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220624
Table 3.1A – Perceived Great Risk of Harm Associated with Substance Use and Perceived Availability of Substances: Among People Aged 12 or Older; by Age Group, Numbers in Thousands, 2021
Specific Substance Risk/Availability Aged 12+
(2021)		 Aged 12-17
(2021)		 Aged 18+
(2021)		 Aged 18-25
(2021)		 Aged 26+
(2021)
PERCEPTIONS OF GREAT RISK1          
Cigarettes          
Smoke One or More Packs Per Day 191,554 16,663 174,891 21,417 153,474
Marijuana          
Smoke Once a Month 59,446 5,936 53,510 3,833 49,678
Smoke Once or Twice a Week 73,046 8,935 64,111 5,029 59,082
Cocaine          
Use Once a Month 181,777 12,875 168,902 19,432 149,469
Use Once or Twice a Week 229,905 19,789 210,116 26,730 183,387
Heroin          
Try Once or Twice 225,591 14,817 210,773 25,842 184,931
Use Once or Twice a Week 253,657 20,060 233,597 30,378 203,219
LSD          
Try Once or Twice 161,802 10,444 151,358 13,815 137,543
Use Once or Twice a Week 204,652 15,921 188,732 20,696 168,036
Alcohol          
Have Five or More Drinks Once or Twice a Week 121,810 11,072 110,738 12,814 97,924
Have Four or Five Drinks Nearly Every Day 188,826 17,003 171,822 21,424 150,398
PERCEIVED AVAILABILITY2          
Fairly or Very Easy to Obtain          
Marijuana 172,206 9,406 162,800 23,798 139,002
Cocaine 52,679 1,919 50,760 7,474 43,286
Crack 41,623 1,812 39,810 4,171 35,640
Heroin 37,308 1,238 36,070 3,680 32,391
LSD 35,132 2,268 32,864 6,823 26,041
Approached in the Past Month by Someone Selling Drugs 10,976 1,433 9,544 2,629 6,915
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 Respondents with unknown Perception of Risk data were excluded from the respective analyses.
2 Respondents with unknown Perceived Availability data were excluded from the respective analyses.
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, 2021.
220624
Table 3.1B – Perceived Great Risk of Harm Associated with Substance Use and Perceived Availability of Substances: Among People Aged 12 or Older; by Age Group, Percentages, 2021
Specific Substance Risk/Availability Aged 12+
(2021)		 Aged 12-17
(2021)		 Aged 18+
(2021)		 Aged 18-25
(2021)		 Aged 26+
(2021)
PERCEPTIONS OF GREAT RISK1          
Cigarettes          
Smoke One or More Packs Per Day 69.2 64.8 69.7 64.7 70.4
Marijuana          
Smoke Once a Month 21.6 23.3 21.4 11.6 22.9
Smoke Once or Twice a Week 26.5 35.0 25.7 15.2 27.3
Cocaine          
Use Once a Month 66.2 50.7 67.8 58.8 69.2
Use Once or Twice a Week 83.7 77.9 84.3 80.8 84.8
Heroin          
Try Once or Twice 82.1 58.7 84.5 78.3 85.4
Use Once or Twice a Week 92.3 79.4 93.6 92.0 93.9
LSD          
Try Once or Twice 59.3 42.4 61.0 42.2 63.8
Use Once or Twice a Week 75.0 64.4 76.0 63.3 78.0
Alcohol          
Have Five or More Drinks Once or Twice a Week 44.1 43.2 44.2 38.7 45.1
Have Four or Five Drinks Nearly Every Day 68.4 66.2 68.7 64.6 69.3
PERCEIVED AVAILABILITY2          
Fairly or Very Easy to Obtain          
Marijuana 63.3 37.2 66.0 72.1 65.1
Cocaine 19.6 7.6 20.8 22.9 20.5
Crack 15.5 7.2 16.3 12.8 16.9
Heroin 13.9 4.9 14.8 11.3 15.3
LSD 13.1 9.2 13.5 20.9 12.3
Approached in the Past Month by Someone Selling Drugs 4.0 5.5 3.8 7.9 3.2
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
1 Respondents with unknown Perception of Risk data were excluded from the respective analyses.
2 Respondents with unknown Perceived Availability data were excluded from the respective analyses.
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, 2021.
220624
Table 3.2A – Perceived Great Risk of Harm Associated with Cigarette and Alcohol Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2021
Demographic/Geographic Characteristic CIGARETTES ALCOHOL
Smoke One or More
Packs Per Day		 Have Five or More Drinks Once
or Twice a Week		 Have Four or Five Drinks Nearly
Every Day
2021 2021 2021
TOTAL 16,663 11,072 17,003
AGE GROUP      
12-13 5,926 3,940 5,839
14-15 5,297 3,571 5,580
16-17 5,441 3,561 5,584
GENDER      
Male 8,392 5,379 8,086
Female 8,271 5,693 8,918
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 12,524 8,026 12,926
White 8,581 4,741 8,653
Black or African American 2,168 1,940 2,352
AIAN * * *
NHOPI * * *
Asian 1,002 804 1,160
Two or More Races 597 418 591
Hispanic or Latino 4,139 3,046 4,078
COUNTY TYPE      
Large Metro 9,446 6,231 9,698
Small Metro 5,057 3,370 5,150
Nonmetro 2,160 1,471 2,156
Urbanized 811 525 801
Less Urbanized 1,120 779 1,116
Completely Rural 229 166 239
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Perception of Risk data were excluded from the respective analyses.
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, 2021.
220624
Table 3.2B – Perceived Great Risk of Harm Associated with Cigarette and Alcohol Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2021
Demographic/Geographic Characteristic CIGARETTES ALCOHOL
Smoke One or More
Packs Per Day		 Have Five or More Drinks Once
or Twice a Week		 Have Four or Five Drinks Nearly
Every Day
2021 2021 2021
TOTAL 64.8 43.2 66.2
AGE GROUP      
12-13 67.0 44.7 65.9
14-15 63.3 42.7 66.7
16-17 64.0 41.9 65.8
GENDER      
Male 63.9 41.0 61.6
Female 65.7 45.4 70.9
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 65.5 42.1 67.6
White 65.9 36.5 66.5
Black or African American 62.3 55.9 67.6
AIAN * * *
NHOPI * * *
Asian 70.6 56.7 81.8
Two or More Races 66.7 46.7 66.0
Hispanic or Latino 62.8 46.3 61.9
COUNTY TYPE      
Large Metro 66.5 44.0 68.4
Small Metro 64.8 43.1 65.9
Nonmetro 58.2 39.9 58.2
Urbanized 57.4 37.1 56.6
Less Urbanized 58.3 40.9 58.4
Completely Rural 60.8 44.7 63.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Perception of Risk data were excluded from the respective analyses.
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, 2021.
220624
Table 3.3A – Perceived Great Risk of Harm Associated with Marijuana and Cocaine Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2021
Demographic/Geographic Characteristic MARIJUANA COCAINE
Smoke Once a Month Smoke Once or Twice a
Week		 Use Once a Month Use Once or Twice a
Week
2021 2021 2021 2021
TOTAL 5,936 8,935 12,875 19,789
AGE GROUP        
12-13 2,763 4,100 3,994 6,286
14-15 1,878 2,849 4,221 6,548
16-17 1,296 1,986 4,660 6,954
GENDER        
Male 2,986 4,486 6,746 10,130
Female 2,950 4,450 6,129 9,659
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 4,377 6,665 9,535 14,844
White 2,816 4,541 6,241 10,187
Black or African American 970 1,179 2,049 2,621
AIAN * * * *
NHOPI * * * *
Asian 411 624 633 1,050
Two or More Races 127 233 469 737
Hispanic or Latino 1,559 2,271 3,340 4,944
COUNTY TYPE        
Large Metro 3,235 4,994 7,059 10,989
Small Metro 1,761 2,719 3,874 6,007
Nonmetro 940 1,223 1,942 2,793
Urbanized 318 397 701 1,076
Less Urbanized 501 665 1,012 1,431
Completely Rural 121 160 * 285
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Perception of Risk data were excluded from the respective analyses.
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, 2021.
220624
Table 3.3B – Perceived Great Risk of Harm Associated with Marijuana and Cocaine Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2021
Demographic/Geographic Characteristic MARIJUANA COCAINE
Smoke Once a Month Smoke Once or Twice a
Week		 Use Once a Month Use Once or Twice a
Week
2021 2021 2021 2021
TOTAL 23.3 35.0 50.7 77.9
AGE GROUP        
12-13 31.5 46.9 46.2 72.7
14-15 22.6 34.3 50.9 78.7
16-17 15.3 23.5 55.2 82.4
GENDER        
Male 22.9 34.5 51.9 77.9
Female 23.6 35.6 49.5 77.8
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 23.1 35.2 50.5 78.5
White 21.8 35.2 48.6 79.2
Black or African American 28.1 34.4 59.8 76.1
AIAN * * * *
NHOPI * * * *
Asian 29.4 44.4 45.1 74.8
Two or More Races 14.6 26.4 53.0 82.2
Hispanic or Latino 23.7 34.6 51.2 76.1
COUNTY TYPE        
Large Metro 23.0 35.5 50.4 78.5
Small Metro 22.7 35.0 49.9 77.3
Nonmetro 25.6 33.3 53.6 76.7
Urbanized 22.5 28.1 50.6 77.7
Less Urbanized 26.6 35.4 54.1 75.9
Completely Rural 31.9 42.7 * 77.0
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Perception of Risk data were excluded from the respective analyses.
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, 2021.
220624
Table 3.4A – Perceived Great Risk of Harm Associated with Heroin and LSD Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2021
Demographic/Geographic Characteristic HEROIN LSD
Try Once or Twice Use Once or Twice a
Week		 Try Once or Twice Use Once or Twice a
Week
2021 2021 2021 2021
TOTAL 14,817 20,060 10,444 15,921
AGE GROUP        
12-13 4,224 6,125 3,474 5,129
14-15 4,897 6,682 3,517 5,369
16-17 5,696 7,254 3,452 5,422
GENDER        
Male 7,832 10,353 5,397 8,152
Female 6,986 9,706 5,047 7,769
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 10,947 15,037 7,607 12,000
White 7,315 10,485 4,864 8,288
Black or African American 2,221 2,555 1,735 2,115
AIAN * * * *
NHOPI * * * *
Asian 672 1,014 545 870
Two or More Races 521 720 321 539
Hispanic or Latino 3,870 5,023 2,836 3,920
COUNTY TYPE        
Large Metro 8,132 11,098 5,674 8,838
Small Metro 4,460 6,110 3,139 4,810
Nonmetro 2,226 2,851 1,631 2,272
Urbanized 820 1,092 528 815
Less Urbanized 1,153 1,452 895 1,197
Completely Rural 252 307 208 261
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Perception of Risk data were excluded from the respective analyses.
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, 2021.
220624
Table 3.4B – Perceived Great Risk of Harm Associated with Heroin and LSD Use: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2021
Demographic/Geographic Characteristic HEROIN LSD
Try Once or Twice Use Once or Twice a
Week		 Try Once or Twice Use Once or Twice a
Week
2021 2021 2021 2021
TOTAL 58.7 79.4 42.4 64.4
AGE GROUP        
12-13 49.5 71.6 42.3 62.0
14-15 59.3 80.7 43.5 66.4
16-17 67.5 86.0 41.4 65.0
GENDER        
Male 60.6 80.0 42.9 64.5
Female 56.8 78.7 41.9 64.4
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 58.4 80.0 41.5 65.3
White 57.1 81.7 38.8 65.9
Black or African American 65.3 74.9 51.9 63.2
AIAN * * * *
NHOPI * * * *
Asian 49.2 73.7 41.4 66.0
Two or More Races 60.4 82.9 38.5 64.3
Hispanic or Latino 59.7 77.6 44.9 61.9
COUNTY TYPE        
Large Metro 58.5 79.6 41.8 64.9
Small Metro 57.8 79.0 41.7 63.8
Nonmetro 61.7 79.1 46.1 64.1
Urbanized 59.9 79.7 39.1 60.3
Less Urbanized 61.5 77.7 49.0 65.2
Completely Rural 69.3 84.3 57.5 72.2
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Perception of Risk data were excluded from the respective analyses.
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, 2021.
220624
Table 3.5A – Perceived That Obtaining Specific Illicit Drugs Would Be Fairly or Very Easy: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2021
Demographic/
Geographic Characteristic		 Marijuana
(2021)		 Cocaine
(2021)		 Crack
(2021)		 Heroin
(2021)		 LSD
(2021)
TOTAL 9,406 1,919 1,812 1,238 2,268
AGE GROUP          
12-13 1,332 449 428 320 269
14-15 3,122 563 637 390 697
16-17 4,953 906 747 527 1,303
GENDER          
Male 4,476 821 706 590 1,053
Female 4,930 1,098 1,107 648 1,215
HISPANIC ORIGIN AND RACE          
Not Hispanic or Latino 7,093 1,320 1,269 852 1,619
White 5,156 974 869 604 1,251
Black or African American 1,082 161 200 148 160
AIAN * * * * *
NHOPI * * * * *
Asian 351 67 82 35 88
Two or More Races 372 59 73 24 62
Hispanic or Latino 2,313 599 543 386 649
COUNTY TYPE          
Large Metro 5,254 1,025 972 698 1,236
Small Metro 2,848 670 611 366 729
Nonmetro 1,304 223 229 174 303
Urbanized 579 100 81 66 162
Less Urbanized 610 101 99 88 106
Completely Rural 115 23 * 20 *
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Perceived Availability data were excluded from the respective analyses.
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, 2021.
220624
Table 3.5B – Perceived That Obtaining Specific Illicit Drugs Would Be Fairly or Very Easy: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2021
Demographic/
Geographic Characteristic		 Marijuana
(2021)		 Cocaine
(2021)		 Crack
(2021)		 Heroin
(2021)		 LSD
(2021)
TOTAL 37.2 7.6 7.2 4.9 9.2
AGE GROUP          
12-13 15.5 5.3 5.0 3.8 3.2
14-15 37.9 6.9 7.8 4.8 8.6
16-17 58.7 10.8 8.9 6.3 15.7
GENDER          
Male 34.7 6.4 5.5 4.6 8.3
Female 39.8 8.9 9.0 5.3 10.0
HISPANIC ORIGIN AND RACE          
Not Hispanic or Latino 37.7 7.1 6.8 4.6 8.8
White 40.3 7.7 6.9 4.8 9.9
Black or African American 31.5 4.7 5.9 4.3 4.7
AIAN * * * * *
NHOPI * * * * *
Asian 25.6 4.8 5.9 2.6 6.5
Two or More Races 42.3 6.7 8.3 2.7 7.1
Hispanic or Latino 35.7 9.3 8.5 6.0 10.3
COUNTY TYPE          
Large Metro 37.8 7.4 7.1 5.1 9.1
Small Metro 36.9 8.7 7.9 4.8 9.6
Nonmetro 35.7 6.2 6.4 4.8 8.4
Urbanized 41.4 7.2 5.9 4.8 11.8
Less Urbanized 32.4 5.4 5.3 4.7 5.7
Completely Rural 30.9 6.2 * 5.4 *
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Perceived Availability data were excluded from the respective analyses.
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, 2021.
220624
Table 3.6A – Perceived That Parents Would Strongly Disapprove of Their Substance Use Behaviors: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2021
Demographic/Geographic Characteristic SUBSTANCE USE BEHAVIOR
Smoking One or More
Packs of Cigarettes Per
Day		 Trying Marijuana Once
or Twice		 Using Marijuana Once a
Month or More		 Having One or Two
Drinks of an Alcoholic
Beverage Nearly Every
Day
2021 2021 2021 2021
TOTAL 24,286 21,301 22,130 23,172
AGE GROUP        
12-13 8,418 8,108 8,257 8,219
14-15 7,917 7,088 7,432 7,617
16-17 7,951 6,106 6,441 7,335
GENDER        
Male 12,433 11,087 11,447 11,954
Female 11,853 10,215 10,682 11,217
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 18,031 15,521 16,318 17,301
White 12,391 10,430 11,101 11,801
Black or African American 3,155 2,880 2,903 3,072
AIAN * * * *
NHOPI * * * *
Asian 1,368 1,312 1,363 1,369
Two or More Races 855 722 760 823
Hispanic or Latino 6,255 5,781 5,812 5,870
COUNTY TYPE        
Large Metro 13,440 11,808 12,316 12,829
Small Metro 7,431 6,461 6,659 7,073
Nonmetro 3,415 3,032 3,155 3,270
Urbanized 1,319 1,146 1,193 1,251
Less Urbanized 1,763 1,595 1,651 1,712
Completely Rural 334 291 311 307
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Perceptions of Parents’ Feelings data were excluded from the respective analyses.
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, 2021.
220624
Table 3.6B – Perceived That Parents Would Strongly Disapprove of Their Substance Use Behaviors: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2021
Demographic/Geographic Characteristic SUBSTANCE USE BEHAVIOR
Smoking One or More
Packs of Cigarettes Per
Day		 Trying Marijuana Once
or Twice		 Using Marijuana Once a
Month or More		 Having One or Two
Drinks of an Alcoholic
Beverage Nearly Every
Day
2021 2021 2021 2021
TOTAL 94.3 82.8 86.1 90.2
AGE GROUP        
12-13 94.5 91.1 92.6 92.4
14-15 94.8 85.0 89.2 91.5
16-17 93.8 72.0 76.1 86.5
GENDER        
Male 94.7 84.5 87.2 91.1
Female 94.0 81.1 84.8 89.2
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 94.0 81.1 85.2 90.4
White 95.1 80.2 85.3 90.7
Black or African American 90.5 82.5 83.4 88.4
AIAN * * * *
NHOPI * * * *
Asian 94.0 90.8 94.2 94.4
Two or More Races 94.9 80.5 84.7 91.5
Hispanic or Latino 95.4 87.9 88.5 89.6
COUNTY TYPE        
Large Metro 94.6 83.3 86.9 90.5
Small Metro 94.7 82.3 84.9 90.4
Nonmetro 92.6 82.2 85.4 88.4
Urbanized 92.9 81.1 84.2 88.1
Less Urbanized 92.2 83.5 86.3 89.3
Completely Rural 93.0 79.5 85.4 84.2
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Perceptions of Parents’ Feelings data were excluded from the respective analyses.
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, 2021.
220624
Table 3.7A – Perceived That Close Friends Would Strongly Disapprove or Somewhat Disapprove of Their Substance Use Behaviors: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2021
Demographic/Geographic Characteristic SUBSTANCE USE BEHAVIOR
Smoking One or More
Packs of Cigarettes Per
Day		 Trying Marijuana Once
or Twice		 Using Marijuana Once a
Month or More		 Having One or Two
Drinks of an Alcoholic
Beverage Nearly Every
Day
2021 2021 2021 2021
TOTAL 23,479 20,130 20,510 22,956
AGE GROUP        
12-13 8,155 8,000 8,024 8,205
14-15 7,653 6,657 6,826 7,518
16-17 7,671 5,474 5,660 7,233
GENDER        
Male 12,065 10,488 10,727 11,804
Female 11,414 9,642 9,783 11,152
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 17,680 14,903 15,293 17,246
White 12,081 10,154 10,463 11,791
Black or African American 3,096 2,594 2,625 2,994
AIAN * * * *
NHOPI * * * *
Asian 1,405 1,278 1,306 1,388
Two or More Races 847 694 715 825
Hispanic or Latino 5,799 5,227 5,217 5,711
COUNTY TYPE        
Large Metro 13,084 11,061 11,248 12,794
Small Metro 7,137 6,178 6,334 6,947
Nonmetro 3,258 2,891 2,928 3,215
Urbanized 1,257 1,070 1,084 1,224
Less Urbanized 1,677 1,530 1,545 1,671
Completely Rural 324 291 299 321
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Perceptions of Close Friends’ Feelings data were excluded from the respective analyses.
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, 2021.
220624
Table 3.7B – Perceived That Close Friends Would Strongly Disapprove or Somewhat Disapprove of Their Substance Use Behaviors: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2021
Demographic/Geographic Characteristic SUBSTANCE USE BEHAVIOR
Smoking One or More
Packs of Cigarettes Per
Day		 Trying Marijuana Once
or Twice		 Using Marijuana Once a
Month or More		 Having One or Two
Drinks of an Alcoholic
Beverage Nearly Every
Day
2021 2021 2021 2021
TOTAL 91.6 78.6 80.2 89.6
AGE GROUP        
12-13 92.0 90.3 90.9 92.6
14-15 92.0 80.3 82.3 90.7
16-17 90.7 64.8 67.0 85.4
GENDER        
Male 92.4 80.5 82.4 90.5
Female 90.7 76.7 77.9 88.7
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 92.6 78.2 80.2 90.3
White 93.1 78.3 80.7 90.8
Black or African American 89.6 75.5 76.2 86.9
AIAN * * * *
NHOPI * * * *
Asian 96.4 88.1 90.0 95.7
Two or More Races 94.4 77.7 79.9 91.9
Hispanic or Latino 88.6 80.0 80.1 87.5
COUNTY TYPE        
Large Metro 92.5 78.4 79.8 90.5
Small Metro 91.1 78.8 81.0 88.9
Nonmetro 89.0 79.1 80.1 87.7
Urbanized 89.7 76.4 77.5 87.5
Less Urbanized 88.5 80.8 81.6 87.9
Completely Rural 89.0 80.0 82.1 87.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Perceptions of Close Friends’ Feelings data were excluded from the respective analyses.
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, 2021.
220624
Table 3.8A – Strongly Disapproved or Somewhat Disapproved of Peers’ Substance Use Behaviors: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2021
Demographic/Geographic Characteristic SUBSTANCE USE BEHAVIOR
Smoking One or More
Packs of Cigarettes Per
Day		 Trying Marijuana Once
or Twice		 Using Marijuana Once a
Month or More		 Having One or Two
Drinks of an Alcoholic
Beverage Nearly Every
Day
2021 2021 2021 2021
TOTAL 23,866 20,195 20,407 23,034
AGE GROUP        
12-13 8,361 8,101 8,111 8,262
14-15 7,742 6,720 6,838 7,533
16-17 7,763 5,375 5,459 7,239
GENDER        
Male 12,367 10,774 10,785 11,917
Female 11,499 9,422 9,622 11,117
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 17,857 14,891 15,114 17,210
White 12,257 10,062 10,268 11,781
Black or African American 3,093 2,698 2,680 2,972
AIAN * * * *
NHOPI * * * *
Asian 1,380 1,260 1,273 1,394
Two or More Races 843 675 694 822
Hispanic or Latino 6,010 5,305 5,293 5,824
COUNTY TYPE        
Large Metro 13,290 11,109 11,250 12,837
Small Metro 7,231 6,183 6,251 6,981
Nonmetro 3,345 2,903 2,906 3,216
Urbanized 1,313 1,076 1,075 1,260
Less Urbanized 1,699 1,521 1,528 1,662
Completely Rural 333 * 302 *
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Feelings about Peers data were excluded from the respective analyses.
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, 2021.
220624
Table 3.8B – Strongly Disapproved or Somewhat Disapproved of Peers’ Substance Use Behaviors: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2021
Demographic/Geographic Characteristic SUBSTANCE USE BEHAVIOR
Smoking One or More
Packs of Cigarettes Per
Day		 Trying Marijuana Once
or Twice		 Using Marijuana Once a
Month or More		 Having One or Two
Drinks of an Alcoholic
Beverage Nearly Every
Day
2021 2021 2021 2021
TOTAL 92.9 78.7 79.4 89.6
AGE GROUP        
12-13 94.1 91.2 91.1 92.8
14-15 92.8 80.6 82.0 90.3
16-17 91.6 63.6 64.5 85.5
GENDER        
Male 94.3 82.1 82.2 90.8
Female 91.4 75.0 76.4 88.3
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 93.3 77.8 78.9 89.9
White 94.2 77.3 78.9 90.5
Black or African American 89.0 77.9 77.1 85.5
AIAN * * * *
NHOPI * * * *
Asian 95.6 87.2 88.2 96.5
Two or More Races 93.7 75.1 77.1 92.0
Hispanic or Latino 91.6 81.1 80.6 88.7
COUNTY TYPE        
Large Metro 93.8 78.4 79.4 90.5
Small Metro 92.1 78.9 79.6 89.0
Nonmetro 90.8 79.1 78.8 87.3
Urbanized 92.5 75.8 75.8 89.1
Less Urbanized 89.3 80.6 80.2 87.0
Completely Rural 91.8 * 83.2 *
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Feelings about Peers data were excluded from the respective analyses.
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, 2021.
220624
Table 3.9A – Participated in a Prevention Program or Group in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2021
Demographic/Geographic Characteristic PREVENTION PROGRAM OR GROUP
Problem-Solving, Communication
Skills, or Self-Esteem Group		 Violence Prevention Program Pregnancy or Sexually
Transmitted Disease Prevention
Program
2021 2021 2021
TOTAL 6,126 2,190 1,088
AGE GROUP      
12-13 2,298 1,041 316
14-15 2,119 701 446
16-17 1,710 448 325
GENDER      
Male 3,127 1,218 597
Female 2,999 972 491
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 4,774 1,605 796
White 3,157 992 486
Black or African American 945 440 194
AIAN * 17 0
NHOPI * * *
Asian 402 93 84
Two or More Races 220 43 31
Hispanic or Latino 1,352 585 292
COUNTY TYPE      
Large Metro 3,477 1,128 638
Small Metro 1,772 693 251
Nonmetro 877 369 198
Urbanized 359 153 78
Less Urbanized 449 197 101
Completely Rural 69 18 *
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Prevention Program or Group Participation data were excluded from the respective analyses.
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, 2021.
220624
Table 3.9B – Participated in a Prevention Program or Group in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2021
Demographic/Geographic Characteristic PREVENTION PROGRAM OR GROUP
Problem-Solving, Communication
Skills, or Self-Esteem Group		 Violence Prevention Program Pregnancy or Sexually
Transmitted Disease Prevention
Program
2021 2021 2021
TOTAL 24.3 8.6 4.2
AGE GROUP      
12-13 26.8 11.8 3.6
14-15 25.9 8.4 5.4
16-17 20.3 5.3 3.8
GENDER      
Male 24.2 9.3 4.5
Female 24.4 7.8 3.9
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 25.5 8.4 4.2
White 24.9 7.7 3.7
Black or African American 27.5 12.7 5.6
AIAN * 10.5 0.2
NHOPI * * *
Asian 28.3 6.5 5.8
Two or More Races 25.2 4.9 3.4
Hispanic or Latino 20.9 8.9 4.4
COUNTY TYPE      
Large Metro 25.1 8.0 4.5
Small Metro 23.1 8.9 3.2
Nonmetro 24.1 10.0 5.3
Urbanized 25.8 10.9 5.5
Less Urbanized 23.9 10.4 5.3
Completely Rural 18.8 4.9 *
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Prevention Program or Group Participation data were excluded from the respective analyses.
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, 2021.
220624
Table 3.10A – Participated in a Substance Use Program or Exposed to Substance Use Prevention Message in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2021
Demographic/Geographic Characteristic SUBSTANCE USE PROGRAM OR PREVENTION MESSAGE
Participated in Alcohol,
Tobacco, or Drug
Prevention Program
Outside of School		 Participated in Program
or Meeting to Help Deal
with Drug or Alcohol Use		 Saw or Heard Alcohol or
Drug Prevention Message
from Sources Outside
School		 Talked to Parents about
Dangers of Tobacco,
Alcohol, or Drug Use
2021 2021 2021 2021
TOTAL 2,097 587 16,540 13,599
AGE GROUP        
12-13 769 192 5,345 4,466
14-15 755 234 5,588 4,684
16-17 573 161 5,606 4,450
GENDER        
Male 1,125 310 8,293 6,921
Female 973 277 8,247 6,678
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 1,566 424 12,407 10,148
White 954 272 8,724 7,365
Black or African American 387 105 2,010 1,527
AIAN * 9 * *
NHOPI * * * *
Asian 125 18 950 678
Two or More Races 76 19 558 444
Hispanic or Latino 531 163 4,132 3,452
COUNTY TYPE        
Large Metro 1,040 274 9,314 7,639
Small Metro 678 181 5,017 4,116
Nonmetro 379 132 2,209 1,844
Urbanized 134 45 879 725
Less Urbanized 207 71 1,124 957
Completely Rural * 17 206 163
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Substance Use Program Participation or Prevention Message Exposure data were excluded from the respective analyses.
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, 2021.
220624
Table 3.10B – Participated in a Substance Use Program or Exposed to Substance Use Prevention Message in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2021
Demographic/Geographic Characteristic SUBSTANCE USE PROGRAM OR PREVENTION MESSAGE
Participated in Alcohol,
Tobacco, or Drug
Prevention Program
Outside of School		 Participated in Program
or Meeting to Help Deal
with Drug or Alcohol Use		 Saw or Heard Alcohol or
Drug Prevention Message
from Sources Outside
School		 Talked to Parents about
Dangers of Tobacco,
Alcohol, or Drug Use
2021 2021 2021 2021
TOTAL 8.2 2.3 64.9 53.4
AGE GROUP        
12-13 8.7 2.2 61.1 50.9
14-15 9.1 2.8 67.5 56.7
16-17 6.8 1.9 66.3 52.7
GENDER        
Male 8.6 2.4 63.7 53.0
Female 7.8 2.2 66.2 53.8
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 8.2 2.2 65.4 53.5
White 7.4 2.1 67.6 57.2
Black or African American 11.2 3.0 58.1 44.2
AIAN * 5.4 * *
NHOPI * * * *
Asian 8.6 1.3 67.6 46.7
Two or More Races 8.5 2.1 62.6 51.4
Hispanic or Latino 8.1 2.5 63.4 52.9
COUNTY TYPE        
Large Metro 7.4 1.9 66.4 54.4
Small Metro 8.7 2.3 64.5 52.9
Nonmetro 10.2 3.6 60.1 50.4
Urbanized 9.5 3.2 62.6 51.6
Less Urbanized 10.8 3.8 59.0 50.8
Completely Rural * 4.4 55.9 44.0
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Substance Use Program Participation or Prevention Message Exposure data were excluded from the respective analyses.
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, 2021.
220624
Table 3.11A – Engaged in a Physical Delinquent Behavior in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2021
Demographic/Geographic Characteristic PHYSICAL DELINQUENT BEHAVIOR
Got into a Serious Fight at School
or Work		 Took Part in a Group-Against-
Group Fight		 Attacked Someone with the Intent
to Seriously Hurt Them
2021 2021 2021
TOTAL 3,472 2,495 1,057
AGE GROUP      
12-13 1,296 971 408
14-15 1,073 824 400
16-17 1,104 700 249
GENDER      
Male 2,085 1,243 607
Female 1,387 1,251 450
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 2,587 1,752 824
White 1,680 1,093 489
Black or African American 622 413 245
AIAN 16 * *
NHOPI * * *
Asian 113 82 31
Two or More Races 124 91 53
Hispanic or Latino 886 742 233
COUNTY TYPE      
Large Metro 1,845 1,386 586
Small Metro 1,039 771 340
Nonmetro 588 338 131
Urbanized 209 152 43
Less Urbanized 327 168 70
Completely Rural 52 18 19
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Delinquent Behavior data were excluded from the respective analyses.
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, 2021.
220624
Table 3.11B – Engaged in a Physical Delinquent Behavior in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2021
Demographic/Geographic Characteristic PHYSICAL DELINQUENT BEHAVIOR
Got into a Serious Fight at School
or Work		 Took Part in a Group-Against-
Group Fight 		Attacked Someone with the Intent
to Seriously Hurt Them
2021 2021 2021
TOTAL 13.5 9.7 4.1
AGE GROUP      
12-13 14.5 10.9 4.6
14-15 12.8 9.8 4.8
16-17 13.0 8.2 2.9
GENDER      
Male 15.8 9.4 4.6
Female 11.0 9.9 3.6
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 13.5 9.1 4.3
White 12.9 8.4 3.7
Black or African American 17.8 11.8 7.0
AIAN 9.5 * *
NHOPI * * *
Asian 7.8 5.7 2.1
Two or More Races 13.9 10.1 5.9
Hispanic or Latino 13.4 11.3 3.5
COUNTY TYPE      
Large Metro 13.0 9.8 4.1
Small Metro 13.2 9.8 4.3
Nonmetro 15.9 9.1 3.5
Urbanized 14.8 10.7 3.0
Less Urbanized 17.1 8.8 3.6
Completely Rural 13.7 4.8 4.9
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Delinquent Behavior data were excluded from the respective analyses.
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, 2021.
220624
Table 3.12A – Engaged in a Nonphysical Delinquent Behavior in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2021
Demographic/Geographic Characteristic NONPHYSICAL DELINQUENT BEHAVIOR
Carried a Handgun Sold Illegal Drugs Stole or Tried to Steal Anything
Worth More Than $50
2021 2021 2021
TOTAL 1,030 262 604
AGE GROUP      
12-13 287 20 135
14-15 345 74 207
16-17 398 168 262
GENDER      
Male 709 147 343
Female 321 115 261
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 756 202 435
White 578 134 272
Black or African American 117 54 92
AIAN 5 * *
NHOPI * * *
Asian 23 2 21
Two or More Races 33 9 34
Hispanic or Latino 273 60 169
COUNTY TYPE      
Large Metro 438 138 357
Small Metro 335 75 173
Nonmetro 256 49 73
Urbanized 77 25 28
Less Urbanized 149 18 40
Completely Rural 30 * *
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Delinquent Behavior data were excluded from the respective analyses.
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, 2021.
220624
Table 3.12B – Engaged in a Nonphysical Delinquent Behavior in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2021
Demographic/Geographic Characteristic NONPHYSICAL DELINQUENT BEHAVIOR
Carried a Handgun Sold Illegal Drugs Stole or Tried to Steal Anything
Worth More Than $50
2021 2021 2021
TOTAL 4.0 1.0 2.3
AGE GROUP      
12-13 3.2 0.2 1.5
14-15 4.1 0.9 2.5
16-17 4.7 2.0 3.1
GENDER      
Male 5.4 1.1 2.6
Female 2.5 0.9 2.1
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 3.9 1.1 2.3
White 4.4 1.0 2.1
Black or African American 3.3 1.5 2.6
AIAN 3.3 * *
NHOPI * * *
Asian 1.6 0.2 1.5
Two or More Races 3.7 1.0 3.8
Hispanic or Latino 4.2 0.9 2.6
COUNTY TYPE      
Large Metro 3.1 1.0 2.5
Small Metro 4.3 1.0 2.2
Nonmetro 6.9 1.3 2.0
Urbanized 5.5 1.8 2.0
Less Urbanized 7.8 0.9 2.1
Completely Rural 7.8 * *
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Delinquent Behavior data were excluded from the respective analyses.
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, 2021.
220624
Table 3.13A – Selected Risk and Protective Factors for Substance Use Disorders and Mental Illness: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2021
Demographic/Geographic Characteristic RISK FACTORS PROTECTIVE FACTORS
Youth Argued with at
Least One Parent 10 or
More Times in the Past
Year 		Youth Was Approached
by Someone Selling Drugs
in the Past Month		 Youth Had Someone to
Talk to about Problems1		 Youth Attended 25 or
More Religious Services
in the Past Year
2021 2021 2021 2021
TOTAL 4,882 1,433 23,505 5,030
AGE GROUP        
12-13 1,649 223 8,089 1,711
14-15 1,618 489 7,637 1,686
16-17 1,615 721 7,779 1,632
GENDER        
Male 2,061 719 12,209 2,603
Female 2,822 714 11,296 2,428
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 3,600 1,029 17,698 4,076
White 2,681 702 12,166 3,245
Black or African American 370 200 3,088 445
AIAN * * * *
NHOPI * * * *
Asian 282 49 1,358 237
Two or More Races 228 52 830 124
Hispanic or Latino 1,282 404 5,807 954
COUNTY TYPE        
Large Metro 2,853 720 12,947 2,519
Small Metro 1,469 486 7,183 1,672
Nonmetro 560 227 3,374 839
Urbanized 265 115 1,282 311
Less Urbanized 257 109 1,768 458
Completely Rural 38 3 324 70
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Risk or Protective Factors data were excluded from the respective analyses.
1 Respondents were able to select multiple categories of people that they would talk to about a serious problem, including the choice of “nobody.” Respondents who reported both a person that they would talk to and that they had nobody to talk to were excluded from the analysis.
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, 2021.
220624
Table 3.13B – Selected Risk and Protective Factors for Substance Use Disorders and Mental Illness: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2021
Demographic/Geographic Characteristic RISK FACTORS PROTECTIVE FACTORS
Youth Argued with at
Least One Parent 10 or
More Times in the Past
Year 		Youth Was Approached
by Someone Selling Drugs
in the Past Month		 Youth Had Someone to
Talk to about Problems1		 Youth Attended 25 or
More Religious Services
in the Past Year
2021 2021 2021 2021
TOTAL 19.2 5.5 93.5 20.0
AGE GROUP        
12-13 18.9 2.5 93.3 20.0
14-15 19.5 5.8 93.6 20.5
16-17 19.2 8.5 93.6 19.4
GENDER        
Male 15.9 5.4 94.3 20.1
Female 22.7 5.6 92.7 19.8
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 19.0 5.3 94.5 21.7
White 20.9 5.4 95.2 25.4
Black or African American 10.7 5.7 92.0 13.1
AIAN * * * *
NHOPI * * * *
Asian 19.8 3.4 96.0 16.7
Two or More Races 26.4 5.8 93.5 14.0
Hispanic or Latino 19.6 6.1 90.5 14.9
COUNTY TYPE        
Large Metro 20.4 5.0 93.2 18.1
Small Metro 18.9 6.2 94.1 21.8
Nonmetro 15.3 6.1 93.1 23.4
Urbanized 18.9 8.1 92.9 22.7
Less Urbanized 13.6 5.6 93.7 24.8
Completely Rural 10.2 0.7 91.0 19.3
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Risk or Protective Factors data were excluded from the respective analyses.
1 Respondents were able to select multiple categories of people that they would talk to about a serious problem, including the choice of “nobody.” Respondents who reported both a person that they would talk to and that they had nobody to talk to were excluded from the analysis.
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, 2021.
220624
Table 3.14A – Agreed or Strongly Agreed with Statements about Religious Beliefs: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2021
Demographic/Geographic Characteristic STATEMENTS ABOUT RELIGIOUS BELIEFS
Religious Beliefs Are a Very
Important Part of Youth’s Life		 Religious Beliefs Influence Youth’s
Decision Making in Life		 It Is Important for Friends to
Share Religious Beliefs
2021 2021 2021
TOTAL 15,990 13,904 6,340
AGE GROUP      
12-13 6,046 5,194 2,434
14-15 5,060 4,454 2,040
16-17 4,884 4,256 1,866
GENDER      
Male 8,179 7,246 3,426
Female 7,811 6,658 2,914
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 11,689 10,320 4,726
White 7,698 6,762 3,153
Black or African American 2,481 2,197 992
AIAN * * *
NHOPI * * *
Asian 852 789 309
Two or More Races 476 416 190
Hispanic or Latino 4,301 3,584 1,614
COUNTY TYPE      
Large Metro 8,692 7,467 3,137
Small Metro 4,813 4,222 2,020
Nonmetro 2,485 2,215 1,184
Urbanized 858 780 408
Less Urbanized 1,352 1,208 648
Completely Rural 274 227 128
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Religious Beliefs data were excluded from the respective analyses.
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, 2021.
220624
Table 3.14B – Agreed or Strongly Agreed with Statements about Religious Beliefs: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2021
Demographic/Geographic Characteristic STATEMENTS ABOUT RELIGIOUS BELIEFS
Religious Beliefs Are a Very
Important Part of Youth’s Life		 Religious Beliefs Influence Youth’s
Decision Making in Life		 It Is Important for Friends to
Share Religious Beliefs
2021 2021 2021
TOTAL 63.4 55.1 25.1
AGE GROUP      
12-13 70.3 60.3 28.3
14-15 61.6 54.1 24.9
16-17 58.0 50.7 22.2
GENDER      
Male 63.5 56.1 26.6
Female 63.2 54.0 23.6
HISPANIC ORIGIN AND RACE      
Not Hispanic or Latino 62.2 54.8 25.1
White 60.0 52.8 24.5
Black or African American 73.4 64.3 29.5
AIAN * * *
NHOPI * * *
Asian 60.4 56.0 22.0
Two or More Races 55.0 47.4 21.3
Hispanic or Latino 66.8 55.8 25.2
COUNTY TYPE      
Large Metro 62.5 53.7 22.6
Small Metro 62.4 54.7 26.2
Nonmetro 68.8 61.3 32.7
Urbanized 62.0 56.6 29.4
Less Urbanized 72.5 64.0 34.5
Completely Rural 76.2 65.4 36.9
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Religious Beliefs data were excluded from the respective analyses.
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, 2021.
220624
Table 3.15A – Always or Sometimes Had Parental Involvement through Specific Behaviors in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2021
Demographic/Geographic Characteristic PARENTAL INVOLVEMENT
Parents Made Youth Do
Chores around the House		 Parents Limited Amount
of Time Youth Watched
TV 		Parents Let Youth
Know He or She Had
Done a Good Job		 Parents Let Youth Know
They Were Proud of
Something He or She
Had Done
2021 2021 2021 2021
TOTAL 22,988 10,234 21,468 20,984
AGE GROUP        
12-13 7,996 4,497 7,771 7,617
14-15 7,477 3,202 6,831 6,752
16-17 7,516 2,536 6,867 6,616
GENDER        
Male 11,826 5,452 11,499 11,305
Female 11,162 4,782 9,969 9,679
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 17,054 7,734 16,319 15,983
White 11,559 5,237 11,274 10,959
Black or African American 3,167 1,346 2,927 2,943
AIAN * * * *
NHOPI * * * *
Asian 1,255 694 1,179 1,165
Two or More Races 789 345 721 701
Hispanic or Latino 5,934 2,500 5,150 5,001
COUNTY TYPE        
Large Metro 12,674 5,988 11,878 11,635
Small Metro 7,037 3,018 6,477 6,284
Nonmetro 3,276 1,228 3,113 3,066
Urbanized 1,255 472 1,142 1,113
Less Urbanized 1,682 642 1,639 1,639
Completely Rural 339 * 332 313
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Parental Involvement data were excluded from the respective analyses.
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, 2021.
220624
Table 3.15B – Always or Sometimes Had Parental Involvement through Specific Behaviors in Past Year: Among People Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2021
Demographic/Geographic Characteristic PARENTAL INVOLVEMENT
Parents Made Youth Do
Chores around the House		 Parents Limited Amount
of Time Youth Watched
TV 		Parents Let Youth
Know He or She Had
Done a Good Job		 Parents Let Youth Know
They Were Proud of
Something He or She
Had Done
2021 2021 2021 2021
TOTAL 89.2 39.9 83.3 81.4
AGE GROUP        
12-13 89.4 50.6 86.9 85.3
14-15 89.6 38.4 81.8 80.8
16-17 88.4 30.0 81.0 78.0
GENDER        
Male 89.7 41.6 87.3 85.8
Female 88.6 38.0 79.1 76.8
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 88.9 40.4 85.1 83.3
White 88.7 40.3 86.4 84.1
Black or African American 90.6 38.7 84.1 84.2
AIAN * * * *
NHOPI * * * *
Asian 87.2 48.1 81.7 80.6
Two or More Races 87.3 38.7 80.3 77.7
Hispanic or Latino 89.9 38.2 78.1 75.9
COUNTY TYPE        
Large Metro 89.2 42.2 83.5 81.9
Small Metro 89.5 38.7 82.4 80.1
Nonmetro 88.3 33.3 84.3 82.5
Urbanized 88.3 33.3 80.9 78.5
Less Urbanized 88.0 33.6 86.2 85.3
Completely Rural 90.2 * 87.9 83.1
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Parental Involvement data were excluded from the respective analyses.
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, 2021.
220624
Table 3.16A – Measures of Student Characteristics of Those Enrolled in School in Past Year: Among Students Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2021
Demographic/Geographic Characteristic STUDENT CHARACTERISTICS
Participated in One or
Fewer Activities1		 Saw or Heard Drug or
Alcohol Prevention
Messages in School		 Youth Liked a Lot or Kind
of Liked Going to School		 Grade Average for Last
Completed Period Was “D”
or Lower2
2021 2021 2021 2021
TOTAL 5,915 14,786 17,826 1,434
AGE GROUP        
12-13 2,020 4,920 6,389 456
14-15 1,817 5,298 5,878 456
16-17 2,078 4,568 5,560 522
GENDER        
Male 3,166 7,290 9,421 831
Female 2,749 7,496 8,406 603
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 3,989 11,093 13,462 935
White 2,559 7,787 9,104 592
Black or African American 856 1,721 2,507 193
AIAN * * * *
NHOPI * * * *
Asian 241 867 1,054 18
Two or More Races 233 559 598 62
Hispanic or Latino 1,927 3,693 4,365 499
COUNTY TYPE        
Large Metro 3,057 8,134 9,826 749
Small Metro 2,000 4,616 5,534 419
Nonmetro 858 2,036 2,467 267
Urbanized 324 799 936 101
Less Urbanized 435 1,065 1,294 147
Completely Rural 99 173 * 18
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Student Characteristics data were excluded from the respective analyses.
NOTE: Youths who did not report their school enrollment status or reported not being enrolled in school in the past 12  were excluded from this analysis. Youths reporting that they were “home-schooled” in the past 12  were considered to be enrolled in school.
1 The number of activities participated in is based on four questions: participation in school-based activities, community-based activities, church or faith-based activities, and other activities. For each question, the response categories include “None,” “One,” “Two,” and “3 or more.” Respondents were excluded from the analysis if they had unknown data for at least three of the questions and if their known responses did not place them in the recoded “Two or more” category.
2 Respondents reporting that their school does not give these grades were excluded from the analysis.
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, 2021.
220624
Table 3.16B – Measures of Student Characteristics of Those Enrolled in School in Past Year: Among Students Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2021
Demographic/Geographic Characteristic STUDENT CHARACTERISTICS
Participated in One or
Fewer Activities1		 Saw or Heard Drug or
Alcohol Prevention
Messages in School		 Youth Liked a Lot or Kind
of Liked Going to School		 Grade Average for Last
Completed Period Was “D”
or Lower2
2021 2021 2021 2021
TOTAL 24.0 60.7 72.2 6.2
AGE GROUP        
12-13 23.7 59.0 74.6 5.9
14-15 22.6 66.3 72.9 6.0
16-17 25.8 57.0 68.8 6.7
GENDER        
Male 25.2 58.8 75.0 7.1
Female 22.8 62.8 69.2 5.3
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 21.6 60.6 72.6 5.4
White 20.2 61.7 71.5 5.0
Black or African American 26.4 53.6 76.9 6.3
AIAN * * * *
NHOPI * * * *
Asian 17.8 65.7 77.5 1.4
Two or More Races 26.5 64.3 67.7 7.4
Hispanic or Latino 31.4 61.2 70.8 8.8
COUNTY TYPE        
Large Metro 22.5 60.7 72.1 5.9
Small Metro 26.6 61.9 73.4 5.9
Nonmetro 24.5 58.4 70.0 8.1
Urbanized 23.8 58.7 68.4 8.0
Less Urbanized 24.1 59.4 71.2 8.6
Completely Rural 29.1 51.9 * 6.2
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Respondents with unknown Student Characteristics data were excluded from the respective analyses.
NOTE: Youths who did not report their school enrollment status or reported not being enrolled in school in the past 12  were excluded from this analysis. Youths reporting that they were “home-schooled” in the past 12  were considered to be enrolled in school.
1 The number of activities participated in is based on four questions: participation in school-based activities, community-based activities, church or faith-based activities, and other activities. For each question, the response categories include “None,” “One,” “Two,” and “3 or more.” Respondents were excluded from the analysis if they had unknown data for at least three of the questions and if their known responses did not place them in the recoded “Two or more” category.
2 Respondents reporting that their school does not give these grades were excluded from the analysis.
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, 2021.
220624
Table 3.17A – Students Enrolled in School in Past Year Who Always or Sometimes Had Adult Involvement through Specific School-Related Behaviors: Among Students Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2021
Demographic/Geographic Characteristic ADULT INVOLVEMENT
Teacher Let Youth Know
He or She Was Doing a
Good Job with School Work		 Parents Checked That
Youth Did Homework		 Parents Provided Help
with Homework		 Parents Limited Time
Youth Went Out with
Friends on a School Night
2021 2021 2021 2021
TOTAL 18,137 20,652 19,605 14,534
AGE GROUP        
12-13 6,892 7,621 7,387 5,223
14-15 5,716 6,729 6,484 4,882
16-17 5,529 6,301 5,734 4,429
GENDER        
Male 9,444 10,879 10,149 7,175
Female 8,693 9,773 9,456 7,358
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 13,580 15,434 15,082 10,955
White 9,014 10,587 10,591 7,542
Black or African American 2,651 2,787 2,584 1,958
AIAN * * * *
NHOPI * * * *
Asian 1,065 1,070 1,004 792
Two or More Races 646 753 687 540
Hispanic or Latino 4,557 5,218 4,523 3,578
COUNTY TYPE        
Large Metro 10,122 11,464 10,683 7,847
Small Metro 5,436 6,306 6,088 4,579
Nonmetro 2,579 2,881 2,834 2,107
Urbanized 973 1,112 1,071 785
Less Urbanized 1,358 1,495 1,473 1,122
Completely Rural * * 290 201
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Youths who did not report their school enrollment status or reported not being enrolled in school in the past 12  were excluded from this analysis. Youths reporting that they were “home-schooled” in the past 12  were considered to be enrolled in school.
NOTE: Respondents with unknown Adult Involvement data were excluded from the respective analyses.
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, 2021.
220624
Table 3.17B – Students Enrolled in School in Past Year Who Always or Sometimes Had Adult Involvement through Specific School-Related Behaviors: Among Students Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2021
Demographic/Geographic Characteristic ADULT INVOLVEMENT
Teacher Let Youth Know
He or She Was Doing a
Good Job with School Work		 Parents Checked That
Youth Did Homework		 Parents Provided Help
with Homework		 Parents Limited Time
Youth Went Out with
Friends on a School Night
2021 2021 2021 2021
TOTAL 73.5 83.9 79.8 60.5
AGE GROUP        
12-13 80.8 89.5 86.8 64.2
14-15 71.0 83.7 80.9 61.9
16-17 68.4 78.1 71.2 55.4
GENDER        
Male 75.3 86.7 81.1 58.7
Female 71.8 80.9 78.4 62.4
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 73.4 83.6 81.9 60.7
White 70.9 83.4 83.5 60.7
Black or African American 81.5 85.9 79.9 62.2
AIAN * * * *
NHOPI * * * *
Asian 78.3 78.6 74.2 59.9
Two or More Races 73.2 86.6 80.2 63.2
Hispanic or Latino 74.0 84.9 73.5 60.0
COUNTY TYPE        
Large Metro 74.2 84.3 78.7 59.1
Small Metro 72.4 84.1 81.1 62.6
Nonmetro 73.3 82.0 81.0 61.6
Urbanized 71.4 81.4 79.2 59.2
Less Urbanized 74.8 82.7 81.5 63.6
Completely Rural * * 85.3 60.6
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Youths who did not report their school enrollment status or reported not being enrolled in school in the past 12  were excluded from this analysis. Youths reporting that they were “home-schooled” in the past 12  were considered to be enrolled in school.
NOTE: Respondents with unknown Adult Involvement data were excluded from the respective analyses.
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, 2021.
220624
Table 3.18A – Students Enrolled in School in Past Year who Perceived That All or Most Students in Grade Level Use Specific Substances: Among Students Aged 12 to 17; by Demographic and Geographic Characteristics, Numbers in Thousands, 2021
Demographic/Geographic Characteristic SUBSTANCE USE OF STUDENTS IN GRADE LEVEL
Smoke Cigarettes Use Marijuana Drink Alcoholic Beverages Get Drunk at Least Once a
Week
2021 2021 2021 2021
TOTAL 1,747 4,512 5,308 1,627
AGE GROUP        
12-13 240 254 329 112
14-15 601 1,397 1,631 515
16-17 906 2,861 3,349 1,000
GENDER        
Male 648 1,656 1,916 603
Female 1,099 2,856 3,392 1,024
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 1,266 3,372 3,981 1,153
White 882 2,166 2,907 832
Black or African American 215 778 609 178
AIAN * * * *
NHOPI * * * *
Asian 44 126 181 57
Two or More Races 58 189 185 56
Hispanic or Latino 481 1,140 1,327 474
COUNTY TYPE        
Large Metro 821 2,477 2,822 839
Small Metro 573 1,379 1,636 520
Nonmetro 352 656 850 268
Urbanized 116 308 345 130
Less Urbanized 191 301 415 118
Completely Rural * 47 90 20
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Youths who did not report their school enrollment status or reported not being enrolled in school in the past 12 , or reported that they were “home-schooled” in the past 12  were excluded from this analysis.
NOTE: Respondents with unknown Substance Use in Grade Level data were excluded from the respective analyses.
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, 2021.
220624
Table 3.18B – Students Enrolled in School in Past Year who Perceived That All or Most Students in Grade Level Use Specific Substances: Among Students Aged 12 to 17; by Demographic and Geographic Characteristics, Percentages, 2021
Demographic/Geographic Characteristic SUBSTANCE USE OF STUDENTS IN GRADE LEVEL
Smoke Cigarettes Use Marijuana Drink Alcoholic Beverages Get Drunk at Least Once a
Week
2021 2021 2021 2021
TOTAL 7.5 19.6 22.9 7.1
AGE GROUP        
12-13 3.0 3.3 4.1 1.4
14-15 7.9 18.6 21.5 6.9
16-17 11.9 37.2 43.6 13.3
GENDER        
Male 5.5 14.1 16.3 5.2
Female 9.7 25.3 29.6 9.2
HISPANIC ORIGIN AND RACE        
Not Hispanic or Latino 7.3 19.5 22.8 6.7
White 7.3 18.1 24.0 7.0
Black or African American 7.1 25.9 20.3 6.0
AIAN * * * *
NHOPI * * * *
Asian 3.5 10.2 14.4 4.6
Two or More Races 7.0 23.9 22.8 7.1
Hispanic or Latino 8.4 20.1 23.1 8.5
COUNTY TYPE        
Large Metro 6.4 19.6 22.0 6.7
Small Metro 8.1 19.6 23.2 7.5
Nonmetro 10.6 19.7 25.6 8.2
Urbanized 9.0 23.9 26.9 10.1
Less Urbanized 11.1 17.6 24.3 7.1
Completely Rural * 14.4 27.3 6.2
* = low precision; -- = not available; da = does not apply; nr = not reported due to measurement issues.
NOTE: Estimates from years prior to 2021 are not shown because of methodological changes in 2021. See the 2021 National Survey on Drug Use and Health: Methodological Summary and Definitions for details.
NOTE: Youths who did not report their school enrollment status or reported not being enrolled in school in the past 12 , or reported that they were “home-schooled” in the past 12  were excluded from this analysis.
NOTE: Respondents with unknown Substance Use in Grade Level data were excluded from the respective analyses.
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, 2021.

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