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210615
Table 13.1A – 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, 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 2,544 266 *
AGE GROUP      
18-25 802 88 *
26 or Older 1,742 * *
26-49 1,033 * *
50 or Older * * *
GENDER      
Male 1,031 * *
Female 1,513 * *
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 2,170 223 *
White 1,648 * *
Black or African American * * *
AIAN * * *
NHOPI * * *
Asian * * *
Two or More Races * * *
Hispanic or Latino * * *
EMPLOYMENT STATUS      
Full-Time 706 * *
Part-Time * * *
Unemployed * * *
Other1 809 * *
* = 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 13.1B – 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, 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 21.1 8.5 *
AGE GROUP      
18-25 22.6 8.2 *
26 or Older 20.5 * *
26-49 19.1 * *
50 or Older * * *
GENDER      
Male 20.0 * *
Female 21.9 * *
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 21.1 8.9 *
White 20.1 * *
Black or African American * * *
AIAN * * *
NHOPI * * *
Asian * * *
Two or More Races * * *
Hispanic or Latino * * *
EMPLOYMENT STATUS      
Full-Time 17.6 * *
Part-Time * * *
Unemployed * * *
Other1 18.4 * *
* = 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 13.2A – 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, 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 33,923 60,621 10,893
AGE GROUP      
12-17 2,026 1,678 665
18 or Older 31,897 58,942 10,228
18-25 4,245 6,613 2,505
26 or Older 27,652 52,329 7,723
GENDER      
Male 15,979 28,855 4,950
Female 17,944 31,766 5,944
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 27,076 55,331 9,292
White 19,912 46,018 7,249
Black or African American 4,961 5,896 1,303
AIAN * * *
NHOPI * * *
Asian * * *
Two or More Races * * *
Hispanic or Latino 6,847 5,290 1,602
GEOGRAPHIC REGION      
Northeast 5,201 10,747 1,653
Midwest 6,936 13,065 2,391
South 12,917 22,743 3,342
West 8,869 14,065 3,507
COUNTY TYPE      
Large Metro 17,528 31,696 6,450
Small Metro 11,383 21,782 3,512
Nonmetro 5,012 7,143 931
Urbanized 2,165 3,389 490
Less Urbanized 2,411 3,154 427
Completely Rural * * *
HEALTH INSURANCE1      
Private 18,445 37,829 6,014
Medicaid/CHIP 8,395 9,668 2,549
Other2 9,856 19,773 2,444
No Coverage 4,215 4,768 1,386
* = 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 13.2B – 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, 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 32.2 57.5 10.3
AGE GROUP      
12-17 46.4 38.4 15.2
18 or Older 31.6 58.3 10.1
18-25 31.8 49.5 18.7
26 or Older 31.5 59.7 8.8
GENDER      
Male 32.1 58.0 9.9
Female 32.2 57.1 10.7
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 29.5 60.3 10.1
White 27.2 62.9 9.9
Black or African American 40.8 48.5 10.7
AIAN * * *
NHOPI * * *
Asian * * *
Two or More Races * * *
Hispanic or Latino 49.8 38.5 11.7
GEOGRAPHIC REGION      
Northeast 29.5 61.1 9.4
Midwest 31.0 58.3 10.7
South 33.1 58.3 8.6
West 33.5 53.2 13.3
COUNTY TYPE      
Large Metro 31.5 56.9 11.6
Small Metro 31.0 59.4 9.6
Nonmetro 38.3 54.6 7.1
Urbanized 35.8 56.1 8.1
Less Urbanized 40.2 52.6 7.1
Completely Rural * * *
HEALTH INSURANCE1      
Private 29.6 60.7 9.7
Medicaid/CHIP 40.7 46.9 12.4
Other2 30.7 61.6 7.6
No Coverage 40.7 46.0 13.4
* = 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 13.3A – Perceived COVID-19 Pandemic Effect on Alcohol Use: Among Past Year Alcohol Users Aged 12 or Older; by Demographic, Geographic, and Socioeconomic Characteristics, 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 42,465 100,048 25,944
AGE GROUP      
12-20 3,071 4,546 1,201
21 or Older 39,394 95,501 24,743
12-17 1,317 1,591 491
18 or Older 41,148 98,456 25,453
18-25 5,895 10,551 3,671
26 or Older 35,252 87,905 21,782
GENDER      
Male 20,004 51,228 11,335
Female 22,461 48,820 14,609
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 31,169 87,156 22,223
White 22,498 70,454 18,492
Black or African American 5,647 9,651 2,129
AIAN * * *
NHOPI * * *
Asian 1,974 4,776 1,006
Two or More Races 704 1,706 483
Hispanic or Latino 11,296 12,891 3,721
GEOGRAPHIC REGION      
Northeast 8,016 18,157 4,703
Midwest 8,353 22,312 5,635
South 15,459 36,756 8,924
West 10,638 22,823 6,682
COUNTY TYPE      
Large Metro 24,487 53,928 15,981
Small Metro 13,408 33,659 7,913
Nonmetro 4,570 12,461 2,050
Urbanized 2,082 5,023 1,133
Less Urbanized 2,031 6,151 814
Completely Rural 456 1,287 103
HEALTH INSURANCE1      
Private 24,767 67,412 18,617
Medicaid/CHIP 9,321 11,221 2,747
Other2 11,074 28,930 4,125
No Coverage 5,456 9,504 3,057
* = 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 13.3B – Perceived COVID-19 Pandemic Effect on Alcohol Use: Among Past Year Alcohol Users Aged 12 or Older; by Demographic, Geographic, and Socioeconomic Characteristics, 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 25.2 59.4 15.4
AGE GROUP      
12-20 34.8 51.6 13.6
21 or Older 24.7 59.8 15.5
12-17 38.7 46.8 14.5
18 or Older 24.9 59.7 15.4
18-25 29.3 52.4 18.2
26 or Older 24.3 60.6 15.0
GENDER      
Male 24.2 62.0 13.7
Female 26.2 56.8 17.0
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 22.2 62.0 15.8
White 20.2 63.2 16.6
Black or African American 32.4 55.4 12.2
AIAN * * *
NHOPI * * *
Asian 25.5 61.6 13.0
Two or More Races 24.3 59.0 16.7
Hispanic or Latino 40.5 46.2 13.3
GEOGRAPHIC REGION      
Northeast 26.0 58.8 15.2
Midwest 23.0 61.5 15.5
South 25.3 60.1 14.6
West 26.5 56.9 16.6
COUNTY TYPE      
Large Metro 25.9 57.1 16.9
Small Metro 24.4 61.2 14.4
Nonmetro 24.0 65.3 10.7
Urbanized 25.3 61.0 13.8
Less Urbanized 22.6 68.4 9.0
Completely Rural 24.7 69.7 5.6
HEALTH INSURANCE1      
Private 22.4 60.8 16.8
Medicaid/CHIP 40.0 48.2 11.8
Other2 25.1 65.6 9.3
No Coverage 30.3 52.8 17.0
* = 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 13.4A – 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, 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 21,487 1,362 20,125 2,359 17,766
Delays or cancellations in appointments 18,196 1,647 16,548 1,928 14,621
Delays in getting prescriptions 8,653 752 7,901 814 7,087
Unable to access needed care resulting in moderate to
   severe impact on health		 6,704 376 6,328 575 5,753
PERCEIVED EFFECT AMONG PAST YEAR ALCOHOL
OR ILLICIT DRUG USERS		          
Appointments moved from in-person to telehealth 14,103 397 13,706 1,715 11,991
Delays or cancellations in appointments 11,872 529 11,342 1,406 9,936
Delays in getting prescriptions 5,852 141 5,711 623 5,088
Unable to access needed care resulting in moderate to
   severe impact on health		 4,233 49 4,184 393 3,791
PERCEIVED EFFECT AMONG PEOPLE WITH PAST
YEAR SUBSTANCE USE DISORDER		          
Appointments moved from in-person to telehealth 4,482 * 4,206 569 3,637
Delays or cancellations in appointments 3,888 * 3,662 464 3,198
Delays in getting prescriptions 2,358 * 2,240 206 2,034
Unable to access needed care resulting in moderate to
   severe impact on health		 1,817 * 1,792 140 1,651
* = 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 13.4B – 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, 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 8.0 5.7 8.2 7.2 8.4
Delays or cancellations in appointments 6.7 6.8 6.7 5.9 6.9
Delays in getting prescriptions 3.2 3.1 3.2 2.5 3.3
Unable to access needed care resulting in moderate to
   severe impact on health		 2.5 1.6 2.6 1.8 2.7
PERCEIVED EFFECT AMONG PAST YEAR ALCOHOL
OR ILLICIT DRUG USERS		          
Appointments moved from in-person to telehealth 7.9 9.0 7.9 7.9 7.9
Delays or cancellations in appointments 6.7 12.0 6.5 6.5 6.5
Delays in getting prescriptions 3.3 3.2 3.3 2.9 3.4
Unable to access needed care resulting in moderate to
   severe impact on health		 2.4 1.1 2.4 1.8 2.5
PERCEIVED EFFECT AMONG PEOPLE WITH PAST
YEAR SUBSTANCE USE DISORDER		          
Appointments moved from in-person to telehealth 11.7 * 11.3 8.4 12.0
Delays or cancellations in appointments 10.1 * 9.9 6.9 10.5
Delays in getting prescriptions 6.2 * 6.0 3.1 6.7
Unable to access needed care resulting in moderate to
   severe impact on health		 4.7 * 4.8 2.1 5.4
* = 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 13.5A – 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, 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 66,786 9,292 57,494 25,528 31,966
A little or some 135,206 15,864 119,342 52,456 66,887
Quite a bit or a lot 45,189 7,578 37,611 21,217 16,394
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE		          
Not at all 1,743 455 1,288 776 512
A little or some 8,236 1,905 6,331 3,429 2,902
Quite a bit or a lot 10,547 2,699 7,848 4,735 3,113
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE WITH
SEVERE IMPAIRMENT		          
Not at all 1,117 360 758 447 311
A little or some 5,143 1,370 3,774 2,253 *
Quite a bit or a lot 8,174 2,162 6,011 3,649 *
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH NO PAST YEAR MDE		          
Not at all 64,741 8,806 55,936 24,750 31,186
A little or some 126,130 13,799 112,331 48,785 63,546
Quite a bit or a lot 33,953 4,789 29,164 16,294 12,870
* = 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 13.5B – 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, 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 27.0 28.4 26.8 25.7 27.7
A little or some 54.7 48.5 55.7 52.9 58.0
Quite a bit or a lot 18.3 23.2 17.5 21.4 14.2
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE		          
Not at all 8.5 9.0 8.3 8.7 7.8
A little or some 40.1 37.7 40.9 38.4 44.5
Quite a bit or a lot 51.4 53.4 50.7 53.0 47.7
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE WITH
SEVERE IMPAIRMENT		          
Not at all 7.7 9.2 7.2 7.0 7.4
A little or some 35.6 35.2 35.8 35.5 *
Quite a bit or a lot 56.6 55.6 57.0 57.5 *
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH NO PAST YEAR MDE		          
Not at all 28.8 32.1 28.3 27.6 29.0
A little or some 56.1 50.4 56.9 54.3 59.1
Quite a bit or a lot 15.1 17.5 14.8 18.1 12.0
* = 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 13.6A – 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, 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 66,786 9,292 57,494 25,528 31,966
A little or some 135,206 15,864 119,342 52,456 66,887
Quite a bit or a lot 45,189 7,578 37,611 21,217 16,394
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR ANY
MENTAL ILLNESS		          
Not at all 5,591 858 4,733 2,681 2,052
A little or some 23,948 3,906 20,042 11,871 8,170
Quite a bit or a lot 24,324 4,479 19,844 12,127 7,717
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR SERIOUS
MENTAL ILLNESS		          
Not at all 1,340 252 1,088 747 341
A little or some 5,145 1,177 3,968 2,445 *
Quite a bit or a lot 7,880 1,595 6,286 3,837 *
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH NO PAST YEAR
MENTAL ILLNESS		          
Not at all 61,195 8,434 52,761 22,847 29,914
A little or some 111,258 11,957 99,301 40,584 58,717
Quite a bit or a lot 20,866 3,099 17,767 9,090 8,677
* = 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 13.6B – 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, 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 27.0 28.4 26.8 25.7 27.7
A little or some 54.7 48.5 55.7 52.9 58.0
Quite a bit or a lot 18.3 23.2 17.5 21.4 14.2
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR ANY
MENTAL ILLNESS		          
Not at all 10.4 9.3 10.6 10.0 11.4
A little or some 44.5 42.3 44.9 44.5 45.5
Quite a bit or a lot 45.2 48.5 44.5 45.5 43.0
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR SERIOUS
MENTAL ILLNESS		          
Not at all 9.3 8.3 9.6 10.6 7.9
A little or some 35.8 38.9 35.0 34.8 *
Quite a bit or a lot 54.9 52.7 55.4 54.6 *
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH NO PAST YEAR
MENTAL ILLNESS		          
Not at all 31.7 35.9 31.1 31.5 30.7
A little or some 57.6 50.9 58.5 56.0 60.3
Quite a bit or a lot 10.8 13.2 10.5 12.5 8.9
* = 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 13.7A – 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, 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 7,590 3,271 2,532 1,787
A little or some 12,507 4,303 4,537 3,666
Quite a bit or a lot 4,507 1,251 1,627 1,629
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE		        
Not at all 399 * 190 189
A little or some 1,549 * * *
Quite a bit or a lot 1,851 * * *
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE WITH
SEVERE IMPAIRMENT		        
Not at all 257 * * *
A little or some 944 * * *
Quite a bit or a lot 1,485 * * *
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH NO PAST YEAR MDE		        
Not at all 7,159 3,241 2,321 1,597
A little or some 10,647 3,781 3,839 3,027
Quite a bit or a lot 2,585 763 882 940
* = 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 13.7B – 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, 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 30.8 37.1 29.1 25.2
A little or some 50.8 48.8 52.2 51.8
Quite a bit or a lot 18.3 14.2 18.7 23.0
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE		        
Not at all 10.5 * 12.5 13.4
A little or some 40.8 * * *
Quite a bit or a lot 48.7 * * *
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH PAST YEAR MDE WITH
SEVERE IMPAIRMENT		        
Not at all 9.6 * * *
A little or some 35.1 * * *
Quite a bit or a lot 55.3 * * *
PERCEPTION OF PANDEMIC’S NEGATIVE
EFFECT ON EMOTIONAL OR MENTAL HEALTH
AMONG PEOPLE WITH NO PAST YEAR MDE		        
Not at all 35.1 41.6 33.0 28.7
A little or some 52.2 48.6 54.5 54.4
Quite a bit or a lot 12.7 9.8 12.5 16.9
* = 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 13.8A – 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, 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 52,342 6,800 45,541 23,951 21,590
Delays or cancellations in appointments 45,974 5,654 40,319 19,284 21,035
Delays in getting prescriptions 15,895 1,831 14,064 7,866 6,199
Unable to access needed care resulting in moderate to
   severe impact on health		 11,612 1,603 10,008 6,973 3,035
PERCEIVED EFFECT AMONG PEOPLE WHO
RECEIVED MENTAL HEALTH SERVICES IN PAST
YEAR (INCLUDING VIRTUAL SERVICES)		          
Appointments moved from in-person to telehealth 26,602 4,612 21,991 13,335 8,656
Delays or cancellations in appointments 17,671 2,841 14,830 8,098 6,732
Delays in getting prescriptions 7,304 1,087 6,216 3,777 2,439
Unable to access needed care resulting in moderate to
   severe impact on health		 4,872 715 4,157 2,860 1,296
PERCEIVED EFFECT AMONG PEOPLE WHO DID
NOT RECEIVE MENTAL HEALTH SERVICES IN
PAST YEAR (INCLUDING VIRTUAL SERVICES)		          
Appointments moved from in-person to telehealth 25,676 2,188 23,488 10,565 12,924
Delays or cancellations in appointments 28,273 2,812 25,460 11,168 14,292
Delays in getting prescriptions 8,578 743 7,834 4,075 3,760
Unable to access needed care resulting in moderate to
   severe impact on health		 6,725 887 5,838 4,099 1,739
* = 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 13.8B – 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, 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 21.3 20.8 21.4 24.4 18.9
Delays or cancellations in appointments 18.7 17.3 19.0 19.6 18.4
Delays in getting prescriptions 6.5 5.6 6.6 8.0 5.4
Unable to access needed care resulting in moderate to
   severe impact on health		 4.7 4.9 4.7 7.1 2.7
PERCEIVED EFFECT AMONG PEOPLE WHO
RECEIVED MENTAL HEALTH SERVICES IN PAST
YEAR (INCLUDING VIRTUAL SERVICES)		          
Appointments moved from in-person to telehealth 58.3 62.7 57.4 63.7 49.8
Delays or cancellations in appointments 38.7 38.6 38.7 38.7 38.7
Delays in getting prescriptions 16.0 14.8 16.2 18.0 14.0
Unable to access needed care resulting in moderate to
   severe impact on health		 10.7 9.7 10.9 13.7 7.5
PERCEIVED EFFECT AMONG PEOPLE WHO DID
NOT RECEIVE MENTAL HEALTH SERVICES IN
PAST YEAR (INCLUDING VIRTUAL SERVICES)		          
Appointments moved from in-person to telehealth 12.9 8.7 13.5 13.7 13.3
Delays or cancellations in appointments 14.2 11.1 14.6 14.5 14.7
Delays in getting prescriptions 4.3 2.9 4.5 5.3 3.9
Unable to access needed care resulting in moderate to
   severe impact on health		 3.4 3.5 3.4 5.3 1.8
* = 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 13.9A – 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, 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 52,342 6,800 45,541 23,951 21,590
Delays or cancellations in appointments 45,974 5,654 40,319 19,284 21,035
Delays in getting prescriptions 15,895 1,831 14,064 7,866 6,199
Unable to access needed care resulting in moderate to
   severe impact on health		 11,612 1,603 10,008 6,973 3,035
PERCEIVED EFFECT AMONG ADULTS WITH
PAST YEAR ANY MENTAL ILLNESS		          
Appointments moved from in-person to telehealth 22,217 3,596 18,620 11,616 7,004
Delays or cancellations in appointments 17,112 2,564 14,549 8,467 6,082
Delays in getting prescriptions 7,715 971 6,744 4,080 2,665
Unable to access needed care resulting in moderate to
   severe impact on health		 6,311 910 5,401 3,703 1,698
PERCEIVED EFFECT AMONG ADULTS WITH
PAST YEAR SERIOUS MENTAL ILLNESS		          
Appointments moved from in-person to telehealth 7,664 1,489 6,175 3,854 *
Delays or cancellations in appointments 5,916 1,025 4,891 2,969 *
Delays in getting prescriptions 3,014 447 2,568 1,578 *
Unable to access needed care resulting in moderate to
   severe impact on health		 2,448 367 2,081 1,341 *
PERCEIVED EFFECT AMONG ADULTS WITH NO
PAST YEAR MENTAL ILLNESS1		          
Appointments moved from in-person to telehealth 30,125 3,204 26,921 12,334 14,586
Delays or cancellations in appointments 28,861 3,091 25,771 10,817 14,953
Delays in getting prescriptions 8,180 860 7,320 3,786 3,534
Unable to access needed care resulting in moderate to
   severe impact on health		 5,301 693 4,608 3,270 1,338
* = 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 13.9B – 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, 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 21.3 20.8 21.4 24.4 18.9
Delays or cancellations in appointments 18.7 17.3 19.0 19.6 18.4
Delays in getting prescriptions 6.5 5.6 6.6 8.0 5.4
Unable to access needed care resulting in moderate to
   severe impact on health		 4.7 4.9 4.7 7.1 2.7
PERCEIVED EFFECT AMONG ADULTS WITH
PAST YEAR ANY MENTAL ILLNESS		          
Appointments moved from in-person to telehealth 41.6 39.0 42.1 44.0 39.3
Delays or cancellations in appointments 32.0 27.8 32.9 32.1 34.1
Delays in getting prescriptions 14.5 10.5 15.3 15.5 15.0
Unable to access needed care resulting in moderate to
   severe impact on health		 11.8 9.9 12.2 14.0 9.5
PERCEIVED EFFECT AMONG ADULTS WITH
PAST YEAR SERIOUS MENTAL ILLNESS		          
Appointments moved from in-person to telehealth 53.4 49.4 54.4 54.8 *
Delays or cancellations in appointments 41.3 34.1 43.2 42.3 *
Delays in getting prescriptions 21.0 14.8 22.6 22.5 *
Unable to access needed care resulting in moderate to
   severe impact on health		 17.1 12.2 18.4 19.1 *
PERCEIVED EFFECT AMONG ADULTS WITH NO
PAST YEAR MENTAL ILLNESS1		          
Appointments moved from in-person to telehealth 15.7 13.7 16.0 17.2 15.1
Delays or cancellations in appointments 15.0 13.2 15.3 15.0 15.5
Delays in getting prescriptions 4.3 3.7 4.3 5.3 3.7
Unable to access needed care resulting in moderate to
   severe impact on health		 2.8 3.0 2.7 4.5 1.4
* = 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 13.10A – 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, 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 42,962 128,665 98,947 2,525
AGE GROUP        
12-20 2,611 15,070 18,954 118
21 or Older 40,351 113,594 79,993 2,407
12-17 1,009 8,949 14,267 76
18 or Older 41,953 119,715 84,680 2,450
18-25 6,295 15,927 10,431 130
26 or Older 35,658 103,789 74,250 2,320
GENDER        
Male 18,487 61,905 51,554 1,199
Female 24,475 66,760 47,393 1,327
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 32,205 106,075 85,296 1,745
White 21,188 77,556 68,321 1,003
Black or African American 7,596 15,812 9,076 622
AIAN * * 325 *
NHOPI * * * *
Asian 2,126 9,249 5,736 27
Two or More Races 876 2,435 1,781 44
Hispanic or Latino 10,757 22,590 13,651 781
GEOGRAPHIC REGION        
Northeast 8,054 21,621 17,320 303
Midwest 7,427 25,829 22,572 415
South 18,115 48,695 36,355 995
West 9,365 32,519 22,700 812
COUNTY TYPE        
Large Metro 23,590 69,202 53,461 1,443
Small Metro 14,412 43,716 31,944 650
Nonmetro 4,960 15,747 13,543 433
Urbanized 2,128 6,280 5,176 268
Less Urbanized 2,470 7,310 6,692 117
Completely Rural 362 * * 49
POVERTY LEVEL1        
Less Than 100% 16,163 18,560 10,163 1,295
100-199% 11,733 24,825 11,547 887
200% or More 15,066 85,280 77,237 343
* = 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 13.10B – 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, 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 15.9 47.6 36.6 0.9
AGE GROUP        
12-20 7.1 41.1 51.7 0.3
21 or Older 17.2 48.6 34.2 1.0
12-17 4.2 36.9 58.9 0.3
18 or Older 17.0 48.6 34.4 1.0
18-25 19.3 48.8 31.9 0.4
26 or Older 16.7 48.6 34.7 1.1
GENDER        
Male 14.0 46.9 39.1 0.9
Female 17.7 48.2 34.2 1.0
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 14.4 47.4 38.2 0.8
White 12.7 46.4 40.9 0.6
Black or African American 23.4 48.7 27.9 1.9
AIAN * * 20.0 *
NHOPI * * * *
Asian 12.4 54.1 33.5 0.2
Two or More Races 17.2 47.8 35.0 0.9
Hispanic or Latino 22.9 48.1 29.0 1.6
GEOGRAPHIC REGION        
Northeast 17.1 46.0 36.9 0.6
Midwest 13.3 46.3 40.4 0.7
South 17.6 47.2 35.2 1.0
West 14.5 50.4 35.1 1.3
COUNTY TYPE        
Large Metro 16.1 47.3 36.6 1.0
Small Metro 16.0 48.5 35.5 0.7
Nonmetro 14.5 46.0 39.5 1.3
Urbanized 15.7 46.2 38.1 2.0
Less Urbanized 15.0 44.4 40.6 0.7
Completely Rural 8.6 * * 1.2
POVERTY LEVEL1        
Less Than 100% 36.0 41.3 22.6 2.9
100-199% 24.4 51.6 24.0 1.8
200% or More 8.5 48.0 43.5 0.2
* = 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 13.11A – Perceived COVID-19 Pandemic Effect on Access to Medical Care: Among People Aged 12 or Older; by Age Group, 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 84,553 3,681 80,872 7,976 72,895 31,582 41,313
Delays or cancellations in appointments or preventative
   services		 79,425 4,688 74,737 6,588 68,150 28,370 39,780
Delays in getting prescriptions 23,930 1,318 22,612 2,559 20,053 9,477 10,576
Unable to access needed care resulting in moderate to
   severe impact on health		 15,064 347 14,717 1,714 13,003 6,958 6,045
* = 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 13.11B – Perceived COVID-19 Pandemic Effect on Access to Medical Care: Among People Aged 12 or Older; by Age Group, 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 31.3 15.1 32.9 24.4 34.2 32.1 36.1
Delays or cancellations in appointments or preventative
   services		 29.4 19.3 30.4 20.2 32.0 28.9 34.7
Delays in getting prescriptions 8.9 5.4 9.2 7.8 9.4 9.6 9.2
Unable to access needed care resulting in moderate to
   severe impact on health		 5.6 1.4 6.0 5.3 6.1 7.1 5.3
* = 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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