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210615
Table 13.1C – Had Serious Thoughts of Suicide Because of the COVID-19 Pandemic, Made Any Suicide Plans Because of the COVID-19 Pandemic, and Attempted Suicide Because of the COVID-19 Pandemic in Past Year: Among People Aged 18 or Older with Respective Suicidal Thoughts and Behaviors in Past Year; by Demographic Characteristics, Standard Errors of Numbers in Thousands, Quarter 4, 2020
Demographic Characteristic Had Serious Thoughts of Suicide
Because of the COVID-19
Pandemic among Adults Who Had
Serious Thoughts of Suicide		 Made Any Suicide Plans Because
of the COVID-19 Pandemic among
Adults Who Made Any Suicide
Plans		 Attempted Suicide Because of the
COVID-19 Pandemic among
Adults Who Attempted Suicide
TOTAL 327 96 *
AGE GROUP      
18-25 128 32 *
26 or Older 302 * *
26-49 186 * *
50 or Older * * *
GENDER      
Male 175 * *
Female 276 * *
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 304 88 *
White 271 * *
Black or African American * * *
AIAN * * *
NHOPI * * *
Asian * * *
Two or More Races * * *
Hispanic or Latino * * *
EMPLOYMENT STATUS      
Full-Time 129 * *
Part-Time * * *
Unemployed * * *
Other1 230 * *
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown information on their suicidal thoughts or behaviors because of the COVID-19 pandemic were excluded.
1 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
210615
Table 13.1D – Had Serious Thoughts of Suicide Because of the COVID-19 Pandemic, Made Any Suicide Plans Because of the COVID-19 Pandemic, and Attempted Suicide Because of the COVID-19 Pandemic in Past Year: Among People Aged 18 or Older with Respective Suicidal Thoughts and Behaviors in Past Year; by Demographic Characteristics, Standard Errors of Percentages, Quarter 4, 2020
Demographic Characteristic Had Serious Thoughts of Suicide
Because of the COVID-19
Pandemic among Adults Who Had
Serious Thoughts of Suicide		 Made Any Suicide Plans Because
of the COVID-19 Pandemic among
Adults Who Made Any Suicide
Plans		 Attempted Suicide Because of the
COVID-19 Pandemic among
Adults Who Attempted Suicide
TOTAL 2.31 2.98 *
AGE GROUP      
18-25 3.05 2.95 *
26 or Older 3.04 * *
26-49 3.03 * *
50 or Older * * *
GENDER      
Male 3.22 * *
Female 3.35 * *
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 2.49 3.34 *
White 2.78 * *
Black or African American * * *
AIAN * * *
NHOPI * * *
Asian * * *
Two or More Races * * *
Hispanic or Latino * * *
EMPLOYMENT STATUS      
Full-Time 2.90 * *
Part-Time * * *
Unemployed * * *
Other1 4.47 * *
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown information on their suicidal thoughts or behaviors because of the COVID-19 pandemic were excluded.
1 Other Employment includes students, people keeping house or caring for children full time, retired or disabled people, or other people not in the labor force.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
210628
Table 13.2C – Perceived COVID-19 Pandemic Effect on Drug Use: Among Past Year Illicit Drug Users and Past Year Any Users of Prescription Psychotherapeutics Aged 12 or Older; by Demographic, Geographic, and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, Quarter 4, 2020
Demographic/Geographic/
Socioeconomic Characteristic		 Used Drugs A Little Less or
Much Less than Before the Pandemic		 Used Drugs About the Same
as Before the Pandemic		 Used Drugs A Little More or
Much More than Before the Pandemic
TOTAL 1,556 1,828 671
AGE GROUP      
12-17 308 219 137
18 or Older 1,509 1,814 647
18-25 311 369 247
26 or Older 1,446 1,768 584
GENDER      
Male 1,055 1,296 472
Female 1,015 1,272 486
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 1,296 1,750 606
White 1,057 1,527 522
Black or African American 652 721 265
AIAN * * *
NHOPI * * *
Asian * * *
Two or More Races * * *
Hispanic or Latino 829 604 308
GEOGRAPHIC REGION      
Northeast 538 841 197
Midwest 602 742 269
South 944 1,126 393
West 883 892 419
COUNTY TYPE      
Large Metro 1,152 1,370 537
Small Metro 783 1,126 348
Nonmetro 608 640 161
Urbanized 409 482 125
Less Urbanized 418 382 103
Completely Rural * * *
HEALTH INSURANCE1      
Private 1,109 1,354 433
Medicaid/CHIP 785 745 350
Other2 872 1,238 421
No Coverage 456 460 218
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on their drug use were excluded.
1 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
2 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
210628
Table 13.2D – Perceived COVID-19 Pandemic Effect on Drug Use: Among Past Year Illicit Drug Users and Past Year Any Users of Prescription Psychotherapeutics Aged 12 or Older; by Demographic, Geographic, and Socioeconomic Characteristics, Standard Errors of Percentages, Quarter 4, 2020
Demographic/Geographic/
Socioeconomic Characteristic		 Used Drugs A Little Less or
Much Less than Before the Pandemic		 Used Drugs About the Same
as Before the Pandemic		 Used Drugs A Little More or
Much More than Before the Pandemic
TOTAL 1.13 1.14 0.61
AGE GROUP      
12-17 4.84 4.19 2.95
18 or Older 1.16 1.17 0.62
18-25 1.88 1.81 1.59
26 or Older 1.28 1.32 0.64
GENDER      
Male 1.64 1.72 0.90
Female 1.42 1.48 0.85
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 1.13 1.15 0.63
White 1.14 1.18 0.67
Black or African American 3.99 3.87 2.13
AIAN * * *
NHOPI * * *
Asian * * *
Two or More Races * * *
Hispanic or Latino 3.88 3.54 2.17
GEOGRAPHIC REGION      
Northeast 2.48 2.48 1.19
Midwest 2.11 2.07 1.13
South 1.86 1.92 0.95
West 2.53 2.47 1.46
COUNTY TYPE      
Large Metro 1.59 1.59 0.95
Small Metro 1.72 1.77 0.88
Nonmetro 3.40 3.51 1.15
Urbanized 4.86 5.19 1.97
Less Urbanized 4.75 4.81 1.57
Completely Rural * * *
HEALTH INSURANCE1      
Private 1.38 1.38 0.66
Medicaid/CHIP 2.78 2.66 1.66
Other2 2.26 2.41 1.27
No Coverage 3.31 3.17 1.93
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on their drug use were excluded.
1 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
2 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
210628
Table 13.3C – Perceived COVID-19 Pandemic Effect on Alcohol Use: Among Past Year Alcohol Users Aged 12 or Older; by Demographic, Geographic, and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, Quarter 4, 2020
Demographic/Geographic/
Socioeconomic Characteristic		 Used Alcohol A Little Less or Much Less
than Before the Pandemic		 Used Alcohol About the Same
as Before the Pandemic		 Used Alcohol A Little More or Much
More than Before the Pandemic
TOTAL 1,639 2,486 1,037
AGE GROUP      
12-20 275 381 151
21 or Older 1,612 2,410 1,023
12-17 213 231 97
18 or Older 1,625 2,454 1,034
18-25 354 501 273
26 or Older 1,565 2,348 985
GENDER      
Male 1,143 1,694 718
Female 1,040 1,560 732
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 1,226 2,245 956
White 960 2,031 832
Black or African American 629 791 311
AIAN * * *
NHOPI * * *
Asian 295 528 307
Two or More Races 148 227 130
Hispanic or Latino 1,017 1,073 444
GEOGRAPHIC REGION      
Northeast 707 938 422
Midwest 541 963 414
South 1,008 1,495 631
West 903 1,343 555
COUNTY TYPE      
Large Metro 1,258 1,919 833
Small Metro 868 1,409 555
Nonmetro 550 889 254
Urbanized 416 591 192
Less Urbanized 321 647 162
Completely Rural 154 267 44
HEALTH INSURANCE1      
Private 1,210 1,994 807
Medicaid/CHIP 810 728 331
Other2 922 1,369 483
No Coverage 526 763 429
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on their alcohol use were excluded.
1 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
2 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
210628
Table 13.3D – Perceived COVID-19 Pandemic Effect on Alcohol Use: Among Past Year Alcohol Users Aged 12 or Older; by Demographic, Geographic, and Socioeconomic Characteristics, Standard Errors of Percentages, Quarter 4, 2020
Demographic/Geographic/
Socioeconomic Characteristic		 Used Alcohol A Little Less or Much Less
than Before the Pandemic		 Used Alcohol About the Same
as Before the Pandemic		 Used Alcohol A Little More or Much
More than Before the Pandemic
TOTAL 0.77 0.84 0.57
AGE GROUP      
12-20 2.65 2.67 1.59
21 or Older 0.80 0.87 0.60
12-17 4.87 4.67 2.70
18 or Older 0.78 0.86 0.58
18-25 1.43 1.54 1.15
26 or Older 0.88 0.95 0.63
GENDER      
Male 1.12 1.22 0.82
Female 1.02 1.13 0.78
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 0.74 0.86 0.61
White 0.74 0.90 0.68
Black or African American 2.87 2.80 1.66
AIAN * * *
NHOPI * * *
Asian 3.39 4.13 3.58
Two or More Races 4.47 5.09 4.03
Hispanic or Latino 2.46 2.60 1.50
GEOGRAPHIC REGION      
Northeast 1.81 1.78 1.25
Midwest 1.21 1.46 1.05
South 1.29 1.45 0.92
West 1.85 1.97 1.27
COUNTY TYPE      
Large Metro 1.06 1.15 0.83
Small Metro 1.25 1.36 0.91
Nonmetro 2.28 2.45 1.23
Urbanized 3.72 4.18 2.03
Less Urbanized 3.09 3.25 1.70
Completely Rural 5.25 5.07 2.46
HEALTH INSURANCE1      
Private 0.90 0.97 0.65
Medicaid/CHIP 2.54 2.49 1.36
Other2 1.71 1.77 1.07
No Coverage 2.43 2.85 2.14
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on their alcohol use were excluded.
1 Respondents could indicate multiple types of health insurance; thus, these response categories are not mutually exclusive.
2 Other Health Insurance is defined as having Medicare, military-related health care, or any other type of health insurance.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
210628
Table 13.4C – Perceived COVID-19 Pandemic Effect on Access to Substance Use Treatment: Among People Aged 12 or Older, among People Aged 12 or Older with Substance Use in Past Year, and among People Aged 12 or Older with Substance Use Disorder in Past Year; by Age Group, Standard Errors of Numbers in Thousands, Quarter 4, 2020
Perceived Effect on Substance Use Treatment Aged 12+ Aged 12-17 Aged 18+ Aged 18-25 Aged 26+
PERCEIVED EFFECT AMONG TOTAL POPULATION          
Appointments moved from in-person to telehealth 1,154 193 1,139 206 1,132
Delays or cancellations in appointments 1,028 222 1,021 191 1,007
Delays in getting prescriptions 778 142 768 125 761
Unable to access needed care resulting in moderate to
   severe impact on health		 642 105 631 111 620
PERCEIVED EFFECT AMONG PAST YEAR ALCOHOL
OR ILLICIT DRUG USERS		          
Appointments moved from in-person to telehealth 915 131 916 175 908
Delays or cancellations in appointments 829 149 829 157 818
Delays in getting prescriptions 640 62 642 96 631
Unable to access needed care resulting in moderate to
   severe impact on health		 468 28 466 74 456
PERCEIVED EFFECT AMONG PEOPLE WITH PAST
YEAR SUBSTANCE USE DISORDER		          
Appointments moved from in-person to telehealth 503 * 500 110 483
Delays or cancellations in appointments 469 * 469 102 455
Delays in getting prescriptions 460 * 456 61 450
Unable to access needed care resulting in moderate to
   severe impact on health		 292 * 291 48 285
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents could report that the questions about access to substance use treatment did not apply to them. Respondents who reported that the respective question did not apply to them were classified as not having experienced that effect.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on their access to substance use treatment were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
210628
Table 13.4D – Perceived COVID-19 Pandemic Effect on Access to Substance Use Treatment: Among People Aged 12 or Older, among People Aged 12 or Older with Substance Use in Past Year, and among People Aged 12 or Older with Substance Use Disorder in Past Year; by Age Group, Standard Errors of Percentages, Quarter 4, 2020
Perceived Effect on Substance Use Treatment Aged 12+ Aged 12-17 Aged 18+ Aged 18-25 Aged 26+
PERCEIVED EFFECT AMONG TOTAL POPULATION          
Appointments moved from in-person to telehealth 0.43 0.80 0.46 0.63 0.53
Delays or cancellations in appointments 0.38 0.92 0.42 0.59 0.47
Delays in getting prescriptions 0.29 0.59 0.31 0.38 0.36
Unable to access needed care resulting in moderate to
   severe impact on health		 0.24 0.43 0.26 0.34 0.29
PERCEIVED EFFECT AMONG PAST YEAR ALCOHOL
OR ILLICIT DRUG USERS		          
Appointments moved from in-person to telehealth 0.48 2.83 0.49 0.73 0.56
Delays or cancellations in appointments 0.44 3.12 0.45 0.69 0.51
Delays in getting prescriptions 0.35 1.35 0.36 0.44 0.41
Unable to access needed care resulting in moderate to
   severe impact on health		 0.26 0.62 0.26 0.34 0.29
PERCEIVED EFFECT AMONG PEOPLE WITH PAST
YEAR SUBSTANCE USE DISORDER		          
Appointments moved from in-person to telehealth 1.21 * 1.24 1.52 1.47
Delays or cancellations in appointments 1.13 * 1.17 1.42 1.39
Delays in getting prescriptions 1.14 * 1.17 0.89 1.41
Unable to access needed care resulting in moderate to
   severe impact on health		 0.74 * 0.76 0.71 0.91
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents could report that the questions about access to substance use treatment did not apply to them. Respondents who reported that the respective question did not apply to them were classified as not having experienced that effect.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on their access to substance use treatment were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
210628
Table 13.5C – Perceived COVID-19 Pandemic Negative Effect on Emotional or Mental Health: Among People Aged 18 or Older; by Age Group and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Numbers in Thousands, Quarter 4, 2020
Perceived Negative Effect on Emotional or Mental Health Aged 18+ Aged 18-25 Aged 26+ Aged 26-49 Aged 50+
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG TOTAL POPULATION		          
Not at all 1,654 412 1,612 897 1,360
A little or some 1,752 419 1,718 943 1,453
Quite a bit or a lot 1,412 316 1,371 783 1,105
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE		          
Not at all 233 82 217 163 156
A little or some 690 184 653 309 539
Quite a bit or a lot 688 231 646 378 503
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE WITH
SEVERE IMPAIRMENT		          
Not at all 169 73 146 101 125
A little or some 496 154 463 269 *
Quite a bit or a lot 600 201 560 320 *
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH NO PAST YEAR MDE		          
Not at all 2,049 533 1,946 1,085 1,615
A little or some 2,858 579 2,716 1,435 2,212
Quite a bit or a lot 1,458 307 1,422 796 1,133
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s negative effect on their emotional or mental health were excluded.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
210628
Table 13.5D – Perceived COVID-19 Pandemic Negative Effect on Emotional or Mental Health: Among People Aged 18 or Older; by Age Group and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Percentages, Quarter 4, 2020
Perceived Negative Effect on Emotional or Mental Health Aged 18+ Aged 18-25 Aged 26+ Aged 26-49 Aged 50+
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG TOTAL POPULATION		          
Not at all 0.67 1.26 0.75 0.90 1.18
A little or some 0.71 1.28 0.80 0.95 1.26
Quite a bit or a lot 0.57 0.96 0.64 0.79 0.96
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE		          
Not at all 1.10 1.53 1.39 1.76 2.38
A little or some 2.47 2.87 3.08 2.75 5.77
Quite a bit or a lot 2.42 3.01 3.04 2.83 5.70
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE WITH
SEVERE IMPAIRMENT		          
Not at all 1.12 1.76 1.36 1.55 2.96
A little or some 2.73 3.13 3.49 3.30 *
Quite a bit or a lot 2.69 3.35 3.49 3.33 *
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH NO PAST YEAR MDE		          
Not at all 0.72 1.43 0.79 0.98 1.23
A little or some 0.74 1.41 0.83 1.02 1.30
Quite a bit or a lot 0.57 0.97 0.64 0.79 0.95
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s negative effect on their emotional or mental health were excluded.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
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Table 13.6C – Perceived COVID-19 Pandemic Negative Effect on Emotional or Mental Health: Among People Aged 18 or Older; by Age Group and Past Year Level of Mental Illness, Standard Errors of Numbers in Thousands, Quarter 4, 2020
Perceived Negative Effect on Emotional or Mental Health Aged 18+ Aged 18-25 Aged 26+ Aged 26-49 Aged 50+
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG TOTAL POPULATION		          
Not at all 1,654 412 1,612 897 1,360
A little or some 1,752 419 1,718 943 1,453
Quite a bit or a lot 1,412 316 1,371 783 1,105
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR ANY
MENTAL ILLNESS		          
Not at all 552 124 542 331 428
A little or some 1,118 284 1,079 611 838
Quite a bit or a lot 1,067 288 1,015 610 818
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR SERIOUS
MENTAL ILLNESS		          
Not at all 230 55 219 175 129
A little or some 532 145 504 266 *
Quite a bit or a lot 635 178 606 319 *
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH NO PAST YEAR
MENTAL ILLNESS		          
Not at all 1,985 516 1,891 1,044 1,561
A little or some 2,670 543 2,561 1,277 2,109
Quite a bit or a lot 1,123 254 1,101 579 915
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s negative effect on their emotional or mental health were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
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Table 13.6D – Perceived COVID-19 Pandemic Negative Effect on Emotional or Mental Health: Among People Aged 18 or Older; by Age Group and Past Year Level of Mental Illness, Standard Errors of Percentages, Quarter 4, 2020
Perceived Negative Effect on Emotional or Mental Health Aged 18+ Aged 18-25 Aged 26+ Aged 26-49 Aged 50+
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG TOTAL POPULATION		          
Not at all 0.67 1.26 0.75 0.90 1.18
A little or some 0.71 1.28 0.80 0.95 1.26
Quite a bit or a lot 0.57 0.96 0.64 0.79 0.96
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR ANY
MENTAL ILLNESS		          
Not at all 0.94 1.24 1.11 1.14 2.21
A little or some 1.45 2.18 1.70 1.67 3.42
Quite a bit or a lot 1.49 2.14 1.73 1.70 3.49
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR SERIOUS
MENTAL ILLNESS		          
Not at all 1.55 1.74 1.87 2.31 2.99
A little or some 2.91 3.68 3.51 3.05 *
Quite a bit or a lot 2.93 3.82 3.59 3.18 *
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH NO PAST YEAR
MENTAL ILLNESS		          
Not at all 0.80 1.58 0.89 1.14 1.30
A little or some 0.81 1.53 0.91 1.16 1.35
Quite a bit or a lot 0.54 0.96 0.60 0.76 0.87
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s negative effect on their emotional or mental health were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
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Table 13.7C – Perceived COVID-19 Pandemic Negative Effect on Emotional or Mental Health: Among People Aged 12 to 17; by Age Group and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Numbers in Thousands, Quarter 4, 2020
Perceived Negative Effect on Emotional or Mental Health Aged 12-17 Aged 12-13 Aged 14-15 Aged 16-17
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG TOTAL POPULATION		        
Not at all 404 343 272 229
A little or some 409 363 350 339
Quite a bit or a lot 303 207 191 216
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE		        
Not at all 90 * 65 60
A little or some 213 * * *
Quite a bit or a lot 228 * * *
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE WITH
SEVERE IMPAIRMENT		        
Not at all 69 * * *
A little or some 151 * * *
Quite a bit or a lot 213 * * *
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH NO PAST YEAR MDE		        
Not at all 506 343 263 227
A little or some 590 338 339 309
Quite a bit or a lot 267 156 140 175
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s negative effect on their emotional or mental health were excluded.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
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Table 13.7D – Perceived COVID-19 Pandemic Negative Effect on Emotional or Mental Health: Among People Aged 12 to 17; by Age Group and Past Year Major Depressive Episode (MDE) and MDE with Severe Impairment Status, Standard Errors of Percentages, Quarter 4, 2020
Perceived Negative Effect on Emotional or Mental Health Aged 12-17 Aged 12-13 Aged 14-15 Aged 16-17
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG TOTAL POPULATION		        
Not at all 1.64 3.12 2.57 2.82
A little or some 1.66 3.14 2.78 2.98
Quite a bit or a lot 1.23 2.10 1.97 2.51
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE		        
Not at all 2.20 * 3.98 4.06
A little or some 3.84 * * *
Quite a bit or a lot 4.11 * * *
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE WITH
SEVERE IMPAIRMENT		        
Not at all 2.39 * * *
A little or some 4.51 * * *
Quite a bit or a lot 4.95 * * *
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH NO PAST YEAR MDE		        
Not at all 1.93 3.30 3.03 3.43
A little or some 1.92 3.40 3.18 3.57
Quite a bit or a lot 1.17 1.89 1.83 2.73
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s negative effect on their emotional or mental health were excluded.
NOTE: Respondents with unknown past year Major Depressive Episode (MDE) data were excluded.
NOTE: Respondents with unknown impairment data were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
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Table 13.8C – Perceived COVID-19 Pandemic Effect on Access to Mental Health Services: Among People Aged 18 or Older; by Age Group and Past Year Mental Health Services (Including Virtual Services) Status, Standard Errors of Numbers in Thousands, Quarter 4, 2020
Perceived Effect on Access to Mental Health Services Aged 18+ Aged 18-25 Aged 26+ Aged 26-49 Aged 50+
PERCEIVED EFFECT AMONG TOTAL POPULATION          
Appointments moved from in-person to telehealth 1,513 318 1,490 794 1,277
Delays or cancellations in appointments 1,435 320 1,404 718 1,190
Delays in getting prescriptions 945 165 940 515 756
Unable to access needed care resulting in moderate to
   severe impact on health		 692 169 666 529 424
PERCEIVED EFFECT AMONG PEOPLE WHO
RECEIVED MENTAL HEALTH SERVICES IN PAST
YEAR (INCLUDING VIRTUAL SERVICES)		          
Appointments moved from in-person to telehealth 1,033 282 983 618 797
Delays or cancellations in appointments 911 227 877 505 732
Delays in getting prescriptions 595 123 586 328 450
Unable to access needed care resulting in moderate to
   severe impact on health		 433 107 414 340 278
PERCEIVED EFFECT AMONG PEOPLE WHO DID
NOT RECEIVE MENTAL HEALTH SERVICES IN
PAST YEAR (INCLUDING VIRTUAL SERVICES)		          
Appointments moved from in-person to telehealth 1,430 209 1,407 682 1,158
Delays or cancellations in appointments 1,389 244 1,367 651 1,152
Delays in getting prescriptions 788 106 785 418 651
Unable to access needed care resulting in moderate to
   severe impact on health		 545 124 531 415 327
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents could report that the questions about access to mental health services did not apply to them. Respondents who reported that the respective question did not apply to them were classified as not having experienced that effect.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on mental health services were excluded.
NOTE: Mental Health Services (Including Virtual Services) for adults includes inpatient treatment/counseling, outpatient treatment/counseling, virtual mental health services, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
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Table 13.8D – Perceived COVID-19 Pandemic Effect on Access to Mental Health Services: Among People Aged 18 or Older; by Age Group and Past Year Mental Health Services (Including Virtual Services) Status, Standard Errors of Percentages, Quarter 4, 2020
Perceived Effect on Access to Mental Health Services Aged 18+ Aged 18-25 Aged 26+ Aged 26-49 Aged 50+
PERCEIVED EFFECT AMONG TOTAL POPULATION          
Appointments moved from in-person to telehealth 0.62 0.97 0.70 0.81 1.12
Delays or cancellations in appointments 0.58 0.98 0.66 0.73 1.04
Delays in getting prescriptions 0.39 0.51 0.44 0.52 0.66
Unable to access needed care resulting in moderate to
   severe impact on health		 0.28 0.52 0.31 0.54 0.37
PERCEIVED EFFECT AMONG PEOPLE WHO
RECEIVED MENTAL HEALTH SERVICES IN PAST
YEAR (INCLUDING VIRTUAL SERVICES)		          
Appointments moved from in-person to telehealth 1.48 2.37 1.69 1.69 3.18
Delays or cancellations in appointments 1.44 2.40 1.69 1.82 3.07
Delays in getting prescriptions 1.19 1.60 1.39 1.43 2.35
Unable to access needed care resulting in moderate to
   severe impact on health		 0.90 1.36 1.02 1.46 1.56
PERCEIVED EFFECT AMONG PEOPLE WHO DID
NOT RECEIVE MENTAL HEALTH SERVICES IN
PAST YEAR (INCLUDING VIRTUAL SERVICES)		          
Appointments moved from in-person to telehealth 0.66 0.79 0.74 0.81 1.12
Delays or cancellations in appointments 0.63 0.92 0.70 0.76 1.07
Delays in getting prescriptions 0.38 0.42 0.44 0.53 0.65
Unable to access needed care resulting in moderate to
   severe impact on health		 0.27 0.50 0.30 0.52 0.34
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents could report that the questions about access to mental health services did not apply to them. Respondents who reported that the respective question did not apply to them were classified as not having experienced that effect.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on mental health services were excluded.
NOTE: Mental Health Services (Including Virtual Services) for adults includes inpatient treatment/counseling, outpatient treatment/counseling, virtual mental health services, or use of prescription medication for problems with emotions, nerves, or mental health. Respondents with unknown mental health service information were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
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Table 13.9C – Perceived COVID-19 Pandemic Effect on Access to Mental Health Services: Among People Aged 18 or Older; by Age Group and Past Year Level of Mental Illness, Standard Errors of Numbers in Thousands, Quarter 4, 2020
Perceived Effect on Access to Mental Health Services Aged 18+ Aged 18-25 Aged 26+ Aged 26-49 Aged 50+
PERCEIVED EFFECT AMONG TOTAL POPULATION          
Appointments moved from in-person to telehealth 1,513 318 1,490 794 1,277
Delays or cancellations in appointments 1,435 320 1,404 718 1,190
Delays in getting prescriptions 945 165 940 515 756
Unable to access needed care resulting in moderate to
   severe impact on health		 692 169 666 529 424
PERCEIVED EFFECT AMONG ADULTS WITH
PAST YEAR ANY MENTAL ILLNESS		          
Appointments moved from in-person to telehealth 977 239 939 578 739
Delays or cancellations in appointments 910 209 886 522 695
Delays in getting prescriptions 645 117 639 361 494
Unable to access needed care resulting in moderate to
   severe impact on health		 516 120 495 387 336
PERCEIVED EFFECT AMONG ADULTS WITH
PAST YEAR SERIOUS MENTAL ILLNESS		          
Appointments moved from in-person to telehealth 558 148 531 298 *
Delays or cancellations in appointments 531 130 509 268 *
Delays in getting prescriptions 396 85 389 199 *
Unable to access needed care resulting in moderate to
   severe impact on health		 329 81 316 197 *
PERCEIVED EFFECT AMONG ADULTS WITH NO
PAST YEAR MENTAL ILLNESS1		          
Appointments moved from in-person to telehealth 1,473 253 1,448 736 1,184
Delays or cancellations in appointments 1,375 261 1,349 649 1,165
Delays in getting prescriptions 740 109 739 401 616
Unable to access needed care resulting in moderate to
   severe impact on health		 472 112 469 387 262
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents could report that the questions about access to mental health services did not apply to them. Respondents who reported that the respective question did not apply to them were classified as not having experienced that effect.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on mental health services were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
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Table 13.9D – Perceived COVID-19 Pandemic Effect on Access to Mental Health Services: Among People Aged 18 or Older; by Age Group and Past Year Level of Mental Illness, Standard Errors of Percentages, Quarter 4, 2020
Perceived Effect on Access to Mental Health Services Aged 18+ Aged 18-25 Aged 26+ Aged 26-49 Aged 50+
PERCEIVED EFFECT AMONG TOTAL POPULATION          
Appointments moved from in-person to telehealth 0.62 0.97 0.70 0.81 1.12
Delays or cancellations in appointments 0.58 0.98 0.66 0.73 1.04
Delays in getting prescriptions 0.39 0.51 0.44 0.52 0.66
Unable to access needed care resulting in moderate to
   severe impact on health		 0.28 0.52 0.31 0.54 0.37
PERCEIVED EFFECT AMONG ADULTS WITH
PAST YEAR ANY MENTAL ILLNESS		          
Appointments moved from in-person to telehealth 1.44 2.11 1.67 1.62 3.34
Delays or cancellations in appointments 1.40 1.92 1.63 1.65 3.17
Delays in getting prescriptions 1.14 1.23 1.35 1.26 2.59
Unable to access needed care resulting in moderate to
   severe impact on health		 0.92 1.24 1.06 1.32 1.82
PERCEIVED EFFECT AMONG ADULTS WITH
PAST YEAR SERIOUS MENTAL ILLNESS		          
Appointments moved from in-person to telehealth 2.87 3.82 3.47 3.10 *
Delays or cancellations in appointments 2.80 3.71 3.41 2.92 *
Delays in getting prescriptions 2.47 2.64 3.00 2.52 *
Unable to access needed care resulting in moderate to
   severe impact on health		 2.12 2.52 2.59 2.48 *
PERCEIVED EFFECT AMONG ADULTS WITH NO
PAST YEAR MENTAL ILLNESS1		          
Appointments moved from in-person to telehealth 0.69 1.03 0.77 0.91 1.14
Delays or cancellations in appointments 0.65 1.08 0.72 0.80 1.10
Delays in getting prescriptions 0.37 0.47 0.43 0.54 0.62
Unable to access needed care resulting in moderate to
   severe impact on health		 0.24 0.47 0.27 0.52 0.27
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents could report that the questions about access to mental health services did not apply to them. Respondents who reported that the respective question did not apply to them were classified as not having experienced that effect.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on mental health services were excluded.
NOTE: Mental Illness aligns with DSM-IV criteria and is defined as having a diagnosable mental, behavioral, or emotional disorder, other than a developmental or substance use disorder. Estimates of serious mental illness (SMI) are a subset of estimates of any mental illness (AMI) because SMI is limited to people with AMI that resulted in serious functional impairment. These mental illness estimates are based on a predictive model and are not direct measures of diagnostic status.
1 Respondents with no mental illness may still have received mental health treatment for a past disorder that is in partial or full remission or treatment for a disorder that was not included in the definition of mental illness or for other reasons.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
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Table 13.10C – Serious Financial Worries and Loss of Permanent Housing Because of the COVID-19 Pandemic: Among People Aged 12 or Older; by Demographic, Geographic, and Socioeconomic Characteristics, Standard Errors of Numbers in Thousands, Quarter 4, 2020
Demographic/Geographic/
Socioeconomic Characteristic		 HOW OFTEN HAD SERIOUS FINANCIAL WORRY BECAUSE OF PANDEMIC Loss of Permanent
Housing Because of
Pandemic
All of the Time or
Nearly All of the Time		 Some of the
Time or Rarely		 Never
TOTAL 1,513 1,939 1,925 525
AGE GROUP        
12-20 239 701 873 49
21 or Older 1,656 2,973 2,232 524
12-17 157 445 460 44
18 or Older 1,498 1,868 1,817 523
18-25 345 438 434 36
26 or Older 1,442 1,796 1,757 522
GENDER        
Male 1,000 1,391 1,289 237
Female 1,033 1,310 1,241 362
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 1,180 1,705 1,683 287
White 1,022 2,189 2,003 204
Black or African American 699 1,267 774 206
AIAN * * 80 *
NHOPI * * * *
Asian 333 788 625 24
Two or More Races 165 297 257 21
Hispanic or Latino 822 922 824 433
GEOGRAPHIC REGION        
Northeast 606 730 755 116
Midwest 496 728 688 126
South 1,027 1,295 1,249 248
West 748 922 975 431
COUNTY TYPE        
Large Metro 1,320 2,172 1,889 461
Small Metro 893 1,855 1,315 168
Nonmetro 492 1,258 1,000 198
Urbanized 325 734 649 176
Less Urbanized 371 765 745 86
Completely Rural 118 * * 34
POVERTY LEVEL1        
Less Than 100% 1,061 1,184 852 268
100-199% 918 1,313 779 446
200% or More 792 2,380 2,250 95
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on their financial worries or loss of permanent housing were excluded from the respective analyses.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
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Table 13.10D – Serious Financial Worries and Loss of Permanent Housing Because of the COVID-19 Pandemic: Among People Aged 12 or Older; by Demographic, Geographic, and Socioeconomic Characteristics, Standard Errors of Percentages, Quarter 4, 2020
Demographic/Geographic/
Socioeconomic Characteristic		 HOW OFTEN HAD SERIOUS FINANCIAL WORRY BECAUSE OF PANDEMIC Loss of Permanent
Housing Because of
Pandemic
All of the Time or
Nearly All of the Time		 Some of the
Time or Rarely		 Never
TOTAL 0.56 0.72 0.71 0.19
AGE GROUP        
12-20 0.64 1.41 1.50 0.13
21 or Older 0.64 0.79 0.77 0.22
12-17 0.65 1.84 1.90 0.18
18 or Older 0.61 0.76 0.74 0.21
18-25 1.06 1.34 1.33 0.11
26 or Older 0.67 0.84 0.82 0.24
GENDER        
Male 0.76 1.05 0.98 0.18
Female 0.75 0.94 0.90 0.26
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 0.53 0.76 0.75 0.13
White 0.57 0.84 0.86 0.12
Black or African American 1.83 2.32 1.98 0.62
AIAN * * 4.86 *
NHOPI * * * *
Asian 1.79 2.85 2.86 0.14
Two or More Races 2.99 4.07 3.92 0.42
Hispanic or Latino 1.75 1.96 1.75 0.91
GEOGRAPHIC REGION        
Northeast 1.29 1.55 1.61 0.25
Midwest 0.89 1.30 1.23 0.22
South 1.00 1.25 1.21 0.24
West 1.16 1.43 1.51 0.66
COUNTY TYPE        
Large Metro 0.79 0.95 0.95 0.31
Small Metro 0.86 1.17 1.15 0.18
Nonmetro 1.32 2.25 2.14 0.57
Urbanized 2.18 3.16 3.03 1.28
Less Urbanized 1.99 2.86 3.04 0.52
Completely Rural 2.85 * * 0.79
POVERTY LEVEL1        
Less Than 100% 1.83 1.91 1.59 0.58
100-199% 1.59 1.82 1.47 0.91
200% or More 0.42 0.85 0.85 0.05
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on their financial worries or loss of permanent housing were excluded from the respective analyses.
1 Respondents aged 18 to 22 who were living in a college dormitory were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
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Table 13.11C – Perceived COVID-19 Pandemic Effect on Access to Medical Care: Among People Aged 12 or Older; by Age Group, Standard Errors of Numbers in Thousands, Quarter 4, 2020
Perceived Effect on Access to Medical Care Aged 12+ Aged 12-17 Aged 18+ Aged 18-25 Aged 26+ Aged 26-49 Aged 50+
PERCEIVED EFFECT AMONG TOTAL POPULATION              
Appointments moved from in-person to telehealth 1,794 311 1,738 360 1,694 838 1,491
Delays or cancellations in appointments or preventative
   services		 1,673 316 1,651 321 1,590 755 1,443
Delays in getting prescriptions 1,145 204 1,133 252 1,084 545 922
Unable to access needed care resulting in moderate to
   severe impact on health		 877 83 872 194 838 509 670
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents could report that the questions about access to medical care did not apply to them. Respondents who reported that the respective question did not apply to them were classified as not having experienced that effect.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on their medical care were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.
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Table 13.11D – Perceived COVID-19 Pandemic Effect on Access to Medical Care: Among People Aged 12 or Older; by Age Group, Standard Errors of Percentages, Quarter 4, 2020
Perceived Effect on Access to Medical Care Aged 12+ Aged 12-17 Aged 18+ Aged 18-25 Aged 26+ Aged 26-49 Aged 50+
PERCEIVED EFFECT AMONG TOTAL POPULATION              
Appointments moved from in-person to telehealth 0.66 1.28 0.71 1.10 0.80 0.85 1.30
Delays or cancellations in appointments or preventative
   services		 0.62 1.31 0.67 0.98 0.75 0.77 1.26
Delays in getting prescriptions 0.42 0.84 0.46 0.77 0.51 0.55 0.80
Unable to access needed care resulting in moderate to
   severe impact on health		 0.33 0.34 0.36 0.59 0.39 0.52 0.58
* = low precision; -- = not available; da = does not apply; nc = not comparable due to methodological changes; nr = not reported due to measurement issues.
NOTE: Estimates in this table for 2020 exclude a subset of respondents who did not complete the questionnaire. The analysis weights and estimates were adjusted for the reduced sample size. See the 2020 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents could report that the questions about access to medical care did not apply to them. Respondents who reported that the respective question did not apply to them were classified as not having experienced that effect.
NOTE: Respondents with unknown information on their perception of the COVID-19 pandemic’s effect on their medical care were excluded.
Definitions: Measures and terms are defined in Appendix A.
Source: SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, Quarter 4, 2020.

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