National Survey on Drug Use and Health:
Comparison of 2014-2016 and 2016-2018 Population Percentages (Substate Regions)

NOTE: The methodology used to conduct significance testing for substate population percentages between the 2014-2016 and 2016-2018 NSDUHs and to calculate p values is provided after Table 14.

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Table 1 – Marijuana Use in the Past Year among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2014-2016 and 2016-2018 NSDUHs
State/Substate Region 2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
2016-2018
(Estimate)
2016-2018
(95% Confidence
Interval)
P Value
Total United States 13.55a (13.32 - 13.79) 14.96 (14.69 - 15.24) 0.000
Northeast 14.86a (14.31 - 15.43) 15.80 (15.30 - 16.31) 0.001
Midwest 12.86a (12.39 - 13.35) 14.39 (13.99 - 14.80) 0.000
South 11.66a (11.24 - 12.09) 12.53 (12.21 - 12.86) 0.000
West 16.19a (15.64 - 16.76) 18.72 (18.20 - 19.25) 0.000
Alabama 9.43a (8.34 - 10.64) 11.56 (10.30 - 12.95) 0.001
Region 1 9.55a (7.92 - 11.47) 11.49 (9.58 - 13.71) 0.037
Region 2 10.39a (8.67 - 12.40) 12.25 (10.24 - 14.60) 0.043
Region 3 8.42a (6.72 - 10.51) 11.25 (9.00 - 13.97) 0.002
Region 4 8.71a (7.02 - 10.76) 10.89 (8.81 - 13.38) 0.017
Alaska 22.83 (21.09 - 24.68) 23.67 (21.84 - 25.61) 0.382
Anchorage 21.53 (19.24 - 24.01) 23.17 (20.63 - 25.92) 0.211
Northern 25.79 (22.33 - 29.58) 27.14 (23.44 - 31.20) 0.447
South Central 21.90 (18.88 - 25.26) 21.56 (18.60 - 24.86) 0.825
Southeast 24.02 (19.83 - 28.78) 23.63 (19.43 - 28.42) 0.836
Arizona 12.53a (11.23 - 13.95) 15.09 (13.54 - 16.77) 0.001
Central 13.05a (11.51 - 14.76) 15.04 (13.18 - 17.10) 0.030
North 10.99a (8.58 - 13.97) 16.84 (13.38 - 20.98) 0.000
South 12.08a (10.10 - 14.39) 14.44 (12.08 - 17.16) 0.018
South A 12.76a (10.31 - 15.68) 15.75 (12.60 - 19.50) 0.022
South B 11.26 (8.79 - 14.31) 12.87 (10.01 - 16.39) 0.148
Arkansas 11.52a (10.29 - 12.88) 12.82 (11.52 - 14.24) 0.037
Catchment Area 1 11.82 (9.64 - 14.42) 13.43 (10.94 - 16.39) 0.122
Catchment Area 2 8.74 (6.75 - 11.25) 10.23 (7.70 - 13.45) 0.133
Catchment Area 3 10.83a (8.74 - 13.35) 12.97 (10.33 - 16.17) 0.050
Catchment Area 4 9.44a (7.37 - 12.02) 11.34 (8.76 - 14.55) 0.038
Catchment Area 5 10.94 (8.74 - 13.61) 12.56 (10.28 - 15.25) 0.122
Catchment Area 6 13.08 (10.21 - 16.61) 13.31 (10.16 - 17.25) 0.848
Catchment Area 7 10.14a (7.67 - 13.31) 12.54 (9.50 - 16.36) 0.029
Catchment Area 8 14.79 (12.20 - 17.82) 14.57 (11.97 - 17.62) 0.854
California 15.87a (15.10 - 16.68) 17.82 (17.06 - 18.60) 0.000
Region 1R 21.55a (18.02 - 25.55) 26.76 (23.33 - 30.49) 0.003
Region 2R 17.04 (14.30 - 20.18) 18.42 (15.13 - 22.23) 0.286
Region 3R (Sacramento) 17.39 (14.79 - 20.33) 18.59 (15.86 - 21.67) 0.327
Region 4R 17.93 (14.97 - 21.33) 18.95 (15.57 - 22.87) 0.467
Region 5R (San Francisco) 24.71b (20.51 - 29.45) 28.38 (23.71 - 33.57) 0.064
Region 6 (Santa Clara) 13.67 (11.63 - 15.99) 15.17 (12.85 - 17.83) 0.125
Region 7R (Contra Costa) 16.84 (14.04 - 20.08) 18.65 (15.62 - 22.12) 0.183
Region 8R (Alameda) 17.75 (15.09 - 20.76) 19.97 (16.85 - 23.50) 0.106
Region 9R (San Mateo) 16.05a (13.06 - 19.56) 20.16 (16.59 - 24.27) 0.003
Region 10 16.99 (14.05 - 20.41) 18.09 (14.78 - 21.95) 0.396
Region 11 (Los Angeles) 15.30a (14.13 - 16.55) 17.66 (16.41 - 18.99) 0.000
LA SPA 1 and 5 18.46 (15.25 - 22.17) 19.36 (16.13 - 23.06) 0.532
LA SPA 2 15.22a (12.91 - 17.86) 17.78 (15.10 - 20.82) 0.022
LA SPA 3 10.82a (8.82 - 13.21) 13.87 (11.51 - 16.61) 0.002
LA SPA 4 19.69a (16.18 - 23.74) 24.47 (20.49 - 28.94) 0.002
LA SPA 6 15.64 (12.90 - 18.84) 15.97 (12.99 - 19.48) 0.787
LA SPA 7 12.59 (10.30 - 15.31) 13.76 (11.07 - 16.98) 0.296
LA SPA 8 17.09a (14.53 - 20.00) 19.77 (16.82 - 23.08) 0.032
Region 12R 14.62a (11.74 - 18.06) 17.85 (14.46 - 21.84) 0.011
Regions 13 and 19R 13.30a (11.46 - 15.40) 16.36 (14.16 - 18.84) 0.002
Region 14 (Orange) 13.69 (11.70 - 15.95) 14.03 (11.95 - 16.41) 0.730
Region 15R (Fresno) 13.83 (11.32 - 16.78) 15.09 (12.35 - 18.32) 0.249
Region 16R (San Diego) 17.72 (15.61 - 20.04) 18.96 (16.72 - 21.43) 0.271
Region 17R 13.34 (11.36 - 15.59) 13.21 (11.04 - 15.73) 0.895
Region 18R (San Bernardino) 13.78b (11.68 - 16.19) 15.62 (13.25 - 18.33) 0.079
Region 20R 13.52 (10.97 - 16.55) 14.78 (12.21 - 17.79) 0.248
Region 21R 20.55a (17.05 - 24.56) 24.60 (21.00 - 28.60) 0.013
Colorado 22.74a (20.93 - 24.65) 24.82 (22.89 - 26.84) 0.032
Region 1 23.50 (19.96 - 27.45) 26.29 (22.43 - 30.56) 0.117
Region 2 19.52b (15.63 - 24.10) 22.31 (17.99 - 27.31) 0.091
Region 3 19.50 (16.78 - 22.55) 18.77 (16.02 - 21.87) 0.594
Region 4 19.23 (15.32 - 23.86) 20.81 (16.54 - 25.84) 0.350
Region 5 29.78b (25.20 - 34.81) 33.72 (29.31 - 38.44) 0.072
Region 6 26.34a (22.65 - 30.39) 30.30 (25.93 - 35.06) 0.040
Region 7 20.52 (17.09 - 24.43) 22.85 (19.25 - 26.90) 0.160
Connecticut 14.95a (13.47 - 16.56) 17.04 (15.48 - 18.73) 0.010
Eastern 18.04 (14.91 - 21.66) 18.00 (14.76 - 21.78) 0.980
North Central 15.43a (13.13 - 18.05) 18.52 (15.92 - 21.45) 0.010
Northwestern 14.02b (11.49 - 17.00) 16.34 (13.53 - 19.60) 0.065
South Central 14.35b (12.03 - 17.03) 16.48 (13.90 - 19.41) 0.070
Southwest 13.85 (11.34 - 16.80) 15.63 (12.97 - 18.72) 0.127
Delaware 13.73a (12.38 - 15.21) 16.33 (14.82 - 17.97) 0.000
Kent 13.61 (11.36 - 16.21) 15.41 (12.75 - 18.51) 0.136
New Castle (excluding Wilmington City) 13.48a (11.81 - 15.33) 17.30 (15.34 - 19.46) 0.000
Sussex 11.81 (9.56 - 14.50) 12.02 (9.68 - 14.84) 0.839
Wilmington City 21.09a (17.00 - 25.87) 24.52 (19.63 - 30.18) 0.048
District of Columbia 24.28 (22.42 - 26.25) 25.71 (23.81 - 27.72) 0.156
Ward 1 32.56 (27.79 - 37.72) 32.19 (27.50 - 37.27) 0.858
Ward 2 31.02 (26.55 - 35.89) 31.08 (26.17 - 36.44) 0.980
Ward 3 19.06b (15.83 - 22.78) 21.98 (18.46 - 25.96) 0.063
Ward 4 18.49 (15.12 - 22.41) 19.20 (15.44 - 23.62) 0.659
Ward 5 24.79 (20.86 - 29.20) 26.73 (22.74 - 31.13) 0.270
Ward 6 21.62b (18.27 - 25.40) 25.06 (20.92 - 29.71) 0.061
Ward 7 22.47 (18.65 - 26.81) 22.81 (18.74 - 27.46) 0.837
Ward 8 23.83 (20.04 - 28.09) 26.22 (22.30 - 30.55) 0.174
Florida 12.73a (11.90 - 13.60) 13.89 (13.06 - 14.76) 0.011
Broward (Circuit 17) 13.47 (11.38 - 15.86) 12.90 (10.81 - 15.33) 0.571
Central I 14.05 (12.47 - 15.80) 13.71 (12.18 - 15.40) 0.653
Circuit 9 14.04 (12.09 - 16.24) 13.42 (11.57 - 15.51) 0.499
Circuit 18 14.07 (11.74 - 16.77) 14.15 (11.71 - 17.01) 0.941
Central II 12.04a (10.91 - 13.27) 14.33 (13.05 - 15.70) 0.000
Circuit 6 13.09a (11.04 - 15.44) 15.45 (12.95 - 18.33) 0.035
Circuit 10 10.87 (8.85 - 13.29) 12.16 (9.90 - 14.84) 0.168
Circuit 12 10.60a (8.44 - 13.22) 15.47 (12.44 - 19.07) 0.000
Circuit 13 (Hillsborough) 14.17a (12.09 - 16.53) 17.08 (14.74 - 19.72) 0.008
Circuit 20 10.22 (8.14 - 12.75) 10.67 (8.54 - 13.25) 0.640
Northeast 14.00b (12.54 - 15.59) 15.23 (13.69 - 16.91) 0.075
Circuit 4 14.66 (12.21 - 17.50) 16.25 (13.59 - 19.33) 0.160
Circuit 5 12.39 (10.13 - 15.08) 12.61 (10.21 - 15.49) 0.844
Circuit 7 13.66a (11.19 - 16.57) 17.00 (14.12 - 20.33) 0.007
Circuit 8 plus Columbia, Dixie, Hamilton,
   Lafayette, and Suwannee
16.45 (13.26 - 20.21) 15.49 (12.61 - 18.87) 0.435
Northwest 16.04b (14.18 - 18.09) 17.57 (15.48 - 19.88) 0.086
Circuit 1 13.91a (11.47 - 16.78) 17.38 (14.25 - 21.03) 0.005
Circuit 2 plus Madison and Taylor 20.09 (17.07 - 23.51) 20.36 (16.94 - 24.26) 0.854
Circuit 14 15.08 (11.90 - 18.92) 13.91 (10.80 - 17.73) 0.352
South (Circuits 11 and 16) 9.15 (7.80 - 10.71) 10.24 (8.78 - 11.90) 0.137
Southeast 12.41 (10.69 - 14.36) 13.65 (11.63 - 15.96) 0.137
Circuit 15 (Palm Beach) 12.48 (10.40 - 14.91) 13.81 (11.40 - 16.64) 0.189
Circuit 19 12.24 (9.87 - 15.08) 13.29 (10.28 - 17.01) 0.345
Georgia 12.28 (11.20 - 13.44) 12.59 (11.56 - 13.70) 0.577
Region 1 10.92 (9.29 - 12.79) 10.25 (8.69 - 12.05) 0.401
Region 2 11.40b (9.41 - 13.74) 13.07 (10.90 - 15.59) 0.090
Region 3 15.28 (13.43 - 17.34) 15.85 (13.94 - 17.96) 0.575
Region 4 11.51 (9.11 - 14.45) 11.86 (8.97 - 15.51) 0.749
Region 5 10.96 (8.81 - 13.56) 11.72 (9.43 - 14.47) 0.439
Region 6 10.57 (8.59 - 12.95) 10.48 (8.60 - 12.70) 0.913
Hawaii 12.74 (11.37 - 14.24) 13.92 (12.45 - 15.54) 0.126
Hawaii Island 16.16 (12.97 - 19.96) 17.12 (13.77 - 21.08) 0.553
Honolulu 11.18 (9.73 - 12.82) 12.08 (10.51 - 13.85) 0.271
Kauai 18.29 (14.40 - 22.96) 15.93 (12.10 - 20.69) 0.155
Maui 15.99a (12.78 - 19.84) 20.80 (16.88 - 25.34) 0.005
Idaho 11.92a (10.71 - 13.24) 13.78 (12.47 - 15.21) 0.004
Region 1 12.80 (10.23 - 15.90) 14.31 (11.29 - 17.98) 0.215
Region 2 13.80 (10.81 - 17.45) 13.21 (10.20 - 16.95) 0.618
Region 3 9.30a (7.44 - 11.58) 11.32 (9.09 - 14.02) 0.033
Region 4 15.48a (13.35 - 17.87) 18.21 (15.70 - 21.02) 0.021
Region 5 9.97 (7.85 - 12.58) 11.45 (9.16 - 14.22) 0.114
Region 6 11.10a (8.37 - 14.59) 13.84 (10.44 - 18.13) 0.015
Region 7 8.12 (6.37 - 10.32) 9.41 (7.53 - 11.70) 0.114
Illinois 12.29a (11.41 - 13.22) 14.15 (13.19 - 15.16) 0.000
Region 1 (Cook) 13.50a (12.23 - 14.89) 15.79 (14.33 - 17.38) 0.001
Region 1.1 (Far North Side) 13.84a (10.88 - 17.44) 17.29 (13.42 - 21.98) 0.015
Region 1.2 (Northwest Side) 11.89 (9.09 - 15.40) 13.68 (10.41 - 17.78) 0.126
Region 1.3 (North Central Side) 19.35b (15.26 - 24.22) 22.41 (17.58 - 28.12) 0.065
Region 1.4 (West Side) 17.21 (13.89 - 21.12) 18.21 (14.56 - 22.55) 0.474
Region 1.5 (South Side) 17.30 (14.02 - 21.17) 17.13 (14.04 - 20.73) 0.903
Region 1.6 (Southwest Side) 11.48 (9.12 - 14.36) 11.76 (8.80 - 15.55) 0.793
Region 1.7 (Suburban Cook) 11.09a (9.57 - 12.82) 14.23 (12.37 - 16.33) 0.000
Region 2 10.98a (9.87 - 12.20) 12.87 (11.60 - 14.26) 0.003
Region 2a (DuPage) 11.78b (9.74 - 14.16) 13.66 (11.28 - 16.46) 0.066
Region 2b 10.64a (9.18 - 12.29) 12.47 (10.75 - 14.43) 0.029
Region 2c (Winnebago) 11.92 (9.23 - 15.26) 12.11 (9.24 - 15.72) 0.863
Region 2d 10.58a (8.47 - 13.15) 13.40 (11.11 - 16.07) 0.006
Region 3 13.44 (11.64 - 15.47) 14.14 (12.25 - 16.26) 0.436
Region 3a (Champaign) 19.39 (15.76 - 23.61) 17.84 (14.21 - 22.15) 0.251
Region 3b 12.45 (10.52 - 14.68) 13.52 (11.47 - 15.88) 0.282
Region 4 10.54a (8.85 - 12.50) 12.44 (10.42 - 14.79) 0.017
Region 4a (Sangamon) 13.35a (10.31 - 17.13) 16.02 (12.60 - 20.15) 0.036
Region 4b 9.73b (7.87 - 11.97) 11.41 (9.09 - 14.22) 0.064
Region 5 11.34 (9.62 - 13.33) 12.56 (10.61 - 14.80) 0.151
Region 5a 11.10b (8.81 - 13.89) 12.94 (10.49 - 15.85) 0.082
Region 5b 11.53 (9.34 - 14.16) 12.26 (9.67 - 15.41) 0.497
Indiana 13.78b (12.43 - 15.24) 15.04 (13.64 - 16.55) 0.060
Central 14.30 (12.23 - 16.67) 14.80 (12.58 - 17.33) 0.649
East 15.94b (12.73 - 19.77) 18.51 (14.89 - 22.78) 0.072
North Central 11.54a (9.26 - 14.30) 15.05 (12.11 - 18.56) 0.003
Northeast 12.32 (9.85 - 15.31) 11.63 (9.10 - 14.75) 0.488
Northwest 13.31 (10.64 - 16.51) 13.72 (10.79 - 17.28) 0.724
Southeast 12.36 (9.72 - 15.60) 14.27 (11.51 - 17.55) 0.114
Southwest 12.07 (9.38 - 15.41) 12.82 (9.94 - 16.38) 0.504
West 17.96 (14.66 - 21.83) 19.63 (16.09 - 23.74) 0.258
Iowa 9.23a (8.15 - 10.44) 11.53 (10.33 - 12.86) 0.000
Central 9.38a (7.47 - 11.71) 13.46 (11.08 - 16.25) 0.000
North Central 10.05 (7.96 - 12.61) 11.31 (8.97 - 14.16) 0.176
Northeast 9.33a (7.70 - 11.28) 11.74 (9.74 - 14.09) 0.005
Northwest 8.16 (6.39 - 10.35) 9.12 (7.21 - 11.47) 0.220
Southeast 9.73a (7.94 - 11.87) 12.34 (10.16 - 14.91) 0.003
Southwest 8.40 (6.45 - 10.87) 9.67 (7.42 - 12.49) 0.124
Kansas 11.59b (10.37 - 12.93) 12.77 (11.45 - 14.20) 0.079
Northeast 12.33 (10.76 - 14.09) 13.60 (11.81 - 15.61) 0.166
Northwest and North Central 10.22 (7.77 - 13.34) 10.97 (8.37 - 14.26) 0.446
South Central 11.19 (9.34 - 13.35) 12.60 (10.57 - 14.94) 0.149
Southeast 11.26 (8.58 - 14.64) 11.21 (8.37 - 14.87) 0.963
Southwest 9.46 (7.09 - 12.50) 10.78 (8.00 - 14.38) 0.205
Kentucky 12.66 (11.33 - 14.12) 12.86 (11.53 - 14.31) 0.764
Adanta, Cumberland River, and Lifeskills 11.04 (8.86 - 13.67) 10.19 (7.98 - 12.94) 0.412
Bluegrass, Comprehend, and North Key 13.82 (11.67 - 16.28) 13.04 (10.98 - 15.43) 0.472
Centerstone 14.23 (11.87 - 16.96) 16.10 (13.64 - 18.91) 0.113
Communicare and River Valley 11.46 (8.87 - 14.67) 11.86 (9.05 - 15.40) 0.720
Four Rivers and Pennyroyal 10.47a (8.02 - 13.55) 12.51 (9.62 - 16.11) 0.050
Kentucky River, Mountain, and Pathways 11.95 (9.28 - 15.26) 11.15 (8.48 - 14.53) 0.468
Louisiana 11.26 (10.04 - 12.59) 12.12 (10.84 - 13.53) 0.172
Regions 1 and 10 14.38 (11.99 - 17.15) 15.04 (12.54 - 17.94) 0.541
Region 1 17.19 (13.79 - 21.22) 16.91 (13.54 - 20.91) 0.846
Region 10 (Jefferson) 11.30 (8.73 - 14.51) 12.90 (9.79 - 16.82) 0.185
Regions 2 and 9 12.33 (10.46 - 14.47) 13.44 (11.23 - 16.00) 0.253
Region 3 8.93 (6.92 - 11.46) 10.34 (7.90 - 13.42) 0.105
Regions 4, 5, and 6 8.90 (7.12 - 11.08) 10.21 (8.30 - 12.50) 0.134
Regions 7 and 8 10.80 (8.89 - 13.06) 10.64 (8.68 - 12.97) 0.860
Maine 20.37a (18.58 - 22.30) 23.48 (21.54 - 25.54) 0.002
Aroostook/Downeast 19.17 (16.05 - 22.74) 19.35 (16.07 - 23.11) 0.896
Aroostook 17.62 (14.08 - 21.83) 19.79 (15.60 - 24.77) 0.180
Downeast 20.43 (16.03 - 25.67) 19.00 (14.72 - 24.18) 0.429
Central 20.26 (16.67 - 24.40) 23.14 (19.07 - 27.78) 0.111
Cumberland 21.59a (18.50 - 25.03) 27.15 (23.42 - 31.23) 0.001
Midcoast 19.85b (16.28 - 23.98) 22.95 (18.87 - 27.60) 0.074
Penquis 20.43 (16.92 - 24.46) 22.46 (18.77 - 26.62) 0.232
Western 21.00b (17.65 - 24.80) 24.30 (20.41 - 28.66) 0.062
York 19.42 (16.02 - 23.35) 22.30 (18.37 - 26.80) 0.102
Maryland 15.17 (13.72 - 16.75) 15.16 (13.81 - 16.62) 0.984
Anne Arundel 15.30b (12.25 - 18.93) 13.00 (10.04 - 16.66) 0.062
Baltimore City 21.00 (17.52 - 24.96) 22.52 (18.96 - 26.54) 0.309
Baltimore County 14.46 (11.66 - 17.81) 14.96 (11.90 - 18.65) 0.675
Montgomery 12.57 (10.29 - 15.27) 12.84 (10.47 - 15.65) 0.800
North Central 12.16b (9.61 - 15.28) 14.23 (11.37 - 17.66) 0.071
Northeast 15.66 (12.47 - 19.49) 15.69 (12.09 - 20.11) 0.986
Prince George's 18.27 (15.23 - 21.76) 16.85 (13.99 - 20.15) 0.276
South 12.75 (10.10 - 15.98) 13.92 (11.03 - 17.43) 0.299
West 14.09 (11.30 - 17.44) 12.62 (10.00 - 15.81) 0.180
Massachusetts 18.57b (16.95 - 20.30) 20.21 (18.57 - 21.95) 0.053
Boston 23.03 (19.25 - 27.29) 23.89 (20.04 - 28.22) 0.601
Central 17.13a (14.11 - 20.64) 21.14 (17.58 - 25.21) 0.005
Metrowest 18.70 (16.01 - 21.73) 19.12 (16.37 - 22.20) 0.749
Northeast 16.67 (14.15 - 19.54) 17.13 (14.43 - 20.20) 0.708
Southeast 17.24 (14.30 - 20.63) 19.42 (16.27 - 23.01) 0.114
Western 20.35a (16.99 - 24.19) 23.60 (19.95 - 27.69) 0.035
Michigan 15.46a (14.48 - 16.50) 17.88 (16.89 - 18.91) 0.000
Region 1 14.93a (11.97 - 18.47) 17.96 (14.24 - 22.41) 0.018
Region 2 11.76a (9.20 - 14.91) 15.29 (12.39 - 18.72) 0.003
Region 3 15.86 (13.77 - 18.20) 15.73 (13.68 - 18.03) 0.902
Region 4 14.97b (12.74 - 17.51) 16.94 (14.48 - 19.73) 0.090
Region 5 15.13a (13.31 - 17.14) 17.51 (15.50 - 19.72) 0.016
Region 6 16.49 (13.92 - 19.43) 18.22 (15.59 - 21.19) 0.153
Region 7 16.91a (14.80 - 19.26) 22.48 (19.88 - 25.31) 0.000
Region 8 14.37a (12.30 - 16.72) 16.92 (14.56 - 19.59) 0.014
Region 9 16.22 (13.73 - 19.07) 16.65 (13.96 - 19.74) 0.743
Region 10 15.39 (12.85 - 18.32) 17.13 (14.38 - 20.29) 0.137
Minnesota 12.73a (11.42 - 14.16) 14.69 (13.33 - 16.17) 0.004
Regions 1 and 2 12.45a (10.02 - 15.36) 16.38 (13.31 - 20.00) 0.000
Region 1 10.99a (8.24 - 14.52) 13.33 (9.98 - 17.59) 0.038
Region 2 13.33a (10.17 - 17.29) 18.24 (14.09 - 23.28) 0.000
Regions 3 and 4 11.57a (9.62 - 13.84) 13.93 (11.60 - 16.63) 0.009
Region 3 11.81 (8.84 - 15.61) 13.41 (10.06 - 17.66) 0.164
Region 4 11.44a (9.20 - 14.13) 14.21 (11.43 - 17.52) 0.012
Regions 5 and 6 11.18a (9.32 - 13.35) 12.97 (10.89 - 15.39) 0.028
Region 5 10.65 (8.41 - 13.40) 11.86 (9.33 - 14.95) 0.211
Region 6 11.71a (9.16 - 14.86) 14.11 (11.22 - 17.59) 0.034
Region 7 13.67b (12.08 - 15.43) 15.20 (13.48 - 17.09) 0.071
Region 7A (Hennepin) 15.92 (13.45 - 18.73) 16.10 (13.56 - 19.02) 0.882
Region 7B (Ramsey) 13.34a (10.60 - 16.65) 16.39 (13.14 - 20.26) 0.022
Region 7C 11.57a (9.56 - 13.93) 13.77 (11.40 - 16.53) 0.034
Mississippi 9.21a (8.11 - 10.44) 11.38 (10.16 - 12.73) 0.000
Region 1 10.10a (8.31 - 12.23) 12.44 (10.31 - 14.93) 0.012
Region 2 10.03 (7.83 - 12.76) 11.19 (8.78 - 14.15) 0.243
Region 3 7.88a (6.14 - 10.05) 10.32 (8.10 - 13.07) 0.004
Region 4 9.41 (7.51 - 11.73) 10.09 (8.04 - 12.59) 0.439
Region 5 9.79a (7.22 - 13.14) 12.67 (9.30 - 17.04) 0.007
Region 6 8.92 (6.93 - 11.41) 10.35 (7.90 - 13.46) 0.117
Region 7 8.23a (6.37 - 10.59) 12.62 (10.04 - 15.73) 0.000
Missouri 13.27 (11.90 - 14.77) 13.80 (12.47 - 15.25) 0.435
Central 11.93 (9.66 - 14.65) 10.64 (8.56 - 13.15) 0.181
Eastern 14.46 (12.52 - 16.65) 14.78 (12.77 - 17.05) 0.730
Eastern (St. Louis City and County) 15.75 (13.19 - 18.69) 15.08 (12.54 - 18.02) 0.576
Eastern (excluding St. Louis) 12.27b (9.94 - 15.06) 14.29 (11.62 - 17.46) 0.068
Northwest 14.75 (12.62 - 17.17) 15.64 (13.40 - 18.19) 0.382
Northwest (Jackson) 17.25b (14.17 - 20.84) 19.91 (16.48 - 23.85) 0.071
Northwest (excluding Jackson) 12.64 (10.19 - 15.59) 12.08 (9.49 - 15.24) 0.604
Southeast 10.86 (8.55 - 13.71) 12.53 (9.76 - 15.95) 0.122
Southwest 11.30 (9.02 - 14.07) 12.48 (9.93 - 15.57) 0.273
Montana 16.98a (15.43 - 18.65) 19.84 (18.21 - 21.57) 0.001
Region 1 12.66a (9.83 - 16.17) 16.04 (12.41 - 20.49) 0.005
Region 2 13.79a (11.19 - 16.87) 16.28 (13.04 - 20.13) 0.042
Region 3 13.62a (11.33 - 16.29) 17.18 (14.47 - 20.27) 0.003
Region 4 18.91b (16.31 - 21.82) 21.50 (18.85 - 24.41) 0.054
Region 5 20.16b (17.55 - 23.05) 22.84 (19.98 - 25.96) 0.053
Nebraska 11.11a (9.88 - 12.48) 12.66 (11.42 - 14.02) 0.010
Regions 1 and 2 9.37a (7.38 - 11.83) 12.55 (10.01 - 15.63) 0.000
Region 1 9.76a (7.27 - 12.97) 13.83 (10.25 - 18.41) 0.000
Region 2 9.03a (6.62 - 12.21) 11.42 (8.53 - 15.12) 0.011
Region 3 9.04 (7.17 - 11.34) 10.39 (8.28 - 12.98) 0.124
Region 4 8.21 (6.33 - 10.59) 9.20 (6.98 - 12.04) 0.222
Region 5 11.62 (9.62 - 13.97) 12.85 (10.66 - 15.42) 0.187
Region 6 12.61 (10.80 - 14.67) 14.12 (12.26 - 16.22) 0.102
Nevada 13.05a (11.62 - 14.62) 19.16 (17.42 - 21.03) 0.000
Clark – Region 1 12.60a (11.02 - 14.37) 18.69 (16.70 - 20.87) 0.000
Region 3 11.91a (9.43 - 14.94) 17.09 (13.81 - 20.96) 0.000
Capital District 12.93a (9.51 - 17.36) 17.56 (13.28 - 22.85) 0.002
Rural/Frontier 10.99a (8.28 - 14.44) 16.66 (12.63 - 21.66) 0.000
Washoe – Region 2 16.02a (13.22 - 19.27) 22.93 (19.17 - 27.19) 0.000
New Hampshire 17.98b (16.35 - 19.72) 19.58 (17.90 - 21.37) 0.057
Central 17.31a (15.08 - 19.78) 19.76 (17.29 - 22.49) 0.028
Central 1 19.36b (16.30 - 22.83) 22.13 (18.86 - 25.78) 0.060
Central 2 15.30 (12.56 - 18.51) 17.43 (14.26 - 21.12) 0.121
Northern 20.63 (17.13 - 24.62) 20.63 (17.11 - 24.66) 0.998
Southern 17.72 (15.78 - 19.83) 19.26 (17.17 - 21.54) 0.123
Southern 1 (Rockingham) 16.05b (13.43 - 19.08) 18.61 (15.60 - 22.06) 0.057
Southern 2 18.76 (16.33 - 21.45) 19.67 (17.05 - 22.58) 0.473
New Jersey 12.16 (11.06 - 13.35) 12.41 (11.34 - 13.56) 0.662
Central 11.63 (9.80 - 13.74) 12.33 (10.40 - 14.56) 0.446
Metropolitan 11.60 (9.75 - 13.74) 11.79 (9.97 - 13.90) 0.815
Northern 11.86 (10.30 - 13.62) 11.61 (10.09 - 13.33) 0.752
Southern 13.87 (11.89 - 16.12) 14.46 (12.39 - 16.80) 0.577
New Mexico 16.02a (14.41 - 17.78) 18.50 (16.79 - 20.35) 0.004
Region 1 14.45a (11.84 - 17.51) 17.02 (13.92 - 20.66) 0.043
Region 2 19.51 (15.80 - 23.84) 18.76 (15.14 - 23.01) 0.648
Region 3 (Bernalillo) 17.78a (15.30 - 20.56) 22.44 (19.61 - 25.55) 0.001
Region 4 12.70 (10.12 - 15.83) 13.55 (10.86 - 16.78) 0.480
Region 5 14.35a (12.08 - 16.95) 16.50 (13.78 - 19.63) 0.041
Region 5a 15.53 (12.42 - 19.25) 17.56 (13.74 - 22.16) 0.163
Region 5b (Dona Ana) 13.27b (10.50 - 16.64) 15.56 (12.33 - 19.45) 0.074
New York 14.99 (14.12 - 15.90) 15.35 (14.50 - 16.24) 0.439
Region 1: Long Island 13.55 (11.84 - 15.45) 14.22 (12.36 - 16.31) 0.446
Region 2: New York City 15.45 (14.20 - 16.79) 15.65 (14.40 - 16.99) 0.750
Region 2A: Bronx 11.53 (9.56 - 13.85) 11.48 (9.41 - 13.95) 0.957
Region 2B: Kings 17.17 (14.98 - 19.60) 16.26 (14.13 - 18.64) 0.412
Region 2C: New York 22.69 (19.81 - 25.86) 22.40 (19.14 - 26.04) 0.849
Region 2D: Queens 11.18b (9.39 - 13.27) 12.72 (10.74 - 15.00) 0.071
Region 2E: Richmond 12.20a (9.73 - 15.18) 14.34 (11.26 - 18.08) 0.044
Region 3: Mid-Hudson 12.86b (11.07 - 14.88) 11.36 (9.60 - 13.40) 0.085
Region 4: Capital Region 18.14 (15.42 - 21.22) 17.32 (14.66 - 20.34) 0.515
Region 5: Mohawk Valley 13.92b (10.99 - 17.48) 16.18 (12.30 - 20.99) 0.079
Region 6: North Country 15.54b (12.42 - 19.27) 17.98 (14.33 - 22.31) 0.071
Region 7: Tug Hill Seaway 12.34 (9.64 - 15.66) 13.94 (10.73 - 17.93) 0.146
Region 8: Central 15.25 (12.94 - 17.88) 16.70 (14.40 - 19.28) 0.196
Region 9: Southern Tier 16.96 (13.93 - 20.50) 18.68 (15.52 - 22.31) 0.181
Region 10: Finger Lakes 15.43 (13.24 - 17.90) 15.76 (13.73 - 18.03) 0.746
Region 11: Western 15.73a (13.82 - 17.84) 17.88 (15.69 - 20.30) 0.043
North Carolina 12.01 (10.94 - 13.17) 12.59 (11.51 - 13.76) 0.299
Alliance Behavioral Healthcare 1 12.29 (9.94 - 15.10) 11.92 (9.40 - 15.02) 0.742
Alliance Behavioral Healthcare 2 12.16 (9.83 - 14.96) 13.13 (10.65 - 16.07) 0.375
Cardinal Innovations Healthcare Solutions 1 11.13 (8.89 - 13.85) 12.80 (10.14 - 16.02) 0.111
Cardinal Innovations Healthcare Solutions 2 10.89 (8.69 - 13.56) 11.95 (9.30 - 15.22) 0.295
Cardinal Innovations Healthcare Solutions 3 14.02 (11.58 - 16.87) 14.33 (11.52 - 17.70) 0.798
CenterPoint Human Services 11.36 (8.96 - 14.30) 12.94 (10.19 - 16.30) 0.144
Eastpointe 9.89b (7.84 - 12.41) 11.50 (9.31 - 14.13) 0.096
Partners Behavioral Health Management 11.86 (9.47 - 14.75) 11.68 (9.37 - 14.47) 0.863
Sandhills Center 1 11.99b (9.34 - 15.26) 10.17 (7.79 - 13.17) 0.080
Sandhills Center 2 14.04 (11.15 - 17.54) 13.96 (10.92 - 17.69) 0.950
Smoky Mountain Center 1 11.58 (9.27 - 14.37) 12.50 (9.96 - 15.57) 0.335
Smoky Mountain Center 2 10.30a (7.96 - 13.23) 12.92 (9.64 - 17.10) 0.022
Trillium Health Resources 1 12.17 (9.89 - 14.89) 12.45 (9.95 - 15.46) 0.796
Trillium Health Resources 2 14.17 (11.26 - 17.68) 13.69 (10.66 - 17.41) 0.685
North Dakota 9.65a (8.59 - 10.83) 11.42 (10.23 - 12.73) 0.001
Badlands and West Central 9.16 (7.62 - 10.97) 9.29 (7.65 - 11.23) 0.860
Badlands 7.88 (5.76 - 10.71) 8.21 (5.99 - 11.17) 0.692
West Central 9.53 (7.79 - 11.61) 9.61 (7.69 - 11.93) 0.933
Lake Region 7.65a (5.64 - 10.31) 12.56 (9.33 - 16.70) 0.000
North Central 9.90b (7.78 - 12.52) 11.87 (9.22 - 15.15) 0.051
Northeast 12.34 (10.16 - 14.91) 11.36 (8.98 - 14.26) 0.347
Northwest 9.18a (6.71 - 12.44) 13.09 (9.91 - 17.09) 0.000
South Central 6.96a (5.13 - 9.38) 8.75 (6.50 - 11.67) 0.017
Southeast 10.04a (8.45 - 11.88) 13.47 (11.46 - 15.78) 0.000
Ohio 12.75a (11.87 - 13.70) 13.71 (12.82 - 14.66) 0.040
Boards 2, 46, 55, and 68 10.31 (8.03 - 13.14) 10.47 (8.02 - 13.57) 0.854
Boards 3, 52, and 85 9.82 (7.48 - 12.78) 9.47 (7.29 - 12.22) 0.702
Boards 4 and 78 10.44 (8.15 - 13.28) 11.56 (9.13 - 14.54) 0.239
Boards 5 and 60 13.74a (10.98 - 17.07) 17.66 (14.16 - 21.80) 0.003
Boards 7, 15, 41, 79, and 84 10.39 (8.02 - 13.35) 11.75 (9.03 - 15.14) 0.160
Boards 8, 13, and 83 9.19a (7.06 - 11.88) 11.85 (9.16 - 15.18) 0.004
Board 9 (Butler) 13.55 (10.82 - 16.85) 13.79 (10.93 - 17.27) 0.826
Board 12 11.69a (9.18 - 14.78) 14.00 (11.07 - 17.55) 0.019
Boards 18 and 47 14.33b (12.34 - 16.57) 16.28 (14.05 - 18.79) 0.053
Boards 20, 32, 54, and 69 9.18 (7.19 - 11.65) 10.27 (8.13 - 12.89) 0.183
Boards 21, 39, 51, 70, and 80 10.02 (7.91 - 12.62) 10.30 (8.09 - 13.03) 0.750
Boards 22, 74, and 87 11.82b (9.49 - 14.63) 13.80 (11.23 - 16.86) 0.060
Boards 23 and 45 10.75 (8.52 - 13.47) 12.02 (9.30 - 15.39) 0.196
Board 25 (Franklin) 16.33 (14.04 - 18.91) 16.62 (14.32 - 19.22) 0.795
Boards 27, 71, and 73 12.27 (9.71 - 15.40) 11.37 (8.97 - 14.32) 0.385
Boards 28, 43, and 67 10.51 (8.34 - 13.17) 11.19 (8.65 - 14.36) 0.488
Board 31 (Hamilton) 17.02 (14.43 - 19.98) 15.95 (13.35 - 18.95) 0.377
Board 48 (Lucas) 14.90a (11.92 - 18.47) 18.13 (14.66 - 22.21) 0.014
Boards 50 and 76 12.69 (10.39 - 15.41) 11.80 (9.50 - 14.57) 0.371
Board 57 (Montgomery) 13.62a (10.93 - 16.86) 15.93 (12.85 - 19.59) 0.046
Board 77 (Summit) 11.75 (9.35 - 14.67) 12.13 (9.63 - 15.17) 0.702
Oklahoma 11.02a (9.78 - 12.40) 12.44 (11.13 - 13.88) 0.026
Central 10.90 (8.66 - 13.63) 12.26 (9.71 - 15.37) 0.186
East Central 8.11a (6.22 - 10.52) 12.73 (9.81 - 16.37) 0.000
Northeast 10.45 (8.14 - 13.33) 10.21 (8.02 - 12.93) 0.806
Northwest and Southwest 12.02 (9.59 - 14.97) 11.09 (8.70 - 14.05) 0.368
Oklahoma County 12.59a (10.26 - 15.36) 15.47 (12.70 - 18.72) 0.015
Southeast 8.97a (7.00 - 11.42) 11.81 (9.42 - 14.70) 0.004
Tulsa County 12.58 (10.23 - 15.38) 12.14 (9.67 - 15.14) 0.683
Oregon 21.41a (19.73 - 23.20) 27.48 (25.57 - 29.47) 0.000
Region 1 (Multnomah) 28.61a (25.09 - 32.42) 37.96 (33.73 - 42.38) 0.000
Region 2 18.67a (16.05 - 21.60) 23.41 (20.36 - 26.77) 0.001
Region 3 20.86a (18.27 - 23.71) 27.09 (23.96 - 30.45) 0.000
Region 4 19.18a (16.12 - 22.66) 24.52 (20.30 - 29.29) 0.001
Region 5 (Central) 18.76a (14.47 - 23.97) 24.65 (19.44 - 30.73) 0.001
Region 6 (Eastern) 18.99 (15.23 - 23.42) 20.43 (16.43 - 25.10) 0.375
Pennsylvania 12.90a (12.01 - 13.84) 13.98 (13.02 - 15.01) 0.027
Region 1 (Allegheny) 15.26 (12.95 - 17.90) 16.70 (14.28 - 19.43) 0.207
Regions 3, 8, 9, and 51 11.93 (9.80 - 14.46) 12.07 (9.65 - 14.99) 0.899
Regions 4, 11, 37, and 49 12.54 (10.18 - 15.36) 13.64 (10.85 - 17.00) 0.320
Regions 5, 18, 23, 24, and 46 9.41a (7.58 - 11.63) 11.21 (9.01 - 13.86) 0.036
Regions 6, 12, 16, 31, 35, 45, and 47 14.37 (11.85 - 17.32) 13.74 (11.24 - 16.70) 0.591
Regions 7, 13, 20, and 33 12.74a (11.15 - 14.53) 14.51 (12.77 - 16.44) 0.042
Regions 10, 15, 27, 32, 43, and 44 8.89b (6.83 - 11.51) 10.54 (8.21 - 13.43) 0.063
Regions 17 and 21 11.21a (8.76 - 14.24) 13.97 (10.89 - 17.75) 0.012
Regions 19, 26, 28, and 42 9.98 (8.37 - 11.86) 10.88 (9.18 - 12.86) 0.254
Regions 22, 38, 40, 41, and 48 9.82 (7.83 - 12.25) 10.85 (8.59 - 13.62) 0.246
Regions 29 and 34 11.49 (9.07 - 14.45) 12.19 (9.49 - 15.51) 0.504
Regions 30 and 50 11.29 (9.02 - 14.05) 11.92 (9.40 - 15.01) 0.534
Region 36 (Philadelphia) 20.41 (17.66 - 23.47) 20.86 (17.93 - 24.13) 0.745
Rhode Island 19.72b (17.97 - 21.59) 21.33 (19.50 - 23.29) 0.065
Region 1: Southern Providence County 17.99a (14.88 - 21.59) 21.43 (17.75 - 25.63) 0.026
Region 2: Northern Providence County/
   Blackstone Valley
18.55 (15.59 - 21.92) 20.28 (17.13 - 23.85) 0.219
Region 3: Providence 22.06 (18.55 - 26.04) 21.98 (18.36 - 26.07) 0.953
Region 4: Kent County 17.63b (14.57 - 21.17) 20.31 (17.05 - 24.02) 0.059
Region 5: East Bay 23.51 (19.42 - 28.16) 20.72 (16.71 - 25.39) 0.102
Region 6: Newport County 19.06b (15.37 - 23.39) 21.80 (17.43 - 26.92) 0.099
Region 7: South County 21.45 (17.88 - 25.53) 23.70 (19.79 - 28.12) 0.160
South Carolina 11.34 (10.12 - 12.69) 12.12 (10.82 - 13.56) 0.245
Region 1 9.59a (7.92 - 11.58) 11.46 (9.57 - 13.68) 0.037
Region 2 12.52 (10.48 - 14.90) 12.76 (10.56 - 15.34) 0.824
Region 3 10.30 (8.27 - 12.77) 11.22 (8.86 - 14.10) 0.358
Region 4 12.97 (10.96 - 15.29) 12.89 (10.77 - 15.35) 0.935
South Dakota 11.12b (9.87 - 12.50) 12.27 (10.99 - 13.67) 0.067
Region 1 14.14 (11.84 - 16.81) 15.46 (12.88 - 18.45) 0.267
Region 2 9.88a (7.46 - 12.98) 13.19 (10.18 - 16.93) 0.002
Region 3 9.59 (7.82 - 11.71) 10.04 (8.26 - 12.16) 0.586
Region 4 11.66 (9.45 - 14.31) 12.05 (9.48 - 15.19) 0.708
Region 5 9.90 (8.10 - 12.04) 11.14 (9.35 - 13.23) 0.180
Tennessee 11.87a (10.60 - 13.26) 13.15 (11.85 - 14.56) 0.044
Region 1 10.36 (8.02 - 13.30) 10.17 (7.77 - 13.21) 0.839
Region 2 10.65 (8.55 - 13.19) 11.95 (9.66 - 14.70) 0.174
Region 3 9.97 (8.02 - 12.34) 11.37 (9.00 - 14.25) 0.161
Region 4 (Davidson) 15.15a (12.06 - 18.85) 18.83 (14.85 - 23.59) 0.018
Region 5 14.00 (11.70 - 16.68) 14.30 (11.99 - 16.97) 0.787
Region 6 9.67a (7.48 - 12.42) 11.73 (9.24 - 14.80) 0.032
Region 7 (Shelby) 11.89 (9.48 - 14.80) 13.29 (10.72 - 16.36) 0.207
Texas 10.08b (9.38 - 10.83) 10.79 (10.11 - 11.51) 0.066
Region 1 9.51a (7.48 - 12.03) 11.40 (9.07 - 14.25) 0.030
Region 2 12.15 (9.66 - 15.18) 12.08 (9.39 - 15.42) 0.943
Region 3 9.59b (8.59 - 10.71) 10.66 (9.62 - 11.81) 0.051
Region 3a 9.51a (8.30 - 10.88) 10.97 (9.64 - 12.46) 0.033
Region 3bc 9.74 (8.24 - 11.48) 10.12 (8.67 - 11.78) 0.608
Region 4 9.32 (7.51 - 11.52) 10.45 (8.31 - 13.07) 0.190
Region 5 10.53b (8.24 - 13.36) 12.31 (9.76 - 15.40) 0.085
Region 6 9.63 (8.46 - 10.95) 10.05 (8.85 - 11.40) 0.503
Region 6a 9.60 (8.36 - 11.01) 9.96 (8.66 - 11.43) 0.595
Region 6bc 9.92 (7.64 - 12.79) 10.84 (8.36 - 13.95) 0.320
Region 7 14.65 (12.95 - 16.53) 15.65 (13.68 - 17.85) 0.282
Region 7a 15.81 (13.56 - 18.35) 16.74 (14.07 - 19.80) 0.465
Region 7bcd 12.60 (10.43 - 15.16) 13.68 (11.44 - 16.29) 0.270
Region 8 10.02 (8.46 - 11.83) 10.77 (9.06 - 12.75) 0.325
Region 9 10.79 (8.36 - 13.83) 9.53 (7.17 - 12.56) 0.165
Region 10 7.81a (6.16 - 9.85) 6.49 (4.95 - 8.47) 0.041
Region 11 6.86 (5.73 - 8.20) 7.19 (5.93 - 8.70) 0.526
Region 11abd 6.92 (5.56 - 8.60) 7.00 (5.51 - 8.87) 0.898
Region 11c (Hidalgo) 6.76 (5.21 - 8.74) 7.51 (5.73 - 9.79) 0.278
Utah 9.60b (8.53 - 10.80) 10.67 (9.54 - 11.91) 0.056
Bear River, Northeastern, Summit, Tooele, and Wasatch 9.03 (6.90 - 11.74) 8.99 (6.83 - 11.74) 0.957
Central, Four Corners, San Juan, and Southwest 8.83 (7.01 - 11.08) 9.17 (7.23 - 11.56) 0.632
Central, Four Corners, and San Juan 7.96 (5.78 - 10.87) 8.45 (6.10 - 11.60) 0.525
Southwest 9.37 (7.06 - 12.34) 9.61 (7.16 - 12.77) 0.800
Davis County 8.12 (6.13 - 10.68) 8.84 (6.71 - 11.57) 0.345
Salt Lake County 11.45a (9.84 - 13.30) 13.78 (11.93 - 15.86) 0.010
Utah County 8.09 (6.35 - 10.26) 7.69 (6.06 - 9.70) 0.574
Weber, Morgan 8.44b (6.50 - 10.88) 10.14 (7.72 - 13.20) 0.052
Vermont 21.19a (19.43 - 23.07) 24.62 (22.73 - 26.60) 0.000
Champlain Valley 22.78a (20.39 - 25.35) 25.58 (22.82 - 28.56) 0.032
Rural Northeast 22.07a (18.54 - 26.06) 25.75 (22.18 - 29.67) 0.040
Rural Southeast 19.15a (16.25 - 22.42) 24.19 (20.64 - 28.13) 0.002
Rural Southwest 18.49 (15.31 - 22.15) 20.92 (17.54 - 24.75) 0.110
Virginia 11.39 (10.39 - 12.48) 11.72 (10.73 - 12.79) 0.540
Region 1 11.03 (9.14 - 13.24) 11.57 (9.71 - 13.72) 0.565
Region 2 8.89 (7.49 - 10.51) 9.53 (8.01 - 11.31) 0.380
Region 3 10.84 (9.09 - 12.87) 11.00 (9.14 - 13.17) 0.851
Region 4 13.12 (11.10 - 15.45) 14.16 (12.08 - 16.53) 0.289
Region 5 13.96 (12.01 - 16.17) 13.34 (11.46 - 15.48) 0.515
Washington 18.63a (16.93 - 20.46) 22.28 (20.47 - 24.22) 0.000
Region 1 17.08a (14.59 - 19.90) 20.20 (17.37 - 23.37) 0.007
Greater Columbia and North Central 14.54a (11.81 - 17.78) 18.07 (14.87 - 21.77) 0.007
Spokane 20.82 (16.70 - 25.64) 23.39 (18.61 - 28.95) 0.166
Region 2 18.74a (16.53 - 21.17) 23.33 (20.83 - 26.04) 0.000
King 19.03a (16.33 - 22.06) 25.16 (22.06 - 28.54) 0.000
North Sound 18.22 (15.05 - 21.89) 20.07 (16.56 - 24.10) 0.257
Region 3 19.52a (17.23 - 22.03) 22.18 (19.63 - 24.95) 0.017
Pierce 21.33 (17.90 - 25.21) 19.97 (16.43 - 24.06) 0.433
Salish 17.95a (13.87 - 22.91) 23.71 (18.54 - 29.80) 0.001
SW WA and Great Rivers 18.47a (14.86 - 22.71) 23.38 (19.33 - 27.99) 0.004
Thurston-Mason 19.12a (14.64 - 24.57) 23.32 (18.11 - 29.49) 0.020
West Virginia 11.26a (10.02 - 12.63) 13.32 (11.97 - 14.81) 0.002
Region I 10.11 (7.79 - 13.03) 10.67 (8.05 - 14.01) 0.570
Region II 9.94b (7.81 - 12.57) 11.82 (9.38 - 14.80) 0.075
Region III 11.08 (8.61 - 14.14) 12.42 (9.61 - 15.91) 0.210
Region IV 14.00 (11.71 - 16.67) 13.81 (11.40 - 16.63) 0.862
Region V 11.36a (9.36 - 13.71) 15.13 (12.87 - 17.72) 0.000
Region VI 9.39a (7.45 - 11.77) 12.69 (10.23 - 15.64) 0.002
Wisconsin 12.31 (11.06 - 13.68) 13.38 (12.01 - 14.87) 0.102
Milwaukee 16.06 (13.40 - 19.12) 16.50 (13.58 - 19.91) 0.709
Northeastern 9.18a (7.35 - 11.42) 10.97 (8.77 - 13.65) 0.047
Northern 9.52 (7.31 - 12.31) 11.06 (8.57 - 14.16) 0.103
Southeastern 11.48a (9.53 - 13.76) 14.20 (11.74 - 17.08) 0.007
Southern 13.64 (11.38 - 16.25) 14.45 (12.02 - 17.28) 0.475
Western 13.97 (11.44 - 16.95) 12.19 (9.63 - 15.31) 0.138
Wyoming 11.13a (9.85 - 12.56) 12.68 (11.33 - 14.16) 0.020
Judicial District 1 (Laramie) 12.38b (10.08 - 15.11) 14.52 (11.83 - 17.69) 0.063
Judicial District 2 16.04 (13.21 - 19.33) 16.67 (13.50 - 20.40) 0.631
Judicial District 3 8.96 (6.95 - 11.49) 9.85 (7.60 - 12.67) 0.348
Judicial District 4 9.60 (7.14 - 12.80) 9.70 (7.22 - 12.91) 0.918
Judicial District 5 7.81a (5.92 - 10.25) 9.47 (7.19 - 12.39) 0.050
Judicial District 6 9.34a (7.24 - 11.96) 11.57 (8.96 - 14.82) 0.025
Judicial District 7 (Natrona) 10.89a (8.61 - 13.68) 13.87 (11.10 - 17.20) 0.011
Judicial District 8 9.74 (7.45 - 12.64) 10.09 (7.71 - 13.09) 0.713
Judicial District 9 14.00 (11.06 - 17.55) 15.44 (12.26 - 19.26) 0.286
SPA = service planning area.
NOTE: The definitions of the substate regions listed in this table are provided in the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
NOTE: Substate, state, and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and are generated by Markov Chain Monte Carlo techniques, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2014-2016 and 2016-2018 population percentages. The "Total U.S." estimates, along with the 95 percent confidence intervals and the p values, are based on design-based (direct) estimation methods.
a Difference between the 2014-2016 and 2016-2018 population percentages is statistically significant at the 0.05 level.
b Difference between the 2014-2016 and 2016-2018 population percentages is statistically significant at the 0.10 level.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2014-2018.
200324
Table 2 – Marijuana Use in the Past Month among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2014-2016 and 2016-2018 NSDUHs
State/Substate Region 2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
2016-2018
(Estimate)
2016-2018
(95% Confidence
Interval)
P Value
Total United States 8.53a (8.35 - 8.71) 9.52 (9.31 - 9.74) 0.000
Northeast 9.53a (9.10 - 9.98) 10.16 (9.75 - 10.58) 0.008
Midwest 8.14a (7.80 - 8.49) 9.04 (8.70 - 9.38) 0.000
South 7.03a (6.74 - 7.34) 7.70 (7.45 - 7.96) 0.000
West 10.48a (10.06 - 10.92) 12.39 (11.95 - 12.84) 0.000
Alabama 5.25a (4.46 - 6.18) 7.27 (6.28 - 8.41) 0.000
Region 1 5.10a (3.97 - 6.54) 6.88 (5.46 - 8.65) 0.003
Region 2 5.54a (4.37 - 7.01) 7.55 (6.06 - 9.35) 0.004
Region 3 5.09a (3.86 - 6.69) 7.93 (6.17 - 10.14) 0.000
Region 4 5.16a (3.99 - 6.66) 6.83 (5.32 - 8.72) 0.007
Alaska 15.48 (13.94 - 17.17) 16.75 (15.13 - 18.51) 0.136
Anchorage 13.51b (11.57 - 15.71) 15.62 (13.47 - 18.04) 0.051
Northern 17.95 (15.02 - 21.31) 19.00 (15.88 - 22.58) 0.481
South Central 15.72 (13.16 - 18.67) 16.03 (13.38 - 19.08) 0.807
Southeast 17.39 (13.67 - 21.88) 18.21 (14.50 - 22.61) 0.629
Arizona 7.74a (6.72 - 8.90) 9.74 (8.40 - 11.27) 0.001
Central 8.01a (6.81 - 9.40) 9.53 (8.03 - 11.28) 0.038
North 7.09a (5.31 - 9.41) 10.67 (8.03 - 14.04) 0.000
South 7.45a (6.00 - 9.23) 9.80 (7.83 - 12.19) 0.004
South A 7.88a (6.07 - 10.17) 10.39 (7.94 - 13.49) 0.014
South B 6.94a (5.17 - 9.26) 9.09 (6.74 - 12.16) 0.016
Arkansas 7.10a (6.13 - 8.21) 8.26 (7.11 - 9.58) 0.031
Catchment Area 1 7.26 (5.60 - 9.37) 8.22 (6.26 - 10.73) 0.249
Catchment Area 2 6.02 (4.46 - 8.08) 7.02 (5.09 - 9.59) 0.177
Catchment Area 3 6.84 (5.24 - 8.89) 8.15 (6.14 - 10.74) 0.109
Catchment Area 4 6.96 (5.22 - 9.22) 7.95 (5.89 - 10.66) 0.222
Catchment Area 5 6.20a (4.72 - 8.11) 8.10 (6.26 - 10.41) 0.012
Catchment Area 6 8.00 (5.99 - 10.61) 9.14 (6.57 - 12.59) 0.289
Catchment Area 7 6.43a (4.62 - 8.89) 8.29 (5.92 - 11.51) 0.033
Catchment Area 8 8.47 (6.64 - 10.75) 9.07 (7.11 - 11.51) 0.497
California 10.21a (9.62 - 10.84) 11.60 (10.96 - 12.27) 0.000
Region 1R 15.29a (12.33 - 18.80) 18.55 (15.66 - 21.82) 0.026
Region 2R 11.40 (9.16 - 14.11) 12.95 (10.24 - 16.25) 0.142
Region 3R (Sacramento) 10.86b (8.91 - 13.17) 12.76 (10.51 - 15.41) 0.053
Region 4R 11.16 (9.01 - 13.75) 12.19 (9.58 - 15.40) 0.353
Region 5R (San Francisco) 15.29 (12.15 - 19.06) 17.38 (13.72 - 21.76) 0.146
Region 6 (Santa Clara) 8.76 (7.17 - 10.67) 9.20 (7.50 - 11.24) 0.568
Region 7R (Contra Costa) 10.53a (8.55 - 12.91) 12.84 (10.35 - 15.81) 0.021
Region 8R (Alameda) 12.15b (9.97 - 14.74) 14.04 (11.53 - 16.99) 0.093
Region 9R (San Mateo) 10.60 (8.27 - 13.50) 11.90 (9.38 - 14.99) 0.214
Region 10 10.40 (8.21 - 13.09) 10.94 (8.56 - 13.88) 0.597
Region 11 (Los Angeles) 9.84a (8.95 - 10.81) 11.89 (10.84 - 13.03) 0.000
LA SPA 1 and 5 11.94 (9.46 - 14.96) 12.78 (10.28 - 15.78) 0.420
LA SPA 2 9.57a (7.81 - 11.67) 12.19 (10.07 - 14.68) 0.003
LA SPA 3 6.68a (5.28 - 8.43) 8.52 (6.82 - 10.60) 0.008
LA SPA 4 12.23a (9.65 - 15.39) 16.75 (13.46 - 20.64) 0.000
LA SPA 6 11.39 (9.24 - 13.98) 11.77 (9.36 - 14.70) 0.696
LA SPA 7 8.18 (6.46 - 10.30) 9.31 (7.20 - 11.95) 0.161
LA SPA 8 10.99a (9.07 - 13.25) 13.24 (10.90 - 15.98) 0.027
Region 12R 8.67a (6.75 - 11.07) 11.19 (8.76 - 14.20) 0.004
Regions 13 and 19R 8.57a (7.12 - 10.27) 10.41 (8.68 - 12.44) 0.018
Region 14 (Orange) 8.54 (7.01 - 10.36) 8.91 (7.35 - 10.77) 0.621
Region 15R (Fresno) 9.79 (7.72 - 12.34) 10.62 (8.43 - 13.29) 0.366
Region 16R (San Diego) 11.10 (9.47 - 12.96) 11.66 (9.85 - 13.75) 0.509
Region 17R 8.68 (7.11 - 10.57) 8.79 (7.09 - 10.86) 0.890
Region 18R (San Bernardino) 8.89 (7.34 - 10.72) 9.47 (7.72 - 11.57) 0.438
Region 20R 9.28 (7.30 - 11.73) 10.44 (8.30 - 13.06) 0.200
Region 21R 13.48 (10.82 - 16.66) 14.69 (12.02 - 17.83) 0.287
Colorado 15.65 (14.10 - 17.34) 16.38 (14.80 - 18.09) 0.390
Region 1 17.16 (14.05 - 20.80) 17.63 (14.52 - 21.23) 0.766
Region 2 12.88 (9.86 - 16.64) 13.18 (9.95 - 17.27) 0.818
Region 3 14.07 (11.79 - 16.70) 12.94 (10.67 - 15.60) 0.327
Region 4 12.82 (9.73 - 16.72) 14.22 (10.69 - 18.67) 0.316
Region 5 18.63b (15.22 - 22.61) 21.93 (18.27 - 26.09) 0.052
Region 6 17.88 (14.78 - 21.47) 19.13 (15.79 - 23.00) 0.410
Region 7 14.26 (11.47 - 17.61) 15.76 (12.81 - 19.23) 0.247
Connecticut 9.27a (8.11 - 10.58) 10.88 (9.56 - 12.36) 0.010
Eastern 10.61 (8.25 - 13.55) 11.36 (8.90 - 14.40) 0.488
North Central 9.27a (7.53 - 11.37) 11.83 (9.75 - 14.28) 0.009
Northwestern 8.61b (6.75 - 10.93) 10.40 (8.20 - 13.11) 0.060
South Central 9.72 (7.88 - 11.92) 10.96 (8.89 - 13.45) 0.181
Southwest 8.49 (6.64 - 10.80) 9.55 (7.51 - 12.07) 0.219
Delaware 8.89a (7.74 - 10.19) 11.12 (9.77 - 12.62) 0.000
Kent 8.78a (6.96 - 11.01) 11.00 (8.71 - 13.81) 0.016
New Castle (excluding Wilmington City) 8.70a (7.34 - 10.29) 11.04 (9.42 - 12.91) 0.003
Sussex 7.17 (5.49 - 9.31) 8.38 (6.40 - 10.91) 0.140
Wilmington City 15.19a (11.56 - 19.71) 19.63 (15.31 - 24.81) 0.004
District of Columbia 13.89a (12.42 - 15.50) 16.55 (14.90 - 18.34) 0.001
Ward 1 16.43b (13.23 - 20.22) 19.12 (15.28 - 23.66) 0.088
Ward 2 17.49 (14.11 - 21.48) 19.61 (15.58 - 24.37) 0.183
Ward 3 9.73a (7.57 - 12.42) 13.83 (11.12 - 17.09) 0.000
Ward 4 10.84 (8.43 - 13.84) 12.65 (9.81 - 16.18) 0.141
Ward 5 14.61b (11.62 - 18.21) 17.48 (14.01 - 21.61) 0.054
Ward 6 11.44a (9.07 - 14.34) 14.49 (11.50 - 18.09) 0.014
Ward 7 14.07 (11.13 - 17.64) 15.72 (12.48 - 19.62) 0.226
Ward 8 16.64b (13.46 - 20.39) 19.50 (15.98 - 23.58) 0.055
Florida 7.70a (7.07 - 8.38) 8.83 (8.16 - 9.55) 0.001
Broward (Circuit 17) 7.98 (6.45 - 9.83) 7.57 (6.11 - 9.34) 0.546
Central I 8.41 (7.20 - 9.79) 9.19 (7.97 - 10.58) 0.172
Circuit 9 8.63 (7.17 - 10.36) 8.99 (7.52 - 10.72) 0.607
Circuit 18 8.07b (6.37 - 10.18) 9.49 (7.59 - 11.80) 0.091
Central II 7.40a (6.53 - 8.37) 9.30 (8.26 - 10.46) 0.000
Circuit 6 8.53 (6.90 - 10.50) 9.61 (7.76 - 11.84) 0.167
Circuit 10 6.22a (4.89 - 7.89) 8.30 (6.35 - 10.78) 0.003
Circuit 12 6.39a (4.83 - 8.41) 10.41 (7.97 - 13.48) 0.000
Circuit 13 (Hillsborough) 8.66a (7.08 - 10.55) 10.98 (9.19 - 13.08) 0.002
Circuit 20 6.10 (4.66 - 7.95) 7.06 (5.42 - 9.15) 0.139
Northeast 8.41b (7.34 - 9.61) 9.28 (8.15 - 10.56) 0.071
Circuit 4 8.39 (6.64 - 10.54) 9.52 (7.61 - 11.84) 0.162
Circuit 5 7.54 (5.90 - 9.58) 7.76 (6.03 - 9.95) 0.764
Circuit 7 8.24a (6.49 - 10.41) 10.55 (8.30 - 13.33) 0.007
Circuit 8 plus Columbia, Dixie, Hamilton,
   Lafayette, and Suwannee
10.51 (8.25 - 13.31) 9.79 (7.52 - 12.64) 0.443
Northwest 10.03b (8.65 - 11.61) 11.28 (9.67 - 13.12) 0.057
Circuit 1 7.83a (6.20 - 9.84) 10.59 (8.37 - 13.30) 0.001
Circuit 2 plus Madison and Taylor 13.80 (11.18 - 16.92) 13.73 (10.89 - 17.17) 0.954
Circuit 14 9.70 (7.31 - 12.77) 9.31 (6.91 - 12.43) 0.683
South (Circuits 11 and 16) 5.36a (4.40 - 6.52) 6.72 (5.60 - 8.05) 0.011
Southeast 7.55 (6.29 - 9.05) 8.50 (7.06 - 10.21) 0.118
Circuit 15 (Palm Beach) 7.61 (6.05 - 9.53) 8.47 (6.75 - 10.58) 0.243
Circuit 19 7.44 (5.76 - 9.54) 8.58 (6.43 - 11.38) 0.126
Georgia 7.31 (6.52 - 8.18) 7.46 (6.68 - 8.32) 0.717
Region 1 6.09 (4.97 - 7.44) 5.52 (4.42 - 6.87) 0.320
Region 2 6.88 (5.47 - 8.62) 7.80 (6.16 - 9.82) 0.241
Region 3 9.14 (7.78 - 10.71) 9.79 (8.43 - 11.35) 0.378
Region 4 6.90 (5.19 - 9.12) 7.35 (5.38 - 9.97) 0.567
Region 5 6.80 (5.21 - 8.81) 6.74 (5.12 - 8.81) 0.931
Region 6 6.61 (5.18 - 8.40) 6.32 (4.93 - 8.06) 0.664
Hawaii 7.75 (6.67 - 9.00) 8.42 (7.23 - 9.79) 0.260
Hawaii Island 9.25b (6.99 - 12.15) 11.21 (8.55 - 14.55) 0.093
Honolulu 6.83 (5.71 - 8.15) 7.06 (5.84 - 8.51) 0.708
Kauai 10.55 (7.73 - 14.24) 8.86 (6.30 - 12.32) 0.143
Maui 10.55a (8.04 - 13.72) 13.46 (10.33 - 17.35) 0.023
Idaho 6.79a (5.86 - 7.85) 8.34 (7.22 - 9.62) 0.001
Region 1 6.91a (5.21 - 9.10) 9.09 (6.73 - 12.17) 0.017
Region 2 7.78 (5.69 - 10.54) 8.58 (6.20 - 11.74) 0.377
Region 3 5.17a (3.91 - 6.81) 6.98 (5.34 - 9.06) 0.007
Region 4 8.40a (6.83 - 10.28) 10.48 (8.56 - 12.77) 0.012
Region 5 5.90 (4.42 - 7.82) 6.82 (5.12 - 9.03) 0.177
Region 6 6.96a (5.04 - 9.54) 8.85 (6.39 - 12.14) 0.032
Region 7 5.45 (4.08 - 7.24) 5.80 (4.34 - 7.70) 0.572
Illinois 8.02a (7.32 - 8.77) 9.07 (8.29 - 9.92) 0.009
Region 1 (Cook) 8.61a (7.66 - 9.67) 9.92 (8.79 - 11.17) 0.014
Region 1.1 (Far North Side) 8.60a (6.36 - 11.52) 11.28 (8.34 - 15.07) 0.018
Region 1.2 (Northwest Side) 8.07 (5.99 - 10.78) 9.01 (6.65 - 12.09) 0.287
Region 1.3 (North Central Side) 11.10a (8.42 - 14.50) 14.47 (10.83 - 19.08) 0.007
Region 1.4 (West Side) 10.84 (8.35 - 13.96) 12.08 (9.30 - 15.56) 0.253
Region 1.5 (South Side) 12.13 (9.53 - 15.32) 12.28 (9.80 - 15.29) 0.896
Region 1.6 (Southwest Side) 8.48 (6.53 - 10.94) 8.86 (6.49 - 11.99) 0.675
Region 1.7 (Suburban Cook) 6.87b (5.75 - 8.21) 8.01 (6.71 - 9.53) 0.070
Region 2 7.26 (6.38 - 8.25) 8.01 (7.06 - 9.07) 0.106
Region 2a (DuPage) 7.12 (5.62 - 8.99) 7.67 (6.08 - 9.63) 0.473
Region 2b 7.40 (6.21 - 8.80) 7.97 (6.67 - 9.50) 0.362
Region 2c (Winnebago) 7.83 (5.81 - 10.48) 8.30 (6.07 - 11.24) 0.596
Region 2d 6.73a (5.17 - 8.71) 8.48 (6.73 - 10.63) 0.019
Region 3 8.71 (7.28 - 10.39) 9.70 (8.14 - 11.52) 0.182
Region 3a (Champaign) 13.40 (10.55 - 16.87) 13.19 (10.18 - 16.92) 0.862
Region 3b 7.93 (6.40 - 9.79) 9.11 (7.43 - 11.13) 0.140
Region 4 7.58 (6.15 - 9.31) 8.25 (6.62 - 10.24) 0.310
Region 4a (Sangamon) 8.05 (5.96 - 10.80) 9.04 (6.74 - 12.02) 0.272
Region 4b 7.44 (5.80 - 9.50) 8.02 (6.14 - 10.41) 0.449
Region 5 7.50a (6.18 - 9.06) 8.85 (7.26 - 10.74) 0.040
Region 5a 8.07 (6.19 - 10.45) 9.38 (7.33 - 11.92) 0.126
Region 5b 7.04b (5.46 - 9.02) 8.42 (6.35 - 11.09) 0.088
Indiana 8.87b (7.76 - 10.11) 9.81 (8.67 - 11.08) 0.094
Central 7.88b (6.38 - 9.70) 9.46 (7.75 - 11.49) 0.063
East 10.34 (7.85 - 13.50) 11.37 (8.53 - 15.01) 0.376
North Central 8.42a (6.52 - 10.80) 10.31 (8.01 - 13.16) 0.046
Northeast 8.85 (6.72 - 11.57) 8.07 (6.09 - 10.64) 0.380
Northwest 8.30 (6.31 - 10.85) 8.70 (6.57 - 11.44) 0.639
Southeast 9.05 (6.86 - 11.85) 9.06 (6.91 - 11.79) 0.991
Southwest 7.62 (5.66 - 10.19) 8.78 (6.48 - 11.78) 0.187
West 11.90 (9.23 - 15.21) 12.92 (10.20 - 16.24) 0.378
Iowa 4.98a (4.20 - 5.90) 6.53 (5.63 - 7.57) 0.000
Central 5.42a (4.07 - 7.19) 7.69 (6.00 - 9.81) 0.001
North Central 5.39 (4.00 - 7.22) 6.28 (4.67 - 8.39) 0.172
Northeast 5.24a (4.10 - 6.68) 7.06 (5.56 - 8.92) 0.004
Northwest 4.33 (3.19 - 5.85) 5.17 (3.82 - 6.97) 0.106
Southeast 4.72a (3.53 - 6.27) 6.44 (4.96 - 8.33) 0.005
Southwest 4.64b (3.33 - 6.43) 5.68 (4.08 - 7.85) 0.099
Kansas 7.01 (6.03 - 8.14) 6.42 (5.48 - 7.51) 0.231
Northeast 7.42 (6.13 - 8.97) 6.48 (5.31 - 7.88) 0.163
Northwest and North Central 6.38 (4.53 - 8.91) 5.95 (4.23 - 8.31) 0.551
South Central 6.62 (5.28 - 8.28) 6.56 (5.12 - 8.36) 0.922
Southeast 7.30 (5.29 - 10.00) 6.77 (4.72 - 9.61) 0.515
Southwest 5.93 (4.26 - 8.18) 5.49 (3.78 - 7.92) 0.518
Kentucky 7.24 (6.22 - 8.42) 7.82 (6.75 - 9.03) 0.253
Adanta, Cumberland River, and Lifeskills 6.32 (4.78 - 8.30) 6.65 (5.02 - 8.77) 0.643
Bluegrass, Comprehend, and North Key 7.67 (6.15 - 9.53) 8.04 (6.46 - 9.97) 0.624
Centerstone 8.31 (6.51 - 10.55) 9.15 (7.40 - 11.26) 0.326
Communicare and River Valley 6.72 (4.94 - 9.09) 7.52 (5.55 - 10.10) 0.338
Four Rivers and Pennyroyal 5.89b (4.27 - 8.07) 7.17 (5.17 - 9.87) 0.086
Kentucky River, Mountain, and Pathways 7.02 (5.18 - 9.44) 7.14 (5.13 - 9.85) 0.882
Louisiana 6.67b (5.72 - 7.76) 7.53 (6.54 - 8.66) 0.063
Regions 1 and 10 9.03 (7.20 - 11.28) 9.64 (7.71 - 11.99) 0.449
Region 1 11.80 (8.91 - 15.47) 11.82 (9.08 - 15.25) 0.989
Region 10 (Jefferson) 6.01 (4.45 - 8.07) 7.15 (5.20 - 9.74) 0.113
Regions 2 and 9 7.11b (5.67 - 8.89) 8.52 (6.86 - 10.53) 0.063
Region 3 5.38 (4.01 - 7.18) 6.39 (4.67 - 8.68) 0.102
Regions 4, 5, and 6 5.78 (4.40 - 7.55) 6.32 (4.88 - 8.14) 0.411
Regions 7 and 8 5.44 (4.21 - 7.00) 6.12 (4.74 - 7.87) 0.221
Maine 14.91a (13.33 - 16.64) 16.96 (15.28 - 18.77) 0.018
Aroostook/Downeast 14.70 (11.89 - 18.03) 14.67 (11.82 - 18.08) 0.985
Aroostook 14.01 (10.75 - 18.05) 15.31 (11.43 - 20.20) 0.405
Downeast 15.26 (11.55 - 19.88) 14.17 (10.71 - 18.51) 0.461
Central 14.70 (11.64 - 18.40) 16.83 (13.55 - 20.71) 0.134
Cumberland 15.67a (13.03 - 18.73) 18.85 (15.74 - 22.42) 0.024
Midcoast 13.97 (11.03 - 17.53) 16.02 (12.68 - 20.03) 0.133
Penquis 16.20 (13.06 - 19.92) 16.91 (13.74 - 20.63) 0.612
Western 15.25b (12.22 - 18.86) 17.85 (14.64 - 21.57) 0.091
York 13.44b (10.64 - 16.85) 16.05 (12.75 - 20.02) 0.051
Maryland 9.89 (8.74 - 11.18) 10.20 (8.98 - 11.57) 0.590
Anne Arundel 9.76 (7.40 - 12.77) 8.78 (6.53 - 11.72) 0.301
Baltimore City 15.37 (12.36 - 18.96) 17.24 (13.95 - 21.11) 0.193
Baltimore County 9.91 (7.67 - 12.71) 10.19 (7.71 - 13.36) 0.780
Montgomery 7.44 (5.86 - 9.41) 8.24 (6.41 - 10.54) 0.307
North Central 7.83 (5.87 - 10.38) 8.97 (6.75 - 11.83) 0.204
Northeast 9.22 (6.99 - 12.06) 9.96 (7.25 - 13.54) 0.441
Prince George's 11.32 (8.99 - 14.17) 11.66 (9.37 - 14.42) 0.748
South 8.42 (6.31 - 11.15) 8.95 (6.90 - 11.54) 0.535
West 10.10a (7.75 - 13.07) 7.65 (5.73 - 10.14) 0.008
Massachusetts 12.24 (10.95 - 13.65) 13.26 (11.82 - 14.84) 0.137
Boston 15.34 (12.35 - 18.91) 15.51 (12.31 - 19.36) 0.901
Central 12.47 (9.83 - 15.69) 13.44 (10.63 - 16.86) 0.432
Metrowest 12.29 (10.13 - 14.84) 13.18 (10.96 - 15.78) 0.398
Northeast 10.53 (8.61 - 12.81) 10.40 (8.33 - 12.91) 0.897
Southeast 11.33b (9.06 - 14.09) 13.25 (10.69 - 16.31) 0.091
Western 12.86a (10.23 - 16.04) 15.47 (12.56 - 18.91) 0.037
Michigan 10.45a (9.63 - 11.33) 12.18 (11.27 - 13.15) 0.000
Region 1 10.07a (7.78 - 12.94) 12.37 (9.34 - 16.21) 0.036
Region 2 8.40b (6.32 - 11.10) 10.16 (7.85 - 13.05) 0.072
Region 3 9.73 (8.09 - 11.66) 10.55 (8.84 - 12.56) 0.322
Region 4 9.63a (7.95 - 11.64) 11.74 (9.71 - 14.14) 0.020
Region 5 10.71b (9.18 - 12.47) 12.37 (10.61 - 14.37) 0.055
Region 6 10.16b (8.23 - 12.47) 11.80 (9.74 - 14.23) 0.087
Region 7 12.31a (10.45 - 14.44) 15.99 (13.76 - 18.49) 0.001
Region 8 9.64 (8.03 - 11.51) 10.87 (8.96 - 13.13) 0.158
Region 9 10.15 (8.26 - 12.42) 10.60 (8.59 - 13.01) 0.624
Region 10 11.24 (9.03 - 13.92) 11.89 (9.58 - 14.66) 0.526
Minnesota 7.63a (6.58 - 8.83) 8.83 (7.72 - 10.09) 0.022
Regions 1 and 2 7.71b (5.91 - 9.99) 9.00 (7.01 - 11.48) 0.076
Region 1 7.37 (5.27 - 10.22) 8.60 (6.24 - 11.75) 0.160
Region 2 7.91 (5.68 - 10.92) 9.24 (6.70 - 12.62) 0.145
Regions 3 and 4 6.96a (5.52 - 8.75) 8.40 (6.67 - 10.52) 0.041
Region 3 6.96 (4.91 - 9.77) 7.97 (5.55 - 11.32) 0.271
Region 4 6.97a (5.33 - 9.06) 8.63 (6.61 - 11.18) 0.037
Regions 5 and 6 6.97b (5.52 - 8.78) 8.03 (6.40 - 10.04) 0.099
Region 5 6.75 (5.04 - 8.97) 7.16 (5.24 - 9.70) 0.578
Region 6 7.21b (5.29 - 9.75) 8.92 (6.75 - 11.70) 0.051
Region 7 8.05b (6.80 - 9.50) 9.21 (7.90 - 10.70) 0.058
Region 7A (Hennepin) 8.56 (6.75 - 10.80) 9.59 (7.76 - 11.80) 0.238
Region 7B (Ramsey) 8.44 (6.37 - 11.10) 9.98 (7.55 - 13.08) 0.125
Region 7C 7.37 (5.76 - 9.39) 8.48 (6.69 - 10.68) 0.156
Mississippi 5.76a (4.90 - 6.76) 7.06 (6.09 - 8.16) 0.004
Region 1 6.28a (4.94 - 7.95) 7.81 (6.22 - 9.77) 0.023
Region 2 6.12b (4.56 - 8.16) 7.40 (5.64 - 9.64) 0.088
Region 3 5.21b (3.87 - 6.98) 6.27 (4.74 - 8.26) 0.065
Region 4 6.16 (4.75 - 7.96) 6.24 (4.74 - 8.17) 0.904
Region 5 5.58a (3.94 - 7.86) 7.99 (5.63 - 11.21) 0.003
Region 6 5.30 (3.98 - 7.03) 6.08 (4.42 - 8.31) 0.212
Region 7 5.13a (3.77 - 6.94) 7.64 (5.74 - 10.09) 0.000
Missouri 7.97 (6.95 - 9.13) 8.18 (7.11 - 9.40) 0.673
Central 7.32 (5.56 - 9.57) 6.43 (4.88 - 8.42) 0.236
Eastern 8.97 (7.45 - 10.77) 8.86 (7.34 - 10.65) 0.871
Eastern (St. Louis City and County) 9.96 (7.95 - 12.42) 9.24 (7.28 - 11.67) 0.446
Eastern (excluding St. Louis) 7.29 (5.64 - 9.38) 8.21 (6.40 - 10.47) 0.243
Northwest 8.65 (7.06 - 10.55) 8.91 (7.29 - 10.86) 0.722
Northwest (Jackson) 9.83 (7.67 - 12.53) 10.92 (8.57 - 13.83) 0.317
Northwest (excluding Jackson) 7.65 (5.83 - 9.99) 7.23 (5.39 - 9.64) 0.604
Southeast 6.25 (4.65 - 8.36) 7.25 (5.30 - 9.84) 0.200
Southwest 6.57 (5.04 - 8.54) 7.78 (5.89 - 10.20) 0.102
Montana 11.80a (10.49 - 13.25) 13.97 (12.56 - 15.51) 0.003
Region 1 9.49a (6.98 - 12.77) 11.82 (8.75 - 15.78) 0.033
Region 2 9.68b (7.57 - 12.30) 11.44 (8.79 - 14.76) 0.089
Region 3 9.35b (7.42 - 11.72) 11.08 (8.99 - 13.59) 0.084
Region 4 13.06b (10.83 - 15.66) 15.34 (12.95 - 18.07) 0.061
Region 5 13.94a (11.72 - 16.50) 16.48 (14.07 - 19.20) 0.035
Nebraska 6.95a (5.95 - 8.11) 8.26 (7.14 - 9.54) 0.010
Regions 1 and 2 6.12a (4.62 - 8.06) 8.57 (6.50 - 11.22) 0.000
Region 1 6.33a (4.47 - 8.91) 9.43 (6.60 - 13.30) 0.000
Region 2 5.93a (4.17 - 8.38) 7.81 (5.57 - 10.85) 0.014
Region 3 6.04 (4.60 - 7.90) 6.78 (5.05 - 9.06) 0.274
Region 4 5.47 (4.01 - 7.42) 6.08 (4.44 - 8.27) 0.348
Region 5 6.82 (5.34 - 8.66) 7.99 (6.31 - 10.08) 0.110
Region 6 7.90b (6.44 - 9.64) 9.34 (7.75 - 11.22) 0.053
Nevada 7.94a (6.83 - 9.22) 13.30 (11.82 - 14.94) 0.000
Clark – Region 1 7.63a (6.42 - 9.04) 13.14 (11.48 - 15.00) 0.000
Region 3 7.21a (5.41 - 9.54) 12.44 (9.73 - 15.78) 0.000
Capital District 7.44a (5.12 - 10.69) 12.12 (8.82 - 16.43) 0.000
Rural/Frontier 6.99a (4.96 - 9.79) 12.73 (9.23 - 17.29) 0.000
Washoe – Region 2 9.98a (7.78 - 12.70) 14.72 (11.78 - 18.24) 0.000
New Hampshire 12.39 (11.03 - 13.88) 13.37 (11.88 - 15.03) 0.171
Central 12.86 (10.95 - 15.05) 14.32 (12.15 - 16.79) 0.116
Central 1 14.49 (11.73 - 17.77) 16.22 (13.26 - 19.69) 0.174
Central 2 11.26 (9.09 - 13.87) 12.44 (9.79 - 15.67) 0.291
Northern 14.86 (11.93 - 18.36) 13.97 (11.15 - 17.35) 0.472
Southern 11.61 (10.04 - 13.40) 12.79 (11.00 - 14.81) 0.178
Southern 1 (Rockingham) 9.26a (7.33 - 11.63) 11.77 (9.35 - 14.72) 0.017
Southern 2 13.08 (11.05 - 15.43) 13.43 (11.22 - 15.99) 0.754
New Jersey 7.02 (6.21 - 7.93) 7.55 (6.66 - 8.56) 0.192
Central 7.01 (5.67 - 8.65) 7.62 (6.14 - 9.41) 0.347
Metropolitan 6.73a (5.44 - 8.29) 8.02 (6.56 - 9.78) 0.045
Northern 6.78 (5.66 - 8.09) 6.27 (5.08 - 7.70) 0.384
Southern 7.76b (6.34 - 9.48) 8.95 (7.31 - 10.90) 0.094
New Mexico 10.68a (9.37 - 12.14) 12.67 (11.13 - 14.40) 0.005
Region 1 9.37a (7.37 - 11.84) 11.60 (9.08 - 14.72) 0.024
Region 2 12.82 (9.91 - 16.42) 12.97 (10.05 - 16.60) 0.910
Region 3 (Bernalillo) 11.83a (9.82 - 14.20) 14.73 (12.45 - 17.35) 0.008
Region 4 9.49 (7.27 - 12.28) 10.27 (7.90 - 13.24) 0.458
Region 5 9.35a (7.60 - 11.45) 11.69 (9.43 - 14.40) 0.007
Region 5a 10.10a (7.62 - 13.28) 12.81 (9.71 - 16.71) 0.030
Region 5b (Dona Ana) 8.67a (6.60 - 11.31) 10.69 (8.13 - 13.94) 0.040
New York 9.64 (8.92 - 10.41) 9.92 (9.21 - 10.68) 0.483
Region 1: Long Island 8.84 (7.49 - 10.40) 8.77 (7.37 - 10.40) 0.922
Region 2: New York City 9.78 (8.79 - 10.87) 10.07 (9.05 - 11.19) 0.571
Region 2A: Bronx 7.62 (6.07 - 9.53) 7.68 (6.09 - 9.63) 0.938
Region 2B: Kings 10.56 (8.91 - 12.46) 10.03 (8.45 - 11.86) 0.533
Region 2C: New York 14.41 (11.99 - 17.23) 14.47 (11.87 - 17.53) 0.962
Region 2D: Queens 6.93a (5.61 - 8.52) 8.51 (6.91 - 10.44) 0.019
Region 2E: Richmond 8.99 (6.85 - 11.70) 8.84 (6.77 - 11.46) 0.856
Region 3: Mid-Hudson 8.55 (7.11 - 10.25) 7.56 (6.20 - 9.20) 0.174
Region 4: Capital Region 11.54 (9.42 - 14.06) 11.46 (9.45 - 13.83) 0.934
Region 5: Mohawk Valley 9.94 (7.56 - 12.96) 10.80 (7.94 - 14.54) 0.395
Region 6: North Country 10.41 (7.91 - 13.59) 11.46 (8.70 - 14.95) 0.321
Region 7: Tug Hill Seaway 8.32 (6.28 - 10.95) 9.47 (7.04 - 12.63) 0.205
Region 8: Central 10.32b (8.45 - 12.54) 12.03 (10.00 - 14.40) 0.065
Region 9: Southern Tier 9.97a (7.82 - 12.63) 12.83 (10.19 - 16.03) 0.006
Region 10: Finger Lakes 9.51 (7.69 - 11.71) 8.72 (7.17 - 10.56) 0.350
Region 11: Western 10.37a (8.70 - 12.32) 12.19 (10.39 - 14.26) 0.036
North Carolina 7.76 (6.91 - 8.71) 8.01 (7.16 - 8.96) 0.537
Alliance Behavioral Healthcare 1 8.78 (6.93 - 11.07) 8.17 (6.25 - 10.61) 0.466
Alliance Behavioral Healthcare 2 7.58 (5.82 - 9.82) 7.69 (5.91 - 9.94) 0.885
Cardinal Innovations Healthcare Solutions 1 7.06 (5.32 - 9.30) 7.98 (6.09 - 10.39) 0.214
Cardinal Innovations Healthcare Solutions 2 7.06 (5.38 - 9.21) 8.27 (6.16 - 11.00) 0.113
Cardinal Innovations Healthcare Solutions 3 9.30 (7.39 - 11.65) 10.29 (8.18 - 12.87) 0.255
CenterPoint Human Services 7.78 (5.90 - 10.20) 8.65 (6.52 - 11.37) 0.306
Eastpointe 6.02b (4.58 - 7.87) 7.16 (5.50 - 9.28) 0.073
Partners Behavioral Health Management 7.29 (5.60 - 9.44) 6.82 (5.19 - 8.92) 0.507
Sandhills Center 1 6.93 (5.16 - 9.25) 6.51 (4.79 - 8.79) 0.546
Sandhills Center 2 9.13 (6.93 - 11.94) 9.18 (6.97 - 12.01) 0.951
Smoky Mountain Center 1 7.96 (6.07 - 10.38) 7.86 (5.96 - 10.29) 0.897
Smoky Mountain Center 2 6.64a (4.92 - 8.90) 8.20 (5.95 - 11.20) 0.050
Trillium Health Resources 1 8.01 (6.24 - 10.23) 7.37 (5.64 - 9.59) 0.369
Trillium Health Resources 2 9.10 (6.94 - 11.85) 7.82 (5.91 - 10.28) 0.117
North Dakota 5.71a (4.88 - 6.67) 6.95 (5.95 - 8.10) 0.006
Badlands and West Central 5.54 (4.41 - 6.93) 5.55 (4.28 - 7.16) 0.987
Badlands 4.86 (3.48 - 6.75) 5.50 (3.81 - 7.89) 0.295
West Central 5.73 (4.44 - 7.38) 5.56 (4.15 - 7.41) 0.789
Lake Region 4.35a (3.03 - 6.20) 7.52 (5.27 - 10.62) 0.000
North Central 5.62a (4.20 - 7.49) 7.35 (5.40 - 9.94) 0.014
Northeast 6.89 (5.31 - 8.88) 6.95 (5.20 - 9.23) 0.935
Northwest 5.13a (3.61 - 7.25) 7.14 (5.09 - 9.93) 0.004
South Central 4.59b (3.26 - 6.42) 5.73 (4.07 - 8.02) 0.055
Southeast 6.09a (4.89 - 7.57) 8.30 (6.67 - 10.29) 0.002
Ohio 8.14 (7.42 - 8.92) 8.41 (7.68 - 9.20) 0.478
Boards 2, 46, 55, and 68 6.59 (4.94 - 8.73) 6.72 (4.93 - 9.10) 0.848
Boards 3, 52, and 85 6.95 (5.19 - 9.27) 6.06 (4.51 - 8.10) 0.193
Boards 4 and 78 6.56 (4.87 - 8.78) 7.15 (5.34 - 9.51) 0.404
Boards 5 and 60 8.66 (6.62 - 11.24) 9.55 (7.34 - 12.33) 0.303
Boards 7, 15, 41, 79, and 84 6.30 (4.60 - 8.57) 6.97 (5.07 - 9.50) 0.359
Boards 8, 13, and 83 6.36 (4.74 - 8.49) 6.85 (5.08 - 9.19) 0.448
Board 9 (Butler) 8.74 (6.79 - 11.18) 8.79 (6.69 - 11.47) 0.952
Board 12 8.06 (6.10 - 10.59) 8.67 (6.57 - 11.37) 0.450
Boards 18 and 47 8.65a (7.15 - 10.43) 10.53 (8.78 - 12.58) 0.017
Boards 20, 32, 54, and 69 6.36 (4.81 - 8.37) 6.84 (5.12 - 9.08) 0.490
Boards 21, 39, 51, 70, and 80 7.05 (5.34 - 9.24) 6.91 (5.26 - 9.02) 0.834
Boards 22, 74, and 87 7.60 (5.81 - 9.88) 8.64 (6.78 - 10.94) 0.157
Boards 23 and 45 7.10 (5.38 - 9.33) 6.75 (4.98 - 9.09) 0.618
Board 25 (Franklin) 9.95 (8.22 - 12.01) 10.12 (8.42 - 12.14) 0.833
Boards 27, 71, and 73 8.51 (6.45 - 11.13) 7.18 (5.41 - 9.48) 0.110
Boards 28, 43, and 67 6.70 (5.07 - 8.81) 6.59 (4.83 - 8.91) 0.865
Board 31 (Hamilton) 9.81 (7.89 - 12.14) 9.06 (7.15 - 11.41) 0.370
Board 48 (Lucas) 10.05 (7.76 - 12.92) 11.62 (8.97 - 14.91) 0.144
Boards 50 and 76 8.24 (6.47 - 10.43) 7.46 (5.72 - 9.67) 0.336
Board 57 (Montgomery) 8.20 (6.37 - 10.50) 8.78 (6.74 - 11.35) 0.463
Board 77 (Summit) 8.61 (6.67 - 11.06) 7.49 (5.70 - 9.80) 0.153
Oklahoma 5.90a (5.00 - 6.96) 7.09 (6.08 - 8.25) 0.007
Central 5.39b (4.00 - 7.21) 6.54 (4.83 - 8.81) 0.071
East Central 4.54a (3.27 - 6.28) 6.34 (4.51 - 8.84) 0.003
Northeast 5.82 (4.33 - 7.78) 5.99 (4.50 - 7.95) 0.780
Northwest and Southwest 5.69 (4.20 - 7.68) 6.24 (4.56 - 8.48) 0.415
Oklahoma County 7.02a (5.39 - 9.10) 8.77 (6.83 - 11.19) 0.029
Southeast 4.81a (3.47 - 6.62) 7.33 (5.56 - 9.61) 0.000
Tulsa County 7.11 (5.46 - 9.21) 7.42 (5.63 - 9.72) 0.681
Oregon 14.71a (13.23 - 16.32) 19.55 (17.79 - 21.45) 0.000
Region 1 (Multnomah) 19.79a (16.75 - 23.22) 27.15 (23.43 - 31.22) 0.000
Region 2 12.03a (9.96 - 14.46) 15.76 (13.18 - 18.75) 0.001
Region 3 14.57a (12.33 - 17.14) 19.38 (16.65 - 22.42) 0.000
Region 4 14.26a (11.47 - 17.60) 18.78 (15.13 - 23.08) 0.001
Region 5 (Central) 11.95a (8.77 - 16.07) 17.24 (12.88 - 22.69) 0.000
Region 6 (Eastern) 12.74 (9.66 - 16.62) 14.30 (10.99 - 18.40) 0.253
Pennsylvania 8.12 (7.41 - 8.88) 8.48 (7.72 - 9.31) 0.341
Region 1 (Allegheny) 9.63 (7.77 - 11.87) 9.95 (8.17 - 12.08) 0.721
Regions 3, 8, 9, and 51 7.99 (6.30 - 10.09) 7.22 (5.51 - 9.41) 0.309
Regions 4, 11, 37, and 49 7.02 (5.40 - 9.06) 7.41 (5.56 - 9.81) 0.598
Regions 5, 18, 23, 24, and 46 5.80 (4.54 - 7.38) 6.65 (5.10 - 8.63) 0.160
Regions 6, 12, 16, 31, 35, 45, and 47 8.65 (6.88 - 10.83) 8.72 (6.82 - 11.10) 0.931
Regions 7, 13, 20, and 33 7.73 (6.53 - 9.13) 8.66 (7.33 - 10.21) 0.141
Regions 10, 15, 27, 32, 43, and 44 6.03 (4.44 - 8.13) 6.73 (5.03 - 8.94) 0.312
Regions 17 and 21 7.24b (5.41 - 9.62) 8.82 (6.47 - 11.91) 0.056
Regions 19, 26, 28, and 42 6.39 (5.19 - 7.85) 6.79 (5.54 - 8.30) 0.492
Regions 22, 38, 40, 41, and 48 5.48 (4.17 - 7.17) 6.20 (4.62 - 8.29) 0.229
Regions 29 and 34 7.19 (5.55 - 9.26) 7.23 (5.39 - 9.65) 0.951
Regions 30 and 50 7.10 (5.40 - 9.27) 8.12 (6.13 - 10.68) 0.201
Region 36 (Philadelphia) 13.94 (11.61 - 16.65) 13.03 (10.76 - 15.69) 0.409
Rhode Island 14.38 (12.86 - 16.04) 15.39 (13.79 - 17.15) 0.189
Region 1: Southern Providence County 13.91 (11.22 - 17.11) 14.98 (11.99 - 18.57) 0.396
Region 2: Northern Providence County/
   Blackstone Valley
12.99a (10.51 - 15.94) 15.75 (13.05 - 18.88) 0.030
Region 3: Providence 16.84 (13.59 - 20.69) 15.32 (12.23 - 19.03) 0.286
Region 4: Kent County 12.30a (9.81 - 15.32) 15.23 (12.42 - 18.54) 0.020
Region 5: East Bay 16.80 (13.43 - 20.80) 16.19 (12.72 - 20.40) 0.684
Region 6: Newport County 14.01 (10.84 - 17.93) 14.77 (11.27 - 19.14) 0.588
Region 7: South County 15.22 (12.36 - 18.60) 15.53 (12.32 - 19.40) 0.814
South Carolina 7.05 (6.14 - 8.08) 7.33 (6.29 - 8.53) 0.568
Region 1 6.19 (4.92 - 7.75) 7.26 (5.82 - 9.03) 0.111
Region 2 8.08 (6.54 - 9.95) 7.39 (5.81 - 9.36) 0.377
Region 3 6.35 (4.85 - 8.28) 7.21 (5.47 - 9.44) 0.252
Region 4 7.55 (6.06 - 9.37) 7.45 (5.81 - 9.51) 0.900
South Dakota 7.10 (6.14 - 8.19) 7.26 (6.27 - 8.39) 0.718
Region 1 8.89 (7.14 - 11.03) 8.79 (6.96 - 11.06) 0.907
Region 2 6.35b (4.60 - 8.71) 7.66 (5.63 - 10.33) 0.079
Region 3 6.22 (4.88 - 7.91) 6.24 (4.92 - 7.89) 0.974
Region 4 7.65 (5.91 - 9.85) 7.02 (5.19 - 9.45) 0.421
Region 5 6.24 (4.91 - 7.90) 6.76 (5.36 - 8.49) 0.427
Tennessee 6.99a (5.97 - 8.16) 8.33 (7.20 - 9.61) 0.009
Region 1 5.77 (4.20 - 7.89) 6.84 (4.94 - 9.39) 0.139
Region 2 6.29 (4.80 - 8.20) 7.14 (5.48 - 9.24) 0.244
Region 3 5.91a (4.49 - 7.74) 7.66 (5.88 - 9.92) 0.011
Region 4 (Davidson) 9.61a (7.20 - 12.73) 12.54 (9.45 - 16.47) 0.012
Region 5 7.86 (6.15 - 10.00) 8.48 (6.69 - 10.70) 0.463
Region 6 6.16b (4.50 - 8.38) 7.60 (5.60 - 10.22) 0.057
Region 7 (Shelby) 6.97a (5.24 - 9.21) 8.73 (6.72 - 11.28) 0.032
Texas 6.06 (5.52 - 6.64) 6.15 (5.63 - 6.72) 0.729
Region 1 5.96 (4.51 - 7.82) 6.46 (4.83 - 8.58) 0.418
Region 2 7.30 (5.49 - 9.64) 7.74 (5.77 - 10.31) 0.575
Region 3 5.83 (5.09 - 6.68) 6.25 (5.45 - 7.15) 0.299
Region 3a 5.63 (4.73 - 6.68) 6.44 (5.43 - 7.62) 0.105
Region 3bc 6.20 (5.06 - 7.57) 5.90 (4.84 - 7.19) 0.591
Region 4 5.65 (4.37 - 7.27) 6.23 (4.74 - 8.14) 0.344
Region 5 7.06 (5.36 - 9.25) 7.53 (5.69 - 9.90) 0.524
Region 6 5.98 (5.09 - 7.02) 5.72 (4.84 - 6.74) 0.535
Region 6a 5.99 (5.04 - 7.11) 5.64 (4.71 - 6.74) 0.439
Region 6bc 5.88 (4.35 - 7.90) 6.37 (4.68 - 8.63) 0.391
Region 7 8.41 (7.12 - 9.92) 8.03 (6.73 - 9.56) 0.547
Region 7a 9.04 (7.34 - 11.08) 8.29 (6.60 - 10.37) 0.374
Region 7bcd 7.31 (5.76 - 9.25) 7.56 (6.04 - 9.44) 0.720
Region 8 5.27 (4.24 - 6.54) 6.05 (4.86 - 7.51) 0.120
Region 9 6.84a (5.09 - 9.13) 5.33 (3.85 - 7.34) 0.023
Region 10 4.98a (3.73 - 6.63) 3.95 (2.92 - 5.32) 0.022
Region 11 4.26 (3.44 - 5.28) 4.44 (3.57 - 5.53) 0.628
Region 11abd 4.22 (3.23 - 5.50) 4.34 (3.28 - 5.72) 0.789
Region 11c (Hidalgo) 4.33 (3.19 - 5.85) 4.61 (3.42 - 6.20) 0.572
Utah 5.30 (4.52 - 6.21) 5.95 (5.09 - 6.94) 0.122
Bear River, Northeastern, Summit, Tooele, and Wasatch 5.20 (3.77 - 7.14) 5.05 (3.55 - 7.13) 0.810
Central, Four Corners, San Juan, and Southwest 4.54 (3.44 - 5.96) 4.65 (3.44 - 6.26) 0.796
Central, Four Corners, and San Juan 4.38 (3.06 - 6.22) 4.34 (2.93 - 6.39) 0.950
Southwest 4.63 (3.29 - 6.50) 4.84 (3.37 - 6.89) 0.712
Davis County 4.63 (3.27 - 6.53) 5.10 (3.65 - 7.10) 0.423
Salt Lake County 6.50a (5.32 - 7.93) 7.97 (6.57 - 9.64) 0.031
Utah County 4.32 (3.22 - 5.77) 4.26 (3.16 - 5.72) 0.913
Weber, Morgan 4.19 (3.00 - 5.81) 4.82 (3.43 - 6.73) 0.233
Vermont 16.25a (14.63 - 18.01) 19.15 (17.36 - 21.07) 0.002
Champlain Valley 17.86 (15.58 - 20.40) 19.81 (17.19 - 22.72) 0.131
Rural Northeast 16.60b (13.63 - 20.08) 19.07 (16.14 - 22.39) 0.094
Rural Southeast 14.46a (11.81 - 17.59) 19.12 (15.74 - 23.03) 0.001
Rural Southwest 13.92a (11.12 - 17.29) 17.58 (14.35 - 21.35) 0.009
Virginia 6.58 (5.84 - 7.40) 7.00 (6.22 - 7.88) 0.300
Region 1 6.69 (5.32 - 8.37) 7.29 (5.90 - 8.97) 0.389
Region 2 5.16 (4.14 - 6.40) 5.78 (4.65 - 7.17) 0.240
Region 3 6.81 (5.46 - 8.47) 6.50 (5.11 - 8.24) 0.640
Region 4 7.51 (6.03 - 9.31) 8.34 (6.83 - 10.15) 0.249
Region 5 7.45 (6.10 - 9.05) 7.75 (6.35 - 9.41) 0.668
Washington 12.22a (10.76 - 13.83) 15.49 (13.92 - 17.19) 0.000
Region 1 11.49a (9.36 - 14.04) 14.40 (12.05 - 17.12) 0.004
Greater Columbia and North Central 9.89a (7.61 - 12.76) 13.38 (10.66 - 16.65) 0.003
Spokane 13.85 (10.56 - 17.96) 15.92 (12.21 - 20.50) 0.151
Region 2 12.32a (10.51 - 14.40) 16.00 (13.93 - 18.30) 0.000
King 12.03a (9.93 - 14.51) 16.70 (14.22 - 19.53) 0.000
North Sound 12.84 (10.14 - 16.11) 14.74 (11.73 - 18.36) 0.146
Region 3 12.55a (10.62 - 14.77) 15.48 (13.35 - 17.88) 0.002
Pierce 13.67 (10.94 - 16.95) 14.32 (11.38 - 17.85) 0.631
Salish 11.99a (8.85 - 16.05) 17.53 (13.24 - 22.84) 0.000
SW WA and Great Rivers 11.66a (8.82 - 15.27) 15.14 (12.00 - 18.92) 0.008
Thurston-Mason 12.35a (8.99 - 16.73) 16.82 (12.57 - 22.15) 0.003
West Virginia 6.87a (5.91 - 7.97) 8.34 (7.21 - 9.64) 0.004
Region I 5.90 (4.16 - 8.30) 6.71 (4.82 - 9.27) 0.262
Region II 6.48 (4.88 - 8.54) 7.46 (5.60 - 9.86) 0.198
Region III 6.28a (4.55 - 8.60) 7.91 (5.82 - 10.65) 0.039
Region IV 8.05 (6.46 - 10.00) 8.80 (6.89 - 11.18) 0.372
Region V 7.66a (6.05 - 9.65) 9.72 (7.87 - 11.94) 0.017
Region VI 5.24a (3.95 - 6.93) 7.27 (5.55 - 9.48) 0.003
Wisconsin 7.33a (6.33 - 8.48) 8.38 (7.23 - 9.69) 0.040
Milwaukee 8.56 (6.63 - 10.97) 9.76 (7.55 - 12.52) 0.201
Northeastern 5.91 (4.52 - 7.70) 6.95 (5.30 - 9.06) 0.119
Northern 6.39 (4.68 - 8.68) 7.19 (5.28 - 9.73) 0.288
Southeastern 6.84a (5.28 - 8.80) 8.60 (6.73 - 10.94) 0.018
Southern 8.46 (6.70 - 10.64) 9.17 (7.22 - 11.56) 0.430
Western 7.86 (6.01 - 10.21) 8.30 (6.24 - 10.96) 0.613
Wyoming 6.46a (5.49 - 7.59) 7.46 (6.41 - 8.67) 0.037
Judicial District 1 (Laramie) 7.19 (5.51 - 9.34) 8.24 (6.28 - 10.75) 0.229
Judicial District 2 8.66 (6.69 - 11.14) 9.52 (7.29 - 12.34) 0.311
Judicial District 3 5.32 (3.90 - 7.24) 5.79 (4.23 - 7.88) 0.473
Judicial District 4 5.70 (4.00 - 8.04) 6.32 (4.46 - 8.88) 0.370
Judicial District 5 4.52a (3.19 - 6.36) 6.08 (4.38 - 8.39) 0.015
Judicial District 6 5.69b (4.18 - 7.69) 6.79 (5.04 - 9.10) 0.096
Judicial District 7 (Natrona) 6.73 (5.02 - 8.96) 7.28 (5.55 - 9.49) 0.472
Judicial District 8 5.78 (4.14 - 8.02) 6.71 (4.80 - 9.31) 0.198
Judicial District 9 7.69a (5.76 - 10.19) 9.53 (7.19 - 12.52) 0.045
SPA = service planning area.
NOTE: The definitions of the substate regions listed in this table are provided in the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
NOTE: Substate, state, and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and are generated by Markov Chain Monte Carlo techniques, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2014-2016 and 2016-2018 population percentages. The "Total U.S." estimates, along with the 95 percent confidence intervals and the p values, are based on design-based (direct) estimation methods.
a Difference between the 2014-2016 and 2016-2018 population percentages is statistically significant at the 0.05 level.
b Difference between the 2014-2016 and 2016-2018 population percentages is statistically significant at the 0.10 level.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2014-2018.
200324
Table 3 – Cocaine Use in the Past Year among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2014-2016 and 2016-2018 NSDUHs
State/Substate Region 2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
2016-2018
(Estimate)
2016-2018
(95% Confidence
Interval)
P Value
Total United States 1.80a (1.72 - 1.88) 2.03 (1.95 - 2.12) 0.000
Northeast 2.25 (2.06 - 2.45) 2.38 (2.19 - 2.59) 0.171
Midwest 1.43a (1.30 - 1.57) 1.75 (1.62 - 1.88) 0.000
South 1.53a (1.42 - 1.65) 1.70 (1.59 - 1.82) 0.008
West 2.23a (2.05 - 2.42) 2.54 (2.36 - 2.74) 0.002
Alabama 1.19a (0.85 - 1.66) 1.60 (1.21 - 2.11) 0.007
Region 1 0.87a (0.53 - 1.42) 1.38 (0.92 - 2.06) 0.001
Region 2 1.69 (1.07 - 2.66) 1.82 (1.23 - 2.70) 0.589
Region 3 1.09a (0.62 - 1.89) 1.75 (1.12 - 2.72) 0.002
Region 4 0.95a (0.53 - 1.67) 1.46 (0.93 - 2.28) 0.005
Alaska 2.13 (1.66 - 2.74) 2.16 (1.69 - 2.77) 0.900
Anchorage 2.37 (1.73 - 3.25) 2.50 (1.82 - 3.44) 0.664
Northern 1.75 (1.12 - 2.72) 1.95 (1.26 - 2.98) 0.420
South Central 2.22 (1.46 - 3.37) 1.92 (1.26 - 2.91) 0.273
Southeast 1.81 (1.09 - 3.00) 1.91 (1.20 - 3.04) 0.683
Arizona 2.19 (1.71 - 2.80) 2.04 (1.58 - 2.63) 0.531
Central 2.11 (1.57 - 2.84) 1.94 (1.43 - 2.64) 0.505
North 2.21 (1.35 - 3.58) 2.19 (1.37 - 3.49) 0.961
South 2.34 (1.62 - 3.38) 2.19 (1.50 - 3.17) 0.606
South A 2.86 (1.85 - 4.40) 2.24 (1.42 - 3.52) 0.121
South B 1.72 (1.01 - 2.89) 2.12 (1.28 - 3.48) 0.138
Arkansas 1.13b (0.81 - 1.57) 1.37 (1.04 - 1.81) 0.081
Catchment Area 1 1.04b (0.61 - 1.78) 1.37 (0.87 - 2.16) 0.059
Catchment Area 2 0.89 (0.50 - 1.58) 1.00 (0.60 - 1.66) 0.425
Catchment Area 3 1.05 (0.60 - 1.84) 1.30 (0.80 - 2.11) 0.165
Catchment Area 4 0.93 (0.53 - 1.63) 1.16 (0.70 - 1.91) 0.124
Catchment Area 5 1.22 (0.72 - 2.08) 1.25 (0.79 - 1.96) 0.880
Catchment Area 6 1.27 (0.69 - 2.33) 1.47 (0.83 - 2.60) 0.349
Catchment Area 7 1.04 (0.56 - 1.93) 1.20 (0.69 - 2.07) 0.336
Catchment Area 8 1.41b (0.85 - 2.34) 1.86 (1.20 - 2.85) 0.058
California 2.44a (2.16 - 2.74) 2.75 (2.46 - 3.06) 0.042
Region 1R 2.49a (1.61 - 3.81) 3.98 (2.91 - 5.42) 0.000
Region 2R 2.48b (1.66 - 3.69) 2.96 (1.95 - 4.46) 0.089
Region 3R (Sacramento) 2.20 (1.47 - 3.28) 2.10 (1.41 - 3.11) 0.686
Region 4R 2.32 (1.55 - 3.48) 2.28 (1.51 - 3.44) 0.875
Region 5R (San Francisco) 5.35 (3.58 - 7.92) 4.72 (3.17 - 6.97) 0.341
Region 6 (Santa Clara) 1.69a (1.16 - 2.46) 2.29 (1.62 - 3.24) 0.005
Region 7R (Contra Costa) 2.26 (1.51 - 3.38) 2.26 (1.52 - 3.35) 0.990
Region 8R (Alameda) 2.72b (1.86 - 3.97) 3.36 (2.44 - 4.62) 0.055
Region 9R (San Mateo) 2.15 (1.38 - 3.33) 2.33 (1.54 - 3.51) 0.517
Region 10 3.48a (2.36 - 5.09) 2.70 (1.80 - 4.03) 0.021
Region 11 (Los Angeles) 2.52 (2.12 - 3.00) 2.80 (2.37 - 3.31) 0.132
LA SPA 1 and 5 2.90 (1.92 - 4.34) 3.25 (2.26 - 4.65) 0.300
LA SPA 2 2.34 (1.63 - 3.34) 2.27 (1.56 - 3.30) 0.813
LA SPA 3 1.86 (1.24 - 2.79) 1.92 (1.30 - 2.82) 0.817
LA SPA 4 4.47 (3.06 - 6.47) 5.44 (3.81 - 7.71) 0.139
LA SPA 6 2.38 (1.52 - 3.71) 2.66 (1.74 - 4.06) 0.354
LA SPA 7 1.89 (1.23 - 2.90) 2.23 (1.45 - 3.41) 0.152
LA SPA 8 2.40 (1.64 - 3.49) 2.83 (1.99 - 4.00) 0.128
Region 12R 2.06a (1.27 - 3.34) 2.80 (1.81 - 4.29) 0.018
Regions 13 and 19R 1.69 (1.18 - 2.40) 1.90 (1.35 - 2.67) 0.287
Region 14 (Orange) 2.35 (1.67 - 3.30) 2.45 (1.78 - 3.37) 0.690
Region 15R (Fresno) 2.06b (1.32 - 3.18) 2.53 (1.71 - 3.72) 0.082
Region 16R (San Diego) 2.96a (2.21 - 3.96) 3.89 (2.99 - 5.04) 0.008
Region 17R 1.91 (1.30 - 2.78) 2.15 (1.48 - 3.14) 0.305
Region 18R (San Bernardino) 1.85a (1.23 - 2.76) 2.34 (1.63 - 3.34) 0.047
Region 20R 2.12 (1.35 - 3.33) 2.20 (1.49 - 3.23) 0.765
Region 21R 2.73 (1.79 - 4.16) 2.99 (2.04 - 4.35) 0.426
Colorado 2.54a (2.02 - 3.19) 3.24 (2.66 - 3.94) 0.016
Region 1 2.52 (1.66 - 3.80) 3.02 (2.04 - 4.45) 0.185
Region 2 2.17 (1.31 - 3.57) 2.46 (1.52 - 3.96) 0.356
Region 3 2.46 (1.69 - 3.56) 2.51 (1.76 - 3.58) 0.868
Region 4 1.91 (1.15 - 3.14) 2.24 (1.35 - 3.69) 0.271
Region 5 3.67a (2.45 - 5.46) 5.88 (4.18 - 8.19) 0.001
Region 6 2.79a (1.84 - 4.21) 3.99 (2.90 - 5.47) 0.009
Region 7 1.88b (1.15 - 3.05) 2.42 (1.60 - 3.64) 0.086
Connecticut 2.39 (1.88 - 3.03) 2.29 (1.79 - 2.92) 0.643
Eastern 2.46 (1.56 - 3.87) 2.47 (1.56 - 3.89) 0.981
North Central 2.74 (1.88 - 3.97) 2.27 (1.57 - 3.28) 0.147
Northwestern 2.26 (1.47 - 3.46) 2.10 (1.37 - 3.20) 0.555
South Central 2.25 (1.51 - 3.34) 2.50 (1.71 - 3.63) 0.382
Southwest 2.13 (1.38 - 3.29) 2.11 (1.40 - 3.17) 0.940
Delaware 2.00 (1.55 - 2.59) 2.12 (1.65 - 2.71) 0.573
Kent 1.68 (1.03 - 2.73) 1.75 (1.09 - 2.77) 0.775
New Castle (excluding Wilmington City) 2.24 (1.66 - 3.03) 2.42 (1.81 - 3.23) 0.516
Sussex 1.62 (0.98 - 2.67) 1.70 (1.10 - 2.62) 0.742
Wilmington City 2.26 (1.27 - 3.99) 2.25 (1.31 - 3.85) 0.989
District of Columbia 3.44a (2.71 - 4.36) 4.26 (3.42 - 5.29) 0.034
Ward 1 3.74a (2.39 - 5.81) 5.17 (3.45 - 7.69) 0.021
Ward 2 5.14 (3.43 - 7.64) 5.62 (3.74 - 8.36) 0.487
Ward 3 3.13 (2.03 - 4.81) 3.90 (2.61 - 5.79) 0.114
Ward 4 2.93 (1.75 - 4.86) 2.80 (1.72 - 4.52) 0.774
Ward 5 3.54 (2.16 - 5.75) 4.35 (2.87 - 6.54) 0.148
Ward 6 2.87a (1.85 - 4.41) 4.96 (3.33 - 7.32) 0.000
Ward 7 3.37 (2.01 - 5.62) 3.26 (2.01 - 5.27) 0.832
Ward 8 2.67a (1.55 - 4.58) 3.78 (2.44 - 5.82) 0.047
Florida 1.79 (1.52 - 2.11) 1.93 (1.66 - 2.23) 0.314
Broward (Circuit 17) 1.82a (1.21 - 2.73) 1.42 (0.93 - 2.17) 0.038
Central I 2.07 (1.56 - 2.75) 1.98 (1.53 - 2.55) 0.601
Circuit 9 2.08 (1.45 - 2.98) 2.00 (1.46 - 2.73) 0.699
Circuit 18 2.06 (1.33 - 3.18) 1.94 (1.33 - 2.84) 0.643
Central II 1.72 (1.35 - 2.17) 1.82 (1.49 - 2.23) 0.459
Circuit 6 1.74 (1.15 - 2.61) 1.88 (1.31 - 2.68) 0.501
Circuit 10 1.64 (1.03 - 2.59) 1.72 (1.12 - 2.62) 0.701
Circuit 12 1.63 (1.02 - 2.62) 1.61 (1.04 - 2.49) 0.923
Circuit 13 (Hillsborough) 1.92b (1.29 - 2.83) 2.34 (1.67 - 3.28) 0.082
Circuit 20 1.58 (0.99 - 2.51) 1.41 (0.95 - 2.10) 0.380
Northeast 1.68a (1.28 - 2.21) 2.11 (1.66 - 2.67) 0.012
Circuit 4 1.68a (1.04 - 2.70) 2.26 (1.52 - 3.33) 0.028
Circuit 5 1.28b (0.78 - 2.10) 1.60 (1.07 - 2.40) 0.093
Circuit 7 2.08b (1.34 - 3.22) 2.58 (1.74 - 3.81) 0.080
Circuit 8 plus Columbia, Dixie, Hamilton,
   Lafayette, and Suwannee
1.84 (1.11 - 3.03) 2.05 (1.34 - 3.14) 0.396
Northwest 2.35 (1.76 - 3.12) 2.62 (1.99 - 3.45) 0.245
Circuit 1 2.43 (1.62 - 3.62) 2.68 (1.77 - 4.04) 0.418
Circuit 2 plus Madison and Taylor 2.50 (1.63 - 3.82) 3.00 (1.99 - 4.49) 0.123
Circuit 14 1.92 (1.13 - 3.25) 1.93 (1.21 - 3.05) 0.978
South (Circuits 11 and 16) 1.35 (0.91 - 2.00) 1.59 (1.12 - 2.25) 0.213
Southeast 1.97 (1.41 - 2.73) 2.24 (1.67 - 3.01) 0.193
Circuit 15 (Palm Beach) 2.14 (1.44 - 3.17) 2.55 (1.80 - 3.60) 0.112
Circuit 19 1.60 (0.97 - 2.61) 1.56 (0.98 - 2.48) 0.839
Georgia 1.73 (1.35 - 2.21) 1.71 (1.38 - 2.13) 0.932
Region 1 1.28 (0.85 - 1.92) 1.49 (1.03 - 2.16) 0.249
Region 2 1.44 (0.89 - 2.34) 1.68 (1.09 - 2.58) 0.282
Region 3 2.70 (1.90 - 3.83) 2.17 (1.60 - 2.95) 0.105
Region 4 1.66 (0.95 - 2.90) 1.63 (0.98 - 2.70) 0.879
Region 5 1.29 (0.78 - 2.13) 1.49 (0.93 - 2.38) 0.298
Region 6 1.13 (0.68 - 1.89) 1.39 (0.89 - 2.16) 0.163
Hawaii 2.00 (1.53 - 2.60) 2.07 (1.59 - 2.69) 0.746
Hawaii Island 1.94 (1.17 - 3.19) 2.09 (1.28 - 3.40) 0.612
Honolulu 1.89 (1.39 - 2.56) 1.98 (1.44 - 2.70) 0.706
Kauai 2.47 (1.40 - 4.32) 2.11 (1.23 - 3.58) 0.313
Maui 2.55 (1.55 - 4.16) 2.60 (1.64 - 4.11) 0.875
Idaho 1.15 (0.85 - 1.57) 1.27 (0.94 - 1.72) 0.364
Region 1 1.10 (0.62 - 1.93) 1.30 (0.78 - 2.14) 0.247
Region 2 1.49 (0.86 - 2.57) 1.70 (1.03 - 2.80) 0.335
Region 3 0.79b (0.46 - 1.37) 1.05 (0.62 - 1.77) 0.061
Region 4 1.51 (1.00 - 2.28) 1.59 (1.05 - 2.38) 0.719
Region 5 0.85 (0.50 - 1.44) 0.92 (0.55 - 1.53) 0.569
Region 6 1.15 (0.65 - 2.04) 1.17 (0.68 - 1.99) 0.910
Region 7 0.98 (0.58 - 1.65) 1.02 (0.62 - 1.69) 0.786
Illinois 1.74 (1.43 - 2.12) 2.02 (1.69 - 2.41) 0.105
Region 1 (Cook) 1.92 (1.49 - 2.48) 2.27 (1.80 - 2.86) 0.109
Region 1.1 (Far North Side) 2.16b (1.31 - 3.53) 2.83 (1.77 - 4.48) 0.051
Region 1.2 (Northwest Side) 1.65 (0.98 - 2.76) 1.98 (1.20 - 3.25) 0.165
Region 1.3 (North Central Side) 3.29 (2.01 - 5.36) 3.77 (2.29 - 6.14) 0.346
Region 1.4 (West Side) 2.66 (1.60 - 4.39) 2.57 (1.58 - 4.17) 0.819
Region 1.5 (South Side) 2.51 (1.41 - 4.43) 2.20 (1.37 - 3.51) 0.435
Region 1.6 (Southwest Side) 1.76 (0.99 - 3.10) 1.77 (1.05 - 2.97) 0.960
Region 1.7 (Suburban Cook) 1.37a (0.92 - 2.04) 1.93 (1.40 - 2.67) 0.014
Region 2 1.52 (1.17 - 1.98) 1.76 (1.40 - 2.22) 0.164
Region 2a (DuPage) 1.54 (1.00 - 2.37) 1.85 (1.24 - 2.74) 0.186
Region 2b 1.52 (1.06 - 2.18) 1.65 (1.18 - 2.32) 0.526
Region 2c (Winnebago) 1.46 (0.84 - 2.53) 1.69 (1.05 - 2.73) 0.286
Region 2d 1.52a (0.94 - 2.44) 2.03 (1.38 - 2.98) 0.039
Region 3 1.84 (1.32 - 2.56) 2.13 (1.55 - 2.91) 0.199
Region 3a (Champaign) 2.94 (1.87 - 4.61) 3.18 (2.03 - 4.94) 0.527
Region 3b 1.65 (1.12 - 2.44) 1.95 (1.35 - 2.81) 0.193
Region 4 1.48a (0.99 - 2.22) 1.89 (1.33 - 2.67) 0.043
Region 4a (Sangamon) 1.55 (0.92 - 2.61) 1.89 (1.16 - 3.07) 0.151
Region 4b 1.46b (0.91 - 2.35) 1.88 (1.24 - 2.84) 0.058
Region 5 1.79 (1.25 - 2.54) 1.78 (1.28 - 2.47) 0.966
Region 5a 1.92 (1.20 - 3.07) 1.95 (1.30 - 2.93) 0.908
Region 5b 1.68 (1.06 - 2.66) 1.64 (1.03 - 2.60) 0.860
Indiana 1.17a (0.86 - 1.60) 1.85 (1.45 - 2.36) 0.000
Central 1.19a (0.74 - 1.90) 1.72 (1.20 - 2.47) 0.009
East 1.19a (0.69 - 2.02) 2.00 (1.23 - 3.23) 0.000
North Central 1.08a (0.62 - 1.88) 1.86 (1.17 - 2.96) 0.000
Northeast 1.16b (0.67 - 2.00) 1.47 (0.91 - 2.38) 0.095
Northwest 1.21a (0.70 - 2.10) 1.97 (1.24 - 3.13) 0.001
Southeast 1.04a (0.60 - 1.81) 1.76 (1.12 - 2.76) 0.000
Southwest 0.99a (0.56 - 1.73) 1.49 (0.92 - 2.41) 0.004
West 1.48a (0.88 - 2.48) 2.56 (1.64 - 3.96) 0.000
Iowa 1.05a (0.76 - 1.46) 1.31 (0.99 - 1.73) 0.049
Central 1.13 (0.67 - 1.88) 1.35 (0.86 - 2.11) 0.184
North Central 1.06a (0.61 - 1.84) 1.49 (0.92 - 2.39) 0.023
Northeast 1.20 (0.75 - 1.92) 1.40 (0.91 - 2.15) 0.253
Northwest 0.86b (0.50 - 1.49) 1.13 (0.69 - 1.85) 0.063
Southeast 1.04 (0.61 - 1.76) 1.20 (0.76 - 1.90) 0.307
Southwest 0.87a (0.48 - 1.55) 1.30 (0.77 - 2.17) 0.006
Kansas 1.16a (0.85 - 1.59) 1.48 (1.12 - 1.97) 0.028
Northeast 1.16a (0.78 - 1.73) 1.61 (1.13 - 2.29) 0.021
Northwest and North Central 1.38 (0.76 - 2.48) 1.59 (0.94 - 2.66) 0.331
South Central 1.05b (0.67 - 1.64) 1.32 (0.84 - 2.05) 0.089
Southeast 1.23 (0.69 - 2.20) 1.30 (0.76 - 2.20) 0.728
Southwest 1.30 (0.73 - 2.30) 1.31 (0.79 - 2.17) 0.923
Kentucky 1.57 (1.18 - 2.08) 1.68 (1.31 - 2.15) 0.508
Adanta, Cumberland River, and Lifeskills 1.45 (0.86 - 2.43) 1.44 (0.91 - 2.28) 0.958
Bluegrass, Comprehend, and North Key 1.60 (1.07 - 2.38) 1.95 (1.36 - 2.78) 0.126
Centerstone 1.86 (1.20 - 2.87) 1.88 (1.28 - 2.74) 0.932
Communicare and River Valley 1.48 (0.83 - 2.60) 1.53 (0.93 - 2.51) 0.813
Four Rivers and Pennyroyal 1.19 (0.67 - 2.09) 1.31 (0.79 - 2.16) 0.495
Kentucky River, Mountain, and Pathways 1.47 (0.86 - 2.51) 1.36 (0.84 - 2.21) 0.566
Louisiana 1.65 (1.22 - 2.24) 1.37 (1.01 - 1.85) 0.116
Regions 1 and 10 2.27a (1.45 - 3.54) 1.74 (1.14 - 2.64) 0.046
Region 1 3.06a (1.77 - 5.27) 2.08 (1.25 - 3.44) 0.011
Region 10 (Jefferson) 1.41 (0.81 - 2.47) 1.34 (0.80 - 2.24) 0.732
Regions 2 and 9 1.54 (0.98 - 2.42) 1.45 (0.95 - 2.22) 0.690
Region 3 1.51 (0.87 - 2.60) 1.23 (0.72 - 2.12) 0.191
Regions 4, 5, and 6 1.53 (0.92 - 2.54) 1.27 (0.82 - 1.97) 0.211
Regions 7 and 8 1.41b (0.83 - 2.39) 1.09 (0.66 - 1.78) 0.093
Maine 1.80 (1.38 - 2.34) 1.93 (1.52 - 2.45) 0.438
Aroostook/Downeast 1.58 (1.02 - 2.44) 1.73 (1.16 - 2.59) 0.400
Aroostook 1.59 (0.90 - 2.79) 1.58 (0.95 - 2.60) 0.954
Downeast 1.57 (0.90 - 2.73) 1.86 (1.13 - 3.05) 0.189
Central 1.45 (0.84 - 2.50) 1.57 (1.00 - 2.47) 0.557
Cumberland 2.36 (1.58 - 3.53) 2.01 (1.38 - 2.92) 0.178
Midcoast 1.48 (0.86 - 2.54) 1.82 (1.16 - 2.86) 0.128
Penquis 1.81a (1.11 - 2.96) 2.42 (1.61 - 3.64) 0.031
Western 1.74 (1.06 - 2.87) 2.07 (1.33 - 3.21) 0.222
York 1.73 (1.08 - 2.75) 1.81 (1.19 - 2.73) 0.690
Maryland 1.49a (1.10 - 2.01) 2.02 (1.56 - 2.61) 0.003
Anne Arundel 1.36a (0.78 - 2.39) 1.93 (1.16 - 3.19) 0.018
Baltimore City 2.67 (1.57 - 4.51) 2.28 (1.42 - 3.65) 0.271
Baltimore County 1.44a (0.84 - 2.43) 2.37 (1.48 - 3.79) 0.000
Montgomery 1.25a (0.75 - 2.07) 1.80 (1.17 - 2.75) 0.012
North Central 1.33a (0.78 - 2.25) 1.88 (1.16 - 3.04) 0.012
Northeast 1.51a (0.88 - 2.56) 2.40 (1.45 - 3.94) 0.000
Prince George's 1.39 (0.78 - 2.48) 1.73 (1.09 - 2.72) 0.175
South 1.30a (0.76 - 2.23) 1.95 (1.21 - 3.12) 0.004
West 1.30a (0.76 - 2.21) 2.04 (1.31 - 3.19) 0.002
Massachusetts 2.65 (2.11 - 3.31) 3.04 (2.46 - 3.76) 0.125
Boston 3.98 (2.62 - 6.00) 4.27 (2.91 - 6.24) 0.562
Central 2.35b (1.50 - 3.65) 2.94 (1.94 - 4.42) 0.095
Metrowest 2.61 (1.76 - 3.85) 2.62 (1.85 - 3.70) 0.972
Northeast 2.22 (1.50 - 3.27) 2.37 (1.59 - 3.51) 0.588
Southeast 2.53a (1.66 - 3.82) 3.44 (2.36 - 5.00) 0.012
Western 2.54 (1.59 - 4.04) 3.12 (2.10 - 4.62) 0.133
Michigan 1.32a (1.07 - 1.63) 1.78 (1.50 - 2.11) 0.000
Region 1 1.10a (0.63 - 1.91) 1.71 (1.07 - 2.74) 0.001
Region 2 1.01a (0.59 - 1.72) 1.51 (0.97 - 2.34) 0.002
Region 3 1.22a (0.80 - 1.87) 1.66 (1.16 - 2.38) 0.012
Region 4 1.28 (0.82 - 1.99) 1.55 (1.05 - 2.29) 0.118
Region 5 1.17a (0.80 - 1.71) 2.00 (1.49 - 2.67) 0.000
Region 6 1.55 (0.99 - 2.42) 1.70 (1.15 - 2.51) 0.455
Region 7 1.58 (1.03 - 2.42) 1.70 (1.19 - 2.43) 0.590
Region 8 1.25a (0.82 - 1.89) 1.94 (1.35 - 2.77) 0.000
Region 9 1.23a (0.78 - 1.92) 1.76 (1.20 - 2.56) 0.004
Region 10 1.56b (0.96 - 2.51) 2.00 (1.33 - 3.00) 0.052
Minnesota 1.55a (1.15 - 2.07) 2.00 (1.57 - 2.55) 0.017
Regions 1 and 2 1.40b (0.87 - 2.25) 1.75 (1.15 - 2.66) 0.080
Region 1 1.45b (0.80 - 2.61) 1.86 (1.10 - 3.13) 0.082
Region 2 1.37 (0.77 - 2.45) 1.68 (0.98 - 2.84) 0.166
Regions 3 and 4 1.19a (0.78 - 1.82) 1.66 (1.14 - 2.41) 0.005
Region 3 1.26a (0.69 - 2.28) 1.67 (0.99 - 2.80) 0.043
Region 4 1.16a (0.71 - 1.90) 1.65 (1.05 - 2.59) 0.008
Regions 5 and 6 1.25a (0.81 - 1.92) 1.65 (1.14 - 2.38) 0.028
Region 5 1.19a (0.70 - 2.01) 1.74 (1.09 - 2.74) 0.008
Region 6 1.30 (0.74 - 2.28) 1.56 (0.97 - 2.50) 0.215
Region 7 1.78a (1.28 - 2.48) 2.27 (1.72 - 2.98) 0.046
Region 7A (Hennepin) 2.57 (1.69 - 3.87) 2.78 (1.94 - 3.97) 0.572
Region 7B (Ramsey) 1.62a (0.95 - 2.75) 2.35 (1.49 - 3.68) 0.009
Region 7C 1.07a (0.66 - 1.75) 1.72 (1.13 - 2.60) 0.001
Mississippi 1.08b (0.74 - 1.56) 1.34 (0.97 - 1.85) 0.066
Region 1 1.20b (0.71 - 2.03) 1.56 (0.99 - 2.43) 0.081
Region 2 1.15 (0.62 - 2.11) 1.17 (0.68 - 2.00) 0.911
Region 3 1.19 (0.65 - 2.15) 1.29 (0.78 - 2.14) 0.587
Region 4 1.12 (0.62 - 2.02) 1.21 (0.72 - 2.01) 0.625
Region 5 0.96b (0.47 - 1.93) 1.29 (0.71 - 2.33) 0.074
Region 6 0.95b (0.52 - 1.73) 1.22 (0.72 - 2.07) 0.076
Region 7 0.83a (0.46 - 1.50) 1.45 (0.89 - 2.36) 0.000
Missouri 1.23 (0.91 - 1.66) 1.28 (0.97 - 1.68) 0.669
Central 1.68a (1.03 - 2.72) 1.29 (0.82 - 2.01) 0.038
Eastern 1.37 (0.92 - 2.03) 1.43 (1.00 - 2.03) 0.725
Eastern (St. Louis City and County) 1.32 (0.79 - 2.18) 1.48 (0.94 - 2.31) 0.400
Eastern (excluding St. Louis) 1.46 (0.88 - 2.41) 1.34 (0.85 - 2.12) 0.542
Northwest 1.09 (0.70 - 1.69) 1.24 (0.83 - 1.83) 0.310
Northwest (Jackson) 1.21 (0.69 - 2.08) 1.42 (0.87 - 2.30) 0.264
Northwest (excluding Jackson) 0.99 (0.57 - 1.72) 1.08 (0.64 - 1.83) 0.515
Southeast 0.96 (0.56 - 1.65) 1.11 (0.66 - 1.84) 0.310
Southwest 0.93 (0.54 - 1.59) 1.15 (0.71 - 1.85) 0.136
Montana 1.64b (1.26 - 2.13) 1.95 (1.55 - 2.46) 0.080
Region 1 1.42 (0.80 - 2.51) 1.51 (0.91 - 2.49) 0.645
Region 2 1.34 (0.83 - 2.17) 1.55 (0.95 - 2.51) 0.281
Region 3 1.47 (0.95 - 2.29) 1.65 (1.10 - 2.47) 0.354
Region 4 1.72a (1.15 - 2.56) 2.30 (1.65 - 3.21) 0.026
Region 5 1.89 (1.29 - 2.76) 2.15 (1.51 - 3.05) 0.306
Nebraska 1.43 (1.07 - 1.92) 1.69 (1.31 - 2.18) 0.134
Regions 1 and 2 1.17 (0.73 - 1.87) 1.41 (0.93 - 2.13) 0.127
Region 1 1.19 (0.66 - 2.13) 1.41 (0.82 - 2.40) 0.238
Region 2 1.15 (0.64 - 2.07) 1.42 (0.86 - 2.32) 0.137
Region 3 1.44 (0.85 - 2.42) 1.67 (1.07 - 2.60) 0.297
Region 4 0.97b (0.56 - 1.68) 1.26 (0.76 - 2.07) 0.073
Region 5 1.31a (0.80 - 2.13) 1.86 (1.24 - 2.78) 0.015
Region 6 1.69 (1.16 - 2.46) 1.77 (1.26 - 2.49) 0.725
Nevada 1.78a (1.33 - 2.38) 2.29 (1.80 - 2.91) 0.016
Clark – Region 1 1.67a (1.18 - 2.36) 2.26 (1.71 - 2.99) 0.012
Region 3 1.52 (0.94 - 2.48) 1.77 (1.15 - 2.70) 0.185
Capital District 1.65 (0.90 - 2.98) 1.84 (1.09 - 3.09) 0.400
Rural/Frontier 1.42 (0.78 - 2.57) 1.71 (1.00 - 2.91) 0.167
Washoe – Region 2 2.51 (1.64 - 3.81) 2.81 (1.87 - 4.20) 0.373
New Hampshire 2.89 (2.33 - 3.57) 2.48 (2.01 - 3.06) 0.109
Central 2.62 (1.94 - 3.53) 2.99 (2.28 - 3.92) 0.192
Central 1 2.43a (1.60 - 3.69) 3.81 (2.73 - 5.30) 0.001
Central 2 2.80a (1.93 - 4.06) 2.18 (1.47 - 3.24) 0.037
Northern 2.59 (1.67 - 4.00) 2.33 (1.53 - 3.55) 0.411
Southern 3.08a (2.39 - 3.98) 2.26 (1.73 - 2.94) 0.006
Southern 1 (Rockingham) 2.30 (1.54 - 3.41) 2.08 (1.39 - 3.10) 0.448
Southern 2 3.58a (2.65 - 4.82) 2.37 (1.72 - 3.26) 0.002
New Jersey 1.82 (1.45 - 2.27) 1.69 (1.33 - 2.14) 0.432
Central 1.80 (1.20 - 2.69) 1.71 (1.16 - 2.53) 0.688
Metropolitan 1.66 (1.09 - 2.53) 1.80 (1.21 - 2.68) 0.557
Northern 1.78 (1.28 - 2.48) 1.50 (1.05 - 2.13) 0.168
Southern 2.07 (1.42 - 3.00) 1.82 (1.25 - 2.65) 0.286
New Mexico 2.01 (1.54 - 2.62) 2.10 (1.63 - 2.70) 0.687
Region 1 1.91 (1.18 - 3.09) 1.59 (0.99 - 2.52) 0.200
Region 2 1.68 (1.02 - 2.75) 1.61 (0.99 - 2.61) 0.760
Region 3 (Bernalillo) 2.25 (1.56 - 3.23) 2.76 (1.99 - 3.84) 0.123
Region 4 1.91 (1.15 - 3.14) 1.97 (1.26 - 3.08) 0.819
Region 5 2.02 (1.38 - 2.96) 1.99 (1.36 - 2.91) 0.896
Region 5a 1.95 (1.15 - 3.27) 2.21 (1.36 - 3.56) 0.385
Region 5b (Dona Ana) 2.09 (1.30 - 3.36) 1.80 (1.10 - 2.91) 0.287
New York 2.54 (2.20 - 2.92) 2.67 (2.30 - 3.10) 0.504
Region 1: Long Island 2.05 (1.49 - 2.81) 2.08 (1.50 - 2.87) 0.903
Region 2: New York City 3.05 (2.52 - 3.68) 3.11 (2.57 - 3.76) 0.797
Region 2A: Bronx 2.03 (1.31 - 3.14) 2.02 (1.32 - 3.09) 0.963
Region 2B: Kings 3.26 (2.35 - 4.51) 2.80 (2.02 - 3.88) 0.217
Region 2C: New York 5.12 (3.81 - 6.86) 5.89 (4.33 - 7.96) 0.247
Region 2D: Queens 2.02 (1.38 - 2.94) 2.18 (1.50 - 3.15) 0.539
Region 2E: Richmond 2.33 (1.48 - 3.66) 2.49 (1.57 - 3.90) 0.585
Region 3: Mid-Hudson 1.77 (1.21 - 2.57) 2.11 (1.50 - 2.98) 0.132
Region 4: Capital Region 2.64 (1.80 - 3.86) 3.12 (2.26 - 4.28) 0.165
Region 5: Mohawk Valley 2.79 (1.72 - 4.50) 2.63 (1.60 - 4.30) 0.643
Region 6: North Country 2.42 (1.50 - 3.90) 2.53 (1.59 - 4.01) 0.722
Region 7: Tug Hill Seaway 1.89a (1.16 - 3.08) 2.76 (1.73 - 4.38) 0.003
Region 8: Central 2.94 (2.05 - 4.21) 2.84 (2.00 - 4.02) 0.777
Region 9: Southern Tier 3.00 (1.94 - 4.62) 2.95 (1.96 - 4.39) 0.885
Region 10: Finger Lakes 2.10 (1.42 - 3.11) 2.34 (1.68 - 3.25) 0.410
Region 11: Western 1.80 (1.25 - 2.58) 1.93 (1.35 - 2.76) 0.574
North Carolina 1.74 (1.38 - 2.18) 1.82 (1.46 - 2.27) 0.610
Alliance Behavioral Healthcare 1 1.92 (1.16 - 3.16) 1.60 (1.01 - 2.52) 0.170
Alliance Behavioral Healthcare 2 1.55 (0.96 - 2.50) 1.54 (1.00 - 2.36) 0.964
Cardinal Innovations Healthcare Solutions 1 1.24a (0.73 - 2.10) 1.81 (1.13 - 2.87) 0.006
Cardinal Innovations Healthcare Solutions 2 1.88 (1.15 - 3.07) 2.02 (1.26 - 3.20) 0.618
Cardinal Innovations Healthcare Solutions 3 2.04 (1.30 - 3.20) 2.47 (1.63 - 3.71) 0.151
CenterPoint Human Services 1.84 (1.09 - 3.10) 1.49 (0.91 - 2.42) 0.139
Eastpointe 1.59 (0.94 - 2.67) 1.75 (1.10 - 2.77) 0.505
Partners Behavioral Health Management 1.28a (0.77 - 2.11) 1.80 (1.15 - 2.80) 0.009
Sandhills Center 1 1.77 (1.03 - 3.03) 1.48 (0.93 - 2.36) 0.222
Sandhills Center 2 2.34 (1.40 - 3.88) 2.50 (1.59 - 3.90) 0.635
Smoky Mountain Center 1 1.71 (1.04 - 2.78) 1.76 (1.12 - 2.74) 0.845
Smoky Mountain Center 2 1.24 (0.72 - 2.10) 1.52 (0.94 - 2.46) 0.112
Trillium Health Resources 1 2.08 (1.31 - 3.27) 1.68 (1.06 - 2.63) 0.104
Trillium Health Resources 2 2.13 (1.31 - 3.42) 1.99 (1.24 - 3.18) 0.626
North Dakota 1.17 (0.86 - 1.59) 1.32 (0.98 - 1.78) 0.277
Badlands and West Central 1.03 (0.65 - 1.62) 1.19 (0.77 - 1.82) 0.286
Badlands 1.12 (0.62 - 2.01) 1.17 (0.67 - 2.05) 0.760
West Central 1.00 (0.60 - 1.68) 1.19 (0.73 - 1.94) 0.241
Lake Region 0.87 (0.47 - 1.61) 0.98 (0.56 - 1.71) 0.449
North Central 1.35 (0.80 - 2.26) 1.22 (0.71 - 2.09) 0.500
Northeast 1.23 (0.73 - 2.07) 1.45 (0.87 - 2.40) 0.295
Northwest 1.15 (0.63 - 2.09) 1.28 (0.73 - 2.23) 0.475
South Central 0.92 (0.51 - 1.66) 1.15 (0.69 - 1.92) 0.144
Southeast 1.32 (0.88 - 1.98) 1.59 (1.07 - 2.35) 0.182
Ohio 1.55 (1.28 - 1.87) 1.61 (1.34 - 1.94) 0.614
Boards 2, 46, 55, and 68 1.37 (0.82 - 2.29) 1.53 (0.95 - 2.43) 0.372
Boards 3, 52, and 85 1.37 (0.81 - 2.31) 1.34 (0.84 - 2.12) 0.846
Boards 4 and 78 1.49 (0.90 - 2.45) 1.50 (0.95 - 2.36) 0.958
Boards 5 and 60 1.75a (1.06 - 2.87) 2.54 (1.62 - 3.96) 0.003
Boards 7, 15, 41, 79, and 84 1.47 (0.87 - 2.48) 1.67 (1.04 - 2.66) 0.373
Boards 8, 13, and 83 1.40 (0.83 - 2.35) 1.54 (0.97 - 2.46) 0.444
Board 9 (Butler) 1.76 (1.07 - 2.88) 1.71 (1.08 - 2.68) 0.812
Board 12 1.78 (1.08 - 2.93) 1.90 (1.20 - 3.01) 0.621
Boards 18 and 47 1.21b (0.77 - 1.89) 1.54 (1.05 - 2.25) 0.060
Boards 20, 32, 54, and 69 1.23 (0.75 - 2.01) 1.33 (0.84 - 2.10) 0.534
Boards 21, 39, 51, 70, and 80 1.40 (0.88 - 2.24) 1.41 (0.89 - 2.21) 0.980
Boards 22, 74, and 87 1.41b (0.87 - 2.28) 1.76 (1.18 - 2.63) 0.066
Boards 23 and 45 1.16 (0.70 - 1.92) 1.34 (0.82 - 2.17) 0.262
Board 25 (Franklin) 2.15b (1.50 - 3.07) 1.72 (1.20 - 2.47) 0.059
Boards 27, 71, and 73 2.03a (1.18 - 3.44) 1.35 (0.85 - 2.15) 0.004
Boards 28, 43, and 67 1.27 (0.79 - 2.03) 1.46 (0.90 - 2.35) 0.265
Board 31 (Hamilton) 1.96b (1.25 - 3.05) 1.60 (1.04 - 2.46) 0.079
Board 48 (Lucas) 1.74 (1.05 - 2.88) 1.93 (1.22 - 3.04) 0.409
Boards 50 and 76 1.48 (0.91 - 2.39) 1.55 (1.00 - 2.41) 0.690
Board 57 (Montgomery) 1.42a (0.85 - 2.39) 1.89 (1.21 - 2.93) 0.026
Board 77 (Summit) 1.33 (0.82 - 2.16) 1.50 (0.94 - 2.37) 0.333
Oklahoma 1.07a (0.76 - 1.50) 1.61 (1.22 - 2.14) 0.000
Central 0.95a (0.54 - 1.68) 1.47 (0.90 - 2.40) 0.005
East Central 0.82a (0.44 - 1.54) 1.29 (0.75 - 2.19) 0.006
Northeast 0.90a (0.50 - 1.61) 1.48 (0.92 - 2.39) 0.001
Northwest and Southwest 1.04a (0.59 - 1.81) 1.39 (0.83 - 2.32) 0.037
Oklahoma County 1.32a (0.80 - 2.17) 1.98 (1.29 - 3.03) 0.005
Southeast 0.88a (0.48 - 1.61) 1.56 (0.98 - 2.48) 0.001
Tulsa County 1.36a (0.82 - 2.26) 1.87 (1.19 - 2.92) 0.022
Oregon 2.53a (2.04 - 3.12) 3.15 (2.59 - 3.83) 0.009
Region 1 (Multnomah) 4.28 (3.10 - 5.89) 4.64 (3.34 - 6.43) 0.497
Region 2 1.99a (1.36 - 2.91) 2.58 (1.84 - 3.60) 0.030
Region 3 2.23a (1.56 - 3.17) 3.03 (2.24 - 4.10) 0.006
Region 4 1.91a (1.21 - 3.02) 2.73 (1.81 - 4.08) 0.003
Region 5 (Central) 2.02b (1.17 - 3.48) 2.56 (1.59 - 4.08) 0.059
Region 6 (Eastern) 2.26 (1.33 - 3.79) 2.57 (1.61 - 4.10) 0.343
Pennsylvania 1.75b (1.44 - 2.13) 2.05 (1.75 - 2.40) 0.057
Region 1 (Allegheny) 2.15 (1.46 - 3.15) 2.46 (1.79 - 3.37) 0.247
Regions 3, 8, 9, and 51 1.21a (0.74 - 1.96) 1.66 (1.06 - 2.59) 0.017
Regions 4, 11, 37, and 49 1.23a (0.76 - 2.00) 1.58 (1.00 - 2.47) 0.044
Regions 5, 18, 23, 24, and 46 1.14b (0.71 - 1.85) 1.43 (0.93 - 2.21) 0.092
Regions 6, 12, 16, 31, 35, 45, and 47 2.05a (1.33 - 3.14) 2.63 (1.81 - 3.81) 0.035
Regions 7, 13, 20, and 33 1.82 (1.32 - 2.52) 2.09 (1.56 - 2.79) 0.246
Regions 10, 15, 27, 32, 43, and 44 1.28a (0.75 - 2.18) 1.79 (1.17 - 2.74) 0.012
Regions 17 and 21 1.73a (1.03 - 2.88) 2.56 (1.61 - 4.05) 0.001
Regions 19, 26, 28, and 42 1.33b (0.89 - 1.99) 1.67 (1.17 - 2.38) 0.058
Regions 22, 38, 40, 41, and 48 1.41a (0.85 - 2.34) 1.82 (1.19 - 2.76) 0.047
Regions 29 and 34 1.19a (0.71 - 1.97) 1.70 (1.06 - 2.70) 0.007
Regions 30 and 50 1.19a (0.70 - 2.03) 1.77 (1.14 - 2.73) 0.003
Region 36 (Philadelphia) 3.26 (2.16 - 4.91) 2.87 (2.00 - 4.12) 0.336
Rhode Island 2.56 (2.00 - 3.27) 2.62 (2.08 - 3.31) 0.803
Region 1: Southern Providence County 2.27 (1.44 - 3.57) 2.25 (1.45 - 3.47) 0.935
Region 2: Northern Providence County/
   Blackstone Valley
2.47 (1.62 - 3.76) 2.42 (1.65 - 3.53) 0.858
Region 3: Providence 3.29 (2.11 - 5.10) 3.58 (2.42 - 5.26) 0.515
Region 4: Kent County 2.01 (1.30 - 3.11) 2.03 (1.32 - 3.11) 0.940
Region 5: East Bay 2.55 (1.60 - 4.05) 2.48 (1.57 - 3.90) 0.821
Region 6: Newport County 2.61 (1.62 - 4.16) 2.90 (1.84 - 4.56) 0.412
Region 7: South County 2.87 (1.89 - 4.35) 2.94 (1.99 - 4.30) 0.862
South Carolina 1.46a (1.09 - 1.95) 1.83 (1.41 - 2.36) 0.035
Region 1 0.99a (0.60 - 1.63) 1.79 (1.23 - 2.62) 0.000
Region 2 1.44 (0.90 - 2.29) 1.56 (1.01 - 2.39) 0.560
Region 3 1.46 (0.87 - 2.44) 1.70 (1.10 - 2.63) 0.276
Region 4 2.02 (1.34 - 3.03) 2.19 (1.52 - 3.14) 0.538
South Dakota 0.98 (0.70 - 1.38) 1.01 (0.71 - 1.43) 0.816
Region 1 1.31 (0.80 - 2.13) 1.04 (0.62 - 1.73) 0.130
Region 2 0.95 (0.51 - 1.75) 0.90 (0.50 - 1.63) 0.728
Region 3 0.94 (0.56 - 1.55) 1.00 (0.63 - 1.57) 0.674
Region 4 0.92 (0.53 - 1.58) 1.12 (0.64 - 1.94) 0.181
Region 5 0.77 (0.46 - 1.28) 0.97 (0.60 - 1.56) 0.116
Tennessee 1.48 (1.10 - 1.98) 1.74 (1.33 - 2.27) 0.118
Region 1 1.23 (0.73 - 2.08) 1.48 (0.91 - 2.41) 0.194
Region 2 1.14a (0.69 - 1.90) 1.52 (0.97 - 2.37) 0.036
Region 3 1.40b (0.84 - 2.34) 1.80 (1.14 - 2.81) 0.077
Region 4 (Davidson) 2.26 (1.34 - 3.79) 2.41 (1.47 - 3.93) 0.652
Region 5 1.64 (1.06 - 2.53) 1.85 (1.24 - 2.74) 0.362
Region 6 1.36 (0.78 - 2.37) 1.62 (0.99 - 2.64) 0.192
Region 7 (Shelby) 1.40 (0.79 - 2.46) 1.53 (0.94 - 2.48) 0.586
Texas 1.40 (1.18 - 1.66) 1.42 (1.20 - 1.68) 0.875
Region 1 1.57 (0.96 - 2.55) 1.51 (0.94 - 2.40) 0.779
Region 2 1.45 (0.87 - 2.38) 1.55 (0.96 - 2.50) 0.576
Region 3 1.21 (0.92 - 1.60) 1.28 (1.00 - 1.64) 0.622
Region 3a 1.18 (0.83 - 1.68) 1.35 (0.99 - 1.83) 0.289
Region 3bc 1.27 (0.84 - 1.91) 1.16 (0.80 - 1.67) 0.446
Region 4 1.27 (0.79 - 2.02) 1.35 (0.87 - 2.09) 0.607
Region 5 1.33a (0.81 - 2.18) 1.74 (1.11 - 2.73) 0.031
Region 6 1.33 (0.99 - 1.78) 1.42 (1.06 - 1.90) 0.548
Region 6a 1.31 (0.95 - 1.81) 1.40 (1.01 - 1.92) 0.589
Region 6bc 1.49 (0.89 - 2.46) 1.61 (1.01 - 2.57) 0.541
Region 7 2.13 (1.58 - 2.86) 1.97 (1.44 - 2.69) 0.494
Region 7a 2.18 (1.51 - 3.15) 2.17 (1.47 - 3.19) 0.963
Region 7bcd 2.03b (1.32 - 3.12) 1.61 (1.07 - 2.42) 0.070
Region 8 1.19 (0.79 - 1.78) 1.27 (0.87 - 1.84) 0.615
Region 9 2.19a (1.32 - 3.64) 1.36 (0.84 - 2.20) 0.001
Region 10 1.38 (0.85 - 2.25) 1.17 (0.76 - 1.80) 0.225
Region 11 1.20 (0.84 - 1.72) 1.20 (0.84 - 1.69) 0.965
Region 11abd 1.30 (0.83 - 2.03) 1.19 (0.78 - 1.84) 0.537
Region 11c (Hidalgo) 1.04 (0.65 - 1.68) 1.20 (0.75 - 1.92) 0.311
Utah 0.97a (0.68 - 1.39) 1.55 (1.18 - 2.02) 0.000
Bear River, Northeastern, Summit, Tooele, and Wasatch 0.85a (0.47 - 1.54) 1.30 (0.78 - 2.18) 0.005
Central, Four Corners, San Juan, and Southwest 0.84a (0.50 - 1.40) 1.24 (0.79 - 1.92) 0.005
Central, Four Corners, and San Juan 0.79a (0.42 - 1.49) 1.18 (0.68 - 2.03) 0.007
Southwest 0.87a (0.47 - 1.59) 1.27 (0.75 - 2.17) 0.013
Davis County 0.83a (0.45 - 1.51) 1.26 (0.75 - 2.13) 0.005
Salt Lake County 1.16a (0.75 - 1.79) 2.03 (1.44 - 2.86) 0.000
Utah County 0.92 (0.53 - 1.59) 1.18 (0.74 - 1.88) 0.110
Weber, Morgan 0.79a (0.44 - 1.41) 1.32 (0.79 - 2.17) 0.001
Vermont 3.05b (2.46 - 3.78) 3.59 (2.96 - 4.34) 0.081
Champlain Valley 3.79 (2.88 - 4.97) 4.39 (3.39 - 5.67) 0.185
Rural Northeast 3.11 (2.07 - 4.66) 3.24 (2.29 - 4.58) 0.742
Rural Southeast 1.97a (1.26 - 3.06) 2.60 (1.80 - 3.76) 0.030
Rural Southwest 2.50a (1.60 - 3.89) 3.31 (2.27 - 4.81) 0.030
Virginia 1.43a (1.11 - 1.84) 1.80 (1.46 - 2.21) 0.019
Region 1 1.24a (0.78 - 1.95) 1.83 (1.27 - 2.65) 0.003
Region 2 1.04a (0.68 - 1.60) 1.48 (1.04 - 2.11) 0.011
Region 3 1.69 (1.10 - 2.57) 1.73 (1.16 - 2.56) 0.866
Region 4 1.64a (1.08 - 2.51) 2.41 (1.68 - 3.43) 0.004
Region 5 1.69 (1.11 - 2.58) 1.77 (1.21 - 2.57) 0.739
Washington 1.91b (1.46 - 2.49) 2.27 (1.79 - 2.87) 0.077
Region 1 1.61a (1.08 - 2.40) 2.05 (1.41 - 2.98) 0.041
Greater Columbia and North Central 1.53 (0.93 - 2.51) 1.85 (1.17 - 2.93) 0.164
Spokane 1.75a (1.02 - 2.97) 2.35 (1.44 - 3.80) 0.026
Region 2 2.21 (1.60 - 3.05) 2.48 (1.88 - 3.28) 0.301
King 2.71 (1.88 - 3.88) 2.82 (2.05 - 3.87) 0.754
North Sound 1.34a (0.81 - 2.21) 1.89 (1.19 - 2.99) 0.010
Region 3 1.66a (1.17 - 2.35) 2.11 (1.54 - 2.86) 0.021
Pierce 1.62 (1.00 - 2.61) 1.91 (1.21 - 3.02) 0.184
Salish 1.78a (1.03 - 3.06) 2.43 (1.49 - 3.95) 0.014
SW WA and Great Rivers 1.70b (1.02 - 2.81) 2.20 (1.41 - 3.44) 0.052
Thurston-Mason 1.58b (0.87 - 2.83) 2.00 (1.18 - 3.37) 0.085
West Virginia 1.32 (0.97 - 1.79) 1.55 (1.19 - 2.03) 0.133
Region I 1.30 (0.72 - 2.32) 1.53 (0.93 - 2.52) 0.255
Region II 1.03a (0.59 - 1.79) 1.61 (1.02 - 2.53) 0.002
Region III 1.04a (0.58 - 1.87) 1.46 (0.90 - 2.38) 0.019
Region IV 2.04 (1.35 - 3.08) 1.65 (1.08 - 2.53) 0.126
Region V 1.07a (0.65 - 1.75) 1.51 (1.01 - 2.24) 0.020
Region VI 1.21 (0.72 - 2.02) 1.51 (0.98 - 2.32) 0.125
Wisconsin 1.49a (1.13 - 1.96) 2.05 (1.61 - 2.61) 0.001
Milwaukee 1.66a (1.00 - 2.74) 2.21 (1.42 - 3.44) 0.038
Northeastern 1.17a (0.71 - 1.93) 1.80 (1.18 - 2.75) 0.003
Northern 1.32a (0.76 - 2.30) 1.79 (1.13 - 2.83) 0.038
Southeastern 1.70 (1.06 - 2.71) 2.12 (1.42 - 3.16) 0.116
Southern 1.64a (1.09 - 2.48) 2.34 (1.62 - 3.38) 0.006
Western 1.36a (0.83 - 2.21) 1.90 (1.21 - 2.96) 0.014
Wyoming 1.35 (1.01 - 1.80) 1.48 (1.12 - 1.95) 0.357
Judicial District 1 (Laramie) 1.29 (0.78 - 2.13) 1.61 (1.00 - 2.57) 0.134
Judicial District 2 1.85 (1.15 - 2.96) 2.00 (1.24 - 3.19) 0.562
Judicial District 3 1.22 (0.73 - 2.03) 1.38 (0.86 - 2.21) 0.309
Judicial District 4 1.15 (0.65 - 2.01) 1.21 (0.71 - 2.03) 0.709
Judicial District 5 1.06 (0.62 - 1.83) 1.23 (0.74 - 2.03) 0.272
Judicial District 6 1.27 (0.78 - 2.08) 1.34 (0.82 - 2.18) 0.688
Judicial District 7 (Natrona) 1.56 (0.96 - 2.51) 1.49 (0.93 - 2.37) 0.730
Judicial District 8 1.05b (0.60 - 1.83) 1.32 (0.80 - 2.16) 0.085
Judicial District 9 1.51 (0.90 - 2.52) 1.56 (0.97 - 2.50) 0.807
SPA = service planning area.
NOTE: The definitions of the substate regions listed in this table are provided in the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
NOTE: Substate, state, and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and are generated by Markov Chain Monte Carlo techniques, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2014-2016 and 2016-2018 population percentages. The "Total U.S." estimates, along with the 95 percent confidence intervals and the p values, are based on design-based (direct) estimation methods.
a Difference between the 2014-2016 and 2016-2018 population percentages is statistically significant at the 0.05 level.
b Difference between the 2014-2016 and 2016-2018 population percentages is statistically significant at the 0.10 level.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2014-2018.
200325
Table 4 – Heroin Use in the Past Year among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2014-2016 and 2016-2018 NSDUHs
State/Substate Region 2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
2016-2018
(Estimate)
2016-2018
(95% Confidence
Interval)
P Value
Total United States 0.34 (0.30 - 0.37) 0.32 (0.29 - 0.36) 0.572
Northeast 0.53 (0.44 - 0.64) 0.47 (0.38 - 0.58) 0.302
Midwest 0.31 (0.26 - 0.39) 0.31 (0.24 - 0.40) 0.954
South 0.28 (0.23 - 0.34) 0.30 (0.24 - 0.38) 0.570
West 0.30 (0.24 - 0.38) 0.27 (0.20 - 0.35) 0.462
Alabama 0.28 (0.15 - 0.50) 0.28 (0.15 - 0.54) 0.905
Region 1 0.28 (0.14 - 0.55) 0.29 (0.14 - 0.60) 0.817
Region 2 0.30 (0.15 - 0.59) 0.31 (0.15 - 0.63) 0.903
Region 3 0.26 (0.13 - 0.55) 0.28 (0.13 - 0.60) 0.720
Region 4 0.26 (0.13 - 0.51) 0.25 (0.11 - 0.55) 0.866
Alaska 0.81b (0.51 - 1.27) 0.54 (0.32 - 0.89) 0.071
Anchorage 0.84 (0.50 - 1.41) 0.58 (0.32 - 1.04) 0.129
Northern 0.70a (0.39 - 1.27) 0.45 (0.23 - 0.89) 0.009
South Central 0.82a (0.47 - 1.42) 0.51 (0.27 - 0.96) 0.004
Southeast 0.86b (0.46 - 1.61) 0.63 (0.33 - 1.21) 0.051
Arizona 0.51b (0.31 - 0.85) 0.36 (0.21 - 0.64) 0.091
Central 0.51b (0.29 - 0.89) 0.35 (0.19 - 0.65) 0.065
North 0.54a (0.28 - 1.04) 0.38 (0.19 - 0.76) 0.021
South 0.51b (0.28 - 0.91) 0.39 (0.20 - 0.74) 0.081
South A 0.54 (0.29 - 1.03) 0.43 (0.21 - 0.89) 0.150
South B 0.47a (0.24 - 0.90) 0.34 (0.16 - 0.70) 0.024
Arkansas 0.19 (0.09 - 0.39) 0.23 (0.12 - 0.44) 0.461
Catchment Area 1 0.16 (0.07 - 0.36) 0.19 (0.08 - 0.43) 0.329
Catchment Area 2 0.18 (0.08 - 0.42) 0.21 (0.09 - 0.46) 0.533
Catchment Area 3 0.19 (0.08 - 0.45) 0.23 (0.10 - 0.49) 0.372
Catchment Area 4 0.20 (0.09 - 0.45) 0.25 (0.11 - 0.55) 0.200
Catchment Area 5 0.23 (0.10 - 0.50) 0.24 (0.11 - 0.52) 0.800
Catchment Area 6 0.19 (0.08 - 0.43) 0.21 (0.10 - 0.46) 0.470
Catchment Area 7 0.18 (0.08 - 0.42) 0.20 (0.09 - 0.44) 0.546
Catchment Area 8 0.20 (0.09 - 0.47) 0.27 (0.12 - 0.60) 0.116
California 0.21 (0.14 - 0.32) 0.18 (0.11 - 0.31) 0.557
Region 1R 0.31 (0.18 - 0.54) 0.27 (0.14 - 0.51) 0.383
Region 2R 0.22 (0.12 - 0.40) 0.18 (0.09 - 0.37) 0.195
Region 3R (Sacramento) 0.19 (0.10 - 0.35) 0.17 (0.08 - 0.34) 0.407
Region 4R 0.24a (0.13 - 0.44) 0.18 (0.09 - 0.37) 0.046
Region 5R (San Francisco) 0.27 (0.14 - 0.51) 0.28 (0.14 - 0.57) 0.842
Region 6 (Santa Clara) 0.13 (0.07 - 0.24) 0.12 (0.06 - 0.26) 0.649
Region 7R (Contra Costa) 0.20 (0.11 - 0.35) 0.16 (0.08 - 0.33) 0.215
Region 8R (Alameda) 0.21 (0.11 - 0.38) 0.18 (0.09 - 0.36) 0.425
Region 9R (San Mateo) 0.18 (0.10 - 0.34) 0.15 (0.07 - 0.31) 0.279
Region 10 0.22b (0.12 - 0.41) 0.18 (0.09 - 0.35) 0.095
Region 11 (Los Angeles) 0.23 (0.15 - 0.37) 0.20 (0.11 - 0.36) 0.525
LA SPA 1 and 5 0.22 (0.12 - 0.42) 0.21 (0.10 - 0.42) 0.651
LA SPA 2 0.24 (0.14 - 0.44) 0.21 (0.10 - 0.41) 0.302
LA SPA 3 0.19 (0.10 - 0.36) 0.15 (0.07 - 0.31) 0.160
LA SPA 4 0.25 (0.13 - 0.47) 0.25 (0.12 - 0.51) 0.928
LA SPA 6 0.29 (0.15 - 0.59) 0.24 (0.10 - 0.54) 0.361
LA SPA 7 0.21 (0.11 - 0.39) 0.19 (0.09 - 0.42) 0.717
LA SPA 8 0.25 (0.13 - 0.45) 0.21 (0.11 - 0.42) 0.382
Region 12R 0.19 (0.10 - 0.35) 0.21 (0.10 - 0.42) 0.588
Regions 13 and 19R 0.16 (0.09 - 0.30) 0.13 (0.06 - 0.28) 0.317
Region 14 (Orange) 0.20 (0.11 - 0.37) 0.17 (0.08 - 0.33) 0.399
Region 15R (Fresno) 0.21 (0.11 - 0.38) 0.19 (0.09 - 0.38) 0.496
Region 16R (San Diego) 0.20 (0.11 - 0.36) 0.17 (0.09 - 0.34) 0.330
Region 17R 0.20 (0.12 - 0.36) 0.18 (0.09 - 0.36) 0.405
Region 18R (San Bernardino) 0.18 (0.10 - 0.32) 0.14 (0.06 - 0.29) 0.141
Region 20R 0.20 (0.11 - 0.35) 0.18 (0.09 - 0.36) 0.589
Region 21R 0.25 (0.14 - 0.46) 0.22 (0.11 - 0.42) 0.257
Colorado 0.34 (0.19 - 0.60) 0.37 (0.21 - 0.66) 0.551
Region 1 0.36 (0.18 - 0.73) 0.41 (0.20 - 0.84) 0.441
Region 2 0.32 (0.16 - 0.65) 0.33 (0.16 - 0.69) 0.846
Region 3 0.26 (0.13 - 0.51) 0.30 (0.15 - 0.61) 0.336
Region 4 0.43 (0.21 - 0.88) 0.42 (0.20 - 0.87) 0.896
Region 5 0.43 (0.20 - 0.93) 0.44 (0.21 - 0.94) 0.887
Region 6 0.35 (0.18 - 0.68) 0.42 (0.21 - 0.84) 0.201
Region 7 0.32 (0.16 - 0.64) 0.34 (0.17 - 0.71) 0.608
Connecticut 0.67 (0.42 - 1.09) 0.60 (0.36 - 1.00) 0.527
Eastern 0.77 (0.43 - 1.39) 0.64 (0.33 - 1.24) 0.222
North Central 0.72 (0.40 - 1.28) 0.67 (0.37 - 1.22) 0.702
Northwestern 0.62 (0.34 - 1.12) 0.61 (0.32 - 1.16) 0.922
South Central 0.74 (0.41 - 1.33) 0.59 (0.30 - 1.12) 0.163
Southwest 0.52 (0.27 - 1.00) 0.47 (0.23 - 0.98) 0.597
Delaware 1.00 (0.67 - 1.50) 0.82 (0.52 - 1.28) 0.352
Kent 0.87 (0.49 - 1.53) 0.75 (0.39 - 1.42) 0.325
New Castle (excluding Wilmington City) 1.08 (0.69 - 1.68) 0.78 (0.48 - 1.29) 0.160
Sussex 0.82 (0.47 - 1.42) 0.81 (0.44 - 1.50) 0.948
Wilmington City 1.34 (0.66 - 2.68) 1.22 (0.55 - 2.67) 0.622
District of Columbia 0.47 (0.24 - 0.90) 0.37 (0.19 - 0.72) 0.483
Ward 1 0.38 (0.17 - 0.87) 0.41 (0.18 - 0.92) 0.775
Ward 2 0.37 (0.16 - 0.86) 0.40 (0.17 - 0.93) 0.649
Ward 3 0.32 (0.15 - 0.71) 0.34 (0.15 - 0.75) 0.810
Ward 4 0.30 (0.13 - 0.69) 0.25 (0.11 - 0.59) 0.407
Ward 5 0.58a (0.24 - 1.36) 0.37 (0.16 - 0.83) 0.047
Ward 6 0.33 (0.14 - 0.75) 0.33 (0.14 - 0.76) 0.994
Ward 7 0.73a (0.30 - 1.75) 0.39 (0.16 - 0.98) 0.042
Ward 8 0.77 (0.34 - 1.77) 0.48 (0.19 - 1.21) 0.170
Florida 0.26 (0.18 - 0.38) 0.32 (0.22 - 0.47) 0.202
Broward (Circuit 17) 0.23 (0.13 - 0.42) 0.26 (0.15 - 0.48) 0.410
Central I 0.27 (0.17 - 0.44) 0.30 (0.18 - 0.49) 0.571
Circuit 9 0.30 (0.17 - 0.52) 0.28 (0.16 - 0.52) 0.757
Circuit 18 0.24a (0.14 - 0.41) 0.31 (0.17 - 0.57) 0.035
Central II 0.25b (0.16 - 0.39) 0.31 (0.21 - 0.48) 0.100
Circuit 6 0.28 (0.16 - 0.50) 0.34 (0.19 - 0.60) 0.195
Circuit 10 0.23b (0.13 - 0.41) 0.30 (0.16 - 0.55) 0.052
Circuit 12 0.24b (0.13 - 0.42) 0.30 (0.17 - 0.53) 0.079
Circuit 13 (Hillsborough) 0.25b (0.14 - 0.45) 0.32 (0.18 - 0.57) 0.088
Circuit 20 0.24b (0.14 - 0.43) 0.31 (0.17 - 0.56) 0.097
Northeast 0.27a (0.17 - 0.42) 0.37 (0.24 - 0.56) 0.016
Circuit 4 0.31a (0.17 - 0.54) 0.40 (0.23 - 0.70) 0.022
Circuit 5 0.19a (0.11 - 0.35) 0.33 (0.18 - 0.60) 0.000
Circuit 7 0.32 (0.18 - 0.56) 0.35 (0.20 - 0.61) 0.526
Circuit 8 plus Columbia, Dixie, Hamilton,
   Lafayette, and Suwannee
0.27a (0.15 - 0.47) 0.38 (0.21 - 0.70) 0.004
Northwest 0.31a (0.19 - 0.50) 0.45 (0.29 - 0.72) 0.000
Circuit 1 0.33a (0.19 - 0.57) 0.50 (0.28 - 0.90) 0.000
Circuit 2 plus Madison and Taylor 0.25a (0.14 - 0.45) 0.35 (0.19 - 0.66) 0.006
Circuit 14 0.37a (0.20 - 0.66) 0.49 (0.27 - 0.87) 0.014
South (Circuits 11 and 16) 0.21 (0.12 - 0.38) 0.25 (0.13 - 0.46) 0.420
Southeast 0.30 (0.17 - 0.51) 0.36 (0.22 - 0.60) 0.150
Circuit 15 (Palm Beach) 0.33 (0.18 - 0.62) 0.40 (0.22 - 0.72) 0.224
Circuit 19 0.22b (0.13 - 0.39) 0.28 (0.15 - 0.52) 0.072
Georgia 0.13 (0.06 - 0.27) 0.14 (0.06 - 0.29) 0.786
Region 1 0.12 (0.05 - 0.26) 0.12 (0.05 - 0.29) 0.813
Region 2 0.15 (0.07 - 0.34) 0.15 (0.07 - 0.36) 0.997
Region 3 0.11 (0.05 - 0.25) 0.12 (0.05 - 0.29) 0.755
Region 4 0.16 (0.07 - 0.37) 0.18 (0.07 - 0.41) 0.546
Region 5 0.16 (0.07 - 0.36) 0.18 (0.08 - 0.42) 0.460
Region 6 0.13 (0.06 - 0.30) 0.14 (0.06 - 0.33) 0.715
Hawaii 0.21 (0.11 - 0.43) 0.27 (0.14 - 0.52) 0.424
Hawaii Island 0.25 (0.11 - 0.55) 0.31 (0.14 - 0.67) 0.279
Honolulu 0.20 (0.10 - 0.43) 0.25 (0.12 - 0.53) 0.395
Kauai 0.26 (0.11 - 0.61) 0.26 (0.12 - 0.58) 0.988
Maui 0.21b (0.09 - 0.46) 0.30 (0.14 - 0.65) 0.079
Idaho 0.29 (0.16 - 0.52) 0.32 (0.18 - 0.56) 0.626
Region 1 0.30 (0.15 - 0.61) 0.32 (0.16 - 0.65) 0.729
Region 2 0.35 (0.17 - 0.73) 0.35 (0.17 - 0.72) 0.948
Region 3 0.25 (0.12 - 0.51) 0.28 (0.14 - 0.58) 0.430
Region 4 0.30 (0.15 - 0.60) 0.33 (0.17 - 0.66) 0.646
Region 5 0.28 (0.14 - 0.58) 0.30 (0.15 - 0.61) 0.652
Region 6 0.29 (0.14 - 0.62) 0.37 (0.18 - 0.78) 0.106
Region 7 0.26 (0.13 - 0.52) 0.28 (0.14 - 0.58) 0.624
Illinois 0.28 (0.18 - 0.44) 0.21 (0.12 - 0.37) 0.150
Region 1 (Cook) 0.29 (0.18 - 0.49) 0.22 (0.12 - 0.41) 0.158
Region 1.1 (Far North Side) 0.30 (0.15 - 0.60) 0.28 (0.13 - 0.59) 0.605
Region 1.2 (Northwest Side) 0.28 (0.14 - 0.55) 0.22 (0.10 - 0.47) 0.108
Region 1.3 (North Central Side) 0.32 (0.16 - 0.65) 0.30 (0.14 - 0.64) 0.595
Region 1.4 (West Side) 0.36 (0.17 - 0.74) 0.29 (0.13 - 0.64) 0.256
Region 1.5 (South Side) 0.51a (0.23 - 1.12) 0.28 (0.12 - 0.65) 0.009
Region 1.6 (Southwest Side) 0.28 (0.13 - 0.56) 0.20 (0.09 - 0.47) 0.134
Region 1.7 (Suburban Cook) 0.22 (0.12 - 0.39) 0.17 (0.08 - 0.35) 0.125
Region 2 0.22b (0.13 - 0.35) 0.16 (0.08 - 0.30) 0.067
Region 2a (DuPage) 0.21a (0.12 - 0.39) 0.14 (0.07 - 0.31) 0.024
Region 2b 0.18 (0.10 - 0.34) 0.14 (0.07 - 0.30) 0.155
Region 2c (Winnebago) 0.31b (0.16 - 0.59) 0.24 (0.12 - 0.49) 0.055
Region 2d 0.29a (0.16 - 0.52) 0.20 (0.10 - 0.42) 0.024
Region 3 0.32a (0.18 - 0.56) 0.23 (0.12 - 0.43) 0.024
Region 3a (Champaign) 0.28b (0.15 - 0.53) 0.21 (0.10 - 0.45) 0.074
Region 3b 0.33a (0.18 - 0.60) 0.23 (0.12 - 0.45) 0.025
Region 4 0.34 (0.19 - 0.60) 0.29 (0.16 - 0.54) 0.259
Region 4a (Sangamon) 0.33 (0.18 - 0.61) 0.32 (0.15 - 0.66) 0.790
Region 4b 0.34 (0.18 - 0.64) 0.28 (0.14 - 0.55) 0.184
Region 5 0.35a (0.21 - 0.59) 0.26 (0.14 - 0.48) 0.042
Region 5a 0.35a (0.19 - 0.66) 0.25 (0.12 - 0.52) 0.033
Region 5b 0.34b (0.19 - 0.62) 0.26 (0.13 - 0.53) 0.063
Indiana 0.43b (0.25 - 0.73) 0.57 (0.36 - 0.91) 0.067
Central 0.40b (0.20 - 0.77) 0.53 (0.30 - 0.94) 0.069
East 0.57 (0.29 - 1.13) 0.71 (0.38 - 1.33) 0.149
North Central 0.41b (0.21 - 0.80) 0.53 (0.28 - 1.01) 0.072
Northeast 0.38a (0.20 - 0.73) 0.51 (0.26 - 1.00) 0.029
Northwest 0.42a (0.21 - 0.82) 0.56 (0.29 - 1.06) 0.039
Southeast 0.46a (0.23 - 0.90) 0.67 (0.35 - 1.27) 0.010
Southwest 0.48 (0.25 - 0.92) 0.58 (0.30 - 1.12) 0.151
West 0.41a (0.21 - 0.80) 0.58 (0.30 - 1.15) 0.013
Iowa 0.15 (0.07 - 0.31) 0.20 (0.10 - 0.40) 0.184
Central 0.12a (0.05 - 0.29) 0.18 (0.08 - 0.42) 0.037
North Central 0.16 (0.07 - 0.38) 0.21 (0.10 - 0.47) 0.156
Northeast 0.15 (0.06 - 0.35) 0.19 (0.09 - 0.42) 0.236
Northwest 0.16b (0.07 - 0.36) 0.22 (0.10 - 0.49) 0.060
Southeast 0.15b (0.06 - 0.34) 0.21 (0.09 - 0.47) 0.073
Southwest 0.14b (0.06 - 0.33) 0.19 (0.08 - 0.44) 0.086
Kansas 0.18 (0.09 - 0.36) 0.22 (0.12 - 0.43) 0.277
Northeast 0.15 (0.07 - 0.34) 0.18 (0.08 - 0.39) 0.438
Northwest and North Central 0.22 (0.10 - 0.50) 0.28 (0.13 - 0.61) 0.164
South Central 0.20b (0.09 - 0.43) 0.27 (0.13 - 0.57) 0.096
Southeast 0.22 (0.10 - 0.49) 0.27 (0.13 - 0.60) 0.188
Southwest 0.16 (0.07 - 0.37) 0.19 (0.09 - 0.43) 0.282
Kentucky 0.51 (0.31 - 0.84) 0.42 (0.25 - 0.70) 0.249
Adanta, Cumberland River, and Lifeskills 0.47 (0.24 - 0.90) 0.42 (0.22 - 0.82) 0.457
Bluegrass, Comprehend, and North Key 0.53b (0.29 - 0.98) 0.40 (0.21 - 0.76) 0.080
Centerstone 0.53 (0.28 - 1.01) 0.45 (0.24 - 0.85) 0.342
Communicare and River Valley 0.46 (0.23 - 0.92) 0.43 (0.22 - 0.85) 0.590
Four Rivers and Pennyroyal 0.48 (0.25 - 0.94) 0.40 (0.20 - 0.82) 0.219
Kentucky River, Mountain, and Pathways 0.52 (0.27 - 1.02) 0.42 (0.22 - 0.83) 0.143
Louisiana 0.16 (0.08 - 0.35) 0.19 (0.09 - 0.40) 0.553
Regions 1 and 10 0.19 (0.08 - 0.44) 0.22 (0.10 - 0.50) 0.411
Region 1 0.23 (0.09 - 0.59) 0.28 (0.12 - 0.66) 0.432
Region 10 (Jefferson) 0.14 (0.06 - 0.33) 0.16 (0.07 - 0.39) 0.398
Regions 2 and 9 0.15 (0.06 - 0.34) 0.17 (0.07 - 0.39) 0.500
Region 3 0.15 (0.06 - 0.35) 0.17 (0.07 - 0.41) 0.430
Regions 4, 5, and 6 0.17 (0.07 - 0.39) 0.20 (0.09 - 0.44) 0.429
Regions 7 and 8 0.17 (0.07 - 0.40) 0.18 (0.08 - 0.43) 0.632
Maine 0.47b (0.28 - 0.78) 0.64 (0.41 - 0.99) 0.096
Aroostook/Downeast 0.48b (0.27 - 0.86) 0.62 (0.36 - 1.08) 0.051
Aroostook 0.53a (0.27 - 1.01) 0.71 (0.37 - 1.35) 0.047
Downeast 0.44b (0.23 - 0.85) 0.55 (0.29 - 1.05) 0.093
Central 0.51a (0.27 - 0.95) 0.76 (0.42 - 1.36) 0.004
Cumberland 0.48 (0.25 - 0.89) 0.58 (0.32 - 1.07) 0.170
Midcoast 0.36b (0.18 - 0.70) 0.46 (0.24 - 0.86) 0.061
Penquis 0.57 (0.30 - 1.07) 0.74 (0.40 - 1.36) 0.113
Western 0.46a (0.24 - 0.86) 0.65 (0.36 - 1.18) 0.020
York 0.43a (0.23 - 0.81) 0.64 (0.35 - 1.16) 0.009
Maryland 0.57 (0.35 - 0.93) 0.54 (0.32 - 0.92) 0.773
Anne Arundel 0.57 (0.30 - 1.08) 0.58 (0.28 - 1.20) 0.845
Baltimore City 1.31b (0.66 - 2.58) 0.86 (0.42 - 1.77) 0.087
Baltimore County 0.53 (0.28 - 0.99) 0.63 (0.32 - 1.25) 0.214
Montgomery 0.28 (0.15 - 0.54) 0.32 (0.16 - 0.66) 0.346
North Central 0.41 (0.22 - 0.78) 0.42 (0.20 - 0.87) 0.910
Northeast 0.70 (0.36 - 1.33) 0.76 (0.38 - 1.53) 0.585
Prince George's 0.32 (0.16 - 0.66) 0.28 (0.13 - 0.63) 0.464
South 0.62 (0.33 - 1.14) 0.60 (0.31 - 1.17) 0.822
West 0.75 (0.40 - 1.39) 0.70 (0.36 - 1.35) 0.629
Massachusetts 0.32b (0.18 - 0.59) 0.46 (0.26 - 0.81) 0.052
Boston 0.51 (0.23 - 1.10) 0.66 (0.32 - 1.38) 0.169
Central 0.35a (0.18 - 0.71) 0.49 (0.24 - 0.97) 0.036
Metrowest 0.22a (0.11 - 0.44) 0.33 (0.16 - 0.68) 0.020
Northeast 0.26a (0.13 - 0.54) 0.38 (0.19 - 0.75) 0.016
Southeast 0.33a (0.16 - 0.67) 0.49 (0.25 - 0.99) 0.014
Western 0.39a (0.19 - 0.80) 0.54 (0.27 - 1.08) 0.034
Michigan 0.37a (0.25 - 0.54) 0.26 (0.15 - 0.42) 0.049
Region 1 0.39a (0.22 - 0.67) 0.28 (0.14 - 0.55) 0.024
Region 2 0.30a (0.16 - 0.54) 0.21 (0.11 - 0.42) 0.015
Region 3 0.30a (0.17 - 0.53) 0.21 (0.11 - 0.41) 0.041
Region 4 0.35a (0.21 - 0.61) 0.25 (0.13 - 0.49) 0.026
Region 5 0.32b (0.19 - 0.54) 0.23 (0.12 - 0.43) 0.059
Region 6 0.36a (0.20 - 0.62) 0.21 (0.11 - 0.42) 0.001
Region 7 0.48 (0.27 - 0.85) 0.36 (0.18 - 0.73) 0.211
Region 8 0.37a (0.21 - 0.66) 0.23 (0.12 - 0.45) 0.004
Region 9 0.35a (0.20 - 0.62) 0.21 (0.11 - 0.41) 0.001
Region 10 0.41a (0.24 - 0.73) 0.29 (0.15 - 0.56) 0.022
Minnesota 0.25 (0.13 - 0.49) 0.28 (0.15 - 0.52) 0.520
Regions 1 and 2 0.30 (0.14 - 0.63) 0.34 (0.17 - 0.67) 0.448
Region 1 0.30 (0.14 - 0.65) 0.34 (0.16 - 0.72) 0.347
Region 2 0.30 (0.14 - 0.67) 0.34 (0.16 - 0.72) 0.498
Regions 3 and 4 0.28 (0.13 - 0.58) 0.29 (0.15 - 0.57) 0.838
Region 3 0.29 (0.13 - 0.64) 0.31 (0.15 - 0.65) 0.660
Region 4 0.27 (0.12 - 0.61) 0.28 (0.13 - 0.60) 0.933
Regions 5 and 6 0.28 (0.14 - 0.57) 0.29 (0.15 - 0.57) 0.791
Region 5 0.29 (0.13 - 0.63) 0.30 (0.14 - 0.64) 0.793
Region 6 0.27 (0.13 - 0.58) 0.28 (0.13 - 0.60) 0.779
Region 7 0.22 (0.11 - 0.44) 0.27 (0.14 - 0.52) 0.289
Region 7A (Hennepin) 0.21a (0.10 - 0.46) 0.31 (0.14 - 0.66) 0.046
Region 7B (Ramsey) 0.28 (0.13 - 0.62) 0.31 (0.14 - 0.66) 0.578
Region 7C 0.20 (0.09 - 0.43) 0.21 (0.10 - 0.45) 0.764
Mississippi 0.19 (0.09 - 0.38) 0.21 (0.11 - 0.42) 0.585
Region 1 0.18 (0.08 - 0.39) 0.23 (0.10 - 0.52) 0.179
Region 2 0.19 (0.08 - 0.46) 0.21 (0.09 - 0.50) 0.601
Region 3 0.19 (0.08 - 0.42) 0.22 (0.10 - 0.48) 0.417
Region 4 0.20 (0.08 - 0.47) 0.20 (0.09 - 0.44) 0.984
Region 5 0.14 (0.06 - 0.34) 0.16 (0.07 - 0.38) 0.570
Region 6 0.19 (0.08 - 0.43) 0.20 (0.09 - 0.46) 0.750
Region 7 0.20 (0.09 - 0.44) 0.22 (0.10 - 0.48) 0.560
Missouri 0.31 (0.17 - 0.57) 0.29 (0.16 - 0.52) 0.630
Central 0.30 (0.15 - 0.61) 0.28 (0.14 - 0.57) 0.601
Eastern 0.32 (0.16 - 0.61) 0.26 (0.14 - 0.51) 0.247
Eastern (St. Louis City and County) 0.34 (0.16 - 0.70) 0.28 (0.13 - 0.58) 0.247
Eastern (excluding St. Louis) 0.28 (0.14 - 0.58) 0.24 (0.12 - 0.50) 0.306
Northwest 0.30 (0.16 - 0.58) 0.29 (0.15 - 0.57) 0.860
Northwest (Jackson) 0.32 (0.15 - 0.67) 0.31 (0.15 - 0.67) 0.899
Northwest (excluding Jackson) 0.28 (0.14 - 0.58) 0.28 (0.13 - 0.58) 0.830
Southeast 0.35 (0.17 - 0.72) 0.34 (0.16 - 0.70) 0.818
Southwest 0.31 (0.15 - 0.63) 0.31 (0.15 - 0.61) 0.989
Montana 0.28 (0.15 - 0.53) 0.37 (0.21 - 0.63) 0.173
Region 1 0.32 (0.15 - 0.71) 0.40 (0.19 - 0.82) 0.171
Region 2 0.33a (0.16 - 0.70) 0.47 (0.23 - 0.94) 0.045
Region 3 0.25 (0.12 - 0.51) 0.32 (0.16 - 0.64) 0.164
Region 4 0.26 (0.13 - 0.54) 0.33 (0.17 - 0.64) 0.174
Region 5 0.29 (0.15 - 0.58) 0.37 (0.19 - 0.71) 0.164
Nebraska 0.22 (0.11 - 0.44) 0.19 (0.09 - 0.40) 0.540
Regions 1 and 2 0.24 (0.11 - 0.51) 0.24 (0.11 - 0.52) 0.948
Region 1 0.24 (0.11 - 0.54) 0.24 (0.10 - 0.55) 0.901
Region 2 0.24 (0.11 - 0.53) 0.24 (0.10 - 0.56) 0.985
Region 3 0.24 (0.11 - 0.52) 0.23 (0.10 - 0.51) 0.664
Region 4 0.24 (0.11 - 0.52) 0.21 (0.09 - 0.48) 0.544
Region 5 0.23 (0.11 - 0.49) 0.20 (0.09 - 0.46) 0.503
Region 6 0.21 (0.09 - 0.44) 0.17 (0.07 - 0.38) 0.315
Nevada 0.30 (0.16 - 0.59) 0.40 (0.23 - 0.69) 0.226
Clark – Region 1 0.26 (0.13 - 0.54) 0.37 (0.20 - 0.67) 0.143
Region 3 0.39 (0.19 - 0.80) 0.42 (0.21 - 0.85) 0.538
Capital District 0.40 (0.18 - 0.89) 0.42 (0.20 - 0.90) 0.706
Rural/Frontier 0.37 (0.17 - 0.82) 0.42 (0.19 - 0.93) 0.419
Washoe – Region 2 0.42 (0.20 - 0.90) 0.51 (0.25 - 1.04) 0.280
New Hampshire 0.65 (0.41 - 1.04) 0.51 (0.31 - 0.83) 0.127
Central 0.61 (0.37 - 1.01) 0.56 (0.31 - 1.00) 0.603
Central 1 0.62 (0.35 - 1.09) 0.63 (0.32 - 1.22) 0.948
Central 2 0.60 (0.34 - 1.06) 0.49 (0.25 - 0.96) 0.203
Northern 0.63a (0.35 - 1.15) 0.48 (0.26 - 0.90) 0.036
Southern 0.68a (0.41 - 1.12) 0.48 (0.28 - 0.84) 0.044
Southern 1 (Rockingham) 0.51 (0.28 - 0.93) 0.41 (0.21 - 0.78) 0.140
Southern 2 0.78a (0.44 - 1.37) 0.53 (0.29 - 0.98) 0.034
New Jersey 0.63 (0.42 - 0.95) 0.51 (0.31 - 0.82) 0.196
Central 0.56a (0.32 - 0.97) 0.40 (0.22 - 0.75) 0.021
Metropolitan 0.67 (0.38 - 1.18) 0.64 (0.33 - 1.22) 0.829
Northern 0.63b (0.38 - 1.04) 0.48 (0.26 - 0.86) 0.095
Southern 0.68b (0.41 - 1.13) 0.51 (0.28 - 0.92) 0.063
New Mexico 0.24b (0.12 - 0.46) 0.35 (0.19 - 0.63) 0.084
Region 1 0.20 (0.09 - 0.43) 0.27 (0.13 - 0.57) 0.119
Region 2 0.22b (0.10 - 0.48) 0.29 (0.14 - 0.63) 0.078
Region 3 (Bernalillo) 0.26a (0.13 - 0.55) 0.42 (0.21 - 0.81) 0.017
Region 4 0.27b (0.12 - 0.58) 0.37 (0.17 - 0.80) 0.054
Region 5 0.24b (0.12 - 0.48) 0.33 (0.16 - 0.64) 0.069
Region 5a 0.23a (0.10 - 0.49) 0.33 (0.16 - 0.71) 0.017
Region 5b (Dona Ana) 0.24 (0.11 - 0.53) 0.32 (0.15 - 0.69) 0.142
New York 0.47b (0.33 - 0.67) 0.34 (0.22 - 0.52) 0.078
Region 1: Long Island 0.34a (0.21 - 0.57) 0.22 (0.12 - 0.40) 0.003
Region 2: New York City 0.49 (0.32 - 0.76) 0.37 (0.22 - 0.61) 0.139
Region 2A: Bronx 0.52 (0.26 - 1.02) 0.41 (0.19 - 0.87) 0.339
Region 2B: Kings 0.57a (0.33 - 1.00) 0.38 (0.20 - 0.72) 0.031
Region 2C: New York 0.53 (0.29 - 0.98) 0.44 (0.23 - 0.86) 0.347
Region 2D: Queens 0.37 (0.21 - 0.67) 0.29 (0.15 - 0.55) 0.118
Region 2E: Richmond 0.46a (0.26 - 0.82) 0.32 (0.16 - 0.60) 0.015
Region 3: Mid-Hudson 0.37b (0.22 - 0.62) 0.28 (0.15 - 0.51) 0.058
Region 4: Capital Region 0.51a (0.30 - 0.86) 0.37 (0.20 - 0.68) 0.043
Region 5: Mohawk Valley 0.54 (0.30 - 0.95) 0.46 (0.23 - 0.93) 0.283
Region 6: North Country 0.51a (0.29 - 0.89) 0.37 (0.19 - 0.71) 0.019
Region 7: Tug Hill Seaway 0.50a (0.29 - 0.88) 0.38 (0.20 - 0.71) 0.018
Region 8: Central 0.63a (0.37 - 1.08) 0.39 (0.21 - 0.70) 0.003
Region 9: Southern Tier 0.45b (0.26 - 0.78) 0.37 (0.20 - 0.68) 0.091
Region 10: Finger Lakes 0.47 (0.28 - 0.81) 0.38 (0.21 - 0.67) 0.118
Region 11: Western 0.58a (0.35 - 0.97) 0.37 (0.21 - 0.64) 0.004
North Carolina 0.33 (0.20 - 0.54) 0.35 (0.22 - 0.56) 0.709
Alliance Behavioral Healthcare 1 0.32 (0.16 - 0.63) 0.34 (0.17 - 0.66) 0.724
Alliance Behavioral Healthcare 2 0.24 (0.12 - 0.46) 0.26 (0.13 - 0.51) 0.538
Cardinal Innovations Healthcare Solutions 1 0.35 (0.19 - 0.67) 0.39 (0.21 - 0.74) 0.452
Cardinal Innovations Healthcare Solutions 2 0.31 (0.17 - 0.59) 0.32 (0.16 - 0.62) 0.866
Cardinal Innovations Healthcare Solutions 3 0.27 (0.14 - 0.52) 0.29 (0.15 - 0.58) 0.589
CenterPoint Human Services 0.34 (0.18 - 0.66) 0.35 (0.18 - 0.66) 0.871
Eastpointe 0.33 (0.17 - 0.64) 0.33 (0.17 - 0.62) 0.998
Partners Behavioral Health Management 0.35 (0.18 - 0.66) 0.40 (0.22 - 0.75) 0.237
Sandhills Center 1 0.32 (0.17 - 0.61) 0.35 (0.18 - 0.67) 0.478
Sandhills Center 2 0.35 (0.18 - 0.67) 0.33 (0.17 - 0.65) 0.695
Smoky Mountain Center 1 0.40 (0.21 - 0.76) 0.42 (0.22 - 0.79) 0.780
Smoky Mountain Center 2 0.38 (0.20 - 0.73) 0.40 (0.21 - 0.76) 0.708
Trillium Health Resources 1 0.38 (0.20 - 0.72) 0.41 (0.21 - 0.77) 0.585
Trillium Health Resources 2 0.36 (0.18 - 0.71) 0.41 (0.21 - 0.79) 0.327
North Dakota 0.23a (0.11 - 0.46) 0.37 (0.21 - 0.66) 0.026
Badlands and West Central 0.22a (0.10 - 0.46) 0.38 (0.20 - 0.72) 0.004
Badlands 0.23a (0.10 - 0.51) 0.36 (0.17 - 0.76) 0.003
West Central 0.22a (0.10 - 0.47) 0.38 (0.19 - 0.77) 0.003
Lake Region 0.17a (0.07 - 0.37) 0.28 (0.13 - 0.62) 0.001
North Central 0.24a (0.11 - 0.53) 0.37 (0.18 - 0.78) 0.007
Northeast 0.26a (0.12 - 0.57) 0.46 (0.23 - 0.93) 0.001
Northwest 0.22a (0.10 - 0.49) 0.39 (0.18 - 0.80) 0.000
South Central 0.22a (0.10 - 0.49) 0.36 (0.17 - 0.75) 0.004
Southeast 0.24a (0.11 - 0.51) 0.35 (0.17 - 0.71) 0.049
Ohio 0.37 (0.25 - 0.54) 0.41 (0.28 - 0.61) 0.486
Boards 2, 46, 55, and 68 0.37 (0.21 - 0.67) 0.39 (0.21 - 0.73) 0.710
Boards 3, 52, and 85 0.36 (0.20 - 0.64) 0.35 (0.19 - 0.65) 0.832
Boards 4 and 78 0.37b (0.21 - 0.65) 0.45 (0.26 - 0.79) 0.080
Boards 5 and 60 0.40a (0.22 - 0.72) 0.56 (0.30 - 1.05) 0.019
Boards 7, 15, 41, 79, and 84 0.38 (0.22 - 0.67) 0.38 (0.21 - 0.70) 0.976
Boards 8, 13, and 83 0.31 (0.17 - 0.56) 0.33 (0.18 - 0.62) 0.606
Board 9 (Butler) 0.34 (0.18 - 0.62) 0.35 (0.19 - 0.65) 0.723
Board 12 0.35 (0.20 - 0.61) 0.39 (0.21 - 0.70) 0.445
Boards 18 and 47 0.36 (0.20 - 0.65) 0.39 (0.21 - 0.71) 0.650
Boards 20, 32, 54, and 69 0.41 (0.23 - 0.71) 0.39 (0.22 - 0.71) 0.769
Boards 21, 39, 51, 70, and 80 0.31 (0.18 - 0.55) 0.36 (0.20 - 0.67) 0.267
Boards 22, 74, and 87 0.35 (0.20 - 0.62) 0.36 (0.20 - 0.65) 0.825
Boards 23 and 45 0.40 (0.23 - 0.70) 0.43 (0.24 - 0.80) 0.514
Board 25 (Franklin) 0.30 (0.17 - 0.53) 0.37 (0.20 - 0.68) 0.159
Boards 27, 71, and 73 0.42 (0.24 - 0.73) 0.48 (0.27 - 0.86) 0.275
Boards 28, 43, and 67 0.34 (0.19 - 0.60) 0.37 (0.20 - 0.66) 0.586
Board 31 (Hamilton) 0.44 (0.25 - 0.78) 0.49 (0.28 - 0.87) 0.456
Board 48 (Lucas) 0.40 (0.23 - 0.70) 0.47 (0.26 - 0.85) 0.178
Boards 50 and 76 0.42 (0.24 - 0.72) 0.50 (0.28 - 0.90) 0.174
Board 57 (Montgomery) 0.40 (0.22 - 0.72) 0.44 (0.24 - 0.83) 0.489
Board 77 (Summit) 0.40 (0.22 - 0.72) 0.47 (0.26 - 0.84) 0.206
Oklahoma 0.24a (0.13 - 0.45) 0.36 (0.20 - 0.63) 0.032
Central 0.19a (0.09 - 0.39) 0.30 (0.14 - 0.65) 0.001
East Central 0.24a (0.12 - 0.51) 0.34 (0.16 - 0.72) 0.027
Northeast 0.23a (0.11 - 0.48) 0.32 (0.16 - 0.64) 0.044
Northwest and Southwest 0.27a (0.13 - 0.57) 0.37 (0.18 - 0.77) 0.048
Oklahoma County 0.23b (0.11 - 0.51) 0.32 (0.15 - 0.67) 0.056
Southeast 0.25a (0.12 - 0.53) 0.39 (0.19 - 0.78) 0.007
Tulsa County 0.26a (0.13 - 0.53) 0.44 (0.21 - 0.90) 0.002
Oregon 0.43 (0.26 - 0.73) 0.37 (0.21 - 0.66) 0.429
Region 1 (Multnomah) 0.45 (0.22 - 0.90) 0.42 (0.21 - 0.85) 0.735
Region 2 0.38 (0.20 - 0.72) 0.29 (0.14 - 0.58) 0.103
Region 3 0.48 (0.27 - 0.88) 0.40 (0.21 - 0.78) 0.274
Region 4 0.39 (0.20 - 0.77) 0.41 (0.20 - 0.83) 0.861
Region 5 (Central) 0.37 (0.19 - 0.73) 0.30 (0.14 - 0.63) 0.110
Region 6 (Eastern) 0.49 (0.25 - 0.95) 0.43 (0.20 - 0.89) 0.414
Pennsylvania 0.61 (0.45 - 0.84) 0.59 (0.42 - 0.83) 0.778
Region 1 (Allegheny) 0.69 (0.42 - 1.15) 0.60 (0.36 - 0.99) 0.283
Regions 3, 8, 9, and 51 0.63 (0.37 - 1.06) 0.56 (0.31 - 0.99) 0.331
Regions 4, 11, 37, and 49 0.53 (0.32 - 0.88) 0.60 (0.34 - 1.07) 0.310
Regions 5, 18, 23, 24, and 46 0.57 (0.35 - 0.92) 0.58 (0.33 - 0.99) 0.902
Regions 6, 12, 16, 31, 35, 45, and 47 0.62 (0.37 - 1.06) 0.61 (0.35 - 1.06) 0.830
Regions 7, 13, 20, and 33 0.43 (0.26 - 0.69) 0.53 (0.32 - 0.86) 0.156
Regions 10, 15, 27, 32, 43, and 44 0.61 (0.36 - 1.03) 0.58 (0.34 - 1.00) 0.749
Regions 17 and 21 0.65 (0.38 - 1.10) 0.73 (0.42 - 1.25) 0.267
Regions 19, 26, 28, and 42 0.68b (0.42 - 1.09) 0.53 (0.31 - 0.88) 0.078
Regions 22, 38, 40, 41, and 48 0.59 (0.36 - 0.98) 0.56 (0.32 - 0.97) 0.659
Regions 29 and 34 0.58b (0.34 - 0.98) 0.46 (0.26 - 0.83) 0.064
Regions 30 and 50 0.62 (0.37 - 1.04) 0.68 (0.39 - 1.17) 0.471
Region 36 (Philadelphia) 0.86 (0.49 - 1.49) 0.74 (0.40 - 1.36) 0.458
Rhode Island 0.49 (0.28 - 0.87) 0.37 (0.20 - 0.68) 0.171
Region 1: Southern Providence County 0.44 (0.22 - 0.88) 0.34 (0.16 - 0.72) 0.159
Region 2: Northern Providence County/
   Blackstone Valley
0.49 (0.25 - 0.96) 0.38 (0.18 - 0.82) 0.225
Region 3: Providence 0.65a (0.33 - 1.29) 0.44 (0.21 - 0.94) 0.032
Region 4: Kent County 0.45a (0.23 - 0.90) 0.32 (0.15 - 0.69) 0.048
Region 5: East Bay 0.51b (0.26 - 1.01) 0.38 (0.18 - 0.80) 0.058
Region 6: Newport County 0.44 (0.21 - 0.89) 0.34 (0.16 - 0.74) 0.154
Region 7: South County 0.45 (0.22 - 0.90) 0.35 (0.16 - 0.75) 0.137
South Carolina 0.25a (0.14 - 0.47) 0.16 (0.07 - 0.33) 0.032
Region 1 0.27a (0.13 - 0.53) 0.17 (0.07 - 0.40) 0.034
Region 2 0.24a (0.11 - 0.48) 0.14 (0.06 - 0.33) 0.008
Region 3 0.25a (0.12 - 0.53) 0.15 (0.06 - 0.35) 0.008
Region 4 0.25a (0.12 - 0.52) 0.16 (0.07 - 0.37) 0.015
South Dakota 0.25 (0.13 - 0.48) 0.21 (0.10 - 0.42) 0.397
Region 1 0.27 (0.13 - 0.55) 0.22 (0.10 - 0.48) 0.248
Region 2 0.22 (0.10 - 0.48) 0.19 (0.08 - 0.44) 0.431
Region 3 0.25 (0.12 - 0.54) 0.21 (0.10 - 0.46) 0.315
Region 4 0.26 (0.12 - 0.56) 0.23 (0.10 - 0.51) 0.461
Region 5 0.24 (0.11 - 0.50) 0.19 (0.09 - 0.43) 0.298
Tennessee 0.27 (0.14 - 0.50) 0.33 (0.18 - 0.58) 0.273
Region 1 0.28 (0.13 - 0.59) 0.34 (0.16 - 0.70) 0.223
Region 2 0.29 (0.14 - 0.59) 0.35 (0.18 - 0.70) 0.185
Region 3 0.27 (0.13 - 0.57) 0.34 (0.17 - 0.69) 0.130
Region 4 (Davidson) 0.25 (0.11 - 0.53) 0.30 (0.14 - 0.65) 0.212
Region 5 0.25 (0.12 - 0.51) 0.32 (0.16 - 0.64) 0.137
Region 6 0.28 (0.14 - 0.59) 0.35 (0.17 - 0.72) 0.167
Region 7 (Shelby) 0.26 (0.11 - 0.59) 0.29 (0.13 - 0.63) 0.553
Texas 0.19 (0.12 - 0.31) 0.25 (0.16 - 0.39) 0.195
Region 1 0.26b (0.14 - 0.50) 0.34 (0.18 - 0.64) 0.075
Region 2 0.30a (0.16 - 0.55) 0.39 (0.20 - 0.73) 0.048
Region 3 0.19b (0.11 - 0.32) 0.25 (0.15 - 0.42) 0.058
Region 3a 0.16a (0.09 - 0.30) 0.24 (0.13 - 0.43) 0.030
Region 3bc 0.23 (0.13 - 0.41) 0.28 (0.15 - 0.51) 0.194
Region 4 0.25 (0.13 - 0.48) 0.31 (0.16 - 0.60) 0.132
Region 5 0.25b (0.13 - 0.49) 0.33 (0.17 - 0.62) 0.064
Region 6 0.17b (0.10 - 0.31) 0.24 (0.14 - 0.42) 0.081
Region 6a 0.17b (0.09 - 0.31) 0.24 (0.13 - 0.43) 0.074
Region 6bc 0.20 (0.10 - 0.39) 0.24 (0.13 - 0.47) 0.167
Region 7 0.20b (0.11 - 0.35) 0.26 (0.15 - 0.46) 0.076
Region 7a 0.17b (0.09 - 0.32) 0.23 (0.12 - 0.45) 0.063
Region 7bcd 0.26 (0.14 - 0.47) 0.32 (0.17 - 0.62) 0.107
Region 8 0.18b (0.10 - 0.33) 0.24 (0.13 - 0.44) 0.065
Region 9 0.29 (0.15 - 0.56) 0.33 (0.17 - 0.64) 0.391
Region 10 0.16 (0.08 - 0.31) 0.17 (0.08 - 0.34) 0.757
Region 11 0.15 (0.08 - 0.27) 0.17 (0.09 - 0.32) 0.454
Region 11abd 0.16 (0.09 - 0.32) 0.20 (0.10 - 0.39) 0.272
Region 11c (Hidalgo) 0.12 (0.06 - 0.24) 0.12 (0.05 - 0.27) 0.879
Utah 0.31 (0.17 - 0.57) 0.30 (0.17 - 0.55) 0.877
Bear River, Northeastern, Summit, Tooele, and Wasatch 0.30 (0.14 - 0.64) 0.31 (0.14 - 0.64) 0.918
Central, Four Corners, San Juan, and Southwest 0.37 (0.19 - 0.75) 0.34 (0.17 - 0.67) 0.456
Central, Four Corners, and San Juan 0.36 (0.17 - 0.77) 0.34 (0.16 - 0.72) 0.610
Southwest 0.38 (0.18 - 0.81) 0.33 (0.15 - 0.72) 0.390
Davis County 0.27 (0.13 - 0.57) 0.25 (0.12 - 0.55) 0.676
Salt Lake County 0.32 (0.16 - 0.63) 0.31 (0.16 - 0.63) 0.970
Utah County 0.30 (0.15 - 0.60) 0.29 (0.13 - 0.62) 0.877
Weber, Morgan 0.32 (0.15 - 0.67) 0.30 (0.13 - 0.66) 0.739
Vermont 0.73 (0.46 - 1.15) 0.63 (0.39 - 1.01) 0.416
Champlain Valley 0.65 (0.37 - 1.12) 0.62 (0.35 - 1.09) 0.812
Rural Northeast 0.82 (0.45 - 1.46) 0.63 (0.35 - 1.14) 0.160
Rural Southeast 0.70 (0.39 - 1.25) 0.57 (0.30 - 1.06) 0.190
Rural Southwest 0.82 (0.45 - 1.50) 0.73 (0.40 - 1.33) 0.447
Virginia 0.38 (0.24 - 0.62) 0.32 (0.20 - 0.53) 0.320
Region 1 0.40 (0.22 - 0.72) 0.34 (0.18 - 0.64) 0.236
Region 2 0.24 (0.12 - 0.45) 0.21 (0.11 - 0.41) 0.468
Region 3 0.52a (0.30 - 0.90) 0.38 (0.20 - 0.71) 0.032
Region 4 0.47 (0.25 - 0.88) 0.39 (0.20 - 0.74) 0.326
Region 5 0.40 (0.22 - 0.72) 0.37 (0.20 - 0.70) 0.745
Washington 0.45 (0.25 - 0.79) 0.35 (0.19 - 0.63) 0.224
Region 1 0.50 (0.26 - 0.94) 0.39 (0.20 - 0.76) 0.171
Greater Columbia and North Central 0.48 (0.24 - 0.96) 0.37 (0.18 - 0.76) 0.157
Spokane 0.53 (0.27 - 1.05) 0.43 (0.20 - 0.90) 0.166
Region 2 0.40 (0.22 - 0.74) 0.31 (0.16 - 0.60) 0.155
King 0.37 (0.19 - 0.72) 0.31 (0.15 - 0.63) 0.279
North Sound 0.46a (0.23 - 0.91) 0.32 (0.15 - 0.67) 0.036
Region 3 0.48 (0.26 - 0.89) 0.37 (0.20 - 0.69) 0.141
Pierce 0.48 (0.23 - 0.98) 0.37 (0.18 - 0.76) 0.125
Salish 0.47b (0.23 - 0.96) 0.37 (0.18 - 0.77) 0.100
SW WA and Great Rivers 0.50 (0.25 - 1.02) 0.39 (0.19 - 0.80) 0.113
Thurston-Mason 0.43a (0.21 - 0.89) 0.31 (0.15 - 0.66) 0.026
West Virginia 0.51 (0.32 - 0.81) 0.60 (0.38 - 0.95) 0.340
Region I 0.50 (0.27 - 0.93) 0.56 (0.28 - 1.10) 0.431
Region II 0.47 (0.25 - 0.85) 0.52 (0.27 - 0.97) 0.422
Region III 0.48 (0.25 - 0.92) 0.59 (0.31 - 1.10) 0.138
Region IV 0.48 (0.27 - 0.87) 0.55 (0.28 - 1.06) 0.381
Region V 0.60 (0.34 - 1.09) 0.75 (0.43 - 1.31) 0.272
Region VI 0.45 (0.24 - 0.82) 0.53 (0.29 - 0.98) 0.285
Wisconsin 0.33 (0.19 - 0.59) 0.34 (0.19 - 0.60) 0.833
Milwaukee 0.39 (0.18 - 0.82) 0.45 (0.21 - 0.93) 0.450
Northeastern 0.33 (0.17 - 0.65) 0.34 (0.17 - 0.67) 0.808
Northern 0.34 (0.17 - 0.67) 0.34 (0.17 - 0.70) 0.931
Southeastern 0.28 (0.14 - 0.55) 0.28 (0.14 - 0.57) 0.920
Southern 0.33 (0.17 - 0.67) 0.33 (0.16 - 0.65) 0.902
Western 0.33 (0.16 - 0.67) 0.35 (0.17 - 0.70) 0.796
Wyoming 0.23 (0.12 - 0.46) 0.25 (0.13 - 0.49) 0.704
Judicial District 1 (Laramie) 0.25 (0.12 - 0.55) 0.26 (0.12 - 0.57) 0.857
Judicial District 2 0.22 (0.10 - 0.48) 0.27 (0.12 - 0.61) 0.220
Judicial District 3 0.23 (0.10 - 0.50) 0.23 (0.10 - 0.51) 0.962
Judicial District 4 0.23 (0.11 - 0.52) 0.29 (0.13 - 0.65) 0.165
Judicial District 5 0.24 (0.11 - 0.53) 0.26 (0.12 - 0.58) 0.611
Judicial District 6 0.24 (0.11 - 0.54) 0.24 (0.11 - 0.53) 0.952
Judicial District 7 (Natrona) 0.24 (0.11 - 0.53) 0.29 (0.13 - 0.63) 0.349
Judicial District 8 0.27 (0.12 - 0.60) 0.26 (0.12 - 0.57) 0.764
Judicial District 9 0.19 (0.09 - 0.42) 0.21 (0.09 - 0.46) 0.621
SPA = service planning area.
NOTE: The definitions of the substate regions listed in this table are provided in the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
NOTE: Substate, state, and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and are generated by Markov Chain Monte Carlo techniques, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2014-2016 and 2016-2018 population percentages. The "Total U.S." estimates, along with the 95 percent confidence intervals and the p values, are based on design-based (direct) estimation methods.
a Difference between the 2014-2016 and 2016-2018 population percentages is statistically significant at the 0.05 level.
b Difference between the 2014-2016 and 2016-2018 population percentages is statistically significant at the 0.10 level.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2014-2018.
200324
Table 5 – Alcohol Use in the Past Month among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2014-2016 and 2016-2018 NSDUHs
State/Substate Region 2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
2016-2018
(Estimate)
2016-2018
(95% Confidence
Interval)
P Value
Total United States 51.70a (51.32 - 52.07) 51.17 (50.75 - 51.59) 0.029
Northeast 56.55b (55.79 - 57.31) 55.83 (55.07 - 56.59) 0.090
Midwest 54.62 (53.93 - 55.31) 54.45 (53.78 - 55.12) 0.642
South 48.09a (47.50 - 48.68) 47.23 (46.69 - 47.78) 0.009
West 51.11 (50.40 - 51.82) 51.05 (50.36 - 51.75) 0.885
Alabama 42.07 (39.79 - 44.39) 42.34 (40.04 - 44.67) 0.822
Region 1 36.95 (33.32 - 40.73) 39.25 (35.60 - 43.02) 0.221
Region 2 46.87 (43.21 - 50.57) 45.28 (41.60 - 49.02) 0.397
Region 3 42.03 (37.86 - 46.31) 43.57 (39.24 - 48.00) 0.450
Region 4 41.67 (37.60 - 45.87) 41.02 (36.90 - 45.27) 0.743
Alaska 53.42b (51.27 - 55.56) 51.39 (49.05 - 53.72) 0.070
Anchorage 55.00 (52.00 - 57.96) 52.63 (49.36 - 55.88) 0.137
Northern 49.92 (45.96 - 53.89) 50.38 (46.35 - 54.41) 0.805
South Central 52.44a (48.72 - 56.13) 48.42 (44.52 - 52.33) 0.031
Southeast 57.13 (51.94 - 62.18) 56.21 (51.12 - 61.17) 0.679
Arizona 51.66 (49.36 - 53.95) 50.41 (47.93 - 52.90) 0.316
Central 54.52a (51.84 - 57.18) 50.14 (47.13 - 53.16) 0.004
North 42.89a (37.63 - 48.30) 50.35 (45.17 - 55.53) 0.001
South 49.34 (45.49 - 53.20) 51.01 (47.05 - 54.97) 0.337
South A 51.53 (46.92 - 56.12) 53.64 (48.76 - 58.45) 0.326
South B 46.70 (41.39 - 52.10) 47.88 (42.48 - 53.32) 0.606
Arkansas 40.99 (38.66 - 43.36) 40.10 (37.82 - 42.43) 0.439
Catchment Area 1 45.95 (41.29 - 50.67) 43.23 (38.92 - 47.65) 0.191
Catchment Area 2 36.88 (32.08 - 41.96) 33.65 (28.42 - 39.32) 0.172
Catchment Area 3 33.37 (29.21 - 37.80) 35.60 (31.18 - 40.29) 0.278
Catchment Area 4 35.65 (30.98 - 40.62) 35.80 (30.89 - 41.03) 0.945
Catchment Area 5 42.38 (37.84 - 47.06) 42.17 (37.80 - 46.67) 0.919
Catchment Area 6 35.35 (30.52 - 40.49) 34.43 (29.22 - 40.04) 0.673
Catchment Area 7 34.34a (29.11 - 39.98) 39.05 (33.36 - 45.06) 0.034
Catchment Area 8 50.44 (45.91 - 54.96) 47.10 (42.76 - 51.48) 0.105
California 50.27 (49.20 - 51.34) 50.72 (49.64 - 51.79) 0.447
Region 1R 55.23 (50.41 - 59.95) 55.48 (51.50 - 59.38) 0.902
Region 2R 57.01 (52.81 - 61.11) 55.31 (50.60 - 59.94) 0.368
Region 3R (Sacramento) 48.81 (44.86 - 52.77) 49.20 (45.44 - 52.96) 0.835
Region 4R 56.69a (52.57 - 60.73) 52.87 (48.37 - 57.32) 0.047
Region 5R (San Francisco) 63.64 (58.52 - 68.46) 61.80 (56.49 - 66.84) 0.381
Region 6 (Santa Clara) 51.70 (48.00 - 55.38) 53.86 (50.07 - 57.60) 0.231
Region 7R (Contra Costa) 56.62 (52.55 - 60.61) 55.79 (51.44 - 60.06) 0.659
Region 8R (Alameda) 51.19 (47.12 - 55.23) 54.20 (49.96 - 58.39) 0.112
Region 9R (San Mateo) 55.98 (51.09 - 60.76) 58.33 (53.60 - 62.91) 0.235
Region 10 53.49b (49.00 - 57.92) 56.93 (52.19 - 61.55) 0.085
Region 11 (Los Angeles) 46.96a (45.23 - 48.69) 49.15 (47.33 - 50.97) 0.012
LA SPA 1 and 5 55.69 (51.14 - 60.15) 56.24 (52.08 - 60.32) 0.773
LA SPA 2 51.02a (47.52 - 54.51) 56.16 (52.36 - 59.89) 0.002
LA SPA 3 43.12 (39.08 - 47.26) 44.65 (40.56 - 48.82) 0.420
LA SPA 4 49.02b (44.08 - 53.98) 52.82 (47.78 - 57.79) 0.090
LA SPA 6 35.76 (31.65 - 40.09) 37.88 (33.32 - 42.66) 0.272
LA SPA 7 40.91 (36.64 - 45.31) 38.89 (34.35 - 43.62) 0.277
LA SPA 8 49.88 (45.98 - 53.78) 51.92 (47.68 - 56.13) 0.288
Region 12R 45.67a (40.78 - 50.64) 50.57 (45.62 - 55.51) 0.021
Regions 13 and 19R 46.30b (42.99 - 49.65) 49.33 (46.05 - 52.62) 0.078
Region 14 (Orange) 54.38a (50.99 - 57.73) 50.15 (46.81 - 53.49) 0.012
Region 15R (Fresno) 44.40b (39.94 - 48.96) 47.84 (43.50 - 52.22) 0.082
Region 16R (San Diego) 56.19a (53.20 - 59.14) 52.71 (49.57 - 55.83) 0.020
Region 17R 41.24 (37.67 - 44.91) 38.39 (34.69 - 42.23) 0.119
Region 18R (San Bernardino) 42.71 (39.19 - 46.30) 42.86 (39.01 - 46.79) 0.936
Region 20R 42.81 (38.32 - 47.41) 42.11 (37.88 - 46.46) 0.718
Region 21R 55.55 (50.90 - 60.10) 58.64 (54.16 - 62.99) 0.101
Colorado 58.15 (55.93 - 60.34) 59.67 (57.44 - 61.87) 0.164
Region 1 61.78 (57.51 - 65.87) 61.49 (56.77 - 66.00) 0.886
Region 2 53.00 (47.49 - 58.44) 54.07 (48.44 - 59.60) 0.644
Region 3 59.09 (55.48 - 62.60) 58.14 (54.44 - 61.76) 0.591
Region 4 45.70a (40.05 - 51.47) 51.90 (45.92 - 57.82) 0.007
Region 5 58.63a (53.85 - 63.25) 64.07 (59.75 - 68.18) 0.006
Region 6 63.45 (59.35 - 67.36) 66.12 (61.81 - 70.17) 0.152
Region 7 53.93 (49.23 - 58.55) 55.21 (50.51 - 59.83) 0.505
Connecticut 59.88 (57.51 - 62.21) 60.63 (58.15 - 63.05) 0.524
Eastern 58.13 (53.15 - 62.95) 58.32 (53.31 - 63.17) 0.929
North Central 60.92 (57.18 - 64.54) 62.99 (59.06 - 66.76) 0.245
Northwestern 57.47 (52.89 - 61.92) 59.07 (54.52 - 63.46) 0.427
South Central 60.74 (56.55 - 64.77) 59.43 (55.10 - 63.61) 0.483
Southwest 60.61 (56.02 - 65.02) 61.48 (57.06 - 65.72) 0.664
Delaware 53.85 (51.47 - 56.21) 52.82 (50.27 - 55.37) 0.422
Kent 50.43 (46.07 - 54.79) 49.10 (44.25 - 53.98) 0.549
New Castle (excluding Wilmington City) 56.78 (53.77 - 59.73) 56.51 (53.37 - 59.60) 0.872
Sussex 51.12 (46.66 - 55.56) 48.97 (44.43 - 53.54) 0.321
Wilmington City 50.57 (44.75 - 56.38) 48.66 (42.39 - 54.97) 0.428
District of Columbia 68.62b (66.47 - 70.69) 66.66 (64.42 - 68.82) 0.052
Ward 1 76.99b (72.70 - 80.78) 73.83 (69.12 - 78.04) 0.059
Ward 2 81.81a (78.06 - 85.04) 77.25 (72.74 - 81.21) 0.003
Ward 3 80.51a (76.62 - 83.88) 77.46 (73.51 - 80.97) 0.043
Ward 4 64.97 (60.04 - 69.60) 63.57 (58.44 - 68.41) 0.514
Ward 5 61.86 (56.97 - 66.53) 62.20 (57.33 - 66.84) 0.868
Ward 6 77.27 (73.62 - 80.56) 76.09 (72.06 - 79.71) 0.475
Ward 7 48.68 (43.47 - 53.92) 50.26 (45.10 - 55.41) 0.500
Ward 8 52.83 (48.06 - 57.55) 49.56 (44.74 - 54.39) 0.129
Florida 53.78a (52.45 - 55.11) 51.53 (50.18 - 52.87) 0.002
Broward (Circuit 17) 54.36a (50.49 - 58.17) 49.27 (45.36 - 53.19) 0.009
Central I 53.94a (51.20 - 56.66) 51.19 (48.50 - 53.88) 0.044
Circuit 9 50.82 (47.37 - 54.25) 50.52 (47.24 - 53.79) 0.863
Circuit 18 58.55a (54.35 - 62.64) 52.21 (47.93 - 56.46) 0.002
Central II 55.07b (53.00 - 57.12) 53.25 (51.16 - 55.33) 0.075
Circuit 6 59.23a (55.23 - 63.11) 55.09 (51.01 - 59.10) 0.038
Circuit 10 46.95 (42.72 - 51.23) 45.09 (40.33 - 49.95) 0.346
Circuit 12 59.29 (54.59 - 63.83) 56.88 (51.86 - 61.76) 0.261
Circuit 13 (Hillsborough) 53.99 (50.44 - 57.51) 53.08 (49.33 - 56.80) 0.607
Circuit 20 53.51 (48.97 - 57.99) 53.85 (49.39 - 58.25) 0.863
Northeast 53.02b (50.63 - 55.40) 50.93 (48.43 - 53.41) 0.072
Circuit 4 53.85 (49.74 - 57.91) 50.96 (46.72 - 55.19) 0.130
Circuit 5 52.52a (48.06 - 56.94) 46.81 (42.12 - 51.55) 0.008
Circuit 7 54.96 (50.33 - 59.51) 58.02 (53.35 - 62.56) 0.137
Circuit 8 plus Columbia, Dixie, Hamilton,
   Lafayette, and Suwannee
49.08 (44.10 - 54.08) 47.38 (42.40 - 52.41) 0.408
Northwest 54.78a (51.78 - 57.75) 51.45 (48.18 - 54.71) 0.020
Circuit 1 52.95 (48.47 - 57.40) 50.32 (45.34 - 55.29) 0.219
Circuit 2 plus Madison and Taylor 61.40a (56.67 - 65.93) 56.84 (51.79 - 61.75) 0.022
Circuit 14 49.32 (43.54 - 55.13) 46.20 (40.36 - 52.14) 0.170
South (Circuits 11 and 16) 49.40 (46.32 - 52.47) 49.52 (46.31 - 52.73) 0.940
Southeast 56.11b (52.76 - 59.41) 53.15 (49.69 - 56.57) 0.064
Circuit 15 (Palm Beach) 56.72 (52.55 - 60.80) 54.15 (49.83 - 58.40) 0.194
Circuit 19 54.78b (49.83 - 59.64) 50.94 (45.58 - 56.29) 0.081
Georgia 47.37b (45.47 - 49.28) 45.57 (43.77 - 47.38) 0.068
Region 1 47.18 (44.03 - 50.35) 44.74 (41.61 - 47.92) 0.139
Region 2 47.04 (43.08 - 51.04) 44.84 (40.71 - 49.05) 0.291
Region 3 51.47 (48.22 - 54.70) 49.63 (46.59 - 52.67) 0.248
Region 4 42.64 (37.65 - 47.78) 41.39 (36.16 - 46.82) 0.552
Region 5 43.00 (38.56 - 47.55) 42.58 (38.28 - 46.99) 0.838
Region 6 44.89 (40.86 - 48.99) 43.26 (39.30 - 47.29) 0.388
Hawaii 45.21 (42.91 - 47.54) 45.17 (42.75 - 47.61) 0.971
Hawaii Island 43.21b (38.53 - 48.01) 47.74 (42.71 - 52.82) 0.055
Honolulu 45.45 (42.77 - 48.16) 44.29 (41.45 - 47.18) 0.445
Kauai 48.40 (42.77 - 54.08) 46.39 (40.37 - 52.51) 0.392
Maui 44.73 (39.64 - 49.92) 47.05 (41.97 - 52.19) 0.304
Idaho 44.65 (42.40 - 46.91) 45.54 (43.24 - 47.85) 0.443
Region 1 47.91 (42.65 - 53.21) 49.70 (44.37 - 55.02) 0.459
Region 2 48.90 (43.10 - 54.72) 51.63 (45.97 - 57.24) 0.222
Region 3 40.13 (35.97 - 44.43) 40.01 (35.64 - 44.56) 0.956
Region 4 54.24 (50.70 - 57.73) 51.79 (47.95 - 55.61) 0.177
Region 5 41.79a (37.28 - 46.45) 46.07 (41.31 - 50.91) 0.048
Region 6 41.78 (36.16 - 47.62) 41.94 (35.93 - 48.21) 0.943
Region 7 29.93a (25.84 - 34.37) 34.14 (30.03 - 38.51) 0.042
Illinois 54.36 (52.89 - 55.82) 55.61 (54.07 - 57.13) 0.111
Region 1 (Cook) 53.97b (51.86 - 56.07) 55.97 (53.67 - 58.24) 0.075
Region 1.1 (Far North Side) 58.15 (52.78 - 63.34) 57.27 (51.70 - 62.66) 0.708
Region 1.2 (Northwest Side) 47.67 (41.78 - 53.63) 46.02 (40.09 - 52.08) 0.462
Region 1.3 (North Central Side) 70.10 (65.22 - 74.57) 70.77 (65.25 - 75.74) 0.760
Region 1.4 (West Side) 49.68 (44.53 - 54.84) 51.04 (45.81 - 56.24) 0.514
Region 1.5 (South Side) 49.35 (43.94 - 54.76) 49.37 (44.35 - 54.40) 0.993
Region 1.6 (Southwest Side) 41.36 (36.40 - 46.50) 40.21 (34.29 - 46.44) 0.617
Region 1.7 (Suburban Cook) 54.61a (51.62 - 57.56) 58.84 (55.54 - 62.06) 0.011
Region 2 56.86 (54.76 - 58.95) 57.92 (55.84 - 59.96) 0.322
Region 2a (DuPage) 61.36 (57.36 - 65.20) 59.01 (54.93 - 62.97) 0.198
Region 2b 56.36 (53.48 - 59.19) 58.89 (55.93 - 61.78) 0.103
Region 2c (Winnebago) 49.55 (44.07 - 55.03) 51.94 (46.18 - 57.64) 0.280
Region 2d 55.34 (50.66 - 59.94) 55.70 (51.47 - 59.86) 0.860
Region 3 54.28 (51.10 - 57.43) 54.20 (51.04 - 57.33) 0.958
Region 3a (Champaign) 59.80 (54.35 - 65.01) 59.08 (53.60 - 64.34) 0.740
Region 3b 53.37 (49.83 - 56.86) 53.39 (49.87 - 56.87) 0.990
Region 4 51.60 (47.89 - 55.30) 51.71 (47.74 - 55.67) 0.949
Region 4a (Sangamon) 54.75 (48.87 - 60.50) 52.17 (46.39 - 57.88) 0.254
Region 4b 50.70 (46.33 - 55.07) 51.58 (46.86 - 56.28) 0.671
Region 5 49.71 (46.37 - 53.06) 50.74 (47.01 - 54.46) 0.522
Region 5a 51.70 (46.70 - 56.67) 53.72 (49.00 - 58.38) 0.346
Region 5b 48.12 (43.83 - 52.43) 48.34 (43.15 - 53.57) 0.917
Indiana 50.01 (47.62 - 52.40) 49.97 (47.60 - 52.33) 0.970
Central 52.78 (49.14 - 56.40) 51.59 (47.78 - 55.39) 0.531
East 43.92a (38.56 - 49.43) 48.60 (43.03 - 54.21) 0.036
North Central 48.34 (43.50 - 53.22) 50.23 (45.24 - 55.21) 0.387
Northeast 52.20b (47.02 - 57.34) 48.26 (42.95 - 53.62) 0.077
Northwest 51.07 (45.79 - 56.32) 51.16 (45.70 - 56.59) 0.967
Southeast 46.43 (41.14 - 51.80) 45.84 (40.76 - 51.01) 0.801
Southwest 49.66 (43.94 - 55.39) 48.37 (42.84 - 53.93) 0.576
West 50.75 (45.49 - 55.99) 52.10 (46.93 - 57.22) 0.531
Iowa 57.41 (55.15 - 59.65) 58.59 (56.27 - 60.87) 0.302
Central 58.04 (53.74 - 62.21) 60.58 (56.38 - 64.62) 0.189
North Central 56.73 (51.67 - 61.66) 60.10 (55.29 - 64.71) 0.113
Northeast 59.28 (55.61 - 62.84) 58.85 (54.79 - 62.79) 0.820
Northwest 59.00 (54.41 - 63.44) 57.20 (52.48 - 61.80) 0.412
Southeast 54.03a (49.93 - 58.07) 58.62 (54.45 - 62.67) 0.021
Southwest 57.30 (51.88 - 62.56) 54.71 (49.42 - 59.90) 0.267
Kansas 54.65 (52.33 - 56.94) 56.01 (53.71 - 58.29) 0.238
Northeast 57.76 (54.72 - 60.74) 59.12 (56.20 - 61.97) 0.378
Northwest and North Central 52.54b (46.51 - 58.51) 56.49 (50.97 - 61.85) 0.095
South Central 52.72 (49.13 - 56.28) 53.04 (49.16 - 56.87) 0.861
Southeast 50.61 (44.84 - 56.37) 50.52 (44.12 - 56.90) 0.971
Southwest 45.39a (39.62 - 51.28) 50.12 (44.23 - 56.01) 0.044
Kentucky 41.82a (39.52 - 44.16) 39.23 (37.03 - 41.47) 0.031
Adanta, Cumberland River, and Lifeskills 30.81 (26.86 - 35.07) 29.96 (25.75 - 34.54) 0.654
Bluegrass, Comprehend, and North Key 48.47a (44.81 - 52.16) 43.76 (40.08 - 47.52) 0.015
Centerstone 49.22 (45.07 - 53.38) 48.92 (45.06 - 52.80) 0.885
Communicare and River Valley 41.37 (36.05 - 46.90) 38.19 (33.19 - 43.45) 0.170
Four Rivers and Pennyroyal 36.57 (31.48 - 41.99) 33.58 (28.41 - 39.19) 0.191
Kentucky River, Mountain, and Pathways 30.95b (26.31 - 36.00) 27.38 (22.69 - 32.62) 0.086
Louisiana 50.21 (47.89 - 52.53) 49.81 (47.53 - 52.10) 0.740
Regions 1 and 10 56.92 (52.87 - 60.87) 55.20 (51.26 - 59.07) 0.319
Region 1 58.62 (53.38 - 63.67) 56.81 (51.84 - 61.65) 0.393
Region 10 (Jefferson) 55.06 (49.74 - 60.27) 53.34 (48.02 - 58.59) 0.440
Regions 2 and 9 54.00 (50.39 - 57.56) 52.31 (48.32 - 56.27) 0.380
Region 3 48.62 (43.50 - 53.77) 45.77 (40.37 - 51.28) 0.209
Regions 4, 5, and 6 45.80 (41.72 - 49.94) 47.81 (43.88 - 51.78) 0.311
Regions 7 and 8 44.85 (40.70 - 49.08) 45.34 (41.23 - 49.52) 0.809
Maine 58.28b (55.89 - 60.64) 56.10 (53.57 - 58.59) 0.079
Aroostook/Downeast 52.30b (47.83 - 56.74) 48.85 (44.13 - 53.59) 0.083
Aroostook 51.37 (45.61 - 57.10) 49.19 (43.10 - 55.30) 0.380
Downeast 53.05b (46.93 - 59.08) 48.58 (42.22 - 54.98) 0.084
Central 55.15 (49.93 - 60.25) 53.75 (48.45 - 58.96) 0.543
Cumberland 65.41 (61.28 - 69.31) 65.55 (61.36 - 69.51) 0.941
Midcoast 58.51 (53.41 - 63.44) 57.15 (51.92 - 62.23) 0.565
Penquis 55.94b (50.75 - 61.02) 52.27 (47.32 - 57.18) 0.098
Western 53.05 (48.28 - 57.75) 49.59 (44.70 - 54.50) 0.135
York 62.45 (57.76 - 66.92) 59.02 (53.86 - 63.99) 0.115
Maryland 56.67 (54.34 - 58.98) 55.01 (52.66 - 57.34) 0.159
Anne Arundel 61.40 (56.33 - 66.24) 59.22 (53.71 - 64.51) 0.309
Baltimore City 53.30 (48.49 - 58.04) 51.83 (47.00 - 56.62) 0.499
Baltimore County 61.39 (56.55 - 66.02) 57.92 (52.58 - 63.08) 0.116
Montgomery 57.02 (52.67 - 61.26) 56.46 (52.00 - 60.82) 0.783
North Central 58.45 (53.13 - 63.58) 57.58 (52.45 - 62.54) 0.679
Northeast 55.48 (50.15 - 60.69) 54.99 (48.89 - 60.94) 0.829
Prince George's 55.24 (50.42 - 59.97) 53.37 (48.68 - 58.01) 0.388
South 52.71 (47.46 - 57.90) 50.11 (44.91 - 55.30) 0.273
West 53.55 (48.31 - 58.71) 52.38 (47.23 - 57.48) 0.608
Massachusetts 59.01a (56.65 - 61.32) 61.54 (59.19 - 63.84) 0.033
Boston 58.22 (53.19 - 63.09) 60.63 (55.54 - 65.51) 0.248
Central 54.30 (49.35 - 59.15) 57.45 (52.52 - 62.24) 0.152
Metrowest 64.98 (61.17 - 68.61) 66.82 (63.20 - 70.25) 0.269
Northeast 57.97 (53.88 - 61.95) 58.68 (54.40 - 62.83) 0.716
Southeast 58.50 (53.87 - 62.98) 60.91 (56.23 - 65.40) 0.272
Western 55.96a (51.01 - 60.79) 62.27 (57.33 - 66.97) 0.005
Michigan 53.83 (52.33 - 55.33) 53.72 (52.21 - 55.21) 0.886
Region 1 56.43 (51.22 - 61.50) 57.05 (51.25 - 62.67) 0.779
Region 2 54.15 (48.87 - 59.33) 56.50 (51.74 - 61.14) 0.300
Region 3 57.03 (53.81 - 60.19) 54.52 (51.03 - 57.97) 0.151
Region 4 51.79 (48.07 - 55.49) 49.20 (45.26 - 53.14) 0.163
Region 5 51.20 (48.08 - 54.30) 53.38 (50.27 - 56.47) 0.188
Region 6 56.94 (52.90 - 60.89) 57.22 (53.25 - 61.09) 0.877
Region 7 49.20 (45.97 - 52.44) 50.37 (46.98 - 53.75) 0.486
Region 8 58.54 (54.87 - 62.12) 59.05 (55.45 - 62.56) 0.770
Region 9 56.30 (52.28 - 60.23) 53.85 (49.75 - 57.90) 0.205
Region 10 52.04 (47.79 - 56.27) 49.22 (44.72 - 53.73) 0.182
Minnesota 59.29 (57.03 - 61.52) 57.91 (55.55 - 60.24) 0.210
Regions 1 and 2 54.94 (50.29 - 59.50) 54.39 (49.58 - 59.12) 0.765
Region 1 54.20 (48.13 - 60.15) 52.77 (46.66 - 58.81) 0.543
Region 2 55.39 (49.35 - 61.28) 55.38 (49.00 - 61.59) 0.997
Regions 3 and 4 56.93 (53.05 - 60.73) 55.68 (51.55 - 59.74) 0.464
Region 3 56.55 (50.17 - 62.73) 57.55 (50.97 - 63.88) 0.689
Region 4 57.13 (52.58 - 61.57) 54.69 (49.84 - 59.45) 0.235
Regions 5 and 6 56.23 (52.17 - 60.21) 54.64 (50.54 - 58.68) 0.371
Region 5 54.76 (49.42 - 59.99) 52.54 (47.07 - 57.96) 0.346
Region 6 57.74 (52.43 - 62.86) 56.76 (51.39 - 61.97) 0.648
Region 7 61.86 (59.22 - 64.44) 60.32 (57.50 - 63.08) 0.238
Region 7A (Hennepin) 65.69a (61.97 - 69.22) 61.08 (57.08 - 64.95) 0.013
Region 7B (Ramsey) 56.26 (51.41 - 60.98) 55.71 (50.77 - 60.54) 0.803
Region 7C 60.49 (56.55 - 64.30) 61.58 (57.41 - 65.59) 0.559
Mississippi 38.31 (36.08 - 40.59) 38.72 (36.38 - 41.11) 0.713
Region 1 36.33 (32.60 - 40.23) 36.10 (32.30 - 40.08) 0.904
Region 2 36.10 (31.51 - 40.97) 35.89 (31.25 - 40.81) 0.921
Region 3 37.32 (32.91 - 41.95) 35.25 (30.82 - 39.95) 0.295
Region 4 41.74 (37.57 - 46.04) 44.51 (40.17 - 48.94) 0.161
Region 5 34.83 (29.31 - 40.79) 36.32 (30.28 - 42.83) 0.500
Region 6 39.96 (35.40 - 44.71) 39.19 (33.97 - 44.68) 0.737
Region 7 39.90 (35.32 - 44.67) 41.30 (36.73 - 46.03) 0.493
Missouri 51.12 (48.82 - 53.42) 49.39 (47.12 - 51.67) 0.112
Central 48.27 (43.46 - 53.12) 48.14 (43.69 - 52.62) 0.949
Eastern 55.98 (52.81 - 59.09) 55.04 (51.58 - 58.46) 0.552
Eastern (St. Louis City and County) 56.00 (51.93 - 60.00) 53.97 (49.57 - 58.32) 0.303
Eastern (excluding St. Louis) 55.93 (51.36 - 60.40) 56.84 (52.08 - 61.47) 0.669
Northwest 52.82 (49.22 - 56.38) 51.61 (48.07 - 55.14) 0.445
Northwest (Jackson) 54.13 (49.45 - 58.73) 53.32 (48.58 - 58.00) 0.699
Northwest (excluding Jackson) 51.72 (46.82 - 56.58) 50.19 (45.17 - 55.20) 0.466
Southeast 41.95 (37.04 - 47.02) 41.32 (36.23 - 46.59) 0.770
Southwest 47.12a (42.40 - 51.89) 40.56 (35.80 - 45.51) 0.004
Montana 57.16 (54.78 - 59.50) 57.31 (55.10 - 59.48) 0.897
Region 1 51.99 (45.81 - 58.11) 49.99 (44.11 - 55.87) 0.386
Region 2 53.32 (48.59 - 57.98) 52.69 (47.75 - 57.58) 0.770
Region 3 54.28 (50.21 - 58.30) 54.40 (50.38 - 58.35) 0.952
Region 4 61.30 (57.31 - 65.14) 62.15 (58.46 - 65.70) 0.646
Region 5 58.61 (54.85 - 62.28) 59.10 (55.37 - 62.72) 0.794
Nebraska 58.49 (56.22 - 60.73) 57.42 (55.14 - 59.67) 0.346
Regions 1 and 2 54.30 (49.42 - 59.09) 54.11 (49.12 - 59.03) 0.921
Region 1 54.18 (47.83 - 60.40) 54.56 (47.71 - 61.25) 0.878
Region 2 54.40 (48.13 - 60.53) 53.71 (47.50 - 59.82) 0.761
Region 3 55.61 (50.64 - 60.46) 53.22 (48.46 - 57.92) 0.281
Region 4 52.89 (47.56 - 58.15) 52.45 (47.10 - 57.74) 0.850
Region 5 60.57 (56.44 - 64.55) 60.24 (56.29 - 64.06) 0.858
Region 6 60.61 (57.56 - 63.58) 59.05 (55.93 - 62.10) 0.308
Nevada 52.26b (49.72 - 54.78) 49.81 (47.33 - 52.29) 0.063
Clark – Region 1 51.07 (48.16 - 53.98) 49.33 (46.48 - 52.18) 0.260
Region 3 52.03 (47.00 - 57.01) 49.05 (43.92 - 54.20) 0.142
Capital District 55.33 (48.76 - 61.73) 54.10 (47.69 - 60.38) 0.622
Rural/Frontier 49.04b (42.75 - 55.35) 44.49 (37.84 - 51.34) 0.073
Washoe – Region 2 57.90a (53.51 - 62.17) 52.64 (47.81 - 57.42) 0.016
New Hampshire 64.18 (61.88 - 66.41) 63.46 (61.08 - 65.77) 0.538
Central 61.60 (58.19 - 64.89) 61.92 (58.26 - 65.44) 0.845
Central 1 60.03b (55.17 - 64.70) 63.74 (59.24 - 68.01) 0.079
Central 2 63.13 (58.92 - 67.15) 60.12 (55.20 - 64.84) 0.148
Northern 65.17b (60.27 - 69.76) 61.35 (56.37 - 66.11) 0.073
Southern 65.21 (62.46 - 67.86) 64.66 (61.83 - 67.39) 0.689
Southern 1 (Rockingham) 65.66 (61.63 - 69.48) 65.21 (60.93 - 69.26) 0.812
Southern 2 64.92 (61.58 - 68.13) 64.32 (60.86 - 67.63) 0.715
New Jersey 55.57a (53.58 - 57.55) 52.41 (50.42 - 54.38) 0.004
Central 57.77 (54.16 - 61.30) 56.34 (52.67 - 59.95) 0.428
Metropolitan 49.14 (45.40 - 52.89) 46.79 (43.16 - 50.46) 0.212
Northern 56.50a (53.45 - 59.50) 51.65 (48.46 - 54.83) 0.004
Southern 59.21b (55.57 - 62.75) 55.78 (51.96 - 59.54) 0.058
New Mexico 48.36 (45.97 - 50.76) 47.50 (45.08 - 49.94) 0.486
Region 1 43.13 (38.74 - 47.62) 40.95 (36.40 - 45.65) 0.301
Region 2 49.56 (44.42 - 54.71) 48.58 (43.44 - 53.75) 0.645
Region 3 (Bernalillo) 54.62 (51.04 - 58.14) 53.22 (49.49 - 56.91) 0.458
Region 4 43.62 (38.86 - 48.51) 44.71 (40.20 - 49.31) 0.604
Region 5 45.71 (41.78 - 49.69) 45.93 (41.94 - 49.96) 0.902
Region 5a 41.99 (36.80 - 47.36) 42.88 (37.41 - 48.52) 0.710
Region 5b (Dona Ana) 49.08 (44.04 - 54.15) 48.64 (43.59 - 53.71) 0.837
New York 54.80 (53.47 - 56.12) 53.63 (52.23 - 55.03) 0.105
Region 1: Long Island 63.48a (60.55 - 66.32) 59.73 (56.53 - 62.85) 0.018
Region 2: New York City 50.74 (48.84 - 52.65) 49.59 (47.50 - 51.68) 0.245
Region 2A: Bronx 40.24 (36.35 - 44.26) 39.41 (35.47 - 43.50) 0.672
Region 2B: Kings 50.39 (47.03 - 53.74) 48.38 (45.00 - 51.77) 0.238
Region 2C: New York 66.39 (62.70 - 69.89) 65.19 (60.82 - 69.31) 0.516
Region 2D: Queens 45.64 (41.93 - 49.41) 44.82 (40.76 - 48.95) 0.653
Region 2E: Richmond 51.32 (46.04 - 56.57) 52.48 (46.98 - 57.93) 0.606
Region 3: Mid-Hudson 53.41 (50.04 - 56.75) 54.32 (50.87 - 57.74) 0.610
Region 4: Capital Region 62.21 (58.07 - 66.18) 60.96 (56.98 - 64.79) 0.507
Region 5: Mohawk Valley 50.09 (44.27 - 55.90) 48.58 (42.24 - 54.97) 0.499
Region 6: North Country 51.55 (45.81 - 57.24) 50.60 (44.98 - 56.20) 0.676
Region 7: Tug Hill Seaway 51.35 (45.90 - 56.77) 52.65 (46.92 - 58.32) 0.547
Region 8: Central 55.49 (51.70 - 59.22) 54.63 (50.75 - 58.44) 0.634
Region 9: Southern Tier 56.99 (52.25 - 61.61) 56.52 (51.79 - 61.14) 0.819
Region 10: Finger Lakes 58.00 (54.20 - 61.70) 56.36 (52.98 - 59.68) 0.360
Region 11: Western 56.70 (53.36 - 59.98) 56.96 (53.33 - 60.51) 0.880
North Carolina 45.17 (43.29 - 47.08) 46.29 (44.31 - 48.28) 0.268
Alliance Behavioral Healthcare 1 45.55 (41.16 - 50.01) 44.95 (40.23 - 49.75) 0.778
Alliance Behavioral Healthcare 2 53.18 (48.55 - 57.76) 54.63 (50.10 - 59.10) 0.485
Cardinal Innovations Healthcare Solutions 1 45.32 (40.54 - 50.19) 43.53 (38.68 - 48.51) 0.407
Cardinal Innovations Healthcare Solutions 2 43.46 (38.65 - 48.40) 46.49 (41.32 - 51.75) 0.156
Cardinal Innovations Healthcare Solutions 3 52.04 (47.67 - 56.39) 53.47 (48.71 - 58.17) 0.472
CenterPoint Human Services 44.78 (39.85 - 49.81) 46.25 (41.05 - 51.53) 0.516
Eastpointe 33.93 (29.77 - 38.35) 35.41 (31.03 - 40.06) 0.450
Partners Behavioral Health Management 41.53 (36.67 - 46.56) 43.83 (39.15 - 48.61) 0.299
Sandhills Center 1 38.67 (33.68 - 43.90) 39.21 (34.29 - 44.36) 0.804
Sandhills Center 2 46.91 (41.83 - 52.06) 48.98 (43.58 - 54.40) 0.353
Smoky Mountain Center 1 37.15 (32.18 - 42.41) 40.62 (35.74 - 45.70) 0.117
Smoky Mountain Center 2 46.92a (41.42 - 52.49) 52.16 (46.20 - 58.06) 0.029
Trillium Health Resources 1 45.59 (40.77 - 50.50) 44.22 (39.28 - 49.27) 0.511
Trillium Health Resources 2 52.97 (47.18 - 58.67) 50.12 (44.58 - 55.66) 0.194
North Dakota 59.43 (57.28 - 61.54) 58.71 (56.46 - 60.92) 0.508
Badlands and West Central 61.48 (58.12 - 64.73) 58.82 (55.22 - 62.34) 0.106
Badlands 58.19 (52.18 - 63.97) 56.38 (50.44 - 62.15) 0.437
West Central 62.44 (58.69 - 66.04) 59.55 (55.41 - 63.55) 0.127
Lake Region 48.23 (42.48 - 54.03) 50.04 (43.87 - 56.21) 0.446
North Central 57.91 (52.98 - 62.69) 56.70 (51.50 - 61.76) 0.596
Northeast 63.38a (59.19 - 67.37) 58.98 (53.82 - 63.96) 0.040
Northwest 54.95a (48.39 - 61.34) 59.54 (54.10 - 64.76) 0.047
South Central 58.24 (52.55 - 63.71) 58.25 (52.74 - 63.56) 0.996
Southeast 59.88 (56.24 - 63.42) 61.21 (57.63 - 64.68) 0.442
Ohio 52.28 (50.78 - 53.77) 51.19 (49.70 - 52.68) 0.168
Boards 2, 46, 55, and 68 52.67 (47.56 - 57.73) 51.34 (45.64 - 57.01) 0.561
Boards 3, 52, and 85 52.06a (46.99 - 57.10) 45.74 (40.72 - 50.85) 0.004
Boards 4 and 78 44.59 (39.30 - 50.02) 45.18 (40.32 - 50.13) 0.793
Boards 5 and 60 46.59 (41.23 - 52.03) 45.29 (40.00 - 50.69) 0.552
Boards 7, 15, 41, 79, and 84 45.03 (39.84 - 50.34) 44.39 (38.84 - 50.08) 0.779
Boards 8, 13, and 83 53.44 (48.38 - 58.43) 54.57 (49.29 - 59.76) 0.591
Board 9 (Butler) 51.61 (46.52 - 56.67) 53.19 (48.08 - 58.23) 0.462
Board 12 52.16 (46.80 - 57.46) 50.45 (44.70 - 56.20) 0.461
Boards 18 and 47 55.76b (52.32 - 59.14) 52.23 (48.64 - 55.80) 0.051
Boards 20, 32, 54, and 69 48.86 (44.02 - 53.72) 51.88 (46.91 - 56.81) 0.160
Boards 21, 39, 51, 70, and 80 46.51 (41.64 - 51.46) 49.28 (44.66 - 53.90) 0.182
Boards 22, 74, and 87 53.32 (48.27 - 58.31) 52.64 (47.62 - 57.61) 0.747
Boards 23 and 45 51.19 (46.45 - 55.91) 50.99 (45.51 - 56.45) 0.926
Board 25 (Franklin) 54.82 (51.23 - 58.36) 54.16 (50.76 - 57.53) 0.702
Boards 27, 71, and 73 42.67 (37.76 - 47.72) 40.65 (35.88 - 45.61) 0.342
Boards 28, 43, and 67 58.49 (54.09 - 62.76) 55.86 (50.65 - 60.94) 0.210
Board 31 (Hamilton) 58.02 (53.97 - 61.97) 56.11 (51.91 - 60.22) 0.317
Board 48 (Lucas) 49.44 (44.32 - 54.57) 49.92 (44.62 - 55.23) 0.822
Boards 50 and 76 50.53 (46.19 - 54.86) 51.35 (46.73 - 55.95) 0.685
Board 57 (Montgomery) 53.59 (48.67 - 58.44) 52.13 (46.99 - 57.22) 0.485
Board 77 (Summit) 55.78 (51.10 - 60.35) 52.84 (47.86 - 57.76) 0.149
Oklahoma 44.13 (41.88 - 46.39) 44.55 (42.14 - 46.99) 0.706
Central 50.06 (45.34 - 54.77) 49.28 (44.41 - 54.16) 0.706
East Central 37.27 (32.45 - 42.36) 38.16 (32.90 - 43.71) 0.689
Northeast 44.02 (39.27 - 48.87) 45.03 (40.41 - 49.73) 0.628
Northwest and Southwest 44.29 (39.77 - 48.90) 43.94 (39.28 - 48.71) 0.864
Oklahoma County 47.60 (43.12 - 52.11) 48.14 (43.69 - 52.62) 0.793
Southeast 37.26a (32.76 - 41.99) 42.52 (37.84 - 47.34) 0.013
Tulsa County 45.84 (41.37 - 50.38) 42.75 (38.10 - 47.53) 0.128
Oregon 58.20 (55.87 - 60.50) 57.56 (55.27 - 59.82) 0.577
Region 1 (Multnomah) 62.65 (58.56 - 66.58) 63.59 (59.48 - 67.50) 0.609
Region 2 62.11 (58.33 - 65.75) 59.42 (55.74 - 63.00) 0.135
Region 3 53.93 (50.14 - 57.68) 54.06 (50.21 - 57.86) 0.948
Region 4 56.50 (51.59 - 61.29) 54.17 (48.97 - 59.29) 0.302
Region 5 (Central) 57.74 (51.37 - 63.86) 61.39 (55.17 - 67.27) 0.108
Region 6 (Eastern) 54.68 (48.87 - 60.37) 52.96 (47.44 - 58.41) 0.452
Pennsylvania 56.14 (54.66 - 57.61) 55.72 (54.26 - 57.16) 0.601
Region 1 (Allegheny) 59.74 (55.91 - 63.45) 58.38 (54.65 - 62.02) 0.465
Regions 3, 8, 9, and 51 56.99 (52.55 - 61.32) 57.38 (52.76 - 61.88) 0.851
Regions 4, 11, 37, and 49 57.44a (53.26 - 61.52) 52.26 (47.53 - 56.96) 0.012
Regions 5, 18, 23, 24, and 46 47.52b (42.97 - 52.11) 51.48 (46.92 - 56.02) 0.070
Regions 6, 12, 16, 31, 35, 45, and 47 56.21 (51.56 - 60.75) 57.06 (52.48 - 61.52) 0.666
Regions 7, 13, 20, and 33 62.02 (59.05 - 64.91) 61.32 (58.38 - 64.19) 0.650
Regions 10, 15, 27, 32, 43, and 44 46.70a (41.61 - 51.85) 52.45 (47.46 - 57.39) 0.012
Regions 17 and 21 55.61 (50.42 - 60.68) 57.28 (51.72 - 62.67) 0.416
Regions 19, 26, 28, and 42 52.65 (48.95 - 56.32) 50.38 (46.87 - 53.89) 0.221
Regions 22, 38, 40, 41, and 48 55.89 (51.29 - 60.40) 53.98 (49.08 - 58.81) 0.409
Regions 29 and 34 55.77 (50.85 - 60.59) 57.63 (52.71 - 62.41) 0.374
Regions 30 and 50 52.46 (47.88 - 57.00) 55.42 (50.63 - 60.12) 0.167
Region 36 (Philadelphia) 54.99 (51.20 - 58.71) 53.12 (49.18 - 57.02) 0.330
Rhode Island 60.28 (57.81 - 62.69) 59.25 (56.97 - 61.49) 0.377
Region 1: Southern Providence County 61.53 (57.03 - 65.83) 60.34 (55.66 - 64.85) 0.562
Region 2: Northern Providence County/
   Blackstone Valley
57.12 (52.44 - 61.67) 54.53 (50.14 - 58.85) 0.226
Region 3: Providence 52.73 (48.05 - 57.36) 52.23 (47.41 - 57.00) 0.803
Region 4: Kent County 62.32 (57.69 - 66.74) 61.55 (56.79 - 66.10) 0.712
Region 5: East Bay 62.61 (57.38 - 67.56) 62.63 (57.40 - 67.58) 0.993
Region 6: Newport County 65.18 (59.67 - 70.31) 65.19 (60.18 - 69.89) 0.996
Region 7: South County 66.58 (61.90 - 70.97) 66.12 (61.37 - 70.57) 0.815
South Carolina 45.71b (43.43 - 48.01) 47.89 (45.47 - 50.32) 0.075
Region 1 41.61a (37.80 - 45.51) 46.04 (42.28 - 49.84) 0.017
Region 2 47.82 (44.03 - 51.64) 50.92 (46.92 - 54.90) 0.105
Region 3 42.36 (38.13 - 46.71) 43.19 (38.43 - 48.08) 0.707
Region 4 50.73 (47.29 - 54.17) 50.28 (46.24 - 54.31) 0.809
South Dakota 58.17 (55.97 - 60.34) 58.65 (56.28 - 60.99) 0.675
Region 1 57.47 (53.85 - 61.02) 58.77 (54.80 - 62.62) 0.475
Region 2 53.57 (48.19 - 58.88) 54.67 (49.36 - 59.87) 0.626
Region 3 60.02 (56.25 - 63.67) 58.07 (54.03 - 62.00) 0.322
Region 4 58.53b (53.70 - 63.21) 62.50 (57.38 - 67.35) 0.060
Region 5 58.55 (54.85 - 62.15) 58.44 (54.73 - 62.06) 0.954
Tennessee 43.41 (41.12 - 45.73) 43.51 (41.17 - 45.88) 0.930
Region 1 36.27 (31.15 - 41.71) 37.54 (32.11 - 43.31) 0.582
Region 2 42.09 (37.75 - 46.56) 42.62 (38.31 - 47.04) 0.799
Region 3 38.57 (34.29 - 43.04) 38.02 (33.41 - 42.85) 0.792
Region 4 (Davidson) 50.90 (45.45 - 56.32) 51.58 (46.12 - 57.01) 0.754
Region 5 46.73 (42.76 - 50.75) 46.55 (42.47 - 50.67) 0.925
Region 6 40.04 (34.81 - 45.52) 41.52 (36.28 - 46.95) 0.525
Region 7 (Shelby) 45.70 (41.23 - 50.24) 44.32 (39.76 - 48.97) 0.512
Texas 47.57a (46.35 - 48.80) 46.25 (45.09 - 47.40) 0.035
Region 1 49.78 (45.23 - 54.33) 48.42 (43.76 - 53.11) 0.490
Region 2 46.19 (41.35 - 51.10) 44.75 (39.27 - 50.36) 0.520
Region 3 47.52 (45.54 - 49.52) 47.23 (45.34 - 49.14) 0.783
Region 3a 46.96 (44.44 - 49.49) 46.45 (44.01 - 48.91) 0.713
Region 3bc 48.53 (45.51 - 51.56) 48.63 (45.78 - 51.50) 0.947
Region 4 41.78 (37.68 - 45.99) 42.43 (37.96 - 47.02) 0.736
Region 5 44.96 (40.11 - 49.91) 44.16 (39.23 - 49.21) 0.707
Region 6 48.52a (46.21 - 50.83) 45.67 (43.33 - 48.03) 0.022
Region 6a 48.47b (46.01 - 50.94) 45.97 (43.43 - 48.53) 0.060
Region 6bc 48.88a (43.77 - 54.00) 43.09 (38.06 - 48.26) 0.006
Region 7 53.19 (50.51 - 55.86) 51.54 (48.63 - 54.44) 0.193
Region 7a 56.22 (52.76 - 59.61) 54.29 (50.46 - 58.08) 0.256
Region 7bcd 47.84 (43.73 - 51.99) 46.57 (42.40 - 50.78) 0.491
Region 8 49.28 (46.14 - 52.43) 48.68 (45.47 - 51.90) 0.704
Region 9 48.96a (43.49 - 54.46) 44.41 (39.33 - 49.60) 0.038
Region 10 41.94 (37.36 - 46.66) 41.00 (36.70 - 45.45) 0.617
Region 11 39.57 (36.42 - 42.81) 38.31 (35.37 - 41.35) 0.381
Region 11abd 40.36 (36.32 - 44.54) 38.52 (34.80 - 42.37) 0.326
Region 11c (Hidalgo) 38.22 (33.85 - 42.80) 37.97 (33.55 - 42.59) 0.894
Utah 29.41b (27.49 - 31.40) 27.44 (25.54 - 29.42) 0.069
Bear River, Northeastern, Summit, Tooele, and Wasatch 25.76 (21.66 - 30.33) 24.34 (20.36 - 28.81) 0.432
Central, Four Corners, San Juan, and Southwest 25.89 (22.16 - 29.99) 23.91 (20.51 - 27.69) 0.221
Central, Four Corners, and San Juan 25.04 (20.20 - 30.59) 22.21 (17.80 - 27.36) 0.143
Southwest 26.41 (21.86 - 31.53) 24.95 (20.71 - 29.74) 0.451
Davis County 27.75 (23.28 - 32.71) 24.58 (20.53 - 29.13) 0.114
Salt Lake County 35.81 (33.08 - 38.64) 33.85 (30.97 - 36.87) 0.217
Utah County 21.10 (17.96 - 24.62) 19.56 (16.57 - 22.95) 0.326
Weber, Morgan 31.06 (26.46 - 36.07) 28.98 (24.48 - 33.93) 0.337
Vermont 61.39 (58.89 - 63.83) 61.91 (59.36 - 64.40) 0.681
Champlain Valley 64.68 (61.27 - 67.95) 63.73 (60.05 - 67.25) 0.588
Rural Northeast 60.92 (56.21 - 65.42) 61.06 (56.88 - 65.08) 0.946
Rural Southeast 59.88 (55.48 - 64.13) 62.83 (58.21 - 67.24) 0.165
Rural Southwest 55.57 (50.62 - 60.41) 57.23 (52.29 - 62.04) 0.459
Virginia 51.92 (50.11 - 53.72) 51.58 (49.73 - 53.43) 0.732
Region 1 52.18 (48.30 - 56.04) 50.48 (46.75 - 54.20) 0.366
Region 2 55.84 (52.54 - 59.08) 55.29 (52.04 - 58.49) 0.740
Region 3 43.71 (40.05 - 47.43) 43.91 (40.05 - 47.84) 0.915
Region 4 52.61 (48.79 - 56.40) 52.49 (48.78 - 56.17) 0.948
Region 5 52.36 (49.06 - 55.64) 52.56 (49.05 - 56.06) 0.907
Washington 56.02 (53.55 - 58.46) 55.64 (53.28 - 57.98) 0.734
Region 1 50.62 (46.65 - 54.59) 50.34 (46.57 - 54.11) 0.866
Greater Columbia and North Central 46.22 (41.32 - 51.20) 46.89 (42.29 - 51.55) 0.752
Spokane 57.10 (51.52 - 62.51) 55.48 (49.90 - 60.94) 0.446
Region 2 59.20 (56.12 - 62.22) 58.93 (55.87 - 61.92) 0.853
King 60.70 (57.07 - 64.22) 59.45 (55.65 - 63.14) 0.485
North Sound 56.56 (51.71 - 61.28) 58.00 (53.45 - 62.41) 0.499
Region 3 55.10 (51.79 - 58.37) 54.47 (51.18 - 57.73) 0.650
Pierce 54.40 (49.82 - 58.90) 54.30 (49.52 - 59.01) 0.963
Salish 56.35 (49.85 - 62.64) 58.24 (52.00 - 64.22) 0.411
SW WA and Great Rivers 54.91 (49.77 - 59.94) 52.81 (47.59 - 57.97) 0.324
Thurston-Mason 55.89 (49.43 - 62.16) 54.28 (47.63 - 60.78) 0.516
West Virginia 39.81 (37.43 - 42.25) 39.09 (36.68 - 41.55) 0.564
Region I 42.82 (36.87 - 48.99) 40.61 (35.31 - 46.14) 0.356
Region II 46.77 (41.72 - 51.89) 45.90 (41.10 - 50.77) 0.706
Region III 36.96 (31.75 - 42.49) 37.20 (32.03 - 42.68) 0.918
Region IV 44.09 (40.00 - 48.26) 44.47 (40.06 - 48.97) 0.850
Region V 37.78 (33.88 - 41.84) 35.07 (31.45 - 38.87) 0.172
Region VI 32.50 (28.52 - 36.75) 33.67 (29.24 - 38.42) 0.569
Wisconsin 61.86 (59.60 - 64.07) 61.66 (59.32 - 63.94) 0.857
Milwaukee 59.19 (54.99 - 63.27) 57.92 (53.49 - 62.23) 0.515
Northeastern 62.97 (59.04 - 66.73) 62.68 (58.30 - 66.87) 0.884
Northern 57.85 (52.47 - 63.05) 56.78 (51.41 - 62.00) 0.642
Southeastern 64.70 (60.73 - 68.47) 65.48 (61.30 - 69.44) 0.673
Southern 63.47 (59.52 - 67.24) 63.84 (59.89 - 67.61) 0.843
Western 59.26 (54.27 - 64.06) 58.68 (53.62 - 63.57) 0.798
Wyoming 53.08a (50.76 - 55.40) 49.97 (47.51 - 52.43) 0.009
Judicial District 1 (Laramie) 53.08 (48.64 - 57.47) 52.52 (47.86 - 57.13) 0.785
Judicial District 2 60.27 (55.46 - 64.89) 58.97 (53.52 - 64.21) 0.534
Judicial District 3 45.73a (40.86 - 50.67) 40.21 (35.18 - 45.46) 0.016
Judicial District 4 56.78a (50.51 - 62.83) 52.09 (46.08 - 58.04) 0.048
Judicial District 5 53.09b (47.77 - 58.34) 48.95 (43.72 - 54.20) 0.071
Judicial District 6 53.48b (48.63 - 58.26) 49.27 (43.90 - 54.65) 0.058
Judicial District 7 (Natrona) 53.54a (48.94 - 58.07) 48.89 (43.99 - 53.82) 0.042
Judicial District 8 49.55 (43.60 - 55.50) 48.53 (42.69 - 54.41) 0.683
Judicial District 9 54.96 (49.68 - 60.13) 52.79 (47.58 - 57.94) 0.328
SPA = service planning area.
NOTE: The definitions of the substate regions listed in this table are provided in the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
NOTE: Substate, state, and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and are generated by Markov Chain Monte Carlo techniques, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2014-2016 and 2016-2018 population percentages. The "Total U.S." estimates, along with the 95 percent confidence intervals and the p values, are based on design-based (direct) estimation methods.
a Difference between the 2014-2016 and 2016-2018 population percentages is statistically significant at the 0.05 level.
b Difference between the 2014-2016 and 2016-2018 population percentages is statistically significant at the 0.10 level.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2014-2018.
200324
Table 6 – Alcohol Use in the Past Month among Individuals Aged 12 to 20, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2014-2016 and 2016-2018 NSDUHs
State/Substate Region 2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
2016-2018
(Estimate)
2016-2018
(95% Confidence
Interval)
P Value
Total United States 20.82a (20.28 - 21.38) 19.27 (18.73 - 19.82) 0.000
Northeast 24.91a (24.00 - 25.83) 22.41 (21.58 - 23.27) 0.000
Midwest 21.71b (21.00 - 22.43) 21.06 (20.38 - 21.76) 0.079
South 19.16a (18.57 - 19.76) 17.70 (17.17 - 18.24) 0.000
West 19.75a (18.97 - 20.55) 18.00 (17.27 - 18.76) 0.000
Alabama 18.19 (16.12 - 20.46) 18.40 (16.34 - 20.67) 0.847
Region 1 16.93 (14.10 - 20.20) 17.16 (14.18 - 20.62) 0.896
Region 2 19.98 (16.96 - 23.39) 19.84 (16.50 - 23.67) 0.941
Region 3 18.24 (15.12 - 21.85) 20.50 (16.84 - 24.72) 0.227
Region 4 17.09 (14.23 - 20.38) 15.99 (12.81 - 19.77) 0.522
Alaska 22.36a (20.05 - 24.86) 18.41 (16.28 - 20.75) 0.001
Anchorage 22.47a (19.52 - 25.73) 18.59 (15.53 - 22.10) 0.034
Northern 20.31b (17.05 - 24.02) 17.21 (13.87 - 21.15) 0.094
South Central 23.51a (20.29 - 27.06) 17.95 (14.62 - 21.85) 0.004
Southeast 24.06 (20.04 - 28.61) 22.08 (17.60 - 27.32) 0.379
Arizona 18.76 (16.60 - 21.14) 17.28 (15.12 - 19.69) 0.206
Central 19.26b (16.72 - 22.08) 16.51 (13.86 - 19.55) 0.078
North 17.72 (14.21 - 21.88) 20.00 (15.51 - 25.39) 0.270
South 18.10 (15.38 - 21.18) 17.88 (14.80 - 21.44) 0.880
South A 19.68 (16.26 - 23.63) 20.26 (15.88 - 25.49) 0.785
South B 16.37 (13.20 - 20.13) 15.29 (11.78 - 19.62) 0.535
Arkansas 16.04 (14.03 - 18.29) 16.42 (14.48 - 18.56) 0.708
Catchment Area 1 17.72 (14.62 - 21.31) 17.10 (13.51 - 21.40) 0.746
Catchment Area 2 15.62 (12.63 - 19.17) 13.90 (10.54 - 18.12) 0.336
Catchment Area 3 13.57 (10.82 - 16.89) 14.24 (10.93 - 18.35) 0.697
Catchment Area 4 14.70 (11.77 - 18.21) 15.24 (11.65 - 19.68) 0.769
Catchment Area 5 18.82 (15.38 - 22.82) 20.94 (16.91 - 25.63) 0.303
Catchment Area 6 14.58 (11.47 - 18.35) 13.14 (9.70 - 17.56) 0.425
Catchment Area 7 13.83 (10.83 - 17.50) 16.23 (12.23 - 21.22) 0.204
Catchment Area 8 16.29 (13.28 - 19.81) 16.85 (13.57 - 20.74) 0.757
California 19.75a (18.53 - 21.03) 17.85 (16.68 - 19.08) 0.004
Region 1R 25.78 (22.07 - 29.87) 26.23 (22.11 - 30.81) 0.832
Region 2R 24.36 (20.93 - 28.16) 22.86 (18.57 - 27.80) 0.479
Region 3R (Sacramento) 18.60 (15.72 - 21.87) 15.74 (12.47 - 19.68) 0.115
Region 4R 21.41b (18.07 - 25.18) 17.42 (13.64 - 21.99) 0.052
Region 5R (San Francisco) 21.78 (17.78 - 26.39) 21.42 (16.77 - 26.94) 0.875
Region 6 (Santa Clara) 17.82 (15.18 - 20.81) 18.56 (15.38 - 22.24) 0.658
Region 7R (Contra Costa) 21.36 (18.38 - 24.67) 19.22 (15.69 - 23.34) 0.244
Region 8R (Alameda) 19.89 (16.95 - 23.20) 19.02 (15.59 - 23.01) 0.634
Region 9R (San Mateo) 18.88 (15.59 - 22.68) 20.01 (16.10 - 24.60) 0.566
Region 10 23.77 (20.15 - 27.82) 22.61 (18.22 - 27.70) 0.611
Region 11 (Los Angeles) 18.22 (16.70 - 19.84) 17.11 (15.46 - 18.90) 0.213
LA SPA 1 and 5 22.13 (18.54 - 26.19) 20.92 (17.02 - 25.42) 0.558
LA SPA 2 18.82 (16.03 - 21.96) 19.49 (16.10 - 23.39) 0.718
LA SPA 3 17.84 (14.87 - 21.25) 15.59 (12.41 - 19.39) 0.217
LA SPA 4 17.19 (13.87 - 21.10) 18.30 (14.06 - 23.46) 0.591
LA SPA 6 15.83 (13.01 - 19.12) 13.17 (9.89 - 17.33) 0.132
LA SPA 7 16.85b (14.04 - 20.08) 13.82 (10.63 - 17.78) 0.080
LA SPA 8 19.18 (16.37 - 22.34) 18.81 (15.35 - 22.83) 0.829
Region 12R 19.01 (15.71 - 22.81) 19.23 (15.22 - 24.01) 0.908
Regions 13 and 19R 17.47 (15.08 - 20.15) 16.87 (14.05 - 20.12) 0.710
Region 14 (Orange) 20.84a (18.08 - 23.90) 16.53 (13.65 - 19.87) 0.012
Region 15R (Fresno) 19.79 (16.69 - 23.31) 18.04 (14.51 - 22.20) 0.343
Region 16R (San Diego) 22.92a (20.10 - 26.00) 18.90 (15.96 - 22.23) 0.016
Region 17R 17.72a (15.07 - 20.73) 12.06 (9.44 - 15.28) 0.001
Region 18R (San Bernardino) 17.04 (14.47 - 19.96) 15.24 (12.34 - 18.68) 0.269
Region 20R 18.17b (15.16 - 21.63) 15.02 (11.97 - 18.68) 0.074
Region 21R 25.67 (21.50 - 30.34) 23.96 (19.51 - 29.07) 0.470
Colorado 22.96a (20.66 - 25.44) 20.78 (18.61 - 23.14) 0.036
Region 1 26.12 (22.09 - 30.60) 23.33 (18.76 - 28.63) 0.193
Region 2 22.06 (18.08 - 26.63) 19.53 (15.31 - 24.57) 0.221
Region 3 22.04a (19.06 - 25.35) 17.48 (14.39 - 21.08) 0.010
Region 4 19.23 (15.30 - 23.89) 19.38 (14.81 - 24.95) 0.945
Region 5 20.53 (17.06 - 24.51) 20.92 (16.89 - 25.61) 0.850
Region 6 25.30 (21.39 - 29.65) 25.31 (20.93 - 30.25) 0.997
Region 7 22.69 (18.92 - 26.98) 20.77 (16.74 - 25.46) 0.354
Connecticut 25.96 (23.46 - 28.63) 25.68 (23.32 - 28.18) 0.817
Eastern 29.88 (25.11 - 35.12) 28.83 (23.44 - 34.90) 0.692
North Central 25.31 (21.84 - 29.13) 26.34 (22.41 - 30.69) 0.612
Northwestern 23.03 (19.48 - 27.01) 25.10 (20.83 - 29.93) 0.338
South Central 27.38 (23.50 - 31.64) 25.23 (21.44 - 29.43) 0.301
Southwest 25.08 (21.60 - 28.92) 23.71 (20.03 - 27.82) 0.490
Delaware 22.38a (20.20 - 24.72) 18.10 (15.98 - 20.43) 0.000
Kent 20.88a (17.54 - 24.67) 15.53 (12.31 - 19.41) 0.003
New Castle (excluding Wilmington City) 24.81a (22.05 - 27.79) 20.41 (17.47 - 23.71) 0.006
Sussex 19.36b (16.22 - 22.95) 16.35 (13.02 - 20.33) 0.098
Wilmington City 16.08b (12.87 - 19.91) 12.83 (9.53 - 17.04) 0.061
District of Columbia 26.95a (23.90 - 30.24) 23.13 (20.37 - 26.13) 0.005
Ward 1 33.59a (27.51 - 40.27) 25.14 (18.66 - 32.96) 0.016
Ward 2 57.30a (49.98 - 64.30) 49.32 (40.52 - 58.15) 0.025
Ward 3 35.16 (29.94 - 40.77) 32.61 (26.87 - 38.93) 0.325
Ward 4 19.72 (15.98 - 24.08) 16.46 (12.58 - 21.25) 0.102
Ward 5 23.50 (18.85 - 28.89) 19.92 (14.99 - 25.97) 0.151
Ward 6 22.73b (18.71 - 27.32) 19.16 (15.37 - 23.61) 0.085
Ward 7 16.45a (13.02 - 20.57) 12.16 (8.93 - 16.36) 0.029
Ward 8 18.04a (14.29 - 22.51) 13.15 (10.00 - 17.12) 0.014
Florida 20.79b (19.40 - 22.25) 19.57 (18.27 - 20.93) 0.098
Broward (Circuit 17) 19.61a (16.90 - 22.64) 16.05 (13.16 - 19.44) 0.037
Central I 21.19 (18.97 - 23.60) 19.34 (17.12 - 21.79) 0.138
Circuit 9 21.20 (18.44 - 24.27) 19.50 (16.67 - 22.68) 0.302
Circuit 18 21.17 (18.10 - 24.60) 19.07 (15.58 - 23.14) 0.271
Central II 20.27 (18.52 - 22.15) 19.61 (17.74 - 21.63) 0.511
Circuit 6 21.39 (18.47 - 24.63) 20.13 (16.64 - 24.13) 0.509
Circuit 10 16.92 (14.14 - 20.12) 17.05 (13.42 - 21.42) 0.944
Circuit 12 20.49 (17.31 - 24.08) 22.04 (18.02 - 26.67) 0.421
Circuit 13 (Hillsborough) 21.91 (19.14 - 24.95) 20.20 (17.01 - 23.81) 0.341
Circuit 20 19.07 (16.04 - 22.53) 18.62 (15.08 - 22.77) 0.810
Northeast 21.68 (19.64 - 23.88) 20.61 (18.35 - 23.08) 0.341
Circuit 4 20.07 (17.19 - 23.31) 19.33 (15.84 - 23.39) 0.679
Circuit 5 19.12 (16.15 - 22.50) 17.24 (13.66 - 21.53) 0.320
Circuit 7 22.72 (19.49 - 26.30) 24.48 (20.20 - 29.34) 0.394
Circuit 8 plus Columbia, Dixie, Hamilton,
   Lafayette, and Suwannee
27.30b (23.02 - 32.05) 22.75 (18.00 - 28.32) 0.064
Northwest 26.15 (23.67 - 28.80) 24.80 (21.75 - 28.13) 0.374
Circuit 1 23.27 (20.14 - 26.72) 22.92 (18.63 - 27.85) 0.868
Circuit 2 plus Madison and Taylor 34.07 (29.66 - 38.77) 30.48 (25.15 - 36.40) 0.200
Circuit 14 19.29 (15.98 - 23.11) 19.49 (15.30 - 24.49) 0.918
South (Circuits 11 and 16) 18.80 (16.37 - 21.49) 18.40 (15.64 - 21.54) 0.792
Southeast 19.39 (17.15 - 21.84) 18.42 (15.55 - 21.68) 0.502
Circuit 15 (Palm Beach) 19.22 (16.46 - 22.32) 18.41 (15.00 - 22.40) 0.665
Circuit 19 19.76 (16.72 - 23.19) 18.42 (14.24 - 23.49) 0.499
Georgia 16.91b (15.18 - 18.78) 15.32 (13.74 - 17.05) 0.068
Region 1 16.03b (13.64 - 18.75) 13.58 (11.03 - 16.59) 0.091
Region 2 19.58 (16.53 - 23.04) 19.77 (16.39 - 23.66) 0.919
Region 3 16.00 (13.69 - 18.61) 14.62 (12.18 - 17.45) 0.314
Region 4 18.43 (15.03 - 22.38) 16.36 (12.31 - 21.42) 0.323
Region 5 17.97 (14.94 - 21.46) 15.91 (12.47 - 20.07) 0.268
Region 6 16.42 (13.75 - 19.48) 15.02 (12.14 - 18.44) 0.380
Hawaii 19.27a (16.92 - 21.86) 16.18 (14.19 - 18.40) 0.011
Hawaii Island 18.25 (14.80 - 22.30) 17.90 (14.14 - 22.40) 0.852
Honolulu 19.56a (16.92 - 22.51) 15.60 (13.26 - 18.27) 0.008
Kauai 19.87b (16.19 - 24.16) 16.39 (12.44 - 21.30) 0.093
Maui 18.41 (14.92 - 22.49) 17.68 (14.00 - 22.06) 0.685
Idaho 17.45a (15.47 - 19.62) 15.41 (13.50 - 17.54) 0.041
Region 1 19.31 (15.81 - 23.37) 17.38 (13.22 - 22.51) 0.372
Region 2 24.06 (19.55 - 29.23) 23.55 (18.39 - 29.64) 0.835
Region 3 15.81 (13.04 - 19.04) 13.55 (10.51 - 17.30) 0.188
Region 4 20.25a (17.28 - 23.58) 16.49 (13.50 - 19.99) 0.028
Region 5 16.24 (13.16 - 19.86) 17.20 (13.60 - 21.51) 0.595
Region 6 15.74 (12.53 - 19.59) 13.62 (10.05 - 18.19) 0.240
Region 7 12.41 (9.58 - 15.94) 10.68 (7.99 - 14.13) 0.260
Illinois 20.70b (19.15 - 22.33) 19.27 (17.77 - 20.87) 0.071
Region 1 (Cook) 18.81 (17.00 - 20.76) 17.60 (15.70 - 19.67) 0.221
Region 1.1 (Far North Side) 20.78b (17.10 - 25.01) 17.26 (13.12 - 22.38) 0.098
Region 1.2 (Northwest Side) 17.66 (14.22 - 21.73) 14.80 (11.00 - 19.62) 0.147
Region 1.3 (North Central Side) 26.70 (21.96 - 32.04) 24.32 (18.75 - 30.92) 0.368
Region 1.4 (West Side) 16.22 (13.11 - 19.89) 14.65 (11.02 - 19.23) 0.399
Region 1.5 (South Side) 17.55 (14.48 - 21.12) 14.69 (11.26 - 18.93) 0.112
Region 1.6 (Southwest Side) 15.95a (12.98 - 19.46) 12.08 (8.66 - 16.62) 0.047
Region 1.7 (Suburban Cook) 19.19 (16.75 - 21.90) 19.61 (16.78 - 22.79) 0.781
Region 2 20.17 (18.27 - 22.21) 19.45 (17.36 - 21.73) 0.526
Region 2a (DuPage) 20.36 (17.37 - 23.71) 20.68 (17.00 - 24.93) 0.861
Region 2b 19.46 (17.06 - 22.11) 18.75 (15.97 - 21.88) 0.650
Region 2c (Winnebago) 19.23 (15.72 - 23.32) 17.42 (13.35 - 22.40) 0.368
Region 2d 22.80 (19.44 - 26.54) 21.14 (17.35 - 25.50) 0.399
Region 3 25.88b (23.04 - 28.95) 23.07 (19.95 - 26.52) 0.088
Region 3a (Champaign) 37.11 (31.24 - 43.39) 32.26 (25.37 - 40.02) 0.146
Region 3b 23.43 (20.38 - 26.78) 21.10 (17.74 - 24.90) 0.201
Region 4 22.56 (19.61 - 25.82) 20.26 (16.69 - 24.36) 0.204
Region 4a (Sangamon) 20.87 (17.41 - 24.81) 17.83 (13.71 - 22.87) 0.144
Region 4b 23.03 (19.59 - 26.89) 20.95 (16.72 - 25.93) 0.343
Region 5 22.64 (19.91 - 25.63) 20.06 (16.93 - 23.60) 0.103
Region 5a 20.70 (17.29 - 24.60) 19.62 (15.89 - 23.99) 0.570
Region 5b 24.26b (20.74 - 28.17) 20.42 (16.16 - 25.46) 0.088
Indiana 21.41 (19.15 - 23.85) 19.93 (17.72 - 22.34) 0.138
Central 18.73 (15.96 - 21.86) 16.46 (13.44 - 20.00) 0.163
East 24.15 (19.91 - 28.96) 26.45 (21.36 - 32.25) 0.304
North Central 20.52 (16.97 - 24.58) 18.93 (14.86 - 23.79) 0.432
Northeast 21.17 (17.69 - 25.13) 18.36 (14.32 - 23.23) 0.156
Northwest 18.92 (15.51 - 22.87) 18.74 (14.76 - 23.50) 0.926
Southeast 19.53 (16.22 - 23.33) 17.13 (13.60 - 21.35) 0.175
Southwest 22.48 (18.68 - 26.78) 20.39 (15.87 - 25.80) 0.330
West 29.40 (24.31 - 35.06) 28.62 (22.83 - 35.21) 0.748
Iowa 23.33 (20.96 - 25.88) 22.84 (20.65 - 25.20) 0.689
Central 19.91 (16.61 - 23.69) 21.12 (17.52 - 25.23) 0.547
North Central 28.01 (23.45 - 33.07) 28.48 (23.49 - 34.05) 0.856
Northeast 25.00 (21.65 - 28.67) 24.94 (21.16 - 29.14) 0.976
Northwest 24.92b (21.07 - 29.20) 21.14 (17.15 - 25.78) 0.080
Southeast 21.66 (18.20 - 25.58) 22.13 (18.05 - 26.83) 0.829
Southwest 21.08 (17.39 - 25.31) 18.42 (14.48 - 23.15) 0.210
Kansas 21.60 (19.28 - 24.11) 20.99 (18.82 - 23.33) 0.589
Northeast 22.44 (19.58 - 25.58) 21.75 (18.75 - 25.09) 0.671
Northwest and North Central 22.73 (18.49 - 27.61) 23.12 (18.37 - 28.67) 0.863
South Central 20.11 (17.15 - 23.43) 19.27 (15.89 - 23.17) 0.642
Southeast 23.65 (19.25 - 28.71) 22.53 (17.51 - 28.48) 0.637
Southwest 18.23 (14.52 - 22.65) 18.71 (14.59 - 23.67) 0.814
Kentucky 19.49 (17.28 - 21.91) 19.23 (17.00 - 21.67) 0.821
Adanta, Cumberland River, and Lifeskills 16.55 (13.30 - 20.40) 17.10 (13.35 - 21.63) 0.785
Bluegrass, Comprehend, and North Key 22.28 (19.07 - 25.87) 21.68 (18.10 - 25.74) 0.763
Centerstone 19.82 (16.74 - 23.31) 19.45 (15.91 - 23.56) 0.851
Communicare and River Valley 18.76 (15.29 - 22.81) 18.18 (13.99 - 23.29) 0.783
Four Rivers and Pennyroyal 18.07 (14.61 - 22.14) 18.54 (14.09 - 24.01) 0.820
Kentucky River, Mountain, and Pathways 17.54 (14.18 - 21.49) 16.76 (12.85 - 21.57) 0.699
Louisiana 23.08 (20.85 - 25.47) 21.20 (18.90 - 23.70) 0.120
Regions 1 and 10 23.74b (20.40 - 27.44) 20.57 (17.18 - 24.44) 0.069
Region 1 25.98b (21.60 - 30.90) 21.94 (17.56 - 27.04) 0.080
Region 10 (Jefferson) 21.12 (17.52 - 25.24) 19.00 (14.70 - 24.19) 0.323
Regions 2 and 9 25.93 (22.89 - 29.21) 23.95 (19.78 - 28.68) 0.351
Region 3 23.43b (19.52 - 27.85) 19.30 (15.30 - 24.05) 0.067
Regions 4, 5, and 6 21.17 (17.82 - 24.95) 21.92 (18.10 - 26.30) 0.718
Regions 7 and 8 20.99 (17.63 - 24.80) 17.92 (14.63 - 21.76) 0.101
Maine 25.17 (22.64 - 27.88) 23.80 (21.54 - 26.22) 0.250
Aroostook/Downeast 23.28 (19.81 - 27.14) 22.06 (18.34 - 26.30) 0.494
Aroostook 23.26 (19.20 - 27.87) 23.73 (18.83 - 29.44) 0.835
Downeast 23.29 (19.05 - 28.16) 20.63 (15.97 - 26.23) 0.249
Central 24.74 (20.84 - 29.11) 23.78 (19.52 - 28.65) 0.656
Cumberland 26.59 (22.75 - 30.83) 25.91 (21.57 - 30.77) 0.759
Midcoast 23.57 (19.66 - 27.99) 22.07 (17.48 - 27.46) 0.503
Penquis 27.55 (22.96 - 32.68) 24.77 (19.90 - 30.39) 0.263
Western 23.55 (19.69 - 27.90) 22.13 (18.51 - 26.22) 0.477
York 25.35 (21.84 - 29.21) 23.94 (19.85 - 28.57) 0.502
Maryland 21.84a (19.57 - 24.31) 19.63 (17.48 - 21.99) 0.034
Anne Arundel 23.52 (19.66 - 27.88) 22.01 (17.12 - 27.82) 0.525
Baltimore City 21.99b (17.97 - 26.61) 18.38 (14.56 - 22.93) 0.084
Baltimore County 24.00 (19.99 - 28.53) 22.13 (17.49 - 27.60) 0.393
Montgomery 18.52 (15.49 - 21.99) 17.40 (14.04 - 21.37) 0.517
North Central 21.45 (18.00 - 25.37) 19.15 (15.13 - 23.93) 0.251
Northeast 22.68 (18.79 - 27.11) 23.05 (18.07 - 28.91) 0.874
Prince George's 22.73b (19.14 - 26.77) 19.02 (15.09 - 23.68) 0.066
South 20.75 (16.98 - 25.10) 17.94 (13.98 - 22.74) 0.183
West 22.09 (18.27 - 26.46) 19.38 (15.50 - 23.95) 0.197
Massachusetts 30.29 (27.63 - 33.09) 30.52 (27.80 - 33.37) 0.860
Boston 34.39 (28.93 - 40.29) 33.58 (27.51 - 40.24) 0.777
Central 28.60 (24.44 - 33.16) 28.23 (22.89 - 34.27) 0.878
Metrowest 29.93 (26.15 - 34.02) 31.73 (27.17 - 36.65) 0.420
Northeast 27.42 (23.60 - 31.59) 25.06 (20.77 - 29.89) 0.277
Southeast 29.55 (25.61 - 33.83) 29.15 (24.24 - 34.60) 0.861
Western 33.72 (29.13 - 38.64) 37.35 (32.52 - 42.46) 0.124
Michigan 21.27 (19.76 - 22.86) 22.48 (21.03 - 24.00) 0.126
Region 1 26.91 (22.82 - 31.44) 28.59 (23.13 - 34.74) 0.492
Region 2 21.93 (18.49 - 25.80) 24.46 (20.08 - 29.45) 0.221
Region 3 22.55 (19.81 - 25.55) 21.39 (18.51 - 24.58) 0.475
Region 4 20.86 (18.03 - 24.00) 21.13 (17.53 - 25.24) 0.884
Region 5 23.41a (20.47 - 26.62) 27.23 (23.96 - 30.77) 0.032
Region 6 23.85 (20.54 - 27.50) 26.38 (22.07 - 31.20) 0.253
Region 7 17.27 (14.92 - 19.90) 16.96 (14.13 - 20.23) 0.845
Region 8 20.46 (17.85 - 23.34) 21.55 (18.42 - 25.05) 0.508
Region 9 20.39 (17.59 - 23.50) 21.71 (18.04 - 25.89) 0.473
Region 10 20.57 (17.66 - 23.81) 21.20 (17.51 - 25.43) 0.737
Minnesota 22.49 (20.23 - 24.93) 22.22 (20.05 - 24.56) 0.806
Regions 1 and 2 23.55 (20.13 - 27.35) 22.81 (18.77 - 27.44) 0.694
Region 1 21.41 (17.43 - 26.01) 22.37 (17.54 - 28.08) 0.663
Region 2 25.02 (20.71 - 29.90) 23.12 (17.73 - 29.57) 0.456
Regions 3 and 4 23.35 (20.20 - 26.84) 23.00 (19.39 - 27.04) 0.836
Region 3 24.78 (20.16 - 30.07) 25.92 (20.39 - 32.34) 0.643
Region 4 22.66 (19.18 - 26.56) 21.58 (17.43 - 26.40) 0.610
Regions 5 and 6 23.82 (20.72 - 27.22) 23.80 (20.20 - 27.82) 0.993
Region 5 23.88 (20.20 - 28.00) 23.07 (18.63 - 28.22) 0.705
Region 6 23.76 (19.85 - 28.16) 24.52 (19.67 - 30.12) 0.725
Region 7 21.57 (19.08 - 24.28) 21.33 (18.80 - 24.09) 0.854
Region 7A (Hennepin) 23.40 (20.05 - 27.11) 21.39 (17.92 - 25.33) 0.295
Region 7B (Ramsey) 21.99 (18.26 - 26.24) 20.35 (15.93 - 25.63) 0.467
Region 7C 19.79 (16.66 - 23.35) 21.68 (18.07 - 25.78) 0.323
Mississippi 17.29a (15.23 - 19.57) 14.34 (12.55 - 16.34) 0.002
Region 1 17.13 (14.20 - 20.52) 14.95 (12.03 - 18.43) 0.193
Region 2 14.22a (11.34 - 17.70) 10.60 (7.81 - 14.23) 0.021
Region 3 19.39a (15.98 - 23.32) 14.71 (11.31 - 18.90) 0.018
Region 4 16.00 (13.24 - 19.21) 13.87 (10.92 - 17.45) 0.190
Region 5 15.45 (12.11 - 19.52) 12.74 (9.23 - 17.33) 0.142
Region 6 19.18b (15.73 - 23.19) 15.21 (11.63 - 19.66) 0.051
Region 7 18.86 (15.51 - 22.75) 16.40 (12.83 - 20.73) 0.220
Missouri 20.56 (18.32 - 22.98) 20.08 (17.99 - 22.35) 0.655
Central 23.88 (20.00 - 28.26) 22.92 (18.49 - 28.04) 0.660
Eastern 20.49 (17.84 - 23.43) 20.33 (17.43 - 23.56) 0.908
Eastern (St. Louis City and County) 19.13 (16.05 - 22.65) 17.45 (14.01 - 21.52) 0.359
Eastern (excluding St. Louis) 22.49 (18.99 - 26.43) 24.70 (20.36 - 29.63) 0.296
Northwest 20.09 (17.26 - 23.25) 20.08 (16.83 - 23.78) 0.995
Northwest (Jackson) 18.55 (15.38 - 22.21) 18.96 (15.13 - 23.49) 0.832
Northwest (excluding Jackson) 21.26 (17.67 - 25.36) 20.96 (16.54 - 26.19) 0.892
Southeast 19.24 (15.77 - 23.26) 20.65 (16.28 - 25.83) 0.517
Southwest 19.24 (15.86 - 23.15) 16.40 (12.75 - 20.85) 0.151
Montana 21.84a (19.53 - 24.33) 24.59 (22.20 - 27.16) 0.027
Region 1 19.41 (15.71 - 23.72) 20.35 (16.02 - 25.48) 0.650
Region 2 19.17 (15.84 - 23.01) 21.98 (17.70 - 26.95) 0.183
Region 3 18.03 (14.99 - 21.52) 20.65 (16.76 - 25.17) 0.192
Region 4 24.58b (21.21 - 28.29) 28.58 (24.61 - 32.91) 0.052
Region 5 24.03 (20.78 - 27.61) 26.29 (22.43 - 30.56) 0.251
Nebraska 21.28 (19.02 - 23.72) 20.98 (18.71 - 23.46) 0.805
Regions 1 and 2 20.64 (17.27 - 24.47) 20.27 (16.53 - 24.61) 0.822
Region 1 21.42 (17.17 - 26.39) 21.07 (16.11 - 27.07) 0.875
Region 2 19.96 (16.02 - 24.57) 19.56 (15.07 - 25.00) 0.849
Region 3 20.74 (17.18 - 24.83) 18.89 (14.95 - 23.58) 0.365
Region 4 19.83 (16.34 - 23.85) 18.27 (14.36 - 22.97) 0.445
Region 5 23.60 (19.73 - 27.97) 25.19 (21.00 - 29.89) 0.485
Region 6 20.62 (18.10 - 23.40) 20.03 (16.91 - 23.58) 0.720
Nevada 22.21a (19.77 - 24.87) 17.64 (15.48 - 20.03) 0.000
Clark – Region 1 21.14a (18.54 - 24.01) 16.81 (14.43 - 19.50) 0.002
Region 3 23.38a (19.62 - 27.61) 19.43 (15.65 - 23.86) 0.024
Capital District 24.60 (20.01 - 29.85) 21.53 (16.49 - 27.61) 0.187
Rural/Frontier 22.38a (18.02 - 27.45) 17.70 (13.19 - 23.34) 0.039
Washoe – Region 2 26.32a (22.37 - 30.69) 20.26 (16.14 - 25.10) 0.008
New Hampshire 27.27a (24.88 - 29.80) 24.21 (21.83 - 26.76) 0.011
Central 29.07 (25.92 - 32.44) 27.40 (23.94 - 31.16) 0.337
Central 1 32.51 (28.20 - 37.14) 31.80 (27.06 - 36.95) 0.758
Central 2 25.27 (21.65 - 29.27) 22.59 (18.40 - 27.42) 0.225
Northern 32.78a (28.26 - 37.64) 27.40 (22.52 - 32.89) 0.021
Southern 25.19a (22.45 - 28.13) 21.96 (19.10 - 25.13) 0.034
Southern 1 (Rockingham) 23.09 (19.70 - 26.87) 20.60 (16.89 - 24.89) 0.197
Southern 2 26.41b (23.10 - 30.01) 22.75 (19.19 - 26.75) 0.057
New Jersey 23.57a (21.55 - 25.72) 21.19 (19.18 - 23.34) 0.040
Central 24.27 (21.37 - 27.42) 23.21 (19.56 - 27.31) 0.589
Metropolitan 20.73a (17.66 - 24.19) 16.76 (13.80 - 20.20) 0.029
Northern 24.45b (21.76 - 27.35) 21.16 (18.15 - 24.51) 0.059
Southern 24.93 (21.63 - 28.54) 24.39 (20.86 - 28.31) 0.792
New Mexico 19.87 (17.69 - 22.25) 18.62 (16.54 - 20.90) 0.258
Region 1 17.06 (14.22 - 20.33) 14.35 (11.28 - 18.09) 0.112
Region 2 19.34 (15.82 - 23.41) 17.60 (13.82 - 22.16) 0.386
Region 3 (Bernalillo) 21.99 (18.95 - 25.37) 21.44 (17.86 - 25.52) 0.766
Region 4 18.56 (15.13 - 22.57) 19.06 (15.26 - 23.55) 0.800
Region 5 20.93 (17.99 - 24.20) 19.25 (16.02 - 22.97) 0.317
Region 5a 17.52 (14.24 - 21.38) 17.43 (13.43 - 22.30) 0.961
Region 5b (Dona Ana) 23.40 (19.53 - 27.78) 20.59 (16.37 - 25.56) 0.220
New York 23.54a (22.04 - 25.12) 20.31 (18.94 - 21.75) 0.000
Region 1: Long Island 25.32 (22.56 - 28.31) 22.91 (19.91 - 26.21) 0.155
Region 2: New York City 20.68a (18.87 - 22.61) 16.63 (14.86 - 18.57) 0.000
Region 2A: Bronx 17.52a (14.88 - 20.51) 13.96 (11.16 - 17.32) 0.032
Region 2B: Kings 20.19a (17.37 - 23.35) 15.16 (12.54 - 18.20) 0.002
Region 2C: New York 29.63b (25.73 - 33.84) 25.61 (21.17 - 30.61) 0.089
Region 2D: Queens 18.73a (15.90 - 21.93) 15.10 (12.11 - 18.69) 0.036
Region 2E: Richmond 20.88 (17.46 - 24.76) 18.22 (14.22 - 23.06) 0.186
Region 3: Mid-Hudson 21.15a (18.36 - 24.24) 17.63 (14.75 - 20.94) 0.034
Region 4: Capital Region 28.61 (25.05 - 32.45) 26.38 (22.26 - 30.97) 0.301
Region 5: Mohawk Valley 26.65 (22.29 - 31.52) 23.42 (18.06 - 29.81) 0.214
Region 6: North Country 24.78b (20.66 - 29.41) 20.89 (16.27 - 26.40) 0.087
Region 7: Tug Hill Seaway 27.23 (23.09 - 31.82) 25.49 (20.31 - 31.47) 0.467
Region 8: Central 26.30a (22.79 - 30.13) 22.23 (18.53 - 26.44) 0.044
Region 9: Southern Tier 32.87 (28.19 - 37.92) 29.50 (23.86 - 35.85) 0.214
Region 10: Finger Lakes 26.45a (23.25 - 29.92) 21.73 (18.44 - 25.43) 0.010
Region 11: Western 26.21 (23.20 - 29.45) 27.47 (23.85 - 31.43) 0.496
North Carolina 16.91 (15.15 - 18.84) 17.65 (15.89 - 19.56) 0.411
Alliance Behavioral Healthcare 1 16.53 (13.59 - 19.96) 15.33 (11.90 - 19.52) 0.517
Alliance Behavioral Healthcare 2 15.30a (12.53 - 18.56) 19.00 (15.27 - 23.39) 0.043
Cardinal Innovations Healthcare Solutions 1 16.38 (13.45 - 19.79) 15.95 (12.53 - 20.09) 0.809
Cardinal Innovations Healthcare Solutions 2 17.16 (13.84 - 21.08) 18.62 (14.46 - 23.65) 0.467
Cardinal Innovations Healthcare Solutions 3 16.37 (13.61 - 19.56) 17.08 (13.52 - 21.35) 0.696
CenterPoint Human Services 18.41 (15.05 - 22.32) 18.66 (14.34 - 23.92) 0.906
Eastpointe 13.23 (10.65 - 16.31) 13.71 (10.68 - 17.43) 0.766
Partners Behavioral Health Management 16.49 (13.66 - 19.78) 17.42 (13.94 - 21.55) 0.596
Sandhills Center 1 14.48 (11.57 - 17.97) 15.39 (11.84 - 19.77) 0.613
Sandhills Center 2 18.99 (15.54 - 23.01) 18.64 (14.23 - 24.04) 0.868
Smoky Mountain Center 1 17.35 (13.89 - 21.45) 19.32 (14.97 - 24.56) 0.356
Smoky Mountain Center 2 17.07b (14.03 - 20.61) 20.78 (16.16 - 26.30) 0.068
Trillium Health Resources 1 19.11 (15.78 - 22.94) 18.48 (14.73 - 22.93) 0.753
Trillium Health Resources 2 23.70 (19.49 - 28.49) 22.09 (17.20 - 27.90) 0.508
North Dakota 30.65a (28.13 - 33.28) 27.79 (25.20 - 30.54) 0.024
Badlands and West Central 29.09a (25.65 - 32.79) 24.62 (21.13 - 28.48) 0.014
Badlands 27.29 (22.41 - 32.78) 24.47 (19.29 - 30.51) 0.261
West Central 29.59a (25.74 - 33.74) 24.66 (20.68 - 29.13) 0.020
Lake Region 20.78 (16.99 - 25.15) 20.34 (15.59 - 26.08) 0.841
North Central 28.24 (23.66 - 33.31) 25.26 (20.19 - 31.12) 0.246
Northeast 39.71b (34.83 - 44.81) 34.76 (29.23 - 40.74) 0.075
Northwest 25.26 (20.78 - 30.33) 25.92 (20.58 - 32.10) 0.782
South Central 28.02 (23.29 - 33.30) 28.75 (23.12 - 35.12) 0.778
Southeast 32.41 (28.78 - 36.25) 30.36 (26.15 - 34.94) 0.334
Ohio 21.44 (19.83 - 23.13) 20.37 (18.88 - 21.95) 0.186
Boards 2, 46, 55, and 68 23.30 (19.61 - 27.46) 23.29 (18.68 - 28.63) 0.995
Boards 3, 52, and 85 20.60b (17.11 - 24.58) 16.62 (12.85 - 21.23) 0.051
Boards 4 and 78 19.60 (16.22 - 23.48) 18.17 (14.34 - 22.75) 0.470
Boards 5 and 60 25.65 (21.36 - 30.45) 22.78 (18.17 - 28.15) 0.230
Boards 7, 15, 41, 79, and 84 19.77 (16.32 - 23.74) 18.98 (14.80 - 23.99) 0.695
Boards 8, 13, and 83 19.60 (16.33 - 23.34) 19.83 (15.79 - 24.60) 0.905
Board 9 (Butler) 22.52 (18.83 - 26.70) 23.41 (19.02 - 28.46) 0.683
Board 12 22.71 (18.98 - 26.94) 21.95 (17.20 - 27.58) 0.747
Boards 18 and 47 20.17 (17.49 - 23.14) 19.80 (16.72 - 23.28) 0.825
Boards 20, 32, 54, and 69 19.86 (16.60 - 23.59) 21.34 (17.22 - 26.13) 0.485
Boards 21, 39, 51, 70, and 80 18.27 (15.21 - 21.79) 17.30 (13.58 - 21.78) 0.607
Boards 22, 74, and 87 25.16 (21.50 - 29.21) 26.24 (22.36 - 30.53) 0.595
Boards 23 and 45 19.55 (16.43 - 23.11) 19.54 (15.23 - 24.71) 0.994
Board 25 (Franklin) 21.70 (18.87 - 24.83) 20.59 (17.32 - 24.29) 0.543
Boards 27, 71, and 73 18.06 (15.10 - 21.47) 16.05 (12.52 - 20.34) 0.288
Boards 28, 43, and 67 25.20b (21.70 - 29.06) 21.09 (16.45 - 26.62) 0.078
Board 31 (Hamilton) 23.08 (19.64 - 26.91) 21.68 (18.04 - 25.83) 0.469
Board 48 (Lucas) 20.02 (16.51 - 24.06) 19.35 (14.96 - 24.66) 0.761
Boards 50 and 76 21.69 (18.57 - 25.16) 21.08 (17.20 - 25.57) 0.764
Board 57 (Montgomery) 22.23 (18.69 - 26.23) 20.05 (16.13 - 24.65) 0.291
Board 77 (Summit) 22.93 (19.54 - 26.71) 19.84 (15.97 - 24.38) 0.120
Oklahoma 19.11a (16.87 - 21.56) 16.36 (14.43 - 18.49) 0.007
Central 23.18 (19.44 - 27.39) 19.83 (15.78 - 24.60) 0.109
East Central 15.74 (12.51 - 19.62) 14.36 (10.85 - 18.77) 0.460
Northeast 21.11 (17.34 - 25.45) 19.15 (15.24 - 23.77) 0.362
Northwest and Southwest 19.60 (16.30 - 23.39) 17.11 (13.48 - 21.47) 0.201
Oklahoma County 19.31a (16.15 - 22.92) 14.47 (11.32 - 18.31) 0.008
Southeast 17.25 (13.93 - 21.17) 16.78 (13.23 - 21.05) 0.796
Tulsa County 17.44b (14.36 - 21.03) 13.98 (10.86 - 17.82) 0.055
Oregon 22.44 (20.22 - 24.82) 21.11 (19.03 - 23.35) 0.258
Region 1 (Multnomah) 20.59 (17.29 - 24.34) 21.05 (17.16 - 25.55) 0.825
Region 2 21.34 (18.48 - 24.50) 19.19 (15.98 - 22.86) 0.223
Region 3 24.30 (20.98 - 27.95) 22.93 (19.62 - 26.61) 0.488
Region 4 23.02 (19.51 - 26.96) 20.22 (16.11 - 25.05) 0.192
Region 5 (Central) 20.68 (16.72 - 25.28) 22.20 (17.42 - 27.86) 0.500
Region 6 (Eastern) 22.15 (18.21 - 26.66) 20.37 (15.84 - 25.81) 0.458
Pennsylvania 23.76a (22.14 - 25.46) 19.35 (17.81 - 20.98) 0.000
Region 1 (Allegheny) 23.39a (20.21 - 26.92) 18.69 (15.26 - 22.68) 0.011
Regions 3, 8, 9, and 51 27.37 (23.67 - 31.42) 24.72 (20.28 - 29.76) 0.228
Regions 4, 11, 37, and 49 23.88a (20.50 - 27.62) 17.20 (13.61 - 21.51) 0.001
Regions 5, 18, 23, 24, and 46 20.35 (17.09 - 24.06) 18.31 (14.68 - 22.59) 0.293
Regions 6, 12, 16, 31, 35, 45, and 47 33.26 (29.03 - 37.78) 29.28 (24.30 - 34.80) 0.106
Regions 7, 13, 20, and 33 23.10b (20.51 - 25.91) 20.27 (17.55 - 23.29) 0.070
Regions 10, 15, 27, 32, 43, and 44 20.03 (16.58 - 23.99) 20.28 (16.26 - 25.00) 0.900
Regions 17 and 21 25.97 (21.86 - 30.55) 23.04 (18.24 - 28.66) 0.212
Regions 19, 26, 28, and 42 20.39a (17.63 - 23.47) 14.25 (11.66 - 17.29) 0.000
Regions 22, 38, 40, 41, and 48 23.54 (20.19 - 27.25) 20.35 (16.57 - 24.74) 0.117
Regions 29 and 34 22.67a (19.11 - 26.68) 17.53 (13.56 - 22.36) 0.015
Regions 30 and 50 22.51b (18.89 - 26.59) 18.98 (14.97 - 23.76) 0.092
Region 36 (Philadelphia) 25.10a (21.91 - 28.59) 17.05 (13.90 - 20.74) 0.000
Rhode Island 25.97 (23.23 - 28.91) 26.45 (23.95 - 29.10) 0.711
Region 1: Southern Providence County 26.45 (22.34 - 31.01) 27.70 (23.29 - 32.59) 0.580
Region 2: Northern Providence County/
   Blackstone Valley
21.32 (18.00 - 25.07) 20.14 (16.64 - 24.16) 0.547
Region 3: Providence 26.52 (21.87 - 31.76) 27.10 (21.63 - 33.35) 0.835
Region 4: Kent County 23.39 (19.88 - 27.32) 22.37 (18.39 - 26.92) 0.608
Region 5: East Bay 27.02 (22.72 - 31.79) 26.82 (21.46 - 32.96) 0.938
Region 6: Newport County 26.68 (22.16 - 31.76) 28.40 (23.32 - 34.09) 0.491
Region 7: South County 33.03 (28.13 - 38.34) 36.33 (31.00 - 42.02) 0.218
South Carolina 19.52b (17.36 - 21.87) 17.68 (15.71 - 19.84) 0.092
Region 1 17.87 (15.08 - 21.06) 17.68 (14.56 - 21.29) 0.911
Region 2 20.05 (17.07 - 23.40) 19.09 (15.83 - 22.84) 0.599
Region 3 17.92 (14.82 - 21.51) 15.59 (12.37 - 19.46) 0.184
Region 4 22.00a (18.76 - 25.63) 17.57 (14.33 - 21.35) 0.014
South Dakota 25.56a (23.22 - 28.06) 22.73 (20.51 - 25.12) 0.019
Region 1 24.12b (20.79 - 27.79) 20.43 (16.73 - 24.70) 0.068
Region 2 19.38 (15.93 - 23.38) 19.10 (14.99 - 24.03) 0.891
Region 3 31.04a (27.29 - 35.05) 26.34 (22.68 - 30.36) 0.026
Region 4 28.11 (24.19 - 32.39) 28.17 (23.19 - 33.74) 0.981
Region 5 22.85 (19.82 - 26.20) 20.20 (16.99 - 23.83) 0.139
Tennessee 18.31 (16.12 - 20.71) 17.23 (15.26 - 19.39) 0.298
Region 1 17.95 (14.58 - 21.89) 17.87 (13.76 - 22.88) 0.970
Region 2 19.24 (15.82 - 23.20) 17.79 (14.03 - 22.29) 0.440
Region 3 18.18 (14.80 - 22.12) 16.58 (13.12 - 20.73) 0.390
Region 4 (Davidson) 19.47 (15.65 - 23.94) 18.46 (13.99 - 23.97) 0.645
Region 5 19.36 (16.34 - 22.78) 17.26 (14.16 - 20.88) 0.220
Region 6 17.80 (14.23 - 22.03) 20.16 (15.95 - 25.14) 0.255
Region 7 (Shelby) 15.36 (12.48 - 18.77) 14.29 (11.14 - 18.16) 0.507
Texas 18.53a (17.22 - 19.92) 16.63 (15.45 - 17.89) 0.004
Region 1 22.93 (19.42 - 26.88) 21.38 (17.04 - 26.48) 0.488
Region 2 22.95 (19.20 - 27.19) 20.44 (16.09 - 25.61) 0.271
Region 3 16.23 (14.57 - 18.03) 15.26 (13.45 - 17.26) 0.339
Region 3a 15.46 (13.49 - 17.65) 14.68 (12.46 - 17.23) 0.550
Region 3bc 17.60 (15.18 - 20.30) 16.29 (13.71 - 19.24) 0.376
Region 4 17.79 (14.84 - 21.18) 17.56 (14.07 - 21.69) 0.896
Region 5 21.09 (17.71 - 24.93) 20.21 (16.12 - 25.03) 0.662
Region 6 16.88a (14.93 - 19.04) 14.19 (12.16 - 16.49) 0.018
Region 6a 16.75a (14.68 - 19.04) 14.18 (12.00 - 16.68) 0.036
Region 6bc 18.12a (15.03 - 21.69) 14.27 (10.91 - 18.46) 0.038
Region 7 23.49 (20.94 - 26.24) 21.22 (18.43 - 24.30) 0.134
Region 7a 22.86 (19.80 - 26.23) 20.45 (16.81 - 24.63) 0.216
Region 7bcd 24.50 (20.94 - 28.44) 22.50 (18.72 - 26.79) 0.337
Region 8 20.67 (18.00 - 23.62) 19.06 (16.20 - 22.29) 0.307
Region 9 20.55 (17.11 - 24.48) 17.45 (13.34 - 22.50) 0.143
Region 10 17.80 (14.76 - 21.32) 15.20 (11.89 - 19.25) 0.167
Region 11 17.55a (15.32 - 20.02) 14.77 (12.42 - 17.47) 0.032
Region 11abd 17.71b (14.91 - 20.91) 14.79 (11.81 - 18.36) 0.088
Region 11c (Hidalgo) 17.29 (14.37 - 20.65) 14.73 (11.50 - 18.67) 0.157
Utah 11.15 (9.22 - 13.43) 10.91 (9.00 - 13.18) 0.831
Bear River, Northeastern, Summit, Tooele, and Wasatch 10.50 (7.81 - 13.96) 9.90 (7.04 - 13.76) 0.710
Central, Four Corners, San Juan, and Southwest 12.00 (9.34 - 15.28) 11.47 (8.60 - 15.15) 0.727
Central, Four Corners, and San Juan 11.08 (8.15 - 14.89) 11.62 (8.02 - 16.55) 0.757
Southwest 12.60 (9.47 - 16.58) 11.38 (8.11 - 15.74) 0.487
Davis County 9.81 (7.40 - 12.91) 8.96 (6.42 - 12.38) 0.534
Salt Lake County 12.40 (9.96 - 15.32) 13.10 (10.40 - 16.36) 0.647
Utah County 9.38 (6.97 - 12.52) 8.00 (5.54 - 11.42) 0.352
Weber, Morgan 11.95 (9.08 - 15.58) 12.51 (9.02 - 17.11) 0.757
Vermont 30.89 (28.17 - 33.75) 30.95 (28.28 - 33.75) 0.966
Champlain Valley 35.93 (32.20 - 39.84) 34.82 (30.83 - 39.03) 0.607
Rural Northeast 27.96 (24.13 - 32.15) 27.85 (23.41 - 32.78) 0.962
Rural Southeast 25.79 (22.08 - 29.88) 29.46 (24.92 - 34.46) 0.105
Rural Southwest 26.63 (22.30 - 31.46) 26.01 (21.06 - 31.66) 0.810
Virginia 20.47a (18.63 - 22.44) 18.07 (16.28 - 20.01) 0.011
Region 1 22.76 (19.60 - 26.26) 21.74 (18.04 - 25.95) 0.609
Region 2 17.25a (14.80 - 20.02) 14.08 (11.57 - 17.03) 0.025
Region 3 22.89 (19.70 - 26.42) 20.47 (16.79 - 24.72) 0.204
Region 4 20.17 (17.14 - 23.59) 18.21 (14.95 - 22.01) 0.273
Region 5 21.14 (18.29 - 24.30) 18.57 (15.57 - 21.99) 0.135
Washington 20.04 (17.94 - 22.31) 19.27 (17.16 - 21.57) 0.492
Region 1 20.29 (17.38 - 23.55) 18.41 (15.18 - 22.15) 0.258
Greater Columbia and North Central 18.32 (15.02 - 22.15) 16.59 (12.92 - 21.05) 0.393
Spokane 23.72 (19.46 - 28.58) 21.76 (16.85 - 27.62) 0.412
Region 2 20.44 (17.90 - 23.25) 20.04 (17.24 - 23.16) 0.785
King 20.22 (17.17 - 23.65) 20.30 (16.91 - 24.18) 0.963
North Sound 20.81 (17.48 - 24.58) 19.60 (15.71 - 24.18) 0.555
Region 3 19.30 (16.84 - 22.02) 18.90 (16.29 - 21.83) 0.766
Pierce 17.58 (14.48 - 21.19) 17.77 (13.98 - 22.32) 0.925
Salish 19.57 (15.63 - 24.21) 22.63 (17.68 - 28.50) 0.195
SW WA and Great Rivers 20.67 (17.06 - 24.82) 18.55 (14.81 - 22.98) 0.296
Thurston-Mason 20.43 (16.50 - 25.02) 18.92 (14.33 - 24.56) 0.491
West Virginia 22.52a (20.15 - 25.09) 19.98 (17.78 - 22.39) 0.023
Region I 23.80 (19.55 - 28.66) 21.21 (16.65 - 26.61) 0.253
Region II 21.93 (18.10 - 26.30) 19.79 (15.90 - 24.36) 0.299
Region III 19.31 (15.68 - 23.54) 17.74 (13.85 - 22.44) 0.426
Region IV 29.49 (25.49 - 33.83) 26.59 (22.08 - 31.64) 0.205
Region V 20.05a (16.88 - 23.65) 16.54 (13.42 - 20.20) 0.047
Region VI 18.51 (15.39 - 22.09) 17.33 (13.75 - 21.60) 0.534
Wisconsin 23.77 (21.52 - 26.17) 23.16 (20.95 - 25.53) 0.605
Milwaukee 21.20 (18.02 - 24.77) 18.76 (15.00 - 23.20) 0.236
Northeastern 23.90 (20.44 - 27.73) 23.54 (19.36 - 28.30) 0.868
Northern 23.55 (19.85 - 27.71) 22.94 (18.51 - 28.05) 0.786
Southeastern 23.13 (19.86 - 26.76) 24.36 (20.74 - 28.38) 0.520
Southern 25.25 (21.97 - 28.85) 25.10 (21.16 - 29.50) 0.941
Western 25.91 (22.18 - 30.03) 23.73 (19.17 - 29.00) 0.353
Wyoming 22.65 (20.31 - 25.17) 21.24 (19.10 - 23.55) 0.187
Judicial District 1 (Laramie) 21.56 (18.03 - 25.56) 20.02 (15.88 - 24.92) 0.457
Judicial District 2 38.85 (33.68 - 44.29) 37.61 (31.68 - 43.93) 0.668
Judicial District 3 17.52a (14.40 - 21.16) 13.79 (10.64 - 17.70) 0.038
Judicial District 4 22.46 (18.38 - 27.14) 19.68 (14.82 - 25.67) 0.236
Judicial District 5 22.73 (18.84 - 27.15) 21.57 (17.27 - 26.59) 0.587
Judicial District 6 20.50 (17.03 - 24.46) 18.01 (14.06 - 22.77) 0.215
Judicial District 7 (Natrona) 20.67 (17.10 - 24.76) 21.32 (17.32 - 25.96) 0.754
Judicial District 8 23.33 (19.44 - 27.73) 24.68 (19.59 - 30.60) 0.565
Judicial District 9 19.84 (16.32 - 23.90) 18.68 (14.88 - 23.18) 0.549
SPA = service planning area.
NOTE: The definitions of the substate regions listed in this table are provided in the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
NOTE: Substate, state, and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and are generated by Markov Chain Monte Carlo techniques, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2014-2016 and 2016-2018 population percentages. The "Total U.S." estimates, along with the 95 percent confidence intervals and the p values, are based on design-based (direct) estimation methods.
a Difference between the 2014-2016 and 2016-2018 population percentages is statistically significant at the 0.05 level.
b Difference between the 2014-2016 and 2016-2018 population percentages is statistically significant at the 0.10 level.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2014-2018.
200324
Table 7 – Tobacco Product Use in the Past Month among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2014-2016 and 2016-2018 NSDUHs
State/Substate Region 2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
2016-2018
(Estimate)
2016-2018
(95% Confidence
Interval)
P Value
Total United States 24.22a (23.90 - 24.54) 22.48 (22.16 - 22.80) 0.000
Northeast 23.18a (22.52 - 23.85) 21.34 (20.72 - 21.98) 0.000
Midwest 27.15a (26.55 - 27.76) 24.76 (24.20 - 25.33) 0.000
South 25.92a (25.40 - 26.45) 24.39 (23.91 - 24.88) 0.000
West 19.66a (19.06 - 20.28) 18.26 (17.72 - 18.82) 0.000
Alabama 29.95 (28.00 - 31.98) 29.75 (27.66 - 31.93) 0.860
Region 1 32.43 (29.19 - 35.84) 33.28 (29.94 - 36.80) 0.615
Region 2 29.79 (26.84 - 32.92) 29.46 (26.28 - 32.84) 0.838
Region 3 26.08 (22.79 - 29.66) 26.71 (23.26 - 30.47) 0.718
Region 4 30.18 (26.84 - 33.73) 28.14 (24.79 - 31.74) 0.230
Alaska 30.87a (28.93 - 32.87) 25.72 (23.87 - 27.67) 0.000
Anchorage 26.80a (24.45 - 29.30) 20.90 (18.59 - 23.42) 0.000
Northern 37.65a (33.97 - 41.47) 33.95 (30.45 - 37.65) 0.047
South Central 32.13a (28.84 - 35.61) 26.83 (23.70 - 30.21) 0.002
Southeast 29.23a (25.15 - 33.68) 24.32 (20.81 - 28.20) 0.006
Arizona 22.17 (20.41 - 24.04) 21.28 (19.40 - 23.28) 0.365
Central 21.13b (19.10 - 23.31) 18.84 (16.69 - 21.20) 0.051
North 26.51 (22.66 - 30.74) 27.75 (23.92 - 31.93) 0.480
South 22.53 (19.81 - 25.50) 23.70 (20.91 - 26.73) 0.375
South A 21.09 (18.10 - 24.42) 23.20 (19.84 - 26.94) 0.167
South B 24.26 (20.43 - 28.56) 24.30 (20.58 - 28.45) 0.984
Arkansas 33.42a (31.31 - 35.59) 30.68 (28.73 - 32.70) 0.011
Catchment Area 1 26.66 (23.46 - 30.13) 25.99 (22.72 - 29.56) 0.672
Catchment Area 2 38.01a (33.58 - 42.64) 32.69 (28.49 - 37.18) 0.013
Catchment Area 3 34.03 (30.02 - 38.27) 32.05 (28.17 - 36.20) 0.309
Catchment Area 4 34.51b (30.40 - 38.87) 31.45 (27.40 - 35.80) 0.098
Catchment Area 5 33.20 (29.40 - 37.23) 30.94 (27.45 - 34.66) 0.194
Catchment Area 6 36.77 (32.38 - 41.39) 34.89 (30.21 - 39.87) 0.364
Catchment Area 7 36.48 (31.96 - 41.26) 35.42 (30.62 - 40.53) 0.614
Catchment Area 8 33.14a (29.34 - 37.17) 28.68 (25.28 - 32.33) 0.014
California 17.37a (16.54 - 18.24) 15.34 (14.54 - 16.17) 0.000
Region 1R 25.48 (22.10 - 29.19) 24.81 (21.95 - 27.90) 0.667
Region 2R 19.33b (16.68 - 22.29) 17.31 (14.59 - 20.41) 0.086
Region 3R (Sacramento) 19.38 (17.00 - 22.00) 18.72 (16.25 - 21.47) 0.581
Region 4R 17.82b (15.35 - 20.59) 15.64 (13.25 - 18.37) 0.055
Region 5R (San Francisco) 16.34 (13.61 - 19.49) 14.91 (12.40 - 17.83) 0.259
Region 6 (Santa Clara) 12.76b (11.00 - 14.76) 11.20 (9.48 - 13.19) 0.078
Region 7R (Contra Costa) 16.01a (13.77 - 18.53) 13.90 (11.69 - 16.45) 0.044
Region 8R (Alameda) 14.90b (12.72 - 17.38) 13.01 (10.95 - 15.38) 0.066
Region 9R (San Mateo) 14.02 (11.71 - 16.70) 12.81 (10.71 - 15.25) 0.212
Region 10 17.72a (15.03 - 20.78) 14.76 (12.32 - 17.59) 0.009
Region 11 (Los Angeles) 16.04a (14.94 - 17.20) 14.21 (13.14 - 15.36) 0.001
LA SPA 1 and 5 16.35b (14.02 - 18.99) 14.57 (12.27 - 17.22) 0.089
LA SPA 2 15.59 (13.55 - 17.87) 14.20 (12.16 - 16.51) 0.177
LA SPA 3 14.03b (11.92 - 16.43) 12.30 (10.35 - 14.56) 0.073
LA SPA 4 17.68a (15.05 - 20.67) 14.76 (12.26 - 17.66) 0.018
LA SPA 6 18.99a (16.18 - 22.15) 15.99 (13.44 - 18.91) 0.016
LA SPA 7 15.28b (12.92 - 17.98) 13.31 (11.12 - 15.87) 0.068
LA SPA 8 16.35 (14.09 - 18.89) 15.40 (13.09 - 18.04) 0.407
Region 12R 20.93b (17.88 - 24.34) 18.77 (15.97 - 21.92) 0.093
Regions 13 and 19R 17.94 (15.75 - 20.35) 16.86 (14.74 - 19.21) 0.332
Region 14 (Orange) 15.27a (13.32 - 17.44) 12.78 (11.02 - 14.78) 0.008
Region 15R (Fresno) 19.33b (16.59 - 22.40) 17.04 (14.49 - 19.95) 0.052
Region 16R (San Diego) 18.17a (16.10 - 20.45) 15.48 (13.59 - 17.58) 0.008
Region 17R 21.46 (18.90 - 24.26) 19.50 (16.93 - 22.37) 0.130
Region 18R (San Bernardino) 19.86a (17.45 - 22.52) 16.23 (13.98 - 18.77) 0.002
Region 20R 20.12a (17.28 - 23.29) 17.67 (15.01 - 20.70) 0.049
Region 21R 18.78a (15.97 - 21.96) 15.87 (13.44 - 18.64) 0.014
Colorado 22.34a (20.57 - 24.23) 20.39 (18.69 - 22.21) 0.040
Region 1 22.11 (19.21 - 25.31) 20.84 (17.80 - 24.24) 0.382
Region 2 23.89 (20.25 - 27.96) 22.75 (19.14 - 26.81) 0.469
Region 3 22.02a (19.24 - 25.07) 17.15 (14.63 - 19.99) 0.001
Region 4 26.96 (22.96 - 31.37) 26.50 (22.42 - 31.02) 0.794
Region 5 22.49 (19.17 - 26.20) 21.41 (18.27 - 24.94) 0.497
Region 6 19.82 (17.15 - 22.79) 19.75 (16.87 - 22.98) 0.957
Region 7 23.10 (19.93 - 26.61) 21.60 (18.57 - 24.97) 0.322
Connecticut 22.19 (20.34 - 24.16) 21.26 (19.39 - 23.25) 0.338
Eastern 26.99a (23.28 - 31.05) 22.51 (19.01 - 26.44) 0.008
North Central 22.43 (19.70 - 25.41) 22.00 (19.23 - 25.04) 0.752
Northwestern 21.87 (18.83 - 25.25) 23.06 (19.87 - 26.60) 0.438
South Central 22.80 (19.75 - 26.17) 21.63 (18.64 - 24.95) 0.448
Southwest 18.36 (15.57 - 21.52) 17.39 (14.69 - 20.46) 0.477
Delaware 24.18 (22.27 - 26.18) 22.72 (20.89 - 24.67) 0.165
Kent 25.91 (22.62 - 29.49) 24.41 (21.20 - 27.93) 0.375
New Castle (excluding Wilmington City) 21.71 (19.48 - 24.12) 20.63 (18.45 - 22.99) 0.394
Sussex 26.89 (23.42 - 30.68) 24.47 (21.16 - 28.11) 0.165
Wilmington City 28.37 (24.14 - 33.02) 27.36 (22.97 - 32.23) 0.614
District of Columbia 23.69 (21.75 - 25.74) 22.63 (20.79 - 24.59) 0.290
Ward 1 22.24 (18.59 - 26.38) 21.25 (17.71 - 25.29) 0.561
Ward 2 22.85 (19.44 - 26.66) 21.14 (17.74 - 25.00) 0.295
Ward 3 19.00 (15.99 - 22.43) 19.40 (16.45 - 22.73) 0.789
Ward 4 20.94b (17.61 - 24.72) 18.25 (15.22 - 21.73) 0.085
Ward 5 25.77 (22.07 - 29.85) 24.74 (21.07 - 28.80) 0.542
Ward 6 20.73 (17.63 - 24.21) 20.48 (17.24 - 24.15) 0.881
Ward 7 27.86 (24.01 - 32.07) 25.41 (21.66 - 29.58) 0.179
Ward 8 31.20 (27.23 - 35.47) 31.14 (27.25 - 35.31) 0.975
Florida 21.70a (20.64 - 22.81) 20.09 (19.04 - 21.18) 0.006
Broward (Circuit 17) 18.75a (16.32 - 21.45) 15.03 (12.90 - 17.43) 0.001
Central I 19.83 (18.03 - 21.77) 18.76 (16.99 - 20.67) 0.251
Circuit 9 17.73 (15.65 - 20.03) 16.72 (14.62 - 19.06) 0.364
Circuit 18 22.93 (20.08 - 26.07) 21.82 (18.98 - 24.94) 0.438
Central II 23.40b (21.86 - 25.02) 21.86 (20.27 - 23.53) 0.055
Circuit 6 25.64 (22.66 - 28.86) 23.59 (20.67 - 26.79) 0.170
Circuit 10 26.35 (23.03 - 29.96) 24.39 (21.19 - 27.89) 0.200
Circuit 12 21.09 (18.15 - 24.36) 21.68 (18.54 - 25.19) 0.692
Circuit 13 (Hillsborough) 23.40a (20.72 - 26.32) 19.64 (17.15 - 22.39) 0.004
Circuit 20 20.50 (17.56 - 23.80) 20.81 (17.87 - 24.10) 0.837
Northeast 24.96 (23.06 - 26.97) 23.88 (22.02 - 25.85) 0.266
Circuit 4 24.51 (21.44 - 27.85) 23.35 (20.30 - 26.69) 0.423
Circuit 5 24.80 (21.59 - 28.32) 24.91 (21.73 - 28.39) 0.947
Circuit 7 24.58 (21.35 - 28.12) 22.51 (19.36 - 26.01) 0.190
Circuit 8 plus Columbia, Dixie, Hamilton,
   Lafayette, and Suwannee
26.90 (23.11 - 31.06) 25.20 (21.75 - 28.98) 0.298
Northwest 25.36 (23.20 - 27.64) 25.55 (23.27 - 27.97) 0.862
Circuit 1 23.73 (20.67 - 27.08) 24.81 (21.53 - 28.40) 0.474
Circuit 2 plus Madison and Taylor 24.95 (21.76 - 28.45) 24.95 (21.56 - 28.67) 0.997
Circuit 14 29.84 (25.77 - 34.26) 28.23 (24.17 - 32.68) 0.380
South (Circuits 11 and 16) 15.65b (13.75 - 17.77) 13.87 (12.12 - 15.84) 0.065
Southeast 21.58a (19.38 - 23.96) 19.09 (17.02 - 21.36) 0.015
Circuit 15 (Palm Beach) 20.34a (17.66 - 23.32) 17.00 (14.63 - 19.65) 0.007
Circuit 19 24.30 (21.06 - 27.86) 23.71 (20.03 - 27.84) 0.722
Georgia 25.37a (23.87 - 26.94) 23.69 (22.21 - 25.23) 0.036
Region 1 24.54b (22.19 - 27.06) 22.54 (20.23 - 25.02) 0.093
Region 2 27.12 (24.12 - 30.35) 27.18 (24.03 - 30.58) 0.969
Region 3 21.42a (19.17 - 23.85) 18.34 (16.19 - 20.70) 0.011
Region 4 31.48 (27.50 - 35.75) 30.97 (26.78 - 35.49) 0.787
Region 5 30.02 (26.52 - 33.76) 29.39 (25.85 - 33.21) 0.713
Region 6 27.30 (24.16 - 30.69) 26.32 (23.30 - 29.59) 0.523
Hawaii 19.10a (17.36 - 20.96) 16.54 (14.91 - 18.31) 0.007
Hawaii Island 21.14a (17.91 - 24.76) 17.76 (14.79 - 21.18) 0.028
Honolulu 18.29b (16.36 - 20.39) 16.29 (14.42 - 18.36) 0.065
Kauai 21.41a (17.81 - 25.51) 15.64 (12.69 - 19.11) 0.000
Maui 20.73a (17.43 - 24.46) 17.02 (14.04 - 20.47) 0.014
Idaho 21.82 (20.14 - 23.60) 21.91 (20.21 - 23.72) 0.919
Region 1 25.20 (21.70 - 29.06) 23.52 (19.92 - 27.55) 0.312
Region 2 23.64 (19.94 - 27.79) 23.58 (19.90 - 27.70) 0.970
Region 3 21.87 (18.99 - 25.05) 23.58 (20.50 - 26.97) 0.238
Region 4 21.76 (19.26 - 24.48) 20.46 (17.95 - 23.21) 0.318
Region 5 22.76 (19.57 - 26.31) 24.33 (21.02 - 27.97) 0.321
Region 6 21.09 (17.67 - 24.97) 22.11 (18.42 - 26.29) 0.515
Region 7 17.63 (14.96 - 20.68) 18.82 (16.11 - 21.86) 0.370
Illinois 23.76a (22.56 - 25.00) 21.01 (19.81 - 22.26) 0.000
Region 1 (Cook) 21.03a (19.53 - 22.62) 18.28 (16.76 - 19.91) 0.000
Region 1.1 (Far North Side) 20.70b (17.51 - 24.30) 18.01 (14.97 - 21.50) 0.067
Region 1.2 (Northwest Side) 21.14a (17.72 - 25.04) 17.47 (14.36 - 21.08) 0.009
Region 1.3 (North Central Side) 20.97a (17.67 - 24.71) 16.79 (13.63 - 20.51) 0.007
Region 1.4 (West Side) 24.47a (20.78 - 28.58) 20.03 (16.81 - 23.67) 0.006
Region 1.5 (South Side) 24.56a (21.10 - 28.38) 21.16 (17.96 - 24.76) 0.028
Region 1.6 (Southwest Side) 23.93a (20.52 - 27.71) 19.30 (15.87 - 23.28) 0.003
Region 1.7 (Suburban Cook) 19.11 (17.05 - 21.34) 17.49 (15.41 - 19.78) 0.137
Region 2 21.28a (19.71 - 22.93) 18.61 (17.13 - 20.19) 0.001
Region 2a (DuPage) 16.76a (14.41 - 19.39) 14.40 (12.22 - 16.89) 0.033
Region 2b 20.47b (18.41 - 22.70) 18.50 (16.45 - 20.75) 0.075
Region 2c (Winnebago) 28.71a (24.85 - 32.92) 24.59 (20.75 - 28.88) 0.018
Region 2d 27.14a (23.82 - 30.73) 22.44 (19.63 - 25.53) 0.001
Region 3 30.33a (27.65 - 33.16) 27.64 (25.05 - 30.39) 0.040
Region 3a (Champaign) 25.25a (21.78 - 29.07) 21.92 (18.45 - 25.83) 0.020
Region 3b 31.18b (28.16 - 34.36) 28.60 (25.69 - 31.70) 0.082
Region 4 30.72b (27.77 - 33.83) 27.93 (24.84 - 31.23) 0.062
Region 4a (Sangamon) 27.87 (23.94 - 32.17) 25.77 (22.08 - 29.84) 0.214
Region 4b 31.53b (28.10 - 35.18) 28.55 (24.89 - 32.51) 0.092
Region 5 30.91a (28.13 - 33.83) 28.00 (25.13 - 31.05) 0.030
Region 5a 27.09 (23.47 - 31.06) 24.51 (21.12 - 28.25) 0.119
Region 5b 33.97b (30.32 - 37.82) 30.80 (26.82 - 35.09) 0.076
Indiana 29.80a (27.85 - 31.82) 26.72 (24.80 - 28.73) 0.002
Central 23.97 (21.29 - 26.87) 22.07 (19.53 - 24.83) 0.181
East 33.56b (29.17 - 38.26) 29.86 (25.68 - 34.42) 0.052
North Central 31.61a (27.84 - 35.63) 27.98 (24.36 - 31.92) 0.035
Northeast 28.50a (24.91 - 32.39) 24.91 (21.24 - 28.98) 0.036
Northwest 30.06 (26.02 - 34.44) 27.18 (23.33 - 31.40) 0.111
Southeast 33.72 (29.46 - 38.26) 31.35 (27.34 - 35.66) 0.230
Southwest 31.66 (27.50 - 36.13) 30.54 (26.36 - 35.07) 0.559
West 34.30a (30.03 - 38.84) 27.97 (24.17 - 32.12) 0.001
Iowa 27.50 (25.60 - 29.48) 26.26 (24.36 - 28.25) 0.216
Central 25.42 (22.15 - 28.99) 25.49 (22.21 - 29.09) 0.964
North Central 26.38 (22.82 - 30.27) 25.84 (22.47 - 29.52) 0.743
Northeast 27.25 (24.26 - 30.46) 27.04 (23.89 - 30.44) 0.887
Northwest 29.18 (25.40 - 33.27) 26.92 (23.49 - 30.66) 0.196
Southeast 28.09 (24.96 - 31.44) 25.97 (22.79 - 29.44) 0.199
Southwest 29.28b (25.41 - 33.47) 25.87 (22.13 - 29.99) 0.057
Kansas 24.97 (23.13 - 26.91) 25.26 (23.34 - 27.28) 0.774
Northeast 21.77 (19.56 - 24.15) 22.28 (19.89 - 24.87) 0.673
Northwest and North Central 29.54 (25.13 - 34.36) 28.51 (24.45 - 32.94) 0.581
South Central 27.60 (24.70 - 30.69) 27.69 (24.75 - 30.85) 0.951
Southeast 30.65 (26.18 - 35.52) 32.00 (27.19 - 37.22) 0.521
Southwest 25.97 (22.02 - 30.35) 26.11 (22.14 - 30.51) 0.939
Kentucky 35.28 (33.21 - 37.41) 33.73 (31.61 - 35.91) 0.168
Adanta, Cumberland River, and Lifeskills 38.74 (34.83 - 42.81) 37.24 (33.21 - 41.46) 0.431
Bluegrass, Comprehend, and North Key 31.73 (28.58 - 35.05) 32.34 (29.28 - 35.55) 0.711
Centerstone 31.89a (28.60 - 35.37) 28.20 (25.17 - 31.45) 0.022
Communicare and River Valley 38.76 (34.16 - 43.58) 35.66 (31.24 - 40.35) 0.141
Four Rivers and Pennyroyal 36.24 (31.88 - 40.83) 35.23 (30.63 - 40.11) 0.625
Kentucky River, Mountain, and Pathways 41.93 (37.48 - 46.52) 40.05 (35.32 - 44.97) 0.392
Louisiana 30.67 (28.71 - 32.70) 29.61 (27.62 - 31.69) 0.321
Regions 1 and 10 26.76b (23.76 - 29.99) 24.16 (21.25 - 27.34) 0.056
Region 1 27.88b (23.91 - 32.22) 24.80 (21.20 - 28.78) 0.071
Region 10 (Jefferson) 25.54 (21.97 - 29.48) 23.43 (19.62 - 27.73) 0.220
Regions 2 and 9 29.95 (26.99 - 33.09) 29.22 (26.03 - 32.64) 0.655
Region 3 31.41 (27.55 - 35.54) 29.71 (25.73 - 34.02) 0.371
Regions 4, 5, and 6 33.93 (30.47 - 37.57) 33.31 (30.02 - 36.76) 0.713
Regions 7 and 8 30.94 (27.51 - 34.60) 30.79 (27.32 - 34.48) 0.927
Maine 24.30 (22.35 - 26.35) 23.32 (21.41 - 25.35) 0.335
Aroostook/Downeast 27.14 (24.03 - 30.50) 25.66 (22.49 - 29.10) 0.326
Aroostook 29.70 (25.53 - 34.24) 29.87 (25.42 - 34.74) 0.934
Downeast 25.07 (21.23 - 29.35) 22.27 (18.59 - 26.45) 0.122
Central 27.04 (23.35 - 31.09) 26.75 (22.97 - 30.91) 0.871
Cumberland 21.07b (18.26 - 24.18) 18.39 (15.69 - 21.45) 0.056
Midcoast 22.45 (19.13 - 26.16) 21.71 (18.44 - 25.38) 0.642
Penquis 25.67 (21.99 - 29.74) 25.49 (22.00 - 29.34) 0.917
Western 26.74 (23.23 - 30.56) 26.56 (23.03 - 30.42) 0.918
York 22.11 (18.92 - 25.66) 21.80 (18.52 - 25.48) 0.843
Maryland 22.20a (20.48 - 24.02) 19.38 (17.77 - 21.10) 0.002
Anne Arundel 22.79a (19.33 - 26.66) 18.33 (15.20 - 21.93) 0.003
Baltimore City 31.33a (27.52 - 35.41) 26.84 (23.18 - 30.86) 0.011
Baltimore County 23.08 (19.66 - 26.89) 20.64 (17.43 - 24.27) 0.118
Montgomery 14.40 (12.08 - 17.07) 13.43 (11.23 - 15.98) 0.414
North Central 19.22a (16.27 - 22.56) 16.21 (13.55 - 19.28) 0.024
Northeast 23.32 (19.68 - 27.40) 21.70 (18.03 - 25.87) 0.349
Prince George's 20.52a (17.47 - 23.95) 16.86 (14.16 - 19.97) 0.016
South 24.29 (20.86 - 28.10) 21.80 (18.53 - 25.47) 0.131
West 27.02b (23.39 - 30.98) 24.09 (20.71 - 27.83) 0.077
Massachusetts 21.15 (19.39 - 23.02) 20.53 (18.79 - 22.39) 0.498
Boston 21.64b (18.31 - 25.40) 18.65 (15.56 - 22.21) 0.053
Central 22.70 (19.63 - 26.09) 23.06 (19.75 - 26.75) 0.810
Metrowest 17.48 (14.96 - 20.33) 17.77 (15.30 - 20.55) 0.812
Northeast 19.63 (16.96 - 22.62) 17.90 (15.19 - 20.98) 0.206
Southeast 23.95 (20.80 - 27.42) 23.28 (20.02 - 26.88) 0.662
Western 24.00 (20.57 - 27.80) 25.02 (21.66 - 28.71) 0.538
Michigan 27.38a (26.11 - 28.69) 25.32 (24.04 - 26.64) 0.003
Region 1 32.24 (28.26 - 36.50) 32.00 (27.51 - 36.85) 0.895
Region 2 29.15 (25.39 - 33.21) 28.18 (24.68 - 31.96) 0.559
Region 3 25.48 (22.95 - 28.17) 24.13 (21.51 - 26.96) 0.326
Region 4 30.30b (27.19 - 33.61) 27.47 (24.52 - 30.64) 0.062
Region 5 29.59 (27.20 - 32.10) 27.80 (25.28 - 30.46) 0.163
Region 6 23.47 (20.68 - 26.52) 21.51 (18.78 - 24.51) 0.135
Region 7 27.44 (24.83 - 30.22) 26.45 (23.77 - 29.31) 0.467
Region 8 21.18a (18.69 - 23.90) 18.11 (15.69 - 20.81) 0.013
Region 9 28.61a (25.47 - 31.96) 24.58 (21.55 - 27.88) 0.008
Region 10 32.27b (28.84 - 35.90) 29.33 (25.78 - 33.15) 0.070
Minnesota 24.64a (22.79 - 26.59) 21.90 (20.22 - 23.69) 0.002
Regions 1 and 2 29.48b (25.91 - 33.31) 26.69 (23.38 - 30.29) 0.059
Region 1 28.91 (24.58 - 33.66) 27.02 (22.98 - 31.48) 0.280
Region 2 29.82b (25.40 - 34.65) 26.49 (22.28 - 31.18) 0.074
Regions 3 and 4 28.71b (25.58 - 32.07) 26.14 (23.24 - 29.27) 0.063
Region 3 29.12a (24.62 - 34.06) 25.52 (21.44 - 30.08) 0.047
Region 4 28.50 (24.87 - 32.42) 26.47 (23.02 - 30.24) 0.226
Regions 5 and 6 26.46 (23.50 - 29.66) 26.03 (23.22 - 29.05) 0.740
Region 5 27.04 (23.17 - 31.30) 27.20 (23.40 - 31.37) 0.928
Region 6 25.87 (22.09 - 30.06) 24.84 (21.34 - 28.70) 0.525
Region 7 21.87a (19.86 - 24.04) 18.36 (16.55 - 20.33) 0.000
Region 7A (Hennepin) 20.74a (18.08 - 23.68) 17.28 (14.85 - 20.01) 0.007
Region 7B (Ramsey) 23.70 (20.34 - 27.43) 22.23 (18.97 - 25.88) 0.327
Region 7C 22.21a (19.39 - 25.30) 17.76 (15.22 - 20.61) 0.001
Mississippi 31.42 (29.44 - 33.46) 31.72 (29.66 - 33.85) 0.781
Region 1 32.98 (29.60 - 36.54) 33.54 (30.21 - 37.04) 0.745
Region 2 30.98 (27.12 - 35.14) 30.66 (26.87 - 34.73) 0.863
Region 3 32.64 (28.87 - 36.64) 32.88 (28.89 - 37.13) 0.900
Region 4 27.21 (24.01 - 30.65) 25.08 (21.87 - 28.60) 0.183
Region 5 34.43 (29.80 - 39.38) 37.85 (32.41 - 43.60) 0.106
Region 6 33.30 (29.42 - 37.43) 32.64 (28.49 - 37.07) 0.736
Region 7 31.02 (27.29 - 35.01) 33.82 (29.84 - 38.04) 0.130
Missouri 29.89a (27.89 - 31.97) 25.92 (24.09 - 27.84) 0.000
Central 30.64a (27.02 - 34.52) 27.20 (23.91 - 30.76) 0.049
Eastern 27.99a (25.30 - 30.85) 22.36 (19.91 - 25.01) 0.000
Eastern (St. Louis City and County) 27.40a (24.08 - 30.99) 20.39 (17.50 - 23.63) 0.000
Eastern (excluding St. Louis) 28.99b (25.45 - 32.80) 25.66 (22.26 - 29.38) 0.052
Northwest 29.55a (26.65 - 32.64) 26.59 (23.80 - 29.59) 0.033
Northwest (Jackson) 28.54 (24.96 - 32.40) 27.24 (23.62 - 31.18) 0.458
Northwest (excluding Jackson) 30.41a (26.51 - 34.61) 26.05 (22.45 - 30.01) 0.012
Southeast 34.67 (30.64 - 38.93) 31.89 (27.90 - 36.17) 0.155
Southwest 30.38b (26.73 - 34.30) 27.16 (23.66 - 30.96) 0.060
Montana 28.51 (26.46 - 30.64) 27.15 (25.31 - 29.06) 0.183
Region 1 33.65 (29.08 - 38.55) 30.56 (26.19 - 35.32) 0.124
Region 2 29.72 (25.99 - 33.74) 29.04 (25.30 - 33.10) 0.690
Region 3 28.00 (24.81 - 31.43) 27.01 (23.97 - 30.28) 0.530
Region 4 27.45 (24.25 - 30.91) 27.71 (24.75 - 30.87) 0.869
Region 5 27.87a (24.87 - 31.08) 24.98 (22.26 - 27.92) 0.046
Nebraska 27.48a (25.57 - 29.47) 25.13 (23.23 - 27.13) 0.020
Regions 1 and 2 30.80 (27.18 - 34.68) 30.02 (26.22 - 34.11) 0.613
Region 1 30.34 (25.81 - 35.28) 30.35 (25.51 - 35.67) 0.995
Region 2 31.21 (26.67 - 36.14) 29.72 (25.10 - 34.80) 0.435
Region 3 28.48 (24.88 - 32.37) 28.82 (25.11 - 32.84) 0.842
Region 4 28.40b (24.45 - 32.72) 25.24 (21.65 - 29.22) 0.079
Region 5 27.83a (24.85 - 31.02) 24.31 (21.29 - 27.61) 0.019
Region 6 25.93b (23.29 - 28.75) 23.36 (20.97 - 25.94) 0.059
Nevada 24.16 (22.13 - 26.31) 24.20 (22.14 - 26.39) 0.967
Clark – Region 1 22.98 (20.71 - 25.42) 23.25 (20.96 - 25.71) 0.838
Region 3 29.54 (25.75 - 33.63) 27.93 (24.24 - 31.95) 0.346
Capital District 28.08 (23.50 - 33.16) 27.40 (22.82 - 32.52) 0.746
Rural/Frontier 30.86 (26.07 - 36.09) 28.41 (23.77 - 33.54) 0.244
Washoe – Region 2 25.36 (21.98 - 29.07) 25.71 (22.11 - 29.67) 0.844
New Hampshire 24.21a (22.35 - 26.17) 21.62 (19.80 - 23.56) 0.006
Central 26.12a (23.50 - 28.92) 23.66 (20.98 - 26.56) 0.050
Central 1 26.60 (23.16 - 30.35) 24.33 (20.94 - 28.07) 0.156
Central 2 25.65b (22.40 - 29.20) 22.99 (19.65 - 26.72) 0.083
Northern 25.89 (22.33 - 29.80) 23.53 (20.14 - 27.29) 0.145
Southern 22.91a (20.73 - 25.26) 20.22 (18.13 - 22.47) 0.012
Southern 1 (Rockingham) 21.37 (18.36 - 24.73) 19.51 (16.63 - 22.74) 0.197
Southern 2 23.88a (21.28 - 26.68) 20.66 (18.07 - 23.51) 0.015
New Jersey 20.57 (19.06 - 22.16) 19.68 (18.19 - 21.26) 0.283
Central 22.16b (19.59 - 24.96) 19.89 (17.43 - 22.61) 0.094
Metropolitan 18.65 (16.35 - 21.21) 18.43 (16.04 - 21.09) 0.860
Northern 18.54 (16.47 - 20.81) 17.64 (15.51 - 20.00) 0.425
Southern 24.18 (21.45 - 27.13) 24.09 (21.28 - 27.14) 0.950
New Mexico 25.34 (23.41 - 27.37) 25.42 (23.42 - 27.53) 0.936
Region 1 26.34 (23.06 - 29.90) 26.98 (23.53 - 30.74) 0.683
Region 2 21.91 (18.72 - 25.47) 22.14 (18.76 - 25.94) 0.884
Region 3 (Bernalillo) 25.25 (22.41 - 28.33) 24.99 (22.16 - 28.05) 0.859
Region 4 28.23 (24.52 - 32.26) 26.98 (23.43 - 30.85) 0.449
Region 5 25.12 (22.28 - 28.20) 25.89 (22.76 - 29.30) 0.589
Region 5a 27.01 (23.08 - 31.32) 28.33 (24.12 - 32.95) 0.464
Region 5b (Dona Ana) 23.42 (20.08 - 27.12) 23.73 (20.13 - 27.75) 0.855
New York 22.39a (21.29 - 23.52) 19.13 (18.09 - 20.21) 0.000
Region 1: Long Island 18.81a (16.70 - 21.11) 16.03 (14.12 - 18.14) 0.012
Region 2: New York City 19.68a (18.29 - 21.16) 16.00 (14.68 - 17.40) 0.000
Region 2A: Bronx 19.85a (17.31 - 22.68) 15.79 (13.51 - 18.38) 0.001
Region 2B: Kings 20.23a (17.84 - 22.86) 15.11 (13.18 - 17.26) 0.000
Region 2C: New York 21.05a (18.31 - 24.08) 16.86 (14.35 - 19.70) 0.002
Region 2D: Queens 17.67 (15.34 - 20.27) 15.89 (13.57 - 18.53) 0.135
Region 2E: Richmond 21.14 (18.04 - 24.62) 18.83 (15.66 - 22.46) 0.110
Region 3: Mid-Hudson 20.37a (18.10 - 22.86) 16.09 (14.01 - 18.42) 0.000
Region 4: Capital Region 28.37a (25.08 - 31.90) 24.59 (21.61 - 27.83) 0.014
Region 5: Mohawk Valley 32.77a (28.53 - 37.30) 28.38 (23.93 - 33.29) 0.017
Region 6: North Country 32.55a (28.22 - 37.20) 28.11 (24.19 - 32.40) 0.017
Region 7: Tug Hill Seaway 31.95b (28.12 - 36.04) 29.03 (24.91 - 33.53) 0.096
Region 8: Central 29.87a (26.61 - 33.35) 26.10 (23.20 - 29.23) 0.017
Region 9: Southern Tier 29.08a (25.47 - 32.98) 24.89 (21.53 - 28.58) 0.009
Region 10: Finger Lakes 24.72 (21.86 - 27.81) 23.35 (20.81 - 26.10) 0.352
Region 11: Western 29.03 (26.34 - 31.87) 28.81 (25.87 - 31.94) 0.884
North Carolina 25.84 (24.25 - 27.50) 24.75 (23.22 - 26.35) 0.176
Alliance Behavioral Healthcare 1 24.59 (21.39 - 28.10) 22.07 (18.90 - 25.60) 0.102
Alliance Behavioral Healthcare 2 18.00 (15.29 - 21.08) 17.07 (14.50 - 19.99) 0.474
Cardinal Innovations Healthcare Solutions 1 25.54 (22.06 - 29.35) 25.12 (21.67 - 28.92) 0.793
Cardinal Innovations Healthcare Solutions 2 25.54 (22.12 - 29.28) 26.14 (22.60 - 30.02) 0.709
Cardinal Innovations Healthcare Solutions 3 22.44b (19.44 - 25.77) 19.98 (17.08 - 23.23) 0.088
CenterPoint Human Services 26.71 (23.11 - 30.64) 25.68 (22.05 - 29.69) 0.551
Eastpointe 29.53 (25.84 - 33.50) 30.82 (26.94 - 34.99) 0.481
Partners Behavioral Health Management 28.49 (24.91 - 32.36) 27.72 (24.22 - 31.52) 0.633
Sandhills Center 1 30.12 (25.97 - 34.62) 27.96 (24.21 - 32.05) 0.222
Sandhills Center 2 24.50 (20.91 - 28.49) 22.20 (18.76 - 26.08) 0.129
Smoky Mountain Center 1 30.22 (26.32 - 34.43) 30.21 (26.34 - 34.38) 0.993
Smoky Mountain Center 2 25.21 (21.60 - 29.21) 25.31 (21.36 - 29.72) 0.953
Trillium Health Resources 1 27.64 (24.17 - 31.41) 25.83 (22.27 - 29.74) 0.271
Trillium Health Resources 2 28.19 (24.20 - 32.55) 25.87 (22.09 - 30.04) 0.179
North Dakota 29.85a (27.98 - 31.79) 26.30 (24.38 - 28.31) 0.000
Badlands and West Central 29.43a (26.71 - 32.30) 25.68 (22.84 - 28.75) 0.008
Badlands 30.07b (25.75 - 34.77) 26.86 (22.61 - 31.59) 0.087
West Central 29.24a (26.20 - 32.49) 25.33 (22.16 - 28.80) 0.014
Lake Region 32.57 (28.17 - 37.31) 33.00 (28.22 - 38.17) 0.834
North Central 31.72a (28.03 - 35.67) 26.70 (22.85 - 30.93) 0.004
Northeast 31.63a (28.07 - 35.41) 25.81 (22.28 - 29.68) 0.001
Northwest 32.27b (27.56 - 37.37) 28.97 (24.83 - 33.48) 0.082
South Central 30.33 (26.06 - 34.96) 29.42 (25.31 - 33.90) 0.631
Southeast 27.32a (24.53 - 30.30) 24.13 (21.39 - 27.10) 0.024
Ohio 29.86a (28.54 - 31.22) 27.40 (26.12 - 28.71) 0.001
Boards 2, 46, 55, and 68 33.26b (29.14 - 37.64) 29.94 (25.98 - 34.23) 0.067
Boards 3, 52, and 85 25.36b (21.77 - 29.31) 22.54 (19.34 - 26.08) 0.073
Boards 4 and 78 34.26 (30.05 - 38.73) 33.33 (29.47 - 37.42) 0.628
Boards 5 and 60 35.01 (30.86 - 39.39) 35.68 (31.50 - 40.09) 0.718
Boards 7, 15, 41, 79, and 84 34.35a (30.43 - 38.50) 29.99 (25.88 - 34.44) 0.014
Boards 8, 13, and 83 26.79 (23.30 - 30.58) 25.49 (21.91 - 29.44) 0.428
Board 9 (Butler) 28.89 (25.20 - 32.88) 27.27 (23.56 - 31.32) 0.323
Board 12 28.37 (24.51 - 32.58) 28.79 (24.80 - 33.13) 0.809
Boards 18 and 47 28.78a (25.97 - 31.76) 25.31 (22.67 - 28.15) 0.012
Boards 20, 32, 54, and 69 33.51a (29.68 - 37.57) 27.88 (24.34 - 31.72) 0.002
Boards 21, 39, 51, 70, and 80 29.45a (25.85 - 33.33) 25.77 (22.49 - 29.34) 0.020
Boards 22, 74, and 87 34.22a (30.30 - 38.37) 29.37 (25.93 - 33.05) 0.004
Boards 23 and 45 30.30a (26.59 - 34.28) 26.97 (23.07 - 31.25) 0.049
Board 25 (Franklin) 26.81a (24.01 - 29.81) 23.66 (21.00 - 26.54) 0.023
Boards 27, 71, and 73 35.93 (31.71 - 40.38) 35.36 (31.30 - 39.65) 0.764
Boards 28, 43, and 67 27.67 (24.27 - 31.34) 26.35 (22.78 - 30.25) 0.411
Board 31 (Hamilton) 28.24b (25.18 - 31.53) 25.30 (22.20 - 28.67) 0.061
Board 48 (Lucas) 32.22 (28.38 - 36.31) 30.77 (26.79 - 35.05) 0.404
Boards 50 and 76 31.40 (27.91 - 35.12) 30.35 (26.81 - 34.14) 0.525
Board 57 (Montgomery) 28.97 (25.34 - 32.89) 27.56 (23.97 - 31.47) 0.391
Board 77 (Summit) 25.39 (22.07 - 29.03) 23.84 (20.50 - 27.54) 0.310
Oklahoma 31.54a (29.54 - 33.61) 29.48 (27.49 - 31.55) 0.046
Central 29.45b (25.69 - 33.52) 26.53 (22.94 - 30.46) 0.085
East Central 34.93 (30.85 - 39.25) 34.70 (30.22 - 39.46) 0.903
Northeast 31.45 (27.61 - 35.55) 29.65 (25.93 - 33.66) 0.305
Northwest and Southwest 37.54a (33.55 - 41.69) 33.62 (29.63 - 37.84) 0.042
Oklahoma County 27.46 (24.18 - 31.01) 25.09 (21.74 - 28.77) 0.137
Southeast 34.81 (30.95 - 38.89) 36.07 (32.13 - 40.20) 0.519
Tulsa County 27.70a (24.28 - 31.41) 24.19 (20.91 - 27.79) 0.028
Oregon 22.66 (20.84 - 24.59) 22.10 (20.33 - 23.98) 0.549
Region 1 (Multnomah) 21.55 (18.72 - 24.67) 20.42 (17.54 - 23.64) 0.419
Region 2 18.36b (15.86 - 21.14) 16.24 (13.88 - 18.90) 0.097
Region 3 24.45 (21.63 - 27.51) 25.41 (22.63 - 28.39) 0.513
Region 4 25.75 (22.30 - 29.53) 27.24 (23.39 - 31.46) 0.405
Region 5 (Central) 21.93 (18.12 - 26.29) 19.94 (16.27 - 24.19) 0.207
Region 6 (Eastern) 27.35a (23.38 - 31.71) 23.84 (20.01 - 28.14) 0.045
Pennsylvania 27.11b (25.82 - 28.43) 25.88 (24.57 - 27.23) 0.095
Region 1 (Allegheny) 26.49 (23.48 - 29.73) 26.25 (23.27 - 29.46) 0.876
Regions 3, 8, 9, and 51 31.16 (27.74 - 34.80) 29.30 (25.81 - 33.05) 0.275
Regions 4, 11, 37, and 49 28.05 (24.64 - 31.73) 28.04 (24.65 - 31.71) 0.997
Regions 5, 18, 23, 24, and 46 27.08 (23.85 - 30.56) 28.44 (25.15 - 31.99) 0.398
Regions 6, 12, 16, 31, 35, 45, and 47 31.40 (27.86 - 35.16) 29.61 (26.03 - 33.47) 0.309
Regions 7, 13, 20, and 33 20.01a (17.99 - 22.19) 17.73 (15.75 - 19.89) 0.037
Regions 10, 15, 27, 32, 43, and 44 33.08 (29.12 - 37.29) 32.36 (28.42 - 36.56) 0.699
Regions 17 and 21 30.66 (26.58 - 35.06) 30.86 (26.56 - 35.53) 0.909
Regions 19, 26, 28, and 42 27.91 (25.10 - 30.92) 26.48 (23.76 - 29.39) 0.302
Regions 22, 38, 40, 41, and 48 30.24 (26.83 - 33.89) 28.85 (25.31 - 32.68) 0.406
Regions 29 and 34 25.39 (21.93 - 29.20) 22.98 (19.63 - 26.71) 0.126
Regions 30 and 50 31.10 (27.45 - 35.01) 31.59 (27.72 - 35.74) 0.791
Region 36 (Philadelphia) 28.60 (25.61 - 31.78) 26.52 (23.52 - 29.76) 0.178
Rhode Island 23.82b (21.86 - 25.91) 22.08 (20.22 - 24.05) 0.056
Region 1: Southern Providence County 22.88 (19.66 - 26.45) 23.14 (19.77 - 26.89) 0.863
Region 2: Northern Providence County/
   Blackstone Valley
26.07 (22.65 - 29.82) 24.03 (20.92 - 27.43) 0.185
Region 3: Providence 23.12 (19.70 - 26.93) 21.58 (18.38 - 25.15) 0.264
Region 4: Kent County 26.27a (22.82 - 30.04) 22.32 (19.16 - 25.84) 0.016
Region 5: East Bay 23.98 (20.51 - 27.83) 21.66 (18.29 - 25.46) 0.117
Region 6: Newport County 20.32 (17.16 - 23.90) 19.62 (16.32 - 23.40) 0.633
Region 7: South County 21.20 (18.18 - 24.57) 19.37 (16.26 - 22.91) 0.200
South Carolina 28.73 (26.86 - 30.69) 27.12 (25.16 - 29.17) 0.120
Region 1 30.67 (27.65 - 33.86) 29.76 (26.70 - 33.01) 0.554
Region 2 27.91 (24.90 - 31.12) 25.39 (22.37 - 28.65) 0.106
Region 3 28.94 (25.54 - 32.60) 29.25 (25.67 - 33.11) 0.863
Region 4 27.10b (24.30 - 30.10) 24.27 (21.43 - 27.36) 0.056
South Dakota 28.55 (26.59 - 30.59) 27.16 (25.26 - 29.15) 0.171
Region 1 30.03 (26.86 - 33.40) 28.61 (25.35 - 32.10) 0.379
Region 2 29.85 (25.91 - 34.12) 33.06 (28.68 - 37.76) 0.103
Region 3 28.31 (25.14 - 31.72) 26.65 (23.60 - 29.94) 0.312
Region 4 30.58b (26.84 - 34.60) 27.53 (23.83 - 31.58) 0.089
Region 5 26.04 (23.01 - 29.31) 24.24 (21.51 - 27.19) 0.234
Tennessee 29.41 (27.41 - 31.49) 28.90 (26.95 - 30.93) 0.626
Region 1 32.20 (28.09 - 36.62) 31.16 (26.77 - 35.91) 0.582
Region 2 31.59 (27.90 - 35.52) 31.64 (28.07 - 35.44) 0.978
Region 3 30.09 (26.56 - 33.88) 30.67 (27.09 - 34.51) 0.744
Region 4 (Davidson) 26.16 (22.29 - 30.44) 24.57 (20.78 - 28.79) 0.366
Region 5 29.56 (26.41 - 32.91) 28.34 (25.24 - 31.67) 0.461
Region 6 32.62 (28.45 - 37.08) 32.54 (28.28 - 37.12) 0.969
Region 7 (Shelby) 24.04 (20.69 - 27.75) 23.68 (20.28 - 27.45) 0.823
Texas 23.20a (22.17 - 24.25) 22.05 (21.05 - 23.07) 0.035
Region 1 27.78 (24.27 - 31.58) 28.28 (24.69 - 32.17) 0.761
Region 2 33.59 (29.61 - 37.82) 32.53 (28.32 - 37.04) 0.566
Region 3 21.49 (19.96 - 23.09) 20.20 (18.75 - 21.74) 0.109
Region 3a 20.16 (18.30 - 22.17) 18.78 (17.03 - 20.66) 0.165
Region 3bc 23.83 (21.52 - 26.30) 22.75 (20.47 - 25.21) 0.359
Region 4 32.44 (29.03 - 36.05) 31.52 (27.95 - 35.33) 0.598
Region 5 29.17 (25.44 - 33.22) 31.73 (27.84 - 35.90) 0.169
Region 6 21.04 (19.32 - 22.87) 19.69 (18.04 - 21.46) 0.124
Region 6a 20.59 (18.74 - 22.56) 19.29 (17.52 - 21.19) 0.170
Region 6bc 24.91 (21.39 - 28.80) 23.20 (19.87 - 26.90) 0.257
Region 7 24.63b (22.55 - 26.83) 22.70 (20.65 - 24.88) 0.054
Region 7a 21.96 (19.45 - 24.69) 20.56 (18.00 - 23.39) 0.264
Region 7bcd 29.34b (26.05 - 32.86) 26.56 (23.42 - 29.95) 0.062
Region 8 22.77 (20.48 - 25.24) 22.36 (19.94 - 24.98) 0.740
Region 9 28.40a (24.66 - 32.48) 24.78 (21.28 - 28.65) 0.020
Region 10 20.19b (17.37 - 23.35) 17.80 (15.18 - 20.76) 0.059
Region 11 21.79 (19.55 - 24.21) 21.18 (19.06 - 23.48) 0.575
Region 11abd 22.91 (19.97 - 26.15) 21.24 (18.48 - 24.28) 0.236
Region 11c (Hidalgo) 19.86 (16.90 - 23.21) 21.10 (18.13 - 24.40) 0.365
Utah 14.73 (13.27 - 16.32) 14.41 (12.98 - 15.97) 0.696
Bear River, Northeastern, Summit, Tooele, and Wasatch 15.75 (12.81 - 19.21) 13.96 (11.48 - 16.88) 0.183
Central, Four Corners, San Juan, and Southwest 16.58 (14.03 - 19.48) 16.20 (13.66 - 19.10) 0.757
Central, Four Corners, and San Juan 18.16 (14.84 - 22.04) 18.06 (14.61 - 22.13) 0.948
Southwest 15.59 (12.64 - 19.08) 15.06 (12.15 - 18.51) 0.699
Davis County 13.03 (10.58 - 15.94) 13.31 (10.79 - 16.31) 0.812
Salt Lake County 15.04 (13.23 - 17.05) 15.30 (13.33 - 17.50) 0.812
Utah County 12.13 (10.05 - 14.58) 11.29 (9.36 - 13.57) 0.387
Weber, Morgan 17.04 (14.21 - 20.31) 16.74 (13.83 - 20.12) 0.835
Vermont 27.17b (25.22 - 29.21) 25.24 (23.34 - 27.24) 0.058
Champlain Valley 25.72 (23.24 - 28.37) 23.64 (21.03 - 26.46) 0.109
Rural Northeast 31.08 (27.39 - 35.02) 28.62 (25.34 - 32.14) 0.159
Rural Southeast 24.47 (21.33 - 27.92) 22.93 (19.84 - 26.33) 0.333
Rural Southwest 28.56 (24.91 - 32.52) 27.37 (23.83 - 31.23) 0.502
Virginia 24.74a (23.29 - 26.26) 21.44 (20.05 - 22.89) 0.000
Region 1 25.16b (22.36 - 28.19) 22.74 (20.07 - 25.66) 0.085
Region 2 15.60a (13.65 - 17.78) 12.94 (11.14 - 14.98) 0.008
Region 3 35.09a (31.84 - 38.49) 29.96 (26.94 - 33.17) 0.002
Region 4 26.66a (23.88 - 29.64) 23.70 (20.96 - 26.68) 0.041
Region 5 26.89a (24.16 - 29.81) 23.51 (20.93 - 26.31) 0.017
Washington 20.93 (19.18 - 22.80) 21.08 (19.34 - 22.94) 0.871
Region 1 23.49 (20.72 - 26.50) 24.48 (21.71 - 27.47) 0.472
Greater Columbia and North Central 21.26 (18.03 - 24.88) 22.36 (19.18 - 25.90) 0.492
Spokane 26.77 (22.88 - 31.05) 27.63 (23.55 - 32.12) 0.649
Region 2 17.06 (15.13 - 19.19) 17.70 (15.73 - 19.85) 0.545
King 15.33 (13.17 - 17.77) 16.44 (14.20 - 18.95) 0.358
North Sound 20.12 (17.13 - 23.49) 19.95 (16.93 - 23.36) 0.907
Region 3 24.74 (22.35 - 27.30) 23.67 (21.30 - 26.21) 0.361
Pierce 25.01 (21.85 - 28.45) 23.31 (19.90 - 27.11) 0.285
Salish 22.40 (18.84 - 26.43) 23.19 (19.24 - 27.68) 0.634
SW WA and Great Rivers 26.19 (22.40 - 30.36) 24.51 (21.14 - 28.22) 0.323
Thurston-Mason 23.56 (19.53 - 28.14) 23.26 (19.22 - 27.85) 0.866
West Virginia 37.61 (35.36 - 39.93) 36.81 (34.62 - 39.05) 0.509
Region I 36.51 (31.70 - 41.61) 37.29 (32.66 - 42.17) 0.712
Region II 31.54 (27.63 - 35.73) 31.04 (27.17 - 35.19) 0.785
Region III 37.42 (32.98 - 42.08) 37.10 (32.42 - 42.05) 0.883
Region IV 39.75 (36.02 - 43.60) 36.96 (33.18 - 40.90) 0.146
Region V 37.91 (34.36 - 41.60) 37.17 (33.77 - 40.70) 0.688
Region VI 39.88 (36.06 - 43.83) 40.26 (36.22 - 44.43) 0.851
Wisconsin 25.54 (23.68 - 27.50) 24.34 (22.40 - 26.39) 0.224
Milwaukee 25.68 (22.38 - 29.27) 24.23 (20.75 - 28.08) 0.374
Northeastern 25.85 (22.69 - 29.28) 24.65 (21.41 - 28.20) 0.446
Northern 28.61 (24.66 - 32.91) 27.37 (23.42 - 31.72) 0.491
Southeastern 23.61 (20.49 - 27.05) 22.35 (19.33 - 25.70) 0.420
Southern 23.76 (20.79 - 27.01) 23.01 (19.99 - 26.34) 0.633
Western 28.39 (24.64 - 32.45) 26.92 (23.28 - 30.91) 0.403
Wyoming 29.60a (27.55 - 31.73) 27.40 (25.42 - 29.48) 0.043
Judicial District 1 (Laramie) 29.96a (26.20 - 34.02) 25.97 (22.53 - 29.73) 0.024
Judicial District 2 28.22 (24.64 - 32.09) 25.76 (22.23 - 29.64) 0.144
Judicial District 3 27.48 (23.80 - 31.49) 26.22 (22.53 - 30.28) 0.498
Judicial District 4 27.36 (23.16 - 32.01) 24.79 (20.87 - 29.17) 0.144
Judicial District 5 27.53 (23.93 - 31.45) 26.23 (22.51 - 30.33) 0.449
Judicial District 6 34.15 (29.93 - 38.64) 31.31 (27.17 - 35.78) 0.169
Judicial District 7 (Natrona) 32.19 (28.40 - 36.24) 29.42 (25.78 - 33.34) 0.124
Judicial District 8 30.91 (26.58 - 35.60) 31.43 (27.18 - 36.02) 0.798
Judicial District 9 28.01 (24.22 - 32.14) 26.44 (22.83 - 30.41) 0.395
SPA = service planning area.
NOTE: The definitions of the substate regions listed in this table are provided in the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
NOTE: Substate, state, and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and are generated by Markov Chain Monte Carlo techniques, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2014-2016 and 2016-2018 population percentages. The "Total U.S." estimates, along with the 95 percent confidence intervals and the p values, are based on design-based (direct) estimation methods.
NOTE: Tobacco Products include cigarettes, smokeless tobacco (i.e., snuff, dip, chewing tobacco, or snus), cigars, or pipe tobacco.
a Difference between the 2014-2016 and 2016-2018 population percentages is statistically significant at the 0.05 level.
b Difference between the 2014-2016 and 2016-2018 population percentages is statistically significant at the 0.10 level.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2014-2018.
200324
Table 8 – Cigarette Use in the Past Month among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2014-2016 and 2016-2018 NSDUHs
State/Substate Region 2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
2016-2018
(Estimate)
2016-2018
(95% Confidence
Interval)
P Value
Total United States 19.76a (19.45 - 20.07) 18.03 (17.73 - 18.33) 0.000
Northeast 19.04a (18.40 - 19.70) 17.05 (16.48 - 17.64) 0.000
Midwest 22.01a (21.39 - 22.64) 19.82 (19.31 - 20.34) 0.000
South 21.13a (20.58 - 21.69) 19.55 (19.13 - 19.97) 0.000
West 16.11a (15.51 - 16.74) 14.76 (14.25 - 15.28) 0.000
Alabama 23.24 (21.45 - 25.13) 23.63 (21.84 - 25.53) 0.701
Region 1 24.77 (21.67 - 28.15) 25.33 (22.33 - 28.57) 0.742
Region 2 23.87 (21.05 - 26.94) 24.16 (21.24 - 27.34) 0.859
Region 3 19.98 (16.93 - 23.42) 21.43 (18.38 - 24.84) 0.379
Region 4 23.02 (20.03 - 26.31) 22.50 (19.50 - 25.82) 0.756
Alaska 24.42a (22.59 - 26.35) 19.16 (17.53 - 20.89) 0.000
Anchorage 21.19a (18.85 - 23.74) 15.85 (13.79 - 18.16) 0.000
Northern 30.57a (27.04 - 34.35) 24.99 (21.81 - 28.46) 0.002
South Central 24.59a (21.62 - 27.82) 19.80 (17.13 - 22.76) 0.002
Southeast 23.61a (19.83 - 27.86) 18.09 (14.89 - 21.81) 0.001
Arizona 18.48 (16.84 - 20.25) 17.27 (15.56 - 19.11) 0.182
Central 17.38a (15.46 - 19.48) 14.97 (13.07 - 17.09) 0.025
North 21.88 (18.17 - 26.11) 22.55 (18.80 - 26.79) 0.719
South 19.36 (16.89 - 22.10) 19.90 (17.27 - 22.83) 0.682
South A 17.59 (14.74 - 20.85) 19.53 (16.20 - 23.35) 0.228
South B 21.50 (17.94 - 25.55) 20.35 (16.87 - 24.33) 0.527
Arkansas 27.20a (25.29 - 29.20) 24.55 (22.66 - 26.55) 0.009
Catchment Area 1 21.37 (18.26 - 24.86) 20.64 (17.48 - 24.21) 0.652
Catchment Area 2 30.85a (26.55 - 35.51) 25.52 (21.39 - 30.16) 0.018
Catchment Area 3 27.07 (23.44 - 31.03) 24.93 (21.21 - 29.06) 0.273
Catchment Area 4 27.76 (23.76 - 32.15) 25.19 (21.15 - 29.71) 0.184
Catchment Area 5 26.92b (23.37 - 30.80) 23.55 (20.34 - 27.08) 0.054
Catchment Area 6 30.69 (26.27 - 35.49) 28.13 (23.76 - 32.95) 0.238
Catchment Area 7 29.16 (24.57 - 34.21) 29.52 (24.82 - 34.70) 0.870
Catchment Area 8 27.86b (24.23 - 31.81) 24.33 (21.07 - 27.91) 0.056
California 14.34a (13.53 - 15.18) 12.48 (11.77 - 13.24) 0.000
Region 1R 19.18 (16.25 - 22.50) 19.70 (17.00 - 22.72) 0.726
Region 2R 14.53a (12.10 - 17.35) 11.93 (9.65 - 14.67) 0.023
Region 3R (Sacramento) 15.77 (13.35 - 18.54) 14.78 (12.49 - 17.41) 0.420
Region 4R 13.41 (11.13 - 16.07) 11.88 (9.70 - 14.47) 0.173
Region 5R (San Francisco) 14.35 (11.65 - 17.54) 13.11 (10.54 - 16.19) 0.339
Region 6 (Santa Clara) 10.47 (8.74 - 12.51) 9.41 (7.87 - 11.22) 0.213
Region 7R (Contra Costa) 12.42 (10.31 - 14.90) 10.76 (8.78 - 13.12) 0.104
Region 8R (Alameda) 12.93a (10.83 - 15.36) 10.70 (8.72 - 13.08) 0.033
Region 9R (San Mateo) 11.64 (9.47 - 14.22) 10.29 (8.40 - 12.54) 0.155
Region 10 13.90a (11.47 - 16.76) 11.65 (9.37 - 14.39) 0.042
Region 11 (Los Angeles) 13.90a (12.77 - 15.11) 12.13 (11.09 - 13.26) 0.002
LA SPA 1 and 5 13.45b (11.11 - 16.20) 11.52 (9.43 - 13.98) 0.073
LA SPA 2 12.85 (10.83 - 15.18) 11.69 (9.70 - 14.03) 0.263
LA SPA 3 12.23b (10.12 - 14.71) 10.58 (8.74 - 12.76) 0.100
LA SPA 4 16.87a (14.01 - 20.18) 13.24 (10.79 - 16.14) 0.007
LA SPA 6 16.56 (13.80 - 19.74) 14.67 (12.04 - 17.76) 0.159
LA SPA 7 13.49b (11.19 - 16.19) 11.60 (9.38 - 14.26) 0.088
LA SPA 8 14.07 (11.81 - 16.68) 12.98 (10.87 - 15.43) 0.351
Region 12R 16.81 (14.03 - 20.01) 14.77 (12.10 - 17.91) 0.125
Regions 13 and 19R 15.00 (12.94 - 17.31) 13.58 (11.66 - 15.76) 0.196
Region 14 (Orange) 12.96a (11.09 - 15.09) 10.54 (8.84 - 12.52) 0.009
Region 15R (Fresno) 15.70a (13.06 - 18.75) 13.16 (10.83 - 15.91) 0.033
Region 16R (San Diego) 14.17 (12.30 - 16.27) 12.58 (10.79 - 14.63) 0.116
Region 17R 17.62b (15.23 - 20.30) 15.50 (13.13 - 18.21) 0.096
Region 18R (San Bernardino) 17.09a (14.77 - 19.70) 13.42 (11.28 - 15.89) 0.002
Region 20R 16.56b (13.83 - 19.71) 14.12 (11.66 - 16.99) 0.063
Region 21R 14.74b (12.18 - 17.73) 12.75 (10.43 - 15.49) 0.089
Colorado 17.85a (16.27 - 19.54) 15.97 (14.47 - 17.60) 0.026
Region 1 16.54 (13.86 - 19.62) 15.55 (12.94 - 18.59) 0.477
Region 2 20.13 (16.53 - 24.29) 17.64 (14.14 - 21.80) 0.150
Region 3 17.87a (15.37 - 20.68) 12.95 (10.82 - 15.43) 0.000
Region 4 21.04 (17.41 - 25.20) 20.62 (16.95 - 24.86) 0.809
Region 5 19.04 (15.89 - 22.64) 18.48 (15.37 - 22.06) 0.737
Region 6 15.30 (12.85 - 18.13) 15.24 (12.72 - 18.16) 0.963
Region 7 18.60 (15.68 - 21.92) 17.63 (14.70 - 20.99) 0.506
Connecticut 17.61 (15.97 - 19.39) 16.55 (14.90 - 18.34) 0.207
Eastern 21.29a (17.89 - 25.13) 17.18 (14.18 - 20.66) 0.008
North Central 17.58 (15.04 - 20.44) 17.34 (14.70 - 20.35) 0.863
Northwestern 17.46 (14.73 - 20.58) 18.59 (15.63 - 21.97) 0.431
South Central 17.64 (14.99 - 20.65) 16.12 (13.57 - 19.04) 0.250
Southwest 15.45 (12.79 - 18.55) 13.73 (11.21 - 16.71) 0.170
Delaware 20.64a (18.92 - 22.48) 18.55 (16.84 - 20.39) 0.030
Kent 22.49 (19.30 - 26.04) 20.85 (17.71 - 24.39) 0.350
New Castle (excluding Wilmington City) 18.25 (16.18 - 20.51) 16.58 (14.46 - 18.95) 0.183
Sussex 22.68a (19.33 - 26.41) 18.76 (15.90 - 22.01) 0.020
Wilmington City 26.07 (21.74 - 30.92) 25.23 (20.69 - 30.39) 0.700
District of Columbia 19.42 (17.69 - 21.28) 18.78 (17.04 - 20.66) 0.492
Ward 1 18.22 (14.92 - 22.06) 17.39 (13.99 - 21.42) 0.634
Ward 2 18.26 (15.16 - 21.82) 16.73 (13.47 - 20.57) 0.323
Ward 3 14.86 (12.04 - 18.21) 15.42 (12.64 - 18.69) 0.690
Ward 4 17.81 (14.68 - 21.44) 15.36 (12.40 - 18.89) 0.114
Ward 5 21.59 (18.13 - 25.50) 22.02 (18.31 - 26.23) 0.813
Ward 6 16.22 (13.36 - 19.56) 15.42 (12.50 - 18.87) 0.610
Ward 7 22.82 (19.17 - 26.94) 21.12 (17.49 - 25.26) 0.358
Ward 8 26.68 (22.64 - 31.16) 27.63 (23.52 - 32.16) 0.655
Florida 17.81a (16.77 - 18.90) 16.39 (15.45 - 17.37) 0.010
Broward (Circuit 17) 15.93a (13.54 - 18.64) 12.47 (10.46 - 14.79) 0.004
Central I 16.56 (14.82 - 18.46) 15.52 (13.84 - 17.37) 0.249
Circuit 9 15.32 (13.24 - 17.67) 14.08 (12.12 - 16.29) 0.251
Circuit 18 18.40 (15.70 - 21.43) 17.69 (15.04 - 20.70) 0.619
Central II 18.75 (17.25 - 20.34) 17.54 (16.11 - 19.06) 0.120
Circuit 6 20.63 (17.77 - 23.80) 18.37 (15.70 - 21.37) 0.122
Circuit 10 22.77 (19.55 - 26.34) 20.52 (17.32 - 24.14) 0.167
Circuit 12 16.53 (13.73 - 19.78) 17.59 (14.67 - 20.96) 0.481
Circuit 13 (Hillsborough) 18.56a (15.98 - 21.45) 15.64 (13.37 - 18.20) 0.023
Circuit 20 15.74 (13.11 - 18.79) 16.78 (14.06 - 19.89) 0.441
Northeast 20.17 (18.33 - 22.15) 19.65 (18.01 - 21.41) 0.564
Circuit 4 19.88 (16.78 - 23.39) 18.67 (15.99 - 21.67) 0.430
Circuit 5 19.89 (16.75 - 23.45) 20.59 (17.56 - 23.99) 0.670
Circuit 7 19.74 (16.78 - 23.09) 18.76 (15.88 - 22.02) 0.499
Circuit 8 plus Columbia, Dixie, Hamilton,
   Lafayette, and Suwannee
22.08 (18.58 - 26.03) 21.30 (17.91 - 25.14) 0.638
Northwest 20.79 (18.64 - 23.12) 20.49 (18.33 - 22.84) 0.776
Circuit 1 18.97 (15.99 - 22.37) 19.67 (16.59 - 23.16) 0.644
Circuit 2 plus Madison and Taylor 20.92 (17.72 - 24.52) 20.26 (17.01 - 23.96) 0.691
Circuit 14 24.93 (20.75 - 29.64) 22.80 (18.99 - 27.11) 0.264
South (Circuits 11 and 16) 13.54a (11.69 - 15.64) 11.57 (9.96 - 13.40) 0.050
Southeast 17.80a (15.65 - 20.18) 15.56 (13.64 - 17.70) 0.029
Circuit 15 (Palm Beach) 16.82a (14.30 - 19.67) 13.85 (11.69 - 16.35) 0.017
Circuit 19 19.95 (16.69 - 23.67) 19.33 (15.83 - 23.40) 0.711
Georgia 20.16a (18.73 - 21.67) 18.31 (17.01 - 19.69) 0.014
Region 1 18.79 (16.52 - 21.29) 16.97 (14.91 - 19.26) 0.129
Region 2 21.11 (18.27 - 24.25) 19.66 (16.83 - 22.85) 0.315
Region 3 17.72a (15.59 - 20.07) 13.88 (12.03 - 15.97) 0.001
Region 4 24.87 (21.22 - 28.92) 24.61 (20.48 - 29.27) 0.887
Region 5 24.92 (21.50 - 28.69) 24.73 (21.29 - 28.52) 0.913
Region 6 21.09 (18.10 - 24.42) 21.12 (18.31 - 24.24) 0.984
Hawaii 15.53a (13.96 - 17.23) 13.36 (11.89 - 14.98) 0.011
Hawaii Island 17.64a (14.64 - 21.10) 13.91 (11.28 - 17.04) 0.012
Honolulu 14.67 (12.90 - 16.64) 13.20 (11.52 - 15.09) 0.144
Kauai 17.47a (14.17 - 21.36) 12.43 (9.67 - 15.86) 0.001
Maui 17.54a (14.44 - 21.13) 14.10 (11.39 - 17.31) 0.014
Idaho 17.60 (16.03 - 19.28) 17.54 (16.00 - 19.20) 0.952
Region 1 19.10 (15.82 - 22.88) 18.13 (15.01 - 21.74) 0.541
Region 2 18.16 (14.75 - 22.15) 17.21 (13.89 - 21.13) 0.560
Region 3 17.96 (15.18 - 21.13) 18.51 (15.65 - 21.77) 0.704
Region 4 17.16 (14.84 - 19.76) 16.15 (13.95 - 18.63) 0.406
Region 5 18.59 (15.63 - 21.98) 20.53 (17.40 - 24.06) 0.214
Region 6 18.23 (14.89 - 22.11) 18.97 (15.29 - 23.31) 0.640
Region 7 15.35 (12.76 - 18.35) 15.88 (13.27 - 18.88) 0.687
Illinois 19.93a (18.75 - 21.16) 17.15 (16.04 - 18.32) 0.000
Region 1 (Cook) 18.13a (16.66 - 19.69) 15.08 (13.69 - 16.58) 0.000
Region 1.1 (Far North Side) 18.54a (15.18 - 22.45) 15.22 (12.21 - 18.80) 0.040
Region 1.2 (Northwest Side) 19.02a (15.56 - 23.05) 15.36 (12.18 - 19.19) 0.020
Region 1.3 (North Central Side) 18.19a (14.82 - 22.15) 14.66 (11.56 - 18.40) 0.033
Region 1.4 (West Side) 22.88a (19.07 - 27.20) 18.21 (14.82 - 22.16) 0.007
Region 1.5 (South Side) 21.87a (18.20 - 26.05) 18.26 (15.16 - 21.83) 0.039
Region 1.6 (Southwest Side) 21.07a (17.43 - 25.24) 17.34 (13.91 - 21.41) 0.024
Region 1.7 (Suburban Cook) 15.63a (13.72 - 17.76) 13.36 (11.49 - 15.49) 0.036
Region 2 17.75a (16.26 - 19.35) 14.67 (13.34 - 16.11) 0.000
Region 2a (DuPage) 13.06a (10.94 - 15.51) 10.69 (8.74 - 13.02) 0.024
Region 2b 17.34a (15.34 - 19.54) 14.44 (12.61 - 16.48) 0.007
Region 2c (Winnebago) 23.00b (19.23 - 27.26) 19.72 (16.16 - 23.85) 0.059
Region 2d 23.50a (20.14 - 27.23) 18.96 (16.27 - 21.97) 0.004
Region 3 25.85 (23.14 - 28.75) 23.65 (21.07 - 26.43) 0.112
Region 3a (Champaign) 20.28a (16.76 - 24.31) 17.27 (13.93 - 21.23) 0.046
Region 3b 26.77 (23.72 - 30.07) 24.71 (21.84 - 27.82) 0.185
Region 4 24.54 (21.73 - 27.59) 23.05 (20.03 - 26.38) 0.333
Region 4a (Sangamon) 22.08 (18.42 - 26.23) 20.83 (17.26 - 24.91) 0.454
Region 4b 25.25 (21.88 - 28.94) 23.70 (20.11 - 27.71) 0.398
Region 5 24.58 (21.94 - 27.44) 22.49 (19.87 - 25.34) 0.112
Region 5a 21.17 (17.68 - 25.12) 19.24 (16.12 - 22.80) 0.242
Region 5b 27.33 (23.79 - 31.18) 25.10 (21.45 - 29.14) 0.218
Indiana 24.41a (22.54 - 26.38) 21.36 (19.67 - 23.16) 0.001
Central 18.77 (16.37 - 21.45) 17.42 (15.01 - 20.13) 0.301
East 28.14b (23.83 - 32.89) 24.36 (20.36 - 28.86) 0.056
North Central 26.65a (23.06 - 30.56) 22.37 (18.88 - 26.31) 0.017
Northeast 23.12b (19.38 - 27.34) 20.06 (16.70 - 23.90) 0.089
Northwest 25.05b (21.18 - 29.36) 21.64 (18.07 - 25.70) 0.070
Southeast 27.11 (23.25 - 31.36) 25.86 (22.12 - 29.99) 0.531
Southwest 26.17 (22.10 - 30.69) 24.72 (20.73 - 29.19) 0.477
West 28.81a (24.55 - 33.47) 21.51 (17.87 - 25.67) 0.000
Iowa 21.68 (19.92 - 23.54) 20.94 (19.25 - 22.73) 0.411
Central 20.18 (17.13 - 23.60) 20.57 (17.51 - 24.01) 0.814
North Central 20.12 (16.72 - 24.01) 19.81 (16.61 - 23.46) 0.845
Northeast 21.46 (18.61 - 24.61) 21.12 (18.42 - 24.10) 0.812
Northwest 22.44 (19.01 - 26.29) 21.88 (18.59 - 25.56) 0.743
Southeast 22.84 (19.80 - 26.19) 21.04 (18.12 - 24.29) 0.238
Southwest 23.02 (19.29 - 27.24) 20.76 (17.20 - 24.84) 0.207
Kansas 18.87 (17.20 - 20.67) 19.48 (17.83 - 21.24) 0.478
Northeast 16.17 (14.14 - 18.43) 16.64 (14.64 - 18.86) 0.668
Northwest and North Central 21.79 (17.80 - 26.40) 22.12 (18.36 - 26.40) 0.853
South Central 20.82 (18.26 - 23.63) 21.47 (18.78 - 24.44) 0.636
Southeast 24.31 (20.15 - 29.02) 25.90 (21.35 - 31.04) 0.440
Southwest 21.53 (17.64 - 26.01) 22.51 (18.55 - 27.02) 0.584
Kentucky 29.20a (27.09 - 31.40) 27.10 (25.12 - 29.17) 0.047
Adanta, Cumberland River, and Lifeskills 32.40b (28.36 - 36.72) 28.87 (24.82 - 33.29) 0.097
Bluegrass, Comprehend, and North Key 25.92 (22.88 - 29.22) 26.26 (23.20 - 29.55) 0.841
Centerstone 26.01a (22.79 - 29.50) 22.89 (20.15 - 25.87) 0.046
Communicare and River Valley 32.76 (27.93 - 37.99) 29.45 (25.16 - 34.14) 0.151
Four Rivers and Pennyroyal 30.69 (26.37 - 35.39) 28.33 (23.94 - 33.18) 0.264
Kentucky River, Mountain, and Pathways 34.58 (30.06 - 39.40) 31.73 (27.08 - 36.77) 0.193
Louisiana 25.93a (24.02 - 27.92) 22.95 (21.19 - 24.81) 0.002
Regions 1 and 10 22.33a (19.47 - 25.47) 18.41 (15.79 - 21.34) 0.005
Region 1 23.64a (19.73 - 28.05) 18.67 (15.39 - 22.46) 0.005
Region 10 (Jefferson) 20.89 (17.45 - 24.81) 18.11 (14.73 - 22.05) 0.109
Regions 2 and 9 25.38a (22.42 - 28.59) 22.13 (19.29 - 25.26) 0.038
Region 3 26.49 (22.61 - 30.77) 24.21 (20.25 - 28.66) 0.253
Regions 4, 5, and 6 29.29 (25.81 - 33.04) 26.85 (23.72 - 30.24) 0.164
Regions 7 and 8 25.60 (22.33 - 29.16) 23.00 (19.91 - 26.41) 0.129
Maine 20.54 (18.70 - 22.51) 19.79 (18.06 - 21.64) 0.435
Aroostook/Downeast 23.37 (20.19 - 26.87) 22.25 (19.07 - 25.79) 0.461
Aroostook 26.17 (21.98 - 30.85) 26.45 (21.80 - 31.69) 0.897
Downeast 21.10 (17.12 - 25.71) 18.88 (15.27 - 23.10) 0.223
Central 22.89 (19.22 - 27.04) 22.72 (19.27 - 26.59) 0.924
Cumberland 17.20 (14.54 - 20.24) 15.50 (12.96 - 18.44) 0.212
Midcoast 18.73 (15.55 - 22.38) 18.92 (15.74 - 22.57) 0.902
Penquis 21.89 (18.22 - 26.08) 21.27 (17.88 - 25.12) 0.738
Western 23.18 (19.72 - 27.04) 23.24 (19.70 - 27.21) 0.970
York 18.66 (15.49 - 22.31) 17.54 (14.55 - 20.99) 0.461
Maryland 18.31a (16.66 - 20.08) 15.69 (14.15 - 17.37) 0.002
Anne Arundel 17.96a (14.78 - 21.64) 14.39 (11.48 - 17.88) 0.018
Baltimore City 27.08b (23.05 - 31.53) 23.63 (19.95 - 27.76) 0.083
Baltimore County 18.88 (15.73 - 22.50) 16.34 (13.25 - 19.98) 0.116
Montgomery 11.85 (9.69 - 14.41) 10.76 (8.75 - 13.16) 0.305
North Central 14.51 (11.71 - 17.83) 12.71 (10.22 - 15.70) 0.157
Northeast 19.07 (15.57 - 23.13) 17.67 (13.97 - 22.09) 0.419
Prince George's 17.59a (14.68 - 20.95) 13.90 (11.35 - 16.90) 0.011
South 20.18 (16.73 - 24.13) 18.28 (15.07 - 21.99) 0.258
West 22.10a (18.45 - 26.24) 17.76 (14.61 - 21.43) 0.011
Massachusetts 17.09 (15.48 - 18.83) 16.34 (14.73 - 18.08) 0.370
Boston 19.42a (16.15 - 23.16) 15.34 (12.44 - 18.79) 0.007
Central 18.21 (15.27 - 21.58) 18.68 (15.52 - 22.30) 0.758
Metrowest 13.84 (11.59 - 16.45) 14.32 (11.99 - 17.02) 0.689
Northeast 15.57 (13.10 - 18.40) 13.78 (11.34 - 16.63) 0.172
Southeast 19.00 (15.96 - 22.46) 18.91 (15.75 - 22.54) 0.958
Western 19.13 (15.90 - 22.84) 18.88 (15.79 - 22.40) 0.868
Michigan 22.41a (21.23 - 23.64) 20.42 (19.24 - 21.65) 0.003
Region 1 26.03 (22.12 - 30.37) 24.61 (20.44 - 29.31) 0.460
Region 2 22.90 (19.34 - 26.90) 22.08 (18.75 - 25.82) 0.643
Region 3 21.13b (18.73 - 23.74) 18.60 (16.17 - 21.31) 0.054
Region 4 25.70a (22.80 - 28.83) 22.62 (19.77 - 25.75) 0.050
Region 5 24.62 (22.19 - 27.21) 22.59 (20.20 - 25.16) 0.126
Region 6 19.43 (16.75 - 22.42) 17.75 (15.18 - 20.65) 0.199
Region 7 22.47 (20.05 - 25.10) 22.14 (19.62 - 24.89) 0.807
Region 8 16.79a (14.66 - 19.14) 14.46 (12.35 - 16.85) 0.038
Region 9 23.59a (20.50 - 26.99) 19.27 (16.44 - 22.46) 0.006
Region 10 25.30 (22.07 - 28.83) 23.74 (20.38 - 27.45) 0.343
Minnesota 19.38a (17.72 - 21.16) 17.29 (15.71 - 18.99) 0.010
Regions 1 and 2 22.21 (19.00 - 25.79) 20.68 (17.69 - 24.03) 0.274
Region 1 22.11 (18.08 - 26.74) 21.68 (17.69 - 26.28) 0.810
Region 2 22.27 (18.23 - 26.91) 20.07 (16.32 - 24.43) 0.226
Regions 3 and 4 22.54 (19.66 - 25.71) 20.38 (17.60 - 23.48) 0.109
Region 3 22.66b (18.36 - 27.62) 19.45 (15.55 - 24.06) 0.082
Region 4 22.48 (19.13 - 26.23) 20.88 (17.60 - 24.59) 0.334
Regions 5 and 6 20.40 (17.63 - 23.49) 19.89 (17.16 - 22.92) 0.703
Region 5 20.61 (17.04 - 24.71) 20.23 (16.65 - 24.36) 0.828
Region 6 20.19 (16.63 - 24.28) 19.53 (16.15 - 23.43) 0.712
Region 7 17.54a (15.71 - 19.53) 14.87 (13.22 - 16.68) 0.002
Region 7A (Hennepin) 16.95a (14.50 - 19.72) 14.28 (12.07 - 16.81) 0.026
Region 7B (Ramsey) 19.76 (16.47 - 23.52) 18.96 (15.67 - 22.76) 0.611
Region 7C 17.16a (14.64 - 20.00) 13.67 (11.41 - 16.29) 0.005
Mississippi 25.00 (23.13 - 26.97) 25.11 (23.20 - 27.13) 0.916
Region 1 26.66 (23.42 - 30.18) 25.85 (22.54 - 29.46) 0.642
Region 2 25.30 (21.55 - 29.45) 25.68 (22.01 - 29.73) 0.839
Region 3 26.47 (22.70 - 30.61) 27.09 (23.40 - 31.12) 0.744
Region 4 21.27 (18.28 - 24.60) 19.35 (16.34 - 22.77) 0.223
Region 5 27.49 (22.68 - 32.88) 30.68 (25.32 - 36.62) 0.175
Region 6 25.65 (21.96 - 29.72) 24.96 (21.05 - 29.32) 0.720
Region 7 24.15 (20.59 - 28.10) 26.70 (22.96 - 30.81) 0.167
Missouri 23.67a (21.88 - 25.55) 20.93 (19.29 - 22.68) 0.005
Central 23.72 (20.18 - 27.67) 21.42 (18.35 - 24.86) 0.184
Eastern 22.79a (20.34 - 25.43) 17.92 (15.75 - 20.31) 0.000
Eastern (St. Louis City and County) 23.00a (19.93 - 26.39) 16.62 (14.03 - 19.58) 0.000
Eastern (excluding St. Louis) 22.42 (19.16 - 26.05) 20.08 (16.99 - 23.59) 0.161
Northwest 23.39 (20.80 - 26.20) 21.74 (19.21 - 24.52) 0.221
Northwest (Jackson) 23.36 (19.84 - 27.29) 23.61 (20.11 - 27.51) 0.891
Northwest (excluding Jackson) 23.42a (20.04 - 27.17) 20.18 (16.99 - 23.80) 0.050
Southeast 26.76 (22.83 - 31.08) 26.23 (22.36 - 30.51) 0.795
Southwest 23.67 (20.21 - 27.51) 21.97 (18.65 - 25.68) 0.335
Montana 20.83 (18.98 - 22.81) 20.63 (18.86 - 22.52) 0.840
Region 1 24.68 (20.38 - 29.56) 24.29 (20.10 - 29.02) 0.844
Region 2 22.12 (18.59 - 26.09) 22.42 (18.78 - 26.54) 0.857
Region 3 20.67 (17.83 - 23.82) 21.25 (18.35 - 24.46) 0.713
Region 4 19.92 (17.17 - 22.99) 20.22 (17.43 - 23.32) 0.839
Region 5 20.13 (17.42 - 23.16) 18.80 (16.35 - 21.53) 0.327
Nebraska 22.21a (20.40 - 24.13) 19.70 (18.04 - 21.48) 0.007
Regions 1 and 2 24.51 (21.05 - 28.34) 24.30 (20.83 - 28.13) 0.897
Region 1 24.94 (20.54 - 29.93) 25.64 (20.99 - 30.90) 0.735
Region 2 24.13 (19.90 - 28.95) 23.11 (18.86 - 27.99) 0.616
Region 3 22.19 (18.72 - 26.09) 22.25 (18.85 - 26.06) 0.974
Region 4 21.92 (18.24 - 26.10) 19.05 (15.61 - 23.03) 0.126
Region 5 22.67a (19.62 - 26.04) 18.87 (16.26 - 21.80) 0.010
Region 6 21.47a (18.93 - 24.25) 18.54 (16.35 - 20.94) 0.021
Nevada 20.40 (18.50 - 22.45) 19.93 (18.03 - 21.97) 0.662
Clark – Region 1 19.93 (17.78 - 22.26) 19.46 (17.36 - 21.76) 0.712
Region 3 23.08 (19.57 - 27.00) 21.15 (17.76 - 24.99) 0.245
Capital District 21.58 (17.27 - 26.61) 20.63 (16.57 - 25.39) 0.648
Rural/Frontier 24.44 (20.13 - 29.33) 21.63 (17.25 - 26.76) 0.172
Washoe – Region 2 20.52 (17.33 - 24.12) 21.12 (17.73 - 24.97) 0.721
New Hampshire 19.27a (17.56 - 21.10) 16.48 (14.86 - 18.25) 0.002
Central 21.44a (18.94 - 24.17) 18.44 (16.08 - 21.06) 0.016
Central 1 21.30 (17.94 - 25.10) 19.50 (16.47 - 22.93) 0.270
Central 2 21.57a (18.45 - 25.06) 17.41 (14.36 - 20.94) 0.010
Northern 20.62b (17.28 - 24.43) 18.00 (14.94 - 21.52) 0.097
Southern 17.92a (15.95 - 20.08) 15.21 (13.32 - 17.30) 0.007
Southern 1 (Rockingham) 16.29b (13.78 - 19.16) 13.96 (11.57 - 16.74) 0.064
Southern 2 18.94a (16.50 - 21.66) 15.99 (13.61 - 18.71) 0.021
New Jersey 16.79 (15.41 - 18.27) 15.89 (14.54 - 17.34) 0.231
Central 17.34 (15.01 - 19.95) 15.76 (13.41 - 18.43) 0.205
Metropolitan 15.83 (13.56 - 18.40) 15.37 (13.16 - 17.88) 0.706
Northern 15.22 (13.26 - 17.42) 13.73 (11.87 - 15.84) 0.158
Southern 19.72 (17.16 - 22.56) 20.00 (17.43 - 22.85) 0.837
New Mexico 20.79 (19.01 - 22.69) 20.60 (18.74 - 22.60) 0.856
Region 1 22.04 (18.84 - 25.61) 22.25 (18.84 - 26.09) 0.899
Region 2 18.58 (15.42 - 22.21) 18.19 (15.02 - 21.87) 0.811
Region 3 (Bernalillo) 20.01 (17.49 - 22.81) 20.38 (17.71 - 23.33) 0.805
Region 4 23.84 (20.28 - 27.80) 21.20 (17.70 - 25.18) 0.140
Region 5 20.42 (17.79 - 23.33) 20.61 (17.75 - 23.79) 0.886
Region 5a 21.37 (17.83 - 25.39) 22.86 (18.97 - 27.27) 0.414
Region 5b (Dona Ana) 19.56 (16.37 - 23.19) 18.61 (15.27 - 22.48) 0.540
New York 18.89a (17.85 - 19.98) 15.52 (14.58 - 16.50) 0.000
Region 1: Long Island 14.78a (12.80 - 17.01) 11.49 (9.85 - 13.36) 0.001
Region 2: New York City 17.67a (16.27 - 19.17) 13.92 (12.66 - 15.28) 0.000
Region 2A: Bronx 17.55a (14.95 - 20.50) 13.67 (11.43 - 16.28) 0.003
Region 2B: Kings 18.58a (16.23 - 21.19) 13.92 (11.94 - 16.16) 0.000
Region 2C: New York 19.27a (16.51 - 22.37) 14.81 (12.27 - 17.76) 0.002
Region 2D: Queens 15.59a (13.32 - 18.17) 13.17 (11.05 - 15.61) 0.041
Region 2E: Richmond 17.46b (14.33 - 21.10) 15.18 (12.33 - 18.55) 0.100
Region 3: Mid-Hudson 17.30a (15.03 - 19.83) 12.36 (10.53 - 14.46) 0.000
Region 4: Capital Region 22.21a (19.13 - 25.62) 18.62 (15.97 - 21.60) 0.018
Region 5: Mohawk Valley 27.95a (23.57 - 32.80) 22.34 (18.07 - 27.28) 0.005
Region 6: North Country 26.21a (22.03 - 30.86) 21.72 (18.09 - 25.86) 0.019
Region 7: Tug Hill Seaway 25.66 (21.75 - 30.00) 23.14 (19.11 - 27.72) 0.181
Region 8: Central 25.38a (22.25 - 28.78) 21.22 (18.54 - 24.18) 0.005
Region 9: Southern Tier 22.70a (19.19 - 26.63) 18.94 (15.84 - 22.49) 0.015
Region 10: Finger Lakes 19.93 (17.31 - 22.84) 19.25 (16.86 - 21.89) 0.609
Region 11: Western 23.16 (20.61 - 25.91) 23.28 (20.47 - 26.35) 0.933
North Carolina 21.27 (19.81 - 22.81) 20.14 (18.78 - 21.57) 0.127
Alliance Behavioral Healthcare 1 21.32b (18.06 - 24.99) 18.39 (15.28 - 21.98) 0.064
Alliance Behavioral Healthcare 2 15.12 (12.59 - 18.06) 13.39 (11.04 - 16.15) 0.148
Cardinal Innovations Healthcare Solutions 1 20.55 (17.39 - 24.12) 19.95 (16.64 - 23.72) 0.705
Cardinal Innovations Healthcare Solutions 2 21.77 (18.34 - 25.64) 22.15 (18.51 - 26.27) 0.829
Cardinal Innovations Healthcare Solutions 3 18.42 (15.54 - 21.69) 16.88 (14.13 - 20.04) 0.273
CenterPoint Human Services 22.22 (18.67 - 26.23) 20.72 (17.29 - 24.63) 0.375
Eastpointe 25.09 (21.56 - 29.00) 26.40 (22.85 - 30.28) 0.468
Partners Behavioral Health Management 22.32 (18.83 - 26.23) 22.04 (18.75 - 25.72) 0.873
Sandhills Center 1 25.54b (21.58 - 29.95) 22.00 (18.46 - 25.99) 0.055
Sandhills Center 2 19.89 (16.60 - 23.65) 17.83 (14.70 - 21.45) 0.167
Smoky Mountain Center 1 23.09 (19.43 - 27.21) 23.35 (19.86 - 27.24) 0.884
Smoky Mountain Center 2 20.86 (17.48 - 24.71) 20.32 (16.70 - 24.48) 0.748
Trillium Health Resources 1 22.94 (19.47 - 26.83) 21.94 (18.47 - 25.85) 0.553
Trillium Health Resources 2 22.52 (18.74 - 26.82) 20.42 (16.86 - 24.51) 0.225
North Dakota 22.99a (21.23 - 24.85) 19.97 (18.30 - 21.74) 0.001
Badlands and West Central 22.05a (19.59 - 24.73) 19.08 (16.58 - 21.86) 0.025
Badlands 23.42 (19.43 - 27.94) 20.29 (16.49 - 24.71) 0.105
West Central 21.65b (18.86 - 24.74) 18.72 (15.87 - 21.95) 0.053
Lake Region 25.59 (21.25 - 30.47) 25.85 (21.25 - 31.06) 0.899
North Central 24.19a (20.50 - 28.30) 20.51 (17.06 - 24.45) 0.029
Northeast 24.35a (20.99 - 28.04) 18.64 (15.37 - 22.41) 0.001
Northwest 24.02b (19.67 - 29.00) 20.93 (17.23 - 25.19) 0.095
South Central 23.08 (19.13 - 27.56) 20.78 (17.10 - 25.02) 0.219
Southeast 21.93b (19.20 - 24.92) 19.52 (17.03 - 22.28) 0.091
Ohio 24.27a (23.00 - 25.59) 21.81 (20.65 - 23.01) 0.000
Boards 2, 46, 55, and 68 27.59b (23.55 - 32.04) 23.95 (20.07 - 28.30) 0.055
Boards 3, 52, and 85 19.36a (16.06 - 23.15) 16.24 (13.33 - 19.63) 0.039
Boards 4 and 78 29.12 (24.92 - 33.71) 28.42 (24.53 - 32.66) 0.743
Boards 5 and 60 28.94 (24.60 - 33.70) 28.73 (24.82 - 32.98) 0.915
Boards 7, 15, 41, 79, and 84 26.45 (22.51 - 30.81) 23.40 (19.47 - 27.86) 0.123
Boards 8, 13, and 83 20.82 (17.61 - 24.45) 18.51 (15.35 - 22.16) 0.120
Board 9 (Butler) 22.42 (19.04 - 26.20) 21.02 (17.77 - 24.68) 0.369
Board 12 22.64 (19.02 - 26.72) 22.42 (18.77 - 26.54) 0.897
Boards 18 and 47 24.20a (21.56 - 27.06) 20.26 (17.79 - 22.99) 0.002
Boards 20, 32, 54, and 69 28.91a (25.05 - 33.09) 22.68 (19.35 - 26.40) 0.001
Boards 21, 39, 51, 70, and 80 23.81a (20.28 - 27.74) 20.08 (17.05 - 23.49) 0.019
Boards 22, 74, and 87 28.07a (24.08 - 32.45) 23.93 (20.49 - 27.74) 0.032
Boards 23 and 45 24.24a (20.83 - 28.01) 20.73 (17.26 - 24.70) 0.034
Board 25 (Franklin) 22.02a (19.22 - 25.10) 19.15 (16.72 - 21.84) 0.038
Boards 27, 71, and 73 29.54 (25.28 - 34.18) 29.42 (25.49 - 33.68) 0.956
Boards 28, 43, and 67 21.49 (18.31 - 25.06) 20.56 (17.21 - 24.38) 0.573
Board 31 (Hamilton) 23.42a (20.29 - 26.87) 19.73 (16.96 - 22.83) 0.016
Board 48 (Lucas) 26.55 (22.71 - 30.78) 26.36 (22.33 - 30.82) 0.914
Boards 50 and 76 24.67 (21.36 - 28.32) 24.77 (21.22 - 28.70) 0.957
Board 57 (Montgomery) 23.63 (20.04 - 27.65) 21.86 (18.40 - 25.76) 0.311
Board 77 (Summit) 19.95 (16.84 - 23.47) 18.58 (15.51 - 22.11) 0.377
Oklahoma 25.14 (23.19 - 27.19) 23.81 (21.94 - 25.78) 0.195
Central 24.36 (20.80 - 28.30) 21.55 (18.21 - 25.31) 0.109
East Central 27.28 (23.29 - 31.66) 28.25 (23.82 - 33.15) 0.647
Northeast 24.57 (21.06 - 28.45) 22.71 (19.26 - 26.57) 0.290
Northwest and Southwest 30.13 (26.15 - 34.43) 27.31 (23.45 - 31.54) 0.152
Oklahoma County 21.71 (18.45 - 25.38) 20.49 (17.29 - 24.11) 0.473
Southeast 27.66 (23.75 - 31.93) 29.28 (25.64 - 33.22) 0.398
Tulsa County 22.26 (18.97 - 25.94) 19.70 (16.60 - 23.22) 0.117
Oregon 18.13 (16.52 - 19.86) 17.80 (16.18 - 19.55) 0.702
Region 1 (Multnomah) 18.26 (15.47 - 21.43) 17.76 (15.00 - 20.89) 0.722
Region 2 14.60 (12.38 - 17.15) 13.05 (10.98 - 15.44) 0.180
Region 3 19.85 (17.23 - 22.77) 20.30 (17.59 - 23.30) 0.757
Region 4 19.33 (16.31 - 22.75) 21.25 (17.73 - 25.25) 0.260
Region 5 (Central) 16.49 (13.14 - 20.49) 14.51 (11.25 - 18.51) 0.198
Region 6 (Eastern) 21.27 (17.54 - 25.55) 18.79 (15.21 - 22.98) 0.149
Pennsylvania 21.92a (20.72 - 23.16) 20.32 (19.12 - 21.57) 0.017
Region 1 (Allegheny) 21.14 (18.41 - 24.16) 20.08 (17.46 - 22.99) 0.466
Regions 3, 8, 9, and 51 22.58 (19.37 - 26.15) 21.22 (18.10 - 24.72) 0.394
Regions 4, 11, 37, and 49 23.26 (20.09 - 26.75) 21.24 (17.97 - 24.92) 0.198
Regions 5, 18, 23, 24, and 46 20.35 (17.35 - 23.71) 21.93 (18.68 - 25.58) 0.324
Regions 6, 12, 16, 31, 35, 45, and 47 24.24 (20.91 - 27.91) 21.91 (18.71 - 25.47) 0.155
Regions 7, 13, 20, and 33 15.94a (14.00 - 18.09) 13.69 (11.96 - 15.63) 0.027
Regions 10, 15, 27, 32, 43, and 44 26.40 (22.53 - 30.67) 24.97 (21.38 - 28.94) 0.448
Regions 17 and 21 25.29 (21.55 - 29.44) 25.03 (21.04 - 29.49) 0.889
Regions 19, 26, 28, and 42 23.01 (20.32 - 25.93) 21.96 (19.44 - 24.70) 0.477
Regions 22, 38, 40, 41, and 48 24.03b (20.74 - 27.65) 21.29 (18.07 - 24.91) 0.099
Regions 29 and 34 21.64b (18.11 - 25.65) 18.78 (15.61 - 22.43) 0.088
Regions 30 and 50 26.02 (22.36 - 30.06) 25.97 (22.15 - 30.20) 0.978
Region 36 (Philadelphia) 24.89 (21.86 - 28.19) 22.50 (19.53 - 25.78) 0.142
Rhode Island 19.34b (17.52 - 21.30) 17.58 (15.84 - 19.47) 0.059
Region 1: Southern Providence County 18.21 (15.25 - 21.59) 17.57 (14.58 - 21.01) 0.672
Region 2: Northern Providence County/
   Blackstone Valley
21.86 (18.54 - 25.60) 20.66 (17.62 - 24.06) 0.481
Region 3: Providence 20.61 (17.15 - 24.56) 18.87 (15.57 - 22.67) 0.286
Region 4: Kent County 21.01a (17.77 - 24.66) 17.34 (14.52 - 20.59) 0.017
Region 5: East Bay 19.58b (16.26 - 23.39) 16.60 (13.44 - 20.32) 0.054
Region 6: Newport County 15.33 (12.41 - 18.79) 13.94 (11.14 - 17.30) 0.294
Region 7: South County 15.07 (12.31 - 18.33) 13.96 (11.27 - 17.16) 0.397
South Carolina 23.29 (21.52 - 25.16) 21.88 (20.13 - 23.74) 0.157
Region 1 25.06 (21.94 - 28.45) 24.14 (21.31 - 27.23) 0.580
Region 2 22.89b (19.96 - 26.10) 20.47 (17.76 - 23.47) 0.099
Region 3 23.17 (20.02 - 26.67) 23.71 (20.31 - 27.47) 0.766
Region 4 21.66 (19.09 - 24.47) 19.39 (16.66 - 22.44) 0.121
South Dakota 22.72a (20.95 - 24.59) 20.70 (18.96 - 22.56) 0.033
Region 1 22.87 (20.01 - 26.00) 21.79 (18.81 - 25.10) 0.485
Region 2 24.13 (20.32 - 28.40) 25.38 (21.31 - 29.93) 0.499
Region 3 23.06b (20.05 - 26.38) 20.05 (17.12 - 23.33) 0.051
Region 4 25.41a (21.70 - 29.51) 21.43 (17.87 - 25.48) 0.019
Region 5 20.53 (17.86 - 23.49) 18.43 (16.03 - 21.09) 0.135
Tennessee 23.52 (21.71 - 25.43) 22.54 (20.70 - 24.50) 0.322
Region 1 24.94 (21.05 - 29.28) 23.70 (19.84 - 28.05) 0.508
Region 2 24.14 (20.86 - 27.77) 24.68 (21.25 - 28.46) 0.762
Region 3 24.02 (20.57 - 27.84) 23.98 (20.58 - 27.76) 0.985
Region 4 (Davidson) 22.45 (18.61 - 26.82) 20.28 (16.66 - 24.44) 0.223
Region 5 24.10 (21.16 - 27.31) 21.58 (18.69 - 24.78) 0.101
Region 6 26.93 (22.89 - 31.40) 26.17 (22.14 - 30.66) 0.696
Region 7 (Shelby) 18.78 (15.70 - 22.30) 18.36 (15.26 - 21.92) 0.787
Texas 19.15a (18.15 - 20.19) 17.85 (16.96 - 18.79) 0.015
Region 1 22.57 (19.27 - 26.26) 23.17 (19.81 - 26.91) 0.717
Region 2 26.76 (22.81 - 31.13) 26.63 (22.51 - 31.20) 0.945
Region 3 17.12a (15.69 - 18.66) 15.60 (14.31 - 16.99) 0.041
Region 3a 16.20 (14.45 - 18.11) 14.92 (13.34 - 16.66) 0.170
Region 3bc 18.76b (16.60 - 21.14) 16.81 (14.81 - 19.01) 0.074
Region 4 25.27 (22.07 - 28.77) 23.61 (20.19 - 27.42) 0.329
Region 5 23.34 (19.78 - 27.31) 25.73 (21.92 - 29.95) 0.176
Region 6 17.46b (15.80 - 19.25) 15.89 (14.35 - 17.58) 0.080
Region 6a 17.11b (15.36 - 19.02) 15.51 (13.86 - 17.33) 0.091
Region 6bc 20.38 (16.95 - 24.29) 19.18 (15.86 - 23.02) 0.485
Region 7 20.40b (18.38 - 22.58) 18.61 (16.63 - 20.77) 0.083
Region 7a 18.00 (15.61 - 20.66) 16.80 (14.39 - 19.53) 0.336
Region 7bcd 24.64b (21.50 - 28.09) 21.88 (18.83 - 25.27) 0.080
Region 8 19.68 (17.36 - 22.23) 19.20 (16.99 - 21.62) 0.696
Region 9 23.21 (19.39 - 27.53) 20.63 (17.22 - 24.51) 0.120
Region 10 18.17a (15.19 - 21.59) 15.13 (12.57 - 18.10) 0.020
Region 11 19.51 (17.32 - 21.90) 18.53 (16.40 - 20.86) 0.383
Region 11abd 20.72b (17.77 - 24.03) 18.22 (15.61 - 21.15) 0.086
Region 11c (Hidalgo) 17.43 (14.54 - 20.75) 19.06 (15.87 - 22.71) 0.273
Utah 13.11 (11.75 - 14.60) 12.28 (10.99 - 13.71) 0.266
Bear River, Northeastern, Summit, Tooele, and Wasatch 14.60a (11.65 - 18.14) 11.63 (9.23 - 14.55) 0.030
Central, Four Corners, San Juan, and Southwest 14.73 (12.32 - 17.51) 13.60 (11.17 - 16.45) 0.342
Central, Four Corners, and San Juan 16.43 (13.13 - 20.37) 15.64 (12.18 - 19.87) 0.627
Southwest 13.67 (10.92 - 16.99) 12.35 (9.67 - 15.64) 0.308
Davis County 11.34 (9.06 - 14.11) 10.92 (8.64 - 13.71) 0.704
Salt Lake County 13.57 (11.76 - 15.61) 13.72 (11.80 - 15.90) 0.881
Utah County 10.35b (8.46 - 12.60) 8.84 (7.08 - 10.98) 0.085
Weber, Morgan 14.83 (12.12 - 18.01) 14.15 (11.37 - 17.48) 0.633
Vermont 22.07a (20.21 - 24.05) 20.14 (18.36 - 22.04) 0.043
Champlain Valley 21.53b (19.05 - 24.23) 19.03 (16.60 - 21.73) 0.060
Rural Northeast 24.45 (21.04 - 28.22) 23.66 (20.49 - 27.15) 0.635
Rural Southeast 18.82 (16.13 - 21.86) 17.18 (14.54 - 20.17) 0.246
Rural Southwest 24.18 (20.64 - 28.11) 21.62 (18.24 - 25.44) 0.144
Virginia 20.22a (18.83 - 21.68) 17.04 (15.82 - 18.35) 0.000
Region 1 20.05a (17.37 - 23.03) 17.51 (15.23 - 20.05) 0.049
Region 2 12.33a (10.56 - 14.36) 9.84 (8.33 - 11.60) 0.004
Region 3 28.25a (25.07 - 31.66) 23.90 (20.94 - 27.14) 0.008
Region 4 22.06b (19.34 - 25.04) 19.45 (16.92 - 22.25) 0.059
Region 5 22.96a (20.38 - 25.77) 19.15 (16.88 - 21.65) 0.004
Washington 16.87 (15.28 - 18.59) 17.02 (15.41 - 18.77) 0.869
Region 1 18.18 (15.67 - 20.99) 18.96 (16.42 - 21.79) 0.556
Greater Columbia and North Central 16.29 (13.38 - 19.68) 17.22 (14.31 - 20.58) 0.544
Spokane 20.97 (17.23 - 25.27) 21.55 (17.69 - 25.99) 0.768
Region 2 14.18 (12.42 - 16.14) 14.73 (12.84 - 16.85) 0.597
King 12.92 (10.91 - 15.23) 14.02 (11.76 - 16.63) 0.368
North Sound 16.42 (13.61 - 19.67) 16.01 (13.29 - 19.15) 0.789
Region 3 19.84 (17.52 - 22.38) 19.01 (16.79 - 21.45) 0.500
Pierce 21.07 (17.77 - 24.81) 19.66 (16.37 - 23.42) 0.433
Salish 16.59 (13.21 - 20.63) 18.07 (14.36 - 22.48) 0.408
SW WA and Great Rivers 20.78 (17.14 - 24.97) 19.30 (16.08 - 22.99) 0.407
Thurston-Mason 18.35 (14.54 - 22.90) 17.82 (14.12 - 22.25) 0.773
West Virginia 29.92 (27.74 - 32.21) 29.13 (27.08 - 31.27) 0.503
Region I 28.06 (23.57 - 33.04) 28.78 (24.45 - 33.55) 0.731
Region II 22.85 (19.26 - 26.88) 23.45 (19.89 - 27.42) 0.754
Region III 28.93 (24.63 - 33.66) 29.06 (24.66 - 33.89) 0.953
Region IV 33.23 (29.44 - 37.24) 30.06 (26.48 - 33.90) 0.101
Region V 31.13 (27.42 - 35.10) 28.46 (25.31 - 31.83) 0.161
Region VI 30.88 (27.18 - 34.84) 33.71 (29.66 - 38.01) 0.175
Wisconsin 20.85 (19.04 - 22.79) 19.60 (17.84 - 21.48) 0.185
Milwaukee 21.96 (18.75 - 25.56) 20.97 (17.69 - 24.67) 0.554
Northeastern 21.11 (17.95 - 24.66) 19.61 (16.55 - 23.09) 0.356
Northern 23.07 (19.13 - 27.54) 21.67 (18.02 - 25.82) 0.438
Southeastern 18.93 (16.02 - 22.23) 17.11 (14.36 - 20.26) 0.218
Southern 19.05 (16.24 - 22.22) 19.05 (16.27 - 22.18) 0.999
Western 23.19 (19.56 - 27.26) 21.13 (17.60 - 25.17) 0.245
Wyoming 22.97a (21.14 - 24.92) 20.20 (18.48 - 22.05) 0.004
Judicial District 1 (Laramie) 24.39a (21.04 - 28.09) 19.41 (16.36 - 22.87) 0.003
Judicial District 2 21.53b (18.23 - 25.24) 18.47 (15.25 - 22.20) 0.056
Judicial District 3 20.70 (17.31 - 24.57) 20.05 (16.73 - 23.84) 0.702
Judicial District 4 20.15b (16.22 - 24.74) 17.38 (14.03 - 21.34) 0.099
Judicial District 5 20.16 (16.85 - 23.94) 18.34 (15.26 - 21.87) 0.249
Judicial District 6 26.51a (22.49 - 30.96) 22.50 (18.81 - 26.68) 0.043
Judicial District 7 (Natrona) 26.61b (22.86 - 30.74) 22.97 (19.42 - 26.95) 0.061
Judicial District 8 23.26 (19.34 - 27.69) 23.24 (19.42 - 27.55) 0.994
Judicial District 9 21.41 (17.97 - 25.31) 19.08 (15.93 - 22.68) 0.164
SPA = service planning area.
NOTE: The definitions of the substate regions listed in this table are provided in the "2016-2018 National Survey on Drug Use and Health Substate Region Definitions" at https://www.samhsa.gov/data/.
NOTE: Substate, state, and census region estimates, along with the 95 percent Bayesian confidence (credible) intervals, are based on a survey-weighted hierarchical Bayes estimation approach and are generated by Markov Chain Monte Carlo techniques, with their p values being the Bayes significance levels for the null hypothesis of no change between the 2014-2016 and 2016-2018 population percentages. The "Total U.S." estimates, along with the 95 percent confidence intervals and the p values, are based on design-based (direct) estimation methods.
a Difference between the 2014-2016 and 2016-2018 population percentages is statistically significant at the 0.05 level.
b Difference between the 2014-2016 and 2016-2018 population percentages is statistically significant at the 0.10 level.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2014-2018.
200324
Table 9 – Alcohol Use Disorder in the Past Year among Individuals Aged 12 or Older, by Substate Region: Percentages, Annual Averages, and P Values from Tests of Differences between Percentages, 2014-2016 and 2016-2018 NSDUHs
State/Substate Region 2014-2016
(Estimate)
2014-2016
(95% Confidence
Interval)
2016-2018
(Estimate)
2016-2018
(95% Confidence
Interval)
P Value
Total United States 5.96a (5.81 - 6.11) 5.44 (5.30 - 5.59) 0.000
Northeast 6.20a (5.87 - 6.54) 5.66 (5.35 - 5.98) 0.002
Midwest 6.11a (5.86 - 6.38) 5.69 (5.44 - 5.96) 0.002
South 5.53a (5.31 - 5.76) 4.90 (4.69 - 5.12) 0.000
West 6.31a (6.00 - 6.63) 5.93 (5.63 - 6.24) 0.027
Alabama 4.30 (3.60 - 5.13) 4.50 (3.75 - 5.41) 0.585
Region 1 3.96 (3.03 - 5.16) 4.40 (3.34 - 5.78) 0.379
Region 2 4.45 (3.47 - 5.68) 4.80 (3.63 - 6.34) 0.522
Region 3 3.94 (2.92 - 5.30) 4.04 (2.89 - 5.62) 0.853
Region 4 4.81 (3.66 - 6.29) 4.58 (3.37 - 6.19) 0.700
Alaska 7.13 (6.16 - 8.24) 6.62 (5.69 - 7.69) 0.327
Anchorage 7.38 (6.05 - 8.97) 6.82 (5.49 - 8.44) 0.465
Northern 7.53 (5.92 - 9.53) 7.27 (5.67 - 9.27) 0.730
South Central 6.53 (5.11 - 8.30) 5.89 (4.49 - 7.68) 0.391
Southeast 6.81 (5.09 - 9.06) 6.32 (4.67 - 8.51) 0.538
Arizona 6.33a (5.44 - 7.35) 5.29 (4.46 - 6.26) 0.032
Central 6.38a (5.34 - 7.60) 5.08 (4.11 - 6.27) 0.025
North 6.27 (4.67 - 8.36) 5.91 (4.32 - 8.05) 0.627
South 6.24 (5.00 - 7.77) 5.46 (4.28 - 6.94) 0.191
South A 6.48 (4.94 - 8.45) 5.76 (4.23 - 7.78) 0.339
South B 5.96 (4.45 - 7.95) 5.10 (3.73 - 6.94) 0.217
Arkansas 4.96 (4.17 - 5.89) 5.28 (4.48 - 6.21) 0.420
Catchment Area 1 4.80 (3.62 - 6.34) 5.26 (3.90 - 7.05) 0.436
Catchment Area 2 4.42 (3.27 - 5.96) 4.24 (3.07 - 5.83) 0.747
Catchment Area 3 5.47 (4.11 - 7.26) 5.70 (4.24 - 7.62) 0.728
Catchment Area 4 5.07 (3.74 - 6.84) 5.69 (4.17 - 7.73) 0.338
Catchment Area 5 5.18 (3.90 - 6.86) 5.41 (4.05 - 7.19) 0.706
Catchment Area 6 4.51 (3.29 - 6.14) 5.05 (3.58 - 7.08) 0.352
Catchment Area 7 4.72 (3.46 - 6.40) 4.84 (3.42 - 6.82) 0.829
Catchment Area 8 5.13 (3.88 - 6.74) 5.62 (4.26 - 7.39) 0.444
California 6.37a (5.88 - 6.90) 5.80 (5.34 - 6.29) 0.031
Region 1R 6.87b (5.35 - 8.78) 8.26 (6.52 - 10.42) 0.100
Region 2R 6.46 (5.01 - 8.29) 6.22 (4.67 - 8.23) 0.729
Region 3R (Sacramento) 6.25 (4.93 - 7.88) 6.48 (5.08 - 8.23) 0.719
Region 4R 7.04 (5.51 - 8.95) 6.29 (4.69 - 8.40) 0.315
Region 5R (San Francisco) 7.52 (5.73 - 9.83) 6.88 (5.08 - 9.26) 0.464
Region 6 (Santa Clara) 5.34 (4.27 - 6.66) 4.81 (3.75 - 6.16) 0.303
Region 7R (Contra Costa) 7.43a (5.82 - 9.43) 5.97 (4.59 - 7.73) 0.048
Region 8R (Alameda) 6.22 (4.90 - 7.87) 5.73 (4.40 - 7.43) 0.436
Region 9R (San Mateo) 5.88 (4.49 - 7.66) 5.73 (4.31 - 7.58) 0.818
Region 10 7.55a (5.88 - 9.64) 5.77 (4.32 - 7.67) 0.016
Region 11 (Los Angeles) 6.06 (5.39 - 6.81) 5.69 (5.02 - 6.44) 0.261
LA SPA 1 and 5 5.85 (4.46 - 7.66) 5.45 (4.05 - 7.29) 0.530
LA SPA 2 5.58 (4.38 - 7.09) 5.81 (4.48 - 7.52) 0.690
LA SPA 3 5.67 (4.42 - 7.25) 4.74 (3.60 - 6.23) 0.110
LA SPA 4 7.44 (5.75 - 9.58) 6.63 (5.00 - 8.74) 0.296
LA SPA 6 5.84 (4.51 - 7.54) 4.98 (3.65 - 6.75) 0.156
LA SPA 7 6.13 (4.76 - 7.87) 5.11 (3.80 - 6.85) 0.102
LA SPA 8 6.36 (5.07 - 7.96) 6.96 (5.41 - 8.92) 0.386
Region 12R 5.95 (4.56 - 7.73) 6.02 (4.51 - 7.99) 0.917
Regions 13 and 19R 6.37 (5.20 - 7.80) 5.98 (4.74 - 7.50) 0.525
Region 14 (Orange) 6.96a (5.67 - 8.51) 4.74 (3.68 - 6.09) 0.000
Region 15R (Fresno) 6.77b (5.29 - 8.63) 5.58 (4.21 - 7.37) 0.082
Region 16R (San Diego) 6.45 (5.30 - 7.83) 5.83 (4.66 - 7.26) 0.288
Region 17R 5.79 (4.66 - 7.18) 5.39 (4.17 - 6.92) 0.498
Region 18R (San Bernardino) 5.92 (4.72 - 7.40) 5.52 (4.30 - 7.06) 0.510
Region 20R 6.12 (4.73 - 7.90) 5.46 (4.13 - 7.20) 0.292
Region 21R 6.83 (5.25 - 8.82) 7.52 (5.81 - 9.69) 0.351
Colorado 7.20 (6.19 - 8.36) 7.18 (6.20 - 8.30) 0.969
Region 1 7.27 (5.64 - 9.32) 7.74 (5.91 - 10.08) 0.590
Region 2 6.49 (4.82 - 8.70) 7.02 (5.11 - 9.56) 0.528
Region 3 7.34b (5.80 - 9.24) 6.03 (4.65 - 7.79) 0.078
Region 4 6.22 (4.54 - 8.47) 6.57 (4.80 - 8.92) 0.664
Region 5 8.68 (6.61 - 11.33) 10.50 (8.12 - 13.47) 0.126
Region 6 6.95 (5.35 - 8.96) 6.73 (5.06 - 8.91) 0.795
Region 7 6.68 (5.07 - 8.77) 6.53 (4.91 - 8.64) 0.848
Connecticut 6.72 (5.70 - 7.90) 6.06 (5.14 - 7.12) 0.158
Eastern 6.59 (4.94 - 8.73) 6.11 (4.59 - 8.10) 0.503
North Central 7.10 (5.58 - 9.00) 6.25 (4.79 - 8.12) 0.262
Northwestern 6.15 (4.66 - 8.08) 5.80 (4.25 - 7.87) 0.639
South Central 7.20b (5.54 - 9.30) 5.93 (4.50 - 7.77) 0.082
Southwest 6.17 (4.69 - 8.07) 6.13 (4.60 - 8.13) 0.956
Delaware 5.89 (5.01 - 6.91) 5.98 (5.04 - 7.09) 0.853
Kent 5.85 (4.51 - 7.55) 5.58 (4.14 - 7.50) 0.695
New Castle (excluding Wilmington City) 6.33 (5.18 - 7.72) 6.47 (5.25 - 7.95) 0.835
Sussex 4.81 (3.57 - 6.45) 5.29 (3.88 - 7.17) 0.477
Wilmington City 6.20 (4.50 - 8.49) 5.72 (4.02 - 8.08) 0.520
District of Columbia 8.59b (7.51 - 9.81) 9.68 (8.39 - 11.14) 0.092
Ward 1 10.43 (8.02 - 13.46) 10.94 (8.40 - 14.13) 0.663
Ward 2 12.07 (9.50 - 15.22) 11.91 (9.03 - 15.53) 0.901
Ward 3 8.78 (6.81 - 11.25) 9.86 (7.54 - 12.78) 0.309
Ward 4 7.10 (5.38 - 9.31) 8.20 (5.98 - 11.15) 0.252
Ward 5 7.38b (5.57 - 9.72) 9.21 (7.01 - 12.02) 0.057
Ward 6 8.51 (6.69 - 10.77) 9.63 (7.34 - 12.54) 0.302
Ward 7 6.28 (4.72 - 8.30) 7.21 (5.26 - 9.82) 0.273
Ward 8 7.72a (5.82 - 10.18) 10.23 (7.76 - 13.38) 0.021
Florida 5.75a (5.19 - 6.37) 4.85 (4.34 - 5.41) 0.003
Broward (Circuit 17) 5.37a (4.22 - 6.82) 4.30 (3.26 - 5.65) 0.042
Central I 5.51a (4.64 - 6.53) 4.47 (3.68 - 5.43) 0.009
Circuit 9 5.55a (4.50 - 6.84) 4.22 (3.31 - 5.37) 0.007
Circuit 18 5.45 (4.17 - 7.08) 4.85 (3.66 - 6.40) 0.284
Central II 5.89a (5.11 - 6.78) 5.01 (4.27 - 5.88) 0.025
Circuit 6 6.01b (4.69 - 7.66) 4.98 (3.73 - 6.62) 0.100
Circuit 10 4.84 (3.68 - 6.33) 4.53 (3.34 - 6.12) 0.573
Circuit 12 5.83 (4.33 - 7.79) 4.97 (3.58 - 6.85) 0.218
Circuit 13 (Hillsborough) 6.46b (5.20 - 8.01) 5.29 (4.12 - 6.78) 0.062
Circuit 20 5.84 (4.41 - 7.69) 5.05 (3.73 - 6.82) 0.234
Northeast 6.02b (5.17 - 7.00) 5.19 (4.36 - 6.17) 0.054
Circuit 4 6.39 (4.98 - 8.16) 5.61 (4.25 - 7.36) 0.233
Circuit 5 5.29 (4.05 - 6.89) 4.72 (3.49 - 6.36) 0.364
Circuit 7 6.36a (4.89 - 8.23) 4.99 (3.68 - 6.74) 0.043
Circuit 8 plus Columbia, Dixie, Hamilton,
   Lafayette, and Suwannee
6.19 (4.65 - 8.20) 5.61 (4.15 - 7.54) 0.385
Northwest 6.68 (5.63 - 7.92) 5.86 (4.79 - 7.16) 0.111
Circuit 1 6.26 (4.84 - 8.06) 5.57 (4.12 - 7.49) 0.313
Circuit 2 plus Madison and Taylor 7.89 (6.16 - 10.04) 6.99 (5.26 - 9.22) 0.242
Circuit 14 5.90 (4.41 - 7.85) 4.90 (3.51 - 6.79) 0.105
South (Circuits 11 and 16) 4.96 (3.94 - 6.22) 4.22 (3.35 - 5.31) 0.147
Southeast 5.88a (4.75 - 7.26) 4.84 (3.85 - 6.06) 0.037
Circuit 15 (Palm Beach) 6.13a (4.73 - 7.92) 4.79 (3.59 - 6.36) 0.028
Circuit 19 5.33 (4.00 - 7.07) 4.95 (3.59 - 6.80) 0.522
Georgia 5.19a (4.51 - 5.96) 4.40 (3.80 - 5.10) 0.018
Region 1 5.19a (4.14 - 6.50) 4.12 (3.20 - 5.29) 0.032
Region 2 5.45 (4.24 - 6.99) 4.69 (3.57 - 6.14) 0.156
Region 3 5.20 (4.18 - 6.46) 4.45 (3.55 - 5.57) 0.139
Region 4 5.20 (3.85 - 6.99) 4.48 (3.21 - 6.22) 0.212
Region 5 5.31 (4.06 - 6.92) 4.48 (3.29 - 6.07) 0.140
Region 6 4.80 (3.65 - 6.31) 4.48 (3.37 - 5.93) 0.538
Hawaii 5.33 (4.49 - 6.31) 5.35 (4.48 - 6.39) 0.952
Hawaii Island 4.81 (3.55 - 6.49) 5.15 (3.74 - 7.06) 0.577
Honolulu 5.36 (4.40 - 6.53) 5.37 (4.33 - 6.64) 0.992
Kauai 5.58 (4.07 - 7.62) 5.59 (4.01 - 7.73) 0.995
Maui 5.60 (4.09 - 7.63) 5.40 (3.95 - 7.33) 0.767
Idaho 5.90 (5.05 - 6.87) 5.55 (4.71 - 6.54) 0.447
Region 1 6.13 (4.60 - 8.12) 6.10 (4.42 - 8.37) 0.972
Region 2 6.24 (4.66 - 8.31) 5.42 (3.91 - 7.45) 0.230
Region 3 4.93 (3.77 - 6.44) 4.96 (3.66 - 6.69) 0.967
Region 4 7.03 (5.59 - 8.80) 6.29 (4.86 - 8.11) 0.356
Region 5 4.92 (3.66 - 6.58) 4.98 (3.67 - 6.72) 0.923
Region 6 6.16 (4.56 - 8.27) 5.32 (3.79 - 7.43) 0.240
Region 7 5.01 (3.81 - 6.56) 4.86 (3.65 - 6.46) 0.804
Illinois 5.94 (5.32 - 6.63) 6.03 (5.41 - 6.73) 0.775
Region 1 (Cook) 6.23 (5.41 - 7.16) 6.43 (5.54 - 7.46) 0.641
Region 1.1 (Far North Side) 6.83 (5.13 - 9.04) 7.31 (5.33 - 9.95) 0.596
Region 1.2 (Northwest Side) 6.20 (4.60 - 8.31) 5.60 (4.01 - 7.77) 0.381
Region 1.3 (North Central Side) 8.84 (6.60 - 11.73) 8.92 (6.50 - 12.11) 0.944
Region 1.4 (West Side) 6.80 (5.07 - 9.05) 6.19 (4.50 - 8.47) 0.418
Region 1.5 (South Side) 5.53 (4.09 - 7.44) 6.08 (4.47 - 8.22) 0.394
Region 1.6 (Southwest Side) 5.80 (4.31 - 7.76) 5.60 (3.95 - 7.88) 0.773
Region 1.7 (Suburban Cook) 5.75 (4.68 - 7.05) 6.13 (4.93 - 7.60) 0.532
Region 2 5.61 (4.83 - 6.50) 5.50 (4.73 - 6.39) 0.790
Region 2a (DuPage) 5.55 (4.33 - 7.09) 6.05 (4.66 - 7.83) 0.447
Region 2b 5.45 (4.42 - 6.70) 5.20 (4.19 - 6.45) 0.642
Region 2c (Winnebago) 6.27 (4.69 - 8.35) 5.50 (3.99 - 7.54) 0.255
Region 2d 5.94 (4.56 - 7.70) 5.71 (4.38 - 7.41) 0.710
Region 3 6.38 (5.28 - 7.69) 6.48 (5.33 - 7.87) 0.845
Region 3a (Champaign) 8.97 (6.89 - 11.60) 7.86 (5.91 - 10.40) 0.205
Region 3b 5.95 (4.75 - 7.42) 6.25 (4.98 - 7.82) 0.605
Region 4 5.45 (4.37 -