
Arkansas's substate region, Catchment Area 7, is in group 3.
Arkansas's substate region, Catchment Area 8, is in group 3.
California's substate region, Region 1R, is in group 6.
California's substate region, Region 2R, is in group 5.
California's substate region, Region 3R (Sacramento), is in group 3.
California's substate region, Region 4R, is in group 3.
California's substate region, Region 5R (San Francisco), is in group 5.
California's substate region, Region 6 (Santa Clara), is in group 4.
California's substate region, Region 7R (Contra Costa), is in group 4.
California's substate region, Region 8R (Alameda), is in group 4.
California's substate region, Region 9R (San Mateo), is in group 4.
California's substate region, Region 10, is in group 5.
California's substate region, LA SPA 1 and 5, is in group 4.
California's substate region, LA SPA 2, is in group 4.
California's substate region, LA SPA 3, is in group 3.
California's substate region, LA SPA 4, is in group 4.
California's substate region, LA SPA 6, is in group 1.
California's substate region, LA SPA 7, is in group 2.
California's substate region, LA SPA 8, is in group 4.
California's substate region, Region 12R, is in group 4.
California's substate region, Regions 13 and 19R, is in group 3.
California's substate region, Region 14 (Orange), is in group 3.
California's substate region, Region 15R (Fresno), is in group 3.
California's substate region, Region 16R (San Diego), is in group 4.
California's substate region, Region 17R, is in group 1.
California's substate region, Region 18R (San Bernardino), is in group 2.
California's substate region, Region 20R, is in group 2.
California's substate region, Region 21R, is in group 5.
Colorado's substate region, Region 1, is in group 5.
Colorado's substate region, Region 2, is in group 4.
Colorado's substate region, Region 3, is in group 3.
Colorado's substate region, Region 4, is in group 4.
Colorado's substate region, Region 5, is in group 4.
Colorado's substate region, Region 6, is in group 6.
Colorado's substate region, Region 7, is in group 4.
Connecticut's substate region, Eastern, is in group 7.
Connecticut's substate region, North Central, is in group 6.
Connecticut's substate region, Northwestern, is in group 6.
Connecticut's substate region, South Central, is in group 6.
Connecticut's substate region, Southwest, is in group 5.
Delaware's substate region, Kent, is in group 2.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 4.
Delaware's substate region, Sussex, is in group 3.
Delaware's substate region, Wilmington City, is in group 1.
District of Columbia's substate region, Ward 1, is in group 6.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 7.
District of Columbia's substate region, Ward 4, is in group 3.
District of Columbia's substate region, Ward 5, is in group 4.
District of Columbia's substate region, Ward 6, is in group 4.
District of Columbia's substate region, Ward 7, is in group 1.
District of Columbia's substate region, Ward 8, is in group 1.
Florida's substate region, Broward (Circuit 17), is in group 3.
Florida's substate region, Circuit 9, is in group 4.
Florida's substate region, Circuit 18, is in group 4.
Florida's substate region, Circuit 6, is in group 4.
Florida's substate region, Circuit 10, is in group 3.
Florida's substate region, Circuit 12, is in group 5.
Florida's substate region, Circuit 13 (Hillsborough), is in group 4.
Florida's substate region, Circuit 20, is in group 4.
Florida's substate region, Circuit 4, is in group 4.
Florida's substate region, Circuit 5, is in group 3.
Florida's substate region, Circuit 7, is in group 5.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 5.
Florida's substate region, Circuit 1, is in group 5.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 7.
Florida's substate region, Circuit 14, is in group 4.
Florida's substate region, South (Circuits 11 and 16), is in group 4.
Florida's substate region, Circuit 15 (Palm Beach), is in group 4.
Florida's substate region, Circuit 19, is in group 4.
Georgia's substate region, Region 1, is in group 2.
Georgia's substate region, Region 2, is in group 4.
Georgia's substate region, Region 3, is in group 2.
Georgia's substate region, Region 4, is in group 3.
Georgia's substate region, Region 5, is in group 3.
Georgia's substate region, Region 6, is in group 2.
Hawaii's substate region, Hawaii Island, is in group 3.
Hawaii's substate region, Honolulu, is in group 3.
Hawaii's substate region, Kauai, is in group 3.
Hawaii's substate region, Maui, is in group 3.
Idaho's substate region, Region 1, is in group 3.
Idaho's substate region, Region 2, is in group 5.
Idaho's substate region, Region 3, is in group 1.
Idaho's substate region, Region 4, is in group 3.
Idaho's substate region, Region 5, is in group 3.
Idaho's substate region, Region 6, is in group 2.
Idaho's substate region, Region 7, is in group 1.
Illinois's substate region, Region 1.1 (Far North Side), is in group 3.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 2.
Illinois's substate region, Region 1.3 (North Central Side), is in group 5.
Illinois's substate region, Region 1.4 (West Side), is in group 2.
Illinois's substate region, Region 1.5 (South Side), is in group 2.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 1.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 4.
Illinois's substate region, Region 2a (DuPage), is in group 4.
Illinois's substate region, Region 2b, is in group 4.
Illinois's substate region, Region 2c (Winnebago), is in group 3.
Illinois's substate region, Region 2d, is in group 4.
Illinois's substate region, Region 3a (Champaign), is in group 7.
Illinois's substate region, Region 3b, is in group 4.
Illinois's substate region, Region 4a (Sangamon), is in group 3.
Illinois's substate region, Region 4b, is in group 4.
Illinois's substate region, Region 5a, is in group 4.
Illinois's substate region, Region 5b, is in group 4.
Indiana's substate region, Central, is in group 3.
Indiana's substate region, East, is in group 6.
Indiana's substate region, North Central, is in group 4.
Indiana's substate region, Northeast, is in group 4.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 3.
Indiana's substate region, Southwest, is in group 4.
Indiana's substate region, West, is in group 6.
Iowa's substate region, Central, is in group 4.
Iowa's substate region, North Central, is in group 6.
Iowa's substate region, Northeast, is in group 5.
Iowa's substate region, Northwest, is in group 4.
Iowa's substate region, Southeast, is in group 5.
Iowa's substate region, Southwest, is in group 4.
Kansas's substate region, Northeast, is in group 5.
Kansas's substate region, Northwest and North Central, is in group 5.
Kansas's substate region, South Central, is in group 4.
Kansas's substate region, Southeast, is in group 5.
Kansas's substate region, Southwest, is in group 4.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 3.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 5.
Kentucky's substate region, Centerstone, is in group 4.
Kentucky's substate region, Communicare and River Valley, is in group 3.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 4.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 3.
Louisiana's substate region, Region 1, is in group 5.
Louisiana's substate region, Region 10 (Jefferson), is in group 4.
Louisiana's substate region, Regions 2 and 9, is in group 5.
Louisiana's substate region, Region 3, is in group 4.
Louisiana's substate region, Regions 4, 5, and 6, is in group 5.
Louisiana's substate region, Regions 7 and 8, is in group 3.
Maine's substate region, Aroostook, is in group 5.
Maine's substate region, Downeast, is in group 4.
Maine's substate region, Central, is in group 5.
Maine's substate region, Cumberland, is in group 6.
Maine's substate region, Midcoast, is in group 5.
Maine's substate region, Penquis, is in group 5.
Maine's substate region, Western, is in group 5.
Maine's substate region, York, is in group 5.
Maryland's substate region, Anne Arundel, is in group 5.
Maryland's substate region, Baltimore City, is in group 4.
Maryland's substate region, Baltimore County, is in group 5.
Maryland's substate region, Montgomery, is in group 3.
Maryland's substate region, North Central, is in group 4.
Maryland's substate region, Northeast, is in group 5.
Maryland's substate region, Prince George's, is in group 4.
Maryland's substate region, South, is in group 3.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 7.
Massachusetts's substate region, Central, is in group 6.
Massachusetts's substate region, Metrowest, is in group 7.
Massachusetts's substate region, Northeast, is in group 5.
Massachusetts's substate region, Southeast, is in group 7.
Massachusetts's substate region, Western, is in group 7.
Michigan's substate region, Region 1, is in group 6.
Michigan's substate region, Region 2, is in group 5.
Michigan's substate region, Region 3, is in group 5.
Michigan's substate region, Region 4, is in group 4.
Michigan's substate region, Region 5, is in group 6.
Michigan's substate region, Region 6, is in group 6.
Michigan's substate region, Region 7, is in group 3.
Michigan's substate region, Region 8, is in group 5.
Michigan's substate region, Region 9, is in group 5.
Michigan's substate region, Region 10, is in group 4.
Minnesota's substate region, Region 1, is in group 5.
Minnesota's substate region, Region 2, is in group 5.
Minnesota's substate region, Region 3, is in group 6.
Minnesota's substate region, Region 4, is in group 5.
Minnesota's substate region, Region 5, is in group 5.
Minnesota's substate region, Region 6, is in group 5.
Minnesota's substate region, Region 7A (Hennepin), is in group 5.
Minnesota's substate region, Region 7B (Ramsey), is in group 4.
Minnesota's substate region, Region 7C, is in group 5.
Mississippi's substate region, Region 1, is in group 2.
Mississippi's substate region, Region 2, is in group 1.
Mississippi's substate region, Region 3, is in group 2.
Mississippi's substate region, Region 4, is in group 2.
Mississippi's substate region, Region 5, is in group 1.
Mississippi's substate region, Region 6, is in group 2.
Mississippi's substate region, Region 7, is in group 3.
Missouri's substate region, Central, is in group 5.
Missouri's substate region, Eastern (St. Louis City and County), is in group 3.
Missouri's substate region, Eastern (excluding St. Louis), is in group 5.
Missouri's substate region, Northwest (Jackson), is in group 4.
Missouri's substate region, Northwest (excluding Jackson), is in group 4.
Missouri's substate region, Southeast, is in group 4.
Missouri's substate region, Southwest, is in group 3.
Montana's substate region, Region 1, is in group 4.
Montana's substate region, Region 2, is in group 5.
Montana's substate region, Region 3, is in group 4.
Montana's substate region, Region 4, is in group 6.
Montana's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 1, is in group 4.
Nebraska's substate region, Region 2, is in group 4.
Nebraska's substate region, Region 3, is in group 4.
Nebraska's substate region, Region 4, is in group 4.
Nebraska's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 6, is in group 4.
Nevada's substate region, Clark - Region 1, is in group 3.
Nevada's substate region, Capital District, is in group 5.
Nevada's substate region, Rural/Frontier, is in group 3.
Nevada's substate region, Washoe - Region 2, is in group 4.
New Hampshire's substate region, Central, is in group 6.
New Hampshire's substate region, Northern, is in group 6.
New Hampshire's substate region, Southern, is in group 5.
New Jersey's substate region, Central, is in group 5.
New Jersey's substate region, Metropolitan, is in group 3.
New Jersey's substate region, Northern, is in group 4.
New Jersey's substate region, Southern, is in group 5.
New Mexico's substate region, Region 1, is in group 2.
New Mexico's substate region, Region 2, is in group 3.
New Mexico's substate region, Region 3 (Bernalillo), is in group 5.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 3.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 5.
New York's substate region, Region 2A: Bronx, is in group 2.
New York's substate region, Region 2B: Kings, is in group 2.
New York's substate region, Region 2C: New York, is in group 6.
New York's substate region, Region 2D: Queens, is in group 2.
New York's substate region, Region 2E: Richmond, is in group 3.
New York's substate region, Region 3: Mid-Hudson, is in group 3.
New York's substate region, Region 4: Capital Region, is in group 6.
New York's substate region, Region 5: Mohawk Valley, is in group 5.
New York's substate region, Region 6: North Country, is in group 4.
New York's substate region, Region 7: Tug Hill Seaway, is in group 6.
New York's substate region, Region 8: Central, is in group 5.
New York's substate region, Region 9: Southern Tier, is in group 7.
New York's substate region, Region 10: Finger Lakes, is in group 5.
New York's substate region, Region 11: Western, is in group 6.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 2.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 3.
North Carolina's substate region, CenterPoint Human Services, is in group 4.
North Carolina's substate region, Eastpointe, is in group 2.
North Carolina's substate region, Partners Behavioral Health Management, is in group 3.
North Carolina's substate region, Sandhills Center 1, is in group 2.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 4.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 4.
North Carolina's substate region, Trillium Health Resources 2, is in group 5.
North Dakota's substate region, Badlands, is in group 5.
North Dakota's substate region, West Central, is in group 5.
North Dakota's substate region, Lake Region, is in group 4.
North Dakota's substate region, North Central, is in group 6.
North Dakota's substate region, Northeast, is in group 7.
North Dakota's substate region, Northwest, is in group 6.
North Dakota's substate region, South Central, is in group 7.
North Dakota's substate region, Southeast, is in group 7.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 5.
Ohio's substate region, Boards 3, 52, and 85, is in group 3.
Ohio's substate region, Boards 4 and 78, is in group 3.
Ohio's substate region, Boards 5 and 60, is in group 5.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 4.
Ohio's substate region, Boards 8, 13, and 83, is in group 4.
Ohio's substate region, Board 9 (Butler), is in group 5.
Ohio's substate region, Board 12, is in group 5.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 5.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 3.
Ohio's substate region, Boards 22, 74, and 87, is in group 6.
Ohio's substate region, Boards 23 and 45, is in group 4.
Ohio's substate region, Board 25 (Franklin), is in group 4.
Ohio's substate region, Boards 27, 71, and 73, is in group 3.
Ohio's substate region, Boards 28, 43, and 67, is in group 4.
Ohio's substate region, Board 31 (Hamilton), is in group 5.
Ohio's substate region, Board 48 (Lucas), is in group 4.
Ohio's substate region, Boards 50 and 76, is in group 4.
Ohio's substate region, Board 57 (Montgomery), is in group 4.
Ohio's substate region, Board 77 (Summit), is in group 4.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 2.
Oklahoma's substate region, Northeast, is in group 4.
Oklahoma's substate region, Northwest and Southwest, is in group 3.
Oklahoma's substate region, Oklahoma County, is in group 2.
Oklahoma's substate region, Southeast, is in group 3.
Oklahoma's substate region, Tulsa County, is in group 2.
Oregon's substate region, Region 1 (Multnomah), is in group 4.
Oregon's substate region, Region 2, is in group 4.
Oregon's substate region, Region 3, is in group 5.
Oregon's substate region, Region 4, is in group 4.
Oregon's substate region, Region 5 (Central), is in group 5.
Oregon's substate region, Region 6 (Eastern), is in group 4.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 4.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 5.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 3.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 4.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 7.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 4.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 4.
Pennsylvania's substate region, Regions 17 and 21, is in group 5.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 2.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 4.
Pennsylvania's substate region, Regions 29 and 34, is in group 3.
Pennsylvania's substate region, Regions 30 and 50, is in group 4.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 3.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 6.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 4.
Rhode Island's substate region, Region 3: Providence, is in group 6.
Rhode Island's substate region, Region 4: Kent County, is in group 5.
Rhode Island's substate region, Region 5: East Bay, is in group 6.
Rhode Island's substate region, Region 6: Newport County, is in group 6.
Rhode Island's substate region, Region 7: South County, is in group 7.
South Carolina's substate region, Region 1, is in group 3.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 3.
South Carolina's substate region, Region 4, is in group 3.
South Dakota's substate region, Region 1, is in group 4.
South Dakota's substate region, Region 2, is in group 4.
South Dakota's substate region, Region 3, is in group 6.
South Dakota's substate region, Region 4, is in group 6.
South Dakota's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 1, is in group 3.
Tennessee's substate region, Region 2, is in group 3.
Tennessee's substate region, Region 3, is in group 3.
Tennessee's substate region, Region 4 (Davidson), is in group 4.
Tennessee's substate region, Region 5, is in group 3.
Tennessee's substate region, Region 6, is in group 4.
Tennessee's substate region, Region 7 (Shelby), is in group 2.
Texas's substate region, Region 1, is in group 5.
Texas's substate region, Region 2, is in group 4.
Texas's substate region, Region 3, is in group 2.
Texas's substate region, Region 4, is in group 3.
Texas's substate region, Region 5, is in group 4.
Texas's substate region, Region 6, is in group 2.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 4.
Texas's substate region, Region 9, is in group 3.
Texas's substate region, Region 10, is in group 2.
Texas's substate region, Region 11, is in group 2.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 1.
Utah's substate region, Central, Four Corners, and San Juan, is in group 1.
Utah's substate region, Southwest, is in group 1.
Utah's substate region, Davis County, is in group 1.
Utah's substate region, Salt Lake County, is in group 1.
Utah's substate region, Utah County, is in group 1.
Utah's substate region, Weber, Morgan, is in group 1.
Vermont's substate region, Champlain Valley, is in group 7.
Vermont's substate region, Rural Northeast, is in group 6.
Vermont's substate region, Rural Southeast, is in group 7.
Vermont's substate region, Rural Southwest, is in group 6.
Virginia's substate region, Region 1, is in group 5.
Virginia's substate region, Region 2, is in group 2.
Virginia's substate region, Region 3, is in group 4.
Virginia's substate region, Region 4, is in group 3.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 4.
Washington's substate region, Region 2, is in group 4.
Washington's substate region, Region 3, is in group 4.
West Virginia's substate region, Region I, is in group 4.
West Virginia's substate region, Region II, is in group 4.
West Virginia's substate region, Region III, is in group 3.
West Virginia's substate region, Region IV, is in group 6.
West Virginia's substate region, Region V, is in group 3.
West Virginia's substate region, Region VI, is in group 3.
Wisconsin's substate region, Milwaukee, is in group 4.
Wisconsin's substate region, Northeastern, is in group 5.
Wisconsin's substate region, Northern, is in group 5.
Wisconsin's substate region, Southeastern, is in group 5.
Wisconsin's substate region, Southern, is in group 6.
Wisconsin's substate region, Western, is in group 5.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 7.
Wyoming's substate region, Judicial District 3, is in group 2.
Wyoming's substate region, Judicial District 4, is in group 4.
Wyoming's substate region, Judicial District 5, is in group 5.
Wyoming's substate region, Judicial District 6, is in group 3.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 4.
Wyoming's substate region, Judicial District 8, is in group 5.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 16.

Long description, Figure 17. Figure 17 is a U.S. map showing binge alcohol use in the past month among individuals aged 12 to 20, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 6.11 to 7.90 percent.
The next to lowest group, group 2's percentages ranged from 7.91 to 9.10 percent.
The next lowest group, group 3's percentages ranged from 9.11 to 10.68 percent.
The middle group, group 4's percentages ranged from 10.69 to 13.33 percent.
The next highest group, group 5's percentages ranged from 13.34 to 16.65 percent.
The next to highest group, group 6's percentages ranged from 16.66 to 19.70 percent.
The highest group, group 7's percentages ranged from 19.71 to 37.56 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 3.
Alabama's substate region, Region 2, is in group 4.
Alabama's substate region, Region 3, is in group 4.
Alabama's substate region, Region 4, is in group 2.
Alaska's substate region, Anchorage, is in group 4.
Alaska's substate region, Northern, is in group 4.
Alaska's substate region, South Central, is in group 3.
Alaska's substate region, Southeast, is in group 4.
Arizona's substate region, Central, is in group 3.
Arizona's substate region, North, is in group 4.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 3.
Arkansas's substate region, Catchment Area 1, is in group 4.
Arkansas's substate region, Catchment Area 2, is in group 2.
Arkansas's substate region, Catchment Area 3, is in group 2.
Arkansas's substate region, Catchment Area 4, is in group 2.
Arkansas's substate region, Catchment Area 5, is in group 4.
Arkansas's substate region, Catchment Area 6, is in group 2.
Arkansas's substate region, Catchment Area 7, is in group 3.
Arkansas's substate region, Catchment Area 8, is in group 3.
California's substate region, Region 1R, is in group 5.
California's substate region, Region 2R, is in group 4.
California's substate region, Region 3R (Sacramento), is in group 3.
California's substate region, Region 4R, is in group 3.
California's substate region, Region 5R (San Francisco), is in group 5.
California's substate region, Region 6 (Santa Clara), is in group 3.
California's substate region, Region 7R (Contra Costa), is in group 3.
California's substate region, Region 8R (Alameda), is in group 4.
California's substate region, Region 9R (San Mateo), is in group 4.
California's substate region, Region 10, is in group 4.
California's substate region, LA SPA 1 and 5, is in group 4.
California's substate region, LA SPA 2, is in group 4.
California's substate region, LA SPA 3, is in group 3.
California's substate region, LA SPA 4, is in group 4.
California's substate region, LA SPA 6, is in group 3.
California's substate region, LA SPA 7, is in group 2.
California's substate region, LA SPA 8, is in group 4.
California's substate region, Region 12R, is in group 4.
California's substate region, Regions 13 and 19R, is in group 3.
California's substate region, Region 14 (Orange), is in group 3.
California's substate region, Region 15R (Fresno), is in group 3.
California's substate region, Region 16R (San Diego), is in group 4.
California's substate region, Region 17R, is in group 1.
California's substate region, Region 18R (San Bernardino), is in group 2.
California's substate region, Region 20R, is in group 2.
California's substate region, Region 21R, is in group 5.
Colorado's substate region, Region 1, is in group 5.
Colorado's substate region, Region 2, is in group 4.
Colorado's substate region, Region 3, is in group 3.
Colorado's substate region, Region 4, is in group 4.
Colorado's substate region, Region 5, is in group 5.
Colorado's substate region, Region 6, is in group 5.
Colorado's substate region, Region 7, is in group 4.
Connecticut's substate region, Eastern, is in group 7.
Connecticut's substate region, North Central, is in group 5.
Connecticut's substate region, Northwestern, is in group 5.
Connecticut's substate region, South Central, is in group 6.
Connecticut's substate region, Southwest, is in group 5.
Delaware's substate region, Kent, is in group 3.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 4.
Delaware's substate region, Sussex, is in group 3.
Delaware's substate region, Wilmington City, is in group 1.
District of Columbia's substate region, Ward 1, is in group 6.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 7.
District of Columbia's substate region, Ward 4, is in group 3.
District of Columbia's substate region, Ward 5, is in group 5.
District of Columbia's substate region, Ward 6, is in group 4.
District of Columbia's substate region, Ward 7, is in group 1.
District of Columbia's substate region, Ward 8, is in group 2.
Florida's substate region, Broward (Circuit 17), is in group 2.
Florida's substate region, Circuit 9, is in group 4.
Florida's substate region, Circuit 18, is in group 4.
Florida's substate region, Circuit 6, is in group 3.
Florida's substate region, Circuit 10, is in group 4.
Florida's substate region, Circuit 12, is in group 4.
Florida's substate region, Circuit 13 (Hillsborough), is in group 3.
Florida's substate region, Circuit 20, is in group 3.
Florida's substate region, Circuit 4, is in group 4.
Florida's substate region, Circuit 5, is in group 3.
Florida's substate region, Circuit 7, is in group 4.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 5.
Florida's substate region, Circuit 1, is in group 5.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 7.
Florida's substate region, Circuit 14, is in group 3.
Florida's substate region, South (Circuits 11 and 16), is in group 4.
Florida's substate region, Circuit 15 (Palm Beach), is in group 3.
Florida's substate region, Circuit 19, is in group 2.
Georgia's substate region, Region 1, is in group 1.
Georgia's substate region, Region 2, is in group 3.
Georgia's substate region, Region 3, is in group 2.
Georgia's substate region, Region 4, is in group 2.
Georgia's substate region, Region 5, is in group 3.
Georgia's substate region, Region 6, is in group 1.
Hawaii's substate region, Hawaii Island, is in group 4.
Hawaii's substate region, Honolulu, is in group 3.
Hawaii's substate region, Kauai, is in group 3.
Hawaii's substate region, Maui, is in group 3.
Idaho's substate region, Region 1, is in group 3.
Idaho's substate region, Region 2, is in group 5.
Idaho's substate region, Region 3, is in group 2.
Idaho's substate region, Region 4, is in group 4.
Idaho's substate region, Region 5, is in group 3.
Idaho's substate region, Region 6, is in group 2.
Idaho's substate region, Region 7, is in group 1.
Illinois's substate region, Region 1.1 (Far North Side), is in group 4.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 3.
Illinois's substate region, Region 1.3 (North Central Side), is in group 6.
Illinois's substate region, Region 1.4 (West Side), is in group 3.
Illinois's substate region, Region 1.5 (South Side), is in group 2.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 2.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 4.
Illinois's substate region, Region 2a (DuPage), is in group 4.
Illinois's substate region, Region 2b, is in group 4.
Illinois's substate region, Region 2c (Winnebago), is in group 3.
Illinois's substate region, Region 2d, is in group 4.
Illinois's substate region, Region 3a (Champaign), is in group 7.
Illinois's substate region, Region 3b, is in group 5.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 5.
Illinois's substate region, Region 5a, is in group 4.
Illinois's substate region, Region 5b, is in group 5.
Indiana's substate region, Central, is in group 3.
Indiana's substate region, East, is in group 6.
Indiana's substate region, North Central, is in group 4.
Indiana's substate region, Northeast, is in group 3.
Indiana's substate region, Northwest, is in group 3.
Indiana's substate region, Southeast, is in group 3.
Indiana's substate region, Southwest, is in group 4.
Indiana's substate region, West, is in group 7.
Iowa's substate region, Central, is in group 5.
Iowa's substate region, North Central, is in group 6.
Iowa's substate region, Northeast, is in group 6.
Iowa's substate region, Northwest, is in group 5.
Iowa's substate region, Southeast, is in group 5.
Iowa's substate region, Southwest, is in group 4.
Kansas's substate region, Northeast, is in group 5.
Kansas's substate region, Northwest and North Central, is in group 5.
Kansas's substate region, South Central, is in group 4.
Kansas's substate region, Southeast, is in group 5.
Kansas's substate region, Southwest, is in group 4.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 3.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 5.
Kentucky's substate region, Centerstone, is in group 4.
Kentucky's substate region, Communicare and River Valley, is in group 4.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 4.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 4.
Louisiana's substate region, Region 1, is in group 4.
Louisiana's substate region, Region 10 (Jefferson), is in group 3.
Louisiana's substate region, Regions 2 and 9, is in group 4.
Louisiana's substate region, Region 3, is in group 3.
Louisiana's substate region, Regions 4, 5, and 6, is in group 5.
Louisiana's substate region, Regions 7 and 8, is in group 3.
Maine's substate region, Aroostook, is in group 5.
Maine's substate region, Downeast, is in group 5.
Maine's substate region, Central, is in group 4.
Maine's substate region, Cumberland, is in group 5.
Maine's substate region, Midcoast, is in group 4.
Maine's substate region, Penquis, is in group 5.
Maine's substate region, Western, is in group 5.
Maine's substate region, York, is in group 5.
Maryland's substate region, Anne Arundel, is in group 5.
Maryland's substate region, Baltimore City, is in group 3.
Maryland's substate region, Baltimore County, is in group 4.
Maryland's substate region, Montgomery, is in group 2.
Maryland's substate region, North Central, is in group 4.
Maryland's substate region, Northeast, is in group 4.
Maryland's substate region, Prince George's, is in group 4.
Maryland's substate region, South, is in group 3.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 7.
Massachusetts's substate region, Central, is in group 6.
Massachusetts's substate region, Metrowest, is in group 7.
Massachusetts's substate region, Northeast, is in group 5.
Massachusetts's substate region, Southeast, is in group 6.
Massachusetts's substate region, Western, is in group 7.
Michigan's substate region, Region 1, is in group 6.
Michigan's substate region, Region 2, is in group 5.
Michigan's substate region, Region 3, is in group 4.
Michigan's substate region, Region 4, is in group 4.
Michigan's substate region, Region 5, is in group 6.
Michigan's substate region, Region 6, is in group 6.
Michigan's substate region, Region 7, is in group 3.
Michigan's substate region, Region 8, is in group 5.
Michigan's substate region, Region 9, is in group 4.
Michigan's substate region, Region 10, is in group 4.
Minnesota's substate region, Region 1, is in group 5.
Minnesota's substate region, Region 2, is in group 5.
Minnesota's substate region, Region 3, is in group 6.
Minnesota's substate region, Region 4, is in group 5.
Minnesota's substate region, Region 5, is in group 5.
Minnesota's substate region, Region 6, is in group 6.
Minnesota's substate region, Region 7A (Hennepin), is in group 4.
Minnesota's substate region, Region 7B (Ramsey), is in group 5.
Minnesota's substate region, Region 7C, is in group 4.
Mississippi's substate region, Region 1, is in group 2.
Mississippi's substate region, Region 2, is in group 1.
Mississippi's substate region, Region 3, is in group 2.
Mississippi's substate region, Region 4, is in group 1.
Mississippi's substate region, Region 5, is in group 1.
Mississippi's substate region, Region 6, is in group 2.
Mississippi's substate region, Region 7, is in group 2.
Missouri's substate region, Central, is in group 5.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 5.
Missouri's substate region, Northwest (Jackson), is in group 4.
Missouri's substate region, Northwest (excluding Jackson), is in group 5.
Missouri's substate region, Southeast, is in group 4.
Missouri's substate region, Southwest, is in group 3.
Montana's substate region, Region 1, is in group 4.
Montana's substate region, Region 2, is in group 5.
Montana's substate region, Region 3, is in group 4.
Montana's substate region, Region 4, is in group 6.
Montana's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 1, is in group 4.
Nebraska's substate region, Region 2, is in group 4.
Nebraska's substate region, Region 3, is in group 4.
Nebraska's substate region, Region 4, is in group 4.
Nebraska's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 6, is in group 5.
Nevada's substate region, Clark - Region 1, is in group 2.
Nevada's substate region, Capital District, is in group 4.
Nevada's substate region, Rural/Frontier, is in group 3.
Nevada's substate region, Washoe - Region 2, is in group 4.
New Hampshire's substate region, Central, is in group 6.
New Hampshire's substate region, Northern, is in group 6.
New Hampshire's substate region, Southern, is in group 5.
New Jersey's substate region, Central, is in group 4.
New Jersey's substate region, Metropolitan, is in group 4.
New Jersey's substate region, Northern, is in group 4.
New Jersey's substate region, Southern, is in group 5.
New Mexico's substate region, Region 1, is in group 2.
New Mexico's substate region, Region 2, is in group 3.
New Mexico's substate region, Region 3 (Bernalillo), is in group 4.
New Mexico's substate region, Region 4, is in group 3.
New Mexico's substate region, Region 5a, is in group 3.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 5.
New York's substate region, Region 2A: Bronx, is in group 1.
New York's substate region, Region 2B: Kings, is in group 3.
New York's substate region, Region 2C: New York, is in group 6.
New York's substate region, Region 2D: Queens, is in group 3.
New York's substate region, Region 2E: Richmond, is in group 4.
New York's substate region, Region 3: Mid-Hudson, is in group 3.
New York's substate region, Region 4: Capital Region, is in group 6.
New York's substate region, Region 5: Mohawk Valley, is in group 5.
New York's substate region, Region 6: North Country, is in group 5.
New York's substate region, Region 7: Tug Hill Seaway, is in group 6.
New York's substate region, Region 8: Central, is in group 5.
New York's substate region, Region 9: Southern Tier, is in group 7.
New York's substate region, Region 10: Finger Lakes, is in group 5.
New York's substate region, Region 11: Western, is in group 6.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 3.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 2.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 2.
North Carolina's substate region, CenterPoint Human Services, is in group 3.
North Carolina's substate region, Eastpointe, is in group 2.
North Carolina's substate region, Partners Behavioral Health Management, is in group 3.
North Carolina's substate region, Sandhills Center 1, is in group 2.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 4.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 4.
North Carolina's substate region, Trillium Health Resources 2, is in group 5.
North Dakota's substate region, Badlands, is in group 6.
North Dakota's substate region, West Central, is in group 5.
North Dakota's substate region, Lake Region, is in group 5.
North Dakota's substate region, North Central, is in group 6.
North Dakota's substate region, Northeast, is in group 7.
North Dakota's substate region, Northwest, is in group 6.
North Dakota's substate region, South Central, is in group 7.
North Dakota's substate region, Southeast, is in group 7.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 4.
Ohio's substate region, Boards 3, 52, and 85, is in group 3.
Ohio's substate region, Boards 4 and 78, is in group 4.
Ohio's substate region, Boards 5 and 60, is in group 6.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 4.
Ohio's substate region, Boards 8, 13, and 83, is in group 4.
Ohio's substate region, Board 9 (Butler), is in group 5.
Ohio's substate region, Board 12, is in group 5.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 4.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 3.
Ohio's substate region, Boards 22, 74, and 87, is in group 6.
Ohio's substate region, Boards 23 and 45, is in group 4.
Ohio's substate region, Board 25 (Franklin), is in group 5.
Ohio's substate region, Boards 27, 71, and 73, is in group 3.
Ohio's substate region, Boards 28, 43, and 67, is in group 5.
Ohio's substate region, Board 31 (Hamilton), is in group 5.
Ohio's substate region, Board 48 (Lucas), is in group 4.
Ohio's substate region, Boards 50 and 76, is in group 4.
Ohio's substate region, Board 57 (Montgomery), is in group 4.
Ohio's substate region, Board 77 (Summit), is in group 4.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 2.
Oklahoma's substate region, Northeast, is in group 4.
Oklahoma's substate region, Northwest and Southwest, is in group 4.
Oklahoma's substate region, Oklahoma County, is in group 3.
Oklahoma's substate region, Southeast, is in group 3.
Oklahoma's substate region, Tulsa County, is in group 2.
Oregon's substate region, Region 1 (Multnomah), is in group 5.
Oregon's substate region, Region 2, is in group 4.
Oregon's substate region, Region 3, is in group 5.
Oregon's substate region, Region 4, is in group 3.
Oregon's substate region, Region 5 (Central), is in group 4.
Oregon's substate region, Region 6 (Eastern), is in group 4.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 5.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 5.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 3.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 4.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 7.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 4.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 5.
Pennsylvania's substate region, Regions 17 and 21, is in group 5.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 2.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 5.
Pennsylvania's substate region, Regions 29 and 34, is in group 4.
Pennsylvania's substate region, Regions 30 and 50, is in group 4.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 4.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 6.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 4.
Rhode Island's substate region, Region 3: Providence, is in group 6.
Rhode Island's substate region, Region 4: Kent County, is in group 5.
Rhode Island's substate region, Region 5: East Bay, is in group 6.
Rhode Island's substate region, Region 6: Newport County, is in group 6.
Rhode Island's substate region, Region 7: South County, is in group 7.
South Carolina's substate region, Region 1, is in group 4.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 3.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 4.
South Dakota's substate region, Region 2, is in group 5.
South Dakota's substate region, Region 3, is in group 6.
South Dakota's substate region, Region 4, is in group 7.
South Dakota's substate region, Region 5, is in group 5.
Tennessee's substate region, Region 1, is in group 3.
Tennessee's substate region, Region 2, is in group 3.
Tennessee's substate region, Region 3, is in group 3.
Tennessee's substate region, Region 4 (Davidson), is in group 4.
Tennessee's substate region, Region 5, is in group 3.
Tennessee's substate region, Region 6, is in group 4.
Tennessee's substate region, Region 7 (Shelby), is in group 1.
Texas's substate region, Region 1, is in group 4.
Texas's substate region, Region 2, is in group 5.
Texas's substate region, Region 3, is in group 2.
Texas's substate region, Region 4, is in group 3.
Texas's substate region, Region 5, is in group 3.
Texas's substate region, Region 6, is in group 1.
Texas's substate region, Region 7, is in group 5.
Texas's substate region, Region 8, is in group 3.
Texas's substate region, Region 9, is in group 4.
Texas's substate region, Region 10, is in group 2.
Texas's substate region, Region 11, is in group 2.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 1.
Utah's substate region, Central, Four Corners, and San Juan, is in group 1.
Utah's substate region, Southwest, is in group 1.
Utah's substate region, Davis County, is in group 1.
Utah's substate region, Salt Lake County, is in group 2.
Utah's substate region, Utah County, is in group 1.
Utah's substate region, Weber, Morgan, is in group 1.
Vermont's substate region, Champlain Valley, is in group 7.
Vermont's substate region, Rural Northeast, is in group 6.
Vermont's substate region, Rural Southeast, is in group 6.
Vermont's substate region, Rural Southwest, is in group 6.
Virginia's substate region, Region 1, is in group 5.
Virginia's substate region, Region 2, is in group 2.
Virginia's substate region, Region 3, is in group 4.
Virginia's substate region, Region 4, is in group 4.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 4.
Washington's substate region, Region 2, is in group 3.
Washington's substate region, Region 3, is in group 4.
West Virginia's substate region, Region I, is in group 5.
West Virginia's substate region, Region II, is in group 4.
West Virginia's substate region, Region III, is in group 3.
West Virginia's substate region, Region IV, is in group 6.
West Virginia's substate region, Region V, is in group 3.
West Virginia's substate region, Region VI, is in group 3.
Wisconsin's substate region, Milwaukee, is in group 4.
Wisconsin's substate region, Northeastern, is in group 5.
Wisconsin's substate region, Northern, is in group 5.
Wisconsin's substate region, Southeastern, is in group 5.
Wisconsin's substate region, Southern, is in group 5.
Wisconsin's substate region, Western, is in group 6.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 7.
Wyoming's substate region, Judicial District 3, is in group 2.
Wyoming's substate region, Judicial District 4, is in group 3.
Wyoming's substate region, Judicial District 5, is in group 4.
Wyoming's substate region, Judicial District 6, is in group 3.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 4.
Wyoming's substate region, Judicial District 8, is in group 4.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 17.

Long description, Figure 18. Figure 18 is a U.S. map showing tobacco product use in the past month among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 11.20 to 14.76 percent.
The next to lowest group, group 2's percentages ranged from 14.77 to 17.67 percent.
The next lowest group, group 3's percentages ranged from 17.68 to 22.51 percent.
The middle group, group 4's percentages ranged from 22.52 to 26.98 percent.
The next highest group, group 5's percentages ranged from 26.99 to 30.66 percent.
The next to highest group, group 6's percentages ranged from 30.67 to 33.62 percent.
The highest group, group 7's percentages ranged from 33.63 to 40.26 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 6.
Alabama's substate region, Region 2, is in group 5.
Alabama's substate region, Region 3, is in group 4.
Alabama's substate region, Region 4, is in group 5.
Alaska's substate region, Anchorage, is in group 3.
Alaska's substate region, Northern, is in group 7.
Alaska's substate region, South Central, is in group 4.
Alaska's substate region, Southeast, is in group 4.
Arizona's substate region, Central, is in group 3.
Arizona's substate region, North, is in group 5.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 4.
Arkansas's substate region, Catchment Area 1, is in group 4.
Arkansas's substate region, Catchment Area 2, is in group 6.
Arkansas's substate region, Catchment Area 3, is in group 6.
Arkansas's substate region, Catchment Area 4, is in group 6.
Arkansas's substate region, Catchment Area 5, is in group 6.
Arkansas's substate region, Catchment Area 6, is in group 7.
Arkansas's substate region, Catchment Area 7, is in group 7.
Arkansas's substate region, Catchment Area 8, is in group 5.
California's substate region, Region 1R, is in group 4.
California's substate region, Region 2R, is in group 2.
California's substate region, Region 3R (Sacramento), is in group 3.
California's substate region, Region 4R, is in group 2.
California's substate region, Region 5R (San Francisco), is in group 2.
California's substate region, Region 6 (Santa Clara), is in group 1.
California's substate region, Region 7R (Contra Costa), is in group 1.
California's substate region, Region 8R (Alameda), is in group 1.
California's substate region, Region 9R (San Mateo), is in group 1.
California's substate region, Region 10, is in group 1.
California's substate region, LA SPA 1 and 5, is in group 1.
California's substate region, LA SPA 2, is in group 1.
California's substate region, LA SPA 3, is in group 1.
California's substate region, LA SPA 4, is in group 1.
California's substate region, LA SPA 6, is in group 2.
California's substate region, LA SPA 7, is in group 1.
California's substate region, LA SPA 8, is in group 2.
California's substate region, Region 12R, is in group 3.
California's substate region, Regions 13 and 19R, is in group 2.
California's substate region, Region 14 (Orange), is in group 1.
California's substate region, Region 15R (Fresno), is in group 2.
California's substate region, Region 16R (San Diego), is in group 2.
California's substate region, Region 17R, is in group 3.
California's substate region, Region 18R (San Bernardino), is in group 2.
California's substate region, Region 20R, is in group 2.
California's substate region, Region 21R, is in group 2.
Colorado's substate region, Region 1, is in group 3.
Colorado's substate region, Region 2, is in group 4.
Colorado's substate region, Region 3, is in group 2.
Colorado's substate region, Region 4, is in group 4.
Colorado's substate region, Region 5, is in group 3.
Colorado's substate region, Region 6, is in group 3.
Colorado's substate region, Region 7, is in group 3.
Connecticut's substate region, Eastern, is in group 3.
Connecticut's substate region, North Central, is in group 3.
Connecticut's substate region, Northwestern, is in group 4.
Connecticut's substate region, South Central, is in group 3.
Connecticut's substate region, Southwest, is in group 2.
Delaware's substate region, Kent, is in group 4.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 3.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 5.
District of Columbia's substate region, Ward 1, is in group 3.
District of Columbia's substate region, Ward 2, is in group 3.
District of Columbia's substate region, Ward 3, is in group 3.
District of Columbia's substate region, Ward 4, is in group 3.
District of Columbia's substate region, Ward 5, is in group 4.
District of Columbia's substate region, Ward 6, is in group 3.
District of Columbia's substate region, Ward 7, is in group 4.
District of Columbia's substate region, Ward 8, is in group 6.
Florida's substate region, Broward (Circuit 17), is in group 2.
Florida's substate region, Circuit 9, is in group 2.
Florida's substate region, Circuit 18, is in group 3.
Florida's substate region, Circuit 6, is in group 4.
Florida's substate region, Circuit 10, is in group 4.
Florida's substate region, Circuit 12, is in group 3.
Florida's substate region, Circuit 13 (Hillsborough), is in group 3.
Florida's substate region, Circuit 20, is in group 3.
Florida's substate region, Circuit 4, is in group 4.
Florida's substate region, Circuit 5, is in group 4.
Florida's substate region, Circuit 7, is in group 3.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 4.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 4.
Florida's substate region, Circuit 14, is in group 5.
Florida's substate region, South (Circuits 11 and 16), is in group 1.
Florida's substate region, Circuit 15 (Palm Beach), is in group 2.
Florida's substate region, Circuit 19, is in group 4.
Georgia's substate region, Region 1, is in group 4.
Georgia's substate region, Region 2, is in group 5.
Georgia's substate region, Region 3, is in group 3.
Georgia's substate region, Region 4, is in group 6.
Georgia's substate region, Region 5, is in group 5.
Georgia's substate region, Region 6, is in group 4.
Hawaii's substate region, Hawaii Island, is in group 3.
Hawaii's substate region, Honolulu, is in group 2.
Hawaii's substate region, Kauai, is in group 2.
Hawaii's substate region, Maui, is in group 2.
Idaho's substate region, Region 1, is in group 4.
Idaho's substate region, Region 2, is in group 4.
Idaho's substate region, Region 3, is in group 4.
Idaho's substate region, Region 4, is in group 3.
Idaho's substate region, Region 5, is in group 4.
Idaho's substate region, Region 6, is in group 3.
Idaho's substate region, Region 7, is in group 3.
Illinois's substate region, Region 1.1 (Far North Side), is in group 3.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 2.
Illinois's substate region, Region 1.3 (North Central Side), is in group 2.
Illinois's substate region, Region 1.4 (West Side), is in group 3.
Illinois's substate region, Region 1.5 (South Side), is in group 3.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 3.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 2.
Illinois's substate region, Region 2a (DuPage), is in group 1.
Illinois's substate region, Region 2b, is in group 3.
Illinois's substate region, Region 2c (Winnebago), is in group 4.
Illinois's substate region, Region 2d, is in group 3.
Illinois's substate region, Region 3a (Champaign), is in group 3.
Illinois's substate region, Region 3b, is in group 5.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 5.
Illinois's substate region, Region 5a, is in group 4.
Illinois's substate region, Region 5b, is in group 6.
Indiana's substate region, Central, is in group 3.
Indiana's substate region, East, is in group 5.
Indiana's substate region, North Central, is in group 5.
Indiana's substate region, Northeast, is in group 4.
Indiana's substate region, Northwest, is in group 5.
Indiana's substate region, Southeast, is in group 6.
Indiana's substate region, Southwest, is in group 5.
Indiana's substate region, West, is in group 5.
Iowa's substate region, Central, is in group 4.
Iowa's substate region, North Central, is in group 4.
Iowa's substate region, Northeast, is in group 5.
Iowa's substate region, Northwest, is in group 4.
Iowa's substate region, Southeast, is in group 4.
Iowa's substate region, Southwest, is in group 4.
Kansas's substate region, Northeast, is in group 3.
Kansas's substate region, Northwest and North Central, is in group 5.
Kansas's substate region, South Central, is in group 5.
Kansas's substate region, Southeast, is in group 6.
Kansas's substate region, Southwest, is in group 4.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 7.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 6.
Kentucky's substate region, Centerstone, is in group 5.
Kentucky's substate region, Communicare and River Valley, is in group 7.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 7.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 7.
Louisiana's substate region, Region 1, is in group 4.
Louisiana's substate region, Region 10 (Jefferson), is in group 4.
Louisiana's substate region, Regions 2 and 9, is in group 5.
Louisiana's substate region, Region 3, is in group 5.
Louisiana's substate region, Regions 4, 5, and 6, is in group 6.
Louisiana's substate region, Regions 7 and 8, is in group 6.
Maine's substate region, Aroostook, is in group 5.
Maine's substate region, Downeast, is in group 3.
Maine's substate region, Central, is in group 4.
Maine's substate region, Cumberland, is in group 3.
Maine's substate region, Midcoast, is in group 3.
Maine's substate region, Penquis, is in group 4.
Maine's substate region, Western, is in group 4.
Maine's substate region, York, is in group 3.
Maryland's substate region, Anne Arundel, is in group 3.
Maryland's substate region, Baltimore City, is in group 4.
Maryland's substate region, Baltimore County, is in group 3.
Maryland's substate region, Montgomery, is in group 1.
Maryland's substate region, North Central, is in group 2.
Maryland's substate region, Northeast, is in group 3.
Maryland's substate region, Prince George's, is in group 2.
Maryland's substate region, South, is in group 3.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 3.
Massachusetts's substate region, Central, is in group 4.
Massachusetts's substate region, Metrowest, is in group 3.
Massachusetts's substate region, Northeast, is in group 3.
Massachusetts's substate region, Southeast, is in group 4.
Massachusetts's substate region, Western, is in group 4.
Michigan's substate region, Region 1, is in group 6.
Michigan's substate region, Region 2, is in group 5.
Michigan's substate region, Region 3, is in group 4.
Michigan's substate region, Region 4, is in group 5.
Michigan's substate region, Region 5, is in group 5.
Michigan's substate region, Region 6, is in group 3.
Michigan's substate region, Region 7, is in group 4.
Michigan's substate region, Region 8, is in group 3.
Michigan's substate region, Region 9, is in group 4.
Michigan's substate region, Region 10, is in group 5.
Minnesota's substate region, Region 1, is in group 5.
Minnesota's substate region, Region 2, is in group 4.
Minnesota's substate region, Region 3, is in group 4.
Minnesota's substate region, Region 4, is in group 4.
Minnesota's substate region, Region 5, is in group 5.
Minnesota's substate region, Region 6, is in group 4.
Minnesota's substate region, Region 7A (Hennepin), is in group 2.
Minnesota's substate region, Region 7B (Ramsey), is in group 3.
Minnesota's substate region, Region 7C, is in group 3.
Mississippi's substate region, Region 1, is in group 6.
Mississippi's substate region, Region 2, is in group 5.
Mississippi's substate region, Region 3, is in group 6.
Mississippi's substate region, Region 4, is in group 4.
Mississippi's substate region, Region 5, is in group 7.
Mississippi's substate region, Region 6, is in group 6.
Mississippi's substate region, Region 7, is in group 7.
Missouri's substate region, Central, is in group 5.
Missouri's substate region, Eastern (St. Louis City and County), is in group 3.
Missouri's substate region, Eastern (excluding St. Louis), is in group 4.
Missouri's substate region, Northwest (Jackson), is in group 5.
Missouri's substate region, Northwest (excluding Jackson), is in group 4.
Missouri's substate region, Southeast, is in group 6.
Missouri's substate region, Southwest, is in group 5.
Montana's substate region, Region 1, is in group 5.
Montana's substate region, Region 2, is in group 5.
Montana's substate region, Region 3, is in group 5.
Montana's substate region, Region 4, is in group 5.
Montana's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 1, is in group 5.
Nebraska's substate region, Region 2, is in group 5.
Nebraska's substate region, Region 3, is in group 5.
Nebraska's substate region, Region 4, is in group 4.
Nebraska's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 6, is in group 4.
Nevada's substate region, Clark - Region 1, is in group 4.
Nevada's substate region, Capital District, is in group 5.
Nevada's substate region, Rural/Frontier, is in group 5.
Nevada's substate region, Washoe - Region 2, is in group 4.
New Hampshire's substate region, Central, is in group 4.
New Hampshire's substate region, Northern, is in group 4.
New Hampshire's substate region, Southern, is in group 3.
New Jersey's substate region, Central, is in group 3.
New Jersey's substate region, Metropolitan, is in group 3.
New Jersey's substate region, Northern, is in group 2.
New Jersey's substate region, Southern, is in group 4.
New Mexico's substate region, Region 1, is in group 4.
New Mexico's substate region, Region 2, is in group 3.
New Mexico's substate region, Region 3 (Bernalillo), is in group 4.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 5.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 2.
New York's substate region, Region 2A: Bronx, is in group 2.
New York's substate region, Region 2B: Kings, is in group 2.
New York's substate region, Region 2C: New York, is in group 2.
New York's substate region, Region 2D: Queens, is in group 2.
New York's substate region, Region 2E: Richmond, is in group 3.
New York's substate region, Region 3: Mid-Hudson, is in group 2.
New York's substate region, Region 4: Capital Region, is in group 4.
New York's substate region, Region 5: Mohawk Valley, is in group 5.
New York's substate region, Region 6: North Country, is in group 5.
New York's substate region, Region 7: Tug Hill Seaway, is in group 5.
New York's substate region, Region 8: Central, is in group 4.
New York's substate region, Region 9: Southern Tier, is in group 4.
New York's substate region, Region 10: Finger Lakes, is in group 4.
New York's substate region, Region 11: Western, is in group 5.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 3.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 2.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 3.
North Carolina's substate region, CenterPoint Human Services, is in group 4.
North Carolina's substate region, Eastpointe, is in group 6.
North Carolina's substate region, Partners Behavioral Health Management, is in group 5.
North Carolina's substate region, Sandhills Center 1, is in group 5.
North Carolina's substate region, Sandhills Center 2, is in group 3.
North Carolina's substate region, Smoky Mountain Center 1, is in group 5.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 4.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 4.
North Dakota's substate region, West Central, is in group 4.
North Dakota's substate region, Lake Region, is in group 6.
North Dakota's substate region, North Central, is in group 4.
North Dakota's substate region, Northeast, is in group 4.
North Dakota's substate region, Northwest, is in group 5.
North Dakota's substate region, South Central, is in group 5.
North Dakota's substate region, Southeast, is in group 4.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 5.
Ohio's substate region, Boards 3, 52, and 85, is in group 4.
Ohio's substate region, Boards 4 and 78, is in group 6.
Ohio's substate region, Boards 5 and 60, is in group 7.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 5.
Ohio's substate region, Boards 8, 13, and 83, is in group 4.
Ohio's substate region, Board 9 (Butler), is in group 5.
Ohio's substate region, Board 12, is in group 5.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 5.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 4.
Ohio's substate region, Boards 22, 74, and 87, is in group 5.
Ohio's substate region, Boards 23 and 45, is in group 4.
Ohio's substate region, Board 25 (Franklin), is in group 4.
Ohio's substate region, Boards 27, 71, and 73, is in group 7.
Ohio's substate region, Boards 28, 43, and 67, is in group 4.
Ohio's substate region, Board 31 (Hamilton), is in group 4.
Ohio's substate region, Board 48 (Lucas), is in group 6.
Ohio's substate region, Boards 50 and 76, is in group 5.
Ohio's substate region, Board 57 (Montgomery), is in group 5.
Ohio's substate region, Board 77 (Summit), is in group 4.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 7.
Oklahoma's substate region, Northeast, is in group 5.
Oklahoma's substate region, Northwest and Southwest, is in group 6.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 7.
Oklahoma's substate region, Tulsa County, is in group 4.
Oregon's substate region, Region 1 (Multnomah), is in group 3.
Oregon's substate region, Region 2, is in group 2.
Oregon's substate region, Region 3, is in group 4.
Oregon's substate region, Region 4, is in group 5.
Oregon's substate region, Region 5 (Central), is in group 3.
Oregon's substate region, Region 6 (Eastern), is in group 4.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 4.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 5.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 5.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 5.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 5.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 3.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 6.
Pennsylvania's substate region, Regions 17 and 21, is in group 6.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 4.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 5.
Pennsylvania's substate region, Regions 29 and 34, is in group 4.
Pennsylvania's substate region, Regions 30 and 50, is in group 6.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 4.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 4.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 4.
Rhode Island's substate region, Region 3: Providence, is in group 3.
Rhode Island's substate region, Region 4: Kent County, is in group 3.
Rhode Island's substate region, Region 5: East Bay, is in group 3.
Rhode Island's substate region, Region 6: Newport County, is in group 3.
Rhode Island's substate region, Region 7: South County, is in group 3.
South Carolina's substate region, Region 1, is in group 5.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 5.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 5.
South Dakota's substate region, Region 2, is in group 6.
South Dakota's substate region, Region 3, is in group 4.
South Dakota's substate region, Region 4, is in group 5.
South Dakota's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 1, is in group 6.
Tennessee's substate region, Region 2, is in group 6.
Tennessee's substate region, Region 3, is in group 6.
Tennessee's substate region, Region 4 (Davidson), is in group 4.
Tennessee's substate region, Region 5, is in group 5.
Tennessee's substate region, Region 6, is in group 6.
Tennessee's substate region, Region 7 (Shelby), is in group 4.
Texas's substate region, Region 1, is in group 5.
Texas's substate region, Region 2, is in group 6.
Texas's substate region, Region 3, is in group 3.
Texas's substate region, Region 4, is in group 6.
Texas's substate region, Region 5, is in group 6.
Texas's substate region, Region 6, is in group 3.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 3.
Texas's substate region, Region 9, is in group 4.
Texas's substate region, Region 10, is in group 3.
Texas's substate region, Region 11, is in group 3.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 1.
Utah's substate region, Central, Four Corners, and San Juan, is in group 3.
Utah's substate region, Southwest, is in group 2.
Utah's substate region, Davis County, is in group 1.
Utah's substate region, Salt Lake County, is in group 2.
Utah's substate region, Utah County, is in group 1.
Utah's substate region, Weber, Morgan, is in group 2.
Vermont's substate region, Champlain Valley, is in group 4.
Vermont's substate region, Rural Northeast, is in group 5.
Vermont's substate region, Rural Southeast, is in group 4.
Vermont's substate region, Rural Southwest, is in group 5.
Virginia's substate region, Region 1, is in group 4.
Virginia's substate region, Region 2, is in group 1.
Virginia's substate region, Region 3, is in group 5.
Virginia's substate region, Region 4, is in group 4.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 4.
Washington's substate region, Region 2, is in group 3.
Washington's substate region, Region 3, is in group 4.
West Virginia's substate region, Region I, is in group 7.
West Virginia's substate region, Region II, is in group 6.
West Virginia's substate region, Region III, is in group 7.
West Virginia's substate region, Region IV, is in group 7.
West Virginia's substate region, Region V, is in group 7.
West Virginia's substate region, Region VI, is in group 7.
Wisconsin's substate region, Milwaukee, is in group 4.
Wisconsin's substate region, Northeastern, is in group 4.
Wisconsin's substate region, Northern, is in group 5.
Wisconsin's substate region, Southeastern, is in group 3.
Wisconsin's substate region, Southern, is in group 4.
Wisconsin's substate region, Western, is in group 4.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 4.
Wyoming's substate region, Judicial District 3, is in group 4.
Wyoming's substate region, Judicial District 4, is in group 4.
Wyoming's substate region, Judicial District 5, is in group 4.
Wyoming's substate region, Judicial District 6, is in group 6.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 5.
Wyoming's substate region, Judicial District 8, is in group 6.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 18.

Long description, Figure 19. Figure 19 is a U.S. map showing cigarette use in the past month among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 8.84 to 11.69 percent.
The next to lowest group, group 2's percentages ranged from 11.70 to 14.10 percent.
The next lowest group, group 3's percentages ranged from 14.11 to 18.21 percent.
The middle group, group 4's percentages ranged from 18.22 to 21.42 percent.
The next highest group, group 5's percentages ranged from 21.43 to 24.36 percent.
The next to highest group, group 6's percentages ranged from 24.37 to 27.31 percent.
The highest group, group 7's percentages ranged from 27.32 to 33.71 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 6.
Alabama's substate region, Region 2, is in group 5.
Alabama's substate region, Region 3, is in group 5.
Alabama's substate region, Region 4, is in group 5.
Alaska's substate region, Anchorage, is in group 3.
Alaska's substate region, Northern, is in group 6.
Alaska's substate region, South Central, is in group 4.
Alaska's substate region, Southeast, is in group 3.
Arizona's substate region, Central, is in group 3.
Arizona's substate region, North, is in group 5.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 4.
Arkansas's substate region, Catchment Area 1, is in group 4.
Arkansas's substate region, Catchment Area 2, is in group 6.
Arkansas's substate region, Catchment Area 3, is in group 6.
Arkansas's substate region, Catchment Area 4, is in group 6.
Arkansas's substate region, Catchment Area 5, is in group 5.
Arkansas's substate region, Catchment Area 6, is in group 7.
Arkansas's substate region, Catchment Area 7, is in group 7.
Arkansas's substate region, Catchment Area 8, is in group 5.
California's substate region, Region 1R, is in group 4.
California's substate region, Region 2R, is in group 2.
California's substate region, Region 3R (Sacramento), is in group 3.
California's substate region, Region 4R, is in group 2.
California's substate region, Region 5R (San Francisco), is in group 2.
California's substate region, Region 6 (Santa Clara), is in group 1.
California's substate region, Region 7R (Contra Costa), is in group 1.
California's substate region, Region 8R (Alameda), is in group 1.
California's substate region, Region 9R (San Mateo), is in group 1.
California's substate region, Region 10, is in group 1.
California's substate region, LA SPA 1 and 5, is in group 1.
California's substate region, LA SPA 2, is in group 1.
California's substate region, LA SPA 3, is in group 1.
California's substate region, LA SPA 4, is in group 2.
California's substate region, LA SPA 6, is in group 3.
California's substate region, LA SPA 7, is in group 1.
California's substate region, LA SPA 8, is in group 2.
California's substate region, Region 12R, is in group 3.
California's substate region, Regions 13 and 19R, is in group 2.
California's substate region, Region 14 (Orange), is in group 1.
California's substate region, Region 15R (Fresno), is in group 2.
California's substate region, Region 16R (San Diego), is in group 2.
California's substate region, Region 17R, is in group 3.
California's substate region, Region 18R (San Bernardino), is in group 2.
California's substate region, Region 20R, is in group 3.
California's substate region, Region 21R, is in group 2.
Colorado's substate region, Region 1, is in group 3.
Colorado's substate region, Region 2, is in group 3.
Colorado's substate region, Region 3, is in group 2.
Colorado's substate region, Region 4, is in group 4.
Colorado's substate region, Region 5, is in group 4.
Colorado's substate region, Region 6, is in group 3.
Colorado's substate region, Region 7, is in group 3.
Connecticut's substate region, Eastern, is in group 3.
Connecticut's substate region, North Central, is in group 3.
Connecticut's substate region, Northwestern, is in group 4.
Connecticut's substate region, South Central, is in group 3.
Connecticut's substate region, Southwest, is in group 2.
Delaware's substate region, Kent, is in group 4.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 3.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 6.
District of Columbia's substate region, Ward 1, is in group 3.
District of Columbia's substate region, Ward 2, is in group 3.
District of Columbia's substate region, Ward 3, is in group 3.
District of Columbia's substate region, Ward 4, is in group 3.
District of Columbia's substate region, Ward 5, is in group 5.
District of Columbia's substate region, Ward 6, is in group 3.
District of Columbia's substate region, Ward 7, is in group 4.
District of Columbia's substate region, Ward 8, is in group 7.
Florida's substate region, Broward (Circuit 17), is in group 2.
Florida's substate region, Circuit 9, is in group 2.
Florida's substate region, Circuit 18, is in group 3.
Florida's substate region, Circuit 6, is in group 4.
Florida's substate region, Circuit 10, is in group 4.
Florida's substate region, Circuit 12, is in group 3.
Florida's substate region, Circuit 13 (Hillsborough), is in group 3.
Florida's substate region, Circuit 20, is in group 3.
Florida's substate region, Circuit 4, is in group 4.
Florida's substate region, Circuit 5, is in group 4.
Florida's substate region, Circuit 7, is in group 4.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 4.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 4.
Florida's substate region, Circuit 14, is in group 5.
Florida's substate region, South (Circuits 11 and 16), is in group 1.
Florida's substate region, Circuit 15 (Palm Beach), is in group 2.
Florida's substate region, Circuit 19, is in group 4.
Georgia's substate region, Region 1, is in group 3.
Georgia's substate region, Region 2, is in group 4.
Georgia's substate region, Region 3, is in group 2.
Georgia's substate region, Region 4, is in group 6.
Georgia's substate region, Region 5, is in group 6.
Georgia's substate region, Region 6, is in group 4.
Hawaii's substate region, Hawaii Island, is in group 2.
Hawaii's substate region, Honolulu, is in group 2.
Hawaii's substate region, Kauai, is in group 2.
Hawaii's substate region, Maui, is in group 2.
Idaho's substate region, Region 1, is in group 3.
Idaho's substate region, Region 2, is in group 3.
Idaho's substate region, Region 3, is in group 4.
Idaho's substate region, Region 4, is in group 3.
Idaho's substate region, Region 5, is in group 4.
Idaho's substate region, Region 6, is in group 4.
Idaho's substate region, Region 7, is in group 3.
Illinois's substate region, Region 1.1 (Far North Side), is in group 3.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 3.
Illinois's substate region, Region 1.3 (North Central Side), is in group 3.
Illinois's substate region, Region 1.4 (West Side), is in group 3.
Illinois's substate region, Region 1.5 (South Side), is in group 4.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 3.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 2.
Illinois's substate region, Region 2a (DuPage), is in group 1.
Illinois's substate region, Region 2b, is in group 3.
Illinois's substate region, Region 2c (Winnebago), is in group 4.
Illinois's substate region, Region 2d, is in group 4.
Illinois's substate region, Region 3a (Champaign), is in group 3.
Illinois's substate region, Region 3b, is in group 6.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 5.
Illinois's substate region, Region 5a, is in group 4.
Illinois's substate region, Region 5b, is in group 6.
Indiana's substate region, Central, is in group 3.
Indiana's substate region, East, is in group 5.
Indiana's substate region, North Central, is in group 5.
Indiana's substate region, Northeast, is in group 4.
Indiana's substate region, Northwest, is in group 5.
Indiana's substate region, Southeast, is in group 6.
Indiana's substate region, Southwest, is in group 6.
Indiana's substate region, West, is in group 5.
Iowa's substate region, Central, is in group 4.
Iowa's substate region, North Central, is in group 4.
Iowa's substate region, Northeast, is in group 4.
Iowa's substate region, Northwest, is in group 5.
Iowa's substate region, Southeast, is in group 4.
Iowa's substate region, Southwest, is in group 4.
Kansas's substate region, Northeast, is in group 3.
Kansas's substate region, Northwest and North Central, is in group 5.
Kansas's substate region, South Central, is in group 5.
Kansas's substate region, Southeast, is in group 6.
Kansas's substate region, Southwest, is in group 5.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 7.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 6.
Kentucky's substate region, Centerstone, is in group 5.
Kentucky's substate region, Communicare and River Valley, is in group 7.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 7.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 7.
Louisiana's substate region, Region 1, is in group 4.
Louisiana's substate region, Region 10 (Jefferson), is in group 3.
Louisiana's substate region, Regions 2 and 9, is in group 5.
Louisiana's substate region, Region 3, is in group 5.
Louisiana's substate region, Regions 4, 5, and 6, is in group 6.
Louisiana's substate region, Regions 7 and 8, is in group 5.
Maine's substate region, Aroostook, is in group 6.
Maine's substate region, Downeast, is in group 4.
Maine's substate region, Central, is in group 5.
Maine's substate region, Cumberland, is in group 3.
Maine's substate region, Midcoast, is in group 4.
Maine's substate region, Penquis, is in group 4.
Maine's substate region, Western, is in group 5.
Maine's substate region, York, is in group 3.
Maryland's substate region, Anne Arundel, is in group 3.
Maryland's substate region, Baltimore City, is in group 5.
Maryland's substate region, Baltimore County, is in group 3.
Maryland's substate region, Montgomery, is in group 1.
Maryland's substate region, North Central, is in group 2.
Maryland's substate region, Northeast, is in group 3.
Maryland's substate region, Prince George's, is in group 2.
Maryland's substate region, South, is in group 4.
Maryland's substate region, West, is in group 3.
Massachusetts's substate region, Boston, is in group 3.
Massachusetts's substate region, Central, is in group 4.
Massachusetts's substate region, Metrowest, is in group 3.
Massachusetts's substate region, Northeast, is in group 2.
Massachusetts's substate region, Southeast, is in group 4.
Massachusetts's substate region, Western, is in group 4.
Michigan's substate region, Region 1, is in group 6.
Michigan's substate region, Region 2, is in group 5.
Michigan's substate region, Region 3, is in group 4.
Michigan's substate region, Region 4, is in group 5.
Michigan's substate region, Region 5, is in group 5.
Michigan's substate region, Region 6, is in group 3.
Michigan's substate region, Region 7, is in group 5.
Michigan's substate region, Region 8, is in group 3.
Michigan's substate region, Region 9, is in group 4.
Michigan's substate region, Region 10, is in group 5.
Minnesota's substate region, Region 1, is in group 5.
Minnesota's substate region, Region 2, is in group 4.
Minnesota's substate region, Region 3, is in group 4.
Minnesota's substate region, Region 4, is in group 4.
Minnesota's substate region, Region 5, is in group 4.
Minnesota's substate region, Region 6, is in group 4.
Minnesota's substate region, Region 7A (Hennepin), is in group 3.
Minnesota's substate region, Region 7B (Ramsey), is in group 4.
Minnesota's substate region, Region 7C, is in group 2.
Mississippi's substate region, Region 1, is in group 6.
Mississippi's substate region, Region 2, is in group 6.
Mississippi's substate region, Region 3, is in group 6.
Mississippi's substate region, Region 4, is in group 4.
Mississippi's substate region, Region 5, is in group 7.
Mississippi's substate region, Region 6, is in group 6.
Mississippi's substate region, Region 7, is in group 6.
Missouri's substate region, Central, is in group 4.
Missouri's substate region, Eastern (St. Louis City and County), is in group 3.
Missouri's substate region, Eastern (excluding St.Louis), is in group 4.
Missouri's substate region, Northwest (Jackson), is in group 5.
Missouri's substate region, Northwest (excluding Jackson), is in group 4.
Missouri's substate region, Southeast, is in group 6.
Missouri's substate region, Southwest, is in group 5.
Montana's substate region, Region 1, is in group 5.
Montana's substate region, Region 2, is in group 5.
Montana's substate region, Region 3, is in group 4.
Montana's substate region, Region 4, is in group 4.
Montana's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 1, is in group 6.
Nebraska's substate region, Region 2, is in group 5.
Nebraska's substate region, Region 3, is in group 5.
Nebraska's substate region, Region 4, is in group 4.
Nebraska's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 6, is in group 4.
Nevada's substate region, Clark - Region 1, is in group 4.
Nevada's substate region, Capital District, is in group 4.
Nevada's substate region, Rural/Frontier, is in group 5.
Nevada's substate region, Washoe - Region 2, is in group 4.
New Hampshire's substate region, Central, is in group 4.
New Hampshire's substate region, Northern, is in group 3.
New Hampshire's substate region, Southern, is in group 3.
New Jersey's substate region, Central, is in group 3.
New Jersey's substate region, Metropolitan, is in group 3.
New Jersey's substate region, Northern, is in group 2.
New Jersey's substate region, Southern, is in group 4.
New Mexico's substate region, Region 1, is in group 5.
New Mexico's substate region, Region 2, is in group 3.
New Mexico's substate region, Region 3 (Bernalillo), is in group 4.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 5.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 1.
New York's substate region, Region 2A: Bronx, is in group 2.
New York's substate region, Region 2B: Kings, is in group 2.
New York's substate region, Region 2C: New York, is in group 3.
New York's substate region, Region 2D: Queens, is in group 2.
New York's substate region, Region 2E: Richmond, is in group 3.
New York's substate region, Region 3: Mid-Hudson, is in group 2.
New York's substate region, Region 4: Capital Region, is in group 4.
New York's substate region, Region 5: Mohawk Valley, is in group 5.
New York's substate region, Region 6: North Country, is in group 5.
New York's substate region, Region 7: Tug Hill Seaway, is in group 5.
New York's substate region, Region 8: Central, is in group 4.
New York's substate region, Region 9: Southern Tier, is in group 4.
New York's substate region, Region 10: Finger Lakes, is in group 4.
New York's substate region, Region 11: Western, is in group 5.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 2.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 5.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 3.
North Carolina's substate region, CenterPoint Human Services, is in group 4.
North Carolina's substate region, Eastpointe, is in group 6.
North Carolina's substate region, Partners Behavioral Health Management, is in group 5.
North Carolina's substate region, Sandhills Center 1, is in group 5.
North Carolina's substate region, Sandhills Center 2, is in group 3.
North Carolina's substate region, Smoky Mountain Center 1, is in group 5.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 5.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 4.
North Dakota's substate region, West Central, is in group 4.
North Dakota's substate region, Lake Region, is in group 6.
North Dakota's substate region, North Central, is in group 4.
North Dakota's substate region, Northeast, is in group 4.
North Dakota's substate region, Northwest, is in group 4.
North Dakota's substate region, South Central, is in group 4.
North Dakota's substate region, Southeast, is in group 4.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 5.
Ohio's substate region, Boards 3, 52, and 85, is in group 3.
Ohio's substate region, Boards 4 and 78, is in group 7.
Ohio's substate region, Boards 5 and 60, is in group 7.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 5.
Ohio's substate region, Boards 8, 13, and 83, is in group 4.
Ohio's substate region, Board 9 (Butler), is in group 4.
Ohio's substate region, Board 12, is in group 5.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 5.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 4.
Ohio's substate region, Boards 22, 74, and 87, is in group 5.
Ohio's substate region, Boards 23 and 45, is in group 4.
Ohio's substate region, Board 25 (Franklin), is in group 4.
Ohio's substate region, Boards 27, 71, and 73, is in group 7.
Ohio's substate region, Boards 28, 43, and 67, is in group 4.
Ohio's substate region, Board 31 (Hamilton), is in group 4.
Ohio's substate region, Board 48 (Lucas), is in group 6.
Ohio's substate region, Boards 50 and 76, is in group 6.
Ohio's substate region, Board 57 (Montgomery), is in group 5.
Ohio's substate region, Board 77 (Summit), is in group 4.
Oklahoma's substate region, Central, is in group 5.
Oklahoma's substate region, East Central, is in group 7.
Oklahoma's substate region, Northeast, is in group 5.
Oklahoma's substate region, Northwest and Southwest, is in group 6.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 7.
Oklahoma's substate region, Tulsa County, is in group 4.
Oregon's substate region, Region 1 (Multnomah), is in group 3.
Oregon's substate region, Region 2, is in group 2.
Oregon's substate region, Region 3, is in group 4.
Oregon's substate region, Region 4, is in group 4.
Oregon's substate region, Region 5 (Central), is in group 3.
Oregon's substate region, Region 6 (Eastern), is in group 4.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 4.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 4.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 4.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 5.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 5.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 2.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 6.
Pennsylvania's substate region, Regions 17 and 21, is in group 6.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 5.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 4.
Pennsylvania's substate region, Regions 29 and 34, is in group 4.
Pennsylvania's substate region, Regions 30 and 50, is in group 6.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 5.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 3.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 4.
Rhode Island's substate region, Region 3: Providence, is in group 4.
Rhode Island's substate region, Region 4: Kent County, is in group 3.
Rhode Island's substate region, Region 5: East Bay, is in group 3.
Rhode Island's substate region, Region 6: Newport County, is in group 2.
Rhode Island's substate region, Region 7: South County, is in group 2.
South Carolina's substate region, Region 1, is in group 5.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 5.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 5.
South Dakota's substate region, Region 2, is in group 6.
South Dakota's substate region, Region 3, is in group 4.
South Dakota's substate region, Region 4, is in group 5.
South Dakota's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 1, is in group 5.
Tennessee's substate region, Region 2, is in group 6.
Tennessee's substate region, Region 3, is in group 5.
Tennessee's substate region, Region 4 (Davidson), is in group 4.
Tennessee's substate region, Region 5, is in group 5.
Tennessee's substate region, Region 6, is in group 6.
Tennessee's substate region, Region 7 (Shelby), is in group 4.
Texas's substate region, Region 1, is in group 5.
Texas's substate region, Region 2, is in group 6.
Texas's substate region, Region 3, is in group 3.
Texas's substate region, Region 4, is in group 5.
Texas's substate region, Region 5, is in group 6.
Texas's substate region, Region 6, is in group 3.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 4.
Texas's substate region, Region 9, is in group 4.
Texas's substate region, Region 10, is in group 3.
Texas's substate region, Region 11, is in group 4.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 1.
Utah's substate region, Central, Four Corners, and San Juan, is in group 3.
Utah's substate region, Southwest, is in group 2.
Utah's substate region, Davis County, is in group 1.
Utah's substate region, Salt Lake County, is in group 2.
Utah's substate region, Utah County, is in group 1.
Utah's substate region, Weber, Morgan, is in group 3.
Vermont's substate region, Champlain Valley, is in group 4.
Vermont's substate region, Rural Northeast, is in group 5.
Vermont's substate region, Rural Southeast, is in group 3.
Vermont's substate region, Rural Southwest, is in group 5.
Virginia's substate region, Region 1, is in group 3.
Virginia's substate region, Region 2, is in group 1.
Virginia's substate region, Region 3, is in group 5.
Virginia's substate region, Region 4, is in group 4.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 4.
Washington's substate region, Region 2, is in group 3.
Washington's substate region, Region 3, is in group 4.
West Virginia's substate region, Region I, is in group 7.
West Virginia's substate region, Region II, is in group 5.
West Virginia's substate region, Region III, is in group 7.
West Virginia's substate region, Region IV, is in group 7.
West Virginia's substate region, Region V, is in group 7.
West Virginia's substate region, Region VI, is in group 7.
Wisconsin's substate region, Milwaukee, is in group 4.
Wisconsin's substate region, Northeastern, is in group 4.
Wisconsin's substate region, Northern, is in group 5.
Wisconsin's substate region, Southeastern, is in group 3.
Wisconsin's substate region, Southern, is in group 4.
Wisconsin's substate region, Western, is in group 4.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 4.
Wyoming's substate region, Judicial District 3, is in group 4.
Wyoming's substate region, Judicial District 4, is in group 3.
Wyoming's substate region, Judicial District 5, is in group 4.
Wyoming's substate region, Judicial District 6, is in group 5.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 5.
Wyoming's substate region, Judicial District 8, is in group 5.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 19.

Long description, Figure 20. Figure 20 is a U.S. map showing perceptions of great risk from smoking one or more packs of cigarettes per day among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The highest group, group 1's percentages ranged from 77.82 to 80.37 percent.
The next to highest group, group 2's percentages ranged from 75.65 to 77.81 percent.
The next highest group, group 3's percentages ranged from 72.40 to 75.64 percent.
The middle group, group 4's percentages ranged from 67.94 to 72.39 percent.
The next lowest group, group 5's percentages ranged from 65.82 to 67.93 percent.
The next to lowest group, group 6's percentages ranged from 64.22 to 65.81 percent.
The lowest group, group 7's percentages ranged from 61.23 to 64.21 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 5.
Alabama's substate region, Region 2, is in group 4.
Alabama's substate region, Region 3, is in group 4.
Alabama's substate region, Region 4, is in group 4.
Alaska's substate region, Anchorage, is in group 3.
Alaska's substate region, Northern, is in group 6.
Alaska's substate region, South Central, is in group 4.
Alaska's substate region, Southeast, is in group 4.
Arizona's substate region, Central, is in group 3.
Arizona's substate region, North, is in group 4.
Arizona's substate region, South A, is in group 3.
Arizona's substate region, South B, is in group 4.
Arkansas's substate region, Catchment Area 1, is in group 4.
Arkansas's substate region, Catchment Area 2, is in group 5.
Arkansas's substate region, Catchment Area 3, is in group 5.
Arkansas's substate region, Catchment Area 4, is in group 5.
Arkansas's substate region, Catchment Area 5, is in group 5.
Arkansas's substate region, Catchment Area 6, is in group 5.
Arkansas's substate region, Catchment Area 7, is in group 6.
Arkansas's substate region, Catchment Area 8, is in group 4.
California's substate region, Region 1R, is in group 4.
California's substate region, Region 2R, is in group 2.
California's substate region, Region 3R (Sacramento), is in group 3.
California's substate region, Region 4R, is in group 1.
California's substate region, Region 5R (San Francisco), is in group 2.
California's substate region, Region 6 (Santa Clara), is in group 2.
California's substate region, Region 7R (Contra Costa), is in group 1.
California's substate region, Region 8R (Alameda), is in group 2.
California's substate region, Region 9R (San Mateo), is in group 1.
California's substate region, Region 10, is in group 2.
California's substate region, LA SPA 1 and 5, is in group 2.
California's substate region, LA SPA 2, is in group 2.
California's substate region, LA SPA 3, is in group 2.
California's substate region, LA SPA 4, is in group 1.
California's substate region, LA SPA 6, is in group 2.
California's substate region, LA SPA 7, is in group 1.
California's substate region, LA SPA 8, is in group 2.
California's substate region, Region 12R, is in group 3.
California's substate region, Regions 13 and 19R, is in group 2.
California's substate region, Region 14 (Orange), is in group 2.
California's substate region, Region 15R (Fresno), is in group 3.
California's substate region, Region 16R (San Diego), is in group 2.
California's substate region, Region 17R, is in group 3.
California's substate region, Region 18R (San Bernardino), is in group 3.
California's substate region, Region 20R, is in group 3.
California's substate region, Region 21R, is in group 2.
Colorado's substate region, Region 1, is in group 3.
Colorado's substate region, Region 2, is in group 4.
Colorado's substate region, Region 3, is in group 2.
Colorado's substate region, Region 4, is in group 4.
Colorado's substate region, Region 5, is in group 3.
Colorado's substate region, Region 6, is in group 3.
Colorado's substate region, Region 7, is in group 4.
Connecticut's substate region, Eastern, is in group 4.
Connecticut's substate region, North Central, is in group 3.
Connecticut's substate region, Northwestern, is in group 3.
Connecticut's substate region, South Central, is in group 3.
Connecticut's substate region, Southwest, is in group 2.
Delaware's substate region, Kent, is in group 4.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 3.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 4.
District of Columbia's substate region, Ward 1, is in group 2.
District of Columbia's substate region, Ward 2, is in group 2.
District of Columbia's substate region, Ward 3, is in group 1.
District of Columbia's substate region, Ward 4, is in group 1.
District of Columbia's substate region, Ward 5, is in group 2.
District of Columbia's substate region, Ward 6, is in group 2.
District of Columbia's substate region, Ward 7, is in group 3.
District of Columbia's substate region, Ward 8, is in group 3.
Florida's substate region, Broward (Circuit 17), is in group 1.
Florida's substate region, Circuit 9, is in group 2.
Florida's substate region, Circuit 18, is in group 3.
Florida's substate region, Circuit 6, is in group 3.
Florida's substate region, Circuit 10, is in group 3.
Florida's substate region, Circuit 12, is in group 2.
Florida's substate region, Circuit 13 (Hillsborough), is in group 2.
Florida's substate region, Circuit 20, is in group 2.
Florida's substate region, Circuit 4, is in group 3.
Florida's substate region, Circuit 5, is in group 3.
Florida's substate region, Circuit 7, is in group 3.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 4.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 3.
Florida's substate region, Circuit 14, is in group 4.
Florida's substate region, South (Circuits 11 and 16), is in group 1.
Florida's substate region, Circuit 15 (Palm Beach), is in group 1.
Florida's substate region, Circuit 19, is in group 2.
Georgia's substate region, Region 1, is in group 4.
Georgia's substate region, Region 2, is in group 4.
Georgia's substate region, Region 3, is in group 3.
Georgia's substate region, Region 4, is in group 4.
Georgia's substate region, Region 5, is in group 4.
Georgia's substate region, Region 6, is in group 4.
Hawaii's substate region, Hawaii Island, is in group 4.
Hawaii's substate region, Honolulu, is in group 4.
Hawaii's substate region, Kauai, is in group 4.
Hawaii's substate region, Maui, is in group 4.
Idaho's substate region, Region 1, is in group 4.
Idaho's substate region, Region 2, is in group 4.
Idaho's substate region, Region 3, is in group 4.
Idaho's substate region, Region 4, is in group 3.
Idaho's substate region, Region 5, is in group 4.
Idaho's substate region, Region 6, is in group 4.
Idaho's substate region, Region 7, is in group 4.
Illinois's substate region, Region 1.1 (Far North Side), is in group 3.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 2.
Illinois's substate region, Region 1.3 (North Central Side), is in group 2.
Illinois's substate region, Region 1.4 (West Side), is in group 3.
Illinois's substate region, Region 1.5 (South Side), is in group 3.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 3.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 2.
Illinois's substate region, Region 2a (DuPage), is in group 2.
Illinois's substate region, Region 2b, is in group 3.
Illinois's substate region, Region 2c (Winnebago), is in group 4.
Illinois's substate region, Region 2d, is in group 4.
Illinois's substate region, Region 3a (Champaign), is in group 4.
Illinois's substate region, Region 3b, is in group 4.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 5.
Illinois's substate region, Region 5a, is in group 4.
Illinois's substate region, Region 5b, is in group 5.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 5.
Indiana's substate region, North Central, is in group 6.
Indiana's substate region, Northeast, is in group 5.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 5.
Indiana's substate region, Southwest, is in group 5.
Indiana's substate region, West, is in group 6.
Iowa's substate region, Central, is in group 6.
Iowa's substate region, North Central, is in group 6.
Iowa's substate region, Northeast, is in group 6.
Iowa's substate region, Northwest, is in group 7.
Iowa's substate region, Southeast, is in group 5.
Iowa's substate region, Southwest, is in group 5.
Kansas's substate region, Northeast, is in group 4.
Kansas's substate region, Northwest and North Central, is in group 5.
Kansas's substate region, South Central, is in group 5.
Kansas's substate region, Southeast, is in group 6.
Kansas's substate region, Southwest, is in group 5.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 7.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 6.
Kentucky's substate region, Centerstone, is in group 4.
Kentucky's substate region, Communicare and River Valley, is in group 7.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 6.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 7.
Louisiana's substate region, Region 1, is in group 4.
Louisiana's substate region, Region 10 (Jefferson), is in group 4.
Louisiana's substate region, Regions 2 and 9, is in group 4.
Louisiana's substate region, Region 3, is in group 5.
Louisiana's substate region, Regions 4, 5, and 6, is in group 5.
Louisiana's substate region, Regions 7 and 8, is in group 5.
Maine's substate region, Aroostook, is in group 5.
Maine's substate region, Downeast, is in group 4.
Maine's substate region, Central, is in group 5.
Maine's substate region, Cumberland, is in group 3.
Maine's substate region, Midcoast, is in group 4.
Maine's substate region, Penquis, is in group 4.
Maine's substate region, Western, is in group 4.
Maine's substate region, York, is in group 4.
Maryland's substate region, Anne Arundel, is in group 3.
Maryland's substate region, Baltimore City, is in group 3.
Maryland's substate region, Baltimore County, is in group 3.
Maryland's substate region, Montgomery, is in group 1.
Maryland's substate region, North Central, is in group 2.
Maryland's substate region, Northeast, is in group 3.
Maryland's substate region, Prince George's, is in group 1.
Maryland's substate region, South, is in group 3.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 3.
Massachusetts's substate region, Central, is in group 4.
Massachusetts's substate region, Metrowest, is in group 3.
Massachusetts's substate region, Northeast, is in group 3.
Massachusetts's substate region, Southeast, is in group 4.
Massachusetts's substate region, Western, is in group 3.
Michigan's substate region, Region 1, is in group 6.
Michigan's substate region, Region 2, is in group 5.
Michigan's substate region, Region 3, is in group 4.
Michigan's substate region, Region 4, is in group 5.
Michigan's substate region, Region 5, is in group 5.
Michigan's substate region, Region 6, is in group 4.
Michigan's substate region, Region 7, is in group 4.
Michigan's substate region, Region 8, is in group 4.
Michigan's substate region, Region 9, is in group 4.
Michigan's substate region, Region 10, is in group 5.
Minnesota's substate region, Region 1, is in group 6.
Minnesota's substate region, Region 2, is in group 5.
Minnesota's substate region, Region 3, is in group 5.
Minnesota's substate region, Region 4, is in group 5.
Minnesota's substate region, Region 5, is in group 5.
Minnesota's substate region, Region 6, is in group 5.
Minnesota's substate region, Region 7A (Hennepin), is in group 4.
Minnesota's substate region, Region 7B (Ramsey), is in group 4.
Minnesota's substate region, Region 7C, is in group 4.
Mississippi's substate region, Region 1, is in group 4.
Mississippi's substate region, Region 2, is in group 4.
Mississippi's substate region, Region 3, is in group 5.
Mississippi's substate region, Region 4, is in group 4.
Mississippi's substate region, Region 5, is in group 5.
Mississippi's substate region, Region 6, is in group 5.
Mississippi's substate region, Region 7, is in group 5.
Missouri's substate region, Central, is in group 6.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 6.
Missouri's substate region, Northwest (Jackson), is in group 5.
Missouri's substate region, Northwest (excluding Jackson), is in group 6.
Missouri's substate region, Southeast, is in group 7.
Missouri's substate region, Southwest, is in group 6.
Montana's substate region, Region 1, is in group 5.
Montana's substate region, Region 2, is in group 5.
Montana's substate region, Region 3, is in group 4.
Montana's substate region, Region 4, is in group 4.
Montana's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 1, is in group 6.
Nebraska's substate region, Region 2, is in group 5.
Nebraska's substate region, Region 3, is in group 7.
Nebraska's substate region, Region 4, is in group 5.
Nebraska's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 6, is in group 4.
Nevada's substate region, Clark - Region 1, is in group 3.
Nevada's substate region, Capital District, is in group 4.
Nevada's substate region, Rural/Frontier, is in group 5.
Nevada's substate region, Washoe - Region 2, is in group 4.
New Hampshire's substate region, Central, is in group 4.
New Hampshire's substate region, Northern, is in group 4.
New Hampshire's substate region, Southern, is in group 3.
New Jersey's substate region, Central, is in group 2.
New Jersey's substate region, Metropolitan, is in group 1.
New Jersey's substate region, Northern, is in group 2.
New Jersey's substate region, Southern, is in group 3.
New Mexico's substate region, Region 1, is in group 4.
New Mexico's substate region, Region 2, is in group 3.
New Mexico's substate region, Region 3 (Bernalillo), is in group 3.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 4.
New Mexico's substate region, Region 5b (Dona Ana), is in group 3.
New York's substate region, Region 1: Long Island, is in group 1.
New York's substate region, Region 2A: Bronx, is in group 2.
New York's substate region, Region 2B: Kings, is in group 1.
New York's substate region, Region 2C: New York, is in group 1.
New York's substate region, Region 2D: Queens, is in group 1.
New York's substate region, Region 2E: Richmond, is in group 2.
New York's substate region, Region 3: Mid-Hudson, is in group 1.
New York's substate region, Region 4: Capital Region, is in group 3.
New York's substate region, Region 5: Mohawk Valley, is in group 4.
New York's substate region, Region 6: North Country, is in group 4.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 3.
New York's substate region, Region 9: Southern Tier, is in group 4.
New York's substate region, Region 10: Finger Lakes, is in group 3.
New York's substate region, Region 11: Western, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 4.
North Carolina's substate region, CenterPoint Human Services, is in group 4.
North Carolina's substate region, Eastpointe, is in group 5.
North Carolina's substate region, Partners Behavioral Health Management, is in group 5.
North Carolina's substate region, Sandhills Center 1, is in group 5.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 6.
North Carolina's substate region, Smoky Mountain Center 2, is in group 5.
North Carolina's substate region, Trillium Health Resources 1, is in group 4.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 6.
North Dakota's substate region, West Central, is in group 5.
North Dakota's substate region, Lake Region, is in group 7.
North Dakota's substate region, North Central, is in group 7.
North Dakota's substate region, Northeast, is in group 6.
North Dakota's substate region, Northwest, is in group 7.
North Dakota's substate region, South Central, is in group 6.
North Dakota's substate region, Southeast, is in group 6.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 7.
Ohio's substate region, Boards 3, 52, and 85, is in group 6.
Ohio's substate region, Boards 4 and 78, is in group 7.
Ohio's substate region, Boards 5 and 60, is in group 7.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 6.
Ohio's substate region, Boards 8, 13, and 83, is in group 5.
Ohio's substate region, Board 9 (Butler), is in group 5.
Ohio's substate region, Board 12, is in group 5.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 7.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 5.
Ohio's substate region, Boards 22, 74, and 87, is in group 6.
Ohio's substate region, Boards 23 and 45, is in group 5.
Ohio's substate region, Board 25 (Franklin), is in group 4.
Ohio's substate region, Boards 27, 71, and 73, is in group 7.
Ohio's substate region, Boards 28, 43, and 67, is in group 4.
Ohio's substate region, Board 31 (Hamilton), is in group 4.
Ohio's substate region, Board 48 (Lucas), is in group 6.
Ohio's substate region, Boards 50 and 76, is in group 5.
Ohio's substate region, Board 57 (Montgomery), is in group 5.
Ohio's substate region, Board 77 (Summit), is in group 4.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 7.
Oklahoma's substate region, Northeast, is in group 6.
Oklahoma's substate region, Northwest and Southwest, is in group 5.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 7.
Oklahoma's substate region, Tulsa County, is in group 4.
Oregon's substate region, Region 1 (Multnomah), is in group 3.
Oregon's substate region, Region 2, is in group 3.
Oregon's substate region, Region 3, is in group 4.
Oregon's substate region, Region 4, is in group 4.
Oregon's substate region, Region 5 (Central), is in group 4.
Oregon's substate region, Region 6 (Eastern), is in group 4.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 4.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 5.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 4.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 5.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 5.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 3.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 6.
Pennsylvania's substate region, Regions 17 and 21, is in group 5.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 5.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 5.
Pennsylvania's substate region, Regions 29 and 34, is in group 3.
Pennsylvania's substate region, Regions 30 and 50, is in group 5.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 4.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 3.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 3.
Rhode Island's substate region, Region 3: Providence, is in group 4.
Rhode Island's substate region, Region 4: Kent County, is in group 3.
Rhode Island's substate region, Region 5: East Bay, is in group 3.
Rhode Island's substate region, Region 6: Newport County, is in group 3.
Rhode Island's substate region, Region 7: South County, is in group 3.
South Carolina's substate region, Region 1, is in group 5.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 4.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 5.
South Dakota's substate region, Region 2, is in group 7.
South Dakota's substate region, Region 3, is in group 5.
South Dakota's substate region, Region 4, is in group 5.
South Dakota's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 1, is in group 5.
Tennessee's substate region, Region 2, is in group 5.
Tennessee's substate region, Region 3, is in group 5.
Tennessee's substate region, Region 4 (Davidson), is in group 3.
Tennessee's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 6, is in group 5.
Tennessee's substate region, Region 7 (Shelby), is in group 4.
Texas's substate region, Region 1, is in group 4.
Texas's substate region, Region 2, is in group 4.
Texas's substate region, Region 3, is in group 3.
Texas's substate region, Region 4, is in group 5.
Texas's substate region, Region 5, is in group 5.
Texas's substate region, Region 6, is in group 3.
Texas's substate region, Region 7, is in group 3.
Texas's substate region, Region 8, is in group 3.
Texas's substate region, Region 9, is in group 4.
Texas's substate region, Region 10, is in group 3.
Texas's substate region, Region 11, is in group 3.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 3.
Utah's substate region, Central, Four Corners, and San Juan, is in group 4.
Utah's substate region, Southwest, is in group 3.
Utah's substate region, Davis County, is in group 2.
Utah's substate region, Salt Lake County, is in group 2.
Utah's substate region, Utah County, is in group 3.
Utah's substate region, Weber, Morgan, is in group 3.
Vermont's substate region, Champlain Valley, is in group 3.
Vermont's substate region, Rural Northeast, is in group 4.
Vermont's substate region, Rural Southeast, is in group 4.
Vermont's substate region, Rural Southwest, is in group 4.
Virginia's substate region, Region 1, is in group 3.
Virginia's substate region, Region 2, is in group 2.
Virginia's substate region, Region 3, is in group 4.
Virginia's substate region, Region 4, is in group 4.
Virginia's substate region, Region 5, is in group 3.
Washington's substate region, Region 1, is in group 4.
Washington's substate region, Region 2, is in group 3.
Washington's substate region, Region 3, is in group 4.
West Virginia's substate region, Region I, is in group 6.
West Virginia's substate region, Region II, is in group 5.
West Virginia's substate region, Region III, is in group 6.
West Virginia's substate region, Region IV, is in group 6.
West Virginia's substate region, Region V, is in group 6.
West Virginia's substate region, Region VI, is in group 6.
Wisconsin's substate region, Milwaukee, is in group 4.
Wisconsin's substate region, Northeastern, is in group 5.
Wisconsin's substate region, Northern, is in group 6.
Wisconsin's substate region, Southeastern, is in group 4.
Wisconsin's substate region, Southern, is in group 5.
Wisconsin's substate region, Western, is in group 6.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 5.
Wyoming's substate region, Judicial District 3, is in group 5.
Wyoming's substate region, Judicial District 4, is in group 4.
Wyoming's substate region, Judicial District 5, is in group 4.
Wyoming's substate region, Judicial District 6, is in group 6.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 5.
Wyoming's substate region, Judicial District 8, is in group 7.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 20.

Long description, Figure 21. Figure 21 is a U.S. map showing illicit drug use disorder in the past year among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 1.96 to 2.24 percent.
The next to lowest group, group 2's percentages ranged from 2.25 to 2.42 percent.
The next lowest group, group 3's percentages ranged from 2.43 to 2.66 percent.
The middle group, group 4's percentages ranged from 2.67 to 3.03 percent.
The next highest group, group 5's percentages ranged from 3.04 to 3.47 percent.
The next to highest group, group 6's percentages ranged from 3.48 to 4.02 percent.
The highest group, group 7's percentages ranged from 4.03 to 5.33 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 4.
Alabama's substate region, Region 2, is in group 4.
Alabama's substate region, Region 3, is in group 5.
Alabama's substate region, Region 4, is in group 4.
Alaska's substate region, Anchorage, is in group 6.
Alaska's substate region, Northern, is in group 7.
Alaska's substate region, South Central, is in group 6.
Alaska's substate region, Southeast, is in group 6.
Arizona's substate region, Central, is in group 4.
Arizona's substate region, North, is in group 5.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 4.
Arkansas's substate region, Catchment Area 1, is in group 3.
Arkansas's substate region, Catchment Area 2, is in group 3.
Arkansas's substate region, Catchment Area 3, is in group 5.
Arkansas's substate region, Catchment Area 4, is in group 4.
Arkansas's substate region, Catchment Area 5, is in group 4.
Arkansas's substate region, Catchment Area 6, is in group 5.
Arkansas's substate region, Catchment Area 7, is in group 4.
Arkansas's substate region, Catchment Area 8, is in group 5.
California's substate region, Region 1R, is in group 7.
California's substate region, Region 2R, is in group 5.
California's substate region, Region 3R (Sacramento), is in group 5.
California's substate region, Region 4R, is in group 4.
California's substate region, Region 5R (San Francisco), is in group 5.
California's substate region, Region 6 (Santa Clara), is in group 3.
California's substate region, Region 7R (Contra Costa), is in group 4.
California's substate region, Region 8R (Alameda), is in group 5.
California's substate region, Region 9R (San Mateo), is in group 4.
California's substate region, Region 10, is in group 5.
California's substate region, LA SPA 1 and 5, is in group 4.
California's substate region, LA SPA 2, is in group 5.
California's substate region, LA SPA 3, is in group 2.
California's substate region, LA SPA 4, is in group 6.
California's substate region, LA SPA 6, is in group 5.
California's substate region, LA SPA 7, is in group 5.
California's substate region, LA SPA 8, is in group 4.
California's substate region, Region 12R, is in group 5.
California's substate region, Regions 13 and 19R, is in group 5.
California's substate region, Region 14 (Orange), is in group 3.
California's substate region, Region 15R (Fresno), is in group 5.
California's substate region, Region 16R (San Diego), is in group 5.
California's substate region, Region 17R, is in group 5.
California's substate region, Region 18R (San Bernardino), is in group 5.
California's substate region, Region 20R, is in group 5.
California's substate region, Region 21R, is in group 6.
Colorado's substate region, Region 1, is in group 7.
Colorado's substate region, Region 2, is in group 6.
Colorado's substate region, Region 3, is in group 5.
Colorado's substate region, Region 4, is in group 6.
Colorado's substate region, Region 5, is in group 7.
Colorado's substate region, Region 6, is in group 7.
Colorado's substate region, Region 7, is in group 7.
Connecticut's substate region, Eastern, is in group 6.
Connecticut's substate region, North Central, is in group 5.
Connecticut's substate region, Northwestern, is in group 5.
Connecticut's substate region, South Central, is in group 6.
Connecticut's substate region, Southwest, is in group 4.
Delaware's substate region, Kent, is in group 5.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 6.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 6.
District of Columbia's substate region, Ward 1, is in group 7.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 6.
District of Columbia's substate region, Ward 4, is in group 5.
District of Columbia's substate region, Ward 5, is in group 7.
District of Columbia's substate region, Ward 6, is in group 6.
District of Columbia's substate region, Ward 7, is in group 7.
District of Columbia's substate region, Ward 8, is in group 7.
Florida's substate region, Broward (Circuit 17), is in group 4.
Florida's substate region, Circuit 9, is in group 4.
Florida's substate region, Circuit 18, is in group 3.
Florida's substate region, Circuit 6, is in group 3.
Florida's substate region, Circuit 10, is in group 3.
Florida's substate region, Circuit 12, is in group 2.
Florida's substate region, Circuit 13 (Hillsborough), is in group 4.
Florida's substate region, Circuit 20, is in group 2.
Florida's substate region, Circuit 4, is in group 4.
Florida's substate region, Circuit 5, is in group 4.
Florida's substate region, Circuit 7, is in group 4.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 5.
Florida's substate region, Circuit 1, is in group 5.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 6.
Florida's substate region, Circuit 14, is in group 5.
Florida's substate region, South (Circuits 11 and 16), is in group 3.
Florida's substate region, Circuit 15 (Palm Beach), is in group 3.
Florida's substate region, Circuit 19, is in group 1.
Georgia's substate region, Region 1, is in group 1.
Georgia's substate region, Region 2, is in group 3.
Georgia's substate region, Region 3, is in group 4.
Georgia's substate region, Region 4, is in group 4.
Georgia's substate region, Region 5, is in group 3.
Georgia's substate region, Region 6, is in group 2.
Hawaii's substate region, Hawaii Island, is in group 4.
Hawaii's substate region, Honolulu, is in group 3.
Hawaii's substate region, Kauai, is in group 2.
Hawaii's substate region, Maui, is in group 3.
Idaho's substate region, Region 1, is in group 4.
Idaho's substate region, Region 2, is in group 4.
Idaho's substate region, Region 3, is in group 3.
Idaho's substate region, Region 4, is in group 5.
Idaho's substate region, Region 5, is in group 1.
Idaho's substate region, Region 6, is in group 4.
Idaho's substate region, Region 7, is in group 2.
Illinois's substate region, Region 1.1 (Far North Side), is in group 4.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 4.
Illinois's substate region, Region 1.3 (North Central Side), is in group 6.
Illinois's substate region, Region 1.4 (West Side), is in group 5.
Illinois's substate region, Region 1.5 (South Side), is in group 6.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 4.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 2.
Illinois's substate region, Region 2a (DuPage), is in group 3.
Illinois's substate region, Region 2b, is in group 1.
Illinois's substate region, Region 2c (Winnebago), is in group 4.
Illinois's substate region, Region 2d, is in group 2.
Illinois's substate region, Region 3a (Champaign), is in group 5.
Illinois's substate region, Region 3b, is in group 3.
Illinois's substate region, Region 4a (Sangamon), is in group 5.
Illinois's substate region, Region 4b, is in group 3.
Illinois's substate region, Region 5a, is in group 4.
Illinois's substate region, Region 5b, is in group 3.
Indiana's substate region, Central, is in group 3.
Indiana's substate region, East, is in group 4.
Indiana's substate region, North Central, is in group 4.
Indiana's substate region, Northeast, is in group 3.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 4.
Indiana's substate region, Southwest, is in group 3.
Indiana's substate region, West, is in group 6.
Iowa's substate region, Central, is in group 3.
Iowa's substate region, North Central, is in group 4.
Iowa's substate region, Northeast, is in group 3.
Iowa's substate region, Northwest, is in group 2.
Iowa's substate region, Southeast, is in group 3.
Iowa's substate region, Southwest, is in group 2.
Kansas's substate region, Northeast, is in group 1.
Kansas's substate region, Northwest and North Central, is in group 2.
Kansas's substate region, South Central, is in group 3.
Kansas's substate region, Southeast, is in group 3.
Kansas's substate region, Southwest, is in group 1.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 4.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 4.
Kentucky's substate region, Centerstone, is in group 5.
Kentucky's substate region, Communicare and River Valley, is in group 4.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 4.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 4.
Louisiana's substate region, Region 1, is in group 5.
Louisiana's substate region, Region 10 (Jefferson), is in group 2.
Louisiana's substate region, Regions 2 and 9, is in group 4.
Louisiana's substate region, Region 3, is in group 3.
Louisiana's substate region, Regions 4, 5, and 6, is in group 2.
Louisiana's substate region, Regions 7 and 8, is in group 4.
Maine's substate region, Aroostook, is in group 5.
Maine's substate region, Downeast, is in group 4.
Maine's substate region, Central, is in group 5.
Maine's substate region, Cumberland, is in group 5.
Maine's substate region, Midcoast, is in group 5.
Maine's substate region, Penquis, is in group 5.
Maine's substate region, Western, is in group 7.
Maine's substate region, York, is in group 4.
Maryland's substate region, Anne Arundel, is in group 3.
Maryland's substate region, Baltimore City, is in group 6.
Maryland's substate region, Baltimore County, is in group 5.
Maryland's substate region, Montgomery, is in group 2.
Maryland's substate region, North Central, is in group 3.
Maryland's substate region, Northeast, is in group 4.
Maryland's substate region, Prince George's, is in group 4.
Maryland's substate region, South, is in group 4.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 7.
Massachusetts's substate region, Central, is in group 6.
Massachusetts's substate region, Metrowest, is in group 5.
Massachusetts's substate region, Northeast, is in group 3.
Massachusetts's substate region, Southeast, is in group 6.
Massachusetts's substate region, Western, is in group 6.
Michigan's substate region, Region 1, is in group 4.
Michigan's substate region, Region 2, is in group 2.
Michigan's substate region, Region 3, is in group 4.
Michigan's substate region, Region 4, is in group 5.
Michigan's substate region, Region 5, is in group 4.
Michigan's substate region, Region 6, is in group 4.
Michigan's substate region, Region 7, is in group 6.
Michigan's substate region, Region 8, is in group 2.
Michigan's substate region, Region 9, is in group 3.
Michigan's substate region, Region 10, is in group 4.
Minnesota's substate region, Region 1, is in group 4.
Minnesota's substate region, Region 2, is in group 5.
Minnesota's substate region, Region 3, is in group 3.
Minnesota's substate region, Region 4, is in group 3.
Minnesota's substate region, Region 5, is in group 3.
Minnesota's substate region, Region 6, is in group 3.
Minnesota's substate region, Region 7A (Hennepin), is in group 4.
Minnesota's substate region, Region 7B (Ramsey), is in group 4.
Minnesota's substate region, Region 7C, is in group 3.
Mississippi's substate region, Region 1, is in group 4.
Mississippi's substate region, Region 2, is in group 4.
Mississippi's substate region, Region 3, is in group 4.
Mississippi's substate region, Region 4, is in group 3.
Mississippi's substate region, Region 5, is in group 4.
Mississippi's substate region, Region 6, is in group 3.
Mississippi's substate region, Region 7, is in group 4.
Missouri's substate region, Central, is in group 3.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 4.
Missouri's substate region, Northwest (Jackson), is in group 4.
Missouri's substate region, Northwest (excluding Jackson), is in group 2.
Missouri's substate region, Southeast, is in group 4.
Missouri's substate region, Southwest, is in group 3.
Montana's substate region, Region 1, is in group 4.
Montana's substate region, Region 2, is in group 5.
Montana's substate region, Region 3, is in group 4.
Montana's substate region, Region 4, is in group 5.
Montana's substate region, Region 5, is in group 5.
Nebraska's substate region, Region 1, is in group 3.
Nebraska's substate region, Region 2, is in group 2.
Nebraska's substate region, Region 3, is in group 2.
Nebraska's substate region, Region 4, is in group 3.
Nebraska's substate region, Region 5, is in group 5.
Nebraska's substate region, Region 6, is in group 2.
Nevada's substate region, Clark - Region 1, is in group 6.
Nevada's substate region, Capital District, is in group 5.
Nevada's substate region, Rural/Frontier, is in group 6.
Nevada's substate region, Washoe - Region 2, is in group 7.
New Hampshire's substate region, Central, is in group 5.
New Hampshire's substate region, Northern, is in group 5.
New Hampshire's substate region, Southern, is in group 4.
New Jersey's substate region, Central, is in group 1.
New Jersey's substate region, Metropolitan, is in group 3.
New Jersey's substate region, Northern, is in group 1.
New Jersey's substate region, Southern, is in group 4.
New Mexico's substate region, Region 1, is in group 5.
New Mexico's substate region, Region 2, is in group 4.
New Mexico's substate region, Region 3 (Bernalillo), is in group 5.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 5.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 2.
New York's substate region, Region 2A: Bronx, is in group 4.
New York's substate region, Region 2B: Kings, is in group 4.
New York's substate region, Region 2C: New York, is in group 4.
New York's substate region, Region 2D: Queens, is in group 2.
New York's substate region, Region 2E: Richmond, is in group 4.
New York's substate region, Region 3: Mid-Hudson, is in group 3.
New York's substate region, Region 4: Capital Region, is in group 6.
New York's substate region, Region 5: Mohawk Valley, is in group 4.
New York's substate region, Region 6: North Country, is in group 4.
New York's substate region, Region 7: Tug Hill Seaway, is in group 5.
New York's substate region, Region 8: Central, is in group 6.
New York's substate region, Region 9: Southern Tier, is in group 6.
New York's substate region, Region 10: Finger Lakes, is in group 5.
New York's substate region, Region 11: Western, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 5.
North Carolina's substate region, CenterPoint Human Services, is in group 3.
North Carolina's substate region, Eastpointe, is in group 5.
North Carolina's substate region, Partners Behavioral Health Management, is in group 3.
North Carolina's substate region, Sandhills Center 1, is in group 3.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 4.
North Carolina's substate region, Smoky Mountain Center 2, is in group 3.
North Carolina's substate region, Trillium Health Resources 1, is in group 5.
North Carolina's substate region, Trillium Health Resources 2, is in group 5.
North Dakota's substate region, Badlands, is in group 1.
North Dakota's substate region, West Central, is in group 3.
North Dakota's substate region, Lake Region, is in group 4.
North Dakota's substate region, North Central, is in group 4.
North Dakota's substate region, Northeast, is in group 4.
North Dakota's substate region, Northwest, is in group 3.
North Dakota's substate region, South Central, is in group 2.
North Dakota's substate region, Southeast, is in group 2.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 4.
Ohio's substate region, Boards 3, 52, and 85, is in group 2.
Ohio's substate region, Boards 4 and 78, is in group 4.
Ohio's substate region, Boards 5 and 60, is in group 6.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 4.
Ohio's substate region, Boards 8, 13, and 83, is in group 4.
Ohio's substate region, Board 9 (Butler), is in group 4.
Ohio's substate region, Board 12, is in group 5.
Ohio's substate region, Boards 18 and 47, is in group 5.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 4.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 3.
Ohio's substate region, Boards 22, 74, and 87, is in group 4.
Ohio's substate region, Boards 23 and 45, is in group 4.
Ohio's substate region, Board 25 (Franklin), is in group 5.
Ohio's substate region, Boards 27, 71, and 73, is in group 4.
Ohio's substate region, Boards 28, 43, and 67, is in group 4.
Ohio's substate region, Board 31 (Hamilton), is in group 5.
Ohio's substate region, Board 48 (Lucas), is in group 6.
Ohio's substate region, Boards 50 and 76, is in group 4.
Ohio's substate region, Board 57 (Montgomery), is in group 6.
Ohio's substate region, Board 77 (Summit), is in group 5.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 4.
Oklahoma's substate region, Northeast, is in group 3.
Oklahoma's substate region, Northwest and Southwest, is in group 3.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 4.
Oklahoma's substate region, Tulsa County, is in group 4.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 4.
Oregon's substate region, Region 3, is in group 6.
Oregon's substate region, Region 4, is in group 5.
Oregon's substate region, Region 5 (Central), is in group 5.
Oregon's substate region, Region 6 (Eastern), is in group 6.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 4.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 3.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 4.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 2.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 4.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 3.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 3.
Pennsylvania's substate region, Regions 17 and 21, is in group 5.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 3.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 3.
Pennsylvania's substate region, Regions 29 and 34, is in group 3.
Pennsylvania's substate region, Regions 30 and 50, is in group 3.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 6.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 3.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 5.
Rhode Island's substate region, Region 3: Providence, is in group 7.
Rhode Island's substate region, Region 4: Kent County, is in group 4.
Rhode Island's substate region, Region 5: East Bay, is in group 5.
Rhode Island's substate region, Region 6: Newport County, is in group 4.
Rhode Island's substate region, Region 7: South County, is in group 6.
South Carolina's substate region, Region 1, is in group 2.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 3.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 4.
South Dakota's substate region, Region 2, is in group 6.
South Dakota's substate region, Region 3, is in group 3.
South Dakota's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 5, is in group 3.
Tennessee's substate region, Region 1, is in group 3.
Tennessee's substate region, Region 2, is in group 3.
Tennessee's substate region, Region 3, is in group 3.
Tennessee's substate region, Region 4 (Davidson), is in group 5.
Tennessee's substate region, Region 5, is in group 3.
Tennessee's substate region, Region 6, is in group 4.
Tennessee's substate region, Region 7 (Shelby), is in group 4.
Texas's substate region, Region 1, is in group 3.
Texas's substate region, Region 2, is in group 4.
Texas's substate region, Region 3, is in group 1.
Texas's substate region, Region 4, is in group 2.
Texas's substate region, Region 5, is in group 3.
Texas's substate region, Region 6, is in group 1.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 1.
Texas's substate region, Region 9, is in group 2.
Texas's substate region, Region 10, is in group 1.
Texas's substate region, Region 11, is in group 1.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 3.
Utah's substate region, Central, Four Corners, and San Juan, is in group 4.
Utah's substate region, Southwest, is in group 3.
Utah's substate region, Davis County, is in group 3.
Utah's substate region, Salt Lake County, is in group 3.
Utah's substate region, Utah County, is in group 4.
Utah's substate region, Weber, Morgan, is in group 4.
Vermont's substate region, Champlain Valley, is in group 7.
Vermont's substate region, Rural Northeast, is in group 6.
Vermont's substate region, Rural Southeast, is in group 5.
Vermont's substate region, Rural Southwest, is in group 7.
Virginia's substate region, Region 1, is in group 4.
Virginia's substate region, Region 2, is in group 1.
Virginia's substate region, Region 3, is in group 4.
Virginia's substate region, Region 4, is in group 4.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 5.
Washington's substate region, Region 2, is in group 6.
Washington's substate region, Region 3, is in group 5.
West Virginia's substate region, Region I, is in group 3.
West Virginia's substate region, Region II, is in group 3.
West Virginia's substate region, Region III, is in group 3.
West Virginia's substate region, Region IV, is in group 5.
West Virginia's substate region, Region V, is in group 4.
West Virginia's substate region, Region VI, is in group 3.
Wisconsin's substate region, Milwaukee, is in group 3.
Wisconsin's substate region, Northeastern, is in group 1.
Wisconsin's substate region, Northern, is in group 2.
Wisconsin's substate region, Southeastern, is in group 1.
Wisconsin's substate region, Southern, is in group 2.
Wisconsin's substate region, Western, is in group 2.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 2.
Wyoming's substate region, Judicial District 2, is in group 4.
Wyoming's substate region, Judicial District 3, is in group 2.
Wyoming's substate region, Judicial District 4, is in group 1.
Wyoming's substate region, Judicial District 5, is in group 2.
Wyoming's substate region, Judicial District 6, is in group 3.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 2.
Wyoming's substate region, Judicial District 8, is in group 1.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 21.

Long description, Figure 22. Figure 22 is a U.S. map showing pain reliever use disorder in the past year among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 0.41 to 0.47 percent.
The next to lowest group, group 2's percentages ranged from 0.48 to 0.53 percent.
The next lowest group, group 3's percentages ranged from 0.54 to 0.61 percent.
The middle group, group 4's percentages ranged from 0.62 to 0.70 percent.
The next highest group, group 5's percentages ranged from 0.71 to 0.79 percent.
The next to highest group, group 6's percentages ranged from 0.80 to 0.88 percent.
The highest group, group 7's percentages ranged from 0.89 to 1.07 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 4.
Alabama's substate region, Region 2, is in group 6.
Alabama's substate region, Region 3, is in group 7.
Alabama's substate region, Region 4, is in group 4.
Alaska's substate region, Anchorage, is in group 4.
Alaska's substate region, Northern, is in group 3.
Alaska's substate region, South Central, is in group 5.
Alaska's substate region, Southeast, is in group 3.
Arizona's substate region, Central, is in group 3.
Arizona's substate region, North, is in group 4.
Arizona's substate region, South A, is in group 5.
Arizona's substate region, South B, is in group 4.
Arkansas's substate region, Catchment Area 1, is in group 3.
Arkansas's substate region, Catchment Area 2, is in group 5.
Arkansas's substate region, Catchment Area 3, is in group 7.
Arkansas's substate region, Catchment Area 4, is in group 6.
Arkansas's substate region, Catchment Area 5, is in group 6.
Arkansas's substate region, Catchment Area 6, is in group 5.
Arkansas's substate region, Catchment Area 7, is in group 4.
Arkansas's substate region, Catchment Area 8, is in group 4.
California's substate region, Region 1R, is in group 4.
California's substate region, Region 2R, is in group 3.
California's substate region, Region 3R (Sacramento), is in group 3.
California's substate region, Region 4R, is in group 2.
California's substate region, Region 5R (San Francisco), is in group 2.
California's substate region, Region 6 (Santa Clara), is in group 1.
California's substate region, Region 7R (Contra Costa), is in group 2.
California's substate region, Region 8R (Alameda), is in group 2.
California's substate region, Region 9R (San Mateo), is in group 2.
California's substate region, Region 10, is in group 3.
California's substate region, LA SPA 1 and 5, is in group 2.
California's substate region, LA SPA 2, is in group 3.
California's substate region, LA SPA 3, is in group 1.
California's substate region, LA SPA 4, is in group 2.
California's substate region, LA SPA 6, is in group 1.
California's substate region, LA SPA 7, is in group 3.
California's substate region, LA SPA 8, is in group 2.
California's substate region, Region 12R, is in group 3.
California's substate region, Regions 13 and 19R, is in group 4.
California's substate region, Region 14 (Orange), is in group 1.
California's substate region, Region 15R (Fresno), is in group 3.
California's substate region, Region 16R (San Diego), is in group 2.
California's substate region, Region 17R, is in group 3.
California's substate region, Region 18R (San Bernardino), is in group 2.
California's substate region, Region 20R, is in group 4.
California's substate region, Region 21R, is in group 3.
Colorado's substate region, Region 1, is in group 5.
Colorado's substate region, Region 2, is in group 4.
Colorado's substate region, Region 3, is in group 4.
Colorado's substate region, Region 4, is in group 4.
Colorado's substate region, Region 5, is in group 4.
Colorado's substate region, Region 6, is in group 4.
Colorado's substate region, Region 7, is in group 5.
Connecticut's substate region, Eastern, is in group 3.
Connecticut's substate region, North Central, is in group 4.
Connecticut's substate region, Northwestern, is in group 3.
Connecticut's substate region, South Central, is in group 3.
Connecticut's substate region, Southwest, is in group 2.
Delaware's substate region, Kent, is in group 4.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 5.
Delaware's substate region, Sussex, is in group 5.
Delaware's substate region, Wilmington City, is in group 4.
District of Columbia's substate region, Ward 1, is in group 3.
District of Columbia's substate region, Ward 2, is in group 3.
District of Columbia's substate region, Ward 3, is in group 3.
District of Columbia's substate region, Ward 4, is in group 3.
District of Columbia's substate region, Ward 5, is in group 4.
District of Columbia's substate region, Ward 6, is in group 4.
District of Columbia's substate region, Ward 7, is in group 2.
District of Columbia's substate region, Ward 8, is in group 5.
Florida's substate region, Broward (Circuit 17), is in group 4.
Florida's substate region, Circuit 9, is in group 3.
Florida's substate region, Circuit 18, is in group 4.
Florida's substate region, Circuit 6, is in group 5.
Florida's substate region, Circuit 10, is in group 5.
Florida's substate region, Circuit 12, is in group 5.
Florida's substate region, Circuit 13 (Hillsborough), is in group 4.
Florida's substate region, Circuit 20, is in group 5.
Florida's substate region, Circuit 4, is in group 5.
Florida's substate region, Circuit 5, is in group 6.
Florida's substate region, Circuit 7, is in group 6.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 6.
Florida's substate region, Circuit 1, is in group 7.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 5.
Florida's substate region, Circuit 14, is in group 6.
Florida's substate region, South (Circuits 11 and 16), is in group 4.
Florida's substate region, Circuit 15 (Palm Beach), is in group 4.
Florida's substate region, Circuit 19, is in group 4.
Georgia's substate region, Region 1, is in group 4.
Georgia's substate region, Region 2, is in group 4.
Georgia's substate region, Region 3, is in group 2.
Georgia's substate region, Region 4, is in group 4.
Georgia's substate region, Region 5, is in group 4.
Georgia's substate region, Region 6, is in group 3.
Hawaii's substate region, Hawaii Island, is in group 2.
Hawaii's substate region, Honolulu, is in group 1.
Hawaii's substate region, Kauai, is in group 2.
Hawaii's substate region, Maui, is in group 2.
Idaho's substate region, Region 1, is in group 6.
Idaho's substate region, Region 2, is in group 5.
Idaho's substate region, Region 3, is in group 5.
Idaho's substate region, Region 4, is in group 7.
Idaho's substate region, Region 5, is in group 4.
Idaho's substate region, Region 6, is in group 6.
Idaho's substate region, Region 7, is in group 5.
Illinois's substate region, Region 1.1 (Far North Side), is in group 2.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 1.
Illinois's substate region, Region 1.3 (North Central Side), is in group 2.
Illinois's substate region, Region 1.4 (West Side), is in group 1.
Illinois's substate region, Region 1.5 (South Side), is in group 2.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 1.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 1.
Illinois's substate region, Region 2a (DuPage), is in group 1.
Illinois's substate region, Region 2b, is in group 2.
Illinois's substate region, Region 2c (Winnebago), is in group 3.
Illinois's substate region, Region 2d, is in group 4.
Illinois's substate region, Region 3a (Champaign), is in group 2.
Illinois's substate region, Region 3b, is in group 4.
Illinois's substate region, Region 4a (Sangamon), is in group 3.
Illinois's substate region, Region 4b, is in group 4.
Illinois's substate region, Region 5a, is in group 3.
Illinois's substate region, Region 5b, is in group 4.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 7.
Indiana's substate region, North Central, is in group 4.
Indiana's substate region, Northeast, is in group 4.
Indiana's substate region, Northwest, is in group 5.
Indiana's substate region, Southeast, is in group 5.
Indiana's substate region, Southwest, is in group 5.
Indiana's substate region, West, is in group 5.
Iowa's substate region, Central, is in group 6.
Iowa's substate region, North Central, is in group 3.
Iowa's substate region, Northeast, is in group 6.
Iowa's substate region, Northwest, is in group 4.
Iowa's substate region, Southeast, is in group 3.
Iowa's substate region, Southwest, is in group 4.
Kansas's substate region, Northeast, is in group 3.
Kansas's substate region, Northwest and North Central, is in group 4.
Kansas's substate region, South Central, is in group 4.
Kansas's substate region, Southeast, is in group 5.
Kansas's substate region, Southwest, is in group 3.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 7.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 6.
Kentucky's substate region, Centerstone, is in group 5.
Kentucky's substate region, Communicare and River Valley, is in group 5.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 6.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 7.
Louisiana's substate region, Region 1, is in group 5.
Louisiana's substate region, Region 10 (Jefferson), is in group 4.
Louisiana's substate region, Regions 2 and 9, is in group 3.
Louisiana's substate region, Region 3, is in group 4.
Louisiana's substate region, Regions 4, 5, and 6, is in group 3.
Louisiana's substate region, Regions 7 and 8, is in group 4.
Maine's substate region, Aroostook, is in group 5.
Maine's substate region, Downeast, is in group 5.
Maine's substate region, Central, is in group 6.
Maine's substate region, Cumberland, is in group 4.
Maine's substate region, Midcoast, is in group 6.
Maine's substate region, Penquis, is in group 7.
Maine's substate region, Western, is in group 7.
Maine's substate region, York, is in group 6.
Maryland's substate region, Anne Arundel, is in group 4.
Maryland's substate region, Baltimore City, is in group 3.
Maryland's substate region, Baltimore County, is in group 3.
Maryland's substate region, Montgomery, is in group 1.
Maryland's substate region, North Central, is in group 3.
Maryland's substate region, Northeast, is in group 5.
Maryland's substate region, Prince George's, is in group 2.
Maryland's substate region, South, is in group 4.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 3.
Massachusetts's substate region, Central, is in group 4.
Massachusetts's substate region, Metrowest, is in group 4.
Massachusetts's substate region, Northeast, is in group 3.
Massachusetts's substate region, Southeast, is in group 6.
Massachusetts's substate region, Western, is in group 4.
Michigan's substate region, Region 1, is in group 4.
Michigan's substate region, Region 2, is in group 4.
Michigan's substate region, Region 3, is in group 3.
Michigan's substate region, Region 4, is in group 5.
Michigan's substate region, Region 5, is in group 3.
Michigan's substate region, Region 6, is in group 3.
Michigan's substate region, Region 7, is in group 6.
Michigan's substate region, Region 8, is in group 4.
Michigan's substate region, Region 9, is in group 5.
Michigan's substate region, Region 10, is in group 5.
Minnesota's substate region, Region 1, is in group 3.
Minnesota's substate region, Region 2, is in group 4.
Minnesota's substate region, Region 3, is in group 3.
Minnesota's substate region, Region 4, is in group 3.
Minnesota's substate region, Region 5, is in group 3.
Minnesota's substate region, Region 6, is in group 3.
Minnesota's substate region, Region 7A (Hennepin), is in group 2.
Minnesota's substate region, Region 7B (Ramsey), is in group 2.
Minnesota's substate region, Region 7C, is in group 3.
Mississippi's substate region, Region 1, is in group 5.
Mississippi's substate region, Region 2, is in group 4.
Mississippi's substate region, Region 3, is in group 5.
Mississippi's substate region, Region 4, is in group 3.
Mississippi's substate region, Region 5, is in group 4.
Mississippi's substate region, Region 6, is in group 4.
Mississippi's substate region, Region 7, is in group 4.
Missouri's substate region, Central, is in group 4.
Missouri's substate region, Eastern (St. Louis City and County), is in group 3.
Missouri's substate region, Eastern (excluding St. Louis), is in group 4.
Missouri's substate region, Northwest (Jackson), is in group 4.
Missouri's substate region, Northwest (excluding Jackson), is in group 4.
Missouri's substate region, Southeast, is in group 5.
Missouri's substate region, Southwest, is in group 6.
Montana's substate region, Region 1, is in group 4.
Montana's substate region, Region 2, is in group 5.
Montana's substate region, Region 3, is in group 4.
Montana's substate region, Region 4, is in group 6.
Montana's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 1, is in group 4.
Nebraska's substate region, Region 2, is in group 4.
Nebraska's substate region, Region 3, is in group 4.
Nebraska's substate region, Region 4, is in group 3.
Nebraska's substate region, Region 5, is in group 5.
Nebraska's substate region, Region 6, is in group 3.
Nevada's substate region, Clark - Region 1, is in group 6.
Nevada's substate region, Capital District, is in group 5.
Nevada's substate region, Rural/Frontier, is in group 4.
Nevada's substate region, Washoe - Region 2, is in group 4.
New Hampshire's substate region, Central, is in group 4.
New Hampshire's substate region, Northern, is in group 5.
New Hampshire's substate region, Southern, is in group 4.
New Jersey's substate region, Central, is in group 2.
New Jersey's substate region, Metropolitan, is in group 1.
New Jersey's substate region, Northern, is in group 3.
New Jersey's substate region, Southern, is in group 5.
New Mexico's substate region, Region 1, is in group 3.
New Mexico's substate region, Region 2, is in group 3.
New Mexico's substate region, Region 3 (Bernalillo), is in group 2.
New Mexico's substate region, Region 4, is in group 3.
New Mexico's substate region, Region 5a, is in group 3.
New Mexico's substate region, Region 5b (Dona Ana), is in group 2.
New York's substate region, Region 1: Long Island, is in group 2.
New York's substate region, Region 2A: Bronx, is in group 1.
New York's substate region, Region 2B: Kings, is in group 1.
New York's substate region, Region 2C: New York, is in group 1.
New York's substate region, Region 2D: Queens, is in group 1.
New York's substate region, Region 2E: Richmond, is in group 2.
New York's substate region, Region 3: Mid-Hudson, is in group 2.
New York's substate region, Region 4: Capital Region, is in group 2.
New York's substate region, Region 5: Mohawk Valley, is in group 4.
New York's substate region, Region 6: North Country, is in group 4.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 6.
New York's substate region, Region 9: Southern Tier, is in group 4.
New York's substate region, Region 10: Finger Lakes, is in group 4.
New York's substate region, Region 11: Western, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 3.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 5.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 3.
North Carolina's substate region, CenterPoint Human Services, is in group 3.
North Carolina's substate region, Eastpointe, is in group 4.
North Carolina's substate region, Partners Behavioral Health Management, is in group 3.
North Carolina's substate region, Sandhills Center 1, is in group 4.
North Carolina's substate region, Sandhills Center 2, is in group 3.
North Carolina's substate region, Smoky Mountain Center 1, is in group 5.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 4.
North Carolina's substate region, Trillium Health Resources 2, is in group 5.
North Dakota's substate region, Badlands, is in group 4.
North Dakota's substate region, West Central, is in group 4.
North Dakota's substate region, Lake Region, is in group 2.
North Dakota's substate region, North Central, is in group 3.
North Dakota's substate region, Northeast, is in group 5.
North Dakota's substate region, Northwest, is in group 4.
North Dakota's substate region, South Central, is in group 5.
North Dakota's substate region, Southeast, is in group 3.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 6.
Ohio's substate region, Boards 3, 52, and 85, is in group 6.
Ohio's substate region, Boards 4 and 78, is in group 6.
Ohio's substate region, Boards 5 and 60, is in group 7.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 6.
Ohio's substate region, Boards 8, 13, and 83, is in group 6.
Ohio's substate region, Board 9 (Butler), is in group 5.
Ohio's substate region, Board 12, is in group 7.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 5.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 5.
Ohio's substate region, Boards 22, 74, and 87, is in group 5.
Ohio's substate region, Boards 23 and 45, is in group 6.
Ohio's substate region, Board 25 (Franklin), is in group 4.
Ohio's substate region, Boards 27, 71, and 73, is in group 7.
Ohio's substate region, Boards 28, 43, and 67, is in group 5.
Ohio's substate region, Board 31 (Hamilton), is in group 5.
Ohio's substate region, Board 48 (Lucas), is in group 7.
Ohio's substate region, Boards 50 and 76, is in group 6.
Ohio's substate region, Board 57 (Montgomery), is in group 7.
Ohio's substate region, Board 77 (Summit), is in group 7.
Oklahoma's substate region, Central, is in group 5.
Oklahoma's substate region, East Central, is in group 5.
Oklahoma's substate region, Northeast, is in group 4.
Oklahoma's substate region, Northwest and Southwest, is in group 5.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 4.
Oklahoma's substate region, Tulsa County, is in group 4.
Oregon's substate region, Region 1 (Multnomah), is in group 5.
Oregon's substate region, Region 2, is in group 4.
Oregon's substate region, Region 3, is in group 5.
Oregon's substate region, Region 4, is in group 4.
Oregon's substate region, Region 5 (Central), is in group 4.
Oregon's substate region, Region 6 (Eastern), is in group 6.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 3.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 4.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 4.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 5.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 4.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 3.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 5.
Pennsylvania's substate region, Regions 17 and 21, is in group 5.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 3.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 5.
Pennsylvania's substate region, Regions 29 and 34, is in group 3.
Pennsylvania's substate region, Regions 30 and 50, is in group 5.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 4.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 3.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 3.
Rhode Island's substate region, Region 3: Providence, is in group 2.
Rhode Island's substate region, Region 4: Kent County, is in group 4.
Rhode Island's substate region, Region 5: East Bay, is in group 4.
Rhode Island's substate region, Region 6: Newport County, is in group 4.
Rhode Island's substate region, Region 7: South County, is in group 5.
South Carolina's substate region, Region 1, is in group 4.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 4.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 3.
South Dakota's substate region, Region 2, is in group 7.
South Dakota's substate region, Region 3, is in group 4.
South Dakota's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 5, is in group 3.
Tennessee's substate region, Region 1, is in group 5.
Tennessee's substate region, Region 2, is in group 7.
Tennessee's substate region, Region 3, is in group 5.
Tennessee's substate region, Region 4 (Davidson), is in group 4.
Tennessee's substate region, Region 5, is in group 5.
Tennessee's substate region, Region 6, is in group 6.
Tennessee's substate region, Region 7 (Shelby), is in group 3.
Texas's substate region, Region 1, is in group 4.
Texas's substate region, Region 2, is in group 4.
Texas's substate region, Region 3, is in group 1.
Texas's substate region, Region 4, is in group 3.
Texas's substate region, Region 5, is in group 3.
Texas's substate region, Region 6, is in group 2.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 1.
Texas's substate region, Region 9, is in group 3.
Texas's substate region, Region 10, is in group 1.
Texas's substate region, Region 11, is in group 1.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 4.
Utah's substate region, Central, Four Corners, and San Juan, is in group 5.
Utah's substate region, Southwest, is in group 6.
Utah's substate region, Davis County, is in group 5.
Utah's substate region, Salt Lake County, is in group 3.
Utah's substate region, Utah County, is in group 5.
Utah's substate region, Weber, Morgan, is in group 5.
Vermont's substate region, Champlain Valley, is in group 6.
Vermont's substate region, Rural Northeast, is in group 6.
Vermont's substate region, Rural Southeast, is in group 4.
Vermont's substate region, Rural Southwest, is in group 7.
Virginia's substate region, Region 1, is in group 3.
Virginia's substate region, Region 2, is in group 2.
Virginia's substate region, Region 3, is in group 5.
Virginia's substate region, Region 4, is in group 3.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 4.
Washington's substate region, Region 2, is in group 5.
Washington's substate region, Region 3, is in group 5.
West Virginia's substate region, Region I, is in group 5.
West Virginia's substate region, Region II, is in group 4.
West Virginia's substate region, Region III, is in group 5.
West Virginia's substate region, Region IV, is in group 5.
West Virginia's substate region, Region V, is in group 6.
West Virginia's substate region, Region VI, is in group 6.
Wisconsin's substate region, Milwaukee, is in group 2.
Wisconsin's substate region, Northeastern, is in group 4.
Wisconsin's substate region, Northern, is in group 3.
Wisconsin's substate region, Southeastern, is in group 3.
Wisconsin's substate region, Southern, is in group 3.
Wisconsin's substate region, Western, is in group 4.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 5.
Wyoming's substate region, Judicial District 2, is in group 4.
Wyoming's substate region, Judicial District 3, is in group 6.
Wyoming's substate region, Judicial District 4, is in group 4.
Wyoming's substate region, Judicial District 5, is in group 4.
Wyoming's substate region, Judicial District 6, is in group 4.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 4.
Wyoming's substate region, Judicial District 8, is in group 4.
Wyoming's substate region, Judicial District 9, is in group 3.

Long description end. Click here to return to Figure 22.

Long description, Figure 23. Figure 23 is a U.S. map showing alcohol use disorder in the past year among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 3.52 to 4.12 percent.
The next to lowest group, group 2's percentages ranged from 4.13 to 4.61 percent.
The next lowest group, group 3's percentages ranged from 4.62 to 5.08 percent.
The middle group, group 4's percentages ranged from 5.09 to 5.91 percent.
The next highest group, group 5's percentages ranged from 5.92 to 6.80 percent.
The next to highest group, group 6's percentages ranged from 6.81 to 7.90 percent.
The highest group, group 7's percentages ranged from 7.91 to 11.91 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 2.
Alabama's substate region, Region 2, is in group 3.
Alabama's substate region, Region 3, is in group 1.
Alabama's substate region, Region 4, is in group 2.
Alaska's substate region, Anchorage, is in group 6.
Alaska's substate region, Northern, is in group 6.
Alaska's substate region, South Central, is in group 4.
Alaska's substate region, Southeast, is in group 5.
Arizona's substate region, Central, is in group 3.
Arizona's substate region, North, is in group 4.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 4.
Arkansas's substate region, Catchment Area 1, is in group 4.
Arkansas's substate region, Catchment Area 2, is in group 2.
Arkansas's substate region, Catchment Area 3, is in group 4.
Arkansas's substate region, Catchment Area 4, is in group 4.
Arkansas's substate region, Catchment Area 5, is in group 4.
Arkansas's substate region, Catchment Area 6, is in group 3.
Arkansas's substate region, Catchment Area 7, is in group 3.
Arkansas's substate region, Catchment Area 8, is in group 4.
California's substate region, Region 1R, is in group 7.
California's substate region, Region 2R, is in group 5.
California's substate region, Region 3R (Sacramento), is in group 5.
California's substate region, Region 4R, is in group 5.
California's substate region, Region 5R (San Francisco), is in group 6.
California's substate region, Region 6 (Santa Clara), is in group 3.
California's substate region, Region 7R (Contra Costa), is in group 5.
California's substate region, Region 8R (Alameda), is in group 4.
California's substate region, Region 9R (San Mateo), is in group 4.
California's substate region, Region 10, is in group 4.
California's substate region, LA SPA 1 and 5, is in group 4.
California's substate region, LA SPA 2, is in group 4.
California's substate region, LA SPA 3, is in group 3.
California's substate region, LA SPA 4, is in group 5.
California's substate region, LA SPA 6, is in group 3.
California's substate region, LA SPA 7, is in group 4.
California's substate region, LA SPA 8, is in group 6.
California's substate region, Region 12R, is in group 5.
California's substate region, Regions 13 and 19R, is in group 5.
California's substate region, Region 14 (Orange), is in group 3.
California's substate region, Region 15R (Fresno), is in group 4.
California's substate region, Region 16R (San Diego), is in group 4.
California's substate region, Region 17R, is in group 4.
California's substate region, Region 18R (San Bernardino), is in group 4.
California's substate region, Region 20R, is in group 4.
California's substate region, Region 21R, is in group 6.
Colorado's substate region, Region 1, is in group 6.
Colorado's substate region, Region 2, is in group 6.
Colorado's substate region, Region 3, is in group 5.
Colorado's substate region, Region 4, is in group 5.
Colorado's substate region, Region 5, is in group 7.
Colorado's substate region, Region 6, is in group 5.
Colorado's substate region, Region 7, is in group 5.
Connecticut's substate region, Eastern, is in group 5.
Connecticut's substate region, North Central, is in group 5.
Connecticut's substate region, Northwestern, is in group 4.
Connecticut's substate region, South Central, is in group 5.
Connecticut's substate region, Southwest, is in group 5.
Delaware's substate region, Kent, is in group 4.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 5.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 4.
District of Columbia's substate region, Ward 1, is in group 7.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 7.
District of Columbia's substate region, Ward 4, is in group 7.
District of Columbia's substate region, Ward 5, is in group 7.
District of Columbia's substate region, Ward 6, is in group 7.
District of Columbia's substate region, Ward 7, is in group 6.
District of Columbia's substate region, Ward 8, is in group 7.
Florida's substate region, Broward (Circuit 17), is in group 2.
Florida's substate region, Circuit 9, is in group 2.
Florida's substate region, Circuit 18, is in group 3.
Florida's substate region, Circuit 6, is in group 3.
Florida's substate region, Circuit 10, is in group 2.
Florida's substate region, Circuit 12, is in group 3.
Florida's substate region, Circuit 13 (Hillsborough), is in group 4.
Florida's substate region, Circuit 20, is in group 3.
Florida's substate region, Circuit 4, is in group 4.
Florida's substate region, Circuit 5, is in group 3.
Florida's substate region, Circuit 7, is in group 3.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 4.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 6.
Florida's substate region, Circuit 14, is in group 3.
Florida's substate region, South (Circuits 11 and 16), is in group 2.
Florida's substate region, Circuit 15 (Palm Beach), is in group 3.
Florida's substate region, Circuit 19, is in group 3.
Georgia's substate region, Region 1, is in group 1.
Georgia's substate region, Region 2, is in group 3.
Georgia's substate region, Region 3, is in group 2.
Georgia's substate region, Region 4, is in group 2.
Georgia's substate region, Region 5, is in group 2.
Georgia's substate region, Region 6, is in group 2.
Hawaii's substate region, Hawaii Island, is in group 4.
Hawaii's substate region, Honolulu, is in group 4.
Hawaii's substate region, Kauai, is in group 4.
Hawaii's substate region, Maui, is in group 4.
Idaho's substate region, Region 1, is in group 5.
Idaho's substate region, Region 2, is in group 4.
Idaho's substate region, Region 3, is in group 3.
Idaho's substate region, Region 4, is in group 5.
Idaho's substate region, Region 5, is in group 3.
Idaho's substate region, Region 6, is in group 4.
Idaho's substate region, Region 7, is in group 3.
Illinois's substate region, Region 1.1 (Far North Side), is in group 6.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 4.
Illinois's substate region, Region 1.3 (North Central Side), is in group 7.
Illinois's substate region, Region 1.4 (West Side), is in group 5.
Illinois's substate region, Region 1.5 (South Side), is in group 5.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 4.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 5.
Illinois's substate region, Region 2a (DuPage), is in group 5.
Illinois's substate region, Region 2b, is in group 4.
Illinois's substate region, Region 2c (Winnebago), is in group 4.
Illinois's substate region, Region 2d, is in group 4.
Illinois's substate region, Region 3a (Champaign), is in group 6.
Illinois's substate region, Region 3b, is in group 5.
Illinois's substate region, Region 4a (Sangamon), is in group 5.
Illinois's substate region, Region 4b, is in group 4.
Illinois's substate region, Region 5a, is in group 4.
Illinois's substate region, Region 5b, is in group 5.
Indiana's substate region, Central, is in group 3.
Indiana's substate region, East, is in group 3.
Indiana's substate region, North Central, is in group 3.
Indiana's substate region, Northeast, is in group 4.
Indiana's substate region, Northwest, is in group 3.
Indiana's substate region, Southeast, is in group 2.
Indiana's substate region, Southwest, is in group 3.
Indiana's substate region, West, is in group 5.
Iowa's substate region, Central, is in group 6.
Iowa's substate region, North Central, is in group 6.
Iowa's substate region, Northeast, is in group 5.
Iowa's substate region, Northwest, is in group 5.
Iowa's substate region, Southeast, is in group 5.
Iowa's substate region, Southwest, is in group 5.
Kansas's substate region, Northeast, is in group 4.
Kansas's substate region, Northwest and North Central, is in group 4.
Kansas's substate region, South Central, is in group 3.
Kansas's substate region, Southeast, is in group 4.
Kansas's substate region, Southwest, is in group 4.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 2.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 3.
Kentucky's substate region, Centerstone, is in group 4.
Kentucky's substate region, Communicare and River Valley, is in group 3.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 1.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 1.
Louisiana's substate region, Region 1, is in group 6.
Louisiana's substate region, Region 10 (Jefferson), is in group 4.
Louisiana's substate region, Regions 2 and 9, is in group 5.
Louisiana's substate region, Region 3, is in group 4.
Louisiana's substate region, Regions 4, 5, and 6, is in group 5.
Louisiana's substate region, Regions 7 and 8, is in group 5.
Maine's substate region, Aroostook, is in group 3.
Maine's substate region, Downeast, is in group 4.
Maine's substate region, Central, is in group 4.
Maine's substate region, Cumberland, is in group 5.
Maine's substate region, Midcoast, is in group 4.
Maine's substate region, Penquis, is in group 4.
Maine's substate region, Western, is in group 5.
Maine's substate region, York, is in group 5.
Maryland's substate region, Anne Arundel, is in group 3.
Maryland's substate region, Baltimore City, is in group 5.
Maryland's substate region, Baltimore County, is in group 4.
Maryland's substate region, Montgomery, is in group 4.
Maryland's substate region, North Central, is in group 4.
Maryland's substate region, Northeast, is in group 3.
Maryland's substate region, Prince George's, is in group 3.
Maryland's substate region, South, is in group 3.
Maryland's substate region, West, is in group 2.
Massachusetts's substate region, Boston, is in group 7.
Massachusetts's substate region, Central, is in group 6.
Massachusetts's substate region, Metrowest, is in group 6.
Massachusetts's substate region, Northeast, is in group 5.
Massachusetts's substate region, Southeast, is in group 6.
Massachusetts's substate region, Western, is in group 6.
Michigan's substate region, Region 1, is in group 3.
Michigan's substate region, Region 2, is in group 3.
Michigan's substate region, Region 3, is in group 4.
Michigan's substate region, Region 4, is in group 4.
Michigan's substate region, Region 5, is in group 4.
Michigan's substate region, Region 6, is in group 4.
Michigan's substate region, Region 7, is in group 4.
Michigan's substate region, Region 8, is in group 4.
Michigan's substate region, Region 9, is in group 3.
Michigan's substate region, Region 10, is in group 4.
Minnesota's substate region, Region 1, is in group 4.
Minnesota's substate region, Region 2, is in group 5.
Minnesota's substate region, Region 3, is in group 4.
Minnesota's substate region, Region 4, is in group 4.
Minnesota's substate region, Region 5, is in group 4.
Minnesota's substate region, Region 6, is in group 4.
Minnesota's substate region, Region 7A (Hennepin), is in group 3.
Minnesota's substate region, Region 7B (Ramsey), is in group 5.
Minnesota's substate region, Region 7C, is in group 3.
Mississippi's substate region, Region 1, is in group 2.
Mississippi's substate region, Region 2, is in group 1.
Mississippi's substate region, Region 3, is in group 3.
Mississippi's substate region, Region 4, is in group 3.
Mississippi's substate region, Region 5, is in group 3.
Mississippi's substate region, Region 6, is in group 2.
Mississippi's substate region, Region 7, is in group 3.
Missouri's substate region, Central, is in group 4.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 4.
Missouri's substate region, Northwest (Jackson), is in group 5.
Missouri's substate region, Northwest (excluding Jackson), is in group 5.
Missouri's substate region, Southeast, is in group 4.
Missouri's substate region, Southwest, is in group 3.
Montana's substate region, Region 1, is in group 5.
Montana's substate region, Region 2, is in group 6.
Montana's substate region, Region 3, is in group 6.
Montana's substate region, Region 4, is in group 7.
Montana's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 1, is in group 5.
Nebraska's substate region, Region 2, is in group 3.
Nebraska's substate region, Region 3, is in group 4.
Nebraska's substate region, Region 4, is in group 4.
Nebraska's substate region, Region 5, is in group 5.
Nebraska's substate region, Region 6, is in group 4.
Nevada's substate region, Clark - Region 1, is in group 4.
Nevada's substate region, Capital District, is in group 4.
Nevada's substate region, Rural/Frontier, is in group 4.
Nevada's substate region, Washoe - Region 2, is in group 5.
New Hampshire's substate region, Central, is in group 5.
New Hampshire's substate region, Northern, is in group 5.
New Hampshire's substate region, Southern, is in group 5.
New Jersey's substate region, Central, is in group 4.
New Jersey's substate region, Metropolitan, is in group 2.
New Jersey's substate region, Northern, is in group 1.
New Jersey's substate region, Southern, is in group 4.
New Mexico's substate region, Region 1, is in group 4.
New Mexico's substate region, Region 2, is in group 4.
New Mexico's substate region, Region 3 (Bernalillo), is in group 5.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 4.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 4.
New York's substate region, Region 2A: Bronx, is in group 4.
New York's substate region, Region 2B: Kings, is in group 5.
New York's substate region, Region 2C: New York, is in group 7.
New York's substate region, Region 2D: Queens, is in group 3.
New York's substate region, Region 2E: Richmond, is in group 3.
New York's substate region, Region 3: Mid-Hudson, is in group 3.
New York's substate region, Region 4: Capital Region, is in group 5.
New York's substate region, Region 5: Mohawk Valley, is in group 4.
New York's substate region, Region 6: North Country, is in group 4.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 4.
New York's substate region, Region 9: Southern Tier, is in group 4.
New York's substate region, Region 10: Finger Lakes, is in group 4.
New York's substate region, Region 11: Western, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 2.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 2.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 4.
North Carolina's substate region, CenterPoint Human Services, is in group 3.
North Carolina's substate region, Eastpointe, is in group 1.
North Carolina's substate region, Partners Behavioral Health Management, is in group 2.
North Carolina's substate region, Sandhills Center 1, is in group 1.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 2.
North Carolina's substate region, Smoky Mountain Center 2, is in group 3.
North Carolina's substate region, Trillium Health Resources 1, is in group 3.
North Carolina's substate region, Trillium Health Resources 2, is in group 3.
North Dakota's substate region, Badlands, is in group 4.
North Dakota's substate region, West Central, is in group 4.
North Dakota's substate region, Lake Region, is in group 5.
North Dakota's substate region, North Central, is in group 5.
North Dakota's substate region, Northeast, is in group 6.
North Dakota's substate region, Northwest, is in group 5.
North Dakota's substate region, South Central, is in group 5.
North Dakota's substate region, Southeast, is in group 6.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 2.
Ohio's substate region, Boards 3, 52, and 85, is in group 4.
Ohio's substate region, Boards 4 and 78, is in group 2.
Ohio's substate region, Boards 5 and 60, is in group 5.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 2.
Ohio's substate region, Boards 8, 13, and 83, is in group 4.
Ohio's substate region, Board 9 (Butler), is in group 4.
Ohio's substate region, Board 12, is in group 4.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 3.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 2.
Ohio's substate region, Boards 22, 74, and 87, is in group 5.
Ohio's substate region, Boards 23 and 45, is in group 4.
Ohio's substate region, Board 25 (Franklin), is in group 4.
Ohio's substate region, Boards 27, 71, and 73, is in group 3.
Ohio's substate region, Boards 28, 43, and 67, is in group 3.
Ohio's substate region, Board 31 (Hamilton), is in group 5.
Ohio's substate region, Board 48 (Lucas), is in group 4.
Ohio's substate region, Boards 50 and 76, is in group 3.
Ohio's substate region, Board 57 (Montgomery), is in group 4.
Ohio's substate region, Board 77 (Summit), is in group 3.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 3.
Oklahoma's substate region, Northeast, is in group 3.
Oklahoma's substate region, Northwest and Southwest, is in group 4.
Oklahoma's substate region, Oklahoma County, is in group 7.
Oklahoma's substate region, Southeast, is in group 3.
Oklahoma's substate region, Tulsa County, is in group 4.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 5.
Oregon's substate region, Region 3, is in group 7.
Oregon's substate region, Region 4, is in group 5.
Oregon's substate region, Region 5 (Central), is in group 5.
Oregon's substate region, Region 6 (Eastern), is in group 5.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 4.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 4.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 1.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 2.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 4.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 4.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 3.
Pennsylvania's substate region, Regions 17 and 21, is in group 4.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 2.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 3.
Pennsylvania's substate region, Regions 29 and 34, is in group 3.
Pennsylvania's substate region, Regions 30 and 50, is in group 2.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 4.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 5.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 5.
Rhode Island's substate region, Region 3: Providence, is in group 6.
Rhode Island's substate region, Region 4: Kent County, is in group 5.
Rhode Island's substate region, Region 5: East Bay, is in group 6.
Rhode Island's substate region, Region 6: Newport County, is in group 5.
Rhode Island's substate region, Region 7: South County, is in group 6.
South Carolina's substate region, Region 1, is in group 3.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 3.
South Carolina's substate region, Region 4, is in group 5.
South Dakota's substate region, Region 1, is in group 6.
South Dakota's substate region, Region 2, is in group 7.
South Dakota's substate region, Region 3, is in group 6.
South Dakota's substate region, Region 4, is in group 5.
South Dakota's substate region, Region 5, is in group 5.
Tennessee's substate region, Region 1, is in group 2.
Tennessee's substate region, Region 2, is in group 3.
Tennessee's substate region, Region 3, is in group 1.
Tennessee's substate region, Region 4 (Davidson), is in group 4.
Tennessee's substate region, Region 5, is in group 3.
Tennessee's substate region, Region 6, is in group 3.
Tennessee's substate region, Region 7 (Shelby), is in group 2.
Texas's substate region, Region 1, is in group 3.
Texas's substate region, Region 2, is in group 3.
Texas's substate region, Region 3, is in group 2.
Texas's substate region, Region 4, is in group 3.
Texas's substate region, Region 5, is in group 3.
Texas's substate region, Region 6, is in group 2.
Texas's substate region, Region 7, is in group 3.
Texas's substate region, Region 8, is in group 3.
Texas's substate region, Region 9, is in group 4.
Texas's substate region, Region 10, is in group 2.
Texas's substate region, Region 11, is in group 1.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 2.
Utah's substate region, Central, Four Corners, and San Juan, is in group 1.
Utah's substate region, Southwest, is in group 1.
Utah's substate region, Davis County, is in group 1.
Utah's substate region, Salt Lake County, is in group 3.
Utah's substate region, Utah County, is in group 1.
Utah's substate region, Weber, Morgan, is in group 2.
Vermont's substate region, Champlain Valley, is in group 6.
Vermont's substate region, Rural Northeast, is in group 6.
Vermont's substate region, Rural Southeast, is in group 5.
Vermont's substate region, Rural Southwest, is in group 6.
Virginia's substate region, Region 1, is in group 3.
Virginia's substate region, Region 2, is in group 4.
Virginia's substate region, Region 3, is in group 4.
Virginia's substate region, Region 4, is in group 5.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 5.
Washington's substate region, Region 2, is in group 5.
Washington's substate region, Region 3, is in group 4.
West Virginia's substate region, Region I, is in group 1.
West Virginia's substate region, Region II, is in group 2.
West Virginia's substate region, Region III, is in group 1.
West Virginia's substate region, Region IV, is in group 2.
West Virginia's substate region, Region V, is in group 3.
West Virginia's substate region, Region VI, is in group 1.
Wisconsin's substate region, Milwaukee, is in group 6.
Wisconsin's substate region, Northeastern, is in group 4.
Wisconsin's substate region, Northern, is in group 4.
Wisconsin's substate region, Southeastern, is in group 6.
Wisconsin's substate region, Southern, is in group 7.
Wisconsin's substate region, Western, is in group 6.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 6.
Wyoming's substate region, Judicial District 3, is in group 5.
Wyoming's substate region, Judicial District 4, is in group 4.
Wyoming's substate region, Judicial District 5, is in group 4.
Wyoming's substate region, Judicial District 6, is in group 6.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 5.
Wyoming's substate region, Judicial District 8, is in group 4.
Wyoming's substate region, Judicial District 9, is in group 5.

Long description end. Click here to return to Figure 23.

Long description, Figure 24. Figure 24 is a U.S. map showing substance use disorder in the past year among individuals aged 12 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 4.86 to 5.87 percent.
The next to lowest group, group 2's percentages ranged from 5.88 to 6.44 percent.
The next lowest group, group 3's percentages ranged from 6.45 to 6.89 percent.
The middle group, group 4's percentages ranged from 6.90 to 8.00 percent.
The next highest group, group 5's percentages ranged from 8.01 to 8.86 percent.
The next to highest group, group 6's percentages ranged from 8.87 to 10.00 percent.
The highest group, group 7's percentages ranged from 10.01 to 14.48 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 3.
Alabama's substate region, Region 2, is in group 3.
Alabama's substate region, Region 3, is in group 3.
Alabama's substate region, Region 4, is in group 3.
Alaska's substate region, Anchorage, is in group 6.
Alaska's substate region, Northern, is in group 7.
Alaska's substate region, South Central, is in group 5.
Alaska's substate region, Southeast, is in group 5.
Arizona's substate region, Central, is in group 4.
Arizona's substate region, North, is in group 5.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 4.
Arkansas's substate region, Catchment Area 1, is in group 4.
Arkansas's substate region, Catchment Area 2, is in group 1.
Arkansas's substate region, Catchment Area 3, is in group 4.
Arkansas's substate region, Catchment Area 4, is in group 4.
Arkansas's substate region, Catchment Area 5, is in group 4.
Arkansas's substate region, Catchment Area 6, is in group 4.
Arkansas's substate region, Catchment Area 7, is in group 3.
Arkansas's substate region, Catchment Area 8, is in group 5.
California's substate region, Region 1R, is in group 7.
California's substate region, Region 2R, is in group 5.
California's substate region, Region 3R (Sacramento), is in group 5.
California's substate region, Region 4R, is in group 5.
California's substate region, Region 5R (San Francisco), is in group 6.
California's substate region, Region 6 (Santa Clara), is in group 3.
California's substate region, Region 7R (Contra Costa), is in group 4.
California's substate region, Region 8R (Alameda), is in group 5.
California's substate region, Region 9R (San Mateo), is in group 4.
California's substate region, Region 10, is in group 4.
California's substate region, LA SPA 1 and 5, is in group 4.
California's substate region, LA SPA 2, is in group 4.
California's substate region, LA SPA 3, is in group 1.
California's substate region, LA SPA 4, is in group 6.
California's substate region, LA SPA 6, is in group 4.
California's substate region, LA SPA 7, is in group 3.
California's substate region, LA SPA 8, is in group 5.
California's substate region, Region 12R, is in group 5.
California's substate region, Regions 13 and 19R, is in group 4.
California's substate region, Region 14 (Orange), is in group 2.
California's substate region, Region 15R (Fresno), is in group 4.
California's substate region, Region 16R (San Diego), is in group 4.
California's substate region, Region 17R, is in group 4.
California's substate region, Region 18R (San Bernardino), is in group 4.
California's substate region, Region 20R, is in group 4.
California's substate region, Region 21R, is in group 6.
Colorado's substate region, Region 1, is in group 7.
Colorado's substate region, Region 2, is in group 6.
Colorado's substate region, Region 3, is in group 4.
Colorado's substate region, Region 4, is in group 6.
Colorado's substate region, Region 5, is in group 7.
Colorado's substate region, Region 6, is in group 6.
Colorado's substate region, Region 7, is in group 6.
Connecticut's substate region, Eastern, is in group 5.
Connecticut's substate region, North Central, is in group 5.
Connecticut's substate region, Northwestern, is in group 5.
Connecticut's substate region, South Central, is in group 5.
Connecticut's substate region, Southwest, is in group 4.
Delaware's substate region, Kent, is in group 4.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 5.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 5.
District of Columbia's substate region, Ward 1, is in group 7.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 7.
District of Columbia's substate region, Ward 4, is in group 6.
District of Columbia's substate region, Ward 5, is in group 7.
District of Columbia's substate region, Ward 6, is in group 7.
District of Columbia's substate region, Ward 7, is in group 5.
District of Columbia's substate region, Ward 8, is in group 7.
Florida's substate region, Broward (Circuit 17), is in group 2.
Florida's substate region, Circuit 9, is in group 2.
Florida's substate region, Circuit 18, is in group 2.
Florida's substate region, Circuit 6, is in group 3.
Florida's substate region, Circuit 10, is in group 2.
Florida's substate region, Circuit 12, is in group 2.
Florida's substate region, Circuit 13 (Hillsborough), is in group 4.
Florida's substate region, Circuit 20, is in group 3.
Florida's substate region, Circuit 4, is in group 4.
Florida's substate region, Circuit 5, is in group 3.
Florida's substate region, Circuit 7, is in group 4.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 4.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 7.
Florida's substate region, Circuit 14, is in group 4.
Florida's substate region, South (Circuits 11 and 16), is in group 1.
Florida's substate region, Circuit 15 (Palm Beach), is in group 2.
Florida's substate region, Circuit 19, is in group 2.
Georgia's substate region, Region 1, is in group 1.
Georgia's substate region, Region 2, is in group 2.
Georgia's substate region, Region 3, is in group 3.
Georgia's substate region, Region 4, is in group 3.
Georgia's substate region, Region 5, is in group 2.
Georgia's substate region, Region 6, is in group 2.
Hawaii's substate region, Hawaii Island, is in group 4.
Hawaii's substate region, Honolulu, is in group 4.
Hawaii's substate region, Kauai, is in group 3.
Hawaii's substate region, Maui, is in group 4.
Idaho's substate region, Region 1, is in group 4.
Idaho's substate region, Region 2, is in group 4.
Idaho's substate region, Region 3, is in group 3.
Idaho's substate region, Region 4, is in group 6.
Idaho's substate region, Region 5, is in group 3.
Idaho's substate region, Region 6, is in group 4.
Idaho's substate region, Region 7, is in group 2.
Illinois's substate region, Region 1.1 (Far North Side), is in group 6.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 4.
Illinois's substate region, Region 1.3 (North Central Side), is in group 7.
Illinois's substate region, Region 1.4 (West Side), is in group 5.
Illinois's substate region, Region 1.5 (South Side), is in group 5.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 3.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 4.
Illinois's substate region, Region 2a (DuPage), is in group 4.
Illinois's substate region, Region 2b, is in group 2.
Illinois's substate region, Region 2c (Winnebago), is in group 3.
Illinois's substate region, Region 2d, is in group 3.
Illinois's substate region, Region 3a (Champaign), is in group 6.
Illinois's substate region, Region 3b, is in group 4.
Illinois's substate region, Region 4a (Sangamon), is in group 5.
Illinois's substate region, Region 4b, is in group 4.
Illinois's substate region, Region 5a, is in group 4.
Illinois's substate region, Region 5b, is in group 4.
Indiana's substate region, Central, is in group 3.
Indiana's substate region, East, is in group 4.
Indiana's substate region, North Central, is in group 3.
Indiana's substate region, Northeast, is in group 4.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 3.
Indiana's substate region, Southwest, is in group 3.
Indiana's substate region, West, is in group 5.
Iowa's substate region, Central, is in group 6.
Iowa's substate region, North Central, is in group 6.
Iowa's substate region, Northeast, is in group 5.
Iowa's substate region, Northwest, is in group 4.
Iowa's substate region, Southeast, is in group 4.
Iowa's substate region, Southwest, is in group 4.
Kansas's substate region, Northeast, is in group 3.
Kansas's substate region, Northwest and North Central, is in group 4.
Kansas's substate region, South Central, is in group 3.
Kansas's substate region, Southeast, is in group 4.
Kansas's substate region, Southwest, is in group 3.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 3.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 4.
Kentucky's substate region, Centerstone, is in group 5.
Kentucky's substate region, Communicare and River Valley, is in group 4.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 2.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 3.
Louisiana's substate region, Region 1, is in group 6.
Louisiana's substate region, Region 10 (Jefferson), is in group 4.
Louisiana's substate region, Regions 2 and 9, is in group 5.
Louisiana's substate region, Region 3, is in group 4.
Louisiana's substate region, Regions 4, 5, and 6, is in group 4.
Louisiana's substate region, Regions 7 and 8, is in group 5.
Maine's substate region, Aroostook, is in group 4.
Maine's substate region, Downeast, is in group 5.
Maine's substate region, Central, is in group 5.
Maine's substate region, Cumberland, is in group 5.
Maine's substate region, Midcoast, is in group 5.
Maine's substate region, Penquis, is in group 5.
Maine's substate region, Western, is in group 6.
Maine's substate region, York, is in group 5.
Maryland's substate region, Anne Arundel, is in group 3.
Maryland's substate region, Baltimore City, is in group 6.
Maryland's substate region, Baltimore County, is in group 4.
Maryland's substate region, Montgomery, is in group 4.
Maryland's substate region, North Central, is in group 4.
Maryland's substate region, Northeast, is in group 4.
Maryland's substate region, Prince George's, is in group 3.
Maryland's substate region, South, is in group 3.
Maryland's substate region, West, is in group 2.
Massachusetts's substate region, Boston, is in group 7.
Massachusetts's substate region, Central, is in group 6.
Massachusetts's substate region, Metrowest, is in group 6.
Massachusetts's substate region, Northeast, is in group 4.
Massachusetts's substate region, Southeast, is in group 6.
Massachusetts's substate region, Western, is in group 6.
Michigan's substate region, Region 1, is in group 3.
Michigan's substate region, Region 2, is in group 3.
Michigan's substate region, Region 3, is in group 4.
Michigan's substate region, Region 4, is in group 4.
Michigan's substate region, Region 5, is in group 4.
Michigan's substate region, Region 6, is in group 4.
Michigan's substate region, Region 7, is in group 5.
Michigan's substate region, Region 8, is in group 3.
Michigan's substate region, Region 9, is in group 3.
Michigan's substate region, Region 10, is in group 4.
Minnesota's substate region, Region 1, is in group 3.
Minnesota's substate region, Region 2, is in group 5.
Minnesota's substate region, Region 3, is in group 4.
Minnesota's substate region, Region 4, is in group 3.
Minnesota's substate region, Region 5, is in group 4.
Minnesota's substate region, Region 6, is in group 4.
Minnesota's substate region, Region 7A (Hennepin), is in group 3.
Minnesota's substate region, Region 7B (Ramsey), is in group 5.
Minnesota's substate region, Region 7C, is in group 3.
Mississippi's substate region, Region 1, is in group 3.
Mississippi's substate region, Region 2, is in group 2.
Mississippi's substate region, Region 3, is in group 3.
Mississippi's substate region, Region 4, is in group 3.
Mississippi's substate region, Region 5, is in group 3.
Mississippi's substate region, Region 6, is in group 2.
Mississippi's substate region, Region 7, is in group 4.
Missouri's substate region, Central, is in group 4.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 4.
Missouri's substate region, Northwest (Jackson), is in group 4.
Missouri's substate region, Northwest (excluding Jackson), is in group 4.
Missouri's substate region, Southeast, is in group 4.
Missouri's substate region, Southwest, is in group 3.
Montana's substate region, Region 1, is in group 5.
Montana's substate region, Region 2, is in group 5.
Montana's substate region, Region 3, is in group 5.
Montana's substate region, Region 4, is in group 7.
Montana's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 1, is in group 4.
Nebraska's substate region, Region 2, is in group 3.
Nebraska's substate region, Region 3, is in group 4.
Nebraska's substate region, Region 4, is in group 4.
Nebraska's substate region, Region 5, is in group 5.
Nebraska's substate region, Region 6, is in group 4.
Nevada's substate region, Clark - Region 1, is in group 5.
Nevada's substate region, Capital District, is in group 4.
Nevada's substate region, Rural/Frontier, is in group 4.
Nevada's substate region, Washoe - Region 2, is in group 6.
New Hampshire's substate region, Central, is in group 5.
New Hampshire's substate region, Northern, is in group 6.
New Hampshire's substate region, Southern, is in group 5.
New Jersey's substate region, Central, is in group 3.
New Jersey's substate region, Metropolitan, is in group 2.
New Jersey's substate region, Northern, is in group 1.
New Jersey's substate region, Southern, is in group 5.
New Mexico's substate region, Region 1, is in group 4.
New Mexico's substate region, Region 2, is in group 4.
New Mexico's substate region, Region 3 (Bernalillo), is in group 6.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 4.
New Mexico's substate region, Region 5b (Dona Ana), is in group 3.
New York's substate region, Region 1: Long Island, is in group 3.
New York's substate region, Region 2A: Bronx, is in group 4.
New York's substate region, Region 2B: Kings, is in group 5.
New York's substate region, Region 2C: New York, is in group 7.
New York's substate region, Region 2D: Queens, is in group 3.
New York's substate region, Region 2E: Richmond, is in group 4.
New York's substate region, Region 3: Mid-Hudson, is in group 3.
New York's substate region, Region 4: Capital Region, is in group 6.
New York's substate region, Region 5: Mohawk Valley, is in group 4.
New York's substate region, Region 6: North Country, is in group 4.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 5.
New York's substate region, Region 9: Southern Tier, is in group 6.
New York's substate region, Region 10: Finger Lakes, is in group 4.
New York's substate region, Region 11: Western, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 2.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 2.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 5.
North Carolina's substate region, CenterPoint Human Services, is in group 3.
North Carolina's substate region, Eastpointe, is in group 1.
North Carolina's substate region, Partners Behavioral Health Management, is in group 1.
North Carolina's substate region, Sandhills Center 1, is in group 1.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 2.
North Carolina's substate region, Smoky Mountain Center 2, is in group 2.
North Carolina's substate region, Trillium Health Resources 1, is in group 3.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 4.
North Dakota's substate region, West Central, is in group 4.
North Dakota's substate region, Lake Region, is in group 4.
North Dakota's substate region, North Central, is in group 5.
North Dakota's substate region, Northeast, is in group 6.
North Dakota's substate region, Northwest, is in group 4.
North Dakota's substate region, South Central, is in group 4.
North Dakota's substate region, Southeast, is in group 5.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 3.
Ohio's substate region, Boards 3, 52, and 85, is in group 3.
Ohio's substate region, Boards 4 and 78, is in group 3.
Ohio's substate region, Boards 5 and 60, is in group 6.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 2.
Ohio's substate region, Boards 8, 13, and 83, is in group 4.
Ohio's substate region, Board 9 (Butler), is in group 4.
Ohio's substate region, Board 12, is in group 5.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 3.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 2.
Ohio's substate region, Boards 22, 74, and 87, is in group 5.
Ohio's substate region, Boards 23 and 45, is in group 4.
Ohio's substate region, Board 25 (Franklin), is in group 5.
Ohio's substate region, Boards 27, 71, and 73, is in group 3.
Ohio's substate region, Boards 28, 43, and 67, is in group 4.
Ohio's substate region, Board 31 (Hamilton), is in group 5.
Ohio's substate region, Board 48 (Lucas), is in group 5.
Ohio's substate region, Boards 50 and 76, is in group 2.
Ohio's substate region, Board 57 (Montgomery), is in group 5.
Ohio's substate region, Board 77 (Summit), is in group 4.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 3.
Oklahoma's substate region, Northeast, is in group 3.
Oklahoma's substate region, Northwest and Southwest, is in group 4.
Oklahoma's substate region, Oklahoma County, is in group 6.
Oklahoma's substate region, Southeast, is in group 3.
Oklahoma's substate region, Tulsa County, is in group 4.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 5.
Oregon's substate region, Region 3, is in group 7.
Oregon's substate region, Region 4, is in group 5.
Oregon's substate region, Region 5 (Central), is in group 5.
Oregon's substate region, Region 6 (Eastern), is in group 5.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 4.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 3.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 2.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 2.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 4.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 4.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 3.
Pennsylvania's substate region, Regions 17 and 21, is in group 4.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 2.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 3.
Pennsylvania's substate region, Regions 29 and 34, is in group 2.
Pennsylvania's substate region, Regions 30 and 50, is in group 2.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 5.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 4.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 5.
Rhode Island's substate region, Region 3: Providence, is in group 6.
Rhode Island's substate region, Region 4: Kent County, is in group 5.
Rhode Island's substate region, Region 5: East Bay, is in group 5.
Rhode Island's substate region, Region 6: Newport County, is in group 5.
Rhode Island's substate region, Region 7: South County, is in group 6.
South Carolina's substate region, Region 1, is in group 3.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 3.
South Carolina's substate region, Region 4, is in group 5.
South Dakota's substate region, Region 1, is in group 5.
South Dakota's substate region, Region 2, is in group 6.
South Dakota's substate region, Region 3, is in group 5.
South Dakota's substate region, Region 4, is in group 5.
South Dakota's substate region, Region 5, is in group 5.
Tennessee's substate region, Region 1, is in group 1.
Tennessee's substate region, Region 2, is in group 3.
Tennessee's substate region, Region 3, is in group 1.
Tennessee's substate region, Region 4 (Davidson), is in group 5.
Tennessee's substate region, Region 5, is in group 3.
Tennessee's substate region, Region 6, is in group 3.
Tennessee's substate region, Region 7 (Shelby), is in group 2.
Texas's substate region, Region 1, is in group 3.
Texas's substate region, Region 2, is in group 3.
Texas's substate region, Region 3, is in group 2.
Texas's substate region, Region 4, is in group 2.
Texas's substate region, Region 5, is in group 3.
Texas's substate region, Region 6, is in group 1.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 2.
Texas's substate region, Region 9, is in group 4.
Texas's substate region, Region 10, is in group 1.
Texas's substate region, Region 11, is in group 1.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 3.
Utah's substate region, Central, Four Corners, and San Juan, is in group 1.
Utah's substate region, Southwest, is in group 2.
Utah's substate region, Davis County, is in group 1.
Utah's substate region, Salt Lake County, is in group 3.
Utah's substate region, Utah County, is in group 1.
Utah's substate region, Weber, Morgan, is in group 3.
Vermont's substate region, Champlain Valley, is in group 7.
Vermont's substate region, Rural Northeast, is in group 6.
Vermont's substate region, Rural Southeast, is in group 5.
Vermont's substate region, Rural Southwest, is in group 6.
Virginia's substate region, Region 1, is in group 4.
Virginia's substate region, Region 2, is in group 3.
Virginia's substate region, Region 3, is in group 4.
Virginia's substate region, Region 4, is in group 5.
Virginia's substate region, Region 5, is in group 5.
Washington's substate region, Region 1, is in group 5.
Washington's substate region, Region 2, is in group 5.
Washington's substate region, Region 3, is in group 4.
West Virginia's substate region, Region I, is in group 1.
West Virginia's substate region, Region II, is in group 2.
West Virginia's substate region, Region III, is in group 1.
West Virginia's substate region, Region IV, is in group 3.
West Virginia's substate region, Region V, is in group 4.
West Virginia's substate region, Region VI, is in group 1.
Wisconsin's substate region, Milwaukee, is in group 5.
Wisconsin's substate region, Northeastern, is in group 4.
Wisconsin's substate region, Northern, is in group 4.
Wisconsin's substate region, Southeastern, is in group 5.
Wisconsin's substate region, Southern, is in group 6.
Wisconsin's substate region, Western, is in group 5.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 3.
Wyoming's substate region, Judicial District 2, is in group 6.
Wyoming's substate region, Judicial District 3, is in group 4.
Wyoming's substate region, Judicial District 4, is in group 2.
Wyoming's substate region, Judicial District 5, is in group 4.
Wyoming's substate region, Judicial District 6, is in group 5.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 4.
Wyoming's substate region, Judicial District 8, is in group 3.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 24.

Long description, Figure 25. Figure 25 is a U.S. map showing serious mental illness in the past year among adults aged 18 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 3.13 to 3.50 percent.
The next to lowest group, group 2's percentages ranged from 3.51 to 3.96 percent.
The next lowest group, group 3's percentages ranged from 3.97 to 4.44 percent.
The middle group, group 4's percentages ranged from 4.45 to 5.03 percent.
The next highest group, group 5's percentages ranged from 5.04 to 5.43 percent.
The next to highest group, group 6's percentages ranged from 5.44 to 5.92 percent.
The highest group, group 7's percentages ranged from 5.93 to 7.04 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 6.
Alabama's substate region, Region 2, is in group 5.
Alabama's substate region, Region 3, is in group 4.
Alabama's substate region, Region 4, is in group 4.
Alaska's substate region, Anchorage, is in group 5.
Alaska's substate region, Northern, is in group 5.
Alaska's substate region, South Central, is in group 4.
Alaska's substate region, Southeast, is in group 5.
Arizona's substate region, Central, is in group 4.
Arizona's substate region, North, is in group 4.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 4.
Arkansas's substate region, Catchment Area 1, is in group 6.
Arkansas's substate region, Catchment Area 2, is in group 6.
Arkansas's substate region, Catchment Area 3, is in group 6.
Arkansas's substate region, Catchment Area 4, is in group 6.
Arkansas's substate region, Catchment Area 5, is in group 6.
Arkansas's substate region, Catchment Area 6, is in group 5.
Arkansas's substate region, Catchment Area 7, is in group 5.
Arkansas's substate region, Catchment Area 8, is in group 4.
California's substate region, Region 1R, is in group 5.
California's substate region, Region 2R, is in group 3.
California's substate region, Region 3R (Sacramento), is in group 3.
California's substate region, Region 4R, is in group 2.
California's substate region, Region 5R (San Francisco), is in group 3.
California's substate region, Region 6 (Santa Clara), is in group 2.
California's substate region, Region 7R (Contra Costa), is in group 2.
California's substate region, Region 8R (Alameda), is in group 2.
California's substate region, Region 9R (San Mateo), is in group 1.
California's substate region, Region 10, is in group 4.
California's substate region, LA SPA 1 and 5, is in group 3.
California's substate region, LA SPA 2, is in group 3.
California's substate region, LA SPA 3, is in group 1.
California's substate region, LA SPA 4, is in group 3.
California's substate region, LA SPA 6, is in group 3.
California's substate region, LA SPA 7, is in group 1.
California's substate region, LA SPA 8, is in group 2.
California's substate region, Region 12R, is in group 3.
California's substate region, Regions 13 and 19R, is in group 3.
California's substate region, Region 14 (Orange), is in group 2.
California's substate region, Region 15R (Fresno), is in group 3.
California's substate region, Region 16R (San Diego), is in group 3.
California's substate region, Region 17R, is in group 3.
California's substate region, Region 18R (San Bernardino), is in group 2.
California's substate region, Region 20R, is in group 3.
California's substate region, Region 21R, is in group 3.
Colorado's substate region, Region 1, is in group 5.
Colorado's substate region, Region 2, is in group 5.
Colorado's substate region, Region 3, is in group 4.
Colorado's substate region, Region 4, is in group 5.
Colorado's substate region, Region 5, is in group 6.
Colorado's substate region, Region 6, is in group 5.
Colorado's substate region, Region 7, is in group 5.
Connecticut's substate region, Eastern, is in group 3.
Connecticut's substate region, North Central, is in group 3.
Connecticut's substate region, Northwestern, is in group 2.
Connecticut's substate region, South Central, is in group 3.
Connecticut's substate region, Southwest, is in group 2.
Delaware's substate region, Kent, is in group 6.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 6.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 5.
District of Columbia's substate region, Ward 1, is in group 4.
District of Columbia's substate region, Ward 2, is in group 6.
District of Columbia's substate region, Ward 3, is in group 5.
District of Columbia's substate region, Ward 4, is in group 2.
District of Columbia's substate region, Ward 5, is in group 2.
District of Columbia's substate region, Ward 6, is in group 4.
District of Columbia's substate region, Ward 7, is in group 2.
District of Columbia's substate region, Ward 8, is in group 3.
Florida's substate region, Broward (Circuit 17), is in group 1.
Florida's substate region, Circuit 9, is in group 2.
Florida's substate region, Circuit 18, is in group 2.
Florida's substate region, Circuit 6, is in group 3.
Florida's substate region, Circuit 10, is in group 3.
Florida's substate region, Circuit 12, is in group 2.
Florida's substate region, Circuit 13 (Hillsborough), is in group 3.
Florida's substate region, Circuit 20, is in group 2.
Florida's substate region, Circuit 4, is in group 3.
Florida's substate region, Circuit 5, is in group 2.
Florida's substate region, Circuit 7, is in group 2.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 4.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 4.
Florida's substate region, Circuit 14, is in group 4.
Florida's substate region, South (Circuits 11 and 16), is in group 1.
Florida's substate region, Circuit 15 (Palm Beach), is in group 1.
Florida's substate region, Circuit 19, is in group 2.
Georgia's substate region, Region 1, is in group 3.
Georgia's substate region, Region 2, is in group 4.
Georgia's substate region, Region 3, is in group 2.
Georgia's substate region, Region 4, is in group 4.
Georgia's substate region, Region 5, is in group 4.
Georgia's substate region, Region 6, is in group 3.
Hawaii's substate region, Hawaii Island, is in group 3.
Hawaii's substate region, Honolulu, is in group 2.
Hawaii's substate region, Kauai, is in group 2.
Hawaii's substate region, Maui, is in group 2.
Idaho's substate region, Region 1, is in group 6.
Idaho's substate region, Region 2, is in group 6.
Idaho's substate region, Region 3, is in group 7.
Idaho's substate region, Region 4, is in group 6.
Idaho's substate region, Region 5, is in group 5.
Idaho's substate region, Region 6, is in group 7.
Idaho's substate region, Region 7, is in group 6.
Illinois's substate region, Region 1.1 (Far North Side), is in group 3.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 2.
Illinois's substate region, Region 1.3 (North Central Side), is in group 4.
Illinois's substate region, Region 1.4 (West Side), is in group 3.
Illinois's substate region, Region 1.5 (South Side), is in group 2.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 1.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 2.
Illinois's substate region, Region 2a (DuPage), is in group 2.
Illinois's substate region, Region 2b, is in group 2.
Illinois's substate region, Region 2c (Winnebago), is in group 3.
Illinois's substate region, Region 2d, is in group 3.
Illinois's substate region, Region 3a (Champaign), is in group 4.
Illinois's substate region, Region 3b, is in group 4.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 4.
Illinois's substate region, Region 5a, is in group 3.
Illinois's substate region, Region 5b, is in group 4.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 5.
Indiana's substate region, North Central, is in group 5.
Indiana's substate region, Northeast, is in group 5.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 7.
Indiana's substate region, Southwest, is in group 5.
Indiana's substate region, West, is in group 7.
Iowa's substate region, Central, is in group 4.
Iowa's substate region, North Central, is in group 4.
Iowa's substate region, Northeast, is in group 4.
Iowa's substate region, Northwest, is in group 4.
Iowa's substate region, Southeast, is in group 5.
Iowa's substate region, Southwest, is in group 4.
Kansas's substate region, Northeast, is in group 4.
Kansas's substate region, Northwest and North Central, is in group 4.
Kansas's substate region, South Central, is in group 5.
Kansas's substate region, Southeast, is in group 5.
Kansas's substate region, Southwest, is in group 4.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 7.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 5.
Kentucky's substate region, Centerstone, is in group 4.
Kentucky's substate region, Communicare and River Valley, is in group 5.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 6.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 7.
Louisiana's substate region, Region 1, is in group 4.
Louisiana's substate region, Region 10 (Jefferson), is in group 4.
Louisiana's substate region, Regions 2 and 9, is in group 4.
Louisiana's substate region, Region 3, is in group 4.
Louisiana's substate region, Regions 4, 5, and 6, is in group 5.
Louisiana's substate region, Regions 7 and 8, is in group 5.
Maine's substate region, Aroostook, is in group 5.
Maine's substate region, Downeast, is in group 4.
Maine's substate region, Central, is in group 6.
Maine's substate region, Cumberland, is in group 4.
Maine's substate region, Midcoast, is in group 4.
Maine's substate region, Penquis, is in group 5.
Maine's substate region, Western, is in group 6.
Maine's substate region, York, is in group 4.
Maryland's substate region, Anne Arundel, is in group 3.
Maryland's substate region, Baltimore City, is in group 3.
Maryland's substate region, Baltimore County, is in group 3.
Maryland's substate region, Montgomery, is in group 1.
Maryland's substate region, North Central, is in group 3.
Maryland's substate region, Northeast, is in group 4.
Maryland's substate region, Prince George's, is in group 1.
Maryland's substate region, South, is in group 3.
Maryland's substate region, West, is in group 3.
Massachusetts's substate region, Boston, is in group 4.
Massachusetts's substate region, Central, is in group 5.
Massachusetts's substate region, Metrowest, is in group 3.
Massachusetts's substate region, Northeast, is in group 4.
Massachusetts's substate region, Southeast, is in group 4.
Massachusetts's substate region, Western, is in group 4.
Michigan's substate region, Region 1, is in group 4.
Michigan's substate region, Region 2, is in group 4.
Michigan's substate region, Region 3, is in group 4.
Michigan's substate region, Region 4, is in group 5.
Michigan's substate region, Region 5, is in group 4.
Michigan's substate region, Region 6, is in group 4.
Michigan's substate region, Region 7, is in group 3.
Michigan's substate region, Region 8, is in group 2.
Michigan's substate region, Region 9, is in group 3.
Michigan's substate region, Region 10, is in group 4.
Minnesota's substate region, Region 1, is in group 3.
Minnesota's substate region, Region 2, is in group 3.
Minnesota's substate region, Region 3, is in group 4.
Minnesota's substate region, Region 4, is in group 4.
Minnesota's substate region, Region 5, is in group 3.
Minnesota's substate region, Region 6, is in group 4.
Minnesota's substate region, Region 7A (Hennepin), is in group 3.
Minnesota's substate region, Region 7B (Ramsey), is in group 4.
Minnesota's substate region, Region 7C, is in group 3.
Mississippi's substate region, Region 1, is in group 5.
Mississippi's substate region, Region 2, is in group 3.
Mississippi's substate region, Region 3, is in group 4.
Mississippi's substate region, Region 4, is in group 4.
Mississippi's substate region, Region 5, is in group 5.
Mississippi's substate region, Region 6, is in group 5.
Mississippi's substate region, Region 7, is in group 5.
Missouri's substate region, Central, is in group 5.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 4.
Missouri's substate region, Northwest (Jackson), is in group 5.
Missouri's substate region, Northwest (excluding Jackson), is in group 5.
Missouri's substate region, Southeast, is in group 7.
Missouri's substate region, Southwest, is in group 6.
Montana's substate region, Region 1, is in group 4.
Montana's substate region, Region 2, is in group 4.
Montana's substate region, Region 3, is in group 5.
Montana's substate region, Region 4, is in group 5.
Montana's substate region, Region 5, is in group 5.
Nebraska's substate region, Region 1, is in group 4.
Nebraska's substate region, Region 2, is in group 3.
Nebraska's substate region, Region 3, is in group 4.
Nebraska's substate region, Region 4, is in group 3.
Nebraska's substate region, Region 5, is in group 3.
Nebraska's substate region, Region 6, is in group 3.
Nevada's substate region, Clark - Region 1, is in group 4.
Nevada's substate region, Capital District, is in group 5.
Nevada's substate region, Rural/Frontier, is in group 4.
Nevada's substate region, Washoe - Region 2, is in group 4.
New Hampshire's substate region, Central, is in group 6.
New Hampshire's substate region, Northern, is in group 5.
New Hampshire's substate region, Southern, is in group 5.
New Jersey's substate region, Central, is in group 2.
New Jersey's substate region, Metropolitan, is in group 1.
New Jersey's substate region, Northern, is in group 1.
New Jersey's substate region, Southern, is in group 2.
New Mexico's substate region, Region 1, is in group 3.
New Mexico's substate region, Region 2, is in group 4.
New Mexico's substate region, Region 3 (Bernalillo), is in group 4.
New Mexico's substate region, Region 4, is in group 3.
New Mexico's substate region, Region 5a, is in group 4.
New Mexico's substate region, Region 5b (Dona Ana), is in group 3.
New York's substate region, Region 1: Long Island, is in group 1.
New York's substate region, Region 2A: Bronx, is in group 1.
New York's substate region, Region 2B: Kings, is in group 2.
New York's substate region, Region 2C: New York, is in group 2.
New York's substate region, Region 2D: Queens, is in group 1.
New York's substate region, Region 2E: Richmond, is in group 3.
New York's substate region, Region 3: Mid-Hudson, is in group 2.
New York's substate region, Region 4: Capital Region, is in group 3.
New York's substate region, Region 5: Mohawk Valley, is in group 4.
New York's substate region, Region 6: North Country, is in group 3.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 4.
New York's substate region, Region 9: Southern Tier, is in group 5.
New York's substate region, Region 10: Finger Lakes, is in group 4.
New York's substate region, Region 11: Western, is in group 3.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 3.
North Carolina's substate region, CenterPoint Human Services, is in group 4.
North Carolina's substate region, Eastpointe, is in group 4.
North Carolina's substate region, Partners Behavioral Health Management, is in group 5.
North Carolina's substate region, Sandhills Center 1, is in group 4.
North Carolina's substate region, Sandhills Center 2, is in group 3.
North Carolina's substate region, Smoky Mountain Center 1, is in group 5.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 4.
North Carolina's substate region, Trillium Health Resources 2, is in group 5.
North Dakota's substate region, Badlands, is in group 3.
North Dakota's substate region, West Central, is in group 3.
North Dakota's substate region, Lake Region, is in group 3.
North Dakota's substate region, North Central, is in group 4.
North Dakota's substate region, Northeast, is in group 5.
North Dakota's substate region, Northwest, is in group 4.
North Dakota's substate region, South Central, is in group 3.
North Dakota's substate region, Southeast, is in group 5.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 5.
Ohio's substate region, Boards 3, 52, and 85, is in group 4.
Ohio's substate region, Boards 4 and 78, is in group 5.
Ohio's substate region, Boards 5 and 60, is in group 7.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 5.
Ohio's substate region, Boards 8, 13, and 83, is in group 5.
Ohio's substate region, Board 9 (Butler), is in group 5.
Ohio's substate region, Board 12, is in group 6.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 6.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 5.
Ohio's substate region, Boards 22, 74, and 87, is in group 5.
Ohio's substate region, Boards 23 and 45, is in group 5.
Ohio's substate region, Board 25 (Franklin), is in group 5.
Ohio's substate region, Boards 27, 71, and 73, is in group 6.
Ohio's substate region, Boards 28, 43, and 67, is in group 4.
Ohio's substate region, Board 31 (Hamilton), is in group 4.
Ohio's substate region, Board 48 (Lucas), is in group 5.
Ohio's substate region, Boards 50 and 76, is in group 5.
Ohio's substate region, Board 57 (Montgomery), is in group 5.
Ohio's substate region, Board 77 (Summit), is in group 5.
Oklahoma's substate region, Central, is in group 5.
Oklahoma's substate region, East Central, is in group 5.
Oklahoma's substate region, Northeast, is in group 4.
Oklahoma's substate region, Northwest and Southwest, is in group 4.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 5.
Oklahoma's substate region, Tulsa County, is in group 4.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 4.
Oregon's substate region, Region 3, is in group 6.
Oregon's substate region, Region 4, is in group 6.
Oregon's substate region, Region 5 (Central), is in group 5.
Oregon's substate region, Region 6 (Eastern), is in group 5.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 4.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 4.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 4.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 5.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 4.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 2.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 4.
Pennsylvania's substate region, Regions 17 and 21, is in group 5.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 3.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 4.
Pennsylvania's substate region, Regions 29 and 34, is in group 3.
Pennsylvania's substate region, Regions 30 and 50, is in group 4.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 3.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 3.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 4.
Rhode Island's substate region, Region 3: Providence, is in group 4.
Rhode Island's substate region, Region 4: Kent County, is in group 4.
Rhode Island's substate region, Region 5: East Bay, is in group 4.
Rhode Island's substate region, Region 6: Newport County, is in group 3.
Rhode Island's substate region, Region 7: South County, is in group 3.
South Carolina's substate region, Region 1, is in group 3.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 4.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 4.
South Dakota's substate region, Region 2, is in group 3.
South Dakota's substate region, Region 3, is in group 4.
South Dakota's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 5, is in group 3.
Tennessee's substate region, Region 1, is in group 6.
Tennessee's substate region, Region 2, is in group 6.
Tennessee's substate region, Region 3, is in group 5.
Tennessee's substate region, Region 4 (Davidson), is in group 4.
Tennessee's substate region, Region 5, is in group 5.
Tennessee's substate region, Region 6, is in group 6.
Tennessee's substate region, Region 7 (Shelby), is in group 3.
Texas's substate region, Region 1, is in group 4.
Texas's substate region, Region 2, is in group 3.
Texas's substate region, Region 3, is in group 2.
Texas's substate region, Region 4, is in group 3.
Texas's substate region, Region 5, is in group 3.
Texas's substate region, Region 6, is in group 1.
Texas's substate region, Region 7, is in group 3.
Texas's substate region, Region 8, is in group 1.
Texas's substate region, Region 9, is in group 2.
Texas's substate region, Region 10, is in group 1.
Texas's substate region, Region 11, is in group 1.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 7.
Utah's substate region, Central, Four Corners, and San Juan, is in group 7.
Utah's substate region, Southwest, is in group 7.
Utah's substate region, Davis County, is in group 7.
Utah's substate region, Salt Lake County, is in group 7.
Utah's substate region, Utah County, is in group 7.
Utah's substate region, Weber, Morgan, is in group 7.
Vermont's substate region, Champlain Valley, is in group 5.
Vermont's substate region, Rural Northeast, is in group 7.
Vermont's substate region, Rural Southeast, is in group 5.
Vermont's substate region, Rural Southwest, is in group 6.
Virginia's substate region, Region 1, is in group 3.
Virginia's substate region, Region 2, is in group 2.
Virginia's substate region, Region 3, is in group 4.
Virginia's substate region, Region 4, is in group 3.
Virginia's substate region, Region 5, is in group 3.
Washington's substate region, Region 1, is in group 6.
Washington's substate region, Region 2, is in group 4.
Washington's substate region, Region 3, is in group 6.
West Virginia's substate region, Region I, is in group 5.
West Virginia's substate region, Region II, is in group 5.
West Virginia's substate region, Region III, is in group 6.
West Virginia's substate region, Region IV, is in group 6.
West Virginia's substate region, Region V, is in group 7.
West Virginia's substate region, Region VI, is in group 6.
Wisconsin's substate region, Milwaukee, is in group 5.
Wisconsin's substate region, Northeastern, is in group 4.
Wisconsin's substate region, Northern, is in group 5.
Wisconsin's substate region, Southeastern, is in group 4.
Wisconsin's substate region, Southern, is in group 6.
Wisconsin's substate region, Western, is in group 5.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 6.
Wyoming's substate region, Judicial District 3, is in group 5.
Wyoming's substate region, Judicial District 4, is in group 4.
Wyoming's substate region, Judicial District 5, is in group 4.
Wyoming's substate region, Judicial District 6, is in group 4.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 4.
Wyoming's substate region, Judicial District 8, is in group 4.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 25.

Long description, Figure 26. Figure 26 is a U.S. map showing any mental illness in the past year among adults aged 18 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 13.84 to 15.86 percent.
The next to lowest group, group 2's percentages ranged from 15.87 to 17.26 percent.
The next lowest group, group 3's percentages ranged from 17.27 to 18.52 percent.
The middle group, group 4's percentages ranged from 18.53 to 20.00 percent.
The next highest group, group 5's percentages ranged from 20.01 to 21.73 percent.
The next to highest group, group 6's percentages ranged from 21.74 to 23.69 percent.
The highest group, group 7's percentages ranged from 23.70 to 27.35 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 4.
Alabama's substate region, Region 2, is in group 5.
Alabama's substate region, Region 3, is in group 5.
Alabama's substate region, Region 4, is in group 5.
Alaska's substate region, Anchorage, is in group 6.
Alaska's substate region, Northern, is in group 5.
Alaska's substate region, South Central, is in group 4.
Alaska's substate region, Southeast, is in group 5.
Arizona's substate region, Central, is in group 3.
Arizona's substate region, North, is in group 3.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 3.
Arkansas's substate region, Catchment Area 1, is in group 5.
Arkansas's substate region, Catchment Area 2, is in group 5.
Arkansas's substate region, Catchment Area 3, is in group 5.
Arkansas's substate region, Catchment Area 4, is in group 5.
Arkansas's substate region, Catchment Area 5, is in group 5.
Arkansas's substate region, Catchment Area 6, is in group 4.
Arkansas's substate region, Catchment Area 7, is in group 4.
Arkansas's substate region, Catchment Area 8, is in group 4.
California's substate region, Region 1R, is in group 5.
California's substate region, Region 2R, is in group 4.
California's substate region, Region 3R (Sacramento), is in group 4.
California's substate region, Region 4R, is in group 3.
California's substate region, Region 5R (San Francisco), is in group 5.
California's substate region, Region 6 (Santa Clara), is in group 3.
California's substate region, Region 7R (Contra Costa), is in group 3.
California's substate region, Region 8R (Alameda), is in group 4.
California's substate region, Region 9R (San Mateo), is in group 3.
California's substate region, Region 10, is in group 4.
California's substate region, LA SPA 1 and 5, is in group 4.
California's substate region, LA SPA 2, is in group 3.
California's substate region, LA SPA 3, is in group 1.
California's substate region, LA SPA 4, is in group 4.
California's substate region, LA SPA 6, is in group 2.
California's substate region, LA SPA 7, is in group 1.
California's substate region, LA SPA 8, is in group 2.
California's substate region, Region 12R, is in group 5.
California's substate region, Regions 13 and 19R, is in group 3.
California's substate region, Region 14 (Orange), is in group 2.
California's substate region, Region 15R (Fresno), is in group 4.
California's substate region, Region 16R (San Diego), is in group 3.
California's substate region, Region 17R, is in group 3.
California's substate region, Region 18R (San Bernardino), is in group 3.
California's substate region, Region 20R, is in group 4.
California's substate region, Region 21R, is in group 4.
Colorado's substate region, Region 1, is in group 6.
Colorado's substate region, Region 2, is in group 6.
Colorado's substate region, Region 3, is in group 4.
Colorado's substate region, Region 4, is in group 4.
Colorado's substate region, Region 5, is in group 6.
Colorado's substate region, Region 6, is in group 6.
Colorado's substate region, Region 7, is in group 5.
Connecticut's substate region, Eastern, is in group 5.
Connecticut's substate region, North Central, is in group 4.
Connecticut's substate region, Northwestern, is in group 3.
Connecticut's substate region, South Central, is in group 3.
Connecticut's substate region, Southwest, is in group 4.
Delaware's substate region, Kent, is in group 5.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 4.
Delaware's substate region, Sussex, is in group 3.
Delaware's substate region, Wilmington City, is in group 4.
District of Columbia's substate region, Ward 1, is in group 6.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 6.
District of Columbia's substate region, Ward 4, is in group 3.
District of Columbia's substate region, Ward 5, is in group 4.
District of Columbia's substate region, Ward 6, is in group 6.
District of Columbia's substate region, Ward 7, is in group 3.
District of Columbia's substate region, Ward 8, is in group 5.
Florida's substate region, Broward (Circuit 17), is in group 1.
Florida's substate region, Circuit 9, is in group 3.
Florida's substate region, Circuit 18, is in group 3.
Florida's substate region, Circuit 6, is in group 3.
Florida's substate region, Circuit 10, is in group 2.
Florida's substate region, Circuit 12, is in group 2.
Florida's substate region, Circuit 13 (Hillsborough), is in group 4.
Florida's substate region, Circuit 20, is in group 3.
Florida's substate region, Circuit 4, is in group 3.
Florida's substate region, Circuit 5, is in group 4.
Florida's substate region, Circuit 7, is in group 2.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 4.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 5.
Florida's substate region, Circuit 14, is in group 4.
Florida's substate region, South (Circuits 11 and 16), is in group 1.
Florida's substate region, Circuit 15 (Palm Beach), is in group 2.
Florida's substate region, Circuit 19, is in group 2.
Georgia's substate region, Region 1, is in group 4.
Georgia's substate region, Region 2, is in group 3.
Georgia's substate region, Region 3, is in group 2.
Georgia's substate region, Region 4, is in group 4.
Georgia's substate region, Region 5, is in group 4.
Georgia's substate region, Region 6, is in group 4.
Hawaii's substate region, Hawaii Island, is in group 4.
Hawaii's substate region, Honolulu, is in group 1.
Hawaii's substate region, Kauai, is in group 3.
Hawaii's substate region, Maui, is in group 2.
Idaho's substate region, Region 1, is in group 7.
Idaho's substate region, Region 2, is in group 6.
Idaho's substate region, Region 3, is in group 7.
Idaho's substate region, Region 4, is in group 7.
Idaho's substate region, Region 5, is in group 6.
Idaho's substate region, Region 6, is in group 7.
Idaho's substate region, Region 7, is in group 7.
Illinois's substate region, Region 1.1 (Far North Side), is in group 3.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 1.
Illinois's substate region, Region 1.3 (North Central Side), is in group 6.
Illinois's substate region, Region 1.4 (West Side), is in group 4.
Illinois's substate region, Region 1.5 (South Side), is in group 2.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 1.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 1.
Illinois's substate region, Region 2a (DuPage), is in group 2.
Illinois's substate region, Region 2b, is in group 2.
Illinois's substate region, Region 2c (Winnebago), is in group 3.
Illinois's substate region, Region 2d, is in group 3.
Illinois's substate region, Region 3a (Champaign), is in group 5.
Illinois's substate region, Region 3b, is in group 4.
Illinois's substate region, Region 4a (Sangamon), is in group 4.
Illinois's substate region, Region 4b, is in group 3.
Illinois's substate region, Region 5a, is in group 4.
Illinois's substate region, Region 5b, is in group 3.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 6.
Indiana's substate region, North Central, is in group 6.
Indiana's substate region, Northeast, is in group 5.
Indiana's substate region, Northwest, is in group 5.
Indiana's substate region, Southeast, is in group 6.
Indiana's substate region, Southwest, is in group 5.
Indiana's substate region, West, is in group 7.
Iowa's substate region, Central, is in group 4.
Iowa's substate region, North Central, is in group 4.
Iowa's substate region, Northeast, is in group 4.
Iowa's substate region, Northwest, is in group 2.
Iowa's substate region, Southeast, is in group 5.
Iowa's substate region, Southwest, is in group 3.
Kansas's substate region, Northeast, is in group 4.
Kansas's substate region, Northwest and North Central, is in group 3.
Kansas's substate region, South Central, is in group 4.
Kansas's substate region, Southeast, is in group 4.
Kansas's substate region, Southwest, is in group 3.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 5.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 7.
Kentucky's substate region, Centerstone, is in group 5.
Kentucky's substate region, Communicare and River Valley, is in group 5.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 5.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 7.
Louisiana's substate region, Region 1, is in group 4.
Louisiana's substate region, Region 10 (Jefferson), is in group 5.
Louisiana's substate region, Regions 2 and 9, is in group 4.
Louisiana's substate region, Region 3, is in group 4.
Louisiana's substate region, Regions 4, 5, and 6, is in group 5.
Louisiana's substate region, Regions 7 and 8, is in group 4.
Maine's substate region, Aroostook, is in group 4.
Maine's substate region, Downeast, is in group 3.
Maine's substate region, Central, is in group 5.
Maine's substate region, Cumberland, is in group 4.
Maine's substate region, Midcoast, is in group 3.
Maine's substate region, Penquis, is in group 5.
Maine's substate region, Western, is in group 6.
Maine's substate region, York, is in group 5.
Maryland's substate region, Anne Arundel, is in group 3.
Maryland's substate region, Baltimore City, is in group 3.
Maryland's substate region, Baltimore County, is in group 3.
Maryland's substate region, Montgomery, is in group 1.
Maryland's substate region, North Central, is in group 4.
Maryland's substate region, Northeast, is in group 4.
Maryland's substate region, Prince George's, is in group 1.
Maryland's substate region, South, is in group 3.
Maryland's substate region, West, is in group 3.
Massachusetts's substate region, Boston, is in group 7.
Massachusetts's substate region, Central, is in group 5.
Massachusetts's substate region, Metrowest, is in group 4.
Massachusetts's substate region, Northeast, is in group 4.
Massachusetts's substate region, Southeast, is in group 5.
Massachusetts's substate region, Western, is in group 6.
Michigan's substate region, Region 1, is in group 3.
Michigan's substate region, Region 2, is in group 2.
Michigan's substate region, Region 3, is in group 4.
Michigan's substate region, Region 4, is in group 4.
Michigan's substate region, Region 5, is in group 4.
Michigan's substate region, Region 6, is in group 4.
Michigan's substate region, Region 7, is in group 4.
Michigan's substate region, Region 8, is in group 2.
Michigan's substate region, Region 9, is in group 4.
Michigan's substate region, Region 10, is in group 4.
Minnesota's substate region, Region 1, is in group 3.
Minnesota's substate region, Region 2, is in group 4.
Minnesota's substate region, Region 3, is in group 4.
Minnesota's substate region, Region 4, is in group 4.
Minnesota's substate region, Region 5, is in group 3.
Minnesota's substate region, Region 6, is in group 4.
Minnesota's substate region, Region 7A (Hennepin), is in group 4.
Minnesota's substate region, Region 7B (Ramsey), is in group 5.
Minnesota's substate region, Region 7C, is in group 4.
Mississippi's substate region, Region 1, is in group 4.
Mississippi's substate region, Region 2, is in group 2.
Mississippi's substate region, Region 3, is in group 4.
Mississippi's substate region, Region 4, is in group 4.
Mississippi's substate region, Region 5, is in group 4.
Mississippi's substate region, Region 6, is in group 4.
Mississippi's substate region, Region 7, is in group 5.
Missouri's substate region, Central, is in group 4.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 5.
Missouri's substate region, Northwest (Jackson), is in group 5.
Missouri's substate region, Northwest (excluding Jackson), is in group 5.
Missouri's substate region, Southeast, is in group 5.
Missouri's substate region, Southwest, is in group 6.
Montana's substate region, Region 1, is in group 4.
Montana's substate region, Region 2, is in group 4.
Montana's substate region, Region 3, is in group 5.
Montana's substate region, Region 4, is in group 4.
Montana's substate region, Region 5, is in group 5.
Nebraska's substate region, Region 1, is in group 3.
Nebraska's substate region, Region 2, is in group 2.
Nebraska's substate region, Region 3, is in group 2.
Nebraska's substate region, Region 4, is in group 1.
Nebraska's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 6, is in group 4.
Nevada's substate region, Clark - Region 1, is in group 5.
Nevada's substate region, Capital District, is in group 4.
Nevada's substate region, Rural/Frontier, is in group 5.
Nevada's substate region, Washoe - Region 2, is in group 4.
New Hampshire's substate region, Central, is in group 5.
New Hampshire's substate region, Northern, is in group 4.
New Hampshire's substate region, Southern, is in group 4.
New Jersey's substate region, Central, is in group 2.
New Jersey's substate region, Metropolitan, is in group 1.
New Jersey's substate region, Northern, is in group 1.
New Jersey's substate region, Southern, is in group 3.
New Mexico's substate region, Region 1, is in group 3.
New Mexico's substate region, Region 2, is in group 3.
New Mexico's substate region, Region 3 (Bernalillo), is in group 5.
New Mexico's substate region, Region 4, is in group 2.
New Mexico's substate region, Region 5a, is in group 3.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 2.
New York's substate region, Region 2A: Bronx, is in group 2.
New York's substate region, Region 2B: Kings, is in group 4.
New York's substate region, Region 2C: New York, is in group 4.
New York's substate region, Region 2D: Queens, is in group 3.
New York's substate region, Region 2E: Richmond, is in group 3.
New York's substate region, Region 3: Mid-Hudson, is in group 2.
New York's substate region, Region 4: Capital Region, is in group 4.
New York's substate region, Region 5: Mohawk Valley, is in group 4.
New York's substate region, Region 6: North Country, is in group 4.
New York's substate region, Region 7: Tug Hill Seaway, is in group 5.
New York's substate region, Region 8: Central, is in group 4.
New York's substate region, Region 9: Southern Tier, is in group 5.
New York's substate region, Region 10: Finger Lakes, is in group 5.
New York's substate region, Region 11: Western, is in group 3.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 4.
North Carolina's substate region, CenterPoint Human Services, is in group 3.
North Carolina's substate region, Eastpointe, is in group 3.
North Carolina's substate region, Partners Behavioral Health Management, is in group 4.
North Carolina's substate region, Sandhills Center 1, is in group 3.
North Carolina's substate region, Sandhills Center 2, is in group 3.
North Carolina's substate region, Smoky Mountain Center 1, is in group 4.
North Carolina's substate region, Smoky Mountain Center 2, is in group 3.
North Carolina's substate region, Trillium Health Resources 1, is in group 3.
North Carolina's substate region, Trillium Health Resources 2, is in group 5.
North Dakota's substate region, Badlands, is in group 3.
North Dakota's substate region, West Central, is in group 2.
North Dakota's substate region, Lake Region, is in group 3.
North Dakota's substate region, North Central, is in group 3.
North Dakota's substate region, Northeast, is in group 4.
North Dakota's substate region, Northwest, is in group 4.
North Dakota's substate region, South Central, is in group 2.
North Dakota's substate region, Southeast, is in group 5.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 5.
Ohio's substate region, Boards 3, 52, and 85, is in group 4.
Ohio's substate region, Boards 4 and 78, is in group 5.
Ohio's substate region, Boards 5 and 60, is in group 6.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 4.
Ohio's substate region, Boards 8, 13, and 83, is in group 5.
Ohio's substate region, Board 9 (Butler), is in group 5.
Ohio's substate region, Board 12, is in group 6.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 5.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 5.
Ohio's substate region, Boards 22, 74, and 87, is in group 4.
Ohio's substate region, Boards 23 and 45, is in group 6.
Ohio's substate region, Board 25 (Franklin), is in group 6.
Ohio's substate region, Boards 27, 71, and 73, is in group 5.
Ohio's substate region, Boards 28, 43, and 67, is in group 5.
Ohio's substate region, Board 31 (Hamilton), is in group 4.
Ohio's substate region, Board 48 (Lucas), is in group 6.
Ohio's substate region, Boards 50 and 76, is in group 5.
Ohio's substate region, Board 57 (Montgomery), is in group 6.
Ohio's substate region, Board 77 (Summit), is in group 5.
Oklahoma's substate region, Central, is in group 5.
Oklahoma's substate region, East Central, is in group 4.
Oklahoma's substate region, Northeast, is in group 5.
Oklahoma's substate region, Northwest and Southwest, is in group 3.
Oklahoma's substate region, Oklahoma County, is in group 6.
Oklahoma's substate region, Southeast, is in group 4.
Oklahoma's substate region, Tulsa County, is in group 5.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 5.
Oregon's substate region, Region 3, is in group 7.
Oregon's substate region, Region 4, is in group 6.
Oregon's substate region, Region 5 (Central), is in group 5.
Oregon's substate region, Region 6 (Eastern), is in group 5.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 4.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 3.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 4.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 4.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 3.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 3.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 3.
Pennsylvania's substate region, Regions 17 and 21, is in group 5.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 4.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 4.
Pennsylvania's substate region, Regions 29 and 34, is in group 4.
Pennsylvania's substate region, Regions 30 and 50, is in group 3.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 3.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 4.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 4.
Rhode Island's substate region, Region 3: Providence, is in group 6.
Rhode Island's substate region, Region 4: Kent County, is in group 5.
Rhode Island's substate region, Region 5: East Bay, is in group 6.
Rhode Island's substate region, Region 6: Newport County, is in group 4.
Rhode Island's substate region, Region 7: South County, is in group 4.
South Carolina's substate region, Region 1, is in group 2.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 4.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 3.
South Dakota's substate region, Region 2, is in group 2.
South Dakota's substate region, Region 3, is in group 2.
South Dakota's substate region, Region 4, is in group 2.
South Dakota's substate region, Region 5, is in group 2.
Tennessee's substate region, Region 1, is in group 4.
Tennessee's substate region, Region 2, is in group 4.
Tennessee's substate region, Region 3, is in group 4.
Tennessee's substate region, Region 4 (Davidson), is in group 3.
Tennessee's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 6, is in group 4.
Tennessee's substate region, Region 7 (Shelby), is in group 1.
Texas's substate region, Region 1, is in group 3.
Texas's substate region, Region 2, is in group 3.
Texas's substate region, Region 3, is in group 1.
Texas's substate region, Region 4, is in group 2.
Texas's substate region, Region 5, is in group 2.
Texas's substate region, Region 6, is in group 1.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 2.
Texas's substate region, Region 9, is in group 2.
Texas's substate region, Region 10, is in group 1.
Texas's substate region, Region 11, is in group 1.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 6.
Utah's substate region, Central, Four Corners, and San Juan, is in group 6.
Utah's substate region, Southwest, is in group 6.
Utah's substate region, Davis County, is in group 6.
Utah's substate region, Salt Lake County, is in group 7.
Utah's substate region, Utah County, is in group 7.
Utah's substate region, Weber, Morgan, is in group 7.
Vermont's substate region, Champlain Valley, is in group 5.
Vermont's substate region, Rural Northeast, is in group 5.
Vermont's substate region, Rural Southeast, is in group 4.
Vermont's substate region, Rural Southwest, is in group 5.
Virginia's substate region, Region 1, is in group 3.
Virginia's substate region, Region 2, is in group 3.
Virginia's substate region, Region 3, is in group 4.
Virginia's substate region, Region 4, is in group 3.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 6.
Washington's substate region, Region 2, is in group 6.
Washington's substate region, Region 3, is in group 6.
West Virginia's substate region, Region I, is in group 5.
West Virginia's substate region, Region II, is in group 6.
West Virginia's substate region, Region III, is in group 7.
West Virginia's substate region, Region IV, is in group 7.
West Virginia's substate region, Region V, is in group 7.
West Virginia's substate region, Region VI, is in group 6.
Wisconsin's substate region, Milwaukee, is in group 4.
Wisconsin's substate region, Northeastern, is in group 2.
Wisconsin's substate region, Northern, is in group 2.
Wisconsin's substate region, Southeastern, is in group 3.
Wisconsin's substate region, Southern, is in group 5.
Wisconsin's substate region, Western, is in group 3.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 5.
Wyoming's substate region, Judicial District 2, is in group 6.
Wyoming's substate region, Judicial District 3, is in group 5.
Wyoming's substate region, Judicial District 4, is in group 3.
Wyoming's substate region, Judicial District 5, is in group 4.
Wyoming's substate region, Judicial District 6, is in group 5.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 4.
Wyoming's substate region, Judicial District 8, is in group 3.
Wyoming's substate region, Judicial District 9, is in group 4.

Long description end. Click here to return to Figure 26.

Long description, Figure 27. Figure 27 is a U.S. map showing those who had received mental health services in the past year among adults aged 18 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 8.23 to 10.87 percent.
The next to lowest group, group 2's percentages ranged from 10.88 to 12.63 percent.
The next lowest group, group 3's percentages ranged from 12.64 to 14.36 percent.
The middle group, group 4's percentages ranged from 14.37 to 17.01 percent.
The next highest group, group 5's percentages ranged from 17.02 to 18.51 percent.
The next to highest group, group 6's percentages ranged from 18.52 to 20.42 percent.
The highest group, group 7's percentages ranged from 20.43 to 23.51 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 4.
Alabama's substate region, Region 2, is in group 4.
Alabama's substate region, Region 3, is in group 3.
Alabama's substate region, Region 4, is in group 4.
Alaska's substate region, Anchorage, is in group 3.
Alaska's substate region, Northern, is in group 2.
Alaska's substate region, South Central, is in group 3.
Alaska's substate region, Southeast, is in group 3.
Arizona's substate region, Central, is in group 3.
Arizona's substate region, North, is in group 3.
Arizona's substate region, South A, is in group 3.
Arizona's substate region, South B, is in group 2.
Arkansas's substate region, Catchment Area 1, is in group 4.
Arkansas's substate region, Catchment Area 2, is in group 4.
Arkansas's substate region, Catchment Area 3, is in group 4.
Arkansas's substate region, Catchment Area 4, is in group 5.
Arkansas's substate region, Catchment Area 5, is in group 4.
Arkansas's substate region, Catchment Area 6, is in group 4.
Arkansas's substate region, Catchment Area 7, is in group 4.
Arkansas's substate region, Catchment Area 8, is in group 4.
California's substate region, Region 1R, is in group 3.
California's substate region, Region 2R, is in group 3.
California's substate region, Region 3R (Sacramento), is in group 2.
California's substate region, Region 4R, is in group 3.
California's substate region, Region 5R (San Francisco), is in group 3.
California's substate region, Region 6 (Santa Clara), is in group 1.
California's substate region, Region 7R (Contra Costa), is in group 2.
California's substate region, Region 8R (Alameda), is in group 3.
California's substate region, Region 9R (San Mateo), is in group 2.
California's substate region, Region 10, is in group 3.
California's substate region, LA SPA 1 and 5, is in group 4.
California's substate region, LA SPA 2, is in group 2.
California's substate region, LA SPA 3, is in group 1.
California's substate region, LA SPA 4, is in group 2.
California's substate region, LA SPA 6, is in group 1.
California's substate region, LA SPA 7, is in group 1.
California's substate region, LA SPA 8, is in group 2.
California's substate region, Region 12R, is in group 2.
California's substate region, Regions 13 and 19R, is in group 2.
California's substate region, Region 14 (Orange), is in group 1.
California's substate region, Region 15R (Fresno), is in group 2.
California's substate region, Region 16R (San Diego), is in group 2.
California's substate region, Region 17R, is in group 1.
California's substate region, Region 18R (San Bernardino), is in group 1.
California's substate region, Region 20R, is in group 2.
California's substate region, Region 21R, is in group 3.
Colorado's substate region, Region 1, is in group 5.
Colorado's substate region, Region 2, is in group 4.
Colorado's substate region, Region 3, is in group 4.
Colorado's substate region, Region 4, is in group 4.
Colorado's substate region, Region 5, is in group 4.
Colorado's substate region, Region 6, is in group 6.
Colorado's substate region, Region 7, is in group 4.
Connecticut's substate region, Eastern, is in group 5.
Connecticut's substate region, North Central, is in group 5.
Connecticut's substate region, Northwestern, is in group 5.
Connecticut's substate region, South Central, is in group 5.
Connecticut's substate region, Southwest, is in group 4.
Delaware's substate region, Kent, is in group 4.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 5.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 4.
District of Columbia's substate region, Ward 1, is in group 6.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 7.
District of Columbia's substate region, Ward 4, is in group 4.
District of Columbia's substate region, Ward 5, is in group 3.
District of Columbia's substate region, Ward 6, is in group 6.
District of Columbia's substate region, Ward 7, is in group 3.
District of Columbia's substate region, Ward 8, is in group 3.
Florida's substate region, Broward (Circuit 17), is in group 1.
Florida's substate region, Circuit 9, is in group 2.
Florida's substate region, Circuit 18, is in group 3.
Florida's substate region, Circuit 6, is in group 4.
Florida's substate region, Circuit 10, is in group 2.
Florida's substate region, Circuit 12, is in group 4.
Florida's substate region, Circuit 13 (Hillsborough), is in group 3.
Florida's substate region, Circuit 20, is in group 3.
Florida's substate region, Circuit 4, is in group 3.
Florida's substate region, Circuit 5, is in group 3.
Florida's substate region, Circuit 7, is in group 3.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 3.
Florida's substate region, Circuit 1, is in group 4.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 3.
Florida's substate region, Circuit 14, is in group 4.
Florida's substate region, South (Circuits 11 and 16), is in group 1.
Florida's substate region, Circuit 15 (Palm Beach), is in group 2.
Florida's substate region, Circuit 19, is in group 3.
Georgia's substate region, Region 1, is in group 3.
Georgia's substate region, Region 2, is in group 3.
Georgia's substate region, Region 3, is in group 2.
Georgia's substate region, Region 4, is in group 3.
Georgia's substate region, Region 5, is in group 3.
Georgia's substate region, Region 6, is in group 2.
Hawaii's substate region, Hawaii Island, is in group 2.
Hawaii's substate region, Honolulu, is in group 1.
Hawaii's substate region, Kauai, is in group 2.
Hawaii's substate region, Maui, is in group 2.
Idaho's substate region, Region 1, is in group 6.
Idaho's substate region, Region 2, is in group 5.
Idaho's substate region, Region 3, is in group 5.
Idaho's substate region, Region 4, is in group 7.
Idaho's substate region, Region 5, is in group 4.
Idaho's substate region, Region 6, is in group 6.
Idaho's substate region, Region 7, is in group 5.
Illinois's substate region, Region 1.1 (Far North Side), is in group 4.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 2.
Illinois's substate region, Region 1.3 (North Central Side), is in group 5.
Illinois's substate region, Region 1.4 (West Side), is in group 2.
Illinois's substate region, Region 1.5 (South Side), is in group 1.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 1.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 3.
Illinois's substate region, Region 2a (DuPage), is in group 4.
Illinois's substate region, Region 2b, is in group 3.
Illinois's substate region, Region 2c (Winnebago), is in group 4.
Illinois's substate region, Region 2d, is in group 4.
Illinois's substate region, Region 3a (Champaign), is in group 4.
Illinois's substate region, Region 3b, is in group 5.
Illinois's substate region, Region 4a (Sangamon), is in group 5.
Illinois's substate region, Region 4b, is in group 4.
Illinois's substate region, Region 5a, is in group 4.
Illinois's substate region, Region 5b, is in group 4.
Indiana's substate region, Central, is in group 4.
Indiana's substate region, East, is in group 5.
Indiana's substate region, North Central, is in group 5.
Indiana's substate region, Northeast, is in group 5.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 5.
Indiana's substate region, Southwest, is in group 5.
Indiana's substate region, West, is in group 6.
Iowa's substate region, Central, is in group 6.
Iowa's substate region, North Central, is in group 5.
Iowa's substate region, Northeast, is in group 5.
Iowa's substate region, Northwest, is in group 4.
Iowa's substate region, Southeast, is in group 6.
Iowa's substate region, Southwest, is in group 6.
Kansas's substate region, Northeast, is in group 4.
Kansas's substate region, Northwest and North Central, is in group 4.
Kansas's substate region, South Central, is in group 4.
Kansas's substate region, Southeast, is in group 4.
Kansas's substate region, Southwest, is in group 2.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 6.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 6.
Kentucky's substate region, Centerstone, is in group 5.
Kentucky's substate region, Communicare and River Valley, is in group 5.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 6.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 7.
Louisiana's substate region, Region 1, is in group 3.
Louisiana's substate region, Region 10 (Jefferson), is in group 4.
Louisiana's substate region, Regions 2 and 9, is in group 3.
Louisiana's substate region, Region 3, is in group 3.
Louisiana's substate region, Regions 4, 5, and 6, is in group 4.
Louisiana's substate region, Regions 7 and 8, is in group 3.
Maine's substate region, Aroostook, is in group 5.
Maine's substate region, Downeast, is in group 5.
Maine's substate region, Central, is in group 6.
Maine's substate region, Cumberland, is in group 7.
Maine's substate region, Midcoast, is in group 6.
Maine's substate region, Penquis, is in group 6.
Maine's substate region, Western, is in group 6.
Maine's substate region, York, is in group 6.
Maryland's substate region, Anne Arundel, is in group 4.
Maryland's substate region, Baltimore City, is in group 3.
Maryland's substate region, Baltimore County, is in group 3.
Maryland's substate region, Montgomery, is in group 3.
Maryland's substate region, North Central, is in group 4.
Maryland's substate region, Northeast, is in group 4.
Maryland's substate region, Prince George's, is in group 1.
Maryland's substate region, South, is in group 3.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 7.
Massachusetts's substate region, Central, is in group 6.
Massachusetts's substate region, Metrowest, is in group 7.
Massachusetts's substate region, Northeast, is in group 7.
Massachusetts's substate region, Southeast, is in group 7.
Massachusetts's substate region, Western, is in group 7.
Michigan's substate region, Region 1, is in group 4.
Michigan's substate region, Region 2, is in group 5.
Michigan's substate region, Region 3, is in group 5.
Michigan's substate region, Region 4, is in group 5.
Michigan's substate region, Region 5, is in group 5.
Michigan's substate region, Region 6, is in group 4.
Michigan's substate region, Region 7, is in group 4.
Michigan's substate region, Region 8, is in group 4.
Michigan's substate region, Region 9, is in group 4.
Michigan's substate region, Region 10, is in group 5.
Minnesota's substate region, Region 1, is in group 4.
Minnesota's substate region, Region 2, is in group 6.
Minnesota's substate region, Region 3, is in group 5.
Minnesota's substate region, Region 4, is in group 5.
Minnesota's substate region, Region 5, is in group 5.
Minnesota's substate region, Region 6, is in group 5.
Minnesota's substate region, Region 7A (Hennepin), is in group 5.
Minnesota's substate region, Region 7B (Ramsey), is in group 5.
Minnesota's substate region, Region 7C, is in group 6.
Mississippi's substate region, Region 1, is in group 3.
Mississippi's substate region, Region 2, is in group 1.
Mississippi's substate region, Region 3, is in group 2.
Mississippi's substate region, Region 4, is in group 2.
Mississippi's substate region, Region 5, is in group 2.
Mississippi's substate region, Region 6, is in group 3.
Mississippi's substate region, Region 7, is in group 3.
Missouri's substate region, Central, is in group 4.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 5.
Missouri's substate region, Northwest (Jackson), is in group 4.
Missouri's substate region, Northwest (excluding Jackson), is in group 5.
Missouri's substate region, Southeast, is in group 5.
Missouri's substate region, Southwest, is in group 5.
Montana's substate region, Region 1, is in group 4.
Montana's substate region, Region 2, is in group 4.
Montana's substate region, Region 3, is in group 4.
Montana's substate region, Region 4, is in group 4.
Montana's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 1, is in group 3.
Nebraska's substate region, Region 2, is in group 4.
Nebraska's substate region, Region 3, is in group 4.
Nebraska's substate region, Region 4, is in group 3.
Nebraska's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 6, is in group 4.
Nevada's substate region, Clark - Region 1, is in group 2.
Nevada's substate region, Capital District, is in group 3.
Nevada's substate region, Rural/Frontier, is in group 3.
Nevada's substate region, Washoe - Region 2, is in group 3.
New Hampshire's substate region, Central, is in group 6.
New Hampshire's substate region, Northern, is in group 5.
New Hampshire's substate region, Southern, is in group 5.
New Jersey's substate region, Central, is in group 3.
New Jersey's substate region, Metropolitan, is in group 2.
New Jersey's substate region, Northern, is in group 2.
New Jersey's substate region, Southern, is in group 3.
New Mexico's substate region, Region 1, is in group 2.
New Mexico's substate region, Region 2, is in group 3.
New Mexico's substate region, Region 3 (Bernalillo), is in group 4.
New Mexico's substate region, Region 4, is in group 3.
New Mexico's substate region, Region 5a, is in group 3.
New Mexico's substate region, Region 5b (Dona Ana), is in group 3.
New York's substate region, Region 1: Long Island, is in group 3.
New York's substate region, Region 2A: Bronx, is in group 1.
New York's substate region, Region 2B: Kings, is in group 3.
New York's substate region, Region 2C: New York, is in group 4.
New York's substate region, Region 2D: Queens, is in group 2.
New York's substate region, Region 2E: Richmond, is in group 4.
New York's substate region, Region 3: Mid-Hudson, is in group 4.
New York's substate region, Region 4: Capital Region, is in group 4.
New York's substate region, Region 5: Mohawk Valley, is in group 5.
New York's substate region, Region 6: North Country, is in group 5.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 4.
New York's substate region, Region 9: Southern Tier, is in group 5.
New York's substate region, Region 10: Finger Lakes, is in group 5.
New York's substate region, Region 11: Western, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 4.
North Carolina's substate region, CenterPoint Human Services, is in group 4.
North Carolina's substate region, Eastpointe, is in group 3.
North Carolina's substate region, Partners Behavioral Health Management, is in group 5.
North Carolina's substate region, Sandhills Center 1, is in group 4.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 4.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 4.
North Carolina's substate region, Trillium Health Resources 2, is in group 4.
North Dakota's substate region, Badlands, is in group 4.
North Dakota's substate region, West Central, is in group 4.
North Dakota's substate region, Lake Region, is in group 3.
North Dakota's substate region, North Central, is in group 4.
North Dakota's substate region, Northeast, is in group 4.
North Dakota's substate region, Northwest, is in group 3.
North Dakota's substate region, South Central, is in group 4.
North Dakota's substate region, Southeast, is in group 4.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 5.
Ohio's substate region, Boards 3, 52, and 85, is in group 5.
Ohio's substate region, Boards 4 and 78, is in group 5.
Ohio's substate region, Boards 5 and 60, is in group 6.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 5.
Ohio's substate region, Boards 8, 13, and 83, is in group 6.
Ohio's substate region, Board 9 (Butler), is in group 5.
Ohio's substate region, Board 12, is in group 5.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 5.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 5.
Ohio's substate region, Boards 22, 74, and 87, is in group 5.
Ohio's substate region, Boards 23 and 45, is in group 5.
Ohio's substate region, Board 25 (Franklin), is in group 5.
Ohio's substate region, Boards 27, 71, and 73, is in group 6.
Ohio's substate region, Boards 28, 43, and 67, is in group 6.
Ohio's substate region, Board 31 (Hamilton), is in group 5.
Ohio's substate region, Board 48 (Lucas), is in group 6.
Ohio's substate region, Boards 50 and 76, is in group 5.
Ohio's substate region, Board 57 (Montgomery), is in group 5.
Ohio's substate region, Board 77 (Summit), is in group 6.
Oklahoma's substate region, Central, is in group 4.
Oklahoma's substate region, East Central, is in group 3.
Oklahoma's substate region, Northeast, is in group 3.
Oklahoma's substate region, Northwest and Southwest, is in group 3.
Oklahoma's substate region, Oklahoma County, is in group 4.
Oklahoma's substate region, Southeast, is in group 3.
Oklahoma's substate region, Tulsa County, is in group 4.
Oregon's substate region, Region 1 (Multnomah), is in group 6.
Oregon's substate region, Region 2, is in group 5.
Oregon's substate region, Region 3, is in group 4.
Oregon's substate region, Region 4, is in group 4.
Oregon's substate region, Region 5 (Central), is in group 5.
Oregon's substate region, Region 6 (Eastern), is in group 4.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 5.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 5.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 4.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 5.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 4.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 4.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 5.
Pennsylvania's substate region, Regions 17 and 21, is in group 5.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 4.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 5.
Pennsylvania's substate region, Regions 29 and 34, is in group 4.
Pennsylvania's substate region, Regions 30 and 50, is in group 5.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 3.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 7.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 6.
Rhode Island's substate region, Region 3: Providence, is in group 4.
Rhode Island's substate region, Region 4: Kent County, is in group 7.
Rhode Island's substate region, Region 5: East Bay, is in group 7.
Rhode Island's substate region, Region 6: Newport County, is in group 6.
Rhode Island's substate region, Region 7: South County, is in group 7.
South Carolina's substate region, Region 1, is in group 4.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 3.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 4.
South Dakota's substate region, Region 2, is in group 3.
South Dakota's substate region, Region 3, is in group 4.
South Dakota's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 1, is in group 4.
Tennessee's substate region, Region 2, is in group 4.
Tennessee's substate region, Region 3, is in group 4.
Tennessee's substate region, Region 4 (Davidson), is in group 3.
Tennessee's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 6, is in group 4.
Tennessee's substate region, Region 7 (Shelby), is in group 2.
Texas's substate region, Region 1, is in group 3.
Texas's substate region, Region 2, is in group 4.
Texas's substate region, Region 3, is in group 2.
Texas's substate region, Region 4, is in group 2.
Texas's substate region, Region 5, is in group 3.
Texas's substate region, Region 6, is in group 1.
Texas's substate region, Region 7, is in group 3.
Texas's substate region, Region 8, is in group 2.
Texas's substate region, Region 9, is in group 2.
Texas's substate region, Region 10, is in group 1.
Texas's substate region, Region 11, is in group 1.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 5.
Utah's substate region, Central, Four Corners, and San Juan, is in group 5.
Utah's substate region, Southwest, is in group 5.
Utah's substate region, Davis County, is in group 6.
Utah's substate region, Salt Lake County, is in group 6.
Utah's substate region, Utah County, is in group 6.
Utah's substate region, Weber, Morgan, is in group 6.
Vermont's substate region, Champlain Valley, is in group 7.
Vermont's substate region, Rural Northeast, is in group 7.
Vermont's substate region, Rural Southeast, is in group 7.
Vermont's substate region, Rural Southwest, is in group 7.
Virginia's substate region, Region 1, is in group 4.
Virginia's substate region, Region 2, is in group 3.
Virginia's substate region, Region 3, is in group 6.
Virginia's substate region, Region 4, is in group 4.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 4.
Washington's substate region, Region 2, is in group 4.
Washington's substate region, Region 3, is in group 4.
West Virginia's substate region, Region I, is in group 4.
West Virginia's substate region, Region II, is in group 4.
West Virginia's substate region, Region III, is in group 5.
West Virginia's substate region, Region IV, is in group 5.
West Virginia's substate region, Region V, is in group 6.
West Virginia's substate region, Region VI, is in group 5.
Wisconsin's substate region, Milwaukee, is in group 4.
Wisconsin's substate region, Northeastern, is in group 4.
Wisconsin's substate region, Northern, is in group 5.
Wisconsin's substate region, Southeastern, is in group 5.
Wisconsin's substate region, Southern, is in group 6.
Wisconsin's substate region, Western, is in group 4.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 4.
Wyoming's substate region, Judicial District 3, is in group 3.
Wyoming's substate region, Judicial District 4, is in group 3.
Wyoming's substate region, Judicial District 5, is in group 3.
Wyoming's substate region, Judicial District 6, is in group 4.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 3.
Wyoming's substate region, Judicial District 8, is in group 3.
Wyoming's substate region, Judicial District 9, is in group 3.

Long description end. Click here to return to Figure 27.

Long description, Figure 28. Figure 28 is a U.S. map showing those who had serious thoughts of suicide in the past year among adults aged 18 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 3.05 to 3.42 percent.
The next to lowest group, group 2's percentages ranged from 3.43 to 3.79 percent.
The next lowest group, group 3's percentages ranged from 3.80 to 4.18 percent.
The middle group, group 4's percentages ranged from 4.19 to 4.63 percent.
The next highest group, group 5's percentages ranged from 4.64 to 5.16 percent.
The next to highest group, group 6's percentages ranged from 5.17 to 5.64 percent.
The highest group, group 7's percentages ranged from 5.65 to 7.06 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 4.
Alabama's substate region, Region 2, is in group 3.
Alabama's substate region, Region 3, is in group 4.
Alabama's substate region, Region 4, is in group 3.
Alaska's substate region, Anchorage, is in group 7.
Alaska's substate region, Northern, is in group 7.
Alaska's substate region, South Central, is in group 6.
Alaska's substate region, Southeast, is in group 6.
Arizona's substate region, Central, is in group 4.
Arizona's substate region, North, is in group 3.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 3.
Arkansas's substate region, Catchment Area 1, is in group 5.
Arkansas's substate region, Catchment Area 2, is in group 4.
Arkansas's substate region, Catchment Area 3, is in group 5.
Arkansas's substate region, Catchment Area 4, is in group 5.
Arkansas's substate region, Catchment Area 5, is in group 5.
Arkansas's substate region, Catchment Area 6, is in group 4.
Arkansas's substate region, Catchment Area 7, is in group 3.
Arkansas's substate region, Catchment Area 8, is in group 4.
California's substate region, Region 1R, is in group 6.
California's substate region, Region 2R, is in group 4.
California's substate region, Region 3R (Sacramento), is in group 4.
California's substate region, Region 4R, is in group 3.
California's substate region, Region 5R (San Francisco), is in group 4.
California's substate region, Region 6 (Santa Clara), is in group 3.
California's substate region, Region 7R (Contra Costa), is in group 3.
California's substate region, Region 8R (Alameda), is in group 4.
California's substate region, Region 9R (San Mateo), is in group 2.
California's substate region, Region 10, is in group 5.
California's substate region, LA SPA 1 and 5, is in group 3.
California's substate region, LA SPA 2, is in group 3.
California's substate region, LA SPA 3, is in group 2.
California's substate region, LA SPA 4, is in group 4.
California's substate region, LA SPA 6, is in group 3.
California's substate region, LA SPA 7, is in group 2.
California's substate region, LA SPA 8, is in group 2.
California's substate region, Region 12R, is in group 4.
California's substate region, Regions 13 and 19R, is in group 3.
California's substate region, Region 14 (Orange), is in group 3.
California's substate region, Region 15R (Fresno), is in group 4.
California's substate region, Region 16R (San Diego), is in group 3.
California's substate region, Region 17R, is in group 4.
California's substate region, Region 18R (San Bernardino), is in group 3.
California's substate region, Region 20R, is in group 4.
California's substate region, Region 21R, is in group 4.
Colorado's substate region, Region 1, is in group 6.
Colorado's substate region, Region 2, is in group 6.
Colorado's substate region, Region 3, is in group 6.
Colorado's substate region, Region 4, is in group 5.
Colorado's substate region, Region 5, is in group 7.
Colorado's substate region, Region 6, is in group 6.
Colorado's substate region, Region 7, is in group 6.
Connecticut's substate region, Eastern, is in group 4.
Connecticut's substate region, North Central, is in group 3.
Connecticut's substate region, Northwestern, is in group 3.
Connecticut's substate region, South Central, is in group 4.
Connecticut's substate region, Southwest, is in group 4.
Delaware's substate region, Kent, is in group 5.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 5.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 5.
District of Columbia's substate region, Ward 1, is in group 4.
District of Columbia's substate region, Ward 2, is in group 6.
District of Columbia's substate region, Ward 3, is in group 4.
District of Columbia's substate region, Ward 4, is in group 1.
District of Columbia's substate region, Ward 5, is in group 2.
District of Columbia's substate region, Ward 6, is in group 3.
District of Columbia's substate region, Ward 7, is in group 1.
District of Columbia's substate region, Ward 8, is in group 2.
Florida's substate region, Broward (Circuit 17), is in group 1.
Florida's substate region, Circuit 9, is in group 2.
Florida's substate region, Circuit 18, is in group 2.
Florida's substate region, Circuit 6, is in group 2.
Florida's substate region, Circuit 10, is in group 2.
Florida's substate region, Circuit 12, is in group 2.
Florida's substate region, Circuit 13 (Hillsborough), is in group 2.
Florida's substate region, Circuit 20, is in group 2.
Florida's substate region, Circuit 4, is in group 2.
Florida's substate region, Circuit 5, is in group 1.
Florida's substate region, Circuit 7, is in group 2.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 4.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 4.
Florida's substate region, Circuit 14, is in group 3.
Florida's substate region, South (Circuits 11 and 16), is in group 1.
Florida's substate region, Circuit 15 (Palm Beach), is in group 1.
Florida's substate region, Circuit 19, is in group 1.
Georgia's substate region, Region 1, is in group 4.
Georgia's substate region, Region 2, is in group 4.
Georgia's substate region, Region 3, is in group 2.
Georgia's substate region, Region 4, is in group 4.
Georgia's substate region, Region 5, is in group 4.
Georgia's substate region, Region 6, is in group 3.
Hawaii's substate region, Hawaii Island, is in group 4.
Hawaii's substate region, Honolulu, is in group 4.
Hawaii's substate region, Kauai, is in group 3.
Hawaii's substate region, Maui, is in group 4.
Idaho's substate region, Region 1, is in group 5.
Idaho's substate region, Region 2, is in group 6.
Idaho's substate region, Region 3, is in group 7.
Idaho's substate region, Region 4, is in group 7.
Idaho's substate region, Region 5, is in group 5.
Idaho's substate region, Region 6, is in group 7.
Idaho's substate region, Region 7, is in group 7.
Illinois's substate region, Region 1.1 (Far North Side), is in group 3.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 2.
Illinois's substate region, Region 1.3 (North Central Side), is in group 4.
Illinois's substate region, Region 1.4 (West Side), is in group 3.
Illinois's substate region, Region 1.5 (South Side), is in group 2.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 1.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 1.
Illinois's substate region, Region 2a (DuPage), is in group 2.
Illinois's substate region, Region 2b, is in group 2.
Illinois's substate region, Region 2c (Winnebago), is in group 3.
Illinois's substate region, Region 2d, is in group 3.
Illinois's substate region, Region 3a (Champaign), is in group 5.
Illinois's substate region, Region 3b, is in group 3.
Illinois's substate region, Region 4a (Sangamon), is in group 3.
Illinois's substate region, Region 4b, is in group 3.
Illinois's substate region, Region 5a, is in group 2.
Illinois's substate region, Region 5b, is in group 3.
Indiana's substate region, Central, is in group 5.
Indiana's substate region, East, is in group 6.
Indiana's substate region, North Central, is in group 6.
Indiana's substate region, Northeast, is in group 6.
Indiana's substate region, Northwest, is in group 5.
Indiana's substate region, Southeast, is in group 5.
Indiana's substate region, Southwest, is in group 6.
Indiana's substate region, West, is in group 7.
Iowa's substate region, Central, is in group 5.
Iowa's substate region, North Central, is in group 5.
Iowa's substate region, Northeast, is in group 6.
Iowa's substate region, Northwest, is in group 4.
Iowa's substate region, Southeast, is in group 5.
Iowa's substate region, Southwest, is in group 4.
Kansas's substate region, Northeast, is in group 5.
Kansas's substate region, Northwest and North Central, is in group 4.
Kansas's substate region, South Central, is in group 6.
Kansas's substate region, Southeast, is in group 4.
Kansas's substate region, Southwest, is in group 3.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 5.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 5.
Kentucky's substate region, Centerstone, is in group 3.
Kentucky's substate region, Communicare and River Valley, is in group 5.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 5.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 5.
Louisiana's substate region, Region 1, is in group 4.
Louisiana's substate region, Region 10 (Jefferson), is in group 3.
Louisiana's substate region, Regions 2 and 9, is in group 4.
Louisiana's substate region, Region 3, is in group 4.
Louisiana's substate region, Regions 4, 5, and 6, is in group 4.
Louisiana's substate region, Regions 7 and 8, is in group 5.
Maine's substate region, Aroostook, is in group 3.
Maine's substate region, Downeast, is in group 3.
Maine's substate region, Central, is in group 4.
Maine's substate region, Cumberland, is in group 4.
Maine's substate region, Midcoast, is in group 3.
Maine's substate region, Penquis, is in group 5.
Maine's substate region, Western, is in group 4.
Maine's substate region, York, is in group 3.
Maryland's substate region, Anne Arundel, is in group 3.
Maryland's substate region, Baltimore City, is in group 4.
Maryland's substate region, Baltimore County, is in group 4.
Maryland's substate region, Montgomery, is in group 2.
Maryland's substate region, North Central, is in group 3.
Maryland's substate region, Northeast, is in group 3.
Maryland's substate region, Prince George's, is in group 3.
Maryland's substate region, South, is in group 4.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 5.
Massachusetts's substate region, Central, is in group 5.
Massachusetts's substate region, Metrowest, is in group 4.
Massachusetts's substate region, Northeast, is in group 3.
Massachusetts's substate region, Southeast, is in group 4.
Massachusetts's substate region, Western, is in group 5.
Michigan's substate region, Region 1, is in group 3.
Michigan's substate region, Region 2, is in group 2.
Michigan's substate region, Region 3, is in group 4.
Michigan's substate region, Region 4, is in group 4.
Michigan's substate region, Region 5, is in group 4.
Michigan's substate region, Region 6, is in group 4.
Michigan's substate region, Region 7, is in group 3.
Michigan's substate region, Region 8, is in group 1.
Michigan's substate region, Region 9, is in group 2.
Michigan's substate region, Region 10, is in group 3.
Minnesota's substate region, Region 1, is in group 3.
Minnesota's substate region, Region 2, is in group 4.
Minnesota's substate region, Region 3, is in group 4.
Minnesota's substate region, Region 4, is in group 5.
Minnesota's substate region, Region 5, is in group 4.
Minnesota's substate region, Region 6, is in group 5.
Minnesota's substate region, Region 7A (Hennepin), is in group 4.
Minnesota's substate region, Region 7B (Ramsey), is in group 4.
Minnesota's substate region, Region 7C, is in group 4.
Mississippi's substate region, Region 1, is in group 4.
Mississippi's substate region, Region 2, is in group 3.
Mississippi's substate region, Region 3, is in group 5.
Mississippi's substate region, Region 4, is in group 5.
Mississippi's substate region, Region 5, is in group 4.
Mississippi's substate region, Region 6, is in group 5.
Mississippi's substate region, Region 7, is in group 5.
Missouri's substate region, Central, is in group 4.
Missouri's substate region, Eastern (St. Louis City and County), is in group 4.
Missouri's substate region, Eastern (excluding St. Louis), is in group 3.
Missouri's substate region, Northwest (Jackson), is in group 3.
Missouri's substate region, Northwest (excluding Jackson), is in group 4.
Missouri's substate region, Southeast, is in group 4.
Missouri's substate region, Southwest, is in group 4.
Montana's substate region, Region 1, is in group 4.
Montana's substate region, Region 2, is in group 6.
Montana's substate region, Region 3, is in group 6.
Montana's substate region, Region 4, is in group 5.
Montana's substate region, Region 5, is in group 6.
Nebraska's substate region, Region 1, is in group 3.
Nebraska's substate region, Region 2, is in group 2.
Nebraska's substate region, Region 3, is in group 3.
Nebraska's substate region, Region 4, is in group 2.
Nebraska's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 6, is in group 4.
Nevada's substate region, Clark - Region 1, is in group 5.
Nevada's substate region, Capital District, is in group 4.
Nevada's substate region, Rural/Frontier, is in group 4.
Nevada's substate region, Washoe - Region 2, is in group 6.
New Hampshire's substate region, Central, is in group 6.
New Hampshire's substate region, Northern, is in group 5.
New Hampshire's substate region, Southern, is in group 5.
New Jersey's substate region, Central, is in group 1.
New Jersey's substate region, Metropolitan, is in group 1.
New Jersey's substate region, Northern, is in group 1.
New Jersey's substate region, Southern, is in group 2.
New Mexico's substate region, Region 1, is in group 4.
New Mexico's substate region, Region 2, is in group 3.
New Mexico's substate region, Region 3 (Bernalillo), is in group 5.
New Mexico's substate region, Region 4, is in group 4.
New Mexico's substate region, Region 5a, is in group 4.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 1.
New York's substate region, Region 2A: Bronx, is in group 1.
New York's substate region, Region 2B: Kings, is in group 2.
New York's substate region, Region 2C: New York, is in group 2.
New York's substate region, Region 2D: Queens, is in group 1.
New York's substate region, Region 2E: Richmond, is in group 2.
New York's substate region, Region 3: Mid-Hudson, is in group 2.
New York's substate region, Region 4: Capital Region, is in group 3.
New York's substate region, Region 5: Mohawk Valley, is in group 3.
New York's substate region, Region 6: North Country, is in group 3.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 4.
New York's substate region, Region 9: Southern Tier, is in group 5.
New York's substate region, Region 10: Finger Lakes, is in group 3.
New York's substate region, Region 11: Western, is in group 2.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 5.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 5.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 3.
North Carolina's substate region, CenterPoint Human Services, is in group 4.
North Carolina's substate region, Eastpointe, is in group 4.
North Carolina's substate region, Partners Behavioral Health Management, is in group 4.
North Carolina's substate region, Sandhills Center 1, is in group 4.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 4.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 4.
North Carolina's substate region, Trillium Health Resources 2, is in group 5.
North Dakota's substate region, Badlands, is in group 3.
North Dakota's substate region, West Central, is in group 4.
North Dakota's substate region, Lake Region, is in group 3.
North Dakota's substate region, North Central, is in group 5.
North Dakota's substate region, Northeast, is in group 6.
North Dakota's substate region, Northwest, is in group 4.
North Dakota's substate region, South Central, is in group 4.
North Dakota's substate region, Southeast, is in group 6.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 5.
Ohio's substate region, Boards 3, 52, and 85, is in group 5.
Ohio's substate region, Boards 4 and 78, is in group 5.
Ohio's substate region, Boards 5 and 60, is in group 6.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 5.
Ohio's substate region, Boards 8, 13, and 83, is in group 5.
Ohio's substate region, Board 9 (Butler), is in group 5.
Ohio's substate region, Board 12, is in group 6.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 5.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 5.
Ohio's substate region, Boards 22, 74, and 87, is in group 5.
Ohio's substate region, Boards 23 and 45, is in group 5.
Ohio's substate region, Board 25 (Franklin), is in group 5.
Ohio's substate region, Boards 27, 71, and 73, is in group 5.
Ohio's substate region, Boards 28, 43, and 67, is in group 5.
Ohio's substate region, Board 31 (Hamilton), is in group 5.
Ohio's substate region, Board 48 (Lucas), is in group 6.
Ohio's substate region, Boards 50 and 76, is in group 5.
Ohio's substate region, Board 57 (Montgomery), is in group 6.
Ohio's substate region, Board 77 (Summit), is in group 5.
Oklahoma's substate region, Central, is in group 3.
Oklahoma's substate region, East Central, is in group 4.
Oklahoma's substate region, Northeast, is in group 4.
Oklahoma's substate region, Northwest and Southwest, is in group 3.
Oklahoma's substate region, Oklahoma County, is in group 3.
Oklahoma's substate region, Southeast, is in group 4.
Oklahoma's substate region, Tulsa County, is in group 4.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 5.
Oregon's substate region, Region 3, is in group 7.
Oregon's substate region, Region 4, is in group 6.
Oregon's substate region, Region 5 (Central), is in group 5.
Oregon's substate region, Region 6 (Eastern), is in group 5.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 3.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 4.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 4.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 4.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 4.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 3.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 4.
Pennsylvania's substate region, Regions 17 and 21, is in group 5.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 4.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 3.
Pennsylvania's substate region, Regions 29 and 34, is in group 3.
Pennsylvania's substate region, Regions 30 and 50, is in group 5.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 3.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 4.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 4.
Rhode Island's substate region, Region 3: Providence, is in group 6.
Rhode Island's substate region, Region 4: Kent County, is in group 4.
Rhode Island's substate region, Region 5: East Bay, is in group 4.
Rhode Island's substate region, Region 6: Newport County, is in group 3.
Rhode Island's substate region, Region 7: South County, is in group 4.
South Carolina's substate region, Region 1, is in group 4.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 4.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 4.
South Dakota's substate region, Region 2, is in group 3.
South Dakota's substate region, Region 3, is in group 3.
South Dakota's substate region, Region 4, is in group 3.
South Dakota's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 1, is in group 5.
Tennessee's substate region, Region 2, is in group 5.
Tennessee's substate region, Region 3, is in group 4.
Tennessee's substate region, Region 4 (Davidson), is in group 5.
Tennessee's substate region, Region 5, is in group 5.
Tennessee's substate region, Region 6, is in group 4.
Tennessee's substate region, Region 7 (Shelby), is in group 3.
Texas's substate region, Region 1, is in group 3.
Texas's substate region, Region 2, is in group 3.
Texas's substate region, Region 3, is in group 2.
Texas's substate region, Region 4, is in group 2.
Texas's substate region, Region 5, is in group 3.
Texas's substate region, Region 6, is in group 2.
Texas's substate region, Region 7, is in group 3.
Texas's substate region, Region 8, is in group 2.
Texas's substate region, Region 9, is in group 2.
Texas's substate region, Region 10, is in group 1.
Texas's substate region, Region 11, is in group 1.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 7.
Utah's substate region, Central, Four Corners, and San Juan, is in group 6.
Utah's substate region, Southwest, is in group 6.
Utah's substate region, Davis County, is in group 7.
Utah's substate region, Salt Lake County, is in group 7.
Utah's substate region, Utah County, is in group 7.
Utah's substate region, Weber, Morgan, is in group 7.
Vermont's substate region, Champlain Valley, is in group 7.
Vermont's substate region, Rural Northeast, is in group 6.
Vermont's substate region, Rural Southeast, is in group 6.
Vermont's substate region, Rural Southwest, is in group 7.
Virginia's substate region, Region 1, is in group 4.
Virginia's substate region, Region 2, is in group 2.
Virginia's substate region, Region 3, is in group 4.
Virginia's substate region, Region 4, is in group 3.
Virginia's substate region, Region 5, is in group 4.
Washington's substate region, Region 1, is in group 7.
Washington's substate region, Region 2, is in group 5.
Washington's substate region, Region 3, is in group 6.
West Virginia's substate region, Region I, is in group 4.
West Virginia's substate region, Region II, is in group 5.
West Virginia's substate region, Region III, is in group 5.
West Virginia's substate region, Region IV, is in group 5.
West Virginia's substate region, Region V, is in group 6.
West Virginia's substate region, Region VI, is in group 4.
Wisconsin's substate region, Milwaukee, is in group 5.
Wisconsin's substate region, Northeastern, is in group 4.
Wisconsin's substate region, Northern, is in group 4.
Wisconsin's substate region, Southeastern, is in group 4.
Wisconsin's substate region, Southern, is in group 6.
Wisconsin's substate region, Western, is in group 4.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 5.
Wyoming's substate region, Judicial District 2, is in group 6.
Wyoming's substate region, Judicial District 3, is in group 4.
Wyoming's substate region, Judicial District 4, is in group 4.
Wyoming's substate region, Judicial District 5, is in group 4.
Wyoming's substate region, Judicial District 6, is in group 4.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 5.
Wyoming's substate region, Judicial District 8, is in group 4.
Wyoming's substate region, Judicial District 9, is in group 3.

Long description end. Click here to return to Figure 28.

Long description, Figure 29. Figure 29 is a U.S. map showing major depressive episode in the past year among adults aged 18 or older, by substate region: percentages, annual averages based on 2016, 2017, and 2018 NSDUHs. Substate regions listed by state were divided into seven groups based on the magnitude of their percentages.

The lowest group, group 1's percentages ranged from 4.95 to 5.69 percent.
The next to lowest group, group 2's percentages ranged from 5.70 to 6.35 percent.
The next lowest group, group 3's percentages ranged from 6.36 to 6.90 percent.
The middle group, group 4's percentages ranged from 6.91 to 7.69 percent.
The next highest group, group 5's percentages ranged from 7.70 to 8.33 percent.
The next to highest group, group 6's percentages ranged from 8.34 to 8.94 percent.
The highest group, group 7's percentages ranged from 8.95 to 10.19 percent.

This figure has the following note: For substate region definitions, see the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.

This figure has the following source line: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2016, 2017, and 2018.

Alabama's substate region, Region 1, is in group 5.
Alabama's substate region, Region 2, is in group 5.
Alabama's substate region, Region 3, is in group 4.
Alabama's substate region, Region 4, is in group 4.
Alaska's substate region, Anchorage, is in group 5.
Alaska's substate region, Northern, is in group 5.
Alaska's substate region, South Central, is in group 4.
Alaska's substate region, Southeast, is in group 5.
Arizona's substate region, Central, is in group 3.
Arizona's substate region, North, is in group 3.
Arizona's substate region, South A, is in group 4.
Arizona's substate region, South B, is in group 3.
Arkansas's substate region, Catchment Area 1, is in group 6.
Arkansas's substate region, Catchment Area 2, is in group 5.
Arkansas's substate region, Catchment Area 3, is in group 5.
Arkansas's substate region, Catchment Area 4, is in group 5.
Arkansas's substate region, Catchment Area 5, is in group 6.
Arkansas's substate region, Catchment Area 6, is in group 4.
Arkansas's substate region, Catchment Area 7, is in group 4.
Arkansas's substate region, Catchment Area 8, is in group 6.
California's substate region, Region 1R, is in group 5.
California's substate region, Region 2R, is in group 3.
California's substate region, Region 3R (Sacramento), is in group 3.
California's substate region, Region 4R, is in group 3.
California's substate region, Region 5R (San Francisco), is in group 4.
California's substate region, Region 6 (Santa Clara), is in group 2.
California's substate region, Region 7R (Contra Costa), is in group 2.
California's substate region, Region 8R (Alameda), is in group 4.
California's substate region, Region 9R (San Mateo), is in group 2.
California's substate region, Region 10, is in group 4.
California's substate region, LA SPA 1 and 5, is in group 4.
California's substate region, LA SPA 2, is in group 4.
California's substate region, LA SPA 3, is in group 1.
California's substate region, LA SPA 4, is in group 3.
California's substate region, LA SPA 6, is in group 3.
California's substate region, LA SPA 7, is in group 2.
California's substate region, LA SPA 8, is in group 2.
California's substate region, Region 12R, is in group 4.
California's substate region, Regions 13 and 19R, is in group 4.
California's substate region, Region 14 (Orange), is in group 2.
California's substate region, Region 15R (Fresno), is in group 3.
California's substate region, Region 16R (San Diego), is in group 3.
California's substate region, Region 17R, is in group 2.
California's substate region, Region 18R (San Bernardino), is in group 3.
California's substate region, Region 20R, is in group 3.
California's substate region, Region 21R, is in group 3.
Colorado's substate region, Region 1, is in group 6.
Colorado's substate region, Region 2, is in group 5.
Colorado's substate region, Region 3, is in group 4.
Colorado's substate region, Region 4, is in group 4.
Colorado's substate region, Region 5, is in group 6.
Colorado's substate region, Region 6, is in group 5.
Colorado's substate region, Region 7, is in group 5.
Connecticut's substate region, Eastern, is in group 4.
Connecticut's substate region, North Central, is in group 4.
Connecticut's substate region, Northwestern, is in group 3.
Connecticut's substate region, South Central, is in group 4.
Connecticut's substate region, Southwest, is in group 2.
Delaware's substate region, Kent, is in group 6.
Delaware's substate region, New Castle (excluding Wilmington City), is in group 5.
Delaware's substate region, Sussex, is in group 4.
Delaware's substate region, Wilmington City, is in group 4.
District of Columbia's substate region, Ward 1, is in group 5.
District of Columbia's substate region, Ward 2, is in group 7.
District of Columbia's substate region, Ward 3, is in group 7.
District of Columbia's substate region, Ward 4, is in group 3.
District of Columbia's substate region, Ward 5, is in group 3.
District of Columbia's substate region, Ward 6, is in group 5.
District of Columbia's substate region, Ward 7, is in group 2.
District of Columbia's substate region, Ward 8, is in group 3.
Florida's substate region, Broward (Circuit 17), is in group 1.
Florida's substate region, Circuit 9, is in group 3.
Florida's substate region, Circuit 18, is in group 3.
Florida's substate region, Circuit 6, is in group 3.
Florida's substate region, Circuit 10, is in group 2.
Florida's substate region, Circuit 12, is in group 2.
Florida's substate region, Circuit 13 (Hillsborough), is in group 3.
Florida's substate region, Circuit 20, is in group 2.
Florida's substate region, Circuit 4, is in group 3.
Florida's substate region, Circuit 5, is in group 2.
Florida's substate region, Circuit 7, is in group 2.
Florida's substate region, Circuit 8 plus Columbia, Dixie, Hamilton, Lafayette, and Suwannee, is in group 4.
Florida's substate region, Circuit 1, is in group 4.
Florida's substate region, Circuit 2 plus Madison and Taylor, is in group 4.
Florida's substate region, Circuit 14, is in group 3.
Florida's substate region, South (Circuits 11 and 16), is in group 1.
Florida's substate region, Circuit 15 (Palm Beach), is in group 1.
Florida's substate region, Circuit 19, is in group 2.
Georgia's substate region, Region 1, is in group 4.
Georgia's substate region, Region 2, is in group 4.
Georgia's substate region, Region 3, is in group 3.
Georgia's substate region, Region 4, is in group 4.
Georgia's substate region, Region 5, is in group 4.
Georgia's substate region, Region 6, is in group 3.
Hawaii's substate region, Hawaii Island, is in group 2.
Hawaii's substate region, Honolulu, is in group 1.
Hawaii's substate region, Kauai, is in group 2.
Hawaii's substate region, Maui, is in group 2.
Idaho's substate region, Region 1, is in group 5.
Idaho's substate region, Region 2, is in group 5.
Idaho's substate region, Region 3, is in group 5.
Idaho's substate region, Region 4, is in group 6.
Idaho's substate region, Region 5, is in group 4.
Idaho's substate region, Region 6, is in group 6.
Idaho's substate region, Region 7, is in group 6.
Illinois's substate region, Region 1.1 (Far North Side), is in group 2.
Illinois's substate region, Region 1.2 (Northwest Side), is in group 2.
Illinois's substate region, Region 1.3 (North Central Side), is in group 5.
Illinois's substate region, Region 1.4 (West Side), is in group 2.
Illinois's substate region, Region 1.5 (South Side), is in group 1.
Illinois's substate region, Region 1.6 (Southwest Side), is in group 1.
Illinois's substate region, Region 1.7 (Suburban Cook), is in group 1.
Illinois's substate region, Region 2a (DuPage), is in group 2.
Illinois's substate region, Region 2b, is in group 2.
Illinois's substate region, Region 2c (Winnebago), is in group 4.
Illinois's substate region, Region 2d, is in group 3.
Illinois's substate region, Region 3a (Champaign), is in group 4.
Illinois's substate region, Region 3b, is in group 4.
Illinois's substate region, Region 4a (Sangamon), is in group 3.
Illinois's substate region, Region 4b, is in group 4.
Illinois's substate region, Region 5a, is in group 3.
Illinois's substate region, Region 5b, is in group 3.
Indiana's substate region, Central, is in group 5.
Indiana's substate region, East, is in group 5.
Indiana's substate region, North Central, is in group 5.
Indiana's substate region, Northeast, is in group 5.
Indiana's substate region, Northwest, is in group 4.
Indiana's substate region, Southeast, is in group 6.
Indiana's substate region, Southwest, is in group 6.
Indiana's substate region, West, is in group 7.
Iowa's substate region, Central, is in group 5.
Iowa's substate region, North Central, is in group 4.
Iowa's substate region, Northeast, is in group 5.
Iowa's substate region, Northwest, is in group 3.
Iowa's substate region, Southeast, is in group 6.
Iowa's substate region, Southwest, is in group 4.
Kansas's substate region, Northeast, is in group 4.
Kansas's substate region, Northwest and North Central, is in group 4.
Kansas's substate region, South Central, is in group 5.
Kansas's substate region, Southeast, is in group 4.
Kansas's substate region, Southwest, is in group 3.
Kentucky's substate region, Adanta, Cumberland River, and Lifeskills, is in group 5.
Kentucky's substate region, Bluegrass, Comprehend, and North Key, is in group 5.
Kentucky's substate region, Centerstone, is in group 5.
Kentucky's substate region, Communicare and River Valley, is in group 4.
Kentucky's substate region, Four Rivers and Pennyroyal, is in group 5.
Kentucky's substate region, Kentucky River, Mountain, and Pathways, is in group 6.
Louisiana's substate region, Region 1, is in group 4.
Louisiana's substate region, Region 10 (Jefferson), is in group 5.
Louisiana's substate region, Regions 2 and 9, is in group 4.
Louisiana's substate region, Region 3, is in group 4.
Louisiana's substate region, Regions 4, 5, and 6, is in group 4.
Louisiana's substate region, Regions 7 and 8, is in group 4.
Maine's substate region, Aroostook, is in group 4.
Maine's substate region, Downeast, is in group 4.
Maine's substate region, Central, is in group 5.
Maine's substate region, Cumberland, is in group 4.
Maine's substate region, Midcoast, is in group 4.
Maine's substate region, Penquis, is in group 6.
Maine's substate region, Western, is in group 6.
Maine's substate region, York, is in group 5.
Maryland's substate region, Anne Arundel, is in group 3.
Maryland's substate region, Baltimore City, is in group 3.
Maryland's substate region, Baltimore County, is in group 3.
Maryland's substate region, Montgomery, is in group 2.
Maryland's substate region, North Central, is in group 4.
Maryland's substate region, Northeast, is in group 4.
Maryland's substate region, Prince George's, is in group 2.
Maryland's substate region, South, is in group 3.
Maryland's substate region, West, is in group 4.
Massachusetts's substate region, Boston, is in group 5.
Massachusetts's substate region, Central, is in group 4.
Massachusetts's substate region, Metrowest, is in group 4.
Massachusetts's substate region, Northeast, is in group 3.
Massachusetts's substate region, Southeast, is in group 4.
Massachusetts's substate region, Western, is in group 5.
Michigan's substate region, Region 1, is in group 4.
Michigan's substate region, Region 2, is in group 4.
Michigan's substate region, Region 3, is in group 5.
Michigan's substate region, Region 4, is in group 5.
Michigan's substate region, Region 5, is in group 5.
Michigan's substate region, Region 6, is in group 5.
Michigan's substate region, Region 7, is in group 4.
Michigan's substate region, Region 8, is in group 3.
Michigan's substate region, Region 9, is in group 3.
Michigan's substate region, Region 10, is in group 4.
Minnesota's substate region, Region 1, is in group 3.
Minnesota's substate region, Region 2, is in group 4.
Minnesota's substate region, Region 3, is in group 4.
Minnesota's substate region, Region 4, is in group 4.
Minnesota's substate region, Region 5, is in group 3.
Minnesota's substate region, Region 6, is in group 4.
Minnesota's substate region, Region 7A (Hennepin), is in group 4.
Minnesota's substate region, Region 7B (Ramsey), is in group 4.
Minnesota's substate region, Region 7C, is in group 4.
Mississippi's substate region, Region 1, is in group 5.
Mississippi's substate region, Region 2, is in group 3.
Mississippi's substate region, Region 3, is in group 4.
Mississippi's substate region, Region 4, is in group 3.
Mississippi's substate region, Region 5, is in group 4.
Mississippi's substate region, Region 6, is in group 4.
Mississippi's substate region, Region 7, is in group 5.
Missouri's substate region, Central, is in group 4.
Missouri's substate region, Eastern (St. Louis City and County), is in group 5.
Missouri's substate region, Eastern (excluding St. Louis), is in group 6.
Missouri's substate region, Northwest (Jackson), is in group 7.
Missouri's substate region, Northwest (excluding Jackson), is in group 7.
Missouri's substate region, Southeast, is in group 6.
Missouri's substate region, Southwest, is in group 7.
Montana's substate region, Region 1, is in group 4.
Montana's substate region, Region 2, is in group 3.
Montana's substate region, Region 3, is in group 4.
Montana's substate region, Region 4, is in group 6.
Montana's substate region, Region 5, is in group 5.
Nebraska's substate region, Region 1, is in group 3.
Nebraska's substate region, Region 2, is in group 2.
Nebraska's substate region, Region 3, is in group 2.
Nebraska's substate region, Region 4, is in group 2.
Nebraska's substate region, Region 5, is in group 4.
Nebraska's substate region, Region 6, is in group 3.
Nevada's substate region, Clark - Region 1, is in group 4.
Nevada's substate region, Capital District, is in group 4.
Nevada's substate region, Rural/Frontier, is in group 4.
Nevada's substate region, Washoe - Region 2, is in group 4.
New Hampshire's substate region, Central, is in group 6.
New Hampshire's substate region, Northern, is in group 5.
New Hampshire's substate region, Southern, is in group 5.
New Jersey's substate region, Central, is in group 2.
New Jersey's substate region, Metropolitan, is in group 2.
New Jersey's substate region, Northern, is in group 1.
New Jersey's substate region, Southern, is in group 3.
New Mexico's substate region, Region 1, is in group 3.
New Mexico's substate region, Region 2, is in group 4.
New Mexico's substate region, Region 3 (Bernalillo), is in group 4.
New Mexico's substate region, Region 4, is in group 3.
New Mexico's substate region, Region 5a, is in group 3.
New Mexico's substate region, Region 5b (Dona Ana), is in group 4.
New York's substate region, Region 1: Long Island, is in group 2.
New York's substate region, Region 2A: Bronx, is in group 1.
New York's substate region, Region 2B: Kings, is in group 3.
New York's substate region, Region 2C: New York, is in group 4.
New York's substate region, Region 2D: Queens, is in group 2.
New York's substate region, Region 2E: Richmond, is in group 4.
New York's substate region, Region 3: Mid-Hudson, is in group 1.
New York's substate region, Region 4: Capital Region, is in group 4.
New York's substate region, Region 5: Mohawk Valley, is in group 4.
New York's substate region, Region 6: North Country, is in group 3.
New York's substate region, Region 7: Tug Hill Seaway, is in group 4.
New York's substate region, Region 8: Central, is in group 4.
New York's substate region, Region 9: Southern Tier, is in group 5.
New York's substate region, Region 10: Finger Lakes, is in group 5.
New York's substate region, Region 11: Western, is in group 3.
North Carolina's substate region, Alliance Behavioral Healthcare 1, is in group 4.
North Carolina's substate region, Alliance Behavioral Healthcare 2, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 1, is in group 4.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 2, is in group 3.
North Carolina's substate region, Cardinal Innovations Healthcare Solutions 3, is in group 4.
North Carolina's substate region, CenterPoint Human Services, is in group 3.
North Carolina's substate region, Eastpointe, is in group 2.
North Carolina's substate region, Partners Behavioral Health Management, is in group 4.
North Carolina's substate region, Sandhills Center 1, is in group 3.
North Carolina's substate region, Sandhills Center 2, is in group 4.
North Carolina's substate region, Smoky Mountain Center 1, is in group 4.
North Carolina's substate region, Smoky Mountain Center 2, is in group 4.
North Carolina's substate region, Trillium Health Resources 1, is in group 3.
North Carolina's substate region, Trillium Health Resources 2, is in group 5.
North Dakota's substate region, Badlands, is in group 4.
North Dakota's substate region, West Central, is in group 4.
North Dakota's substate region, Lake Region, is in group 3.
North Dakota's substate region, North Central, is in group 5.
North Dakota's substate region, Northeast, is in group 6.
North Dakota's substate region, Northwest, is in group 5.
North Dakota's substate region, South Central, is in group 3.
North Dakota's substate region, Southeast, is in group 6.
Ohio's substate region, Boards 2, 46, 55, and 68, is in group 4.
Ohio's substate region, Boards 3, 52, and 85, is in group 4.
Ohio's substate region, Boards 4 and 78, is in group 4.
Ohio's substate region, Boards 5 and 60, is in group 7.
Ohio's substate region, Boards 7, 15, 41, 79, and 84, is in group 4.
Ohio's substate region, Boards 8, 13, and 83, is in group 5.
Ohio's substate region, Board 9 (Butler), is in group 5.
Ohio's substate region, Board 12, is in group 6.
Ohio's substate region, Boards 18 and 47, is in group 4.
Ohio's substate region, Boards 20, 32, 54, and 69, is in group 5.
Ohio's substate region, Boards 21, 39, 51, 70, and 80, is in group 5.
Ohio's substate region, Boards 22, 74, and 87, is in group 5.
Ohio's substate region, Boards 23 and 45, is in group 5.
Ohio's substate region, Board 25 (Franklin), is in group 5.
Ohio's substate region, Boards 27, 71, and 73, is in group 5.
Ohio's substate region, Boards 28, 43, and 67, is in group 5.
Ohio's substate region, Board 31 (Hamilton), is in group 4.
Ohio's substate region, Board 48 (Lucas), is in group 5.
Ohio's substate region, Boards 50 and 76, is in group 5.
Ohio's substate region, Board 57 (Montgomery), is in group 6.
Ohio's substate region, Board 77 (Summit), is in group 6.
Oklahoma's substate region, Central, is in group 6.
Oklahoma's substate region, East Central, is in group 5.
Oklahoma's substate region, Northeast, is in group 5.
Oklahoma's substate region, Northwest and Southwest, is in group 4.
Oklahoma's substate region, Oklahoma County, is in group 6.
Oklahoma's substate region, Southeast, is in group 4.
Oklahoma's substate region, Tulsa County, is in group 5.
Oregon's substate region, Region 1 (Multnomah), is in group 7.
Oregon's substate region, Region 2, is in group 5.
Oregon's substate region, Region 3, is in group 7.
Oregon's substate region, Region 4, is in group 6.
Oregon's substate region, Region 5 (Central), is in group 5.
Oregon's substate region, Region 6 (Eastern), is in group 4.
Pennsylvania's substate region, Region 1 (Allegheny), is in group 4.
Pennsylvania's substate region, Regions 3, 8, 9, and 51, is in group 4.
Pennsylvania's substate region, Regions 4, 11, 37, and 49, is in group 4.
Pennsylvania's substate region, Regions 5, 18, 23, 24, and 46, is in group 5.
Pennsylvania's substate region, Regions 6, 12, 16, 31, 35, 45, and 47, is in group 4.
Pennsylvania's substate region, Regions 7, 13, 20, and 33, is in group 3.
Pennsylvania's substate region, Regions 10, 15, 27, 32, 43, and 44, is in group 4.
Pennsylvania's substate region, Regions 17 and 21, is in group 5.
Pennsylvania's substate region, Regions 19, 26, 28, and 42, is in group 3.
Pennsylvania's substate region, Regions 22, 38, 40, 41, and 48, is in group 4.
Pennsylvania's substate region, Regions 29 and 34, is in group 4.
Pennsylvania's substate region, Regions 30 and 50, is in group 5.
Pennsylvania's substate region, Region 36 (Philadelphia), is in group 3.
Rhode Island's substate region, Region 1: Southern Providence County, is in group 4.
Rhode Island's substate region, Region 2: Northern Providence County/Blackstone Valley, is in group 4.
Rhode Island's substate region, Region 3: Providence, is in group 6.
Rhode Island's substate region, Region 4: Kent County, is in group 5.
Rhode Island's substate region, Region 5: East Bay, is in group 6.
Rhode Island's substate region, Region 6: Newport County, is in group 3.
Rhode Island's substate region, Region 7: South County, is in group 4.
South Carolina's substate region, Region 1, is in group 3.
South Carolina's substate region, Region 2, is in group 4.
South Carolina's substate region, Region 3, is in group 3.
South Carolina's substate region, Region 4, is in group 4.
South Dakota's substate region, Region 1, is in group 3.
South Dakota's substate region, Region 2, is in group 1.
South Dakota's substate region, Region 3, is in group 3.
South Dakota's substate region, Region 4, is in group 3.
South Dakota's substate region, Region 5, is in group 3.
Tennessee's substate region, Region 1, is in group 4.
Tennessee's substate region, Region 2, is in group 4.
Tennessee's substate region, Region 3, is in group 4.
Tennessee's substate region, Region 4 (Davidson), is in group 4.
Tennessee's substate region, Region 5, is in group 4.
Tennessee's substate region, Region 6, is in group 4.
Tennessee's substate region, Region 7 (Shelby), is in group 1.
Texas's substate region, Region 1, is in group 4.
Texas's substate region, Region 2, is in group 3.
Texas's substate region, Region 3, is in group 1.
Texas's substate region, Region 4, is in group 2.
Texas's substate region, Region 5, is in group 2.
Texas's substate region, Region 6, is in group 1.
Texas's substate region, Region 7, is in group 4.
Texas's substate region, Region 8, is in group 1.
Texas's substate region, Region 9, is in group 2.
Texas's substate region, Region 10, is in group 1.
Texas's substate region, Region 11, is in group 1.
Utah's substate region, Bear River, Northeastern, Summit, Tooele, and Wasatch, is in group 7.
Utah's substate region, Central, Four Corners, and San Juan, is in group 6.
Utah's substate region, Southwest, is in group 7.
Utah's substate region, Davis County, is in group 7.
Utah's substate region, Salt Lake County, is in group 7.
Utah's substate region, Utah County, is in group 7.
Utah's substate region, Weber, Morgan, is in group 7.
Vermont's substate region, Champlain Valley, is in group 5.
Vermont's substate region, Rural Northeast, is in group 6.
Vermont's substate region, Rural Southeast, is in group 5.
Vermont's substate region, Rural Southwest, is in group 5.
Virginia's substate region, Region 1, is in group 3.
Virginia's substate region, Region 2, is in group 3.
Virginia's substate region, Region 3, is in group 4.
Virginia's substate region, Region 4, is in group 3.
Virginia's substate region, Region 5, is in group 3.
Washington's substate region, Region 1, is in group 6.
Washington's substate region, Region 2, is in group 5.
Washington's substate region, Region 3, is in group 6.
West Virginia's substate region, Region I, is in group 4.
West Virginia's substate region, Region II, is in group 6.
West Virginia's substate region, Region III, is in group 7.
West Virginia's substate region, Region IV, is in group 7.
West Virginia's substate region, Region V, is in group 7.
West Virginia's substate region, Region VI, is in group 6.
Wisconsin's substate region, Milwaukee, is in group 5.
Wisconsin's substate region, Northeastern, is in group 4.
Wisconsin's substate region, Northern, is in group 4.
Wisconsin's substate region, Southeastern, is in group 4.
Wisconsin's substate region, Southern, is in group 6.
Wisconsin's substate region, Western, is in group 5.
Wyoming's substate region, Judicial District 1 (Laramie), is in group 4.
Wyoming's substate region, Judicial District 2, is in group 6.
Wyoming's substate region, Judicial District 3, is in group 4.
Wyoming's substate region, Judicial District 4, is in group 3.
Wyoming's substate region, Judicial District 5, is in group 3.
Wyoming's substate region, Judicial District 6, is in group 3.
Wyoming's substate region, Judicial District 7 (Natrona), is in group 4.
Wyoming's substate region, Judicial District 8, is in group 2.
Wyoming's substate region, Judicial District 9, is in group 3.

Long description end. Click here to return to Figure 29.

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